| Procedure | Union General Hospital | Piedmont Mountainside Hospital Inc | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $41 | $121 | $51 |
| Abdominal fluid drain (paracentesis) | $672 | $1,566 | $284 |
| Abdominal ultrasound | $414 | $521 | $100 |
| Abdominal ultrasound (complete) | $480 | $581 | $114 |
| Abdominal ultrasound (limited) | $348 | $460 | $86 |
| Abscess drainage (complex or multiple) | $339 | $1,362 | $220 |
| Abscess drainage (simple) | $175 | $836 | $129 |
| Abscess incision and drainage | $257 | $1,099 | $174 |
| Albumin blood test | $22 | $36 | $5 |
| Aldosterone test | $92 | $162 | $41 |
| Alkaline phosphatase test | $34 | $34 | $5 |
| Alpha-fetoprotein (AFP) test | $67 | $88 | $17 |
| ALT liver enzyme test | $32 | $32 | $5 |
| Ammonia blood test | $71 | $88 | $15 |
| Amniocentesis | $373 | $512 | $120 |
| Amylase test | $33 | $77 | $6 |
| Antinuclear antibody (ANA) test | $39 | $92 | $12 |
| Arterial blood gas (ABG) | $65 | $100 | $26 |
| AST liver enzyme test | $32 | $31 | $5 |
| Barium swallow study | $232 | $335 | $107 |
| Bartholin cyst removal | $122 | $319 | $182 |
| Basic metabolic panel | $41 | $131 | $8 |
| Bilirubin blood test | $24 | $42 | $5 |
| Blood clotting test (PT/INR) | $36 | $39 | $4 |
| Blood glucose test | $23 | $37 | $5 |
| Blood transfusion | $270 | $910 | $47 |
| Blood type test | $19 | $51 | $3 |
| Blood type test (ABO group) | $19 | $55 | $3 |
| Blood type test (Rh/D antigen) | $19 | $47 | $3 |
| BNP (heart failure) test | $71 | $121 | $39 |
| Bone density scan (DEXA) | $232 | $385 | $39 |
| Bone scan (nuclear) | $725 | $1,276 | $259 |
| Breast biopsy | $1,380 | $2,088 | $478 |
| Breast MRI | $1,155 | $1,826 | $216 |
| Breast MRI without contrast | $1,155 | $1,826 | $216 |
| Breast ultrasound | $265 | $398 | $92 |
| Breast ultrasound (limited) | $265 | $332 | $84 |
| Breathing tube insertion (intubation) | $283 | $586 | $133 |
| Burn dressing and debridement (medium) | $335 | $744 | $166 |
| Burn dressing and debridement (small) | $79 | $670 | $93 |
| Burn treatment | $207 | $707 | $129 |
| C-reactive protein (CRP) | $53 | $88 | $5 |
| CA 19-9 tumor marker test | $35 | $96 | $21 |
| CA-125 ovarian marker test | $64 | $153 | $21 |
| Calcium blood test | $22 | $30 | $5 |
| Cardiac MRI | $1,155 | $1,811 | $322 |
| Cardiac MRI without contrast | $1,155 | $1,873 | $280 |
| Cardiac rehabilitation | $156 | $147 | $26 |
| Cardiac stress test | $251 | $1,087 | $39 |
| Cardioversion | $546 | $1,483 | $155 |
| Carotid artery ultrasound | $250 | $794 | $156 |
| CEA tumor marker test | $41 | $99 | $19 |
| Central line placement | $2,459 | $3,102 | $238 |
| Chemotherapy infusion | $229 | $283 | $81 |
| Chemotherapy infusion (each additional) | $40 | $181 | $28 |
| Chemotherapy infusion (first hour) | $419 | $384 | $133 |
| Chest fluid drain (thoracentesis) | $516 | $1,410 | $311 |
| Chest X-ray | $46 | $160 | $37 |
| Chest X-ray (1 view) | $55 | $124 | $25 |
| Chest X-ray (2 views) | $41 | $155 | $33 |
| Circumcision | $544 | $1,515 | $167 |
| CK-MB heart enzyme test | $43 | $92 | $12 |
| Clotting time test (PTT) | $34 | $49 | $6 |
| Complete blood count (CBC) | $36 | $59 | $7 |
| Complete blood count (CBC) (complete) | $36 | $62 | $8 |
| Comprehensive metabolic panel | $65 | $147 | $11 |
