| Procedure | Memorial Hospital | Mount Carmel St Ann's | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $36 | $57 | $51 |
| Abdominal fluid drain (paracentesis) | $1,468 | $2,446 | $284 |
| Abdominal ultrasound | $488 | $567 | $100 |
| Abdominal ultrasound (complete) | $520 | $578 | $114 |
| Abdominal ultrasound (limited) | $488 | $556 | $86 |
| Abscess drainage (complex or multiple) | $693 | $543 | $220 |
| Abscess incision and drainage | $504 | $543 | $174 |
| ACL knee reconstruction | $24,869 | $49,360 | $889 |
| Albumin blood test | $7 | $20 | $5 |
| Aldosterone test | $83 | $71 | $41 |
| Alkaline phosphatase test | $10 | $19 | $5 |
| Alpha-fetoprotein (AFP) test | $47 | $40 | $17 |
| ALT liver enzyme test | $14 | $18 | $5 |
| Ammonia blood test | $52 | $48 | $15 |
| Amylase test | $47 | $39 | $6 |
| Anal fistula repair | $8,535 | $2,434 | $541 |
| Antinuclear antibody (ANA) test | $149 | $70 | $12 |
| Arterial blood gas (ABG) | $95 | $73 | $26 |
| AST liver enzyme test | $14 | $18 | $5 |
| Barium swallow study | $434 | $265 | $107 |
| Basic metabolic panel | $57 | $66 | $8 |
| Bilirubin blood test | $7 | $19 | $5 |
| Bladder tumor removal (TURBT) | $11,377 | $21,231 | $236 |
| Blood clotting test (PT/INR) | $27 | $31 | $4 |
| Blood glucose test | $16 | $17 | $5 |
| Blood type and screen | $66 | $89 | $10 |
| Blood type test | $59 | $116 | $3 |
| Blood type test (ABO group) | $86 | $173 | $3 |
| Blood type test (Rh/D antigen) | $31 | $60 | $3 |
| BNP (heart failure) test | $153 | $228 | $39 |
| Bone density scan (DEXA) | $341 | $207 | $39 |
| Bone marrow biopsy | $2,553 | $1,897 | $172 |
| Bone scan (nuclear) | $1,709 | $1,601 | $259 |
| Botox for migraine | $454 | $504 | $157 |
| Breast biopsy | $3,431 | $3,891 | $478 |
| Breast MRI | $1,713 | $1,599 | $216 |
| Breast MRI without contrast | $1,713 | $1,793 | $216 |
| Breast ultrasound | $683 | $319 | $92 |
| Breast ultrasound (complete) | $715 | $86 | $100 |
| Breast ultrasound (limited) | $561 | $551 | $84 |
| Breathing tube insertion (intubation) | $694 | $322 | $133 |
| Bronchoscopy | $2,606 | $2,347 | $303 |
| Burn dressing and debridement (medium) | $459 | $315 | $166 |
| Burn dressing and debridement (small) | $283 | $194 | $93 |
| Burn treatment | $371 | $255 | $129 |
| C-reactive protein (CRP) | $30 | $22 | $5 |
| CA 19-9 tumor marker test | $107 | $65 | $21 |
| CA-125 ovarian marker test | $128 | $116 | $21 |
| Calcium blood test | $36 | $21 | $5 |
| Cardiac catheterization | $9,421 | $13,018 | $1,049 |
| Cardiac rehabilitation | $294 | $324 | $26 |
| Cardioversion | $2,321 | $303 | $155 |
| Carotid artery ultrasound | $1,010 | $85 | $156 |
| Carpal tunnel release | $10,429 | $10,303 | $483 |
| CEA tumor marker test | $129 | $88 | $19 |
| Central line placement | $2,068 | $265 | $238 |
| Cervical LEEP procedure | $10,429 | $2,414 | $325 |
| Chemotherapy infusion | $755 | $405 | $81 |
| Chemotherapy infusion (each additional) | $562 | $172 | $28 |
| Chemotherapy infusion (first hour) | $917 | $638 | $133 |
| Chest fluid drain (thoracentesis) | $2,348 | $247 | $311 |
| Chest tube insertion | $1,556 | $406 | $143 |
| Chest X-ray | $233 | $476 | $37 |
| Chest X-ray (2 views) | $260 | $442 | $33 |
| Chickenpox (varicella) vaccine | $480 | $164 | — |
| Clotting time test (PTT) | $40 | $41 | $6 |
| Colonoscopy | $3,819 | $635 | $480 |
| Complete blood count (CBC) | $42 | $48 | $7 |
| Complete blood count (CBC) (complete) | $42 | $31 | $8 |
| Comprehensive metabolic panel | $85 | $62 | $11 |
| Copper blood test | $53 | $52 | $12 |
| Coronary CT angiography | $1,002 | $256 | $326 |
| Cortisol test | $70 | $64 | $16 |
