| Procedure | Sutter Lakeside Hospital | Healdsburg Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $145 | $71 | $51 |
| Abdominal fluid drain (paracentesis) | $3,147 | $2,266 | $284 |
| Abdominal ultrasound | $1,772 | $378 | $100 |
| Abdominal ultrasound (complete) | $1,887 | $360 | $114 |
| Abdominal ultrasound (limited) | $1,656 | $378 | $86 |
| Abscess drainage (complex or multiple) | $1,340 | $536 | $220 |
| Abscess drainage (simple) | $1,255 | $364 | $129 |
| Abscess incision and drainage | $1,304 | $453 | $174 |
| Albumin blood test | $82 | $40 | $5 |
| Alkaline phosphatase test | $94 | $18 | $5 |
| Allergy shots | $45 | $91 | $11 |
| Alpha-fetoprotein (AFP) test | $176 | $77 | $17 |
| ALT liver enzyme test | $112 | $44 | $5 |
| Ammonia blood test | $327 | $119 | $15 |
| Amylase test | $220 | $53 | $6 |
| Anoscopy | $724 | $139 | $129 |
| AST liver enzyme test | $114 | $42 | $5 |
| Barium swallow study | $1,192 | $441 | $107 |
| Bartholin cyst removal | $761 | $219 | $182 |
| Basic metabolic panel | $383 | $51 | $8 |
| Benign skin lesion removal | $5,664 | $798 | $171 |
| Bilirubin blood test | $123 | $42 | $5 |
| Blood clotting test (PT/INR) | $158 | $26 | $4 |
| Blood glucose test | $86 | $44 | $5 |
| Blood transfusion | $682 | $534 | $47 |
| Blood type and screen | $203 | $43 | $10 |
| Blood type test | $183 | $38 | $3 |
| Blood type test (ABO group) | $205 | $36 | $3 |
| Blood type test (Rh/D antigen) | $161 | $42 | $3 |
| BNP (heart failure) test | $478 | $277 | $39 |
| Bone density scan (DEXA) | $913 | $315 | $39 |
| Bone marrow biopsy | $3,250 | $2,509 | $172 |
| Breast ultrasound | $1,468 | $223 | $92 |
| Breast ultrasound (complete) | $1,637 | $283 | $100 |
| Breast ultrasound (limited) | $1,298 | $132 | $84 |
| Breathing tube insertion (intubation) | $1,290 | $266 | $133 |
| Burn dressing and debridement (small) | $699 | $328 | $93 |
| Burn treatment | $699 | $328 | $129 |
| C-reactive protein (CRP) | $177 | $135 | $5 |
| CA 19-9 tumor marker test | $178 | $218 | $21 |
| CA-125 ovarian marker test | $217 | $218 | $21 |
| Calcium blood test | $112 | $42 | $5 |
| Cardiac stress test | $2,345 | $257 | $39 |
| Cardioversion | $3,462 | $2,367 | $155 |
| Carotid artery ultrasound | $2,178 | $465 | $156 |
| CEA tumor marker test | $286 | $152 | $19 |
| Central line placement | $3,489 | $3,612 | $238 |
| Cervical LEEP procedure | $7,985 | $608 | $325 |
| Chemotherapy infusion | $977 | $649 | $81 |
| Chemotherapy infusion (each additional) | $545 | $598 | $28 |
| Chemotherapy infusion (first hour) | $1,408 | $700 | $133 |
| Chest fluid drain (thoracentesis) | $3,017 | $2,204 | $311 |
| Chest tube insertion | $3,068 | $1,067 | $143 |
| Chest X-ray | $771 | $374 | $37 |
| Chest X-ray (1 view) | $738 | $374 | $25 |
| Chest X-ray (2 views) | $804 | $223 | $33 |
| Circumcision | $372 | $306 | $167 |
| CK-MB heart enzyme test | $319 | $147 | $12 |
| Clotting time test (PTT) | $183 | $38 | $6 |
| Colposcopy | $2,910 | $997 | $161 |
| Complete blood count (CBC) | $184 | $46 | $7 |
| Complete blood count (CBC) (complete) | $217 | $50 | $8 |
| Comprehensive metabolic panel | $471 | $67 | $11 |
| Cortisol test | $283 | $150 | $16 |
| COVID-19 PCR test | $304 | $105 | $51 |
