| Procedure | UPMC Hamot | UPMC Chautauqua at Wca | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $45 | $45 | $51 |
| Abdominal fluid drain (paracentesis) | $2,053 | $374 | $284 |
| Abdominal ultrasound | $563 | $182 | $100 |
| Abdominal ultrasound (complete) | $651 | $182 | $114 |
| Abdominal ultrasound (limited) | $476 | $182 | $86 |
| Abscess drainage (complex or multiple) | $1,414 | $92 | $220 |
| Abscess drainage (simple) | $543 | $92 | $129 |
| Abscess incision and drainage | $978 | $92 | $174 |
| Albumin blood test | $131 | $18 | $5 |
| Aldosterone test | $521 | $100 | $41 |
| Alkaline phosphatase test | $100 | $13 | $5 |
| Alpha-fetoprotein (AFP) test | $340 | $104 | $17 |
| ALT liver enzyme test | $99 | $18 | $5 |
| Ammonia blood test | $128 | $36 | $15 |
| Amylase test | $188 | $16 | $6 |
| Anoscopy | $385 | $85 | $129 |
| Antinuclear antibody (ANA) test | $169 | $29 | $12 |
| Arterial blood gas (ABG) | $458 | $47 | $26 |
| AST liver enzyme test | $103 | $13 | $5 |
| Barium swallow study | $425 | $352 | $107 |
| Bartholin cyst removal | $2,336 | $91 | $182 |
| Basic metabolic panel | $535 | $20 | $8 |
| Bilirubin blood test | $152 | $18 | $5 |
| Bladder scope (cystoscopy) | $2,752 | $2,993 | $216 |
| Blood clotting test (PT/INR) | $130 | $10 | $4 |
| Blood crossmatch | $192 | $56 | — |
| Blood glucose test | $151 | $11 | $5 |
| Blood transfusion | $638 | $378 | $47 |
| Blood type and screen | $104 | $22 | $10 |
| Blood type test | $62 | $7 | $3 |
| Blood type test (ABO group) | $17 | $7 | $3 |
| Blood type test (Rh/D antigen) | $106 | $7 | $3 |
| BNP (heart failure) test | $179 | $83 | $39 |
| Bone density scan (DEXA) | $240 | $240 | $39 |
| Bone marrow biopsy | $1,882 | $938 | $172 |
| Bone scan (nuclear) | $1,220 | $685 | $259 |
| Breast biopsy | $6,430 | $1,656 | $478 |
| Breast MRI | $5,498 | $1,793 | $216 |
| Breast MRI without contrast | $6,276 | $1,793 | $216 |
| Breast ultrasound | $747 | $125 | $92 |
| Breast ultrasound (complete) | $878 | $126 | $100 |
| Breast ultrasound (limited) | $617 | $124 | $84 |
| Breathing tube insertion (intubation) | $2,314 | $152 | $133 |
| Bronchoscopy | $4,034 | $740 | $303 |
| Burn dressing and debridement (medium) | $407 | $97 | $166 |
| Burn dressing and debridement (small) | $407 | $97 | $93 |
| Burn treatment | $407 | $97 | $129 |
| C-reactive protein (CRP) | $94 | $13 | $5 |
| CA 19-9 tumor marker test | $193 | $51 | $21 |
| CA-125 ovarian marker test | $305 | $51 | $21 |
| Calcium blood test | $103 | $28 | $5 |
| Cardiac catheterization | $22,940 | $4,667 | $1,049 |
| Cardiac rehabilitation | $144 | $91 | $26 |
| Cardiac stress test | $1,862 | $509 | $39 |
| Cardioversion | $955 | $413 | $155 |
| Carotid artery ultrasound | $773 | $632 | $156 |
| CEA tumor marker test | $241 | $47 | $19 |
| Celiac disease test | $271 | $26 | $12 |
| Central line placement | $1,284 | $712 | $238 |
| Chemotherapy infusion | $729 | $236 | $81 |
| Chemotherapy infusion (each additional) | $271 | $205 | $28 |
| Chemotherapy infusion (first hour) | $1,187 | $266 | $133 |
| Chest fluid drain (thoracentesis) | $1,975 | $361 | $311 |
| Chest tube insertion | $1,910 | $367 | $143 |
