| Procedure | Cash | Chargemaster | Insurer | Medicare |
| Abdominal ultrasound |
$474 |
$790 |
— |
$100 |
| Adenoid removal (adenoidectomy) |
— |
— |
$5,878 |
$204 |
| Albumin blood test |
$26 |
$44 |
$8,871 |
$5 |
| Aldosterone test |
$172 |
$287 |
$2,884 |
$41 |
| Alkaline phosphatase test |
$106 |
$177 |
— |
$5 |
| Allergy patch testing |
— |
— |
$2,884 |
$5 |
| Alpha-fetoprotein (AFP) test |
$100 |
$166 |
— |
$17 |
| ALT liver enzyme test |
$121 |
$202 |
— |
$5 |
| Ammonia blood test |
$96 |
$161 |
— |
$15 |
| Amniocentesis |
— |
— |
$8,871 |
$120 |
| Amylase test |
$111 |
$185 |
— |
$6 |
| Anal fistula repair |
— |
— |
$8,871 |
$541 |
| Ankle fracture repair |
— |
— |
$2,884 |
$608 |
| Annual physical (established patient) |
— |
— |
$5,878 |
— |
| Annual physical (new patient) |
— |
— |
$8,871 |
— |
| Anoscopy |
— |
— |
$2,884 |
$129 |
| Antinuclear antibody (ANA) test |
$120 |
$200 |
$8,871 |
$12 |
| Aortic aneurysm repair (AAA) |
— |
— |
$2,884 |
$1,345 |
| Appendix removal (appendectomy) |
— |
— |
$6,159 |
$592 |
| Arterial blood gas (ABG) |
$167 |
$278 |
— |
$26 |
| AST liver enzyme test |
$100 |
$166 |
— |
$5 |
| Barium swallow study |
$431 |
$718 |
— |
$107 |
| Bartholin cyst removal |
$385 |
$641 |
$2,884 |
$182 |
| Basic metabolic panel |
$71 |
$118 |
$2,884 |
$8 |
| Benign skin lesion removal |
— |
— |
$2,884 |
$171 |
| Bilirubin blood test |
$29 |
$49 |
$2,884 |
$5 |
| Bladder function test (urodynamics) |
— |
— |
$8,871 |
$345 |
| Bladder scope (cystoscopy) |
— |
— |
$8,871 |
$216 |
| Bladder tumor removal (TURBT) |
— |
— |
$8,871 |
$236 |
| Blood clotting test (PT/INR) |
$44 |
$74 |
— |
$4 |
| Blood crossmatch |
$183 |
$306 |
— |
— |
| Blood glucose test |
$48 |
$81 |
$8,871 |
$5 |
| Blood transfusion |
$940 |
$1,566 |
$8,871 |
$47 |
| Blood type and screen |
$78 |
$130 |
$8,871 |
$10 |
| Blood type test |
$62 |
$104 |
— |
$3 |
| BNP (heart failure) test |
$148 |
$247 |
— |
$39 |
| Bone marrow biopsy |
— |
— |
$2,884 |
$172 |
| Botox for migraine |
— |
— |
$2,884 |
$157 |
| Breast biopsy |
— |
— |
$5,878 |
$478 |
| Breast reconstruction |
— |
— |
$2,884 |
$1,227 |
| Breast ultrasound |
$353 |
$589 |
$8,871 |
$92 |
| Breathing tube insertion (intubation) |
$352 |
$587 |
— |
$133 |
| Bronchoscopy |
— |
— |
$8,871 |
$303 |
| Bunion surgery (bunionectomy) |
— |
— |
$8,871 |
$883 |
| C-reactive protein (CRP) |
$78 |
$130 |
— |
$5 |
| CA 19-9 tumor marker test |
$152 |
$253 |
$2,884 |
$21 |
| CA-125 ovarian marker test |
$131 |
$218 |
— |
$21 |
| Calcium blood test |
$29 |
$48 |
— |
$5 |
| Cardiac ablation |
— |
— |
$2,884 |
$759 |
| Cardiac stress test |
— |
— |
$2,884 |
$39 |
| Carotid artery surgery |
— |
— |
$2,884 |
$1,026 |
| Carotid artery ultrasound |
$435 |
$725 |
$2,884 |
$156 |
| CEA tumor marker test |
$122 |
$204 |
— |
$19 |
| Celiac disease test |
— |
— |
$8,871 |
$12 |
| Cervical LEEP procedure |
— |
— |
