| Procedure | Edward W Sparrow Hospital | Memorial Healthcare | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $27 | $67 | $51 |
| Abdominal fluid drain (paracentesis) | $143 | $516 | $284 |
| Abdominal ultrasound | $87 | $137 | $100 |
| Abdominal ultrasound (complete) | $115 | $1,561 | $114 |
| Abdominal ultrasound (limited) | $73 | $137 | $86 |
| Abscess drainage (complex or multiple) | $85 | $257 | $220 |
| Abscess drainage (simple) | $51 | $170 | $129 |
| Abscess incision and drainage | $68 | $230 | $174 |
| Acupuncture | $31 | $54 | $38 |
| Acupuncture (each additional) | $25 | $22 | $28 |
| Albumin blood test | $5 | $10 | $5 |
| Allergy shots | $13 | $34 | $11 |
| Alpha-fetoprotein (AFP) test | $26 | $30 | $17 |
| ALT liver enzyme test | $8 | $79 | $5 |
| Annual physical (established patient) | $55 | $146 | — |
| Annual physical (new patient) | $79 | $176 | — |
| Anoscopy | $33 | $91 | $129 |
| Arterial blood gas (ABG) | $40 | $76 | $26 |
| Barium swallow study | $141 | $865 | $107 |
| Bartholin cyst removal | $77 | $159 | $182 |
| Bilirubin blood test | $8 | $39 | $5 |
| Bladder function test (urodynamics) | $113 | $537 | $345 |
| Blood glucose test | $6 | $48 | $5 |
| BNP (heart failure) test | $61 | $155 | $39 |
| Bone scan (nuclear) | $263 | $1,955 | $259 |
| Botox for migraine | $124 | $326 | $157 |
| Breast ultrasound | $65 | $1,110 | $92 |
| Breast ultrasound (complete) | $91 | $1,067 | $100 |
| Breast ultrasound (limited) | $65 | $1,110 | $84 |
| Breathing tube insertion (intubation) | $51 | $1,431 | $133 |
| Bunion surgery (bunionectomy) | $523 | $821 | $883 |
| Burn dressing and debridement (medium) | $74 | $173 | $166 |
| Burn dressing and debridement (small) | $43 | $90 | $93 |
| Burn treatment | $43 | $170 | $129 |
| Cardiac rehabilitation | $26 | $309 | $26 |
| Cardiac stress test | $73 | $1,306 | $39 |
| Carotid artery ultrasound | $136 | $776 | $156 |
| CEA tumor marker test | $46 | $248 | $19 |
| Chemotherapy infusion | $196 | $614 | $81 |
| Chemotherapy infusion (each additional) | $148 | $558 | $28 |
| Chemotherapy infusion (first hour) | $196 | $689 | $133 |
| Chest fluid drain (thoracentesis) | $153 | $1,094 | $311 |
| Chest X-ray | $29 | $80 | $37 |
| Chest X-ray (1 view) | $22 | $80 | $25 |
| Chickenpox (varicella) vaccine | $113 | $188 | — |
| Colon resection (colectomy) | $308 | $2,061 | $1,238 |
| Colonoscopy | $176 | $477 | $480 |
| Colostomy | $277 | $1,854 | $1,122 |
| Colposcopy | $67 | $266 | $161 |
| Complex wound repair | $169 | $495 | $390 |
| Comprehensive eye exam | $79 | $112 | $138 |
| Continuous glucose monitor setup | $26 | $66 | $35 |
| Contraceptive implant (Nexplanon) | $48 | $255 | $115 |
| Cortisol test | $15 | $219 | $16 |
| COVID-19 PCR test | $79 | $110 | $51 |
| CPAP titration study | $65 | $898 | $69 |
| CT angiography of the chest | $464 | $3,894 | $281 |
| CT angiography of the head | $463 | $3,842 | $274 |
| CT scan of the abdomen and pelvis with and without contrast | $469 | $6,361 | $338 |
| CT scan of the abdomen and pelvis with contrast | $701 | $5,108 | $300 |
| CT scan of the abdomen with and without contrast | $427 | $3,312 | $259 |
| CT scan of the abdomen with contrast | $424 | $2,688 | $230 |
| CT scan of the arm | $203 | $2,317 | $199 |
| CT scan of the arm with contrast | $175 | $2,331 | $199 |
| CT scan of the arm without contrast | $293 | $2,220 | $161 |
