| Procedure | Hopedale Hospital | Carle Health Proctor Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $118 | $110 | $51 |
| Abdominal fluid drain (paracentesis) | $426 | $3,381 | $284 |
| Abdominal ultrasound | $708 | $1,796 | $100 |
| Abdominal ultrasound (complete) | $951 | $2,289 | $114 |
| Abdominal ultrasound (limited) | $708 | $1,302 | $86 |
| Abscess drainage (complex or multiple) | $573 | $1,260 | $220 |
| Abscess drainage (simple) | $292 | $651 | $129 |
| Abscess incision and drainage | $318 | $956 | $174 |
| Albumin blood test | $22 | $93 | $5 |
| Aldosterone test | $100 | $446 | $41 |
| Alkaline phosphatase test | $35 | $87 | $5 |
| Alpha-fetoprotein (AFP) test | $64 | $67 | $17 |
| ALT liver enzyme test | $35 | $76 | $5 |
| Ammonia blood test | $59 | $273 | $15 |
| Amylase test | $148 | $205 | $6 |
| Antinuclear antibody (ANA) test | $82 | $145 | $12 |
| Arterial blood gas (ABG) | $216 | $415 | $26 |
| AST liver enzyme test | $35 | $74 | $5 |
| Barium swallow study | $487 | $883 | $107 |
| Basic metabolic panel | $92 | $251 | $8 |
| Bilirubin blood test | $35 | $97 | $5 |
| Blood clotting test (PT/INR) | $40 | $116 | $4 |
| Blood crossmatch | $269 | $336 | — |
| Blood glucose test | $27 | $71 | $5 |
| Blood transfusion | $964 | $1,490 | $47 |
| Blood type and screen | $132 | $201 | $10 |
| Blood type test | $109 | $119 | $3 |
| Blood type test (ABO group) | $143 | $129 | $3 |
| Blood type test (Rh/D antigen) | $76 | $109 | $3 |
| BNP (heart failure) test | $236 | $289 | $39 |
| Bone density scan (DEXA) | $161 | $851 | $39 |
| Bone marrow biopsy | $399 | $3,864 | $172 |
| Bone scan (nuclear) | $979 | $3,161 | $259 |
| Breast biopsy | $1,803 | $6,426 | $478 |
| Breast ultrasound | $668 | $988 | $92 |
| Breast ultrasound (complete) | $708 | $1,397 | $100 |
| Breast ultrasound (limited) | $634 | $578 | $84 |
| Breathing tube insertion (intubation) | $689 | $1,260 | $133 |
| Bronchoscopy | $605 | $4,379 | $303 |
| Burn dressing and debridement (medium) | $308 | $641 | $166 |
| Burn dressing and debridement (small) | $203 | $672 | $93 |
| Burn treatment | $256 | $657 | $129 |
| C-reactive protein (CRP) | $82 | $147 | $5 |
| CA 19-9 tumor marker test | $113 | $189 | $21 |
| CA-125 ovarian marker test | $121 | $320 | $21 |
| Calcium blood test | $35 | $82 | $5 |
| Capsule endoscopy | $1,168 | $4,620 | $802 |
| Cardiac catheterization | $7,210 | $18,323 | $1,049 |
| Cardiac rehabilitation | $264 | $326 | $26 |
| Cardiac stress test | $1,131 | $1,985 | $39 |
| Cardioversion | $1,215 | $3,192 | $155 |
| Carotid artery ultrasound | $772 | $1,801 | $156 |
| CEA tumor marker test | $128 | $321 | $19 |
| Central line placement | $586 | $4,935 | $238 |
| Chest fluid drain (thoracentesis) | $871 | $2,898 | $311 |
| Chest X-ray | $180 | $557 | $37 |
| Chest X-ray (1 view) | $180 | $536 | $25 |
| Chest X-ray (2 views) | $156 | $546 | $33 |
| Chickenpox (varicella) vaccine | $159 | $276 | — |
| CK-MB heart enzyme test | $94 | $103 | $12 |
| Clotting time test (PTT) | $62 | $169 | $6 |
| Complete blood count (CBC) | $91 | $146 | $7 |
| Complete blood count (CBC) (complete) | $91 | $152 | $8 |
| Comprehensive metabolic panel | $175 | $357 | $11 |
| Copper blood test | $76 | $110 | $12 |
| Coronary CT angiography | $2,580 | $4,368 | $326 |
| Cortisol test | $103 | $116 | $16 |
| COVID-19 PCR test | $149 | $179 | $51 |
| CPAP titration study | $651 | $1,659 | $69 |
