| Procedure | Antelope Valley Hospital | Mission Community Hospital | Medicare |
|---|
| Abdominal ultrasound | $630 | $1,254 | $100 |
| Abdominal ultrasound (complete) | $792 | $1,946 | $114 |
| Abdominal ultrasound (limited) | $630 | $1,254 | $86 |
| Abscess drainage (simple) | $1,175 | $820 | $129 |
| Abscess incision and drainage | $1,192 | $820 | $174 |
| Amylase test | $72 | $140 | $6 |
| Arterial blood gas (ABG) | $160 | $299 | $26 |
| Barium swallow study | $1,187 | $863 | $107 |
| Blood clotting test (PT/INR) | $35 | $112 | $4 |
| Blood glucose test | $41 | $38 | $5 |
| Blood transfusion | $2,800 | $1,637 | $47 |
| BNP (heart failure) test | $235 | $409 | $39 |
| Bone scan (nuclear) | $2,599 | $3,232 | $259 |
| Breast ultrasound | $639 | $655 | $92 |
| Breast ultrasound (complete) | $785 | $231 | $100 |
| Breast ultrasound (limited) | $469 | $655 | $84 |
| Burn dressing and debridement (small) | $1,118 | $1,308 | $93 |
| Burn treatment | $1,118 | $1,308 | $129 |
| Cardiac ablation | $137,151 | $74,320 | $759 |
| Cardiac stress test | $1,788 | $2,219 | $39 |
| Cardioversion | $3,606 | $6,762 | $155 |
| Carotid artery ultrasound | $1,646 | $2,569 | $156 |
| Chemotherapy infusion | $966 | $572 | $81 |
| Chemotherapy infusion (each additional) | $428 | $164 | $28 |
| Chemotherapy infusion (first hour) | $1,503 | $1,101 | $133 |
| Chest X-ray | $420 | $597 | $37 |
| Chest X-ray (1 view) | $420 | $557 | $25 |
| Chest X-ray (2 views) | $420 | $655 | $33 |
| Chickenpox (varicella) vaccine | $674 | $1,363 | — |
| Clotting time test (PTT) | $66 | $171 | $6 |
| Complete blood count (CBC) | $70 | $31 | $7 |
| Comprehensive metabolic panel | $80 | $200 | $11 |
| Coronary CT angiography | $1,482 | $5,004 | $326 |
| CPAP titration study | $653 | $448 | $69 |
| CT angiography of the chest | $1,260 | $6,204 | $281 |
| CT angiography of the head | $1,155 | $6,204 | $274 |
| CT scan of the abdomen | $1,050 | $4,571 | $230 |
| CT scan of the abdomen and pelvis | $2,100 | $8,266 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $2,049 | $7,653 | $338 |
| CT scan of the abdomen and pelvis with contrast | $2,625 | $9,586 | $300 |
| CT scan of the abdomen and pelvis without contrast | $2,100 | $7,710 | $183 |
| CT scan of the abdomen with and without contrast | $1,260 | $5,578 | $259 |
| CT scan of the abdomen with contrast | $1,050 | $4,571 | $230 |
| CT scan of the abdomen without contrast | $840 | $3,824 | $136 |
| CT scan of the arm | $1,050 | $4,206 | $199 |
| CT scan of the arm with contrast | $1,050 | $4,754 | $199 |
| CT scan of the arm without contrast | $840 | $3,706 | $161 |
| CT scan of the chest | $996 | $4,571 | $167 |
| CT scan of the chest with and without contrast | $1,260 | $5,802 | $196 |
| CT scan of the chest with contrast | $1,050 | $4,571 | $167 |
| CT scan of the chest without contrast | $840 | $3,824 | $133 |
| CT scan of the head | $840 | $4,276 | $148 |
| CT scan of the head with and without contrast | $1,260 | $5,732 | $173 |
| CT scan of the head with contrast | $1,050 | $4,273 | $148 |
| CT scan of the head without contrast | $840 | $3,960 | $107 |
| CT scan of the leg | $1,050 | $4,573 | $166 |
| CT scan of the leg with contrast | $1,050 | $4,812 | $166 |
| CT scan of the leg without contrast | $840 | $3,563 | $130 |
