| Procedure | Osborne County Memorial Hospital | Norton County Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $60 | $127 | $51 |
| Abdominal ultrasound | $398 | $415 | $100 |
| Abdominal ultrasound (complete) | $496 | $409 | $114 |
| Abdominal ultrasound (limited) | $300 | $421 | $86 |
| Abscess drainage (complex or multiple) | $1,044 | $298 | $220 |
| Abscess drainage (simple) | $944 | $182 | $129 |
| Abscess incision and drainage | $944 | $238 | $174 |
| Albumin blood test | $32 | $36 | $5 |
| Aldosterone test | $150 | $301 | $41 |
| Alkaline phosphatase test | $39 | $33 | $5 |
| Allergy shots | $38 | $22 | $11 |
| Alpha-fetoprotein (AFP) test | $145 | $138 | $17 |
| ALT liver enzyme test | $42 | $34 | $5 |
| Ammonia blood test | $92 | $78 | $15 |
| Amylase test | $39 | $50 | $6 |
| Annual physical (established patient) | $197 | $165 | — |
| Annual physical (new patient) | $175 | $195 | — |
| Antinuclear antibody (ANA) test | $55 | $72 | $12 |
| Arterial blood gas (ABG) | $119 | $127 | $26 |
| AST liver enzyme test | $42 | $36 | $5 |
| Barium swallow study | $337 | $471 | $107 |
| Bartholin cyst removal | $288 | $274 | $182 |
| Basic metabolic panel | $85 | $72 | $8 |
| Benign skin lesion removal | $1,057 | $276 | $171 |
| Bilirubin blood test | $32 | $35 | $5 |
| Bladder scope (cystoscopy) | $1,576 | $1,208 | $216 |
| Blood clotting test (PT/INR) | $28 | $36 | $4 |
| Blood glucose test | $29 | $30 | $5 |
| Blood transfusion | $643 | $872 | $47 |
| Blood type and screen | $105 | $146 | $10 |
| Blood type test | $154 | $336 | $3 |
| Blood type test (ABO group) | $237 | $336 | $3 |
| Blood type test (Rh/D antigen) | $71 | $98 | $3 |
| BNP (heart failure) test | $250 | $249 | $39 |
| Bone density scan (DEXA) | $342 | $275 | $39 |
| Bone scan (nuclear) | $848 | $1,347 | $259 |
| Breast biopsy | $2,048 | $1,493 | $478 |
| Breast ultrasound | $180 | $373 | $92 |
| Breast ultrasound (complete) | $196 | $409 | $100 |
| Breast ultrasound (limited) | $163 | $337 | $84 |
| Breathing tube insertion (intubation) | $761 | $428 | $133 |
| Burn dressing and debridement (small) | $335 | $134 | $93 |
| Burn treatment | $464 | $134 | $129 |
| C-reactive protein (CRP) | $46 | $71 | $5 |
| CA 19-9 tumor marker test | $120 | $162 | $21 |
| CA-125 ovarian marker test | $121 | $126 | $21 |
| Calcium blood test | $131 | $28 | $5 |
| Cardiac rehabilitation | $163 | $196 | $26 |
| Cardiac stress test | $258 | $300 | $39 |
| Cardioversion | $1,275 | $420 | $155 |
| Carotid artery ultrasound | $842 | $538 | $156 |
| Carpal tunnel release | $1,935 | $1,310 | $483 |
| CEA tumor marker test | $85 | $113 | $19 |
| Central line placement | $1,644 | $2,745 | $238 |
| Chest fluid drain (thoracentesis) | $1,077 | $371 | $311 |
| Chest tube insertion | $735 | $499 | $143 |
| Chest X-ray | $207 | $145 | $37 |
| Chest X-ray (1 view) | $145 | $132 | $25 |
| Chest X-ray (2 views) | $184 | $239 | $33 |
| Circumcision | $302 | $326 | $167 |
| CK-MB heart enzyme test | $77 | $99 | $12 |
| Clotting time test (PTT) | $60 | $60 | $6 |
| Colonoscopy | $1,576 | $550 | $480 |
| Complete blood count (CBC) | $52 | $38 | $7 |
| Complete blood count (CBC) (complete) | $55 | $28 | $8 |
| Comprehensive metabolic panel | $139 | $67 | $11 |
| Copper blood test | $76 | $111 | $12 |
| Cortisol test | $121 | $159 | $16 |
| CPAP titration study | $337 | $470 | $69 |
| Creatine kinase (CK) test | $60 | $46 | $7 |
| CT angiography of the chest | $1,428 | $1,237 | $281 |
