| Procedure | Trinity-Bettendorf | OSF Saint Luke Medical Center | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $53 | $107 | $51 |
| Abdominal fluid drain (paracentesis) | $1,510 | $1,247 | $284 |
| Abdominal ultrasound | $656 | $821 | $100 |
| Abdominal ultrasound (complete) | $1,061 | $1,030 | $114 |
| Abdominal ultrasound (limited) | $656 | $821 | $86 |
| Abscess drainage (complex or multiple) | $689 | $350 | $220 |
| Abscess drainage (simple) | $375 | $350 | $129 |
| Abscess incision and drainage | $445 | $350 | $174 |
| Albumin blood test | $34 | $80 | $5 |
| Aldosterone test | $109 | $144 | $41 |
| Alkaline phosphatase test | $34 | $104 | $5 |
| Allergy testing | $44 | $53 | $4 |
| Alpha-fetoprotein (AFP) test | $64 | $138 | $17 |
| ALT liver enzyme test | $34 | $84 | $5 |
| Ammonia blood test | $64 | $71 | $15 |
| Amniocentesis | $1,176 | $731 | $120 |
| Amylase test | $34 | $154 | $6 |
| Anoscopy | $84 | $108 | $129 |
| Antinuclear antibody (ANA) test | $49 | $86 | $12 |
| Arterial blood gas (ABG) | $86 | $238 | $26 |
| AST liver enzyme test | $34 | $111 | $5 |
| Barium swallow study | $435 | $649 | $107 |
| Bartholin cyst removal | $504 | $350 | $182 |
| Basic metabolic panel | $69 | $183 | $8 |
| Bilirubin blood test | $34 | $73 | $5 |
| Blood clotting test (PT/INR) | $33 | $78 | $4 |
| Blood crossmatch | $156 | $144 | — |
| Blood glucose test | $34 | $76 | $5 |
| Blood transfusion | $418 | $747 | $47 |
| Blood type and screen | $57 | $110 | $10 |
| Blood type test | $57 | $80 | $3 |
| Blood type test (ABO group) | $57 | $108 | $3 |
| Blood type test (Rh/D antigen) | $57 | $53 | $3 |
| BNP (heart failure) test | $86 | $183 | $39 |
| Bone density scan (DEXA) | $417 | $505 | $39 |
| Bone marrow biopsy | $3,071 | $1,541 | $172 |
| Bone scan (nuclear) | $1,534 | $1,601 | $259 |
| Breast biopsy | $4,225 | $1,834 | $478 |
| Breast ultrasound | $301 | $554 | $92 |
| Breast ultrasound (complete) | $285 | $554 | $100 |
| Breast ultrasound (limited) | $427 | $521 | $84 |
| Breathing tube insertion (intubation) | $619 | $723 | $133 |
| Burn dressing and debridement (medium) | $375 | $189 | $166 |
| Burn dressing and debridement (small) | $375 | $350 | $93 |
| Burn treatment | $375 | $269 | $129 |
| C-reactive protein (CRP) | $49 | $87 | $5 |
| CA 19-9 tumor marker test | $49 | $109 | $21 |
| CA-125 ovarian marker test | $49 | $110 | $21 |
| Calcium blood test | $34 | $86 | $5 |
| Cardiac ablation | $29,085 | $20,607 | $759 |
| Cardiac stress test | $168 | $1,025 | $39 |
| Cardioversion | $1,512 | $1,042 | $155 |
| Carotid artery ultrasound | $813 | $766 | $156 |
| CEA tumor marker test | $64 | $493 | $19 |
| Central line placement | $1,845 | $2,505 | $238 |
| Chemotherapy infusion | $198 | $288 | $81 |
| Chemotherapy infusion (each additional) | $146 | $170 | $28 |
| Chemotherapy infusion (first hour) | $749 | $406 | $133 |
| Chest fluid drain (thoracentesis) | $879 | $874 | $311 |
| Chest tube insertion | $1,221 | $1,296 | $143 |
| Chest X-ray | $258 | $377 | $37 |
| Chest X-ray (1 view) | $207 | $269 | $25 |
| Chest X-ray (2 views) | $309 | $317 | $33 |
| CK-MB heart enzyme test | $64 | $145 | $12 |
| Clotting time test (PTT) | $33 | $70 | $6 |
| Complete blood count (CBC) | $34 | $101 | $7 |
| Complete blood count (CBC) (complete) | $34 | $112 | $8 |
| Comprehensive metabolic panel | $69 | $256 | $11 |
| Copper blood test | $32 | $87 | $12 |
| Cortisol test | $55 | $92 | $16 |
| COVID-19 PCR test | $67 | $62 | $51 |
| CPAP titration study | $551 | $238 | $69 |
