| Procedure | Gifford Medical Center | Littleton Regional Healthcare | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $80 | $50 | $51 |
| Abdominal fluid drain (paracentesis) | $920 | $528 | $284 |
| Abdominal ultrasound | $359 | $284 | $100 |
| Abdominal ultrasound (complete) | $450 | $615 | $114 |
| Abdominal ultrasound (limited) | $359 | $197 | $86 |
| Abscess drainage (complex or multiple) | $226 | $215 | $220 |
| Abscess drainage (simple) | $132 | $175 | $129 |
| Abscess incision and drainage | $179 | $215 | $174 |
| ACL knee reconstruction | $1,185 | $1,666 | $889 |
| Albumin blood test | $37 | $37 | $5 |
| Aldosterone test | $219 | $203 | $41 |
| Alkaline phosphatase test | $37 | $72 | $5 |
| Alpha-fetoprotein (AFP) test | $115 | $121 | $17 |
| ALT liver enzyme test | $33 | $66 | $5 |
| Ammonia blood test | $116 | $107 | $15 |
| Amylase test | $50 | $70 | $6 |
| Anoscopy | $58 | $80 | $129 |
| Antinuclear antibody (ANA) test | $50 | $96 | $12 |
| Arterial blood gas (ABG) | $160 | $190 | $26 |
| AST liver enzyme test | $30 | $66 | $5 |
| Barium swallow study | $428 | $574 | $107 |
| Bartholin cyst removal | $72 | $150 | $182 |
| Basic metabolic panel | $44 | $69 | $8 |
| Bilirubin blood test | $33 | $33 | $5 |
| Bladder scope (cystoscopy) | $370 | $203 | $216 |
| Blood clotting test (PT/INR) | $27 | $50 | $4 |
| Blood crossmatch | $115 | $241 | — |
| Blood glucose test | $21 | $36 | $5 |
| Blood transfusion | $593 | $668 | $47 |
| Blood type and screen | $81 | $90 | $10 |
| Blood type test | $57 | $61 | $3 |
| Blood type test (ABO group) | $72 | $45 | $3 |
| Blood type test (Rh/D antigen) | $41 | $63 | $3 |
| BNP (heart failure) test | $161 | $213 | $39 |
| Bone density scan (DEXA) | $369 | $199 | $39 |
| Bone scan (nuclear) | $975 | $1,466 | $259 |
| Breast biopsy | $1,188 | $702 | $478 |
| Breast ultrasound | $343 | $357 | $92 |
| Breast ultrasound (limited) | $343 | $357 | $84 |
| Breathing tube insertion (intubation) | $237 | $305 | $133 |
| Burn dressing and debridement (medium) | $144 | $94 | $166 |
| Burn dressing and debridement (small) | $174 | $206 | $93 |
| Burn treatment | $168 | $150 | $129 |
| C-reactive protein (CRP) | $36 | $71 | $5 |
| CA 19-9 tumor marker test | $133 | $123 | $21 |
| CA-125 ovarian marker test | $111 | $150 | $21 |
| Calcium blood test | $34 | $35 | $5 |
| Cardioversion | $831 | $439 | $155 |
| Carotid artery ultrasound | $307 | $566 | $156 |
| Carpal tunnel release | $1,700 | $1,732 | $483 |
| CEA tumor marker test | $121 | $134 | $19 |
| Celiac disease test | $109 | $103 | $12 |
| Central line placement | $828 | $1,515 | $238 |
| Cervical LEEP procedure | $1,706 | $4,486 | $325 |
| Chemotherapy infusion | $241 | $270 | $81 |
| Chemotherapy infusion (each additional) | $112 | $100 | $28 |
| Chemotherapy infusion (first hour) | $369 | $440 | $133 |
| Chest fluid drain (thoracentesis) | $682 | $517 | $311 |
| Chest tube insertion | $436 | $303 | $143 |
| Chest X-ray | $212 | $205 | $37 |
| Chest X-ray (1 view) | $171 | $94 | $25 |
| Chest X-ray (2 views) | $227 | $205 | $33 |
| Clotting time test (PTT) | $45 | $78 | $6 |
| Colonoscopy | $479 | $1,037 | $480 |
| Complete blood count (CBC) | $42 | $64 | $7 |
| Complete blood count (CBC) (complete) | $42 | $65 | $8 |
| Complex wound repair | $227 | $1,702 | $390 |
| Comprehensive metabolic panel | $58 | $85 | $11 |
| Contraceptive implant (Nexplanon) | $88 | $126 | $115 |
| Copper blood test | $80 | $79 | $12 |
| Coronary CT angiography | $1,303 | $2,496 | $326 |
| Cortisol test | $59 | $138 | $16 |
| COVID-19 PCR test | $65 | $155 | $51 |
| CPAP titration study | $324 | $81 | $69 |
