| Procedure | Mercy Hospital Southeast | Mercy Hospital Perry | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $163 | $114 | $51 |
| Abdominal fluid drain (paracentesis) | $1,217 | $493 | $284 |
| Abdominal ultrasound | $1,211 | $477 | $100 |
| Abdominal ultrasound (complete) | $1,362 | $761 | $114 |
| Abdominal ultrasound (limited) | $1,060 | $194 | $86 |
| Abscess drainage (complex or multiple) | $125 | $430 | $220 |
| Abscess drainage (simple) | $484 | $215 | $129 |
| Abscess incision and drainage | $304 | $348 | $174 |
| Albumin blood test | $68 | $27 | $5 |
| Aldosterone test | $244 | $213 | $41 |
| Alkaline phosphatase test | $88 | $27 | $5 |
| Alpha-fetoprotein (AFP) test | $191 | $83 | $17 |
| ALT liver enzyme test | $100 | $38 | $5 |
| Ammonia blood test | $176 | $179 | $15 |
| Amylase test | $38 | $35 | $6 |
| Antinuclear antibody (ANA) test | $236 | $58 | $12 |
| Arterial blood gas (ABG) | $151 | $129 | $26 |
| AST liver enzyme test | $117 | $27 | $5 |
| Barium swallow study | $567 | $89 | $107 |
| Basic metabolic panel | $199 | $35 | $8 |
| Benign skin lesion removal | $119 | $320 | $171 |
| Bilirubin blood test | $105 | $27 | $5 |
| Blood clotting test (PT/INR) | $81 | $24 | $4 |
| Blood crossmatch | $114 | $105 | — |
| Blood glucose test | $111 | $30 | $5 |
| Blood transfusion | $735 | $267 | $47 |
| Blood type and screen | $75 | $96 | $10 |
| Blood type test | $77 | $24 | $3 |
| Blood type test (ABO group) | $77 | $28 | $3 |
| Blood type test (Rh/D antigen) | $77 | $20 | $3 |
| BNP (heart failure) test | $77 | $194 | $39 |
| Bone scan (nuclear) | $1,981 | $677 | $259 |
| Breast ultrasound | $238 | $534 | $92 |
| Breast ultrasound (complete) | $190 | $597 | $100 |
| Breast ultrasound (limited) | $285 | $471 | $84 |
| Breathing tube insertion (intubation) | $285 | $473 | $133 |
| Burn dressing and debridement (medium) | $480 | $538 | $166 |
| Burn dressing and debridement (small) | $339 | $255 | $93 |
| Burn treatment | $410 | $397 | $129 |
| C-reactive protein (CRP) | $49 | $46 | $5 |
| CA 19-9 tumor marker test | $188 | $171 | $21 |
| CA-125 ovarian marker test | $190 | $110 | $21 |
| Calcium blood test | $46 | $27 | $5 |
| Capsule endoscopy | $1,375 | $2,362 | $802 |
| Cardiac rehabilitation | $304 | $196 | $26 |
| Cardiac stress test | $1,145 | $331 | $39 |
| Cardioversion | $1,021 | $1,039 | $155 |
| Carotid artery ultrasound | $668 | $767 | $156 |
| CEA tumor marker test | $204 | $87 | $19 |
| Celiac disease test | $44 | $58 | $12 |
| Chemotherapy infusion | $581 | $290 | $81 |
| Chemotherapy infusion (each additional) | $161 | $290 | $28 |
| Chemotherapy infusion (first hour) | $1,000 | $290 | $133 |
| Chest fluid drain (thoracentesis) | $952 | $521 | $311 |
| Chest tube insertion | $2,556 | $715 | $143 |
| Chest X-ray | $349 | $112 | $37 |
| Chest X-ray (1 view) | $282 | $156 | $25 |
| Chest X-ray (2 views) | $349 | $68 | $33 |
| Circumcision | $7,632 | $345 | $167 |
| CK-MB heart enzyme test | $178 | $102 | $12 |
| Clotting time test (PTT) | $63 | $28 | $6 |
| Complete blood count (CBC) | $136 | $30 | $7 |
| Complete blood count (CBC) (complete) | $155 | $33 | $8 |
| Comprehensive metabolic panel | $252 | $65 | $11 |
| Copper blood test | $151 | $65 | $12 |
| Cortisol test | $184 | $82 | $16 |
| COVID-19 PCR test | $146 | $28 | $51 |
| CPAP titration study | $665 | $566 | $69 |
| Creatine kinase (CK) test | $100 | $35 | $7 |
| CT angiography of the chest | $2,867 | $1,283 | $281 |
| CT angiography of the head | $1,955 | $1,106 | $274 |
