| Procedure | St Nicholas Hospital | Ascension Calumet Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $105 | $10 | $51 |
| Abdominal fluid drain (paracentesis) | $2,094 | $1,456 | $284 |
| Abdominal ultrasound | $674 | $693 | $100 |
| Abdominal ultrasound (complete) | $770 | $791 | $114 |
| Abdominal ultrasound (limited) | $578 | $594 | $86 |
| Abscess drainage (complex or multiple) | $1,336 | $297 | $220 |
| Abscess incision and drainage | $1,336 | $275 | $174 |
| Achilles tendon repair | $8,428 | $1,069 | $624 |
| ACL knee reconstruction | $12,691 | $1,671 | $889 |
| Albumin blood test | $31 | $19 | $5 |
| Aldosterone test | $252 | $143 | $41 |
| Alkaline phosphatase test | $26 | $20 | $5 |
| Alpha-fetoprotein (AFP) test | $99 | $59 | $17 |
| ALT liver enzyme test | $32 | $21 | $5 |
| Ammonia blood test | $90 | $57 | $15 |
| Amylase test | $54 | $48 | $6 |
| Anal fistula repair | $6,120 | $494 | $541 |
| Ankle fracture repair | $13,032 | $1,101 | $608 |
| Anoscopy | $160 | $35 | $129 |
| Antinuclear antibody (ANA) test | $69 | $67 | $12 |
| Arterial blood gas (ABG) | $117 | $71 | $26 |
| AST liver enzyme test | $32 | $20 | $5 |
| Barium swallow study | $520 | $170 | $107 |
| Bartholin cyst removal | $464 | $341 | $182 |
| Benign skin lesion removal | $3,657 | $292 | $171 |
| Bilirubin blood test | $36 | $19 | $5 |
| Bladder scope (cystoscopy) | $3,969 | $490 | $216 |
| Blood clotting test (PT/INR) | $32 | $20 | $4 |
| Blood crossmatch | $172 | $99 | — |
| Blood glucose test | $24 | $21 | $5 |
| Blood transfusion | $884 | $378 | $47 |
| Blood type and screen | $75 | $87 | $10 |
| Blood type test | $40 | $48 | $3 |
| Blood type test (ABO group) | $129 | $74 | $3 |
| Blood type test (Rh/D antigen) | $40 | $23 | $3 |
| BNP (heart failure) test | $207 | $119 | $39 |
| Bone density scan (DEXA) | $592 | $255 | $39 |
| Bone marrow biopsy | $2,231 | $1,777 | $172 |
| Bone scan (nuclear) | $1,390 | $820 | $259 |
| Breast biopsy | $3,192 | $5,642 | $478 |
| Breast ultrasound | $470 | $433 | $92 |
| Breast ultrasound (complete) | $546 | $494 | $100 |
| Breast ultrasound (limited) | $393 | $371 | $84 |
| Breathing tube insertion (intubation) | $1,095 | $565 | $133 |
| Bronchoscopy | $2,333 | $2,910 | $303 |
| Burn dressing and debridement (medium) | $434 | $343 | $166 |
| Burn dressing and debridement (small) | $375 | $306 | $93 |
| Burn treatment | $405 | $324 | $129 |
| C-reactive protein (CRP) | $40 | $19 | $5 |
| CA 19-9 tumor marker test | $140 | $74 | $21 |
| CA-125 ovarian marker test | $139 | $74 | $21 |
| Calcium blood test | $31 | $25 | $5 |
| Cardiac rehabilitation | $321 | $282 | $26 |
| Cardiac stress test | $991 | $245 | $39 |
| Cardioversion | $1,705 | $1,272 | $155 |
| Carotid artery ultrasound | $761 | $805 | $156 |
| Carpal tunnel release | $4,647 | $747 | $483 |
| CEA tumor marker test | $135 | $116 | $19 |
| Celiac disease test | $32 | $75 | $12 |
| Central line placement | $3,161 | $5,367 | $238 |
| Chemotherapy infusion | $488 | $343 | $81 |
| Chemotherapy infusion (each additional) | $203 | $127 | $28 |
| Chemotherapy infusion (first hour) | $772 | $558 | $133 |
| Chest fluid drain (thoracentesis) | $1,276 | $1,659 | $311 |
