| Procedure | Johnson Memorial Hospital | Eskenazi Health | Medicare |
|---|
| Abdominal fluid drain (paracentesis) | $325 | $4,516 | $284 |
| Abdominal ultrasound | $99 | $875 | $100 |
| Abdominal ultrasound (complete) | $102 | $1,063 | $114 |
| Abdominal ultrasound (limited) | $96 | $687 | $86 |
| Abscess drainage (complex or multiple) | $158 | $1,558 | $220 |
| Abscess drainage (simple) | $86 | $1,458 | $129 |
| Abscess incision and drainage | $122 | $1,558 | $174 |
| Aldosterone test | $69 | $310 | $41 |
| Alkaline phosphatase test | $9 | $36 | $5 |
| Alpha-fetoprotein (AFP) test | $29 | $473 | $17 |
| ALT liver enzyme test | $9 | $323 | $5 |
| Ammonia blood test | $26 | $110 | $15 |
| Amniocentesis | $202 | $4,260 | $120 |
| Anoscopy | $138 | $517 | $129 |
| Antinuclear antibody (ANA) test | $21 | $105 | $12 |
| AST liver enzyme test | $9 | $372 | $5 |
| Barium swallow study | $69 | $576 | $107 |
| Bartholin cyst removal | $222 | $1,053 | $182 |
| Basic metabolic panel | $14 | $259 | $8 |
| Benign skin lesion removal | $202 | $3,855 | $171 |
| Bilirubin blood test | $9 | $36 | $5 |
| Bladder function test (urodynamics) | $300 | $4,363 | $345 |
| Bladder scope (cystoscopy) | $271 | $2,066 | $216 |
| Bladder tumor removal (TURBT) | $2,990 | $26,067 | $236 |
| Blood clotting test (PT/INR) | $7 | $48 | $4 |
| Blood transfusion | $119 | $3,682 | $47 |
| BNP (heart failure) test | $59 | $241 | $39 |
| Bone density scan (DEXA) | $79 | $793 | $39 |
| Bone marrow biopsy | $661 | $11,665 | $172 |
| Bone scan (nuclear) | $452 | $4,085 | $259 |
| Botox for migraine | $57 | $2,971 | $157 |
| Breast MRI | $669 | $3,619 | $216 |
| Breathing tube insertion (intubation) | $235 | $1,304 | $133 |
| Bronchoscopy | $621 | $7,136 | $303 |
| Burn dressing and debridement (medium) | $229 | $1,417 | $166 |
| Burn dressing and debridement (small) | $76 | $766 | $93 |
| Burn treatment | $152 | $982 | $129 |
| C-reactive protein (CRP) | $9 | $388 | $5 |
| CA 19-9 tumor marker test | $36 | $152 | $21 |
| CA-125 ovarian marker test | $36 | $245 | $21 |
| Calcium blood test | $9 | $32 | $5 |
| Cardiac ablation | $4,033 | $76,448 | $759 |
| Cardiac catheterization | $2,405 | $26,400 | $1,049 |
| Cardiac MRI | $653 | $2,872 | $322 |
| Cardiac stress test | $224 | $4,903 | $39 |
| Cardioversion | $514 | $5,111 | $155 |
| Carotid artery ultrasound | $230 | $2,004 | $156 |
| CEA tumor marker test | $33 | $647 | $19 |
| Chemotherapy infusion (first hour) | $260 | $5,731 | $133 |
| Chest fluid drain (thoracentesis) | $384 | $4,309 | $311 |
| Chest X-ray | $71 | $425 | $37 |
| Chest X-ray (2 views) | $69 | $425 | $33 |
| Clotting time test (PTT) | $11 | $75 | $6 |
| Colonoscopy | $484 | $5,501 | $480 |
| Colposcopy | $62 | $3,193 | $161 |
| Complete blood count (CBC) | $12 | $333 | $7 |
| Complete blood count (CBC) (complete) | $14 | $333 | $8 |
| Complex wound repair | $425 | $2,683 | $390 |
| Comprehensive metabolic panel | $18 | $456 | $11 |
| Contraceptive implant (Nexplanon) | $128 | $1,743 | $115 |
| Copper blood test | $22 | $105 | $12 |
| Coronary CT angiography | $560 | $1,960 | $326 |
| Cortisol test | $29 | $150 | $16 |
| COVID-19 PCR test | $15 | $433 | $51 |
| Creatine kinase (CK) test | $11 | $69 | $7 |
| CT angiography of the chest | $588 | $2,592 | $281 |
| CT angiography of the head | $560 | $3,059 | $274 |
| CT scan of the abdomen | $588 | $1,478 | $230 |
| CT scan of the abdomen and pelvis | $560 | $2,487 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $588 | $2,750 | $338 |
| CT scan of the abdomen and pelvis with contrast | $560 | $3,228 | $300 |
| CT scan of the abdomen and pelvis without contrast | $532 | $1,922 | $183 |
| CT scan of the abdomen with and without contrast | $617 | $1,820 | $259 |
