Published prices for 370 procedures at Kaiser Foundation Hospital-santa Clara (Santa Clara, CA), from its machine-readable file.
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| Procedure | Cash | Chargemaster | Insurer | Medicare |
|---|---|---|---|---|
| 3D mammogram (tomosynthesis) | $336 | $600 | $131 | $51 |
| Abdominal fluid drain (paracentesis) | $2,559 | $4,570 | $1,190 | $284 |
| Abdominal ultrasound | $910 | $1,625 | $149 | $100 |
| Abscess incision and drainage | $1,053 | $1,880 | $495 | $174 |
| Achilles tendon repair | $10,713 | $19,130 | $9,070 | $624 |
| ACL knee reconstruction | $18,200 | $32,500 | $9,070 | $889 |
| Acupuncture | $52 | $93 | — | $38 |
| Adenoid removal (adenoidectomy) | $9,349 | $16,695 | $4,118 | $204 |
| Albumin blood test | $45 | $81 | $5 | $5 |
| Aldosterone test | $71 | $126 | $40 | $41 |
| Alkaline phosphatase test | $37 | $66 | $5 | $5 |
| Allergy patch testing | $627 | $1,120 | — | $5 |
| Allergy shots | $112 | $200 | — | $11 |
| Alpha-fetoprotein (AFP) test | $117 | $209 | $17 | $17 |
| ALT liver enzyme test | $43 | $77 | $5 | $5 |
| Ammonia blood test | $223 | $398 | $13 | $15 |
| Amniocentesis | $2,150 | $3,840 | $1,106 | $120 |
| Amylase test | $149 | $266 | $7 | $6 |
| Anal fistula repair | $9,430 | $16,840 | $3,482 | $541 |
| Ankle fracture repair | $14,482 | $25,860 | $9,070 | $608 |
| Ankle replacement | — | — | $23,348 | $885 |
| Anoscopy | $806 | $1,440 | $164 | $129 |
| Antinuclear antibody (ANA) test | $53 | $95 | $12 | $12 |
| Aortic aneurysm repair (AAA) | $5,230 | $9,340 | — | $1,345 |
| Aortic valve replacement | $5,746 | $10,260 | — | $1,603 |
| Arterial blood gas (ABG) | $566 | $1,010 | $25 | $26 |
| AST liver enzyme test | $45 | $81 | $5 | $5 |
| Barium swallow study | $1,109 | $1,980 | $250 | $107 |
| Bartholin cyst removal | $1,142 | $2,040 | $255 | $182 |
| Basic metabolic panel | $193 | $345 | $8 | $8 |
| Benign skin lesion removal | $2,386 | $4,260 | $893 | $171 |
| Bilirubin blood test | $63 | $113 | $5 | $5 |
| Bladder function test (urodynamics) | $1,820 | $3,250 | $847 | $345 |
| Bladder scope (cystoscopy) | $2,884 | $5,150 | $847 | $216 |
| Bladder tumor removal (TURBT) | $11,642 | $20,790 | $4,379 | $236 |
| Blood clotting test (PT/INR) | $90 | $160 | $3 | $4 |
| Blood crossmatch | $403 | $720 | $193 | — |
| Blood glucose test | $32 | $57 | $5 | $5 |
| Blood transfusion | $1,450 | $2,590 | $555 | $47 |
| Blood type and screen | $146 | $261 | $60 | $10 |
| Blood type test | $176 | $314 | $134 | $3 |
| BNP (heart failure) test | $302 | $540 | $39 | $39 |
| Bone density scan (DEXA) | $504 | $900 | $149 | $39 |
| Bone marrow biopsy | $2,475 | $4,420 | $3,546 | $172 |
| Bone scan (nuclear) | $2,593 | $4,630 | $564 | $259 |
| Botox for migraine | $918 | $1,640 | $375 | $157 |
| Breast biopsy | $4,458 | $7,960 | $2,057 | $478 |
| Breast MRI | $4,161 | $7,430 | $511 | $216 |
| Breast reconstruction | $11,973 | $21,380 | $22,089 | $1,227 |
| Breast reduction | $11,654 | $20,810 | $8,280 | $980 |
