| Procedure | Nacogdoches Memorial Hospital | Sabine County Hospital | Medicare |
|---|
| Abdominal ultrasound | $208 | $170 | $100 |
| Abdominal ultrasound (limited) | $199 | $170 | $86 |
| Abscess drainage (simple) | $149 | $171 | $129 |
| Abscess incision and drainage | $174 | $171 | $174 |
| Albumin blood test | $21 | $22 | $5 |
| Aldosterone test | $124 | $250 | $41 |
| Ammonia blood test | $20 | $91 | $15 |
| Amylase test | $25 | $35 | $6 |
| Antinuclear antibody (ANA) test | $19 | $40 | $12 |
| Arterial blood gas (ABG) | $68 | $138 | $26 |
| Blood clotting test (PT/INR) | $6 | $45 | $4 |
| Blood transfusion | $335 | $464 | $47 |
| Blood type and screen | $19 | $90 | $10 |
| Blood type test | $6 | $60 | $3 |
| Blood type test (Rh/D antigen) | $6 | $60 | $3 |
| BNP (heart failure) test | $32 | $125 | $39 |
| C-reactive protein (CRP) | $9 | $50 | $5 |
| Calcium blood test | $9 | $28 | $5 |
| Carotid artery ultrasound | $656 | $267 | $156 |
| CEA tumor marker test | $81 | $98 | $19 |
| Chest X-ray | $26 | $62 | $37 |
| Chest X-ray (1 view) | $63 | $61 | $25 |
| CK-MB heart enzyme test | $38 | $100 | $12 |
| Clotting time test (PTT) | $9 | $50 | $6 |
| Complete blood count (CBC) | $19 | $62 | $7 |
| Complete blood count (CBC) (complete) | $19 | $74 | $8 |
| Comprehensive metabolic panel | $25 | $138 | $11 |
| Cortisol test | $70 | $100 | $16 |
| Creatine kinase (CK) test | $35 | $50 | $7 |
| CT angiography of the chest | $1,452 | $543 | $281 |
| CT scan of the abdomen and pelvis | $1,067 | $582 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $1,317 | $734 | $338 |
| CT scan of the abdomen and pelvis with contrast | $1,067 | $879 | $300 |
| CT scan of the abdomen and pelvis without contrast | $1,033 | $576 | $183 |
| CT scan of the arm | $399 | $413 | $199 |
| CT scan of the arm without contrast | $350 | $413 | $161 |
| CT scan of the chest | $1,011 | $417 | $167 |
| CT scan of the chest with and without contrast | $1,421 | $820 | $196 |
| CT scan of the chest with contrast | $1,250 | $490 | $167 |
| CT scan of the chest without contrast | $1,011 | $413 | $133 |
| CT scan of the head | $916 | $395 | $148 |
| CT scan of the head without contrast | $916 | $395 | $107 |
| CT scan of the leg | $439 | $411 | $166 |
| CT scan of the leg without contrast | $272 | $411 | $130 |
| CT scan of the lower back (lumbar spine) | $556 | $423 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $535 | $423 | $130 |
| CT scan of the neck (cervical spine) | $556 | $411 | $168 |
| CT scan of the neck (cervical spine) without contrast | $535 | $411 | $131 |
| CT scan of the pelvis | $551 | $788 | $226 |
| CT scan of the pelvis without contrast | $513 | $788 | $133 |
| CT scan of the sinuses | $409 | $395 | $152 |
| CT scan of the sinuses without contrast | $409 | $395 | $128 |
| DHEA-sulfate test | $55 | $48 | $22 |
| Drug screen (urine) | $45 | $56 | $17 |
| EKG / ECG (tracing only) | $80 | $83 | $7 |
| Emergency department visit | $101 | $213 | $69 |
| Emergency department visit (level 1) | $58 | $89 | $11 |
| Emergency department visit (level 2) | $109 | $153 | $40 |
| Emergency department visit (level 3) | $228 | $241 | $69 |
| Emergency department visit (level 4) | $290 | $400 | $118 |
| Emergency department visit (level 5) | $461 | $524 | $171 |
| Estradiol (estrogen) test | $28 | $134 | $28 |
| Fecal occult blood (stool) test | $22 | $33 | $10 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $22 | $33 | $16 |
| Ferritin (iron) test | $36 | $86 | $14 |
| Flu test | $28 | $40 | $17 |
| Folate (folic acid) test | $43 | $76 | $15 |
| Foreign body removal (skin) | $239 | $250 | $157 |