| CT angiography of the head | $1,447 | $1,629 | $274 |
| CT scan of the abdomen | $921 | $1,183 | $230 |
| CT scan of the abdomen and pelvis | $1,176 | $666 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $1,194 | $687 | $338 |
| CT scan of the abdomen and pelvis with contrast | $1,176 | $666 | $300 |
| CT scan of the abdomen and pelvis without contrast | $1,159 | $666 | $183 |
| CT scan of the abdomen with and without contrast | $921 | $1,504 | $259 |
| CT scan of the abdomen with contrast | $926 | $605 | $230 |
| CT scan of the abdomen without contrast | $891 | $1,183 | $136 |
| CT scan of the arm | $908 | $605 | $199 |
| CT scan of the arm with contrast | $908 | $599 | $199 |
| CT scan of the arm without contrast | $885 | $605 | $161 |
| CT scan of the chest | $894 | $945 | $167 |
| CT scan of the chest with and without contrast | $921 | $687 | $196 |
| CT scan of the chest with contrast | $894 | $1,171 | $167 |
| CT scan of the chest without contrast | $876 | $945 | $133 |
| CT scan of the head | $894 | $713 | $148 |
| CT scan of the head with and without contrast | $921 | $1,061 | $173 |
| CT scan of the head with contrast | $894 | $987 | $148 |
| CT scan of the head without contrast | $876 | $641 | $107 |
| CT scan of the leg | $908 | $1,199 | $166 |
| CT scan of the leg with contrast | $908 | $1,302 | $166 |
| CT scan of the leg without contrast | $885 | $1,199 | $130 |
| CT scan of the lower back (lumbar spine) | $894 | $1,140 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $921 | $755 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $894 | $1,344 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $876 | $1,140 | $130 |
| CT scan of the neck | $894 | $605 | $183 |
| CT scan of the neck (cervical spine) | $894 | $666 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $921 | $747 | $196 |
| CT scan of the neck (cervical spine) with contrast | $894 | $599 | $168 |
| CT scan of the neck (cervical spine) without contrast | $876 | $666 | $131 |
| CT scan of the neck with and without contrast | $921 | $1,359 | $220 |
| CT scan of the neck with contrast | $894 | $599 | $183 |
| CT scan of the neck without contrast | $876 | $605 | $150 |
| CT scan of the pelvis | $894 | $1,035 | $226 |
| CT scan of the pelvis with and without contrast | $921 | $1,303 | $251 |
| CT scan of the pelvis with contrast | $894 | $605 | $226 |
| CT scan of the pelvis without contrast | $876 | $1,035 | $133 |
| CT scan of the sinuses | $894 | $747 | $152 |
| CT scan of the sinuses with and without contrast | $921 | $747 | $184 |
| CT scan of the sinuses with contrast | $894 | $604 | $152 |
| CT scan of the sinuses without contrast | $876 | $1,011 | $128 |
| D-dimer test | $125 | $119 | $10 |
| DHEA-sulfate test | $105 | $130 | $22 |
| Diagnostic mammogram | $197 | $196 | $140 |
| Dilation and curettage (D&C) | $2,853 | $645 | $298 |
| Drug screen (urine) | $187 | $68 | $17 |
| Echocardiogram | $837 | $590 | $138 |
| Echocardiogram with and without contrast | $729 | $404 | $101 |
| EKG / ECG (tracing only) | $215 | $263 | $7 |
| Electrocardiogram (EKG) | $418 | $263 | $8 |
| Electrolyte panel | $99 | $69 | $7 |
| Emergency department visit | $810 | $308 | $69 |
| Emergency department visit (level 1) | $263 | $90 | $11 |
| Emergency department visit (level 2) | $527 | $156 | $40 |
| Emergency department visit (level 3) | $810 | $308 | $69 |
| Emergency department visit (level 4) | $1,381 | $509 | $118 |
