| Procedure | Dayton Childrens Hospital | Ohio Valley Surgical Hospital | Medicare |
|---|
| Abdominal ultrasound | $984 | $391 | $100 |
| Abdominal ultrasound (complete) | $1,207 | $391 | $114 |
| Abdominal ultrasound (limited) | $885 | $391 | $86 |
| Abscess drainage (complex or multiple) | $578 | $681 | $220 |
| Abscess drainage (simple) | $453 | $342 | $129 |
| Abscess incision and drainage | $453 | $681 | $174 |
| ACL knee reconstruction | $9,824 | $12,393 | $889 |
| Adenoid removal (adenoidectomy) | $1,518 | $5,490 | $204 |
| Albumin blood test | $25 | $45 | $5 |
| Aldosterone test | $71 | $253 | $41 |
| Alkaline phosphatase test | $23 | $47 | $5 |
| Allergy testing | $280 | $96 | $4 |
| Alpha-fetoprotein (AFP) test | $40 | $134 | $17 |
| ALT liver enzyme test | $23 | $47 | $5 |
| Amylase test | $24 | $58 | $6 |
| Ankle fracture repair | $5,191 | $11,364 | $608 |
| Antinuclear antibody (ANA) test | $173 | $99 | $12 |
| Arterial blood gas (ABG) | $154 | $30 | $26 |
| AST liver enzyme test | $23 | $47 | $5 |
| Barium swallow study | $619 | $346 | $107 |
| Basic metabolic panel | $52 | $46 | $8 |
| Benign skin lesion removal | $663 | $3,845 | $171 |
| Bilirubin blood test | $23 | $37 | $5 |
| Blood clotting test (PT/INR) | $21 | $40 | $4 |
| Blood crossmatch | $80 | $106 | — |
| Blood glucose test | $23 | $40 | $5 |
| Blood transfusion | $919 | $873 | $47 |
| Blood type and screen | $50 | $61 | $10 |
| Blood type test | $33 | $27 | $3 |
| Blood type test (ABO group) | $50 | $34 | $3 |
| Blood type test (Rh/D antigen) | $17 | $20 | $3 |
| BNP (heart failure) test | $56 | $214 | $39 |
| Bone density scan (DEXA) | $721 | $316 | $39 |
| Bone scan (nuclear) | $1,567 | $1,135 | $259 |
| Breast reduction | $14,595 | $16,379 | $980 |
| Breast ultrasound | $335 | $773 | $92 |
| Breast ultrasound (complete) | $1,188 | $625 | $100 |
| Breast ultrasound (limited) | $331 | $922 | $84 |
| Burn dressing and debridement (medium) | $356 | $342 | $166 |
| Burn dressing and debridement (small) | $208 | $342 | $93 |
| Burn treatment | $356 | $342 | $129 |
| C-reactive protein (CRP) | $63 | $45 | $5 |
| CA-125 ovarian marker test | $46 | $110 | $21 |
| Calcium blood test | $23 | $46 | $5 |
| Capsule endoscopy | $3,011 | $2,107 | $802 |
| Carotid artery ultrasound | $920 | $600 | $156 |
| CEA tumor marker test | $41 | $122 | $19 |
| Chest X-ray | $256 | $203 | $37 |
| Chest X-ray (1 view) | $160 | $184 | $25 |
| Chest X-ray (2 views) | $248 | $203 | $33 |
| Circumcision | $2,380 | $4,419 | $167 |
| CK-MB heart enzyme test | $41 | $76 | $12 |
| Clotting time test (PTT) | $21 | $49 | $6 |
| Colonoscopy | $1,586 | $4,367 | $480 |
| Complete blood count (CBC) | $21 | $45 | $7 |
| Complete blood count (CBC) (complete) | $22 | $40 | $8 |
| Complex wound repair | $511 | $2,924 | $390 |
| Comprehensive metabolic panel | $52 | $88 | $11 |
| Copper blood test | $43 | $102 | $12 |
| Cortisol test | $58 | $131 | $16 |
| CPAP titration study | $890 | $284 | $69 |
| Creatine kinase (CK) test | $23 | $58 | $7 |
| CT angiography of the chest | $2,875 | $1,592 | $281 |
| CT angiography of the head | $3,036 | $1,359 | $274 |
| CT scan of the abdomen | $2,203 | $1,207 | $230 |
| CT scan of the abdomen and pelvis | $4,018 | $2,324 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $4,742 | $2,324 | $338 |
| CT scan of the abdomen and pelvis with contrast | $4,603 | $2,324 | $300 |
| CT scan of the abdomen and pelvis without contrast | $3,138 | $1,624 | $183 |
| CT scan of the abdomen with and without contrast | $2,485 | $1,340 | $259 |
| CT scan of the abdomen with contrast | $2,212 | $1,207 | $230 |
| CT scan of the abdomen without contrast | $1,830 | $770 | $136 |
| CT scan of the arm | $2,260 | $1,161 | $199 |
