| Procedure | Coshocton Regional Medical Center | Harrison Community Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $21 | $34 | $51 |
| Abdominal ultrasound | $98 | $373 | $100 |
| Abdominal ultrasound (complete) | $98 | $493 | $114 |
| Abdominal ultrasound (limited) | $98 | $352 | $86 |
| Abscess drainage (complex or multiple) | $382 | $341 | $220 |
| Abscess drainage (simple) | $188 | $135 | $129 |
| Abscess incision and drainage | $285 | $150 | $174 |
| Achilles tendon repair | $6,831 | $797 | $624 |
| Albumin blood test | $4 | $7 | $5 |
| Aldosterone test | $40 | $208 | $41 |
| Alkaline phosphatase test | $5 | $18 | $5 |
| Allergy shots | $44 | $25 | $11 |
| Alpha-fetoprotein (AFP) test | $16 | $95 | $17 |
| ALT liver enzyme test | $5 | $41 | $5 |
| Ammonia blood test | $14 | $30 | $15 |
| Anal fistula repair | $2,613 | $533 | $541 |
| Ankle fracture repair | $6,831 | $731 | $608 |
| Anoscopy | $125 | $49 | $129 |
| Antinuclear antibody (ANA) test | $12 | $16 | $12 |
| Arterial blood gas (ABG) | $26 | $150 | $26 |
| AST liver enzyme test | $5 | $41 | $5 |
| Bartholin cyst removal | $190 | $136 | $182 |
| Benign skin lesion removal | $666 | $389 | $171 |
| Bilirubin blood test | $5 | $32 | $5 |
| Bladder function test (urodynamics) | $656 | $140 | $345 |
| Blood clotting test (PT/INR) | $4 | $45 | $4 |
| Blood glucose test | $4 | $43 | $5 |
| Blood transfusion | $415 | $619 | $47 |
| Blood type and screen | $49 | $89 | $10 |
| Blood type test | $80 | $25 | $3 |
| Blood type test (ABO group) | $125 | $36 | $3 |
| Blood type test (Rh/D antigen) | $35 | $25 | $3 |
| BNP (heart failure) test | $39 | $146 | $39 |
| Bone density scan (DEXA) | $98 | $293 | $39 |
| Breast reduction | $6,251 | $1,188 | $980 |
| Breast ultrasound (limited) | $81 | $39 | $84 |
| Breathing tube insertion (intubation) | $222 | $297 | $133 |
| Burn dressing and debridement (medium) | $188 | $124 | $166 |
| Burn dressing and debridement (small) | $188 | $242 | $93 |
| Burn treatment | $188 | $183 | $129 |
| CA 19-9 tumor marker test | $20 | $147 | $21 |
| CA-125 ovarian marker test | $20 | $62 | $21 |
| Calcium blood test | $5 | $37 | $5 |
| Cardiac rehabilitation | $121 | $124 | $26 |
| Cardiac stress test | $203 | $247 | $39 |
| Cardioversion | $622 | $116 | $155 |
| Carotid artery ultrasound | $161 | $599 | $156 |
| Carpal tunnel release | $1,838 | $505 | $483 |
| Cataract surgery | $2,172 | $658 | $547 |
| CEA tumor marker test | $18 | $123 | $19 |
| Celiac disease test | $11 | $54 | $12 |
| Central line placement | $2,972 | $1,301 | $238 |
| Chemotherapy infusion | $189 | $291 | $81 |
| Chemotherapy infusion (first hour) | $310 | $291 | $133 |
| Chest tube insertion | $1,481 | $192 | $143 |
| Chest X-ray | $81 | $156 | $37 |
| Chest X-ray (1 view) | $81 | $132 | $25 |
| Chest X-ray (2 views) | $81 | $171 | $33 |
| Circumcision | $1,967 | $162 | $167 |
| CK-MB heart enzyme test | $11 | $17 | $12 |
| Clotting time test (PTT) | $6 | $49 | $6 |
| Colonoscopy | $1,126 | $229 | $480 |
| Colposcopy | $286 | $119 | $161 |
| Complete blood count (CBC) | $7 | $52 | $7 |
| Complete blood count (CBC) (complete) | $7 | $49 | $8 |
| Complex wound repair | $695 | $254 | $390 |
| Contraceptive implant (Nexplanon) | $420 | $139 | $115 |
| Copper blood test | $12 | $106 | $12 |
| Coronary CT angiography | $328 | $135 | $326 |
| Cortisol test | $16 | $22 | $16 |
| CPAP titration study | $206 | $207 | $69 |
| Creatine kinase (CK) test | $6 | $23 | $7 |
| CT scan of the abdomen | $165 | $1,093 | $230 |
| CT scan of the abdomen and pelvis | $328 | $1,717 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $328 | $2,375 | $338 |
| CT scan of the abdomen and pelvis with contrast | $328 | $1,905 | $300 |
