| Procedure | Cash | Chargemaster | Insurer | Medicare |
| 3D mammogram (tomosynthesis) |
$45 |
$450 |
— |
$51 |
| Abdominal fluid drain (paracentesis) |
$653 |
$6,527 |
— |
$284 |
| Abdominal ultrasound |
$312 |
$3,121 |
— |
$100 |
| Abscess incision and drainage |
$104 |
$1,041 |
— |
$174 |
| Albumin blood test |
$7 |
$71 |
— |
$5 |
| Alkaline phosphatase test |
$9 |
$90 |
— |
$5 |
| Allergy shots |
$6 |
$63 |
— |
$11 |
| Alpha-fetoprotein (AFP) test |
$33 |
$330 |
— |
$17 |
| ALT liver enzyme test |
$14 |
$142 |
— |
$5 |
| Ammonia blood test |
$48 |
$481 |
— |
$15 |
| Amniocentesis |
$328 |
$3,282 |
— |
$120 |
| Amylase test |
$19 |
$189 |
— |
$6 |
| Annual physical (established patient) |
$31 |
$310 |
— |
— |
| Annual physical (new patient) |
$42 |
$417 |
— |
— |
| Aortic aneurysm repair (AAA) |
$556 |
$5,560 |
— |
$1,345 |
| Aortic valve replacement |
$12,702 |
$127,017 |
— |
$1,603 |
| Arterial blood gas (ABG) |
$19 |
$193 |
— |
$26 |
| AST liver enzyme test |
$14 |
$142 |
— |
$5 |
| Barium swallow study |
$250 |
$2,495 |
— |
$107 |
| Bartholin cyst removal |
$115 |
$1,154 |
— |
$182 |
| Basic metabolic panel |
$20 |
$197 |
— |
$8 |
| Benign skin lesion removal |
$413 |
$4,131 |
— |
$171 |
| Bilirubin blood test |
$9 |
$85 |
— |
$5 |
| Bladder scope (cystoscopy) |
$387 |
$3,867 |
— |
$216 |
| Blood clotting test (PT/INR) |
$34 |
$336 |
— |
$4 |
| Blood crossmatch |
$36 |
$362 |
— |
— |
| Blood glucose test |
$10 |
$102 |
— |
$5 |
| Blood transfusion |
$535 |
$5,348 |
— |
$47 |
| Blood type and screen |
$34 |
$338 |
— |
$10 |
| Blood type test |
$46 |
$464 |
— |
$3 |
| BNP (heart failure) test |
$114 |
$1,142 |
— |
$39 |
| Bone density scan (DEXA) |
$116 |
$1,164 |
— |
$39 |
| Bone marrow biopsy |
$490 |
$4,903 |
— |
$172 |
| Bone scan (nuclear) |
$531 |
$5,307 |
— |
$259 |
| Breast biopsy |
$365 |
$3,653 |
— |
$478 |
| Breast MRI |
$804 |
$8,044 |
— |
$216 |
| Breast ultrasound |
$141 |
$1,414 |
— |
$92 |
| Breathing tube insertion (intubation) |
$74 |
$737 |
— |
$133 |
| Burn treatment |
$167 |
$1,666 |
— |
$129 |
| C-reactive protein (CRP) |
$11 |
$110 |
— |
$5 |
| CA 19-9 tumor marker test |
$45 |
$447 |
— |
$21 |
| CA-125 ovarian marker test |
$45 |
$447 |
— |
$21 |
| Calcium blood test |
$13 |
$129 |
— |
$5 |
| Cardiac ablation |
$3,416 |
$34,157 |
— |
$759 |
| Cardiac catheterization |
$1,655 |
$16,548 |
— |
$1,049 |
| Cardiac MRI |
$445 |
$4,454 |
— |
$322 |
| Cardiac rehabilitation |
$61 |
$606 |
— |
$26 |
| Cardiac stress test |
$195 |
$1,953 |
— |
$39 |
| Cardioversion |
$705 |
$7,053 |
— |
$155 |
| Carotid artery ultrasound |
$183 |
$1,828 |
— |
$156 |
| CEA tumor marker test |
$44 |
$435 |
— |
$19 |
| Central line placement |
$869 |
$8,692 |
— |
$238 |
| Chemotherapy infusion |
$200 |
$2,000 |
— |
$81 |
| Chest fluid drain (thoracentesis) |
$311 |
$3,112 |
— |
$311 |
| Chest tube insertion |
$429 |
$4,290 |
— |
$143 |
| Chest X-ray |
$103 |
$1,029 |
— |
$37 |
| Circumcision |
$431 |
$4,309 |
— |
$167 |
| CK-MB heart enzyme test |
$17 |
$166 |
— |
$12 |
| Clotting time test (PTT) |
$34 |
$336 |
— |
$6 |
| Colposcopy |
$80 |
$798 |
— |
$161 |
| Complete blood count (CBC) |
$21 |
$207 |
— |
$7 |
| Comprehensive metabolic panel |
$29 |
$294 |
— |
$11 |
| Contraceptive implant (Nexplanon) |
$40 |
$403 |
— |
$115 |
| Copper blood test |
$25 |
$251 |
— |
$12 |
| Coronary CT angiography |
$715 |
$7,145 |
— |