| CT scan of the arm with contrast | $2,329 | $1,161 | $199 |
| CT scan of the chest | $2,351 | $1,207 | $167 |
| CT scan of the chest with and without contrast | $2,389 | $1,341 | $196 |
| CT scan of the chest with contrast | $2,849 | $1,207 | $167 |
| CT scan of the chest without contrast | $2,316 | $770 | $133 |
| CT scan of the head | $1,399 | $1,207 | $148 |
| CT scan of the head with and without contrast | $2,319 | $1,341 | $173 |
| CT scan of the head with contrast | $2,043 | $1,207 | $148 |
| CT scan of the head without contrast | $1,113 | $770 | $107 |
| CT scan of the leg | $1,992 | $1,161 | $166 |
| CT scan of the leg with contrast | $1,979 | $1,161 | $166 |
| CT scan of the leg without contrast | $2,093 | $868 | $130 |
| CT scan of the lower back (lumbar spine) | $2,597 | $1,208 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $2,723 | $1,359 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $2,093 | $1,208 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $2,597 | $770 | $130 |
| CT scan of the neck | $2,343 | $1,207 | $183 |
| CT scan of the neck (cervical spine) | $2,078 | $989 | $168 |
| CT scan of the neck (cervical spine) with contrast | $1,947 | $1,207 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,762 | $770 | $131 |
| CT scan of the neck with and without contrast | $2,232 | $1,341 | $220 |
| CT scan of the neck with contrast | $2,761 | $1,207 | $183 |
| CT scan of the neck without contrast | $1,693 | $770 | $150 |
| CT scan of the pelvis | $2,146 | $1,207 | $226 |
| CT scan of the pelvis with and without contrast | $2,559 | $1,341 | $251 |
| CT scan of the pelvis with contrast | $1,990 | $1,207 | $226 |
| CT scan of the pelvis without contrast | $2,146 | $770 | $133 |
| CT scan of the sinuses | $1,956 | $1,298 | $152 |
| CT scan of the sinuses with contrast | $2,488 | $1,656 | $152 |
| CT scan of the sinuses without contrast | $1,927 | $939 | $128 |
| D-dimer test | $133 | $47 | $10 |
| DHEA-sulfate test | $58 | $141 | $22 |
| Drug screen (urine) | $97 | $183 | $17 |
| Ear tubes (myringotomy) | $991 | $4,419 | $174 |
| Eardrum repair (tympanoplasty) | $3,085 | $18,888 | $799 |
| EKG / ECG (tracing only) | $45 | $112 | $7 |
| Electrocardiogram (EKG) | $48 | $112 | $8 |
| Electrolyte panel | $55 | $41 | $7 |
| Epidural steroid injection | $1,196 | $2,924 | $275 |
| Estradiol (estrogen) test | $58 | $176 | $28 |
| Eyelid surgery (blepharoplasty) | $5,436 | $4,419 | $552 |
| Fecal occult blood (stool) test | $24 | $58 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $24 | $58 | $4 |
| Ferritin (iron) test | $38 | $110 | $14 |
| Fibrinogen test | $21 | $73 | $10 |
| Folate (folic acid) test | $40 | $118 | $15 |
| Foreign body removal (skin) | $1,807 | $680 | $157 |
| Free T4 thyroid test | $56 | $76 | $9 |
| FSH hormone test | $58 | $119 | $19 |
| Ganglion cyst removal | $4,440 | $4,419 | $321 |
| GGT liver test | $24 | $61 | $7 |
| HDL cholesterol test | $31 | $68 | $8 |
| Hematocrit test | $21 | $42 | $2 |
| Hemoglobin A1c (diabetes test) | $38 | $82 | $10 |
| Hepatitis B test | $43 | $79 | $10 |
| Hepatitis C test | $63 | $108 | $14 |
| HIV test | $48 | $112 | $19 |
| HIV test (antibody) | $67 | $112 | $14 |
| Holter heart monitor | $741 | $189 | $26 |
| Inguinal hernia repair | $3,109 | $10,111 | $538 |
| Iron blood test | $23 | $58 | $6 |
| IV infusion therapy | $377 | $160 | $44 |
| IV infusion therapy (each additional) | $350 | $31 | $21 |
| IV infusion therapy (initial) | $435 | $160 | $67 |
| Joint aspiration (small/intermediate) | $660 | $3,385 | $57 |
| Joint aspiration or injection (mid-size joint) | $672 | $2,924 | $57 |
| Kidney ultrasound | $975 | $479 | $84 |
| Kidney ultrasound (limited) | $708 | $479 | $61 |
