| Procedure | Memorial Hospital | Madison Health | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $36 | $62 | $51 |
| Abdominal fluid drain (paracentesis) | $1,468 | $2,842 | $284 |
| Abdominal ultrasound | $488 | $1,373 | $100 |
| Abdominal ultrasound (complete) | $520 | $1,830 | $114 |
| Abdominal ultrasound (limited) | $488 | $916 | $86 |
| Abscess drainage (complex or multiple) | $693 | $937 | $220 |
| Abscess drainage (simple) | $504 | $456 | $129 |
| Abscess incision and drainage | $504 | $696 | $174 |
| Albumin blood test | $7 | $45 | $5 |
| Aldosterone test | $83 | $388 | $41 |
| Alkaline phosphatase test | $10 | $54 | $5 |
| Alpha-fetoprotein (AFP) test | $47 | $56 | $17 |
| ALT liver enzyme test | $14 | $58 | $5 |
| Ammonia blood test | $52 | $219 | $15 |
| Amylase test | $47 | $104 | $6 |
| Antinuclear antibody (ANA) test | $149 | $86 | $12 |
| Arterial blood gas (ABG) | $95 | $217 | $26 |
| AST liver enzyme test | $14 | $55 | $5 |
| Barium swallow study | $434 | $696 | $107 |
| Basic metabolic panel | $57 | $61 | $8 |
| Bilirubin blood test | $7 | $64 | $5 |
| Blood clotting test (PT/INR) | $27 | $32 | $4 |
| Blood glucose test | $16 | $35 | $5 |
| Blood transfusion | $918 | $1,013 | $47 |
| Blood type and screen | $66 | $69 | $10 |
| Blood type test | $59 | $68 | $3 |
| Blood type test (ABO group) | $86 | $74 | $3 |
| Blood type test (Rh/D antigen) | $31 | $61 | $3 |
| BNP (heart failure) test | $153 | $162 | $39 |
| Bone density scan (DEXA) | $341 | $667 | $39 |
| Bone marrow biopsy | $2,553 | $742 | $172 |
| Bone scan (nuclear) | $1,709 | $2,154 | $259 |
| Botox for migraine | $454 | $687 | $157 |
| Breast biopsy | $3,431 | $2,699 | $478 |
| Breast ultrasound | $683 | $937 | $92 |
| Breast ultrasound (complete) | $715 | $1,041 | $100 |
| Breast ultrasound (limited) | $561 | $833 | $84 |
| Breathing tube insertion (intubation) | $694 | $891 | $133 |
| Burn dressing and debridement (medium) | $459 | $770 | $166 |
| Burn dressing and debridement (small) | $283 | $551 | $93 |
| Burn treatment | $371 | $660 | $129 |
| C-reactive protein (CRP) | $30 | $64 | $5 |
| CA 19-9 tumor marker test | $107 | $170 | $21 |
| CA-125 ovarian marker test | $128 | $125 | $21 |
| Calcium blood test | $36 | $55 | $5 |
| Cardiac stress test | $798 | $710 | $39 |
| Cardioversion | $2,321 | $1,170 | $155 |
| Carotid artery ultrasound | $1,010 | $1,186 | $156 |
| CEA tumor marker test | $129 | $112 | $19 |
| Central line placement | $2,068 | $2,386 | $238 |
| Chemotherapy infusion | $755 | $596 | $81 |
| Chemotherapy infusion (each additional) | $562 | $404 | $28 |
| Chemotherapy infusion (first hour) | $917 | $789 | $133 |
| Chest fluid drain (thoracentesis) | $2,348 | $1,372 | $311 |
| Chest X-ray | $233 | $404 | $37 |
| Chest X-ray (1 view) | $211 | $404 | $25 |
| Chest X-ray (2 views) | $260 | $461 | $33 |
| CK-MB heart enzyme test | $40 | $94 | $12 |
| Clotting time test (PTT) | $40 | $52 | $6 |
| Colonoscopy | $3,819 | $3,704 | $480 |
| Complete blood count (CBC) | $42 | $34 | $7 |
| Complete blood count (CBC) (complete) | $42 | $41 | $8 |
| Comprehensive metabolic panel | $85 | $86 | $11 |
| Copper blood test | $53 | $143 | $12 |
| Cortisol test | $70 | $122 | $16 |
| CPAP titration study | $319 | $234 | $69 |
| Creatine kinase (CK) test | $82 | $90 | $7 |
| CT angiography of the chest | $1,201 | $1,629 | $281 |
| CT angiography of the head | $1,347 | $2,350 | $274 |
| CT scan of the abdomen | $911 | $2,793 | $230 |
