| Procedure | Self Regional Healthcare | Wills Memorial Hospital | Medicare |
|---|
| Abdominal ultrasound | $440 | $288 | $100 |
| Abdominal ultrasound (complete) | $667 | $288 | $114 |
| Abdominal ultrasound (limited) | $440 | $288 | $86 |
| Abscess drainage (complex or multiple) | $521 | $228 | $220 |
| Abscess drainage (simple) | $364 | $228 | $129 |
| Abscess incision and drainage | $443 | $228 | $174 |
| Albumin blood test | $24 | $20 | $5 |
| Aldosterone test | $75 | $158 | $41 |
| Alkaline phosphatase test | $28 | $20 | $5 |
| Alpha-fetoprotein (AFP) test | $34 | $65 | $17 |
| ALT liver enzyme test | $28 | $20 | $5 |
| Ammonia blood test | $46 | $57 | $15 |
| Amylase test | $24 | $25 | $6 |
| Antinuclear antibody (ANA) test | $69 | $47 | $12 |
| Arterial blood gas (ABG) | $155 | $83 | $26 |
| AST liver enzyme test | $28 | $20 | $5 |
| Bartholin cyst removal | $536 | $181 | $182 |
| Basic metabolic panel | $36 | $33 | $8 |
| Bilirubin blood test | $21 | $20 | $5 |
| Blood clotting test (PT/INR) | $27 | $15 | $4 |
| Blood glucose test | $21 | $15 | $5 |
| Blood transfusion | $331 | $407 | $47 |
| Blood type and screen | $64 | $31 | $10 |
| Blood type test | $56 | $12 | $3 |
| Blood type test (ABO group) | $90 | $12 | $3 |
| Blood type test (Rh/D antigen) | $21 | $12 | $3 |
| BNP (heart failure) test | $102 | $177 | $39 |
| Bone density scan (DEXA) | $358 | $305 | $39 |
| Breast ultrasound | $324 | $242 | $92 |
| Breast ultrasound (complete) | $498 | $242 | $100 |
| Breathing tube insertion (intubation) | $515 | $238 | $133 |
| Burn dressing and debridement (medium) | $369 | $284 | $166 |
| Burn dressing and debridement (small) | $289 | $211 | $93 |
| Burn treatment | $332 | $267 | $129 |
| C-reactive protein (CRP) | $22 | $20 | $5 |
| CA 19-9 tumor marker test | $60 | $81 | $21 |
| CA-125 ovarian marker test | $60 | $81 | $21 |
| Calcium blood test | $21 | $20 | $5 |
| Cardiac stress test | $1,029 | $393 | $39 |
| Cardioversion | $1,370 | $631 | $155 |
| Carotid artery ultrasound | $558 | $477 | $156 |
| CEA tumor marker test | $80 | $74 | $19 |
| Celiac disease test | $23 | $36 | $12 |
| Central line placement | $1,966 | $1,209 | $238 |
| Chest tube insertion | $1,638 | $693 | $143 |
| Chest X-ray | $237 | $130 | $37 |
| Chest X-ray (1 view) | $192 | $130 | $25 |
| Chest X-ray (2 views) | $234 | $130 | $33 |
| Circumcision | $3,731 | $447 | $167 |
| Clotting time test (PTT) | $39 | $27 | $6 |
| Colonoscopy | $2,148 | $1,052 | $480 |
| Complete blood count (CBC) | $36 | $25 | $7 |
| Complete blood count (CBC) (complete) | $36 | $25 | $8 |
| Complex wound repair | $1,300 | $585 | $390 |
| Comprehensive metabolic panel | $48 | $41 | $11 |
| Copper blood test | $39 | $48 | $12 |
| Cortisol test | $68 | $64 | $16 |
| COVID-19 PCR test | $54 | $177 | $51 |
| CPAP titration study | $453 | $228 | $69 |
| Creatine kinase (CK) test | $24 | $25 | $7 |
| CT angiography of the chest | $1,200 | $1,042 | $281 |
| CT angiography of the head | $1,080 | $1,556 | $274 |
| CT scan of the abdomen | $1,020 | $889 | $230 |
| CT scan of the abdomen and pelvis | $2,040 | $1,393 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $2,040 | $1,393 | $338 |
