Home › Hospitals › Seymour Hospital Posts prices for 32 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-18.
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Procedure Cash price Gross charge × Medicare
Breast lesion removal (open) (19120) $2,928.80
$4,184
0.7×
Upper GI endoscopy (EGD), diagnostic (43235) $889.70
$1,271
1.0×
Upper GI endoscopy (EGD) with biopsy (43239) $906.50
$1,295
1.0×
Diagnostic colonoscopy (45378) $836.50
$1,195
0.9×
Colonoscopy with biopsy (45380) $1,267.70
$1,811
1.1×
Colonoscopy with lesion removal (45385) $646.80
$924
0.5×
Laparoscopic gallbladder removal (47562) $3,923.50
$5,605
0.6×
Inguinal hernia repair (age 5+) (49505) $3,874.50
$5,535
1.1×
Transforaminal epidural injection, lumbar/sacral (64483) $363.65
$519.50
0.4×
CT head/brain without contrast (70450) $1,241.10
$1,773
11.8×
CT pelvis with contrast (72193) $1,638.70
$2,341
9.3×
MRI lower-extremity joint without contrast (73721) $1,418.90
$2,027
5.9×
CT abdomen and pelvis with contrast (74177) $1,575.70
$2,251
4.5×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $459.90
$657
4.4×
Basic metabolic panel (80048) $39.20
$56
4.6×
Comprehensive metabolic panel (80053) $57.40
$82
5.4×
Lipid panel (80061) $72.10
$103
5.4×
Renal function panel (80069) $46.90
$67
5.4×
Hepatic function panel (80076) $44.10
$63
5.4×
Urinalysis, non-automated, with microscopy (81000) $14
$20
3.5×
PSA, total (84153) $98.70
$141
5.4×
Thyroid stimulating hormone (TSH) (84443) $92.40
$132
5.5×
CBC with automated differential (85025) $42
$60
5.4×
Prothrombin time (PT) (85610) $18.20
$26
4.2×
Partial thromboplastin time (PTT) (85730) $28
$40
4.7×
Psychotherapy, 30 minutes (90832) $144.20
$206
0.8×
Group psychotherapy (90853) $184.80
$264
1.8×
Physical therapy, therapeutic exercise (per 15 min) (97110) $89.60
$128
3.1×
Office visit, new patient (low complexity, ~30 min) (99203) $190.05
$271.50
1.4×
Office visit, new patient (moderate complexity, ~45 min) (99204) $303.80
$434
2.3×
Office visit, new patient (high complexity, ~60 min) (99205) $383.95
$548.50
2.9×
Preventive visit, new patient (age 18–39) (99385) $157.50
$225
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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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