Ridgeview Sibley Medical Center
Arlington, MN · Critical Access Hospital
Posts prices for 54 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-01.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Tonsillectomy and adenoidectomy (under age 12) (42820) likely a partial charge, not the full procedure |
$661.70 | $1,018 | 0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) | $2,764.77 | $4,253.50 | 2.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) | $6,353.44 | $9,774.53 | 6.8× |
| Diagnostic colonoscopy (45378) | $3,414.45 | $5,253 | 3.5× |
| Colonoscopy with biopsy (45380) | $6,676.80 | $10,272 | 5.4× |
| Colonoscopy with lesion removal (45385) | $4,319.25 | $6,645 | 3.5× |
| Laparoscopic gallbladder removal (47562) likely a partial charge, not the full procedure |
$1,489.15 | $2,291 | 0.2× |
| Obstetric care, vaginal delivery (global) (59400) | $5,456.75 | $8,395 | — |
| Obstetric care, cesarean delivery (global) (59510) | $6,067.75 | $9,335 | — |
| Obstetric care, VBAC delivery (global) (59610) | $5,720.65 | $8,801 | — |
| Epidural injection, lumbar/sacral (with imaging) (62322) | $176.80 | $272 | 0.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) | $248.30 | $382 | 0.3× |
| Cataract removal with lens insertion (66984) | $5,577 | $8,580 | 2.3× |
| CT head/brain without contrast (70450) range across 2 matching MRF lines |
$89.05–$1,426.10 | $137–$2,194 | varies |
| MRI brain without contrast (70551) range across 2 matching MRF lines |
$156–$2,284.75 | $240–$3,515 | varies |
| MRI brain with contrast (70552) range across 2 matching MRF lines |
$187.20–$2,566.20 | $288–$3,948 | varies |
| MRI brain without and with contrast (70553) range across 2 matching MRF lines |
$240.50–$3,030.95 | $370–$4,663 | varies |
| X-ray lower spine, 4+ views (72110) range across 2 matching MRF lines |
$27.95–$462.80 | $43–$712 | varies |
| MRI lumbar spine without contrast (72148) range across 2 matching MRF lines |
$156.65–$2,090.40 | $241–$3,216 | varies |
| CT pelvis with contrast (72193) range across 2 matching MRF lines |
$122.20–$1,492.40 | $188–$2,296 | varies |
| MRI lower-extremity joint without contrast (73721) range across 2 matching MRF lines |
$143–$1,938.30 | $220–$2,982 | varies |
| CT abdomen and pelvis with contrast (74177) range across 2 matching MRF lines |
$191.10–$2,880.80 | $294–$4,432 | varies |
| Ultrasound, abdomen complete (76700) range across 2 matching MRF lines |
$84.50–$725.40 | $130–$1,116 | varies |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) range across 2 matching MRF lines |
$104.65–$455 | $161–$700 | varies |
| Ultrasound, transvaginal (76830) range across 2 matching MRF lines |
$72.80–$359.45 | $112–$553 | varies |
| Mammography, one breast (diagnostic) (77065) | $85.80 | $132 | 1.0× |
| Mammography, both breasts (diagnostic) (77066) | $104.65 | $161 | 0.9× |
| Mammography, screening (bilateral) (77067) range across 2 matching MRF lines |
$80.60–$407.55 | $124–$627 | varies |
| Basic metabolic panel (80048) | $145.60 | $224 | 17.2× |
| Comprehensive metabolic panel (80053) | $167.70 | $258 | 15.9× |
| Lipid panel (80061) | $102.05 | $157 | 7.6× |
| Renal function panel (80069) | $47.45 | $73 | 5.5× |
| Hepatic function panel (80076) | $163.80 | $252 | 20.0× |
| PSA, total (84153) | $87.10 | $134 | 4.7× |
| Thyroid stimulating hormone (TSH) (84443) range across 2 matching MRF lines |
$73.45–$101.40 | $113–$156 | varies |
| CBC with automated differential (85025) | $117 | $180 | 15.1× |
| CBC, automated (85027) | $75.40 | $116 | 11.7× |
| Prothrombin time (PT) (85610) range across 2 matching MRF lines |
$53.95–$55.25 | $83–$85 | varies |
| Partial thromboplastin time (PTT) (85730) | $63.70 | $98 | 10.6× |
| Psychotherapy, 30 minutes (90832) | $153.40 | $236 | 0.8× |
| Psychotherapy, 45 minutes (90834) | $202.80 | $312 | 1.1× |
| Psychotherapy, 60 minutes (90837) | $299 | $460 | 1.6× |
| Family psychotherapy, with patient (50 min) (90847) | $228.15 | $351 | 1.2× |
| Group psychotherapy (90853) | $53.95 | $83 | 0.5× |
| Electrocardiogram (ECG), complete (93000) | $32.50 | $50 | 0.5× |
| Sleep study (attended polysomnography) (95810) | $260 | $400 | 0.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $87.75 | $135 | 3.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) | — | $386 | — |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | — | $578 | — |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 3 matching MRF lines |
$276.25–$403.65 | $425–$762 | varies |
| Office consultation (low complexity, ~30 min) (99243) | $196.30 | $302 | 1.4× |
| Office consultation (moderate complexity, ~40 min) (99244) | $298.35 | $459 | 2.2× |
| Preventive visit, new patient (age 18–39) (99385) | — | $446 | — |
| Preventive visit, new patient (age 40–64) (99386) | — | $513 | — |
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: 282 codes with posted prices and Medicare benchmarks
- Lab & pathology: 411 codes with posted prices and Medicare benchmarks
- Visits & medical services: 120 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 1300 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 20 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 252.7 MB) ↓ — captured 2026-09-01
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.