| Procedure | Benson Hospital | Holy Cross Hospital | Medicare |
|---|
| Abdominal ultrasound | $146 | $516 | $100 |
| Abdominal ultrasound (complete) | $164 | $579 | $114 |
| Abdominal ultrasound (limited) | $128 | $453 | $86 |
| Abscess incision and drainage | $60 | $407 | $174 |
| Albumin blood test | $24 | $6 | $5 |
| Aldosterone test | $89 | $73 | $41 |
| Alkaline phosphatase test | $24 | $6 | $5 |
| Alpha-fetoprotein (AFP) test | $44 | $44 | $17 |
| ALT liver enzyme test | $25 | $6 | $5 |
| Ammonia blood test | $48 | $59 | $15 |
| Amylase test | $27 | $18 | $6 |
| Annual physical (established patient) | $34 | $190 | — |
| Annual physical (new patient) | $48 | $220 | — |
| Antinuclear antibody (ANA) test | $24 | $44 | $12 |
| AST liver enzyme test | $27 | $6 | $5 |
| Barium swallow study | $179 | $579 | $107 |
| Bilirubin blood test | $24 | $18 | $5 |
| Blood clotting test (PT/INR) | $24 | $23 | $4 |
| Blood crossmatch | $83 | $23 | — |
| Blood glucose test | $16 | $12 | $5 |
| Blood transfusion | $282 | $2,250 | $47 |
| Blood type test | $13 | $12 | $3 |
| Blood type test (ABO group) | $14 | $12 | $3 |
| Blood type test (Rh/D antigen) | $12 | $12 | $3 |
| BNP (heart failure) test | $22 | $88 | $39 |
| Bone density scan (DEXA) | $168 | $226 | $39 |
| Breast ultrasound | $90 | $692 | $92 |
| Breast ultrasound (complete) | $90 | $1,006 | $100 |
| Breathing tube insertion (intubation) | $180 | $299 | $133 |
| C-reactive protein (CRP) | $32 | $44 | $5 |
| CA 19-9 tumor marker test | $64 | $97 | $21 |
| CA-125 ovarian marker test | $84 | $97 | $21 |
| Calcium blood test | $24 | $6 | $5 |
| Cardiac stress test | $106 | $113 | $39 |
| Carotid artery ultrasound | $286 | $943 | $156 |
| CEA tumor marker test | $40 | $73 | $19 |
| Celiac disease test | $15 | $12 | $12 |
| Chemotherapy infusion | $170 | $643 | $81 |
| Chemotherapy infusion (each additional) | $54 | $234 | $28 |
| Chemotherapy infusion (first hour) | $285 | $1,052 | $133 |
| Chest X-ray | $105 | $126 | $37 |
| CK-MB heart enzyme test | $65 | $44 | $12 |
| Clotting time test (PTT) | $8 | $23 | $6 |
| Copper blood test | $12 | $73 | $12 |
| Cortisol test | $59 | $44 | $16 |
| COVID-19 PCR test | $34 | $352 | $51 |
| CPAP titration study | $253 | $401 | $69 |
| Creatine kinase (CK) test | $32 | $18 | $7 |
| CT angiography of the head | $823 | $369 | $274 |
| CT scan of the abdomen | $828 | $229 | $230 |
| CT scan of the abdomen and pelvis | $1,421 | $299 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $1,545 | $452 | $338 |
| CT scan of the abdomen and pelvis with contrast | $1,421 | $394 | $300 |
| CT scan of the abdomen with and without contrast | $906 | $344 | $259 |
| CT scan of the abdomen with contrast | $828 | $299 | $230 |
| CT scan of the abdomen without contrast | $636 | $159 | $136 |
| CT scan of the arm | $576 | $293 | $199 |
| CT scan of the arm with contrast | $576 | $293 | $199 |
| CT scan of the arm without contrast | $433 | $229 | $161 |
| CT scan of the chest | $777 | $299 | $167 |
| CT scan of the chest with and without contrast | $842 | $369 | $196 |
| CT scan of the chest with contrast | $777 | $299 | $167 |
| CT scan of the chest without contrast | $614 | $229 | $133 |
| CT scan of the head | $734 | $191 | $148 |
| CT scan of the head with and without contrast | $881 | $229 | $173 |
| CT scan of the head with contrast | $734 | $191 | $148 |
| CT scan of the head without contrast | $581 | $134 | $107 |
| CT scan of the leg | $576 | $299 | $166 |
| CT scan of the leg with contrast | $576 | $299 | $166 |
| CT scan of the leg without contrast | $421 | $229 | $130 |
| CT scan of the lower back (lumbar spine) | $727 | $299 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $746 | $369 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $727 | $299 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $627 | $229 | $130 |
| CT scan of the neck | $585 | $299 | $183 |
| CT scan of the neck (cervical spine) | $748 | $299 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $768 | $369 | $196 |
| CT scan of the neck (cervical spine) with contrast | $748 | $299 | $168 |
| CT scan of the neck (cervical spine) without contrast | $601 | $235 | $131 |