| Chest X-ray | $510 | $152 | $37 |
| Chest X-ray (1 view) | $488 | $110 | $25 |
| Chest X-ray (2 views) | $533 | $139 | $33 |
| CK-MB heart enzyme test | $256 | $28 | $12 |
| Clotting time test (PTT) | $134 | $14 | $6 |
| Colonoscopy | $3,098 | $1,004 | $480 |
| Complete blood count (CBC) | $185 | $17 | $7 |
| Complete blood count (CBC) (complete) | $214 | $19 | $8 |
| Comprehensive metabolic panel | $452 | $26 | $11 |
| Copper blood test | $134 | $31 | $12 |
| Cortisol test | $132 | $40 | $16 |
| COVID-19 PCR test | $75 | $75 | $51 |
| CPAP titration study | $1,571 | $250 | $69 |
| Creatine kinase (CK) test | $212 | $16 | $7 |
| CT angiography of the chest | $2,638 | $799 | $281 |
| CT angiography of the head | $3,598 | $797 | $274 |
| CT scan of the abdomen | $4,104 | $670 | $230 |
| CT scan of the abdomen and pelvis | $6,946 | $475 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $9,379 | $628 | $338 |
| CT scan of the abdomen and pelvis with contrast | $6,946 | $475 | $300 |
| CT scan of the abdomen and pelvis without contrast | $6,946 | $250 | $183 |
| CT scan of the abdomen with and without contrast | $5,273 | $795 | $259 |
| CT scan of the abdomen with contrast | $4,104 | $670 | $230 |
| CT scan of the abdomen without contrast | $4,104 | $507 | $136 |
| CT scan of the arm | $2,053 | $659 | $199 |
| CT scan of the arm with contrast | $2,053 | $659 | $199 |
| CT scan of the arm without contrast | $1,907 | $508 | $161 |
| CT scan of the chest | $3,284 | $670 | $167 |
| CT scan of the chest with and without contrast | $4,104 | $794 | $196 |
| CT scan of the chest with contrast | $3,284 | $670 | $167 |
| CT scan of the chest without contrast | $3,284 | $507 | $133 |
| CT scan of the head | $3,127 | $607 | $148 |
| CT scan of the head with and without contrast | $3,598 | $753 | $173 |
| CT scan of the head with contrast | $3,127 | $607 | $148 |
| CT scan of the head without contrast | $3,127 | $495 | $107 |
| CT scan of the leg | $2,053 | $664 | $166 |
| CT scan of the leg with contrast | $2,053 | $664 | $166 |
| CT scan of the leg without contrast | $1,907 | $508 | $130 |
| CT scan of the lower back (lumbar spine) | $2,053 | $670 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $2,638 | $794 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $2,053 | $670 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,907 | $507 | $130 |
| CT scan of the neck | $1,613 | $642 | $183 |
| CT scan of the neck (cervical spine) | $4,104 | $670 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $5,273 | $794 | $196 |
| CT scan of the neck (cervical spine) with contrast | $4,104 | $670 | $168 |
| CT scan of the neck (cervical spine) without contrast | $4,104 | $507 | $131 |
| CT scan of the neck with and without contrast | $2,053 | $795 | $220 |
| CT scan of the neck with contrast | $1,613 | $642 | $183 |
| CT scan of the neck without contrast | $1,465 | $508 | $150 |
| CT scan of the pelvis | $2,838 | $670 | $226 |
| CT scan of the pelvis with and without contrast | $4,104 | $795 | $251 |
| CT scan of the pelvis with contrast | $2,838 | $670 | $226 |
| CT scan of the pelvis without contrast | $2,838 | $507 | $133 |
