| Procedure | Northern Cochise Community Hospital, Inc. | Benson Hospital | Medicare |
|---|
| Abdominal ultrasound | $360 | $146 | $100 |
| Abdominal ultrasound (complete) | $360 | $164 | $114 |
| Abdominal ultrasound (limited) | $360 | $128 | $86 |
| Abscess drainage (simple) | $245 | $60 | $129 |
| Abscess incision and drainage | $361 | $60 | $174 |
| Albumin blood test | $14 | $24 | $5 |
| Aldosterone test | $166 | $89 | $41 |
| Alkaline phosphatase test | $53 | $24 | $5 |
| Allergy shots | $18 | $19 | $11 |
| Alpha-fetoprotein (AFP) test | $223 | $44 | $17 |
| ALT liver enzyme test | $15 | $25 | $5 |
| Ammonia blood test | $41 | $48 | $15 |
| Amylase test | $19 | $27 | $6 |
| Anoscopy | $190 | $36 | $129 |
| Antinuclear antibody (ANA) test | $41 | $24 | $12 |
| Arterial blood gas (ABG) | $55 | $158 | $26 |
| AST liver enzyme test | $14 | $27 | $5 |
| Barium swallow study | $211 | $179 | $107 |
| Bartholin cyst removal | $293 | $38 | $182 |
| Basic metabolic panel | $24 | $58 | $8 |
| Bilirubin blood test | $14 | $24 | $5 |
| Blood clotting test (PT/INR) | $38 | $24 | $4 |
| Blood glucose test | $11 | $16 | $5 |
| Blood transfusion | $363 | $282 | $47 |
| Blood type and screen | $88 | $62 | $10 |
| Blood type test | $42 | $13 | $3 |
| Blood type test (ABO group) | $38 | $14 | $3 |
| Blood type test (Rh/D antigen) | $46 | $12 | $3 |
| BNP (heart failure) test | $97 | $22 | $39 |
| Bone density scan (DEXA) | $315 | $168 | $39 |
| Breast ultrasound | $216 | $90 | $92 |
| Breast ultrasound (complete) | $216 | $90 | $100 |
| Breathing tube insertion (intubation) | $315 | $180 | $133 |
| C-reactive protein (CRP) | $14 | $32 | $5 |
| CA 19-9 tumor marker test | $59 | $64 | $21 |
| CA-125 ovarian marker test | $59 | $84 | $21 |
| Calcium blood test | $14 | $24 | $5 |
| Cardiac stress test | $190 | $106 | $39 |
| Cardioversion | $973 | $422 | $155 |
| Carotid artery ultrasound | $360 | $286 | $156 |
| CEA tumor marker test | $53 | $40 | $19 |
| Central line placement | $1,798 | $755 | $238 |
| Chest tube insertion | $1,006 | $755 | $143 |
| Chest X-ray | $142 | $105 | $37 |
| Chest X-ray (1 view) | $142 | $117 | $25 |
| Chest X-ray (2 views) | $198 | $121 | $33 |
| CK-MB heart enzyme test | $33 | $65 | $12 |
| Clotting time test (PTT) | $17 | $8 | $6 |
| Complete blood count (CBC) | $20 | $44 | $7 |
| Complete blood count (CBC) (complete) | $22 | $44 | $8 |
| Comprehensive metabolic panel | $30 | $93 | $11 |
| Copper blood test | $67 | $12 | $12 |
| Cortisol test | $101 | $59 | $16 |
| COVID-19 PCR test | $99 | $34 | $51 |
| CPAP titration study | $311 | $253 | $69 |
| Creatine kinase (CK) test | $19 | $32 | $7 |
| CT angiography of the chest | $1,081 | $823 | $281 |
| CT angiography of the head | $1,081 | $823 | $274 |
| CT scan of the abdomen | $1,081 | $828 | $230 |
| CT scan of the abdomen and pelvis | $1,081 | $1,421 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $1,081 | $1,545 | $338 |
| CT scan of the abdomen and pelvis with contrast | $1,081 | $1,421 | $300 |
| CT scan of the abdomen and pelvis without contrast | $666 | $1,298 | $183 |
| CT scan of the abdomen with and without contrast | $1,081 | $906 | $259 |
| CT scan of the abdomen with contrast | $1,081 | $828 | $230 |
| CT scan of the abdomen without contrast | $666 | $636 | $136 |
| CT scan of the arm | $1,081 | $576 | $199 |
| CT scan of the arm with contrast | $1,081 | $576 | $199 |
| CT scan of the arm without contrast | $666 | $433 | $161 |
| CT scan of the chest | $1,081 | $777 | $167 |
| CT scan of the chest with and without contrast | $1,081 | $842 | $196 |
| CT scan of the chest with contrast | $1,081 | $777 | $167 |
| CT scan of the chest without contrast | $666 | $614 | $133 |
| CT scan of the head | $1,081 | $734 | $148 |
