| Procedure | Coshocton Regional Medical Center | Aultman Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $21 | $84 | $51 |
| Abdominal fluid drain (paracentesis) | $853 | $1,454 | $284 |
| Abdominal ultrasound | $98 | $431 | $100 |
| Abdominal ultrasound (complete) | $98 | $456 | $114 |
| Abdominal ultrasound (limited) | $98 | $431 | $86 |
| Abscess drainage (complex or multiple) | $382 | $387 | $220 |
| Abscess drainage (simple) | $188 | $384 | $129 |
| Abscess incision and drainage | $285 | $384 | $174 |
| Albumin blood test | $4 | $17 | $5 |
| Aldosterone test | $40 | $95 | $41 |
| Alkaline phosphatase test | $5 | $19 | $5 |
| Alpha-fetoprotein (AFP) test | $16 | $44 | $17 |
| ALT liver enzyme test | $5 | $27 | $5 |
| Ammonia blood test | $14 | $56 | $15 |
| Anoscopy | $125 | $151 | $129 |
| Antinuclear antibody (ANA) test | $12 | $81 | $12 |
| Arterial blood gas (ABG) | $26 | $74 | $26 |
| AST liver enzyme test | $5 | $22 | $5 |
| Barium swallow study | $165 | $542 | $107 |
| Bartholin cyst removal | $190 | $314 | $182 |
| Benign skin lesion removal | $666 | $762 | $171 |
| Bilirubin blood test | $5 | $24 | $5 |
| Bladder function test (urodynamics) | $656 | $684 | $345 |
| Blood clotting test (PT/INR) | $4 | $21 | $4 |
| Blood crossmatch | $160 | $49 | — |
| Blood glucose test | $4 | $19 | $5 |
| Blood transfusion | $415 | $912 | $47 |
| Blood type and screen | $49 | $56 | $10 |
| Blood type test | $80 | $32 | $3 |
| Blood type test (ABO group) | $125 | $32 | $3 |
| Blood type test (Rh/D antigen) | $35 | $32 | $3 |
| BNP (heart failure) test | $39 | $83 | $39 |
| Bone density scan (DEXA) | $98 | $256 | $39 |
| Bone marrow biopsy | $1,554 | $1,419 | $172 |
| Bone scan (nuclear) | $376 | $1,310 | $259 |
| Breast biopsy | $1,554 | $1,853 | $478 |
| Breast ultrasound | $90 | $257 | $92 |
| Breast ultrasound (complete) | $98 | $257 | $100 |
| Breast ultrasound (limited) | $81 | $257 | $84 |
| Breathing tube insertion (intubation) | $222 | $945 | $133 |
| Burn dressing and debridement (medium) | $188 | $534 | $166 |
| Burn dressing and debridement (small) | $188 | $318 | $93 |
| Burn treatment | $188 | $318 | $129 |
| CA 19-9 tumor marker test | $20 | $27 | $21 |
| CA-125 ovarian marker test | $20 | $91 | $21 |
| Calcium blood test | $5 | $27 | $5 |
| Cardiac rehabilitation | $121 | $76 | $26 |
| Cardiac stress test | $203 | $589 | $39 |
| Cardioversion | $622 | $1,123 | $155 |
| Carotid artery ultrasound | $161 | $364 | $156 |
| CEA tumor marker test | $18 | $75 | $19 |
| Central line placement | $2,972 | $1,354 | $238 |
| Chemotherapy infusion | $189 | $659 | $81 |
| Chemotherapy infusion (each additional) | $67 | $535 | $28 |
| Chemotherapy infusion (first hour) | $310 | $782 | $133 |
| Chest fluid drain (thoracentesis) | $590 | $1,135 | $311 |
| Chest tube insertion | $1,481 | $828 | $143 |
| Chest X-ray | $81 | $219 | $37 |
| Chest X-ray (1 view) | $81 | $129 | $25 |
| Chest X-ray (2 views) | $81 | $219 | $33 |
| Circumcision | $1,967 | $769 | $167 |
| CK-MB heart enzyme test | $11 | $64 | $12 |
| Clotting time test (PTT) | $6 | $29 | $6 |
| Colposcopy | $286 | $338 | $161 |
| Complete blood count (CBC) | $7 | $44 | $7 |
| Complete blood count (CBC) (complete) | $7 | $44 | $8 |
