St Gabriels Hospital — procedure prices

Published prices for 314 procedures at St Gabriels Hospital (Little Falls, MN), from its machine-readable file.

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ProcedureCashChargemasterInsurerMedicare
3D mammogram (tomosynthesis) $81 $140 $78 $51
Abdominal fluid drain (paracentesis) $522 $900 $720 $284
Abdominal ultrasound $509 $877 $520 $100
Abscess incision and drainage $70 $122 $226 $174
Achilles tendon repair $1,096 $1,890 $1,077 $624
ACL knee reconstruction $1,592 $2,744 $1,564 $889
Adenoid removal (adenoidectomy) — — $3,267 $204
Albumin blood test $31 $53 $30 $5
Alkaline phosphatase test $80 $138 $79 $5
Allergy shots $19 $33 $20 $11
ALT liver enzyme test $29 $50 $29 $5
Ammonia blood test $108 $187 $107 $15
Amniocentesis $1,058 $1,824 $1,040 $120
Amylase test $57 $98 $27 $6
Anal fistula repair $840 $1,449 $855 $541
Ankle fracture repair $1,037 $1,788 $1,042 $608
Ankle replacement $1,575 $2,716 $1,548 $885
Annual physical (established patient) $187 $323 $106 —
Annual physical (new patient) $217 $374 $121 —
Anoscopy $48 $82 $129 $129
Antinuclear antibody (ANA) test $22 $38 $22 $12
Arterial blood gas (ABG) $235 $405 $231 $26
AST liver enzyme test $29 $50 $29 $5
Barium swallow study $388 $670 $410 $107
Bartholin cyst removal $76 $131 $206 $182
Basic metabolic panel $175 $302 $172 $8
Benign skin lesion removal $285 $492 $204 $171
Bilirubin blood test $23 $40 $31 $5
Bladder function test (urodynamics) — — $1,164 $345
Bladder scope (cystoscopy) $366 $631 $360 $216
Bladder tumor removal (TURBT) — — $3,267 $236
Blood clotting test (PT/INR) $41 $70 $40 $4
Blood crossmatch $122 $210 $120 —
Blood glucose test $26 $45 $26 $5
Blood transfusion $1,169 $2,015 $1,149 $47
Blood type and screen $83 $143 $82 $10
Blood type test $51 $88 $53 $3
BNP (heart failure) test $158 $272 $155 $39
Bone density scan (DEXA) $230 $397 $226 $39
Bone marrow biopsy — — $1,334 $172
Bone scan (nuclear) $1,030 $1,776 $1,012 $259
Botox for migraine — — $780 $157
Breast biopsy $853 $1,471 $1,137 $478
Breast reconstruction — — $7,460 $1,227
Breast reduction — — $5,641 $980
Breast ultrasound $330 $569 $331 $92
Breathing tube insertion (intubation) $325 $561 $358 $133
Bronchoscopy — — $1,503 $303
Bunion surgery (bunionectomy) $1,459 $2,516 $1,510 $883
Burn treatment $202 $348 $140 $129
C-reactive protein (CRP) $41 $71 $40 $5
CA-125 ovarian marker test $30 $52 $30 $21
Calcium blood test $41 $71 $40 $5
Capsule endoscopy $1,627 $2,806 $842 $802
Cardiac rehabilitation $203 $350 $210 $26
Cardiac stress test $341 $589 $341 $39
Cardioversion $915 $1,577 $559 $155
Carotid artery ultrasound $844 $1,456 $830 $156
Carpal tunnel release $1,491 $2,570 $1,465 $483
Cataract surgery — — $3,267 $547
CEA tumor marker test $29 $50 $29 $19
Central line placement $456 $787 $748 $238
Cervical LEEP procedure $495 $854 $500 $325
Cesarean section (C-section) — — $3,809 $7,552
Chalazion (eyelid cyst) removal — — $780 $131
Chemotherapy infusion $226 $390 $165 $81
Chest fluid drain (thoracentesis) $553 $954 $696 $311
Chest tube insertion $1,088 $1,875 $667 $143
Chest X-ray $239 $413 $222 $37
Chickenpox (varicella) vaccine $155 $267 $152 —
Circumcision $180 $310 $236 $167
CK-MB heart enzyme test $21 $36 $21 $12
Clotting time test (PTT) $70 $120 $68 $6
Colon resection (colectomy) $2,129 $3,671 $2,092 $1,238
