| Procedure | OSF Holy Family Medical Center | Memorial Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $118 | $148 | $51 |
| Abdominal fluid drain (paracentesis) | $1,571 | $432 | $284 |
| Abdominal ultrasound | $1,162 | $869 | $100 |
| Abdominal ultrasound (complete) | $1,446 | $955 | $114 |
| Abdominal ultrasound (limited) | $1,162 | $782 | $86 |
| Abscess drainage (complex or multiple) | $626 | $844 | $220 |
| Abscess drainage (simple) | $925 | $355 | $129 |
| Abscess incision and drainage | $626 | $368 | $174 |
| Barium swallow study | $1,073 | $762 | $107 |
| Bartholin cyst removal | $1,106 | $371 | $182 |
| Blood transfusion | $1,801 | $759 | $47 |
| Bone density scan (DEXA) | $761 | $606 | $39 |
| Bone scan (nuclear) | $3,220 | $2,000 | $259 |
| Breast biopsy | $2,516 | $3,302 | $478 |
| Breast ultrasound | $518 | $511 | $92 |
| Breast ultrasound (complete) | $518 | $519 | $100 |
| Breast ultrasound (limited) | $518 | $502 | $84 |
| Breathing tube insertion (intubation) | $1,713 | $489 | $133 |
| Burn dressing and debridement (medium) | $1,544 | $131 | $166 |
| Burn dressing and debridement (small) | $865 | $91 | $93 |
| Burn treatment | $865 | $111 | $129 |
| Cardiac rehabilitation | $250 | $214 | $26 |
| Cardiac stress test | $1,342 | $1,127 | $39 |
| Cardioversion | $2,062 | $1,440 | $155 |
| Carotid artery ultrasound | $1,167 | $1,720 | $156 |
| Central line placement | $2,574 | $1,123 | $238 |
| Chemotherapy infusion | $454 | $304 | $81 |
| Chemotherapy infusion (each additional) | $268 | $177 | $28 |
| Chemotherapy infusion (first hour) | $639 | $430 | $133 |
| Chest fluid drain (thoracentesis) | $1,806 | $423 | $311 |
| Chest tube insertion | $4,918 | $1,210 | $143 |
| Chest X-ray | $347 | $406 | $37 |
| Chest X-ray (1 view) | $269 | $249 | $25 |
| Chest X-ray (2 views) | $317 | $351 | $33 |
| Complex wound repair | $4,750 | $1,282 | $390 |
| CPAP titration study | $517 | $705 | $69 |
| CT angiography of the chest | $3,183 | $4,110 | $281 |
| CT angiography of the head | $3,335 | $4,110 | $274 |
| CT scan of the abdomen | $2,710 | $3,348 | $230 |
| CT scan of the abdomen and pelvis | $6,005 | $6,030 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $6,075 | $6,297 | $338 |
| CT scan of the abdomen and pelvis with contrast | $6,005 | $6,030 | $300 |
| CT scan of the abdomen and pelvis without contrast | $5,098 | $4,658 | $183 |
| CT scan of the abdomen with and without contrast | $3,264 | $3,502 | $259 |
| CT scan of the abdomen with contrast | $2,710 | $3,348 | $230 |
| CT scan of the abdomen without contrast | $2,639 | $2,738 | $136 |
| CT scan of the arm | $3,274 | $2,983 | $199 |
| CT scan of the arm with contrast | $3,274 | $2,983 | $199 |
| CT scan of the arm without contrast | $2,339 | $1,826 | $161 |
| CT scan of the chest | $2,886 | $3,348 | $167 |
| CT scan of the chest with and without contrast | $3,306 | $3,502 | $196 |
| CT scan of the chest with contrast | $2,886 | $3,348 | $167 |
| CT scan of the chest without contrast | $2,515 | $2,434 | $133 |
| CT scan of the head | $2,646 | $3,348 | $148 |
| CT scan of the head with and without contrast | $2,687 | $3,502 | $173 |
| CT scan of the head with contrast | $2,646 | $3,348 | $148 |
| CT scan of the head without contrast | $2,498 | $2,434 | $107 |
