| Procedure | Cash | Chargemaster | Insurer | Medicare |
|---|
| 3D mammogram (tomosynthesis) |
— |
— |
$56 |
$51 |
| Abdominal fluid drain (paracentesis) |
— |
— |
$1,556 |
$284 |
| Abdominal ultrasound |
$2,994 |
$2,994 |
$150 |
$100 |
| Abscess incision and drainage |
— |
— |
$1,548 |
$174 |
| Achilles tendon repair |
— |
— |
$5,820 |
$624 |
| ACL knee reconstruction |
— |
— |
$6,985 |
$889 |
| Acupuncture |
— |
— |
$80 |
$38 |
| Adenoid removal (adenoidectomy) |
— |
— |
$3,695 |
$204 |
| Albumin blood test |
$202 |
$202 |
$5 |
$5 |
| Alkaline phosphatase test |
$202 |
$202 |
$5 |
$5 |
| Allergy patch testing |
— |
— |
$2,454 |
$5 |
| Allergy shots |
— |
— |
$103 |
$11 |
| Allergy testing |
— |
— |
$2,454 |
$4 |
| ALT liver enzyme test |
$185 |
$185 |
$5 |
$5 |
| Ammonia blood test |
$519 |
$519 |
$15 |
$15 |
| Amniocentesis |
— |
— |
$1,440 |
$120 |
| Anal fistula repair |
— |
— |
$3,695 |
$541 |
| Ankle fracture repair |
— |
— |
$5,820 |
$608 |
| Ankle replacement |
— |
— |
$10,311 |
$885 |
| Annual physical (established patient) |
— |
— |
$256 |
— |
| Annual physical (new patient) |
— |
— |
$297 |
— |
| Anoscopy |
— |
— |
$1,672 |
$129 |
| Antinuclear antibody (ANA) test |
$280 |
$280 |
$19 |
$12 |
| Aortic aneurysm repair (AAA) |
$30,523 |
$30,523 |
$6,973 |
$1,345 |
| Aortic valve replacement |
$83,735 |
$83,735 |
$11,802 |
$1,603 |
| Appendix removal (appendectomy) |
— |
— |
$19,951 |
$592 |
| AST liver enzyme test |
$202 |
$202 |
$5 |
$5 |
| Barium swallow study |
$2,329 |
$2,329 |
$133 |
$107 |
| Bartholin cyst removal |
— |
— |
$1,609 |
$182 |
| Benign skin lesion removal |
— |
— |
$1,440 |
$171 |
| Bilirubin blood test |
$193 |
$193 |
$5 |
$5 |
| Bladder function test (urodynamics) |
— |
— |
$1,914 |
$345 |
| Bladder scope (cystoscopy) |
— |
— |
$1,440 |
$216 |
| Bladder tumor removal (TURBT) |
— |
— |
$3,695 |
$236 |
| Blood clotting test (PT/INR) |
$316 |
$316 |
$15 |
$4 |
| Blood crossmatch |
$300 |
$300 |
$149 |
— |
| Blood glucose test |
$227 |
$227 |
$5 |
$5 |
| Blood transfusion |
$4,772 |
$4,772 |
$1,703 |
$47 |
| Blood type and screen |
$458 |
$458 |
$23 |
$10 |
| Blood type test |
$310 |
$310 |
$3 |
$3 |
| BNP (heart failure) test |
$1,046 |
$1,046 |
$39 |
$39 |
| Bone density scan (DEXA) |
$682 |
$682 |
$41 |
$39 |
| Bone marrow biopsy |
— |
— |
$1,827 |
$172 |
| Bone scan (nuclear) |
$7,165 |
$7,165 |
$303 |
$259 |
| Botox for migraine |
— |
— |
$1,153 |
$157 |
| Brain shunt (VP shunt) |
— |
— |
$6,973 |