$2,884 |
$325 |
| Cesarean section (C-section) |
— |
— |
$7,188 |
$7,552 |
| Chemotherapy infusion |
— |
— |
$2,884 |
$81 |
| Chest fluid drain (thoracentesis) |
$1,852 |
$3,087 |
— |
$311 |
| Chest X-ray |
$177 |
$295 |
$5,878 |
$37 |
| Chickenpox (varicella) vaccine |
— |
— |
$2,884 |
— |
| Chiropractic adjustment |
— |
— |
$2,884 |
$38 |
| CK-MB heart enzyme test |
$198 |
$330 |
— |
$12 |
| Clotting time test (PTT) |
$83 |
$138 |
$8,871 |
$6 |
| Colon resection (colectomy) |
— |
— |
$2,884 |
$1,238 |
| Colonoscopy |
— |
— |
$2,884 |
$480 |
| Colposcopy |
— |
— |
$2,884 |
$161 |
| Complete blood count (CBC) |
$90 |
$149 |
— |
$7 |
| Comprehensive eye exam |
— |
— |
$5,878 |
$138 |
| Comprehensive metabolic panel |
$105 |
$174 |
$8,871 |
$11 |
| Contraceptive implant (Nexplanon) |
— |
— |
$2,884 |
$115 |
| Copper blood test |
$68 |
$113 |
$2,884 |
$12 |
| Corneal transplant |
— |
— |
$2,884 |
$1,066 |
| Coronary angioplasty / stent (PCI) |
— |
— |
$6,521 |
$426 |
| Coronary artery bypass (CABG) |
— |
— |
$11,268 |
$36,593 |
| Cortisol test |
$110 |
$184 |
— |
$16 |
| COVID-19 PCR test |
$203 |
$338 |
— |
$51 |
| CPAP titration study |
$583 |
$971 |
$2,884 |
$69 |
| Creatine kinase (CK) test |
$65 |
$108 |
— |
$7 |
| CT angiography of the chest |
$1,956 |
$3,259 |
— |
$281 |
| CT angiography of the head |
$2,090 |
$3,484 |
— |
$274 |
| CT colonography (virtual colonoscopy) |
— |
— |
$8,871 |
$835 |
| CT scan of the abdomen |
$1,849 |
$3,081 |
$8,871 |
$230 |
| CT scan of the abdomen and pelvis |
$3,586 |
$5,977 |
— |
$300 |
| CT scan of the arm |
$1,936 |
$3,227 |
$2,884 |
$199 |
| CT scan of the chest |
$1,672 |
$2,787 |
$8,871 |
$167 |
| CT scan of the head |
$1,507 |
$2,511 |
$2,884 |
$148 |
| CT scan of the leg |
$1,899 |
$3,166 |
$8,871 |
$166 |
| CT scan of the lower back (lumbar spine) |
$1,687 |
$2,812 |
— |
$169 |
| CT scan of the neck |
$1,358 |
$2,263 |
$5,878 |
$183 |
| CT scan of the neck (cervical spine) |
$1,636 |
$2,727 |
$2,884 |
$168 |
| CT scan of the pelvis |
$1,741 |
$2,902 |
$8,871 |
$226 |
| CT scan of the sinuses |
$1,339 |
$2,232 |
— |
$152 |
| D-dimer test |
$114 |
$190 |
— |
$10 |
| Developmental screening (child) |
— |
— |
$8,871 |
— |
| DHEA-sulfate test |
$122 |
$203 |
$8,871 |
$22 |
| Droopy eyelid repair (ptosis) |
— |
— |
$8,871 |
$745 |
| Drug screen (urine) |
$148 |
$247 |
$8,871 |
$17 |
| Echocardiogram |
$481 |
$801 |
$8,871 |
$138 |
| Elbow replacement |
— |
— |
$5,878 |
$1,301 |
| Electrocardiogram (EKG) |
$144 |
$240 |
— |
$8 |
| Electroencephalogram (EEG) |
$744 |
$1,240 |
$5,878 |
$448 |
| Electrolyte panel |
$118 |
$197 |
— |
$7 |
| Emergency department visit |
$657 |
$1,095 |
$5,878 |
$69 |
| Endometrial biopsy |
— |
— |
$8,871 |
$98 |
| Epidural steroid injection |
— |
— |
$2,884 |
$275 |
| Estradiol (estrogen) test |
$120 |
$199 |
— |
$28 |
| Eyelid surgery (blepharoplasty) |
— |
— |