| Creatine kinase (CK) test | $60 | $28 | $7 |
| CT angiography of the chest | $2,569 | $6,122 | $281 |
| CT angiography of the head | $2,156 | $7,886 | $274 |
| CT scan of the abdomen | $2,023 | $5,208 | $230 |
| CT scan of the abdomen and pelvis | $3,065 | $8,285 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $3,313 | $8,285 | $338 |
| CT scan of the abdomen and pelvis with contrast | $3,065 | $8,285 | $300 |
| CT scan of the abdomen and pelvis without contrast | $2,657 | $6,993 | $183 |
| CT scan of the abdomen with and without contrast | $2,321 | $6,185 | $259 |
| CT scan of the abdomen with contrast | $2,023 | $5,208 | $230 |
| CT scan of the abdomen without contrast | $1,795 | $3,297 | $136 |
| CT scan of the arm | $1,940 | $5,408 | $199 |
| CT scan of the arm with contrast | $1,968 | $5,408 | $199 |
| CT scan of the arm without contrast | $1,828 | $4,841 | $161 |
| CT scan of the chest | $1,795 | $5,250 | $167 |
| CT scan of the chest with and without contrast | $2,321 | $6,311 | $196 |
| CT scan of the chest with contrast | $2,073 | $5,250 | $167 |
| CT scan of the chest without contrast | $1,795 | $5,208 | $133 |
| CT scan of the head | $1,915 | $4,946 | $148 |
| CT scan of the head with and without contrast | $2,156 | $5,523 | $173 |
| CT scan of the head with contrast | $1,915 | $4,946 | $148 |
| CT scan of the head without contrast | $1,640 | $4,557 | $107 |
| CT scan of the leg | $1,996 | $5,114 | $166 |
| CT scan of the leg with contrast | $1,996 | $5,114 | $166 |
| CT scan of the leg without contrast | $1,716 | $4,998 | $130 |
| CT scan of the lower back (lumbar spine) | $1,795 | $5,723 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,904 | $6,080 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $911 | $5,723 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,795 | $5,345 | $130 |
| CT scan of the neck | $1,968 | $5,229 | $183 |
| CT scan of the neck (cervical spine) | $1,904 | $5,282 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $1,904 | $6,174 | $196 |
| CT scan of the neck (cervical spine) with contrast | $1,904 | $5,282 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,820 | $5,219 | $131 |
| CT scan of the neck with and without contrast | $2,216 | $5,849 | $220 |
| CT scan of the neck with contrast | $1,968 | $5,229 | $183 |
| CT scan of the neck without contrast | $1,687 | $4,956 | $150 |
| CT scan of the pelvis | $2,023 | $5,555 | $226 |
| CT scan of the pelvis with and without contrast | $2,322 | $6,185 | $251 |
| CT scan of the pelvis with contrast | $2,023 | $5,555 | $226 |
| CT scan of the pelvis without contrast | $1,795 | $5,313 | $133 |
| CT scan of the sinuses | $1,959 | $4,694 | $152 |
| CT scan of the sinuses with and without contrast | $2,207 | $5,544 | $184 |
| CT scan of the sinuses with contrast | $1,959 | $4,694 | $152 |
| CT scan of the sinuses without contrast | $895 | $4,337 | $128 |
| D-dimer test | $116 | $231 | $10 |
| Developmental screening (child) | $42 | $215 | — |
| DHEA-sulfate test | $84 | $70 | $22 |
| Diagnostic mammogram | $366 | $720 | $140 |
| Drug screen (urine) | $73 | $305 | $17 |
| Echocardiogram | $839 | $2,111 | $138 |
| Echocardiogram with and without contrast | $839 | $1,481 | $101 |
| Echocardiogram without contrast | $385 | $2,111 | $138 |
| EKG / ECG (tracing only) | $243 | $536 | $7 |
| Electrocardiogram (EKG) | $55 | $536 | $8 |
| Electrolyte panel | $58 | $134 | $7 |
