| Procedure | Ferrell Hospital Community Foundations | Deaconess Hospital Inc | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $63 | $33 | $51 |
| Abdominal fluid drain (paracentesis) | $1,008 | $765 | $284 |
| Abdominal ultrasound | $484 | $479 | $100 |
| Abdominal ultrasound (complete) | $630 | $509 | $114 |
| Abdominal ultrasound (limited) | $338 | $479 | $86 |
| Abscess drainage (complex or multiple) | $512 | $321 | $220 |
| Abscess drainage (simple) | $261 | $215 | $129 |
| Abscess incision and drainage | $387 | $215 | $174 |
| Albumin blood test | $58 | $14 | $5 |
| Aldosterone test | $74 | $63 | $41 |
| Alkaline phosphatase test | $58 | $47 | $5 |
| Alpha-fetoprotein (AFP) test | $35 | $53 | $17 |
| ALT liver enzyme test | $58 | $54 | $5 |
| Ammonia blood test | $100 | $37 | $15 |
| Amylase test | $58 | $24 | $6 |
| Antinuclear antibody (ANA) test | $101 | $36 | $12 |
| Arterial blood gas (ABG) | $220 | $90 | $26 |
| AST liver enzyme test | $58 | $48 | $5 |
| Barium swallow study | $355 | $127 | $107 |
| Bartholin cyst removal | $367 | $239 | $182 |
| Basic metabolic panel | $130 | $28 | $8 |
| Bilirubin blood test | $58 | $20 | $5 |
| Blood clotting test (PT/INR) | $53 | $12 | $4 |
| Blood crossmatch | $56 | $61 | — |
| Blood glucose test | $64 | $13 | $5 |
| Blood transfusion | $730 | $321 | $47 |
| Blood type and screen | $58 | $38 | $10 |
| Blood type test | $47 | $29 | $3 |
| Blood type test (ABO group) | $47 | $29 | $3 |
| Blood type test (Rh/D antigen) | $47 | $29 | $3 |
| BNP (heart failure) test | $134 | $174 | $39 |
| Bone density scan (DEXA) | $472 | $240 | $39 |
| Bone marrow biopsy | $200 | $309 | $172 |
| Bone scan (nuclear) | $1,154 | $1,159 | $259 |
| Botox for migraine | $605 | $769 | $157 |
| Breast biopsy | $2,300 | $599 | $478 |
| Breast ultrasound | $365 | $204 | $92 |
| Breast ultrasound (complete) | $365 | $240 | $100 |
| Breast ultrasound (limited) | $365 | $170 | $84 |
| Breathing tube insertion (intubation) | $716 | $334 | $133 |
| Burn dressing and debridement (medium) | $381 | $339 | $166 |
| Burn dressing and debridement (small) | $164 | $226 | $93 |
| Burn treatment | $273 | $226 | $129 |
| C-reactive protein (CRP) | $64 | $95 | $5 |
| CA 19-9 tumor marker test | $115 | $59 | $21 |
| CA-125 ovarian marker test | $115 | $65 | $21 |
| Calcium blood test | $56 | $17 | $5 |
| Cardiac rehabilitation | $221 | $139 | $26 |
| Cardiac stress test | $462 | $163 | $39 |
| Cardioversion | $1,281 | $241 | $155 |
| Carotid artery ultrasound | $908 | $686 | $156 |
| CEA tumor marker test | $179 | $59 | $19 |
| Central line placement | $279 | $796 | $238 |
| Chemotherapy infusion | $205 | $80 | $81 |
| Chemotherapy infusion (each additional) | $77 | $38 | $28 |
| Chemotherapy infusion (first hour) | $332 | $214 | $133 |
| Chest tube insertion | $910 | $1,125 | $143 |
| Chest X-ray | $213 | $150 | $37 |
| Chest X-ray (1 view) | $141 | $135 | $25 |
| Chest X-ray (2 views) | $204 | $150 | $33 |
| Chickenpox (varicella) vaccine | $382 | $488 | — |
| CK-MB heart enzyme test | $58 | $111 | $12 |
| Clotting time test (PTT) | $72 | $37 | $6 |
| Complete blood count (CBC) | $70 | $22 | $7 |
| Complete blood count (CBC) (complete) | $83 | $22 | $8 |
| Complex wound repair | $1,004 | $420 | $390 |
| Comprehensive metabolic panel | $157 | $34 | $11 |
| Copper blood test | $42 | $36 | $12 |
| Cortisol test | $148 | $32 | $16 |
| COVID-19 PCR test | $32 | $219 | $51 |
| CPAP titration study | $380 | $199 | $69 |
| Creatine kinase (CK) test | $58 | $48 | $7 |
| CT angiography of the chest | $2,467 | $1,190 | $281 |
