Published prices for 319 procedures at Faith Regional Health Services (Norfolk, NE), from its machine-readable file.
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| Procedure | Cash | Chargemaster | Insurer | Medicare |
|---|---|---|---|---|
| 3D mammogram (tomosynthesis) | $41 | $65 | $27 | $51 |
| Abdominal fluid drain (paracentesis) | $1,358 | $2,169 | $1,034 | $284 |
| Abdominal ultrasound | $721 | $1,152 | $119 | $100 |
| Abscess incision and drainage | $801 | $1,280 | $233 | $174 |
| ACL knee reconstruction | $6,973 | $11,139 | $8,271 | $889 |
| Adenoid removal (adenoidectomy) | $1,774 | $2,834 | $3,779 | $204 |
| Albumin blood test | $40 | $64 | $5 | $5 |
| Aldosterone test | $124 | $198 | $42 | $41 |
| Alkaline phosphatase test | $27 | $43 | $5 | $5 |
| Alpha-fetoprotein (AFP) test | $52 | $83 | $17 | $17 |
| ALT liver enzyme test | $27 | $43 | $5 | $5 |
| Ammonia blood test | $71 | $114 | $15 | $15 |
| Amniocentesis | $1,431 | $2,286 | $1,050 | $120 |
| Amylase test | $90 | $143 | $7 | $6 |
| Ankle fracture repair | $2,159 | $3,450 | $8,271 | $608 |
| Ankle replacement | $5,416 | $8,651 | $30,929 | $885 |
| Annual physical (established patient) | $202 | $323 | — | — |
| Annual physical (new patient) | $229 | $366 | — | — |
| Anoscopy | $602 | $962 | $152 | $129 |
| Antinuclear antibody (ANA) test | $40 | $64 | $12 | $12 |
| Aortic aneurysm repair (AAA) | $5,585 | $8,922 | $1,014 | $1,345 |
| Appendix removal (appendectomy) | — | — | $2,400 | $592 |
| Arterial blood gas (ABG) | $233 | $372 | $27 | $26 |
| AST liver enzyme test | $27 | $43 | $5 | $5 |
| Barium swallow study | $531 | $848 | $200 | $107 |
| Bartholin cyst removal | $323 | $516 | $230 | $182 |
| Basic metabolic panel | $133 | $212 | $9 | $8 |
| Benign skin lesion removal | $1,283 | $2,050 | $784 | $171 |
| Bilirubin blood test | $28 | $44 | $5 | $5 |
| Bladder scope (cystoscopy) | $1,096 | $1,751 | $795 | $216 |
| Bladder tumor removal (TURBT) | $4,241 | $6,774 | $4,018 | $236 |
| Blood clotting test (PT/INR) | $56 | $89 | $4 | $4 |
| Blood crossmatch | $145 | $231 | $194 | — |
| Blood glucose test | $27 | $43 | $4 | $5 |
| Blood transfusion | $789 | $1,260 | $503 | $47 |
| Blood type and screen | $80 | $128 | $59 | $10 |
| Blood type test | $58 | $92 | $43 | $3 |
| BNP (heart failure) test | $115 | $184 | $40 | $39 |
| Bone density scan (DEXA) | $461 | $736 | $119 | $39 |
| Bone marrow biopsy | $1,708 | $2,729 | $2,613 | $172 |
| Bone scan (nuclear) | $1,440 | $2,300 | $456 | $259 |
| Botox for migraine | $472 | $754 | $350 | $157 |
| Breast biopsy | $2,293 | $3,663 | $1,919 | $478 |
| Breast MRI | $2,284 | $3,648 | $272 | $216 |
| Breast reconstruction | $1,918 | $3,064 | $15,709 | $1,227 |
| Breast reduction | $4,844 | $7,738 | $7,569 | $980 |
| Breast ultrasound | $395 | $631 | $111 | $92 |
| Breathing tube insertion (intubation) | $604 | $966 | $270 | $133 |
| Bronchoscopy | $1,571 | $2,510 | $2,068 | $303 |
