| Procedure | Sparta Community Hospital | St Josephs Hospital | Medicare |
|---|
| Abscess drainage (simple) | $355 | $402 | $129 |
| Abscess incision and drainage | $355 | $633 | $174 |
| Aldosterone test | $57 | $145 | $41 |
| Alkaline phosphatase test | $331 | $104 | $5 |
| Alpha-fetoprotein (AFP) test | $93 | $229 | $17 |
| ALT liver enzyme test | $129 | $99 | $5 |
| Ammonia blood test | $74 | $526 | $15 |
| Amylase test | $202 | $150 | $6 |
| Antinuclear antibody (ANA) test | $239 | $93 | $12 |
| Arterial blood gas (ABG) | $448 | $284 | $26 |
| AST liver enzyme test | $129 | $103 | $5 |
| Basic metabolic panel | $248 | $42 | $8 |
| Bilirubin blood test | $143 | $72 | $5 |
| Blood clotting test (PT/INR) | $103 | $70 | $4 |
| Blood glucose test | $106 | $53 | $5 |
| Blood transfusion | $2,760 | $1,300 | $47 |
| Blood type and screen | $212 | $77 | $10 |
| Blood type test | $104 | $102 | $3 |
| Blood type test (ABO group) | $103 | $153 | $3 |
| Blood type test (Rh/D antigen) | $104 | $50 | $3 |
| BNP (heart failure) test | $471 | $269 | $39 |
| C-reactive protein (CRP) | $253 | $110 | $5 |
| CA 19-9 tumor marker test | $403 | $212 | $21 |
| Calcium blood test | $118 | $89 | $5 |
| Cardiac stress test | $1,617 | $1,351 | $39 |
| CEA tumor marker test | $346 | $147 | $19 |
| Chest X-ray | $488 | $263 | $37 |
| Chest X-ray (2 views) | $488 | $293 | $33 |
| Clotting time test (PTT) | $108 | $99 | $6 |
| Complete blood count (CBC) | $119 | $86 | $7 |
| Complete blood count (CBC) (complete) | $168 | $92 | $8 |
| Comprehensive metabolic panel | $371 | $224 | $11 |
| Copper blood test | $217 | $159 | $12 |
| Cortisol test | $29 | $73 | $16 |
| COVID-19 PCR test | $265 | $65 | $51 |
| Creatine kinase (CK) test | $118 | $117 | $7 |
| CT angiography of the chest | $4,362 | $2,521 | $281 |
| CT angiography of the head | $3,399 | $2,561 | $274 |
| CT scan of the sinuses | $4,686 | $1,565 | $152 |
| CT scan of the sinuses with contrast | $4,686 | $1,565 | $152 |
| D-dimer test | $325 | $60 | $10 |
| DHEA-sulfate test | $66 | $182 | $22 |
| Drug screen (urine) | $258 | $165 | $17 |
| Echocardiogram | $3,059 | $611 | $138 |
| Echocardiogram with and without contrast | $1,193 | $522 | $101 |
| EKG / ECG (tracing only) | $390 | $264 | $7 |
| Electrocardiogram (EKG) | $390 | $264 | $8 |
| Electrolyte panel | $114 | $179 | $7 |
| Estradiol (estrogen) test | $427 | $289 | $28 |
| Fecal occult blood (stool) test | $119 | $51 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $60 | $48 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $179 | $54 | $16 |
| Ferritin (iron) test | $274 | $210 | $14 |
| Fibrinogen test | $171 | $110 | $10 |
| Folate (folic acid) test | $282 | $91 | $15 |
| Foreign body removal (skin) | $355 | $863 | $157 |
| Free T4 thyroid test | $208 | $82 | $9 |
| FSH hormone test | $306 | $99 | $19 |
| GGT liver test | $123 | $109 | $7 |
| Glucose tolerance test | $165 | $163 | $8 |
| H. pylori test | $376 | $181 | $67 |
| Hematocrit test | $32 | $37 | $2 |
| Hemoglobin A1c (diabetes test) | $166 | $147 | $10 |
| Hepatitis B test | $197 | $170 | $10 |
| Hepatitis C test | $182 | $106 | $14 |
| HIV test | $206 | $65 | $19 |
| HIV test (antigen/antibody combo) | $206 | $65 | $24 |
| Holter heart monitor | $690 | $1,416 | $26 |
