| Procedure | Centracare-Redwood | Sanford Westbrook Medical Center | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $190 | $131 | $51 |
| Abdominal ultrasound | $485 | $940 | $100 |
| Abdominal ultrasound (complete) | $534 | $1,108 | $114 |
| Abdominal ultrasound (limited) | $436 | $771 | $86 |
| Abscess drainage (complex or multiple) | $607 | $746 | $220 |
| Abscess drainage (simple) | $348 | $572 | $129 |
| Abscess incision and drainage | $478 | $659 | $174 |
| Albumin blood test | $33 | $100 | $5 |
| Aldosterone test | $73 | $383 | $41 |
| Alkaline phosphatase test | $33 | $86 | $5 |
| Allergy shots | $30 | $59 | $11 |
| Alpha-fetoprotein (AFP) test | $45 | $192 | $17 |
| ALT liver enzyme test | $33 | $86 | $5 |
| Ammonia blood test | $34 | $175 | $15 |
| Amylase test | $64 | $105 | $6 |
| Antinuclear antibody (ANA) test | $41 | $177 | $12 |
| Arterial blood gas (ABG) | $53 | $321 | $26 |
| AST liver enzyme test | $33 | $86 | $5 |
| Basic metabolic panel | $85 | $155 | $8 |
| Benign skin lesion removal | $224 | $802 | $171 |
| Bilirubin blood test | $33 | $86 | $5 |
| Bladder scope (cystoscopy) | $667 | $3,841 | $216 |
| Blood clotting test (PT/INR) | $26 | $78 | $4 |
| Blood crossmatch | $88 | $137 | — |
| Blood glucose test | $33 | $53 | $5 |
| Blood transfusion | $842 | $1,093 | $47 |
| Blood type and screen | $82 | $117 | $10 |
| Blood type test | $45 | $54 | $3 |
| Blood type test (ABO group) | $50 | $47 | $3 |
| Blood type test (Rh/D antigen) | $40 | $60 | $3 |
| BNP (heart failure) test | $119 | $200 | $39 |
| Bone density scan (DEXA) | $300 | $819 | $39 |
| Bone scan (nuclear) | $1,078 | $2,034 | $259 |
| Breast ultrasound | $349 | $480 | $92 |
| Breast ultrasound (limited) | $319 | $480 | $84 |
| Breathing tube insertion (intubation) | $1,078 | $618 | $133 |
| Burn dressing and debridement (medium) | $444 | $358 | $166 |
| Burn dressing and debridement (small) | $241 | $366 | $93 |
| Burn treatment | $342 | $362 | $129 |
| C-reactive protein (CRP) | $56 | $116 | $5 |
| CA 19-9 tumor marker test | $53 | $102 | $21 |
| CA-125 ovarian marker test | $53 | $102 | $21 |
| Calcium blood test | $33 | $86 | $5 |
| Cardiac rehabilitation | $296 | $282 | $26 |
| Cardiac stress test | $733 | $1,113 | $39 |
| Cardioversion | $1,293 | $1,761 | $155 |
| Carotid artery ultrasound | $601 | $1,060 | $156 |
| CEA tumor marker test | $57 | $100 | $19 |
| Celiac disease test | $49 | $11 | $12 |
| Central line placement | $2,523 | $1,938 | $238 |
| Chemotherapy infusion | $418 | $574 | $81 |
| Chemotherapy infusion (each additional) | $269 | $289 | $28 |
| Chemotherapy infusion (first hour) | $568 | $859 | $133 |
| Chest fluid drain (thoracentesis) | $1,252 | $1,754 | $311 |
| Chest tube insertion | $839 | $1,075 | $143 |
| Chest X-ray | $229 | $402 | $37 |
| Chest X-ray (1 view) | $220 | $314 | $25 |
| Chest X-ray (2 views) | $225 | $393 | $33 |
| Chickenpox (varicella) vaccine | $178 | $120 | — |
| CK-MB heart enzyme test | $35 | $179 | $12 |
| Clotting time test (PTT) | $51 | $114 | $6 |
| Complete blood count (CBC) | $118 | $110 | $7 |
| Complete blood count (CBC) (complete) | $130 | $134 | $8 |
| Comprehensive metabolic panel | $132 | $197 | $11 |
| Copper blood test | $53 | $142 | $12 |
| Cortisol test | $76 | $167 | $16 |
