Published prices for 185 procedures at Thayer County Health Services (Hebron, NE), from its machine-readable file.
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| Procedure | Cash | Chargemaster | Insurer | Medicare |
|---|---|---|---|---|
| Abdominal fluid drain (paracentesis) | $1,115 | $1,394 | $1,352 | $284 |
| Abdominal ultrasound | $691 | $863 | $840 | $100 |
| Abscess incision and drainage | $646 | $693 | $771 | $174 |
| Albumin blood test | $46 | $57 | $55 | $5 |
| Alkaline phosphatase test | $50 | $62 | $60 | $5 |
| Allergy shots | $32 | $40 | $39 | $11 |
| ALT liver enzyme test | $58 | $72 | $70 | $5 |
| Amylase test | $82 | $103 | $100 | $6 |
| Annual physical (established patient) | $287 | $287 | $280 | — |
| Annual physical (new patient) | $345 | $345 | $336 | — |
| Anoscopy | $170 | $213 | $207 | $129 |
| Arterial blood gas (ABG) | $244 | $306 | $298 | $26 |
| AST liver enzyme test | $56 | $70 | $68 | $5 |
| Barium swallow study | $585 | $731 | $711 | $107 |
| Bartholin cyst removal | $245 | $306 | $297 | $182 |
| Basic metabolic panel | $130 | $162 | $157 | $8 |
| Benign skin lesion removal | $299 | $374 | $363 | $171 |
| Bilirubin blood test | $59 | $74 | $72 | $5 |
| Blood clotting test (PT/INR) | $58 | $73 | $71 | $4 |
| Blood glucose test | $66 | $83 | $81 | $5 |
| Blood type and screen | $93 | $117 | $114 | $10 |
| Blood type test | $98 | $122 | $117 | $3 |
| BNP (heart failure) test | $255 | $319 | $309 | $39 |
| Bone density scan (DEXA) | $390 | $487 | $472 | $39 |
| Bone scan (nuclear) | $1,477 | $1,846 | $1,791 | $259 |
| Breast biopsy | $1,763 | $2,204 | $2,138 | $478 |
| Breast ultrasound | $398 | $497 | $484 | $92 |
| Burn treatment | $146 | $183 | $178 | $129 |
| C-reactive protein (CRP) | $94 | $118 | $114 | $5 |
| Calcium blood test | $52 | $65 | $63 | $5 |
| Cardiac rehabilitation | $232 | $290 | $281 | $26 |
| Cardiac stress test | $730 | $913 | $886 | $39 |
| Cardioversion | $1,170 | $1,463 | $1,419 | $155 |
| Carotid artery ultrasound | $600 | $750 | $750 | $156 |
| Chemotherapy infusion | $458 | $572 | $638 | $81 |
| Chest X-ray | $275 | $344 | $341 | $37 |
| Chickenpox (varicella) vaccine | $305 | $381 | $370 | — |
| Circumcision | $279 | $349 | $339 | $167 |
| CK-MB heart enzyme test | $159 | $199 | $193 | $12 |
| Clotting time test (PTT) | $84 | $105 | $102 | $6 |
| Colonoscopy | $840 | $1,050 | $1,008 | $480 |
| Colposcopy | $267 | $334 | $325 | $161 |
| Complete blood count (CBC) | $93 | $105 | $100 | $7 |
| Complex wound repair | $716 | $895 | $868 | $390 |
| Comprehensive metabolic panel | $154 | $193 | $187 | $11 |
| Contraceptive implant (Nexplanon) | $334 | $417 | $375 | $115 |
| Cortisol test | $126 | $157 | $152 | $16 |
| Creatine kinase (CK) test | $91 | $114 | $111 | $7 |
| CT angiography of the chest | $2,911 | $3,639 | $3,530 | $281 |
| CT angiography of the head | $2,403 | $3,004 | $2,914 | $274 |
| CT scan of the abdomen | $2,192 | $2,740 | $2,700 | $230 |
| CT scan of the abdomen and pelvis | $3,958 | $4,947 | $4,799 | $300 |
| CT scan of the arm | $1,913 | $2,391 | $2,344 | $199 |
| CT scan of the chest | $2,337 | $2,921 | $2,833 | $167 |
| CT scan of the head | $2,138 | $2,673 | $2,593 | $148 |
| CT scan of the leg | $2,042 | $2,552 | $2,475 | $166 |
| CT scan of the lower back (lumbar spine) | $2,171 | $2,714 | $2,641 | $169 |
| CT scan of the neck | $2,067 | $2,584 | $2,506 | $183 |
