| Procedure | Mercy Hospital Perry | Madison Medical Center | Medicare |
|---|
| Abdominal ultrasound | $477 | $859 | $100 |
| Abdominal ultrasound (complete) | $761 | $886 | $114 |
| Abdominal ultrasound (limited) | $194 | $831 | $86 |
| Abscess drainage (complex or multiple) | $430 | $600 | $220 |
| Abscess drainage (simple) | $215 | $331 | $129 |
| Abscess incision and drainage | $348 | $466 | $174 |
| Albumin blood test | $27 | $84 | $5 |
| Aldosterone test | $213 | $91 | $41 |
| Alkaline phosphatase test | $27 | $93 | $5 |
| Allergy shots | $27 | $59 | $11 |
| Alpha-fetoprotein (AFP) test | $83 | $55 | $17 |
| ALT liver enzyme test | $38 | $90 | $5 |
| Ammonia blood test | $179 | $96 | $15 |
| Amylase test | $35 | $132 | $6 |
| Anoscopy | $146 | $290 | $129 |
| Antinuclear antibody (ANA) test | $58 | $39 | $12 |
| Arterial blood gas (ABG) | $129 | $348 | $26 |
| AST liver enzyme test | $27 | $90 | $5 |
| Barium swallow study | $89 | $393 | $107 |
| Bartholin cyst removal | $337 | $680 | $182 |
| Basic metabolic panel | $35 | $222 | $8 |
| Bilirubin blood test | $27 | $83 | $5 |
| Blood crossmatch | $105 | $195 | — |
| Blood glucose test | $30 | $67 | $5 |
| Blood type and screen | $96 | $108 | $10 |
| BNP (heart failure) test | $194 | $269 | $39 |
| Bone scan (nuclear) | $677 | $860 | $259 |
| Breast ultrasound | $534 | $431 | $92 |
| Breast ultrasound (complete) | $597 | $431 | $100 |
| Breathing tube insertion (intubation) | $473 | $793 | $133 |
| Burn dressing and debridement (medium) | $538 | $497 | $166 |
| Burn dressing and debridement (small) | $255 | $287 | $93 |
| Burn treatment | $397 | $392 | $129 |
| C-reactive protein (CRP) | $46 | $90 | $5 |
| CA 19-9 tumor marker test | $171 | $134 | $21 |
| CA-125 ovarian marker test | $110 | $141 | $21 |
| Calcium blood test | $27 | $83 | $5 |
| Cardiac stress test | $331 | $815 | $39 |
| Cardioversion | $1,039 | $952 | $155 |
| Carotid artery ultrasound | $767 | $832 | $156 |
| CEA tumor marker test | $87 | $124 | $19 |
| Central line placement | $262 | $1,116 | $238 |
| Chemotherapy infusion | $290 | $511 | $81 |
| Chemotherapy infusion (each additional) | $290 | $213 | $28 |
| Chemotherapy infusion (first hour) | $290 | $875 | $133 |
| Chest tube insertion | $715 | $1,404 | $143 |
| Chest X-ray | $112 | $310 | $37 |
| Chest X-ray (1 view) | $156 | $288 | $25 |
| Chest X-ray (2 views) | $68 | $344 | $33 |
| CK-MB heart enzyme test | $102 | $184 | $12 |
| Clotting time test (PTT) | $28 | $92 | $6 |
| Complete blood count (CBC) | $30 | $119 | $7 |
| Complete blood count (CBC) (complete) | $33 | $122 | $8 |
| Comprehensive metabolic panel | $65 | $281 | $11 |
| Copper blood test | $65 | $48 | $12 |
| Cortisol test | $82 | $26 | $16 |
| CPAP titration study | $566 | $195 | $69 |
| Creatine kinase (CK) test | $35 | $112 | $7 |
| CT angiography of the chest | $1,283 | $3,278 | $281 |
| CT angiography of the head | $1,106 | $3,278 | $274 |
| CT scan of the abdomen | $1,511 | $2,159 | $230 |
| CT scan of the abdomen and pelvis | $2,660 | $4,382 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $3,682 | $4,720 | $338 |
| CT scan of the abdomen and pelvis with contrast | $1,668 | $4,382 | $300 |
| CT scan of the abdomen and pelvis without contrast | $2,427 | $3,742 | $183 |
| CT scan of the abdomen with and without contrast | $1,922 | $2,371 | $259 |
| CT scan of the abdomen with contrast | $1,037 | $2,159 | $230 |
| CT scan of the abdomen without contrast | $817 | $1,956 | $136 |