| Creatine kinase (CK) test | $34 | $125 | $7 |
| CT angiography of the chest | $2,675 | $3,025 | $281 |
| CT angiography of the head | $2,412 | $2,730 | $274 |
| CT scan of the abdomen | $1,925 | $2,206 | $230 |
| CT scan of the abdomen and pelvis | $3,942 | $3,356 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $4,601 | $3,792 | $338 |
| CT scan of the abdomen and pelvis with contrast | $4,299 | $3,356 | $300 |
| CT scan of the abdomen and pelvis without contrast | $3,942 | $2,835 | $183 |
| CT scan of the abdomen with and without contrast | $2,185 | $2,606 | $259 |
| CT scan of the abdomen with contrast | $2,157 | $2,206 | $230 |
| CT scan of the abdomen without contrast | $1,925 | $1,931 | $136 |
| CT scan of the arm | $1,870 | $2,413 | $199 |
| CT scan of the arm with contrast | $2,161 | $2,109 | $199 |
| CT scan of the arm without contrast | $1,870 | $1,808 | $161 |
| CT scan of the chest | $1,954 | $2,375 | $167 |
| CT scan of the chest with and without contrast | $2,318 | $2,536 | $196 |
| CT scan of the chest with contrast | $2,234 | $2,375 | $167 |
| CT scan of the chest without contrast | $1,954 | $1,970 | $133 |
| CT scan of the head | $1,705 | $2,157 | $148 |
| CT scan of the head with and without contrast | $2,167 | $2,214 | $173 |
| CT scan of the head with contrast | $1,946 | $2,157 | $148 |
| CT scan of the head without contrast | $1,705 | $1,919 | $107 |
| CT scan of the leg | $1,589 | $2,457 | $166 |
| CT scan of the leg with contrast | $1,859 | $2,380 | $166 |
| CT scan of the leg without contrast | $1,589 | $2,016 | $130 |
| CT scan of the lower back (lumbar spine) | $2,161 | $2,778 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $2,675 | $3,083 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $2,426 | $2,778 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $2,161 | $2,477 | $130 |
| CT scan of the neck | $1,688 | $2,066 | $183 |
| CT scan of the neck (cervical spine) | $2,128 | $2,495 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $2,580 | $2,767 | $196 |
| CT scan of the neck (cervical spine) with contrast | $2,393 | $2,495 | $168 |
| CT scan of the neck (cervical spine) without contrast | $2,128 | $2,266 | $131 |
| CT scan of the neck with and without contrast | $1,996 | $2,582 | $220 |
| CT scan of the neck with contrast | $1,950 | $2,066 | $183 |
| CT scan of the neck without contrast | $1,688 | $1,848 | $150 |
| CT scan of the pelvis | $1,870 | $2,276 | $226 |
| CT scan of the pelvis with and without contrast | $2,114 | $2,711 | $251 |
| CT scan of the pelvis with contrast | $2,088 | $2,276 | $226 |
| CT scan of the pelvis without contrast | $1,870 | $1,981 | $133 |
| CT scan of the sinuses | $1,536 | $2,087 | $152 |
| CT scan of the sinuses with and without contrast | $1,871 | $2,218 | $184 |
| CT scan of the sinuses with contrast | $1,774 | $2,087 | $152 |
| CT scan of the sinuses without contrast | $1,536 | $1,934 | $128 |
| D-dimer test | $33 | $126 | $10 |
| Defibrillator (ICD) implant | $34,230 | $27,589 | $798 |
| Developmental screening (child) | $57 | $219 | — |
| DHEA-sulfate test | $55 | $94 | $22 |
| Diagnostic mammogram | $402 | $322 | $140 |
| Drug screen (urine) | $72 | $241 | $17 |
| Echocardiogram | $454 | $1,659 | $138 |
| Echocardiogram with and without contrast | $454 | $790 | $101 |
| EKG / ECG (tracing only) | $172 | $222 | $7 |
| Electrocardiogram (EKG) | $105 | $222 | $8 |
| Electrolyte panel | $69 | $155 | $7 |
| Emergency department visit | $170 | $648 | $69 |
| Emergency department visit (level 1) | $170 | $183 | $11 |
