| Procedure | Faith Regional Health Services | Avera Creighton Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $41 | $81 | $51 |
| Abdominal ultrasound | $721 | $1,007 | $100 |
| Abdominal ultrasound (complete) | $721 | $1,184 | $114 |
| Abdominal ultrasound (limited) | $592 | $1,007 | $86 |
| Abscess drainage (complex or multiple) | $805 | $670 | $220 |
| Abscess drainage (simple) | $801 | $281 | $129 |
| Abscess incision and drainage | $801 | $568 | $174 |
| Albumin blood test | $40 | $85 | $5 |
| Aldosterone test | $124 | $255 | $41 |
| Alpha-fetoprotein (AFP) test | $52 | $145 | $17 |
| ALT liver enzyme test | $27 | $107 | $5 |
| Ammonia blood test | $71 | $167 | $15 |
| Amylase test | $90 | $138 | $6 |
| Annual physical (established patient) | $202 | $95 | — |
| Arterial blood gas (ABG) | $233 | $247 | $26 |
| AST liver enzyme test | $27 | $104 | $5 |
| Basic metabolic panel | $133 | $291 | $8 |
| Benign skin lesion removal | $1,283 | $789 | $171 |
| Bilirubin blood test | $28 | $90 | $5 |
| Blood clotting test (PT/INR) | $56 | $116 | $4 |
| Blood crossmatch | $145 | $200 | — |
| Blood glucose test | $27 | $65 | $5 |
| Blood transfusion | $789 | $439 | $47 |
| Blood type and screen | $80 | $166 | $10 |
| Blood type test | $58 | $125 | $3 |
| Blood type test (ABO group) | $60 | $132 | $3 |
| Blood type test (Rh/D antigen) | $58 | $118 | $3 |
| BNP (heart failure) test | $115 | $435 | $39 |
| Breast ultrasound | $395 | $1,008 | $92 |
| Breast ultrasound (complete) | $434 | $1,056 | $100 |
| Breast ultrasound (limited) | $339 | $960 | $84 |
| Burn dressing and debridement (medium) | $501 | $199 | $166 |
| Burn dressing and debridement (small) | $501 | $371 | $93 |
| Burn treatment | $501 | $285 | $129 |
| C-reactive protein (CRP) | $78 | $192 | $5 |
| CA-125 ovarian marker test | $123 | $149 | $21 |
| Calcium blood test | $24 | $61 | $5 |
| Cardiac rehabilitation | $244 | $380 | $26 |
| Cardiac stress test | $1,051 | $1,483 | $39 |
| Carotid artery ultrasound | $1,276 | $1,988 | $156 |
| CEA tumor marker test | $95 | $241 | $19 |
| Celiac disease test | $88 | $173 | $12 |
| Chemotherapy infusion | $552 | $434 | $81 |
| Chemotherapy infusion (each additional) | $495 | $142 | $28 |
| Chemotherapy infusion (first hour) | $552 | $726 | $133 |
| Chest tube insertion | $2,810 | $387 | $143 |
| Chest X-ray | $220 | $430 | $37 |
| Chest X-ray (1 view) | $209 | $376 | $25 |
| Chest X-ray (2 views) | $231 | $484 | $33 |
| CK-MB heart enzyme test | $154 | $275 | $12 |
| Clotting time test (PTT) | $57 | $162 | $6 |
| Colonoscopy | $629 | $1,160 | $480 |
| Complete blood count (CBC) | $76 | $160 | $7 |
| Complete blood count (CBC) (complete) | $90 | $148 | $8 |
| Comprehensive metabolic panel | $150 | $305 | $11 |
| Copper blood test | $95 | $159 | $12 |
| Cortisol test | $71 | $293 | $16 |
| COVID-19 PCR test | $78 | $150 | $51 |
| CPAP titration study | $726 | $1,085 | $69 |
| Creatine kinase (CK) test | $85 | $261 | $7 |
| CT angiography of the chest | $2,383 | $4,711 | $281 |
| CT angiography of the head | $2,457 | $3,008 | $274 |
| CT scan of the abdomen | $2,117 | $2,658 | $230 |
| CT scan of the abdomen and pelvis | $4,046 | $6,713 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $5,615 | $7,449 | $338 |
| CT scan of the abdomen and pelvis with contrast | $4,046 | $6,713 | $300 |
| CT scan of the abdomen and pelvis without contrast | $2,739 | $4,961 | $183 |
| CT scan of the abdomen with and without contrast | $2,891 | $2,882 | $259 |
