| Procedure | Mercy Hospital | Fairview Lakes Health Services | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $35 | $43 | $51 |
| Abdominal fluid drain (paracentesis) | $685 | $820 | $284 |
| Abdominal ultrasound | $199 | $217 | $100 |
| Abdominal ultrasound (complete) | $304 | $278 | $114 |
| Abdominal ultrasound (limited) | $171 | $217 | $86 |
| Abscess drainage (complex or multiple) | $472 | $412 | $220 |
| Abscess drainage (simple) | $530 | $294 | $129 |
| Abscess incision and drainage | $523 | $370 | $174 |
| Acupuncture | $88 | $77 | $38 |
| Albumin blood test | $26 | $18 | $5 |
| Aldosterone test | $40 | $32 | $41 |
| Alkaline phosphatase test | $25 | $16 | $5 |
| Alpha-fetoprotein (AFP) test | $32 | $55 | $17 |
| ALT liver enzyme test | $18 | $19 | $5 |
| Ammonia blood test | $29 | $41 | $15 |
| Amniocentesis | $1,323 | $737 | $120 |
| Amylase test | $27 | $34 | $6 |
| Anoscopy | $99 | $138 | $129 |
| Antinuclear antibody (ANA) test | $64 | $21 | $12 |
| Aortic valve replacement | $31,124 | $11,885 | $1,603 |
| Arterial blood gas (ABG) | $89 | $57 | $26 |
| AST liver enzyme test | $18 | $20 | $5 |
| Barium swallow study | $208 | $295 | $107 |
| Basic metabolic panel | $122 | $68 | $8 |
| Bilirubin blood test | $21 | $15 | $5 |
| Bladder function test (urodynamics) | $1,117 | $643 | $345 |
| Bladder scope (cystoscopy) | $899 | $747 | $216 |
| Blood clotting test (PT/INR) | $47 | $31 | $4 |
| Blood crossmatch | $40 | $121 | — |
| Blood glucose test | $22 | $18 | $5 |
| Blood transfusion | $620 | $476 | $47 |
| Blood type and screen | $109 | $52 | $10 |
| Blood type test | $37 | $39 | $3 |
| Blood type test (ABO group) | $37 | $44 | $3 |
| Blood type test (Rh/D antigen) | $27 | $39 | $3 |
| BNP (heart failure) test | $51 | $112 | $39 |
| Bone density scan (DEXA) | $144 | $158 | $39 |
| Bone marrow biopsy | $1,243 | $2,183 | $172 |
| Bone scan (nuclear) | $595 | $638 | $259 |
| Botox for migraine | $1,448 | $607 | $157 |
| Breast biopsy | $2,333 | $1,735 | $478 |
| Breast MRI | $456 | $511 | $216 |
| Breast MRI without contrast | $456 | $511 | $216 |
| Breast ultrasound | $172 | $208 | $92 |
| Breast ultrasound (complete) | $229 | $218 | $100 |
| Breast ultrasound (limited) | $172 | $198 | $84 |
| Breathing tube insertion (intubation) | $1,343 | $338 | $133 |
| Burn dressing and debridement (small) | $397 | $209 | $93 |
| Burn treatment | $397 | $221 | $129 |
| C-reactive protein (CRP) | $29 | $20 | $5 |
| CA 19-9 tumor marker test | $43 | $61 | $21 |
| CA-125 ovarian marker test | $31 | $46 | $21 |
| Calcium blood test | $20 | $16 | $5 |
| Cardiac ablation | $29,243 | $20,136 | $759 |
| Cardiac catheterization | $6,854 | $3,712 | $1,049 |
| Cardiac MRI | $1,186 | $638 | $322 |
| Cardiac MRI without contrast | $1,095 | $638 | $280 |
| Cardiac rehabilitation | $188 | $147 | $26 |
| Cardiac stress test | $531 | $425 | $39 |
| Cardioversion | $2,077 | $723 | $155 |
| Carotid artery ultrasound | $370 | $204 | $156 |
| CEA tumor marker test | $32 | $53 | $19 |
| Celiac disease test | $31 | $40 | $12 |
| Central line placement | $1,753 | $2,073 | $238 |
| Chemotherapy infusion | $466 | $313 | $81 |
| Chemotherapy infusion (each additional) | $309 | $187 | $28 |
