| Procedure | Rolling Plains Memorial Hospital | Hendrick Medical Center | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $42 | $188 | $51 |
| Abdominal fluid drain (paracentesis) | $449 | $4,763 | $284 |
| Abdominal ultrasound | $411 | $2,036 | $100 |
| Abdominal ultrasound (complete) | $654 | $2,306 | $114 |
| Abdominal ultrasound (limited) | $400 | $1,766 | $86 |
| Abscess drainage (complex or multiple) | $193 | $1,566 | $220 |
| Abscess drainage (simple) | $181 | $1,573 | $129 |
| Abscess incision and drainage | $193 | $1,570 | $174 |
| Albumin blood test | $50 | $261 | $5 |
| Aldosterone test | $153 | $1,042 | $41 |
| Alkaline phosphatase test | $47 | $238 | $5 |
| Alpha-fetoprotein (AFP) test | $105 | $522 | $17 |
| ALT liver enzyme test | $50 | $242 | $5 |
| Ammonia blood test | $97 | $542 | $15 |
| Amylase test | $68 | $366 | $6 |
| Anoscopy | $119 | $1,198 | $129 |
| Antinuclear antibody (ANA) test | $70 | $375 | $12 |
| Arterial blood gas (ABG) | $162 | $930 | $26 |
| AST liver enzyme test | $50 | $234 | $5 |
| Barium swallow study | $378 | $1,456 | $107 |
| Bartholin cyst removal | $204 | $1,091 | $182 |
| Basic metabolic panel | $125 | $550 | $8 |
| Benign skin lesion removal | $371 | $3,811 | $171 |
| Bilirubin blood test | $50 | $233 | $5 |
| Blood clotting test (PT/INR) | $36 | $292 | $4 |
| Blood crossmatch | $62 | $570 | — |
| Blood glucose test | $45 | $173 | $5 |
| Blood transfusion | $780 | $2,141 | $47 |
| Blood type and screen | $101 | $599 | $10 |
| Blood type test (ABO group) | $36 | $599 | $3 |
| BNP (heart failure) test | $144 | $801 | $39 |
| Bone density scan (DEXA) | $359 | $1,338 | $39 |
| Bone marrow biopsy | $235 | $11,887 | $172 |
| Bone scan (nuclear) | $1,035 | $4,790 | $259 |
| Breast ultrasound | $354 | $743 | $92 |
| Breast ultrasound (complete) | $354 | $892 | $100 |
| Breathing tube insertion (intubation) | $291 | $1,860 | $133 |
| Burn dressing and debridement (medium) | $139 | $1,329 | $166 |
| Burn dressing and debridement (small) | $134 | $1,329 | $93 |
| Burn treatment | $138 | $1,329 | $129 |
| C-reactive protein (CRP) | $47 | $244 | $5 |
| CA 19-9 tumor marker test | $89 | $668 | $21 |
| CA-125 ovarian marker test | $125 | $698 | $21 |
| Calcium blood test | $45 | $275 | $5 |
| Cardiac rehabilitation | $163 | $646 | $26 |
| Cardiac stress test | $652 | $3,004 | $39 |
| Cardioversion | $629 | $4,071 | $155 |
| Carotid artery ultrasound | $611 | $2,473 | $156 |
| CEA tumor marker test | $82 | $606 | $19 |
| Central line placement | $976 | $8,209 | $238 |
| Chest fluid drain (thoracentesis) | $865 | $4,763 | $311 |
| Chest tube insertion | $511 | $3,267 | $143 |
| Chest X-ray | $189 | $908 | $37 |
| Chest X-ray (1 view) | $168 | $854 | $25 |
| Chest X-ray (2 views) | $207 | $876 | $33 |
| CK-MB heart enzyme test | $125 | $391 | $12 |
| Clotting time test (PTT) | $54 | $357 | $6 |
| Colonoscopy | $2,484 | $6,596 | $480 |
| Complete blood count (CBC) | $57 | $255 | $7 |
| Complete blood count (CBC) (complete) | $57 | $265 | $8 |
| Complex wound repair | $421 | $2,793 | $390 |
| Comprehensive metabolic panel | $134 | $748 | $11 |
| Copper blood test | $72 | $371 | $12 |
| Cortisol test | $93 | $534 | $16 |
| COVID-19 PCR test | $101 | $313 | $51 |
| CPAP titration study | $397 | $3,760 | $69 |
| Creatine kinase (CK) test | $69 | $345 | $7 |
| CT angiography of the chest | $1,651 | $7,576 | $281 |
