| Procedure | UPMC Hamot | Ashtabula County Medical Center | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $45 | $83 | $51 |
| Abdominal fluid drain (paracentesis) | $2,053 | $1,407 | $284 |
| Abdominal ultrasound | $563 | $865 | $100 |
| Abdominal ultrasound (complete) | $651 | $1,096 | $114 |
| Abdominal ultrasound (limited) | $476 | $339 | $86 |
| Abscess drainage (complex or multiple) | $1,414 | $329 | $220 |
| Abscess drainage (simple) | $543 | $316 | $129 |
| Abscess incision and drainage | $978 | $322 | $174 |
| Albumin blood test | $131 | $20 | $5 |
| Aldosterone test | $521 | $398 | $41 |
| Alkaline phosphatase test | $100 | $133 | $5 |
| Alpha-fetoprotein (AFP) test | $340 | $92 | $17 |
| ALT liver enzyme test | $99 | $39 | $5 |
| Ammonia blood test | $128 | $82 | $15 |
| Amylase test | $188 | $69 | $6 |
| Antinuclear antibody (ANA) test | $169 | $8 | $12 |
| Arterial blood gas (ABG) | $458 | $245 | $26 |
| AST liver enzyme test | $103 | $35 | $5 |
| Barium swallow study | $425 | $511 | $107 |
| Basic metabolic panel | $535 | $144 | $8 |
| Bilirubin blood test | $152 | $13 | $5 |
| Bladder scope (cystoscopy) | $2,752 | $134 | $216 |
| Blood clotting test (PT/INR) | $130 | $45 | $4 |
| Blood crossmatch | $192 | $164 | — |
| Blood glucose test | $151 | $71 | $5 |
| Blood transfusion | $638 | $866 | $47 |
| Blood type and screen | $104 | $67 | $10 |
| Blood type test | $62 | $58 | $3 |
| Blood type test (ABO group) | $17 | $114 | $3 |
| BNP (heart failure) test | $179 | $27 | $39 |
| Bone density scan (DEXA) | $240 | $426 | $39 |
| Bone marrow biopsy | $1,882 | $2,775 | $172 |
| Bone scan (nuclear) | $1,220 | $820 | $259 |
| Breast biopsy | $6,430 | $3,140 | $478 |
| Breast MRI | $5,498 | $736 | $216 |
| Breast ultrasound | $747 | $190 | $92 |
| Breast ultrasound (limited) | $617 | $190 | $84 |
| Breathing tube insertion (intubation) | $2,314 | $701 | $133 |
| Bronchoscopy | $4,034 | $726 | $303 |
| Burn dressing and debridement (medium) | $407 | $324 | $166 |
| Burn dressing and debridement (small) | $407 | $62 | $93 |
| Burn treatment | $407 | $193 | $129 |
| C-reactive protein (CRP) | $94 | $13 | $5 |
| CA 19-9 tumor marker test | $193 | $249 | $21 |
| CA-125 ovarian marker test | $305 | $336 | $21 |
| Calcium blood test | $103 | $101 | $5 |
| Cardiac catheterization | $22,940 | $1,769 | $1,049 |
| Cardiac rehabilitation | $144 | $200 | $26 |
| Cardiac stress test | $1,862 | $658 | $39 |
| Cardioversion | $955 | $1,113 | $155 |
| Carotid artery ultrasound | $773 | $504 | $156 |
| CEA tumor marker test | $241 | $218 | $19 |
| Celiac disease test | $271 | $18 | $12 |
| Central line placement | $1,284 | $2,430 | $238 |
| Chemotherapy infusion | $729 | $221 | $81 |
| Chemotherapy infusion (each additional) | $271 | $126 | $28 |
| Chemotherapy infusion (first hour) | $1,187 | $315 | $133 |
| Chest fluid drain (thoracentesis) | $1,975 | $704 | $311 |
| Chest X-ray | $510 | $350 | $37 |
| Chest X-ray (1 view) | $488 | $314 | $25 |
| Chest X-ray (2 views) | $533 | $385 | $33 |
| Clotting time test (PTT) | $134 | $50 | $6 |
| Colonoscopy | $3,098 | $456 | $480 |
| Complete blood count (CBC) | $185 | $35 | $7 |
| Complete blood count (CBC) (complete) | $214 | $35 | $8 |
