| Procedure | Charlotte Hungerford Hospital | Hartford Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $112 | $112 | $51 |
| Abdominal fluid drain (paracentesis) | $1,105 | $2,164 | $284 |
| Abdominal ultrasound | $284 | $284 | $100 |
| Abdominal ultrasound (complete) | $378 | $378 | $114 |
| Abdominal ultrasound (limited) | $230 | $230 | $86 |
| Abscess drainage (complex or multiple) | $790 | $827 | $220 |
| Abscess drainage (simple) | $503 | $585 | $129 |
| Abscess incision and drainage | $570 | $607 | $174 |
| ACL knee reconstruction | $2,668 | $5,630 | $889 |
| Albumin blood test | $125 | $125 | $5 |
| Aldosterone test | $93 | $340 | $41 |
| Alkaline phosphatase test | $31 | $41 | $5 |
| Alpha-fetoprotein (AFP) test | $54 | $140 | $17 |
| ALT liver enzyme test | $32 | $32 | $5 |
| Ammonia blood test | $46 | $121 | $15 |
| Amylase test | $44 | $72 | $6 |
| Anal fistula repair | $2,350 | $2,795 | $541 |
| Anoscopy | $185 | $240 | $129 |
| Antinuclear antibody (ANA) test | $51 | $20 | $12 |
| Arterial blood gas (ABG) | $169 | $196 | $26 |
| AST liver enzyme test | $31 | $31 | $5 |
| Barium swallow study | $714 | $714 | $107 |
| Bartholin cyst removal | $436 | $635 | $182 |
| Basic metabolic panel | $205 | $232 | $8 |
| Benign skin lesion removal | $875 | $2,527 | $171 |
| Bilirubin blood test | $30 | $30 | $5 |
| Bladder scope (cystoscopy) | $1,393 | $450 | $216 |
| Blood clotting test (PT/INR) | $23 | $33 | $4 |
| Blood crossmatch | $59 | $217 | — |
| Blood glucose test | $24 | $31 | $5 |
| Blood transfusion | $697 | $981 | $47 |
| Blood type and screen | $78 | $59 | $10 |
| Blood type test | $15 | $24 | $3 |
| Blood type test (ABO group) | $18 | $24 | $3 |
| Blood type test (Rh/D antigen) | $12 | $24 | $3 |
| BNP (heart failure) test | $86 | $294 | $39 |
| Bone marrow biopsy | $3,226 | $1,132 | $172 |
| Breast biopsy | $5,717 | $5,717 | $478 |
| Breast MRI | $2,833 | $2,277 | $216 |
| Breast reconstruction | $6,720 | $6,720 | $1,227 |
| Breast ultrasound | $287 | $287 | $92 |
| Breast ultrasound (complete) | $325 | $325 | $100 |
| Breast ultrasound (limited) | $249 | $249 | $84 |
| Breathing tube insertion (intubation) | $588 | $968 | $133 |
| Bronchoscopy | $1,895 | $3,496 | $303 |
| Bunion surgery (bunionectomy) | $3,208 | $3,450 | $883 |
| Burn dressing and debridement (medium) | $682 | $635 | $166 |
| Burn dressing and debridement (small) | $527 | $527 | $93 |
| Burn treatment | $682 | $635 | $129 |
| C-reactive protein (CRP) | $85 | $58 | $5 |
| CA 19-9 tumor marker test | $157 | $69 | $21 |
| CA-125 ovarian marker test | $291 | $173 | $21 |
| Calcium blood test | $21 | $31 | $5 |
| Cardiac rehabilitation | $448 | $274 | $26 |
| Cardiac stress test | $648 | $1,232 | $39 |
| Cardioversion | $1,324 | $1,325 | $155 |
| Carotid artery ultrasound | $709 | $992 | $156 |
| CEA tumor marker test | $82 | $158 | $19 |
| Central line placement | $470 | $1,899 | $238 |
| Cesarean section (C-section) | $20,405 | $25,170 | $7,552 |
| Chemotherapy infusion | $662 | $663 | $81 |
| Chemotherapy infusion (each additional) | $220 | $220 | $28 |
| Chemotherapy infusion (first hour) | $1,105 | $1,105 | $133 |
| Chest fluid drain (thoracentesis) | $984 | $1,253 | $311 |
| Chest tube insertion | $870 | $1,346 | $143 |
| Chest X-ray | $374 | $374 | $37 |
| Chest X-ray (1 view) | $285 | $285 | $25 |
| Chest X-ray (2 views) | $374 | $374 | $33 |
| Circumcision | $1,130 | $540 | $167 |
| CK-MB heart enzyme test | $34 | $128 | $12 |
| Clotting time test (PTT) | $58 | $50 | $6 |
| Colon resection (colectomy) | $7,338 | $7,623 | $1,238 |