| CT scan of the abdomen with contrast | $588 | $1,507 | $230 |
| CT scan of the abdomen without contrast | $560 | $1,079 | $136 |
| CT scan of the arm | $560 | $1,427 | $199 |
| CT scan of the arm without contrast | $532 | $1,427 | $161 |
| CT scan of the chest | $560 | $1,304 | $167 |
| CT scan of the chest with contrast | $560 | $2,720 | $167 |
| CT scan of the chest without contrast | $532 | $1,215 | $133 |
| CT scan of the head | $560 | $1,303 | $148 |
| CT scan of the head with and without contrast | $588 | $1,617 | $173 |
| CT scan of the head with contrast | $560 | $1,303 | $148 |
| CT scan of the head without contrast | $532 | $1,112 | $107 |
| CT scan of the lower back (lumbar spine) | $560 | $1,646 | $169 |
| CT scan of the lower back (lumbar spine) with contrast | $560 | $1,792 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $532 | $1,599 | $130 |
| CT scan of the neck | $560 | $1,356 | $183 |
| CT scan of the neck (cervical spine) | $560 | $1,663 | $168 |
| CT scan of the neck (cervical spine) without contrast | $532 | $1,663 | $131 |
| CT scan of the neck with contrast | $560 | $1,647 | $183 |
| CT scan of the neck without contrast | $532 | $1,228 | $150 |
| CT scan of the pelvis | $617 | $1,174 | $226 |
| CT scan of the pelvis with contrast | $617 | $1,428 | $226 |
| CT scan of the pelvis without contrast | $588 | $1,047 | $133 |
| CT scan of the sinuses | $560 | $1,602 | $152 |
| CT scan of the sinuses with and without contrast | $588 | $2,246 | $184 |
| CT scan of the sinuses with contrast | $560 | $1,602 | $152 |
| CT scan of the sinuses without contrast | $532 | $1,326 | $128 |
| Defibrillator (ICD) implant | $15,688 | $83,503 | $798 |
| DHEA-sulfate test | $39 | $704 | $22 |
| Dilation and curettage (D&C) | $1,272 | $10,939 | $298 |
| Drug screen (urine) | $26 | $356 | $17 |
| Echocardiogram | $306 | $1,981 | $138 |
| Echocardiogram with and without contrast | $175 | $809 | $101 |
| Echocardiogram without contrast | $306 | $3,174 | $138 |
| EEG (awake and asleep) | $213 | $1,886 | $482 |
| EKG / ECG (tracing only) | $71 | $543 | $7 |
| Electrocardiogram (EKG) | $71 | $543 | $8 |
| Electroencephalogram (EEG) | $209 | $1,650 | $448 |
| Electromyography (EMG) | $78 | $748 | $141 |
| Emergency department visit | $205 | $1,877 | $69 |
| Emergency department visit (level 1) | $68 | $435 | $11 |
| Emergency department visit (level 2) | $94 | $1,159 | $40 |
| Emergency department visit (level 3) | $205 | $1,868 | $69 |
| Emergency department visit (level 4) | $300 | $4,353 | $118 |
| Emergency department visit (level 5) | $456 | $7,438 | $171 |
| Endometrial biopsy | $37 | $2,622 | $98 |
| Epidural steroid injection | $300 | $3,598 | $275 |
| Estradiol (estrogen) test | $49 | $551 | $28 |
| Facet joint injection (spine) | $130 | $4,719 | $99 |
| Fallopian tube X-ray (HSG) | $114 | $1,799 | $164 |
| Fecal occult blood (stool) test | $18 | $82 | $10 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $28 | $82 | $16 |
| Ferritin (iron) test | $24 | $498 | $14 |
| Fibrinogen test | $15 | $68 | $10 |
| Flexible sigmoidoscopy | $394 | $6,270 | $323 |
| Folate (folic acid) test | $26 | $131 | $15 |
| Free T4 thyroid test | $16 | $131 | $9 |
| FSH hormone test | $33 | $629 | $19 |
| Gallbladder scan (HIDA) | $452 | $2,473 | $334 |
| GGT liver test | $13 | $41 | $7 |
| Glucose tolerance test | $12 | $60 | $8 |
| HDL cholesterol test | $14 | $69 | $8 |
| Hematocrit test | $4 | $29 | $2 |
| Hemoglobin A1c (diabetes test) | $17 | $105 | $10 |
| Hepatitis B test | $17 | $69 | $10 |
| Hepatitis B vaccine | $57 | $467 | — |
| Hepatitis C test | $25 | $104 | $14 |
| HIV test | $33 | $148 | $19 |
| HIV test (antigen/antibody combo) | $42 | $148 | $24 |
