| Procedure | Cash | Chargemaster | Insurer | Medicare |
|---|
| 3D mammogram (tomosynthesis) |
— |
— |
$42 |
$51 |
| Abdominal ultrasound |
— |
— |
$93 |
$100 |
| Achilles tendon repair |
— |
— |
$603 |
$624 |
| ACL knee reconstruction |
— |
— |
$869 |
$889 |
| Adenoid removal (adenoidectomy) |
— |
— |
$190 |
$204 |
| Aldosterone test |
$43 |
$85 |
$45 |
$41 |
| Allergy patch testing |
— |
— |
$6 |
$5 |
| Allergy testing |
— |
— |
$3 |
$4 |
| Alpha-fetoprotein (AFP) test |
$9 |
$18 |
$8 |
$17 |
| Amniocentesis |
— |
— |
$109 |
$120 |
| Ankle fracture repair |
— |
— |
$545 |
$608 |
| Ankle replacement |
— |
— |
$874 |
$885 |
| Annual physical (established patient) |
— |
— |
$17 |
— |
| Annual physical (new patient) |
— |
— |
$30 |
— |
| Aortic aneurysm repair (AAA) |
— |
— |
$1,249 |
$1,345 |
| Aortic valve replacement |
— |
— |
$1,491 |
$1,603 |
| Barium swallow study |
— |
— |
$101 |
$107 |
| Bladder function test (urodynamics) |
— |
— |
$219 |
$345 |
| Blood clotting test (PT/INR) |
$5 |
$9 |
$4 |
$4 |
| Blood crossmatch |
$22 |
$45 |
$20 |
— |
| Blood type and screen |
$17 |
$34 |
$8 |
$10 |
| Blood type test |
$14 |
$28 |
$12 |
$3 |
| BNP (heart failure) test |
$41 |
$82 |
$33 |
$39 |
| Bone density scan (DEXA) |
— |
— |
$30 |
$39 |
| Bone marrow biopsy |
— |
— |
$103 |
$172 |
| Bone scan (nuclear) |
— |
— |
$217 |
$259 |
| Botox for migraine |
— |
— |
$97 |
$157 |
| Brain shunt (VP shunt) |
— |
— |
$757 |
$1,023 |
| Breast biopsy |
— |
— |
$290 |
$478 |
| Breast reconstruction |
— |
— |
$1,121 |
$1,227 |
| Breast reduction |
— |
— |
$726 |
$980 |
| Breast ultrasound |
— |
— |
$127 |
$92 |
| Bronchoscopy |
— |
— |
$337 |
$303 |
| Bunion surgery (bunionectomy) |
— |
— |
$531 |
$883 |
| CA 19-9 tumor marker test |
$25 |
$51 |
$22 |
$21 |
| CA-125 ovarian marker test |
$16 |
$31 |
$14 |
$21 |
| Capsule endoscopy |
— |
— |
$701 |
$802 |
| Cardiac ablation |
— |
— |
$727 |
$759 |
| Cardiac catheterization |
— |
— |
$913 |
$1,049 |
| Cardiac MRI |
— |
— |
$303 |
$322 |
| Cardiac stress test |
— |
— |
$78 |
$39 |
| Carotid artery surgery |
— |
— |
$983 |
$1,026 |
| Celiac disease test |
$27 |
$54 |
$24 |
$12 |
| Cervical cerclage |
— |
— |
$122 |
$137 |
| Cervical LEEP procedure |
— |
— |
$220 |
$325 |
| Cesarean section (C-section) |
— |
— |
$3,520 |
$7,552 |
| Chalazion (eyelid cyst) removal |
— |
— |
$101 |
$131 |
| Chest X-ray |
— |
— |
$30 |
$37 |
| Chickenpox (varicella) vaccine |
— |
— |
$122 |
— |
| Chiropractic adjustment |
— |
— |
$31 |
$38 |
| Clotting time test (PTT) |
$29 |
$58 |
$18 |
$6 |
| Colon resection (colectomy) |
— |
— |
$1,129 |
$1,238 |
| Colostomy |
— |
— |
$918 |
$1,122 |
| Comprehensive eye exam |
— |
— |
$78 |
$138 |
| Contact lens fitting |
— |
— |
$55 |
— |
| Continuous glucose monitor setup |
— |
— |
$29 |
$35 |
| Contraceptive implant (Nexplanon) |
— |
— |
$66 |
$115 |
| Copper blood test |
$15 |
$31 |
$14 |
$12 |
| Corneal transplant |
— |
— |
$914 |
$1,066 |
| Coronary artery bypass (CABG) |
— |
— |
$3,520 |
$36,593 |
| Coronary CT angiography |
— |
— |
$1,191 |
