| Procedure | Amery Hospital & Clinic | Lakeview Memorial Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $208 | $41 | $51 |
| Abdominal fluid drain (paracentesis) | $277 | $520 | $284 |
| Abdominal ultrasound | $462 | $357 | $100 |
| Abdominal ultrasound (complete) | $462 | $403 | $114 |
| Abdominal ultrasound (limited) | $462 | $312 | $86 |
| Abscess drainage (complex or multiple) | $148 | $364 | $220 |
| Abscess drainage (simple) | $102 | $255 | $129 |
| Abscess incision and drainage | $125 | $309 | $174 |
| Albumin blood test | $21 | $60 | $5 |
| Aldosterone test | $89 | $28 | $41 |
| Alkaline phosphatase test | $15 | $57 | $5 |
| Alpha-fetoprotein (AFP) test | $25 | $68 | $17 |
| ALT liver enzyme test | $33 | $60 | $5 |
| Ammonia blood test | $50 | $105 | $15 |
| Amylase test | $34 | $64 | $6 |
| Anoscopy | $107 | $186 | $129 |
| Antinuclear antibody (ANA) test | $63 | $82 | $12 |
| Arterial blood gas (ABG) | $92 | $199 | $26 |
| AST liver enzyme test | $33 | $60 | $5 |
| Barium swallow study | $334 | $284 | $107 |
| Bartholin cyst removal | $188 | $435 | $182 |
| Basic metabolic panel | $56 | $77 | $8 |
| Bilirubin blood test | $19 | $60 | $5 |
| Blood clotting test (PT/INR) | $16 | $46 | $4 |
| Blood crossmatch | $54 | $128 | — |
| Blood glucose test | $21 | $50 | $5 |
| Blood transfusion | $239 | $380 | $47 |
| Blood type and screen | $51 | $128 | $10 |
| Blood type test | $27 | $88 | $3 |
| Blood type test (ABO group) | $20 | $47 | $3 |
| Blood type test (Rh/D antigen) | $51 | $128 | $3 |
| BNP (heart failure) test | $94 | $162 | $39 |
| Bone density scan (DEXA) | $479 | $313 | $39 |
| Bone scan (nuclear) | $1,032 | $750 | $259 |
| Breast biopsy | $940 | $973 | $478 |
| Breast ultrasound | $364 | $284 | $92 |
| Breast ultrasound (limited) | $364 | $273 | $84 |
| Breathing tube insertion (intubation) | $248 | $278 | $133 |
| Bronchoscopy | $717 | $1,338 | $303 |
| Burn dressing and debridement (medium) | $50 | $184 | $166 |
| Burn dressing and debridement (small) | $75 | $125 | $93 |
| Burn treatment | $62 | $154 | $129 |
| C-reactive protein (CRP) | $42 | $72 | $5 |
| CA 19-9 tumor marker test | $50 | $54 | $21 |
| CA-125 ovarian marker test | $34 | $97 | $21 |
| Calcium blood test | $28 | $56 | $5 |
| Cardiac rehabilitation | $228 | $150 | $26 |
| Cardiac stress test | $300 | $164 | $39 |
| Cardioversion | $183 | $258 | $155 |
| Carotid artery ultrasound | $570 | $580 | $156 |
| CEA tumor marker test | $23 | $100 | $19 |
| Celiac disease test | $47 | $20 | $12 |
| Central line placement | $2,060 | $1,574 | $238 |
| Cesarean section (C-section) | $23,119 | $7,868 | $7,552 |
| Chemotherapy infusion | $324 | $115 | $81 |
| Chemotherapy infusion (each additional) | $120 | $35 | $28 |
| Chemotherapy infusion (first hour) | $527 | $196 | $133 |
| Chest fluid drain (thoracentesis) | $613 | $487 | $311 |
| Chest tube insertion | $140 | $659 | $143 |
| Chest X-ray | $142 | $197 | $37 |
| Chest X-ray (1 view) | $104 | $178 | $25 |
| Chest X-ray (2 views) | $142 | $191 | $33 |
| Clotting time test (PTT) | $39 | $67 | $6 |
| Colonoscopy | $1,951 | $1,452 | $480 |
| Complete blood count (CBC) | $35 | $107 | $7 |
| Complete blood count (CBC) (complete) | $39 | $118 | $8 |
| Complex wound repair | $625 | $355 | $390 |
| Comprehensive metabolic panel | $106 | $93 | $11 |
| Copper blood test | $27 | $35 | $12 |
| Cortisol test | $45 | $106 | $16 |
| COVID-19 PCR test | $73 | $49 | $51 |
| CPAP titration study | $129 | $493 | $69 |
