| Procedure | Mercy Hospital Southeast | Mercy Hospital Stoddard | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $163 | $57 | $51 |
| Abdominal ultrasound | $1,211 | $529 | $100 |
| Abdominal ultrasound (complete) | $1,362 | $584 | $114 |
| Abdominal ultrasound (limited) | $1,060 | $475 | $86 |
| Abscess drainage (simple) | $484 | $302 | $129 |
| Abscess incision and drainage | $304 | $302 | $174 |
| Albumin blood test | $68 | $53 | $5 |
| Aldosterone test | $244 | $337 | $41 |
| Alkaline phosphatase test | $88 | $49 | $5 |
| Alpha-fetoprotein (AFP) test | $191 | $157 | $17 |
| ALT liver enzyme test | $100 | $51 | $5 |
| Ammonia blood test | $176 | $98 | $15 |
| Amylase test | $38 | $73 | $6 |
| Antinuclear antibody (ANA) test | $236 | $128 | $12 |
| Arterial blood gas (ABG) | $151 | $136 | $26 |
| AST liver enzyme test | $117 | $46 | $5 |
| Barium swallow study | $567 | $388 | $107 |
| Basic metabolic panel | $199 | $133 | $8 |
| Bilirubin blood test | $105 | $70 | $5 |
| Blood clotting test (PT/INR) | $81 | $46 | $4 |
| Blood crossmatch | $114 | $114 | — |
| Blood glucose test | $111 | $43 | $5 |
| Blood transfusion | $735 | $3,057 | $47 |
| Blood type and screen | $75 | $83 | $10 |
| Blood type test | $77 | $38 | $3 |
| Blood type test (ABO group) | $77 | $38 | $3 |
| Blood type test (Rh/D antigen) | $77 | $39 | $3 |
| BNP (heart failure) test | $77 | $147 | $39 |
| Bone density scan (DEXA) | $498 | $295 | $39 |
| Bone scan (nuclear) | $1,981 | $972 | $259 |
| Breast ultrasound | $238 | $514 | $92 |
| Breast ultrasound (complete) | $190 | $429 | $100 |
| Breast ultrasound (limited) | $285 | $600 | $84 |
| Breathing tube insertion (intubation) | $285 | $253 | $133 |
| Bronchoscopy | $16,575 | $2,934 | $303 |
| Burn dressing and debridement (medium) | $480 | $480 | $166 |
| Burn dressing and debridement (small) | $339 | $384 | $93 |
| Burn treatment | $410 | $432 | $129 |
| C-reactive protein (CRP) | $49 | $83 | $5 |
| CA 19-9 tumor marker test | $188 | $151 | $21 |
| CA-125 ovarian marker test | $190 | $169 | $21 |
| Calcium blood test | $46 | $49 | $5 |
| Cardiac rehabilitation | $304 | $153 | $26 |
| Cardiac stress test | $1,145 | $491 | $39 |
| Cardioversion | $1,021 | $1,223 | $155 |
| Carotid artery ultrasound | $668 | $524 | $156 |
| CEA tumor marker test | $204 | $192 | $19 |
| Celiac disease test | $44 | $38 | $12 |
| Chemotherapy infusion | $581 | $372 | $81 |
| Chemotherapy infusion (first hour) | $1,000 | $728 | $133 |
| Chest tube insertion | $2,556 | $3,580 | $143 |
| Chest X-ray | $349 | $149 | $37 |
| Chest X-ray (1 view) | $282 | $117 | $25 |
| Chest X-ray (2 views) | $349 | $156 | $33 |
| CK-MB heart enzyme test | $178 | $115 | $12 |
| Clotting time test (PTT) | $63 | $59 | $6 |
| Colonoscopy | $6,668 | $5,903 | $480 |
| Complete blood count (CBC) | $136 | $60 | $7 |
| Complete blood count (CBC) (complete) | $155 | $93 | $8 |
| Comprehensive metabolic panel | $252 | $218 | $11 |
| Copper blood test | $151 | $66 | $12 |
| Coronary CT angiography | $2,147 | $2,257 | $326 |
| Cortisol test | $184 | $166 | $16 |
| COVID-19 PCR test | $146 | $132 | $51 |
| CPAP titration study | $665 | $665 | $69 |
| Creatine kinase (CK) test | $100 | $75 | $7 |
| CT angiography of the chest | $2,867 | $2,148 | $281 |