| CPAP titration study | $2,176 | $188 | $69 |
| Creatine kinase (CK) test | $243 | $53 | $7 |
| CT angiography of the chest | $6,885 | $1,330 | $281 |
| CT angiography of the head | $6,173 | $1,091 | $274 |
| CT scan of the abdomen | $4,755 | $740 | $230 |
| CT scan of the abdomen and pelvis | $8,287 | $1,228 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $8,994 | $1,742 | $338 |
| CT scan of the abdomen and pelvis with contrast | $8,287 | $1,701 | $300 |
| CT scan of the abdomen and pelvis without contrast | $6,374 | $1,039 | $183 |
| CT scan of the abdomen with and without contrast | $4,989 | $1,273 | $259 |
| CT scan of the abdomen with contrast | $4,755 | $1,132 | $230 |
| CT scan of the abdomen without contrast | $4,058 | $590 | $136 |
| CT scan of the arm | $6,117 | $668 | $199 |
| CT scan of the arm with contrast | $6,117 | $1,267 | $199 |
| CT scan of the arm without contrast | $5,092 | $623 | $161 |
| CT scan of the chest | $5,153 | $373 | $167 |
| CT scan of the chest with and without contrast | $5,607 | $1,195 | $196 |
| CT scan of the chest with contrast | $5,153 | $1,051 | $167 |
| CT scan of the chest without contrast | $4,097 | $151 | $133 |
| CT scan of the head | $4,869 | $532 | $148 |
| CT scan of the head with and without contrast | $5,345 | $942 | $173 |
| CT scan of the head with contrast | $4,869 | $830 | $148 |
| CT scan of the head without contrast | $4,312 | $456 | $107 |
| CT scan of the leg | $6,350 | $626 | $166 |
| CT scan of the leg with contrast | $6,350 | $1,051 | $166 |
| CT scan of the leg without contrast | $5,206 | $583 | $130 |
| CT scan of the lower back (lumbar spine) | $4,803 | $628 | $169 |
| CT scan of the lower back (lumbar spine) with contrast | $4,937 | $1,227 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $4,803 | $583 | $130 |
| CT scan of the neck | $3,639 | $852 | $183 |
| CT scan of the neck (cervical spine) | $5,058 | $483 | $168 |
| CT scan of the neck (cervical spine) without contrast | $5,058 | $483 | $131 |
| CT scan of the neck with and without contrast | $3,639 | $913 | $220 |
| CT scan of the neck with contrast | $3,976 | $871 | $183 |
| CT scan of the neck without contrast | $3,325 | $769 | $150 |
| CT scan of the pelvis | $4,656 | $731 | $226 |
| CT scan of the pelvis with and without contrast | $4,196 | $1,265 | $251 |
| CT scan of the pelvis with contrast | $5,746 | $1,128 | $226 |
| CT scan of the pelvis without contrast | $4,656 | $587 | $133 |
| CT scan of the sinuses | $4,353 | $676 | $152 |
| CT scan of the sinuses with and without contrast | $4,353 | $1,021 | $184 |
| CT scan of the sinuses with contrast | $5,254 | $834 | $152 |
| CT scan of the sinuses without contrast | $4,272 | $676 | $128 |
| D-dimer test | $295 | $65 | $10 |
| Diagnostic mammogram | $803 | $427 | $140 |
| Drug screen (urine) | $622 | $83 | $17 |
| Echocardiogram | $2,209 | $426 | $138 |
| Echocardiogram with and without contrast | $1,531 | $406 | $101 |
| EKG / ECG (tracing only) | $614 | $166 | $7 |
| Electrocardiogram (EKG) | $327 | $66 | $8 |
| Electrolyte panel | $176 | $44 | $7 |
| Emergency department visit | $2,449 | $1,379 | $69 |
| Emergency department visit (level 1) | $494 | $452 | $11 |
| Emergency department visit (level 2) | $1,253 | $1,005 | $40 |