| Colonoscopy | $3,719 | $4,214 | $480 |
| Colostomy | $6,860 | $6,390 | $1,122 |
| Complete blood count (CBC) | $42 | $52 | $7 |
| Complete blood count (CBC) (complete) | $45 | $65 | $8 |
| Comprehensive metabolic panel | $364 | $418 | $11 |
| Contraceptive implant (Nexplanon) | $435 | $388 | $115 |
| Copper blood test | $63 | $156 | $12 |
| Cortisol test | $69 | $181 | $16 |
| COVID-19 PCR test | $123 | $123 | $51 |
| CPAP titration study | $327 | $327 | $69 |
| Creatine kinase (CK) test | $18 | $54 | $7 |
| CT angiography of the chest | $2,440 | $2,440 | $281 |
| CT angiography of the head | $2,409 | $2,405 | $274 |
| CT scan of the abdomen | $2,184 | $2,184 | $230 |
| CT scan of the abdomen and pelvis | $2,778 | $2,778 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $3,140 | $3,140 | $338 |
| CT scan of the abdomen and pelvis with contrast | $2,778 | $2,778 | $300 |
| CT scan of the abdomen and pelvis without contrast | $1,278 | $1,278 | $183 |
| CT scan of the abdomen with and without contrast | $2,475 | $2,475 | $259 |
| CT scan of the abdomen with contrast | $2,184 | $2,184 | $230 |
| CT scan of the abdomen without contrast | $1,022 | $1,022 | $136 |
| CT scan of the arm | $1,677 | $1,677 | $199 |
| CT scan of the arm with contrast | $1,881 | $1,881 | $199 |
| CT scan of the arm without contrast | $1,473 | $1,473 | $161 |
| CT scan of the chest | $1,690 | $1,690 | $167 |
| CT scan of the chest with and without contrast | $1,756 | $1,756 | $196 |
| CT scan of the chest with contrast | $1,418 | $1,418 | $167 |
| CT scan of the chest without contrast | $1,690 | $1,690 | $133 |
| CT scan of the head | $1,201 | $1,239 | $148 |
| CT scan of the head with and without contrast | $1,445 | $1,239 | $173 |
| CT scan of the head with contrast | $1,201 | $1,445 | $148 |
| CT scan of the head without contrast | $827 | $1,201 | $107 |
| CT scan of the leg | $1,228 | $1,228 | $166 |
| CT scan of the leg with contrast | $1,418 | $1,418 | $166 |
| CT scan of the leg without contrast | $1,037 | $1,037 | $130 |
| CT scan of the lower back (lumbar spine) | $1,224 | $1,410 | $169 |
| CT scan of the lower back (lumbar spine) with contrast | $1,410 | $1,410 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,037 | $1,037 | $130 |
| CT scan of the neck | $1,523 | $1,865 | $183 |
| CT scan of the neck (cervical spine) | $1,228 | $1,228 | $168 |
| CT scan of the neck (cervical spine) with contrast | $1,410 | $1,410 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,045 | $1,045 | $131 |
| CT scan of the neck with and without contrast | $1,865 | $2,409 | $220 |
| CT scan of the neck with contrast | $1,523 | $1,865 | $183 |
| CT scan of the neck without contrast | $1,138 | $1,523 | $150 |
| CT scan of the pelvis | $2,192 | $1,613 | $226 |
| CT scan of the pelvis with contrast | $2,192 | $2,192 | $226 |
| CT scan of the pelvis without contrast | $1,033 | $1,033 | $133 |
| CT scan of the sinuses | $1,177 | $1,426 | $152 |
| CT scan of the sinuses with contrast | $1,255 | $1,597 | $152 |
| CT scan of the sinuses without contrast | $1,099 | $1,255 | $128 |
| D-dimer test | $42 | $113 | $10 |
| Diagnostic mammogram | $464 | $464 | $140 |
| Dialysis fistula creation | $1,729 | $3,685 | $601 |
| Drug screen (urine) | $101 | $97 | $17 |
| Echocardiogram | $284 | $1,394 | $138 |
| Echocardiogram with and without contrast | $810 | $810 | $101 |
| EEG (awake and asleep) | $1,558 | $1,558 | $482 |
| EKG / ECG (tracing only) | $232 | $232 | $7 |
| Electrocardiogram (EKG) | $144 | $144 | $8 |