Colonoscopy $709 $1,222 $768 $480
Colposcopy $264 $456 $175 $161
Complete blood count (CBC) $77 $132 $74 $7
Complex wound repair $736 $1,269 $723 $390
Comprehensive metabolic panel $201 $347 $198 $11
Contraceptive implant (Nexplanon) $45 $77 $102 $115
Corneal transplant — — $5,641 $1,066
Coronary artery bypass (CABG) — — $3,809 $36,593
Cortisol test $26 $45 $26 $16
COVID-19 PCR test $53 $92 $67 $51
CPAP titration study $447 $770 $337 $69
Creatine kinase (CK) test $65 $112 $64 $7
CT angiography of the chest $1,634 $2,818 $1,578 $281
CT angiography of the head $1,640 $2,827 $1,583 $274
CT scan of the abdomen $1,354 $2,335 $1,401 $230
CT scan of the abdomen and pelvis $2,336 $4,028 $2,296 $300
CT scan of the arm $1,218 $2,100 $1,260 $199
CT scan of the chest $1,302 $2,244 $1,346 $167
CT scan of the head $1,219 $2,102 $1,261 $148
CT scan of the leg $1,333 $2,299 $1,379 $166
CT scan of the lower back (lumbar spine) $1,437 $2,477 $1,475 $169
CT scan of the neck $1,244 $2,145 $1,287 $183
CT scan of the neck (cervical spine) $1,446 $2,493 $1,475 $168
CT scan of the pelvis $1,318 $2,272 $1,363 $226
CT scan of the sinuses $1,210 $2,087 $1,252 $152
D-dimer test $107 $185 $105 $10
Developmental screening (child) $18 $31 $18 —
Diagnostic mammogram $337 $582 $365 $140
Dialysis fistula creation — — $3,804 $601
Dilation and curettage (D&C) $487 $839 $478 $298
Droopy eyelid repair (ptosis) — — $3,267 $745
Drug screen (urine) $127 $219 $137 $17
Ear pressure test (tympanometry) $27 $46 $26 $16
Ear tubes (myringotomy) — — $1,142 $174
Eardrum repair (tympanoplasty) — — $5,641 $799
Echocardiogram $760 $1,310 $432 $138
Elbow replacement — — $12,243 $1,301
Electrolyte panel $73 $125 $71 $7
Electromyography (EMG) $126 $217 $129 $141
Emergency department visit $188 $324 $347 $69
Endometrial biopsy $242 $418 $150 $98
Epidural steroid injection $459 $791 $732 $275
ERCP (bile duct endoscopy) $388 $669 $216 $311
Esophageal dilation — — $1,503 $522
Esophageal variceal banding — — $1,503 $126
Estradiol (estrogen) test $43 $74 $42 $28
Eyelid surgery (blepharoplasty) — — $1,503 $552
Facet joint injection (spine) $984 $1,697 $938 $99
Fallopian tube X-ray (HSG) $300 $517 $241 $164
Family therapy session $195 $336 $192 $110
Fecal occult blood (stool) test $181 $312 $178 $10
Feeding tube (PEG) placement $320 $551 $314 $178
Femoral hernia repair $973 $1,678 $981 $584
Ferritin (iron) test $27 $46 $26 $14
Fibrinogen test $34 $58 $33 $10
Fibroid removal (myomectomy) — — $3,804 $914
Flexible sigmoidoscopy $389 $672 $390 $323
Flu test $32 $56 $32 $17
Flu vaccine $39 $67 $38 —
Folate (folic acid) test $29 $50 $29 $15
Foreign body removal (skin) $63 $108 $173 $157
Free T4 thyroid test $44 $76 $43 $9
FSH hormone test $29 $50 $29 $19
Gallbladder removal (laparoscopic) $1,103 $1,903 $1,109 $658
Gallbladder scan (HIDA) $899 $1,551 $939 $334
Ganglion cyst removal $554 $955 $544 $321
GGT liver test $29 $50 $29 $7
Glaucoma surgery — — $3,267 $984
Glucose tolerance test $45 $77 $46 $8
Group therapy session $647 $1,115 $636 $30
H. pylori test $234 $403 $230 $67
Hammertoe repair $898 $1,548 $882 $548
HDL cholesterol test $31 $54 $31 $8
Hematocrit test $22 $38 $22 $2
Hemoglobin A1c (diabetes test) $41 $71 $43 $10
Hemorrhoid removal $344 $593 $363 $338
Hepatitis A vaccine $61 $105 $60 —
Hepatitis B test $42 $73 $42 $10
