Promedica Defiance Regional Hospital — procedure prices

Published prices for 235 procedures at Promedica Defiance Regional Hospital (Defiance, OH), from its machine-readable file.

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ProcedureCashChargemasterInsurerMedicare
3D mammogram (tomosynthesis) $44 $68 $52 $51
Abdominal fluid drain (paracentesis) $3,639 $5,598 $3,338 $284
Abdominal ultrasound $805 $1,238 $696 $100
Abscess incision and drainage $817 $1,257 $579 $174
Albumin blood test $51 $79 $41 $5
Aldosterone test $42 $65 $45 $41
Alkaline phosphatase test $86 $132 $69 $5
Alpha-fetoprotein (AFP) test $55 $85 $44 $17
ALT liver enzyme test $92 $141 $73 $5
Ammonia blood test $86 $132 $69 $15
Amylase test $82 $126 $66 $6
Annual physical (established patient) $100 $154 $104 —
Antinuclear antibody (ANA) test $197 $303 $158 $12
Arterial blood gas (ABG) $201 $309 $161 $26
AST liver enzyme test $92 $141 $73 $5
Barium swallow study $533 $820 $533 $107
Basic metabolic panel $172 $264 $137 $8
Benign skin lesion removal $1,281 $1,971 $934 $171
Bilirubin blood test $64 $98 $51 $5
Blood clotting test (PT/INR) $31 $48 $25 $4
Blood crossmatch $133 $205 $136 —
Blood glucose test $27 $42 $15 $5
Blood transfusion $758 $1,166 $723 $47
Blood type and screen $106 $163 $98 $10
Blood type test $83 $128 $68 $3
BNP (heart failure) test $263 $404 $210 $39
Bone density scan (DEXA) $607 $934 $525 $39
Bone marrow biopsy $1,281 $1,971 $1,321 $172
Bone scan (nuclear) $1,785 $2,746 $1,543 $259
Botox for migraine $488 $751 $488 $157
Breast biopsy $4,524 $6,961 $4,465 $478
Breast MRI $2,421 $3,724 $2,402 $216
Breast ultrasound $572 $880 $496 $92
Breathing tube insertion (intubation) $636 $978 $652 $133
Burn treatment $459 $706 $455 $129
C-reactive protein (CRP) $62 $95 $49 $5
CA 19-9 tumor marker test $222 $342 $178 $21
CA-125 ovarian marker test $82 $126 $66 $21
Calcium blood test $62 $95 $49 $5
Cardiac catheterization $15,061 $23,171 $12,387 $1,049
Cardiac rehabilitation $154 $237 $142 $26
Cardiac stress test $898 $1,381 $830 $39
Cardioversion $848 $1,304 $791 $155
Carotid artery ultrasound $973 $1,497 $875 $156
CEA tumor marker test $110 $169 $88 $19
Celiac disease test $33 $51 $33 $12
Cesarean section (C-section) — — $3,158 $7,552
Chemotherapy infusion $437 $673 $424 $81
Chest fluid drain (thoracentesis) $3,322 $5,111 $2,872 $311
Chest X-ray $257 $396 $206 $37
Chickenpox (varicella) vaccine $148 $228 $155 —
Circumcision $1,045 $1,607 $1,065 $167
CK-MB heart enzyme test $92 $142 $74 $12
Clotting time test (PTT) $58 $89 $46 $6
Complete blood count (CBC) $96 $147 $83 $7
Comprehensive metabolic panel $239 $368 $191 $11
Contraceptive implant (Nexplanon) $194 $299 $202 $115
Copper blood test $16 $25 $17 $12
Coronary artery bypass (CABG) — — $3,158 $36,593
Coronary CT angiography $2,633 $4,051 $2,277 $326
Cortisol test $90 $139 $72 $16
CPAP titration study $802 $1,234 $730 $69
Creatine kinase (CK) test $83 $128 $67 $7
CT angiography of the chest $1,551 $2,386 $1,341 $281
CT angiography of the head $1,816 $2,794 $1,570 $274
CT colonography (virtual colonoscopy) $550 $846 $550 $835
CT scan of the abdomen $1,269 $1,953 $1,241 $230
CT scan of the abdomen and pelvis $2,541 $3,909 $2,482 $300
CT scan of the arm $1,269 $1,953 $1,250 $199
CT scan of the chest $1,269 $1,953 $1,241 $167
CT scan of the head $1,485 $2,285 $1,453 $148
CT scan of the leg $1,269 $1,953 $1,151 $166
CT scan of the lower back (lumbar spine) $1,269 $1,953 $1,250 $169