| CT angiography of the head | $1,910 | $1,190 | $274 |
| CT scan of the abdomen | $1,594 | $907 | $230 |
| CT scan of the abdomen and pelvis | $2,980 | $1,685 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $3,653 | $2,096 | $338 |
| CT scan of the abdomen and pelvis with contrast | $2,980 | $1,813 | $300 |
| CT scan of the abdomen and pelvis without contrast | $2,833 | $1,557 | $183 |
| CT scan of the abdomen with and without contrast | $1,917 | $1,079 | $259 |
| CT scan of the abdomen with contrast | $1,594 | $907 | $230 |
| CT scan of the abdomen without contrast | $1,460 | $779 | $136 |
| CT scan of the arm | $1,495 | $779 | $199 |
| CT scan of the arm with contrast | $1,495 | $898 | $199 |
| CT scan of the arm without contrast | $1,360 | $779 | $161 |
| CT scan of the chest | $1,623 | $780 | $167 |
| CT scan of the chest with and without contrast | $1,973 | $1,079 | $196 |
| CT scan of the chest with contrast | $1,623 | $877 | $167 |
| CT scan of the chest without contrast | $1,386 | $780 | $133 |
| CT scan of the head | $1,527 | $907 | $148 |
| CT scan of the head with and without contrast | $1,891 | $1,079 | $173 |
| CT scan of the head with contrast | $1,427 | $907 | $148 |
| CT scan of the head without contrast | $1,527 | $839 | $107 |
| CT scan of the leg | $1,427 | $843 | $166 |
| CT scan of the leg with contrast | $1,427 | $907 | $166 |
| CT scan of the leg without contrast | $1,360 | $779 | $130 |
| CT scan of the lower back (lumbar spine) | $1,692 | $1,219 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,692 | $1,272 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,427 | $1,219 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,846 | $1,198 | $130 |
| CT scan of the neck | $1,328 | $843 | $183 |
| CT scan of the neck (cervical spine) | $1,692 | $843 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $1,692 | $1,079 | $196 |
| CT scan of the neck (cervical spine) with contrast | $1,427 | $907 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,846 | $779 | $131 |
| CT scan of the neck with and without contrast | $1,725 | $1,079 | $220 |
| CT scan of the neck with contrast | $1,328 | $907 | $183 |
| CT scan of the neck without contrast | $1,253 | $779 | $150 |
| CT scan of the pelvis | $1,522 | $779 | $226 |
| CT scan of the pelvis with and without contrast | $1,522 | $1,079 | $251 |
| CT scan of the pelvis with contrast | $1,522 | $907 | $226 |
| CT scan of the pelvis without contrast | $1,533 | $779 | $133 |
| CT scan of the sinuses | $1,560 | $907 | $152 |
| CT scan of the sinuses with and without contrast | $1,668 | $915 | $184 |
| CT scan of the sinuses with contrast | $1,560 | $907 | $152 |
| CT scan of the sinuses without contrast | $1,394 | $898 | $128 |
| D-dimer test | $81 | $104 | $10 |
| DHEA-sulfate test | $74 | $64 | $22 |
| Diagnostic mammogram | $308 | $140 | $140 |
| Drug screen (urine) | $56 | $75 | $17 |
| Ear pressure test (tympanometry) | $36 | $17 | $16 |
| Echocardiogram | $1,043 | $172 | $138 |
| Echocardiogram with and without contrast | $695 | $172 | $101 |
| EKG / ECG (tracing only) | $237 | $109 | $7 |
| Electrocardiogram (EKG) | $237 | $29 | $8 |
| Electroencephalogram (EEG) | $817 | $382 | $448 |
| Electrolyte panel | $107 | $59 | $7 |
| Electromyography (EMG) | $197 | $120 | $141 |
| Emergency department visit | $227 | $151 | $69 |
| Emergency department visit (level 1) | $170 | $90 | $11 |
| Emergency department visit (level 2) | $209 | $151 | $40 |
| Emergency department visit (level 3) | $227 | $264 | $69 |
| Emergency department visit (level 4) | $494 | $460 | $118 |
| Emergency department visit (level 5) | $1,160 | $722 | $171 |
