Acmh Hospital — procedure prices

Published prices for 233 procedures at Acmh Hospital (Kittanning, PA), from its machine-readable file.

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ProcedureCashChargemasterInsurerMedicare
3D mammogram (tomosynthesis) $23 $77 $27 $51
Abdominal fluid drain (paracentesis) $783 $2,609 $901 $284
Abdominal ultrasound $156 $519 $108 $100
Abscess incision and drainage $193 $644 $292 $174
Albumin blood test $13 $44 $6 $5
Aldosterone test $104 $346 $43 $41
Alkaline phosphatase test $19 $63 $7 $5
Alpha-fetoprotein (AFP) test $60 $199 $23 $17
ALT liver enzyme test $15 $50 $8 $5
Ammonia blood test $41 $136 $15 $15
Amylase test $31 $103 $8 $6
Anoscopy $125 $418 $132 $129
Antinuclear antibody (ANA) test $44 $146 $17 $12
Arterial blood gas (ABG) $65 $217 $32 $26
AST liver enzyme test $15 $50 $8 $5
Barium swallow study $172 $574 $171 $107
Bartholin cyst removal $173 $575 $207 $182
Basic metabolic panel $101 $338 $11 $8
Bilirubin blood test $25 $83 $8 $5
Blood clotting test (PT/INR) $17 $56 $5 $4
Blood crossmatch $136 $454 $169 —
Blood glucose test $17 $55 $6 $5
Blood transfusion $434 $1,447 $430 $47
Blood type and screen $66 $219 $51 $10
Blood type test $105 $350 $112 $3
BNP (heart failure) test $163 $542 $47 $39
Bone density scan (DEXA) $215 $716 $104 $39
Bone marrow biopsy $1,767 $5,891 $2,536 $172
Bone scan (nuclear) $389 $1,295 $391 $259
Botox for migraine $316 $1,052 $300 $157
Breast biopsy $1,298 $4,328 $1,615 $478
Breast MRI $792 $2,641 $252 $216
Breast ultrasound $165 $550 $123 $92
Breathing tube insertion (intubation) $224 $747 $235 $133
Burn treatment $173 $577 $196 $129
C-reactive protein (CRP) $15 $51 $6 $5
CA 19-9 tumor marker test $100 $333 $28 $21
CA-125 ovarian marker test $93 $311 $28 $21
Calcium blood test $17 $58 $8 $5
Cardiac catheterization $4,488 $14,959 $3,817 $1,049
Cardiac rehabilitation $180 $600 $128 $26
Cardiac stress test $324 $1,079 $210 $39
Cardioversion $530 $1,767 $646 $155
Carotid artery ultrasound $236 $787 $216 $156
CEA tumor marker test $74 $248 $22 $19
Celiac disease test $13 $43 $15 $12
Central line placement $3,058 $10,193 $3,075 $238
Cesarean section (C-section) — — $9,584 $7,552
Chemotherapy infusion $197 $657 $175 $81
Chest fluid drain (thoracentesis) $710 $2,366 $828 $311
Chest tube insertion $1,302 $4,340 $1,580 $143
Chest X-ray $104 $346 $90 $37
Chickenpox (varicella) vaccine $276 $922 $276 —
CK-MB heart enzyme test $31 $103 $13 $12
Clotting time test (PTT) $27 $91 $8 $6
Complete blood count (CBC) $23 $76 $9 $7
Comprehensive metabolic panel $119 $396 $14 $11
Copper blood test $45 $151 $15 $12
Coronary artery bypass (CABG) — — $43,006 $36,593
Cortisol test $58 $194 $18 $16
COVID-19 PCR test $46 $152 $54 $51
CPAP titration study $274 $912 $218 $69
Creatine kinase (CK) test $23 $77 $9 $7
CT angiography of the chest $440 $1,467 $260 $281
CT angiography of the head $353 $1,175 $244 $274
CT scan of the abdomen $592 $1,972 $181 $230
CT scan of the abdomen and pelvis $1,112 $3,708 $360 $300
CT scan of the arm $839 $2,795 $285 $199
CT scan of the chest $596 $1,986 $175 $167
CT scan of the head $506 $1,685 $174 $148
CT scan of the leg $512 $1,708 $194 $166
CT scan of the lower back (lumbar spine) $673 $2,243 $257 $169
CT scan of the neck $285 $950 $181 $183
