| Procedure | CHI Health St. Elizabeth | Bryan Medical Center | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $29 | $64 | $51 |
| Abdominal fluid drain (paracentesis) | $727 | $879 | $284 |
| Abdominal ultrasound | $228 | $422 | $100 |
| Abdominal ultrasound (complete) | $262 | $503 | $114 |
| Abdominal ultrasound (limited) | $194 | $340 | $86 |
| Abscess drainage (complex or multiple) | $428 | $528 | $220 |
| Abscess drainage (simple) | $246 | $288 | $129 |
| Abscess incision and drainage | $337 | $408 | $174 |
| Albumin blood test | $37 | $19 | $5 |
| Aldosterone test | $242 | $61 | $41 |
| Alkaline phosphatase test | $60 | $34 | $5 |
| Allergy shots | $62 | $38 | $11 |
| Alpha-fetoprotein (AFP) test | $107 | $102 | $17 |
| ALT liver enzyme test | $66 | $36 | $5 |
| Ammonia blood test | $138 | $151 | $15 |
| Amniocentesis | $451 | $418 | $120 |
| Amylase test | $94 | $59 | $6 |
| Anoscopy | $208 | $194 | $129 |
| Antinuclear antibody (ANA) test | $37 | $18 | $12 |
| Aortic valve replacement | $9,234 | $26,535 | $1,603 |
| Arterial blood gas (ABG) | $215 | $168 | $26 |
| AST liver enzyme test | $49 | $35 | $5 |
| Barium swallow study | $450 | $419 | $107 |
| Bartholin cyst removal | $137 | $292 | $182 |
| Basic metabolic panel | $189 | $120 | $8 |
| Benign skin lesion removal | $374 | $994 | $171 |
| Bilirubin blood test | $66 | $19 | $5 |
| Blood clotting test (PT/INR) | $65 | $56 | $4 |
| Blood crossmatch | $155 | $154 | — |
| Blood glucose test | $39 | $35 | $5 |
| Blood transfusion | $647 | $704 | $47 |
| Blood type and screen | $85 | $85 | $10 |
| Blood type test | $61 | $62 | $3 |
| Blood type test (ABO group) | $67 | $78 | $3 |
| Blood type test (Rh/D antigen) | $55 | $45 | $3 |
| BNP (heart failure) test | $196 | $248 | $39 |
| Bone density scan (DEXA) | $392 | $349 | $39 |
| Bone marrow biopsy | $777 | $1,580 | $172 |
| Bone scan (nuclear) | $1,203 | $1,647 | $259 |
| Breast biopsy | $2,366 | $2,147 | $478 |
| Breast MRI | $221 | $600 | $216 |
| Breast MRI without contrast | $221 | $600 | $216 |
| Breast ultrasound | $744 | $291 | $92 |
| Breast ultrasound (complete) | $744 | $314 | $100 |
| Breast ultrasound (limited) | $744 | $268 | $84 |
| Breathing tube insertion (intubation) | $386 | $259 | $133 |
| Bronchoscopy | $1,446 | $1,695 | $303 |
| Burn dressing and debridement (medium) | $316 | $311 | $166 |
| Burn dressing and debridement (small) | $177 | $286 | $93 |
| Burn treatment | $180 | $299 | $129 |
| C-reactive protein (CRP) | $132 | $142 | $5 |
| CA 19-9 tumor marker test | $257 | $51 | $21 |
| CA-125 ovarian marker test | $119 | $181 | $21 |
| Calcium blood test | $94 | $43 | $5 |
| Cardiac ablation | $14,492 | $26,272 | $759 |
| Cardiac catheterization | $10,275 | $12,781 | $1,049 |
| Cardiac MRI | $980 | $1,188 | $322 |
| Cardiac MRI without contrast | $589 | $718 | $280 |
| Cardiac rehabilitation | $215 | $276 | $26 |
| Cardiac stress test | $807 | $947 | $39 |
| Cardioversion | $456 | $1,856 | $155 |
| Carotid artery ultrasound | $569 | $1,049 | $156 |
| CEA tumor marker test | $115 | $29 | $19 |
| Celiac disease test | $52 | $26 | $12 |
| Central line placement | $856 | $2,282 | $238 |