| Copper blood test | $27 | $71 | $12 |
| Coronary CT angiography | $438 | $591 | $326 |
| Cortisol test | $38 | $107 | $16 |
| COVID-19 PCR test | $150 | $76 | $51 |
| CPAP titration study | $341 | $401 | $69 |
| Creatine kinase (CK) test | $25 | $51 | $7 |
| CT angiography of the chest | $1,103 | $1,482 | $281 |
| CT angiography of the head | $1,512 | $1,579 | $274 |
| CT scan of the abdomen | $1,244 | $1,397 | $230 |
| CT scan of the abdomen and pelvis | $1,185 | $2,266 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $1,323 | $2,594 | $338 |
| CT scan of the abdomen and pelvis with contrast | $1,185 | $2,266 | $300 |
| CT scan of the abdomen and pelvis without contrast | $945 | $1,841 | $183 |
| CT scan of the abdomen with and without contrast | $1,323 | $1,534 | $259 |
| CT scan of the abdomen with contrast | $1,244 | $1,397 | $230 |
| CT scan of the abdomen without contrast | $866 | $1,166 | $136 |
| CT scan of the arm | $1,103 | $825 | $199 |
| CT scan of the arm with contrast | $1,103 | $825 | $199 |
| CT scan of the arm without contrast | $977 | $785 | $161 |
| CT scan of the chest | $1,005 | $1,279 | $167 |
| CT scan of the chest with and without contrast | $1,080 | $1,519 | $196 |
| CT scan of the chest with contrast | $1,005 | $1,279 | $167 |
| CT scan of the chest without contrast | $825 | $1,005 | $133 |
| CT scan of the head | $756 | $1,125 | $148 |
| CT scan of the head with and without contrast | $1,197 | $1,271 | $173 |
| CT scan of the head with contrast | $756 | $1,125 | $148 |
| CT scan of the head without contrast | $693 | $1,083 | $107 |
| CT scan of the leg | $1,654 | $861 | $166 |
| CT scan of the leg with contrast | $1,654 | $861 | $166 |
| CT scan of the leg without contrast | $945 | $820 | $130 |
| CT scan of the lower back (lumbar spine) | $1,040 | $1,046 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,134 | $1,616 | $197 |
| CT scan of the lower back (lumbar spine) without contrast | $945 | $912 | $130 |
| CT scan of the neck | $1,008 | $1,056 | $183 |
| CT scan of the neck (cervical spine) | $882 | $1,332 | $168 |
| CT scan of the neck (cervical spine) without contrast | $882 | $1,189 | $131 |
| CT scan of the neck with and without contrast | $1,134 | $1,241 | $220 |
| CT scan of the neck with contrast | $1,008 | $1,056 | $183 |
| CT scan of the neck without contrast | $882 | $916 | $150 |
| CT scan of the pelvis | $1,134 | $1,332 | $226 |
| CT scan of the pelvis with and without contrast | $1,323 | $1,459 | $251 |
| CT scan of the pelvis with contrast | $1,134 | $1,332 | $226 |
| CT scan of the pelvis without contrast | $945 | $1,060 | $133 |
| CT scan of the sinuses | $1,008 | $1,239 | $152 |
| CT scan of the sinuses with and without contrast | $1,071 | $1,302 | $184 |
| CT scan of the sinuses with contrast | $1,008 | $1,239 | $152 |
| CT scan of the sinuses without contrast | $851 | $863 | $128 |
| D-dimer test | $62 | $97 | $10 |
| DHEA-sulfate test | $34 | $73 | $22 |
| Diagnostic mammogram | $112 | $276 | $140 |
| Drug screen (urine) | $25 | $72 | $17 |
| Echocardiogram | $550 | $974 | $138 |
| Echocardiogram with and without contrast | $350 | $395 | $101 |
| EEG (awake and asleep) | $426 | $623 | $482 |
| EKG / ECG (tracing only) | $132 | $190 | $7 |
| Electrocardiogram (EKG) | $132 | $190 | $8 |
