| Procedure | Jefferson Stratford Hospital | Pennsylvania Hospital | Medicare |
|---|
| Abdominal fluid drain (paracentesis) | $1,173 | $6,891 | $284 |
| Abdominal ultrasound | $135 | $1,684 | $100 |
| Abdominal ultrasound (complete) | $135 | $1,819 | $114 |
| Abdominal ultrasound (limited) | $135 | $1,514 | $86 |
| Abscess drainage (complex or multiple) | $526 | $3,691 | $220 |
| Abscess drainage (simple) | $260 | $957 | $129 |
| Abscess incision and drainage | $393 | $1,716 | $174 |
| Albumin blood test | $6 | $170 | $5 |
| Aldosterone test | $47 | $32 | $41 |
| Alkaline phosphatase test | $6 | $170 | $5 |
| Alpha-fetoprotein (AFP) test | $19 | $790 | $17 |
| ALT liver enzyme test | $6 | $170 | $5 |
| Ammonia blood test | $17 | $457 | $15 |
| Amniocentesis | $1,192 | $1,512 | $120 |
| Amylase test | $7 | $258 | $6 |
| Anoscopy | $172 | $548 | $129 |
| Antinuclear antibody (ANA) test | $14 | $479 | $12 |
| Arterial blood gas (ABG) | $30 | $609 | $26 |
| AST liver enzyme test | $6 | $170 | $5 |
| Barium swallow study | $227 | $1,124 | $107 |
| Bartholin cyst removal | $262 | $1,622 | $182 |
| Basic metabolic panel | $10 | $263 | $8 |
| Benign skin lesion removal | $916 | $722 | $171 |
| Bilirubin blood test | $6 | $170 | $5 |
| Bladder scope (cystoscopy) | $902 | $1,506 | $216 |
| Blood clotting test (PT/INR) | $5 | $84 | $4 |
| Blood crossmatch | $220 | $460 | — |
| Blood glucose test | $5 | $111 | $5 |
| Blood transfusion | $571 | $2,288 | $47 |
| Blood type and screen | $11 | $662 | $10 |
| Bone density scan (DEXA) | $135 | $2,171 | $39 |
| Bone marrow biopsy | $2,948 | $6,215 | $172 |
| Bone scan (nuclear) | $517 | $3,866 | $259 |
| Breast biopsy | $2,137 | $4,198 | $478 |
| Breast ultrasound | $124 | $954 | $92 |
| Breast ultrasound (complete) | $135 | $1,154 | $100 |
| Breast ultrasound (limited) | $113 | $567 | $84 |
| Breathing tube insertion (intubation) | $306 | $3,615 | $133 |
| Bronchoscopy | $2,303 | $6,447 | $303 |
| Burn dressing and debridement (medium) | $260 | $1,326 | $166 |
| Burn dressing and debridement (small) | $260 | $1,092 | $93 |
| Burn treatment | $260 | $1,209 | $129 |
| C-reactive protein (CRP) | $6 | $493 | $5 |
| CA 19-9 tumor marker test | $24 | $249 | $21 |
| CA-125 ovarian marker test | $24 | $622 | $21 |
| Calcium blood test | $6 | $170 | $5 |
| Capsule endoscopy | $1,173 | $4,433 | $802 |
| Cardiac catheterization | $4,195 | $59,812 | $1,049 |
| Cardiac MRI | $380 | $10,417 | $322 |
| Cardiac MRI without contrast | $309 | $7,769 | $280 |
| Cardioversion | $855 | $3,902 | $155 |
| Carotid artery ultrasound | $222 | $2,988 | $156 |
| CEA tumor marker test | $22 | $878 | $19 |
| Celiac disease test | $13 | $194 | $12 |
| Central line placement | $4,085 | $3,978 | $238 |
| Cervical cerclage | $4,188 | $12,468 | $137 |
| Chemotherapy infusion | $260 | $1,621 | $81 |
| Chemotherapy infusion (each additional) | $93 | $1,161 | $28 |
| Chemotherapy infusion (first hour) | $427 | $2,064 | $133 |
| Chest fluid drain (thoracentesis) | $812 | $7,216 | $311 |
| Chest tube insertion | $2,037 | $5,076 | $143 |
| Chest X-ray | $113 | $615 | $37 |
