| Procedure | Union Hospital | Alliance Community Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $87 | $80 | $51 |
| Abdominal fluid drain (paracentesis) | $2,803 | $937 | $284 |
| Abdominal ultrasound | $477 | $179 | $100 |
| Abdominal ultrasound (complete) | $477 | $411 | $114 |
| Abdominal ultrasound (limited) | $477 | $179 | $86 |
| Abscess drainage (complex or multiple) | $779 | $368 | $220 |
| Abscess drainage (simple) | $387 | $252 | $129 |
| Abscess incision and drainage | $583 | $310 | $174 |
| Albumin blood test | $22 | $17 | $5 |
| Alkaline phosphatase test | $23 | $45 | $5 |
| ALT liver enzyme test | $24 | $20 | $5 |
| Ammonia blood test | $66 | $71 | $15 |
| Amylase test | $29 | $26 | $6 |
| Arterial blood gas (ABG) | $117 | $49 | $26 |
| AST liver enzyme test | $23 | $20 | $5 |
| Barium swallow study | $798 | $251 | $107 |
| Bartholin cyst removal | $601 | $253 | $182 |
| Basic metabolic panel | $38 | $32 | $8 |
| Bilirubin blood test | $23 | $39 | $5 |
| Blood clotting test (PT/INR) | $20 | $23 | $4 |
| Blood crossmatch | $768 | $23 | — |
| Blood glucose test | $21 | $26 | $5 |
| Blood transfusion | $1,634 | $475 | $47 |
| Blood type and screen | $44 | $27 | $10 |
| Blood type test | $14 | $13 | $3 |
| Blood type test (ABO group) | $14 | $13 | $3 |
| Blood type test (Rh/D antigen) | $14 | $13 | $3 |
| BNP (heart failure) test | $176 | $104 | $39 |
| Bone density scan (DEXA) | $477 | $296 | $39 |
| Bone scan (nuclear) | $1,802 | $377 | $259 |
| Breast biopsy | $7,267 | $1,969 | $478 |
| Breast ultrasound | $436 | $347 | $92 |
| Breast ultrasound (complete) | $477 | $347 | $100 |
| Breast ultrasound (limited) | $395 | $347 | $84 |
| Breathing tube insertion (intubation) | $694 | $335 | $133 |
| Bronchoscopy | $5,156 | $1,847 | $303 |
| Burn dressing and debridement (medium) | $387 | $125 | $166 |
| Burn dressing and debridement (small) | $387 | $252 | $93 |
| Burn treatment | $387 | $252 | $129 |
| C-reactive protein (CRP) | $23 | $45 | $5 |
| Calcium blood test | $23 | $39 | $5 |
| Cardiac rehabilitation | $471 | $52 | $26 |
| Cardiac stress test | $1,164 | $554 | $39 |
| Cardioversion | $2,446 | $667 | $155 |
| Carotid artery ultrasound | $650 | $413 | $156 |
| CEA tumor marker test | $85 | $47 | $19 |
| Central line placement | $11,764 | $1,467 | $238 |
| Chemotherapy infusion | $904 | $179 | $81 |
| Chemotherapy infusion (each additional) | $319 | $118 | $28 |
| Chemotherapy infusion (first hour) | $1,488 | $239 | $133 |
| Chest fluid drain (thoracentesis) | $1,849 | $893 | $311 |
| Chest tube insertion | $4,645 | $1,955 | $143 |
| Chest X-ray | $395 | $175 | $37 |
| Chest X-ray (1 view) | $395 | $175 | $25 |
| Chest X-ray (2 views) | $395 | $175 | $33 |
| CK-MB heart enzyme test | $52 | $66 | $12 |
| Clotting time test (PTT) | $27 | $41 | $6 |
| Complete blood count (CBC) | $32 | $25 | $7 |
| Comprehensive metabolic panel | $47 | $44 | $11 |
| Coronary CT angiography | $1,602 | $592 | $326 |
| COVID-19 PCR test | $230 | $106 | $51 |
| CPAP titration study | $608 | $104 | $69 |
| Creatine kinase (CK) test | $29 | $50 | $7 |
| CT angiography of the chest | $798 | $609 | $281 |
| CT angiography of the head | $798 | $587 | $274 |
| CT scan of the abdomen | $798 | $726 | $230 |
