| Procedure | Mercy Hospital Lebanon | Citizens Memorial Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $99 | $114 | $51 |
| Abdominal fluid drain (paracentesis) | $997 | $590 | $284 |
| Abdominal ultrasound | $951 | $749 | $100 |
| Abdominal ultrasound (complete) | $1,202 | $766 | $114 |
| Abdominal ultrasound (limited) | $701 | $749 | $86 |
| Abscess drainage (complex or multiple) | $575 | $382 | $220 |
| Abscess drainage (simple) | $330 | $227 | $129 |
| Abscess incision and drainage | $452 | $382 | $174 |
| Albumin blood test | $33 | $38 | $5 |
| Aldosterone test | $322 | $351 | $41 |
| Alkaline phosphatase test | $88 | $40 | $5 |
| Alpha-fetoprotein (AFP) test | $104 | $132 | $17 |
| ALT liver enzyme test | $35 | $63 | $5 |
| Ammonia blood test | $64 | $110 | $15 |
| Amylase test | $84 | $101 | $6 |
| Anal fistula repair | $5,399 | $699 | $541 |
| Antinuclear antibody (ANA) test | $188 | $66 | $12 |
| AST liver enzyme test | $35 | $63 | $5 |
| Barium swallow study | $626 | $98 | $107 |
| Basic metabolic panel | $126 | $160 | $8 |
| Benign skin lesion removal | $1,476 | $935 | $171 |
| Bilirubin blood test | $94 | $62 | $5 |
| Bladder function test (urodynamics) | $879 | $698 | $345 |
| Blood clotting test (PT/INR) | $58 | $22 | $4 |
| Blood glucose test | $57 | $48 | $5 |
| Blood transfusion | $237 | $790 | $47 |
| Blood type and screen | $59 | $104 | $10 |
| Blood type test | $33 | $34 | $3 |
| Blood type test (ABO group) | $35 | $46 | $3 |
| Blood type test (Rh/D antigen) | $31 | $32 | $3 |
| BNP (heart failure) test | $77 | $141 | $39 |
| Bone density scan (DEXA) | $233 | $458 | $39 |
| Bone marrow biopsy | $6,626 | $351 | $172 |
| Bone scan (nuclear) | $1,606 | $846 | $259 |
| Breast biopsy | $3,407 | $3,143 | $478 |
| Breast ultrasound | $599 | $371 | $92 |
| Breast ultrasound (limited) | $651 | $371 | $84 |
| Breathing tube insertion (intubation) | $1,405 | $564 | $133 |
| Bronchoscopy | $1,524 | $1,245 | $303 |
| Burn dressing and debridement (medium) | $668 | $374 | $166 |
| Burn dressing and debridement (small) | $144 | $268 | $93 |
| Burn treatment | $406 | $322 | $129 |
| C-reactive protein (CRP) | $105 | $56 | $5 |
| CA 19-9 tumor marker test | $67 | $162 | $21 |
| CA-125 ovarian marker test | $67 | $166 | $21 |
| Calcium blood test | $55 | $30 | $5 |
| Cardiac rehabilitation | $257 | $321 | $26 |
| Cardiac stress test | $1,001 | $266 | $39 |
| Cardioversion | $796 | $1,531 | $155 |
| Carotid artery ultrasound | $699 | $270 | $156 |
| Cataract surgery | $3,789 | $2,836 | $547 |
| CEA tumor marker test | $167 | $142 | $19 |
| Celiac disease test | $72 | $39 | $12 |
| Central line placement | $837 | $1,521 | $238 |
| Cervical LEEP procedure | $5,388 | $449 | $325 |
| Chemotherapy infusion | $380 | $356 | $81 |
| Chemotherapy infusion (each additional) | $353 | $203 | $28 |
| Chemotherapy infusion (first hour) | $406 | $594 | $133 |
| Chest fluid drain (thoracentesis) | $494 | $1,247 | $311 |
| Chest tube insertion | $2,109 | $1,108 | $143 |
| Chest X-ray | $329 | $65 | $37 |
| Chest X-ray (1 view) | $244 | $238 | $25 |
| Chest X-ray (2 views) | $305 | $65 | $33 |
| Circumcision | $5,007 | $1,408 | $167 |
| CK-MB heart enzyme test | $222 | $92 | $12 |
| Clotting time test (PTT) | $110 | $54 | $6 |
| Colon resection (colectomy) | $17,407 | $2,287 | $1,238 |
| Colonoscopy | $4,237 | $1,641 | $480 |
| Complete blood count (CBC) | $65 | $74 | $7 |
| Complete blood count (CBC) (complete) | $90 | $92 | $8 |
| Comprehensive metabolic panel | $259 | $187 | $11 |
| Contraceptive implant (Nexplanon) | $272 | $322 | $115 |
| Copper blood test | $109 | $109 | $12 |
| Cortisol test | $87 | $89 | $16 |
| COVID-19 PCR test | $125 | $100 | $51 |
