| Procedure | Mountain View Hospital | Castleview Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $92 | $76 | $51 |
| Abdominal ultrasound | $1,283 | $611 | $100 |
| Abdominal ultrasound (complete) | $1,548 | $755 | $114 |
| Abdominal ultrasound (limited) | $1,017 | $599 | $86 |
| Albumin blood test | $180 | $44 | $5 |
| Aldosterone test | $547 | $114 | $41 |
| Alkaline phosphatase test | $184 | $48 | $5 |
| Alpha-fetoprotein (AFP) test | $393 | $114 | $17 |
| ALT liver enzyme test | $219 | $45 | $5 |
| Ammonia blood test | $283 | $151 | $15 |
| Amylase test | $268 | $72 | $6 |
| Antinuclear antibody (ANA) test | $194 | $87 | $12 |
| Arterial blood gas (ABG) | $488 | $539 | $26 |
| AST liver enzyme test | $219 | $52 | $5 |
| Barium swallow study | $865 | $450 | $107 |
| Basic metabolic panel | $428 | $95 | $8 |
| Bilirubin blood test | $188 | $56 | $5 |
| Blood clotting test (PT/INR) | $184 | $52 | $4 |
| Blood glucose test | $198 | $104 | $5 |
| Blood transfusion | $2,998 | $1,222 | $47 |
| Blood type and screen | $298 | $156 | $10 |
| Blood type test | $144 | $169 | $3 |
| Blood type test (ABO group) | $206 | $231 | $3 |
| Blood type test (Rh/D antigen) | $82 | $106 | $3 |
| BNP (heart failure) test | $516 | $273 | $39 |
| Bone density scan (DEXA) | $1,023 | $553 | $39 |
| Bone scan (nuclear) | $2,714 | $1,451 | $259 |
| Breast MRI | $5,746 | $1,177 | $216 |
| Breast MRI without contrast | $5,317 | $2,420 | $216 |
| Breast ultrasound | $651 | $470 | $92 |
| Breast ultrasound (complete) | $651 | $508 | $100 |
| Breast ultrasound (limited) | $553 | $470 | $84 |
| C-reactive protein (CRP) | $188 | $94 | $5 |
| CA 19-9 tumor marker test | $371 | $94 | $21 |
| CA-125 ovarian marker test | $402 | $108 | $21 |
| Calcium blood test | $172 | $48 | $5 |
| Cardiac rehabilitation | $381 | $312 | $26 |
| Cardiac stress test | $2,050 | $921 | $39 |
| Cardioversion | $4,771 | $1,251 | $155 |
| Carotid artery ultrasound | $2,155 | $893 | $156 |
| CEA tumor marker test | $493 | $131 | $19 |
| Celiac disease test | $342 | $38 | $12 |
| Chest X-ray | $593 | $418 | $37 |
| Chest X-ray (1 view) | $390 | $299 | $25 |
| Chest X-ray (2 views) | $562 | $404 | $33 |
| CK-MB heart enzyme test | $664 | $144 | $12 |
| Clotting time test (PTT) | $219 | $83 | $6 |
| Complete blood count (CBC) | $237 | $120 | $7 |
| Comprehensive metabolic panel | $547 | $132 | $11 |
| Copper blood test | $262 | $128 | $12 |
| Cortisol test | $436 | $130 | $16 |
| CPAP titration study | $1,991 | $407 | $69 |
| Creatine kinase (CK) test | $246 | $63 | $7 |
| CT angiography of the chest | $4,915 | $2,687 | $281 |
| CT angiography of the head | $5,659 | $1,999 | $274 |
| CT scan of the abdomen | $4,339 | $2,097 | $230 |
| CT scan of the abdomen and pelvis | $8,680 | $3,885 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $9,343 | $4,241 | $338 |
| CT scan of the abdomen and pelvis with contrast | $8,680 | $3,885 | $300 |
| CT scan of the abdomen and pelvis without contrast | $7,743 | $3,189 | $183 |
| CT scan of the abdomen with and without contrast | $4,651 | $2,386 | $259 |
| CT scan of the abdomen with contrast | $4,339 | $2,097 | $230 |
| CT scan of the abdomen without contrast | $3,915 | $1,797 | $136 |
| CT scan of the arm | $3,204 | $1,635 | $199 |
| CT scan of the arm with contrast | $3,204 | $1,635 | $199 |
| CT scan of the arm without contrast | $2,828 | $1,568 | $161 |
| CT scan of the chest | $4,081 | $2,389 | $167 |
| CT scan of the chest with contrast | $4,334 | $2,398 | $167 |
| CT scan of the chest without contrast | $3,829 | $1,486 | $133 |