| Creatine kinase (CK) test | $50 | $66 | $7 |
| CT angiography of the chest | $1,278 | $1,121 | $281 |
| CT angiography of the head | $1,569 | $2,649 | $274 |
| CT scan of the abdomen | $1,049 | $1,761 | $230 |
| CT scan of the abdomen and pelvis | $1,578 | $2,001 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $2,464 | $4,065 | $338 |
| CT scan of the abdomen and pelvis with contrast | $1,948 | $1,734 | $300 |
| CT scan of the abdomen and pelvis without contrast | $1,578 | $2,001 | $183 |
| CT scan of the abdomen with and without contrast | $1,692 | $2,061 | $259 |
| CT scan of the abdomen with contrast | $1,269 | $1,761 | $230 |
| CT scan of the abdomen without contrast | $1,049 | $1,001 | $136 |
| CT scan of the arm | $862 | $1,141 | $199 |
| CT scan of the arm with contrast | $1,432 | $1,141 | $199 |
| CT scan of the arm without contrast | $862 | $1,017 | $161 |
| CT scan of the chest | $993 | $1,191 | $167 |
| CT scan of the chest with and without contrast | $1,537 | $1,786 | $196 |
| CT scan of the chest with contrast | $1,231 | $1,234 | $167 |
| CT scan of the chest without contrast | $993 | $668 | $133 |
| CT scan of the head | $849 | $791 | $148 |
| CT scan of the head with and without contrast | $1,268 | $1,306 | $173 |
| CT scan of the head with contrast | $1,107 | $1,199 | $148 |
| CT scan of the head without contrast | $849 | $791 | $107 |
| CT scan of the leg | $928 | $1,457 | $166 |
| CT scan of the leg with contrast | $1,327 | $1,500 | $166 |
| CT scan of the leg without contrast | $928 | $1,234 | $130 |
| CT scan of the lower back (lumbar spine) | $1,028 | $1,468 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,748 | $1,874 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,292 | $2,486 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,028 | $599 | $130 |
| CT scan of the neck | $924 | $595 | $183 |
| CT scan of the neck (cervical spine) | $1,078 | $1,143 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $1,744 | $1,679 | $196 |
| CT scan of the neck (cervical spine) with contrast | $1,368 | $1,219 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,078 | $606 | $131 |
| CT scan of the neck with and without contrast | $1,395 | $1,046 | $220 |
| CT scan of the neck with contrast | $1,130 | $713 | $183 |
| CT scan of the neck without contrast | $924 | $581 | $150 |
| CT scan of the pelvis | $1,020 | $1,264 | $226 |
| CT scan of the pelvis with and without contrast | $1,674 | $1,938 | $251 |
| CT scan of the pelvis with contrast | $1,195 | $1,516 | $226 |
| CT scan of the pelvis without contrast | $1,020 | $1,013 | $133 |
| CT scan of the sinuses | $1,010 | $1,228 | $152 |
| CT scan of the sinuses with and without contrast | $1,392 | $1,708 | $184 |
| CT scan of the sinuses with contrast | $1,233 | $1,298 | $152 |
| CT scan of the sinuses without contrast | $1,010 | $1,137 | $128 |
| D-dimer test | $76 | $219 | $10 |
| DHEA-sulfate test | $142 | $148 | $22 |
| Diagnostic mammogram | $285 | $532 | $140 |
| Drug screen (urine) | $70 | $49 | $17 |
| Ear tubes (myringotomy) | $403 | $1,512 | $174 |
| Echocardiogram | $436 | $693 | $138 |
| Echocardiogram with and without contrast | $333 | $396 | $101 |
| EEG (awake and asleep) | $497 | $648 | $482 |
| EKG / ECG (tracing only) | $100 | $100 | $7 |
| Electrocardiogram (EKG) | $100 | $100 | $8 |
| Electroencephalogram (EEG) | $389 | $583 | $448 |
| Electrolyte panel | $42 | $81 | $7 |
| Emergency department visit | $213 | $351 | $69 |
| Emergency department visit (level 1) | $141 | $177 | $11 |
| Emergency department visit (level 2) | $163 | $246 | $40 |