| CPAP titration study | $319 | $526 | $69 |
| Creatine kinase (CK) test | $82 | $26 | $7 |
| CT angiography of the chest | $1,201 | $1,587 | $281 |
| CT angiography of the head | $1,347 | $1,556 | $274 |
| CT scan of the abdomen | $911 | $1,041 | $230 |
| CT scan of the abdomen and pelvis | $1,463 | $2,080 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $1,576 | $2,335 | $338 |
| CT scan of the abdomen and pelvis with contrast | $1,463 | $2,080 | $300 |
| CT scan of the abdomen and pelvis without contrast | $1,333 | $1,851 | $183 |
| CT scan of the abdomen with and without contrast | $926 | $1,170 | $259 |
| CT scan of the abdomen with contrast | $813 | $1,041 | $230 |
| CT scan of the abdomen without contrast | $781 | $623 | $136 |
| CT scan of the arm | $780 | $1,169 | $199 |
| CT scan of the arm with contrast | $780 | $1,100 | $199 |
| CT scan of the arm without contrast | $650 | $1,169 | $161 |
| CT scan of the chest | $1,224 | $1,418 | $167 |
| CT scan of the chest with and without contrast | $1,099 | $1,512 | $196 |
| CT scan of the chest with contrast | $1,300 | $1,418 | $167 |
| CT scan of the chest without contrast | $813 | $1,019 | $133 |
| CT scan of the head | $880 | $992 | $148 |
| CT scan of the head with and without contrast | $978 | $1,056 | $173 |
| CT scan of the head with contrast | $913 | $1,005 | $148 |
| CT scan of the head without contrast | $845 | $978 | $107 |
| CT scan of the leg | $813 | $923 | $166 |
| CT scan of the leg with contrast | $813 | $923 | $166 |
| CT scan of the leg without contrast | $666 | $651 | $130 |
| CT scan of the lower back (lumbar spine) | $970 | $1,387 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,052 | $1,456 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $970 | $1,387 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $929 | $1,321 | $130 |
| CT scan of the neck | $943 | $1,485 | $183 |
| CT scan of the neck (cervical spine) | $1,040 | $1,507 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $1,118 | $1,583 | $196 |
| CT scan of the neck (cervical spine) with contrast | $1,053 | $1,507 | $168 |
| CT scan of the neck (cervical spine) without contrast | $924 | $1,468 | $131 |
| CT scan of the neck with and without contrast | $1,059 | $1,724 | $220 |
| CT scan of the neck with contrast | $943 | $1,485 | $183 |
| CT scan of the neck without contrast | $813 | $710 | $150 |
| CT scan of the pelvis | $882 | $1,119 | $226 |
| CT scan of the pelvis with and without contrast | $1,028 | $1,256 | $251 |
| CT scan of the pelvis with contrast | $949 | $1,119 | $226 |
| CT scan of the pelvis without contrast | $748 | $788 | $133 |
| CT scan of the sinuses | $879 | $949 | $152 |
| CT scan of the sinuses with and without contrast | $1,052 | $1,009 | $184 |
| CT scan of the sinuses with contrast | $879 | $949 | $152 |
| CT scan of the sinuses without contrast | $749 | $888 | $128 |
| D-dimer test | $121 | $44 | $10 |
| Defibrillator (ICD) implant | $28,458 | $12,609 | $798 |
| DHEA-sulfate test | $55 | $50 | $22 |
| Diagnostic mammogram | $471 | $249 | $140 |
| Drug screen (urine) | $88 | $148 | $17 |
| Echocardiogram | $928 | $236 | $138 |
| Echocardiogram with and without contrast | $813 | $85 | $101 |
| Echocardiogram without contrast | $975 | $1,646 | $138 |
| EEG (awake and asleep) | $1,174 | $1,353 | $482 |
| Electrocardiogram (EKG) | $137 | $185 | $8 |
| Electroencephalogram (EEG) | $1,152 | $936 | $448 |
| Electrolyte panel | $53 | $34 | $7 |
| Electromyography (EMG) | $306 | $322 | $141 |
| Emergency department visit | $876 | $1,235 | $69 |
| Emergency department visit (level 1) | $267 | $404 | $11 |
| Emergency department visit (level 2) | $553 | $738 | $40 |