| Chemotherapy infusion | $433 | $300 | $81 |
| Chemotherapy infusion (each additional) | $462 | $121 | $28 |
| Chemotherapy infusion (first hour) | $433 | $478 | $133 |
| Chest fluid drain (thoracentesis) | $540 | $869 | $311 |
| Chest tube insertion | $636 | $1,563 | $143 |
| Chest X-ray | $227 | $216 | $37 |
| Chest X-ray (1 view) | $227 | $198 | $25 |
| Chest X-ray (2 views) | $227 | $216 | $33 |
| Circumcision | $165 | $2,007 | $167 |
| CK-MB heart enzyme test | $23 | $148 | $12 |
| Clotting time test (PTT) | $77 | $38 | $6 |
| Complete blood count (CBC) | $93 | $79 | $7 |
| Complete blood count (CBC) (complete) | $106 | $85 | $8 |
| Complex wound repair | $511 | $723 | $390 |
| Comprehensive metabolic panel | $235 | $202 | $11 |
| Copper blood test | $42 | $161 | $12 |
| Coronary CT angiography | $157 | $1,622 | $326 |
| Cortisol test | $150 | $95 | $16 |
| COVID-19 PCR test | $88 | $103 | $51 |
| CPAP titration study | $571 | $694 | $69 |
| Creatine kinase (CK) test | $119 | $19 | $7 |
| CT angiography of the chest | $1,675 | $1,853 | $281 |
| CT angiography of the head | $1,285 | $1,715 | $274 |
| CT scan of the abdomen | $1,502 | $1,674 | $230 |
| CT scan of the abdomen and pelvis | $2,384 | $2,636 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $3,409 | $3,738 | $338 |
| CT scan of the abdomen and pelvis with contrast | $2,384 | $2,636 | $300 |
| CT scan of the abdomen and pelvis without contrast | $1,812 | $2,003 | $183 |
| CT scan of the abdomen with and without contrast | $1,667 | $2,132 | $259 |
| CT scan of the abdomen with contrast | $1,502 | $1,908 | $230 |
| CT scan of the abdomen without contrast | $1,141 | $1,440 | $136 |
| CT scan of the arm | $1,273 | $1,694 | $199 |
| CT scan of the arm with contrast | $1,273 | $1,537 | $199 |
| CT scan of the arm without contrast | $1,212 | $1,329 | $161 |
| CT scan of the chest | $1,192 | $1,505 | $167 |
| CT scan of the chest with and without contrast | $1,359 | $1,715 | $196 |
| CT scan of the chest with contrast | $1,192 | $1,505 | $167 |
| CT scan of the chest without contrast | $811 | $1,024 | $133 |
| CT scan of the head | $1,261 | $1,406 | $148 |
| CT scan of the head with and without contrast | $1,513 | $1,670 | $173 |
| CT scan of the head with contrast | $1,261 | $1,406 | $148 |
| CT scan of the head without contrast | $934 | $1,042 | $107 |
| CT scan of the leg | $1,271 | $1,366 | $166 |
| CT scan of the leg with contrast | $1,271 | $1,533 | $166 |
| CT scan of the leg without contrast | $986 | $1,199 | $130 |
| CT scan of the lower back (lumbar spine) | $1,390 | $1,543 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,449 | $1,742 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,390 | $1,667 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,178 | $1,419 | $130 |
| CT scan of the neck | $1,435 | $1,863 | $183 |
| CT scan of the neck (cervical spine) | $1,645 | $1,300 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $1,737 | $1,734 | $196 |
| CT scan of the neck (cervical spine) with contrast | $1,645 | $1,634 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,306 | $1,300 | $131 |
| CT scan of the neck with and without contrast | $1,765 | $2,048 | $220 |
