| Procedure | Midwest Surgical Hospital Llc | CHI Health Midlands | Medicare |
|---|
| Abscess drainage (complex or multiple) | $1,410 | $402 | $220 |
| Abscess drainage (simple) | $2,643 | $508 | $129 |
| Abscess incision and drainage | $2,027 | $402 | $174 |
| Achilles tendon repair | $9,269 | $3,459 | $624 |
| Albumin blood test | $26 | $34 | $5 |
| Alkaline phosphatase test | $23 | $53 | $5 |
| Alpha-fetoprotein (AFP) test | $88 | $99 | $17 |
| ALT liver enzyme test | $24 | $61 | $5 |
| Ammonia blood test | $55 | $120 | $15 |
| Amylase test | $38 | $87 | $6 |
| Arterial blood gas (ABG) | $91 | $187 | $26 |
| AST liver enzyme test | $24 | $45 | $5 |
| Basic metabolic panel | $45 | $165 | $8 |
| Benign skin lesion removal | $2,011 | $375 | $171 |
| Bilirubin blood test | $16 | $55 | $5 |
| Blood clotting test (PT/INR) | $25 | $55 | $4 |
| Blood crossmatch | $74 | $118 | — |
| Blood glucose test | $14 | $37 | $5 |
| Blood transfusion | $1,382 | $726 | $47 |
| Blood type and screen | $50 | $77 | $10 |
| Blood type test | $29 | $52 | $3 |
| Blood type test (ABO group) | $28 | $56 | $3 |
| Blood type test (Rh/D antigen) | $35 | $47 | $3 |
| BNP (heart failure) test | $126 | $173 | $39 |
| Bone marrow biopsy | $1,410 | $774 | $172 |
| Bronchoscopy | $2,180 | $918 | $303 |
| Burn dressing and debridement (small) | $2,329 | $199 | $93 |
| Burn treatment | $2,329 | $258 | $129 |
| C-reactive protein (CRP) | $25 | $115 | $5 |
| Calcium blood test | $31 | $87 | $5 |
| Cardioversion | $1,238 | $1,431 | $155 |
| Central line placement | $2,759 | $1,830 | $238 |
| Chest X-ray | $321 | $182 | $37 |
| Chest X-ray (1 view) | $321 | $141 | $25 |
| Chest X-ray (2 views) | $313 | $145 | $33 |
| CK-MB heart enzyme test | $123 | $149 | $12 |
| Clotting time test (PTT) | $41 | $67 | $6 |
| Complete blood count (CBC) | $52 | $81 | $7 |
| Complete blood count (CBC) (complete) | $53 | $92 | $8 |
| Complex wound repair | $2,516 | $459 | $390 |
| Comprehensive metabolic panel | $45 | $205 | $11 |
| Contraceptive implant (Nexplanon) | $471 | $215 | $115 |
| Cortisol test | $43 | $131 | $16 |
| COVID-19 PCR test | $121 | $71 | $51 |
| Creatine kinase (CK) test | $47 | $104 | $7 |
| CT angiography of the chest | $400 | $1,198 | $281 |
| CT angiography of the head | $350 | $1,199 | $274 |
| CT scan of the abdomen | $350 | $1,258 | $230 |
| CT scan of the abdomen and pelvis | $550 | $2,051 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $550 | $2,934 | $338 |
| CT scan of the abdomen and pelvis with contrast | $550 | $2,051 | $300 |
| CT scan of the abdomen and pelvis without contrast | $500 | $1,559 | $183 |
| CT scan of the abdomen with and without contrast | $350 | $1,396 | $259 |
| CT scan of the abdomen with contrast | $350 | $1,258 | $230 |
| CT scan of the abdomen without contrast | $350 | $943 | $136 |
| CT scan of the arm | $350 | $1,045 | $199 |
| CT scan of the arm with contrast | $1,033 | $1,045 | $199 |
| CT scan of the arm without contrast | $350 | $893 | $161 |
| CT scan of the chest | $350 | $1,110 | $167 |
| CT scan of the chest with and without contrast | $350 | $1,265 | $196 |
| CT scan of the chest with contrast | $350 | $1,110 | $167 |
| CT scan of the chest without contrast | $350 | $755 | $133 |
| CT scan of the head | $350 | $916 | $148 |
| CT scan of the head with and without contrast | $350 | $1,105 | $173 |
| CT scan of the head with contrast | $350 | $916 | $148 |
| CT scan of the head without contrast | $350 | $674 | $107 |
| CT scan of the leg | $350 | $1,040 | $166 |
| CT scan of the leg with contrast | $350 | $1,040 | $166 |
| CT scan of the leg without contrast | $350 | $806 | $130 |
| CT scan of the lower back (lumbar spine) | $350 | $1,094 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $350 | $1,150 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $550 | $1,094 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $350 | $935 | $130 |
| CT scan of the neck | $350 | $1,129 | $183 |