| CT scan of the abdomen | $985 | $1,511 | $230 |
| CT scan of the abdomen and pelvis | $1,081 | $2,660 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $1,186 | $3,682 | $338 |
| CT scan of the abdomen and pelvis with contrast | $1,081 | $1,668 | $300 |
| CT scan of the abdomen and pelvis without contrast | $1,081 | $2,427 | $183 |
| CT scan of the abdomen with and without contrast | $1,081 | $1,922 | $259 |
| CT scan of the abdomen with contrast | $985 | $1,037 | $230 |
| CT scan of the abdomen without contrast | $985 | $817 | $136 |
| CT scan of the arm | $1,203 | $1,293 | $199 |
| CT scan of the arm with contrast | $1,203 | $812 | $199 |
| CT scan of the arm without contrast | $1,104 | $1,220 | $161 |
| CT scan of the chest | $2,012 | $1,791 | $167 |
| CT scan of the chest with and without contrast | $2,347 | $1,864 | $196 |
| CT scan of the chest with contrast | $2,012 | $1,791 | $167 |
| CT scan of the chest without contrast | $2,012 | $852 | $133 |
| CT scan of the head | $1,633 | $1,320 | $148 |
| CT scan of the head with and without contrast | $1,802 | $1,809 | $173 |
| CT scan of the head with contrast | $1,633 | $830 | $148 |
| CT scan of the head without contrast | $1,565 | $670 | $107 |
| CT scan of the leg | $1,865 | $1,187 | $166 |
| CT scan of the leg with contrast | $1,843 | $1,275 | $166 |
| CT scan of the leg without contrast | $1,865 | $1,099 | $130 |
| CT scan of the lower back (lumbar spine) | $1,963 | $1,933 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $2,093 | $1,933 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,963 | $2,066 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,834 | $1,562 | $130 |
| CT scan of the neck | $2,127 | $818 | $183 |
| CT scan of the neck (cervical spine) | $1,822 | $230 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $2,032 | $230 | $196 |
| CT scan of the neck (cervical spine) with contrast | $1,795 | $829 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,822 | $870 | $131 |
| CT scan of the neck with and without contrast | $1,977 | $1,899 | $220 |
| CT scan of the neck with contrast | $2,194 | $250 | $183 |
| CT scan of the neck without contrast | $2,127 | $809 | $150 |
| CT scan of the pelvis | $985 | $1,508 | $226 |
| CT scan of the pelvis with and without contrast | $1,081 | $2,048 | $251 |
| CT scan of the pelvis with contrast | $985 | $871 | $226 |
| CT scan of the pelvis without contrast | $985 | $1,484 | $133 |
| CT scan of the sinuses | $1,763 | $1,346 | $152 |
| CT scan of the sinuses with and without contrast | $2,118 | $1,176 | $184 |
| CT scan of the sinuses with contrast | $1,763 | $918 | $152 |
| CT scan of the sinuses without contrast | $1,246 | $1,346 | $128 |
| D-dimer test | $202 | $200 | $10 |
| DHEA-sulfate test | $220 | $117 | $22 |
| Diagnostic mammogram | $355 | $203 | $140 |
| Drug screen (urine) | $118 | $101 | $17 |
| Echocardiogram | $1,154 | $254 | $138 |
| Echocardiogram with and without contrast | $604 | $231 | $101 |
| Echocardiogram without contrast | $1,154 | $651 | $138 |
| EKG / ECG (tracing only) | $240 | $179 | $7 |
| Electrocardiogram (EKG) | $240 | $105 | $8 |
| Electroencephalogram (EEG) | $1,154 | $441 | $448 |
| Electrolyte panel | $100 | $28 | $7 |
| Emergency department visit | $924 | $222 | $69 |
| Emergency department visit (level 1) | $253 | $222 | $11 |
| Emergency department visit (level 2) | $424 | $130 | $40 |
| Emergency department visit (level 3) | $957 | $199 | $69 |
| Emergency department visit (level 4) | $924 | $254 | $118 |