| Chemotherapy infusion (first hour) | $622 | $440 | $133 |
| Chest fluid drain (thoracentesis) | $920 | $776 | $311 |
| Chest tube insertion | $1,320 | $1,503 | $143 |
| Chest X-ray | $138 | $111 | $37 |
| Chest X-ray (1 view) | $173 | $128 | $25 |
| Chest X-ray (2 views) | $173 | $139 | $33 |
| Chickenpox (varicella) vaccine | $343 | $142 | — |
| CK-MB heart enzyme test | $40 | $38 | $12 |
| Clotting time test (PTT) | $47 | $59 | $6 |
| Complete blood count (CBC) | $32 | $43 | $7 |
| Complete blood count (CBC) (complete) | $32 | $43 | $8 |
| Comprehensive metabolic panel | $222 | $89 | $11 |
| Contraceptive implant (Nexplanon) | $3,056 | $487 | $115 |
| Copper blood test | $26 | $32 | $12 |
| Coronary CT angiography | $2,159 | $1,008 | $326 |
| Cortisol test | $35 | $33 | $16 |
| COVID-19 PCR test | $141 | $53 | $51 |
| CPAP titration study | $409 | $316 | $69 |
| Creatine kinase (CK) test | $19 | $21 | $7 |
| CT angiography of the chest | $432 | $537 | $281 |
| CT angiography of the head | $864 | $511 | $274 |
| CT colonography (virtual colonoscopy) | $1,080 | $1,402 | $835 |
| CT scan of the abdomen | $540 | $624 | $230 |
| CT scan of the abdomen and pelvis | $864 | $561 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $1,080 | $817 | $338 |
| CT scan of the abdomen and pelvis with contrast | $864 | $607 | $300 |
| CT scan of the abdomen and pelvis without contrast | $648 | $516 | $183 |
| CT scan of the abdomen with and without contrast | $864 | $719 | $259 |
| CT scan of the abdomen with contrast | $648 | $624 | $230 |
| CT scan of the abdomen without contrast | $381 | $471 | $136 |
| CT scan of the arm | $864 | $643 | $199 |
| CT scan of the arm with contrast | $864 | $689 | $199 |
| CT scan of the arm without contrast | $648 | $735 | $161 |
| CT scan of the chest | $270 | $468 | $167 |
| CT scan of the chest with and without contrast | $432 | $392 | $196 |
| CT scan of the chest with contrast | $324 | $574 | $167 |
| CT scan of the chest without contrast | $234 | $469 | $133 |
| CT scan of the head | $648 | $480 | $148 |
| CT scan of the head with and without contrast | $864 | $480 | $173 |
| CT scan of the head with contrast | $648 | $480 | $148 |
| CT scan of the head without contrast | $432 | $361 | $107 |
| CT scan of the leg | $936 | $608 | $166 |
| CT scan of the leg with contrast | $936 | $689 | $166 |
| CT scan of the leg without contrast | $720 | $664 | $130 |
| CT scan of the lower back (lumbar spine) | $648 | $420 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $861 | $370 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $648 | $627 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $432 | $407 | $130 |
| CT scan of the neck | $432 | $564 | $183 |
| CT scan of the neck (cervical spine) | $648 | $472 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $864 | $349 | $196 |
| CT scan of the neck (cervical spine) with contrast | $648 | $551 | $168 |
| CT scan of the neck (cervical spine) without contrast | $432 | $472 | $131 |
| CT scan of the neck with and without contrast | $648 | $573 | $220 |
| CT scan of the neck with contrast | $432 | $562 | $183 |
| CT scan of the neck without contrast | $288 | $569 | $150 |