| CT scan of the chest | $1,791 | $1,991 | $167 |
| CT scan of the chest with and without contrast | $1,864 | $2,351 | $196 |
| CT scan of the chest with contrast | $1,791 | $1,991 | $167 |
| CT scan of the chest without contrast | $852 | $1,788 | $133 |
| CT scan of the head | $1,320 | $2,039 | $148 |
| CT scan of the head with and without contrast | $1,809 | $2,263 | $173 |
| CT scan of the head with contrast | $830 | $2,039 | $148 |
| CT scan of the head without contrast | $670 | $1,864 | $107 |
| CT scan of the leg | $1,187 | $1,454 | $166 |
| CT scan of the leg with contrast | $1,275 | $1,642 | $166 |
| CT scan of the leg without contrast | $1,099 | $1,454 | $130 |
| CT scan of the lower back (lumbar spine) | $1,933 | $2,117 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,933 | $2,263 | $197 |
| CT scan of the lower back (lumbar spine) without contrast | $1,562 | $1,971 | $130 |
| CT scan of the neck | $818 | $1,903 | $183 |
| CT scan of the neck (cervical spine) | $230 | $1,788 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $230 | $1,266 | $196 |
| CT scan of the neck (cervical spine) with contrast | $829 | $2,035 | $168 |
| CT scan of the neck (cervical spine) without contrast | $870 | $1,788 | $131 |
| CT scan of the neck with and without contrast | $1,899 | $2,263 | $220 |
| CT scan of the neck with contrast | $250 | $1,903 | $183 |
| CT scan of the neck without contrast | $809 | $1,792 | $150 |
| CT scan of the pelvis | $1,508 | $2,226 | $226 |
| CT scan of the pelvis with and without contrast | $2,048 | $2,351 | $251 |
| CT scan of the pelvis with contrast | $871 | $2,226 | $226 |
| CT scan of the pelvis without contrast | $1,484 | $1,841 | $133 |
| CT scan of the sinuses | $1,346 | $1,812 | $152 |
| CT scan of the sinuses with and without contrast | $1,176 | $1,929 | $184 |
| CT scan of the sinuses with contrast | $918 | $1,812 | $152 |
| CT scan of the sinuses without contrast | $1,346 | $1,682 | $128 |
| D-dimer test | $200 | $132 | $10 |
| DHEA-sulfate test | $117 | $130 | $22 |
| Diagnostic mammogram | $203 | $314 | $140 |
| Echocardiogram | $254 | $1,862 | $138 |
| Echocardiogram without contrast | $651 | $983 | $138 |
| Electroencephalogram (EEG) | $441 | $205 | $448 |
| Electrolyte panel | $28 | $130 | $7 |
| Estradiol (estrogen) test | $130 | $109 | $28 |
| Fecal occult blood (stool) test | $39 | $54 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $33 | $54 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $45 | $54 | $16 |
| Ferritin (iron) test | $68 | $172 | $14 |
| Fibrinogen test | $59 | $74 | $10 |
| Folate (folic acid) test | $74 | $239 | $15 |
| Foreign body removal (skin) | $387 | $331 | $157 |
| Free T4 thyroid test | $83 | $200 | $9 |
| FSH hormone test | $86 | $112 | $19 |
| Gallbladder scan (HIDA) | $1,330 | $1,413 | $334 |
| GGT liver test | $28 | $58 | $7 |
| Glucose tolerance test | $45 | $112 | $8 |
| H. pylori test | $261 | $286 | $67 |
| HDL cholesterol test | $34 | $112 | $8 |
| Hematocrit test | $28 | $49 | $2 |
| Hemoglobin A1c (diabetes test) | $53 | $112 | $10 |
| Hepatitis B test | $53 | $130 | $10 |
| Hepatitis C test | $95 | $30 | $14 |
| HIV test | $97 | $132 | $19 |
| HIV test (antibody) | $105 | $130 | $14 |
| HIV test (antigen/antibody combo) | $89 | $133 | $24 |
| Holter heart monitor | $377 | $290 | $26 |
| Iron blood test | $29 | $83 | $6 |
| Joint aspiration (small/intermediate) | $134 | $188 | $57 |
