| Procedure | Arbuckle Memorial Hospital | Mercy Hospital Tishomingo Inc | Medicare |
|---|
| Abdominal ultrasound | $352 | $241 | $100 |
| Abdominal ultrasound (complete) | $448 | $283 | $114 |
| Abdominal ultrasound (limited) | $352 | $198 | $86 |
| Abscess drainage (complex or multiple) | $343 | $385 | $220 |
| Abscess drainage (simple) | $201 | $339 | $129 |
| Abscess incision and drainage | $278 | $362 | $174 |
| Albumin blood test | $15 | $33 | $5 |
| Aldosterone test | $82 | $168 | $41 |
| Alkaline phosphatase test | $28 | $37 | $5 |
| Alpha-fetoprotein (AFP) test | $58 | $35 | $17 |
| ALT liver enzyme test | $17 | $37 | $5 |
| Ammonia blood test | $44 | $107 | $15 |
| Amylase test | $44 | $83 | $6 |
| Antinuclear antibody (ANA) test | $40 | $85 | $12 |
| Arterial blood gas (ABG) | $88 | $177 | $26 |
| AST liver enzyme test | $15 | $37 | $5 |
| Bartholin cyst removal | $175 | $384 | $182 |
| Basic metabolic panel | $55 | $86 | $8 |
| Bilirubin blood test | $19 | $82 | $5 |
| Blood clotting test (PT/INR) | $28 | $46 | $4 |
| Blood crossmatch | $36 | $128 | — |
| Blood glucose test | $20 | $43 | $5 |
| Blood transfusion | $776 | $654 | $47 |
| Blood type and screen | $42 | $109 | $10 |
| Blood type test | $12 | $62 | $3 |
| Blood type test (ABO group) | $12 | $66 | $3 |
| Blood type test (Rh/D antigen) | $12 | $58 | $3 |
| BNP (heart failure) test | $162 | $130 | $39 |
| Breast ultrasound | $126 | $365 | $92 |
| Breast ultrasound (complete) | $170 | $398 | $100 |
| Breast ultrasound (limited) | $96 | $332 | $84 |
| Breathing tube insertion (intubation) | $182 | $445 | $133 |
| Burn dressing and debridement (small) | $124 | $168 | $93 |
| Burn treatment | $124 | $168 | $129 |
| C-reactive protein (CRP) | $14 | $51 | $5 |
| CA 19-9 tumor marker test | $58 | $132 | $21 |
| CA-125 ovarian marker test | $58 | $125 | $21 |
| Calcium blood test | $18 | $49 | $5 |
| Cardioversion | $200 | $448 | $155 |
| Carotid artery ultrasound | $318 | $404 | $156 |
| CEA tumor marker test | $53 | $135 | $19 |
| Celiac disease test | $59 | $94 | $12 |
| Central line placement | $640 | $1,307 | $238 |
| Chest tube insertion | $480 | $631 | $143 |
| Chest X-ray | $143 | $176 | $37 |
| Chest X-ray (1 view) | $143 | $79 | $25 |
| Chest X-ray (2 views) | $197 | $106 | $33 |
| CK-MB heart enzyme test | $42 | $68 | $12 |
| Clotting time test (PTT) | $28 | $85 | $6 |
| Complete blood count (CBC) | $47 | $65 | $7 |
| Complete blood count (CBC) (complete) | $50 | $72 | $8 |
| Comprehensive metabolic panel | $83 | $120 | $11 |
| Copper blood test | $31 | $83 | $12 |
| Cortisol test | $45 | $79 | $16 |
| COVID-19 PCR test | $120 | $144 | $51 |
| CPAP titration study | $327 | $460 | $69 |
| Creatine kinase (CK) test | $30 | $51 | $7 |
| CT angiography of the chest | $1,284 | $2,192 | $281 |
| CT scan of the abdomen | $670 | $2,133 | $230 |
| CT scan of the abdomen and pelvis | $2,114 | $2,871 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $2,932 | $3,587 | $338 |
| CT scan of the abdomen and pelvis with contrast | $2,267 | $2,871 | $300 |
| CT scan of the abdomen and pelvis without contrast | $1,369 | $2,528 | $183 |
