| Procedure | Sanford Sheldon Medical Center | Osceola Community Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $122 | $38 | $51 |
| Abdominal ultrasound | $870 | $440 | $100 |
| Abdominal ultrasound (complete) | $983 | $368 | $114 |
| Abdominal ultrasound (limited) | $756 | $440 | $86 |
| Albumin blood test | $29 | $76 | $5 |
| Aldosterone test | $232 | $572 | $41 |
| Alkaline phosphatase test | $30 | $184 | $5 |
| Alpha-fetoprotein (AFP) test | $136 | $250 | $17 |
| ALT liver enzyme test | $39 | $97 | $5 |
| Ammonia blood test | $117 | $391 | $15 |
| Amylase test | $79 | $104 | $6 |
| Arterial blood gas (ABG) | $208 | $233 | $26 |
| AST liver enzyme test | $34 | $97 | $5 |
| Bartholin cyst removal | $389 | $322 | $182 |
| Basic metabolic panel | $64 | $121 | $8 |
| Benign skin lesion removal | $855 | $459 | $171 |
| Bilirubin blood test | $38 | $90 | $5 |
| Bladder scope (cystoscopy) | $3,593 | $133 | $216 |
| Blood clotting test (PT/INR) | $44 | $64 | $4 |
| Blood crossmatch | $159 | $137 | — |
| Blood glucose test | $36 | $47 | $5 |
| Blood transfusion | $1,040 | $662 | $47 |
| Blood type and screen | $86 | $93 | $10 |
| Blood type test | $33 | $74 | $3 |
| Blood type test (ABO group) | $33 | $97 | $3 |
| Blood type test (Rh/D antigen) | $33 | $40 | $3 |
| BNP (heart failure) test | $251 | $298 | $39 |
| Bone density scan (DEXA) | $472 | $568 | $39 |
| Bone scan (nuclear) | $1,916 | $1,512 | $259 |
| Breathing tube insertion (intubation) | $572 | $657 | $133 |
| Burn dressing and debridement (medium) | $394 | $323 | $166 |
| Burn dressing and debridement (small) | $359 | $306 | $93 |
| Burn treatment | $376 | $306 | $129 |
| C-reactive protein (CRP) | $59 | $68 | $5 |
| CA-125 ovarian marker test | $102 | $371 | $21 |
| Calcium blood test | $34 | $76 | $5 |
| Cardiac rehabilitation | $272 | $345 | $26 |
| Cardioversion | $1,783 | $1,120 | $155 |
| Carotid artery ultrasound | $987 | $986 | $156 |
| CEA tumor marker test | $100 | $269 | $19 |
| Chemotherapy infusion | $594 | $383 | $81 |
| Chemotherapy infusion (each additional) | $329 | $250 | $28 |
| Chemotherapy infusion (first hour) | $858 | $517 | $133 |
| Chest X-ray | $257 | $275 | $37 |
| Chest X-ray (1 view) | $254 | $230 | $25 |
| Chest X-ray (2 views) | $340 | $320 | $33 |
| Chickenpox (varicella) vaccine | $210 | $430 | — |
| CK-MB heart enzyme test | $134 | $169 | $12 |
| Clotting time test (PTT) | $44 | $78 | $6 |
| Complete blood count (CBC) | $47 | $77 | $7 |
| Complete blood count (CBC) (complete) | $58 | $82 | $8 |
| Comprehensive metabolic panel | $78 | $141 | $11 |
| Copper blood test | $107 | $243 | $12 |
| Cortisol test | $122 | $131 | $16 |
| COVID-19 PCR test | $125 | $252 | $51 |
| CPAP titration study | $635 | $516 | $69 |
| Creatine kinase (CK) test | $49 | $100 | $7 |
| CT angiography of the chest | $2,847 | $2,385 | $281 |
| CT angiography of the head | $2,859 | $2,080 | $274 |
| CT scan of the abdomen | $2,762 | $2,385 | $230 |
| CT scan of the abdomen and pelvis | $4,469 | $4,770 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $5,249 | $5,950 | $338 |
| CT scan of the abdomen and pelvis with contrast | $4,469 | $4,770 | $300 |
| CT scan of the abdomen and pelvis without contrast | $3,805 | $3,933 | $183 |
| CT scan of the abdomen with and without contrast | $2,881 | $2,975 | $259 |
| CT scan of the abdomen with contrast | $2,762 | $2,385 | $230 |
| CT scan of the abdomen without contrast | $2,223 | $1,967 | $136 |