| Knee arthroscopy | $8,698 | $7,561 | $524 |
| Knee joint injection | $433 | $2,924 | $69 |
| Laryngoscopy | $379 | $4,017 | $189 |
| LDH test | $23 | $40 | $6 |
| LDL cholesterol test | $40 | $79 | $11 |
| Leg artery angiogram | $5,055 | $4,717 | $149 |
| Leg vein ultrasound (Doppler) | $1,095 | $661 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $1,199 | $574 | $116 |
| LH hormone test | $58 | $119 | $19 |
| Lipase test | $23 | $60 | $7 |
| Lipid (cholesterol) panel | $52 | $37 | $13 |
| Liver biopsy | $2,786 | $4,419 | $288 |
| Liver function panel | $54 | $53 | $8 |
| Magnesium blood test | $23 | $51 | $7 |
| Meniscus repair (knee) | $9,824 | $12,393 | $714 |
| MRA of the brain | $2,709 | $1,748 | $226 |
| MRA of the brain with contrast | $2,680 | $1,748 | $226 |
| MRA of the brain without contrast | $3,803 | $2,140 | $328 |
| MRA of the neck | $2,630 | $1,748 | $245 |
| MRA of the neck with contrast | $2,539 | $1,748 | $245 |
| MRA of the neck without contrast | $3,454 | $2,140 | $343 |
| MRI of the abdomen | $3,248 | $2,140 | $300 |
| MRI of the abdomen with contrast | $2,948 | $2,140 | $300 |
| MRI of the abdomen without contrast | $3,199 | $1,359 | $194 |
| MRI of the ankle | $2,430 | $1,592 | $261 |
| MRI of the ankle without contrast | $2,231 | $1,592 | $222 |
| MRI of the brain | $3,052 | $1,748 | $269 |
| MRI of the brain with contrast | $2,949 | $1,748 | $269 |
| MRI of the brain without contrast | $2,473 | $1,359 | $195 |
| MRI of the chest | $2,984 | $1,750 | $371 |
| MRI of the chest without contrast | $3,555 | $2,140 | $466 |
| MRI of the knee | $2,496 | $1,681 | $315 |
| MRI of the knee with contrast | $2,430 | $1,681 | $315 |
| MRI of the knee without contrast | $2,411 | $1,592 | $204 |
| MRI of the lower back (lumbar spine) | $3,114 | $1,748 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $3,163 | $1,748 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $3,068 | $1,359 | $192 |
| MRI of the mid-back (thoracic spine) | $3,309 | $2,140 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $4,587 | $2,140 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $3,006 | $2,140 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $3,260 | $1,359 | $190 |
| MRI of the neck (cervical spine) | $3,172 | $1,748 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $4,355 | $2,140 | $318 |
| MRI of the neck (cervical spine) with contrast | $3,126 | $1,748 | $274 |
| MRI of the neck (cervical spine) without contrast | $3,125 | $1,359 | $191 |
| MRI of the pelvis | $2,920 | $2,140 | $268 |
| MRI of the pelvis with contrast | $2,850 | $1,748 | $268 |
| MRI of the pelvis without contrast | $2,449 | $2,140 | $227 |
| MRI of the shoulder | $2,430 | $2,140 | $313 |
| MRI of the shoulder without contrast | $2,423 | $1,592 | $205 |
| MRI of the wrist | $2,353 | $1,592 | $330 |
| MRI of the wrist without contrast | $1,837 | $1,592 | $303 |
| Office visit (established patient) | $152 | $179 | $115 |
| Office visit (new patient) | $382 | $269 | $177 |
| Office visit, established patient (level 3) | $133 | $154 | $95 |
| Office visit, established patient (level 4) | $200 | $203 | $136 |
| Office visit, new patient (level 3) | $111 | $203 | $118 |
| Office visit, new patient (level 4) | $330 | $269 | $177 |
| Office visit, new patient (level 5) | $442 | $368 | $237 |
| Orthopedic hardware removal | $5,241 | $4,419 | $632 |
| Pap smear (cervical screening) | $92 | $74 | $20 |
| Parathyroid hormone (PTH) test | $71 | $256 | $41 |
| Pelvic ultrasound | $721 | $323 | $78 |
| Pelvic ultrasound (complete) | $1,051 | $391 | $105 |
| Pelvic ultrasound (limited) | $394 | $256 | $51 |
| Phosphorus blood test | $23 | $42 | $5 |
