| Procedure | Shriners Hospital for Children | Saint Anthony Hospital | Medicare |
|---|
| Abdominal ultrasound | $856 | $244 | $100 |
| Abdominal ultrasound (complete) | $856 | $389 | $114 |
| Abdominal ultrasound (limited) | $714 | $100 | $86 |
| Abscess drainage (complex or multiple) | $2,420 | $290 | $220 |
| Abscess drainage (simple) | $417 | $191 | $129 |
| Abscess incision and drainage | $1,418 | $243 | $174 |
| Albumin blood test | $43 | $11 | $5 |
| Aldosterone test | $413 | $80 | $41 |
| Alkaline phosphatase test | $54 | $11 | $5 |
| Alpha-fetoprotein (AFP) test | $175 | $42 | $17 |
| ALT liver enzyme test | $55 | $11 | $5 |
| Ammonia blood test | $152 | $35 | $15 |
| Amylase test | $67 | $18 | $6 |
| Antinuclear antibody (ANA) test | $126 | $11 | $12 |
| Arterial blood gas (ABG) | $391 | $64 | $26 |
| AST liver enzyme test | $54 | $11 | $5 |
| Barium swallow study | $642 | $179 | $107 |
| Basic metabolic panel | $88 | $25 | $8 |
| Benign skin lesion removal | $5,076 | $596 | $171 |
| Bilirubin blood test | $115 | $11 | $5 |
| Bladder scope (cystoscopy) | $4,621 | $525 | $216 |
| Blood clotting test (PT/INR) | $41 | $33 | $4 |
| Blood crossmatch | $108 | $165 | — |
| Blood glucose test | $41 | $15 | $5 |
| Blood transfusion | $2,538 | $348 | $47 |
| Blood type and screen | $108 | $45 | $10 |
| Blood type test | $124 | $67 | $3 |
| Blood type test (ABO group) | $93 | $108 | $3 |
| Blood type test (Rh/D antigen) | $246 | $24 | $3 |
| BNP (heart failure) test | $353 | $49 | $39 |
| Bone scan (nuclear) | $1,427 | $721 | $259 |
| Breathing tube insertion (intubation) | $1,156 | $382 | $133 |
| Burn dressing and debridement (medium) | $1,171 | $196 | $166 |
| Burn dressing and debridement (small) | $799 | $175 | $93 |
| Burn treatment | $1,171 | $191 | $129 |
| Calcium blood test | $54 | $11 | $5 |
| Celiac disease test | $75 | $11 | $12 |
| Chest X-ray | $395 | $98 | $37 |
| Chest X-ray (1 view) | $329 | $144 | $25 |
| Chest X-ray (2 views) | $395 | $72 | $33 |
| Circumcision | $6,547 | $1,970 | $167 |
| Clotting time test (PTT) | $63 | $53 | $6 |
| Complete blood count (CBC) | $81 | $39 | $7 |
| Complete blood count (CBC) (complete) | $81 | $39 | $8 |
| Complex wound repair | $3,768 | $574 | $390 |
| Comprehensive metabolic panel | $110 | $34 | $11 |
| Copper blood test | $86 | $18 | $12 |
| Cortisol test | $170 | $59 | $16 |
| COVID-19 PCR test | $108 | $49 | $51 |
| CPAP titration study | $699 | $567 | $69 |
| Creatine kinase (CK) test | $68 | $11 | $7 |
| CT angiography of the chest | $2,497 | $724 | $281 |
| CT angiography of the head | $2,497 | $742 | $274 |
| CT scan of the abdomen | $2,178 | $647 | $230 |
| CT scan of the abdomen and pelvis | $4,130 | $1,366 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $4,130 | $1,405 | $338 |
| CT scan of the abdomen and pelvis with contrast | $4,130 | $1,396 | $300 |
| CT scan of the abdomen and pelvis without contrast | $2,911 | $1,226 | $183 |
| CT scan of the abdomen with and without contrast | $2,446 | $679 | $259 |
| CT scan of the abdomen with contrast | $2,178 | $647 | $230 |
| CT scan of the abdomen without contrast | $1,430 | $594 | $136 |
| CT scan of the arm | $2,178 | $698 | $199 |
| CT scan of the arm with contrast | $2,178 | $698 | $199 |
| CT scan of the arm without contrast | $1,430 | $645 | $161 |
| CT scan of the chest | $2,178 | $629 | $167 |
| CT scan of the chest with and without contrast | $2,446 | $715 | $196 |