$326 |
| Cortisol test |
$25 |
$50 |
$18 |
$16 |
| COVID-19 PCR test |
$24 |
$47 |
$37 |
$51 |
| Craniotomy (brain surgery) |
— |
— |
$1,710 |
$2,161 |
| CT angiography of the chest |
— |
— |
$209 |
$281 |
| CT angiography of the head |
— |
— |
$207 |
$274 |
| CT colonography (virtual colonoscopy) |
— |
— |
$1,238 |
$835 |
| CT scan of the abdomen |
— |
— |
$193 |
$230 |
| CT scan of the abdomen and pelvis |
— |
— |
$252 |
$300 |
| CT scan of the arm |
— |
— |
$186 |
$199 |
| CT scan of the chest |
— |
— |
$162 |
$167 |
| CT scan of the head |
— |
— |
$143 |
$148 |
| CT scan of the leg |
— |
— |
$161 |
$166 |
| CT scan of the lower back (lumbar spine) |
— |
— |
$107 |
$169 |
| CT scan of the neck |
— |
— |
$183 |
$183 |
| CT scan of the neck (cervical spine) |
— |
— |
$107 |
$168 |
| CT scan of the pelvis |
— |
— |
$184 |
$226 |
| CT scan of the sinuses |
— |
— |
$106 |
$152 |
| D-dimer test |
$12 |
$23 |
$11 |
$10 |
| Defibrillator (ICD) implant |
— |
— |
$782 |
$798 |
| Developmental screening (child) |
— |
— |
$32 |
— |
| Diagnostic mammogram |
— |
— |
$126 |
$140 |
| Dialysis fistula creation |
— |
— |
$435 |
$601 |
| Droopy eyelid repair (ptosis) |
— |
— |
$531 |
$745 |
| Drug screen (urine) |
$18 |
$36 |
$15 |
$17 |
| Ear pressure test (tympanometry) |
— |
— |
$16 |
$16 |
| Ear tubes (myringotomy) |
— |
— |
$136 |
$174 |
| Eardrum repair (tympanoplasty) |
— |
— |
$664 |
$799 |
| Echocardiogram |
— |
— |
$178 |
$138 |
| Elbow replacement |
— |
— |
$1,156 |
$1,301 |
| Electromyography (EMG) |
— |
— |
$91 |
$141 |
| ERCP (bile duct endoscopy) |
— |
— |
$303 |
$311 |
| Esophageal variceal banding |
— |
— |
$172 |
$126 |
| Estradiol (estrogen) test |
$14 |
$28 |
$12 |
$28 |
| Eye refraction (glasses prescription) |
— |
— |
$17 |
— |
| Eyelid surgery (blepharoplasty) |
— |
— |
$506 |
$552 |
| Fallopian tube X-ray (HSG) |
— |
— |
$97 |
$164 |
| Femoral hernia repair |
— |
— |
$502 |
$584 |
| Fibroid removal (myomectomy) |
— |
— |
$919 |
$914 |
| Flexible sigmoidoscopy |
— |
— |
$218 |
$323 |
| Flu test |
— |
— |
$15 |
$17 |
| Flu vaccine |
— |
— |
$22 |
— |
| Gallbladder scan (HIDA) |
$165 |
$329 |
$320 |
$334 |
| Glaucoma surgery |
— |
— |
$1,002 |
$984 |
| H. pylori test |
$76 |
$152 |
$67 |
$67 |
| Hearing test (audiometry) |
— |
— |
$40 |
$36 |
| Hemodialysis |
— |
— |
$78 |
$75 |
| Hemoglobin A1c (diabetes test) |
$7 |
$14 |
$9 |
$10 |
| Hepatitis A vaccine |
— |
— |
$72 |
— |
| Hepatitis B test |
$12 |
$24 |
$10 |
$10 |
| Hepatitis B vaccine |
$38 |
$76 |
$33 |
— |
| Hepatitis C test |
$25 |
$50 |
$14 |
$14 |
| Hip arthroscopy |
— |
— |
$600 |
$931 |
| Hip fracture repair |
— |
— |
$1,093 |
$1,120 |
| Hip replacement |
— |
— |
$1,113 |
$1,162 |
| Home sleep apnea test |
— |
— |
$90 |
$123 |
| HPV vaccine |
— |
— |
$205 |
— |
| Hysterectomy |
— |
— |
$887 |
$933 |
| Ileostomy |
— |
— |
$822 |
$968 |
| IUD insertion |
— |
— |
$55 |
— |
| IVC filter placement |
— |
— |
$1,146 |
$1,885 |
| Kidney biopsy |
— |
— |
$296 |
$492 |
| Kidney removal (nephrectomy) |
— |
— |
$1,161 |
$1,164 |
