Carilion Medical Center — procedure prices

Published prices for 212 procedures at Carilion Medical Center (Roanoke, VA), from its machine-readable file.

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ProcedureCashChargemasterInsurerMedicare
3D mammogram (tomosynthesis) $30 $85 $57 $51
Abdominal fluid drain (paracentesis) $1,163 $3,323 $1,828 $284
Abdominal ultrasound $470 $1,342 $604 $100
Albumin blood test $39 $112 $69 $5
Aldosterone test $167 $478 $296 $41
Alkaline phosphatase test $37 $105 $65 $5
Alpha-fetoprotein (AFP) test $103 $293 $182 $17
ALT liver enzyme test $50 $143 $89 $5
Ammonia blood test $84 $239 $148 $15
Amylase test $56 $160 $99 $6
Anoscopy $665 $1,900 $967 $129
Antinuclear antibody (ANA) test $64 $183 $113 $12
Arterial blood gas (ABG) $145 $415 $257 $26
AST liver enzyme test $50 $142 $88 $5
Barium swallow study $301 $861 $474 $107
Basic metabolic panel $127 $363 $225 $8
Bilirubin blood test $89 $255 $158 $5
Blood clotting test (PT/INR) $26 $74 $46 $4
Blood crossmatch $213 $608 $334
Blood glucose test $36 $103 $63 $5
Blood transfusion $565 $1,615 $888 $47
Blood type and screen $125 $357 $196 $10
Blood type test $111 $317 $127 $3
BNP (heart failure) test $161 $460 $285 $39
Bone density scan (DEXA) $351 $1,004 $512 $39
Bone scan (nuclear) $975 $2,785 $1,532 $259
Botox for migraine $649 $1,855 $1,020 $157
Breast ultrasound $250 $715 $394 $92
Breathing tube insertion (intubation) $431 $1,230 $677 $133
C-reactive protein (CRP) $54 $153 $95 $5
CA 19-9 tumor marker test $82 $235 $146 $21
CA-125 ovarian marker test $123 $351 $218 $21
Calcium blood test $21 $59 $37 $5
Cardiac rehabilitation $156 $447 $246 $26
Cardiac stress test $476 $1,361 $754 $39
Cardioversion $812 $2,319 $1,275 $155
Carotid artery ultrasound $365 $1,044 $514 $156
CEA tumor marker test $81 $231 $143 $19
Celiac disease test $12 $34 $24 $12
Central line placement $1,157 $3,306 $2,992 $238
Chemotherapy infusion $397 $1,133 $305 $81
Chest fluid drain (thoracentesis) $767 $2,191 $1,205 $311
Chest tube insertion $1,927 $5,505 $3,028 $143
Chest X-ray $145 $415 $182 $37
CK-MB heart enzyme test $48 $137 $85 $12
Clotting time test (PTT) $42 $121 $75 $6
Colonoscopy $1,463 $4,179 $2,127 $480
Complete blood count (CBC) $51 $146 $91 $7
Comprehensive metabolic panel $170 $487 $302 $11
Copper blood test $75 $214 $133 $12
Cortisol test $87 $248 $154 $16
COVID-19 PCR test $61 $175 $109 $51
CPAP titration study $252 $721 $397 $69
Creatine kinase (CK) test $36 $104 $64 $7
CT angiography of the chest $1,095 $3,129 $1,593 $281
CT angiography of the head $1,121 $3,203 $1,630 $274
CT scan of the abdomen $1,150 $3,285 $1,079 $230
CT scan of the abdomen and pelvis $1,542 $4,406 $1,945 $300
CT scan of the arm $1,055 $3,014 $1,534 $199
CT scan of the chest $1,029 $2,939 $1,286 $167
CT scan of the head $1,029 $2,940 $1,182 $148
CT scan of the leg $1,010 $2,887 $1,149 $166
CT scan of the lower back (lumbar spine) $1,093 $3,124 $1,613 $169
CT scan of the neck $1,016 $2,904 $830 $183
CT scan of the neck (cervical spine) $1,555 $4,443 $1,609 $168
CT scan of the pelvis $921 $2,631 $1,144 $226
