| Procedure | Cash | Chargemaster | Insurer | Medicare |
|---|
| 3D mammogram (tomosynthesis) |
$92 |
$92 |
$33 |
$51 |
| Abdominal fluid drain (paracentesis) |
— |
— |
$2,350 |
$284 |
| Abdominal ultrasound |
$1,283 |
$1,283 |
$249 |
$100 |
| Abscess incision and drainage |
— |
— |
$1,777 |
$174 |
| Achilles tendon repair |
— |
— |
$6,093 |
$624 |
| ACL knee reconstruction |
— |
— |
$5,478 |
$889 |
| Acupuncture |
— |
— |
$52 |
$38 |
| Adenoid removal (adenoidectomy) |
— |
— |
$4,718 |
$204 |
| Albumin blood test |
$180 |
$180 |
$16 |
$5 |
| Aldosterone test |
$547 |
$547 |
$130 |
$41 |
| Alkaline phosphatase test |
$184 |
$184 |
$17 |
$5 |
| Allergy patch testing |
— |
— |
$1,953 |
$5 |
| Allergy shots |
— |
— |
$89 |
$11 |
| Allergy testing |
— |
— |
$1,953 |
$4 |
| Alpha-fetoprotein (AFP) test |
$393 |
$393 |
$54 |
$17 |
| ALT liver enzyme test |
$219 |
$219 |
$17 |
$5 |
| Ammonia blood test |
$283 |
$283 |
$47 |
$15 |
| Amniocentesis |
— |
— |
$2,069 |
$120 |
| Amylase test |
$268 |
$268 |
$21 |
$6 |
| Anal fistula repair |
— |
— |
$4,718 |
$541 |
| Ankle fracture repair |
— |
— |
$5,423 |
$608 |
| Ankle replacement |
— |
— |
$17,475 |
$885 |
| Annual physical (established patient) |
— |
— |
$164 |
— |
| Annual physical (new patient) |
— |
— |
$185 |
— |
| Anoscopy |
— |
— |
$2,350 |
$129 |
| Antinuclear antibody (ANA) test |
$194 |
$194 |
$39 |
$12 |
| Aortic aneurysm repair (AAA) |
— |
— |
$5,929 |
$1,345 |
| Aortic valve replacement |
— |
— |
$4,862 |
$1,603 |
| Appendix removal (appendectomy) |
— |
— |
$22,890 |
$592 |
| Arterial blood gas (ABG) |
$488 |
$488 |
$83 |
$26 |
| AST liver enzyme test |
$219 |
$219 |
$17 |
$5 |
| Barium swallow study |
$865 |
$865 |
$420 |
$107 |
| Bartholin cyst removal |
— |
— |
$2,350 |
$182 |
| Basic metabolic panel |
$428 |
$428 |
$27 |
$8 |
| Benign skin lesion removal |
— |
— |
$2,008 |
$171 |
| Bilirubin blood test |
$188 |
$188 |
$16 |
$5 |
| Bladder function test (urodynamics) |
— |
— |
$2,350 |
$345 |
| Bladder scope (cystoscopy) |
— |
— |
$2,555 |
$216 |
| Bladder tumor removal (TURBT) |
— |
— |
$4,176 |
$236 |
| Blood clotting test (PT/INR) |
$184 |
$184 |
$14 |
$4 |
| Blood crossmatch |
— |
— |
$189 |
— |
| Blood glucose test |
$198 |
$198 |
$15 |
$5 |
| Blood transfusion |
$2,998 |
$2,998 |
$2,350 |
$47 |
| Blood type and screen |
$298 |
$298 |
$31 |
$10 |
| Blood type test |
$144 |
$144 |
$10 |
$3 |
| BNP (heart failure) test |
$516 |
$516 |
$126 |
$39 |
| Bone density scan (DEXA) |
$1,023 |
$1,023 |
$249 |
$39 |
| Bone marrow biopsy |
— |
— |
$2,555 |
$172 |
| Bone scan (nuclear) |
$2,714 |
