| Procedure | Grimes St Joseph Health Center | Aspire Hospital | Medicare |
|---|
| Abdominal ultrasound | $308 | $200 | $100 |
| Abdominal ultrasound (complete) | $310 | $200 | $114 |
| Abdominal ultrasound (limited) | $232 | $200 | $86 |
| Albumin blood test | $27 | $38 | $5 |
| Aldosterone test | $103 | $191 | $41 |
| Alkaline phosphatase test | $22 | $77 | $5 |
| Alpha-fetoprotein (AFP) test | $51 | $72 | $17 |
| ALT liver enzyme test | $22 | $114 | $5 |
| Ammonia blood test | $45 | $61 | $15 |
| Amniocentesis | $314 | $104 | $120 |
| Amylase test | $62 | $127 | $6 |
| Anoscopy | $28 | $58 | $129 |
| Antinuclear antibody (ANA) test | $46 | $105 | $12 |
| Arterial blood gas (ABG) | $102 | $132 | $26 |
| AST liver enzyme test | $25 | $102 | $5 |
| Barium swallow study | $185 | $80 | $107 |
| Basic metabolic panel | $99 | $168 | $8 |
| Bilirubin blood test | $37 | $61 | $5 |
| Blood clotting test (PT/INR) | $47 | $65 | $4 |
| Blood glucose test | $31 | $45 | $5 |
| BNP (heart failure) test | $65 | $98 | $39 |
| Bone scan (nuclear) | $853 | $366 | $259 |
| Breathing tube insertion (intubation) | $191 | $192 | $133 |
| C-reactive protein (CRP) | $46 | $56 | $5 |
| CA 19-9 tumor marker test | $58 | $88 | $21 |
| CA-125 ovarian marker test | $61 | $88 | $21 |
| Calcium blood test | $28 | $54 | $5 |
| Cardioversion | $798 | $137 | $155 |
| Carotid artery ultrasound | $338 | $200 | $156 |
| CEA tumor marker test | $76 | $77 | $19 |
| Chemotherapy infusion | $172 | $188 | $81 |
| Chemotherapy infusion (each additional) | $89 | $40 | $28 |
| Chemotherapy infusion (first hour) | $256 | $188 | $133 |
| Chest X-ray | $169 | $80 | $37 |
| Chickenpox (varicella) vaccine | $780 | $402 | — |
| CK-MB heart enzyme test | $31 | $122 | $12 |
| Clotting time test (PTT) | $53 | $65 | $6 |
| Complete blood count (CBC) | $40 | $68 | $7 |
| Complete blood count (CBC) (complete) | $38 | $81 | $8 |
| Complex wound repair | $165 | $302 | $390 |
| Comprehensive metabolic panel | $136 | $181 | $11 |
| Copper blood test | $146 | $185 | $12 |
| Creatine kinase (CK) test | $31 | $76 | $7 |
| CT angiography of the chest | $671 | $350 | $281 |
| CT angiography of the head | $588 | $300 | $274 |
| CT scan of the abdomen | $746 | $300 | $230 |
| CT scan of the abdomen and pelvis with contrast | $1,474 | $300 | $300 |
| CT scan of the abdomen and pelvis without contrast | $1,401 | $250 | $183 |
| CT scan of the abdomen with and without contrast | $794 | $350 | $259 |
| CT scan of the abdomen with contrast | $746 | $300 | $230 |
| CT scan of the abdomen without contrast | $667 | $250 | $136 |
| CT scan of the chest | $646 | $300 | $167 |
| CT scan of the chest with and without contrast | $762 | $350 | $196 |
| CT scan of the chest with contrast | $646 | $300 | $167 |
| CT scan of the chest without contrast | $565 | $250 | $133 |
| CT scan of the head | $745 | $300 | $148 |
| CT scan of the head with and without contrast | $837 | $350 | $173 |
| CT scan of the head with contrast | $745 | $300 | $148 |
| CT scan of the head without contrast | $511 | $250 | $107 |
| CT scan of the lower back (lumbar spine) | $692 | $300 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $813 | $350 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $692 | $300 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $528 | $250 | $130 |
| CT scan of the neck | $611 | $300 | $183 |
| CT scan of the neck (cervical spine) | $625 | $300 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $694 | $350 | $196 |
