| Procedure | Big Horn Hospital | Rosebud Health Care Center | Medicare |
|---|
| Abdominal ultrasound | $332 | $620 | $100 |
| Abdominal ultrasound (complete) | $380 | $656 | $114 |
| Abdominal ultrasound (limited) | $284 | $583 | $86 |
| Albumin blood test | $23 | $46 | $5 |
| Aldosterone test | $186 | $287 | $41 |
| Alkaline phosphatase test | $24 | $48 | $5 |
| Alpha-fetoprotein (AFP) test | $77 | $110 | $17 |
| ALT liver enzyme test | $24 | $48 | $5 |
| Ammonia blood test | $67 | $117 | $15 |
| Amylase test | $30 | $70 | $6 |
| Antinuclear antibody (ANA) test | $55 | $122 | $12 |
| Arterial blood gas (ABG) | $119 | $176 | $26 |
| AST liver enzyme test | $24 | $48 | $5 |
| Basic metabolic panel | $39 | $113 | $8 |
| Bilirubin blood test | $23 | $46 | $5 |
| Blood clotting test (PT/INR) | $15 | $59 | $4 |
| Blood glucose test | $20 | $38 | $5 |
| Blood transfusion | $146 | $770 | $47 |
| Blood type and screen | $45 | $78 | $10 |
| Blood type test | $11 | $46 | $3 |
| Blood type test (ABO group) | $14 | $46 | $3 |
| Blood type test (Rh/D antigen) | $8 | $33 | $3 |
| BNP (heart failure) test | $179 | $310 | $39 |
| Breast ultrasound | $273 | $480 | $92 |
| C-reactive protein (CRP) | $24 | $55 | $5 |
| CA 19-9 tumor marker test | $95 | $166 | $21 |
| CA-125 ovarian marker test | $95 | $167 | $21 |
| Calcium blood test | $24 | $46 | $5 |
| Carotid artery ultrasound | $528 | $1,131 | $156 |
| CEA tumor marker test | $87 | $156 | $19 |
| Chest X-ray | $118 | $278 | $37 |
| Chest X-ray (1 view) | $80 | $272 | $25 |
| Chest X-ray (2 views) | $104 | $285 | $33 |
| CK-MB heart enzyme test | $53 | $100 | $12 |
| Clotting time test (PTT) | $21 | $78 | $6 |
| Complete blood count (CBC) | $33 | $76 | $7 |
| Complete blood count (CBC) (complete) | $36 | $52 | $8 |
| Comprehensive metabolic panel | $48 | $79 | $11 |
| Copper blood test | $57 | $99 | $12 |
| Cortisol test | $74 | $138 | $16 |
| COVID-19 PCR test | $234 | $146 | $51 |
| Creatine kinase (CK) test | $30 | $91 | $7 |
| CT angiography of the chest | $817 | $2,268 | $281 |
| CT angiography of the head | $806 | $1,857 | $274 |
| CT scan of the abdomen | $734 | $1,610 | $230 |
| CT scan of the abdomen and pelvis | $1,034 | $2,051 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $1,159 | $2,184 | $338 |
| CT scan of the abdomen and pelvis with contrast | $1,034 | $2,051 | $300 |
| CT scan of the abdomen and pelvis without contrast | $612 | $1,756 | $183 |
| CT scan of the abdomen with and without contrast | $753 | $1,771 | $259 |
| CT scan of the abdomen with contrast | $734 | $1,610 | $230 |
| CT scan of the abdomen without contrast | $457 | $1,395 | $136 |
| CT scan of the arm | $688 | $1,290 | $199 |
| CT scan of the arm with contrast | $688 | $1,553 | $199 |
| CT scan of the arm without contrast | $482 | $1,290 | $161 |
| CT scan of the chest | $563 | $1,511 | $167 |
| CT scan of the chest with and without contrast | $667 | $1,658 | $196 |
| CT scan of the chest with contrast | $563 | $1,542 | $167 |
| CT scan of the chest without contrast | $445 | $901 | $133 |
| CT scan of the head | $498 | $1,423 | $148 |
| CT scan of the head with and without contrast | $585 | $1,532 | $173 |
| CT scan of the head with contrast | $498 | $1,423 | $148 |
| CT scan of the head without contrast | $354 | $1,192 | $107 |
| CT scan of the leg | $562 | $1,391 | $166 |
| CT scan of the leg with contrast | $562 | $1,559 | $166 |
| CT scan of the leg without contrast | $434 | $1,391 | $130 |
| CT scan of the lower back (lumbar spine) | $526 | $1,648 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $526 | $1,929 | $197 |
| CT scan of the lower back (lumbar spine) without contrast | $434 | $1,368 | $130 |
| CT scan of the neck | $622 | $1,501 | $183 |
| CT scan of the neck (cervical spine) | $568 | $2,035 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $667 | $2,235 | $196 |
| CT scan of the neck (cervical spine) with contrast | $568 | $2,035 | $168 |
| CT scan of the neck (cervical spine) without contrast | $436 | $1,476 | $131 |