| Emergency department visit (level 2) | $346 | $380 | $40 |
| Emergency department visit (level 3) | $130 | $648 | $69 |
| Emergency department visit (level 4) | $1,037 | $1,026 | $118 |
| Epidural steroid injection | $1,510 | $987 | $275 |
| Estradiol (estrogen) test | $55 | $103 | $28 |
| Facet joint injection (spine) | $600 | $1,262 | $99 |
| Fallopian tube X-ray (HSG) | $449 | $698 | $164 |
| Fecal occult blood (stool) test | $37 | $80 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $34 | $74 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $64 | $80 | $16 |
| Ferritin (iron) test | $64 | $113 | $14 |
| Fibrinogen test | $33 | $127 | $10 |
| Flu test | $39 | $119 | $17 |
| Folate (folic acid) test | $64 | $142 | $15 |
| Foreign body removal (skin) | $236 | $337 | $157 |
| Free T4 thyroid test | $55 | $133 | $9 |
| FSH hormone test | $55 | $76 | $19 |
| Gallbladder scan (HIDA) | $1,206 | $1,607 | $334 |
| GGT liver test | $34 | $78 | $7 |
| Glucose tolerance test | $34 | $166 | $8 |
| HDL cholesterol test | $34 | $72 | $8 |
| Hematocrit test | $34 | $70 | $2 |
| Hemoglobin A1c (diabetes test) | $34 | $79 | $10 |
| Hepatitis B test | $39 | $81 | $10 |
| Hepatitis C test | $49 | $88 | $14 |
| HIV test | $44 | $186 | $19 |
| HIV test (antibody) | $49 | $150 | $14 |
| HIV test (antigen/antibody combo) | $39 | $223 | $24 |
| Holter heart monitor | $320 | $614 | $26 |
| Home sleep apnea test | $661 | $518 | $123 |
| Iron blood test | $34 | $70 | $6 |
| IUD removal | $368 | $255 | $112 |
| IV infusion therapy | $121 | $343 | $44 |
| IV infusion therapy (each additional) | $92 | $202 | $21 |
| IV infusion therapy (initial) | $444 | $484 | $67 |
| Joint aspiration (small/intermediate) | $517 | $311 | $57 |
| Joint aspiration or injection (mid-size joint) | $517 | $311 | $57 |
| Joint aspiration or injection (small joint) | $517 | $380 | $56 |
| Kidney scan (nuclear) | $1,680 | $2,531 | $172 |
| Kidney ultrasound | $501 | $830 | $84 |
| Kidney ultrasound (limited) | $501 | $832 | $61 |
| Knee joint injection | $568 | $604 | $69 |
| Lactate test | $64 | $98 | $12 |
| LDH test | $34 | $96 | $6 |
| LDL cholesterol test | $34 | $89 | $11 |
| Leg vein ultrasound (Doppler) | $555 | $843 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $555 | $843 | $116 |
| LH hormone test | $55 | $291 | $19 |
| Lipase test | $34 | $221 | $7 |
| Lipid (cholesterol) panel | $69 | $203 | $13 |
| Liver biopsy | $1,579 | $1,337 | $288 |
| Liver function panel | $69 | $210 | $8 |
| Lung function test (PFT) | $146 | $325 | $37 |
| Lung scan (V/Q) | $2,245 | $2,586 | $291 |
| Magnesium blood test | $34 | $77 | $7 |
| MRA of the brain | $2,970 | $3,281 | $226 |
| MRA of the brain with contrast | $3,501 | $3,281 | $226 |
| MRA of the brain without contrast | $3,768 | $3,526 | $328 |
| MRA of the neck | $2,970 | $2,936 | $245 |
| MRA of the neck with contrast | $3,501 | $2,936 | $245 |
| MRA of the neck without contrast | $3,768 | $3,883 | $343 |
| MRI of the abdomen | $2,730 | $3,440 | $300 |
| MRI of the abdomen with contrast | $4,520 | $3,440 | $300 |
| MRI of the abdomen without contrast | $2,730 | $2,880 | $194 |
| MRI of the ankle | $2,730 | $4,200 | $261 |
| MRI of the ankle with contrast | $4,520 | $3,014 | $261 |
| MRI of the ankle without contrast | $2,730 | $2,800 | $222 |
| MRI of the brain | $2,034 | $4,039 | $269 |
| MRI of the brain with contrast | $3,501 | $4,039 | $269 |
| MRI of the brain without contrast | $2,034 | $2,913 | $195 |
| MRI of the chest | $2,730 | $3,415 | $371 |
| MRI of the chest with contrast | $3,826 | $3,415 | $371 |
