Published prices for 211 procedures at Mt Ascutney Hospital (Windsor, VT), from its machine-readable file.
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| Procedure | Cash | Chargemaster | Insurer | Medicare |
|---|---|---|---|---|
| 3D mammogram (tomosynthesis) | $146 | $182 | $168 | $51 |
| Abdominal fluid drain (paracentesis) | $1,959 | $2,449 | $2,254 | $284 |
| Abdominal ultrasound | $854 | $1,068 | $1,000 | $100 |
| Albumin blood test | $71 | $89 | $82 | $5 |
| Aldosterone test | $699 | $874 | $804 | $41 |
| Alkaline phosphatase test | $90 | $112 | $103 | $5 |
| Allergy shots | $57 | $71 | $57 | $11 |
| Alpha-fetoprotein (AFP) test | $244 | $305 | $281 | $17 |
| ALT liver enzyme test | $79 | $99 | $91 | $5 |
| Ammonia blood test | $250 | $313 | $288 | $15 |
| Amylase test | $97 | $121 | $112 | $6 |
| Annual physical (new patient) | $322 | $403 | $354 | — |
| Antinuclear antibody (ANA) test | $209 | $261 | $241 | $12 |
| Arterial blood gas (ABG) | $526 | $657 | $531 | $26 |
| AST liver enzyme test | $90 | $113 | $104 | $5 |
| Barium swallow study | $1,606 | $2,008 | $1,622 | $107 |
| Basic metabolic panel | $145 | $181 | $167 | $8 |
| Bilirubin blood test | $87 | $109 | $100 | $5 |
| Bladder scope (cystoscopy) | $1,194 | $1,493 | $1,374 | $216 |
| Blood clotting test (PT/INR) | $59 | $74 | $69 | $4 |
| Blood crossmatch | $195 | $244 | $225 | — |
| Blood glucose test | $62 | $77 | $71 | $5 |
| Blood transfusion | $631 | $789 | $718 | $47 |
| Blood type and screen | $182 | $227 | $209 | $10 |
| Blood type test | $52 | $65 | $60 | $3 |
| BNP (heart failure) test | $582 | $728 | $670 | $39 |
| Bone density scan (DEXA) | $793 | $991 | $912 | $39 |
| Botox for migraine | $494 | $617 | $568 | $157 |
| Breast biopsy | $2,902 | $3,627 | $3,337 | $478 |
| Breast ultrasound | $1,648 | $2,060 | $1,833 | $92 |
| Breathing tube insertion (intubation) | $587 | $734 | $676 | $133 |
| C-reactive protein (CRP) | $59 | $74 | $68 | $5 |
| CA 19-9 tumor marker test | $356 | $445 | $410 | $21 |
| CA-125 ovarian marker test | $356 | $445 | $410 | $21 |
| Calcium blood test | $70 | $88 | $81 | $5 |
| Cardiac event monitor | $424 | $530 | $482 | $170 |
| Cardiac rehabilitation | $330 | $412 | $379 | $26 |
| Carotid artery ultrasound | $844 | $1,055 | $971 | $156 |
| Cataract surgery | $3,962 | $4,953 | $4,557 | $547 |
| CEA tumor marker test | $250 | $313 | $288 | $19 |
| Celiac disease test | $196 | $245 | $226 | $12 |
| Chemotherapy infusion | $164 | $205 | $167 | $81 |
| Chest fluid drain (thoracentesis) | $1,905 | $2,381 | $2,191 | $311 |
| Chest tube insertion | $1,444 | $1,805 | $1,661 | $143 |
| Chest X-ray | $598 | $748 | $671 | $37 |
| Clotting time test (PTT) | $102 | $128 | $118 | $6 |
| Colonoscopy | $1,210 | $1,512 | $1,319 | $480 |
| Complete blood count (CBC) | $108 | $135 | $114 | $7 |
| Comprehensive metabolic panel | $170 | $213 | $196 | $11 |
| Copper blood test | $212 | $265 | $244 | $12 |
