| Procedure | Memorial Hospital and Manor | Miller County Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $216 | $43 | $51 |
| Abdominal ultrasound | $473 | $367 | $100 |
| Abdominal ultrasound (complete) | $795 | $531 | $114 |
| Abdominal ultrasound (limited) | $473 | $202 | $86 |
| Abscess drainage (complex or multiple) | $470 | $218 | $220 |
| Abscess drainage (simple) | $264 | $116 | $129 |
| Abscess incision and drainage | $276 | $167 | $174 |
| Aldosterone test | $94 | $42 | $41 |
| Alkaline phosphatase test | $11 | $25 | $5 |
| Allergy shots | $24 | $11 | $11 |
| ALT liver enzyme test | $29 | $25 | $5 |
| Ammonia blood test | $153 | $38 | $15 |
| Amylase test | $118 | $25 | $6 |
| Antinuclear antibody (ANA) test | $90 | $32 | $12 |
| Arterial blood gas (ABG) | $41 | $62 | $26 |
| AST liver enzyme test | $50 | $25 | $5 |
| Barium swallow study | $253 | $200 | $107 |
| Bartholin cyst removal | $232 | $140 | $182 |
| Basic metabolic panel | $122 | $73 | $8 |
| Bilirubin blood test | $30 | $18 | $5 |
| Blood clotting test (PT/INR) | $78 | $20 | $4 |
| Blood crossmatch | $151 | $192 | — |
| Blood glucose test | $51 | $17 | $5 |
| Blood transfusion | $473 | $260 | $47 |
| Blood type and screen | $173 | $51 | $10 |
| Blood type test | $133 | $14 | $3 |
| Blood type test (ABO group) | $172 | $14 | $3 |
| Blood type test (Rh/D antigen) | $94 | $13 | $3 |
| BNP (heart failure) test | $157 | $44 | $39 |
| Bone density scan (DEXA) | $245 | $231 | $39 |
| Breast ultrasound | $271 | $143 | $92 |
| Breast ultrasound (complete) | $271 | $202 | $100 |
| Breast ultrasound (limited) | $283 | $84 | $84 |
| Breathing tube insertion (intubation) | $285 | $164 | $133 |
| Bronchoscopy | $1,399 | $392 | $303 |
| Burn dressing and debridement (medium) | $363 | $160 | $166 |
| Burn dressing and debridement (small) | $418 | $79 | $93 |
| Burn treatment | $363 | $120 | $129 |
| C-reactive protein (CRP) | $92 | $31 | $5 |
| CA 19-9 tumor marker test | $118 | $77 | $21 |
| CA-125 ovarian marker test | $159 | $45 | $21 |
| Calcium blood test | $19 | $17 | $5 |
| Cardioversion | $650 | $186 | $155 |
| Carotid artery ultrasound | $608 | $352 | $156 |
| CEA tumor marker test | $39 | $41 | $19 |
| Celiac disease test | $115 | $26 | $12 |
| Chest tube insertion | $2,283 | $252 | $143 |
| Chest X-ray | $173 | $87 | $37 |
| Chest X-ray (1 view) | $124 | $81 | $25 |
| Chest X-ray (2 views) | $276 | $92 | $33 |
| CK-MB heart enzyme test | $79 | $30 | $12 |
| Complete blood count (CBC) | $102 | $34 | $7 |
| Complete blood count (CBC) (complete) | $83 | $39 | $8 |
| Complex wound repair | $699 | $338 | $390 |
| Copper blood test | $67 | $27 | $12 |
| Cortisol test | $90 | $39 | $16 |
| COVID-19 PCR test | $78 | $196 | $51 |
| CPAP titration study | $322 | $86 | $69 |
| Creatine kinase (CK) test | $64 | $25 | $7 |
| CT angiography of the chest | $1,993 | $766 | $281 |
| CT angiography of the head | $969 | $766 | $274 |
| CT scan of the abdomen | $1,103 | $856 | $230 |
| CT scan of the abdomen and pelvis | $2,605 | $856 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $2,605 | $979 | $338 |
| CT scan of the abdomen and pelvis with contrast | $4,158 | $856 | $300 |
| CT scan of the abdomen and pelvis without contrast | $2,249 | $785 | $183 |
| CT scan of the abdomen with and without contrast | $1,193 | $979 | $259 |
| CT scan of the abdomen with contrast | $1,103 | $856 | $230 |
| CT scan of the abdomen without contrast | $937 | $766 | $136 |
| CT scan of the arm | $1,022 | $785 | $199 |
| CT scan of the arm with contrast | $1,022 | $785 | $199 |
| CT scan of the arm without contrast | $937 | $713 | $161 |
