| Procedure | Monroe Hospital | Ascension St Vincent Clay | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $21 | $79 | $51 |
| Abdominal ultrasound | $110 | $886 | $100 |
| Abdominal ultrasound (complete) | $110 | $897 | $114 |
| Abdominal ultrasound (limited) | $110 | $876 | $86 |
| Albumin blood test | $4 | $7 | $5 |
| Alkaline phosphatase test | $5 | $8 | $5 |
| Alpha-fetoprotein (AFP) test | $16 | $27 | $17 |
| ALT liver enzyme test | $5 | $10 | $5 |
| Ammonia blood test | $14 | $75 | $15 |
| Antinuclear antibody (ANA) test | $12 | $116 | $12 |
| Arterial blood gas (ABG) | $26 | $112 | $26 |
| AST liver enzyme test | $5 | $10 | $5 |
| Barium swallow study | $184 | $318 | $107 |
| Bilirubin blood test | $5 | $50 | $5 |
| Blood clotting test (PT/INR) | $4 | $21 | $4 |
| Blood crossmatch | $179 | $82 | — |
| Blood transfusion | $464 | $310 | $47 |
| Blood type and screen | $54 | $33 | $10 |
| Blood type test | $90 | $38 | $3 |
| Blood type test (Rh/D antigen) | $39 | $39 | $3 |
| BNP (heart failure) test | $39 | $48 | $39 |
| Bone density scan (DEXA) | $110 | $250 | $39 |
| Bone scan (nuclear) | $420 | $1,666 | $259 |
| Breast ultrasound | $110 | $355 | $92 |
| Breast ultrasound (complete) | $110 | $377 | $100 |
| Breast ultrasound (limited) | $91 | $333 | $84 |
| Breathing tube insertion (intubation) | $249 | $561 | $133 |
| CA 19-9 tumor marker test | $20 | $52 | $21 |
| CA-125 ovarian marker test | $20 | $40 | $21 |
| Calcium blood test | $5 | $8 | $5 |
| Cardiac stress test | $227 | $1,383 | $39 |
| Cardioversion | $695 | $1,115 | $155 |
| Carotid artery ultrasound | $110 | $931 | $156 |
| CEA tumor marker test | $18 | $42 | $19 |
| Celiac disease test | $11 | $17 | $12 |
| Chest X-ray | $91 | $149 | $37 |
| Chest X-ray (1 view) | $91 | $131 | $25 |
| Chest X-ray (2 views) | $91 | $142 | $33 |
| CK-MB heart enzyme test | $11 | $27 | $12 |
| Clotting time test (PTT) | $6 | $49 | $6 |
| Complete blood count (CBC) | $7 | $49 | $7 |
| Complete blood count (CBC) (complete) | $7 | $51 | $8 |
| Copper blood test | $12 | $24 | $12 |
| Cortisol test | $16 | $68 | $16 |
| COVID-19 PCR test | $51 | $20 | $51 |
| CPAP titration study | $230 | $340 | $69 |
| Creatine kinase (CK) test | $6 | $54 | $7 |
| CT angiography of the chest | $184 | $647 | $281 |
| CT angiography of the head | $184 | $647 | $274 |
| CT scan of the abdomen | $184 | $647 | $230 |
| CT scan of the abdomen and pelvis | $367 | $693 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $367 | $739 | $338 |
| CT scan of the abdomen and pelvis with contrast | $367 | $693 | $300 |
| CT scan of the abdomen and pelvis without contrast | $251 | $647 | $183 |
| CT scan of the abdomen with contrast | $184 | $647 | $230 |
| CT scan of the arm | $184 | $647 | $199 |
| CT scan of the arm with contrast | $367 | $647 | $199 |
| CT scan of the chest | $184 | $693 | $167 |
| CT scan of the chest with and without contrast | $184 | $739 | $196 |
| CT scan of the chest with contrast | $184 | $693 | $167 |
| CT scan of the head | $147 | $722 | $148 |
| CT scan of the head with and without contrast | $184 | $768 | $173 |
| CT scan of the head with contrast | $184 | $722 | $148 |
| CT scan of the leg | $184 | $647 | $166 |
| CT scan of the leg with contrast | $184 | $601 | $166 |
