| Procedure | Wellspan Ephrata Community Hospital | Pottstown Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $91 | $60 | $51 |
| Abdominal fluid drain (paracentesis) | $1,589 | $938 | $284 |
| Abdominal ultrasound | $1,120 | $298 | $100 |
| Abdominal ultrasound (complete) | $1,366 | $471 | $114 |
| Abdominal ultrasound (limited) | $875 | $298 | $86 |
| Abscess drainage (complex or multiple) | $1,265 | $254 | $220 |
| Abscess drainage (simple) | $1,147 | $139 | $129 |
| Abscess incision and drainage | $1,206 | $139 | $174 |
| Albumin blood test | $21 | $29 | $5 |
| Aldosterone test | $170 | $132 | $41 |
| Alkaline phosphatase test | $22 | $22 | $5 |
| Alpha-fetoprotein (AFP) test | $70 | $82 | $17 |
| ALT liver enzyme test | $22 | $22 | $5 |
| Ammonia blood test | $61 | $70 | $15 |
| Amylase test | $26 | $37 | $6 |
| Antinuclear antibody (ANA) test | $50 | $59 | $12 |
| Arterial blood gas (ABG) | $108 | $116 | $26 |
| AST liver enzyme test | $22 | $22 | $5 |
| Barium swallow study | $535 | $245 | $107 |
| Bartholin cyst removal | $1,745 | $118 | $182 |
| Basic metabolic panel | $20 | $77 | $8 |
| Bilirubin blood test | $10 | $24 | $5 |
| Bladder function test (urodynamics) | $1,817 | $501 | $345 |
| Blood clotting test (PT/INR) | $15 | $28 | $4 |
| Blood crossmatch | $654 | $89 | — |
| Blood glucose test | $18 | $25 | $5 |
| Blood transfusion | $1,714 | $450 | $47 |
| Blood type and screen | $209 | $50 | $10 |
| Blood type test | $95 | $57 | $3 |
| Blood type test (ABO group) | $146 | $57 | $3 |
| Blood type test (Rh/D antigen) | $43 | $39 | $3 |
| BNP (heart failure) test | $80 | $130 | $39 |
| Bone density scan (DEXA) | $237 | $202 | $39 |
| Bone marrow biopsy | $1,971 | $1,092 | $172 |
| Bone scan (nuclear) | $1,714 | $664 | $259 |
| Breast biopsy | $7,095 | $1,130 | $478 |
| Breast MRI | $577 | $1,215 | $216 |
| Breast MRI without contrast | $449 | $1,215 | $216 |
| Breast ultrasound | $516 | $196 | $92 |
| Breast ultrasound (complete) | $541 | $244 | $100 |
| Breast ultrasound (limited) | $492 | $196 | $84 |
| Breathing tube insertion (intubation) | $1,163 | $298 | $133 |
| Bronchoscopy | $6,221 | $603 | $303 |
| Burn dressing and debridement (small) | $686 | $165 | $93 |
| Burn treatment | $686 | $165 | $129 |
| C-reactive protein (CRP) | $20 | $39 | $5 |
| CA 19-9 tumor marker test | $85 | $53 | $21 |
| CA-125 ovarian marker test | $85 | $73 | $21 |
| Calcium blood test | $22 | $26 | $5 |
| Cardiac catheterization | $21,966 | $5,519 | $1,049 |
| Cardiac rehabilitation | $282 | $104 | $26 |
| Cardiac stress test | $2,913 | $477 | $39 |
| Cardioversion | $3,007 | $447 | $155 |
| Carotid artery ultrasound | $1,792 | $543 | $156 |
| CEA tumor marker test | $65 | $101 | $19 |
| Celiac disease test | $48 | $58 | $12 |
| Central line placement | $2,099 | $1,297 | $238 |
| Chemotherapy infusion | $1,460 | $238 | $81 |
| Chemotherapy infusion (first hour) | $1,460 | $369 | $133 |
| Chest fluid drain (thoracentesis) | $2,615 | $958 | $311 |
| Chest tube insertion | $1,950 | $737 | $143 |
| Chest X-ray | $322 | $177 | $37 |
| Chest X-ray (1 view) | $293 | $119 | $25 |
| Chest X-ray (2 views) | $322 | $172 | $33 |
| Circumcision | $393 | $249 | $167 |
| CK-MB heart enzyme test | $48 | $91 | $12 |
| Clotting time test (PTT) | $30 | $28 | $6 |
| Complete blood count (CBC) | $15 | $33 | $7 |
| Complete blood count (CBC) (complete) | $15 | $36 | $8 |
| Comprehensive metabolic panel | $25 | $145 | $11 |
| Copper blood test | $51 | $56 | $12 |
