| Procedure | Cash | Chargemaster | Insurer | Medicare |
| 3D mammogram (tomosynthesis) |
$172 |
$175 |
— |
$51 |
| Abdominal fluid drain (paracentesis) |
$1,912 |
$1,951 |
— |
$284 |
| Abdominal ultrasound |
$503 |
$514 |
— |
$100 |
| Abscess incision and drainage |
$538 |
$549 |
— |
$174 |
| Albumin blood test |
$6 |
$7 |
— |
$5 |
| Aldosterone test |
$80 |
$82 |
— |
$41 |
| Alkaline phosphatase test |
$6 |
$7 |
— |
$5 |
| Alpha-fetoprotein (AFP) test |
$48 |
$49 |
— |
$17 |
| ALT liver enzyme test |
$6 |
$7 |
— |
$5 |
| Ammonia blood test |
$64 |
$65 |
— |
$15 |
| Amniocentesis |
$420 |
$429 |
— |
$120 |
| Amylase test |
$19 |
$20 |
— |
$6 |
| Anoscopy |
$192 |
$196 |
— |
$129 |
| Antinuclear antibody (ANA) test |
$48 |
$49 |
— |
$12 |
| Arterial blood gas (ABG) |
$99 |
$101 |
— |
$26 |
| AST liver enzyme test |
$6 |
$7 |
— |
$5 |
| Barium swallow study |
$565 |
$576 |
— |
$107 |
| Bartholin cyst removal |
$1,153 |
$1,177 |
— |
$182 |
| Basic metabolic panel |
$35 |
$36 |
— |
$8 |
| Benign skin lesion removal |
$769 |
$784 |
— |
$171 |
| Bilirubin blood test |
$19 |
$20 |
— |
$5 |
| Bladder function test (urodynamics) |
$961 |
$981 |
— |
$345 |
| Bladder scope (cystoscopy) |
$577 |
$588 |
— |
$216 |
| Blood clotting test (PT/INR) |
$26 |
$26 |
— |
$4 |
| Blood crossmatch |
$26 |
$26 |
— |
— |
| Blood glucose test |
$13 |
$13 |
— |
$5 |
| Blood transfusion |
$653 |
$667 |
— |
$47 |
| Blood type and screen |
$38 |
$39 |
— |
$10 |
| Blood type test |
$13 |
$13 |
— |
$3 |
| BNP (heart failure) test |
$96 |
$98 |
— |
$39 |
| Bone density scan (DEXA) |
$221 |
$226 |
— |
$39 |
| Bone marrow biopsy |
$2,210 |
$2,255 |
— |
$172 |
| Bone scan (nuclear) |
$638 |
$651 |
— |
$259 |
| Breast biopsy |
$577 |
$588 |
— |
$478 |
| Breast MRI |
$1,231 |
$1,256 |
— |
$216 |
| Breast ultrasound |
$430 |
$439 |
— |
$92 |
| Breathing tube insertion (intubation) |
$103 |
$105 |
— |
$133 |
| C-reactive protein (CRP) |
$48 |
$49 |
— |
$5 |
| CA 19-9 tumor marker test |
$106 |
$108 |
— |
$21 |
| CA-125 ovarian marker test |
$106 |
$108 |
— |
$21 |
| Calcium blood test |
$6 |
$7 |
— |
$5 |
| Capsule endoscopy |
$961 |
$981 |
— |
$802 |
| Cardiac stress test |
$196 |
$200 |
— |
$39 |
| Cardioversion |
$293 |
$299 |
— |
$155 |
| Carotid artery ultrasound |
$921 |
$940 |
— |
$156 |
| CEA tumor marker test |
$80 |
$82 |
— |
$19 |
| Celiac disease test |
$48 |
$49 |
— |
$12 |
| Cervical cerclage |
$1,402 |
$1,430 |
— |
$137 |
| Chemotherapy infusion |
$342 |
$349 |
— |
$81 |
| Chest fluid drain (thoracentesis) |
$1,912 |
$1,951 |
— |
$311 |
| Chest X-ray |
$135 |
$138 |
— |
$37 |
| Circumcision |
$420 |
$429 |
— |
$167 |
| CK-MB heart enzyme test |
$48 |
$49 |
— |
$12 |
| Clotting time test (PTT) |
$26 |
$26 |
— |
$6 |
| Colposcopy |
$384 |
$392 |
— |
$161 |
| Complete blood count (CBC) |
$29 |
$29 |
— |
$7 |
| Complex wound repair |
$2,306 |
$2,353 |
— |
$390 |
