| Procedure | Self Regional Healthcare | Union Medical Center | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $103 | $143 | $51 |
| Abdominal fluid drain (paracentesis) | $1,537 | $1,360 | $284 |
| Abdominal ultrasound | $440 | $293 | $100 |
| Abdominal ultrasound (complete) | $667 | $537 | $114 |
| Abdominal ultrasound (limited) | $440 | $293 | $86 |
| Abscess drainage (complex or multiple) | $521 | $557 | $220 |
| Abscess drainage (simple) | $364 | $337 | $129 |
| Abscess incision and drainage | $443 | $447 | $174 |
| Albumin blood test | $24 | $42 | $5 |
| Aldosterone test | $75 | $215 | $41 |
| Alkaline phosphatase test | $28 | $128 | $5 |
| Alpha-fetoprotein (AFP) test | $34 | $114 | $17 |
| ALT liver enzyme test | $28 | $45 | $5 |
| Ammonia blood test | $46 | $119 | $15 |
| Amylase test | $24 | $150 | $6 |
| Annual physical (established patient) | $255 | $159 | — |
| Annual physical (new patient) | $261 | $179 | — |
| Anoscopy | $234 | $148 | $129 |
| Antinuclear antibody (ANA) test | $69 | $75 | $12 |
| Arterial blood gas (ABG) | $155 | $176 | $26 |
| AST liver enzyme test | $28 | $44 | $5 |
| Barium swallow study | $392 | $466 | $107 |
| Bartholin cyst removal | $536 | $381 | $182 |
| Basic metabolic panel | $36 | $45 | $8 |
| Benign skin lesion removal | $928 | $346 | $171 |
| Bilirubin blood test | $21 | $42 | $5 |
| Blood clotting test (PT/INR) | $27 | $34 | $4 |
| Blood crossmatch | $150 | $116 | — |
| Blood glucose test | $21 | $34 | $5 |
| Blood transfusion | $331 | $1,335 | $47 |
| Blood type and screen | $64 | $86 | $10 |
| Blood type test | $56 | $32 | $3 |
| Blood type test (ABO group) | $90 | $32 | $3 |
| Blood type test (Rh/D antigen) | $21 | $30 | $3 |
| BNP (heart failure) test | $102 | $324 | $39 |
| Bone density scan (DEXA) | $358 | $290 | $39 |
| Bone marrow biopsy | $4,260 | $345 | $172 |
| Bone scan (nuclear) | $1,199 | $1,877 | $259 |
| Botox for migraine | $531 | $742 | $157 |
| Breast MRI | $660 | $2,091 | $216 |
| Breast MRI without contrast | $660 | $2,091 | $216 |
| Breast ultrasound | $324 | $341 | $92 |
| Breast ultrasound (complete) | $498 | $370 | $100 |
| Breast ultrasound (limited) | $237 | $225 | $84 |
| Breathing tube insertion (intubation) | $515 | $619 | $133 |
| Burn dressing and debridement (medium) | $369 | $961 | $166 |
| Burn dressing and debridement (small) | $289 | $767 | $93 |
| Burn treatment | $332 | $816 | $129 |
| C-reactive protein (CRP) | $22 | $67 | $5 |
| CA 19-9 tumor marker test | $60 | $177 | $21 |
| CA-125 ovarian marker test | $60 | $139 | $21 |
| Calcium blood test | $21 | $44 | $5 |
| Cardiac MRI | $399 | $1,958 | $322 |
| Cardiac MRI without contrast | $307 | $1,445 | $280 |
| Cardiac stress test | $1,029 | $1,436 | $39 |
| Cardioversion | $1,370 | $2,084 | $155 |
| Carotid artery ultrasound | $558 | $1,022 | $156 |
| CEA tumor marker test | $80 | $158 | $19 |
| Celiac disease test | $23 | $23 | $12 |
| Central line placement | $1,966 | $1,736 | $238 |
| Cervical LEEP procedure | $5,723 | $970 | $325 |
| Chemotherapy infusion | $610 | $707 | $81 |
| Chemotherapy infusion (each additional) | $588 | $425 | $28 |
| Chemotherapy infusion (first hour) | $632 | $989 | $133 |
| Chest fluid drain (thoracentesis) | $2,345 | $1,849 | $311 |
| Chest tube insertion | $1,638 | $988 | $143 |
| Chest X-ray | $237 | $66 | $37 |
| Chest X-ray (1 view) | $192 | $26 | $25 |
| Chest X-ray (2 views) | $234 | $47 | $33 |
| Chickenpox (varicella) vaccine | $437 | $293 | — |
| CK-MB heart enzyme test | $24 | $115 | $12 |
| Clotting time test (PTT) | $39 | $37 | $6 |
| Colposcopy | $548 | $419 | $161 |
| Complete blood count (CBC) | $36 | $64 | $7 |
