| Procedure | Henry County Hospital, Inc | Promedica Toledo Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $56 | $46 | $51 |
| Abdominal fluid drain (paracentesis) | $1,823 | $3,588 | $284 |
| Abdominal ultrasound | $600 | $926 | $100 |
| Abdominal ultrasound (complete) | $600 | $926 | $114 |
| Abdominal ultrasound (limited) | $600 | $926 | $86 |
| Abscess drainage (complex or multiple) | $258 | $840 | $220 |
| Abscess drainage (simple) | $149 | $476 | $129 |
| Abscess incision and drainage | $168 | $658 | $174 |
| Albumin blood test | $34 | $71 | $5 |
| Aldosterone test | $293 | $44 | $41 |
| Alkaline phosphatase test | $38 | $101 | $5 |
| Allergy shots | $19 | $48 | $11 |
| Alpha-fetoprotein (AFP) test | $120 | $124 | $17 |
| ALT liver enzyme test | $38 | $83 | $5 |
| Ammonia blood test | $105 | $228 | $15 |
| Amniocentesis | $949 | $1,390 | $120 |
| Amylase test | $45 | $148 | $6 |
| Annual physical (established patient) | $192 | $100 | — |
| Anoscopy | $58 | $117 | $129 |
| Antinuclear antibody (ANA) test | $98 | $161 | $12 |
| AST liver enzyme test | $38 | $92 | $5 |
| Barium swallow study | $503 | $725 | $107 |
| Bartholin cyst removal | $252 | $95 | $182 |
| Basic metabolic panel | $60 | $251 | $8 |
| Benign skin lesion removal | $163 | $1,674 | $171 |
| Bilirubin blood test | $38 | $110 | $5 |
| Bladder scope (cystoscopy) | $907 | $2,838 | $216 |
| Blood clotting test (PT/INR) | $26 | $71 | $4 |
| Blood glucose test | $30 | $70 | $5 |
| Blood transfusion | $573 | $991 | $47 |
| Blood type and screen | $79 | $136 | $10 |
| Blood type test | $23 | $71 | $3 |
| Blood type test (ABO group) | $23 | $59 | $3 |
| Blood type test (Rh/D antigen) | $23 | $83 | $3 |
| BNP (heart failure) test | $281 | $259 | $39 |
| Bone density scan (DEXA) | $300 | $360 | $39 |
| Bone marrow biopsy | $4,830 | $2,600 | $172 |
| Bone scan (nuclear) | $1,658 | $1,820 | $259 |
| Botox for migraine | $269 | $859 | $157 |
| Breast biopsy | $3,225 | $6,469 | $478 |
| Breast ultrasound | $450 | $614 | $92 |
| Breast ultrasound (complete) | $450 | $692 | $100 |
| Breast ultrasound (limited) | $360 | $537 | $84 |
| Breathing tube insertion (intubation) | $266 | $823 | $133 |
| Burn dressing and debridement (small) | $79 | $471 | $93 |
| Burn treatment | $79 | $489 | $129 |
| C-reactive protein (CRP) | $41 | $149 | $5 |
| CA 19-9 tumor marker test | $165 | $226 | $21 |
| CA-125 ovarian marker test | $165 | $123 | $21 |
| Calcium blood test | $38 | $124 | $5 |
| Cardiac rehabilitation | $315 | $332 | $26 |
| Cardiac stress test | $353 | $1,053 | $39 |
| Cardioversion | $662 | $2,200 | $155 |
| Carotid artery ultrasound | $679 | $1,921 | $156 |
| CEA tumor marker test | $135 | $296 | $19 |
| Chemotherapy infusion | $542 | $1,087 | $81 |
| Chemotherapy infusion (each additional) | $191 | $278 | $28 |
| Chemotherapy infusion (first hour) | $893 | $1,895 | $133 |
| Chest fluid drain (thoracentesis) | $696 | $4,477 | $311 |
| Chest X-ray | $131 | $507 | $37 |
| Chest X-ray (1 view) | $74 | $298 | $25 |
| Chest X-ray (2 views) | $105 | $441 | $33 |
| Circumcision | $4,616 | $1,083 | $167 |
| CK-MB heart enzyme test | $83 | $209 | $12 |
| Clotting time test (PTT) | $38 | $84 | $6 |
| Colposcopy | $226 | $137 | $161 |
| Complete blood count (CBC) | $45 | $123 | $7 |
| Complete blood count (CBC) (complete) | $49 | $133 | $8 |
| Comprehensive metabolic panel | $75 | $313 | $11 |
| Contraceptive implant (Nexplanon) | $104 | $196 | $115 |
| Copper blood test | $90 | $29 | $12 |
| Cortisol test | $116 | $255 | $16 |
| COVID-19 PCR test | $244 | $72 | $51 |
| CPAP titration study | $244 | $2,696 | $69 |
| Creatine kinase (CK) test | $45 | $105 | $7 |
