| Procedure | Jackson Park Hospital | St Bernard Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $180 | $176 | $51 |
| Abdominal fluid drain (paracentesis) | $2,499 | $566 | $284 |
| Abdominal ultrasound | $930 | $617 | $100 |
| Abdominal ultrasound (complete) | $1,067 | $669 | $114 |
| Abdominal ultrasound (limited) | $793 | $564 | $86 |
| Abscess drainage (complex or multiple) | $982 | $420 | $220 |
| Abscess drainage (simple) | $515 | $506 | $129 |
| Abscess incision and drainage | $749 | $463 | $174 |
| Aldosterone test | $335 | $494 | $41 |
| Alkaline phosphatase test | $130 | $136 | $5 |
| Alpha-fetoprotein (AFP) test | $322 | $136 | $17 |
| ALT liver enzyme test | $128 | $130 | $5 |
| Ammonia blood test | $289 | $169 | $15 |
| Amylase test | $134 | $147 | $6 |
| Ankle fracture repair | $12,164 | $3,719 | $608 |
| Antinuclear antibody (ANA) test | $196 | $161 | $12 |
| AST liver enzyme test | $128 | $130 | $5 |
| Barium swallow study | $699 | $293 | $107 |
| Bartholin cyst removal | $480 | $448 | $182 |
| Basic metabolic panel | $315 | $205 | $8 |
| Benign skin lesion removal | $2,827 | $868 | $171 |
| Bilirubin blood test | $134 | $126 | $5 |
| Bladder scope (cystoscopy) | $5,607 | $558 | $216 |
| Blood clotting test (PT/INR) | $175 | $95 | $4 |
| Blood crossmatch | $152 | $155 | — |
| Blood glucose test | $66 | $110 | $5 |
| Blood transfusion | $1,292 | $624 | $47 |
| Blood type and screen | $231 | $114 | $10 |
| Blood type test | $80 | $121 | $3 |
| Blood type test (ABO group) | $91 | $169 | $3 |
| Blood type test (Rh/D antigen) | $69 | $73 | $3 |
| BNP (heart failure) test | $595 | $276 | $39 |
| Bone density scan (DEXA) | $733 | $199 | $39 |
| Bone scan (nuclear) | $2,080 | $871 | $259 |
| Breast biopsy | $4,438 | $1,439 | $478 |
| Breast ultrasound | $622 | $654 | $92 |
| Breast ultrasound (complete) | $621 | $702 | $100 |
| Breast ultrasound (limited) | $623 | $605 | $84 |
| Breathing tube insertion (intubation) | $879 | $705 | $133 |
| Burn dressing and debridement (medium) | $263 | $135 | $166 |
| Burn dressing and debridement (small) | $625 | $191 | $93 |
| Burn treatment | $444 | $163 | $129 |
| C-reactive protein (CRP) | $99 | $99 | $5 |
| CA 19-9 tumor marker test | $176 | $169 | $21 |
| CA-125 ovarian marker test | $210 | $179 | $21 |
| Calcium blood test | $118 | $151 | $5 |
| Cardiac stress test | $1,315 | $740 | $39 |
| Cardioversion | $1,392 | $1,363 | $155 |
| Carotid artery ultrasound | $1,234 | $858 | $156 |
| Cataract surgery | $5,059 | $3,569 | $547 |
| CEA tumor marker test | $274 | $215 | $19 |
| Central line placement | $2,429 | $662 | $238 |
| Chalazion (eyelid cyst) removal | $1,033 | $205 | $131 |
| Chest tube insertion | $2,097 | $479 | $143 |
| Chest X-ray | $400 | $297 | $37 |
| Chest X-ray (1 view) | $501 | $240 | $25 |
| Chest X-ray (2 views) | $278 | $394 | $33 |
| Circumcision | $3,166 | $1,198 | $167 |
| CK-MB heart enzyme test | $262 | $244 | $12 |
| Clotting time test (PTT) | $192 | $111 | $6 |
| Colposcopy | $960 | $526 | $161 |
| Complete blood count (CBC) | $118 | $141 | $7 |
| Complete blood count (CBC) (complete) | $118 | $141 | $8 |