| CT scan of the pelvis | $648 | $491 | $226 |
| CT scan of the pelvis with and without contrast | $864 | $407 | $251 |
| CT scan of the pelvis with contrast | $648 | $650 | $226 |
| CT scan of the pelvis without contrast | $648 | $491 | $133 |
| CT scan of the sinuses | $756 | $573 | $152 |
| CT scan of the sinuses with and without contrast | $864 | $573 | $184 |
| CT scan of the sinuses with contrast | $648 | $573 | $152 |
| CT scan of the sinuses without contrast | $648 | $561 | $128 |
| D-dimer test | $56 | $41 | $10 |
| Defibrillator (ICD) implant | $10,461 | $29,085 | $798 |
| DHEA-sulfate test | $30 | $58 | $22 |
| Diagnostic mammogram | $440 | $179 | $140 |
| Drug screen (urine) | $81 | $39 | $17 |
| Ear pressure test (tympanometry) | $101 | $50 | $16 |
| Echocardiogram | $568 | $446 | $138 |
| Echocardiogram with and without contrast | $433 | $446 | $101 |
| EEG (awake and asleep) | $291 | $342 | $482 |
| EKG / ECG (tracing only) | $124 | $82 | $7 |
| Electrocardiogram (EKG) | $124 | $37 | $8 |
| Electroencephalogram (EEG) | $291 | $337 | $448 |
| Electrolyte panel | $35 | $32 | $7 |
| Electromyography (EMG) | $140 | $191 | $141 |
| Emergency department visit | $332 | $288 | $69 |
| Emergency department visit (level 1) | $91 | $206 | $11 |
| Emergency department visit (level 2) | $173 | $239 | $40 |
| Emergency department visit (level 3) | $332 | $288 | $69 |
| Emergency department visit (level 4) | $617 | $498 | $118 |
| Emergency department visit (level 5) | $913 | $708 | $171 |
| Epidural steroid injection | $1,126 | $711 | $275 |
| Esophageal dilation | $2,222 | $1,183 | $522 |
| Estradiol (estrogen) test | $30 | $62 | $28 |
| Facet joint injection (spine) | $984 | $928 | $99 |
| Fallopian tube X-ray (HSG) | $372 | $446 | $164 |
| Family therapy session | $119 | $232 | $110 |
| Fecal occult blood (stool) test | $47 | $42 | $10 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $47 | $48 | $16 |
| Ferritin (iron) test | $23 | $47 | $14 |
| Fibrinogen test | $35 | $32 | $10 |
| Folate (folic acid) test | $18 | $38 | $15 |
| Foreign body removal (skin) | $390 | $598 | $157 |
| Free T4 thyroid test | $25 | $31 | $9 |
| FSH hormone test | $27 | $46 | $19 |
| Gallbladder scan (HIDA) | $1,116 | $648 | $334 |
| GGT liver test | $24 | $20 | $7 |
| Glucose tolerance test | $28 | $24 | $8 |
| Group therapy session | $162 | $138 | $30 |
| HDL cholesterol test | $25 | $27 | $8 |
| Hearing test (audiometry) | $341 | $146 | $36 |
| Hematocrit test | $34 | $17 | $2 |
| Hemoglobin A1c (diabetes test) | $25 | $26 | $10 |
| Hepatitis A vaccine | $132 | $59 | — |
| Hepatitis B test | $29 | $37 | $10 |
| Hepatitis B vaccine | $103 | $53 | — |
| Hepatitis C test | $29 | $51 | $14 |
| HIV test | $42 | $45 | $19 |
| HIV test (antibody) | $72 | $45 | $14 |
| HIV test (antigen/antibody combo) | $24 | $44 | $24 |
| Holter heart monitor | $231 | $153 | $26 |
| HPV vaccine | $379 | $122 | — |
| Iron blood test | $21 | $30 | $6 |
| IV infusion therapy | $271 | $160 | $44 |
| IV infusion therapy (each additional) | $164 | $113 | $21 |
| IV infusion therapy (initial) | $409 | $228 | $67 |
| IVC filter placement | $6,008 | $5,945 | $1,885 |
| Joint aspiration (small/intermediate) | $610 | $324 | $57 |
