F F Thompson Hospital — procedure prices

Published prices for 386 procedures at F F Thompson Hospital (Canandaigua, NY), from its machine-readable file.

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ProcedureCashChargemasterInsurerMedicare
3D mammogram (tomosynthesis) $102 $22 $51
Abdominal fluid drain (paracentesis) $3,051 $225 $284
Abdominal ultrasound $333 $68 $100
Abscess incision and drainage $974 $151 $174
Achilles tendon repair $25,788 $637 $624
ACL knee reconstruction $2,912 $934 $889
Acupuncture $36 $38
Adenoid removal (adenoidectomy) $3,352 $204
Albumin blood test $32 $5 $5
Aldosterone test $250 $41 $41
Alkaline phosphatase test $32 $5 $5
Allergy patch testing $1,072 $5
Allergy shots $150 $11 $11
Allergy testing $1,072 $4
Alpha-fetoprotein (AFP) test $96 $15 $17
ALT liver enzyme test $33 $5 $5
Ammonia blood test $89 $15 $15
Amniocentesis $2,834 $1,150 $120
Amylase test $39 $6 $6
Anal fistula repair $1,024 $476 $541
Ankle fracture repair $1,795 $648 $608
Ankle replacement $33,871 $885
Annual physical (established patient) $228 $99
Annual physical (new patient) $227 $115
Anoscopy $419 $88 $129
Antinuclear antibody (ANA) test $42 $11 $12
Arterial blood gas (ABG) $117 $23 $26
AST liver enzyme test $33 $5 $5
Barium swallow study $595 $25 $107
Bartholin cyst removal $655 $139 $182
Basic metabolic panel $48 $8 $8
Benign skin lesion removal $2,290 $146 $171
Bilirubin blood test $32 $5 $5
Bladder function test (urodynamics) $870 $345
Bladder scope (cystoscopy) $2,226 $173 $216
Bladder tumor removal (TURBT) $742 $260 $236
Blood clotting test (PT/INR) $26 $4 $4
Blood crossmatch $558 $213
Blood glucose test $26 $4 $5
Blood transfusion $1,423 $35 $47
Blood type and screen $174 $9 $10
Blood type test $274 $3 $3
BNP (heart failure) test $190 $37 $39
Bone density scan (DEXA) $404 $113 $39
Bone marrow biopsy $7,294 $3,626 $172
Bone scan (nuclear) $1,584 $75 $259
Botox for migraine $240 $133 $157
Breast biopsy $5,273 $2,062 $478
Breast MRI $1,185 $505 $216
Breast reconstruction $17,203 $1,227
Breast reduction $8,289 $980
Breast ultrasound $334 $41 $92
Breathing tube insertion (intubation) $502 $134 $133
Bronchoscopy $468 $216 $303
Bunion surgery (bunionectomy) $754 $883
Burn treatment $340 $98 $129
C-reactive protein (CRP) $26 $5 $5
CA 19-9 tumor marker test $128 $21 $21
CA-125 ovarian marker test $128 $21 $21
Calcium blood test $33 $5 $5
Capsule endoscopy $644 $802
Cardiac ablation $32,627 $759
Cardiac catheterization $4,047 $1,049
Cardiac event monitor $136 $170
Cardiac MRI $505 $322
Cardiac rehabilitation $410 $18 $26
Cardiac stress test $1,013 $61 $39
Cardioversion $2,130 $138 $155
Carotid artery ultrasound $872 $117 $156
Carpal tunnel release $1,292 $435 $483
Cataract surgery $2,881 $547
CEA tumor marker test $119 $19 $19
Celiac disease test $35 $10 $12
Central line placement $10,800 $169 $238
Cervical cerclage $287 $4,041 $137
Cervical LEEP procedure $10,347 $277 $325
Cesarean section (C-section) $10,040 $7,552
Chalazion (eyelid cyst) removal $396 $131
Chemotherapy infusion $656 $80 $81
Chest fluid drain (thoracentesis) $2,487 $253 $311
Chest tube insertion $5,055 $153 $143
Chest X-ray $294 $20 $37
Chickenpox (varicella) vaccine $62 $125 $199
Chiropractic adjustment $27 $38
Circumcision $477 $152 $167
CK-MB heart enzyme test $44 $10 $12
Clotting time test (PTT) $37 $6 $6
Colon resection (colectomy) $2,503 $1,233 $1,238
Colonoscopy $2,967 $324 $480
Colostomy $2,255 $1,083 $1,122
Colposcopy $990 $133 $161
Complete blood count (CBC) $44 $6 $7
