| Procedure | Ascension St Vincent Clay | Eskenazi Health | Medicare |
|---|
| Abdominal ultrasound | $886 | $875 | $100 |
| Abdominal ultrasound (complete) | $897 | $1,063 | $114 |
| Abdominal ultrasound (limited) | $876 | $687 | $86 |
| Alkaline phosphatase test | $8 | $36 | $5 |
| Alpha-fetoprotein (AFP) test | $27 | $473 | $17 |
| ALT liver enzyme test | $10 | $323 | $5 |
| Ammonia blood test | $75 | $110 | $15 |
| Antinuclear antibody (ANA) test | $116 | $105 | $12 |
| AST liver enzyme test | $10 | $372 | $5 |
| Barium swallow study | $318 | $576 | $107 |
| Basic metabolic panel | $72 | $259 | $8 |
| Bilirubin blood test | $50 | $36 | $5 |
| Blood clotting test (PT/INR) | $21 | $48 | $4 |
| Blood transfusion | $310 | $3,682 | $47 |
| BNP (heart failure) test | $48 | $241 | $39 |
| Bone density scan (DEXA) | $250 | $793 | $39 |
| Bone scan (nuclear) | $1,666 | $4,085 | $259 |
| Breast MRI | $618 | $3,619 | $216 |
| Breathing tube insertion (intubation) | $561 | $1,304 | $133 |
| C-reactive protein (CRP) | $39 | $388 | $5 |
| CA 19-9 tumor marker test | $52 | $152 | $21 |
| CA-125 ovarian marker test | $40 | $245 | $21 |
| Calcium blood test | $8 | $32 | $5 |
| Cardiac MRI | $575 | $2,872 | $322 |
| Cardiac stress test | $1,383 | $4,903 | $39 |
| Cardioversion | $1,115 | $5,111 | $155 |
| Carotid artery ultrasound | $931 | $2,004 | $156 |
| CEA tumor marker test | $42 | $647 | $19 |
| Chest X-ray | $149 | $425 | $37 |
| Chest X-ray (2 views) | $142 | $425 | $33 |
| Clotting time test (PTT) | $49 | $75 | $6 |
| Complete blood count (CBC) | $49 | $333 | $7 |
| Complete blood count (CBC) (complete) | $51 | $333 | $8 |
| Comprehensive metabolic panel | $122 | $456 | $11 |
| Copper blood test | $24 | $105 | $12 |
| Coronary CT angiography | $647 | $1,960 | $326 |
| Cortisol test | $68 | $150 | $16 |
| COVID-19 PCR test | $20 | $433 | $51 |
| Creatine kinase (CK) test | $54 | $69 | $7 |
| CT angiography of the chest | $647 | $2,592 | $281 |
| CT angiography of the head | $647 | $3,059 | $274 |
| CT scan of the abdomen | $647 | $1,478 | $230 |
| CT scan of the abdomen and pelvis | $693 | $2,487 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $739 | $2,750 | $338 |
| CT scan of the abdomen and pelvis with contrast | $693 | $3,228 | $300 |
| CT scan of the abdomen and pelvis without contrast | $647 | $1,922 | $183 |
| CT scan of the abdomen with and without contrast | $693 | $1,820 | $259 |
| CT scan of the abdomen with contrast | $647 | $1,507 | $230 |
| CT scan of the abdomen without contrast | $601 | $1,079 | $136 |
| CT scan of the arm | $647 | $1,427 | $199 |
| CT scan of the arm without contrast | $601 | $1,427 | $161 |
| CT scan of the chest | $693 | $1,304 | $167 |
| CT scan of the chest with contrast | $693 | $2,720 | $167 |
| CT scan of the chest without contrast | $647 | $1,215 | $133 |
| CT scan of the head | $722 | $1,303 | $148 |
| CT scan of the head with and without contrast | $768 | $1,617 | $173 |
| CT scan of the head with contrast | $722 | $1,303 | $148 |
| CT scan of the head without contrast | $677 | $1,112 | $107 |
| CT scan of the lower back (lumbar spine) | $647 | $1,646 | $169 |
| CT scan of the lower back (lumbar spine) with contrast | $647 | $1,792 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $601 | $1,599 | $130 |
| CT scan of the neck | $647 | $1,356 | $183 |
| CT scan of the neck (cervical spine) | $693 | $1,663 | $168 |
| CT scan of the neck (cervical spine) without contrast | $647 | $1,663 | $131 |
| CT scan of the neck with contrast | $647 | $1,647 | $183 |
| CT scan of the neck without contrast | $601 | $1,228 | $150 |
| CT scan of the pelvis | $670 | $1,174 | $226 |
| CT scan of the pelvis with contrast | $670 | $1,428 | $226 |
| CT scan of the pelvis without contrast | $624 | $1,047 | $133 |
| CT scan of the sinuses | $647 | $1,602 | $152 |
| CT scan of the sinuses with and without contrast | $693 | $2,246 | $184 |