| CT scan of the abdomen and pelvis | $1,602 | $1,189 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $1,602 | $1,335 | $338 |
| CT scan of the abdomen and pelvis with contrast | $1,602 | $1,189 | $300 |
| CT scan of the abdomen and pelvis without contrast | $1,084 | $1,038 | $183 |
| CT scan of the abdomen with and without contrast | $798 | $835 | $259 |
| CT scan of the abdomen with contrast | $798 | $726 | $230 |
| CT scan of the abdomen without contrast | $477 | $626 | $136 |
| CT scan of the arm | $798 | $537 | $199 |
| CT scan of the arm with contrast | $1,602 | $602 | $199 |
| CT scan of the arm without contrast | $477 | $473 | $161 |
| CT scan of the chest | $798 | $602 | $167 |
| CT scan of the chest with and without contrast | $798 | $777 | $196 |
| CT scan of the chest with contrast | $798 | $602 | $167 |
| CT scan of the chest without contrast | $477 | $473 | $133 |
| CT scan of the head | $798 | $580 | $148 |
| CT scan of the head with and without contrast | $798 | $661 | $173 |
| CT scan of the head with contrast | $798 | $580 | $148 |
| CT scan of the head without contrast | $477 | $456 | $107 |
| CT scan of the leg | $798 | $602 | $166 |
| CT scan of the leg with contrast | $798 | $602 | $166 |
| CT scan of the leg without contrast | $477 | $473 | $130 |
| CT scan of the lower back (lumbar spine) | $798 | $684 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $798 | $777 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,602 | $684 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $477 | $594 | $130 |
| CT scan of the neck | $798 | $519 | $183 |
| CT scan of the neck (cervical spine) | $798 | $659 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $798 | $777 | $196 |
| CT scan of the neck (cervical spine) with contrast | $1,602 | $659 | $168 |
| CT scan of the neck (cervical spine) without contrast | $477 | $572 | $131 |
| CT scan of the neck with and without contrast | $798 | $878 | $220 |
| CT scan of the neck with contrast | $798 | $519 | $183 |
| CT scan of the neck without contrast | $477 | $397 | $150 |
| CT scan of the pelvis | $798 | $601 | $226 |
| CT scan of the pelvis with contrast | $798 | $634 | $226 |
| CT scan of the pelvis without contrast | $477 | $567 | $133 |
| CT scan of the sinuses | $798 | $512 | $152 |
| CT scan of the sinuses with and without contrast | $798 | $653 | $184 |
| CT scan of the sinuses with contrast | $798 | $512 | $152 |
| CT scan of the sinuses without contrast | $477 | $495 | $128 |
| D-dimer test | $46 | $47 | $10 |
| Diagnostic mammogram | $412 | $151 | $140 |
| Drug screen (urine) | $279 | $61 | $17 |
| Echocardiogram | $904 | $610 | $138 |
| Echocardiogram with and without contrast | $904 | $266 | $101 |
| EEG (awake and asleep) | $1,397 | $400 | $482 |
| EKG / ECG (tracing only) | $222 | $94 | $7 |
| Electrocardiogram (EKG) | $246 | $94 | $8 |
| Electroencephalogram (EEG) | $1,397 | $456 | $448 |
| Electrolyte panel | $31 | $26 | $7 |
| Emergency department visit | $1,242 | $258 | $69 |
| Emergency department visit (level 1) | $395 | $103 | $11 |
| Emergency department visit (level 2) | $710 | $151 | $40 |
| Emergency department visit (level 3) | $1,242 | $258 | $69 |
| Emergency department visit (level 4) | $1,910 | $505 | $118 |