| CT scan of the leg | $3,264 | $2,587 | $166 |
| CT scan of the leg with contrast | $3,144 | $2,587 | $166 |
| CT scan of the leg without contrast | $2,734 | $1,826 | $130 |
| CT scan of the lower back (lumbar spine) | $3,336 | $3,348 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $3,472 | $3,502 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $3,303 | $3,348 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $3,336 | $2,434 | $130 |
| CT scan of the neck | $2,697 | $3,043 | $183 |
| CT scan of the neck (cervical spine) | $3,158 | $3,348 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $3,330 | $3,502 | $196 |
| CT scan of the neck (cervical spine) with contrast | $2,503 | $3,348 | $168 |
| CT scan of the neck (cervical spine) without contrast | $3,158 | $2,434 | $131 |
| CT scan of the neck with and without contrast | $2,774 | $3,196 | $220 |
| CT scan of the neck with contrast | $2,697 | $3,043 | $183 |
| CT scan of the neck without contrast | $2,404 | $2,434 | $150 |
| CT scan of the pelvis | $2,962 | $3,348 | $226 |
| CT scan of the pelvis with and without contrast | $3,160 | $3,502 | $251 |
| CT scan of the pelvis with contrast | $2,962 | $3,348 | $226 |
| CT scan of the pelvis without contrast | $2,574 | $2,434 | $133 |
| CT scan of the sinuses | $3,170 | $2,587 | $152 |
| CT scan of the sinuses with and without contrast | $3,640 | $2,882 | $184 |
| CT scan of the sinuses with contrast | $2,766 | $2,587 | $152 |
| CT scan of the sinuses without contrast | $2,822 | $1,674 | $128 |
| Developmental screening (child) | $219 | $387 | — |
| Diagnostic mammogram | $604 | $350 | $140 |
| Echocardiogram | $2,017 | $1,860 | $138 |
| Echocardiogram with and without contrast | $1,002 | $1,222 | $101 |
| EKG / ECG (tracing only) | $484 | $236 | $7 |
| Electrocardiogram (EKG) | $484 | $236 | $8 |
| Emergency department visit | $648 | $208 | $69 |
| Emergency department visit (level 1) | $183 | $136 | $11 |
| Emergency department visit (level 2) | $380 | $208 | $40 |
| Emergency department visit (level 3) | $648 | $422 | $69 |
| Emergency department visit (level 4) | $1,026 | $565 | $118 |
| Emergency department visit (level 5) | $1,707 | $847 | $171 |
| Epidural steroid injection | $1,001 | $1,360 | $275 |
| Fallopian tube X-ray (HSG) | $760 | $348 | $164 |
| Fecal occult blood (stool) test | $87 | $80 | $10 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $87 | $80 | $16 |
| Foreign body removal (skin) | $612 | $540 | $157 |
| Gallbladder scan (HIDA) | $2,865 | $1,947 | $334 |
| Holter heart monitor | $614 | $366 | $26 |
| IUD removal | $263 | $434 | $112 |
| IV infusion therapy | $473 | $254 | $44 |
| IV infusion therapy (each additional) | $279 | $169 | $21 |
| IV infusion therapy (initial) | $667 | $340 | $67 |
| Joint aspiration (small/intermediate) | $1,117 | $206 | $57 |
| Joint aspiration or injection (mid-size joint) | $423 | $202 | $57 |
| Joint aspiration or injection (small joint) | $1,128 | $206 | $56 |
| Kidney scan (nuclear) | $9,596 | $2,214 | $172 |
| Kidney ultrasound | $1,150 | $892 | $84 |
| Kidney ultrasound (limited) | $989 | $789 | $61 |
| Knee joint injection | $1,098 | $280 | $69 |
| Leg vein ultrasound (Doppler) | $1,383 | $1,828 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $1,383 | $1,421 | $116 |
