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Posts prices for 32 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-26.
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Procedure Cash price Gross charge × Medicare
CT head/brain without contrast (70450)
$910
$910
9.6×
MRI brain without contrast (70551)
$2,090
$2,090
9.7×
X-ray lower spine, 4+ views (72110)
$217
$217
2.3×
CT pelvis with contrast (72193)
$1,400
$1,400
8.8×
CT abdomen and pelvis with contrast (74177)
$2,800
$2,800
8.9×
Ultrasound, abdomen complete (76700)
$412
$412
4.4×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$280
$280
3.0×
Ultrasound, transvaginal (76830)
$241.50
$241.50
2.6×
Basic metabolic panel (80048)
$102
$102
12.1×
Comprehensive metabolic panel (80053)
$112
$112
10.6×
Lipid panel (80061)
$114.66
$114.66
8.6×
Renal function panel (80069)
$130
$130
15.0×
Hepatic function panel (80076)
$100.88
$100.88
12.3×
Urinalysis, non-automated, with microscopy (81000)
$14.06
$14.06
3.5×
PSA, total (84153)
$74.55
$74.55
4.1×
Thyroid stimulating hormone (TSH) (84443)
$63.96
$63.96
3.8×
CBC with automated differential (85025)
$185.40
$185.40
23.9×
CBC, automated (85027)
$44.10
$44.10
6.8×
Prothrombin time (PT) (85610)
$31.36
$31.36
7.3×
Partial thromboplastin time (PTT) (85730)
$40.52
$40.52
6.7×
Psychotherapy, 30 minutes (90832)
$120
$120
0.7×
Psychotherapy, 45 minutes (90834)
$190
$190
1.2×
Psychotherapy, 60 minutes (90837)
$275
$275
1.7×
Family psychotherapy, without patient (50 min) (90846)
$185
$185
1.2×
Family psychotherapy, with patient (50 min) (90847)
$225
$225
1.4×
Group psychotherapy (90853)
$130
$130
1.4×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$39
$39
1.3×
Office visit, new patient (low complexity, ~30 min) (99203)
$230
$230
1.9×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$385
$385
3.2×
Office visit, new patient (high complexity, ~60 min) (99205)
$505
$505
4.2×
Preventive visit, new patient (age 18–39) (99385)
$386
$386
—
Preventive visit, new patient (age 40–64) (99386)
$450
$450
—
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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