$2,884 |
$552 |
| Facet joint injection (spine) |
— |
— |
$2,884 |
$99 |
| Fallopian tube X-ray (HSG) |
$349 |
$582 |
— |
$164 |
| Family therapy session |
— |
— |
$8,871 |
$110 |
| Fecal occult blood (stool) test |
$77 |
$128 |
$2,884 |
$10 |
| Ferritin (iron) test |
$94 |
$156 |
— |
$14 |
| Fibrinogen test |
$117 |
$195 |
— |
$10 |
| Fibroid removal (myomectomy) |
— |
— |
$2,884 |
$914 |
| Flu test |
$82 |
$137 |
$2,884 |
$17 |
| Folate (folic acid) test |
$101 |
$168 |
$5,878 |
$15 |
| Free T4 thyroid test |
$84 |
$140 |
$2,884 |
$9 |
| FSH hormone test |
$99 |
$165 |
$8,871 |
$19 |
| Gallbladder removal (laparoscopic) |
— |
— |
$2,884 |
$658 |
| GGT liver test |
$37 |
$61 |
$8,871 |
$7 |
| Glaucoma surgery |
— |
— |
$8,871 |
$984 |
| HDL cholesterol test |
— |
— |
$2,884 |
$8 |
| Hearing test (audiometry) |
— |
— |
$8,871 |
$36 |
| Hematocrit test |
$42 |
$71 |
— |
$2 |
| Hemodialysis |
— |
— |
$8,871 |
$75 |
| Hemoglobin A1c (diabetes test) |
$60 |
$100 |
— |
$10 |
| Hemorrhoid removal |
— |
— |
$2,884 |
$338 |
| Hepatitis B test |
$80 |
$133 |
— |
$10 |
| Hepatitis B vaccine |
— |
— |
$2,884 |
— |
| Hepatitis C test |
$161 |
$269 |
— |
$14 |
| Hip arthroscopy |
— |
— |
$8,871 |
$931 |
| Hip fracture repair |
— |
— |
$2,884 |
$1,120 |
| Hip replacement |
— |
— |
$2,884 |
$1,162 |
| HIV test |
$97 |
$162 |
— |
$19 |
| Holter heart monitor |
— |
— |
$8,871 |
$26 |
| Home sleep apnea test |
$1,056 |
$1,760 |
— |
$123 |
| Hydrocele repair |
— |
— |
$8,871 |
$315 |
| Hysterectomy |
— |
— |
$8,871 |
$933 |
| Ileostomy |
— |
— |
$2,884 |
$968 |
| Iron blood test |
$54 |
$90 |
— |
$6 |
| IV infusion therapy |
$418 |
$697 |
— |
$44 |
| IVC filter placement |
— |
— |
$8,871 |
$1,885 |
| Joint aspiration (small/intermediate) |
— |
— |
$8,871 |
$57 |
| Kidney removal (nephrectomy) |
— |
— |
$5,878 |
$1,164 |
| Kidney ultrasound |
$471 |
$785 |
— |
$84 |
| Knee replacement |
— |
— |
$16,375 |
$18,054 |
| Lactate test |
$84 |
$141 |
— |
$12 |
| Laminectomy (spine) |
— |
— |
$2,884 |
$1,157 |
| Laryngoscopy |
— |
— |
$2,884 |
$189 |
| LDH test |
$46 |
$76 |
$2,884 |
$6 |
| LDL cholesterol test |
$46 |
$77 |
$5,878 |
$11 |
| Leg vein ultrasound (Doppler) |
$551 |
$918 |
$8,871 |
$150 |
| LH hormone test |
$95 |
$159 |
$5,878 |
$19 |
| Lipase test |
$125 |
$209 |
— |
$7 |
| Lipid (cholesterol) panel |
$118 |
$197 |
— |
$13 |
| Liver function panel |
$162 |
$271 |
— |
$8 |
| Lower back (lumbar) spinal fusion |
— |
— |
$33,433 |
$1,511 |
| Lumpectomy (breast) |
— |
— |
$2,884 |
$750 |
| Lung function test (PFT) |
$279 |
$465 |
— |
$37 |
| Magnesium blood test |
$62 |
$103 |
— |
$7 |
| Mastectomy |
— |
— |
$8,871 |
$1,021 |
| Mohs skin cancer surgery |
— |
— |
$8,871 |
$535 |
| MRA of the brain |
$1,357 |
$2,261 |
— |
$226 |
| MRA of the neck |
$1,772 |
$2,954 |
— |
$245 |
| MRI of the abdomen |
$1,853 |
$3,088 |
$2,884 |
$300 |
| MRI of the ankle |
