| Procedure | Bsa Hospital | Quail Creek Surgical Hospital | Medicare |
|---|
| Abdominal ultrasound | $266 | $1,056 | $100 |
| Abdominal ultrasound (complete) | $274 | $1,087 | $114 |
| Abdominal ultrasound (limited) | $259 | $1,026 | $86 |
| Albumin blood test | $22 | $86 | $5 |
| Aldosterone test | $68 | $389 | $41 |
| Alkaline phosphatase test | $13 | $65 | $5 |
| Alpha-fetoprotein (AFP) test | $41 | $206 | $17 |
| Ammonia blood test | $11 | $90 | $15 |
| Amylase test | $31 | $115 | $6 |
| Antinuclear antibody (ANA) test | $42 | $154 | $12 |
| Arterial blood gas (ABG) | $52 | $296 | $26 |
| Basic metabolic panel | $19 | $105 | $8 |
| Bilirubin blood test | $33 | $125 | $5 |
| Blood clotting test (PT/INR) | $5 | $21 | $4 |
| Blood crossmatch | $53 | $282 | — |
| Blood glucose test | $5 | $30 | $5 |
| Blood type and screen | $31 | $57 | $10 |
| Blood type test | $50 | $118 | $3 |
| Blood type test (ABO group) | $68 | $212 | $3 |
| Blood type test (Rh/D antigen) | $33 | $25 | $3 |
| BNP (heart failure) test | $22 | $192 | $39 |
| Breast ultrasound | $121 | $443 | $92 |
| Breast ultrasound (complete) | $129 | $591 | $100 |
| Breast ultrasound (limited) | $112 | $296 | $84 |
| C-reactive protein (CRP) | $16 | $71 | $5 |
| CA 19-9 tumor marker test | $49 | $224 | $21 |
| CA-125 ovarian marker test | $36 | $153 | $21 |
| Calcium blood test | $5 | $39 | $5 |
| CEA tumor marker test | $31 | $257 | $19 |
| Central line placement | $1,419 | $5,019 | $238 |
| Chest X-ray | $79 | $234 | $37 |
| Chest X-ray (1 view) | $60 | $120 | $25 |
| Chest X-ray (2 views) | $66 | $225 | $33 |
| Clotting time test (PTT) | $11 | $46 | $6 |
| Complete blood count (CBC) | $11 | $52 | $7 |
| Complete blood count (CBC) (complete) | $13 | $56 | $8 |
| Comprehensive metabolic panel | $28 | $158 | $11 |
| Copper blood test | $9 | $47 | $12 |
| Cortisol test | $41 | $233 | $16 |
| Creatine kinase (CK) test | $7 | $48 | $7 |
| CT angiography of the chest | $690 | $3,368 | $281 |
| CT angiography of the head | $359 | $1,777 | $274 |
| CT scan of the abdomen | $713 | $3,531 | $230 |
| CT scan of the abdomen and pelvis | $893 | $4,426 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $1,266 | $6,271 | $338 |
| CT scan of the abdomen and pelvis with contrast | $893 | $4,426 | $300 |
| CT scan of the abdomen and pelvis without contrast | $564 | $2,796 | $183 |
| CT scan of the abdomen with and without contrast | $1,066 | $4,060 | $259 |
| CT scan of the abdomen with contrast | $713 | $3,531 | $230 |
| CT scan of the abdomen without contrast | $388 | $1,923 | $136 |
| CT scan of the arm | $458 | $1,268 | $199 |
| CT scan of the arm with contrast | $499 | $1,268 | $199 |
| CT scan of the arm without contrast | $239 | $1,127 | $161 |
| CT scan of the chest | $543 | $3,078 | $167 |
| CT scan of the chest with and without contrast | $500 | $3,540 | $196 |
| CT scan of the chest with contrast | $621 | $3,078 | $167 |
| CT scan of the chest without contrast | $543 | $2,691 | $133 |
| CT scan of the head | $242 | $1,447 | $148 |
| CT scan of the head with and without contrast | $292 | $1,447 | $173 |
| CT scan of the head with contrast | $191 | $1,705 | $148 |
| CT scan of the head without contrast | $242 | $1,199 | $107 |
