| Procedure | Bowdle Hospital-CAH | Linton Hospital-CAH | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $111 | $167 | $51 |
| Abdominal ultrasound | $1,134 | $472 | $100 |
| Abdominal ultrasound (complete) | $1,675 | $538 | $114 |
| Abdominal ultrasound (limited) | $1,134 | $405 | $86 |
| Albumin blood test | $75 | $35 | $5 |
| Aldosterone test | $404 | $288 | $41 |
| Alkaline phosphatase test | $79 | $36 | $5 |
| Alpha-fetoprotein (AFP) test | $106 | $120 | $17 |
| ALT liver enzyme test | $63 | $37 | $5 |
| Ammonia blood test | $153 | $103 | $15 |
| Amylase test | $203 | $45 | $6 |
| AST liver enzyme test | $82 | $36 | $5 |
| Basic metabolic panel | $246 | $59 | $8 |
| Bilirubin blood test | $75 | $35 | $5 |
| Blood clotting test (PT/INR) | $100 | $29 | $4 |
| Blood glucose test | $64 | $28 | $5 |
| Blood transfusion | $734 | $986 | $47 |
| Blood type and screen | $152 | $103 | $10 |
| Blood type test | $74 | $21 | $3 |
| Blood type test (ABO group) | $79 | $21 | $3 |
| Blood type test (Rh/D antigen) | $70 | $21 | $3 |
| BNP (heart failure) test | $308 | $272 | $39 |
| Bone density scan (DEXA) | $622 | $200 | $39 |
| C-reactive protein (CRP) | $233 | $36 | $5 |
| CA 19-9 tumor marker test | $198 | $147 | $21 |
| Calcium blood test | $44 | $36 | $5 |
| Carotid artery ultrasound | $1,214 | $797 | $156 |
| CEA tumor marker test | $179 | $134 | $19 |
| Celiac disease test | $100 | $80 | $12 |
| Chest X-ray | $432 | $134 | $37 |
| Chest X-ray (1 view) | $393 | $108 | $25 |
| Chest X-ray (2 views) | $471 | $154 | $33 |
| Clotting time test (PTT) | $125 | $42 | $6 |
| Complete blood count (CBC) | $137 | $50 | $7 |
| Complete blood count (CBC) (complete) | $166 | $55 | $8 |
| Comprehensive metabolic panel | $234 | $75 | $11 |
| Copper blood test | $133 | $87 | $12 |
| Cortisol test | $138 | $116 | $16 |
| COVID-19 PCR test | $369 | $187 | $51 |
| Creatine kinase (CK) test | $198 | $48 | $7 |
| CT angiography of the chest | $4,062 | $2,082 | $281 |
| CT scan of the abdomen and pelvis | $6,413 | $2,370 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $6,413 | $2,679 | $338 |
| CT scan of the abdomen and pelvis with contrast | $6,998 | $2,370 | $300 |
| CT scan of the abdomen and pelvis without contrast | $5,832 | $1,091 | $183 |
| CT scan of the arm | $3,385 | $1,431 | $199 |
| CT scan of the arm without contrast | $3,385 | $1,256 | $161 |
| CT scan of the chest | $3,176 | $1,385 | $167 |
| CT scan of the chest with and without contrast | $3,176 | $1,706 | $196 |
| CT scan of the chest with contrast | $3,586 | $1,385 | $167 |
| CT scan of the chest without contrast | $2,541 | $1,073 | $133 |
| CT scan of the head | $2,317 | $1,129 | $148 |
| CT scan of the head without contrast | $2,317 | $840 | $107 |
| CT scan of the leg | $3,597 | $1,394 | $166 |
| CT scan of the leg without contrast | $3,597 | $1,215 | $130 |
| CT scan of the lower back (lumbar spine) | $2,611 | $1,564 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $2,611 | $1,215 | $130 |
| CT scan of the neck | $3,518 | $1,222 | $183 |
| CT scan of the neck (cervical spine) | $2,611 | $1,581 | $168 |
| CT scan of the neck (cervical spine) without contrast | $2,611 | $1,226 | $131 |