| Cortisol test | $286 | $358 | $330 | $16 |
| COVID-19 PCR test | $125 | $156 | $144 | $51 |
| CPAP titration study | $562 | $703 | $647 | $69 |
| Creatine kinase (CK) test | $112 | $140 | $129 | $7 |
| CT angiography of the chest | $6,647 | $8,308 | $6,612 | $281 |
| CT angiography of the head | $5,498 | $6,873 | $6,323 | $274 |
| CT scan of the abdomen | $3,943 | $4,929 | $4,022 | $230 |
| CT scan of the abdomen and pelvis | $4,038 | $5,048 | $4,284 | $300 |
| CT scan of the arm | $3,521 | $4,401 | $4,005 | $199 |
| CT scan of the chest | $3,157 | $3,946 | $3,384 | $167 |
| CT scan of the head | $2,769 | $3,462 | $3,016 | $148 |
| CT scan of the leg | $3,562 | $4,453 | $4,052 | $166 |
| CT scan of the lower back (lumbar spine) | $3,222 | $4,028 | $3,503 | $169 |
| CT scan of the neck | $3,360 | $4,200 | $3,683 | $183 |
| CT scan of the neck (cervical spine) | $2,935 | $3,669 | $3,296 | $168 |
| CT scan of the pelvis | $3,446 | $4,307 | $3,963 | $226 |
| CT scan of the sinuses | $3,406 | $4,257 | $3,559 | $152 |
| D-dimer test | $174 | $218 | $201 | $10 |
| DHEA-sulfate test | $312 | $390 | $359 | $22 |
| Diagnostic mammogram | $619 | $774 | $712 | $140 |
| Drug screen (urine) | $39 | $49 | $46 | $17 |
| Ear tubes (myringotomy) | $2,419 | $3,024 | $2,782 | $174 |
| Echocardiogram | $1,785 | $2,231 | $2,053 | $138 |
| Electrocardiogram (EKG) | $339 | $424 | $390 | $8 |
| Electroencephalogram (EEG) | $964 | $1,205 | $1,109 | $448 |
| Electrolyte panel | $120 | $150 | $139 | $7 |
| Electromyography (EMG) | $765 | $956 | $880 | $141 |
| Emergency department visit | $491 | $614 | $565 | $69 |
| Epidural steroid injection | $2,250 | $2,813 | $2,588 | $275 |
| Estradiol (estrogen) test | $472 | $590 | $543 | $28 |
| Facet joint injection (spine) | $1,778 | $2,223 | $2,030 | $99 |
| Fallopian tube X-ray (HSG) | $1,444 | $1,805 | $1,458 | $164 |
| Family therapy session | $308 | $385 | $354 | $110 |
| Fecal occult blood (stool) test | $38 | $48 | $46 | $10 |
| Ferritin (iron) test | $218 | $272 | $251 | $14 |
| Fibrinogen test | $145 | $181 | $167 | $10 |
| Flexible sigmoidoscopy | $786 | $982 | $904 | $323 |
| Flu test | $85 | $106 | $98 | $17 |
| Flu vaccine | $35 | $44 | $41 | — |
| Folate (folic acid) test | $233 | $291 | $268 | $15 |
| Foreign body removal (skin) | $685 | $856 | $788 | $157 |
| Free T4 thyroid test | $157 | $196 | $180 | $9 |
| FSH hormone test | $321 | $401 | $369 | $19 |
| Gallbladder removal (laparoscopic) | $3,628 | $4,535 | $4,173 | $658 |
| GGT liver test | $81 | $101 | $78 | $7 |
| Glucose tolerance test | $174 | $217 | $175 | $8 |
| Group therapy session | $67 | $84 | $77 | $30 |
| H. pylori test | $909 | $1,136 | $1,045 | $67 |
| Hematocrit test | $42 | $52 | $48 | $2 |
| Hemoglobin A1c (diabetes test) | $166 | $208 | $191 | $10 |
| Hemorrhoid removal | $2,786 | $3,482 | $3,204 | $338 |
| Hepatitis A vaccine | $68 | $85 | $78 | — |