| Breast ultrasound | $862 | $1,540 | $146 | $92 |
| Breathing tube insertion (intubation) | $924 | $1,650 | $295 | $133 |
| Bronchoscopy | $4,878 | $8,710 | $4,455 | $303 |
| Bunion surgery (bunionectomy) | $11,094 | $19,810 | $12,278 | $883 |
| Burn treatment | $638 | $1,140 | $252 | $129 |
| C-reactive protein (CRP) | $116 | $208 | $5 | $5 |
| CA 19-9 tumor marker test | $174 | $310 | $20 | $21 |
| CA-125 ovarian marker test | $172 | $308 | $20 | $21 |
| Calcium blood test | $65 | $116 | $5 | $5 |
| Capsule endoscopy | $5,018 | $8,960 | $1,190 | $802 |
| Cardiac ablation | $36,260 | $64,750 | — | $759 |
| Cardiac catheterization | $19,488 | $34,800 | $4,084 | $1,049 |
| Cardiac MRI | $6,930 | $12,375 | $539 | $322 |
| Cardiac rehabilitation | $314 | $560 | — | $26 |
| Cardiac stress test | $1,551 | $2,770 | — | $39 |
| Cardioversion | $3,310 | $5,910 | $831 | $155 |
| Carotid artery surgery | $9,699 | $17,320 | — | $1,026 |
| Carotid artery ultrasound | $1,282 | $2,290 | — | $156 |
| Carpal tunnel release | $5,309 | $9,480 | $2,479 | $483 |
| Cataract surgery | $9,682 | $17,290 | $2,896 | $547 |
| CEA tumor marker test | $192 | $343 | $18 | $19 |
| Celiac disease test | $29 | $52 | $12 | $12 |
| Central line placement | $4,026 | $7,190 | $3,996 | $238 |
| Cervical cerclage | $9,794 | $17,490 | $4,037 | $137 |
| Cervical LEEP procedure | $9,302 | $16,610 | $4,037 | $325 |
| Cesarean section (C-section) | — | — | $5,447 | $7,552 |
| Chalazion (eyelid cyst) removal | $1,030 | $1,840 | $380 | $131 |
| Chemotherapy infusion | $753 | $1,345 | — | $81 |
| Chest fluid drain (thoracentesis) | $2,346 | $4,190 | $785 | $311 |
| Chest tube insertion | $3,662 | $6,540 | $1,972 | $143 |
| Chest X-ray | $543 | $970 | $133 | $37 |
| Chickenpox (varicella) vaccine | $255 | $456 | — | — |
| Chiropractic adjustment | $117 | $209 | — | $38 |
| Circumcision | $7,160 | $12,785 | $2,601 | $167 |
| CK-MB heart enzyme test | $291 | $520 | $12 | $12 |
| Clotting time test (PTT) | $142 | $253 | $5 | $6 |
| Colonoscopy | $3,550 | $6,340 | $1,497 | $480 |
| Colposcopy | $1,702 | $3,040 | $386 | $161 |
| Complete blood count (CBC) | $106 | $190 | $8 | $7 |
| Complex wound repair | $3,018 | $5,390 | $777 | $390 |
| Comprehensive eye exam | $226 | $404 | — | $138 |
| Comprehensive metabolic panel | $255 | $456 | $10 | $11 |
| Contraceptive implant (Nexplanon) | $594 | $1,060 | $488 | $115 |
| Copper blood test | $22 | $39 | $12 | $12 |
| Corneal transplant | $15,476 | $27,635 | $5,107 | $1,066 |
| Coronary artery bypass (CABG) | — | — | $22,635 | $36,593 |
| Coronary CT angiography | $4,222 | $7,540 | $500 | $326 |
| Cortisol test | $302 | $540 | $15 | $16 |
| COVID-19 PCR test | $113 | $202 | $50 | $51 |
| CPAP titration study | $1,590 | $2,840 | — | $69 |
| Creatine kinase (CK) test | $138 | $246 | $7 | $7 |
| CT angiography of the chest | $4,872 | $8,700 | $414 | $281 |
| CT angiography of the head | $4,990 | $8,910 | $413 | $274 |