| Emergency department visit (level 5) | $4,149 | $304 | $171 |
| Epidural steroid injection | $1,137 | $1,049 | $275 |
| Estradiol (estrogen) test | $215 | $130 | $28 |
| Fecal occult blood (stool) test | $80 | $39 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $68 | $33 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $92 | $45 | $16 |
| Feeding tube (PEG) placement | $6,086 | $1,082 | $178 |
| Ferritin (iron) test | $157 | $68 | $14 |
| Fibrinogen test | $117 | $59 | $10 |
| Folate (folic acid) test | $176 | $74 | $15 |
| Foreign body removal (skin) | $390 | $387 | $157 |
| Free T4 thyroid test | $228 | $83 | $9 |
| FSH hormone test | $224 | $86 | $19 |
| Gallbladder scan (HIDA) | $2,538 | $1,330 | $334 |
| GGT liver test | $94 | $28 | $7 |
| Glucose tolerance test | $104 | $45 | $8 |
| H. pylori test | $92 | $261 | $67 |
| HDL cholesterol test | $111 | $34 | $8 |
| Hearing test (audiometry) | $164 | $113 | $36 |
| Hematocrit test | $44 | $28 | $2 |
| Hemoglobin A1c (diabetes test) | $125 | $53 | $10 |
| Hepatitis B test | $200 | $53 | $10 |
| Hepatitis C test | $160 | $95 | $14 |
| HIV test | $55 | $97 | $19 |
| HIV test (antigen/antibody combo) | $55 | $89 | $24 |
| Holter heart monitor | $636 | $377 | $26 |
| Home sleep apnea test | $658 | $577 | $123 |
| Iron blood test | $79 | $29 | $6 |
| IV infusion therapy | $425 | $180 | $44 |
| IV infusion therapy (each additional) | $274 | $180 | $21 |
| IV infusion therapy (initial) | $577 | $180 | $67 |
| Joint aspiration (small/intermediate) | $340 | $134 | $57 |
| Joint aspiration or injection (mid-size joint) | $340 | $133 | $57 |
| Joint aspiration or injection (small joint) | $340 | $134 | $56 |
| Kidney scan (nuclear) | $3,839 | $1,422 | $172 |
| Kidney ultrasound | $958 | $548 | $84 |
| Kidney ultrasound (limited) | $874 | $456 | $61 |
| Knee joint injection | $267 | $172 | $69 |
| Lactate test | $257 | $129 | $12 |
| Laryngoscopy | $250 | $519 | $189 |
| LDH test | $100 | $27 | $6 |
| LDL cholesterol test | $111 | $62 | $11 |
| Leg vein ultrasound (Doppler) | $855 | $215 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $475 | $612 | $116 |
| LH hormone test | $195 | $81 | $19 |
| Lipase test | $114 | $42 | $7 |
| Lipid (cholesterol) panel | $182 | $105 | $13 |
| Liver function panel | $184 | $39 | $8 |
| Lumpectomy (breast) | $3,429 | $1,223 | $750 |
| Lung function test (PFT) | $468 | $250 | $37 |
| Lung scan (V/Q) | $3,806 | $1,495 | $291 |
| Magnesium blood test | $192 | $34 | $7 |
| MRA of the brain | $2,077 | $1,955 | $226 |
| MRA of the brain without contrast | $2,595 | $2,288 | $328 |
| MRA of the neck | $1,965 | $2,029 | $245 |
| MRA of the neck with contrast | $1,318 | $2,273 | $245 |
| MRA of the neck without contrast | $2,123 | $1,640 | $343 |
| MRI of the abdomen | $3,268 | $1,178 | $300 |
| MRI of the abdomen without contrast | $2,798 | $1,109 | $194 |
| MRI of the ankle | $2,923 | $375 | $261 |
| MRI of the ankle with contrast | $3,178 | $301 | $261 |
| MRI of the ankle without contrast | $2,496 | $1,328 | $222 |
| MRI of the brain | $2,189 | $1,940 | $269 |
| MRI of the brain with contrast | $1,824 | $1,268 | $269 |
| MRI of the brain without contrast | $2,189 | $1,698 | $195 |
| MRI of the chest | $1,775 | $1,101 | $371 |
| MRI of the chest without contrast | $2,279 | $1,640 | $466 |
| MRI of the knee | $3,494 | $427 | $315 |
| MRI of the knee with contrast | $3,494 | $1,240 | $315 |
| MRI of the knee without contrast | $3,494 | $1,560 | $204 |
