| Procedure | Jacksonville Memorial Hospital | Mc Donough District Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $90 | $82 | $51 |
| Abdominal fluid drain (paracentesis) | $1,930 | $1,159 | $284 |
| Abdominal ultrasound | $1,540 | $175 | $100 |
| Abdominal ultrasound (complete) | $1,947 | $413 | $114 |
| Abdominal ultrasound (limited) | $1,540 | $175 | $86 |
| Abscess drainage (complex or multiple) | $834 | $486 | $220 |
| Abscess drainage (simple) | $544 | $370 | $129 |
| Abscess incision and drainage | $584 | $378 | $174 |
| Achilles tendon repair | $11,161 | $1,914 | $624 |
| Albumin blood test | $118 | $24 | $5 |
| Aldosterone test | $198 | $203 | $41 |
| Alkaline phosphatase test | $103 | $22 | $5 |
| Alpha-fetoprotein (AFP) test | $352 | $84 | $17 |
| Ammonia blood test | $164 | $64 | $15 |
| Amylase test | $220 | $33 | $6 |
| Antinuclear antibody (ANA) test | $275 | $59 | $12 |
| Arterial blood gas (ABG) | $391 | $113 | $26 |
| AST liver enzyme test | $175 | $25 | $5 |
| Barium swallow study | $1,054 | $261 | $107 |
| Bartholin cyst removal | $909 | $353 | $182 |
| Basic metabolic panel | $272 | $30 | $8 |
| Bilirubin blood test | $135 | $21 | $5 |
| Blood clotting test (PT/INR) | $147 | $27 | $4 |
| Blood glucose test | $144 | $17 | $5 |
| Blood transfusion | $980 | $805 | $47 |
| Blood type and screen | $146 | $242 | $10 |
| Blood type test | $213 | $166 | $3 |
| Blood type test (ABO group) | $213 | $535 | $3 |
| BNP (heart failure) test | $318 | $170 | $39 |
| Bone density scan (DEXA) | $969 | $248 | $39 |
| Bone marrow biopsy | $5,856 | $1,792 | $172 |
| Bone scan (nuclear) | $3,293 | $655 | $259 |
| Breast biopsy | $6,869 | $3,419 | $478 |
| Breast ultrasound | $2,394 | $490 | $92 |
| Breast ultrasound (limited) | $956 | $490 | $84 |
| Breathing tube insertion (intubation) | $721 | $567 | $133 |
| Bronchoscopy | $3,572 | $1,456 | $303 |
| Burn dressing and debridement (medium) | $696 | $241 | $166 |
| Burn dressing and debridement (small) | $429 | $224 | $93 |
| Burn treatment | $657 | $241 | $129 |
| C-reactive protein (CRP) | $172 | $20 | $5 |
| CA 19-9 tumor marker test | $213 | $89 | $21 |
| CA-125 ovarian marker test | $460 | $89 | $21 |
| Calcium blood test | $150 | $22 | $5 |
| Cardiac stress test | $1,960 | $1,208 | $39 |
| Cardioversion | $2,541 | $1,761 | $155 |
| CEA tumor marker test | $327 | $83 | $19 |
| Central line placement | $5,456 | $588 | $238 |
| Chemotherapy infusion | $866 | $420 | $81 |
| Chemotherapy infusion (each additional) | $532 | $203 | $28 |
| Chemotherapy infusion (first hour) | $1,666 | $637 | $133 |
| Chest fluid drain (thoracentesis) | $3,657 | $1,349 | $311 |
| Chest tube insertion | $2,670 | $2,877 | $143 |
| Chest X-ray | $636 | $58 | $37 |
| Chest X-ray (1 view) | $370 | $152 | $25 |
| Chest X-ray (2 views) | $676 | $35 | $33 |
| CK-MB heart enzyme test | $247 | $72 | $12 |
| Clotting time test (PTT) | $205 | $27 | $6 |
| Complete blood count (CBC) | $163 | $27 | $7 |
| Complete blood count (CBC) (complete) | $163 | $30 | $8 |
| Comprehensive metabolic panel | $380 | $50 | $11 |
| Contraceptive implant (Nexplanon) | $270 | $423 | $115 |
| Copper blood test | $154 | $62 | $12 |
| Cortisol test | $363 | $82 | $16 |
| COVID-19 PCR test | $170 | $55 | $51 |
| CPAP titration study | $1,326 | $127 | $69 |
| Creatine kinase (CK) test | $203 | $33 | $7 |
| CT angiography of the chest | $5,680 | $416 | $281 |