| CT scan of the abdomen and pelvis without contrast | $224 | $1,442 | $183 |
| CT scan of the abdomen with contrast | $165 | $1,093 | $230 |
| CT scan of the arm | $165 | $775 | $199 |
| CT scan of the arm with contrast | $328 | $731 | $199 |
| CT scan of the chest | $165 | $901 | $167 |
| CT scan of the chest with contrast | $165 | $1,044 | $167 |
| CT scan of the head | $165 | $801 | $148 |
| CT scan of the head with and without contrast | $165 | $1,154 | $173 |
| CT scan of the leg | $165 | $840 | $166 |
| CT scan of the leg with contrast | $165 | $840 | $166 |
| CT scan of the lower back (lumbar spine) | $165 | $822 | $169 |
| CT scan of the lower back (lumbar spine) with contrast | $328 | $822 | $169 |
| CT scan of the neck | $165 | $837 | $183 |
| CT scan of the neck (cervical spine) | $165 | $1,043 | $168 |
| CT scan of the neck (cervical spine) with contrast | $328 | $584 | $168 |
| CT scan of the neck with contrast | $165 | $837 | $183 |
| CT scan of the pelvis | $165 | $949 | $226 |
| CT scan of the pelvis with contrast | $165 | $949 | $226 |
| CT scan of the sinuses | $165 | $910 | $152 |
| CT scan of the sinuses with and without contrast | $165 | $1,694 | $184 |
| CT scan of the sinuses with contrast | $165 | $1,023 | $152 |
| D-dimer test | $10 | $80 | $10 |
| DHEA-sulfate test | $22 | $242 | $22 |
| Diagnostic mammogram | $90 | $52 | $140 |
| Drug screen (urine) | $62 | $60 | $17 |
| Ear pressure test (tympanometry) | $35 | $11 | $16 |
| Echocardiogram | $224 | $353 | $138 |
| Echocardiogram with and without contrast | $224 | $192 | $101 |
| EKG / ECG (tracing only) | $55 | $108 | $7 |
| Electrocardiogram (EKG) | $55 | $108 | $8 |
| Electrolyte panel | $7 | $33 | $7 |
| Emergency department visit | $256 | $303 | $69 |
| Emergency department visit (level 1) | $79 | $196 | $11 |
| Emergency department visit (level 2) | $144 | $264 | $40 |
| Emergency department visit (level 3) | $256 | $488 | $69 |
| Emergency department visit (level 4) | $392 | $303 | $118 |
| Emergency department visit (level 5) | $560 | $972 | $171 |
| Endometrial biopsy | $190 | $132 | $98 |
| Estradiol (estrogen) test | $27 | $112 | $28 |
| Fallopian tube X-ray (HSG) | $224 | $64 | $164 |
| Fecal occult blood (stool) test | $10 | $37 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $4 | $26 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $15 | $49 | $16 |
| Feeding tube (PEG) placement | $1,806 | $219 | $178 |
| Femoral hernia repair | $3,370 | $709 | $584 |
| Ferritin (iron) test | $13 | $162 | $14 |
| Fibrinogen test | $9 | $56 | $10 |
| Flu test | $16 | $30 | $17 |
| Folate (folic acid) test | $14 | $162 | $15 |
| Foreign body removal (skin) | $382 | $244 | $157 |
| Free T4 thyroid test | $9 | $52 | $9 |
| FSH hormone test | $18 | $105 | $19 |
| Gallbladder removal (laparoscopic) | $5,691 | $801 | $658 |
| Ganglion cyst removal | $1,513 | $382 | $321 |
| GGT liver test | $7 | $41 | $7 |
| Glucose tolerance test | $8 | $118 | $8 |
| H. pylori test | $67 | $60 | $67 |
| HDL cholesterol test | $8 | $51 | $8 |
| Hearing test (audiometry) | $121 | $32 | $36 |
| Hemoglobin A1c (diabetes test) | $9 | $96 | $10 |
| Hemorrhoid removal | $875 | $325 | $338 |
| Hepatitis B test | $10 | $14 | $10 |
| Hepatitis C test | $14 | $66 | $14 |
| Hip replacement | $12,086 | $1,411 | $1,162 |
| HIV test | $19 | $83 | $19 |
| HIV test (antigen/antibody combo) | $24 | $83 | $24 |
| Holter heart monitor | $90 | $469 | $26 |
| Home sleep apnea test | $203 | $48 | $123 |
| Hydrocele repair | $3,370 | $382 | $315 |
| Inguinal hernia repair | $3,370 | $653 | $538 |
| Iron blood test | $6 | $65 | $6 |
| IUD removal | $286 | $260 | $112 |
