Southwell Medical, A Campus Of Trmc — procedure prices

Published prices for 323 procedures at Southwell Medical, A Campus Of Trmc (Adel, GA), from its machine-readable file.

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ProcedureCashChargemasterInsurerMedicare
3D mammogram (tomosynthesis) $24 $47 $32 $51
Abdominal fluid drain (paracentesis) $434 $868 $838 $284
Abdominal ultrasound $435 $870 $179 $100
Abscess incision and drainage $242 $484 $271 $174
Achilles tendon repair $3,492 $6,983 $6,388 $624
ACL knee reconstruction — — $7,986 $889
Albumin blood test $31 $61 $5 $5
Aldosterone test $330 $659 $57 $41
Alkaline phosphatase test $36 $73 $8 $5
Allergy shots $12 $24 $19 $11
Alpha-fetoprotein (AFP) test $108 $216 $27 $17
ALT liver enzyme test $29 $57 $7 $5
Ammonia blood test $78 $155 $16 $15
Amniocentesis $971 $1,941 $791 $120
Amylase test $78 $156 $9 $6
Anal fistula repair — — $7,487 $541
Ankle fracture repair $900 $1,800 $5,990 $608
Anoscopy $114 $229 $146 $129
Antinuclear antibody (ANA) test $132 $263 $17 $12
Arterial blood gas (ABG) $106 $212 $30 $26
AST liver enzyme test $27 $53 $7 $5
Barium swallow study $262 $525 $198 $107
Bartholin cyst removal $237 $474 $238 $182
Basic metabolic panel $39 $77 $11 $8
Benign skin lesion removal $281 $562 $454 $171
Bilirubin blood test $31 $61 $7 $5
Bladder function test (urodynamics) $248 $495 $448 $345
Bladder scope (cystoscopy) $293 $585 $573 $216
Bladder tumor removal (TURBT) — — $7,567 $236
Blood clotting test (PT/INR) $17 $35 $6 $4
Blood crossmatch $186 $371 $156 —
Blood glucose test $27 $53 $6 $5
Blood transfusion $523 $1,046 $405 $47
Blood type and screen $89 $178 $49 $10
Blood type test $40 $80 $39 $3
BNP (heart failure) test $113 $225 $48 $39
Bone density scan (DEXA) $190 $379 $118 $39
Bone marrow biopsy $1,957 $3,914 $1,957 $172
Bone scan (nuclear) $1,242 $2,484 $539 $259
Botox for migraine $206 $412 $269 $157
Breast biopsy $2,091 $4,181 $1,546 $478
Breast MRI $858 $1,716 $329 $216
Breast reconstruction — — $15,811 $1,227
Breast reduction $2,723 $5,445 $4,816 $980
Breast ultrasound $150 $300 $105 $92
Breathing tube insertion (intubation) $293 $585 $230 $133
Bronchoscopy $1,294 $2,588 $1,549 $303
Bunion surgery (bunionectomy) — — $7,998 $883
Burn treatment $245 $490 $185 $129
C-reactive protein (CRP) $25 $50 $5 $5
CA 19-9 tumor marker test $49 $99 $32 $21
CA-125 ovarian marker test $172 $344 $34 $21
Calcium blood test $27 $53 $6 $5
Capsule endoscopy $762 $1,525 $1,030 $802
Cardiac catheterization $5,539 $11,077 $3,674 $1,049
Cardiac rehabilitation $120 $241 $115 $26
Cardiac stress test $491 $982 $284 $39
Cardioversion $591 $1,182 $595 $155
Carotid artery ultrasound $441 $882 $245 $156
Carpal tunnel release — — $7,397 $483
Cataract surgery — — $7,434 $547
CEA tumor marker test $169 $337 $31 $19
Celiac disease test $57 $114 $18 $12
Central line placement $892 $1,783 $1,838 $238
Cervical cerclage — — $7,536 $137
Cervical LEEP procedure — — $7,536 $325
Cesarean section (C-section) — — $7,232 $7,552
Chemotherapy infusion $86 $171 $134 $81
Chest fluid drain (thoracentesis) $759 $1,517 $573 $311
Chest tube insertion $599 $1,198 $1,389 $143
Chest X-ray $154 $308 $82 $37
Chickenpox (varicella) vaccine $33 $66 $58 —
Chiropractic adjustment $24 $48 $32 $38
Circumcision $851 $1,702 $1,702 $167
CK-MB heart enzyme test $136 $272 $16 $12
Clotting time test (PTT) $27 $53 $9 $6
