| Procedure | Christian Hospital Northeast | Alton Memorial Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $30 | $30 | $51 |
| Abdominal fluid drain (paracentesis) | $2,648 | $2,189 | $284 |
| Abdominal ultrasound | $573 | $510 | $100 |
| Abdominal ultrasound (complete) | $573 | $573 | $114 |
| Abdominal ultrasound (limited) | $448 | $448 | $86 |
| Abscess drainage (complex or multiple) | $953 | $3,022 | $220 |
| Abscess incision and drainage | $953 | $1,558 | $174 |
| Albumin blood test | $20 | $20 | $5 |
| Aldosterone test | $118 | $118 | $41 |
| Alkaline phosphatase test | $32 | $32 | $5 |
| Alpha-fetoprotein (AFP) test | $71 | $71 | $17 |
| ALT liver enzyme test | $16 | $16 | $5 |
| Ammonia blood test | $62 | $62 | $15 |
| Amylase test | $29 | $29 | $6 |
| Antinuclear antibody (ANA) test | $52 | $52 | $12 |
| Arterial blood gas (ABG) | $135 | $135 | $26 |
| AST liver enzyme test | $26 | $26 | $5 |
| Barium swallow study | $279 | $279 | $107 |
| Basic metabolic panel | $157 | $157 | $8 |
| Bilirubin blood test | $22 | $22 | $5 |
| Blood clotting test (PT/INR) | $17 | $17 | $4 |
| Blood crossmatch | $128 | $128 | — |
| Blood glucose test | $31 | $34 | $5 |
| Blood transfusion | $1,993 | $1,993 | $47 |
| Blood type and screen | $46 | $46 | $10 |
| Blood type test | $68 | $68 | $3 |
| Blood type test (ABO group) | $95 | $95 | $3 |
| Blood type test (Rh/D antigen) | $40 | $40 | $3 |
| BNP (heart failure) test | $116 | $116 | $39 |
| Bone density scan (DEXA) | $229 | $229 | $39 |
| Bone marrow biopsy | $5,087 | $9,036 | $172 |
| Bone scan (nuclear) | $1,138 | $1,138 | $259 |
| Breast biopsy | $6,643 | $6,875 | $478 |
| Breast MRI | $1,133 | $1,133 | $216 |
| Breast MRI without contrast | $1,133 | $1,133 | $216 |
| Breast ultrasound | $446 | $454 | $92 |
| Breast ultrasound (complete) | $681 | $454 | $100 |
| Breast ultrasound (limited) | $438 | $438 | $84 |
| Bronchoscopy | $6,622 | $6,112 | $303 |
| Burn dressing and debridement (medium) | $1,503 | $388 | $166 |
| Burn dressing and debridement (small) | $899 | $592 | $93 |
| Burn treatment | $1,503 | $519 | $129 |
| C-reactive protein (CRP) | $28 | $28 | $5 |
| CA 19-9 tumor marker test | $59 | $59 | $21 |
| CA-125 ovarian marker test | $65 | $65 | $21 |
| Calcium blood test | $19 | $19 | $5 |
| Capsule endoscopy | $1,648 | $1,648 | $802 |
| Cardiac ablation | $44,299 | $62,948 | $759 |
| Cardiac catheterization | $22,952 | $9,741 | $1,049 |
| Cardiac stress test | $921 | $921 | $39 |
| Cardioversion | $2,897 | $2,932 | $155 |
| Carotid artery ultrasound | $353 | $1,417 | $156 |
| Carpal tunnel release | $15,554 | $16,302 | $483 |
| CEA tumor marker test | $77 | $77 | $19 |
| Celiac disease test | $61 | $61 | $12 |
| Central line placement | $3,006 | $5,047 | $238 |
| Cervical LEEP procedure | $9,995 | $10,591 | $325 |
| Chemotherapy infusion | $617 | $617 | $81 |
| Chemotherapy infusion (each additional) | $435 | $435 | $28 |
| Chemotherapy infusion (first hour) | $799 | $799 | $133 |
| Chest fluid drain (thoracentesis) | $3,372 | $4,118 | $311 |
| Chest X-ray | $274 | $268 | $37 |
| Chest X-ray (1 view) | $261 | $261 | $25 |
| Chest X-ray (2 views) | $274 | $274 | $33 |
