Sanford Jackson Medical Center

Jackson, MN · Critical Access Hospital

Posts prices for 29 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-01.

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ProcedureCash priceGross charge× Medicare
Cataract removal with lens insertion (66984) $7,164 $8,955 3.0×
CT head/brain without contrast (70450) $2,173.60 $2,717 20.1×
MRI brain without contrast (70551) $3,124 $3,905 12.7×
MRI brain with contrast (70552) $3,579.20 $4,474 9.9×
MRI brain without and with contrast (70553) $4,316 $5,395 12.0×
X-ray lower spine, 4+ views (72110) $771.20 $964 7.1×
MRI lumbar spine without contrast (72148) $3,192 $3,990 13.0×
CT pelvis with contrast (72193) $2,402.40 $3,003 13.3×
MRI lower-extremity joint without contrast (73721) $2,927.20 $3,659 11.9×
CT abdomen and pelvis with contrast (74177) $4,629.60 $5,787 12.9×
Ultrasound, abdomen complete (76700) $1,082.40 $1,353 10.0×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $1,016.80 $1,271 9.4×
Ultrasound, transvaginal (76830) $900 $1,125 8.3×
Mammography, screening (bilateral) (77067) $512.80 $641 5.6×
Basic metabolic panel (80048) $112.80 $141 13.3×
Comprehensive metabolic panel (80053) $188.80 $236 17.9×
Obstetric panel (80055) $418.40 $523 8.8×
Lipid panel (80061) $147.20 $184 11.0×
Renal function panel (80069) $144.80 $181 16.7×
Hepatic function panel (80076) $101.60 $127 12.4×
Urinalysis, non-automated, without microscopy (81002) $33.60 $42 9.7×
PSA, total (84153) $89.60 $112 4.9×
Thyroid stimulating hormone (TSH) (84443) $124 $155 7.4×
CBC with automated differential (85025) $120 $150 15.4×
CBC, automated (85027) $70.40 $88 10.9×
Prothrombin time (PT) (85610) $48 $60 11.2×
Partial thromboplastin time (PTT) (85730) $82.40 $103 13.7×
Sleep study (attended polysomnography) (95810) $4,597.60 $5,747 5.2×
Physical therapy, therapeutic exercise (per 15 min) (97110) $117.60 $147 4.0×

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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