| CT scan of the neck (cervical spine) with contrast | $625 | $300 | $168 |
| CT scan of the neck (cervical spine) without contrast | $569 | $250 | $131 |
| CT scan of the neck with and without contrast | $746 | $350 | $220 |
| CT scan of the neck with contrast | $611 | $300 | $183 |
| CT scan of the pelvis | $537 | $300 | $226 |
| CT scan of the pelvis with and without contrast | $692 | $350 | $251 |
| CT scan of the pelvis with contrast | $537 | $300 | $226 |
| CT scan of the pelvis without contrast | $484 | $250 | $133 |
| CT scan of the sinuses | $734 | $275 | $152 |
| CT scan of the sinuses with and without contrast | $793 | $350 | $184 |
| CT scan of the sinuses with contrast | $734 | $300 | $152 |
| CT scan of the sinuses without contrast | $551 | $250 | $128 |
| D-dimer test | $89 | $164 | $10 |
| DHEA-sulfate test | $33 | $170 | $22 |
| Drug screen (urine) | $142 | $320 | $17 |
| Echocardiogram | $201 | $170 | $138 |
| Echocardiogram without contrast | $337 | $196 | $138 |
| Electrolyte panel | $94 | $187 | $7 |
| Estradiol (estrogen) test | $88 | $241 | $28 |
| Fallopian tube X-ray (HSG) | $264 | $75 | $164 |
| Family therapy session | $68 | $151 | $110 |
| Fecal occult blood (stool) test | $5 | $20 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $5 | $20 | $4 |
| Ferritin (iron) test | $46 | $63 | $14 |
| Folate (folic acid) test | $37 | $56 | $15 |
| Free T4 thyroid test | $33 | $62 | $9 |
| FSH hormone test | $62 | $192 | $19 |
| GGT liver test | $20 | $81 | $7 |
| Glucose tolerance test | $50 | $151 | $8 |
| Group therapy session | $67 | $36 | $30 |
| H. pylori test | $44 | $225 | $67 |
| HDL cholesterol test | $27 | $88 | $8 |
| Hemoglobin A1c (diabetes test) | $29 | $72 | $10 |
| Hemorrhoid removal | $138 | $499 | $338 |
| Hepatitis B test | $37 | $65 | $10 |
| Hepatitis C test | $47 | $48 | $14 |
| Home sleep apnea test | $189 | $148 | $123 |
| Iron blood test | $32 | $53 | $6 |
| Kidney scan (nuclear) | $620 | $245 | $172 |
| Kidney stone shock-wave (lithotripsy) | $2,561 | $751 | $760 |
| Kidney ultrasound | $270 | $200 | $84 |
| Kidney ultrasound (limited) | $266 | $200 | $61 |
| Knee joint injection | $298 | $57 | $69 |
| Lactate test | $37 | $62 | $12 |
| Laryngoscopy | $81 | $88 | $189 |
| LDH test | $29 | $39 | $6 |
| LDL cholesterol test | $27 | $55 | $11 |
| Leg artery angioplasty | $5,830 | $16,999 | — |
| Leg vein ultrasound (Doppler) | $386 | $200 | $150 |
| LH hormone test | $68 | $195 | $19 |
| Lipase test | $54 | $133 | $7 |
| Lipid (cholesterol) panel | $56 | $169 | $13 |
| Liver function panel | $111 | $223 | $8 |
| Lung function test (PFT) | $150 | $52 | $37 |
| Magnesium blood test | $40 | $42 | $7 |
| MRA of the brain | $639 | $500 | $226 |
| MRA of the brain with contrast | $639 | $500 | $226 |
| MRA of the brain without contrast | $932 | $500 | $328 |
| MRA of the neck | $1,018 | $500 | $245 |
| MRA of the neck with contrast | $1,018 | $500 | $245 |
| MRA of the neck without contrast | $1,433 | $500 | $343 |
| MRI of the abdomen | $748 | $500 | $300 |
| MRI of the abdomen with contrast | $1,160 | $500 | $300 |
| MRI of the abdomen without contrast | $427 | $400 | $194 |
| MRI of the brain | $892 | $500 | $269 |
| MRI of the brain with contrast | $892 | $500 | $269 |
| MRI of the brain without contrast | $784 | $400 | $195 |
| MRI of the chest | $963 | $500 | $371 |
| MRI of the chest with contrast | $963 | $500 | $371 |
| MRI of the chest without contrast | $1,138 | $500 | $466 |