| COVID-19 PCR test | $82 | $125 | $51 |
| CPAP titration study | $519 | $417 | $69 |
| Creatine kinase (CK) test | $33 | $121 | $7 |
| CT angiography of the chest | $1,261 | $2,927 | $281 |
| CT angiography of the head | $1,466 | $2,976 | $274 |
| CT scan of the abdomen | $1,164 | $2,932 | $230 |
| CT scan of the abdomen and pelvis | $2,260 | $4,656 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $2,372 | $5,262 | $338 |
| CT scan of the abdomen and pelvis with contrast | $2,260 | $4,656 | $300 |
| CT scan of the abdomen and pelvis without contrast | $2,140 | $3,886 | $183 |
| CT scan of the abdomen with and without contrast | $1,317 | $2,977 | $259 |
| CT scan of the abdomen with contrast | $1,164 | $2,932 | $230 |
| CT scan of the abdomen without contrast | $1,012 | $2,240 | $136 |
| CT scan of the arm | $1,045 | $2,307 | $199 |
| CT scan of the arm with contrast | $1,118 | $2,288 | $199 |
| CT scan of the arm without contrast | $972 | $2,307 | $161 |
| CT scan of the chest | $1,373 | $2,840 | $167 |
| CT scan of the chest with and without contrast | $1,551 | $3,167 | $196 |
| CT scan of the chest with contrast | $1,373 | $2,840 | $167 |
| CT scan of the chest without contrast | $1,193 | $2,177 | $133 |
| CT scan of the head | $1,163 | $2,717 | $148 |
| CT scan of the head with and without contrast | $1,314 | $2,852 | $173 |
| CT scan of the head with contrast | $1,163 | $2,717 | $148 |
| CT scan of the head without contrast | $1,011 | $2,126 | $107 |
| CT scan of the leg | $1,150 | $2,359 | $166 |
| CT scan of the leg with contrast | $1,150 | $2,653 | $166 |
| CT scan of the leg without contrast | $1,000 | $2,307 | $130 |
| CT scan of the lower back (lumbar spine) | $1,234 | $2,681 | $169 |
| CT scan of the lower back (lumbar spine) with contrast | $1,234 | $2,770 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,234 | $2,592 | $130 |
| CT scan of the neck | $1,040 | $2,498 | $183 |
| CT scan of the neck (cervical spine) | $1,395 | $2,440 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,331 | $2,440 | $131 |
| CT scan of the neck with and without contrast | $1,175 | $4,096 | $220 |
| CT scan of the neck with contrast | $1,040 | $2,498 | $183 |
| CT scan of the neck without contrast | $904 | $2,090 | $150 |
| CT scan of the pelvis | $1,099 | $2,544 | $226 |
| CT scan of the pelvis with and without contrast | $1,243 | $2,675 | $251 |
| CT scan of the pelvis with contrast | $1,099 | $2,544 | $226 |
| CT scan of the pelvis without contrast | $956 | $1,978 | $133 |
| CT scan of the sinuses | $1,168 | $2,519 | $152 |
| CT scan of the sinuses with and without contrast | $1,321 | $3,016 | $184 |
| CT scan of the sinuses with contrast | $1,168 | $2,519 | $152 |
| CT scan of the sinuses without contrast | $1,016 | $2,075 | $128 |
| D-dimer test | $96 | $219 | $10 |
| DHEA-sulfate test | $54 | $54 | $22 |
| Drug screen (urine) | $93 | $179 | $17 |
| Echocardiogram | $1,001 | $1,782 | $138 |
| Echocardiogram with and without contrast | $624 | $966 | $101 |
| EKG / ECG (tracing only) | $173 | $278 | $7 |
| Electrocardiogram (EKG) | $99 | $278 | $8 |
| Electrolyte panel | $35 | $127 | $7 |
| Emergency department visit | $593 | $705 | $69 |
| Emergency department visit (level 1) | $217 | $323 | $11 |
| Emergency department visit (level 2) | $350 | $464 | $40 |