| Emergency department visit (level 5) | $2,146 | $786 | $171 |
| Endometrial biopsy | $350 | $774 | $98 |
| Epidural steroid injection | $655 | $1,750 | $275 |
| Estradiol (estrogen) test | $164 | $200 | $28 |
| Facet joint injection (spine) | $402 | $793 | $99 |
| Fecal occult blood (stool) test | $19 | $46 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $17 | $28 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $111 | $63 | $16 |
| Ferritin (iron) test | $68 | $90 | $14 |
| Flexible sigmoidoscopy | $963 | $426 | $323 |
| Folate (folic acid) test | $83 | $99 | $15 |
| Foreign body removal (skin) | $740 | $208 | $157 |
| Free T4 thyroid test | $60 | $56 | $9 |
| FSH hormone test | $107 | $127 | $19 |
| Gallbladder scan (HIDA) | $1,145 | $1,170 | $334 |
| Ganglion cyst removal | $2,776 | $731 | $321 |
| GGT liver test | $60 | $62 | $7 |
| H. pylori test | $189 | $438 | $67 |
| HDL cholesterol test | $40 | $35 | $8 |
| Hematocrit test | $31 | $22 | $2 |
| Hemoglobin A1c (diabetes test) | $62 | $41 | $10 |
| Hepatitis B test | $43 | $110 | $10 |
| Hepatitis C test | $62 | $112 | $14 |
| HIV test | $83 | $95 | $19 |
| HIV test (antigen/antibody combo) | $83 | $95 | $24 |
| Holter heart monitor | $326 | $185 | $26 |
| Inguinal hernia repair | $4,542 | $1,234 | $538 |
| Iron blood test | $51 | $41 | $6 |
| IUD removal | $166 | $175 | $112 |
| IV infusion therapy | $286 | $230 | $44 |
| IV infusion therapy (each additional) | $191 | $172 | $21 |
| IV infusion therapy (initial) | $286 | $246 | $67 |
| Joint aspiration (small/intermediate) | $149 | $368 | $57 |
| Joint aspiration or injection (mid-size joint) | $292 | $369 | $57 |
| Joint aspiration or injection (small joint) | $140 | $323 | $56 |
| Kidney scan (nuclear) | $1,049 | $1,616 | $172 |
| Kidney ultrasound | $378 | $349 | $84 |
| Kidney ultrasound (limited) | $355 | $233 | $61 |
| Knee joint injection | $497 | $467 | $69 |
| Lactate test | $71 | $76 | $12 |
| LDH test | $29 | $54 | $6 |
| Leg vein ultrasound (Doppler) | $723 | $622 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $700 | $622 | $116 |
| LH hormone test | $107 | $132 | $19 |
| Lipase test | $39 | $69 | $7 |
| Lipid (cholesterol) panel | $87 | $104 | $13 |
| Liver function panel | $83 | $93 | $8 |
| Lung function test (PFT) | $405 | $474 | $37 |
| Magnesium blood test | $39 | $52 | $7 |
| MRA of the brain | $1,176 | $613 | $226 |
| MRA of the brain with contrast | $1,176 | $613 | $226 |
| MRA of the brain without contrast | $1,194 | $613 | $328 |
| MRA of the neck | $1,176 | $613 | $245 |
| MRA of the neck with contrast | $1,176 | $613 | $245 |
| MRA of the neck without contrast | $1,194 | $613 | $343 |
| MRI of the abdomen | $1,128 | $908 | $300 |
| MRI of the abdomen with contrast | $1,128 | $908 | $300 |
| MRI of the abdomen without contrast | $1,071 | $908 | $194 |
| MRI of the ankle | $1,221 | $908 | $261 |
| MRI of the ankle without contrast | $1,212 | $908 | $222 |
| MRI of the brain | $1,176 | $908 | $269 |
| MRI of the brain with contrast | $1,176 | $908 | $269 |
| MRI of the brain without contrast | $1,159 | $908 | $195 |
| MRI of the chest | $1,176 | $908 | $371 |
| MRI of the chest with contrast | $1,176 | $908 | $371 |
| MRI of the chest without contrast | $1,194 | $1,680 | $466 |
| MRI of the knee | $1,221 | $908 | $315 |
| MRI of the knee with contrast | $1,221 | $908 | $315 |
| MRI of the knee without contrast | $1,203 | $908 | $204 |