| Chest X-ray (1 view) | $113 | $374 | $25 |
| Chest X-ray (2 views) | $113 | $654 | $33 |
| CK-MB heart enzyme test | $13 | $754 | $12 |
| Clotting time test (PTT) | $7 | $219 | $6 |
| Colonoscopy | $1,548 | $4,663 | $480 |
| Colposcopy | $394 | $281 | $161 |
| Complete blood count (CBC) | $8 | $259 | $7 |
| Complete blood count (CBC) (complete) | $9 | $273 | $8 |
| Coronary CT angiography | $451 | $6,796 | $326 |
| Cortisol test | $19 | $613 | $16 |
| COVID-19 PCR test | $59 | $590 | $51 |
| CPAP titration study | $283 | $1,129 | $69 |
| Creatine kinase (CK) test | $7 | $205 | $7 |
| CT angiography of the chest | $227 | $9,914 | $281 |
| CT angiography of the head | $227 | $10,059 | $274 |
| CT scan of the abdomen | $227 | $6,048 | $230 |
| CT scan of the abdomen and pelvis | $451 | $7,194 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $451 | $9,516 | $338 |
| CT scan of the abdomen and pelvis with contrast | $451 | $7,194 | $300 |
| CT scan of the abdomen and pelvis without contrast | $309 | $3,778 | $183 |
| CT scan of the abdomen with and without contrast | $227 | $7,739 | $259 |
| CT scan of the abdomen with contrast | $227 | $6,048 | $230 |
| CT scan of the abdomen without contrast | $135 | $4,765 | $136 |
| CT scan of the arm | $227 | $5,274 | $199 |
| CT scan of the arm with contrast | $451 | $5,274 | $199 |
| CT scan of the arm without contrast | $135 | $4,365 | $161 |
| CT scan of the chest | $227 | $5,518 | $167 |
| CT scan of the chest with and without contrast | $227 | $7,583 | $196 |
| CT scan of the chest with contrast | $227 | $6,041 | $167 |
| CT scan of the chest without contrast | $135 | $2,749 | $133 |
| CT scan of the head | $227 | $4,855 | $148 |
| CT scan of the head with and without contrast | $227 | $6,026 | $173 |
| CT scan of the head with contrast | $227 | $4,855 | $148 |
| CT scan of the head without contrast | $135 | $3,957 | $107 |
| CT scan of the leg | $227 | $5,285 | $166 |
| CT scan of the leg with contrast | $227 | $5,285 | $166 |
| CT scan of the leg without contrast | $135 | $4,365 | $130 |
| CT scan of the lower back (lumbar spine) | $227 | $5,904 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $227 | $7,594 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $451 | $5,904 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $135 | $4,995 | $130 |
| CT scan of the neck | $227 | $5,123 | $183 |
| CT scan of the neck (cervical spine) | $227 | $5,754 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $227 | $7,562 | $196 |
| CT scan of the neck (cervical spine) with contrast | $451 | $5,898 | $168 |
| CT scan of the neck with and without contrast | $227 | $6,424 | $220 |
| CT scan of the neck with contrast | $227 | $5,123 | $183 |
| CT scan of the neck without contrast | $135 | $4,230 | $150 |
| CT scan of the pelvis | $227 | $5,816 | $226 |
| CT scan of the pelvis with and without contrast | $227 | $7,357 | $251 |
| CT scan of the pelvis with contrast | $227 | $5,816 | $226 |
| CT scan of the pelvis without contrast | $135 | $4,918 | $133 |
| CT scan of the sinuses | $227 | $4,745 | $152 |
| CT scan of the sinuses with and without contrast | $227 | $6,493 | $184 |