| CT scan of the head with and without contrast | $1,081 | $881 | $173 |
| CT scan of the head with contrast | $1,081 | $734 | $148 |
| CT scan of the head without contrast | $666 | $581 | $107 |
| CT scan of the leg | $1,081 | $576 | $166 |
| CT scan of the leg with contrast | $1,081 | $576 | $166 |
| CT scan of the leg without contrast | $666 | $421 | $130 |
| CT scan of the lower back (lumbar spine) | $1,081 | $727 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,081 | $746 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,081 | $727 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $666 | $627 | $130 |
| CT scan of the neck | $1,081 | $585 | $183 |
| CT scan of the neck (cervical spine) | $739 | $748 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $818 | $768 | $196 |
| CT scan of the neck (cervical spine) with contrast | $739 | $748 | $168 |
| CT scan of the neck (cervical spine) without contrast | $666 | $601 | $131 |
| CT scan of the neck with and without contrast | $1,081 | $585 | $220 |
| CT scan of the neck with contrast | $1,081 | $585 | $183 |
| CT scan of the neck without contrast | $666 | $683 | $150 |
| CT scan of the pelvis | $1,081 | $861 | $226 |
| CT scan of the pelvis with and without contrast | $1,081 | $941 | $251 |
| CT scan of the pelvis with contrast | $1,081 | $861 | $226 |
| CT scan of the pelvis without contrast | $666 | $644 | $133 |
| CT scan of the sinuses | $1,081 | $547 | $152 |
| CT scan of the sinuses with and without contrast | $1,081 | $600 | $184 |
| CT scan of the sinuses with contrast | $1,081 | $547 | $152 |
| CT scan of the sinuses without contrast | $666 | $446 | $128 |
| D-dimer test | $84 | $36 | $10 |
| DHEA-sulfate test | $63 | $56 | $22 |
| Drug screen (urine) | $117 | $155 | $17 |
| Echocardiogram | $977 | $360 | $138 |
| Echocardiogram without contrast | $977 | $360 | $138 |
| EKG / ECG (tracing only) | $116 | $93 | $7 |
| Electrocardiogram (EKG) | $66 | $88 | $8 |
| Electrolyte panel | $20 | $57 | $7 |
| Emergency department visit | $408 | $383 | $69 |
| Emergency department visit (level 1) | $124 | $121 | $11 |
| Emergency department visit (level 2) | $229 | $214 | $40 |
| Emergency department visit (level 3) | $408 | $383 | $69 |
| Emergency department visit (level 4) | $682 | $555 | $118 |
| Emergency department visit (level 5) | $1,013 | $730 | $171 |
| Estradiol (estrogen) test | $79 | $61 | $28 |
| Fecal occult blood (stool) test | $38 | $33 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $20 | $16 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $45 | $51 | $16 |
| Ferritin (iron) test | $38 | $39 | $14 |
| Fibrinogen test | $24 | $26 | $10 |
| Flu test | $34 | $12 | $17 |
| Folate (folic acid) test | $41 | $45 | $15 |
| Foreign body removal (skin) | $112 | $60 | $157 |
| Free T4 thyroid test | $26 | $57 | $9 |
| FSH hormone test | $53 | $44 | $19 |
| GGT liver test | $20 | $10 | $7 |
| Glucose tolerance test | $24 | $24 | $8 |
| H. pylori test | $191 | $125 | $67 |
| HDL cholesterol test | $23 | $14 | $8 |
| Hematocrit test | $7 | $14 | $2 |
| Hemoglobin A1c (diabetes test) | $28 | $29 | $10 |
| Hepatitis A vaccine | $124 | $36 | — |
| Hepatitis B test | $29 | $22 | $10 |
| Hepatitis B vaccine | $88 | $36 | — |
| Hepatitis C test | $40 | $48 | $14 |
| HIV test | $61 | $42 | $19 |
| HIV test (antibody) | $39 | $55 | $14 |
| HIV test (antigen/antibody combo) | $83 | $29 | $24 |
| Holter heart monitor | $187 | $141 | $26 |
| Iron blood test | $19 | $16 | $6 |
| IUD removal | $523 | $38 | $112 |
| IV infusion therapy | $157 | $63 | $44 |
| IV infusion therapy (each additional) | $68 | $42 | $21 |
| IV infusion therapy (initial) | $303 | $83 | $67 |
| Joint aspiration (small/intermediate) | $467 | $495 | $57 |
| Joint aspiration or injection (mid-size joint) | $467 | $495 | $57 |
