Wabash General Hospital 1
Mount Carmel, IL · Critical Access Hospital
Posts prices for 41 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-01.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| CT head/brain without contrast (70450) | $1,982.81 | $1,982.81 | 17.7× |
| MRI brain without contrast (70551) | $4,095.42 | $4,095.42 | 16.0× |
| MRI brain with contrast (70552) | $4,912.20 | $4,912.20 | 13.1× |
| MRI brain without and with contrast (70553) | $5,679.75 | $5,679.75 | 15.2× |
| X-ray lower spine, 4+ views (72110) range across 2 matching MRF lines |
$717.02–$760.69 | $717.02–$760.69 | varies |
| MRI lumbar spine without contrast (72148) | $4,474.09 | $4,474.09 | 17.5× |
| CT pelvis with contrast (72193) | $2,704.72 | $2,704.72 | 14.4× |
| MRI lower-extremity joint without contrast (73721) | $4,069.05 | $4,069.05 | 15.9× |
| CT abdomen and pelvis with contrast (74177) | $4,154.57 | $4,154.57 | 11.1× |
| Ultrasound, abdomen complete (76700) | $1,098.96 | $1,098.96 | 9.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $1,218.64 | $1,218.64 | 10.9× |
| Ultrasound, transvaginal (76830) | $916.43 | $916.43 | 8.2× |
| Mammography, one breast (diagnostic) (77065) | $291.44 | $291.44 | 3.4× |
| Mammography, both breasts (diagnostic) (77066) | $442.29 | $442.29 | 4.0× |
| Mammography, screening (bilateral) (77067) range across 2 matching MRF lines |
$321.34–$381.32 | $321.34–$381.32 | varies |
| Basic metabolic panel (80048) | $220.70 | $220.70 | 26.1× |
| Comprehensive metabolic panel (80053) | $258.19 | $258.19 | 24.4× |
| Lipid panel (80061) | $311.64 | $311.64 | 23.3× |
| Renal function panel (80069) | $232.39 | $232.39 | 26.8× |
| Hepatic function panel (80076) | $83.42 | $83.42 | 10.2× |
| Urinalysis, non-automated, without microscopy (81002) | $24.93 | $24.93 | 7.2× |
| PSA, total (84153) | $144.60 | $144.60 | 7.9× |
| Thyroid stimulating hormone (TSH) (84443) | $190.77 | $190.77 | 11.4× |
| CBC with automated differential (85025) | $158.13 | $158.13 | 20.4× |
| CBC, automated (85027) | $97.29 | $97.29 | 15.0× |
| Prothrombin time (PT) (85610) range across 2 matching MRF lines |
$81.82–$83.05 | $81.82–$83.05 | varies |
| Partial thromboplastin time (PTT) (85730) | $78.67 | $78.67 | 13.1× |
| Psychotherapy, 30 minutes (90832) range across 5 matching MRF lines |
$74.30–$218.28 | $74.30–$218.28 | varies |
| Psychotherapy, 45 minutes (90834) range across 5 matching MRF lines |
$93.60–$270.28 | $93.60–$270.28 | varies |
| Psychotherapy, 60 minutes (90837) range across 5 matching MRF lines |
$124.80–$322.28 | $124.80–$322.28 | varies |
| Family psychotherapy, with patient (50 min) (90847) range across 2 matching MRF lines |
$278.70–$322.28 | $278.70–$322.28 | varies |
| Group psychotherapy (90853) range across 2 matching MRF lines |
$73.20–$186.32 | $73.20–$186.32 | varies |
| Electrocardiogram (ECG), complete (93000) | $128.71 | $128.71 | 2.0× |
| Sleep study (attended polysomnography) (95810) | $4,358.90 | $4,358.90 | 4.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $144.78 | $144.78 | 5.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 2 matching MRF lines |
$153.02–$153.87 | $153.02–$153.87 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 2 matching MRF lines |
$184.63–$199.27 | $184.63–$199.27 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 2 matching MRF lines |
$217.59–$270.40 | $217.59–$270.40 | varies |
| Office consultation (moderate complexity, ~40 min) (99244) | $484.41 | $484.41 | 3.4× |
| Preventive visit, new patient (age 18–39) (99385) range across 2 matching MRF lines |
$247.20–$267.37 | $247.20–$267.37 | varies |
| Preventive visit, new patient (age 40–64) (99386) | $292.04 | $292.04 | — |
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.
More prices at this hospital
- Imaging: 253 codes with posted prices and Medicare benchmarks
- Lab & pathology: 486 codes with posted prices and Medicare benchmarks
- Visits & medical services: 202 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 513 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 28 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 31.8 MB) ↓ — captured 2026-10-01
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.