| Procedure | Palo Alto County Hospital | Spencer Municipal Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $65 | $113 | $51 |
| Abdominal fluid drain (paracentesis) | $1,576 | $891 | $284 |
| Abdominal ultrasound | $528 | $389 | $100 |
| Abdominal ultrasound (complete) | $574 | $612 | $114 |
| Abdominal ultrasound (limited) | $482 | $389 | $86 |
| Abscess drainage (complex or multiple) | $510 | $925 | $220 |
| Abscess drainage (simple) | $290 | $237 | $129 |
| Abscess incision and drainage | $398 | $581 | $174 |
| Albumin blood test | $50 | $63 | $5 |
| Aldosterone test | $119 | $136 | $41 |
| Alkaline phosphatase test | $51 | $63 | $5 |
| Alpha-fetoprotein (AFP) test | $70 | $145 | $17 |
| ALT liver enzyme test | $55 | $63 | $5 |
| Ammonia blood test | $141 | $73 | $15 |
| Amylase test | $60 | $73 | $6 |
| AST liver enzyme test | $53 | $33 | $5 |
| Barium swallow study | $376 | $472 | $107 |
| Basic metabolic panel | $104 | $83 | $8 |
| Bilirubin blood test | $50 | $67 | $5 |
| Blood clotting test (PT/INR) | $41 | $29 | $4 |
| Blood crossmatch | $89 | $127 | — |
| Blood glucose test | $54 | $61 | $5 |
| Blood transfusion | $718 | $319 | $47 |
| Blood type and screen | $109 | $52 | $10 |
| Blood type test | $45 | $99 | $3 |
| Blood type test (ABO group) | $45 | $103 | $3 |
| Blood type test (Rh/D antigen) | $43 | $95 | $3 |
| BNP (heart failure) test | $144 | $136 | $39 |
| Bone density scan (DEXA) | $582 | $391 | $39 |
| Bone scan (nuclear) | $1,379 | $2,763 | $259 |
| Breast ultrasound | $450 | $294 | $92 |
| Breast ultrasound (limited) | $450 | $294 | $84 |
| Breathing tube insertion (intubation) | $760 | $1,127 | $133 |
| Burn dressing and debridement (small) | $176 | $138 | $93 |
| Burn treatment | $185 | $138 | $129 |
| C-reactive protein (CRP) | $55 | $69 | $5 |
| CA 19-9 tumor marker test | $138 | $168 | $21 |
| CA-125 ovarian marker test | $132 | $168 | $21 |
| Calcium blood test | $48 | $63 | $5 |
| Cardiac stress test | $902 | $836 | $39 |
| Cardioversion | $801 | $1,257 | $155 |
| Carotid artery ultrasound | $815 | $612 | $156 |
| CEA tumor marker test | $111 | $119 | $19 |
| Celiac disease test | $77 | $52 | $12 |
| Chest fluid drain (thoracentesis) | $2,127 | $1,199 | $311 |
| Chest X-ray | $270 | $150 | $37 |
| Chest X-ray (1 view) | $217 | $150 | $25 |
| Chest X-ray (2 views) | $270 | $150 | $33 |
| CK-MB heart enzyme test | $110 | $145 | $12 |
| Clotting time test (PTT) | $49 | $26 | $6 |
| Complete blood count (CBC) | $75 | $49 | $7 |
| Complete blood count (CBC) (complete) | $83 | $44 | $8 |
| Comprehensive metabolic panel | $120 | $105 | $11 |
| Copper blood test | $84 | $42 | $12 |
| Cortisol test | $108 | $61 | $16 |
| COVID-19 PCR test | $90 | $62 | $51 |
| CPAP titration study | $572 | $884 | $69 |
| Creatine kinase (CK) test | $60 | $27 | $7 |
| CT angiography of the chest | $2,857 | $1,650 | $281 |
| CT angiography of the head | $2,389 | $1,214 | $274 |
| CT scan of the abdomen | $1,835 | $1,288 | $230 |
| CT scan of the abdomen and pelvis | $3,526 | $1,635 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $4,137 | $2,225 | $338 |
| CT scan of the abdomen and pelvis with contrast | $3,526 | $1,635 | $300 |
| CT scan of the abdomen and pelvis without contrast | $3,089 | $1,635 | $183 |
| CT scan of the abdomen with and without contrast | $2,201 | $1,487 | $259 |
| CT scan of the abdomen with contrast | $1,835 | $1,288 | $230 |
| CT scan of the abdomen without contrast | $1,505 | $1,052 | $136 |
| CT scan of the arm | $2,336 | $895 | $199 |
| CT scan of the arm with contrast | $2,336 | $877 | $199 |
| CT scan of the arm without contrast | $1,607 | $913 | $161 |