| CT colonography (virtual colonoscopy) | $3,590 | $6,410 | $562 | $835 |
| CT scan of the abdomen | $2,520 | $4,500 | $393 | $230 |
| CT scan of the abdomen and pelvis | $4,754 | $8,490 | $533 | $300 |
| CT scan of the arm | $2,873 | $5,130 | $476 | $199 |
| CT scan of the chest | $3,763 | $6,720 | $300 | $167 |
| CT scan of the head | $2,946 | $5,260 | $250 | $148 |
| CT scan of the leg | $3,248 | $5,800 | $303 | $166 |
| CT scan of the lower back (lumbar spine) | $3,948 | $7,050 | $476 | $169 |
| CT scan of the neck | $3,265 | $5,830 | $319 | $183 |
| CT scan of the neck (cervical spine) | $3,948 | $7,050 | $476 | $168 |
| CT scan of the pelvis | $4,760 | $8,500 | $396 | $226 |
| CT scan of the sinuses | $3,282 | $5,860 | $273 | $152 |
| D-dimer test | $200 | $357 | $10 | $10 |
| Defibrillator (ICD) implant | $34,821 | $62,180 | $40,706 | $798 |
| Developmental screening (child) | $358 | $640 | — | — |
| DHEA-sulfate test | $133 | $237 | $22 | $22 |
| Diagnostic mammogram | $440 | $785 | $164 | $140 |
| Dialysis fistula creation | $13,507 | $24,120 | $3,996 | $601 |
| Dilation and curettage (D&C) | $8,904 | $15,900 | $4,037 | $298 |
| Droopy eyelid repair (ptosis) | $5,712 | $10,200 | $2,962 | $745 |
| Drug screen (urine) | $482 | $860 | $35 | $17 |
| Ear pressure test (tympanometry) | $233 | $416 | $50 | $16 |
| Ear tubes (myringotomy) | $4,222 | $7,540 | $1,836 | $174 |
| Eardrum repair (tympanoplasty) | $18,010 | $32,160 | $7,511 | $799 |
| Echocardiogram | $1,910 | $3,410 | — | $138 |
| Elbow replacement | $34,412 | $61,450 | $23,348 | $1,301 |
| Electrocardiogram (EKG) | $90 | $160 | — | $8 |
| Electroencephalogram (EEG) | $1,599 | $2,855 | $395 | $448 |
| Electrolyte panel | $72 | $128 | $7 | $7 |
| Electromyography (EMG) | $353 | $630 | $164 | $141 |
| Emergency department visit | $1,622 | $2,896 | $2,055 | $69 |
| Endometrial biopsy | $549 | $980 | $255 | $98 |
| Epidural steroid injection | $4,371 | $7,805 | $879 | $275 |
| ERCP (bile duct endoscopy) | $7,767 | $13,870 | $4,830 | $311 |
| Esophageal dilation | $4,021 | $7,180 | $2,351 | $522 |
| Esophageal variceal banding | $4,900 | $8,750 | $2,409 | $126 |
| Estradiol (estrogen) test | $179 | $320 | $27 | $28 |
| Eyelid surgery (blepharoplasty) | $5,748 | $10,265 | $2,322 | $552 |
| Facet joint injection (spine) | $1,618 | $2,890 | $1,130 | $99 |
| Fallopian tube X-ray (HSG) | $1,330 | $2,375 | $339 | $164 |
| Family therapy session | $594 | $1,060 | — | $110 |
| Fecal occult blood (stool) test | $61 | $110 | $15 | $10 |
| Feeding tube (PEG) placement | $7,168 | $12,800 | $2,409 | $178 |
| Femoral hernia repair | $13,535 | $24,170 | $4,481 | $584 |
| Ferritin (iron) test | $128 | $228 | $13 | $14 |
| Fibrinogen test | $175 | $312 | $10 | $10 |
| Flexible sigmoidoscopy | $3,030 | $5,410 | $1,158 | $323 |
| Flu test | $170 | $304 | $17 | $17 |
| Flu vaccine | $21 | $37 | — | — |
| Folate (folic acid) test | $109 | $195 | $15 | $15 |
| Foreign body removal (skin) | $2,223 | $3,970 | $507 | $157 |