| CT scan of the sinuses with contrast | $647 | $1,602 | $152 |
| CT scan of the sinuses without contrast | $601 | $1,326 | $128 |
| DHEA-sulfate test | $58 | $704 | $22 |
| Drug screen (urine) | $35 | $356 | $17 |
| Echocardiogram | $1,194 | $1,981 | $138 |
| Echocardiogram with and without contrast | $473 | $809 | $101 |
| Echocardiogram without contrast | $1,194 | $3,174 | $138 |
| EEG (awake and asleep) | $560 | $1,886 | $482 |
| EKG / ECG (tracing only) | $109 | $543 | $7 |
| Electrocardiogram (EKG) | $109 | $543 | $8 |
| Electroencephalogram (EEG) | $548 | $1,650 | $448 |
| Emergency department visit | $1,319 | $1,877 | $69 |
| Emergency department visit (level 1) | $212 | $435 | $11 |
| Emergency department visit (level 2) | $491 | $1,159 | $40 |
| Emergency department visit (level 3) | $1,319 | $1,868 | $69 |
| Emergency department visit (level 4) | $1,328 | $4,353 | $118 |
| Emergency department visit (level 5) | $1,395 | $7,438 | $171 |
| Estradiol (estrogen) test | $21 | $551 | $28 |
| Fallopian tube X-ray (HSG) | $592 | $1,799 | $164 |
| Fecal occult blood (stool) test | $28 | $82 | $10 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $40 | $82 | $16 |
| Ferritin (iron) test | $82 | $498 | $14 |
| Fibrinogen test | $38 | $68 | $10 |
| Folate (folic acid) test | $38 | $131 | $15 |
| Free T4 thyroid test | $129 | $131 | $9 |
| FSH hormone test | $56 | $629 | $19 |
| Gallbladder scan (HIDA) | $1,551 | $2,473 | $334 |
| GGT liver test | $51 | $41 | $7 |
| Glucose tolerance test | $45 | $60 | $8 |
| HDL cholesterol test | $46 | $69 | $8 |
| Hematocrit test | $19 | $29 | $2 |
| Hemoglobin A1c (diabetes test) | $11 | $105 | $10 |
| Hepatitis B test | $32 | $69 | $10 |
| Hepatitis C test | $47 | $104 | $14 |
| HIV test | $46 | $148 | $19 |
| HIV test (antigen/antibody combo) | $41 | $148 | $24 |
| Holter heart monitor | $258 | $849 | $26 |
| Iron blood test | $43 | $67 | $6 |
| IV infusion therapy (initial) | $755 | $2,898 | $67 |
| Kidney ultrasound | $505 | $738 | $84 |
| Kidney ultrasound (limited) | $445 | $735 | $61 |
| LDL cholesterol test | $21 | $72 | $11 |
| Leg vein ultrasound (Doppler) | $890 | $2,102 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $691 | $1,798 | $116 |
| LH hormone test | $49 | $127 | $19 |
| Lipid (cholesterol) panel | $157 | $472 | $13 |
| Liver function panel | $50 | $77 | $8 |
| Lung function test (PFT) | $370 | $2,043 | $37 |
| Lung scan (V/Q) | $1,551 | $3,632 | $291 |
| MRA of the brain | $606 | $2,032 | $226 |
| MRA of the brain without contrast | $638 | $2,703 | $328 |
| MRA of the neck | $590 | $1,755 | $245 |
| MRI of the abdomen | $590 | $2,513 | $300 |
| MRI of the abdomen without contrast | $558 | $2,046 | $194 |
| MRI of the ankle | $654 | $1,862 | $261 |
| MRI of the ankle without contrast | $590 | $1,862 | $222 |
| MRI of the brain | $622 | $2,236 | $269 |
| MRI of the brain without contrast | $1,127 | $1,887 | $195 |
| MRI of the chest | $622 | $1,261 | $371 |
| MRI of the knee | $622 | $3,009 | $315 |
| MRI of the lower back (lumbar spine) | $654 | $2,221 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,136 | $1,981 | $192 |
| MRI of the mid-back (thoracic spine) | $590 | $2,462 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $622 | $4,901 | $319 |
| MRI of the mid-back (thoracic spine) without contrast | $558 | $1,981 | $190 |
| MRI of the neck (cervical spine) | $574 | $1,981 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $606 | $2,462 | $318 |
| MRI of the neck (cervical spine) without contrast | $558 | $1,981 | $191 |
| MRI of the pelvis | $590 | $2,448 | $268 |
| MRI of the pelvis without contrast | $526 | $2,066 | $227 |
| MRI of the shoulder | $654 | $2,057 | $313 |
| MRI of the shoulder without contrast | $1,136 | $2,057 | $205 |
| MRI of the wrist | $622 | $2,793 | $330 |
| Nerve conduction study | $1,259 | $1,162 | $118 |