| CT scan of the chest with contrast | $2,178 | $629 | $167 |
| CT scan of the chest without contrast | $1,430 | $545 | $133 |
| CT scan of the head | $2,178 | $545 | $148 |
| CT scan of the head with and without contrast | $2,446 | $614 | $173 |
| CT scan of the head with contrast | $2,178 | $545 | $148 |
| CT scan of the head without contrast | $1,430 | $477 | $107 |
| CT scan of the leg | $2,178 | $645 | $166 |
| CT scan of the leg with contrast | $2,178 | $698 | $166 |
| CT scan of the leg without contrast | $1,430 | $645 | $130 |
| CT scan of the lower back (lumbar spine) | $6,534 | $733 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $7,337 | $733 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $6,534 | $919 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $4,291 | $594 | $130 |
| CT scan of the neck | $2,178 | $733 | $183 |
| CT scan of the neck (cervical spine) | $6,534 | $594 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $7,337 | $733 | $196 |
| CT scan of the neck (cervical spine) with contrast | $6,534 | $403 | $168 |
| CT scan of the neck (cervical spine) without contrast | $4,291 | $594 | $131 |
| CT scan of the neck with and without contrast | $2,446 | $804 | $220 |
| CT scan of the neck with contrast | $2,178 | $733 | $183 |
| CT scan of the neck without contrast | $1,430 | $679 | $150 |
| CT scan of the pelvis | $2,178 | $733 | $226 |
| CT scan of the pelvis with and without contrast | $2,446 | $823 | $251 |
| CT scan of the pelvis with contrast | $2,178 | $733 | $226 |
| CT scan of the pelvis without contrast | $1,430 | $663 | $133 |
| CT scan of the sinuses | $2,178 | $751 | $152 |
| CT scan of the sinuses with and without contrast | $2,446 | $804 | $184 |
| CT scan of the sinuses with contrast | $2,178 | $751 | $152 |
| CT scan of the sinuses without contrast | $1,430 | $679 | $128 |
| D-dimer test | $106 | $75 | $10 |
| Developmental screening (child) | $110 | $66 | — |
| DHEA-sulfate test | $226 | $33 | $22 |
| Drug screen (urine) | $147 | $204 | $17 |
| Ear pressure test (tympanometry) | $248 | $38 | $16 |
| EKG / ECG (tracing only) | $195 | $59 | $7 |
| Electrocardiogram (EKG) | $195 | $38 | $8 |
| Electrolyte panel | $73 | $21 | $7 |
| Estradiol (estrogen) test | $280 | $20 | $28 |
| Ferritin (iron) test | $142 | $40 | $14 |
| Fibrinogen test | $89 | $38 | $10 |
| Flu test | $120 | $48 | $17 |
| Folate (folic acid) test | $153 | $40 | $15 |
| Free T4 thyroid test | $94 | $26 | $9 |
| FSH hormone test | $193 | $39 | $19 |
| Ganglion cyst removal | $6,614 | $1,539 | $321 |
| GGT liver test | $75 | $11 | $7 |
| Glucose tolerance test | $131 | $34 | $8 |
| Hearing test (audiometry) | $965 | $154 | $36 |
| Hematocrit test | $25 | $10 | $2 |
| Hemoglobin A1c (diabetes test) | $101 | $26 | $10 |
| Hepatitis B test | $107 | $28 | $10 |
| Hepatitis C test | $149 | $57 | $14 |
| HIV test | $197 | $41 | $19 |
| HIV test (antibody) | $143 | $43 | $14 |
| HIV test (antigen/antibody combo) | $250 | $39 | $24 |
| Iron blood test | $67 | $18 | $6 |
| IV infusion therapy | $547 | $113 | $44 |
| IV infusion therapy (each additional) | $181 | $53 | $21 |
| IV infusion therapy (initial) | $913 | $185 | $67 |
| Joint aspiration (small/intermediate) | $1,763 | $291 | $57 |
| Joint aspiration or injection (mid-size joint) | $1,763 | $291 | $57 |
| Joint aspiration or injection (small joint) | $1,763 | $284 | $56 |
| Kidney ultrasound | $856 | $242 | $84 |
| Kidney ultrasound (limited) | $714 | $195 | $61 |
