Home › Hospitals › Rock County Hospital Posts prices for 39 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-20.
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Procedure Cash price Gross charge × Medicare
Upper GI endoscopy (EGD), diagnostic (43235) $1,987
$2,092
2.1×
Upper GI endoscopy (EGD) with biopsy (43239) $2,023
$2,129
2.1×
Diagnostic colonoscopy (45378) $2,031
$2,138
2.1×
Colonoscopy with biopsy (45380) $2,103
$2,214
1.7×
Colonoscopy with lesion removal (45385) $2,234
$2,352
1.8×
Epidural injection, lumbar/sacral (with imaging) (62322) $957
$1,007
1.0×
CT head/brain without contrast (70450) $2,164
$2,278
19.9×
MRI brain without contrast (70551) $3,727
$3,923
15.0×
MRI brain without and with contrast (70553) $4,315
$4,542
11.9×
X-ray lower spine, 4+ views (72110) $523
$551
4.8×
MRI lumbar spine without contrast (72148) $3,547
$3,734
14.3×
CT pelvis with contrast (72193) $2,786
$2,933
15.3×
MRI lower-extremity joint without contrast (73721) $4,205
$4,426.50
17.0×
CT abdomen and pelvis with contrast (74177) $4,877
$5,134
13.5×
Ultrasound, abdomen complete (76700) $938
$987
8.6×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $791
$833
7.3×
Ultrasound, transvaginal (76830) $695
$732
6.4×
Mammography, one breast (diagnostic) (77065) $380
$400
4.4×
Mammography, both breasts (diagnostic) (77066) $464
$488
4.2×
Mammography, screening (bilateral) (77067) $396
$417
4.3×
Basic metabolic panel (80048) $147
$155
17.4×
Comprehensive metabolic panel (80053) $179
$188
17.0×
Lipid panel (80061) $130
$137
9.7×
Renal function panel (80069) $181
$190
20.9×
Hepatic function panel (80076) $147
$155
18.0×
Urinalysis, non-automated, with microscopy (81000) $43
$45
10.7×
PSA, total (84153) $141
$148
7.7×
Thyroid stimulating hormone (TSH) (84443) $120
$126
7.1×
CBC with automated differential (85025) $109
$115
14.0×
CBC, automated (85027) $86
$90
13.3×
Prothrombin time (PT) (85610) $67
$71
15.6×
Partial thromboplastin time (PTT) (85730) $106
$112
17.6×
Sleep study (attended polysomnography) (95810) $3,705
$3,900
4.2×
Physical therapy, therapeutic exercise (per 15 min) (97110) $176
$185
6.1×
Office visit, new patient (low complexity, ~30 min) (99203) $224.50
$236
1.6×
Office visit, new patient (moderate complexity, ~45 min) (99204) $333
$350
2.4×
Office visit, new patient (high complexity, ~60 min) (99205) $493.50
$519.50
3.6×
Preventive visit, new patient (age 18–39) (99385) $285
$300
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Preventive visit, new patient (age 40–64) (99386) $314
$330
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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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