CT scan of the sinuses $776 $2,216 $1,110 $152
D-dimer test $78 $223 $138 $10
DHEA-sulfate test $120 $343 $213 $22
Diagnostic mammogram $229 $653 $405 $140
Drug screen (urine) $138 $395 $152 $17
Echocardiogram $869 $2,483 $700 $138
Electrocardiogram (EKG) $104 $298 $164 $8
Electroencephalogram (EEG) $439 $1,255 $684 $448
Electrolyte panel $96 $274 $170 $7
Emergency department visit $462 $1,320 $475 $69
Endometrial biopsy $250 $713 $392 $98
Esophageal dilation $1,758 $5,023 $2,133 $522
Esophageal variceal banding $2,353 $6,723 $3,698 $126
Estradiol (estrogen) test $122 $349 $216 $28
Facet joint injection (spine) $1,338 $3,822 $2,370 $99
Fecal occult blood (stool) test $51 $147 $91 $10
Feeding tube (PEG) placement $2,353 $6,723 $3,698 $178
Ferritin (iron) test $64 $182 $113 $14
Fibrinogen test $78 $222 $138 $10
Flexible sigmoidoscopy $1,131 $3,231 $1,777 $323
Flu test $84 $241 $149 $17
Folate (folic acid) test $76 $218 $135 $15
Free T4 thyroid test $56 $161 $100 $9
FSH hormone test $106 $303 $188 $19
Gallbladder scan (HIDA) $1,242 $3,549 $1,373 $334
GGT liver test $40 $113 $70 $7
H. pylori test $184 $527 $327 $67
HDL cholesterol test $43 $124 $77 $8
Hematocrit test $25 $70 $43 $2
Hemodialysis $868 $2,480 $1,364 $75
Hemoglobin A1c (diabetes test) $49 $140 $87 $10
Hemorrhoid removal $1,131 $3,231 $1,777 $338
Hepatitis B test $63 $180 $112 $10
Hepatitis C test $78 $224 $139 $14
HIV test $96 $275 $171 $19
Holter heart monitor $217 $620 $283 $26
Iron blood test $36 $102 $63 $6
IV infusion therapy $171 $489 $185 $44
Joint aspiration (small/intermediate) $955 $2,728 $846 $57
Kidney scan (nuclear) $668 $1,908 $1,049 $172
Kidney stone shock-wave (lithotripsy) $8,794 $25,125 $13,819 $760
Kidney ultrasound $311 $890 $372 $84
Knee joint injection $477 $1,364 $846 $69
Lactate test $83 $238 $148 $12
LDH test $31 $89 $55 $6
LDL cholesterol test $53 $150 $93 $11
Leg vein ultrasound (Doppler) $525 $1,501 $606 $150
LH hormone test $106 $303 $188 $19
Lipase test $52 $149 $92 $7
Lipid (cholesterol) panel $64 $183 $113 $13
Liver function panel $83 $238 $148 $8
Lung function test (PFT) $303 $867 $404 $37
Lung scan (V/Q) $991 $2,830 $1,557 $291
Magnesium blood test $62 $178 $110 $7
MRA of the brain $1,156 $3,303 $1,709 $226
MRA of the neck $983 $2,809 $1,390 $245
MRI of the abdomen $1,266 $3,617 $1,874 $300
MRI of the ankle $1,874 $5,354 $2,632 $261
MRI of the brain $1,372 $3,920 $1,819 $269
MRI of the chest $1,722 $4,919 $2,221 $371
MRI of the knee $1,888 $5,396 $2,064 $315
MRI of the lower back (lumbar spine) $1,252 $3,578 $1,821 $270
MRI of the mid-back (thoracic spine) $1,616 $4,618 $1,874 $271
MRI of the neck (cervical spine) $1,982 $5,662 $2,360 $274
MRI of the pelvis $1,923 $5,495 $2,753 $268
MRI of the shoulder $1,813 $5,181 $2,001 $313
MRI of the wrist $1,885 $5,386 $2,640 $330
Nebulizer breathing treatment $252 $721 $397 $9
Nuclear cardiac stress test $2,355 $6,728 $3,700 $428
Occupational therapy evaluation $126 $360 $240 $101
Office visit (established patient) $92 $263 $162 $115
Office visit (new patient) $158 $450 $279 $177
Orthopedic hardware removal $2,915 $8,329 $4,581 $632