| CT angiography of the head | $1,955 | $1,403 | $274 |
| CT scan of the abdomen | $985 | $1,330 | $230 |
| CT scan of the abdomen and pelvis | $1,081 | $2,374 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $1,186 | $2,525 | $338 |
| CT scan of the abdomen and pelvis with contrast | $1,081 | $2,374 | $300 |
| CT scan of the abdomen and pelvis without contrast | $1,081 | $2,148 | $183 |
| CT scan of the abdomen with and without contrast | $1,081 | $2,148 | $259 |
| CT scan of the abdomen with contrast | $985 | $1,330 | $230 |
| CT scan of the abdomen without contrast | $985 | $1,075 | $136 |
| CT scan of the arm | $1,203 | $1,330 | $199 |
| CT scan of the arm with contrast | $1,203 | $1,330 | $199 |
| CT scan of the arm without contrast | $1,104 | $1,026 | $161 |
| CT scan of the chest | $2,012 | $1,301 | $167 |
| CT scan of the chest with and without contrast | $2,347 | $1,314 | $196 |
| CT scan of the chest with contrast | $2,012 | $1,301 | $167 |
| CT scan of the chest without contrast | $2,012 | $1,075 | $133 |
| CT scan of the head | $1,633 | $1,248 | $148 |
| CT scan of the head with and without contrast | $1,802 | $1,248 | $173 |
| CT scan of the head with contrast | $1,633 | $1,330 | $148 |
| CT scan of the head without contrast | $1,565 | $1,075 | $107 |
| CT scan of the leg | $1,865 | $1,330 | $166 |
| CT scan of the leg with contrast | $1,843 | $1,330 | $166 |
| CT scan of the leg without contrast | $1,865 | $1,026 | $130 |
| CT scan of the lower back (lumbar spine) | $1,963 | $1,330 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $2,093 | $1,361 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,963 | $1,330 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,834 | $1,148 | $130 |
| CT scan of the neck | $2,127 | $1,263 | $183 |
| CT scan of the neck (cervical spine) | $1,822 | $1,330 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $2,032 | $1,414 | $196 |
| CT scan of the neck (cervical spine) with contrast | $1,795 | $1,330 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,822 | $1,148 | $131 |
| CT scan of the neck with and without contrast | $1,977 | $1,403 | $220 |
| CT scan of the neck with contrast | $2,194 | $1,263 | $183 |
| CT scan of the neck without contrast | $2,127 | $1,148 | $150 |
| CT scan of the pelvis | $985 | $1,330 | $226 |
| CT scan of the pelvis with and without contrast | $1,081 | $1,414 | $251 |
| CT scan of the pelvis with contrast | $985 | $1,330 | $226 |
| CT scan of the pelvis without contrast | $985 | $1,169 | $133 |
| CT scan of the sinuses | $1,763 | $1,248 | $152 |
| CT scan of the sinuses with and without contrast | $2,118 | $1,248 | $184 |
| CT scan of the sinuses with contrast | $1,763 | $1,330 | $152 |
| CT scan of the sinuses without contrast | $1,246 | $1,075 | $128 |
| D-dimer test | $202 | $125 | $10 |
| DHEA-sulfate test | $220 | $177 | $22 |
| Diagnostic mammogram | $355 | $211 | $140 |
| Drug screen (urine) | $118 | $92 | $17 |
| Echocardiogram | $1,154 | $801 | $138 |
| Echocardiogram with and without contrast | $604 | $604 | $101 |
| EKG / ECG (tracing only) | $240 | $140 | $7 |
| Electrocardiogram (EKG) | $240 | $140 | $8 |
| Electroencephalogram (EEG) | $1,154 | $582 | $448 |
| Electrolyte panel | $100 | $85 | $7 |
| Emergency department visit | $924 | $268 | $69 |