| CT scan of the sinuses with contrast | $227 | $5,200 | $152 |
| CT scan of the sinuses without contrast | $135 | $2,248 | $128 |
| D-dimer test | $12 | $366 | $10 |
| Diagnostic mammogram | $124 | $2,240 | $140 |
| Drug screen (urine) | $43 | $593 | $17 |
| Ear pressure test (tympanometry) | $48 | $75 | $16 |
| Echocardiogram | $309 | $3,270 | $138 |
| Echocardiogram with and without contrast | $309 | $3,270 | $101 |
| EEG (awake and asleep) | $279 | $3,980 | $482 |
| EKG / ECG (tracing only) | $76 | $317 | $7 |
| Electrocardiogram (EKG) | $76 | $317 | $8 |
| Electroencephalogram (EEG) | $279 | $3,653 | $448 |
| Electrolyte panel | $8 | $218 | $7 |
| Electromyography (EMG) | $172 | $1,110 | $141 |
| Emergency department visit | $353 | $2,126 | $69 |
| Emergency department visit (level 1) | $109 | $1,314 | $11 |
| Emergency department visit (level 2) | $199 | $1,473 | $40 |
| Emergency department visit (level 3) | $353 | $2,126 | $69 |
| Emergency department visit (level 4) | $540 | $3,489 | $118 |
| Emergency department visit (level 5) | $771 | $6,331 | $171 |
| Endometrial biopsy | $262 | $673 | $98 |
| Epidural steroid injection | $913 | $880 | $275 |
| ERCP (bile duct endoscopy) | $4,988 | $5,799 | $311 |
| Esophageal dilation | $1,828 | $1,926 | $522 |
| Estradiol (estrogen) test | $32 | $455 | $28 |
| Facet joint injection (spine) | $1,144 | $1,115 | $99 |
| Fallopian tube X-ray (HSG) | $309 | $965 | $164 |
| Family therapy session | $230 | $139 | $110 |
| Fecal occult blood (stool) test | $12 | $159 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $5 | $159 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $18 | $143 | $16 |
| Feeding tube (PEG) placement | $2,483 | $5,355 | $178 |
| Ferritin (iron) test | $16 | $479 | $14 |
| Fibrinogen test | $11 | $144 | $10 |
| Flexible sigmoidoscopy | $1,203 | $3,163 | $323 |
| Flu vaccine | $135 | $66 | — |
| Folate (folic acid) test | $17 | $666 | $15 |
| Foreign body removal (skin) | $526 | $1,433 | $157 |
| Free T4 thyroid test | $10 | $388 | $9 |
| FSH hormone test | $21 | $407 | $19 |
| GGT liver test | $8 | $127 | $7 |
| Glucose tolerance test | $10 | $306 | $8 |
| Group therapy session | $131 | $115 | $30 |
| H. pylori test | $77 | $646 | $67 |
| HDL cholesterol test | $9 | $249 | $8 |
| Hearing test (audiometry) | $166 | $190 | $36 |
| Hematocrit test | $3 | $143 | $2 |
| Hemoglobin A1c (diabetes test) | $11 | $108 | $10 |
| Hemorrhoid removal | $1,203 | $2,058 | $338 |
| Hepatitis A vaccine | $74 | $306 | — |
| Hepatitis B vaccine | $75 | $191 | — |
| Hepatitis C test | $16 | $479 | $14 |
| HIV test | $22 | $371 | $19 |
| HIV test (antibody) | $16 | $501 | $14 |
| HIV test (antigen/antibody combo) | $28 | $240 | $24 |
| Holter heart monitor | $124 | $1,106 | $26 |
| Home sleep apnea test | $279 | $2,591 | $123 |
| Inguinal hernia repair | $4,632 | $13,591 | $538 |
| Iron blood test | $7 | $170 | $6 |
| IUD removal | $394 | $1,860 | $112 |
| IV infusion therapy | $168 | $1,343 | $44 |
| IV infusion therapy (each additional) | $61 | $574 | $21 |
| IV infusion therapy (initial) | $275 | $1,860 | $67 |
