Prague Regional Memorial Hospital
Prague, OK · Critical Access Hospital
Posts prices for 38 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Upper GI endoscopy (EGD), diagnostic (43235) | $105.09 | $268 | 0.1× |
| Upper GI endoscopy (EGD) with biopsy (43239) | $117.64 | $300 | 0.1× |
| Diagnostic colonoscopy (45378) | $156.82 | $437 | 0.2× |
| Colonoscopy with biopsy (45380) | $169.45 | $522 | 0.1× |
| Colonoscopy with lesion removal (45385) | $213.51 | $621 | 0.2× |
| CT head/brain without contrast (70450) | $1,844 | $1,844 | 18.3× |
| MRI brain without contrast (70551) | $1,877 | $1,877 | 8.2× |
| MRI brain with contrast (70552) | $3,524 | $3,524 | 10.5× |
| MRI brain without and with contrast (70553) | $2,693 | $2,693 | 8.0× |
| X-ray lower spine, 4+ views (72110) | $304 | $304 | 3.0× |
| MRI lumbar spine without contrast (72148) | $2,237 | $2,237 | 9.7× |
| CT pelvis with contrast (72193) | $2,390 | $2,390 | 14.2× |
| MRI lower-extremity joint without contrast (73721) | $1,712 | $1,712 | 7.5× |
| CT abdomen and pelvis with contrast (74177) | $2,553 | $2,553 | 7.6× |
| Ultrasound, abdomen complete (76700) | $540 | $540 | 5.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $630 | $630 | 6.3× |
| Ultrasound, transvaginal (76830) | $598 | $598 | 5.9× |
| Basic metabolic panel (80048) | $205 | $205 | 24.2× |
| Comprehensive metabolic panel (80053) | $308 | $308 | 29.2× |
| Lipid panel (80061) | $174 | $174 | 13.0× |
| Renal function panel (80069) | $202 | $202 | 23.3× |
| Hepatic function panel (80076) range across 2 matching MRF lines |
$217–$300 | $217–$300 | varies |
| Urinalysis, non-automated, with microscopy (81000) | $25 | $25 | 6.2× |
| Urinalysis, non-automated, without microscopy (81002) | $25 | $25 | 7.2× |
| PSA, total (84153) range across 2 matching MRF lines |
$178–$289 | $178–$289 | varies |
| Thyroid stimulating hormone (TSH) (84443) range across 2 matching MRF lines |
$164–$300 | $164–$300 | varies |
| CBC with automated differential (85025) | $109 | $109 | 14.0× |
| CBC, automated (85027) | $30 | $30 | 4.6× |
| Prothrombin time (PT) (85610) | $80 | $80 | 18.6× |
| Partial thromboplastin time (PTT) (85730) | $86 | $86 | 14.3× |
| Psychotherapy, 30 minutes (90832) | $503.71 | $503.71 | 3.0× |
| Psychotherapy, 45 minutes (90834) | $508.04 | $508.04 | 3.0× |
| Psychotherapy, 60 minutes (90837) | $513.63 | $513.63 | 3.0× |
| Group psychotherapy (90853) | $424.65 | $424.65 | 4.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) range across 2 matching MRF lines |
$109–$116 | $109–$116 | varies |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 3 matching MRF lines |
$68.93–$311 | $216–$311 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 3 matching MRF lines |
$112.76–$477 | $314–$477 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 3 matching MRF lines |
$154.28–$594 | $401–$594 | varies |
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: 153 codes with posted prices and Medicare benchmarks
- Lab & pathology: 413 codes with posted prices and Medicare benchmarks
- Visits & medical services: 115 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 241 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 10 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 16.7 MB) ↓ — captured 2026-07-29
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.