| Procedure | Monroe Hospital | Terre Haute Regional Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $21 | $68 | $51 |
| Abdominal fluid drain (paracentesis) | $954 | $1,616 | $284 |
| Abdominal ultrasound | $110 | $788 | $100 |
| Abdominal ultrasound (complete) | $110 | $844 | $114 |
| Abdominal ultrasound (limited) | $110 | $735 | $86 |
| Abscess drainage (complex or multiple) | $427 | $806 | $220 |
| Abscess drainage (simple) | $211 | $745 | $129 |
| Abscess incision and drainage | $319 | $776 | $174 |
| Albumin blood test | $4 | $44 | $5 |
| Aldosterone test | $40 | $212 | $41 |
| Alkaline phosphatase test | $5 | $43 | $5 |
| Alpha-fetoprotein (AFP) test | $16 | $102 | $17 |
| ALT liver enzyme test | $5 | $67 | $5 |
| Ammonia blood test | $14 | $118 | $15 |
| Antinuclear antibody (ANA) test | $12 | $84 | $12 |
| Arterial blood gas (ABG) | $26 | $167 | $26 |
| AST liver enzyme test | $5 | $67 | $5 |
| Barium swallow study | $184 | $495 | $107 |
| Bartholin cyst removal | $212 | $356 | $182 |
| Benign skin lesion removal | $745 | $1,441 | $171 |
| Bilirubin blood test | $5 | $52 | $5 |
| Bladder scope (cystoscopy) | $734 | $1,038 | $216 |
| Blood clotting test (PT/INR) | $4 | $50 | $4 |
| Blood crossmatch | $179 | $145 | — |
| Blood transfusion | $464 | $1,094 | $47 |
| Blood type and screen | $54 | $103 | $10 |
| Blood type test | $90 | $77 | $3 |
| Blood type test (Rh/D antigen) | $39 | $62 | $3 |
| BNP (heart failure) test | $39 | $173 | $39 |
| Bone density scan (DEXA) | $110 | $459 | $39 |
| Bone scan (nuclear) | $420 | $1,907 | $259 |
| Breast biopsy | $1,738 | $2,351 | $478 |
| Breast ultrasound | $110 | $404 | $92 |
| Breast ultrasound (complete) | $110 | $460 | $100 |
| Breast ultrasound (limited) | $91 | $366 | $84 |
| Breathing tube insertion (intubation) | $249 | $614 | $133 |
| Burn dressing and debridement (medium) | $211 | $252 | $166 |
| Burn dressing and debridement (small) | $211 | $289 | $93 |
| Burn treatment | $211 | $270 | $129 |
| CA 19-9 tumor marker test | $20 | $128 | $21 |
| CA-125 ovarian marker test | $20 | $164 | $21 |
| Calcium blood test | $5 | $43 | $5 |
| Cardiac catheterization | $3,413 | $7,967 | $1,049 |
| Cardiac rehabilitation | $135 | $262 | $26 |
| Cardiac stress test | $227 | $913 | $39 |
| Cardioversion | $695 | $1,490 | $155 |
| Carotid artery ultrasound | $110 | $884 | $156 |
| CEA tumor marker test | $18 | $131 | $19 |
| Celiac disease test | $11 | $44 | $12 |
| Cesarean section (C-section) | $8,281 | $10,256 | $7,552 |
| Chemotherapy infusion | $211 | $605 | $81 |
| Chemotherapy infusion (each additional) | $75 | $269 | $28 |
| Chemotherapy infusion (first hour) | $347 | $940 | $133 |
| Chest fluid drain (thoracentesis) | $660 | $671 | $311 |
| Chest X-ray | $91 | $308 | $37 |
| Chest X-ray (1 view) | $91 | $239 | $25 |
| Chest X-ray (2 views) | $91 | $290 | $33 |
| CK-MB heart enzyme test | $11 | $70 | $12 |
| Clotting time test (PTT) | $6 | $76 | $6 |
| Colonoscopy | $1,119 | $1,358 | $480 |
| Complete blood count (CBC) | $7 | $64 | $7 |
| Complete blood count (CBC) (complete) | $7 | $70 | $8 |
| Copper blood test | $12 | $113 | $12 |
| Coronary artery bypass (CABG) | $38,703 | $83,303 | $36,593 |
| Cortisol test | $16 | $113 | $16 |