| IVC filter placement | $7,200 | $15,413 | $1,885 |
| Joint aspiration (small/intermediate) | $397 | $896 | $57 |
| Joint aspiration or injection (mid-size joint) | $397 | $960 | $57 |
| Joint aspiration or injection (small joint) | $397 | $895 | $56 |
| Kidney biopsy | $2,137 | $7,628 | $492 |
| Kidney scan (nuclear) | $703 | $5,827 | $172 |
| Kidney ultrasound | $135 | $1,743 | $84 |
| Kidney ultrasound (limited) | $135 | $1,684 | $61 |
| Knee joint injection | $397 | $1,232 | $69 |
| Lactate test | $13 | $419 | $12 |
| Laryngoscopy | $1,281 | $4,709 | $189 |
| LDH test | $7 | $170 | $6 |
| LDL cholesterol test | $12 | $249 | $11 |
| Leg artery angiogram | $4,085 | $8,712 | $149 |
| Leg vein ultrasound (Doppler) | $222 | $3,084 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $135 | $3,084 | $116 |
| LH hormone test | $21 | $417 | $19 |
| Lipase test | $8 | $289 | $7 |
| Lipid (cholesterol) panel | $15 | $480 | $13 |
| Liver biopsy | $2,137 | $2,780 | $288 |
| Liver function panel | $9 | $254 | $8 |
| Lung function test (PFT) | $381 | $937 | $37 |
| Magnesium blood test | $8 | $184 | $7 |
| MRA of the brain | $451 | $10,779 | $226 |
| MRA of the brain with contrast | $451 | $10,779 | $226 |
| MRA of the brain without contrast | $451 | $18,488 | $328 |
| MRA of the neck | $451 | $11,141 | $245 |
| MRA of the neck with contrast | $451 | $11,141 | $245 |
| MRA of the neck without contrast | $451 | $18,474 | $343 |
| MRI of the abdomen | $451 | $11,768 | $300 |
| MRI of the abdomen with contrast | $451 | $11,768 | $300 |
| MRI of the abdomen without contrast | $309 | $9,437 | $194 |
| MRI of the ankle | $451 | $11,346 | $261 |
| MRI of the ankle with contrast | $451 | $11,346 | $261 |
| MRI of the ankle without contrast | $309 | $9,280 | $222 |
| MRI of the brain | $451 | $11,605 | $269 |
| MRI of the brain with contrast | $451 | $11,605 | $269 |
| MRI of the brain without contrast | $309 | $9,957 | $195 |
| MRI of the chest | $451 | $11,872 | $371 |
| MRI of the chest with contrast | $1,014 | $11,872 | $371 |
| MRI of the chest without contrast | $451 | $19,727 | $466 |
| MRI of the knee | $451 | $10,472 | $315 |
| MRI of the knee with contrast | $1,014 | $11,199 | $315 |
| MRI of the knee without contrast | $309 | $9,710 | $204 |
| MRI of the lower back (lumbar spine) | $451 | $11,605 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $451 | $11,605 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $309 | $10,369 | $192 |
| MRI of the mid-back (thoracic spine) | $451 | $11,201 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $451 | $19,127 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $451 | $11,201 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $309 | $10,369 | $190 |
| MRI of the neck (cervical spine) | $451 | $11,597 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $451 | $19,434 | $318 |
| MRI of the neck (cervical spine) with contrast | $451 | $11,597 | $274 |
| MRI of the neck (cervical spine) without contrast | $309 | $9,578 | $191 |
| MRI of the pelvis | $451 | $11,402 | $268 |
| MRI of the pelvis with contrast | $451 | $11,402 | $268 |