| Free T4 thyroid test | $102 | $183 | $8 | $9 |
| FSH hormone test | $138 | $247 | $18 | $19 |
| Gallbladder removal (laparoscopic) | $17,517 | $31,280 | $7,407 | $658 |
| Gallbladder scan (HIDA) | $1,966 | $3,510 | $737 | $334 |
| Ganglion cyst removal | $6,507 | $11,620 | $2,032 | $321 |
| GGT liver test | $99 | $176 | $7 | $7 |
| Glaucoma surgery | $10,245 | $18,295 | $2,896 | $984 |
| Glucose tolerance test | $95 | $170 | $11 | $8 |
| Group therapy session | $532 | $950 | — | $30 |
| H. pylori test | $117 | $209 | $65 | $67 |
| Hammertoe repair | $5,348 | $9,550 | $4,120 | $548 |
| HDL cholesterol test | $39 | $69 | $8 | $8 |
| Hearing test (audiometry) | $549 | $980 | — | $36 |
| Hematocrit test | $74 | $133 | $2 | $2 |
| Hemodialysis | $1,831 | $3,270 | — | $75 |
| Hemoglobin A1c (diabetes test) | $80 | $142 | $10 | $10 |
| Hemorrhoid removal | $3,592 | $6,415 | $3,382 | $338 |
| Hepatitis A vaccine | $151 | $270 | — | — |
| Hepatitis B test | $81 | $145 | $10 | $10 |
| Hepatitis B vaccine | $84 | $151 | — | — |
| Hepatitis C test | $111 | $199 | $13 | $14 |
| Hip arthroscopy | $10,562 | $18,860 | $9,070 | $931 |
| Hip replacement | $9,162 | $16,360 | $16,336 | $1,162 |
| HIV test | $100 | $179 | $23 | $19 |
| Holter heart monitor | $748 | $1,335 | — | $26 |
| Home sleep apnea test | $644 | $1,150 | — | $123 |
| HPV vaccine | $576 | $1,029 | — | — |
| Hydrocele repair | $15,663 | $27,970 | $4,481 | $315 |
| Hysterectomy | $18,483 | $33,005 | $13,218 | $933 |
| Hysteroscopy | $12,253 | $21,880 | $4,037 | $1,270 |
| Inguinal hernia repair | $12,986 | $23,190 | $4,481 | $538 |
| Iron blood test | $80 | $143 | $7 | $6 |
| IUD insertion | $1,814 | $3,240 | — | — |
| IUD removal | $1,562 | $2,790 | $386 | $112 |
| IV infusion therapy | $706 | $1,260 | $267 | $44 |
| IVC filter placement | $14,756 | $26,350 | $6,863 | $1,885 |
| Joint aspiration (small/intermediate) | $941 | $1,680 | $375 | $57 |
| Kidney biopsy | $2,341 | $4,180 | $2,057 | $492 |
| Kidney scan (nuclear) | $3,046 | $5,440 | $755 | $172 |
| Kidney stone shock-wave (lithotripsy) | $14,426 | $25,760 | $4,379 | $760 |
| Kidney ultrasound | $848 | $1,515 | $149 | $84 |
| Knee arthroscopy | $8,660 | $15,465 | $4,120 | $524 |
| Knee joint injection | $1,271 | $2,270 | $375 | $69 |
| Knee replacement | — | — | $18,430 | $18,054 |
| Lactate test | $206 | $367 | $12 | $12 |
| Laminectomy (spine) | $19,676 | $35,135 | $9,070 | $1,157 |
| Laryngoscopy | $3,427 | $6,120 | $1,410 | $189 |
| LDH test | $87 | $156 | $7 | $6 |
| LDL cholesterol test | $62 | $110 | $10 | $11 |
| Leg artery angiogram | $8,854 | $15,810 | $4,413 | $149 |
| Leg vein ultrasound (Doppler) | $1,478 | $2,640 | — | $150 |
| LH hormone test | $182 | $325 | $18 | $19 |
| Lipase test | $185 | $331 | $7 | $7 |
| Lipid (cholesterol) panel | $156 | $279 | $13 | $13 |
| Liver biopsy | $3,478 | $6,210 | $2,057 | $288 |
| Liver function panel | $134 | $239 | $8 | $8 |
| Lumbar discectomy | $19,471 | $34,770 | $9,070 | $898 |
