| Procedure | Community Memorial Hospital | Sanford Medical Center Aberdeen | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $67 | $87 | $51 |
| Abdominal ultrasound | $1,015 | $847 | $100 |
| Abdominal ultrasound (complete) | $1,247 | $953 | $114 |
| Abdominal ultrasound (limited) | $1,015 | $742 | $86 |
| Blood transfusion | $950 | $980 | $47 |
| Bone density scan (DEXA) | $546 | $491 | $39 |
| Breathing tube insertion (intubation) | $408 | $590 | $133 |
| Cardiac rehabilitation | $218 | $253 | $26 |
| Carotid artery ultrasound | $1,225 | $964 | $156 |
| Chemotherapy infusion | $430 | $510 | $81 |
| Chemotherapy infusion (each additional) | $172 | $299 | $28 |
| Chemotherapy infusion (first hour) | $689 | $720 | $133 |
| Chest X-ray | $300 | $367 | $37 |
| Chest X-ray (1 view) | $291 | $289 | $25 |
| Chest X-ray (2 views) | $309 | $333 | $33 |
| CPAP titration study | $877 | $224 | $69 |
| CT angiography of the chest | $3,618 | $2,884 | $281 |
| CT scan of the abdomen | $2,295 | $2,554 | $230 |
| CT scan of the abdomen and pelvis | $4,223 | $4,120 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $4,223 | $4,808 | $338 |
| CT scan of the abdomen and pelvis with contrast | $4,628 | $4,120 | $300 |
| CT scan of the abdomen and pelvis without contrast | $3,939 | $4,120 | $183 |
| CT scan of the abdomen with contrast | $2,295 | $2,554 | $230 |
| CT scan of the abdomen without contrast | $1,969 | $2,430 | $136 |
| CT scan of the arm | $2,955 | $2,087 | $199 |
| CT scan of the arm without contrast | $2,955 | $1,915 | $161 |
| CT scan of the head | $2,600 | $2,151 | $148 |
| CT scan of the head with and without contrast | $3,073 | $2,427 | $173 |
| CT scan of the head without contrast | $2,127 | $1,978 | $107 |
| CT scan of the leg | $2,866 | $2,376 | $166 |
| CT scan of the leg with contrast | $2,897 | $2,529 | $166 |
| CT scan of the lower back (lumbar spine) | $2,122 | $2,472 | $169 |
| CT scan of the lower back (lumbar spine) with contrast | $2,117 | $2,371 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $2,127 | $2,472 | $130 |
| CT scan of the neck | $3,073 | $2,427 | $183 |
| CT scan of the neck (cervical spine) | $2,071 | $2,402 | $168 |
| CT scan of the neck (cervical spine) without contrast | $2,071 | $2,199 | $131 |
| CT scan of the neck with and without contrast | $3,129 | $2,656 | $220 |
| CT scan of the neck with contrast | $3,073 | $2,427 | $183 |
| CT scan of the neck without contrast | $2,127 | $2,358 | $150 |
| CT scan of the pelvis | $2,135 | $2,242 | $226 |
| CT scan of the pelvis without contrast | $2,135 | $1,896 | $133 |
| CT scan of the sinuses | $1,941 | $2,266 | $152 |
| CT scan of the sinuses with and without contrast | $2,127 | $2,472 | $184 |
| CT scan of the sinuses with contrast | $1,941 | $2,266 | $152 |
| CT scan of the sinuses without contrast | $1,674 | $1,854 | $128 |
| Echocardiogram | $2,202 | $1,255 | $138 |
| EKG / ECG (tracing only) | $163 | $228 | $7 |
| Electrocardiogram (EKG) | $163 | $228 | $8 |
| Emergency department visit | $342 | $712 | $69 |
| Emergency department visit (level 1) | $342 | $310 | $11 |
| Emergency department visit (level 2) | $216 | $510 | $40 |
| Emergency department visit (level 3) | $286 | $712 | $69 |
| Emergency department visit (level 4) | $434 | $985 | $118 |
| Emergency department visit (level 5) | $537 | $1,570 | $171 |
| Holter heart monitor | $505 | $598 | $26 |
| IV infusion therapy | $285 | $306 | $44 |
| IV infusion therapy (each additional) | $146 | $162 | $21 |
| IV infusion therapy (initial) | $423 | $450 | $67 |
| Kidney ultrasound | $787 | $741 | $84 |
| Kidney ultrasound (limited) | $787 | $627 | $61 |
| Leg vein ultrasound (Doppler) | $837 | $1,130 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $837 | $974 | $116 |
| Lung function test (PFT) | $322 | $385 | $37 |
| MRI of the abdomen | $3,910 | $3,420 | $300 |