$1,023 |
| Breast biopsy |
— |
— |
$2,496 |
$478 |
| Breast MRI |
$3,716 |
$3,716 |
$636 |
$216 |
| Breast reconstruction |
— |
— |
$6,973 |
$1,227 |
| Breast reduction |
— |
— |
$5,820 |
$980 |
| Breast ultrasound |
$748 |
$748 |
$142 |
$92 |
| Breathing tube insertion (intubation) |
— |
— |
$1,609 |
$133 |
| Bronchoscopy |
— |
— |
$2,473 |
$303 |
| Bunion surgery (bunionectomy) |
— |
— |
$5,240 |
$883 |
| Burn treatment |
— |
— |
$1,641 |
$129 |
| C-reactive protein (CRP) |
$398 |
$398 |
$5 |
$5 |
| CA 19-9 tumor marker test |
$812 |
$812 |
$21 |
$21 |
| CA-125 ovarian marker test |
$845 |
$845 |
$21 |
$21 |
| Calcium blood test |
$202 |
$202 |
$6 |
$5 |
| Capsule endoscopy |
$3,107 |
$3,107 |
$1,377 |
$802 |
| Cardiac ablation |
$111,281 |
$111,281 |
$21,768 |
$759 |
| Cardiac catheterization |
$48,348 |
$48,348 |
$11,941 |
$1,049 |
| Cardiac event monitor |
— |
— |
$555 |
$170 |
| Cardiac MRI |
$3,836 |
$3,836 |
$368 |
$322 |
| Cardiac rehabilitation |
$563 |
$563 |
$171 |
$26 |
| Cardiac stress test |
$4,228 |
$4,228 |
$1,352 |
$39 |
| Cardioversion |
$2,235 |
$2,235 |
$894 |
$155 |
| Carotid artery surgery |
$7,665 |
$7,665 |
$6,812 |
$1,026 |
| Carotid artery ultrasound |
$5,353 |
$5,353 |
$928 |
$156 |
| Carpal tunnel release |
— |
— |
$3,322 |
$483 |
| Cataract surgery |
— |
— |
$3,896 |
$547 |
| CEA tumor marker test |
$954 |
$954 |
$19 |
$19 |
| Celiac disease test |
$404 |
$404 |
$12 |
$12 |
| Central line placement |
$7,254 |
$7,254 |
$2,569 |
$238 |
| Cervical cerclage |
— |
— |
$3,463 |
$137 |
| Cervical LEEP procedure |
— |
— |
$3,322 |
$325 |
| Cesarean section (C-section) |
— |
— |
$4,473 |
$7,552 |
| Chalazion (eyelid cyst) removal |
— |
— |
$1,609 |
$131 |
| Chemotherapy infusion |
$1,840 |
$1,840 |
$402 |
$81 |
| Chest fluid drain (thoracentesis) |
$4,118 |
$4,118 |
$1,440 |
$311 |
| Chest tube insertion |
— |
— |
$2,096 |
$143 |
| Chest X-ray |
$1,255 |
$1,255 |
$182 |
$37 |
| Chickenpox (varicella) vaccine |
$1,235 |
$1,235 |
$380 |
— |
| Chiropractic adjustment |
— |
— |
$66 |
$38 |
| Circumcision |
— |
— |
$3,067 |
$167 |
| Clotting time test (PTT) |
$316 |
$316 |
$15 |
$6 |
| Colon resection (colectomy) |
— |
— |
$7,799 |
$1,238 |
| Colonoscopy |
— |
— |
$1,988 |
$480 |
| Colostomy |
— |
— |
$6,973 |
$1,122 |
| Colposcopy |
— |
— |
$1,609 |
$161 |
| Complete blood count (CBC) |
$382 |
$382 |
$8 |
$7 |
| Complex wound repair |
— |
— |
$1,440 |
$390 |
| Comprehensive eye exam |
— |
— |
$313 |
$138 |
