| Procedure | Geisinger Medical Center | Wellspan Good Samaritan Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $131 | $91 | $51 |
| Abdominal fluid drain (paracentesis) | $4,472 | $1,589 | $284 |
| Abdominal ultrasound | $1,004 | $1,501 | $100 |
| Abdominal ultrasound (complete) | $1,169 | $1,754 | $114 |
| Abdominal ultrasound (limited) | $838 | $1,249 | $86 |
| Abscess drainage (complex or multiple) | $1,994 | $907 | $220 |
| Abscess drainage (simple) | $1,088 | $570 | $129 |
| Abscess incision and drainage | $1,541 | $738 | $174 |
| Albumin blood test | $33 | $21 | $5 |
| Aldosterone test | $444 | $170 | $41 |
| Alkaline phosphatase test | $25 | $22 | $5 |
| Alpha-fetoprotein (AFP) test | $208 | $70 | $17 |
| ALT liver enzyme test | $29 | $22 | $5 |
| Ammonia blood test | $77 | $61 | $15 |
| Amylase test | $120 | $26 | $6 |
| Antinuclear antibody (ANA) test | $223 | $50 | $12 |
| Arterial blood gas (ABG) | $81 | $108 | $26 |
| AST liver enzyme test | $27 | $22 | $5 |
| Barium swallow study | $651 | $535 | $107 |
| Bartholin cyst removal | $416 | $632 | $182 |
| Basic metabolic panel | $162 | $20 | $8 |
| Bilirubin blood test | $28 | $10 | $5 |
| Blood clotting test (PT/INR) | $41 | $15 | $4 |
| Blood crossmatch | $352 | $654 | — |
| Blood glucose test | $50 | $18 | $5 |
| Blood transfusion | $1,054 | $1,714 | $47 |
| Blood type and screen | $149 | $241 | $10 |
| Blood type test | $107 | $95 | $3 |
| Blood type test (ABO group) | $107 | $146 | $3 |
| Blood type test (Rh/D antigen) | $107 | $43 | $3 |
| BNP (heart failure) test | $254 | $80 | $39 |
| Bone density scan (DEXA) | $464 | $237 | $39 |
| Bone marrow biopsy | $7,492 | $2,464 | $172 |
| Bone scan (nuclear) | $2,592 | $1,714 | $259 |
| Breast biopsy | $6,146 | $2,721 | $478 |
| Breast MRI | $1,955 | $577 | $216 |
| Breast MRI without contrast | $1,955 | $449 | $216 |
| Breast ultrasound | $857 | $516 | $92 |
| Breast ultrasound (complete) | $1,371 | $541 | $100 |
| Breast ultrasound (limited) | $617 | $492 | $84 |
| Breathing tube insertion (intubation) | $3,131 | $1,186 | $133 |
| Bronchoscopy | $3,364 | $3,598 | $303 |
| Burn dressing and debridement (small) | $905 | $521 | $93 |
| Burn treatment | $950 | $521 | $129 |
| C-reactive protein (CRP) | $126 | $20 | $5 |
| CA 19-9 tumor marker test | $216 | $85 | $21 |
| CA-125 ovarian marker test | $211 | $85 | $21 |
| Calcium blood test | $25 | $22 | $5 |
| Cardiac catheterization | $25,803 | $13,618 | $1,049 |
| Cardiac rehabilitation | $314 | $296 | $26 |
| Cardiac stress test | $1,476 | $1,118 | $39 |
| Cardioversion | $3,965 | $1,771 | $155 |
| Carotid artery ultrasound | $1,970 | $951 | $156 |
| CEA tumor marker test | $360 | $65 | $19 |
| Celiac disease test | $126 | $48 | $12 |
| Central line placement | $4,180 | $2,099 | $238 |
| Chemotherapy infusion | $1,071 | $785 | $81 |
| Chemotherapy infusion (each additional) | $514 | $496 | $28 |
| Chemotherapy infusion (first hour) | $1,628 | $1,074 | $133 |
| Chest fluid drain (thoracentesis) | $5,074 | $1,308 | $311 |
| Chest tube insertion | $2,436 | $2,039 | $143 |
| Chest X-ray | $523 | $369 | $37 |
| Chest X-ray (1 view) | $321 | $293 | $25 |
| Chest X-ray (2 views) | $464 | $322 | $33 |
| Circumcision | $4,156 | $413 | $167 |
| CK-MB heart enzyme test | $55 | $48 | $12 |
| Clotting time test (PTT) | $56 | $30 | $6 |
| Complete blood count (CBC) | $82 | $15 | $7 |
| Complete blood count (CBC) (complete) | $99 | $15 | $8 |
| Comprehensive metabolic panel | $304 | $25 | $11 |
| Contraceptive implant (Nexplanon) | $606 | $426 | $115 |
| Copper blood test | $212 | $51 | $12 |
