| Procedure | Cash | Chargemaster | Insurer | Medicare |
| 3D mammogram (tomosynthesis) |
— |
$60 |
$28 |
$51 |
| Abdominal ultrasound |
— |
$75 |
$42 |
$100 |
| Abscess incision and drainage |
— |
$868 |
$672 |
$174 |
| ACL knee reconstruction |
— |
$868 |
$900 |
$889 |
| Albumin blood test |
— |
$16 |
— |
$5 |
| Aldosterone test |
— |
$80 |
— |
$41 |
| Alkaline phosphatase test |
— |
$9 |
— |
$5 |
| Alpha-fetoprotein (AFP) test |
— |
$27 |
— |
$17 |
| ALT liver enzyme test |
— |
$16 |
— |
$5 |
| Ammonia blood test |
— |
$20 |
— |
$15 |
| Amylase test |
— |
$12 |
— |
$6 |
| Ankle fracture repair |
— |
$868 |
$752 |
$608 |
| Antinuclear antibody (ANA) test |
— |
$22 |
— |
$12 |
| Arterial blood gas (ABG) |
— |
$125 |
$30 |
$26 |
| AST liver enzyme test |
— |
$16 |
— |
$5 |
| Barium swallow study |
— |
$60 |
$29 |
$107 |
| Basic metabolic panel |
— |
$25 |
— |
$8 |
| Benign skin lesion removal |
— |
$868 |
$672 |
$171 |
| Bilirubin blood test |
— |
$9 |
— |
$5 |
| Bladder scope (cystoscopy) |
— |
$868 |
$672 |
$216 |
| Bladder tumor removal (TURBT) |
— |
$868 |
$695 |
$236 |
| Blood clotting test (PT/INR) |
— |
$10 |
— |
$4 |
| Blood crossmatch |
— |
$40 |
$20 |
— |
| Blood glucose test |
— |
$12 |
— |
$5 |
| Blood type and screen |
— |
$70 |
$35 |
$10 |
| Blood type test |
— |
$30 |
$7 |
$3 |
| BNP (heart failure) test |
— |
$50 |
— |
$39 |
| Bone density scan (DEXA) |
— |
$39 |
$10 |
$39 |
| Breast ultrasound |
— |
$56 |
$34 |
$92 |
| Breathing tube insertion (intubation) |
— |
$100 |
$45 |
$133 |
| Bunion surgery (bunionectomy) |
— |
$1,334 |
$695 |
$883 |
| C-reactive protein (CRP) |
— |
$8 |
— |
$5 |
| CA 19-9 tumor marker test |
— |
$65 |
— |
$21 |
| CA-125 ovarian marker test |
— |
$43 |
— |
$21 |
| Calcium blood test |
— |
$9 |
— |
$5 |
| Cardioversion |
— |
$868 |
$695 |
$155 |
| Carotid artery ultrasound |
— |
$87 |
$39 |
$156 |
| Carpal tunnel release |
— |
$868 |
$672 |
$483 |
| Cataract surgery |
— |
$868 |
$698 |
$547 |
| CEA tumor marker test |
— |
$32 |
— |
$19 |
| Central line placement |
— |
$868 |
$672 |
$238 |
| Cervical cerclage |
— |
$868 |
$689 |
$137 |
| Cervical LEEP procedure |
— |
$868 |
$689 |
$325 |
| Chest fluid drain (thoracentesis) |
— |
$500 |
$500 |
$311 |
| Chest tube insertion |
— |
$868 |
$695 |
$143 |
| Chest X-ray |
— |
$21 |
$16 |
$37 |
| Circumcision |
— |
$868 |
$672 |
$167 |
| CK-MB heart enzyme test |
— |
$18 |
— |
$12 |
| Clotting time test (PTT) |
— |
$10 |
— |
$6 |
| Colon resection (colectomy) |
— |
$868 |
$791 |
$1,238 |
| Colonoscopy |
— |
$100 |
$119 |
$480 |
| Colposcopy |
— |
$868 |
$672 |
$161 |
| Complete blood count (CBC) |
— |
$12 |
— |
$7 |
| Comprehensive metabolic panel |
— |
$25 |
— |
$11 |
| Copper blood test |
— |
$64 |
— |
$12 |
| Cortisol test |
— |
$25 |
— |
$16 |
| CPAP titration study |
— |
$175 |
$42 |
$69 |
| Creatine kinase (CK) test |
— |
$10 |
— |
$7 |
| CT angiography of the chest |
