| Procedure | Cash | Chargemaster | Insurer | Medicare |
| 3D mammogram (tomosynthesis) |
$72 |
$181 |
— |
$51 |
| Abdominal fluid drain (paracentesis) |
$852 |
$2,129 |
— |
$284 |
| Abdominal ultrasound |
$219 |
$547 |
— |
$100 |
| Abscess incision and drainage |
$172 |
$431 |
— |
$174 |
| Albumin blood test |
$19 |
$48 |
$19 |
$5 |
| Aldosterone test |
$65 |
$162 |
$160 |
$41 |
| Alkaline phosphatase test |
$26 |
$64 |
$20 |
$5 |
| Allergy shots |
$30 |
$74 |
— |
$11 |
| Alpha-fetoprotein (AFP) test |
$27 |
$67 |
$66 |
$17 |
| ALT liver enzyme test |
$26 |
$66 |
$21 |
$5 |
| Ammonia blood test |
$56 |
$140 |
$57 |
$15 |
| Amylase test |
$25 |
$62 |
$25 |
$6 |
| Annual physical (established patient) |
$55 |
$138 |
— |
— |
| Anoscopy |
$79 |
$197 |
— |
$129 |
| Antinuclear antibody (ANA) test |
$33 |
$83 |
$48 |
$12 |
| Arterial blood gas (ABG) |
$130 |
$326 |
$76 |
$26 |
| AST liver enzyme test |
$26 |
$64 |
$20 |
$5 |
| Barium swallow study |
$197 |
$492 |
— |
$107 |
| Bartholin cyst removal |
$228 |
$571 |
— |
$182 |
| Basic metabolic panel |
$31 |
$77 |
$31 |
$8 |
| Benign skin lesion removal |
$317 |
$792 |
— |
$171 |
| Bilirubin blood test |
$19 |
$48 |
$20 |
$5 |
| Blood clotting test (PT/INR) |
$19 |
$49 |
$15 |
$4 |
| Blood glucose test |
$39 |
$97 |
$17 |
$5 |
| Blood transfusion |
$769 |
$1,922 |
— |
$47 |
| Blood type and screen |
$38 |
$95 |
$14 |
$10 |
| Blood type test |
$140 |
$351 |
$12 |
$3 |
| BNP (heart failure) test |
$131 |
$327 |
$133 |
$39 |
| Bone density scan (DEXA) |
$163 |
$408 |
— |
$39 |
| Botox for migraine |
$600 |
$1,499 |
— |
$157 |
| Breast ultrasound |
$284 |
$711 |
— |
$92 |
| Breathing tube insertion (intubation) |
$295 |
$738 |
— |
$133 |
| Burn treatment |
$322 |
$805 |
— |
$129 |
| C-reactive protein (CRP) |
$20 |
$50 |
$20 |
$5 |
| CA 19-9 tumor marker test |
$57 |
$142 |
$82 |
$21 |
| CA-125 ovarian marker test |
$33 |
$83 |
$82 |
$21 |
| Calcium blood test |
$26 |
$64 |
$20 |
$5 |
| Cardioversion |
$1,314 |
$3,286 |
— |
$155 |
| Carotid artery ultrasound |
$349 |
$872 |
— |
$156 |
| CEA tumor marker test |
$31 |
$77 |
$75 |
$19 |
| Celiac disease test |
$22 |
$56 |
— |
$12 |
| Central line placement |
$1,350 |
$3,376 |
— |
$238 |
| Chest tube insertion |
$1,378 |
$3,446 |
— |
$143 |
| Chest X-ray |
$167 |
$417 |
— |
$37 |
| CK-MB heart enzyme test |
$44 |
$111 |
$45 |
$12 |
| Clotting time test (PTT) |
$23 |
$58 |
$24 |
$6 |
| Complete blood count (CBC) |
$27 |
$69 |
$28 |
$7 |
| Comprehensive metabolic panel |
$33 |
$81 |
$33 |
$11 |
| Copper blood test |
$20 |
$50 |
$49 |
$12 |
| Cortisol test |
$27 |
$68 |
$64 |
$16 |
| COVID-19 PCR test |
$82 |
$205 |
— |
$51 |
| CPAP titration study |
$402 |
$1,005 |
— |
$69 |
| Creatine kinase (CK) test |
$25 |
$63 |
$26 |
$7 |
| CT angiography of the chest |
$766 |
$1,914 |
— |
$281 |
| CT angiography of the head |
$839 |
$2,098 |
— |
$274 |
| CT scan of the abdomen |
$668 |
$1,670 |
— |
$230 |
| CT scan of the abdomen and pelvis |
$1,336 |
$3,340 |
— |
$300 |
| CT scan of the arm |
$1,040 |
$2,599 |
— |
$199 |
| CT scan of the chest |
$668 |
$1,670 |
— |
$167 |
| CT scan of the head |
$668 |
$1,670 |
— |
$148 |
| CT scan of the leg |
$1,040 |
$2,599 |
— |
$166 |
| CT scan of the lower back (lumbar spine) |
$668 |
$1,670 |
— |
$169 |
