Our Lady Of Lourdes Memorial Hospital, Inc — procedure prices

Published prices for 307 procedures at Our Lady Of Lourdes Memorial Hospital, Inc (Binghamton, NY), from its machine-readable file.

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ProcedureCashChargemasterInsurerMedicare
3D mammogram (tomosynthesis) $146 $291 $79 $51
Abdominal fluid drain (paracentesis) $1,382 $2,764 $977 $284
Abdominal ultrasound $1,248 $2,497 $118 $100
Abscess incision and drainage $223 $445 $340 $174
Acupuncture $26 $36 $32 $38
Albumin blood test $17 $34 $5 $5
Aldosterone test $129 $257 $41 $41
Alkaline phosphatase test $21 $41 $5 $5
Allergy patch testing $39 $79 $74 $5
Allergy shots $45 $91 $51 $11
Allergy testing $5 $10 $12 $4
Alpha-fetoprotein (AFP) test $60 $119 $17 $17
ALT liver enzyme test $25 $50 $5 $5
Ammonia blood test $44 $88 $15 $15
Amniocentesis $883 $1,765 $1,765 $120
Amylase test $123 $246 $6 $6
Annual physical (established patient) $114 $229 $211 —
Annual physical (new patient) $136 $272 $258 —
Anoscopy $125 $249 $138 $129
Antinuclear antibody (ANA) test $96 $193 $16 $12
Arterial blood gas (ABG) $75 $149 $26 $26
AST liver enzyme test $24 $48 $5 $5
Barium swallow study $728 $1,456 $198 $107
Bartholin cyst removal $271 $541 $541 $182
Basic metabolic panel $118 $236 $16 $8
Benign skin lesion removal $799 $1,598 $758 $171
Bilirubin blood test $28 $57 $5 $5
Bladder function test (urodynamics) $569 $1,138 $809 $345
Bladder scope (cystoscopy) $585 $1,171 $736 $216
Blood clotting test (PT/INR) $41 $82 $4 $4
Blood crossmatch $163 $326 $184 —
Blood glucose test $45 $90 $4 $5
Blood transfusion $711 $1,422 $468 $47
Blood type and screen $63 $127 $58 $10
Blood type test $42 $84 $51 $3
BNP (heart failure) test $140 $280 $39 $39
Bone density scan (DEXA) $698 $1,396 $118 $39
Bone marrow biopsy $1,960 $3,920 $1,917 $172
Bone scan (nuclear) $3,024 $6,048 $444 $259
Botox for migraine $250 $501 $349 $157
Breast biopsy $1,770 $3,540 $1,747 $478
Breast MRI $898 $1,796 $505 $216
Breast ultrasound $207 $415 $98 $92
Breathing tube insertion (intubation) $528 $1,056 $1,012 $133
Bronchoscopy $1,224 $2,447 $1,829 $303
Burn treatment $199 $397 $216 $129
C-reactive protein (CRP) $52 $104 $5 $5
CA 19-9 tumor marker test $74 $148 $21 $21
CA-125 ovarian marker test $226 $453 $24 $21
Calcium blood test $26 $52 $5 $5
Capsule endoscopy $1,511 $3,022 $977 $802
Cardiac MRI $3,084 $6,169 $505 $322
Cardiac rehabilitation $187 $373 $142 $26
Cardiac stress test $788 $1,575 $338 $39
Cardioversion $1,235 $2,470 $701 $155
Carotid artery ultrasound $877 $1,753 $245 $156
Carpal tunnel release $1,806 $3,613 $2,080 $483
Cataract surgery $1,141 $2,281 $1,340 $547
CEA tumor marker test $238 $476 $20 $19
Celiac disease test $26 $51 $12 $12
Central line placement $1,654 $3,307 $3,434 $238
Cervical LEEP procedure $2,465 $4,929 $4,929 $325
Cesarean section (C-section) $12,039 $24,078 $7,774 $7,552
Chalazion (eyelid cyst) removal $158 $317 $346 $131
Chemotherapy infusion $108 $217 $131 $81
Chest fluid drain (thoracentesis) $717 $1,433 $677 $311
Chest tube insertion $1,500 $3,000 $2,761 $143
Chest X-ray $89 $178 $76 $37
Chickenpox (varicella) vaccine $90 $181 $171 —
Chiropractic adjustment $27 $55 $38 $38
Circumcision $281 $562 $548 $167
CK-MB heart enzyme test $65 $131 $12 $12
Clotting time test (PTT) $55 $110 $6 $6
