| Procedure | Garrison Memorial Hospital | Sakakawea Medical Center-CAH | Medicare |
|---|
| Abdominal ultrasound | $299 | $372 | $100 |
| Abdominal ultrasound (complete) | $376 | $425 | $114 |
| Abdominal ultrasound (limited) | $221 | $320 | $86 |
| Abscess drainage (complex or multiple) | $338 | $652 | $220 |
| Abscess drainage (simple) | $191 | $338 | $129 |
| Abscess incision and drainage | $209 | $495 | $174 |
| Aldosterone test | $205 | $254 | $41 |
| Alpha-fetoprotein (AFP) test | $109 | $104 | $17 |
| Benign skin lesion removal | $615 | $652 | $171 |
| Blood clotting test (PT/INR) | $29 | $27 | $4 |
| Blood glucose test | $36 | $17 | $5 |
| Blood transfusion | $418 | $854 | $47 |
| Blood type and screen | $119 | $92 | $10 |
| Blood type test | $68 | $19 | $3 |
| Blood type test (ABO group) | $99 | $19 | $3 |
| Blood type test (Rh/D antigen) | $37 | $19 | $3 |
| Bone density scan (DEXA) | $197 | $145 | $39 |
| Breast ultrasound | $206 | $322 | $92 |
| Breast ultrasound (complete) | $214 | $365 | $100 |
| Breast ultrasound (limited) | $198 | $280 | $84 |
| Cardiac rehabilitation | $94 | $132 | $26 |
| Carotid artery ultrasound | $605 | $668 | $156 |
| Chest X-ray | $86 | $101 | $37 |
| Chest X-ray (1 view) | $73 | $86 | $25 |
| Chest X-ray (2 views) | $90 | $117 | $33 |
| Clotting time test (PTT) | $46 | $37 | $6 |
| Copper blood test | $63 | $77 | $12 |
| CT angiography of the chest | $1,469 | $2,080 | $281 |
| CT angiography of the head | $1,427 | $2,053 | $274 |
| CT scan of the arm | $694 | $1,255 | $199 |
| CT scan of the arm without contrast | $694 | $1,255 | $161 |
| CT scan of the leg | $817 | $1,209 | $166 |
| CT scan of the leg without contrast | $817 | $884 | $130 |
| CT scan of the lower back (lumbar spine) | $804 | $1,187 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $804 | $884 | $130 |
| CT scan of the neck | $903 | $1,298 | $183 |
| CT scan of the neck with and without contrast | $1,007 | $1,590 | $220 |
| CT scan of the neck with contrast | $799 | $1,298 | $183 |
| Diagnostic mammogram | $307 | $522 | $140 |
| Drug screen (urine) | $123 | $107 | $17 |
| Echocardiogram | $328 | $497 | $138 |
| EKG / ECG (tracing only) | $90 | $34 | $7 |
| Electrocardiogram (EKG) | $54 | $34 | $8 |
| Electrolyte panel | $52 | $44 | $7 |
| Emergency department visit | $213 | $311 | $69 |
| Emergency department visit (level 1) | $94 | $110 | $11 |
| Emergency department visit (level 2) | $148 | $201 | $40 |
| Emergency department visit (level 3) | $225 | $350 | $69 |
| Emergency department visit (level 4) | $406 | $562 | $118 |
| Emergency department visit (level 5) | $646 | $811 | $171 |
| Fecal occult blood (stool) test | $30 | $99 | $10 |
| Fibrinogen test | $66 | $63 | $10 |
| Gallbladder scan (HIDA) | $772 | $1,775 | $334 |
| GGT liver test | $48 | $45 | $7 |
| Hematocrit test | $10 | $15 | $2 |
| Hepatitis B test | $67 | $64 | $10 |
| Holter heart monitor | $122 | $102 | $26 |
| Kidney ultrasound | $342 | $275 | $84 |
| Knee joint injection | $226 | $504 | $69 |
| Lactate test | $55 | $72 | $12 |
| LDH test | $50 | $38 | $6 |
| Leg vein ultrasound (Doppler) | $557 | $547 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $500 | $421 | $116 |
| MRI of the abdomen | $1,569 | $2,676 | $300 |
| MRI of the ankle | $1,528 | $2,248 | $261 |
| MRI of the ankle without contrast | $1,483 | $1,808 | $222 |
| MRI of the brain | $1,517 | $2,083 | $269 |
| MRI of the brain without contrast | $1,150 | $1,407 | $195 |
| MRI of the knee | $1,667 | $2,401 | $315 |