| Holter heart monitor | $248 | $849 | $26 |
| Home sleep apnea test | $173 | $695 | $123 |
| Iron blood test | $11 | $67 | $6 |
| IV infusion therapy (initial) | $93 | $2,898 | $67 |
| Joint aspiration (small/intermediate) | $178 | $1,447 | $57 |
| Joint aspiration or injection (mid-size joint) | $267 | $1,562 | $57 |
| Joint aspiration or injection (small joint) | $90 | $1,323 | $56 |
| Kidney biopsy | $459 | $9,443 | $492 |
| Kidney ultrasound | $99 | $738 | $84 |
| Kidney ultrasound (limited) | $96 | $735 | $61 |
| Knee joint injection | $57 | $1,472 | $69 |
| LDL cholesterol test | $17 | $72 | $11 |
| Leg vein ultrasound (Doppler) | $287 | $2,102 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $230 | $1,798 | $116 |
| LH hormone test | $32 | $127 | $19 |
| Lipid (cholesterol) panel | $23 | $472 | $13 |
| Liver biopsy | $692 | $7,828 | $288 |
| Liver function panel | $14 | $77 | $8 |
| Lung function test (PFT) | $140 | $2,043 | $37 |
| Lung scan (V/Q) | $452 | $3,632 | $291 |
| MRA of the brain | $637 | $2,032 | $226 |
| MRA of the brain without contrast | $669 | $2,703 | $328 |
| MRA of the neck | $637 | $1,755 | $245 |
| MRI of the abdomen | $637 | $2,513 | $300 |
| MRI of the abdomen without contrast | $605 | $2,046 | $194 |
| MRI of the ankle | $637 | $1,862 | $261 |
| MRI of the ankle without contrast | $605 | $1,862 | $222 |
| MRI of the brain | $637 | $2,236 | $269 |
| MRI of the brain without contrast | $605 | $1,887 | $195 |
| MRI of the chest | $637 | $1,261 | $371 |
| MRI of the knee | $637 | $3,009 | $315 |
| MRI of the lower back (lumbar spine) | $637 | $2,221 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $605 | $1,981 | $192 |
| MRI of the mid-back (thoracic spine) | $637 | $2,462 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $669 | $4,901 | $319 |
| MRI of the mid-back (thoracic spine) without contrast | $605 | $1,981 | $190 |
| MRI of the neck (cervical spine) | $637 | $1,981 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $669 | $2,462 | $318 |
| MRI of the neck (cervical spine) without contrast | $605 | $1,981 | $191 |
| MRI of the pelvis | $637 | $2,448 | $268 |
| MRI of the pelvis without contrast | $605 | $2,066 | $227 |
| MRI of the shoulder | $637 | $2,057 | $313 |
| MRI of the shoulder without contrast | $605 | $2,057 | $205 |
| MRI of the wrist | $637 | $2,793 | $330 |
| Nerve conduction study | $47 | $1,162 | $118 |
| Nuclear cardiac stress test | $452 | $8,102 | $428 |
| Occupational therapy evaluation | $75 | $558 | $101 |
| Occupational therapy evaluation (high complexity) | $79 | $1,134 | $101 |
| Occupational therapy evaluation (low complexity) | $72 | $469 | $101 |
| Occupational therapy evaluation (moderate complexity) | $75 | $658 | $101 |
| Office visit (established patient) | $39 | $348 | $115 |
| Office visit (new patient) | $51 | $443 | $177 |
| Office visit, established patient (level 3) | $36 | $250 | $95 |
| Office visit, established patient (level 4) | $42 | $446 | $136 |
| Office visit, new patient (level 3) | $39 | $443 | $118 |
| Pap smear (cervical screening) | $29 | $492 | $20 |
| Parathyroid hormone (PTH) test | $72 | $268 | $41 |
| Pelvic ultrasound | $102 | $620 | $78 |
| Pelvic ultrasound (complete) | $102 | $620 | $105 |
| Pelvic ultrasound (limited) | $102 | $949 | $51 |
| PET scan | $1,576 | $4,322 | — |
| Physical therapy evaluation | $78 | $430 | $98 |
| Physical therapy evaluation (high complexity) | $82 | $835 | $98 |
| Physical therapy evaluation (moderate complexity) | $78 | $467 | $98 |
| Pregnancy ultrasound | $102 | $658 | $126 |
| Pregnancy ultrasound (first trimester) | $102 | $654 | $117 |
| Pregnancy ultrasound (second or third trimester) | $102 | $662 | $136 |
| Procalcitonin test | $30 | $240 | $27 |