| Chest tube insertion | $1,701 | $1,341 | $143 |
| Chest X-ray | $276 | $168 | $37 |
| Chest X-ray (1 view) | $259 | $120 | $25 |
| Chest X-ray (2 views) | $276 | $156 | $33 |
| Circumcision | $1,365 | $404 | $167 |
| CK-MB heart enzyme test | $54 | $31 | $12 |
| Clotting time test (PTT) | $47 | $34 | $6 |
| Colonoscopy | $2,775 | $430 | $480 |
| Complete blood count (CBC) | $51 | $38 | $7 |
| Complete blood count (CBC) (complete) | $59 | $42 | $8 |
| Complex wound repair | $1,718 | $231 | $390 |
| Comprehensive metabolic panel | $119 | $116 | $11 |
| Contraceptive implant (Nexplanon) | $3,542 | $192 | $115 |
| Copper blood test | $73 | $39 | $12 |
| Cortisol test | $99 | $86 | $16 |
| COVID-19 PCR test | $119 | $110 | $51 |
| CPAP titration study | $286 | $548 | $69 |
| Creatine kinase (CK) test | $42 | $25 | $7 |
| CT angiography of the chest | $1,860 | $1,372 | $281 |
| CT angiography of the head | $2,092 | $1,375 | $274 |
| CT scan of the abdomen | $1,750 | $846 | $230 |
| CT scan of the abdomen and pelvis | $3,017 | $1,553 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $3,550 | $1,644 | $338 |
| CT scan of the abdomen and pelvis with contrast | $3,017 | $1,553 | $300 |
| CT scan of the abdomen and pelvis without contrast | $2,545 | $1,372 | $183 |
| CT scan of the abdomen with and without contrast | $2,092 | $1,006 | $259 |
| CT scan of the abdomen with contrast | $1,750 | $846 | $230 |
| CT scan of the abdomen without contrast | $1,259 | $596 | $136 |
| CT scan of the arm | $1,770 | $644 | $199 |
| CT scan of the arm with contrast | $1,770 | $644 | $199 |
| CT scan of the arm without contrast | $1,335 | $519 | $161 |
| CT scan of the chest | $1,539 | $914 | $167 |
| CT scan of the chest with and without contrast | $1,819 | $1,097 | $196 |
| CT scan of the chest with contrast | $1,539 | $914 | $167 |
| CT scan of the chest without contrast | $1,265 | $722 | $133 |
| CT scan of the head | $1,770 | $685 | $148 |
| CT scan of the head with and without contrast | $1,819 | $846 | $173 |
| CT scan of the head with contrast | $1,770 | $685 | $148 |
| CT scan of the head without contrast | $1,259 | $641 | $107 |
| CT scan of the leg | $1,575 | $652 | $166 |
| CT scan of the leg with contrast | $1,575 | $652 | $166 |
| CT scan of the leg without contrast | $1,431 | $520 | $130 |
| CT scan of the lower back (lumbar spine) | $1,563 | $766 | $169 |
| CT scan of the lower back (lumbar spine) with contrast | $1,563 | $823 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,360 | $709 | $130 |
| CT scan of the neck | $1,595 | $732 | $183 |
| CT scan of the neck (cervical spine) | $1,539 | $732 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,358 | $732 | $131 |
| CT scan of the neck with and without contrast | $2,092 | $803 | $220 |
| CT scan of the neck with contrast | $1,595 | $732 | $183 |
| CT scan of the neck without contrast | $1,259 | $516 | $150 |
| CT scan of the pelvis | $1,539 | $716 | $226 |
| CT scan of the pelvis with contrast | $1,539 | $823 | $226 |
| CT scan of the pelvis without contrast | $1,259 | $610 | $133 |
| CT scan of the sinuses | $1,625 | $670 | $152 |
