| Procedure | Sanford Sheldon Medical Center | Spencer Municipal Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $122 | $113 | $51 |
| Abdominal fluid drain (paracentesis) | $1,884 | $891 | $284 |
| Abdominal ultrasound | $870 | $389 | $100 |
| Abdominal ultrasound (complete) | $983 | $612 | $114 |
| Abdominal ultrasound (limited) | $756 | $389 | $86 |
| Abscess drainage (complex or multiple) | $855 | $925 | $220 |
| Abscess drainage (simple) | $474 | $237 | $129 |
| Abscess incision and drainage | $664 | $581 | $174 |
| Albumin blood test | $29 | $63 | $5 |
| Aldosterone test | $232 | $136 | $41 |
| Alkaline phosphatase test | $30 | $63 | $5 |
| Alpha-fetoprotein (AFP) test | $136 | $145 | $17 |
| ALT liver enzyme test | $39 | $63 | $5 |
| Ammonia blood test | $117 | $73 | $15 |
| Amylase test | $79 | $73 | $6 |
| AST liver enzyme test | $34 | $33 | $5 |
| Barium swallow study | $732 | $472 | $107 |
| Basic metabolic panel | $64 | $83 | $8 |
| Benign skin lesion removal | $855 | $201 | $171 |
| Bilirubin blood test | $38 | $67 | $5 |
| Blood clotting test (PT/INR) | $44 | $29 | $4 |
| Blood crossmatch | $159 | $127 | — |
| Blood glucose test | $36 | $61 | $5 |
| Blood transfusion | $1,040 | $319 | $47 |
| Blood type and screen | $86 | $52 | $10 |
| Blood type test | $33 | $99 | $3 |
| Blood type test (ABO group) | $33 | $103 | $3 |
| Blood type test (Rh/D antigen) | $33 | $95 | $3 |
| BNP (heart failure) test | $251 | $136 | $39 |
| Bone density scan (DEXA) | $472 | $391 | $39 |
| Bone scan (nuclear) | $1,916 | $2,763 | $259 |
| Breast ultrasound | $483 | $294 | $92 |
| Breast ultrasound (complete) | $519 | $294 | $100 |
| Breast ultrasound (limited) | $446 | $294 | $84 |
| Breathing tube insertion (intubation) | $572 | $1,127 | $133 |
| Burn dressing and debridement (small) | $359 | $138 | $93 |
| Burn treatment | $376 | $138 | $129 |
| C-reactive protein (CRP) | $59 | $69 | $5 |
| CA 19-9 tumor marker test | $102 | $168 | $21 |
| CA-125 ovarian marker test | $102 | $168 | $21 |
| Calcium blood test | $34 | $63 | $5 |
| Cardiac rehabilitation | $272 | $210 | $26 |
| Cardiac stress test | $1,169 | $836 | $39 |
| Cardioversion | $1,783 | $1,257 | $155 |
| Carotid artery ultrasound | $987 | $612 | $156 |
| CEA tumor marker test | $100 | $119 | $19 |
| Chemotherapy infusion | $594 | $479 | $81 |
| Chemotherapy infusion (each additional) | $329 | $438 | $28 |
| Chemotherapy infusion (first hour) | $858 | $519 | $133 |
| Chest fluid drain (thoracentesis) | $1,886 | $1,199 | $311 |
| Chest X-ray | $257 | $150 | $37 |
| Chest X-ray (1 view) | $254 | $150 | $25 |
| Chest X-ray (2 views) | $340 | $150 | $33 |
| CK-MB heart enzyme test | $134 | $145 | $12 |
| Clotting time test (PTT) | $44 | $26 | $6 |
| Complete blood count (CBC) | $47 | $49 | $7 |
| Complete blood count (CBC) (complete) | $58 | $44 | $8 |
| Comprehensive metabolic panel | $78 | $105 | $11 |
| Copper blood test | $107 | $42 | $12 |
| Cortisol test | $122 | $61 | $16 |
| COVID-19 PCR test | $125 | $62 | $51 |
| CPAP titration study | $635 | $884 | $69 |
| Creatine kinase (CK) test | $49 | $27 | $7 |
| CT angiography of the chest | $2,847 | $1,650 | $281 |
| CT angiography of the head | $2,859 | $1,214 | $274 |