| CT scan of the neck with and without contrast | $585 | $369 | $220 |
| CT scan of the neck with contrast | $585 | $299 | $183 |
| CT scan of the neck without contrast | $683 | $229 | $150 |
| CT scan of the pelvis | $861 | $299 | $226 |
| CT scan of the pelvis with and without contrast | $941 | $356 | $251 |
| CT scan of the pelvis with contrast | $861 | $299 | $226 |
| CT scan of the pelvis without contrast | $644 | $165 | $133 |
| CT scan of the sinuses | $547 | $197 | $152 |
| CT scan of the sinuses with and without contrast | $600 | $254 | $184 |
| CT scan of the sinuses with contrast | $547 | $197 | $152 |
| CT scan of the sinuses without contrast | $446 | $172 | $128 |
| D-dimer test | $36 | $44 | $10 |
| DHEA-sulfate test | $56 | $44 | $22 |
| Drug screen (urine) | $155 | $23 | $17 |
| Echocardiogram | $360 | $170 | $138 |
| Echocardiogram without contrast | $360 | $170 | $138 |
| Electrolyte panel | $57 | $23 | $7 |
| Estradiol (estrogen) test | $61 | $44 | $28 |
| Fecal occult blood (stool) test | $33 | $44 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $16 | $15 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $51 | $73 | $16 |
| Ferritin (iron) test | $39 | $44 | $14 |
| Fibrinogen test | $26 | $26 | $10 |
| Flu test | $12 | $73 | $17 |
| Folate (folic acid) test | $45 | $44 | $15 |
| Free T4 thyroid test | $57 | $44 | $9 |
| FSH hormone test | $44 | $44 | $19 |
| GGT liver test | $10 | $6 | $7 |
| Glucose tolerance test | $24 | $28 | $8 |
| H. pylori test | $125 | $59 | $67 |
| HDL cholesterol test | $14 | $44 | $8 |
| Hemoglobin A1c (diabetes test) | $29 | $59 | $10 |
| Hepatitis B test | $22 | $73 | $10 |
| Hepatitis B vaccine | $36 | $372 | — |
| Hepatitis C test | $48 | $73 | $14 |
| HIV test | $42 | $73 | $19 |
| HIV test (antibody) | $55 | $73 | $14 |
| HIV test (antigen/antibody combo) | $29 | $73 | $24 |
| IV infusion therapy (each additional) | $42 | $234 | $21 |
| Lactate test | $48 | $59 | $12 |
| LDH test | $168 | $12 | $6 |
| LDL cholesterol test | $12 | $44 | $11 |
| Leg vein ultrasound (Doppler) | $286 | $931 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $254 | $704 | $116 |
| LH hormone test | $37 | $73 | $19 |
| Lipase test | $36 | $23 | $7 |
| Lipid (cholesterol) panel | $39 | $56 | $13 |
| Lung function test (PFT) | $35 | $703 | $37 |
| MMR vaccine | $53 | $438 | — |
| MRA of the brain with contrast | $974 | $1,000 | $226 |
| MRA of the brain without contrast | $898 | $1,554 | $328 |
| MRA of the neck | $937 | $1,076 | $245 |
| MRA of the neck with contrast | $937 | $1,076 | $245 |
| MRA of the neck without contrast | $1,119 | $1,565 | $343 |
| MRI of the abdomen | $696 | $1,119 | $300 |
| MRI of the abdomen with contrast | $696 | $1,119 | $300 |
| MRI of the abdomen without contrast | $683 | $793 | $194 |
| MRI of the ankle | $971 | $989 | $261 |
| MRI of the ankle with contrast | $971 | $989 | $261 |
| MRI of the ankle without contrast | $913 | $902 | $222 |
| MRI of the brain | $1,220 | $804 | $269 |
| MRI of the brain without contrast | $1,021 | $478 | $195 |
| MRI of the chest | $1,047 | $1,233 | $371 |
| MRI of the chest without contrast | $1,229 | $1,423 | $466 |
| MRI of the knee | $1,022 | $913 | $315 |
| MRI of the knee with contrast | $1,022 | $913 | $315 |
| MRI of the knee without contrast | $1,020 | $511 | $204 |
| MRI of the lower back (lumbar spine) | $1,162 | $706 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $1,068 | $706 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,162 | $456 | $192 |
| MRI of the mid-back (thoracic spine) | $1,137 | $717 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $1,412 | $815 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $1,049 | $717 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $1,137 | $456 | $190 |
| MRI of the neck (cervical spine) | $1,203 | $717 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $1,318 | $804 | $318 |
| MRI of the neck (cervical spine) with contrast | $1,203 | $717 | $274 |
| MRI of the neck (cervical spine) without contrast | $1,149 | $456 | $191 |
| MRI of the pelvis | $1,097 | $989 | $268 |
| MRI of the pelvis with contrast | $1,097 | $989 | $268 |
| MRI of the pelvis without contrast | $986 | $924 | $227 |
