| Procedure | Monroe Hospital | Ascension St Vincent Salem | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $21 | $53 | $51 |
| Abdominal fluid drain (paracentesis) | $954 | $2,456 | $284 |
| Abdominal ultrasound | $110 | $629 | $100 |
| Abdominal ultrasound (complete) | $110 | $743 | $114 |
| Abdominal ultrasound (limited) | $110 | $516 | $86 |
| Albumin blood test | $4 | $75 | $5 |
| Aldosterone test | $40 | $343 | $41 |
| Alkaline phosphatase test | $5 | $83 | $5 |
| Alpha-fetoprotein (AFP) test | $16 | $152 | $17 |
| ALT liver enzyme test | $5 | $83 | $5 |
| Ammonia blood test | $14 | $204 | $15 |
| Antinuclear antibody (ANA) test | $12 | $186 | $12 |
| Arterial blood gas (ABG) | $26 | $275 | $26 |
| AST liver enzyme test | $5 | $85 | $5 |
| Bilirubin blood test | $5 | $74 | $5 |
| Blood clotting test (PT/INR) | $4 | $93 | $4 |
| Blood transfusion | $464 | $815 | $47 |
| Blood type and screen | $54 | $118 | $10 |
| Blood type test | $90 | $36 | $3 |
| Blood type test (Rh/D antigen) | $39 | $42 | $3 |
| BNP (heart failure) test | $39 | $263 | $39 |
| Bone density scan (DEXA) | $110 | $463 | $39 |
| Bone scan (nuclear) | $420 | $1,736 | $259 |
| Breast biopsy | $1,738 | $3,381 | $478 |
| Breast ultrasound | $110 | $442 | $92 |
| Breast ultrasound (complete) | $110 | $588 | $100 |
| Breast ultrasound (limited) | $91 | $296 | $84 |
| CA 19-9 tumor marker test | $20 | $191 | $21 |
| CA-125 ovarian marker test | $20 | $313 | $21 |
| Calcium blood test | $5 | $70 | $5 |
| Cardiac rehabilitation | $135 | $289 | $26 |
| Cardiac stress test | $227 | $1,173 | $39 |
| Cardioversion | $695 | $2,242 | $155 |
| Carotid artery ultrasound | $110 | $1,141 | $156 |
| CEA tumor marker test | $18 | $289 | $19 |
| Celiac disease test | $11 | $26 | $12 |
| Chemotherapy infusion | $211 | $450 | $81 |
| Chemotherapy infusion (each additional) | $75 | $318 | $28 |
| Chemotherapy infusion (first hour) | $347 | $583 | $133 |
| Chest fluid drain (thoracentesis) | $660 | $2,491 | $311 |
| Chest X-ray | $91 | $248 | $37 |
| Chest X-ray (1 view) | $91 | $131 | $25 |
| Chest X-ray (2 views) | $91 | $246 | $33 |
| CK-MB heart enzyme test | $11 | $100 | $12 |
| Clotting time test (PTT) | $6 | $121 | $6 |
| Complete blood count (CBC) | $7 | $105 | $7 |
| Complete blood count (CBC) (complete) | $7 | $117 | $8 |
| Copper blood test | $12 | $107 | $12 |
| Cortisol test | $16 | $242 | $16 |
| COVID-19 PCR test | $51 | $133 | $51 |
| CPAP titration study | $230 | $679 | $69 |
| Creatine kinase (CK) test | $6 | $70 | $7 |
| CT angiography of the chest | $184 | $1,574 | $281 |
| CT angiography of the head | $184 | $2,021 | $274 |
| CT scan of the abdomen | $184 | $1,634 | $230 |
| CT scan of the abdomen and pelvis | $367 | $3,012 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $367 | $3,806 | $338 |
| CT scan of the abdomen and pelvis with contrast | $367 | $3,012 | $300 |
| CT scan of the abdomen and pelvis without contrast | $251 | $2,405 | $183 |
| CT scan of the abdomen with contrast | $184 | $1,634 | $230 |
| CT scan of the arm | $184 | $1,177 | $199 |
| CT scan of the arm with contrast | $367 | $1,037 | $199 |
| CT scan of the chest | $184 | $1,460 | $167 |
| CT scan of the chest with and without contrast | $184 | $1,617 | $196 |
| CT scan of the chest with contrast | $184 | $1,460 | $167 |
| CT scan of the head | $147 | $1,280 | $148 |
| CT scan of the head with and without contrast | $184 | $1,750 | $173 |
