| Procedure | Jackson Park Hospital | Provident Hospital of Chicago | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $180 | $51 | $51 |
| Abdominal fluid drain (paracentesis) | $2,499 | $901 | $284 |
| Abdominal ultrasound | $930 | $128 | $100 |
| Abdominal ultrasound (complete) | $1,067 | $128 | $114 |
| Abdominal ultrasound (limited) | $793 | $119 | $86 |
| Abscess drainage (complex or multiple) | $982 | $330 | $220 |
| Abscess drainage (simple) | $515 | $187 | $129 |
| Abscess incision and drainage | $749 | $259 | $174 |
| Achilles tendon repair | $10,798 | $7,091 | $624 |
| ACL knee reconstruction | $13,909 | $1,773 | $889 |
| Adenoid removal (adenoidectomy) | $3,490 | $389 | $204 |
| Aldosterone test | $335 | $71 | $41 |
| Alkaline phosphatase test | $130 | $9 | $5 |
| Alpha-fetoprotein (AFP) test | $322 | $29 | $17 |
| ALT liver enzyme test | $128 | $10 | $5 |
| Ammonia blood test | $289 | $26 | $15 |
| Amylase test | $134 | $12 | $6 |
| Anal fistula repair | $4,619 | $865 | $541 |
| Ankle fracture repair | $12,164 | $1,265 | $608 |
| Anoscopy | $450 | $158 | $129 |
| Antinuclear antibody (ANA) test | $196 | $22 | $12 |
| AST liver enzyme test | $128 | $9 | $5 |
| Barium swallow study | $699 | $182 | $107 |
| Bartholin cyst removal | $480 | $278 | $182 |
| Basic metabolic panel | $315 | $15 | $8 |
| Benign skin lesion removal | $2,827 | $492 | $171 |
| Bilirubin blood test | $134 | $9 | $5 |
| Bladder scope (cystoscopy) | $5,607 | $694 | $216 |
| Blood clotting test (PT/INR) | $175 | $8 | $4 |
| Blood crossmatch | $152 | $312 | — |
| Blood glucose test | $66 | $8 | $5 |
| Blood transfusion | $1,292 | $438 | $47 |
| Blood type and screen | $231 | $94 | $10 |
| Blood type test | $80 | $153 | $3 |
| Blood type test (ABO group) | $91 | $238 | $3 |
| Blood type test (Rh/D antigen) | $69 | $67 | $3 |
| BNP (heart failure) test | $595 | $69 | $39 |
| Bone density scan (DEXA) | $733 | $103 | $39 |
| Bone marrow biopsy | $1,073 | $1,537 | $172 |
| Bone scan (nuclear) | $2,080 | $393 | $259 |
| Breast biopsy | $4,438 | $2,953 | $478 |
| Breast ultrasound | $622 | $63 | $92 |
| Breast ultrasound (complete) | $621 | $188 | $100 |
| Breast ultrasound (limited) | $623 | $59 | $84 |
| Breathing tube insertion (intubation) | $879 | $347 | $133 |
| Bronchoscopy | $2,482 | $1,744 | $303 |
| Bunion surgery (bunionectomy) | $10,155 | $3,462 | $883 |
| Burn dressing and debridement (medium) | $263 | $280 | $166 |
| Burn dressing and debridement (small) | $625 | $232 | $93 |
| Burn treatment | $444 | $280 | $129 |
| C-reactive protein (CRP) | $99 | $9 | $5 |
| CA 19-9 tumor marker test | $176 | $37 | $21 |
| CA-125 ovarian marker test | $210 | $37 | $21 |
| Calcium blood test | $118 | $9 | $5 |
| Cardioversion | $1,392 | $680 | $155 |
| Carotid artery ultrasound | $1,234 | $130 | $156 |
| Carpal tunnel release | $6,208 | $2,156 | $483 |
| Cataract surgery | $5,059 | $1,170 | $547 |
| CEA tumor marker test | $274 | $34 | $19 |
| Central line placement | $2,429 | $2,900 | $238 |
| Cervical cerclage | $8,774 | $3,045 | $137 |
| Cervical LEEP procedure | $5,650 | $3,122 | $325 |
| Chalazion (eyelid cyst) removal | $1,033 | $365 | $131 |
| Chemotherapy infusion | $712 | $360 | $81 |
