| Procedure | Gothenburg Health | Cozad Community Hospital | Medicare |
|---|
| Abdominal fluid drain (paracentesis) | $1,350 | $1,402 | $284 |
| Abdominal ultrasound | $983 | $692 | $100 |
| Abdominal ultrasound (complete) | $1,255 | $818 | $114 |
| Abdominal ultrasound (limited) | $711 | $589 | $86 |
| Abscess drainage (complex or multiple) | $432 | $365 | $220 |
| Abscess drainage (simple) | $371 | $566 | $129 |
| Abscess incision and drainage | $402 | $466 | $174 |
| Albumin blood test | $59 | $48 | $5 |
| Alkaline phosphatase test | $73 | $23 | $5 |
| Allergy shots | $28 | $24 | $11 |
| ALT liver enzyme test | $81 | $54 | $5 |
| Ammonia blood test | $153 | $110 | $15 |
| Amylase test | $104 | $76 | $6 |
| Arterial blood gas (ABG) | $270 | $200 | $26 |
| AST liver enzyme test | $77 | $62 | $5 |
| Basic metabolic panel | $149 | $111 | $8 |
| Bilirubin blood test | $68 | $57 | $5 |
| Blood clotting test (PT/INR) | $68 | $38 | $4 |
| Blood glucose test | $63 | $30 | $5 |
| Blood transfusion | $1,109 | $683 | $47 |
| Blood type and screen | $116 | $77 | $10 |
| Blood type test | $91 | $80 | $3 |
| Blood type test (ABO group) | $116 | $108 | $3 |
| Blood type test (Rh/D antigen) | $66 | $45 | $3 |
| BNP (heart failure) test | $306 | $181 | $39 |
| Bone density scan (DEXA) | $495 | $363 | $39 |
| Bone scan (nuclear) | $1,837 | $1,510 | $259 |
| Breast biopsy | $2,498 | $2,054 | $478 |
| Breast ultrasound | $585 | $500 | $92 |
| Breast ultrasound (complete) | $585 | $500 | $100 |
| Breast ultrasound (limited) | $405 | $425 | $84 |
| Breathing tube insertion (intubation) | $601 | $520 | $133 |
| C-reactive protein (CRP) | $117 | $85 | $5 |
| Calcium blood test | $68 | $53 | $5 |
| Cardiac rehabilitation | $282 | $272 | $26 |
| Cardiac stress test | $261 | $1,079 | $39 |
| Cardioversion | $1,360 | $2,081 | $155 |
| Carotid artery ultrasound | $1,575 | $983 | $156 |
| Celiac disease test | $56 | $70 | $12 |
| Chemotherapy infusion | $455 | $385 | $81 |
| Chemotherapy infusion (each additional) | $270 | $170 | $28 |
| Chemotherapy infusion (first hour) | $639 | $624 | $133 |
| Chest tube insertion | $1,088 | $1,389 | $143 |
| Chest X-ray | $322 | $321 | $37 |
| Chest X-ray (1 view) | $288 | $324 | $25 |
| Chest X-ray (2 views) | $356 | $300 | $33 |
| Chickenpox (varicella) vaccine | $162 | $165 | — |
| CK-MB heart enzyme test | $189 | $149 | $12 |
| Clotting time test (PTT) | $108 | $66 | $6 |
| Colonoscopy | $3,993 | $854 | $480 |
| Complete blood count (CBC) | $122 | $70 | $7 |
| Complete blood count (CBC) (complete) | $122 | $55 | $8 |
| Comprehensive metabolic panel | $194 | $131 | $11 |
| COVID-19 PCR test | $144 | $79 | $51 |
| CPAP titration study | $810 | $439 | $69 |
| Creatine kinase (CK) test | $104 | $73 | $7 |
| CT angiography of the chest | $3,330 | $3,008 | $281 |
| CT angiography of the head | $3,150 | $3,033 | $274 |
| CT scan of the abdomen | $2,700 | $2,361 | $230 |
| CT scan of the abdomen and pelvis | $4,770 | $4,001 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $5,535 | $4,991 | $338 |
| CT scan of the abdomen and pelvis with contrast | $4,770 | $4,165 | $300 |
| CT scan of the abdomen and pelvis without contrast | $4,163 | $3,836 | $183 |
| CT scan of the abdomen with and without contrast | $3,060 | $2,861 | $259 |
| CT scan of the abdomen with contrast | $2,700 | $2,361 | $230 |
| CT scan of the abdomen without contrast | $2,430 | $2,177 | $136 |
| CT scan of the arm | $2,430 | $1,994 | $199 |
| CT scan of the arm without contrast | $2,160 | $1,791 | $161 |
