| Procedure | Gothenburg Health | Kearney County Health Services Hospital | Medicare |
|---|
| Abdominal ultrasound | $983 | $641 | $100 |
| Abdominal ultrasound (complete) | $1,255 | $723 | $114 |
| Abdominal ultrasound (limited) | $711 | $559 | $86 |
| Abscess drainage (complex or multiple) | $432 | $394 | $220 |
| Abscess drainage (simple) | $371 | $272 | $129 |
| Abscess incision and drainage | $402 | $309 | $174 |
| Albumin blood test | $59 | $42 | $5 |
| Alkaline phosphatase test | $73 | $30 | $5 |
| Allergy shots | $28 | $26 | $11 |
| Allergy testing | $15 | $12 | $4 |
| ALT liver enzyme test | $81 | $38 | $5 |
| Ammonia blood test | $153 | $105 | $15 |
| Amylase test | $104 | $78 | $6 |
| Arterial blood gas (ABG) | $270 | $198 | $26 |
| AST liver enzyme test | $77 | $54 | $5 |
| Basic metabolic panel | $149 | $120 | $8 |
| Bilirubin blood test | $68 | $50 | $5 |
| Blood clotting test (PT/INR) | $68 | $52 | $4 |
| Blood glucose test | $63 | $20 | $5 |
| Blood transfusion | $1,109 | $607 | $47 |
| Blood type and screen | $116 | $86 | $10 |
| Blood type test | $91 | $54 | $3 |
| Blood type test (ABO group) | $116 | $54 | $3 |
| Blood type test (Rh/D antigen) | $66 | $54 | $3 |
| BNP (heart failure) test | $306 | $140 | $39 |
| Bone density scan (DEXA) | $495 | $393 | $39 |
| Bone scan (nuclear) | $1,837 | $1,521 | $259 |
| Breast ultrasound | $585 | $387 | $92 |
| Breast ultrasound (complete) | $585 | $430 | $100 |
| Breast ultrasound (limited) | $405 | $343 | $84 |
| Breathing tube insertion (intubation) | $601 | $702 | $133 |
| C-reactive protein (CRP) | $117 | $86 | $5 |
| Calcium blood test | $68 | $45 | $5 |
| Cardiac rehabilitation | $282 | $202 | $26 |
| Cardiac stress test | $261 | $908 | $39 |
| Carotid artery ultrasound | $1,575 | $654 | $156 |
| Chest X-ray | $322 | $255 | $37 |
| Chest X-ray (1 view) | $288 | $246 | $25 |
| Chest X-ray (2 views) | $356 | $282 | $33 |
| Chickenpox (varicella) vaccine | $162 | $124 | — |
| Clotting time test (PTT) | $108 | $80 | $6 |
| Colonoscopy | $3,993 | $2,391 | $480 |
| Complete blood count (CBC) | $122 | $54 | $7 |
| Complete blood count (CBC) (complete) | $122 | $69 | $8 |
| Comprehensive metabolic panel | $194 | $138 | $11 |
| COVID-19 PCR test | $144 | $74 | $51 |
| Creatine kinase (CK) test | $104 | $80 | $7 |
| CT angiography of the chest | $3,330 | $2,792 | $281 |
| CT angiography of the head | $3,150 | $2,622 | $274 |
| CT scan of the abdomen | $2,700 | $2,202 | $230 |
| CT scan of the abdomen and pelvis | $4,770 | $3,964 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $5,535 | $4,506 | $338 |
| CT scan of the abdomen and pelvis with contrast | $4,770 | $3,964 | $300 |
| CT scan of the abdomen and pelvis without contrast | $4,163 | $3,291 | $183 |
| CT scan of the abdomen with and without contrast | $3,060 | $2,569 | $259 |
| CT scan of the abdomen with contrast | $2,700 | $2,202 | $230 |
| CT scan of the abdomen without contrast | $2,430 | $1,966 | $136 |
| CT scan of the arm | $2,430 | $1,874 | $199 |
| CT scan of the arm without contrast | $2,160 | $1,778 | $161 |
| CT scan of the chest | $2,565 | $2,175 | $167 |
| CT scan of the chest with and without contrast | $3,128 | $2,292 | $196 |
| CT scan of the chest with contrast | $2,565 | $2,175 | $167 |
| CT scan of the chest without contrast | $2,385 | $2,003 | $133 |
| CT scan of the head | $2,340 | $1,874 | $148 |
| CT scan of the head with and without contrast | $3,150 | $2,146 | $173 |
| CT scan of the head with contrast | $2,340 | $1,874 | $148 |
