| Procedure | Carle Foundation Hospital | Kirby Medical Center | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $735 | $131 | $51 |
| Abdominal fluid drain (paracentesis) | $2,016 | $430 | $284 |
| Abdominal ultrasound | $1,654 | $739 | $100 |
| Abdominal ultrasound (complete) | $1,922 | $1,097 | $114 |
| Abdominal ultrasound (limited) | $1,386 | $739 | $86 |
| Abscess drainage (complex or multiple) | $830 | $434 | $220 |
| Abscess drainage (simple) | $914 | $458 | $129 |
| Abscess incision and drainage | $872 | $446 | $174 |
| Albumin blood test | $21 | $73 | $5 |
| Aldosterone test | $171 | $255 | $41 |
| Alkaline phosphatase test | $22 | $112 | $5 |
| Alpha-fetoprotein (AFP) test | $70 | $160 | $17 |
| ALT liver enzyme test | $22 | $112 | $5 |
| Ammonia blood test | $61 | $149 | $15 |
| Amylase test | $27 | $192 | $6 |
| Annual physical (established patient) | $415 | $174 | — |
| Annual physical (new patient) | $415 | $194 | — |
| Anoscopy | $777 | $115 | $129 |
| Antinuclear antibody (ANA) test | $50 | $194 | $12 |
| Arterial blood gas (ABG) | $441 | $250 | $26 |
| AST liver enzyme test | $22 | $106 | $5 |
| Barium swallow study | $1,344 | $604 | $107 |
| Bartholin cyst removal | $861 | $455 | $182 |
| Basic metabolic panel | $36 | $156 | $8 |
| Benign skin lesion removal | $1,785 | $268 | $171 |
| Bilirubin blood test | $21 | $145 | $5 |
| Blood clotting test (PT/INR) | $18 | $76 | $4 |
| Blood glucose test | $181 | $67 | $5 |
| Blood transfusion | $1,160 | $997 | $47 |
| Blood type and screen | $234 | $124 | $10 |
| Blood type test | $368 | $66 | $3 |
| Blood type test (ABO group) | $564 | $67 | $3 |
| Blood type test (Rh/D antigen) | $172 | $65 | $3 |
| BNP (heart failure) test | $462 | $238 | $39 |
| Bone density scan (DEXA) | $882 | $508 | $39 |
| Bone scan (nuclear) | $2,730 | $1,756 | $259 |
| Breast ultrasound | $1,219 | $494 | $92 |
| Breast ultrasound (complete) | $1,397 | $680 | $100 |
| Breast ultrasound (limited) | $1,040 | $494 | $84 |
| Breathing tube insertion (intubation) | $1,722 | $559 | $133 |
| Burn dressing and debridement (medium) | $714 | $458 | $166 |
| Burn dressing and debridement (small) | $452 | $380 | $93 |
| Burn treatment | $583 | $380 | $129 |
| C-reactive protein (CRP) | $22 | $83 | $5 |
| CA 19-9 tumor marker test | $23 | $153 | $21 |
| CA-125 ovarian marker test | $121 | $229 | $21 |
| Calcium blood test | $22 | $77 | $5 |
| Cardiac rehabilitation | $320 | $253 | $26 |
| Cardiac stress test | $1,649 | $992 | $39 |
| Cardioversion | $2,709 | $1,327 | $155 |
| Carotid artery ultrasound | $1,407 | $142 | $156 |
| CEA tumor marker test | $80 | $210 | $19 |
| Central line placement | $4,001 | $7,289 | $238 |
| Chest fluid drain (thoracentesis) | $3,150 | $1,545 | $311 |
| Chest tube insertion | $2,121 | $3,662 | $143 |
| Chest X-ray | $672 | $319 | $37 |
| Chest X-ray (1 view) | $609 | $293 | $25 |
| Chest X-ray (2 views) | $609 | $345 | $33 |
| Chickenpox (varicella) vaccine | $276 | $384 | — |
| CK-MB heart enzyme test | $326 | $178 | $12 |
| Clotting time test (PTT) | $25 | $100 | $6 |
| Colonoscopy | $4,431 | $1,591 | $480 |
| Complete blood count (CBC) | $145 | $99 | $7 |
| Complete blood count (CBC) (complete) | $110 | $109 | $8 |
| Comprehensive metabolic panel | $44 | $217 | $11 |
| Contraceptive implant (Nexplanon) | $874 | $248 | $115 |
| Copper blood test | $53 | $139 | $12 |
| Cortisol test | $68 | $205 | $16 |
| COVID-19 PCR test | $226 | $275 | $51 |