| CT scan of the chest | $1,105 | $873 | $167 |
| CT scan of the chest with and without contrast | $1,316 | $1,006 | $196 |
| CT scan of the chest with contrast | $1,527 | $873 | $167 |
| CT scan of the chest without contrast | $894 | $785 | $133 |
| CT scan of the head | $744 | $766 | $148 |
| CT scan of the head with and without contrast | $1,107 | $873 | $173 |
| CT scan of the head with contrast | $1,011 | $766 | $148 |
| CT scan of the head without contrast | $477 | $696 | $107 |
| CT scan of the leg | $1,277 | $785 | $166 |
| CT scan of the leg with contrast | $1,194 | $785 | $166 |
| CT scan of the leg without contrast | $1,329 | $713 | $130 |
| CT scan of the lower back (lumbar spine) | $1,646 | $873 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,964 | $1,006 | $197 |
| CT scan of the lower back (lumbar spine) without contrast | $1,329 | $785 | $130 |
| CT scan of the neck | $1,404 | $731 | $183 |
| CT scan of the neck (cervical spine) | $1,300 | $873 | $168 |
| CT scan of the neck (cervical spine) with contrast | $1,383 | $873 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,217 | $785 | $131 |
| CT scan of the neck with contrast | $1,705 | $766 | $183 |
| CT scan of the neck without contrast | $810 | $696 | $150 |
| CT scan of the pelvis | $1,065 | $856 | $226 |
| CT scan of the pelvis with and without contrast | $1,277 | $979 | $251 |
| CT scan of the pelvis with contrast | $1,065 | $856 | $226 |
| CT scan of the pelvis without contrast | $884 | $785 | $133 |
| CT scan of the sinuses | $1,068 | $766 | $152 |
| CT scan of the sinuses with and without contrast | $1,193 | $873 | $184 |
| CT scan of the sinuses with contrast | $1,022 | $766 | $152 |
| CT scan of the sinuses without contrast | $1,068 | $696 | $128 |
| DHEA-sulfate test | $88 | $53 | $22 |
| Diagnostic mammogram | $312 | $175 | $140 |
| Drug screen (urine) | $92 | $24 | $17 |
| Echocardiogram | $409 | $437 | $138 |
| Echocardiogram with and without contrast | $356 | $263 | $101 |
| Echocardiogram without contrast | $409 | $437 | $138 |
| EKG / ECG (tracing only) | $198 | $70 | $7 |
| Electrocardiogram (EKG) | $64 | $70 | $8 |
| Electrolyte panel | $18 | $45 | $7 |
| Emergency department visit | $469 | $295 | $69 |
| Emergency department visit (level 1) | $121 | $147 | $11 |
| Emergency department visit (level 2) | $312 | $249 | $40 |
| Emergency department visit (level 3) | $469 | $295 | $69 |
| Emergency department visit (level 4) | $784 | $339 | $118 |
| Emergency department visit (level 5) | $1,136 | $515 | $171 |
| Estradiol (estrogen) test | $176 | $55 | $28 |
| Fecal occult blood (stool) test | $48 | $27 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $35 | $16 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $61 | $38 | $16 |
| Ferritin (iron) test | $139 | $33 | $14 |
| Fibrinogen test | $24 | $24 | $10 |
| Flu test | $66 | $20 | $17 |
| Foreign body removal (skin) | $264 | $168 | $157 |
| Free T4 thyroid test | $109 | $25 | $9 |
| GGT liver test | $58 | $22 | $7 |
| Glucose tolerance test | $72 | $24 | $8 |
| Hematocrit test | $55 | $13 | $2 |
| Hemodialysis | $218 | $714 | $75 |
| Hemoglobin A1c (diabetes test) | $110 | $24 | $10 |
| Hepatitis C test | $176 | $41 | $14 |
| Holter heart monitor | $426 | $156 | $26 |
| IV infusion therapy | $296 | $57 | $44 |
| IV infusion therapy (each additional) | $46 | $29 | $21 |
| IV infusion therapy (initial) | $463 | $85 | $67 |
| Joint aspiration (small/intermediate) | $100 | $59 | $57 |
| Joint aspiration or injection (mid-size joint) | $137 | $60 | $57 |
| Joint aspiration or injection (small joint) | $80 | $58 | $56 |
| Kidney ultrasound | $362 | $294 | $84 |