| CT angiography of the head | $3,556 | $1,159 | $274 |
| CT scan of the abdomen | $5,529 | $734 | $230 |
| CT scan of the abdomen and pelvis | $8,066 | $1,411 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $8,657 | $2,175 | $338 |
| CT scan of the abdomen and pelvis with contrast | $7,344 | $2,169 | $300 |
| CT scan of the abdomen and pelvis without contrast | $6,573 | $1,411 | $183 |
| CT scan of the abdomen with and without contrast | $5,529 | $1,073 | $259 |
| CT scan of the abdomen with contrast | $4,936 | $929 | $230 |
| CT scan of the abdomen without contrast | $3,992 | $734 | $136 |
| CT scan of the arm | $3,721 | $690 | $199 |
| CT scan of the arm with contrast | $4,582 | $2,074 | $199 |
| CT scan of the arm without contrast | $3,585 | $690 | $161 |
| CT scan of the chest | $4,580 | $308 | $167 |
| CT scan of the chest with and without contrast | $5,325 | $1,096 | $196 |
| CT scan of the chest with contrast | $4,580 | $971 | $167 |
| CT scan of the chest without contrast | $3,064 | $246 | $133 |
| CT scan of the head | $3,778 | $629 | $148 |
| CT scan of the head with and without contrast | $4,688 | $945 | $173 |
| CT scan of the head with contrast | $3,848 | $1,053 | $148 |
| CT scan of the head without contrast | $3,423 | $592 | $107 |
| CT scan of the leg | $2,814 | $661 | $166 |
| CT scan of the leg with contrast | $2,814 | $820 | $166 |
| CT scan of the leg without contrast | $2,354 | $627 | $130 |
| CT scan of the lower back (lumbar spine) | $4,658 | $722 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $5,166 | $1,301 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $4,658 | $2,089 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $3,847 | $722 | $130 |
| CT scan of the neck | $4,206 | $659 | $183 |
| CT scan of the neck (cervical spine) | $4,923 | $634 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $5,396 | $827 | $196 |
| CT scan of the neck (cervical spine) with contrast | $4,923 | $1,589 | $168 |
| CT scan of the neck (cervical spine) without contrast | $4,514 | $634 | $131 |
| CT scan of the neck with and without contrast | $4,462 | $1,097 | $220 |
| CT scan of the neck with contrast | $4,309 | $1,074 | $183 |
| CT scan of the neck without contrast | $2,189 | $635 | $150 |
| CT scan of the pelvis | $4,652 | $628 | $226 |
| CT scan of the pelvis with and without contrast | $5,413 | $944 | $251 |
| CT scan of the pelvis with contrast | $4,783 | $1,046 | $226 |
| CT scan of the pelvis without contrast | $2,637 | $600 | $133 |
| CT scan of the sinuses | $4,262 | $718 | $152 |
| CT scan of the sinuses with and without contrast | $5,182 | $1,081 | $184 |
| CT scan of the sinuses with contrast | $4,347 | $994 | $152 |
| CT scan of the sinuses without contrast | $3,678 | $702 | $128 |
| DHEA-sulfate test | $431 | $110 | $22 |
| Diagnostic mammogram | $546 | $209 | $140 |
| Drug screen (urine) | $282 | $100 | $17 |
| Echocardiogram | $1,579 | $1,112 | $138 |
| Echocardiogram with and without contrast | $1,440 | $1,112 | $101 |
| EEG (awake and asleep) | $1,273 | $443 | $482 |
| EKG / ECG (tracing only) | $500 | $266 | $7 |
| Electrocardiogram (EKG) | $500 | $266 | $8 |
| Electroencephalogram (EEG) | $1,127 | $181 | $448 |
| Electrolyte panel | $223 | $31 | $7 |
| Emergency department visit | $1,337 | $595 | $69 |
| Emergency department visit (level 1) | $454 | $203 | $11 |
| Emergency department visit (level 2) | $768 | $342 | $40 |
| Emergency department visit (level 3) | $1,337 | $595 | $69 |
