Home › Hospitals › St. Bernards Five Rivers Medical Center Posts prices for 33 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-26.
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Procedure Cash price Gross charge × Medicare
Transforaminal epidural injection, lumbar/sacral (64483) $1,021.50
$1,135
1.3×
CT head/brain without contrast (70450) $189
$210
2.0×
MRI brain without contrast (70551) $418.50
$465
1.9×
MRI brain with contrast (70552) $661.50
$735
2.1×
MRI brain without and with contrast (70553) $661.50
$735
2.1×
X-ray lower spine, 4+ views (72110) $189
$210
2.0×
MRI lumbar spine without contrast (72148) $418.50
$465
1.9×
CT pelvis with contrast (72193) $315
$350
2.0×
MRI lower-extremity joint without contrast (73721) $418.50
$465
1.9×
CT abdomen and pelvis with contrast (74177) $661.50
$735
2.1×
Ultrasound, abdomen complete (76700) $189
$210
2.0×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $189
$210
2.0×
Ultrasound, transvaginal (76830) $189
$210
2.0×
Basic metabolic panel (80048) $22.50
$25
2.7×
Comprehensive metabolic panel (80053) $27
$30
2.6×
Obstetric panel (80055) $157.50
$175
3.3×
Lipid panel (80061) $31.50
$35
2.4×
Renal function panel (80069) $27
$30
3.1×
Hepatic function panel (80076) $27
$30
3.3×
Urinalysis, non-automated, without microscopy (81002) $9
$10
2.6×
PSA, total (84153) $54
$60
2.9×
Thyroid stimulating hormone (TSH) (84443) $40.50
$45
2.4×
CBC with automated differential (85025) $18
$20
2.3×
CBC, automated (85027) $18
$20
2.8×
Prothrombin time (PT) (85610) $13.50
$15
3.1×
Partial thromboplastin time (PTT) (85730) $18
$20
3.0×
Electrocardiogram (ECG), complete (93000) $130.50
$145
2.4×
Physical therapy, therapeutic exercise (per 15 min) (97110) $54
$60
1.9×
Office visit, new patient (low complexity, ~30 min) (99203) $155.25
$172.50
1.3×
Office visit, new patient (moderate complexity, ~45 min) (99204) $203.85
$226.50
1.7×
Office visit, new patient (high complexity, ~60 min) (99205) $244.80
$272
2.0×
Preventive visit, new patient (age 18–39) (99385) $166.50
$185
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Preventive visit, new patient (age 40–64) (99386) $194.40
$216
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Rural Emergency Hospital — an outpatient-and-emergency-only facility. Medicare pays Rural Emergency Hospitals the OPPS rate plus 5%, so the Medicare benchmarks on this page run about 5% below what Medicare actually pays this facility.
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