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Posts prices for 29 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-17.
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Procedure Cash price Gross charge × Medicare
CT head/brain without contrast (70450)
$3,959.69
$3,959.69
39.6×
MRI brain without contrast (70551)
$5,781.01
$5,781.01
25.3×
MRI brain with contrast (70552)
$6,238.99
$6,238.99
18.7×
MRI brain without and with contrast (70553)
$8,180.09
$8,180.09
24.5×
X-ray lower spine, 4+ views (72110)
$841.97
$841.97
8.4×
MRI lumbar spine without contrast (72148)
$5,913.12
$5,913.12
25.9×
CT pelvis with contrast (72193)
$4,946.10
$4,946.10
29.5×
MRI lower-extremity joint without contrast (73721)
$5,847.94
$5,847.94
25.6×
CT abdomen and pelvis with contrast (74177)
$9,585.71
$9,585.71
28.7×
Ultrasound, abdomen complete (76700)
$1,946.38
$1,946.38
19.5×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$1,335.17
$1,335.17
13.4×
Ultrasound, transvaginal (76830)
$1,210.12
$1,210.12
12.1×
Mammography, one breast (diagnostic) (77065)
$405.13
$405.13
4.7×
Mammography, both breasts (diagnostic) (77066)
$484.38
$484.38
4.4×
Mammography, screening (bilateral) (77067)
$473.83
$473.83
5.2×
Urinalysis, non-automated, without microscopy (81002)
$3.18
$3.18
0.9×
Prothrombin time (PT) (85610)
$15.87
$15.87
3.7×
Psychotherapy, 30 minutes (90832)
$302.71
$302.71
1.8×
Psychotherapy, 45 minutes (90834)
$423.76
$423.76
2.5×
Psychotherapy, 60 minutes (90837)
$625.31
$625.31
3.7×
Family psychotherapy, without patient (50 min) (90846)
$625.31
$625.31
3.7×
Family psychotherapy, with patient (50 min) (90847)
$544.83
$544.83
3.2×
Group psychotherapy (90853)
$302.71
$302.71
3.1×
Sleep study (attended polysomnography) (95810)
$4,887.56
$4,887.56
6.0×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$115.65
$115.65
4.0×
Office visit, new patient (low complexity, ~30 min) (99203)
$228.40
$228.40
1.8×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$523.41
$523.41
4.1×
Office visit, new patient (high complexity, ~60 min) (99205)
$610.64
$610.64
4.8×
Preventive visit, new patient (age 18–39) (99385)
$161.86
$161.86
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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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