| Procedure | Self Regional Healthcare | Shriners Hospitals for Children | Medicare |
|---|
| Abdominal ultrasound | $440 | $856 | $100 |
| Abdominal ultrasound (complete) | $667 | $856 | $114 |
| Abdominal ultrasound (limited) | $440 | $714 | $86 |
| Abscess drainage (complex or multiple) | $521 | $2,420 | $220 |
| Abscess drainage (simple) | $364 | $417 | $129 |
| Abscess incision and drainage | $443 | $1,418 | $174 |
| Albumin blood test | $24 | $43 | $5 |
| Aldosterone test | $75 | $413 | $41 |
| Alkaline phosphatase test | $28 | $54 | $5 |
| Alpha-fetoprotein (AFP) test | $34 | $175 | $17 |
| ALT liver enzyme test | $28 | $55 | $5 |
| Ammonia blood test | $46 | $152 | $15 |
| Amylase test | $24 | $67 | $6 |
| Antinuclear antibody (ANA) test | $69 | $126 | $12 |
| Arterial blood gas (ABG) | $155 | $391 | $26 |
| AST liver enzyme test | $28 | $54 | $5 |
| Barium swallow study | $392 | $642 | $107 |
| Basic metabolic panel | $36 | $88 | $8 |
| Benign skin lesion removal | $928 | $5,076 | $171 |
| Bilirubin blood test | $21 | $115 | $5 |
| Blood clotting test (PT/INR) | $27 | $41 | $4 |
| Blood crossmatch | $150 | $108 | — |
| Blood glucose test | $21 | $41 | $5 |
| Blood transfusion | $331 | $2,538 | $47 |
| Blood type and screen | $64 | $108 | $10 |
| Blood type test | $56 | $124 | $3 |
| Blood type test (ABO group) | $90 | $93 | $3 |
| Blood type test (Rh/D antigen) | $21 | $246 | $3 |
| BNP (heart failure) test | $102 | $353 | $39 |
| Bone density scan (DEXA) | $358 | $532 | $39 |
| Bone scan (nuclear) | $1,199 | $1,427 | $259 |
| Breathing tube insertion (intubation) | $515 | $1,156 | $133 |
| Burn dressing and debridement (medium) | $369 | $1,171 | $166 |
| Burn dressing and debridement (small) | $289 | $799 | $93 |
| Burn treatment | $332 | $1,171 | $129 |
| C-reactive protein (CRP) | $22 | $54 | $5 |
| Calcium blood test | $21 | $54 | $5 |
| Celiac disease test | $23 | $75 | $12 |
| Chemotherapy infusion | $610 | $1,264 | $81 |
| Chemotherapy infusion (each additional) | $588 | $435 | $28 |
| Chemotherapy infusion (first hour) | $632 | $2,093 | $133 |
| Chest X-ray | $237 | $395 | $37 |
| Chest X-ray (1 view) | $192 | $329 | $25 |
| Chest X-ray (2 views) | $234 | $395 | $33 |
| Circumcision | $3,731 | $6,547 | $167 |
| Clotting time test (PTT) | $39 | $63 | $6 |
| Colonoscopy | $2,148 | $5,334 | $480 |
| Complete blood count (CBC) | $36 | $81 | $7 |
| Complete blood count (CBC) (complete) | $36 | $81 | $8 |
| Complex wound repair | $1,300 | $3,768 | $390 |
| Comprehensive metabolic panel | $48 | $110 | $11 |
| Copper blood test | $39 | $86 | $12 |
| Cortisol test | $68 | $170 | $16 |
| COVID-19 PCR test | $54 | $108 | $51 |
| CPAP titration study | $453 | $699 | $69 |
| Creatine kinase (CK) test | $24 | $68 | $7 |
| CT angiography of the chest | $1,200 | $2,497 | $281 |
| CT angiography of the head | $1,080 | $2,497 | $274 |
| CT scan of the abdomen | $1,020 | $2,178 | $230 |
| CT scan of the abdomen and pelvis | $2,040 | $4,130 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $2,040 | $4,130 | $338 |
| CT scan of the abdomen and pelvis with contrast | $2,040 | $4,130 | $300 |
| CT scan of the abdomen and pelvis without contrast | $1,800 | $2,911 | $183 |
| CT scan of the abdomen with and without contrast | $1,200 | $2,446 | $259 |
| CT scan of the abdomen with contrast | $1,020 | $2,178 | $230 |
| CT scan of the abdomen without contrast | $780 | $1,430 | $136 |
| CT scan of the arm | $1,410 | $2,178 | $199 |
| CT scan of the arm with contrast | $1,350 | $2,178 | $199 |
| CT scan of the arm without contrast | $1,491 | $1,430 | $161 |
| CT scan of the chest | $660 | $2,178 | $167 |
| CT scan of the chest with and without contrast | $1,200 | $2,446 | $196 |
| CT scan of the chest with contrast | $660 | $2,178 | $167 |