| CT scan of the head without contrast | $2,070 | $1,740 | $107 |
| CT scan of the leg | $3,150 | $1,907 | $166 |
| CT scan of the leg with contrast | $2,520 | $1,874 | $166 |
| CT scan of the leg without contrast | $2,295 | $1,907 | $130 |
| CT scan of the lower back (lumbar spine) | $2,610 | $2,012 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $2,610 | $2,152 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $2,700 | $2,012 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $2,430 | $1,994 | $130 |
| CT scan of the neck | $2,475 | $2,015 | $183 |
| CT scan of the neck (cervical spine) | $2,700 | $2,029 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $2,700 | $2,152 | $196 |
| CT scan of the neck (cervical spine) with contrast | $3,038 | $2,012 | $168 |
| CT scan of the neck (cervical spine) without contrast | $2,453 | $2,029 | $131 |
| CT scan of the neck with and without contrast | $2,790 | $2,434 | $220 |
| CT scan of the neck with contrast | $2,475 | $2,015 | $183 |
| CT scan of the neck without contrast | $2,160 | $1,762 | $150 |
| CT scan of the pelvis | $2,738 | $2,068 | $226 |
| CT scan of the pelvis with and without contrast | $2,970 | $2,236 | $251 |
| CT scan of the pelvis with contrast | $2,738 | $2,068 | $226 |
| CT scan of the pelvis without contrast | $2,408 | $1,887 | $133 |
| CT scan of the sinuses | $2,340 | $1,993 | $152 |
| CT scan of the sinuses with and without contrast | $2,610 | $2,086 | $184 |
| CT scan of the sinuses with contrast | $2,340 | $1,900 | $152 |
| D-dimer test | $180 | $133 | $10 |
| Diagnostic mammogram | $372 | $294 | $140 |
| Drug screen (urine) | $198 | $40 | $17 |
| Echocardiogram | $1,598 | $1,667 | $138 |
| Echocardiogram with and without contrast | $900 | $744 | $101 |
| EKG / ECG (tracing only) | $329 | $251 | $7 |
| Electrocardiogram (EKG) | $329 | $251 | $8 |
| Emergency department visit | $585 | $323 | $69 |
| Emergency department visit (level 1) | $211 | $104 | $11 |
| Emergency department visit (level 2) | $381 | $283 | $40 |
| Emergency department visit (level 3) | $585 | $422 | $69 |
| Emergency department visit (level 4) | $878 | $323 | $118 |
| Emergency department visit (level 5) | $1,413 | $982 | $171 |
| Epidural steroid injection | $1,935 | $1,532 | $275 |
| Family therapy session | $761 | $264 | $110 |
| Fecal occult blood (stool) test | $48 | $14 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $45 | $14 | $4 |
| Folate (folic acid) test | $142 | $118 | $15 |
| Foreign body removal (skin) | $394 | $432 | $157 |
| Free T4 thyroid test | $122 | $87 | $9 |
| Gallbladder removal (laparoscopic) | $7,226 | $7,428 | $658 |
| Gallbladder scan (HIDA) | $1,590 | $1,724 | $334 |
| Glucose tolerance test | $90 | $137 | $8 |
| Group therapy session | $662 | $375 | $30 |
| HDL cholesterol test | $63 | $60 | $8 |
| Hematocrit test | $54 | $34 | $2 |
| Hemoglobin A1c (diabetes test) | $90 | $68 | $10 |
| Hepatitis A vaccine | $121 | $44 | — |
| Hepatitis B vaccine | $80 | $72 | — |
| Holter heart monitor | $878 | $434 | $26 |
| HPV vaccine | $255 | $297 | — |
| IV infusion therapy | $316 | $200 | $44 |
| IV infusion therapy (each additional) | $248 | $90 | $21 |
| IV infusion therapy (initial) | $383 | $332 | $67 |
| Kidney ultrasound | $603 | $569 | $84 |
| Kidney ultrasound (limited) | $603 | $460 | $61 |
| Knee arthroscopy | $3,357 | $5,947 | $524 |
| Lactate test | $144 | $114 | $12 |
| Leg vein ultrasound (Doppler) | $1,256 | $878 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $1,256 | $878 | $116 |