| Cortisol test | $68 | $73 | $16 |
| COVID-19 PCR test | $100 | $53 | $51 |
| CPAP titration study | $1,038 | $386 | $69 |
| Creatine kinase (CK) test | $27 | $42 | $7 |
| CT angiography of the chest | $532 | $1,354 | $281 |
| CT angiography of the head | $538 | $1,252 | $274 |
| CT scan of the abdomen | $469 | $1,161 | $230 |
| CT scan of the abdomen and pelvis | $438 | $1,544 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $525 | $1,721 | $338 |
| CT scan of the abdomen and pelvis with contrast | $438 | $1,544 | $300 |
| CT scan of the abdomen and pelvis without contrast | $243 | $1,150 | $183 |
| CT scan of the abdomen with and without contrast | $560 | $1,321 | $259 |
| CT scan of the abdomen with contrast | $469 | $1,161 | $230 |
| CT scan of the abdomen without contrast | $274 | $932 | $136 |
| CT scan of the arm | $381 | $940 | $199 |
| CT scan of the arm with contrast | $476 | $940 | $199 |
| CT scan of the arm without contrast | $286 | $797 | $161 |
| CT scan of the chest | $470 | $1,152 | $167 |
| CT scan of the chest with and without contrast | $562 | $1,350 | $196 |
| CT scan of the chest with contrast | $470 | $1,152 | $167 |
| CT scan of the chest without contrast | $285 | $909 | $133 |
| CT scan of the head | $478 | $938 | $148 |
| CT scan of the head with and without contrast | $569 | $1,066 | $173 |
| CT scan of the head with contrast | $478 | $938 | $148 |
| CT scan of the head without contrast | $296 | $755 | $107 |
| CT scan of the leg | $476 | $894 | $166 |
| CT scan of the leg with contrast | $476 | $894 | $166 |
| CT scan of the leg without contrast | $286 | $735 | $130 |
| CT scan of the lower back (lumbar spine) | $472 | $995 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $569 | $1,345 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $472 | $995 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $286 | $819 | $130 |
| CT scan of the neck | $462 | $1,050 | $183 |
| CT scan of the neck (cervical spine) | $377 | $920 | $168 |
| CT scan of the neck (cervical spine) with contrast | $472 | $920 | $168 |
| CT scan of the neck (cervical spine) without contrast | $282 | $761 | $131 |
| CT scan of the neck with and without contrast | $558 | $1,178 | $220 |
| CT scan of the neck with contrast | $462 | $1,050 | $183 |
| CT scan of the neck without contrast | $268 | $915 | $150 |
| CT scan of the pelvis | $378 | $1,104 | $226 |
| CT scan of the pelvis with contrast | $476 | $1,104 | $226 |
| CT scan of the pelvis without contrast | $281 | $901 | $133 |
| CT scan of the sinuses | $494 | $1,048 | $152 |
| CT scan of the sinuses with and without contrast | $568 | $1,218 | $184 |
| CT scan of the sinuses with contrast | $494 | $1,048 | $152 |
| CT scan of the sinuses without contrast | $295 | $865 | $128 |
| D-dimer test | $115 | $55 | $10 |
| Defibrillator (ICD) implant | $59,126 | $25,411 | $798 |
| DHEA-sulfate test | $92 | $85 | $22 |
| Diagnostic mammogram | $215 | $98 | $140 |
| Drug screen (urine) | $258 | $172 | $17 |
| Echocardiogram | $2,407 | $310 | $138 |
| Echocardiogram with and without contrast | $1,781 | $232 | $101 |
| Echocardiogram without contrast | $2,407 | $310 | $138 |
| EEG (awake and asleep) | $1,268 | $489 | $482 |
| EKG / ECG (tracing only) | $277 | $115 | $7 |
| Electrocardiogram (EKG) | $277 | $109 | $8 |
| Electroencephalogram (EEG) | $1,268 | $398 | $448 |
| Electrolyte panel | $30 | $57 | $7 |
| Emergency department visit | $1,638 | $242 | $69 |
| Emergency department visit (level 1) | $511 | $66 | $11 |