| CT scan of the abdomen with contrast | $2,117 | $2,435 | $230 |
| CT scan of the arm | $1,771 | $2,952 | $199 |
| CT scan of the arm with contrast | $2,088 | $3,121 | $199 |
| CT scan of the arm without contrast | $1,383 | $2,783 | $161 |
| CT scan of the chest | $1,821 | $3,893 | $167 |
| CT scan of the chest with and without contrast | $2,147 | $4,253 | $196 |
| CT scan of the chest with contrast | $1,866 | $3,893 | $167 |
| CT scan of the chest without contrast | $1,431 | $3,376 | $133 |
| CT scan of the head | $1,432 | $3,584 | $148 |
| CT scan of the head with and without contrast | $1,913 | $4,245 | $173 |
| CT scan of the head without contrast | $1,425 | $2,923 | $107 |
| CT scan of the leg | $1,453 | $3,150 | $166 |
| CT scan of the leg with contrast | $1,440 | $3,211 | $166 |
| CT scan of the leg without contrast | $1,453 | $3,150 | $130 |
| CT scan of the lower back (lumbar spine) | $1,704 | $3,480 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,687 | $3,480 | $130 |
| CT scan of the neck | $1,984 | $3,866 | $183 |
| CT scan of the neck (cervical spine) | $1,634 | $3,480 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,634 | $3,480 | $131 |
| CT scan of the neck with and without contrast | $2,050 | $4,068 | $220 |
| CT scan of the neck with contrast | $1,940 | $3,665 | $183 |
| CT scan of the pelvis | $1,544 | $2,151 | $226 |
| CT scan of the pelvis without contrast | $1,544 | $2,151 | $133 |
| CT scan of the sinuses | $1,715 | $2,901 | $152 |
| CT scan of the sinuses with contrast | $1,744 | $3,069 | $152 |
| CT scan of the sinuses without contrast | $1,435 | $2,732 | $128 |
| D-dimer test | $151 | $276 | $10 |
| DHEA-sulfate test | $105 | $124 | $22 |
| Diagnostic mammogram | $258 | $507 | $140 |
| Drug screen (urine) | $169 | $158 | $17 |
| Echocardiogram | $1,278 | $3,250 | $138 |
| EKG / ECG (tracing only) | $282 | $370 | $7 |
| Electrocardiogram (EKG) | $282 | $370 | $8 |
| Electrolyte panel | $85 | $129 | $7 |
| Emergency department visit | $783 | $567 | $69 |
| Emergency department visit (level 2) | $325 | $390 | $40 |
| Emergency department visit (level 3) | $533 | $667 | $69 |
| Emergency department visit (level 4) | $783 | $1,016 | $118 |
| Emergency department visit (level 5) | $1,615 | $1,809 | $171 |
| Epidural steroid injection | $1,311 | $1,248 | $275 |
| Estradiol (estrogen) test | $158 | $220 | $28 |
| Fecal occult blood (stool) test | $21 | $40 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $21 | $40 | $4 |
| Ferritin (iron) test | $131 | $185 | $14 |
| Fibrinogen test | $99 | $117 | $10 |
| Folate (folic acid) test | $110 | $209 | $15 |
| Foreign body removal (skin) | $814 | $424 | $157 |
| Free T4 thyroid test | $68 | $251 | $9 |
| FSH hormone test | $105 | $210 | $19 |
| Gallbladder scan (HIDA) | $3,449 | $2,014 | $334 |
| GGT liver test | $34 | $136 | $7 |
| Glucose tolerance test | $39 | $117 | $8 |
| Hematocrit test | $36 | $69 | $2 |
| Hemoglobin A1c (diabetes test) | $33 | $140 | $10 |
| Hepatitis B test | $34 | $142 | $10 |
| Hepatitis B vaccine | $163 | $133 | — |
| Hepatitis C test | $63 | $159 | $14 |
| HIV test | $118 | $232 | $19 |
| HIV test (antigen/antibody combo) | $118 | $232 | $24 |
| Holter heart monitor | $613 | $819 | $26 |
| Iron blood test | $63 | $107 | $6 |
| IV infusion therapy | $359 | $282 | $44 |
| IV infusion therapy (each additional) | $150 | $171 | $21 |
| IV infusion therapy (initial) | $359 | $487 | $67 |
| Joint aspiration (small/intermediate) | $227 | $340 | $57 |
