| Procedure | Johnson Memorial Hospital | Ascension St Vincent Carmel | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $74 | $53 | $51 |
| Abdominal fluid drain (paracentesis) | $325 | $2,206 | $284 |
| Abdominal ultrasound | $99 | $425 | $100 |
| Abdominal ultrasound (complete) | $102 | $520 | $114 |
| Abdominal ultrasound (limited) | $96 | $329 | $86 |
| Abscess drainage (complex or multiple) | $158 | $1,519 | $220 |
| Abscess drainage (simple) | $86 | $844 | $129 |
| Abscess incision and drainage | $122 | $1,181 | $174 |
| Albumin blood test | $9 | $88 | $5 |
| Aldosterone test | $69 | $654 | $41 |
| Alkaline phosphatase test | $9 | $96 | $5 |
| Alpha-fetoprotein (AFP) test | $29 | $353 | $17 |
| ALT liver enzyme test | $9 | $105 | $5 |
| Ammonia blood test | $26 | $245 | $15 |
| Amniocentesis | $202 | $319 | $120 |
| Amylase test | $11 | $185 | $6 |
| Antinuclear antibody (ANA) test | $21 | $306 | $12 |
| Arterial blood gas (ABG) | $34 | $359 | $26 |
| AST liver enzyme test | $9 | $105 | $5 |
| Barium swallow study | $69 | $258 | $107 |
| Basic metabolic panel | $14 | $218 | $8 |
| Bilirubin blood test | $9 | $127 | $5 |
| Blood clotting test (PT/INR) | $7 | $112 | $4 |
| Blood crossmatch | $62 | $184 | — |
| Blood glucose test | $7 | $78 | $5 |
| Blood transfusion | $119 | $1,739 | $47 |
| Blood type and screen | $20 | $135 | $10 |
| Blood type test | $21 | $14 | $3 |
| Blood type test (ABO group) | $18 | $14 | $3 |
| Blood type test (Rh/D antigen) | $23 | $14 | $3 |
| BNP (heart failure) test | $59 | $359 | $39 |
| Bone density scan (DEXA) | $79 | $290 | $39 |
| Bone marrow biopsy | $661 | $995 | $172 |
| Bone scan (nuclear) | $452 | $2,208 | $259 |
| Breast biopsy | $433 | $4,714 | $478 |
| Breast MRI | $669 | $583 | $216 |
| Breast MRI without contrast | $669 | $583 | $216 |
| Breast ultrasound | $97 | $631 | $92 |
| Breast ultrasound (complete) | $102 | $588 | $100 |
| Breast ultrasound (limited) | $92 | $674 | $84 |
| C-reactive protein (CRP) | $9 | $191 | $5 |
| CA 19-9 tumor marker test | $36 | $335 | $21 |
| CA-125 ovarian marker test | $36 | $358 | $21 |
| Calcium blood test | $9 | $89 | $5 |
| Cardiac stress test | $224 | $999 | $39 |
| Cardioversion | $514 | $2,554 | $155 |
| Carotid artery ultrasound | $230 | $1,158 | $156 |
| CEA tumor marker test | $33 | $391 | $19 |
| Celiac disease test | $75 | $25 | $12 |
| Central line placement | $539 | $3,025 | $238 |
| Chemotherapy infusion | $160 | $757 | $81 |
| Chemotherapy infusion (each additional) | $59 | $304 | $28 |
| Chemotherapy infusion (first hour) | $260 | $1,210 | $133 |
| Chest fluid drain (thoracentesis) | $384 | $988 | $311 |
| Chest X-ray | $71 | $185 | $37 |
| Chest X-ray (1 view) | $66 | $163 | $25 |
| Chest X-ray (2 views) | $69 | $185 | $33 |
| CK-MB heart enzyme test | $20 | $226 | $12 |
| Clotting time test (PTT) | $11 | $147 | $6 |
| Complete blood count (CBC) | $12 | $149 | $7 |
| Complete blood count (CBC) (complete) | $14 | $170 | $8 |
| Comprehensive metabolic panel | $18 | $339 | $11 |
| Copper blood test | $22 | $291 | $12 |
| Cortisol test | $29 | $316 | $16 |
| COVID-19 PCR test | $15 | $125 | $51 |
| CPAP titration study | $235 | $685 | $69 |
| Creatine kinase (CK) test | $11 | $131 | $7 |
| CT angiography of the chest | $588 | $542 | $281 |
| CT angiography of the head | $560 | $542 | $274 |
| CT scan of the abdomen | $588 | $542 | $230 |
| CT scan of the abdomen and pelvis | $560 | $542 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $588 | $542 | $338 |