| Contact lens fitting |
— |
— |
$164 |
— |
| Continuous glucose monitor setup |
— |
— |
$98 |
$35 |
| Contraceptive implant (Nexplanon) |
— |
— |
$1,153 |
$115 |
| Corneal transplant |
— |
— |
$5,820 |
$1,066 |
| Coronary angioplasty / stent (PCI) |
— |
— |
$37,169 |
$426 |
| Coronary artery bypass (CABG) |
— |
— |
$45,692 |
$36,593 |
| Coronary CT angiography |
$2,259 |
$2,259 |
$1,130 |
$326 |
| Cortisol test |
$859 |
$859 |
$16 |
$16 |
| COVID-19 PCR test |
$74 |
$74 |
$51 |
$51 |
| CPAP titration study |
$3,115 |
$3,115 |
$910 |
$69 |
| Craniotomy (brain surgery) |
— |
— |
$6,973 |
$2,161 |
| CT angiography of the chest |
$11,749 |
$11,749 |
$587 |
$281 |
| CT angiography of the head |
$11,749 |
$11,749 |
$402 |
$274 |
| CT colonography (virtual colonoscopy) |
$1,600 |
$1,600 |
$960 |
$835 |
| CT scan of the abdomen |
$8,798 |
$8,798 |
$180 |
$230 |
| CT scan of the abdomen and pelvis |
$14,859 |
$14,859 |
$356 |
$300 |
| CT scan of the arm |
$7,032 |
$7,032 |
$558 |
$199 |
| CT scan of the chest |
$8,690 |
$8,690 |
$402 |
$167 |
| CT scan of the head |
$6,743 |
$6,743 |
$180 |
$148 |
| CT scan of the leg |
$6,640 |
$6,640 |
$245 |
$166 |
| CT scan of the lower back (lumbar spine) |
$8,795 |
$8,795 |
$180 |
$169 |
| CT scan of the neck |
$8,795 |
$8,795 |
$180 |
$183 |
| CT scan of the neck (cervical spine) |
$8,795 |
$8,795 |
$180 |
$168 |
| CT scan of the pelvis |
$6,061 |
$6,061 |
$180 |
$226 |
| CT scan of the sinuses |
$7,433 |
$7,433 |
$180 |
$152 |
| Defibrillator (ICD) implant |
$75,085 |
$75,085 |
$24,139 |
$798 |
| Developmental screening (child) |
— |
— |
$27 |
— |
| DHEA-sulfate test |
$858 |
$858 |
$22 |
$22 |
| Diagnostic mammogram |
$739 |
$739 |
$149 |
$140 |
| Dialysis fistula creation |
— |
— |
$4,268 |
$601 |
| Dilation and curettage (D&C) |
— |
— |
$3,695 |
$298 |
| Droopy eyelid repair (ptosis) |
— |
— |
$3,695 |
$745 |
| Drug screen (urine) |
$907 |
$907 |
$45 |
$17 |
| Ear pressure test (tympanometry) |
$190 |
$190 |
$65 |
$16 |
| Ear tubes (myringotomy) |
— |
— |
$2,014 |
$174 |
| Eardrum repair (tympanoplasty) |
— |
— |
$5,820 |
$799 |
| Echocardiogram |
$4,827 |
$4,827 |
$1,153 |
$138 |
| Elbow replacement |
— |
— |
$8,031 |
$1,301 |
| Electrocardiogram (EKG) |
$945 |
$945 |
$279 |
$8 |
| Electroencephalogram (EEG) |
$3,057 |
$3,057 |
$1,001 |
$448 |
| Electromyography (EMG) |
$1,959 |
$1,959 |
$623 |
$141 |
| Emergency department visit |
$2,596 |
$2,596 |
$758 |
$69 |
| Endometrial biopsy |
— |
— |