| CT scan of the lower back (lumbar spine) | $1,155 | $5,802 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,260 | $6,291 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,997 | $6,034 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $840 | $3,824 | $130 |
| CT scan of the neck | $945 | $4,571 | $183 |
| CT scan of the neck (cervical spine) | $1,050 | $5,781 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $1,260 | $6,291 | $196 |
| CT scan of the neck (cervical spine) with contrast | $1,524 | $6,012 | $168 |
| CT scan of the neck (cervical spine) without contrast | $840 | $4,268 | $131 |
| CT scan of the neck with and without contrast | $1,260 | $5,578 | $220 |
| CT scan of the neck with contrast | $1,050 | $4,571 | $183 |
| CT scan of the neck without contrast | $840 | $3,824 | $150 |
| CT scan of the pelvis | $1,050 | $4,946 | $226 |
| CT scan of the pelvis with and without contrast | $1,260 | $5,345 | $251 |
| CT scan of the pelvis with contrast | $1,050 | $4,946 | $226 |
| CT scan of the pelvis without contrast | $840 | $3,824 | $133 |
| CT scan of the sinuses | $840 | $4,431 | $152 |
| CT scan of the sinuses with and without contrast | $1,260 | $5,331 | $184 |
| CT scan of the sinuses with contrast | $1,050 | $4,585 | $152 |
| CT scan of the sinuses without contrast | $732 | $3,960 | $128 |
| D-dimer test | $90 | $303 | $10 |
| Drug screen (urine) | $192 | $517 | $17 |
| Echocardiogram | $2,000 | $1,435 | $138 |
| Echocardiogram with and without contrast | $2,000 | $1,435 | $101 |
| Echocardiogram without contrast | $1,351 | $1,845 | $138 |
| EEG (awake and asleep) | $1,260 | $1,459 | $482 |
| EKG / ECG (tracing only) | $336 | $408 | $7 |
| Electrocardiogram (EKG) | $336 | $408 | $8 |
| Electroencephalogram (EEG) | $1,260 | $1,459 | $448 |
| Electromyography (EMG) | $568 | $877 | $141 |
| Emergency department visit | $2,077 | $1,499 | $69 |
| Emergency department visit (level 1) | $612 | $292 | $11 |
| Emergency department visit (level 2) | $1,530 | $674 | $40 |
| Emergency department visit (level 3) | $2,040 | $1,499 | $69 |
| Emergency department visit (level 4) | $3,060 | $2,493 | $118 |
| Emergency department visit (level 5) | $5,100 | $4,552 | $171 |
| Fallopian tube X-ray (HSG) | $951 | $1,083 | $164 |
| Fecal occult blood (stool) test | $30 | $113 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $25 | $113 | $4 |
| Folate (folic acid) test | $126 | $59 | $15 |
| Foreign body removal (skin) | $2,198 | $1,429 | $157 |
| Gallbladder scan (HIDA) | $2,247 | $4,245 | $334 |
| Hematocrit test | $26 | $88 | $2 |
| Hemoglobin A1c (diabetes test) | $55 | $45 | $10 |
| Hepatitis A vaccine | $491 | $730 | — |
| Hepatitis B vaccine | $134 | $588 | — |
| Hepatitis C test | $81 | $57 | $14 |
| IV infusion therapy | $1,269 | $388 | $44 |
| IV infusion therapy (each additional) | $1,080 | $189 | $21 |
| IV infusion therapy (initial) | $1,269 | $1,147 | $67 |
| Kidney scan (nuclear) | $2,953 | $3,232 | $172 |
| Kidney ultrasound | $792 | $1,203 | $84 |
| Kidney ultrasound (limited) | $792 | $1,203 | $61 |
| Knee joint injection | $1,849 | $1,035 | $69 |
| Lactate test | $200 | $181 | $12 |
| Leg artery angiogram | $17,597 | $8,358 | $149 |
| Leg vein ultrasound (Doppler) | $792 | $1,746 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $792 | $1,616 | $116 |
| Lung function test (PFT) | $1,404 | $343 | $37 |
| Lung scan (V/Q) | $3,332 | $3,521 | $291 |
| Magnesium blood test | $65 | $105 | $7 |
