| Procedure | Stillwater Medical Center | Mercy Hospital Logan County | Medicare |
|---|
| Abdominal fluid drain (paracentesis) | $3,167 | $445 | $284 |
| Abdominal ultrasound | $1,362 | $656 | $100 |
| Abdominal ultrasound (complete) | $1,689 | $801 | $114 |
| Abdominal ultrasound (limited) | $1,034 | $511 | $86 |
| Abscess drainage (complex or multiple) | $1,666 | $464 | $220 |
| Abscess drainage (simple) | $1,296 | $190 | $129 |
| Abscess incision and drainage | $1,481 | $327 | $174 |
| Albumin blood test | $66 | $32 | $5 |
| Aldosterone test | $411 | $156 | $41 |
| Alkaline phosphatase test | $141 | $33 | $5 |
| Alpha-fetoprotein (AFP) test | $184 | $77 | $17 |
| ALT liver enzyme test | $97 | $33 | $5 |
| Ammonia blood test | $118 | $99 | $15 |
| Amylase test | $122 | $77 | $6 |
| Antinuclear antibody (ANA) test | $193 | $92 | $12 |
| Arterial blood gas (ABG) | $310 | $161 | $26 |
| AST liver enzyme test | $100 | $33 | $5 |
| Barium swallow study | $1,016 | $533 | $107 |
| Bartholin cyst removal | $762 | $343 | $182 |
| Basic metabolic panel | $263 | $96 | $8 |
| Bilirubin blood test | $106 | $70 | $5 |
| Blood clotting test (PT/INR) | $140 | $44 | $4 |
| Blood crossmatch | $364 | $119 | — |
| Blood glucose test | $69 | $35 | $5 |
| Blood transfusion | $2,845 | $458 | $47 |
| Blood type and screen | $247 | $109 | $10 |
| Blood type test | $200 | $76 | $3 |
| Blood type test (ABO group) | $206 | $85 | $3 |
| Blood type test (Rh/D antigen) | $200 | $67 | $3 |
| BNP (heart failure) test | $248 | $138 | $39 |
| Bone density scan (DEXA) | $698 | $98 | $39 |
| Bone marrow biopsy | $4,346 | $323 | $172 |
| Bone scan (nuclear) | $2,666 | $1,573 | $259 |
| Breast ultrasound | $638 | $333 | $92 |
| Breast ultrasound (limited) | $602 | $333 | $84 |
| Breathing tube insertion (intubation) | $2,645 | $675 | $133 |
| Burn dressing and debridement (medium) | $546 | $255 | $166 |
| Burn dressing and debridement (small) | $563 | $248 | $93 |
| Burn treatment | $555 | $252 | $129 |
| C-reactive protein (CRP) | $116 | $62 | $5 |
| CA 19-9 tumor marker test | $166 | $138 | $21 |
| CA-125 ovarian marker test | $168 | $138 | $21 |
| Calcium blood test | $69 | $36 | $5 |
| Cardioversion | $2,714 | $437 | $155 |
| Carotid artery ultrasound | $1,614 | $864 | $156 |
| CEA tumor marker test | $214 | $125 | $19 |
| Celiac disease test | $237 | $96 | $12 |
| Central line placement | $6,888 | $382 | $238 |
| Chemotherapy infusion | $810 | $338 | $81 |
| Chemotherapy infusion (each additional) | $283 | $338 | $28 |
| Chemotherapy infusion (first hour) | $810 | $338 | $133 |
| Chest fluid drain (thoracentesis) | $2,389 | $411 | $311 |
| Chest tube insertion | $3,440 | $955 | $143 |
| Chest X-ray | $486 | $252 | $37 |
| Chest X-ray (1 view) | $486 | $185 | $25 |
| Chest X-ray (2 views) | $347 | $216 | $33 |
| CK-MB heart enzyme test | $208 | $106 | $12 |
| Clotting time test (PTT) | $155 | $83 | $6 |
| Complete blood count (CBC) | $118 | $63 | $7 |
| Complete blood count (CBC) (complete) | $118 | $68 | $8 |
| Comprehensive metabolic panel | $251 | $134 | $11 |
| Copper blood test | $187 | $86 | $12 |
| Cortisol test | $262 | $113 | $16 |
| COVID-19 PCR test | $141 | $144 | $51 |
| CPAP titration study | $746 | $821 | $69 |
| Creatine kinase (CK) test | $90 | $57 | $7 |
| CT angiography of the chest | $3,772 | $1,899 | $281 |
| CT angiography of the head | $2,841 | $2,060 | $274 |