| CT angiography of the chest | $3,203 | $1,318 | $281 |
| CT angiography of the head | $2,603 | $1,318 | $274 |
| CT scan of the abdomen | $1,601 | $1,123 | $230 |
| CT scan of the abdomen and pelvis | $2,325 | $1,617 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $3,298 | $1,921 | $338 |
| CT scan of the abdomen and pelvis with contrast | $2,475 | $1,617 | $300 |
| CT scan of the abdomen and pelvis without contrast | $2,175 | $1,316 | $183 |
| CT scan of the abdomen with and without contrast | $3,203 | $1,265 | $259 |
| CT scan of the abdomen with contrast | $1,601 | $1,123 | $230 |
| CT scan of the abdomen without contrast | $956 | $571 | $136 |
| CT scan of the arm | $1,361 | $1,123 | $199 |
| CT scan of the arm with contrast | $1,526 | $1,123 | $199 |
| CT scan of the arm without contrast | $956 | $571 | $161 |
| CT scan of the chest | $1,601 | $1,123 | $167 |
| CT scan of the chest with and without contrast | $3,203 | $1,265 | $196 |
| CT scan of the chest with contrast | $1,601 | $1,123 | $167 |
| CT scan of the chest without contrast | $1,050 | $571 | $133 |
| CT scan of the head | $1,301 | $1,123 | $148 |
| CT scan of the head with and without contrast | $2,603 | $1,265 | $173 |
| CT scan of the head with contrast | $1,301 | $1,123 | $148 |
| CT scan of the head without contrast | $900 | $571 | $107 |
| CT scan of the leg | $1,399 | $1,123 | $166 |
| CT scan of the leg with contrast | $1,601 | $1,123 | $166 |
| CT scan of the leg without contrast | $956 | $571 | $130 |
| CT scan of the lower back (lumbar spine) | $3,203 | $1,123 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $3,203 | $1,265 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $3,214 | $1,123 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $956 | $571 | $130 |
| CT scan of the neck | $1,301 | $1,123 | $183 |
| CT scan of the neck (cervical spine) | $3,203 | $1,123 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $3,203 | $1,265 | $196 |
| CT scan of the neck (cervical spine) with contrast | $3,214 | $1,123 | $168 |
| CT scan of the neck (cervical spine) without contrast | $956 | $571 | $131 |
| CT scan of the neck with and without contrast | $2,603 | $1,265 | $220 |
| CT scan of the neck with contrast | $1,301 | $1,123 | $183 |
| CT scan of the neck without contrast | $900 | $571 | $150 |
| CT scan of the pelvis | $1,601 | $1,123 | $226 |
| CT scan of the pelvis with and without contrast | $3,203 | $1,265 | $251 |
| CT scan of the pelvis with contrast | $1,601 | $1,123 | $226 |
| CT scan of the pelvis without contrast | $956 | $571 | $133 |
| CT scan of the sinuses | $1,301 | $1,123 | $152 |
| CT scan of the sinuses with and without contrast | $2,603 | $1,265 | $184 |
| CT scan of the sinuses with contrast | $1,301 | $1,123 | $152 |
| CT scan of the sinuses without contrast | $900 | $571 | $128 |
| D-dimer test | $64 | $111 | $10 |
| DHEA-sulfate test | $161 | $238 | $22 |
| Diagnostic mammogram | $248 | $421 | $140 |
| Drug screen (urine) | $23 | $63 | $17 |
| Ear pressure test (tympanometry) | $23 | $163 | $16 |
| Echocardiogram | $573 | $2,677 | $138 |
| Echocardiogram with and without contrast | $491 | $1,561 | $101 |
| EKG / ECG (tracing only) | $128 | $406 | $7 |
| Electrocardiogram (EKG) | $25 | $406 | $8 |
| Electrolyte panel | $49 | $162 | $7 |
| Emergency department visit | $536 | $1,611 | $69 |
| Emergency department visit (level 1) | $173 | $397 | $11 |
| Emergency department visit (level 2) | $308 | $726 | $40 |
| Emergency department visit (level 3) | $536 | $1,193 | $69 |
| Emergency department visit (level 4) | $829 | $2,030 | $118 |
| Emergency department visit (level 5) | $1,193 | $2,404 | $171 |
