Garrison Memorial Hospital — procedure prices

Published prices for 131 procedures at Garrison Memorial Hospital (Garrison, ND), from its machine-readable file.

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ProcedureCashChargemasterInsurerMedicare
Abdominal ultrasound $299 $439 $288 $100
Abscess incision and drainage $209 $307 $249 $174
Aldosterone test $205 $301 $256 $41
Alpha-fetoprotein (AFP) test $109 $161 $137 $17
Arterial blood gas (ABG) $111 $163 $128 $26
Barium swallow study $164 $241 $205 $107
Bartholin cyst removal $177 $260 $221 $182
Benign skin lesion removal $615 $905 $627 $171
Blood clotting test (PT/INR) $29 $42 $36 $4
Blood glucose test $36 $53 $41 $5
Blood transfusion $418 $614 $480 $47
Blood type and screen $119 $175 $149 $10
Blood type test $68 $100 $49 $3
Bone density scan (DEXA) $197 $290 $247 $39
Breast MRI $2,559 $3,763 $3,178 $216
Breast ultrasound $206 $303 $253 $92
Breathing tube insertion (intubation) $182 $268 $214 $133
Burn treatment $160 $235 $200 $129
Cardiac rehabilitation $94 $138 $117 $26
Cardioversion $513 $754 $491 $155
Carotid artery ultrasound $605 $890 $757 $156
Chest tube insertion $436 $642 $409 $143
Chest X-ray $86 $126 $97 $37
Chickenpox (varicella) vaccine $116 $170 $144 —
Clotting time test (PTT) $46 $68 $58 $6
Copper blood test $63 $93 $79 $12
COVID-19 PCR test $140 $206 $175 $51
CT angiography of the chest $1,469 $2,161 $1,837 $281
CT angiography of the head $1,427 $2,098 $1,783 $274
CT scan of the abdomen $707 $1,040 $719 $230
CT scan of the abdomen and pelvis $1,605 $2,360 $1,382 $300
CT scan of the arm $694 $1,020 $867 $199
CT scan of the chest $981 $1,442 $1,067 $167
CT scan of the head $624 $918 $780 $148
CT scan of the leg $817 $1,201 $1,021 $166
CT scan of the lower back (lumbar spine) $804 $1,182 $1,005 $169
CT scan of the neck $903 $1,328 $1,040 $183
CT scan of the neck (cervical spine) $844 $1,241 $1,058 $168
CT scan of the pelvis $923 $1,358 $863 $226
CT scan of the sinuses $796 $1,170 $995 $152
D-dimer test $77 $113 $96 $10
Diagnostic mammogram $307 $452 $364 $140
Drug screen (urine) $123 $181 $62 $17
Echocardiogram $328 $483 $305 $138
Electrocardiogram (EKG) $54 $80 $46 $8
Electrolyte panel $52 $77 $65 $7
Emergency department visit $213 $313 $238 $69
Fecal occult blood (stool) test $30 $44 $37 $10
Fibrinogen test $66 $97 $82 $10
Flu vaccine $19 $29 $22 —
Foreign body removal (skin) $344 $506 $433 $157
Gallbladder scan (HIDA) $772 $1,136 $966 $334
GGT liver test $48 $71 $60 $7
Glucose tolerance test $59 $87 $34 $8
HDL cholesterol test $51 $75 $64 $8
Hematocrit test $10 $15 $13 $2
Hepatitis A vaccine $42 $62 $50 —
Hepatitis B test $67 $99 $84 $10
Hepatitis B vaccine $27 $40 $31 —
Hip replacement — — $17,556 $1,162
Holter heart monitor $122 $180 $151 $26
HPV vaccine $187 $275 $237 —
IV infusion therapy $224 $330 $190 $44
Joint aspiration (small/intermediate) $85 $125 $100 $57
Kidney ultrasound $342 $503 $428 $84
Knee joint injection $226 $333 $212 $69
Lactate test $55 $81 $69 $12
LDH test $50 $74 $63 $6
Leg vein ultrasound (Doppler) $557 $820 $650 $150
MMR vaccine $66 $97 $84 —
MRA of the brain $1,089 $1,601 $1,361 $226
MRA of the neck $1,325 $1,948 $1,656 $245
MRI of the abdomen $1,569 $2,308 $1,962 $300
MRI of the ankle $1,528 $2,247 $1,897 $261
MRI of the brain $1,517 $2,232 $1,497 $269
MRI of the chest $1,335 $1,963 $1,669 $371
MRI of the knee $1,667 $2,452 $2,084 $315
MRI of the lower back (lumbar spine) $1,599 $2,351 $1,885 $270
MRI of the mid-back (thoracic spine) $1,299 $1,910 $1,427 $271
MRI of the neck (cervical spine) $1,573 $2,313 $1,848 $274
MRI of the pelvis $1,311 $1,928 $1,374 $268
MRI of the shoulder $1,732 $2,547 $2,071 $313
MRI of the wrist $1,175 $1,728 $1,469 $330
Nebulizer breathing treatment $184 $270 $230 $9
Occupational therapy evaluation $195 $287 $250 $101
Pap smear (cervical screening) $113 $167 $142 $20
Pelvic ultrasound $315 $463 $394 $78
Physical therapy evaluation $252 $371 $292 $98
Platelet count $33 $49 $42 $4
Pneumonia vaccine $124 $183 $126 —
Screening mammogram $356 $523 $391 $126
Scrotal ultrasound $269 $395 $336 $99
Shingles vaccine $124 $183 $157 —
Shoulder replacement — — $19,532 $1,300
Simple wound stitches $206 $303 $238 $127
Skin biopsy $155 $228 $175 $121
Skin lesion freezing (cryotherapy) $20 $29 $26 $36
Skin tag removal $170 $250 $162 $92
Soft tissue ultrasound $239 $352 $299 $64
Speech therapy $158 $232 $197 $76
Spinal tap (lumbar puncture) $872 $1,282 $1,090 $165
Swallow study $180 $265 $225 $85
T3 thyroid test $92 $136 $116 $14
Tdap (tetanus) vaccine $57 $84 $55 —
Thyroid ultrasound $331 $487 $414 $109
Transvaginal ultrasound $223 $328 $279 $118
Triglycerides test $43 $63 $54 $6
Vaccine administration $64 $94 $80 $19
Wart removal $228 $335 $285 $121
X-ray of the abdomen $98 $144 $104 $36
X-ray of the ankle $101 $148 $126 $37
X-ray of the collarbone $50 $73 $62 $33
X-ray of the elbow $103 $152 $129 $33
X-ray of the facial bones $184 $271 $230 $39
X-ray of the foot $95 $139 $118 $34
X-ray of the forearm $80 $118 $100 $29
X-ray of the hand $99 $146 $124 $38
X-ray of the hip $67 $98 $83 $49
X-ray of the knee $105 $154 $122 $42
X-ray of the lower back (lumbar spine) $109 $161 $134 $47
X-ray of the lower leg $85 $125 $106 $31
X-ray of the mid-back (thoracic spine) $102 $150 $119 $36
X-ray of the neck (cervical spine) $115 $169 $143 $47
X-ray of the pelvis $94 $139 $105 $36
X-ray of the ribs $91 $134 $116 $42
X-ray of the shoulder $89 $131 $111 $36
X-ray of the skull $61 $89 $76 $40
X-ray of the thigh bone $49 $72 $61 —
X-ray of the upper arm $81 $119 $101 $32
X-ray of the wrist $119 $175 $149 $43
Zinc blood test $85 $125 $106 $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.