| COVID-19 PCR test | $51 | $48 | $51 |
| CPAP titration study | $230 | $487 | $69 |
| Creatine kinase (CK) test | $6 | $62 | $7 |
| CT angiography of the chest | $184 | $890 | $281 |
| CT angiography of the head | $184 | $890 | $274 |
| CT scan of the abdomen | $184 | $824 | $230 |
| CT scan of the abdomen and pelvis | $367 | $937 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $367 | $969 | $338 |
| CT scan of the abdomen and pelvis with contrast | $367 | $941 | $300 |
| CT scan of the abdomen and pelvis without contrast | $251 | $893 | $183 |
| CT scan of the abdomen with contrast | $184 | $841 | $230 |
| CT scan of the arm | $184 | $865 | $199 |
| CT scan of the arm with contrast | $367 | $857 | $199 |
| CT scan of the chest | $184 | $833 | $167 |
| CT scan of the chest with and without contrast | $184 | $857 | $196 |
| CT scan of the chest with contrast | $184 | $841 | $167 |
| CT scan of the head | $147 | $833 | $148 |
| CT scan of the head with and without contrast | $184 | $857 | $173 |
| CT scan of the head with contrast | $184 | $841 | $148 |
| CT scan of the leg | $184 | $857 | $166 |
| CT scan of the leg with contrast | $184 | $857 | $166 |
| CT scan of the lower back (lumbar spine) | $184 | $833 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $184 | $857 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $367 | $841 | $169 |
| CT scan of the neck | $184 | $833 | $183 |
| CT scan of the neck (cervical spine) | $184 | $833 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $184 | $857 | $196 |
| CT scan of the neck (cervical spine) with contrast | $367 | $841 | $168 |
| CT scan of the neck with and without contrast | $184 | $857 | $220 |
| CT scan of the neck with contrast | $184 | $841 | $183 |
| CT scan of the pelvis | $184 | $833 | $226 |
| CT scan of the pelvis with and without contrast | $184 | $857 | $251 |
| CT scan of the pelvis with contrast | $184 | $841 | $226 |
| CT scan of the sinuses | $184 | $833 | $152 |
| CT scan of the sinuses with and without contrast | $184 | $857 | $184 |
| CT scan of the sinuses with contrast | $184 | $841 | $152 |
| D-dimer test | $10 | $131 | $10 |
| DHEA-sulfate test | $22 | $113 | $22 |
| Diagnostic mammogram | $79 | $322 | $140 |
| Drug screen (urine) | $62 | $116 | $17 |
| Echocardiogram | $413 | $1,075 | $138 |
| Echocardiogram with and without contrast | $251 | $671 | $101 |
| EEG (awake and asleep) | $227 | $806 | $482 |
| EKG / ECG (tracing only) | $62 | $213 | $7 |
| Electrocardiogram (EKG) | $62 | $213 | $8 |
| Electroencephalogram (EEG) | $227 | $806 | $448 |
| Electrolyte panel | $7 | $59 | $7 |
| Electromyography (EMG) | $140 | $377 | $141 |
| Emergency department visit | $287 | $1,145 | $69 |
| Emergency department visit (level 1) | $88 | $238 | $11 |
| Emergency department visit (level 2) | $161 | $473 | $40 |
| Emergency department visit (level 3) | $287 | $1,145 | $69 |
| Emergency department visit (level 4) | $439 | $1,346 | $118 |
| Emergency department visit (level 5) | $626 | $1,748 | $171 |
| Epidural steroid injection | $743 | $1,477 | $275 |
| ERCP (bile duct endoscopy) | $4,059 | $2,519 | $311 |
| Estradiol (estrogen) test | $27 | $158 | $28 |
| Facet joint injection (spine) | $931 | $504 | $99 |
| Fallopian tube X-ray (HSG) | $251 | $725 | $164 |