| MRI of the knee without contrast | $1,667 | $1,533 | $204 |
| MRI of the lower back (lumbar spine) | $1,599 | $2,103 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,474 | $1,361 | $192 |
| MRI of the mid-back (thoracic spine) | $1,299 | $1,884 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $1,501 | $2,411 | $319 |
| MRI of the mid-back (thoracic spine) without contrast | $1,096 | $1,358 | $190 |
| MRI of the neck (cervical spine) | $1,573 | $2,149 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $1,716 | $2,404 | $318 |
| MRI of the neck (cervical spine) without contrast | $1,429 | $1,358 | $191 |
| MRI of the pelvis | $1,311 | $2,247 | $268 |
| MRI of the pelvis without contrast | $1,056 | $1,825 | $227 |
| MRI of the shoulder | $1,732 | $2,407 | $313 |
| MRI of the shoulder without contrast | $1,618 | $1,537 | $205 |
| MRI of the wrist | $1,175 | $3,134 | $330 |
| MRI of the wrist without contrast | $1,175 | $2,729 | $303 |
| Occupational therapy evaluation | $195 | $388 | $101 |
| Occupational therapy evaluation (high complexity) | $195 | $388 | $101 |
| Occupational therapy evaluation (low complexity) | $235 | $388 | $101 |
| Occupational therapy evaluation (moderate complexity) | $195 | $388 | $101 |
| Pap smear (cervical screening) | $113 | $166 | $20 |
| Pelvic ultrasound | $315 | $258 | $78 |
| Pelvic ultrasound (complete) | $315 | $391 | $105 |
| Physical therapy evaluation | $252 | $400 | $98 |
| Physical therapy evaluation (high complexity) | $227 | $400 | $98 |
| Physical therapy evaluation (moderate complexity) | $268 | $400 | $98 |
| Platelet count | $33 | $28 | $4 |
| Screening mammogram | $356 | $484 | $126 |
| Scrotal ultrasound | $269 | $379 | $99 |
| Skin biopsy | $155 | $652 | $121 |
| Skin biopsy (punch) | $111 | $652 | $121 |
| Soft tissue ultrasound | $239 | $170 | $64 |
| T3 thyroid test | $92 | $88 | $14 |
| Tdap (tetanus) vaccine | $57 | $50 | — |
| Thyroid ultrasound | $331 | $456 | $109 |
| Transvaginal ultrasound | $223 | $465 | $118 |
| Triglycerides test | $43 | $36 | $6 |
| Vaccine administration | $64 | $63 | $19 |
| X-ray of the abdomen | $98 | $119 | $36 |
| X-ray of the ankle | $101 | $143 | $37 |
| X-ray of the collarbone | $50 | $122 | $33 |
| X-ray of the elbow | $103 | $121 | $33 |
| X-ray of the facial bones | $184 | $177 | $39 |
| X-ray of the foot | $95 | $133 | $34 |
| X-ray of the forearm | $80 | $108 | $29 |
| X-ray of the hand | $99 | $142 | $38 |
| X-ray of the hip | $67 | $182 | $49 |
| X-ray of the knee | $105 | $159 | $42 |
| X-ray of the knee (2 views) | $92 | $133 | $34 |
| X-ray of the knee (3 views) | $118 | $159 | $42 |
| X-ray of the knee (4+ views) | $105 | $178 | $49 |
| X-ray of the lower back (lumbar spine) | $109 | $170 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $105 | $147 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $114 | $194 | $53 |
| X-ray of the lower leg | $85 | $121 | $31 |
| X-ray of the mid-back (thoracic spine) | $102 | $115 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $92 | $115 | $33 |
| X-ray of the neck (cervical spine) | $115 | $145 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $112 | $145 | $40 |
| X-ray of the pelvis | $94 | $98 | $36 |
| X-ray of the pelvis (1 view) | $81 | $98 | $28 |
| X-ray of the shoulder | $89 | $128 | $36 |
| X-ray of the skull | $61 | $136 | $40 |
| X-ray of the upper arm | $81 | $122 | $32 |
| X-ray of the wrist | $119 | $163 | $43 |
| Zinc blood test | $85 | $71 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