$2,714 |
$863 |
$259 |
| Botox for migraine |
— |
— |
$2,350 |
$157 |
| Brain shunt (VP shunt) |
— |
— |
$4,862 |
$1,023 |
| Breast biopsy |
— |
— |
$2,887 |
$478 |
| Breast MRI |
$5,746 |
$5,746 |
$612 |
$216 |
| Breast reconstruction |
— |
— |
$5,855 |
$1,227 |
| Breast reduction |
— |
— |
$5,891 |
$980 |
| Breast ultrasound |
$651 |
$651 |
$223 |
$92 |
| Breathing tube insertion (intubation) |
— |
— |
$2,350 |
$133 |
| Bronchoscopy |
— |
— |
$2,812 |
$303 |
| Bunion surgery (bunionectomy) |
— |
— |
$5,423 |
$883 |
| Burn treatment |
— |
— |
$2,277 |
$129 |
| C-reactive protein (CRP) |
$188 |
$188 |
$17 |
$5 |
| CA 19-9 tumor marker test |
$371 |
$371 |
$67 |
$21 |
| CA-125 ovarian marker test |
$402 |
$402 |
$67 |
$21 |
| Calcium blood test |
$172 |
$172 |
$17 |
$5 |
| Capsule endoscopy |
$5,675 |
$5,675 |
$1,725 |
$802 |
| Cardiac ablation |
— |
— |
$21,820 |
$759 |
| Cardiac catheterization |
— |
— |
$9,736 |
$1,049 |
| Cardiac event monitor |
— |
— |
$140 |
$170 |
| Cardiac MRI |
— |
— |
$612 |
$322 |
| Cardiac rehabilitation |
$381 |
$381 |
$251 |
$26 |
| Cardiac stress test |
$2,050 |
$2,050 |
$585 |
$39 |
| Cardioversion |
$4,771 |
$4,771 |
$1,229 |
$155 |
| Carotid artery surgery |
— |
— |
$4,862 |
$1,026 |
| Carotid artery ultrasound |
$2,155 |
$2,155 |
$375 |
$156 |
| Carpal tunnel release |
— |
— |
$2,812 |
$483 |
| Cataract surgery |
— |
— |
$4,718 |
$547 |
| CEA tumor marker test |
$493 |
$493 |
$61 |
$19 |
| Celiac disease test |
$342 |
$342 |
$37 |
$12 |
| Central line placement |
— |
— |
$2,623 |
$238 |
| Cervical cerclage |
— |
— |
$2,555 |
$137 |
| Cervical LEEP procedure |
— |
— |
$4,176 |
$325 |
| Cesarean section (C-section) |
— |
— |
$8,500 |
$7,552 |
| Chalazion (eyelid cyst) removal |
— |
— |
$2,350 |
$131 |
| Chemotherapy infusion |
— |
— |
$120 |
$81 |
| Chest fluid drain (thoracentesis) |
— |
— |
$2,350 |
$311 |
| Chest tube insertion |
— |
— |
$2,812 |
$143 |
| Chest X-ray |
$593 |
$593 |
$223 |
$37 |
| Chickenpox (varicella) vaccine |
— |
— |
$185 |
— |
| Chiropractic adjustment |
— |
— |
$52 |
$38 |
| Circumcision |
— |
— |
$2,555 |
$167 |
| CK-MB heart enzyme test |
$664 |
$664 |
$37 |
$12 |
| Clotting time test (PTT) |
$219 |
$219 |
$19 |
$6 |
| Colon resection (colectomy) |
— |
— |
$5,158 |
$1,238 |
| Colonoscopy |
— |
— |
$2,350 |
$480 |
| Colostomy |
— |
— |
$4,862 |
$1,122 |
| Colposcopy |
— |
— |
$2,350 |
$161 |
| Complete blood count (CBC) |
$237 |
$237 |
$21 |
$7 |
| Complex wound repair |
— |
— |
$4,325 |
$390 |
| Comprehensive eye exam |
— |
— |
$253 |
$138 |
| Comprehensive metabolic panel |
$547 |
$547 |
$34 |