| Lipase test | $135 | $95 | $7 |
| Lipid (cholesterol) panel | $131 | $104 | $13 |
| Liver function panel | $149 | $119 | $8 |
| Lung function test (PFT) | $462 | $506 | $37 |
| Magnesium blood test | $95 | $71 | $7 |
| MRA of the brain | $3,690 | $2,794 | $226 |
| MRA of the brain without contrast | $3,690 | $3,089 | $328 |
| MRA of the neck | $3,374 | $2,460 | $245 |
| MRA of the neck with contrast | $3,374 | $2,460 | $245 |
| MRA of the neck without contrast | $3,870 | $2,527 | $343 |
| MRI of the abdomen | $3,510 | $2,794 | $300 |
| MRI of the abdomen with contrast | $3,510 | $2,794 | $300 |
| MRI of the abdomen without contrast | $3,083 | $2,629 | $194 |
| MRI of the ankle | $2,880 | $2,126 | $261 |
| MRI of the ankle without contrast | $2,880 | $2,126 | $222 |
| MRI of the brain | $3,825 | $2,922 | $269 |
| MRI of the brain without contrast | $3,600 | $2,922 | $195 |
| MRI of the chest | $3,600 | $2,629 | $371 |
| MRI of the chest without contrast | $3,780 | $2,712 | $466 |
| MRI of the knee | $3,375 | $2,292 | $315 |
| MRI of the knee with contrast | $3,375 | $2,292 | $315 |
| MRI of the knee without contrast | $2,610 | $2,182 | $204 |
| MRI of the lower back (lumbar spine) | $4,140 | $2,964 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $4,500 | $2,964 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $3,465 | $2,794 | $192 |
| MRI of the mid-back (thoracic spine) | $4,366 | $2,794 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $5,132 | $2,794 | $319 |
| MRI of the mid-back (thoracic spine) without contrast | $3,600 | $2,935 | $190 |
| MRI of the neck (cervical spine) | $4,282 | $2,794 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $4,963 | $2,794 | $318 |
| MRI of the neck (cervical spine) without contrast | $3,600 | $2,920 | $191 |
| MRI of the pelvis | $3,420 | $2,635 | $268 |
| MRI of the pelvis with contrast | $3,420 | $2,629 | $268 |
| MRI of the pelvis without contrast | $3,150 | $2,635 | $227 |
| MRI of the shoulder | $3,420 | $2,158 | $313 |
| MRI of the shoulder with contrast | $3,420 | $2,126 | $313 |
| MRI of the shoulder without contrast | $2,588 | $2,158 | $205 |
| MRI of the wrist | $3,105 | $2,126 | $330 |
| MRI of the wrist without contrast | $2,700 | $1,757 | $303 |
| Nebulizer breathing treatment | $293 | $45 | $9 |
| Nuclear cardiac stress test | $4,005 | $3,569 | $428 |
| Occupational therapy evaluation | $199 | $190 | $101 |
| Occupational therapy evaluation (high complexity) | $203 | $203 | $101 |
| Occupational therapy evaluation (low complexity) | $191 | $168 | $101 |
| Occupational therapy evaluation (moderate complexity) | $203 | $190 | $101 |
| Office visit (established patient) | $144 | $103 | $115 |
| Office visit (new patient) | $158 | $72 | $177 |
| Office visit, established patient (level 3) | $144 | $93 | $95 |
| Office visit, established patient (level 4) | $300 | $131 | $136 |
| Office visit, new patient (level 3) | $113 | $55 | $118 |
| Office visit, new patient (level 4) | $158 | $62 | $177 |
| Office visit, new patient (level 5) | $212 | $217 | $237 |
| Pelvic ultrasound | $788 | $533 | $78 |
| Pelvic ultrasound (complete) | $788 | $665 | $105 |
| Phosphorus blood test | $72 | $50 | $5 |
| Physical therapy evaluation | $203 | $173 | $98 |
| Physical therapy evaluation (high complexity) | $234 | $208 | $98 |
| Physical therapy evaluation (moderate complexity) | $212 | $173 | $98 |
| Pregnancy ultrasound | $345 | $569 | $126 |