| CT scan of the chest | $1,807 | $913 | $167 |
| CT scan of the chest with and without contrast | $2,048 | $913 | $196 |
| CT scan of the chest with contrast | $1,904 | $913 | $167 |
| CT scan of the chest without contrast | $1,568 | $913 | $133 |
| CT scan of the head | $1,763 | $704 | $148 |
| CT scan of the head with and without contrast | $2,175 | $704 | $173 |
| CT scan of the head with contrast | $1,875 | $931 | $148 |
| CT scan of the head without contrast | $1,555 | $628 | $107 |
| CT scan of the leg | $2,269 | $895 | $166 |
| CT scan of the leg with contrast | $2,269 | $877 | $166 |
| CT scan of the leg without contrast | $1,703 | $913 | $130 |
| CT scan of the lower back (lumbar spine) | $2,003 | $850 | $169 |
| CT scan of the lower back (lumbar spine) with contrast | $2,003 | $856 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,729 | $844 | $130 |
| CT scan of the neck | $1,739 | $913 | $183 |
| CT scan of the neck (cervical spine) | $2,171 | $844 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $2,566 | $811 | $196 |
| CT scan of the neck (cervical spine) with contrast | $2,330 | $856 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,982 | $844 | $131 |
| CT scan of the neck with and without contrast | $1,986 | $913 | $220 |
| CT scan of the neck with contrast | $1,739 | $913 | $183 |
| CT scan of the neck without contrast | $1,482 | $877 | $150 |
| CT scan of the pelvis | $1,960 | $1,145 | $226 |
| CT scan of the pelvis with contrast | $1,960 | $1,238 | $226 |
| CT scan of the pelvis without contrast | $1,631 | $1,052 | $133 |
| CT scan of the sinuses | $1,957 | $913 | $152 |
| CT scan of the sinuses with contrast | $1,957 | $913 | $152 |
| CT scan of the sinuses without contrast | $1,568 | $913 | $128 |
| D-dimer test | $104 | $139 | $10 |
| DHEA-sulfate test | $87 | $72 | $22 |
| Diagnostic mammogram | $360 | $235 | $140 |
| Drug screen (urine) | $122 | $150 | $17 |
| Echocardiogram | $1,178 | $1,302 | $138 |
| Echocardiogram with and without contrast | $672 | $781 | $101 |
| EEG (awake and asleep) | $707 | $682 | $482 |
| EKG / ECG (tracing only) | $155 | $207 | $7 |
| Electrocardiogram (EKG) | $155 | $126 | $8 |
| Electroencephalogram (EEG) | $674 | $682 | $448 |
| Electrolyte panel | $80 | $81 | $7 |
| Emergency department visit | $314 | $258 | $69 |
| Emergency department visit (level 1) | $125 | $171 | $11 |
| Emergency department visit (level 2) | $207 | $211 | $40 |
| Emergency department visit (level 3) | $314 | $324 | $69 |
| Emergency department visit (level 4) | $563 | $486 | $118 |
| Emergency department visit (level 5) | $677 | $730 | $171 |
| Endometrial biopsy | $272 | $132 | $98 |
| Epidural steroid injection | $1,201 | $1,046 | $275 |
| Estradiol (estrogen) test | $108 | $136 | $28 |
| Facet joint injection (spine) | $1,349 | $702 | $99 |
| Fecal occult blood (stool) test | $39 | $73 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $32 | $17 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $48 | $73 | $16 |
| Ferritin (iron) test | $96 | $90 | $14 |
| Fibrinogen test | $84 | $58 | $10 |
| Flu vaccine | $41 | $23 | — |
| Folate (folic acid) test | $98 | $95 | $15 |
| Foreign body removal (skin) | $341 | $206 | $157 |
| Free T4 thyroid test | $71 | $76 | $9 |
| FSH hormone test | $95 | $136 | $19 |
| Gallbladder scan (HIDA) | $1,733 | $1,324 | $334 |
| GGT liver test | $59 | $63 | $7 |
| Glucose tolerance test | $49 | $91 | $8 |
| Hematocrit test | $31 | $39 | $2 |
| Hemoglobin A1c (diabetes test) | $75 | $73 | $10 |
| Hepatitis A vaccine | $139 | $116 | — |
| Hepatitis B test | $73 | $39 | $10 |
| Hepatitis B vaccine | $162 | $95 | — |
| Hepatitis C test | $68 | $68 | $14 |
