| Procedure | Mercy Medical Center | Crystal Clinic Orthopaedic Center | Medicare |
|---|
| Abdominal fluid drain (paracentesis) | $2,803 | $4,943 | $284 |
| Abdominal ultrasound | $477 | $1,124 | $100 |
| Abdominal ultrasound (complete) | $477 | $1,316 | $114 |
| Abdominal ultrasound (limited) | $477 | $933 | $86 |
| Abscess drainage (complex or multiple) | $779 | $304 | $220 |
| Abscess drainage (simple) | $387 | $165 | $129 |
| Abscess incision and drainage | $583 | $234 | $174 |
| Albumin blood test | $22 | $35 | $5 |
| Alkaline phosphatase test | $23 | $24 | $5 |
| ALT liver enzyme test | $24 | $37 | $5 |
| Ammonia blood test | $66 | $101 | $15 |
| Amylase test | $29 | $44 | $6 |
| Antinuclear antibody (ANA) test | $54 | $83 | $12 |
| Arterial blood gas (ABG) | $117 | $145 | $26 |
| AST liver enzyme test | $23 | $36 | $5 |
| Basic metabolic panel | $38 | $59 | $8 |
| Benign skin lesion removal | $1,372 | $195 | $171 |
| Bilirubin blood test | $23 | $35 | $5 |
| Blood clotting test (PT/INR) | $20 | $26 | $4 |
| Blood glucose test | $21 | $26 | $5 |
| Blood transfusion | $1,634 | $2,494 | $47 |
| Blood type and screen | $44 | $163 | $10 |
| Blood type test | $14 | $53 | $3 |
| Blood type test (ABO group) | $14 | $49 | $3 |
| Blood type test (Rh/D antigen) | $14 | $56 | $3 |
| Bone density scan (DEXA) | $477 | $899 | $39 |
| Bone marrow biopsy | $5,827 | $263 | $172 |
| Botox for migraine | $1,324 | $729 | $157 |
| Breast biopsy | $7,267 | $581 | $478 |
| Breast MRI | $1,084 | $350 | $216 |
| Breast MRI without contrast | $1,084 | $350 | $216 |
| Breast ultrasound | $436 | $415 | $92 |
| Breast ultrasound (limited) | $395 | $415 | $84 |
| Breathing tube insertion (intubation) | $694 | $1,216 | $133 |
| Burn dressing and debridement (medium) | $387 | $218 | $166 |
| Burn dressing and debridement (small) | $387 | $316 | $93 |
| Burn treatment | $387 | $267 | $129 |
| C-reactive protein (CRP) | $23 | $36 | $5 |
| Calcium blood test | $23 | $36 | $5 |
| Carotid artery ultrasound | $650 | $1,262 | $156 |
| Carpal tunnel release | $8,758 | $1,092 | $483 |
| Chalazion (eyelid cyst) removal | $894 | $942 | $131 |
| Chest X-ray | $395 | $468 | $37 |
| Chest X-ray (1 view) | $395 | $397 | $25 |
| Chest X-ray (2 views) | $395 | $468 | $33 |
| CK-MB heart enzyme test | $52 | $67 | $12 |
| Clotting time test (PTT) | $27 | $41 | $6 |
| Complete blood count (CBC) | $32 | $49 | $7 |
| Complete blood count (CBC) (complete) | $35 | $53 | $8 |
| Comprehensive metabolic panel | $47 | $72 | $11 |
| Contraceptive implant (Nexplanon) | $778 | $225 | $115 |
| Cortisol test | $73 | $112 | $16 |
| COVID-19 PCR test | $230 | $257 | $51 |
| CPAP titration study | $608 | $1,240 | $69 |
| Creatine kinase (CK) test | $29 | $44 | $7 |
| CT angiography of the chest | $798 | $4,428 | $281 |
| CT angiography of the head | $798 | $1,025 | $274 |
| CT scan of the abdomen | $798 | $3,020 | $230 |
| CT scan of the abdomen and pelvis | $1,602 | $3,020 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $1,602 | $4,428 | $338 |
| CT scan of the abdomen and pelvis with contrast | $1,602 | $3,020 | $300 |
| CT scan of the abdomen and pelvis without contrast | $1,084 | $2,650 | $183 |
| CT scan of the abdomen with and without contrast | $798 | $4,428 | $259 |
| CT scan of the abdomen with contrast | $798 | $3,020 | $230 |
| CT scan of the abdomen without contrast | $477 | $2,650 | $136 |
| CT scan of the arm | $798 | $4,114 | $199 |
| CT scan of the arm with contrast | $1,602 | $4,114 | $199 |
| CT scan of the arm without contrast | $477 | $3,428 | $161 |
| CT scan of the chest | $798 | $3,020 | $167 |
| CT scan of the chest with and without contrast | $798 | $4,428 | $196 |
| CT scan of the chest with contrast | $798 | $3,020 | $167 |
| CT scan of the chest without contrast | $477 | $2,650 | $133 |
| CT scan of the head | $798 | $3,020 | $148 |