| Joint aspiration or injection (small joint) | $467 | $495 | $56 |
| Kidney ultrasound | $360 | $173 | $84 |
| Kidney ultrasound (limited) | $360 | $128 | $61 |
| Knee joint injection | $467 | $87 | $69 |
| Lactate test | $31 | $48 | $12 |
| LDH test | $17 | $168 | $6 |
| LDL cholesterol test | $27 | $12 | $11 |
| Leg vein ultrasound (Doppler) | $297 | $286 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $235 | $254 | $116 |
| LH hormone test | $52 | $37 | $19 |
| Lipase test | $20 | $36 | $7 |
| Lipid (cholesterol) panel | $47 | $39 | $13 |
| Lung function test (PFT) | $252 | $35 | $37 |
| Magnesium blood test | $77 | $31 | $7 |
| MRA of the brain | $1,065 | $898 | $226 |
| MRA of the brain with contrast | $1,065 | $974 | $226 |
| MRA of the brain without contrast | $1,065 | $898 | $328 |
| MRA of the neck | $1,065 | $937 | $245 |
| MRA of the neck with contrast | $1,065 | $937 | $245 |
| MRA of the neck without contrast | $1,065 | $1,119 | $343 |
| MRI of the abdomen | $1,065 | $696 | $300 |
| MRI of the abdomen with contrast | $1,065 | $696 | $300 |
| MRI of the abdomen without contrast | $641 | $683 | $194 |
| MRI of the ankle | $1,065 | $971 | $261 |
| MRI of the ankle with contrast | $1,065 | $971 | $261 |
| MRI of the ankle without contrast | $641 | $913 | $222 |
| MRI of the brain | $1,065 | $1,220 | $269 |
| MRI of the brain with contrast | $1,065 | $1,220 | $269 |
| MRI of the brain without contrast | $641 | $1,021 | $195 |
| MRI of the chest | $1,131 | $1,047 | $371 |
| MRI of the chest with contrast | $1,131 | $1,024 | $371 |
| MRI of the chest without contrast | $1,426 | $1,229 | $466 |
| MRI of the knee | $1,065 | $1,022 | $315 |
| MRI of the knee with contrast | $1,065 | $1,022 | $315 |
| MRI of the knee without contrast | $641 | $1,020 | $204 |
| MRI of the lower back (lumbar spine) | $1,065 | $1,162 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $1,065 | $1,068 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $641 | $1,162 | $192 |
| MRI of the mid-back (thoracic spine) | $1,065 | $1,137 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $1,065 | $1,412 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $1,065 | $1,049 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $641 | $1,137 | $190 |
| MRI of the neck (cervical spine) | $1,065 | $1,203 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $1,065 | $1,318 | $318 |
| MRI of the neck (cervical spine) with contrast | $1,065 | $1,203 | $274 |
| MRI of the neck (cervical spine) without contrast | $641 | $1,149 | $191 |
| MRI of the pelvis | $1,065 | $1,097 | $268 |
| MRI of the pelvis with contrast | $1,065 | $1,097 | $268 |
| MRI of the pelvis without contrast | $641 | $986 | $227 |
| MRI of the shoulder | $1,065 | $1,025 | $313 |
| MRI of the shoulder with contrast | $1,065 | $1,025 | $313 |
| MRI of the shoulder without contrast | $641 | $1,022 | $205 |
| MRI of the wrist | $1,065 | $917 | $330 |
| MRI of the wrist with contrast | $1,065 | $917 | $330 |
| MRI of the wrist without contrast | $641 | $859 | $303 |
| Nebulizer breathing treatment | $174 | $31 | $9 |
| Nuchal translucency ultrasound | $150 | $192 | $116 |
| Occupational therapy evaluation | $144 | $142 | $101 |
| Occupational therapy evaluation (high complexity) | $163 | $190 | $101 |
| Occupational therapy evaluation (low complexity) | $133 | $137 | $101 |
| Occupational therapy evaluation (moderate complexity) | $144 | $142 | $101 |
| Office visit (established patient) | $73 | $30 | $115 |
| Office visit, established patient (level 3) | $73 | $23 | $95 |
| Parathyroid hormone (PTH) test | $117 | $120 | $41 |
| Pelvic ultrasound | $288 | $133 | $78 |
| Pelvic ultrasound (complete) | $360 | $177 | $105 |
| Pelvic ultrasound (limited) | $216 | $90 | $51 |
