| Procedure | Mercy Hospital of Buffalo | Bertrand Chaffee Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $165 | $31 | $51 |
| Abdominal fluid drain (paracentesis) | $1,657 | $1,101 | $284 |
| Abdominal ultrasound | $219 | $137 | $100 |
| Abdominal ultrasound (complete) | $250 | $146 | $114 |
| Abdominal ultrasound (limited) | $188 | $128 | $86 |
| Abscess drainage (complex or multiple) | $861 | $241 | $220 |
| Abscess drainage (simple) | $368 | $88 | $129 |
| Abscess incision and drainage | $614 | $165 | $174 |
| ACL knee reconstruction | $3,781 | $1,433 | $889 |
| Albumin blood test | $12 | $6 | $5 |
| Aldosterone test | $135 | $302 | $41 |
| Alkaline phosphatase test | $13 | $8 | $5 |
| Allergy shots | $16 | $36 | $11 |
| Alpha-fetoprotein (AFP) test | $40 | $140 | $17 |
| ALT liver enzyme test | $5 | $6 | $5 |
| Ammonia blood test | $35 | $18 | $15 |
| Amylase test | $16 | $8 | $6 |
| Anal fistula repair | $1,006 | $527 | $541 |
| Annual physical (established patient) | $235 | $77 | — |
| Annual physical (new patient) | $202 | $82 | — |
| Anoscopy | $231 | $56 | $129 |
| AST liver enzyme test | $5 | $6 | $5 |
| Barium swallow study | $84 | $117 | $107 |
| Bartholin cyst removal | $349 | $145 | $182 |
| Benign skin lesion removal | $1,416 | $240 | $171 |
| Bilirubin blood test | $12 | $18 | $5 |
| Blood clotting test (PT/INR) | $4 | $8 | $4 |
| Blood crossmatch | $305 | $35 | — |
| Blood glucose test | $11 | $13 | $5 |
| BNP (heart failure) test | $34 | $128 | $39 |
| Bone density scan (DEXA) | $318 | $146 | $39 |
| Bone scan (nuclear) | $818 | $432 | $259 |
| Breast biopsy | $2,881 | $1,832 | $478 |
| Breast ultrasound | $202 | $188 | $92 |
| Breast ultrasound (complete) | $250 | $298 | $100 |
| Breast ultrasound (limited) | $182 | $78 | $84 |
| Breathing tube insertion (intubation) | $252 | $170 | $133 |
| Burn dressing and debridement (medium) | $368 | $99 | $166 |
| Burn dressing and debridement (small) | $368 | $72 | $93 |
| Burn treatment | $368 | $86 | $129 |
| CA 19-9 tumor marker test | $51 | $121 | $21 |
| CA-125 ovarian marker test | $51 | $128 | $21 |
| Calcium blood test | $5 | $6 | $5 |
| Cardiac rehabilitation | $238 | $85 | $26 |
| Cardiac stress test | $356 | $216 | $39 |
| Cardioversion | $1,150 | $238 | $155 |
| Carotid artery ultrasound | $347 | $184 | $156 |
| Carpal tunnel release | $889 | $667 | $483 |
| CEA tumor marker test | $19 | $170 | $19 |
| Chemotherapy infusion | $173 | $119 | $81 |
| Chemotherapy infusion (each additional) | $127 | $80 | $28 |
| Chemotherapy infusion (first hour) | $219 | $159 | $133 |
| Chest fluid drain (thoracentesis) | $500 | $763 | $311 |
| Chest tube insertion | $319 | $1,946 | $143 |
| Chest X-ray | $74 | $107 | $37 |
| Chest X-ray (1 view) | $41 | $110 | $25 |
| Chest X-ray (2 views) | $62 | $105 | $33 |
| Chickenpox (varicella) vaccine | $242 | $116 | — |
| CK-MB heart enzyme test | $19 | $14 | $12 |
| Clotting time test (PTT) | $11 | $9 | $6 |
| Colon resection (colectomy) | $2,608 | $1,725 | $1,238 |
| Colonoscopy | $922 | $287 | $480 |
| Complete blood count (CBC) | $10 | $10 | $7 |
| Complex wound repair | $1,158 | $347 | $390 |
| Copper blood test | $30 | $55 | $12 |
| Cortisol test | $40 | $170 | $16 |
