| Procedure | Riverview Health | Ascension St Vincent Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $131 | $79 | $51 |
| Abdominal ultrasound | $415 | $886 | $100 |
| Abdominal ultrasound (complete) | $470 | $897 | $114 |
| Abdominal ultrasound (limited) | $360 | $876 | $86 |
| Albumin blood test | $30 | $7 | $5 |
| Alkaline phosphatase test | $32 | $8 | $5 |
| Alpha-fetoprotein (AFP) test | $103 | $27 | $17 |
| ALT liver enzyme test | $33 | $10 | $5 |
| Ammonia blood test | $89 | $75 | $15 |
| Amylase test | $40 | $58 | $6 |
| Antinuclear antibody (ANA) test | $74 | $116 | $12 |
| Arterial blood gas (ABG) | $160 | $112 | $26 |
| AST liver enzyme test | $32 | $10 | $5 |
| Barium swallow study | $872 | $318 | $107 |
| Basic metabolic panel | $52 | $72 | $8 |
| Bilirubin blood test | $31 | $50 | $5 |
| Blood clotting test (PT/INR) | $26 | $21 | $4 |
| Blood crossmatch | $365 | $82 | — |
| Blood glucose test | $26 | $18 | $5 |
| Blood transfusion | $1,144 | $310 | $47 |
| Blood type and screen | $60 | $33 | $10 |
| Blood type test | $30 | $38 | $3 |
| Blood type test (ABO group) | $30 | $36 | $3 |
| Blood type test (Rh/D antigen) | $30 | $39 | $3 |
| BNP (heart failure) test | $241 | $48 | $39 |
| Bone density scan (DEXA) | $311 | $250 | $39 |
| Bone scan (nuclear) | $2,634 | $1,666 | $259 |
| Breast MRI | $1,545 | $618 | $216 |
| Breast MRI without contrast | $1,548 | $566 | $216 |
| Breast ultrasound | $364 | $355 | $92 |
| Breast ultrasound (complete) | $412 | $377 | $100 |
| Breast ultrasound (limited) | $316 | $333 | $84 |
| Burn dressing and debridement (medium) | $506 | $620 | $166 |
| Burn dressing and debridement (small) | $506 | $173 | $93 |
| Burn treatment | $506 | $396 | $129 |
| C-reactive protein (CRP) | $32 | $39 | $5 |
| CA 19-9 tumor marker test | $127 | $52 | $21 |
| CA-125 ovarian marker test | $127 | $40 | $21 |
| Calcium blood test | $32 | $8 | $5 |
| Cardiac MRI | $2,210 | $575 | $322 |
| Cardiac MRI without contrast | $1,817 | $389 | $280 |
| Cardiac stress test | $649 | $1,383 | $39 |
| Cardioversion | $1,649 | $1,102 | $155 |
| Carotid artery ultrasound | $1,233 | $931 | $156 |
| CEA tumor marker test | $116 | $42 | $19 |
| Celiac disease test | $71 | $17 | $12 |
| Central line placement | $8,354 | $5,124 | $238 |
| Chest X-ray | $271 | $149 | $37 |
| Chest X-ray (1 view) | $178 | $131 | $25 |
| Chest X-ray (2 views) | $241 | $142 | $33 |
| CK-MB heart enzyme test | $71 | $27 | $12 |
| Clotting time test (PTT) | $37 | $49 | $6 |
| Complete blood count (CBC) | $44 | $49 | $7 |
| Complete blood count (CBC) (complete) | $48 | $51 | $8 |
| Comprehensive metabolic panel | $65 | $122 | $11 |
| Copper blood test | $76 | $24 | $12 |
| Coronary CT angiography | $1,428 | $647 | $326 |
| Cortisol test | $100 | $68 | $16 |
| COVID-19 PCR test | $314 | $20 | $51 |
| CPAP titration study | $217 | $340 | $69 |
| Creatine kinase (CK) test | $40 | $54 | $7 |
| CT angiography of the chest | $1,343 | $647 | $281 |
| CT angiography of the head | $1,328 | $647 | $274 |
| CT scan of the abdomen | $1,199 | $647 | $230 |
| CT scan of the abdomen and pelvis | $1,508 | $693 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $1,702 | $739 | $338 |