| CT scan of the lower back (lumbar spine) | $184 | $647 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $184 | $693 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $367 | $647 | $169 |
| CT scan of the neck | $184 | $647 | $183 |
| CT scan of the neck (cervical spine) | $184 | $693 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $184 | $786 | $196 |
| CT scan of the neck (cervical spine) with contrast | $367 | $693 | $168 |
| CT scan of the neck with and without contrast | $184 | $693 | $220 |
| CT scan of the neck with contrast | $184 | $647 | $183 |
| CT scan of the pelvis | $184 | $670 | $226 |
| CT scan of the pelvis with and without contrast | $184 | $716 | $251 |
| CT scan of the pelvis with contrast | $184 | $670 | $226 |
| CT scan of the sinuses | $184 | $647 | $152 |
| CT scan of the sinuses with and without contrast | $184 | $693 | $184 |
| CT scan of the sinuses with contrast | $184 | $647 | $152 |
| D-dimer test | $10 | $27 | $10 |
| DHEA-sulfate test | $22 | $58 | $22 |
| Diagnostic mammogram | $79 | $303 | $140 |
| Drug screen (urine) | $62 | $35 | $17 |
| Echocardiogram | $413 | $1,194 | $138 |
| Echocardiogram with and without contrast | $251 | $473 | $101 |
| EEG (awake and asleep) | $227 | $560 | $482 |
| EKG / ECG (tracing only) | $62 | $109 | $7 |
| Electrocardiogram (EKG) | $62 | $109 | $8 |
| Electroencephalogram (EEG) | $227 | $548 | $448 |
| Electrolyte panel | $7 | $38 | $7 |
| Emergency department visit | $287 | $1,319 | $69 |
| Emergency department visit (level 1) | $88 | $212 | $11 |
| Emergency department visit (level 2) | $161 | $491 | $40 |
| Emergency department visit (level 3) | $287 | $1,319 | $69 |
| Emergency department visit (level 4) | $439 | $1,328 | $118 |
| Emergency department visit (level 5) | $626 | $1,395 | $171 |
| Estradiol (estrogen) test | $27 | $21 | $28 |
| Fallopian tube X-ray (HSG) | $251 | $592 | $164 |
| Fecal occult blood (stool) test | $15 | $28 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $4 | $15 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $15 | $40 | $16 |
| Ferritin (iron) test | $13 | $82 | $14 |
| Fibrinogen test | $9 | $38 | $10 |
| Folate (folic acid) test | $14 | $38 | $15 |
| Free T4 thyroid test | $9 | $129 | $9 |
| FSH hormone test | $18 | $56 | $19 |
| Gallbladder scan (HIDA) | $496 | $1,551 | $334 |
| GGT liver test | $7 | $51 | $7 |
| Glucose tolerance test | $12 | $45 | $8 |
| H. pylori test | $67 | $26 | $67 |
| HDL cholesterol test | $8 | $46 | $8 |
| Hemodialysis | $722 | $182 | $75 |
| Hemoglobin A1c (diabetes test) | $9 | $11 | $10 |
| Hepatitis B test | $10 | $32 | $10 |
| Hepatitis C test | $14 | $47 | $14 |
| HIV test | $19 | $46 | $19 |
| HIV test (antibody) | $13 | $51 | $14 |
| HIV test (antigen/antibody combo) | $24 | $41 | $24 |
| Holter heart monitor | $140 | $258 | $26 |
| Iron blood test | $6 | $43 | $6 |
| IV infusion therapy | $223 | $437 | $44 |
| IV infusion therapy (each additional) | $49 | $120 | $21 |
| IV infusion therapy (initial) | $223 | $755 | $67 |
| Kidney scan (nuclear) | $571 | $1,551 | $172 |
| Kidney ultrasound | $110 | $505 | $84 |
| Kidney ultrasound (limited) | $110 | $445 | $61 |
| Lactate test | $11 | $56 | $12 |
| LDH test | $6 | $62 | $6 |
| LDL cholesterol test | $10 | $21 | $11 |
| Leg artery angiogram | $3,324 | $3,194 | $149 |
