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Posts prices for 43 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)
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$5,742
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Knee arthroscopy with meniscectomy (29881)
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$6,214
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Tonsillectomy and adenoidectomy (under age 12) (42820)
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$8,852
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Upper GI endoscopy (EGD), diagnostic (43235)
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$1,896
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Upper GI endoscopy (EGD) with biopsy (43239)
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$2,117
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Diagnostic colonoscopy (45378)
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$2,517
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Colonoscopy with biopsy (45380)
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$2,517
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Colonoscopy with lesion removal (45385)
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$2,729
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Laparoscopic gallbladder removal (47562)
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$9,729
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Inguinal hernia repair (age 5+) (49505)
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$6,135
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Epidural injection, lumbar/sacral (with imaging) (62322)
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$1,164
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Transforaminal epidural injection, lumbar/sacral (64483)
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$1,614
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CT head/brain without contrast (70450)
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$1,453
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MRI brain without contrast (70551)
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$1,844
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MRI brain with contrast (70552)
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$1,954
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MRI brain without and with contrast (70553)
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$2,062
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X-ray lower spine, 4+ views (72110)
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$549
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MRI lumbar spine without contrast (72148)
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$1,844
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CT pelvis with contrast (72193)
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$1,496
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MRI lower-extremity joint without contrast (73721)
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$1,844
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CT abdomen and pelvis with contrast (74177)
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$1,496
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Ultrasound, abdomen complete (76700)
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$764
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Ultrasound, pregnant uterus (≥14 weeks) (76805)
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$764
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Ultrasound, transvaginal (76830)
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$764
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Mammography, one breast (diagnostic) (77065)
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$303
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Mammography, both breasts (diagnostic) (77066)
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$303
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Mammography, screening (bilateral) (77067)
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$303
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Basic metabolic panel (80048)
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$79
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Comprehensive metabolic panel (80053)
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$82
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Lipid panel (80061)
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$104
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Renal function panel (80069)
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$179
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Hepatic function panel (80076)
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$114
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PSA, total (84153)
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$223
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Thyroid stimulating hormone (TSH) (84443)
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$231.50
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CBC with automated differential (85025)
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$75
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CBC, automated (85027)
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$66
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Prothrombin time (PT) (85610)
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$57
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Partial thromboplastin time (PTT) (85730)
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$79
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Sleep study (attended polysomnography) (95810)
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$2,212
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Physical therapy, therapeutic exercise (per 15 min) (97110)
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$134
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Office visit, new patient (low complexity, ~30 min) (99203)
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$240
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Office visit, new patient (moderate complexity, ~45 min) (99204)
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$336
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Office visit, new patient (high complexity, ~60 min) (99205)
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$495
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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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