| Coronary CT angiography | $2,598 | $407 | $326 |
| Cortisol test | $280 | $68 | $16 |
| COVID-19 PCR test | $146 | $100 | $51 |
| CPAP titration study | $1,089 | $1,038 | $69 |
| Creatine kinase (CK) test | $48 | $27 | $7 |
| CT angiography of the chest | $4,657 | $532 | $281 |
| CT angiography of the head | $2,711 | $538 | $274 |
| CT scan of the abdomen | $3,660 | $469 | $230 |
| CT scan of the abdomen and pelvis | $4,495 | $438 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $5,443 | $525 | $338 |
| CT scan of the abdomen and pelvis with contrast | $4,495 | $438 | $300 |
| CT scan of the abdomen and pelvis without contrast | $3,431 | $243 | $183 |
| CT scan of the abdomen with and without contrast | $4,650 | $560 | $259 |
| CT scan of the abdomen with contrast | $3,660 | $469 | $230 |
| CT scan of the abdomen without contrast | $2,637 | $274 | $136 |
| CT scan of the arm | $3,325 | $476 | $199 |
| CT scan of the arm with contrast | $3,325 | $476 | $199 |
| CT scan of the arm without contrast | $2,768 | $286 | $161 |
| CT scan of the chest | $4,234 | $470 | $167 |
| CT scan of the chest with and without contrast | $4,941 | $562 | $196 |
| CT scan of the chest with contrast | $4,234 | $470 | $167 |
| CT scan of the chest without contrast | $3,140 | $285 | $133 |
| CT scan of the head | $2,068 | $478 | $148 |
| CT scan of the head with and without contrast | $2,503 | $569 | $173 |
| CT scan of the head with contrast | $2,068 | $478 | $148 |
| CT scan of the head without contrast | $1,780 | $296 | $107 |
| CT scan of the leg | $3,269 | $476 | $166 |
| CT scan of the leg with contrast | $3,269 | $476 | $166 |
| CT scan of the leg without contrast | $2,995 | $286 | $130 |
| CT scan of the lower back (lumbar spine) | $3,781 | $472 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $4,289 | $569 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $3,781 | $472 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $3,140 | $286 | $130 |
| CT scan of the neck | $3,785 | $462 | $183 |
| CT scan of the neck (cervical spine) | $3,778 | $377 | $168 |
| CT scan of the neck (cervical spine) with contrast | $3,778 | $472 | $168 |
| CT scan of the neck (cervical spine) without contrast | $3,359 | $282 | $131 |
| CT scan of the neck with and without contrast | $4,115 | $558 | $220 |
| CT scan of the neck with contrast | $3,785 | $462 | $183 |
| CT scan of the neck without contrast | $2,789 | $268 | $150 |
| CT scan of the pelvis | $2,202 | $476 | $226 |
| CT scan of the pelvis with and without contrast | $3,074 | $572 | $251 |
| CT scan of the pelvis with contrast | $2,202 | $476 | $226 |
| CT scan of the pelvis without contrast | $1,982 | $281 | $133 |
| CT scan of the sinuses | $3,702 | $494 | $152 |
| CT scan of the sinuses with and without contrast | $4,037 | $568 | $184 |
| CT scan of the sinuses with contrast | $3,702 | $494 | $152 |
| CT scan of the sinuses without contrast | $3,344 | $295 | $128 |
| D-dimer test | $184 | $61 | $10 |
| Defibrillator (ICD) implant | $38,890 | $71,449 | $798 |
| DHEA-sulfate test | $240 | $92 | $22 |
| Diagnostic mammogram | $516 | $215 | $140 |
| Drug screen (urine) | $200 | $172 | $17 |
| Ear pressure test (tympanometry) | $207 | $141 | $16 |
| Echocardiogram | $2,740 | $2,407 | $138 |
| Echocardiogram with and without contrast | $2,155 | $1,781 | $101 |
| Echocardiogram without contrast | $2,740 | $2,407 | $138 |
| EEG (awake and asleep) | $2,157 | $1,077 | $482 |
| EKG / ECG (tracing only) | $267 | $314 | $7 |
| Electrocardiogram (EKG) | $267 | $314 | $8 |
| Electroencephalogram (EEG) | $1,802 | $1,017 | $448 |