| CT scan of the neck with contrast | $1,435 | $1,678 | $183 |
| CT scan of the neck without contrast | $1,105 | $1,276 | $150 |
| CT scan of the pelvis | $1,161 | $1,564 | $226 |
| CT scan of the pelvis with and without contrast | $853 | $1,882 | $251 |
| CT scan of the pelvis with contrast | $1,285 | $1,564 | $226 |
| CT scan of the pelvis without contrast | $1,037 | $1,249 | $133 |
| CT scan of the sinuses | $1,401 | $1,361 | $152 |
| CT scan of the sinuses with and without contrast | $1,423 | $1,549 | $184 |
| CT scan of the sinuses with contrast | $1,401 | $1,531 | $152 |
| CT scan of the sinuses without contrast | $1,095 | $1,190 | $128 |
| D-dimer test | $191 | $141 | $10 |
| DHEA-sulfate test | $163 | $30 | $22 |
| Diagnostic mammogram | $193 | $182 | $140 |
| Drug screen (urine) | $243 | $79 | $17 |
| Echocardiogram | $940 | $1,240 | $138 |
| Echocardiogram with and without contrast | $577 | $982 | $101 |
| Echocardiogram without contrast | $940 | $1,498 | $138 |
| EEG (awake and asleep) | $929 | $968 | $482 |
| EKG / ECG (tracing only) | $137 | $248 | $7 |
| Electrocardiogram (EKG) | $137 | $248 | $8 |
| Electroencephalogram (EEG) | $862 | $910 | $448 |
| Electrolyte panel | $115 | $75 | $7 |
| Electromyography (EMG) | $696 | $469 | $141 |
| Emergency department visit | $472 | $480 | $69 |
| Emergency department visit (level 1) | $172 | $209 | $11 |
| Emergency department visit (level 2) | $268 | $385 | $40 |
| Emergency department visit (level 3) | $472 | $480 | $69 |
| Emergency department visit (level 4) | $632 | $994 | $118 |
| Emergency department visit (level 5) | $1,072 | $1,524 | $171 |
| Endometrial biopsy | $205 | $170 | $98 |
| Epidural steroid injection | $964 | $1,316 | $275 |
| Estradiol (estrogen) test | $158 | $125 | $28 |
| Facet joint injection (spine) | $1,354 | $670 | $99 |
| Fallopian tube X-ray (HSG) | $496 | $436 | $164 |
| Fecal occult blood (stool) test | $27 | $5 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $30 | $5 | $4 |
| Ferritin (iron) test | $118 | $140 | $14 |
| Fibrinogen test | $125 | $84 | $10 |
| Folate (folic acid) test | $114 | $126 | $15 |
| Foreign body removal (skin) | $461 | $551 | $157 |
| Free T4 thyroid test | $74 | $53 | $9 |
| FSH hormone test | $129 | $123 | $19 |
| Gallbladder scan (HIDA) | $1,032 | $1,403 | $334 |
| GGT liver test | $66 | $22 | $7 |
| Glucose tolerance test | $181 | $130 | $8 |
| HDL cholesterol test | $28 | $56 | $8 |
| Hematocrit test | $30 | $32 | $2 |
| Hemoglobin A1c (diabetes test) | $88 | $71 | $10 |
| Hepatitis B test | $93 | $57 | $10 |
| Hepatitis C test | $105 | $43 | $14 |
| HIV test | $108 | $62 | $19 |
| HIV test (antibody) | $86 | $64 | $14 |
| HIV test (antigen/antibody combo) | $131 | $60 | $24 |
| Holter heart monitor | $424 | $752 | $26 |
| Iron blood test | $70 | $44 | $6 |
| IUD insertion | $151 | $286 | — |
| IUD removal | $209 | $391 | $112 |
| IV infusion therapy | $120 | $239 | $44 |
| IV infusion therapy (each additional) | $60 | $83 | $21 |
| IV infusion therapy (initial) | $211 | $395 | $67 |
| IVC filter placement | $6,145 | $7,942 | $1,885 |
| Joint aspiration (small/intermediate) | $193 | $436 | $57 |