| MRI of the shoulder | $1,025 | $902 | $313 |
| MRI of the shoulder with contrast | $1,025 | $902 | $313 |
| MRI of the shoulder without contrast | $1,022 | $511 | $205 |
| MRI of the wrist | $917 | $1,054 | $330 |
| MRI of the wrist without contrast | $859 | $913 | $303 |
| Nuchal translucency ultrasound | $192 | $428 | $116 |
| Occupational therapy evaluation | $142 | $440 | $101 |
| Occupational therapy evaluation (high complexity) | $190 | $440 | $101 |
| Occupational therapy evaluation (low complexity) | $137 | $440 | $101 |
| Occupational therapy evaluation (moderate complexity) | $142 | $586 | $101 |
| Office visit (established patient) | $30 | $207 | $115 |
| Office visit (new patient) | $72 | $285 | $177 |
| Office visit, established patient (level 3) | $23 | $140 | $95 |
| Office visit, established patient (level 4) | $38 | $207 | $136 |
| Office visit, new patient (level 3) | $42 | $175 | $118 |
| Office visit, new patient (level 4) | $72 | $285 | $177 |
| Office visit, new patient (level 5) | $86 | $388 | $237 |
| Pap smear (cervical screening) | $57 | $117 | $20 |
| Parathyroid hormone (PTH) test | $120 | $44 | $41 |
| Pelvic ultrasound (limited) | $90 | $176 | $51 |
| Phosphorus blood test | $23 | $6 | $5 |
| Physical therapy evaluation | $142 | $1,164 | $98 |
| Physical therapy evaluation (high complexity) | $190 | $1,164 | $98 |
| Physical therapy evaluation (moderate complexity) | $142 | $1,863 | $98 |
| Pregnancy blood test (hCG) | $12 | $29 | $8 |
| Pregnancy ultrasound | $168 | $591 | $126 |
| Pregnancy ultrasound (first trimester) | $144 | $528 | $117 |
| Pregnancy ultrasound (second or third trimester) | $192 | $654 | $136 |
| Procalcitonin test | $125 | $441 | $27 |
| Prolactin test | $58 | $59 | $19 |
| Prostate test (PSA) | $52 | $59 | $18 |
| Scrotal ultrasound | $129 | $252 | $99 |
| Sedimentation rate (ESR) test | $20 | $16 | $3 |
| Sex hormone binding globulin test | $51 | $73 | $22 |
| Soft tissue ultrasound | $95 | $75 | $64 |
| Speech therapy | $204 | $209 | $76 |
| Spinal tap (lumbar puncture) | $404 | $138 | $165 |
| Spirometry with bronchodilator | $47 | $840 | $43 |
| Strep throat test | $24 | $73 | $17 |
| Swallow study | $227 | $278 | $85 |
| T3 thyroid test | $15 | $44 | $14 |
| Tdap (tetanus) vaccine | $12 | $216 | — |
| Testosterone test | $35 | $44 | $26 |
| Thyroid test (TSH) | $40 | $44 | $17 |
| Thyroid ultrasound | $98 | $629 | $109 |
| Total IgE allergy test | $25 | $44 | $16 |
| Total protein test | $26 | $6 | $4 |
| Triglycerides test | $93 | $6 | $6 |
| Troponin (heart) test | $76 | $73 | $12 |
| Upper GI series (barium) | $153 | $604 | $128 |
| Uric acid (gout) test | $29 | $6 | $5 |
| Urine microalbumin test | $35 | $37 | $5 |
| Urine pregnancy test | $34 | $29 | $9 |
| Vitamin B12 test | $48 | $44 | $15 |
| Vitamin D test | $192 | $44 | $30 |
| X-ray of the abdomen | $68 | $176 | $36 |
| X-ray of the collarbone | $48 | $252 | $33 |
| X-ray of the elbow | $80 | $151 | $33 |
| X-ray of the facial bones | $78 | $164 | $39 |
| X-ray of the forearm | $73 | $264 | $29 |
| X-ray of the hand | $71 | $226 | $38 |
| X-ray of the hip | $106 | $201 | $49 |
| X-ray of the hip (1 view) | $72 | $151 | $34 |
| X-ray of the hip (3 views) | $106 | $201 | $49 |
| X-ray of the hip (4 views) | $144 | $252 | $63 |
| X-ray of the knee (4+ views) | $105 | $201 | $49 |
| X-ray of the lower back (lumbar spine) | $136 | $201 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $92 | $176 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $179 | $226 | $53 |
| X-ray of the mid-back (thoracic spine) | $97 | $164 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $90 | $151 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $104 | $176 | $39 |
| X-ray of the neck (cervical spine) | $122 | $176 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $108 | $151 | $40 |
| X-ray of the pelvis | $97 | $201 | $36 |
| X-ray of the ribs | $90 | $151 | $42 |
| X-ray of the ribs (2 views) | $61 | $151 | $36 |
| X-ray of the ribs (3 views) | $90 | $151 | $42 |
| X-ray of the skull | $107 | $189 | $40 |
| X-ray of the upper arm | $77 | $151 | $32 |
| Zinc blood test | $48 | $73 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
