| Procedure | Benefis Hospitals Inc | St Peters Health | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $74 | $90 | $51 |
| Abscess drainage (simple) | $262 | $771 | $129 |
| Alkaline phosphatase test | $44 | $22 | $5 |
| Alpha-fetoprotein (AFP) test | $80 | $112 | $17 |
| ALT liver enzyme test | $39 | $75 | $5 |
| Amylase test | $73 | $185 | $6 |
| AST liver enzyme test | $49 | $22 | $5 |
| Benign skin lesion removal | $340 | $295 | $171 |
| Bilirubin blood test | $42 | $94 | $5 |
| Blood clotting test (PT/INR) | $44 | $14 | $4 |
| Blood type and screen | $101 | $70 | $10 |
| Blood type test | $77 | $53 | $3 |
| Blood type test (ABO group) | $105 | $72 | $3 |
| Blood type test (Rh/D antigen) | $48 | $34 | $3 |
| BNP (heart failure) test | $191 | $748 | $39 |
| Bone density scan (DEXA) | $295 | $147 | $39 |
| C-reactive protein (CRP) | $82 | $135 | $5 |
| CA 19-9 tumor marker test | $97 | $129 | $21 |
| Cardioversion | $1,045 | $2,536 | $155 |
| Chest tube insertion | $1,478 | $328 | $143 |
| Chest X-ray | $216 | $98 | $37 |
| Clotting time test (PTT) | $49 | $81 | $6 |
| Colonoscopy | $214 | $641 | $480 |
| COVID-19 PCR test | $94 | $129 | $51 |
| CPAP titration study | $106 | $528 | $69 |
| Creatine kinase (CK) test | $54 | $77 | $7 |
| CT angiography of the chest | $1,544 | $2,128 | $281 |
| CT angiography of the head | $1,189 | $1,240 | $274 |
| CT scan of the abdomen and pelvis | $2,242 | $2,294 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $2,508 | $915 | $338 |
| CT scan of the abdomen and pelvis with contrast | $2,242 | $2,809 | $300 |
| CT scan of the abdomen and pelvis without contrast | $1,774 | $2,294 | $183 |
| CT scan of the abdomen with and without contrast | $1,694 | $678 | $259 |
| CT scan of the abdomen with contrast | $1,399 | $611 | $230 |
| CT scan of the abdomen without contrast | $892 | $363 | $136 |
| CT scan of the arm | $963 | $174 | $199 |
| CT scan of the chest with and without contrast | $1,221 | $203 | $196 |
| CT scan of the chest with contrast | $1,373 | $2,261 | $167 |
| CT scan of the chest without contrast | $1,174 | $1,745 | $133 |
| CT scan of the head with contrast | $938 | $1,505 | $148 |
| CT scan of the leg | $1,117 | $143 | $166 |
| CT scan of the neck | $1,132 | $590 | $183 |
| CT scan of the neck with and without contrast | $1,132 | $590 | $220 |
| CT scan of the neck with contrast | $1,272 | $1,678 | $183 |
| CT scan of the neck without contrast | $1,049 | $159 | $150 |
| CT scan of the pelvis | $1,181 | $150 | $226 |
| CT scan of the pelvis with and without contrast | $1,197 | $199 | $251 |
| CT scan of the pelvis without contrast | $1,181 | $134 | $133 |
| CT scan of the sinuses | $1,223 | $140 | $152 |
| CT scan of the sinuses with and without contrast | $1,420 | $2,525 | $184 |
| D-dimer test | $105 | $33 | $10 |
| Developmental screening (child) | $14 | $27 | — |
| Drug screen (urine) | $59 | $91 | $17 |
| Echocardiogram | $1,106 | $552 | $138 |
| Electrolyte panel | $63 | $72 | $7 |
| Emergency department visit | $453 | $450 | $69 |
| Emergency department visit (level 1) | $163 | $384 | $11 |
| Emergency department visit (level 2) | $274 | $716 | $40 |
