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Posts prices for 42 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-26.
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Procedure Posted cash Posted gross × Medicare
Breast lesion removal (open) (19120)
$777.20
$1,943
0.2×
Upper GI endoscopy (EGD), diagnostic (43235)
$664
$1,660
0.8×
Upper GI endoscopy (EGD) with biopsy (43239)
$664
$1,660
0.8×
Diagnostic colonoscopy (45378)
$640
$1,600
0.8×
Colonoscopy with biopsy (45380)
$664
$1,660
0.6×
CT head/brain without contrast (70450)
$448.40
$1,121
4.8×
MRI brain without contrast (70551)
$910
$2,275
4.2×
MRI brain with contrast (70552)
$1,127.20
$2,818
3.6×
MRI brain without and with contrast (70553)
$1,521.60
$3,804
4.8×
X-ray lower spine, 4+ views (72110)
$171.20
$428
1.8×
MRI lumbar spine without contrast (72148) range across 2 matching MRF lines
$343.60–$918
$859–$2,295
varies
CT pelvis with contrast (72193)
$594.40
$1,486
3.8×
MRI lower-extremity joint without contrast (73721)
$739.60
$1,849
3.4×
CT abdomen and pelvis with contrast (74177)
$957.20
$2,393
3.0×
Ultrasound, abdomen complete (76700)
$356
$890
3.8×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$276.80
$692
2.9×
Ultrasound, transvaginal (76830)
$268.80
$672
2.8×
Mammography, both breasts (diagnostic) (77066)
$122.80
$307
1.1×
Mammography, screening (bilateral) (77067)
$98.80
$247
1.1×
Basic metabolic panel (80048)
$26.80
$67
3.2×
Comprehensive metabolic panel (80053)
$12
$30
1.1×
Lipid panel (80061)
$34.40
$86
2.6×
Renal function panel (80069)
$8
$20
0.9×
Hepatic function panel (80076)
$23.60
$59
2.9×
Urinalysis, non-automated, with microscopy (81000)
$17.60
$44
4.4×
PSA, total (84153)
$44
$110
2.4×
Thyroid stimulating hormone (TSH) (84443)
$29.60
$74
1.8×
CBC with automated differential (85025)
$52
$130
6.7×
CBC, automated (85027)
$8
$20
1.2×
Prothrombin time (PT) (85610)
$16.40
$41
3.8×
Partial thromboplastin time (PTT) (85730)
$16.80
$42
2.8×
Psychotherapy, 30 minutes (90832)
$43.20
$108
0.3×
Psychotherapy, 45 minutes (90834)
$62.80
$157
0.4×
Family psychotherapy, without patient (50 min) (90846)
$63.60
$159
0.4×
Family psychotherapy, with patient (50 min) (90847)
$78
$195
0.5×
Group psychotherapy (90853)
$50.80
$127
0.6×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$26
$65
0.9×
Office visit, new patient (low complexity, ~30 min) (99203)
$82.40
$206
0.7×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$112
$280
0.9×
Office visit, new patient (high complexity, ~60 min) (99205)
$137.60
$344
1.1×
Office consultation (low complexity, ~30 min) (99243)
$27.20
$68
0.2×
Office consultation (moderate complexity, ~40 min) (99244)
$34
$85
0.3×
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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