| Lumpectomy (breast) | $12,754 | $22,775 | $8,080 | $750 |
| Lung function test (PFT) | $801 | $1,430 | — | $37 |
| Lung scan (V/Q) | $2,750 | $4,910 | $755 | $291 |
| Magnesium blood test | $120 | $215 | $7 | $7 |
| Mastectomy | $10,357 | $18,495 | $8,280 | $1,021 |
| Mastoidectomy | $14,319 | $25,570 | $7,511 | $840 |
| Meniscus repair (knee) | $5,572 | $9,950 | $4,120 | $714 |
| MMR vaccine | $165 | $295 | — | — |
| Mohs skin cancer surgery | $1,352 | $2,415 | $777 | $535 |
| MRA of the brain | $6,238 | $11,140 | $568 | $226 |
| MRA of the neck | $4,004 | $7,150 | $572 | $245 |
| MRI of the abdomen | $4,390 | $7,840 | $513 | $300 |
| MRI of the ankle | $4,575 | $8,170 | $514 | $261 |
| MRI of the brain | $5,057 | $9,030 | $500 | $269 |
| MRI of the chest | $5,824 | $10,400 | $1,054 | $371 |
| MRI of the knee | $4,161 | $7,430 | $1,010 | $315 |
| MRI of the lower back (lumbar spine) | $4,995 | $8,920 | $500 | $270 |
| MRI of the mid-back (thoracic spine) | $4,995 | $8,920 | $500 | $271 |
| MRI of the neck (cervical spine) | $4,995 | $8,920 | $500 | $274 |
| MRI of the pelvis | $4,995 | $8,920 | $509 | $268 |
| MRI of the shoulder | $4,161 | $7,430 | $1,010 | $313 |
| MRI of the wrist | $4,670 | $8,340 | $671 | $330 |
| Nebulizer breathing treatment | $465 | $830 | — | $9 |
| Neck (cervical) spinal fusion | $13,250 | $23,660 | $16,336 | $1,410 |
| Nerve conduction study | $846 | $1,510 | — | $118 |
| Newborn hospital care | $442 | $790 | — | $58 |
| Nuchal translucency ultrasound | $762 | $1,360 | $149 | $116 |
| Nuclear cardiac stress test | $5,146 | $9,190 | $1,830 | $428 |
| Occupational therapy evaluation | $571 | $1,020 | — | $101 |
| Orthopedic hardware removal | $12,130 | $21,660 | $3,634 | $632 |
| Ovarian cyst removal | $13,311 | $23,770 | $6,267 | $698 |
| Pacemaker insertion | — | — | $16,309 | $15,506 |
| Pap smear (cervical screening) | $105 | $188 | $28 | $20 |
| Parathyroid hormone (PTH) test | $241 | $430 | $40 | $41 |
| Parathyroid removal | $26,286 | $46,940 | $7,511 | $891 |
| Pelvic ultrasound | $778 | $1,390 | $149 | $78 |
| PET scan | $8,257 | $14,745 | $2,045 | — |
| Phosphorus blood test | $76 | $135 | $5 | $5 |
| Physical therapy evaluation | $381 | $680 | — | $98 |
| Pilonidal cyst removal | $8,560 | $15,285 | $3,634 | $541 |
| Platelet count | $123 | $219 | $5 | $4 |
| Pneumonia vaccine | $207 | $370 | — | — |
| Pregnancy blood test (hCG) | $174 | $311 | $7 | $8 |
| Pregnancy ultrasound | $1,123 | $2,005 | $149 | $126 |
| Procalcitonin test | $202 | $360 | $27 | $27 |
| Prolactin test | $133 | $238 | $18 | $19 |
| Prostate removal (prostatectomy) | $38,338 | $68,460 | $13,218 | $1,063 |
| Prostate surgery (TURP) | $16,822 | $30,040 | $6,454 | $526 |
| Prostate test (PSA) | $130 | $233 | $18 | $18 |
| Psychiatric evaluation | $1,419 | $2,534 | — | $188 |
| Psychotherapy session | $493 | $880 | — | $140 |
| Pterygium removal (eye) | $7,118 | $12,710 | $2,962 | $540 |
| Pulmonary rehabilitation | $251 | $449 | — | $87 |