| Electroencephalogram (EEG) | $1,503 | $1,504 | $448 |
| Electrolyte panel | $105 | $115 | $7 |
| Emergency department visit | $675 | $687 | $69 |
| Emergency department visit (level 1) | $332 | $345 | $11 |
| Emergency department visit (level 2) | $578 | $552 | $40 |
| Emergency department visit (level 3) | $1,234 | $1,204 | $69 |
| Emergency department visit (level 4) | $1,997 | $1,966 | $118 |
| Emergency department visit (level 5) | $2,691 | $2,703 | $171 |
| Epidural steroid injection | $2,198 | $660 | $275 |
| ERCP (bile duct endoscopy) | $18,656 | $18,656 | $311 |
| Facet joint injection (spine) | $1,084 | $515 | $99 |
| Fallopian tube X-ray (HSG) | $672 | $921 | $164 |
| Family therapy session | $269 | $413 | $110 |
| Feeding tube (PEG) placement | $2,168 | $1,125 | $178 |
| Femoral hernia repair | $3,665 | $3,665 | $584 |
| Ferritin (iron) test | $77 | $152 | $14 |
| Fibrinogen test | $35 | $73 | $10 |
| Flexible sigmoidoscopy | $3,225 | $3,225 | $323 |
| Folate (folic acid) test | $41 | $123 | $15 |
| Foreign body removal (skin) | $610 | $623 | $157 |
| Free T4 thyroid test | $68 | $100 | $9 |
| Gallbladder removal (laparoscopic) | $3,988 | $3,988 | $658 |
| Gallbladder scan (HIDA) | $2,672 | $2,672 | $334 |
| GGT liver test | $44 | $60 | $7 |
| Group therapy session | $119 | $185 | $30 |
| Hammertoe repair | $2,250 | $2,250 | $548 |
| Hematocrit test | $20 | $20 | $2 |
| Hemoglobin A1c (diabetes test) | $66 | $108 | $10 |
| Hepatitis B test | $62 | $62 | $10 |
| Hepatitis C test | $57 | $86 | $14 |
| Hip fracture repair | $7,090 | $7,085 | $1,120 |
| HIV test | $96 | $144 | $19 |
| HIV test (antigen/antibody combo) | $96 | $144 | $24 |
| Holter heart monitor | $270 | $425 | $26 |
| Hysterectomy | $5,810 | $5,810 | $933 |
| Hysteroscopy | $1,315 | $1,315 | $1,270 |
| Ileostomy | $5,930 | $5,930 | $968 |
| Inguinal hernia repair | $3,225 | $3,225 | $538 |
| Iron blood test | $23 | $180 | $6 |
| IV infusion therapy | $402 | $402 | $44 |
| IV infusion therapy (each additional) | $133 | $133 | $21 |
| IV infusion therapy (initial) | $671 | $671 | $67 |
| Joint aspiration (small/intermediate) | $636 | $636 | $57 |
| Joint aspiration or injection (mid-size joint) | $636 | $636 | $57 |
| Joint aspiration or injection (small joint) | $633 | $633 | $56 |
| Kidney biopsy | $5,717 | $5,717 | $492 |
| Kidney stone shock-wave (lithotripsy) | $9,052 | $14,398 | $760 |
| Kidney ultrasound | $138 | $138 | $84 |
| Kidney ultrasound (limited) | $131 | $131 | $61 |
| Knee arthroscopy | $2,282 | $3,233 | $524 |
| Knee joint injection | $661 | $661 | $69 |
| Knee replacement | $57,797 | $94,047 | $18,054 |
| Lactate test | $28 | $119 | $12 |
| LDH test | $44 | $50 | $6 |
| LDL cholesterol test | $49 | $80 | $11 |
| Leg vein ultrasound (Doppler) | $488 | $1,057 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $359 | $668 | $116 |
| Lipase test | $44 | $77 | $7 |
| Lipid (cholesterol) panel | $82 | $109 | $13 |
| Liver biopsy | $1,675 | $490 | $288 |
| Liver function panel | $189 | $216 | $8 |
| Lumpectomy (breast) | $4,528 | $4,528 | $750 |
| Lung function test (PFT) | $198 | $218 | $37 |
| Magnesium blood test | $18 | $35 | $7 |
| Mastectomy | $6,173 | $6,173 | $1,021 |
| MRA of the brain | $2,430 | $2,430 | $226 |
| MRA of the brain without contrast | $3,006 | $3,006 | $328 |
| MRA of the neck | $2,444 | $2,444 | $245 |
| MRA of the neck without contrast | $3,027 | $3,027 | $343 |
| MRI of the abdomen | $2,826 | $2,826 | $300 |
| MRI of the ankle | $2,375 | $2,227 | $261 |
| MRI of the ankle without contrast | $1,909 | $1,909 | $222 |