| Endometrial biopsy | $140 | $127 | $98 |
| Epidural steroid injection | $3,034 | $4,263 | $275 |
| Estradiol (estrogen) test | $203 | $189 | $28 |
| Fallopian tube X-ray (HSG) | $515 | $823 | $164 |
| Fecal occult blood (stool) test | $30 | $44 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $30 | $44 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $116 | $51 | $16 |
| Ferritin (iron) test | $98 | $217 | $14 |
| Fibrinogen test | $64 | $94 | $10 |
| Folate (folic acid) test | $105 | $220 | $15 |
| Foreign body removal (skin) | $148 | $847 | $157 |
| Free T4 thyroid test | $64 | $83 | $9 |
| FSH hormone test | $135 | $285 | $19 |
| Gallbladder scan (HIDA) | $1,939 | $1,821 | $334 |
| GGT liver test | $53 | $116 | $7 |
| Glucose tolerance test | $30 | $87 | $8 |
| H. pylori test | $484 | $79 | $67 |
| HDL cholesterol test | $60 | $247 | $8 |
| Hematocrit test | $15 | $44 | $2 |
| Hemoglobin A1c (diabetes test) | $71 | $151 | $10 |
| Hepatitis B test | $49 | $125 | $10 |
| Hepatitis B vaccine | $258 | $85 | — |
| Hepatitis C test | $113 | $220 | $14 |
| HIV test | $150 | $181 | $19 |
| HIV test (antibody) | $109 | $140 | $14 |
| HIV test (antigen/antibody combo) | $191 | $181 | $24 |
| Holter heart monitor | $206 | $612 | $26 |
| Hysteroscopy | $2,090 | $2,631 | $1,270 |
| Iron blood test | $45 | $109 | $6 |
| IUD insertion | $213 | $103 | — |
| IUD removal | $152 | $106 | $112 |
| IV infusion therapy | $227 | $731 | $44 |
| IV infusion therapy (each additional) | $83 | $215 | $21 |
| IV infusion therapy (initial) | $371 | $1,247 | $67 |
| IVC filter placement | $12,032 | $9,014 | $1,885 |
| Joint aspiration (small/intermediate) | $57 | $481 | $57 |
| Joint aspiration or injection (mid-size joint) | $58 | $486 | $57 |
| Joint aspiration or injection (small joint) | $57 | $476 | $56 |
| Kidney biopsy | $2,734 | $2,779 | $492 |
| Kidney scan (nuclear) | $2,220 | $2,250 | $172 |
| Kidney ultrasound | $600 | $926 | $84 |
| Kidney ultrasound (limited) | $600 | $926 | $61 |
| Knee joint injection | $72 | $699 | $69 |
| Lactate test | $83 | $153 | $12 |
| LDH test | $45 | $94 | $6 |
| LDL cholesterol test | $75 | $96 | $11 |
| Leg artery angiogram | $2,761 | $8,137 | $149 |
| Leg vein ultrasound (Doppler) | $540 | $1,804 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $540 | $1,423 | $116 |
| LH hormone test | $135 | $310 | $19 |
| Lipase test | $49 | $146 | $7 |
| Lipid (cholesterol) panel | $98 | $298 | $13 |
| Liver biopsy | $2,524 | $2,250 | $288 |
| Liver function panel | $60 | $192 | $8 |
| Lung function test (PFT) | $170 | $523 | $37 |
| Lung scan (V/Q) | $2,220 | $2,584 | $291 |
| Magnesium blood test | $49 | $103 | $7 |
| MRA of the brain | $3,088 | $1,363 | $226 |
| MRA of the brain with contrast | $3,683 | $1,363 | $226 |
| MRA of the brain without contrast | $3,683 | $1,574 | $328 |
| MRA of the neck | $3,683 | $1,363 | $245 |
| MRA of the neck with contrast | $3,683 | $1,363 | $245 |
| MRA of the neck without contrast | $3,683 | $1,574 | $343 |
| MRI of the abdomen | $1,950 | $1,363 | $300 |
| MRI of the abdomen with contrast | $2,880 | $1,363 | $300 |
| MRI of the abdomen without contrast | $1,950 | $942 | $194 |
| MRI of the ankle | $2,659 | $1,363 | $261 |
| MRI of the ankle with contrast | $2,880 | $1,363 | $261 |
| MRI of the ankle without contrast | $1,950 | $942 | $222 |
| MRI of the brain | $1,995 | $1,363 | $269 |
| MRI of the brain with contrast | $2,948 | $1,363 | $269 |
| MRI of the brain without contrast | $1,167 | $942 | $195 |
| MRI of the chest | $2,400 | $1,258 | $371 |
| MRI of the chest without contrast | $2,880 | $1,574 | $466 |
| MRI of the knee | $2,681 | $1,363 | $315 |