| Complete blood count (CBC) (complete) | $36 | $70 | $8 |
| Complex wound repair | $1,300 | $1,027 | $390 |
| Comprehensive metabolic panel | $48 | $59 | $11 |
| Contraceptive implant (Nexplanon) | $718 | $432 | $115 |
| Copper blood test | $39 | $105 | $12 |
| Coronary CT angiography | $630 | $1,672 | $326 |
| Cortisol test | $68 | $136 | $16 |
| COVID-19 PCR test | $54 | $71 | $51 |
| CPAP titration study | $453 | $551 | $69 |
| Creatine kinase (CK) test | $24 | $42 | $7 |
| CT angiography of the chest | $1,200 | $1,963 | $281 |
| CT angiography of the head | $1,080 | $2,306 | $274 |
| CT scan of the abdomen | $1,020 | $1,550 | $230 |
| CT scan of the abdomen and pelvis | $2,040 | $4,180 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $2,040 | $4,937 | $338 |
| CT scan of the abdomen and pelvis with contrast | $2,040 | $4,180 | $300 |
| CT scan of the abdomen and pelvis without contrast | $1,800 | $2,705 | $183 |
| CT scan of the abdomen with and without contrast | $1,200 | $1,843 | $259 |
| CT scan of the abdomen with contrast | $1,020 | $1,550 | $230 |
| CT scan of the abdomen without contrast | $780 | $986 | $136 |
| CT scan of the arm | $1,410 | $1,900 | $199 |
| CT scan of the arm with contrast | $1,350 | $1,900 | $199 |
| CT scan of the arm without contrast | $1,491 | $1,553 | $161 |
| CT scan of the chest | $660 | $2,002 | $167 |
| CT scan of the chest with and without contrast | $1,200 | $2,495 | $196 |
| CT scan of the chest with contrast | $660 | $2,002 | $167 |
| CT scan of the chest without contrast | $480 | $1,165 | $133 |
| CT scan of the head | $960 | $1,717 | $148 |
| CT scan of the head with and without contrast | $1,080 | $2,181 | $173 |
| CT scan of the head with contrast | $960 | $1,717 | $148 |
| CT scan of the head without contrast | $660 | $1,165 | $107 |
| CT scan of the leg | $1,170 | $1,717 | $166 |
| CT scan of the leg with contrast | $1,170 | $1,717 | $166 |
| CT scan of the leg without contrast | $990 | $1,553 | $130 |
| CT scan of the lower back (lumbar spine) | $1,080 | $2,180 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,200 | $2,662 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,080 | $2,180 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $960 | $1,729 | $130 |
| CT scan of the neck | $960 | $2,000 | $183 |
| CT scan of the neck (cervical spine) | $1,020 | $2,153 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $1,200 | $2,259 | $196 |
| CT scan of the neck (cervical spine) with contrast | $1,020 | $2,153 | $168 |
| CT scan of the neck (cervical spine) without contrast | $960 | $1,478 | $131 |
| CT scan of the neck with and without contrast | $1,080 | $3,012 | $220 |
| CT scan of the neck with contrast | $960 | $2,000 | $183 |
| CT scan of the neck without contrast | $660 | $986 | $150 |
| CT scan of the pelvis | $1,020 | $1,788 | $226 |
| CT scan of the pelvis with and without contrast | $1,200 | $1,973 | $251 |
| CT scan of the pelvis with contrast | $1,020 | $1,788 | $226 |
| CT scan of the pelvis without contrast | $660 | $1,165 | $133 |
| CT scan of the sinuses | $960 | $1,912 | $152 |
| CT scan of the sinuses with and without contrast | $1,020 | $2,125 | $184 |
| CT scan of the sinuses with contrast | $960 | $1,912 | $152 |
| CT scan of the sinuses without contrast | $480 | $1,220 | $128 |
| D-dimer test | $48 | $97 | $10 |
| Developmental screening (child) | $19 | $43 | — |
| DHEA-sulfate test | $78 | $152 | $22 |
| Diagnostic mammogram | $125 | $390 | $140 |
| Drug screen (urine) | $72 | $216 | $17 |
| Ear pressure test (tympanometry) | $71 | $52 | $16 |
| Echocardiogram | $676 | $1,193 | $138 |
