| Procedure | Poplar Community Hospital | Roosevelt Medical Center | Medicare |
|---|
| Abscess drainage (simple) | $118 | $214 | $129 |
| Abscess incision and drainage | $437 | $214 | $174 |
| Albumin blood test | $31 | $63 | $5 |
| Aldosterone test | $341 | $96 | $41 |
| Alkaline phosphatase test | $59 | $60 | $5 |
| Alpha-fetoprotein (AFP) test | $164 | $29 | $17 |
| ALT liver enzyme test | $65 | $63 | $5 |
| Ammonia blood test | $125 | $33 | $15 |
| Amylase test | $45 | $89 | $6 |
| Antinuclear antibody (ANA) test | $135 | $25 | $12 |
| Arterial blood gas (ABG) | $62 | $278 | $26 |
| AST liver enzyme test | $64 | $69 | $5 |
| Basic metabolic panel | $138 | $108 | $8 |
| Bilirubin blood test | $58 | $56 | $5 |
| Blood clotting test (PT/INR) | $79 | $63 | $4 |
| Blood glucose test | $46 | $74 | $5 |
| Blood transfusion | $336 | $1,061 | $47 |
| Blood type and screen | $113 | $136 | $10 |
| Blood type test | $60 | $84 | $3 |
| Blood type test (ABO group) | $60 | $71 | $3 |
| Blood type test (Rh/D antigen) | $60 | $96 | $3 |
| BNP (heart failure) test | $309 | $280 | $39 |
| Breathing tube insertion (intubation) | $259 | $973 | $133 |
| C-reactive protein (CRP) | $66 | $76 | $5 |
| CA 19-9 tumor marker test | $212 | $37 | $21 |
| CA-125 ovarian marker test | $220 | $29 | $21 |
| Calcium blood test | $67 | $78 | $5 |
| CEA tumor marker test | $172 | $31 | $19 |
| Chest tube insertion | $738 | $1,229 | $143 |
| Chest X-ray | $221 | $295 | $37 |
| Chest X-ray (1 view) | $210 | $268 | $25 |
| Chest X-ray (2 views) | $262 | $317 | $33 |
| CK-MB heart enzyme test | $146 | $169 | $12 |
| Clotting time test (PTT) | $133 | $91 | $6 |
| Complete blood count (CBC) | $87 | $57 | $7 |
| Complete blood count (CBC) (complete) | $91 | $25 | $8 |
| Comprehensive metabolic panel | $207 | $140 | $11 |
| Copper blood test | $114 | $25 | $12 |
| Cortisol test | $153 | $33 | $16 |
| COVID-19 PCR test | $121 | $156 | $51 |
| Creatine kinase (CK) test | $86 | $87 | $7 |
| CT angiography of the chest | $2,432 | $2,820 | $281 |
| CT angiography of the head | $2,421 | $2,580 | $274 |
| CT scan of the abdomen | $1,811 | $2,056 | $230 |
| CT scan of the abdomen and pelvis | $1,969 | $2,483 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $2,054 | $3,336 | $338 |
| CT scan of the abdomen and pelvis with contrast | $1,969 | $2,483 | $300 |
| CT scan of the abdomen and pelvis without contrast | $1,253 | $2,184 | $183 |
| CT scan of the abdomen with and without contrast | $2,114 | $2,861 | $259 |
| CT scan of the abdomen with contrast | $1,811 | $2,056 | $230 |
| CT scan of the abdomen without contrast | $1,438 | $1,779 | $136 |
| CT scan of the arm | $2,118 | $1,775 | $199 |
| CT scan of the arm without contrast | $1,835 | $1,775 | $161 |
| CT scan of the chest | $1,614 | $2,289 | $167 |
| CT scan of the chest with and without contrast | $1,975 | $2,728 | $196 |
| CT scan of the chest with contrast | $1,614 | $2,289 | $167 |
| CT scan of the chest without contrast | $1,391 | $1,663 | $133 |
| CT scan of the head | $1,452 | $1,760 | $148 |
| CT scan of the head with and without contrast | $1,709 | $1,859 | $173 |
| CT scan of the head with contrast | $1,452 | $1,760 | $148 |
| CT scan of the head without contrast | $1,180 | $1,483 | $107 |
| CT scan of the leg | $2,983 | $1,919 | $166 |
| CT scan of the leg with contrast | $2,983 | $2,077 | $166 |
| CT scan of the leg without contrast | $2,635 | $1,761 | $130 |
| CT scan of the lower back (lumbar spine) | $1,573 | $1,840 | $169 |
| CT scan of the lower back (lumbar spine) with contrast | $1,573 | $1,921 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,423 | $1,759 | $130 |
| CT scan of the neck | $1,511 | $1,929 | $183 |
| CT scan of the neck (cervical spine) | $1,685 | $2,322 | $168 |
| CT scan of the neck (cervical spine) with contrast | $1,685 | $2,875 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,414 | $1,768 | $131 |
| CT scan of the neck with contrast | $1,511 | $2,017 | $183 |
| CT scan of the neck without contrast | $1,309 | $1,841 | $150 |
