Home › Hospitals › Sleepy Eye Medical Center Posts prices for 33 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-01.
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Procedure Cash price Gross charge × Medicare
Breast lesion removal (open) (19120) $942.09
$1,489
0.2×
Inguinal hernia repair (age 5+) (49505) $10,055.37
$12,829
2.7×
Transforaminal epidural injection, lumbar/sacral (64483) $1,242.62
$1,964
1.4×
CT head/brain without contrast (70450) $533.43
$2,496
4.9×
MRI brain without contrast (70551) $1,190.04
$4,379
4.8×
MRI brain with contrast (70552) $1,867.01
$4,864
5.2×
MRI brain without and with contrast (70553) $1,867.01
$5,349
5.2×
X-ray lower spine, 4+ views (72110) $523.88
$828
4.9×
MRI lumbar spine without contrast (72148) $1,190.04
$4,379
4.8×
CT pelvis with contrast (72193) $891.77
$2,712
4.9×
MRI lower-extremity joint without contrast (73721) $1,190.04
$3,889
4.8×
CT abdomen and pelvis with contrast (74177) $1,867.01
$5,107
5.2×
Ultrasound, abdomen complete (76700) $1,086.98
$1,718
10.1×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $629.54
$995
5.8×
Ultrasound, transvaginal (76830) $477.69
$755
4.4×
Mammography, one breast (diagnostic) (77065) $430.87
$681
5.0×
Mammography, both breasts (diagnostic) (77066) $502.36
$794
4.5×
Mammography, screening (bilateral) (77067) $501.88
$625
5.5×
Basic metabolic panel (80048) $86.53
$209
10.2×
Comprehensive metabolic panel (80053) $107.91
$236
10.2×
Lipid panel (80061) $108.93
$352
8.1×
Renal function panel (80069) $131.60
$208
15.2×
Hepatic function panel (80076) $132.23
$209
16.2×
Urinalysis, non-automated, with microscopy (81000) $51.88
$82
12.9×
Urinalysis, non-automated, without microscopy (81002) $53.15
$84
15.3×
PSA, total (84153) $210.69
$333
11.5×
Thyroid stimulating hormone (TSH) (84443) $136.41
$350
8.1×
CBC with automated differential (85025) $79.40
$182
10.2×
CBC, automated (85027) $87.31
$138
13.5×
Prothrombin time (PT) (85610) $71.50
$113
16.7×
Partial thromboplastin time (PTT) (85730) $115.78
$183
19.3×
Sleep study (attended polysomnography) (95810) $3,773.42
$5,964
4.3×
Physical therapy, therapeutic exercise (per 15 min) (97110) $157.79
$200
5.4×
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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