| Procedure | Midstate Medical Center | Charlotte Hungerford Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $112 | $112 | $51 |
| Abdominal fluid drain (paracentesis) | $3,728 | $1,105 | $284 |
| Abdominal ultrasound | $331 | $284 | $100 |
| Abdominal ultrasound (complete) | $378 | $378 | $114 |
| Abdominal ultrasound (limited) | $284 | $230 | $86 |
| Abscess drainage (complex or multiple) | $850 | $790 | $220 |
| Abscess drainage (simple) | $525 | $503 | $129 |
| Abscess incision and drainage | $630 | $570 | $174 |
| ACL knee reconstruction | $5,630 | $2,668 | $889 |
| Albumin blood test | $125 | $125 | $5 |
| Aldosterone test | $340 | $93 | $41 |
| Alkaline phosphatase test | $31 | $31 | $5 |
| Alpha-fetoprotein (AFP) test | $140 | $54 | $17 |
| ALT liver enzyme test | $32 | $32 | $5 |
| Ammonia blood test | $121 | $46 | $15 |
| Amylase test | $54 | $44 | $6 |
| Antinuclear antibody (ANA) test | $20 | $51 | $12 |
| Arterial blood gas (ABG) | $196 | $169 | $26 |
| AST liver enzyme test | $31 | $31 | $5 |
| Barium swallow study | $714 | $714 | $107 |
| Basic metabolic panel | $232 | $205 | $8 |
| Benign skin lesion removal | $1,599 | $875 | $171 |
| Bilirubin blood test | $30 | $30 | $5 |
| Bladder scope (cystoscopy) | $2,336 | $1,393 | $216 |
| Bladder tumor removal (TURBT) | $12,497 | $1,493 | $236 |
| Blood clotting test (PT/INR) | $33 | $23 | $4 |
| Blood crossmatch | $217 | $59 | — |
| Blood glucose test | $31 | $24 | $5 |
| Blood transfusion | $1,200 | $697 | $47 |
| Blood type and screen | $59 | $78 | $10 |
| Blood type test | $24 | $15 | $3 |
| Blood type test (ABO group) | $24 | $18 | $3 |
| Blood type test (Rh/D antigen) | $24 | $12 | $3 |
| BNP (heart failure) test | $294 | $86 | $39 |
| Bone marrow biopsy | $3,226 | $3,226 | $172 |
| Bone scan (nuclear) | $2,364 | $2,364 | $259 |
| Botox for migraine | $756 | $971 | $157 |
| Breast biopsy | $5,717 | $5,717 | $478 |
| Breast MRI | $2,277 | $2,833 | $216 |
| Breast ultrasound | $287 | $287 | $92 |
| Breast ultrasound (complete) | $325 | $325 | $100 |
| Breast ultrasound (limited) | $249 | $249 | $84 |
| Breathing tube insertion (intubation) | $965 | $588 | $133 |
| Bronchoscopy | $735 | $1,895 | $303 |
| Burn dressing and debridement (medium) | $729 | $682 | $166 |
| Burn dressing and debridement (small) | $527 | $527 | $93 |
| Burn treatment | $729 | $682 | $129 |
| C-reactive protein (CRP) | $43 | $85 | $5 |
| CA 19-9 tumor marker test | $157 | $157 | $21 |
| CA-125 ovarian marker test | $173 | $291 | $21 |
| Calcium blood test | $31 | $21 | $5 |
| Cardiac rehabilitation | $370 | $448 | $26 |
| Cardiac stress test | $648 | $648 | $39 |
| Cardioversion | $1,959 | $1,324 | $155 |
| Carotid artery ultrasound | $1,407 | $709 | $156 |
| CEA tumor marker test | $158 | $82 | $19 |
| Central line placement | $1,899 | $470 | $238 |
| Cesarean section (C-section) | $23,270 | $20,405 | $7,552 |
| Chemotherapy infusion | $662 | $662 | $81 |
| Chemotherapy infusion (each additional) | $220 | $220 | $28 |
| Chemotherapy infusion (first hour) | $1,105 | $1,105 | $133 |
| Chest fluid drain (thoracentesis) | $948 | $984 | $311 |
