| Procedure | Cash | Chargemaster | Insurer | Medicare |
| 3D mammogram (tomosynthesis) |
$24 |
$40 |
— |
$51 |
| Abdominal fluid drain (paracentesis) |
$817 |
$1,362 |
— |
$284 |
| Abdominal ultrasound |
$790 |
$1,316 |
— |
$100 |
| Abscess incision and drainage |
$311 |
$519 |
— |
$174 |
| Albumin blood test |
$22 |
$36 |
— |
$5 |
| Aldosterone test |
$140 |
$233 |
— |
$41 |
| Alkaline phosphatase test |
$15 |
$25 |
— |
$5 |
| Alpha-fetoprotein (AFP) test |
$57 |
$95 |
— |
$17 |
| ALT liver enzyme test |
$53 |
$88 |
— |
$5 |
| Ammonia blood test |
$116 |
$194 |
— |
$15 |
| Amylase test |
$78 |
$130 |
— |
$6 |
| Anoscopy |
$233 |
$389 |
— |
$129 |
| Antinuclear antibody (ANA) test |
$25 |
$42 |
— |
$12 |
| Arterial blood gas (ABG) |
$155 |
$258 |
— |
$26 |
| AST liver enzyme test |
$50 |
$83 |
— |
$5 |
| Barium swallow study |
$724 |
$1,207 |
— |
$107 |
| Bartholin cyst removal |
$398 |
$663 |
— |
$182 |
| Basic metabolic panel |
$97 |
$161 |
— |
$8 |
| Benign skin lesion removal |
$1,346 |
$2,244 |
— |
$171 |
| Bilirubin blood test |
$22 |
$36 |
— |
$5 |
| Blood clotting test (PT/INR) |
$9 |
$15 |
— |
$4 |
| Blood crossmatch |
$118 |
$197 |
— |
— |
| Blood glucose test |
$45 |
$75 |
— |
$5 |
| Blood transfusion |
$565 |
$942 |
— |
$47 |
| Blood type and screen |
$81 |
$135 |
— |
$10 |
| Blood type test |
$28 |
$47 |
— |
$3 |
| BNP (heart failure) test |
$167 |
$279 |
— |
$39 |
| Bone density scan (DEXA) |
$511 |
$851 |
— |
$39 |
| Bone marrow biopsy |
$1,592 |
$2,654 |
— |
$172 |
| Bone scan (nuclear) |
$2,177 |
$3,629 |
— |
$259 |
| Breast biopsy |
$2,180 |
$3,633 |
— |
$478 |
| Breast MRI |
$2,109 |
$3,516 |
— |
$216 |
| Breast ultrasound |
$379 |
$632 |
— |
$92 |
| Breathing tube insertion (intubation) |
$844 |
$1,407 |
— |
$133 |
| Burn treatment |
$232 |
$387 |
— |
$129 |
| C-reactive protein (CRP) |
$75 |
$125 |
— |
$5 |
| CA 19-9 tumor marker test |
$68 |
$114 |
— |
$21 |
| CA-125 ovarian marker test |
$349 |
$582 |
— |
$21 |
| Calcium blood test |
$39 |
$65 |
— |
$5 |
| Cardiac stress test |
$1,124 |
$1,873 |
— |
$39 |
| Cardioversion |
$1,533 |
$2,555 |
— |
$155 |
| Carotid artery ultrasound |
$1,164 |
$1,940 |
— |
$156 |
| CEA tumor marker test |
$122 |
$203 |
— |
$19 |
| Central line placement |
$5,173 |
$8,621 |
— |
$238 |
| Chemotherapy infusion |
$554 |
$923 |
— |
$81 |
| Chest tube insertion |
$1,366 |
$2,276 |
— |
$143 |
| Chest X-ray |
$243 |
$406 |
— |
$37 |
| Circumcision |
$3,940 |
$6,566 |
— |
$167 |
| CK-MB heart enzyme test |
$109 |
$181 |
— |
$12 |
| Clotting time test (PTT) |
$18 |
$30 |
— |
$6 |
| Colonoscopy |
$4,715 |
$7,858 |
— |
$480 |
| Complete blood count (CBC) |
$47 |
$78 |
— |
$7 |
| Complex wound repair |
$927 |
$1,545 |
