| Procedure | Johnson County Hospital | Bryan Medical Center | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $109 | $64 | $51 |
| Abdominal fluid drain (paracentesis) | $1,180 | $879 | $284 |
| Abdominal ultrasound | $824 | $422 | $100 |
| Abdominal ultrasound (complete) | $909 | $503 | $114 |
| Abdominal ultrasound (limited) | $738 | $340 | $86 |
| Abscess drainage (complex or multiple) | $482 | $528 | $220 |
| Abscess drainage (simple) | $1,071 | $288 | $129 |
| Abscess incision and drainage | $1,071 | $408 | $174 |
| Acupuncture | $52 | $79 | $38 |
| Albumin blood test | $55 | $19 | $5 |
| Aldosterone test | $305 | $61 | $41 |
| Alkaline phosphatase test | $85 | $34 | $5 |
| Allergy shots | $36 | $38 | $11 |
| Alpha-fetoprotein (AFP) test | $129 | $102 | $17 |
| ALT liver enzyme test | $58 | $36 | $5 |
| Ammonia blood test | $152 | $151 | $15 |
| Amniocentesis | $489 | $418 | $120 |
| Amylase test | $108 | $59 | $6 |
| Anoscopy | $193 | $194 | $129 |
| Antinuclear antibody (ANA) test | $121 | $18 | $12 |
| Arterial blood gas (ABG) | $276 | $168 | $26 |
| AST liver enzyme test | $77 | $35 | $5 |
| Bartholin cyst removal | $531 | $292 | $182 |
| Basic metabolic panel | $158 | $120 | $8 |
| Benign skin lesion removal | $724 | $994 | $171 |
| Bilirubin blood test | $64 | $19 | $5 |
| Blood clotting test (PT/INR) | $79 | $56 | $4 |
| Blood crossmatch | $182 | $154 | — |
| Blood glucose test | $60 | $35 | $5 |
| Blood transfusion | $940 | $704 | $47 |
| Blood type and screen | $138 | $85 | $10 |
| Blood type test | $106 | $62 | $3 |
| Blood type test (ABO group) | $104 | $78 | $3 |
| Blood type test (Rh/D antigen) | $106 | $45 | $3 |
| BNP (heart failure) test | $296 | $248 | $39 |
| Bone scan (nuclear) | $1,896 | $1,647 | $259 |
| Breast ultrasound | $462 | $291 | $92 |
| Breast ultrasound (complete) | $496 | $314 | $100 |
| Breast ultrasound (limited) | $427 | $268 | $84 |
| Breathing tube insertion (intubation) | $713 | $259 | $133 |
| Burn dressing and debridement (medium) | $357 | $311 | $166 |
| Burn dressing and debridement (small) | $329 | $286 | $93 |
| Burn treatment | $329 | $299 | $129 |
| C-reactive protein (CRP) | $115 | $142 | $5 |
| CA 19-9 tumor marker test | $202 | $51 | $21 |
| CA-125 ovarian marker test | $151 | $181 | $21 |
| Calcium blood test | $63 | $43 | $5 |
| Cardiac MRI | $3,460 | $1,188 | $322 |
| Cardiac MRI without contrast | $2,970 | $718 | $280 |
| Cardiac rehabilitation | $276 | $276 | $26 |
| Cardiac stress test | $1,039 | $947 | $39 |
| Cardioversion | $1,512 | $1,856 | $155 |
| Carotid artery ultrasound | $1,133 | $1,049 | $156 |
| CEA tumor marker test | $174 | $29 | $19 |
| Celiac disease test | $168 | $26 | $12 |
| Central line placement | $881 | $2,282 | $238 |
| Chemotherapy infusion | $415 | $300 | $81 |
| Chemotherapy infusion (each additional) | $224 | $121 | $28 |
| Chemotherapy infusion (first hour) | $605 | $478 | $133 |
| Chest tube insertion | $532 | $1,563 | $143 |
| Chest X-ray | $393 | $216 | $37 |
| Chest X-ray (1 view) | $315 | $198 | $25 |
| Chest X-ray (2 views) | $375 | $216 | $33 |
| Circumcision | $650 | $2,007 | $167 |
| CK-MB heart enzyme test | $197 | $148 | $12 |
| Clotting time test (PTT) | $101 | $38 | $6 |
| Colposcopy | $402 | $270 | $161 |
| Complete blood count (CBC) | $109 | $79 | $7 |
| Complete blood count (CBC) (complete) | $115 | $85 | $8 |
| Complex wound repair | $954 | $723 | $390 |
| Comprehensive metabolic panel | $194 | $202 | $11 |
| Copper blood test | $164 | $161 | $12 |
| Cortisol test | $158 | $95 | $16 |