| Creatine kinase (CK) test | $27 | $110 | $7 |
| CT angiography of the chest | $5,061 | $3,025 | $281 |
| CT angiography of the head | $3,728 | $2,229 | $274 |
| CT scan of the abdomen | $4,988 | $1,885 | $230 |
| CT scan of the abdomen and pelvis | $7,518 | $3,756 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $8,285 | $4,987 | $338 |
| CT scan of the abdomen and pelvis with contrast | $7,518 | $4,211 | $300 |
| CT scan of the abdomen and pelvis without contrast | $6,195 | $3,756 | $183 |
| CT scan of the abdomen with and without contrast | $5,492 | $2,884 | $259 |
| CT scan of the abdomen with contrast | $4,988 | $1,885 | $230 |
| CT scan of the abdomen without contrast | $4,158 | $2,033 | $136 |
| CT scan of the arm | $4,085 | $1,810 | $199 |
| CT scan of the arm with contrast | $3,654 | $2,006 | $199 |
| CT scan of the arm without contrast | $4,085 | $1,810 | $161 |
| CT scan of the chest | $4,977 | $1,898 | $167 |
| CT scan of the chest with and without contrast | $5,618 | $2,639 | $196 |
| CT scan of the chest with contrast | $4,977 | $2,288 | $167 |
| CT scan of the chest without contrast | $3,906 | $1,898 | $133 |
| CT scan of the head | $3,812 | $1,910 | $148 |
| CT scan of the head with and without contrast | $4,095 | $2,309 | $173 |
| CT scan of the head with contrast | $3,560 | $2,180 | $148 |
| CT scan of the head without contrast | $3,812 | $1,910 | $107 |
| CT scan of the leg | $3,486 | $1,873 | $166 |
| CT scan of the leg with contrast | $3,245 | $2,099 | $166 |
| CT scan of the leg without contrast | $3,539 | $1,873 | $130 |
| CT scan of the lower back (lumbar spine) | $5,198 | $2,487 | $169 |
| CT scan of the lower back (lumbar spine) with contrast | $5,198 | $2,690 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $3,738 | $2,487 | $130 |
| CT scan of the neck | $4,400 | $1,886 | $183 |
| CT scan of the neck (cervical spine) | $4,977 | $2,316 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $6,741 | $2,788 | $196 |
| CT scan of the neck (cervical spine) with contrast | $4,977 | $2,525 | $168 |
| CT scan of the neck (cervical spine) without contrast | $4,421 | $2,316 | $131 |
| CT scan of the neck with and without contrast | $4,421 | $2,482 | $220 |
| CT scan of the neck with contrast | $4,400 | $2,142 | $183 |
| CT scan of the neck without contrast | $3,056 | $1,886 | $150 |
| CT scan of the pelvis | $4,589 | $2,027 | $226 |
| CT scan of the pelvis with contrast | $5,061 | $2,452 | $226 |
| CT scan of the pelvis without contrast | $4,148 | $2,027 | $133 |
| CT scan of the sinuses | $4,347 | $1,896 | $152 |
| CT scan of the sinuses with contrast | $4,347 | $2,230 | $152 |
| CT scan of the sinuses without contrast | $3,581 | $1,896 | $128 |
| D-dimer test | $305 | $172 | $10 |
| Developmental screening (child) | $215 | $16 | — |
| DHEA-sulfate test | $93 | $262 | $22 |
| Diagnostic mammogram | $851 | $371 | $140 |
| Drug screen (urine) | $544 | $151 | $17 |
| Echocardiogram | $2,037 | $767 | $138 |
| Echocardiogram with and without contrast | $1,208 | $767 | $101 |
| EKG / ECG (tracing only) | $462 | $275 | $7 |
| Electrocardiogram (EKG) | $462 | $275 | $8 |
| Emergency department visit | $851 | $501 | $69 |
| Emergency department visit (level 1) | $305 | $277 | $11 |
| Emergency department visit (level 2) | $599 | $501 | $40 |
| Emergency department visit (level 3) | $851 | $848 | $69 |
| Emergency department visit (level 4) | $2,027 | $1,357 | $118 |
| Emergency department visit (level 5) | $2,877 | $1,721 | $171 |