| Emergency department visit (level 5) | $2,750 | $677 | $171 |
| Epidural steroid injection | $3,106 | $1,631 | $275 |
| Facet joint injection (spine) | $1,129 | $758 | $99 |
| Fallopian tube X-ray (HSG) | $812 | $368 | $164 |
| Fecal occult blood (stool) test | $46 | $32 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $20 | $15 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $72 | $50 | $16 |
| Ferritin (iron) test | $61 | $66 | $14 |
| Fibrinogen test | $44 | $47 | $10 |
| Folate (folic acid) test | $66 | $50 | $15 |
| Foreign body removal (skin) | $779 | $359 | $157 |
| Free T4 thyroid test | $40 | $27 | $9 |
| Gallbladder scan (HIDA) | $2,108 | $842 | $334 |
| GGT liver test | $33 | $48 | $7 |
| Glucose tolerance test | $38 | $54 | $8 |
| HDL cholesterol test | $37 | $43 | $8 |
| Hematocrit test | $10 | $21 | $2 |
| Hemodialysis | $3,138 | $457 | $75 |
| Hemoglobin A1c (diabetes test) | $44 | $47 | $10 |
| Hepatitis B test | $46 | $34 | $10 |
| Hepatitis C test | $64 | $50 | $14 |
| HIV test | $85 | $35 | $19 |
| HIV test (antibody) | $62 | $35 | $14 |
| HIV test (antigen/antibody combo) | $108 | $35 | $24 |
| Holter heart monitor | $352 | $210 | $26 |
| Iron blood test | $29 | $14 | $6 |
| IUD removal | $909 | $122 | $112 |
| IV infusion therapy | $576 | $70 | $44 |
| IV infusion therapy (each additional) | $207 | $48 | $21 |
| IV infusion therapy (initial) | $945 | $92 | $67 |
| Joint aspiration (small/intermediate) | $883 | $451 | $57 |
| Joint aspiration or injection (mid-size joint) | $883 | $451 | $57 |
| Joint aspiration or injection (small joint) | $883 | $105 | $56 |
| Kidney scan (nuclear) | $2,414 | $627 | $172 |
| Kidney ultrasound | $477 | $314 | $84 |
| Kidney ultrasound (limited) | $477 | $212 | $61 |
| Knee joint injection | $883 | $474 | $69 |
| Lactate test | $52 | $39 | $12 |
| LDH test | $27 | $39 | $6 |
| Leg vein ultrasound (Doppler) | $650 | $364 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $397 | $302 | $116 |
| Lipase test | $31 | $24 | $7 |
| Lipid (cholesterol) panel | $60 | $36 | $13 |
| Liver function panel | $36 | $35 | $8 |
| Lung function test (PFT) | $699 | $142 | $37 |
| Lung scan (V/Q) | $2,414 | $909 | $291 |
| Magnesium blood test | $30 | $15 | $7 |
| MRA of the brain | $1,602 | $1,107 | $226 |
| MRA of the brain with contrast | $1,602 | $1,107 | $226 |
| MRA of the brain without contrast | $1,602 | $1,497 | $328 |
| MRA of the neck | $1,602 | $1,247 | $245 |
| MRA of the neck with contrast | $1,602 | $1,247 | $245 |
| MRA of the neck without contrast | $1,602 | $1,436 | $343 |
| MRI of the abdomen | $1,602 | $1,242 | $300 |
| MRI of the abdomen with contrast | $1,602 | $1,242 | $300 |
| MRI of the abdomen without contrast | $1,084 | $1,048 | $194 |
| MRI of the ankle | $1,602 | $1,169 | $261 |
| MRI of the ankle with contrast | $1,602 | $1,169 | $261 |
| MRI of the ankle without contrast | $1,084 | $1,017 | $222 |
| MRI of the brain | $1,602 | $1,247 | $269 |
| MRI of the brain with contrast | $1,602 | $1,247 | $269 |
| MRI of the brain without contrast | $1,084 | $1,085 | $195 |
| MRI of the chest | $1,602 | $1,127 | $371 |
| MRI of the chest with contrast | $3,543 | $1,127 | $371 |
| MRI of the chest without contrast | $1,602 | $1,435 | $466 |