$1,153 |
$98 |
| Epidural steroid injection |
— |
— |
$1,440 |
$275 |
| ERCP (bile duct endoscopy) |
— |
— |
$3,695 |
$311 |
| Esophageal dilation |
— |
— |
$1,827 |
$522 |
| Esophageal variceal banding |
— |
— |
$2,115 |
$126 |
| Eye refraction (glasses prescription) |
— |
— |
$54 |
— |
| Eyelid surgery (blepharoplasty) |
— |
— |
$2,800 |
$552 |
| Facet joint injection (spine) |
— |
— |
$1,861 |
$99 |
| Fallopian tube X-ray (HSG) |
$2,581 |
$2,581 |
$948 |
$164 |
| Fecal occult blood (stool) test |
$262 |
$262 |
$14 |
$10 |
| Feeding tube (PEG) placement |
— |
— |
$2,449 |
$178 |
| Femoral hernia repair |
— |
— |
$5,240 |
$584 |
| Ferritin (iron) test |
$756 |
$756 |
$14 |
$14 |
| Fibrinogen test |
$572 |
$572 |
$10 |
$10 |
| Fibroid removal (myomectomy) |
— |
— |
$5,849 |
$914 |
| Flexible sigmoidoscopy |
— |
— |
$1,609 |
$323 |
| Flu test |
$351 |
$351 |
$17 |
$17 |
| Flu vaccine |
$121 |
$121 |
$50 |
— |
| Folate (folic acid) test |
$672 |
$672 |
$15 |
$15 |
| Foreign body removal (skin) |
— |
— |
$1,319 |
$157 |
| Free T4 thyroid test |
$710 |
$710 |
$9 |
$9 |
| Gallbladder removal (laparoscopic) |
— |
— |
$6,680 |
$658 |
| Gallbladder scan (HIDA) |
$5,713 |
$5,713 |
$433 |
$334 |
| Ganglion cyst removal |
— |
— |
$2,982 |
$321 |
| GGT liver test |
$351 |
$351 |
$7 |
$7 |
| Glaucoma surgery |
— |
— |
$3,963 |
$984 |
| Glucose tolerance test |
$227 |
$227 |
$14 |
$8 |
| Group therapy session |
$325 |
$325 |
$110 |
$30 |
| H. pylori test |
— |
— |
$67 |
$67 |
| Hammertoe repair |
— |
— |
$3,695 |
$548 |
| HDL cholesterol test |
$454 |
$454 |
$8 |
$8 |
| Hearing test (audiometry) |
$347 |
$347 |
$131 |
$36 |
| Hematocrit test |
$227 |
$227 |
$4 |
$2 |
| Hemodialysis |
$7,341 |
$7,341 |
$1,432 |
$75 |
| Hemoglobin A1c (diabetes test) |
$494 |
$494 |
$10 |
$10 |
| Hemorrhoid removal |
— |
— |
$2,102 |
$338 |
| Hepatitis A vaccine |
$699 |
$699 |
$158 |
— |
| Hepatitis B test |
$640 |
$640 |
$13 |
$10 |
| Hepatitis B vaccine |
$392 |
$392 |
$141 |
— |
| Hepatitis C test |
$638 |
$638 |
$14 |
$14 |
| Hip arthroscopy |
— |
— |
$6,716 |
$931 |
| Hip fracture repair |
— |
— |
$6,362 |
$1,120 |
| Hip replacement |
— |
— |
$23,175 |
$1,162 |
| HIV test |
$422 |
$422 |
$24 |
$19 |
| Home sleep apnea test |
$3,013 |
$3,013 |
$979 |
$123 |
| HPV vaccine |
$3,176 |
$3,176 |
$651 |
— |
| Hydrocele repair |
— |
— |
$5,240 |
$315 |
| Hysterectomy |
— |
— |
$7,226 |
$933 |
| Hysteroscopy |
— |
— |
$3,771 |
$1,270 |
| Ileostomy |
— |
— |
$6,973 |
