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Posts prices for 32 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-17.
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Procedure Cash price Gross charge × Medicare
Epidural injection, lumbar/sacral (with imaging) (62322)
$1,056.90
$2,642.24
1.3×
Transforaminal epidural injection, lumbar/sacral (64483)
$1,959.46
$4,898.64
2.3×
CT head/brain without contrast (70450)
$438.79
$1,096.97
4.4×
X-ray lower spine, 4+ views (72110)
$169.24
$423.09
1.7×
CT pelvis with contrast (72193)
$667.99
$1,669.97
4.0×
CT abdomen and pelvis with contrast (74177)
$1,336.03
$3,340.07
4.0×
Ultrasound, abdomen complete (76700)
$218.85
$547.12
2.2×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$218.81
$547.03
2.2×
Ultrasound, transvaginal (76830)
$218.81
$547.03
2.2×
Mammography, screening (bilateral) (77067)
$231.19
$577.97
2.5×
Basic metabolic panel (80048)
$30.86
$77.15
3.6×
Comprehensive metabolic panel (80053)
$32.55
$81.37
3.1×
Lipid panel (80061)
$51.61
$129.03
3.9×
Renal function panel (80069)
$30.86
$77.15
3.6×
Hepatic function panel (80076)
$30.86
$77.15
3.8×
PSA, total (84153)
$105.86
$264.65
5.8×
Thyroid stimulating hormone (TSH) (84443)
$79.74
$199.36
4.7×
CBC with automated differential (85025)
$29.99
$74.98
3.9×
CBC, automated (85027)
$24.88
$62.21
3.8×
Prothrombin time (PT) (85610)
$19.40
$48.51
4.5×
Partial thromboplastin time (PTT) (85730)
$23.12
$57.79
3.8×
Psychotherapy, 30 minutes (90832)
$155.30
$388.26
0.9×
Psychotherapy, 45 minutes (90834)
$206.49
$516.23
1.2×
Psychotherapy, 60 minutes (90837)
$252.97
$632.43
1.5×
Family psychotherapy, without patient (50 min) (90846)
$271.88
$679.71
1.6×
Family psychotherapy, with patient (50 min) (90847)
$271.88
$679.71
1.6×
Group psychotherapy (90853)
$509.80
$1,274.50
5.3×
Sleep study (attended polysomnography) (95810)
$1,717.69
$4,294.22
2.1×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$56.78
$141.96
2.0×
Office visit, new patient (low complexity, ~30 min) (99203)
$98.28
$245.69
0.8×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$90.52
$226.31
0.7×
Office visit, new patient (high complexity, ~60 min) (99205)
$90.52
$226.31
0.7×
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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