| Procedure | Firelands Regional Medical Center | Mercy Allen Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $33 | $30 | $51 |
| Abdominal ultrasound | $1,243 | $455 | $100 |
| Abdominal ultrasound (complete) | $1,496 | $612 | $114 |
| Abdominal ultrasound (limited) | $990 | $455 | $86 |
| Abscess drainage (complex or multiple) | $676 | $785 | $220 |
| Abscess drainage (simple) | $532 | $785 | $129 |
| Abscess incision and drainage | $604 | $785 | $174 |
| Albumin blood test | $5 | $49 | $5 |
| Aldosterone test | $298 | $250 | $41 |
| Alkaline phosphatase test | $38 | $68 | $5 |
| Alpha-fetoprotein (AFP) test | $167 | $54 | $17 |
| ALT liver enzyme test | $53 | $64 | $5 |
| Ammonia blood test | $107 | $65 | $15 |
| Amylase test | $6 | $112 | $6 |
| Antinuclear antibody (ANA) test | $93 | $173 | $12 |
| Arterial blood gas (ABG) | $259 | $181 | $26 |
| AST liver enzyme test | $5 | $64 | $5 |
| Barium swallow study | $567 | $561 | $107 |
| Bilirubin blood test | $50 | $51 | $5 |
| Bladder scope (cystoscopy) | $2,691 | $1,067 | $216 |
| Blood clotting test (PT/INR) | $4 | $44 | $4 |
| Blood crossmatch | $218 | $258 | — |
| Blood glucose test | $29 | $53 | $5 |
| Blood transfusion | $682 | $900 | $47 |
| Blood type and screen | $196 | $123 | $10 |
| Blood type test | $89 | $62 | $3 |
| Blood type test (ABO group) | $108 | $86 | $3 |
| Blood type test (Rh/D antigen) | $70 | $58 | $3 |
| BNP (heart failure) test | $39 | $242 | $39 |
| Bone density scan (DEXA) | $424 | $468 | $39 |
| Bone marrow biopsy | $2,910 | $3,404 | $172 |
| Bone scan (nuclear) | $1,786 | $1,663 | $259 |
| Breast biopsy | $5,726 | $3,536 | $478 |
| Breast MRI | $1,979 | $1,887 | $216 |
| Breast MRI without contrast | $1,598 | $2,139 | $216 |
| Breast ultrasound | $634 | $273 | $92 |
| Breast ultrasound (complete) | $648 | $305 | $100 |
| Breast ultrasound (limited) | $619 | $273 | $84 |
| Breathing tube insertion (intubation) | $769 | $952 | $133 |
| Burn dressing and debridement (medium) | $199 | $616 | $166 |
| Burn dressing and debridement (small) | $96 | $579 | $93 |
| Burn treatment | $148 | $597 | $129 |
| CA 19-9 tumor marker test | $21 | $138 | $21 |
| CA-125 ovarian marker test | $16 | $148 | $21 |
| Cardiac stress test | $714 | $1,496 | $39 |
| Cardioversion | $1,047 | $869 | $155 |
| Carotid artery ultrasound | $238 | $1,578 | $156 |
| CEA tumor marker test | $188 | $181 | $19 |
| Celiac disease test | $12 | $20 | $12 |
| Central line placement | $4,032 | $5,123 | $238 |
| Chemotherapy infusion | $440 | $283 | $81 |
| Chemotherapy infusion (each additional) | $125 | $52 | $28 |
| Chemotherapy infusion (first hour) | $754 | $514 | $133 |
| Chest tube insertion | $2,016 | $2,176 | $143 |
| Chest X-ray | $165 | $268 | $37 |
| Chest X-ray (1 view) | $79 | $162 | $25 |
| Chest X-ray (2 views) | $250 | $219 | $33 |
| Circumcision | $2,670 | $4,397 | $167 |
| CK-MB heart enzyme test | $9 | $86 | $12 |
| Clotting time test (PTT) | $46 | $27 | $6 |
| Complete blood count (CBC) | $73 | $61 | $7 |
| Complete blood count (CBC) (complete) | $78 | $71 | $8 |
| Copper blood test | $9 | $68 | $12 |
| Cortisol test | $16 | $148 | $16 |
| COVID-19 PCR test | $312 | $92 | $51 |
| CPAP titration study | $519 | $212 | $69 |
| Creatine kinase (CK) test | $65 | $46 | $7 |
| CT angiography of the chest | $2,372 | $1,099 | $281 |