| CT scan of the abdomen and pelvis | $1,463 | $1,883 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $1,576 | $2,028 | $338 |
| CT scan of the abdomen and pelvis with contrast | $1,463 | $1,883 | $300 |
| CT scan of the abdomen and pelvis without contrast | $1,333 | $1,837 | $183 |
| CT scan of the abdomen with and without contrast | $926 | $3,350 | $259 |
| CT scan of the abdomen with contrast | $813 | $2,793 | $230 |
| CT scan of the abdomen without contrast | $781 | $2,328 | $136 |
| CT scan of the arm | $780 | $2,548 | $199 |
| CT scan of the arm with contrast | $780 | $2,548 | $199 |
| CT scan of the arm without contrast | $650 | $2,328 | $161 |
| CT scan of the chest | $1,224 | $1,462 | $167 |
| CT scan of the chest with and without contrast | $1,099 | $2,956 | $196 |
| CT scan of the chest with contrast | $1,300 | $1,462 | $167 |
| CT scan of the chest without contrast | $813 | $1,424 | $133 |
| CT scan of the head | $880 | $2,165 | $148 |
| CT scan of the head with and without contrast | $978 | $2,883 | $173 |
| CT scan of the head with contrast | $913 | $2,165 | $148 |
| CT scan of the head without contrast | $845 | $1,356 | $107 |
| CT scan of the leg | $813 | $2,530 | $166 |
| CT scan of the leg with contrast | $813 | $2,548 | $166 |
| CT scan of the leg without contrast | $666 | $2,328 | $130 |
| CT scan of the lower back (lumbar spine) | $970 | $2,737 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,052 | $2,911 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $970 | $2,737 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $929 | $2,422 | $130 |
| CT scan of the neck | $943 | $1,433 | $183 |
| CT scan of the neck (cervical spine) | $1,040 | $2,178 | $168 |
| CT scan of the neck (cervical spine) with contrast | $1,053 | $3,001 | $168 |
| CT scan of the neck (cervical spine) without contrast | $924 | $1,356 | $131 |
| CT scan of the neck with and without contrast | $1,059 | $2,722 | $220 |
| CT scan of the neck with contrast | $943 | $1,433 | $183 |
| CT scan of the neck without contrast | $813 | $1,290 | $150 |
| CT scan of the pelvis | $882 | $2,559 | $226 |
| CT scan of the pelvis with and without contrast | $1,028 | $2,956 | $251 |
| CT scan of the pelvis with contrast | $949 | $2,559 | $226 |
| CT scan of the pelvis without contrast | $748 | $2,446 | $133 |
| CT scan of the sinuses | $879 | $2,006 | $152 |
| CT scan of the sinuses with and without contrast | $1,052 | $2,054 | $184 |
| CT scan of the sinuses with contrast | $879 | $2,006 | $152 |
| CT scan of the sinuses without contrast | $749 | $1,321 | $128 |
| D-dimer test | $121 | $162 | $10 |
| DHEA-sulfate test | $55 | $230 | $22 |
| Diagnostic mammogram | $471 | $370 | $140 |
| Drug screen (urine) | $88 | $67 | $17 |
| Echocardiogram | $928 | $2,300 | $138 |
| Echocardiogram with and without contrast | $813 | $1,063 | $101 |
| EKG / ECG (tracing only) | $137 | $364 | $7 |
| Electrocardiogram (EKG) | $137 | $364 | $8 |
| Electroencephalogram (EEG) | $1,152 | $930 | $448 |
| Electrolyte panel | $53 | $43 | $7 |
| Emergency department visit | $876 | $1,598 | $69 |
| Emergency department visit (level 1) | $267 | $369 | $11 |
| Emergency department visit (level 2) | $553 | $770 | $40 |
| Emergency department visit (level 3) | $876 | $1,598 | $69 |
| Emergency department visit (level 4) | $1,300 | $2,474 | $118 |
| Emergency department visit (level 5) | $1,625 | $3,432 | $171 |
| Esophageal dilation | $341 | $1,194 | $522 |
| Estradiol (estrogen) test | $84 | $67 | $28 |