| CT scan of the abdomen | $3,393 | $1,933 | $230 |
| CT scan of the abdomen and pelvis | $5,839 | $1,862 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $7,183 | $2,139 | $338 |
| CT scan of the abdomen and pelvis with contrast | $5,839 | $1,862 | $300 |
| CT scan of the abdomen and pelvis without contrast | $4,910 | $1,599 | $183 |
| CT scan of the abdomen with and without contrast | $4,542 | $2,188 | $259 |
| CT scan of the abdomen with contrast | $3,393 | $1,933 | $230 |
| CT scan of the abdomen without contrast | $3,371 | $1,676 | $136 |
| CT scan of the arm | $2,759 | $1,621 | $199 |
| CT scan of the arm with contrast | $2,759 | $1,620 | $199 |
| CT scan of the arm without contrast | $2,583 | $1,621 | $161 |
| CT scan of the chest | $3,214 | $2,009 | $167 |
| CT scan of the chest with and without contrast | $4,357 | $2,462 | $196 |
| CT scan of the chest with contrast | $3,214 | $2,009 | $167 |
| CT scan of the chest without contrast | $2,890 | $1,695 | $133 |
| CT scan of the head | $2,798 | $1,880 | $148 |
| CT scan of the head with and without contrast | $4,084 | $2,321 | $173 |
| CT scan of the head with contrast | $2,647 | $1,880 | $148 |
| CT scan of the head without contrast | $2,798 | $1,325 | $107 |
| CT scan of the leg | $3,145 | $2,263 | $166 |
| CT scan of the leg with contrast | $3,145 | $2,263 | $166 |
| CT scan of the leg without contrast | $2,837 | $2,399 | $130 |
| CT scan of the lower back (lumbar spine) | $3,826 | $2,113 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $3,966 | $2,507 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $3,826 | $2,113 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $3,282 | $1,826 | $130 |
| CT scan of the neck | $3,179 | $1,756 | $183 |
| CT scan of the neck (cervical spine) | $3,530 | $1,868 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $4,135 | $2,202 | $196 |
| CT scan of the neck (cervical spine) with contrast | $3,530 | $1,868 | $168 |
| CT scan of the neck (cervical spine) without contrast | $3,291 | $1,808 | $131 |
| CT scan of the neck with and without contrast | $3,828 | $2,167 | $220 |
| CT scan of the neck with contrast | $3,179 | $1,756 | $183 |
| CT scan of the neck without contrast | $2,033 | $1,328 | $150 |
| CT scan of the pelvis | $3,208 | $2,035 | $226 |
| CT scan of the pelvis with and without contrast | $3,607 | $2,183 | $251 |
| CT scan of the pelvis with contrast | $3,208 | $2,035 | $226 |
| CT scan of the pelvis without contrast | $2,495 | $1,823 | $133 |
| CT scan of the sinuses | $3,583 | $1,966 | $152 |
| CT scan of the sinuses with and without contrast | $4,085 | $2,115 | $184 |
| CT scan of the sinuses with contrast | $3,583 | $1,966 | $152 |
| CT scan of the sinuses without contrast | $2,776 | $1,305 | $128 |
| D-dimer test | $147 | $126 | $10 |
| Developmental screening (child) | $141 | $208 | — |
| DHEA-sulfate test | $117 | $99 | $22 |
| Diagnostic mammogram | $681 | $267 | $140 |
| Drug screen (urine) | $391 | $80 | $17 |
| Echocardiogram | $2,858 | $1,319 | $138 |
| Echocardiogram with and without contrast | $1,239 | $899 | $101 |
| EEG (awake and asleep) | $2,268 | $906 | $482 |
| EKG / ECG (tracing only) | $440 | $168 | $7 |
| Electrocardiogram (EKG) | $440 | $104 | $8 |
| Electroencephalogram (EEG) | $2,132 | $906 | $448 |
| Electrolyte panel | $122 | $85 | $7 |
| Emergency department visit | $449 | $201 | $69 |
| Emergency department visit (level 1) | $286 | $159 | $11 |