| Emergency department visit | $584 | $857 | $69 |
| Emergency department visit (level 1) | $188 | $267 | $11 |
| Emergency department visit (level 2) | $315 | $490 | $40 |
| Emergency department visit (level 3) | $584 | $857 | $69 |
| Emergency department visit (level 4) | $912 | $2,373 | $118 |
| Emergency department visit (level 5) | $1,393 | $3,402 | $171 |
| Epidural steroid injection | $667 | $2,279 | $275 |
| Estradiol (estrogen) test | $63 | $255 | $28 |
| Fecal occult blood (stool) test | $56 | $43 | $10 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $56 | $70 | $16 |
| Ferritin (iron) test | $94 | $247 | $14 |
| Fibrinogen test | $91 | $301 | $10 |
| Flu vaccine | $32 | $28 | — |
| Folate (folic acid) test | $62 | $231 | $15 |
| Foreign body removal (skin) | $351 | $1,260 | $157 |
| Free T4 thyroid test | $79 | $226 | $9 |
| FSH hormone test | $102 | $214 | $19 |
| Gallbladder scan (HIDA) | $1,162 | $3,150 | $334 |
| GGT liver test | $36 | $86 | $7 |
| Glucose tolerance test | $15 | $144 | $8 |
| H. pylori test | $104 | $404 | $67 |
| HDL cholesterol test | $40 | $110 | $8 |
| Hematocrit test | $13 | $78 | $2 |
| Hemoglobin A1c (diabetes test) | $89 | $216 | $10 |
| Hepatitis A vaccine | $101 | $129 | — |
| Hepatitis B test | $30 | $229 | $10 |
| Hepatitis B vaccine | $159 | $108 | — |
| Hepatitis C test | $37 | $201 | $14 |
| HIV test | $87 | $354 | $19 |
| HIV test (antigen/antibody combo) | $50 | $354 | $24 |
| Holter heart monitor | $306 | $801 | $26 |
| Iron blood test | $39 | $131 | $6 |
| IV infusion therapy | $305 | $460 | $44 |
| IV infusion therapy (each additional) | $159 | $226 | $21 |
| IV infusion therapy (initial) | $450 | $693 | $67 |
| IVC filter placement | $6,590 | $13,850 | $1,885 |
| Joint aspiration (small/intermediate) | $175 | $1,171 | $57 |
| Joint aspiration or injection (mid-size joint) | $175 | $966 | $57 |
| Joint aspiration or injection (small joint) | $573 | $1,376 | $56 |
| Kidney biopsy | $748 | $3,003 | $492 |
| Kidney scan (nuclear) | $1,170 | $3,087 | $172 |
| Kidney ultrasound | $666 | $1,544 | $84 |
| Kidney ultrasound (limited) | $666 | $1,302 | $61 |
| Knee joint injection | $223 | $1,418 | $69 |
| Lactate test | $78 | $217 | $12 |
| LDH test | $47 | $98 | $6 |
| LDL cholesterol test | $42 | $121 | $11 |
| Leg artery angiogram | $6,840 | $7,172 | $149 |
| Leg vein ultrasound (Doppler) | $860 | $2,148 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $860 | $1,733 | $116 |
| LH hormone test | $159 | $182 | $19 |
| Lipase test | $73 | $226 | $7 |
| Lipid (cholesterol) panel | $129 | $289 | $13 |
| Liver biopsy | $509 | $4,064 | $288 |
| Liver function panel | $93 | $236 | $8 |
| Lung function test (PFT) | $194 | $515 | $37 |
| Lung scan (V/Q) | $383 | $3,728 | $291 |
| Magnesium blood test | $57 | $200 | $7 |
| MMR vaccine | $96 | $141 | — |
| MRA of the brain | $2,497 | $7,676 | $226 |
| MRA of the brain without contrast | $2,672 | $8,988 | $328 |
| MRA of the neck | $2,497 | $7,214 | $245 |
| MRA of the neck without contrast | $2,672 | $8,915 | $343 |
| MRI of the abdomen | $2,936 | $7,529 | $300 |
| MRI of the abdomen with contrast | $3,055 | $7,529 | $300 |
| MRI of the abdomen without contrast | $2,675 | $7,424 | $194 |
| MRI of the ankle | $2,854 | $8,327 | $261 |
| MRI of the ankle with contrast | $2,854 | $8,327 | $261 |
| MRI of the ankle without contrast | $2,509 | $7,308 | $222 |
| MRI of the brain | $2,264 | $7,833 | $269 |
