| Procedure | Cash | Chargemaster | Insurer | Medicare |
| 3D mammogram (tomosynthesis) |
$95 |
$95 |
— |
$51 |
| Abdominal fluid drain (paracentesis) |
$1,011 |
$1,011 |
— |
$284 |
| Abdominal ultrasound |
$450 |
$450 |
— |
$100 |
| Abscess incision and drainage |
$357 |
$357 |
— |
$174 |
| Albumin blood test |
$27 |
$27 |
— |
$5 |
| Aldosterone test |
$348 |
$348 |
— |
$41 |
| Alkaline phosphatase test |
$27 |
$27 |
— |
$5 |
| Allergy shots |
$39 |
$39 |
— |
$11 |
| Alpha-fetoprotein (AFP) test |
$86 |
$86 |
— |
$17 |
| ALT liver enzyme test |
$27 |
$27 |
— |
$5 |
| Ammonia blood test |
$68 |
$68 |
— |
$15 |
| Amniocentesis |
$403 |
$403 |
— |
$120 |
| Amylase test |
$34 |
$34 |
— |
$6 |
| Anoscopy |
$151 |
$151 |
— |
$129 |
| Antinuclear antibody (ANA) test |
$39 |
$39 |
— |
$12 |
| Arterial blood gas (ABG) |
$205 |
$205 |
— |
$26 |
| AST liver enzyme test |
$26 |
$26 |
— |
$5 |
| Barium swallow study |
$299 |
$299 |
— |
$107 |
| Bartholin cyst removal |
$390 |
$390 |
— |
$182 |
| Basic metabolic panel |
$44 |
$44 |
— |
$8 |
| Bilirubin blood test |
$26 |
$26 |
— |
$5 |
| Bladder function test (urodynamics) |
$771 |
$771 |
— |
$345 |
| Blood clotting test (PT/INR) |
$23 |
$23 |
— |
$4 |
| Blood crossmatch |
$90 |
$90 |
— |
— |
| Blood glucose test |
$42 |
$42 |
— |
$5 |
| Blood transfusion |
$811 |
$811 |
— |
$47 |
| Blood type test |
$11 |
$11 |
— |
$3 |
| BNP (heart failure) test |
$173 |
$173 |
— |
$39 |
| Bone density scan (DEXA) |
$273 |
$273 |
— |
$39 |
| Bone marrow biopsy |
$738 |
$738 |
— |
$172 |
| Bone scan (nuclear) |
$1,079 |
$1,079 |
— |
$259 |
| Breast biopsy |
$2,907 |
$2,907 |
— |
$478 |
| Breast MRI |
$2,053 |
$2,053 |
— |
$216 |
| Breast ultrasound |
$331 |
$331 |
— |
$92 |
| Breathing tube insertion (intubation) |
$373 |
$373 |
— |
$133 |
| Bronchoscopy |
$3,182 |
$3,182 |
— |
$303 |
| Burn treatment |
$331 |
$331 |
— |
$129 |
| C-reactive protein (CRP) |
$27 |
$27 |
— |
$5 |
| CA 19-9 tumor marker test |
$107 |
$107 |
— |
$21 |
| CA-125 ovarian marker test |
$106 |
$106 |
— |
$21 |
| Calcium blood test |
$30 |
$30 |
— |
$5 |
| Capsule endoscopy |
$1,463 |
$1,463 |
— |
$802 |
| Cardiac ablation |
$33,746 |
$33,746 |
— |
$759 |
| Cardiac catheterization |
$9,057 |
$9,057 |
— |
$1,049 |
| Cardiac MRI |
$2,095 |
$2,095 |
— |
$322 |
| Cardiac stress test |
$354 |
$354 |
— |
$39 |
| Cardioversion |
$951 |
$951 |
— |
$155 |
| Carotid artery ultrasound |
$667 |
$667 |
— |
$156 |
| CEA tumor marker test |
$98 |
$98 |
— |
$19 |
| Celiac disease test |
$95 |
$95 |
— |
$12 |
| Central line placement |