| MRI of the chest without contrast | $4,520 | $3,878 | $466 |
| MRI of the knee | $2,730 | $3,198 | $315 |
| MRI of the knee with contrast | $4,520 | $3,198 | $315 |
| MRI of the knee without contrast | $2,730 | $2,881 | $204 |
| MRI of the lower back (lumbar spine) | $2,730 | $3,350 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $4,520 | $3,350 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $2,730 | $3,033 | $192 |
| MRI of the mid-back (thoracic spine) | $2,730 | $3,752 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $5,408 | $3,752 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $4,520 | $4,972 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $2,730 | $2,951 | $190 |
| MRI of the neck (cervical spine) | $2,730 | $3,367 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $5,408 | $3,738 | $318 |
| MRI of the neck (cervical spine) with contrast | $4,520 | $3,367 | $274 |
| MRI of the neck (cervical spine) without contrast | $2,730 | $3,022 | $191 |
| MRI of the pelvis | $2,730 | $3,382 | $268 |
| MRI of the pelvis with contrast | $3,826 | $3,382 | $268 |
| MRI of the pelvis without contrast | $2,730 | $2,826 | $227 |
| MRI of the shoulder | $2,730 | $3,096 | $313 |
| MRI of the shoulder with contrast | $4,520 | $3,096 | $313 |
| MRI of the shoulder without contrast | $2,730 | $2,634 | $205 |
| MRI of the wrist | $2,730 | $3,475 | $330 |
| MRI of the wrist without contrast | $2,730 | $3,134 | $303 |
| Nebulizer breathing treatment | $124 | $116 | $9 |
| Nuclear cardiac stress test | $2,572 | $4,446 | $428 |
| Occupational therapy evaluation | $221 | $330 | $101 |
| Occupational therapy evaluation (high complexity) | $242 | $371 | $101 |
| Occupational therapy evaluation (low complexity) | $221 | $309 | $101 |
| Occupational therapy evaluation (moderate complexity) | $232 | $330 | $101 |
| Office visit (established patient) | $176 | $250 | $115 |
| Office visit (new patient) | $290 | $307 | $177 |
| Office visit, established patient (level 3) | $161 | $199 | $95 |
| Office visit, established patient (level 4) | $192 | $302 | $136 |
| Office visit, new patient (level 3) | $190 | $242 | $118 |
| Office visit, new patient (level 4) | $290 | $372 | $177 |
| Pap smear (cervical screening) | $55 | $182 | $20 |
| Parathyroid hormone (PTH) test | $109 | $136 | $41 |
| Pelvic ultrasound | $376 | $686 | $78 |
| Pelvic ultrasound (complete) | $504 | $898 | $105 |
| Pelvic ultrasound (limited) | $376 | $474 | $51 |
| Phosphorus blood test | $34 | $88 | $5 |
| Physical therapy evaluation | $221 | $330 | $98 |
| Physical therapy evaluation (high complexity) | $242 | $371 | $98 |
| Physical therapy evaluation (moderate complexity) | $232 | $330 | $98 |
| Platelet count | $34 | $75 | $4 |
| Pregnancy blood test (hCG) | $34 | $115 | $8 |
| Pregnancy ultrasound | $661 | $718 | $126 |
| Pregnancy ultrasound (first trimester) | $661 | $604 | $117 |
| Pregnancy ultrasound (second or third trimester) | $706 | $833 | $136 |
| Procalcitonin test | $55 | $122 | $27 |
| Prolactin test | $55 | $112 | $19 |
| Prostate test (PSA) | $64 | $192 | $18 |
| Rheumatoid factor test | $49 | $134 | $6 |
| Sacroiliac joint injection | $401 | $1,059 | $176 |
| Scoliosis spine X-ray | $190 | $318 | $58 |
| Scoliosis spine X-ray (1 view) | $190 | $295 | $44 |
| Scoliosis spine X-ray (3 views) | $313 | $342 | $72 |
| Screening mammogram | $397 | $312 | $126 |
| Scrotal ultrasound | $706 | $862 | $99 |
| Sedimentation rate (ESR) test | $34 | $99 | $3 |
| Semen analysis | $56 | $82 | $12 |