| Emergency department visit (level 3) | $313 | $160 | $69 |
| Emergency department visit (level 4) | $488 | $253 | $118 |
| Emergency department visit (level 5) | $646 | $769 | $171 |
| Endometrial biopsy | $80 | $74 | $98 |
| Estradiol (estrogen) test | $87 | $202 | $28 |
| Fallopian tube X-ray (HSG) | $514 | $648 | $164 |
| Fecal occult blood (stool) test | $43 | $127 | $10 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $43 | $127 | $16 |
| Femoral hernia repair | $893 | $6,080 | $584 |
| Ferritin (iron) test | $61 | $131 | $14 |
| Fibrinogen test | $76 | $114 | $10 |
| Flexible sigmoidoscopy | $704 | $780 | $323 |
| Flu vaccine | $66 | $19 | — |
| Folate (folic acid) test | $71 | $107 | $15 |
| Foreign body removal (skin) | $147 | $374 | $157 |
| Free T4 thyroid test | $67 | $96 | $9 |
| FSH hormone test | $71 | $137 | $19 |
| Gallbladder removal (laparoscopic) | $910 | $11,613 | $658 |
| Gallbladder scan (HIDA) | $865 | $1,956 | $334 |
| Ganglion cyst removal | $561 | $4,080 | $321 |
| GGT liver test | $51 | $55 | $7 |
| Glucose tolerance test | $90 | $75 | $8 |
| HDL cholesterol test | $50 | $53 | $8 |
| Hematocrit test | $18 | $31 | $2 |
| Hemoglobin A1c (diabetes test) | $52 | $82 | $10 |
| Hemorrhoid removal | $301 | $557 | $338 |
| Hepatitis B test | $74 | $75 | $10 |
| Hepatitis C test | $78 | $180 | $14 |
| Hip replacement | $1,705 | $6,133 | $1,162 |
| HIV test | $41 | $124 | $19 |
| HIV test (antigen/antibody combo) | $41 | $124 | $24 |
| Holter heart monitor | $294 | $105 | $26 |
| Hysteroscopy | $2,663 | $1,244 | $1,270 |
| Inguinal hernia repair | $798 | $6,189 | $538 |
| Iron blood test | $32 | $46 | $6 |
| IUD insertion | $76 | $1,699 | — |
| IUD removal | $97 | $90 | $112 |
| IV infusion therapy | $112 | $223 | $44 |
| IV infusion therapy (each additional) | $112 | $142 | $21 |
| IV infusion therapy (initial) | $325 | $305 | $67 |
| Joint aspiration (small/intermediate) | $107 | $97 | $57 |
| Joint aspiration or injection (mid-size joint) | $164 | $111 | $57 |
| Joint aspiration or injection (small joint) | $51 | $97 | $56 |
| Kidney ultrasound | $321 | $406 | $84 |
| Kidney ultrasound (limited) | $311 | $406 | $61 |
| Knee arthroscopy | $693 | $6,023 | $524 |
| Knee joint injection | $50 | $122 | $69 |
| Lactate test | $71 | $187 | $12 |
| Laryngoscopy | $229 | $64 | $189 |
| LDH test | $54 | $45 | $6 |
| LDL cholesterol test | $58 | $76 | $11 |
| Leg vein ultrasound (Doppler) | $356 | $664 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $356 | $664 | $116 |
| LH hormone test | $88 | $136 | $19 |
| Lipase test | $41 | $86 | $7 |
| Lipid (cholesterol) panel | $57 | $94 | $13 |
| Liver function panel | $60 | $74 | $8 |
| Lung function test (PFT) | $247 | $220 | $37 |
| Lung scan (V/Q) | $1,163 | $1,520 | $291 |
| Magnesium blood test | $49 | $85 | $7 |
| Meniscus repair (knee) | $1,628 | $3,827 | $714 |
| MRA of the brain | $1,656 | $1,265 | $226 |
| MRA of the neck | $1,716 | $2,159 | $245 |
| MRA of the neck with contrast | $2,301 | $2,159 | $245 |
| MRA of the neck without contrast | $2,360 | $4,319 | $343 |
| MRI of the abdomen | $1,410 | $2,867 | $300 |
| MRI of the abdomen with contrast | $1,888 | $3,323 | $300 |
| MRI of the abdomen without contrast | $1,410 | $2,410 | $194 |
| MRI of the ankle | $1,581 | $2,881 | $261 |
| MRI of the ankle with contrast | $2,110 | $2,881 | $261 |
| MRI of the ankle without contrast | $1,581 | $2,524 | $222 |
| MRI of the brain | $1,645 | $2,203 | $269 |
| MRI of the brain with contrast | $1,645 | $3,074 | $269 |
| MRI of the brain without contrast | $1,623 | $2,119 | $195 |