| Chest tube insertion | $870 | $870 | $143 |
| Chest X-ray | $374 | $374 | $37 |
| Chest X-ray (1 view) | $285 | $285 | $25 |
| Chest X-ray (2 views) | $374 | $374 | $33 |
| CK-MB heart enzyme test | $96 | $34 | $12 |
| Clotting time test (PTT) | $50 | $58 | $6 |
| Colon resection (colectomy) | $7,575 | $7,338 | $1,238 |
| Colonoscopy | $4,214 | $3,719 | $480 |
| Colostomy | $6,390 | $6,860 | $1,122 |
| Complete blood count (CBC) | $52 | $42 | $7 |
| Complete blood count (CBC) (complete) | $65 | $45 | $8 |
| Comprehensive metabolic panel | $415 | $364 | $11 |
| Copper blood test | $156 | $63 | $12 |
| Cortisol test | $136 | $69 | $16 |
| COVID-19 PCR test | $123 | $123 | $51 |
| CPAP titration study | $327 | $327 | $69 |
| Creatine kinase (CK) test | $54 | $18 | $7 |
| CT scan of the abdomen | $1,749 | $2,184 | $230 |
| CT scan of the abdomen and pelvis | $2,209 | $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 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 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 | $1,723 | $1,690 | $167 |
| CT scan of the chest with and without contrast | $1,756 | $1,756 | $196 |
| CT scan of the chest without contrast | $1,690 | $1,690 | $133 |
| CT scan of the head | $1,201 | $1,201 | $148 |
| CT scan of the head with contrast | $1,201 | $1,201 | $148 |
| 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 | $1,224 | $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 | $1,865 | $1,523 | $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 | $1,865 | $220 |
| CT scan of the pelvis | $1,613 | $2,192 | $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 | $1,177 | $152 |
| CT scan of the sinuses with contrast | $1,255 | $1,255 | $152 |
| CT scan of the sinuses without contrast | $1,099 | $1,099 | $128 |
| D-dimer test | $113 | $42 | $10 |
| Diagnostic mammogram | $464 | $464 | $140 |
| Dialysis fistula creation | $3,685 | $1,729 | $601 |
| Drug screen (urine) | $194 | $101 | $17 |
| Echocardiogram | $784 | $284 | $138 |
| Echocardiogram with and without contrast | $755 | $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 | $1,503 | $448 |
| Electrolyte panel | $115 | $105 | $7 |
| Emergency department visit | $675 | $675 | $69 |
| Emergency department visit (level 1) | $332 | $332 | $11 |
| Emergency department visit (level 2) | $578 | $578 | $40 |
| Emergency department visit (level 3) | $1,234 | $1,234 | $69 |
| Emergency department visit (level 4) | $1,997 | $1,997 | $118 |
| Emergency department visit (level 5) | $2,691 | $2,691 | $171 |
| Endometrial biopsy | $360 | $526 | $98 |
| Epidural steroid injection | $3,692 | $2,198 | $275 |
| ERCP (bile duct endoscopy) | $18,656 | $18,656 | $311 |
| Esophageal dilation | $3,288 | $3,288 | $522 |
| Facet joint injection (spine) | $3,451 | $1,084 | $99 |
| Fallopian tube X-ray (HSG) | $672 | $672 | $164 |
| Feeding tube (PEG) placement | $2,189 | $2,168 | $178 |
| Femoral hernia repair | $3,665 | $3,665 | $584 |
| Ferritin (iron) test | $114 | $77 | $14 |
| Fibrinogen test | $73 | $35 | $10 |
| Flexible sigmoidoscopy | $3,225 | $3,225 | $323 |