| CT scan of the abdomen with and without contrast | $973 | $2,499 | $259 |
| CT scan of the abdomen with contrast | $776 | $2,133 | $230 |
| CT scan of the abdomen without contrast | $346 | $1,768 | $136 |
| CT scan of the arm | $1,067 | $1,652 | $199 |
| CT scan of the arm with contrast | $1,067 | $1,652 | $199 |
| CT scan of the arm without contrast | $920 | $1,628 | $161 |
| CT scan of the chest | $1,225 | $2,067 | $167 |
| CT scan of the chest with and without contrast | $1,274 | $2,197 | $196 |
| CT scan of the chest with contrast | $1,225 | $2,067 | $167 |
| CT scan of the chest without contrast | $1,067 | $1,663 | $133 |
| CT scan of the head | $1,082 | $1,823 | $148 |
| CT scan of the head with and without contrast | $1,314 | $2,138 | $173 |
| CT scan of the head with contrast | $1,082 | $1,823 | $148 |
| CT scan of the head without contrast | $1,008 | $1,446 | $107 |
| CT scan of the leg | $1,106 | $1,806 | $166 |
| CT scan of the leg with contrast | $1,067 | $1,806 | $166 |
| CT scan of the leg without contrast | $1,106 | $1,682 | $130 |
| CT scan of the lower back (lumbar spine) | $1,106 | $1,997 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,198 | $2,533 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,008 | $1,997 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,106 | $1,967 | $130 |
| CT scan of the neck | $1,106 | $1,581 | $183 |
| CT scan of the neck (cervical spine) | $1,225 | $1,979 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $1,274 | $2,692 | $196 |
| CT scan of the neck (cervical spine) with contrast | $1,225 | $1,979 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,106 | $1,769 | $131 |
| CT scan of the neck with and without contrast | $1,198 | $2,165 | $220 |
| CT scan of the neck with contrast | $1,067 | $1,581 | $183 |
| CT scan of the neck without contrast | $1,106 | $1,247 | $150 |
| CT scan of the pelvis | $1,159 | $2,122 | $226 |
| CT scan of the pelvis with and without contrast | $1,466 | $2,295 | $251 |
| CT scan of the pelvis with contrast | $1,159 | $2,122 | $226 |
| CT scan of the pelvis without contrast | $1,067 | $1,738 | $133 |
| CT scan of the sinuses | $1,149 | $1,849 | $152 |
| CT scan of the sinuses with and without contrast | $1,198 | $2,299 | $184 |
| CT scan of the sinuses with contrast | $920 | $1,849 | $152 |
| CT scan of the sinuses without contrast | $1,149 | $1,243 | $128 |
| D-dimer test | $21 | $114 | $10 |
| DHEA-sulfate test | $62 | $109 | $22 |
| Drug screen (urine) | $56 | $62 | $17 |
| Echocardiogram | $438 | $1,381 | $138 |
| Echocardiogram without contrast | $834 | $1,381 | $138 |
| EKG / ECG (tracing only) | $87 | $126 | $7 |
| Electrocardiogram (EKG) | $81 | $80 | $8 |
| Electrolyte panel | $42 | $83 | $7 |
| Emergency department visit | $460 | $314 | $69 |
| Emergency department visit (level 1) | $34 | $178 | $11 |
| Emergency department visit (level 2) | $319 | $217 | $40 |
| Emergency department visit (level 3) | $700 | $314 | $69 |
| Emergency department visit (level 4) | $575 | $488 | $118 |
| Emergency department visit (level 5) | $1,360 | $619 | $171 |