| CT scan of the chest | $2,565 | $2,570 | $167 |
| CT scan of the chest with and without contrast | $3,128 | $2,667 | $196 |
| CT scan of the chest with contrast | $2,565 | $2,570 | $167 |
| CT scan of the chest without contrast | $2,385 | $2,473 | $133 |
| CT scan of the head | $2,340 | $2,465 | $148 |
| CT scan of the head with and without contrast | $3,150 | $2,995 | $173 |
| CT scan of the head with contrast | $2,340 | $1,935 | $148 |
| CT scan of the head without contrast | $2,070 | $1,922 | $107 |
| CT scan of the leg | $3,150 | $2,028 | $166 |
| CT scan of the leg with contrast | $2,520 | $1,978 | $166 |
| CT scan of the leg without contrast | $2,295 | $2,004 | $130 |
| CT scan of the lower back (lumbar spine) | $2,610 | $2,337 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $2,610 | $2,385 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $2,700 | $2,337 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $2,430 | $2,208 | $130 |
| CT scan of the neck | $2,475 | $1,964 | $183 |
| CT scan of the neck (cervical spine) | $2,700 | $2,228 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $2,700 | $2,473 | $196 |
| CT scan of the neck (cervical spine) with contrast | $3,038 | $2,228 | $168 |
| CT scan of the neck (cervical spine) without contrast | $2,453 | $2,206 | $131 |
| CT scan of the neck with contrast | $2,475 | $2,164 | $183 |
| CT scan of the neck without contrast | $2,160 | $1,764 | $150 |
| CT scan of the pelvis | $2,738 | $2,192 | $226 |
| CT scan of the pelvis with and without contrast | $2,970 | $2,192 | $251 |
| CT scan of the pelvis with contrast | $2,738 | $2,206 | $226 |
| CT scan of the pelvis without contrast | $2,408 | $2,110 | $133 |
| CT scan of the sinuses | $2,340 | $1,784 | $152 |
| CT scan of the sinuses with contrast | $2,340 | $1,661 | $152 |
| CT scan of the sinuses without contrast | $1,980 | $1,784 | $128 |
| D-dimer test | $180 | $118 | $10 |
| Diagnostic mammogram | $372 | $308 | $140 |
| Drug screen (urine) | $198 | $104 | $17 |
| Echocardiogram | $1,598 | $1,540 | $138 |
| Echocardiogram with and without contrast | $900 | $829 | $101 |
| EKG / ECG (tracing only) | $329 | $263 | $7 |
| Electrocardiogram (EKG) | $329 | $263 | $8 |
| Electrolyte panel | $171 | $75 | $7 |
| Emergency department visit | $585 | $642 | $69 |
| Emergency department visit (level 1) | $211 | $249 | $11 |
| Emergency department visit (level 2) | $381 | $372 | $40 |
| Emergency department visit (level 3) | $585 | $642 | $69 |
| Emergency department visit (level 4) | $878 | $921 | $118 |
| Emergency department visit (level 5) | $1,413 | $1,435 | $171 |
| Fecal occult blood (stool) test | $48 | $39 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $45 | $40 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $50 | $37 | $16 |
| Folate (folic acid) test | $142 | $97 | $15 |
| Foreign body removal (skin) | $394 | $667 | $157 |
| Free T4 thyroid test | $122 | $101 | $9 |
| Gallbladder removal (laparoscopic) | $7,226 | $1,580 | $658 |
| Gallbladder scan (HIDA) | $1,590 | $1,708 | $334 |
| Glucose tolerance test | $90 | $97 | $8 |
| HDL cholesterol test | $63 | $14 | $8 |
| Hematocrit test | $54 | $37 | $2 |
| Hemoglobin A1c (diabetes test) | $90 | $34 | $10 |
| Hepatitis A vaccine | $121 | $178 | — |
| Hepatitis B vaccine | $80 | $157 | — |
| Holter heart monitor | $878 | $385 | $26 |
| HPV vaccine | $255 | $265 | — |
| IV infusion therapy | $316 | $384 | $44 |
| IV infusion therapy (each additional) | $248 | $117 | $21 |
| IV infusion therapy (initial) | $383 | $416 | $67 |