| CT scan of the abdomen and pelvis with contrast | $2,040 | $1,393 | $300 |
| CT scan of the abdomen and pelvis without contrast | $1,800 | $863 | $183 |
| CT scan of the abdomen with and without contrast | $1,200 | $1,001 | $259 |
| CT scan of the abdomen with contrast | $1,020 | $889 | $230 |
| CT scan of the abdomen without contrast | $780 | $452 | $136 |
| CT scan of the arm | $1,410 | $889 | $199 |
| CT scan of the arm with contrast | $1,350 | $889 | $199 |
| CT scan of the arm without contrast | $1,491 | $452 | $161 |
| CT scan of the chest | $660 | $889 | $167 |
| CT scan of the chest with and without contrast | $1,200 | $1,001 | $196 |
| CT scan of the chest with contrast | $660 | $889 | $167 |
| CT scan of the chest without contrast | $480 | $452 | $133 |
| CT scan of the head | $960 | $671 | $148 |
| CT scan of the head with and without contrast | $1,080 | $1,001 | $173 |
| CT scan of the head with contrast | $960 | $889 | $148 |
| CT scan of the head without contrast | $660 | $452 | $107 |
| CT scan of the leg | $1,170 | $889 | $166 |
| CT scan of the leg with contrast | $1,170 | $889 | $166 |
| CT scan of the leg without contrast | $990 | $452 | $130 |
| CT scan of the lower back (lumbar spine) | $1,080 | $889 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,200 | $1,001 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,080 | $889 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $960 | $452 | $130 |
| CT scan of the neck | $960 | $889 | $183 |
| CT scan of the neck (cervical spine) | $1,020 | $889 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $1,200 | $1,001 | $196 |
| CT scan of the neck (cervical spine) with contrast | $1,020 | $889 | $168 |
| CT scan of the neck (cervical spine) without contrast | $960 | $452 | $131 |
| CT scan of the neck with and without contrast | $1,080 | $1,001 | $220 |
| CT scan of the neck with contrast | $960 | $889 | $183 |
| CT scan of the neck without contrast | $660 | $452 | $150 |
| CT scan of the pelvis | $1,020 | $889 | $226 |
| CT scan of the pelvis with and without contrast | $1,200 | $1,001 | $251 |
| CT scan of the pelvis with contrast | $1,020 | $889 | $226 |
| CT scan of the pelvis without contrast | $660 | $452 | $133 |
| CT scan of the sinuses | $960 | $671 | $152 |
| CT scan of the sinuses with and without contrast | $1,020 | $1,001 | $184 |
| CT scan of the sinuses with contrast | $960 | $889 | $152 |
| CT scan of the sinuses without contrast | $480 | $452 | $128 |
| D-dimer test | $48 | $40 | $10 |
| DHEA-sulfate test | $78 | $87 | $22 |
| Drug screen (urine) | $72 | $226 | $17 |
| Echocardiogram | $676 | $517 | $138 |
| Echocardiogram with and without contrast | $471 | $351 | $101 |
| EKG / ECG (tracing only) | $245 | $68 | $7 |
| Electrocardiogram (EKG) | $245 | $68 | $8 |
| Electrolyte panel | $33 | $27 | $7 |
| Emergency department visit | $393 | $238 | $69 |
| Emergency department visit (level 1) | $114 | $80 | $11 |
| Emergency department visit (level 2) | $212 | $144 | $40 |
| Emergency department visit (level 3) | $393 | $238 | $69 |
| Emergency department visit (level 4) | $732 | $420 | $118 |
| Emergency department visit (level 5) | $1,361 | $651 | $171 |
| Estradiol (estrogen) test | $75 | $109 | $28 |