| Epidural steroid injection | $1,460 | $228 | $275 |
| Estradiol (estrogen) test | $89 | $72 | $28 |
| Facet joint injection (spine) | $946 | $184 | $99 |
| Family therapy session | $366 | $83 | $110 |
| Fecal occult blood (stool) test | $58 | $21 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $53 | $8 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $64 | $49 | $16 |
| Ferritin (iron) test | $31 | $32 | $14 |
| Fibrinogen test | $56 | $36 | $10 |
| Flu test | $66 | $33 | $17 |
| Folate (folic acid) test | $55 | $54 | $15 |
| Foreign body removal (skin) | $282 | $416 | $157 |
| Free T4 thyroid test | $101 | $29 | $9 |
| FSH hormone test | $152 | $48 | $19 |
| Gallbladder scan (HIDA) | $1,208 | $833 | $334 |
| GGT liver test | $58 | $76 | $7 |
| Glucose tolerance test | $108 | $19 | $8 |
| Group therapy session | $296 | $42 | $30 |
| H. pylori test | $217 | $77 | $67 |
| HDL cholesterol test | $80 | $111 | $8 |
| Hearing test (audiometry) | $83 | $35 | $36 |
| Hematocrit test | $42 | $6 | $2 |
| Hemoglobin A1c (diabetes test) | $83 | $39 | $10 |
| Hepatitis B test | $58 | $19 | $10 |
| Hepatitis B vaccine | $183 | $183 | — |
| Hepatitis C test | $106 | $228 | $14 |
| HIV test | $66 | $53 | $19 |
| HIV test (antigen/antibody combo) | $66 | $53 | $24 |
| Holter heart monitor | $242 | $66 | $26 |
| HPV vaccine | $607 | $837 | — |
| Iron blood test | $58 | $24 | $6 |
| IV infusion therapy | $131 | $54 | $44 |
| IV infusion therapy (each additional) | $30 | $49 | $21 |
| IV infusion therapy (initial) | $232 | $136 | $67 |
| Joint aspiration (small/intermediate) | $600 | $219 | $57 |
| Joint aspiration or injection (mid-size joint) | $600 | $219 | $57 |
| Joint aspiration or injection (small joint) | $600 | $394 | $56 |
| Kidney scan (nuclear) | $763 | $282 | $172 |
| Kidney ultrasound | $429 | $169 | $84 |
| Kidney ultrasound (limited) | $369 | $479 | $61 |
| Knee joint injection | $600 | $219 | $69 |
| Lactate test | $64 | $50 | $12 |
| LDH test | $58 | $22 | $6 |
| LDL cholesterol test | $58 | $31 | $11 |
| Leg vein ultrasound (Doppler) | $723 | $539 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $683 | $419 | $116 |
| LH hormone test | $107 | $47 | $19 |
| Lipase test | $58 | $37 | $7 |
| Lipid (cholesterol) panel | $148 | $67 | $13 |
| Liver function panel | $87 | $82 | $8 |
| Lung function test (PFT) | $170 | $145 | $37 |
| Lung scan (V/Q) | $1,836 | $905 | $291 |
| Magnesium blood test | $58 | $80 | $7 |
| MMR vaccine | $224 | $248 | — |
| MRA of the brain | $1,978 | $1,079 | $226 |
| MRA of the brain with contrast | $1,978 | $1,168 | $226 |
| MRA of the brain without contrast | $2,255 | $1,378 | $328 |
| MRA of the neck | $1,819 | $1,123 | $245 |
| MRA of the neck with contrast | $1,819 | $1,168 | $245 |
| MRA of the neck without contrast | $2,255 | $1,378 | $343 |
| MRI of the abdomen | $1,990 | $1,123 | $300 |
| MRI of the abdomen with contrast | $1,990 | $1,168 | $300 |
| MRI of the abdomen without contrast | $1,877 | $1,079 | $194 |
| MRI of the ankle | $2,083 | $984 | $261 |
| MRI of the ankle with contrast | $2,083 | $505 | $261 |
| MRI of the ankle without contrast | $1,739 | $984 | $222 |
| MRI of the brain | $2,255 | $1,106 | $269 |
| MRI of the brain with contrast | $2,255 | $1,134 | $269 |
| MRI of the brain without contrast | $1,808 | $1,079 | $195 |
| MRI of the chest | $2,083 | $1,168 | $371 |
| MRI of the chest with contrast | $2,083 | $1,168 | $371 |
| MRI of the chest without contrast | $2,255 | $1,378 | $466 |
| MRI of the knee | $2,083 | $1,076 | $315 |
| MRI of the knee with contrast | $2,083 | $1,168 | $315 |