| CT scan of the leg | $344 | $1,119 | $166 |
| CT scan of the leg with contrast | $344 | $1,119 | $166 |
| CT scan of the leg without contrast | $204 | $1,008 | $130 |
| CT scan of the lower back (lumbar spine) | $431 | $2,472 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $400 | $2,789 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $507 | $2,472 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $431 | $2,137 | $130 |
| CT scan of the neck | $189 | $935 | $183 |
| CT scan of the neck (cervical spine) | $340 | $1,817 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $304 | $2,150 | $196 |
| CT scan of the neck (cervical spine) with contrast | $367 | $1,817 | $168 |
| CT scan of the neck (cervical spine) without contrast | $340 | $1,686 | $131 |
| CT scan of the neck with and without contrast | $217 | $1,029 | $220 |
| CT scan of the neck with contrast | $189 | $935 | $183 |
| CT scan of the neck without contrast | $170 | $844 | $150 |
| CT scan of the pelvis | $189 | $1,340 | $226 |
| CT scan of the pelvis with and without contrast | $680 | $3,368 | $251 |
| CT scan of the pelvis with contrast | $189 | $1,340 | $226 |
| CT scan of the pelvis without contrast | $163 | $1,154 | $133 |
| CT scan of the sinuses | $170 | $924 | $152 |
| CT scan of the sinuses with contrast | $187 | $924 | $152 |
| CT scan of the sinuses without contrast | $170 | $844 | $128 |
| D-dimer test | $14 | $79 | $10 |
| DHEA-sulfate test | $41 | $237 | $22 |
| Drug screen (urine) | $28 | $150 | $17 |
| EKG / ECG (tracing only) | $57 | $247 | $7 |
| Electrocardiogram (EKG) | $30 | $247 | $8 |
| Electrolyte panel | $27 | $163 | $7 |
| Electromyography (EMG) | $50 | $259 | $141 |
| Emergency department visit | $218 | $322 | $69 |
| Emergency department visit (level 1) | $74 | $148 | $11 |
| Emergency department visit (level 2) | $88 | $170 | $40 |
| Emergency department visit (level 3) | $218 | $322 | $69 |
| Emergency department visit (level 4) | $304 | $763 | $118 |
| Emergency department visit (level 5) | $365 | $871 | $171 |
| Epidural steroid injection | $388 | $1,473 | $275 |
| Estradiol (estrogen) test | $58 | $332 | $28 |
| Ferritin (iron) test | $10 | $59 | $14 |
| Fibrinogen test | $28 | $103 | $10 |
| Flu test | $18 | $68 | $17 |
| Free T4 thyroid test | $31 | $217 | $9 |
| FSH hormone test | $32 | $159 | $19 |
| GGT liver test | $26 | $184 | $7 |
| Glucose tolerance test | $22 | $75 | $8 |
| Hematocrit test | $6 | $24 | $2 |
| Hemoglobin A1c (diabetes test) | $7 | $101 | $10 |
| Hepatitis B test | $14 | $40 | $10 |
| Hepatitis C test | $11 | $70 | $14 |
| HIV test | $14 | $70 | $19 |
| HIV test (antibody) | $10 | $51 | $14 |
| HIV test (antigen/antibody combo) | $19 | $89 | $24 |
| Iron blood test | $5 | $31 | $6 |
| IV infusion therapy | $71 | $471 | $44 |
| IV infusion therapy (each additional) | $44 | $324 | $21 |
| IV infusion therapy (initial) | $97 | $618 | $67 |
| Joint aspiration (small/intermediate) | $92 | $425 | $57 |
| Joint aspiration or injection (mid-size joint) | $96 | $425 | $57 |
| Joint aspiration or injection (small joint) | $88 | $425 | $56 |
| Kidney ultrasound | $242 | $962 | $84 |
| Kidney ultrasound (limited) | $198 | $788 | $61 |
