Highpoint Health-trousdale With Ascension Saint — procedure prices

Published prices for 204 procedures at Highpoint Health-trousdale With Ascension Saint (Hartsville, TN), from its machine-readable file.

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ProcedureCashChargemasterInsurerMedicare
3D mammogram (tomosynthesis) $22 $42 $181 $51
Abdominal ultrasound $947 $1,857 $121 $100
Abscess incision and drainage $362 $715 $1,126 $174
Albumin blood test $79 $155 $14 $5
Aldosterone test $314 $618 $53 $41
Alkaline phosphatase test $92 $181 $15 $5
Alpha-fetoprotein (AFP) test $212 $418 $49 $17
ALT liver enzyme test $61 $121 $16 $5
Ammonia blood test $212 $418 $43 $15
Amylase test $180 $355 $19 $6
Antinuclear antibody (ANA) test $152 $300 $35 $12
Arterial blood gas (ABG) $266 $525 $57 $26
AST liver enzyme test $57 $113 $15 $5
Barium swallow study $715 $1,402 $161 $107
Basic metabolic panel $227 $448 $20 $8
Bilirubin blood test $120 $236 $15 $5
Blood clotting test (PT/INR) $75 $148 $12 $4
Blood crossmatch $201 $396 $49 —
Blood glucose test $86 $170 $11 $5
Blood transfusion $934 $1,841 $1,126 $47
Blood type and screen $201 $396 $34 $10
Blood type test $76 $150 $9 $3
BNP (heart failure) test $268 $528 $99 $39
Bone density scan (DEXA) $313 $614 $60 $39
Bone scan (nuclear) $1,131 $2,223 $421 $259
Breast MRI $2,527 $4,956 $520 $216
Breast ultrasound $273 $535 $122 $92
Breathing tube insertion (intubation) $481 $948 $1,126 $133
Burn treatment $416 $821 — $129
C-reactive protein (CRP) $84 $165 $15 $5
CA 19-9 tumor marker test $137 $269 $61 $21
CA-125 ovarian marker test $357 $704 $61 $21
Calcium blood test $89 $175 $15 $5
Cardiac rehabilitation $237 $467 — $26
Cardiac stress test $1,491 $2,941 — $39
Cardioversion $1,524 $3,006 — $155
Carotid artery ultrasound $1,378 $2,702 — $156
CEA tumor marker test $215 $423 $55 $19
Chemotherapy infusion $452 $891 — $81
Chest X-ray $296 $581 — $37
CK-MB heart enzyme test $131 $258 $34 $12
Clotting time test (PTT) $85 $168 $18 $6
Complete blood count (CBC) $128 $253 $21 $7
Comprehensive metabolic panel $307 $605 $25 $11
Copper blood test $60 $118 $36 $12
Coronary CT angiography $2,883 $5,687 $578 $326
Cortisol test $169 $333 $48 $16
COVID-19 PCR test $182 $358 — $51
CPAP titration study $517 $1,020 — $69
Creatine kinase (CK) test $78 $154 $19 $7
CT angiography of the chest $4,124 $8,086 $401 $281
CT angiography of the head $4,293 $8,418 $398 $274
CT scan of the abdomen $2,587 $5,072 $312 $230
CT scan of the abdomen and pelvis $5,222 $10,239 $312 $300
CT scan of the arm $2,318 $4,545 $312 $199
CT scan of the chest $2,808 $5,538 $312 $167
CT scan of the head $2,092 $4,101 $202 $148
CT scan of the leg $2,391 $4,688 $312 $166
CT scan of the lower back (lumbar spine) $3,448 $6,762 $317 $169
CT scan of the neck $2,313 $4,536 $312 $183
CT scan of the neck (cervical spine) $1,939 $3,814 $317 $168
CT scan of the pelvis $2,949 $5,782 $312 $226