| Facet joint injection (spine) | $2,340 | $540 | $99 |
| Fallopian tube X-ray (HSG) | $343 | $1,665 | $164 |
| Fecal occult blood (stool) test | $41 | $77 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $41 | $77 | $4 |
| Feeding tube (PEG) placement | $2,918 | $3,082 | $178 |
| Ferritin (iron) test | $42 | $210 | $14 |
| Fibrinogen test | $43 | $181 | $10 |
| Flexible sigmoidoscopy | $2,392 | $2,687 | $323 |
| Folate (folic acid) test | $39 | $115 | $15 |
| Foreign body removal (skin) | $697 | $1,094 | $157 |
| Free T4 thyroid test | $44 | $126 | $9 |
| FSH hormone test | $51 | $77 | $19 |
| Gallbladder scan (HIDA) | $1,953 | $2,548 | $334 |
| GGT liver test | $33 | $52 | $7 |
| Glucose tolerance test | $33 | $113 | $8 |
| HDL cholesterol test | $31 | $52 | $8 |
| Hemoglobin A1c (diabetes test) | $64 | $94 | $10 |
| Hepatitis B test | $26 | $187 | $10 |
| Hepatitis C test | $36 | $172 | $14 |
| HIV test | $48 | $41 | $19 |
| HIV test (antibody) | $36 | $39 | $14 |
| HIV test (antigen/antibody combo) | $58 | $47 | $24 |
| Holter heart monitor | $417 | $448 | $26 |
| Home sleep apnea test | $837 | $927 | $123 |
| Iron blood test | $33 | $34 | $6 |
| IV infusion therapy | $310 | $463 | $44 |
| IV infusion therapy (each additional) | $117 | $270 | $21 |
| IV infusion therapy (initial) | $313 | $657 | $67 |
| Joint aspiration (small/intermediate) | $359 | $687 | $57 |
| Joint aspiration or injection (mid-size joint) | $453 | $687 | $57 |
| Joint aspiration or injection (small joint) | $305 | $687 | $56 |
| Kidney biopsy | $1,713 | $2,402 | $492 |
| Kidney scan (nuclear) | $1,354 | $1,700 | $172 |
| Kidney ultrasound | $533 | $706 | $84 |
| Kidney ultrasound (limited) | $547 | $628 | $61 |
| Knee joint injection | $827 | $585 | $69 |
| Lactate test | $50 | $134 | $12 |
| LDH test | $32 | $82 | $6 |
| LDL cholesterol test | $44 | $27 | $11 |
| Leg vein ultrasound (Doppler) | $900 | $1,280 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $900 | $1,055 | $116 |
| LH hormone test | $72 | $58 | $19 |
| Lipase test | $47 | $52 | $7 |
| Lipid (cholesterol) panel | $64 | $95 | $13 |
| Liver biopsy | $1,730 | $2,521 | $288 |
| Liver function panel | $49 | $48 | $8 |
| Lung function test (PFT) | $358 | $654 | $37 |
| Lung scan (V/Q) | $1,169 | $2,826 | $291 |
| Magnesium blood test | $45 | $44 | $7 |
| MMR vaccine | $416 | $634 | — |
| MRA of the brain | $1,430 | $2,769 | $226 |
| MRA of the brain without contrast | $1,365 | $3,926 | $328 |
| MRA of the neck | $1,333 | $3,190 | $245 |
| MRA of the neck with contrast | $1,235 | $3,190 | $245 |
| MRA of the neck without contrast | $1,365 | $3,262 | $343 |
| MRI of the abdomen | $1,364 | $2,662 | $300 |
| MRI of the abdomen without contrast | $1,138 | $2,662 | $194 |
| MRI of the ankle | $1,433 | $2,588 | $261 |
| MRI of the ankle without contrast | $1,160 | $2,064 | $222 |
| MRI of the brain | $1,430 | $2,314 | $269 |
| MRI of the brain with contrast | $1,430 | $2,314 | $269 |
| MRI of the brain without contrast | $1,300 | $2,013 | $195 |
| MRI of the chest | $1,251 | $3,873 | $371 |
| MRI of the chest without contrast | $1,504 | $3,873 | $466 |
| MRI of the knee | $1,365 | $3,194 | $315 |
| MRI of the knee with contrast | $1,170 | $3,194 | $315 |
| MRI of the knee without contrast | $1,170 | $1,742 | $204 |
| MRI of the lower back (lumbar spine) | $1,419 | $4,092 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $1,419 | $4,092 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,235 | $1,790 | $192 |