Complex wound repair $3,229 $318 $390
Comprehensive eye exam $129 $138
Comprehensive metabolic panel $62 $10 $11
Contact lens fitting $70
Continuous glucose monitor setup $32 $35
Contraceptive implant (Nexplanon) $1,299 $103 $115
Copper blood test $76 $12 $12
Corneal transplant $5,160 $1,066
Coronary artery bypass (CABG) $44,336 $36,593
Coronary CT angiography $712 $158 $326
Cortisol test $96 $16 $16
COVID-19 PCR test $152 $46 $51
CPAP titration study $662 $273 $69
Creatine kinase (CK) test $39 $6 $7
CT angiography of the chest $1,040 $175 $281
CT angiography of the head $1,040 $219 $274
CT colonography (virtual colonoscopy) $387 $249 $835
CT scan of the abdomen $877 $180 $230
CT scan of the abdomen and pelvis $1,338 $138 $300
CT scan of the arm $877 $181 $199
CT scan of the chest $877 $177 $167
CT scan of the head $877 $155 $148
CT scan of the leg $877 $177 $166
CT scan of the lower back (lumbar spine) $877 $177 $169
CT scan of the neck $877 $177 $183
CT scan of the neck (cervical spine) $877 $177 $168
CT scan of the pelvis $877 $180 $226
CT scan of the sinuses $877 $155 $152
D-dimer test $10 $10
Defibrillator (ICD) implant $39,182 $798
Developmental screening (child) $20 $11
DHEA-sulfate test $136 $22 $22
Diagnostic mammogram $640 $98 $140
Dialysis fistula creation $3,941 $601
Dilation and curettage (D&C) $10,347 $259 $298
Droopy eyelid repair (ptosis) $2,968 $745
Drug screen (urine) $288 $12 $17
Ear pressure test (tympanometry) $23 $16
Ear tubes (myringotomy) $168 $174
Eardrum repair (tympanoplasty) $7,390 $799
Echocardiogram $2,151 $95 $138
Elbow replacement $21,887 $1,301
Electrocardiogram (EKG) $150 $10 $8
Electroencephalogram (EEG) $1,117 $80 $448
Electrolyte panel $39 $7 $7
Electromyography (EMG) $71 $141
Emergency department visit $289 $84 $69
Endometrial biopsy $655 $81 $98
Epidural steroid injection $1,236 $204 $275
ERCP (bile duct endoscopy) $335 $311
Esophageal dilation $700 $522
Esophageal variceal banding $2,395 $126
Estradiol (estrogen) test $169 $28 $28
Eye refraction (glasses prescription) $23
Eyelid surgery (blepharoplasty) $2,576 $552
Facet joint injection (spine) $924 $79 $99
Fallopian tube X-ray (HSG) $697 $62 $164
Family therapy session $102 $110
Fecal occult blood (stool) test $39 $4 $10
Feeding tube (PEG) placement $828 $213 $178
Femoral hernia repair $1,171 $588 $584
Ferritin (iron) test $86 $14 $14
Fibrinogen test $53 $9 $10
Fibroid removal (myomectomy) $1,971 $858 $914
Flexible sigmoidoscopy $377 $158 $323
Flu test $47 $15 $17
Flu vaccine $30 $59 $22
Folate (folic acid) test $84 $14 $15
Foreign body removal (skin) $1,300 $126 $157
Free T4 thyroid test $55 $9 $9
FSH hormone test $113 $19 $19
Gallbladder removal (laparoscopic) $1,323 $668 $658
Gallbladder scan (HIDA) $1,561 $143 $334
Ganglion cyst removal $605 $319 $321
GGT liver test $44 $6 $7
Glaucoma surgery $2,881 $984
Glucose tolerance test $48 $6 $8
Group therapy session $27 $30
H. pylori test $396 $67 $67
Hammertoe repair $466 $548
HDL cholesterol test $50 $7 $8
Hearing test (audiometry) $57 $36
Hematocrit test $10 $2 $2
Hemodialysis $2,277 $857 $75
Hemoglobin A1c (diabetes test) $58 $10 $10
Hemorrhoid removal $1,781 $273 $338
Hepatitis A vaccine $98 $74
Hepatitis B test $39 $10 $10
Hepatitis B vaccine $83 $72
Hepatitis C test $88 $13 $14
Hip arthroscopy $9,058 $931
Hip fracture repair $3,655 $1,192 $1,120
Hip replacement $3,820 $1,226 $1,162
HIV test $89 $18 $19
Holter heart monitor $326 $49 $26
Home sleep apnea test $188 $123
HPV vaccine $337 $674 $328
Hydrocele repair $652 $327 $315