| Circumcision | $8,208 | $2,228 | $167 |
| CK-MB heart enzyme test | $76 | $76 | $12 |
| Clotting time test (PTT) | $79 | $79 | $6 |
| Colonoscopy | $2,520 | $3,454 | $480 |
| Complete blood count (CBC) | $92 | $92 | $7 |
| Complete blood count (CBC) (complete) | $92 | $92 | $8 |
| Comprehensive metabolic panel | $215 | $215 | $11 |
| Copper blood test | $53 | $53 | $12 |
| Coronary artery bypass (CABG) | $132,381 | $133,412 | $36,593 |
| Cortisol test | $70 | $70 | $16 |
| COVID-19 PCR test | $77 | $77 | $51 |
| CPAP titration study | $677 | $677 | $69 |
| Creatine kinase (CK) test | $28 | $28 | $7 |
| CT angiography of the chest | $1,071 | $1,071 | $281 |
| CT angiography of the head | $1,341 | $1,341 | $274 |
| CT scan of the abdomen | $886 | $974 | $230 |
| CT scan of the abdomen and pelvis | $2,839 | $2,292 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $2,981 | $2,981 | $338 |
| CT scan of the abdomen and pelvis with contrast | $2,839 | $2,839 | $300 |
| CT scan of the abdomen and pelvis without contrast | $1,744 | $1,744 | $183 |
| CT scan of the abdomen with and without contrast | $1,063 | $1,063 | $259 |
| CT scan of the abdomen with contrast | $886 | $886 | $230 |
| CT scan of the abdomen without contrast | $812 | $812 | $136 |
| CT scan of the arm | $807 | $913 | $199 |
| CT scan of the arm with contrast | $913 | $913 | $199 |
| CT scan of the arm without contrast | $701 | $701 | $161 |
| CT scan of the chest | $817 | $817 | $167 |
| CT scan of the chest with and without contrast | $974 | $974 | $196 |
| CT scan of the chest with contrast | $926 | $926 | $167 |
| CT scan of the chest without contrast | $709 | $709 | $133 |
| CT scan of the head | $941 | $860 | $148 |
| CT scan of the head with and without contrast | $1,219 | $1,219 | $173 |
| CT scan of the head with contrast | $1,023 | $1,023 | $148 |
| CT scan of the head without contrast | $860 | $860 | $107 |
| CT scan of the leg | $1,049 | $1,049 | $166 |
| CT scan of the leg with contrast | $1,049 | $1,049 | $166 |
| CT scan of the leg without contrast | $905 | $1,358 | $130 |
| CT scan of the lower back (lumbar spine) | $912 | $912 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,122 | $1,122 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $912 | $912 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $691 | $691 | $130 |
| CT scan of the neck | $857 | $857 | $183 |
| CT scan of the neck (cervical spine) | $1,030 | $1,030 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $1,766 | $1,766 | $196 |
| CT scan of the neck (cervical spine) with contrast | $1,030 | $1,030 | $168 |
| CT scan of the neck (cervical spine) without contrast | $907 | $907 | $131 |
| CT scan of the neck with and without contrast | $973 | $973 | $220 |
| CT scan of the neck with contrast | $857 | $857 | $183 |
| CT scan of the neck without contrast | $758 | $758 | $150 |
| CT scan of the pelvis | $924 | $924 | $226 |
| CT scan of the pelvis with and without contrast | $1,494 | $1,494 | $251 |
| CT scan of the pelvis with contrast | $924 | $924 | $226 |
| CT scan of the pelvis without contrast | $705 | $705 | $133 |