| MRI of the knee | $1,602 | $1,205 | $315 |
| MRI of the knee with contrast | $3,543 | $1,205 | $315 |
| MRI of the knee without contrast | $1,084 | $1,048 | $204 |
| MRI of the lower back (lumbar spine) | $1,602 | $1,205 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $1,602 | $1,205 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,084 | $1,048 | $192 |
| MRI of the mid-back (thoracic spine) | $1,602 | $1,205 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $1,602 | $1,435 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $1,602 | $1,205 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $1,084 | $1,048 | $190 |
| MRI of the neck (cervical spine) | $1,602 | $1,247 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $1,602 | $1,486 | $318 |
| MRI of the neck (cervical spine) with contrast | $1,602 | $1,247 | $274 |
| MRI of the neck (cervical spine) without contrast | $1,084 | $1,085 | $191 |
| MRI of the pelvis | $1,602 | $1,301 | $268 |
| MRI of the pelvis with contrast | $1,602 | $1,301 | $268 |
| MRI of the pelvis without contrast | $1,084 | $1,017 | $227 |
| MRI of the shoulder | $1,602 | $1,205 | $313 |
| MRI of the shoulder with contrast | $3,543 | $1,205 | $313 |
| MRI of the shoulder without contrast | $1,084 | $1,048 | $205 |
| MRI of the wrist | $1,602 | $1,169 | $330 |
| MRI of the wrist with contrast | $1,602 | $1,169 | $330 |
| MRI of the wrist without contrast | $1,084 | $1,017 | $303 |
| Nebulizer breathing treatment | $608 | $39 | $9 |
| Nuclear cardiac stress test | $5,855 | $2,010 | $428 |
| Occupational therapy evaluation | $438 | $306 | $101 |
| Occupational therapy evaluation (high complexity) | $438 | $409 | $101 |
| Occupational therapy evaluation (low complexity) | $438 | $204 | $101 |
| Occupational therapy evaluation (moderate complexity) | $438 | $306 | $101 |
| Parathyroid hormone (PTH) test | $185 | $117 | $41 |
| Pelvic ultrasound | $477 | $285 | $78 |
| Pelvic ultrasound (complete) | $477 | $310 | $105 |
| Pelvic ultrasound (limited) | $477 | $260 | $51 |
| PET scan | $6,542 | $2,620 | — |
| Phosphorus blood test | $21 | $41 | $5 |
| Physical therapy evaluation | $393 | $280 | $98 |
| Physical therapy evaluation (high complexity) | $393 | $419 | $98 |
| Physical therapy evaluation (moderate complexity) | $393 | $280 | $98 |
| Platelet count | $20 | $23 | $4 |
| Pregnancy blood test (hCG) | $34 | $47 | $8 |
| Pregnancy ultrasound | $477 | $251 | $126 |
| Pregnancy ultrasound (first trimester) | $477 | $113 | $117 |
| Pregnancy ultrasound (second or third trimester) | $477 | $388 | $136 |
| Pulmonary rehabilitation | $177 | $98 | $87 |
| Radiofrequency nerve ablation | $8,758 | $2,684 | $462 |
| Scoliosis spine X-ray | $436 | $235 | $58 |
| Scoliosis spine X-ray (1 view) | $395 | $223 | $44 |
| Scoliosis spine X-ray (3 views) | $477 | $247 | $72 |
| Screening mammogram | $396 | $157 | $126 |
| Scrotal ultrasound | $477 | $197 | $99 |
| Sedimentation rate (ESR) test | $12 | $23 | $3 |
| Simple laceration repair (small, up to 2.5 cm) | $387 | $252 | $114 |
| Simple wound stitches | $387 | $252 | $127 |
| Skin biopsy | $779 | $261 | $121 |
| Skin biopsy (punch) | $779 | $261 | $121 |
| Sleep study (polysomnography) | $4,563 | $977 | $691 |