| Joint aspiration or injection (mid-size joint) | $610 | $343 | $57 |
| Joint aspiration or injection (small joint) | $835 | $324 | $56 |
| Kidney biopsy | $842 | $1,735 | $492 |
| Kidney scan (nuclear) | $893 | $651 | $172 |
| Kidney stone shock-wave (lithotripsy) | $4,166 | $1,880 | $760 |
| Kidney ultrasound | $228 | $229 | $84 |
| Kidney ultrasound (limited) | $216 | $228 | $61 |
| Knee joint injection | $633 | $530 | $69 |
| Lactate test | $27 | $31 | $12 |
| Laryngoscopy | $408 | $527 | $189 |
| LDH test | $21 | $20 | $6 |
| LDL cholesterol test | $20 | $30 | $11 |
| Leg artery angiogram | $2,515 | $3,445 | $149 |
| Leg vein ultrasound (Doppler) | $592 | $222 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $342 | $193 | $116 |
| LH hormone test | $27 | $41 | $19 |
| Lipase test | $22 | $29 | $7 |
| Lipid (cholesterol) panel | $18 | $39 | $13 |
| Liver biopsy | $746 | $1,310 | $288 |
| Liver function panel | $66 | $48 | $8 |
| Lung function test (PFT) | $146 | $178 | $37 |
| Lung scan (V/Q) | $595 | $589 | $291 |
| Magnesium blood test | $18 | $26 | $7 |
| MMR vaccine | $166 | $82 | — |
| MRA of the brain | $912 | $766 | $226 |
| MRA of the brain with contrast | $912 | $767 | $226 |
| MRA of the brain without contrast | $1,095 | $658 | $328 |
| MRA of the neck | $731 | $611 | $245 |
| MRA of the neck with contrast | $731 | $611 | $245 |
| MRA of the neck without contrast | $912 | $588 | $343 |
| MRI of the abdomen | $1,231 | $721 | $300 |
| MRI of the abdomen with contrast | $1,231 | $609 | $300 |
| MRI of the abdomen without contrast | $1,095 | $832 | $194 |
| MRI of the ankle | $1,095 | $699 | $261 |
| MRI of the ankle with contrast | $751 | $699 | $261 |
| MRI of the ankle without contrast | $1,095 | $873 | $222 |
| MRI of the brain | $548 | $900 | $269 |
| MRI of the brain with contrast | $629 | $900 | $269 |
| MRI of the brain without contrast | $547 | $643 | $195 |
| MRI of the chest | $1,003 | $622 | $371 |
| MRI of the chest with contrast | $1,003 | $622 | $371 |
| MRI of the chest without contrast | $1,186 | $622 | $466 |
| MRI of the knee | $1,049 | $806 | $315 |
| MRI of the knee with contrast | $1,642 | $681 | $315 |
| MRI of the knee without contrast | $718 | $806 | $204 |
| MRI of the lower back (lumbar spine) | $708 | $760 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $730 | $561 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $479 | $760 | $192 |
| MRI of the mid-back (thoracic spine) | $616 | $722 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $799 | $1,159 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $639 | $551 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $479 | $722 | $190 |
| MRI of the neck (cervical spine) | $616 | $753 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $799 | $1,162 | $318 |
| MRI of the neck (cervical spine) with contrast | $639 | $579 | $274 |
| MRI of the neck (cervical spine) without contrast | $479 | $753 | $191 |
| MRI of the pelvis | $1,003 | $746 | $268 |
| MRI of the pelvis with contrast | $1,003 | $687 | $268 |
| MRI of the pelvis without contrast | $912 | $805 | $227 |
| MRI of the shoulder | $1,277 | $964 | $313 |
| MRI of the shoulder with contrast | $1,277 | $964 | $313 |
