Perry County Memorial Hospital
Tell City, IN · Critical Access Hospital
Posts prices for 40 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-01.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| After-cataract laser surgery (YAG capsulotomy) (66821) | $1,033.90 | $1,477 | 1.8× |
| CT head/brain without contrast (70450) | $1,043 | $1,490 | 9.4× |
| MRI brain without contrast (70551) | $1,839.60 | $2,628 | 7.3× |
| MRI brain with contrast (70552) | $2,223.20 | $3,176 | 6.0× |
| MRI brain without and with contrast (70553) | $2,998.10 | $4,283 | 8.1× |
| X-ray lower spine, 4+ views (72110) | $410.20 | $586 | 3.7× |
| MRI lumbar spine without contrast (72148) | $1,839.60 | $2,628 | 7.3× |
| CT pelvis with contrast (72193) | $1,733.20 | $2,476 | 9.3× |
| MRI lower-extremity joint without contrast (73721) range across 4 matching MRF lines |
$2,419.20–$3,630.20 | $3,456–$5,186 | varies |
| CT abdomen and pelvis with contrast (74177) | $2,155.30 | $3,079 | 5.8× |
| Ultrasound, abdomen complete (76700) | $788.90 | $1,127 | 7.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $702.80 | $1,004 | 6.4× |
| Ultrasound, transvaginal (76830) | $421.40 | $602 | 3.8× |
| Mammography, one breast (diagnostic) (77065) | $462.70 | $661 | 5.4× |
| Mammography, both breasts (diagnostic) (77066) range across 4 matching MRF lines |
$140–$467.60 | $200–$668 | varies |
| Mammography, screening (bilateral) (77067) range across 4 matching MRF lines |
$257.60–$568.40 | $368–$812 | varies |
| Basic metabolic panel (80048) | $134.40 | $192 | 15.9× |
| Comprehensive metabolic panel (80053) | $146.30 | $209 | 13.9× |
| Lipid panel (80061) | $105 | $150 | 7.8× |
| Renal function panel (80069) | $266 | $380 | 30.6× |
| Hepatic function panel (80076) | $288.40 | $412 | 35.3× |
| PSA, total (84153) range across 4 matching MRF lines |
$137.90–$217 | $197–$310 | varies |
| Thyroid stimulating hormone (TSH) (84443) | $110.60 | $158 | 6.6× |
| CBC with automated differential (85025) | $75.60 | $108 | 9.7× |
| CBC, automated (85027) | $54.60 | $78 | 8.4× |
| Prothrombin time (PT) (85610) | $57.40 | $82 | 13.4× |
| Partial thromboplastin time (PTT) (85730) | $75.60 | $108 | 12.6× |
| Psychotherapy, 30 minutes (90832) | $145.60 | $208 | 0.8× |
| Psychotherapy, 45 minutes (90834) | $193.20 | $276 | 1.0× |
| Psychotherapy, 60 minutes (90837) | $282.80 | $404 | 1.5× |
| Family psychotherapy, without patient (50 min) (90846) | $207.20 | $296 | 1.1× |
| Family psychotherapy, with patient (50 min) (90847) | $217.70 | $311 | 1.2× |
| Group psychotherapy (90853) | $174.30 | $249 | 1.6× |
| Sleep study (attended polysomnography) (95810) range across 4 matching MRF lines |
$2,102.10–$3,551.80 | $3,003–$5,074 | varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) range across 9 matching MRF lines |
$2.10–$368.20 | $3–$526 | varies |
| Office visit, new patient (low complexity, ~30 min) (99203) | $240.10 | $343 | 1.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $405.30 | $579 | 2.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) | $526.40 | $752 | 3.7× |
| Office consultation (low complexity, ~30 min) (99243) range across 2 matching MRF lines |
$298.20–$1,312.50 | $426–$1,875 | varies |
| Office consultation (moderate complexity, ~40 min) (99244) | $479.50 | $685 | 3.4× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
More prices at this hospital
- Imaging: 234 codes with posted prices and Medicare benchmarks
- Lab & pathology: 483 codes with posted prices and Medicare benchmarks
- Visits & medical services: 127 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 113 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 22 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (ZIP, 68.0 MB) ↓ — captured 2026-10-01
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.