| CT scan of the abdomen and pelvis with contrast | $560 | $542 | $300 |
| CT scan of the abdomen and pelvis without contrast | $532 | $542 | $183 |
| CT scan of the abdomen with and without contrast | $617 | $542 | $259 |
| CT scan of the abdomen with contrast | $588 | $542 | $230 |
| CT scan of the abdomen without contrast | $560 | $542 | $136 |
| CT scan of the arm | $560 | $542 | $199 |
| CT scan of the arm with contrast | $560 | $542 | $199 |
| CT scan of the arm without contrast | $532 | $542 | $161 |
| CT scan of the chest | $560 | $542 | $167 |
| CT scan of the chest with and without contrast | $588 | $542 | $196 |
| CT scan of the chest with contrast | $560 | $542 | $167 |
| CT scan of the chest without contrast | $532 | $542 | $133 |
| CT scan of the head | $560 | $542 | $148 |
| CT scan of the head with and without contrast | $588 | $542 | $173 |
| CT scan of the head with contrast | $560 | $542 | $148 |
| CT scan of the head without contrast | $532 | $542 | $107 |
| CT scan of the leg | $560 | $542 | $166 |
| CT scan of the leg with contrast | $560 | $542 | $166 |
| CT scan of the leg without contrast | $532 | $542 | $130 |
| CT scan of the lower back (lumbar spine) | $560 | $542 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $588 | $542 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $560 | $542 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $532 | $542 | $130 |
| CT scan of the neck | $560 | $542 | $183 |
| CT scan of the neck (cervical spine) | $560 | $542 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $588 | $542 | $196 |
| CT scan of the neck (cervical spine) with contrast | $560 | $542 | $168 |
| CT scan of the neck (cervical spine) without contrast | $532 | $542 | $131 |
| CT scan of the neck with and without contrast | $588 | $542 | $220 |
| CT scan of the neck with contrast | $560 | $542 | $183 |
| CT scan of the neck without contrast | $532 | $542 | $150 |
| CT scan of the pelvis | $617 | $542 | $226 |
| CT scan of the pelvis with and without contrast | $648 | $542 | $251 |
| CT scan of the pelvis with contrast | $617 | $542 | $226 |
| CT scan of the pelvis without contrast | $588 | $542 | $133 |
| CT scan of the sinuses | $560 | $542 | $152 |
| CT scan of the sinuses with and without contrast | $588 | $542 | $184 |
| CT scan of the sinuses with contrast | $560 | $542 | $152 |
| CT scan of the sinuses without contrast | $532 | $542 | $128 |
| D-dimer test | $18 | $386 | $10 |
| Developmental screening (child) | $41 | $152 | — |
| DHEA-sulfate test | $39 | $541 | $22 |
| Diagnostic mammogram | $80 | $327 | $140 |
| Drug screen (urine) | $26 | $354 | $17 |
| Echocardiogram | $306 | $942 | $138 |
| Echocardiogram with and without contrast | $175 | $721 | $101 |
| Echocardiogram without contrast | $306 | $942 | $138 |
| EEG (awake and asleep) | $213 | $1,040 | $482 |
| EKG / ECG (tracing only) | $71 | $301 | $7 |
| Electrocardiogram (EKG) | $71 | $301 | $8 |
| Electroencephalogram (EEG) | $209 | $939 | $448 |
| Electrolyte panel | $12 | $209 | $7 |
| Electromyography (EMG) | $78 | $1,176 | $141 |
| Emergency department visit | $205 | $1,047 | $69 |
| Emergency department visit (level 1) | $68 | $346 | $11 |
| Emergency department visit (level 2) | $94 | $525 | $40 |
| Emergency department visit (level 3) | $205 | $1,047 | $69 |
| Emergency department visit (level 4) | $300 | $2,568 | $118 |
| Emergency department visit (level 5) | $456 | $3,146 | $171 |
| Estradiol (estrogen) test | $49 | $491 | $28 |