| Echocardiogram with and without contrast | $471 | $497 | $101 |
| EKG / ECG (tracing only) | $245 | $55 | $7 |
| Electrocardiogram (EKG) | $245 | $55 | $8 |
| Electrolyte panel | $33 | $105 | $7 |
| Emergency department visit | $393 | $778 | $69 |
| Emergency department visit (level 1) | $114 | $265 | $11 |
| Emergency department visit (level 2) | $212 | $521 | $40 |
| Emergency department visit (level 3) | $393 | $778 | $69 |
| Emergency department visit (level 4) | $732 | $1,484 | $118 |
| Emergency department visit (level 5) | $1,361 | $2,181 | $171 |
| Endometrial biopsy | $319 | $289 | $98 |
| Epidural steroid injection | $1,396 | $1,445 | $275 |
| Estradiol (estrogen) test | $75 | $121 | $28 |
| Facet joint injection (spine) | $1,299 | $803 | $99 |
| Fecal occult blood (stool) test | $26 | $30 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $25 | $30 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $27 | $58 | $16 |
| Ferritin (iron) test | $42 | $84 | $14 |
| Fibrinogen test | $96 | $87 | $10 |
| Flu test | $42 | $72 | $17 |
| Folate (folic acid) test | $54 | $74 | $15 |
| Foreign body removal (skin) | $439 | $436 | $157 |
| Free T4 thyroid test | $42 | $79 | $9 |
| FSH hormone test | $59 | $121 | $19 |
| Gallbladder scan (HIDA) | $1,121 | $3,093 | $334 |
| GGT liver test | $24 | $63 | $7 |
| Glucose tolerance test | $27 | $79 | $8 |
| H. pylori test | $138 | $347 | $67 |
| HDL cholesterol test | $27 | $47 | $8 |
| Hematocrit test | $28 | $20 | $2 |
| Hemoglobin A1c (diabetes test) | $31 | $81 | $10 |
| Hepatitis A vaccine | $378 | $104 | — |
| Hepatitis B test | $48 | $30 | $10 |
| Hepatitis B vaccine | $353 | $70 | — |
| Hepatitis C test | $48 | $79 | $14 |
| HIV test | $71 | $97 | $19 |
| HIV test (antibody) | $69 | $160 | $14 |
| HIV test (antigen/antibody combo) | $72 | $97 | $24 |
| Holter heart monitor | $381 | $833 | $26 |
| HPV vaccine | $736 | $458 | — |
| Iron blood test | $32 | $50 | $6 |
| IUD insertion | $927 | $307 | — |
| IUD removal | $541 | $262 | $112 |
| IV infusion therapy | $293 | $438 | $44 |
| IV infusion therapy (each additional) | $244 | $115 | $21 |
| IV infusion therapy (initial) | $342 | $761 | $67 |
| Joint aspiration (small/intermediate) | $720 | $466 | $57 |
| Joint aspiration or injection (mid-size joint) | $866 | $495 | $57 |
| Joint aspiration or injection (small joint) | $656 | $437 | $56 |
| Kidney scan (nuclear) | $1,116 | $2,311 | $172 |
| Kidney ultrasound | $398 | $463 | $84 |
| Kidney ultrasound (limited) | $447 | $456 | $61 |
| Knee joint injection | $983 | $574 | $69 |
| Lactate test | $78 | $93 | $12 |
| Laryngoscopy | $386 | $3,053 | $189 |
| LDH test | $27 | $87 | $6 |
| LDL cholesterol test | $20 | $47 | $11 |
| Leg vein ultrasound (Doppler) | $586 | $1,420 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $586 | $1,182 | $116 |
| LH hormone test | $59 | $158 | $19 |
| Lipase test | $35 | $40 | $7 |
| Lipid (cholesterol) panel | $51 | $76 | $13 |
| Liver function panel | $33 | $72 | $8 |
| Lung function test (PFT) | $332 | $232 | $37 |
| Lung scan (V/Q) | $1,170 | $1,558 | $291 |
| Magnesium blood test | $32 | $56 | $7 |
| MMR vaccine | $477 | $142 | — |
| MRA of the brain | $1,200 | $2,217 | $226 |
| MRA of the brain with contrast | $1,200 | $2,217 | $226 |
| MRA of the brain without contrast | $1,380 | $3,197 | $328 |
| MRA of the neck | $1,709 | $1,861 | $245 |
| MRA of the neck without contrast | $2,339 | $3,696 | $343 |
| MRI of the abdomen | $1,320 | $1,564 | $300 |
| MRI of the abdomen without contrast | $1,200 | $1,214 | $194 |
| MRI of the ankle | $1,740 | $2,039 | $261 |
| MRI of the ankle with contrast | $1,800 | $2,039 | $261 |