| MRI of the knee with contrast | $2,681 | $1,363 | $315 |
| MRI of the knee without contrast | $1,950 | $942 | $204 |
| MRI of the lower back (lumbar spine) | $1,995 | $1,363 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $2,948 | $1,363 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,163 | $942 | $192 |
| MRI of the mid-back (thoracic spine) | $1,995 | $1,363 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $1,750 | $1,574 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $2,948 | $1,363 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $1,163 | $942 | $190 |
| MRI of the neck (cervical spine) | $1,274 | $1,363 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $1,750 | $1,574 | $318 |
| MRI of the neck (cervical spine) without contrast | $1,162 | $942 | $191 |
| MRI of the pelvis | $1,950 | $1,363 | $268 |
| MRI of the pelvis with contrast | $2,880 | $1,363 | $268 |
| MRI of the pelvis without contrast | $1,171 | $942 | $227 |
| MRI of the shoulder | $2,880 | $1,363 | $313 |
| MRI of the shoulder with contrast | $2,925 | $1,363 | $313 |
| MRI of the shoulder without contrast | $1,950 | $942 | $205 |
| MRI of the wrist | $2,880 | $1,363 | $330 |
| MRI of the wrist with contrast | $2,880 | $1,363 | $330 |
| MRI of the wrist without contrast | $1,950 | $942 | $303 |
| Nebulizer breathing treatment | $129 | $202 | $9 |
| Newborn hospital care | $116 | $1,284 | $58 |
| Nuchal translucency ultrasound | $600 | $463 | $116 |
| Nuclear cardiac stress test | $1,548 | $6,427 | $428 |
| Occupational therapy evaluation | $195 | $367 | $101 |
| Occupational therapy evaluation (high complexity) | $255 | $403 | $101 |
| Occupational therapy evaluation (low complexity) | $128 | $330 | $101 |
| Occupational therapy evaluation (moderate complexity) | $195 | $367 | $101 |
| Office visit (established patient) | $99 | $100 | $115 |
| Office visit, established patient (level 3) | $84 | $100 | $95 |
| Office visit, established patient (level 4) | $99 | $100 | $136 |
| Orthopedic hardware removal | $747 | $6,151 | $632 |
| Pap smear (cervical screening) | $143 | $82 | $20 |
| Parathyroid hormone (PTH) test | $296 | $237 | $41 |
| Pelvic ultrasound | $600 | $818 | $78 |
| Pelvic ultrasound (complete) | $600 | $1,054 | $105 |
| Pelvic ultrasound (limited) | $600 | $583 | $51 |
| PET scan | $5,250 | $7,328 | — |
| Phosphorus blood test | $34 | $78 | $5 |
| Physical therapy evaluation | $199 | $367 | $98 |
| Physical therapy evaluation (high complexity) | $263 | $403 | $98 |
| Physical therapy evaluation (moderate complexity) | $199 | $367 | $98 |
| Platelet count | $30 | $55 | $4 |
| Pneumonia vaccine | $527 | $54 | — |
| Pregnancy blood test (hCG) | $53 | $125 | $8 |
| Pregnancy ultrasound | $600 | $508 | $126 |
| Pregnancy ultrasound (first trimester) | $600 | $543 | $117 |
| Pregnancy ultrasound (second or third trimester) | $600 | $473 | $136 |
| Procalcitonin test | $195 | $273 | $27 |
| Prolactin test | $139 | $276 | $19 |
| Prostate test (PSA) | $131 | $181 | $18 |
| Sacroiliac joint injection | $2,278 | $1,873 | $176 |
| Scoliosis spine X-ray | $274 | $335 | $58 |
| Scoliosis spine X-ray (1 view) | $248 | $270 | $44 |
| Scoliosis spine X-ray (3 views) | $300 | $400 | $72 |
| Screening mammogram | $169 | $398 | $126 |
| Scrotal ultrasound | $600 | $967 | $99 |
| Sedimentation rate (ESR) test | $19 | $72 | $3 |
| Semen analysis | $60 | $60 | $12 |
| Sex hormone binding globulin test | $158 | $62 | $22 |
| Shingles vaccine | $823 | $728 | — |
| Simple laceration repair (small, up to 2.5 cm) | $64 | $538 | $114 |
| Simple wound stitches | $72 | $538 | $127 |
| Skin biopsy | $66 | $664 | $121 |
| Skin biopsy (punch) | $66 | $664 | $121 |