| COVID-19 PCR test | $86 | $128 | $51 |
| CPAP titration study | $385 | $259 | $69 |
| CT angiography of the head | $752 | $782 | $274 |
| CT scan of the abdomen and pelvis with contrast | $298 | $383 | $300 |
| CT scan of the abdomen and pelvis without contrast | $347 | $293 | $183 |
| CT scan of the abdomen with contrast | $341 | $821 | $230 |
| CT scan of the arm | $828 | $462 | $199 |
| CT scan of the arm with contrast | $828 | $462 | $199 |
| CT scan of the arm without contrast | $452 | $356 | $161 |
| CT scan of the chest | $621 | $821 | $167 |
| CT scan of the chest with and without contrast | $746 | $931 | $196 |
| CT scan of the chest with contrast | $621 | $821 | $167 |
| CT scan of the chest without contrast | $312 | $821 | $133 |
| CT scan of the leg | $520 | $462 | $166 |
| CT scan of the leg with contrast | $520 | $462 | $166 |
| CT scan of the leg without contrast | $452 | $356 | $130 |
| CT scan of the lower back (lumbar spine) | $746 | $821 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $746 | $935 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $833 | $690 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $616 | $821 | $130 |
| CT scan of the neck | $529 | $821 | $183 |
| CT scan of the neck (cervical spine) | $540 | $794 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $1,036 | $935 | $196 |
| CT scan of the neck (cervical spine) without contrast | $540 | $146 | $131 |
| CT scan of the neck with and without contrast | $634 | $821 | $220 |
| CT scan of the neck with contrast | $529 | $821 | $183 |
| CT scan of the neck without contrast | $460 | $821 | $150 |
| CT scan of the pelvis | $452 | $901 | $226 |
| CT scan of the pelvis with contrast | $520 | $901 | $226 |
| CT scan of the pelvis without contrast | $452 | $821 | $133 |
| CT scan of the sinuses | $515 | $751 | $152 |
| CT scan of the sinuses with and without contrast | $618 | $821 | $184 |
| CT scan of the sinuses with contrast | $515 | $751 | $152 |
| D-dimer test | $25 | $12 | $10 |
| DHEA-sulfate test | $54 | $121 | $22 |
| Diagnostic mammogram | $314 | $200 | $140 |
| Drug screen (urine) | $63 | $53 | $17 |
| Echocardiogram | $408 | $489 | $138 |
| Echocardiogram with and without contrast | $159 | $111 | $101 |
| Echocardiogram without contrast | $408 | $489 | $138 |
| EKG / ECG (tracing only) | $133 | $74 | $7 |
| Electrocardiogram (EKG) | $133 | $74 | $8 |
| Electrolyte panel | $16 | $32 | $7 |
| Emergency department visit | $317 | $363 | $69 |
| Emergency department visit (level 1) | $242 | $223 | $11 |
| Emergency department visit (level 2) | $115 | $340 | $40 |
| Emergency department visit (level 3) | $951 | $363 | $69 |
| Emergency department visit (level 4) | $255 | $446 | $118 |
| Emergency department visit (level 5) | $1,139 | $756 | $171 |
| Estradiol (estrogen) test | $68 | $58 | $28 |
| Fallopian tube X-ray (HSG) | $321 | $273 | $164 |
| Fecal occult blood (stool) test | $42 | $6 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $8 | $6 | $4 |
| Feeding tube (PEG) placement | $1,093 | $265 | $178 |
| Femoral hernia repair | $1,205 | $811 | $584 |
| Ferritin (iron) test | $14 | $17 | $14 |
| Fibrinogen test | $21 | $48 | $10 |
| Flu test | $19 | $18 | $17 |
| Flu vaccine | $33 | $77 | — |