| Comprehensive metabolic panel |
$48 |
$49 |
— |
$11 |
| Contraceptive implant (Nexplanon) |
$961 |
$981 |
— |
$115 |
| Copper blood test |
$80 |
$82 |
— |
$12 |
| Coronary CT angiography |
$581 |
$593 |
— |
$326 |
| Cortisol test |
$48 |
$49 |
— |
$16 |
| COVID-19 PCR test |
$144 |
$147 |
— |
$51 |
| CPAP titration study |
$494 |
$504 |
— |
$69 |
| Creatine kinase (CK) test |
$19 |
$20 |
— |
$7 |
| CT angiography of the chest |
$404 |
$412 |
— |
$281 |
| CT angiography of the head |
$397 |
$405 |
— |
$274 |
| CT colonography (virtual colonoscopy) |
$1,231 |
$1,256 |
— |
$835 |
| CT scan of the abdomen |
$322 |
$328 |
— |
$230 |
| CT scan of the abdomen and pelvis |
$424 |
$433 |
— |
$300 |
| CT scan of the arm |
$280 |
$286 |
— |
$199 |
| CT scan of the chest |
$322 |
$328 |
— |
$167 |
| CT scan of the head |
$205 |
$209 |
— |
$148 |
| CT scan of the leg |
$284 |
$290 |
— |
$166 |
| CT scan of the lower back (lumbar spine) |
$322 |
$328 |
— |
$169 |
| CT scan of the neck |
$322 |
$328 |
— |
$183 |
| CT scan of the neck (cervical spine) |
$287 |
$293 |
— |
$168 |
| CT scan of the pelvis |
$322 |
$328 |
— |
$226 |
| CT scan of the sinuses |
$212 |
$216 |
— |
$152 |
| D-dimer test |
$48 |
$49 |
— |
$10 |
| Developmental screening (child) |
$68 |
$69 |
— |
— |
| DHEA-sulfate test |
$48 |
$49 |
— |
$22 |
| Diagnostic mammogram |
$737 |
$752 |
— |
$140 |
| Drug screen (urine) |
$273 |
$278 |
— |
$17 |
| Echocardiogram |
$261 |
$266 |
— |
$138 |
| Electrocardiogram (EKG) |
$78 |
$80 |
— |
$8 |
| Electroencephalogram (EEG) |
$3,024 |
$3,086 |
— |
$448 |
| Electrolyte panel |
$26 |
$26 |
— |
$7 |
| Electromyography (EMG) |
$748 |
$763 |
— |
$141 |
| Emergency department visit |
$284 |
$290 |
— |
$69 |
| Endometrial biopsy |
$384 |
$392 |
— |
$98 |
| Estradiol (estrogen) test |
$48 |
$49 |
— |
$28 |
| Fallopian tube X-ray (HSG) |
$2,867 |
$2,926 |
— |
$164 |
| Fecal occult blood (stool) test |
$48 |
$49 |
— |
$10 |
| Ferritin (iron) test |
$48 |
$49 |
— |
$14 |
| Fibrinogen test |
$29 |
$29 |
— |
$10 |
| Flu test |
$80 |
$82 |
— |
$17 |
| Folate (folic acid) test |
$48 |
$49 |
— |
$15 |
| Foreign body removal (skin) |
$384 |
$392 |
— |
$157 |
| Free T4 thyroid test |
$48 |
$49 |
— |
$9 |
| FSH hormone test |
$48 |
$49 |
— |
$19 |
| Gallbladder scan (HIDA) |
$1,067 |
$1,088 |
— |
$334 |
| GGT liver test |
$6 |
$7 |
— |
$7 |
| Glucose tolerance test |
$30 |
$31 |
— |
$8 |
| H. pylori test |
$64 |
$65 |
— |
$67 |
| HDL cholesterol test |
$48 |
$49 |
— |
$8 |
| Hematocrit test |
$13 |
$13 |
— |
$2 |
| Hemoglobin A1c (diabetes test) |
$64 |
$65 |
— |
$10 |
| Hemorrhoid removal |
$192 |
$196 |
— |
$338 |
| Hepatitis B test |
$80 |
$82 |
— |
$10 |
| Hepatitis C test |
$80 |
$82 |
— |
$14 |
| HIV test |
$80 |
$82 |
— |
$19 |
| Holter heart monitor |
$196 |
$200 |
— |
$26 |
| Hysteroscopy |
$1,538 |
$1,569 |
— |
$1,270 |
| Iron blood test |
$19 |
$20 |
— |
$6 |