| CT scan of the head with and without contrast | $798 | $4,428 | $173 |
| CT scan of the head with contrast | $798 | $3,020 | $148 |
| CT scan of the head without contrast | $477 | $2,650 | $107 |
| CT scan of the leg | $798 | $3,020 | $166 |
| CT scan of the leg with contrast | $798 | $3,020 | $166 |
| CT scan of the leg without contrast | $477 | $2,650 | $130 |
| CT scan of the lower back (lumbar spine) | $798 | $2,650 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $798 | $4,428 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,602 | $2,114 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $477 | $2,650 | $130 |
| CT scan of the neck | $798 | $1,025 | $183 |
| CT scan of the neck (cervical spine) | $798 | $2,114 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $798 | $1,025 | $196 |
| CT scan of the neck (cervical spine) with contrast | $1,602 | $2,114 | $168 |
| CT scan of the neck (cervical spine) without contrast | $477 | $2,650 | $131 |
| CT scan of the neck with and without contrast | $798 | $1,025 | $220 |
| CT scan of the neck with contrast | $798 | $1,025 | $183 |
| CT scan of the neck without contrast | $477 | $626 | $150 |
| CT scan of the pelvis | $798 | $3,020 | $226 |
| CT scan of the pelvis with and without contrast | $798 | $4,428 | $251 |
| CT scan of the pelvis with contrast | $798 | $3,020 | $226 |
| CT scan of the pelvis without contrast | $477 | $2,650 | $133 |
| CT scan of the sinuses | $798 | $3,020 | $152 |
| CT scan of the sinuses with and without contrast | $798 | $4,428 | $184 |
| CT scan of the sinuses with contrast | $798 | $3,020 | $152 |
| CT scan of the sinuses without contrast | $477 | $2,650 | $128 |
| D-dimer test | $46 | $69 | $10 |
| Drug screen (urine) | $279 | $362 | $17 |
| Echocardiogram | $904 | $3,235 | $138 |
| Echocardiogram without contrast | $904 | $3,235 | $138 |
| EKG / ECG (tracing only) | $222 | $305 | $7 |
| Electrocardiogram (EKG) | $246 | $305 | $8 |
| Electrolyte panel | $31 | $155 | $7 |
| Electromyography (EMG) | $578 | $669 | $141 |
| Emergency department visit | $1,242 | $107 | $69 |
| Emergency department visit (level 1) | $395 | $53 | $11 |
| Emergency department visit (level 2) | $710 | $72 | $40 |
| Emergency department visit (level 3) | $1,242 | $107 | $69 |
| Emergency department visit (level 4) | $1,910 | $161 | $118 |
| Emergency department visit (level 5) | $2,750 | $250 | $171 |
| Epidural steroid injection | $3,106 | $1,774 | $275 |
| Facet joint injection (spine) | $1,129 | $959 | $99 |
| Fecal occult blood (stool) test | $46 | $47 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $20 | $47 | $4 |
| Ferritin (iron) test | $61 | $93 | $14 |
| Flu vaccine | $46 | $89 | — |
| Folate (folic acid) test | $66 | $101 | $15 |
| Foreign body removal (skin) | $779 | $195 | $157 |
| Free T4 thyroid test | $40 | $62 | $9 |
| Ganglion cyst removal | $4,785 | $750 | $321 |
| Hammertoe repair | $9,701 | $796 | $548 |
| Hematocrit test | $10 | $19 | $2 |
| Hemodialysis | $3,138 | $1,829 | $75 |
| Hemoglobin A1c (diabetes test) | $44 | $66 | $10 |
| Hepatitis B test | $46 | $71 | $10 |
| Hepatitis C test | $64 | $98 | $14 |
| HIV test | $85 | $94 | $19 |
| HIV test (antibody) | $62 | $94 | $14 |
| Inguinal hernia repair | $10,552 | $1,001 | $538 |
| Iron blood test | $29 | $40 | $6 |
| Joint aspiration (small/intermediate) | $883 | $829 | $57 |
| Joint aspiration or injection (mid-size joint) | $883 | $962 | $57 |
| Joint aspiration or injection (small joint) | $883 | $696 | $56 |
| Kidney ultrasound | $477 | $995 | $84 |
| Kidney ultrasound (limited) | $477 | $985 | $61 |
| Knee joint injection | $883 | $1,133 | $69 |
| Lactate test | $52 | $73 | $12 |
| Laryngoscopy | $2,868 | $274 | $189 |
| LDH test | $27 | $41 | $6 |
| Leg vein ultrasound (Doppler) | $650 | $1,467 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $397 | $1,283 | $116 |
| Lipase test | $31 | $47 | $7 |