| MMR vaccine | $584 | $772 | — |
| MRA of the brain | $1,890 | $5,432 | $226 |
| MRA of the brain with contrast | $1,997 | $4,234 | $226 |
| MRA of the brain without contrast | $1,890 | $5,850 | $328 |
| MRA of the neck | $1,890 | $5,977 | $245 |
| MRA of the neck with contrast | $1,944 | $5,977 | $245 |
| MRA of the neck without contrast | $1,944 | $7,542 | $343 |
| MRI of the abdomen | $1,463 | $7,337 | $300 |
| MRI of the abdomen without contrast | $1,260 | $6,221 | $194 |
| MRI of the ankle | $1,621 | $5,763 | $261 |
| MRI of the ankle with contrast | $2,996 | $3,131 | $261 |
| MRI of the ankle without contrast | $1,351 | $5,763 | $222 |
| MRI of the brain | $1,575 | $6,239 | $269 |
| MRI of the brain with contrast | $1,890 | $6,239 | $269 |
| MRI of the brain without contrast | $1,260 | $5,781 | $195 |
| MRI of the chest | $1,674 | $5,631 | $371 |
| MRI of the chest without contrast | $1,997 | $7,224 | $466 |
| MRI of the knee | $1,351 | $6,283 | $315 |
| MRI of the knee with contrast | $4,417 | $6,283 | $315 |
| MRI of the knee without contrast | $1,260 | $5,848 | $204 |
| MRI of the lower back (lumbar spine) | $1,890 | $6,283 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $1,997 | $6,283 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,260 | $5,913 | $192 |
| MRI of the mid-back (thoracic spine) | $1,890 | $6,098 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $1,890 | $8,066 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $1,997 | $6,050 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $1,260 | $5,913 | $190 |
| MRI of the neck (cervical spine) | $1,890 | $6,283 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $1,890 | $7,106 | $318 |
| MRI of the neck (cervical spine) with contrast | $1,997 | $6,283 | $274 |
| MRI of the neck (cervical spine) without contrast | $1,260 | $5,913 | $191 |
| MRI of the pelvis | $1,890 | $5,364 | $268 |
| MRI of the pelvis with contrast | $1,997 | $2,913 | $268 |
| MRI of the pelvis without contrast | $1,621 | $5,364 | $227 |
| MRI of the shoulder | $1,890 | $5,980 | $313 |
| MRI of the shoulder with contrast | $4,417 | $5,980 | $313 |
| MRI of the shoulder without contrast | $1,890 | $5,497 | $205 |
| MRI of the wrist | $1,621 | $5,739 | $330 |
| MRI of the wrist without contrast | $1,260 | $4,520 | $303 |
| Nebulizer breathing treatment | $653 | $624 | $9 |
| Nerve conduction study | $1,309 | $1,492 | $118 |
| Nuclear cardiac stress test | $7,298 | $8,583 | $428 |
| Occupational therapy evaluation | $504 | $298 | $101 |
| Occupational therapy evaluation (high complexity) | $623 | $298 | $101 |
| Occupational therapy evaluation (low complexity) | $420 | $298 | $101 |
| Occupational therapy evaluation (moderate complexity) | $504 | $298 | $101 |
| Office visit (established patient) | $461 | $523 | $115 |
| Office visit (new patient) | $945 | $523 | $177 |
| Office visit, established patient (level 3) | $457 | $436 | $95 |
| Office visit, established patient (level 4) | $538 | $523 | $136 |
| Office visit, new patient (level 3) | $522 | $436 | $118 |
| Office visit, new patient (level 4) | $880 | $523 | $177 |
| Office visit, new patient (level 5) | $1,223 | $611 | $237 |
| Pelvic ultrasound | $666 | $742 | $78 |
| Pelvic ultrasound (complete) | $792 | $1,552 | $105 |
| Pelvic ultrasound (limited) | $666 | $742 | $51 |
