| Procedure | Firelands Regional Medical Center | Ohiohealth Shelby Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $33 | $52 | $51 |
| Abdominal fluid drain (paracentesis) | $2,616 | $1,584 | $284 |
| Abdominal ultrasound | $1,243 | $683 | $100 |
| Abdominal ultrasound (complete) | $1,496 | $820 | $114 |
| Abdominal ultrasound (limited) | $990 | $545 | $86 |
| Abscess drainage (complex or multiple) | $676 | $599 | $220 |
| Abscess drainage (simple) | $532 | $272 | $129 |
| Abscess incision and drainage | $604 | $436 | $174 |
| Albumin blood test | $5 | $9 | $5 |
| Aldosterone test | $298 | $55 | $41 |
| Alkaline phosphatase test | $38 | $9 | $5 |
| Alpha-fetoprotein (AFP) test | $167 | $69 | $17 |
| ALT liver enzyme test | $53 | $9 | $5 |
| Ammonia blood test | $107 | $146 | $15 |
| Amniocentesis | $1,001 | $867 | $120 |
| Amylase test | $6 | $59 | $6 |
| Annual physical (established patient) | $76 | $88 | — |
| Antinuclear antibody (ANA) test | $93 | $131 | $12 |
| Aortic aneurysm repair (AAA) | $7,097 | $30,644 | $1,345 |
| Arterial blood gas (ABG) | $259 | $86 | $26 |
| AST liver enzyme test | $5 | $9 | $5 |
| Barium swallow study | $567 | $411 | $107 |
| Bilirubin blood test | $50 | $9 | $5 |
| Bladder scope (cystoscopy) | $2,691 | $1,151 | $216 |
| Blood clotting test (PT/INR) | $4 | $21 | $4 |
| Blood crossmatch | $218 | $112 | — |
| Blood glucose test | $29 | $9 | $5 |
| Blood transfusion | $682 | $681 | $47 |
| Blood type and screen | $196 | $46 | $10 |
| Blood type test | $89 | $56 | $3 |
| Blood type test (ABO group) | $108 | $86 | $3 |
| Blood type test (Rh/D antigen) | $70 | $26 | $3 |
| BNP (heart failure) test | $39 | $203 | $39 |
| Bone density scan (DEXA) | $424 | $351 | $39 |
| Bone marrow biopsy | $2,910 | $1,930 | $172 |
| Bone scan (nuclear) | $1,786 | $1,464 | $259 |
| Breast biopsy | $5,726 | $2,594 | $478 |
| Breast MRI | $1,979 | $2,517 | $216 |
| Breast MRI without contrast | $1,598 | $2,398 | $216 |
| Breast ultrasound | $634 | $315 | $92 |
| Breast ultrasound (complete) | $648 | $293 | $100 |
| Breast ultrasound (limited) | $619 | $473 | $84 |
| Breathing tube insertion (intubation) | $769 | $644 | $133 |
| Bronchoscopy | $3,140 | $3,405 | $303 |
| Burn dressing and debridement (medium) | $199 | $397 | $166 |
| Burn dressing and debridement (small) | $96 | $163 | $93 |
| Burn treatment | $148 | $280 | $129 |
| CA 19-9 tumor marker test | $21 | $55 | $21 |
| CA-125 ovarian marker test | $16 | $51 | $21 |
| Capsule endoscopy | $2,173 | $2,471 | $802 |
| Cardiac catheterization | $10,793 | $10,666 | $1,049 |
| Cardiac rehabilitation | $182 | $223 | $26 |
| Cardiac stress test | $714 | $781 | $39 |
| Cardioversion | $1,047 | $3,669 | $155 |
| Carotid artery ultrasound | $238 | $659 | $156 |
| CEA tumor marker test | $188 | $178 | $19 |
| Celiac disease test | $12 | $120 | $12 |
| Central line placement | $4,032 | $1,921 | $238 |
| Chemotherapy infusion | $440 | $836 | $81 |
| Chemotherapy infusion (each additional) | $125 | $546 | $28 |
| Chemotherapy infusion (first hour) | $754 | $1,126 | $133 |
| Chest fluid drain (thoracentesis) | $2,212 | $3,048 | $311 |
| Chest tube insertion | $2,016 | $1,702 | $143 |
| Chest X-ray | $165 | $248 | $37 |
| Chest X-ray (1 view) | $79 | $215 | $25 |
| Chest X-ray (2 views) | $250 | $237 | $33 |
| Circumcision | $2,670 | $1,416 | $167 |
| CK-MB heart enzyme test | $9 | $53 | $12 |
| Clotting time test (PTT) | $46 | $38 | $6 |
| Complete blood count (CBC) | $73 | $23 | $7 |
| Complete blood count (CBC) (complete) | $78 | $23 | $8 |