| CT scan of the neck |
$668 |
$1,670 |
— |
$183 |
| CT scan of the neck (cervical spine) |
$935 |
$2,339 |
— |
$168 |
| CT scan of the pelvis |
$668 |
$1,670 |
— |
$226 |
| CT scan of the sinuses |
$799 |
$1,998 |
— |
$152 |
| D-dimer test |
$30 |
$74 |
$36 |
$10 |
| DHEA-sulfate test |
$37 |
$92 |
$87 |
$22 |
| Drug screen (urine) |
$238 |
$594 |
$187 |
$17 |
| Echocardiogram |
$748 |
$1,870 |
— |
$138 |
| Electrocardiogram (EKG) |
$101 |
$253 |
— |
$8 |
| Electrolyte panel |
$27 |
$66 |
$27 |
$7 |
| Emergency department visit |
$328 |
$819 |
— |
$69 |
| Epidural steroid injection |
$1,144 |
$2,859 |
— |
$275 |
| ERCP (bile duct endoscopy) |
$3,428 |
$8,569 |
— |
$311 |
| Estradiol (estrogen) test |
$60 |
$149 |
$94 |
$28 |
| Facet joint injection (spine) |
$997 |
$2,493 |
— |
$99 |
| Family therapy session |
$272 |
$680 |
— |
$110 |
| Fecal occult blood (stool) test |
$16 |
$40 |
$38 |
$10 |
| Ferritin (iron) test |
$52 |
$131 |
$54 |
$14 |
| Fibrinogen test |
$33 |
$82 |
$33 |
$10 |
| Flu test |
$30 |
$75 |
$45 |
$17 |
| Folate (folic acid) test |
$57 |
$142 |
$58 |
$15 |
| Foreign body removal (skin) |
$596 |
$1,491 |
— |
$157 |
| Free T4 thyroid test |
$44 |
$110 |
$35 |
$9 |
| FSH hormone test |
$55 |
$138 |
$73 |
$19 |
| GGT liver test |
$28 |
$69 |
$28 |
$7 |
| Glucose tolerance test |
$49 |
$123 |
$33 |
$8 |
| Group therapy session |
$510 |
$1,275 |
— |
$30 |
| H. pylori test |
$196 |
$490 |
$265 |
$67 |
| HDL cholesterol test |
$32 |
$79 |
$32 |
$8 |
| Hematocrit test |
$9 |
$23 |
$9 |
$2 |
| Hemoglobin A1c (diabetes test) |
$37 |
$94 |
$38 |
$10 |
| Hepatitis B test |
$46 |
$115 |
$37 |
$10 |
| Hepatitis C test |
$41 |
$103 |
$56 |
$14 |
| HIV test |
$64 |
$161 |
$70 |
$19 |
| Iron blood test |
$25 |
$62 |
$25 |
$6 |
| IUD removal |
$313 |
$782 |
— |
$112 |
| IV infusion therapy |
$270 |
$676 |
— |
$44 |
| Joint aspiration (small/intermediate) |
$481 |
$1,203 |
— |
$57 |
| Kidney biopsy |
$1,465 |
$3,663 |
— |
$492 |
| Kidney ultrasound |
$219 |
$547 |
— |
$84 |
| Knee joint injection |
$481 |
$1,203 |
— |
$69 |
| Lactate test |
$41 |
$103 |
$42 |
$12 |
| LDH test |
$23 |
$58 |
$24 |
$6 |
| LDL cholesterol test |
$37 |
$93 |
$38 |
$11 |
| Leg vein ultrasound (Doppler) |
$219 |
$547 |
— |
$150 |
| LH hormone test |
$48 |
$121 |
$73 |
$19 |
| Lipase test |
$34 |
$86 |
$27 |
$7 |
| Lipid (cholesterol) panel |
$52 |
$129 |
$53 |
$13 |
| Liver biopsy |
$1,465 |
$3,663 |
— |
$288 |
| Liver function panel |
$31 |
$77 |
$31 |
$8 |
| Lower back (lumbar) spinal fusion |
$75,328 |
$188,320 |
$2,235 |
$1,511 |
| Lung function test (PFT) |
$224 |
$560 |
— |
$37 |
| Magnesium blood test |
$26 |
$65 |
$26 |
$7 |
| Nebulizer breathing treatment |
$42 |
$105 |
— |
$9 |
| Occupational therapy evaluation |
$135 |
$337 |
— |
$101 |
| Office visit (established patient) |
$98 |
$246 |
— |
$115 |
| Office visit (new patient) |
$91 |
$226 |
— |
$177 |
| Pap smear (cervical screening) |
$78 |
$195 |
$80 |
$20 |
| Parathyroid hormone (PTH) test |
$108 |
$270 |
$162 |
$41 |
| Pelvic ultrasound |
$229 |
$572 |
— |
$78 |
| Phosphorus blood test |
$18 |
$46 |
$19 |
$5 |
| Physical therapy evaluation |
$139 |
$347 |
— |
$98 |
| Platelet count |
$17 |
$43 |
$18 |
$4 |
| Pregnancy blood test (hCG) |
$37 |
$93 |
$30 |
$8 |
| Pregnancy ultrasound |
$219 |