| MRI of the pelvis without contrast | $309 | $9,813 | $227 |
| MRI of the shoulder | $451 | $11,150 | $313 |
| MRI of the shoulder with contrast | $1,014 | $11,150 | $313 |
| MRI of the shoulder without contrast | $309 | $9,618 | $205 |
| MRI of the wrist | $451 | $11,360 | $330 |
| MRI of the wrist with contrast | $451 | $11,360 | $330 |
| MRI of the wrist without contrast | $309 | $9,822 | $303 |
| Nebulizer breathing treatment | $283 | $491 | $9 |
| Nerve conduction study | $279 | $1,258 | $118 |
| Nuchal translucency ultrasound | $135 | $892 | $116 |
| Nuclear cardiac stress test | $1,675 | $12,187 | $428 |
| Occupational therapy evaluation | $123 | $496 | $101 |
| Occupational therapy evaluation (high complexity) | $123 | $496 | $101 |
| Occupational therapy evaluation (low complexity) | $123 | $496 | $101 |
| Occupational therapy evaluation (moderate complexity) | $123 | $496 | $101 |
| Pap smear (cervical screening) | $23 | $307 | $20 |
| Parathyroid hormone (PTH) test | $47 | $839 | $41 |
| Pelvic ultrasound | $135 | $929 | $78 |
| Pelvic ultrasound (complete) | $135 | $1,401 | $105 |
| Pelvic ultrasound (limited) | $135 | $929 | $51 |
| PET scan | $1,850 | $25,081 | — |
| Phosphorus blood test | $5 | $170 | $5 |
| Physical therapy evaluation | $120 | $708 | $98 |
| Physical therapy evaluation (high complexity) | $120 | $708 | $98 |
| Physical therapy evaluation (moderate complexity) | $120 | $708 | $98 |
| Platelet count | $5 | $123 | $4 |
| Pneumonia vaccine | $133 | $631 | — |
| Pregnancy blood test (hCG) | $9 | $32 | $8 |
| Pregnancy ultrasound | $135 | $1,069 | $126 |
| Pregnancy ultrasound (first trimester) | $135 | $1,060 | $117 |
| Pregnancy ultrasound (second or third trimester) | $135 | $1,680 | $136 |
| Procalcitonin test | $31 | $649 | $27 |
| Prolactin test | $22 | $323 | $19 |
| Prostate test (PSA) | $21 | $554 | $18 |
| Psychiatric evaluation | $230 | $783 | $188 |
| Psychotherapy session | $230 | $175 | $140 |
| Scoliosis spine X-ray | $124 | $735 | $58 |
| Scoliosis spine X-ray (1 view) | $113 | $569 | $44 |
| Scoliosis spine X-ray (3 views) | $135 | $900 | $72 |
| Screening colonoscopy | $1,203 | $701 | $378 |
| Screening mammogram | $115 | $2,388 | $126 |
| Scrotal ultrasound | $135 | $2,305 | $99 |
| Sedimentation rate (ESR) test | $4 | $162 | $3 |
| Semen analysis | $14 | $191 | $12 |
| Simple laceration repair (small, up to 2.5 cm) | $260 | $1,286 | $114 |
| Simple wound stitches | $260 | $1,286 | $127 |
| Skin tag removal | $260 | $877 | $92 |
| Sleep study (polysomnography) | $1,111 | $10,958 | $691 |
| Soft tissue ultrasound | $135 | $171 | $64 |
| Speech therapy | $93 | $262 | $76 |
| Spinal tap (lumbar puncture) | $913 | $1,174 | $165 |
| Spine fracture repair (kyphoplasty) | $9,388 | $45,002 | $5,803 |
| Spirometry (lung function test) | $279 | $981 | $30 |
| Spirometry with bronchodilator | $483 | $937 | $43 |
| Strep throat test | $19 | $20 | $17 |
| Stress echocardiogram | $707 | $2,879 | $209 |
| Stress echocardiogram (complete) | $707 | $1,761 | $233 |
| Swallow study | $70 | $1,025 | $85 |
| T3 thyroid test | $16 | $525 | $14 |