| Creatine kinase (CK) test | $38 | $67 | $7 |
| CT angiography of the chest | $1,524 | $1,051 | $281 |
| CT angiography of the head | $1,541 | $1,298 | $274 |
| CT colonography (virtual colonoscopy) | $1,690 | $558 | $835 |
| CT scan of the abdomen | $1,343 | $982 | $230 |
| CT scan of the abdomen and pelvis | $1,731 | $982 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $2,017 | $1,282 | $338 |
| CT scan of the abdomen and pelvis with contrast | $1,731 | $982 | $300 |
| CT scan of the abdomen and pelvis without contrast | $1,524 | $550 | $183 |
| CT scan of the abdomen with and without contrast | $1,560 | $1,199 | $259 |
| CT scan of the abdomen with contrast | $1,343 | $982 | $230 |
| CT scan of the abdomen without contrast | $1,104 | $704 | $136 |
| CT scan of the arm | $951 | $893 | $199 |
| CT scan of the arm with contrast | $913 | $893 | $199 |
| CT scan of the arm without contrast | $951 | $721 | $161 |
| CT scan of the chest | $1,313 | $929 | $167 |
| CT scan of the chest with and without contrast | $1,598 | $1,051 | $196 |
| CT scan of the chest with contrast | $1,313 | $929 | $167 |
| CT scan of the chest without contrast | $1,027 | $749 | $133 |
| CT scan of the head | $1,160 | $749 | $148 |
| CT scan of the head with and without contrast | $1,445 | $923 | $173 |
| CT scan of the head with contrast | $1,160 | $749 | $148 |
| CT scan of the head without contrast | $875 | $578 | $107 |
| CT scan of the leg | $1,065 | $900 | $166 |
| CT scan of the leg with contrast | $1,065 | $900 | $166 |
| CT scan of the leg without contrast | $951 | $723 | $130 |
| CT scan of the lower back (lumbar spine) | $1,388 | $929 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,674 | $1,173 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,388 | $929 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,104 | $749 | $130 |
| CT scan of the neck | $1,236 | $891 | $183 |
| CT scan of the neck (cervical spine) | $1,388 | $931 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $1,674 | $1,172 | $196 |
| CT scan of the neck (cervical spine) with contrast | $1,388 | $931 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,104 | $752 | $131 |
| CT scan of the neck with and without contrast | $1,524 | $1,121 | $220 |
| CT scan of the neck with contrast | $1,236 | $891 | $183 |
| CT scan of the neck without contrast | $951 | $716 | $150 |
| CT scan of the pelvis | $1,236 | $838 | $226 |
| CT scan of the pelvis with and without contrast | $1,524 | $1,032 | $251 |
| CT scan of the pelvis with contrast | $1,236 | $838 | $226 |
| CT scan of the pelvis without contrast | $951 | $710 | $133 |
| CT scan of the sinuses | $1,217 | $925 | $152 |
| CT scan of the sinuses with and without contrast | $1,503 | $1,157 | $184 |
| CT scan of the sinuses with contrast | $1,217 | $925 | $152 |
| CT scan of the sinuses without contrast | $933 | $755 | $128 |
| D-dimer test | $108 | $101 | $10 |
| DHEA-sulfate test | $28 | $195 | $22 |
| Diagnostic mammogram | $242 | $248 | $140 |
| Drug screen (urine) | $84 | $52 | $17 |
| Echocardiogram | $560 | $761 | $138 |
| Echocardiogram with and without contrast | $230 | $323 | $101 |
| EKG / ECG (tracing only) | $26 | $145 | $7 |
| Electrocardiogram (EKG) | $26 | $79 | $8 |
| Electrolyte panel | $60 | $63 | $7 |
| Emergency department visit | $286 | $369 | $69 |
| Emergency department visit (level 1) | $91 | $127 | $11 |
| Emergency department visit (level 2) | $186 | $242 | $40 |