| Complex wound repair | $695 | $690 | $390 |
| Contraceptive implant (Nexplanon) | $420 | $131 | $115 |
| Coronary CT angiography | $328 | $971 | $326 |
| Cortisol test | $16 | $57 | $16 |
| COVID-19 PCR test | $51 | $67 | $51 |
| CPAP titration study | $206 | $126 | $69 |
| Creatine kinase (CK) test | $6 | $21 | $7 |
| CT scan of the abdomen | $165 | $796 | $230 |
| CT scan of the abdomen and pelvis | $328 | $1,434 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $328 | $1,676 | $338 |
| CT scan of the abdomen and pelvis with contrast | $328 | $1,434 | $300 |
| CT scan of the abdomen and pelvis without contrast | $224 | $717 | $183 |
| CT scan of the abdomen with contrast | $165 | $796 | $230 |
| CT scan of the arm | $165 | $501 | $199 |
| CT scan of the arm with contrast | $328 | $523 | $199 |
| CT scan of the chest | $165 | $738 | $167 |
| CT scan of the chest with contrast | $165 | $757 | $167 |
| CT scan of the head | $165 | $725 | $148 |
| CT scan of the head with and without contrast | $165 | $842 | $173 |
| CT scan of the head with contrast | $165 | $725 | $148 |
| CT scan of the leg | $165 | $523 | $166 |
| CT scan of the leg with contrast | $165 | $523 | $166 |
| CT scan of the lower back (lumbar spine) | $165 | $738 | $169 |
| CT scan of the lower back (lumbar spine) with contrast | $328 | $757 | $169 |
| CT scan of the neck | $165 | $725 | $183 |
| CT scan of the neck (cervical spine) | $165 | $738 | $168 |
| CT scan of the neck (cervical spine) with contrast | $328 | $781 | $168 |
| CT scan of the neck with and without contrast | $165 | $834 | $220 |
| CT scan of the neck with contrast | $165 | $725 | $183 |
| CT scan of the pelvis | $165 | $661 | $226 |
| CT scan of the pelvis with contrast | $165 | $757 | $226 |
| CT scan of the sinuses | $165 | $512 | $152 |
| CT scan of the sinuses with and without contrast | $165 | $621 | $184 |
| CT scan of the sinuses with contrast | $165 | $725 | $152 |
| D-dimer test | $10 | $47 | $10 |
| DHEA-sulfate test | $22 | $51 | $22 |
| Diagnostic mammogram | $90 | $469 | $140 |
| Drug screen (urine) | $62 | $133 | $17 |
| Ear tubes (myringotomy) | $507 | $554 | $174 |
| Echocardiogram | $224 | $1,267 | $138 |
| Echocardiogram with and without contrast | $224 | $1,267 | $101 |
| EEG (awake and asleep) | $203 | $528 | $482 |
| EKG / ECG (tracing only) | $55 | $144 | $7 |
| Electrocardiogram (EKG) | $55 | $144 | $8 |
| Electroencephalogram (EEG) | $203 | $528 | $448 |
| Electrolyte panel | $7 | $36 | $7 |
| Emergency department visit | $256 | $836 | $69 |
| Emergency department visit (level 1) | $79 | $470 | $11 |
| Emergency department visit (level 2) | $144 | $610 | $40 |
| Emergency department visit (level 3) | $256 | $836 | $69 |
| Emergency department visit (level 4) | $392 | $1,168 | $118 |
| Emergency department visit (level 5) | $560 | $1,499 | $171 |
| Endometrial biopsy | $190 | $246 | $98 |
| Epidural steroid injection | $664 | $1,769 | $275 |
| Estradiol (estrogen) test | $27 | $81 | $28 |
| Facet joint injection (spine) | $832 | $941 | $99 |
| Fallopian tube X-ray (HSG) | $224 | $95 | $164 |
| Fecal occult blood (stool) test | $10 | $18 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $4 | $18 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $15 | $26 | $16 |