| Contraceptive implant (Nexplanon) | $1,157 | $1,322 | $115 |
| Copper blood test | $9 | $73 | $12 |
| Coronary CT angiography | $3,113 | $2,373 | $326 |
| Cortisol test | $16 | $74 | $16 |
| COVID-19 PCR test | $312 | $172 | $51 |
| CPAP titration study | $519 | $194 | $69 |
| Creatine kinase (CK) test | $65 | $50 | $7 |
| CT angiography of the chest | $2,372 | $2,166 | $281 |
| CT angiography of the head | $2,094 | $2,300 | $274 |
| CT scan of the abdomen | $1,836 | $2,037 | $230 |
| CT scan of the abdomen and pelvis | $3,052 | $2,826 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $3,968 | $3,249 | $338 |
| CT scan of the abdomen and pelvis with contrast | $3,052 | $2,826 | $300 |
| CT scan of the abdomen and pelvis without contrast | $2,825 | $2,560 | $183 |
| CT scan of the abdomen with and without contrast | $1,981 | $2,343 | $259 |
| CT scan of the abdomen with contrast | $1,526 | $2,037 | $230 |
| CT scan of the abdomen without contrast | $1,836 | $1,771 | $136 |
| CT scan of the arm | $1,640 | $2,093 | $199 |
| CT scan of the arm with contrast | $1,640 | $2,152 | $199 |
| CT scan of the arm without contrast | $1,168 | $1,956 | $161 |
| CT scan of the chest | $1,526 | $1,762 | $167 |
| CT scan of the chest with and without contrast | $1,981 | $1,938 | $196 |
| CT scan of the chest with contrast | $1,526 | $1,762 | $167 |
| CT scan of the chest without contrast | $1,412 | $1,602 | $133 |
| CT scan of the head | $1,433 | $1,370 | $148 |
| CT scan of the head with and without contrast | $1,863 | $1,654 | $173 |
| CT scan of the head with contrast | $1,433 | $1,370 | $148 |
| CT scan of the head without contrast | $1,021 | $1,086 | $107 |
| CT scan of the leg | $1,639 | $1,902 | $166 |
| CT scan of the leg with contrast | $1,640 | $1,955 | $166 |
| CT scan of the leg without contrast | $1,168 | $1,777 | $130 |
| CT scan of the lower back (lumbar spine) | $1,526 | $2,328 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,981 | $2,561 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,526 | $2,328 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,410 | $2,116 | $130 |
| CT scan of the neck | $1,448 | $2,216 | $183 |
| CT scan of the neck (cervical spine) | $1,748 | $1,766 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $1,748 | $1,942 | $196 |
| CT scan of the neck (cervical spine) with contrast | $1,748 | $1,766 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,245 | $1,606 | $131 |
| CT scan of the neck with and without contrast | $1,947 | $2,438 | $220 |
| CT scan of the neck with contrast | $1,448 | $2,216 | $183 |
| CT scan of the neck without contrast | $1,344 | $2,014 | $150 |
| CT scan of the pelvis | $1,836 | $2,005 | $226 |
| CT scan of the pelvis with and without contrast | $1,982 | $2,206 | $251 |
| CT scan of the pelvis with contrast | $1,527 | $2,005 | $226 |
| CT scan of the pelvis without contrast | $1,836 | $1,823 | $133 |
| CT scan of the sinuses | $1,433 | $1,739 | $152 |
| CT scan of the sinuses with and without contrast | $1,863 | $1,917 | $184 |
| CT scan of the sinuses with contrast | $1,433 | $1,739 | $152 |
| CT scan of the sinuses without contrast | $1,325 | $1,502 | $128 |
| Developmental screening (child) | $461 | $139 | — |
| DHEA-sulfate test | $17 | $67 | $22 |
| Diagnostic mammogram | $92 | $457 | $140 |
| Drug screen (urine) | $118 | $97 | $17 |
| Echocardiogram | $837 | $970 | $138 |
| Echocardiogram with and without contrast | $457 | $593 | $101 |
| EEG (awake and asleep) | $891 | $1,087 | $482 |
| EKG / ECG (tracing only) | $178 | $97 | $7 |