| MRI of the chest | $1,790 | $1,928 | $371 |
| MRI of the chest without contrast | $2,114 | $4,503 | $466 |
| MRI of the knee | $1,908 | $2,653 | $315 |
| MRI of the knee with contrast | $1,908 | $2,212 | $315 |
| MRI of the knee without contrast | $1,595 | $2,424 | $204 |
| MRI of the lower back (lumbar spine) | $1,642 | $2,774 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $1,713 | $3,138 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,642 | $1,298 | $192 |
| MRI of the mid-back (thoracic spine) | $1,611 | $2,634 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $2,340 | $3,659 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $1,853 | $2,727 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $1,611 | $1,365 | $190 |
| MRI of the neck (cervical spine) | $1,597 | $2,553 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $2,293 | $4,221 | $318 |
| MRI of the neck (cervical spine) with contrast | $1,984 | $2,923 | $274 |
| MRI of the neck (cervical spine) without contrast | $1,597 | $1,191 | $191 |
| MRI of the pelvis | $1,542 | $3,113 | $268 |
| MRI of the pelvis with contrast | $1,715 | $3,057 | $268 |
| MRI of the pelvis without contrast | $1,542 | $3,026 | $227 |
| MRI of the shoulder | $1,569 | $2,439 | $313 |
| MRI of the shoulder with contrast | $1,678 | $2,445 | $313 |
| MRI of the shoulder without contrast | $1,569 | $2,439 | $205 |
| MRI of the wrist | $1,371 | $3,057 | $330 |
| MRI of the wrist without contrast | $1,371 | $3,057 | $303 |
| Nebulizer breathing treatment | $98 | $96 | $9 |
| Neck (cervical) spinal fusion | $1,915 | $2,175 | $1,410 |
| Nuclear cardiac stress test | $2,038 | $2,288 | $428 |
| Occupational therapy evaluation | $173 | $266 | $101 |
| Occupational therapy evaluation (high complexity) | $179 | $347 | $101 |
| Occupational therapy evaluation (low complexity) | $173 | $216 | $101 |
| Occupational therapy evaluation (moderate complexity) | $168 | $273 | $101 |
| Office visit (established patient) | $50 | $100 | $115 |
| Office visit (new patient) | $105 | $140 | $177 |
| Office visit, established patient (level 3) | $43 | $88 | $95 |
| Office visit, established patient (level 4) | $57 | $126 | $136 |
| Office visit, new patient (level 3) | $73 | $108 | $118 |
| Office visit, new patient (level 4) | $105 | $143 | $177 |
| Office visit, new patient (level 5) | $111 | $228 | $237 |
| Orthopedic hardware removal | $2,663 | $3,680 | $632 |
| Pap smear (cervical screening) | $47 | $104 | $20 |
| Parathyroid hormone (PTH) test | $146 | $244 | $41 |
| Pelvic ultrasound | $354 | $197 | $78 |
| Pelvic ultrasound (complete) | $390 | $301 | $105 |
| Pelvic ultrasound (limited) | $319 | $197 | $51 |
| Phosphorus blood test | $35 | $66 | $5 |
| Physical therapy evaluation | $158 | $254 | $98 |
| Physical therapy evaluation (high complexity) | $158 | $336 | $98 |
| Physical therapy evaluation (moderate complexity) | $158 | $254 | $98 |
| Pilonidal cyst removal | $768 | $3,982 | $541 |
| Platelet count | $41 | $48 | $4 |
| Pregnancy ultrasound | $431 | $537 | $126 |
| Pregnancy ultrasound (first trimester) | $446 | $499 | $117 |
| Pregnancy ultrasound (second or third trimester) | $415 | $574 | $136 |
| Procalcitonin test | $104 | $204 | $27 |
| Prolactin test | $74 | $142 | $19 |
| Prostate biopsy | $548 | $935 | — |
| Prostate test (PSA) | $80 | $127 | $18 |
| Rotator cuff repair | $1,361 | $2,640 | $792 |
| Sacroiliac joint injection | $443 | $1,230 | $176 |
| Scoliosis spine X-ray | $255 | $325 | $58 |
| Screening colonoscopy | $517 | $1,143 | $378 |
| Screening mammogram | $262 | $563 | $126 |
| Scrotal ultrasound | $505 | $297 | $99 |