| MRI of the brain with contrast | $2,672 | $7,833 | $269 |
| MRI of the brain without contrast | $2,264 | $7,151 | $195 |
| MRI of the chest | $2,607 | $7,466 | $371 |
| MRI of the chest with contrast | $2,487 | $6,416 | $371 |
| MRI of the chest without contrast | $2,607 | $8,957 | $466 |
| MRI of the knee | $2,784 | $8,516 | $315 |
| MRI of the knee with contrast | $2,784 | $8,516 | $315 |
| MRI of the knee without contrast | $2,509 | $7,151 | $204 |
| MRI of the lower back (lumbar spine) | $2,837 | $7,581 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $2,837 | $7,581 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $2,490 | $7,151 | $192 |
| MRI of the mid-back (thoracic spine) | $2,756 | $7,896 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $3,000 | $8,495 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $2,756 | $7,896 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $2,490 | $7,172 | $190 |
| MRI of the neck (cervical spine) | $2,837 | $8,505 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $3,082 | $9,125 | $318 |
| MRI of the neck (cervical spine) with contrast | $2,837 | $8,505 | $274 |
| MRI of the neck (cervical spine) without contrast | $2,460 | $7,151 | $191 |
| MRI of the pelvis | $3,010 | $7,875 | $268 |
| MRI of the pelvis with contrast | $3,010 | $7,875 | $268 |
| MRI of the pelvis without contrast | $2,675 | $7,140 | $227 |
| MRI of the shoulder | $2,824 | $7,917 | $313 |
| MRI of the shoulder with contrast | $2,854 | $7,917 | $313 |
| MRI of the shoulder without contrast | $2,529 | $7,151 | $205 |
| MRI of the wrist | $2,854 | $7,151 | $330 |
| MRI of the wrist with contrast | $2,854 | $1,154 | $330 |
| MRI of the wrist without contrast | $2,482 | $7,151 | $303 |
| Nebulizer breathing treatment | $491 | $588 | $9 |
| Nuclear cardiac stress test | $3,027 | $5,975 | $428 |
| Occupational therapy evaluation | $310 | $483 | $101 |
| Occupational therapy evaluation (high complexity) | $355 | $546 | $101 |
| Occupational therapy evaluation (low complexity) | $267 | $410 | $101 |
| Occupational therapy evaluation (moderate complexity) | $310 | $483 | $101 |
| Pap smear (cervical screening) | $82 | $111 | $20 |
| Parathyroid hormone (PTH) test | $242 | $536 | $41 |
| Pelvic ultrasound | $598 | $1,313 | $78 |
| Pelvic ultrasound (complete) | $708 | $1,670 | $105 |
| Pelvic ultrasound (limited) | $488 | $956 | $51 |
| Phosphorus blood test | $35 | $100 | $5 |
| Physical therapy evaluation | $324 | $483 | $98 |
| Physical therapy evaluation (high complexity) | $379 | $546 | $98 |
| Physical therapy evaluation (moderate complexity) | $324 | $483 | $98 |
| Platelet count | $22 | $121 | $4 |
| Pneumonia vaccine | $288 | $548 | — |
| Procalcitonin test | $256 | $210 | $27 |
| Prolactin test | $81 | $294 | $19 |
| Prostate test (PSA) | $106 | $265 | $18 |
| Pulmonary rehabilitation | $137 | $278 | $87 |
| Radiofrequency nerve ablation | $4,464 | $7,067 | $462 |
| Scoliosis spine X-ray | $312 | $594 | $58 |
| Scoliosis spine X-ray (1 view) | $290 | $630 | $44 |
| Scoliosis spine X-ray (3 views) | $335 | $557 | $72 |
| Screening mammogram | $379 | $557 | $126 |
| Scrotal ultrasound | $273 | $1,523 | $99 |
| Sedimentation rate (ESR) test | $57 | $134 | $3 |
| Semen analysis | $44 | $261 | $12 |
| Sex hormone binding globulin test | $60 | $80 | $22 |
| Shingles vaccine | $193 | $310 | — |
| Skin biopsy | $218 | $799 | $121 |
| Skin biopsy (punch) | $218 | $662 | $121 |