| Electrocardiogram (EKG) | $142 | $97 | $8 |
| Electroencephalogram (EEG) | $891 | $1,087 | $448 |
| Emergency department visit | $345 | $494 | $69 |
| Emergency department visit (level 1) | $155 | $219 | $11 |
| Emergency department visit (level 2) | $206 | $314 | $40 |
| Emergency department visit (level 3) | $345 | $494 | $69 |
| Emergency department visit (level 4) | $649 | $781 | $118 |
| Emergency department visit (level 5) | $906 | $1,211 | $171 |
| Estradiol (estrogen) test | $21 | $45 | $28 |
| Fallopian tube X-ray (HSG) | $1,264 | $618 | $164 |
| Fecal occult blood (stool) test | $8 | $30 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $4 | $30 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $12 | $51 | $16 |
| Feeding tube (PEG) placement | $2,551 | $2,883 | $178 |
| Ferritin (iron) test | $135 | $103 | $14 |
| Fibrinogen test | $102 | $47 | $10 |
| Flexible sigmoidoscopy | $1,735 | $2,727 | $323 |
| Flu test | $173 | $80 | $17 |
| Flu vaccine | $45 | $80 | — |
| Folate (folic acid) test | $107 | $47 | $15 |
| Foreign body removal (skin) | $973 | $410 | $157 |
| Free T4 thyroid test | $9 | $49 | $9 |
| FSH hormone test | $14 | $39 | $19 |
| Gallbladder scan (HIDA) | $1,827 | $2,173 | $334 |
| GGT liver test | $53 | $40 | $7 |
| Glucose tolerance test | $49 | $35 | $8 |
| Group therapy session | $74 | $307 | $30 |
| H. pylori test | $503 | $70 | $67 |
| HDL cholesterol test | $8 | $39 | $8 |
| Hemodialysis | $799 | $3,499 | $75 |
| Hemoglobin A1c (diabetes test) | $10 | $71 | $10 |
| Hepatitis B test | $80 | $20 | $10 |
| Hepatitis C test | $149 | $47 | $14 |
| HIV test | $252 | $47 | $19 |
| HIV test (antigen/antibody combo) | $252 | $38 | $24 |
| Holter heart monitor | $838 | $403 | $26 |
| Iron blood test | $64 | $69 | $6 |
| IV infusion therapy | $265 | $204 | $44 |
| IV infusion therapy (each additional) | $100 | $101 | $21 |
| IV infusion therapy (initial) | $429 | $307 | $67 |
| IVC filter placement | $3,125 | $6,320 | $1,885 |
| Joint aspiration (small/intermediate) | $775 | $956 | $57 |
| Joint aspiration or injection (mid-size joint) | $775 | $956 | $57 |
| Joint aspiration or injection (small joint) | $775 | $956 | $56 |
| Kidney scan (nuclear) | $3,063 | $1,713 | $172 |
| Kidney ultrasound | $809 | $546 | $84 |
| Kidney ultrasound (limited) | $809 | $506 | $61 |
| Knee joint injection | $775 | $1,579 | $69 |
| Lactate test | $115 | $59 | $12 |
| Laryngoscopy | $606 | $328 | $189 |
| LDH test | $5 | $27 | $6 |
| LDL cholesterol test | $11 | $48 | $11 |
| Leg artery angiogram | $5,977 | $5,562 | $149 |
| Leg vein ultrasound (Doppler) | $415 | $683 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $285 | $683 | $116 |
| LH hormone test | $19 | $119 | $19 |
| Lipase test | $7 | $58 | $7 |
| Lipid (cholesterol) panel | $10 | $55 | $13 |
| Lung function test (PFT) | $541 | $439 | $37 |
| Lung scan (V/Q) | $1,786 | $1,032 | $291 |
| Magnesium blood test | $7 | $46 | $7 |
| MMR vaccine | $377 | $298 | — |
| MRA of the brain | $3,106 | $2,540 | $226 |
| MRA of the brain with contrast | $3,106 | $2,540 | $226 |
| MRA of the brain without contrast | $3,106 | $2,794 | $328 |
| MRA of the neck | $2,390 | $2,532 | $245 |
| MRA of the neck with contrast | $2,390 | $2,532 | $245 |
| MRA of the neck without contrast | $3,106 | $2,786 | $343 |
| MRI of the abdomen | $3,896 | $2,976 | $300 |
| MRI of the abdomen with contrast | $3,896 | $2,976 | $300 |
| MRI of the abdomen without contrast | $3,606 | $2,706 | $194 |
| MRI of the ankle | $4,787 | $4,020 | $261 |
| MRI of the ankle with contrast | $5,521 | $4,132 | $261 |