| CT scan of the chest with and without contrast | $400 | $2,635 | $196 |
| CT scan of the chest with contrast | $398 | $2,428 | $167 |
| CT scan of the head with and without contrast | $451 | $3,023 | $173 |
| CT scan of the head with contrast | $328 | $2,542 | $148 |
| CT scan of the leg | $297 | $2,529 | $166 |
| CT scan of the leg with contrast | $309 | $2,376 | $166 |
| CT scan of the leg without contrast | $292 | $2,529 | $130 |
| CT scan of the lower back (lumbar spine) with and without contrast | $312 | $2,842 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $311 | $2,706 | $169 |
| CT scan of the neck | $154 | $2,379 | $183 |
| CT scan of the neck (cervical spine) with and without contrast | $413 | $2,842 | $196 |
| CT scan of the neck (cervical spine) with contrast | $326 | $2,706 | $168 |
| CT scan of the neck with and without contrast | $442 | $2,448 | $220 |
| CT scan of the neck with contrast | $154 | $2,595 | $183 |
| CT scan of the neck without contrast | $435 | $2,220 | $150 |
| CT scan of the pelvis | $155 | $2,276 | $226 |
| CT scan of the pelvis with and without contrast | $352 | $2,386 | $251 |
| CT scan of the pelvis with contrast | $203 | $2,677 | $226 |
| CT scan of the sinuses | $317 | $2,317 | $152 |
| CT scan of the sinuses with and without contrast | $317 | $2,448 | $184 |
| CT scan of the sinuses with contrast | $313 | $2,331 | $152 |
| CT scan of the sinuses without contrast | $307 | $2,220 | $128 |
| D-dimer test | $16 | $27 | $10 |
| Developmental screening (child) | $12 | $17 | — |
| Diagnostic mammogram | $79 | $586 | $140 |
| Drug screen (urine) | $96 | $57 | $17 |
| Ear pressure test (tympanometry) | $12 | $44 | $16 |
| Echocardiogram | $112 | $641 | $138 |
| Echocardiogram with and without contrast | $85 | $389 | $101 |
| Echocardiogram without contrast | $114 | $1,267 | $138 |
| EEG (awake and asleep) | $420 | $1,397 | $482 |
| EKG / ECG (tracing only) | $28 | $97 | $7 |
| Electroencephalogram (EEG) | $375 | $1,397 | $448 |
| Electrolyte panel | $34 | $156 | $7 |
| Electromyography (EMG) | $88 | $142 | $141 |
| Emergency department visit | $79 | $189 | $69 |
| Emergency department visit (level 1) | $41 | $32 | $11 |
| Emergency department visit (level 2) | $42 | $66 | $40 |
| Emergency department visit (level 3) | $70 | $110 | $69 |
| Emergency department visit (level 4) | $120 | $189 | $118 |
| Emergency department visit (level 5) | $174 | $273 | $171 |
| Endometrial biopsy | $40 | $166 | $98 |
| Estradiol (estrogen) test | $43 | $143 | $28 |
| Eye refraction (glasses prescription) | $14 | $28 | — |
| Fallopian tube X-ray (HSG) | $65 | $426 | $164 |
| Family therapy session | $83 | $134 | $110 |
| Fecal occult blood (stool) test | $5 | $46 | $10 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $10 | $46 | $16 |
| Ferritin (iron) test | $20 | $184 | $14 |
| Fibroid removal (myomectomy) | $268 | $1,394 | $914 |
| Flu vaccine | $14 | $24 | — |
| Foreign body removal (skin) | $76 | $168 | $157 |
| Free T4 thyroid test | $14 | $157 | $9 |
| Gallbladder scan (HIDA) | $243 | $2,335 | $334 |
| GGT liver test | $11 | $75 | $7 |
| Group therapy session | $23 | $33 | $30 |
| Hearing test (audiometry) | $37 | $130 | $36 |
| Hepatitis A vaccine | $40 | $82 | — |
| Hepatitis B vaccine | $33 | $69 | — |
| Hip arthroscopy | $1,429 | $1,522 | $931 |
| Home sleep apnea test | $109 | $171 | $123 |
