Sarah D Culbertson Memorial Hospital
Rushville, IL · Critical Access Hospital
Posts prices for 50 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-01.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Breast lesion removal (open) (19120) | $1,071 | $1,190 | 0.3× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) likely a partial charge, not the full procedure |
$934.20 | $1,038 | 0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) | $1,314.90 | $1,461 | 1.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) | $1,538.10 | $1,709 | 1.6× |
| Diagnostic colonoscopy (45378) | $1,756.80 | $1,952 | 1.8× |
| Colonoscopy with biopsy (45380) | $1,934.10 | $2,149 | 1.5× |
| Colonoscopy with lesion removal (45385) | $2,489.40 | $2,766 | 1.9× |
| Laparoscopic gallbladder removal (47562) | $5,076 | $5,640 | 0.8× |
| Inguinal hernia repair (age 5+) (49505) range across 2 matching MRF lines |
$3,013.20–$3,984.30 | $3,348–$4,427 | varies |
| CT head/brain without contrast (70450) range across 2 matching MRF lines |
$360.90–$2,294.10 | $401–$2,549 | varies |
| MRI brain without contrast (70551) range across 2 matching MRF lines |
$634.50–$3,503.70 | $705–$3,893 | varies |
| MRI brain with contrast (70552) range across 2 matching MRF lines |
$764.10–$3,263.40 | $849–$3,626 | varies |
| MRI brain without and with contrast (70553) range across 2 matching MRF lines |
$981.90–$4,627.80 | $1,091–$5,142 | varies |
| X-ray lower spine, 4+ views (72110) range across 2 matching MRF lines |
$110.70–$703.80 | $123–$782 | varies |
| MRI lumbar spine without contrast (72148) range across 2 matching MRF lines |
$639–$3,197.70 | $710–$3,553 | varies |
| CT pelvis with contrast (72193) range across 2 matching MRF lines |
$500.40–$2,762.10 | $556–$3,069 | varies |
| MRI lower-extremity joint without contrast (73721) range across 2 matching MRF lines |
$583.20–$3,429.90 | $648–$3,811 | varies |
| CT abdomen and pelvis with contrast (74177) range across 2 matching MRF lines |
$778.50–$5,335.20 | $865–$5,928 | varies |
| Ultrasound, abdomen complete (76700) range across 2 matching MRF lines |
$347.40–$1,320.30 | $386–$1,467 | varies |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) range across 2 matching MRF lines |
$425.70–$1,014.30 | $473–$1,127 | varies |
| Ultrasound, transvaginal (76830) range across 3 matching MRF lines |
$296.10–$991.80 | $329–$1,102 | varies |
| Mammography, one breast (diagnostic) (77065) range across 2 matching MRF lines |
$347.40–$367.20 | $386–$408 | varies |
| Mammography, both breasts (diagnostic) (77066) range across 3 matching MRF lines |
$347.40–$458.10 | $386–$509 | varies |
| Mammography, screening (bilateral) (77067) range across 3 matching MRF lines |
$322.20–$374.40 | $358–$416 | varies |
| Basic metabolic panel (80048) | $187.20 | $208 | 22.1× |
| Comprehensive metabolic panel (80053) | $257.40 | $286 | 24.4× |
| Lipid panel (80061) | $228.60 | $254 | 17.1× |
| Renal function panel (80069) | $239.40 | $266 | 27.6× |
| Hepatic function panel (80076) | $202.50 | $225 | 24.8× |
| Urinalysis, non-automated, without microscopy (81002) | $44.10 | $49 | 12.7× |
| PSA, total (84153) | $239.40 | $266 | 13.0× |
| Thyroid stimulating hormone (TSH) (84443) | $228.60 | $254 | 13.6× |
| CBC with automated differential (85025) | $122.40 | $136 | 15.8× |
| CBC, automated (85027) | $102.60 | $114 | 15.9× |
| Prothrombin time (PT) (85610) | $82.80 | $92 | 19.3× |
| Partial thromboplastin time (PTT) (85730) range across 2 matching MRF lines |
$126.90–$127.80 | $141–$142 | varies |
| Psychotherapy, 30 minutes (90832) | $151.20 | $168 | 0.8× |
| Psychotherapy, 45 minutes (90834) | $228.60 | $254 | 1.2× |
| Psychotherapy, 60 minutes (90837) | $305.10 | $339 | 1.6× |
| Family psychotherapy, without patient (50 min) (90846) | $305.10 | $339 | 1.6× |
| Family psychotherapy, with patient (50 min) (90847) | $305.10 | $339 | 1.6× |
| Group psychotherapy (90853) | $180.90 | $201 | 1.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) range across 3 matching MRF lines |
$160.20–$181.80 | $178–$202 | varies |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 3 matching MRF lines |
$234.90–$245.70 | $261–$273 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 3 matching MRF lines |
$337.50–$349.20 | $375–$388 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 4 matching MRF lines |
$452.70–$467.10 | $503–$519 | varies |
| Office consultation (low complexity, ~30 min) (99243) range across 2 matching MRF lines |
$360.90–$363.60 | $401–$404 | varies |
| Office consultation (moderate complexity, ~40 min) (99244) | $467.10 | $519 | 3.3× |
| Preventive visit, new patient (age 18–39) (99385) range across 2 matching MRF lines |
$363.60–$405 | $404–$450 | varies |
| Preventive visit, new patient (age 40–64) (99386) range across 2 matching MRF lines |
$396–$405 | $440–$450 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
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.
More prices at this hospital
- Imaging: 216 codes with posted prices and Medicare benchmarks
- Lab & pathology: 375 codes with posted prices and Medicare benchmarks
- Visits & medical services: 133 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 686 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 16 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 54.8 MB) ↓ — captured 2026-10-01
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.