| Procedure | Delta County Memorial Hospital | Aspen Valley Hospital | Medicare |
|---|
| Abdominal fluid drain (paracentesis) | $968 | $862 | $284 |
| Abdominal ultrasound | $323 | $720 | $100 |
| Abdominal ultrasound (complete) | $363 | $1,050 | $114 |
| Abdominal ultrasound (limited) | $283 | $389 | $86 |
| Abscess drainage (complex or multiple) | $464 | $738 | $220 |
| Abscess drainage (simple) | $321 | $464 | $129 |
| Abscess incision and drainage | $392 | $601 | $174 |
| Albumin blood test | $24 | $86 | $5 |
| Aldosterone test | $153 | $423 | $41 |
| Alkaline phosphatase test | $29 | $85 | $5 |
| Alpha-fetoprotein (AFP) test | $100 | $262 | $17 |
| ALT liver enzyme test | $31 | $86 | $5 |
| Ammonia blood test | $184 | $234 | $15 |
| Amniocentesis | $757 | $506 | $120 |
| Amylase test | $74 | $112 | $6 |
| Antinuclear antibody (ANA) test | $76 | $190 | $12 |
| Arterial blood gas (ABG) | $203 | $379 | $26 |
| AST liver enzyme test | $54 | $85 | $5 |
| Barium swallow study | $258 | $1,401 | $107 |
| Bartholin cyst removal | $321 | $645 | $182 |
| Basic metabolic panel | $58 | $205 | $8 |
| Benign skin lesion removal | $414 | $630 | $171 |
| Bilirubin blood test | $42 | $83 | $5 |
| Blood clotting test (PT/INR) | $28 | $80 | $4 |
| Blood crossmatch | $178 | $190 | — |
| Blood glucose test | $26 | $87 | $5 |
| Blood transfusion | $630 | $1,336 | $47 |
| Blood type and screen | $60 | $272 | $10 |
| Blood type test | $95 | $63 | $3 |
| Blood type test (ABO group) | $134 | $63 | $3 |
| Blood type test (Rh/D antigen) | $57 | $63 | $3 |
| BNP (heart failure) test | $285 | $294 | $39 |
| Bone density scan (DEXA) | $257 | $628 | $39 |
| Bone marrow biopsy | $1,284 | $762 | $172 |
| Bone scan (nuclear) | $1,089 | $1,863 | $259 |
| Botox for migraine | $317 | $865 | $157 |
| Breast biopsy | $3,083 | $1,631 | $478 |
| Breast MRI | $2,172 | $3,312 | $216 |
| Breast MRI without contrast | $1,908 | $3,312 | $216 |
| Breast ultrasound | $294 | $73 | $92 |
| Breast ultrasound (complete) | $352 | $73 | $100 |
| Breast ultrasound (limited) | $235 | $72 | $84 |
| Breathing tube insertion (intubation) | $474 | $828 | $133 |
| Burn dressing and debridement (medium) | $297 | $395 | $166 |
| Burn dressing and debridement (small) | $217 | $241 | $93 |
| Burn treatment | $257 | $318 | $129 |
| C-reactive protein (CRP) | $54 | $111 | $5 |
| CA 19-9 tumor marker test | $48 | $179 | $21 |
| CA-125 ovarian marker test | $59 | $175 | $21 |
| Calcium blood test | $26 | $88 | $5 |
| Cardiac rehabilitation | $139 | $391 | $26 |
| Cardiac stress test | $697 | $480 | $39 |
| Cardioversion | $889 | $2,188 | $155 |
| Carotid artery ultrasound | $810 | $395 | $156 |
| CEA tumor marker test | $254 | $112 | $19 |
| Central line placement | $1,221 | $1,117 | $238 |
| Chemotherapy infusion | $283 | $785 | $81 |
| Chemotherapy infusion (each additional) | $89 | $320 | $28 |
| Chemotherapy infusion (first hour) | $476 | $1,250 | $133 |
| Chest fluid drain (thoracentesis) | $1,179 | $1,021 | $311 |
| Chest tube insertion | $687 | $1,294 | $143 |
| Chest X-ray | $200 | $382 | $37 |
| Chest X-ray (1 view) | $194 | $309 | $25 |
| Chest X-ray (2 views) | $200 | $385 | $33 |
| Circumcision | $783 | $519 | $167 |
| CK-MB heart enzyme test | $169 | $182 | $12 |
| Clotting time test (PTT) | $32 | $105 | $6 |
| Complete blood count (CBC) | $38 | $103 | $7 |
| Complete blood count (CBC) (complete) | $41 | $119 | $8 |
| Complex wound repair | $627 | $746 | $390 |
| Comprehensive metabolic panel | $80 | $253 | $11 |
| Copper blood test | $58 | $170 | $12 |