| CT angiography of the head | $2,094 | $1,840 | $274 |
| CT scan of the abdomen | $1,836 | $1,615 | $230 |
| CT scan of the abdomen and pelvis | $3,052 | $2,807 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $3,968 | $3,675 | $338 |
| CT scan of the abdomen and pelvis with contrast | $3,052 | $2,343 | $300 |
| CT scan of the abdomen and pelvis without contrast | $2,825 | $2,301 | $183 |
| CT scan of the abdomen with and without contrast | $1,981 | $1,870 | $259 |
| CT scan of the abdomen with contrast | $1,526 | $1,443 | $230 |
| CT scan of the abdomen without contrast | $1,836 | $1,417 | $136 |
| CT scan of the arm | $1,640 | $1,288 | $199 |
| CT scan of the arm with contrast | $1,640 | $1,196 | $199 |
| CT scan of the arm without contrast | $1,168 | $1,151 | $161 |
| CT scan of the chest | $1,526 | $1,148 | $167 |
| CT scan of the chest with and without contrast | $1,981 | $1,443 | $196 |
| CT scan of the chest with contrast | $1,526 | $1,329 | $167 |
| CT scan of the chest without contrast | $1,412 | $908 | $133 |
| CT scan of the head | $1,433 | $1,462 | $148 |
| CT scan of the head with and without contrast | $1,863 | $1,948 | $173 |
| CT scan of the head with contrast | $1,433 | $1,590 | $148 |
| CT scan of the head without contrast | $1,021 | $1,090 | $107 |
| CT scan of the leg | $1,639 | $1,289 | $166 |
| CT scan of the leg with contrast | $1,640 | $1,195 | $166 |
| CT scan of the leg without contrast | $1,168 | $1,151 | $130 |
| CT scan of the lower back (lumbar spine) | $1,526 | $2,123 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,981 | $2,565 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,526 | $2,230 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,410 | $1,388 | $130 |
| CT scan of the neck | $1,448 | $1,598 | $183 |
| CT scan of the neck (cervical spine) | $1,748 | $2,332 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $1,748 | $2,816 | $196 |
| CT scan of the neck (cervical spine) with contrast | $1,748 | $2,449 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,245 | $1,415 | $131 |
| CT scan of the neck with and without contrast | $1,947 | $1,840 | $220 |
| CT scan of the neck with contrast | $1,448 | $1,590 | $183 |
| CT scan of the neck without contrast | $1,344 | $1,445 | $150 |
| CT scan of the pelvis | $1,836 | $1,212 | $226 |
| CT scan of the pelvis with and without contrast | $1,982 | $1,413 | $251 |
| CT scan of the pelvis with contrast | $1,527 | $1,118 | $226 |
| CT scan of the pelvis without contrast | $1,836 | $1,087 | $133 |
| CT scan of the sinuses | $1,433 | $2,519 | $152 |
| CT scan of the sinuses with and without contrast | $1,863 | $3,042 | $184 |
| CT scan of the sinuses with contrast | $1,433 | $2,646 | $152 |
| CT scan of the sinuses without contrast | $1,325 | $1,447 | $128 |
| DHEA-sulfate test | $17 | $126 | $22 |
| Diagnostic mammogram | $92 | $170 | $140 |
| Drug screen (urine) | $118 | $250 | $17 |
| Echocardiogram | $837 | $953 | $138 |
| Echocardiogram with and without contrast | $457 | $843 | $101 |
| Echocardiogram without contrast | $837 | $953 | $138 |
| EEG (awake and asleep) | $891 | $1,025 | $482 |
| EKG / ECG (tracing only) | $178 | $306 | $7 |
| Electrocardiogram (EKG) | $142 | $306 | $8 |
| Electroencephalogram (EEG) | $891 | $1,084 | $448 |
| Emergency department visit | $345 | $1,540 | $69 |
