| Procedure | Tawas St Joseph Hospital | Scheurer Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $61 | $46 | $51 |
| Abdominal fluid drain (paracentesis) | $435 | $223 | $284 |
| Abdominal ultrasound | $770 | $336 | $100 |
| Abdominal ultrasound (complete) | $966 | $411 | $114 |
| Abdominal ultrasound (limited) | $575 | $260 | $86 |
| Abscess drainage (complex or multiple) | $199 | $326 | $220 |
| Abscess drainage (simple) | $103 | $193 | $129 |
| Abscess incision and drainage | $151 | $261 | $174 |
| Albumin blood test | $15 | $22 | $5 |
| Aldosterone test | $81 | $32 | $41 |
| Alkaline phosphatase test | $15 | $28 | $5 |
| Alpha-fetoprotein (AFP) test | $125 | $27 | $17 |
| ALT liver enzyme test | $16 | $32 | $5 |
| Ammonia blood test | $45 | $43 | $15 |
| Amylase test | $74 | $20 | $6 |
| Antinuclear antibody (ANA) test | $30 | $21 | $12 |
| AST liver enzyme test | $15 | $32 | $5 |
| Barium swallow study | $243 | $141 | $107 |
| Basic metabolic panel | $139 | $107 | $8 |
| Benign skin lesion removal | $541 | $500 | $171 |
| Bilirubin blood test | $15 | $24 | $5 |
| Blood clotting test (PT/INR) | $20 | $26 | $4 |
| Blood crossmatch | $83 | $45 | — |
| Blood glucose test | $16 | $16 | $5 |
| Blood transfusion | $197 | $857 | $47 |
| Blood type and screen | $50 | $62 | $10 |
| Blood type test | $41 | $36 | $3 |
| Blood type test (ABO group) | $68 | $36 | $3 |
| Blood type test (Rh/D antigen) | $14 | $36 | $3 |
| BNP (heart failure) test | $68 | $35 | $39 |
| Bone density scan (DEXA) | $435 | $244 | $39 |
| Bone scan (nuclear) | $658 | $845 | $259 |
| Breast biopsy | $1,799 | $1,125 | $478 |
| Breast ultrasound | $338 | $241 | $92 |
| Breast ultrasound (complete) | $354 | $337 | $100 |
| Breast ultrasound (limited) | $322 | $145 | $84 |
| Breathing tube insertion (intubation) | $236 | $464 | $133 |
| Burn dressing and debridement (small) | $102 | $286 | $93 |
| Burn treatment | $150 | $286 | $129 |
| C-reactive protein (CRP) | $33 | $63 | $5 |
| CA 19-9 tumor marker test | $35 | $31 | $21 |
| CA-125 ovarian marker test | $185 | $28 | $21 |
| Calcium blood test | $15 | $33 | $5 |
| Cardiac rehabilitation | $158 | $111 | $26 |
| Cardiac stress test | $1,026 | $580 | $39 |
| Carotid artery ultrasound | $293 | $728 | $156 |
| CEA tumor marker test | $121 | $136 | $19 |
| Central line placement | $773 | $1,428 | $238 |
| Chemotherapy infusion | $423 | $226 | $81 |
| Chemotherapy infusion (each additional) | $299 | $87 | $28 |
| Chemotherapy infusion (first hour) | $547 | $366 | $133 |
| Chest tube insertion | $629 | $964 | $143 |
| Chest X-ray | $210 | $115 | $37 |
| Chest X-ray (1 view) | $182 | $69 | $25 |
| Chest X-ray (2 views) | $200 | $113 | $33 |
| CK-MB heart enzyme test | $41 | $25 | $12 |
| Clotting time test (PTT) | $30 | $30 | $6 |
| Complete blood count (CBC) | $59 | $38 | $7 |
| Complete blood count (CBC) (complete) | $100 | $42 | $8 |
| Complex wound repair | $317 | $660 | $390 |
| Comprehensive metabolic panel | $197 | $137 | $11 |
| Copper blood test | $42 | $27 | $12 |
| Cortisol test | $53 | $23 | $16 |
| COVID-19 PCR test | $68 | $97 | $51 |
| CPAP titration study | $208 | $63 | $69 |
| Creatine kinase (CK) test | $28 | $32 | $7 |
| CT angiography of the chest | $995 | $1,479 | $281 |
| CT angiography of the head | $694 | $1,268 | $274 |
| CT scan of the abdomen | $1,866 | $1,077 | $230 |
| CT scan of the abdomen and pelvis | $2,107 | $1,433 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $2,319 | $1,433 | $338 |
| CT scan of the abdomen and pelvis with contrast | $2,107 | $1,614 | $300 |
| CT scan of the abdomen and pelvis without contrast | $1,288 | $1,302 | $183 |