| Knee joint injection | $3,863 | $277 | $69 |
| Lactate test | $111 | $35 | $12 |
| Laryngoscopy | $1,159 | $176 | $189 |
| LDH test | $63 | $11 | $6 |
| Leg vein ultrasound (Doppler) | $714 | $206 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $714 | $153 | $116 |
| LH hormone test | $193 | $40 | $19 |
| Lipase test | $72 | $29 | $7 |
| Lipid (cholesterol) panel | $139 | $29 | $13 |
| Liver function panel | $85 | $24 | $8 |
| Lung function test (PFT) | $560 | $91 | $37 |
| Magnesium blood test | $70 | $18 | $7 |
| MRA of the brain | $3,109 | $370 | $226 |
| MRA of the brain with contrast | $3,109 | $344 | $226 |
| MRA of the brain without contrast | $3,926 | $380 | $328 |
| MRA of the neck | $3,109 | $612 | $245 |
| MRA of the neck with contrast | $3,109 | $612 | $245 |
| MRA of the neck without contrast | $3,926 | $598 | $343 |
| MRI of the abdomen | $3,109 | $651 | $300 |
| MRI of the abdomen without contrast | $2,563 | $636 | $194 |
| MRI of the ankle | $3,109 | $620 | $261 |
| MRI of the ankle without contrast | $2,563 | $636 | $222 |
| MRI of the brain | $3,109 | $723 | $269 |
| MRI of the brain with contrast | $3,109 | $723 | $269 |
| MRI of the brain without contrast | $2,563 | $636 | $195 |
| MRI of the chest | $3,109 | $620 | $371 |
| MRI of the chest without contrast | $3,926 | $620 | $466 |
| MRI of the knee | $3,109 | $636 | $315 |
| MRI of the knee without contrast | $2,563 | $636 | $204 |
| MRI of the lower back (lumbar spine) | $8,666 | $932 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $7,144 | $651 | $192 |
| MRI of the mid-back (thoracic spine) | $8,666 | $938 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $10,944 | $1,255 | $319 |
| MRI of the mid-back (thoracic spine) without contrast | $7,144 | $636 | $190 |
| MRI of the neck (cervical spine) | $8,883 | $728 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $11,218 | $1,224 | $318 |
| MRI of the neck (cervical spine) without contrast | $7,323 | $232 | $191 |
| MRI of the pelvis | $3,109 | $594 | $268 |
| MRI of the pelvis without contrast | $2,563 | $594 | $227 |
| MRI of the shoulder | $3,109 | $636 | $313 |
| MRI of the shoulder without contrast | $2,563 | $636 | $205 |
| MRI of the wrist | $3,109 | $651 | $330 |
| MRI of the wrist without contrast | $2,563 | $651 | $303 |
| Nebulizer breathing treatment | $201 | $184 | $9 |
| Nerve conduction study | $1,940 | $292 | $118 |
| Occupational therapy evaluation | $415 | $185 | $101 |
| Occupational therapy evaluation (high complexity) | $664 | $180 | $101 |
| Occupational therapy evaluation (low complexity) | $332 | $189 | $101 |
| Occupational therapy evaluation (moderate complexity) | $498 | $185 | $101 |
| Office visit (established patient) | $346 | $48 | $115 |
| Office visit, established patient (level 3) | $346 | $46 | $95 |
| Office visit, established patient (level 4) | $346 | $51 | $136 |
| Orthopedic hardware removal | $5,505 | $2,440 | $632 |
| Parathyroid hormone (PTH) test | $429 | $76 | $41 |
| Pelvic ultrasound | $745 | $172 | $78 |
| Pelvic ultrasound (complete) | $745 | $241 | $105 |
| Pelvic ultrasound (limited) | $745 | $107 | $51 |
| Phosphorus blood test | $49 | $11 | $5 |
| Physical therapy evaluation | $261 | $189 | $98 |
| Physical therapy evaluation (high complexity) | $588 | $185 | $98 |
| Physical therapy evaluation (moderate complexity) | $392 | $189 | $98 |
| Platelet count | $47 | $16 | $4 |
| Pregnancy blood test (hCG) | $78 | $15 | $8 |
