| Procedure | Palo Alto County Hospital | Pocahontas Community Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $65 | $85 | $51 |
| Abdominal ultrasound | $528 | $586 | $100 |
| Abdominal ultrasound (complete) | $574 | $677 | $114 |
| Abdominal ultrasound (limited) | $482 | $494 | $86 |
| Abscess drainage (complex or multiple) | $510 | $385 | $220 |
| Abscess drainage (simple) | $290 | $313 | $129 |
| Abscess incision and drainage | $398 | $349 | $174 |
| Barium swallow study | $376 | $508 | $107 |
| Blood transfusion | $718 | $770 | $47 |
| Bone density scan (DEXA) | $582 | $521 | $39 |
| Bone scan (nuclear) | $1,379 | $1,093 | $259 |
| Breast ultrasound | $450 | $472 | $92 |
| Breast ultrasound (limited) | $450 | $408 | $84 |
| Breathing tube insertion (intubation) | $760 | $371 | $133 |
| Burn dressing and debridement (medium) | $336 | $318 | $166 |
| Burn dressing and debridement (small) | $176 | $239 | $93 |
| Burn treatment | $185 | $294 | $129 |
| Cardiac stress test | $902 | $902 | $39 |
| Cardioversion | $801 | $936 | $155 |
| Carotid artery ultrasound | $815 | $1,195 | $156 |
| Central line placement | $768 | $515 | $238 |
| Chest tube insertion | $457 | $551 | $143 |
| Chest X-ray | $270 | $242 | $37 |
| Chest X-ray (1 view) | $217 | $172 | $25 |
| Chest X-ray (2 views) | $270 | $208 | $33 |
| CPAP titration study | $572 | $727 | $69 |
| CT angiography of the chest | $2,857 | $2,133 | $281 |
| CT angiography of the head | $2,389 | $2,228 | $274 |
| CT scan of the abdomen | $1,835 | $1,878 | $230 |
| CT scan of the abdomen and pelvis | $3,526 | $2,913 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $4,137 | $3,355 | $338 |
| CT scan of the abdomen and pelvis with contrast | $3,526 | $2,913 | $300 |
| CT scan of the abdomen and pelvis without contrast | $3,089 | $2,445 | $183 |
| CT scan of the abdomen with and without contrast | $2,201 | $2,209 | $259 |
| CT scan of the abdomen with contrast | $1,835 | $1,878 | $230 |
| CT scan of the abdomen without contrast | $1,505 | $1,656 | $136 |
| CT scan of the arm | $2,336 | $1,540 | $199 |
| CT scan of the arm with contrast | $2,336 | $1,540 | $199 |
| CT scan of the arm without contrast | $1,607 | $1,354 | $161 |
| CT scan of the chest | $1,807 | $1,690 | $167 |
| CT scan of the chest with and without contrast | $2,048 | $1,836 | $196 |
| CT scan of the chest with contrast | $1,904 | $1,690 | $167 |
| CT scan of the chest without contrast | $1,568 | $1,379 | $133 |
| CT scan of the head | $1,763 | $1,878 | $148 |
| CT scan of the head with and without contrast | $2,175 | $2,095 | $173 |
| CT scan of the head with contrast | $1,875 | $1,878 | $148 |
| CT scan of the head without contrast | $1,555 | $1,656 | $107 |
| CT scan of the leg | $2,269 | $1,539 | $166 |
| CT scan of the leg with contrast | $2,269 | $1,539 | $166 |
| CT scan of the leg without contrast | $1,703 | $1,354 | $130 |
| CT scan of the lower back (lumbar spine) | $2,003 | $1,743 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $2,210 | $1,873 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $2,003 | $1,743 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,729 | $1,656 | $130 |
| CT scan of the neck | $1,739 | $1,550 | $183 |
| CT scan of the neck (cervical spine) | $2,171 | $1,435 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $2,566 | $1,538 | $196 |
| CT scan of the neck (cervical spine) with contrast | $2,330 | $1,435 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,982 | $1,404 | $131 |
| CT scan of the neck with and without contrast | $1,986 | $1,717 | $220 |
| CT scan of the neck with contrast | $1,739 | $1,550 | $183 |
| CT scan of the neck without contrast | $1,482 | $1,300 | $150 |
| CT scan of the pelvis | $1,960 | $1,717 | $226 |