$2,133 |
$3,555 |
$2,884 |
$261 |
| MRI of the brain |
$2,305 |
$3,842 |
$8,871 |
$269 |
| MRI of the chest |
$1,336 |
$2,226 |
$5,878 |
$371 |
| MRI of the knee |
$2,161 |
$3,601 |
$2,884 |
$315 |
| MRI of the lower back (lumbar spine) |
$2,741 |
$4,569 |
$8,871 |
$270 |
| MRI of the mid-back (thoracic spine) |
$2,149 |
$3,582 |
$5,878 |
$271 |
| MRI of the neck (cervical spine) |
$2,419 |
$4,031 |
— |
$274 |
| MRI of the pelvis |
$1,886 |
$3,143 |
$8,871 |
$268 |
| MRI of the shoulder |
$2,118 |
$3,529 |
— |
$313 |
| MRI of the wrist |
$2,805 |
$4,675 |
— |
$330 |
| Nebulizer breathing treatment |
$120 |
$200 |
— |
$9 |
| Nerve conduction study |
— |
— |
$8,871 |
$118 |
| Nuchal translucency ultrasound |
— |
— |
$8,871 |
$116 |
| Occupational therapy evaluation |
$233 |
$388 |
$8,871 |
$101 |
| Office visit (established patient) |
$336 |
$560 |
— |
$115 |
| Office visit (new patient) |
$365 |
$608 |
— |
$177 |
| Orthopedic hardware removal |
— |
— |
$8,871 |
$632 |
| Ovary removal (oophorectomy) |
— |
— |
$5,878 |
$822 |
| Pacemaker insertion |
— |
— |
$10,675 |
$15,506 |
| Pap smear (cervical screening) |
$40 |
$67 |
$8,871 |
$20 |
| Parathyroid hormone (PTH) test |
$169 |
$281 |
$8,871 |
$41 |
| Pelvic ultrasound |
$440 |
$733 |
$8,871 |
$78 |
| Phosphorus blood test |
$97 |
$161 |
— |
$5 |
| Physical therapy evaluation |
$198 |
$329 |
$5,878 |
$98 |
| Platelet count |
$106 |
$176 |
— |
$4 |
| Pneumonia vaccine |
$149 |
$248 |
$8,871 |
— |
| Pregnancy blood test (hCG) |
$100 |
$166 |
$2,884 |
$8 |
| Pregnancy ultrasound |
$327 |
$545 |
— |
$126 |
| Procalcitonin test |
$283 |
$472 |
$5,878 |
$27 |
| Prolactin test |
$116 |
$194 |
— |
$19 |
| Prostate removal (prostatectomy) |
— |
— |
$2,884 |
$1,063 |
| Prostate test (PSA) |
$126 |
$210 |
— |
$18 |
| Psychiatric evaluation |
— |
— |
$8,871 |
$188 |
| Radiofrequency nerve ablation |
— |
— |
$8,871 |
$462 |
| Retinal (fundus) photography |
— |
— |
$8,871 |
$37 |
| Retinal detachment repair |
— |
— |
$2,884 |
$966 |
| Sacroiliac joint injection |
— |
— |
$8,871 |
$176 |
| Scoliosis spine X-ray |
$222 |
$370 |
$2,884 |
$58 |
| Scrotal ultrasound |
$424 |
$707 |
— |
$99 |
| Sedimentation rate (ESR) test |
$39 |
$66 |
$5,878 |
$3 |
| Septoplasty (deviated septum) |
— |
— |
$2,884 |
$613 |
| Sex hormone binding globulin test |
$105 |
$174 |
$2,884 |
$22 |
| Shingles vaccine |
— |
— |
$8,871 |
— |
| Shoulder arthroscopy |
— |
— |
$2,884 |
$962 |
| Simple wound stitches |
— |
— |
$8,871 |
$127 |
| Sinus surgery (endoscopic) |
— |
— |
$2,884 |
$224 |
| Skin biopsy |
— |
— |
$8,871 |
$121 |
| Skin cancer lesion removal |
— |
— |
$2,884 |
$240 |
| Sleep study (polysomnography) |
$2,313 |
$3,855 |
— |
$691 |
| Soft tissue ultrasound |
$293 |
$489 |
— |
$64 |
| Spinal cord stimulator |
— |
— |
$2,884 |
$2,388 |
| Spinal tap (lumbar puncture) |
— |
— |
$8,871 |
$165 |
| Spine fracture repair (kyphoplasty) |
