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Posts prices for 37 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.
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Procedure Cash price Gross charge × Medicare
Breast lesion removal (open) (19120)
$5,282.31
$6,214.48
1.5×
Upper GI endoscopy (EGD), diagnostic (43235)
$1,490.41
$1,753.42
1.8×
Diagnostic colonoscopy (45378)
$1,420.17
$1,670.78
1.7×
Colonoscopy with lesion removal (45385)
$2,113.20
$2,486.12
1.9×
Inguinal hernia repair (age 5+) (49505)
$5,052.44
$5,944.05
1.5×
Transforaminal epidural injection, lumbar/sacral (64483)
$198.90
$234
0.2×
CT head/brain without contrast (70450)
$680
$800
7.1×
MRI brain without contrast (70551)
$1,049.75
$1,235
4.8×
MRI brain with contrast (70552)
$1,258
$1,480
3.9×
MRI brain without and with contrast (70553)
$1,610.75
$1,895
5.0×
X-ray lower spine, 4+ views (72110)
$314.50
$370
3.3×
MRI lumbar spine without contrast (72148)
$1,049.75
$1,235
4.8×
CT pelvis with contrast (72193)
$892.50
$1,050
5.5×
MRI lower-extremity joint without contrast (73721)
$1,049.75
$1,235
4.8×
CT abdomen and pelvis with contrast (74177)
$1,360
$1,600
4.2×
Ultrasound, abdomen complete (76700)
$310.25
$365
3.2×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$199.75
$235
2.1×
Ultrasound, transvaginal (76830)
$191.25
$225
2.0×
Mammography, one breast (diagnostic) (77065)
$169.58
$199.50
2.0×
Mammography, both breasts (diagnostic) (77066)
$191.25
$225
1.7×
Mammography, screening (bilateral) (77067)
$191.25
$225
2.1×
Basic metabolic panel (80048)
$38.25
$45
4.5×
Comprehensive metabolic panel (80053)
$38.25
$45
3.6×
Lipid panel (80061)
$76.50
$90
5.7×
Renal function panel (80069)
$38.25
$45
4.4×
Hepatic function panel (80076)
$59.50
$70
7.3×
Urinalysis, non-automated, without microscopy (81002)
$21.25
$25
6.1×
PSA, total (84153)
$136
$160
7.4×
Thyroid stimulating hormone (TSH) (84443)
$68
$80
4.0×
CBC with automated differential (85025)
$29.75
$35
3.8×
CBC, automated (85027)
$21.25
$25
3.3×
Prothrombin time (PT) (85610)
$29.75
$35
6.9×
Partial thromboplastin time (PTT) (85730)
$38.25
$45
6.4×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$68
$80
2.3×
Office visit, new patient (low complexity, ~30 min) (99203)
$127.40
$149.88
1.0×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$174.04
$204.75
1.4×
Office visit, new patient (high complexity, ~60 min) (99205)
$214.20
$252
1.7×
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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