| Liver biopsy | $2,241 | $988 | $288 |
| Lung function test (PFT) | $542 | $260 | $37 |
| Lung scan (V/Q) | $1,983 | $2,410 | $291 |
| MRA of the brain | $4,449 | $3,606 | $226 |
| MRA of the neck | $4,063 | $4,017 | $245 |
| MRA of the neck with contrast | $2,857 | $4,017 | $245 |
| MRA of the neck without contrast | $4,650 | $4,859 | $343 |
| MRI of the abdomen | $3,938 | $4,283 | $300 |
| MRI of the abdomen with contrast | $3,938 | $4,283 | $300 |
| MRI of the abdomen without contrast | $3,828 | $3,716 | $194 |
| MRI of the ankle | $5,522 | $4,644 | $261 |
| MRI of the ankle without contrast | $4,463 | $3,716 | $222 |
| MRI of the brain | $4,769 | $4,283 | $269 |
| MRI of the brain with contrast | $4,769 | $4,283 | $269 |
| MRI of the brain without contrast | $4,469 | $3,716 | $195 |
| MRI of the chest | $4,225 | $4,799 | $371 |
| MRI of the chest without contrast | $4,645 | $5,882 | $466 |
| MRI of the knee | $5,230 | $4,283 | $315 |
| MRI of the knee with contrast | $4,225 | $4,283 | $315 |
| MRI of the knee without contrast | $3,877 | $3,716 | $204 |
| MRI of the lower back (lumbar spine) | $4,436 | $4,283 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $4,436 | $4,283 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $4,058 | $3,716 | $192 |
| MRI of the mid-back (thoracic spine) | $4,037 | $4,283 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $5,282 | $5,572 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $4,037 | $4,283 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $3,877 | $3,716 | $190 |
| MRI of the neck (cervical spine) | $4,541 | $4,283 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $5,042 | $5,572 | $318 |
| MRI of the neck (cervical spine) with contrast | $4,541 | $4,283 | $274 |
| MRI of the neck (cervical spine) without contrast | $3,877 | $3,716 | $191 |
| MRI of the pelvis | $3,940 | $4,283 | $268 |
| MRI of the pelvis with contrast | $3,940 | $4,283 | $268 |
| MRI of the pelvis without contrast | $3,569 | $3,716 | $227 |
| MRI of the shoulder | $4,436 | $4,081 | $313 |
| MRI of the shoulder with contrast | $4,436 | $4,081 | $313 |
| MRI of the shoulder without contrast | $3,877 | $3,716 | $205 |
| MRI of the wrist | $4,645 | $4,644 | $330 |
| MRI of the wrist without contrast | $3,411 | $3,716 | $303 |
| Nebulizer breathing treatment | $116 | $85 | $9 |
| Nuclear cardiac stress test | $6,214 | $4,800 | $428 |
| Occupational therapy evaluation | $330 | $238 | $101 |
| Occupational therapy evaluation (high complexity) | $371 | $262 | $101 |
| Occupational therapy evaluation (low complexity) | $309 | $216 | $101 |
| Occupational therapy evaluation (moderate complexity) | $330 | $238 | $101 |
| Office visit (established patient) | $250 | $59 | $115 |
| Office visit (new patient) | $372 | $340 | $177 |
| Office visit, established patient (level 3) | $199 | $39 | $95 |
| Office visit, established patient (level 4) | $302 | $59 | $136 |
| Office visit, new patient (level 3) | $242 | $270 | $118 |
| Office visit, new patient (level 4) | $372 | $410 | $177 |
| Pelvic ultrasound | $1,078 | $605 | $78 |
| Pelvic ultrasound (complete) | $1,424 | $782 | $105 |
| Pelvic ultrasound (limited) | $733 | $427 | $51 |
| Physical therapy evaluation | $330 | $230 | $98 |
| Physical therapy evaluation (high complexity) | $371 | $242 | $98 |