| Fallopian tube X-ray (HSG) | $114 | $503 | $164 |
| Family therapy session | $81 | $98 | $110 |
| Fecal occult blood (stool) test | $18 | $94 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $9 | $81 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $28 | $106 | $16 |
| Ferritin (iron) test | $24 | $248 | $14 |
| Fibrinogen test | $15 | $207 | $10 |
| Flu test | $20 | $58 | $17 |
| Folate (folic acid) test | $26 | $255 | $15 |
| Foreign body removal (skin) | $120 | $2,818 | $157 |
| Free T4 thyroid test | $16 | $305 | $9 |
| FSH hormone test | $33 | $413 | $19 |
| Gallbladder scan (HIDA) | $452 | $2,455 | $334 |
| GGT liver test | $13 | $140 | $7 |
| Glucose tolerance test | $12 | $137 | $8 |
| H. pylori test | $118 | $526 | $67 |
| HDL cholesterol test | $14 | $195 | $8 |
| Hematocrit test | $4 | $61 | $2 |
| Hemodialysis | $301 | $1,697 | $75 |
| Hemoglobin A1c (diabetes test) | $17 | $251 | $10 |
| Hepatitis A vaccine | $68 | $178 | — |
| Hepatitis B test | $17 | $209 | $10 |
| Hepatitis B vaccine | $57 | $176 | — |
| Hepatitis C test | $25 | $316 | $14 |
| HIV test | $33 | $207 | $19 |
| HIV test (antibody) | $24 | $224 | $14 |
| HIV test (antigen/antibody combo) | $42 | $190 | $24 |
| Holter heart monitor | $248 | $408 | $26 |
| Iron blood test | $11 | $137 | $6 |
| IV infusion therapy | $64 | $323 | $44 |
| IV infusion therapy (each additional) | $36 | $129 | $21 |
| IV infusion therapy (initial) | $93 | $517 | $67 |
| IVC filter placement | $1,953 | $11,381 | $1,885 |
| Joint aspiration (small/intermediate) | $178 | $824 | $57 |
| Joint aspiration or injection (mid-size joint) | $267 | $824 | $57 |
| Kidney biopsy | $459 | $1,739 | $492 |
| Kidney scan (nuclear) | $452 | $1,958 | $172 |
| Kidney ultrasound | $99 | $319 | $84 |
| Kidney ultrasound (limited) | $96 | $239 | $61 |
| Knee joint injection | $57 | $898 | $69 |
| Lactate test | $19 | $217 | $12 |
| LDH test | $11 | $101 | $6 |
| LDL cholesterol test | $17 | $170 | $11 |
| Leg vein ultrasound (Doppler) | $287 | $1,436 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $230 | $1,120 | $116 |
| LH hormone test | $32 | $430 | $19 |
| Lipase test | $12 | $175 | $7 |
| Lipid (cholesterol) panel | $23 | $305 | $13 |
| Liver biopsy | $692 | $1,931 | $288 |
| Liver function panel | $14 | $241 | $8 |
| Lung function test (PFT) | $140 | $747 | $37 |
| Lung scan (V/Q) | $452 | $2,830 | $291 |
| Magnesium blood test | $12 | $145 | $7 |
| MMR vaccine | $160 | $417 | — |
| MRA of the brain | $637 | $583 | $226 |
| MRA of the brain with contrast | $637 | $583 | $226 |
| MRA of the brain without contrast | $669 | $583 | $328 |
| MRA of the neck | $637 | $583 | $245 |
| MRA of the neck with contrast | $637 | $583 | $245 |
| MRA of the neck without contrast | $669 | $583 | $343 |
| MRI of the abdomen | $637 | $583 | $300 |
| MRI of the abdomen with contrast | $637 | $583 | $300 |
| MRI of the abdomen without contrast | $605 | $583 | $194 |
| MRI of the ankle | $637 | $583 | $261 |
| MRI of the ankle with contrast | $637 | $583 | $261 |
| MRI of the ankle without contrast | $605 | $583 | $222 |
| MRI of the brain | $637 | $583 | $269 |
| MRI of the brain with contrast | $637 | $583 | $269 |
| MRI of the brain without contrast | $605 | $582 | $195 |
| MRI of the chest | $637 | $583 | $371 |
| MRI of the chest with contrast | $637 | $583 | $371 |
| MRI of the chest without contrast | $669 | $583 | $466 |
| MRI of the knee | $637 | $1,165 | $315 |