| MRI of the mid-back (thoracic spine) | $1,387 | $3,248 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $1,645 | $3,834 | $319 |
| MRI of the mid-back (thoracic spine) without contrast | $1,235 | $2,662 | $190 |
| MRI of the neck (cervical spine) | $1,300 | $2,002 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $1,645 | $3,834 | $318 |
| MRI of the neck (cervical spine) with contrast | $1,251 | $2,002 | $274 |
| MRI of the neck (cervical spine) without contrast | $1,235 | $1,742 | $191 |
| MRI of the pelvis | $1,290 | $3,141 | $268 |
| MRI of the pelvis without contrast | $1,144 | $2,574 | $227 |
| MRI of the shoulder | $1,290 | $3,059 | $313 |
| MRI of the shoulder with contrast | $1,290 | $3,059 | $313 |
| MRI of the shoulder without contrast | $1,160 | $1,742 | $205 |
| MRI of the wrist | $1,430 | $4,495 | $330 |
| MRI of the wrist without contrast | $1,116 | $3,578 | $303 |
| Nebulizer breathing treatment | $130 | $104 | $9 |
| Nuclear cardiac stress test | $3,463 | $4,121 | $428 |
| Occupational therapy evaluation | $262 | $402 | $101 |
| Occupational therapy evaluation (high complexity) | $262 | $402 | $101 |
| Occupational therapy evaluation (low complexity) | $227 | $402 | $101 |
| Occupational therapy evaluation (moderate complexity) | $279 | $402 | $101 |
| Office visit (established patient) | $158 | $258 | $115 |
| Office visit (new patient) | $307 | $348 | $177 |
| Office visit, established patient (level 3) | $150 | $207 | $95 |
| Office visit, established patient (level 4) | $159 | $310 | $136 |
| Office visit, new patient (level 3) | $215 | $231 | $118 |
| Office visit, new patient (level 4) | $349 | $348 | $177 |
| Office visit, new patient (level 5) | $476 | $386 | $237 |
| Pap smear (cervical screening) | $77 | $96 | $20 |
| Parathyroid hormone (PTH) test | $72 | $130 | $41 |
| Pelvic ultrasound | $318 | $677 | $78 |
| Pelvic ultrasound (complete) | $345 | $1,030 | $105 |
| Pelvic ultrasound (limited) | $284 | $323 | $51 |
| PET scan | $6,010 | $5,770 | — |
| Phosphorus blood test | $38 | $62 | $5 |
| Physical therapy evaluation | $250 | $402 | $98 |
| Physical therapy evaluation (high complexity) | $286 | $402 | $98 |
| Physical therapy evaluation (moderate complexity) | $250 | $402 | $98 |
| Platelet count | $16 | $63 | $4 |
| Pregnancy blood test (hCG) | $23 | $61 | $8 |
| Pregnancy ultrasound | $456 | $1,077 | $126 |
| Pregnancy ultrasound (first trimester) | $384 | $581 | $117 |
| Pregnancy ultrasound (second or third trimester) | $529 | $1,574 | $136 |
| Procalcitonin test | $189 | $144 | $27 |
| Prolactin test | $81 | $197 | $19 |
| Prostate test (PSA) | $55 | $140 | $18 |
| Radiofrequency nerve ablation | $3,365 | $5,266 | $462 |
| Rheumatoid factor test | $118 | $155 | $6 |
| Scoliosis spine X-ray | $255 | $605 | $58 |
| Scoliosis spine X-ray (1 view) | $209 | $605 | $44 |
| Scoliosis spine X-ray (3 views) | $255 | $655 | $72 |
| Screening mammogram | $150 | $412 | $126 |
| Scrotal ultrasound | $508 | $629 | $99 |
| Sedimentation rate (ESR) test | $32 | $47 | $3 |
| Semen analysis | $118 | $76 | $12 |
| Sex hormone binding globulin test | $88 | $67 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $319 | $362 | $114 |
| Simple wound stitches | $319 | $368 | $127 |
| Skin biopsy | $630 | $419 | $121 |
| Skin biopsy (punch) | $406 | $419 | $121 |
| Sleep study (polysomnography) | $3,269 | $5,609 | $691 |
| Soft tissue ultrasound | $385 | $475 | $64 |