| Joint aspiration or injection (mid-size joint) | $133 | $195 | $57 |
| Joint aspiration or injection (small joint) | $134 | $180 | $56 |
| Kidney scan (nuclear) | $1,422 | $1,193 | $172 |
| Kidney ultrasound | $548 | $598 | $84 |
| Kidney ultrasound (limited) | $456 | $580 | $61 |
| Knee joint injection | $172 | $255 | $69 |
| Lactate test | $129 | $59 | $12 |
| LDH test | $27 | $32 | $6 |
| LDL cholesterol test | $62 | $93 | $11 |
| Leg vein ultrasound (Doppler) (limited) | $612 | $542 | $116 |
| LH hormone test | $81 | $124 | $19 |
| Lipase test | $42 | $143 | $7 |
| Lipid (cholesterol) panel | $105 | $171 | $13 |
| Liver function panel | $39 | $212 | $8 |
| Lung function test (PFT) | $250 | $375 | $37 |
| Lung scan (V/Q) | $1,495 | $2,583 | $291 |
| Magnesium blood test | $34 | $93 | $7 |
| MRA of the brain | $1,955 | $2,739 | $226 |
| MRA of the neck | $2,029 | $2,877 | $245 |
| MRI of the abdomen | $1,178 | $3,058 | $300 |
| MRI of the abdomen without contrast | $1,109 | $2,648 | $194 |
| MRI of the ankle | $375 | $2,851 | $261 |
| MRI of the ankle without contrast | $1,328 | $2,601 | $222 |
| MRI of the brain | $1,940 | $2,684 | $269 |
| MRI of the brain with contrast | $1,268 | $2,684 | $269 |
| MRI of the brain without contrast | $1,698 | $2,558 | $195 |
| MRI of the chest | $1,101 | $2,618 | $371 |
| MRI of the chest without contrast | $1,640 | $3,014 | $466 |
| MRI of the knee | $427 | $3,642 | $315 |
| MRI of the knee with contrast | $1,240 | $3,642 | $315 |
| MRI of the knee without contrast | $1,560 | $3,366 | $204 |
| MRI of the lower back (lumbar spine) | $2,352 | $2,747 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $2,501 | $2,747 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,069 | $2,694 | $192 |
| MRI of the mid-back (thoracic spine) | $2,352 | $2,477 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $2,352 | $2,582 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $2,772 | $2,372 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $1,079 | $2,477 | $190 |
| MRI of the neck (cervical spine) | $332 | $2,881 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $2,352 | $3,297 | $318 |
| MRI of the neck (cervical spine) with contrast | $332 | $2,881 | $274 |
| MRI of the neck (cervical spine) without contrast | $276 | $2,743 | $191 |
| MRI of the pelvis | $1,081 | $2,270 | $268 |
| MRI of the pelvis with contrast | $371 | $2,270 | $268 |
| MRI of the pelvis without contrast | $1,771 | $2,270 | $227 |
| MRI of the shoulder | $1,808 | $3,607 | $313 |
| MRI of the shoulder without contrast | $1,808 | $3,366 | $205 |
| MRI of the wrist | $1,809 | $2,067 | $330 |
| MRI of the wrist without contrast | $1,809 | $1,845 | $303 |
| Nebulizer breathing treatment | $127 | $121 | $9 |
| Nuclear cardiac stress test | $1,435 | $2,472 | $428 |
| Occupational therapy evaluation | $241 | $195 | $101 |
| Occupational therapy evaluation (high complexity) | $241 | $195 | $101 |
| Occupational therapy evaluation (low complexity) | $267 | $195 | $101 |
| Occupational therapy evaluation (moderate complexity) | $228 | $195 | $101 |
| Office visit (new patient) | $185 | $693 | $177 |
| Office visit, new patient (level 5) | $224 | $693 | $237 |
| Parathyroid hormone (PTH) test | $141 | $164 | $41 |
| Pelvic ultrasound | $512 | $718 | $78 |
| Pelvic ultrasound (complete) | $612 | $718 | $105 |
| Physical therapy evaluation | $234 | $172 | $98 |
| Physical therapy evaluation (high complexity) | $241 | $172 | $98 |
