| Procedure | UCI Health-Lakewood | College Hospital | Medicare |
|---|
| Abdominal ultrasound | $1,214 | $633 | $100 |
| Abdominal ultrasound (complete) | $1,484 | $645 | $114 |
| Abdominal ultrasound (limited) | $944 | $633 | $86 |
| Albumin blood test | $5 | $22 | $5 |
| Alkaline phosphatase test | $20 | $30 | $5 |
| Alpha-fetoprotein (AFP) test | $81 | $14 | $17 |
| ALT liver enzyme test | $10 | $9 | $5 |
| Ammonia blood test | $242 | $43 | $15 |
| Amylase test | $132 | $8 | $6 |
| Arterial blood gas (ABG) | $241 | $247 | $26 |
| AST liver enzyme test | $10 | $30 | $5 |
| Barium swallow study | $672 | $587 | $107 |
| Bilirubin blood test | $10 | $38 | $5 |
| Blood clotting test (PT/INR) | $148 | $6 | $4 |
| Blood glucose test | $50 | $17 | $5 |
| Blood type and screen | $377 | $184 | $10 |
| Blood type test | $208 | $9 | $3 |
| Blood type test (ABO group) | $208 | $11 | $3 |
| Blood type test (Rh/D antigen) | $208 | $9 | $3 |
| BNP (heart failure) test | $266 | $242 | $39 |
| Bone scan (nuclear) | $1,586 | $2,700 | $259 |
| Breast ultrasound | $495 | $1,125 | $92 |
| Breast ultrasound (complete) | $437 | $1,586 | $100 |
| Breast ultrasound (limited) | $554 | $1,125 | $84 |
| C-reactive protein (CRP) | $188 | $7 | $5 |
| CA 19-9 tumor marker test | $89 | $17 | $21 |
| Calcium blood test | $14 | $15 | $5 |
| Cardiac stress test | $1,685 | $990 | $39 |
| Cardioversion | $2,160 | $381 | $155 |
| Carotid artery ultrasound | $1,712 | $1,203 | $156 |
| CEA tumor marker test | $84 | $37 | $19 |
| Chest X-ray | $489 | $274 | $37 |
| Chest X-ray (1 view) | $481 | $144 | $25 |
| Chest X-ray (2 views) | $636 | $209 | $33 |
| CK-MB heart enzyme test | $596 | $141 | $12 |
| Clotting time test (PTT) | $162 | $6 | $6 |
| Complete blood count (CBC) | $289 | $8 | $7 |
| Complete blood count (CBC) (complete) | $429 | $8 | $8 |
| Comprehensive metabolic panel | $1,024 | $184 | $11 |
| Coronary CT angiography | $3,144 | $2,250 | $326 |
| CPAP titration study | $3,787 | $900 | $69 |
| Creatine kinase (CK) test | $274 | $60 | $7 |
| CT angiography of the chest | $3,915 | $2,850 | $281 |
| CT angiography of the head | $3,630 | $3,128 | $274 |
| CT scan of the abdomen | $2,980 | $2,325 | $230 |
| CT scan of the abdomen and pelvis | $5,974 | $2,325 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $7,327 | $2,790 | $338 |
| CT scan of the abdomen and pelvis with contrast | $5,974 | $1,390 | $300 |
| CT scan of the abdomen and pelvis without contrast | $5,244 | $2,325 | $183 |
| CT scan of the abdomen with and without contrast | $2,980 | $2,700 | $259 |
| CT scan of the abdomen with contrast | $3,172 | $2,400 | $230 |
| CT scan of the abdomen without contrast | $2,429 | $1,166 | $136 |
| CT scan of the arm | $2,023 | $2,025 | $199 |
| CT scan of the arm with contrast | $1,945 | $2,025 | $199 |
| CT scan of the arm without contrast | $2,100 | $1,875 | $161 |
| CT scan of the chest | $3,158 | $2,700 | $167 |
| CT scan of the chest with and without contrast | $3,334 | $2,925 | $196 |
| CT scan of the chest with contrast | $3,158 | $2,625 | $167 |