| Emergency department visit (level 3) | $2,449 | $1,753 | $69 |
| Emergency department visit (level 4) | $4,038 | $2,726 | $118 |
| Emergency department visit (level 5) | $6,017 | $3,535 | $171 |
| Endometrial biopsy | $2,458 | $378 | $98 |
| Epidural steroid injection | $4,147 | $1,623 | $275 |
| Estradiol (estrogen) test | $217 | $266 | $28 |
| Facet joint injection (spine) | $1,716 | $387 | $99 |
| Fecal occult blood (stool) test | $96 | $40 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $96 | $28 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $96 | $52 | $16 |
| Ferritin (iron) test | $256 | $112 | $14 |
| Fibrinogen test | $255 | $54 | $10 |
| Folate (folic acid) test | $231 | $96 | $15 |
| Foreign body removal (skin) | $1,636 | $1,089 | $157 |
| Free T4 thyroid test | $231 | $61 | $9 |
| FSH hormone test | $197 | $136 | $19 |
| GGT liver test | $143 | $154 | $7 |
| Glucose tolerance test | $98 | $60 | $8 |
| HDL cholesterol test | $108 | $67 | $8 |
| Hematocrit test | $83 | $15 | $2 |
| Hemoglobin A1c (diabetes test) | $203 | $80 | $10 |
| Hepatitis B test | $147 | $65 | $10 |
| Hepatitis C test | $182 | $94 | $14 |
| HIV test | $212 | $81 | $19 |
| HIV test (antibody) | $172 | $69 | $14 |
| HIV test (antigen/antibody combo) | $252 | $93 | $24 |
| Holter heart monitor | $675 | $89 | $26 |
| Iron blood test | $140 | $53 | $6 |
| IUD removal | $2,141 | $923 | $112 |
| IV infusion therapy | $717 | $611 | $44 |
| IV infusion therapy (each additional) | $468 | $483 | $21 |
| IV infusion therapy (initial) | $966 | $662 | $67 |
| Joint aspiration (small/intermediate) | $1,808 | $497 | $57 |
| Joint aspiration or injection (mid-size joint) | $1,808 | $497 | $57 |
| Joint aspiration or injection (small joint) | $1,801 | $350 | $56 |
| Kidney ultrasound | $1,193 | $351 | $84 |
| Knee joint injection | $1,922 | $1,648 | $69 |
| Lactate test | $265 | $104 | $12 |
| LDH test | $157 | $60 | $6 |
| LDL cholesterol test | $129 | $78 | $11 |
| Leg vein ultrasound (Doppler) | $1,958 | $480 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $1,629 | $404 | $116 |
| LH hormone test | $260 | $136 | $19 |
| Lipase test | $275 | $57 | $7 |
| Lipid (cholesterol) panel | $343 | $82 | $13 |
| Liver function panel | $309 | $61 | $8 |
| Lung function test (PFT) | $1,051 | $277 | $37 |
| Magnesium blood test | $219 | $56 | $7 |
| MMR vaccine | $740 | $145 | — |
| MRA of the brain | $5,677 | $1,244 | $226 |
| MRA of the neck | $5,688 | $1,260 | $245 |
| MRA of the neck without contrast | $7,025 | $1,843 | $343 |
| MRI of the abdomen | $4,410 | $1,976 | $300 |
| MRI of the abdomen without contrast | $4,410 | $1,976 | $194 |
| MRI of the ankle | $7,992 | $1,789 | $261 |
| MRI of the ankle without contrast | $5,368 | $1,789 | $222 |
| MRI of the brain | $7,192 | $1,213 | $269 |
| MRI of the brain with contrast | $7,192 | $1,872 | $269 |
| MRI of the brain without contrast | $5,481 | $1,073 | $195 |
| MRI of the chest | $5,011 | $1,789 | $371 |
| MRI of the chest without contrast | $6,411 | $3,685 | $466 |
| MRI of the knee | $7,678 | $1,789 | $315 |
| MRI of the knee without contrast | $7,464 | $1,789 | $204 |
