Gillette Childrens Specialty Hospital — procedure prices

Published prices for 389 procedures at Gillette Childrens Specialty Hospital (Saint Paul, MN), from its machine-readable file.

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ProcedureCashChargemasterInsurerMedicare
3D mammogram (tomosynthesis) $49 $51
Abdominal fluid drain (paracentesis) $332 $284
Abdominal ultrasound $864 $1,441 $808 $100
Abscess incision and drainage $240 $400 $228 $174
Achilles tendon repair $1,681 $2,801 $1,432 $624
ACL knee reconstruction $2,471 $4,118 $2,083 $889
Acupuncture $44 $38
Adenoid removal (adenoidectomy) $504 $840 $375 $204
Albumin blood test $5 $5
Aldosterone test $41 $41
Alkaline phosphatase test $5 $5
Allergy patch testing $9 $5
Allergy shots $17 $11
Allergy testing $6 $4
Alpha-fetoprotein (AFP) test $17 $17
ALT liver enzyme test $5 $5
Ammonia blood test $15 $15
Amniocentesis $167 $120
Amylase test $6 $6
Anal fistula repair $669 $541
Ankle fracture repair $1,629 $2,715 $1,494 $608
Ankle replacement $2,488 $4,146 $2,057 $885
Annual physical (established patient) $164
Annual physical (new patient) $195
Anoscopy $118 $129
Antinuclear antibody (ANA) test $12 $12
Aortic aneurysm repair (AAA) $1,200 $1,345
Aortic valve replacement $1,266 $1,603
Arterial blood gas (ABG) $26 $26
AST liver enzyme test $5 $5
Barium swallow study $1,196 $1,993 $197 $107
Bartholin cyst removal $171 $182
Basic metabolic panel $8 $8
Benign skin lesion removal $283 $471 $274 $171
Bilirubin blood test $5 $5
Bladder function test (urodynamics) $252 $345
Bladder scope (cystoscopy) $362 $604 $383 $216
Bladder tumor removal (TURBT) $432 $236
Blood clotting test (PT/INR) $4 $4
Blood crossmatch $25
Blood glucose test $5 $5
Blood transfusion $70 $47
Blood type and screen $10 $10
Blood type test $3 $3
BNP (heart failure) test $39 $39
Bone density scan (DEXA) $763 $1,271 $88 $39
Bone marrow biopsy $297 $172
Bone scan (nuclear) $175 $259
Botox for migraine $234 $390 $233 $157
Brain shunt (VP shunt) $2,522 $4,204 $1,659 $1,023
Breast biopsy $997 $478
Breast MRI $196 $216
Breast reconstruction $1,612 $1,227
Breast reduction $2,800 $4,667 $2,335 $980
Breast ultrasound $454 $756 $115 $92
Breathing tube insertion (intubation) $295 $492 $277 $133
Bronchoscopy $606 $1,010 $555 $303
Bunion surgery (bunionectomy) $1,403 $2,339 $1,051 $883
Burn treatment $158 $129
C-reactive protein (CRP) $5 $5
CA 19-9 tumor marker test $21 $21
CA-125 ovarian marker test $21 $21
Calcium blood test $5 $5
Capsule endoscopy $472 $802
Cardiac ablation $1,407 $759
Cardiac catheterization $588 $1,049
Cardiac event monitor $311 $170
Cardiac MRI $228 $322
Cardiac rehabilitation $38 $26
Cardiac stress test $62 $39
Cardioversion $236 $155
Carotid artery surgery $1,531 $1,026
Carotid artery ultrasound $1,048 $1,746 $188 $156
Carpal tunnel release $1,016 $1,693 $1,011 $483
Cataract surgery $992 $547
CEA tumor marker test $19 $19
Celiac disease test $12 $12
Central line placement $254 $238
Cervical cerclage $242 $137
Cervical LEEP procedure $380 $325
Chalazion (eyelid cyst) removal $162 $131
Chemotherapy infusion $86 $81
Chest fluid drain (thoracentesis) $995 $1,659 $936 $311
Chest tube insertion $467 $778 $465 $143
Chest X-ray $215 $359 $129 $37
Chickenpox (varicella) vaccine $174
Chiropractic adjustment $51 $38
Circumcision $533 $888 $328 $167
CK-MB heart enzyme test $12 $12
Clotting time test (PTT) $6 $6
Colon resection (colectomy) $909 $1,238
Colonoscopy $715 $1,192 $672 $480
Colostomy $818 $1,122
Colposcopy $225 $161
Complete blood count (CBC) $8 $7
Complex wound repair $671 $1,118 $631 $390
