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Posts prices for 29 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.
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Procedure Cash price Gross charge × Medicare
CT head/brain without contrast (70450)
$766
$766
8.0×
MRI brain without contrast (70551)
$950
$950
4.3×
MRI brain with contrast (70552)
$630
$630
2.0×
MRI brain without and with contrast (70553)
$995
$995
3.1×
X-ray lower spine, 4+ views (72110)
$416
$416
4.3×
MRI lumbar spine without contrast (72148)
$950
$950
4.3×
CT pelvis with contrast (72193)
$775
$775
4.8×
MRI lower-extremity joint without contrast (73721)
$969
$969
4.4×
CT abdomen and pelvis with contrast (74177)
$775
$775
2.4×
Ultrasound, abdomen complete (76700)
$254
$254
2.6×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$221
$221
2.3×
Ultrasound, transvaginal (76830)
$207
$207
2.2×
Mammography, one breast (diagnostic) (77065)
$207
$207
2.4×
Mammography, both breasts (diagnostic) (77066)
$207
$207
1.9×
Mammography, screening (bilateral) (77067)
$206
$206
2.3×
Basic metabolic panel (80048)
$114.40
$114.40
13.5×
Comprehensive metabolic panel (80053)
$197.60
$197.60
18.7×
Lipid panel (80061)
$93.60
$93.60
7.0×
Hepatic function panel (80076)
$116.48
$116.48
14.3×
Urinalysis, non-automated, without microscopy (81002)
$18
$18
5.2×
PSA, total (84153)
$131.82
$131.82
7.2×
Thyroid stimulating hormone (TSH) (84443)
$91.52
$91.52
5.4×
CBC with automated differential (85025)
$88.40
$88.40
11.4×
CBC, automated (85027)
$79.04
$79.04
12.2×
Prothrombin time (PT) (85610)
$36.40
$36.40
8.5×
Partial thromboplastin time (PTT) (85730)
$61.37
$61.37
10.2×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$67.50
$67.50
2.3×
Office visit, new patient (low complexity, ~30 min) (99203)
$125
$125
1.0×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$175
$175
1.4×
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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