| CT scan of the sinuses | $916 | $916 | $152 |
| CT scan of the sinuses with and without contrast | $1,145 | $1,145 | $184 |
| CT scan of the sinuses with contrast | $916 | $916 | $152 |
| CT scan of the sinuses without contrast | $793 | $793 | $128 |
| D-dimer test | $67 | $67 | $10 |
| Defibrillator (ICD) implant | $13,867 | $13,867 | $798 |
| DHEA-sulfate test | $170 | $170 | $22 |
| Diagnostic mammogram | $198 | $198 | $140 |
| Dilation and curettage (D&C) | $11,306 | $10,067 | $298 |
| Drug screen (urine) | $118 | $118 | $17 |
| Echocardiogram | $953 | $1,483 | $138 |
| Echocardiogram with and without contrast | $424 | $424 | $101 |
| Echocardiogram without contrast | $1,483 | $1,483 | $138 |
| EEG (awake and asleep) | $1,304 | $1,304 | $482 |
| EKG / ECG (tracing only) | $318 | $318 | $7 |
| Electrocardiogram (EKG) | $318 | $318 | $8 |
| Electroencephalogram (EEG) | $1,094 | $1,199 | $448 |
| Electrolyte panel | $50 | $50 | $7 |
| Emergency department visit | $1,604 | $1,604 | $69 |
| Emergency department visit (level 1) | $569 | $569 | $11 |
| Emergency department visit (level 2) | $1,010 | $1,010 | $40 |
| Emergency department visit (level 3) | $1,604 | $1,604 | $69 |
| Emergency department visit (level 4) | $2,259 | $2,259 | $118 |
| Emergency department visit (level 5) | $3,331 | $3,331 | $171 |
| Epidural steroid injection | $2,828 | $3,161 | $275 |
| ERCP (bile duct endoscopy) | $3,319 | $3,388 | $311 |
| Esophageal dilation | $2,000 | $2,852 | $522 |
| Estradiol (estrogen) test | $79 | $79 | $28 |
| Facet joint injection (spine) | $3,894 | $3,886 | $99 |
| Fecal occult blood (stool) test | $33 | $33 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $18 | $18 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $47 | $47 | $16 |
| Feeding tube (PEG) placement | $1,450 | $4,514 | $178 |
| Ferritin (iron) test | $58 | $58 | $14 |
| Fibrinogen test | $62 | $62 | $10 |
| Flexible sigmoidoscopy | $1,825 | $1,775 | $323 |
| Folate (folic acid) test | $62 | $62 | $15 |
| Free T4 thyroid test | $44 | $44 | $9 |
| FSH hormone test | $151 | $151 | $19 |
| Gallbladder scan (HIDA) | $820 | $820 | $334 |
| Ganglion cyst removal | $14,479 | $9,019 | $321 |
| GGT liver test | $31 | $31 | $7 |
| Glucose tolerance test | $84 | $84 | $8 |
| Group therapy session | $317 | $317 | $30 |
| H. pylori test | $169 | $169 | $67 |
| HDL cholesterol test | $35 | $35 | $8 |
| Hematocrit test | $18 | $18 | $2 |
| Hemodialysis | $1,354 | $1,354 | $75 |
| Hemoglobin A1c (diabetes test) | $34 | $34 | $10 |
| Hemorrhoid removal | $4,011 | $7,428 | $338 |
| Hepatitis B test | $43 | $43 | $10 |
| Hepatitis B vaccine | $116 | $116 | — |
| Hepatitis C test | $61 | $61 | $14 |
| HIV test | $60 | $60 | $19 |
| HIV test (antigen/antibody combo) | $60 | $60 | $24 |
| Holter heart monitor | $775 | $775 | $26 |
| Home sleep apnea test | $870 | $870 | $123 |
| HPV vaccine | $507 | $613 | — |
| Hysteroscopy | $12,764 | $13,039 | $1,270 |
| Inguinal hernia repair | $19,325 | $12,208 | $538 |
| Iron blood test | $25 | $25 | $6 |
| IV infusion therapy | $547 | $547 | $44 |
| IV infusion therapy (each additional) | $132 | $132 | $21 |