| Iron blood test | $98 | $93 | $6 |
| IV infusion therapy | $310 | $258 | $44 |
| IV infusion therapy (each additional) | $193 | $120 | $21 |
| IV infusion therapy (initial) | $427 | $396 | $67 |
| Knee joint injection | $373 | $1,620 | $69 |
| Lactate test | $137 | $239 | $12 |
| LDH test | $106 | $98 | $6 |
| LDL cholesterol test | $151 | $95 | $11 |
| LH hormone test | $166 | $99 | $19 |
| Lipase test | $150 | $104 | $7 |
| Lipid (cholesterol) panel | $247 | $141 | $13 |
| Liver function panel | $373 | $174 | $8 |
| Lung function test (PFT) | $768 | $461 | $37 |
| Magnesium blood test | $74 | $140 | $7 |
| MRA of the brain | $6,321 | $3,506 | $226 |
| MRA of the brain without contrast | $6,321 | $3,851 | $328 |
| MRA of the neck | $6,327 | $3,506 | $245 |
| MRA of the neck without contrast | $6,327 | $3,851 | $343 |
| MRI of the ankle | $4,564 | $3,313 | $261 |
| MRI of the ankle without contrast | $3,844 | $2,881 | $222 |
| MRI of the knee | $3,980 | $3,594 | $315 |
| MRI of the knee with contrast | $3,980 | $3,594 | $315 |
| MRI of the lower back (lumbar spine) | $4,339 | $3,514 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $4,339 | $2,881 | $192 |
| MRI of the pelvis | $5,314 | $3,600 | $268 |
| MRI of the shoulder | $4,447 | $3,857 | $313 |
| MRI of the shoulder with contrast | $3,938 | $3,857 | $313 |
| MRI of the wrist | $4,207 | $3,412 | $330 |
| MRI of the wrist with contrast | $4,207 | $3,412 | $330 |
| MRI of the wrist without contrast | $3,931 | $2,881 | $303 |
| Pap smear (cervical screening) | $164 | $137 | $20 |
| Parathyroid hormone (PTH) test | $239 | $114 | $41 |
| Phosphorus blood test | $103 | $86 | $5 |
| Pregnancy blood test (hCG) | $166 | $109 | $8 |
| Pregnancy ultrasound | $1,360 | $567 | $126 |
| Pregnancy ultrasound (first trimester) | $1,360 | $567 | $117 |
| Prolactin test | $414 | $106 | $19 |
| Prostate test (PSA) | $258 | $210 | $18 |
| Rheumatoid factor test | $123 | $81 | $6 |
| Sedimentation rate (ESR) test | $93 | $76 | $3 |
| Sex hormone binding globulin test | $212 | $99 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $355 | $647 | $114 |
| Simple wound stitches | $391 | $650 | $127 |
| Sleep study (polysomnography) | $6,151 | $5,088 | $691 |
| Spirometry (lung function test) | $563 | $338 | $30 |
| Spirometry with bronchodilator | $973 | $585 | $43 |
| Strep throat test | $80 | $100 | $17 |
| T3 thyroid test | $287 | $232 | $14 |
| Testosterone test | $230 | $235 | $26 |
| Thyroid test (TSH) | $189 | $154 | $17 |
| Total IgE allergy test | $212 | $198 | $16 |
| Triglycerides test | $136 | $86 | $6 |
| Troponin (heart) test | $223 | $166 | $12 |
| Uric acid (gout) test | $118 | $86 | $5 |
| Urinalysis | $118 | $51 | $3 |
| Urine microalbumin test | $147 | $30 | $5 |
| Urine pregnancy test | $123 | $107 | $9 |
| Vitamin B12 test | $306 | $94 | $15 |
| Vitamin D test | $229 | $122 | $30 |
| Wound debridement | $1,323 | $1,621 | $186 |
| X-ray of the foot | $570 | $352 | $34 |
| X-ray of the hand | $573 | $352 | $38 |
| X-ray of the lower back (lumbar spine) | $587 | $527 | $47 |
| X-ray of the lower back (lumbar spine) (4+ views) | $587 | $634 | $53 |
| X-ray of the wrist | $649 | $352 | $43 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