| Emergency department visit (level 3) | $593 | $705 | $69 |
| Emergency department visit (level 4) | $948 | $1,293 | $118 |
| Emergency department visit (level 5) | $1,321 | $1,753 | $171 |
| Estradiol (estrogen) test | $49 | $282 | $28 |
| Fecal occult blood (stool) test | $36 | $56 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $34 | $54 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $38 | $58 | $16 |
| Ferritin (iron) test | $71 | $157 | $14 |
| Fibrinogen test | $55 | $48 | $10 |
| Flexible sigmoidoscopy | $685 | $2,205 | $323 |
| Flu test | $45 | $86 | $17 |
| Folate (folic acid) test | $41 | $134 | $15 |
| Foreign body removal (skin) | $446 | $686 | $157 |
| Free T4 thyroid test | $38 | $161 | $9 |
| FSH hormone test | $38 | $247 | $19 |
| Gallbladder scan (HIDA) | $1,335 | $2,028 | $334 |
| GGT liver test | $33 | $74 | $7 |
| Glucose tolerance test | $40 | $141 | $8 |
| H. pylori test | $108 | $418 | $67 |
| Hammertoe repair | $1,549 | $4,127 | $548 |
| HDL cholesterol test | $33 | $86 | $8 |
| Hematocrit test | $37 | $49 | $2 |
| Hemoglobin A1c (diabetes test) | $123 | $118 | $10 |
| Hepatitis A vaccine | $81 | $94 | — |
| Hepatitis B test | $36 | $149 | $10 |
| Hepatitis C test | $48 | $222 | $14 |
| HIV test | $99 | $149 | $19 |
| HIV test (antigen/antibody combo) | $99 | $127 | $24 |
| Holter heart monitor | $402 | $607 | $26 |
| Iron blood test | $34 | $74 | $6 |
| IV infusion therapy | $322 | $398 | $44 |
| IV infusion therapy (each additional) | $188 | $244 | $21 |
| IV infusion therapy (initial) | $457 | $551 | $67 |
| Joint aspiration (small/intermediate) | $400 | $694 | $57 |
| Joint aspiration or injection (mid-size joint) | $420 | $700 | $57 |
| Joint aspiration or injection (small joint) | $380 | $688 | $56 |
| Kidney scan (nuclear) | $1,314 | $2,428 | $172 |
| Kidney ultrasound | $392 | $863 | $84 |
| Kidney ultrasound (limited) | $354 | $729 | $61 |
| Knee joint injection | $572 | $812 | $69 |
| Lactate test | $78 | $129 | $12 |
| LDH test | $33 | $82 | $6 |
| LDL cholesterol test | $42 | $112 | $11 |
| Leg vein ultrasound (Doppler) | $656 | $1,184 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $500 | $1,030 | $116 |
| LH hormone test | $49 | $243 | $19 |
| Lipase test | $34 | $208 | $7 |
| Lipid (cholesterol) panel | $90 | $146 | $13 |
| Liver function panel | $40 | $175 | $8 |
| Lung function test (PFT) | $269 | $470 | $37 |
| Lung scan (V/Q) | $1,324 | $2,146 | $291 |
| Magnesium blood test | $41 | $89 | $7 |
| MMR vaccine | $101 | $105 | — |
| MRA of the brain | $1,926 | $3,314 | $226 |
| MRA of the brain without contrast | $2,177 | $4,066 | $328 |
| MRA of the neck | $1,789 | $3,053 | $245 |
| MRA of the neck without contrast | $2,023 | $3,887 | $343 |
| MRI of the abdomen | $2,084 | $3,474 | $300 |
| MRI of the abdomen without contrast | $1,812 | $3,044 | $194 |
| MRI of the ankle | $1,928 | $3,582 | $261 |
| MRI of the ankle without contrast | $1,676 | $2,955 | $222 |
| MRI of the brain | $1,981 | $3,609 | $269 |
| MRI of the brain without contrast | $1,892 | $3,062 | $195 |
| MRI of the chest | $1,748 | $3,294 | $371 |
| MRI of the knee | $2,112 | $3,438 | $315 |
| MRI of the knee without contrast | $1,892 | $2,818 | $204 |