Comprehensive eye exam $150 $138
Comprehensive metabolic panel $11 $11
Contact lens fitting $104
Continuous glucose monitor setup $53 $35
Contraceptive implant (Nexplanon) $548 $914 $403 $115
Copper blood test $12 $12
Corneal transplant $1,377 $1,066
Coronary CT angiography $215 $326
Cortisol test $16 $16
COVID-19 PCR test $51 $51
CPAP titration study $1,475 $2,459 $1,387 $69
Craniotomy (brain surgery) $5,216 $8,693 $3,477 $2,161
Creatine kinase (CK) test $7 $7
CT angiography of the chest $1,901 $3,168 $402 $281
CT angiography of the head $1,824 $3,040 $1,683 $274
CT colonography (virtual colonoscopy) $251 $835
CT scan of the abdomen $2,034 $3,390 $297 $230
CT scan of the abdomen and pelvis $3,420 $5,700 $2,835 $300
CT scan of the arm $1,824 $3,040 $1,818 $199
CT scan of the chest $1,824 $3,040 $276 $167
CT scan of the head $1,519 $2,531 $220 $148
CT scan of the leg $1,858 $3,096 $1,851 $166
CT scan of the lower back (lumbar spine) $1,824 $3,040 $169 $169
CT scan of the neck $1,824 $3,040 $293 $183
CT scan of the neck (cervical spine) $1,235 $2,058 $283 $168
CT scan of the pelvis $1,824 $3,040 $372 $226
CT scan of the sinuses $1,564 $2,606 $1,461 $152
D-dimer test $10 $10
Defibrillator (ICD) implant $1,283 $798
Developmental screening (child) $15
DHEA-sulfate test $22 $22
Diagnostic mammogram $87 $140
Dialysis fistula creation $399 $601
Dilation and curettage (D&C) $363 $298
Droopy eyelid repair (ptosis) $1,000 $745
Drug screen (urine) $17 $17
Ear pressure test (tympanometry) $23 $16
Ear tubes (myringotomy) $341 $569 $336 $174
Eardrum repair (tympanoplasty) $1,450 $799
Echocardiogram $416 $693 $196 $138
Elbow replacement $1,564 $1,301
Electrocardiogram (EKG) $413 $688 $26 $8
Electroencephalogram (EEG) $643 $1,071 $567 $448
Electrolyte panel $7 $7
Electromyography (EMG) $338 $564 $138 $141
Emergency department visit $97 $161 $106 $69
Endometrial biopsy $143 $98
Epidural steroid injection $1,066 $1,777 $606 $275
ERCP (bile duct endoscopy) $573 $311
Esophageal dilation $349 $522
Esophageal variceal banding $238 $126
Estradiol (estrogen) test $28 $28
Eye refraction (glasses prescription) $27
Eyelid surgery (blepharoplasty) $809 $552
Facet joint injection (spine) $88 $99
Fallopian tube X-ray (HSG) $111 $164
Family therapy session $226 $377 $231 $110
Fecal occult blood (stool) test $10 $10
Feeding tube (PEG) placement $622 $1,036 $584 $178
Femoral hernia repair $747 $584
Ferritin (iron) test $14 $14
Fibrinogen test $10 $10
Fibroid removal (myomectomy) $744 $914
Flexible sigmoidoscopy $293 $489 $245 $323
Flu test $17 $17
Flu vaccine $22
Folate (folic acid) test $15 $15
Foreign body removal (skin) $197 $328 $196 $157
Free T4 thyroid test $9 $9
FSH hormone test $19 $19
Gallbladder removal (laparoscopic) $1,496 $2,493 $1,026 $658
Gallbladder scan (HIDA) $235 $334
Ganglion cyst removal $755 $1,258 $752 $321
GGT liver test $7 $7
Glaucoma surgery $1,324 $984
Glucose tolerance test $8 $8
Group therapy session $40 $30
H. pylori test $67 $67
Hammertoe repair $848 $1,413 $845 $548
HDL cholesterol test $8 $8
Hearing test (audiometry) $60 $36
Hematocrit test $2 $2
Hemodialysis $129 $75
Hemoglobin A1c (diabetes test) $10 $10
Hemorrhoid removal $403 $338
Hepatitis A vaccine $72
Hepatitis B test $10 $10
Hepatitis B vaccine $70
Hepatitis C test $14 $14
Hip arthroscopy $2,681 $4,469 $2,173 $931
Hip fracture repair $3,085 $5,141 $1,585 $1,120
Hip replacement $2,276 $3,794 $2,035 $1,162
HIV test $17 $19
Holter heart monitor $46 $26
Home sleep apnea test $79 $123
HPV vaccine $288
Hydrocele repair $488 $315
Hysterectomy $913 $933