| Prolactin test | $34 | $156 | $19 |
| Prostate biopsy | $390 | $6,914 | — |
| Prostate test (PSA) | $32 | $125 | $18 |
| Psychotherapy session | $47 | $334 | $140 |
| Radiofrequency nerve ablation | $619 | $8,297 | $462 |
| Retinal (fundus) photography | $55 | $1,189 | $37 |
| Sacroiliac joint injection | $228 | $1,012 | $176 |
| Scoliosis spine X-ray | $68 | $471 | $58 |
| Scoliosis spine X-ray (3 views) | $69 | $471 | $72 |
| Scrotal ultrasound | $102 | $818 | $99 |
| Sex hormone binding globulin test | $38 | $629 | $22 |
| Simple wound stitches | $85 | $1,088 | $127 |
| Skin biopsy | $75 | $1,556 | $121 |
| Skin biopsy (punch) | $75 | $1,907 | $121 |
| Skin cancer lesion removal | $150 | $2,582 | $240 |
| Skin lesion freezing (cryotherapy) | $64 | $789 | $36 |
| Skin tag removal | $38 | $726 | $92 |
| Soft tissue ultrasound | $96 | $567 | $64 |
| Spinal tap (lumbar puncture) | $283 | $2,898 | $165 |
| Spine fracture repair (kyphoplasty) | $3,455 | $28,234 | $5,803 |
| Spirometry (lung function test) | $86 | $2,123 | $30 |
| Spirometry with bronchodilator | $195 | $1,960 | $43 |
| Stress echocardiogram | $448 | $2,628 | $209 |
| Stress echocardiogram (complete) | $448 | $2,628 | $233 |
| T3 thyroid test | $25 | $442 | $14 |
| Testosterone test | $45 | $455 | $26 |
| Thyroid test (TSH) | $29 | $138 | $17 |
| Thyroid ultrasound | $102 | $644 | $109 |
| Thyroid uptake scan | $452 | $2,548 | $145 |
| Total protein test | $6 | $24 | $4 |
| Transesophageal echocardiogram (TEE) | $371 | $4,547 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $448 | $4,547 | $239 |
| Transvaginal ultrasound | $102 | $756 | $118 |
| Trigger point injection | $241 | $3,290 | $56 |
| Trigger point injection (1-2 muscles) | $246 | $3,047 | $52 |
| Triglycerides test | $10 | $42 | $6 |
| Troponin (heart) test | $17 | $705 | $12 |
| Turning a breech baby (version) | $863 | $10,653 | $94 |
| Upper GI endoscopy (EGD) | $406 | $5,353 | $371 |
| Uric acid (gout) test | $8 | $55 | $5 |
| Urine microalbumin test | $9 | $44 | $5 |
| Vaccine administration | $20 | $172 | $19 |
| Vaccine administration (each additional) | $15 | $40 | $16 |
| Vasectomy | $899 | $6,476 | $347 |
| Vitamin B12 test | $26 | $112 | $15 |
| Vitamin D test | $52 | $245 | $30 |
| Wart removal | $39 | $556 | $121 |
| X-ray of the abdomen | $69 | $317 | $36 |
| X-ray of the foot | $73 | $423 | $34 |
| X-ray of the forearm | $69 | $278 | $29 |
| X-ray of the hand | $80 | $471 | $38 |
| X-ray of the hip | $69 | $471 | $49 |
| X-ray of the hip (3 views) | $69 | $471 | $49 |
| X-ray of the knee | $73 | $512 | $42 |
| X-ray of the knee (2 views) | $63 | $405 | $34 |
| X-ray of the knee (3 views) | $73 | $471 | $42 |
| X-ray of the knee (4+ views) | $80 | $776 | $49 |
| X-ray of the lower back (lumbar spine) | $68 | $614 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $66 | $541 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $69 | $618 | $53 |
| X-ray of the lower leg | $69 | $278 | $31 |
| X-ray of the mid-back (thoracic spine) | $68 | $630 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $66 | $597 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $69 | $867 | $39 |
| X-ray of the neck (cervical spine) | $71 | $529 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $69 | $541 | $40 |
| X-ray of the pelvis | $68 | $471 | $36 |
| X-ray of the ribs | $69 | $350 | $42 |
| X-ray of the ribs (2 views) | $66 | $317 | $36 |
| X-ray of the shoulder | $73 | $475 | $36 |
| X-ray of the skull | $68 | $1,945 | $40 |
| X-ray of the upper arm | $69 | $278 | $32 |
| X-ray of the wrist | $76 | $471 | $43 |
| YAG laser capsulotomy (eye) | $252 | $4,910 | $335 |
| Zinc blood test | $20 | $69 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