— |
$390 |
| Comprehensive metabolic panel |
$77 |
$129 |
— |
$11 |
| Copper blood test |
$45 |
$75 |
— |
$12 |
| Cortisol test |
$155 |
$258 |
— |
$16 |
| COVID-19 PCR test |
$106 |
$176 |
— |
$51 |
| CPAP titration study |
$841 |
$1,401 |
— |
$69 |
| Creatine kinase (CK) test |
$88 |
$146 |
— |
$7 |
| CT angiography of the chest |
$1,208 |
$2,014 |
— |
$281 |
| CT angiography of the head |
$1,376 |
$2,294 |
— |
$274 |
| CT scan of the abdomen |
$1,249 |
$2,082 |
— |
$230 |
| CT scan of the abdomen and pelvis |
$2,248 |
$3,746 |
— |
$300 |
| CT scan of the arm |
$1,249 |
$2,082 |
— |
$199 |
| CT scan of the chest |
$1,124 |
$1,874 |
— |
$167 |
| CT scan of the head |
$1,211 |
$2,018 |
— |
$148 |
| CT scan of the leg |
$1,466 |
$2,443 |
— |
$166 |
| CT scan of the lower back (lumbar spine) |
$1,274 |
$2,123 |
— |
$169 |
| CT scan of the neck |
$1,290 |
$2,150 |
— |
$183 |
| CT scan of the neck (cervical spine) |
$1,343 |
$2,238 |
— |
$168 |
| CT scan of the pelvis |
$1,249 |
$2,082 |
— |
$226 |
| CT scan of the sinuses |
$1,064 |
$1,773 |
— |
$152 |
| D-dimer test |
$168 |
$280 |
— |
$10 |
| DHEA-sulfate test |
$106 |
$177 |
— |
$22 |
| Diagnostic mammogram |
$359 |
$599 |
— |
$140 |
| Drug screen (urine) |
$97 |
$162 |
— |
$17 |
| Echocardiogram |
$478 |
$796 |
— |
$138 |
| Electrocardiogram (EKG) |
$212 |
$353 |
— |
$8 |
| Electroencephalogram (EEG) |
$871 |
$1,451 |
— |
$448 |
| Electrolyte panel |
$53 |
$88 |
— |
$7 |
| Emergency department visit |
$1,073 |
$1,788 |
— |
$69 |
| Estradiol (estrogen) test |
$173 |
$288 |
— |
$28 |
| Family therapy session |
$817 |
$1,362 |
— |
$110 |
| Fecal occult blood (stool) test |
$46 |
$77 |
— |
$10 |
| Ferritin (iron) test |
$128 |
$214 |
— |
$14 |
| Fibrinogen test |
$39 |
$65 |
— |
$10 |
| Flu test |
$110 |
$183 |
— |
$17 |
| Folate (folic acid) test |
$76 |
$127 |
— |
$15 |
| Foreign body removal (skin) |
$293 |
$489 |
— |
$157 |
| Free T4 thyroid test |
$97 |
$161 |
— |
$9 |
| FSH hormone test |
$140 |
$233 |
— |
$19 |
| Gallbladder scan (HIDA) |
$1,829 |
$3,048 |
— |
$334 |
| GGT liver test |
$42 |
$70 |
— |
$7 |
| Glucose tolerance test |
$63 |
$106 |
— |
$8 |
| Group therapy session |
$1,168 |
$1,946 |
— |
$30 |
| H. pylori test |
$123 |
$205 |
— |
$67 |
| HDL cholesterol test |
$64 |
$107 |
— |
$8 |
| Hematocrit test |
$28 |
$47 |
— |
$2 |
| Hemodialysis |
$2,202 |
$3,670 |
— |
$75 |
| Hemoglobin A1c (diabetes test) |
$104 |
$173 |
— |
$10 |
| Hepatitis B test |
$64 |
$107 |
— |
$10 |
| Hepatitis C test |
$27 |
$45 |
— |
$14 |
| HIV test |
$90 |
$151 |
— |
$19 |
| Holter heart monitor |
$846 |
$1,411 |
— |
$26 |
| Iron blood test |
$58 |
$97 |
— |
$6 |
| IUD insertion |
$718 |
$1,197 |
— |
— |
| IUD removal |