| Comprehensive metabolic panel | $452 | $210 | $11 |
| Copper blood test | $134 | $182 | $12 |
| Coronary CT angiography | $1,820 | $384 | $326 |
| Cortisol test | $132 | $269 | $16 |
| CPAP titration study | $1,571 | $533 | $69 |
| Creatine kinase (CK) test | $212 | $81 | $7 |
| CT angiography of the chest | $2,638 | $384 | $281 |
| CT angiography of the head | $3,598 | $1,005 | $274 |
| CT scan of the abdomen | $4,104 | $1,731 | $230 |
| CT scan of the abdomen and pelvis | $6,946 | $778 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $9,379 | $778 | $338 |
| CT scan of the abdomen and pelvis with contrast | $6,946 | $778 | $300 |
| CT scan of the abdomen and pelvis without contrast | $6,946 | $653 | $183 |
| CT scan of the abdomen with and without contrast | $5,273 | $2,680 | $259 |
| CT scan of the abdomen with contrast | $4,104 | $384 | $230 |
| CT scan of the abdomen without contrast | $4,104 | $1,731 | $136 |
| CT scan of the arm | $2,053 | $1,757 | $199 |
| CT scan of the arm with contrast | $2,053 | $1,840 | $199 |
| CT scan of the arm without contrast | $1,907 | $1,674 | $161 |
| CT scan of the chest | $3,284 | $1,959 | $167 |
| CT scan of the chest with contrast | $3,284 | $2,190 | $167 |
| CT scan of the chest without contrast | $3,284 | $1,728 | $133 |
| CT scan of the head | $3,127 | $1,770 | $148 |
| CT scan of the head without contrast | $3,127 | $1,770 | $107 |
| CT scan of the leg | $2,053 | $1,858 | $166 |
| CT scan of the leg with contrast | $2,053 | $2,006 | $166 |
| CT scan of the leg without contrast | $1,907 | $1,711 | $130 |
| CT scan of the lower back (lumbar spine) | $2,053 | $2,526 | $169 |
| CT scan of the lower back (lumbar spine) with contrast | $2,053 | $2,645 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,907 | $2,406 | $130 |
| CT scan of the neck | $1,613 | $1,960 | $183 |
| CT scan of the neck (cervical spine) | $4,104 | $1,821 | $168 |
| CT scan of the neck (cervical spine) without contrast | $4,104 | $1,821 | $131 |
| CT scan of the neck with contrast | $1,613 | $2,176 | $183 |
| CT scan of the neck without contrast | $1,465 | $1,960 | $150 |
| CT scan of the pelvis | $2,838 | $1,863 | $226 |
| CT scan of the pelvis with contrast | $2,838 | $2,032 | $226 |
| CT scan of the pelvis without contrast | $2,838 | $1,693 | $133 |
| CT scan of the sinuses | $1,613 | $308 | $152 |
| CT scan of the sinuses with contrast | $1,613 | $384 | $152 |
| CT scan of the sinuses without contrast | $1,465 | $231 | $128 |
| D-dimer test | $124 | $85 | $10 |
| Defibrillator (ICD) implant | $39,446 | $67,899 | $798 |
| DHEA-sulfate test | $325 | $189 | $22 |
| Diagnostic mammogram | $545 | $288 | $140 |
| Drug screen (urine) | $152 | $91 | $17 |
| Ear pressure test (tympanometry) | $123 | $56 | $16 |
| Echocardiogram | $811 | $515 | $138 |
| Echocardiogram with and without contrast | $489 | $764 | $101 |
| EEG (awake and asleep) | $716 | $612 | $482 |
| EKG / ECG (tracing only) | $181 | $281 | $7 |
| Electrocardiogram (EKG) | $181 | $148 | $8 |
| Electroencephalogram (EEG) | $481 | $601 | $448 |
| Emergency department visit | $793 | $564 | $69 |
| Emergency department visit (level 1) | $385 | $183 | $11 |
| Emergency department visit (level 2) | $640 | $324 | $40 |