| Lipid (cholesterol) panel | $60 | $92 | $13 |
| Liver function panel | $36 | $56 | $8 |
| Lung function test (PFT) | $699 | $907 | $37 |
| Magnesium blood test | $30 | $45 | $7 |
| MRA of the brain | $1,602 | $350 | $226 |
| MRA of the brain with contrast | $1,602 | $350 | $226 |
| MRA of the brain without contrast | $1,602 | $350 | $328 |
| MRA of the neck | $1,602 | $350 | $245 |
| MRA of the neck with contrast | $1,602 | $350 | $245 |
| MRA of the neck without contrast | $1,602 | $350 | $343 |
| MRI of the abdomen | $1,602 | $350 | $300 |
| MRI of the abdomen with contrast | $1,602 | $350 | $300 |
| MRI of the abdomen without contrast | $1,084 | $350 | $194 |
| MRI of the ankle | $1,602 | $350 | $261 |
| MRI of the ankle with contrast | $1,602 | $350 | $261 |
| MRI of the ankle without contrast | $1,084 | $350 | $222 |
| MRI of the brain | $1,602 | $350 | $269 |
| MRI of the brain with contrast | $1,602 | $350 | $269 |
| MRI of the brain without contrast | $1,084 | $350 | $195 |
| MRI of the chest | $1,602 | $350 | $371 |
| MRI of the chest with contrast | $3,543 | $350 | $371 |
| MRI of the chest without contrast | $1,602 | $350 | $466 |
| MRI of the knee | $1,602 | $350 | $315 |
| MRI of the knee with contrast | $3,543 | $350 | $315 |
| MRI of the knee without contrast | $1,084 | $350 | $204 |
| MRI of the lower back (lumbar spine) | $1,602 | $350 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $1,602 | $350 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,084 | $350 | $192 |
| MRI of the mid-back (thoracic spine) | $1,602 | $350 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $1,602 | $350 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $1,602 | $350 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $1,084 | $350 | $190 |
| MRI of the neck (cervical spine) | $1,602 | $350 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $1,602 | $350 | $318 |
| MRI of the neck (cervical spine) with contrast | $1,602 | $350 | $274 |
| MRI of the neck (cervical spine) without contrast | $1,084 | $350 | $191 |
| MRI of the pelvis | $1,602 | $350 | $268 |
| MRI of the pelvis with contrast | $1,602 | $350 | $268 |
| MRI of the pelvis without contrast | $1,084 | $350 | $227 |
| MRI of the shoulder | $1,602 | $350 | $313 |
| MRI of the shoulder with contrast | $3,543 | $350 | $313 |
| MRI of the shoulder without contrast | $1,084 | $350 | $205 |
| MRI of the wrist | $1,602 | $350 | $330 |
| MRI of the wrist with contrast | $1,602 | $350 | $330 |
| MRI of the wrist without contrast | $1,084 | $350 | $303 |
| Nebulizer breathing treatment | $608 | $1,240 | $9 |
| Nerve conduction study | $1,397 | $1,104 | $118 |
| Occupational therapy evaluation | $438 | $398 | $101 |
| Occupational therapy evaluation (high complexity) | $438 | $398 | $101 |
| Occupational therapy evaluation (low complexity) | $438 | $398 | $101 |
| Occupational therapy evaluation (moderate complexity) | $438 | $398 | $101 |
| Office visit (established patient) | $110 | $144 | $115 |
| Office visit (new patient) | $113 | $191 | $177 |
| Office visit, established patient (level 3) | $98 | $98 | $95 |
| Office visit, established patient (level 4) | $122 | $191 | $136 |
| Office visit, new patient (level 3) | $90 | $191 | $118 |
| Office visit, new patient (level 4) | $113 | $191 | $177 |
| Office visit, new patient (level 5) | $153 | $191 | $237 |
| Orthopedic hardware removal | $8,557 | $3,773 | $632 |
| Parathyroid hormone (PTH) test | $185 | $283 | $41 |
| Pelvic ultrasound | $477 | $557 | $78 |
| Pelvic ultrasound (complete) | $477 | $557 | $105 |
| Pelvic ultrasound (limited) | $477 | $557 | $51 |
| Phosphorus blood test | $21 | $33 | $5 |
| Physical therapy evaluation | $393 | $379 | $98 |
| Physical therapy evaluation (high complexity) | $393 | $379 | $98 |
| Physical therapy evaluation (moderate complexity) | $393 | $379 | $98 |
| Pilonidal cyst removal | $5,581 | $569 | $541 |