| CT scan of the neck (cervical spine) | $350 | $1,153 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $350 | $1,217 | $196 |
| CT scan of the neck (cervical spine) with contrast | $550 | $1,153 | $168 |
| CT scan of the neck (cervical spine) without contrast | $350 | $915 | $131 |
| CT scan of the neck with and without contrast | $350 | $1,388 | $220 |
| CT scan of the neck with contrast | $350 | $1,129 | $183 |
| CT scan of the neck without contrast | $350 | $1,072 | $150 |
| CT scan of the pelvis | $350 | $950 | $226 |
| CT scan of the pelvis with and without contrast | $350 | $700 | $251 |
| CT scan of the pelvis with contrast | $350 | $1,052 | $226 |
| CT scan of the pelvis without contrast | $350 | $848 | $133 |
| CT scan of the sinuses | $350 | $1,034 | $152 |
| CT scan of the sinuses with and without contrast | $1,485 | $1,051 | $184 |
| CT scan of the sinuses with contrast | $350 | $1,034 | $152 |
| CT scan of the sinuses without contrast | $350 | $809 | $128 |
| D-dimer test | $42 | $166 | $10 |
| Defibrillator (ICD) implant | $63,666 | $22,226 | $798 |
| Drug screen (urine) | $81 | $212 | $17 |
| EKG / ECG (tracing only) | $137 | $188 | $7 |
| Electrocardiogram (EKG) | $137 | $188 | $8 |
| Electrolyte panel | $24 | $106 | $7 |
| Epidural steroid injection | $1,523 | $1,121 | $275 |
| Facet joint injection (spine) | $1,486 | $430 | $99 |
| Fibrinogen test | $38 | $108 | $10 |
| Flu vaccine | $83 | $17 | — |
| Foreign body removal (skin) | $2,643 | $474 | $157 |
| Free T4 thyroid test | $44 | $64 | $9 |
| Ganglion cyst removal | $4,386 | $2,588 | $321 |
| Hematocrit test | $21 | $26 | $2 |
| Hemoglobin A1c (diabetes test) | $59 | $81 | $10 |
| Hepatitis B test | $61 | $81 | $10 |
| Hepatitis C test | $63 | $92 | $14 |
| HIV test | $64 | $79 | $19 |
| HIV test (antibody) | $30 | $45 | $14 |
| HIV test (antigen/antibody combo) | $98 | $114 | $24 |
| Iron blood test | $29 | $64 | $6 |
| Joint aspiration (small/intermediate) | $1,486 | $258 | $57 |
| Joint aspiration or injection (mid-size joint) | $1,523 | $329 | $57 |
| Joint aspiration or injection (small joint) | $1,486 | $217 | $56 |
| Knee joint injection | $1,486 | $374 | $69 |
| Lactate test | $43 | $100 | $12 |
| Laryngoscopy | $4,530 | $664 | $189 |
| Leg vein ultrasound (Doppler) | $2,048 | $1,089 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $2,048 | $726 | $116 |
| Lipase test | $86 | $96 | $7 |
| Liver function panel | $53 | $134 | $8 |
| Magnesium blood test | $100 | $63 | $7 |
| MRA of the brain | $600 | $1,496 | $226 |
| MRA of the brain without contrast | $600 | $2,121 | $328 |
| MRA of the neck | $500 | $1,435 | $245 |
| MRA of the neck with contrast | $550 | $1,435 | $245 |
| MRA of the neck without contrast | $600 | $1,839 | $343 |
| MRI of the ankle | $600 | $1,242 | $261 |
| MRI of the ankle with contrast | $1,485 | $1,242 | $261 |
| MRI of the ankle without contrast | $550 | $1,150 | $222 |
| MRI of the brain | $550 | $1,696 | $269 |
| MRI of the brain with contrast | $550 | $1,696 | $269 |
| MRI of the brain without contrast | $500 | $1,454 | $195 |
| MRI of the chest | $550 | $1,923 | $371 |
| MRI of the chest without contrast | $600 | $2,090 | $466 |
| MRI of the knee | $550 | $1,547 | $315 |
| MRI of the knee with contrast | $550 | $1,547 | $315 |
| MRI of the knee without contrast | $500 | $1,258 | $204 |
| MRI of the lower back (lumbar spine) | $550 | $1,696 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $550 | $1,696 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $500 | $1,425 | $192 |
| MRI of the mid-back (thoracic spine) | $525 | $1,577 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $600 | $1,749 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $550 | $1,577 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $500 | $1,562 | $190 |
| MRI of the neck (cervical spine) | $550 | $1,881 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $600 | $2,094 | $318 |
| MRI of the neck (cervical spine) with contrast | $550 | $1,881 | $274 |