| Chemotherapy infusion (each additional) | $457 | $129 | $28 |
| Chemotherapy infusion (first hour) | $968 | $591 | $133 |
| Chest tube insertion | $2,097 | $2,815 | $143 |
| Chest X-ray | $400 | $156 | $37 |
| Chest X-ray (1 view) | $501 | $86 | $25 |
| Chest X-ray (2 views) | $278 | $156 | $33 |
| Circumcision | $3,166 | $2,044 | $167 |
| CK-MB heart enzyme test | $262 | $20 | $12 |
| Clotting time test (PTT) | $192 | $11 | $6 |
| Colon resection (colectomy) | $8,261 | $2,564 | $1,238 |
| Colonoscopy | $2,418 | $1,048 | $480 |
| Colposcopy | $960 | $393 | $161 |
| Complete blood count (CBC) | $118 | $13 | $7 |
| Complete blood count (CBC) (complete) | $118 | $14 | $8 |
| Complex wound repair | $3,160 | $861 | $390 |
| Comprehensive metabolic panel | $654 | $19 | $11 |
| Copper blood test | $150 | $22 | $12 |
| Coronary CT angiography | $3,511 | $414 | $326 |
| Cortisol test | $222 | $29 | $16 |
| COVID-19 PCR test | $220 | $90 | $51 |
| CPAP titration study | $804 | $227 | $69 |
| Creatine kinase (CK) test | $222 | $12 | $7 |
| CT angiography of the chest | $2,625 | $235 | $281 |
| CT angiography of the head | $2,763 | $231 | $274 |
| CT scan of the abdomen and pelvis | $4,730 | $300 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $5,285 | $399 | $338 |
| CT scan of the abdomen and pelvis with contrast | $4,730 | $390 | $300 |
| CT scan of the abdomen and pelvis without contrast | $2,807 | $287 | $183 |
| CT scan of the abdomen with and without contrast | $3,177 | $216 | $259 |
| CT scan of the abdomen with contrast | $2,825 | $211 | $230 |
| CT scan of the abdomen without contrast | $2,715 | $145 | $136 |
| CT scan of the arm | $1,951 | $188 | $199 |
| CT scan of the arm with contrast | $1,940 | $624 | $199 |
| CT scan of the arm without contrast | $2,138 | $137 | $161 |
| CT scan of the chest with and without contrast | $3,016 | $210 | $196 |
| CT scan of the chest with contrast | $2,877 | $207 | $167 |
| CT scan of the chest without contrast | $2,715 | $140 | $133 |
| CT scan of the head | $2,260 | $148 | $148 |
| CT scan of the head with and without contrast | $2,436 | $211 | $173 |
| CT scan of the head with contrast | $2,260 | $205 | $148 |
| CT scan of the head without contrast | $2,138 | $131 | $107 |
| CT scan of the leg | $2,433 | $146 | $166 |
| CT scan of the leg with contrast | $2,433 | $207 | $166 |
| CT scan of the leg without contrast | $2,138 | $137 | $130 |
| CT scan of the lower back (lumbar spine) without contrast | $2,715 | $137 | $130 |
| CT scan of the neck | $2,484 | $162 | $183 |
| CT scan of the neck (cervical spine) | $2,715 | $188 | $168 |
| CT scan of the neck (cervical spine) with contrast | $2,715 | $624 | $168 |
| CT scan of the neck (cervical spine) without contrast | $2,715 | $137 | $131 |
| CT scan of the neck with and without contrast | $2,484 | $225 | $220 |
| CT scan of the neck with contrast | $2,514 | $216 | $183 |
| CT scan of the neck without contrast | $2,138 | $148 | $150 |
| CT scan of the pelvis with and without contrast | $3,560 | $209 | $251 |
| CT scan of the pelvis with contrast | $2,878 | $207 | $226 |
| CT scan of the pelvis without contrast | $2,715 | $140 | $133 |
| CT scan of the sinuses | $2,825 | $148 | $152 |