| Kidney ultrasound (limited) | $252 | $294 | $61 |
| Knee joint injection | $498 | $71 | $69 |
| Lactate test | $78 | $51 | $12 |
| Laryngoscopy | $1,789 | $449 | $189 |
| LDH test | $48 | $20 | $6 |
| LDL cholesterol test | $9 | $53 | $11 |
| Leg vein ultrasound (Doppler) | $709 | $340 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $709 | $373 | $116 |
| Lipase test | $134 | $25 | $7 |
| Lipid (cholesterol) panel | $160 | $30 | $13 |
| Liver function panel | $157 | $51 | $8 |
| Lung function test (PFT) | $355 | $94 | $37 |
| Magnesium blood test | $62 | $20 | $7 |
| MRA of the brain | $852 | $1,016 | $226 |
| MRA of the neck | $1,362 | $1,084 | $245 |
| MRA of the neck with contrast | $1,577 | $1,084 | $245 |
| MRA of the neck without contrast | $1,362 | $1,220 | $343 |
| MRI of the abdomen | $1,193 | $1,152 | $300 |
| MRI of the abdomen with contrast | $1,987 | $1,152 | $300 |
| MRI of the abdomen without contrast | $1,193 | $1,084 | $194 |
| MRI of the ankle | $1,158 | $1,152 | $261 |
| MRI of the ankle without contrast | $1,022 | $1,084 | $222 |
| MRI of the brain | $2,781 | $1,220 | $269 |
| MRI of the brain with contrast | $1,362 | $1,220 | $269 |
| MRI of the brain without contrast | $1,105 | $1,084 | $195 |
| MRI of the chest | $1,563 | $1,084 | $371 |
| MRI of the chest without contrast | $2,889 | $1,220 | $466 |
| MRI of the knee | $1,362 | $1,152 | $315 |
| MRI of the knee without contrast | $1,329 | $1,084 | $204 |
| MRI of the lower back (lumbar spine) | $1,873 | $1,084 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $2,228 | $1,084 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,551 | $1,016 | $192 |
| MRI of the mid-back (thoracic spine) | $1,746 | $1,220 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $1,873 | $1,332 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $1,746 | $1,220 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $1,193 | $1,084 | $190 |
| MRI of the neck (cervical spine) | $1,648 | $1,084 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $1,873 | $1,220 | $318 |
| MRI of the neck (cervical spine) with contrast | $1,746 | $1,084 | $274 |
| MRI of the neck (cervical spine) without contrast | $1,551 | $1,016 | $191 |
| MRI of the pelvis | $1,524 | $1,084 | $268 |
| MRI of the pelvis with contrast | $1,712 | $1,084 | $268 |
| MRI of the pelvis without contrast | $1,336 | $1,016 | $227 |
| MRI of the shoulder | $1,448 | $1,152 | $313 |
| MRI of the shoulder without contrast | $1,678 | $1,084 | $205 |
| MRI of the wrist | $1,448 | $1,152 | $330 |
| MRI of the wrist without contrast | $1,107 | $1,084 | $303 |
| Nebulizer breathing treatment | $258 | $40 | $9 |
| Occupational therapy evaluation | $133 | $140 | $101 |
| Occupational therapy evaluation (high complexity) | $133 | $154 | $101 |
| Occupational therapy evaluation (low complexity) | $133 | $126 | $101 |
| Occupational therapy evaluation (moderate complexity) | $115 | $140 | $101 |
| Office visit (established patient) | $168 | $64 | $115 |
| Office visit (new patient) | $308 | $122 | $177 |
| Office visit, established patient (level 3) | $139 | $55 | $95 |
| Office visit, established patient (level 4) | $203 | $73 | $136 |
| Office visit, new patient (level 3) | $186 | $90 | $118 |
| Office visit, new patient (level 4) | $314 | $122 | $177 |
| Office visit, new patient (level 5) | $410 | $170 | $237 |
| Parathyroid hormone (PTH) test | $156 | $90 | $41 |
| Pelvic ultrasound | $297 | $214 | $78 |
| Pelvic ultrasound (complete) | $304 | $256 | $105 |
| Pelvic ultrasound (limited) | $297 | $172 | $51 |
| Phosphorus blood test | $31 | $25 | $5 |
| Physical therapy evaluation | $137 | $126 | $98 |