| MRI of the lower back (lumbar spine) | $1,051 | $500 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $1,051 | $500 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $828 | $400 | $192 |
| MRI of the mid-back (thoracic spine) | $911 | $500 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $1,250 | $500 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $911 | $500 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $828 | $400 | $190 |
| MRI of the neck (cervical spine) | $1,260 | $500 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $1,460 | $500 | $318 |
| MRI of the neck (cervical spine) with contrast | $1,260 | $500 | $274 |
| MRI of the neck (cervical spine) without contrast | $869 | $400 | $191 |
| MRI of the pelvis | $881 | $500 | $268 |
| MRI of the pelvis with contrast | $881 | $500 | $268 |
| MRI of the pelvis without contrast | $650 | $400 | $227 |
| Office visit (established patient) | $88 | $103 | $115 |
| Office visit (new patient) | $168 | $170 | $177 |
| Office visit, established patient (level 3) | $130 | $83 | $95 |
| Office visit, established patient (level 4) | $88 | $123 | $136 |
| Office visit, new patient (level 3) | $191 | $104 | $118 |
| Office visit, new patient (level 4) | $223 | $170 | $177 |
| Office visit, new patient (level 5) | $130 | $232 | $237 |
| Parathyroid hormone (PTH) test | $70 | $89 | $41 |
| Pelvic ultrasound | $217 | $200 | $78 |
| Pelvic ultrasound (complete) | $295 | $200 | $105 |
| Pelvic ultrasound (limited) | $139 | $200 | $51 |
| PET scan | $2,293 | $4,982 | — |
| Phosphorus blood test | $45 | $32 | $5 |
| Pregnancy blood test (hCG) | $58 | $97 | $8 |
| Pregnancy ultrasound | $306 | $200 | $126 |
| Pregnancy ultrasound (first trimester) | $283 | $200 | $117 |
| Pregnancy ultrasound (second or third trimester) | $329 | $200 | $136 |
| Prolactin test | $75 | $175 | $19 |
| Prostate test (PSA) | $51 | $103 | $18 |
| Psychiatric evaluation | $57 | $202 | $188 |
| Psychotherapy session | $66 | $167 | $140 |
| Scoliosis spine X-ray | $469 | $80 | $58 |
| Scoliosis spine X-ray (1 view) | $341 | $80 | $44 |
| Scoliosis spine X-ray (3 views) | $597 | $80 | $72 |
| Sedimentation rate (ESR) test | $20 | $49 | $3 |
| Sex hormone binding globulin test | $40 | $136 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $419 | $63 | $114 |
| Simple wound stitches | $419 | $73 | $127 |
| Sleep study (polysomnography) | $1,938 | $1,001 | $691 |
| Spinal tap (lumbar puncture) | $404 | $85 | $165 |
| Spirometry (lung function test) | $150 | $42 | $30 |
| Spirometry with bronchodilator | $309 | $62 | $43 |
| Stress echocardiogram | $641 | $264 | $209 |
| T3 thyroid test | $55 | $72 | $14 |
| Testosterone test | $65 | $185 | $26 |
| Thyroid test (TSH) | $34 | $80 | $17 |
| Total IgE allergy test | $65 | $135 | $16 |
| Total protein test | $29 | $43 | $4 |
| Transesophageal echocardiogram (TEE) | $1,134 | $342 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $1,134 | $342 | $239 |
| Transvaginal ultrasound | $196 | $167 | $118 |
| Triglycerides test | $24 | $102 | $6 |
| Troponin (heart) test | $47 | $80 | $12 |
| Upper GI endoscopy (EGD) | $394 | $169 | $371 |
| Upper GI series (barium) | $390 | $80 | $128 |
| Uric acid (gout) test | $39 | $58 | $5 |
| Urinalysis | $58 | $70 | $3 |
| Urine microalbumin test | $24 | $90 | $5 |
| Urine pregnancy test | $76 | $48 | $9 |
| Vitamin B12 test | $37 | $62 | $15 |
| Vitamin D test | $73 | $155 | $30 |
| X-ray of the facial bones | $125 | $66 | $39 |
| X-ray of the skull | $165 | $57 | $40 |
| Zinc blood test | $23 | $90 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