$677 |
$677 |
— |
$238 |
| Chemotherapy infusion |
$247 |
$247 |
— |
$81 |
| Chest fluid drain (thoracentesis) |
$965 |
$965 |
— |
$311 |
| Chest tube insertion |
$1,280 |
$1,280 |
— |
$143 |
| Chest X-ray |
$194 |
$194 |
— |
$37 |
| Chickenpox (varicella) vaccine |
$298 |
$298 |
— |
— |
| Circumcision |
$387 |
$387 |
— |
$167 |
| CK-MB heart enzyme test |
$59 |
$59 |
— |
$12 |
| Clotting time test (PTT) |
$30 |
$30 |
— |
$6 |
| Colonoscopy |
$1,361 |
$1,361 |
— |
$480 |
| Complete blood count (CBC) |
$40 |
$40 |
— |
$7 |
| Comprehensive metabolic panel |
$53 |
$53 |
— |
$11 |
| Contraceptive implant (Nexplanon) |
$124 |
$124 |
— |
$115 |
| Copper blood test |
$254 |
$254 |
— |
$12 |
| Coronary CT angiography |
$1,770 |
$1,770 |
— |
$326 |
| Cortisol test |
$84 |
$84 |
— |
$16 |
| COVID-19 PCR test |
$121 |
$121 |
— |
$51 |
| CPAP titration study |
$422 |
$422 |
— |
$69 |
| Creatine kinase (CK) test |
$34 |
$34 |
— |
$7 |
| CT angiography of the chest |
$1,656 |
$1,656 |
— |
$281 |
| CT angiography of the head |
$1,452 |
$1,452 |
— |
$274 |
| CT scan of the abdomen |
$1,401 |
$1,401 |
— |
$230 |
| CT scan of the abdomen and pelvis |
$2,101 |
$2,101 |
— |
$300 |
| CT scan of the arm |
$1,278 |
$1,278 |
— |
$199 |
| CT scan of the chest |
$1,430 |
$1,430 |
— |
$167 |
| CT scan of the head |
$1,243 |
$1,243 |
— |
$148 |
| CT scan of the leg |
$1,278 |
$1,278 |
— |
$166 |
| CT scan of the lower back (lumbar spine) |
$1,430 |
$1,430 |
— |
$169 |
| CT scan of the neck |
$1,243 |
$1,243 |
— |
$183 |
| CT scan of the neck (cervical spine) |
$1,430 |
$1,430 |
— |
$168 |
| CT scan of the pelvis |
$1,616 |
$1,616 |
— |
$226 |
| CT scan of the sinuses |
$1,243 |
$1,243 |
— |
$152 |
| D-dimer test |
$51 |
$51 |
— |
$10 |
| Defibrillator (ICD) implant |
$33,680 |
$33,680 |
— |
$798 |
| DHEA-sulfate test |
$210 |
$210 |
— |
$22 |
| Diagnostic mammogram |
$258 |
$258 |
— |
$140 |
| Drug screen (urine) |
$70 |
$70 |
— |
$17 |
| Echocardiogram |
$1,051 |
$1,051 |
— |
$138 |
| Electrocardiogram (EKG) |
$176 |
$176 |
— |
$8 |
| Electroencephalogram (EEG) |
$1,056 |
$1,056 |
— |
$448 |
| Electrolyte panel |
$37 |
$37 |
— |
$7 |
| Emergency department visit |
$500 |
$500 |
— |
$69 |
| Endometrial biopsy |
$187 |
$187 |
— |
$98 |
| Epidural steroid injection |
$1,016 |
$1,016 |
— |
$275 |
| ERCP (bile duct endoscopy) |
$3,595 |
$3,595 |
— |
$311 |
| Esophageal dilation |
$1,463 |
$1,463 |
— |
$522 |
| Estradiol (estrogen) test |
$142 |
$142 |
— |
$28 |
| Facet joint injection (spine) |
$613 |
$613 |
— |
$99 |