| Sex hormone binding globulin test | $64 | $175 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $355 | $380 | $114 |
| Simple wound stitches | $355 | $386 | $127 |
| Skin biopsy | $394 | $514 | $121 |
| Skin tag removal | $196 | $259 | $92 |
| Sleep study (polysomnography) | $4,176 | $4,767 | $691 |
| Soft tissue ultrasound | $207 | $474 | $64 |
| Speech therapy | $210 | $111 | $76 |
| Spinal tap (lumbar puncture) | $1,215 | $788 | $165 |
| Spirometry (lung function test) | $146 | $325 | $30 |
| Spirometry with bronchodilator | $240 | $395 | $43 |
| Strep throat test | $39 | $90 | $17 |
| Stress echocardiogram | $1,347 | $2,089 | $209 |
| Stress echocardiogram (complete) | $2,550 | $2,144 | $233 |
| Swallow study | $332 | $413 | $85 |
| T3 thyroid test | $55 | $80 | $14 |
| Testosterone test | $55 | $96 | $26 |
| Thyroid test (TSH) | $55 | $189 | $17 |
| Thyroid ultrasound | $429 | $797 | $109 |
| Thyroid uptake scan | $364 | $1,216 | $145 |
| Total IgE allergy test | $64 | $88 | $16 |
| Total protein test | $34 | $76 | $4 |
| Transvaginal ultrasound | $504 | $711 | $118 |
| Trigger point injection | $517 | $423 | $56 |
| Trigger point injection (1-2 muscles) | $517 | $370 | $52 |
| Triglycerides test | $34 | $67 | $6 |
| Troponin (heart) test | $64 | $203 | $12 |
| Upper GI series (barium) | $490 | $1,034 | $128 |
| Uric acid (gout) test | $34 | $106 | $5 |
| Urinalysis | $26 | $59 | $3 |
| Urine microalbumin test | $26 | $50 | $5 |
| Urine pregnancy test | $26 | $73 | $9 |
| Vaccine administration | $41 | $70 | $19 |
| Vaccine administration (each additional) | $35 | $70 | $16 |
| Vitamin B12 test | $55 | $119 | $15 |
| Vitamin D test | $86 | $145 | $30 |
| Wound debridement | $976 | $580 | $186 |
| X-ray of the abdomen | $181 | $383 | $36 |
| X-ray of the ankle | $279 | $354 | $37 |
| X-ray of the collarbone | $307 | $316 | $33 |
| X-ray of the elbow | $263 | $389 | $33 |
| X-ray of the facial bones | $221 | $581 | $39 |
| X-ray of the foot | $279 | $378 | $34 |
| X-ray of the forearm | $307 | $324 | $29 |
| X-ray of the hand | $263 | $350 | $38 |
| X-ray of the hip | $190 | $469 | $49 |
| X-ray of the hip (1 view) | $190 | $330 | $34 |
| X-ray of the hip (3 views) | $190 | $469 | $49 |
| X-ray of the hip (4 views) | $313 | $510 | $63 |
| X-ray of the knee | $209 | $463 | $42 |
| X-ray of the knee (2 views) | $209 | $430 | $34 |
| X-ray of the knee (3 views) | $279 | $463 | $42 |
| X-ray of the knee (4+ views) | $314 | $463 | $49 |
| X-ray of the lower back (lumbar spine) | $514 | $471 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $514 | $471 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $514 | $542 | $53 |
| X-ray of the lower leg | $221 | $356 | $31 |
| X-ray of the mid-back (thoracic spine) | $334 | $459 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $334 | $459 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $440 | $527 | $39 |
| X-ray of the neck (cervical spine) | $334 | $468 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $334 | $468 | $40 |
| X-ray of the pelvis | $263 | $324 | $36 |
| X-ray of the pelvis (1 view) | $263 | $324 | $28 |
| X-ray of the ribs | $444 | $526 | $42 |
| X-ray of the ribs (2 views) | $444 | $423 | $36 |
| X-ray of the ribs (3 views) | $537 | $526 | $42 |
| X-ray of the shoulder | $295 | $413 | $36 |
| X-ray of the skull | $221 | $485 | $40 |
| X-ray of the upper arm | $279 | $354 | $32 |
| X-ray of the wrist | $263 | $345 | $43 |
| Zinc blood test | $32 | $86 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