| CT scan of the sinuses | $1,613 | $652 | $152 |
| CT scan of the sinuses with and without contrast | $2,053 | $795 | $184 |
| CT scan of the sinuses with contrast | $1,613 | $652 | $152 |
| CT scan of the sinuses without contrast | $1,465 | $508 | $128 |
| D-dimer test | $124 | $25 | $10 |
| Defibrillator (ICD) implant | $39,446 | $28,630 | $798 |
| DHEA-sulfate test | $325 | $54 | $22 |
| Diagnostic mammogram | $545 | $201 | $140 |
| Drug screen (urine) | $152 | $53 | $17 |
| Ear pressure test (tympanometry) | $123 | $59 | $16 |
| Echocardiogram | $811 | $973 | $138 |
| Echocardiogram with and without contrast | $489 | $594 | $101 |
| EEG (awake and asleep) | $716 | $692 | $482 |
| EKG / ECG (tracing only) | $181 | $128 | $7 |
| Electrocardiogram (EKG) | $181 | $128 | $8 |
| Electroencephalogram (EEG) | $481 | $641 | $448 |
| Electrolyte panel | $145 | $17 | $7 |
| Emergency department visit | $793 | $361 | $69 |
| Emergency department visit (level 1) | $385 | $190 | $11 |
| Emergency department visit (level 2) | $640 | $243 | $40 |
| Emergency department visit (level 3) | $793 | $361 | $69 |
| Emergency department visit (level 4) | $1,581 | $415 | $118 |
| Emergency department visit (level 5) | $2,165 | $812 | $171 |
| Epidural steroid injection | $2,355 | $1,688 | $275 |
| ERCP (bile duct endoscopy) | $4,145 | $1,828 | $311 |
| Estradiol (estrogen) test | $340 | $136 | $28 |
| Fallopian tube X-ray (HSG) | $894 | $285 | $164 |
| Fecal occult blood (stool) test | $20 | $30 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $20 | $20 | $4 |
| Feeding tube (PEG) placement | $3,124 | $980 | $178 |
| Ferritin (iron) test | $202 | $34 | $14 |
| Fibrinogen test | $142 | $20 | $10 |
| Flexible sigmoidoscopy | $1,456 | $598 | $323 |
| Flu vaccine | $12 | $12 | — |
| Folate (folic acid) test | $202 | $36 | $15 |
| Foreign body removal (skin) | $566 | $173 | $157 |
| Free T4 thyroid test | $380 | $22 | $9 |
| FSH hormone test | $295 | $46 | $19 |
| Gallbladder scan (HIDA) | $733 | $637 | $334 |
| GGT liver test | $94 | $18 | $7 |
| Glucose tolerance test | $89 | $20 | $8 |
| H. pylori test | $643 | $242 | $67 |
| HDL cholesterol test | $138 | $20 | $8 |
| Hearing test (audiometry) | $355 | $122 | $36 |
| Hematocrit test | $76 | $5 | $2 |
| Hemodialysis | $6,178 | $406 | $75 |
| Hemoglobin A1c (diabetes test) | $125 | $24 | $10 |
| Hepatitis A vaccine | $81 | $81 | — |
| Hepatitis B test | $167 | $44 | $10 |
| Hepatitis B vaccine | $65 | $65 | — |
| Hepatitis C test | $138 | $102 | $14 |
| HIV test | $190 | $34 | $19 |
| HIV test (antigen/antibody combo) | $268 | $34 | $24 |
| Holter heart monitor | $539 | $150 | $26 |
| Home sleep apnea test | $90 | $90 | $123 |
| Iron blood test | $97 | $31 | $6 |
| IUD insertion | $544 | $148 | — |
| IUD removal | $664 | $91 | $112 |
| IV infusion therapy | $377 | $149 | $44 |
| IV infusion therapy (each additional) | $148 | $144 | $21 |
| IV infusion therapy (initial) | $607 | $153 | $67 |
| IVC filter placement | $7,189 | $3,302 | $1,885 |
| Joint aspiration (small/intermediate) | $290 | $169 | $57 |
| Joint aspiration or injection (mid-size joint) | $299 | $169 | $57 |