| CT scan of the neck with and without contrast | $754 | $1,608 | $220 |
| CT scan of the neck with contrast | $622 | $1,501 | $183 |
| CT scan of the neck without contrast | $502 | $1,268 | $150 |
| CT scan of the pelvis | $718 | $1,592 | $226 |
| CT scan of the pelvis with and without contrast | $727 | $1,698 | $251 |
| CT scan of the pelvis with contrast | $718 | $1,592 | $226 |
| CT scan of the pelvis without contrast | $446 | $1,430 | $133 |
| CT scan of the sinuses | $512 | $1,339 | $152 |
| CT scan of the sinuses with and without contrast | $627 | $1,738 | $184 |
| CT scan of the sinuses with contrast | $512 | $1,428 | $152 |
| CT scan of the sinuses without contrast | $429 | $1,251 | $128 |
| DHEA-sulfate test | $59 | $105 | $22 |
| Drug screen (urine) | $138 | $274 | $17 |
| Echocardiogram | $351 | $847 | $138 |
| Echocardiogram with and without contrast | $257 | $629 | $101 |
| EKG / ECG (tracing only) | $273 | $139 | $7 |
| Electrocardiogram (EKG) | $273 | $29 | $8 |
| Electrolyte panel | $32 | $105 | $7 |
| Emergency department visit | $423 | $246 | $69 |
| Emergency department visit (level 1) | $68 | $86 | $11 |
| Emergency department visit (level 2) | $248 | $107 | $40 |
| Emergency department visit (level 3) | $423 | $146 | $69 |
| Emergency department visit (level 4) | $719 | $246 | $118 |
| Emergency department visit (level 5) | $1,041 | $357 | $171 |
| Estradiol (estrogen) test | $128 | $229 | $28 |
| Fecal occult blood (stool) test | $20 | $66 | $10 |
| Ferritin (iron) test | $62 | $115 | $14 |
| Fibrinogen test | $34 | $78 | $10 |
| Folate (folic acid) test | $67 | $108 | $15 |
| Free T4 thyroid test | $41 | $72 | $9 |
| FSH hormone test | $85 | $149 | $19 |
| GGT liver test | $33 | $61 | $7 |
| Glucose tolerance test | $38 | $103 | $8 |
| HDL cholesterol test | $37 | $65 | $8 |
| Hematocrit test | $11 | $31 | $2 |
| Hemoglobin A1c (diabetes test) | $44 | $78 | $10 |
| Hepatitis B test | $36 | $83 | $10 |
| HIV test | $86 | $151 | $19 |
| HIV test (antibody) | $63 | $110 | $14 |
| HIV test (antigen/antibody combo) | $110 | $193 | $24 |
| Iron blood test | $30 | $52 | $6 |
| IV infusion therapy | $143 | $270 | $44 |
| IV infusion therapy (each additional) | $70 | $52 | $21 |
| IV infusion therapy (initial) | $217 | $270 | $67 |
| Kidney ultrasound | $267 | $625 | $84 |
| Kidney ultrasound (limited) | $183 | $549 | $61 |
| Lactate test | $53 | $93 | $12 |
| LDH test | $28 | $48 | $6 |
| LDL cholesterol test | $48 | $84 | $11 |
| Leg vein ultrasound (Doppler) | $437 | $715 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $340 | $613 | $116 |
| LH hormone test | $85 | $148 | $19 |
| Lipase test | $31 | $73 | $7 |
| Lipid (cholesterol) panel | $61 | $69 | $13 |
| Liver function panel | $37 | $100 | $8 |
| Magnesium blood test | $31 | $34 | $7 |
| MRI of the abdomen | $1,067 | $2,949 | $300 |
| MRI of the ankle | $922 | $2,127 | $261 |
| MRI of the ankle without contrast | $782 | $2,127 | $222 |
| MRI of the brain | $936 | $2,635 | $269 |
| MRI of the brain with contrast | $936 | $2,635 | $269 |
| MRI of the brain without contrast | $672 | $2,313 | $195 |
| MRI of the knee | $1,118 | $2,349 | $315 |
| MRI of the knee without contrast | $696 | $2,349 | $204 |
| MRI of the lower back (lumbar spine) | $943 | $2,725 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $943 | $2,725 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $658 | $2,510 | $192 |
| MRI of the mid-back (thoracic spine) | $952 | $1,695 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $657 | $1,695 | $190 |
| MRI of the neck (cervical spine) | $958 | $2,474 | $274 |
| MRI of the neck (cervical spine) without contrast | $657 | $2,474 | $191 |
| MRI of the pelvis | $945 | $1,760 | $268 |
| MRI of the pelvis without contrast | $804 | $1,760 | $227 |
| MRI of the shoulder | $1,116 | $2,362 | $313 |
| MRI of the shoulder without contrast | $698 | $2,362 | $205 |
| MRI of the wrist | $1,179 | $1,943 | $330 |
| MRI of the wrist without contrast | $904 | $1,565 | $303 |