| Coronary CT angiography | $899 | $2,229 | $326 |
| Cortisol test | $36 | $251 | $16 |
| COVID-19 PCR test | $45 | $244 | $51 |
| CPAP titration study | $395 | $489 | $69 |
| Creatine kinase (CK) test | $59 | $50 | $7 |
| CT angiography of the chest | $1,210 | $2,798 | $281 |
| CT angiography of the head | $1,365 | $3,398 | $274 |
| CT scan of the abdomen | $1,198 | $2,661 | $230 |
| CT scan of the abdomen and pelvis | $2,239 | $5,258 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $2,558 | $5,718 | $338 |
| CT scan of the abdomen and pelvis with contrast | $2,239 | $5,258 | $300 |
| CT scan of the abdomen and pelvis without contrast | $1,848 | $3,788 | $183 |
| CT scan of the abdomen with and without contrast | $1,373 | $2,995 | $259 |
| CT scan of the abdomen with contrast | $1,198 | $2,661 | $230 |
| CT scan of the abdomen without contrast | $1,023 | $1,958 | $136 |
| CT scan of the arm | $1,362 | $2,209 | $199 |
| CT scan of the arm with contrast | $1,362 | $2,209 | $199 |
| CT scan of the arm without contrast | $1,440 | $1,730 | $161 |
| CT scan of the chest | $1,151 | $2,927 | $167 |
| CT scan of the chest with and without contrast | $1,618 | $3,078 | $196 |
| CT scan of the chest with contrast | $1,151 | $2,927 | $167 |
| CT scan of the chest without contrast | $938 | $1,834 | $133 |
| CT scan of the head | $1,127 | $3,477 | $148 |
| CT scan of the head with and without contrast | $1,268 | $3,477 | $173 |
| CT scan of the head with contrast | $1,127 | $3,617 | $148 |
| CT scan of the head without contrast | $915 | $2,252 | $107 |
| CT scan of the leg | $1,669 | $2,209 | $166 |
| CT scan of the leg with contrast | $1,462 | $2,209 | $166 |
| CT scan of the leg without contrast | $1,875 | $1,730 | $130 |
| CT scan of the lower back (lumbar spine) | $1,497 | $1,976 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,497 | $2,266 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,576 | $1,976 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,062 | $1,029 | $130 |
| CT scan of the neck | $1,011 | $2,875 | $183 |
| CT scan of the neck (cervical spine) | $1,274 | $2,116 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $1,859 | $2,221 | $196 |
| CT scan of the neck (cervical spine) with contrast | $1,274 | $2,116 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,274 | $1,029 | $131 |
| CT scan of the neck with and without contrast | $1,145 | $2,890 | $220 |
| CT scan of the neck with contrast | $1,011 | $2,875 | $183 |
| CT scan of the neck without contrast | $660 | $2,875 | $150 |
| CT scan of the pelvis | $1,123 | $2,602 | $226 |
| CT scan of the pelvis with and without contrast | $1,281 | $2,921 | $251 |
| CT scan of the pelvis with contrast | $1,123 | $2,602 | $226 |
| CT scan of the pelvis without contrast | $918 | $1,834 | $133 |
| CT scan of the sinuses | $750 | $3,070 | $152 |
| CT scan of the sinuses with and without contrast | $780 | $3,573 | $184 |
| CT scan of the sinuses with contrast | $750 | $3,070 | $152 |
| CT scan of the sinuses without contrast | $720 | $1,106 | $128 |
| D-dimer test | $102 | $152 | $10 |
| DHEA-sulfate test | $130 | $185 | $22 |
| Diagnostic mammogram | $131 | $79 | $140 |
| Drug screen (urine) | $101 | $361 | $17 |
| Echocardiogram | $923 | $781 | $138 |
| Echocardiogram with and without contrast | $289 | $409 | $101 |
| EKG / ECG (tracing only) | $217 | $312 | $7 |
| Electrocardiogram (EKG) | $217 | $236 | $8 |
| Electroencephalogram (EEG) | $638 | $827 | $448 |
| Electrolyte panel | $59 | $216 | $7 |
| Emergency department visit | $277 | $1,199 | $69 |