| MRI of the knee with contrast | $637 | $583 | $315 |
| MRI of the knee without contrast | $605 | $1,165 | $204 |
| MRI of the lower back (lumbar spine) | $637 | $583 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $637 | $583 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $605 | $583 | $192 |
| MRI of the mid-back (thoracic spine) | $637 | $583 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $669 | $583 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $637 | $583 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $605 | $583 | $190 |
| MRI of the neck (cervical spine) | $637 | $583 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $669 | $583 | $318 |
| MRI of the neck (cervical spine) with contrast | $637 | $583 | $274 |
| MRI of the neck (cervical spine) without contrast | $605 | $583 | $191 |
| MRI of the pelvis | $637 | $583 | $268 |
| MRI of the pelvis with contrast | $637 | $583 | $268 |
| MRI of the pelvis without contrast | $605 | $583 | $227 |
| MRI of the shoulder | $637 | $1,165 | $313 |
| MRI of the shoulder with contrast | $637 | $1,165 | $313 |
| MRI of the shoulder without contrast | $605 | $583 | $205 |
| MRI of the wrist | $637 | $1,165 | $330 |
| MRI of the wrist with contrast | $637 | $583 | $330 |
| MRI of the wrist without contrast | $637 | $1,165 | $303 |
| Nebulizer breathing treatment | $99 | $113 | $9 |
| Nerve conduction study | $47 | $1,582 | $118 |
| Nuchal translucency ultrasound | $126 | $325 | $116 |
| Nuclear cardiac stress test | $452 | $5,743 | $428 |
| Occupational therapy evaluation | $75 | $159 | $101 |
| Occupational therapy evaluation (high complexity) | $79 | $263 | $101 |
| Occupational therapy evaluation (low complexity) | $72 | $159 | $101 |
| Occupational therapy evaluation (moderate complexity) | $75 | $159 | $101 |
| Office visit (established patient) | $39 | $367 | $115 |
| Office visit, established patient (level 3) | $36 | $334 | $95 |
| Office visit, established patient (level 4) | $42 | $400 | $136 |
| Pap smear (cervical screening) | $29 | $194 | $20 |
| Parathyroid hormone (PTH) test | $72 | $305 | $41 |
| Pelvic ultrasound | $102 | $319 | $78 |
| Pelvic ultrasound (complete) | $102 | $343 | $105 |
| Pelvic ultrasound (limited) | $102 | $295 | $51 |
| PET scan | $1,576 | $6,043 | — |
| Phosphorus blood test | $8 | $98 | $5 |
| Physical therapy evaluation | $78 | $159 | $98 |
| Physical therapy evaluation (high complexity) | $82 | $279 | $98 |
| Physical therapy evaluation (moderate complexity) | $78 | $159 | $98 |
| Platelet count | $8 | $118 | $4 |
| Pregnancy blood test (hCG) | $13 | $189 | $8 |
| Pregnancy ultrasound | $102 | $505 | $126 |
| Pregnancy ultrasound (first trimester) | $102 | $478 | $117 |
| Pregnancy ultrasound (second or third trimester) | $102 | $531 | $136 |
| Procalcitonin test | $30 | $304 | $27 |
| Prolactin test | $34 | $407 | $19 |
| Prostate test (PSA) | $32 | $353 | $18 |
| Psychotherapy session | $47 | $85 | $140 |
| Radiofrequency nerve ablation | $619 | $3,311 | $462 |
| Sacroiliac joint injection | $228 | $2,219 | $176 |
| Scoliosis spine X-ray | $68 | $315 | $58 |
| Scoliosis spine X-ray (1 view) | $66 | $244 | $44 |
| Scoliosis spine X-ray (3 views) | $69 | $386 | $72 |
| Screening mammogram | $74 | $250 | $126 |
| Scrotal ultrasound | $102 | $382 | $99 |
| Sedimentation rate (ESR) test | $6 | $128 | $3 |
| Sex hormone binding globulin test | $38 | $214 | $22 |
| Skin biopsy | $75 | $457 | $121 |
| Skin biopsy (punch) | $75 | $457 | $121 |
