Home › Hospitals › Stevens County Hospital Posts prices for 36 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.
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Procedure Cash price Gross charge × Medicare
Upper GI endoscopy (EGD), diagnostic (43235) $1,624
$1,624
1.9×
Upper GI endoscopy (EGD) with biopsy (43239) $1,813
$1,813
2.2×
Diagnostic colonoscopy (45378) $2,077
$2,077
2.4×
Colonoscopy with biopsy (45380) $2,143
$2,143
1.9×
Colonoscopy with lesion removal (45385) $2,337
$2,337
2.1×
Transforaminal epidural injection, lumbar/sacral (64483) $2,760
$2,760
3.4×
CT head/brain without contrast (70450) $770
$770
8.0×
MRI brain without contrast (70551) $885
$885
4.0×
MRI brain with contrast (70552) $991
$991
3.1×
MRI brain without and with contrast (70553) $1,098
$1,098
3.4×
X-ray lower spine, 4+ views (72110) $417.12
$417.12
4.3×
MRI lumbar spine without contrast (72148) $885
$885
4.0×
CT pelvis with contrast (72193) $862
$862
5.3×
MRI lower-extremity joint without contrast (73721) $885
$885
4.0×
CT abdomen and pelvis with contrast (74177) $862
$862
2.7×
Ultrasound, abdomen complete (76700) $255
$255
2.7×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $373.72
$373.72
3.9×
Ultrasound, transvaginal (76830) $207.16
$207.16
2.2×
Mammography, one breast (diagnostic) (77065) $125
$125
1.5×
Mammography, both breasts (diagnostic) (77066) $125
$125
1.1×
Mammography, screening (bilateral) (77067) $125
$125
1.4×
Basic metabolic panel (80048) $148
$148
17.5×
Comprehensive metabolic panel (80053) $100
$100
9.5×
Lipid panel (80061) $180
$180
13.4×
Renal function panel (80069) $80
$80
9.2×
Hepatic function panel (80076) $95
$95
11.6×
PSA, total (84153) $231
$231
12.6×
Thyroid stimulating hormone (TSH) (84443) $86
$86
5.1×
CBC with automated differential (85025) $55
$55
7.1×
CBC, automated (85027) $40
$40
6.2×
Prothrombin time (PT) (85610) $77.50
$77.50
18.1×
Partial thromboplastin time (PTT) (85730) $70
$70
11.6×
Physical therapy, therapeutic exercise (per 15 min) (97110) $64.96
$64.96
2.2×
Office visit, new patient (low complexity, ~30 min) (99203) $170
$170
1.4×
Office visit, new patient (moderate complexity, ~45 min) (99204) $170
$170
1.4×
Office visit, new patient (high complexity, ~60 min) (99205) $284
$284
2.3×
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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