| Platelet count | $20 | $32 | $4 |
| Pregnancy blood test (hCG) | $34 | $146 | $8 |
| Procalcitonin test | $122 | $278 | $27 |
| Prolactin test | $87 | $133 | $19 |
| Radiofrequency nerve ablation | $8,758 | $4,904 | $462 |
| Sacroiliac joint injection | $1,253 | $2,603 | $176 |
| Scoliosis spine X-ray | $436 | $621 | $58 |
| Scoliosis spine X-ray (1 view) | $395 | $482 | $44 |
| Scoliosis spine X-ray (3 views) | $477 | $761 | $72 |
| Scrotal ultrasound | $477 | $335 | $99 |
| Sedimentation rate (ESR) test | $12 | $23 | $3 |
| Simple laceration repair (small, up to 2.5 cm) | $387 | $218 | $114 |
| Simple wound stitches | $387 | $206 | $127 |
| Skin biopsy | $779 | $356 | $121 |
| Skin biopsy (punch) | $779 | $356 | $121 |
| Skin cancer lesion removal | $1,372 | $270 | $240 |
| Skin lesion freezing (cryotherapy) | $302 | $282 | $36 |
| Skin tag removal | $387 | $224 | $92 |
| Soft tissue ultrasound | $477 | $788 | $64 |
| Spinal cord stimulator | $16,516 | $17,217 | $2,388 |
| Spinal tap (lumbar puncture) | $3,106 | $1,774 | $165 |
| Spine fracture repair (kyphoplasty) | $21,360 | $4,367 | $5,803 |
| Spirometry (lung function test) | $468 | $907 | $30 |
| Tdap (tetanus) vaccine | $111 | $34 | — |
| Thyroid test (TSH) | $75 | $115 | $17 |
| Thyroid ultrasound | $477 | $761 | $109 |
| Total protein test | $16 | $17 | $4 |
| Tracheostomy | $9,697 | $874 | $273 |
| Trigger finger release | $4,785 | $7,597 | $630 |
| Trigger point injection | $883 | $107 | $56 |
| Trigger point injection (1-2 muscles) | $883 | $107 | $52 |
| Troponin (heart) test | $56 | $68 | $12 |
| Upper GI endoscopy (EGD) | $2,803 | $425 | $371 |
| Uric acid (gout) test | $20 | $32 | $5 |
| Urinalysis | $12 | $40 | $3 |
| Urine microalbumin test | $25 | $36 | $5 |
| Urine pregnancy test | $38 | $51 | $9 |
| Vaccine administration | $90 | $69 | $19 |
| Vaccine administration (each additional) | $42 | $62 | $16 |
| Vitamin B12 test | $68 | $104 | $15 |
| Vitamin D test | $133 | $203 | $30 |
| Wart removal | $387 | $195 | $121 |
| Well-child visit | $99 | $109 | — |
| Wound debridement | $986 | $358 | $186 |
| X-ray of the abdomen | $477 | $730 | $36 |
| X-ray of the ankle | $395 | $746 | $37 |
| X-ray of the collarbone | $395 | $634 | $33 |
| X-ray of the elbow | $395 | $634 | $33 |
| X-ray of the facial bones | $436 | $606 | $39 |
| X-ray of the foot | $395 | $746 | $34 |
| X-ray of the forearm | $395 | $457 | $29 |
| X-ray of the hand | $395 | $497 | $38 |
| X-ray of the hip | $395 | $439 | $49 |
| X-ray of the hip (1 view) | $395 | $415 | $34 |
| X-ray of the hip (3 views) | $395 | $439 | $49 |
| X-ray of the hip (4 views) | $477 | $761 | $63 |
| X-ray of the knee | $395 | $651 | $42 |
| X-ray of the knee (2 views) | $395 | $434 | $34 |
| X-ray of the knee (3 views) | $395 | $651 | $42 |
| X-ray of the knee (4+ views) | $477 | $851 | $49 |
| X-ray of the lower back (lumbar spine) | $477 | $806 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $477 | $761 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $477 | $851 | $53 |
| X-ray of the lower leg | $395 | $435 | $31 |
| X-ray of the mid-back (thoracic spine) | $477 | $761 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $477 | $761 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $477 | $761 | $39 |
| X-ray of the neck (cervical spine) | $436 | $614 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $395 | $467 | $40 |
| X-ray of the pelvis | $477 | $761 | $36 |
| X-ray of the pelvis (1 view) | $477 | $761 | $28 |
| X-ray of the ribs | $477 | $761 | $42 |
| X-ray of the ribs (2 views) | $395 | $443 | $36 |
| X-ray of the ribs (3 views) | $477 | $761 | $42 |
| X-ray of the shoulder | $395 | $457 | $36 |
| X-ray of the skull | $477 | $761 | $40 |
| X-ray of the upper arm | $395 | $428 | $32 |
| X-ray of the wrist | $395 | $500 | $43 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.