| CT scan of the head with contrast | $184 | $1,280 | $148 |
| CT scan of the leg | $184 | $1,180 | $166 |
| CT scan of the leg with contrast | $184 | $1,116 | $166 |
| CT scan of the lower back (lumbar spine) | $184 | $1,245 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $184 | $1,731 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $367 | $940 | $169 |
| CT scan of the neck | $184 | $1,357 | $183 |
| CT scan of the neck (cervical spine) | $184 | $1,333 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $184 | $1,778 | $196 |
| CT scan of the neck (cervical spine) with contrast | $367 | $1,333 | $168 |
| CT scan of the neck with and without contrast | $184 | $1,963 | $220 |
| CT scan of the neck with contrast | $184 | $1,357 | $183 |
| CT scan of the pelvis | $184 | $1,433 | $226 |
| CT scan of the pelvis with and without contrast | $184 | $1,652 | $251 |
| CT scan of the pelvis with contrast | $184 | $1,433 | $226 |
| CT scan of the sinuses | $184 | $1,238 | $152 |
| CT scan of the sinuses with and without contrast | $184 | $1,844 | $184 |
| CT scan of the sinuses with contrast | $184 | $1,238 | $152 |
| D-dimer test | $10 | $254 | $10 |
| DHEA-sulfate test | $22 | $534 | $22 |
| Diagnostic mammogram | $79 | $276 | $140 |
| Drug screen (urine) | $62 | $143 | $17 |
| Echocardiogram | $413 | $1,899 | $138 |
| Echocardiogram with and without contrast | $251 | $889 | $101 |
| EKG / ECG (tracing only) | $62 | $274 | $7 |
| Electrocardiogram (EKG) | $62 | $274 | $8 |
| Electrolyte panel | $7 | $175 | $7 |
| Emergency department visit | $287 | $688 | $69 |
| Emergency department visit (level 1) | $88 | $251 | $11 |
| Emergency department visit (level 2) | $161 | $450 | $40 |
| Emergency department visit (level 3) | $287 | $688 | $69 |
| Emergency department visit (level 4) | $439 | $1,061 | $118 |
| Emergency department visit (level 5) | $626 | $1,492 | $171 |
| Estradiol (estrogen) test | $27 | $253 | $28 |
| Fecal occult blood (stool) test | $15 | $79 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $4 | $53 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $15 | $104 | $16 |
| Ferritin (iron) test | $13 | $217 | $14 |
| Fibrinogen test | $9 | $83 | $10 |
| Folate (folic acid) test | $14 | $188 | $15 |
| Free T4 thyroid test | $9 | $216 | $9 |
| FSH hormone test | $18 | $277 | $19 |
| Gallbladder scan (HIDA) | $496 | $1,959 | $334 |
| GGT liver test | $7 | $96 | $7 |
| Glucose tolerance test | $12 | $119 | $8 |
| H. pylori test | $67 | $376 | $67 |
| HDL cholesterol test | $8 | $91 | $8 |
| Hemoglobin A1c (diabetes test) | $9 | $198 | $10 |
| Hepatitis B test | $10 | $176 | $10 |
| Hepatitis C test | $14 | $251 | $14 |
| HIV test | $19 | $174 | $19 |
| HIV test (antibody) | $13 | $149 | $14 |
| HIV test (antigen/antibody combo) | $24 | $200 | $24 |
| Holter heart monitor | $140 | $778 | $26 |
| Iron blood test | $6 | $96 | $6 |
| IV infusion therapy | $223 | $368 | $44 |
| IV infusion therapy (each additional) | $49 | $107 | $21 |
| IV infusion therapy (initial) | $223 | $628 | $67 |
| Kidney scan (nuclear) | $571 | $1,912 | $172 |
| Kidney ultrasound | $110 | $524 | $84 |
| Kidney ultrasound (limited) | $110 | $434 | $61 |
| Lactate test | $11 | $114 | $12 |
| LDH test | $6 | $62 | $6 |
| LDL cholesterol test | $10 | $101 | $11 |
| Leg vein ultrasound (Doppler) | $110 | $1,316 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $110 | $1,078 | $116 |