| CT angiography of the head | $1,690 | $7,007 | $274 |
| CT scan of the abdomen | $1,513 | $7,086 | $230 |
| CT scan of the abdomen and pelvis | $2,799 | $11,095 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $3,393 | $12,741 | $338 |
| CT scan of the abdomen and pelvis with contrast | $3,028 | $11,095 | $300 |
| CT scan of the abdomen and pelvis without contrast | $2,569 | $9,179 | $183 |
| CT scan of the abdomen with and without contrast | $1,698 | $8,640 | $259 |
| CT scan of the abdomen with contrast | $1,513 | $7,086 | $230 |
| CT scan of the abdomen without contrast | $1,284 | $5,757 | $136 |
| CT scan of the arm | $1,513 | $6,600 | $199 |
| CT scan of the arm with contrast | $1,513 | $6,600 | $199 |
| CT scan of the arm without contrast | $1,284 | $5,223 | $161 |
| CT scan of the chest | $1,513 | $7,434 | $167 |
| CT scan of the chest with and without contrast | $1,698 | $7,999 | $196 |
| CT scan of the chest with contrast | $1,513 | $7,434 | $167 |
| CT scan of the chest without contrast | $1,377 | $5,493 | $133 |
| CT scan of the head | $1,482 | $5,793 | $148 |
| CT scan of the head with and without contrast | $1,698 | $7,679 | $173 |
| CT scan of the head with contrast | $1,622 | $5,793 | $148 |
| CT scan of the head without contrast | $1,342 | $5,720 | $107 |
| CT scan of the leg | $1,513 | $6,368 | $166 |
| CT scan of the leg with contrast | $1,513 | $7,317 | $166 |
| CT scan of the leg without contrast | $1,284 | $5,630 | $130 |
| CT scan of the lower back (lumbar spine) | $1,519 | $6,878 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,651 | $7,480 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,519 | $6,878 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,433 | $6,695 | $130 |
| CT scan of the neck | $1,491 | $7,204 | $183 |
| CT scan of the neck (cervical spine) | $1,519 | $7,072 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $1,651 | $6,878 | $196 |
| CT scan of the neck (cervical spine) with contrast | $1,519 | $8,263 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,433 | $7,072 | $131 |
| CT scan of the neck with and without contrast | $1,633 | $7,367 | $220 |
| CT scan of the neck with contrast | $1,491 | $7,204 | $183 |
| CT scan of the neck without contrast | $1,376 | $6,214 | $150 |
| CT scan of the pelvis | $1,513 | $6,881 | $226 |
| CT scan of the pelvis with and without contrast | $1,698 | $6,881 | $251 |
| CT scan of the pelvis with contrast | $1,513 | $6,930 | $226 |
| CT scan of the pelvis without contrast | $1,284 | $6,024 | $133 |
| CT scan of the sinuses | $1,147 | $7,214 | $152 |
| CT scan of the sinuses with and without contrast | $1,422 | $7,444 | $184 |
| CT scan of the sinuses with contrast | $1,264 | $7,214 | $152 |
| CT scan of the sinuses without contrast | $1,030 | $5,829 | $128 |
| D-dimer test | $96 | $422 | $10 |
| Developmental screening (child) | $30 | $84 | — |
| DHEA-sulfate test | $96 | $665 | $22 |
| Diagnostic mammogram | $213 | $865 | $140 |
| Drug screen (urine) | $79 | $123 | $17 |
| Echocardiogram | $669 | $3,419 | $138 |
| Echocardiogram with and without contrast | $542 | $2,229 | $101 |
| Echocardiogram without contrast | $795 | $3,419 | $138 |
| EKG / ECG (tracing only) | $142 | $635 | $7 |
| Electrocardiogram (EKG) | $130 | $635 | $8 |
| Electroencephalogram (EEG) | $601 | $2,288 | $448 |
| Electrolyte panel | $88 | $425 | $7 |