| Emergency department visit (level 3) | $876 | $1,395 | $69 |
| Emergency department visit (level 4) | $1,300 | $1,967 | $118 |
| Emergency department visit (level 5) | $1,625 | $5,167 | $171 |
| Estradiol (estrogen) test | $84 | $83 | $28 |
| Facet joint injection (spine) | $2,340 | $510 | $99 |
| Fallopian tube X-ray (HSG) | $343 | $416 | $164 |
| Fecal occult blood (stool) test | $41 | $36 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $41 | $25 | $4 |
| Ferritin (iron) test | $42 | $76 | $14 |
| Fibrinogen test | $43 | $39 | $10 |
| Flexible sigmoidoscopy | $2,392 | $131 | $323 |
| Flu vaccine | $25 | $25 | — |
| Folate (folic acid) test | $39 | $49 | $15 |
| Foreign body removal (skin) | $697 | $369 | $157 |
| Free T4 thyroid test | $44 | $36 | $9 |
| FSH hormone test | $51 | $86 | $19 |
| Gallbladder removal (laparoscopic) | $20,950 | $39,223 | $658 |
| Gallbladder scan (HIDA) | $1,953 | $2,497 | $334 |
| GGT liver test | $33 | $31 | $7 |
| Glucose tolerance test | $33 | $25 | $8 |
| HDL cholesterol test | $31 | $33 | $8 |
| Hemoglobin A1c (diabetes test) | $64 | $60 | $10 |
| Hepatitis B test | $26 | $34 | $10 |
| Hepatitis C test | $36 | $29 | $14 |
| HIV test | $48 | $38 | $19 |
| HIV test (antibody) | $36 | $34 | $14 |
| HIV test (antigen/antibody combo) | $58 | $41 | $24 |
| Iron blood test | $33 | $25 | $6 |
| Joint aspiration (small/intermediate) | $359 | $450 | $57 |
| Joint aspiration or injection (mid-size joint) | $453 | $450 | $57 |
| Kidney biopsy | $1,713 | $1,739 | $492 |
| Kidney scan (nuclear) | $1,354 | $1,191 | $172 |
| Kidney stone shock-wave (lithotripsy) | $12,716 | $6,910 | $760 |
| Kidney ultrasound | $533 | $747 | $84 |
| Kidney ultrasound (limited) | $547 | $452 | $61 |
| Knee arthroscopy | $13,111 | $25,658 | $524 |
| Lactate test | $50 | $97 | $12 |
| Laminectomy (spine) | $21,998 | $44,343 | $1,157 |
| Laryngoscopy | $430 | $770 | $189 |
| LDH test | $32 | $23 | $6 |
| Leg artery angiogram | $3,502 | $392 | $149 |
| LH hormone test | $72 | $96 | $19 |
| Lipase test | $47 | $46 | $7 |
| Lipid (cholesterol) panel | $64 | $54 | $13 |
| Liver biopsy | $1,730 | $1,752 | $288 |
| Liver function panel | $49 | $33 | $8 |
| Lumbar discectomy | $19,975 | $39,911 | $898 |
| Lung function test (PFT) | $358 | $282 | $37 |
| Lung scan (V/Q) | $1,169 | $1,412 | $291 |
| Magnesium blood test | $45 | $84 | $7 |
| MRA of the brain | $1,430 | $1,399 | $226 |
| MRA of the brain with contrast | $1,235 | $1,093 | $226 |
| MRA of the brain without contrast | $1,365 | $1,705 | $328 |
| MRA of the neck | $1,333 | $1,086 | $245 |
| MRA of the neck with contrast | $1,235 | $1,086 | $245 |
| MRA of the neck without contrast | $1,365 | $1,363 | $343 |
| MRI of the abdomen | $1,364 | $2,073 | $300 |
| MRI of the abdomen without contrast | $1,138 | $1,966 | $194 |
| MRI of the ankle | $1,433 | $2,119 | $261 |
| MRI of the ankle without contrast | $1,160 | $1,344 | $222 |
| MRI of the brain | $1,430 | $1,407 | $269 |
| MRI of the brain with contrast | $1,430 | $1,407 | $269 |
| MRI of the brain without contrast | $1,300 | $1,344 | $195 |
| MRI of the chest | $1,251 | $1,435 | $371 |
| MRI of the chest without contrast | $1,504 | $1,522 | $466 |
| MRI of the knee | $1,365 | $2,111 | $315 |
| MRI of the knee with contrast | $1,170 | $2,111 | $315 |
| MRI of the knee without contrast | $1,170 | $1,852 | $204 |
| MRI of the lower back (lumbar spine) | $1,419 | $1,407 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $1,419 | $1,407 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,235 | $1,236 | $192 |