| CT scan of the pelvis | $1,674 | $2,008 | $226 |
| CT scan of the pelvis with contrast | $1,674 | $2,391 | $226 |
| CT scan of the pelvis without contrast | $1,362 | $1,625 | $133 |
| CT scan of the sinuses | $1,418 | $1,650 | $152 |
| CT scan of the sinuses with and without contrast | $1,674 | $2,261 | $184 |
| CT scan of the sinuses with contrast | $1,418 | $1,650 | $152 |
| CT scan of the sinuses without contrast | $1,196 | $1,274 | $128 |
| D-dimer test | $113 | $129 | $10 |
| DHEA-sulfate test | $218 | $36 | $22 |
| Drug screen (urine) | $348 | $192 | $17 |
| EKG / ECG (tracing only) | $193 | $210 | $7 |
| Electrocardiogram (EKG) | $135 | $210 | $8 |
| Electrolyte panel | $93 | $95 | $7 |
| Emergency department visit | $520 | $728 | $69 |
| Emergency department visit (level 1) | $201 | $258 | $11 |
| Emergency department visit (level 2) | $419 | $358 | $40 |
| Emergency department visit (level 3) | $520 | $728 | $69 |
| Emergency department visit (level 4) | $776 | $1,130 | $118 |
| Emergency department visit (level 5) | $1,220 | $1,525 | $171 |
| Estradiol (estrogen) test | $240 | $87 | $28 |
| Fecal occult blood (stool) test | $32 | $62 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $32 | $62 | $4 |
| Ferritin (iron) test | $141 | $25 | $14 |
| Fibrinogen test | $102 | $35 | $10 |
| Folate (folic acid) test | $129 | $48 | $15 |
| Foreign body removal (skin) | $563 | $368 | $157 |
| Free T4 thyroid test | $107 | $57 | $9 |
| FSH hormone test | $184 | $27 | $19 |
| GGT liver test | $76 | $94 | $7 |
| Glucose tolerance test | $99 | $135 | $8 |
| H. pylori test | $268 | $200 | $67 |
| HDL cholesterol test | $85 | $66 | $8 |
| Hematocrit test | $30 | $39 | $2 |
| Hemoglobin A1c (diabetes test) | $134 | $129 | $10 |
| Hepatitis B test | $91 | $34 | $10 |
| HIV test | $140 | $41 | $19 |
| HIV test (antigen/antibody combo) | $142 | $41 | $24 |
| Iron blood test | $77 | $25 | $6 |
| IV infusion therapy | $218 | $325 | $44 |
| IV infusion therapy (each additional) | $218 | $200 | $21 |
| IV infusion therapy (initial) | $269 | $449 | $67 |
| Joint aspiration (small/intermediate) | $483 | $248 | $57 |
| Joint aspiration or injection (mid-size joint) | $527 | $248 | $57 |
| Knee joint injection | $451 | $266 | $69 |
| Lactate test | $173 | $26 | $12 |
| LDH test | $71 | $25 | $6 |
| LDL cholesterol test | $103 | $25 | $11 |
| LH hormone test | $181 | $27 | $19 |
| Lipase test | $102 | $84 | $7 |
| Lipid (cholesterol) panel | $153 | $194 | $13 |
| Liver function panel | $112 | $119 | $8 |
| Lung function test (PFT) | $297 | $299 | $37 |
| Magnesium blood test | $80 | $73 | $7 |
| MRI of the abdomen | $713 | $1,949 | $300 |
| MRI of the abdomen without contrast | $412 | $1,429 | $194 |
| MRI of the ankle | $762 | $2,046 | $261 |
| MRI of the ankle without contrast | $516 | $1,630 | $222 |
| MRI of the brain | $2,270 | $1,878 | $269 |
| MRI of the brain without contrast | $1,734 | $1,431 | $195 |
| MRI of the chest | $1,564 | $3,005 | $371 |
| MRI of the chest without contrast | $1,173 | $3,443 | $466 |
| MRI of the knee | $1,844 | $2,290 | $315 |
| MRI of the knee with contrast | $1,844 | $2,290 | $315 |
| MRI of the knee without contrast | $1,720 | $1,479 | $204 |
| MRI of the lower back (lumbar spine) | $2,087 | $1,864 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,662 | $1,396 | $192 |
| MRI of the mid-back (thoracic spine) | $1,974 | $1,865 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $2,544 | $2,340 | $319 |
| MRI of the mid-back (thoracic spine) without contrast | $1,592 | $1,389 | $190 |
| MRI of the neck (cervical spine) | $686 | $1,937 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $686 | $2,335 | $318 |
| MRI of the neck (cervical spine) with contrast | $2,010 | $1,937 | $274 |
| MRI of the neck (cervical spine) without contrast | $392 | $1,391 | $191 |
| MRI of the pelvis | $1,835 | $2,066 | $268 |
| MRI of the pelvis without contrast | $1,692 | $1,673 | $227 |
| MRI of the shoulder | $920 | $2,288 | $313 |
| MRI of the shoulder with contrast | $1,856 | $2,288 | $313 |