| Emergency department visit (level 1) | $253 | $41 | $11 |
| Emergency department visit (level 2) | $424 | $205 | $40 |
| Emergency department visit (level 3) | $957 | $268 | $69 |
| Emergency department visit (level 4) | $924 | $424 | $118 |
| Emergency department visit (level 5) | $4,149 | $3,663 | $171 |
| Estradiol (estrogen) test | $215 | $322 | $28 |
| Fecal occult blood (stool) test | $80 | $33 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $68 | $8 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $92 | $57 | $16 |
| Ferritin (iron) test | $157 | $140 | $14 |
| Fibrinogen test | $117 | $59 | $10 |
| Flexible sigmoidoscopy | $5,492 | $1,490 | $323 |
| Folate (folic acid) test | $176 | $148 | $15 |
| Free T4 thyroid test | $228 | $174 | $9 |
| FSH hormone test | $224 | $184 | $19 |
| Gallbladder scan (HIDA) | $2,538 | $1,145 | $334 |
| GGT liver test | $94 | $69 | $7 |
| Glucose tolerance test | $104 | $47 | $8 |
| H. pylori test | $92 | $96 | $67 |
| HDL cholesterol test | $111 | $49 | $8 |
| Hematocrit test | $44 | $28 | $2 |
| Hemoglobin A1c (diabetes test) | $125 | $87 | $10 |
| Hepatitis B test | $200 | $116 | $10 |
| Hepatitis C test | $160 | $155 | $14 |
| HIV test | $55 | $55 | $19 |
| HIV test (antigen/antibody combo) | $55 | $55 | $24 |
| Holter heart monitor | $636 | $385 | $26 |
| Iron blood test | $79 | $72 | $6 |
| IV infusion therapy | $425 | $209 | $44 |
| IV infusion therapy (each additional) | $274 | $57 | $21 |
| IV infusion therapy (initial) | $577 | $361 | $67 |
| Joint aspiration (small/intermediate) | $340 | $579 | $57 |
| Joint aspiration or injection (mid-size joint) | $340 | $579 | $57 |
| Joint aspiration or injection (small joint) | $340 | $579 | $56 |
| Kidney scan (nuclear) | $3,839 | $1,036 | $172 |
| Kidney ultrasound | $958 | $352 | $84 |
| Kidney ultrasound (limited) | $874 | $230 | $61 |
| Knee joint injection | $267 | $761 | $69 |
| Lactate test | $257 | $156 | $12 |
| LDH test | $100 | $53 | $6 |
| LDL cholesterol test | $111 | $49 | $11 |
| Leg vein ultrasound (Doppler) | $855 | $780 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $475 | $562 | $116 |
| LH hormone test | $195 | $179 | $19 |
| Lipase test | $114 | $86 | $7 |
| Lipid (cholesterol) panel | $182 | $140 | $13 |
| Liver function panel | $184 | $170 | $8 |
| Lung function test (PFT) | $468 | $285 | $37 |
| Lung scan (V/Q) | $3,806 | $855 | $291 |
| Magnesium blood test | $192 | $73 | $7 |
| MRA of the brain | $2,077 | $1,450 | $226 |
| MRA of the brain with contrast | $1,612 | $1,450 | $226 |
| MRA of the brain without contrast | $2,595 | $1,562 | $328 |
| MRA of the neck | $1,965 | $1,450 | $245 |
| MRA of the neck with contrast | $1,318 | $1,450 | $245 |
| MRA of the neck without contrast | $2,123 | $1,562 | $343 |
| MRI of the abdomen | $3,268 | $1,450 | $300 |
| MRI of the abdomen with contrast | $3,268 | $1,450 | $300 |
| MRI of the abdomen without contrast | $2,798 | $1,338 | $194 |
| MRI of the ankle | $2,923 | $2,401 | $261 |
| MRI of the ankle without contrast | $2,496 | $2,274 | $222 |
| MRI of the brain | $2,189 | $1,450 | $269 |
| MRI of the brain with contrast | $1,824 | $1,450 | $269 |
| MRI of the brain without contrast | $2,189 | $1,338 | $195 |
| MRI of the chest | $1,775 | $1,450 | $371 |
| MRI of the chest with contrast | $1,775 | $1,450 | $371 |