| MRI of the mid-back (thoracic spine) | $1,387 | $1,407 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $1,645 | $2,009 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $1,387 | $1,407 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $1,235 | $1,075 | $190 |
| MRI of the neck (cervical spine) | $1,300 | $1,660 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $1,645 | $2,179 | $318 |
| MRI of the neck (cervical spine) with contrast | $1,251 | $1,660 | $274 |
| MRI of the neck (cervical spine) without contrast | $1,235 | $1,127 | $191 |
| MRI of the pelvis | $1,290 | $1,515 | $268 |
| MRI of the pelvis without contrast | $1,144 | $1,228 | $227 |
| MRI of the shoulder | $1,290 | $1,821 | $313 |
| MRI of the shoulder with contrast | $1,290 | $2,075 | $313 |
| MRI of the shoulder without contrast | $1,160 | $1,821 | $205 |
| MRI of the wrist | $1,430 | $1,657 | $330 |
| MRI of the wrist without contrast | $1,116 | $1,126 | $303 |
| Nebulizer breathing treatment | $130 | $444 | $9 |
| Neck (cervical) spinal fusion | $2,025 | $63,132 | $1,410 |
| Nerve conduction study | $464 | $398 | $118 |
| Nuclear cardiac stress test | $3,463 | $2,582 | $428 |
| Occupational therapy evaluation | $262 | $451 | $101 |
| Occupational therapy evaluation (high complexity) | $262 | $513 | $101 |
| Occupational therapy evaluation (low complexity) | $227 | $348 | $101 |
| Occupational therapy evaluation (moderate complexity) | $279 | $451 | $101 |
| Office visit (established patient) | $158 | $145 | $115 |
| Office visit (new patient) | $307 | $294 | $177 |
| Office visit, established patient (level 3) | $150 | $140 | $95 |
| Office visit, established patient (level 4) | $159 | $207 | $136 |
| Office visit, new patient (level 3) | $215 | $181 | $118 |
| Office visit, new patient (level 4) | $349 | $294 | $177 |
| Office visit, new patient (level 5) | $476 | $399 | $237 |
| Pap smear (cervical screening) | $77 | $65 | $20 |
| Parathyroid hormone (PTH) test | $72 | $72 | $41 |
| Pelvic ultrasound | $318 | $318 | $78 |
| Pelvic ultrasound (complete) | $345 | $586 | $105 |
| Pelvic ultrasound (limited) | $284 | $219 | $51 |
| PET scan | $6,010 | $4,335 | — |
| Phosphorus blood test | $38 | $43 | $5 |
| Physical therapy evaluation | $250 | $475 | $98 |
| Physical therapy evaluation (high complexity) | $286 | $575 | $98 |
| Physical therapy evaluation (moderate complexity) | $250 | $475 | $98 |
| Platelet count | $16 | $25 | $4 |
| Pneumonia vaccine | $498 | $29 | — |
| Pregnancy blood test (hCG) | $23 | $46 | $8 |
| Pregnancy ultrasound | $456 | $434 | $126 |
| Pregnancy ultrasound (first trimester) | $384 | $393 | $117 |
| Pregnancy ultrasound (second or third trimester) | $529 | $475 | $136 |
| Procalcitonin test | $189 | $293 | $27 |
| Prolactin test | $81 | $77 | $19 |
| Prostate surgery (TURP) | $15,070 | $23,412 | $526 |
| Prostate test (PSA) | $55 | $77 | $18 |
| Pulmonary rehabilitation | $364 | $114 | $87 |
| Radiofrequency nerve ablation | $3,365 | $5,123 | $462 |
| Rheumatoid factor test | $118 | $81 | $6 |
| Scoliosis spine X-ray | $255 | $232 | $58 |
| Scoliosis spine X-ray (1 view) | $209 | $194 | $44 |
| Scoliosis spine X-ray (3 views) | $255 | $270 | $72 |
| Screening colonoscopy | $3,673 | $460 | $378 |
| Screening mammogram | $150 | $79 | $126 |
| Scrotal ultrasound | $508 | $439 | $99 |
| Sedimentation rate (ESR) test | $32 | $18 | $3 |
| Sex hormone binding globulin test | $88 | $46 | $22 |
| Shingles vaccine | $120 | $195 | — |
| Simple laceration repair (small, up to 2.5 cm) | $319 | $196 | $114 |
| Simple wound stitches | $319 | $218 | $127 |
| Skin biopsy | $630 | $464 | $121 |
| Skin biopsy (punch) | $406 | $465 | $121 |