| MRI of the knee without contrast | $1,974 | $984 | $204 |
| MRI of the lower back (lumbar spine) | $2,568 | $1,168 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $2,366 | $1,168 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $2,568 | $1,079 | $192 |
| MRI of the mid-back (thoracic spine) | $2,401 | $1,123 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $2,467 | $1,378 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $2,288 | $1,168 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $2,401 | $1,079 | $190 |
| MRI of the neck (cervical spine) | $2,387 | $1,079 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $2,440 | $1,378 | $318 |
| MRI of the neck (cervical spine) without contrast | $2,339 | $1,079 | $191 |
| MRI of the pelvis | $2,255 | $1,219 | $268 |
| MRI of the pelvis with contrast | $2,288 | $1,219 | $268 |
| MRI of the pelvis without contrast | $1,657 | $1,079 | $227 |
| MRI of the shoulder | $2,083 | $1,168 | $313 |
| MRI of the shoulder with contrast | $2,083 | $1,168 | $313 |
| MRI of the shoulder without contrast | $1,825 | $984 | $205 |
| MRI of the wrist | $2,083 | $1,219 | $330 |
| MRI of the wrist with contrast | $2,083 | $1,219 | $330 |
| MRI of the wrist without contrast | $1,657 | $984 | $303 |
| Nebulizer breathing treatment | $92 | $43 | $9 |
| Nerve conduction study | $281 | $82 | $118 |
| Nuclear cardiac stress test | $2,704 | $752 | $428 |
| Occupational therapy evaluation | $320 | $100 | $101 |
| Occupational therapy evaluation (high complexity) | $335 | $159 | $101 |
| Occupational therapy evaluation (low complexity) | $279 | $90 | $101 |
| Occupational therapy evaluation (moderate complexity) | $320 | $127 | $101 |
| Office visit (established patient) | $170 | $73 | $115 |
| Office visit (new patient) | $298 | $129 | $177 |
| Office visit, established patient (level 3) | $105 | $60 | $95 |
| Office visit, established patient (level 4) | $236 | $87 | $136 |
| Office visit, new patient (level 3) | $262 | $87 | $118 |
| Office visit, new patient (level 4) | $298 | $129 | $177 |
| Office visit, new patient (level 5) | $320 | $158 | $237 |
| Pap smear (cervical screening) | $55 | $57 | $20 |
| Parathyroid hormone (PTH) test | $66 | $96 | $41 |
| Pelvic ultrasound | $464 | $273 | $78 |
| Pelvic ultrasound (complete) | $602 | $273 | $105 |
| Pelvic ultrasound (limited) | $326 | $317 | $51 |
| Phosphorus blood test | $58 | $49 | $5 |
| Physical therapy evaluation | $317 | $127 | $98 |
| Physical therapy evaluation (high complexity) | $329 | $159 | $98 |
| Physical therapy evaluation (moderate complexity) | $317 | $127 | $98 |
| Platelet count | $57 | $25 | $4 |
| Pneumonia vaccine | $264 | $42 | — |
| Pregnancy blood test (hCG) | $87 | $19 | $8 |
| Pregnancy ultrasound | $333 | $468 | $126 |
| Pregnancy ultrasound (first trimester) | $179 | $468 | $117 |
| Pregnancy ultrasound (second or third trimester) | $488 | $468 | $136 |
| Procalcitonin test | $445 | $46 | $27 |
| Prolactin test | $95 | $56 | $19 |
| Prostate biopsy | $1,463 | $1,908 | — |
| Prostate test (PSA) | $114 | $50 | $18 |
| Psychiatric evaluation | $401 | $150 | $188 |
| Psychotherapy session | $359 | $117 | $140 |
| Radiofrequency nerve ablation | $4,035 | $438 | $462 |
| Sacroiliac joint injection | $1,460 | $400 | $176 |
| Scoliosis spine X-ray | $248 | $120 | $58 |
| Scoliosis spine X-ray (1 view) | $239 | $120 | $44 |
| Scoliosis spine X-ray (3 views) | $257 | $143 | $72 |
| Screening mammogram | $304 | $179 | $126 |
| Scrotal ultrasound | $457 | $419 | $99 |
| Sedimentation rate (ESR) test | $66 | $23 | $3 |