$11 |
| Contact lens fitting |
— |
— |
$138 |
— |
| Contraceptive implant (Nexplanon) |
— |
— |
$1,579 |
$115 |
| Copper blood test |
$262 |
$262 |
$40 |
$12 |
| Corneal transplant |
— |
— |
$5,948 |
$1,066 |
| Coronary angioplasty / stent (PCI) |
— |
— |
$40,222 |
$426 |
| Coronary artery bypass (CABG) |
— |
— |
$30,317 |
$36,593 |
| Coronary CT angiography |
$3,581 |
$3,581 |
$500 |
$326 |
| Cortisol test |
$436 |
$436 |
$52 |
$16 |
| COVID-19 PCR test |
— |
— |
$164 |
$51 |
| CPAP titration study |
$1,991 |
$1,991 |
$400 |
$69 |
| Craniotomy (brain surgery) |
— |
— |
$4,862 |
$2,161 |
| Creatine kinase (CK) test |
$246 |
$246 |
$21 |
$7 |
| CT angiography of the chest |
$4,915 |
$4,915 |
$500 |
$281 |
| CT angiography of the head |
$5,659 |
$5,659 |
$500 |
$274 |
| CT colonography (virtual colonoscopy) |
— |
— |
$575 |
$835 |
| CT scan of the abdomen |
$4,339 |
$4,339 |
$500 |
$230 |
| CT scan of the abdomen and pelvis |
$8,680 |
$8,680 |
$575 |
$300 |
| CT scan of the arm |
$3,204 |
$3,204 |
$500 |
$199 |
| CT scan of the chest |
$4,081 |
$4,081 |
$500 |
$167 |
| CT scan of the head |
$4,300 |
$4,300 |
$500 |
$148 |
| CT scan of the leg |
$3,874 |
$3,874 |
$500 |
$166 |
| CT scan of the lower back (lumbar spine) |
$4,522 |
$4,522 |
$500 |
$169 |
| CT scan of the neck |
$4,339 |
$4,339 |
$500 |
$183 |
| CT scan of the neck (cervical spine) |
$4,374 |
$4,374 |
$500 |
$168 |
| CT scan of the pelvis |
$4,339 |
$4,339 |
$500 |
$226 |
| CT scan of the sinuses |
$3,864 |
$3,864 |
$500 |
$152 |
| D-dimer test |
$843 |
$843 |
$33 |
$10 |
| Defibrillator (ICD) implant |
— |
— |
$9,627 |
$798 |
| Developmental screening (child) |
— |
— |
$15 |
— |
| DHEA-sulfate test |
$571 |
$571 |
$71 |
$22 |
| Diagnostic mammogram |
$689 |
$689 |
$104 |
$140 |
| Dialysis fistula creation |
— |
— |
$5,333 |
$601 |
| Dilation and curettage (D&C) |
— |
— |
$2,812 |
$298 |
| Droopy eyelid repair (ptosis) |
— |
— |
$4,718 |
$745 |
| Drug screen (urine) |
$390 |
$390 |
$55 |
$17 |
| Ear pressure test (tympanometry) |
— |
— |
$71 |
$16 |
| Ear tubes (myringotomy) |
— |
— |
$4,180 |
$174 |
| Eardrum repair (tympanoplasty) |
— |
— |
$5,491 |
$799 |
| Echocardiogram |
$3,061 |
$3,061 |
$600 |
$138 |
| Elbow replacement |
— |
— |
$5,158 |
$1,301 |
| Electrocardiogram (EKG) |
$677 |
$677 |
$120 |
$8 |
| Electroencephalogram (EEG) |
$1,749 |
$1,749 |
$585 |
$448 |
| Electrolyte panel |
$353 |
$353 |
$22 |
$7 |
| Electromyography (EMG) |
— |
— |
$243 |
$141 |
| Emergency department visit |
$2,769 |
$2,769 |
$1,164 |
$69 |
| Endometrial biopsy |
— |
— |
$2,350 |
$98 |
