Home › Hospitals › Washakie Medical Center Posts prices for 34 of the 66 common shoppable procedures we track. Price file retrieved 2026-06-22.
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Procedure Cash price Gross charge × Medicare
Epidural injection, lumbar/sacral (with imaging) (62322) $508.39
$862
0.6×
Transforaminal epidural injection, lumbar/sacral (64483) $1,126.08
$1,655
1.2×
CT head/brain without contrast (70450) $515.20
$793.50
4.8×
MRI brain without contrast (70551) $694.72
$1,015
2.8×
MRI brain with contrast (70552) $865.60
$1,265
2.4×
MRI brain without and with contrast (70553) $1,044.27
$1,525.50
2.9×
X-ray lower spine, 4+ views (72110) $331.31
$433
3.1×
MRI lumbar spine without contrast (72148) $635.49
$944.50
2.6×
CT pelvis with contrast (72193) $1,272.68
$1,924
7.1×
MRI lower-extremity joint without contrast (73721) $205.44
$278
0.8×
CT abdomen and pelvis with contrast (74177) $943.92
$1,421
2.6×
Ultrasound, abdomen complete (76700) $569.98
$639.50
5.3×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $512.60
$577.50
4.8×
Ultrasound, transvaginal (76830) $736.93
$817
6.9×
Mammography, one breast (diagnostic) (77065) $129.82
$186
1.5×
Mammography, both breasts (diagnostic) (77066) $186.92
$268.50
1.7×
Mammography, screening (bilateral) (77067) $190.45
$227
2.1×
Basic metabolic panel (80048) $71.26
$111
8.4×
Comprehensive metabolic panel (80053) $87.95
$137
8.3×
Lipid panel (80061) $48.47
$75.50
3.6×
Renal function panel (80069) $100.15
$156
11.5×
Hepatic function panel (80076) $69.34
$108
8.5×
Urinalysis, non-automated, without microscopy (81002) $6.98
$11
2.0×
PSA, total (84153) $35.95
$56
2.0×
Thyroid stimulating hormone (TSH) (84443) $71.26
$111
4.2×
CBC with automated differential (85025) $28.35
$44.50
3.6×
CBC, automated (85027) $34.40
$54
5.3×
Prothrombin time (PT) (85610) $20.38
$32
4.8×
Partial thromboplastin time (PTT) (85730) $23.25
$36.50
3.9×
Sleep study (attended polysomnography) (95810) $3,954.13
$4,895
4.5×
Physical therapy, therapeutic exercise (per 15 min) (97110) $93.66
$127
3.2×
Office visit, new patient (low complexity, ~30 min) (99203) $211.97
$275
1.6×
Office visit, new patient (moderate complexity, ~45 min) (99204) $306.14
$392
2.3×
Office visit, new patient (high complexity, ~60 min) (99205) $384.96
$477
2.8×
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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