$718 |
$1,197 |
— |
$112 |
| IV infusion therapy |
$297 |
$496 |
— |
$44 |
| Joint aspiration (small/intermediate) |
$669 |
$1,116 |
— |
$57 |
| Kidney ultrasound |
$817 |
$1,362 |
— |
$84 |
| Knee joint injection |
$719 |
$1,199 |
— |
$69 |
| Lactate test |
$40 |
$66 |
— |
$12 |
| Laryngoscopy |
$341 |
$568 |
— |
$189 |
| LDH test |
$61 |
$101 |
— |
$6 |
| LDL cholesterol test |
$41 |
$69 |
— |
$11 |
| Leg vein ultrasound (Doppler) |
$1,089 |
$1,815 |
— |
$150 |
| LH hormone test |
$132 |
$220 |
— |
$19 |
| Lipase test |
$79 |
$131 |
— |
$7 |
| Lipid (cholesterol) panel |
$25 |
$42 |
— |
$13 |
| Liver function panel |
$97 |
$161 |
— |
$8 |
| Lung function test (PFT) |
$259 |
$431 |
— |
$37 |
| Magnesium blood test |
$59 |
$98 |
— |
$7 |
| MRA of the brain |
$2,162 |
$3,603 |
— |
$226 |
| MRA of the neck |
$2,162 |
$3,603 |
— |
$245 |
| MRI of the abdomen |
$2,724 |
$4,540 |
— |
$300 |
| MRI of the ankle |
$2,724 |
$4,540 |
— |
$261 |
| MRI of the brain |
$2,162 |
$3,603 |
— |
$269 |
| MRI of the chest |
$2,724 |
$4,540 |
— |
$371 |
| MRI of the knee |
$2,945 |
$4,909 |
— |
$315 |
| MRI of the lower back (lumbar spine) |
$2,828 |
$4,713 |
— |
$270 |
| MRI of the mid-back (thoracic spine) |
$2,828 |
$4,713 |
— |
$271 |
| MRI of the neck (cervical spine) |
$2,525 |
$4,208 |
— |
$274 |
| MRI of the pelvis |
$2,123 |
$3,539 |
— |
$268 |
| MRI of the shoulder |
$2,631 |
$4,386 |
— |
$313 |
| MRI of the wrist |
$3,082 |
$5,137 |
— |
$330 |
| Nebulizer breathing treatment |
$299 |
$499 |
— |
$9 |
| Nerve conduction study |
$433 |
$722 |
— |
$118 |
| Nuclear cardiac stress test |
$4,394 |
$7,323 |
— |
$428 |
| Occupational therapy evaluation |
$329 |
$548 |
— |
$101 |
| Office visit (established patient) |
$296 |
$494 |
— |
$115 |
| Office visit (new patient) |
$266 |
$443 |
— |
$177 |
| Pap smear (cervical screening) |
$94 |
$156 |
— |
$20 |
| Parathyroid hormone (PTH) test |
$117 |
$195 |
— |
$41 |
| Pelvic ultrasound |
$733 |
$1,222 |
— |
$78 |
| Phosphorus blood test |
$113 |
$189 |
— |
$5 |
| Physical therapy evaluation |
$263 |
$438 |
— |
$98 |
| Platelet count |
$36 |
$60 |
— |
$4 |
| Pregnancy blood test (hCG) |
$81 |
$135 |
— |
$8 |
| Pregnancy ultrasound |
$1,137 |
$1,895 |
— |
$126 |
| Procalcitonin test |
$201 |
$335 |
— |
$27 |
| Prolactin test |
$176 |
$293 |
— |
$19 |
| Prostate test (PSA) |
$37 |
$62 |
— |
$18 |
| Psychotherapy session |
$1,151 |
$1,919 |
— |
$140 |
| Scoliosis spine X-ray |
$201 |
$335 |
— |
$58 |
| Screening mammogram |
$391 |
$652 |
— |
$126 |
| Scrotal ultrasound |
$693 |
$1,155 |
— |
$99 |
| Sedimentation rate (ESR) test |
$36 |
$61 |
— |
$3 |
| Semen analysis |
$230 |
$383 |
— |
$12 |
| Sex hormone binding globulin test |