| Fecal occult blood (stool) test | $15 | $41 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $4 | $32 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $15 | $50 | $16 |
| Ferritin (iron) test | $13 | $99 | $14 |
| Fibrinogen test | $9 | $31 | $10 |
| Folate (folic acid) test | $14 | $94 | $15 |
| Foreign body removal (skin) | $427 | $671 | $157 |
| Free T4 thyroid test | $9 | $81 | $9 |
| FSH hormone test | $18 | $119 | $19 |
| Gallbladder scan (HIDA) | $496 | $1,797 | $334 |
| Ganglion cyst removal | $1,692 | $11,874 | $321 |
| GGT liver test | $7 | $69 | $7 |
| Glucose tolerance test | $12 | $62 | $8 |
| H. pylori test | $67 | $167 | $67 |
| HDL cholesterol test | $8 | $54 | $8 |
| Hemodialysis | $722 | $1,487 | $75 |
| Hemoglobin A1c (diabetes test) | $9 | $67 | $10 |
| Hepatitis B test | $10 | $81 | $10 |
| Hepatitis C test | $14 | $135 | $14 |
| HIV test | $19 | $93 | $19 |
| HIV test (antibody) | $13 | $80 | $14 |
| HIV test (antigen/antibody combo) | $24 | $106 | $24 |
| Holter heart monitor | $140 | $567 | $26 |
| Iron blood test | $6 | $54 | $6 |
| IV infusion therapy | $223 | $86 | $44 |
| IV infusion therapy (each additional) | $49 | $32 | $21 |
| IV infusion therapy (initial) | $223 | $139 | $67 |
| IVC filter placement | $5,858 | $6,781 | $1,885 |
| Joint aspiration (small/intermediate) | $323 | $524 | $57 |
| Joint aspiration or injection (mid-size joint) | $323 | $524 | $57 |
| Joint aspiration or injection (small joint) | $323 | $524 | $56 |
| Kidney biopsy | $1,738 | $1,633 | $492 |
| Kidney scan (nuclear) | $571 | $1,451 | $172 |
| Kidney ultrasound | $110 | $640 | $84 |
| Kidney ultrasound (limited) | $110 | $511 | $61 |
| Knee joint injection | $323 | $524 | $69 |
| Knee replacement | $19,282 | $16,900 | $18,054 |
| Lactate test | $11 | $102 | $12 |
| LDH test | $6 | $57 | $6 |
| LDL cholesterol test | $10 | $59 | $11 |
| Leg artery angiogram | $3,324 | $3,492 | $149 |
| Leg artery angioplasty | $11,686 | $7,241 | — |
| Leg vein ultrasound (Doppler) | $110 | $812 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $110 | $643 | $116 |
| LH hormone test | $18 | $123 | $19 |
| Lipid (cholesterol) panel | $13 | $118 | $13 |
| Liver biopsy | $1,738 | $1,422 | $288 |
| Lung function test (PFT) | $227 | $466 | $37 |
| Lung scan (V/Q) | $571 | $1,566 | $291 |
| Magnesium blood test | $6 | $70 | $7 |
| MRA of the brain | $367 | $922 | $226 |
| MRA of the brain with contrast | $367 | $923 | $226 |
| MRA of the brain without contrast | $367 | $956 | $328 |
| MRA of the neck | $309 | $922 | $245 |
| MRA of the neck without contrast | $367 | $956 | $343 |
| MRI of the abdomen | $367 | $922 | $300 |
| MRI of the abdomen without contrast | $251 | $890 | $194 |
| MRI of the ankle | $367 | $957 | $261 |
| MRI of the ankle with contrast | $367 | $1,267 | $261 |
| MRI of the ankle without contrast | $251 | $907 | $222 |
| MRI of the brain | $367 | $922 | $269 |
| MRI of the brain with contrast | $367 | $923 | $269 |
| MRI of the brain without contrast | $251 | $890 | $195 |
| MRI of the chest | $367 | $922 | $371 |
| MRI of the chest with contrast | $825 | $923 | $371 |
| MRI of the chest without contrast | $367 | $956 | $466 |
| MRI of the knee | $367 | $940 | $315 |