| Eyelid surgery (blepharoplasty) | $3,293 | $2,002 | $552 |
| Fecal occult blood (stool) test | $26 | $17 | $10 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $27 | $17 | $16 |
| Ferritin (iron) test | $42 | $53 | $14 |
| Fibrinogen test | $96 | $33 | $10 |
| Flexible sigmoidoscopy | $1,666 | $659 | $323 |
| Flu test | $42 | $53 | $17 |
| Folate (folic acid) test | $54 | $57 | $15 |
| Foreign body removal (skin) | $439 | $393 | $157 |
| Free T4 thyroid test | $42 | $35 | $9 |
| FSH hormone test | $59 | $72 | $19 |
| GGT liver test | $24 | $28 | $7 |
| Glucose tolerance test | $27 | $33 | $8 |
| Hematocrit test | $28 | $9 | $2 |
| Hemoglobin A1c (diabetes test) | $31 | $38 | $10 |
| Hemorrhoid removal | $1,660 | $676 | $338 |
| Hepatitis B test | $48 | $40 | $10 |
| Hepatitis C test | $48 | $62 | $14 |
| HIV test | $71 | $94 | $19 |
| HIV test (antigen/antibody combo) | $72 | $94 | $24 |
| Holter heart monitor | $381 | $110 | $26 |
| Iron blood test | $32 | $25 | $6 |
| IV infusion therapy | $293 | $80 | $44 |
| IV infusion therapy (each additional) | $244 | $43 | $21 |
| IV infusion therapy (initial) | $342 | $182 | $67 |
| Joint aspiration (small/intermediate) | $720 | $289 | $57 |
| Joint aspiration or injection (mid-size joint) | $866 | $289 | $57 |
| Joint aspiration or injection (small joint) | $656 | $289 | $56 |
| Kidney ultrasound | $398 | $288 | $84 |
| Kidney ultrasound (limited) | $447 | $288 | $61 |
| Knee joint injection | $983 | $289 | $69 |
| Lactate test | $78 | $41 | $12 |
| LDH test | $27 | $24 | $6 |
| LDL cholesterol test | $20 | $37 | $11 |
| Leg vein ultrasound (Doppler) | $586 | $336 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $586 | $336 | $116 |
| Lipase test | $35 | $27 | $7 |
| Lipid (cholesterol) panel | $51 | $52 | $13 |
| Liver function panel | $33 | $32 | $8 |
| Lung function test (PFT) | $332 | $194 | $37 |
| Magnesium blood test | $32 | $26 | $7 |
| Nebulizer breathing treatment | $154 | $228 | $9 |
| Occupational therapy evaluation | $230 | $179 | $101 |
| Occupational therapy evaluation (high complexity) | $282 | $197 | $101 |
| Occupational therapy evaluation (low complexity) | $208 | $161 | $101 |
| Occupational therapy evaluation (moderate complexity) | $230 | $179 | $101 |
| Parathyroid hormone (PTH) test | $114 | $179 | $41 |
| Pelvic ultrasound | $447 | $265 | $78 |
| Pelvic ultrasound (complete) | $555 | $288 | $105 |
| Pelvic ultrasound (limited) | $338 | $242 | $51 |
| Phosphorus blood test | $32 | $18 | $5 |
| Physical therapy evaluation | $226 | $204 | $98 |
| Physical therapy evaluation (high complexity) | $280 | $204 | $98 |
| Physical therapy evaluation (moderate complexity) | $226 | $204 | $98 |
| Platelet count | $19 | $18 | $4 |
| Pregnancy blood test (hCG) | $36 | $29 | $8 |
| Pregnancy ultrasound | $488 | $288 | $126 |
| Pregnancy ultrasound (first trimester) | $447 | $288 | $117 |
| Procalcitonin test | $87 | $86 | $27 |
| Prolactin test | $54 | $76 | $19 |
| Prostate test (PSA) | $57 | $71 | $18 |
| Pulmonary rehabilitation | $122 | $81 | $87 |
| Scrotal ultrasound | $496 | $288 | $99 |
| Sedimentation rate (ESR) test | $27 | $9 | $3 |
