Syracuse Area Health

Syracuse, NE · Critical Access Hospital

Posts prices for 39 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-20.

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ProcedureCash priceGross 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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