| MRI of the lower back (lumbar spine) | $2,332 | $2,352 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $2,332 | $2,501 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $2,332 | $1,069 | $192 |
| MRI of the mid-back (thoracic spine) | $2,392 | $2,352 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $3,146 | $2,352 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $2,392 | $2,772 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $2,189 | $1,079 | $190 |
| MRI of the neck (cervical spine) | $2,286 | $332 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $3,038 | $2,352 | $318 |
| MRI of the neck (cervical spine) with contrast | $2,286 | $332 | $274 |
| MRI of the neck (cervical spine) without contrast | $2,286 | $276 | $191 |
| MRI of the pelvis | $2,580 | $1,081 | $268 |
| MRI of the pelvis with contrast | $2,580 | $371 | $268 |
| MRI of the pelvis without contrast | $2,580 | $1,771 | $227 |
| MRI of the shoulder | $3,216 | $1,808 | $313 |
| MRI of the shoulder with contrast | $2,681 | $1,085 | $313 |
| MRI of the shoulder without contrast | $3,754 | $1,808 | $205 |
| MRI of the wrist | $3,704 | $1,809 | $330 |
| MRI of the wrist without contrast | $3,704 | $1,809 | $303 |
| Nebulizer breathing treatment | $131 | $127 | $9 |
| Nerve conduction study | $622 | $439 | $118 |
| Nuclear cardiac stress test | $7,502 | $1,435 | $428 |
| Occupational therapy evaluation | $224 | $241 | $101 |
| Occupational therapy evaluation (high complexity) | $224 | $241 | $101 |
| Occupational therapy evaluation (low complexity) | $224 | $267 | $101 |
| Occupational therapy evaluation (moderate complexity) | $224 | $228 | $101 |
| Office visit (established patient) | $423 | $114 | $115 |
| Office visit (new patient) | $231 | $185 | $177 |
| Office visit, established patient (level 3) | $210 | $98 | $95 |
| Office visit, established patient (level 4) | $636 | $131 | $136 |
| Office visit, new patient (level 3) | $231 | $144 | $118 |
| Office visit, new patient (level 4) | $385 | $185 | $177 |
| Office visit, new patient (level 5) | $179 | $224 | $237 |
| Pap smear (cervical screening) | $49 | $66 | $20 |
| Parathyroid hormone (PTH) test | $251 | $141 | $41 |
| Pelvic ultrasound | $589 | $512 | $78 |
| Pelvic ultrasound (complete) | $831 | $612 | $105 |
| Pelvic ultrasound (limited) | $348 | $285 | $51 |
| Phosphorus blood test | $100 | $27 | $5 |
| Physical therapy evaluation | $248 | $234 | $98 |
| Physical therapy evaluation (high complexity) | $248 | $241 | $98 |
| Physical therapy evaluation (moderate complexity) | $248 | $254 | $98 |
| Platelet count | $77 | $24 | $4 |
| Pregnancy blood test (hCG) | $171 | $48 | $8 |
| Pregnancy ultrasound | $766 | $496 | $126 |
| Pregnancy ultrasound (first trimester) | $343 | $496 | $117 |
| Pregnancy ultrasound (second or third trimester) | $1,190 | $363 | $136 |
| Procalcitonin test | $163 | $166 | $27 |
| Prolactin test | $241 | $103 | $19 |
| Prostate test (PSA) | $163 | $109 | $18 |
| Pulmonary rehabilitation | $261 | $266 | $87 |
| Scoliosis spine X-ray | $342 | $163 | $58 |
| Scoliosis spine X-ray (1 view) | $236 | $158 | $44 |
| Scoliosis spine X-ray (3 views) | $448 | $186 | $72 |
| Screening mammogram | $187 | $155 | $126 |
| Scrotal ultrasound | $949 | $332 | $99 |
| Sedimentation rate (ESR) test | $68 | $26 | $3 |
| Semen analysis | $38 | $99 | $12 |
| Sex hormone binding globulin test | $188 | $57 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $180 | $218 | $114 |
| Simple wound stitches | $180 | $259 | $127 |
