Published prices for 202 procedures at Butler County Health (David City, NE), from its machine-readable file.
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| Procedure | Cash | Chargemaster | Insurer | Medicare |
|---|---|---|---|---|
| 3D mammogram (tomosynthesis) | $116 | $116 | $108 | $51 |
| Abdominal fluid drain (paracentesis) | $1,608 | $1,608 | $1,528 | $284 |
| Abdominal ultrasound | $955 | $955 | $834 | $100 |
| Albumin blood test | $77 | $77 | $73 | $5 |
| Aldosterone test | $352 | $352 | $334 | $41 |
| Alkaline phosphatase test | $82 | $82 | $78 | $5 |
| Alpha-fetoprotein (AFP) test | $171 | $171 | $162 | $17 |
| ALT liver enzyme test | $102 | $102 | $97 | $5 |
| Ammonia blood test | $186 | $186 | $177 | $15 |
| Amylase test | $131 | $131 | $124 | $6 |
| Antinuclear antibody (ANA) test | $159 | $159 | $151 | $12 |
| Arterial blood gas (ABG) | $321 | $321 | $305 | $26 |
| AST liver enzyme test | $98 | $98 | $93 | $5 |
| Barium swallow study | $859 | $859 | $827 | $107 |
| Basic metabolic panel | $184 | $184 | $175 | $8 |
| Bilirubin blood test | $85 | $85 | $81 | $5 |
| Blood clotting test (PT/INR) | $72 | $72 | $68 | $4 |
| Blood crossmatch | $427 | $427 | $406 | — |
| Blood glucose test | $82 | $82 | $78 | $5 |
| Blood transfusion | $956 | $956 | $900 | $47 |
| Blood type and screen | $154 | $154 | $146 | $10 |
| Blood type test | $103 | $103 | $100 | $3 |
| BNP (heart failure) test | $365 | $365 | $347 | $39 |
| Bone density scan (DEXA) | $592 | $592 | $567 | $39 |
| Bone scan (nuclear) | $2,197 | $2,197 | $2,108 | $259 |
| Botox for migraine | $3,360 | $3,360 | $3,224 | $157 |
| Breast ultrasound | $699 | $699 | $664 | $92 |
| Breathing tube insertion (intubation) | $909 | $909 | $873 | $133 |
| C-reactive protein (CRP) | $141 | $141 | $134 | $5 |
| CA 19-9 tumor marker test | $305 | $305 | $290 | $21 |
| CA-125 ovarian marker test | $272 | $272 | $258 | $21 |
| Calcium blood test | $86 | $86 | $82 | $5 |
| Cardiac rehabilitation | $349 | $349 | $332 | $26 |
| Cardiac stress test | $1,405 | $1,405 | $1,348 | $39 |
| Cardioversion | $1,911 | $1,911 | $1,834 | $155 |
| Carotid artery ultrasound | $1,520 | $1,520 | $1,289 | $156 |
| CEA tumor marker test | $215 | $215 | $204 | $19 |
| Celiac disease test | $205 | $205 | $195 | $12 |
| Chemotherapy infusion | $546 | $546 | $432 | $81 |
| Chest fluid drain (thoracentesis) | $1,385 | $1,385 | $1,316 | $311 |
| Chest X-ray | $433 | $433 | $411 | $37 |
| CK-MB heart enzyme test | $226 | $226 | $215 | $12 |
| Clotting time test (PTT) | $131 | $131 | $124 | $6 |
| Colonoscopy | $4,741 | $4,741 | $4,574 | $480 |
| Complete blood count (CBC) | $137 | $137 | $130 | $7 |
| Comprehensive metabolic panel | $215 | $215 | $204 | $11 |
| Copper blood test | $213 | $213 | $202 | $12 |
| Cortisol test | $204 | $204 | $194 | $16 |
| COVID-19 PCR test | $213 | $213 | $205 | $51 |