| Skin cancer lesion removal | $227 | $863 | $240 |
| Skin tag removal | $107 | $346 | $92 |
| Sleep study (polysomnography) | $5,981 | $6,641 | $691 |
| Soft tissue ultrasound | $480 | $463 | $64 |
| Speech therapy | $206 | $259 | $76 |
| Spinal cord stimulator | $32,338 | $2,089 | $2,388 |
| Spinal tap (lumbar puncture) | $798 | $2,253 | $165 |
| Spine fracture repair (kyphoplasty) | $16,095 | $11,424 | $5,803 |
| Spirometry (lung function test) | $160 | $380 | $30 |
| Spirometry with bronchodilator | $307 | $666 | $43 |
| Stress echocardiogram | $390 | $2,242 | $209 |
| Swallow study | $199 | $257 | $85 |
| T3 thyroid test | $101 | $27 | $14 |
| Testosterone test | $188 | $137 | $26 |
| Thyroid test (TSH) | $120 | $263 | $17 |
| Thyroid ultrasound | $600 | $719 | $109 |
| Thyroid uptake scan | $1,658 | $1,735 | $145 |
| Total IgE allergy test | $120 | $244 | $16 |
| Total protein test | $26 | $101 | $4 |
| Transesophageal echocardiogram (TEE) | $681 | $3,259 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $398 | $3,259 | $239 |
| Transvaginal ultrasound | $600 | $554 | $118 |
| Trigger point injection | $62 | $859 | $56 |
| Trigger point injection (1-2 muscles) | $65 | $859 | $52 |
| Triglycerides test | $41 | $164 | $6 |
| Troponin (heart) test | $90 | $209 | $12 |
| Turning a breech baby (version) | $1,937 | $915 | $94 |
| Upper GI series (barium) | $503 | $626 | $128 |
| Uric acid (gout) test | $34 | $88 | $5 |
| Urinalysis | $26 | $38 | $3 |
| Urine microalbumin test | $39 | $90 | $5 |
| Urine pregnancy test | $109 | $119 | $9 |
| Vaccine administration | $100 | $138 | $19 |
| Vaccine administration (each additional) | $71 | $138 | $16 |
| Vasectomy | $326 | $5,227 | $347 |
| Vitamin B12 test | $109 | $237 | $15 |
| Vitamin D test | $214 | $94 | $30 |
| Wart removal | $107 | $160 | $121 |
| Well-child visit | $144 | $100 | — |
| Wound debridement | $96 | $1,842 | $186 |
| X-ray of the abdomen | $274 | $408 | $36 |
| X-ray of the ankle | $248 | $562 | $37 |
| X-ray of the collarbone | $248 | $218 | $33 |
| X-ray of the elbow | $248 | $562 | $33 |
| X-ray of the facial bones | $161 | $543 | $39 |
| X-ray of the foot | $248 | $562 | $34 |
| X-ray of the forearm | $248 | $400 | $29 |
| X-ray of the hand | $248 | $562 | $38 |
| X-ray of the hip | $248 | $472 | $49 |
| X-ray of the hip (1 view) | $248 | $270 | $34 |
| X-ray of the hip (3 views) | $248 | $472 | $49 |
| X-ray of the hip (4 views) | $300 | $627 | $63 |
| X-ray of the knee | $274 | $525 | $42 |
| X-ray of the knee (2 views) | $248 | $400 | $34 |
| X-ray of the knee (3 views) | $248 | $525 | $42 |
| X-ray of the knee (4+ views) | $300 | $598 | $49 |
| X-ray of the lower back (lumbar spine) | $300 | $561 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $159 | $525 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $300 | $598 | $53 |
| X-ray of the lower leg | $248 | $440 | $31 |
| X-ray of the mid-back (thoracic spine) | $159 | $462 | $36 |
| X-ray of the mid-back (thoracic spine) (3 views) | $159 | $525 | $39 |
| X-ray of the neck (cervical spine) | $248 | $561 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $133 | $525 | $40 |
| X-ray of the pelvis | $158 | $481 | $36 |
| X-ray of the pelvis (1 view) | $158 | $400 | $28 |
| X-ray of the ribs | $248 | $525 | $42 |
| X-ray of the ribs (2 views) | $248 | $400 | $36 |
| X-ray of the ribs (3 views) | $300 | $525 | $42 |
| X-ray of the shoulder | $248 | $525 | $36 |
| X-ray of the skull | $300 | $499 | $40 |
| X-ray of the upper arm | $248 | $525 | $32 |
| X-ray of the wrist | $248 | $562 | $43 |
| Zinc blood test | $83 | $21 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