| MRI of the chest without contrast | $2,279 | $1,562 | $466 |
| MRI of the knee | $3,494 | $2,401 | $315 |
| MRI of the knee without contrast | $3,494 | $2,274 | $204 |
| MRI of the lower back (lumbar spine) | $2,332 | $1,562 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $2,332 | $1,450 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $2,332 | $1,602 | $192 |
| MRI of the mid-back (thoracic spine) | $2,392 | $1,450 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $3,146 | $1,562 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $2,392 | $1,450 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $2,189 | $1,338 | $190 |
| MRI of the neck (cervical spine) | $2,286 | $1,450 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $3,038 | $1,562 | $318 |
| MRI of the neck (cervical spine) with contrast | $2,286 | $1,450 | $274 |
| MRI of the neck (cervical spine) without contrast | $2,286 | $1,338 | $191 |
| MRI of the pelvis | $2,580 | $1,450 | $268 |
| MRI of the pelvis with contrast | $2,580 | $1,450 | $268 |
| MRI of the pelvis without contrast | $2,580 | $1,338 | $227 |
| MRI of the shoulder | $3,216 | $1,450 | $313 |
| MRI of the shoulder with contrast | $2,681 | $1,450 | $313 |
| MRI of the shoulder without contrast | $3,754 | $1,338 | $205 |
| MRI of the wrist | $3,704 | $1,996 | $330 |
| MRI of the wrist without contrast | $3,704 | $1,338 | $303 |
| Nebulizer breathing treatment | $131 | $20 | $9 |
| Nuclear cardiac stress test | $7,502 | $3,560 | $428 |
| Occupational therapy evaluation | $224 | $105 | $101 |
| Occupational therapy evaluation (high complexity) | $224 | $105 | $101 |
| Occupational therapy evaluation (low complexity) | $224 | $105 | $101 |
| Occupational therapy evaluation (moderate complexity) | $224 | $105 | $101 |
| Office visit (established patient) | $423 | $311 | $115 |
| Office visit (new patient) | $231 | $385 | $177 |
| Office visit, established patient (level 3) | $210 | $242 | $95 |
| Office visit, established patient (level 4) | $636 | $380 | $136 |
| Office visit, new patient (level 3) | $231 | $231 | $118 |
| Office visit, new patient (level 4) | $385 | $385 | $177 |
| Office visit, new patient (level 5) | $179 | $385 | $237 |
| Pap smear (cervical screening) | $49 | $49 | $20 |
| Parathyroid hormone (PTH) test | $251 | $71 | $41 |
| Pelvic ultrasound | $589 | $368 | $78 |
| Pelvic ultrasound (complete) | $831 | $479 | $105 |
| Pelvic ultrasound (limited) | $348 | $256 | $51 |
| Phosphorus blood test | $100 | $53 | $5 |
| Physical therapy evaluation | $248 | $105 | $98 |
| Physical therapy evaluation (high complexity) | $248 | $105 | $98 |
| Physical therapy evaluation (moderate complexity) | $248 | $105 | $98 |
| Platelet count | $77 | $66 | $4 |
| Pregnancy blood test (hCG) | $171 | $79 | $8 |
| Pregnancy ultrasound | $766 | $393 | $126 |
| Pregnancy ultrasound (first trimester) | $343 | $274 | $117 |
| Pregnancy ultrasound (second or third trimester) | $1,190 | $512 | $136 |
| Procalcitonin test | $163 | $60 | $27 |
| Prolactin test | $241 | $226 | $19 |
| Prostate test (PSA) | $163 | $159 | $18 |
| Pulmonary rehabilitation | $261 | $261 | $87 |
| Scoliosis spine X-ray | $342 | $206 | $58 |
| Scoliosis spine X-ray (1 view) | $236 | $109 | $44 |