| CT scan of the abdomen and pelvis with contrast | $1,508 | $693 | $300 |
| CT scan of the abdomen and pelvis without contrast | $697 | $647 | $183 |
| CT scan of the abdomen with and without contrast | $1,357 | $693 | $259 |
| CT scan of the abdomen with contrast | $1,199 | $647 | $230 |
| CT scan of the abdomen without contrast | $556 | $601 | $136 |
| CT scan of the arm | $1,009 | $647 | $199 |
| CT scan of the arm with contrast | $1,009 | $647 | $199 |
| CT scan of the arm without contrast | $789 | $601 | $161 |
| CT scan of the chest | $767 | $693 | $167 |
| CT scan of the chest with and without contrast | $946 | $739 | $196 |
| CT scan of the chest with contrast | $767 | $693 | $167 |
| CT scan of the chest without contrast | $565 | $647 | $133 |
| CT scan of the head | $650 | $722 | $148 |
| CT scan of the head with and without contrast | $782 | $768 | $173 |
| CT scan of the head with contrast | $650 | $722 | $148 |
| CT scan of the head without contrast | $454 | $677 | $107 |
| CT scan of the leg | $769 | $647 | $166 |
| CT scan of the leg with contrast | $769 | $601 | $166 |
| CT scan of the leg without contrast | $567 | $833 | $130 |
| CT scan of the lower back (lumbar spine) | $767 | $647 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $947 | $693 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $767 | $647 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $565 | $601 | $130 |
| CT scan of the neck | $821 | $647 | $183 |
| CT scan of the neck (cervical spine) | $765 | $693 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $946 | $786 | $196 |
| CT scan of the neck (cervical spine) with contrast | $765 | $693 | $168 |
| CT scan of the neck (cervical spine) without contrast | $569 | $647 | $131 |
| CT scan of the neck with and without contrast | $1,067 | $693 | $220 |
| CT scan of the neck with contrast | $821 | $647 | $183 |
| CT scan of the neck without contrast | $617 | $601 | $150 |
| CT scan of the pelvis | $1,207 | $670 | $226 |
| CT scan of the pelvis with and without contrast | $1,349 | $716 | $251 |
| CT scan of the pelvis with contrast | $1,207 | $670 | $226 |
| CT scan of the pelvis without contrast | $563 | $624 | $133 |
| CT scan of the sinuses | $678 | $647 | $152 |
| CT scan of the sinuses with and without contrast | $859 | $693 | $184 |
| CT scan of the sinuses with contrast | $678 | $647 | $152 |
| CT scan of the sinuses without contrast | $602 | $601 | $128 |
| D-dimer test | $62 | $27 | $10 |
| DHEA-sulfate test | $136 | $58 | $22 |
| Diagnostic mammogram | $338 | $303 | $140 |
| Drug screen (urine) | $206 | $35 | $17 |
| Echocardiogram | $541 | $1,194 | $138 |
| Echocardiogram with and without contrast | $541 | $473 | $101 |
| Echocardiogram without contrast | $541 | $1,194 | $138 |
| EEG (awake and asleep) | $650 | $560 | $482 |
| EKG / ECG (tracing only) | $166 | $109 | $7 |
| Electrocardiogram (EKG) | $166 | $109 | $8 |
| Electroencephalogram (EEG) | $650 | $548 | $448 |
| Electrolyte panel | $43 | $38 | $7 |
| Emergency department visit | $796 | $1,319 | $69 |
| Emergency department visit (level 1) | $244 | $212 | $11 |
