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Posts prices for 28 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-01.
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Procedure Cash price Gross charge × Medicare
CT head/brain without contrast (70450)
$814.80
$1,455
7.6×
MRI brain without contrast (70551)
$1,124.48
$2,008
4.6×
MRI brain without and with contrast (70553)
$1,303.12
$2,327
3.6×
X-ray lower spine, 4+ views (72110)
$239.12
$427
2.2×
MRI lumbar spine without contrast (72148)
$808.83
$1,444.33
3.3×
CT pelvis with contrast (72193)
$1,158.92
$2,069.50
6.4×
MRI lower-extremity joint without contrast (73721)
$798.66
$1,426.16
3.2×
CT abdomen and pelvis with contrast (74177)
$1,952.65
$3,486.88
5.4×
Ultrasound, abdomen complete (76700)
$186.76
$333.50
1.7×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$369.32
$659.50
3.4×
Ultrasound, transvaginal (76830)
$210.28
$375.50
1.9×
Mammography, one breast (diagnostic) (77065)
$380.24
$679
4.4×
Mammography, both breasts (diagnostic) (77066)
$481.04
$859
4.4×
Mammography, screening (bilateral) (77067)
$350.47
$625.83
3.8×
Basic metabolic panel (80048)
$92.12
$164.50
10.9×
Comprehensive metabolic panel (80053)
$130.90
$233.75
12.4×
Lipid panel (80061)
$101.78
$181.75
7.6×
Renal function panel (80069)
$31.92
$57
3.7×
Hepatic function panel (80076)
$56
$100
6.9×
PSA, total (84153)
$63.28
$113
3.4×
Thyroid stimulating hormone (TSH) (84443)
$199.51
$356.28
11.9×
CBC with automated differential (85025)
$72.52
$129.50
9.3×
CBC, automated (85027)
$52.08
$93
8.0×
Prothrombin time (PT) (85610)
$12.25
$21.88
2.9×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$90.50
$161.60
3.1×
Office visit, new patient (low complexity, ~30 min) (99203)
$149.38
$266.75
1.1×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$217.28
$388
1.6×
Office visit, new patient (high complexity, ~60 min) (99205)
$254.88
$455.14
1.9×
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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