| CPAP titration study | $364 | $894 | $69 |
| Creatine kinase (CK) test | $69 | $78 | $7 |
| CT angiography of the chest | $1,195 | $2,358 | $281 |
| CT angiography of the head | $1,180 | $2,721 | $274 |
| CT scan of the abdomen | $2,226 | $254 | $230 |
| CT scan of the abdomen and pelvis | $2,430 | $4,061 | $300 |
| CT scan of the abdomen and pelvis with contrast | $1,991 | $5,013 | $300 |
| CT scan of the abdomen and pelvis without contrast | $2,430 | $4,061 | $183 |
| CT scan of the abdomen with and without contrast | $2,262 | $266 | $259 |
| CT scan of the abdomen with contrast | $2,226 | $241 | $230 |
| CT scan of the abdomen without contrast | $1,856 | $226 | $136 |
| CT scan of the arm | $1,176 | $404 | $199 |
| CT scan of the arm with contrast | $1,176 | $1,208 | $199 |
| CT scan of the arm without contrast | $1,077 | $1,168 | $161 |
| CT scan of the chest | $1,806 | $261 | $167 |
| CT scan of the chest with and without contrast | $1,975 | $261 | $196 |
| CT scan of the chest with contrast | $1,806 | $1,410 | $167 |
| CT scan of the chest without contrast | $901 | $1,249 | $133 |
| CT scan of the head | $1,185 | $2,095 | $148 |
| CT scan of the head with and without contrast | $1,619 | $241 | $173 |
| CT scan of the head with contrast | $1,185 | $216 | $148 |
| CT scan of the head without contrast | $1,075 | $2,095 | $107 |
| CT scan of the leg | $1,288 | $1,147 | $166 |
| CT scan of the leg with contrast | $1,546 | $2,265 | $166 |
| CT scan of the leg without contrast | $1,086 | $1,163 | $130 |
| CT scan of the lower back (lumbar spine) | $1,592 | $235 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,964 | $241 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,592 | $1,498 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,459 | $220 | $130 |
| CT scan of the neck | $1,460 | $261 | $183 |
| CT scan of the neck (cervical spine) | $1,724 | $230 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $2,048 | $241 | $196 |
| CT scan of the neck (cervical spine) with contrast | $1,724 | $229 | $168 |
| CT scan of the neck (cervical spine) without contrast | $921 | $220 | $131 |
| CT scan of the neck with and without contrast | $1,871 | $274 | $220 |
| CT scan of the neck with contrast | $1,460 | $261 | $183 |
| CT scan of the neck without contrast | $1,248 | $242 | $150 |
| CT scan of the pelvis | $1,780 | $2,167 | $226 |
| CT scan of the pelvis with and without contrast | $2,068 | $1,767 | $251 |
| CT scan of the pelvis with contrast | $1,780 | $2,580 | $226 |
| CT scan of the pelvis without contrast | $1,329 | $2,156 | $133 |
| CT scan of the sinuses | $1,861 | $267 | $152 |
| CT scan of the sinuses with and without contrast | $2,048 | $267 | $184 |
| CT scan of the sinuses with contrast | $1,861 | $1,290 | $152 |
| CT scan of the sinuses without contrast | $816 | $1,118 | $128 |
| D-dimer test | $164 | $88 | $10 |
| DHEA-sulfate test | $195 | $102 | $22 |
| Diagnostic mammogram | $311 | $171 | $140 |
| Dilation and curettage (D&C) | $5,172 | $471 | $298 |
| Drug screen (urine) | $226 | $162 | $17 |
| Ear pressure test (tympanometry) | $107 | $34 | $16 |
| Echocardiogram | $1,551 | $481 | $138 |
| Echocardiogram with and without contrast | $456 | $481 | $101 |
| EEG (awake and asleep) | $866 | $943 | $482 |
| EKG / ECG (tracing only) | $254 | $302 | $7 |
| Electrocardiogram (EKG) | $254 | $302 | $8 |
| Electroencephalogram (EEG) | $807 | $844 | $448 |
| Electrolyte panel | $53 | $64 | $7 |
| Emergency department visit | $1,140 | $376 | $69 |
| Emergency department visit (level 1) | $426 | $60 | $11 |
| Emergency department visit (level 2) | $472 | $353 | $40 |
| Emergency department visit (level 3) | $1,140 | $531 | $69 |