| Nuclear cardiac stress test | $1,608 | $8,102 | $428 |
| Office visit (established patient) | $154 | $348 | $115 |
| Office visit (new patient) | $186 | $443 | $177 |
| Office visit, established patient (level 3) | $154 | $250 | $95 |
| Office visit, established patient (level 4) | $126 | $446 | $136 |
| Office visit, new patient (level 3) | $136 | $443 | $118 |
| Pap smear (cervical screening) | $24 | $492 | $20 |
| Parathyroid hormone (PTH) test | $105 | $268 | $41 |
| Pelvic ultrasound | $596 | $620 | $78 |
| Pelvic ultrasound (complete) | $763 | $620 | $105 |
| Pelvic ultrasound (limited) | $430 | $949 | $51 |
| Physical therapy evaluation | $101 | $430 | $98 |
| Physical therapy evaluation (high complexity) | $101 | $835 | $98 |
| Physical therapy evaluation (moderate complexity) | $101 | $467 | $98 |
| Pneumonia vaccine | $63 | $1,420 | — |
| Pregnancy ultrasound | $442 | $658 | $126 |
| Pregnancy ultrasound (first trimester) | $542 | $654 | $117 |
| Pregnancy ultrasound (second or third trimester) | $341 | $662 | $136 |
| Procalcitonin test | $79 | $240 | $27 |
| Prolactin test | $64 | $156 | $19 |
| Prostate test (PSA) | $13 | $125 | $18 |
| Scoliosis spine X-ray | $159 | $471 | $58 |
| Scoliosis spine X-ray (3 views) | $187 | $471 | $72 |
| Scrotal ultrasound | $633 | $818 | $99 |
| Sex hormone binding globulin test | $20 | $629 | $22 |
| Soft tissue ultrasound | $684 | $567 | $64 |
| Spirometry (lung function test) | $234 | $2,123 | $30 |
| Spirometry with bronchodilator | $507 | $1,960 | $43 |
| Stress echocardiogram | $3,220 | $2,628 | $209 |
| Stress echocardiogram (complete) | $3,220 | $2,628 | $233 |
| T3 thyroid test | $146 | $442 | $14 |
| Testosterone test | $75 | $455 | $26 |
| Thyroid test (TSH) | $36 | $138 | $17 |
| Thyroid ultrasound | $656 | $644 | $109 |
| Thyroid uptake scan | $1,551 | $2,548 | $145 |
| Total protein test | $8 | $24 | $4 |
| Transesophageal echocardiogram (TEE) | $3,201 | $4,547 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $3,201 | $4,547 | $239 |
| Transvaginal ultrasound | $710 | $756 | $118 |
| Triglycerides test | $68 | $42 | $6 |
| Troponin (heart) test | $56 | $705 | $12 |
| Uric acid (gout) test | $50 | $55 | $5 |
| Urine microalbumin test | $31 | $44 | $5 |
| Vaccine administration | $53 | $172 | $19 |
| Vaccine administration (each additional) | $53 | $40 | $16 |
| Varicose vein ablation | $2,960 | $23,279 | $1,018 |
| Vitamin B12 test | $56 | $112 | $15 |
| Vitamin D test | $71 | $245 | $30 |
| X-ray of the abdomen | $174 | $317 | $36 |
| X-ray of the foot | $197 | $423 | $34 |
| X-ray of the forearm | $185 | $278 | $29 |
| X-ray of the hand | $199 | $471 | $38 |
| X-ray of the hip | $175 | $471 | $49 |
| X-ray of the hip (3 views) | $175 | $471 | $49 |
| X-ray of the knee | $236 | $512 | $42 |
| X-ray of the knee (2 views) | $211 | $405 | $34 |
| X-ray of the knee (3 views) | $236 | $471 | $42 |
| X-ray of the knee (4+ views) | $276 | $776 | $49 |
| X-ray of the lower back (lumbar spine) | $316 | $614 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $262 | $541 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $371 | $618 | $53 |
| X-ray of the lower leg | $216 | $278 | $31 |
| X-ray of the mid-back (thoracic spine) | $134 | $630 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $125 | $597 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $144 | $867 | $39 |
| X-ray of the neck (cervical spine) | $294 | $529 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $235 | $541 | $40 |
| X-ray of the pelvis | $149 | $471 | $36 |
| X-ray of the ribs | $267 | $350 | $42 |
| X-ray of the ribs (2 views) | $267 | $317 | $36 |
| X-ray of the shoulder | $211 | $475 | $36 |
| X-ray of the skull | $214 | $1,945 | $40 |
| X-ray of the upper arm | $158 | $278 | $32 |
| X-ray of the wrist | $220 | $471 | $43 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