| CPAP titration study | $1,156 | $1,156 | $1,109 | $69 |
| Creatine kinase (CK) test | $123 | $123 | $117 | $7 |
| CT angiography of the chest | $3,980 | $3,980 | $3,704 | $281 |
| CT angiography of the head | $3,662 | $3,662 | $3,440 | $274 |
| CT scan of the abdomen | $3,250 | $3,250 | $3,059 | $230 |
| CT scan of the abdomen and pelvis | $5,621 | $5,621 | $5,130 | $300 |
| CT scan of the arm | $2,883 | $2,883 | $2,573 | $199 |
| CT scan of the chest | $3,126 | $3,126 | $2,945 | $167 |
| CT scan of the head | $2,786 | $2,786 | $2,563 | $148 |
| CT scan of the leg | $3,154 | $3,154 | $2,750 | $166 |
| CT scan of the lower back (lumbar spine) | $3,140 | $3,140 | $2,945 | $169 |
| CT scan of the neck | $2,955 | $2,955 | $2,753 | $183 |
| CT scan of the neck (cervical spine) | $3,048 | $3,048 | $2,935 | $168 |
| CT scan of the pelvis | $3,221 | $3,221 | $2,945 | $226 |
| CT scan of the sinuses | $2,814 | $2,814 | $2,650 | $152 |
| D-dimer test | $219 | $219 | $208 | $10 |
| DHEA-sulfate test | $258 | $258 | $245 | $22 |
| Diagnostic mammogram | $474 | $474 | $461 | $140 |
| Drug screen (urine) | $337 | $337 | $320 | $17 |
| Ear pressure test (tympanometry) | $51 | $51 | $49 | $16 |
| Echocardiogram | $1,897 | $1,897 | $1,085 | $138 |
| Electrocardiogram (EKG) | $388 | $388 | $373 | $8 |
| Electrolyte panel | $180 | $180 | $171 | $7 |
| Emergency department visit | $785 | $785 | $746 | $69 |
| Epidural steroid injection | $2,840 | $2,840 | $2,675 | $275 |
| Estradiol (estrogen) test | $230 | $230 | $219 | $28 |
| Facet joint injection (spine) | $2,010 | $2,010 | $1,150 | $99 |
| Fallopian tube X-ray (HSG) | $803 | $803 | $763 | $164 |
| Fecal occult blood (stool) test | $62 | $62 | $56 | $10 |
| Ferritin (iron) test | $170 | $170 | $162 | $14 |
| Fibrinogen test | $159 | $159 | $151 | $10 |
| Flu test | $170 | $170 | $162 | $17 |
| Folate (folic acid) test | $185 | $185 | $176 | $15 |
| Free T4 thyroid test | $146 | $146 | $139 | $9 |
| FSH hormone test | $188 | $188 | $179 | $19 |
| Gallbladder removal (laparoscopic) | $20,249 | $20,249 | $19,535 | $658 |
| Gallbladder scan (HIDA) | $2,650 | $2,650 | $2,379 | $334 |
| GGT liver test | $102 | $102 | $97 | $7 |
| Glucose tolerance test | $225 | $225 | $206 | $8 |
| H. pylori test | $335 | $335 | $318 | $67 |
| HDL cholesterol test | $103 | $103 | $98 | $8 |
| Hearing test (audiometry) | $250 | $250 | $240 | $36 |
| Hematocrit test | $70 | $70 | $67 | $2 |
| Hemoglobin A1c (diabetes test) | $112 | $112 | $106 | $10 |
| Hepatitis B test | $141 | $141 | $134 | $10 |
| Hepatitis C test | $161 | $161 | $153 | $14 |
| HIV test | $168 | $168 | $160 | $19 |
| Holter heart monitor | $857 | $857 | $814 | $26 |
| Home sleep apnea test | $559 | $559 | $537 | $123 |
| Inguinal hernia repair | $14,691 | $14,691 | $14,173 | $538 |
| Iron blood test | $97 | $97 | $92 | $6 |