| CT scan of the chest without contrast | $2,833 | $2,475 | $133 |
| CT scan of the head | $3,454 | $1,875 | $148 |
| CT scan of the head with and without contrast | $3,454 | $2,250 | $173 |
| CT scan of the head with contrast | $2,859 | $2,025 | $148 |
| CT scan of the head without contrast | $3,771 | $1,875 | $107 |
| CT scan of the leg | $2,251 | $1,950 | $166 |
| CT scan of the leg with contrast | $2,116 | $2,025 | $166 |
| CT scan of the leg without contrast | $2,387 | $1,005 | $130 |
| CT scan of the lower back (lumbar spine) | $2,836 | $2,325 | $169 |
| CT scan of the lower back (lumbar spine) with contrast | $2,429 | $2,400 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $3,243 | $1,192 | $130 |
| CT scan of the neck | $3,142 | $2,025 | $183 |
| CT scan of the neck (cervical spine) | $4,265 | $2,325 | $168 |
| CT scan of the neck (cervical spine) with contrast | $3,822 | $2,400 | $168 |
| CT scan of the neck (cervical spine) without contrast | $4,709 | $1,187 | $131 |
| CT scan of the neck with and without contrast | $3,534 | $2,250 | $220 |
| CT scan of the neck with contrast | $3,142 | $2,025 | $183 |
| CT scan of the neck without contrast | $2,304 | $1,875 | $150 |
| CT scan of the pelvis | $2,421 | $2,213 | $226 |
| CT scan of the pelvis with contrast | $2,811 | $1,285 | $226 |
| CT scan of the pelvis without contrast | $2,030 | $1,134 | $133 |
| CT scan of the sinuses | $3,485 | $1,875 | $152 |
| CT scan of the sinuses with and without contrast | $4,054 | $2,250 | $184 |
| CT scan of the sinuses with contrast | $3,312 | $2,025 | $152 |
| CT scan of the sinuses without contrast | $3,485 | $1,009 | $128 |
| Drug screen (urine) | $117 | $29 | $17 |
| Echocardiogram | $2,463 | $1,196 | $138 |
| Echocardiogram with and without contrast | $1,544 | $879 | $101 |
| EKG / ECG (tracing only) | $588 | $299 | $7 |
| Electrocardiogram (EKG) | $588 | $299 | $8 |
| Electroencephalogram (EEG) | $990 | $598 | $448 |
| Electrolyte panel | $132 | $61 | $7 |
| Emergency department visit | $1,224 | $871 | $69 |
| Emergency department visit (level 1) | $292 | $249 | $11 |
| Emergency department visit (level 2) | $736 | $497 | $40 |
| Emergency department visit (level 3) | $1,224 | $871 | $69 |
| Emergency department visit (level 4) | $2,045 | $1,451 | $118 |
| Emergency department visit (level 5) | $2,528 | $2,210 | $171 |
| Fecal occult blood (stool) test | $12 | $5 | $10 |
| Ferritin (iron) test | $389 | $70 | $14 |
| Fibrinogen test | $245 | $53 | $10 |
| Folate (folic acid) test | $336 | $26 | $15 |
| Free T4 thyroid test | $80 | $23 | $9 |
| Gallbladder scan (HIDA) | $1,717 | $2,475 | $334 |
| GGT liver test | $10 | $40 | $7 |
| Hemodialysis | $720 | $1,640 | $75 |
| Hemoglobin A1c (diabetes test) | $200 | $44 | $10 |
| Hepatitis B vaccine | $600 | $750 | — |
| Holter heart monitor | $586 | $1,307 | $26 |
| Iron blood test | $146 | $35 | $6 |
| IV infusion therapy | $686 | $75 | $44 |
| IV infusion therapy (each additional) | $239 | $75 | $21 |
| IV infusion therapy (initial) | $716 | $379 | $67 |
| Kidney ultrasound | $1,083 | $1,305 | $84 |
