Home › Hospitals › Platte County Hospital Posts prices for 34 of the 66 common shoppable procedures we track. Price file retrieved 2026-06-22.
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Procedure Cash price Gross charge × Medicare
Epidural injection, lumbar/sacral (with imaging) (62322) $876.39
$1,338
1.0×
Transforaminal epidural injection, lumbar/sacral (64483) $1,766.23
$2,545
2.0×
CT head/brain without contrast (70450) $966.86
$1,499
9.1×
MRI brain without contrast (70551) $1,430.27
$1,877
5.9×
MRI brain with contrast (70552) $1,788.41
$2,347
5.0×
MRI brain without and with contrast (70553) $2,145.79
$2,816
6.0×
X-ray lower spine, 4+ views (72110) $635.12
$839
5.9×
MRI lumbar spine without contrast (72148) $1,175.27
$1,736
4.8×
CT pelvis with contrast (72193) $2,561.82
$3,729
14.3×
MRI lower-extremity joint without contrast (73721) $1,818.79
$2,390
7.5×
CT abdomen and pelvis with contrast (74177) $1,823.99
$2,655
5.1×
Ultrasound, abdomen complete (76700) $1,030.09
$1,195
9.6×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $907.69
$1,053
8.5×
Ultrasound, transvaginal (76830) $704.25
$817
6.6×
Mammography, one breast (diagnostic) (77065) $252.86
$288
2.9×
Mammography, both breasts (diagnostic) (77066) $381.05
$434
3.4×
Mammography, screening (bilateral) (77067) $226.92
$284
2.5×
Basic metabolic panel (80048) $73.82
$111
8.7×
Comprehensive metabolic panel (80053) $91.11
$137
8.6×
Lipid panel (80061) $50.20
$75.50
3.7×
Renal function panel (80069) $103.74
$156
12.0×
Hepatic function panel (80076) $71.82
$108
8.8×
Urinalysis, non-automated, without microscopy (81002) $7.30
$11
2.1×
PSA, total (84153) $37.24
$56
2.0×
Thyroid stimulating hormone (TSH) (84443) $53.87
$81
3.2×
CBC with automated differential (85025) $30.58
$44.50
3.9×
CBC, automated (85027) $37.10
$54
5.7×
Prothrombin time (PT) (85610) $21.98
$32
5.1×
Partial thromboplastin time (PTT) (85730) $25.08
$36.50
4.2×
Sleep study (attended polysomnography) (95810) $4,178.81
$4,895
4.8×
Physical therapy, therapeutic exercise (per 15 min) (97110) $85.09
$127
2.9×
Office visit, new patient (low complexity, ~30 min) (99203) $215.82
$330
1.6×
Office visit, new patient (moderate complexity, ~45 min) (99204) $297.57
$455
2.2×
Office visit, new patient (high complexity, ~60 min) (99205) $370.50
$520
2.7×
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.
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