| Emergency department visit | $416 | $1,707 | $69 |
| Emergency department visit (level 1) | $142 | $732 | $11 |
| Emergency department visit (level 2) | $302 | $1,373 | $40 |
| Emergency department visit (level 3) | $530 | $1,157 | $69 |
| Epidural steroid injection | $978 | $3,899 | $275 |
| Estradiol (estrogen) test | $120 | $791 | $28 |
| Facet joint injection (spine) | $756 | $2,336 | $99 |
| Fallopian tube X-ray (HSG) | $482 | $1,306 | $164 |
| Fecal occult blood (stool) test | $30 | $281 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $14 | $150 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $31 | $412 | $16 |
| Ferritin (iron) test | $83 | $412 | $14 |
| Fibrinogen test | $71 | $59 | $10 |
| Flexible sigmoidoscopy | $533 | $5,223 | $323 |
| Flu test | $31 | $590 | $17 |
| Flu vaccine | $25 | $220 | — |
| Folate (folic acid) test | $81 | $423 | $15 |
| Foreign body removal (skin) | $216 | $971 | $157 |
| Free T4 thyroid test | $67 | $406 | $9 |
| FSH hormone test | $92 | $519 | $19 |
| Gallbladder scan (HIDA) | $1,197 | $4,752 | $334 |
| GGT liver test | $59 | $264 | $7 |
| Glucose tolerance test | $77 | $335 | $8 |
| HDL cholesterol test | $52 | $233 | $8 |
| Hematocrit test | $10 | $125 | $2 |
| Hemodialysis | $2,373 | $3,984 | $75 |
| Hemoglobin A1c (diabetes test) | $58 | $358 | $10 |
| Hepatitis A vaccine | $49 | $1,014 | — |
| Hepatitis B test | $64 | $351 | $10 |
| Hepatitis B vaccine | $174 | $748 | — |
| Hepatitis C test | $275 | $425 | $14 |
| HIV test | $72 | $342 | $19 |
| Holter heart monitor | $237 | $1,686 | $26 |
| Iron blood test | $43 | $218 | $6 |
| IUD removal | $137 | $2,057 | $112 |
| IV infusion therapy | $107 | $628 | $44 |
| IV infusion therapy (each additional) | $69 | $262 | $21 |
| IV infusion therapy (initial) | $155 | $994 | $67 |
| Joint aspiration (small/intermediate) | $134 | $2,056 | $57 |
| Joint aspiration or injection (mid-size joint) | $149 | $2,056 | $57 |
| Joint aspiration or injection (small joint) | $118 | $2,056 | $56 |
| Kidney scan (nuclear) | $609 | $3,089 | $172 |
| Kidney ultrasound | $411 | $1,532 | $84 |
| Knee joint injection | $149 | $2,056 | $69 |
| Lactate test | $64 | $143 | $12 |
| LDH test | $52 | $305 | $6 |
| LDL cholesterol test | $41 | $282 | $11 |
| Leg vein ultrasound (Doppler) | $611 | $2,837 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $611 | $2,270 | $116 |
| LH hormone test | $97 | $541 | $19 |
| Lipase test | $86 | $377 | $7 |
| Lipid (cholesterol) panel | $88 | $493 | $13 |
| Liver function panel | $111 | $578 | $8 |
| Lung function test (PFT) | $275 | $1,197 | $37 |
| Lung scan (V/Q) | $1,106 | $6,057 | $291 |
| Magnesium blood test | $57 | $351 | $7 |
| MMR vaccine | $141 | $1,131 | — |
| MRA of the brain | $1,676 | $7,477 | $226 |
| MRA of the neck | $1,676 | $7,753 | $245 |
| MRI of the abdomen | $1,843 | $8,197 | $300 |
| MRI of the abdomen with contrast | $2,010 | $8,197 | $300 |
| MRI of the abdomen without contrast | $1,520 | $7,848 | $194 |
| MRI of the ankle | $2,010 | $7,815 | $261 |
| MRI of the ankle with contrast | $2,010 | $7,414 | $261 |
| MRI of the ankle without contrast | $1,676 | $7,815 | $222 |
| MRI of the brain | $2,010 | $8,524 | $269 |
| MRI of the brain with contrast | $2,010 | $8,524 | $269 |
| MRI of the brain without contrast | $1,676 | $8,043 | $195 |
| MRI of the chest | $2,010 | $8,645 | $371 |