| Estradiol (estrogen) test | $180 | $137 | $28 |
| Fecal occult blood (stool) test | $13 | $41 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $13 | $33 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $14 | $48 | $16 |
| Ferritin (iron) test | $38 | $92 | $14 |
| Fibrinogen test | $24 | $89 | $10 |
| Flu test | $34 | $63 | $17 |
| Folate (folic acid) test | $50 | $82 | $15 |
| Foreign body removal (skin) | $206 | $281 | $157 |
| Free T4 thyroid test | $35 | $101 | $9 |
| FSH hormone test | $51 | $115 | $19 |
| GGT liver test | $23 | $64 | $7 |
| Glucose tolerance test | $37 | $92 | $8 |
| HDL cholesterol test | $23 | $48 | $8 |
| Hematocrit test | $8 | $31 | $2 |
| Hemoglobin A1c (diabetes test) | $32 | $77 | $10 |
| Hepatitis B test | $29 | $67 | $10 |
| Hepatitis C test | $39 | $92 | $14 |
| HIV test | $49 | $80 | $19 |
| HIV test (antibody) | $27 | $88 | $14 |
| HIV test (antigen/antibody combo) | $60 | $72 | $24 |
| Iron blood test | $34 | $53 | $6 |
| IV infusion therapy | $231 | $151 | $44 |
| IV infusion therapy (each additional) | $54 | $151 | $21 |
| IV infusion therapy (initial) | $407 | $151 | $67 |
| Joint aspiration (small/intermediate) | $86 | $146 | $57 |
| Joint aspiration or injection (mid-size joint) | $86 | $146 | $57 |
| Kidney ultrasound | $307 | $262 | $84 |
| Kidney ultrasound (limited) | $307 | $242 | $61 |
| Knee joint injection | $102 | $510 | $69 |
| Lactate test | $30 | $72 | $12 |
| LDH test | $23 | $49 | $6 |
| LDL cholesterol test | $26 | $46 | $11 |
| Leg vein ultrasound (Doppler) | $380 | $416 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $380 | $363 | $116 |
| LH hormone test | $52 | $101 | $19 |
| Lipase test | $19 | $43 | $7 |
| Lipid (cholesterol) panel | $45 | $105 | $13 |
| Liver function panel | $43 | $146 | $8 |
| Lung function test (PFT) | $68 | $144 | $37 |
| Magnesium blood test | $18 | $72 | $7 |
| Nebulizer breathing treatment | $240 | $89 | $9 |
| Office visit (established patient) | $176 | $152 | $115 |
| Office visit (new patient) | $316 | $226 | $177 |
| Office visit, established patient (level 3) | $77 | $133 | $95 |
| Office visit, established patient (level 4) | $208 | $171 | $136 |
| Office visit, new patient (level 3) | $206 | $177 | $118 |
| Office visit, new patient (level 4) | $316 | $226 | $177 |
| Office visit, new patient (level 5) | $400 | $295 | $237 |
| Pap smear (cervical screening) | $112 | $79 | $20 |
| Parathyroid hormone (PTH) test | $114 | $121 | $41 |
| Pelvic ultrasound | $364 | $467 | $78 |
| Pelvic ultrasound (complete) | $534 | $636 | $105 |
| Pelvic ultrasound (limited) | $194 | $298 | $51 |
| Phosphorus blood test | $23 | $45 | $5 |
| Physical therapy evaluation | $128 | $261 | $98 |
| Physical therapy evaluation (high complexity) | $128 | $261 | $98 |
| Physical therapy evaluation (moderate complexity) | $128 | $176 | $98 |
| Platelet count | $21 | $60 | $4 |
| Pregnancy blood test (hCG) | $32 | $37 | $8 |
| Pregnancy ultrasound | $250 | $541 | $126 |
| Pregnancy ultrasound (first trimester) | $231 | $541 | $117 |
| Procalcitonin test | $172 | $153 | $27 |