| CT scan of the head | $4,300 | $1,560 | $148 |
| CT scan of the head with and without contrast | $4,745 | $1,976 | $173 |
| CT scan of the head without contrast | $3,856 | $1,466 | $107 |
| CT scan of the leg | $3,874 | $1,590 | $166 |
| CT scan of the leg with contrast | $3,874 | $1,635 | $166 |
| CT scan of the leg without contrast | $3,529 | $1,486 | $130 |
| CT scan of the lower back (lumbar spine) | $4,522 | $1,883 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $4,971 | $1,901 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $4,522 | $1,920 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $4,164 | $1,848 | $130 |
| CT scan of the neck | $4,339 | $2,074 | $183 |
| CT scan of the neck (cervical spine) | $4,374 | $2,054 | $168 |
| CT scan of the neck (cervical spine) with contrast | $4,529 | $2,110 | $168 |
| CT scan of the neck (cervical spine) without contrast | $4,219 | $2,117 | $131 |
| CT scan of the neck with and without contrast | $4,745 | $2,263 | $220 |
| CT scan of the neck with contrast | $4,339 | $2,074 | $183 |
| CT scan of the neck without contrast | $3,864 | $1,827 | $150 |
| CT scan of the pelvis | $4,339 | $1,685 | $226 |
| CT scan of the pelvis with and without contrast | $4,692 | $2,072 | $251 |
| CT scan of the pelvis with contrast | $4,339 | $1,685 | $226 |
| CT scan of the pelvis without contrast | $3,829 | $1,465 | $133 |
| CT scan of the sinuses | $3,864 | $1,781 | $152 |
| CT scan of the sinuses with and without contrast | $4,184 | $1,924 | $184 |
| CT scan of the sinuses with contrast | $3,864 | $1,781 | $152 |
| CT scan of the sinuses without contrast | $3,465 | $1,688 | $128 |
| D-dimer test | $843 | $137 | $10 |
| DHEA-sulfate test | $571 | $190 | $22 |
| Diagnostic mammogram | $689 | $482 | $140 |
| Drug screen (urine) | $390 | $257 | $17 |
| Echocardiogram | $3,061 | $859 | $138 |
| Echocardiogram with and without contrast | $1,113 | $587 | $101 |
| EEG (awake and asleep) | $1,475 | $348 | $482 |
| EKG / ECG (tracing only) | $677 | $186 | $7 |
| Electrocardiogram (EKG) | $677 | $186 | $8 |
| Electroencephalogram (EEG) | $1,749 | $538 | $448 |
| Electrolyte panel | $353 | $63 | $7 |
| Emergency department visit | $2,769 | $975 | $69 |
| Emergency department visit (level 1) | $329 | $161 | $11 |
| Emergency department visit (level 2) | $1,291 | $522 | $40 |
| Emergency department visit (level 3) | $2,769 | $794 | $69 |
| Emergency department visit (level 4) | $3,813 | $1,307 | $118 |
| Emergency department visit (level 5) | $7,541 | $2,345 | $171 |
| Estradiol (estrogen) test | $490 | $143 | $28 |
| Fallopian tube X-ray (HSG) | $1,294 | $1,067 | $164 |
| Fecal occult blood (stool) test | $137 | $66 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $137 | $38 | $4 |
| Ferritin (iron) test | $134 | $101 | $14 |
| Fibrinogen test | $252 | $159 | $10 |
| Folate (folic acid) test | $298 | $113 | $15 |
| Free T4 thyroid test | $607 | $102 | $9 |
| FSH hormone test | $124 | $125 | $19 |
| Gallbladder scan (HIDA) | $3,214 | $1,310 | $334 |
| GGT liver test | $184 | $55 | $7 |
| Glucose tolerance test | $182 | $126 | $8 |
| H. pylori test | $402 | $332 | $67 |
| HDL cholesterol test | $285 | $55 | $8 |
| Hematocrit test | $107 | $51 | $2 |
| Hemoglobin A1c (diabetes test) | $283 | $89 | $10 |
| Hepatitis B test | $335 | $77 | $10 |
| Hepatitis C test | $379 | $91 | $14 |
| HIV test | $635 | $146 | $19 |
| HIV test (antibody) | $635 | $123 | $14 |
| Holter heart monitor | $1,230 | $538 | $26 |
| Iron blood test | $164 | $60 | $6 |
| IV infusion therapy | $325 | $351 | $44 |
| IV infusion therapy (each additional) | $220 | $115 | $21 |