| Electrolyte panel | $68 | $30 | $7 |
| Emergency department visit | $1,497 | $1,226 | $69 |
| Emergency department visit (level 1) | $685 | $511 | $11 |
| Emergency department visit (level 2) | $753 | $668 | $40 |
| Emergency department visit (level 3) | $1,497 | $1,226 | $69 |
| Emergency department visit (level 4) | $2,176 | $1,810 | $118 |
| Emergency department visit (level 5) | $3,295 | $1,845 | $171 |
| Endometrial biopsy | $550 | $530 | $98 |
| Estradiol (estrogen) test | $357 | $117 | $28 |
| Fallopian tube X-ray (HSG) | $1,296 | $530 | $164 |
| Fecal occult blood (stool) test | $40 | $26 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $43 | $15 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $37 | $36 | $16 |
| Ferritin (iron) test | $238 | $40 | $14 |
| Fibrinogen test | $38 | $64 | $10 |
| Folate (folic acid) test | $78 | $45 | $15 |
| Foreign body removal (skin) | $1,519 | $578 | $157 |
| Free T4 thyroid test | $158 | $35 | $9 |
| FSH hormone test | $291 | $78 | $19 |
| Gallbladder scan (HIDA) | $4,197 | $1,970 | $334 |
| GGT liver test | $114 | $30 | $7 |
| Glucose tolerance test | $125 | $35 | $8 |
| HDL cholesterol test | $97 | $34 | $8 |
| Hearing test (audiometry) | $368 | $257 | $36 |
| Hematocrit test | $11 | $18 | $2 |
| Hemoglobin A1c (diabetes test) | $170 | $25 | $10 |
| Hepatitis B test | $179 | $43 | $10 |
| Hepatitis C test | $241 | $55 | $14 |
| HIV test | $246 | $100 | $19 |
| HIV test (antigen/antibody combo) | $253 | $100 | $24 |
| Home sleep apnea test | $611 | $847 | $123 |
| Iron blood test | $105 | $20 | $6 |
| IV infusion therapy | $798 | $468 | $44 |
| IV infusion therapy (each additional) | $423 | $162 | $21 |
| IV infusion therapy (initial) | $1,174 | $774 | $67 |
| IVC filter placement | $8,851 | $8,253 | $1,885 |
| Joint aspiration (small/intermediate) | $1,494 | $654 | $57 |
| Joint aspiration or injection (mid-size joint) | $1,624 | $782 | $57 |
| Joint aspiration or injection (small joint) | $1,136 | $526 | $56 |
| Kidney biopsy | $12,091 | $1,993 | $492 |
| Kidney scan (nuclear) | $3,318 | $2,226 | $172 |
| Kidney ultrasound | $1,495 | $1,222 | $84 |
| Kidney ultrasound (limited) | $1,266 | $1,015 | $61 |
| Knee joint injection | $2,953 | $815 | $69 |
| Lactate test | $209 | $75 | $12 |
| Laryngoscopy | $2,678 | $618 | $189 |
| LDH test | $45 | $25 | $6 |
| LDL cholesterol test | $115 | $44 | $11 |
| Leg artery angiogram | $4,264 | $6,960 | $149 |
| Leg artery angioplasty | $11,447 | $14,014 | — |
| Leg vein ultrasound (Doppler) | $2,663 | $1,039 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $2,272 | $863 | $116 |
| LH hormone test | $265 | $78 | $19 |
| Lipase test | $144 | $28 | $7 |
| Lipid (cholesterol) panel | $160 | $40 | $13 |
| Liver biopsy | $6,052 | $2,307 | $288 |
| Liver function panel | $160 | $25 | $8 |
| Lung function test (PFT) | $964 | $583 | $37 |
| Lung scan (V/Q) | $3,443 | $2,226 | $291 |
| Magnesium blood test | $108 | $30 | $7 |
| MRA of the brain | $5,093 | $474 | $226 |
| MRA of the neck | $3,703 | $604 | $245 |
| MRA of the neck without contrast | $6,716 | $735 | $343 |
| MRI of the abdomen | $7,013 | $640 | $300 |
| MRI of the abdomen with contrast | $7,013 | $640 | $300 |
| MRI of the abdomen without contrast | $4,282 | $457 | $194 |
| MRI of the ankle | $3,585 | $646 | $261 |
| MRI of the ankle with contrast | $3,585 | $646 | $261 |
| MRI of the ankle without contrast | $3,057 | $463 | $222 |
| MRI of the brain | $3,938 | $636 | $269 |
| MRI of the brain with contrast | $3,938 | $636 | $269 |
| MRI of the brain without contrast | $3,164 | $455 | $195 |
