| Procedure | Dickenson Community Hospital | Whitesburg ARH Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $73 | $40 | $51 |
| Abdominal ultrasound | $97 | $579 | $100 |
| Abdominal ultrasound (complete) | $100 | $958 | $114 |
| Abdominal ultrasound (limited) | $95 | $579 | $86 |
| Abscess drainage (complex or multiple) | $155 | $335 | $220 |
| Abscess drainage (simple) | $85 | $146 | $129 |
| Abscess incision and drainage | $120 | $151 | $174 |
| Albumin blood test | $9 | $58 | $5 |
| Aldosterone test | $67 | $87 | $41 |
| Alkaline phosphatase test | $9 | $79 | $5 |
| Allergy shots | $9 | $18 | $11 |
| Alpha-fetoprotein (AFP) test | $29 | $36 | $17 |
| ALT liver enzyme test | $9 | $80 | $5 |
| Ammonia blood test | $25 | $193 | $15 |
| Amylase test | $11 | $46 | $6 |
| Anoscopy | $136 | $87 | $129 |
| Antinuclear antibody (ANA) test | $21 | $82 | $12 |
| Arterial blood gas (ABG) | $33 | $175 | $26 |
| AST liver enzyme test | $9 | $80 | $5 |
| Bartholin cyst removal | $218 | $323 | $182 |
| Basic metabolic panel | $14 | $133 | $8 |
| Benign skin lesion removal | $198 | $163 | $171 |
| Bilirubin blood test | $9 | $80 | $5 |
| Blood clotting test (PT/INR) | $7 | $48 | $4 |
| Blood glucose test | $7 | $60 | $5 |
| Blood transfusion | $117 | $617 | $47 |
| Blood type and screen | $20 | $57 | $10 |
| Blood type test | $20 | $57 | $3 |
| Blood type test (ABO group) | $18 | $56 | $3 |
| Blood type test (Rh/D antigen) | $22 | $59 | $3 |
| BNP (heart failure) test | $58 | $207 | $39 |
| Bone density scan (DEXA) | $77 | $560 | $39 |
| Bone scan (nuclear) | $444 | $1,342 | $259 |
| Breast ultrasound | $93 | $404 | $92 |
| Breast ultrasound (complete) | $95 | $807 | $100 |
| Breast ultrasound (limited) | $90 | $404 | $84 |
| Breathing tube insertion (intubation) | $230 | $764 | $133 |
| Burn dressing and debridement (medium) | $224 | $234 | $166 |
| Burn dressing and debridement (small) | $75 | $199 | $93 |
| Burn treatment | $149 | $217 | $129 |
| C-reactive protein (CRP) | $9 | $24 | $5 |
| CA 19-9 tumor marker test | $36 | $172 | $21 |
| CA-125 ovarian marker test | $36 | $172 | $21 |
| Calcium blood test | $9 | $79 | $5 |
| Cardiac rehabilitation | $25 | $319 | $26 |
| Cardiac stress test | $220 | $470 | $39 |
| Cardioversion | $504 | $939 | $155 |
| Carotid artery ultrasound | $225 | $776 | $156 |
| CEA tumor marker test | $33 | $216 | $19 |
| Central line placement | $529 | $1,616 | $238 |
| Chest tube insertion | $482 | $1,661 | $143 |
| Chest X-ray | $68 | $261 | $37 |
| Chest X-ray (1 view) | $65 | $221 | $25 |
| Chest X-ray (2 views) | $68 | $261 | $33 |
| CK-MB heart enzyme test | $20 | $163 | $12 |
| Clotting time test (PTT) | $10 | $88 | $6 |
| Colonoscopy | $475 | $847 | $480 |
| Complete blood count (CBC) | $12 | $66 | $7 |
| Complete blood count (CBC) (complete) | $13 | $74 | $8 |
| Comprehensive metabolic panel | $17 | $155 | $11 |
| Copper blood test | $21 | $30 | $12 |
| Cortisol test | $28 | $50 | $16 |
| CPAP titration study | $230 | $452 | $69 |
| Creatine kinase (CK) test | $11 | $85 | $7 |
| CT angiography of the chest | $577 | $2,875 | $281 |
| CT angiography of the head | $549 | $2,241 | $274 |