| Emergency department visit (level 1) | $155 | $393 | $11 |
| Emergency department visit (level 2) | $206 | $983 | $40 |
| Emergency department visit (level 3) | $345 | $1,442 | $69 |
| Emergency department visit (level 4) | $649 | $1,638 | $118 |
| Emergency department visit (level 5) | $906 | $1,835 | $171 |
| Estradiol (estrogen) test | $21 | $166 | $28 |
| Fallopian tube X-ray (HSG) | $1,264 | $539 | $164 |
| Fecal occult blood (stool) test | $8 | $49 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $4 | $42 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $12 | $54 | $16 |
| Ferritin (iron) test | $135 | $168 | $14 |
| Fibrinogen test | $102 | $102 | $10 |
| Flu test | $173 | $52 | $17 |
| Folate (folic acid) test | $107 | $146 | $15 |
| Foreign body removal (skin) | $973 | $646 | $157 |
| Free T4 thyroid test | $9 | $125 | $9 |
| FSH hormone test | $14 | $182 | $19 |
| Gallbladder scan (HIDA) | $1,827 | $1,449 | $334 |
| GGT liver test | $53 | $68 | $7 |
| Glucose tolerance test | $49 | $108 | $8 |
| H. pylori test | $503 | $341 | $67 |
| HDL cholesterol test | $8 | $92 | $8 |
| Hemodialysis | $799 | $906 | $75 |
| Hemoglobin A1c (diabetes test) | $10 | $94 | $10 |
| Hepatitis B test | $80 | $85 | $10 |
| Hepatitis C test | $149 | $140 | $14 |
| HIV test | $252 | $112 | $19 |
| HIV test (antigen/antibody combo) | $252 | $173 | $24 |
| Holter heart monitor | $838 | $452 | $26 |
| Iron blood test | $64 | $142 | $6 |
| IV infusion therapy | $265 | $276 | $44 |
| IV infusion therapy (each additional) | $100 | $276 | $21 |
| IV infusion therapy (initial) | $429 | $276 | $67 |
| Joint aspiration (small/intermediate) | $775 | $430 | $57 |
| Joint aspiration or injection (mid-size joint) | $775 | $430 | $57 |
| Joint aspiration or injection (small joint) | $775 | $430 | $56 |
| Kidney ultrasound | $809 | $860 | $84 |
| Kidney ultrasound (limited) | $809 | $771 | $61 |
| Knee joint injection | $775 | $2,160 | $69 |
| Lactate test | $115 | $71 | $12 |
| Laryngoscopy | $606 | $1,620 | $189 |
| LDH test | $5 | $61 | $6 |
| LDL cholesterol test | $11 | $109 | $11 |
| Leg vein ultrasound (Doppler) | $415 | $855 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $285 | $745 | $116 |
| LH hormone test | $19 | $169 | $19 |
| Lipase test | $7 | $94 | $7 |
| Lipid (cholesterol) panel | $10 | $191 | $13 |
| Lung function test (PFT) | $541 | $394 | $37 |
| Lung scan (V/Q) | $1,786 | $3,004 | $291 |
| Magnesium blood test | $7 | $76 | $7 |
| MRA of the brain | $3,106 | $1,652 | $226 |
| MRA of the brain with contrast | $3,106 | $1,729 | $226 |
| MRA of the brain without contrast | $3,106 | $2,064 | $328 |
| MRA of the neck | $2,390 | $1,885 | $245 |
| MRA of the neck with contrast | $2,390 | $2,014 | $245 |
| MRA of the neck without contrast | $3,106 | $2,125 | $343 |
| MRI of the abdomen | $3,896 | $2,110 | $300 |
| MRI of the abdomen with contrast | $3,896 | $1,952 | $300 |
| MRI of the abdomen without contrast | $3,606 | $1,774 | $194 |
| MRI of the ankle | $4,787 | $2,181 | $261 |
| MRI of the ankle with contrast | $5,521 | $2,064 | $261 |
| MRI of the ankle without contrast | $3,408 | $1,971 | $222 |
| MRI of the brain | $2,770 | $2,330 | $269 |
| MRI of the brain with contrast | $2,770 | $2,536 | $269 |
| MRI of the brain without contrast | $2,565 | $2,207 | $195 |
