| Procedure | Community Memorial Hospital | Faulkton Area Medical Center | Medicare |
|---|
| Abdominal ultrasound | $1,015 | $570 | $100 |
| Abdominal ultrasound (complete) | $1,247 | $855 | $114 |
| Abdominal ultrasound (limited) | $1,015 | $570 | $86 |
| Albumin blood test | $30 | $63 | $5 |
| Aldosterone test | $202 | $194 | $41 |
| Alkaline phosphatase test | $30 | $42 | $5 |
| Alpha-fetoprotein (AFP) test | $108 | $86 | $17 |
| ALT liver enzyme test | $57 | $45 | $5 |
| Ammonia blood test | $115 | $127 | $15 |
| Amylase test | $37 | $101 | $6 |
| Arterial blood gas (ABG) | $219 | $187 | $26 |
| AST liver enzyme test | $55 | $59 | $5 |
| Basic metabolic panel | $65 | $133 | $8 |
| Bilirubin blood test | $50 | $41 | $5 |
| Blood clotting test (PT/INR) | $47 | $62 | $4 |
| Blood crossmatch | $126 | $90 | — |
| Blood glucose test | $23 | $52 | $5 |
| Blood transfusion | $950 | $911 | $47 |
| Blood type and screen | $126 | $81 | $10 |
| Blood type test | $61 | $57 | $3 |
| Blood type test (ABO group) | $61 | $57 | $3 |
| Blood type test (Rh/D antigen) | $61 | $57 | $3 |
| BNP (heart failure) test | $215 | $200 | $39 |
| Bone density scan (DEXA) | $546 | $40 | $39 |
| Breathing tube insertion (intubation) | $408 | $510 | $133 |
| C-reactive protein (CRP) | $86 | $119 | $5 |
| CA 19-9 tumor marker test | $197 | $151 | $21 |
| CA-125 ovarian marker test | $117 | $239 | $21 |
| Calcium blood test | $18 | $70 | $5 |
| Cardiac rehabilitation | $218 | $155 | $26 |
| Carotid artery ultrasound | $1,225 | $839 | $156 |
| CEA tumor marker test | $98 | $161 | $19 |
| Celiac disease test | $172 | $76 | $12 |
| Chemotherapy infusion | $430 | $358 | $81 |
| Chemotherapy infusion (each additional) | $172 | $278 | $28 |
| Chemotherapy infusion (first hour) | $689 | $437 | $133 |
| Chest X-ray | $300 | $221 | $37 |
| Chest X-ray (1 view) | $291 | $194 | $25 |
| Chest X-ray (2 views) | $309 | $296 | $33 |
| CK-MB heart enzyme test | $68 | $122 | $12 |
| Clotting time test (PTT) | $86 | $27 | $6 |
| Colonoscopy | $525 | $1,818 | $480 |
| Complete blood count (CBC) | $61 | $118 | $7 |
| Complete blood count (CBC) (complete) | $71 | $118 | $8 |
| Comprehensive metabolic panel | $115 | $178 | $11 |
| Copper blood test | $43 | $72 | $12 |
| Cortisol test | $91 | $54 | $16 |
| COVID-19 PCR test | $163 | $171 | $51 |
| CPAP titration study | $877 | $668 | $69 |
| Creatine kinase (CK) test | $92 | $70 | $7 |
| CT angiography of the chest | $3,618 | $2,320 | $281 |
| CT scan of the abdomen | $2,295 | $2,500 | $230 |
| CT scan of the abdomen and pelvis | $4,223 | $3,558 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $4,223 | $6,195 | $338 |
| CT scan of the abdomen and pelvis with contrast | $4,628 | $3,558 | $300 |
| CT scan of the abdomen and pelvis without contrast | $3,939 | $3,098 | $183 |
| CT scan of the abdomen with contrast | $2,295 | $1,902 | $230 |
| CT scan of the abdomen without contrast | $1,969 | $1,746 | $136 |
| CT scan of the arm | $2,955 | $3,094 | $199 |
| CT scan of the arm without contrast | $2,955 | $1,644 | $161 |
| CT scan of the head | $2,600 | $2,172 | $148 |
| CT scan of the head with and without contrast | $3,073 | $3,098 | $173 |
| CT scan of the head without contrast | $2,127 | $2,012 | $107 |
| CT scan of the leg | $2,866 | $3,094 | $166 |
| CT scan of the leg with contrast | $2,897 | $2,750 | $166 |
| CT scan of the lower back (lumbar spine) | $2,122 | $2,022 | $169 |
| CT scan of the lower back (lumbar spine) with contrast | $2,117 | $2,399 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $2,127 | $1,644 | $130 |
| CT scan of the neck | $3,073 | $3,098 | $183 |
| CT scan of the neck (cervical spine) | $2,071 | $1,964 | $168 |
| CT scan of the neck (cervical spine) without contrast | $2,071 | $1,644 | $131 |
| CT scan of the neck with and without contrast | $3,129 | $3,098 | $220 |