| LH hormone test | $18 | $335 | $19 |
| Lipid (cholesterol) panel | $13 | $283 | $13 |
| Lung function test (PFT) | $227 | $534 | $37 |
| Lung scan (V/Q) | $571 | $2,542 | $291 |
| Magnesium blood test | $6 | $127 | $7 |
| MRA of the brain | $367 | $1,886 | $226 |
| MRA of the brain with contrast | $367 | $1,782 | $226 |
| MRA of the brain without contrast | $367 | $1,886 | $328 |
| MRA of the neck | $309 | $1,513 | $245 |
| MRA of the neck without contrast | $367 | $2,680 | $343 |
| MRI of the abdomen | $367 | $2,222 | $300 |
| MRI of the abdomen with contrast | $367 | $2,222 | $300 |
| MRI of the abdomen without contrast | $251 | $2,123 | $194 |
| MRI of the ankle | $367 | $2,093 | $261 |
| MRI of the ankle with contrast | $367 | $2,093 | $261 |
| MRI of the ankle without contrast | $251 | $1,871 | $222 |
| MRI of the brain | $367 | $2,413 | $269 |
| MRI of the brain with contrast | $367 | $2,413 | $269 |
| MRI of the brain without contrast | $251 | $1,638 | $195 |
| MRI of the chest | $367 | $2,799 | $371 |
| MRI of the chest with contrast | $825 | $2,799 | $371 |
| MRI of the chest without contrast | $367 | $3,361 | $466 |
| MRI of the knee | $367 | $3,899 | $315 |
| MRI of the knee with contrast | $825 | $2,206 | $315 |
| MRI of the knee without contrast | $251 | $3,899 | $204 |
| MRI of the lower back (lumbar spine) | $367 | $2,501 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $367 | $2,767 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $251 | $1,846 | $192 |
| MRI of the mid-back (thoracic spine) | $367 | $2,187 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $367 | $2,187 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $367 | $2,456 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $251 | $1,846 | $190 |
| MRI of the neck (cervical spine) | $367 | $2,429 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $367 | $2,529 | $318 |
| MRI of the neck (cervical spine) with contrast | $367 | $2,429 | $274 |
| MRI of the neck (cervical spine) without contrast | $251 | $1,850 | $191 |
| MRI of the pelvis | $367 | $2,312 | $268 |
| MRI of the pelvis with contrast | $367 | $2,312 | $268 |
| MRI of the pelvis without contrast | $251 | $1,878 | $227 |
| MRI of the shoulder | $367 | $3,286 | $313 |
| MRI of the shoulder with contrast | $825 | $3,286 | $313 |
| MRI of the shoulder without contrast | $251 | $2,110 | $205 |
| MRI of the wrist | $367 | $4,351 | $330 |
| MRI of the wrist with contrast | $367 | $2,019 | $330 |
| MRI of the wrist without contrast | $251 | $4,351 | $303 |
| Nebulizer breathing treatment | $230 | $68 | $9 |
| Nuclear cardiac stress test | $1,363 | $5,283 | $428 |
| Occupational therapy evaluation | $96 | $172 | $101 |
| Occupational therapy evaluation (high complexity) | $96 | $284 | $101 |
| Occupational therapy evaluation (low complexity) | $96 | $172 | $101 |
| Occupational therapy evaluation (moderate complexity) | $96 | $172 | $101 |
| Pap smear (cervical screening) | $26 | $130 | $20 |
| Parathyroid hormone (PTH) test | $41 | $317 | $41 |
| Pelvic ultrasound | $110 | $425 | $78 |
| Pelvic ultrasound (complete) | $110 | $608 | $105 |
| Pelvic ultrasound (limited) | $110 | $242 | $51 |
| Physical therapy evaluation | $94 | $172 | $98 |
| Physical therapy evaluation (high complexity) | $94 | $301 | $98 |
| Physical therapy evaluation (moderate complexity) | $94 | $172 | $98 |
| Platelet count | $4 | $80 | $4 |