$547 |
— |
$126 |
| Procalcitonin test |
$89 |
$222 |
$105 |
$27 |
| Prolactin test |
$96 |
$239 |
$76 |
$19 |
| Prostate test (PSA) |
$106 |
$265 |
$72 |
$18 |
| Psychotherapy session |
$230 |
$574 |
— |
$140 |
| Radiofrequency nerve ablation |
$3,836 |
$9,590 |
— |
$462 |
| Rheumatoid factor test |
$22 |
$55 |
$22 |
$6 |
| Scoliosis spine X-ray |
$169 |
$424 |
— |
$58 |
| Screening mammogram |
$231 |
$578 |
— |
$126 |
| Scrotal ultrasound |
$219 |
$547 |
— |
$99 |
| Sedimentation rate (ESR) test |
$13 |
$32 |
$12 |
$3 |
| Sex hormone binding globulin test |
$57 |
$142 |
$85 |
$22 |
| Simple wound stitches |
$160 |
$401 |
— |
$127 |
| Skin biopsy |
$136 |
$341 |
— |
$121 |
| Skin lesion freezing (cryotherapy) |
$104 |
$259 |
— |
$36 |
| Skin tag removal |
$84 |
$209 |
— |
$92 |
| Sleep study (polysomnography) |
$1,878 |
$4,696 |
— |
$691 |
| Soft tissue ultrasound |
$181 |
$451 |
— |
$64 |
| Speech therapy |
$131 |
$328 |
— |
$76 |
| Spinal cord stimulator |
$4,695 |
$11,737 |
— |
$2,388 |
| Spinal tap (lumbar puncture) |
$510 |
$1,276 |
— |
$165 |
| Strep throat test |
$15 |
$37 |
$45 |
$17 |
| Stress echocardiogram |
$1,414 |
$3,534 |
— |
$209 |
| Swallow study |
$101 |
$252 |
— |
$85 |
| T3 thyroid test |
$37 |
$93 |
$56 |
$14 |
| Testosterone test |
$68 |
$169 |
$101 |
$26 |
| Thyroid test (TSH) |
$80 |
$199 |
$64 |
$17 |
| Thyroid ultrasound |
$219 |
$547 |
— |
$109 |
| Total IgE allergy test |
$35 |
$88 |
$65 |
$16 |
| Total protein test |
$18 |
$45 |
$14 |
$4 |
| Transvaginal ultrasound |
$219 |
$547 |
— |
$118 |
| Trigger point injection |
$559 |
$1,397 |
— |
$56 |
| Triglycerides test |
$22 |
$55 |
$23 |
$6 |
| Troponin (heart) test |
$38 |
$95 |
$39 |
$12 |
| Upper GI series (barium) |
$197 |
$492 |
— |
$128 |
| Uric acid (gout) test |
$17 |
$44 |
$18 |
$5 |
| Urinalysis |
$16 |
$39 |
$9 |
$3 |
| Urine microalbumin test |
$27 |
$68 |
$22 |
$5 |
| Urine pregnancy test |
$21 |
$53 |
$25 |
$9 |
| Vaccine administration |
$54 |
$136 |
— |
$19 |
| Vitamin B12 test |
$75 |
$186 |
$59 |
$15 |
| Vitamin D test |
$95 |
$238 |
$116 |
$30 |
| Wart removal |
$159 |
$397 |
— |
$121 |
| Wound debridement |
$630 |
$1,574 |
— |
$186 |
| X-ray of the abdomen |
$243 |
$609 |
— |
$36 |
| X-ray of the ankle |
$172 |
$430 |
— |
$37 |
| X-ray of the collarbone |
$172 |
$430 |
— |
$33 |
| X-ray of the elbow |
$172 |
$430 |
— |
$33 |
| X-ray of the facial bones |
$101 |
$253 |
— |
$39 |
| X-ray of the foot |
$172 |
$430 |
— |
$34 |
| X-ray of the forearm |
$172 |
$430 |
— |
$29 |
| X-ray of the hand |
$172 |
$430 |
— |
$38 |
| X-ray of the hip |
$258 |
$646 |
— |
$49 |
| X-ray of the knee |
$172 |
$430 |
— |
$42 |
| X-ray of the lower back (lumbar spine) |
$135 |
$338 |
— |
$47 |
| X-ray of the lower leg |
$172 |
$430 |
— |
$31 |
| X-ray of the mid-back (thoracic spine) |
$101 |
$253 |
— |
$36 |
| X-ray of the neck (cervical spine) |
$101 |
$253 |
— |
$47 |
| X-ray of the pelvis |
$136 |
$341 |
— |
$36 |
| X-ray of the ribs |
$172 |
$430 |
— |
$42 |
| X-ray of the shoulder |
$172 |
$430 |
— |
$36 |
| X-ray of the skull |
$135 |
$338 |
— |
$40 |
| X-ray of the upper arm |
$172 |
$430 |
— |
$32 |
| X-ray of the wrist |
$172 |
$430 |
— |
$43 |
| Zinc blood test |
$45 |
$114 |
$45 |
$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.