| Estradiol (estrogen) test | $118 | $260 | $28 |
| Family therapy session | $599 | $235 | $110 |
| Fecal occult blood (stool) test | $78 | $81 | $10 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $67 | $81 | $16 |
| Ferritin (iron) test | $58 | $179 | $14 |
| Fibrinogen test | $226 | $133 | $10 |
| Flexible sigmoidoscopy | $2,331 | $1,273 | $323 |
| Flu test | $205 | $145 | $17 |
| Flu vaccine | $28 | $31 | — |
| Folate (folic acid) test | $315 | $145 | $15 |
| Foreign body removal (skin) | $1,533 | $274 | $157 |
| Free T4 thyroid test | $38 | $158 | $9 |
| FSH hormone test | $373 | $231 | $19 |
| Gallbladder scan (HIDA) | $3,025 | $1,748 | $334 |
| GGT liver test | $30 | $83 | $7 |
| Glucose tolerance test | $292 | $73 | $8 |
| Group therapy session | $357 | $309 | $30 |
| Hammertoe repair | $7,102 | $1,854 | $548 |
| HDL cholesterol test | $19 | $99 | $8 |
| Hematocrit test | $86 | $46 | $2 |
| Hemoglobin A1c (diabetes test) | $263 | $144 | $10 |
| Hemorrhoid removal | $4,125 | $422 | $338 |
| Hepatitis A vaccine | $129 | $235 | — |
| Hepatitis B test | $86 | $171 | $10 |
| Hepatitis B vaccine | $108 | $209 | — |
| Holter heart monitor | $1,050 | $550 | $26 |
| HPV vaccine | $474 | $644 | — |
| Iron blood test | $184 | $130 | $6 |
| IUD insertion | $746 | $154 | — |
| IUD removal | $1,250 | $253 | $112 |
| IV infusion therapy | $704 | $338 | $44 |
| IV infusion therapy (each additional) | $326 | $186 | $21 |
| IV infusion therapy (initial) | $1,082 | $490 | $67 |
| Joint aspiration (small/intermediate) | $788 | $176 | $57 |
| Joint aspiration or injection (mid-size joint) | $672 | $677 | $57 |
| Joint aspiration or injection (small joint) | $903 | $176 | $56 |
| Kidney scan (nuclear) | $2,426 | $1,298 | $172 |
| Kidney ultrasound | $1,528 | $773 | $84 |
| Kidney ultrasound (limited) | $1,397 | $779 | $61 |
| Knee joint injection | $1,365 | $842 | $69 |
| Lactate test | $320 | $140 | $12 |
| LDH test | $25 | $88 | $6 |
| LDL cholesterol test | $44 | $70 | $11 |
| Leg vein ultrasound (Doppler) | $1,759 | $851 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $1,418 | $851 | $116 |
| LH hormone test | $78 | $226 | $19 |
| Lipase test | $29 | $137 | $7 |
| Lipid (cholesterol) panel | $389 | $172 | $13 |
| Liver function panel | $320 | $193 | $8 |
| Lung function test (PFT) | $602 | $180 | $37 |
| Lung scan (V/Q) | $3,371 | $1,751 | $291 |
| Magnesium blood test | $28 | $171 | $7 |
| MMR vaccine | $141 | $323 | — |
| MRA of the brain | $7,928 | $2,675 | $226 |
| MRA of the brain without contrast | $7,928 | $3,457 | $328 |
| MRA of the neck | $7,928 | $2,695 | $245 |
| MRA of the neck without contrast | $7,928 | $3,457 | $343 |
| MRI of the abdomen | $7,928 | $2,767 | $300 |
| MRI of the abdomen without contrast | $5,145 | $2,767 | $194 |
| MRI of the ankle | $7,928 | $2,795 | $261 |
| MRI of the ankle without contrast | $5,576 | $2,795 | $222 |
| MRI of the brain | $7,928 | $2,907 | $269 |
| MRI of the brain without contrast | $4,841 | $2,907 | $195 |
| MRI of the chest | $6,416 | $2,813 | $371 |
| MRI of the chest without contrast | $9,093 | $4,013 | $466 |
| MRI of the knee | $7,928 | $2,900 | $315 |
| MRI of the knee with contrast | $9,828 | $3,102 | $315 |
| MRI of the knee without contrast | $5,576 | $2,900 | $204 |
| MRI of the lower back (lumbar spine) | $7,928 | $2,878 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $5,292 | $2,878 | $192 |