| Folate (folic acid) test | $13 | $18 | $15 |
| Foreign body removal (skin) | $802 | $107 | $157 |
| Free T4 thyroid test | $9 | $136 | $9 |
| FSH hormone test | $19 | $130 | $19 |
| Gallbladder removal (laparoscopic) | $1,925 | $863 | $658 |
| Gallbladder scan (HIDA) | $821 | $529 | $334 |
| Ganglion cyst removal | $734 | $399 | $321 |
| GGT liver test | $17 | $9 | $7 |
| Glucose tolerance test | $19 | $32 | $8 |
| H. pylori test | $164 | $173 | $67 |
| HDL cholesterol test | $20 | $10 | $8 |
| Hematocrit test | $6 | $3 | $2 |
| Hemoglobin A1c (diabetes test) | $10 | $15 | $10 |
| Hemorrhoid removal | $511 | $260 | $338 |
| Hepatitis A vaccine | $92 | $107 | — |
| Hepatitis B test | $10 | $59 | $10 |
| Hepatitis B vaccine | $53 | $87 | — |
| Hepatitis C test | $10 | $19 | $14 |
| Hip arthroscopy | $2,201 | $1,494 | $931 |
| Hip replacement | $5,463 | $1,605 | $1,162 |
| Holter heart monitor | $231 | $141 | $26 |
| Hydrocele repair | $797 | $514 | $315 |
| Ileostomy | $1,863 | $1,362 | $968 |
| Inguinal hernia repair | $1,365 | $695 | $538 |
| IV infusion therapy | $338 | $170 | $44 |
| IV infusion therapy (each additional) | $129 | $80 | $21 |
| IV infusion therapy (initial) | $547 | $260 | $67 |
| Joint aspiration (small/intermediate) | $535 | $111 | $57 |
| Joint aspiration or injection (mid-size joint) | $535 | $53 | $57 |
| Joint aspiration or injection (small joint) | $535 | $170 | $56 |
| Kidney scan (nuclear) | $502 | $557 | $172 |
| Kidney ultrasound | $197 | $123 | $84 |
| Kidney ultrasound (limited) | $154 | $99 | $61 |
| Knee arthroscopy | $2,082 | $827 | $524 |
| Knee joint injection | $535 | $170 | $69 |
| Lactate test | $26 | $51 | $12 |
| LDH test | $15 | $32 | $6 |
| LDL cholesterol test | $22 | $45 | $11 |
| Leg vein ultrasound (Doppler) | $335 | $244 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $260 | $146 | $116 |
| LH hormone test | $19 | $135 | $19 |
| Lipase test | $11 | $10 | $7 |
| Liver biopsy | $2,881 | $1,832 | $288 |
| Lung function test (PFT) | $417 | $188 | $37 |
| Lung scan (V/Q) | $680 | $557 | $291 |
| Meniscus repair (knee) | $2,705 | $1,132 | $714 |
| MMR vaccine | $125 | $72 | — |
| MRA of the brain | $615 | $652 | $226 |
| MRA of the brain with contrast | $300 | $652 | $226 |
| MRA of the brain without contrast | $615 | $862 | $328 |
| MRA of the neck | $704 | $652 | $245 |
| MRA of the neck with contrast | $828 | $652 | $245 |
| MRI of the abdomen | $835 | $652 | $300 |
| MRI of the abdomen with contrast | $300 | $652 | $300 |
| MRI of the abdomen without contrast | $835 | $293 | $194 |
| MRI of the ankle | $996 | $565 | $261 |
| MRI of the ankle without contrast | $837 | $565 | $222 |
| MRI of the brain | $990 | $652 | $269 |
| MRI of the brain with contrast | $990 | $652 | $269 |
| MRI of the brain without contrast | $812 | $293 | $195 |
| MRI of the chest | $1,228 | $853 | $371 |
| MRI of the chest without contrast | $1,424 | $862 | $466 |
| MRI of the knee | $938 | $652 | $315 |
| MRI of the knee with contrast | $938 | $652 | $315 |
| MRI of the knee without contrast | $816 | $565 | $204 |
| MRI of the lower back (lumbar spine) | $967 | $652 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $967 | $652 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $847 | $293 | $192 |