| Semen analysis | $56 | $16 | $12 |
| Sex hormone binding globulin test | $56 | $59 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $383 | $180 | $114 |
| Simple wound stitches | $402 | $180 | $127 |
| Skin graft | $2,110 | $936 | $898 |
| Soft tissue ultrasound | $289 | $324 | $64 |
| Speech therapy | $271 | $158 | $76 |
| Spinal tap (lumbar puncture) | $1,460 | $262 | $165 |
| Spine fracture repair (kyphoplasty) | $14,393 | $3,633 | $5,803 |
| Spirometry (lung function test) | $245 | $73 | $30 |
| Spirometry with bronchodilator | $94 | $217 | $43 |
| Strep throat test | $64 | $52 | $17 |
| Stress echocardiogram | $1,138 | $1,231 | $209 |
| Stress echocardiogram (complete) | $1,646 | $1,231 | $233 |
| Swallow study | $245 | $163 | $85 |
| T3 thyroid test | $66 | $22 | $14 |
| Tdap (tetanus) vaccine | $140 | $125 | — |
| Testosterone test | $68 | $99 | $26 |
| Thyroid test (TSH) | $104 | $66 | $17 |
| Thyroid ultrasound | $438 | $419 | $109 |
| Thyroid uptake scan | $606 | $355 | $145 |
| Total IgE allergy test | $89 | $46 | $16 |
| Total protein test | $58 | $45 | $4 |
| Transvaginal ultrasound | $463 | $383 | $118 |
| Trigger point injection | $427 | $94 | $56 |
| Trigger point injection (1-2 muscles) | $254 | $79 | $52 |
| Triglycerides test | $59 | $22 | $6 |
| Troponin (heart) test | $140 | $37 | $12 |
| Upper GI endoscopy (EGD) | $536 | $386 | $371 |
| Upper GI series (barium) | $356 | $210 | $128 |
| Uric acid (gout) test | $58 | $60 | $5 |
| Urinalysis | $56 | $27 | $3 |
| Urine microalbumin test | $70 | $24 | $5 |
| Urine pregnancy test | $87 | $22 | $9 |
| Vaccine administration | $19 | $11 | $19 |
| Vaccine administration (each additional) | $19 | $11 | $16 |
| Vitamin B12 test | $66 | $39 | $15 |
| Vitamin D test | $72 | $121 | $30 |
| Wound debridement | $248 | $202 | $186 |
| X-ray of the abdomen | $227 | $92 | $36 |
| X-ray of the ankle | $200 | $165 | $37 |
| X-ray of the collarbone | $192 | $138 | $33 |
| X-ray of the elbow | $212 | $141 | $33 |
| X-ray of the facial bones | $227 | $158 | $39 |
| X-ray of the foot | $200 | $141 | $34 |
| X-ray of the forearm | $185 | $141 | $29 |
| X-ray of the hand | $192 | $141 | $38 |
| X-ray of the hip | $218 | $87 | $49 |
| X-ray of the hip (1 view) | $182 | $89 | $34 |
| X-ray of the hip (3 views) | $218 | $138 | $49 |
| X-ray of the hip (4 views) | $235 | $72 | $63 |
| X-ray of the knee | $179 | $150 | $42 |
| X-ray of the knee (2 views) | $165 | $150 | $34 |
| X-ray of the knee (3 views) | $179 | $165 | $42 |
| X-ray of the knee (4+ views) | $200 | $180 | $49 |
| X-ray of the lower back (lumbar spine) | $276 | $150 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $233 | $150 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $318 | $209 | $53 |
| X-ray of the lower leg | $185 | $150 | $31 |
| X-ray of the mid-back (thoracic spine) | $204 | $180 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $200 | $213 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $209 | $180 | $39 |
| X-ray of the neck (cervical spine) | $246 | $150 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $227 | $150 | $40 |
| X-ray of the pelvis | $183 | $106 | $36 |
| X-ray of the pelvis (1 view) | $173 | $131 | $28 |
| X-ray of the ribs | $258 | $229 | $42 |
| X-ray of the ribs (2 views) | $233 | $184 | $36 |
| X-ray of the ribs (3 views) | $258 | $275 | $42 |
| X-ray of the shoulder | $220 | $184 | $36 |
| X-ray of the skull | $260 | $158 | $40 |
| X-ray of the upper arm | $192 | $141 | $32 |
| X-ray of the wrist | $192 | $141 | $43 |
| Zinc blood test | $89 | $27 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.