| Skin biopsy | $45 | $216 | $121 |
| Skin cancer lesion removal | $153 | $578 | $240 |
| Skin lesion freezing (cryotherapy) | $95 | $59 | $36 |
| Skin tag removal | $180 | $119 | $92 |
| Sleep study (polysomnography) | $5,924 | $1,544 | $691 |
| Soft tissue ultrasound | $775 | $104 | $64 |
| Speech therapy | $246 | $1,037 | $76 |
| Spinal tap (lumbar puncture) | $3,061 | $295 | $165 |
| Spirometry (lung function test) | $467 | $250 | $30 |
| Spirometry with bronchodilator | $469 | $234 | $43 |
| Strep throat test | $14 | $59 | $17 |
| Stress echocardiogram | $1,550 | $1,169 | $209 |
| Stress echocardiogram (complete) | $1,965 | $1,624 | $233 |
| Swallow study | $428 | $322 | $85 |
| T3 thyroid test | $112 | $81 | $14 |
| Testosterone test | $166 | $118 | $26 |
| Thyroid test (TSH) | $16 | $47 | $17 |
| Thyroid ultrasound | $83 | $315 | $109 |
| Thyroid uptake scan | $983 | $561 | $145 |
| Total IgE allergy test | $132 | $66 | $16 |
| Total protein test | $11 | $27 | $4 |
| Transvaginal ultrasound | $905 | $236 | $118 |
| Trigger point injection | $267 | $341 | $56 |
| Trigger point injection (1-2 muscles) | $267 | $236 | $52 |
| Triglycerides test | $125 | $29 | $6 |
| Troponin (heart) test | $304 | $78 | $12 |
| Turning a breech baby (version) | $4,104 | $1,588 | $94 |
| Upper GI series (barium) | $1,533 | $121 | $128 |
| Uric acid (gout) test | $111 | $25 | $5 |
| Urinalysis | $61 | $26 | $3 |
| Urine microalbumin test | $110 | $45 | $5 |
| Urine pregnancy test | $14 | $24 | $9 |
| Vaccine administration | $90 | $49 | $19 |
| Vaccine administration (each additional) | $71 | $46 | $16 |
| Vitamin B12 test | $157 | $76 | $15 |
| Vitamin D test | $224 | $159 | $30 |
| Wart removal | $117 | $230 | $121 |
| Wound debridement | $1,095 | $693 | $186 |
| X-ray of the abdomen | $486 | $134 | $36 |
| X-ray of the ankle | $333 | $353 | $37 |
| X-ray of the collarbone | $469 | $286 | $33 |
| X-ray of the elbow | $273 | $414 | $33 |
| X-ray of the facial bones | $470 | $247 | $39 |
| X-ray of the foot | $523 | $164 | $34 |
| X-ray of the forearm | $250 | $163 | $29 |
| X-ray of the hand | $322 | $216 | $38 |
| X-ray of the hip | $292 | $133 | $49 |
| X-ray of the hip (1 view) | $273 | $101 | $34 |
| X-ray of the hip (3 views) | $315 | $96 | $49 |
| X-ray of the hip (4 views) | $292 | $255 | $63 |
| X-ray of the knee | $438 | $352 | $42 |
| X-ray of the knee (2 views) | $595 | $192 | $34 |
| X-ray of the knee (3 views) | $333 | $371 | $42 |
| X-ray of the knee (4+ views) | $438 | $394 | $49 |
| X-ray of the lower back (lumbar spine) | $447 | $336 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $328 | $260 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $566 | $413 | $53 |
| X-ray of the mid-back (thoracic spine) | $418 | $280 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $415 | $247 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $420 | $313 | $39 |
| X-ray of the neck (cervical spine) | $439 | $341 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $404 | $183 | $40 |
| X-ray of the pelvis | $291 | $156 | $36 |
| X-ray of the pelvis (1 view) | $309 | $134 | $28 |
| X-ray of the ribs | $450 | $258 | $42 |
| X-ray of the ribs (2 views) | $450 | $146 | $36 |
| X-ray of the ribs (3 views) | $356 | $258 | $42 |
| X-ray of the shoulder | $614 | $352 | $36 |
| X-ray of the skull | $392 | $289 | $40 |
| X-ray of the upper arm | $301 | $194 | $32 |
| X-ray of the wrist | $320 | $206 | $43 |
| Zinc blood test | $33 | $66 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