| Kidney scan (nuclear) | $1,350 | $1,165 | $172 |
| Kidney ultrasound | $603 | $708 | $84 |
| Kidney ultrasound (limited) | $603 | $628 | $61 |
| Lactate test | $144 | $181 | $12 |
| Leg vein ultrasound (Doppler) | $1,256 | $1,147 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $1,256 | $1,147 | $116 |
| Lipase test | $135 | $78 | $7 |
| Lipid (cholesterol) panel | $131 | $88 | $13 |
| Liver function panel | $149 | $109 | $8 |
| Lung function test (PFT) | $462 | $270 | $37 |
| Lung scan (V/Q) | $1,890 | $1,884 | $291 |
| Magnesium blood test | $95 | $62 | $7 |
| MRA of the brain | $3,690 | $3,083 | $226 |
| MRA of the brain without contrast | $3,690 | $3,313 | $328 |
| MRA of the neck | $3,374 | $3,326 | $245 |
| MRA of the neck with contrast | $3,374 | $2,685 | $245 |
| MRA of the neck without contrast | $3,870 | $3,326 | $343 |
| MRI of the abdomen | $3,510 | $2,961 | $300 |
| MRI of the abdomen with contrast | $3,510 | $2,903 | $300 |
| MRI of the abdomen without contrast | $3,083 | $2,961 | $194 |
| MRI of the ankle | $2,880 | $2,520 | $261 |
| MRI of the ankle without contrast | $2,880 | $2,460 | $222 |
| MRI of the brain | $3,825 | $3,701 | $269 |
| MRI of the brain without contrast | $3,600 | $3,461 | $195 |
| MRI of the knee | $3,375 | $2,370 | $315 |
| MRI of the knee without contrast | $2,610 | $2,352 | $204 |
| MRI of the lower back (lumbar spine) | $4,140 | $3,487 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $3,465 | $3,216 | $192 |
| MRI of the mid-back (thoracic spine) | $4,366 | $2,903 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $5,132 | $2,903 | $319 |
| MRI of the mid-back (thoracic spine) without contrast | $3,600 | $3,406 | $190 |
| MRI of the neck (cervical spine) | $4,282 | $3,321 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $4,963 | $3,329 | $318 |
| MRI of the neck (cervical spine) without contrast | $3,600 | $3,321 | $191 |
| MRI of the pelvis | $3,420 | $2,724 | $268 |
| MRI of the pelvis without contrast | $3,150 | $2,660 | $227 |
| MRI of the shoulder | $3,420 | $2,506 | $313 |
| MRI of the shoulder with contrast | $3,420 | $2,506 | $313 |
| MRI of the shoulder without contrast | $2,588 | $2,397 | $205 |
| MRI of the wrist | $3,105 | $2,289 | $330 |
| MRI of the wrist without contrast | $2,700 | $1,912 | $303 |
| Nebulizer breathing treatment | $293 | $249 | $9 |
| Nuclear cardiac stress test | $4,005 | $4,315 | $428 |
| Occupational therapy evaluation | $199 | $206 | $101 |
| Occupational therapy evaluation (high complexity) | $203 | $243 | $101 |
| Occupational therapy evaluation (low complexity) | $191 | $178 | $101 |
| Occupational therapy evaluation (moderate complexity) | $203 | $206 | $101 |
| Office visit (established patient) | $144 | $160 | $115 |
| Office visit (new patient) | $158 | $271 | $177 |
| Office visit, established patient (level 3) | $144 | $119 | $95 |
| Office visit, established patient (level 4) | $300 | $175 | $136 |
| Office visit, new patient (level 3) | $113 | $166 | $118 |
| Office visit, new patient (level 4) | $158 | $271 | $177 |
| Office visit, new patient (level 5) | $212 | $328 | $237 |
| Pelvic ultrasound | $788 | $605 | $78 |
| Pelvic ultrasound (complete) | $788 | $766 | $105 |
| Phosphorus blood test | $72 | $45 | $5 |
| Physical therapy evaluation | $203 | $209 | $98 |
| Physical therapy evaluation (high complexity) | $234 | $267 | $98 |
| Physical therapy evaluation (moderate complexity) | $212 | $209 | $98 |
| Platelet count | $72 | $33 | $4 |
| Pregnancy ultrasound | $345 | $666 | $126 |
