| Procedure | Sanford Medical Center Aberdeen | Bowdle Hospital-CAH | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $87 | $111 | $51 |
| Abdominal ultrasound | $847 | $1,134 | $100 |
| Abdominal ultrasound (complete) | $953 | $1,675 | $114 |
| Abdominal ultrasound (limited) | $742 | $1,134 | $86 |
| Blood transfusion | $980 | $734 | $47 |
| Bone density scan (DEXA) | $491 | $622 | $39 |
| Burn dressing and debridement (small) | $339 | $173 | $93 |
| Burn treatment | $367 | $173 | $129 |
| Cardiac rehabilitation | $253 | $346 | $26 |
| Carotid artery ultrasound | $964 | $1,214 | $156 |
| Chest tube insertion | $1,183 | $580 | $143 |
| Chest X-ray | $367 | $432 | $37 |
| Chest X-ray (1 view) | $289 | $393 | $25 |
| Chest X-ray (2 views) | $333 | $471 | $33 |
| CT angiography of the chest | $2,884 | $4,062 | $281 |
| CT angiography of the head | $3,008 | $3,667 | $274 |
| CT scan of the abdomen | $2,554 | $2,450 | $230 |
| CT scan of the abdomen and pelvis | $4,120 | $6,413 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $4,808 | $6,413 | $338 |
| CT scan of the abdomen and pelvis with contrast | $4,120 | $6,998 | $300 |
| CT scan of the abdomen and pelvis without contrast | $4,120 | $5,832 | $183 |
| CT scan of the abdomen with and without contrast | $3,160 | $2,450 | $259 |
| CT scan of the arm | $2,087 | $3,385 | $199 |
| CT scan of the arm without contrast | $1,915 | $3,385 | $161 |
| CT scan of the chest | $2,472 | $3,176 | $167 |
| CT scan of the chest with and without contrast | $2,921 | $3,176 | $196 |
| CT scan of the chest with contrast | $2,472 | $3,586 | $167 |
| CT scan of the chest without contrast | $2,060 | $2,541 | $133 |
| CT scan of the head | $2,151 | $2,317 | $148 |
| CT scan of the head without contrast | $1,978 | $2,317 | $107 |
| CT scan of the leg | $2,376 | $3,597 | $166 |
| CT scan of the leg without contrast | $2,224 | $3,597 | $130 |
| CT scan of the lower back (lumbar spine) | $2,472 | $2,611 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $2,472 | $2,611 | $130 |
| CT scan of the neck | $2,427 | $3,518 | $183 |
| CT scan of the neck (cervical spine) | $2,402 | $2,611 | $168 |
| CT scan of the neck (cervical spine) without contrast | $2,199 | $2,611 | $131 |
| CT scan of the neck with and without contrast | $2,656 | $3,667 | $220 |
| CT scan of the neck with contrast | $2,427 | $3,518 | $183 |
| CT scan of the neck without contrast | $2,358 | $3,098 | $150 |
| CT scan of the sinuses | $2,266 | $2,611 | $152 |
| CT scan of the sinuses without contrast | $1,854 | $2,611 | $128 |
| Echocardiogram | $1,255 | $1,428 | $138 |
| Echocardiogram with and without contrast | $842 | $1,163 | $101 |
| EKG / ECG (tracing only) | $228 | $306 | $7 |
| Electrocardiogram (EKG) | $228 | $306 | $8 |
| Emergency department visit | $712 | $690 | $69 |
| Emergency department visit (level 2) | $510 | $483 | $40 |
| Emergency department visit (level 3) | $712 | $690 | $69 |
| Emergency department visit (level 4) | $985 | $937 | $118 |
| Emergency department visit (level 5) | $1,570 | $1,352 | $171 |
| IV infusion therapy | $306 | $233 | $44 |
| IV infusion therapy (each additional) | $162 | $181 | $21 |
| IV infusion therapy (initial) | $450 | $341 | $67 |
| Joint aspiration (small/intermediate) | $488 | $118 | $57 |
| Joint aspiration or injection (mid-size joint) | $504 | $238 | $57 |
| Joint aspiration or injection (small joint) | $471 | $118 | $56 |
| Kidney ultrasound | $741 | $1,089 | $84 |
| Kidney ultrasound (limited) | $627 | $976 | $61 |
| Knee joint injection | $754 | $317 | $69 |
| Leg vein ultrasound (Doppler) | $1,130 | $1,040 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $974 | $1,040 | $116 |