| MRI of the neck (cervical spine) without contrast | $500 | $1,425 | $191 |
| MRI of the pelvis | $550 | $1,621 | $268 |
| MRI of the pelvis with contrast | $550 | $1,621 | $268 |
| MRI of the pelvis without contrast | $500 | $1,435 | $227 |
| MRI of the shoulder | $550 | $1,397 | $313 |
| MRI of the shoulder with contrast | $550 | $1,397 | $313 |
| MRI of the shoulder without contrast | $500 | $1,173 | $205 |
| MRI of the wrist | $550 | $1,292 | $330 |
| MRI of the wrist with contrast | $550 | $1,292 | $330 |
| MRI of the wrist without contrast | $500 | $1,192 | $303 |
| Office visit (new patient) | $321 | $291 | $177 |
| Office visit, new patient (level 3) | $283 | $221 | $118 |
| Office visit, new patient (level 4) | $359 | $291 | $177 |
| Phosphorus blood test | $23 | $47 | $5 |
| Physical therapy evaluation | $116 | $107 | $98 |
| Physical therapy evaluation (high complexity) | $113 | $107 | $98 |
| Physical therapy evaluation (moderate complexity) | $113 | $107 | $98 |
| Platelet count | $26 | $53 | $4 |
| Pneumonia vaccine | $56 | $231 | — |
| Pregnancy blood test (hCG) | $88 | $122 | $8 |
| Procalcitonin test | $105 | $109 | $27 |
| Radiofrequency nerve ablation | $4,646 | $1,509 | $462 |
| Sacroiliac joint injection | $1,486 | $579 | $176 |
| Sedimentation rate (ESR) test | $23 | $55 | $3 |
| Simple laceration repair (small, up to 2.5 cm) | $1,410 | $196 | $114 |
| Simple wound stitches | $1,410 | $196 | $127 |
| Skin graft | $4,389 | $1,793 | $898 |
| Skin tag removal | $1,580 | $209 | $92 |
| Spinal tap (lumbar puncture) | $1,561 | $486 | $165 |
| Spine fracture repair (kyphoplasty) | $19,228 | $5,425 | $5,803 |
| T3 thyroid test | $77 | $87 | $14 |
| Tdap (tetanus) vaccine | $56 | $89 | — |
| Thyroid test (TSH) | $102 | $113 | $17 |
| Total IgE allergy test | $29 | $92 | $16 |
| Total protein test | $14 | $63 | $4 |
| Trigger finger release | $3,397 | $1,200 | $630 |
| Trigger point injection | $1,561 | $203 | $56 |
| Trigger point injection (1-2 muscles) | $1,561 | $180 | $52 |
| Troponin (heart) test | $157 | $165 | $12 |
| Uric acid (gout) test | $24 | $53 | $5 |
| Urinalysis | $25 | $46 | $3 |
| Urine microalbumin test | $41 | $64 | $5 |
| Urine pregnancy test | $47 | $63 | $9 |
| Vaccine administration | $56 | $42 | $19 |
| Vaccine administration (each additional) | $56 | $137 | $16 |
| Vitamin D test | $65 | $233 | $30 |
| Wound debridement | $1,580 | $657 | $186 |
| X-ray of the abdomen | $150 | $205 | $36 |
| X-ray of the ankle | $125 | $229 | $37 |
| X-ray of the collarbone | $125 | $166 | $33 |
| X-ray of the elbow | $125 | $206 | $33 |
| X-ray of the foot | $125 | $189 | $34 |
| X-ray of the forearm | $125 | $194 | $29 |
| X-ray of the hand | $125 | $223 | $38 |
| X-ray of the hip | $418 | $80 | $49 |
| X-ray of the hip (1 view) | $125 | $80 | $34 |
| X-ray of the hip (3 views) | $428 | $66 | $49 |
| X-ray of the knee | $125 | $264 | $42 |
| X-ray of the knee (2 views) | $125 | $232 | $34 |
| X-ray of the knee (3 views) | $125 | $264 | $42 |
| X-ray of the knee (4+ views) | $139 | $269 | $49 |
| X-ray of the lower back (lumbar spine) | $150 | $331 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $150 | $311 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $150 | $352 | $53 |
| X-ray of the lower leg | $125 | $214 | $31 |
| X-ray of the mid-back (thoracic spine) | $150 | $207 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $150 | $184 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $218 | $230 | $39 |
| X-ray of the neck (cervical spine) | $138 | $275 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $125 | $212 | $40 |
| X-ray of the pelvis | $150 | $215 | $36 |
| X-ray of the pelvis (1 view) | $150 | $168 | $28 |
| X-ray of the ribs | $125 | $229 | $42 |
| X-ray of the ribs (2 views) | $125 | $169 | $36 |
| X-ray of the shoulder | $125 | $215 | $36 |
| X-ray of the skull | $150 | $193 | $40 |
| X-ray of the upper arm | $125 | $204 | $32 |
| X-ray of the wrist | $125 | $217 | $43 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
