Home › Hospitals › Swisher Memorial Hospital Posts prices for 32 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-18.
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Procedure Cash price Gross charge × Medicare
CT head/brain without contrast (70450) $777.50
$1,555
7.4×
MRI brain without contrast (70551) $1,347
$2,694
5.6×
MRI brain with contrast (70552) $1,842.50
$3,685
5.3×
MRI brain without and with contrast (70553) $1,952.50
$3,905
5.6×
X-ray lower spine, 4+ views (72110) $276
$552
2.6×
MRI lumbar spine without contrast (72148) $1,403.50
$2,807
5.9×
CT pelvis with contrast (72193) $1,170
$2,340
6.6×
MRI lower-extremity joint without contrast (73721) $1,373.50
$2,747
5.7×
CT abdomen and pelvis with contrast (74177) $1,870.50
$3,741
5.3×
Ultrasound, abdomen complete (76700) $455
$910
4.3×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $464
$928
4.4×
Ultrasound, transvaginal (76830) $354
$708
3.4×
Basic metabolic panel (80048) $72.50
$145
8.6×
Comprehensive metabolic panel (80053) $118.50
$237
11.2×
Lipid panel (80061) $93.50
$187
7.0×
Renal function panel (80069) $161.50
$323
18.6×
Hepatic function panel (80076) $124
$248
15.2×
Urinalysis, non-automated, with microscopy (81000) $14.50
$29
3.6×
Urinalysis, non-automated, without microscopy (81002) $13.75
$27.50
4.0×
PSA, total (84153) $71.37
$142.74
3.9×
Thyroid stimulating hormone (TSH) (84443) $87.25
$174.50
5.2×
CBC with automated differential (85025) $54
$108
6.9×
Prothrombin time (PT) (85610) $31
$62
7.2×
Partial thromboplastin time (PTT) (85730) $37.50
$75
6.2×
Electrocardiogram (ECG), complete (93000) $50.50
$101
0.9×
Sleep study (attended polysomnography) (95810) $2,498
$4,996
2.9×
Physical therapy, therapeutic exercise (per 15 min) (97110) $61.50
$123
2.1×
Office visit, new patient (low complexity, ~30 min) (99203) $92
$184
0.7×
Office visit, new patient (moderate complexity, ~45 min) (99204) $131
$262
1.0×
Office visit, new patient (high complexity, ~60 min) (99205) $167.50
$335
1.3×
Preventive visit, new patient (age 18–39) (99385) $90
$180
—
Preventive visit, new patient (age 40–64) (99386) $93.50
$187
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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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