| Procedure | Boone Hospital Center | Mercy Hospital Lincoln | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $90 | $104 | $51 |
| Abdominal fluid drain (paracentesis) | $907 | $1,340 | $284 |
| Abdominal ultrasound | $517 | $712 | $100 |
| Abdominal ultrasound (complete) | $854 | $873 | $114 |
| Abdominal ultrasound (limited) | $517 | $551 | $86 |
| Abscess drainage (complex or multiple) | $465 | $439 | $220 |
| Abscess drainage (simple) | $335 | $374 | $129 |
| Abscess incision and drainage | $397 | $406 | $174 |
| Albumin blood test | $12 | $62 | $5 |
| Aldosterone test | $77 | $248 | $41 |
| Alkaline phosphatase test | $18 | $70 | $5 |
| Alpha-fetoprotein (AFP) test | $61 | $161 | $17 |
| ALT liver enzyme test | $18 | $64 | $5 |
| Ammonia blood test | $46 | $117 | $15 |
| Amylase test | $48 | $90 | $6 |
| Anal fistula repair | $744 | $6,829 | $541 |
| Anoscopy | $162 | $197 | $129 |
| Antinuclear antibody (ANA) test | $42 | $128 | $12 |
| Arterial blood gas (ABG) | $79 | $199 | $26 |
| AST liver enzyme test | $17 | $72 | $5 |
| Barium swallow study | $329 | $462 | $107 |
| Basic metabolic panel | $83 | $146 | $8 |
| Benign skin lesion removal | $226 | $340 | $171 |
| Bilirubin blood test | $19 | $75 | $5 |
| Bladder scope (cystoscopy) | $964 | $436 | $216 |
| Blood clotting test (PT/INR) | $16 | $14 | $4 |
| Blood crossmatch | $260 | $124 | — |
| Blood glucose test | $17 | $54 | $5 |
| Blood transfusion | $732 | $2,888 | $47 |
| Blood type and screen | $62 | $121 | $10 |
| Blood type test | $94 | $62 | $3 |
| Blood type test (ABO group) | $148 | $63 | $3 |
| Blood type test (Rh/D antigen) | $39 | $60 | $3 |
| BNP (heart failure) test | $91 | $163 | $39 |
| Bone density scan (DEXA) | $234 | $376 | $39 |
| Bone scan (nuclear) | $906 | $1,301 | $259 |
| Breast ultrasound | $314 | $498 | $92 |
| Breast ultrasound (complete) | $314 | $466 | $100 |
| Breast ultrasound (limited) | $268 | $530 | $84 |
| Breathing tube insertion (intubation) | $292 | $399 | $133 |
| Bronchoscopy | $707 | $989 | $303 |
| Burn dressing and debridement (medium) | $381 | $255 | $166 |
| Burn dressing and debridement (small) | $308 | $319 | $93 |
| Burn treatment | $358 | $287 | $129 |
| C-reactive protein (CRP) | $35 | $83 | $5 |
| CA 19-9 tumor marker test | $76 | $142 | $21 |
| CA-125 ovarian marker test | $73 | $182 | $21 |
| Calcium blood test | $22 | $60 | $5 |
| Cardiac rehabilitation | $186 | $224 | $26 |
| Cardiac stress test | $774 | $1,052 | $39 |
| Cardioversion | $1,036 | $1,158 | $155 |
| CEA tumor marker test | $62 | $158 | $19 |
| Celiac disease test | $22 | $132 | $12 |
| Central line placement | $2,783 | $1,199 | $238 |
| Cervical LEEP procedure | $338 | $4,351 | $325 |
| Chemotherapy infusion | $411 | $319 | $81 |
| Chemotherapy infusion (each additional) | $295 | $319 | $28 |
| Chemotherapy infusion (first hour) | $527 | $319 | $133 |
| Chest fluid drain (thoracentesis) | $1,637 | $1,100 | $311 |
| Chest tube insertion | $646 | $612 | $143 |
| Chest X-ray | $250 | $186 | $37 |
| Chest X-ray (1 view) | $235 | $159 | $25 |
| Chest X-ray (2 views) | $246 | $176 | $33 |
| CK-MB heart enzyme test | $48 | $118 | $12 |
| Clotting time test (PTT) | $30 | $79 | $6 |
| Colonoscopy | $900 | $5,054 | $480 |
| Complete blood count (CBC) | $31 | $85 | $7 |
| Complete blood count (CBC) (complete) | $36 | $82 | $8 |
| Complex wound repair | $550 | $867 | $390 |
| Comprehensive metabolic panel | $110 | $177 | $11 |
| Copper blood test | $43 | $121 | $12 |
| Cortisol test | $61 | $152 | $16 |
| COVID-19 PCR test | $97 | $138 | $51 |