| MRI of the ankle without contrast | $1,530 | $1,735 | $222 |
| MRI of the brain | $1,380 | $1,916 | $269 |
| MRI of the brain with contrast | $1,380 | $1,564 | $269 |
| MRI of the brain without contrast | $1,020 | $1,982 | $195 |
| MRI of the chest | $1,200 | $1,818 | $371 |
| MRI of the chest with contrast | $491 | $2,039 | $371 |
| MRI of the knee | $1,920 | $2,142 | $315 |
| MRI of the knee with contrast | $1,800 | $2,142 | $315 |
| MRI of the knee without contrast | $1,800 | $1,765 | $204 |
| MRI of the lower back (lumbar spine) | $1,380 | $2,142 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $1,380 | $2,142 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,200 | $1,855 | $192 |
| MRI of the mid-back (thoracic spine) | $1,320 | $2,743 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $1,440 | $2,833 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $1,320 | $2,743 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $1,200 | $2,648 | $190 |
| MRI of the neck (cervical spine) | $1,380 | $2,142 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $1,800 | $2,833 | $318 |
| MRI of the neck (cervical spine) with contrast | $1,380 | $2,142 | $274 |
| MRI of the neck (cervical spine) without contrast | $1,200 | $1,855 | $191 |
| MRI of the pelvis | $1,320 | $1,504 | $268 |
| MRI of the pelvis without contrast | $1,200 | $1,156 | $227 |
| MRI of the shoulder | $1,920 | $1,489 | $313 |
| MRI of the shoulder with contrast | $1,980 | $1,489 | $313 |
| MRI of the shoulder without contrast | $1,800 | $1,214 | $205 |
| MRI of the wrist | $1,740 | $1,489 | $330 |
| MRI of the wrist without contrast | $1,530 | $1,156 | $303 |
| Nebulizer breathing treatment | $154 | $152 | $9 |
| Nuclear cardiac stress test | $2,362 | $4,073 | $428 |
| Occupational therapy evaluation | $230 | $464 | $101 |
| Occupational therapy evaluation (high complexity) | $282 | $464 | $101 |
| Occupational therapy evaluation (low complexity) | $208 | $464 | $101 |
| Occupational therapy evaluation (moderate complexity) | $230 | $464 | $101 |
| Office visit (established patient) | $143 | $119 | $115 |
| Office visit (new patient) | $222 | $208 | $177 |
| Office visit, established patient (level 3) | $137 | $89 | $95 |
| Office visit, established patient (level 4) | $148 | $119 | $136 |
| Office visit, new patient (level 3) | $206 | $118 | $118 |
| Office visit, new patient (level 4) | $222 | $160 | $177 |
| Office visit, new patient (level 5) | $334 | $212 | $237 |
| Parathyroid hormone (PTH) test | $114 | $278 | $41 |
| Pelvic ultrasound | $447 | $262 | $78 |
| Pelvic ultrasound (complete) | $555 | $455 | $105 |
| Pelvic ultrasound (limited) | $338 | $260 | $51 |
| Phosphorus blood test | $32 | $40 | $5 |
| Physical therapy evaluation | $226 | $274 | $98 |
| Physical therapy evaluation (high complexity) | $280 | $274 | $98 |
| Physical therapy evaluation (moderate complexity) | $226 | $274 | $98 |
| Pregnancy blood test (hCG) | $36 | $84 | $8 |
| Pregnancy ultrasound | $488 | $394 | $126 |
| Pregnancy ultrasound (first trimester) | $447 | $373 | $117 |
| Pregnancy ultrasound (second or third trimester) | $529 | $415 | $136 |
| Procalcitonin test | $87 | $127 | $27 |
| Prolactin test | $54 | $112 | $19 |
| Prostate test (PSA) | $57 | $125 | $18 |
| Psychiatric evaluation | $289 | $239 | $188 |
| Psychotherapy session | $289 | $184 | $140 |
| Pulmonary rehabilitation | $122 | $251 | $87 |
| Radiofrequency nerve ablation | $3,512 | $4,853 | $462 |
| Scoliosis spine X-ray | $300 | $158 | $58 |
| Scoliosis spine X-ray (1 view) | $232 | $203 | $44 |
| Scoliosis spine X-ray (3 views) | $367 | $113 | $72 |