Colonoscopy — — $7,309 $480
Colposcopy $194 $388 $282 $161
Complete blood count (CBC) $28 $57 $8 $7
Complex wound repair $605 $1,209 $601 $390
Continuous glucose monitor setup $50 $100 $62 $35
Contraceptive implant (Nexplanon) $203 $405 $342 $115
Copper blood test $25 $50 $19 $12
Coronary artery bypass (CABG) — — $36,720 $36,593
Cortisol test $132 $265 $18 $16
COVID-19 PCR test $116 $231 $77 $51
CPAP titration study $575 $1,150 $273 $69
Creatine kinase (CK) test $25 $49 $7 $7
CT angiography of the chest $909 $1,818 $406 $281
CT angiography of the head $867 $1,734 $355 $274
CT scan of the abdomen $1,355 $2,709 $509 $230
CT scan of the abdomen and pelvis $2,668 $5,336 $535 $300
CT scan of the arm $748 $1,496 $351 $199
CT scan of the chest $1,025 $2,050 $382 $167
CT scan of the head $1,031 $2,062 $363 $148
CT scan of the leg $888 $1,776 $324 $166
CT scan of the lower back (lumbar spine) $1,329 $2,658 $496 $169
CT scan of the neck $1,010 $2,020 $369 $183
CT scan of the neck (cervical spine) $1,329 $2,658 $506 $168
CT scan of the pelvis $1,355 $2,709 $505 $226
CT scan of the sinuses $794 $1,587 $269 $152
D-dimer test $53 $105 $15 $10
Defibrillator (ICD) implant $14,468 $28,936 $26,043 $798
Developmental screening (child) $15 $30 $21 —
DHEA-sulfate test $220 $441 $34 $22
Diagnostic mammogram $135 $270 $126 $140
Dialysis fistula creation — — $7,533 $601
Dilation and curettage (D&C) $375 $750 $750 $298
Droopy eyelid repair (ptosis) $1,155 $2,310 $2,057 $745
Drug screen (urine) $47 $93 $67 $17
Ear pressure test (tympanometry) $23 $45 $35 $16
Echocardiogram $1,363 $2,725 $508 $138
Electrocardiogram (EKG) $38 $76 $53 $8
Electroencephalogram (EEG) $229 $457 $284 $448
Electrolyte panel $29 $57 $9 $7
Electromyography (EMG) $390 $781 $131 $141
Emergency department visit $209 $417 $209 $69
Endometrial biopsy $155 $309 $183 $98
Epidural steroid injection — — $7,253 $275
ERCP (bile duct endoscopy) — — $7,607 $311
Estradiol (estrogen) test $129 $258 $43 $28
Eyelid surgery (blepharoplasty) $1,280 $2,561 $2,286 $552
Fallopian tube X-ray (HSG) $346 $692 $220 $164
Fecal occult blood (stool) test $28 $56 $24 $10
Feeding tube (PEG) placement — — $7,390 $178
Femoral hernia repair — — $7,576 $584
Ferritin (iron) test $61 $122 $19 $14
Fibrinogen test $113 $227 $16 $10
Fibroid removal (myomectomy) — — $1,286 $914
Flu test $21 $42 $17 $17
Folate (folic acid) test $100 $199 $21 $15
Foreign body removal (skin) $336 $672 $364 $157
Free T4 thyroid test $97 $194 $13 $9
FSH hormone test $103 $205 $28 $19
Gallbladder removal (laparoscopic) — — $7,838 $658
Gallbladder scan (HIDA) $1,009 $2,017 $689 $334
Ganglion cyst removal — — $7,357 $321
GGT liver test $36 $71 $8 $7
Glucose tolerance test $57 $114 $19 $8
H. pylori test $143 $286 $101 $67
Hammertoe repair — — $7,544 $548
HDL cholesterol test $71 $142 $13 $8
Hematocrit test $50 $100 $3 $2
Hemodialysis $367 $734 $636 $75
Hemoglobin A1c (diabetes test) $32 $63 $14 $10
Hepatitis A vaccine $38 $76 $68 —
Hepatitis B test $164 $328 $16 $10
Hepatitis B vaccine $91 $181 $91 —
Hepatitis C test $145 $290 $21 $14
Hip fracture repair — — $1,742 $1,120
Hip replacement — — $11,693 $1,162
HIV test $90 $180 $24 $19
Holter heart monitor $182 $363 $118 $26
Home sleep apnea test $194 $387 $182 $123
HPV vaccine $125 $250 $221 —
Hydrocele repair — — $7,576 $315
Hysterectomy — — $9,461 $933
Hysteroscopy $582 $1,163 $1,577 $1,270