| COVID-19 PCR test | $240 | $103 | $51 |
| CPAP titration study | $910 | $694 | $69 |
| Creatine kinase (CK) test | $105 | $19 | $7 |
| CT angiography of the chest | $3,571 | $1,853 | $281 |
| CT angiography of the head | $3,228 | $1,715 | $274 |
| CT scan of the abdomen | $2,780 | $1,674 | $230 |
| CT scan of the abdomen and pelvis | $5,068 | $2,636 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $5,627 | $3,738 | $338 |
| CT scan of the abdomen and pelvis with contrast | $5,068 | $2,636 | $300 |
| CT scan of the abdomen and pelvis without contrast | $4,281 | $2,003 | $183 |
| CT scan of the abdomen with and without contrast | $3,213 | $2,132 | $259 |
| CT scan of the abdomen with contrast | $2,780 | $1,908 | $230 |
| CT scan of the abdomen without contrast | $2,375 | $1,440 | $136 |
| CT scan of the arm | $2,500 | $1,694 | $199 |
| CT scan of the arm with contrast | $2,500 | $1,537 | $199 |
| CT scan of the arm without contrast | $2,234 | $1,329 | $161 |
| CT scan of the chest | $2,765 | $1,505 | $167 |
| CT scan of the chest with and without contrast | $2,947 | $1,715 | $196 |
| CT scan of the chest with contrast | $2,765 | $1,505 | $167 |
| CT scan of the chest without contrast | $2,496 | $1,024 | $133 |
| CT scan of the head | $2,418 | $1,406 | $148 |
| CT scan of the head with and without contrast | $2,699 | $1,670 | $173 |
| CT scan of the head with contrast | $2,418 | $1,406 | $148 |
| CT scan of the head without contrast | $2,184 | $1,042 | $107 |
| CT scan of the leg | $2,563 | $1,366 | $166 |
| CT scan of the leg with contrast | $2,563 | $1,533 | $166 |
| CT scan of the leg without contrast | $2,296 | $1,199 | $130 |
| CT scan of the lower back (lumbar spine) | $2,692 | $1,543 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $3,007 | $1,742 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $2,692 | $1,667 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $2,516 | $1,419 | $130 |
| CT scan of the neck | $2,532 | $1,863 | $183 |
| CT scan of the neck (cervical spine) | $2,655 | $1,300 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $3,928 | $1,734 | $196 |
| CT scan of the neck (cervical spine) with contrast | $2,655 | $1,634 | $168 |
| CT scan of the neck (cervical spine) without contrast | $2,619 | $1,300 | $131 |
| CT scan of the neck with and without contrast | $2,982 | $2,048 | $220 |
| CT scan of the neck with contrast | $2,532 | $1,678 | $183 |
| CT scan of the neck without contrast | $2,309 | $1,276 | $150 |
| CT scan of the pelvis | $2,679 | $1,564 | $226 |
| CT scan of the pelvis with and without contrast | $3,092 | $1,882 | $251 |
| CT scan of the pelvis with contrast | $2,679 | $1,564 | $226 |
| CT scan of the pelvis without contrast | $2,391 | $1,249 | $133 |
| CT scan of the sinuses | $2,417 | $1,361 | $152 |
| CT scan of the sinuses with and without contrast | $2,590 | $1,549 | $184 |
| CT scan of the sinuses with contrast | $2,417 | $1,531 | $152 |
| CT scan of the sinuses without contrast | $1,985 | $1,190 | $128 |
| DHEA-sulfate test | $252 | $30 | $22 |
| Diagnostic mammogram | $378 | $182 | $140 |
| Drug screen (urine) | $284 | $79 | $17 |
| Echocardiogram | $1,612 | $1,240 | $138 |
| Echocardiogram with and without contrast | $869 | $982 | $101 |
| Echocardiogram without contrast | $2,355 | $1,498 | $138 |
| EKG / ECG (tracing only) | $340 | $248 | $7 |
| Electrocardiogram (EKG) | $340 | $248 | $8 |
| Emergency department visit | $780 | $480 | $69 |
| Emergency department visit (level 1) | $230 | $209 | $11 |