| Kidney ultrasound (limited) | $834 | $1,579 | $61 |
| Lactate test | $208 | $11 | $12 |
| LDH test | $37 | $6 | $6 |
| Leg vein ultrasound (Doppler) | $1,680 | $647 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $1,156 | $620 | $116 |
| Lipase test | $117 | $57 | $7 |
| Lipid (cholesterol) panel | $274 | $16 | $13 |
| Lung function test (PFT) | $503 | $427 | $37 |
| Lung scan (V/Q) | $3,110 | $2,700 | $291 |
| Magnesium blood test | $228 | $18 | $7 |
| MRA of the brain | $3,429 | $1,200 | $226 |
| MRA of the brain with contrast | $3,234 | $1,200 | $226 |
| MRA of the brain without contrast | $3,808 | $1,500 | $328 |
| MRA of the neck | $3,370 | $1,200 | $245 |
| MRA of the neck with contrast | $3,730 | $1,200 | $245 |
| MRA of the neck without contrast | $3,370 | $1,500 | $343 |
| MRI of the abdomen | $3,764 | $1,200 | $300 |
| MRI of the abdomen without contrast | $3,443 | $1,013 | $194 |
| MRI of the ankle | $3,012 | $1,200 | $261 |
| MRI of the ankle without contrast | $3,065 | $1,013 | $222 |
| MRI of the brain | $4,257 | $1,200 | $269 |
| MRI of the brain with contrast | $3,730 | $1,200 | $269 |
| MRI of the brain without contrast | $4,289 | $1,013 | $195 |
| MRI of the knee | $3,164 | $1,200 | $315 |
| MRI of the knee without contrast | $3,370 | $1,013 | $204 |
| MRI of the lower back (lumbar spine) | $3,829 | $1,200 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $4,289 | $1,013 | $192 |
| MRI of the mid-back (thoracic spine) | $3,457 | $1,200 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $3,916 | $1,500 | $319 |
| MRI of the mid-back (thoracic spine) without contrast | $2,998 | $1,013 | $190 |
| MRI of the neck (cervical spine) | $3,184 | $1,200 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $3,370 | $1,500 | $318 |
| MRI of the neck (cervical spine) without contrast | $2,998 | $1,013 | $191 |
| MRI of the pelvis | $2,941 | $1,200 | $268 |
| MRI of the pelvis with contrast | $3,054 | $1,200 | $268 |
| MRI of the pelvis without contrast | $2,829 | $1,013 | $227 |
| MRI of the shoulder | $3,685 | $1,200 | $313 |
| MRI of the shoulder with contrast | $2,087 | $1,200 | $313 |
| MRI of the shoulder without contrast | $3,685 | $1,013 | $205 |
| MRI of the wrist | $2,848 | $1,200 | $330 |
| MRI of the wrist without contrast | $2,785 | $1,013 | $303 |
| Nebulizer breathing treatment | $227 | $125 | $9 |
| Nuclear cardiac stress test | $5,594 | $2,627 | $428 |
| Occupational therapy evaluation | $251 | $470 | $101 |
| Occupational therapy evaluation (high complexity) | $217 | $470 | $101 |
| Occupational therapy evaluation (low complexity) | $251 | $470 | $101 |
| Occupational therapy evaluation (moderate complexity) | $258 | $470 | $101 |
| Pelvic ultrasound | $1,235 | $692 | $78 |
| Pelvic ultrasound (complete) | $1,235 | $606 | $105 |
| Phosphorus blood test | $126 | $23 | $5 |
| Physical therapy evaluation | $443 | $394 | $98 |
| Physical therapy evaluation (high complexity) | $443 | $394 | $98 |
| Physical therapy evaluation (moderate complexity) | $443 | $394 | $98 |
| Platelet count | $67 | $5 | $4 |
| Pneumonia vaccine | $160 | $359 | — |