| MRI of the chest | $4,963 | $582 | $371 |
| MRI of the chest without contrast | $9,745 | $706 | $466 |
| MRI of the knee | $3,538 | $645 | $315 |
| MRI of the knee with contrast | $3,538 | $645 | $315 |
| MRI of the knee without contrast | $3,039 | $462 | $204 |
| MRI of the lower back (lumbar spine) | $3,600 | $636 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $3,600 | $636 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $3,089 | $454 | $192 |
| MRI of the mid-back (thoracic spine) | $3,172 | $634 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $4,295 | $701 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $3,172 | $634 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $2,996 | $454 | $190 |
| MRI of the neck (cervical spine) | $3,294 | $634 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $4,218 | $702 | $318 |
| MRI of the neck (cervical spine) with contrast | $3,294 | $634 | $274 |
| MRI of the neck (cervical spine) without contrast | $2,918 | $454 | $191 |
| MRI of the pelvis | $5,264 | $581 | $268 |
| MRI of the pelvis without contrast | $4,253 | $456 | $227 |
| MRI of the shoulder | $5,357 | $646 | $313 |
| MRI of the shoulder with contrast | $5,357 | $646 | $313 |
| MRI of the shoulder without contrast | $4,439 | $462 | $205 |
| MRI of the wrist | $4,533 | $588 | $330 |
| MRI of the wrist without contrast | $4,240 | $464 | $303 |
| Nebulizer breathing treatment | $626 | $310 | $9 |
| Nerve conduction study | $1,283 | $903 | $118 |
| Nuclear cardiac stress test | $6,832 | $6,240 | $428 |
| Occupational therapy evaluation | $494 | $319 | $101 |
| Occupational therapy evaluation (high complexity) | $517 | $319 | $101 |
| Occupational therapy evaluation (low complexity) | $469 | $335 | $101 |
| Occupational therapy evaluation (moderate complexity) | $494 | $319 | $101 |
| Office visit (established patient) | $234 | $630 | $115 |
| Office visit (new patient) | $246 | $175 | $177 |
| Office visit, established patient (level 3) | $221 | $446 | $95 |
| Office visit, established patient (level 4) | $246 | $814 | $136 |
| Office visit, new patient (level 3) | $221 | $122 | $118 |
| Office visit, new patient (level 4) | $246 | $175 | $177 |
| Office visit, new patient (level 5) | $268 | $231 | $237 |
| Pap smear (cervical screening) | $291 | $98 | $20 |
| Parathyroid hormone (PTH) test | $262 | $171 | $41 |
| Pelvic ultrasound | $1,158 | $493 | $78 |
| Pelvic ultrasound (complete) | $1,348 | $518 | $105 |
| Pelvic ultrasound (limited) | $967 | $468 | $51 |
| PET scan | $12,954 | $6,880 | — |
| Phosphorus blood test | $35 | $15 | $5 |
| Physical therapy evaluation | $494 | $481 | $98 |
| Physical therapy evaluation (high complexity) | $517 | $518 | $98 |
| Physical therapy evaluation (moderate complexity) | $494 | $481 | $98 |
| Platelet count | $27 | $91 | $4 |
| Pregnancy ultrasound | $858 | $986 | $126 |
| Pregnancy ultrasound (first trimester) | $796 | $891 | $117 |
| Pregnancy ultrasound (second or third trimester) | $921 | $1,080 | $136 |
| Procalcitonin test | $306 | $136 | $27 |
| Prolactin test | $391 | $81 | $19 |
| Prostate test (PSA) | $205 | $45 | $18 |
| Pulmonary rehabilitation | $179 | $284 | $87 |
| Scoliosis spine X-ray | $589 | $437 | $58 |
| Scoliosis spine X-ray (1 view) | $434 | $373 | $44 |
| Scoliosis spine X-ray (3 views) | $743 | $502 | $72 |
| Screening mammogram | $499 | $225 | $126 |
| Scrotal ultrasound | $1,303 | $730 | $99 |
| Sedimentation rate (ESR) test | $44 | $20 | $3 |
| Semen analysis | $93 | $50 | $12 |
| Sex hormone binding globulin test | $255 | $90 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $1,314 | $590 | $114 |