| Epidural steroid injection |
— |
— |
$2,350 |
$275 |
| ERCP (bile duct endoscopy) |
— |
— |
$2,887 |
$311 |
| Esophageal dilation |
— |
— |
$2,350 |
$522 |
| Esophageal variceal banding |
— |
— |
$2,555 |
$126 |
| Estradiol (estrogen) test |
$490 |
$490 |
$89 |
$28 |
| Eye refraction (glasses prescription) |
— |
— |
$26 |
— |
| Eyelid surgery (blepharoplasty) |
— |
— |
$4,887 |
$552 |
| Facet joint injection (spine) |
— |
— |
$2,555 |
$99 |
| Fallopian tube X-ray (HSG) |
$1,294 |
$1,294 |
$2,555 |
$164 |
| Family therapy session |
— |
— |
$305 |
$110 |
| Fecal occult blood (stool) test |
$137 |
$137 |
$18 |
$10 |
| Feeding tube (PEG) placement |
— |
— |
$2,812 |
$178 |
| Femoral hernia repair |
— |
— |
$5,423 |
$584 |
| Ferritin (iron) test |
$134 |
$134 |
$44 |
$14 |
| Fibrinogen test |
$252 |
$252 |
$31 |
$10 |
| Fibroid removal (myomectomy) |
— |
— |
$5,929 |
$914 |
| Flexible sigmoidoscopy |
— |
— |
$2,350 |
$323 |
| Flu test |
— |
— |
$53 |
$17 |
| Flu vaccine |
$92 |
$92 |
$22 |
— |
| Folate (folic acid) test |
$298 |
$298 |
$47 |
$15 |
| Foreign body removal (skin) |
— |
— |
$1,579 |
$157 |
| Free T4 thyroid test |
$607 |
$607 |
$29 |
$9 |
| FSH hormone test |
$124 |
$124 |
$59 |
$19 |
| Gallbladder removal (laparoscopic) |
— |
— |
$5,613 |
$658 |
| Gallbladder scan (HIDA) |
$3,214 |
$3,214 |
$1,017 |
$334 |
| Ganglion cyst removal |
— |
— |
$4,180 |
$321 |
| GGT liver test |
$184 |
$184 |
$23 |
$7 |
| Glaucoma surgery |
— |
— |
$4,718 |
$984 |
| Glucose tolerance test |
$182 |
$182 |
$14 |
$8 |
| Group therapy session |
$351 |
$351 |
$195 |
$30 |
| H. pylori test |
$402 |
$402 |
$216 |
$67 |
| Hammertoe repair |
— |
— |
$4,718 |
$548 |
| HDL cholesterol test |
$285 |
$285 |
$26 |
$8 |
| Hearing test (audiometry) |
— |
— |
$304 |
$36 |
| Hematocrit test |
$107 |
$107 |
$8 |
$2 |
| Hemodialysis |
$2,758 |
$2,758 |
$1,318 |
$75 |
| Hemoglobin A1c (diabetes test) |
$283 |
$283 |
$31 |
$10 |
| Hemorrhoid removal |
— |
— |
$2,555 |
$338 |
| Hepatitis A vaccine |
— |
— |
$85 |
— |
| Hepatitis B test |
$335 |
$335 |
$33 |
$10 |
| Hepatitis B vaccine |
$314 |
$314 |
$70 |
— |
| Hepatitis C test |
$379 |
$379 |
$46 |
$14 |
| Hip arthroscopy |
— |
— |
$5,563 |
$931 |
| Hip fracture repair |
— |
— |
$5,613 |
$1,120 |
| Hip replacement |
— |
— |
$20,570 |
$1,162 |
| HIV test |
$635 |
$635 |
$44 |
$19 |
| Holter heart monitor |
$1,230 |
$1,230 |
$243 |
$26 |
| Home sleep apnea test |
— |
— |
$277 |
$123 |
| HPV vaccine |
— |
— |
$305 |
— |
| Hydrocele repair |
— |
— |
$4,718 |
$315 |
| Hysterectomy |
— |
— |
$6,943 |
$933 |
| Hysteroscopy |
— |
— |
$4,718 |
$1,270 |