| IV infusion therapy (initial) | $547 | $547 | $67 |
| IVC filter placement | $5,200 | $7,053 | $1,885 |
| Joint aspiration (small/intermediate) | $1,630 | $2,045 | $57 |
| Joint aspiration or injection (mid-size joint) | $2,077 | $2,058 | $57 |
| Joint aspiration or injection (small joint) | $720 | $2,031 | $56 |
| Kidney biopsy | $2,915 | $9,335 | $492 |
| Kidney scan (nuclear) | $1,060 | $1,060 | $172 |
| Kidney ultrasound | $395 | $526 | $84 |
| Kidney ultrasound (limited) | $395 | $395 | $61 |
| Knee joint injection | $2,801 | $2,808 | $69 |
| Knee replacement | $62,427 | $45,021 | $18,054 |
| Lactate test | $165 | $165 | $12 |
| LDH test | $26 | $26 | $6 |
| LDL cholesterol test | $32 | $32 | $11 |
| Leg artery angiogram | $3,006 | $3,006 | $149 |
| Leg artery angioplasty | $27,396 | $37,839 | — |
| Leg vein ultrasound (Doppler) | $1,191 | $1,191 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $1,021 | $1,021 | $116 |
| LH hormone test | $105 | $105 | $19 |
| Lipase test | $75 | $75 | $7 |
| Lipid (cholesterol) panel | $57 | $57 | $13 |
| Liver biopsy | $5,250 | $4,118 | $288 |
| Liver function panel | $53 | $53 | $8 |
| Lung function test (PFT) | $331 | $687 | $37 |
| Lung scan (V/Q) | $757 | $757 | $291 |
| Magnesium blood test | $94 | $94 | $7 |
| MMR vaccine | $231 | $224 | — |
| MRA of the brain | $1,887 | $1,887 | $226 |
| MRA of the brain with contrast | $1,887 | $1,887 | $226 |
| MRA of the brain without contrast | $2,647 | $2,647 | $328 |
| MRA of the neck | $1,721 | $2,140 | $245 |
| MRA of the neck without contrast | $2,452 | $2,452 | $343 |
| MRI of the abdomen | $1,843 | $1,584 | $300 |
| MRI of the abdomen with contrast | $1,725 | $1,725 | $300 |
| MRI of the abdomen without contrast | $1,442 | $1,442 | $194 |
| MRI of the ankle | $1,246 | $1,170 | $261 |
| MRI of the ankle without contrast | $1,170 | $1,170 | $222 |
| MRI of the brain | $1,531 | $1,382 | $269 |
| MRI of the brain with contrast | $1,680 | $1,680 | $269 |
| MRI of the brain without contrast | $1,382 | $1,382 | $195 |
| MRI of the chest | $1,732 | $1,579 | $371 |
| MRI of the chest without contrast | $2,149 | $2,149 | $466 |
| MRI of the knee | $1,591 | $1,434 | $315 |
| MRI of the knee with contrast | $1,748 | $1,748 | $315 |
| MRI of the knee without contrast | $1,434 | $1,434 | $204 |
| MRI of the lower back (lumbar spine) | $1,470 | $1,446 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $1,470 | $1,470 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,423 | $1,423 | $192 |
| MRI of the mid-back (thoracic spine) | $1,636 | $1,636 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $1,910 | $1,910 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $1,636 | $1,636 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $1,153 | $1,153 | $190 |
| MRI of the neck (cervical spine) | $1,539 | $1,697 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $1,907 | $1,907 | $318 |
| MRI of the neck (cervical spine) with contrast | $1,697 | $1,697 | $274 |
| MRI of the neck (cervical spine) without contrast | $1,381 | $1,381 | $191 |
| MRI of the pelvis | $1,446 | $1,446 | $268 |
| MRI of the pelvis without contrast | $1,446 | $1,446 | $227 |