| CPAP titration study | $503 | $707 | $69 |
| Creatine kinase (CK) test | $30 | $77 | $7 |
| CT angiography of the chest | $1,314 | $1,504 | $281 |
| CT angiography of the head | $1,395 | $2,001 | $274 |
| CT scan of the abdomen | $1,044 | $1,719 | $230 |
| CT scan of the abdomen and pelvis | $1,241 | $3,020 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $1,560 | $3,845 | $338 |
| CT scan of the abdomen and pelvis with contrast | $1,241 | $3,020 | $300 |
| CT scan of the abdomen and pelvis without contrast | $908 | $2,557 | $183 |
| CT scan of the abdomen with and without contrast | $1,380 | $2,070 | $259 |
| CT scan of the abdomen with contrast | $1,044 | $1,719 | $230 |
| CT scan of the abdomen without contrast | $824 | $1,460 | $136 |
| CT scan of the arm | $766 | $1,653 | $199 |
| CT scan of the arm with contrast | $766 | $254 | $199 |
| CT scan of the arm without contrast | $682 | $2,190 | $161 |
| CT scan of the chest | $868 | $1,544 | $167 |
| CT scan of the chest with and without contrast | $1,156 | $1,732 | $196 |
| CT scan of the chest with contrast | $960 | $1,544 | $167 |
| CT scan of the chest without contrast | $775 | $150 | $133 |
| CT scan of the head | $921 | $1,555 | $148 |
| CT scan of the head with and without contrast | $1,152 | $1,850 | $173 |
| CT scan of the head with contrast | $921 | $1,555 | $148 |
| CT scan of the head without contrast | $830 | $132 | $107 |
| CT scan of the leg | $1,141 | $1,427 | $166 |
| CT scan of the leg with contrast | $898 | $1,427 | $166 |
| CT scan of the leg without contrast | $638 | $151 | $130 |
| CT scan of the lower back (lumbar spine) | $1,228 | $216 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,375 | $242 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,228 | $216 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $948 | $193 | $130 |
| CT scan of the neck | $1,065 | $1,444 | $183 |
| CT scan of the neck (cervical spine) | $1,228 | $2,100 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $1,368 | $2,402 | $196 |
| CT scan of the neck (cervical spine) with contrast | $1,228 | $2,100 | $168 |
| CT scan of the neck (cervical spine) without contrast | $866 | $160 | $131 |
| CT scan of the neck with and without contrast | $1,395 | $1,794 | $220 |
| CT scan of the neck with contrast | $1,065 | $1,444 | $183 |
| CT scan of the neck without contrast | $810 | $1,191 | $150 |
| CT scan of the pelvis | $1,140 | $1,978 | $226 |
| CT scan of the pelvis with and without contrast | $1,228 | $2,051 | $251 |
| CT scan of the pelvis with contrast | $1,140 | $1,978 | $226 |
| CT scan of the pelvis without contrast | $837 | $1,492 | $133 |
| CT scan of the sinuses | $1,001 | $1,520 | $152 |
| CT scan of the sinuses with contrast | $1,222 | $1,520 | $152 |
| CT scan of the sinuses without contrast | $781 | $1,134 | $128 |
| D-dimer test | $74 | $141 | $10 |
| Developmental screening (child) | $160 | $138 | — |
| DHEA-sulfate test | $67 | $191 | $22 |
| Diagnostic mammogram | $166 | $296 | $140 |
| Drug screen (urine) | $75 | $89 | $17 |
| Echocardiogram | $982 | $1,152 | $138 |
| Echocardiogram with and without contrast | $740 | $720 | $101 |
| Echocardiogram without contrast | $982 | $1,152 | $138 |
| EKG / ECG (tracing only) | $194 | $225 | $7 |
| Electrocardiogram (EKG) | $194 | $129 | $8 |
| Electrolyte panel | $25 | $110 | $7 |
| Electromyography (EMG) | $272 | $345 | $141 |
| Emergency department visit | $395 | $420 | $69 |
| Emergency department visit (level 1) | $281 | $450 | $11 |
| Emergency department visit (level 2) | $297 | $163 | $40 |