| MRI of the mid-back (thoracic spine) | $980 | $652 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $1,213 | $862 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $980 | $652 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $891 | $565 | $190 |
| MRI of the neck (cervical spine) | $1,011 | $652 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $1,179 | $862 | $318 |
| MRI of the neck (cervical spine) with contrast | $1,011 | $652 | $274 |
| MRI of the neck (cervical spine) without contrast | $817 | $565 | $191 |
| MRI of the pelvis | $835 | $652 | $268 |
| MRI of the pelvis with contrast | $300 | $652 | $268 |
| MRI of the pelvis without contrast | $835 | $565 | $227 |
| MRI of the shoulder | $938 | $618 | $313 |
| MRI of the shoulder with contrast | $938 | $618 | $313 |
| MRI of the shoulder without contrast | $816 | $565 | $205 |
| MRI of the wrist | $837 | $652 | $330 |
| MRI of the wrist with contrast | $837 | $652 | $330 |
| MRI of the wrist without contrast | $711 | $293 | $303 |
| Nebulizer breathing treatment | $388 | $245 | $9 |
| Nuchal translucency ultrasound | $150 | $99 | $116 |
| Nuclear cardiac stress test | $967 | $1,479 | $428 |
| Office visit (new patient) | $287 | $243 | $177 |
| Office visit, new patient (level 3) | $153 | $144 | $118 |
| Office visit, new patient (level 4) | $350 | $243 | $177 |
| Office visit, new patient (level 5) | $295 | $321 | $237 |
| Orthopedic hardware removal | $1,192 | $620 | $632 |
| Ovarian cyst removal | $1,295 | $1,120 | $698 |
| Parathyroid hormone (PTH) test | $41 | $361 | $41 |
| Pelvic ultrasound | $117 | $122 | $78 |
| Pelvic ultrasound (limited) | $200 | $132 | $51 |
| Phosphorus blood test | $5 | $18 | $5 |
| Physical therapy evaluation | $105 | $106 | $98 |
| Physical therapy evaluation (moderate complexity) | $105 | $106 | $98 |
| Pilonidal cyst removal | $4,855 | $385 | $541 |
| Platelet count | $11 | $17 | $4 |
| Pneumonia vaccine | $303 | $193 | — |
| Pregnancy blood test (hCG) | $18 | $12 | $8 |
| Prolactin test | $19 | $36 | $19 |
| Prostate test (PSA) | $18 | $28 | $18 |
| Retinal (fundus) photography | $317 | $147 | $37 |
| Rotator cuff repair | $2,205 | $1,260 | $792 |
| Sacroiliac joint injection | $741 | $121 | $176 |
| Scoliosis spine X-ray | $213 | $100 | $58 |
| Scoliosis spine X-ray (1 view) | $183 | $94 | $44 |
| Scoliosis spine X-ray (3 views) | $243 | $106 | $72 |
| Screening mammogram | $265 | $121 | $126 |
| Sex hormone binding globulin test | $53 | $81 | $22 |
| Shoulder arthroscopy | $2,295 | $1,541 | $962 |
| Shoulder replacement | $4,202 | $2,097 | $1,300 |
| Simple laceration repair (small, up to 2.5 cm) | $110 | $47 | $114 |
| Simple wound stitches | $157 | $96 | $127 |
| Skin biopsy | $368 | $81 | $121 |
| Skin cancer lesion removal | $457 | $187 | $240 |
| Skin lesion freezing (cryotherapy) | $255 | $80 | $36 |
| Skin tag removal | $164 | $67 | $92 |
| Small bowel resection | $2,284 | $1,702 | $1,136 |
| Soft tissue ultrasound | $71 | $144 | $64 |
| Speech therapy | $116 | $66 | $76 |
| Spinal cord stimulator | $12,496 | $5,337 | $2,388 |
| Spinal tap (lumbar puncture) | $1,300 | $827 | $165 |
| Spirometry (lung function test) | $291 | $190 | $30 |