| Emergency department visit (level 2) | $454 | $491 | $40 |
| Emergency department visit (level 3) | $796 | $1,319 | $69 |
| Emergency department visit (level 4) | $1,238 | $1,328 | $118 |
| Emergency department visit (level 5) | $1,779 | $1,395 | $171 |
| Estradiol (estrogen) test | $172 | $21 | $28 |
| Fallopian tube X-ray (HSG) | $763 | $592 | $164 |
| Fecal occult blood (stool) test | $98 | $28 | $10 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $98 | $40 | $16 |
| Ferritin (iron) test | $84 | $82 | $14 |
| Fibrinogen test | $60 | $38 | $10 |
| Flu vaccine | $62 | $48 | — |
| Folate (folic acid) test | $90 | $38 | $15 |
| Free T4 thyroid test | $55 | $129 | $9 |
| FSH hormone test | $114 | $56 | $19 |
| Gallbladder scan (HIDA) | $3,541 | $1,551 | $334 |
| GGT liver test | $44 | $51 | $7 |
| Glucose tolerance test | $51 | $45 | $8 |
| H. pylori test | $413 | $26 | $67 |
| HDL cholesterol test | $50 | $46 | $8 |
| Hematocrit test | $14 | $19 | $2 |
| Hemodialysis | $1,462 | $182 | $75 |
| Hemoglobin A1c (diabetes test) | $59 | $11 | $10 |
| Hepatitis B test | $63 | $32 | $10 |
| Hepatitis C test | $88 | $47 | $14 |
| HIV test | $148 | $46 | $19 |
| HIV test (antigen/antibody combo) | $148 | $41 | $24 |
| Iron blood test | $40 | $43 | $6 |
| IV infusion therapy | $289 | $437 | $44 |
| IV infusion therapy (each additional) | $98 | $120 | $21 |
| IV infusion therapy (initial) | $479 | $755 | $67 |
| Kidney scan (nuclear) | $1,324 | $1,551 | $172 |
| Kidney ultrasound | $316 | $505 | $84 |
| Kidney ultrasound (limited) | $189 | $445 | $61 |
| Lactate test | $71 | $56 | $12 |
| LDH test | $37 | $62 | $6 |
| LDL cholesterol test | $64 | $21 | $11 |
| Leg artery angiogram | $772 | $3,194 | $149 |
| Leg vein ultrasound (Doppler) | $1,233 | $890 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $774 | $691 | $116 |
| LH hormone test | $113 | $49 | $19 |
| Lipase test | $42 | $67 | $7 |
| Lipid (cholesterol) panel | $82 | $157 | $13 |
| Liver function panel | $50 | $50 | $8 |
| Lung function test (PFT) | $241 | $370 | $37 |
| Lung scan (V/Q) | $2,907 | $1,551 | $291 |
| Magnesium blood test | $41 | $40 | $7 |
| MRA of the brain | $1,817 | $606 | $226 |
| MRA of the brain with contrast | $1,817 | $606 | $226 |
| MRA of the brain without contrast | $2,753 | $638 | $328 |
| MRA of the neck | $1,867 | $590 | $245 |
| MRA of the neck with contrast | $1,867 | $590 | $245 |
| MRA of the neck without contrast | $2,767 | $622 | $343 |
| MRI of the abdomen | $2,368 | $622 | $300 |
| MRI of the abdomen with contrast | $2,368 | $843 | $300 |
| MRI of the abdomen without contrast | $1,363 | $558 | $194 |
| MRI of the ankle | $2,121 | $654 | $261 |
| MRI of the ankle without contrast | $1,709 | $590 | $222 |
| MRI of the brain | $1,991 | $622 | $269 |
| MRI of the brain with contrast | $1,991 | $590 | $269 |
| MRI of the brain without contrast | $1,347 | $1,127 | $195 |
| MRI of the chest | $3,123 | $622 | $371 |
| MRI of the chest without contrast | $3,909 | $654 | $466 |
| MRI of the knee | $2,532 | $638 | $315 |
| MRI of the knee with contrast | $2,532 | $756 | $315 |
| MRI of the knee without contrast | $1,474 | $590 | $204 |