— |
$175 |
$150 |
$281 |
| CT angiography of the head |
— |
$175 |
$138 |
$274 |
| CT scan of the abdomen |
— |
$180 |
$138 |
$230 |
| CT scan of the abdomen and pelvis |
— |
$270 |
$150 |
$300 |
| CT scan of the arm |
— |
$180 |
$138 |
$199 |
| CT scan of the chest |
— |
$180 |
$130 |
$167 |
| CT scan of the head |
— |
$165 |
$114 |
$148 |
| CT scan of the leg |
— |
$180 |
$123 |
$166 |
| CT scan of the lower back (lumbar spine) |
— |
$175 |
$120 |
$169 |
| CT scan of the neck |
— |
$165 |
$130 |
$183 |
| CT scan of the neck (cervical spine) |
— |
$165 |
$130 |
$168 |
| CT scan of the pelvis |
— |
$180 |
$138 |
$226 |
| CT scan of the sinuses |
— |
$165 |
$116 |
$152 |
| D-dimer test |
— |
$65 |
— |
$10 |
| Defibrillator (ICD) implant |
— |
$868 |
$757 |
$798 |
| DHEA-sulfate test |
— |
$65 |
— |
$22 |
| Diagnostic mammogram |
— |
$105 |
$47 |
$140 |
| Dilation and curettage (D&C) |
— |
$868 |
$689 |
$298 |
| Echocardiogram |
— |
$318 |
$136 |
$138 |
| Electrocardiogram (EKG) |
— |
$30 |
$16 |
$8 |
| Electrolyte panel |
— |
$15 |
— |
$7 |
| Emergency department visit |
— |
$184 |
$144 |
$69 |
| Endometrial biopsy |
— |
$868 |
$672 |
$98 |
| ERCP (bile duct endoscopy) |
— |
$756 |
$261 |
$311 |
| Estradiol (estrogen) test |
— |
$35 |
$56 |
$28 |
| Fecal occult blood (stool) test |
— |
$5 |
— |
$10 |
| Feeding tube (PEG) placement |
— |
$868 |
$695 |
$178 |
| Femoral hernia repair |
— |
$868 |
$689 |
$584 |
| Ferritin (iron) test |
— |
$25 |
— |
$14 |
| Fibrinogen test |
— |
$14 |
— |
$10 |
| Flexible sigmoidoscopy |
— |
$100 |
$119 |
$323 |
| Flu test |
— |
$40 |
— |
$17 |
| Folate (folic acid) test |
— |
$25 |
— |
$15 |
| Foreign body removal (skin) |
— |
$868 |
$695 |
$157 |
| Free T4 thyroid test |
— |
$55 |
— |
$9 |
| FSH hormone test |
— |
$27 |
— |
$19 |
| Gallbladder removal (laparoscopic) |
— |
$425 |
$692 |
$658 |
| Ganglion cyst removal |
— |
$868 |
$672 |
$321 |
| GGT liver test |
— |
$21 |
— |
$7 |
| Glucose tolerance test |
— |
$18 |
— |
$8 |
| H. pylori test |
— |
$117 |
— |
$67 |
| Hammertoe repair |
— |
$868 |
$692 |
$548 |
| HDL cholesterol test |
— |
$96 |
— |
$8 |
| Hematocrit test |
— |
$3 |
— |
$2 |
| Hemodialysis |
— |
$150 |
$173 |
$75 |
| Hemoglobin A1c (diabetes test) |
— |
$25 |
— |
$10 |
| Hepatitis B test |
— |
$20 |
— |
$10 |
| Hepatitis C test |
— |
$40 |
— |
$14 |
| Hip fracture repair |
— |
$868 |
$1,000 |
$1,120 |
| Hip replacement |
— |
$868 |
$1,000 |
$1,162 |
| Holter heart monitor |
— |
$183 |
$184 |
$26 |
| Hydrocele repair |
— |
$868 |
$689 |
$315 |
| Hysterectomy |
— |
$868 |
$960 |
$933 |
| Hysteroscopy |
— |
$825 |
$723 |
$1,270 |
| Incisional hernia repair |
— |
$868 |
$696 |
— |
| Inguinal hernia repair |
— |
$868 |
$689 |
$538 |
| Iron blood test |
— |
$12 |
— |
$6 |
| IUD removal |
— |
$868 |
$672 |
$112 |
| Kidney biopsy |
— |
$868 |
$695 |
$492 |
| Kidney ultrasound |
— |
$75 |
$40 |
$84 |