| IV infusion therapy | $122 | $303 | $44 |
| IV infusion therapy (each additional) | $44 | $88 | $21 |
| IV infusion therapy (initial) | $200 | $314 | $67 |
| Joint aspiration (small/intermediate) | $288 | $322 | $57 |
| Joint aspiration or injection (mid-size joint) | $288 | $206 | $57 |
| Joint aspiration or injection (small joint) | $288 | $322 | $56 |
| Kidney stone shock-wave (lithotripsy) | $3,318 | $634 | $760 |
| Kidney ultrasound | $98 | $347 | $84 |
| Kidney ultrasound (limited) | $98 | $347 | $61 |
| Knee arthroscopy | $3,080 | $630 | $524 |
| Knee joint injection | $288 | $110 | $69 |
| Lactate test | $11 | $105 | $12 |
| Laryngoscopy | $931 | $121 | $189 |
| LDH test | $6 | $40 | $6 |
| LDL cholesterol test | $10 | $61 | $11 |
| Leg vein ultrasound (Doppler) | $98 | $296 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $98 | $174 | $116 |
| LH hormone test | $18 | $41 | $19 |
| Lipid (cholesterol) panel | $13 | $63 | $13 |
| Lumpectomy (breast) | $3,686 | $911 | $750 |
| Lung function test (PFT) | $277 | $207 | $37 |
| Magnesium blood test | $6 | $22 | $7 |
| MRA of the brain | $276 | $812 | $226 |
| MRA of the neck without contrast | $328 | $885 | $343 |
| MRI of the abdomen | $328 | $1,858 | $300 |
| MRI of the abdomen without contrast | $224 | $1,753 | $194 |
| MRI of the ankle | $328 | $1,526 | $261 |
| MRI of the ankle without contrast | $224 | $1,526 | $222 |
| MRI of the brain | $328 | $1,626 | $269 |
| MRI of the brain with contrast | $328 | $1,477 | $269 |
| MRI of the brain without contrast | $224 | $1,626 | $195 |
| MRI of the knee | $328 | $1,753 | $315 |
| MRI of the knee without contrast | $224 | $1,753 | $204 |
| MRI of the lower back (lumbar spine) | $328 | $1,699 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $328 | $1,911 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $224 | $1,649 | $192 |
| MRI of the mid-back (thoracic spine) | $328 | $1,649 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $328 | $1,914 | $319 |
| MRI of the mid-back (thoracic spine) without contrast | $224 | $1,649 | $190 |
| MRI of the neck (cervical spine) | $328 | $1,649 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $328 | $2,092 | $318 |
| MRI of the neck (cervical spine) without contrast | $224 | $1,649 | $191 |
| MRI of the pelvis | $328 | $219 | $268 |
| MRI of the pelvis without contrast | $224 | $219 | $227 |
| MRI of the shoulder | $328 | $1,451 | $313 |
| MRI of the shoulder without contrast | $224 | $1,451 | $205 |
| MRI of the wrist | $328 | $1,426 | $330 |
| MRI of the wrist without contrast | $224 | $1,426 | $303 |
| Nebulizer breathing treatment | $206 | $123 | $9 |
| Occupational therapy evaluation | $96 | $145 | $101 |
| Occupational therapy evaluation (high complexity) | $96 | $135 | $101 |
| Occupational therapy evaluation (low complexity) | $96 | $167 | $101 |
| Occupational therapy evaluation (moderate complexity) | $96 | $145 | $101 |
| Orthopedic hardware removal | $2,734 | $501 | $632 |
| Pap smear (cervical screening) | $23 | $108 | $20 |
| Parathyroid hormone (PTH) test | $41 | $133 | $41 |
| Pelvic ultrasound | $98 | $314 | $78 |
| Pelvic ultrasound (complete) | $98 | $397 | $105 |
| Pelvic ultrasound (limited) | $98 | $280 | $51 |
| Physical therapy evaluation | $93 | $172 | $98 |
| Physical therapy evaluation (high complexity) | $93 | $151 | $98 |
| Physical therapy evaluation (moderate complexity) | $93 | $178 | $98 |
| Pilonidal cyst removal | $2,734 | $375 | $541 |
| Platelet count | $4 | $7 | $4 |
| Pregnancy ultrasound | $98 | $333 | $126 |
| Pregnancy ultrasound (first trimester) | $98 | $333 | $117 |
| Pregnancy ultrasound (second or third trimester) | $98 | $57 | $136 |