| Ileostomy |
— |
— |
$4,862 |
$968 |
| Incisional hernia repair |
— |
— |
$2,320 |
— |
| Inguinal hernia repair |
— |
— |
$5,423 |
$538 |
| Iron blood test |
$164 |
$164 |
$21 |
$6 |
| IUD insertion |
— |
— |
$2,555 |
— |
| IUD removal |
— |
— |
$2,555 |
$112 |
| IV infusion therapy |
$325 |
$325 |
$120 |
$44 |
| IVC filter placement |
— |
— |
$5,158 |
$1,885 |
| Joint aspiration (small/intermediate) |
— |
— |
$2,008 |
$57 |
| Kidney biopsy |
— |
— |
$2,555 |
$492 |
| Kidney removal (nephrectomy) |
— |
— |
$5,158 |
$1,164 |
| Kidney scan (nuclear) |
$2,812 |
$2,812 |
$1,120 |
$172 |
| Kidney stone shock-wave (lithotripsy) |
— |
— |
$5,948 |
$760 |
| Kidney ultrasound |
$793 |
$793 |
$249 |
$84 |
| Knee arthroscopy |
— |
— |
$4,718 |
$524 |
| Knee joint injection |
— |
— |
$2,008 |
$69 |
| Knee replacement |
— |
— |
$14,399 |
$18,054 |
| Lactate test |
$97 |
$97 |
$37 |
$12 |
| Laminectomy (spine) |
— |
— |
$6,708 |
$1,157 |
| Laryngoscopy |
— |
— |
$2,350 |
$189 |
| LDH test |
$198 |
$198 |
$19 |
$6 |
| LDL cholesterol test |
— |
— |
$34 |
$11 |
| Leg artery angiogram |
— |
— |
$6,941 |
$149 |
| Leg artery angioplasty |
— |
— |
$5,563 |
— |
| Leg vein ultrasound (Doppler) |
$2,025 |
$2,025 |
$375 |
$150 |
| LH hormone test |
$441 |
$441 |
$59 |
$19 |
| Lipase test |
$360 |
$360 |
$22 |
$7 |
| Lipid (cholesterol) panel |
$412 |
$412 |
$43 |
$13 |
| Liver biopsy |
— |
— |
$2,555 |
$288 |
| Liver function panel |
$451 |
$451 |
$26 |
$8 |
| Lower back (lumbar) spinal fusion |
— |
— |
$53,775 |
$1,511 |
| Lumbar discectomy |
— |
— |
$6,708 |
$898 |
| Lumpectomy (breast) |
— |
— |
$6,115 |
$750 |
| Lung function test (PFT) |
$602 |
$602 |
$408 |
$37 |
| Lung scan (V/Q) |
$4,287 |
$4,287 |
$1,120 |
$291 |
| Magnesium blood test |
$260 |
$260 |
$21 |
$7 |
| Mastectomy |
— |
— |
$5,613 |
$1,021 |
| Mastoidectomy |
— |
— |
$5,948 |
$840 |
| Meniscus repair (knee) |
— |
— |
$4,718 |
$714 |
| MMR vaccine |
$348 |
$348 |
$98 |
— |
| Mohs skin cancer surgery |
— |
— |
$2,277 |
$535 |
| MRA of the brain |
$7,137 |
$7,137 |
$612 |
$226 |
| MRA of the neck |
$2,440 |
$2,440 |
$612 |
$245 |
| MRI of the abdomen |
$5,095 |
$5,095 |
$612 |
$300 |
| MRI of the ankle |
$6,200 |
$6,200 |
$612 |
$261 |
| MRI of the brain |
$5,881 |
$5,881 |
$612 |
$269 |
| MRI of the chest |
$5,313 |
$5,313 |
$612 |
$371 |
| MRI of the knee |
$6,200 |
$6,200 |
$612 |
$315 |
| MRI of the lower back (lumbar spine) |
$5,880 |
$5,880 |
$612 |
$270 |
| MRI of the mid-back (thoracic spine) |
$5,881 |
$5,881 |
$612 |
$271 |
| MRI of the neck (cervical spine) |
$5,881 |
$5,881 |
$612 |
$274 |