| CT scan of the abdomen | $2,762 | $1,288 | $230 |
| CT scan of the abdomen and pelvis | $4,469 | $1,635 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $5,249 | $2,225 | $338 |
| CT scan of the abdomen and pelvis with contrast | $4,469 | $1,635 | $300 |
| CT scan of the abdomen and pelvis without contrast | $3,805 | $1,635 | $183 |
| CT scan of the abdomen with and without contrast | $2,881 | $1,487 | $259 |
| CT scan of the abdomen with contrast | $2,762 | $1,288 | $230 |
| CT scan of the abdomen without contrast | $2,223 | $1,052 | $136 |
| CT scan of the arm | $2,225 | $895 | $199 |
| CT scan of the arm with contrast | $2,225 | $877 | $199 |
| CT scan of the arm without contrast | $1,921 | $913 | $161 |
| CT scan of the chest | $2,749 | $913 | $167 |
| CT scan of the chest with and without contrast | $3,042 | $913 | $196 |
| CT scan of the chest with contrast | $2,749 | $913 | $167 |
| CT scan of the chest without contrast | $2,108 | $913 | $133 |
| CT scan of the head | $2,455 | $704 | $148 |
| CT scan of the head with and without contrast | $2,455 | $704 | $173 |
| CT scan of the head with contrast | $2,536 | $931 | $148 |
| CT scan of the head without contrast | $1,914 | $628 | $107 |
| CT scan of the leg | $2,361 | $895 | $166 |
| CT scan of the leg with contrast | $2,361 | $877 | $166 |
| CT scan of the leg without contrast | $2,018 | $913 | $130 |
| CT scan of the lower back (lumbar spine) | $2,508 | $850 | $169 |
| CT scan of the lower back (lumbar spine) with contrast | $2,491 | $856 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $2,508 | $844 | $130 |
| CT scan of the neck | $2,382 | $913 | $183 |
| CT scan of the neck (cervical spine) | $2,474 | $844 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $1,867 | $811 | $196 |
| CT scan of the neck (cervical spine) with contrast | $2,578 | $856 | $168 |
| CT scan of the neck (cervical spine) without contrast | $2,474 | $844 | $131 |
| CT scan of the neck with and without contrast | $2,835 | $913 | $220 |
| CT scan of the neck with contrast | $2,382 | $913 | $183 |
| CT scan of the neck without contrast | $1,921 | $877 | $150 |
| CT scan of the pelvis | $2,244 | $1,145 | $226 |
| CT scan of the pelvis with contrast | $2,244 | $1,238 | $226 |
| CT scan of the pelvis without contrast | $2,004 | $1,052 | $133 |
| CT scan of the sinuses | $2,528 | $913 | $152 |
| CT scan of the sinuses with contrast | $2,528 | $913 | $152 |
| CT scan of the sinuses without contrast | $2,112 | $913 | $128 |
| D-dimer test | $139 | $139 | $10 |
| DHEA-sulfate test | $165 | $72 | $22 |
| Diagnostic mammogram | $513 | $235 | $140 |
| Drug screen (urine) | $88 | $150 | $17 |
| Echocardiogram | $1,628 | $1,302 | $138 |
| Echocardiogram with and without contrast | $1,034 | $781 | $101 |
| EEG (awake and asleep) | $1,219 | $682 | $482 |
| EKG / ECG (tracing only) | $285 | $207 | $7 |
| Electrocardiogram (EKG) | $285 | $126 | $8 |
| Electroencephalogram (EEG) | $1,219 | $682 | $448 |
| Electrolyte panel | $42 | $81 | $7 |
| Emergency department visit | $838 | $258 | $69 |
| Emergency department visit (level 1) | $302 | $171 | $11 |
| Emergency department visit (level 2) | $489 | $211 | $40 |
