| Procedure | CHI Health St. Elizabeth | Johnson County Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $29 | $109 | $51 |
| Abdominal fluid drain (paracentesis) | $727 | $1,180 | $284 |
| Abdominal ultrasound | $228 | $824 | $100 |
| Abdominal ultrasound (complete) | $262 | $909 | $114 |
| Abdominal ultrasound (limited) | $194 | $738 | $86 |
| Abscess drainage (complex or multiple) | $428 | $482 | $220 |
| Abscess drainage (simple) | $246 | $1,071 | $129 |
| Abscess incision and drainage | $337 | $1,071 | $174 |
| Albumin blood test | $37 | $55 | $5 |
| Aldosterone test | $242 | $305 | $41 |
| Alkaline phosphatase test | $60 | $85 | $5 |
| Allergy shots | $62 | $36 | $11 |
| Alpha-fetoprotein (AFP) test | $107 | $129 | $17 |
| ALT liver enzyme test | $66 | $58 | $5 |
| Ammonia blood test | $138 | $152 | $15 |
| Amniocentesis | $451 | $489 | $120 |
| Amylase test | $94 | $108 | $6 |
| Anoscopy | $208 | $193 | $129 |
| Antinuclear antibody (ANA) test | $37 | $121 | $12 |
| Arterial blood gas (ABG) | $215 | $276 | $26 |
| AST liver enzyme test | $49 | $77 | $5 |
| Bartholin cyst removal | $137 | $531 | $182 |
| Basic metabolic panel | $189 | $158 | $8 |
| Benign skin lesion removal | $374 | $724 | $171 |
| Bilirubin blood test | $66 | $64 | $5 |
| Blood clotting test (PT/INR) | $65 | $79 | $4 |
| Blood crossmatch | $155 | $182 | — |
| Blood glucose test | $39 | $60 | $5 |
| Blood transfusion | $647 | $940 | $47 |
| Blood type and screen | $85 | $138 | $10 |
| Blood type test | $61 | $106 | $3 |
| Blood type test (ABO group) | $67 | $104 | $3 |
| Blood type test (Rh/D antigen) | $55 | $106 | $3 |
| BNP (heart failure) test | $196 | $296 | $39 |
| Bone scan (nuclear) | $1,203 | $1,896 | $259 |
| Breast ultrasound | $744 | $462 | $92 |
| Breast ultrasound (complete) | $744 | $496 | $100 |
| Breast ultrasound (limited) | $744 | $427 | $84 |
| Breathing tube insertion (intubation) | $386 | $713 | $133 |
| Burn dressing and debridement (medium) | $316 | $357 | $166 |
| Burn dressing and debridement (small) | $177 | $329 | $93 |
| Burn treatment | $180 | $329 | $129 |
| C-reactive protein (CRP) | $132 | $115 | $5 |
| CA 19-9 tumor marker test | $257 | $202 | $21 |
| CA-125 ovarian marker test | $119 | $151 | $21 |
| Calcium blood test | $94 | $63 | $5 |
| Cardiac MRI | $980 | $3,460 | $322 |
| Cardiac MRI without contrast | $589 | $2,970 | $280 |
| Cardiac rehabilitation | $215 | $276 | $26 |
| Cardiac stress test | $807 | $1,039 | $39 |
| Cardioversion | $456 | $1,512 | $155 |
| Carotid artery ultrasound | $569 | $1,133 | $156 |
| CEA tumor marker test | $115 | $174 | $19 |
| Celiac disease test | $52 | $168 | $12 |
| Central line placement | $856 | $881 | $238 |
| Chemotherapy infusion | $433 | $415 | $81 |
| Chemotherapy infusion (each additional) | $462 | $224 | $28 |
| Chemotherapy infusion (first hour) | $433 | $605 | $133 |
| Chest tube insertion | $636 | $532 | $143 |
| Chest X-ray | $227 | $393 | $37 |
| Chest X-ray (1 view) | $227 | $315 | $25 |
| Chest X-ray (2 views) | $227 | $375 | $33 |
| Chickenpox (varicella) vaccine | $87 | $185 | — |
| Circumcision | $165 | $650 | $167 |
| CK-MB heart enzyme test | $23 | $197 | $12 |
| Clotting time test (PTT) | $77 | $101 | $6 |
| Complete blood count (CBC) | $93 | $109 | $7 |
| Complete blood count (CBC) (complete) | $106 | $115 | $8 |
| Complex wound repair | $511 | $954 | $390 |
| Comprehensive metabolic panel | $235 | $194 | $11 |
| Copper blood test | $42 | $164 | $12 |
| Cortisol test | $150 | $158 | $16 |
| COVID-19 PCR test | $88 | $240 | $51 |