| Emergency department visit (level 3) | $793 | $564 | $69 |
| Emergency department visit (level 4) | $1,581 | $874 | $118 |
| Emergency department visit (level 5) | $2,165 | $1,267 | $171 |
| Epidural steroid injection | $2,355 | $193 | $275 |
| Estradiol (estrogen) test | $340 | $193 | $28 |
| Fecal occult blood (stool) test | $20 | $21 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $20 | $17 | $4 |
| Feeding tube (PEG) placement | $3,124 | $379 | $178 |
| Ferritin (iron) test | $202 | $94 | $14 |
| Fibrinogen test | $142 | $120 | $10 |
| Flexible sigmoidoscopy | $1,456 | $152 | $323 |
| Folate (folic acid) test | $202 | $157 | $15 |
| Foreign body removal (skin) | $566 | $582 | $157 |
| FSH hormone test | $295 | $207 | $19 |
| Gallbladder scan (HIDA) | $733 | $941 | $334 |
| GGT liver test | $94 | $5 | $7 |
| Glucose tolerance test | $89 | $89 | $8 |
| HDL cholesterol test | $138 | $216 | $8 |
| Hearing test (audiometry) | $355 | $234 | $36 |
| Hematocrit test | $76 | $36 | $2 |
| Hemodialysis | $6,178 | $522 | $75 |
| Hemoglobin A1c (diabetes test) | $125 | $24 | $10 |
| Hepatitis A vaccine | $81 | $104 | — |
| Hepatitis B test | $167 | $49 | $10 |
| Hepatitis B vaccine | $65 | $96 | — |
| Hepatitis C test | $138 | $28 | $14 |
| HIV test | $190 | $60 | $19 |
| HIV test (antigen/antibody combo) | $268 | $60 | $24 |
| Holter heart monitor | $539 | $398 | $26 |
| Iron blood test | $97 | $50 | $6 |
| IV infusion therapy | $377 | $319 | $44 |
| IV infusion therapy (each additional) | $148 | $155 | $21 |
| IV infusion therapy (initial) | $607 | $483 | $67 |
| Joint aspiration (small/intermediate) | $290 | $268 | $57 |
| Joint aspiration or injection (mid-size joint) | $299 | $315 | $57 |
| Joint aspiration or injection (small joint) | $281 | $152 | $56 |
| Kidney scan (nuclear) | $917 | $1,062 | $172 |
| Kidney ultrasound | $383 | $231 | $84 |
| Kidney ultrasound (limited) | $324 | $231 | $61 |
| Knee joint injection | $299 | $606 | $69 |
| Lactate test | $207 | $47 | $12 |
| Laryngoscopy | $1,583 | $123 | $189 |
| LDH test | $104 | $104 | $6 |
| LDL cholesterol test | $38 | $33 | $11 |
| Leg vein ultrasound (Doppler) | $783 | $437 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $544 | $378 | $116 |
| LH hormone test | $275 | $206 | $19 |
| Lipase test | $191 | $78 | $7 |
| Lipid (cholesterol) panel | $413 | $88 | $13 |
| Liver biopsy | $2,338 | $3,140 | $288 |
| Lung function test (PFT) | $249 | $51 | $37 |
| Lung scan (V/Q) | $1,480 | $1,062 | $291 |
| Magnesium blood test | $157 | $64 | $7 |
| MMR vaccine | $49 | $18 | — |
| MRA of the brain | $5,179 | $3,250 | $226 |
| MRA of the brain without contrast | $7,916 | $3,440 | $328 |
| MRA of the neck | $1,465 | $3,060 | $245 |
| MRI of the abdomen | $2,405 | $3,325 | $300 |
| MRI of the abdomen without contrast | $2,405 | $2,962 | $194 |
| MRI of the ankle | $2,045 | $3,212 | $261 |
| MRI of the ankle without contrast | $2,045 | $2,409 | $222 |
| MRI of the brain | $5,179 | $3,998 | $269 |
| MRI of the brain without contrast | $5,179 | $3,225 | $195 |
| MRI of the knee | $2,045 | $3,879 | $315 |
| MRI of the knee without contrast | $2,045 | $3,690 | $204 |