Pap smear (cervical screening) $82 $236 $143 $20
Parathyroid hormone (PTH) test $179 $511 $317 $41
Pelvic ultrasound $363 $1,036 $469 $78
Phosphorus blood test $36 $103 $64 $5
Physical therapy evaluation $151 $432 $268 $98
Platelet count $36 $103 $64 $4
Pregnancy blood test (hCG) $86 $247 $153 $8
Pregnancy ultrasound $358 $1,022 $510 $126
Procalcitonin test $137 $392 $243 $27
Prolactin test $107 $307 $190 $19
Prostate biopsy $2,541 $7,260 $4,501
Prostate test (PSA) $72 $207 $128 $18
Pulmonary rehabilitation $124 $353 $194 $87
Sacroiliac joint injection $531 $1,516 $1,061 $176
Scoliosis spine X-ray $148 $424 $201 $58
Screening colonoscopy $1,131 $3,231 $2,003 $378
Screening mammogram $222 $634 $393 $126
Scrotal ultrasound $537 $1,535 $781 $99
Sedimentation rate (ESR) test $29 $83 $51 $3
Sex hormone binding globulin test $82 $233 $144 $22
Skin biopsy $300 $856 $466 $121
Skin tag removal $136 $389 $214 $92
Soft tissue ultrasound $291 $830 $457 $64
Speech therapy $79 $226 $150 $76
Spinal tap (lumbar puncture) $859 $2,455 $1,350 $165
Spine fracture repair (kyphoplasty) $8,861 $25,316 $13,924 $5,803
Strep throat test $63 $179 $111 $17
Stress echocardiogram $1,629 $4,655 $2,477 $209
Swallow study $145 $415 $257 $85
T3 thyroid test $77 $221 $137 $14
Tdap (tetanus) vaccine $40 $114 $59
Testosterone test $150 $429 $266 $26
Thyroid test (TSH) $98 $279 $173 $17
Thyroid ultrasound $517 $1,477 $752 $109
Total IgE allergy test $79 $225 $140 $16
Total protein test $27 $76 $47 $4
Transesophageal echocardiogram (TEE) $1,715 $4,900 $2,538 $239
Transvaginal ultrasound $387 $1,106 $563 $118
Trigger point injection $366 $1,047 $576 $56
Triglycerides test $30 $86 $53 $6
Troponin (heart) test $58 $167 $104 $12
Turning a breech baby (version) $3,944 $11,268 $6,197 $94
Upper GI endoscopy (EGD) $1,163 $3,323 $1,828 $371
Upper GI series (barium) $490 $1,401 $769 $128
Uric acid (gout) test $60 $172 $107 $5
Urinalysis $33 $93 $55 $3
Urine microalbumin test $33 $94 $58 $5
Urine pregnancy test $57 $163 $101 $9
Vaccine administration $54 $155 $69 $19
Vitamin B12 test $73 $209 $130 $15
Vitamin D test $111 $317 $197 $30
Wound debridement $496 $1,416 $779 $186
X-ray of the abdomen $202 $577 $257 $36
X-ray of the ankle $207 $590 $325 $37
X-ray of the collarbone $194 $554 $305 $33
X-ray of the elbow $213 $608 $334 $33
X-ray of the facial bones $148 $424 $230 $39
X-ray of the foot $195 $558 $307 $34
X-ray of the forearm $205 $585 $322 $29
X-ray of the hand $184 $526 $289 $38
X-ray of the hip $142 $406 $210 $49
X-ray of the knee $216 $618 $310 $42
X-ray of the lower back (lumbar spine) $283 $809 $454 $47
X-ray of the lower leg $186 $531 $292 $31
X-ray of the mid-back (thoracic spine) $238 $681 $360 $36
X-ray of the neck (cervical spine) $245 $699 $352 $47
X-ray of the pelvis $209 $597 $332 $36
X-ray of the ribs $203 $579 $295 $42
X-ray of the shoulder $188 $538 $296 $36
X-ray of the skull $219 $627 $345 $40
X-ray of the upper arm $188 $538 $296 $32
X-ray of the wrist $196 $559 $307 $43
Zinc blood test $51 $145 $90 $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.