| Free T4 thyroid test | $9 | $63 | $9 |
| FSH hormone test | $30 | $105 | $19 |
| GGT liver test | $18 | $78 | $7 |
| Hematocrit test | $14 | $21 | $2 |
| Hemoglobin A1c (diabetes test) | $16 | $50 | $10 |
| Hepatitis C test | $42 | $131 | $14 |
| Iron blood test | $11 | $40 | $6 |
| IV infusion therapy | $43 | $56 | $44 |
| IV infusion therapy (each additional) | $32 | $38 | $21 |
| IV infusion therapy (initial) | $167 | $75 | $67 |
| Kidney ultrasound | $128 | $397 | $84 |
| Knee joint injection | $262 | $150 | $69 |
| Lactate test | $41 | $40 | $12 |
| LDH test | $35 | $50 | $6 |
| Leg vein ultrasound (Doppler) | $447 | $462 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $447 | $350 | $116 |
| LH hormone test | $74 | $98 | $19 |
| Lipase test | $12 | $38 | $7 |
| Lipid (cholesterol) panel | $20 | $75 | $13 |
| Liver function panel | $14 | $47 | $8 |
| Magnesium blood test | $21 | $58 | $7 |
| Nebulizer breathing treatment | $216 | $158 | $9 |
| Pap smear (cervical screening) | $74 | $23 | $20 |
| Parathyroid hormone (PTH) test | $99 | $150 | $41 |
| Phosphorus blood test | $19 | $39 | $5 |
| Physical therapy evaluation | $84 | $113 | $98 |
| Physical therapy evaluation (high complexity) | $84 | $142 | $98 |
| Physical therapy evaluation (moderate complexity) | $84 | $113 | $98 |
| Pregnancy blood test (hCG) | $22 | $85 | $8 |
| Prolactin test | $74 | $110 | $19 |
| Prostate test (PSA) | $31 | $75 | $18 |
| Rheumatoid factor test | $11 | $44 | $6 |
| Simple laceration repair (small, up to 2.5 cm) | $121 | $102 | $114 |
| Simple wound stitches | $126 | $120 | $127 |
| Soft tissue ultrasound | $58 | $157 | $64 |
| Strep throat test | $13 | $30 | $17 |
| T3 thyroid test | $32 | $82 | $14 |
| Tdap (tetanus) vaccine | $23 | $63 | — |
| Testosterone test | $45 | $103 | $26 |
| Thyroid test (TSH) | $31 | $88 | $17 |
| Thyroid ultrasound | $128 | $350 | $109 |
| Total protein test | $30 | $20 | $4 |
| Troponin (heart) test | $36 | $100 | $12 |
| Urinalysis | $9 | $38 | $3 |
| Urine microalbumin test | $23 | $43 | $5 |
| Urine pregnancy test | $11 | $18 | $9 |
| Vaccine administration | $65 | $16 | $19 |
| Vitamin B12 test | $41 | $75 | $15 |
| Vitamin D test | $52 | $113 | $30 |
| X-ray of the abdomen | $63 | $66 | $36 |
| X-ray of the ankle | $198 | $86 | $37 |
| X-ray of the elbow | $234 | $68 | $33 |
| X-ray of the facial bones | $43 | $106 | $39 |
| X-ray of the foot | $185 | $79 | $34 |
| X-ray of the forearm | $175 | $72 | $29 |
| X-ray of the hand | $182 | $79 | $38 |
| X-ray of the hip | $76 | $72 | $49 |
| X-ray of the hip (3 views) | $76 | $72 | $49 |
| X-ray of the knee | $204 | $137 | $42 |
| X-ray of the knee (2 views) | $191 | $111 | $34 |
| X-ray of the knee (3 views) | $204 | $86 | $42 |
| X-ray of the knee (4+ views) | $237 | $209 | $49 |
| X-ray of the lower back (lumbar spine) | $125 | $93 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $122 | $93 | $40 |
| X-ray of the lower leg | $197 | $143 | $31 |
| X-ray of the mid-back (thoracic spine) | $141 | $73 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $140 | $72 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $154 | $124 | $39 |
| X-ray of the neck (cervical spine) | $59 | $136 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $55 | $74 | $40 |
| X-ray of the pelvis | $67 | $79 | $36 |
| X-ray of the pelvis (1 view) | $63 | $79 | $28 |
| X-ray of the ribs | $201 | $133 | $42 |
| X-ray of the ribs (3 views) | $263 | $236 | $42 |
| X-ray of the shoulder | $193 | $80 | $36 |
| X-ray of the upper arm | $187 | $72 | $32 |
| X-ray of the wrist | $182 | $79 | $43 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
