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Posts prices for 36 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.
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Procedure Cash price Gross charge × Medicare
Upper GI endoscopy (EGD), diagnostic (43235)
$780.75
$867.50
0.9×
Upper GI endoscopy (EGD) with biopsy (43239)
$819
$910
1.0×
Diagnostic colonoscopy (45378)
$922.50
$1,025
1.1×
Colonoscopy with biopsy (45380)
$999
$1,110
0.9×
Colonoscopy with lesion removal (45385)
$1,082.25
$1,202.50
1.0×
CT head/brain without contrast (70450)
$688.50
$765
7.2×
MRI brain without contrast (70551)
$733.50
$815
3.3×
MRI brain without and with contrast (70553)
$922.50
$1,025
2.9×
X-ray lower spine, 4+ views (72110)
$260.10
$289
2.7×
MRI lumbar spine without contrast (72148)
$733.50
$815
3.3×
MRI lower-extremity joint without contrast (73721)
$733.50
$815
3.3×
CT abdomen and pelvis with contrast (74177)
$733.50
$815
2.3×
Ultrasound, abdomen complete (76700)
$229.50
$255
2.4×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$153
$170
1.6×
Ultrasound, transvaginal (76830)
$153
$170
1.6×
Mammography, one breast (diagnostic) (77065)
$189
$210
2.2×
Basic metabolic panel (80048)
$37.80
$42
4.5×
Comprehensive metabolic panel (80053)
$28.80
$32
2.7×
Lipid panel (80061)
$75.60
$84
5.6×
Renal function panel (80069)
$37.80
$42
4.4×
Hepatic function panel (80076)
$70.20
$78
8.6×
PSA, total (84153)
$120.60
$134
6.6×
Thyroid stimulating hormone (TSH) (84443)
$56.70
$63
3.4×
CBC with automated differential (85025)
$37.80
$42
4.9×
CBC, automated (85027)
$51.30
$57
7.9×
Prothrombin time (PT) (85610)
$42.30
$47
9.9×
Partial thromboplastin time (PTT) (85730)
$156.60
$174
26.1×
Sleep study (attended polysomnography) (95810)
$1,836
$2,040
2.3×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$81
$90
2.8×
Office visit, new patient (low complexity, ~30 min) (99203)
$112.50
$125
0.9×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$189
$210
1.5×
Office visit, new patient (high complexity, ~60 min) (99205)
$243
$270
2.0×
Office consultation (low complexity, ~30 min) (99243)
$144
$160
1.2×
Office consultation (moderate complexity, ~40 min) (99244)
$234
$260
1.9×
Preventive visit, new patient (age 18–39) (99385)
$148.50
$165
—
Preventive visit, new patient (age 40–64) (99386)
$180
$200
—
Rural Emergency Hospital — an outpatient-and-emergency-only facility. Medicare pays Rural Emergency Hospitals the OPPS rate plus 5%, so the Medicare benchmarks on this page run about 5% below what Medicare actually pays this facility.
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