| Hepatitis B test | $178 | $223 | $205 | $10 |
| Hepatitis B vaccine | $55 | $69 | $64 | — |
| Hepatitis C test | $183 | $229 | $211 | $14 |
| HIV test | $182 | $228 | $210 | $19 |
| Holter heart monitor | $227 | $283 | $227 | $26 |
| Inguinal hernia repair | $2,532 | $3,165 | $2,912 | $538 |
| Iron blood test | $112 | $140 | $129 | $6 |
| IV infusion therapy | $143 | $179 | $159 | $44 |
| Joint aspiration (small/intermediate) | $586 | $733 | $660 | $57 |
| Kidney ultrasound | $985 | $1,231 | $1,064 | $84 |
| Knee arthroscopy | $1,701 | $2,126 | $1,956 | $524 |
| Knee joint injection | $254 | $318 | $293 | $69 |
| Lactate test | $184 | $230 | $212 | $12 |
| LDH test | $103 | $129 | $119 | $6 |
| LDL cholesterol test | $137 | $171 | $158 | $11 |
| Leg vein ultrasound (Doppler) | $678 | $848 | $789 | $150 |
| LH hormone test | $304 | $380 | $350 | $19 |
| Lipase test | $79 | $99 | $91 | $7 |
| Lipid (cholesterol) panel | $160 | $200 | $184 | $13 |
| Liver biopsy | $1,485 | $1,856 | $1,474 | $288 |
| Liver function panel | $136 | $170 | $157 | $8 |
| Lung function test (PFT) | $318 | $397 | $347 | $37 |
| Magnesium blood test | $112 | $140 | $126 | $7 |
| MMR vaccine | $90 | $112 | $103 | — |
| MRA of the brain | $6,710 | $8,387 | $7,354 | $226 |
| MRA of the neck | $6,245 | $7,806 | $7,025 | $245 |
| MRI of the abdomen | $6,551 | $8,188 | $6,632 | $300 |
| MRI of the ankle | $6,140 | $7,675 | $6,831 | $261 |
| MRI of the brain | $5,888 | $7,360 | $6,774 | $269 |
| MRI of the chest | $6,562 | $8,202 | $7,442 | $371 |
| MRI of the knee | $5,893 | $7,366 | $6,556 | $315 |
| MRI of the lower back (lumbar spine) | $5,050 | $6,313 | $5,478 | $270 |
| MRI of the mid-back (thoracic spine) | $5,299 | $6,623 | $5,819 | $271 |
| MRI of the neck (cervical spine) | $5,430 | $6,787 | $5,734 | $274 |
| MRI of the pelvis | $5,783 | $7,228 | $6,595 | $268 |
| MRI of the shoulder | $5,789 | $7,236 | $6,671 | $313 |
| MRI of the wrist | $6,159 | $7,699 | $6,874 | $330 |
| Nebulizer breathing treatment | $179 | $224 | $206 | $9 |
| Nerve conduction study | $482 | $603 | $555 | $118 |
| Occupational therapy evaluation | $419 | $524 | $462 | $101 |
| Office visit (new patient) | $359 | $449 | $402 | $177 |
| Pap smear (cervical screening) | $263 | $329 | $264 | $20 |
| Parathyroid hormone (PTH) test | $580 | $725 | $667 | $41 |
| Pelvic ultrasound | $995 | $1,244 | $1,182 | $78 |
| Phosphorus blood test | $80 | $100 | $92 | $5 |
| Physical therapy evaluation | $419 | $524 | $462 | $98 |
| Platelet count | $77 | $96 | $88 | $4 |
| Pneumonia vaccine | $62 | $77 | $71 | — |
| Pregnancy blood test (hCG) | $116 | $145 | $134 | $8 |
| Pregnancy ultrasound | $1,945 | $2,431 | $1,762 | $126 |
| Prolactin test | $309 | $386 | $355 | $19 |
| Prostate biopsy | $3,887 | $4,859 | $4,240 | — |
| Prostate test (PSA) | $260 | $325 | $299 | $18 |
| Psychotherapy session | $304 | $380 | $310 | $140 |
