Osborne County Memorial Hospital — procedure prices

Published prices for 227 procedures at Osborne County Memorial Hospital (Osborne, KS), from its machine-readable file.

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ProcedureCashChargemasterInsurerMedicare
3D mammogram (tomosynthesis) $60 $70 $64 $51
Abdominal ultrasound $398 $468 $395 $100
Abscess incision and drainage $944 $1,111 $955 $174
Albumin blood test $32 $38 $35 $5
Aldosterone test $150 $176 $159 $41
Alkaline phosphatase test $39 $46 $42 $5
Allergy shots $38 $45 $38 $11
Alpha-fetoprotein (AFP) test $145 $170 $154 $17
ALT liver enzyme test $42 $49 $45 $5
Ammonia blood test $92 $108 $98 $15
Amylase test $39 $46 $42 $6
Annual physical (established patient) $197 $232 $210 —
Annual physical (new patient) $175 $206 $176 —
Antinuclear antibody (ANA) test $55 $65 $63 $12
Arterial blood gas (ABG) $119 $140 $125 $26
AST liver enzyme test $42 $49 $45 $5
Barium swallow study $337 $397 $359 $107
Bartholin cyst removal $288 $339 $285 $182
Basic metabolic panel $85 $100 $91 $8
Benign skin lesion removal $1,057 $1,244 $1,126 $171
Bilirubin blood test $32 $38 $35 $5
Bladder scope (cystoscopy) $1,576 $1,854 $1,678 $216
Blood clotting test (PT/INR) $28 $33 $30 $4
Blood glucose test $29 $34 $31 $5
Blood transfusion $643 $757 $719 $47
Blood type and screen $105 $123 $112 $10
Blood type test $154 $182 $147 $3
BNP (heart failure) test $250 $294 $266 $39
Bone density scan (DEXA) $342 $402 $364 $39
Bone scan (nuclear) $848 $998 $903 $259
Breast biopsy $2,048 $2,409 $2,128 $478
Breast ultrasound $180 $212 $185 $92
Breathing tube insertion (intubation) $761 $895 $725 $133
Burn treatment $464 $546 $445 $129
C-reactive protein (CRP) $46 $54 $48 $5
CA 19-9 tumor marker test $120 $141 $128 $21
CA-125 ovarian marker test $121 $142 $129 $21
Calcium blood test $131 $154 $139 $5
Cardiac MRI $1,168 $1,374 $1,243 $322
Cardiac rehabilitation $163 $192 $174 $26
Cardiac stress test $258 $304 $240 $39
Cardioversion $1,275 $1,500 $1,358 $155
Carotid artery ultrasound $842 $990 $896 $156
Carpal tunnel release $1,935 $2,277 $2,061 $483
CEA tumor marker test $85 $100 $91 $19
Celiac disease test $64 $75 $68 $12
Central line placement $1,644 $1,934 $1,484 $238
Chemotherapy infusion $373 $438 $372 $81
Chest fluid drain (thoracentesis) $1,077 $1,267 $1,147 $311
Chest tube insertion $735 $865 $783 $143
Chest X-ray $207 $244 $209 $37
Circumcision $302 $355 $296 $167
CK-MB heart enzyme test $77 $90 $82 $12
Clotting time test (PTT) $60 $70 $64 $6
Colonoscopy $1,576 $1,854 $1,761 $480
Colposcopy $214 $252 $223 $161
Complete blood count (CBC) $52 $62 $56 $7
Complex wound repair $643 $756 $684 $390
Comprehensive metabolic panel $139 $163 $148 $11
Copper blood test $76 $89 $81 $12
Cortisol test $121 $142 $129 $16
CPAP titration study $337 $397 $359 $69
Creatine kinase (CK) test $60 $70 $64 $7
CT angiography of the chest $1,428 $1,680 $1,521 $281
CT angiography of the head $1,447 $1,702 $1,541 $274
CT scan of the abdomen $921 $1,083 $967 $230
CT scan of the abdomen and pelvis $1,176 $1,384 $1,252 $300
CT scan of the arm $908 $1,068 $964 $199
CT scan of the chest $894 $1,052 $955 $167
CT scan of the head $894 $1,052 $955 $148
CT scan of the leg $908 $1,068 $964 $166
