| Procedure | Norton County Hospital | Osborne County Memorial Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $127 | $60 | $51 |
| Abdominal ultrasound | $415 | $398 | $100 |
| Abdominal ultrasound (complete) | $409 | $496 | $114 |
| Abdominal ultrasound (limited) | $421 | $300 | $86 |
| Abscess drainage (complex or multiple) | $298 | $1,044 | $220 |
| Abscess drainage (simple) | $182 | $944 | $129 |
| Abscess incision and drainage | $238 | $944 | $174 |
| Albumin blood test | $36 | $32 | $5 |
| Aldosterone test | $301 | $150 | $41 |
| Alkaline phosphatase test | $33 | $39 | $5 |
| Allergy shots | $22 | $38 | $11 |
| Alpha-fetoprotein (AFP) test | $138 | $145 | $17 |
| ALT liver enzyme test | $34 | $42 | $5 |
| Ammonia blood test | $78 | $92 | $15 |
| Amylase test | $50 | $39 | $6 |
| Annual physical (established patient) | $165 | $197 | — |
| Annual physical (new patient) | $195 | $175 | — |
| Antinuclear antibody (ANA) test | $72 | $55 | $12 |
| Arterial blood gas (ABG) | $127 | $119 | $26 |
| AST liver enzyme test | $36 | $42 | $5 |
| Barium swallow study | $471 | $337 | $107 |
| Bartholin cyst removal | $274 | $288 | $182 |
| Basic metabolic panel | $72 | $85 | $8 |
| Benign skin lesion removal | $276 | $1,057 | $171 |
| Bilirubin blood test | $35 | $32 | $5 |
| Bladder scope (cystoscopy) | $1,208 | $1,576 | $216 |
| Blood clotting test (PT/INR) | $36 | $28 | $4 |
| Blood glucose test | $30 | $29 | $5 |
| Blood transfusion | $872 | $643 | $47 |
| Blood type and screen | $146 | $105 | $10 |
| Blood type test | $336 | $154 | $3 |
| Blood type test (ABO group) | $336 | $237 | $3 |
| Blood type test (Rh/D antigen) | $98 | $71 | $3 |
| BNP (heart failure) test | $249 | $250 | $39 |
| Bone density scan (DEXA) | $275 | $342 | $39 |
| Bone scan (nuclear) | $1,347 | $848 | $259 |
| Breast biopsy | $1,493 | $2,048 | $478 |
| Breast ultrasound | $373 | $180 | $92 |
| Breast ultrasound (complete) | $409 | $196 | $100 |
| Breast ultrasound (limited) | $337 | $163 | $84 |
| Breathing tube insertion (intubation) | $428 | $761 | $133 |
| Burn dressing and debridement (small) | $134 | $335 | $93 |
| Burn treatment | $134 | $464 | $129 |
| C-reactive protein (CRP) | $71 | $46 | $5 |
| CA 19-9 tumor marker test | $162 | $120 | $21 |
| CA-125 ovarian marker test | $126 | $121 | $21 |
| Calcium blood test | $28 | $131 | $5 |
| Cardiac rehabilitation | $196 | $163 | $26 |
| Cardiac stress test | $300 | $258 | $39 |
| Cardioversion | $420 | $1,275 | $155 |
| Carotid artery ultrasound | $538 | $842 | $156 |
| Carpal tunnel release | $1,310 | $1,935 | $483 |
| CEA tumor marker test | $113 | $85 | $19 |
| Central line placement | $2,745 | $1,644 | $238 |
| Chest fluid drain (thoracentesis) | $371 | $1,077 | $311 |
| Chest tube insertion | $499 | $735 | $143 |
| Chest X-ray | $145 | $207 | $37 |
| Chest X-ray (1 view) | $132 | $145 | $25 |
| Chest X-ray (2 views) | $239 | $184 | $33 |
| Circumcision | $326 | $302 | $167 |
| CK-MB heart enzyme test | $99 | $77 | $12 |
| Clotting time test (PTT) | $60 | $60 | $6 |
| Colonoscopy | $550 | $1,576 | $480 |
| Complete blood count (CBC) | $38 | $52 | $7 |
| Complete blood count (CBC) (complete) | $28 | $55 | $8 |
| Comprehensive metabolic panel | $67 | $139 | $11 |
| Copper blood test | $111 | $76 | $12 |
| Cortisol test | $159 | $121 | $16 |
| CPAP titration study | $470 | $337 | $69 |
| Creatine kinase (CK) test | $46 | $60 | $7 |
| CT angiography of the chest | $1,237 | $1,428 | $281 |