| MRI of the shoulder without contrast | $912 | $823 | $205 |
| MRI of the wrist | $1,277 | $873 | $330 |
| MRI of the wrist without contrast | $1,095 | $873 | $303 |
| Nebulizer breathing treatment | $160 | $260 | $9 |
| Nerve conduction study | $260 | $341 | $118 |
| Nuchal translucency ultrasound | $304 | $387 | $116 |
| Nuclear cardiac stress test | $1,786 | $1,402 | $428 |
| Occupational therapy evaluation | $229 | $160 | $101 |
| Occupational therapy evaluation (high complexity) | $229 | $180 | $101 |
| Occupational therapy evaluation (low complexity) | $229 | $141 | $101 |
| Occupational therapy evaluation (moderate complexity) | $229 | $160 | $101 |
| Office visit (established patient) | $186 | $220 | $115 |
| Office visit, established patient (level 3) | $170 | $152 | $95 |
| Office visit, established patient (level 4) | $203 | $220 | $136 |
| Pap smear (cervical screening) | $141 | $53 | $20 |
| Parathyroid hormone (PTH) test | $53 | $113 | $41 |
| Pelvic ultrasound | $228 | $227 | $78 |
| Pelvic ultrasound (complete) | $304 | $229 | $105 |
| Pelvic ultrasound (limited) | $228 | $227 | $51 |
| PET scan | $2,852 | $1,992 | — |
| Phosphorus blood test | $20 | $24 | $5 |
| Physical therapy evaluation | $229 | $133 | $98 |
| Physical therapy evaluation (high complexity) | $229 | $160 | $98 |
| Physical therapy evaluation (moderate complexity) | $229 | $133 | $98 |
| Platelet count | $47 | $14 | $4 |
| Pneumonia vaccine | $179 | $98 | — |
| Pregnancy blood test (hCG) | $28 | $38 | $8 |
| Pregnancy ultrasound | $361 | $266 | $126 |
| Pregnancy ultrasound (first trimester) | $341 | $266 | $117 |
| Pregnancy ultrasound (second or third trimester) | $391 | $274 | $136 |
| Procalcitonin test | $137 | $101 | $27 |
| Prolactin test | $22 | $81 | $19 |
| Prostate test (PSA) | $23 | $48 | $18 |
| Psychiatric evaluation | $153 | $367 | $188 |
| Psychotherapy session | $128 | $227 | $140 |
| Pulmonary rehabilitation | $200 | $70 | $87 |
| Radiofrequency nerve ablation | $1,940 | $2,611 | $462 |
| RSV vaccine | $493 | $118 | — |
| Scoliosis spine X-ray | $251 | $131 | $58 |
| Scoliosis spine X-ray (1 view) | $208 | $109 | $44 |
| Scoliosis spine X-ray (3 views) | $251 | $154 | $72 |
| Screening mammogram | $311 | $188 | $126 |
| Scrotal ultrasound | $466 | $248 | $99 |
| Sedimentation rate (ESR) test | $29 | $31 | $3 |
| Semen analysis | $38 | $112 | $12 |
| Sex hormone binding globulin test | $18 | $78 | $22 |
| Shingles vaccine | $347 | $142 | — |
| Simple laceration repair (small, up to 2.5 cm) | $406 | $219 | $114 |
| Simple wound stitches | $429 | $243 | $127 |
| Skin biopsy | $620 | $341 | $121 |
| Skin biopsy (punch) | $620 | $352 | $121 |
| Skin tag removal | $1,180 | $260 | $92 |
| Soft tissue ultrasound | $227 | $211 | $64 |
| Speech therapy | $229 | $158 | $76 |
| Spinal cord stimulator | $9,284 | $7,447 | $2,388 |
| Spinal tap (lumbar puncture) | $502 | $747 | $165 |
| Spine fracture repair (kyphoplasty) | $5,726 | $7,637 | $5,803 |
| Spirometry (lung function test) | $146 | $127 | $30 |
| Spirometry with bronchodilator | $279 | $230 | $43 |
| Strep throat test | $28 | $32 | $17 |
| Stress echocardiogram | $1,770 | $868 | $209 |