| Joint aspiration or injection (mid-size joint) | $431 | $340 | $57 |
| Kidney ultrasound | $603 | $950 | $84 |
| Kidney ultrasound (limited) | $507 | $873 | $61 |
| Knee joint injection | $657 | $372 | $69 |
| Lactate test | $117 | $113 | $12 |
| LDH test | $53 | $111 | $6 |
| LDL cholesterol test | $48 | $85 | $11 |
| Leg vein ultrasound (Doppler) | $862 | $1,445 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $841 | $1,445 | $116 |
| LH hormone test | $124 | $178 | $19 |
| Lipase test | $99 | $175 | $7 |
| Lipid (cholesterol) panel | $117 | $187 | $13 |
| Liver function panel | $90 | $229 | $8 |
| Lung function test (PFT) | $432 | $555 | $37 |
| Magnesium blood test | $71 | $230 | $7 |
| MRA of the brain | $1,442 | $4,027 | $226 |
| MRI of the abdomen | $2,672 | $4,313 | $300 |
| MRI of the abdomen without contrast | $2,205 | $3,811 | $194 |
| MRI of the ankle | $1,814 | $3,821 | $261 |
| MRI of the ankle without contrast | $1,728 | $3,821 | $222 |
| MRI of the brain | $2,823 | $5,974 | $269 |
| MRI of the brain without contrast | $2,302 | $4,259 | $195 |
| MRI of the knee | $2,110 | $3,611 | $315 |
| MRI of the knee without contrast | $1,917 | $3,611 | $204 |
| MRI of the lower back (lumbar spine) | $2,482 | $5,615 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $2,482 | $4,749 | $192 |
| MRI of the mid-back (thoracic spine) | $2,864 | $5,279 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $3,167 | $6,451 | $319 |
| MRI of the mid-back (thoracic spine) without contrast | $2,796 | $4,107 | $190 |
| MRI of the neck (cervical spine) | $2,537 | $5,340 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $3,591 | $5,661 | $318 |
| MRI of the neck (cervical spine) without contrast | $2,476 | $5,019 | $191 |
| MRI of the pelvis | $2,437 | $4,040 | $268 |
| MRI of the pelvis without contrast | $2,339 | $4,040 | $227 |
| MRI of the shoulder | $1,917 | $3,445 | $313 |
| MRI of the shoulder without contrast | $1,915 | $3,445 | $205 |
| MRI of the wrist | $2,396 | $3,297 | $330 |
| MRI of the wrist without contrast | $1,728 | $3,297 | $303 |
| Nebulizer breathing treatment | $148 | $283 | $9 |
| Nuclear cardiac stress test | $4,491 | $5,951 | $428 |
| Occupational therapy evaluation | $186 | $298 | $101 |
| Occupational therapy evaluation (low complexity) | $155 | $298 | $101 |
| Office visit (established patient) | $207 | $202 | $115 |
| Office visit (new patient) | $355 | $254 | $177 |
| Office visit, established patient (level 3) | $188 | $176 | $95 |
| Office visit, established patient (level 4) | $286 | $255 | $136 |
| Office visit, new patient (level 3) | $355 | $248 | $118 |
| Office visit, new patient (level 4) | $269 | $359 | $177 |
| Office visit, new patient (level 5) | $429 | $147 | $237 |
| Parathyroid hormone (PTH) test | $227 | $283 | $41 |
| Pelvic ultrasound | $624 | $1,132 | $78 |
| Pelvic ultrasound (complete) | $670 | $1,132 | $105 |
| Phosphorus blood test | $49 | $139 | $5 |
| Physical therapy evaluation | $186 | $298 | $98 |
| Pneumonia vaccine | $158 | $212 | — |
| Pregnancy blood test (hCG) | $110 | $268 | $8 |
| Pregnancy ultrasound | $493 | $962 | $126 |
| Pregnancy ultrasound (first trimester) | $493 | $962 | $117 |
| Procalcitonin test | $203 | $107 | $27 |
| Prolactin test | $38 | $218 | $19 |
| Prostate test (PSA) | $90 | $178 | $18 |
| Sacroiliac joint injection | $921 | $1,635 | $176 |
| Screening colonoscopy | $2,302 | $870 | $378 |
| Screening mammogram | $253 | $432 | $126 |
| Scrotal ultrasound | $592 | $1,066 | $99 |