| Emergency department visit (level 3) | $286 | $369 | $69 |
| Emergency department visit (level 4) | $590 | $636 | $118 |
| Emergency department visit (level 5) | $379 | $859 | $171 |
| Epidural steroid injection | $399 | $396 | $275 |
| Estradiol (estrogen) test | $119 | $177 | $28 |
| Facet joint injection (spine) | $731 | $657 | $99 |
| Fallopian tube X-ray (HSG) | $331 | $369 | $164 |
| Feeding tube (PEG) placement | $440 | $1,757 | $178 |
| Ferritin (iron) test | $69 | $88 | $14 |
| Fibrinogen test | $50 | $71 | $10 |
| Flexible sigmoidoscopy | $1,494 | $1,112 | $323 |
| Flu test | $62 | $33 | $17 |
| Folate (folic acid) test | $18 | $77 | $15 |
| Foreign body removal (skin) | $72 | $234 | $157 |
| Free T4 thyroid test | $115 | $79 | $9 |
| FSH hormone test | $19 | $80 | $19 |
| Gallbladder scan (HIDA) | $1,151 | $1,197 | $334 |
| GGT liver test | $42 | $52 | $7 |
| Glucose tolerance test | $30 | $49 | $8 |
| H. pylori test | $166 | $136 | $67 |
| HDL cholesterol test | $10 | $27 | $8 |
| Hematocrit test | $32 | $34 | $2 |
| Hemoglobin A1c (diabetes test) | $18 | $54 | $10 |
| Hepatitis B test | $74 | $59 | $10 |
| Hepatitis C test | $36 | $75 | $14 |
| HIV test | $58 | $37 | $19 |
| HIV test (antigen/antibody combo) | $58 | $37 | $24 |
| Holter heart monitor | $161 | $172 | $26 |
| Iron blood test | $26 | $51 | $6 |
| IUD removal | $45 | $248 | $112 |
| IV infusion therapy | $92 | $145 | $44 |
| IV infusion therapy (each additional) | $84 | $58 | $21 |
| IV infusion therapy (initial) | $100 | $232 | $67 |
| Kidney biopsy | $1,239 | $683 | $492 |
| Kidney scan (nuclear) | $834 | $452 | $172 |
| Kidney ultrasound | $436 | $365 | $84 |
| Kidney ultrasound (limited) | $386 | $339 | $61 |
| Lactate test | $85 | $87 | $12 |
| Laryngoscopy | $312 | $491 | $189 |
| LDH test | $36 | $75 | $6 |
| LDL cholesterol test | $49 | $51 | $11 |
| Leg vein ultrasound (Doppler) | $728 | $554 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $527 | $440 | $116 |
| LH hormone test | $19 | $75 | $19 |
| Lipase test | $47 | $67 | $7 |
| Lipid (cholesterol) panel | $38 | $132 | $13 |
| Liver biopsy | $1,037 | $737 | $288 |
| Liver function panel | $58 | $94 | $8 |
| Lung function test (PFT) | $154 | $140 | $37 |
| Lung scan (V/Q) | $1,280 | $926 | $291 |
| Magnesium blood test | $36 | $64 | $7 |
| MRA of the brain | $2,285 | $1,637 | $226 |
| MRA of the brain with contrast | $2,285 | $1,626 | $226 |
| MRA of the brain without contrast | $2,514 | $2,601 | $328 |
| MRA of the neck | $2,295 | $1,712 | $245 |
| MRA of the neck with contrast | $2,295 | $1,712 | $245 |
| MRA of the neck without contrast | $2,849 | $2,601 | $343 |
| MRI of the abdomen | $2,285 | $1,711 | $300 |
| MRI of the abdomen with contrast | $2,285 | $1,711 | $300 |
| MRI of the abdomen without contrast | $1,979 | $1,194 | $194 |
| MRI of the ankle | $1,860 | $1,342 | $261 |
| MRI of the ankle with contrast | $1,860 | $1,484 | $261 |
| MRI of the ankle without contrast | $1,623 | $1,342 | $222 |
| MRI of the brain | $2,462 | $1,492 | $269 |
| MRI of the brain with contrast | $2,462 | $1,492 | $269 |
| MRI of the brain without contrast | $2,118 | $1,353 | $195 |
| MRI of the chest | $2,491 | $1,884 | $371 |
| MRI of the chest without contrast | $2,925 | $2,268 | $466 |
| MRI of the knee | $1,860 | $1,405 | $315 |
| MRI of the knee with contrast | $1,860 | $1,405 | $315 |
| MRI of the knee without contrast | $1,623 | $1,311 | $204 |