| IUD insertion |
$192 |
$196 |
— |
— |
| IUD removal |
$192 |
$196 |
— |
$112 |
| IV infusion therapy |
$342 |
$349 |
— |
$44 |
| Joint aspiration (small/intermediate) |
$192 |
$196 |
— |
$57 |
| Kidney scan (nuclear) |
$356 |
$363 |
— |
$172 |
| Kidney stone shock-wave (lithotripsy) |
$5,935 |
$6,056 |
— |
$760 |
| Kidney ultrasound |
$368 |
$376 |
— |
$84 |
| Knee joint injection |
$192 |
$196 |
— |
$69 |
| Lactate test |
$64 |
$65 |
— |
$12 |
| LDH test |
$13 |
$13 |
— |
$6 |
| LDL cholesterol test |
$48 |
$49 |
— |
$11 |
| Leg vein ultrasound (Doppler) |
$909 |
$927 |
— |
$150 |
| LH hormone test |
$80 |
$82 |
— |
$19 |
| Lipase test |
$26 |
$26 |
— |
$7 |
| Lipid (cholesterol) panel |
$61 |
$62 |
— |
$13 |
| Liver function panel |
$35 |
$36 |
— |
$8 |
| Lung function test (PFT) |
$393 |
$401 |
— |
$37 |
| Lung scan (V/Q) |
$857 |
$875 |
— |
$291 |
| Magnesium blood test |
$19 |
$20 |
— |
$7 |
| MRA of the brain |
$894 |
$913 |
— |
$226 |
| MRA of the neck |
$952 |
$971 |
— |
$245 |
| MRI of the abdomen |
$991 |
$1,011 |
— |
$300 |
| MRI of the ankle |
$875 |
$893 |
— |
$261 |
| MRI of the brain |
$625 |
$638 |
— |
$269 |
| MRI of the chest |
$1,091 |
$1,114 |
— |
$371 |
| MRI of the knee |
$808 |
$824 |
— |
$315 |
| MRI of the lower back (lumbar spine) |
$625 |
$638 |
— |
$270 |
| MRI of the mid-back (thoracic spine) |
$635 |
$648 |
— |
$271 |
| MRI of the neck (cervical spine) |
$635 |
$648 |
— |
$274 |
| MRI of the pelvis |
$875 |
$893 |
— |
$268 |
| MRI of the shoulder |
$798 |
$814 |
— |
$313 |
| MRI of the wrist |
$933 |
$952 |
— |
$330 |
| Nebulizer breathing treatment |
$165 |
$168 |
— |
$9 |
| Nerve conduction study |
$520 |
$531 |
— |
$118 |
| Nuchal translucency ultrasound |
$418 |
$426 |
— |
$116 |
| Nuclear cardiac stress test |
$1,202 |
$1,227 |
— |
$428 |
| Occupational therapy evaluation |
$148 |
$151 |
— |
$101 |
| Pap smear (cervical screening) |
$96 |
$98 |
— |
$20 |
| Parathyroid hormone (PTH) test |
$48 |
$49 |
— |
$41 |
| Pelvic ultrasound |
$344 |
$351 |
— |
$78 |
| PET scan |
$4,862 |
$4,961 |
— |
— |
| Phosphorus blood test |
$6 |
$7 |
— |
$5 |
| Physical therapy evaluation |
$180 |
$184 |
— |
$98 |
| Platelet count |
$13 |
$13 |
— |
$4 |
| Pregnancy blood test (hCG) |
$32 |
$33 |
— |
$8 |
| Pregnancy ultrasound |
$577 |
$589 |
— |
$126 |
| Procalcitonin test |
$480 |
$490 |
— |
$27 |
| Prolactin test |
$64 |
$65 |
— |
$19 |
| Prostate test (PSA) |
$64 |
$65 |
— |
$18 |
| Rheumatoid factor test |
$26 |
$26 |
— |
$6 |
| Sacroiliac joint injection |
$577 |
$588 |
— |
$176 |
| Scoliosis spine X-ray |
$319 |
$326 |
— |
$58 |
| Screening mammogram |
$688 |
$702 |
— |
$126 |
| Scrotal ultrasound |
$246 |
$251 |
— |
$99 |
| Sedimentation rate (ESR) test |
$16 |
$16 |
— |
$3 |
| Semen analysis |
$26 |
$26 |
— |
$12 |
| Sex hormone binding globulin test |
$80 |
$82 |
— |
$22 |
| Simple wound stitches |
$384 |
$392 |