| Emergency department visit (level 3) | $699 | $295 | $69 |
| Emergency department visit (level 4) | $861 | $420 | $118 |
| Emergency department visit (level 5) | $2,362 | $619 | $171 |
| Epidural steroid injection | $770 | $2,183 | $275 |
| Estradiol (estrogen) test | $51 | $168 | $28 |
| Facet joint injection (spine) | $1,839 | $1,879 | $99 |
| Fecal occult blood (stool) test | $33 | $47 | $10 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $33 | $59 | $16 |
| Feeding tube (PEG) placement | $900 | $2,085 | $178 |
| Ferritin (iron) test | $54 | $138 | $14 |
| Fibrinogen test | $34 | $96 | $10 |
| Flexible sigmoidoscopy | $1,217 | $4,909 | $323 |
| Flu test | $37 | $113 | $17 |
| Folate (folic acid) test | $41 | $121 | $15 |
| Foreign body removal (skin) | $464 | $800 | $157 |
| Free T4 thyroid test | $35 | $115 | $9 |
| FSH hormone test | $43 | $160 | $19 |
| Gallbladder removal (laparoscopic) | $1,443 | $10,705 | $658 |
| Gallbladder scan (HIDA) | $815 | $1,430 | $334 |
| GGT liver test | $28 | $77 | $7 |
| Glucose tolerance test | $26 | $94 | $8 |
| H. pylori test | $233 | $185 | $67 |
| HDL cholesterol test | $19 | $70 | $8 |
| Hematocrit test | $11 | $34 | $2 |
| Hemoglobin A1c (diabetes test) | $44 | $34 | $10 |
| Hepatitis B test | $48 | $114 | $10 |
| Hepatitis C test | $55 | $140 | $14 |
| HIV test | $73 | $119 | $19 |
| HIV test (antigen/antibody combo) | $73 | $104 | $24 |
| Holter heart monitor | $349 | $647 | $26 |
| Hysteroscopy | $1,451 | $3,957 | $1,270 |
| Inguinal hernia repair | $896 | $11,712 | $538 |
| Iron blood test | $26 | $83 | $6 |
| IUD removal | $131 | $220 | $112 |
| IV infusion therapy | $159 | $186 | $44 |
| IV infusion therapy (each additional) | $159 | $186 | $21 |
| IV infusion therapy (initial) | $236 | $186 | $67 |
| Joint aspiration (small/intermediate) | $919 | $278 | $57 |
| Joint aspiration or injection (mid-size joint) | $997 | $417 | $57 |
| Joint aspiration or injection (small joint) | $520 | $139 | $56 |
| Kidney scan (nuclear) | $727 | $1,346 | $172 |
| Kidney ultrasound | $558 | $434 | $84 |
| Kidney ultrasound (limited) | $485 | $117 | $61 |
| Knee joint injection | $1,999 | $239 | $69 |
| Lactate test | $43 | $194 | $12 |
| Laryngoscopy | $287 | $653 | $189 |
| LDH test | $23 | $73 | $6 |
| LDL cholesterol test | $24 | $68 | $11 |
| Leg vein ultrasound (Doppler) | $719 | $914 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $719 | $754 | $116 |
| LH hormone test | $36 | $165 | $19 |
| Lipase test | $44 | $107 | $7 |
| Lipid (cholesterol) panel | $44 | $48 | $13 |
| Liver function panel | $32 | $149 | $8 |
| Lung function test (PFT) | $536 | $405 | $37 |
| Lung scan (V/Q) | $739 | $1,399 | $291 |
| Magnesium blood test | $28 | $80 | $7 |
| MRA of the brain | $745 | $2,283 | $226 |
| MRA of the brain with contrast | $760 | $2,283 | $226 |
| MRA of the brain without contrast | $1,104 | $2,770 | $328 |
| MRA of the neck | $624 | $2,434 | $245 |
| MRA of the neck without contrast | $1,123 | $2,712 | $343 |
| MRI of the abdomen | $1,096 | $2,651 | $300 |
| MRI of the abdomen with contrast | $1,096 | $2,651 | $300 |
| MRI of the abdomen without contrast | $689 | $2,271 | $194 |
| MRI of the ankle | $1,351 | $2,338 | $261 |
| MRI of the ankle without contrast | $1,099 | $2,076 | $222 |
| MRI of the brain | $677 | $2,543 | $269 |
| MRI of the brain with contrast | $815 | $2,543 | $269 |
| MRI of the brain without contrast | $589 | $2,120 | $195 |
| MRI of the chest | $869 | $2,394 | $371 |
| MRI of the chest without contrast | $1,800 | $2,809 | $466 |
