Centracare Health System – Melrose Hospital — procedure prices

Published prices for 265 procedures at Centracare Health System – Melrose Hospital (Melrose, MN), from its machine-readable file.

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ProcedureCashChargemasterInsurerMedicare
3D mammogram (tomosynthesis) $190 $244 $181 $51
Abdominal fluid drain (paracentesis) $1,391 $1,783 $115 $284
Abdominal ultrasound $485 $622 $31 $100
Abscess incision and drainage $446 $572 $174 $174
Albumin blood test $33 $42 $17 $5
Aldosterone test $73 $93 $139 $41
Alkaline phosphatase test $33 $42 $17 $5
Allergy shots $27 $35 $14 $11
Alpha-fetoprotein (AFP) test $45 $58 $57 $17
ALT liver enzyme test $33 $42 $19 $5
Ammonia blood test $34 $43 $50 $15
Amniocentesis $619 $794 — $120
Amylase test $33 $42 $22 $6
Anal fistula repair $1,560 $2,000 $445 $541
Annual physical (established patient) $322 $413 $130 —
Annual physical (new patient) $373 $478 $139 —
Anoscopy $312 $400 $46 $129
Antinuclear antibody (ANA) test $41 $52 $42 $12
Arterial blood gas (ABG) $53 $68 $89 $26
AST liver enzyme test $33 $42 $17 $5
Barium swallow study $419 $538 — $107
Bartholin cyst removal $462 $593 $123 $182
Basic metabolic panel $64 $82 $44 $8
Benign skin lesion removal $536 $687 $132 $171
Bilirubin blood test $33 $43 $17 $5
Bladder scope (cystoscopy) $1,171 $1,501 $168 $216
Bladder tumor removal (TURBT) $5,744 $7,364 $366 $236
Blood clotting test (PT/INR) $40 $51 $15 $4
Blood crossmatch $88 $112 — —
Blood glucose test $37 $48 $14 $5
Blood transfusion $837 $1,073 — $47
Blood type and screen $82 $105 — $10
Blood type test $45 $58 — $3
BNP (heart failure) test $80 $103 $135 $39
Bone density scan (DEXA) $300 $385 $11 $39
Bone marrow biopsy $957 $1,227 $78 $172
Bone scan (nuclear) $1,078 $1,382 — $259
Botox for migraine $649 $832 $124 $157
Breast biopsy $2,035 $2,609 — $478
Breast ultrasound $349 $448 — $92
Breathing tube insertion (intubation) $591 $758 $149 $133
Burn treatment $350 $449 $62 $129
C-reactive protein (CRP) $51 $65 $17 $5
CA 19-9 tumor marker test $53 $68 $71 $21
CA-125 ovarian marker test $53 $68 $71 $21
Calcium blood test $33 $42 $17 $5
Cardiac rehabilitation $106 $136 $265 $26
Cardiac stress test $387 $496 $16 $39
Cardioversion $1,293 $1,658 $119 $155
Carotid artery ultrasound $601 $771 — $156
Carpal tunnel release $1,369 $1,755 $492 $483
CEA tumor marker test $207 $265 $65 $19
Celiac disease test $49 $62 $39 $12
Central line placement $2,523 $3,235 $90 $238
Chemotherapy infusion $418 $537 — $81
Chest fluid drain (thoracentesis) $1,252 $1,605 $117 $311
Chest tube insertion $839 $1,075 $162 $143
Chest X-ray $229 $294 $215 $37
Chickenpox (varicella) vaccine $180 $231 $162 —
Circumcision $429 $550 $143 $167
CK-MB heart enzyme test $35 $45 $39 $12
Clotting time test (PTT) $42 $54 $21 $6
Colonoscopy $579 $742 $326 $480
Colposcopy $434 $557 $158 $161
Complete blood count (CBC) $74 $94 $27 $7
Complex wound repair $1,177 $1,510 $274 $390
Comprehensive metabolic panel $71 $92 $55 $11
Continuous glucose monitor setup $98 $126 $60 $35
Contraceptive implant (Nexplanon) $337 $432 $81 $115
Copper blood test $53 $68 $43 $12
Coronary CT angiography $1,846 $2,367 $749 $326
Cortisol test $76 $97 $56 $16
COVID-19 PCR test $82 $106 $56 $51
CPAP titration study $415 $532 — $69
Creatine kinase (CK) test $33 $42 $22 $7
CT angiography of the chest $1,261 $1,617 $749 $281
CT angiography of the head $1,466 $1,880 $749 $274
CT colonography (virtual colonoscopy) $859 $1,101 $685 $835
CT scan of the abdomen $1,164 $1,492 $685 $230
CT scan of the abdomen and pelvis $2,062 $2,644 $868 $300
CT scan of the arm $1,118 $1,433 $685 $199
CT scan of the chest $1,373 $1,760 $685 $167