| Complex wound repair | $3,160 | $594 | $390 |
| Comprehensive metabolic panel | $654 | $285 | $11 |
| Copper blood test | $150 | $130 | $12 |
| Cortisol test | $222 | $194 | $16 |
| CPAP titration study | $804 | $311 | $69 |
| Creatine kinase (CK) test | $222 | $151 | $7 |
| CT angiography of the chest | $2,625 | $1,434 | $281 |
| CT angiography of the head | $2,763 | $1,434 | $274 |
| CT scan of the abdomen | $2,825 | $1,669 | $230 |
| CT scan of the abdomen and pelvis | $4,730 | $1,669 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $5,285 | $2,068 | $338 |
| CT scan of the abdomen and pelvis with contrast | $4,730 | $1,669 | $300 |
| CT scan of the abdomen and pelvis without contrast | $2,807 | $1,320 | $183 |
| CT scan of the abdomen with and without contrast | $3,177 | $2,068 | $259 |
| CT scan of the abdomen with contrast | $2,825 | $1,669 | $230 |
| CT scan of the abdomen without contrast | $2,715 | $1,320 | $136 |
| CT scan of the arm | $1,951 | $1,344 | $199 |
| CT scan of the arm with contrast | $1,940 | $1,344 | $199 |
| CT scan of the arm without contrast | $2,138 | $1,267 | $161 |
| CT scan of the chest | $2,877 | $1,434 | $167 |
| CT scan of the chest with and without contrast | $3,016 | $2,068 | $196 |
| CT scan of the chest with contrast | $2,877 | $1,434 | $167 |
| CT scan of the chest without contrast | $2,715 | $1,320 | $133 |
| CT scan of the head | $2,260 | $1,434 | $148 |
| CT scan of the head with and without contrast | $2,436 | $2,068 | $173 |
| CT scan of the head with contrast | $2,260 | $1,434 | $148 |
| CT scan of the head without contrast | $2,138 | $1,336 | $107 |
| CT scan of the leg | $2,433 | $1,344 | $166 |
| CT scan of the leg with contrast | $2,433 | $1,344 | $166 |
| CT scan of the leg without contrast | $2,138 | $1,267 | $130 |
| CT scan of the lower back (lumbar spine) | $2,715 | $1,412 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $2,715 | $1,412 | $130 |
| CT scan of the neck | $2,484 | $1,412 | $183 |
| CT scan of the neck (cervical spine) | $2,715 | $1,412 | $168 |
| CT scan of the neck (cervical spine) with contrast | $2,715 | $1,375 | $168 |
| CT scan of the neck (cervical spine) without contrast | $2,715 | $1,412 | $131 |
| CT scan of the neck with and without contrast | $2,484 | $2,068 | $220 |
| CT scan of the neck with contrast | $2,514 | $1,412 | $183 |
| CT scan of the neck without contrast | $2,138 | $1,412 | $150 |
| CT scan of the pelvis | $2,878 | $1,600 | $226 |
| CT scan of the pelvis with and without contrast | $3,560 | $2,068 | $251 |
| CT scan of the pelvis with contrast | $2,878 | $1,412 | $226 |
| CT scan of the pelvis without contrast | $2,715 | $1,600 | $133 |
| CT scan of the sinuses | $2,825 | $1,344 | $152 |
| CT scan of the sinuses with and without contrast | $3,016 | $1,973 | $184 |
| CT scan of the sinuses with contrast | $2,825 | $1,308 | $152 |
| CT scan of the sinuses without contrast | $2,715 | $1,344 | $128 |
| D-dimer test | $265 | $141 | $10 |
| Diagnostic mammogram | $605 | $492 | $140 |
| Drug screen (urine) | $203 | $130 | $17 |
| Echocardiogram | $1,361 | $718 | $138 |