| MRI of the lower back (lumbar spine) | $2,042 | $3,508 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $2,042 | $3,508 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,775 | $3,190 | $192 |
| MRI of the mid-back (thoracic spine) | $2,042 | $3,497 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $2,308 | $4,322 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $2,042 | $3,497 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $1,892 | $3,370 | $190 |
| MRI of the neck (cervical spine) | $2,117 | $3,486 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $2,308 | $4,721 | $318 |
| MRI of the neck (cervical spine) without contrast | $1,927 | $3,322 | $191 |
| MRI of the pelvis | $2,047 | $4,008 | $268 |
| MRI of the pelvis without contrast | $1,780 | $3,156 | $227 |
| MRI of the shoulder | $2,118 | $3,705 | $313 |
| MRI of the shoulder without contrast | $1,892 | $2,953 | $205 |
| MRI of the wrist | $1,902 | $3,494 | $330 |
| MRI of the wrist without contrast | $1,654 | $2,828 | $303 |
| Nebulizer breathing treatment | $145 | $204 | $9 |
| Nuclear cardiac stress test | $2,755 | $4,921 | $428 |
| Occupational therapy evaluation | $268 | $322 | $101 |
| Occupational therapy evaluation (high complexity) | $315 | $386 | $101 |
| Occupational therapy evaluation (low complexity) | $233 | $280 | $101 |
| Occupational therapy evaluation (moderate complexity) | $268 | $322 | $101 |
| Office visit (established patient) | $274 | $229 | $115 |
| Office visit (new patient) | $415 | $177 | $177 |
| Office visit, established patient (level 3) | $226 | $202 | $95 |
| Office visit, established patient (level 4) | $321 | $256 | $136 |
| Office visit, new patient (level 3) | $280 | $177 | $118 |
| Pap smear (cervical screening) | $78 | $108 | $20 |
| Parathyroid hormone (PTH) test | $93 | $217 | $41 |
| Pelvic ultrasound | $381 | $864 | $78 |
| Pelvic ultrasound (complete) | $445 | $1,014 | $105 |
| Pelvic ultrasound (limited) | $317 | $714 | $51 |
| Phosphorus blood test | $34 | $72 | $5 |
| Physical therapy evaluation | $268 | $308 | $98 |
| Physical therapy evaluation (high complexity) | $315 | $353 | $98 |
| Physical therapy evaluation (moderate complexity) | $268 | $308 | $98 |
| Platelet count | $37 | $56 | $4 |
| Pneumonia vaccine | $150 | $219 | — |
| Pregnancy blood test (hCG) | $36 | $86 | $8 |
| Pregnancy ultrasound | $449 | $997 | $126 |
| Pregnancy ultrasound (first trimester) | $403 | $955 | $117 |
| Pregnancy ultrasound (second or third trimester) | $495 | $1,038 | $136 |
| Procalcitonin test | $83 | $389 | $27 |
| Prolactin test | $38 | $263 | $19 |
| Prostate test (PSA) | $42 | $90 | $18 |
| Scoliosis spine X-ray | $255 | $482 | $58 |
| Scoliosis spine X-ray (1 view) | $227 | $443 | $44 |
| Scoliosis spine X-ray (3 views) | $282 | $521 | $72 |
| Scrotal ultrasound | $428 | $821 | $99 |
| Sedimentation rate (ESR) test | $35 | $55 | $3 |
| Semen analysis | $145 | $102 | $12 |
| Sex hormone binding globulin test | $59 | $166 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $262 | $359 | $114 |
| Simple wound stitches | $290 | $369 | $127 |
| Skin biopsy | $334 | $530 | $121 |
| Skin biopsy (punch) | $334 | $601 | $121 |
| Skin cancer lesion removal | $719 | $654 | $240 |
| Sleep study (polysomnography) | $3,280 | $4,701 | $691 |