| Sedimentation rate (ESR) test | $21 | $64 | $3 |
| Semen analysis | $89 | $165 | $12 |
| Sex hormone binding globulin test | $41 | $115 | $22 |
| Shoulder replacement | $2,647 | $4,180 | $1,300 |
| Simple laceration repair (small, up to 2.5 cm) | $145 | $252 | $114 |
| Simple wound stitches | $178 | $259 | $127 |
| Skin lesion freezing (cryotherapy) | $29 | $29 | $36 |
| Soft tissue ultrasound | $324 | $85 | $64 |
| Speech therapy | $174 | $236 | $76 |
| Spinal tap (lumbar puncture) | $191 | $201 | $165 |
| Spirometry (lung function test) | $179 | $131 | $30 |
| Spirometry with bronchodilator | $316 | $449 | $43 |
| Strep throat test | $31 | $60 | $17 |
| Stress echocardiogram | $412 | $928 | $209 |
| Swallow study | $224 | $267 | $85 |
| T3 thyroid test | $86 | $106 | $14 |
| Tdap (tetanus) vaccine | $127 | $37 | — |
| Testosterone test | $110 | $156 | $26 |
| Thyroid test (TSH) | $97 | $114 | $17 |
| Thyroid ultrasound | $440 | $288 | $109 |
| Total IgE allergy test | $58 | $97 | $16 |
| Total protein test | $22 | $35 | $4 |
| Transesophageal echocardiogram (TEE) | $1,244 | $1,047 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $1,244 | $1,047 | $239 |
| Transvaginal ultrasound | $450 | $521 | $118 |
| Triglycerides test | $40 | $82 | $6 |
| Troponin (heart) test | $87 | $126 | $12 |
| Turning a breech baby (version) | $262 | $1,529 | $94 |
| Ulnar nerve surgery (elbow) | $2,555 | $2,523 | $575 |
| Upper GI endoscopy (EGD) | $373 | $1,109 | $371 |
| Upper GI series (barium) | $474 | $802 | $128 |
| Ureteral stent placement | $1,785 | $2,365 | $373 |
| Uric acid (gout) test | $31 | $57 | $5 |
| Urinalysis | $28 | $104 | $3 |
| Urine microalbumin test | $39 | $103 | $5 |
| Urine pregnancy test | $25 | $10 | $9 |
| Vaccine administration | $11 | $16 | $19 |
| Vaccine administration (each additional) | $11 | $12 | $16 |
| Vasectomy | $715 | $1,512 | $347 |
| Vitamin B12 test | $56 | $131 | $15 |
| Vitamin D test | $110 | $222 | $30 |
| X-ray of the abdomen | $216 | $158 | $36 |
| X-ray of the ankle | $278 | $250 | $37 |
| X-ray of the collarbone | $220 | $260 | $33 |
| X-ray of the elbow | $220 | $345 | $33 |
| X-ray of the facial bones | $236 | $391 | $39 |
| X-ray of the foot | $257 | $246 | $34 |
| X-ray of the forearm | $220 | $260 | $29 |
| X-ray of the hand | $265 | $250 | $38 |
| X-ray of the hip | $196 | $205 | $49 |
| X-ray of the hip (3 views) | $243 | $205 | $49 |
| X-ray of the knee | $249 | $205 | $42 |
| X-ray of the knee (2 views) | $249 | $222 | $34 |
| X-ray of the knee (3 views) | $299 | $205 | $42 |
| X-ray of the knee (4+ views) | $347 | $246 | $49 |
| X-ray of the lower back (lumbar spine) | $299 | $163 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $299 | $158 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $382 | $233 | $53 |
| X-ray of the lower leg | $213 | $253 | $31 |
| X-ray of the mid-back (thoracic spine) | $247 | $250 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $247 | $250 | $33 |
| X-ray of the neck (cervical spine) | $207 | $345 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $207 | $345 | $40 |
| X-ray of the pelvis | $206 | $194 | $36 |
| X-ray of the pelvis (1 view) | $206 | $109 | $28 |
| X-ray of the ribs | $220 | $290 | $42 |
| X-ray of the ribs (2 views) | $220 | $238 | $36 |
| X-ray of the ribs (3 views) | $298 | $290 | $42 |
| X-ray of the shoulder | $257 | $213 | $36 |
| X-ray of the skull | $259 | $413 | $40 |
| X-ray of the upper arm | $220 | $226 | $32 |
| X-ray of the wrist | $279 | $205 | $43 |
| Zinc blood test | $72 | $81 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