Colonoscopy $3,481 $6,961 $1,079 $480
Colposcopy $270 $541 $346 $161
Complete blood count (CBC) $74 $148 $8 $7
Complex wound repair $961 $1,921 $697 $390
Comprehensive metabolic panel $198 $396 $148 $11
Contact lens fitting $14 $28 — —
Contraceptive implant (Nexplanon) $360 $721 $425 $115
Copper blood test $82 $164 $12 $12
Coronary artery bypass (CABG) $92,538 $185,076 $43,494 $36,593
Coronary CT angiography $2,170 $4,340 $423 $326
Cortisol test $192 $384 $37 $16
COVID-19 PCR test $162 $324 $51 $51
CPAP titration study $212 $424 $424 $69
Creatine kinase (CK) test $65 $129 $7 $7
CT angiography of the chest $1,025 $2,049 $198 $281
CT angiography of the head $2,800 $5,600 $493 $274
CT colonography (virtual colonoscopy) $1,421 $2,842 $2,842 $835
CT scan of the abdomen $1,420 $2,839 $198 $230
CT scan of the abdomen and pelvis $3,417 $6,833 $414 $300
CT scan of the arm $1,353 $2,706 $381 $199
CT scan of the chest $1,187 $2,375 $198 $167
CT scan of the head $1,227 $2,453 $198 $148
CT scan of the leg $1,313 $2,627 $211 $166
CT scan of the lower back (lumbar spine) $963 $1,927 $257 $169
CT scan of the neck $2,298 $4,596 $399 $183
CT scan of the neck (cervical spine) $1,453 $2,906 $257 $168
CT scan of the pelvis $1,883 $3,767 $219 $226
CT scan of the sinuses $1,844 $3,687 $219 $152
D-dimer test $77 $154 $10 $10
Developmental screening (child) $131 $263 — —
DHEA-sulfate test $149 $297 $22 $22
Diagnostic mammogram $399 $798 $108 $140
Dialysis fistula creation $5,183 $10,367 $3,434 $601
Dilation and curettage (D&C) $479 $958 $762 $298
Drug screen (urine) $72 $145 $62 $17
Ear pressure test (tympanometry) $56 $111 $38 $16
Ear tubes (myringotomy) $486 $971 $593 $174
Echocardiogram $994 $1,988 $264 $138
Electrocardiogram (EKG) $73 $146 $66 $8
Electroencephalogram (EEG) $413 $826 $338 $448
Electrolyte panel $46 $93 $7 $7
Emergency department visit $203 $405 $307 $69
Endometrial biopsy $232 $465 $215 $98
Epidural steroid injection $733 $1,466 $745 $275
ERCP (bile duct endoscopy) $1,957 $3,915 $3,656 $311
Esophageal dilation $2,414 $4,827 $1,873 $522
Estradiol (estrogen) test $229 $457 $28 $28
Eye refraction (glasses prescription) $14 $27 $5 —
Eyelid surgery (blepharoplasty) $1,091 $2,181 $815 $552
Facet joint injection (spine) $245 $489 $356 $99
Fallopian tube X-ray (HSG) $274 $548 $264 $164
Family therapy session $196 $391 $203 $110
Fecal occult blood (stool) test $17 $34 $4 $10
Feeding tube (PEG) placement $3,075 $6,150 $6,150 $178
Ferritin (iron) test $133 $266 $14 $14
Fibrinogen test $98 $197 $10 $10
Flexible sigmoidoscopy $937 $1,873 $985 $323
Flu test $94 $187 $187 $17
Flu vaccine $40 $80 $75 —
Folate (folic acid) test $122 $244 $15 $15
Foreign body removal (skin) $352 $705 $430 $157
Free T4 thyroid test $154 $308 $117 $9
FSH hormone test $188 $377 $19 $19
Gallbladder scan (HIDA) $2,573 $5,146 $582 $334
GGT liver test $48 $96 $7 $7
Glucose tolerance test $135 $270 $18 $8
Group therapy session $37 $73 $73 $30
H. pylori test $483 $967 $67 $67
Hammertoe repair $2,283 $4,565 $4,565 $548
HDL cholesterol test $111 $223 $15 $8
Hearing test (audiometry) $178 $356 $109 $36
Hematocrit test $26 $51 $4 $2
Hemodialysis $769 $1,538 $753 $75
Hemoglobin A1c (diabetes test) $112 $224 $10 $10
Hemorrhoid removal $1,490 $2,980 $1,079 $338
Hepatitis A vaccine $97 $195 $134 —