| MRI of the ankle without contrast | $3,408 | $3,758 | $222 |
| MRI of the brain | $2,770 | $2,693 | $269 |
| MRI of the brain with contrast | $2,770 | $2,693 | $269 |
| MRI of the brain without contrast | $2,565 | $2,448 | $195 |
| MRI of the chest | $3,185 | $2,831 | $371 |
| MRI of the chest with contrast | $3,185 | $2,831 | $371 |
| MRI of the chest without contrast | $4,139 | $3,114 | $466 |
| MRI of the knee | $4,248 | $3,640 | $315 |
| MRI of the knee with contrast | $4,248 | $3,742 | $315 |
| MRI of the knee without contrast | $3,408 | $3,402 | $204 |
| MRI of the lower back (lumbar spine) | $3,988 | $3,241 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $3,313 | $3,241 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $3,988 | $2,946 | $192 |
| MRI of the mid-back (thoracic spine) | $3,988 | $3,273 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $5,597 | $3,600 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $3,313 | $3,273 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $3,988 | $2,976 | $190 |
| MRI of the neck (cervical spine) | $4,283 | $2,709 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $5,566 | $2,980 | $318 |
| MRI of the neck (cervical spine) with contrast | $4,283 | $2,709 | $274 |
| MRI of the neck (cervical spine) without contrast | $3,965 | $2,462 | $191 |
| MRI of the pelvis | $3,606 | $2,706 | $268 |
| MRI of the pelvis with contrast | $2,998 | $2,706 | $268 |
| MRI of the pelvis without contrast | $3,606 | $2,460 | $227 |
| MRI of the shoulder | $5,521 | $3,778 | $313 |
| MRI of the shoulder with contrast | $5,521 | $3,884 | $313 |
| MRI of the shoulder without contrast | $3,408 | $3,531 | $205 |
| MRI of the wrist | $4,248 | $3,955 | $330 |
| MRI of the wrist with contrast | $4,248 | $4,066 | $330 |
| MRI of the wrist without contrast | $2,620 | $3,696 | $303 |
| Nebulizer breathing treatment | $589 | $146 | $9 |
| Nerve conduction study | $514 | $1,202 | $118 |
| Nuclear cardiac stress test | $5,806 | $3,344 | $428 |
| Occupational therapy evaluation | $96 | $226 | $101 |
| Occupational therapy evaluation (high complexity) | $96 | $237 | $101 |
| Occupational therapy evaluation (low complexity) | $401 | $215 | $101 |
| Occupational therapy evaluation (moderate complexity) | $96 | $226 | $101 |
| Parathyroid hormone (PTH) test | $410 | $124 | $41 |
| Pelvic ultrasound | $594 | $493 | $78 |
| Pelvic ultrasound (complete) | $718 | $543 | $105 |
| Pelvic ultrasound (limited) | $469 | $443 | $51 |
| PET scan | $6,498 | $4,949 | — |
| Phosphorus blood test | $5 | $46 | $5 |
| Physical therapy evaluation | $297 | $246 | $98 |
| Physical therapy evaluation (high complexity) | $302 | $267 | $98 |
| Physical therapy evaluation (moderate complexity) | $297 | $246 | $98 |
| Platelet count | $35 | $27 | $4 |
| Pneumonia vaccine | $460 | $377 | — |
| Pregnancy blood test (hCG) | $75 | $31 | $8 |
| Pregnancy ultrasound | $927 | $575 | $126 |
| Pregnancy ultrasound (first trimester) | $1,047 | $488 | $117 |
| Pregnancy ultrasound (second or third trimester) | $807 | $662 | $136 |
| Procalcitonin test | $199 | $302 | $27 |
| Prolactin test | $142 | $80 | $19 |
| Prostate test (PSA) | $134 | $45 | $18 |
| Psychiatric evaluation | $378 | $317 | $188 |
| Psychotherapy session | $269 | $281 | $140 |
| Scoliosis spine X-ray | $256 | $550 | $58 |
| Scoliosis spine X-ray (1 view) | $414 | $523 | $44 |
| Scoliosis spine X-ray (3 views) | $98 | $576 | $72 |
| Screening mammogram | $86 | $172 | $126 |
| Scrotal ultrasound | $678 | $504 | $99 |