| Emergency department visit (level 1) | $169 | $681 | $11 |
| Emergency department visit (level 2) | $223 | $963 | $40 |
| Emergency department visit (level 3) | $277 | $1,199 | $69 |
| Emergency department visit (level 4) | $492 | $2,040 | $118 |
| Emergency department visit (level 5) | $869 | $2,527 | $171 |
| Epidural steroid injection | $759 | $1,731 | $275 |
| Estradiol (estrogen) test | $124 | $174 | $28 |
| Facet joint injection (spine) | $256 | $1,557 | $99 |
| Fallopian tube X-ray (HSG) | $294 | $1,514 | $164 |
| Fecal occult blood (stool) test | $75 | $137 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $27 | $57 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $124 | $216 | $16 |
| Ferritin (iron) test | $88 | $211 | $14 |
| Fibrinogen test | $74 | $151 | $10 |
| Flu test | $25 | $172 | $17 |
| Folate (folic acid) test | $96 | $235 | $15 |
| Foreign body removal (skin) | $414 | $600 | $157 |
| Free T4 thyroid test | $76 | $141 | $9 |
| FSH hormone test | $44 | $282 | $19 |
| Gallbladder removal (laparoscopic) | $6,706 | $4,653 | $658 |
| Gallbladder scan (HIDA) | $802 | $1,947 | $334 |
| GGT liver test | $54 | $123 | $7 |
| Glucose tolerance test | $54 | $91 | $8 |
| H. pylori test | $168 | $300 | $67 |
| HDL cholesterol test | $78 | $140 | $8 |
| Hematocrit test | $15 | $43 | $2 |
| Hemoglobin A1c (diabetes test) | $20 | $152 | $10 |
| Hepatitis B test | $68 | $153 | $10 |
| Hepatitis C test | $98 | $139 | $14 |
| HIV test | $62 | $177 | $19 |
| HIV test (antibody) | $93 | $177 | $14 |
| Holter heart monitor | $197 | $175 | $26 |
| Iron blood test | $33 | $80 | $6 |
| IUD removal | $337 | $253 | $112 |
| IV infusion therapy | $198 | $413 | $44 |
| IV infusion therapy (each additional) | $59 | $279 | $21 |
| IV infusion therapy (initial) | $338 | $547 | $67 |
| Joint aspiration (small/intermediate) | $342 | $361 | $57 |
| Joint aspiration or injection (mid-size joint) | $354 | $387 | $57 |
| Joint aspiration or injection (small joint) | $330 | $335 | $56 |
| Kidney biopsy | $1,020 | $2,040 | $492 |
| Kidney scan (nuclear) | $1,003 | $1,607 | $172 |
| Kidney ultrasound | $448 | $907 | $84 |
| Kidney ultrasound (limited) | $335 | $810 | $61 |
| Knee joint injection | $780 | $523 | $69 |
| Lactate test | $78 | $179 | $12 |
| Laryngoscopy | $474 | $901 | $189 |
| LDH test | $42 | $103 | $6 |
| LDL cholesterol test | $24 | $147 | $11 |
| Leg vein ultrasound (Doppler) | $667 | $1,677 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $557 | $1,172 | $116 |
| LH hormone test | $105 | $282 | $19 |
| Lipase test | $64 | $124 | $7 |
| Lipid (cholesterol) panel | $83 | $244 | $13 |
| Liver biopsy | $916 | $1,966 | $288 |
| Liver function panel | $90 | $156 | $8 |
| Lung function test (PFT) | $277 | $80 | $37 |
| Magnesium blood test | $54 | $115 | $7 |
| MRA of the brain | $1,859 | $4,041 | $226 |
| MRA of the brain with contrast | $1,859 | $4,041 | $226 |
| MRA of the brain without contrast | $1,904 | $4,173 | $328 |
| MRA of the neck | $1,461 | $4,188 | $245 |
| MRA of the neck with contrast | $1,461 | $4,188 | $245 |
| MRA of the neck without contrast | $1,735 | $4,383 | $343 |
| MRI of the abdomen | $2,262 | $4,696 | $300 |
| MRI of the abdomen with contrast | $2,262 | $4,696 | $300 |
| MRI of the abdomen without contrast | $2,015 | $3,453 | $194 |
| MRI of the ankle | $2,116 | $4,272 | $261 |
| MRI of the ankle with contrast | $1,703 | $4,272 | $261 |
| MRI of the ankle without contrast | $2,116 | $4,065 | $222 |
| MRI of the brain | $1,843 | $3,963 | $269 |
| MRI of the brain with contrast | $1,843 | $3,963 | $269 |