| MRI of the lower back (lumbar spine) | $8,076 | $1,789 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $5,217 | $1,789 | $192 |
| MRI of the mid-back (thoracic spine) | $6,508 | $1,789 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $8,406 | $4,237 | $319 |
| MRI of the mid-back (thoracic spine) without contrast | $5,458 | $1,789 | $190 |
| MRI of the neck (cervical spine) | $6,480 | $1,730 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $8,560 | $2,895 | $318 |
| MRI of the neck (cervical spine) without contrast | $5,265 | $1,730 | $191 |
| MRI of the pelvis | $5,735 | $2,680 | $268 |
| MRI of the pelvis without contrast | $5,735 | $2,680 | $227 |
| MRI of the shoulder | $7,576 | $1,789 | $313 |
| MRI of the shoulder with contrast | $7,576 | $2,077 | $313 |
| MRI of the shoulder without contrast | $7,291 | $1,789 | $205 |
| MRI of the wrist | $5,322 | $1,789 | $330 |
| MRI of the wrist with contrast | $4,682 | $1,422 | $330 |
| MRI of the wrist without contrast | $5,322 | $1,789 | $303 |
| Nebulizer breathing treatment | $685 | $225 | $9 |
| Occupational therapy evaluation | $624 | $243 | $101 |
| Occupational therapy evaluation (high complexity) | $646 | $290 | $101 |
| Occupational therapy evaluation (low complexity) | $508 | $224 | $101 |
| Occupational therapy evaluation (moderate complexity) | $624 | $243 | $101 |
| Office visit (established patient) | $263 | $257 | $115 |
| Office visit (new patient) | $282 | $476 | $177 |
| Office visit, established patient (level 3) | $267 | $188 | $95 |
| Office visit, established patient (level 4) | $259 | $277 | $136 |
| Office visit, new patient (level 3) | $282 | $298 | $118 |
| Office visit, new patient (level 4) | $282 | $422 | $177 |
| Office visit, new patient (level 5) | $287 | $550 | $237 |
| Pap smear (cervical screening) | $70 | $90 | $20 |
| Parathyroid hormone (PTH) test | $400 | $138 | $41 |
| Pelvic ultrasound | $1,270 | $378 | $78 |
| Pelvic ultrasound (complete) | $1,596 | $349 | $105 |
| Pelvic ultrasound (limited) | $944 | $378 | $51 |
| Phosphorus blood test | $142 | $38 | $5 |
| Physical therapy evaluation | $558 | $236 | $98 |
| Physical therapy evaluation (high complexity) | $629 | $267 | $98 |
| Physical therapy evaluation (moderate complexity) | $558 | $236 | $98 |
| Platelet count | $118 | $63 | $4 |
| Pregnancy blood test (hCG) | $236 | $62 | $8 |
| Pregnancy ultrasound | $1,552 | $380 | $126 |
| Pregnancy ultrasound (first trimester) | $1,625 | $360 | $117 |
| Pregnancy ultrasound (second or third trimester) | $1,479 | $380 | $136 |
| Procalcitonin test | $498 | $154 | $27 |
| Prostate test (PSA) | $242 | $150 | $18 |
| Radiofrequency nerve ablation | $5,165 | $743 | $462 |
| Scoliosis spine X-ray | $556 | $268 | $58 |
| Scoliosis spine X-ray (1 view) | $458 | $236 | $44 |
| Scoliosis spine X-ray (3 views) | $654 | $345 | $72 |
| Screening mammogram | $602 | $350 | $126 |
| Scrotal ultrasound | $1,224 | $343 | $99 |
| Sedimentation rate (ESR) test | $118 | $17 | $3 |
| Simple laceration repair (small, up to 2.5 cm) | $951 | $355 | $114 |
| Simple wound stitches | $945 | $380 | $127 |
| Skin graft | $10,996 | $3,318 | $898 |
| Skin lesion freezing (cryotherapy) | $204 | $370 | $36 |
| Skin tag removal | $1,351 | $359 | $92 |
| Soft tissue ultrasound | $674 | $421 | $64 |