| CT scan of the neck (cervical spine) | $2,182 | $2,727 | $2,645 | $168 |
| CT scan of the pelvis | $2,531 | $3,164 | $3,037 | $226 |
| CT scan of the sinuses | $1,939 | $2,424 | $2,351 | $152 |
| D-dimer test | $167 | $209 | $203 | $10 |
| Diagnostic mammogram | $280 | $350 | $347 | $140 |
| Drug screen (urine) | $129 | $161 | $156 | $17 |
| Ear pressure test (tympanometry) | $33 | $41 | $40 | $16 |
| Echocardiogram | $1,434 | $1,793 | $1,721 | $138 |
| Electrocardiogram (EKG) | $212 | $265 | $256 | $8 |
| Electrolyte panel | $94 | $117 | $113 | $7 |
| Emergency department visit | $483 | $581 | $581 | $69 |
| Endometrial biopsy | $167 | $209 | $203 | $98 |
| Ferritin (iron) test | $118 | $148 | $144 | $14 |
| Flexible sigmoidoscopy | $306 | $383 | $372 | $323 |
| Flu vaccine | $38 | $47 | $46 | — |
| Folate (folic acid) test | $105 | $131 | $127 | $15 |
| Foreign body removal (skin) | $273 | $341 | $331 | $157 |
| Free T4 thyroid test | $129 | $161 | $156 | $9 |
| Gallbladder scan (HIDA) | $1,479 | $1,848 | $1,799 | $334 |
| GGT liver test | $84 | $105 | $102 | $7 |
| Glucose tolerance test | $66 | $82 | $102 | $8 |
| HDL cholesterol test | $58 | $73 | $71 | $8 |
| Hematocrit test | $38 | $47 | $46 | $2 |
| Hepatitis A vaccine | $94 | $117 | $113 | — |
| Hepatitis B vaccine | $199 | $199 | $193 | — |
| Holter heart monitor | $342 | $428 | $415 | $26 |
| HPV vaccine | $253 | $316 | $307 | — |
| Inguinal hernia repair | $919 | $1,149 | $1,115 | $538 |
| Iron blood test | $81 | $101 | $98 | $6 |
| IUD insertion | $144 | $180 | $175 | — |
| IUD removal | $171 | $214 | $208 | $112 |
| IV infusion therapy | $284 | $306 | $273 | $44 |
| Joint aspiration (small/intermediate) | $198 | $247 | $240 | $57 |
| Kidney scan (nuclear) | $1,299 | $1,624 | $1,575 | $172 |
| Kidney ultrasound | $610 | $763 | $743 | $84 |
| Knee joint injection | $107 | $134 | $130 | $69 |
| Lactate test | $122 | $152 | $147 | $12 |
| LDH test | $67 | $84 | $81 | $6 |
| LDL cholesterol test | $98 | $122 | $118 | $11 |
| Leg vein ultrasound (Doppler) | $894 | $1,117 | $1,106 | $150 |
| Lipase test | $103 | $129 | $125 | $7 |
| Lipid (cholesterol) panel | $123 | $154 | $149 | $13 |
| Liver function panel | $127 | $159 | $154 | $8 |
| Lung scan (V/Q) | $1,752 | $2,190 | $2,124 | $291 |
| Magnesium blood test | $86 | $107 | $104 | $7 |
| MMR vaccine | $235 | $294 | $285 | — |
| MRA of the brain | $4,543 | $5,679 | $5,452 | $226 |
| MRA of the neck | $2,589 | $3,236 | $3,139 | $245 |
| MRI of the abdomen | $3,511 | $4,389 | $4,082 | $300 |
| MRI of the ankle | $2,643 | $3,304 | $3,211 | $261 |
| MRI of the brain | $2,942 | $3,677 | $3,567 | $269 |
| MRI of the chest | $3,160 | $3,949 | $3,845 | $371 |
| MRI of the knee | $3,077 | $3,846 | $3,691 | $315 |
| MRI of the lower back (lumbar spine) | $2,900 | $3,625 | $3,516 | $270 |
| MRI of the mid-back (thoracic spine) | $3,230 | $4,038 | $3,917 | $271 |
| MRI of the neck (cervical spine) | $3,207 | $4,009 | $3,889 | $274 |
| MRI of the pelvis | $2,751 | $3,439 | $3,336 | $268 |
| MRI of the shoulder | $2,880 | $3,600 | $3,420 | $313 |
| MRI of the wrist | $2,463 | $3,079 | $2,987 | $330 |
| Nebulizer breathing treatment | $189 | $236 | $229 | $9 |
| Office visit (established patient) | $214 | $214 | $196 | $115 |
| Office visit (new patient) | $382 | $382 | $367 | $177 |
| Pelvic ultrasound | $513 | $641 | $573 | $78 |