| MRI of the knee | $1,146 | $3,703 | $315 |
| MRI of the knee with contrast | $1,089 | $2,406 | $315 |
| MRI of the knee without contrast | $872 | $3,703 | $204 |
| MRI of the lower back (lumbar spine) | $1,039 | $2,632 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $1,120 | $2,702 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $657 | $2,003 | $192 |
| MRI of the mid-back (thoracic spine) | $676 | $2,524 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $819 | $3,110 | $319 |
| MRI of the mid-back (thoracic spine) without contrast | $595 | $1,938 | $190 |
| MRI of the neck (cervical spine) | $748 | $2,644 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $884 | $2,675 | $318 |
| MRI of the neck (cervical spine) with contrast | $733 | $2,644 | $274 |
| MRI of the neck (cervical spine) without contrast | $663 | $2,043 | $191 |
| MRI of the pelvis | $945 | $2,146 | $268 |
| MRI of the pelvis with contrast | $945 | $2,051 | $268 |
| MRI of the pelvis without contrast | $931 | $2,146 | $227 |
| MRI of the shoulder | $2,008 | $2,843 | $313 |
| MRI of the shoulder with contrast | $1,767 | $2,483 | $313 |
| MRI of the shoulder without contrast | $1,004 | $3,392 | $205 |
| MRI of the wrist | $949 | $2,220 | $330 |
| MRI of the wrist without contrast | $883 | $1,979 | $303 |
| Nebulizer breathing treatment | $241 | $140 | $9 |
| Nerve conduction study | $329 | $332 | $118 |
| Nuclear cardiac stress test | $2,052 | $4,879 | $428 |
| Occupational therapy evaluation | $181 | $380 | $101 |
| Occupational therapy evaluation (high complexity) | $190 | $410 | $101 |
| Occupational therapy evaluation (low complexity) | $145 | $355 | $101 |
| Occupational therapy evaluation (moderate complexity) | $181 | $380 | $101 |
| Office visit (established patient) | $160 | $158 | $115 |
| Office visit (new patient) | $212 | $237 | $177 |
| Office visit, established patient (level 4) | $160 | $180 | $136 |
| Office visit, new patient (level 3) | $141 | $183 | $118 |
| Office visit, new patient (level 4) | $170 | $237 | $177 |
| Office visit, new patient (level 5) | $255 | $299 | $237 |
| Pap smear (cervical screening) | $63 | $88 | $20 |
| Parathyroid hormone (PTH) test | $91 | $268 | $41 |
| Pelvic ultrasound | $426 | $342 | $78 |
| Pelvic ultrasound (complete) | $615 | $619 | $105 |
| Pelvic ultrasound (limited) | $238 | $64 | $51 |
| Phosphorus blood test | $21 | $47 | $5 |
| Physical therapy evaluation | $170 | $380 | $98 |
| Physical therapy evaluation (high complexity) | $178 | $410 | $98 |
| Physical therapy evaluation (moderate complexity) | $170 | $380 | $98 |
| Platelet count | $24 | $55 | $4 |
| Pregnancy blood test (hCG) | $40 | $90 | $8 |
| Pregnancy ultrasound | $497 | $585 | $126 |
| Pregnancy ultrasound (first trimester) | $390 | $585 | $117 |
| Procalcitonin test | $127 | $235 | $27 |
| Prolactin test | $63 | $181 | $19 |
| Prostate test (PSA) | $66 | $109 | $18 |
| Pulmonary rehabilitation | $89 | $224 | $87 |
| Radiofrequency nerve ablation | $2,852 | $3,314 | $462 |
| Scoliosis spine X-ray | $180 | $325 | $58 |
| Scoliosis spine X-ray (1 view) | $161 | $288 | $44 |
| Scoliosis spine X-ray (3 views) | $199 | $361 | $72 |
| Screening mammogram | $148 | $276 | $126 |
| Scrotal ultrasound | $611 | $723 | $99 |
| Sedimentation rate (ESR) test | $14 | $52 | $3 |
| Semen analysis | $69 | $126 | $12 |
| Sex hormone binding globulin test | $46 | $83 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $235 | $278 | $114 |
| Simple wound stitches | $158 | $292 | $127 |
| Skin biopsy | $166 | $225 | $121 |