| Feeding tube (PEG) placement | $1,806 | $1,022 | $178 |
| Ferritin (iron) test | $13 | $60 | $14 |
| Fibrinogen test | $9 | $41 | $10 |
| Folate (folic acid) test | $14 | $56 | $15 |
| Foreign body removal (skin) | $382 | $374 | $157 |
| Free T4 thyroid test | $9 | $59 | $9 |
| FSH hormone test | $18 | $93 | $19 |
| Gallbladder scan (HIDA) | $444 | $1,337 | $334 |
| GGT liver test | $7 | $31 | $7 |
| Glucose tolerance test | $8 | $43 | $8 |
| HDL cholesterol test | $8 | $31 | $8 |
| Hemoglobin A1c (diabetes test) | $9 | $45 | $10 |
| Hemorrhoid removal | $875 | $706 | $338 |
| Hepatitis B test | $10 | $46 | $10 |
| Hepatitis C test | $14 | $55 | $14 |
| HIV test | $19 | $38 | $19 |
| HIV test (antigen/antibody combo) | $24 | $38 | $24 |
| Holter heart monitor | $90 | $270 | $26 |
| Iron blood test | $6 | $31 | $6 |
| IUD removal | $286 | $151 | $112 |
| IV infusion therapy | $122 | $488 | $44 |
| IV infusion therapy (each additional) | $44 | $116 | $21 |
| IV infusion therapy (initial) | $200 | $488 | $67 |
| IVC filter placement | $5,238 | $8,340 | $1,885 |
| Joint aspiration (small/intermediate) | $288 | $373 | $57 |
| Joint aspiration or injection (mid-size joint) | $288 | $373 | $57 |
| Joint aspiration or injection (small joint) | $288 | $131 | $56 |
| Kidney biopsy | $1,554 | $1,152 | $492 |
| Kidney ultrasound | $98 | $377 | $84 |
| Kidney ultrasound (limited) | $98 | $377 | $61 |
| Knee joint injection | $288 | $463 | $69 |
| Lactate test | $11 | $51 | $12 |
| Laryngoscopy | $931 | $318 | $189 |
| LDH test | $6 | $27 | $6 |
| LDL cholesterol test | $10 | $9 | $11 |
| Leg artery angiogram | $2,972 | $3,321 | $149 |
| Leg vein ultrasound (Doppler) | $98 | $360 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $98 | $360 | $116 |
| LH hormone test | $18 | $80 | $19 |
| Lipid (cholesterol) panel | $13 | $50 | $13 |
| Liver biopsy | $1,554 | $1,152 | $288 |
| Lung function test (PFT) | $277 | $243 | $37 |
| Lung scan (V/Q) | $511 | $2,334 | $291 |
| Magnesium blood test | $6 | $33 | $7 |
| MRA of the brain | $276 | $928 | $226 |
| MRA of the brain with contrast | $328 | $928 | $226 |
| MRA of the brain without contrast | $328 | $1,231 | $328 |
| MRA of the neck | $328 | $928 | $245 |
| MRA of the neck with contrast | $328 | $928 | $245 |
| MRA of the neck without contrast | $328 | $1,231 | $343 |
| MRI of the abdomen | $328 | $1,180 | $300 |
| MRI of the abdomen with contrast | $328 | $1,180 | $300 |
| MRI of the abdomen without contrast | $224 | $774 | $194 |
| MRI of the ankle | $328 | $1,020 | $261 |
| MRI of the ankle with contrast | $328 | $1,020 | $261 |
| MRI of the ankle without contrast | $224 | $737 | $222 |
| MRI of the brain | $328 | $928 | $269 |
| MRI of the brain with contrast | $328 | $928 | $269 |
| MRI of the brain without contrast | $224 | $677 | $195 |
| MRI of the chest | $328 | $1,066 | $371 |
| MRI of the chest with contrast | $738 | $1,066 | $371 |
| MRI of the chest without contrast | $328 | $1,566 | $466 |
| MRI of the knee | $328 | $1,020 | $315 |
| MRI of the knee with contrast | $738 | $1,020 | $315 |
| MRI of the knee without contrast | $224 | $737 | $204 |
