Welia Health
Mora, MN · Critical Access Hospital
Posts prices for 29 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-01.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Transforaminal epidural injection, lumbar/sacral (64483) | $852.60 | $1,218 | 0.9× |
| CT head/brain without contrast (70450) | $1,526.70 | $2,181 | 14.1× |
| MRI brain without contrast (70551) | $2,791.60 | $3,988 | 11.3× |
| MRI brain with contrast (70552) | $2,864.40 | $4,092 | 8.0× |
| MRI brain without and with contrast (70553) | $3,103.80 | $4,434 | 8.6× |
| X-ray lower spine, 4+ views (72110) | $340.20 | $486 | 3.2× |
| MRI lumbar spine without contrast (72148) | $2,791.60 | $3,988 | 11.3× |
| CT pelvis with contrast (72193) | $1,778.70 | $2,541 | 9.8× |
| MRI lower-extremity joint without contrast (73721) | $2,791.60 | $3,988 | 11.3× |
| CT abdomen and pelvis with contrast (74177) | $2,500.40 | $3,572 | 6.9× |
| Ultrasound, abdomen complete (76700) | $1,014.30 | $1,449 | 9.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $742.70 | $1,061 | 6.9× |
| Ultrasound, transvaginal (76830) | $443.10 | $633 | 4.1× |
| Mammography, one breast (diagnostic) (77065) | $390.60 | $558 | 4.5× |
| Mammography, both breasts (diagnostic) (77066) | $504.70 | $721 | 4.6× |
| Mammography, screening (bilateral) (77067) | $490 | $700 | 5.4× |
| Basic metabolic panel (80048) | $236.60 | $338 | 28.0× |
| Comprehensive metabolic panel (80053) | $423.50 | $605 | 40.1× |
| Lipid panel (80061) | $93.10 | $133 | 7.0× |
| Renal function panel (80069) | $434.70 | $621 | 50.1× |
| Hepatic function panel (80076) | $81.20 | $116 | 9.9× |
| PSA, total (84153) | $83.30 | $119 | 4.5× |
| Thyroid stimulating hormone (TSH) (84443) | $79.10 | $113 | 4.7× |
| CBC with automated differential (85025) | $78.40 | $112 | 10.1× |
| CBC, automated (85027) | $39.20 | $56 | 6.1× |
| Prothrombin time (PT) (85610) | $33.60 | $48 | 7.8× |
| Partial thromboplastin time (PTT) (85730) | $47.60 | $68 | 7.9× |
| Sleep study (attended polysomnography) (95810) | $3,744.30 | $5,349 | 4.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $126 | $180 | 4.3× |
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.
More prices at this hospital
- Imaging: 223 codes with posted prices and Medicare benchmarks
- Lab & pathology: 477 codes with posted prices and Medicare benchmarks
- Visits & medical services: 134 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 73 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 27 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 572.0 KB) ↓ — captured 2026-09-01
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.