| Leg vein ultrasound (Doppler) | $110 | $890 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $110 | $691 | $116 |
| LH hormone test | $18 | $49 | $19 |
| Lipid (cholesterol) panel | $13 | $157 | $13 |
| Lung function test (PFT) | $227 | $370 | $37 |
| Lung scan (V/Q) | $571 | $1,551 | $291 |
| Magnesium blood test | $6 | $40 | $7 |
| MRA of the brain | $367 | $606 | $226 |
| MRA of the brain with contrast | $367 | $606 | $226 |
| MRA of the brain without contrast | $367 | $638 | $328 |
| MRA of the neck | $309 | $590 | $245 |
| MRA of the neck without contrast | $367 | $622 | $343 |
| MRI of the abdomen | $367 | $590 | $300 |
| MRI of the abdomen with contrast | $367 | $590 | $300 |
| MRI of the abdomen without contrast | $251 | $558 | $194 |
| MRI of the ankle | $367 | $654 | $261 |
| MRI of the ankle with contrast | $367 | $803 | $261 |
| MRI of the ankle without contrast | $251 | $590 | $222 |
| MRI of the brain | $367 | $622 | $269 |
| MRI of the brain with contrast | $367 | $590 | $269 |
| MRI of the brain without contrast | $251 | $1,127 | $195 |
| MRI of the chest | $367 | $622 | $371 |
| MRI of the chest without contrast | $367 | $654 | $466 |
| MRI of the knee | $367 | $622 | $315 |
| MRI of the knee with contrast | $825 | $622 | $315 |
| MRI of the knee without contrast | $251 | $590 | $204 |
| MRI of the lower back (lumbar spine) | $367 | $654 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $367 | $622 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $251 | $1,136 | $192 |
| MRI of the mid-back (thoracic spine) | $367 | $590 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $367 | $622 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $367 | $590 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $251 | $558 | $190 |
| MRI of the neck (cervical spine) | $367 | $574 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $367 | $606 | $318 |
| MRI of the neck (cervical spine) with contrast | $367 | $574 | $274 |
| MRI of the neck (cervical spine) without contrast | $251 | $558 | $191 |
| MRI of the pelvis | $367 | $590 | $268 |
| MRI of the pelvis with contrast | $367 | $720 | $268 |
| MRI of the pelvis without contrast | $251 | $526 | $227 |
| MRI of the shoulder | $367 | $654 | $313 |
| MRI of the shoulder with contrast | $825 | $622 | $313 |
| MRI of the shoulder without contrast | $251 | $1,136 | $205 |
| MRI of the wrist | $367 | $622 | $330 |
| MRI of the wrist with contrast | $367 | $1,360 | $330 |
| MRI of the wrist without contrast | $251 | $558 | $303 |
| Nebulizer breathing treatment | $230 | $61 | $9 |
| Nuclear cardiac stress test | $1,363 | $1,608 | $428 |
| Pap smear (cervical screening) | $26 | $24 | $20 |
| Parathyroid hormone (PTH) test | $41 | $105 | $41 |
| Pelvic ultrasound | $110 | $596 | $78 |
| Pelvic ultrasound (complete) | $110 | $763 | $105 |
| Pelvic ultrasound (limited) | $110 | $430 | $51 |
| Physical therapy evaluation | $94 | $101 | $98 |
| Physical therapy evaluation (high complexity) | $94 | $101 | $98 |
| Physical therapy evaluation (moderate complexity) | $94 | $101 | $98 |
| Platelet count | $4 | $30 | $4 |
| Pregnancy ultrasound | $110 | $442 | $126 |
| Pregnancy ultrasound (first trimester) | $110 | $542 | $117 |
| Pregnancy ultrasound (second or third trimester) | $110 | $341 | $136 |
