Home › Hospitals › Shoshone Medical Center Posts prices for 31 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-28.
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Procedure Cash price Gross charge × Medicare
CT head/brain without contrast (70450) $1,023.75
$1,365
9.9×
MRI brain without contrast (70551) $1,630.50
$2,174
6.9×
MRI brain with contrast (70552) $1,863
$2,484
5.4×
MRI brain without and with contrast (70553) $2,394.75
$3,193
6.9×
X-ray lower spine, 4+ views (72110) $519.75
$693
5.0×
MRI lumbar spine without contrast (72148) $1,627.50
$2,170
6.9×
CT pelvis with contrast (72193) $1,352.25
$1,803
7.8×
MRI lower-extremity joint without contrast (73721) $1,547.25
$2,063
6.6×
CT abdomen and pelvis with contrast (74177) $2,146.50
$2,862
6.2×
Ultrasound, abdomen complete (76700) $552.75
$737
5.4×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $462
$616
4.5×
Ultrasound, transvaginal (76830) $438.75
$585
4.2×
Mammography, one breast (diagnostic) (77065) $243.75
$325
2.8×
Mammography, both breasts (diagnostic) (77066) $312
$416
2.8×
Mammography, screening (bilateral) (77067) $172.50
$230
1.9×
Basic metabolic panel (80048) $63
$84
7.4×
Comprehensive metabolic panel (80053) $83.25
$111
7.9×
Lipid panel (80061) $69.38
$92.50
5.2×
Renal function panel (80069) $117
$156
13.5×
Hepatic function panel (80076) $120.75
$161
14.8×
PSA, total (84153) $117
$156
6.4×
Thyroid stimulating hormone (TSH) (84443) $78.75
$105
4.7×
CBC with automated differential (85025) $50.25
$67
6.5×
CBC, automated (85027) $40.50
$54
6.3×
Prothrombin time (PT) (85610) $28.89
$38.52
6.7×
Partial thromboplastin time (PTT) (85730) $73.50
$98
12.2×
Psychotherapy, 45 minutes (90834) $121.50
$162
0.7×
Electrocardiogram (ECG), complete (93000) $146.25
$195
2.5×
Physical therapy, therapeutic exercise (per 15 min) (97110) $62.25
$83
2.1×
Office visit, new patient (low complexity, ~30 min) (99203) $88.50
$118
0.7×
Office visit, new patient (moderate complexity, ~45 min) (99204) $151.50
$202
1.2×
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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