| HPV vaccine | $142 | $298 | — |
| Ileostomy | $240 | $2,023 | $968 |
| IUD removal | $36 | $267 | $112 |
| IV infusion therapy | $72 | $456 | $44 |
| IV infusion therapy (each additional) | $53 | $323 | $21 |
| IV infusion therapy (initial) | $94 | $642 | $67 |
| Kidney scan (nuclear) | $192 | $1,878 | $172 |
| Kidney ultrasound | $67 | $96 | $84 |
| Kidney ultrasound (limited) | $47 | $96 | $61 |
| Lactate test | $18 | $226 | $12 |
| Laminectomy (spine) | $1,238 | $2,046 | $1,157 |
| Lipid (cholesterol) panel | $21 | $170 | $13 |
| Liver function panel | $13 | $171 | $8 |
| Lumbar discectomy | $1,291 | $2,477 | $898 |
| Magnesium blood test | $10 | $44 | $7 |
| MMR vaccine | $44 | $95 | — |
| MRA of the brain with contrast | $244 | $3,987 | $226 |
| MRI of the ankle with contrast | $210 | $4,606 | $261 |
| MRI of the chest | $236 | $3,649 | $371 |
| MRI of the chest with contrast | $1,050 | $4,006 | $371 |
| MRI of the knee with contrast | $278 | $3,813 | $315 |
| MRI of the pelvis with contrast | $233 | $4,606 | $268 |
| MRI of the wrist with contrast | $390 | $4,606 | $330 |
| Nebulizer breathing treatment | $128 | $174 | $9 |
| Neck (cervical) spinal fusion | $1,723 | $2,613 | $1,410 |
| Nerve conduction study | $71 | $242 | $118 |
| Newborn hospital care | $65 | $99 | $58 |
| Nuchal translucency ultrasound | $86 | $671 | $116 |
| Nuclear cardiac stress test | $384 | $5,969 | $428 |
| Occupational therapy evaluation | $84 | $532 | $101 |
| Occupational therapy evaluation (high complexity) | $134 | $532 | $101 |
| Occupational therapy evaluation (low complexity) | $68 | $345 | $101 |
| Occupational therapy evaluation (moderate complexity) | $93 | $532 | $101 |
| Office visit (established patient) | $84 | $118 | $115 |
| Office visit (new patient) | $106 | $220 | $177 |
| Office visit, established patient (level 3) | $69 | $80 | $95 |
| Office visit, established patient (level 4) | $100 | $124 | $136 |
| Office visit, new patient (level 3) | $94 | $118 | $118 |
| Office visit, new patient (level 4) | $116 | $178 | $177 |
| Office visit, new patient (level 5) | $138 | $224 | $237 |
| Ovary removal (oophorectomy) | $258 | $810 | $822 |
| Pap smear (cervical screening) | $11 | $73 | $20 |
| Parathyroid hormone (PTH) test | $20 | $316 | $41 |
| Pelvic ultrasound | $61 | $146 | $78 |
| Pelvic ultrasound (complete) | $88 | $113 | $105 |
| Pelvic ultrasound (limited) | $38 | $803 | $51 |
| PET scan | $525 | $7,949 | — |
| Physical therapy evaluation | $93 | $532 | $98 |
| Physical therapy evaluation (high complexity) | $129 | $532 | $98 |
| Physical therapy evaluation (moderate complexity) | $93 | $532 | $98 |
| Pneumonia vaccine | $144 | $237 | — |
| Pregnancy blood test (hCG) | $15 | $135 | $8 |
| Pregnancy ultrasound | $102 | $136 | $126 |
| Pregnancy ultrasound (first trimester) | $93 | $110 | $117 |
| Pregnancy ultrasound (second or third trimester) | $111 | $136 | $136 |
| Prolactin test | $30 | $319 | $19 |
| Psychiatric evaluation | $133 | $191 | $188 |
| Psychotherapy session | $88 | $153 | $140 |
| Pulmonary rehabilitation | $79 | $124 | $87 |
| Retina scan (OCT) | $18 | $54 | $33 |
| Retinal (fundus) photography | $29 | $103 | $37 |
| Routine eye exam | $49 | $112 | $88 |
| Scoliosis spine X-ray | $54 | $109 | $58 |
| Scoliosis spine X-ray (1 view) | $32 | $77 | $44 |
| Scoliosis spine X-ray (3 views) | $63 | $110 | $72 |
