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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ProcedureCash priceGross charge× Medicare
Transforaminal epidural injection, lumbar/sacral (64483) $911 $911 1.0×
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) $175 $175 9.5×
Thyroid stimulating hormone (TSH) (84443) $141 $141 8.4×
CBC with automated differential (85025) $23 $23 3.0×
CBC, automated (85027) $49 $49 7.6×
Prothrombin time (PT) (85610) $26.50 $26.50 6.2×
Partial thromboplastin time (PTT) (85730) $66 $66 11.0×
Physical therapy, therapeutic exercise (per 15 min) (97110) $55 $55 1.9×
Office visit, new patient (low complexity, ~30 min) (99203) $140 $140 1.0×
Office visit, new patient (moderate complexity, ~45 min) (99204) $160 $160 1.2×

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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