| Procedure | Mercyone Newton Medical Center | Story County Hospital | Medicare |
|---|
| Abdominal ultrasound | $625 | $806 | $100 |
| Abdominal ultrasound (complete) | $693 | $957 | $114 |
| Abdominal ultrasound (limited) | $556 | $656 | $86 |
| Aldosterone test | $287 | $68 | $41 |
| Alpha-fetoprotein (AFP) test | $129 | $61 | $17 |
| Ammonia blood test | $155 | $46 | $15 |
| Amylase test | $72 | $20 | $6 |
| Ankle fracture repair | $32,473 | $2,363 | $608 |
| Antinuclear antibody (ANA) test | $106 | $38 | $12 |
| Arterial blood gas (ABG) | $220 | $67 | $26 |
| Barium swallow study | $396 | $427 | $107 |
| Basic metabolic panel | $103 | $27 | $8 |
| Bilirubin blood test | $92 | $18 | $5 |
| Blood crossmatch | $107 | $141 | — |
| Blood glucose test | $42 | $16 | $5 |
| Blood transfusion | $1,315 | $457 | $47 |
| Blood type and screen | $86 | $75 | $10 |
| Blood type test | $84 | $55 | $3 |
| Blood type test (ABO group) | $84 | $85 | $3 |
| BNP (heart failure) test | $204 | $103 | $39 |
| Bone density scan (DEXA) | $576 | $354 | $39 |
| Bone scan (nuclear) | $1,755 | $1,169 | $259 |
| Breast ultrasound | $486 | $588 | $92 |
| Breast ultrasound (limited) | $486 | $514 | $84 |
| Breathing tube insertion (intubation) | $1,591 | $370 | $133 |
| C-reactive protein (CRP) | $71 | $20 | $5 |
| CA 19-9 tumor marker test | $105 | $67 | $21 |
| CA-125 ovarian marker test | $132 | $49 | $21 |
| Cardiac rehabilitation | $261 | $277 | $26 |
| Cardiac stress test | $765 | $554 | $39 |
| Cardioversion | $1,226 | $331 | $155 |
| Carotid artery ultrasound | $281 | $1,055 | $156 |
| Carpal tunnel release | $1,990 | $1,118 | $483 |
| CEA tumor marker test | $166 | $40 | $19 |
| Celiac disease test | $177 | $37 | $12 |
| Chest X-ray | $247 | $226 | $37 |
| Chest X-ray (2 views) | $207 | $241 | $33 |
| Chickenpox (varicella) vaccine | $149 | $158 | — |
| CK-MB heart enzyme test | $109 | $27 | $12 |
| Copper blood test | $65 | $44 | $12 |
| Cortisol test | $122 | $54 | $16 |
| COVID-19 PCR test | $187 | $78 | $51 |
| CPAP titration study | $642 | $192 | $69 |
| Creatine kinase (CK) test | $66 | $22 | $7 |
| CT angiography of the chest | $983 | $2,120 | $281 |
| CT angiography of the head | $2,529 | $1,770 | $274 |
| CT scan of the abdomen | $1,591 | $1,895 | $230 |
| CT scan of the abdomen and pelvis | $3,664 | $3,784 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $4,115 | $3,909 | $338 |
| CT scan of the abdomen and pelvis with contrast | $3,664 | $3,784 | $300 |
| CT scan of the abdomen and pelvis without contrast | $3,052 | $3,426 | $183 |
| CT scan of the abdomen with and without contrast | $1,951 | $1,953 | $259 |
| CT scan of the abdomen with contrast | $1,591 | $1,895 | $230 |
| CT scan of the abdomen without contrast | $1,291 | $1,714 | $136 |
| CT scan of the arm | $1,649 | $1,527 | $199 |
| CT scan of the arm with contrast | $2,164 | $1,562 | $199 |
| CT scan of the arm without contrast | $1,134 | $1,491 | $161 |
| CT scan of the chest | $1,812 | $1,719 | $167 |
| CT scan of the chest with and without contrast | $2,253 | $1,900 | $196 |
| CT scan of the chest with contrast | $1,812 | $1,719 | $167 |
| CT scan of the chest without contrast | $1,442 | $1,628 | $133 |
| CT scan of the head | $1,628 | $1,737 | $148 |
| CT scan of the head with and without contrast | $1,747 | $1,840 | $173 |
| CT scan of the head with contrast | $1,509 | $1,737 | $148 |
| CT scan of the head without contrast | $1,737 | $1,582 | $107 |