| MRI of the pelvis |
$4,498 |
$4,498 |
$612 |
$268 |
| MRI of the shoulder |
$4,803 |
$4,803 |
$612 |
$313 |
| MRI of the wrist |
$4,803 |
$4,803 |
$612 |
$330 |
| Nebulizer breathing treatment |
$268 |
$268 |
$400 |
$9 |
| Neck (cervical) spinal fusion |
— |
— |
$12,342 |
$1,410 |
| Nerve conduction study |
— |
— |
$493 |
$118 |
| Newborn hospital care |
— |
— |
$253 |
$58 |
| Nuchal translucency ultrasound |
— |
— |
$249 |
$116 |
| Nuclear cardiac stress test |
$6,021 |
$6,021 |
$2,946 |
$428 |
| Occupational therapy evaluation |
$146 |
$146 |
$97 |
$101 |
| Office visit (established patient) |
$517 |
$517 |
— |
$115 |
| Office visit (new patient) |
$454 |
$454 |
— |
$177 |
| Orthopedic hardware removal |
— |
— |
$4,887 |
$632 |
| Ovarian cyst removal |
— |
— |
$5,158 |
$698 |
| Ovary removal (oophorectomy) |
— |
— |
$5,158 |
$822 |
| Pacemaker insertion |
— |
— |
$14,556 |
$15,506 |
| Pap smear (cervical screening) |
$284 |
$284 |
$65 |
$20 |
| Parathyroid hormone (PTH) test |
$790 |
$790 |
$132 |
$41 |
| Parathyroid removal |
— |
— |
$5,948 |
$891 |
| Pelvic ultrasound |
$1,419 |
$1,419 |
$249 |
$78 |
| PET scan |
— |
— |
$3,113 |
— |
| Phosphorus blood test |
$230 |
$230 |
$15 |
$5 |
| Physical therapy evaluation |
$193 |
$193 |
$96 |
$98 |
| Pilonidal cyst removal |
— |
— |
$4,887 |
$541 |
| Platelet count |
$168 |
$168 |
$14 |
$4 |
| Pneumonia vaccine |
$339 |
$339 |
$133 |
— |
| Pregnancy blood test (hCG) |
$88 |
$88 |
$24 |
$8 |
| Pregnancy ultrasound |
$1,197 |
$1,197 |
$249 |
$126 |
| Procalcitonin test |
— |
— |
$87 |
$27 |
| Prolactin test |
$206 |
$206 |
$62 |
$19 |
| Prostate biopsy |
— |
— |
$2,812 |
— |
| Prostate removal (prostatectomy) |
— |
— |
$5,613 |
$1,063 |
| Prostate surgery (TURP) |
— |
— |
$5,423 |
$526 |
| Prostate test (PSA) |
$405 |
$405 |
$59 |
$18 |
| Psychiatric evaluation |
— |
— |
$305 |
$188 |
| Psychotherapy session |
$613 |
$613 |
$305 |
$140 |
| Pterygium removal (eye) |
— |
— |
$2,812 |
$540 |
| Pulmonary rehabilitation |
— |
— |
$120 |
$87 |
| Radiofrequency nerve ablation |
— |
— |
$2,555 |
$462 |
| Retina scan (OCT) |
— |
— |
$120 |
$33 |
| Retinal (fundus) photography |
— |
— |
$243 |
$37 |
| Retinal detachment repair |
— |
— |
$5,423 |
$966 |
| Rheumatoid factor test |
$131 |
$131 |
$20 |
$6 |
| Rotator cuff repair |
— |
— |
$5,613 |
$792 |
| Routine eye exam |
— |
— |
$253 |
$88 |
| RSV vaccine |
— |
— |
$313 |
— |
| Sacroiliac joint injection |
— |
— |
$2,555 |
$176 |
| Scoliosis spine X-ray |
$480 |
$480 |
$223 |
$58 |
| Screening colonoscopy |
— |
— |
$2,328 |
$378 |
| Screening mammogram |
$782 |
$782 |