| CT angiography of the head | $1,629 | $1,447 | $274 |
| CT scan of the abdomen | $1,183 | $921 | $230 |
| CT scan of the abdomen and pelvis | $666 | $1,176 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $687 | $1,194 | $338 |
| CT scan of the abdomen and pelvis with contrast | $666 | $1,176 | $300 |
| CT scan of the abdomen and pelvis without contrast | $666 | $1,159 | $183 |
| CT scan of the abdomen with and without contrast | $1,504 | $921 | $259 |
| CT scan of the abdomen with contrast | $605 | $926 | $230 |
| CT scan of the abdomen without contrast | $1,183 | $891 | $136 |
| CT scan of the arm | $605 | $908 | $199 |
| CT scan of the arm with contrast | $599 | $908 | $199 |
| CT scan of the arm without contrast | $605 | $885 | $161 |
| CT scan of the chest | $945 | $894 | $167 |
| CT scan of the chest with and without contrast | $687 | $921 | $196 |
| CT scan of the chest with contrast | $1,171 | $894 | $167 |
| CT scan of the chest without contrast | $945 | $876 | $133 |
| CT scan of the head | $713 | $894 | $148 |
| CT scan of the head with and without contrast | $1,061 | $921 | $173 |
| CT scan of the head with contrast | $987 | $894 | $148 |
| CT scan of the head without contrast | $641 | $876 | $107 |
| CT scan of the leg | $1,199 | $908 | $166 |
| CT scan of the leg with contrast | $1,302 | $908 | $166 |
| CT scan of the leg without contrast | $1,199 | $885 | $130 |
| CT scan of the lower back (lumbar spine) | $1,140 | $894 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $755 | $921 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,344 | $894 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,140 | $876 | $130 |
| CT scan of the neck | $605 | $894 | $183 |
| CT scan of the neck (cervical spine) | $666 | $894 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $747 | $921 | $196 |
| CT scan of the neck (cervical spine) with contrast | $599 | $894 | $168 |
| CT scan of the neck (cervical spine) without contrast | $666 | $876 | $131 |
| CT scan of the neck with and without contrast | $1,359 | $921 | $220 |
| CT scan of the neck with contrast | $599 | $894 | $183 |
| CT scan of the neck without contrast | $605 | $876 | $150 |
| CT scan of the pelvis | $1,035 | $894 | $226 |
| CT scan of the pelvis with and without contrast | $1,303 | $921 | $251 |
| CT scan of the pelvis with contrast | $605 | $894 | $226 |
| CT scan of the pelvis without contrast | $1,035 | $876 | $133 |
| CT scan of the sinuses | $747 | $894 | $152 |
| CT scan of the sinuses with and without contrast | $747 | $921 | $184 |
| CT scan of the sinuses with contrast | $604 | $894 | $152 |
| CT scan of the sinuses without contrast | $1,011 | $876 | $128 |
| D-dimer test | $119 | $125 | $10 |
| DHEA-sulfate test | $130 | $105 | $22 |
| Diagnostic mammogram | $196 | $197 | $140 |
| Dilation and curettage (D&C) | $645 | $2,853 | $298 |
| Drug screen (urine) | $68 | $187 | $17 |
| Echocardiogram | $590 | $837 | $138 |
| Echocardiogram with and without contrast | $404 | $729 | $101 |
| EKG / ECG (tracing only) | $263 | $215 | $7 |
| Electrocardiogram (EKG) | $263 | $418 | $8 |
| Electrolyte panel | $69 | $99 | $7 |
| Emergency department visit | $308 | $810 | $69 |
| Emergency department visit (level 1) | $90 | $263 | $11 |
| Emergency department visit (level 2) | $156 | $527 | $40 |
| Emergency department visit (level 3) | $308 | $810 | $69 |
| Emergency department visit (level 4) | $509 | $1,381 | $118 |