| Bunion surgery (bunionectomy) | $2,069 | $3,306 | $8,271 | $883 |
| Burn treatment | $501 | $801 | $229 | $129 |
| C-reactive protein (CRP) | $78 | $125 | $5 | $5 |
| CA 19-9 tumor marker test | $123 | $196 | $21 | $21 |
| CA-125 ovarian marker test | $123 | $196 | $21 | $21 |
| Calcium blood test | $24 | $38 | $5 | $5 |
| Cardiac ablation | $29,817 | $47,631 | $29,794 | $759 |
| Cardiac catheterization | $16,930 | $27,044 | $3,695 | $1,049 |
| Cardiac rehabilitation | $244 | $390 | $147 | $26 |
| Cardiac stress test | $1,051 | $1,679 | $246 | $39 |
| Cardioversion | $1,281 | $2,047 | $753 | $155 |
| Carotid artery surgery | $28,225 | $45,088 | $929 | $1,026 |
| Carotid artery ultrasound | $1,276 | $2,039 | $264 | $156 |
| Carpal tunnel release | $1,361 | $2,174 | $2,226 | $483 |
| CEA tumor marker test | $95 | $152 | $20 | $19 |
| Celiac disease test | $88 | $140 | $12 | $12 |
| Central line placement | $4,825 | $7,707 | $3,599 | $238 |
| Cervical LEEP procedure | $2,618 | $4,183 | $3,690 | $325 |
| Cesarean section (C-section) | — | — | $10,680 | $7,552 |
| Chemotherapy infusion | $552 | $882 | $84 | $81 |
| Chest fluid drain (thoracentesis) | $1,270 | $2,030 | $729 | $311 |
| Chest tube insertion | $2,810 | $4,489 | $1,794 | $143 |
| Chest X-ray | $220 | $351 | $99 | $37 |
| Circumcision | $2,686 | $4,290 | $2,383 | $167 |
| CK-MB heart enzyme test | $154 | $246 | $12 | $12 |
| Clotting time test (PTT) | $57 | $91 | $6 | $6 |
| Colonoscopy | $629 | $1,004 | $1,364 | $480 |
| Colposcopy | $1,118 | $1,787 | $347 | $161 |
| Complete blood count (CBC) | $76 | $121 | $8 | $7 |
| Comprehensive metabolic panel | $150 | $240 | $11 | $11 |
| Continuous glucose monitor setup | $80 | $128 | $34 | $35 |
| Contraceptive implant (Nexplanon) | $335 | $535 | $494 | $115 |
| Copper blood test | $95 | $151 | $13 | $12 |
| Coronary angioplasty / stent (PCI) | — | — | $2,400 | $426 |
| Coronary artery bypass (CABG) | — | — | $48,632 | $36,593 |
| Coronary CT angiography | $2,174 | $3,474 | $398 | $326 |
| Cortisol test | $71 | $113 | $17 | $16 |
| COVID-19 PCR test | $78 | $124 | $53 | $51 |
| CPAP titration study | $726 | $1,160 | $250 | $69 |
| Creatine kinase (CK) test | $85 | $136 | $7 | $7 |
| CT angiography of the chest | $2,383 | $3,806 | $202 | $281 |
| CT angiography of the head | $2,457 | $3,925 | $202 | $274 |
| CT scan of the abdomen | $2,117 | $3,382 | $200 | $230 |
| CT scan of the abdomen and pelvis | $4,046 | $6,463 | $368 | $300 |
| CT scan of the arm | $1,771 | $2,829 | $204 | $199 |
| CT scan of the chest | $1,821 | $2,909 | $197 | $167 |
| CT scan of the head | $1,432 | $2,288 | $127 | $148 |
| CT scan of the leg | $1,453 | $2,321 | $194 | $166 |
| CT scan of the lower back (lumbar spine) | $1,704 | $2,722 | $204 | $169 |
| CT scan of the neck | $1,984 | $3,170 | $200 | $183 |
| CT scan of the neck (cervical spine) | $1,634 | $2,611 | $204 | $168 |
| CT scan of the pelvis | $1,544 | $2,467 | $197 | $226 |
| CT scan of the sinuses | $1,715 | $2,739 | $200 | $152 |