| Emergency department visit (level 4) | $1,811 | $886 | $118 |
| Emergency department visit (level 5) | $3,092 | $1,297 | $171 |
| Epidural steroid injection | $2,450 | $1,139 | $275 |
| Estradiol (estrogen) test | $363 | $139 | $28 |
| Facet joint injection (spine) | $2,269 | $750 | $99 |
| Fallopian tube X-ray (HSG) | $1,176 | $572 | $164 |
| Fecal occult blood (stool) test | $100 | $44 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $39 | $19 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $160 | $69 | $16 |
| Ferritin (iron) test | $331 | $68 | $14 |
| Fibrinogen test | $157 | $41 | $10 |
| Flu vaccine | $190 | $5 | — |
| Folate (folic acid) test | $295 | $64 | $15 |
| Foreign body removal (skin) | $851 | $608 | $157 |
| Free T4 thyroid test | $281 | $30 | $9 |
| FSH hormone test | $455 | $92 | $19 |
| Gallbladder scan (HIDA) | $3,170 | $657 | $334 |
| GGT liver test | $183 | $36 | $7 |
| Glucose tolerance test | $133 | $19 | $8 |
| HDL cholesterol test | $151 | $40 | $8 |
| Hematocrit test | $48 | $16 | $2 |
| Hemoglobin A1c (diabetes test) | $239 | $35 | $10 |
| Hepatitis B test | $223 | $51 | $10 |
| Hepatitis C test | $303 | $62 | $14 |
| HIV test | $325 | $50 | $19 |
| HIV test (antigen/antibody combo) | $369 | $50 | $24 |
| Holter heart monitor | $1,298 | $568 | $26 |
| Iron blood test | $188 | $27 | $6 |
| IV infusion therapy | $853 | $276 | $44 |
| IV infusion therapy (each additional) | $373 | $128 | $21 |
| IV infusion therapy (initial) | $926 | $378 | $67 |
| Joint aspiration (small/intermediate) | $614 | $435 | $57 |
| Joint aspiration or injection (mid-size joint) | $623 | $435 | $57 |
| Joint aspiration or injection (small joint) | $612 | $335 | $56 |
| Kidney biopsy | $3,966 | $1,022 | $492 |
| Kidney scan (nuclear) | $2,962 | $861 | $172 |
| Kidney ultrasound | $1,565 | $371 | $84 |
| Kidney ultrasound (limited) | $1,565 | $420 | $61 |
| Knee joint injection | $1,436 | $554 | $69 |
| Lactate test | $261 | $50 | $12 |
| LDH test | $165 | $27 | $6 |
| LDL cholesterol test | $172 | $52 | $11 |
| LH hormone test | $457 | $91 | $19 |
| Lipase test | $287 | $35 | $7 |
| Lipid (cholesterol) panel | $315 | $20 | $13 |
| Liver biopsy | $2,556 | $767 | $288 |
| Liver function panel | $332 | $40 | $8 |
| Lung function test (PFT) | $1,097 | $604 | $37 |
| Lung scan (V/Q) | $3,542 | $752 | $291 |
| Magnesium blood test | $207 | $29 | $7 |
| MRA of the brain | $4,696 | $1,405 | $226 |
| MRA of the brain without contrast | $4,696 | $2,175 | $328 |
| MRA of the neck | $4,533 | $1,502 | $245 |
| MRA of the neck without contrast | $4,588 | $2,159 | $343 |
| MRI of the abdomen | $5,599 | $1,390 | $300 |
| MRI of the abdomen without contrast | $3,897 | $1,331 | $194 |
| MRI of the ankle | $5,496 | $1,390 | $261 |
| MRI of the ankle without contrast | $4,937 | $1,339 | $222 |
| MRI of the brain | $6,416 | $1,407 | $269 |
| MRI of the brain with contrast | $6,416 | $2,139 | $269 |
| MRI of the brain without contrast | $5,786 | $1,405 | $195 |
| MRI of the chest | $4,440 | $1,480 | $371 |
| MRI of the chest without contrast | $4,879 | $1,629 | $466 |
| MRI of the knee | $5,554 | $1,390 | $315 |
| MRI of the knee with contrast | $5,554 | $3,675 | $315 |
| MRI of the knee without contrast | $4,800 | $1,319 | $204 |
| MRI of the lower back (lumbar spine) | $5,540 | $1,419 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $6,094 | $1,642 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $5,540 | $1,316 | $192 |