| Folate (folic acid) test | $123 | $41 | $15 |
| Foreign body removal (skin) | $626 | $610 | $157 |
| Free T4 thyroid test | $100 | $68 | $9 |
| Gallbladder removal (laparoscopic) | $3,988 | $3,988 | $658 |
| Gallbladder scan (HIDA) | $3,639 | $2,672 | $334 |
| GGT liver test | $60 | $44 | $7 |
| Hematocrit test | $20 | $20 | $2 |
| Hemoglobin A1c (diabetes test) | $81 | $66 | $10 |
| Hepatitis B test | $62 | $62 | $10 |
| Hepatitis C test | $86 | $57 | $14 |
| Hip fracture repair | $7,085 | $7,090 | $1,120 |
| HIV test | $144 | $96 | $19 |
| HIV test (antigen/antibody combo) | $144 | $96 | $24 |
| Holter heart monitor | $425 | $270 | $26 |
| Hysterectomy | $5,185 | $5,810 | $933 |
| Inguinal hernia repair | $3,225 | $3,225 | $538 |
| Iron blood test | $72 | $23 | $6 |
| IUD removal | $375 | $759 | $112 |
| 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) | $1,061 | $636 | $57 |
| Joint aspiration or injection (mid-size joint) | $636 | $636 | $57 |
| Joint aspiration or injection (small joint) | $1,061 | $633 | $56 |
| Kidney biopsy | $5,717 | $5,717 | $492 |
| Kidney stone shock-wave (lithotripsy) | $15,545 | $9,052 | $760 |
| Kidney ultrasound | $245 | $138 | $84 |
| Kidney ultrasound (limited) | $138 | $131 | $61 |
| Knee arthroscopy | $3,233 | $2,282 | $524 |
| Knee joint injection | $661 | $661 | $69 |
| Knee replacement | $52,317 | $57,797 | $18,054 |
| Lactate test | $89 | $28 | $12 |
| Laryngoscopy | $5,160 | $611 | $189 |
| LDH test | $50 | $44 | $6 |
| LDL cholesterol test | $80 | $49 | $11 |
| Leg vein ultrasound (Doppler) | $1,967 | $488 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $1,337 | $359 | $116 |
| Lipase test | $77 | $44 | $7 |
| Lipid (cholesterol) panel | $118 | $82 | $13 |
| Liver biopsy | $1,531 | $1,675 | $288 |
| Liver function panel | $213 | $189 | $8 |
| Lumpectomy (breast) | $3,815 | $4,528 | $750 |
| Magnesium blood test | $35 | $18 | $7 |
| Mastectomy | $5,540 | $6,173 | $1,021 |
| MRA of the brain | $1,853 | $2,430 | $226 |
| MRI of the abdomen | $2,740 | $2,826 | $300 |
| MRI of the ankle | $2,375 | $2,375 | $261 |
| MRI of the ankle without contrast | $1,909 | $1,909 | $222 |
| MRI of the brain | $2,199 | $2,504 | $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 mid-back (thoracic spine) | $2,546 | $2,546 | $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 | $2,539 | $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 | $2,861 | $2,542 | $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 | $214 | $9 |
| Nerve conduction study | $767 | $486 | $118 |
| 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 | $61,238 | $52,411 | $15,506 |
| Pap smear (cervical screening) | $195 | $221 | $20 |
| Parathyroid hormone (PTH) test | $344 | $119 | $41 |
| Pelvic ultrasound | $239 | $130 | $78 |
| Pelvic ultrasound (complete) | $348 | $348 | $105 |
| Pelvic ultrasound (limited) | $130 | $116 | $51 |
| PET scan | $8,882 | $7,315 | — |
| Phosphorus blood test | $28 | $19 | $5 |
| Physical therapy evaluation | $413 | $413 | $98 |
| Physical therapy evaluation (high complexity) | $413 | $413 | $98 |
