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Posts prices for 35 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-01.
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Procedure Posted cash Posted gross × Medicare
Shoulder arthroscopy with decompression (29826)
$5,505.12
$7,646
—
Knee arthroscopy with meniscectomy (29881)
$7,008.48
$9,734
2.0×
Transforaminal epidural injection, lumbar/sacral (64483)
$1,923.12
$2,671
2.0×
After-cataract laser surgery (YAG capsulotomy) (66821)
$1,606.32
$2,231
2.7×
CT head/brain without contrast (70450)
$1,914.48
$2,659
17.1×
MRI brain without contrast (70551)
$3,088.08
$4,289
12.1×
MRI brain with contrast (70552)
$3,553.92
$4,936
9.5×
MRI brain without and with contrast (70553)
$4,044.24
$5,617
10.8×
X-ray lower spine, 4+ views (72110)
$917.28
$1,274
8.2×
MRI lumbar spine without contrast (72148)
$3,158.64
$4,387
12.4×
CT pelvis with contrast (72193)
$2,167.92
$3,011
11.5×
MRI lower-extremity joint without contrast (73721)
$3,006
$4,175
11.8×
CT abdomen and pelvis with contrast (74177)
$4,990.32
$6,931
13.3×
Ultrasound, abdomen complete (76700)
$1,254.24
$1,742
11.2×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$809.28
$1,124
7.2×
Ultrasound, transvaginal (76830)
$714.24
$992
6.4×
Mammography, one breast (diagnostic) (77065)
$498.96
$693
5.8×
Mammography, both breasts (diagnostic) (77066)
$537.84
$747
4.9×
Mammography, screening (bilateral) (77067)
$460.08
$639
5.0×
Basic metabolic panel (80048)
$181.44
$252
21.4×
Comprehensive metabolic panel (80053)
$219.60
$305
20.8×
Lipid panel (80061)
$120.96
$168
9.0×
Renal function panel (80069)
$198.72
$276
22.9×
Hepatic function panel (80076)
$191.52
$266
23.4×
PSA, total (84153)
$146.16
$203
7.9×
Thyroid stimulating hormone (TSH) (84443)
$138.96
$193
8.3×
CBC with automated differential (85025)
$122.40
$170
15.8×
CBC, automated (85027)
$108.72
$151
16.8×
Prothrombin time (PT) (85610)
$61.92
$86
14.4×
Partial thromboplastin time (PTT) (85730) range across 2 matching MRF lines
$43.92–$102.96
$61–$143
varies
Sleep study (attended polysomnography) (95810)
$4,026.24
$5,592
4.4×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$149.76
$208
5.2×
Office visit, new patient (low complexity, ~30 min) (99203)
$424.80
$590
3.0×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$567.36
$788
4.0×
Office visit, new patient (high complexity, ~60 min) (99205)
$705.60
$980
4.9×
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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