| CT scan of the neck with contrast | $3,073 | $3,250 | $183 |
| CT scan of the neck without contrast | $2,127 | $1,644 | $150 |
| CT scan of the pelvis | $2,135 | $2,293 | $226 |
| CT scan of the pelvis without contrast | $2,135 | $2,047 | $133 |
| CT scan of the sinuses | $1,941 | $1,730 | $152 |
| CT scan of the sinuses with and without contrast | $2,127 | $3,098 | $184 |
| CT scan of the sinuses with contrast | $1,941 | $1,730 | $152 |
| CT scan of the sinuses without contrast | $1,674 | $1,674 | $128 |
| D-dimer test | $148 | $180 | $10 |
| DHEA-sulfate test | $157 | $113 | $22 |
| Drug screen (urine) | $116 | $185 | $17 |
| Echocardiogram | $2,202 | $885 | $138 |
| EKG / ECG (tracing only) | $163 | $122 | $7 |
| Electrocardiogram (EKG) | $163 | $122 | $8 |
| Electrolyte panel | $71 | $98 | $7 |
| Emergency department visit | $342 | $261 | $69 |
| Emergency department visit (level 1) | $342 | $173 | $11 |
| Emergency department visit (level 2) | $216 | $182 | $40 |
| Emergency department visit (level 3) | $286 | $271 | $69 |
| Emergency department visit (level 4) | $434 | $395 | $118 |
| Emergency department visit (level 5) | $537 | $657 | $171 |
| Estradiol (estrogen) test | $78 | $105 | $28 |
| Fecal occult blood (stool) test | $60 | $33 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $58 | $33 | $4 |
| Ferritin (iron) test | $91 | $113 | $14 |
| Fibrinogen test | $72 | $159 | $10 |
| Flu test | $72 | $63 | $17 |
| Folate (folic acid) test | $98 | $94 | $15 |
| Free T4 thyroid test | $86 | $102 | $9 |
| FSH hormone test | $97 | $78 | $19 |
| GGT liver test | $28 | $88 | $7 |
| Hematocrit test | $54 | $43 | $2 |
| Hemoglobin A1c (diabetes test) | $53 | $74 | $10 |
| Hepatitis B test | $65 | $96 | $10 |
| Hepatitis C test | $122 | $180 | $14 |
| HIV test | $173 | $104 | $19 |
| HIV test (antigen/antibody combo) | $173 | $104 | $24 |
| Holter heart monitor | $505 | $404 | $26 |
| Iron blood test | $42 | $63 | $6 |
| IV infusion therapy | $285 | $487 | $44 |
| IV infusion therapy (each additional) | $146 | $393 | $21 |
| IV infusion therapy (initial) | $423 | $487 | $67 |
| Kidney ultrasound | $787 | $504 | $84 |
| Kidney ultrasound (limited) | $787 | $504 | $61 |
| Lactate test | $79 | $101 | $12 |
| LDH test | $32 | $73 | $6 |
| LDL cholesterol test | $75 | $95 | $11 |
| Leg vein ultrasound (Doppler) | $837 | $707 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $837 | $543 | $116 |
| LH hormone test | $93 | $172 | $19 |
| Lipase test | $91 | $156 | $7 |
| Lipid (cholesterol) panel | $87 | $102 | $13 |
| Liver function panel | $98 | $86 | $8 |
| Lung function test (PFT) | $322 | $196 | $37 |
| Magnesium blood test | $52 | $44 | $7 |
| MRI of the abdomen | $3,910 | $2,542 | $300 |
| MRI of the abdomen with contrast | $3,910 | $2,542 | $300 |
| MRI of the brain | $5,869 | $2,110 | $269 |
| MRI of the brain without contrast | $3,522 | $2,037 | $195 |
| MRI of the knee | $3,652 | $2,214 | $315 |
| MRI of the knee without contrast | $3,652 | $2,056 | $204 |
| MRI of the lower back (lumbar spine) | $4,022 | $2,209 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $4,022 | $2,209 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $3,883 | $2,186 | $192 |
| MRI of the mid-back (thoracic spine) | $3,771 | $2,319 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $3,771 | $2,259 | $190 |
| MRI of the neck (cervical spine) | $4,248 | $2,432 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $4,613 | $2,679 | $318 |
| MRI of the neck (cervical spine) without contrast | $3,883 | $2,184 | $191 |
| MRI of the pelvis | $3,939 | $2,908 | $268 |
| MRI of the pelvis without contrast | $3,591 | $2,461 | $227 |
| Occupational therapy evaluation | $204 | $190 | $101 |
| Occupational therapy evaluation (high complexity) | $232 | $235 | $101 |