| MRI of the shoulder | $2,202 | $2,202 | $313 |
| MRI of the shoulder with contrast | $3,138 | $3,138 | $313 |
| MRI of the shoulder without contrast | $1,266 | $1,266 | $205 |
| MRI of the wrist | $1,673 | $1,484 | $330 |
| MRI of the wrist without contrast | $1,296 | $1,296 | $303 |
| Nebulizer breathing treatment | $240 | $240 | $9 |
| Nerve conduction study | $953 | $953 | $118 |
| Nuclear cardiac stress test | $2,061 | $2,061 | $428 |
| Occupational therapy evaluation | $192 | $197 | $101 |
| Occupational therapy evaluation (high complexity) | $233 | $233 | $101 |
| Occupational therapy evaluation (low complexity) | $192 | $192 | $101 |
| Occupational therapy evaluation (moderate complexity) | $197 | $197 | $101 |
| Orthopedic hardware removal | $23,653 | $10,807 | $632 |
| Pacemaker insertion | $55,749 | $40,681 | $15,506 |
| Pap smear (cervical screening) | $73 | $73 | $20 |
| Parathyroid hormone (PTH) test | $138 | $138 | $41 |
| Pelvic ultrasound | $444 | $614 | $78 |
| Pelvic ultrasound (complete) | $614 | $614 | $105 |
| Pelvic ultrasound (limited) | $274 | $274 | $51 |
| PET scan | $3,896 | $3,397 | — |
| Phosphorus blood test | $59 | $59 | $5 |
| Physical therapy evaluation | $142 | $142 | $98 |
| Physical therapy evaluation (high complexity) | $184 | $184 | $98 |
| Physical therapy evaluation (moderate complexity) | $163 | $163 | $98 |
| Pilonidal cyst removal | $10,533 | $10,391 | $541 |
| Platelet count | $19 | $19 | $4 |
| Pregnancy ultrasound | $554 | $554 | $126 |
| Pregnancy ultrasound (first trimester) | $474 | $474 | $117 |
| Pregnancy ultrasound (second or third trimester) | $634 | $634 | $136 |
| Procalcitonin test | $101 | $101 | $27 |
| Prolactin test | $89 | $89 | $19 |
| Prostate biopsy | $12,863 | $11,611 | — |
| Prostate test (PSA) | $77 | $77 | $18 |
| Psychiatric evaluation | $259 | $259 | $188 |
| Psychotherapy session | $239 | $239 | $140 |
| Radiofrequency nerve ablation | $4,439 | $3,980 | $462 |
| Rheumatoid factor test | $22 | $22 | $6 |
| Sacroiliac joint injection | $4,882 | $4,061 | $176 |
| Scoliosis spine X-ray | $187 | $187 | $58 |
| Scoliosis spine X-ray (1 view) | $182 | $182 | $44 |
| Scoliosis spine X-ray (3 views) | $192 | $192 | $72 |
| Screening mammogram | $209 | $209 | $126 |
| Scrotal ultrasound | $820 | $820 | $99 |
| Sedimentation rate (ESR) test | $23 | $23 | $3 |
| Semen analysis | $85 | $52 | $12 |
| Sex hormone binding globulin test | $68 | $68 | $22 |
| Skin graft | $8,990 | $8,862 | $898 |
| Skin lesion freezing (cryotherapy) | $126 | $624 | $36 |
| Sleep study (polysomnography) | $4,633 | $4,633 | $691 |
| Soft tissue ultrasound | $157 | $157 | $64 |
| Speech therapy | $227 | $284 | $76 |
| Spinal cord stimulator | $20,920 | $8,251 | $2,388 |
| Spinal tap (lumbar puncture) | $794 | $5,206 | $165 |
| Spine fracture repair (kyphoplasty) | $6,284 | $6,284 | $5,803 |
| Spirometry (lung function test) | $331 | $331 | $30 |
| Spirometry with bronchodilator | $1,042 | $1,042 | $43 |
| Strep throat test | $31 | $31 | $17 |
| Stress echocardiogram | $4,006 | $4,006 | $209 |
| Swallow study | $146 | $162 | $85 |
| T3 thyroid test | $51 | $51 | $14 |