| Occupational therapy evaluation | $293 | $229 | $101 |
| Occupational therapy evaluation (high complexity) | $293 | $249 | $101 |
| Occupational therapy evaluation (low complexity) | $293 | $199 | $101 |
| Occupational therapy evaluation (moderate complexity) | $293 | $229 | $101 |
| Parathyroid hormone (PTH) test | $189 | $320 | $41 |
| Pelvic ultrasound | $246 | $426 | $78 |
| Pelvic ultrasound (complete) | $342 | $519 | $105 |
| Pelvic ultrasound (limited) | $149 | $426 | $51 |
| Phosphorus blood test | $22 | $30 | $5 |
| Physical therapy evaluation | $290 | $180 | $98 |
| Physical therapy evaluation (high complexity) | $290 | $190 | $98 |
| Physical therapy evaluation (moderate complexity) | $290 | $180 | $98 |
| Platelet count | $20 | $70 | $4 |
| Pregnancy blood test (hCG) | $34 | $40 | $8 |
| Pregnancy ultrasound | $407 | $608 | $126 |
| Pregnancy ultrasound (first trimester) | $379 | $573 | $117 |
| Pregnancy ultrasound (second or third trimester) | $436 | $643 | $136 |
| Procalcitonin test | $124 | $218 | $27 |
| Prolactin test | $89 | $155 | $19 |
| Prostate test (PSA) | $84 | $147 | $18 |
| Rheumatoid factor test | $28 | $49 | $6 |
| Scoliosis spine X-ray | $143 | $324 | $58 |
| Scoliosis spine X-ray (3 views) | $154 | $324 | $72 |
| Scrotal ultrasound | $328 | $603 | $99 |
| Sedimentation rate (ESR) test | $12 | $59 | $3 |
| Sex hormone binding globulin test | $57 | $174 | $22 |
| T3 thyroid test | $65 | $113 | $14 |
| Tdap (tetanus) vaccine | $71 | $129 | — |
| Testosterone test | $118 | $206 | $26 |
| Thyroid test (TSH) | $77 | $86 | $17 |
| Thyroid ultrasound | $364 | $564 | $109 |
| Total protein test | $17 | $85 | $4 |
| Transvaginal ultrasound | $387 | $622 | $118 |
| Trigger point injection | $182 | $100 | $56 |
| Trigger point injection (1-2 muscles) | $182 | $115 | $52 |
| Triglycerides test | $26 | $51 | $6 |
| Troponin (heart) test | $57 | $100 | $12 |
| Uric acid (gout) test | $21 | $26 | $5 |
| Urinalysis | $12 | $30 | $3 |
| Urine microalbumin test | $25 | $52 | $5 |
| Urine pregnancy test | $39 | $40 | $9 |
| Vaccine administration | $61 | $37 | $19 |
| Vaccine administration (each additional) | $51 | $32 | $16 |
| Vitamin B12 test | $69 | $87 | $15 |
| Vitamin D test | $104 | $237 | $30 |
| X-ray of the abdomen | $115 | $304 | $36 |
| X-ray of the ankle | $114 | $273 | $37 |
| X-ray of the collarbone | $100 | $278 | $33 |
| X-ray of the elbow | $100 | $280 | $33 |
| X-ray of the facial bones | $123 | $263 | $39 |
| X-ray of the foot | $106 | $271 | $34 |
| X-ray of the forearm | $90 | $245 | $29 |
| X-ray of the hand | $113 | $275 | $38 |
| X-ray of the hip | $122 | $264 | $49 |
| X-ray of the hip (1 view) | $100 | $264 | $34 |
| X-ray of the hip (3 views) | $145 | $269 | $49 |
| X-ray of the knee | $126 | $277 | $42 |
| X-ray of the knee (2 views) | $106 | $277 | $34 |
| X-ray of the knee (3 views) | $126 | $307 | $42 |
| X-ray of the knee (4+ views) | $129 | $179 | $49 |
| X-ray of the lower back (lumbar spine) | $140 | $351 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $123 | $300 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $157 | $401 | $53 |
| X-ray of the lower leg | $98 | $280 | $31 |
| X-ray of the mid-back (thoracic spine) | $111 | $286 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $101 | $264 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $121 | $308 | $39 |
| X-ray of the neck (cervical spine) | $143 | $297 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $122 | $297 | $40 |
| X-ray of the pelvis | $108 | $239 | $36 |
| X-ray of the pelvis (1 view) | $86 | $239 | $28 |
| X-ray of the ribs | $131 | $295 | $42 |
| X-ray of the ribs (2 views) | $114 | $281 | $36 |
| X-ray of the ribs (3 views) | $131 | $295 | $42 |
| X-ray of the shoulder | $106 | $316 | $36 |
| X-ray of the skull | $125 | $264 | $40 |
| X-ray of the upper arm | $100 | $261 | $32 |
| X-ray of the wrist | $126 | $276 | $43 |
| Zinc blood test | $52 | $91 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