| Joint aspiration or injection (small joint) | $281 | $169 | $56 |
| Kidney biopsy | $2,336 | $623 | $492 |
| Kidney scan (nuclear) | $917 | $1,261 | $172 |
| Kidney ultrasound | $383 | $166 | $84 |
| Kidney ultrasound (limited) | $324 | $182 | $61 |
| Knee joint injection | $299 | $169 | $69 |
| Lactate test | $207 | $91 | $12 |
| Laryngoscopy | $1,583 | $179 | $189 |
| LDH test | $104 | $14 | $6 |
| LDL cholesterol test | $38 | $23 | $11 |
| Leg artery angiogram | $2,767 | $3,860 | $149 |
| Leg artery angioplasty | $14,843 | $3,421 | — |
| Leg vein ultrasound (Doppler) | $783 | $329 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $544 | $223 | $116 |
| LH hormone test | $275 | $45 | $19 |
| Lipase test | $191 | $17 | $7 |
| Lipid (cholesterol) panel | $413 | $32 | $13 |
| Liver biopsy | $2,338 | $623 | $288 |
| Liver function panel | $321 | $48 | $8 |
| Lung function test (PFT) | $249 | $225 | $37 |
| Lung scan (V/Q) | $1,480 | $575 | $291 |
| Magnesium blood test | $157 | $16 | $7 |
| MMR vaccine | $49 | $49 | — |
| MRA of the brain | $5,179 | $737 | $226 |
| MRA of the brain with contrast | $5,179 | $737 | $226 |
| MRA of the brain without contrast | $7,916 | $982 | $328 |
| MRA of the neck | $1,465 | $737 | $245 |
| MRA of the neck with contrast | $1,396 | $737 | $245 |
| MRA of the neck without contrast | $1,887 | $982 | $343 |
| MRI of the abdomen | $2,405 | $740 | $300 |
| MRI of the abdomen with contrast | $2,290 | $740 | $300 |
| MRI of the abdomen without contrast | $2,405 | $684 | $194 |
| MRI of the ankle | $2,045 | $740 | $261 |
| MRI of the ankle with contrast | $1,949 | $740 | $261 |
| MRI of the ankle without contrast | $2,045 | $686 | $222 |
| MRI of the brain | $5,179 | $736 | $269 |
| MRI of the brain with contrast | $5,179 | $736 | $269 |
| MRI of the brain without contrast | $5,179 | $682 | $195 |
| MRI of the chest | $2,415 | $833 | $371 |
| MRI of the chest without contrast | $2,415 | $982 | $466 |
| MRI of the knee | $2,045 | $740 | $315 |
| MRI of the knee with contrast | $1,949 | $740 | $315 |
| MRI of the knee without contrast | $2,045 | $686 | $204 |
| MRI of the lower back (lumbar spine) | $1,623 | $736 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $1,547 | $736 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,623 | $682 | $192 |
| MRI of the mid-back (thoracic spine) | $1,643 | $736 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $2,563 | $975 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $1,565 | $736 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $1,643 | $682 | $190 |
| MRI of the neck (cervical spine) | $1,508 | $736 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $2,563 | $975 | $318 |
| MRI of the neck (cervical spine) with contrast | $1,456 | $736 | $274 |
| MRI of the neck (cervical spine) without contrast | $1,508 | $682 | $191 |
| MRI of the pelvis | $2,415 | $739 | $268 |
| MRI of the pelvis with contrast | $3,205 | $739 | $268 |
| MRI of the pelvis without contrast | $2,045 | $685 | $227 |
| MRI of the shoulder | $2,045 | $740 | $313 |
| MRI of the shoulder with contrast | $1,949 | $740 | $313 |
| MRI of the shoulder without contrast | $2,045 | $686 | $205 |