| Pilonidal cyst removal | $5,142 | $6,871 | $541 |
| Platelet count | $21 | $40 | $4 |
| Pneumonia vaccine | $304 | $42 | — |
| Pregnancy blood test (hCG) | $23 | $121 | $8 |
| Pregnancy ultrasound | $965 | $391 | $126 |
| Pregnancy ultrasound (first trimester) | $659 | $391 | $117 |
| Pregnancy ultrasound (second or third trimester) | $1,033 | $391 | $136 |
| Prolactin test | $58 | $125 | $19 |
| Prostate biopsy | $4,933 | $5,569 | — |
| Prostate test (PSA) | $41 | $113 | $18 |
| Scoliosis spine X-ray | $303 | $292 | $58 |
| Scoliosis spine X-ray (1 view) | $298 | $224 | $44 |
| Scoliosis spine X-ray (3 views) | $463 | $359 | $72 |
| Scrotal ultrasound | $901 | $391 | $99 |
| Sedimentation rate (ESR) test | $21 | $61 | $3 |
| Sex hormone binding globulin test | $40 | $123 | $22 |
| Skin biopsy | $1,386 | $680 | $121 |
| Soft tissue ultrasound | $568 | $443 | $64 |
| Spinal tap (lumbar puncture) | $704 | $2,924 | $165 |
| Strabismus (eye muscle) surgery | $3,681 | $6,743 | $475 |
| T3 thyroid test | $58 | $113 | $14 |
| Testicle removal (orchiectomy) | $3,507 | $5,569 | $306 |
| Testosterone test | $58 | $175 | $26 |
| Thyroid test (TSH) | $56 | $134 | $17 |
| Thyroid ultrasound | $879 | $391 | $109 |
| Tonsillectomy | $3,036 | $9,014 | $252 |
| Total IgE allergy test | $38 | $133 | $16 |
| Total protein test | $23 | $35 | $4 |
| Transvaginal ultrasound | $1,024 | $391 | $118 |
| Trigger finger release | $2,571 | $4,419 | $630 |
| Trigger point injection | $383 | $2,924 | $56 |
| Trigger point injection (1-2 muscles) | $289 | $2,924 | $52 |
| Triglycerides test | $24 | $51 | $6 |
| Troponin (heart) test | $40 | $73 | $12 |
| Turbinate reduction | $3,036 | $6,871 | $294 |
| Upper GI endoscopy (EGD) | $2,861 | $4,367 | $371 |
| Upper GI series (barium) | $397 | $346 | $128 |
| Ureteral stent placement | $5,329 | $5,723 | $373 |
| Uric acid (gout) test | $24 | $41 | $5 |
| Urinalysis | $15 | $61 | $3 |
| Urine microalbumin test | $20 | $49 | $5 |
| Urine pregnancy test | $15 | $19 | $9 |
| Vaccine administration | $31 | $120 | $19 |
| Vitamin B12 test | $58 | $122 | $15 |
| Vitamin D test | $56 | $186 | $30 |
| Wound debridement | $881 | $875 | $186 |
| Wrist fracture repair | $8,698 | $9,681 | $735 |
| X-ray of the abdomen | $441 | $184 | $36 |
| X-ray of the ankle | $300 | $239 | $37 |
| X-ray of the collarbone | $280 | $216 | $33 |
| X-ray of the elbow | $489 | $239 | $33 |
| X-ray of the facial bones | $266 | $193 | $39 |
| X-ray of the foot | $294 | $239 | $34 |
| X-ray of the forearm | $239 | $216 | $29 |
| X-ray of the hand | $291 | $216 | $38 |
| X-ray of the hip | $278 | $264 | $49 |
| X-ray of the hip (3 views) | $280 | $264 | $49 |
| X-ray of the knee | $314 | $216 | $42 |
| X-ray of the knee (2 views) | $277 | $216 | $34 |
| X-ray of the knee (3 views) | $314 | $239 | $42 |
| X-ray of the knee (4+ views) | $404 | $203 | $49 |
| X-ray of the lower back (lumbar spine) | $385 | $245 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $379 | $184 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $469 | $307 | $53 |
| X-ray of the mid-back (thoracic spine) | $353 | $203 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $353 | $203 | $33 |
| X-ray of the neck (cervical spine) | $371 | $326 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $371 | $346 | $40 |
| X-ray of the pelvis | $182 | $184 | $36 |
| X-ray of the pelvis (1 view) | $229 | $184 | $28 |
| X-ray of the ribs | $301 | $203 | $42 |
| X-ray of the ribs (2 views) | $301 | $203 | $36 |
| X-ray of the shoulder | $310 | $239 | $36 |
| X-ray of the skull | $164 | $245 | $40 |
| X-ray of the upper arm | $290 | $216 | $32 |
| X-ray of the wrist | $289 | $239 | $43 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