— |
$127 |
| Skin biopsy |
$384 |
$392 |
— |
$121 |
| Skin cancer lesion removal |
$769 |
$784 |
— |
$240 |
| Skin lesion freezing (cryotherapy) |
$115 |
$118 |
— |
$36 |
| Skin tag removal |
$384 |
$392 |
— |
$92 |
| Sleep study (polysomnography) |
$4,683 |
$4,778 |
— |
$691 |
| Soft tissue ultrasound |
$74 |
$75 |
— |
$64 |
| Speech therapy |
$192 |
$196 |
— |
$76 |
| Spinal tap (lumbar puncture) |
$3,460 |
$3,530 |
— |
$165 |
| Strep throat test |
$80 |
$82 |
— |
$17 |
| Stress echocardiogram |
$391 |
$399 |
— |
$209 |
| Swallow study |
$256 |
$261 |
— |
$85 |
| T3 thyroid test |
$48 |
$49 |
— |
$14 |
| Testosterone test |
$48 |
$49 |
— |
$26 |
| Thyroid test (TSH) |
$48 |
$49 |
— |
$17 |
| Thyroid ultrasound |
$614 |
$626 |
— |
$109 |
| Thyroid uptake scan |
$439 |
$448 |
— |
$145 |
| Total IgE allergy test |
$48 |
$49 |
— |
$16 |
| Total protein test |
$6 |
$7 |
— |
$4 |
| Transesophageal echocardiogram (TEE) |
$391 |
$399 |
— |
$239 |
| Transvaginal ultrasound |
$614 |
$626 |
— |
$118 |
| Trigger point injection |
$481 |
$490 |
— |
$56 |
| Triglycerides test |
$6 |
$7 |
— |
$6 |
| Troponin (heart) test |
$80 |
$82 |
— |
$12 |
| Turning a breech baby (version) |
$1,402 |
$1,430 |
— |
$94 |
| Ulnar nerve surgery (elbow) |
$769 |
$784 |
— |
$575 |
| Upper GI series (barium) |
$540 |
$551 |
— |
$128 |
| Uric acid (gout) test |
$6 |
$7 |
— |
$5 |
| Urinalysis |
$21 |
$21 |
— |
$3 |
| Urine microalbumin test |
$40 |
$41 |
— |
$5 |
| Urine pregnancy test |
$32 |
$33 |
— |
$9 |
| Vaccine administration |
$78 |
$79 |
— |
$19 |
| Varicose vein ablation |
$2,308 |
$2,355 |
— |
$1,018 |
| Vitamin B12 test |
$48 |
$49 |
— |
$15 |
| Vitamin D test |
$48 |
$49 |
— |
$30 |
| Wart removal |
$194 |
$198 |
— |
$121 |
| Wound debridement |
$961 |
$981 |
— |
$186 |
| X-ray of the abdomen |
$135 |
$138 |
— |
$36 |
| X-ray of the ankle |
$147 |
$150 |
— |
$37 |
| X-ray of the collarbone |
$123 |
$125 |
— |
$33 |
| X-ray of the elbow |
$147 |
$150 |
— |
$33 |
| X-ray of the facial bones |
$196 |
$200 |
— |
$39 |
| X-ray of the foot |
$147 |
$150 |
— |
$34 |
| X-ray of the forearm |
$123 |
$125 |
— |
$29 |
| X-ray of the hand |
$147 |
$150 |
— |
$38 |
| X-ray of the hip |
$196 |
$200 |
— |
$49 |
| X-ray of the knee |
$172 |
$175 |
— |
$42 |
| X-ray of the lower back (lumbar spine) |
$196 |
$200 |
— |
$47 |
| X-ray of the lower leg |
$147 |
$150 |
— |
$31 |
| X-ray of the mid-back (thoracic spine) |
$160 |
$163 |
— |
$36 |
| X-ray of the neck (cervical spine) |
$172 |
$175 |
— |
$47 |
| X-ray of the pelvis |
$147 |
$150 |
— |
$36 |
| X-ray of the ribs |
$160 |
$163 |
— |
$42 |
| X-ray of the shoulder |
$123 |
$125 |
— |
$36 |
| X-ray of the skull |
$184 |
$188 |
— |
$40 |
| X-ray of the upper arm |
$147 |
$150 |
— |
$32 |
| X-ray of the wrist |
$172 |
$175 |
— |
$43 |
| Zinc blood test |
$80 |
$82 |
— |
$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.