$968 |
| Incisional hernia repair |
— |
— |
$5,471 |
— |
| Inguinal hernia repair |
— |
— |
$5,240 |
$538 |
| Iron blood test |
$471 |
$471 |
$8 |
$6 |
| IUD insertion |
— |
— |
$1,827 |
— |
| IUD removal |
— |
— |
$1,609 |
$112 |
| IV infusion therapy |
$1,757 |
$1,757 |
$371 |
$44 |
| IVC filter placement |
$23,836 |
$23,836 |
$5,758 |
$1,885 |
| Joint aspiration (small/intermediate) |
— |
— |
$1,609 |
$57 |
| Kidney biopsy |
$4,826 |
$4,826 |
$2,114 |
$492 |
| Kidney removal (nephrectomy) |
— |
— |
$8,880 |
$1,164 |
| Kidney scan (nuclear) |
$6,569 |
$6,569 |
$187 |
$172 |
| Kidney stone shock-wave (lithotripsy) |
— |
— |
$5,977 |
$760 |
| Kidney ultrasound |
$2,098 |
$2,098 |
$107 |
$84 |
| Knee arthroscopy |
— |
— |
$5,240 |
$524 |
| Knee joint injection |
— |
— |
$1,609 |
$69 |
| Knee replacement |
— |
— |
$4,389 |
$18,054 |
| Lactate test |
$710 |
$710 |
$26 |
$12 |
| Laminectomy (spine) |
— |
— |
$5,820 |
$1,157 |
| Laryngoscopy |
— |
— |
$1,913 |
$189 |
| LDL cholesterol test |
— |
— |
$11 |
$11 |
| Leg artery angiogram |
$14,938 |
$14,938 |
$4,825 |
$149 |
| Leg artery angioplasty |
$45,608 |
$45,608 |
$5,820 |
— |
| Leg vein ultrasound (Doppler) |
$2,540 |
$2,540 |
$749 |
$150 |
| LH hormone test |
$810 |
$810 |
$19 |
$19 |
| Lipase test |
$362 |
$362 |
$7 |
$7 |
| Liver biopsy |
$4,620 |
$4,620 |
$2,114 |
$288 |
| Lower back (lumbar) spinal fusion |
— |
— |
$78,560 |
$1,511 |
| Lumbar discectomy |
— |
— |
$5,820 |
$898 |
| Lumpectomy (breast) |
— |
— |
$4,988 |
$750 |
| Lung function test (PFT) |
$2,357 |
$2,357 |
$668 |
$37 |
| Lung scan (V/Q) |
$7,015 |
$7,015 |
$340 |
$291 |
| Magnesium blood test |
$501 |
$501 |
$25 |
$7 |
| Mastectomy |
— |
— |
$5,820 |
$1,021 |
| Mastoidectomy |
— |
— |
$4,860 |
$840 |
| Meniscus repair (knee) |
— |
— |
$5,240 |
$714 |
| MMR vaccine |
$692 |
$692 |
$193 |
— |
| Mohs skin cancer surgery |
— |
— |
$1,908 |
$535 |
| MRA of the brain |
$7,743 |
$7,743 |
$344 |
$226 |
| MRA of the neck |
$7,743 |
$7,743 |
$361 |
$245 |
| MRI of the abdomen |
$10,467 |
$10,467 |
$355 |
$300 |
| MRI of the ankle |
$10,297 |
$10,297 |
$518 |
$261 |
| MRI of the brain |
$11,041 |
$11,041 |
$361 |
$269 |
| MRI of the chest |
$9,366 |
$9,366 |
$398 |
$371 |
| MRI of the knee |
$6,646 |
$6,646 |
$518 |
$315 |
| MRI of the lower back (lumbar spine) |
$9,033 |
$9,033 |
$518 |
$270 |
| MRI of the mid-back (thoracic spine) |
$9,723 |
$9,723 |
$518 |
$271 |
| MRI of the neck (cervical spine) |
$7,926 |
$7,926 |