| Sleep study (polysomnography) | $2,681 | $7,938 | $691 |
| Soft tissue ultrasound | $292 | $525 | $64 |
| Speech therapy | $288 | $362 | $76 |
| Spinal tap (lumbar puncture) | $437 | $2,573 | $165 |
| Spine fracture repair (kyphoplasty) | $1,944 | $25,778 | $5,803 |
| Spirometry (lung function test) | $189 | $431 | $30 |
| Spirometry with bronchodilator | $332 | $599 | $43 |
| Stress echocardiogram | $859 | $4,316 | $209 |
| Stress echocardiogram (complete) | $235 | $4,316 | $233 |
| Swallow study | $588 | $341 | $85 |
| T3 thyroid test | $83 | $152 | $14 |
| Tdap (tetanus) vaccine | $127 | $72 | — |
| Testosterone test | $164 | $233 | $26 |
| Thyroid test (TSH) | $135 | $252 | $17 |
| Thyroid ultrasound | $685 | $147 | $109 |
| Thyroid uptake scan | $882 | $1,690 | $145 |
| Total IgE allergy test | $31 | $183 | $16 |
| Total protein test | $50 | $89 | $4 |
| Transesophageal echocardiogram (TEE) | $2,264 | $3,696 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $2,264 | $3,696 | $239 |
| Transvaginal ultrasound | $665 | $1,155 | $118 |
| Triglycerides test | $42 | $163 | $6 |
| Troponin (heart) test | $125 | $305 | $12 |
| Uric acid (gout) test | $42 | $85 | $5 |
| Urinalysis | $30 | $86 | $3 |
| Urine microalbumin test | $43 | $114 | $5 |
| Urine pregnancy test | $52 | $173 | $9 |
| Vaccine administration | $68 | $105 | $19 |
| Vaccine administration (each additional) | $67 | $93 | $16 |
| Varicose vein ablation | $3,744 | $14,217 | $1,018 |
| Vitamin B12 test | $95 | $289 | $15 |
| Vitamin D test | $139 | $310 | $30 |
| Wound debridement | $460 | $1,964 | $186 |
| X-ray of the abdomen | $299 | $809 | $36 |
| X-ray of the ankle | $264 | $998 | $37 |
| X-ray of the collarbone | $231 | $672 | $33 |
| X-ray of the elbow | $289 | $788 | $33 |
| X-ray of the facial bones | $303 | $861 | $39 |
| X-ray of the foot | $213 | $882 | $34 |
| X-ray of the forearm | $218 | $683 | $29 |
| X-ray of the hand | $213 | $777 | $38 |
| X-ray of the hip | $290 | $336 | $49 |
| X-ray of the hip (1 view) | $290 | $336 | $34 |
| X-ray of the hip (3 views) | $290 | $336 | $49 |
| X-ray of the hip (4 views) | $325 | $557 | $63 |
| X-ray of the knee | $275 | $756 | $42 |
| X-ray of the knee (2 views) | $213 | $725 | $34 |
| X-ray of the knee (3 views) | $275 | $756 | $42 |
| X-ray of the knee (4+ views) | $303 | $1,008 | $49 |
| X-ray of the lower back (lumbar spine) | $343 | $935 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $303 | $788 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $383 | $1,082 | $53 |
| X-ray of the lower leg | $284 | $767 | $31 |
| X-ray of the mid-back (thoracic spine) | $303 | $841 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $303 | $725 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $303 | $956 | $39 |
| X-ray of the neck (cervical spine) | $296 | $883 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $270 | $725 | $40 |
| X-ray of the pelvis | $299 | $756 | $36 |
| X-ray of the pelvis (1 view) | $299 | $672 | $28 |
| X-ray of the ribs | $253 | $809 | $42 |
| X-ray of the ribs (2 views) | $203 | $714 | $36 |
| X-ray of the ribs (3 views) | $303 | $809 | $42 |
| X-ray of the shoulder | $223 | $756 | $36 |
| X-ray of the skull | $290 | $778 | $40 |
| X-ray of the upper arm | $284 | $714 | $32 |
| X-ray of the wrist | $213 | $788 | $43 |
| Zinc blood test | $234 | $96 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