CT scan of the head $1,163 $1,491 $749 $148
CT scan of the leg $1,150 $1,475 $685 $166
CT scan of the lower back (lumbar spine) $1,234 $1,582 $685 $169
CT scan of the neck $1,040 $1,333 $685 $183
CT scan of the neck (cervical spine) $1,395 $1,788 $685 $168
CT scan of the pelvis $1,099 $1,409 $685 $226
CT scan of the sinuses $1,168 $1,497 $669 $152
D-dimer test $72 $92 $35 $10
Developmental screening (child) $28 $36 $12 —
DHEA-sulfate test $54 $69 $77 $22
Drug screen (urine) $77 $99 $212 $17
Ear pressure test (tympanometry) $48 $62 $14 $16
Ear tubes (myringotomy) $1,050 $1,346 — $174
Echocardiogram $1,001 $1,284 $28 $138
Electrocardiogram (EKG) $173 $222 $11 $8
Electroencephalogram (EEG) $697 $894 — $448
Electrolyte panel $35 $44 $24 $7
Emergency department visit $562 $720 $113 $69
Endometrial biopsy $252 $323 $66 $98
Epidural steroid injection $1,746 $2,239 — $275
Estradiol (estrogen) test $49 $63 $95 $28
Facet joint injection (spine) $622 $797 $187 $99
Fallopian tube X-ray (HSG) $400 $513 $153 $164
Family therapy session $249 $319 $100 $110
Fecal occult blood (stool) test $36 $46 $135 $10
Femoral hernia repair $363 $465 $269 $584
Ferritin (iron) test $71 $91 $46 $14
Fibrinogen test $41 $53 $34 $10
Flexible sigmoidoscopy $685 $878 $79 $323
Flu test $45 $57 $57 $17
Flu vaccine $24 $31 $23 —
Folate (folic acid) test $41 $53 $50 $15
Foreign body removal (skin) $444 $569 $129 $157
Free T4 thyroid test $56 $71 $31 $9
FSH hormone test $38 $48 $64 $19
Gallbladder scan (HIDA) $1,335 $1,712 — $334
GGT liver test $47 $60 $24 $7
Glucose tolerance test $40 $51 $30 $8
Group therapy session $33 $43 $34 $30
H. pylori test $108 $139 $231 $67
HDL cholesterol test $33 $42 $28 $8
Hematocrit test $37 $47 $8 $2
Hemoglobin A1c (diabetes test) $60 $77 $37 $10
Hemorrhoid removal $1,517 $1,945 $216 $338
Hepatitis A vaccine $78 $101 $70 —
Hepatitis B test $42 $53 $35 $10
Hepatitis B vaccine $79 $102 $71 —
Hepatitis C test $48 $62 $49 $14
HIV test $43 $55 $82 $19
Holter heart monitor $354 $454 — $26
Home sleep apnea test $411 $527 — $123
HPV vaccine $312 $400 $273 —
Hydrocele repair $951 $1,220 $376 $315
Iron blood test $85 $109 $22 $6
IUD insertion $275 $353 $107 —
IUD removal $277 $355 $80 $112
IV infusion therapy $303 $389 — $44
Joint aspiration (small/intermediate) $400 $513 $39 $57
Kidney biopsy $2,973 $3,812 — $492
Kidney scan (nuclear) $1,314 $1,684 — $172
Kidney ultrasound $392 $502 $30 $84
Knee joint injection $572 $733 $49 $69
Lactate test $43 $55 $39 $12
Laryngoscopy $466 $597 $84 $189
LDH test $33 $43 $21 $6
LDL cholesterol test $42 $53 $36 $11
Leg vein ultrasound (Doppler) $656 $842 $23 $150
LH hormone test $49 $63 $64 $19
Lipase test $34 $44 $23 $7
Lipid (cholesterol) panel $63 $81 $50 $13
Liver function panel $40 $52 $28 $8
Lumpectomy (breast) $1,840 $2,359 $701 $750
Lung function test (PFT) $269 $346 $9 $37
Lung scan (V/Q) $1,324 $1,697 — $291
Magnesium blood test $52 $67 $23 $7
MMR vaccine $101 $130 $90 —
MRA of the brain $1,926 $2,469 $982 $226
MRA of the neck $1,789 $2,294 $982 $245
MRI of the abdomen $2,048 $2,626 $982 $300
MRI of the ankle $1,928 $2,472 $982 $261
MRI of the brain $1,981 $2,540 $982 $269
MRI of the chest $1,748 $2,241 $982 $371
MRI of the knee $2,063 $2,645 $982 $315
MRI of the lower back (lumbar spine) $2,042 $2,618 $982 $270
MRI of the mid-back (thoracic spine) $2,042 $2,618 $982 $271
MRI of the neck (cervical spine) $2,042 $2,618 $982 $274
MRI of the pelvis $2,012 $2,579 $982 $268
MRI of the shoulder $2,074 $2,659 $982 $313
MRI of the wrist $1,902 $2,439 $982 $330
Nebulizer breathing treatment $119 $153 $7 $9
Nuchal translucency ultrasound $240 $308 — $116