| D-dimer test | $151 | $241 | $10 | $10 |
| Defibrillator (ICD) implant | $46,799 | $74,758 | $35,779 | $798 |
| DHEA-sulfate test | $105 | $168 | $23 | $22 |
| Diagnostic mammogram | $258 | $412 | $38 | $140 |
| Dialysis fistula creation | $3,350 | $5,352 | $3,599 | $601 |
| Dilation and curettage (D&C) | $1,417 | $2,263 | $3,690 | $298 |
| Drug screen (urine) | $169 | $270 | $64 | $17 |
| Ear pressure test (tympanometry) | $46 | $74 | $43 | $16 |
| Ear tubes (myringotomy) | $736 | $1,175 | $1,351 | $174 |
| Eardrum repair (tympanoplasty) | $2,460 | $3,930 | $6,748 | $799 |
| Echocardiogram | $1,278 | $2,042 | $448 | $138 |
| Electrocardiogram (EKG) | $282 | $450 | $67 | $8 |
| Electroencephalogram (EEG) | $819 | $1,309 | $246 | $448 |
| Electrolyte panel | $85 | $135 | $7 | $7 |
| Electromyography (EMG) | $131 | $209 | $152 | $141 |
| Emergency department visit | $783 | $1,251 | $462 | $69 |
| Endometrial biopsy | $183 | $293 | $230 | $98 |
| Epidural steroid injection | $1,311 | $2,094 | $805 | $275 |
| ERCP (bile duct endoscopy) | $799 | $1,277 | $4,395 | $311 |
| Estradiol (estrogen) test | $158 | $252 | $29 | $28 |
| Fallopian tube X-ray (HSG) | $557 | $890 | $158 | $164 |
| Fecal occult blood (stool) test | $21 | $34 | $5 | $10 |
| Feeding tube (PEG) placement | $1,270 | $2,028 | $2,187 | $178 |
| Ferritin (iron) test | $131 | $210 | $14 | $14 |
| Fibrinogen test | $99 | $158 | $10 | $10 |
| Flexible sigmoidoscopy | $648 | $1,036 | $1,060 | $323 |
| Flu vaccine | $30 | $48 | $25 | — |
| Folate (folic acid) test | $110 | $175 | $15 | $15 |
| Foreign body removal (skin) | $814 | $1,301 | $463 | $157 |
| Free T4 thyroid test | $68 | $108 | $9 | $9 |
| FSH hormone test | $105 | $168 | $19 | $19 |
| Gallbladder removal (laparoscopic) | $8,278 | $13,224 | $6,891 | $658 |
| Gallbladder scan (HIDA) | $3,449 | $5,510 | $544 | $334 |
| Ganglion cyst removal | $1,681 | $2,686 | $1,833 | $321 |
| GGT liver test | $34 | $54 | $7 | $7 |
| Glucose tolerance test | $39 | $63 | $4 | $8 |
| H. pylori test | $319 | $510 | $69 | $67 |
| Hammertoe repair | $1,245 | $1,989 | $3,730 | $548 |
| HDL cholesterol test | $66 | $105 | $9 | $8 |
| Hearing test (audiometry) | $188 | $300 | $147 | $36 |
| Hematocrit test | $36 | $58 | $2 | $2 |
| Hemoglobin A1c (diabetes test) | $33 | $53 | $10 | $10 |
| Hemorrhoid removal | $1,292 | $2,064 | $1,060 | $338 |
| Hepatitis B test | $34 | $54 | $11 | $10 |
| Hepatitis B vaccine | $163 | $261 | $80 | — |
| Hepatitis C test | $63 | $101 | $15 | $14 |
| Hip replacement | $7,532 | $12,032 | $14,634 | $1,162 |
| HIV test | $118 | $188 | $25 | $19 |
| Holter heart monitor | $613 | $979 | $110 | $26 |
| Home sleep apnea test | $387 | $619 | $246 | $123 |
| HPV vaccine | $367 | $587 | $304 | — |
| Hydrocele repair | $2,462 | $3,933 | $4,081 | $315 |
| Hysteroscopy | $3,420 | $5,464 | $3,690 | $1,270 |
| Inguinal hernia repair | $1,808 | $2,889 | $4,160 | $538 |
