| Procedure | Harmon Memorial Hospital | Shamrock General Hospital | Medicare |
|---|
| Alpha-fetoprotein (AFP) test | $57 | $140 | $17 |
| Ammonia blood test | $44 | $127 | $15 |
| Amylase test | $19 | $48 | $6 |
| Basic metabolic panel | $25 | $42 | $8 |
| Blood clotting test (PT/INR) | $13 | $50 | $4 |
| BNP (heart failure) test | $269 | $175 | $39 |
| C-reactive protein (CRP) | $16 | $43 | $5 |
| Chest X-ray | $331 | $184 | $37 |
| Chest X-ray (1 view) | $239 | $158 | $25 |
| Chest X-ray (2 views) | $325 | $210 | $33 |
| CK-MB heart enzyme test | $35 | $102 | $12 |
| Clotting time test (PTT) | $18 | $70 | $6 |
| Complete blood count (CBC) | $21 | $35 | $7 |
| Complete blood count (CBC) (complete) | $23 | $39 | $8 |
| Comprehensive metabolic panel | $32 | $88 | $11 |
| Cortisol test | $130 | $140 | $16 |
| Creatine kinase (CK) test | $20 | $32 | $7 |
| CT angiography of the chest | $2,451 | $858 | $281 |
| CT scan of the abdomen and pelvis | $3,200 | $1,540 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $4,318 | $1,925 | $338 |
| CT scan of the abdomen and pelvis with contrast | $3,200 | $1,540 | $300 |
| CT scan of the abdomen and pelvis without contrast | $2,392 | $1,103 | $183 |
| CT scan of the chest | $1,834 | $1,059 | $167 |
| CT scan of the chest with contrast | $1,834 | $1,295 | $167 |
| CT scan of the chest without contrast | $1,681 | $823 | $133 |
| CT scan of the head | $2,411 | $529 | $148 |
| CT scan of the head without contrast | $2,314 | $529 | $107 |
| CT scan of the neck (cervical spine) | $1,740 | $529 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,740 | $529 | $131 |
| CT scan of the sinuses | $1,427 | $1,050 | $152 |
| CT scan of the sinuses without contrast | $1,258 | $1,050 | $128 |
| DHEA-sulfate test | $67 | $67 | $22 |
| Drug screen (urine) | $72 | $78 | $17 |
| EKG / ECG (tracing only) | $165 | $116 | $7 |
| Electrocardiogram (EKG) | $165 | $116 | $8 |
| Emergency department visit | $850 | $315 | $69 |
| Emergency department visit (level 1) | $280 | $175 | $11 |
| Emergency department visit (level 2) | $500 | $214 | $40 |
| Emergency department visit (level 3) | $850 | $338 | $69 |
| Emergency department visit (level 4) | $1,055 | $560 | $118 |
| Emergency department visit (level 5) | $1,513 | $733 | $171 |
| Estradiol (estrogen) test | $61 | $187 | $28 |
| Fecal occult blood (stool) test | $30 | $46 | $10 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $48 | $46 | $16 |
| Ferritin (iron) test | $41 | $120 | $14 |
| Folate (folic acid) test | $44 | $106 | $15 |
| Free T4 thyroid test | $27 | $67 | $9 |
| FSH hormone test | $56 | $146 | $19 |
| GGT liver test | $22 | $109 | $7 |
| Hemoglobin A1c (diabetes test) | $29 | $70 | $10 |
| IV infusion therapy | $292 | $79 | $44 |
| IV infusion therapy (each additional) | $142 | $53 | $21 |
| IV infusion therapy (initial) | $551 | $105 | $67 |
| Lactate test | $35 | $56 | $12 |
| Lipase test | $21 | $35 | $7 |
| Lipid (cholesterol) panel | $40 | $64 | $13 |
| Liver function panel | $25 | $65 | $8 |
| Magnesium blood test | $25 | $35 | $7 |
| Nebulizer breathing treatment | $552 | $221 | $9 |
| Pap smear (cervical screening) | $70 | $32 | $20 |
| Phosphorus blood test | $14 | $55 | $5 |
| Physical therapy evaluation | $248 | $158 | $98 |
| Physical therapy evaluation (high complexity) | $248 | $199 | $98 |
| Physical therapy evaluation (moderate complexity) | $248 | $158 | $98 |
| Prolactin test | $82 | $154 | $19 |
| Prostate test (PSA) | $55 | $88 | $18 |
| Rheumatoid factor test | $18 | $61 | $6 |
| Sedimentation rate (ESR) test | $8 | $53 | $3 |
| Simple laceration repair (small, up to 2.5 cm) | $524 | $158 | $114 |
| Simple wound stitches | $524 | $158 | $127 |
| T3 thyroid test | $43 | $114 | $14 |
| Testosterone test | $179 | $123 | $26 |
| Thyroid test (TSH) | $50 | $81 | $17 |
| Troponin (heart) test | $37 | $60 | $12 |
| Uric acid (gout) test | $14 | $61 | $5 |
| Urinalysis | $8 | $53 | $3 |
| Urine microalbumin test | $17 | $55 | $5 |
| Vaccine administration | $95 | $22 | $19 |
| Vitamin B12 test | $45 | $74 | $15 |
| Vitamin D test | $103 | $140 | $30 |
| X-ray of the abdomen | $338 | $223 | $36 |
| X-ray of the ankle | $523 | $228 | $37 |
| X-ray of the elbow | $538 | $179 | $33 |
| X-ray of the foot | $444 | $210 | $34 |
| X-ray of the hand | $442 | $210 | $38 |
| X-ray of the hip | $313 | $193 | $49 |
| X-ray of the hip (3 views) | $385 | $193 | $49 |
| X-ray of the knee | $548 | $260 | $42 |
| X-ray of the knee (3 views) | $548 | $228 | $42 |
| X-ray of the knee (4+ views) | $597 | $293 | $49 |
| X-ray of the lower back (lumbar spine) | $336 | $456 | $47 |
| X-ray of the lower back (lumbar spine) (4+ views) | $336 | $456 | $53 |
| X-ray of the neck (cervical spine) | $288 | $238 | $47 |
| X-ray of the ribs | $536 | $330 | $42 |
| X-ray of the ribs (3 views) | $590 | $330 | $42 |
| X-ray of the shoulder | $551 | $210 | $36 |
| X-ray of the wrist | $431 | $210 | $43 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