| MRI of the chest with contrast | $2,010 | $4,156 | $371 |
| MRI of the chest without contrast | $2,265 | $11,349 | $466 |
| MRI of the knee | $2,010 | $8,290 | $315 |
| MRI of the knee with contrast | $2,010 | $7,837 | $315 |
| MRI of the knee without contrast | $1,676 | $8,290 | $204 |
| MRI of the lower back (lumbar spine) | $2,010 | $10,971 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $2,010 | $10,971 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,676 | $8,593 | $192 |
| MRI of the mid-back (thoracic spine) | $2,010 | $8,620 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $2,265 | $12,344 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $2,010 | $8,620 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $1,676 | $8,581 | $190 |
| MRI of the neck (cervical spine) | $2,010 | $8,391 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $2,265 | $11,690 | $318 |
| MRI of the neck (cervical spine) with contrast | $2,010 | $8,343 | $274 |
| MRI of the neck (cervical spine) without contrast | $1,676 | $8,391 | $191 |
| MRI of the pelvis | $2,010 | $8,450 | $268 |
| MRI of the pelvis with contrast | $2,010 | $8,450 | $268 |
| MRI of the pelvis without contrast | $1,676 | $7,404 | $227 |
| MRI of the shoulder | $2,010 | $9,912 | $313 |
| MRI of the shoulder with contrast | $2,010 | $9,912 | $313 |
| MRI of the shoulder without contrast | $1,676 | $7,890 | $205 |
| MRI of the wrist | $2,010 | $8,920 | $330 |
| MRI of the wrist with contrast | $2,010 | $4,156 | $330 |
| MRI of the wrist without contrast | $1,676 | $8,920 | $303 |
| Nebulizer breathing treatment | $397 | $1,066 | $9 |
| Nuclear cardiac stress test | $2,633 | $11,414 | $428 |
| Occupational therapy evaluation | $186 | $842 | $101 |
| Occupational therapy evaluation (high complexity) | $207 | $842 | $101 |
| Occupational therapy evaluation (low complexity) | $164 | $842 | $101 |
| Occupational therapy evaluation (moderate complexity) | $186 | $842 | $101 |
| Parathyroid hormone (PTH) test | $176 | $1,081 | $41 |
| Pelvic ultrasound | $411 | $1,615 | $78 |
| Pelvic ultrasound (complete) | $411 | $2,031 | $105 |
| Phosphorus blood test | $50 | $236 | $5 |
| Physical therapy evaluation | $161 | $748 | $98 |
| Physical therapy evaluation (high complexity) | $182 | $748 | $98 |
| Physical therapy evaluation (moderate complexity) | $161 | $748 | $98 |
| Platelet count | $40 | $224 | $4 |
| Pneumonia vaccine | $171 | $1,277 | — |
| Pregnancy blood test (hCG) | $45 | $37 | $8 |
| Pregnancy ultrasound | $413 | $1,760 | $126 |
| Pregnancy ultrasound (first trimester) | $323 | $1,435 | $117 |
| Pregnancy ultrasound (second or third trimester) | $413 | $2,085 | $136 |
| Procalcitonin test | $249 | $631 | $27 |
| Prolactin test | $111 | $556 | $19 |
| Prostate test (PSA) | $88 | $515 | $18 |
| Rheumatoid factor test | $69 | $284 | $6 |
| Scoliosis spine X-ray | $283 | $803 | $58 |
| Scoliosis spine X-ray (3 views) | $283 | $1,002 | $72 |
| Screening mammogram | $219 | $761 | $126 |
| Scrotal ultrasound | $465 | $1,764 | $99 |
| Sedimentation rate (ESR) test | $37 | $93 | $3 |
| Semen analysis | $66 | $241 | $12 |
| Sex hormone binding globulin test | $70 | $406 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $152 | $957 | $114 |
| Simple wound stitches | $156 | $991 | $127 |
| Skin biopsy | $157 | $1,413 | $121 |
| Skin biopsy (punch) | $170 | $1,413 | $121 |