Hysterectomy $1,913 $926 $933
Hysteroscopy $10,347 $975 $1,270
Ileostomy $2,051 $938 $968
Inguinal hernia repair $6,295 $541 $538
Iron blood test $39 $6 $6
IUD insertion $92 $185 $65
IUD removal $1,037 $86 $112
IV infusion therapy $445 $58 $44
IVC filter placement $17,591 $6,946 $1,885
Joint aspiration (small/intermediate) $560 $45 $57
Kidney biopsy $5,273 $2,062 $492
Kidney scan (nuclear) $2,077 $125 $172
Kidney stone shock-wave (lithotripsy) $4,400 $760
Kidney ultrasound $321 $59 $84
Knee arthroscopy $10,559 $545 $524
Knee joint injection $189 $55 $69
Knee replacement $23,049 $18,054
Lactate test $66 $11 $12
Laminectomy (spine) $7,337 $1,157
Laryngoscopy $4,526 $105 $189
LDH test $37 $6 $6
LDL cholesterol test $56 $11 $11
Leg artery angiogram $10,243 $44 $149
Leg vein ultrasound (Doppler) $1,091 $102 $150
LH hormone test $110 $19 $19
Lipase test $39 $6 $7
Lipid (cholesterol) panel $84 $12 $13
Liver biopsy $5,273 $231 $288
Liver function panel $48 $8 $8
Lumbar discectomy $973 $898
Lumpectomy (breast) $1,490 $764 $750
Lung function test (PFT) $787 $24 $37
Lung scan (V/Q) $1,752 $127 $291
Magnesium blood test $40 $6 $7
Mastectomy $2,086 $1,037 $1,021
Mastoidectomy $7,390 $840
Meniscus repair (knee) $2,179 $765 $714
MMR vaccine $158 $105
Mohs skin cancer surgery $923 $535
MRA of the brain $1,436 $505 $226
MRA of the neck $1,436 $505 $245
MRI of the abdomen $1,436 $505 $300
MRI of the ankle $1,436 $505 $261
MRI of the brain $1,436 $505 $269
MRI of the chest $1,436 $505 $371
MRI of the knee $1,436 $505 $315
MRI of the lower back (lumbar spine) $1,436 $505 $270
MRI of the mid-back (thoracic spine) $1,436 $505 $271
MRI of the neck (cervical spine) $1,436 $505 $274
MRI of the pelvis $1,436 $505 $268
MRI of the shoulder $1,436 $505 $313
MRI of the wrist $1,436 $505 $330
Nebulizer breathing treatment $346 $9 $9
Neck (cervical) spinal fusion $4,827 $12,981 $1,410
Nerve conduction study $45 $118
Newborn hospital care $62 $58
Nuchal translucency ultrasound $49 $116
Nuclear cardiac stress test $4,248 $299 $428
Occupational therapy evaluation $273 $98 $101
Office visit (established patient) $200 $82 $115
Office visit (new patient) $250 $135 $177
Orthopedic hardware removal $9,314 $517 $632
Ovarian cyst removal $1,416 $736 $698
Ovary removal (oophorectomy) $996 $497 $822
Pacemaker insertion $19,893 $15,506
Pap smear (cervical screening) $120 $23 $20
Parathyroid hormone (PTH) test $246 $41 $41
Parathyroid removal $2,707 $985 $891
Pelvic ultrasound $466 $46 $78
PET scan $1,661
Phosphorus blood test $31 $5 $5
Physical therapy evaluation $282 $95 $98
Pilonidal cyst removal $792 $393 $541
Platelet count $30 $4 $4
Pneumonia vaccine $59 $133
Pregnancy blood test (hCG) $46 $5 $8
Pregnancy ultrasound $566 $69 $126
Procalcitonin test $158 $27 $27
Prolactin test $117 $19 $19
Prostate biopsy $169
Prostate removal (prostatectomy) $3,311 $1,469 $1,063
Prostate surgery (TURP) $697 $526
Prostate test (PSA) $110 $18 $18
Psychiatric evaluation $160 $188
Psychotherapy session $118 $140
Pterygium removal (eye) $2,968 $540
Pulmonary rehabilitation $193 $19 $87
Radiofrequency nerve ablation $451 $342 $462
Retina scan (OCT) $43 $33
Retinal (fundus) photography $29 $37
Retinal detachment repair $5,160 $966
Rheumatoid factor test $34 $6 $6
Rotator cuff repair $23,247 $906 $792
Routine eye exam $83 $88
RSV vaccine $284 $569 $336
Sacroiliac joint injection $796 $107 $176
Scoliosis spine X-ray $317 $19 $58
Screening colonoscopy $597 $276 $378
Screening mammogram $627 $98 $126
Scrotal ultrasound $665 $61 $99