| CPAP titration study | $571 | $910 | $69 |
| Creatine kinase (CK) test | $119 | $105 | $7 |
| CT angiography of the chest | $1,675 | $3,571 | $281 |
| CT angiography of the head | $1,285 | $3,228 | $274 |
| CT scan of the abdomen | $1,502 | $2,780 | $230 |
| CT scan of the abdomen and pelvis | $2,384 | $5,068 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $3,409 | $5,627 | $338 |
| CT scan of the abdomen and pelvis with contrast | $2,384 | $5,068 | $300 |
| CT scan of the abdomen and pelvis without contrast | $1,812 | $4,281 | $183 |
| CT scan of the abdomen with and without contrast | $1,667 | $3,213 | $259 |
| CT scan of the abdomen with contrast | $1,502 | $2,780 | $230 |
| CT scan of the abdomen without contrast | $1,141 | $2,375 | $136 |
| CT scan of the arm | $1,273 | $2,500 | $199 |
| CT scan of the arm with contrast | $1,273 | $2,500 | $199 |
| CT scan of the arm without contrast | $1,212 | $2,234 | $161 |
| CT scan of the chest | $1,192 | $2,765 | $167 |
| CT scan of the chest with and without contrast | $1,359 | $2,947 | $196 |
| CT scan of the chest with contrast | $1,192 | $2,765 | $167 |
| CT scan of the chest without contrast | $811 | $2,496 | $133 |
| CT scan of the head | $1,261 | $2,418 | $148 |
| CT scan of the head with and without contrast | $1,513 | $2,699 | $173 |
| CT scan of the head with contrast | $1,261 | $2,418 | $148 |
| CT scan of the head without contrast | $934 | $2,184 | $107 |
| CT scan of the leg | $1,271 | $2,563 | $166 |
| CT scan of the leg with contrast | $1,271 | $2,563 | $166 |
| CT scan of the leg without contrast | $986 | $2,296 | $130 |
| CT scan of the lower back (lumbar spine) | $1,390 | $2,692 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,449 | $3,007 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,390 | $2,692 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,178 | $2,516 | $130 |
| CT scan of the neck | $1,435 | $2,532 | $183 |
| CT scan of the neck (cervical spine) | $1,645 | $2,655 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $1,737 | $3,928 | $196 |
| CT scan of the neck (cervical spine) with contrast | $1,645 | $2,655 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,306 | $2,619 | $131 |
| CT scan of the neck with and without contrast | $1,765 | $2,982 | $220 |
| CT scan of the neck with contrast | $1,435 | $2,532 | $183 |
| CT scan of the neck without contrast | $1,105 | $2,309 | $150 |
| CT scan of the pelvis | $1,161 | $2,679 | $226 |
| CT scan of the pelvis with and without contrast | $853 | $3,092 | $251 |
| CT scan of the pelvis with contrast | $1,285 | $2,679 | $226 |
| CT scan of the pelvis without contrast | $1,037 | $2,391 | $133 |
| CT scan of the sinuses | $1,401 | $2,417 | $152 |
| CT scan of the sinuses with and without contrast | $1,423 | $2,590 | $184 |
| CT scan of the sinuses with contrast | $1,401 | $2,417 | $152 |
| CT scan of the sinuses without contrast | $1,095 | $1,985 | $128 |
| DHEA-sulfate test | $163 | $252 | $22 |
| Diagnostic mammogram | $193 | $378 | $140 |
| Drug screen (urine) | $243 | $284 | $17 |
| Echocardiogram | $940 | $1,612 | $138 |
| Echocardiogram with and without contrast | $577 | $869 | $101 |
| Echocardiogram without contrast | $940 | $2,355 | $138 |
| EKG / ECG (tracing only) | $137 | $340 | $7 |
| Electrocardiogram (EKG) | $137 | $340 | $8 |
| Emergency department visit | $472 | $780 | $69 |
| Emergency department visit (level 1) | $172 | $230 | $11 |
| Emergency department visit (level 2) | $268 | $410 | $40 |
| Emergency department visit (level 3) | $472 | $780 | $69 |