CT scan of the sinuses $2,092 $4,101 $272 $152
D-dimer test $242 $478 $30 $10
DHEA-sulfate test $146 $289 $65 $22
Diagnostic mammogram $438 $858 — $140
Drug screen (urine) $111 $220 — $17
Echocardiogram $1,466 $2,874 — $138
Electrocardiogram (EKG) $226 $446 — $8
Electroencephalogram (EEG) $969 $1,907 — $448
Electrolyte panel $206 $407 $17 $7
Emergency department visit $1,138 $2,431 — $69
Estradiol (estrogen) test $468 $923 $82 $28
Fallopian tube X-ray (HSG) $1,018 $1,995 $107 $164
Family therapy session $334 $658 — $110
Fecal occult blood (stool) test $37 $73 $47 $10
Ferritin (iron) test $146 $289 $40 $14
Fibrinogen test $146 $289 $25 $10
Flu test $81 $159 $34 $17
Folate (folic acid) test $114 $225 $43 $15
Foreign body removal (skin) $989 $1,950 $1,126 $157
Free T4 thyroid test $128 $253 $26 $9
FSH hormone test $258 $509 $54 $19
Gallbladder scan (HIDA) $1,235 $2,429 $702 $334
GGT liver test $99 $195 $21 $7
Glucose tolerance test $101 $199 $19 $8
Group therapy session $695 $1,370 — $30
H. pylori test $443 $874 $197 $67
HDL cholesterol test $134 $264 $24 $8
Hematocrit test $68 $135 $7 $2
Hemodialysis $1,596 $3,138 — $75
Hemoglobin A1c (diabetes test) $76 $149 $28 $10
Hepatitis B test $91 $179 $26 $10
Hepatitis C test $357 $704 $42 $14
HIV test $120 $237 $55 $19
Holter heart monitor $411 $811 — $26
Iron blood test $74 $146 $19 $6
IV infusion therapy $275 $542 — $44
Joint aspiration (small/intermediate) $654 $1,289 — $57
Kidney scan (nuclear) $1,670 $3,274 $230 $172
Kidney ultrasound $516 $1,013 $56 $84
Knee joint injection $654 $1,289 — $69
Lactate test $160 $316 $31 $12
Laryngoscopy $555 $1,092 $1,514 $189
LDH test $72 $143 $18 $6
LDL cholesterol test $149 $294 $28 $11
Leg artery angiogram $8,493 $16,654 $206 $149
Leg vein ultrasound (Doppler) $787 $1,543 — $150
LH hormone test $256 $506 $54 $19
Lipase test $131 $258 $20 $7
Lipid (cholesterol) panel $141 $279 $39 $13
Liver function panel $275 $541 $20 $8
Lower back (lumbar) spinal fusion $95,478 $188,320 $2,798 $1,511
Lung function test (PFT) $512 $1,004 — $37
Lung scan (V/Q) $1,429 $2,809 $567 $291
Magnesium blood test $123 $242 $20 $7
MRA of the brain $3,141 $6,159 $641 $226
MRA of the neck $2,313 $4,536 $681 $245
MRI of the abdomen $3,541 $6,962 $520 $300
MRI of the ankle $2,904 $5,695 $573 $261
MRI of the brain $3,992 $7,828 $505 $269
MRI of the chest $4,547 $8,916 $658 $371
MRI of the knee $2,904 $5,695 $520 $315
MRI of the lower back (lumbar spine) $3,062 $6,024 $505 $270
MRI of the mid-back (thoracic spine) $3,021 $5,944 $510 $271
MRI of the neck (cervical spine) $2,936 $5,777 $509 $274
MRI of the pelvis $4,932 $9,670 $583 $268
MRI of the shoulder $3,639 $7,136 $520 $313
MRI of the wrist $4,498 $8,820 $572 $330
Nebulizer breathing treatment $190 $375 — $9
Nuclear cardiac stress test $5,838 $11,480 $790 $428
Occupational therapy evaluation $388 $764 $88 $101
Office visit (new patient) $281 $554 — $177