| MRI of the lower back (lumbar spine) | $1,991 | $654 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $1,991 | $622 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,296 | $1,136 | $192 |
| MRI of the mid-back (thoracic spine) | $2,018 | $590 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $2,280 | $622 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $2,018 | $590 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $1,289 | $558 | $190 |
| MRI of the neck (cervical spine) | $2,039 | $574 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $2,274 | $606 | $318 |
| MRI of the neck (cervical spine) with contrast | $2,039 | $574 | $274 |
| MRI of the neck (cervical spine) without contrast | $1,289 | $558 | $191 |
| MRI of the pelvis | $2,002 | $590 | $268 |
| MRI of the pelvis with contrast | $2,002 | $720 | $268 |
| MRI of the pelvis without contrast | $1,712 | $526 | $227 |
| MRI of the shoulder | $2,532 | $772 | $313 |
| MRI of the shoulder with contrast | $2,532 | $756 | $313 |
| MRI of the shoulder without contrast | $1,474 | $1,136 | $205 |
| MRI of the wrist | $2,734 | $622 | $330 |
| MRI of the wrist with contrast | $2,734 | $1,360 | $330 |
| MRI of the wrist without contrast | $2,562 | $558 | $303 |
| Nebulizer breathing treatment | $263 | $61 | $9 |
| Nerve conduction study | $650 | $1,259 | $118 |
| Nuclear cardiac stress test | $4,056 | $1,608 | $428 |
| Office visit (established patient) | $229 | $117 | $115 |
| Office visit (new patient) | $273 | $186 | $177 |
| Office visit, established patient (level 3) | $197 | $116 | $95 |
| Office visit, established patient (level 4) | $260 | $117 | $136 |
| Office visit, new patient (level 3) | $207 | $136 | $118 |
| Office visit, new patient (level 4) | $273 | $186 | $177 |
| Office visit, new patient (level 5) | $375 | $314 | $237 |
| Pap smear (cervical screening) | $202 | $24 | $20 |
| Parathyroid hormone (PTH) test | $253 | $105 | $41 |
| Pelvic ultrasound | $294 | $596 | $78 |
| Pelvic ultrasound (complete) | $437 | $763 | $105 |
| Pelvic ultrasound (limited) | $151 | $430 | $51 |
| Phosphorus blood test | $29 | $42 | $5 |
| Physical therapy evaluation | $233 | $101 | $98 |
| Physical therapy evaluation (high complexity) | $233 | $101 | $98 |
| Physical therapy evaluation (moderate complexity) | $233 | $101 | $98 |
| Platelet count | $28 | $30 | $4 |
| Pregnancy blood test (hCG) | $46 | $60 | $8 |
| Pregnancy ultrasound | $478 | $442 | $126 |
| Pregnancy ultrasound (first trimester) | $425 | $542 | $117 |
| Pregnancy ultrasound (second or third trimester) | $530 | $341 | $136 |
| Procalcitonin test | $167 | $79 | $27 |
| Prolactin test | $118 | $64 | $19 |
| Prostate test (PSA) | $113 | $13 | $18 |
| Scoliosis spine X-ray | $465 | $159 | $58 |
| Scoliosis spine X-ray (1 view) | $329 | $131 | $44 |
| Scoliosis spine X-ray (3 views) | $601 | $187 | $72 |
| Screening mammogram | $314 | $287 | $126 |
| Scrotal ultrasound | $424 | $633 | $99 |
| Sedimentation rate (ESR) test | $16 | $42 | $3 |
| Semen analysis | $74 | $43 | $12 |
| Sex hormone binding globulin test | $133 | $20 | $22 |
