| Procedure | Memorial Health | Clinton Regional Hospital | Medicare |
|---|
| Abdominal fluid drain (paracentesis) | $1,256 | $1,203 | $284 |
| Abdominal ultrasound | $1,214 | $255 | $100 |
| Abscess drainage (simple) | $672 | $156 | $129 |
| Aldosterone test | $295 | $98 | $41 |
| Alkaline phosphatase test | $179 | $12 | $5 |
| Alpha-fetoprotein (AFP) test | $209 | $41 | $17 |
| Ammonia blood test | $388 | $35 | $15 |
| Amylase test | $164 | $16 | $6 |
| AST liver enzyme test | $179 | $12 | $5 |
| Basic metabolic panel | $230 | $20 | $8 |
| Bilirubin blood test | $49 | $12 | $5 |
| Blood clotting test (PT/INR) | $77 | $24 | $4 |
| Blood crossmatch | $220 | $411 | — |
| Blood transfusion | $1,020 | $1,049 | $47 |
| Blood type test | $159 | $30 | $3 |
| Breast ultrasound | $514 | $233 | $92 |
| Breast ultrasound (limited) | $514 | $211 | $84 |
| Breathing tube insertion (intubation) | $817 | $557 | $133 |
| Burn dressing and debridement (medium) | $515 | $477 | $166 |
| C-reactive protein (CRP) | $95 | $29 | $5 |
| Cardiac rehabilitation | $259 | $302 | $26 |
| Cardiac stress test | $706 | $747 | $39 |
| Chest fluid drain (thoracentesis) | $2,361 | $1,484 | $311 |
| Chest X-ray (1 view) | $335 | $211 | $25 |
| CK-MB heart enzyme test | $256 | $86 | $12 |
| Complete blood count (CBC) | $200 | $17 | $7 |
| Comprehensive metabolic panel | $270 | $62 | $11 |
| Copper blood test | $101 | $41 | $12 |
| COVID-19 PCR test | $250 | $123 | $51 |
| Creatine kinase (CK) test | $183 | $29 | $7 |
| CT scan of the abdomen | $2,967 | $427 | $230 |
| CT scan of the abdomen and pelvis without contrast | $3,775 | $580 | $183 |
| CT scan of the abdomen with contrast | $2,967 | $427 | $230 |
| CT scan of the chest with and without contrast | $3,803 | $427 | $196 |
| CT scan of the chest without contrast | $2,462 | $255 | $133 |
| CT scan of the head | $3,652 | $427 | $148 |
| CT scan of the head with contrast | $2,967 | $427 | $148 |
| CT scan of the head without contrast | $3,652 | $255 | $107 |
| CT scan of the lower back (lumbar spine) | $2,640 | $427 | $169 |
| CT scan of the lower back (lumbar spine) with contrast | $2,640 | $857 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $2,462 | $255 | $130 |
| CT scan of the neck (cervical spine) | $2,640 | $427 | $168 |
| CT scan of the neck (cervical spine) with contrast | $2,640 | $857 | $168 |
| CT scan of the neck (cervical spine) without contrast | $2,462 | $255 | $131 |
| CT scan of the neck with and without contrast | $2,967 | $427 | $220 |
| CT scan of the sinuses with and without contrast | $2,967 | $427 | $184 |
| Diagnostic mammogram | $889 | $612 | $140 |
| Drug screen (urine) | $278 | $33 | $17 |
| EKG / ECG (tracing only) | $325 | $143 | $7 |
| Emergency department visit (level 1) | $290 | $211 | $11 |
| Emergency department visit (level 3) | $711 | $665 | $69 |
| Estradiol (estrogen) test | $234 | $67 | $28 |
| Fecal occult blood (stool) test | $51 | $11 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $51 | $11 | $4 |
| FSH hormone test | $374 | $36 | $19 |
| Glucose tolerance test | $516 | $30 | $8 |
| HDL cholesterol test | $245 | $20 | $8 |
| Hepatitis C test | $248 | $20 | $14 |
| HIV test | $318 | $58 | $19 |
| HIV test (antigen/antibody combo) | $318 | $58 | $24 |
| Iron blood test | $149 | $12 | $6 |
| IV infusion therapy | $456 | $308 | $44 |
| IV infusion therapy (each additional) | $456 | $111 | $21 |
| Joint aspiration (small/intermediate) | $1,203 | $381 | $57 |