| MRI of the mid-back (thoracic spine) | $5,186 | $1,395 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $8,858 | $1,894 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $3,384 | $1,555 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $5,186 | $1,336 | $190 |
| MRI of the neck (cervical spine) | $5,460 | $1,419 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $7,438 | $2,168 | $318 |
| MRI of the neck (cervical spine) with contrast | $5,720 | $1,589 | $274 |
| MRI of the neck (cervical spine) without contrast | $5,199 | $1,326 | $191 |
| MRI of the pelvis | $5,820 | $1,451 | $268 |
| MRI of the pelvis with contrast | $4,448 | $1,471 | $268 |
| MRI of the pelvis without contrast | $4,917 | $1,350 | $227 |
| MRI of the shoulder | $5,054 | $1,436 | $313 |
| MRI of the shoulder with contrast | $5,054 | $3,721 | $313 |
| MRI of the shoulder without contrast | $4,409 | $1,319 | $205 |
| MRI of the wrist | $4,043 | $1,464 | $330 |
| MRI of the wrist without contrast | $3,386 | $1,346 | $303 |
| Nebulizer breathing treatment | $545 | $127 | $9 |
| Nuclear cardiac stress test | $7,987 | $2,165 | $428 |
| Occupational therapy evaluation | $630 | $277 | $101 |
| Occupational therapy evaluation (high complexity) | $663 | $277 | $101 |
| Occupational therapy evaluation (low complexity) | $586 | $278 | $101 |
| Occupational therapy evaluation (moderate complexity) | $605 | $277 | $101 |
| Office visit (established patient) | $457 | $125 | $115 |
| Office visit (new patient) | $473 | $251 | $177 |
| Office visit, established patient (level 3) | $457 | $117 | $95 |
| Office visit, established patient (level 4) | $624 | $177 | $136 |
| Office visit, new patient (level 3) | $473 | $172 | $118 |
| Office visit, new patient (level 4) | $661 | $254 | $177 |
| Office visit, new patient (level 5) | $832 | $340 | $237 |
| Pap smear (cervical screening) | $236 | $132 | $20 |
| Parathyroid hormone (PTH) test | $657 | $178 | $41 |
| Pelvic ultrasound | $1,326 | $687 | $78 |
| Pelvic ultrasound (complete) | $1,684 | $402 | $105 |
| Pelvic ultrasound (limited) | $1,143 | $687 | $51 |
| PET scan | $11,466 | $1,897 | — |
| Phosphorus blood test | $122 | $20 | $5 |
| Physical therapy evaluation | $641 | $250 | $98 |
| Physical therapy evaluation (high complexity) | $709 | $269 | $98 |
| Physical therapy evaluation (moderate complexity) | $595 | $234 | $98 |
| Platelet count | $124 | $19 | $4 |
| Pregnancy blood test (hCG) | $245 | $20 | $8 |
| Pregnancy ultrasound | $1,249 | $687 | $126 |
| Pregnancy ultrasound (first trimester) | $1,285 | $687 | $117 |
| Pregnancy ultrasound (second or third trimester) | $1,212 | $687 | $136 |
| Procalcitonin test | $427 | $118 | $27 |
| Prolactin test | $466 | $101 | $19 |
| Prostate test (PSA) | $375 | $65 | $18 |
| Radiofrequency nerve ablation | $4,099 | $2,708 | $462 |
| Scoliosis spine X-ray | $813 | $189 | $58 |
| Scoliosis spine X-ray (1 view) | $369 | $178 | $44 |
| Scoliosis spine X-ray (3 views) | $813 | $266 | $72 |
| Screening mammogram | $538 | $211 | $126 |
| Scrotal ultrasound | $1,477 | $401 | $99 |
| Sedimentation rate (ESR) test | $137 | $20 | $3 |
| Sex hormone binding globulin test | $368 | $107 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $707 | $373 | $114 |
| Simple wound stitches | $786 | $417 | $127 |
| Skin biopsy | $834 | $433 | $121 |
| Skin biopsy (punch) | $834 | $433 | $121 |