| MRI of the brain | $2,504 | $2,199 | $269 |
| MRI of the chest | $3,838 | $3,838 | $371 |
| MRI of the chest without contrast | $4,430 | $4,430 | $466 |
| MRI of the knee | $2,868 | $2,868 | $315 |
| MRI of the knee with contrast | $2,868 | $2,868 | $315 |
| MRI of the knee without contrast | $1,619 | $1,619 | $204 |
| MRI of the lower back (lumbar spine) | $2,532 | $1,985 | $270 |
| MRI of the mid-back (thoracic spine) | $2,546 | $1,990 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $2,546 | $2,546 | $319 |
| MRI of the neck (cervical spine) | $2,539 | $1,987 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $2,539 | $2,539 | $318 |
| MRI of the pelvis | $2,819 | $2,819 | $268 |
| MRI of the shoulder | $2,542 | $2,861 | $313 |
| MRI of the shoulder without contrast | $1,622 | $1,622 | $205 |
| MRI of the wrist | $3,310 | $3,310 | $330 |
| MRI of the wrist without contrast | $2,882 | $2,882 | $303 |
| Nebulizer breathing treatment | $214 | $316 | $9 |
| Nuclear cardiac stress test | $2,246 | $3,638 | $428 |
| Occupational therapy evaluation | $399 | $399 | $101 |
| Occupational therapy evaluation (high complexity) | $399 | $399 | $101 |
| Occupational therapy evaluation (low complexity) | $399 | $399 | $101 |
| Occupational therapy evaluation (moderate complexity) | $399 | $399 | $101 |
| Office visit (new patient) | $335 | $335 | $177 |
| Office visit, new patient (level 3) | $205 | $205 | $118 |
| Office visit, new patient (level 4) | $335 | $335 | $177 |
| Office visit, new patient (level 5) | $455 | $455 | $237 |
| Orthopedic hardware removal | $2,435 | $2,435 | $632 |
| Pacemaker insertion | $52,411 | $71,964 | $15,506 |
| Pap smear (cervical screening) | $221 | $195 | $20 |
| Parathyroid hormone (PTH) test | $119 | $344 | $41 |
| Pelvic ultrasound | $130 | $130 | $78 |
| Pelvic ultrasound (complete) | $348 | $348 | $105 |
| Pelvic ultrasound (limited) | $116 | $116 | $51 |
| PET scan | $7,315 | $8,882 | — |
| Phosphorus blood test | $19 | $28 | $5 |
| Physical therapy evaluation | $413 | $413 | $98 |
| Physical therapy evaluation (high complexity) | $413 | $413 | $98 |
| Physical therapy evaluation (moderate complexity) | $413 | $413 | $98 |
| Pilonidal cyst removal | $1,843 | $2,615 | $541 |
| Platelet count | $23 | $32 | $4 |
| Pregnancy blood test (hCG) | $84 | $84 | $8 |
| Pregnancy ultrasound | $378 | $303 | $126 |
| Pregnancy ultrasound (first trimester) | $336 | $286 | $117 |
| Pregnancy ultrasound (second or third trimester) | $420 | $345 | $136 |
| Procalcitonin test | $147 | $223 | $27 |
| Prolactin test | $58 | $161 | $19 |
| Prostate removal (prostatectomy) | $6,725 | $6,725 | $1,063 |
| Prostate test (PSA) | $97 | $97 | $18 |
| Psychiatric evaluation | $347 | $438 | $188 |
| Psychotherapy session | $278 | $453 | $140 |
| Pulmonary rehabilitation | $591 | $591 | $87 |
| Radiofrequency nerve ablation | $3,705 | $1,090 | $462 |
| Rotator cuff repair | $4,775 | $5,475 | $792 |
| Sacroiliac joint injection | $2,048 | $2,048 | $176 |
| Scoliosis spine X-ray | $491 | $484 | $58 |
| Scoliosis spine X-ray (1 view) | $199 | $185 | $44 |
| Scoliosis spine X-ray (3 views) | $783 | $783 | $72 |
| Screening colonoscopy | $3,225 | $3,225 | $378 |
| Screening mammogram | $430 | $430 | $126 |
| Scrotal ultrasound | $337 | $337 | $99 |
| Sedimentation rate (ESR) test | $48 | $30 | $3 |
| Shoulder replacement | $8,310 | $8,310 | $1,300 |
| Simple laceration repair (small, up to 2.5 cm) | $352 | $562 | $114 |
| Simple wound stitches | $344 | $562 | $127 |