| CT scan of the sinuses with and without contrast | $3,016 | $211 | $184 |
| CT scan of the sinuses with contrast | $2,825 | $205 | $152 |
| CT scan of the sinuses without contrast | $2,715 | $131 | $128 |
| DHEA-sulfate test | $250 | $39 | $22 |
| Diagnostic mammogram | $605 | $120 | $140 |
| Dialysis fistula creation | $14,360 | $3,463 | $601 |
| Dilation and curettage (D&C) | $8,699 | $3,103 | $298 |
| Drug screen (urine) | $203 | $116 | $17 |
| Ear tubes (myringotomy) | $6,623 | $620 | $174 |
| Echocardiogram | $1,361 | $275 | $138 |
| Echocardiogram with and without contrast | $1,361 | $236 | $101 |
| Echocardiogram without contrast | $1,104 | $253 | $138 |
| EEG (awake and asleep) | $1,281 | $245 | $482 |
| EKG / ECG (tracing only) | $280 | $106 | $7 |
| Electrocardiogram (EKG) | $280 | $29 | $8 |
| Electroencephalogram (EEG) | $1,177 | $245 | $448 |
| Electrolyte panel | $301 | $13 | $7 |
| Emergency department visit | $784 | $268 | $69 |
| Emergency department visit (level 1) | $301 | $93 | $11 |
| Emergency department visit (level 2) | $532 | $190 | $40 |
| Emergency department visit (level 3) | $784 | $333 | $69 |
| Emergency department visit (level 4) | $1,425 | $652 | $118 |
| Emergency department visit (level 5) | $2,064 | $833 | $171 |
| Endometrial biopsy | $575 | $238 | $98 |
| Epidural steroid injection | $1,848 | $722 | $275 |
| Estradiol (estrogen) test | $329 | $49 | $28 |
| Fallopian tube X-ray (HSG) | $1,138 | $121 | $164 |
| Fecal occult blood (stool) test | $89 | $20 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $63 | $8 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $115 | $32 | $16 |
| Feeding tube (PEG) placement | $2,571 | $1,893 | $178 |
| Ferritin (iron) test | $243 | $25 | $14 |
| Fibrinogen test | $118 | $18 | $10 |
| Flexible sigmoidoscopy | $2,010 | $916 | $323 |
| Folate (folic acid) test | $259 | $26 | $15 |
| Foreign body removal (skin) | $1,765 | $459 | $157 |
| Free T4 thyroid test | $161 | $16 | $9 |
| FSH hormone test | $240 | $33 | $19 |
| Gallbladder removal (laparoscopic) | $14,281 | $1,371 | $658 |
| Gallbladder scan (HIDA) | $1,664 | $396 | $334 |
| Ganglion cyst removal | $8,582 | $1,745 | $321 |
| GGT liver test | $110 | $13 | $7 |
| Glucose tolerance test | $123 | $15 | $8 |
| Group therapy session | $279 | $113 | $30 |
| H. pylori test | $499 | $118 | $67 |
| Hammertoe repair | $4,378 | $3,275 | $548 |
| HDL cholesterol test | $107 | $15 | $8 |
| Hematocrit test | $58 | $4 | $2 |
| Hemodialysis | $1,724 | $551 | $75 |
| Hemoglobin A1c (diabetes test) | $120 | $18 | $10 |
| Hemorrhoid removal | $2,058 | $664 | $338 |
| Hepatitis B test | $161 | $18 | $10 |
| Hepatitis C test | $180 | $25 | $14 |
| Hip fracture repair | $8,299 | $2,249 | $1,120 |
| Hip replacement | $6,716 | $2,352 | $1,162 |
| HIV test | $125 | $34 | $19 |
| HIV test (antibody) | $133 | $25 | $14 |
| HIV test (antigen/antibody combo) | $117 | $43 | $24 |
| Holter heart monitor | $623 | $84 | $26 |
| Hysterectomy | $5,908 | $1,901 | $933 |
| Inguinal hernia repair | $7,554 | $1,112 | $538 |
| Iron blood test | $231 | $12 | $6 |
| IUD insertion | $2,159 | $47 | — |
| IV infusion therapy | $353 | $232 | $44 |