| CT scan of the leg | $1,463 | $1,496 | $166 |
| CT scan of the leg with contrast | $1,513 | $1,591 | $166 |
| CT scan of the leg without contrast | $1,414 | $1,401 | $130 |
| CT scan of the lower back (lumbar spine) | $1,671 | $1,628 | $169 |
| CT scan of the lower back (lumbar spine) with contrast | $1,825 | $1,573 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,517 | $1,628 | $130 |
| CT scan of the neck | $1,604 | $1,799 | $183 |
| CT scan of the neck (cervical spine) | $1,506 | $1,628 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,506 | $1,628 | $131 |
| CT scan of the neck with and without contrast | $1,970 | $1,902 | $220 |
| CT scan of the neck with contrast | $1,604 | $1,799 | $183 |
| CT scan of the neck without contrast | $1,277 | $1,628 | $150 |
| CT scan of the pelvis | $1,740 | $1,895 | $226 |
| CT scan of the pelvis with contrast | $1,740 | $1,895 | $226 |
| CT scan of the pelvis without contrast | $1,638 | $1,714 | $133 |
| CT scan of the sinuses | $1,619 | $1,857 | $152 |
| CT scan of the sinuses with and without contrast | $1,218 | $1,902 | $184 |
| CT scan of the sinuses with contrast | $2,102 | $1,857 | $152 |
| CT scan of the sinuses without contrast | $1,619 | $1,699 | $128 |
| D-dimer test | $146 | $36 | $10 |
| DHEA-sulfate test | $186 | $46 | $22 |
| Echocardiogram | $262 | $1,503 | $138 |
| Echocardiogram with and without contrast | $287 | $803 | $101 |
| Electrocardiogram (EKG) | $26 | $76 | $8 |
| Electrolyte panel | $63 | $23 | $7 |
| Emergency department visit | $895 | $202 | $69 |
| Emergency department visit (level 1) | $433 | $165 | $11 |
| Emergency department visit (level 2) | $785 | $175 | $40 |
| Emergency department visit (level 3) | $1,063 | $282 | $69 |
| Epidural steroid injection | $1,007 | $374 | $275 |
| Estradiol (estrogen) test | $155 | $240 | $28 |
| Facet joint injection (spine) | $2,719 | $366 | $99 |
| Fecal occult blood (stool) test | $38 | $50 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $33 | $22 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $43 | $50 | $16 |
| Ferritin (iron) test | $107 | $51 | $14 |
| Fibrinogen test | $68 | $67 | $10 |
| Flu vaccine | $44 | $39 | — |
| Folate (folic acid) test | $94 | $29 | $15 |
| Free T4 thyroid test | $79 | $26 | $9 |
| FSH hormone test | $133 | $67 | $19 |
| Gallbladder removal (laparoscopic) | $22,127 | $2,529 | $658 |
| Gallbladder scan (HIDA) | $1,243 | $1,561 | $334 |
| Ganglion cyst removal | $1,134 | $734 | $321 |
| GGT liver test | $60 | $90 | $7 |
| Glucose tolerance test | $73 | $20 | $8 |
| HDL cholesterol test | $62 | $26 | $8 |
| Hemoglobin A1c (diabetes test) | $79 | $32 | $10 |
| Hepatitis A vaccine | $136 | $407 | — |
| Hepatitis B test | $94 | $46 | $10 |
| Hepatitis B vaccine | $137 | $150 | — |
| Hepatitis C test | $127 | $60 | $14 |
| HIV test | $94 | $32 | $19 |
| HIV test (antibody) | $64 | $66 | $14 |
| HIV test (antigen/antibody combo) | $124 | $32 | $24 |
| Holter heart monitor | $267 | $246 | $26 |
| HPV vaccine | $245 | $372 | — |
| Inguinal hernia repair | $17,497 | $1,284 | $538 |
| Iron blood test | $53 | $22 | $6 |
| Kidney ultrasound | $604 | $661 | $84 |
| Kidney ultrasound (limited) | $444 | $616 | $61 |
| Knee arthroscopy | $2,191 | $1,556 | $524 |
| Knee joint injection | $1,360 | $138 | $69 |
| LDH test | $49 | $16 | $6 |
| LDL cholesterol test | $62 | $12 | $11 |
| Leg vein ultrasound (Doppler) | $862 | $1,080 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $736 | $833 | $116 |