CT scan of the neck (cervical spine) $620 $2,068 $285 $168
CT scan of the pelvis $302 $1,007 $177 $226
CT scan of the sinuses $544 $1,812 $178 $152
D-dimer test $39 $129 $13 $10
DHEA-sulfate test $79 $262 $27 $22
Diagnostic mammogram $118 $393 $123 $140
Drug screen (urine) $69 $230 $62 $17
Echocardiogram $562 $1,874 $483 $138
Electrocardiogram (EKG) $68 $225 $57 $8
Electroencephalogram (EEG) $289 $964 $279 $448
Electrolyte panel $42 $139 $9 $7
Electromyography (EMG) $120 $400 $138 $141
Emergency department visit $243 $809 $262 $69
Epidural steroid injection $581 $1,937 $701 $275
Estradiol (estrogen) test $96 $319 $30 $28
Facet joint injection (spine) $403 $1,342 $879 $99
Fallopian tube X-ray (HSG) $224 $747 $308 $164
Fecal occult blood (stool) test $12 $39 $13 $10
Ferritin (iron) test $48 $159 $16 $14
Fibrinogen test $35 $118 $12 $10
Flu test $51 $169 $18 $17
Folate (folic acid) test $38 $127 $16 $15
Foreign body removal (skin) $323 $1,078 $396 $157
Free T4 thyroid test $44 $148 $11 $9
FSH hormone test $57 $189 $22 $19
Gallbladder scan (HIDA) $534 $1,780 $529 $334
GGT liver test $26 $85 $10 $7
Glucose tolerance test $30 $99 $13 $8
H. pylori test $208 $693 $79 $67
HDL cholesterol test $27 $91 $9 $8
Hematocrit test $11 $36 $4 $2
Hemodialysis $603 $2,011 $701 $75
Hemoglobin A1c (diabetes test) $30 $99 $12 $10
Hepatitis B test $46 $153 $16 $10
Hepatitis B vaccine $51 $171 $75 —
Hepatitis C test $63 $211 $21 $14
HIV test $61 $204 $28 $19
Holter heart monitor $145 $485 $128 $26
Iron blood test $83 $278 $9 $6
IUD removal $296 $986 $303 $112
IV infusion therapy $143 $478 $128 $44
IVC filter placement $5,611 $18,703 $5,685 $1,885
Joint aspiration (small/intermediate) $287 $956 $299 $57
Kidney biopsy $1,298 $4,328 $1,609 $492
Kidney ultrasound $119 $398 $105 $84
Knee joint injection $287 $956 $299 $69
Knee replacement — — $22,332 $18,054
Lactate test $49 $163 $14 $12
Laryngoscopy $338 $1,126 $198 $189
LDH test $21 $71 $8 $6
LDL cholesterol test $27 $90 $14 $11
Leg artery angiogram $2,685 $8,951 $3,075 $149
Leg artery angioplasty $6,944 $23,148 $13,177 —
Leg vein ultrasound (Doppler) $226 $754 $174 $150
LH hormone test $50 $168 $22 $19
Lipase test $26 $85 $8 $7
Lipid (cholesterol) panel $27 $91 $17 $13
Liver biopsy $1,298 $4,328 $1,609 $288
Liver function panel $21 $71 $11 $8
Lower back (lumbar) spinal fusion — — $47,527 $1,511
Lung function test (PFT) $138 $459 $210 $37
Lung scan (V/Q) $538 $1,794 $539 $291
Magnesium blood test $26 $85 $9 $7
MMR vaccine $141 $469 $211 —
MRA of the brain $726 $2,420 $353 $226
MRA of the neck $770 $2,568 $405 $245
MRI of the abdomen $1,010 $3,367 $355 $300
MRI of the ankle $681 $2,269 $340 $261
MRI of the brain $743 $2,478 $355 $269
MRI of the chest $902 $3,008 $450 $371
MRI of the knee $1,133 $3,776 $509 $315
MRI of the lower back (lumbar spine) $743 $2,478 $353 $270
MRI of the mid-back (thoracic spine) $743 $2,478 $355 $271
MRI of the neck (cervical spine) $908 $3,027 $351 $274
MRI of the pelvis $728 $2,426 $401 $268
MRI of the shoulder $1,136 $3,786 $567 $313
MRI of the wrist $712 $2,375 $356 $330
Nebulizer breathing treatment $173 $577 $214 $9
Nerve conduction study $271 $904 $221 $118
Nuclear cardiac stress test $1,197 $3,989 $1,286 $428
Occupational therapy evaluation $90 $300 $117 $101
Pacemaker insertion — — $22,830 $15,506