| Emergency department visit (level 4) | $1,278 | $872 | $118 |
| Emergency department visit (level 5) | $4,503 | $1,001 | $171 |
| Epidural steroid injection | $1,840 | $488 | $275 |
| Esophageal dilation | $1,404 | $268 | $522 |
| Estradiol (estrogen) test | $163 | $137 | $28 |
| Facet joint injection (spine) | $3,237 | $517 | $99 |
| Fallopian tube X-ray (HSG) | $537 | $170 | $164 |
| Fecal occult blood (stool) test | $46 | $47 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $29 | $22 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $64 | $67 | $16 |
| Ferritin (iron) test | $72 | $106 | $14 |
| Fibrinogen test | $98 | $79 | $10 |
| Flexible sigmoidoscopy | $3,920 | $267 | $323 |
| Flu test | $73 | $89 | $17 |
| Folate (folic acid) test | $59 | $87 | $15 |
| Foreign body removal (skin) | $1,631 | $560 | $157 |
| Free T4 thyroid test | $125 | $93 | $9 |
| FSH hormone test | $108 | $211 | $19 |
| Gallbladder removal (laparoscopic) | $7,403 | $3,540 | $658 |
| Gallbladder scan (HIDA) | $2,038 | $162 | $334 |
| GGT liver test | $43 | $82 | $7 |
| Glucose tolerance test | $85 | $49 | $8 |
| HDL cholesterol test | $79 | $26 | $8 |
| Hematocrit test | $17 | $44 | $2 |
| Hemoglobin A1c (diabetes test) | $44 | $89 | $10 |
| Hemorrhoid removal | $6,412 | $466 | $338 |
| Hepatitis B test | $66 | $89 | $10 |
| Hepatitis C test | $86 | $145 | $14 |
| HIV test | $73 | $64 | $19 |
| HIV test (antigen/antibody combo) | $70 | $64 | $24 |
| Holter heart monitor | $692 | $445 | $26 |
| Home sleep apnea test | $611 | $117 | $123 |
| Hydrocele repair | $4,768 | $4,907 | $315 |
| Hysterectomy | $12,816 | $1,713 | $933 |
| Hysteroscopy | $6,427 | $6,510 | $1,270 |
| Inguinal hernia repair | $9,010 | $6,847 | $538 |
| Iron blood test | $45 | $67 | $6 |
| IV infusion therapy | $156 | $501 | $44 |
| IV infusion therapy (each additional) | $96 | $286 | $21 |
| IV infusion therapy (initial) | $216 | $513 | $67 |
| Joint aspiration (small/intermediate) | $277 | $218 | $57 |
| Joint aspiration or injection (mid-size joint) | $416 | $218 | $57 |
| Joint aspiration or injection (small joint) | $138 | $213 | $56 |
| Kidney biopsy | $1,644 | $1,256 | $492 |
| Kidney scan (nuclear) | $1,262 | $229 | $172 |
| Kidney ultrasound | $707 | $138 | $84 |
| Kidney ultrasound (limited) | $469 | $112 | $61 |
| Knee joint injection | $293 | $350 | $69 |
| Lactate test | $174 | $74 | $12 |
| LDH test | $62 | $69 | $6 |
| LDL cholesterol test | $58 | $32 | $11 |
| Leg vein ultrasound (Doppler) | $983 | $420 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $787 | $554 | $116 |
| LH hormone test | $143 | $209 | $19 |
| Lipase test | $144 | $45 | $7 |
| Lipid (cholesterol) panel | $69 | $131 | $13 |
| Liver biopsy | $2,326 | $1,302 | $288 |
| Liver function panel | $137 | $194 | $8 |
| Lung function test (PFT) | $441 | $302 | $37 |
| Lung scan (V/Q) | $1,575 | $876 | $291 |
| Magnesium blood test | $59 | $76 | $7 |
| MRA of the brain | $2,766 | $332 | $226 |
| MRA of the brain with contrast | $2,766 | $226 | $226 |
| MRA of the brain without contrast | $3,071 | $340 | $328 |
| MRA of the neck | $2,518 | $324 | $245 |
| MRA of the neck with contrast | $2,518 | $226 | $245 |
| MRA of the neck without contrast | $2,558 | $340 | $343 |
| MRI of the abdomen | $2,193 | $415 | $300 |
| MRI of the abdomen with contrast | $2,193 | $329 | $300 |
| MRI of the abdomen without contrast | $1,914 | $274 | $194 |
| MRI of the ankle | $3,023 | $445 | $261 |
| MRI of the ankle with contrast | $2,732 | $304 | $261 |
| MRI of the ankle without contrast | $3,749 | $485 | $222 |
| MRI of the brain | $2,978 | $520 | $269 |
| MRI of the brain with contrast | $2,978 | $336 | $269 |
| MRI of the brain without contrast | $1,520 | $1,614 | $195 |