Pap smear (cervical screening) $68 $134 $59 $20
Parathyroid hormone (PTH) test $283 $558 $121 $41
Pelvic ultrasound $828 $1,623 $147 $78
PET scan $12,920 $25,483 $4,407 —
Phosphorus blood test $88 $173 $13 $5
Physical therapy evaluation $342 $671 $88 $98
Platelet count $110 $218 $13 $4
Pregnancy blood test (hCG) $198 $390 $22 $8
Pregnancy ultrasound $516 $1,013 $160 $126
Procalcitonin test $518 $1,023 $51 $27
Prolactin test $127 $250 $57 $19
Prostate test (PSA) $121 $239 $54 $18
Psychotherapy session $318 $627 — $140
Pulmonary rehabilitation $147 $290 — $87
Rheumatoid factor test $72 $143 $17 $6
Sacroiliac joint injection $1,084 $2,139 $1,126 $176
Scoliosis spine X-ray $288 $568 — $58
Screening mammogram $454 $890 — $126
Scrotal ultrasound $494 $971 $68 $99
Sedimentation rate (ESR) test $60 $118 $9 $3
Semen analysis $215 $423 $35 $12
Sex hormone binding globulin test $142 $280 $64 $22
Simple wound stitches $329 $648 — $127
Sleep study (polysomnography) $4,504 $8,861 — $691
Soft tissue ultrasound $311 $610 $22 $64
Speech therapy $342 $670 $88 $76
Strep throat test $178 $350 $34 $17
Stress echocardiogram $1,580 $3,108 — $209
Swallow study $380 $746 — $85
T3 thyroid test $291 $574 $41 $14
Testosterone test $170 $335 $76 $26
Thyroid test (TSH) $217 $429 $49 $17
Thyroid ultrasound $775 $1,519 $172 $109
Thyroid uptake scan $562 $1,107 $287 $145
Total IgE allergy test $300 $591 $48 $16
Total protein test $59 $115 $11 $4
Transesophageal echocardiogram (TEE) $2,666 $5,228 — $239
Transvaginal ultrasound $1,039 $2,037 $170 $118
Trigger point injection $679 $1,339 — $56
Triglycerides test $106 $209 $17 $6
Troponin (heart) test $197 $389 $29 $12
Upper GI series (barium) $821 $1,615 $164 $128
Uric acid (gout) test $131 $258 $13 $5
Urinalysis $38 $74 $7 $3
Urine microalbumin test $106 $209 $11 $5
Urine pregnancy test $92 $182 $19 $9
Vaccine administration $110 $217 — $19
Varicose vein ablation $9,642 $18,975 $1,514 $1,018
Vitamin B12 test $188 $371 $44 $15
Vitamin D test $195 $385 $87 $30
X-ray of the abdomen $408 $800 — $36
X-ray of the ankle $486 $953 $43 $37
X-ray of the collarbone $354 $695 $36 $33
X-ray of the elbow $384 $752 $43 $33
X-ray of the facial bones $547 $1,077 $45 $39
X-ray of the foot $413 $809 $39 $34
X-ray of the forearm $186 $366 $33 $29
X-ray of the hand $452 $887 $41 $38
X-ray of the hip $230 $451 — $49
X-ray of the knee $474 $929 $47 $42
X-ray of the lower back (lumbar spine) $779 $1,528 $45 $47
X-ray of the lower leg $483 $947 $34 $31
X-ray of the mid-back (thoracic spine) $170 $333 $38 $36
X-ray of the neck (cervical spine) $727 $1,430 $41 $47
X-ray of the pelvis $371 $728 $35 $36
X-ray of the ribs $431 $849 $43 $42
X-ray of the shoulder $385 $755 $36 $36
X-ray of the skull $501 $983 $44 $40
X-ray of the upper arm $385 $755 $34 $32
X-ray of the wrist $443 $869 $50 $43
Zinc blood test $56 $110 $33 $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.