| Emergency department visit (level 2) | $479 | $119 | $40 |
| Emergency department visit (level 3) | $795 | $201 | $69 |
| Emergency department visit (level 4) | $1,320 | $295 | $118 |
| Emergency department visit (level 5) | $1,662 | $502 | $171 |
| Estradiol (estrogen) test | $190 | $124 | $28 |
| Facet joint injection (spine) | $3,418 | $535 | $99 |
| Fecal occult blood (stool) test | $72 | $45 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $50 | $36 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $94 | $54 | $16 |
| Ferritin (iron) test | $142 | $86 | $14 |
| Fibrinogen test | $157 | $85 | $10 |
| Flu test | $72 | $65 | $17 |
| Folate (folic acid) test | $54 | $84 | $15 |
| Foreign body removal (skin) | $1,408 | $246 | $157 |
| Free T4 thyroid test | $166 | $96 | $9 |
| FSH hormone test | $115 | $101 | $19 |
| Gallbladder scan (HIDA) | $2,648 | $1,509 | $334 |
| GGT liver test | $87 | $62 | $7 |
| Glucose tolerance test | $94 | $86 | $8 |
| H. pylori test | $341 | $219 | $67 |
| HDL cholesterol test | $81 | $49 | $8 |
| Hematocrit test | $64 | $31 | $2 |
| Hemoglobin A1c (diabetes test) | $134 | $70 | $10 |
| Hepatitis B test | $182 | $80 | $10 |
| Hepatitis C test | $170 | $111 | $14 |
| HIV test | $112 | $80 | $19 |
| HIV test (antibody) | $194 | $90 | $14 |
| HIV test (antigen/antibody combo) | $95 | $70 | $24 |
| Holter heart monitor | $902 | $360 | $26 |
| Home sleep apnea test | $494 | $506 | $123 |
| Iron blood test | $98 | $60 | $6 |
| IUD removal | $1,371 | $174 | $112 |
| IV infusion therapy | $690 | $170 | $44 |
| IV infusion therapy (each additional) | $359 | $158 | $21 |
| IV infusion therapy (initial) | $690 | $181 | $67 |
| Joint aspiration (small/intermediate) | $1,212 | $212 | $57 |
| Joint aspiration or injection (mid-size joint) | $1,251 | $147 | $57 |
| Joint aspiration or injection (small joint) | $1,212 | $276 | $56 |
| Kidney biopsy | $3,468 | $1,321 | $492 |
| Kidney scan (nuclear) | $2,198 | $1,586 | $172 |
| Kidney ultrasound | $651 | $581 | $84 |
| Kidney ultrasound (limited) | $651 | $499 | $61 |
| Knee joint injection | $1,504 | $181 | $69 |
| Lactate test | $192 | $177 | $12 |
| Laryngoscopy | $2,053 | $673 | $189 |
| LDH test | $77 | $46 | $6 |
| LDL cholesterol test | $130 | $49 | $11 |
| Leg vein ultrasound (Doppler) | $1,551 | $795 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $1,358 | $623 | $116 |
| LH hormone test | $126 | $99 | $19 |
| Lipase test | $124 | $86 | $7 |
| Lipid (cholesterol) panel | $172 | $101 | $13 |
| Liver biopsy | $3,468 | $1,273 | $288 |
| Liver function panel | $172 | $96 | $8 |
| Lung function test (PFT) | $336 | $313 | $37 |
| Lung scan (V/Q) | $1,924 | $1,312 | $291 |
| Magnesium blood test | $98 | $68 | $7 |
| MRA of the brain | $3,379 | $2,252 | $226 |
| MRA of the brain without contrast | $3,790 | $2,113 | $328 |
| MRA of the neck | $3,153 | $2,477 | $245 |
| MRA of the neck with contrast | $3,232 | $2,477 | $245 |
| MRA of the neck without contrast | $3,153 | $2,932 | $343 |
| MRI of the abdomen | $3,835 | $2,645 | $300 |
| MRI of the abdomen with contrast | $3,835 | $2,645 | $300 |
| MRI of the abdomen without contrast | $3,329 | $2,452 | $194 |
| MRI of the ankle | $3,297 | $3,235 | $261 |
| MRI of the ankle with contrast | $3,237 | $1,996 | $261 |
| MRI of the ankle without contrast | $3,297 | $3,235 | $222 |
| MRI of the brain | $3,679 | $2,420 | $269 |