| PET scan | $5,080 | $6,350 | $6,190 | — |
| Phosphorus blood test | $65 | $81 | $79 | $5 |
| Platelet count | $53 | $66 | $64 | $4 |
| Pneumonia vaccine | $198 | $248 | $241 | — |
| Pregnancy blood test (hCG) | $100 | $125 | $121 | $8 |
| Pregnancy ultrasound | $675 | $844 | $822 | $126 |
| Procalcitonin test | $235 | $294 | $285 | $27 |
| Prostate test (PSA) | $114 | $142 | $138 | $18 |
| Psychiatric evaluation | $511 | $638 | $621 | $188 |
| Psychotherapy session | $323 | $403 | $393 | $140 |
| Scoliosis spine X-ray | $328 | $410 | $370 | $58 |
| Screening mammogram | $310 | $388 | $376 | $126 |
| Scrotal ultrasound | $577 | $721 | $699 | $99 |
| Sedimentation rate (ESR) test | $45 | $56 | $54 | $3 |
| Semen analysis | $90 | $113 | $110 | $12 |
| Simple wound stitches | $199 | $199 | $193 | $127 |
| Skin biopsy | $278 | $278 | $270 | $121 |
| Skin cancer lesion removal | $443 | $554 | $537 | $240 |
| Skin lesion freezing (cryotherapy) | $64 | $79 | $101 | $36 |
| Skin tag removal | $158 | $198 | $192 | $92 |
| Sleep study (polysomnography) | $3,257 | $4,071 | $3,966 | $691 |
| Soft tissue ultrasound | $484 | $605 | $587 | $64 |
| Speech therapy | $258 | $322 | $312 | $76 |
| Strep throat test | $63 | $79 | $77 | $17 |
| Swallow study | $285 | $356 | $345 | $85 |
| Tdap (tetanus) vaccine | $108 | $135 | $131 | — |
| Thyroid test (TSH) | $110 | $137 | $133 | $17 |
| Thyroid ultrasound | $602 | $752 | $729 | $109 |
| Total protein test | $54 | $68 | $66 | $4 |
| Transvaginal ultrasound | $579 | $724 | $702 | $118 |
| Trigger point injection | $100 | $125 | $121 | $56 |
| Triglycerides test | $61 | $76 | $74 | $6 |
| Troponin (heart) test | $206 | $257 | $249 | $12 |
| Upper GI endoscopy (EGD) | $561 | $702 | $673 | $371 |
| Upper GI series (barium) | $509 | $636 | $617 | $128 |
| Uric acid (gout) test | $57 | $71 | $69 | $5 |
| Urine microalbumin test | $66 | $82 | $80 | $5 |
| Urine pregnancy test | $83 | $104 | $101 | $9 |
| Vaccine administration | $69 | $84 | $81 | $19 |
| Vitamin B12 test | $116 | $145 | $141 | $15 |
| Vitamin D test | $217 | $271 | $263 | $30 |
| Wart removal | $216 | $270 | $262 | $121 |
| Well-child visit | $250 | $250 | $250 | — |
| Wound debridement | $218 | $273 | $265 | $186 |
| X-ray of the abdomen | $304 | $380 | $369 | $36 |
| X-ray of the ankle | $272 | $340 | $330 | $37 |
| X-ray of the collarbone | $261 | $326 | $316 | $33 |
| X-ray of the elbow | $278 | $348 | $338 | $33 |
| X-ray of the facial bones | $262 | $327 | $296 | $39 |
| X-ray of the foot | $284 | $355 | $344 | $34 |
| X-ray of the forearm | $255 | $319 | $309 | $29 |
| X-ray of the hand | $258 | $322 | $312 | $38 |
| X-ray of the hip | $270 | $337 | $337 | $49 |
| X-ray of the knee | $308 | $385 | $373 | $42 |
| X-ray of the lower back (lumbar spine) | $424 | $530 | $485 | $47 |
| X-ray of the lower leg | $259 | $324 | $314 | $31 |
| X-ray of the mid-back (thoracic spine) | $404 | $505 | $452 | $36 |
| X-ray of the neck (cervical spine) | $363 | $453 | $410 | $47 |
| X-ray of the pelvis | $251 | $314 | $305 | $36 |
| X-ray of the ribs | $355 | $444 | $431 | $42 |
| X-ray of the shoulder | $327 | $409 | $397 | $36 |
| X-ray of the skull | $341 | $426 | $389 | $40 |
| X-ray of the upper arm | $262 | $327 | $317 | $32 |
| X-ray of the wrist | $251 | $314 | $305 | $43 |
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.