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Posts prices for 36 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-17.
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Procedure Cash price Gross charge × Medicare
Shoulder arthroscopy with decompression (29826)
$58.50
$117
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Knee arthroscopy with meniscectomy (29881)
$58.50
$117
0.0×
Colonoscopy with lesion removal (45385)
$1,215.72
$2,431.44
1.1×
CT head/brain without contrast (70450)
$1,053
$2,106
10.5×
X-ray lower spine, 4+ views (72110)
$316
$632
3.2×
CT pelvis with contrast (72193)
$1,380.50
$2,761
8.2×
CT abdomen and pelvis with contrast (74177)
$2,574
$5,148
7.7×
Ultrasound, abdomen complete (76700)
$544
$1,088
5.4×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$358.50
$717
3.6×
Ultrasound, transvaginal (76830)
$477
$954
4.8×
Mammography, one breast (diagnostic) (77065)
$148.50
$297
1.7×
Mammography, both breasts (diagnostic) (77066)
$292.50
$585
2.6×
Mammography, screening (bilateral) (77067)
$265
$530
2.9×
Basic metabolic panel (80048)
$33.50
$67
4.0×
Comprehensive metabolic panel (80053)
$175
$350
16.6×
Lipid panel (80061)
$95
$190
7.1×
Renal function panel (80069)
$70
$140
8.1×
Hepatic function panel (80076)
$92.50
$185
11.3×
Urinalysis, non-automated, with microscopy (81000)
$10.50
$21
2.6×
Urinalysis, non-automated, without microscopy (81002)
$16
$32
4.6×
PSA, total (84153)
$69
$138
3.8×
Thyroid stimulating hormone (TSH) (84443)
$87.50
$175
5.2×
CBC with automated differential (85025)
$105
$210
13.5×
CBC, automated (85027)
$527.50
$1,055
81.5×
Prothrombin time (PT) (85610)
$56.50
$113
13.2×
Partial thromboplastin time (PTT) (85730)
$50
$100
8.3×
Psychotherapy, 30 minutes (90832)
$60
$120
0.4×
Family psychotherapy, without patient (50 min) (90846)
$193.70
$387.40
1.1×
Family psychotherapy, with patient (50 min) (90847)
$159.50
$319
0.9×
Group psychotherapy (90853)
$61.50
$123
0.6×
Electrocardiogram (ECG), complete (93000)
$158
$316
2.8×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$70
$140
2.4×
Office visit, new patient (low complexity, ~30 min) (99203)
$205
$410
1.6×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$299
$598
2.3×
Office visit, new patient (high complexity, ~60 min) (99205)
$299
$598
2.3×
Preventive visit, new patient (age 18–39) (99385)
$75
$150
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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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