Hepatitis B vaccine $61 $106 $60 —
Hepatitis C test $29 $50 $29 $14
Hip arthroscopy — — $7,460 $931
Hip fracture repair $1,999 $3,447 $2,017 $1,120
Hip replacement $2,083 $3,591 $2,047 $1,162
HIV test $41 $70 $40 $19
HPV vaccine $255 $440 $251 —
Hydrocele repair $419 $723 $347 $315
Hysterectomy $1,473 $2,540 $1,524 $933
Hysteroscopy $2,081 $3,588 $2,045 $1,270
Inguinal hernia repair $895 $1,543 $913 $538
Iron blood test $38 $65 $37 $6
IUD insertion $199 $343 $135 —
IUD removal $189 $326 $124 $112
IV infusion therapy $174 $300 $142 $44
IVC filter placement — — $7,460 $1,885
Joint aspiration (small/intermediate) $135 $233 $135 $57
Kidney biopsy — — $1,503 $492
Kidney scan (nuclear) $900 $1,552 $885 $172
Kidney stone shock-wave (lithotripsy) — — $7,460 $760
Kidney ultrasound $477 $822 $507 $84
Knee arthroscopy $1,830 $3,156 $1,831 $524
Knee joint injection $426 $735 $221 $69
Knee replacement — — $3,809 $18,054
Lactate test $87 $150 $86 $12
Laminectomy (spine) — — $7,460 $1,157
Laryngoscopy $313 $539 $278 $189
LDH test $28 $48 $27 $6
LDL cholesterol test $26 $45 $26 $11
Leg artery angioplasty — — $9,852 —
Leg vein ultrasound (Doppler) $844 $1,455 $829 $150
LH hormone test $29 $50 $29 $19
Lipase test $87 $150 $28 $7
Lipid (cholesterol) panel $46 $80 $50 $13
Liver biopsy $1,965 $3,388 $1,931 $288
Liver function panel $186 $321 $183 $8
Lower back (lumbar) spinal fusion — — $3,809 $1,511
Lumbar discectomy — — $7,460 $898
Lumpectomy (breast) $1,058 $1,824 $1,067 $750
Lung function test (PFT) $56 $96 $82 $37
Lung scan (V/Q) $1,505 $2,595 $1,479 $291
Magnesium blood test $74 $128 $58 $7
Mastectomy $1,711 $2,950 $1,822 $1,021
Mastoidectomy — — $3,267 $840
Meniscus repair (knee) $1,136 $1,958 $1,145 $714
MMR vaccine $271 $467 $137 —
Mohs skin cancer surgery — — $780 $535
MRA of the brain $2,132 $3,676 $1,897 $226
MRA of the neck $2,134 $3,680 $2,098 $245
MRI of the abdomen $2,134 $3,680 $2,087 $300
MRI of the brain $2,134 $3,680 $2,098 $269
MRI of the chest $2,174 $3,748 $2,136 $371
MRI of the lower back (lumbar spine) $2,123 $3,661 $2,087 $270
MRI of the mid-back (thoracic spine) $2,123 $3,661 $2,087 $271
MRI of the neck (cervical spine) $1,926 $3,321 $1,897 $274
MRI of the pelvis $1,922 $3,313 $1,897 $268
Neck (cervical) spinal fusion — — $7,460 $1,410
Nerve conduction study $233 $401 $202 $118
Nuclear cardiac stress test $2,855 $4,923 $2,954 $428
Office visit (established patient) $46 $79 $122 $115
Office visit (new patient) $69 $119 $179 $177
Orthopedic hardware removal $986 $1,700 $969 $632
Ovarian cyst removal $1,244 $2,144 $1,222 $698
Ovary removal (oophorectomy) — — $3,804 $822
Pacemaker insertion — — $3,809 $15,506
Parathyroid hormone (PTH) test $75 $129 $74 $41
Parathyroid removal — — $5,641 $891
Pelvic ultrasound $348 $601 $378 $78
Phosphorus blood test $26 $44 $25 $5
Pilonidal cyst removal $583 $1,006 $551 $541
Platelet count $27 $47 $28 $4
Pneumonia vaccine $116 $200 $114 —
Pregnancy blood test (hCG) $54 $93 $53 $8
Pregnancy ultrasound $341 $588 $372 $126
Procalcitonin test $151 $260 $148 $27
Prolactin test $29 $50 $29 $19
Prostate biopsy — — $1,503 —
Prostate removal (prostatectomy) — — $12,243 $1,063
Prostate surgery (TURP) — — $5,641 $526
Prostate test (PSA) $76 $131 $75 $18
Psychiatric evaluation $81 $139 $132 $188
Psychotherapy session $243 $420 $128 $140