| Physical therapy evaluation (moderate complexity) | $330 | $230 | $98 |
| Pregnancy ultrasound | $1,362 | $1,005 | $126 |
| Pregnancy ultrasound (first trimester) | $970 | $955 | $117 |
| Pregnancy ultrasound (second or third trimester) | $1,754 | $1,054 | $136 |
| Psychiatric evaluation | $338 | $206 | $188 |
| Pulmonary rehabilitation | $387 | $173 | $87 |
| Scoliosis spine X-ray | $318 | $523 | $58 |
| Scoliosis spine X-ray (1 view) | $295 | $331 | $44 |
| Scoliosis spine X-ray (3 views) | $342 | $715 | $72 |
| Screening mammogram | $312 | $350 | $126 |
| Scrotal ultrasound | $1,424 | $752 | $99 |
| Simple laceration repair (small, up to 2.5 cm) | $380 | $394 | $114 |
| Simple wound stitches | $391 | $414 | $127 |
| Skin biopsy | $521 | $594 | $121 |
| Skin tag removal | $281 | $311 | $92 |
| Sleep study (polysomnography) | $4,158 | $4,209 | $691 |
| Soft tissue ultrasound | $1,190 | $707 | $64 |
| Speech therapy | $227 | $288 | $76 |
| Spinal tap (lumbar puncture) | $1,155 | $383 | $165 |
| Spirometry (lung function test) | $542 | $210 | $30 |
| Spirometry with bronchodilator | $662 | $310 | $43 |
| Swallow study | $413 | $288 | $85 |
| Thyroid ultrasound | $1,368 | $388 | $109 |
| Transvaginal ultrasound | $1,290 | $900 | $118 |
| Trigger point injection | $774 | $552 | $56 |
| Trigger point injection (1-2 muscles) | $422 | $302 | $52 |
| Upper GI series (barium) | $1,162 | $434 | $128 |
| Vaccine administration | $116 | $94 | $19 |
| Wound debridement | $881 | $696 | $186 |
| X-ray of the abdomen | $383 | $298 | $36 |
| X-ray of the ankle | $559 | $302 | $37 |
| X-ray of the collarbone | $546 | $266 | $33 |
| X-ray of the elbow | $578 | $249 | $33 |
| X-ray of the facial bones | $625 | $421 | $39 |
| X-ray of the foot | $562 | $302 | $34 |
| X-ray of the forearm | $549 | $249 | $29 |
| X-ray of the hand | $559 | $302 | $38 |
| X-ray of the hip | $519 | $334 | $49 |
| X-ray of the hip (1 view) | $464 | $284 | $34 |
| X-ray of the hip (3 views) | $519 | $334 | $49 |
| X-ray of the hip (4 views) | $587 | $359 | $63 |
| X-ray of the knee | $622 | $267 | $42 |
| X-ray of the knee (2 views) | $521 | $254 | $34 |
| X-ray of the knee (3 views) | $622 | $267 | $42 |
| X-ray of the knee (4+ views) | $622 | $274 | $49 |
| X-ray of the lower back (lumbar spine) | $471 | $596 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $471 | $512 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $542 | $681 | $53 |
| X-ray of the lower leg | $559 | $249 | $31 |
| X-ray of the mid-back (thoracic spine) | $459 | $374 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $459 | $360 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $527 | $389 | $39 |
| X-ray of the neck (cervical spine) | $468 | $500 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $468 | $360 | $40 |
| X-ray of the pelvis | $521 | $307 | $36 |
| X-ray of the pelvis (1 view) | $521 | $248 | $28 |
| X-ray of the ribs | $678 | $335 | $42 |
| X-ray of the ribs (2 views) | $510 | $283 | $36 |
| X-ray of the ribs (3 views) | $678 | $407 | $42 |
| X-ray of the shoulder | $582 | $389 | $36 |
| X-ray of the skull | $656 | $409 | $40 |
| X-ray of the upper arm | $647 | $249 | $32 |
| X-ray of the wrist | $652 | $302 | $43 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.