| Skin biopsy | $525 | $525 | $121 |
| Skin biopsy (punch) | $835 | $835 | $121 |
| Skin graft | $4,130 | $3,905 | $898 |
| Sleep study (polysomnography) | $3,369 | $5,288 | $691 |
| Small bowel resection | $6,995 | $6,995 | $1,136 |
| Soft tissue ultrasound | $151 | $141 | $64 |
| Speech therapy | $314 | $314 | $76 |
| Spinal cord stimulator | $6,170 | $6,629 | $2,388 |
| Spinal tap (lumbar puncture) | $1,499 | $687 | $165 |
| Spirometry (lung function test) | $185 | $203 | $30 |
| Spirometry with bronchodilator | $295 | $441 | $43 |
| Swallow study | $350 | $350 | $85 |
| T3 thyroid test | $33 | $118 | $14 |
| Tdap (tetanus) vaccine | $93 | $147 | — |
| Testosterone test | $73 | $215 | $26 |
| Thyroid test (TSH) | $67 | $101 | $17 |
| Thyroid ultrasound | $314 | $406 | $109 |
| Thyroid uptake scan | $1,970 | $1,970 | $145 |
| Total protein test | $31 | $31 | $4 |
| Transesophageal echocardiogram (TEE) | $1,506 | $2,480 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $1,506 | $2,480 | $239 |
| Transvaginal ultrasound | $413 | $413 | $118 |
| Trigger point injection | $648 | $648 | $56 |
| Trigger point injection (1-2 muscles) | $633 | $633 | $52 |
| Triglycerides test | $24 | $48 | $6 |
| Troponin (heart) test | $125 | $125 | $12 |
| Upper GI endoscopy (EGD) | $3,288 | $3,288 | $371 |
| Upper GI series (barium) | $714 | $714 | $128 |
| Uric acid (gout) test | $24 | $38 | $5 |
| Urinalysis | $35 | $19 | $3 |
| Urine microalbumin test | $45 | $70 | $5 |
| Urine pregnancy test | $40 | $65 | $9 |
| Vaccine administration | $75 | $53 | $19 |
| Vaccine administration (each additional) | $67 | $21 | $16 |
| Vaginal delivery | $15,661 | $19,523 | $5,487 |
| Vitamin B12 test | $46 | $126 | $15 |
| Vitamin D test | $68 | $247 | $30 |
| Wound debridement | $1,140 | $1,141 | $186 |
| X-ray of the abdomen | $372 | $412 | $36 |
| X-ray of the ankle | $242 | $410 | $37 |
| X-ray of the collarbone | $360 | $360 | $33 |
| X-ray of the elbow | $360 | $360 | $33 |
| X-ray of the facial bones | $444 | $444 | $39 |
| X-ray of the foot | $227 | $383 | $34 |
| X-ray of the forearm | $325 | $325 | $29 |
| X-ray of the hand | $406 | $406 | $38 |
| X-ray of the hip | $441 | $522 | $49 |
| X-ray of the hip (1 view) | $359 | $359 | $34 |
| X-ray of the hip (3 views) | $522 | $522 | $49 |
| X-ray of the knee | $453 | $453 | $42 |
| X-ray of the knee (2 views) | $300 | $300 | $34 |
| X-ray of the knee (3 views) | $453 | $453 | $42 |
| X-ray of the knee (4+ views) | $514 | $514 | $49 |
| X-ray of the lower back (lumbar spine) | $506 | $506 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $444 | $444 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $567 | $567 | $53 |
| X-ray of the lower leg | $352 | $352 | $31 |
| X-ray of the mid-back (thoracic spine) | $400 | $400 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $363 | $363 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $436 | $436 | $39 |
| X-ray of the neck (cervical spine) | $515 | $515 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $440 | $440 | $40 |
| X-ray of the pelvis | $388 | $388 | $36 |
| X-ray of the pelvis (1 view) | $309 | $309 | $28 |
| X-ray of the ribs | $470 | $470 | $42 |
| X-ray of the ribs (2 views) | $409 | $409 | $36 |
| X-ray of the ribs (3 views) | $470 | $470 | $42 |
| X-ray of the shoulder | $383 | $383 | $36 |
| X-ray of the skull | $449 | $449 | $40 |
| X-ray of the upper arm | $360 | $360 | $32 |
| X-ray of the wrist | $453 | $453 | $43 |
| Zinc blood test | $71 | $95 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
