| Procedure | Gothenburg Health | CHI Health Good Samaritan | Medicare |
|---|
| Abdominal fluid drain (paracentesis) | $1,350 | $1,265 | $284 |
| Abdominal ultrasound | $983 | $663 | $100 |
| Abdominal ultrasound (complete) | $1,255 | $811 | $114 |
| Abdominal ultrasound (limited) | $711 | $516 | $86 |
| Abscess drainage (complex or multiple) | $432 | $1,091 | $220 |
| Abscess drainage (simple) | $371 | $340 | $129 |
| Abscess incision and drainage | $402 | $716 | $174 |
| Albumin blood test | $59 | $18 | $5 |
| Alkaline phosphatase test | $73 | $20 | $5 |
| ALT liver enzyme test | $81 | $30 | $5 |
| Ammonia blood test | $153 | $99 | $15 |
| Amylase test | $104 | $65 | $6 |
| Arterial blood gas (ABG) | $270 | $153 | $26 |
| AST liver enzyme test | $77 | $26 | $5 |
| Basic metabolic panel | $149 | $111 | $8 |
| Bilirubin blood test | $68 | $26 | $5 |
| Blood clotting test (PT/INR) | $68 | $51 | $4 |
| Blood glucose test | $63 | $32 | $5 |
| Blood transfusion | $1,109 | $979 | $47 |
| Blood type and screen | $116 | $85 | $10 |
| Blood type test | $91 | $41 | $3 |
| Blood type test (ABO group) | $116 | $51 | $3 |
| Blood type test (Rh/D antigen) | $66 | $31 | $3 |
| BNP (heart failure) test | $306 | $196 | $39 |
| Bone density scan (DEXA) | $495 | $514 | $39 |
| Bone marrow biopsy | $2,160 | $745 | $172 |
| Bone scan (nuclear) | $1,837 | $1,639 | $259 |
| Breast biopsy | $2,498 | $2,977 | $478 |
| Breast ultrasound | $585 | $492 | $92 |
| Breast ultrasound (complete) | $585 | $492 | $100 |
| Breast ultrasound (limited) | $405 | $492 | $84 |
| Breathing tube insertion (intubation) | $601 | $615 | $133 |
| C-reactive protein (CRP) | $117 | $96 | $5 |
| Calcium blood test | $68 | $27 | $5 |
| Cardiac rehabilitation | $282 | $320 | $26 |
| Cardiac stress test | $261 | $1,164 | $39 |
| Cardioversion | $1,360 | $1,812 | $155 |
| Carotid artery ultrasound | $1,575 | $748 | $156 |
| Celiac disease test | $56 | $59 | $12 |
| Chemotherapy infusion | $455 | $628 | $81 |
| Chemotherapy infusion (each additional) | $270 | $161 | $28 |
| Chemotherapy infusion (first hour) | $639 | $1,095 | $133 |
| Chest tube insertion | $1,088 | $920 | $143 |
| Chest X-ray | $322 | $303 | $37 |
| Chest X-ray (1 view) | $288 | $303 | $25 |
| Chest X-ray (2 views) | $356 | $303 | $33 |
| Chickenpox (varicella) vaccine | $162 | $106 | — |
| CK-MB heart enzyme test | $189 | $124 | $12 |
| Clotting time test (PTT) | $108 | $63 | $6 |
| Complete blood count (CBC) | $122 | $73 | $7 |
| Complete blood count (CBC) (complete) | $122 | $85 | $8 |
| Comprehensive metabolic panel | $194 | $149 | $11 |
| COVID-19 PCR test | $144 | $93 | $51 |
| CPAP titration study | $810 | $734 | $69 |
| Creatine kinase (CK) test | $104 | $62 | $7 |
| CT angiography of the chest | $3,330 | $2,472 | $281 |
| CT angiography of the head | $3,150 | $1,993 | $274 |
| CT scan of the abdomen | $2,700 | $2,222 | $230 |
| CT scan of the abdomen and pelvis | $4,770 | $3,606 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $5,535 | $5,188 | $338 |
| CT scan of the abdomen and pelvis with contrast | $4,770 | $3,606 | $300 |
| CT scan of the abdomen and pelvis without contrast | $4,163 | $2,760 | $183 |
| CT scan of the abdomen with and without contrast | $3,060 | $2,466 | $259 |
| CT scan of the abdomen with contrast | $2,700 | $2,222 | $230 |
| CT scan of the abdomen without contrast | $2,430 | $1,667 | $136 |
| CT scan of the arm | $2,430 | $1,797 | $199 |
| CT scan of the arm without contrast | $2,160 | $1,536 | $161 |
| CT scan of the chest | $2,565 | $2,241 | $167 |
| CT scan of the chest with and without contrast | $3,128 | $2,585 | $196 |
| CT scan of the chest with contrast | $2,565 | $2,241 | $167 |