| Emergency department visit (level 2) | $410 | $385 | $40 |
| Emergency department visit (level 3) | $780 | $480 | $69 |
| Emergency department visit (level 4) | $1,131 | $994 | $118 |
| Emergency department visit (level 5) | $1,731 | $1,524 | $171 |
| Endometrial biopsy | $317 | $170 | $98 |
| Esophageal dilation | $1,983 | $1,085 | $522 |
| Estradiol (estrogen) test | $182 | $125 | $28 |
| Facet joint injection (spine) | $1,203 | $670 | $99 |
| Family therapy session | $879 | $214 | $110 |
| Fecal occult blood (stool) test | $59 | $5 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $59 | $5 | $4 |
| Ferritin (iron) test | $148 | $140 | $14 |
| Fibrinogen test | $114 | $84 | $10 |
| Folate (folic acid) test | $156 | $126 | $15 |
| Foreign body removal (skin) | $372 | $551 | $157 |
| Free T4 thyroid test | $135 | $53 | $9 |
| FSH hormone test | $151 | $123 | $19 |
| Gallbladder scan (HIDA) | $1,836 | $1,403 | $334 |
| GGT liver test | $90 | $22 | $7 |
| Glucose tolerance test | $253 | $130 | $8 |
| Group therapy session | $795 | $86 | $30 |
| HDL cholesterol test | $70 | $56 | $8 |
| Hematocrit test | $46 | $32 | $2 |
| Hemoglobin A1c (diabetes test) | $99 | $71 | $10 |
| Hepatitis B test | $115 | $57 | $10 |
| Hepatitis C test | $140 | $43 | $14 |
| HIV test | $106 | $62 | $19 |
| HIV test (antibody) | $92 | $64 | $14 |
| HIV test (antigen/antibody combo) | $119 | $60 | $24 |
| Holter heart monitor | $563 | $752 | $26 |
| Home sleep apnea test | $586 | $220 | $123 |
| Iron blood test | $78 | $44 | $6 |
| IUD insertion | $330 | $286 | — |
| IUD removal | $411 | $391 | $112 |
| IV infusion therapy | $292 | $239 | $44 |
| IV infusion therapy (each additional) | $159 | $83 | $21 |
| IV infusion therapy (initial) | $425 | $395 | $67 |
| Joint aspiration (small/intermediate) | $172 | $436 | $57 |
| Joint aspiration or injection (mid-size joint) | $172 | $605 | $57 |
| Joint aspiration or injection (small joint) | $215 | $267 | $56 |
| Kidney scan (nuclear) | $1,772 | $1,540 | $172 |
| Kidney ultrasound | $748 | $377 | $84 |
| Kidney ultrasound (limited) | $638 | $377 | $61 |
| Knee joint injection | $252 | $501 | $69 |
| Lactate test | $163 | $56 | $12 |
| Laryngoscopy | $251 | $725 | $189 |
| LDH test | $81 | $14 | $6 |
| LDL cholesterol test | $146 | $29 | $11 |
| Leg vein ultrasound (Doppler) | $1,279 | $1,054 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $1,134 | $1,054 | $116 |
| LH hormone test | $135 | $123 | $19 |
| Lipase test | $135 | $45 | $7 |
| Lipid (cholesterol) panel | $144 | $95 | $13 |
| Liver function panel | $157 | $118 | $8 |
| Lung function test (PFT) | $583 | $178 | $37 |
| Lung scan (V/Q) | $2,350 | $1,703 | $291 |
| Magnesium blood test | $168 | $73 | $7 |
| MRA of the brain | $3,779 | $2,209 | $226 |
| MRA of the brain with contrast | $3,779 | $2,209 | $226 |
| MRA of the brain without contrast | $4,060 | $3,125 | $328 |
| MRA of the neck | $3,647 | $2,108 | $245 |
| MRA of the neck with contrast | $3,647 | $2,108 | $245 |
| MRA of the neck without contrast | $3,724 | $2,708 | $343 |
| MRI of the abdomen | $3,507 | $2,277 | $300 |
| MRI of the abdomen with contrast | $3,507 | $2,277 | $300 |
| MRI of the abdomen without contrast | $3,261 | $1,996 | $194 |
| MRI of the ankle | $2,729 | $1,704 | $261 |
| MRI of the ankle with contrast | $2,729 | $1,850 | $261 |
| MRI of the ankle without contrast | $2,703 | $1,704 | $222 |
| MRI of the brain | $3,684 | $2,344 | $269 |
| MRI of the brain with contrast | $3,684 | $2,344 | $269 |
| MRI of the brain without contrast | $3,508 | $2,013 | $195 |