| MRI of the brain | $5,869 | $3,315 | $269 |
| MRI of the brain without contrast | $3,522 | $2,930 | $195 |
| MRI of the knee | $3,652 | $3,254 | $315 |
| MRI of the knee without contrast | $3,652 | $3,254 | $204 |
| MRI of the lower back (lumbar spine) | $4,022 | $3,348 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $4,022 | $3,348 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $3,883 | $3,254 | $192 |
| MRI of the mid-back (thoracic spine) | $3,771 | $3,348 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $3,771 | $3,254 | $190 |
| MRI of the neck (cervical spine) | $4,248 | $3,254 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $4,613 | $4,230 | $318 |
| MRI of the neck (cervical spine) without contrast | $3,883 | $3,254 | $191 |
| MRI of the pelvis | $3,939 | $3,759 | $268 |
| MRI of the pelvis without contrast | $3,591 | $3,223 | $227 |
| Occupational therapy evaluation | $204 | $267 | $101 |
| Occupational therapy evaluation (high complexity) | $232 | $366 | $101 |
| Occupational therapy evaluation (low complexity) | $176 | $257 | $101 |
| Office visit (established patient) | $272 | $201 | $115 |
| Office visit, established patient (level 3) | $247 | $168 | $95 |
| Office visit, established patient (level 4) | $292 | $234 | $136 |
| Pap smear (cervical screening) | $79 | $72 | $20 |
| Pelvic ultrasound | $739 | $731 | $78 |
| Pelvic ultrasound (complete) | $838 | $821 | $105 |
| Pelvic ultrasound (limited) | $639 | $642 | $51 |
| Physical therapy evaluation | $204 | $243 | $98 |
| Physical therapy evaluation (high complexity) | $232 | $352 | $98 |
| Physical therapy evaluation (moderate complexity) | $204 | $243 | $98 |
| Pregnancy ultrasound | $945 | $828 | $126 |
| Pregnancy ultrasound (first trimester) | $945 | $742 | $117 |
| Pulmonary rehabilitation | $57 | $206 | $87 |
| Scrotal ultrasound | $926 | $726 | $99 |
| Simple laceration repair (small, up to 2.5 cm) | $127 | $343 | $114 |
| Simple wound stitches | $153 | $353 | $127 |
| Soft tissue ultrasound | $629 | $450 | $64 |
| Speech therapy | $264 | $314 | $76 |
| Spirometry with bronchodilator | $322 | $497 | $43 |
| Swallow study | $335 | $410 | $85 |
| Thyroid ultrasound | $835 | $742 | $109 |
| Transvaginal ultrasound | $898 | $743 | $118 |
| Vaccine administration | $31 | $69 | $19 |
| Wound debridement | $313 | $502 | $186 |
| X-ray of the abdomen | $380 | $386 | $36 |
| X-ray of the ankle | $282 | $380 | $37 |
| X-ray of the collarbone | $230 | $314 | $33 |
| X-ray of the elbow | $282 | $380 | $33 |
| X-ray of the foot | $282 | $380 | $34 |
| X-ray of the forearm | $175 | $249 | $29 |
| X-ray of the hand | $282 | $252 | $38 |
| X-ray of the hip | $503 | $339 | $49 |
| X-ray of the hip (3 views) | $503 | $339 | $49 |
| X-ray of the knee | $338 | $385 | $42 |
| X-ray of the knee (2 views) | $173 | $314 | $34 |
| X-ray of the knee (3 views) | $338 | $385 | $42 |
| X-ray of the knee (4+ views) | $372 | $435 | $49 |
| X-ray of the lower back (lumbar spine) | $255 | $519 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $220 | $439 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $290 | $598 | $53 |
| X-ray of the lower leg | $230 | $342 | $31 |
| X-ray of the mid-back (thoracic spine) | $446 | $447 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $446 | $401 | $33 |
| X-ray of the neck (cervical spine) | $276 | $473 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $230 | $432 | $40 |
| X-ray of the pelvis | $461 | $371 | $36 |
| X-ray of the pelvis (1 view) | $461 | $332 | $28 |
| X-ray of the ribs | $264 | $320 | $42 |
| X-ray of the ribs (2 views) | $264 | $295 | $36 |
| X-ray of the ribs (3 views) | $351 | $426 | $42 |
| X-ray of the shoulder | $257 | $380 | $36 |
| X-ray of the skull | $217 | $506 | $40 |
| X-ray of the upper arm | $230 | $268 | $32 |
| X-ray of the wrist | $282 | $289 | $43 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