| Iron blood test | $63 | $100 | $7 | $6 |
| IUD insertion | $2,964 | $4,735 | — | — |
| IUD removal | $689 | $1,100 | $347 | $112 |
| IV infusion therapy | $359 | $573 | $242 | $44 |
| IVC filter placement | $7,765 | $12,404 | $6,343 | $1,885 |
| Joint aspiration (small/intermediate) | $227 | $362 | $350 | $57 |
| Kidney biopsy | $1,084 | $1,732 | $1,883 | $492 |
| Kidney scan (nuclear) | $1,532 | $2,447 | $619 | $172 |
| Kidney stone shock-wave (lithotripsy) | $11,000 | $17,572 | $4,018 | $760 |
| Kidney ultrasound | $603 | $963 | $119 | $84 |
| Knee arthroscopy | $4,000 | $6,389 | $3,730 | $524 |
| Knee joint injection | $657 | $1,049 | $357 | $69 |
| Knee replacement | — | — | $23,492 | $18,054 |
| Lactate test | $117 | $187 | $12 | $12 |
| Laminectomy (spine) | $4,215 | $6,734 | $8,271 | $1,157 |
| Laryngoscopy | $425 | $679 | $232 | $189 |
| LDH test | $53 | $84 | $6 | $6 |
| LDL cholesterol test | $48 | $77 | $11 | $11 |
| Leg artery angiogram | $3,678 | $5,876 | $3,599 | $149 |
| Leg artery angioplasty | $16,553 | $26,443 | — | — |
| Leg vein ultrasound (Doppler) | $862 | $1,377 | $121 | $150 |
| LH hormone test | $124 | $198 | $19 | $19 |
| Lipase test | $99 | $158 | $7 | $7 |
| Lipid (cholesterol) panel | $117 | $187 | $14 | $13 |
| Liver biopsy | $1,475 | $2,357 | $1,883 | $288 |
| Liver function panel | $90 | $144 | $8 | $8 |
| Lumbar discectomy | $5,387 | $8,605 | $8,271 | $898 |
| Lumpectomy (breast) | $1,896 | $3,029 | $4,463 | $750 |
| Lung function test (PFT) | $432 | $690 | $338 | $37 |
| Lung scan (V/Q) | $2,879 | $4,599 | $619 | $291 |
| Magnesium blood test | $71 | $114 | $7 | $7 |
| Mastectomy | $1,814 | $2,898 | $7,569 | $1,021 |
| Meniscus repair (knee) | $4,751 | $7,589 | $3,730 | $714 |
| MRA of the brain | $1,442 | $2,303 | $386 | $226 |
| MRA of the neck | $3,635 | $5,807 | $398 | $245 |
| MRI of the abdomen | $2,672 | $4,268 | $386 | $300 |
| MRI of the ankle | $1,814 | $2,898 | $398 | $261 |
| MRI of the brain | $2,823 | $4,509 | $398 | $269 |
| MRI of the chest | $4,055 | $6,478 | $386 | $371 |
| MRI of the knee | $2,110 | $3,371 | $425 | $315 |
| MRI of the lower back (lumbar spine) | $2,482 | $3,966 | $398 | $270 |
| MRI of the mid-back (thoracic spine) | $2,864 | $4,575 | $398 | $271 |
| MRI of the neck (cervical spine) | $2,537 | $4,052 | $398 | $274 |
| MRI of the pelvis | $2,437 | $3,893 | $386 | $268 |
| MRI of the shoulder | $1,917 | $3,063 | $450 | $313 |
| MRI of the wrist | $2,396 | $3,828 | $392 | $330 |
| Nebulizer breathing treatment | $148 | $237 | — | $9 |
| Neck (cervical) spinal fusion | $1,393 | $2,225 | $14,634 | $1,410 |
| Nerve conduction study | $576 | $920 | $246 | $118 |
| Nuclear cardiac stress test | $4,491 | $7,174 | $1,476 | $428 |
| Occupational therapy evaluation | $186 | $297 | $99 | $101 |
| Office visit (established patient) | $207 | $330 | $57 | $115 |
| Office visit (new patient) | $355 | $567 | $110 | $177 |
| Orthopedic hardware removal | $2,271 | $3,627 | $3,311 | $632 |