| HIV test | $75 | $40 | $19 |
| HIV test (antigen/antibody combo) | $75 | $40 | $24 |
| Holter heart monitor | $396 | $317 | $26 |
| HPV vaccine | $294 | $389 | — |
| Iron blood test | $50 | $42 | $6 |
| IUD removal | $258 | $152 | $112 |
| IV infusion therapy | $161 | $433 | $44 |
| IV infusion therapy (each additional) | $114 | $438 | $21 |
| IV infusion therapy (initial) | $209 | $428 | $67 |
| Kidney scan (nuclear) | $1,594 | $1,303 | $172 |
| Kidney ultrasound | $527 | $464 | $84 |
| Kidney ultrasound (limited) | $416 | $464 | $61 |
| Lactate test | $71 | $145 | $12 |
| LDH test | $63 | $63 | $6 |
| LDL cholesterol test | $72 | $73 | $11 |
| Leg vein ultrasound (Doppler) | $759 | $620 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $702 | $620 | $116 |
| LH hormone test | $87 | $136 | $19 |
| Lipase test | $66 | $63 | $7 |
| Lipid (cholesterol) panel | $102 | $89 | $13 |
| Liver function panel | $115 | $80 | $8 |
| Lung function test (PFT) | $242 | $285 | $37 |
| Lung scan (V/Q) | $1,328 | $1,083 | $291 |
| Magnesium blood test | $55 | $48 | $7 |
| MRA of the brain | $3,075 | $1,503 | $226 |
| MRA of the neck | $2,858 | $1,128 | $245 |
| MRA of the neck without contrast | $4,039 | $1,503 | $343 |
| MRI of the abdomen | $3,015 | $2,269 | $300 |
| MRI of the abdomen without contrast | $2,256 | $1,759 | $194 |
| MRI of the ankle | $3,367 | $2,112 | $261 |
| MRI of the ankle without contrast | $2,840 | $1,759 | $222 |
| MRI of the brain | $3,293 | $1,702 | $269 |
| MRI of the brain without contrast | $2,546 | $1,702 | $195 |
| MRI of the knee | $2,886 | $1,386 | $315 |
| MRI of the knee with contrast | $2,573 | $1,386 | $315 |
| MRI of the knee without contrast | $2,270 | $1,386 | $204 |
| MRI of the lower back (lumbar spine) | $2,858 | $1,235 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $2,129 | $1,235 | $192 |
| MRI of the mid-back (thoracic spine) | $3,546 | $1,235 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $4,039 | $1,235 | $319 |
| MRI of the mid-back (thoracic spine) without contrast | $2,321 | $1,235 | $190 |
| MRI of the neck (cervical spine) | $3,015 | $1,211 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $4,268 | $1,188 | $318 |
| MRI of the neck (cervical spine) without contrast | $2,256 | $1,235 | $191 |
| MRI of the pelvis | $2,858 | $2,161 | $268 |
| MRI of the pelvis without contrast | $2,129 | $1,759 | $227 |
| MRI of the shoulder | $2,573 | $1,386 | $313 |
| MRI of the shoulder with contrast | $2,573 | $1,386 | $313 |
| MRI of the shoulder without contrast | $2,270 | $1,386 | $205 |
| MRI of the wrist | $2,913 | $2,112 | $330 |
| MRI of the wrist without contrast | $2,129 | $1,759 | $303 |
| Nebulizer breathing treatment | $115 | $297 | $9 |
| Nuclear cardiac stress test | $4,110 | $2,322 | $428 |
| Office visit (established patient) | $138 | $158 | $115 |
| Office visit, established patient (level 3) | $138 | $101 | $95 |
| Pap smear (cervical screening) | $82 | $44 | $20 |
| Parathyroid hormone (PTH) test | $149 | $136 | $41 |
| Pelvic ultrasound | $488 | $394 | $78 |
| Pelvic ultrasound (complete) | $544 | $493 | $105 |
| Pelvic ultrasound (limited) | $482 | $294 | $51 |
| Phosphorus blood test | $43 | $63 | $5 |
| Physical therapy evaluation | $143 | $195 | $98 |
| Platelet count | $31 | $39 | $4 |
| Pneumonia vaccine | $137 | $72 | — |
| Pregnancy ultrasound | $617 | $535 | $126 |
| Pregnancy ultrasound (first trimester) | $508 | $535 | $117 |
| Pregnancy ultrasound (second or third trimester) | $665 | $535 | $136 |
| Procalcitonin test | $131 | $136 | $27 |
| Prolactin test | $136 | $136 | $19 |
| Prostate test (PSA) | $115 | $73 | $18 |