Pterygium removal (eye) — — $3,267 $540
Pulmonary rehabilitation $151 $260 $148 $87
Radiofrequency nerve ablation — — $3,267 $462
Retinal detachment repair — — $5,641 $966
Rotator cuff repair $1,401 $2,416 $1,450 $792
RSV vaccine $180 $310 $177 —
Sacroiliac joint injection $511 $881 $359 $176
Scoliosis spine X-ray $302 $522 $300 $58
Screening colonoscopy $559 $963 $703 $378
Screening mammogram $317 $547 $328 $126
Scrotal ultrasound $508 $876 $499 $99
Sedimentation rate (ESR) test $24 $41 $26 $3
Semen analysis $28 $48 $27 $12
Septoplasty (deviated septum) — — $3,267 $613
Shingles vaccine $160 $275 $157 —
Shoulder arthroscopy $1,712 $2,952 $1,702 $962
Shoulder replacement $2,344 $4,041 $2,303 $1,300
Simple wound stitches $100 $173 $158 $127
Sinus surgery (endoscopic) — — $3,267 $224
Skin biopsy $51 $88 $129 $121
Skin cancer lesion removal $407 $702 $287 $240
Skin graft — — $2,654 $898
Skin lesion freezing (cryotherapy) $63 $108 $18 $36
Skin tag removal $176 $304 $150 $92
Sleep study (polysomnography) $3,416 $5,890 $3,472 $691
Soft tissue ultrasound $53 $92 $58 $64
Spinal cord stimulator — — $7,460 $2,388
Spinal tap (lumbar puncture) $537 $926 $278 $165
Spine fracture repair (kyphoplasty) — — $7,460 $5,803
Spleen removal (splenectomy) — — $7,460 $1,036
Strabismus (eye muscle) surgery — — $3,536 $475
Strep throat test $44 $75 $43 $17
Stress echocardiogram $306 $528 $530 $209
Tdap (tetanus) vaccine $142 $244 $64 —
Testicle removal (orchiectomy) $541 $932 $531 $306
Testosterone test $41 $70 $40 $26
Thyroid removal (thyroidectomy) — — $6,551 $1,004
Thyroid test (TSH) $75 $130 $78 $17
Thyroid ultrasound $606 $1,044 $595 $109
Tonsillectomy — — $3,267 $252
Total IgE allergy test $46 $80 $46 $16
Total protein test $27 $46 $26 $4
Tracheostomy — — $3,267 $273
Transvaginal ultrasound $276 $476 $271 $118
Trigger finger release $975 $1,681 $958 $630
Triglycerides test $39 $67 $29 $6
Troponin (heart) test $27 $46 $40 $12
Tubal ligation $604 $1,042 $610 $333
Turbinate reduction — — $3,267 $294
Ulnar nerve surgery (elbow) $1,007 $1,736 $990 $575
Upper GI endoscopy (EGD) $543 $937 $635 $371
Upper GI series (barium) $607 $1,046 $647 $128
Ureteral stent placement — — $3,267 $373
Ureteroscopy (stone removal) — — $5,641 $365
Uric acid (gout) test $32 $56 $32 $5
Urinalysis $46 $80 $47 $3
Urine microalbumin test $26 $46 $27 $5
Urine pregnancy test $48 $83 $47 $9
Vaccine administration $34 $58 $31 $19
Vaginal delivery — — $3,809 $5,487
Varicocele repair $536 $924 $527 $327
Varicose vein ablation $1,691 $2,916 $1,706 $1,018
Vitamin B12 test $95 $164 $93 $15
Vitamin D test $135 $233 $133 $30
Vitrectomy (eye) — — $5,641 $814
Vocal cord injection — — $3,267 $211
Wart removal $135 $232 $141 $121
Weight-loss (bariatric) surgery — — $3,809 $11,645
Well-child visit $162 $280 $91 —
Wound debridement $298 $513 $210 $186
Wrist fracture repair $1,306 $2,251 $1,328 $735
X-ray of the abdomen $202 $348 $178 $36
X-ray of the facial bones $145 $250 $128 $39
X-ray of the lower back (lumbar spine) $181 $312 $169 $47
X-ray of the mid-back (thoracic spine) $135 $233 $133 $36
X-ray of the neck (cervical spine) $144 $248 $154 $47
X-ray of the pelvis $175 $303 $182 $36
X-ray of the ribs $128 $221 $126 $42
X-ray of the skull $270 $466 $282 $40
YAG laser capsulotomy (eye) — — $1,164 $335

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.