| Pregnancy ultrasound (second or third trimester) | $345 | $635 | $136 |
| Procalcitonin test | $243 | $229 | $27 |
| Prostate test (PSA) | $144 | $107 | $18 |
| Pulmonary rehabilitation | $241 | $179 | $87 |
| Screening mammogram | $396 | $360 | $126 |
| Scrotal ultrasound | $698 | $661 | $99 |
| Sedimentation rate (ESR) test | $63 | $59 | $3 |
| Semen analysis | $113 | $111 | $12 |
| Shingles vaccine | $293 | $343 | — |
| Simple laceration repair (small, up to 2.5 cm) | $304 | $273 | $114 |
| Simple wound stitches | $323 | $273 | $127 |
| Skin biopsy | $254 | $308 | $121 |
| Skin biopsy (punch) | $254 | $243 | $121 |
| Sleep study (polysomnography) | $4,680 | $4,052 | $691 |
| Soft tissue ultrasound | $563 | $520 | $64 |
| Speech therapy | $277 | $277 | $76 |
| Spinal tap (lumbar puncture) | $851 | $692 | $165 |
| Spirometry (lung function test) | $311 | $270 | $30 |
| Spirometry with bronchodilator | $642 | $693 | $43 |
| Strep throat test | $86 | $29 | $17 |
| Stress echocardiogram | $1,620 | $1,157 | $209 |
| Swallow study | $320 | $319 | $85 |
| Tdap (tetanus) vaccine | $41 | $72 | — |
| Thyroid test (TSH) | $140 | $83 | $17 |
| Thyroid ultrasound | $912 | $617 | $109 |
| Total protein test | $90 | $46 | $4 |
| Trigger point injection | $111 | $1,589 | $56 |
| Trigger point injection (1-2 muscles) | $120 | $89 | $52 |
| Triglycerides test | $70 | $51 | $6 |
| Troponin (heart) test | $257 | $167 | $12 |
| Upper GI endoscopy (EGD) | $3,779 | $660 | $371 |
| Urinalysis | $57 | $10 | $3 |
| Urine microalbumin test | $45 | $69 | $5 |
| Urine pregnancy test | $93 | $21 | $9 |
| Vaccine administration | $50 | $81 | $19 |
| Vaccine administration (each additional) | $39 | $81 | $16 |
| Vitamin B12 test | $140 | $134 | $15 |
| Vitamin D test | $198 | $153 | $30 |
| Wound debridement | $910 | $216 | $186 |
| X-ray of the abdomen | $410 | $325 | $36 |
| X-ray of the ankle | $342 | $322 | $37 |
| X-ray of the collarbone | $306 | $308 | $33 |
| X-ray of the elbow | $338 | $347 | $33 |
| X-ray of the facial bones | $367 | $410 | $39 |
| X-ray of the foot | $360 | $339 | $34 |
| X-ray of the forearm | $293 | $276 | $29 |
| X-ray of the hand | $374 | $341 | $38 |
| X-ray of the hip | $360 | $269 | $49 |
| X-ray of the hip (1 view) | $279 | $188 | $34 |
| X-ray of the hip (3 views) | $360 | $343 | $49 |
| X-ray of the knee | $383 | $367 | $42 |
| X-ray of the knee (2 views) | $333 | $339 | $34 |
| X-ray of the knee (3 views) | $383 | $367 | $42 |
| X-ray of the knee (4+ views) | $405 | $414 | $49 |
| X-ray of the lower back (lumbar spine) | $507 | $473 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $473 | $441 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $540 | $505 | $53 |
| X-ray of the lower leg | $320 | $314 | $31 |
| X-ray of the mid-back (thoracic spine) | $450 | $387 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $387 | $358 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $513 | $415 | $39 |
| X-ray of the neck (cervical spine) | $439 | $404 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $360 | $340 | $40 |
| X-ray of the pelvis | $376 | $314 | $36 |
| X-ray of the pelvis (1 view) | $347 | $308 | $28 |
| X-ray of the ribs | $432 | $346 | $42 |
| X-ray of the ribs (2 views) | $360 | $314 | $36 |
| X-ray of the ribs (3 views) | $432 | $433 | $42 |
| X-ray of the shoulder | $520 | $355 | $36 |
| X-ray of the skull | $414 | $247 | $40 |
| X-ray of the upper arm | $324 | $324 | $32 |
| X-ray of the wrist | $338 | $334 | $43 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.