| Pregnancy ultrasound | $110 | $445 | $126 |
| Pregnancy ultrasound (first trimester) | $110 | $383 | $117 |
| Pregnancy ultrasound (second or third trimester) | $110 | $506 | $136 |
| Procalcitonin test | $27 | $325 | $27 |
| Prolactin test | $19 | $330 | $19 |
| Prostate biopsy | $2,111 | $4,687 | — |
| Prostate test (PSA) | $18 | $206 | $18 |
| Scoliosis spine X-ray | $101 | $313 | $58 |
| Scoliosis spine X-ray (1 view) | $91 | $235 | $44 |
| Scoliosis spine X-ray (3 views) | $110 | $391 | $72 |
| Screening mammogram | $84 | $206 | $126 |
| Scrotal ultrasound | $110 | $554 | $99 |
| Sedimentation rate (ESR) test | $4 | $74 | $3 |
| Sex hormone binding globulin test | $21 | $221 | $22 |
| Sleep study (polysomnography) | $904 | $4,354 | $691 |
| Spinal tap (lumbar puncture) | $743 | $1,270 | $165 |
| Spirometry with bronchodilator | $392 | $534 | $43 |
| Strep throat test | $16 | $125 | $17 |
| Stress echocardiogram | $575 | $2,912 | $209 |
| T3 thyroid test | $14 | $185 | $14 |
| Testosterone test | $25 | $256 | $26 |
| Thyroid test (TSH) | $16 | $236 | $17 |
| Thyroid ultrasound | $110 | $505 | $109 |
| Thyroid uptake scan | $420 | $982 | $145 |
| Total IgE allergy test | $16 | $289 | $16 |
| Transesophageal echocardiogram (TEE) | $575 | $2,945 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $575 | $3,094 | $239 |
| Transvaginal ultrasound | $110 | $421 | $118 |
| Triglycerides test | $5 | $79 | $6 |
| Troponin (heart) test | $12 | $223 | $12 |
| Urine microalbumin test | $5 | $120 | $5 |
| Urine pregnancy test | $8 | $109 | $9 |
| Vaccine administration | $75 | $94 | $19 |
| Vitamin B12 test | $15 | $187 | $15 |
| Vitamin D test | $29 | $260 | $30 |
| X-ray of the abdomen | $110 | $300 | $36 |
| X-ray of the ankle | $91 | $301 | $37 |
| X-ray of the collarbone | $91 | $235 | $33 |
| X-ray of the elbow | $91 | $278 | $33 |
| X-ray of the facial bones | $101 | $239 | $39 |
| X-ray of the foot | $91 | $301 | $34 |
| X-ray of the forearm | $91 | $538 | $29 |
| X-ray of the hand | $91 | $305 | $38 |
| X-ray of the hip | $91 | $265 | $49 |
| X-ray of the hip (1 view) | $91 | $167 | $34 |
| X-ray of the hip (3 views) | $91 | $265 | $49 |
| X-ray of the knee | $91 | $521 | $42 |
| X-ray of the knee (2 views) | $91 | $521 | $34 |
| X-ray of the knee (3 views) | $91 | $667 | $42 |
| X-ray of the knee (4+ views) | $110 | $383 | $49 |
| X-ray of the lower back (lumbar spine) | $110 | $401 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $110 | $302 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $110 | $500 | $53 |
| X-ray of the lower leg | $91 | $554 | $31 |
| X-ray of the mid-back (thoracic spine) | $110 | $347 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $110 | $307 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $110 | $388 | $39 |
| X-ray of the neck (cervical spine) | $101 | $376 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $91 | $277 | $40 |
| X-ray of the pelvis | $110 | $162 | $36 |
| X-ray of the pelvis (1 view) | $110 | $146 | $28 |
| X-ray of the ribs | $101 | $313 | $42 |
| X-ray of the ribs (2 views) | $91 | $313 | $36 |
| X-ray of the ribs (3 views) | $110 | $256 | $42 |
| X-ray of the shoulder | $91 | $521 | $36 |
| X-ray of the skull | $110 | $320 | $40 |
| X-ray of the upper arm | $91 | $533 | $32 |
| X-ray of the wrist | $91 | $600 | $43 |
| Zinc blood test | $11 | $192 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