| MRI of the chest | $2,369 | $326 | $371 |
| MRI of the chest without contrast | $3,355 | $334 | $466 |
| MRI of the knee | $2,738 | $642 | $315 |
| MRI of the knee with contrast | $2,738 | $308 | $315 |
| MRI of the knee without contrast | $2,577 | $1,638 | $204 |
| MRI of the lower back (lumbar spine) | $2,462 | $422 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $2,462 | $338 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $2,277 | $282 | $192 |
| MRI of the mid-back (thoracic spine) | $2,633 | $460 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $2,673 | $483 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $2,633 | $363 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $2,528 | $303 | $190 |
| MRI of the neck (cervical spine) | $2,673 | $472 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $2,800 | $483 | $318 |
| MRI of the neck (cervical spine) with contrast | $2,673 | $365 | $274 |
| MRI of the neck (cervical spine) without contrast | $2,536 | $1,631 | $191 |
| MRI of the pelvis | $2,497 | $425 | $268 |
| MRI of the pelvis with contrast | $2,497 | $329 | $268 |
| MRI of the pelvis without contrast | $2,259 | $3,006 | $227 |
| MRI of the shoulder | $3,034 | $485 | $313 |
| MRI of the shoulder with contrast | $3,034 | $308 | $313 |
| MRI of the shoulder without contrast | $2,613 | $2,922 | $205 |
| MRI of the wrist | $2,213 | $397 | $330 |
| MRI of the wrist with contrast | $2,213 | $308 | $330 |
| MRI of the wrist without contrast | $1,654 | $1,502 | $303 |
| Nebulizer breathing treatment | $101 | $85 | $9 |
| Nerve conduction study | $326 | $119 | $118 |
| Nuclear cardiac stress test | $5,356 | $460 | $428 |
| Occupational therapy evaluation | $339 | $299 | $101 |
| Occupational therapy evaluation (high complexity) | $373 | $356 | $101 |
| Occupational therapy evaluation (low complexity) | $263 | $243 | $101 |
| Occupational therapy evaluation (moderate complexity) | $339 | $299 | $101 |
| Office visit (established patient) | $143 | $145 | $115 |
| Office visit (new patient) | $229 | $246 | $177 |
| Office visit, established patient (level 3) | $117 | $114 | $95 |
| Office visit, established patient (level 4) | $170 | $158 | $136 |
| Office visit, new patient (level 3) | $159 | $170 | $118 |
| Office visit, new patient (level 4) | $229 | $260 | $177 |
| Office visit, new patient (level 5) | $296 | $306 | $237 |
| Pap smear (cervical screening) | $121 | $78 | $20 |
| Parathyroid hormone (PTH) test | $178 | $146 | $41 |
| Pelvic ultrasound | $713 | $265 | $78 |
| Pelvic ultrasound (complete) | $875 | $265 | $105 |
| Pelvic ultrasound (limited) | $552 | $91 | $51 |
| Phosphorus blood test | $35 | $38 | $5 |
| Physical therapy evaluation | $344 | $257 | $98 |
| Physical therapy evaluation (high complexity) | $434 | $358 | $98 |
| Physical therapy evaluation (moderate complexity) | $344 | $301 | $98 |
| Platelet count | $77 | $49 | $4 |
| Pregnancy blood test (hCG) | $92 | $96 | $8 |
| Pregnancy ultrasound | $810 | $232 | $126 |
| Pregnancy ultrasound (first trimester) | $733 | $232 | $117 |
| Pregnancy ultrasound (second or third trimester) | $887 | $188 | $136 |
| Procalcitonin test | $125 | $211 | $27 |
| Prolactin test | $196 | $110 | $19 |
| Prostate test (PSA) | $69 | $115 | $18 |
| Pulmonary rehabilitation | $332 | $268 | $87 |
| Radiofrequency nerve ablation | $2,077 | $1,800 | $462 |
| Scoliosis spine X-ray | $411 | $90 | $58 |
| Scoliosis spine X-ray (3 views) | $434 | $90 | $72 |
| Screening mammogram | $363 | $264 | $126 |
| Scrotal ultrasound | $763 | $505 | $99 |
| Sedimentation rate (ESR) test | $47 | $18 | $3 |
| Semen analysis | $116 | $81 | $12 |