| MRI of the lower back (lumbar spine) | $328 | $1,180 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $328 | $1,180 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $224 | $869 | $192 |
| MRI of the mid-back (thoracic spine) | $328 | $1,180 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $328 | $1,325 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $328 | $1,180 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $224 | $869 | $190 |
| MRI of the neck (cervical spine) | $328 | $937 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $328 | $1,052 | $318 |
| MRI of the neck (cervical spine) with contrast | $328 | $937 | $274 |
| MRI of the neck (cervical spine) without contrast | $224 | $691 | $191 |
| MRI of the pelvis | $328 | $1,180 | $268 |
| MRI of the pelvis with contrast | $328 | $1,180 | $268 |
| MRI of the pelvis without contrast | $224 | $774 | $227 |
| MRI of the shoulder | $328 | $1,020 | $313 |
| MRI of the shoulder with contrast | $738 | $1,020 | $313 |
| MRI of the shoulder without contrast | $224 | $737 | $205 |
| MRI of the wrist | $328 | $1,020 | $330 |
| MRI of the wrist with contrast | $328 | $1,020 | $330 |
| MRI of the wrist without contrast | $224 | $737 | $303 |
| Nebulizer breathing treatment | $206 | $149 | $9 |
| Nuclear cardiac stress test | $1,218 | $2,760 | $428 |
| Occupational therapy evaluation | $96 | $163 | $101 |
| Occupational therapy evaluation (high complexity) | $96 | $179 | $101 |
| Occupational therapy evaluation (low complexity) | $96 | $148 | $101 |
| Occupational therapy evaluation (moderate complexity) | $96 | $163 | $101 |
| Orthopedic hardware removal | $2,734 | $2,906 | $632 |
| Pap smear (cervical screening) | $23 | $80 | $20 |
| Parathyroid hormone (PTH) test | $41 | $87 | $41 |
| Pelvic ultrasound | $98 | $284 | $78 |
| Pelvic ultrasound (complete) | $98 | $448 | $105 |
| Pelvic ultrasound (limited) | $98 | $284 | $51 |
| Physical therapy evaluation | $93 | $153 | $98 |
| Physical therapy evaluation (high complexity) | $93 | $168 | $98 |
| Physical therapy evaluation (moderate complexity) | $93 | $153 | $98 |
| Platelet count | $4 | $29 | $4 |
| Pregnancy ultrasound | $98 | $391 | $126 |
| Pregnancy ultrasound (first trimester) | $98 | $309 | $117 |
| Pregnancy ultrasound (second or third trimester) | $98 | $473 | $136 |
| Prolactin test | $19 | $106 | $19 |
| Prostate biopsy | $1,887 | $2,177 | — |
| Prostate test (PSA) | $18 | $58 | $18 |
| Pulmonary rehabilitation | $55 | $95 | $87 |
| Radiofrequency nerve ablation | $1,838 | $4,034 | $462 |
| Scoliosis spine X-ray | $98 | $264 | $58 |
| Scoliosis spine X-ray (1 view) | $81 | $176 | $44 |
| Scoliosis spine X-ray (3 views) | $98 | $264 | $72 |
| Screening mammogram | $83 | $414 | $126 |
| Scrotal ultrasound | $98 | $413 | $99 |
| Semen analysis | $12 | $34 | $12 |
| Simple laceration repair (small, up to 2.5 cm) | $188 | $416 | $114 |
| Simple wound stitches | $188 | $423 | $127 |
| Skin biopsy | $382 | $237 | $121 |
| Skin biopsy (punch) | $382 | $237 | $121 |
| Skin lesion freezing (cryotherapy) | $188 | $216 | $36 |
| Skin tag removal | $188 | $216 | $92 |
| Sleep study (polysomnography) | $808 | $1,045 | $691 |
| Soft tissue ultrasound | $98 | $239 | $64 |