| Physical therapy evaluation (high complexity) | $137 | $140 | $98 |
| Physical therapy evaluation (moderate complexity) | $119 | $126 | $98 |
| Platelet count | $11 | $17 | $4 |
| Pregnancy blood test (hCG) | $164 | $32 | $8 |
| Pregnancy ultrasound | $363 | $216 | $126 |
| Pregnancy ultrasound (first trimester) | $363 | $216 | $117 |
| Procalcitonin test | $78 | $45 | $27 |
| Prolactin test | $139 | $43 | $19 |
| Prostate test (PSA) | $137 | $44 | $18 |
| Rheumatoid factor test | $39 | $42 | $6 |
| Scoliosis spine X-ray | $233 | $161 | $58 |
| Scoliosis spine X-ray (3 views) | $233 | $161 | $72 |
| Screening mammogram | $359 | $179 | $126 |
| Scrotal ultrasound | $743 | $369 | $99 |
| Sedimentation rate (ESR) test | $57 | $17 | $3 |
| Simple laceration repair (small, up to 2.5 cm) | $361 | $125 | $114 |
| Simple wound stitches | $543 | $142 | $127 |
| Skin biopsy | $363 | $431 | $121 |
| Skin biopsy (punch) | $363 | $431 | $121 |
| Skin tag removal | $306 | $84 | $92 |
| Soft tissue ultrasound | $278 | $34 | $64 |
| Speech therapy | $186 | $87 | $76 |
| Spinal tap (lumbar puncture) | $1,385 | $90 | $165 |
| Spirometry (lung function test) | $249 | $74 | $30 |
| Spirometry with bronchodilator | $461 | $113 | $43 |
| Swallow study | $202 | $176 | $85 |
| T3 thyroid test | $118 | $34 | $14 |
| Tdap (tetanus) vaccine | $60 | $117 | — |
| Thyroid ultrasound | $473 | $320 | $109 |
| Total IgE allergy test | $27 | $29 | $16 |
| Transvaginal ultrasound | $304 | $245 | $118 |
| Trigger point injection | $366 | $90 | $56 |
| Trigger point injection (1-2 muscles) | $366 | $90 | $52 |
| Triglycerides test | $8 | $30 | $6 |
| Troponin (heart) test | $146 | $39 | $12 |
| Uric acid (gout) test | $64 | $17 | $5 |
| Urinalysis | $8 | $6 | $3 |
| Urine microalbumin test | $51 | $24 | $5 |
| Urine pregnancy test | $52 | $25 | $9 |
| Vaccine administration | $68 | $13 | $19 |
| Vaccine administration (each additional) | $32 | $12 | $16 |
| Vitamin B12 test | $130 | $38 | $15 |
| Vitamin D test | $155 | $91 | $30 |
| Wart removal | $161 | $84 | $121 |
| Wound debridement | $423 | $406 | $186 |
| X-ray of the abdomen | $207 | $154 | $36 |
| X-ray of the ankle | $252 | $75 | $37 |
| X-ray of the collarbone | $175 | $73 | $33 |
| X-ray of the elbow | $270 | $100 | $33 |
| X-ray of the facial bones | $238 | $115 | $39 |
| X-ray of the foot | $206 | $90 | $34 |
| X-ray of the forearm | $216 | $73 | $29 |
| X-ray of the hand | $448 | $76 | $38 |
| X-ray of the hip | $186 | $94 | $49 |
| X-ray of the hip (3 views) | $186 | $94 | $49 |
| X-ray of the knee | $168 | $86 | $42 |
| X-ray of the knee (2 views) | $168 | $74 | $34 |
| X-ray of the knee (4+ views) | $259 | $99 | $49 |
| X-ray of the lower back (lumbar spine) | $371 | $119 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $309 | $99 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $432 | $139 | $53 |
| X-ray of the lower leg | $221 | $73 | $31 |
| X-ray of the mid-back (thoracic spine) | $309 | $94 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $170 | $94 | $33 |
| X-ray of the neck (cervical spine) | $288 | $92 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $288 | $92 | $40 |
| X-ray of the pelvis | $309 | $82 | $36 |
| X-ray of the pelvis (1 view) | $309 | $82 | $28 |
| X-ray of the ribs | $184 | $110 | $42 |
| X-ray of the ribs (3 views) | $206 | $110 | $42 |
| X-ray of the shoulder | $238 | $91 | $36 |
| X-ray of the skull | $278 | $118 | $40 |
| X-ray of the upper arm | $179 | $80 | $32 |
| X-ray of the wrist | $259 | $76 | $43 |
| Zinc blood test | $59 | $17 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
