| Procedure | Cash | Chargemaster | Insurer | Medicare |
|---|
| 3D mammogram (tomosynthesis) |
$33 |
$175 |
$70 |
$51 |
| Abscess incision and drainage |
$77 |
$407 |
$180 |
$174 |
| Acupuncture |
$15 |
$77 |
$26 |
$38 |
| Aldosterone test |
$23 |
$122 |
$41 |
$41 |
| Allergy patch testing |
— |
— |
$7 |
$5 |
| Allergy shots |
— |
— |
$19 |
$11 |
| Allergy testing |
— |
— |
$4 |
$4 |
| Alpha-fetoprotein (AFP) test |
$10 |
$50 |
$18 |
$17 |
| Annual physical (established patient) |
$50 |
$263 |
$265 |
— |
| Annual physical (new patient) |
$58 |
$305 |
$298 |
— |
| Anoscopy |
$22 |
$116 |
$50 |
$129 |
| Antinuclear antibody (ANA) test |
$7 |
$36 |
$13 |
$12 |
| Aortic aneurysm repair (AAA) |
$775 |
$4,078 |
$1,366 |
$1,345 |
| Bartholin cyst removal |
$58 |
$307 |
$127 |
$182 |
| Blood crossmatch |
— |
— |
$32 |
— |
| Blood transfusion |
— |
— |
$60 |
$47 |
| BNP (heart failure) test |
$22 |
$118 |
$41 |
$39 |
| Botox for migraine |
$66 |
$345 |
$150 |
$157 |
| Brain shunt (VP shunt) |
$556 |
$2,924 |
$882 |
$1,023 |
| Breathing tube insertion (intubation) |
$76 |
$398 |
$206 |
$133 |
| Burn treatment |
$44 |
$234 |
$121 |
$129 |
| CA 19-9 tumor marker test |
$12 |
$62 |
$22 |
$21 |
| CA-125 ovarian marker test |
$12 |
$62 |
$22 |
$21 |
| Cardiac event monitor |
— |
— |
$193 |
$170 |
| Carotid artery surgery |
$590 |
$3,104 |
$1,165 |
$1,026 |
| Cataract surgery |
$336 |
$1,771 |
$874 |
$547 |
| Celiac disease test |
— |
— |
$12 |
$12 |
| Cesarean section (C-section) |
— |
— |
$8,606 |
$7,552 |
| Chalazion (eyelid cyst) removal |
$54 |
$284 |
$68 |
$131 |
| Chemotherapy infusion |
— |
— |
$149 |
$81 |
| Chickenpox (varicella) vaccine |
— |
— |
$225 |
— |
| Chiropractic adjustment |
$18 |
$95 |
$28 |
$38 |
| Colon resection (colectomy) |
$712 |
$3,747 |
$1,093 |
$1,238 |
| Colostomy |
$640 |
$3,367 |
$783 |
$1,122 |
| Colposcopy |
$58 |
$306 |
$154 |
$161 |
| Complex wound repair |
$130 |
$686 |
$258 |
$390 |
| Comprehensive eye exam |
$44 |
$234 |
$105 |
$138 |
| Contact lens fitting |
$32 |
$168 |
$75 |
— |
| Continuous glucose monitor setup |
$18 |
$97 |
$38 |
$35 |
| Copper blood test |
$7 |
$38 |
$13 |
$12 |
| Corneal transplant |
$652 |
$3,434 |
$1,394 |
$1,066 |
| Coronary artery bypass (CABG) |
— |
— |
$44,080 |
$36,593 |
| COVID-19 PCR test |
$29 |
$154 |
$51 |
$51 |
| Craniotomy (brain surgery) |
$1,187 |
$6,245 |
$1,450 |
$2,161 |
| Developmental screening (child) |
— |
— |
$14 |
— |
| DHEA-sulfate test |
$13 |
$66 |
$23 |
$22 |
| Droopy eyelid repair (ptosis) |
$311 |
$1,639 |
$695 |
$745 |
| Electromyography (EMG) |
$34 |
$181 |
$100 |
$141 |
| Endometrial biopsy |
$34 |
$177 |
$75 |
$98 |
| Estradiol (estrogen) test |
$16 |
$84 |
$28 |
$28 |
| Eye refraction (glasses prescription) |
$10 |
$55 |
$19 |
— |
| Family therapy session |
$57 |
$301 |
$82 |
$110 |
| Fecal occult blood (stool) test |
$6 |
$31 |
$6 |
$10 |
| Fibroid removal (myomectomy) |
$553 |
$2,913 |
$809 |
$914 |
| Flu test |
$10 |
$50 |
$17 |
$17 |
| Flu vaccine |
— |
— |
$26 |
— |
| Foreign body removal (skin) |
$56 |
$295 |
$112 |
$157 |
| FSH hormone test |
$11 |
$56 |
$19 |
$19 |
| Glaucoma surgery |
$596 |
$3,139 |
$1,175 |
$984 |
| H. pylori test |
$38 |
$202 |
$69 |
$67 |
| Hemorrhoid removal |
$143 |
$751 |
$278 |