| Screening mammogram | $155 | $345 | $126 |
| Scrotal ultrasound | $496 | $564 | $99 |
| Sedimentation rate (ESR) test | $27 | $44 | $3 |
| Sex hormone binding globulin test | $48 | $167 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $354 | $407 | $114 |
| Simple wound stitches | $406 | $408 | $127 |
| Skin biopsy | $725 | $272 | $121 |
| Skin biopsy (punch) | $725 | $275 | $121 |
| Skin cancer lesion removal | $1,266 | $425 | $240 |
| Skin lesion freezing (cryotherapy) | $100 | $60 | $36 |
| Skin tag removal | $281 | $198 | $92 |
| Sleep study (polysomnography) | $2,828 | $4,311 | $691 |
| Soft tissue ultrasound | $309 | $127 | $64 |
| Speech therapy | $143 | $398 | $76 |
| Spinal tap (lumbar puncture) | $851 | $2,297 | $165 |
| Spirometry (lung function test) | $229 | $116 | $30 |
| Spirometry with bronchodilator | $435 | $439 | $43 |
| Strep throat test | $36 | $49 | $17 |
| Swallow study | $154 | $322 | $85 |
| T3 thyroid test | $58 | $120 | $14 |
| Tdap (tetanus) vaccine | $224 | $57 | — |
| Testosterone test | $73 | $172 | $26 |
| Thyroid test (TSH) | $54 | $169 | $17 |
| Thyroid ultrasound | $474 | $312 | $109 |
| Thyroid uptake scan | $617 | $1,226 | $145 |
| Total IgE allergy test | $30 | $188 | $16 |
| Total protein test | $26 | $45 | $4 |
| Transvaginal ultrasound | $475 | $339 | $118 |
| Trigger point injection | $436 | $494 | $56 |
| Trigger point injection (1-2 muscles) | $406 | $495 | $52 |
| Triglycerides test | $32 | $17 | $6 |
| Troponin (heart) test | $48 | $365 | $12 |
| Uric acid (gout) test | $29 | $51 | $5 |
| Urinalysis | $24 | $20 | $3 |
| Urine microalbumin test | $33 | $97 | $5 |
| Urine pregnancy test | $18 | $37 | $9 |
| Vaccine administration | $45 | $31 | $19 |
| Vaccine administration (each additional) | $45 | $30 | $16 |
| Vitamin B12 test | $48 | $74 | $15 |
| Vitamin D test | $94 | $151 | $30 |
| Wart removal | $372 | $166 | $121 |
| Well-child visit | $234 | $131 | — |
| Wound debridement | $622 | $821 | $186 |
| X-ray of the abdomen | $246 | $61 | $36 |
| X-ray of the ankle | $372 | $95 | $37 |
| X-ray of the collarbone | $331 | $76 | $33 |
| X-ray of the elbow | $371 | $91 | $33 |
| X-ray of the facial bones | $278 | $182 | $39 |
| X-ray of the foot | $367 | $102 | $34 |
| X-ray of the forearm | $335 | $85 | $29 |
| X-ray of the hand | $370 | $87 | $38 |
| X-ray of the hip | $240 | $149 | $49 |
| X-ray of the hip (3 views) | $240 | $149 | $49 |
| X-ray of the knee | $374 | $97 | $42 |
| X-ray of the knee (2 views) | $329 | $75 | $34 |
| X-ray of the knee (3 views) | $399 | $83 | $42 |
| X-ray of the knee (4+ views) | $463 | $97 | $49 |
| X-ray of the lower back (lumbar spine) | $347 | $131 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $285 | $95 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $408 | $131 | $53 |
| X-ray of the lower leg | $354 | $85 | $31 |
| X-ray of the mid-back (thoracic spine) | $280 | $86 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $251 | $86 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $309 | $58 | $39 |
| X-ray of the neck (cervical spine) | $320 | $122 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $260 | $85 | $40 |
| X-ray of the pelvis | $238 | $206 | $36 |
| X-ray of the pelvis (1 view) | $214 | $70 | $28 |
| X-ray of the ribs | $301 | $103 | $42 |
| X-ray of the ribs (2 views) | $242 | $92 | $36 |
| X-ray of the ribs (3 views) | $301 | $55 | $42 |
| X-ray of the shoulder | $386 | $98 | $36 |
| X-ray of the skull | $305 | $90 | $40 |
| X-ray of the upper arm | $227 | $91 | $32 |
| X-ray of the wrist | $364 | $87 | $43 |
| Zinc blood test | $18 | $142 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