Inguinal hernia repair — — $7,576 $538
Iron blood test $23 $45 $9 $6
IUD insertion $127 $253 $156 —
IUD removal $159 $318 $272 $112
IV infusion therapy $152 $303 $115 $44
IVC filter placement $4,961 $9,923 $4,946 $1,885
Joint aspiration (small/intermediate) $160 $320 $268 $57
Kidney biopsy $720 $1,440 $1,449 $492
Kidney scan (nuclear) $1,536 $3,072 $671 $172
Kidney stone shock-wave (lithotripsy) — — $7,567 $760
Kidney ultrasound $133 $267 $107 $84
Knee arthroscopy — — $7,544 $524
Knee joint injection $351 $703 $269 $69
Knee replacement — — $18,602 $18,054
Lactate test $76 $151 $19 $12
Laminectomy (spine) — — $7,986 $1,157
Laryngoscopy $352 $705 $408 $189
LDH test $52 $103 $9 $6
LDL cholesterol test $29 $59 $17 $11
Leg artery angiogram $1,497 $2,993 $2,362 $149
Leg artery angioplasty $6,983 $13,966 $7,513 —
Leg vein ultrasound (Doppler) $483 $966 $234 $150
LH hormone test $104 $208 $30 $19
Lipase test $52 $104 $10 $7
Lipid (cholesterol) panel $57 $114 $14 $13
Liver biopsy $814 $1,628 $1,449 $288
Liver function panel $54 $107 $11 $8
Lower back (lumbar) spinal fusion — — $48,882 $1,511
Lumbar discectomy — — $7,986 $898
Lumpectomy (breast) — — $7,692 $750
Lung function test (PFT) $98 $196 $143 $37
Lung scan (V/Q) $1,639 $3,279 $722 $291
Magnesium blood test $74 $148 $9 $7
Mastectomy — — $7,916 $1,021
Meniscus repair (knee) — — $7,544 $714
MMR vaccine $20 $40 $40 —
MRA of the brain $1,768 $3,536 $657 $226
MRA of the neck $1,979 $3,957 $684 $245
MRI of the abdomen $1,713 $3,426 $649 $300
MRI of the ankle $1,846 $3,692 $649 $261
MRI of the brain $2,433 $4,865 $825 $269
MRI of the chest $1,662 $3,324 $642 $371
MRI of the knee $1,713 $3,426 $777 $315
MRI of the lower back (lumbar spine) $1,562 $3,124 $583 $270
MRI of the mid-back (thoracic spine) $1,562 $3,124 $582 $271
MRI of the neck (cervical spine) $1,562 $3,124 $581 $274
MRI of the pelvis $1,979 $3,957 $705 $268
MRI of the shoulder $1,713 $3,426 $738 $313
MRI of the wrist $1,713 $3,426 $639 $330
Nebulizer breathing treatment $208 $417 $186 $9
Neck (cervical) spinal fusion — — $11,693 $1,410
Nerve conduction study $417 $834 $284 $118
Nuchal translucency ultrasound $501 $1,001 $173 $116
Nuclear cardiac stress test $2,059 $4,117 $1,210 $428
Occupational therapy evaluation $134 $267 $138 $101
Office visit (established patient) $227 $454 $243 $115
Office visit (new patient) $264 $528 $310 $177
Orthopedic hardware removal $1,240 $2,480 $2,101 $632
Pacemaker insertion — — $16,682 $15,506
Pap smear (cervical screening) $42 $84 $29 $20
Parathyroid hormone (PTH) test $157 $314 $45 $41
Parathyroid removal — — $7,847 $891
Pelvic ultrasound $169 $339 $130 $78
PET scan $4,325 $8,650 $2,092 —
Phosphorus blood test $25 $49 $7 $5
Physical therapy evaluation $132 $265 $134 $98
Pilonidal cyst removal $425 $849 $1,016 $541
Platelet count $38 $75 $7 $4
Pneumonia vaccine $45 $90 $45 —
Pregnancy blood test (hCG) $47 $93 $9 $8
Pregnancy ultrasound $184 $368 $169 $126
Procalcitonin test $166 $331 $44 $27
Prolactin test $84 $168 $20 $19
Prostate biopsy $978 $1,956 $1,832 —
Prostate surgery (TURP) — — $7,752 $526
Prostate test (PSA) $77 $154 $20 $18
Psychiatric evaluation $143 $285 $168 $188
Psychotherapy session $116 $231 $149 $140
Pulmonary rehabilitation $89 $177 $85 $87
Radiofrequency nerve ablation — — $7,397 $462
Rotator cuff repair — — $7,986 $792
Sacroiliac joint injection $297 $593 $331 $176
Scoliosis spine X-ray $77 $154 $85 $58