| MRI of the brain without contrast | $1,733 | $3,886 | $195 |
| MRI of the chest | $2,262 | $4,442 | $371 |
| MRI of the chest with contrast | $2,262 | $4,442 | $371 |
| MRI of the chest without contrast | $2,382 | $4,968 | $466 |
| MRI of the knee | $2,585 | $4,516 | $315 |
| MRI of the knee with contrast | $1,419 | $4,516 | $315 |
| MRI of the knee without contrast | $2,585 | $3,759 | $204 |
| MRI of the lower back (lumbar spine) | $2,010 | $4,110 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $2,010 | $4,149 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,759 | $3,537 | $192 |
| MRI of the mid-back (thoracic spine) | $1,865 | $4,025 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $2,011 | $4,110 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $1,865 | $4,025 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $1,759 | $3,537 | $190 |
| MRI of the neck (cervical spine) | $1,884 | $4,000 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $2,259 | $4,110 | $318 |
| MRI of the neck (cervical spine) with contrast | $1,884 | $4,000 | $274 |
| MRI of the neck (cervical spine) without contrast | $1,685 | $3,386 | $191 |
| MRI of the pelvis | $2,314 | $4,075 | $268 |
| MRI of the pelvis with contrast | $2,314 | $4,075 | $268 |
| MRI of the pelvis without contrast | $2,088 | $4,065 | $227 |
| MRI of the shoulder | $3,241 | $4,516 | $313 |
| MRI of the shoulder with contrast | $1,632 | $4,516 | $313 |
| MRI of the shoulder without contrast | $3,241 | $4,122 | $205 |
| MRI of the wrist | $1,884 | $4,271 | $330 |
| MRI of the wrist with contrast | $1,884 | $4,271 | $330 |
| MRI of the wrist without contrast | $1,652 | $4,065 | $303 |
| Nebulizer breathing treatment | $225 | $188 | $9 |
| Nuclear cardiac stress test | $2,388 | $761 | $428 |
| Occupational therapy evaluation | $121 | $315 | $101 |
| Occupational therapy evaluation (high complexity) | $121 | $319 | $101 |
| Occupational therapy evaluation (low complexity) | $121 | $314 | $101 |
| Occupational therapy evaluation (moderate complexity) | $121 | $315 | $101 |
| Office visit (established patient) | $138 | $456 | $115 |
| Office visit (new patient) | $209 | $863 | $177 |
| Office visit, established patient (level 3) | $111 | $335 | $95 |
| Office visit, established patient (level 4) | $164 | $576 | $136 |
| Office visit, new patient (level 3) | $166 | $603 | $118 |
| Office visit, new patient (level 4) | $253 | $863 | $177 |
| Parathyroid hormone (PTH) test | $182 | $379 | $41 |
| Pelvic ultrasound | $321 | $760 | $78 |
| Pelvic ultrasound (complete) | $512 | $907 | $105 |
| Pelvic ultrasound (limited) | $130 | $612 | $51 |
| Phosphorus blood test | $9 | $82 | $5 |
| Physical therapy evaluation | $209 | $315 | $98 |
| Physical therapy evaluation (high complexity) | $236 | $321 | $98 |
| Physical therapy evaluation (moderate complexity) | $209 | $315 | $98 |
| Pilonidal cyst removal | $469 | $1,279 | $541 |
| Platelet count | $15 | $82 | $4 |
| Pregnancy blood test (hCG) | $38 | $115 | $8 |
| Pregnancy ultrasound | $436 | $1,173 | $126 |
| Pregnancy ultrasound (first trimester) | $409 | $1,154 | $117 |
| Pregnancy ultrasound (second or third trimester) | $462 | $1,192 | $136 |
| Procalcitonin test | $128 | $355 | $27 |
| Prolactin test | $80 | $270 | $19 |
| Prostate test (PSA) | $91 | $267 | $18 |
| Pulmonary rehabilitation | $115 | $394 | $87 |
| Radiofrequency nerve ablation | $2,090 | $4,798 | $462 |
| Sacroiliac joint injection | $1,473 | $2,590 | $176 |
| Scoliosis spine X-ray | $192 | $563 | $58 |
