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Posts prices for 39 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.
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Procedure Cash price Gross charge × Medicare
Upper GI endoscopy (EGD), diagnostic (43235)
$2,345
$2,345
2.8×
Upper GI endoscopy (EGD) with biopsy (43239)
$2,345
$2,345
2.8×
Diagnostic colonoscopy (45378)
$3,671
$3,671
4.3×
Colonoscopy with biopsy (45380)
$2,637
$2,637
2.4×
Colonoscopy with lesion removal (45385)
$3,391
$3,391
3.1×
Epidural injection, lumbar/sacral (with imaging) (62322)
$1,176
$1,176
1.4×
Transforaminal epidural injection, lumbar/sacral (64483)
$965.50
$965.50
1.2×
CT head/brain without contrast (70450)
$758
$758
7.9×
MRI brain without contrast (70551)
$854
$854
3.9×
MRI brain with contrast (70552)
$1,153
$1,153
3.6×
MRI brain without and with contrast (70553)
$1,185
$1,185
3.7×
X-ray lower spine, 4+ views (72110)
$461
$461
4.8×
MRI lumbar spine without contrast (72148)
$854
$854
3.9×
CT pelvis with contrast (72193)
$1,046
$1,046
6.5×
MRI lower-extremity joint without contrast (73721)
$1,049
$1,049
4.8×
CT abdomen and pelvis with contrast (74177)
$1,046
$1,046
3.3×
Ultrasound, abdomen complete (76700)
$309
$309
3.2×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$309
$309
3.2×
Ultrasound, transvaginal (76830)
$309
$309
3.2×
Mammography, one breast (diagnostic) (77065)
$234
$234
2.7×
Mammography, both breasts (diagnostic) (77066)
$234
$234
2.1×
Mammography, screening (bilateral) (77067)
$234
$234
2.6×
Basic metabolic panel (80048)
$39
$39
4.6×
Comprehensive metabolic panel (80053)
$46
$46
4.4×
Obstetric panel (80055)
$180
$180
3.8×
Lipid panel (80061)
$88
$88
6.6×
Renal function panel (80069)
$40
$40
4.6×
Hepatic function panel (80076)
$67
$67
8.2×
Urinalysis, non-automated, with microscopy (81000)
$32
$32
8.0×
Urinalysis, non-automated, without microscopy (81002)
$22
$22
6.3×
PSA, total (84153)
$141
$141
7.7×
Thyroid stimulating hormone (TSH) (84443)
$75
$75
4.5×
CBC with automated differential (85025)
$38
$38
4.9×
CBC, automated (85027)
$32.50
$32.50
5.0×
Prothrombin time (PT) (85610)
$37
$37
8.6×
Partial thromboplastin time (PTT) (85730)
$50
$50
8.3×
Sleep study (attended polysomnography) (95810)
$2,085
$2,085
2.6×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$99
$99
3.4×
Office visit, new patient (low complexity, ~30 min) (99203)
$156
$156
1.3×
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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