| Tdap (tetanus) vaccine | $116 | $175 | — |
| Testosterone test | $30 | $540 | $26 |
| Thyroid test (TSH) | $19 | $335 | $17 |
| Thyroid ultrasound | $135 | $1,512 | $109 |
| Thyroid uptake scan | $517 | $3,268 | $145 |
| Total IgE allergy test | $19 | $355 | $16 |
| Total protein test | $4 | $170 | $4 |
| Tracheostomy | $4,290 | $2,077 | $273 |
| Transesophageal echocardiogram (TEE) | $707 | $9,769 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $707 | $9,769 | $239 |
| Transvaginal ultrasound | $135 | $1,457 | $118 |
| Trigger point injection | $397 | $870 | $56 |
| Trigger point injection (1-2 muscles) | $397 | $857 | $52 |
| Triglycerides test | $7 | $195 | $6 |
| Troponin (heart) test | $14 | $772 | $12 |
| Turning a breech baby (version) | $4,188 | $2,061 | $94 |
| Upper GI endoscopy (EGD) | $1,173 | $3,897 | $371 |
| Upper GI series (barium) | $227 | $1,458 | $128 |
| Ureteral stent placement | $4,561 | $11,957 | $373 |
| Uric acid (gout) test | $5 | $170 | $5 |
| Urine microalbumin test | $6 | $249 | $5 |
| Urine pregnancy test | $10 | $205 | $9 |
| Vaccine administration | $93 | $60 | $19 |
| Varicose vein ablation | $4,085 | $4,017 | $1,018 |
| Vitamin B12 test | $17 | $655 | $15 |
| Vitamin D test | $34 | $334 | $30 |
| Wound debridement | $741 | $334 | $186 |
| X-ray of the abdomen | $135 | $545 | $36 |
| X-ray of the ankle | $113 | $467 | $37 |
| X-ray of the collarbone | $113 | $428 | $33 |
| X-ray of the elbow | $113 | $525 | $33 |
| X-ray of the facial bones | $124 | $588 | $39 |
| X-ray of the foot | $113 | $454 | $34 |
| X-ray of the forearm | $113 | $428 | $29 |
| X-ray of the hand | $113 | $454 | $38 |
| X-ray of the hip | $113 | $585 | $49 |
| X-ray of the hip (1 view) | $113 | $445 | $34 |
| X-ray of the hip (3 views) | $113 | $585 | $49 |
| X-ray of the hip (4 views) | $135 | $728 | $63 |
| X-ray of the knee | $113 | $511 | $42 |
| X-ray of the knee (2 views) | $113 | $435 | $34 |
| X-ray of the knee (3 views) | $113 | $511 | $42 |
| X-ray of the knee (4+ views) | $135 | $570 | $49 |
| X-ray of the lower back (lumbar spine) | $135 | $696 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $135 | $588 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $135 | $803 | $53 |
| X-ray of the lower leg | $113 | $428 | $31 |
| X-ray of the mid-back (thoracic spine) | $135 | $579 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $135 | $537 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $135 | $621 | $39 |
| X-ray of the neck (cervical spine) | $124 | $661 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $113 | $537 | $40 |
| X-ray of the pelvis | $135 | $510 | $36 |
| X-ray of the pelvis (1 view) | $135 | $425 | $28 |
| X-ray of the ribs | $135 | $570 | $42 |
| X-ray of the ribs (2 views) | $113 | $492 | $36 |
| X-ray of the ribs (3 views) | $135 | $570 | $42 |
| X-ray of the shoulder | $113 | $480 | $36 |
| X-ray of the skull | $135 | $642 | $40 |
| X-ray of the upper arm | $113 | $480 | $32 |
| X-ray of the wrist | $113 | $477 | $43 |
| Zinc blood test | $13 | $415 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
