Upson Regional Medical Center

Thomaston, GA

Posts prices for 33 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-22.

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ProcedureCash priceGross charge× Medicare
Epidural injection, lumbar/sacral (with imaging) (62322) $2,170.80 $3,618 2.5×
Transforaminal epidural injection, lumbar/sacral (64483) $2,837.40 $4,729 3.3×
CT head/brain without contrast (70450) $2,021.40 $3,369 19.6×
MRI brain without contrast (70551) $3,021.90 $5,036.50 12.9×
MRI brain with contrast (70552) $3,210.30 $5,350.50 9.4×
MRI brain without and with contrast (70553) $4,160.10 $6,933.50 12.1×
X-ray lower spine, 4+ views (72110) $225.60 $376 2.2×
MRI lumbar spine without contrast (72148) $5,424.90 $9,041.50 23.1×
CT pelvis with contrast (72193) $3,879.60 $6,466 22.5×
MRI lower-extremity joint without contrast (73721) $5,320.80 $8,868 22.7×
CT abdomen and pelvis with contrast (74177) $5,560.80 $9,268 16.2×
Ultrasound, abdomen complete (76700) $1,219.20 $2,032 11.9×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $900.60 $1,501 8.8×
Ultrasound, transvaginal (76830) $900 $1,500 8.7×
Mammography, one breast (diagnostic) (77065) $440.40 $734 5.1×
Mammography, both breasts (diagnostic) (77066) $393 $655 3.6×
Mammography, screening (bilateral) (77067) $227.40 $379 2.5×
Basic metabolic panel (80048) $45 $75 5.3×
Comprehensive metabolic panel (80053) $68.40 $114 6.5×
Lipid panel (80061) $74.40 $124 5.6×
Renal function panel (80069) $48.60 $81 5.6×
Hepatic function panel (80076) $46.20 $77 5.7×
Urinalysis, non-automated, without microscopy (81002) $25.50 $42.50 7.3×
PSA, total (84153) $30 $50 1.6×
Thyroid stimulating hormone (TSH) (84443) $38.40 $64 2.3×
CBC with automated differential (85025) $43.20 $72 5.6×
CBC, automated (85027) $36 $60 5.6×
Prothrombin time (PT) (85610) $23.40 $39 5.5×
Partial thromboplastin time (PTT) (85730) $30 $50 5.0×
Left heart catheterization (93452) $5,475.60 $9,126 1.7×
Sleep study (attended polysomnography) (95810) $6,110.40 $10,184 7.2×
Physical therapy, therapeutic exercise (per 15 min) (97110) $153.60 $256 5.3×
Office visit, new patient (moderate complexity, ~45 min) (99204) $196.80 $328 1.5×

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