| Fallopian tube X-ray (HSG) |
$285 |
$285 |
— |
$164 |
| Fecal occult blood (stool) test |
$34 |
$34 |
— |
$10 |
| Feeding tube (PEG) placement |
$2,133 |
$2,133 |
— |
$178 |
| Ferritin (iron) test |
$70 |
$70 |
— |
$14 |
| Fibrinogen test |
$44 |
$44 |
— |
$10 |
| Flexible sigmoidoscopy |
$1,104 |
$1,104 |
— |
$323 |
| Flu test |
$62 |
$62 |
— |
$17 |
| Flu vaccine |
$22 |
$22 |
— |
— |
| Folate (folic acid) test |
$75 |
$75 |
— |
$15 |
| Foreign body removal (skin) |
$392 |
$392 |
— |
$157 |
| Free T4 thyroid test |
$46 |
$46 |
— |
$9 |
| FSH hormone test |
$96 |
$96 |
— |
$19 |
| Gallbladder scan (HIDA) |
$1,326 |
$1,326 |
— |
$334 |
| GGT liver test |
$38 |
$38 |
— |
$7 |
| Glucose tolerance test |
$46 |
$46 |
— |
$8 |
| H. pylori test |
$120 |
$120 |
— |
$67 |
| HDL cholesterol test |
$43 |
$43 |
— |
$8 |
| Hematocrit test |
$43 |
$43 |
— |
$2 |
| Hemoglobin A1c (diabetes test) |
$49 |
$49 |
— |
$10 |
| Hemorrhoid removal |
$1,091 |
$1,091 |
— |
$338 |
| Hepatitis A vaccine |
$102 |
$102 |
— |
— |
| Hepatitis B test |
$49 |
$49 |
— |
$10 |
| Hepatitis B vaccine |
$89 |
$89 |
— |
— |
| Hepatitis C test |
$72 |
$72 |
— |
$14 |
| HIV test |
$55 |
$55 |
— |
$19 |
| Holter heart monitor |
$122 |
$122 |
— |
$26 |
| HPV vaccine |
$346 |
$346 |
— |
— |
| Iron blood test |
$23 |
$23 |
— |
$6 |
| IUD removal |
$307 |
$307 |
— |
$112 |
| IV infusion therapy |
$216 |
$216 |
— |
$44 |
| IVC filter placement |
$6,326 |
$6,326 |
— |
$1,885 |
| Joint aspiration (small/intermediate) |
$627 |
$627 |
— |
$57 |
| Kidney biopsy |
$899 |
$899 |
— |
$492 |
| Kidney scan (nuclear) |
$1,109 |
$1,109 |
— |
$172 |
| Kidney ultrasound |
$428 |
$428 |
— |
$84 |
| Knee joint injection |
$659 |
$659 |
— |
$69 |
| Lactate test |
$54 |
$54 |
— |
$12 |
| Laryngoscopy |
$1,770 |
$1,770 |
— |
$189 |
| LDH test |
$30 |
$30 |
— |
$6 |
| LDL cholesterol test |
$48 |
$48 |
— |
$11 |
| Leg artery angiogram |
$1,877 |
$1,877 |
— |
$149 |
| Leg artery angioplasty |
$7,163 |
$7,163 |
— |
— |
| Leg vein ultrasound (Doppler) |
$656 |
$656 |
— |
$150 |
| LH hormone test |
$96 |
$96 |
— |
$19 |
| Lipase test |
$35 |
$35 |
— |
$7 |
| Lipid (cholesterol) panel |
$37 |
$37 |
— |
$13 |
| Liver biopsy |
$645 |
$645 |
— |
$288 |
| Liver function panel |
$43 |
$43 |
— |
$8 |
| Lung function test (PFT) |
$223 |
$223 |
— |
$37 |
| Lung scan (V/Q) |
$1,613 |
$1,613 |
— |
$291 |
| Magnesium blood test |
$35 |
$35 |
— |
$7 |
| MMR vaccine |
$127 |
$127 |
— |
— |
| MRA of the brain |
$1,514 |
$1,514 |
— |
$226 |
| MRA of the neck |
$1,584 |
$1,584 |
— |
$245 |
| MRI of the abdomen |