| MRI of the brain | $3,315 | $4,731 | $269 |
| MRI of the brain without contrast | $2,930 | $4,217 | $195 |
| MRI of the knee | $3,254 | $3,667 | $315 |
| MRI of the knee without contrast | $3,254 | $3,667 | $204 |
| MRI of the lower back (lumbar spine) | $3,348 | $4,091 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $3,254 | $4,091 | $192 |
| MRI of the neck (cervical spine) | $3,254 | $4,512 | $274 |
| MRI of the neck (cervical spine) without contrast | $3,254 | $4,512 | $191 |
| MRI of the shoulder | $3,254 | $3,385 | $313 |
| MRI of the shoulder without contrast | $3,254 | $3,385 | $205 |
| Nebulizer breathing treatment | $151 | $104 | $9 |
| Occupational therapy evaluation | $267 | $327 | $101 |
| Occupational therapy evaluation (high complexity) | $366 | $389 | $101 |
| Occupational therapy evaluation (low complexity) | $257 | $277 | $101 |
| Occupational therapy evaluation (moderate complexity) | $267 | $327 | $101 |
| Office visit (established patient) | $201 | $317 | $115 |
| Office visit, established patient (level 3) | $168 | $317 | $95 |
| Pelvic ultrasound | $731 | $1,247 | $78 |
| Pelvic ultrasound (complete) | $821 | $1,247 | $105 |
| Physical therapy evaluation | $243 | $302 | $98 |
| Physical therapy evaluation (moderate complexity) | $243 | $327 | $98 |
| Pneumonia vaccine | $109 | $213 | — |
| Scoliosis spine X-ray | $416 | $511 | $58 |
| Scoliosis spine X-ray (1 view) | $390 | $511 | $44 |
| Scrotal ultrasound | $726 | $791 | $99 |
| Simple laceration repair (small, up to 2.5 cm) | $343 | $107 | $114 |
| Simple wound stitches | $353 | $107 | $127 |
| Skin biopsy | $607 | $164 | $121 |
| Sleep study (polysomnography) | $4,078 | $2,879 | $691 |
| Soft tissue ultrasound | $450 | $536 | $64 |
| Speech therapy | $314 | $308 | $76 |
| Swallow study | $410 | $333 | $85 |
| Thyroid ultrasound | $742 | $958 | $109 |
| Transvaginal ultrasound | $743 | $1,306 | $118 |
| Trigger point injection | $503 | $170 | $56 |
| Trigger point injection (1-2 muscles) | $503 | $114 | $52 |
| Vaccine administration | $69 | $64 | $19 |
| Vaccine administration (each additional) | $55 | $64 | $16 |
| X-ray of the abdomen | $386 | $447 | $36 |
| X-ray of the ankle | $380 | $459 | $37 |
| X-ray of the collarbone | $314 | $440 | $33 |
| X-ray of the elbow | $380 | $549 | $33 |
| X-ray of the facial bones | $341 | $574 | $39 |
| X-ray of the foot | $380 | $425 | $34 |
| X-ray of the forearm | $249 | $536 | $29 |
| X-ray of the hand | $252 | $447 | $38 |
| X-ray of the hip | $339 | $332 | $49 |
| X-ray of the hip (3 views) | $339 | $332 | $49 |
| X-ray of the knee | $385 | $319 | $42 |
| X-ray of the knee (2 views) | $314 | $355 | $34 |
| X-ray of the knee (3 views) | $385 | $283 | $42 |
| X-ray of the lower back (lumbar spine) | $519 | $704 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $439 | $704 | $40 |
| X-ray of the lower leg | $342 | $553 | $31 |
| X-ray of the mid-back (thoracic spine) | $447 | $737 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $401 | $723 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $494 | $751 | $39 |
| X-ray of the neck (cervical spine) | $473 | $891 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $432 | $891 | $40 |
| X-ray of the pelvis | $371 | $393 | $36 |
| X-ray of the pelvis (1 view) | $332 | $393 | $28 |
| X-ray of the ribs | $320 | $464 | $42 |
| X-ray of the ribs (2 views) | $295 | $440 | $36 |
| X-ray of the ribs (3 views) | $426 | $488 | $42 |
| X-ray of the shoulder | $380 | $447 | $36 |
| X-ray of the upper arm | $268 | $525 | $32 |
| X-ray of the wrist | $289 | $447 | $43 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
