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Posts prices for 31 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.
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Procedure Cash price Gross charge × Medicare
CT head/brain without contrast (70450)
$618.28
$1,508
6.1×
MRI brain without contrast (70551)
$1,228.77
$2,997
5.4×
MRI brain with contrast (70552)
$1,457.55
$3,555
4.3×
MRI brain without and with contrast (70553)
$1,743.32
$4,252
5.2×
X-ray lower spine, 4+ views (72110)
$259.94
$634
2.6×
MRI lumbar spine without contrast (72148)
$1,375.14
$3,354
6.0×
CT pelvis with contrast (72193)
$562.11
$1,371
3.3×
MRI lower-extremity joint without contrast (73721)
$882.73
$2,153
3.8×
CT abdomen and pelvis with contrast (74177)
$1,602.28
$3,908
4.8×
Ultrasound, abdomen complete (76700)
$396.88
$968
3.9×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$231.24
$564
2.3×
Ultrasound, transvaginal (76830)
$147.60
$360
1.5×
Basic metabolic panel (80048)
$48.38
$118
5.7×
Comprehensive metabolic panel (80053)
$67.65
$165
6.4×
Obstetric panel (80055)
$158.26
$386
3.3×
Lipid panel (80061)
$52.89
$129
3.9×
Renal function panel (80069)
$54.94
$134
6.3×
Hepatic function panel (80076)
$48.38
$118
5.9×
Urinalysis, non-automated, with microscopy (81000)
$5.33
$13
1.3×
PSA, total (84153)
$58.22
$142
3.2×
Thyroid stimulating hormone (TSH) (84443)
$37.31
$91
2.2×
CBC with automated differential (85025)
$34.03
$83
4.4×
CBC, automated (85027)
$31.98
$78
4.9×
Prothrombin time (PT) (85610)
$26.65
$65
6.2×
Partial thromboplastin time (PTT) (85730)
$31.98
$78
5.3×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$63.14
$154
2.2×
Office visit, new patient (low complexity, ~30 min) (99203)
$68.93
$196.65
0.5×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$112.76
$249
0.9×
Office visit, new patient (high complexity, ~60 min) (99205)
$154.28
$352
1.2×
Preventive visit, new patient (age 18–39) (99385)
$353.14
$175.20
—
Preventive visit, new patient (age 40–64) (99386)
$353.14
$205.20
—
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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