| CT scan of the abdomen | $577 | $1,827 | $230 |
| CT scan of the abdomen and pelvis | $549 | $3,452 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $577 | $5,284 | $338 |
| CT scan of the abdomen and pelvis with contrast | $549 | $4,492 | $300 |
| CT scan of the abdomen and pelvis without contrast | $522 | $3,452 | $183 |
| CT scan of the abdomen with and without contrast | $605 | $2,410 | $259 |
| CT scan of the abdomen with contrast | $577 | $2,017 | $230 |
| CT scan of the abdomen without contrast | $549 | $1,637 | $136 |
| CT scan of the arm | $549 | $1,970 | $199 |
| CT scan of the arm with contrast | $549 | $1,970 | $199 |
| CT scan of the arm without contrast | $522 | $1,560 | $161 |
| CT scan of the chest | $549 | $1,892 | $167 |
| CT scan of the chest with and without contrast | $577 | $3,096 | $196 |
| CT scan of the chest with contrast | $549 | $2,588 | $167 |
| CT scan of the chest without contrast | $522 | $1,892 | $133 |
| CT scan of the head | $549 | $1,610 | $148 |
| CT scan of the head with and without contrast | $577 | $2,392 | $173 |
| CT scan of the head with contrast | $549 | $1,684 | $148 |
| CT scan of the head without contrast | $522 | $1,537 | $107 |
| CT scan of the leg | $549 | $2,106 | $166 |
| CT scan of the leg with contrast | $549 | $1,970 | $166 |
| CT scan of the leg without contrast | $522 | $3,120 | $130 |
| CT scan of the lower back (lumbar spine) | $549 | $1,993 | $169 |
| CT scan of the lower back (lumbar spine) with contrast | $549 | $2,428 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $522 | $1,993 | $130 |
| CT scan of the neck | $549 | $1,765 | $183 |
| CT scan of the neck (cervical spine) | $536 | $2,428 | $168 |
| CT scan of the neck (cervical spine) with contrast | $549 | $2,428 | $168 |
| CT scan of the neck (cervical spine) without contrast | $522 | $2,104 | $131 |
| CT scan of the neck with and without contrast | $577 | $2,241 | $220 |
| CT scan of the neck with contrast | $549 | $1,970 | $183 |
| CT scan of the neck without contrast | $522 | $1,560 | $150 |
| CT scan of the pelvis | $605 | $2,166 | $226 |
| CT scan of the pelvis with and without contrast | $636 | $2,875 | $251 |
| CT scan of the pelvis with contrast | $605 | $2,517 | $226 |
| CT scan of the pelvis without contrast | $577 | $1,815 | $133 |
| CT scan of the sinuses | $549 | $1,970 | $152 |
| CT scan of the sinuses with and without contrast | $577 | $2,241 | $184 |
| CT scan of the sinuses with contrast | $549 | $1,970 | $152 |
| CT scan of the sinuses without contrast | $522 | $1,560 | $128 |
| DHEA-sulfate test | $38 | $263 | $22 |
| Diagnostic mammogram | $78 | $460 | $140 |
| Drug screen (urine) | $63 | $68 | $17 |
| Echocardiogram | $306 | $578 | $138 |
| Echocardiogram with and without contrast | $172 | $578 | $101 |
| EKG / ECG (tracing only) | $70 | $150 | $7 |
| Electrocardiogram (EKG) | $70 | $104 | $8 |
| Electrolyte panel | $12 | $103 | $7 |
| Emergency department visit | $201 | $278 | $69 |
| Emergency department visit (level 1) | $67 | $61 | $11 |
| Emergency department visit (level 2) | $92 | $143 | $40 |
| Emergency department visit (level 3) | $201 | $278 | $69 |