| MRI of the shoulder without contrast | $449 | $1,481 | $205 |
| MRI of the wrist | $1,776 | $2,605 | $330 |
| MRI of the wrist without contrast | $1,776 | $2,217 | $303 |
| Nebulizer breathing treatment | $240 | $178 | $9 |
| Office visit (new patient) | $193 | $269 | $177 |
| Office visit, new patient (level 3) | $165 | $213 | $118 |
| Office visit, new patient (level 4) | $220 | $325 | $177 |
| Parathyroid hormone (PTH) test | $207 | $44 | $41 |
| Phosphorus blood test | $60 | $67 | $5 |
| Physical therapy evaluation | $210 | $198 | $98 |
| Physical therapy evaluation (high complexity) | $244 | $230 | $98 |
| Physical therapy evaluation (moderate complexity) | $210 | $198 | $98 |
| Platelet count | $54 | $57 | $4 |
| Pregnancy blood test (hCG) | $71 | $89 | $8 |
| Procalcitonin test | $221 | $250 | $27 |
| Prolactin test | $189 | $37 | $19 |
| Prostate test (PSA) | $140 | $32 | $18 |
| Scoliosis spine X-ray | $263 | $213 | $58 |
| Scoliosis spine X-ray (1 view) | $180 | $149 | $44 |
| Scoliosis spine X-ray (3 views) | $347 | $277 | $72 |
| Sedimentation rate (ESR) test | $42 | $63 | $3 |
| Sex hormone binding globulin test | $134 | $35 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $105 | $525 | $114 |
| Simple wound stitches | $122 | $737 | $127 |
| Skin biopsy | $645 | $250 | $121 |
| Skin biopsy (punch) | $645 | $250 | $121 |
| Skin lesion freezing (cryotherapy) | $460 | $88 | $36 |
| Spinal tap (lumbar puncture) | $505 | $690 | $165 |
| Spirometry (lung function test) | $141 | $299 | $30 |
| T3 thyroid test | $151 | $28 | $14 |
| Tdap (tetanus) vaccine | $129 | $91 | — |
| Testosterone test | $206 | $45 | $26 |
| Thyroid test (TSH) | $151 | $25 | $17 |
| Total IgE allergy test | $138 | $25 | $16 |
| Total protein test | $54 | $63 | $4 |
| Trigger point injection | $209 | $488 | $56 |
| Trigger point injection (1-2 muscles) | $317 | $488 | $52 |
| Triglycerides test | $59 | $44 | $6 |
| Troponin (heart) test | $30 | $142 | $12 |
| Uric acid (gout) test | $62 | $61 | $5 |
| Urinalysis | $28 | $50 | $3 |
| Urine microalbumin test | $72 | $71 | $5 |
| Vaccine administration | $54 | $72 | $19 |
| Vitamin B12 test | $162 | $25 | $15 |
| Vitamin D test | $242 | $85 | $30 |
| Wart removal | $262 | $223 | $121 |
| X-ray of the abdomen | $240 | $302 | $36 |
| X-ray of the ankle | $507 | $301 | $37 |
| X-ray of the collarbone | $420 | $222 | $33 |
| X-ray of the elbow | $420 | $313 | $33 |
| X-ray of the facial bones | $270 | $261 | $39 |
| X-ray of the foot | $485 | $290 | $34 |
| X-ray of the forearm | $420 | $289 | $29 |
| X-ray of the hand | $562 | $294 | $38 |
| X-ray of the hip | $210 | $350 | $49 |
| X-ray of the hip (1 view) | $210 | $310 | $34 |
| X-ray of the hip (3 views) | $210 | $350 | $49 |
| X-ray of the hip (4 views) | $262 | $374 | $63 |
| X-ray of the knee | $580 | $292 | $42 |
| X-ray of the knee (2 views) | $420 | $273 | $34 |
| X-ray of the knee (3 views) | $580 | $292 | $42 |
| X-ray of the knee (4+ views) | $660 | $305 | $49 |
| X-ray of the lower back (lumbar spine) | $305 | $345 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $276 | $284 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $335 | $405 | $53 |
| X-ray of the lower leg | $420 | $283 | $31 |
| X-ray of the mid-back (thoracic spine) | $296 | $356 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $276 | $302 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $316 | $410 | $39 |
| X-ray of the neck (cervical spine) | $270 | $360 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $210 | $282 | $40 |
| X-ray of the pelvis | $282 | $291 | $36 |
| X-ray of the pelvis (1 view) | $275 | $267 | $28 |
| X-ray of the ribs | $279 | $304 | $42 |
| X-ray of the ribs (2 views) | $210 | $304 | $36 |
| X-ray of the ribs (3 views) | $279 | $320 | $42 |
| X-ray of the shoulder | $432 | $306 | $36 |
| X-ray of the skull | $303 | $345 | $40 |
| X-ray of the upper arm | $562 | $246 | $32 |
| X-ray of the wrist | $436 | $284 | $43 |
| Zinc blood test | $135 | $44 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.