| Soft tissue ultrasound | $355 | $592 | $64 |
| Speech therapy | $142 | $324 | $76 |
| Spinal tap (lumbar puncture) | $951 | $993 | $165 |
| Spirometry (lung function test) | $198 | $278 | $30 |
| Spirometry with bronchodilator | $341 | $663 | $43 |
| Strep throat test | $59 | $80 | $17 |
| Stress echocardiogram | $1,136 | $2,186 | $209 |
| Swallow study | $230 | $410 | $85 |
| T3 thyroid test | $47 | $92 | $14 |
| Tdap (tetanus) vaccine | $48 | $86 | — |
| Testosterone test | $128 | $61 | $26 |
| Thyroid test (TSH) | $64 | $142 | $17 |
| Thyroid ultrasound | $389 | $902 | $109 |
| Thyroid uptake scan | $967 | $1,503 | $145 |
| Total IgE allergy test | $47 | $188 | $16 |
| Total protein test | $33 | $86 | $4 |
| Transvaginal ultrasound | $372 | $903 | $118 |
| Trigger point injection | $169 | $609 | $56 |
| Trigger point injection (1-2 muscles) | $157 | $609 | $52 |
| Triglycerides test | $33 | $86 | $6 |
| Troponin (heart) test | $93 | $213 | $12 |
| Uric acid (gout) test | $33 | $74 | $5 |
| Urinalysis | $32 | $61 | $3 |
| Urine microalbumin test | $42 | $128 | $5 |
| Urine pregnancy test | $40 | $89 | $9 |
| Vaccine administration | $41 | $60 | $19 |
| Vaccine administration (each additional) | $35 | $56 | $16 |
| Varicose vein ablation | $4,211 | $7,246 | $1,018 |
| Vasectomy | $1,140 | $3,714 | $347 |
| Vitamin B12 test | $45 | $79 | $15 |
| Vitamin D test | $61 | $132 | $30 |
| Wart removal | $355 | $249 | $121 |
| Wound debridement | $891 | $1,073 | $186 |
| X-ray of the abdomen | $226 | $406 | $36 |
| X-ray of the ankle | $223 | $420 | $37 |
| X-ray of the collarbone | $189 | $422 | $33 |
| X-ray of the elbow | $222 | $446 | $33 |
| X-ray of the facial bones | $238 | $482 | $39 |
| X-ray of the foot | $218 | $452 | $34 |
| X-ray of the forearm | $199 | $413 | $29 |
| X-ray of the hand | $208 | $430 | $38 |
| X-ray of the hip | $231 | $413 | $49 |
| X-ray of the hip (1 view) | $201 | $295 | $34 |
| X-ray of the hip (3 views) | $231 | $413 | $49 |
| X-ray of the hip (4 views) | $261 | $465 | $63 |
| X-ray of the knee | $257 | $415 | $42 |
| X-ray of the knee (2 views) | $194 | $373 | $34 |
| X-ray of the knee (3 views) | $257 | $415 | $42 |
| X-ray of the knee (4+ views) | $290 | $540 | $49 |
| X-ray of the lower back (lumbar spine) | $272 | $606 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $270 | $502 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $274 | $710 | $53 |
| X-ray of the lower leg | $226 | $456 | $31 |
| X-ray of the mid-back (thoracic spine) | $244 | $522 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $227 | $463 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $261 | $581 | $39 |
| X-ray of the neck (cervical spine) | $257 | $579 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $222 | $496 | $40 |
| X-ray of the pelvis | $243 | $422 | $36 |
| X-ray of the pelvis (1 view) | $216 | $399 | $28 |
| X-ray of the ribs | $284 | $533 | $42 |
| X-ray of the ribs (2 views) | $198 | $442 | $36 |
| X-ray of the ribs (3 views) | $284 | $533 | $42 |
| X-ray of the shoulder | $231 | $442 | $36 |
| X-ray of the skull | $224 | $536 | $40 |
| X-ray of the upper arm | $224 | $403 | $32 |
| X-ray of the wrist | $226 | $446 | $43 |
| Zinc blood test | $53 | $26 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