| IV infusion therapy (each additional) | $293 | $84 | $21 |
| IV infusion therapy (initial) | $414 | $381 | $67 |
| IVC filter placement | $10,307 | $5,167 | $1,885 |
| Joint aspiration (small/intermediate) | $688 | $63 | $57 |
| Joint aspiration or injection (mid-size joint) | $861 | $63 | $57 |
| Joint aspiration or injection (small joint) | $515 | $62 | $56 |
| Kidney scan (nuclear) | $2,339 | $536 | $172 |
| Kidney ultrasound | $915 | $126 | $84 |
| Kidney ultrasound (limited) | $679 | $119 | $61 |
| Knee arthroscopy | $7,825 | $1,031 | $524 |
| Knee joint injection | $1,162 | $80 | $69 |
| Lactate test | $140 | $20 | $12 |
| Laryngoscopy | $4,950 | $314 | $189 |
| LDH test | $128 | $11 | $6 |
| Leg artery angiogram | $5,354 | $2,903 | $149 |
| Leg vein ultrasound (Doppler) | $1,319 | $125 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $1,019 | $113 | $116 |
| LH hormone test | $203 | $33 | $19 |
| Lipase test | $128 | $13 | $7 |
| Lipid (cholesterol) panel | $343 | $24 | $13 |
| Liver biopsy | $2,336 | $1,551 | $288 |
| Liver function panel | $266 | $15 | $8 |
| Lumpectomy (breast) | $8,881 | $1,549 | $750 |
| Lung function test (PFT) | $653 | $203 | $37 |
| Magnesium blood test | $157 | $12 | $7 |
| Mastectomy | $15,735 | $2,325 | $1,021 |
| Meniscus repair (knee) | $6,320 | $1,418 | $714 |
| MRA of the brain | $2,749 | $277 | $226 |
| MRA of the brain with contrast | $2,749 | $364 | $226 |
| MRA of the brain without contrast | $3,774 | $375 | $328 |
| MRA of the neck | $3,559 | $290 | $245 |
| MRA of the neck with contrast | $3,833 | $376 | $245 |
| MRA of the neck without contrast | $3,559 | $389 | $343 |
| MRI of the abdomen | $3,263 | $308 | $300 |
| MRI of the abdomen with contrast | $3,263 | $385 | $300 |
| MRI of the abdomen without contrast | $2,912 | $275 | $194 |
| MRI of the ankle | $3,308 | $306 | $261 |
| MRI of the ankle with contrast | $3,308 | $381 | $261 |
| MRI of the ankle without contrast | $2,764 | $271 | $222 |
| MRI of the brain | $3,185 | $311 | $269 |
| MRI of the brain with contrast | $3,185 | $388 | $269 |
| MRI of the brain without contrast | $2,803 | $277 | $195 |
| MRI of the chest | $3,160 | $310 | $371 |
| MRI of the chest with contrast | $3,160 | $775 | $371 |
| MRI of the chest without contrast | $3,887 | $409 | $466 |
| MRI of the knee | $3,670 | $306 | $315 |
| MRI of the knee with contrast | $3,670 | $770 | $315 |
| MRI of the knee without contrast | $2,777 | $272 | $204 |
| MRI of the lower back (lumbar spine) | $3,554 | $312 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $3,554 | $388 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $3,091 | $277 | $192 |
| MRI of the mid-back (thoracic spine) | $3,554 | $312 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $4,693 | $410 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $3,554 | $388 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $3,125 | $277 | $190 |
| MRI of the neck (cervical spine) | $3,223 | $312 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $4,022 | $410 | $318 |
| MRI of the neck (cervical spine) with contrast | $3,223 | $390 | $274 |
| MRI of the neck (cervical spine) without contrast | $3,122 | $277 | $191 |
| MRI of the pelvis | $3,679 | $308 | $268 |