| Physical therapy evaluation (moderate complexity) | $254 | $172 | $98 |
| Platelet count | $24 | $50 | $4 |
| Pregnancy blood test (hCG) | $48 | $69 | $8 |
| Pregnancy ultrasound | $496 | $754 | $126 |
| Pregnancy ultrasound (first trimester) | $496 | $754 | $117 |
| Pregnancy ultrasound (second or third trimester) | $363 | $754 | $136 |
| Procalcitonin test | $166 | $312 | $27 |
| Prolactin test | $103 | $136 | $19 |
| Prostate test (PSA) | $109 | $220 | $18 |
| Rheumatoid factor test | $48 | $209 | $6 |
| Sacroiliac joint injection | $422 | $992 | $176 |
| Scoliosis spine X-ray | $163 | $436 | $58 |
| Scoliosis spine X-ray (3 views) | $186 | $436 | $72 |
| Screening mammogram | $155 | $254 | $126 |
| Scrotal ultrasound | $332 | $462 | $99 |
| Sedimentation rate (ESR) test | $26 | $73 | $3 |
| Semen analysis | $99 | $98 | $12 |
| Sex hormone binding globulin test | $57 | $136 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $218 | $417 | $114 |
| Simple wound stitches | $259 | $438 | $127 |
| Sleep study (polysomnography) | $1,544 | $4,577 | $691 |
| Soft tissue ultrasound | $104 | $550 | $64 |
| Speech therapy | $1,037 | $140 | $76 |
| Spinal tap (lumbar puncture) | $295 | $621 | $165 |
| Spirometry (lung function test) | $250 | $284 | $30 |
| Spirometry with bronchodilator | $234 | $466 | $43 |
| Swallow study | $322 | $199 | $85 |
| T3 thyroid test | $81 | $84 | $14 |
| Thyroid ultrasound | $315 | $598 | $109 |
| Thyroid uptake scan | $561 | $1,141 | $145 |
| Total IgE allergy test | $66 | $91 | $16 |
| Transvaginal ultrasound | $236 | $506 | $118 |
| Trigger point injection | $341 | $319 | $56 |
| Trigger point injection (1-2 muscles) | $236 | $319 | $52 |
| Troponin (heart) test | $78 | $204 | $12 |
| Upper GI series (barium) | $121 | $567 | $128 |
| Urinalysis | $26 | $68 | $3 |
| Vitamin B12 test | $76 | $172 | $15 |
| Vitamin D test | $159 | $185 | $30 |
| X-ray of the abdomen | $134 | $348 | $36 |
| X-ray of the ankle | $353 | $359 | $37 |
| X-ray of the collarbone | $286 | $344 | $33 |
| X-ray of the elbow | $414 | $401 | $33 |
| X-ray of the facial bones | $247 | $468 | $39 |
| X-ray of the foot | $164 | $355 | $34 |
| X-ray of the forearm | $163 | $306 | $29 |
| X-ray of the hand | $216 | $344 | $38 |
| X-ray of the hip | $133 | $333 | $49 |
| X-ray of the hip (1 view) | $101 | $326 | $34 |
| X-ray of the hip (3 views) | $96 | $339 | $49 |
| X-ray of the knee | $352 | $332 | $42 |
| X-ray of the knee (2 views) | $192 | $332 | $34 |
| X-ray of the knee (3 views) | $371 | $405 | $42 |
| X-ray of the knee (4+ views) | $394 | $233 | $49 |
| X-ray of the lower back (lumbar spine) | $336 | $466 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $260 | $469 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $413 | $462 | $53 |
| X-ray of the mid-back (thoracic spine) | $280 | $424 | $36 |
| X-ray of the mid-back (thoracic spine) (3 views) | $313 | $424 | $39 |
| X-ray of the neck (cervical spine) | $341 | $410 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $183 | $410 | $40 |
| X-ray of the pelvis | $156 | $269 | $36 |
| X-ray of the pelvis (1 view) | $134 | $344 | $28 |
| X-ray of the ribs | $258 | $424 | $42 |
| X-ray of the ribs (2 views) | $146 | $424 | $36 |
| X-ray of the shoulder | $352 | $344 | $36 |
| X-ray of the skull | $289 | $407 | $40 |
| X-ray of the upper arm | $194 | $344 | $32 |
| X-ray of the wrist | $206 | $333 | $43 |
| Zinc blood test | $66 | $90 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