Screening mammogram $219 $439 $128 $126
Scrotal ultrasound $284 $567 $147 $99
Sedimentation rate (ESR) test $22 $44 $4 $3
Semen analysis $10 $20 $12 $12
Sex hormone binding globulin test $77 $155 $35 $22
Shoulder arthroscopy — — $7,986 $962
Shoulder replacement — — $16,712 $1,300
Simple wound stitches $139 $277 $181 $127
Skin biopsy $235 $470 $299 $121
Skin cancer lesion removal $376 $753 $556 $240
Skin graft $1,242 $2,483 $2,145 $898
Skin lesion freezing (cryotherapy) $102 $203 $137 $36
Skin tag removal $101 $202 $178 $92
Sleep study (polysomnography) $1,625 $3,250 $925 $691
Soft tissue ultrasound $245 $490 $99 $64
Speech therapy $93 $185 $100 $76
Spinal cord stimulator $8,254 $16,508 $7,921 $2,388
Spinal tap (lumbar puncture) $479 $958 $629 $165
Spine fracture repair (kyphoplasty) — — $7,986 $5,803
Strep throat test $35 $71 $19 $17
Stress echocardiogram $595 $1,190 $524 $209
Swallow study $225 $451 $126 $85
T3 thyroid test $24 $49 $18 $14
Tdap (tetanus) vaccine $18 $36 $36 —
Testicle removal (orchiectomy) $482 $963 $953 $306
Testosterone test $165 $330 $36 $26
Thyroid removal (thyroidectomy) — — $7,838 $1,004
Thyroid test (TSH) $60 $120 $24 $17
Thyroid ultrasound $91 $181 $112 $109
Thyroid uptake scan $498 $995 $376 $145
Tilt table test $743 $1,486 $562 $168
Total IgE allergy test $101 $201 $27 $16
Total protein test $29 $58 $6 $4
Transesophageal echocardiogram (TEE) $1,570 $3,139 $735 $239
Transvaginal ultrasound $166 $331 $151 $118
Trigger finger release — — $7,357 $630
Trigger point injection $106 $212 $201 $56
Triglycerides test $63 $125 $9 $6
Troponin (heart) test $151 $302 $20 $12
Tubal ligation — — $7,838 $333
Turning a breech baby (version) $3,019 $6,038 $2,900 $94
Ulnar nerve surgery (elbow) — — $7,397 $575
Umbilical hernia repair $1,888 $3,777 $1,032 —
Upper GI endoscopy (EGD) $582 $1,164 $855 $371
Upper GI series (barium) $355 $709 $268 $128
Ureteral stent placement — — $7,567 $373
Ureteroscopy (stone removal) — — $7,752 $365
Uric acid (gout) test $25 $49 $6 $5
Urinalysis $8 $15 $3 $3
Urine microalbumin test $20 $40 $7 $5
Urine pregnancy test $25 $50 $10 $9
Vaccine administration $34 $67 $57 $19
Vaginal delivery — — $5,620 $5,487
Varicose vein ablation $3,960 $7,919 $3,096 $1,018
Vasectomy $379 $758 $758 $347
Vitamin B12 test $96 $192 $22 $15
Vitamin D test $79 $158 $31 $30
Wart removal $163 $325 $184 $121
Weight-loss (bariatric) surgery — — $13,790 $11,645
Wound debridement $433 $865 $393 $186
Wrist fracture repair — — $7,986 $735
X-ray of the abdomen $50 $99 $84 $36
X-ray of the ankle $71 $142 $80 $37
X-ray of the collarbone $107 $214 $87 $33
X-ray of the elbow $32 $64 $64 $33
X-ray of the facial bones $117 $233 $101 $39
X-ray of the foot $82 $164 $87 $34
X-ray of the forearm $72 $144 $82 $29
X-ray of the hand $73 $145 $82 $38
X-ray of the hip $87 $174 $82 $49
X-ray of the knee $112 $224 $99 $42
X-ray of the lower back (lumbar spine) $85 $169 $97 $47
X-ray of the lower leg $71 $141 $80 $31
X-ray of the mid-back (thoracic spine) $56 $111 $95 $36
X-ray of the neck (cervical spine) $100 $200 $99 $47
X-ray of the pelvis $52 $103 $95 $36
X-ray of the ribs $56 $111 $87 $42
X-ray of the shoulder $101 $201 $80 $36
X-ray of the skull $124 $249 $101 $40
X-ray of the upper arm $67 $133 $82 $32
X-ray of the wrist $102 $203 $87 $43
Zinc blood test $128 $257 $18 $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.