| Electroencephalogram (EEG) | $426 | $598 | $448 |
| Electrolyte panel | $34 | $89 | $7 |
| Emergency department visit | $200 | $573 | $69 |
| Emergency department visit (level 1) | $100 | $273 | $11 |
| Emergency department visit (level 2) | $150 | $465 | $40 |
| Emergency department visit (level 3) | $200 | $573 | $69 |
| Emergency department visit (level 4) | $384 | $753 | $118 |
| Emergency department visit (level 5) | $534 | $1,161 | $171 |
| Estradiol (estrogen) test | $67 | $120 | $28 |
| Fallopian tube X-ray (HSG) | $446 | $589 | $164 |
| Ferritin (iron) test | $31 | $67 | $14 |
| Fibrinogen test | $37 | $76 | $10 |
| Flu test | $14 | $80 | $17 |
| Folate (folic acid) test | $41 | $87 | $15 |
| Free T4 thyroid test | $42 | $60 | $9 |
| FSH hormone test | $39 | $126 | $19 |
| Gallbladder scan (HIDA) | $819 | $1,280 | $334 |
| GGT liver test | $48 | $43 | $7 |
| Glucose tolerance test | $50 | $49 | $8 |
| HDL cholesterol test | $24 | $45 | $8 |
| Hematocrit test | $13 | $23 | $2 |
| Hemoglobin A1c (diabetes test) | $41 | $54 | $10 |
| Hepatitis B test | $30 | $65 | $10 |
| Hepatitis C test | $35 | $121 | $14 |
| HIV test | $36 | $114 | $19 |
| HIV test (antibody) | $36 | $110 | $14 |
| Holter heart monitor | $98 | $341 | $26 |
| Home sleep apnea test | $1,208 | $770 | $123 |
| Iron blood test | $26 | $51 | $6 |
| IV infusion therapy | $166 | $140 | $44 |
| IV infusion therapy (each additional) | $37 | $114 | $21 |
| IV infusion therapy (initial) | $296 | $165 | $67 |
| Joint aspiration (small/intermediate) | $160 | $699 | $57 |
| Joint aspiration or injection (mid-size joint) | $160 | $901 | $57 |
| Joint aspiration or injection (small joint) | $160 | $496 | $56 |
| Kidney scan (nuclear) | $567 | $1,115 | $172 |
| Kidney ultrasound | $397 | $496 | $84 |
| Lactate test | $25 | $99 | $12 |
| LDH test | $30 | $44 | $6 |
| LDL cholesterol test | $23 | $32 | $11 |
| Leg vein ultrasound (Doppler) | $447 | $622 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $397 | $553 | $116 |
| LH hormone test | $55 | $71 | $19 |
| Lipase test | $42 | $77 | $7 |
| Lipid (cholesterol) panel | $34 | $98 | $13 |
| Liver biopsy | $424 | $1,670 | $288 |
| Liver function panel | $49 | $106 | $8 |
| Lung function test (PFT) | $254 | $313 | $37 |
| Magnesium blood test | $41 | $45 | $7 |
| MRA of the brain | $840 | $1,663 | $226 |
| MRA of the brain without contrast | $945 | $1,902 | $328 |
| MRA of the neck | $740 | $1,710 | $245 |
| MRA of the neck with contrast | $740 | $1,710 | $245 |
| MRA of the neck without contrast | $945 | $1,919 | $343 |
| MRI of the abdomen | $1,058 | $1,770 | $300 |
| MRI of the abdomen without contrast | $992 | $1,520 | $194 |
| MRI of the ankle | $1,091 | $1,902 | $261 |
| MRI of the ankle without contrast | $992 | $1,586 | $222 |
| MRI of the brain | $1,181 | $1,790 | $269 |
| MRI of the brain with contrast | $1,181 | $1,790 | $269 |
| MRI of the brain without contrast | $992 | $1,343 | $195 |
| MRI of the chest | $1,025 | $1,657 | $371 |
| MRI of the chest without contrast | $1,191 | $2,243 | $466 |
| MRI of the knee | $1,091 | $1,708 | $315 |
| MRI of the knee without contrast | $992 | $1,516 | $204 |
| MRI of the lower back (lumbar spine) | $1,191 | $1,883 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $1,191 | $1,883 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $992 | $1,711 | $192 |
