Pike County Memorial Hospital
Louisiana, MO · Critical Access Hospital
Posts prices for 58 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-15.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Breast lesion removal (open) (19120) | $612.80 | $766 | 0.2× |
| Shoulder arthroscopy with decompression (29826) range across 2 matching MRF lines |
$429.60–$1,025.60 | $537–$1,282 | varies |
| Knee arthroscopy with meniscectomy (29881) range across 2 matching MRF lines |
$877.60–$2,644.80 | $1,097–$3,306 | varies |
| Tonsillectomy and adenoidectomy (under age 12) (42820) range across 2 matching MRF lines |
$358.40–$10,120 | $448–$12,650 | varies |
| Upper GI endoscopy (EGD), diagnostic (43235) range across 2 matching MRF lines |
$278.40–$815.20 | $348–$1,019 | varies |
| Upper GI endoscopy (EGD) with biopsy (43239) range across 2 matching MRF lines |
$312.80–$813.60 | $391–$1,017 | varies |
| Diagnostic colonoscopy (45378) range across 2 matching MRF lines |
$398.40–$996 | $498–$1,245 | varies |
| Colonoscopy with biopsy (45380) range across 2 matching MRF lines |
$445.60–$1,120 | $557–$1,400 | varies |
| Colonoscopy with lesion removal (45385) range across 2 matching MRF lines |
$607.20–$1,273.60 | $759–$1,592 | varies |
| Laparoscopic gallbladder removal (47562) range across 2 matching MRF lines |
$960–$3,942.40 | $1,200–$4,928 | varies |
| Inguinal hernia repair (age 5+) (49505) range across 2 matching MRF lines |
$623.20–$2,605.60 | $779–$3,257 | varies |
| Epidural injection, lumbar/sacral (with imaging) (62322) | $156 | $195 | 0.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) range across 2 matching MRF lines |
$260.80–$741.60 | $326–$927 | varies |
| After-cataract laser surgery (YAG capsulotomy) (66821) | $710.40 | $888 | 1.3× |
| Cataract removal with lens insertion (66984) | $2,655.20 | $3,319 | 1.1× |
| CT head/brain without contrast (70450) | $804 | $1,005 | 7.7× |
| MRI brain without contrast (70551) | $1,524.80 | $1,906 | 6.4× |
| MRI brain with contrast (70552) | $1,768.80 | $2,211 | 5.1× |
| MRI brain without and with contrast (70553) | $2,280.80 | $2,851 | 6.5× |
| X-ray lower spine, 4+ views (72110) | $248 | $310 | 2.4× |
| MRI lumbar spine without contrast (72148) | $1,829.60 | $2,287 | 7.7× |
| CT pelvis with contrast (72193) | $877.60 | $1,097 | 5.0× |
| MRI lower-extremity joint without contrast (73721) | $1,464 | $1,830 | 6.1× |
| CT abdomen and pelvis with contrast (74177) range across 3 matching MRF lines |
$922.40–$1,755.20 | $1,153–$2,194 | varies |
| Ultrasound, abdomen complete (76700) | $556 | $695 | 5.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $531.20 | $664 | 5.1× |
| Ultrasound, transvaginal (76830) | $478.40 | $598 | 4.6× |
| Mammography, one breast (diagnostic) (77065) | $200 | $250 | 2.3× |
| Mammography, both breasts (diagnostic) (77066) | $268 | $335 | 2.4× |
| Mammography, screening (bilateral) (77067) | $228 | $285 | 2.5× |
| Basic metabolic panel (80048) | $126.40 | $158 | 14.9× |
| Comprehensive metabolic panel (80053) | $148.80 | $186 | 14.1× |
| Lipid panel (80061) | $76 | $95 | 5.7× |
| Renal function panel (80069) | $138.40 | $173 | 15.9× |
| Hepatic function panel (80076) | $101.60 | $127 | 12.4× |
| Urinalysis, non-automated, with microscopy (81000) | $34.40 | $43 | 8.6× |
| Urinalysis, non-automated, without microscopy (81002) | $27.20 | $34 | 7.8× |
| PSA, total (84153) | $77.60 | $97 | 4.2× |
| Thyroid stimulating hormone (TSH) (84443) | $74.40 | $93 | 4.4× |
| CBC with automated differential (85025) | $56.80 | $71 | 7.3× |
| CBC, automated (85027) | $27.20 | $34 | 4.2× |
| Prothrombin time (PT) (85610) | $26.40 | $33 | 6.2× |
| Partial thromboplastin time (PTT) (85730) | $34.40 | $43 | 5.7× |
| Psychotherapy, 30 minutes (90832) | $252 | $315 | 1.4× |
| Psychotherapy, 45 minutes (90834) | $264 | $330 | 1.5× |
| Psychotherapy, 60 minutes (90837) | $280 | $350 | 1.6× |
| Family psychotherapy, without patient (50 min) (90846) | $112 | $140 | 0.6× |
| Family psychotherapy, with patient (50 min) (90847) | $128 | $160 | 0.7× |
| Group psychotherapy (90853) | $42.40 | $53 | 0.4× |
| Sleep study (attended polysomnography) (95810) | $1,836 | $2,295 | 2.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $88 | $110 | 3.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 4 matching MRF lines |
$120–$400 | $150–$500 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 4 matching MRF lines |
$148–$520 | $185–$650 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 10 matching MRF lines |
$87.20–$240 | $109–$300 | varies |
| Office consultation (low complexity, ~30 min) (99243) | $221.60 | $277 | 1.7× |
| Office consultation (moderate complexity, ~40 min) (99244) | $267.20 | $334 | 2.0× |
| Preventive visit, new patient (age 18–39) (99385) | $120 | $150 | — |
| Preventive visit, new patient (age 40–64) (99386) | $120 | $150 | — |
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: 232 codes with posted prices and Medicare benchmarks
- Lab & pathology: 406 codes with posted prices and Medicare benchmarks
- Visits & medical services: 155 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 545 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 18 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 1.7 MB) ↓ — captured 2026-08-15
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.