Nuclear cardiac stress test $2,755 $3,532 $2,830 $428
Occupational therapy evaluation $268 $344 $107 $101
Office visit (established patient) $472 $605 $117 $115
Office visit (new patient) $612 $784 $199 $177
Pap smear (cervical screening) $76 $97 $70 $20
Parathyroid hormone (PTH) test $93 $119 $142 $41
Pelvic ultrasound $381 $489 $26 $78
PET scan $4,443 $5,697 — —
Phosphorus blood test $34 $44 $16 $5
Physical therapy evaluation $268 $344 $210 $98
Pilonidal cyst removal $1,730 $2,219 $490 $541
Platelet count $37 $47 $15 $4
Pneumonia vaccine $150 $193 $321 —
Pregnancy blood test (hCG) $36 $47 $26 $8
Pregnancy ultrasound $449 $576 — $126
Procalcitonin test $83 $107 $93 $27
Prolactin test $38 $49 $66 $19
Prostate biopsy $1,654 $2,121 $195 —
Prostate test (PSA) $42 $53 $63 $18
Psychiatric evaluation $428 $549 $167 $188
Psychotherapy session $325 $416 $100 $140
Pulmonary rehabilitation $155 $199 — $87
RSV vaccine $239 $307 $299 —
Sacroiliac joint injection $1,289 $1,652 $562 $176
Scoliosis spine X-ray $255 $327 — $58
Screening colonoscopy $663 $850 $199 $378
Scrotal ultrasound $428 $549 $33 $99
Sedimentation rate (ESR) test $35 $44 $13 $3
Semen analysis $145 $185 $42 $12
Sex hormone binding globulin test $59 $75 $74 $22
Shingles vaccine $184 $236 $192 —
Simple wound stitches $246 $315 $71 $127
Skin biopsy $433 $555 $66 $121
Skin cancer lesion removal $1,319 $1,691 $174 $240
Skin lesion freezing (cryotherapy) $214 $274 $42 $36
Skin tag removal $151 $194 $87 $92
Sleep study (polysomnography) $3,280 $4,205 — $691
Soft tissue ultrasound $355 $455 $36 $64
Speech therapy $259 $332 $284 $76
Spinal tap (lumbar puncture) $951 $1,219 $66 $165
Strep throat test $43 $55 $57 $17
Stress echocardiogram $1,136 $1,456 — $209
Swallow study $230 $295 $292 $85
T3 thyroid test $47 $60 $49 $14
Tdap (tetanus) vaccine $50 $65 $39 —
Testosterone test $70 $90 $88 $26
Thyroid test (TSH) $64 $81 $63 $17
Thyroid ultrasound $389 $499 $30 $109
Thyroid uptake scan $967 $1,240 — $145
Tonsillectomy $850 $1,090 $326 $252
Total IgE allergy test $47 $61 $57 $16
Total protein test $33 $42 $13 $4
Transvaginal ultrasound $372 $477 $37 $118
Trigger finger release $1,567 $2,009 $333 $630
Trigger point injection $614 $787 $50 $56
Triglycerides test $33 $43 $20 $6
Troponin (heart) test $93 $120 $43 $12
Turning a breech baby (version) $2,493 $3,196 $105 $94
Upper GI endoscopy (EGD) $378 $484 $150 $371
Upper GI series (barium) $447 $574 — $128
Uric acid (gout) test $33 $42 $15 $5
Urinalysis $32 $42 $9 $3
Urine microalbumin test $40 $52 $17 $5
Urine pregnancy test $40 $52 $29 $9
Vaccine administration $41 $53 $17 $19
Vasectomy $1,032 $1,324 $258 $347
Vitamin B12 test $45 $57 $52 $15
Vitamin D test $61 $78 $101 $30
Wart removal $353 $452 $79 $121
Well-child visit $280 $359 $95 —
Wound debridement $891 $1,142 $108 $186
X-ray of the abdomen $226 $290 — $36
X-ray of the ankle $223 $286 — $37
X-ray of the collarbone $189 $242 — $33
X-ray of the elbow $222 $284 — $33
X-ray of the facial bones $238 $305 — $39
X-ray of the foot $218 $279 — $34
X-ray of the forearm $199 $255 — $29
X-ray of the hand $208 $267 — $38
X-ray of the hip $231 $296 — $49
X-ray of the knee $257 $329 — $42
X-ray of the lower back (lumbar spine) $256 $328 — $47
X-ray of the lower leg $226 $290 — $31
X-ray of the mid-back (thoracic spine) $244 $312 — $36
X-ray of the neck (cervical spine) $257 $330 — $47
X-ray of the pelvis $243 $312 — $36
X-ray of the ribs $284 $364 — $42
X-ray of the shoulder $231 $296 — $36
X-ray of the skull $256 $329 — $40
X-ray of the upper arm $224 $287 — $32
X-ray of the wrist $226 $290 — $43
Zinc blood test $53 $68 $39 $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.