| CT scan of the sinuses with and without contrast | $1,679 | $834 | $184 |
| CT scan of the sinuses with contrast | $1,625 | $670 | $152 |
| CT scan of the sinuses without contrast | $1,271 | $549 | $128 |
| D-dimer test | $69 | $42 | $10 |
| DHEA-sulfate test | $135 | $79 | $22 |
| Diagnostic mammogram | $340 | $654 | $140 |
| Drug screen (urine) | $210 | $79 | $17 |
| Ear tubes (myringotomy) | $3,901 | $463 | $174 |
| Echocardiogram | $1,454 | $1,595 | $138 |
| Echocardiogram with and without contrast | $767 | $844 | $101 |
| Echocardiogram without contrast | $1,454 | $1,595 | $138 |
| EEG (awake and asleep) | $1,351 | $451 | $482 |
| EKG / ECG (tracing only) | $187 | $177 | $7 |
| Electrocardiogram (EKG) | $187 | $101 | $8 |
| Electroencephalogram (EEG) | $1,069 | $413 | $448 |
| Electrolyte panel | $49 | $53 | $7 |
| Electromyography (EMG) | $474 | $261 | $141 |
| Emergency department visit | $840 | $412 | $69 |
| Emergency department visit (level 1) | $137 | $117 | $11 |
| Emergency department visit (level 2) | $273 | $263 | $40 |
| Emergency department visit (level 3) | $840 | $412 | $69 |
| Emergency department visit (level 4) | $1,259 | $675 | $118 |
| Emergency department visit (level 5) | $1,724 | $1,957 | $171 |
| Endometrial biopsy | $504 | $200 | $98 |
| Epidural steroid injection | $1,878 | $1,947 | $275 |
| Estradiol (estrogen) test | $171 | $99 | $28 |
| Facet joint injection (spine) | $1,112 | $783 | $99 |
| Fecal occult blood (stool) test | $60 | $33 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $21 | $17 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $99 | $49 | $16 |
| Feeding tube (PEG) placement | $4,715 | $535 | $178 |
| Ferritin (iron) test | $81 | $57 | $14 |
| Fibrinogen test | $69 | $42 | $10 |
| Flu vaccine | $16 | $24 | — |
| Folate (folic acid) test | $90 | $62 | $15 |
| Foreign body removal (skin) | $461 | $268 | $157 |
| Free T4 thyroid test | $54 | $50 | $9 |
| FSH hormone test | $117 | $113 | $19 |
| Gallbladder removal (laparoscopic) | $15,443 | $1,367 | $658 |
| Gallbladder scan (HIDA) | $1,626 | $1,053 | $334 |
| Ganglion cyst removal | $5,186 | $776 | $321 |
| GGT liver test | $44 | $35 | $7 |
| Glucose tolerance test | $57 | $31 | $8 |
| Hammertoe repair | $3,417 | $548 | $548 |
| HDL cholesterol test | $54 | $31 | $8 |
| Hematocrit test | $16 | $10 | $2 |
| Hemoglobin A1c (diabetes test) | $63 | $50 | $10 |
| Hemorrhoid removal | $4,705 | $194 | $338 |
| Hepatitis B test | $69 | $38 | $10 |
| Hepatitis C test | $99 | $25 | $14 |
| Hip replacement | $20,614 | $2,561 | $1,162 |
| HIV test | $94 | $80 | $19 |
| HIV test (antigen/antibody combo) | $99 | $80 | $24 |
| Holter heart monitor | $475 | $204 | $26 |
| Hydrocele repair | $8,765 | $658 | $315 |
| Inguinal hernia repair | $8,621 | $1,012 | $538 |
| Iron blood test | $40 | $42 | $6 |
| IUD insertion | $1,247 | $161 | — |
| IUD removal | $1,520 | $180 | $112 |
| IV infusion therapy | $292 | $284 | $44 |
| IV infusion therapy (each additional) | $144 | $133 | $21 |
| IV infusion therapy (initial) | $440 | $434 | $67 |
| Joint aspiration (small/intermediate) | $1,275 | $747 | $57 |
| Joint aspiration or injection (mid-size joint) | $1,354 | $844 | $57 |
