Home › Hospitals › Sidney Regional Medical Center Posts prices for 39 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-20.
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Procedure Cash price Gross charge × Medicare
Breast lesion removal (open) (19120) $3,549
$3,549
0.9×
Upper GI endoscopy (EGD), diagnostic (43235) $2,985
$2,985
3.2×
Transforaminal epidural injection, lumbar/sacral (64483) $2,887
$2,887
3.1×
After-cataract laser surgery (YAG capsulotomy) (66821) $1,285
$1,285
2.3×
CT head/brain without contrast (70450) $2,359
$2,359
21.7×
MRI brain without contrast (70551) $4,054
$4,054
16.4×
MRI brain with contrast (70552) $5,045
$5,045
13.9×
MRI brain without and with contrast (70553) $4,995
$4,995
13.8×
X-ray lower spine, 4+ views (72110) $712
$712
6.6×
MRI lumbar spine without contrast (72148) $4,176
$4,176
16.9×
CT pelvis with contrast (72193) $3,321
$3,321
18.2×
MRI lower-extremity joint without contrast (73721) $3,283
$3,283
13.3×
CT abdomen and pelvis with contrast (74177) $5,678
$5,678
15.7×
Ultrasound, abdomen complete (76700) $1,109
$1,109
10.2×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $968
$968
8.9×
Ultrasound, transvaginal (76830) $971
$971
8.9×
Mammography, one breast (diagnostic) (77065) $434
$434
5.0×
Mammography, both breasts (diagnostic) (77066) $540
$540
4.9×
Mammography, screening (bilateral) (77067) $536
$536
5.9×
Basic metabolic panel (80048) $180
$180
21.3×
Comprehensive metabolic panel (80053) $194
$194
18.4×
Lipid panel (80061) $153
$153
11.4×
Renal function panel (80069) $161
$161
18.5×
Hepatic function panel (80076) $165
$165
20.2×
PSA, total (84153) $167
$167
9.1×
Thyroid stimulating hormone (TSH) (84443) $136
$136
8.1×
CBC with automated differential (85025) $129
$129
16.6×
CBC, automated (85027) $88
$88
13.6×
Prothrombin time (PT) (85610) $80
$80
18.6×
Partial thromboplastin time (PTT) (85730) $128
$128
21.3×
Psychotherapy, 30 minutes (90832) $295
$295
1.6×
Psychotherapy, 45 minutes (90834) $299
$299
1.6×
Psychotherapy, 60 minutes (90837) $374
$374
2.0×
Family psychotherapy, without patient (50 min) (90846) $226
$226
1.2×
Family psychotherapy, with patient (50 min) (90847) $346
$346
1.9×
Group psychotherapy (90853) $1,223
$1,223
11.6×
Sleep study (attended polysomnography) (95810) $5,553
$5,553
6.2×
Physical therapy, therapeutic exercise (per 15 min) (97110) $157
$157
5.4×
Preventive visit, new patient (age 18–39) (99385) $298
$298
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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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