Home › Hospitals › Walthall General Hospital Posts prices for 38 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-26.
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Procedure Cash price Gross charge × Medicare
Transforaminal epidural injection, lumbar/sacral (64483) $403.18
$1,439.90
0.5×
CT head/brain without contrast (70450) $599
$2,139.28
6.6×
MRI brain without contrast (70551) $783.82
$2,799.34
3.8×
MRI brain with contrast (70552) $1,088.57
$3,887.73
3.6×
MRI brain without and with contrast (70553) $1,343.01
$4,796.44
4.5×
X-ray lower spine, 4+ views (72110) $200.24
$715.11
2.2×
MRI lumbar spine without contrast (72148) $1,067.22
$3,811.50
5.2×
CT pelvis with contrast (72193) $695.22
$2,482.92
4.6×
MRI lower-extremity joint without contrast (73721) $999.80
$3,570.71
4.9×
CT abdomen and pelvis with contrast (74177) $1,312.18
$4,686.33
4.4×
Ultrasound, abdomen complete (76700) $372.68
$1,331
4.1×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $237.84
$849.42
2.6×
Ultrasound, transvaginal (76830) $175.50
$626.78
1.9×
Mammography, one breast (diagnostic) (77065) $106.73
$381.15
1.2×
Mammography, both breasts (diagnostic) (77066) $115.20
$411.40
1.0×
Mammography, screening (bilateral) (77067) $99.10
$353.92
1.1×
Basic metabolic panel (80048) $64.38
$229.90
7.6×
Comprehensive metabolic panel (80053) $58.96
$210.54
5.6×
Lipid panel (80061) $25.75
$91.96
1.9×
Renal function panel (80069) $42.69
$152.46
4.9×
Hepatic function panel (80076) $39.31
$140.36
4.8×
Urinalysis, non-automated, without microscopy (81002) $7.12
$25.41
2.0×
PSA, total (84153) $19.32
$68.97
1.1×
Thyroid stimulating hormone (TSH) (84443) $22.70
$81.07
1.4×
CBC with automated differential (85025) $17.28
$61.71
2.2×
CBC, automated (85027) $11.86
$42.35
1.8×
Prothrombin time (PT) (85610) $15.59
$55.66
3.6×
Partial thromboplastin time (PTT) (85730) $15.59
$55.66
2.6×
Psychotherapy, 30 minutes (90832) $64.72
$231.11
0.4×
Psychotherapy, 45 minutes (90834) $97.24
$347.27
0.6×
Psychotherapy, 60 minutes (90837) $115.54
$412.61
0.8×
Family psychotherapy, without patient (50 min) (90846) $82.33
$294.03
0.5×
Family psychotherapy, with patient (50 min) (90847) $105.54
$376.92
0.7×
Group psychotherapy (90853) $155.51
$555.39
1.8×
Physical therapy, therapeutic exercise (per 15 min) (97110) $20.67
$73.81
0.7×
Office visit, new patient (low complexity, ~30 min) (99203) $84.20
$300.68
0.7×
Office visit, new patient (moderate complexity, ~45 min) (99204) $112.14
$400.51
1.0×
Office visit, new patient (high complexity, ~60 min) (99205) $132.48
$473.11
1.2×
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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