| CT scan of the chest without contrast | $2,385 | $1,190 | $133 |
| CT scan of the head | $2,340 | $1,633 | $148 |
| CT scan of the head with and without contrast | $3,150 | $1,957 | $173 |
| CT scan of the head with contrast | $2,340 | $1,633 | $148 |
| CT scan of the head without contrast | $2,070 | $1,585 | $107 |
| CT scan of the leg | $3,150 | $1,860 | $166 |
| CT scan of the leg with contrast | $2,520 | $1,860 | $166 |
| CT scan of the leg without contrast | $2,295 | $1,442 | $130 |
| CT scan of the lower back (lumbar spine) | $2,610 | $1,940 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $2,610 | $2,028 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $2,700 | $1,940 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $2,430 | $1,748 | $130 |
| CT scan of the neck | $2,475 | $1,944 | $183 |
| CT scan of the neck (cervical spine) | $2,700 | $2,028 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $2,700 | $2,142 | $196 |
| CT scan of the neck (cervical spine) with contrast | $3,038 | $2,028 | $168 |
| CT scan of the neck (cervical spine) without contrast | $2,453 | $1,603 | $131 |
| CT scan of the neck with and without contrast | $2,790 | $2,391 | $220 |
| CT scan of the neck with contrast | $2,475 | $1,944 | $183 |
| CT scan of the neck without contrast | $2,160 | $1,497 | $150 |
| CT scan of the pelvis | $2,738 | $1,649 | $226 |
| CT scan of the pelvis with and without contrast | $2,970 | $1,200 | $251 |
| CT scan of the pelvis with contrast | $2,738 | $1,826 | $226 |
| CT scan of the pelvis without contrast | $2,408 | $1,473 | $133 |
| CT scan of the sinuses | $2,340 | $1,778 | $152 |
| CT scan of the sinuses with and without contrast | $2,610 | $1,806 | $184 |
| CT scan of the sinuses with contrast | $2,340 | $1,778 | $152 |
| CT scan of the sinuses without contrast | $1,980 | $1,390 | $128 |
| D-dimer test | $180 | $187 | $10 |
| Diagnostic mammogram | $372 | $245 | $140 |
| Drug screen (urine) | $198 | $110 | $17 |
| Echocardiogram | $1,598 | $2,024 | $138 |
| Echocardiogram with and without contrast | $900 | $804 | $101 |
| EKG / ECG (tracing only) | $329 | $298 | $7 |
| Electrocardiogram (EKG) | $329 | $298 | $8 |
| Electrolyte panel | $171 | $56 | $7 |
| Emergency department visit | $585 | $588 | $69 |
| Emergency department visit (level 1) | $211 | $211 | $11 |
| Emergency department visit (level 2) | $381 | $332 | $40 |
| Emergency department visit (level 3) | $585 | $588 | $69 |
| Emergency department visit (level 4) | $878 | $1,010 | $118 |
| Emergency department visit (level 5) | $1,413 | $1,491 | $171 |
| Epidural steroid injection | $1,935 | $1,703 | $275 |
| Family therapy session | $761 | $155 | $110 |
| Fecal occult blood (stool) test | $48 | $38 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $45 | $27 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $50 | $49 | $16 |
| Folate (folic acid) test | $142 | $102 | $15 |
| Foreign body removal (skin) | $394 | $825 | $157 |
| Free T4 thyroid test | $122 | $73 | $9 |
| Gallbladder scan (HIDA) | $1,590 | $1,534 | $334 |
| Glucose tolerance test | $90 | $38 | $8 |
| Group therapy session | $662 | $96 | $30 |
| HDL cholesterol test | $63 | $65 | $8 |
| Hematocrit test | $54 | $26 | $2 |
| Hemoglobin A1c (diabetes test) | $90 | $57 | $10 |
| Hepatitis A vaccine | $121 | $38 | — |
| Hepatitis B vaccine | $80 | $24 | — |
| Holter heart monitor | $878 | $493 | $26 |
| IV infusion therapy | $316 | $365 | $44 |
| IV infusion therapy (each additional) | $248 | $118 | $21 |
| IV infusion therapy (initial) | $383 | $612 | $67 |
| Kidney biopsy | $1,530 | $1,825 | $492 |
| Kidney scan (nuclear) | $1,350 | $1,486 | $172 |
| Kidney ultrasound | $603 | $664 | $84 |