| MRI of the lower back (lumbar spine) | $2,295 | $1,487 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $2,295 | $1,487 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $2,057 | $1,219 | $192 |
| MRI of the mid-back (thoracic spine) | $2,295 | $1,325 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $2,849 | $1,765 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $2,295 | $1,325 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $2,057 | $1,220 | $190 |
| MRI of the neck (cervical spine) | $2,057 | $1,491 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $2,057 | $1,890 | $318 |
| MRI of the neck (cervical spine) with contrast | $2,295 | $1,491 | $274 |
| MRI of the neck (cervical spine) without contrast | $2,057 | $1,191 | $191 |
| MRI of the pelvis | $2,295 | $1,669 | $268 |
| MRI of the pelvis without contrast | $2,057 | $1,350 | $227 |
| MRI of the shoulder | $1,860 | $1,390 | $313 |
| MRI of the shoulder with contrast | $1,860 | $1,390 | $313 |
| MRI of the shoulder without contrast | $1,623 | $1,284 | $205 |
| MRI of the wrist | $1,851 | $1,481 | $330 |
| MRI of the wrist with contrast | $1,851 | $1,481 | $330 |
| MRI of the wrist without contrast | $1,623 | $1,369 | $303 |
| Nebulizer breathing treatment | $163 | $118 | $9 |
| Newborn hospital care | $78 | $119 | $58 |
| Nuclear cardiac stress test | $1,901 | $1,590 | $428 |
| Occupational therapy evaluation | $124 | $155 | $101 |
| Occupational therapy evaluation (high complexity) | $142 | $155 | $101 |
| Occupational therapy evaluation (low complexity) | $107 | $155 | $101 |
| Occupational therapy evaluation (moderate complexity) | $124 | $155 | $101 |
| Office visit (established patient) | $26 | $64 | $115 |
| Office visit (new patient) | $39 | $79 | $177 |
| Office visit, established patient (level 3) | $23 | $52 | $95 |
| Office visit, established patient (level 4) | $30 | $76 | $136 |
| Office visit, new patient (level 3) | $37 | $57 | $118 |
| Office visit, new patient (level 4) | $39 | $79 | $177 |
| Office visit, new patient (level 5) | $42 | $104 | $237 |
| Parathyroid hormone (PTH) test | $39 | $135 | $41 |
| Pelvic ultrasound | $307 | $309 | $78 |
| Pelvic ultrasound (complete) | $432 | $362 | $105 |
| Pelvic ultrasound (limited) | $182 | $255 | $51 |
| PET scan | $3,500 | $3,137 | — |
| Phosphorus blood test | $23 | $60 | $5 |
| Physical therapy evaluation | $107 | $155 | $98 |
| Physical therapy evaluation (high complexity) | $124 | $155 | $98 |
| Physical therapy evaluation (moderate complexity) | $107 | $155 | $98 |
| Pilonidal cyst removal | $853 | $2,408 | $541 |
| Platelet count | $20 | $34 | $4 |
| Pregnancy blood test (hCG) | $23 | $90 | $8 |
| Pregnancy ultrasound | $484 | $368 | $126 |
| Pregnancy ultrasound (first trimester) | $452 | $333 | $117 |
| Pregnancy ultrasound (second or third trimester) | $516 | $403 | $136 |
| Procalcitonin test | $51 | $188 | $27 |
| Prolactin test | $18 | $104 | $19 |
| Prostate test (PSA) | $25 | $84 | $18 |
| Pulmonary rehabilitation | $165 | $137 | $87 |
| RSV vaccine | $257 | $186 | — |
| Scoliosis spine X-ray | $129 | $84 | $58 |
| Scoliosis spine X-ray (1 view) | $147 | $84 | $44 |
| Screening colonoscopy | $1,862 | $1,387 | $378 |
| Screening mammogram | $244 | $276 | $126 |
| Scrotal ultrasound | $430 | $367 | $99 |
| Sedimentation rate (ESR) test | $23 | $61 | $3 |
| Semen analysis | $50 | $41 | $12 |
| Sex hormone binding globulin test | $27 | $190 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $102 | $169 | $114 |