| Soft tissue ultrasound | $55 | $684 | $64 |
| Speech therapy | $196 | $66 | $76 |
| Spirometry (lung function test) | $165 | $234 | $30 |
| Spirometry with bronchodilator | $317 | $507 | $43 |
| Stress echocardiogram | $1,167 | $3,220 | $209 |
| Stress echocardiogram (complete) | $1,167 | $3,220 | $233 |
| Swallow study | $182 | $115 | $85 |
| T3 thyroid test | $87 | $146 | $14 |
| Tdap (tetanus) vaccine | $134 | $47 | — |
| Testosterone test | $158 | $75 | $26 |
| Thyroid test (TSH) | $103 | $36 | $17 |
| Thyroid ultrasound | $505 | $656 | $109 |
| Thyroid uptake scan | $2,228 | $1,551 | $145 |
| Total IgE allergy test | $101 | $24 | $16 |
| Total protein test | $23 | $8 | $4 |
| Tracheostomy | $6,596 | $2,052 | $273 |
| Transesophageal echocardiogram (TEE) | $1,167 | $3,201 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $1,167 | $3,201 | $239 |
| Transvaginal ultrasound | $520 | $710 | $118 |
| Triglycerides test | $35 | $68 | $6 |
| Troponin (heart) test | $76 | $56 | $12 |
| Upper GI series (barium) | $937 | $581 | $128 |
| Uric acid (gout) test | $28 | $50 | $5 |
| Urinalysis | $21 | $16 | $3 |
| Urine microalbumin test | $34 | $31 | $5 |
| Urine pregnancy test | $65 | $76 | $9 |
| Vaccine administration | $100 | $53 | $19 |
| Vaccine administration (each additional) | $43 | $53 | $16 |
| Varicose vein ablation | $6,907 | $2,960 | $1,018 |
| Vitamin B12 test | $92 | $56 | $15 |
| Vitamin D test | $181 | $71 | $30 |
| X-ray of the abdomen | $262 | $174 | $36 |
| X-ray of the ankle | $311 | $207 | $37 |
| X-ray of the collarbone | $264 | $180 | $33 |
| X-ray of the elbow | $264 | $146 | $33 |
| X-ray of the facial bones | $308 | $163 | $39 |
| X-ray of the foot | $286 | $197 | $34 |
| X-ray of the forearm | $235 | $185 | $29 |
| X-ray of the hand | $311 | $199 | $38 |
| X-ray of the hip | $328 | $175 | $49 |
| X-ray of the hip (1 view) | $260 | $159 | $34 |
| X-ray of the hip (3 views) | $395 | $175 | $49 |
| X-ray of the knee | $344 | $236 | $42 |
| X-ray of the knee (2 views) | $286 | $211 | $34 |
| X-ray of the knee (3 views) | $344 | $236 | $42 |
| X-ray of the knee (4+ views) | $388 | $276 | $49 |
| X-ray of the lower back (lumbar spine) | $371 | $316 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $319 | $262 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $424 | $371 | $53 |
| X-ray of the lower leg | $260 | $216 | $31 |
| X-ray of the mid-back (thoracic spine) | $282 | $134 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $254 | $125 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $311 | $144 | $39 |
| X-ray of the neck (cervical spine) | $377 | $294 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $315 | $235 | $40 |
| X-ray of the pelvis | $271 | $149 | $36 |
| X-ray of the pelvis (1 view) | $213 | $151 | $28 |
| X-ray of the ribs | $322 | $267 | $42 |
| X-ray of the ribs (2 views) | $286 | $267 | $36 |
| X-ray of the ribs (3 views) | $322 | $272 | $42 |
| X-ray of the shoulder | $279 | $211 | $36 |
| X-ray of the skull | $319 | $214 | $40 |
| X-ray of the upper arm | $264 | $158 | $32 |
| X-ray of the wrist | $355 | $220 | $43 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