| Joint aspiration or injection (mid-size joint) | $204 | $605 | $57 |
| Joint aspiration or injection (small joint) | $182 | $267 | $56 |
| Kidney biopsy | $1,331 | $1,446 | $492 |
| Kidney scan (nuclear) | $1,056 | $1,540 | $172 |
| Kidney ultrasound | $313 | $377 | $84 |
| Kidney ultrasound (limited) | $379 | $377 | $61 |
| Knee joint injection | $306 | $501 | $69 |
| Lactate test | $115 | $56 | $12 |
| Laryngoscopy | $724 | $725 | $189 |
| LDH test | $59 | $14 | $6 |
| LDL cholesterol test | $94 | $29 | $11 |
| Leg artery angiogram | $1,234 | $2,452 | $149 |
| Leg artery angioplasty | $7,990 | $14,647 | — |
| Leg vein ultrasound (Doppler) | $1,057 | $1,054 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $1,036 | $1,054 | $116 |
| LH hormone test | $143 | $123 | $19 |
| Lipase test | $110 | $45 | $7 |
| Lipid (cholesterol) panel | $76 | $95 | $13 |
| Liver biopsy | $1,293 | $1,158 | $288 |
| Liver function panel | $154 | $118 | $8 |
| Lung function test (PFT) | $228 | $178 | $37 |
| Lung scan (V/Q) | $1,034 | $1,703 | $291 |
| Magnesium blood test | $73 | $73 | $7 |
| MRA of the brain | $1,829 | $2,209 | $226 |
| MRA of the brain with contrast | $1,829 | $2,209 | $226 |
| MRA of the brain without contrast | $2,592 | $3,125 | $328 |
| MRA of the neck | $1,594 | $2,108 | $245 |
| MRA of the neck with contrast | $1,594 | $2,108 | $245 |
| MRA of the neck without contrast | $2,046 | $2,708 | $343 |
| MRI of the abdomen | $2,051 | $2,277 | $300 |
| MRI of the abdomen with contrast | $2,051 | $2,277 | $300 |
| MRI of the abdomen without contrast | $1,798 | $1,996 | $194 |
| MRI of the ankle | $1,521 | $1,704 | $261 |
| MRI of the ankle with contrast | $1,521 | $1,850 | $261 |
| MRI of the ankle without contrast | $1,423 | $1,704 | $222 |
| MRI of the brain | $1,765 | $2,344 | $269 |
| MRI of the brain with contrast | $1,765 | $2,344 | $269 |
| MRI of the brain without contrast | $1,513 | $2,013 | $195 |
| MRI of the chest | $2,137 | $2,818 | $371 |
| MRI of the chest with contrast | $2,137 | $2,830 | $371 |
| MRI of the chest without contrast | $2,323 | $2,818 | $466 |
| MRI of the knee | $1,947 | $2,219 | $315 |
| MRI of the knee with contrast | $1,947 | $2,275 | $315 |
| MRI of the knee without contrast | $1,583 | $1,852 | $204 |
| MRI of the lower back (lumbar spine) | $1,884 | $2,098 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $1,884 | $2,500 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,583 | $2,098 | $192 |
| MRI of the mid-back (thoracic spine) | $1,864 | $2,307 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $2,071 | $2,584 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $1,864 | $2,330 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $1,843 | $2,027 | $190 |
| MRI of the neck (cervical spine) | $2,326 | $2,098 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $2,584 | $3,073 | $318 |
| MRI of the neck (cervical spine) with contrast | $2,326 | $2,570 | $274 |
| MRI of the neck (cervical spine) without contrast | $1,757 | $1,979 | $191 |
| MRI of the pelvis | $1,937 | $2,054 | $268 |
| MRI of the pelvis with contrast | $1,937 | $2,324 | $268 |
| MRI of the pelvis without contrast | $1,715 | $1,822 | $227 |