| MRI of the mid-back (thoracic spine) | $1,191 | $1,657 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $1,257 | $2,161 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $1,191 | $1,657 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $992 | $1,606 | $190 |
| MRI of the neck (cervical spine) | $992 | $1,872 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $1,071 | $2,278 | $318 |
| MRI of the neck (cervical spine) with contrast | $992 | $1,872 | $274 |
| MRI of the neck (cervical spine) without contrast | $819 | $1,522 | $191 |
| MRI of the pelvis | $1,058 | $1,712 | $268 |
| MRI of the pelvis with contrast | $1,058 | $1,712 | $268 |
| MRI of the pelvis without contrast | $992 | $1,626 | $227 |
| MRI of the shoulder | $1,025 | $1,513 | $313 |
| MRI of the shoulder with contrast | $1,025 | $1,513 | $313 |
| MRI of the shoulder without contrast | $992 | $1,411 | $205 |
| MRI of the wrist | $1,125 | $1,740 | $330 |
| MRI of the wrist without contrast | $1,058 | $1,417 | $303 |
| Nebulizer breathing treatment | $241 | $116 | $9 |
| Nerve conduction study | $174 | $977 | $118 |
| Nuclear cardiac stress test | $1,386 | $2,441 | $428 |
| Occupational therapy evaluation | $120 | $192 | $101 |
| Occupational therapy evaluation (high complexity) | $130 | $207 | $101 |
| Occupational therapy evaluation (low complexity) | $114 | $175 | $101 |
| Occupational therapy evaluation (moderate complexity) | $120 | $192 | $101 |
| Office visit (established patient) | $175 | $162 | $115 |
| Office visit (new patient) | $250 | $200 | $177 |
| Office visit, established patient (level 3) | $150 | $151 | $95 |
| Office visit, established patient (level 4) | $200 | $173 | $136 |
| Office visit, new patient (level 3) | $113 | $157 | $118 |
| Office visit, new patient (level 4) | $250 | $200 | $177 |
| Office visit, new patient (level 5) | $313 | $215 | $237 |
| Parathyroid hormone (PTH) test | $85 | $146 | $41 |
| Pelvic ultrasound | $339 | $407 | $78 |
| Pelvic ultrasound (complete) | $463 | $482 | $105 |
| Pelvic ultrasound (limited) | $215 | $332 | $51 |
| PET scan | $1,446 | $2,934 | — |
| Phosphorus blood test | $24 | $35 | $5 |
| Physical therapy evaluation | $123 | $177 | $98 |
| Physical therapy evaluation (high complexity) | $135 | $208 | $98 |
| Physical therapy evaluation (moderate complexity) | $123 | $177 | $98 |
| Platelet count | $30 | $37 | $4 |
| Pregnancy blood test (hCG) | $23 | $98 | $8 |
| Pregnancy ultrasound | $291 | $487 | $126 |
| Pregnancy ultrasound (first trimester) | $284 | $431 | $117 |
| Pregnancy ultrasound (second or third trimester) | $299 | $543 | $136 |
| Procalcitonin test | $55 | $133 | $27 |
| Prolactin test | $52 | $118 | $19 |
| Prostate test (PSA) | $43 | $101 | $18 |
| Rheumatoid factor test | $39 | $71 | $6 |
| Screening mammogram | $106 | $281 | $126 |
| Scrotal ultrasound | $348 | $600 | $99 |
| Sedimentation rate (ESR) test | $28 | $33 | $3 |
| Semen analysis | $19 | $80 | $12 |
| Sex hormone binding globulin test | $45 | $41 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $89 | $288 | $114 |
| Simple wound stitches | $89 | $343 | $127 |
| Skin biopsy | $92 | $1,026 | $121 |
| Skin biopsy (punch) | $405 | $1,026 | $121 |