| MRI of the mid-back (thoracic spine) | $6,657 | $3,148 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $7,928 | $4,103 | $319 |
| MRI of the mid-back (thoracic spine) without contrast | $5,072 | $3,148 | $190 |
| MRI of the neck (cervical spine) | $7,928 | $3,071 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $7,928 | $3,968 | $318 |
| MRI of the neck (cervical spine) without contrast | $5,397 | $3,071 | $191 |
| MRI of the pelvis | $9,093 | $2,878 | $268 |
| MRI of the pelvis without contrast | $5,576 | $2,878 | $227 |
| MRI of the shoulder | $7,928 | $2,557 | $313 |
| MRI of the shoulder with contrast | $8,558 | $2,843 | $313 |
| MRI of the shoulder without contrast | $5,576 | $2,557 | $205 |
| MRI of the wrist | $6,447 | $2,588 | $330 |
| MRI of the wrist without contrast | $5,576 | $2,588 | $303 |
| Nebulizer breathing treatment | $483 | $45 | $9 |
| Nuclear cardiac stress test | $5,607 | $4,194 | $428 |
| Occupational therapy evaluation | $630 | $318 | $101 |
| Occupational therapy evaluation (high complexity) | $641 | $354 | $101 |
| Occupational therapy evaluation (low complexity) | $630 | $312 | $101 |
| Occupational therapy evaluation (moderate complexity) | $630 | $318 | $101 |
| Office visit (established patient) | $675 | $167 | $115 |
| Office visit (new patient) | $315 | $304 | $177 |
| Office visit, established patient (level 3) | $215 | $155 | $95 |
| Office visit, established patient (level 4) | $1,134 | $167 | $136 |
| Office visit, new patient (level 3) | $215 | $179 | $118 |
| Office visit, new patient (level 4) | $315 | $304 | $177 |
| Office visit, new patient (level 5) | $362 | $401 | $237 |
| Orthopedic hardware removal | $5,754 | $2,228 | $632 |
| Pap smear (cervical screening) | $383 | $156 | $20 |
| Parathyroid hormone (PTH) test | $173 | $309 | $41 |
| Pelvic ultrasound | $1,350 | $587 | $78 |
| Pelvic ultrasound (complete) | $1,397 | $808 | $105 |
| Pelvic ultrasound (limited) | $1,302 | $587 | $51 |
| PET scan | $10,857 | $5,681 | — |
| Phosphorus blood test | $20 | $86 | $5 |
| Physical therapy evaluation | $630 | $270 | $98 |
| Physical therapy evaluation (high complexity) | $641 | $276 | $98 |
| Physical therapy evaluation (moderate complexity) | $630 | $270 | $98 |
| Platelet count | $131 | $70 | $4 |
| Pneumonia vaccine | $548 | $93 | — |
| Pregnancy ultrasound | $1,397 | $701 | $126 |
| Pregnancy ultrasound (first trimester) | $1,397 | $658 | $117 |
| Pregnancy ultrasound (second or third trimester) | $1,397 | $745 | $136 |
| Procalcitonin test | $168 | $197 | $27 |
| Prolactin test | $82 | $235 | $19 |
| Prostate test (PSA) | $30 | $189 | $18 |
| Psychiatric evaluation | $636 | $379 | $188 |
| Psychotherapy session | $599 | $309 | $140 |
| Pulmonary rehabilitation | $194 | $320 | $87 |
| Scoliosis spine X-ray | $1,192 | $293 | $58 |
| Scoliosis spine X-ray (1 view) | $861 | $293 | $44 |
| Scoliosis spine X-ray (3 views) | $1,523 | $309 | $72 |
| Screening colonoscopy | $3,371 | $1,591 | $378 |
| Screening mammogram | $924 | $433 | $126 |
| Scrotal ultrasound | $1,397 | $757 | $99 |
| Sedimentation rate (ESR) test | $179 | $77 | $3 |
| Semen analysis | $331 | $128 | $12 |
| Sex hormone binding globulin test | $91 | $145 | $22 |
| Shingles vaccine | $310 | $240 | — |
| Simple laceration repair (small, up to 2.5 cm) | $578 | $228 | $114 |
| Simple wound stitches | $694 | $345 | $127 |
| Skin biopsy | $662 | $118 | $121 |
| Skin biopsy (punch) | $662 | $127 | $121 |
| Skin cancer lesion removal | $2,699 | $372 | $240 |