| Joint aspiration or injection (small joint) | $1,156 | $650 | $56 |
| Kidney scan (nuclear) | $1,723 | $1,174 | $172 |
| Kidney ultrasound | $542 | $567 | $84 |
| Kidney ultrasound (limited) | $517 | $541 | $61 |
| Knee arthroscopy | $8,281 | $1,059 | $524 |
| Knee joint injection | $2,203 | $940 | $69 |
| Lactate test | $73 | $54 | $12 |
| Laryngoscopy | $224 | $274 | $189 |
| LDH test | $67 | $23 | $6 |
| LDL cholesterol test | $63 | $35 | $11 |
| Leg vein ultrasound (Doppler) | $843 | $827 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $628 | $662 | $116 |
| LH hormone test | $117 | $66 | $19 |
| Lipase test | $144 | $58 | $7 |
| Lipid (cholesterol) panel | $89 | $75 | $13 |
| Liver function panel | $69 | $96 | $8 |
| Lumpectomy (breast) | $7,746 | $1,174 | $750 |
| Lung function test (PFT) | $509 | $244 | $37 |
| Lung scan (V/Q) | $1,170 | $1,549 | $291 |
| Magnesium blood test | $49 | $41 | $7 |
| Mastectomy | $9,973 | $1,680 | $1,021 |
| Meniscus repair (knee) | $8,664 | $1,254 | $714 |
| MMR vaccine | $321 | $109 | — |
| MRA of the brain | $2,426 | $1,931 | $226 |
| MRA of the brain without contrast | $2,668 | $1,964 | $328 |
| MRA of the neck | $1,802 | $1,641 | $245 |
| MRA of the neck with contrast | $1,802 | $1,641 | $245 |
| MRA of the neck without contrast | $2,081 | $2,449 | $343 |
| MRI of the abdomen | $2,789 | $2,039 | $300 |
| MRI of the abdomen without contrast | $2,657 | $1,721 | $194 |
| MRI of the ankle | $2,421 | $1,953 | $261 |
| MRI of the ankle without contrast | $2,421 | $1,407 | $222 |
| MRI of the brain | $2,592 | $2,069 | $269 |
| MRI of the brain with contrast | $2,592 | $2,069 | $269 |
| MRI of the brain without contrast | $2,360 | $1,944 | $195 |
| MRI of the chest | $2,846 | $1,949 | $371 |
| MRI of the chest without contrast | $3,036 | $2,322 | $466 |
| MRI of the knee | $2,542 | $2,179 | $315 |
| MRI of the knee with contrast | $2,542 | $2,179 | $315 |
| MRI of the knee without contrast | $2,421 | $2,001 | $204 |
| MRI of the lower back (lumbar spine) | $2,571 | $2,222 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $2,571 | $2,222 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $2,338 | $1,946 | $192 |
| MRI of the mid-back (thoracic spine) | $2,411 | $2,171 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $2,652 | $2,475 | $319 |
| MRI of the mid-back (thoracic spine) without contrast | $2,295 | $1,867 | $190 |
| MRI of the neck (cervical spine) | $1,906 | $2,156 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $2,001 | $2,383 | $318 |
| MRI of the neck (cervical spine) with contrast | $1,906 | $2,156 | $274 |
| MRI of the neck (cervical spine) without contrast | $1,815 | $2,005 | $191 |
| MRI of the pelvis | $2,505 | $1,713 | $268 |
| MRI of the pelvis without contrast | $2,277 | $1,411 | $227 |
| MRI of the shoulder | $2,542 | $2,442 | $313 |
| MRI of the shoulder with contrast | $2,542 | $2,442 | $313 |
| MRI of the shoulder without contrast | $2,421 | $2,348 | $205 |
| MRI of the wrist | $2,542 | $1,731 | $330 |
| MRI of the wrist without contrast | $2,411 | $1,440 | $303 |
| Nebulizer breathing treatment | $205 | $144 | $9 |
| Nuclear cardiac stress test | $3,365 | $2,649 | $428 |