| Emergency department visit (level 4) | $295 | $1,745 | $118 |
| Emergency department visit (level 5) | $448 | $2,976 | $171 |
| Estradiol (estrogen) test | $48 | $202 | $28 |
| Fecal occult blood (stool) test | $18 | $38 | $10 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $27 | $38 | $16 |
| Ferritin (iron) test | $23 | $219 | $14 |
| Fibrinogen test | $15 | $82 | $10 |
| Flu test | $20 | $56 | $17 |
| Flu vaccine | $37 | $69 | — |
| Folate (folic acid) test | $25 | $245 | $15 |
| Foreign body removal (skin) | $118 | $204 | $157 |
| Free T4 thyroid test | $15 | $169 | $9 |
| FSH hormone test | $32 | $255 | $19 |
| Gallbladder scan (HIDA) | $444 | $696 | $334 |
| GGT liver test | $12 | $100 | $7 |
| Glucose tolerance test | $12 | $138 | $8 |
| HDL cholesterol test | $14 | $95 | $8 |
| Hematocrit test | $4 | $55 | $2 |
| Hemoglobin A1c (diabetes test) | $17 | $73 | $10 |
| Hepatitis B test | $17 | $43 | $10 |
| Hepatitis C test | $25 | $44 | $14 |
| HIV test | $41 | $232 | $19 |
| HIV test (antigen/antibody combo) | $41 | $232 | $24 |
| Holter heart monitor | $243 | $127 | $26 |
| Iron blood test | $11 | $103 | $6 |
| IV infusion therapy | $63 | $144 | $44 |
| IV infusion therapy (each additional) | $35 | $116 | $21 |
| IV infusion therapy (initial) | $91 | $172 | $67 |
| Joint aspiration (small/intermediate) | $175 | $146 | $57 |
| Joint aspiration or injection (mid-size joint) | $262 | $146 | $57 |
| Joint aspiration or injection (small joint) | $88 | $146 | $56 |
| Kidney scan (nuclear) | $444 | $1,471 | $172 |
| Kidney ultrasound | $97 | $452 | $84 |
| Kidney ultrasound (limited) | $95 | $452 | $61 |
| Knee joint injection | $290 | $488 | $69 |
| Lactate test | $18 | $50 | $12 |
| LDH test | $10 | $10 | $6 |
| LDL cholesterol test | $16 | $105 | $11 |
| Leg vein ultrasound (Doppler) | $282 | $721 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $225 | $721 | $116 |
| LH hormone test | $32 | $255 | $19 |
| Lipase test | $12 | $108 | $7 |
| Lipid (cholesterol) panel | $23 | $101 | $13 |
| Liver biopsy | $679 | $1,324 | $288 |
| Liver function panel | $14 | $171 | $8 |
| Lung function test (PFT) | $138 | $342 | $37 |
| Magnesium blood test | $11 | $39 | $7 |
| MRA of the brain | $625 | $2,888 | $226 |
| MRA of the brain without contrast | $656 | $2,888 | $328 |
| MRA of the neck | $625 | $2,888 | $245 |
| MRA of the neck without contrast | $656 | $2,888 | $343 |
| MRI of the abdomen | $625 | $2,701 | $300 |
| MRI of the abdomen without contrast | $594 | $2,774 | $194 |
| MRI of the ankle | $625 | $2,787 | $261 |
| MRI of the ankle without contrast | $594 | $2,249 | $222 |
| MRI of the brain | $625 | $3,535 | $269 |
| MRI of the brain without contrast | $594 | $3,325 | $195 |
| MRI of the knee | $625 | $3,325 | $315 |
| MRI of the knee without contrast | $594 | $6,651 | $204 |
| MRI of the lower back (lumbar spine) | $625 | $3,423 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $625 | $3,469 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $594 | $3,377 | $192 |
| MRI of the mid-back (thoracic spine) | $625 | $3,325 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $656 | $5,052 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $625 | $3,324 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $594 | $3,325 | $190 |