| Ovarian cyst removal | $3,639 | $5,813 | $5,702 | $698 |
| Pacemaker insertion | — | — | $20,377 | $15,506 |
| Parathyroid hormone (PTH) test | $227 | $362 | $43 | $41 |
| Parathyroid removal | $6,852 | $10,945 | $6,748 | $891 |
| Pelvic ultrasound | $624 | $997 | $119 | $78 |
| PET scan | $9,162 | $14,636 | $1,630 | — |
| Phosphorus blood test | $49 | $78 | $5 | $5 |
| Physical therapy evaluation | $186 | $297 | $97 | $98 |
| Pilonidal cyst removal | $2,196 | $3,509 | $3,311 | $541 |
| Platelet count | $57 | $91 | $5 | $4 |
| Pneumonia vaccine | $158 | $252 | $151 | — |
| Pregnancy blood test (hCG) | $110 | $175 | $8 | $8 |
| Pregnancy ultrasound | $493 | $787 | $119 | $126 |
| Procalcitonin test | $203 | $325 | $28 | $27 |
| Prolactin test | $38 | $60 | $20 | $19 |
| Prostate biopsy | $2,156 | $3,445 | — | — |
| Prostate surgery (TURP) | $4,554 | $7,274 | $6,112 | $526 |
| Prostate test (PSA) | $90 | $144 | $19 | $18 |
| Psychiatric evaluation | $238 | $381 | $202 | $188 |
| Psychotherapy session | $227 | $363 | $202 | $140 |
| Pulmonary rehabilitation | $257 | $410 | $67 | $87 |
| Radiofrequency nerve ablation | $892 | $1,425 | $2,226 | $462 |
| Rotator cuff repair | $2,485 | $3,970 | $8,271 | $792 |
| RSV vaccine | $401 | $640 | — | — |
| Sacroiliac joint injection | $921 | $1,471 | $71 | $176 |
| Scoliosis spine X-ray | $423 | $675 | $111 | $58 |
| Screening colonoscopy | $2,302 | $3,678 | $1,060 | $378 |
| Screening mammogram | $253 | $404 | $35 | $126 |
| Scrotal ultrasound | $592 | $945 | $119 | $99 |
| Sedimentation rate (ESR) test | $51 | $81 | $3 | $3 |
| Semen analysis | $84 | $134 | $13 | $12 |
| Septoplasty (deviated septum) | $2,856 | $4,563 | $3,779 | $613 |
| Sex hormone binding globulin test | $39 | $63 | $22 | $22 |
| Shingles vaccine | $264 | $422 | — | — |
| Shoulder arthroscopy | $2,602 | $4,156 | $8,271 | $962 |
| Shoulder replacement | $6,765 | $10,807 | $19,986 | $1,300 |
| Simple wound stitches | $314 | $501 | $229 | $127 |
| Sinus surgery (endoscopic) | $1,958 | $3,128 | $8,045 | $224 |
| Skin biopsy | $529 | $845 | $472 | $121 |
| Skin graft | $595 | $951 | $2,398 | $898 |
| Skin lesion freezing (cryotherapy) | $141 | $225 | $229 | $36 |
| Skin tag removal | $148 | $236 | $229 | $92 |
| Sleep study (polysomnography) | $3,932 | $6,282 | $979 | $691 |
| Soft tissue ultrasound | $465 | $743 | $119 | $64 |
| Speech therapy | $210 | $336 | $76 | $76 |
| Spinal cord stimulator | $1,812 | $2,894 | $7,264 | $2,388 |
| Spinal tap (lumbar puncture) | $819 | $1,309 | $805 | $165 |
| Spine fracture repair (kyphoplasty) | $7,848 | $12,537 | $8,271 | $5,803 |
| Stress echocardiogram | $1,650 | $2,636 | $623 | $209 |
| Swallow study | $275 | $439 | $84 | $85 |
| T3 thyroid test | $110 | $175 | $15 | $14 |
| Tdap (tetanus) vaccine | $108 | $173 | $45 | — |
| Testosterone test | $64 | $103 | $27 | $26 |
| Thyroid removal (thyroidectomy) | $15,154 | $24,207 | $6,891 | $1,004 |
| Thyroid test (TSH) | $133 | $212 | $17 | $17 |