| Occupational therapy evaluation | $98 | $268 | $101 |
| Occupational therapy evaluation (high complexity) | $98 | $313 | $101 |
| Occupational therapy evaluation (low complexity) | $98 | $222 | $101 |
| Occupational therapy evaluation (moderate complexity) | $98 | $268 | $101 |
| Office visit (established patient) | $256 | $103 | $115 |
| Office visit (new patient) | $287 | $295 | $177 |
| Office visit, established patient (level 3) | $244 | $87 | $95 |
| Office visit, established patient (level 4) | $269 | $120 | $136 |
| Office visit, new patient (level 3) | $252 | $200 | $118 |
| Office visit, new patient (level 4) | $287 | $295 | $177 |
| Office visit, new patient (level 5) | $348 | $381 | $237 |
| Orthopedic hardware removal | $10,444 | $566 | $632 |
| Pap smear (cervical screening) | $132 | $105 | $20 |
| Parathyroid hormone (PTH) test | $252 | $144 | $41 |
| Pelvic ultrasound | $549 | $539 | $78 |
| Pelvic ultrasound (complete) | $615 | $607 | $105 |
| Pelvic ultrasound (limited) | $482 | $470 | $51 |
| PET scan | $5,122 | $3,128 | — |
| Phosphorus blood test | $29 | $23 | $5 |
| Physical therapy evaluation | $96 | $269 | $98 |
| Physical therapy evaluation (high complexity) | $96 | $323 | $98 |
| Physical therapy evaluation (moderate complexity) | $96 | $269 | $98 |
| Platelet count | $34 | $18 | $4 |
| Pregnancy blood test (hCG) | $62 | $58 | $8 |
| Pregnancy ultrasound | $514 | $392 | $126 |
| Pregnancy ultrasound (first trimester) | $455 | $352 | $117 |
| Pregnancy ultrasound (second or third trimester) | $574 | $431 | $136 |
| Procalcitonin test | $185 | $95 | $27 |
| Prolactin test | $117 | $113 | $19 |
| Prostate test (PSA) | $117 | $31 | $18 |
| Pulmonary rehabilitation | $138 | $305 | $87 |
| Radiofrequency nerve ablation | $2,974 | $3,473 | $462 |
| Rotator cuff repair | $10,494 | $1,379 | $792 |
| Sacroiliac joint injection | $1,484 | $1,249 | $176 |
| Scoliosis spine X-ray | $348 | $144 | $58 |
| Scoliosis spine X-ray (1 view) | $315 | $108 | $44 |
| Scoliosis spine X-ray (3 views) | $381 | $180 | $72 |
| Screening colonoscopy | $2,328 | $373 | $378 |
| Screening mammogram | $238 | $310 | $126 |
| Scrotal ultrasound | $578 | $558 | $99 |
| Sedimentation rate (ESR) test | $39 | $11 | $3 |
| Semen analysis | $128 | $21 | $12 |
| Septoplasty (deviated septum) | $5,084 | $1,236 | $613 |
| Sex hormone binding globulin test | $135 | $64 | $22 |
| Shoulder arthroscopy | $14,046 | $1,723 | $962 |
| Shoulder replacement | $23,233 | $2,660 | $1,300 |
| Simple laceration repair (small, up to 2.5 cm) | $1,203 | $182 | $114 |
| Simple wound stitches | $553 | $254 | $127 |
| Skin biopsy | $401 | $238 | $121 |
| Skin biopsy (punch) | $401 | $238 | $121 |
| Skin cancer lesion removal | $1,567 | $428 | $240 |
| Skin graft | $4,589 | $979 | $898 |
| Skin tag removal | $1,813 | $136 | $92 |
| Sleep study (polysomnography) | $3,926 | $4,162 | $691 |
| Soft tissue ultrasound | $385 | $202 | $64 |
| Speech therapy | $224 | $166 | $76 |
| Spinal cord stimulator | $8,796 | $4,160 | $2,388 |
| Spinal tap (lumbar puncture) | $1,019 | $975 | $165 |
| Spine fracture repair (kyphoplasty) | $8,251 | $10,830 | $5,803 |