| MRI of the chest | $3,602 | $2,818 | $371 |
| MRI of the chest with contrast | $3,602 | $2,830 | $371 |
| MRI of the chest without contrast | $3,910 | $2,818 | $466 |
| MRI of the knee | $2,867 | $2,219 | $315 |
| MRI of the knee with contrast | $2,764 | $2,275 | $315 |
| MRI of the knee without contrast | $2,867 | $1,852 | $204 |
| MRI of the lower back (lumbar spine) | $3,422 | $2,098 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $3,403 | $2,500 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $3,422 | $2,098 | $192 |
| MRI of the mid-back (thoracic spine) | $3,865 | $2,307 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $5,466 | $2,584 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $3,865 | $2,330 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $3,651 | $2,027 | $190 |
| MRI of the neck (cervical spine) | $4,027 | $2,098 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $5,240 | $3,073 | $318 |
| MRI of the neck (cervical spine) with contrast | $4,027 | $2,570 | $274 |
| MRI of the neck (cervical spine) without contrast | $3,590 | $1,979 | $191 |
| MRI of the pelvis | $3,190 | $2,054 | $268 |
| MRI of the pelvis with contrast | $3,190 | $2,324 | $268 |
| MRI of the pelvis without contrast | $3,126 | $1,822 | $227 |
| MRI of the shoulder | $2,807 | $2,077 | $313 |
| MRI of the shoulder with contrast | $2,807 | $2,077 | $313 |
| MRI of the shoulder without contrast | $2,725 | $1,745 | $205 |
| MRI of the wrist | $2,875 | $1,789 | $330 |
| MRI of the wrist with contrast | $2,875 | $1,789 | $330 |
| MRI of the wrist without contrast | $2,701 | $1,651 | $303 |
| Nebulizer breathing treatment | $324 | $129 | $9 |
| Nuclear cardiac stress test | $5,719 | $3,541 | $428 |
| Occupational therapy evaluation | $204 | $149 | $101 |
| Occupational therapy evaluation (high complexity) | $220 | $154 | $101 |
| Occupational therapy evaluation (low complexity) | $187 | $133 | $101 |
| Occupational therapy evaluation (moderate complexity) | $254 | $145 | $101 |
| Office visit (established patient) | $375 | $257 | $115 |
| Office visit (new patient) | $588 | $396 | $177 |
| Office visit, established patient (level 3) | $338 | $227 | $95 |
| Office visit, established patient (level 4) | $401 | $286 | $136 |
| Office visit, new patient (level 3) | $572 | $216 | $118 |
| Office visit, new patient (level 4) | $588 | $352 | $177 |
| Office visit, new patient (level 5) | $728 | $501 | $237 |
| Pap smear (cervical screening) | $158 | $49 | $20 |
| Parathyroid hormone (PTH) test | $295 | $265 | $41 |
| Pelvic ultrasound | $610 | $224 | $78 |
| Pelvic ultrasound (complete) | $836 | $304 | $105 |
| Pelvic ultrasound (limited) | $384 | $224 | $51 |
| PET scan | $6,953 | $4,859 | — |
| Phosphorus blood test | $64 | $32 | $5 |
| Physical therapy evaluation | $270 | $144 | $98 |
| Physical therapy evaluation (high complexity) | $300 | $146 | $98 |
| Physical therapy evaluation (moderate complexity) | $270 | $143 | $98 |
| Pregnancy blood test (hCG) | $139 | $119 | $8 |
| Pregnancy ultrasound | $732 | $426 | $126 |
| Pregnancy ultrasound (first trimester) | $668 | $330 | $117 |
| Pregnancy ultrasound (second or third trimester) | $796 | $522 | $136 |
| Procalcitonin test | $260 | $157 | $27 |
| Prolactin test | $240 | $119 | $19 |
| Prostate test (PSA) | $142 | $56 | $18 |
| Psychiatric evaluation | $310 | $217 | $188 |
| Psychotherapy session | $553 | $142 | $140 |
| Pulmonary rehabilitation | $248 | $100 | $87 |
| Scoliosis spine X-ray | $432 | $235 | $58 |