| Procalcitonin test | $185 | $126 | $27 |
| Prolactin test | $194 | $39 | $19 |
| Scoliosis spine X-ray | $368 | $123 | $58 |
| Scoliosis spine X-ray (1 view) | $329 | $107 | $44 |
| Scoliosis spine X-ray (3 views) | $368 | $137 | $72 |
| Scrotal ultrasound | $688 | $171 | $99 |
| Sedimentation rate (ESR) test | $32 | $18 | $3 |
| Sex hormone binding globulin test | $79 | $39 | $22 |
| Simple wound stitches | $1,171 | $196 | $127 |
| Skin graft | $16,147 | $1,992 | $898 |
| Skin lesion freezing (cryotherapy) | $878 | $163 | $36 |
| Skin tag removal | $1,171 | $186 | $92 |
| Soft tissue ultrasound | $714 | $187 | $64 |
| Speech therapy | $490 | $153 | $76 |
| Spinal tap (lumbar puncture) | $4,115 | $650 | $165 |
| Spirometry (lung function test) | $420 | $114 | $30 |
| Spirometry with bronchodilator | $699 | $91 | $43 |
| Strep throat test | $125 | $33 | $17 |
| Swallow study | $781 | $135 | $85 |
| T3 thyroid test | $148 | $22 | $14 |
| Testosterone test | $262 | $43 | $26 |
| Thyroid test (TSH) | $175 | $25 | $17 |
| Thyroid ultrasound | $714 | $139 | $109 |
| Total IgE allergy test | $171 | $42 | $16 |
| Total protein test | $38 | $16 | $4 |
| Trigger point injection | $1,763 | $253 | $56 |
| Trigger point injection (1-2 muscles) | $3,591 | $253 | $52 |
| Triglycerides test | $60 | $11 | $6 |
| Troponin (heart) test | $102 | $38 | $12 |
| Upper GI series (barium) | $1,038 | $171 | $128 |
| Uric acid (gout) test | $47 | $11 | $5 |
| Urinalysis | $28 | $14 | $3 |
| Urine microalbumin test | $36 | $15 | $5 |
| Urine pregnancy test | $65 | $29 | $9 |
| Vitamin B12 test | $157 | $57 | $15 |
| Vitamin D test | $308 | $41 | $30 |
| Wart removal | $1,171 | $191 | $121 |
| Wound debridement | $4,833 | $420 | $186 |
| X-ray of the abdomen | $395 | $110 | $36 |
| X-ray of the ankle | $515 | $115 | $37 |
| X-ray of the collarbone | $329 | $86 | $33 |
| X-ray of the elbow | $515 | $94 | $33 |
| X-ray of the facial bones | $362 | $105 | $39 |
| X-ray of the foot | $515 | $73 | $34 |
| X-ray of the forearm | $412 | $86 | $29 |
| X-ray of the hand | $515 | $86 | $38 |
| X-ray of the hip | $240 | $86 | $49 |
| X-ray of the hip (1 view) | $163 | $85 | $34 |
| X-ray of the hip (3 views) | $240 | $88 | $49 |
| X-ray of the knee | $412 | $109 | $42 |
| X-ray of the knee (2 views) | $329 | $85 | $34 |
| X-ray of the knee (3 views) | $412 | $109 | $42 |
| X-ray of the knee (4+ views) | $515 | $125 | $49 |
| X-ray of the lower back (lumbar spine) | $440 | $141 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $329 | $181 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $552 | $104 | $53 |
| X-ray of the lower leg | $412 | $106 | $31 |
| X-ray of the mid-back (thoracic spine) | $362 | $113 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $329 | $112 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $395 | $116 | $39 |
| X-ray of the neck (cervical spine) | $329 | $169 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $329 | $185 | $40 |
| X-ray of the pelvis | $329 | $104 | $36 |
| X-ray of the pelvis (1 view) | $329 | $104 | $28 |
| X-ray of the ribs | $515 | $212 | $42 |
| X-ray of the ribs (2 views) | $412 | $202 | $36 |
| X-ray of the ribs (3 views) | $515 | $281 | $42 |
| X-ray of the shoulder | $412 | $96 | $36 |
| X-ray of the skull | $329 | $101 | $40 |
| X-ray of the upper arm | $412 | $106 | $32 |
| X-ray of the wrist | $515 | $83 | $43 |
| Zinc blood test | $119 | $11 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