| Thyroid ultrasound | $520 | $831 | $119 | $109 |
| Thyroid uptake scan | $1,824 | $2,913 | $456 | $145 |
| Tilt table test | $2,254 | $3,601 | $425 | $168 |
| Tonsillectomy | $2,160 | $3,451 | $5,294 | $252 |
| Total IgE allergy test | $94 | $150 | $17 | $16 |
| Total protein test | $51 | $82 | $4 | $4 |
| Transesophageal echocardiogram (TEE) | $1,655 | $2,643 | $623 | $239 |
| Transvaginal ultrasound | $571 | $912 | $119 | $118 |
| Trigger finger release | $668 | $1,068 | $1,833 | $630 |
| Trigger point injection | $594 | $950 | $350 | $56 |
| Triglycerides test | $39 | $63 | $6 | $6 |
| Troponin (heart) test | $165 | $264 | $13 | $12 |
| Turbinate reduction | $2,003 | $3,200 | $3,779 | $294 |
| Turning a breech baby (version) | $2,418 | $3,862 | $3,690 | $94 |
| Ulnar nerve surgery (elbow) | $1,070 | $1,710 | $2,226 | $575 |
| Upper GI endoscopy (EGD) | $617 | $986 | $1,034 | $371 |
| Upper GI series (barium) | $562 | $897 | $200 | $128 |
| Ureteral stent placement | $2,890 | $4,617 | $4,018 | $373 |
| Ureteroscopy (stone removal) | $7,031 | $11,232 | $6,112 | $365 |
| Uric acid (gout) test | $48 | $76 | $5 | $5 |
| Urinalysis | $41 | $65 | $3 | $3 |
| Urine microalbumin test | $51 | $81 | $5 | $5 |
| Urine pregnancy test | $72 | $115 | $9 | $9 |
| Vaccine administration | $58 | $92 | $82 | $19 |
| Vaginal delivery | — | — | $7,210 | $5,487 |
| Varicose vein ablation | $5,525 | $8,826 | $3,599 | $1,018 |
| Vasectomy | $2,535 | $4,049 | $2,383 | $347 |
| Vitamin B12 test | $85 | $136 | $16 | $15 |
| Vitamin D test | $176 | $281 | $30 | $30 |
| Wart removal | $105 | $167 | $229 | $121 |
| Weight-loss (bariatric) surgery | — | — | $15,405 | $11,645 |
| Wound debridement | $968 | $1,546 | $472 | $186 |
| Wrist fracture repair | $2,164 | $3,456 | $8,271 | $735 |
| X-ray of the abdomen | $271 | $433 | $116 | $36 |
| X-ray of the ankle | $258 | $412 | $99 | $37 |
| X-ray of the collarbone | $219 | $350 | $99 | $33 |
| X-ray of the elbow | $293 | $468 | $99 | $33 |
| X-ray of the facial bones | $230 | $368 | $101 | $39 |
| X-ray of the foot | $273 | $436 | $99 | $34 |
| X-ray of the forearm | $252 | $402 | $99 | $29 |
| X-ray of the hand | $290 | $464 | $99 | $38 |
| X-ray of the hip | $362 | $579 | $100 | $49 |
| X-ray of the knee | $297 | $474 | $101 | $42 |
| X-ray of the lower back (lumbar spine) | $434 | $693 | $119 | $47 |
| X-ray of the lower leg | $271 | $433 | $99 | $31 |
| X-ray of the mid-back (thoracic spine) | $305 | $487 | $119 | $36 |
| X-ray of the neck (cervical spine) | $305 | $487 | $101 | $47 |
| X-ray of the pelvis | $249 | $398 | $119 | $36 |
| X-ray of the ribs | $339 | $541 | $116 | $42 |
| X-ray of the shoulder | $266 | $425 | $99 | $36 |
| X-ray of the skull | $329 | $525 | $119 | $40 |
| X-ray of the upper arm | $275 | $440 | $99 | $32 |
| X-ray of the wrist | $284 | $454 | $99 | $43 |
| Zinc blood test | $78 | $125 | $12 | $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.