Home › Hospitals › Rooks County Health Center Posts prices for 33 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.
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Procedure Cash price Gross charge × Medicare
Transforaminal epidural injection, lumbar/sacral (64483) $1,086
$1,448
1.3×
CT head/brain without contrast (70450) $1,317.38
$1,756.50
13.7×
MRI brain without contrast (70551) $1,811.81
$2,415.75
8.3×
MRI brain with contrast (70552) $1,962
$2,616
6.1×
MRI brain without and with contrast (70553) $2,300.25
$3,067
7.2×
X-ray lower spine, 4+ views (72110) $290.63
$387.50
3.0×
MRI lumbar spine without contrast (72148) $1,811.81
$2,415.75
8.3×
CT pelvis with contrast (72193) $1,389.38
$1,852.50
8.6×
MRI lower-extremity joint without contrast (73721) $1,510.31
$2,013.75
6.9×
CT abdomen and pelvis with contrast (74177) $1,894.50
$2,526
5.9×
Ultrasound, abdomen complete (76700) $525.75
$701
5.5×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $457.69
$610.25
4.8×
Ultrasound, transvaginal (76830) $525.75
$701
5.5×
Mammography, one breast (diagnostic) (77065) $282.38
$376.50
3.3×
Mammography, both breasts (diagnostic) (77066) $350.44
$467.25
3.2×
Mammography, screening (bilateral) (77067) $277.12
$369.50
3.0×
Basic metabolic panel (80048) $25.13
$33.50
3.0×
Comprehensive metabolic panel (80053) $35.44
$47.25
3.4×
Obstetric panel (80055) $368.06
$490.75
7.7×
Lipid panel (80061) $100.13
$133.50
7.5×
Renal function panel (80069) $47.81
$63.75
5.5×
Hepatic function panel (80076) $49.31
$65.75
6.0×
PSA, total (84153) $98.44
$131.25
5.4×
Thyroid stimulating hormone (TSH) (84443) $57.56
$76.75
3.4×
CBC with automated differential (85025) $22.50
$30
2.9×
CBC, automated (85027) $22.50
$30
3.5×
Prothrombin time (PT) (85610) $27.84
$37.12
6.5×
Partial thromboplastin time (PTT) (85730) $57
$76
9.5×
Sleep study (attended polysomnography) (95810) $1,883.81
$2,511.75
2.4×
Physical therapy, therapeutic exercise (per 15 min) (97110) $77.63
$103.50
2.7×
Office visit, new patient (low complexity, ~30 min) (99203) $175.31
$233.75
1.4×
Office visit, new patient (moderate complexity, ~45 min) (99204) $201
$268
1.6×
Office visit, new patient (high complexity, ~60 min) (99205) $247.88
$330.50
2.0×
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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