| MRI of the chest | $3,185 | $1,354 | $371 |
| MRI of the chest with contrast | $3,185 | $1,476 | $371 |
| MRI of the chest without contrast | $4,139 | $1,789 | $466 |
| MRI of the knee | $4,248 | $2,274 | $315 |
| MRI of the knee with contrast | $4,248 | $2,246 | $315 |
| MRI of the knee without contrast | $3,408 | $1,809 | $204 |
| MRI of the lower back (lumbar spine) | $3,988 | $3,787 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $3,313 | $3,862 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $3,988 | $2,684 | $192 |
| MRI of the mid-back (thoracic spine) | $3,988 | $3,101 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $5,597 | $4,214 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $3,313 | $2,678 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $3,988 | $2,435 | $190 |
| MRI of the neck (cervical spine) | $4,283 | $3,334 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $5,566 | $4,187 | $318 |
| MRI of the neck (cervical spine) with contrast | $4,283 | $3,059 | $274 |
| MRI of the neck (cervical spine) without contrast | $3,965 | $2,242 | $191 |
| MRI of the pelvis | $3,606 | $1,833 | $268 |
| MRI of the pelvis with contrast | $2,998 | $1,871 | $268 |
| MRI of the pelvis without contrast | $3,606 | $1,627 | $227 |
| MRI of the shoulder | $5,521 | $2,027 | $313 |
| MRI of the shoulder with contrast | $5,521 | $2,042 | $313 |
| MRI of the shoulder without contrast | $3,408 | $1,640 | $205 |
| MRI of the wrist | $4,248 | $2,728 | $330 |
| MRI of the wrist with contrast | $4,248 | $2,784 | $330 |
| MRI of the wrist without contrast | $2,620 | $2,421 | $303 |
| Nebulizer breathing treatment | $589 | $177 | $9 |
| Nuclear cardiac stress test | $5,806 | $4,011 | $428 |
| Occupational therapy evaluation | $96 | $383 | $101 |
| Occupational therapy evaluation (high complexity) | $96 | $442 | $101 |
| Occupational therapy evaluation (low complexity) | $401 | $326 | $101 |
| Occupational therapy evaluation (moderate complexity) | $96 | $383 | $101 |
| Office visit (established patient) | $116 | $409 | $115 |
| Office visit, established patient (level 3) | $91 | $322 | $95 |
| Office visit, established patient (level 4) | $140 | $496 | $136 |
| Parathyroid hormone (PTH) test | $410 | $167 | $41 |
| Pelvic ultrasound | $594 | $612 | $78 |
| Pelvic ultrasound (complete) | $718 | $612 | $105 |
| Pelvic ultrasound (limited) | $469 | $609 | $51 |
| Phosphorus blood test | $5 | $41 | $5 |
| Physical therapy evaluation | $297 | $329 | $98 |
| Physical therapy evaluation (high complexity) | $302 | $377 | $98 |
| Physical therapy evaluation (moderate complexity) | $297 | $329 | $98 |
| Platelet count | $35 | $31 | $4 |
| Pregnancy blood test (hCG) | $75 | $77 | $8 |
| Pregnancy ultrasound | $927 | $861 | $126 |
| Pregnancy ultrasound (first trimester) | $1,047 | $677 | $117 |
| Pregnancy ultrasound (second or third trimester) | $807 | $1,045 | $136 |
| Procalcitonin test | $199 | $259 | $27 |
| Prolactin test | $142 | $196 | $19 |
| Prostate test (PSA) | $134 | $163 | $18 |
| Scoliosis spine X-ray | $256 | $291 | $58 |
| Scoliosis spine X-ray (1 view) | $414 | $275 | $44 |
| Scoliosis spine X-ray (3 views) | $98 | $426 | $72 |
| Screening mammogram | $86 | $170 | $126 |
| Scrotal ultrasound | $678 | $796 | $99 |
| Semen analysis | $70 | $216 | $12 |