| CT scan of the chest without contrast | $480 | $1,430 | $133 |
| CT scan of the head | $960 | $2,178 | $148 |
| CT scan of the head with and without contrast | $1,080 | $2,446 | $173 |
| CT scan of the head with contrast | $960 | $2,178 | $148 |
| CT scan of the head without contrast | $660 | $1,430 | $107 |
| CT scan of the leg | $1,170 | $2,178 | $166 |
| CT scan of the leg with contrast | $1,170 | $2,178 | $166 |
| CT scan of the leg without contrast | $990 | $1,430 | $130 |
| CT scan of the lower back (lumbar spine) | $1,080 | $6,534 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,200 | $7,337 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,080 | $6,534 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $960 | $4,291 | $130 |
| CT scan of the neck | $960 | $2,178 | $183 |
| CT scan of the neck (cervical spine) | $1,020 | $6,534 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $1,200 | $7,337 | $196 |
| CT scan of the neck (cervical spine) with contrast | $1,020 | $6,534 | $168 |
| CT scan of the neck (cervical spine) without contrast | $960 | $4,291 | $131 |
| CT scan of the neck with and without contrast | $1,080 | $2,446 | $220 |
| CT scan of the neck with contrast | $960 | $2,178 | $183 |
| CT scan of the neck without contrast | $660 | $1,430 | $150 |
| CT scan of the pelvis | $1,020 | $2,178 | $226 |
| CT scan of the pelvis with and without contrast | $1,200 | $2,446 | $251 |
| CT scan of the pelvis with contrast | $1,020 | $2,178 | $226 |
| CT scan of the pelvis without contrast | $660 | $1,430 | $133 |
| CT scan of the sinuses | $960 | $2,178 | $152 |
| CT scan of the sinuses with and without contrast | $1,020 | $2,446 | $184 |
| CT scan of the sinuses with contrast | $960 | $2,178 | $152 |
| CT scan of the sinuses without contrast | $480 | $1,430 | $128 |
| D-dimer test | $48 | $106 | $10 |
| Developmental screening (child) | $19 | $110 | — |
| DHEA-sulfate test | $78 | $226 | $22 |
| Drug screen (urine) | $72 | $147 | $17 |
| Ear pressure test (tympanometry) | $71 | $248 | $16 |
| EKG / ECG (tracing only) | $245 | $195 | $7 |
| Electrocardiogram (EKG) | $245 | $195 | $8 |
| Electrolyte panel | $33 | $73 | $7 |
| Electromyography (EMG) | $343 | $753 | $141 |
| Estradiol (estrogen) test | $75 | $280 | $28 |
| Facet joint injection (spine) | $1,299 | $5,527 | $99 |
| Ferritin (iron) test | $42 | $142 | $14 |
| Fibrinogen test | $96 | $89 | $10 |
| Flu test | $42 | $120 | $17 |
| Folate (folic acid) test | $54 | $153 | $15 |
| Free T4 thyroid test | $42 | $94 | $9 |
| FSH hormone test | $59 | $193 | $19 |
| GGT liver test | $24 | $75 | $7 |
| Glucose tolerance test | $27 | $131 | $8 |
| HDL cholesterol test | $27 | $84 | $8 |
| Hearing test (audiometry) | $282 | $965 | $36 |
| Hematocrit test | $28 | $25 | $2 |
| Hemoglobin A1c (diabetes test) | $31 | $101 | $10 |
| Hepatitis B test | $48 | $107 | $10 |
| Hepatitis C test | $48 | $149 | $14 |
| HIV test | $71 | $197 | $19 |
| HIV test (antibody) | $69 | $143 | $14 |
| HIV test (antigen/antibody combo) | $72 | $250 | $24 |
| Iron blood test | $32 | $67 | $6 |
| IV infusion therapy | $293 | $547 | $44 |
| IV infusion therapy (each additional) | $244 | $181 | $21 |
| IV infusion therapy (initial) | $342 | $913 | $67 |
| Joint aspiration (small/intermediate) | $720 | $1,763 | $57 |
| Joint aspiration or injection (mid-size joint) | $866 | $1,763 | $57 |
| Joint aspiration or injection (small joint) | $656 | $1,763 | $56 |
| Kidney ultrasound | $398 | $856 | $84 |
| Kidney ultrasound (limited) | $447 | $714 | $61 |
| Knee joint injection | $983 | $3,863 | $69 |
| Lactate test | $78 | $111 | $12 |
| Laryngoscopy | $386 | $1,159 | $189 |
| LDH test | $27 | $63 | $6 |
| LDL cholesterol test | $20 | $68 | $11 |