CT scan of the neck $1,485 $2,285 $1,453 $183
CT scan of the neck (cervical spine) $1,385 $2,130 $1,344 $168
CT scan of the pelvis $1,269 $1,953 $1,141 $226
CT scan of the sinuses $1,485 $2,285 $1,453 $152
D-dimer test $96 $147 $76 $10
Developmental screening (child) $333 $512 $339 —
DHEA-sulfate test $238 $366 $190 $22
Diagnostic mammogram $576 $887 $524 $140
Drug screen (urine) $48 $74 $56 $17
Ear pressure test (tympanometry) $174 $268 $148 $16
Echocardiogram $1,901 $2,925 $979 $138
Electrocardiogram (EKG) $205 $315 $189 $8
Electroencephalogram (EEG) $1,014 $1,560 $1,014 $448
Electrolyte panel $153 $235 $122 $7
Emergency department visit $694 $1,067 $599 $69
Epidural steroid injection $2,904 $4,467 $2,573 $275
Estradiol (estrogen) test $101 $155 $81 $28
Facet joint injection (spine) $2,274 $3,498 $936 $99
Fallopian tube X-ray (HSG) $686 $1,056 $502 $164
Fecal occult blood (stool) test $46 $71 $41 $10
Ferritin (iron) test $79 $121 $63 $14
Fibrinogen test $81 $124 $64 $10
Flu test $176 $270 $140 $17
Folate (folic acid) test $111 $171 $89 $15
Foreign body removal (skin) $840 $1,293 $788 $157
Free T4 thyroid test $106 $163 $85 $9
FSH hormone test $107 $165 $86 $19
Gallbladder scan (HIDA) $1,671 $2,572 $1,539 $334
GGT liver test $26 $40 $21 $7
Glucose tolerance test $36 $56 $31 $8
Group therapy session $320 $492 $296 $30
H. pylori test $109 $167 $97 $67
HDL cholesterol test $47 $72 $37 $8
Hearing test (audiometry) $502 $773 $465 $36
Hematocrit test $27 $42 $22 $2
Hemoglobin A1c (diabetes test) $137 $210 $109 $10
Hepatitis B test $83 $128 $67 $10
Hepatitis B vaccine $85 $130 $87 —
Hepatitis C test $151 $232 $121 $14
HIV test $182 $280 $152 $19
Holter heart monitor $473 $727 $403 $26
Iron blood test $49 $76 $40 $6
IUD insertion $49 $76 $52 —
IUD removal $549 $845 $539 $112
IV infusion therapy $335 $515 $268 $44
IVC filter placement $8,704 $13,391 $8,637 $1,885
Joint aspiration (small/intermediate) $691 $1,063 $628 $57
Kidney biopsy $1,731 $2,663 $1,718 $492
Kidney scan (nuclear) $1,757 $2,703 $1,730 $172
Kidney ultrasound $805 $1,238 $696 $84
Knee joint injection $845 $1,300 $781 $69
Knee replacement — — $3,158 $18,054
Lactate test $34 $53 $28 $12
LDH test $32 $49 $25 $6
LDL cholesterol test $77 $118 $61 $11
Leg artery angiogram $2,721 $4,186 $2,679 $149
Leg vein ultrasound (Doppler) $1,327 $2,041 $1,183 $150
LH hormone test $107 $165 $86 $19
Lipase test $120 $184 $96 $7
Lipid (cholesterol) panel $158 $243 $126 $13
Liver biopsy $2,231 $3,432 $2,063 $288
Liver function panel $176 $271 $141 $8
Lower back (lumbar) spinal fusion — — $3,128 $1,511
Lung function test (PFT) $362 $558 $273 $37
Lung scan (V/Q) $1,765 $2,715 $1,738 $291
Magnesium blood test $77 $119 $62 $7
MMR vaccine $84 $129 $86 —
MRA of the brain $2,666 $4,101 $2,292 $226
MRA of the neck $2,695 $4,146 $2,292 $245
MRI of the abdomen $2,282 $3,510 $2,282 $300
MRI of the ankle $2,750 $4,231 $2,339 $261
MRI of the brain $2,695 $4,146 $2,292 $269
MRI of the chest $2,750 $4,231 $2,339 $371
MRI of the knee $2,282 $3,510 $2,282 $315
MRI of the lower back (lumbar spine) $2,750 $4,231 $2,339 $270
MRI of the mid-back (thoracic spine) $2,750 $4,231 $2,339 $271
MRI of the neck (cervical spine) $2,750 $4,231 $2,339 $274
MRI of the pelvis $2,750 $4,231 $2,339 $268
MRI of the shoulder $2,282 $3,510 $2,282 $313
MRI of the wrist $2,750 $4,231 $2,339 $330
Nebulizer breathing treatment $137 $210 $127 $9