$338 |
| Hepatitis A vaccine |
— |
— |
$90 |
— |
| Hepatitis B vaccine |
— |
— |
$82 |
— |
| Hip fracture repair |
$657 |
$3,460 |
$1,078 |
$1,120 |
| HIV test |
$11 |
$57 |
$22 |
$19 |
| HPV vaccine |
— |
— |
$345 |
— |
| Ileostomy |
$554 |
$2,915 |
$761 |
$968 |
| Incisional hernia repair |
— |
— |
$2,180 |
— |
| IUD removal |
$35 |
$186 |
$79 |
$112 |
| Kidney removal (nephrectomy) |
$695 |
$3,656 |
$1,092 |
$1,164 |
| Knee replacement |
— |
— |
$24,139 |
$18,054 |
| LDL cholesterol test |
$6 |
$32 |
$11 |
$11 |
| LH hormone test |
$11 |
$56 |
$19 |
$19 |
| MMR vaccine |
— |
— |
$115 |
— |
| Mohs skin cancer surgery |
$144 |
$759 |
$349 |
$535 |
| Nebulizer breathing treatment |
— |
— |
$91 |
$9 |
| Newborn hospital care |
$35 |
$185 |
$65 |
$58 |
| Occupational therapy evaluation |
— |
— |
$99 |
$101 |
| Office visit (established patient) |
$43 |
$229 |
$79 |
$115 |
| Office visit (new patient) |
$71 |
$374 |
$129 |
$177 |
| Ovarian cyst removal |
$411 |
$2,162 |
$919 |
$698 |
| Ovary removal (oophorectomy) |
$469 |
$2,469 |
$574 |
$822 |
| Pacemaker insertion |
— |
— |
$24,087 |
$15,506 |
| Pap smear (cervical screening) |
$11 |
$60 |
$21 |
$20 |
| Parathyroid hormone (PTH) test |
$24 |
$124 |
$43 |
$41 |
| Physical therapy evaluation |
$54 |
$282 |
$98 |
$98 |
| Pneumonia vaccine |
— |
— |
$144 |
— |
| Procalcitonin test |
$16 |
$82 |
$27 |
$27 |
| Prolactin test |
$11 |
$58 |
$20 |
$19 |
| Prostate test (PSA) |
$11 |
$56 |
$19 |
$18 |
| Psychiatric evaluation |
$86 |
$450 |
$150 |
$188 |
| Psychotherapy session |
$63 |
$332 |
$111 |
$140 |
| Retinal detachment repair |
$603 |
$3,175 |
$1,320 |
$966 |
| Routine eye exam |
$25 |
$133 |
$63 |
$88 |
| RSV vaccine |
— |
— |
$377 |
— |
| Sex hormone binding globulin test |
$13 |
$66 |
$23 |
$22 |
| Shingles vaccine |
$60 |
$316 |
$246 |
— |
| Skin cancer lesion removal |
$86 |
$451 |
$169 |
$240 |
| Skin graft |
$375 |
$1,973 |
$754 |
$898 |
| Skin lesion freezing (cryotherapy) |
$15 |
$80 |
$28 |
$36 |
| Skin tag removal |
$41 |
$214 |
$81 |
$92 |
| Small bowel resection |
$652 |
$3,433 |
$914 |
$1,136 |
| Speech therapy |
— |
— |
$77 |
$76 |
| Spleen removal (splenectomy) |
$590 |
$3,106 |
$913 |
$1,036 |
| Stomach removal (gastrectomy) |
$916 |
$4,822 |
$1,440 |
$1,595 |
| Strep throat test |
$10 |
$50 |
$17 |
$17 |
| Swallow study |
$38 |
$199 |
$73 |
$85 |
| Tdap (tetanus) vaccine |
— |
— |
$49 |
— |
| Testosterone test |
$15 |
$78 |
$27 |
$26 |
| Thyroid test (TSH) |
$10 |
$50 |
$18 |
$17 |
| Total IgE allergy test |
$10 |
$50 |
$17 |
$16 |
| Ulnar nerve surgery (elbow) |
$326 |
$1,716 |
$609 |
$575 |
| Umbilical hernia repair |
— |
— |
$2,171 |
— |
| UV light therapy (skin) |
— |
— |
$95 |
$106 |
| Vaccine administration |
$9 |
$49 |
$25 |
$19 |
| Vaginal delivery |
— |
— |
$6,519 |
$5,487 |
| Vitamin D test |
$17 |
$88 |
$31 |
$30 |
| Wart removal |
$41 |
$214 |
$74 |
$121 |
| Weight-loss (bariatric) surgery |
— |
— |
$17,812 |
$11,645 |
| Well-child visit |
$41 |
$216 |
$92 |
— |
| Whipple procedure (pancreas) |
$1,658 |
$8,727 |
$2,023 |
$2,871 |
| X-ray of the thigh bone |
— |
— |
$36 |
— |
| YAG laser capsulotomy (eye) |
$162 |
$851 |
$402 |
$335 |
| Zinc blood test |
$6 |
$34 |
$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.