| CT scan of the neck with and without contrast | $3,667 | $1,700 | $220 |
| CT scan of the neck with contrast | $3,518 | $1,376 | $183 |
| CT scan of the neck without contrast | $3,098 | $1,067 | $150 |
| CT scan of the sinuses | $2,611 | $1,217 | $152 |
| CT scan of the sinuses without contrast | $2,611 | $938 | $128 |
| D-dimer test | $456 | $72 | $10 |
| DHEA-sulfate test | $320 | $158 | $22 |
| Drug screen (urine) | $120 | $87 | $17 |
| Echocardiogram | $1,428 | $779 | $138 |
| EKG / ECG (tracing only) | $306 | $87 | $7 |
| Electrocardiogram (EKG) | $306 | $112 | $8 |
| Emergency department visit | $690 | $334 | $69 |
| Emergency department visit (level 2) | $483 | $216 | $40 |
| Emergency department visit (level 3) | $690 | $375 | $69 |
| Emergency department visit (level 4) | $937 | $607 | $118 |
| Emergency department visit (level 5) | $1,352 | $886 | $171 |
| Estradiol (estrogen) test | $159 | $198 | $28 |
| Fecal occult blood (stool) test | $78 | $111 | $10 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $81 | $111 | $16 |
| Ferritin (iron) test | $177 | $97 | $14 |
| Folate (folic acid) test | $162 | $104 | $15 |
| Free T4 thyroid test | $78 | $64 | $9 |
| FSH hormone test | $201 | $132 | $19 |
| GGT liver test | $81 | $52 | $7 |
| Glucose tolerance test | $397 | $91 | $8 |
| Hematocrit test | $51 | $16 | $2 |
| Hemoglobin A1c (diabetes test) | $120 | $68 | $10 |
| Hepatitis B test | $114 | $73 | $10 |
| Hepatitis B vaccine | $98 | $121 | — |
| Hepatitis C test | $199 | $100 | $14 |
| Iron blood test | $92 | $45 | $6 |
| IV infusion therapy | $233 | $296 | $44 |
| IV infusion therapy (each additional) | $181 | $99 | $21 |
| IV infusion therapy (initial) | $341 | $492 | $67 |
| Joint aspiration (small/intermediate) | $118 | $159 | $57 |
| Joint aspiration or injection (mid-size joint) | $238 | $355 | $57 |
| Joint aspiration or injection (small joint) | $118 | $156 | $56 |
| Kidney ultrasound | $1,089 | $349 | $84 |
| Kidney ultrasound (limited) | $976 | $197 | $61 |
| Knee joint injection | $317 | $370 | $69 |
| Lactate test | $119 | $81 | $12 |
| LDH test | $124 | $43 | $6 |
| LDL cholesterol test | $92 | $45 | $11 |
| Leg vein ultrasound (Doppler) | $1,040 | $651 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $1,040 | $501 | $116 |
| LH hormone test | $187 | $131 | $19 |
| Lipase test | $112 | $50 | $7 |
| Lipid (cholesterol) panel | $146 | $95 | $13 |
| Liver function panel | $64 | $57 | $8 |
| Magnesium blood test | $118 | $49 | $7 |
| MRI of the brain | $4,731 | $1,920 | $269 |
| MRI of the brain without contrast | $4,217 | $1,430 | $195 |
| MRI of the knee | $3,667 | $2,434 | $315 |
| MRI of the knee without contrast | $3,667 | $1,550 | $204 |
| MRI of the lower back (lumbar spine) | $4,091 | $1,902 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $4,091 | $1,376 | $192 |
| MRI of the neck (cervical spine) | $4,512 | $1,903 | $274 |
| MRI of the neck (cervical spine) without contrast | $4,512 | $1,373 | $191 |
| MRI of the shoulder | $3,385 | $1,550 | $313 |
| MRI of the shoulder without contrast | $3,385 | $1,550 | $205 |
| Nebulizer breathing treatment | $104 | $79 | $9 |
| Office visit (established patient) | $317 | $171 | $115 |