| CT scan of the abdomen with and without contrast | $2,054 | $1,136 | $259 |
| CT scan of the abdomen with contrast | $1,866 | $1,077 | $230 |
| CT scan of the abdomen without contrast | $1,214 | $722 | $136 |
| CT scan of the arm | $867 | $1,078 | $199 |
| CT scan of the arm with contrast | $867 | $1,078 | $199 |
| CT scan of the arm without contrast | $788 | $835 | $161 |
| CT scan of the chest | $813 | $1,077 | $167 |
| CT scan of the chest with and without contrast | $1,002 | $1,136 | $196 |
| CT scan of the chest with contrast | $813 | $1,077 | $167 |
| CT scan of the chest without contrast | $602 | $835 | $133 |
| CT scan of the head | $1,480 | $932 | $148 |
| CT scan of the head with and without contrast | $1,628 | $1,135 | $173 |
| CT scan of the head with contrast | $1,480 | $932 | $148 |
| CT scan of the head without contrast | $1,345 | $722 | $107 |
| CT scan of the leg | $610 | $936 | $166 |
| CT scan of the leg with contrast | $610 | $1,077 | $166 |
| CT scan of the leg without contrast | $578 | $835 | $130 |
| CT scan of the lower back (lumbar spine) | $760 | $1,035 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $774 | $1,035 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $760 | $1,077 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $500 | $835 | $130 |
| CT scan of the neck | $668 | $933 | $183 |
| CT scan of the neck (cervical spine) | $649 | $936 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $954 | $936 | $196 |
| CT scan of the neck (cervical spine) with contrast | $649 | $1,077 | $168 |
| CT scan of the neck (cervical spine) without contrast | $592 | $835 | $131 |
| CT scan of the neck with and without contrast | $826 | $1,136 | $220 |
| CT scan of the neck with contrast | $668 | $933 | $183 |
| CT scan of the neck without contrast | $510 | $722 | $150 |
| CT scan of the pelvis | $725 | $932 | $226 |
| CT scan of the pelvis with and without contrast | $752 | $1,137 | $251 |
| CT scan of the pelvis with contrast | $725 | $932 | $226 |
| CT scan of the pelvis without contrast | $551 | $835 | $133 |
| CT scan of the sinuses | $764 | $936 | $152 |
| CT scan of the sinuses with and without contrast | $970 | $936 | $184 |
| CT scan of the sinuses with contrast | $764 | $1,077 | $152 |
| CT scan of the sinuses without contrast | $694 | $722 | $128 |
| D-dimer test | $97 | $76 | $10 |
| DHEA-sulfate test | $72 | $28 | $22 |
| Diagnostic mammogram | $251 | $184 | $140 |
| Drug screen (urine) | $85 | $65 | $17 |
| Echocardiogram | $456 | $956 | $138 |
| Echocardiogram with and without contrast | $225 | $472 | $101 |
| EKG / ECG (tracing only) | $197 | $98 | $7 |
| Electrocardiogram (EKG) | $197 | $76 | $8 |
| Electrolyte panel | $37 | $83 | $7 |
| Emergency department visit | $456 | $353 | $69 |
| Emergency department visit (level 1) | $156 | $200 | $11 |
| Emergency department visit (level 2) | $305 | $242 | $40 |
| Emergency department visit (level 3) | $456 | $353 | $69 |
| Emergency department visit (level 4) | $857 | $559 | $118 |
| Emergency department visit (level 5) | $1,328 | $862 | $171 |
| Estradiol (estrogen) test | $127 | $26 | $28 |
| Fallopian tube X-ray (HSG) | $560 | $294 | $164 |
| Family therapy session | $95 | $584 | $110 |
| Fecal occult blood (stool) test | $19 | $30 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $9 | $25 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $29 | $36 | $16 |
| Ferritin (iron) test | $44 | $102 | $14 |
| Fibrinogen test | $24 | $21 | $10 |
| Flu test | $28 | $63 | $17 |
| Folate (folic acid) test | $42 | $110 | $15 |
