Home › Hospitals › Putnam General Hospital Posts prices for 37 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-22.
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Procedure Cash price Gross charge × Medicare
Upper GI endoscopy (EGD), diagnostic (43235) $386.25
$772.50
0.5×
Transforaminal epidural injection, lumbar/sacral (64483) $397.73
$795.46
0.5×
After-cataract laser surgery (YAG capsulotomy) (66821) $538.52
$1,077.02
1.1×
Cataract removal with lens insertion (66984) $950.18
$1,900.35
0.5×
CT head/brain without contrast (70450) $674
$1,348
7.4×
MRI brain without contrast (70551) $824.12
$1,648.23
3.9×
MRI brain with contrast (70552) $1,247.03
$2,494.05
4.1×
MRI brain without and with contrast (70553) $1,496.96
$2,993.92
4.9×
X-ray lower spine, 4+ views (72110) $141.70
$283.40
1.5×
MRI lumbar spine without contrast (72148) $1,506.16
$3,012.32
7.2×
CT pelvis with contrast (72193) $589.16
$1,178.32
3.8×
MRI lower-extremity joint without contrast (73721) $806.33
$1,612.65
3.9×
CT abdomen and pelvis with contrast (74177) $1,685
$3,370
5.5×
Ultrasound, abdomen complete (76700) $346.20
$692.39
3.8×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $166.04
$332.08
1.8×
Ultrasound, transvaginal (76830) $273.43
$546.86
3.0×
Mammography, one breast (diagnostic) (77065) $148.75
$297.50
1.7×
Mammography, both breasts (diagnostic) (77066) $210.30
$420.59
1.9×
Mammography, screening (bilateral) (77067) $117.50
$235
1.3×
Basic metabolic panel (80048) $47.38
$94.76
5.6×
Comprehensive metabolic panel (80053) $59.28
$118.56
5.6×
Lipid panel (80061) $24.52
$49.02
1.8×
Renal function panel (80069) $52.46
$104.90
6.0×
Hepatic function panel (80076) $29.42
$58.83
3.6×
Urinalysis, non-automated, with microscopy (81000) $13.40
$26.80
3.3×
PSA, total (84153) $24.52
$49.02
1.3×
Thyroid stimulating hormone (TSH) (84443) $10.59
$21.17
0.6×
CBC with automated differential (85025) $16.94
$33.87
2.2×
CBC, automated (85027) $16.94
$33.87
2.6×
Prothrombin time (PT) (85610) $22.28
$44.56
5.2×
Partial thromboplastin time (PTT) (85730) $26.33
$52.66
4.4×
Sleep study (attended polysomnography) (95810) $1,752.40
$3,504.80
2.3×
Physical therapy, therapeutic exercise (per 15 min) (97110) $27.89
$55.77
1.0×
Office visit, new patient (low complexity, ~30 min) (99203) $80
$160
0.7×
Office visit, new patient (moderate complexity, ~45 min) (99204) $127.50
$255
1.1×
Office visit, new patient (high complexity, ~60 min) (99205) $157.50
$315
1.3×
Office consultation (moderate complexity, ~40 min) (99244) $165
$330
1.4×
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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