| Procalcitonin test | $27 | $79 | $27 |
| Prolactin test | $19 | $64 | $19 |
| Prostate test (PSA) | $18 | $13 | $18 |
| Scoliosis spine X-ray | $101 | $159 | $58 |
| Scoliosis spine X-ray (1 view) | $91 | $131 | $44 |
| Scoliosis spine X-ray (3 views) | $110 | $187 | $72 |
| Screening mammogram | $84 | $287 | $126 |
| Scrotal ultrasound | $110 | $633 | $99 |
| Sedimentation rate (ESR) test | $4 | $42 | $3 |
| Semen analysis | $12 | $43 | $12 |
| Sex hormone binding globulin test | $21 | $20 | $22 |
| Sleep study (polysomnography) | $904 | $5,152 | $691 |
| Spirometry (lung function test) | $227 | $234 | $30 |
| Spirometry with bronchodilator | $392 | $507 | $43 |
| Stress echocardiogram | $575 | $3,220 | $209 |
| Swallow study | $56 | $115 | $85 |
| T3 thyroid test | $14 | $146 | $14 |
| Testosterone test | $25 | $75 | $26 |
| Thyroid test (TSH) | $16 | $36 | $17 |
| Thyroid ultrasound | $110 | $656 | $109 |
| Thyroid uptake scan | $420 | $1,551 | $145 |
| Total IgE allergy test | $16 | $24 | $16 |
| Transesophageal echocardiogram (TEE) | $575 | $3,201 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $575 | $3,201 | $239 |
| Transvaginal ultrasound | $110 | $710 | $118 |
| Triglycerides test | $5 | $68 | $6 |
| Troponin (heart) test | $12 | $56 | $12 |
| Upper GI series (barium) | $184 | $581 | $128 |
| Urine microalbumin test | $5 | $31 | $5 |
| Urine pregnancy test | $8 | $76 | $9 |
| Vaccine administration | $75 | $53 | $19 |
| Varicose vein ablation | $3,324 | $2,960 | $1,018 |
| Vitamin B12 test | $15 | $56 | $15 |
| Vitamin D test | $29 | $71 | $30 |
| X-ray of the abdomen | $110 | $174 | $36 |
| X-ray of the ankle | $91 | $207 | $37 |
| X-ray of the collarbone | $91 | $180 | $33 |
| X-ray of the elbow | $91 | $146 | $33 |
| X-ray of the facial bones | $101 | $163 | $39 |
| X-ray of the foot | $91 | $197 | $34 |
| X-ray of the forearm | $91 | $185 | $29 |
| X-ray of the hand | $91 | $199 | $38 |
| X-ray of the hip | $91 | $175 | $49 |
| X-ray of the hip (1 view) | $91 | $159 | $34 |
| X-ray of the hip (3 views) | $91 | $175 | $49 |
| X-ray of the knee | $91 | $236 | $42 |
| X-ray of the knee (2 views) | $91 | $211 | $34 |
| X-ray of the knee (3 views) | $91 | $236 | $42 |
| X-ray of the knee (4+ views) | $110 | $276 | $49 |
| X-ray of the lower back (lumbar spine) | $110 | $316 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $110 | $262 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $110 | $371 | $53 |
| X-ray of the lower leg | $91 | $216 | $31 |
| X-ray of the mid-back (thoracic spine) | $110 | $134 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $110 | $125 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $110 | $144 | $39 |
| X-ray of the neck (cervical spine) | $101 | $294 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $91 | $235 | $40 |
| X-ray of the pelvis | $110 | $149 | $36 |
| X-ray of the pelvis (1 view) | $110 | $151 | $28 |
| X-ray of the ribs | $101 | $267 | $42 |
| X-ray of the ribs (2 views) | $91 | $267 | $36 |
| X-ray of the ribs (3 views) | $110 | $272 | $42 |
| X-ray of the shoulder | $91 | $211 | $36 |
| X-ray of the skull | $110 | $214 | $40 |
| X-ray of the upper arm | $91 | $158 | $32 |
| X-ray of the wrist | $91 | $220 | $43 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.