Home › Hospitals › Speare Memorial Hospital Posts prices for 37 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) $1,007.50
$1,625
9.0×
MRI brain without contrast (70551) $1,147
$1,850
4.5×
MRI brain with contrast (70552) $2,015
$3,250
5.4×
MRI brain without and with contrast (70553) $2,480
$4,000
6.7×
X-ray lower spine, 4+ views (72110) $253.27
$408.50
2.3×
MRI lumbar spine without contrast (72148) $1,376.40
$2,220
5.4×
CT pelvis with contrast (72193) $1,581
$2,550
8.4×
MRI lower-extremity joint without contrast (73721) $1,147
$1,850
4.5×
CT abdomen and pelvis with contrast (74177) $2,449
$3,950
6.6×
Ultrasound, abdomen complete (76700) $657.20
$1,060
5.9×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $688.20
$1,110
6.2×
Ultrasound, transvaginal (76830) $713
$1,150
6.4×
Mammography, one breast (diagnostic) (77065) $682
$1,100
7.9×
Mammography, both breasts (diagnostic) (77066) $868
$1,400
7.9×
Mammography, screening (bilateral) (77067) $744
$1,200
8.2×
Basic metabolic panel (80048) $47.74
$77
5.6×
Comprehensive metabolic panel (80053) $92.38
$149
8.7×
Obstetric panel (80055) $267.22
$431
5.6×
Lipid panel (80061) $75.02
$121
5.6×
Renal function panel (80069) $48.98
$79
5.6×
Hepatic function panel (80076) $45.88
$74
5.6×
Urinalysis, non-automated, without microscopy (81002) $17.98
$29
5.2×
PSA, total (84153) $102.92
$166
5.6×
Thyroid stimulating hormone (TSH) (84443) $94.24
$152
5.6×
CBC with automated differential (85025) $67.58
$109
8.7×
CBC, automated (85027) $36.58
$59
5.7×
Prothrombin time (PT) (85610) $24.18
$39
5.6×
Partial thromboplastin time (PTT) (85730) $34.10
$55
5.7×
Psychotherapy, 30 minutes (90832) $107.26
$173
0.6×
Psychotherapy, 45 minutes (90834) $143.22
$231
0.8×
Psychotherapy, 60 minutes (90837) $170.50
$275
0.9×
Electrocardiogram (ECG), complete (93000) $117.80
$190
1.9×
Sleep study (attended polysomnography) (95810) $2,201
$3,550
2.4×
Physical therapy, therapeutic exercise (per 15 min) (97110) $155.62
$251
5.4×
Office visit, new patient (low complexity, ~30 min) (99203) $155
$250
1.1×
Office visit, new patient (moderate complexity, ~45 min) (99204) $182.90
$295
1.3×
Office visit, new patient (high complexity, ~60 min) (99205) $238.70
$385
1.7×
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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