Sullivan County Memorial Hospital
Milan, MO · Critical Access Hospital
Posts prices for 28 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-15.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Transforaminal epidural injection, lumbar/sacral (64483) range across 2 matching MRF lines |
$322–$1,500 | $322–$1,500 | varies |
| CT head/brain without contrast (70450) | $641 | $641 | 6.1× |
| MRI brain without contrast (70551) | $1,401 | $1,401 | 5.9× |
| MRI brain with contrast (70552) | $2,211 | $2,211 | 6.3× |
| MRI brain without and with contrast (70553) | $2,211 | $2,211 | 6.3× |
| X-ray lower spine, 4+ views (72110) | $321 | $321 | 3.1× |
| MRI lumbar spine without contrast (72148) | $1,401 | $1,401 | 5.9× |
| CT pelvis with contrast (72193) | $1,082 | $1,082 | 6.2× |
| MRI lower-extremity joint without contrast (73721) | $1,401 | $1,401 | 5.9× |
| CT abdomen and pelvis with contrast (74177) | $2,211 | $2,211 | 6.3× |
| Ultrasound, abdomen complete (76700) | $428 | $428 | 4.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $428 | $428 | 4.1× |
| Ultrasound, transvaginal (76830) | $428 | $428 | 4.1× |
| Basic metabolic panel (80048) | $71 | $71 | 8.4× |
| Comprehensive metabolic panel (80053) | $89 | $89 | 8.4× |
| Obstetric panel (80055) | $213 | $213 | 4.5× |
| Lipid panel (80061) | $113 | $113 | 8.4× |
| Renal function panel (80069) | $52 | $52 | 6.0× |
| Hepatic function panel (80076) | $49 | $49 | 6.0× |
| PSA, total (84153) range across 2 matching MRF lines |
$160–$190 | $160–$190 | varies |
| Thyroid stimulating hormone (TSH) (84443) range across 3 matching MRF lines |
$84–$150 | $84–$150 | varies |
| CBC with automated differential (85025) range across 3 matching MRF lines |
$23–$66 | $23–$66 | varies |
| CBC, automated (85027) range across 2 matching MRF lines |
$32–$66 | $32–$66 | varies |
| Prothrombin time (PT) (85610) range across 2 matching MRF lines |
$20–$33 | $20–$33 | varies |
| Partial thromboplastin time (PTT) (85730) range across 4 matching MRF lines |
$51–$78 | $51–$78 | varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) range across 2 matching MRF lines |
$50–$60 | $50–$60 | varies |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 2 matching MRF lines |
$100–$180 | $100–$180 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 2 matching MRF lines |
$100–$220 | $100–$220 | varies |
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.
More prices at this hospital
- Imaging: 172 codes with posted prices and Medicare benchmarks
- Lab & pathology: 581 codes with posted prices and Medicare benchmarks
- Visits & medical services: 77 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 261 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 9 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 2.8 MB) ↓ — captured 2026-08-15
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.