| Emergency department visit (level 5) | $786 | $2,146 | $171 |
| Endometrial biopsy | $774 | $350 | $98 |
| Epidural steroid injection | $1,750 | $655 | $275 |
| Estradiol (estrogen) test | $200 | $164 | $28 |
| Facet joint injection (spine) | $793 | $402 | $99 |
| Fecal occult blood (stool) test | $46 | $19 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $28 | $17 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $63 | $111 | $16 |
| Ferritin (iron) test | $90 | $68 | $14 |
| Flexible sigmoidoscopy | $426 | $963 | $323 |
| Folate (folic acid) test | $99 | $83 | $15 |
| Foreign body removal (skin) | $208 | $740 | $157 |
| Free T4 thyroid test | $56 | $60 | $9 |
| FSH hormone test | $127 | $107 | $19 |
| Gallbladder scan (HIDA) | $1,170 | $1,145 | $334 |
| Ganglion cyst removal | $731 | $2,776 | $321 |
| GGT liver test | $62 | $60 | $7 |
| H. pylori test | $438 | $189 | $67 |
| HDL cholesterol test | $35 | $40 | $8 |
| Hematocrit test | $22 | $31 | $2 |
| Hemoglobin A1c (diabetes test) | $41 | $62 | $10 |
| Hepatitis B test | $110 | $43 | $10 |
| Hepatitis C test | $112 | $62 | $14 |
| HIV test | $95 | $83 | $19 |
| HIV test (antigen/antibody combo) | $95 | $83 | $24 |
| Holter heart monitor | $185 | $326 | $26 |
| Inguinal hernia repair | $1,234 | $4,542 | $538 |
| Iron blood test | $41 | $51 | $6 |
| IUD removal | $175 | $166 | $112 |
| IV infusion therapy | $230 | $286 | $44 |
| IV infusion therapy (each additional) | $172 | $191 | $21 |
| IV infusion therapy (initial) | $246 | $286 | $67 |
| Joint aspiration (small/intermediate) | $368 | $149 | $57 |
| Joint aspiration or injection (mid-size joint) | $369 | $292 | $57 |
| Joint aspiration or injection (small joint) | $323 | $140 | $56 |
| Kidney scan (nuclear) | $1,616 | $1,049 | $172 |
| Kidney ultrasound | $349 | $378 | $84 |
| Kidney ultrasound (limited) | $233 | $355 | $61 |
| Knee joint injection | $467 | $497 | $69 |
| Lactate test | $76 | $71 | $12 |
| LDH test | $54 | $29 | $6 |
| Leg vein ultrasound (Doppler) | $622 | $723 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $622 | $700 | $116 |
| LH hormone test | $132 | $107 | $19 |
| Lipase test | $69 | $39 | $7 |
| Lipid (cholesterol) panel | $104 | $87 | $13 |
| Liver function panel | $93 | $83 | $8 |
| Lung function test (PFT) | $474 | $405 | $37 |
| Magnesium blood test | $52 | $39 | $7 |
| MRA of the brain | $613 | $1,176 | $226 |
| MRA of the brain with contrast | $613 | $1,176 | $226 |
| MRA of the brain without contrast | $613 | $1,194 | $328 |
| MRA of the neck | $613 | $1,176 | $245 |
| MRA of the neck with contrast | $613 | $1,176 | $245 |
| MRA of the neck without contrast | $613 | $1,194 | $343 |
| MRI of the abdomen | $908 | $1,128 | $300 |
| MRI of the abdomen with contrast | $908 | $1,128 | $300 |
| MRI of the abdomen without contrast | $908 | $1,071 | $194 |
| MRI of the ankle | $908 | $1,221 | $261 |
| MRI of the ankle without contrast | $908 | $1,212 | $222 |
| MRI of the brain | $908 | $1,176 | $269 |
| MRI of the brain with contrast | $908 | $1,176 | $269 |
| MRI of the brain without contrast | $908 | $1,159 | $195 |
| MRI of the chest | $908 | $1,176 | $371 |
| MRI of the chest with contrast | $908 | $1,176 | $371 |
| MRI of the chest without contrast | $1,680 | $1,194 | $466 |
| MRI of the knee | $908 | $1,221 | $315 |
| MRI of the knee with contrast | $908 | $1,221 | $315 |
| MRI of the knee without contrast | $908 | $1,203 | $204 |