| Spirometry with bronchodilator | $542 | $187 | $43 |
| Spleen removal (splenectomy) | $2,994 | $1,455 | $1,036 |
| Stress echocardiogram | $873 | $294 | $209 |
| Stress echocardiogram (complete) | $665 | $411 | $233 |
| Swallow study | $149 | $159 | $85 |
| Tdap (tetanus) vaccine | $53 | $81 | — |
| Testicle removal (orchiectomy) | $698 | $414 | $306 |
| Testosterone test | $26 | $222 | $26 |
| Thyroid test (TSH) | $9 | $26 | $17 |
| Thyroid ultrasound | $199 | $146 | $109 |
| Thyroid uptake scan | $411 | $501 | $145 |
| Total IgE allergy test | $40 | $130 | $16 |
| Total protein test | $9 | $18 | $4 |
| Trigger finger release | $794 | $464 | $630 |
| Trigger point injection | $570 | $360 | $56 |
| Trigger point injection (1-2 muscles) | $623 | $360 | $52 |
| Triglycerides test | $14 | $18 | $6 |
| Troponin (heart) test | $40 | $15 | $12 |
| Ulnar nerve surgery (elbow) | $1,257 | $911 | $575 |
| Upper GI endoscopy (EGD) | $660 | $182 | $371 |
| Uric acid (gout) test | $5 | $18 | $5 |
| Urine microalbumin test | $8 | $8 | $5 |
| Urine pregnancy test | $17 | $41 | $9 |
| Vaccine administration | $109 | $13 | $19 |
| Vaccine administration (each additional) | $43 | $8 | $16 |
| Varicose vein ablation | $3,983 | $1,483 | $1,018 |
| Vitamin B12 test | $13 | $23 | $15 |
| Vitamin D test | $30 | $45 | $30 |
| Wart removal | $343 | $95 | $121 |
| Well-child visit | $140 | $59 | — |
| Wound debridement | $1,033 | $127 | $186 |
| X-ray of the abdomen | $65 | $134 | $36 |
| X-ray of the ankle | $263 | $105 | $37 |
| X-ray of the collarbone | $213 | $110 | $33 |
| X-ray of the elbow | $212 | $110 | $33 |
| X-ray of the facial bones | $91 | $77 | $39 |
| X-ray of the foot | $263 | $105 | $34 |
| X-ray of the forearm | $208 | $110 | $29 |
| X-ray of the hand | $303 | $98 | $38 |
| X-ray of the hip | $106 | $110 | $49 |
| X-ray of the hip (1 view) | $61 | $110 | $34 |
| X-ray of the hip (3 views) | $180 | $78 | $49 |
| X-ray of the hip (4 views) | $106 | $179 | $63 |
| X-ray of the knee | $261 | $110 | $42 |
| X-ray of the knee (2 views) | $206 | $110 | $34 |
| X-ray of the knee (3 views) | $261 | $102 | $42 |
| X-ray of the knee (4+ views) | $298 | $134 | $49 |
| X-ray of the lower back (lumbar spine) | $329 | $140 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $310 | $134 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $348 | $146 | $53 |
| X-ray of the lower leg | $174 | $105 | $31 |
| X-ray of the mid-back (thoracic spine) | $204 | $134 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $315 | $134 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $93 | $134 | $39 |
| X-ray of the neck (cervical spine) | $196 | $112 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $278 | $77 | $40 |
| X-ray of the pelvis | $195 | $134 | $36 |
| X-ray of the pelvis (1 view) | $300 | $134 | $28 |
| X-ray of the ribs | $209 | $146 | $42 |
| X-ray of the ribs (2 views) | $209 | $1,104 | $36 |
| X-ray of the ribs (3 views) | $95 | $146 | $42 |
| X-ray of the shoulder | $257 | $102 | $36 |
| X-ray of the skull | $97 | $129 | $40 |
| X-ray of the upper arm | $211 | $110 | $32 |
| X-ray of the wrist | $192 | $105 | $43 |
| Zinc blood test | $24 | $50 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