| MRI of the brain with contrast | $3,679 | $2,420 | $269 |
| MRI of the brain without contrast | $3,631 | $2,163 | $195 |
| MRI of the chest | $3,136 | $2,460 | $371 |
| MRI of the chest without contrast | $3,534 | $2,776 | $466 |
| MRI of the knee | $3,902 | $3,938 | $315 |
| MRI of the knee without contrast | $3,552 | $3,462 | $204 |
| MRI of the lower back (lumbar spine) | $4,404 | $2,540 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $4,404 | $2,540 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $4,020 | $2,408 | $192 |
| MRI of the mid-back (thoracic spine) | $4,744 | $2,646 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $5,585 | $3,431 | $319 |
| MRI of the mid-back (thoracic spine) without contrast | $3,904 | $2,399 | $190 |
| MRI of the neck (cervical spine) | $4,560 | $2,531 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $5,170 | $3,479 | $318 |
| MRI of the neck (cervical spine) without contrast | $3,950 | $2,379 | $191 |
| MRI of the pelvis | $3,337 | $2,879 | $268 |
| MRI of the pelvis without contrast | $2,932 | $2,414 | $227 |
| MRI of the shoulder | $3,774 | $2,420 | $313 |
| MRI of the shoulder with contrast | $3,656 | $2,420 | $313 |
| MRI of the shoulder without contrast | $3,774 | $2,283 | $205 |
| MRI of the wrist | $3,245 | $3,090 | $330 |
| MRI of the wrist without contrast | $3,245 | $3,444 | $303 |
| Nebulizer breathing treatment | $443 | $138 | $9 |
| Occupational therapy evaluation | $327 | $312 | $101 |
| Occupational therapy evaluation (high complexity) | $334 | $369 | $101 |
| Occupational therapy evaluation (low complexity) | $294 | $312 | $101 |
| Occupational therapy evaluation (moderate complexity) | $327 | $309 | $101 |
| Office visit (established patient) | $308 | $154 | $115 |
| Office visit (new patient) | $348 | $255 | $177 |
| Office visit, established patient (level 3) | $308 | $138 | $95 |
| Office visit, established patient (level 4) | $339 | $170 | $136 |
| Office visit, new patient (level 3) | $323 | $187 | $118 |
| Office visit, new patient (level 4) | $356 | $255 | $177 |
| Office visit, new patient (level 5) | $392 | $298 | $237 |
| Parathyroid hormone (PTH) test | $268 | $202 | $41 |
| Pelvic ultrasound | $638 | $516 | $78 |
| Pelvic ultrasound (complete) | $1,149 | $595 | $105 |
| Pelvic ultrasound (limited) | $638 | $438 | $51 |
| Phosphorus blood test | $70 | $45 | $5 |
| Physical therapy evaluation | $326 | $168 | $98 |
| Physical therapy evaluation (high complexity) | $338 | $168 | $98 |
| Physical therapy evaluation (moderate complexity) | $326 | $137 | $98 |
| Platelet count | $107 | $58 | $4 |
| Pregnancy blood test (hCG) | $239 | $73 | $8 |
| Pregnancy ultrasound | $718 | $531 | $126 |
| Pregnancy ultrasound (first trimester) | $921 | $490 | $117 |
| Pregnancy ultrasound (second or third trimester) | $514 | $571 | $136 |
| Procalcitonin test | $202 | $159 | $27 |
| Prolactin test | $239 | $117 | $19 |
| Prostate test (PSA) | $162 | $105 | $18 |
| Radiofrequency nerve ablation | $6,160 | $3,153 | $462 |
| Sacroiliac joint injection | $1,520 | $791 | $176 |
| Scoliosis spine X-ray | $368 | $375 | $58 |
| Scoliosis spine X-ray (1 view) | $172 | $307 | $44 |
| Scoliosis spine X-ray (3 views) | $565 | $442 | $72 |
| Screening mammogram | $514 | $220 | $126 |
| Scrotal ultrasound | $1,130 | $596 | $99 |
| Sedimentation rate (ESR) test | $78 | $46 | $3 |
| Semen analysis | $144 | $121 | $12 |