| Tdap (tetanus) vaccine | $92 | $89 | — |
| Testosterone test | $144 | $144 | $26 |
| Thyroid test (TSH) | $66 | $66 | $17 |
| Thyroid ultrasound | $411 | $411 | $109 |
| Thyroid uptake scan | $521 | $580 | $145 |
| Total IgE allergy test | $100 | $100 | $16 |
| Total protein test | $16 | $16 | $4 |
| Transesophageal echocardiogram (TEE) | $2,887 | $1,998 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $2,887 | $2,887 | $239 |
| Transvaginal ultrasound | $385 | $385 | $118 |
| Trigger finger release | $14,212 | $6,343 | $630 |
| Trigger point injection | $1,176 | $1,138 | $56 |
| Trigger point injection (1-2 muscles) | $1,333 | $1,489 | $52 |
| Triglycerides test | $30 | $30 | $6 |
| Troponin (heart) test | $86 | $86 | $12 |
| Ulnar nerve surgery (elbow) | $16,838 | $17,187 | $575 |
| Upper GI endoscopy (EGD) | $1,823 | $2,830 | $371 |
| Upper GI series (barium) | $385 | $412 | $128 |
| Uric acid (gout) test | $23 | $23 | $5 |
| Urinalysis | $20 | $20 | $3 |
| Urine microalbumin test | $22 | $22 | $5 |
| Urine pregnancy test | $76 | $76 | $9 |
| Vaccine administration | $66 | $66 | $19 |
| Vaccine administration (each additional) | $49 | $49 | $16 |
| Varicose vein ablation | $3,374 | $6,958 | $1,018 |
| Vitamin B12 test | $64 | $64 | $15 |
| Vitamin D test | $115 | $115 | $30 |
| Wound debridement | $2,444 | $3,361 | $186 |
| X-ray of the abdomen | $208 | $208 | $36 |
| X-ray of the ankle | $166 | $166 | $37 |
| X-ray of the collarbone | $151 | $151 | $33 |
| X-ray of the elbow | $179 | $179 | $33 |
| X-ray of the facial bones | $222 | $222 | $39 |
| X-ray of the foot | $173 | $173 | $34 |
| X-ray of the forearm | $162 | $162 | $29 |
| X-ray of the hand | $178 | $178 | $38 |
| X-ray of the hip | $103 | $115 | $49 |
| X-ray of the hip (1 view) | $91 | $91 | $34 |
| X-ray of the hip (3 views) | $115 | $115 | $49 |
| X-ray of the hip (4 views) | $208 | $208 | $63 |
| X-ray of the knee | $184 | $171 | $42 |
| X-ray of the knee (2 views) | $157 | $157 | $34 |
| X-ray of the knee (3 views) | $184 | $184 | $42 |
| X-ray of the knee (4+ views) | $233 | $233 | $49 |
| X-ray of the lower back (lumbar spine) | $251 | $251 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $185 | $185 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $316 | $316 | $53 |
| X-ray of the lower leg | $209 | $209 | $31 |
| X-ray of the mid-back (thoracic spine) | $228 | $275 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $181 | $181 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $275 | $275 | $39 |
| X-ray of the neck (cervical spine) | $293 | $293 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $236 | $236 | $40 |
| X-ray of the pelvis | $203 | $170 | $36 |
| X-ray of the pelvis (1 view) | $170 | $170 | $28 |
| X-ray of the ribs | $212 | $212 | $42 |
| X-ray of the ribs (2 views) | $257 | $257 | $36 |
| X-ray of the ribs (3 views) | $185 | $185 | $42 |
| X-ray of the shoulder | $199 | $199 | $36 |
| X-ray of the skull | $239 | $239 | $40 |
| X-ray of the upper arm | $168 | $168 | $32 |
| X-ray of the wrist | $171 | $171 | $43 |
| Zinc blood test | $32 | $32 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