| Radiofrequency nerve ablation | $4,925 | $8,795 | $2,479 | $462 |
| Retina scan (OCT) | $186 | $332 | — | $33 |
| Retinal (fundus) photography | $330 | $590 | $164 | $37 |
| Retinal detachment repair | $16,408 | $29,300 | $5,107 | $966 |
| Rheumatoid factor test | $68 | $121 | $7 | $6 |
| Rotator cuff repair | $15,658 | $27,960 | $9,070 | $792 |
| Routine eye exam | $143 | $256 | $164 | $88 |
| RSV vaccine | $424 | $757 | — | — |
| Sacroiliac joint injection | $414 | $740 | — | $176 |
| Scoliosis spine X-ray | $299 | $535 | $146 | $58 |
| Screening colonoscopy | $3,220 | $5,750 | $1,158 | $378 |
| Screening mammogram | $375 | $670 | $139 | $126 |
| Scrotal ultrasound | $890 | $1,590 | $149 | $99 |
| Sedimentation rate (ESR) test | $74 | $132 | $3 | $3 |
| Semen analysis | $149 | $266 | $12 | $12 |
| Septoplasty (deviated septum) | $9,990 | $17,840 | $4,118 | $613 |
| Sex hormone binding globulin test | $54 | $96 | $22 | $22 |
| Shingles vaccine | $298 | $533 | — | — |
| Shoulder arthroscopy | $13,238 | $23,640 | $9,070 | $962 |
| Shoulder replacement | $11,340 | $20,250 | $23,348 | $1,300 |
| Simple wound stitches | $798 | $1,425 | $252 | $127 |
| Sinus surgery (endoscopic) | $9,890 | $17,660 | $8,789 | $224 |
| Skin biopsy | $1,092 | $1,950 | $740 | $121 |
| Skin cancer lesion removal | $2,358 | $4,210 | $893 | $240 |
| Skin graft | $11,068 | $19,765 | $4,536 | $898 |
| Skin lesion freezing (cryotherapy) | $257 | $459 | $252 | $36 |
| Skin tag removal | $767 | $1,370 | $252 | $92 |
| Sleep study (polysomnography) | $4,270 | $7,625 | — | $691 |
| Soft tissue ultrasound | $767 | $1,370 | $149 | $64 |
| Speech therapy | $278 | $496 | — | $76 |
| Spinal cord stimulator | $8,254 | $14,740 | $8,332 | $2,388 |
| Spinal tap (lumbar puncture) | $2,066 | $3,690 | $879 | $165 |
| Spine fracture repair (kyphoplasty) | $10,968 | $19,585 | $9,070 | $5,803 |
| Spleen removal (splenectomy) | $16,604 | $29,650 | $13,218 | $1,036 |
| Strabismus (eye muscle) surgery | $7,736 | $13,815 | $4,673 | $475 |
| Strep throat test | $171 | $306 | $17 | $17 |
| Stress echocardiogram | $3,741 | $6,680 | — | $209 |
| Swallow study | $348 | $621 | — | $85 |
| T3 thyroid test | $94 | $167 | $13 | $14 |
| Tdap (tetanus) vaccine | $60 | $107 | — | — |
| Testicle removal (orchiectomy) | $11,262 | $20,110 | $4,379 | $306 |
| Testosterone test | $98 | $175 | $25 | $26 |
| Thyroid removal (thyroidectomy) | $26,057 | $46,530 | $7,459 | $1,004 |
| Thyroid test (TSH) | $155 | $277 | $17 | $17 |
| Thyroid ultrasound | $907 | $1,620 | $149 | $109 |
| Thyroid uptake scan | $1,274 | $2,275 | $564 | $145 |
| Tilt table test | $4,659 | $8,320 | — | $168 |
| Tonsillectomy | $10,357 | $18,495 | $7,330 | $252 |
| Total IgE allergy test | $105 | $187 | $17 | $16 |
| Total protein test | $21 | $37 | $3 | $4 |
| Tracheostomy | $5,606 | $10,010 | $4,118 | $273 |
| Transesophageal echocardiogram (TEE) | $3,060 | $5,465 | $696 | $239 |
| Transvaginal ultrasound | $717 | $1,280 | $149 | $118 |