Hysteroscopy $1,139 $1,270
Ileostomy $709 $968
Incisional hernia repair $1,275
Inguinal hernia repair $1,413 $2,355 $1,128 $538
Iron blood test $6 $6
IUD insertion $133
IUD removal $143 $112
IV infusion therapy $347 $578 $308 $44
IVC filter placement $3,341 $1,885
Joint aspiration (small/intermediate) $228 $381 $149 $57
Kidney biopsy $875 $492
Kidney removal (nephrectomy) $1,658 $1,164
Kidney scan (nuclear) $108 $172
Kidney stone shock-wave (lithotripsy) $1,176 $760
Kidney ultrasound $1,151 $1,918 $853 $84
Knee arthroscopy $1,588 $2,647 $1,321 $524
Knee joint injection $130 $217 $141 $69
Lactate test $12 $12
Laminectomy (spine) $3,074 $5,123 $1,693 $1,157
Laryngoscopy $416 $694 $369 $189
LDH test $6 $6
LDL cholesterol test $11 $11
Leg artery angiogram $127 $149
Leg artery angioplasty $3,978
Leg vein ultrasound (Doppler) $995 $1,659 $992 $150
LH hormone test $19 $19
Lipase test $7 $7
Lipid (cholesterol) panel $13 $13
Liver biopsy $342 $288
Liver function panel $8 $8
Lumbar discectomy $2,356 $3,926 $1,219 $898
Lumpectomy (breast) $972 $750
Lung function test (PFT) $71 $119 $71 $37
Lung scan (V/Q) $193 $291
Magnesium blood test $7 $7
Mastectomy $1,175 $1,021
Mastoidectomy $1,534 $840
Meniscus repair (knee) $1,724 $2,873 $1,620 $714
MMR vaccine $93
Mohs skin cancer surgery $619 $535
MRA of the brain $4,010 $6,684 $3,378 $226
MRA of the neck $5,245 $8,742 $366 $245
MRI of the abdomen $4,890 $8,150 $2,674 $300
MRI of the ankle $3,389 $5,649 $3,932 $261
MRI of the brain $3,422 $5,703 $3,600 $269
MRI of the chest $3,468 $5,780 $594 $371
MRI of the knee $4,971 $8,285 $4,402 $315
MRI of the lower back (lumbar spine) $3,006 $5,010 $2,996 $270
MRI of the mid-back (thoracic spine) $2,838 $4,730 $2,512 $271
MRI of the neck (cervical spine) $2,838 $4,730 $2,829 $274
MRI of the pelvis $3,389 $5,649 $3,186 $268
MRI of the shoulder $5,831 $9,718 $3,887 $313
MRI of the wrist $3,389 $5,649 $2,726 $330
Nebulizer breathing treatment $606 $1,010 $575 $9
Neck (cervical) spinal fusion $3,088 $5,146 $1,500 $1,410
Nerve conduction study $254 $423 $139 $118
Newborn hospital care $74 $58
Nuchal translucency ultrasound $97 $116
Nuclear cardiac stress test $272 $428
Occupational therapy evaluation $631 $1,052 $480 $101
Office visit (established patient) $99 $165 $107 $115
Office visit (new patient) $134 $224 $161 $177
Orthopedic hardware removal $1,103 $1,839 $1,037 $632
Ovarian cyst removal $672 $698
Ovary removal (oophorectomy) $589 $822
Pap smear (cervical screening) $25 $20
Parathyroid hormone (PTH) test $41 $41
Parathyroid removal $609 $891
Pelvic ultrasound $955 $1,591 $139 $78
PET scan $592
Phosphorus blood test $5 $5
Physical therapy evaluation $473 $788 $412 $98
Pilonidal cyst removal $502 $541
Platelet count $4 $4
Pneumonia vaccine $80 $133 $113
Pregnancy blood test (hCG) $8 $8
Pregnancy ultrasound $90 $126
Procalcitonin test $27 $27
Prolactin test $19 $19
Prostate biopsy $312
Prostate removal (prostatectomy) $832 $1,063
Prostate surgery (TURP) $1,083 $526
Prostate test (PSA) $18 $18
Psychiatric evaluation $271 $452 $245 $188
Psychotherapy session $173 $289 $190 $140
Pterygium removal (eye) $734 $540
Pulmonary rehabilitation $55 $87
Radiofrequency nerve ablation $557 $462
Retina scan (OCT) $28 $33
Retinal (fundus) photography $31 $37
Retinal detachment repair $1,317 $966
Rheumatoid factor test $6 $6
Rotator cuff repair $1,020 $792
Routine eye exam $109 $88
RSV vaccine $301
Sacroiliac joint injection $311 $176
Scoliosis spine X-ray $658 $1,097 $548 $58
Screening mammogram $70 $126
Scrotal ultrasound $995 $1,659 $139 $99