| MRI of the neck (cervical spine) | $625 | $3,325 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $656 | $5,052 | $318 |
| MRI of the neck (cervical spine) with contrast | $625 | $3,324 | $274 |
| MRI of the neck (cervical spine) without contrast | $594 | $3,325 | $191 |
| MRI of the pelvis | $625 | $3,325 | $268 |
| MRI of the pelvis without contrast | $594 | $3,325 | $227 |
| MRI of the shoulder | $625 | $3,325 | $313 |
| MRI of the shoulder without contrast | $594 | $3,325 | $205 |
| MRI of the wrist | $625 | $2,398 | $330 |
| MRI of the wrist without contrast | $594 | $2,398 | $303 |
| Nebulizer breathing treatment | $97 | $134 | $9 |
| Nuclear cardiac stress test | $444 | $2,490 | $428 |
| Occupational therapy evaluation | $74 | $319 | $101 |
| Occupational therapy evaluation (high complexity) | $78 | $319 | $101 |
| Occupational therapy evaluation (low complexity) | $70 | $319 | $101 |
| Occupational therapy evaluation (moderate complexity) | $74 | $319 | $101 |
| Office visit (established patient) | $38 | $109 | $115 |
| Office visit (new patient) | $50 | $186 | $177 |
| Office visit, established patient (level 3) | $35 | $301 | $95 |
| Office visit, established patient (level 4) | $41 | $87 | $136 |
| Office visit, new patient (level 3) | $39 | $134 | $118 |
| Office visit, new patient (level 4) | $50 | $195 | $177 |
| Office visit, new patient (level 5) | $64 | $244 | $237 |
| Pap smear (cervical screening) | $35 | $39 | $20 |
| Parathyroid hormone (PTH) test | $71 | $418 | $41 |
| Pelvic ultrasound | $100 | $179 | $78 |
| Pelvic ultrasound (complete) | $100 | $799 | $105 |
| Pelvic ultrasound (limited) | $100 | $179 | $51 |
| Phosphorus blood test | $8 | $64 | $5 |
| Physical therapy evaluation | $76 | $254 | $98 |
| Physical therapy evaluation (high complexity) | $80 | $254 | $98 |
| Physical therapy evaluation (moderate complexity) | $76 | $254 | $98 |
| Platelet count | $8 | $55 | $4 |
| Pregnancy blood test (hCG) | $13 | $105 | $8 |
| Pregnancy ultrasound | $100 | $905 | $126 |
| Pregnancy ultrasound (first trimester) | $100 | $905 | $117 |
| Pregnancy ultrasound (second or third trimester) | $100 | $100 | $136 |
| Procalcitonin test | $30 | $341 | $27 |
| Prolactin test | $33 | $202 | $19 |
| Prostate test (PSA) | $32 | $184 | $18 |
| Pulmonary rehabilitation | $34 | $101 | $87 |
| Rheumatoid factor test | $10 | $31 | $6 |
| Scoliosis spine X-ray | $66 | $484 | $58 |
| Scoliosis spine X-ray (3 views) | $68 | $484 | $72 |
| Screening mammogram | $73 | $190 | $126 |
| Scrotal ultrasound | $100 | $905 | $99 |
| Sedimentation rate (ESR) test | $5 | $60 | $3 |
| Sex hormone binding globulin test | $37 | $91 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $82 | $193 | $114 |
| Simple wound stitches | $83 | $276 | $127 |
| Skin biopsy | $74 | $174 | $121 |
| Skin biopsy (punch) | $74 | $180 | $121 |
| Skin cancer lesion removal | $133 | $234 | $240 |
| Skin lesion freezing (cryotherapy) | $98 | $40 | $36 |
| Skin tag removal | $37 | $83 | $92 |
| Small bowel resection | $587 | $2,026 | $1,136 |