| Knee arthroscopy |
— |
$868 |
$767 |
$524 |
| Knee joint injection |
— |
$868 |
$689 |
$69 |
| LDH test |
— |
$50 |
— |
$6 |
| LDL cholesterol test |
— |
$96 |
— |
$11 |
| Leg artery angiogram |
— |
$176 |
$82 |
$149 |
| Leg vein ultrasound (Doppler) |
— |
$113 |
$60 |
$150 |
| LH hormone test |
— |
$28 |
— |
$19 |
| Lipase test |
— |
$25 |
— |
$7 |
| Lipid (cholesterol) panel |
— |
$180 |
— |
$13 |
| Liver function panel |
— |
$30 |
— |
$8 |
| Lumpectomy (breast) |
— |
$868 |
$700 |
$750 |
| Lung function test (PFT) |
— |
$35 |
$33 |
$37 |
| Magnesium blood test |
— |
$15 |
— |
$7 |
| Mastectomy |
— |
$868 |
$695 |
$1,021 |
| Meniscus repair (knee) |
— |
$868 |
$900 |
$714 |
| MRA of the brain |
— |
$123 |
$67 |
$226 |
| MRA of the neck |
— |
$154 |
$82 |
$245 |
| MRI of the abdomen |
— |
$178 |
$101 |
$300 |
| MRI of the ankle |
— |
$166 |
$78 |
$261 |
| MRI of the brain |
— |
$168 |
$82 |
$269 |
| MRI of the chest |
— |
$177 |
$104 |
$371 |
| MRI of the knee |
— |
$167 |
$99 |
$315 |
| MRI of the lower back (lumbar spine) |
— |
$184 |
$105 |
$270 |
| MRI of the mid-back (thoracic spine) |
— |
$183 |
$105 |
$271 |
| MRI of the neck (cervical spine) |
— |
$184 |
$105 |
$274 |
| MRI of the pelvis |
— |
$178 |
$101 |
$268 |
| MRI of the shoulder |
— |
$167 |
$99 |
$313 |
| MRI of the wrist |
— |
$166 |
$99 |
$330 |
| Nebulizer breathing treatment |
— |
$19 |
$20 |
$9 |
| Nuchal translucency ultrasound |
— |
$30 |
$39 |
$116 |
| Orthopedic hardware removal |
— |
$1,193 |
$689 |
$632 |
| Ovarian cyst removal |
— |
$868 |
$704 |
$698 |
| Ovary removal (oophorectomy) |
— |
$868 |
$754 |
$822 |
| Parathyroid hormone (PTH) test |
— |
$101 |
— |
$41 |
| Parathyroid removal |
— |
$868 |
$750 |
$891 |
| Pelvic ultrasound |
— |
$105 |
$35 |
$78 |
| Phosphorus blood test |
— |
$9 |
— |
$5 |
| Pilonidal cyst removal |
— |
$868 |
$689 |
$541 |
| Pregnancy blood test (hCG) |
— |
$20 |
— |
$8 |
| Pregnancy ultrasound |
— |
$129 |
$40 |
$126 |
| Procalcitonin test |
— |
$155 |
— |
$27 |
| Prolactin test |
— |
$41 |
— |
$19 |
| Prostate biopsy |
— |
$868 |
$672 |
— |
| Prostate surgery (TURP) |
— |
$868 |
$757 |
$526 |
| Prostate test (PSA) |
— |
$36 |
— |
$18 |
| Pterygium removal (eye) |
— |
$868 |
$672 |
$540 |
| Rheumatoid factor test |
— |
$13 |
— |
$6 |
| Rotator cuff repair |
— |
$868 |
$760 |
$792 |
| Sacroiliac joint injection |
— |
$868 |
$697 |
$176 |
| Scoliosis spine X-ray |
— |
$38 |
$21 |
$58 |
| Screening mammogram |
— |
$100 |
$38 |
$126 |
| Scrotal ultrasound |
— |
$98 |
$35 |
$99 |
| Sedimentation rate (ESR) test |
— |
$15 |
— |
$3 |
| Semen analysis |
— |
$40 |
— |
$12 |
| Sex hormone binding globulin test |
— |
$100 |
— |
$22 |
| Shoulder arthroscopy |
— |
$868 |
$994 |
$962 |
| Shoulder replacement |
— |
$868 |
$700 |
$1,300 |
| Sinus surgery (endoscopic) |
— |
$868 |
$750 |
$224 |
| Skin biopsy |
— |
$868 |
$695 |
$121 |
| Skin cancer lesion removal |