— |
— |
$8,871 |
$5,803 |
| Spleen removal (splenectomy) |
— |
— |
$2,884 |
$1,036 |
| Stress echocardiogram |
— |
— |
$5,878 |
$209 |
| Swallow study |
$198 |
$331 |
— |
$85 |
| T3 thyroid test |
$148 |
$246 |
— |
$14 |
| Tdap (tetanus) vaccine |
— |
— |
$2,884 |
— |
| Testicle removal (orchiectomy) |
— |
— |
$8,871 |
$306 |
| Testosterone test |
$125 |
$208 |
— |
$26 |
| Thyroid removal (thyroidectomy) |
— |
— |
$2,884 |
$1,004 |
| Thyroid test (TSH) |
$103 |
$172 |
— |
$17 |
| Thyroid ultrasound |
$448 |
$746 |
— |
$109 |
| Total IgE allergy test |
$94 |
$157 |
— |
$16 |
| Total protein test |
$26 |
$44 |
$2,884 |
$4 |
| Tracheostomy |
— |
— |
$5,878 |
$273 |
| Transesophageal echocardiogram (TEE) |
— |
— |
$2,884 |
$239 |
| Transvaginal ultrasound |
$455 |
$758 |
$8,871 |
$118 |
| Triglycerides test |
$43 |
$71 |
$8,871 |
$6 |
| Troponin (heart) test |
$169 |
$281 |
— |
$12 |
| Turning a breech baby (version) |
$3,519 |
$5,865 |
— |
$94 |
| Ulnar nerve surgery (elbow) |
— |
— |
$8,871 |
$575 |
| Upper GI endoscopy (EGD) |
— |
— |
$2,884 |
$371 |
| Upper GI series (barium) |
$417 |
$695 |
$8,871 |
$128 |
| Uric acid (gout) test |
$155 |
$258 |
— |
$5 |
| Urinalysis |
$36 |
$60 |
$5,878 |
$3 |
| Urine microalbumin test |
$44 |
$74 |
$8,871 |
$5 |
| Urine pregnancy test |
$100 |
$166 |
$2,884 |
$9 |
| Vaccine administration |
$28 |
$47 |
— |
$19 |
| Vaginal delivery |
— |
— |
$8,524 |
$5,487 |
| Vasectomy |
— |
— |
$2,884 |
$347 |
| Vitamin B12 test |
$103 |
$171 |
— |
$15 |
| Vitamin D test |
$122 |
$204 |
— |
$30 |
| Vocal cord injection |
— |
— |
$8,871 |
$211 |
| Weight-loss (bariatric) surgery |
— |
— |
$14,597 |
$11,645 |
| Wrist fracture repair |
— |
— |
$8,871 |
$735 |
| X-ray of the abdomen |
$171 |
$285 |
$2,884 |
$36 |
| X-ray of the ankle |
$264 |
$440 |
— |
$37 |
| X-ray of the collarbone |
$212 |
$354 |
— |
$33 |
| X-ray of the elbow |
$290 |
$484 |
— |
$33 |
| X-ray of the facial bones |
$335 |
$559 |
— |
$39 |
| X-ray of the foot |
$340 |
$567 |
— |
$34 |
| X-ray of the forearm |
$279 |
$465 |
$2,884 |
$29 |
| X-ray of the hand |
$296 |
$494 |
— |
$38 |
| X-ray of the hip |
$223 |
$372 |
$2,884 |
$49 |
| X-ray of the knee |
$309 |
$514 |
$8,871 |
$42 |
| X-ray of the lower back (lumbar spine) |
$354 |
$590 |
$2,884 |
$47 |
| X-ray of the lower leg |
$273 |
$455 |
$2,884 |
$31 |
| X-ray of the mid-back (thoracic spine) |
$251 |
$418 |
— |
$36 |
| X-ray of the neck (cervical spine) |
$313 |
$522 |
— |
$47 |
| X-ray of the ribs |
$351 |
$584 |
— |
$42 |
| X-ray of the shoulder |
$274 |
$456 |
— |
$36 |
| X-ray of the skull |
$264 |
$440 |
$8,871 |
$40 |
| X-ray of the upper arm |
$272 |
$453 |
$8,871 |
$32 |
| X-ray of the wrist |
$276 |
$460 |
— |
$43 |
| YAG laser capsulotomy (eye) |
— |
— |
$8,871 |
$335 |
| Zinc blood test |
$65 |
$108 |
— |
$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.