Hepatitis B test $134 $268 $19 $10
Hepatitis B vaccine $102 $203 $192 —
Hepatitis C test $172 $343 $20 $14
HIV test $164 $328 $29 $19
Holter heart monitor $373 $746 $138 $26
Home sleep apnea test $499 $997 $185 $123
HPV vaccine $160 $321 $311 —
Hysteroscopy $3,370 $6,741 $815 $1,270
Iron blood test $37 $74 $6 $6
IUD insertion $620 $1,240 $1,170 —
IUD removal $211 $423 $227 $112
IV infusion therapy $386 $772 $106 $44
IVC filter placement $5,188 $10,375 $5,921 $1,885
Joint aspiration (small/intermediate) $254 $507 $319 $57
Kidney biopsy $1,078 $2,157 $1,747 $492
Kidney scan (nuclear) $2,544 $5,088 $582 $172
Kidney stone shock-wave (lithotripsy) $2,243 $4,486 $4,486 $760
Kidney ultrasound $629 $1,257 $118 $84
Knee joint injection $298 $595 $319 $69
Knee replacement $47,739 $95,479 $24,628 $18,054
Lactate test $60 $119 $12 $12
Laryngoscopy $519 $1,038 $213 $189
LDH test $19 $38 $6 $6
LDL cholesterol test $19 $37 $11 $11
Leg artery angiogram $1,234 $2,468 $3,434 $149
Leg artery angioplasty $3,875 $7,750 $7,750 —
Leg vein ultrasound (Doppler) $471 $942 $154 $150
LH hormone test $182 $365 $19 $19
Lipase test $44 $88 $7 $7
Lipid (cholesterol) panel $126 $253 $14 $13
Liver biopsy $1,560 $3,120 $1,747 $288
Liver function panel $97 $193 $15 $8
Lower back (lumbar) spinal fusion $70,983 $141,966 $49,053 $1,511
Lung function test (PFT) $257 $514 $168 $37
Lung scan (V/Q) $2,474 $4,948 $582 $291
Magnesium blood test $40 $81 $7 $7
MMR vaccine $131 $261 $247 —
MRA of the brain $2,338 $4,675 $505 $226
MRA of the neck $2,338 $4,675 $505 $245
MRI of the abdomen $2,437 $4,875 $505 $300
MRI of the ankle $2,513 $5,027 $505 $261
MRI of the brain $1,831 $3,663 $425 $269
MRI of the chest $2,341 $4,681 $530 $371
MRI of the knee $2,742 $5,483 $505 $315
MRI of the lower back (lumbar spine) $2,858 $5,715 $505 $270
MRI of the mid-back (thoracic spine) $1,504 $3,008 $505 $271
MRI of the neck (cervical spine) $2,438 $4,876 $423 $274
MRI of the pelvis $1,521 $3,043 $505 $268
MRI of the shoulder $2,643 $5,285 $505 $313
MRI of the wrist $2,271 $4,542 $505 $330
Nebulizer breathing treatment $209 $418 $230 $9
Nerve conduction study $2,038 $4,076 $3,590 $118
Nuclear cardiac stress test $2,359 $4,719 $1,136 $428
Occupational therapy evaluation $94 $188 $143 $101
Office visit (established patient) $97 $193 $129 $115
Office visit (new patient) $211 $421 $142 $177
Orthopedic hardware removal $2,403 $4,805 $4,805 $632
Pacemaker insertion $26,665 $53,331 $16,845 $15,506
Pap smear (cervical screening) $133 $266 $27 $20
Parathyroid hormone (PTH) test $243 $485 $41 $41
Pelvic ultrasound $452 $903 $118 $78
PET scan $2,594 $5,188 $1,686 —
Phosphorus blood test $12 $24 $5 $5
Physical therapy evaluation $95 $190 $141 $98
Pilonidal cyst removal $324 $647 $725 $541
Platelet count $26 $51 $4 $4
Pneumonia vaccine $106 $212 $200 —
Pregnancy blood test (hCG) $101 $203 $11 $8
Pregnancy ultrasound $453 $907 $118 $126
Procalcitonin test $259 $517 $27 $27
Prolactin test $162 $324 $19 $19
Prostate biopsy $2,255 $4,510 $2,195 —
Prostate test (PSA) $122 $245 $18 $18
Psychiatric evaluation $161 $322 $183 $188
Psychotherapy session $161 $322 $192 $140
Pulmonary rehabilitation $69 $138 $66 $87
Radiofrequency nerve ablation $2,037 $4,075 $2,080 $462
Retina scan (OCT) $80 $160 $48 $33
Retinal (fundus) photography $114 $228 $53 $37