$1,511 |
$1,511 |
— |
$300 |
| MRI of the ankle |
$1,357 |
$1,357 |
— |
$261 |
| MRI of the brain |
$1,381 |
$1,381 |
— |
$269 |
| MRI of the chest |
$1,547 |
$1,547 |
— |
$371 |
| MRI of the knee |
$1,302 |
$1,302 |
— |
$315 |
| MRI of the lower back (lumbar spine) |
$1,377 |
$1,377 |
— |
$270 |
| MRI of the mid-back (thoracic spine) |
$1,227 |
$1,227 |
— |
$271 |
| MRI of the neck (cervical spine) |
$1,381 |
$1,381 |
— |
$274 |
| MRI of the pelvis |
$1,369 |
$1,369 |
— |
$268 |
| MRI of the shoulder |
$1,288 |
$1,288 |
— |
$313 |
| MRI of the wrist |
$1,372 |
$1,372 |
— |
$330 |
| Nebulizer breathing treatment |
$202 |
$202 |
— |
$9 |
| Nuchal translucency ultrasound |
$361 |
$361 |
— |
$116 |
| Nuclear cardiac stress test |
$1,219 |
$1,219 |
— |
$428 |
| Occupational therapy evaluation |
$180 |
$180 |
— |
$101 |
| Pap smear (cervical screening) |
$56 |
$56 |
— |
$20 |
| Parathyroid hormone (PTH) test |
$211 |
$211 |
— |
$41 |
| Pelvic ultrasound |
$287 |
$287 |
— |
$78 |
| PET scan |
$3,337 |
$3,337 |
— |
— |
| Phosphorus blood test |
$25 |
$25 |
— |
$5 |
| Physical therapy evaluation |
$210 |
$210 |
— |
$98 |
| Platelet count |
$25 |
$25 |
— |
$4 |
| Pneumonia vaccine |
$174 |
$174 |
— |
— |
| Pregnancy blood test (hCG) |
$42 |
$42 |
— |
$8 |
| Pregnancy ultrasound |
$455 |
$455 |
— |
$126 |
| Procalcitonin test |
$250 |
$250 |
— |
$27 |
| Prolactin test |
$100 |
$100 |
— |
$19 |
| Prostate biopsy |
$528 |
$528 |
— |
— |
| Prostate test (PSA) |
$93 |
$93 |
— |
$18 |
| Psychiatric evaluation |
$236 |
$236 |
— |
$188 |
| Pulmonary rehabilitation |
$63 |
$63 |
— |
$87 |
| Radiofrequency nerve ablation |
$2,679 |
$2,679 |
— |
$462 |
| RSV vaccine |
$457 |
$457 |
— |
— |
| Sacroiliac joint injection |
$345 |
$345 |
— |
$176 |
| Scoliosis spine X-ray |
$200 |
$200 |
— |
$58 |
| Screening colonoscopy |
$1,040 |
$1,040 |
— |
$378 |
| Screening mammogram |
$214 |
$214 |
— |
$126 |
| Scrotal ultrasound |
$425 |
$425 |
— |
$99 |
| Sedimentation rate (ESR) test |
$17 |
$17 |
— |
$3 |
| Semen analysis |
$62 |
$62 |
— |
$12 |
| Sex hormone binding globulin test |
$90 |
$90 |
— |
$22 |
| Shingles vaccine |
$227 |
$227 |
— |
— |
| Simple wound stitches |
$278 |
$278 |
— |
$127 |
| Skin biopsy |
$392 |
$392 |
— |
$121 |
| Sleep study (polysomnography) |
$1,644 |
$1,644 |
— |
$691 |
| Soft tissue ultrasound |
$245 |
$245 |
— |
$64 |
| Speech therapy |
$182 |
$182 |
— |
$76 |
| Spinal cord stimulator |
$11,800 |
$11,800 |
— |
$2,388 |
| Spinal tap (lumbar puncture) |
$857 |
$857 |
— |
$165 |
| Spine fracture repair (kyphoplasty) |