| Skin lesion freezing (cryotherapy) | $29 | $587 | $36 |
| Skin tag removal | $63 | $563 | $92 |
| Sleep study (polysomnography) | $2,646 | $12,816 | $691 |
| Soft tissue ultrasound | $306 | $1,280 | $64 |
| Speech therapy | $164 | $792 | $76 |
| Spinal tap (lumbar puncture) | $410 | $3,628 | $165 |
| Spirometry (lung function test) | $184 | $1,044 | $30 |
| Spirometry with bronchodilator | $423 | $1,351 | $43 |
| Swallow study | $252 | $845 | $85 |
| T3 thyroid test | $93 | $436 | $14 |
| Tdap (tetanus) vaccine | $87 | $626 | — |
| Testosterone test | $135 | $732 | $26 |
| Thyroid test (TSH) | $117 | $543 | $17 |
| Thyroid ultrasound | $411 | $1,580 | $109 |
| Thyroid uptake scan | $767 | $2,293 | $145 |
| Total IgE allergy test | $77 | $522 | $16 |
| Total protein test | $33 | $207 | $4 |
| Transvaginal ultrasound | $393 | $1,660 | $118 |
| Trigger point injection | $158 | $1,715 | $56 |
| Trigger point injection (1-2 muscles) | $157 | $1,741 | $52 |
| Triglycerides test | $52 | $349 | $6 |
| Troponin (heart) test | $111 | $445 | $12 |
| Upper GI endoscopy (EGD) | $2,925 | $5,999 | $371 |
| Upper GI series (barium) | $402 | $2,004 | $128 |
| Uric acid (gout) test | $50 | $253 | $5 |
| Urinalysis | $33 | $172 | $3 |
| Urine microalbumin test | $53 | $262 | $5 |
| Urine pregnancy test | $47 | $372 | $9 |
| Vaccine administration | $23 | $195 | $19 |
| Vaccine administration (each additional) | $10 | $92 | $16 |
| Vitamin B12 test | $86 | $441 | $15 |
| Vitamin D test | $124 | $746 | $30 |
| Wart removal | $66 | $563 | $121 |
| Wound debridement | $436 | $2,756 | $186 |
| X-ray of the abdomen | $189 | $970 | $36 |
| X-ray of the ankle | $168 | $924 | $37 |
| X-ray of the collarbone | $171 | $922 | $33 |
| X-ray of the elbow | $168 | $946 | $33 |
| X-ray of the facial bones | $166 | $1,097 | $39 |
| X-ray of the foot | $180 | $923 | $34 |
| X-ray of the forearm | $154 | $944 | $29 |
| X-ray of the hand | $174 | $912 | $38 |
| X-ray of the hip | $175 | $605 | $49 |
| X-ray of the hip (1 view) | $168 | $605 | $34 |
| X-ray of the hip (3 views) | $184 | $605 | $49 |
| X-ray of the knee | $173 | $907 | $42 |
| X-ray of the knee (2 views) | $154 | $870 | $34 |
| X-ray of the knee (3 views) | $168 | $907 | $42 |
| X-ray of the knee (4+ views) | $204 | $1,007 | $49 |
| X-ray of the lower back (lumbar spine) | $261 | $1,203 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $176 | $1,017 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $364 | $1,388 | $53 |
| X-ray of the lower leg | $176 | $924 | $31 |
| X-ray of the mid-back (thoracic spine) | $146 | $1,052 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $176 | $1,022 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $128 | $1,082 | $39 |
| X-ray of the neck (cervical spine) | $189 | $1,150 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $168 | $931 | $40 |
| X-ray of the pelvis | $176 | $908 | $36 |
| X-ray of the pelvis (1 view) | $176 | $856 | $28 |
| X-ray of the ribs | $193 | $759 | $42 |
| X-ray of the ribs (2 views) | $168 | $730 | $36 |
| X-ray of the ribs (3 views) | $225 | $759 | $42 |
| X-ray of the shoulder | $205 | $940 | $36 |
| X-ray of the skull | $244 | $1,154 | $40 |
| X-ray of the upper arm | $168 | $865 | $32 |
| X-ray of the wrist | $168 | $1,019 | $43 |
| Zinc blood test | $57 | $320 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