| MRI of the shoulder | $1,552 | $2,077 | $313 |
| MRI of the shoulder with contrast | $1,552 | $2,077 | $313 |
| MRI of the shoulder without contrast | $1,304 | $1,745 | $205 |
| MRI of the wrist | $1,479 | $1,789 | $330 |
| MRI of the wrist with contrast | $1,479 | $1,789 | $330 |
| MRI of the wrist without contrast | $1,370 | $1,651 | $303 |
| Nebulizer breathing treatment | $112 | $129 | $9 |
| Nuclear cardiac stress test | $2,319 | $3,541 | $428 |
| Occupational therapy evaluation | $101 | $149 | $101 |
| Occupational therapy evaluation (high complexity) | $121 | $154 | $101 |
| Occupational therapy evaluation (low complexity) | $91 | $133 | $101 |
| Occupational therapy evaluation (moderate complexity) | $101 | $145 | $101 |
| Office visit (established patient) | $197 | $257 | $115 |
| Office visit (new patient) | $308 | $396 | $177 |
| Office visit, established patient (level 3) | $192 | $227 | $95 |
| Office visit, established patient (level 4) | $203 | $286 | $136 |
| Office visit, new patient (level 3) | $203 | $216 | $118 |
| Office visit, new patient (level 4) | $308 | $352 | $177 |
| Office visit, new patient (level 5) | $389 | $501 | $237 |
| Pap smear (cervical screening) | $81 | $49 | $20 |
| Parathyroid hormone (PTH) test | $240 | $265 | $41 |
| Pelvic ultrasound | $176 | $224 | $78 |
| Pelvic ultrasound (complete) | $240 | $304 | $105 |
| Pelvic ultrasound (limited) | $113 | $224 | $51 |
| PET scan | $4,357 | $4,859 | — |
| Phosphorus blood test | $55 | $32 | $5 |
| Physical therapy evaluation | $88 | $144 | $98 |
| Physical therapy evaluation (high complexity) | $105 | $146 | $98 |
| Physical therapy evaluation (moderate complexity) | $88 | $143 | $98 |
| Platelet count | $61 | $42 | $4 |
| Pregnancy blood test (hCG) | $140 | $119 | $8 |
| Pregnancy ultrasound | $278 | $426 | $126 |
| Pregnancy ultrasound (first trimester) | $270 | $330 | $117 |
| Pregnancy ultrasound (second or third trimester) | $510 | $522 | $136 |
| Procalcitonin test | $131 | $157 | $27 |
| Prolactin test | $99 | $119 | $19 |
| Prostate biopsy | $1,046 | $1,091 | — |
| Prostate test (PSA) | $107 | $56 | $18 |
| Pulmonary rehabilitation | $158 | $100 | $87 |
| Radiofrequency nerve ablation | $1,797 | $2,153 | $462 |
| Sacroiliac joint injection | $687 | $350 | $176 |
| Scoliosis spine X-ray | $286 | $235 | $58 |
| Scoliosis spine X-ray (1 view) | $178 | $167 | $44 |
| Scoliosis spine X-ray (3 views) | $394 | $303 | $72 |
| Screening mammogram | $192 | $192 | $126 |
| Scrotal ultrasound | $509 | $505 | $99 |
| Sedimentation rate (ESR) test | $62 | $61 | $3 |
| Sex hormone binding globulin test | $156 | $26 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $171 | $159 | $114 |
| Simple wound stitches | $187 | $181 | $127 |
| Skin biopsy | $307 | $383 | $121 |
| Skin biopsy (punch) | $307 | $340 | $121 |
| Sleep study (polysomnography) | $2,432 | $3,014 | $691 |
| Soft tissue ultrasound | $367 | $304 | $64 |
| Speech therapy | $197 | $220 | $76 |
| Spinal tap (lumbar puncture) | $519 | $645 | $165 |
| Spine fracture repair (kyphoplasty) | $6,768 | $10,777 | $5,803 |
| Spirometry (lung function test) | $208 | $178 | $30 |
| Spirometry with bronchodilator | $248 | $291 | $43 |