| Foreign body removal (skin) | $345 | $427 | $157 |
| Free T4 thyroid test | $35 | $92 | $9 |
| FSH hormone test | $193 | $23 | $19 |
| Gallbladder scan (HIDA) | $861 | $942 | $334 |
| GGT liver test | $55 | $24 | $7 |
| Glucose tolerance test | $82 | $77 | $8 |
| Group therapy session | $128 | $535 | $30 |
| H. pylori test | $182 | $71 | $67 |
| HDL cholesterol test | $24 | $52 | $8 |
| Hematocrit test | $10 | $21 | $2 |
| Hemoglobin A1c (diabetes test) | $39 | $30 | $10 |
| Hepatitis B test | $27 | $21 | $10 |
| Hepatitis C test | $38 | $27 | $14 |
| HIV test | $30 | $32 | $19 |
| HIV test (antigen/antibody combo) | $30 | $30 | $24 |
| Holter heart monitor | $764 | $176 | $26 |
| Iron blood test | $26 | $40 | $6 |
| IUD removal | $184 | $357 | $112 |
| IV infusion therapy | $240 | $125 | $44 |
| IV infusion therapy (each additional) | $102 | $59 | $21 |
| IV infusion therapy (initial) | $378 | $191 | $67 |
| Joint aspiration (small/intermediate) | $326 | $374 | $57 |
| Joint aspiration or injection (mid-size joint) | $379 | $374 | $57 |
| Joint aspiration or injection (small joint) | $273 | $374 | $56 |
| Kidney scan (nuclear) | $472 | $643 | $172 |
| Kidney ultrasound | $563 | $256 | $84 |
| Kidney ultrasound (limited) | $537 | $171 | $61 |
| Knee joint injection | $470 | $357 | $69 |
| Lactate test | $27 | $22 | $12 |
| Laryngoscopy | $846 | $214 | $189 |
| LDH test | $21 | $40 | $6 |
| LDL cholesterol test | $20 | $29 | $11 |
| Leg vein ultrasound (Doppler) | $666 | $495 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $635 | $397 | $116 |
| LH hormone test | $176 | $23 | $19 |
| Lipase test | $33 | $78 | $7 |
| Lipid (cholesterol) panel | $58 | $126 | $13 |
| Liver function panel | $68 | $124 | $8 |
| Lung function test (PFT) | $363 | $260 | $37 |
| Lung scan (V/Q) | $515 | $938 | $291 |
| Magnesium blood test | $62 | $31 | $7 |
| Nebulizer breathing treatment | $146 | $37 | $9 |
| Nuclear cardiac stress test | $2,861 | $2,392 | $428 |
| Occupational therapy evaluation | $135 | $149 | $101 |
| Occupational therapy evaluation (high complexity) | $149 | $172 | $101 |
| Occupational therapy evaluation (low complexity) | $123 | $95 | $101 |
| Occupational therapy evaluation (moderate complexity) | $135 | $149 | $101 |
| Office visit (established patient) | $252 | $121 | $115 |
| Office visit (new patient) | $281 | $209 | $177 |
| Office visit, established patient (level 3) | $223 | $99 | $95 |
| Office visit, established patient (level 4) | $281 | $144 | $136 |
| Office visit, new patient (level 3) | $223 | $137 | $118 |
| Office visit, new patient (level 4) | $281 | $209 | $177 |
| Office visit, new patient (level 5) | $365 | $264 | $237 |
| Pap smear (cervical screening) | $32 | $34 | $20 |
| Parathyroid hormone (PTH) test | $100 | $44 | $41 |
| Pelvic ultrasound | $539 | $347 | $78 |
| Pelvic ultrasound (complete) | $680 | $500 | $105 |
| Pelvic ultrasound (limited) | $397 | $193 | $51 |
| Phosphorus blood test | $21 | $24 | $5 |
| Physical therapy evaluation | $133 | $153 | $98 |
| Physical therapy evaluation (high complexity) | $146 | $181 | $98 |
| Physical therapy evaluation (moderate complexity) | $133 | $153 | $98 |
| Platelet count | $17 | $33 | $4 |
| Pregnancy blood test (hCG) | $100 | $79 | $8 |
| Pregnancy ultrasound | $524 | $364 | $126 |
| Pregnancy ultrasound (first trimester) | $475 | $301 | $117 |
| Pregnancy ultrasound (second or third trimester) | $573 | $428 | $136 |
| Procalcitonin test | $56 | $69 | $27 |
| Prolactin test | $55 | $27 | $19 |
| Prostate test (PSA) | $52 | $120 | $18 |
| Psychotherapy session | $133 | $573 | $140 |
| Scoliosis spine X-ray | $214 | $164 | $58 |