| Knee joint injection | $96 | $980 | $69 |
| Lactate test | $31 | $210 | $12 |
| LDH test | $13 | $62 | $6 |
| Leg vein ultrasound (Doppler) | $259 | $1,028 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $227 | $899 | $116 |
| LH hormone test | $32 | $228 | $19 |
| Lipase test | $29 | $209 | $7 |
| Lipid (cholesterol) panel | $16 | $184 | $13 |
| Liver function panel | $19 | $105 | $8 |
| Magnesium blood test | $26 | $184 | $7 |
| MRA of the brain | $346 | $2,026 | $226 |
| MRA of the brain with contrast | $346 | $2,026 | $226 |
| MRA of the brain without contrast | $427 | $2,115 | $328 |
| MRA of the neck | $346 | $1,895 | $245 |
| MRA of the neck without contrast | $427 | $2,115 | $343 |
| MRI of the abdomen | $616 | $2,811 | $300 |
| MRI of the abdomen with contrast | $616 | $2,811 | $300 |
| MRI of the abdomen without contrast | $369 | $1,675 | $194 |
| MRI of the ankle | $734 | $3,333 | $261 |
| MRI of the ankle with contrast | $734 | $3,333 | $261 |
| MRI of the ankle without contrast | $638 | $2,898 | $222 |
| MRI of the brain | $730 | $3,614 | $269 |
| MRI of the brain with contrast | $730 | $3,614 | $269 |
| MRI of the brain without contrast | $634 | $3,142 | $195 |
| MRI of the chest | $743 | $4,073 | $371 |
| MRI of the chest without contrast | $720 | $4,666 | $466 |
| MRI of the knee | $994 | $3,978 | $315 |
| MRI of the knee with contrast | $1,486 | $3,459 | $315 |
| MRI of the knee without contrast | $994 | $4,512 | $204 |
| MRI of the lower back (lumbar spine) | $881 | $4,002 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $881 | $4,002 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $767 | $3,480 | $192 |
| MRI of the mid-back (thoracic spine) | $767 | $4,002 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $894 | $4,058 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $617 | $4,002 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $767 | $3,480 | $190 |
| MRI of the neck (cervical spine) | $798 | $3,953 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $809 | $4,007 | $318 |
| MRI of the neck (cervical spine) with contrast | $798 | $3,953 | $274 |
| MRI of the neck (cervical spine) without contrast | $694 | $3,437 | $191 |
| MRI of the pelvis | $440 | $2,578 | $268 |
| MRI of the pelvis without contrast | $369 | $1,676 | $227 |
| MRI of the shoulder | $1,139 | $3,459 | $313 |
| MRI of the shoulder with contrast | $1,486 | $3,459 | $313 |
| MRI of the shoulder without contrast | $994 | $3,008 | $205 |
| MRI of the wrist | $613 | $3,493 | $330 |
| MRI of the wrist without contrast | $464 | $3,008 | $303 |
| Nebulizer breathing treatment | $64 | $275 | $9 |
| Nerve conduction study | $85 | $827 | $118 |
| Occupational therapy evaluation | $38 | $247 | $101 |
| Occupational therapy evaluation (high complexity) | $38 | $272 | $101 |
| Occupational therapy evaluation (low complexity) | $45 | $225 | $101 |
| Occupational therapy evaluation (moderate complexity) | $37 | $247 | $101 |
| Parathyroid hormone (PTH) test | $29 | $242 | $41 |
| Pelvic ultrasound | $308 | $1,193 | $78 |
| Pelvic ultrasound (complete) | $331 | $1,250 | $105 |
| Pelvic ultrasound (limited) | $286 | $1,137 | $51 |
| Phosphorus blood test | $23 | $165 | $5 |