| IV infusion therapy (initial) | $440 | $587 | $67 |
| Kidney scan (nuclear) | $2,812 | $2,692 | $172 |
| Kidney ultrasound | $793 | $612 | $84 |
| Lactate test | $97 | $157 | $12 |
| LDH test | $198 | $48 | $6 |
| Leg vein ultrasound (Doppler) | $2,025 | $1,206 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $1,579 | $1,206 | $116 |
| LH hormone test | $441 | $137 | $19 |
| Lipase test | $360 | $83 | $7 |
| Lipid (cholesterol) panel | $412 | $185 | $13 |
| Liver function panel | $451 | $82 | $8 |
| Lung function test (PFT) | $602 | $488 | $37 |
| Lung scan (V/Q) | $4,287 | $2,568 | $291 |
| Magnesium blood test | $260 | $76 | $7 |
| MRA of the brain | $7,137 | $2,767 | $226 |
| MRA of the neck | $2,440 | $2,961 | $245 |
| MRA of the neck with contrast | $2,440 | $2,950 | $245 |
| MRA of the neck without contrast | $2,440 | $3,261 | $343 |
| MRI of the abdomen | $5,095 | $3,026 | $300 |
| MRI of the abdomen with contrast | $5,095 | $3,108 | $300 |
| MRI of the abdomen without contrast | $4,122 | $3,026 | $194 |
| MRI of the ankle | $6,200 | $2,691 | $261 |
| MRI of the ankle with contrast | $6,200 | $2,744 | $261 |
| MRI of the ankle without contrast | $4,803 | $2,318 | $222 |
| MRI of the brain | $5,881 | $3,608 | $269 |
| MRI of the brain with contrast | $5,881 | $3,520 | $269 |
| MRI of the brain without contrast | $5,366 | $3,326 | $195 |
| MRI of the chest | $5,313 | $3,572 | $371 |
| MRI of the knee | $6,200 | $2,854 | $315 |
| MRI of the knee with contrast | $6,200 | $2,902 | $315 |
| MRI of the knee without contrast | $6,200 | $2,733 | $204 |
| MRI of the lower back (lumbar spine) | $5,880 | $4,305 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $5,366 | $3,249 | $192 |
| MRI of the mid-back (thoracic spine) | $5,881 | $3,315 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $6,394 | $3,474 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $5,881 | $3,388 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $5,366 | $3,119 | $190 |
| MRI of the neck (cervical spine) | $5,881 | $3,130 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $6,394 | $3,221 | $318 |
| MRI of the neck (cervical spine) with contrast | $5,881 | $3,258 | $274 |
| MRI of the neck (cervical spine) without contrast | $5,366 | $2,823 | $191 |
| MRI of the pelvis | $4,498 | $2,661 | $268 |
| MRI of the pelvis without contrast | $3,293 | $2,558 | $227 |
| MRI of the shoulder | $4,803 | $2,733 | $313 |
| MRI of the shoulder with contrast | $6,200 | $2,733 | $313 |
| MRI of the shoulder without contrast | $4,803 | $2,733 | $205 |
| MRI of the wrist | $4,803 | $2,902 | $330 |
| MRI of the wrist without contrast | $4,803 | $2,733 | $303 |
| Nebulizer breathing treatment | $268 | $336 | $9 |
| Nuclear cardiac stress test | $6,021 | $4,008 | $428 |
| Occupational therapy evaluation | $146 | $150 | $101 |
| Occupational therapy evaluation (high complexity) | $146 | $150 | $101 |
| Occupational therapy evaluation (low complexity) | $146 | $150 | $101 |
| Occupational therapy evaluation (moderate complexity) | $146 | $150 | $101 |
| Pap smear (cervical screening) | $284 | $131 | $20 |
| Parathyroid hormone (PTH) test | $790 | $157 | $41 |
| Pelvic ultrasound | $1,419 | $455 | $78 |
| Pelvic ultrasound (complete) | $1,419 | $670 | $105 |
| Phosphorus blood test | $230 | $48 | $5 |
| Physical therapy evaluation | $193 | $150 | $98 |
| Physical therapy evaluation (high complexity) | $193 | $150 | $98 |
| Physical therapy evaluation (moderate complexity) | $193 | $150 | $98 |
| Platelet count | $168 | $74 | $4 |