| Emergency department visit (level 3) | $453 | $820 | $69 |
| Emergency department visit (level 5) | $1,153 | $1,298 | $171 |
| Fecal occult blood (stool) test | $37 | $34 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $37 | $11 | $4 |
| Ferritin (iron) test | $87 | $111 | $14 |
| Foreign body removal (skin) | $485 | $268 | $157 |
| Free T4 thyroid test | $68 | $492 | $9 |
| FSH hormone test | $87 | $131 | $19 |
| Glucose tolerance test | $44 | $164 | $8 |
| HDL cholesterol test | $58 | $116 | $8 |
| Hemoglobin A1c (diabetes test) | $67 | $27 | $10 |
| Holter heart monitor | $193 | $142 | $26 |
| Joint aspiration or injection (mid-size joint) | $387 | $95 | $57 |
| Knee joint injection | $338 | $889 | $69 |
| LDL cholesterol test | $62 | $92 | $11 |
| Liver function panel | $88 | $74 | $8 |
| Nebulizer breathing treatment | $176 | $173 | $9 |
| Occupational therapy evaluation | $202 | $317 | $101 |
| Occupational therapy evaluation (high complexity) | $227 | $380 | $101 |
| Occupational therapy evaluation (low complexity) | $172 | $252 | $101 |
| Occupational therapy evaluation (moderate complexity) | $202 | $317 | $101 |
| Phosphorus blood test | $67 | $114 | $5 |
| Physical therapy evaluation | $194 | $252 | $98 |
| Physical therapy evaluation (high complexity) | $236 | $317 | $98 |
| Physical therapy evaluation (moderate complexity) | $194 | $252 | $98 |
| Psychotherapy session | $127 | $228 | $140 |
| Scoliosis spine X-ray | $188 | $316 | $58 |
| Scoliosis spine X-ray (3 views) | $188 | $39 | $72 |
| Screening mammogram | $196 | $93 | $126 |
| Sedimentation rate (ESR) test | $41 | $82 | $3 |
| Shingles vaccine | $450 | $299 | — |
| Simple laceration repair (small, up to 2.5 cm) | $266 | $101 | $114 |
| Simple wound stitches | $295 | $133 | $127 |
| Skin lesion freezing (cryotherapy) | $84 | $31 | $36 |
| Speech therapy | $184 | $94 | $76 |
| Spirometry (lung function test) | $197 | $244 | $30 |
| Strep throat test | $60 | $37 | $17 |
| Swallow study | $317 | $323 | $85 |
| Tdap (tetanus) vaccine | $108 | $75 | — |
| Thyroid test (TSH) | $67 | $107 | $17 |
| Total protein test | $35 | $22 | $4 |
| Trigger finger release | $692 | $753 | $630 |
| Trigger point injection (1-2 muscles) | $370 | $78 | $52 |
| Triglycerides test | $48 | $120 | $6 |
| Uric acid (gout) test | $46 | $59 | $5 |
| Urinalysis | $32 | $91 | $3 |
| Vaccine administration | $29 | $38 | $19 |
| Vaccine administration (each additional) | $21 | $37 | $16 |
| Vitamin B12 test | $86 | $237 | $15 |
| Vitamin D test | $121 | $165 | $30 |
| X-ray of the abdomen | $248 | $34 | $36 |
| X-ray of the facial bones | $193 | $508 | $39 |
| X-ray of the forearm | $172 | $269 | $29 |
| X-ray of the hand | $204 | $36 | $38 |
| X-ray of the hip | $164 | $151 | $49 |
| X-ray of the hip (1 view) | $121 | $151 | $34 |
| X-ray of the knee (3 views) | $223 | $300 | $42 |
| X-ray of the lower leg | $188 | $317 | $31 |
| X-ray of the neck (cervical spine) (3 views) | $218 | $28 | $40 |
| X-ray of the ribs | $224 | $36 | $42 |
| X-ray of the skull | $195 | $32 | $40 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