| Occupational therapy evaluation (low complexity) | $176 | $167 | $101 |
| Office visit (established patient) | $272 | $153 | $115 |
| Office visit, established patient (level 3) | $247 | $136 | $95 |
| Office visit, established patient (level 4) | $292 | $187 | $136 |
| Pap smear (cervical screening) | $79 | $68 | $20 |
| Parathyroid hormone (PTH) test | $183 | $203 | $41 |
| Pelvic ultrasound | $739 | $380 | $78 |
| Pelvic ultrasound (complete) | $838 | $843 | $105 |
| Pelvic ultrasound (limited) | $639 | $380 | $51 |
| Phosphorus blood test | $49 | $51 | $5 |
| Physical therapy evaluation | $204 | $190 | $98 |
| Physical therapy evaluation (high complexity) | $232 | $235 | $98 |
| Physical therapy evaluation (moderate complexity) | $204 | $190 | $98 |
| Platelet count | $54 | $64 | $4 |
| Pregnancy blood test (hCG) | $103 | $107 | $8 |
| Procalcitonin test | $196 | $128 | $27 |
| Prolactin test | $289 | $81 | $19 |
| Prostate test (PSA) | $76 | $145 | $18 |
| Screening mammogram | $374 | $311 | $126 |
| Scrotal ultrasound | $926 | $738 | $99 |
| Sedimentation rate (ESR) test | $79 | $59 | $3 |
| Sex hormone binding globulin test | $126 | $73 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $127 | $273 | $114 |
| Simple wound stitches | $153 | $273 | $127 |
| Soft tissue ultrasound | $629 | $393 | $64 |
| Speech therapy | $264 | $218 | $76 |
| Spirometry with bronchodilator | $322 | $297 | $43 |
| Strep throat test | $76 | $72 | $17 |
| Swallow study | $335 | $248 | $85 |
| T3 thyroid test | $85 | $75 | $14 |
| Tdap (tetanus) vaccine | $140 | $149 | — |
| Testosterone test | $136 | $123 | $26 |
| Thyroid test (TSH) | $89 | $100 | $17 |
| Thyroid ultrasound | $835 | $533 | $109 |
| Total IgE allergy test | $24 | $150 | $16 |
| Total protein test | $16 | $72 | $4 |
| Transvaginal ultrasound | $898 | $423 | $118 |
| Troponin (heart) test | $88 | $137 | $12 |
| Upper GI endoscopy (EGD) | $453 | $1,718 | $371 |
| Uric acid (gout) test | $33 | $69 | $5 |
| Urinalysis | $25 | $66 | $3 |
| Urine microalbumin test | $69 | $62 | $5 |
| Urine pregnancy test | $52 | $103 | $9 |
| Vaccine administration | $31 | $19 | $19 |
| Vitamin B12 test | $104 | $109 | $15 |
| Vitamin D test | $121 | $141 | $30 |
| Wound debridement | $313 | $372 | $186 |
| X-ray of the abdomen | $380 | $290 | $36 |
| X-ray of the ankle | $282 | $284 | $37 |
| X-ray of the collarbone | $230 | $150 | $33 |
| X-ray of the elbow | $282 | $305 | $33 |
| X-ray of the foot | $282 | $314 | $34 |
| X-ray of the forearm | $175 | $284 | $29 |
| X-ray of the hand | $282 | $329 | $38 |
| X-ray of the hip | $503 | $216 | $49 |
| X-ray of the hip (3 views) | $503 | $225 | $49 |
| X-ray of the knee | $338 | $356 | $42 |
| X-ray of the knee (2 views) | $173 | $205 | $34 |
| X-ray of the knee (3 views) | $338 | $329 | $42 |
| X-ray of the knee (4+ views) | $372 | $356 | $49 |
| X-ray of the lower back (lumbar spine) | $255 | $474 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $220 | $390 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $290 | $558 | $53 |
| X-ray of the lower leg | $230 | $291 | $31 |
| X-ray of the mid-back (thoracic spine) | $446 | $294 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $446 | $294 | $33 |
| X-ray of the neck (cervical spine) | $276 | $431 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $230 | $411 | $40 |
| X-ray of the pelvis | $461 | $226 | $36 |
| X-ray of the pelvis (1 view) | $461 | $226 | $28 |
| X-ray of the ribs | $264 | $442 | $42 |
| X-ray of the ribs (2 views) | $264 | $403 | $36 |
| X-ray of the ribs (3 views) | $351 | $442 | $42 |
| X-ray of the shoulder | $257 | $283 | $36 |
| X-ray of the skull | $217 | $356 | $40 |
| X-ray of the upper arm | $230 | $275 | $32 |
| X-ray of the wrist | $282 | $253 | $43 |
| Zinc blood test | $85 | $114 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