| IV infusion therapy | $440 | $440 | $407 | $44 |
| Joint aspiration (small/intermediate) | $930 | $930 | $893 | $57 |
| Kidney scan (nuclear) | $2,276 | $2,276 | $1,986 | $172 |
| Kidney ultrasound | $720 | $720 | $685 | $84 |
| Knee arthroscopy | $14,257 | $14,257 | $13,672 | $524 |
| Knee joint injection | $1,205 | $1,205 | $1,157 | $69 |
| Lactate test | $177 | $177 | $168 | $12 |
| LDH test | $106 | $106 | $101 | $6 |
| LDL cholesterol test | $103 | $103 | $98 | $11 |
| Leg vein ultrasound (Doppler) | $1,552 | $1,552 | $1,255 | $150 |
| LH hormone test | $190 | $190 | $181 | $19 |
| Lipase test | $165 | $165 | $157 | $7 |
| Lipid (cholesterol) panel | $164 | $164 | $156 | $13 |
| Liver function panel | $180 | $180 | $171 | $8 |
| Lung function test (PFT) | $890 | $890 | $846 | $37 |
| Magnesium blood test | $118 | $118 | $112 | $7 |
| MRA of the brain | $5,988 | $5,988 | $4,810 | $226 |
| MRA of the neck | $4,515 | $4,515 | $4,164 | $245 |
| MRI of the abdomen | $4,699 | $4,699 | $4,508 | $300 |
| MRI of the ankle | $3,835 | $3,835 | $3,553 | $261 |
| MRI of the brain | $4,911 | $4,911 | $4,663 | $269 |
| MRI of the chest | $4,774 | $4,774 | $4,434 | $371 |
| MRI of the knee | $3,331 | $3,331 | $3,056 | $315 |
| MRI of the lower back (lumbar spine) | $4,818 | $4,818 | $4,414 | $270 |
| MRI of the mid-back (thoracic spine) | $4,818 | $4,818 | $4,414 | $271 |
| MRI of the neck (cervical spine) | $4,576 | $4,576 | $4,295 | $274 |
| MRI of the pelvis | $4,232 | $4,232 | $3,912 | $268 |
| MRI of the shoulder | $3,801 | $3,801 | $3,016 | $313 |
| MRI of the wrist | $3,915 | $3,915 | $3,540 | $330 |
| Nebulizer breathing treatment | $370 | $370 | $356 | $9 |
| Nuclear cardiac stress test | $5,118 | $5,118 | $5,016 | $428 |
| Occupational therapy evaluation | $269 | $269 | $256 | $101 |
| Office visit (established patient) | $147 | $147 | $123 | $115 |
| Office visit (new patient) | $341 | $341 | $299 | $177 |
| Pap smear (cervical screening) | $171 | $171 | $162 | $20 |
| Parathyroid hormone (PTH) test | $376 | $376 | $357 | $41 |
| Pelvic ultrasound | $963 | $963 | $915 | $78 |
| Phosphorus blood test | $94 | $94 | $89 | $5 |
| Physical therapy evaluation | $254 | $254 | $241 | $98 |
| Platelet count | $91 | $91 | $86 | $4 |
| Pregnancy blood test (hCG) | $168 | $168 | $160 | $8 |
| Pregnancy ultrasound | $850 | $850 | $808 | $126 |
| Procalcitonin test | $297 | $297 | $282 | $27 |
| Prolactin test | $239 | $239 | $227 | $19 |
| Prostate biopsy | $1,944 | $1,944 | $1,905 | — |
| Prostate test (PSA) | $175 | $175 | $166 | $18 |
| Pulmonary rehabilitation | $307 | $307 | $295 | $87 |
| Radiofrequency nerve ablation | $5,885 | $5,885 | $5,647 | $462 |
| Rotator cuff repair | $31,462 | $31,462 | $28,837 | $792 |
| Sacroiliac joint injection | $2,380 | $2,380 | $2,284 | $176 |
| Scoliosis spine X-ray | $404 | $404 | $385 | $58 |
