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Posts prices for 39 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.
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Procedure Cash price Gross charge × Medicare
Transforaminal epidural injection, lumbar/sacral (64483)
$714.80
$1,787
0.9×
CT head/brain without contrast (70450)
$1,018
$2,545
10.6×
MRI brain without contrast (70551)
$1,402
$3,505
6.4×
MRI brain with contrast (70552)
$1,672.40
$4,181
5.2×
MRI brain without and with contrast (70553)
$1,762.80
$4,407
5.5×
X-ray lower spine, 4+ views (72110)
$397.20
$993
4.1×
MRI lumbar spine without contrast (72148)
$1,694.40
$4,236
7.7×
CT pelvis with contrast (72193)
$1,230.80
$3,077
7.6×
MRI lower-extremity joint without contrast (73721)
$1,610.80
$4,027
7.3×
CT abdomen and pelvis with contrast (74177)
$2,354
$5,885
7.3×
Ultrasound, abdomen complete (76700)
$554.40
$1,386
5.8×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$504
$1,260
5.2×
Ultrasound, transvaginal (76830)
$234.80
$587
2.4×
Mammography, one breast (diagnostic) (77065)
$181.60
$454
2.1×
Mammography, both breasts (diagnostic) (77066)
$228.80
$572
2.1×
Mammography, screening (bilateral) (77067)
$148.40
$371
1.6×
Basic metabolic panel (80048)
$32
$80
3.8×
Comprehensive metabolic panel (80053)
$88.80
$222
8.4×
Obstetric panel (80055)
$86.80
$217
1.8×
Lipid panel (80061)
$82.80
$207
6.2×
Renal function panel (80069)
$105.60
$264
12.2×
Hepatic function panel (80076)
$105.60
$264
12.9×
Urinalysis, non-automated, with microscopy (81000)
$37.60
$94
9.4×
Urinalysis, non-automated, without microscopy (81002)
$17.20
$43
4.9×
PSA, total (84153)
$58.40
$146
3.2×
Thyroid stimulating hormone (TSH) (84443)
$48.40
$121
2.9×
CBC with automated differential (85025)
$66.40
$166
8.5×
CBC, automated (85027)
$65.20
$163
10.1×
Prothrombin time (PT) (85610)
$20
$50
4.7×
Partial thromboplastin time (PTT) (85730)
$21.20
$53
3.5×
Psychotherapy, 30 minutes (90832)
$116
$290
0.7×
Psychotherapy, 45 minutes (90834)
$158.40
$396
1.0×
Psychotherapy, 60 minutes (90837)
$176.80
$442
1.1×
Family psychotherapy, without patient (50 min) (90846)
$153.60
$384
0.9×
Family psychotherapy, with patient (50 min) (90847)
$153.60
$384
0.9×
Group psychotherapy (90853)
$126.40
$316
1.4×
Sleep study (attended polysomnography) (95810)
$1,174.40
$2,936
1.5×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$70.40
$176
2.4×
Office visit, new patient (low complexity, ~30 min) (99203)
$197.40
$493.50
1.6×
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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