| Leg vein ultrasound (Doppler) | $586 | $714 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $586 | $714 | $116 |
| LH hormone test | $59 | $193 | $19 |
| Lipase test | $35 | $72 | $7 |
| Lipid (cholesterol) panel | $51 | $139 | $13 |
| Liver function panel | $33 | $85 | $8 |
| Lung function test (PFT) | $332 | $560 | $37 |
| Magnesium blood test | $32 | $70 | $7 |
| MRA of the brain | $1,200 | $3,109 | $226 |
| MRA of the brain with contrast | $1,200 | $3,109 | $226 |
| MRA of the brain without contrast | $1,380 | $3,926 | $328 |
| MRA of the neck | $1,709 | $3,109 | $245 |
| MRA of the neck without contrast | $2,339 | $3,926 | $343 |
| MRI of the abdomen | $1,320 | $3,109 | $300 |
| MRI of the abdomen without contrast | $1,200 | $2,563 | $194 |
| MRI of the ankle | $1,740 | $3,109 | $261 |
| MRI of the ankle with contrast | $1,800 | $3,109 | $261 |
| MRI of the ankle without contrast | $1,530 | $2,563 | $222 |
| MRI of the brain | $1,380 | $3,109 | $269 |
| MRI of the brain with contrast | $1,380 | $3,109 | $269 |
| MRI of the brain without contrast | $1,020 | $2,563 | $195 |
| MRI of the chest | $1,200 | $3,109 | $371 |
| MRI of the chest with contrast | $491 | $3,109 | $371 |
| MRI of the chest without contrast | $1,440 | $3,926 | $466 |
| MRI of the knee | $1,920 | $3,109 | $315 |
| MRI of the knee with contrast | $1,800 | $3,109 | $315 |
| MRI of the knee without contrast | $1,800 | $2,563 | $204 |
| MRI of the lower back (lumbar spine) | $1,380 | $8,666 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $1,380 | $8,666 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,200 | $7,144 | $192 |
| MRI of the mid-back (thoracic spine) | $1,320 | $8,666 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $1,440 | $10,944 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $1,320 | $8,666 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $1,200 | $7,144 | $190 |
| MRI of the neck (cervical spine) | $1,380 | $8,883 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $1,800 | $11,218 | $318 |
| MRI of the neck (cervical spine) with contrast | $1,380 | $8,883 | $274 |
| MRI of the neck (cervical spine) without contrast | $1,200 | $7,323 | $191 |
| MRI of the pelvis | $1,320 | $3,109 | $268 |
| MRI of the pelvis without contrast | $1,200 | $2,563 | $227 |
| MRI of the shoulder | $1,920 | $3,109 | $313 |
| MRI of the shoulder with contrast | $1,980 | $3,109 | $313 |
| MRI of the shoulder without contrast | $1,800 | $2,563 | $205 |
| MRI of the wrist | $1,740 | $3,109 | $330 |
| MRI of the wrist without contrast | $1,530 | $2,563 | $303 |
| Nebulizer breathing treatment | $154 | $201 | $9 |
| Nerve conduction study | $374 | $1,940 | $118 |
| Occupational therapy evaluation | $230 | $415 | $101 |
| Occupational therapy evaluation (high complexity) | $282 | $664 | $101 |
| Occupational therapy evaluation (low complexity) | $208 | $332 | $101 |
| Occupational therapy evaluation (moderate complexity) | $230 | $498 | $101 |
| Office visit (established patient) | $143 | $346 | $115 |
| Office visit (new patient) | $222 | $731 | $177 |
| Office visit, established patient (level 3) | $137 | $346 | $95 |
| Office visit, established patient (level 4) | $148 | $346 | $136 |
| Office visit, new patient (level 3) | $206 | $481 | $118 |
| Office visit, new patient (level 4) | $222 | $713 | $177 |
| Office visit, new patient (level 5) | $334 | $731 | $237 |
| Parathyroid hormone (PTH) test | $114 | $429 | $41 |
| Pelvic ultrasound | $447 | $745 | $78 |
| Pelvic ultrasound (complete) | $555 | $745 | $105 |
| Pelvic ultrasound (limited) | $338 | $745 | $51 |
| Phosphorus blood test | $32 | $49 | $5 |
| Physical therapy evaluation | $226 | $261 | $98 |
| Physical therapy evaluation (high complexity) | $280 | $588 | $98 |