| Kidney ultrasound (limited) | $603 | $523 | $61 |
| Lactate test | $144 | $82 | $12 |
| Leg vein ultrasound (Doppler) | $1,256 | $1,241 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $1,256 | $1,216 | $116 |
| Lipase test | $135 | $80 | $7 |
| Lipid (cholesterol) panel | $131 | $51 | $13 |
| Liver biopsy | $2,475 | $1,865 | $288 |
| Liver function panel | $149 | $132 | $8 |
| Lung function test (PFT) | $462 | $411 | $37 |
| Lung scan (V/Q) | $1,890 | $1,462 | $291 |
| Magnesium blood test | $95 | $58 | $7 |
| MRA of the brain | $3,690 | $2,613 | $226 |
| MRA of the brain without contrast | $3,690 | $3,703 | $328 |
| MRA of the neck | $3,374 | $2,128 | $245 |
| MRA of the neck with contrast | $3,374 | $2,128 | $245 |
| MRA of the neck without contrast | $3,870 | $2,744 | $343 |
| MRI of the abdomen | $3,510 | $2,819 | $300 |
| MRI of the abdomen with contrast | $3,510 | $2,819 | $300 |
| MRI of the abdomen without contrast | $3,083 | $2,495 | $194 |
| MRI of the ankle | $2,880 | $2,071 | $261 |
| MRI of the ankle without contrast | $2,880 | $1,668 | $222 |
| MRI of the brain | $3,825 | $2,727 | $269 |
| MRI of the brain without contrast | $3,600 | $2,357 | $195 |
| MRI of the chest | $3,600 | $2,950 | $371 |
| MRI of the chest without contrast | $3,780 | $3,212 | $466 |
| MRI of the knee | $3,375 | $2,190 | $315 |
| MRI of the knee with contrast | $3,375 | $2,190 | $315 |
| MRI of the knee without contrast | $2,610 | $1,752 | $204 |
| MRI of the lower back (lumbar spine) | $4,140 | $2,345 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $4,500 | $2,919 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $3,465 | $1,821 | $192 |
| MRI of the mid-back (thoracic spine) | $4,366 | $2,076 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $5,132 | $2,076 | $319 |
| MRI of the mid-back (thoracic spine) without contrast | $3,600 | $1,651 | $190 |
| MRI of the neck (cervical spine) | $4,282 | $2,545 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $4,963 | $2,545 | $318 |
| MRI of the neck (cervical spine) without contrast | $3,600 | $1,622 | $191 |
| MRI of the pelvis | $3,420 | $2,594 | $268 |
| MRI of the pelvis with contrast | $3,420 | $2,594 | $268 |
| MRI of the pelvis without contrast | $3,150 | $2,250 | $227 |
| MRI of the shoulder | $3,420 | $2,190 | $313 |
| MRI of the shoulder with contrast | $3,420 | $2,190 | $313 |
| MRI of the shoulder without contrast | $2,588 | $1,752 | $205 |
| MRI of the wrist | $3,105 | $1,990 | $330 |
| MRI of the wrist without contrast | $2,700 | $1,597 | $303 |
| Nebulizer breathing treatment | $293 | $176 | $9 |
| Nuclear cardiac stress test | $4,005 | $3,825 | $428 |
| Occupational therapy evaluation | $199 | $226 | $101 |
| Occupational therapy evaluation (high complexity) | $203 | $226 | $101 |
| Occupational therapy evaluation (low complexity) | $191 | $226 | $101 |
| Occupational therapy evaluation (moderate complexity) | $203 | $226 | $101 |
| Office visit (established patient) | $144 | $242 | $115 |
| Office visit (new patient) | $158 | $392 | $177 |
| Office visit, established patient (level 3) | $144 | $221 | $95 |
| Office visit, established patient (level 4) | $300 | $264 | $136 |
| Office visit, new patient (level 3) | $113 | $326 | $118 |
| Office visit, new patient (level 4) | $158 | $392 | $177 |
| Office visit, new patient (level 5) | $212 | $401 | $237 |
| Pelvic ultrasound | $788 | $606 | $78 |
| Pelvic ultrasound (complete) | $788 | $797 | $105 |
| Phosphorus blood test | $72 | $92 | $5 |
| Physical therapy evaluation | $203 | $200 | $98 |
| Physical therapy evaluation (high complexity) | $234 | $200 | $98 |
| Physical therapy evaluation (moderate complexity) | $212 | $200 | $98 |
| Platelet count | $72 | $17 | $4 |