| Scoliosis spine X-ray (1 view) | $327 | $167 | $44 |
| Scoliosis spine X-ray (3 views) | $537 | $303 | $72 |
| Screening mammogram | $426 | $192 | $126 |
| Scrotal ultrasound | $694 | $505 | $99 |
| Sedimentation rate (ESR) test | $59 | $61 | $3 |
| Sex hormone binding globulin test | $88 | $26 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $286 | $159 | $114 |
| Simple wound stitches | $286 | $181 | $127 |
| Skin biopsy | $209 | $383 | $121 |
| Skin biopsy (punch) | $293 | $340 | $121 |
| Sleep study (polysomnography) | $4,420 | $3,014 | $691 |
| Soft tissue ultrasound | $574 | $304 | $64 |
| Speech therapy | $305 | $220 | $76 |
| Spirometry (lung function test) | $471 | $178 | $30 |
| Spirometry with bronchodilator | $694 | $291 | $43 |
| Stress echocardiogram | $1,638 | $1,225 | $209 |
| Swallow study | $348 | $184 | $85 |
| T3 thyroid test | $136 | $101 | $14 |
| Testosterone test | $170 | $53 | $26 |
| Thyroid test (TSH) | $125 | $80 | $17 |
| Thyroid ultrasound | $630 | $480 | $109 |
| Total IgE allergy test | $174 | $23 | $16 |
| Total protein test | $64 | $32 | $4 |
| Transvaginal ultrasound | $694 | $403 | $118 |
| Trigger point injection | $371 | $462 | $56 |
| Trigger point injection (1-2 muscles) | $235 | $375 | $52 |
| Triglycerides test | $70 | $37 | $6 |
| Troponin (heart) test | $243 | $50 | $12 |
| Uric acid (gout) test | $67 | $36 | $5 |
| Urinalysis | $61 | $43 | $3 |
| Urine microalbumin test | $115 | $49 | $5 |
| Urine pregnancy test | $104 | $54 | $9 |
| Vaccine administration | $107 | $73 | $19 |
| Vaccine administration (each additional) | $30 | $64 | $16 |
| Vitamin B12 test | $158 | $148 | $15 |
| Vitamin D test | $262 | $59 | $30 |
| Wart removal | $219 | $327 | $121 |
| Wound debridement | $990 | $901 | $186 |
| X-ray of the abdomen | $406 | $253 | $36 |
| X-ray of the ankle | $346 | $271 | $37 |
| X-ray of the collarbone | $307 | $228 | $33 |
| X-ray of the elbow | $344 | $283 | $33 |
| X-ray of the facial bones | $368 | $255 | $39 |
| X-ray of the foot | $354 | $283 | $34 |
| X-ray of the forearm | $297 | $239 | $29 |
| X-ray of the hand | $339 | $267 | $38 |
| X-ray of the hip | $291 | $167 | $49 |
| X-ray of the hip (1 view) | $291 | $167 | $34 |
| X-ray of the hip (3 views) | $363 | $167 | $49 |
| X-ray of the knee | $376 | $340 | $42 |
| X-ray of the knee (2 views) | $321 | $248 | $34 |
| X-ray of the knee (3 views) | $387 | $340 | $42 |
| X-ray of the knee (4+ views) | $363 | $356 | $49 |
| X-ray of the lower back (lumbar spine) | $503 | $306 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $461 | $304 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $545 | $309 | $53 |
| X-ray of the lower leg | $322 | $252 | $31 |
| X-ray of the mid-back (thoracic spine) | $451 | $297 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $385 | $261 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $516 | $333 | $39 |
| X-ray of the neck (cervical spine) | $437 | $305 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $356 | $241 | $40 |
| X-ray of the pelvis | $369 | $245 | $36 |
| X-ray of the pelvis (1 view) | $327 | $224 | $28 |
| X-ray of the ribs | $389 | $313 | $42 |
| X-ray of the ribs (2 views) | $354 | $246 | $36 |
| X-ray of the ribs (3 views) | $424 | $329 | $42 |
| X-ray of the shoulder | $376 | $310 | $36 |
| X-ray of the skull | $364 | $273 | $40 |
| X-ray of the upper arm | $333 | $259 | $32 |
| X-ray of the wrist | $324 | $267 | $43 |
| Zinc blood test | $126 | $16 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