| MRI of the wrist | $2,045 | $834 | $330 |
| MRI of the wrist without contrast | $2,045 | $686 | $303 |
| Nebulizer breathing treatment | $617 | $100 | $9 |
| Nuchal translucency ultrasound | $658 | $95 | $116 |
| Nuclear cardiac stress test | $5,989 | $805 | $428 |
| Occupational therapy evaluation | $308 | $99 | $101 |
| Occupational therapy evaluation (high complexity) | $308 | $109 | $101 |
| Occupational therapy evaluation (low complexity) | $308 | $91 | $101 |
| Occupational therapy evaluation (moderate complexity) | $308 | $99 | $101 |
| Office visit (established patient) | $167 | $114 | $115 |
| Office visit (new patient) | $297 | $166 | $177 |
| Office visit, established patient (level 3) | $157 | $98 | $95 |
| Office visit, established patient (level 4) | $178 | $130 | $136 |
| Office visit, new patient (level 3) | $232 | $130 | $118 |
| Office visit, new patient (level 4) | $297 | $166 | $177 |
| Office visit, new patient (level 5) | $361 | $214 | $237 |
| Pap smear (cervical screening) | $61 | $70 | $20 |
| Parathyroid hormone (PTH) test | $456 | $102 | $41 |
| Pelvic ultrasound | $591 | $152 | $78 |
| Pelvic ultrasound (complete) | $719 | $182 | $105 |
| Pelvic ultrasound (limited) | $462 | $122 | $51 |
| Phosphorus blood test | $98 | $11 | $5 |
| Physical therapy evaluation | $305 | $98 | $98 |
| Physical therapy evaluation (high complexity) | $305 | $109 | $98 |
| Physical therapy evaluation (moderate complexity) | $305 | $98 | $98 |
| Platelet count | $97 | $11 | $4 |
| Pneumonia vaccine | $75 | $75 | — |
| Pregnancy blood test (hCG) | $134 | $19 | $8 |
| Pregnancy ultrasound | $752 | $182 | $126 |
| Pregnancy ultrasound (first trimester) | $674 | $182 | $117 |
| Pregnancy ultrasound (second or third trimester) | $829 | $182 | $136 |
| Procalcitonin test | $327 | $66 | $27 |
| Prolactin test | $355 | $47 | $19 |
| Prostate biopsy | $3,125 | $891 | — |
| Prostate test (PSA) | $308 | $45 | $18 |
| RSV vaccine | $504 | $504 | — |
| Scoliosis spine X-ray | $787 | $110 | $58 |
| Scoliosis spine X-ray (1 view) | $787 | $83 | $44 |
| Scoliosis spine X-ray (3 views) | $787 | $136 | $72 |
| Screening colonoscopy | $1,440 | $1,515 | $378 |
| Screening mammogram | $205 | $205 | $126 |
| Scrotal ultrasound | $698 | $182 | $99 |
| Sedimentation rate (ESR) test | $76 | $8 | $3 |
| Sex hormone binding globulin test | $223 | $53 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $566 | $100 | $114 |
| Simple wound stitches | $564 | $100 | $127 |
| Skin biopsy | $857 | $380 | $121 |
| Skin biopsy (punch) | $857 | $380 | $121 |
| Skin tag removal | $1,139 | $52 | $92 |
| Sleep study (polysomnography) | $2,204 | $1,247 | $691 |
| Soft tissue ultrasound | $476 | $122 | $64 |
| Speech therapy | $180 | $136 | $76 |
| Spinal tap (lumbar puncture) | $2,311 | $262 | $165 |
| Spine fracture repair (kyphoplasty) | $17,721 | $5,987 | $5,803 |
| Spirometry (lung function test) | $150 | $151 | $30 |
| Spirometry with bronchodilator | $347 | $300 | $43 |
| Stress echocardiogram | $1,420 | $593 | $209 |
| Stress echocardiogram (complete) | $2,144 | $594 | $233 |
| Swallow study | $489 | $210 | $85 |