| Skin lesion freezing (cryotherapy) | $392 | $81 | $36 |
| Skin tag removal | $609 | $184 | $92 |
| Sleep study (polysomnography) | $6,259 | $3,867 | $691 |
| Soft tissue ultrasound | $1,397 | $457 | $64 |
| Speech therapy | $110 | $323 | $76 |
| Spinal tap (lumbar puncture) | $1,208 | $1,582 | $165 |
| Spirometry (lung function test) | $394 | $180 | $30 |
| Spirometry with bronchodilator | $809 | $574 | $43 |
| Stress echocardiogram | $3,072 | $1,459 | $209 |
| Swallow study | $420 | $403 | $85 |
| T3 thyroid test | $60 | $170 | $14 |
| Tdap (tetanus) vaccine | $72 | $172 | — |
| Testosterone test | $108 | $197 | $26 |
| Thyroid test (TSH) | $70 | $179 | $17 |
| Thyroid ultrasound | $1,397 | $737 | $109 |
| Thyroid uptake scan | $1,455 | $1,215 | $145 |
| Total IgE allergy test | $69 | $183 | $16 |
| Total protein test | $103 | $62 | $4 |
| Transvaginal ultrasound | $1,397 | $654 | $118 |
| Trigger finger release | $4,778 | $1,910 | $630 |
| Trigger point injection | $667 | $176 | $56 |
| Trigger point injection (1-2 muscles) | $515 | $176 | $52 |
| Triglycerides test | $24 | $177 | $6 |
| Troponin (heart) test | $320 | $181 | $12 |
| Upper GI endoscopy (EGD) | $2,562 | $1,273 | $371 |
| Upper GI series (barium) | $1,444 | $675 | $128 |
| Uric acid (gout) test | $168 | $68 | $5 |
| Urinalysis | $132 | $85 | $3 |
| Urine microalbumin test | $117 | $100 | $5 |
| Urine pregnancy test | $173 | $118 | $9 |
| Vaccine administration | $180 | $47 | $19 |
| Vaccine administration (each additional) | $102 | $36 | $16 |
| Vasectomy | $4,589 | $1,591 | $347 |
| Vitamin B12 test | $326 | $156 | $15 |
| Vitamin D test | $124 | $265 | $30 |
| Wart removal | $830 | $217 | $121 |
| Well-child visit | $415 | $131 | — |
| Wound debridement | $1,339 | $657 | $186 |
| X-ray of the abdomen | $840 | $316 | $36 |
| X-ray of the ankle | $693 | $356 | $37 |
| X-ray of the collarbone | $693 | $341 | $33 |
| X-ray of the elbow | $693 | $390 | $33 |
| X-ray of the facial bones | $799 | $520 | $39 |
| X-ray of the foot | $693 | $356 | $34 |
| X-ray of the forearm | $609 | $346 | $29 |
| X-ray of the hand | $693 | $369 | $38 |
| X-ray of the hip | $914 | $449 | $49 |
| X-ray of the hip (1 view) | $704 | $449 | $34 |
| X-ray of the hip (3 views) | $914 | $449 | $49 |
| X-ray of the knee | $693 | $318 | $42 |
| X-ray of the knee (2 views) | $609 | $318 | $34 |
| X-ray of the knee (3 views) | $693 | $388 | $42 |
| X-ray of the knee (4+ views) | $1,029 | $473 | $49 |
| X-ray of the lower back (lumbar spine) | $977 | $421 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $840 | $421 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $1,113 | $421 | $53 |
| X-ray of the lower leg | $693 | $358 | $31 |
| X-ray of the mid-back (thoracic spine) | $840 | $451 | $36 |
| X-ray of the mid-back (thoracic spine) (3 views) | $840 | $451 | $39 |
| X-ray of the neck (cervical spine) | $893 | $411 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $830 | $411 | $40 |
| X-ray of the pelvis | $898 | $317 | $36 |
| X-ray of the pelvis (1 view) | $840 | $317 | $28 |
| X-ray of the ribs | $840 | $376 | $42 |
| X-ray of the ribs (2 views) | $693 | $376 | $36 |
| X-ray of the ribs (3 views) | $840 | $376 | $42 |
| X-ray of the shoulder | $683 | $382 | $36 |
| X-ray of the skull | $840 | $373 | $40 |
| X-ray of the upper arm | $609 | $342 | $32 |
| X-ray of the wrist | $693 | $375 | $43 |
| Zinc blood test | $48 | $100 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