| Trigger finger release | $3,097 | $5,530 | $2,032 | $630 |
| Trigger point injection | $974 | $1,740 | $375 | $56 |
| Triglycerides test | $92 | $164 | $5 | $6 |
| Troponin (heart) test | $286 | $510 | $12 | $12 |
| Tubal ligation | $4,917 | $8,780 | $7,407 | $333 |
| Turbinate reduction | $10,433 | $18,630 | $4,118 | $294 |
| Turning a breech baby (version) | $2,453 | $4,380 | $4,037 | $94 |
| Ulnar nerve surgery (elbow) | $7,090 | $12,660 | $2,479 | $575 |
| Upper GI endoscopy (EGD) | $3,531 | $6,305 | $1,190 | $371 |
| Upper GI series (barium) | $678 | $1,210 | $250 | $128 |
| Ureteral stent placement | $10,746 | $19,190 | $4,379 | $373 |
| Ureteroscopy (stone removal) | $16,828 | $30,050 | $6,454 | $365 |
| Uric acid (gout) test | $67 | $120 | $5 | $5 |
| Urinalysis | $69 | $124 | $3 | $3 |
| Urine microalbumin test | $57 | $102 | $5 | $5 |
| Urine pregnancy test | $88 | $157 | $8 | $9 |
| UV light therapy (skin) | $286 | $511 | — | $106 |
| Vaccine administration | $111 | $198 | — | $19 |
| Vaginal delivery | — | — | $3,488 | $5,487 |
| Varicocele repair | $11,043 | $19,720 | $4,379 | $327 |
| Varicose vein ablation | $8,716 | $15,565 | $3,996 | $1,018 |
| Vasectomy | $8,378 | $14,960 | $2,601 | $347 |
| Visual field test | $297 | $530 | — | $64 |
| Vitamin B12 test | $121 | $216 | $15 | $15 |
| Vitamin D test | $115 | $205 | $29 | $30 |
| Vitrectomy (eye) | $14,440 | $25,785 | $5,107 | $814 |
| Vocal cord injection | $12,460 | $22,250 | $4,681 | $211 |
| Wart removal | $552 | $985 | $252 | $121 |
| Weight-loss (bariatric) surgery | — | — | $16,609 | $11,645 |
| Wound debridement | $1,593 | $2,845 | $759 | $186 |
| Wrist fracture repair | $4,950 | $8,840 | $9,070 | $735 |
| X-ray of the abdomen | $504 | $900 | $149 | $36 |
| X-ray of the ankle | $605 | $1,080 | $124 | $37 |
| X-ray of the collarbone | $610 | $1,090 | $124 | $33 |
| X-ray of the elbow | $616 | $1,100 | $124 | $33 |
| X-ray of the facial bones | $484 | $865 | $146 | $39 |
| X-ray of the foot | $566 | $1,010 | $124 | $34 |
| X-ray of the forearm | $588 | $1,050 | $124 | $29 |
| X-ray of the hand | $566 | $1,010 | $124 | $38 |
| X-ray of the hip | $381 | $680 | $142 | $49 |
| X-ray of the knee | $459 | $820 | $142 | $42 |
| X-ray of the lower back (lumbar spine) | $571 | $1,020 | $149 | $47 |
| X-ray of the lower leg | $577 | $1,030 | $124 | $31 |
| X-ray of the mid-back (thoracic spine) | $571 | $1,020 | $149 | $36 |
| X-ray of the neck (cervical spine) | $608 | $1,085 | $146 | $47 |
| X-ray of the pelvis | $540 | $965 | $149 | $36 |
| X-ray of the ribs | $616 | $1,100 | $149 | $42 |
| X-ray of the shoulder | $655 | $1,170 | $124 | $36 |
| X-ray of the skull | $843 | $1,505 | $149 | $40 |
| X-ray of the upper arm | $605 | $1,080 | $124 | $32 |
| X-ray of the wrist | $633 | $1,130 | $124 | $43 |
| YAG laser capsulotomy (eye) | $2,705 | $4,830 | $697 | $335 |
| Zinc blood test | $21 | $38 | $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.