| Joint aspiration or injection (mid-size joint) | $1,203 | $54 | $57 |
| Knee joint injection | $1,203 | $67 | $69 |
| LDH test | $159 | $27 | $6 |
| LDL cholesterol test | $172 | $20 | $11 |
| Leg vein ultrasound (Doppler) | $1,082 | $418 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $1,082 | $255 | $116 |
| LH hormone test | $351 | $27 | $19 |
| Lipase test | $207 | $22 | $7 |
| Lipid (cholesterol) panel | $571 | $72 | $13 |
| Liver function panel | $302 | $76 | $8 |
| Lung function test (PFT) | $453 | $376 | $37 |
| Magnesium blood test | $179 | $16 | $7 |
| MRA of the neck with contrast | $4,154 | $857 | $245 |
| MRA of the neck without contrast | $4,482 | $857 | $343 |
| MRI of the abdomen | $4,291 | $719 | $300 |
| MRI of the abdomen without contrast | $3,021 | $580 | $194 |
| MRI of the brain | $4,293 | $719 | $269 |
| MRI of the brain without contrast | $2,981 | $580 | $195 |
| MRI of the lower back (lumbar spine) | $4,294 | $857 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $4,294 | $857 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $4,291 | $580 | $192 |
| MRI of the mid-back (thoracic spine) | $4,294 | $857 | $271 |
| MRI of the mid-back (thoracic spine) with contrast | $4,294 | $857 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $4,291 | $580 | $190 |
| MRI of the neck (cervical spine) | $4,294 | $857 | $274 |
| MRI of the neck (cervical spine) with contrast | $4,294 | $857 | $274 |
| MRI of the neck (cervical spine) without contrast | $4,291 | $580 | $191 |
| MRI of the pelvis | $4,291 | $719 | $268 |
| MRI of the pelvis without contrast | $2,626 | $580 | $227 |
| MRI of the shoulder | $4,291 | $719 | $313 |
| MRI of the shoulder without contrast | $4,291 | $580 | $205 |
| Occupational therapy evaluation (low complexity) | $355 | $145 | $101 |
| Office visit, established patient (level 4) | $650 | $120 | $136 |
| Pap smear (cervical screening) | $117 | $64 | $20 |
| Pelvic ultrasound (complete) | $971 | $255 | $105 |
| Phosphorus blood test | $159 | $26 | $5 |
| Physical therapy evaluation | $360 | $116 | $98 |
| Pregnancy blood test (hCG) | $101 | $55 | $8 |
| Procalcitonin test | $138 | $65 | $27 |
| Prolactin test | $355 | $48 | $19 |
| Scrotal ultrasound | $787 | $255 | $99 |
| Sedimentation rate (ESR) test | $68 | $20 | $3 |
| Sex hormone binding globulin test | $94 | $71 | $22 |
| Skin biopsy | $731 | $959 | $121 |
| Skin biopsy (punch) | $731 | $959 | $121 |
| Skin tag removal | $713 | $112 | $92 |
| Soft tissue ultrasound | $364 | $255 | $64 |
| Spinal tap (lumbar puncture) | $954 | $95 | $165 |
| Spirometry (lung function test) | $313 | $376 | $30 |
| Swallow study | $534 | $107 | $85 |
| Testosterone test | $191 | $52 | $26 |
| Thyroid uptake scan | $1,832 | $964 | $145 |
| Total protein test | $103 | $20 | $4 |
| Troponin (heart) test | $248 | $37 | $12 |
| Upper GI series (barium) | $721 | $427 | $128 |
| Uric acid (gout) test | $127 | $11 | $5 |
| Urine pregnancy test | $39 | $35 | $9 |
| Vaccine administration | $111 | $171 | $19 |
| X-ray of the facial bones | $516 | $233 | $39 |
| X-ray of the hip (4 views) | $529 | $255 | $63 |
| X-ray of the lower back (lumbar spine) (4+ views) | $913 | $255 | $53 |
| X-ray of the mid-back (thoracic spine) | $492 | $255 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $453 | $255 | $33 |
| X-ray of the pelvis (1 view) | $337 | $255 | $28 |
| X-ray of the ribs | $621 | $255 | $42 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