| Sleep study (polysomnography) | $3,269 | $2,372 | $691 |
| Soft tissue ultrasound | $385 | $385 | $64 |
| Speech therapy | $218 | $146 | $76 |
| Spinal tap (lumbar puncture) | $1,016 | $163 | $165 |
| Spine fracture repair (kyphoplasty) | $15,924 | $6,689 | $5,803 |
| Spirometry (lung function test) | $341 | $202 | $30 |
| Spirometry with bronchodilator | $922 | $363 | $43 |
| Strep throat test | $57 | $54 | $17 |
| Stress echocardiogram | $1,476 | $2,342 | $209 |
| Stress echocardiogram (complete) | $1,566 | $2,632 | $233 |
| T3 thyroid test | $48 | $43 | $14 |
| Tdap (tetanus) vaccine | $276 | $36 | — |
| Testosterone test | $90 | $153 | $26 |
| Thyroid test (TSH) | $47 | $67 | $17 |
| Thyroid ultrasound | $645 | $589 | $109 |
| Thyroid uptake scan | $1,382 | $988 | $145 |
| Tilt table test | $1,820 | $2,201 | $168 |
| Total IgE allergy test | $48 | $45 | $16 |
| Total protein test | $27 | $15 | $4 |
| Transesophageal echocardiogram (TEE) | $1,775 | $280 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $1,775 | $280 | $239 |
| Transvaginal ultrasound | $521 | $536 | $118 |
| Trigger finger release | $9,620 | $9,369 | $630 |
| Trigger point injection | $491 | $843 | $56 |
| Trigger point injection (1-2 muscles) | $697 | $823 | $52 |
| Triglycerides test | $30 | $25 | $6 |
| Troponin (heart) test | $62 | $99 | $12 |
| Turning a breech baby (version) | $2,665 | $1,207 | $94 |
| Ulnar nerve surgery (elbow) | $16,113 | $18,306 | $575 |
| Upper GI endoscopy (EGD) | $3,429 | $302 | $371 |
| Upper GI series (barium) | $741 | $470 | $128 |
| Ureteral stent placement | $10,790 | $21,278 | $373 |
| Ureteroscopy (stone removal) | $13,111 | $40,959 | $365 |
| Uric acid (gout) test | $20 | $19 | $5 |
| Urinalysis | $17 | $14 | $3 |
| Urine microalbumin test | $49 | $24 | $5 |
| Vaccine administration | $46 | $40 | $19 |
| Vaccine administration (each additional) | $46 | $25 | $16 |
| Varicose vein ablation | $4,263 | $803 | $1,018 |
| Vitamin B12 test | $42 | $88 | $15 |
| Vitamin D test | $82 | $73 | $30 |
| Wart removal | $570 | $148 | $121 |
| Wound debridement | $1,230 | $1,324 | $186 |
| X-ray of the abdomen | $232 | $286 | $36 |
| X-ray of the ankle | $270 | $479 | $37 |
| X-ray of the collarbone | $208 | $298 | $33 |
| X-ray of the elbow | $322 | $242 | $33 |
| X-ray of the facial bones | $471 | $199 | $39 |
| X-ray of the foot | $332 | $280 | $34 |
| X-ray of the forearm | $254 | $298 | $29 |
| X-ray of the hand | $323 | $360 | $38 |
| X-ray of the hip | $385 | $234 | $49 |
| X-ray of the hip (1 view) | $242 | $172 | $34 |
| X-ray of the hip (3 views) | $385 | $356 | $49 |
| X-ray of the knee | $358 | $281 | $42 |
| X-ray of the knee (2 views) | $252 | $281 | $34 |
| X-ray of the knee (3 views) | $351 | $225 | $42 |
| X-ray of the knee (4+ views) | $364 | $308 | $49 |
| X-ray of the lower back (lumbar spine) | $355 | $377 | $47 |
| X-ray of the lower back (lumbar spine) (4+ views) | $395 | $377 | $53 |
| X-ray of the lower leg | $250 | $267 | $31 |
| X-ray of the mid-back (thoracic spine) | $257 | $231 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $227 | $215 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $393 | $246 | $39 |
| X-ray of the neck (cervical spine) | $364 | $317 | $47 |
| X-ray of the pelvis | $225 | $320 | $36 |
| X-ray of the ribs | $393 | $293 | $42 |
| X-ray of the ribs (2 views) | $258 | $199 | $36 |
| X-ray of the ribs (3 views) | $409 | $293 | $42 |
| X-ray of the shoulder | $325 | $387 | $36 |
| X-ray of the skull | $232 | $270 | $40 |
| X-ray of the wrist | $250 | $228 | $43 |
| Zinc blood test | $36 | $32 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