Pap smear (cervical screening) $61 $204 $30 $20
Parathyroid hormone (PTH) test $106 $354 $51 $41
Pelvic ultrasound $108 $361 $105 $78
PET scan $2,870 $9,566 $1,594 —
Phosphorus blood test $12 $40 $7 $5
Physical therapy evaluation $87 $290 $114 $98
Platelet count $11 $35 $5 $4
Pneumonia vaccine $226 $752 $228 —
Pregnancy blood test (hCG) $28 $94 $11 $8
Pregnancy ultrasound $133 $444 $117 $126
Procalcitonin test $26 $88 $31 $27
Prolactin test $48 $160 $27 $19
Prostate test (PSA) $65 $217 $27 $18
Pulmonary rehabilitation $52 $173 $87 $87
Radiofrequency nerve ablation $1,623 $5,409 $1,987 $462
Rheumatoid factor test $10 $33 $8 $6
Scoliosis spine X-ray $84 $279 $102 $58
Screening mammogram $143 $478 $90 $126
Scrotal ultrasound $115 $383 $108 $99
Sedimentation rate (ESR) test $16 $52 $5 $3
Semen analysis $78 $260 $17 $12
Sex hormone binding globulin test $74 $248 $30 $22
Shingles vaccine $338 $1,127 $283 —
Simple wound stitches $173 $577 $196 $127
Skin biopsy $323 $1,078 $479 $121
Sleep study (polysomnography) $842 $2,808 $833 $691
Soft tissue ultrasound $89 $296 $104 $64
Speech therapy $80 $265 $75 $76
Spinal cord stimulator $5,716 $19,053 $6,511 $2,388
Spinal tap (lumbar puncture) $581 $1,937 $689 $165
Spine fracture repair (kyphoplasty) $8,469 $28,230 $7,492 $5,803
Stress echocardiogram $874 $2,912 $532 $209
Swallow study $199 $664 $100 $85
T3 thyroid test $51 $169 $15 $14
Tdap (tetanus) vaccine $72 $241 $56 —
Testosterone test $90 $301 $32 $26
Thyroid test (TSH) $53 $175 $26 $17
Thyroid ultrasound $115 $383 $108 $109
Thyroid uptake scan $402 $1,340 $397 $145
Total IgE allergy test $59 $197 $21 $16
Total protein test $24 $81 $5 $4
Transesophageal echocardiogram (TEE) $543 $1,809 $534 $239
Transvaginal ultrasound $116 $388 $110 $118
Trigger point injection $245 $818 $299 $56
Triglycerides test $50 $166 $8 $6
Troponin (heart) test $23 $77 $13 $12
Turning a breech baby (version) $2,698 $8,993 $3,216 $94
Upper GI series (barium) $163 $542 $174 $128
Uric acid (gout) test $13 $44 $7 $5
Urinalysis $13 $42 $4 $3
Urine microalbumin test $25 $83 $8 $5
Vaccine administration $59 $195 $70 $19
Vaginal delivery — — $7,284 $5,487
Vitamin B12 test $38 $127 $17 $15
Vitamin D test $105 $349 $45 $30
Weight-loss (bariatric) surgery — — $17,338 $11,645
Wound debridement $644 $2,145 $708 $186
X-ray of the abdomen $97 $324 $102 $36
X-ray of the ankle $98 $325 $86 $37
X-ray of the collarbone $97 $322 $86 $33
X-ray of the elbow $100 $333 $86 $33
X-ray of the facial bones $87 $289 $102 $39
X-ray of the foot $99 $331 $86 $34
X-ray of the forearm $87 $291 $85 $29
X-ray of the hand $87 $291 $85 $38
X-ray of the hip $76 $252 $100 $49
X-ray of the knee $89 $297 $100 $42
X-ray of the lower back (lumbar spine) $98 $325 $102 $47
X-ray of the lower leg $102 $340 $85 $31
X-ray of the mid-back (thoracic spine) $98 $325 $102 $36
X-ray of the neck (cervical spine) $124 $412 $102 $47
X-ray of the pelvis $89 $296 $102 $36
X-ray of the ribs $129 $429 $102 $42
X-ray of the shoulder $113 $376 $86 $36
X-ray of the skull $114 $381 $102 $40
X-ray of the upper arm $100 $332 $85 $32
X-ray of the wrist $90 $299 $86 $43
Zinc blood test $42 $139 $16 $11

Source: this hospital’s machine-readable price file (45 CFR §180). Medicare from CMS fee schedules. Estimates — confirm with the hospital. Report an incorrect price.