| CT scan of the pelvis with and without contrast | $2,210 | $1,977 | $251 |
| CT scan of the pelvis with contrast | $1,960 | $1,717 | $226 |
| CT scan of the pelvis without contrast | $1,631 | $1,353 | $133 |
| CT scan of the sinuses | $1,957 | $1,656 | $152 |
| CT scan of the sinuses with and without contrast | $2,101 | $1,878 | $184 |
| CT scan of the sinuses with contrast | $1,957 | $1,656 | $152 |
| CT scan of the sinuses without contrast | $1,568 | $1,475 | $128 |
| Diagnostic mammogram | $360 | $333 | $140 |
| Echocardiogram | $1,178 | $1,363 | $138 |
| Echocardiogram with and without contrast | $672 | $1,009 | $101 |
| EEG (awake and asleep) | $707 | $655 | $482 |
| EKG / ECG (tracing only) | $155 | $209 | $7 |
| Electrocardiogram (EKG) | $155 | $209 | $8 |
| Electroencephalogram (EEG) | $674 | $655 | $448 |
| Emergency department visit | $314 | $163 | $69 |
| Emergency department visit (level 1) | $125 | $133 | $11 |
| Emergency department visit (level 2) | $207 | $167 | $40 |
| Emergency department visit (level 3) | $314 | $239 | $69 |
| Emergency department visit (level 4) | $563 | $354 | $118 |
| Emergency department visit (level 5) | $677 | $521 | $171 |
| Epidural steroid injection | $1,201 | $1,516 | $275 |
| Facet joint injection (spine) | $1,349 | $1,087 | $99 |
| Fecal occult blood (stool) test | $39 | $65 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $32 | $65 | $4 |
| Foreign body removal (skin) | $341 | $276 | $157 |
| Gallbladder scan (HIDA) | $1,733 | $1,270 | $334 |
| Holter heart monitor | $396 | $527 | $26 |
| IV infusion therapy | $161 | $131 | $44 |
| IV infusion therapy (each additional) | $114 | $119 | $21 |
| IV infusion therapy (initial) | $209 | $320 | $67 |
| Kidney scan (nuclear) | $1,594 | $1,301 | $172 |
| Kidney ultrasound | $527 | $545 | $84 |
| Kidney ultrasound (limited) | $416 | $466 | $61 |
| Leg vein ultrasound (Doppler) | $759 | $806 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $702 | $650 | $116 |
| Lung function test (PFT) | $242 | $246 | $37 |
| MRA of the brain | $3,075 | $2,311 | $226 |
| MRA of the neck | $2,858 | $2,990 | $245 |
| MRA of the neck without contrast | $4,039 | $3,675 | $343 |
| MRI of the abdomen | $3,015 | $3,009 | $300 |
| MRI of the abdomen without contrast | $2,256 | $2,081 | $194 |
| MRI of the ankle | $3,367 | $3,012 | $261 |
| MRI of the ankle without contrast | $2,840 | $2,209 | $222 |
| MRI of the brain | $3,293 | $2,922 | $269 |
| MRI of the brain with contrast | $3,293 | $2,922 | $269 |
| MRI of the brain without contrast | $2,546 | $2,289 | $195 |
| MRI of the chest | $2,684 | $3,075 | $371 |
| MRI of the chest without contrast | $2,684 | $3,793 | $466 |
| MRI of the knee | $2,886 | $3,100 | $315 |
| MRI of the knee without contrast | $2,270 | $2,209 | $204 |
| MRI of the lower back (lumbar spine) | $2,858 | $2,463 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $2,858 | $2,463 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $2,129 | $2,425 | $192 |
| MRI of the mid-back (thoracic spine) | $3,546 | $2,354 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $4,039 | $4,070 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $3,546 | $2,354 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $2,321 | $2,209 | $190 |
| MRI of the neck (cervical spine) | $3,015 | $3,128 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $4,268 | $4,070 | $318 |
| MRI of the neck (cervical spine) without contrast | $2,256 | $2,185 | $191 |
| MRI of the pelvis | $2,858 | $2,316 | $268 |
| MRI of the pelvis with contrast | $2,858 | $2,316 | $268 |
| MRI of the pelvis without contrast | $2,129 | $2,209 | $227 |
| MRI of the shoulder | $2,573 | $2,755 | $313 |
| MRI of the shoulder without contrast | $2,270 | $2,209 | $205 |
| MRI of the wrist | $2,913 | $3,012 | $330 |