Rheumatoid factor test $41 $81 $81 $6
RSV vaccine $372 $744 $723 —
Scoliosis spine X-ray $152 $304 $98 $58
Screening colonoscopy $2,410 $4,820 $985 $378
Screening mammogram $415 $830 $98 $126
Scrotal ultrasound $494 $988 $118 $99
Sedimentation rate (ESR) test $46 $93 $4 $3
Semen analysis $86 $172 $12 $12
Sex hormone binding globulin test $59 $117 $22 $22
Shingles vaccine $223 $447 $422 —
Simple wound stitches $326 $652 $216 $127
Skin biopsy $342 $683 $430 $121
Skin cancer lesion removal $917 $1,834 $758 $240
Skin lesion freezing (cryotherapy) $160 $319 $216 $36
Skin tag removal $167 $333 $216 $92
Sleep study (polysomnography) $3,063 $6,126 $1,127 $691
Soft tissue ultrasound $462 $923 $118 $64
Speech therapy $81 $162 $74 $76
Spinal tap (lumbar puncture) $530 $1,061 $745 $165
Spine fracture repair (kyphoplasty) $12,588 $25,176 $7,708 $5,803
Strep throat test $27 $55 $17 $17
Stress echocardiogram $1,871 $3,742 $594 $209
Swallow study $132 $263 $143 $85
T3 thyroid test $124 $249 $14 $14
Tdap (tetanus) vaccine $89 $177 $38 —
Testosterone test $237 $474 $26 $26
Thyroid test (TSH) $218 $435 $28 $17
Thyroid ultrasound $156 $313 $118 $109
Thyroid uptake scan $1,837 $3,675 $444 $145
Tilt table test $640 $1,281 $251 $168
Total IgE allergy test $32 $64 $16 $16
Total protein test $15 $29 $4 $4
Transesophageal echocardiogram (TEE) $995 $1,990 $594 $239
Transvaginal ultrasound $734 $1,468 $118 $118
Trigger finger release $1,656 $3,312 $1,732 $630
Trigger point injection $300 $599 $319 $56
Triglycerides test $40 $79 $6 $6
Troponin (heart) test $101 $202 $12 $12
Turning a breech baby (version) $2,528 $5,056 $3,369 $94
Upper GI endoscopy (EGD) $2,930 $5,861 $977 $371
Upper GI series (barium) $1,235 $2,470 $198 $128
Uric acid (gout) test $24 $48 $5 $5
Urinalysis $53 $105 $7 $3
Urine microalbumin test $38 $76 $5 $5
Urine pregnancy test $116 $232 $9 $9
UV light therapy (skin) $78 $156 $152 $106
Vaccine administration $20 $41 $36 $19
Vaginal delivery $14,017 $28,034 $5,523 $5,487
Varicose vein ablation $7,266 $14,532 $9,164 $1,018
Vasectomy $544 $1,088 $232 $347
Visual field test $107 $214 $120 $64
Vitamin B12 test $37 $74 $15 $15
Vitamin D test $124 $247 $30 $30
Wart removal $199 $397 $216 $121
Weight-loss (bariatric) surgery $35,221 $70,442 $11,998 $11,645
Well-child visit $79 $158 $137 —
Wound debridement $418 $835 $473 $186
X-ray of the abdomen $156 $313 $89 $36
X-ray of the ankle $415 $829 $98 $37
X-ray of the collarbone $185 $369 $98 $33
X-ray of the elbow $202 $404 $98 $33
X-ray of the facial bones $188 $377 $98 $39
X-ray of the foot $387 $773 $98 $34
X-ray of the forearm $185 $369 $98 $29
X-ray of the hand $188 $377 $98 $38
X-ray of the hip $138 $276 $98 $49
X-ray of the knee $187 $374 $98 $42
X-ray of the lower back (lumbar spine) $248 $495 $118 $47
X-ray of the lower leg $185 $369 $98 $31
X-ray of the mid-back (thoracic spine) $211 $421 $94 $36
X-ray of the neck (cervical spine) $304 $607 $98 $47
X-ray of the pelvis $208 $416 $118 $36
X-ray of the ribs $161 $322 $96 $42
X-ray of the shoulder $181 $362 $98 $36
X-ray of the skull $379 $757 $118 $40
X-ray of the upper arm $202 $404 $98 $32
X-ray of the wrist $188 $377 $98 $43
YAG laser capsulotomy (eye) $253 $505 $649 $335
Zinc blood test $85 $170 $11 $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.