| MRI of the lower back (lumbar spine) | $1,623 | $4,496 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,623 | $3,828 | $192 |
| MRI of the mid-back (thoracic spine) | $1,643 | $3,780 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $2,563 | $4,421 | $319 |
| MRI of the mid-back (thoracic spine) without contrast | $1,643 | $3,139 | $190 |
| MRI of the neck (cervical spine) | $1,508 | $2,854 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $2,563 | $4,623 | $318 |
| MRI of the neck (cervical spine) without contrast | $1,508 | $1,086 | $191 |
| MRI of the pelvis | $2,415 | $3,270 | $268 |
| MRI of the pelvis without contrast | $2,045 | $2,982 | $227 |
| MRI of the shoulder | $2,045 | $4,189 | $313 |
| MRI of the shoulder without contrast | $2,045 | $3,657 | $205 |
| MRI of the wrist | $2,045 | $2,946 | $330 |
| MRI of the wrist without contrast | $2,045 | $2,409 | $303 |
| Nebulizer breathing treatment | $617 | $351 | $9 |
| Nuclear cardiac stress test | $5,989 | $2,780 | $428 |
| Occupational therapy evaluation | $308 | $256 | $101 |
| Occupational therapy evaluation (high complexity) | $308 | $265 | $101 |
| Occupational therapy evaluation (low complexity) | $308 | $246 | $101 |
| Occupational therapy evaluation (moderate complexity) | $308 | $256 | $101 |
| Office visit (established patient) | $167 | $119 | $115 |
| Office visit (new patient) | $297 | $238 | $177 |
| Office visit, established patient (level 3) | $157 | $92 | $95 |
| Office visit, established patient (level 4) | $178 | $146 | $136 |
| Office visit, new patient (level 3) | $232 | $137 | $118 |
| Office visit, new patient (level 4) | $297 | $238 | $177 |
| Office visit, new patient (level 5) | $361 | $301 | $237 |
| Pap smear (cervical screening) | $61 | $35 | $20 |
| Parathyroid hormone (PTH) test | $456 | $261 | $41 |
| Pelvic ultrasound | $591 | $231 | $78 |
| Pelvic ultrasound (complete) | $719 | $231 | $105 |
| Pelvic ultrasound (limited) | $462 | $231 | $51 |
| Phosphorus blood test | $98 | $49 | $5 |
| Physical therapy evaluation | $305 | $195 | $98 |
| Physical therapy evaluation (high complexity) | $305 | $204 | $98 |
| Physical therapy evaluation (moderate complexity) | $305 | $195 | $98 |
| Platelet count | $97 | $88 | $4 |
| Pregnancy blood test (hCG) | $134 | $104 | $8 |
| Pregnancy ultrasound | $752 | $403 | $126 |
| Pregnancy ultrasound (first trimester) | $674 | $403 | $117 |
| Procalcitonin test | $327 | $51 | $27 |
| Prolactin test | $355 | $314 | $19 |
| Prostate biopsy | $3,125 | $251 | — |
| Prostate test (PSA) | $308 | $13 | $18 |
| Retinal (fundus) photography | $138 | $83 | $37 |
| Scoliosis spine X-ray | $787 | $231 | $58 |
| Scoliosis spine X-ray (3 views) | $787 | $231 | $72 |
| Screening colonoscopy | $1,440 | $719 | $378 |
| Screening mammogram | $205 | $260 | $126 |
| Scrotal ultrasound | $698 | $231 | $99 |
| Sedimentation rate (ESR) test | $76 | $27 | $3 |
| Sex hormone binding globulin test | $223 | $133 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $566 | $281 | $114 |
| Simple wound stitches | $564 | $281 | $127 |
| Skin biopsy | $857 | $405 | $121 |
| Skin tag removal | $1,139 | $162 | $92 |
| Sleep study (polysomnography) | $2,204 | $2,198 | $691 |
| Soft tissue ultrasound | $476 | $231 | $64 |