| Soft tissue ultrasound | $477 | $203 | $64 |
| Speech therapy | $307 | $142 | $76 |
| Spinal cord stimulator | $16,516 | $7,908 | $2,388 |
| Spinal tap (lumbar puncture) | $3,106 | $531 | $165 |
| Spirometry (lung function test) | $468 | $137 | $30 |
| Spirometry with bronchodilator | $931 | $147 | $43 |
| Stress echocardiogram | $2,049 | $1,143 | $209 |
| Stress echocardiogram (complete) | $2,049 | $1,143 | $233 |
| Swallow study | $371 | $173 | $85 |
| Testosterone test | $116 | $42 | $26 |
| Thyroid test (TSH) | $75 | $29 | $17 |
| Thyroid ultrasound | $477 | $234 | $109 |
| Thyroid uptake scan | $1,802 | $865 | $145 |
| Tilt table test | $1,983 | $243 | $168 |
| Total protein test | $16 | $39 | $4 |
| Transesophageal echocardiogram (TEE) | $2,049 | $639 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $2,049 | $639 | $239 |
| Transvaginal ultrasound | $477 | $214 | $118 |
| Trigger point injection | $883 | $487 | $56 |
| Trigger point injection (1-2 muscles) | $883 | $487 | $52 |
| Triglycerides test | $26 | $39 | $6 |
| Troponin (heart) test | $56 | $28 | $12 |
| Upper GI series (barium) | $798 | $322 | $128 |
| Uric acid (gout) test | $20 | $16 | $5 |
| Urinalysis | $12 | $21 | $3 |
| Urine microalbumin test | $25 | $39 | $5 |
| Urine pregnancy test | $38 | $57 | $9 |
| Vaccine administration | $90 | $18 | $19 |
| Vaccine administration (each additional) | $42 | $35 | $16 |
| Vitamin B12 test | $68 | $39 | $15 |
| Vitamin D test | $133 | $44 | $30 |
| Wound debridement | $986 | $464 | $186 |
| X-ray of the abdomen | $477 | $454 | $36 |
| X-ray of the ankle | $395 | $158 | $37 |
| X-ray of the collarbone | $395 | $88 | $33 |
| X-ray of the elbow | $395 | $158 | $33 |
| X-ray of the facial bones | $436 | $145 | $39 |
| X-ray of the foot | $395 | $158 | $34 |
| X-ray of the forearm | $395 | $116 | $29 |
| X-ray of the hand | $395 | $158 | $38 |
| X-ray of the hip | $395 | $162 | $49 |
| X-ray of the hip (1 view) | $395 | $142 | $34 |
| X-ray of the hip (3 views) | $395 | $162 | $49 |
| X-ray of the hip (4 views) | $477 | $372 | $63 |
| X-ray of the knee | $395 | $235 | $42 |
| X-ray of the knee (2 views) | $395 | $223 | $34 |
| X-ray of the knee (3 views) | $395 | $247 | $42 |
| X-ray of the lower back (lumbar spine) | $477 | $234 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $477 | $223 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $477 | $246 | $53 |
| X-ray of the lower leg | $395 | $117 | $31 |
| X-ray of the mid-back (thoracic spine) | $477 | $150 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $477 | $143 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $477 | $158 | $39 |
| X-ray of the neck (cervical spine) | $436 | $181 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $395 | $154 | $40 |
| X-ray of the pelvis | $477 | $251 | $36 |
| X-ray of the pelvis (1 view) | $477 | $139 | $28 |
| X-ray of the ribs | $477 | $225 | $42 |
| X-ray of the ribs (2 views) | $395 | $136 | $36 |
| X-ray of the ribs (3 views) | $477 | $315 | $42 |
| X-ray of the shoulder | $395 | $161 | $36 |
| X-ray of the skull | $477 | $159 | $40 |
| X-ray of the upper arm | $395 | $115 | $32 |
| X-ray of the wrist | $395 | $196 | $43 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