| Screening colonoscopy | $339 | $482 | $378 |
| Screening mammogram | $67 | $568 | $126 |
| Scrotal ultrasound | $85 | $110 | $99 |
| Sex hormone binding globulin test | $34 | $42 | $22 |
| Shingles vaccine | $99 | $204 | — |
| Simple laceration repair (small, up to 2.5 cm) | $45 | $70 | $114 |
| Simple wound stitches | $46 | $93 | $127 |
| Skin biopsy | $47 | $206 | $121 |
| Skin biopsy (punch) | $49 | $346 | $121 |
| Skin cancer lesion removal | $93 | $384 | $240 |
| Skin graft | $448 | $1,099 | $898 |
| Skin tag removal | $37 | $170 | $92 |
| Small bowel resection | $282 | $1,876 | $1,136 |
| Speech therapy | $157 | $372 | $76 |
| Stomach removal (gastrectomy) | $335 | $2,225 | $1,595 |
| Stress echocardiogram | $165 | $977 | $209 |
| Stress echocardiogram (complete) | $189 | $977 | $233 |
| Swallow study | $196 | $475 | $85 |
| Tdap (tetanus) vaccine | $23 | $52 | — |
| Testosterone test | $27 | $50 | $26 |
| Thyroid ultrasound | $96 | $155 | $109 |
| Thyroid uptake scan | $180 | $938 | $145 |
| Transesophageal echocardiogram (TEE) | $232 | $1,049 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $180 | $1,049 | $239 |
| Transvaginal ultrasound | $101 | $703 | $118 |
| Trigger finger release | $293 | $482 | $630 |
| Triglycerides test | $6 | $104 | $6 |
| Troponin (heart) test | $16 | $88 | $12 |
| Upper GI series (barium) | $87 | $1,006 | $128 |
| Urinalysis | $4 | $41 | $3 |
| Urine microalbumin test | $5 | $54 | $5 |
| Vaccine administration | $19 | $137 | $19 |
| Vaccine administration (each additional) | $15 | $44 | $16 |
| Visual field test | $37 | $103 | $64 |
| Vitamin D test | $30 | $73 | $30 |
| Wart removal | $45 | $145 | $121 |
| Well-child visit | $67 | $161 | — |
| X-ray of the abdomen | $30 | $66 | $36 |
| X-ray of the ankle | $32 | $102 | $37 |
| X-ray of the collarbone | $29 | $80 | $33 |
| X-ray of the elbow | $29 | $79 | $33 |
| X-ray of the facial bones | $33 | $73 | $39 |
| X-ray of the foot | $30 | $90 | $34 |
| X-ray of the forearm | $26 | $61 | $29 |
| X-ray of the hand | $33 | $79 | $38 |
| X-ray of the hip | $37 | $79 | $49 |
| X-ray of the hip (1 view) | $29 | $78 | $34 |
| X-ray of the hip (3 views) | $42 | $79 | $49 |
| X-ray of the hip (4 views) | $48 | $110 | $63 |
| X-ray of the knee | $42 | $108 | $42 |
| X-ray of the knee (2 views) | $53 | $79 | $34 |
| X-ray of the knee (3 views) | $53 | $96 | $42 |
| X-ray of the knee (4+ views) | $42 | $110 | $49 |
| X-ray of the lower back (lumbar spine) | $40 | $110 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $34 | $110 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $46 | $110 | $53 |
| X-ray of the lower leg | $28 | $93 | $31 |
| X-ray of the mid-back (thoracic spine) | $31 | $105 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $28 | $110 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $34 | $99 | $39 |
| X-ray of the neck (cervical spine) | $40 | $103 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $34 | $96 | $40 |
| X-ray of the pelvis | $29 | $110 | $36 |
| X-ray of the ribs | $33 | $92 | $42 |
| X-ray of the ribs (2 views) | $31 | $61 | $36 |
| X-ray of the ribs (3 views) | $36 | $108 | $42 |
| X-ray of the shoulder | $30 | $96 | $36 |
| X-ray of the skull | $34 | $345 | $40 |
| X-ray of the upper arm | $28 | $61 | $32 |
| X-ray of the wrist | $37 | $80 | $43 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