| Prolactin test | $54 | $119 | $19 |
| Prostate test (PSA) | $51 | $120 | $18 |
| Rheumatoid factor test | $16 | $65 | $6 |
| Scoliosis spine X-ray | $139 | $335 | $58 |
| Scoliosis spine X-ray (1 view) | $183 | $319 | $44 |
| Scoliosis spine X-ray (3 views) | $94 | $350 | $72 |
| Scrotal ultrasound | $592 | $332 | $99 |
| Sedimentation rate (ESR) test | $18 | $48 | $3 |
| Sex hormone binding globulin test | $66 | $85 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $232 | $270 | $114 |
| Simple wound stitches | $249 | $296 | $127 |
| Soft tissue ultrasound | $60 | $449 | $64 |
| Speech therapy | $152 | $670 | $76 |
| Spirometry (lung function test) | $62 | $253 | $30 |
| Strep throat test | $52 | $81 | $17 |
| Swallow study | $149 | $355 | $85 |
| T3 thyroid test | $40 | $101 | $14 |
| Testosterone test | $71 | $141 | $26 |
| Thyroid test (TSH) | $50 | $121 | $17 |
| Thyroid ultrasound | $474 | $198 | $109 |
| Total IgE allergy test | $46 | $87 | $16 |
| Total protein test | $23 | $33 | $4 |
| Transvaginal ultrasound | $534 | $532 | $118 |
| Triglycerides test | $23 | $54 | $6 |
| Troponin (heart) test | $65 | $129 | $12 |
| Uric acid (gout) test | $23 | $38 | $5 |
| Urinalysis | $28 | $53 | $3 |
| Urine microalbumin test | $14 | $68 | $5 |
| Urine pregnancy test | $18 | $69 | $9 |
| Vaccine administration (each additional) | $6 | $53 | $16 |
| Vitamin B12 test | $42 | $86 | $15 |
| Vitamin D test | $109 | $172 | $30 |
| X-ray of the abdomen | $258 | $137 | $36 |
| X-ray of the ankle | $276 | $267 | $37 |
| X-ray of the collarbone | $258 | $155 | $33 |
| X-ray of the elbow | $760 | $293 | $33 |
| X-ray of the facial bones | $114 | $261 | $39 |
| X-ray of the foot | $286 | $304 | $34 |
| X-ray of the forearm | $183 | $259 | $29 |
| X-ray of the hand | $350 | $271 | $38 |
| X-ray of the hip | $174 | $137 | $49 |
| X-ray of the hip (1 view) | $104 | $121 | $34 |
| X-ray of the hip (3 views) | $183 | $137 | $49 |
| X-ray of the knee | $131 | $133 | $42 |
| X-ray of the knee (2 views) | $106 | $109 | $34 |
| X-ray of the knee (3 views) | $276 | $133 | $42 |
| X-ray of the knee (4+ views) | $262 | $556 | $49 |
| X-ray of the lower back (lumbar spine) | $336 | $259 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $290 | $160 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $382 | $358 | $53 |
| X-ray of the lower leg | $239 | $200 | $31 |
| X-ray of the mid-back (thoracic spine) | $438 | $302 | $36 |
| X-ray of the mid-back (thoracic spine) (3 views) | $438 | $317 | $39 |
| X-ray of the neck (cervical spine) | $370 | $324 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $370 | $291 | $40 |
| X-ray of the pelvis | $183 | $129 | $36 |
| X-ray of the pelvis (1 view) | $183 | $105 | $28 |
| X-ray of the ribs | $118 | $326 | $42 |
| X-ray of the ribs (2 views) | $222 | $124 | $36 |
| X-ray of the shoulder | $235 | $392 | $36 |
| X-ray of the skull | $122 | $238 | $40 |
| X-ray of the upper arm | $202 | $95 | $32 |
| X-ray of the wrist | $350 | $172 | $43 |
| Zinc blood test | $31 | $70 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