| Phosphorus blood test | $40 | $113 | $5 |
| Physical therapy evaluation | $450 | $298 | $98 |
| Physical therapy evaluation (high complexity) | $522 | $298 | $98 |
| Physical therapy evaluation (moderate complexity) | $450 | $298 | $98 |
| Pneumonia vaccine | $716 | $1,062 | — |
| Pregnancy ultrasound | $623 | $998 | $126 |
| Pregnancy ultrasound (first trimester) | $595 | $636 | $117 |
| Pregnancy ultrasound (second or third trimester) | $623 | $1,389 | $136 |
| Scoliosis spine X-ray | $551 | $808 | $58 |
| Scoliosis spine X-ray (1 view) | $492 | $863 | $44 |
| Scoliosis spine X-ray (3 views) | $609 | $752 | $72 |
| Scrotal ultrasound | $792 | $1,254 | $99 |
| Skin biopsy | $1,382 | $789 | $121 |
| Skin biopsy (punch) | $1,580 | $789 | $121 |
| Sleep study (polysomnography) | $4,700 | $4,956 | $691 |
| Soft tissue ultrasound | $754 | $285 | $64 |
| Speech therapy | $448 | $300 | $76 |
| Spirometry with bronchodilator | $1,404 | $329 | $43 |
| Stress echocardiogram | $2,840 | $4,708 | $209 |
| Swallow study | $630 | $830 | $85 |
| Tdap (tetanus) vaccine | $295 | $413 | — |
| Thyroid ultrasound | $632 | $1,244 | $109 |
| Thyroid uptake scan | $2,247 | $1,599 | $145 |
| Transesophageal echocardiogram (TEE) | $3,990 | $4,893 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $3,990 | $4,893 | $239 |
| Transvaginal ultrasound | $792 | $1,210 | $118 |
| Troponin (heart) test | $200 | $252 | $12 |
| Upper GI series (barium) | $848 | $1,182 | $128 |
| Urinalysis | $35 | $76 | $3 |
| Urine pregnancy test | $61 | $216 | $9 |
| Vaccine administration | $230 | $160 | $19 |
| Vaccine administration (each additional) | $134 | $160 | $16 |
| Wound debridement | $3,208 | $1,244 | $186 |
| X-ray of the abdomen | $564 | $454 | $36 |
| X-ray of the ankle | $473 | $530 | $37 |
| X-ray of the collarbone | $376 | $435 | $33 |
| X-ray of the elbow | $376 | $595 | $33 |
| X-ray of the facial bones | $492 | $951 | $39 |
| X-ray of the foot | $473 | $530 | $34 |
| X-ray of the forearm | $376 | $435 | $29 |
| X-ray of the hand | $564 | $530 | $38 |
| X-ray of the hip | $564 | $1,110 | $49 |
| X-ray of the hip (1 view) | $518 | $1,110 | $34 |
| X-ray of the hip (3 views) | $564 | $1,110 | $49 |
| X-ray of the knee | $525 | $583 | $42 |
| X-ray of the knee (2 views) | $473 | $477 | $34 |
| X-ray of the knee (3 views) | $525 | $583 | $42 |
| X-ray of the knee (4+ views) | $792 | $698 | $49 |
| X-ray of the lower back (lumbar spine) | $630 | $660 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $630 | $479 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $595 | $842 | $53 |
| X-ray of the lower leg | $473 | $416 | $31 |
| X-ray of the mid-back (thoracic spine) | $623 | $479 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $623 | $479 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $792 | $833 | $39 |
| X-ray of the neck (cervical spine) | $564 | $983 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $564 | $983 | $40 |
| X-ray of the pelvis | $641 | $652 | $36 |
| X-ray of the pelvis (1 view) | $641 | $652 | $28 |
| X-ray of the ribs | $564 | $821 | $42 |
| X-ray of the ribs (2 views) | $564 | $631 | $36 |
| X-ray of the shoulder | $564 | $511 | $36 |
| X-ray of the skull | $623 | $712 | $40 |
| X-ray of the upper arm | $564 | $416 | $32 |
| X-ray of the wrist | $530 | $634 | $43 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.