| Sex hormone binding globulin test | $131 | $92 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $799 | $319 | $114 |
| Simple wound stitches | $799 | $356 | $127 |
| Skin biopsy | $3,646 | $354 | $121 |
| Skin biopsy (punch) | $2,404 | $354 | $121 |
| Sleep study (polysomnography) | $4,796 | $3,945 | $691 |
| Soft tissue ultrasound | $599 | $445 | $64 |
| Speech therapy | $267 | $653 | $76 |
| Spinal tap (lumbar puncture) | $1,836 | $701 | $165 |
| Spirometry (lung function test) | $268 | $53 | $30 |
| Spirometry with bronchodilator | $815 | $574 | $43 |
| Strep throat test | $137 | $59 | $17 |
| Swallow study | $385 | $179 | $85 |
| T3 thyroid test | $190 | $95 | $14 |
| Testosterone test | $189 | $107 | $26 |
| Thyroid test (TSH) | $156 | $16 | $17 |
| Thyroid ultrasound | $1,075 | $533 | $109 |
| Thyroid uptake scan | $1,371 | $1,037 | $145 |
| Total IgE allergy test | $126 | $95 | $16 |
| Total protein test | $83 | $47 | $4 |
| Transvaginal ultrasound | $377 | $538 | $118 |
| Trigger point injection | $1,019 | $175 | $56 |
| Trigger point injection (1-2 muscles) | $1,355 | $155 | $52 |
| Triglycerides test | $94 | $42 | $6 |
| Troponin (heart) test | $332 | $137 | $12 |
| Upper GI series (barium) | $1,006 | $659 | $128 |
| Uric acid (gout) test | $87 | $42 | $5 |
| Urinalysis | $70 | $46 | $3 |
| Urine microalbumin test | $98 | $57 | $5 |
| Urine pregnancy test | $155 | $57 | $9 |
| Vaccine administration | $157 | $70 | $19 |
| Vaccine administration (each additional) | $67 | $54 | $16 |
| Vitamin B12 test | $76 | $96 | $15 |
| Vitamin D test | $282 | $166 | $30 |
| Wound debridement | $863 | $317 | $186 |
| X-ray of the abdomen | $540 | $306 | $36 |
| X-ray of the ankle | $610 | $468 | $37 |
| X-ray of the collarbone | $524 | $322 | $33 |
| X-ray of the elbow | $546 | $265 | $33 |
| X-ray of the facial bones | $544 | $258 | $39 |
| X-ray of the foot | $649 | $500 | $34 |
| X-ray of the forearm | $524 | $230 | $29 |
| X-ray of the hand | $575 | $468 | $38 |
| X-ray of the hip | $437 | $286 | $49 |
| X-ray of the hip (1 view) | $381 | $176 | $34 |
| X-ray of the hip (3 views) | $493 | $286 | $49 |
| X-ray of the hip (4 views) | $231 | $387 | $63 |
| X-ray of the knee | $817 | $476 | $42 |
| X-ray of the knee (2 views) | $494 | $414 | $34 |
| X-ray of the knee (3 views) | $668 | $476 | $42 |
| X-ray of the knee (4+ views) | $817 | $540 | $49 |
| X-ray of the lower back (lumbar spine) | $585 | $418 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $585 | $319 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $966 | $516 | $53 |
| X-ray of the lower leg | $580 | $270 | $31 |
| X-ray of the mid-back (thoracic spine) | $645 | $363 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $635 | $341 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $655 | $385 | $39 |
| X-ray of the neck (cervical spine) | $560 | $400 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $560 | $366 | $40 |
| X-ray of the pelvis | $545 | $278 | $36 |
| X-ray of the pelvis (1 view) | $545 | $261 | $28 |
| X-ray of the ribs | $688 | $244 | $42 |
| X-ray of the ribs (2 views) | $550 | $208 | $36 |
| X-ray of the ribs (3 views) | $694 | $244 | $42 |
| X-ray of the shoulder | $659 | $564 | $36 |
| X-ray of the skull | $399 | $338 | $40 |
| X-ray of the upper arm | $542 | $206 | $32 |
| X-ray of the wrist | $574 | $524 | $43 |
| Zinc blood test | $136 | $69 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