| Emergency department visit (level 4) | $632 | $1,131 | $118 |
| Emergency department visit (level 5) | $1,072 | $1,731 | $171 |
| Endometrial biopsy | $205 | $317 | $98 |
| Estradiol (estrogen) test | $158 | $182 | $28 |
| Facet joint injection (spine) | $1,354 | $1,203 | $99 |
| Fecal occult blood (stool) test | $27 | $59 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $30 | $59 | $4 |
| Ferritin (iron) test | $118 | $148 | $14 |
| Fibrinogen test | $125 | $114 | $10 |
| Flu test | $22 | $139 | $17 |
| Folate (folic acid) test | $114 | $156 | $15 |
| Foreign body removal (skin) | $461 | $372 | $157 |
| Free T4 thyroid test | $74 | $135 | $9 |
| FSH hormone test | $129 | $151 | $19 |
| Gallbladder scan (HIDA) | $1,032 | $1,836 | $334 |
| GGT liver test | $66 | $90 | $7 |
| Glucose tolerance test | $181 | $253 | $8 |
| HDL cholesterol test | $28 | $70 | $8 |
| Hematocrit test | $30 | $46 | $2 |
| Hemoglobin A1c (diabetes test) | $88 | $99 | $10 |
| Hepatitis A vaccine | $31 | $138 | — |
| Hepatitis B test | $93 | $115 | $10 |
| Hepatitis B vaccine | $20 | $92 | — |
| Hepatitis C test | $105 | $140 | $14 |
| HIV test | $108 | $106 | $19 |
| HIV test (antibody) | $86 | $92 | $14 |
| HIV test (antigen/antibody combo) | $131 | $119 | $24 |
| Holter heart monitor | $424 | $563 | $26 |
| Iron blood test | $70 | $78 | $6 |
| IUD insertion | $151 | $330 | — |
| IUD removal | $209 | $411 | $112 |
| IV infusion therapy | $120 | $292 | $44 |
| IV infusion therapy (each additional) | $60 | $159 | $21 |
| IV infusion therapy (initial) | $211 | $425 | $67 |
| Joint aspiration (small/intermediate) | $193 | $172 | $57 |
| Joint aspiration or injection (mid-size joint) | $204 | $172 | $57 |
| Joint aspiration or injection (small joint) | $182 | $215 | $56 |
| Kidney scan (nuclear) | $1,056 | $1,772 | $172 |
| Kidney ultrasound | $313 | $748 | $84 |
| Kidney ultrasound (limited) | $379 | $638 | $61 |
| Knee joint injection | $306 | $314 | $69 |
| Lactate test | $115 | $163 | $12 |
| Laryngoscopy | $724 | $301 | $189 |
| LDH test | $59 | $81 | $6 |
| LDL cholesterol test | $94 | $146 | $11 |
| Leg vein ultrasound (Doppler) | $1,057 | $1,279 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $1,036 | $1,134 | $116 |
| LH hormone test | $143 | $135 | $19 |
| Lipase test | $110 | $135 | $7 |
| Lipid (cholesterol) panel | $76 | $144 | $13 |
| Liver function panel | $154 | $157 | $8 |
| Lung function test (PFT) | $228 | $583 | $37 |
| Lung scan (V/Q) | $1,034 | $2,350 | $291 |
| Magnesium blood test | $73 | $168 | $7 |
| MMR vaccine | $87 | $102 | — |
| MRA of the brain | $1,829 | $3,779 | $226 |
| MRA of the brain with contrast | $1,829 | $3,779 | $226 |
| MRA of the brain without contrast | $2,592 | $4,060 | $328 |
| MRA of the neck | $1,594 | $3,647 | $245 |
| MRA of the neck with contrast | $1,594 | $3,647 | $245 |
| MRA of the neck without contrast | $2,046 | $3,724 | $343 |
| MRI of the abdomen | $2,051 | $3,507 | $300 |
| MRI of the abdomen with contrast | $2,051 | $3,507 | $300 |
| MRI of the abdomen without contrast | $1,798 | $3,261 | $194 |
| MRI of the ankle | $1,521 | $2,729 | $261 |
| MRI of the ankle with contrast | $1,521 | $2,729 | $261 |
| MRI of the ankle without contrast | $1,423 | $2,703 | $222 |
| MRI of the brain | $1,765 | $3,684 | $269 |
| MRI of the brain with contrast | $1,765 | $3,684 | $269 |
| MRI of the brain without contrast | $1,513 | $3,508 | $195 |
| MRI of the chest | $2,137 | $3,602 | $371 |
| MRI of the chest with contrast | $2,137 | $3,602 | $371 |
| MRI of the chest without contrast | $2,323 | $3,910 | $466 |