| Scoliosis spine X-ray (3 views) | $192 | $557 | $72 |
| Screening mammogram | $131 | $85 | $126 |
| Scrotal ultrasound | $439 | $822 | $99 |
| Sedimentation rate (ESR) test | $57 | $64 | $3 |
| Semen analysis | $80 | $142 | $12 |
| Sex hormone binding globulin test | $57 | $339 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $400 | $632 | $114 |
| Simple wound stitches | $400 | $747 | $127 |
| Skin biopsy | $627 | $539 | $121 |
| Skin tag removal | $321 | $291 | $92 |
| Sleep study (polysomnography) | $2,460 | $3,484 | $691 |
| Soft tissue ultrasound | $166 | $613 | $64 |
| Spinal tap (lumbar puncture) | $759 | $982 | $165 |
| Spirometry (lung function test) | $194 | $37 | $30 |
| Spirometry with bronchodilator | $360 | $123 | $43 |
| Strep throat test | $28 | $186 | $17 |
| Swallow study | $262 | $420 | $85 |
| T3 thyroid test | $38 | $229 | $14 |
| Tdap (tetanus) vaccine | $64 | $229 | — |
| Testosterone test | $118 | $383 | $26 |
| Thyroid test (TSH) | $25 | $43 | $17 |
| Thyroid ultrasound | $477 | $803 | $109 |
| Thyroid uptake scan | $952 | $1,463 | $145 |
| Total IgE allergy test | $48 | $250 | $16 |
| Total protein test | $22 | $61 | $4 |
| Transvaginal ultrasound | $228 | $1,028 | $118 |
| Trigger point injection | $312 | $594 | $56 |
| Trigger point injection (1-2 muscles) | $312 | $315 | $52 |
| Triglycerides test | $196 | $92 | $6 |
| Troponin (heart) test | $102 | $177 | $12 |
| Turning a breech baby (version) | $1,438 | $3,969 | $94 |
| Upper GI series (barium) | $451 | $1,217 | $128 |
| Uric acid (gout) test | $54 | $77 | $5 |
| Urinalysis | $20 | $74 | $3 |
| Urine microalbumin test | $47 | $94 | $5 |
| Urine pregnancy test | $27 | $55 | $9 |
| Vaccine administration | $65 | $106 | $19 |
| Vaccine administration (each additional) | $55 | $106 | $16 |
| Vitamin B12 test | $86 | $261 | $15 |
| Vitamin D test | $62 | $214 | $30 |
| Wound debridement | $559 | $983 | $186 |
| X-ray of the abdomen | $239 | $615 | $36 |
| X-ray of the ankle | $192 | $451 | $37 |
| X-ray of the collarbone | $312 | $409 | $33 |
| X-ray of the elbow | $190 | $451 | $33 |
| X-ray of the facial bones | $321 | $483 | $39 |
| X-ray of the foot | $203 | $451 | $34 |
| X-ray of the forearm | $188 | $415 | $29 |
| X-ray of the hand | $203 | $445 | $38 |
| X-ray of the hip | $139 | $394 | $49 |
| X-ray of the hip (3 views) | $188 | $394 | $49 |
| X-ray of the knee | $225 | $402 | $42 |
| X-ray of the knee (2 views) | $147 | $394 | $34 |
| X-ray of the knee (3 views) | $225 | $402 | $42 |
| X-ray of the knee (4+ views) | $264 | $519 | $49 |
| X-ray of the lower back (lumbar spine) | $311 | $736 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $266 | $573 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $357 | $899 | $53 |
| X-ray of the lower leg | $150 | $431 | $31 |
| X-ray of the mid-back (thoracic spine) | $204 | $584 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $183 | $584 | $33 |
| X-ray of the neck (cervical spine) | $277 | $690 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $218 | $493 | $40 |
| X-ray of the pelvis | $198 | $631 | $36 |
| X-ray of the pelvis (1 view) | $150 | $525 | $28 |
| X-ray of the ribs | $259 | $521 | $42 |
| X-ray of the ribs (2 views) | $259 | $462 | $36 |
| X-ray of the ribs (3 views) | $130 | $521 | $42 |
| X-ray of the shoulder | $209 | $506 | $36 |
| X-ray of the skull | $292 | $590 | $40 |
| X-ray of the upper arm | $203 | $496 | $32 |
| X-ray of the wrist | $294 | $451 | $43 |
| Zinc blood test | $58 | $178 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