| Speech therapy | $73 | $67 | $76 |
| Spinal cord stimulator | $5,999 | $7,908 | $2,388 |
| Spinal tap (lumbar puncture) | $664 | $944 | $165 |
| Spirometry (lung function test) | $203 | $219 | $30 |
| Spirometry with bronchodilator | $351 | $267 | $43 |
| Strep throat test | $16 | $34 | $17 |
| Stress echocardiogram | $514 | $1,095 | $209 |
| Stress echocardiogram (complete) | $514 | $1,095 | $233 |
| Swallow study | $56 | $101 | $85 |
| T3 thyroid test | $14 | $58 | $14 |
| Testosterone test | $25 | $66 | $26 |
| Thyroid test (TSH) | $16 | $65 | $17 |
| Thyroid ultrasound | $98 | $388 | $109 |
| Thyroid uptake scan | $376 | $547 | $145 |
| Tilt table test | $351 | $378 | $168 |
| Total IgE allergy test | $16 | $40 | $16 |
| Tracheostomy | $3,121 | $304 | $273 |
| Transesophageal echocardiogram (TEE) | $514 | $1,196 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $514 | $1,196 | $239 |
| Transvaginal ultrasound | $98 | $448 | $118 |
| Trigger point injection | $288 | $452 | $56 |
| Trigger point injection (1-2 muscles) | $288 | $452 | $52 |
| Triglycerides test | $5 | $27 | $6 |
| Troponin (heart) test | $12 | $59 | $12 |
| Upper GI endoscopy (EGD) | $853 | $844 | $371 |
| Upper GI series (barium) | $165 | $577 | $128 |
| Urine microalbumin test | $5 | $28 | $5 |
| Urine pregnancy test | $8 | $55 | $9 |
| Vaccine administration | $67 | $89 | $19 |
| Vasectomy | $1,967 | $2,709 | $347 |
| Vitamin B12 test | $15 | $58 | $15 |
| Vitamin D test | $29 | $65 | $30 |
| Wound debridement | $539 | $846 | $186 |
| X-ray of the abdomen | $98 | $323 | $36 |
| X-ray of the ankle | $81 | $320 | $37 |
| X-ray of the collarbone | $81 | $291 | $33 |
| X-ray of the elbow | $81 | $250 | $33 |
| X-ray of the facial bones | $90 | $356 | $39 |
| X-ray of the foot | $81 | $276 | $34 |
| X-ray of the forearm | $81 | $276 | $29 |
| X-ray of the hand | $81 | $320 | $38 |
| X-ray of the hip | $81 | $310 | $49 |
| X-ray of the hip (1 view) | $81 | $176 | $34 |
| X-ray of the hip (3 views) | $81 | $310 | $49 |
| X-ray of the knee | $81 | $356 | $42 |
| X-ray of the knee (2 views) | $81 | $279 | $34 |
| X-ray of the knee (3 views) | $81 | $356 | $42 |
| X-ray of the knee (4+ views) | $98 | $378 | $49 |
| X-ray of the lower back (lumbar spine) | $98 | $417 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $98 | $291 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $98 | $417 | $53 |
| X-ray of the lower leg | $81 | $270 | $31 |
| X-ray of the mid-back (thoracic spine) | $98 | $293 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $98 | $279 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $98 | $308 | $39 |
| X-ray of the neck (cervical spine) | $90 | $357 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $81 | $279 | $40 |
| X-ray of the pelvis | $98 | $284 | $36 |
| X-ray of the pelvis (1 view) | $98 | $241 | $28 |
| X-ray of the ribs | $98 | $276 | $42 |
| X-ray of the ribs (2 views) | $81 | $276 | $36 |
| X-ray of the ribs (3 views) | $98 | $397 | $42 |
| X-ray of the shoulder | $81 | $262 | $36 |
| X-ray of the skull | $98 | $332 | $40 |
| X-ray of the upper arm | $81 | $344 | $32 |
| X-ray of the wrist | $81 | $351 | $43 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