| Pulmonary rehabilitation | $366 | $174 | $87 |
| Rheumatoid factor test | $50 | $51 | $6 |
| Sacroiliac joint injection | $1,901 | $1,046 | $176 |
| Scoliosis spine X-ray | $329 | $215 | $58 |
| Scoliosis spine X-ray (3 views) | $329 | $215 | $72 |
| Screening mammogram | $274 | $235 | $126 |
| Scrotal ultrasound | $584 | $362 | $99 |
| Sedimentation rate (ESR) test | $37 | $40 | $3 |
| Semen analysis | $50 | $124 | $12 |
| Shingles vaccine | $264 | $263 | — |
| Simple laceration repair (small, up to 2.5 cm) | $344 | $283 | $114 |
| Simple wound stitches | $356 | $324 | $127 |
| Skin biopsy | $185 | $97 | $121 |
| Skin biopsy (punch) | $185 | $97 | $121 |
| Skin tag removal | $218 | $152 | $92 |
| Sleep study (polysomnography) | $3,559 | $2,214 | $691 |
| Soft tissue ultrasound | $326 | $308 | $64 |
| Speech therapy | $227 | $197 | $76 |
| Spinal tap (lumbar puncture) | $446 | $934 | $165 |
| Spirometry (lung function test) | $242 | $208 | $30 |
| Spirometry with bronchodilator | $329 | $362 | $43 |
| Swallow study | $290 | $274 | $85 |
| T3 thyroid test | $100 | $58 | $14 |
| Tdap (tetanus) vaccine | $139 | $72 | — |
| Testosterone test | $93 | $136 | $26 |
| Thyroid test (TSH) | $103 | $112 | $17 |
| Thyroid ultrasound | $578 | $418 | $109 |
| Thyroid uptake scan | $1,130 | $972 | $145 |
| Total IgE allergy test | $74 | $145 | $16 |
| Total protein test | $49 | $33 | $4 |
| Transvaginal ultrasound | $508 | $402 | $118 |
| Trigger point injection | $203 | $342 | $56 |
| Trigger point injection (1-2 muscles) | $203 | $342 | $52 |
| Triglycerides test | $57 | $63 | $6 |
| Troponin (heart) test | $110 | $145 | $12 |
| Upper GI series (barium) | $459 | $699 | $128 |
| Uric acid (gout) test | $50 | $63 | $5 |
| Urinalysis | $27 | $40 | $3 |
| Urine microalbumin test | $59 | $43 | $5 |
| Urine pregnancy test | $43 | $54 | $9 |
| Vaccine administration | $55 | $108 | $19 |
| Vitamin B12 test | $95 | $112 | $15 |
| Vitamin D test | $113 | $124 | $30 |
| X-ray of the abdomen | $293 | $150 | $36 |
| X-ray of the ankle | $219 | $209 | $37 |
| X-ray of the collarbone | $199 | $150 | $33 |
| X-ray of the elbow | $244 | $212 | $33 |
| X-ray of the facial bones | $250 | $324 | $39 |
| X-ray of the foot | $219 | $185 | $34 |
| X-ray of the forearm | $183 | $150 | $29 |
| X-ray of the hand | $219 | $150 | $38 |
| X-ray of the hip | $257 | $150 | $49 |
| X-ray of the hip (1 view) | $202 | $150 | $34 |
| X-ray of the hip (3 views) | $257 | $150 | $49 |
| X-ray of the knee | $227 | $150 | $42 |
| X-ray of the knee (2 views) | $227 | $150 | $34 |
| X-ray of the knee (3 views) | $267 | $150 | $42 |
| X-ray of the knee (4+ views) | $310 | $272 | $49 |
| X-ray of the lower back (lumbar spine) | $343 | $223 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $288 | $223 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $398 | $223 | $53 |
| X-ray of the lower leg | $275 | $150 | $31 |
| X-ray of the mid-back (thoracic spine) | $253 | $255 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $241 | $287 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $265 | $223 | $39 |
| X-ray of the neck (cervical spine) | $269 | $291 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $240 | $359 | $40 |
| X-ray of the pelvis | $213 | $223 | $36 |
| X-ray of the pelvis (1 view) | $198 | $223 | $28 |
| X-ray of the ribs | $300 | $300 | $42 |
| X-ray of the ribs (2 views) | $271 | $300 | $36 |
| X-ray of the ribs (3 views) | $311 | $150 | $42 |
| X-ray of the shoulder | $303 | $150 | $36 |
| X-ray of the upper arm | $259 | $150 | $32 |
| X-ray of the wrist | $219 | $173 | $43 |
| Zinc blood test | $84 | $70 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