| MRI of the knee | $1,947 | $2,867 | $315 |
| MRI of the knee with contrast | $1,947 | $2,764 | $315 |
| MRI of the knee without contrast | $1,583 | $2,867 | $204 |
| MRI of the lower back (lumbar spine) | $1,884 | $3,422 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $1,884 | $3,403 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,583 | $3,422 | $192 |
| MRI of the mid-back (thoracic spine) | $1,864 | $3,865 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $2,071 | $5,466 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $1,864 | $3,865 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $1,843 | $3,651 | $190 |
| MRI of the neck (cervical spine) | $2,326 | $4,027 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $2,584 | $5,240 | $318 |
| MRI of the neck (cervical spine) with contrast | $2,326 | $4,027 | $274 |
| MRI of the neck (cervical spine) without contrast | $1,757 | $3,590 | $191 |
| MRI of the pelvis | $1,937 | $3,190 | $268 |
| MRI of the pelvis with contrast | $1,937 | $3,190 | $268 |
| MRI of the pelvis without contrast | $1,715 | $3,126 | $227 |
| MRI of the shoulder | $1,552 | $2,807 | $313 |
| MRI of the shoulder with contrast | $1,552 | $2,807 | $313 |
| MRI of the shoulder without contrast | $1,304 | $2,725 | $205 |
| MRI of the wrist | $1,479 | $2,875 | $330 |
| MRI of the wrist with contrast | $1,479 | $2,875 | $330 |
| MRI of the wrist without contrast | $1,370 | $2,701 | $303 |
| Nebulizer breathing treatment | $112 | $324 | $9 |
| Nuclear cardiac stress test | $2,319 | $5,719 | $428 |
| Occupational therapy evaluation | $101 | $204 | $101 |
| Occupational therapy evaluation (high complexity) | $121 | $220 | $101 |
| Occupational therapy evaluation (low complexity) | $91 | $187 | $101 |
| Occupational therapy evaluation (moderate complexity) | $101 | $254 | $101 |
| Office visit (established patient) | $197 | $193 | $115 |
| Office visit (new patient) | $308 | $588 | $177 |
| Office visit, established patient (level 3) | $192 | $155 | $95 |
| Office visit, established patient (level 4) | $203 | $230 | $136 |
| Office visit, new patient (level 3) | $203 | $572 | $118 |
| Office visit, new patient (level 4) | $308 | $588 | $177 |
| Office visit, new patient (level 5) | $389 | $728 | $237 |
| Pap smear (cervical screening) | $81 | $158 | $20 |
| Parathyroid hormone (PTH) test | $240 | $295 | $41 |
| Pelvic ultrasound | $176 | $610 | $78 |
| Pelvic ultrasound (complete) | $240 | $836 | $105 |
| Pelvic ultrasound (limited) | $113 | $384 | $51 |
| PET scan | $4,357 | $6,953 | — |
| Phosphorus blood test | $55 | $64 | $5 |
| Physical therapy evaluation | $88 | $270 | $98 |
| Physical therapy evaluation (high complexity) | $105 | $300 | $98 |
| Physical therapy evaluation (moderate complexity) | $88 | $270 | $98 |
| Pneumonia vaccine | $113 | $115 | — |
| Pregnancy blood test (hCG) | $140 | $139 | $8 |
| Pregnancy ultrasound | $278 | $732 | $126 |
| Pregnancy ultrasound (first trimester) | $270 | $668 | $117 |
| Pregnancy ultrasound (second or third trimester) | $510 | $796 | $136 |
| Procalcitonin test | $131 | $260 | $27 |
| Prolactin test | $99 | $240 | $19 |
| Prostate test (PSA) | $107 | $142 | $18 |
| Pulmonary rehabilitation | $158 | $248 | $87 |
| Scoliosis spine X-ray | $286 | $432 | $58 |
| Scoliosis spine X-ray (1 view) | $178 | $327 | $44 |
| Scoliosis spine X-ray (3 views) | $394 | $537 | $72 |
| Screening mammogram | $192 | $426 | $126 |
| Scrotal ultrasound | $509 | $694 | $99 |
| Sedimentation rate (ESR) test | $62 | $59 | $3 |