| Emergency department visit (level 3) | $838 | $324 | $69 |
| Emergency department visit (level 4) | $1,318 | $486 | $118 |
| Emergency department visit (level 5) | $1,920 | $730 | $171 |
| Endometrial biopsy | $341 | $132 | $98 |
| Epidural steroid injection | $2,048 | $1,046 | $275 |
| Estradiol (estrogen) test | $202 | $136 | $28 |
| Facet joint injection (spine) | $1,140 | $702 | $99 |
| Fallopian tube X-ray (HSG) | $724 | $703 | $164 |
| Fecal occult blood (stool) test | $56 | $73 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $55 | $17 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $58 | $73 | $16 |
| Ferritin (iron) test | $110 | $90 | $14 |
| Fibrinogen test | $48 | $58 | $10 |
| Folate (folic acid) test | $117 | $95 | $15 |
| Foreign body removal (skin) | $810 | $206 | $157 |
| Free T4 thyroid test | $93 | $76 | $9 |
| FSH hormone test | $135 | $136 | $19 |
| Gallbladder scan (HIDA) | $1,938 | $1,324 | $334 |
| GGT liver test | $52 | $63 | $7 |
| Glucose tolerance test | $65 | $91 | $8 |
| Hematocrit test | $19 | $39 | $2 |
| Hemoglobin A1c (diabetes test) | $69 | $73 | $10 |
| Hepatitis B test | $70 | $39 | $10 |
| Hepatitis C test | $135 | $68 | $14 |
| HIV test | $109 | $40 | $19 |
| HIV test (antigen/antibody combo) | $102 | $40 | $24 |
| Holter heart monitor | $683 | $317 | $26 |
| Home sleep apnea test | $608 | $1,384 | $123 |
| Iron blood test | $55 | $42 | $6 |
| IUD removal | $561 | $152 | $112 |
| IV infusion therapy | $450 | $433 | $44 |
| IV infusion therapy (each additional) | $192 | $438 | $21 |
| IV infusion therapy (initial) | $707 | $428 | $67 |
| Joint aspiration (small/intermediate) | $677 | $616 | $57 |
| Joint aspiration or injection (mid-size joint) | $690 | $669 | $57 |
| Joint aspiration or injection (small joint) | $664 | $562 | $56 |
| Kidney scan (nuclear) | $2,182 | $1,303 | $172 |
| Kidney ultrasound | $760 | $464 | $84 |
| Kidney ultrasound (limited) | $700 | $464 | $61 |
| Knee joint injection | $798 | $158 | $69 |
| Lactate test | $94 | $145 | $12 |
| LDH test | $45 | $63 | $6 |
| LDL cholesterol test | $66 | $73 | $11 |
| Leg vein ultrasound (Doppler) | $1,130 | $620 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $922 | $620 | $116 |
| LH hormone test | $135 | $136 | $19 |
| Lipase test | $51 | $63 | $7 |
| Lipid (cholesterol) panel | $100 | $89 | $13 |
| Liver function panel | $62 | $80 | $8 |
| Lung function test (PFT) | $539 | $285 | $37 |
| Lung scan (V/Q) | $2,011 | $1,083 | $291 |
| Magnesium blood test | $50 | $48 | $7 |
| MRA of the brain | $3,096 | $1,503 | $226 |
| MRA of the neck | $2,907 | $1,128 | $245 |
| MRA of the neck without contrast | $3,804 | $1,503 | $343 |
| MRI of the abdomen | $3,222 | $2,269 | $300 |
| MRI of the abdomen without contrast | $2,897 | $1,759 | $194 |
| MRI of the ankle | $3,683 | $2,112 | $261 |
| MRI of the ankle without contrast | $2,810 | $1,759 | $222 |
| MRI of the brain | $3,382 | $1,702 | $269 |
| MRI of the brain without contrast | $3,087 | $1,702 | $195 |
| MRI of the knee | $3,324 | $1,386 | $315 |
| MRI of the knee with contrast | $3,324 | $1,386 | $315 |
| MRI of the knee without contrast | $2,810 | $1,386 | $204 |