| CT scan of the arm | $2,225 | $1,636 | $199 |
| CT scan of the arm without contrast | $1,921 | $1,636 | $161 |
| CT scan of the chest | $2,749 | $2,385 | $167 |
| CT scan of the chest with and without contrast | $3,042 | $2,975 | $196 |
| CT scan of the chest with contrast | $2,749 | $2,385 | $167 |
| CT scan of the chest without contrast | $2,108 | $1,967 | $133 |
| CT scan of the head | $2,455 | $2,083 | $148 |
| CT scan of the head with contrast | $2,536 | $2,200 | $148 |
| CT scan of the head without contrast | $1,914 | $1,967 | $107 |
| CT scan of the leg | $2,361 | $1,967 | $166 |
| CT scan of the leg with contrast | $2,361 | $1,512 | $166 |
| CT scan of the leg without contrast | $2,018 | $1,967 | $130 |
| CT scan of the lower back (lumbar spine) | $2,508 | $1,967 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $2,508 | $1,967 | $130 |
| CT scan of the neck | $2,382 | $2,385 | $183 |
| CT scan of the neck (cervical spine) | $2,474 | $1,967 | $168 |
| CT scan of the neck (cervical spine) without contrast | $2,474 | $1,967 | $131 |
| CT scan of the neck with and without contrast | $2,835 | $2,975 | $220 |
| CT scan of the neck with contrast | $2,382 | $2,385 | $183 |
| CT scan of the neck without contrast | $1,921 | $1,967 | $150 |
| CT scan of the pelvis | $2,244 | $2,176 | $226 |
| CT scan of the pelvis with contrast | $2,244 | $2,385 | $226 |
| CT scan of the pelvis without contrast | $2,004 | $1,967 | $133 |
| CT scan of the sinuses | $2,528 | $2,458 | $152 |
| CT scan of the sinuses with and without contrast | $2,947 | $2,790 | $184 |
| CT scan of the sinuses without contrast | $2,112 | $2,125 | $128 |
| D-dimer test | $139 | $262 | $10 |
| DHEA-sulfate test | $165 | $397 | $22 |
| Drug screen (urine) | $88 | $216 | $17 |
| Echocardiogram | $1,628 | $1,142 | $138 |
| Echocardiogram with and without contrast | $1,034 | $693 | $101 |
| EKG / ECG (tracing only) | $285 | $216 | $7 |
| Electrocardiogram (EKG) | $285 | $216 | $8 |
| Electrolyte panel | $42 | $138 | $7 |
| Emergency department visit | $838 | $500 | $69 |
| Emergency department visit (level 2) | $489 | $309 | $40 |
| Emergency department visit (level 3) | $838 | $435 | $69 |
| Emergency department visit (level 4) | $1,318 | $782 | $118 |
| Emergency department visit (level 5) | $1,920 | $1,391 | $171 |
| Epidural steroid injection | $2,048 | $691 | $275 |
| Estradiol (estrogen) test | $202 | $76 | $28 |
| Facet joint injection (spine) | $1,140 | $330 | $99 |
| Ferritin (iron) test | $110 | $215 | $14 |
| Fibrinogen test | $48 | $229 | $10 |
| Folate (folic acid) test | $117 | $218 | $15 |
| Foreign body removal (skin) | $810 | $608 | $157 |
| Free T4 thyroid test | $93 | $105 | $9 |
| FSH hormone test | $135 | $388 | $19 |
| Gallbladder scan (HIDA) | $1,938 | $1,155 | $334 |
| GGT liver test | $52 | $108 | $7 |
| Hematocrit test | $19 | $38 | $2 |
| Hemoglobin A1c (diabetes test) | $69 | $136 | $10 |
| Hemorrhoid removal | $1,168 | $294 | $338 |
| Hepatitis B test | $70 | $105 | $10 |
| Hepatitis C test | $135 | $275 | $14 |
| HIV test | $109 | $80 | $19 |
| HIV test (antigen/antibody combo) | $102 | $80 | $24 |
| Holter heart monitor | $683 | $442 | $26 |
| Iron blood test | $55 | $76 | $6 |
| IV infusion therapy | $450 | $218 | $44 |
| IV infusion therapy (each additional) | $192 | $108 | $21 |
| IV infusion therapy (initial) | $707 | $327 | $67 |
| Joint aspiration (small/intermediate) | $677 | $130 | $57 |