| Stress echocardiogram | $1,376 | $1,225 | $209 |
| Swallow study | $184 | $184 | $85 |
| T3 thyroid test | $100 | $101 | $14 |
| Testosterone test | $146 | $53 | $26 |
| Thyroid test (TSH) | $130 | $80 | $17 |
| Thyroid ultrasound | $432 | $480 | $109 |
| Thyroid uptake scan | $464 | $671 | $145 |
| Tilt table test | $1,457 | $1,517 | $168 |
| Total IgE allergy test | $105 | $23 | $16 |
| Total protein test | $73 | $32 | $4 |
| Transesophageal echocardiogram (TEE) | $1,443 | $2,306 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $1,443 | $2,306 | $239 |
| Transvaginal ultrasound | $468 | $403 | $118 |
| Trigger point injection | $208 | $462 | $56 |
| Trigger point injection (1-2 muscles) | $208 | $375 | $52 |
| Triglycerides test | $70 | $37 | $6 |
| Troponin (heart) test | $179 | $50 | $12 |
| Turning a breech baby (version) | $2,216 | $2,227 | $94 |
| Upper GI series (barium) | $512 | $476 | $128 |
| Uric acid (gout) test | $61 | $36 | $5 |
| Urinalysis | $52 | $43 | $3 |
| Urine microalbumin test | $72 | $49 | $5 |
| Urine pregnancy test | $73 | $54 | $9 |
| Vaccine administration | $70 | $73 | $19 |
| Vaccine administration (each additional) | $64 | $64 | $16 |
| Varicose vein ablation | $2,886 | $4,561 | $1,018 |
| Vitamin B12 test | $122 | $148 | $15 |
| Vitamin D test | $268 | $59 | $30 |
| Wound debridement | $787 | $901 | $186 |
| X-ray of the abdomen | $294 | $253 | $36 |
| X-ray of the ankle | $203 | $271 | $37 |
| X-ray of the collarbone | $221 | $228 | $33 |
| X-ray of the elbow | $270 | $283 | $33 |
| X-ray of the facial bones | $215 | $255 | $39 |
| X-ray of the foot | $200 | $283 | $34 |
| X-ray of the forearm | $211 | $239 | $29 |
| X-ray of the hand | $249 | $267 | $38 |
| X-ray of the hip | $116 | $167 | $49 |
| X-ray of the hip (1 view) | $116 | $167 | $34 |
| X-ray of the hip (3 views) | $116 | $167 | $49 |
| X-ray of the hip (4 views) | $144 | $224 | $63 |
| X-ray of the knee | $310 | $340 | $42 |
| X-ray of the knee (2 views) | $288 | $248 | $34 |
| X-ray of the knee (3 views) | $310 | $340 | $42 |
| X-ray of the knee (4+ views) | $319 | $356 | $49 |
| X-ray of the lower back (lumbar spine) | $383 | $306 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $342 | $304 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $424 | $309 | $53 |
| X-ray of the lower leg | $266 | $252 | $31 |
| X-ray of the mid-back (thoracic spine) | $263 | $297 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $219 | $261 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $307 | $333 | $39 |
| X-ray of the neck (cervical spine) | $322 | $305 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $271 | $241 | $40 |
| X-ray of the pelvis | $228 | $245 | $36 |
| X-ray of the pelvis (1 view) | $216 | $224 | $28 |
| X-ray of the ribs | $278 | $313 | $42 |
| X-ray of the ribs (2 views) | $206 | $246 | $36 |
| X-ray of the ribs (3 views) | $278 | $329 | $42 |
| X-ray of the shoulder | $311 | $310 | $36 |
| X-ray of the skull | $241 | $273 | $40 |
| X-ray of the upper arm | $217 | $259 | $32 |
| X-ray of the wrist | $271 | $267 | $43 |
| Zinc blood test | $36 | $16 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