— |
$868 |
$672 |
$240 |
| Skin lesion freezing (cryotherapy) |
— |
$868 |
$689 |
$36 |
| Skin tag removal |
— |
$868 |
$695 |
$92 |
| Small bowel resection |
— |
$868 |
$754 |
$1,136 |
| Soft tissue ultrasound |
— |
$34 |
$29 |
$64 |
| Stomach removal (gastrectomy) |
— |
$868 |
$650 |
$1,595 |
| Strep throat test |
— |
$36 |
— |
$17 |
| T3 thyroid test |
— |
$58 |
— |
$14 |
| Testicle removal (orchiectomy) |
— |
$868 |
$695 |
$306 |
| Testosterone test |
— |
$55 |
— |
$26 |
| Thyroid removal (thyroidectomy) |
— |
$868 |
$760 |
$1,004 |
| Thyroid test (TSH) |
— |
$14 |
— |
$17 |
| Thyroid ultrasound |
— |
$43 |
$40 |
$109 |
| Tonsillectomy |
— |
$868 |
$695 |
$252 |
| Total IgE allergy test |
— |
$20 |
— |
$16 |
| Total protein test |
— |
$9 |
— |
$4 |
| Tracheostomy |
— |
$868 |
$689 |
$273 |
| Transvaginal ultrasound |
— |
$120 |
$50 |
$118 |
| Trigger finger release |
— |
$868 |
$695 |
$630 |
| Triglycerides test |
— |
$16 |
— |
$6 |
| Troponin (heart) test |
— |
$25 |
— |
$12 |
| Tubal ligation |
— |
$609 |
$723 |
$333 |
| Turbinate reduction |
— |
$868 |
$750 |
$294 |
| Umbilical hernia repair |
— |
$868 |
$656 |
— |
| Upper GI endoscopy (EGD) |
— |
$485 |
$637 |
$371 |
| Upper GI series (barium) |
— |
$84 |
$39 |
$128 |
| Ureteral stent placement |
— |
$868 |
$689 |
$373 |
| Uric acid (gout) test |
— |
$9 |
— |
$5 |
| Urinalysis |
— |
$8 |
— |
$3 |
| Urine microalbumin test |
— |
$16 |
— |
$5 |
| Vaccine administration |
— |
$12 |
$15 |
$19 |
| Varicocele repair |
— |
$868 |
$695 |
$327 |
| Vasectomy |
— |
$868 |
$672 |
$347 |
| Vitamin B12 test |
— |
$26 |
— |
$15 |
| Vitamin D test |
— |
$35 |
— |
$30 |
| Wart removal |
— |
$868 |
$672 |
$121 |
| Wound debridement |
— |
$868 |
$672 |
$186 |
| Wrist fracture repair |
— |
$868 |
$767 |
$735 |
| X-ray of the abdomen |
— |
$19 |
$13 |
$36 |
| X-ray of the ankle |
— |
$40 |
$13 |
$37 |
| X-ray of the collarbone |
— |
$16 |
$10 |
$33 |
| X-ray of the elbow |
— |
$25 |
$10 |
$33 |
| X-ray of the facial bones |
— |
$37 |
$15 |
$39 |
| X-ray of the foot |
— |
$20 |
$13 |
$34 |
| X-ray of the forearm |
— |
$18 |
$10 |
$29 |
| X-ray of the hand |
— |
$33 |
$13 |
$38 |
| X-ray of the hip |
— |
$20 |
$14 |
$49 |
| X-ray of the knee |
— |
$20 |
$11 |
$42 |
| X-ray of the lower back (lumbar spine) |
— |
$24 |
$18 |
$47 |
| X-ray of the lower leg |
— |
$16 |
$10 |
$31 |
| X-ray of the mid-back (thoracic spine) |
— |
$35 |
$14 |
$36 |
| X-ray of the neck (cervical spine) |
— |
$23 |
$16 |
$47 |
| X-ray of the pelvis |
— |
$22 |
$12 |
$36 |
| X-ray of the ribs |
— |
$30 |
$16 |
$42 |
| X-ray of the shoulder |
— |
$20 |
$12 |
$36 |
| X-ray of the skull |
— |
$39 |
$17 |
$40 |
| X-ray of the thigh bone |
— |
$20 |
$10 |
— |
| X-ray of the upper arm |
— |
$19 |
$10 |
$32 |
| X-ray of the wrist |
— |
$20 |
$13 |
$43 |
| Zinc blood test |
— |
$32 |
— |
$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.