| Screening mammogram | $539 | $539 | $512 | $126 |
| Scrotal ultrasound | $895 | $895 | $828 | $99 |
| Sedimentation rate (ESR) test | $77 | $77 | $73 | $3 |
| Sex hormone binding globulin test | $201 | $201 | $191 | $22 |
| Shoulder replacement | $59,861 | $59,861 | $57,727 | $1,300 |
| Sleep study (polysomnography) | $5,287 | $5,287 | $4,847 | $691 |
| Soft tissue ultrasound | $679 | $679 | $665 | $64 |
| Speech therapy | $368 | $368 | $350 | $76 |
| Spinal cord stimulator | $12,315 | $12,315 | $11,816 | $2,388 |
| Swallow study | $429 | $429 | $408 | $85 |
| T3 thyroid test | $159 | $159 | $151 | $14 |
| Testosterone test | $210 | $210 | $200 | $26 |
| Thyroid test (TSH) | $157 | $157 | $149 | $17 |
| Thyroid ultrasound | $759 | $759 | $732 | $109 |
| Tonsillectomy | $12,108 | $12,108 | $11,678 | $252 |
| Total IgE allergy test | $216 | $216 | $205 | $16 |
| Total protein test | $83 | $83 | $79 | $4 |
| Transvaginal ultrasound | $849 | $849 | $810 | $118 |
| Trigger point injection | $1,053 | $1,053 | $965 | $56 |
| Triglycerides test | $91 | $91 | $86 | $6 |
| Troponin (heart) test | $311 | $311 | $295 | $12 |
| Upper GI endoscopy (EGD) | $6,210 | $6,210 | $5,985 | $371 |
| Upper GI series (barium) | $1,254 | $1,254 | $1,191 | $128 |
| Uric acid (gout) test | $90 | $90 | $86 | $5 |
| Urinalysis | $82 | $82 | $75 | $3 |
| Urine microalbumin test | $100 | $100 | $98 | $5 |
| Urine pregnancy test | $119 | $119 | $113 | $9 |
| Vaccine administration | $93 | $93 | $88 | $19 |
| Vitamin B12 test | $196 | $196 | $186 | $15 |
| Vitamin D test | $232 | $232 | $220 | $30 |
| X-ray of the abdomen | $526 | $526 | $477 | $36 |
| X-ray of the ankle | $418 | $418 | $405 | $37 |
| X-ray of the collarbone | $371 | $371 | $352 | $33 |
| X-ray of the elbow | $432 | $432 | $422 | $33 |
| X-ray of the facial bones | $475 | $475 | $407 | $39 |
| X-ray of the foot | $436 | $436 | $427 | $34 |
| X-ray of the forearm | $366 | $366 | $348 | $29 |
| X-ray of the hand | $413 | $413 | $405 | $38 |
| X-ray of the hip | $432 | $432 | $410 | $49 |
| X-ray of the knee | $470 | $470 | $446 | $42 |
| X-ray of the lower back (lumbar spine) | $638 | $638 | $591 | $47 |
| X-ray of the lower leg | $380 | $380 | $372 | $31 |
| X-ray of the mid-back (thoracic spine) | $480 | $480 | $462 | $36 |
| X-ray of the neck (cervical spine) | $548 | $548 | $453 | $47 |
| X-ray of the pelvis | $461 | $461 | $417 | $36 |
| X-ray of the ribs | $530 | $530 | $483 | $42 |
| X-ray of the shoulder | $436 | $436 | $427 | $36 |
| X-ray of the skull | $572 | $572 | $543 | $40 |
| X-ray of the upper arm | $393 | $393 | $385 | $32 |
| X-ray of the wrist | $413 | $413 | $405 | $43 |
| Zinc blood test | $142 | $142 | $135 | $11 |
Source: this hospital’s machine-readable price file (45 CFR §180). Medicare from CMS fee schedules. Estimates — confirm with the hospital. Report an incorrect price.