| Echocardiogram with and without contrast | $1,361 | $718 | $101 |
| Echocardiogram without contrast | $1,104 | $771 | $138 |
| EKG / ECG (tracing only) | $280 | $223 | $7 |
| Electrocardiogram (EKG) | $280 | $223 | $8 |
| Electroencephalogram (EEG) | $1,177 | $601 | $448 |
| Electrolyte panel | $301 | $232 | $7 |
| Emergency department visit | $784 | $411 | $69 |
| Emergency department visit (level 1) | $301 | $165 | $11 |
| Emergency department visit (level 2) | $532 | $317 | $40 |
| Emergency department visit (level 3) | $784 | $411 | $69 |
| Emergency department visit (level 4) | $1,425 | $606 | $118 |
| Emergency department visit (level 5) | $2,064 | $794 | $171 |
| Endometrial biopsy | $575 | $256 | $98 |
| Estradiol (estrogen) test | $329 | $422 | $28 |
| Fallopian tube X-ray (HSG) | $1,138 | $330 | $164 |
| Fecal occult blood (stool) test | $89 | $73 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $63 | $73 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $115 | $73 | $16 |
| Ferritin (iron) test | $243 | $204 | $14 |
| Fibrinogen test | $118 | $141 | $10 |
| Folate (folic acid) test | $259 | $59 | $15 |
| Foreign body removal (skin) | $1,765 | $416 | $157 |
| Free T4 thyroid test | $161 | $150 | $9 |
| FSH hormone test | $240 | $223 | $19 |
| Gallbladder scan (HIDA) | $1,664 | $688 | $334 |
| GGT liver test | $110 | $141 | $7 |
| Glucose tolerance test | $123 | $156 | $8 |
| H. pylori test | $499 | $236 | $67 |
| HDL cholesterol test | $107 | $105 | $8 |
| Hematocrit test | $58 | $70 | $2 |
| Hemoglobin A1c (diabetes test) | $120 | $111 | $10 |
| Hepatitis B test | $161 | $198 | $10 |
| Hepatitis C test | $180 | $188 | $14 |
| HIV test | $125 | $223 | $19 |
| HIV test (antibody) | $133 | $171 | $14 |
| HIV test (antigen/antibody combo) | $117 | $274 | $24 |
| Holter heart monitor | $623 | $1,233 | $26 |
| Iron blood test | $231 | $136 | $6 |
| IV infusion therapy | $353 | $336 | $44 |
| IV infusion therapy (each additional) | $293 | $82 | $21 |
| IV infusion therapy (initial) | $414 | $589 | $67 |
| Joint aspiration (small/intermediate) | $688 | $380 | $57 |
| Joint aspiration or injection (mid-size joint) | $861 | $380 | $57 |
| Joint aspiration or injection (small joint) | $515 | $380 | $56 |
| Kidney ultrasound | $915 | $488 | $84 |
| Kidney ultrasound (limited) | $679 | $412 | $61 |
| Knee joint injection | $1,162 | $549 | $69 |
| Lactate test | $140 | $135 | $12 |
| Laryngoscopy | $4,950 | $198 | $189 |
| LDH test | $128 | $135 | $6 |
| Leg artery angiogram | $5,354 | $774 | $149 |
| Leg vein ultrasound (Doppler) | $1,319 | $858 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $1,019 | $570 | $116 |
| LH hormone test | $203 | $179 | $19 |
| Lipase test | $128 | $145 | $7 |
| Lipid (cholesterol) panel | $343 | $223 | $13 |
| Liver function panel | $266 | $386 | $8 |
| Lung function test (PFT) | $653 | $352 | $37 |
| Magnesium blood test | $157 | $130 | $7 |
| MRI of the abdomen | $3,263 | $2,000 | $300 |
| MRI of the abdomen with contrast | $3,263 | $2,000 | $300 |
| MRI of the abdomen without contrast | $2,912 | $1,203 | $194 |