| MRI of the lower back (lumbar spine) | $3,453 | $1,235 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $3,166 | $1,235 | $192 |
| MRI of the mid-back (thoracic spine) | $3,453 | $1,235 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $4,426 | $1,235 | $319 |
| MRI of the mid-back (thoracic spine) without contrast | $3,045 | $1,235 | $190 |
| MRI of the neck (cervical spine) | $3,444 | $1,211 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $4,446 | $1,188 | $318 |
| MRI of the neck (cervical spine) without contrast | $2,987 | $1,235 | $191 |
| MRI of the pelvis | $3,556 | $2,161 | $268 |
| MRI of the pelvis without contrast | $2,973 | $1,759 | $227 |
| MRI of the shoulder | $3,332 | $1,386 | $313 |
| MRI of the shoulder with contrast | $3,332 | $1,386 | $313 |
| MRI of the shoulder without contrast | $2,874 | $1,386 | $205 |
| MRI of the wrist | $3,329 | $2,112 | $330 |
| MRI of the wrist without contrast | $2,646 | $1,759 | $303 |
| Nebulizer breathing treatment | $271 | $297 | $9 |
| Nuclear cardiac stress test | $4,600 | $2,322 | $428 |
| Occupational therapy evaluation | $316 | $213 | $101 |
| Occupational therapy evaluation (high complexity) | $346 | $213 | $101 |
| Occupational therapy evaluation (low complexity) | $266 | $213 | $101 |
| Occupational therapy evaluation (moderate complexity) | $316 | $213 | $101 |
| Office visit (established patient) | $142 | $158 | $115 |
| Office visit (new patient) | $244 | $169 | $177 |
| Office visit, established patient (level 3) | $123 | $101 | $95 |
| Office visit, established patient (level 4) | $160 | $164 | $136 |
| Office visit, new patient (level 3) | $160 | $135 | $118 |
| Office visit, new patient (level 4) | $244 | $204 | $177 |
| Office visit, new patient (level 5) | $306 | $208 | $237 |
| Pap smear (cervical screening) | $140 | $44 | $20 |
| Parathyroid hormone (PTH) test | $306 | $136 | $41 |
| Pelvic ultrasound | $736 | $394 | $78 |
| Pelvic ultrasound (complete) | $957 | $493 | $105 |
| Pelvic ultrasound (limited) | $514 | $294 | $51 |
| Phosphorus blood test | $36 | $63 | $5 |
| Physical therapy evaluation | $280 | $195 | $98 |
| Physical therapy evaluation (high complexity) | $331 | $195 | $98 |
| Physical therapy evaluation (moderate complexity) | $280 | $195 | $98 |
| Platelet count | $34 | $39 | $4 |
| Pneumonia vaccine | $82 | $72 | — |
| Pregnancy blood test (hCG) | $62 | $86 | $8 |
| Pregnancy ultrasound | $865 | $535 | $126 |
| Pregnancy ultrasound (first trimester) | $789 | $535 | $117 |
| Pregnancy ultrasound (second or third trimester) | $942 | $535 | $136 |
| Procalcitonin test | $266 | $136 | $27 |
| Prolactin test | $144 | $136 | $19 |
| Prostate test (PSA) | $90 | $73 | $18 |
| Pulmonary rehabilitation | $212 | $174 | $87 |
| Rheumatoid factor test | $46 | $51 | $6 |
| Sacroiliac joint injection | $1,198 | $1,046 | $176 |
| Scoliosis spine X-ray | $442 | $215 | $58 |
| Scoliosis spine X-ray (3 views) | $558 | $215 | $72 |
| Screening mammogram | $445 | $235 | $126 |
| Scrotal ultrasound | $794 | $362 | $99 |
| Sedimentation rate (ESR) test | $31 | $40 | $3 |
| Semen analysis | $86 | $124 | $12 |
| Sex hormone binding globulin test | $179 | $139 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $455 | $283 | $114 |