| Kidney scan (nuclear) |
— |
— |
$138 |
$172 |
| Kidney stone shock-wave (lithotripsy) |
— |
— |
$676 |
$760 |
| Kidney ultrasound |
— |
— |
$87 |
$84 |
| Knee arthroscopy |
— |
— |
$494 |
$524 |
| Knee replacement |
— |
— |
$3,520 |
$18,054 |
| Laminectomy (spine) |
— |
— |
$942 |
$1,157 |
| LDL cholesterol test |
$8 |
$15 |
$7 |
$11 |
| Leg artery angiogram |
— |
— |
$119 |
$149 |
| Leg artery angioplasty |
— |
— |
$1,422 |
— |
| Leg vein ultrasound (Doppler) |
— |
— |
$183 |
$150 |
| Lipase test |
$15 |
$29 |
$7 |
$7 |
| Lower back (lumbar) spinal fusion |
— |
— |
$47,657 |
$1,511 |
| Lumbar discectomy |
— |
— |
$762 |
$898 |
| Lung function test (PFT) |
— |
— |
$48 |
$37 |
| Lung scan (V/Q) |
— |
— |
$244 |
$291 |
| Mastectomy |
— |
— |
$684 |
$1,021 |
| Mastoidectomy |
— |
— |
$823 |
$840 |
| Meniscus repair (knee) |
— |
— |
$670 |
$714 |
| Mohs skin cancer surgery |
— |
— |
$316 |
$535 |
| MRA of the brain |
— |
— |
$271 |
$226 |
| MRA of the neck |
— |
— |
$285 |
$245 |
| MRI of the abdomen |
— |
— |
$281 |
$300 |
| MRI of the ankle |
— |
— |
$280 |
$261 |
| MRI of the brain |
— |
— |
$311 |
$269 |
| MRI of the chest |
— |
— |
$372 |
$371 |
| MRI of the knee |
— |
— |
$321 |
$315 |
| MRI of the lower back (lumbar spine) |
— |
— |
$265 |
$270 |
| MRI of the mid-back (thoracic spine) |
— |
— |
$266 |
$271 |
| MRI of the neck (cervical spine) |
— |
— |
$266 |
$274 |
| MRI of the pelvis |
— |
— |
$224 |
$268 |
| MRI of the shoulder |
— |
— |
$322 |
$313 |
| MRI of the wrist |
— |
— |
$341 |
$330 |
| Neck (cervical) spinal fusion |
— |
— |
$1,114 |
$1,410 |
| Nerve conduction study |
— |
— |
$76 |
$118 |
| Newborn hospital care |
— |
— |
$61 |
$58 |
| Nuchal translucency ultrasound |
— |
— |
$95 |
$116 |
| Nuclear cardiac stress test |
— |
— |
$345 |
$428 |
| Occupational therapy evaluation |
— |
— |
$157 |
$101 |
| Ovarian cyst removal |
— |
— |
$613 |
$698 |
| Ovary removal (oophorectomy) |
— |
— |
$688 |
$822 |
| Pacemaker insertion |
— |
— |
$3,520 |
$15,506 |
| Pap smear (cervical screening) |
— |
— |
$21 |
$20 |
| Parathyroid removal |
— |
— |
$854 |
$891 |
| Pelvic ultrasound |
— |
— |
$84 |
$78 |
| PET scan |
$600 |
$1,200 |
$1,242 |
— |
| Physical therapy evaluation |
— |
— |
$136 |
$98 |
| Pneumonia vaccine |
$32 |
$64 |
$46 |
— |
| Pregnancy ultrasound |
— |
— |
$128 |
$126 |
| Procalcitonin test |
$58 |
$115 |
$24 |
$27 |
| Prostate removal (prostatectomy) |
— |
— |
$1,071 |
$1,063 |
| Prostate surgery (TURP) |
— |
— |
$617 |
$526 |
| Psychiatric evaluation |
— |
— |
$136 |
$188 |
| Pterygium removal (eye) |
— |
— |
$428 |
$540 |
| Radiofrequency nerve ablation |
— |
— |
$258 |
$462 |
| Retina scan (OCT) |
— |
— |
$24 |
$33 |
| Retinal detachment repair |
— |
— |
$1,036 |
$966 |
| Rheumatoid factor test |
— |
— |
$6 |
$6 |
| Rotator cuff repair |
— |
— |
$775 |
$792 |
| Routine eye exam |
— |
— |
$46 |
$88 |
| RSV vaccine |
— |
— |
$295 |
— |
| Scoliosis spine X-ray |
— |
— |
$54 |
$58 |
| Screening mammogram |
— |
— |
$102 |
$126 |
| Scrotal ultrasound |
— |
— |
$81 |
$99 |
| Semen analysis |