| MRI of the wrist without contrast | $2,129 | $2,209 | $303 |
| Nebulizer breathing treatment | $115 | $153 | $9 |
| Office visit (established patient) | $138 | $186 | $115 |
| Office visit, established patient (level 3) | $138 | $175 | $95 |
| Pelvic ultrasound | $488 | $445 | $78 |
| Pelvic ultrasound (complete) | $544 | $541 | $105 |
| Pelvic ultrasound (limited) | $482 | $349 | $51 |
| Physical therapy evaluation | $143 | $196 | $98 |
| Pregnancy ultrasound | $617 | $623 | $126 |
| Pregnancy ultrasound (second or third trimester) | $665 | $623 | $136 |
| Psychotherapy session | $250 | $860 | $140 |
| Pulmonary rehabilitation | $366 | $212 | $87 |
| Radiofrequency nerve ablation | $2,625 | $3,650 | $462 |
| Sacroiliac joint injection | $1,901 | $1,592 | $176 |
| Scoliosis spine X-ray | $329 | $276 | $58 |
| Scoliosis spine X-ray (3 views) | $329 | $330 | $72 |
| Screening mammogram | $274 | $320 | $126 |
| Scrotal ultrasound | $584 | $520 | $99 |
| Simple laceration repair (small, up to 2.5 cm) | $344 | $286 | $114 |
| Simple wound stitches | $356 | $286 | $127 |
| Skin biopsy | $185 | $364 | $121 |
| Skin biopsy (punch) | $185 | $364 | $121 |
| Sleep study (polysomnography) | $3,559 | $3,025 | $691 |
| Soft tissue ultrasound | $326 | $390 | $64 |
| Speech therapy | $227 | $205 | $76 |
| Spinal tap (lumbar puncture) | $446 | $351 | $165 |
| Spirometry (lung function test) | $242 | $245 | $30 |
| Spirometry with bronchodilator | $329 | $371 | $43 |
| Stress echocardiogram | $965 | $955 | $209 |
| Swallow study | $290 | $319 | $85 |
| Tdap (tetanus) vaccine | $139 | $182 | — |
| Thyroid ultrasound | $578 | $458 | $109 |
| Thyroid uptake scan | $1,130 | $858 | $145 |
| Transvaginal ultrasound | $508 | $546 | $118 |
| Trigger point injection | $203 | $460 | $56 |
| Trigger point injection (1-2 muscles) | $203 | $460 | $52 |
| Upper GI series (barium) | $459 | $438 | $128 |
| Vaccine administration | $55 | $71 | $19 |
| Vaccine administration (each additional) | $54 | $44 | $16 |
| X-ray of the abdomen | $293 | $239 | $36 |
| X-ray of the ankle | $219 | $262 | $37 |
| X-ray of the collarbone | $199 | $236 | $33 |
| X-ray of the elbow | $244 | $254 | $33 |
| X-ray of the facial bones | $250 | $217 | $39 |
| X-ray of the foot | $219 | $220 | $34 |
| X-ray of the forearm | $183 | $177 | $29 |
| X-ray of the hand | $219 | $220 | $38 |
| X-ray of the hip | $257 | $208 | $49 |
| X-ray of the hip (1 view) | $202 | $198 | $34 |
| X-ray of the hip (3 views) | $257 | $208 | $49 |
| X-ray of the hip (4 views) | $287 | $281 | $63 |
| X-ray of the knee | $227 | $228 | $42 |
| X-ray of the knee (2 views) | $227 | $177 | $34 |
| X-ray of the knee (3 views) | $267 | $228 | $42 |
| X-ray of the knee (4+ views) | $310 | $275 | $49 |
| X-ray of the lower back (lumbar spine) | $343 | $304 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $288 | $276 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $398 | $331 | $53 |
| X-ray of the lower leg | $275 | $182 | $31 |
| X-ray of the mid-back (thoracic spine) | $253 | $242 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $241 | $208 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $265 | $276 | $39 |
| X-ray of the neck (cervical spine) | $269 | $322 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $240 | $285 | $40 |
| X-ray of the pelvis | $213 | $182 | $36 |
| X-ray of the pelvis (1 view) | $198 | $182 | $28 |
| X-ray of the ribs | $300 | $265 | $42 |
| X-ray of the ribs (2 views) | $271 | $203 | $36 |
| X-ray of the ribs (3 views) | $311 | $275 | $42 |
| X-ray of the shoulder | $303 | $229 | $36 |
| X-ray of the skull | $312 | $262 | $40 |
| X-ray of the upper arm | $259 | $177 | $32 |
| X-ray of the wrist | $219 | $220 | $43 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.