| MRI of the knee with contrast | $825 | $940 | $315 |
| MRI of the knee without contrast | $251 | $907 | $204 |
| MRI of the lower back (lumbar spine) | $367 | $922 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $367 | $923 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $251 | $890 | $192 |
| MRI of the mid-back (thoracic spine) | $367 | $922 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $367 | $956 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $367 | $923 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $251 | $890 | $190 |
| MRI of the neck (cervical spine) | $367 | $922 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $367 | $956 | $318 |
| MRI of the neck (cervical spine) with contrast | $367 | $923 | $274 |
| MRI of the neck (cervical spine) without contrast | $251 | $890 | $191 |
| MRI of the pelvis | $367 | $939 | $268 |
| MRI of the pelvis with contrast | $367 | $940 | $268 |
| MRI of the pelvis without contrast | $251 | $907 | $227 |
| MRI of the shoulder | $367 | $937 | $313 |
| MRI of the shoulder with contrast | $825 | $940 | $313 |
| MRI of the shoulder without contrast | $251 | $907 | $205 |
| MRI of the wrist | $367 | $957 | $330 |
| MRI of the wrist with contrast | $367 | $1,239 | $330 |
| MRI of the wrist without contrast | $251 | $907 | $303 |
| Nebulizer breathing treatment | $230 | $217 | $9 |
| Nuclear cardiac stress test | $1,363 | $3,295 | $428 |
| Occupational therapy evaluation | $96 | $231 | $101 |
| Occupational therapy evaluation (high complexity) | $96 | $244 | $101 |
| Occupational therapy evaluation (low complexity) | $96 | $221 | $101 |
| Occupational therapy evaluation (moderate complexity) | $96 | $231 | $101 |
| Pacemaker insertion | $16,613 | $11,436 | $15,506 |
| Parathyroid hormone (PTH) test | $41 | $190 | $41 |
| Pelvic ultrasound | $110 | $651 | $78 |
| Pelvic ultrasound (complete) | $110 | $807 | $105 |
| Pelvic ultrasound (limited) | $110 | $500 | $51 |
| Physical therapy evaluation | $94 | $236 | $98 |
| Physical therapy evaluation (high complexity) | $94 | $241 | $98 |
| Physical therapy evaluation (moderate complexity) | $94 | $241 | $98 |
| Platelet count | $4 | $47 | $4 |
| Pregnancy ultrasound | $110 | $594 | $126 |
| Pregnancy ultrasound (first trimester) | $110 | $629 | $117 |
| Pregnancy ultrasound (second or third trimester) | $110 | $560 | $136 |
| Procalcitonin test | $27 | $164 | $27 |
| Prolactin test | $19 | $127 | $19 |
| Prostate biopsy | $2,111 | $2,196 | — |
| Prostate test (PSA) | $18 | $121 | $18 |
| Radiofrequency nerve ablation | $2,055 | $1,879 | $462 |
| Rheumatoid factor test | $6 | $87 | $6 |
| Scoliosis spine X-ray | $101 | $319 | $58 |
| Scoliosis spine X-ray (1 view) | $91 | $274 | $44 |
| Scoliosis spine X-ray (3 views) | $110 | $366 | $72 |
| Screening mammogram | $84 | $323 | $126 |
| Scrotal ultrasound | $110 | $599 | $99 |
| Sedimentation rate (ESR) test | $4 | $46 | $3 |
| Semen analysis | $12 | $52 | $12 |
| Sex hormone binding globulin test | $21 | $81 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $211 | $481 | $114 |
| Simple wound stitches | $211 | $514 | $127 |
| Skin biopsy | $603 | $332 | $121 |
| Skin biopsy (punch) | $427 | $363 | $121 |
| Skin tag removal | $211 | $259 | $92 |