| Pregnancy blood test (hCG) | $88 | $82 | $8 |
| Pregnancy ultrasound | $1,197 | $594 | $126 |
| Pregnancy ultrasound (first trimester) | $1,318 | $575 | $117 |
| Pregnancy ultrasound (second or third trimester) | $1,076 | $615 | $136 |
| Prolactin test | $206 | $141 | $19 |
| Prostate test (PSA) | $405 | $119 | $18 |
| Rheumatoid factor test | $131 | $116 | $6 |
| Scoliosis spine X-ray | $480 | $495 | $58 |
| Scoliosis spine X-ray (3 views) | $480 | $573 | $72 |
| Screening mammogram | $782 | $387 | $126 |
| Scrotal ultrasound | $1,001 | $664 | $99 |
| Sedimentation rate (ESR) test | $145 | $39 | $3 |
| Semen analysis | $340 | $175 | $12 |
| Sex hormone binding globulin test | $293 | $154 | $22 |
| Soft tissue ultrasound | $694 | $598 | $64 |
| Speech therapy | $149 | $221 | $76 |
| Spirometry (lung function test) | $542 | $299 | $30 |
| Spirometry with bronchodilator | $661 | $691 | $43 |
| Stress echocardiogram | $4,018 | $1,898 | $209 |
| Stress echocardiogram (complete) | $4,018 | $2,756 | $233 |
| Swallow study | $96 | $264 | $85 |
| T3 thyroid test | $379 | $103 | $14 |
| Testosterone test | $377 | $132 | $26 |
| Thyroid test (TSH) | $318 | $137 | $17 |
| Thyroid ultrasound | $1,085 | $619 | $109 |
| Thyroid uptake scan | $3,361 | $1,294 | $145 |
| Total IgE allergy test | $268 | $130 | $16 |
| Total protein test | $172 | $45 | $4 |
| Transvaginal ultrasound | $619 | $382 | $118 |
| Triglycerides test | $233 | $48 | $6 |
| Troponin (heart) test | $871 | $166 | $12 |
| Upper GI series (barium) | $1,055 | $637 | $128 |
| Uric acid (gout) test | $198 | $48 | $5 |
| Urinalysis | $141 | $55 | $3 |
| Urine microalbumin test | $386 | $100 | $5 |
| Urine pregnancy test | $88 | $123 | $9 |
| Vaccine administration | $232 | $143 | $19 |
| Vitamin B12 test | $139 | $93 | $15 |
| Vitamin D test | $257 | $122 | $30 |
| X-ray of the abdomen | $572 | $323 | $36 |
| X-ray of the ankle | $524 | $380 | $37 |
| X-ray of the collarbone | $475 | $338 | $33 |
| X-ray of the elbow | $524 | $361 | $33 |
| X-ray of the facial bones | $720 | $473 | $39 |
| X-ray of the foot | $524 | $369 | $34 |
| X-ray of the forearm | $413 | $321 | $29 |
| X-ray of the hand | $524 | $380 | $38 |
| X-ray of the hip | $290 | $226 | $49 |
| X-ray of the hip (1 view) | $290 | $173 | $34 |
| X-ray of the hip (3 views) | $290 | $277 | $49 |
| X-ray of the knee | $745 | $334 | $42 |
| X-ray of the knee (2 views) | $469 | $243 | $34 |
| X-ray of the knee (3 views) | $873 | $334 | $42 |
| X-ray of the knee (4+ views) | $617 | $405 | $49 |
| X-ray of the lower back (lumbar spine) | $687 | $482 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $532 | $430 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $841 | $537 | $53 |
| X-ray of the lower leg | $524 | $373 | $31 |
| X-ray of the mid-back (thoracic spine) | $543 | $475 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $516 | $464 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $570 | $488 | $39 |
| X-ray of the neck (cervical spine) | $541 | $502 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $459 | $448 | $40 |
| X-ray of the pelvis | $413 | $263 | $36 |
| X-ray of the pelvis (1 view) | $413 | $189 | $28 |
| X-ray of the ribs | $669 | $310 | $42 |
| X-ray of the ribs (2 views) | $562 | $290 | $36 |
| X-ray of the ribs (3 views) | $669 | $422 | $42 |
| X-ray of the shoulder | $562 | $308 | $36 |
| X-ray of the skull | $727 | $599 | $40 |
| X-ray of the upper arm | $538 | $260 | $32 |
| X-ray of the wrist | $524 | $354 | $43 |
| Zinc blood test | $200 | $110 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