| Joint aspiration or injection (mid-size joint) | $690 | $130 | $57 |
| Kidney ultrasound | $760 | $448 | $84 |
| Kidney ultrasound (limited) | $700 | $448 | $61 |
| Knee joint injection | $798 | $225 | $69 |
| Lactate test | $94 | $102 | $12 |
| LDH test | $45 | $75 | $6 |
| LDL cholesterol test | $66 | $120 | $11 |
| Leg vein ultrasound (Doppler) | $1,130 | $1,017 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $922 | $1,017 | $116 |
| LH hormone test | $135 | $388 | $19 |
| Lipase test | $51 | $165 | $7 |
| Lipid (cholesterol) panel | $100 | $155 | $13 |
| Liver function panel | $62 | $127 | $8 |
| Lung function test (PFT) | $539 | $285 | $37 |
| Magnesium blood test | $50 | $83 | $7 |
| MMR vaccine | $105 | $182 | — |
| MRA of the brain | $3,096 | $3,489 | $226 |
| MRI of the abdomen | $3,222 | $3,925 | $300 |
| MRI of the ankle | $3,683 | $3,625 | $261 |
| MRI of the ankle without contrast | $2,810 | $3,171 | $222 |
| MRI of the brain | $3,382 | $4,079 | $269 |
| MRI of the brain without contrast | $3,087 | $3,171 | $195 |
| MRI of the knee | $3,324 | $3,171 | $315 |
| MRI of the knee without contrast | $2,810 | $3,171 | $204 |
| MRI of the lower back (lumbar spine) | $3,453 | $3,625 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $3,166 | $3,171 | $192 |
| MRI of the mid-back (thoracic spine) | $3,453 | $3,625 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $4,426 | $4,079 | $319 |
| MRI of the mid-back (thoracic spine) without contrast | $3,045 | $3,171 | $190 |
| MRI of the neck (cervical spine) | $3,444 | $3,625 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $4,446 | $4,079 | $318 |
| MRI of the neck (cervical spine) without contrast | $2,987 | $3,171 | $191 |
| MRI of the shoulder | $3,332 | $3,171 | $313 |
| MRI of the shoulder without contrast | $2,874 | $3,171 | $205 |
| MRI of the wrist | $3,329 | $3,171 | $330 |
| MRI of the wrist without contrast | $2,646 | $3,171 | $303 |
| Nebulizer breathing treatment | $271 | $207 | $9 |
| Occupational therapy evaluation | $316 | $192 | $101 |
| Occupational therapy evaluation (low complexity) | $266 | $188 | $101 |
| Occupational therapy evaluation (moderate complexity) | $316 | $196 | $101 |
| Office visit (established patient) | $142 | $169 | $115 |
| Office visit (new patient) | $244 | $224 | $177 |
| Office visit, established patient (level 3) | $123 | $151 | $95 |
| Office visit, established patient (level 4) | $160 | $174 | $136 |
| Office visit, new patient (level 3) | $160 | $171 | $118 |
| Office visit, new patient (level 4) | $244 | $224 | $177 |
| Office visit, new patient (level 5) | $306 | $268 | $237 |
| Parathyroid hormone (PTH) test | $306 | $439 | $41 |
| Pelvic ultrasound | $736 | $476 | $78 |
| Pelvic ultrasound (complete) | $957 | $540 | $105 |
| Pelvic ultrasound (limited) | $514 | $356 | $51 |
| Phosphorus blood test | $36 | $76 | $5 |
| Physical therapy evaluation | $280 | $190 | $98 |
| Physical therapy evaluation (high complexity) | $331 | $207 | $98 |
| Physical therapy evaluation (moderate complexity) | $280 | $190 | $98 |
| Pregnancy blood test (hCG) | $62 | $176 | $8 |
| Pregnancy ultrasound | $865 | $509 | $126 |
| Pregnancy ultrasound (first trimester) | $789 | $475 | $117 |
| Pregnancy ultrasound (second or third trimester) | $942 | $542 | $136 |
| Procalcitonin test | $266 | $172 | $27 |
| Prolactin test | $144 | $322 | $19 |
| Prostate test (PSA) | $90 | $173 | $18 |
| Pulmonary rehabilitation | $212 | $154 | $87 |