$86 |
$126 |
| Scrotal ultrasound |
$1,001 |
$1,001 |
$249 |
$99 |
| Sedimentation rate (ESR) test |
$145 |
$145 |
$9 |
$3 |
| Semen analysis |
$340 |
$340 |
$39 |
$12 |
| Septoplasty (deviated septum) |
— |
— |
$4,718 |
$613 |
| Sex hormone binding globulin test |
$293 |
$293 |
$70 |
$22 |
| Shingles vaccine |
— |
— |
$210 |
— |
| Shoulder arthroscopy |
— |
— |
$5,478 |
$962 |
| Shoulder replacement |
— |
— |
$20,570 |
$1,300 |
| Simple wound stitches |
— |
— |
$421 |
$127 |
| Sinus surgery (endoscopic) |
— |
— |
$5,423 |
$224 |
| Skin biopsy |
— |
— |
$2,008 |
$121 |
| Skin cancer lesion removal |
— |
— |
$2,008 |
$240 |
| Skin graft |
— |
— |
$2,350 |
$898 |
| Skin lesion freezing (cryotherapy) |
— |
— |
$2,069 |
$36 |
| Skin tag removal |
— |
— |
$1,579 |
$92 |
| Sleep study (polysomnography) |
— |
— |
$1,953 |
$691 |
| Small bowel resection |
— |
— |
$4,862 |
$1,136 |
| Soft tissue ultrasound |
$694 |
$694 |
$249 |
$64 |
| Speech therapy |
$149 |
$149 |
$74 |
$76 |
| Spinal cord stimulator |
— |
— |
$2,887 |
$2,388 |
| Spinal tap (lumbar puncture) |
— |
— |
$2,350 |
$165 |
| Spine fracture repair (kyphoplasty) |
— |
— |
$5,613 |
$5,803 |
| Spleen removal (splenectomy) |
— |
— |
$5,423 |
$1,036 |
| Stomach removal (gastrectomy) |
— |
— |
$4,862 |
$1,595 |
| Strabismus (eye muscle) surgery |
— |
— |
$4,718 |
$475 |
| Strep throat test |
— |
— |
$53 |
$17 |
| Stress echocardiogram |
$4,018 |
$4,018 |
$1,052 |
$209 |
| Swallow study |
$96 |
$96 |
$82 |
$85 |
| T3 thyroid test |
$379 |
$379 |
$45 |
$14 |
| Tdap (tetanus) vaccine |
$285 |
$285 |
$46 |
— |
| Testicle removal (orchiectomy) |
— |
— |
$4,718 |
$306 |
| Testosterone test |
$377 |
$377 |
$83 |
$26 |
| Thyroid removal (thyroidectomy) |
— |
— |
$5,948 |
$1,004 |
| Thyroid test (TSH) |
$318 |
$318 |
$54 |
$17 |
| Thyroid ultrasound |
$1,085 |
$1,085 |
$249 |
$109 |
| Thyroid uptake scan |
$3,361 |
$3,361 |
$863 |
$145 |
| Tilt table test |
— |
— |
$1,010 |
$168 |
| Tonsillectomy |
— |
— |
$5,423 |
$252 |
| Total IgE allergy test |
$268 |
$268 |
$53 |
$16 |
| Total protein test |
$172 |
$172 |
$12 |
$4 |
| Tracheostomy |
— |
— |
$2,812 |
$273 |
| Transesophageal echocardiogram (TEE) |
$3,791 |
$3,791 |
$1,052 |
$239 |
| Transvaginal ultrasound |
$619 |
$619 |
$249 |
$118 |
| Trigger finger release |
— |
— |
$2,812 |
$630 |
| Trigger point injection |
— |
— |
$2,008 |
$56 |
| Triglycerides test |
$233 |
$233 |
$18 |
$6 |
| Troponin (heart) test |
$871 |
$871 |
$40 |
$12 |
| Tubal ligation |
— |
— |
$5,423 |
$333 |
| Turbinate reduction |
— |
— |
$2,887 |
$294 |
| Turning a breech baby (version) |