| Sedimentation rate (ESR) test | $51 | $64 | $3 |
| Sex hormone binding globulin test | $39 | $195 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $298 | $293 | $114 |
| Simple wound stitches | $314 | $316 | $127 |
| Skin biopsy | $529 | $404 | $121 |
| Skin biopsy (punch) | $516 | $404 | $121 |
| Skin lesion freezing (cryotherapy) | $141 | $139 | $36 |
| Skin tag removal | $148 | $254 | $92 |
| Sleep study (polysomnography) | $3,932 | $6,354 | $691 |
| Soft tissue ultrasound | $465 | $689 | $64 |
| Speech therapy | $210 | $359 | $76 |
| Spirometry with bronchodilator | $594 | $555 | $43 |
| Stress echocardiogram | $1,650 | $1,769 | $209 |
| Stress echocardiogram (complete) | $1,650 | $1,769 | $233 |
| Swallow study | $275 | $447 | $85 |
| T3 thyroid test | $110 | $174 | $14 |
| Tdap (tetanus) vaccine | $108 | $116 | — |
| Testosterone test | $64 | $219 | $26 |
| Thyroid test (TSH) | $133 | $190 | $17 |
| Thyroid ultrasound | $520 | $858 | $109 |
| Total IgE allergy test | $94 | $142 | $16 |
| Total protein test | $51 | $107 | $4 |
| Transvaginal ultrasound | $571 | $1,037 | $118 |
| Trigger point injection | $594 | $358 | $56 |
| Trigger point injection (1-2 muscles) | $511 | $432 | $52 |
| Troponin (heart) test | $165 | $342 | $12 |
| Upper GI endoscopy (EGD) | $617 | $846 | $371 |
| Uric acid (gout) test | $48 | $107 | $5 |
| Urinalysis | $41 | $79 | $3 |
| Urine microalbumin test | $51 | $210 | $5 |
| Urine pregnancy test | $72 | $179 | $9 |
| Vaccine administration | $58 | $167 | $19 |
| Vaccine administration (each additional) | $59 | $47 | $16 |
| Vitamin B12 test | $85 | $197 | $15 |
| Vitamin D test | $176 | $401 | $30 |
| Wart removal | $105 | $280 | $121 |
| Wound debridement | $968 | $752 | $186 |
| X-ray of the abdomen | $271 | $496 | $36 |
| X-ray of the ankle | $258 | $480 | $37 |
| X-ray of the collarbone | $219 | $395 | $33 |
| X-ray of the elbow | $293 | $461 | $33 |
| X-ray of the facial bones | $230 | $589 | $39 |
| X-ray of the foot | $273 | $477 | $34 |
| X-ray of the forearm | $252 | $420 | $29 |
| X-ray of the hand | $290 | $455 | $38 |
| X-ray of the hip | $362 | $465 | $49 |
| X-ray of the hip (1 view) | $362 | $328 | $34 |
| X-ray of the hip (3 views) | $295 | $609 | $49 |
| X-ray of the knee | $297 | $508 | $42 |
| X-ray of the knee (2 views) | $241 | $489 | $34 |
| X-ray of the knee (3 views) | $297 | $508 | $42 |
| X-ray of the knee (4+ views) | $314 | $562 | $49 |
| X-ray of the lower back (lumbar spine) | $434 | $663 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $391 | $651 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $434 | $674 | $53 |
| X-ray of the lower leg | $271 | $445 | $31 |
| X-ray of the mid-back (thoracic spine) | $305 | $586 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $290 | $517 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $382 | $656 | $39 |
| X-ray of the neck (cervical spine) | $305 | $484 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $290 | $484 | $40 |
| X-ray of the pelvis | $249 | $543 | $36 |
| X-ray of the pelvis (1 view) | $243 | $434 | $28 |
| X-ray of the ribs | $339 | $547 | $42 |
| X-ray of the ribs (2 views) | $243 | $512 | $36 |
| X-ray of the ribs (3 views) | $339 | $582 | $42 |
| X-ray of the shoulder | $266 | $492 | $36 |
| X-ray of the skull | $329 | $363 | $40 |
| X-ray of the upper arm | $275 | $455 | $32 |
| X-ray of the wrist | $284 | $437 | $43 |
| Zinc blood test | $78 | $117 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