$518 |
$274 |
| MRI of the pelvis |
$6,237 |
$6,237 |
$353 |
$268 |
| MRI of the shoulder |
$9,873 |
$9,873 |
$518 |
$313 |
| MRI of the wrist |
$10,297 |
$10,297 |
$518 |
$330 |
| Nebulizer breathing treatment |
$500 |
$500 |
$196 |
$9 |
| Neck (cervical) spinal fusion |
— |
— |
$7,301 |
$1,410 |
| Nerve conduction study |
$1,393 |
$1,393 |
$424 |
$118 |
| Newborn hospital care |
— |
— |
$212 |
$58 |
| Nuchal translucency ultrasound |
$2,905 |
$2,905 |
$145 |
$116 |
| Nuclear cardiac stress test |
$13,201 |
$13,201 |
$2,938 |
$428 |
| Occupational therapy evaluation |
$683 |
$683 |
$130 |
$101 |
| Office visit (established patient) |
$611 |
$611 |
$148 |
$115 |
| Office visit (new patient) |
$856 |
$856 |
$209 |
$177 |
| Orthopedic hardware removal |
— |
— |
$3,695 |
$632 |
| Ovarian cyst removal |
— |
— |
$5,471 |
$698 |
| Ovary removal (oophorectomy) |
— |
— |
$5,468 |
$822 |
| Pacemaker insertion |
— |
— |
$15,428 |
$15,506 |
| Pap smear (cervical screening) |
$183 |
$183 |
$22 |
$20 |
| Parathyroid removal |
— |
— |
$5,889 |
$891 |
| Pelvic ultrasound |
$2,445 |
$2,445 |
$96 |
$78 |
| PET scan |
$12,713 |
$12,713 |
$1,489 |
— |
| Phosphorus blood test |
$218 |
$218 |
$6 |
$5 |
| Physical therapy evaluation |
$683 |
$683 |
$130 |
$98 |
| Pilonidal cyst removal |
— |
— |
$3,571 |
$541 |
| Platelet count |
$372 |
$372 |
$5 |
$4 |
| Pneumonia vaccine |
$927 |
$927 |
$267 |
— |
| Pregnancy ultrasound |
$3,098 |
$3,098 |
$153 |
$126 |
| Procalcitonin test |
$1,368 |
$1,368 |
$27 |
$27 |
| Prolactin test |
$816 |
$816 |
$19 |
$19 |
| Prostate biopsy |
— |
— |
$1,548 |
— |
| Prostate removal (prostatectomy) |
— |
— |
$8,423 |
$1,063 |
| Prostate surgery (TURP) |
— |
— |
$5,820 |
$526 |
| Prostate test (PSA) |
$710 |
$710 |
$18 |
$18 |
| Pterygium removal (eye) |
— |
— |
$3,322 |
$540 |
| Pulmonary rehabilitation |
$1,099 |
$1,099 |
$352 |
$87 |
| Radiofrequency nerve ablation |
— |
— |
$3,370 |
$462 |
| Retina scan (OCT) |
— |
— |
$149 |
$33 |
| Retinal (fundus) photography |
— |
— |
$294 |
$37 |
| Retinal detachment repair |
— |
— |
$5,820 |
$966 |
| Rheumatoid factor test |
— |
— |
$6 |
$6 |
| Rotator cuff repair |
— |
— |
$5,889 |
$792 |
| Routine eye exam |
— |
— |
$313 |
$88 |
| RSV vaccine |
$1,608 |
$1,608 |
$632 |
— |
| Sacroiliac joint injection |
— |
— |
$1,827 |
$176 |
| Scoliosis spine X-ray |
$1,501 |
$1,501 |
$76 |
$58 |
| Screening colonoscopy |
— |
— |
$1,849 |
$378 |
| Screening mammogram |
$1,009 |
$1,009 |
$201 |