| MRI of the pelvis with contrast | $3,679 | $386 | $268 |
| MRI of the pelvis without contrast | $2,791 | $275 | $227 |
| MRI of the shoulder | $3,995 | $306 | $313 |
| MRI of the shoulder with contrast | $3,995 | $770 | $313 |
| MRI of the shoulder without contrast | $2,874 | $272 | $205 |
| MRI of the wrist | $3,183 | $306 | $330 |
| MRI of the wrist with contrast | $2,981 | $381 | $330 |
| MRI of the wrist without contrast | $3,183 | $272 | $303 |
| Nebulizer breathing treatment | $208 | $204 | $9 |
| Occupational therapy evaluation | $314 | $181 | $101 |
| Occupational therapy evaluation (high complexity) | $360 | $181 | $101 |
| Occupational therapy evaluation (low complexity) | $268 | $178 | $101 |
| Office visit (established patient) | $260 | $199 | $115 |
| Office visit (new patient) | $358 | $239 | $177 |
| Office visit, established patient (level 3) | $227 | $174 | $95 |
| Office visit, established patient (level 4) | $293 | $199 | $136 |
| Office visit, new patient (level 3) | $285 | $189 | $118 |
| Office visit, new patient (level 4) | $358 | $231 | $177 |
| Office visit, new patient (level 5) | $450 | $274 | $237 |
| Orthopedic hardware removal | $5,475 | $2,984 | $632 |
| Pap smear (cervical screening) | $139 | $41 | $20 |
| Parathyroid hormone (PTH) test | $742 | $73 | $41 |
| Pelvic ultrasound | $794 | $124 | $78 |
| Pelvic ultrasound (complete) | $794 | $124 | $105 |
| Phosphorus blood test | $102 | $8 | $5 |
| Physical therapy evaluation | $279 | $176 | $98 |
| Physical therapy evaluation (high complexity) | $319 | $176 | $98 |
| Physical therapy evaluation (moderate complexity) | $279 | $176 | $98 |
| Pilonidal cyst removal | $4,550 | $3,040 | $541 |
| Platelet count | $80 | $8 | $4 |
| Pregnancy blood test (hCG) | $157 | $13 | $8 |
| Pregnancy ultrasound | $754 | $137 | $126 |
| Pregnancy ultrasound (first trimester) | $715 | $137 | $117 |
| Pregnancy ultrasound (second or third trimester) | $793 | $137 | $136 |
| Procalcitonin test | $317 | $48 | $27 |
| Prolactin test | $291 | $34 | $19 |
| Prostate surgery (TURP) | $7,083 | $1,022 | $526 |
| Prostate test (PSA) | $198 | $32 | $18 |
| Psychiatric evaluation | $272 | $306 | $188 |
| Psychotherapy session | $263 | $279 | $140 |
| Rheumatoid factor test | $112 | $11 | $6 |
| Rotator cuff repair | $6,731 | $1,576 | $792 |
| RSV vaccine | $260 | $902 | — |
| Scoliosis spine X-ray | $454 | $108 | $58 |
| Scoliosis spine X-ray (3 views) | $605 | $108 | $72 |
| Screening mammogram | $516 | $161 | $126 |
| Scrotal ultrasound | $731 | $122 | $99 |
| Sedimentation rate (ESR) test | $86 | $6 | $3 |
| Semen analysis | $58 | $22 | $12 |
| Sex hormone binding globulin test | $122 | $39 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $581 | $225 | $114 |
| Simple wound stitches | $619 | $239 | $127 |
| Skin biopsy | $643 | $409 | $121 |
| Skin graft | $8,765 | $1,307 | $898 |
| Skin tag removal | $1,888 | $244 | $92 |
| Small bowel resection | $3,005 | $2,386 | $1,136 |
| Speech therapy | $273 | $135 | $76 |
| Spinal tap (lumbar puncture) | $1,138 | $694 | $165 |
| Spine fracture repair (kyphoplasty) | $14,490 | $6,946 | $5,803 |
| Spirometry (lung function test) | $427 | $201 | $30 |