Sedimentation rate (ESR) test $4 $3
Semen analysis $12 $12
Septoplasty (deviated septum) $928 $613
Sex hormone binding globulin test $22 $22
Shingles vaccine $184
Shoulder arthroscopy $1,482 $962
Shoulder replacement $1,562 $1,300
Simple wound stitches $132 $220 $160 $127
Sinus surgery (endoscopic) $674 $1,124 $701 $224
Skin biopsy $124 $206 $124 $121
Skin cancer lesion removal $292 $240
Skin graft $1,762 $2,937 $1,208 $898
Skin lesion freezing (cryotherapy) $57 $36
Sleep study (polysomnography) $1,209 $2,015 $847 $691
Small bowel resection $825 $1,136
Soft tissue ultrasound $502 $837 $502 $64
Speech therapy $211 $352 $169 $76
Spinal cord stimulator $1,728 $2,388
Spinal tap (lumbar puncture) $190 $316 $234 $165
Spine fracture repair (kyphoplasty) $5,044 $5,803
Spleen removal (splenectomy) $778 $1,036
Stomach removal (gastrectomy) $1,223 $1,595
Strabismus (eye muscle) surgery $884 $475
Strep throat test $17 $17
Stress echocardiogram $149 $209
Swallow study $115 $191 $120 $85
T3 thyroid test $14 $14
Tdap (tetanus) vaccine $38
Testicle removal (orchiectomy) $868 $1,447 $816 $306
Testosterone test $26 $26
Thyroid removal (thyroidectomy) $775 $1,004
Thyroid test (TSH) $17 $17
Thyroid ultrasound $844 $1,407 $779 $109
Thyroid uptake scan $82 $145
Tilt table test $139 $168
Tonsillectomy $712 $1,187 $648 $252
Total IgE allergy test $16 $16
Total protein test $4 $4
Tracheostomy $925 $1,542 $922 $273
Transesophageal echocardiogram (TEE) $213 $239
Transvaginal ultrasound $995 $1,659 $172 $118
Trigger finger release $1,087 $1,812 $1,022 $630
Trigger point injection $82 $56
Triglycerides test $6 $6
Troponin (heart) test $12 $12
Tubal ligation $441 $333
Turbinate reduction $1,105 $1,841 $1,055 $294
Turning a breech baby (version) $163 $94
Ulnar nerve surgery (elbow) $1,421 $2,369 $1,392 $575
Umbilical hernia repair $724
Upper GI endoscopy (EGD) $712 $1,186 $644 $371
Upper GI series (barium) $1,175 $1,959 $191 $128
Ureteral stent placement $711 $1,185 $711 $373
Ureteroscopy (stone removal) $1,326 $2,210 $1,270 $365
Uric acid (gout) test $5 $5
Urinalysis $3 $3
Urine microalbumin test $6 $5
Urine pregnancy test $9 $9
UV light therapy (skin) $161 $106
Vaccine administration $28 $19
Varicocele repair $575 $327
Varicose vein ablation $1,687 $1,018
Vasectomy $390 $347
Visual field test $50 $64
Vitamin B12 test $15 $15
Vitamin D test $30 $30
Vitrectomy (eye) $1,128 $814
Vocal cord injection $414 $211
Wart removal $182 $304 $171 $121
Well-child visit $133
Whipple procedure (pancreas) $2,098 $2,871
Wound debridement $272 $454 $264 $186
Wrist fracture repair $890 $735
X-ray of the abdomen $294 $490 $271 $36
X-ray of the ankle $281 $469 $265 $37
X-ray of the collarbone $248 $413 $233 $33
X-ray of the elbow $281 $469 $280 $33
X-ray of the facial bones $280 $467 $45 $39
X-ray of the foot $281 $469 $260 $34
X-ray of the forearm $307 $512 $289 $29
X-ray of the hand $272 $453 $271 $38
X-ray of the hip $258 $430 $283 $49
X-ray of the knee $277 $462 $277 $42
X-ray of the lower back (lumbar spine) $318 $530 $284 $47
X-ray of the lower leg $307 $512 $289 $31
X-ray of the mid-back (thoracic spine) $280 $467 $88 $36
X-ray of the neck (cervical spine) $323 $539 $289 $47
X-ray of the pelvis $229 $381 $229 $36
X-ray of the ribs $257 $429 $46 $42
X-ray of the shoulder $283 $472 $274 $36
X-ray of the skull $291 $485 $290 $40
X-ray of the thigh bone $307 $512 $306
X-ray of the upper arm $258 $431 $266 $32
X-ray of the wrist $272 $453 $257 $43
YAG laser capsulotomy (eye) $456 $335
Zinc blood test $11 $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.