$126 |
| Scrotal ultrasound |
$2,485 |
$2,485 |
$102 |
$99 |
| Semen analysis |
— |
— |
$12 |
$12 |
| Septoplasty (deviated septum) |
— |
— |
$3,695 |
$613 |
| Shingles vaccine |
$1,498 |
$1,498 |
$555 |
— |
| Shoulder arthroscopy |
— |
— |
$6,716 |
$962 |
| Shoulder replacement |
— |
— |
$23,175 |
$1,300 |
| Simple wound stitches |
— |
— |
$1,672 |
$127 |
| Sinus surgery (endoscopic) |
— |
— |
$3,695 |
$224 |
| Skin biopsy |
— |
— |
$1,153 |
$121 |
| Skin cancer lesion removal |
— |
— |
$1,711 |
$240 |
| Skin graft |
— |
— |
$3,213 |
$898 |
| Skin lesion freezing (cryotherapy) |
— |
— |
$1,672 |
$36 |
| Skin tag removal |
— |
— |
$1,672 |
$92 |
| Sleep study (polysomnography) |
$10,877 |
$10,877 |
$3,303 |
$691 |
| Small bowel resection |
— |
— |
$6,973 |
$1,136 |
| Soft tissue ultrasound |
$2,602 |
$2,602 |
$30 |
$64 |
| Speech therapy |
$1,524 |
$1,524 |
$305 |
$76 |
| Spinal cord stimulator |
— |
— |
$5,820 |
$2,388 |
| Spinal tap (lumbar puncture) |
$3,263 |
$3,263 |
$1,440 |
$165 |
| Spine fracture repair (kyphoplasty) |
$41,915 |
$41,915 |
$6,362 |
$5,803 |
| Spleen removal (splenectomy) |
— |
— |
$6,973 |
$1,036 |
| Stomach removal (gastrectomy) |
— |
— |
$6,973 |
$1,595 |
| Strabismus (eye muscle) surgery |
— |
— |
$3,695 |
$475 |
| Stress echocardiogram |
$6,636 |
$6,636 |
$1,327 |
$209 |
| Swallow study |
$1,023 |
$1,023 |
$252 |
$85 |
| T3 thyroid test |
$810 |
$810 |
$14 |
$14 |
| Tdap (tetanus) vaccine |
$279 |
$279 |
$82 |
— |
| Testicle removal (orchiectomy) |
— |
— |
$5,240 |
$306 |
| Thyroid removal (thyroidectomy) |
— |
— |
$6,125 |
$1,004 |
| Thyroid test (TSH) |
$710 |
$710 |
$17 |
$17 |
| Thyroid ultrasound |
$2,934 |
$2,934 |
$107 |
$109 |
| Thyroid uptake scan |
$1,531 |
$1,531 |
$223 |
$145 |
| Tilt table test |
$9,201 |
$9,201 |
$3,007 |
$168 |
| Tonsillectomy |
— |
— |
$3,896 |
$252 |
| Total IgE allergy test |
$541 |
$541 |
$16 |
$16 |
| Total protein test |
$218 |
$218 |
$4 |
$4 |
| Tracheostomy |
— |
— |
$3,695 |
$273 |
| Transesophageal echocardiogram (TEE) |
$7,810 |
$7,810 |
$1,712 |
$239 |
| Transvaginal ultrasound |
$2,785 |
$2,785 |
$139 |
$118 |
| Trigger finger release |
— |
— |
$2,449 |
$630 |
| Trigger point injection |
— |
— |
$1,609 |
$56 |
| Troponin (heart) test |
$716 |
$716 |
$13 |
$12 |
| Tubal ligation |
— |
— |
$5,820 |
$333 |
| Turbinate reduction |
— |
— |
$3,695 |
$294 |
| Turning a breech baby (version) |
— |
— |
$4,219 |
$94 |
| Ulnar nerve surgery (elbow) |
— |
— |
$3,322 |