| Sacroiliac joint injection | $1,198 | $470 | $176 |
| Screening mammogram | $445 | $290 | $126 |
| Scrotal ultrasound | $794 | $461 | $99 |
| Sedimentation rate (ESR) test | $31 | $49 | $3 |
| Semen analysis | $86 | $91 | $12 |
| Sex hormone binding globulin test | $179 | $175 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $455 | $326 | $114 |
| Simple wound stitches | $414 | $326 | $127 |
| Skin biopsy | $466 | $609 | $121 |
| Skin biopsy (punch) | $518 | $609 | $121 |
| Sleep study (polysomnography) | $4,417 | $4,137 | $691 |
| Soft tissue ultrasound | $462 | $369 | $64 |
| Speech therapy | $311 | $200 | $76 |
| Spirometry (lung function test) | $399 | $190 | $30 |
| Spirometry with bronchodilator | $679 | $379 | $43 |
| Swallow study | $372 | $345 | $85 |
| T3 thyroid test | $114 | $139 | $14 |
| Tdap (tetanus) vaccine | $87 | $134 | — |
| Testosterone test | $61 | $179 | $26 |
| Thyroid test (TSH) | $124 | $182 | $17 |
| Thyroid ultrasound | $729 | $461 | $109 |
| Total IgE allergy test | $122 | $222 | $16 |
| Total protein test | $33 | $76 | $4 |
| Transvaginal ultrasound | $810 | $438 | $118 |
| Trigger point injection | $599 | $452 | $56 |
| Trigger point injection (1-2 muscles) | $546 | $452 | $52 |
| Triglycerides test | $42 | $57 | $6 |
| Troponin (heart) test | $127 | $127 | $12 |
| Uric acid (gout) test | $34 | $76 | $5 |
| Urinalysis | $37 | $31 | $3 |
| Urine microalbumin test | $58 | $74 | $5 |
| Urine pregnancy test | $46 | $94 | $9 |
| Vaccine administration | $92 | $151 | $19 |
| Vaccine administration (each additional) | $86 | $151 | $16 |
| Vitamin B12 test | $121 | $222 | $15 |
| Vitamin D test | $132 | $174 | $30 |
| Wound debridement | $1,089 | $608 | $186 |
| X-ray of the abdomen | $377 | $218 | $36 |
| X-ray of the ankle | $354 | $254 | $37 |
| X-ray of the elbow | $361 | $253 | $33 |
| X-ray of the facial bones | $349 | $259 | $39 |
| X-ray of the foot | $349 | $253 | $34 |
| X-ray of the forearm | $318 | $213 | $29 |
| X-ray of the hand | $346 | $259 | $38 |
| X-ray of the hip | $352 | $253 | $49 |
| X-ray of the hip (1 view) | $273 | $223 | $34 |
| X-ray of the hip (3 views) | $352 | $253 | $49 |
| X-ray of the hip (4 views) | $455 | $227 | $63 |
| X-ray of the knee | $363 | $259 | $42 |
| X-ray of the knee (2 views) | $310 | $222 | $34 |
| X-ray of the knee (3 views) | $363 | $259 | $42 |
| X-ray of the knee (4+ views) | $414 | $274 | $49 |
| X-ray of the lower back (lumbar spine) | $488 | $378 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $414 | $258 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $562 | $497 | $53 |
| X-ray of the lower leg | $332 | $213 | $31 |
| X-ray of the mid-back (thoracic spine) | $409 | $269 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $372 | $250 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $446 | $289 | $39 |
| X-ray of the neck (cervical spine) | $451 | $333 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $372 | $320 | $40 |
| X-ray of the pelvis | $367 | $235 | $36 |
| X-ray of the pelvis (1 view) | $327 | $235 | $28 |
| X-ray of the ribs | $442 | $283 | $42 |
| X-ray of the ribs (2 views) | $336 | $280 | $36 |
| X-ray of the ribs (3 views) | $442 | $286 | $42 |
| X-ray of the shoulder | $361 | $251 | $36 |
| X-ray of the skull | $404 | $253 | $40 |
| X-ray of the upper arm | $324 | $213 | $32 |
| X-ray of the wrist | $350 | $259 | $43 |
| Zinc blood test | $26 | $177 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