| Speech therapy | $180 | $270 | $76 |
| Spirometry (lung function test) | $150 | $29 | $30 |
| Spirometry with bronchodilator | $347 | $380 | $43 |
| Stress echocardiogram | $1,420 | $645 | $209 |
| Stress echocardiogram (complete) | $2,144 | $1,100 | $233 |
| Swallow study | $489 | $377 | $85 |
| T3 thyroid test | $181 | $124 | $14 |
| Tdap (tetanus) vaccine | $32 | $104 | — |
| Testosterone test | $418 | $244 | $26 |
| Thyroid test (TSH) | $257 | $91 | $17 |
| Thyroid ultrasound | $598 | $576 | $109 |
| Total IgE allergy test | $271 | $174 | $16 |
| Total protein test | $97 | $88 | $4 |
| Transesophageal echocardiogram (TEE) | $1,051 | $866 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $888 | $866 | $239 |
| Transvaginal ultrasound | $462 | $231 | $118 |
| Trigger point injection | $533 | $163 | $56 |
| Trigger point injection (1-2 muscles) | $533 | $244 | $52 |
| Triglycerides test | $44 | $81 | $6 |
| Troponin (heart) test | $83 | $186 | $12 |
| Upper GI endoscopy (EGD) | $2,717 | $313 | $371 |
| Upper GI series (barium) | $690 | $384 | $128 |
| Uric acid (gout) test | $155 | $32 | $5 |
| Urinalysis | $86 | $37 | $3 |
| Urine microalbumin test | $121 | $88 | $5 |
| Urine pregnancy test | $71 | $95 | $9 |
| Vaccine administration | $12 | $118 | $19 |
| Vaccine administration (each additional) | $12 | $81 | $16 |
| Vitamin B12 test | $192 | $169 | $15 |
| Vitamin D test | $501 | $71 | $30 |
| Wart removal | $714 | $171 | $121 |
| Wound debridement | $3,124 | $274 | $186 |
| X-ray of the abdomen | $257 | $314 | $36 |
| X-ray of the ankle | $325 | $321 | $37 |
| X-ray of the collarbone | $283 | $193 | $33 |
| X-ray of the elbow | $311 | $321 | $33 |
| X-ray of the facial bones | $367 | $231 | $39 |
| X-ray of the foot | $325 | $314 | $34 |
| X-ray of the forearm | $235 | $257 | $29 |
| X-ray of the hand | $250 | $303 | $38 |
| X-ray of the hip | $274 | $287 | $49 |
| X-ray of the hip (1 view) | $221 | $190 | $34 |
| X-ray of the hip (3 views) | $274 | $385 | $49 |
| X-ray of the knee | $412 | $358 | $42 |
| X-ray of the knee (2 views) | $254 | $321 | $34 |
| X-ray of the knee (3 views) | $412 | $385 | $42 |
| X-ray of the knee (4+ views) | $473 | $358 | $49 |
| X-ray of the lower back (lumbar spine) | $538 | $478 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $438 | $426 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $638 | $531 | $53 |
| X-ray of the lower leg | $293 | $321 | $31 |
| X-ray of the mid-back (thoracic spine) | $369 | $328 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $349 | $231 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $389 | $426 | $39 |
| X-ray of the neck (cervical spine) | $437 | $425 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $394 | $319 | $40 |
| X-ray of the pelvis | $360 | $319 | $36 |
| X-ray of the pelvis (1 view) | $335 | $319 | $28 |
| X-ray of the ribs | $380 | $308 | $42 |
| X-ray of the ribs (2 views) | $337 | $190 | $36 |
| X-ray of the ribs (3 views) | $380 | $426 | $42 |
| X-ray of the shoulder | $341 | $385 | $36 |
| X-ray of the upper arm | $235 | $190 | $32 |
| X-ray of the wrist | $259 | $321 | $43 |
| Zinc blood test | $180 | $57 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