| Spirometry with bronchodilator | $879 | $344 | $43 |
| Strep throat test | $153 | $29 | $17 |
| Stress echocardiogram | $2,175 | $148 | $209 |
| Swallow study | $386 | $125 | $85 |
| T3 thyroid test | $297 | $25 | $14 |
| Testicle removal (orchiectomy) | $4,963 | $960 | $306 |
| Testosterone test | $348 | $46 | $26 |
| Thyroid test (TSH) | $284 | $29 | $17 |
| Thyroid ultrasound | $790 | $118 | $109 |
| Thyroid uptake scan | $951 | $379 | $145 |
| Tonsillectomy | $3,862 | $515 | $252 |
| Total IgE allergy test | $220 | $29 | $16 |
| Total protein test | $79 | $7 | $4 |
| Transesophageal echocardiogram (TEE) | $2,347 | $601 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $2,347 | $584 | $239 |
| Transvaginal ultrasound | $584 | $124 | $118 |
| Trigger finger release | $4,518 | $1,713 | $630 |
| Trigger point injection | $884 | $314 | $56 |
| Trigger point injection (1-2 muscles) | $759 | $309 | $52 |
| Triglycerides test | $170 | $11 | $6 |
| Troponin (heart) test | $297 | $22 | $12 |
| Turning a breech baby (version) | $808 | $2,998 | $94 |
| Upper GI endoscopy (EGD) | $2,210 | $930 | $371 |
| Upper GI series (barium) | $644 | $77 | $128 |
| Uric acid (gout) test | $128 | $8 | $5 |
| Urinalysis | $76 | $5 | $3 |
| Urine microalbumin test | $93 | $10 | $5 |
| Urine pregnancy test | $32 | $15 | $9 |
| Vaccine administration | $97 | $12 | $19 |
| Vitamin B12 test | $244 | $27 | $15 |
| Vitamin D test | $302 | $52 | $30 |
| Wart removal | $712 | $248 | $121 |
| Wound debridement | $1,322 | $502 | $186 |
| Wrist fracture repair | $15,026 | $1,523 | $735 |
| X-ray of the abdomen | $255 | $90 | $36 |
| X-ray of the ankle | $379 | $86 | $37 |
| X-ray of the collarbone | $388 | $86 | $33 |
| X-ray of the elbow | $418 | $86 | $33 |
| X-ray of the facial bones | $542 | $90 | $39 |
| X-ray of the foot | $396 | $86 | $34 |
| X-ray of the forearm | $346 | $156 | $29 |
| X-ray of the hand | $396 | $86 | $38 |
| X-ray of the hip | $529 | $156 | $49 |
| X-ray of the hip (1 view) | $430 | $156 | $34 |
| X-ray of the hip (3 views) | $529 | $156 | $49 |
| X-ray of the knee | $391 | $88 | $42 |
| X-ray of the knee (2 views) | $351 | $86 | $34 |
| X-ray of the knee (3 views) | $391 | $87 | $42 |
| X-ray of the knee (4+ views) | $698 | $104 | $49 |
| X-ray of the lower back (lumbar spine) | $517 | $106 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $508 | $104 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $525 | $106 | $53 |
| X-ray of the lower leg | $395 | $156 | $31 |
| X-ray of the mid-back (thoracic spine) | $490 | $104 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $453 | $103 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $527 | $104 | $39 |
| X-ray of the neck (cervical spine) (3 views) | $461 | $88 | $40 |
| X-ray of the pelvis | $344 | $106 | $36 |
| X-ray of the pelvis (1 view) | $344 | $102 | $28 |
| X-ray of the ribs | $556 | $90 | $42 |
| X-ray of the ribs (2 views) | $403 | $88 | $36 |
| X-ray of the ribs (3 views) | $556 | $106 | $42 |
| X-ray of the shoulder | $431 | $86 | $36 |
| X-ray of the skull | $424 | $106 | $40 |
| X-ray of the wrist | $353 | $86 | $43 |
| Zinc blood test | $125 | $20 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
