Home › Hospitals › St. Andrews Health Center - Cah
Posts prices for 37 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-08.
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Procedure Posted cash Posted gross × Medicare
Upper GI endoscopy (EGD), diagnostic (43235)
$1,825
$2,028
2.0×
Upper GI endoscopy (EGD) with biopsy (43239)
$1,825
$2,028
2.0×
Diagnostic colonoscopy (45378)
$1,789
$1,988
1.9×
Colonoscopy with biopsy (45380)
$2,337
$2,597
1.9×
Colonoscopy with lesion removal (45385)
$2,337
$2,597
1.9×
CT head/brain without contrast (70450)
$779
$865
7.3×
MRI brain without contrast (70551)
$1,586
$1,762
6.5×
MRI brain with contrast (70552)
$2,341
$2,601
6.6×
MRI brain without and with contrast (70553)
$2,671
$2,968
7.5×
X-ray lower spine, 4+ views (72110)
$214
$238
2.0×
MRI lumbar spine without contrast (72148)
$1,523
$1,692
6.2×
CT pelvis with contrast (72193)
$2,064
$2,293
11.5×
MRI lower-extremity joint without contrast (73721)
$1,715
$1,905
7.0×
CT abdomen and pelvis with contrast (74177)
$2,616
$2,907
7.3×
Ultrasound, abdomen complete (76700)
$499
$554
4.7×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$558
$620
5.2×
Ultrasound, transvaginal (76830)
$533
$592
5.0×
Mammography, one breast (diagnostic) (77065)
$543
$603
6.3×
Mammography, both breasts (diagnostic) (77066)
$695
$772
6.3×
Mammography, screening (bilateral) (77067) range across 2 matching MRF lines
$546–$573
$607–$637
varies
Basic metabolic panel (80048)
$65
$72
7.7×
Comprehensive metabolic panel (80053)
$82
$91
7.8×
Lipid panel (80061)
$127
$141
9.5×
Renal function panel (80069)
$136
$151
15.7×
Hepatic function panel (80076)
$63
$70
7.7×
PSA, total (84153)
$143
$159
7.8×
Thyroid stimulating hormone (TSH) (84443)
$131
$145
7.8×
CBC with automated differential (85025)
$61
$68
7.9×
CBC, automated (85027)
$50
$56
7.7×
Prothrombin time (PT) (85610)
$32
$36
7.5×
Partial thromboplastin time (PTT) (85730)
$45
$50
7.5×
Physical therapy, therapeutic exercise (per 15 min) (97110) range across 2 matching MRF lines
$139–$142
$154–$158
varies
Office visit, new patient (low complexity, ~30 min) (99203)
$326
$362
2.4×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$496
$551
3.6×
Office visit, new patient (high complexity, ~60 min) (99205)
$623
$692
4.6×
Preventive visit, new patient (age 18–39) (99385)
$400
$444
—
Preventive visit, new patient (age 40–64) (99386)
$464
$515
—
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
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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