| Simple wound stitches | $113 | $180 | $127 |
| Skin biopsy | $94 | $240 | $121 |
| Skin biopsy (punch) | $94 | $240 | $121 |
| Skin tag removal | $80 | $237 | $92 |
| Sleep study (polysomnography) | $2,854 | $1,884 | $691 |
| Soft tissue ultrasound | $114 | $71 | $64 |
| Speech therapy | $196 | $146 | $76 |
| Spinal tap (lumbar puncture) | $434 | $343 | $165 |
| Spirometry (lung function test) | $101 | $121 | $30 |
| Spirometry with bronchodilator | $207 | $160 | $43 |
| Strep throat test | $39 | $107 | $17 |
| Stress echocardiogram | $525 | $572 | $209 |
| Stress echocardiogram (complete) | $313 | $623 | $233 |
| Swallow study | $197 | $231 | $85 |
| T3 thyroid test | $47 | $38 | $14 |
| Tdap (tetanus) vaccine | $36 | $22 | — |
| Testosterone test | $24 | $83 | $26 |
| Thyroid test (TSH) | $52 | $105 | $17 |
| Thyroid ultrasound | $410 | $356 | $109 |
| Thyroid uptake scan | $639 | $275 | $145 |
| Total IgE allergy test | $47 | $145 | $16 |
| Total protein test | $13 | $42 | $4 |
| Transvaginal ultrasound | $434 | $362 | $118 |
| Triglycerides test | $39 | $51 | $6 |
| Troponin (heart) test | $59 | $100 | $12 |
| Upper GI endoscopy (EGD) | $1,669 | $1,387 | $371 |
| Upper GI series (barium) | $417 | $341 | $128 |
| Uric acid (gout) test | $22 | $61 | $5 |
| Urinalysis | $19 | $53 | $3 |
| Urine microalbumin test | $36 | $55 | $5 |
| Urine pregnancy test | $10 | $60 | $9 |
| Vaccine administration | $31 | $22 | $19 |
| Vaccine administration (each additional) | $21 | $15 | $16 |
| Vaginal delivery | $10,618 | $6,259 | $5,487 |
| Vitamin B12 test | $10 | $125 | $15 |
| Vitamin D test | $26 | $114 | $30 |
| Wound debridement | $201 | $222 | $186 |
| X-ray of the abdomen | $173 | $178 | $36 |
| X-ray of the ankle | $156 | $202 | $37 |
| X-ray of the collarbone | $132 | $174 | $33 |
| X-ray of the elbow | $165 | $229 | $33 |
| X-ray of the facial bones | $162 | $248 | $39 |
| X-ray of the foot | $149 | $198 | $34 |
| X-ray of the forearm | $126 | $171 | $29 |
| X-ray of the hand | $151 | $202 | $38 |
| X-ray of the hip | $144 | $89 | $49 |
| X-ray of the hip (1 view) | $112 | $89 | $34 |
| X-ray of the hip (3 views) | $176 | $125 | $49 |
| X-ray of the knee | $170 | $223 | $42 |
| X-ray of the knee (2 views) | $127 | $178 | $34 |
| X-ray of the knee (3 views) | $170 | $223 | $42 |
| X-ray of the knee (4+ views) | $197 | $257 | $49 |
| X-ray of the lower back (lumbar spine) | $221 | $298 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $188 | $282 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $255 | $315 | $53 |
| X-ray of the lower leg | $124 | $164 | $31 |
| X-ray of the mid-back (thoracic spine) | $161 | $249 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $148 | $228 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $174 | $270 | $39 |
| X-ray of the neck (cervical spine) | $218 | $315 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $174 | $263 | $40 |
| X-ray of the pelvis | $131 | $235 | $36 |
| X-ray of the pelvis (1 view) | $126 | $177 | $28 |
| X-ray of the ribs | $170 | $293 | $42 |
| X-ray of the ribs (2 views) | $141 | $242 | $36 |
| X-ray of the ribs (3 views) | $170 | $293 | $42 |
| X-ray of the shoulder | $134 | $178 | $36 |
| X-ray of the skull | $231 | $228 | $40 |
| X-ray of the upper arm | $134 | $178 | $32 |
| X-ray of the wrist | $167 | $233 | $43 |
| Zinc blood test | $23 | $35 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