| Pregnancy blood test (hCG) | $246 | $15 | $8 |
| Pregnancy ultrasound | $1,271 | $1,235 | $126 |
| Pregnancy ultrasound (first trimester) | $1,133 | $1,235 | $117 |
| Pregnancy ultrasound (second or third trimester) | $1,410 | $664 | $136 |
| Procalcitonin test | $184 | $85 | $27 |
| Scoliosis spine X-ray | $358 | $600 | $58 |
| Scrotal ultrasound | $834 | $973 | $99 |
| Sedimentation rate (ESR) test | $124 | $25 | $3 |
| Soft tissue ultrasound | $391 | $633 | $64 |
| Speech therapy | $220 | $442 | $76 |
| Spirometry (lung function test) | $314 | $427 | $30 |
| Spirometry with bronchodilator | $693 | $523 | $43 |
| Stress echocardiogram | $5,182 | $1,388 | $209 |
| Swallow study | $764 | $348 | $85 |
| Tdap (tetanus) vaccine | $91 | $306 | — |
| Thyroid test (TSH) | $198 | $17 | $17 |
| Thyroid ultrasound | $809 | $801 | $109 |
| Thyroid uptake scan | $1,175 | $2,625 | $145 |
| Total protein test | $8 | $24 | $4 |
| Transesophageal echocardiogram (TEE) | $2,836 | $1,424 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $2,836 | $1,424 | $239 |
| Transvaginal ultrasound | $976 | $527 | $118 |
| Triglycerides test | $36 | $39 | $6 |
| Troponin (heart) test | $288 | $99 | $12 |
| Upper GI series (barium) | $607 | $851 | $128 |
| Uric acid (gout) test | $35 | $9 | $5 |
| Urinalysis | $157 | $4 | $3 |
| Urine pregnancy test | $165 | $54 | $9 |
| Vaccine administration | $111 | $188 | $19 |
| Vaccine administration (each additional) | $111 | $75 | $16 |
| Vitamin B12 test | $246 | $29 | $15 |
| X-ray of the abdomen | $722 | $296 | $36 |
| X-ray of the ankle | $506 | $189 | $37 |
| X-ray of the collarbone | $389 | $298 | $33 |
| X-ray of the elbow | $462 | $172 | $33 |
| X-ray of the facial bones | $441 | $419 | $39 |
| X-ray of the foot | $472 | $183 | $34 |
| X-ray of the forearm | $428 | $163 | $29 |
| X-ray of the hand | $458 | $172 | $38 |
| X-ray of the hip | $611 | $198 | $49 |
| X-ray of the hip (1 view) | $491 | $198 | $34 |
| X-ray of the hip (3 views) | $713 | $228 | $49 |
| X-ray of the knee | $491 | $298 | $42 |
| X-ray of the knee (2 views) | $362 | $298 | $34 |
| X-ray of the knee (4+ views) | $620 | $222 | $49 |
| X-ray of the lower back (lumbar spine) | $634 | $226 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $574 | $226 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $779 | $408 | $53 |
| X-ray of the lower leg | $448 | $274 | $31 |
| X-ray of the mid-back (thoracic spine) | $400 | $468 | $36 |
| X-ray of the mid-back (thoracic spine) (3 views) | $481 | $468 | $39 |
| X-ray of the neck (cervical spine) | $544 | $391 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $544 | $391 | $40 |
| X-ray of the pelvis | $354 | $191 | $36 |
| X-ray of the pelvis (1 view) | $354 | $191 | $28 |
| X-ray of the ribs | $456 | $394 | $42 |
| X-ray of the ribs (2 views) | $464 | $207 | $36 |
| X-ray of the shoulder | $567 | $171 | $36 |
| X-ray of the skull | $455 | $419 | $40 |
| X-ray of the upper arm | $366 | $303 | $32 |
| X-ray of the wrist | $462 | $175 | $43 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