| Physical therapy evaluation (moderate complexity) | $226 | $392 | $98 |
| Platelet count | $19 | $47 | $4 |
| Pregnancy blood test (hCG) | $36 | $78 | $8 |
| Procalcitonin test | $87 | $185 | $27 |
| Prolactin test | $54 | $194 | $19 |
| Sacroiliac joint injection | $965 | $162 | $176 |
| Scoliosis spine X-ray | $300 | $368 | $58 |
| Scoliosis spine X-ray (1 view) | $232 | $329 | $44 |
| Scoliosis spine X-ray (3 views) | $367 | $368 | $72 |
| Scrotal ultrasound | $496 | $688 | $99 |
| Sedimentation rate (ESR) test | $27 | $32 | $3 |
| Sex hormone binding globulin test | $48 | $79 | $22 |
| Simple wound stitches | $406 | $1,171 | $127 |
| Skin lesion freezing (cryotherapy) | $100 | $878 | $36 |
| Skin tag removal | $281 | $1,171 | $92 |
| Soft tissue ultrasound | $309 | $714 | $64 |
| Speech therapy | $143 | $490 | $76 |
| Spinal tap (lumbar puncture) | $851 | $4,115 | $165 |
| Spirometry (lung function test) | $229 | $420 | $30 |
| Spirometry with bronchodilator | $435 | $699 | $43 |
| Strep throat test | $36 | $125 | $17 |
| Swallow study | $154 | $781 | $85 |
| T3 thyroid test | $58 | $148 | $14 |
| Testosterone test | $73 | $262 | $26 |
| Thyroid test (TSH) | $54 | $175 | $17 |
| Thyroid ultrasound | $474 | $714 | $109 |
| Total IgE allergy test | $30 | $171 | $16 |
| Total protein test | $26 | $38 | $4 |
| Trigger point injection | $436 | $1,763 | $56 |
| Trigger point injection (1-2 muscles) | $406 | $3,591 | $52 |
| Triglycerides test | $32 | $60 | $6 |
| Troponin (heart) test | $48 | $102 | $12 |
| Upper GI endoscopy (EGD) | $2,041 | $5,334 | $371 |
| Upper GI series (barium) | $422 | $1,038 | $128 |
| Uric acid (gout) test | $29 | $47 | $5 |
| Urinalysis | $24 | $28 | $3 |
| Urine microalbumin test | $33 | $36 | $5 |
| Urine pregnancy test | $18 | $65 | $9 |
| Vitamin B12 test | $48 | $157 | $15 |
| Vitamin D test | $94 | $308 | $30 |
| Wart removal | $372 | $1,171 | $121 |
| Wound debridement | $622 | $4,833 | $186 |
| X-ray of the abdomen | $246 | $395 | $36 |
| X-ray of the ankle | $372 | $515 | $37 |
| X-ray of the collarbone | $331 | $329 | $33 |
| X-ray of the elbow | $371 | $515 | $33 |
| X-ray of the facial bones | $278 | $362 | $39 |
| X-ray of the foot | $367 | $515 | $34 |
| X-ray of the forearm | $335 | $412 | $29 |
| X-ray of the hand | $370 | $515 | $38 |
| X-ray of the hip | $240 | $240 | $49 |
| X-ray of the hip (1 view) | $179 | $163 | $34 |
| X-ray of the hip (3 views) | $240 | $240 | $49 |
| X-ray of the hip (4 views) | $386 | $297 | $63 |
| X-ray of the knee | $374 | $412 | $42 |
| X-ray of the knee (2 views) | $329 | $329 | $34 |
| X-ray of the knee (3 views) | $399 | $412 | $42 |
| X-ray of the knee (4+ views) | $463 | $515 | $49 |
| X-ray of the lower back (lumbar spine) | $347 | $440 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $285 | $329 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $408 | $552 | $53 |
| X-ray of the lower leg | $354 | $412 | $31 |
| X-ray of the mid-back (thoracic spine) | $280 | $362 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $251 | $329 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $309 | $395 | $39 |
| X-ray of the neck (cervical spine) | $320 | $329 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $260 | $329 | $40 |
| X-ray of the pelvis | $238 | $329 | $36 |
| X-ray of the pelvis (1 view) | $214 | $329 | $28 |
| X-ray of the ribs | $301 | $515 | $42 |
| X-ray of the ribs (2 views) | $242 | $412 | $36 |
| X-ray of the ribs (3 views) | $301 | $515 | $42 |
| X-ray of the shoulder | $386 | $412 | $36 |
| X-ray of the skull | $305 | $329 | $40 |
| X-ray of the upper arm | $227 | $412 | $32 |
| X-ray of the wrist | $364 | $515 | $43 |
| Zinc blood test | $18 | $119 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