| Physical therapy evaluation | $50 | $247 | $98 |
| Physical therapy evaluation (high complexity) | $55 | $272 | $98 |
| Physical therapy evaluation (moderate complexity) | $50 | $247 | $98 |
| Platelet count | $19 | $110 | $4 |
| Pregnancy ultrasound | $184 | $731 | $126 |
| Pregnancy ultrasound (first trimester) | $236 | $936 | $117 |
| Pregnancy ultrasound (second or third trimester) | $133 | $527 | $136 |
| Prolactin test | $43 | $244 | $19 |
| Prostate test (PSA) | $20 | $198 | $18 |
| Rheumatoid factor test | $6 | $97 | $6 |
| Scoliosis spine X-ray | $46 | $260 | $58 |
| Scoliosis spine X-ray (1 view) | $44 | $370 | $44 |
| Scoliosis spine X-ray (3 views) | $48 | $151 | $72 |
| Scrotal ultrasound | $306 | $1,215 | $99 |
| Sedimentation rate (ESR) test | $18 | $98 | $3 |
| Soft tissue ultrasound | $264 | $1,049 | $64 |
| Strep throat test | $18 | $68 | $17 |
| T3 thyroid test | $10 | $64 | $14 |
| Testosterone test | $60 | $341 | $26 |
| Thyroid test (TSH) | $35 | $251 | $17 |
| Thyroid ultrasound | $291 | $1,153 | $109 |
| Total IgE allergy test | $24 | $138 | $16 |
| Transvaginal ultrasound | $224 | $848 | $118 |
| Trigger point injection | $75 | $542 | $56 |
| Trigger point injection (1-2 muscles) | $75 | $542 | $52 |
| Triglycerides test | $18 | $90 | $6 |
| Troponin (heart) test | $35 | $65 | $12 |
| Uric acid (gout) test | $22 | $153 | $5 |
| Urinalysis | $8 | $31 | $3 |
| Urine microalbumin test | $12 | $86 | $5 |
| Urine pregnancy test | $56 | $51 | $9 |
| X-ray of the abdomen | $111 | $244 | $36 |
| X-ray of the ankle | $101 | $138 | $37 |
| X-ray of the collarbone | $90 | $132 | $33 |
| X-ray of the elbow | $102 | $139 | $33 |
| X-ray of the facial bones | $359 | $353 | $39 |
| X-ray of the foot | $104 | $241 | $34 |
| X-ray of the forearm | $144 | $137 | $29 |
| X-ray of the hand | $88 | $136 | $38 |
| X-ray of the hip | $31 | $147 | $49 |
| X-ray of the hip (3 views) | $31 | $147 | $49 |
| X-ray of the hip (4 views) | $47 | $186 | $63 |
| X-ray of the knee | $186 | $637 | $42 |
| X-ray of the knee (2 views) | $104 | $822 | $34 |
| X-ray of the knee (3 views) | $186 | $466 | $42 |
| X-ray of the knee (4+ views) | $205 | $637 | $49 |
| X-ray of the lower back (lumbar spine) | $136 | $197 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $134 | $197 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $138 | $197 | $53 |
| X-ray of the lower leg | $71 | $137 | $31 |
| X-ray of the mid-back (thoracic spine) | $134 | $298 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $129 | $153 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $138 | $444 | $39 |
| X-ray of the neck (cervical spine) | $128 | $160 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $117 | $124 | $40 |
| X-ray of the pelvis | $33 | $83 | $36 |
| X-ray of the pelvis (1 view) | $24 | $83 | $28 |
| X-ray of the ribs | $103 | $406 | $42 |
| X-ray of the ribs (2 views) | $94 | $406 | $36 |
| X-ray of the ribs (3 views) | $103 | $401 | $42 |
| X-ray of the shoulder | $87 | $135 | $36 |
| X-ray of the skull | $69 | $439 | $40 |
| X-ray of the upper arm | $141 | $145 | $32 |
| X-ray of the wrist | $139 | $132 | $43 |
| Zinc blood test | $8 | $48 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
