Gracie Square Hosp — procedure prices

Published prices for 85 procedures at Gracie Square Hosp (New York, NY), from its machine-readable file.

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ProcedureCashChargemasterInsurerMedicare
ALT liver enzyme test $44 $44 — $5
Ammonia blood test $130 $130 — $15
Amylase test $91 $91 — $6
Antinuclear antibody (ANA) test $354 $354 — $12
AST liver enzyme test $54 $54 — $5
Basic metabolic panel $91 $91 — $8
Bilirubin blood test $135 $135 — $5
Blood clotting test (PT/INR) $63 $63 — $4
Blood glucose test $46 $46 — $5
BNP (heart failure) test $419 $419 — $39
C-reactive protein (CRP) $103 $103 — $5
Calcium blood test $95 $95 — $5
Capsule endoscopy $2,812 $2,812 — $802
CEA tumor marker test $277 $277 — $19
Chest X-ray $415 $415 — $37
Clotting time test (PTT) $97 $97 — $6
Complete blood count (CBC) $160 $160 — $7
Comprehensive metabolic panel $102 $102 — $11
Cortisol test $329 $329 — $16
COVID-19 PCR test $534 $534 — $51
Creatine kinase (CK) test $91 $91 — $7
D-dimer test $156 $156 — $10
Drug screen (urine) $108 $108 — $17
Electrocardiogram (EKG) $408 $408 — $8
Electrolyte panel $126 $126 — $7
Fecal occult blood (stool) test $192 $192 — $10
Ferritin (iron) test $210 $210 — $14
Folate (folic acid) test $259 $259 — $15
Free T4 thyroid test $271 $271 — $9
FSH hormone test $277 $277 — $19
GGT liver test $144 $144 — $7
HDL cholesterol test $144 $144 — $8
Hematocrit test $36 $36 — $2
Hemoglobin A1c (diabetes test) $263 $263 — $10
Hepatitis B test $184 $184 — $10
Hepatitis C test $285 $285 — $14
HIV test $213 $213 — $19
Iron blood test $95 $95 — $6
Lactate test $330 $330 — $12
LDH test $113 $113 — $6
LDL cholesterol test $123 $123 — $11
Lipase test $69 $69 — $7
Lipid (cholesterol) panel $167 $167 — $13
Liver function panel $124 $124 — $8
Magnesium blood test $124 $124 — $7
Parathyroid hormone (PTH) test $819 $819 — $41
Phosphorus blood test $118 $118 — $5
Platelet count $50 $50 — $4
Prolactin test $291 $291 — $19
Prostate test (PSA) $300 $300 — $18
Sedimentation rate (ESR) test $62 $62 — $3
Sex hormone binding globulin test $288 $288 — $22
T3 thyroid test $245 $245 — $14
Testosterone test $395 $395 — $26
Thyroid test (TSH) $250 $250 — $17
Total IgE allergy test $222 $222 — $16
Triglycerides test $53 $53 — $6
Troponin (heart) test $329 $329 — $12
Uric acid (gout) test $87 $87 — $5
Urinalysis $76 $76 — $3
Urine microalbumin test $214 $214 — $5
Urine pregnancy test $69 $69 — $9
Vaccine administration $117 $117 — $19
Vitamin B12 test $193 $193 — $15
Vitamin D test $525 $525 — $30
X-ray of the abdomen $284 $284 — $36
X-ray of the ankle $588 $588 — $37
X-ray of the collarbone $554 $554 — $33
X-ray of the elbow $497 $497 — $33
X-ray of the facial bones $616 $616 — $39
X-ray of the foot $643 $643 — $34
X-ray of the forearm $369 $369 — $29
X-ray of the hand $519 $519 — $38
X-ray of the hip $596 $596 — $49
X-ray of the knee $616 $616 — $42
X-ray of the lower back (lumbar spine) $597 $597 — $47
X-ray of the lower leg $269 $269 — $31
X-ray of the mid-back (thoracic spine) $570 $570 — $36
X-ray of the neck (cervical spine) $668 $668 — $47
X-ray of the pelvis $321 $321 — $36
X-ray of the ribs $485 $485 — $42
X-ray of the shoulder $597 $597 — $36
X-ray of the skull $523 $523 — $40
X-ray of the upper arm $395 $395 — $32
X-ray of the wrist $658 $658 — $43

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.