| MRI of the lower back (lumbar spine) | $1,176 | $908 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $1,176 | $1,680 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,159 | $908 | $192 |
| MRI of the mid-back (thoracic spine) | $1,176 | $908 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $1,194 | $1,680 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $1,176 | $908 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $1,159 | $908 | $190 |
| MRI of the neck (cervical spine) | $1,176 | $908 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $1,194 | $1,680 | $318 |
| MRI of the neck (cervical spine) with contrast | $1,176 | $908 | $274 |
| MRI of the neck (cervical spine) without contrast | $1,159 | $908 | $191 |
| MRI of the pelvis | $1,176 | $908 | $268 |
| MRI of the pelvis with contrast | $1,176 | $908 | $268 |
| MRI of the pelvis without contrast | $1,159 | $908 | $227 |
| MRI of the shoulder | $1,176 | $908 | $313 |
| MRI of the shoulder with contrast | $1,176 | $908 | $313 |
| MRI of the shoulder without contrast | $1,159 | $908 | $205 |
| MRI of the wrist | $1,185 | $908 | $330 |
| MRI of the wrist with contrast | $1,176 | $908 | $330 |
| MRI of the wrist without contrast | $1,212 | $908 | $303 |
| Nebulizer breathing treatment | $52 | $141 | $9 |
| Nuclear cardiac stress test | $2,790 | $1,499 | $428 |
| Occupational therapy evaluation | $149 | $180 | $101 |
| Occupational therapy evaluation (high complexity) | $149 | $261 | $101 |
| Occupational therapy evaluation (low complexity) | $149 | $150 | $101 |
| Occupational therapy evaluation (moderate complexity) | $149 | $180 | $101 |
| Office visit (established patient) | $152 | $127 | $115 |
| Office visit (new patient) | $169 | $230 | $177 |
| Office visit, established patient (level 3) | $233 | $127 | $95 |
| Office visit, established patient (level 4) | $131 | $170 | $136 |
| Office visit, new patient (level 3) | $141 | $152 | $118 |
| Office visit, new patient (level 4) | $169 | $230 | $177 |
| Office visit, new patient (level 5) | $219 | $296 | $237 |
| Parathyroid hormone (PTH) test | $183 | $247 | $41 |
| Pelvic ultrasound | $486 | $606 | $78 |
| Pelvic ultrasound (complete) | $496 | $606 | $105 |
| Pelvic ultrasound (limited) | $475 | $344 | $51 |
| Phosphorus blood test | $32 | $39 | $5 |
| Physical therapy evaluation | $148 | $209 | $98 |
| Physical therapy evaluation (high complexity) | $148 | $246 | $98 |
| Physical therapy evaluation (moderate complexity) | $148 | $209 | $98 |
| Pregnancy blood test (hCG) | $79 | $225 | $8 |
| Pregnancy ultrasound | $323 | $494 | $126 |
| Pregnancy ultrasound (first trimester) | $290 | $503 | $117 |
| Pregnancy ultrasound (second or third trimester) | $355 | $412 | $136 |
| Prolactin test | $105 | $141 | $19 |
| Prostate test (PSA) | $96 | $95 | $18 |
| Radiofrequency nerve ablation | $1,117 | $3,981 | $462 |
| Sacroiliac joint injection | $477 | $2,800 | $176 |
| Scoliosis spine X-ray | $224 | $294 | $58 |
| Scoliosis spine X-ray (1 view) | $224 | $70 | $44 |
| Scoliosis spine X-ray (3 views) | $219 | $518 | $72 |
| Screening colonoscopy | $1,401 | $440 | $378 |
| Screening mammogram | $199 | $196 | $126 |
| Scrotal ultrasound | $300 | $557 | $99 |
| Sedimentation rate (ESR) test | $54 | $49 | $3 |
| Sex hormone binding globulin test | $161 | $205 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $625 | $297 | $114 |
| Simple wound stitches | $558 | $319 | $127 |
| Skin biopsy | $762 | $149 | $121 |