| Spirometry (lung function test) | $363 | $91 | $30 |
| Spirometry with bronchodilator | $655 | $397 | $43 |
| Strep throat test | $80 | $38 | $17 |
| Swallow study | $273 | $411 | $85 |
| T3 thyroid test | $90 | $52 | $14 |
| Tdap (tetanus) vaccine | $159 | $107 | — |
| Testosterone test | $152 | $125 | $26 |
| Thyroid test (TSH) | $99 | $87 | $17 |
| Thyroid ultrasound | $552 | $518 | $109 |
| Thyroid uptake scan | $781 | $707 | $145 |
| Total IgE allergy test | $99 | $57 | $16 |
| Total protein test | $24 | $14 | $4 |
| Transvaginal ultrasound | $531 | $523 | $118 |
| Trigger finger release | $3,329 | $1,420 | $630 |
| Trigger point injection | $375 | $496 | $56 |
| Trigger point injection (1-2 muscles) | $355 | $458 | $52 |
| Triglycerides test | $36 | $22 | $6 |
| Troponin (heart) test | $84 | $88 | $12 |
| Ulnar nerve surgery (elbow) | $5,344 | $805 | $575 |
| Upper GI endoscopy (EGD) | $5,550 | $238 | $371 |
| Uric acid (gout) test | $31 | $25 | $5 |
| Urinalysis | $33 | $23 | $3 |
| Urine microalbumin test | $55 | $28 | $5 |
| Urine pregnancy test | $59 | $25 | $9 |
| Vaccine administration | $58 | $41 | $19 |
| Vaccine administration (each additional) | $43 | $15 | $16 |
| Vitamin B12 test | $90 | $62 | $15 |
| Vitamin D test | $180 | $127 | $30 |
| Wart removal | $230 | $198 | $121 |
| Wound debridement | $2,549 | $242 | $186 |
| Wrist fracture repair | $15,122 | $1,160 | $735 |
| X-ray of the abdomen | $322 | $187 | $36 |
| X-ray of the ankle | $315 | $165 | $37 |
| X-ray of the collarbone | $334 | $64 | $33 |
| X-ray of the elbow | $338 | $180 | $33 |
| X-ray of the facial bones | $353 | $97 | $39 |
| X-ray of the foot | $336 | $164 | $34 |
| X-ray of the forearm | $315 | $154 | $29 |
| X-ray of the hand | $389 | $177 | $38 |
| X-ray of the hip | $364 | $151 | $49 |
| X-ray of the hip (1 view) | $363 | $108 | $34 |
| X-ray of the hip (3 views) | $364 | $194 | $49 |
| X-ray of the knee | $327 | $159 | $42 |
| X-ray of the knee (2 views) | $315 | $145 | $34 |
| X-ray of the knee (3 views) | $327 | $159 | $42 |
| X-ray of the knee (4+ views) | $363 | $225 | $49 |
| X-ray of the lower back (lumbar spine) | $473 | $225 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $364 | $211 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $583 | $239 | $53 |
| X-ray of the lower leg | $330 | $167 | $31 |
| X-ray of the mid-back (thoracic spine) | $355 | $210 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $329 | $204 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $381 | $217 | $39 |
| X-ray of the neck (cervical spine) | $444 | $200 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $420 | $196 | $40 |
| X-ray of the pelvis | $360 | $152 | $36 |
| X-ray of the pelvis (1 view) | $326 | $135 | $28 |
| X-ray of the ribs | $391 | $243 | $42 |
| X-ray of the ribs (2 views) | $323 | $211 | $36 |
| X-ray of the ribs (3 views) | $477 | $243 | $42 |
| X-ray of the shoulder | $315 | $154 | $36 |
| X-ray of the skull | $359 | $178 | $40 |
| X-ray of the upper arm | $315 | $152 | $32 |
| X-ray of the wrist | $319 | $153 | $43 |
| Zinc blood test | $63 | $38 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