| MRI of the ankle | $3,308 | $2,000 | $261 |
| MRI of the ankle with contrast | $3,308 | $2,000 | $261 |
| MRI of the ankle without contrast | $2,764 | $1,203 | $222 |
| MRI of the brain | $3,185 | $2,000 | $269 |
| MRI of the brain with contrast | $3,185 | $2,000 | $269 |
| MRI of the brain without contrast | $2,803 | $1,203 | $195 |
| MRI of the chest | $3,160 | $2,000 | $371 |
| MRI of the chest with contrast | $3,160 | $2,000 | $371 |
| MRI of the chest without contrast | $3,887 | $2,266 | $466 |
| MRI of the knee | $3,670 | $3,995 | $315 |
| MRI of the knee with contrast | $3,670 | $3,995 | $315 |
| MRI of the knee without contrast | $2,777 | $2,398 | $204 |
| MRI of the lower back (lumbar spine) | $3,554 | $2,000 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $3,554 | $2,000 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $3,091 | $1,203 | $192 |
| MRI of the mid-back (thoracic spine) | $3,554 | $2,266 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $4,693 | $2,266 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $3,554 | $2,000 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $3,125 | $2,266 | $190 |
| MRI of the neck (cervical spine) | $3,223 | $1,602 | $274 |
| MRI of the neck (cervical spine) with contrast | $3,223 | $2,000 | $274 |
| MRI of the neck (cervical spine) without contrast | $3,122 | $1,203 | $191 |
| MRI of the pelvis | $3,679 | $2,000 | $268 |
| MRI of the pelvis with contrast | $3,679 | $2,000 | $268 |
| MRI of the pelvis without contrast | $2,791 | $1,203 | $227 |
| MRI of the shoulder | $3,995 | $3,995 | $313 |
| MRI of the shoulder with contrast | $3,995 | $3,995 | $313 |
| MRI of the shoulder without contrast | $2,874 | $2,398 | $205 |
| MRI of the wrist | $3,183 | $2,000 | $330 |
| MRI of the wrist with contrast | $2,981 | $2,000 | $330 |
| MRI of the wrist without contrast | $3,183 | $1,203 | $303 |
| Nebulizer breathing treatment | $208 | $319 | $9 |
| Pap smear (cervical screening) | $139 | $89 | $20 |
| Parathyroid hormone (PTH) test | $742 | $387 | $41 |
| Pelvic ultrasound | $794 | $632 | $78 |
| Pelvic ultrasound (complete) | $794 | $669 | $105 |
| Phosphorus blood test | $102 | $99 | $5 |
| Physical therapy evaluation | $279 | $229 | $98 |
| Physical therapy evaluation (high complexity) | $319 | $245 | $98 |
| Physical therapy evaluation (moderate complexity) | $279 | $229 | $98 |
| Platelet count | $80 | $95 | $4 |
| Pregnancy ultrasound | $754 | $769 | $126 |
| Pregnancy ultrasound (first trimester) | $715 | $769 | $117 |
| Pregnancy ultrasound (second or third trimester) | $793 | $769 | $136 |
| Procalcitonin test | $317 | $99 | $27 |
| Prolactin test | $291 | $230 | $19 |
| Prostate test (PSA) | $198 | $166 | $18 |
| Psychiatric evaluation | $272 | $327 | $188 |
| Rheumatoid factor test | $112 | $86 | $6 |
| Scoliosis spine X-ray | $454 | $380 | $58 |
| Scoliosis spine X-ray (1 view) | $303 | $380 | $44 |
| Screening mammogram | $516 | $191 | $126 |
| Scrotal ultrasound | $731 | $517 | $99 |
| Sedimentation rate (ESR) test | $86 | $95 | $3 |
| Simple laceration repair (small, up to 2.5 cm) | $581 | $457 | $114 |