| LH hormone test | $135 | $46 | $19 |
| Lipase test | $83 | $23 | $7 |
| Lipid (cholesterol) panel | $111 | $44 | $13 |
| Liver function panel | $111 | $26 | $8 |
| Lung function test (PFT) | $104 | $119 | $37 |
| Lung scan (V/Q) | $1,924 | $2,425 | $291 |
| MMR vaccine | $79 | $349 | — |
| MRA of the brain | $3,876 | $2,590 | $226 |
| MRA of the neck | $3,548 | $2,720 | $245 |
| MRA of the neck without contrast | $3,548 | $3,021 | $343 |
| MRI of the abdomen | $3,169 | $2,586 | $300 |
| MRI of the abdomen without contrast | $2,859 | $2,499 | $194 |
| MRI of the ankle | $4,953 | $2,864 | $261 |
| MRI of the ankle without contrast | $4,087 | $2,634 | $222 |
| MRI of the brain | $2,952 | $2,655 | $269 |
| MRI of the brain without contrast | $2,297 | $2,566 | $195 |
| MRI of the chest | $2,593 | $2,999 | $371 |
| MRI of the chest without contrast | $2,593 | $3,266 | $466 |
| MRI of the knee | $4,003 | $2,245 | $315 |
| MRI of the knee without contrast | $3,953 | $1,487 | $204 |
| MRI of the lower back (lumbar spine) | $3,201 | $3,091 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $2,599 | $2,891 | $192 |
| MRI of the mid-back (thoracic spine) | $3,593 | $3,010 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $4,635 | $3,136 | $319 |
| MRI of the mid-back (thoracic spine) without contrast | $2,552 | $2,840 | $190 |
| MRI of the neck (cervical spine) | $3,156 | $2,840 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $3,765 | $3,010 | $318 |
| MRI of the neck (cervical spine) without contrast | $2,547 | $2,670 | $191 |
| MRI of the pelvis | $2,949 | $2,908 | $268 |
| MRI of the pelvis without contrast | $2,064 | $2,566 | $227 |
| MRI of the shoulder | $5,246 | $2,664 | $313 |
| MRI of the shoulder without contrast | $3,858 | $2,572 | $205 |
| MRI of the wrist | $4,217 | $2,257 | $330 |
| MRI of the wrist without contrast | $3,422 | $2,186 | $303 |
| Nuclear cardiac stress test | $1,216 | $2,310 | $428 |
| Occupational therapy evaluation | $199 | $122 | $101 |
| Occupational therapy evaluation (high complexity) | $216 | $122 | $101 |
| Occupational therapy evaluation (low complexity) | $179 | $122 | $101 |
| Occupational therapy evaluation (moderate complexity) | $199 | $122 | $101 |
| Office visit (established patient) | $141 | $128 | $115 |
| Office visit (new patient) | $395 | $191 | $177 |
| Office visit, established patient (level 3) | $140 | $107 | $95 |
| Office visit, established patient (level 4) | $207 | $128 | $136 |
| Office visit, new patient (level 5) | $395 | $196 | $237 |
| Pap smear (cervical screening) | $80 | $112 | $20 |
| Parathyroid hormone (PTH) test | $239 | $90 | $41 |
| Pelvic ultrasound | $598 | $522 | $78 |
| Pelvic ultrasound (complete) | $598 | $543 | $105 |
| PET scan | $5,246 | $4,062 | — |
| Phosphorus blood test | $40 | $16 | $5 |
| Physical therapy evaluation | $197 | $118 | $98 |
| Physical therapy evaluation (high complexity) | $197 | $118 | $98 |
| Physical therapy evaluation (moderate complexity) | $194 | $118 | $98 |
| Platelet count | $33 | $14 | $4 |
| Pneumonia vaccine | $259 | $122 | — |
| Pregnancy blood test (hCG) | $85 | $36 | $8 |
| Pregnancy ultrasound | $641 | $411 | $126 |
| Pregnancy ultrasound (first trimester) | $550 | $386 | $117 |
| Pregnancy ultrasound (second or third trimester) | $733 | $411 | $136 |
| Procalcitonin test | $259 | $157 | $27 |
| Prolactin test | $150 | $51 | $19 |
| Prostate test (PSA) | $122 | $20 | $18 |
| Radiofrequency nerve ablation | $3,268 | $938 | $462 |