| Emergency department visit (level 2) | $923 | $149 | $40 |
| Emergency department visit (level 3) | $1,638 | $380 | $69 |
| Emergency department visit (level 4) | $2,382 | $395 | $118 |
| Emergency department visit (level 5) | $3,074 | $497 | $171 |
| Endometrial biopsy | $530 | $132 | $98 |
| Estradiol (estrogen) test | $117 | $92 | $28 |
| Fallopian tube X-ray (HSG) | $530 | $192 | $164 |
| Fecal occult blood (stool) test | $26 | $29 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $15 | $14 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $36 | $45 | $16 |
| Ferritin (iron) test | $40 | $61 | $14 |
| Fibrinogen test | $82 | $51 | $10 |
| Folate (folic acid) test | $45 | $57 | $15 |
| Foreign body removal (skin) | $1,131 | $254 | $157 |
| Free T4 thyroid test | $35 | $71 | $9 |
| FSH hormone test | $78 | $78 | $19 |
| Gallbladder scan (HIDA) | $1,970 | $1,022 | $334 |
| GGT liver test | $30 | $26 | $7 |
| Glucose tolerance test | $35 | $45 | $8 |
| H. pylori test | $280 | $140 | $67 |
| HDL cholesterol test | $34 | $32 | $8 |
| Hematocrit test | $18 | $17 | $2 |
| Hemodialysis | $1,175 | $399 | $75 |
| Hemoglobin A1c (diabetes test) | $25 | $44 | $10 |
| Hepatitis B test | $43 | $50 | $10 |
| Hepatitis C test | $55 | $68 | $14 |
| HIV test | $100 | $63 | $19 |
| HIV test (antigen/antibody combo) | $100 | $63 | $24 |
| Holter heart monitor | $879 | $321 | $26 |
| Iron blood test | $20 | $37 | $6 |
| IV infusion therapy | $1,015 | $93 | $44 |
| IV infusion therapy (each additional) | $679 | $93 | $21 |
| IV infusion therapy (initial) | $1,350 | $272 | $67 |
| IVC filter placement | $8,253 | $3,654 | $1,885 |
| Joint aspiration (small/intermediate) | $1,484 | $208 | $57 |
| Joint aspiration or injection (mid-size joint) | $1,484 | $208 | $57 |
| Kidney biopsy | $1,993 | $1,359 | $492 |
| Kidney scan (nuclear) | $2,226 | $640 | $172 |
| Kidney ultrasound | $1,133 | $399 | $84 |
| Kidney ultrasound (limited) | $901 | $314 | $61 |
| Knee joint injection | $1,966 | $450 | $69 |
| Lactate test | $75 | $49 | $12 |
| Laryngoscopy | $388 | $219 | $189 |
| LDH test | $25 | $26 | $6 |
| LDL cholesterol test | $44 | $18 | $11 |
| Leg artery angiogram | $6,960 | $1,537 | $149 |
| Leg artery angioplasty | $22,448 | $5,908 | — |
| Leg vein ultrasound (Doppler) | $852 | $558 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $710 | $431 | $116 |
| LH hormone test | $78 | $74 | $19 |
| Lipase test | $28 | $40 | $7 |
| Lipid (cholesterol) panel | $40 | $70 | $13 |
| Liver biopsy | $2,307 | $910 | $288 |
| Liver function panel | $25 | $104 | $8 |
| Lung function test (PFT) | $583 | $299 | $37 |
| Magnesium blood test | $30 | $40 | $7 |
| MRA of the brain | $604 | $1,505 | $226 |
| MRA of the brain without contrast | $735 | $1,499 | $328 |
| MRA of the neck | $604 | $1,912 | $245 |
| MRA of the neck without contrast | $735 | $2,266 | $343 |
| MRI of the abdomen | $582 | $1,566 | $300 |
| MRI of the abdomen without contrast | $457 | $1,402 | $194 |
| MRI of the ankle | $646 | $1,401 | $261 |
| MRI of the ankle with contrast | $646 | $1,401 | $261 |
| MRI of the ankle without contrast | $463 | $1,258 | $222 |
| MRI of the brain | $636 | $1,775 | $269 |
| MRI of the brain with contrast | $636 | $1,775 | $269 |
| MRI of the brain without contrast | $455 | $1,384 | $195 |
| MRI of the chest | $582 | $998 | $371 |
| MRI of the chest without contrast | $706 | $1,500 | $466 |
| MRI of the knee | $645 | $1,389 | $315 |
| MRI of the knee with contrast | $645 | $1,389 | $315 |