| Simple wound stitches | $619 | $465 | $127 |
| Skin biopsy | $643 | $373 | $121 |
| Skin tag removal | $1,888 | $438 | $92 |
| Speech therapy | $273 | $204 | $76 |
| Spinal tap (lumbar puncture) | $1,138 | $726 | $165 |
| Spirometry (lung function test) | $427 | $123 | $30 |
| Spirometry with bronchodilator | $879 | $580 | $43 |
| Swallow study | $386 | $272 | $85 |
| T3 thyroid test | $297 | $150 | $14 |
| Testosterone test | $348 | $240 | $26 |
| Thyroid test (TSH) | $284 | $204 | $17 |
| Thyroid ultrasound | $790 | $487 | $109 |
| Thyroid uptake scan | $951 | $735 | $145 |
| Total IgE allergy test | $220 | $206 | $16 |
| Total protein test | $79 | $95 | $4 |
| Transesophageal echocardiogram (TEE) | $2,347 | $617 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $2,347 | $617 | $239 |
| Transvaginal ultrasound | $584 | $597 | $118 |
| Trigger point injection | $884 | $179 | $56 |
| Trigger point injection (1-2 muscles) | $759 | $61 | $52 |
| Triglycerides test | $170 | $151 | $6 |
| Troponin (heart) test | $297 | $353 | $12 |
| Upper GI series (barium) | $644 | $398 | $128 |
| Uric acid (gout) test | $128 | $126 | $5 |
| Urinalysis | $76 | $67 | $3 |
| Urine microalbumin test | $93 | $98 | $5 |
| Urine pregnancy test | $32 | $223 | $9 |
| Vaccine administration | $97 | $32 | $19 |
| Vitamin B12 test | $244 | $63 | $15 |
| Vitamin D test | $302 | $424 | $30 |
| Wart removal | $712 | $146 | $121 |
| Wound debridement | $1,322 | $530 | $186 |
| X-ray of the abdomen | $255 | $202 | $36 |
| X-ray of the ankle | $379 | $188 | $37 |
| X-ray of the collarbone | $388 | $188 | $33 |
| X-ray of the elbow | $418 | $176 | $33 |
| X-ray of the facial bones | $542 | $412 | $39 |
| X-ray of the foot | $396 | $188 | $34 |
| X-ray of the forearm | $346 | $176 | $29 |
| X-ray of the hand | $396 | $188 | $38 |
| X-ray of the hip | $529 | $233 | $49 |
| X-ray of the hip (1 view) | $430 | $219 | $34 |
| X-ray of the hip (3 views) | $529 | $246 | $49 |
| X-ray of the knee | $391 | $207 | $42 |
| X-ray of the knee (2 views) | $351 | $198 | $34 |
| X-ray of the knee (3 views) | $391 | $215 | $42 |
| X-ray of the lower back (lumbar spine) | $517 | $314 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $508 | $248 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $525 | $380 | $53 |
| X-ray of the lower leg | $395 | $204 | $31 |
| X-ray of the mid-back (thoracic spine) | $490 | $275 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $453 | $252 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $527 | $298 | $39 |
| X-ray of the neck (cervical spine) | $529 | $350 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $461 | $248 | $40 |
| X-ray of the pelvis | $344 | $234 | $36 |
| X-ray of the pelvis (1 view) | $344 | $204 | $28 |
| X-ray of the ribs | $556 | $269 | $42 |
| X-ray of the ribs (3 views) | $556 | $269 | $42 |
| X-ray of the shoulder | $431 | $173 | $36 |
| X-ray of the skull | $424 | $385 | $40 |
| X-ray of the upper arm | $427 | $188 | $32 |
| X-ray of the wrist | $353 | $188 | $43 |
| Zinc blood test | $125 | $171 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