| Skin biopsy (punch) | $385 | $225 | $121 |
| Skin cancer lesion removal | $311 | $510 | $240 |
| Skin lesion freezing (cryotherapy) | $51 | $72 | $36 |
| Skin tag removal | $126 | $144 | $92 |
| Sleep study (polysomnography) | $2,055 | $4,381 | $691 |
| Soft tissue ultrasound | $375 | $637 | $64 |
| Speech therapy | $154 | $438 | $76 |
| Spinal cord stimulator | $3,078 | $5,172 | $2,388 |
| Spinal tap (lumbar puncture) | $1,435 | $260 | $165 |
| Spirometry (lung function test) | $320 | $274 | $30 |
| Spirometry with bronchodilator | $753 | $536 | $43 |
| Strep throat test | $34 | $29 | $17 |
| Stress echocardiogram | $1,610 | $1,915 | $209 |
| Stress echocardiogram (complete) | $815 | $1,784 | $233 |
| Swallow study | $198 | $144 | $85 |
| T3 thyroid test | $41 | $122 | $14 |
| Testosterone test | $63 | $170 | $26 |
| Thyroid test (TSH) | $39 | $134 | $17 |
| Thyroid ultrasound | $601 | $611 | $109 |
| Total IgE allergy test | $31 | $129 | $16 |
| Total protein test | $15 | $63 | $4 |
| Transesophageal echocardiogram (TEE) | $1,899 | $1,613 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $1,899 | $1,613 | $239 |
| Transvaginal ultrasound | $646 | $117 | $118 |
| Trigger point injection | $139 | $424 | $56 |
| Trigger point injection (1-2 muscles) | $323 | $365 | $52 |
| Triglycerides test | $18 | $68 | $6 |
| Troponin (heart) test | $70 | $121 | $12 |
| Upper GI endoscopy (EGD) | $900 | $3,948 | $371 |
| Upper GI series (barium) | $341 | $621 | $128 |
| Uric acid (gout) test | $22 | $66 | $5 |
| Urinalysis | $17 | $23 | $3 |
| Urine microalbumin test | $26 | $69 | $5 |
| Urine pregnancy test | $39 | $17 | $9 |
| Vaccine administration | $130 | $59 | $19 |
| Vaccine administration (each additional) | $68 | $50 | $16 |
| Vitamin B12 test | $46 | $131 | $15 |
| Vitamin D test | $60 | $215 | $30 |
| Wart removal | $168 | $204 | $121 |
| Wound debridement | $224 | $395 | $186 |
| X-ray of the abdomen | $255 | $311 | $36 |
| X-ray of the ankle | $203 | $518 | $37 |
| X-ray of the collarbone | $166 | $456 | $33 |
| X-ray of the elbow | $190 | $598 | $33 |
| X-ray of the facial bones | $209 | $142 | $39 |
| X-ray of the foot | $205 | $499 | $34 |
| X-ray of the forearm | $191 | $208 | $29 |
| X-ray of the hand | $227 | $252 | $38 |
| X-ray of the hip | $161 | $227 | $49 |
| X-ray of the hip (1 view) | $161 | $227 | $34 |
| X-ray of the hip (3 views) | $199 | $33 | $49 |
| X-ray of the knee (2 views) | $161 | $26 | $34 |
| X-ray of the knee (4+ views) | $61 | $670 | $49 |
| X-ray of the lower back (lumbar spine) | $345 | $261 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $300 | $36 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $390 | $486 | $53 |
| X-ray of the lower leg | $217 | $304 | $31 |
| X-ray of the mid-back (thoracic spine) | $300 | $352 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $300 | $330 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $300 | $373 | $39 |
| X-ray of the neck (cervical spine) | $345 | $240 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $300 | $34 | $40 |
| X-ray of the pelvis | $267 | $278 | $36 |
| X-ray of the pelvis (1 view) | $234 | $250 | $28 |
| X-ray of the ribs | $201 | $365 | $42 |
| X-ray of the ribs (2 views) | $161 | $31 | $36 |
| X-ray of the ribs (3 views) | $240 | $365 | $42 |
| X-ray of the shoulder | $217 | $592 | $36 |
| X-ray of the skull | $241 | $377 | $40 |
| X-ray of the upper arm | $186 | $26 | $32 |
| X-ray of the wrist | $192 | $484 | $43 |
| Zinc blood test | $46 | $98 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