| Physical therapy evaluation (moderate complexity) | $413 | $413 | $98 |
| Platelet count | $32 | $23 | $4 |
| Pregnancy blood test (hCG) | $84 | $84 | $8 |
| Pregnancy ultrasound | $303 | $378 | $126 |
| Pregnancy ultrasound (first trimester) | $286 | $336 | $117 |
| Pregnancy ultrasound (second or third trimester) | $345 | $420 | $136 |
| Procalcitonin test | $223 | $147 | $27 |
| Prolactin test | $161 | $58 | $19 |
| Prostate removal (prostatectomy) | $6,250 | $6,725 | $1,063 |
| Psychiatric evaluation | $598 | $347 | $188 |
| Radiofrequency nerve ablation | $8,424 | $3,705 | $462 |
| Rotator cuff repair | $4,960 | $4,775 | $792 |
| Sacroiliac joint injection | $3,620 | $2,048 | $176 |
| Scoliosis spine X-ray | $620 | $491 | $58 |
| Scoliosis spine X-ray (1 view) | $458 | $199 | $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 | $30 | $48 | $3 |
| Shoulder replacement | $8,310 | $8,310 | $1,300 |
| Simple wound stitches | $335 | $344 | $127 |
| Skin biopsy | $1,225 | $525 | $121 |
| Sleep study (polysomnography) | $3,369 | $3,369 | $691 |
| Small bowel resection | $6,995 | $6,995 | $1,136 |
| Soft tissue ultrasound | $151 | $151 | $64 |
| Speech therapy | $314 | $314 | $76 |
| Spinal cord stimulator | $10,582 | $6,170 | $2,388 |
| Spinal tap (lumbar puncture) | $766 | $1,499 | $165 |
| Spine fracture repair (kyphoplasty) | $25,452 | $3,070 | $5,803 |
| Strep throat test | $124 | $49 | $17 |
| Swallow study | $350 | $350 | $85 |
| T3 thyroid test | $118 | $33 | $14 |
| Tdap (tetanus) vaccine | $147 | $93 | — |
| Testosterone test | $215 | $73 | $26 |
| Thyroid test (TSH) | $101 | $67 | $17 |
| Thyroid ultrasound | $406 | $314 | $109 |
| Total protein test | $31 | $31 | $4 |
| Tracheostomy | $1,720 | $1,720 | $273 |
| Transesophageal echocardiogram (TEE) | $2,480 | $1,506 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $2,480 | $1,506 | $239 |
| Transvaginal ultrasound | $413 | $413 | $118 |
| Trigger point injection | $1,061 | $648 | $56 |
| Trigger point injection (1-2 muscles) | $1,061 | $633 | $52 |
| Triglycerides test | $48 | $24 | $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 | $38 | $24 | $5 |
| Urinalysis | $25 | $35 | $3 |
| Urine microalbumin test | $75 | $45 | $5 |
| Urine pregnancy test | $65 | $40 | $9 |
| Vaccine administration | $53 | $75 | $19 |
| Vaccine administration (each additional) | $21 | $67 | $16 |
| Vaginal delivery | $18,001 | $15,661 | $5,487 |
| Vitamin B12 test | $126 | $46 | $15 |
| Vitamin D test | $247 | $68 | $30 |
| Wound debridement | $1,140 | $1,140 | $186 |
| X-ray of the abdomen | $412 | $372 | $36 |
| X-ray of the ankle | $410 | $242 | $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 | $383 | $227 | $34 |
| X-ray of the forearm | $325 | $325 | $29 |
| X-ray of the hand | $406 | $406 | $38 |
| X-ray of the hip | $522 | $441 | $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 | $398 | $449 | $40 |
| X-ray of the upper arm | $360 | $360 | $32 |
| X-ray of the wrist | $453 | $453 | $43 |
| Zinc blood test | $95 | $71 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