$48 |
$80 |
— |
$22 |
| Simple wound stitches |
$351 |
$585 |
— |
$127 |
| Skin biopsy |
$648 |
$1,080 |
— |
$121 |
| Skin lesion freezing (cryotherapy) |
$358 |
$596 |
— |
$36 |
| Skin tag removal |
$232 |
$387 |
— |
$92 |
| Sleep study (polysomnography) |
$4,072 |
$6,787 |
— |
$691 |
| Soft tissue ultrasound |
$455 |
$759 |
— |
$64 |
| Speech therapy |
$312 |
$521 |
— |
$76 |
| Spinal tap (lumbar puncture) |
$856 |
$1,426 |
— |
$165 |
| Strep throat test |
$71 |
$119 |
— |
$17 |
| Stress echocardiogram |
$2,071 |
$3,452 |
— |
$209 |
| Swallow study |
$418 |
$696 |
— |
$85 |
| T3 thyroid test |
$125 |
$208 |
— |
$14 |
| Testosterone test |
$74 |
$123 |
— |
$26 |
| Thyroid test (TSH) |
$108 |
$180 |
— |
$17 |
| Thyroid ultrasound |
$776 |
$1,294 |
— |
$109 |
| Thyroid uptake scan |
$1,196 |
$1,993 |
— |
$145 |
| Total IgE allergy test |
$54 |
$90 |
— |
$16 |
| Total protein test |
$43 |
$72 |
— |
$4 |
| Transvaginal ultrasound |
$911 |
$1,518 |
— |
$118 |
| Trigger point injection |
$601 |
$1,002 |
— |
$56 |
| Triglycerides test |
$60 |
$100 |
— |
$6 |
| Troponin (heart) test |
$106 |
$177 |
— |
$12 |
| Upper GI endoscopy (EGD) |
$6,033 |
$10,056 |
— |
$371 |
| Upper GI series (barium) |
$400 |
$667 |
— |
$128 |
| Uric acid (gout) test |
$53 |
$88 |
— |
$5 |
| Urinalysis |
$34 |
$57 |
— |
$3 |
| Urine microalbumin test |
$36 |
$60 |
— |
$5 |
| Urine pregnancy test |
$52 |
$86 |
— |
$9 |
| Vaccine administration |
$49 |
$82 |
— |
$19 |
| Vitamin B12 test |
$77 |
$129 |
— |
$15 |
| Vitamin D test |
$190 |
$317 |
— |
$30 |
| Wart removal |
$287 |
$478 |
— |
$121 |
| Wound debridement |
$648 |
$1,080 |
— |
$186 |
| X-ray of the abdomen |
$364 |
$607 |
— |
$36 |
| X-ray of the ankle |
$422 |
$703 |
— |
$37 |
| X-ray of the collarbone |
$263 |
$439 |
— |
$33 |
| X-ray of the facial bones |
$270 |
$451 |
— |
$39 |
| X-ray of the foot |
$385 |
$641 |
— |
$34 |
| X-ray of the forearm |
$263 |
$439 |
— |
$29 |
| X-ray of the hand |
$381 |
$635 |
— |
$38 |
| X-ray of the hip |
$390 |
$650 |
— |
$49 |
| X-ray of the knee |
$352 |
$587 |
— |
$42 |
| X-ray of the lower back (lumbar spine) |
$394 |
$656 |
— |
$47 |
| X-ray of the lower leg |
$428 |
$714 |
— |
$31 |
| X-ray of the mid-back (thoracic spine) |
$361 |
$602 |
— |
$36 |
| X-ray of the neck (cervical spine) |
$371 |
$618 |
— |
$47 |
| X-ray of the pelvis |
$302 |
$504 |
— |
$36 |
| X-ray of the ribs |
$277 |
$462 |
— |
$42 |
| X-ray of the shoulder |
$392 |
$653 |
— |
$36 |
| X-ray of the skull |
$243 |
$405 |
— |
$40 |
| X-ray of the upper arm |
$304 |
$506 |
— |
$32 |
| X-ray of the wrist |
$381 |
$635 |
— |
$43 |
| Zinc blood test |
$40 |
$66 |
— |
$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.