| Pregnancy ultrasound (second or third trimester) | $345 | $549 | $136 |
| Procalcitonin test | $243 | $119 | $27 |
| Prostate test (PSA) | $144 | $108 | $18 |
| Psychiatric evaluation | $270 | $112 | $188 |
| Psychotherapy session | $270 | $372 | $140 |
| Sacroiliac joint injection | $1,476 | $1,457 | $176 |
| Screening mammogram | $396 | $297 | $126 |
| Scrotal ultrasound | $698 | $556 | $99 |
| Sedimentation rate (ESR) test | $63 | $43 | $3 |
| Shingles vaccine | $293 | $206 | — |
| Simple laceration repair (small, up to 2.5 cm) | $304 | $284 | $114 |
| Simple wound stitches | $323 | $296 | $127 |
| Skin biopsy | $254 | $188 | $121 |
| Skin biopsy (punch) | $254 | $206 | $121 |
| Sleep study (polysomnography) | $4,680 | $3,321 | $691 |
| Soft tissue ultrasound | $563 | $457 | $64 |
| Speech therapy | $277 | $236 | $76 |
| Spirometry (lung function test) | $311 | $249 | $30 |
| Spirometry with bronchodilator | $642 | $506 | $43 |
| Strep throat test | $86 | $53 | $17 |
| Stress echocardiogram | $1,620 | $1,212 | $209 |
| Swallow study | $320 | $273 | $85 |
| Tdap (tetanus) vaccine | $41 | $51 | — |
| Thyroid test (TSH) | $140 | $99 | $17 |
| Thyroid ultrasound | $912 | $511 | $109 |
| Tonsillectomy | $4,532 | $3,588 | $252 |
| Total protein test | $90 | $48 | $4 |
| Trigger point injection | $111 | $360 | $56 |
| Trigger point injection (1-2 muscles) | $120 | $130 | $52 |
| Triglycerides test | $70 | $55 | $6 |
| Troponin (heart) test | $257 | $189 | $12 |
| Upper GI endoscopy (EGD) | $3,779 | $3,152 | $371 |
| Urinalysis | $57 | $48 | $3 |
| Urine microalbumin test | $45 | $60 | $5 |
| Urine pregnancy test | $93 | $32 | $9 |
| Vaccine administration | $50 | $29 | $19 |
| Vaccine administration (each additional) | $39 | $29 | $16 |
| Vitamin B12 test | $140 | $119 | $15 |
| Vitamin D test | $198 | $78 | $30 |
| Wound debridement | $910 | $438 | $186 |
| X-ray of the abdomen | $410 | $286 | $36 |
| X-ray of the ankle | $342 | $265 | $37 |
| X-ray of the collarbone | $306 | $244 | $33 |
| X-ray of the elbow | $338 | $277 | $33 |
| X-ray of the facial bones | $367 | $358 | $39 |
| X-ray of the foot | $360 | $277 | $34 |
| X-ray of the forearm | $293 | $238 | $29 |
| X-ray of the hand | $374 | $268 | $38 |
| X-ray of the hip | $360 | $238 | $49 |
| X-ray of the hip (1 view) | $279 | $182 | $34 |
| X-ray of the hip (3 views) | $360 | $282 | $49 |
| X-ray of the knee | $383 | $301 | $42 |
| X-ray of the knee (2 views) | $333 | $264 | $34 |
| X-ray of the knee (3 views) | $383 | $301 | $42 |
| X-ray of the knee (4+ views) | $405 | $312 | $49 |
| X-ray of the lower back (lumbar spine) | $507 | $404 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $473 | $362 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $540 | $446 | $53 |
| X-ray of the lower leg | $320 | $264 | $31 |
| X-ray of the mid-back (thoracic spine) | $450 | $307 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $387 | $307 | $33 |
| X-ray of the neck (cervical spine) | $439 | $359 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $360 | $288 | $40 |
| X-ray of the pelvis | $376 | $306 | $36 |
| X-ray of the pelvis (1 view) | $347 | $259 | $28 |
| X-ray of the ribs | $432 | $305 | $42 |
| X-ray of the ribs (2 views) | $360 | $265 | $36 |
| X-ray of the ribs (3 views) | $432 | $344 | $42 |
| X-ray of the shoulder | $520 | $290 | $36 |
| X-ray of the skull | $414 | $289 | $40 |
| X-ray of the upper arm | $324 | $262 | $32 |
| X-ray of the wrist | $338 | $258 | $43 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.