— |
— |
$12 |
$12 |
| Septoplasty (deviated septum) |
— |
— |
$420 |
$613 |
| Sex hormone binding globulin test |
$52 |
$104 |
$46 |
$22 |
| Shingles vaccine |
$77 |
$153 |
$67 |
— |
| Shoulder arthroscopy |
— |
— |
$918 |
$962 |
| Shoulder replacement |
— |
— |
$1,286 |
$1,300 |
| Sinus surgery (endoscopic) |
— |
— |
$241 |
$224 |
| Skin biopsy |
— |
— |
$59 |
$121 |
| Small bowel resection |
— |
— |
$877 |
$1,136 |
| Speech therapy |
— |
— |
$142 |
$76 |
| Spleen removal (splenectomy) |
— |
— |
$886 |
$1,036 |
| Stomach removal (gastrectomy) |
— |
— |
$1,378 |
$1,595 |
| Strabismus (eye muscle) surgery |
— |
— |
$469 |
$475 |
| Strep throat test |
— |
— |
$14 |
$17 |
| Stress echocardiogram |
— |
— |
$196 |
$209 |
| Tdap (tetanus) vaccine |
$25 |
$50 |
$22 |
— |
| Testosterone test |
$40 |
$80 |
$26 |
$26 |
| Thyroid removal (thyroidectomy) |
— |
— |
$963 |
$1,004 |
| Thyroid ultrasound |
— |
— |
$88 |
$109 |
| Thyroid uptake scan |
— |
— |
$160 |
$145 |
| Tonsillectomy |
— |
— |
$246 |
$252 |
| Total IgE allergy test |
$9 |
$19 |
$17 |
$16 |
| Tracheostomy |
— |
— |
$342 |
$273 |
| Transesophageal echocardiogram (TEE) |
— |
— |
$303 |
$239 |
| Transvaginal ultrasound |
— |
— |
$96 |
$118 |
| Trigger finger release |
— |
— |
$531 |
$630 |
| Tubal ligation |
— |
— |
$287 |
$333 |
| Turbinate reduction |
— |
— |
$296 |
$294 |
| Turning a breech baby (version) |
— |
— |
$83 |
$94 |
| Ulnar nerve surgery (elbow) |
— |
— |
$425 |
$575 |
| Upper GI series (barium) |
— |
— |
$113 |
$128 |
| Ureteroscopy (stone removal) |
— |
— |
$244 |
$365 |
| UV light therapy (skin) |
— |
— |
$68 |
$106 |
| Vaginal delivery |
— |
— |
$3,200 |
$5,487 |
| Varicocele repair |
— |
— |
$305 |
$327 |
| Varicose vein ablation |
— |
— |
$613 |
$1,018 |
| Vitrectomy (eye) |
— |
— |
$866 |
$814 |
| Vocal cord injection |
— |
— |
$226 |
$211 |
| Wart removal |
— |
— |
$86 |
$121 |
| Weight-loss (bariatric) surgery |
— |
— |
$3,520 |
$11,645 |
| Well-child visit |
— |
— |
$67 |
— |
| Whipple procedure (pancreas) |
— |
— |
$2,460 |
$2,871 |
| Wrist fracture repair |
— |
— |
$606 |
$735 |
| X-ray of the abdomen |
— |
— |
$29 |
$36 |
| X-ray of the collarbone |
— |
— |
$26 |
$33 |
| X-ray of the elbow |
— |
— |
$26 |
$33 |
| X-ray of the facial bones |
— |
— |
$37 |
$39 |
| X-ray of the forearm |
— |
— |
$23 |
$29 |
| X-ray of the hand |
— |
— |
$29 |
$38 |
| X-ray of the hip |
— |
— |
$41 |
$49 |
| X-ray of the knee |
— |
— |
$37 |
$42 |
| X-ray of the lower back (lumbar spine) |
— |
— |
$41 |
$47 |
| X-ray of the lower leg |
— |
— |
$25 |
$31 |
| X-ray of the mid-back (thoracic spine) |
— |
— |
$31 |
$36 |
| X-ray of the neck (cervical spine) |
— |
— |
$42 |
$47 |
| X-ray of the pelvis |
— |
— |
$34 |
$36 |
| X-ray of the ribs |
— |
— |
$35 |
$42 |
| X-ray of the shoulder |
— |
— |
$27 |
$36 |
| X-ray of the skull |
— |
— |
$36 |
$40 |
| X-ray of the upper arm |
— |
— |
$26 |
$32 |
| X-ray of the wrist |
— |
— |
$32 |
$43 |
| Zinc blood test |
$27 |
$53 |
$23 |
$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.