| Soft tissue ultrasound | $100 | $332 | $64 |
| Spinal tap (lumbar puncture) | $277 | $919 | $165 |
| Spirometry (lung function test) | $85 | $197 | $30 |
| Spirometry with bronchodilator | $191 | $487 | $43 |
| Strep throat test | $20 | $64 | $17 |
| Swallow study | $81 | $333 | $85 |
| T3 thyroid test | $24 | $183 | $14 |
| Tdap (tetanus) vaccine | $122 | $185 | — |
| Testosterone test | $44 | $47 | $26 |
| Thyroid test (TSH) | $29 | $166 | $17 |
| Thyroid ultrasound | $100 | $720 | $109 |
| Thyroid uptake scan | $444 | $621 | $145 |
| Total IgE allergy test | $28 | $24 | $16 |
| Total protein test | $6 | $41 | $4 |
| Transesophageal echocardiogram (TEE) | $288 | $1,783 | $239 |
| Transvaginal ultrasound | $100 | $905 | $118 |
| Trigger point injection | $242 | $53 | $56 |
| Trigger point injection (1-2 muscles) | $242 | $71 | $52 |
| Triglycerides test | $10 | $85 | $6 |
| Troponin (heart) test | $17 | $154 | $12 |
| Upper GI endoscopy (EGD) | $398 | $607 | $371 |
| Uric acid (gout) test | $8 | $60 | $5 |
| Urinalysis | $5 | $44 | $3 |
| Urine microalbumin test | $9 | $58 | $5 |
| Urine pregnancy test | $11 | $127 | $9 |
| Vaccine administration | $20 | $56 | $19 |
| Vaccine administration (each additional) | $14 | $38 | $16 |
| Vitamin B12 test | $26 | $202 | $15 |
| Vitamin D test | $51 | $91 | $30 |
| Wart removal | $39 | $124 | $121 |
| Wound debridement | $292 | $241 | $186 |
| X-ray of the abdomen | $68 | $279 | $36 |
| X-ray of the ankle | $75 | $521 | $37 |
| X-ray of the collarbone | $65 | $475 | $33 |
| X-ray of the elbow | $72 | $538 | $33 |
| X-ray of the facial bones | $66 | $238 | $39 |
| X-ray of the foot | $75 | $491 | $34 |
| X-ray of the forearm | $68 | $457 | $29 |
| X-ray of the hand | $79 | $478 | $38 |
| X-ray of the hip | $68 | $234 | $49 |
| X-ray of the hip (1 view) | $65 | $232 | $34 |
| X-ray of the hip (3 views) | $68 | $236 | $49 |
| X-ray of the hip (4 views) | $72 | $246 | $63 |
| X-ray of the knee | $72 | $292 | $42 |
| X-ray of the knee (2 views) | $65 | $449 | $34 |
| X-ray of the knee (3 views) | $72 | $961 | $42 |
| X-ray of the knee (4+ views) | $75 | $292 | $49 |
| X-ray of the lower back (lumbar spine) | $66 | $274 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $65 | $274 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $68 | $457 | $53 |
| X-ray of the lower leg | $68 | $491 | $31 |
| X-ray of the mid-back (thoracic spine) | $66 | $322 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $65 | $322 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $68 | $363 | $39 |
| X-ray of the neck (cervical spine) | $70 | $268 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $68 | $268 | $40 |
| X-ray of the pelvis | $66 | $238 | $36 |
| X-ray of the pelvis (1 view) | $65 | $238 | $28 |
| X-ray of the ribs | $68 | $373 | $42 |
| X-ray of the ribs (2 views) | $65 | $307 | $36 |
| X-ray of the ribs (3 views) | $68 | $373 | $42 |
| X-ray of the shoulder | $75 | $475 | $36 |
| X-ray of the skull | $66 | $313 | $40 |
| X-ray of the upper arm | $65 | $475 | $32 |
| X-ray of the wrist | $72 | $528 | $43 |
| Zinc blood test | $20 | $83 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