| Speech therapy | $218 | $257 | $76 |
| Spinal cord stimulator | $10,556 | $18,950 | $2,388 |
| Spinal tap (lumbar puncture) | $1,016 | $1,078 | $165 |
| Spine fracture repair (kyphoplasty) | $15,924 | $18,322 | $5,803 |
| Spirometry (lung function test) | $341 | $375 | $30 |
| Spirometry with bronchodilator | $922 | $932 | $43 |
| Strep throat test | $57 | $81 | $17 |
| Stress echocardiogram | $1,476 | $1,912 | $209 |
| Stress echocardiogram (complete) | $1,566 | $2,072 | $233 |
| Swallow study | $257 | $381 | $85 |
| T3 thyroid test | $48 | $43 | $14 |
| Tdap (tetanus) vaccine | $276 | $319 | — |
| Testosterone test | $90 | $84 | $26 |
| Thyroid test (TSH) | $47 | $78 | $17 |
| Thyroid ultrasound | $645 | $629 | $109 |
| Thyroid uptake scan | $1,382 | $365 | $145 |
| Total IgE allergy test | $48 | $186 | $16 |
| Total protein test | $27 | $50 | $4 |
| Transesophageal echocardiogram (TEE) | $1,775 | $1,300 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $1,775 | $1,300 | $239 |
| Transvaginal ultrasound | $521 | $916 | $118 |
| Trigger point injection | $491 | $778 | $56 |
| Trigger point injection (1-2 muscles) | $697 | $869 | $52 |
| Triglycerides test | $30 | $63 | $6 |
| Troponin (heart) test | $62 | $90 | $12 |
| Upper GI endoscopy (EGD) | $3,429 | $2,882 | $371 |
| Upper GI series (barium) | $741 | $956 | $128 |
| Uric acid (gout) test | $20 | $50 | $5 |
| Urinalysis | $17 | $52 | $3 |
| Urine microalbumin test | $49 | $30 | $5 |
| Urine pregnancy test | $23 | $106 | $9 |
| Vaccine administration | $46 | $79 | $19 |
| Vaccine administration (each additional) | $46 | $79 | $16 |
| Vitamin B12 test | $42 | $102 | $15 |
| Vitamin D test | $82 | $165 | $30 |
| Wound debridement | $1,230 | $858 | $186 |
| X-ray of the abdomen | $232 | $298 | $36 |
| X-ray of the ankle | $270 | $486 | $37 |
| X-ray of the collarbone | $208 | $471 | $33 |
| X-ray of the elbow | $322 | $471 | $33 |
| X-ray of the facial bones | $471 | $499 | $39 |
| X-ray of the foot | $332 | $471 | $34 |
| X-ray of the forearm | $254 | $385 | $29 |
| X-ray of the hand | $323 | $471 | $38 |
| X-ray of the hip | $385 | $364 | $49 |
| X-ray of the hip (1 view) | $242 | $364 | $34 |
| X-ray of the hip (3 views) | $385 | $395 | $49 |
| X-ray of the knee | $358 | $386 | $42 |
| X-ray of the knee (2 views) | $252 | $386 | $34 |
| X-ray of the knee (3 views) | $351 | $451 | $42 |
| X-ray of the knee (4+ views) | $364 | $518 | $49 |
| X-ray of the lower back (lumbar spine) | $355 | $820 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $355 | $820 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $395 | $891 | $53 |
| X-ray of the lower leg | $250 | $471 | $31 |
| X-ray of the mid-back (thoracic spine) | $257 | $374 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $227 | $374 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $393 | $838 | $39 |
| X-ray of the neck (cervical spine) | $364 | $387 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $340 | $387 | $40 |
| X-ray of the pelvis | $225 | $351 | $36 |
| X-ray of the pelvis (1 view) | $216 | $351 | $28 |
| X-ray of the ribs | $393 | $349 | $42 |
| X-ray of the ribs (2 views) | $258 | $349 | $36 |
| X-ray of the ribs (3 views) | $409 | $926 | $42 |
| X-ray of the shoulder | $325 | $471 | $36 |
| X-ray of the skull | $232 | $441 | $40 |
| X-ray of the upper arm | $257 | $351 | $32 |
| X-ray of the wrist | $250 | $471 | $43 |
| Zinc blood test | $36 | $58 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