| Sleep study (polysomnography) | $1,208 | $2,512 | $691 |
| Soft tissue ultrasound | $265 | $558 | $64 |
| Speech therapy | $84 | $135 | $76 |
| Spinal tap (lumbar puncture) | $425 | $1,267 | $165 |
| Spirometry (lung function test) | $182 | $245 | $30 |
| Spirometry with bronchodilator | $325 | $380 | $43 |
| Strep throat test | $28 | $72 | $17 |
| Stress echocardiogram | $462 | $1,394 | $209 |
| Stress echocardiogram (complete) | $462 | $1,217 | $233 |
| Swallow study | $104 | $209 | $85 |
| T3 thyroid test | $34 | $84 | $14 |
| Testosterone test | $50 | $131 | $26 |
| Thyroid test (TSH) | $43 | $66 | $17 |
| Thyroid ultrasound | $265 | $614 | $109 |
| Thyroid uptake scan | $882 | $947 | $145 |
| Total IgE allergy test | $48 | $51 | $16 |
| Total protein test | $27 | $45 | $4 |
| Transesophageal echocardiogram (TEE) | $600 | $1,586 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $600 | $1,586 | $239 |
| Transvaginal ultrasound | $299 | $488 | $118 |
| Trigger point injection | $192 | $1,405 | $56 |
| Trigger point injection (1-2 muscles) | $160 | $1,281 | $52 |
| Triglycerides test | $34 | $40 | $6 |
| Troponin (heart) test | $44 | $126 | $12 |
| Turning a breech baby (version) | $1,159 | $1,364 | $94 |
| Upper GI series (barium) | $240 | $521 | $128 |
| Uric acid (gout) test | $27 | $42 | $5 |
| Urinalysis | $20 | $50 | $3 |
| Urine microalbumin test | $40 | $41 | $5 |
| Urine pregnancy test | $34 | $115 | $9 |
| Vaccine administration | $78 | $41 | $19 |
| Vaccine administration (each additional) | $31 | $39 | $16 |
| Vitamin B12 test | $41 | $81 | $15 |
| Vitamin D test | $61 | $79 | $30 |
| X-ray of the abdomen | $142 | $269 | $36 |
| X-ray of the ankle | $165 | $271 | $37 |
| X-ray of the collarbone | $135 | $241 | $33 |
| X-ray of the elbow | $149 | $230 | $33 |
| X-ray of the facial bones | $198 | $268 | $39 |
| X-ray of the foot | $165 | $227 | $34 |
| X-ray of the forearm | $139 | $215 | $29 |
| X-ray of the hand | $165 | $200 | $38 |
| X-ray of the hip | $122 | $205 | $49 |
| X-ray of the hip (1 view) | $79 | $193 | $34 |
| X-ray of the hip (3 views) | $165 | $205 | $49 |
| X-ray of the knee | $132 | $236 | $42 |
| X-ray of the knee (2 views) | $102 | $203 | $34 |
| X-ray of the knee (3 views) | $132 | $236 | $42 |
| X-ray of the knee (4+ views) | $215 | $259 | $49 |
| X-ray of the lower back (lumbar spine) | $265 | $400 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $232 | $356 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $298 | $445 | $53 |
| X-ray of the lower leg | $205 | $215 | $31 |
| X-ray of the mid-back (thoracic spine) | $215 | $272 | $36 |
| X-ray of the mid-back (thoracic spine) (3 views) | $215 | $277 | $39 |
| X-ray of the neck (cervical spine) | $248 | $318 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $215 | $286 | $40 |
| X-ray of the pelvis | $139 | $208 | $36 |
| X-ray of the pelvis (1 view) | $139 | $207 | $28 |
| X-ray of the ribs | $215 | $241 | $42 |
| X-ray of the ribs (2 views) | $215 | $229 | $36 |
| X-ray of the ribs (3 views) | $215 | $300 | $42 |
| X-ray of the shoulder | $182 | $217 | $36 |
| X-ray of the skull | $222 | $256 | $40 |
| X-ray of the upper arm | $149 | $245 | $32 |
| X-ray of the wrist | $182 | $206 | $43 |
| Zinc blood test | $28 | $46 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