| Speech therapy | $460 | $182 | $76 |
| Spinal tap (lumbar puncture) | $2,433 | $1,476 | $165 |
| Spirometry (lung function test) | $653 | $196 | $30 |
| Spirometry with bronchodilator | $1,449 | $358 | $43 |
| Strep throat test | $209 | $77 | $17 |
| Stress echocardiogram | $3,725 | $812 | $209 |
| Stress echocardiogram (complete) | $4,168 | $812 | $233 |
| Swallow study | $658 | $200 | $85 |
| Tdap (tetanus) vaccine | $379 | $124 | — |
| Testosterone test | $141 | $74 | $26 |
| Thyroid test (TSH) | $313 | $138 | $17 |
| Thyroid ultrasound | $1,368 | $360 | $109 |
| Total protein test | $45 | $31 | $4 |
| Transvaginal ultrasound | $1,310 | $365 | $118 |
| Trigger point injection | $1,233 | $919 | $56 |
| Trigger point injection (1-2 muscles) | $1,238 | $919 | $52 |
| Triglycerides test | $162 | $47 | $6 |
| Troponin (heart) test | $392 | $80 | $12 |
| Turning a breech baby (version) | $2,189 | $2,884 | $94 |
| Upper GI series (barium) | $1,314 | $507 | $128 |
| Uric acid (gout) test | $125 | $37 | $5 |
| Urinalysis | $111 | $23 | $3 |
| Urine microalbumin test | $95 | $42 | $5 |
| Urine pregnancy test | $190 | $31 | $9 |
| Vaccine administration | $141 | $49 | $19 |
| Vaccine administration (each additional) | $119 | $46 | $16 |
| Vitamin B12 test | $228 | $94 | $15 |
| Vitamin D test | $221 | $94 | $30 |
| Wart removal | $745 | $297 | $121 |
| Wound debridement | $3,131 | $625 | $186 |
| X-ray of the abdomen | $879 | $292 | $36 |
| X-ray of the ankle | $1,300 | $254 | $37 |
| X-ray of the collarbone | $918 | $225 | $33 |
| X-ray of the elbow | $1,265 | $249 | $33 |
| X-ray of the facial bones | $668 | $264 | $39 |
| X-ray of the foot | $1,377 | $250 | $34 |
| X-ray of the forearm | $1,089 | $90 | $29 |
| X-ray of the hand | $1,329 | $254 | $38 |
| X-ray of the hip | $768 | $242 | $49 |
| X-ray of the hip (1 view) | $685 | $226 | $34 |
| X-ray of the hip (3 views) | $768 | $242 | $49 |
| X-ray of the hip (4 views) | $1,048 | $202 | $63 |
| X-ray of the knee | $1,431 | $241 | $42 |
| X-ray of the knee (2 views) | $1,064 | $227 | $34 |
| X-ray of the knee (3 views) | $1,431 | $235 | $42 |
| X-ray of the knee (4+ views) | $1,537 | $291 | $49 |
| X-ray of the lower back (lumbar spine) | $1,059 | $355 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $966 | $342 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $1,151 | $355 | $53 |
| X-ray of the lower leg | $968 | $380 | $31 |
| X-ray of the mid-back (thoracic spine) | $956 | $310 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $932 | $303 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $980 | $342 | $39 |
| X-ray of the neck (cervical spine) | $1,020 | $249 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $864 | $233 | $40 |
| X-ray of the pelvis | $830 | $343 | $36 |
| X-ray of the pelvis (1 view) | $770 | $327 | $28 |
| X-ray of the ribs | $835 | $282 | $42 |
| X-ray of the ribs (2 views) | $640 | $253 | $36 |
| X-ray of the ribs (3 views) | $854 | $345 | $42 |
| X-ray of the shoulder | $1,335 | $251 | $36 |
| X-ray of the skull | $811 | $289 | $40 |
| X-ray of the upper arm | $732 | $426 | $32 |
| X-ray of the wrist | $1,294 | $381 | $43 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