| MRI of the lower back (lumbar spine) | $908 | $1,176 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $1,680 | $1,176 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $908 | $1,159 | $192 |
| MRI of the mid-back (thoracic spine) | $908 | $1,176 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $1,680 | $1,194 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $908 | $1,176 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $908 | $1,159 | $190 |
| MRI of the neck (cervical spine) | $908 | $1,176 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $1,680 | $1,194 | $318 |
| MRI of the neck (cervical spine) with contrast | $908 | $1,176 | $274 |
| MRI of the neck (cervical spine) without contrast | $908 | $1,159 | $191 |
| MRI of the pelvis | $908 | $1,176 | $268 |
| MRI of the pelvis with contrast | $908 | $1,176 | $268 |
| MRI of the pelvis without contrast | $908 | $1,159 | $227 |
| MRI of the shoulder | $908 | $1,176 | $313 |
| MRI of the shoulder with contrast | $908 | $1,176 | $313 |
| MRI of the shoulder without contrast | $908 | $1,159 | $205 |
| MRI of the wrist | $908 | $1,185 | $330 |
| MRI of the wrist with contrast | $908 | $1,176 | $330 |
| MRI of the wrist without contrast | $908 | $1,212 | $303 |
| Nebulizer breathing treatment | $141 | $52 | $9 |
| Nuclear cardiac stress test | $1,499 | $2,790 | $428 |
| Occupational therapy evaluation | $180 | $149 | $101 |
| Occupational therapy evaluation (high complexity) | $261 | $149 | $101 |
| Occupational therapy evaluation (low complexity) | $150 | $149 | $101 |
| Occupational therapy evaluation (moderate complexity) | $180 | $149 | $101 |
| Office visit (established patient) | $127 | $152 | $115 |
| Office visit (new patient) | $230 | $169 | $177 |
| Office visit, established patient (level 3) | $127 | $233 | $95 |
| Office visit, established patient (level 4) | $170 | $131 | $136 |
| Office visit, new patient (level 3) | $152 | $141 | $118 |
| Office visit, new patient (level 4) | $230 | $169 | $177 |
| Office visit, new patient (level 5) | $296 | $219 | $237 |
| Parathyroid hormone (PTH) test | $247 | $183 | $41 |
| Pelvic ultrasound | $606 | $486 | $78 |
| Pelvic ultrasound (complete) | $606 | $496 | $105 |
| Pelvic ultrasound (limited) | $344 | $475 | $51 |
| Phosphorus blood test | $39 | $32 | $5 |
| Physical therapy evaluation | $209 | $148 | $98 |
| Physical therapy evaluation (high complexity) | $246 | $148 | $98 |
| Physical therapy evaluation (moderate complexity) | $209 | $148 | $98 |
| Pregnancy blood test (hCG) | $225 | $79 | $8 |
| Pregnancy ultrasound | $494 | $323 | $126 |
| Pregnancy ultrasound (first trimester) | $503 | $290 | $117 |
| Pregnancy ultrasound (second or third trimester) | $412 | $355 | $136 |
| Prolactin test | $141 | $105 | $19 |
| Prostate test (PSA) | $95 | $96 | $18 |
| Radiofrequency nerve ablation | $3,981 | $1,117 | $462 |
| Sacroiliac joint injection | $2,800 | $477 | $176 |
| Scoliosis spine X-ray | $294 | $224 | $58 |
| Scoliosis spine X-ray (1 view) | $70 | $224 | $44 |
| Scoliosis spine X-ray (3 views) | $518 | $219 | $72 |
| Screening colonoscopy | $440 | $1,401 | $378 |
| Screening mammogram | $196 | $199 | $126 |
| Scrotal ultrasound | $557 | $300 | $99 |
| Sedimentation rate (ESR) test | $49 | $54 | $3 |
| Sex hormone binding globulin test | $205 | $161 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $297 | $625 | $114 |
| Simple wound stitches | $319 | $558 | $127 |
| Skin biopsy | $149 | $762 | $121 |