| Office visit, established patient (level 3) | $317 | $159 | $95 |
| Parathyroid hormone (PTH) test | $290 | $292 | $41 |
| Pelvic ultrasound | $1,247 | $496 | $78 |
| Pelvic ultrasound (complete) | $1,247 | $496 | $105 |
| Phosphorus blood test | $69 | $33 | $5 |
| Physical therapy evaluation | $302 | $436 | $98 |
| Physical therapy evaluation (moderate complexity) | $327 | $436 | $98 |
| Pregnancy blood test (hCG) | $205 | $54 | $8 |
| Prolactin test | $194 | $136 | $19 |
| Prostate test (PSA) | $212 | $123 | $18 |
| Screening mammogram | $654 | $638 | $126 |
| Scrotal ultrasound | $791 | $481 | $99 |
| Sedimentation rate (ESR) test | $84 | $29 | $3 |
| Sex hormone binding globulin test | $272 | $153 | $22 |
| Shingles vaccine | $319 | $311 | — |
| Simple laceration repair (small, up to 2.5 cm) | $107 | $323 | $114 |
| Simple wound stitches | $107 | $353 | $127 |
| Soft tissue ultrasound | $536 | $215 | $64 |
| T3 thyroid test | $189 | $100 | $14 |
| Tdap (tetanus) vaccine | $88 | $218 | — |
| Testosterone test | $250 | $181 | $26 |
| Thyroid test (TSH) | $179 | $120 | $17 |
| Thyroid ultrasound | $958 | $577 | $109 |
| Total protein test | $60 | $26 | $4 |
| Transvaginal ultrasound | $1,306 | $589 | $118 |
| Triglycerides test | $75 | $29 | $6 |
| Troponin (heart) test | $239 | $86 | $12 |
| Uric acid (gout) test | $79 | $31 | $5 |
| Urinalysis | $46 | $16 | $3 |
| Urine microalbumin test | $112 | $36 | $5 |
| Urine pregnancy test | $205 | $59 | $9 |
| Vaccine administration | $64 | $53 | $19 |
| Vaccine administration (each additional) | $64 | $38 | $16 |
| Vitamin B12 test | $215 | $106 | $15 |
| Vitamin D test | $286 | $210 | $30 |
| X-ray of the abdomen | $447 | $174 | $36 |
| X-ray of the ankle | $459 | $189 | $37 |
| X-ray of the collarbone | $440 | $161 | $33 |
| X-ray of the elbow | $549 | $160 | $33 |
| X-ray of the facial bones | $574 | $232 | $39 |
| X-ray of the foot | $425 | $176 | $34 |
| X-ray of the forearm | $536 | $141 | $29 |
| X-ray of the hand | $447 | $186 | $38 |
| X-ray of the hip | $332 | $239 | $49 |
| X-ray of the hip (3 views) | $332 | $239 | $49 |
| X-ray of the knee | $319 | $209 | $42 |
| X-ray of the knee (2 views) | $355 | $176 | $34 |
| X-ray of the knee (3 views) | $283 | $209 | $42 |
| X-ray of the lower back (lumbar spine) | $704 | $224 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $704 | $193 | $40 |
| X-ray of the lower leg | $553 | $160 | $31 |
| X-ray of the mid-back (thoracic spine) | $737 | $171 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $723 | $152 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $751 | $189 | $39 |
| X-ray of the neck (cervical spine) | $891 | $227 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $891 | $191 | $40 |
| X-ray of the pelvis | $393 | $155 | $36 |
| X-ray of the pelvis (1 view) | $393 | $155 | $28 |
| X-ray of the ribs | $464 | $196 | $42 |
| X-ray of the ribs (2 views) | $440 | $174 | $36 |
| X-ray of the ribs (3 views) | $488 | $196 | $42 |
| X-ray of the shoulder | $447 | $167 | $36 |
| X-ray of the upper arm | $525 | $161 | $32 |
| X-ray of the wrist | $447 | $214 | $43 |
| Zinc blood test | $174 | $81 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