| MRI of the knee without contrast | $462 | $1,375 | $204 |
| MRI of the lower back (lumbar spine) | $636 | $1,857 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $636 | $1,857 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $454 | $1,561 | $192 |
| MRI of the mid-back (thoracic spine) | $634 | $1,785 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $701 | $2,114 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $634 | $1,785 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $454 | $1,473 | $190 |
| MRI of the neck (cervical spine) | $634 | $1,806 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $702 | $2,144 | $318 |
| MRI of the neck (cervical spine) with contrast | $634 | $1,806 | $274 |
| MRI of the neck (cervical spine) without contrast | $454 | $1,416 | $191 |
| MRI of the pelvis | $639 | $2,118 | $268 |
| MRI of the pelvis with contrast | $639 | $2,118 | $268 |
| MRI of the pelvis without contrast | $456 | $1,386 | $227 |
| MRI of the shoulder | $646 | $1,772 | $313 |
| MRI of the shoulder with contrast | $646 | $1,772 | $313 |
| MRI of the shoulder without contrast | $462 | $1,365 | $205 |
| MRI of the wrist | $588 | $2,075 | $330 |
| MRI of the wrist without contrast | $464 | $1,253 | $303 |
| Nebulizer breathing treatment | $246 | $67 | $9 |
| Nerve conduction study | $414 | $305 | $118 |
| Nuclear cardiac stress test | $6,240 | $1,451 | $428 |
| Occupational therapy evaluation | $526 | $128 | $101 |
| Occupational therapy evaluation (high complexity) | $792 | $154 | $101 |
| Occupational therapy evaluation (low complexity) | $335 | $103 | $101 |
| Occupational therapy evaluation (moderate complexity) | $526 | $133 | $101 |
| Office visit (established patient) | $501 | $58 | $115 |
| Office visit (new patient) | $386 | $100 | $177 |
| Office visit, established patient (level 3) | $534 | $49 | $95 |
| Office visit, established patient (level 4) | $468 | $60 | $136 |
| Office visit, new patient (level 3) | $297 | $66 | $118 |
| Office visit, new patient (level 4) | $386 | $100 | $177 |
| Office visit, new patient (level 5) | $693 | $126 | $237 |
| Pap smear (cervical screening) | $98 | $54 | $20 |
| Parathyroid hormone (PTH) test | $171 | $189 | $41 |
| Pelvic ultrasound | $493 | $296 | $78 |
| Pelvic ultrasound (complete) | $518 | $346 | $105 |
| Pelvic ultrasound (limited) | $468 | $245 | $51 |
| PET scan | $6,880 | $3,158 | — |
| Phosphorus blood test | $15 | $30 | $5 |
| Physical therapy evaluation | $506 | $136 | $98 |
| Physical therapy evaluation (high complexity) | $534 | $154 | $98 |
| Physical therapy evaluation (moderate complexity) | $506 | $136 | $98 |
| Platelet count | $65 | $23 | $4 |
| Pregnancy blood test (hCG) | $32 | $62 | $8 |
| Pregnancy ultrasound | $946 | $292 | $126 |
| Pregnancy ultrasound (first trimester) | $874 | $223 | $117 |
| Pregnancy ultrasound (second or third trimester) | $1,019 | $296 | $136 |
| Procalcitonin test | $136 | $97 | $27 |
| Prolactin test | $81 | $121 | $19 |
| Prostate test (PSA) | $45 | $69 | $18 |
| Scoliosis spine X-ray | $437 | $358 | $58 |
| Scoliosis spine X-ray (1 view) | $373 | $358 | $44 |
| Scoliosis spine X-ray (3 views) | $502 | $358 | $72 |
| Screening mammogram | $225 | $160 | $126 |
| Scrotal ultrasound | $690 | $321 | $99 |
| Sedimentation rate (ESR) test | $20 | $29 | $3 |
| Sex hormone binding globulin test | $90 | $65 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $1,152 | $111 | $114 |
| Simple wound stitches | $1,165 | $125 | $127 |