| Simple wound stitches | $1,454 | $889 | $127 |
| Skin biopsy | $1,167 | $618 | $121 |
| Skin biopsy (punch) | $1,167 | $618 | $121 |
| Sleep study (polysomnography) | $4,901 | $4,050 | $691 |
| Soft tissue ultrasound | $1,241 | $468 | $64 |
| Speech therapy | $453 | $401 | $76 |
| Spinal tap (lumbar puncture) | $2,561 | $1,392 | $165 |
| Spine fracture repair (kyphoplasty) | $15,290 | $11,678 | $5,803 |
| Spirometry (lung function test) | $725 | $324 | $30 |
| Spirometry with bronchodilator | $1,202 | $842 | $43 |
| Stress echocardiogram | $2,703 | $1,421 | $209 |
| Swallow study | $803 | $434 | $85 |
| T3 thyroid test | $236 | $59 | $14 |
| Testosterone test | $355 | $107 | $26 |
| Thyroid test (TSH) | $185 | $40 | $17 |
| Thyroid ultrasound | $983 | $1,031 | $109 |
| Thyroid uptake scan | $1,204 | $1,714 | $145 |
| Tilt table test | $2,595 | $1,642 | $168 |
| Total IgE allergy test | $233 | $68 | $16 |
| Total protein test | $16 | $15 | $4 |
| Transesophageal echocardiogram (TEE) | $3,481 | $3,646 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $3,231 | $3,646 | $239 |
| Transvaginal ultrasound | $704 | $709 | $118 |
| Trigger point injection | $1,466 | $549 | $56 |
| Trigger point injection (1-2 muscles) | $1,371 | $549 | $52 |
| Triglycerides test | $32 | $24 | $6 |
| Troponin (heart) test | $68 | $62 | $12 |
| Upper GI series (barium) | $937 | $811 | $128 |
| Uric acid (gout) test | $48 | $15 | $5 |
| Urinalysis | $55 | $10 | $3 |
| Urine microalbumin test | $108 | $22 | $5 |
| Urine pregnancy test | $75 | $36 | $9 |
| Vaccine administration | $62 | $70 | $19 |
| Varicose vein ablation | $7,766 | $3,156 | $1,018 |
| Vitamin B12 test | $239 | $40 | $15 |
| Vitamin D test | $280 | $100 | $30 |
| Wound debridement | $2,003 | $1,078 | $186 |
| X-ray of the abdomen | $433 | $321 | $36 |
| X-ray of the ankle | $505 | $398 | $37 |
| X-ray of the collarbone | $525 | $292 | $33 |
| X-ray of the elbow | $482 | $398 | $33 |
| X-ray of the facial bones | $466 | $363 | $39 |
| X-ray of the foot | $455 | $348 | $34 |
| X-ray of the forearm | $443 | $285 | $29 |
| X-ray of the hand | $487 | $370 | $38 |
| X-ray of the hip | $594 | $454 | $49 |
| X-ray of the hip (1 view) | $295 | $398 | $34 |
| X-ray of the hip (3 views) | $594 | $454 | $49 |
| X-ray of the hip (4 views) | $702 | $478 | $63 |
| X-ray of the knee | $560 | $483 | $42 |
| X-ray of the knee (2 views) | $484 | $262 | $34 |
| X-ray of the knee (3 views) | $560 | $483 | $42 |
| X-ray of the knee (4+ views) | $631 | $530 | $49 |
| X-ray of the lower back (lumbar spine) | $550 | $505 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $420 | $484 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $681 | $526 | $53 |
| X-ray of the lower leg | $512 | $430 | $31 |
| X-ray of the mid-back (thoracic spine) | $572 | $555 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $521 | $504 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $622 | $606 | $39 |
| X-ray of the neck (cervical spine) | $624 | $562 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $510 | $484 | $40 |
| X-ray of the pelvis | $479 | $398 | $36 |
| X-ray of the pelvis (1 view) | $371 | $316 | $28 |
| X-ray of the ribs | $616 | $418 | $42 |
| X-ray of the ribs (2 views) | $383 | $239 | $36 |
| X-ray of the ribs (3 views) | $621 | $418 | $42 |
| X-ray of the shoulder | $548 | $398 | $36 |
| X-ray of the skull | $529 | $536 | $40 |
| X-ray of the upper arm | $481 | $266 | $32 |
| X-ray of the wrist | $494 | $369 | $43 |
| Zinc blood test | $188 | $47 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