| T3 thyroid test | $181 | $35 | $14 |
| Tdap (tetanus) vaccine | $32 | $32 | — |
| Testosterone test | $418 | $64 | $26 |
| Thyroid test (TSH) | $257 | $41 | $17 |
| Thyroid ultrasound | $598 | $182 | $109 |
| Thyroid uptake scan | $1,016 | $452 | $145 |
| Tilt table test | $4,360 | $536 | $168 |
| Total IgE allergy test | $271 | $40 | $16 |
| Total protein test | $97 | $9 | $4 |
| Transesophageal echocardiogram (TEE) | $1,051 | $929 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $888 | $929 | $239 |
| Transvaginal ultrasound | $462 | $182 | $118 |
| Trigger point injection | $533 | $384 | $56 |
| Trigger point injection (1-2 muscles) | $533 | $172 | $52 |
| Triglycerides test | $44 | $14 | $6 |
| Troponin (heart) test | $83 | $24 | $12 |
| Upper GI endoscopy (EGD) | $2,717 | $1,066 | $371 |
| Upper GI series (barium) | $690 | $440 | $128 |
| Ureteral stent placement | $4,273 | $3,322 | $373 |
| Uric acid (gout) test | $155 | $11 | $5 |
| Urinalysis | $86 | $7 | $3 |
| Urine microalbumin test | $121 | $13 | $5 |
| Urine pregnancy test | $71 | $16 | $9 |
| Vaccine administration | $12 | $12 | $19 |
| Vaccine administration (each additional) | $12 | $12 | $16 |
| Varicose vein ablation | $20,889 | $2,231 | $1,018 |
| Vitamin B12 test | $192 | $37 | $15 |
| Vitamin D test | $501 | $73 | $30 |
| Wound debridement | $3,124 | $179 | $186 |
| X-ray of the abdomen | $257 | $182 | $36 |
| X-ray of the ankle | $325 | $122 | $37 |
| X-ray of the collarbone | $283 | $147 | $33 |
| X-ray of the elbow | $311 | $122 | $33 |
| X-ray of the facial bones | $367 | $182 | $39 |
| X-ray of the foot | $325 | $122 | $34 |
| X-ray of the forearm | $235 | $109 | $29 |
| X-ray of the hand | $250 | $122 | $38 |
| X-ray of the hip | $274 | $131 | $49 |
| X-ray of the hip (1 view) | $221 | $76 | $34 |
| X-ray of the hip (3 views) | $274 | $131 | $49 |
| X-ray of the hip (4 views) | $274 | $152 | $63 |
| X-ray of the knee | $412 | $131 | $42 |
| X-ray of the knee (2 views) | $254 | $122 | $34 |
| X-ray of the knee (3 views) | $412 | $131 | $42 |
| X-ray of the knee (4+ views) | $473 | $155 | $49 |
| X-ray of the lower back (lumbar spine) | $538 | $199 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $438 | $158 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $638 | $240 | $53 |
| X-ray of the lower leg | $293 | $122 | $31 |
| X-ray of the mid-back (thoracic spine) | $369 | $168 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $349 | $160 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $389 | $176 | $39 |
| X-ray of the neck (cervical spine) | $437 | $241 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $394 | $251 | $40 |
| X-ray of the pelvis | $360 | $138 | $36 |
| X-ray of the pelvis (1 view) | $335 | $117 | $28 |
| X-ray of the ribs | $380 | $191 | $42 |
| X-ray of the ribs (2 views) | $337 | $121 | $36 |
| X-ray of the ribs (3 views) | $380 | $191 | $42 |
| X-ray of the shoulder | $341 | $134 | $36 |
| X-ray of the skull | $330 | $178 | $40 |
| X-ray of the upper arm | $235 | $119 | $32 |
| X-ray of the wrist | $259 | $122 | $43 |
| Zinc blood test | $180 | $28 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
