| Procedure | Collingsworth General Hospital | Harmon Memorial Hospital | Medicare |
|---|
| Ammonia blood test | $127 | $44 | $15 |
| Basic metabolic panel | $42 | $25 | $8 |
| Blood clotting test (PT/INR) | $50 | $13 | $4 |
| Blood type and screen | $126 | $180 | $10 |
| Blood type test | $84 | $103 | $3 |
| Blood type test (Rh/D antigen) | $84 | $103 | $3 |
| BNP (heart failure) test | $175 | $269 | $39 |
| C-reactive protein (CRP) | $43 | $16 | $5 |
| Calcium blood test | $39 | $20 | $5 |
| Chest X-ray | $184 | $331 | $37 |
| Chest X-ray (1 view) | $158 | $239 | $25 |
| Chest X-ray (2 views) | $210 | $325 | $33 |
| Clotting time test (PTT) | $70 | $18 | $6 |
| Complete blood count (CBC) | $39 | $21 | $7 |
| Complete blood count (CBC) (complete) | $39 | $23 | $8 |
| Comprehensive metabolic panel | $88 | $32 | $11 |
| Cortisol test | $140 | $130 | $16 |
| Creatine kinase (CK) test | $32 | $20 | $7 |
| CT angiography of the chest | $858 | $2,451 | $281 |
| CT angiography of the head | $1,068 | $1,844 | $274 |
| CT scan of the abdomen and pelvis | $1,321 | $3,200 | $300 |
| CT scan of the abdomen and pelvis with contrast | $1,540 | $3,200 | $300 |
| CT scan of the abdomen and pelvis without contrast | $1,103 | $2,392 | $183 |
| CT scan of the chest | $1,059 | $1,834 | $167 |
| CT scan of the chest with contrast | $1,295 | $1,834 | $167 |
| CT scan of the chest without contrast | $823 | $1,681 | $133 |
| CT scan of the head | $529 | $2,411 | $148 |
| CT scan of the head without contrast | $529 | $2,314 | $107 |
| CT scan of the lower back (lumbar spine) | $1,120 | $1,892 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,120 | $1,757 | $130 |
| CT scan of the neck (cervical spine) | $529 | $1,740 | $168 |
| CT scan of the neck (cervical spine) without contrast | $529 | $1,740 | $131 |
| Drug screen (urine) | $78 | $72 | $17 |
| EKG / ECG (tracing only) | $116 | $165 | $7 |
| Electrocardiogram (EKG) | $116 | $165 | $8 |
| Emergency department visit | $315 | $850 | $69 |
| Emergency department visit (level 1) | $175 | $280 | $11 |
| Emergency department visit (level 2) | $214 | $500 | $40 |
| Emergency department visit (level 3) | $338 | $850 | $69 |
| Emergency department visit (level 4) | $560 | $1,055 | $118 |
| Emergency department visit (level 5) | $733 | $1,513 | $171 |
| Fecal occult blood (stool) test | $46 | $30 | $10 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $46 | $48 | $16 |
| Ferritin (iron) test | $120 | $41 | $14 |
| Folate (folic acid) test | $106 | $44 | $15 |
| Free T4 thyroid test | $67 | $27 | $9 |
| Hemoglobin A1c (diabetes test) | $70 | $29 | $10 |
| HIV test | $70 | $57 | $19 |
| HIV test (antigen/antibody combo) | $70 | $72 | $24 |
| Iron blood test | $56 | $80 | $6 |
| IV infusion therapy | $79 | $292 | $44 |
| IV infusion therapy (each additional) | $53 | $142 | $21 |
| IV infusion therapy (initial) | $105 | $551 | $67 |
| Lactate test | $56 | $35 | $12 |
| LDH test | $70 | $18 | $6 |
| Lipase test | $35 | $21 | $7 |
| Lipid (cholesterol) panel | $64 | $40 | $13 |
| Liver function panel | $65 | $25 | $8 |
| Magnesium blood test | $35 | $25 | $7 |
| Nebulizer breathing treatment | $221 | $552 | $9 |
| Parathyroid hormone (PTH) test | $210 | $124 | $41 |
| Phosphorus blood test | $55 | $14 | $5 |
| Physical therapy evaluation | $158 | $248 | $98 |
| Physical therapy evaluation (moderate complexity) | $158 | $248 | $98 |
| Pregnancy blood test (hCG) | $118 | $23 | $8 |
| Procalcitonin test | $251 | $82 | $27 |
| Prostate test (PSA) | $88 | $55 | $18 |
| Rheumatoid factor test | $61 | $18 | $6 |
| Sedimentation rate (ESR) test | $53 | $8 | $3 |
| Simple laceration repair (small, up to 2.5 cm) | $158 | $524 | $114 |
| Simple wound stitches | $223 | $524 | $127 |
| T3 thyroid test | $114 | $43 | $14 |
| Testosterone test | $123 | $179 | $26 |
| Thyroid test (TSH) | $81 | $50 | $17 |
| Troponin (heart) test | $60 | $37 | $12 |
| Uric acid (gout) test | $61 | $14 | $5 |
| Urinalysis | $53 | $8 | $3 |
| Urine microalbumin test | $55 | $17 | $5 |
| Vaccine administration | $22 | $95 | $19 |
| Vitamin B12 test | $74 | $45 | $15 |
| Vitamin D test | $140 | $103 | $30 |
| X-ray of the abdomen | $169 | $338 | $36 |
| X-ray of the ankle | $228 | $523 | $37 |
| X-ray of the foot | $210 | $444 | $34 |
| X-ray of the forearm | $192 | $316 | $29 |
| X-ray of the hand | $210 | $442 | $38 |
| X-ray of the hip | $170 | $313 | $49 |
| X-ray of the hip (1 view) | $148 | $240 | $34 |
| X-ray of the hip (3 views) | $193 | $385 | $49 |
| X-ray of the knee | $228 | $548 | $42 |
| X-ray of the knee (2 views) | $155 | $429 | $34 |
| X-ray of the knee (3 views) | $228 | $548 | $42 |
| X-ray of the knee (4+ views) | $293 | $597 | $49 |
| X-ray of the lower back (lumbar spine) | $245 | $336 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $245 | $336 | $40 |
| X-ray of the mid-back (thoracic spine) | $188 | $336 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $188 | $336 | $33 |
| X-ray of the neck (cervical spine) | $190 | $288 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $190 | $239 | $40 |
| X-ray of the pelvis | $210 | $336 | $36 |
| X-ray of the pelvis (1 view) | $210 | $336 | $28 |
| X-ray of the ribs | $195 | $536 | $42 |
| X-ray of the ribs (2 views) | $195 | $536 | $36 |
| X-ray of the shoulder | $210 | $551 | $36 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
