Thomas H Boyd Memorial Hospital

Carrollton, IL · Critical Access Hospital

Posts prices for 42 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-01.

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ProcedurePosted cashPosted gross× Medicare
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure
$511.20 $639 0.1×
CT head/brain without contrast (70450)
range across 2 matching MRF lines
$168–$1,676.80 $210–$2,096 varies
MRI brain without contrast (70551)
range across 4 matching MRF lines
$293.60–$2,940.80 $367–$3,676 varies
MRI brain with contrast (70552)
range across 4 matching MRF lines
$352.80–$3,524 $441–$4,405 varies
MRI brain without and with contrast (70553)
range across 3 matching MRF lines
$452–$4,756 $565–$5,945 varies
X-ray lower spine, 4+ views (72110)
range across 2 matching MRF lines
$52–$576 $65–$720 varies
MRI lumbar spine without contrast (72148)
range across 3 matching MRF lines
$293.60–$2,684.80 $367–$3,356 varies
CT pelvis with contrast (72193)
range across 2 matching MRF lines
$228.80–$2,266.40 $286–$2,833 varies
MRI lower-extremity joint without contrast (73721)
range across 3 matching MRF lines
$268–$3,043.20 $335–$3,804 varies
CT abdomen and pelvis with contrast (74177)
range across 2 matching MRF lines
$360.80–$3,414.40 $451–$4,268 varies
Ultrasound, abdomen complete (76700)
range across 2 matching MRF lines
$159.20–$986.40 $199–$1,233 varies
Ultrasound, pregnant uterus (≥14 weeks) (76805)
range across 2 matching MRF lines
$196.80–$776.80 $246–$971 varies
Ultrasound, transvaginal (76830)
range across 2 matching MRF lines
$138.40–$621.60 $173–$777 varies
Mammography, one breast (diagnostic) (77065)
range across 2 matching MRF lines
$152.80–$264 $191–$330 varies
Mammography, both breasts (diagnostic) (77066)
range across 2 matching MRF lines
$144.80–$329.60 $181–$412 varies
Mammography, screening (bilateral) (77067)
range across 4 matching MRF lines
$144.80–$284.80 $181–$356 varies
Basic metabolic panel (80048)
range across 2 matching MRF lines
$12–$172.80 $15–$216 varies
Comprehensive metabolic panel (80053) $235.20 $294 22.3×
Obstetric panel (80055) $228.80 $286 4.8×
Lipid panel (80061)
range across 3 matching MRF lines
$133.60–$224 $167–$280 varies
Renal function panel (80069) $180 $225 20.7×
Hepatic function panel (80076)
range across 2 matching MRF lines
$12–$224 $15–$280 varies
Urinalysis, non-automated, with microscopy (81000) $56 $70 13.9×
Urinalysis, non-automated, without microscopy (81002) $27.20 $34 7.8×
PSA, total (84153) $204 $255 11.1×
Thyroid stimulating hormone (TSH) (84443)
range across 2 matching MRF lines
$140.80–$178.40 $176–$223 varies
CBC with automated differential (85025) $102.40 $128 13.2×
CBC, automated (85027) $107.20 $134 16.6×
Prothrombin time (PT) (85610)
range across 4 matching MRF lines
$30.40–$78.40 $38–$98 varies
Partial thromboplastin time (PTT) (85730) $85.60 $107 14.2×
Psychotherapy, 30 minutes (90832) $612 $765 3.2×
Psychotherapy, 45 minutes (90834) $807.20 $1,009 4.2×
Psychotherapy, 60 minutes (90837) $977.60 $1,222 5.1×
Family psychotherapy, without patient (50 min) (90846) $861.60 $1,077 4.5×
Family psychotherapy, with patient (50 min) (90847) $911.20 $1,139 4.8×
Group psychotherapy (90853) $977.60 $1,222 9.0×
Physical therapy, therapeutic exercise (per 15 min) (97110) $128.80 $161 4.4×
Office visit, new patient (low complexity, ~30 min) (99203)
range across 5 matching MRF lines
$70.40–$210.40 $88–$263 varies
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 3 matching MRF lines
$173.60–$273.60 $217–$342 varies
Office visit, new patient (high complexity, ~60 min) (99205)
range across 3 matching MRF lines
$182.40–$439.20 $228–$549 varies
Preventive visit, new patient (age 18–39) (99385) $64 $80 —
Preventive visit, new patient (age 40–64) (99386) $64 $80 —

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.

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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Download the machine-readable file (CSV, 54.0 MB) ↓ — captured 2026-10-01

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