Home › Hospitals › Stillwater Medical-blackwell Posts prices for 38 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.
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Procedure Cash price Gross charge × Medicare
Epidural injection, lumbar/sacral (with imaging) (62322) $2,483.20
$3,104
2.9×
Transforaminal epidural injection, lumbar/sacral (64483) $3,246.40
$4,058
3.8×
CT head/brain without contrast (70450) $2,797.60
$3,497
27.8×
MRI brain without contrast (70551) $3,631.20
$4,539
15.8×
MRI brain with contrast (70552) $3,679.20
$4,599
11.0×
MRI brain without and with contrast (70553) $5,021.60
$6,277
15.0×
X-ray lower spine, 4+ views (72110) $965.60
$1,207
9.6×
MRI lumbar spine without contrast (72148) $4,020
$5,025
17.5×
CT pelvis with contrast (72193) $3,208
$4,010
19.0×
MRI lower-extremity joint without contrast (73721) $3,552
$4,440
15.5×
CT abdomen and pelvis with contrast (74177) $5,839.20
$7,299
17.4×
Ultrasound, abdomen complete (76700) $1,688.80
$2,111
16.8×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $514.40
$643
5.1×
Ultrasound, transvaginal (76830) $376.80
$471
3.7×
Mammography, one breast (diagnostic) (77065) $680.80
$851
7.9×
Mammography, both breasts (diagnostic) (77066) $680.80
$851
6.2×
Mammography, screening (bilateral) (77067) $513.60
$642
5.6×
Basic metabolic panel (80048) $263.20
$329
31.1×
Comprehensive metabolic panel (80053) $250.80
$313.50
23.8×
Lipid panel (80061) $172.40
$215.50
12.9×
Renal function panel (80069) $136.40
$170.50
15.7×
Hepatic function panel (80076) $171.60
$214.50
21.0×
Urinalysis, non-automated, with microscopy (81000) $67.20
$84
16.7×
Urinalysis, non-automated, without microscopy (81002) $47.20
$59
13.6×
PSA, total (84153) $162.40
$203
8.8×
Thyroid stimulating hormone (TSH) (84443) $156
$195
9.3×
CBC with automated differential (85025) $140.80
$176
18.1×
CBC, automated (85027) $187.20
$234
28.9×
Prothrombin time (PT) (85610) $140
$175
32.6×
Partial thromboplastin time (PTT) (85730) $155.20
$194
25.8×
Left heart catheterization (93452) $11,187.20
$13,984
3.6×
Sleep study (attended polysomnography) (95810) $2,895.20
$3,619
3.5×
Physical therapy, therapeutic exercise (per 15 min) (97110) $172.80
$216
5.9×
Office visit, new patient (low complexity, ~30 min) (99203) $323.20
$404
2.5×
Office visit, new patient (moderate complexity, ~45 min) (99204) $356
$445
2.8×
Office visit, new patient (high complexity, ~60 min) (99205) $392
$490
3.1×
Office consultation (low complexity, ~30 min) (99243) $153.60
$192
1.2×
Office consultation (moderate complexity, ~40 min) (99244) $228
$285
1.8×
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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