| Soft tissue ultrasound | $96 | $281 | $64 |
| Speech therapy | $77 | $254 | $76 |
| Spinal tap (lumbar puncture) | $283 | $1,088 | $165 |
| Spine fracture repair (kyphoplasty) | $3,455 | $22,669 | $5,803 |
| Spirometry (lung function test) | $86 | $557 | $30 |
| Spirometry with bronchodilator | $195 | $937 | $43 |
| Strep throat test | $20 | $120 | $17 |
| Stress echocardiogram | $448 | $2,573 | $209 |
| Stress echocardiogram (complete) | $448 | $2,573 | $233 |
| Swallow study | $82 | $240 | $85 |
| T3 thyroid test | $25 | $364 | $14 |
| Tdap (tetanus) vaccine | $80 | $123 | — |
| Testosterone test | $45 | $410 | $26 |
| Thyroid test (TSH) | $29 | $301 | $17 |
| Thyroid ultrasound | $102 | $349 | $109 |
| Thyroid uptake scan | $452 | $1,061 | $145 |
| Total IgE allergy test | $29 | $248 | $16 |
| Total protein test | $6 | $74 | $4 |
| Transesophageal echocardiogram (TEE) | $371 | $2,855 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $448 | $2,855 | $239 |
| Transvaginal ultrasound | $102 | $331 | $118 |
| Trigger point injection | $241 | $604 | $56 |
| Trigger point injection (1-2 muscles) | $246 | $604 | $52 |
| Triglycerides test | $10 | $115 | $6 |
| Troponin (heart) test | $17 | $375 | $12 |
| Turning a breech baby (version) | $863 | $1,186 | $94 |
| Upper GI series (barium) | $68 | $682 | $128 |
| Uric acid (gout) test | $8 | $101 | $5 |
| Urinalysis | $5 | $118 | $3 |
| Urine microalbumin test | $9 | $173 | $5 |
| Urine pregnancy test | $11 | $160 | $9 |
| Vaccine administration | $20 | $108 | $19 |
| Vaccine administration (each additional) | $15 | $116 | $16 |
| Vitamin B12 test | $26 | $252 | $15 |
| Vitamin D test | $52 | $408 | $30 |
| Wound debridement | $297 | $2,748 | $186 |
| X-ray of the abdomen | $69 | $270 | $36 |
| X-ray of the ankle | $73 | $196 | $37 |
| X-ray of the collarbone | $69 | $192 | $33 |
| X-ray of the elbow | $73 | $258 | $33 |
| X-ray of the facial bones | $68 | $241 | $39 |
| X-ray of the foot | $73 | $195 | $34 |
| X-ray of the forearm | $69 | $367 | $29 |
| X-ray of the hand | $80 | $202 | $38 |
| X-ray of the hip | $69 | $275 | $49 |
| X-ray of the hip (1 view) | $66 | $173 | $34 |
| X-ray of the hip (3 views) | $69 | $275 | $49 |
| X-ray of the hip (4 views) | $73 | $377 | $63 |
| X-ray of the knee | $73 | $418 | $42 |
| X-ray of the knee (2 views) | $63 | $418 | $34 |
| X-ray of the knee (3 views) | $73 | $458 | $42 |
| X-ray of the knee (4+ views) | $80 | $262 | $49 |
| X-ray of the lower back (lumbar spine) | $68 | $293 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $66 | $240 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $69 | $347 | $53 |
| X-ray of the lower leg | $69 | $397 | $31 |
| X-ray of the mid-back (thoracic spine) | $68 | $261 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $66 | $238 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $69 | $284 | $39 |
| X-ray of the neck (cervical spine) | $71 | $299 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $69 | $250 | $40 |
| X-ray of the pelvis | $68 | $206 | $36 |
| X-ray of the pelvis (1 view) | $66 | $186 | $28 |
| X-ray of the ribs | $69 | $227 | $42 |
| X-ray of the ribs (2 views) | $66 | $205 | $36 |
| X-ray of the ribs (3 views) | $69 | $227 | $42 |
| X-ray of the shoulder | $73 | $391 | $36 |
| X-ray of the skull | $68 | $270 | $40 |
| X-ray of the upper arm | $69 | $362 | $32 |
| X-ray of the wrist | $76 | $516 | $43 |
| Zinc blood test | $20 | $245 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