| Skin lesion freezing (cryotherapy) | $415 | $101 | $36 |
| Skin tag removal | $415 | $179 | $92 |
| Sleep study (polysomnography) | $8,669 | $3,616 | $691 |
| Soft tissue ultrasound | $1,325 | $361 | $64 |
| Speech therapy | $200 | $238 | $76 |
| Spinal cord stimulator | $9,117 | $10,201 | $2,388 |
| Spinal tap (lumbar puncture) | $2,032 | $392 | $165 |
| Spirometry (lung function test) | $245 | $169 | $30 |
| Spirometry with bronchodilator | $1,097 | $604 | $43 |
| Stress echocardiogram | $3,408 | $2,299 | $209 |
| Swallow study | $493 | $221 | $85 |
| T3 thyroid test | $337 | $70 | $14 |
| Testosterone test | $12 | $93 | $26 |
| Thyroid test (TSH) | $324 | $56 | $17 |
| Thyroid ultrasound | $1,378 | $392 | $109 |
| Thyroid uptake scan | $1,576 | $443 | $145 |
| Total IgE allergy test | $252 | $82 | $16 |
| Total protein test | $102 | $18 | $4 |
| Transesophageal echocardiogram (TEE) | $3,055 | $1,604 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $3,055 | $1,604 | $239 |
| Transvaginal ultrasound | $1,320 | $409 | $118 |
| Trigger point injection | $1,030 | $171 | $56 |
| Trigger point injection (1-2 muscles) | $1,030 | $171 | $52 |
| Triglycerides test | $160 | $20 | $6 |
| Troponin (heart) test | $371 | $52 | $12 |
| Turning a breech baby (version) | $6,449 | $3,305 | $94 |
| Upper GI endoscopy (EGD) | $1,900 | $1,100 | $371 |
| Upper GI series (barium) | $1,356 | $439 | $128 |
| Uric acid (gout) test | $143 | $19 | $5 |
| Urinalysis | $106 | $131 | $3 |
| Urine microalbumin test | $170 | $25 | $5 |
| Vaccine administration | $187 | $20 | $19 |
| Vaccine administration (each additional) | $104 | $14 | $16 |
| Vitamin B12 test | $320 | $59 | $15 |
| Vitamin D test | $493 | $148 | $30 |
| Wound debridement | $1,240 | $384 | $186 |
| X-ray of the abdomen | $520 | $164 | $36 |
| X-ray of the ankle | $634 | $317 | $37 |
| X-ray of the collarbone | $606 | $174 | $33 |
| X-ray of the elbow | $705 | $175 | $33 |
| X-ray of the facial bones | $563 | $248 | $39 |
| X-ray of the foot | $611 | $317 | $34 |
| X-ray of the forearm | $674 | $153 | $29 |
| X-ray of the hand | $602 | $178 | $38 |
| X-ray of the hip | $653 | $158 | $49 |
| X-ray of the hip (3 views) | $653 | $158 | $49 |
| X-ray of the knee | $801 | $85 | $42 |
| X-ray of the knee (2 views) | $695 | $191 | $34 |
| X-ray of the knee (3 views) | $801 | $176 | $42 |
| X-ray of the knee (4+ views) | $952 | $85 | $49 |
| X-ray of the lower back (lumbar spine) | $838 | $64 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $838 | $42 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $1,163 | $226 | $53 |
| X-ray of the lower leg | $732 | $176 | $31 |
| X-ray of the mid-back (thoracic spine) | $961 | $320 | $36 |
| X-ray of the mid-back (thoracic spine) (3 views) | $961 | $320 | $39 |
| X-ray of the neck (cervical spine) | $782 | $182 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $782 | $180 | $40 |
| X-ray of the pelvis | $781 | $43 | $36 |
| X-ray of the pelvis (1 view) | $737 | $213 | $28 |
| X-ray of the ribs | $437 | $181 | $42 |
| X-ray of the ribs (2 views) | $387 | $177 | $36 |
| X-ray of the ribs (3 views) | $437 | $244 | $42 |
| X-ray of the shoulder | $620 | $177 | $36 |
| X-ray of the skull | $582 | $254 | $40 |
| X-ray of the upper arm | $709 | $155 | $32 |
| X-ray of the wrist | $626 | $175 | $43 |
| Zinc blood test | $85 | $56 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