| Phosphorus blood test | $13 | $23 | $5 |
| Physical therapy evaluation | $161 | $142 | $98 |
| Physical therapy evaluation (high complexity) | $174 | $190 | $98 |
| Physical therapy evaluation (moderate complexity) | $161 | $142 | $98 |
| Platelet count | $50 | $20 | $4 |
| Pregnancy blood test (hCG) | $21 | $12 | $8 |
| Pregnancy ultrasound | $360 | $168 | $126 |
| Pregnancy ultrasound (first trimester) | $360 | $144 | $117 |
| Pregnancy ultrasound (second or third trimester) | $360 | $192 | $136 |
| Procalcitonin test | $247 | $125 | $27 |
| Prolactin test | $125 | $58 | $19 |
| Prostate test (PSA) | $83 | $52 | $18 |
| Rheumatoid factor test | $16 | $25 | $6 |
| Scoliosis spine X-ray | $189 | $130 | $58 |
| Scoliosis spine X-ray (1 view) | $142 | $63 | $44 |
| Scoliosis spine X-ray (3 views) | $236 | $196 | $72 |
| Scrotal ultrasound | $360 | $129 | $99 |
| Sedimentation rate (ESR) test | $10 | $20 | $3 |
| Sex hormone binding globulin test | $91 | $51 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $245 | $122 | $114 |
| Simple wound stitches | $245 | $122 | $127 |
| Soft tissue ultrasound | $250 | $95 | $64 |
| Speech therapy | $166 | $204 | $76 |
| Spinal tap (lumbar puncture) | $1,219 | $404 | $165 |
| Spirometry (lung function test) | $252 | $24 | $30 |
| Spirometry with bronchodilator | $329 | $47 | $43 |
| Swallow study | $179 | $227 | $85 |
| T3 thyroid test | $40 | $15 | $14 |
| Testosterone test | $97 | $35 | $26 |
| Thyroid test (TSH) | $47 | $40 | $17 |
| Thyroid ultrasound | $360 | $98 | $109 |
| Total IgE allergy test | $103 | $25 | $16 |
| Total protein test | $11 | $26 | $4 |
| Transvaginal ultrasound | $360 | $120 | $118 |
| Triglycerides test | $17 | $93 | $6 |
| Troponin (heart) test | $28 | $76 | $12 |
| Uric acid (gout) test | $76 | $29 | $5 |
| Urinalysis | $8 | $15 | $3 |
| Urine microalbumin test | $16 | $35 | $5 |
| Urine pregnancy test | $21 | $34 | $9 |
| Vaccine administration | $63 | $12 | $19 |
| Vaccine administration (each additional) | $76 | $10 | $16 |
| Vitamin B12 test | $43 | $48 | $15 |
| Vitamin D test | $84 | $192 | $30 |
| X-ray of the abdomen | $142 | $68 | $36 |
| X-ray of the ankle | $142 | $71 | $37 |
| X-ray of the collarbone | $142 | $48 | $33 |
| X-ray of the elbow | $142 | $80 | $33 |
| X-ray of the facial bones | $189 | $78 | $39 |
| X-ray of the foot | $142 | $82 | $34 |
| X-ray of the forearm | $142 | $73 | $29 |
| X-ray of the hand | $142 | $71 | $38 |
| X-ray of the hip | $142 | $106 | $49 |
| X-ray of the hip (3 views) | $142 | $106 | $49 |
| X-ray of the knee | $142 | $91 | $42 |
| X-ray of the knee (2 views) | $142 | $83 | $34 |
| X-ray of the knee (3 views) | $142 | $91 | $42 |
| X-ray of the knee (4+ views) | $236 | $105 | $49 |
| X-ray of the lower back (lumbar spine) | $236 | $136 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $236 | $92 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $236 | $179 | $53 |
| X-ray of the lower leg | $142 | $73 | $31 |
| X-ray of the mid-back (thoracic spine) | $236 | $97 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $236 | $90 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $236 | $104 | $39 |
| X-ray of the neck (cervical spine) | $236 | $122 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $236 | $108 | $40 |
| X-ray of the pelvis | $236 | $97 | $36 |
| X-ray of the pelvis (1 view) | $236 | $90 | $28 |
| X-ray of the ribs | $236 | $90 | $42 |
| X-ray of the ribs (2 views) | $142 | $61 | $36 |
| X-ray of the ribs (3 views) | $236 | $90 | $42 |
| X-ray of the shoulder | $142 | $85 | $36 |
| X-ray of the skull | $236 | $107 | $40 |
| X-ray of the upper arm | $142 | $77 | $32 |
| X-ray of the wrist | $142 | $71 | $43 |
| Zinc blood test | $34 | $48 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
