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Posts prices for 39 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-23.
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Procedure Cash price Gross charge × Medicare
Epidural injection, lumbar/sacral (with imaging) (62322)
$1,127
$1,127
1.5×
Transforaminal epidural injection, lumbar/sacral (64483)
$1,225.50
$1,225.50
1.6×
CT head/brain without contrast (70450)
$653.82
$653.82
7.3×
MRI brain without contrast (70551)
$3,869.50
$3,869.50
18.8×
MRI brain with contrast (70552)
$5,407.25
$5,407.25
18.0×
MRI brain without and with contrast (70553)
$4,126.50
$4,126.50
13.7×
X-ray lower spine, 4+ views (72110)
$857
$857
9.5×
MRI lumbar spine without contrast (72148)
$3,937
$3,937
19.1×
CT pelvis with contrast (72193)
$3,559
$3,559
23.5×
MRI lower-extremity joint without contrast (73721)
$3,033.26
$3,033.26
14.8×
CT abdomen and pelvis with contrast (74177)
$3,989
$3,989
13.3×
Ultrasound, abdomen complete (76700)
$326.91
$326.91
3.6×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$1,028
$1,028
11.4×
Ultrasound, transvaginal (76830)
$3,898.50
$3,898.50
43.3×
Mammography, one breast (diagnostic) (77065)
$253
$253
2.9×
Mammography, both breasts (diagnostic) (77066)
$337
$337
3.0×
Mammography, screening (bilateral) (77067)
$292.75
$292.75
3.2×
Basic metabolic panel (80048)
$280
$280
33.1×
Comprehensive metabolic panel (80053)
$390
$390
36.9×
Lipid panel (80061)
$585
$585
43.7×
Renal function panel (80069)
$417
$417
48.0×
Hepatic function panel (80076)
$482
$482
59.0×
Urinalysis, non-automated, without microscopy (81002)
$7
$7
2.0×
PSA, total (84153)
$141
$141
7.7×
Thyroid stimulating hormone (TSH) (84443)
$160.23
$160.23
9.5×
CBC with automated differential (85025)
$217.38
$217.38
28.0×
CBC, automated (85027)
$543.50
$543.50
84.0×
Prothrombin time (PT) (85610)
$91.75
$91.75
21.4×
Partial thromboplastin time (PTT) (85730)
$41.67
$41.67
6.9×
Psychotherapy, 60 minutes (90837)
$1,387
$1,387
9.1×
Family psychotherapy, with patient (50 min) (90847)
$473
$473
3.1×
Group psychotherapy (90853)
$128.50
$128.50
1.5×
Left heart catheterization (93452)
$4,141.40
$4,141.40
1.5×
Sleep study (attended polysomnography) (95810)
$1,295.50
$1,295.50
1.8×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$126
$126
4.3×
Office visit, new patient (low complexity, ~30 min) (99203)
$250
$250
2.2×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$297
$297
2.6×
Office visit, new patient (high complexity, ~60 min) (99205)
$376
$376
3.3×
Office consultation (moderate complexity, ~40 min) (99244)
$355
$355
3.1×
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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