| Skin biopsy (punch) | $162 | $762 | $121 |
| Skin cancer lesion removal | $320 | $981 | $240 |
| Skin lesion freezing (cryotherapy) | $120 | $83 | $36 |
| Skin tag removal | $166 | $762 | $92 |
| Sleep study (polysomnography) | $3,357 | $2,531 | $691 |
| Soft tissue ultrasound | $408 | $179 | $64 |
| Speech therapy | $167 | $200 | $76 |
| Spinal tap (lumbar puncture) | $566 | $110 | $165 |
| Spirometry (lung function test) | $480 | $376 | $30 |
| Spirometry with bronchodilator | $296 | $434 | $43 |
| Strep throat test | $88 | $54 | $17 |
| Swallow study | $195 | $197 | $85 |
| T3 thyroid test | $53 | $78 | $14 |
| Tdap (tetanus) vaccine | $139 | $85 | — |
| Testosterone test | $130 | $113 | $26 |
| Thyroid test (TSH) | $44 | $68 | $17 |
| Thyroid ultrasound | $492 | $700 | $109 |
| Total IgE allergy test | $100 | $88 | $16 |
| Total protein test | $34 | $23 | $4 |
| Transvaginal ultrasound | $355 | $289 | $118 |
| Trigger point injection | $168 | $434 | $56 |
| Trigger point injection (1-2 muscles) | $286 | $434 | $52 |
| Triglycerides test | $43 | $43 | $6 |
| Troponin (heart) test | $109 | $91 | $12 |
| Ulnar nerve surgery (elbow) | $1,035 | $2,955 | $575 |
| Upper GI endoscopy (EGD) | $744 | $1,298 | $371 |
| Uric acid (gout) test | $36 | $40 | $5 |
| Urinalysis | $22 | $18 | $3 |
| Urine microalbumin test | $45 | $46 | $5 |
| Urine pregnancy test | $43 | $64 | $9 |
| Vaccine administration | $26 | $29 | $19 |
| Vaccine administration (each additional) | $22 | $26 | $16 |
| Vitamin B12 test | $104 | $69 | $15 |
| Vitamin D test | $348 | $176 | $30 |
| Wart removal | $165 | $1,183 | $121 |
| Well-child visit | $117 | $127 | — |
| Wound debridement | $369 | $312 | $186 |
| X-ray of the abdomen | $239 | $214 | $36 |
| X-ray of the ankle | $174 | $173 | $37 |
| X-ray of the collarbone | $245 | $175 | $33 |
| X-ray of the elbow | $312 | $214 | $33 |
| X-ray of the facial bones | $284 | $312 | $39 |
| X-ray of the foot | $210 | $214 | $34 |
| X-ray of the forearm | $256 | $174 | $29 |
| X-ray of the hand | $322 | $209 | $38 |
| X-ray of the hip | $213 | $213 | $49 |
| X-ray of the hip (1 view) | $175 | $202 | $34 |
| X-ray of the hip (3 views) | $251 | $213 | $49 |
| X-ray of the knee | $235 | $206 | $42 |
| X-ray of the knee (2 views) | $127 | $178 | $34 |
| X-ray of the knee (3 views) | $235 | $206 | $42 |
| X-ray of the knee (4+ views) | $423 | $265 | $49 |
| X-ray of the lower back (lumbar spine) | $267 | $255 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $197 | $201 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $337 | $309 | $53 |
| X-ray of the lower leg | $221 | $182 | $31 |
| X-ray of the mid-back (thoracic spine) | $309 | $190 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $319 | $156 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $300 | $224 | $39 |
| X-ray of the neck (cervical spine) | $375 | $244 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $319 | $201 | $40 |
| X-ray of the pelvis | $148 | $173 | $36 |
| X-ray of the pelvis (1 view) | $148 | $157 | $28 |
| X-ray of the ribs | $238 | $228 | $42 |
| X-ray of the ribs (2 views) | $221 | $203 | $36 |
| X-ray of the ribs (3 views) | $238 | $249 | $42 |
| X-ray of the shoulder | $211 | $176 | $36 |
| X-ray of the skull | $382 | $234 | $40 |
| X-ray of the upper arm | $268 | $209 | $32 |
| X-ray of the wrist | $162 | $219 | $43 |
| Zinc blood test | $99 | $77 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