| Swallow study | $229 | $183 | $85 |
| T3 thyroid test | $24 | $31 | $14 |
| Tdap (tetanus) vaccine | $87 | $32 | — |
| Testosterone test | $19 | $215 | $26 |
| Thyroid test (TSH) | $23 | $36 | $17 |
| Thyroid ultrasound | $341 | $248 | $109 |
| Thyroid uptake scan | $746 | $471 | $145 |
| Tilt table test | $7,311 | $3,023 | $168 |
| Total IgE allergy test | $18 | $35 | $16 |
| Total protein test | $14 | $12 | $4 |
| Transesophageal echocardiogram (TEE) | $1,862 | $768 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $1,862 | $876 | $239 |
| Transvaginal ultrasound | $228 | $218 | $118 |
| Trigger point injection | $925 | $309 | $56 |
| Trigger point injection (1-2 muscles) | $925 | $309 | $52 |
| Triglycerides test | $14 | $14 | $6 |
| Troponin (heart) test | $33 | $45 | $12 |
| Turning a breech baby (version) | $2,254 | $3,085 | $94 |
| Upper GI series (barium) | $208 | $302 | $128 |
| Ureteral stent placement | $1,200 | $3,708 | $373 |
| Uric acid (gout) test | $21 | $19 | $5 |
| Urinalysis | $38 | $18 | $3 |
| Urine microalbumin test | $22 | $19 | $5 |
| Urine pregnancy test | $56 | $39 | $9 |
| Vaccine administration | $34 | $16 | $19 |
| Vaccine administration (each additional) | $17 | $16 | $16 |
| Varicose vein ablation | $3,778 | $3,446 | $1,018 |
| Vitamin B12 test | $23 | $45 | $15 |
| Vitamin D test | $36 | $67 | $30 |
| Wound debridement | $752 | $514 | $186 |
| X-ray of the abdomen | $173 | $134 | $36 |
| X-ray of the ankle | $173 | $146 | $37 |
| X-ray of the collarbone | $173 | $186 | $33 |
| X-ray of the elbow | $138 | $183 | $33 |
| X-ray of the facial bones | $138 | $140 | $39 |
| X-ray of the foot | $173 | $221 | $34 |
| X-ray of the forearm | $138 | $179 | $29 |
| X-ray of the hand | $138 | $179 | $38 |
| X-ray of the hip | $316 | $98 | $49 |
| X-ray of the hip (1 view) | $346 | $95 | $34 |
| X-ray of the hip (3 views) | $277 | $126 | $49 |
| X-ray of the knee | $138 | $155 | $42 |
| X-ray of the knee (2 views) | $173 | $151 | $34 |
| X-ray of the knee (3 views) | $173 | $155 | $42 |
| X-ray of the knee (4+ views) | $138 | $242 | $49 |
| X-ray of the lower back (lumbar spine) | $138 | $180 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $173 | $153 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $138 | $205 | $53 |
| X-ray of the lower leg | $138 | $143 | $31 |
| X-ray of the mid-back (thoracic spine) | $138 | $167 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $173 | $151 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $138 | $182 | $39 |
| X-ray of the neck (cervical spine) | $138 | $151 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $173 | $151 | $40 |
| X-ray of the pelvis | $138 | $214 | $36 |
| X-ray of the pelvis (1 view) | $173 | $145 | $28 |
| X-ray of the ribs | $138 | $138 | $42 |
| X-ray of the ribs (2 views) | $138 | $111 | $36 |
| X-ray of the ribs (3 views) | $138 | $184 | $42 |
| X-ray of the shoulder | $173 | $186 | $36 |
| X-ray of the skull | $138 | $197 | $40 |
| X-ray of the upper arm | $138 | $123 | $32 |
| X-ray of the wrist | $173 | $146 | $43 |
| YAG laser capsulotomy (eye) | $3,376 | $1,794 | $335 |
| Zinc blood test | $18 | $30 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