| Radiofrequency nerve ablation | $2,939 | $3,674 | $3,380 | $462 |
| Sacroiliac joint injection | $2,238 | $2,798 | $2,265 | $176 |
| Scoliosis spine X-ray | $1,236 | $1,545 | $1,248 | $58 |
| Screening mammogram | $619 | $774 | $712 | $126 |
| Scrotal ultrasound | $1,006 | $1,258 | $1,158 | $99 |
| Sedimentation rate (ESR) test | $60 | $75 | $69 | $3 |
| Semen analysis | $209 | $261 | $241 | $12 |
| Soft tissue ultrasound | $491 | $614 | $565 | $64 |
| Speech therapy | $350 | $437 | $402 | $76 |
| Strep throat test | $71 | $89 | $82 | $17 |
| Swallow study | $298 | $372 | $343 | $85 |
| T3 thyroid test | $253 | $316 | $291 | $14 |
| Tdap (tetanus) vaccine | $40 | $50 | $47 | — |
| Testosterone test | $324 | $405 | $373 | $26 |
| Thyroid test (TSH) | $235 | $294 | $271 | $17 |
| Thyroid ultrasound | $995 | $1,244 | $1,145 | $109 |
| Tonsillectomy | $1,290 | $1,612 | $1,483 | $252 |
| Total IgE allergy test | $243 | $304 | $280 | $16 |
| Total protein test | $64 | $80 | $74 | $4 |
| Transvaginal ultrasound | $999 | $1,249 | $1,150 | $118 |
| Trigger point injection | $745 | $931 | $757 | $56 |
| Triglycerides test | $87 | $109 | $100 | $6 |
| Troponin (heart) test | $170 | $212 | $195 | $12 |
| Upper GI endoscopy (EGD) | $737 | $921 | $796 | $371 |
| Upper GI series (barium) | $2,121 | $2,652 | $2,336 | $128 |
| Uric acid (gout) test | $78 | $97 | $89 | $5 |
| Urinalysis | $48 | $60 | $50 | $3 |
| Urine microalbumin test | $86 | $107 | $95 | $5 |
| Urine pregnancy test | $72 | $91 | $71 | $9 |
| Vaccine administration | $38 | $48 | $45 | $19 |
| Vasectomy | $1,298 | $1,622 | $1,492 | $347 |
| Vitamin B12 test | $179 | $224 | $206 | $15 |
| Vitamin D test | $281 | $351 | $323 | $30 |
| X-ray of the abdomen | $645 | $806 | $717 | $36 |
| X-ray of the ankle | $572 | $715 | $636 | $37 |
| X-ray of the collarbone | $491 | $614 | $565 | $33 |
| X-ray of the elbow | $611 | $764 | $703 | $33 |
| X-ray of the facial bones | $603 | $754 | $615 | $39 |
| X-ray of the foot | $555 | $694 | $618 | $34 |
| X-ray of the forearm | $474 | $593 | $546 | $29 |
| X-ray of the hand | $564 | $705 | $656 | $38 |
| X-ray of the hip | $842 | $1,052 | $929 | $49 |
| X-ray of the knee | $634 | $793 | $722 | $42 |
| X-ray of the lower back (lumbar spine) | $822 | $1,027 | $841 | $47 |
| X-ray of the lower leg | $459 | $574 | $528 | $31 |
| X-ray of the mid-back (thoracic spine) | $547 | $684 | $588 | $36 |
| X-ray of the neck (cervical spine) | $770 | $962 | $789 | $47 |
| X-ray of the pelvis | $579 | $724 | $584 | $36 |
| X-ray of the ribs | $629 | $786 | $614 | $42 |
| X-ray of the shoulder | $496 | $620 | $571 | $36 |
| X-ray of the skull | $733 | $916 | $763 | $40 |
| X-ray of the upper arm | $491 | $614 | $565 | $32 |
| X-ray of the wrist | $661 | $826 | $760 | $43 |
| YAG laser capsulotomy (eye) | $2,596 | $3,245 | $3,018 | $335 |
| Zinc blood test | $196 | $245 | $226 | $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.