| Sex hormone binding globulin test | $156 | $88 | $22 |
| Shingles vaccine | $92 | $355 | — |
| Simple laceration repair (small, up to 2.5 cm) | $171 | $286 | $114 |
| Simple wound stitches | $187 | $286 | $127 |
| Skin biopsy | $307 | $209 | $121 |
| Skin biopsy (punch) | $307 | $293 | $121 |
| Skin cancer lesion removal | $415 | $911 | $240 |
| Skin lesion freezing (cryotherapy) | $133 | $109 | $36 |
| Skin tag removal | $197 | $210 | $92 |
| Sleep study (polysomnography) | $2,432 | $4,420 | $691 |
| Soft tissue ultrasound | $367 | $574 | $64 |
| Speech therapy | $197 | $305 | $76 |
| Spirometry (lung function test) | $208 | $471 | $30 |
| Spirometry with bronchodilator | $248 | $694 | $43 |
| Strep throat test | $118 | $128 | $17 |
| Stress echocardiogram | $1,376 | $1,638 | $209 |
| Swallow study | $184 | $348 | $85 |
| T3 thyroid test | $100 | $136 | $14 |
| Tdap (tetanus) vaccine | $48 | $57 | — |
| Testosterone test | $146 | $170 | $26 |
| Thyroid test (TSH) | $130 | $125 | $17 |
| Thyroid ultrasound | $432 | $630 | $109 |
| Total IgE allergy test | $105 | $174 | $16 |
| Total protein test | $73 | $64 | $4 |
| Transvaginal ultrasound | $468 | $694 | $118 |
| Trigger point injection | $208 | $371 | $56 |
| Trigger point injection (1-2 muscles) | $208 | $235 | $52 |
| Triglycerides test | $70 | $70 | $6 |
| Troponin (heart) test | $179 | $243 | $12 |
| Upper GI endoscopy (EGD) | $1,317 | $2,764 | $371 |
| Uric acid (gout) test | $61 | $67 | $5 |
| Urinalysis | $52 | $61 | $3 |
| Urine microalbumin test | $72 | $115 | $5 |
| Urine pregnancy test | $73 | $104 | $9 |
| Vaccine administration | $70 | $107 | $19 |
| Vaccine administration (each additional) | $64 | $30 | $16 |
| Vitamin B12 test | $122 | $158 | $15 |
| Vitamin D test | $268 | $262 | $30 |
| Wound debridement | $787 | $416 | $186 |
| X-ray of the abdomen | $294 | $406 | $36 |
| X-ray of the ankle | $203 | $346 | $37 |
| X-ray of the collarbone | $221 | $307 | $33 |
| X-ray of the elbow | $270 | $344 | $33 |
| X-ray of the facial bones | $215 | $368 | $39 |
| X-ray of the foot | $200 | $354 | $34 |
| X-ray of the forearm | $211 | $297 | $29 |
| X-ray of the hand | $249 | $339 | $38 |
| X-ray of the hip | $116 | $291 | $49 |
| X-ray of the hip (1 view) | $116 | $291 | $34 |
| X-ray of the hip (3 views) | $116 | $363 | $49 |
| X-ray of the knee | $310 | $376 | $42 |
| X-ray of the knee (2 views) | $288 | $321 | $34 |
| X-ray of the knee (3 views) | $310 | $387 | $42 |
| X-ray of the knee (4+ views) | $319 | $363 | $49 |
| X-ray of the lower back (lumbar spine) | $383 | $503 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $342 | $461 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $424 | $545 | $53 |
| X-ray of the lower leg | $266 | $322 | $31 |
| X-ray of the mid-back (thoracic spine) | $263 | $451 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $219 | $385 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $307 | $516 | $39 |
| X-ray of the neck (cervical spine) | $322 | $437 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $271 | $356 | $40 |
| X-ray of the pelvis | $228 | $369 | $36 |
| X-ray of the pelvis (1 view) | $216 | $327 | $28 |
| X-ray of the ribs | $278 | $389 | $42 |
| X-ray of the ribs (2 views) | $206 | $354 | $36 |
| X-ray of the ribs (3 views) | $278 | $424 | $42 |
| X-ray of the shoulder | $311 | $376 | $36 |
| X-ray of the skull | $241 | $364 | $40 |
| X-ray of the upper arm | $217 | $333 | $32 |
| X-ray of the wrist | $271 | $324 | $43 |
| Zinc blood test | $36 | $126 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
