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Posts prices for 41 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.
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Procedure Cash price Gross charge × Medicare
Tonsillectomy and adenoidectomy (under age 12) (42820)
$2,912.50
$2,912.50
0.5×
Upper GI endoscopy (EGD), diagnostic (43235)
$725
$725
0.9×
Upper GI endoscopy (EGD) with biopsy (43239)
$850
$850
1.0×
Diagnostic colonoscopy (45378)
$1,075
$1,075
1.3×
Colonoscopy with biopsy (45380)
$1,150
$1,150
1.0×
Colonoscopy with lesion removal (45385)
$1,237.50
$1,237.50
1.1×
Laparoscopic gallbladder removal (47562) unusually low: confirm this is the full procedure
$1,750
$1,750
0.3×
Inguinal hernia repair (age 5+) (49505)
$1,500
$1,500
0.5×
Epidural injection, lumbar/sacral (with imaging) (62322)
$520
$520
0.6×
Cataract removal with lens insertion (66984)
$2,760
$2,760
1.3×
CT head/brain without contrast (70450)
$1,731.10
$1,731.10
18.0×
MRI brain without contrast (70551)
$2,510
$2,510
11.4×
MRI brain with contrast (70552)
$2,708
$2,708
8.4×
MRI brain without and with contrast (70553)
$2,824
$2,824
8.8×
X-ray lower spine, 4+ views (72110)
$409
$409
4.3×
MRI lumbar spine without contrast (72148)
$2,510
$2,510
11.4×
CT pelvis with contrast (72193)
$1,945.83
$1,945.83
12.1×
MRI lower-extremity joint without contrast (73721)
$2,510
$2,510
11.4×
CT abdomen and pelvis with contrast (74177)
$3,841.39
$3,841.39
12.0×
Ultrasound, abdomen complete (76700)
$812.25
$812.25
8.4×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$812.25
$812.25
8.4×
Ultrasound, transvaginal (76830)
$812.25
$812.25
8.4×
Mammography, one breast (diagnostic) (77065)
$199.50
$199.50
2.3×
Mammography, both breasts (diagnostic) (77066)
$225.93
$225.93
2.0×
Mammography, screening (bilateral) (77067)
$225.96
$225.96
2.5×
Basic metabolic panel (80048)
$41
$41
4.8×
Comprehensive metabolic panel (80053)
$72
$72
6.8×
Obstetric panel (80055)
$102
$102
2.1×
Lipid panel (80061)
$55
$55
4.1×
Renal function panel (80069)
$232
$232
26.7×
Hepatic function panel (80076)
$147
$147
18.0×
Urinalysis, non-automated, with microscopy (81000)
$45
$45
11.2×
Urinalysis, non-automated, without microscopy (81002)
$23.30
$23.30
6.7×
PSA, total (84153)
$123
$123
6.7×
Thyroid stimulating hormone (TSH) (84443)
$124.50
$124.50
7.4×
CBC with automated differential (85025)
$56.70
$56.70
7.3×
CBC, automated (85027)
$70
$70
10.8×
Prothrombin time (PT) (85610)
$51.70
$51.70
12.1×
Partial thromboplastin time (PTT) (85730)
$86
$86
14.3×
Electrocardiogram (ECG), complete (93000)
$68
$68
1.3×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$70
$70
2.4×
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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