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Posts prices for 39 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-20.
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Procedure Cash price Gross charge × Medicare
Shoulder arthroscopy with decompression (29826)
$16,000
$16,000
—
Knee arthroscopy with meniscectomy (29881)
$11,500
$11,500
3.4×
Tonsillectomy and adenoidectomy (under age 12) (42820)
$12,000
$12,000
2.0×
Upper GI endoscopy (EGD), diagnostic (43235)
$7,320
$7,320
7.8×
Diagnostic colonoscopy (45378)
$4,250
$4,250
4.4×
Colonoscopy with lesion removal (45385)
$5,225
$5,225
4.2×
Transforaminal epidural injection, lumbar/sacral (64483)
$1,687
$1,687
1.8×
Cataract removal with lens insertion (66984)
$9,100
$9,100
3.8×
CT head/brain without contrast (70450)
$2,631
$2,631
24.2×
MRI brain without contrast (70551)
$4,259
$4,259
17.2×
MRI brain with contrast (70552)
$4,341
$4,341
12.0×
MRI brain without and with contrast (70553)
$4,643
$4,643
12.8×
X-ray lower spine, 4+ views (72110)
$611
$611
5.6×
MRI lumbar spine without contrast (72148)
$3,953
$3,953
16.0×
CT pelvis with contrast (72193)
$3,083
$3,083
16.9×
MRI lower-extremity joint without contrast (73721)
$3,080
$3,080
12.4×
CT abdomen and pelvis with contrast (74177)
$5,438.50
$5,438.50
15.0×
Ultrasound, abdomen complete (76700)
$1,083
$1,083
10.0×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$945
$945
8.7×
Ultrasound, transvaginal (76830)
$778
$778
7.2×
Mammography, one breast (diagnostic) (77065)
$423
$423
4.9×
Mammography, both breasts (diagnostic) (77066)
$509
$509
4.6×
Mammography, screening (bilateral) (77067)
$439
$439
4.8×
Basic metabolic panel (80048)
$551
$551
65.1×
Comprehensive metabolic panel (80053)
$649
$649
61.5×
Lipid panel (80061)
$480
$480
35.8×
Renal function panel (80069)
$604
$604
69.6×
Hepatic function panel (80076)
$544
$544
66.6×
PSA, total (84153)
$529
$529
28.8×
Thyroid stimulating hormone (TSH) (84443)
$466
$466
27.7×
CBC with automated differential (85025)
$388
$388
49.9×
CBC, automated (85027)
$305
$305
47.1×
Prothrombin time (PT) (85610)
$254
$254
59.2×
Partial thromboplastin time (PTT) (85730)
$385
$385
64.1×
Electrocardiogram (ECG), complete (93000)
$84
$84
1.4×
Sleep study (attended polysomnography) (95810)
$4,664
$4,664
5.2×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$272
$272
9.4×
Office visit, new patient (low complexity, ~30 min) (99203)
$208
$208
1.5×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$279
$279
2.0×
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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