| Simple wound stitches | $414 | $324 | $127 |
| Skin biopsy | $466 | $97 | $121 |
| Skin biopsy (punch) | $518 | $97 | $121 |
| Skin tag removal | $391 | $152 | $92 |
| Sleep study (polysomnography) | $4,417 | $2,214 | $691 |
| Soft tissue ultrasound | $462 | $308 | $64 |
| Speech therapy | $311 | $197 | $76 |
| Spinal tap (lumbar puncture) | $974 | $934 | $165 |
| Spirometry (lung function test) | $399 | $208 | $30 |
| Spirometry with bronchodilator | $679 | $362 | $43 |
| Swallow study | $372 | $274 | $85 |
| T3 thyroid test | $114 | $58 | $14 |
| Tdap (tetanus) vaccine | $87 | $72 | — |
| Testosterone test | $61 | $136 | $26 |
| Thyroid test (TSH) | $124 | $112 | $17 |
| Thyroid ultrasound | $729 | $418 | $109 |
| Thyroid uptake scan | $1,143 | $972 | $145 |
| Total IgE allergy test | $122 | $145 | $16 |
| Total protein test | $33 | $33 | $4 |
| Transvaginal ultrasound | $810 | $402 | $118 |
| Trigger point injection | $599 | $342 | $56 |
| Trigger point injection (1-2 muscles) | $546 | $342 | $52 |
| Triglycerides test | $42 | $63 | $6 |
| Troponin (heart) test | $127 | $145 | $12 |
| Upper GI series (barium) | $984 | $699 | $128 |
| Uric acid (gout) test | $34 | $63 | $5 |
| Urinalysis | $37 | $40 | $3 |
| Urine microalbumin test | $58 | $43 | $5 |
| Urine pregnancy test | $46 | $54 | $9 |
| Vaccine administration | $92 | $108 | $19 |
| Vitamin B12 test | $121 | $112 | $15 |
| Vitamin D test | $132 | $124 | $30 |
| Wound debridement | $1,089 | $694 | $186 |
| X-ray of the abdomen | $377 | $150 | $36 |
| X-ray of the ankle | $354 | $209 | $37 |
| X-ray of the collarbone | $318 | $150 | $33 |
| X-ray of the elbow | $361 | $212 | $33 |
| X-ray of the facial bones | $349 | $324 | $39 |
| X-ray of the foot | $349 | $185 | $34 |
| X-ray of the forearm | $318 | $150 | $29 |
| X-ray of the hand | $346 | $150 | $38 |
| X-ray of the hip | $352 | $150 | $49 |
| X-ray of the hip (1 view) | $273 | $150 | $34 |
| X-ray of the hip (3 views) | $352 | $150 | $49 |
| X-ray of the knee | $363 | $150 | $42 |
| X-ray of the knee (2 views) | $310 | $150 | $34 |
| X-ray of the knee (3 views) | $363 | $150 | $42 |
| X-ray of the knee (4+ views) | $414 | $272 | $49 |
| X-ray of the lower back (lumbar spine) | $488 | $223 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $414 | $223 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $562 | $223 | $53 |
| X-ray of the lower leg | $332 | $150 | $31 |
| X-ray of the mid-back (thoracic spine) | $409 | $255 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $372 | $287 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $446 | $223 | $39 |
| X-ray of the neck (cervical spine) | $451 | $291 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $372 | $359 | $40 |
| X-ray of the pelvis | $367 | $223 | $36 |
| X-ray of the pelvis (1 view) | $327 | $223 | $28 |
| X-ray of the ribs | $442 | $300 | $42 |
| X-ray of the ribs (2 views) | $336 | $300 | $36 |
| X-ray of the ribs (3 views) | $442 | $150 | $42 |
| X-ray of the shoulder | $361 | $150 | $36 |
| X-ray of the upper arm | $324 | $150 | $32 |
| X-ray of the wrist | $350 | $173 | $43 |
| Zinc blood test | $26 | $70 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