| Pregnancy ultrasound | $345 | $777 | $126 |
| Pregnancy ultrasound (second or third trimester) | $345 | $864 | $136 |
| Procalcitonin test | $243 | $164 | $27 |
| Prostate test (PSA) | $144 | $79 | $18 |
| Psychiatric evaluation | $270 | $185 | $188 |
| Psychotherapy session | $270 | $166 | $140 |
| Pulmonary rehabilitation | $241 | $188 | $87 |
| Sacroiliac joint injection | $1,476 | $897 | $176 |
| Screening mammogram | $396 | $242 | $126 |
| Scrotal ultrasound | $698 | $719 | $99 |
| Sedimentation rate (ESR) test | $63 | $41 | $3 |
| Semen analysis | $113 | $232 | $12 |
| Shingles vaccine | $293 | $112 | — |
| Simple laceration repair (small, up to 2.5 cm) | $304 | $317 | $114 |
| Simple wound stitches | $323 | $333 | $127 |
| Skin biopsy | $254 | $384 | $121 |
| Skin biopsy (punch) | $254 | $384 | $121 |
| Sleep study (polysomnography) | $4,680 | $3,282 | $691 |
| Soft tissue ultrasound | $563 | $572 | $64 |
| Speech therapy | $277 | $253 | $76 |
| Spinal tap (lumbar puncture) | $851 | $833 | $165 |
| Spirometry (lung function test) | $311 | $258 | $30 |
| Spirometry with bronchodilator | $642 | $564 | $43 |
| Strep throat test | $86 | $35 | $17 |
| Stress echocardiogram | $1,620 | $1,617 | $209 |
| Swallow study | $320 | $222 | $85 |
| Tdap (tetanus) vaccine | $41 | $58 | — |
| Thyroid test (TSH) | $140 | $98 | $17 |
| Thyroid ultrasound | $912 | $612 | $109 |
| Total protein test | $90 | $9 | $4 |
| Trigger point injection | $111 | $297 | $56 |
| Trigger point injection (1-2 muscles) | $120 | $261 | $52 |
| Triglycerides test | $70 | $48 | $6 |
| Troponin (heart) test | $257 | $167 | $12 |
| Urinalysis | $57 | $40 | $3 |
| Urine microalbumin test | $45 | $43 | $5 |
| Urine pregnancy test | $93 | $74 | $9 |
| Vaccine administration | $50 | $65 | $19 |
| Vaccine administration (each additional) | $39 | $77 | $16 |
| Vitamin B12 test | $140 | $95 | $15 |
| Vitamin D test | $198 | $47 | $30 |
| Wound debridement | $910 | $816 | $186 |
| X-ray of the abdomen | $410 | $333 | $36 |
| X-ray of the ankle | $342 | $330 | $37 |
| X-ray of the collarbone | $306 | $290 | $33 |
| X-ray of the elbow | $338 | $353 | $33 |
| X-ray of the facial bones | $367 | $262 | $39 |
| X-ray of the foot | $360 | $337 | $34 |
| X-ray of the forearm | $293 | $265 | $29 |
| X-ray of the hand | $374 | $346 | $38 |
| X-ray of the hip | $360 | $154 | $49 |
| X-ray of the hip (1 view) | $279 | $132 | $34 |
| X-ray of the hip (3 views) | $360 | $154 | $49 |
| X-ray of the knee | $383 | $387 | $42 |
| X-ray of the knee (2 views) | $333 | $364 | $34 |
| X-ray of the knee (3 views) | $383 | $387 | $42 |
| X-ray of the knee (4+ views) | $405 | $395 | $49 |
| X-ray of the lower back (lumbar spine) | $507 | $483 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $473 | $429 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $540 | $536 | $53 |
| X-ray of the lower leg | $320 | $302 | $31 |
| X-ray of the mid-back (thoracic spine) | $450 | $347 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $387 | $278 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $513 | $417 | $39 |
| X-ray of the neck (cervical spine) | $439 | $421 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $360 | $356 | $40 |
| X-ray of the pelvis | $376 | $299 | $36 |
| X-ray of the pelvis (1 view) | $347 | $282 | $28 |
| X-ray of the ribs | $432 | $366 | $42 |
| X-ray of the ribs (2 views) | $360 | $267 | $36 |
| X-ray of the ribs (3 views) | $432 | $366 | $42 |
| X-ray of the shoulder | $520 | $330 | $36 |
| X-ray of the skull | $414 | $377 | $40 |
| X-ray of the upper arm | $324 | $285 | $32 |
| X-ray of the wrist | $338 | $311 | $43 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.