— |
— |
$4,176 |
$94 |
| Ulnar nerve surgery (elbow) |
— |
— |
$2,812 |
$575 |
| Umbilical hernia repair |
— |
— |
$2,320 |
— |
| Upper GI endoscopy (EGD) |
— |
— |
$2,350 |
$371 |
| Upper GI series (barium) |
$1,055 |
$1,055 |
$420 |
$128 |
| Ureteral stent placement |
— |
— |
$2,887 |
$373 |
| Ureteroscopy (stone removal) |
— |
— |
$4,852 |
$365 |
| Uric acid (gout) test |
$198 |
$198 |
$14 |
$5 |
| Urinalysis |
$141 |
$141 |
$7 |
$3 |
| Urine microalbumin test |
$386 |
$386 |
$17 |
$5 |
| Urine pregnancy test |
$88 |
$88 |
$28 |
$9 |
| UV light therapy (skin) |
— |
— |
$120 |
$106 |
| Vaccine administration |
$232 |
$232 |
$141 |
$19 |
| Vaginal delivery |
— |
— |
$5,867 |
$5,487 |
| Varicocele repair |
— |
— |
$4,718 |
$327 |
| Varicose vein ablation |
— |
— |
$4,718 |
$1,018 |
| Vasectomy |
— |
— |
$2,812 |
$347 |
| Visual field test |
— |
— |
$243 |
$64 |
| Vitamin B12 test |
$139 |
$139 |
$48 |
$15 |
| Vitamin D test |
$257 |
$257 |
$95 |
$30 |
| Vitrectomy (eye) |
— |
— |
$5,423 |
$814 |
| Vocal cord injection |
— |
— |
$2,812 |
$211 |
| Wart removal |
— |
— |
$1,579 |
$121 |
| Weight-loss (bariatric) surgery |
— |
— |
$11,369 |
$11,645 |
| Well-child visit |
— |
— |
$142 |
— |
| Whipple procedure (pancreas) |
— |
— |
$4,862 |
$2,871 |
| Wound debridement |
— |
— |
$2,328 |
$186 |
| Wrist fracture repair |
— |
— |
$5,613 |
$735 |
| X-ray of the abdomen |
$572 |
$572 |
$223 |
$36 |
| X-ray of the ankle |
$524 |
$524 |
$202 |
$37 |
| X-ray of the collarbone |
$475 |
$475 |
$202 |
$33 |
| X-ray of the elbow |
$524 |
$524 |
$202 |
$33 |
| X-ray of the facial bones |
$720 |
$720 |
$223 |
$39 |
| X-ray of the foot |
$524 |
$524 |
$202 |
$34 |
| X-ray of the forearm |
$413 |
$413 |
$202 |
$29 |
| X-ray of the hand |
$524 |
$524 |
$202 |
$38 |
| X-ray of the hip |
$290 |
$290 |
$223 |
$49 |
| X-ray of the knee |
$745 |
$745 |
$223 |
$42 |
| X-ray of the lower back (lumbar spine) |
$687 |
$687 |
$249 |
$47 |
| X-ray of the lower leg |
$524 |
$524 |
$202 |
$31 |
| X-ray of the mid-back (thoracic spine) |
$543 |
$543 |
$249 |
$36 |
| X-ray of the neck (cervical spine) |
$541 |
$541 |
$223 |
$47 |
| X-ray of the pelvis |
$413 |
$413 |
$249 |
$36 |
| X-ray of the ribs |
$669 |
$669 |
$223 |
$42 |
| X-ray of the shoulder |
$562 |
$562 |
$202 |
$36 |
| X-ray of the skull |
$727 |
$727 |
$249 |
$40 |
| X-ray of the upper arm |
$538 |
$538 |
$202 |
$32 |
| X-ray of the wrist |
$524 |
$524 |
$202 |
$43 |
| YAG laser capsulotomy (eye) |
— |
— |
$2,350 |
$335 |
| Zinc blood test |
$200 |
$200 |
$36 |
$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.