CT scan of the lower back (lumbar spine) $894 $1,052 $955 $169
CT scan of the neck $894 $1,052 $955 $183
CT scan of the neck (cervical spine) $894 $1,052 $955 $168
CT scan of the pelvis $894 $1,052 $955 $226
CT scan of the sinuses $894 $1,052 $955 $152
D-dimer test $125 $146 $132 $10
DHEA-sulfate test $105 $124 $113 $22
Diagnostic mammogram $197 $232 $212 $140
Dilation and curettage (D&C) $2,853 $3,356 $2,872 $298
Drug screen (urine) $187 $220 $208 $17
Echocardiogram $837 $985 $892 $138
Electrocardiogram (EKG) $418 $492 $402 $8
Electroencephalogram (EEG) $437 $514 $465 $448
Electrolyte panel $99 $117 $106 $7
Electromyography (EMG) $291 $342 $310 $141
Emergency department visit $810 $953 $863 $69
Endometrial biopsy $350 $412 $373 $98
Epidural steroid injection $655 $771 $600 $275
Estradiol (estrogen) test $164 $193 $175 $28
Facet joint injection (spine) $402 $473 $374 $99
Family therapy session $111 $130 $118 $110
Fecal occult blood (stool) test $19 $22 $20 $10
Ferritin (iron) test $68 $80 $73 $14
Fibrinogen test $67 $79 $72 $10
Flexible sigmoidoscopy $963 $1,133 $1,025 $323
Flu test $128 $150 $136 $17
Flu vaccine $43 $50 $46 —
Folate (folic acid) test $83 $98 $83 $15
Foreign body removal (skin) $740 $871 $683 $157
Free T4 thyroid test $60 $70 $64 $9
FSH hormone test $107 $126 $114 $19
Gallbladder removal (laparoscopic) $6,386 $7,513 $7,117 $658
Gallbladder scan (HIDA) $1,145 $1,347 $1,219 $334
Ganglion cyst removal $2,776 $3,266 $2,956 $321
GGT liver test $60 $70 $64 $7
Glucose tolerance test $56 $66 $54 $8
H. pylori test $189 $222 $201 $67
HDL cholesterol test $40 $47 $43 $8
Hematocrit test $31 $36 $33 $2
Hemoglobin A1c (diabetes test) $62 $73 $61 $10
Hepatitis B test $43 $50 $42 $10
Hepatitis C test $62 $73 $63 $14
HIV test $83 $98 $89 $19
Holter heart monitor $326 $383 $347 $26
Inguinal hernia repair $4,542 $5,343 $4,328 $538
Iron blood test $51 $60 $51 $6
IUD removal $166 $195 $177 $112
IV infusion therapy $286 $337 $256 $44
Joint aspiration (small/intermediate) $149 $175 $164 $57
Kidney scan (nuclear) $1,049 $1,234 $1,117 $172
Kidney ultrasound $378 $444 $401 $84
Knee joint injection $497 $585 $486 $69
Lactate test $71 $83 $71 $12
LDH test $29 $34 $32 $6
Leg vein ultrasound (Doppler) $723 $850 $768 $150
LH hormone test $107 $126 $114 $19
Lipase test $39 $46 $42 $7
Lipid (cholesterol) panel $87 $102 $86 $13
Liver function panel $83 $98 $89 $8
Lung function test (PFT) $405 $476 $427 $37
Magnesium blood test $39 $46 $39 $7
MRA of the brain $1,176 $1,384 $1,252 $226
MRA of the neck $1,176 $1,384 $1,252 $245
MRI of the abdomen $1,128 $1,327 $1,203 $300
MRI of the ankle $1,221 $1,436 $1,289 $261
MRI of the brain $1,176 $1,384 $1,252 $269
MRI of the chest $1,176 $1,384 $1,252 $371
MRI of the knee $1,221 $1,436 $1,279 $315
MRI of the lower back (lumbar spine) $1,176 $1,384 $1,252 $270
MRI of the mid-back (thoracic spine) $1,176 $1,384 $1,252 $271
MRI of the neck (cervical spine) $1,176 $1,384 $1,252 $274
MRI of the pelvis $1,176 $1,384 $1,252 $268
MRI of the shoulder $1,176 $1,384 $1,252 $313
MRI of the wrist $1,185 $1,395 $1,289 $330
Nebulizer breathing treatment $52 $61 $55 $9
Nuclear cardiac stress test $2,790 $3,282 $2,971 $428
Occupational therapy evaluation $149 $175 $159 $101
Office visit (established patient) $152 $178 $155 $115