| Skin biopsy (punch) | $762 | $162 | $121 |
| Skin cancer lesion removal | $981 | $320 | $240 |
| Skin lesion freezing (cryotherapy) | $83 | $120 | $36 |
| Skin tag removal | $762 | $166 | $92 |
| Sleep study (polysomnography) | $2,531 | $3,357 | $691 |
| Soft tissue ultrasound | $179 | $408 | $64 |
| Speech therapy | $200 | $167 | $76 |
| Spinal tap (lumbar puncture) | $110 | $566 | $165 |
| Spirometry (lung function test) | $376 | $480 | $30 |
| Spirometry with bronchodilator | $434 | $296 | $43 |
| Strep throat test | $54 | $88 | $17 |
| Swallow study | $197 | $195 | $85 |
| T3 thyroid test | $78 | $53 | $14 |
| Tdap (tetanus) vaccine | $85 | $139 | — |
| Testosterone test | $113 | $130 | $26 |
| Thyroid test (TSH) | $68 | $44 | $17 |
| Thyroid ultrasound | $700 | $492 | $109 |
| Total IgE allergy test | $88 | $100 | $16 |
| Total protein test | $23 | $34 | $4 |
| Transvaginal ultrasound | $289 | $355 | $118 |
| Trigger point injection | $434 | $168 | $56 |
| Trigger point injection (1-2 muscles) | $434 | $286 | $52 |
| Triglycerides test | $43 | $43 | $6 |
| Troponin (heart) test | $91 | $109 | $12 |
| Ulnar nerve surgery (elbow) | $2,955 | $1,035 | $575 |
| Upper GI endoscopy (EGD) | $1,298 | $744 | $371 |
| Uric acid (gout) test | $40 | $36 | $5 |
| Urinalysis | $18 | $22 | $3 |
| Urine microalbumin test | $46 | $45 | $5 |
| Urine pregnancy test | $64 | $43 | $9 |
| Vaccine administration | $29 | $26 | $19 |
| Vaccine administration (each additional) | $26 | $22 | $16 |
| Vitamin B12 test | $69 | $104 | $15 |
| Vitamin D test | $176 | $348 | $30 |
| Wart removal | $1,183 | $165 | $121 |
| Well-child visit | $127 | $117 | — |
| Wound debridement | $312 | $369 | $186 |
| X-ray of the abdomen | $214 | $239 | $36 |
| X-ray of the ankle | $173 | $174 | $37 |
| X-ray of the collarbone | $175 | $245 | $33 |
| X-ray of the elbow | $214 | $312 | $33 |
| X-ray of the facial bones | $312 | $284 | $39 |
| X-ray of the foot | $214 | $210 | $34 |
| X-ray of the forearm | $174 | $256 | $29 |
| X-ray of the hand | $209 | $322 | $38 |
| X-ray of the hip | $213 | $213 | $49 |
| X-ray of the hip (1 view) | $202 | $175 | $34 |
| X-ray of the hip (3 views) | $213 | $251 | $49 |
| X-ray of the knee | $206 | $235 | $42 |
| X-ray of the knee (2 views) | $178 | $127 | $34 |
| X-ray of the knee (3 views) | $206 | $235 | $42 |
| X-ray of the knee (4+ views) | $265 | $423 | $49 |
| X-ray of the lower back (lumbar spine) | $255 | $267 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $201 | $197 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $309 | $337 | $53 |
| X-ray of the lower leg | $182 | $221 | $31 |
| X-ray of the mid-back (thoracic spine) | $190 | $309 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $156 | $319 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $224 | $300 | $39 |
| X-ray of the neck (cervical spine) | $244 | $375 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $201 | $319 | $40 |
| X-ray of the pelvis | $173 | $148 | $36 |
| X-ray of the pelvis (1 view) | $157 | $148 | $28 |
| X-ray of the ribs | $228 | $238 | $42 |
| X-ray of the ribs (2 views) | $203 | $221 | $36 |
| X-ray of the ribs (3 views) | $249 | $238 | $42 |
| X-ray of the shoulder | $176 | $211 | $36 |
| X-ray of the skull | $234 | $382 | $40 |
| X-ray of the upper arm | $209 | $268 | $32 |
| X-ray of the wrist | $219 | $162 | $43 |
| Zinc blood test | $77 | $99 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