| Scoliosis spine X-ray (1 view) | $118 | $140 | $44 |
| Scoliosis spine X-ray (3 views) | $309 | $188 | $72 |
| Screening mammogram | $238 | $254 | $126 |
| Scrotal ultrasound | $556 | $358 | $99 |
| Sedimentation rate (ESR) test | $18 | $26 | $3 |
| Sex hormone binding globulin test | $110 | $76 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $117 | $232 | $114 |
| Simple wound stitches | $175 | $250 | $127 |
| Soft tissue ultrasound | $219 | $322 | $64 |
| Speech therapy | $90 | $190 | $76 |
| Spinal tap (lumbar puncture) | $510 | $571 | $165 |
| Spirometry (lung function test) | $285 | $186 | $30 |
| Spirometry with bronchodilator | $441 | $333 | $43 |
| Stress echocardiogram | $1,306 | $1,180 | $209 |
| Stress echocardiogram (complete) | $1,369 | $1,180 | $233 |
| Swallow study | $89 | $298 | $85 |
| T3 thyroid test | $33 | $129 | $14 |
| Testosterone test | $175 | $25 | $26 |
| Thyroid test (TSH) | $60 | $138 | $17 |
| Thyroid ultrasound | $572 | $312 | $109 |
| Thyroid uptake scan | $507 | $416 | $145 |
| Total IgE allergy test | $31 | $23 | $16 |
| Total protein test | $11 | $31 | $4 |
| Transesophageal echocardiogram (TEE) | $637 | $440 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $637 | $440 | $239 |
| Transvaginal ultrasound | $472 | $289 | $118 |
| Trigger point injection | $570 | $253 | $56 |
| Trigger point injection (1-2 muscles) | $533 | $428 | $52 |
| Triglycerides test | $22 | $33 | $6 |
| Troponin (heart) test | $136 | $74 | $12 |
| Upper GI series (barium) | $341 | $254 | $128 |
| Uric acid (gout) test | $21 | $38 | $5 |
| Urinalysis | $19 | $22 | $3 |
| Urine microalbumin test | $17 | $33 | $5 |
| Urine pregnancy test | $89 | $80 | $9 |
| Vaccine administration | $30 | $28 | $19 |
| Vitamin B12 test | $52 | $98 | $15 |
| Vitamin D test | $62 | $32 | $30 |
| Wound debridement | $727 | $515 | $186 |
| X-ray of the abdomen | $200 | $130 | $36 |
| X-ray of the ankle | $263 | $95 | $37 |
| X-ray of the collarbone | $245 | $94 | $33 |
| X-ray of the elbow | $281 | $106 | $33 |
| X-ray of the facial bones | $126 | $134 | $39 |
| X-ray of the foot | $291 | $116 | $34 |
| X-ray of the forearm | $216 | $95 | $29 |
| X-ray of the hand | $271 | $103 | $38 |
| X-ray of the hip | $108 | $100 | $49 |
| X-ray of the hip (1 view) | $65 | $88 | $34 |
| X-ray of the hip (3 views) | $108 | $111 | $49 |
| X-ray of the knee | $264 | $113 | $42 |
| X-ray of the knee (2 views) | $71 | $87 | $34 |
| X-ray of the knee (3 views) | $264 | $113 | $42 |
| X-ray of the knee (4+ views) | $365 | $126 | $49 |
| X-ray of the lower back (lumbar spine) | $275 | $166 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $142 | $143 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $409 | $189 | $53 |
| X-ray of the lower leg | $53 | $89 | $31 |
| X-ray of the mid-back (thoracic spine) | $121 | $129 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $90 | $112 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $153 | $146 | $39 |
| X-ray of the neck (cervical spine) | $360 | $123 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $291 | $102 | $40 |
| X-ray of the pelvis | $208 | $123 | $36 |
| X-ray of the pelvis (1 view) | $93 | $89 | $28 |
| X-ray of the ribs | $122 | $154 | $42 |
| X-ray of the ribs (2 views) | $111 | $104 | $36 |
| X-ray of the ribs (3 views) | $122 | $173 | $42 |
| X-ray of the shoulder | $304 | $115 | $36 |
| X-ray of the skull | $135 | $140 | $40 |
| X-ray of the upper arm | $109 | $103 | $32 |
| X-ray of the wrist | $273 | $110 | $43 |
| Zinc blood test | $72 | $29 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