| Scoliosis spine X-ray (3 views) | $448 | $304 | $72 |
| Screening mammogram | $187 | $181 | $126 |
| Scrotal ultrasound | $949 | $475 | $99 |
| Sedimentation rate (ESR) test | $68 | $46 | $3 |
| Sex hormone binding globulin test | $188 | $188 | $22 |
| Skin biopsy | $45 | $445 | $121 |
| Soft tissue ultrasound | $775 | $353 | $64 |
| Speech therapy | $246 | $236 | $76 |
| Spinal tap (lumbar puncture) | $3,061 | $136 | $165 |
| Spirometry (lung function test) | $467 | $186 | $30 |
| Spirometry with bronchodilator | $469 | $385 | $43 |
| Strep throat test | $14 | $93 | $17 |
| Swallow study | $428 | $152 | $85 |
| T3 thyroid test | $112 | $108 | $14 |
| Testosterone test | $166 | $241 | $26 |
| Thyroid test (TSH) | $16 | $16 | $17 |
| Thyroid ultrasound | $83 | $374 | $109 |
| Thyroid uptake scan | $983 | $506 | $145 |
| Total IgE allergy test | $132 | $147 | $16 |
| Total protein test | $11 | $81 | $4 |
| Transvaginal ultrasound | $905 | $584 | $118 |
| Triglycerides test | $125 | $65 | $6 |
| Troponin (heart) test | $304 | $136 | $12 |
| Upper GI endoscopy (EGD) | $7,067 | $4,176 | $371 |
| Upper GI series (barium) | $1,533 | $585 | $128 |
| Uric acid (gout) test | $111 | $49 | $5 |
| Urinalysis | $61 | $41 | $3 |
| Urine microalbumin test | $110 | $115 | $5 |
| Urine pregnancy test | $14 | $53 | $9 |
| Vaccine administration | $90 | $70 | $19 |
| Vaccine administration (each additional) | $71 | $64 | $16 |
| Vitamin B12 test | $157 | $180 | $15 |
| Vitamin D test | $224 | $401 | $30 |
| Wound debridement | $1,095 | $1,264 | $186 |
| X-ray of the abdomen | $486 | $208 | $36 |
| X-ray of the ankle | $333 | $300 | $37 |
| X-ray of the collarbone | $469 | $300 | $33 |
| X-ray of the elbow | $273 | $558 | $33 |
| X-ray of the facial bones | $470 | $292 | $39 |
| X-ray of the foot | $523 | $176 | $34 |
| X-ray of the forearm | $250 | $176 | $29 |
| X-ray of the hand | $322 | $176 | $38 |
| X-ray of the hip | $292 | $253 | $49 |
| X-ray of the hip (1 view) | $273 | $273 | $34 |
| X-ray of the hip (3 views) | $315 | $233 | $49 |
| X-ray of the knee | $438 | $242 | $42 |
| X-ray of the knee (2 views) | $595 | $153 | $34 |
| X-ray of the knee (3 views) | $333 | $300 | $42 |
| X-ray of the knee (4+ views) | $438 | $242 | $49 |
| X-ray of the lower back (lumbar spine) | $447 | $275 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $328 | $224 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $566 | $327 | $53 |
| X-ray of the lower leg | $591 | $176 | $31 |
| X-ray of the mid-back (thoracic spine) | $418 | $273 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $415 | $250 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $420 | $296 | $39 |
| X-ray of the neck (cervical spine) | $439 | $302 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $404 | $273 | $40 |
| X-ray of the pelvis | $291 | $183 | $36 |
| X-ray of the pelvis (1 view) | $309 | $149 | $28 |
| X-ray of the ribs | $450 | $281 | $42 |
| X-ray of the ribs (2 views) | $450 | $142 | $36 |
| X-ray of the ribs (3 views) | $356 | $281 | $42 |
| X-ray of the shoulder | $614 | $195 | $36 |
| X-ray of the skull | $392 | $268 | $40 |
| X-ray of the upper arm | $301 | $176 | $32 |
| X-ray of the wrist | $320 | $579 | $43 |
| Zinc blood test | $33 | $69 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