Office visit (new patient) $169 $199 $175 $177
Parathyroid hormone (PTH) test $183 $215 $195 $41
Pelvic ultrasound $486 $572 $517 $78
Phosphorus blood test $32 $38 $35 $5
Physical therapy evaluation $148 $174 $158 $98
Pneumonia vaccine $125 $147 $133 —
Pregnancy blood test (hCG) $79 $93 $84 $8
Pregnancy ultrasound $323 $380 $329 $126
Prolactin test $105 $124 $113 $19
Prostate test (PSA) $96 $113 $97 $18
Psychiatric evaluation $223 $262 $237 $188
Psychotherapy session $89 $105 $89 $140
Radiofrequency nerve ablation $1,117 $1,314 $1,026 $462
RSV vaccine $452 $532 $482 —
Sacroiliac joint injection $477 $561 $440 $176
Scoliosis spine X-ray $224 $264 $227 $58
Screening colonoscopy $1,401 $1,648 $1,492 $378
Screening mammogram $199 $235 $212 $126
Scrotal ultrasound $300 $353 $320 $99
Sedimentation rate (ESR) test $54 $63 $57 $3
Sex hormone binding globulin test $161 $189 $172 $22
Simple wound stitches $558 $657 $569 $127
Skin biopsy $762 $896 $771 $121
Skin cancer lesion removal $981 $1,154 $978 $240
Skin lesion freezing (cryotherapy) $83 $97 $82 $36
Skin tag removal $762 $896 $746 $92
Sleep study (polysomnography) $2,531 $2,978 $2,687 $691
Soft tissue ultrasound $179 $210 $191 $64
Speech therapy $200 $235 $213 $76
Spinal tap (lumbar puncture) $110 $129 $117 $165
Strep throat test $54 $64 $54 $17
Swallow study $197 $232 $210 $85
T3 thyroid test $78 $92 $83 $14
Tdap (tetanus) vaccine $85 $100 $91 —
Testosterone test $113 $133 $111 $26
Thyroid test (TSH) $68 $80 $73 $17
Thyroid ultrasound $700 $824 $746 $109
Thyroid uptake scan $568 $668 $605 $145
Total IgE allergy test $88 $104 $94 $16
Total protein test $23 $27 $23 $4
Transvaginal ultrasound $289 $340 $308 $118
Trigger point injection $434 $511 $414 $56
Triglycerides test $43 $51 $46 $6
Troponin (heart) test $91 $107 $97 $12
Ulnar nerve surgery (elbow) $2,955 $3,476 $3,146 $575
Upper GI endoscopy (EGD) $1,298 $1,527 $1,352 $371
Upper GI series (barium) $489 $575 $505 $128
Uric acid (gout) test $40 $47 $43 $5
Urinalysis $18 $21 $21 $3
Urine microalbumin test $46 $54 $46 $5
Urine pregnancy test $64 $76 $65 $9
Vaccine administration $29 $34 $31 $19
Vitamin B12 test $69 $81 $74 $15
Vitamin D test $176 $207 $168 $30
Wart removal $1,183 $1,392 $1,083 $121
Well-child visit $127 $149 $130 —
Wound debridement $312 $367 $311 $186
X-ray of the abdomen $214 $252 $209 $36
X-ray of the ankle $173 $203 $183 $37
X-ray of the collarbone $175 $205 $185 $33
X-ray of the elbow $214 $252 $227 $33
X-ray of the facial bones $312 $368 $310 $39
X-ray of the foot $214 $252 $227 $34
X-ray of the forearm $174 $204 $184 $29
X-ray of the hand $209 $245 $221 $38
X-ray of the hip $213 $250 $221 $49
X-ray of the knee $206 $242 $219 $42
X-ray of the lower back (lumbar spine) $255 $301 $255 $47
X-ray of the lower leg $182 $215 $194 $31
X-ray of the mid-back (thoracic spine) $190 $223 $190 $36
X-ray of the neck (cervical spine) $244 $288 $245 $47
X-ray of the pelvis $173 $203 $179 $36
X-ray of the ribs $228 $268 $232 $42
X-ray of the shoulder $176 $206 $186 $36
X-ray of the skull $234 $275 $236 $40
X-ray of the upper arm $209 $245 $221 $32
X-ray of the wrist $219 $258 $233 $43
Zinc blood test $77 $90 $82 $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.