| Skin biopsy | $618 | $168 | $121 |
| Skin biopsy (punch) | $618 | $168 | $121 |
| Skin tag removal | $410 | $139 | $92 |
| Soft tissue ultrasound | $468 | $71 | $64 |
| Speech therapy | $413 | $121 | $76 |
| Spinal tap (lumbar puncture) | $1,463 | $583 | $165 |
| Spirometry (lung function test) | $324 | $236 | $30 |
| Spirometry with bronchodilator | $842 | $361 | $43 |
| Stress echocardiogram | $1,421 | $919 | $209 |
| Swallow study | $446 | $136 | $85 |
| T3 thyroid test | $59 | $71 | $14 |
| Tdap (tetanus) vaccine | $234 | $34 | — |
| Testosterone test | $107 | $102 | $26 |
| Thyroid test (TSH) | $40 | $68 | $17 |
| Thyroid ultrasound | $1,031 | $284 | $109 |
| Thyroid uptake scan | $1,714 | $416 | $145 |
| Total IgE allergy test | $68 | $63 | $16 |
| Total protein test | $15 | $22 | $4 |
| Transesophageal echocardiogram (TEE) | $3,646 | $607 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $3,646 | $607 | $239 |
| Transvaginal ultrasound | $709 | $236 | $118 |
| Trigger point injection | $549 | $241 | $56 |
| Trigger point injection (1-2 muscles) | $549 | $241 | $52 |
| Triglycerides test | $24 | $26 | $6 |
| Troponin (heart) test | $62 | $46 | $12 |
| Turning a breech baby (version) | $935 | $1,101 | $94 |
| Upper GI series (barium) | $811 | $352 | $128 |
| Uric acid (gout) test | $15 | $22 | $5 |
| Urinalysis | $10 | $14 | $3 |
| Urine microalbumin test | $22 | $30 | $5 |
| Urine pregnancy test | $36 | $42 | $9 |
| Vaccine administration | $67 | $47 | $19 |
| Vaccine administration (each additional) | $65 | $19 | $16 |
| Vitamin B12 test | $40 | $63 | $15 |
| Vitamin D test | $100 | $103 | $30 |
| Wound debridement | $1,050 | $254 | $186 |
| X-ray of the abdomen | $321 | $154 | $36 |
| X-ray of the ankle | $398 | $142 | $37 |
| X-ray of the collarbone | $292 | $132 | $33 |
| X-ray of the elbow | $398 | $146 | $33 |
| X-ray of the facial bones | $502 | $133 | $39 |
| X-ray of the foot | $348 | $132 | $34 |
| X-ray of the forearm | $302 | $128 | $29 |
| X-ray of the hand | $370 | $142 | $38 |
| X-ray of the hip | $630 | $166 | $49 |
| X-ray of the hip (1 view) | $630 | $133 | $34 |
| X-ray of the hip (3 views) | $630 | $166 | $49 |
| X-ray of the hip (4 views) | $630 | $249 | $63 |
| X-ray of the knee | $467 | $158 | $42 |
| X-ray of the knee (2 views) | $325 | $124 | $34 |
| X-ray of the knee (3 views) | $467 | $158 | $42 |
| X-ray of the knee (4+ views) | $483 | $177 | $49 |
| X-ray of the lower back (lumbar spine) | $561 | $208 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $458 | $179 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $663 | $236 | $53 |
| X-ray of the lower leg | $351 | $132 | $31 |
| X-ray of the mid-back (thoracic spine) | $555 | $179 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $504 | $171 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $606 | $188 | $39 |
| X-ray of the neck (cervical spine) | $562 | $198 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $484 | $150 | $40 |
| X-ray of the pelvis | $398 | $155 | $36 |
| X-ray of the pelvis (1 view) | $316 | $137 | $28 |
| X-ray of the ribs | $502 | $162 | $42 |
| X-ray of the ribs (2 views) | $430 | $120 | $36 |
| X-ray of the ribs (3 views) | $618 | $162 | $42 |
| X-ray of the shoulder | $398 | $155 | $36 |
| X-ray of the skull | $636 | $172 | $40 |
| X-ray of the upper arm | $339 | $131 | $32 |
| X-ray of the wrist | $369 | $137 | $43 |
| Zinc blood test | $47 | $48 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