Nuclear cardiac stress test $5,593 $8,605 $4,915 $428
Occupational therapy evaluation $224 $345 $205 $101
Office visit (established patient) $100 $154 $114 $115
Pacemaker insertion — — $3,158 $15,506
Pap smear (cervical screening) $109 $168 $87 $20
Parathyroid hormone (PTH) test $140 $215 $112 $41
Pelvic ultrasound $715 $1,100 $640 $78
PET scan $5,870 $9,030 $5,779 —
Phosphorus blood test $47 $72 $37 $5
Physical therapy evaluation $185 $285 $183 $98
Platelet count $29 $44 $23 $4
Pregnancy blood test (hCG) $87 $134 $70 $8
Pregnancy ultrasound $638 $981 $618 $126
Procalcitonin test $110 $169 $95 $27
Prolactin test $112 $172 $89 $19
Prostate test (PSA) $121 $186 $97 $18
Pulmonary rehabilitation $146 $225 $146 $87
Sacroiliac joint injection $1,968 $3,028 $1,938 $176
Scoliosis spine X-ray $202 $310 $202 $58
Screening mammogram $601 $925 $592 $126
Scrotal ultrasound $670 $1,030 $579 $99
Sedimentation rate (ESR) test $45 $69 $36 $3
Semen analysis $38 $59 $38 $12
Sex hormone binding globulin test $46 $70 $36 $22
Skin biopsy $840 $1,293 $643 $121
Sleep study (polysomnography) $6,222 $9,573 $5,479 $691
Soft tissue ultrasound $538 $827 $465 $64
Speech therapy $208 $320 $206 $76
Spinal tap (lumbar puncture) $1,154 $1,775 $1,136 $165
Spine fracture repair (kyphoplasty) $8,013 $12,327 $8,173 $5,803
Strep throat test $43 $66 $34 $17
Stress echocardiogram $1,856 $2,856 $1,828 $209
Swallow study $180 $277 $179 $85
T3 thyroid test $51 $79 $41 $14
Tdap (tetanus) vaccine $70 $108 $70 —
Testosterone test $73 $113 $59 $26
Thyroid test (TSH) $98 $151 $79 $17
Thyroid ultrasound $547 $841 $511 $109
Thyroid uptake scan $1,698 $2,612 $1,513 $145
Tilt table test $1,662 $2,557 $1,636 $168
Total IgE allergy test $35 $54 $28 $16
Total protein test $10 $16 $10 $4
Transesophageal echocardiogram (TEE) $2,148 $3,305 $2,064 $239
Transvaginal ultrasound $628 $966 $555 $118
Trigger point injection $488 $751 $451 $56
Triglycerides test $72 $111 $58 $6
Troponin (heart) test $98 $151 $79 $12
Turning a breech baby (version) $872 $1,342 $890 $94
Upper GI series (barium) $885 $1,361 $784 $128
Uric acid (gout) test $77 $118 $61 $5
Urinalysis $40 $61 $36 $3
Urine microalbumin test $51 $78 $30 $5
Urine pregnancy test $92 $141 $73 $9
Vaccine administration $59 $90 $60 $19
Vaginal delivery — — $3,158 $5,487
Varicose vein ablation $7,794 $11,991 $7,207 $1,018
Vitamin B12 test $105 $161 $84 $15
Vitamin D test $60 $92 $48 $30
Weight-loss (bariatric) surgery — — $3,158 $11,645
Wound debridement $1,352 $2,080 $1,266 $186
X-ray of the abdomen $352 $542 $331 $36
X-ray of the ankle $345 $530 $331 $37
X-ray of the collarbone $244 $376 $241 $33
X-ray of the elbow $320 $492 $315 $33
X-ray of the facial bones $345 $530 $339 $39
X-ray of the foot $345 $530 $331 $34
X-ray of the forearm $224 $345 $221 $29
X-ray of the hand $345 $530 $331 $38
X-ray of the hip $362 $557 $290 $49
X-ray of the knee $257 $395 $253 $42
X-ray of the lower back (lumbar spine) $301 $463 $272 $47
X-ray of the lower leg $224 $345 $221 $31
X-ray of the mid-back (thoracic spine) $262 $403 $237 $36
X-ray of the neck (cervical spine) $301 $463 $272 $47
X-ray of the pelvis $267 $412 $241 $36
X-ray of the ribs $257 $395 $229 $42
X-ray of the shoulder $257 $395 $253 $36
X-ray of the skull $285 $439 $250 $40
X-ray of the upper arm $257 $395 $253 $32
X-ray of the wrist $345 $530 $331 $43
Zinc blood test $24 $37 $24 $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.