| Semen analysis | $70 | $122 | $12 |
| Sex hormone binding globulin test | $16 | $77 | $22 |
| Skin biopsy | $562 | $285 | $121 |
| Skin biopsy (punch) | $458 | $285 | $121 |
| Skin tag removal | $531 | $270 | $92 |
| Sleep study (polysomnography) | $6,355 | $3,596 | $691 |
| Soft tissue ultrasound | $468 | $473 | $64 |
| Speech therapy | $72 | $273 | $76 |
| Spinal tap (lumbar puncture) | $1,275 | $564 | $165 |
| Spirometry (lung function test) | $428 | $246 | $30 |
| Spirometry with bronchodilator | $653 | $632 | $43 |
| Strep throat test | $173 | $42 | $17 |
| Stress echocardiogram | $1,394 | $1,529 | $209 |
| Swallow study | $80 | $214 | $85 |
| T3 thyroid test | $104 | $43 | $14 |
| Tdap (tetanus) vaccine | $251 | $145 | — |
| Testosterone test | $256 | $57 | $26 |
| Thyroid test (TSH) | $17 | $69 | $17 |
| Thyroid ultrasound | $678 | $551 | $109 |
| Thyroid uptake scan | $955 | $1,395 | $145 |
| Tilt table test | $1,385 | $1,728 | $168 |
| Total IgE allergy test | $12 | $29 | $16 |
| Total protein test | $4 | $9 | $4 |
| Transesophageal echocardiogram (TEE) | $1,681 | $1,578 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $1,681 | $1,791 | $239 |
| Transvaginal ultrasound | $807 | $564 | $118 |
| Triglycerides test | $57 | $53 | $6 |
| Troponin (heart) test | $124 | $70 | $12 |
| Turning a breech baby (version) | $9,217 | $2,111 | $94 |
| Upper GI series (barium) | $1,224 | $650 | $128 |
| Uric acid (gout) test | $5 | $19 | $5 |
| Urinalysis | $20 | $48 | $3 |
| Urine microalbumin test | $22 | $40 | $5 |
| Urine pregnancy test | $6 | $98 | $9 |
| Vaccine administration | $70 | $33 | $19 |
| Vaccine administration (each additional) | $61 | $21 | $16 |
| Vitamin B12 test | $110 | $47 | $15 |
| Vitamin D test | $216 | $59 | $30 |
| Wound debridement | $1,086 | $655 | $186 |
| X-ray of the abdomen | $184 | $326 | $36 |
| X-ray of the ankle | $79 | $385 | $37 |
| X-ray of the collarbone | $286 | $478 | $33 |
| X-ray of the elbow | $79 | $470 | $33 |
| X-ray of the facial bones | $218 | $370 | $39 |
| X-ray of the foot | $393 | $494 | $34 |
| X-ray of the forearm | $357 | $315 | $29 |
| X-ray of the hand | $306 | $441 | $38 |
| X-ray of the hip | $226 | $397 | $49 |
| X-ray of the hip (1 view) | $373 | $339 | $34 |
| X-ray of the hip (3 views) | $79 | $397 | $49 |
| X-ray of the knee | $442 | $423 | $42 |
| X-ray of the knee (2 views) | $464 | $351 | $34 |
| X-ray of the knee (3 views) | $393 | $484 | $42 |
| X-ray of the knee (4+ views) | $442 | $567 | $49 |
| X-ray of the lower back (lumbar spine) | $557 | $434 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $357 | $397 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $756 | $471 | $53 |
| X-ray of the lower leg | $79 | $343 | $31 |
| X-ray of the mid-back (thoracic spine) | $411 | $336 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $357 | $319 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $464 | $353 | $39 |
| X-ray of the neck (cervical spine) | $418 | $413 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $79 | $376 | $40 |
| X-ray of the pelvis | $296 | $222 | $36 |
| X-ray of the pelvis (1 view) | $286 | $174 | $28 |
| X-ray of the ribs | $464 | $358 | $42 |
| X-ray of the ribs (2 views) | $323 | $302 | $36 |
| X-ray of the ribs (3 views) | $559 | $358 | $42 |
| X-ray of the shoulder | $393 | $518 | $36 |
| X-ray of the skull | $98 | $290 | $40 |
| X-ray of the upper arm | $373 | $341 | $32 |
| X-ray of the wrist | $393 | $517 | $43 |
| Zinc blood test | $11 | $20 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