$575 |
| Umbilical hernia repair |
— |
— |
$5,471 |
— |
| Upper GI endoscopy (EGD) |
— |
— |
$1,556 |
$371 |
| Upper GI series (barium) |
$3,429 |
$3,429 |
$368 |
$128 |
| Ureteral stent placement |
— |
— |
$3,695 |
$373 |
| Ureteroscopy (stone removal) |
— |
— |
$5,820 |
$365 |
| Uric acid (gout) test |
$227 |
$227 |
$5 |
$5 |
| Urinalysis |
$227 |
$227 |
$11 |
$3 |
| Urine microalbumin test |
$240 |
$240 |
$6 |
$5 |
| UV light therapy (skin) |
— |
— |
$149 |
$106 |
| Vaccine administration |
$324 |
$324 |
$113 |
$19 |
| Vaginal delivery |
— |
— |
$4,389 |
$5,487 |
| Varicocele repair |
— |
— |
$3,695 |
$327 |
| Varicose vein ablation |
$19,862 |
$19,862 |
$5,240 |
$1,018 |
| Vasectomy |
— |
— |
$3,322 |
$347 |
| Visual field test |
— |
— |
$294 |
$64 |
| Vitamin B12 test |
$816 |
$816 |
$15 |
$15 |
| Vitrectomy (eye) |
— |
— |
$5,820 |
$814 |
| Vocal cord injection |
— |
— |
$3,695 |
$211 |
| Wart removal |
— |
— |
$1,153 |
$121 |
| Weight-loss (bariatric) surgery |
— |
— |
$12,994 |
$11,645 |
| Well-child visit |
— |
— |
$210 |
— |
| Whipple procedure (pancreas) |
— |
— |
$6,973 |
$2,871 |
| Wound debridement |
— |
— |
$1,672 |
$186 |
| Wrist fracture repair |
— |
— |
$5,820 |
$735 |
| X-ray of the abdomen |
$1,156 |
$1,156 |
$182 |
$36 |
| X-ray of the ankle |
$1,276 |
$1,276 |
$182 |
$37 |
| X-ray of the collarbone |
$1,183 |
$1,183 |
$182 |
$33 |
| X-ray of the elbow |
$1,362 |
$1,362 |
$182 |
$33 |
| X-ray of the facial bones |
$1,202 |
$1,202 |
$129 |
$39 |
| X-ray of the foot |
$1,276 |
$1,276 |
$182 |
$34 |
| X-ray of the forearm |
$1,153 |
$1,153 |
$182 |
$29 |
| X-ray of the hand |
$1,362 |
$1,362 |
$259 |
$38 |
| X-ray of the hip |
$1,180 |
$1,180 |
$182 |
$49 |
| X-ray of the knee |
$1,248 |
$1,248 |
$237 |
$42 |
| X-ray of the lower back (lumbar spine) |
$2,241 |
$2,241 |
$57 |
$47 |
| X-ray of the lower leg |
$1,114 |
$1,114 |
$182 |
$31 |
| X-ray of the mid-back (thoracic spine) |
$1,680 |
$1,680 |
$144 |
$36 |
| X-ray of the neck (cervical spine) |
$1,832 |
$1,832 |
$59 |
$47 |
| X-ray of the pelvis |
$1,348 |
$1,348 |
$47 |
$36 |
| X-ray of the ribs |
$1,590 |
$1,590 |
$45 |
$42 |
| X-ray of the shoulder |
$1,324 |
$1,324 |
$252 |
$36 |
| X-ray of the skull |
$1,464 |
$1,464 |
$49 |
$40 |
| X-ray of the upper arm |
$1,183 |
$1,183 |
$182 |
$32 |
| X-ray of the wrist |
$1,362 |
$1,362 |
$342 |
$43 |
| YAG laser capsulotomy (eye) |
— |
— |
$1,440 |
$335 |
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.