| Sex hormone binding globulin test | $48 | $95 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $354 | $120 | $114 |
| Simple wound stitches | $406 | $120 | $127 |
| Skin biopsy | $725 | $210 | $121 |
| Skin biopsy (punch) | $725 | $329 | $121 |
| Soft tissue ultrasound | $309 | $236 | $64 |
| Speech therapy | $143 | $128 | $76 |
| Spinal tap (lumbar puncture) | $851 | $505 | $165 |
| Spirometry (lung function test) | $229 | $193 | $30 |
| Spirometry with bronchodilator | $435 | $349 | $43 |
| Strep throat test | $36 | $52 | $17 |
| Swallow study | $154 | $117 | $85 |
| T3 thyroid test | $58 | $55 | $14 |
| Testosterone test | $73 | $100 | $26 |
| Thyroid test (TSH) | $54 | $65 | $17 |
| Thyroid ultrasound | $474 | $288 | $109 |
| Total IgE allergy test | $30 | $64 | $16 |
| Total protein test | $26 | $14 | $4 |
| Transvaginal ultrasound | $475 | $288 | $118 |
| Trigger point injection | $436 | $289 | $56 |
| Trigger point injection (1-2 muscles) | $406 | $289 | $52 |
| Triglycerides test | $32 | $22 | $6 |
| Troponin (heart) test | $48 | $32 | $12 |
| Upper GI endoscopy (EGD) | $2,041 | $958 | $371 |
| Uric acid (gout) test | $29 | $18 | $5 |
| Urinalysis | $24 | $8 | $3 |
| Urine microalbumin test | $33 | $37 | $5 |
| Urine pregnancy test | $18 | $9 | $9 |
| Vaccine administration | $45 | $23 | $19 |
| Vaccine administration (each additional) | $45 | $23 | $16 |
| Vitamin B12 test | $48 | $66 | $15 |
| Vitamin D test | $94 | $116 | $30 |
| Wound debridement | $622 | $393 | $186 |
| X-ray of the abdomen | $246 | $130 | $36 |
| X-ray of the ankle | $372 | $130 | $37 |
| X-ray of the collarbone | $331 | $130 | $33 |
| X-ray of the elbow | $371 | $130 | $33 |
| X-ray of the facial bones | $278 | $185 | $39 |
| X-ray of the foot | $367 | $130 | $34 |
| X-ray of the forearm | $335 | $130 | $29 |
| X-ray of the hand | $370 | $130 | $38 |
| X-ray of the hip | $240 | $130 | $49 |
| X-ray of the hip (1 view) | $179 | $130 | $34 |
| X-ray of the hip (3 views) | $240 | $130 | $49 |
| X-ray of the knee | $374 | $130 | $42 |
| X-ray of the knee (2 views) | $329 | $130 | $34 |
| X-ray of the knee (3 views) | $399 | $130 | $42 |
| X-ray of the knee (4+ views) | $463 | $130 | $49 |
| X-ray of the lower back (lumbar spine) | $347 | $185 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $285 | $130 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $408 | $240 | $53 |
| X-ray of the lower leg | $354 | $130 | $31 |
| X-ray of the mid-back (thoracic spine) | $280 | $185 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $251 | $130 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $309 | $240 | $39 |
| X-ray of the neck (cervical spine) | $320 | $185 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $260 | $130 | $40 |
| X-ray of the pelvis | $238 | $130 | $36 |
| X-ray of the pelvis (1 view) | $214 | $130 | $28 |
| X-ray of the ribs | $301 | $185 | $42 |
| X-ray of the ribs (2 views) | $242 | $130 | $36 |
| X-ray of the ribs (3 views) | $301 | $240 | $42 |
| X-ray of the shoulder | $386 | $130 | $36 |
| X-ray of the skull | $305 | $185 | $40 |
| X-ray of the upper arm | $227 | $130 | $32 |
| X-ray of the wrist | $364 | $130 | $43 |
| Zinc blood test | $18 | $44 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