| Sex hormone binding globulin test | $16 | $180 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $325 | $876 | $114 |
| Simple wound stitches | $258 | $876 | $127 |
| Skin biopsy | $562 | $642 | $121 |
| Skin biopsy (punch) | $458 | $642 | $121 |
| Skin tag removal | $531 | $380 | $92 |
| Sleep study (polysomnography) | $6,355 | $4,973 | $691 |
| Soft tissue ultrasound | $468 | $446 | $64 |
| Speech therapy | $72 | $404 | $76 |
| Spinal tap (lumbar puncture) | $1,275 | $1,111 | $165 |
| Spirometry (lung function test) | $428 | $141 | $30 |
| Spirometry with bronchodilator | $653 | $647 | $43 |
| Strep throat test | $173 | $74 | $17 |
| Stress echocardiogram | $1,394 | $1,763 | $209 |
| Swallow study | $80 | $448 | $85 |
| T3 thyroid test | $104 | $142 | $14 |
| Testosterone test | $256 | $208 | $26 |
| Thyroid test (TSH) | $17 | $130 | $17 |
| Thyroid ultrasound | $678 | $446 | $109 |
| Thyroid uptake scan | $955 | $1,439 | $145 |
| Total IgE allergy test | $12 | $74 | $16 |
| Total protein test | $4 | $53 | $4 |
| Transvaginal ultrasound | $807 | $668 | $118 |
| Triglycerides test | $57 | $46 | $6 |
| Troponin (heart) test | $124 | $114 | $12 |
| Upper GI series (barium) | $1,224 | $774 | $128 |
| Uric acid (gout) test | $5 | $53 | $5 |
| Urinalysis | $20 | $55 | $3 |
| Urine microalbumin test | $22 | $52 | $5 |
| Urine pregnancy test | $6 | $49 | $9 |
| Vaccine administration | $70 | $163 | $19 |
| Vaccine administration (each additional) | $61 | $163 | $16 |
| Vitamin B12 test | $110 | $138 | $15 |
| Vitamin D test | $216 | $108 | $30 |
| Wound debridement | $1,086 | $1,444 | $186 |
| X-ray of the abdomen | $184 | $335 | $36 |
| X-ray of the ankle | $79 | $287 | $37 |
| X-ray of the collarbone | $286 | $268 | $33 |
| X-ray of the elbow | $79 | $293 | $33 |
| X-ray of the facial bones | $218 | $358 | $39 |
| X-ray of the foot | $393 | $297 | $34 |
| X-ray of the forearm | $357 | $263 | $29 |
| X-ray of the hand | $306 | $292 | $38 |
| X-ray of the hip | $226 | $372 | $49 |
| X-ray of the hip (1 view) | $373 | $348 | $34 |
| X-ray of the hip (3 views) | $79 | $410 | $49 |
| X-ray of the knee | $442 | $326 | $42 |
| X-ray of the knee (2 views) | $464 | $248 | $34 |
| X-ray of the knee (3 views) | $393 | $326 | $42 |
| X-ray of the knee (4+ views) | $442 | $395 | $49 |
| X-ray of the lower back (lumbar spine) | $557 | $421 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $357 | $304 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $756 | $421 | $53 |
| X-ray of the lower leg | $79 | $250 | $31 |
| X-ray of the mid-back (thoracic spine) | $411 | $376 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $357 | $362 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $464 | $399 | $39 |
| X-ray of the neck (cervical spine) | $418 | $382 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $79 | $329 | $40 |
| X-ray of the pelvis | $296 | $389 | $36 |
| X-ray of the pelvis (1 view) | $286 | $364 | $28 |
| X-ray of the ribs | $464 | $425 | $42 |
| X-ray of the ribs (2 views) | $323 | $429 | $36 |
| X-ray of the ribs (3 views) | $559 | $521 | $42 |
| X-ray of the shoulder | $393 | $375 | $36 |
| X-ray of the skull | $98 | $494 | $40 |
| X-ray of the upper arm | $373 | $298 | $32 |
| X-ray of the wrist | $393 | $285 | $43 |
| Zinc blood test | $11 | $84 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