| Spinal tap (lumbar puncture) | $743 | $898 | $165 |
| Spine fracture repair (kyphoplasty) | $7,639 | $8,436 | $5,803 |
| Spirometry (lung function test) | $227 | $382 | $30 |
| Spirometry with bronchodilator | $392 | $554 | $43 |
| Strep throat test | $16 | $85 | $17 |
| Stress echocardiogram | $575 | $1,424 | $209 |
| Swallow study | $56 | $274 | $85 |
| T3 thyroid test | $14 | $110 | $14 |
| Testosterone test | $25 | $134 | $26 |
| Thyroid test (TSH) | $16 | $121 | $17 |
| Thyroid ultrasound | $110 | $590 | $109 |
| Thyroid uptake scan | $420 | $1,248 | $145 |
| Total IgE allergy test | $16 | $88 | $16 |
| Transesophageal echocardiogram (TEE) | $575 | $1,912 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $575 | $1,912 | $239 |
| Transvaginal ultrasound | $110 | $593 | $118 |
| Trigger point injection | $323 | $504 | $56 |
| Trigger point injection (1-2 muscles) | $323 | $504 | $52 |
| Triglycerides test | $5 | $50 | $6 |
| Troponin (heart) test | $12 | $125 | $12 |
| Upper GI endoscopy (EGD) | $954 | $562 | $371 |
| Upper GI series (barium) | $184 | $813 | $128 |
| Urine microalbumin test | $5 | $48 | $5 |
| Urine pregnancy test | $8 | $71 | $9 |
| Vaccine administration | $75 | $42 | $19 |
| Vaginal delivery | $6,117 | $4,325 | $5,487 |
| Varicose vein ablation | $3,324 | $4,359 | $1,018 |
| Vitamin B12 test | $15 | $95 | $15 |
| Vitamin D test | $29 | $74 | $30 |
| Weight-loss (bariatric) surgery | $12,568 | $53,818 | $11,645 |
| Wound debridement | $603 | $916 | $186 |
| X-ray of the abdomen | $110 | $335 | $36 |
| X-ray of the ankle | $91 | $317 | $37 |
| X-ray of the collarbone | $91 | $283 | $33 |
| X-ray of the elbow | $91 | $317 | $33 |
| X-ray of the facial bones | $101 | $351 | $39 |
| X-ray of the foot | $91 | $328 | $34 |
| X-ray of the forearm | $91 | $309 | $29 |
| X-ray of the hand | $91 | $422 | $38 |
| X-ray of the hip | $91 | $267 | $49 |
| X-ray of the hip (1 view) | $91 | $243 | $34 |
| X-ray of the hip (3 views) | $91 | $303 | $49 |
| X-ray of the knee | $91 | $439 | $42 |
| X-ray of the knee (2 views) | $91 | $320 | $34 |
| X-ray of the knee (3 views) | $91 | $473 | $42 |
| X-ray of the knee (4+ views) | $110 | $448 | $49 |
| X-ray of the lower back (lumbar spine) | $110 | $457 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $110 | $390 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $110 | $526 | $53 |
| X-ray of the lower leg | $91 | $294 | $31 |
| X-ray of the mid-back (thoracic spine) | $110 | $350 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $110 | $335 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $110 | $366 | $39 |
| X-ray of the neck (cervical spine) | $101 | $408 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $91 | $335 | $40 |
| X-ray of the pelvis | $110 | $294 | $36 |
| X-ray of the pelvis (1 view) | $110 | $294 | $28 |
| X-ray of the ribs | $101 | $382 | $42 |
| X-ray of the ribs (2 views) | $91 | $320 | $36 |
| X-ray of the ribs (3 views) | $110 | $389 | $42 |
| X-ray of the shoulder | $91 | $335 | $36 |
| X-ray of the skull | $110 | $354 | $40 |
| X-ray of the upper arm | $91 | $303 | $32 |
| X-ray of the wrist | $91 | $314 | $43 |
| Zinc blood test | $11 | $67 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