| Sex hormone binding globulin test | $183 | $112 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $486 | $547 | $114 |
| Simple wound stitches | $2,204 | $547 | $127 |
| Skin biopsy | $840 | $158 | $121 |
| Skin biopsy (punch) | $415 | $167 | $121 |
| Skin tag removal | $1,810 | $225 | $92 |
| Sleep study (polysomnography) | $1,580 | $4,210 | $691 |
| Small bowel resection | $20,564 | $1,754 | $1,136 |
| Soft tissue ultrasound | $753 | $508 | $64 |
| Speech therapy | $161 | $260 | $76 |
| Spinal cord stimulator | $3,187 | $2,506 | $2,388 |
| Spinal tap (lumbar puncture) | $647 | $516 | $165 |
| Spirometry (lung function test) | $345 | $255 | $30 |
| Spirometry with bronchodilator | $537 | $468 | $43 |
| Strep throat test | $81 | $75 | $17 |
| Stress echocardiogram | $2,116 | $1,499 | $209 |
| Stress echocardiogram (complete) | $2,381 | $167 | $233 |
| Swallow study | $114 | $326 | $85 |
| T3 thyroid test | $87 | $75 | $14 |
| Testosterone test | $140 | $185 | $26 |
| Thyroid test (TSH) | $12 | $173 | $17 |
| Thyroid ultrasound | $785 | $129 | $109 |
| Thyroid uptake scan | $878 | $88 | $145 |
| Total IgE allergy test | $88 | $107 | $16 |
| Total protein test | $49 | $45 | $4 |
| Transvaginal ultrasound | $717 | $124 | $118 |
| Trigger point injection | $388 | $338 | $56 |
| Trigger point injection (1-2 muscles) | $397 | $338 | $52 |
| Triglycerides test | $34 | $65 | $6 |
| Troponin (heart) test | $184 | $136 | $12 |
| Turning a breech baby (version) | $684 | $399 | $94 |
| Ulnar nerve surgery (elbow) | $4,529 | $2,509 | $575 |
| Upper GI endoscopy (EGD) | $4,763 | $1,436 | $371 |
| Upper GI series (barium) | $754 | $130 | $128 |
| Uric acid (gout) test | $82 | $54 | $5 |
| Urinalysis | $59 | $45 | $3 |
| Urine microalbumin test | $49 | $59 | $5 |
| Urine pregnancy test | $98 | $80 | $9 |
| Vaccine administration | $67 | $56 | $19 |
| Vaccine administration (each additional) | $48 | $41 | $16 |
| Vitamin B12 test | $58 | $86 | $15 |
| Vitamin D test | $116 | $186 | $30 |
| Wound debridement | $743 | $1,056 | $186 |
| X-ray of the abdomen | $376 | $50 | $36 |
| X-ray of the ankle | $379 | $68 | $37 |
| X-ray of the collarbone | $538 | $54 | $33 |
| X-ray of the elbow | $384 | $64 | $33 |
| X-ray of the facial bones | $247 | $62 | $39 |
| X-ray of the foot | $527 | $61 | $34 |
| X-ray of the forearm | $170 | $69 | $29 |
| X-ray of the hand | $476 | $55 | $38 |
| X-ray of the hip | $285 | $66 | $49 |
| X-ray of the hip (1 view) | $215 | $71 | $34 |
| X-ray of the hip (3 views) | $285 | $60 | $49 |
| X-ray of the knee | $501 | $66 | $42 |
| X-ray of the knee (2 views) | $261 | $70 | $34 |
| X-ray of the knee (3 views) | $501 | $61 | $42 |
| X-ray of the knee (4+ views) | $552 | $62 | $49 |
| X-ray of the lower back (lumbar spine) | $498 | $67 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $387 | $67 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $609 | $71 | $53 |
| X-ray of the lower leg | $274 | $74 | $31 |
| X-ray of the mid-back (thoracic spine) | $414 | $63 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $365 | $80 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $462 | $54 | $39 |
| X-ray of the neck (cervical spine) | $408 | $65 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $356 | $61 | $40 |
| X-ray of the pelvis | $342 | $52 | $36 |
| X-ray of the pelvis (1 view) | $314 | $65 | $28 |
| X-ray of the ribs | $328 | $58 | $42 |
| X-ray of the ribs (2 views) | $328 | $58 | $36 |
| X-ray of the ribs (3 views) | $385 | $86 | $42 |
| X-ray of the shoulder | $501 | $62 | $36 |
| X-ray of the skull | $282 | $71 | $40 |
| X-ray of the upper arm | $439 | $66 | $32 |
| X-ray of the wrist | $519 | $55 | $43 |
| Zinc blood test | $89 | $58 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