| Procalcitonin test | $27 | $444 | $27 |
| Prolactin test | $19 | $109 | $19 |
| Prostate test (PSA) | $18 | $88 | $18 |
| Pulmonary rehabilitation | $55 | $88 | $87 |
| Scoliosis spine X-ray (3 views) | $98 | $150 | $72 |
| Screening colonoscopy | $875 | $215 | $378 |
| Screening mammogram | $83 | $184 | $126 |
| Scrotal ultrasound | $98 | $455 | $99 |
| Sex hormone binding globulin test | $21 | $104 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $188 | $178 | $114 |
| Simple wound stitches | $188 | $178 | $127 |
| Skin biopsy | $382 | $57 | $121 |
| Skin biopsy (punch) | $382 | $206 | $121 |
| Skin cancer lesion removal | $666 | $181 | $240 |
| Skin graft | $2,639 | $770 | $898 |
| Skin lesion freezing (cryotherapy) | $188 | $57 | $36 |
| Skin tag removal | $188 | $135 | $92 |
| Soft tissue ultrasound | $98 | $373 | $64 |
| Speech therapy | $73 | $182 | $76 |
| Spirometry (lung function test) | $203 | $161 | $30 |
| Spirometry with bronchodilator | $351 | $342 | $43 |
| Strep throat test | $16 | $30 | $17 |
| Swallow study | $56 | $190 | $85 |
| T3 thyroid test | $14 | $92 | $14 |
| Testosterone test | $25 | $92 | $26 |
| Thyroid test (TSH) | $16 | $80 | $17 |
| Thyroid ultrasound | $98 | $437 | $109 |
| Total IgE allergy test | $16 | $75 | $16 |
| Tracheostomy | $3,121 | $336 | $273 |
| Transvaginal ultrasound | $98 | $422 | $118 |
| Trigger finger release | $1,513 | $342 | $630 |
| Trigger point injection | $288 | $265 | $56 |
| Trigger point injection (1-2 muscles) | $288 | $265 | $52 |
| Triglycerides test | $5 | $46 | $6 |
| Troponin (heart) test | $12 | $94 | $12 |
| Ulnar nerve surgery (elbow) | $1,838 | $688 | $575 |
| Ureteral stent placement | $3,318 | $2,221 | $373 |
| Urine microalbumin test | $5 | $18 | $5 |
| Urine pregnancy test | $8 | $10 | $9 |
| Vaccine administration | $67 | $36 | $19 |
| Vasectomy | $1,967 | $263 | $347 |
| Vitamin B12 test | $15 | $162 | $15 |
| Vitamin D test | $29 | $72 | $30 |
| Wart removal | $188 | $186 | $121 |
| Wound debridement | $539 | $169 | $186 |
| Wrist fracture repair | $6,831 | $883 | $735 |
| X-ray of the abdomen | $98 | $162 | $36 |
| X-ray of the ankle | $81 | $187 | $37 |
| X-ray of the collarbone | $81 | $158 | $33 |
| X-ray of the elbow | $81 | $184 | $33 |
| X-ray of the foot | $81 | $182 | $34 |
| X-ray of the forearm | $81 | $154 | $29 |
| X-ray of the hand | $81 | $183 | $38 |
| X-ray of the hip | $81 | $124 | $49 |
| X-ray of the hip (1 view) | $81 | $116 | $34 |
| X-ray of the hip (3 views) | $81 | $187 | $49 |
| X-ray of the knee | $81 | $207 | $42 |
| X-ray of the knee (2 views) | $81 | $163 | $34 |
| X-ray of the knee (3 views) | $81 | $242 | $42 |
| X-ray of the knee (4+ views) | $98 | $245 | $49 |
| X-ray of the lower back (lumbar spine) | $98 | $216 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $98 | $210 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $98 | $285 | $53 |
| X-ray of the lower leg | $81 | $171 | $31 |
| X-ray of the mid-back (thoracic spine) | $98 | $210 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $98 | $199 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $98 | $210 | $39 |
| X-ray of the neck (cervical spine) | $90 | $201 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $81 | $189 | $40 |
| X-ray of the pelvis | $98 | $93 | $36 |
| X-ray of the pelvis (1 view) | $98 | $172 | $28 |
| X-ray of the ribs | $98 | $285 | $42 |
| X-ray of the ribs (2 views) | $81 | $285 | $36 |
| X-ray of the ribs (3 views) | $98 | $332 | $42 |
| X-ray of the shoulder | $81 | $180 | $36 |
| X-ray of the upper arm | $81 | $178 | $32 |
| X-ray of the wrist | $81 | $197 | $43 |
| Zinc blood test | $11 | $43 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