Sedimentation rate (ESR) test $11 $3 $3
Semen analysis $67 $11 $12
Septoplasty (deviated septum) $10,554 $653 $613
Sex hormone binding globulin test $133 $22 $22
Shingles vaccine $182 $365 $226
Shoulder arthroscopy $2,979 $1,014 $962
Shoulder replacement $59,846 $1,378 $1,300
Simple wound stitches $647 $79 $127
Sinus surgery (endoscopic) $739 $4,654 $224
Skin biopsy $1,300 $85 $121
Skin cancer lesion removal $2,290 $206 $240
Skin graft $1,608 $755 $898
Skin lesion freezing (cryotherapy) $339 $32 $36
Skin tag removal $647 $78 $92
Sleep study (polysomnography) $3,986 $516 $691
Small bowel resection $2,304 $1,098 $1,136
Soft tissue ultrasound $105 $32 $64
Speech therapy $406 $73 $76
Spinal cord stimulator $828 $1,624 $2,388
Spinal tap (lumbar puncture) $349 $112 $165
Spine fracture repair (kyphoplasty) $23,247 $4,522 $5,803
Spleen removal (splenectomy) $1,994 $1,054 $1,036
Stomach removal (gastrectomy) $2,773 $1,315 $1,595
Strabismus (eye muscle) surgery $4,908 $475
Strep throat test $69 $12 $17
Stress echocardiogram $2,151 $156 $209
Swallow study $605 $80 $85
T3 thyroid test $88 $13 $14
Tdap (tetanus) vaccine $58 $40
Testicle removal (orchiectomy) $665 $316 $306
Testosterone test $155 $26 $26
Thyroid removal (thyroidectomy) $2,730 $6,049 $1,004
Thyroid test (TSH) $99 $13 $17
Thyroid ultrasound $86 $54 $109
Thyroid uptake scan $1,308 $84 $145
Tilt table test $1,727 $123 $168
Tonsillectomy $331 $252
Total IgE allergy test $98 $15 $16
Total protein test $25 $4 $4
Tracheostomy $301 $273
Transesophageal echocardiogram (TEE) $2,749 $184 $239
Transvaginal ultrasound $366 $75 $118
Trigger finger release $1,758 $460 $630
Trigger point injection $961 $49 $56
Triglycerides test $35 $5 $6
Troponin (heart) test $58 $11 $12
Tubal ligation $686 $358 $333
Turbinate reduction $4,139 $294
Turning a breech baby (version) $936 $97 $94
Ulnar nerve surgery (elbow) $1,750 $583 $575
Upper GI endoscopy (EGD) $2,118 $240 $371
Upper GI series (barium) $595 $51 $128
Ureteral stent placement $11,224 $312 $373
Ureteroscopy (stone removal) $1,147 $393 $365
Uric acid (gout) test $30 $5 $5
Urinalysis $11 $2 $3
Urine microalbumin test $32 $5 $5
Urine pregnancy test $39 $6 $9
UV light therapy (skin) $77 $106
Vaccine administration $129 $15 $19
Vaginal delivery $7,482 $5,487
Varicocele repair $340 $327
Varicose vein ablation $10,243 $3,941 $1,018
Vasectomy $727 $286 $347
Visual field test $10 $64
Vitamin B12 test $90 $14 $15
Vitamin D test $91 $30 $30
Vitrectomy (eye) $5,160 $814
Vocal cord injection $4,654 $211
Wart removal $647 $96 $121
Weight-loss (bariatric) surgery $15,110 $11,645
Well-child visit $185 $82
Wound debridement $1,105 $142 $186
Wrist fracture repair $23,247 $770 $735
X-ray of the abdomen $346 $20 $36
X-ray of the ankle $308 $17 $37
X-ray of the collarbone $308 $16 $33
X-ray of the elbow $308 $17 $33
X-ray of the facial bones $327 $25 $39
X-ray of the foot $308 $17 $34
X-ray of the forearm $308 $15 $29
X-ray of the hand $308 $17 $38
X-ray of the hip $287 $19 $49
X-ray of the knee $308 $21 $42
X-ray of the lower back (lumbar spine) $429 $30 $47
X-ray of the lower leg $308 $15 $31
X-ray of the mid-back (thoracic spine) $346 $26 $36
X-ray of the neck (cervical spine) $410 $25 $47
X-ray of the pelvis $346 $20 $36
X-ray of the ribs $346 $25 $42
X-ray of the shoulder $308 $19 $36
X-ray of the skull $429 $25 $40
X-ray of the upper arm $308 $15 $32
X-ray of the wrist $308 $17 $43
YAG laser capsulotomy (eye) $687 $335
Zinc blood test $58 $10 $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.