| Rheumatoid factor test | $55 | $27 | $6 |
| RSV vaccine | $252 | $306 | — |
| Scoliosis spine X-ray | $190 | $239 | $58 |
| Scoliosis spine X-ray (3 views) | $230 | $239 | $72 |
| Screening colonoscopy | $705 | $424 | $378 |
| Scrotal ultrasound | $543 | $622 | $99 |
| Sedimentation rate (ESR) test | $44 | $10 | $3 |
| Semen analysis | $101 | $116 | $12 |
| Sex hormone binding globulin test | $150 | $45 | $22 |
| Shingles vaccine | $169 | $255 | — |
| Sleep study (polysomnography) | $3,963 | $4,975 | $691 |
| Soft tissue ultrasound | $514 | $421 | $64 |
| Speech therapy | $246 | $192 | $76 |
| Spinal tap (lumbar puncture) | $192 | $204 | $165 |
| Spirometry (lung function test) | $26 | $96 | $30 |
| Spirometry with bronchodilator | $168 | $144 | $43 |
| Stress echocardiogram | $742 | $368 | $209 |
| Stress echocardiogram (complete) | $1,579 | $209 | $233 |
| Swallow study | $293 | $230 | $85 |
| T3 thyroid test | $97 | $36 | $14 |
| Tdap (tetanus) vaccine | $116 | $137 | — |
| Testosterone test | $181 | $22 | $26 |
| Thyroid ultrasound | $554 | $662 | $109 |
| Thyroid uptake scan | $798 | $1,112 | $145 |
| Total IgE allergy test | $84 | $30 | $16 |
| Transvaginal ultrasound | $558 | $549 | $118 |
| Trigger point injection | $742 | $110 | $56 |
| Trigger point injection (1-2 muscles) | $1,061 | $92 | $52 |
| Triglycerides test | $50 | $34 | $6 |
| Troponin (heart) test | $125 | $30 | $12 |
| Uric acid (gout) test | $58 | $15 | $5 |
| Urine microalbumin test | $60 | $17 | $5 |
| Urine pregnancy test | $42 | $37 | $9 |
| Vaccine administration | $39 | $84 | $19 |
| Vaccine administration (each additional) | $65 | $41 | $16 |
| Vitamin B12 test | $95 | $46 | $15 |
| Vitamin D test | $175 | $24 | $30 |
| Wound debridement | $131 | $354 | $186 |
| X-ray of the abdomen | $207 | $226 | $36 |
| X-ray of the ankle | $408 | $224 | $37 |
| X-ray of the collarbone | $271 | $212 | $33 |
| X-ray of the elbow | $218 | $212 | $33 |
| X-ray of the facial bones | $402 | $218 | $39 |
| X-ray of the foot | $226 | $224 | $34 |
| X-ray of the forearm | $295 | $184 | $29 |
| X-ray of the hand | $258 | $230 | $38 |
| X-ray of the hip | $205 | $164 | $49 |
| X-ray of the hip (1 view) | $187 | $192 | $34 |
| X-ray of the hip (3 views) | $222 | $136 | $49 |
| X-ray of the knee | $267 | $218 | $42 |
| X-ray of the knee (2 views) | $177 | $202 | $34 |
| X-ray of the knee (3 views) | $352 | $218 | $42 |
| X-ray of the knee (4+ views) | $322 | $230 | $49 |
| X-ray of the lower back (lumbar spine) | $328 | $260 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $286 | $241 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $369 | $279 | $53 |
| X-ray of the lower leg | $296 | $174 | $31 |
| X-ray of the mid-back (thoracic spine) | $297 | $258 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $261 | $253 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $333 | $263 | $39 |
| X-ray of the neck (cervical spine) | $301 | $272 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $252 | $260 | $40 |
| X-ray of the pelvis | $505 | $190 | $36 |
| X-ray of the ribs | $262 | $230 | $42 |
| X-ray of the ribs (2 views) | $218 | $195 | $36 |
| X-ray of the ribs (3 views) | $494 | $292 | $42 |
| X-ray of the shoulder | $327 | $218 | $36 |
| X-ray of the skull | $247 | $218 | $40 |
| X-ray of the upper arm | $202 | $167 | $32 |
| X-ray of the wrist | $276 | $230 | $43 |
| Zinc blood test | $98 | $33 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