$4,924 |
$4,924 |
— |
$5,803 |
| Strep throat test |
$62 |
$62 |
— |
$17 |
| Stress echocardiogram |
$1,253 |
$1,253 |
— |
$209 |
| Swallow study |
$379 |
$379 |
— |
$85 |
| T3 thyroid test |
$72 |
$72 |
— |
$14 |
| Tdap (tetanus) vaccine |
$98 |
$98 |
— |
— |
| Testosterone test |
$110 |
$110 |
— |
$26 |
| Thyroid test (TSH) |
$86 |
$86 |
— |
$17 |
| Thyroid ultrasound |
$408 |
$408 |
— |
$109 |
| Thyroid uptake scan |
$807 |
$807 |
— |
$145 |
| Tilt table test |
$853 |
$853 |
— |
$168 |
| Total IgE allergy test |
$71 |
$71 |
— |
$16 |
| Total protein test |
$20 |
$20 |
— |
$4 |
| Transesophageal echocardiogram (TEE) |
$1,343 |
$1,343 |
— |
$239 |
| Transvaginal ultrasound |
$407 |
$407 |
— |
$118 |
| Trigger point injection |
$724 |
$724 |
— |
$56 |
| Triglycerides test |
$29 |
$29 |
— |
$6 |
| Troponin (heart) test |
$49 |
$49 |
— |
$12 |
| Upper GI endoscopy (EGD) |
$908 |
$908 |
— |
$371 |
| Upper GI series (barium) |
$396 |
$396 |
— |
$128 |
| Uric acid (gout) test |
$24 |
$24 |
— |
$5 |
| Urinalysis |
$16 |
$16 |
— |
$3 |
| Urine microalbumin test |
$31 |
$31 |
— |
$5 |
| Urine pregnancy test |
$22 |
$22 |
— |
$9 |
| Vaccine administration |
$37 |
$37 |
— |
$19 |
| Varicose vein ablation |
$3,908 |
$3,908 |
— |
$1,018 |
| Visual field test |
$80 |
$80 |
— |
$64 |
| Vitamin B12 test |
$78 |
$78 |
— |
$15 |
| Vitamin D test |
$150 |
$150 |
— |
$30 |
| Wound debridement |
$414 |
$414 |
— |
$186 |
| X-ray of the abdomen |
$176 |
$176 |
— |
$36 |
| X-ray of the ankle |
$177 |
$177 |
— |
$37 |
| X-ray of the collarbone |
$176 |
$176 |
— |
$33 |
| X-ray of the elbow |
$181 |
$181 |
— |
$33 |
| X-ray of the facial bones |
$197 |
$197 |
— |
$39 |
| X-ray of the foot |
$177 |
$177 |
— |
$34 |
| X-ray of the forearm |
$176 |
$176 |
— |
$29 |
| X-ray of the hand |
$177 |
$177 |
— |
$38 |
| X-ray of the hip |
$181 |
$181 |
— |
$49 |
| X-ray of the knee |
$181 |
$181 |
— |
$42 |
| X-ray of the lower back (lumbar spine) |
$208 |
$208 |
— |
$47 |
| X-ray of the lower leg |
$302 |
$302 |
— |
$31 |
| X-ray of the mid-back (thoracic spine) |
$196 |
$196 |
— |
$36 |
| X-ray of the neck (cervical spine) |
$202 |
$202 |
— |
$47 |
| X-ray of the pelvis |
$247 |
$247 |
— |
$36 |
| X-ray of the ribs |
$183 |
$183 |
— |
$42 |
| X-ray of the shoulder |
$181 |
$181 |
— |
$36 |
| X-ray of the skull |
$267 |
$267 |
— |
$40 |
| X-ray of the upper arm |
$181 |
$181 |
— |
$32 |
| X-ray of the wrist |
$177 |
$177 |
— |
$43 |
| Zinc blood test |
$74 |
$74 |
— |
$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.