$326 |
| Cortisol test |
$42 |
$419 |
— |
$16 |
| COVID-19 PCR test |
$26 |
$255 |
— |
$51 |
| CPAP titration study |
$142 |
$1,419 |
— |
$69 |
| Creatine kinase (CK) test |
$15 |
$146 |
— |
$7 |
| CT angiography of the chest |
$894 |
$8,939 |
— |
$281 |
| CT angiography of the head |
$726 |
$7,257 |
— |
$274 |
| CT scan of the abdomen |
$569 |
$5,689 |
— |
$230 |
| CT scan of the abdomen and pelvis |
$837 |
$8,366 |
— |
$300 |
| CT scan of the arm |
$460 |
$4,604 |
— |
$199 |
| CT scan of the chest |
$612 |
$6,117 |
— |
$167 |
| CT scan of the head |
$506 |
$5,060 |
— |
$148 |
| CT scan of the leg |
$500 |
$5,003 |
— |
$166 |
| CT scan of the lower back (lumbar spine) |
$586 |
$5,864 |
— |
$169 |
| CT scan of the neck |
$594 |
$5,936 |
— |
$183 |
| CT scan of the neck (cervical spine) |
$551 |
$5,512 |
— |
$168 |
| CT scan of the pelvis |
$661 |
$6,609 |
— |
$226 |
| CT scan of the sinuses |
$461 |
$4,608 |
— |
$152 |
| D-dimer test |
$32 |
$318 |
— |
$10 |
| Defibrillator (ICD) implant |
$9,026 |
$90,260 |
— |
$798 |
| Diagnostic mammogram |
$178 |
$1,785 |
— |
$140 |
| Drug screen (urine) |
$27 |
$268 |
— |
$17 |
| Echocardiogram |
$195 |
$1,948 |
— |
$138 |
| Electrocardiogram (EKG) |
$38 |
$382 |
— |
$8 |
| Electroencephalogram (EEG) |
$194 |
$1,942 |
— |
$448 |
| Electrolyte panel |
$15 |
$149 |
— |
$7 |
| Emergency department visit |
$331 |
$3,312 |
— |
$69 |
| Endometrial biopsy |
$115 |
$1,145 |
— |
$98 |
| Epidural steroid injection |
$409 |
$4,085 |
— |
$275 |
| ERCP (bile duct endoscopy) |
$765 |
$7,649 |
— |
$311 |
| Estradiol (estrogen) test |
$59 |
$592 |
— |
$28 |
| Facet joint injection (spine) |
$184 |
$1,838 |
— |
$99 |
| Fallopian tube X-ray (HSG) |
$264 |
$2,640 |
— |
$164 |
| Family therapy session |
$75 |
$749 |
— |
$110 |
| Fecal occult blood (stool) test |
$18 |
$175 |
— |
$10 |
| Ferritin (iron) test |
$30 |
$295 |
— |
$14 |
| Fibrinogen test |
$34 |
$337 |
— |
$10 |
| Flu test |
$27 |
$273 |
— |
$17 |
| Folate (folic acid) test |
$24 |
$239 |
— |
$15 |
| Foreign body removal (skin) |
$63 |
$633 |
— |
$157 |
| Free T4 thyroid test |
$18 |
$183 |
— |
$9 |
| FSH hormone test |
$38 |
$381 |
— |
$19 |
| Gallbladder scan (HIDA) |
$379 |
$3,786 |
— |
$334 |
| GGT liver test |
$13 |
$132 |
— |
$7 |
| Glucose tolerance test |
$114 |
$1,142 |
— |
$8 |
| Group therapy session |
$46 |
$461 |
— |
$30 |
| H. pylori test |
$28 |
$278 |
— |
$67 |
| HDL cholesterol test |
$28 |
$282 |
— |
$8 |
| Hematocrit test |
$5 |
$49 |
— |
$2 |
| Hemodialysis |
$491 |
$4,905 |
— |
$75 |
| Hemoglobin A1c (diabetes test) |
$25 |
$253 |
— |
$10 |
| Hepatitis B test |
$19 |
$193 |
— |
$10 |
| Hepatitis B vaccine |
$76 |
$758 |
— |
— |
| Hepatitis C test |
$30 |
$299 |
— |
$14 |
| HIV test |
$10 |
$98 |
— |
$19 |
| Holter heart monitor |
$257 |
$2,574 |
— |
$26 |
| Home sleep apnea test |
$103 |
$1,032 |
— |
$123 |
| Iron blood test |
$22 |
$215 |
— |
$6 |
| IUD insertion |
$152 |
$1,519 |
— |
— |
| IUD removal |
$175 |
$1,745 |
— |
$112 |
| IV infusion therapy |
$151 |
$1,510 |
— |
$44 |
| IVC filter placement |
$1,470 |
$14,700 |
— |
$1,885 |
| Joint aspiration (small/intermediate) |
$118 |
$1,182 |
— |
$57 |
| Kidney biopsy |
$316 |
$3,156 |
— |
$492 |
| Kidney scan (nuclear) |
$719 |
$7,187 |
— |
$172 |
| Kidney stone shock-wave (lithotripsy) |
$2,640 |
$26,396 |
— |
$760 |
| Kidney ultrasound |
$336 |
$3,362 |
— |
$84 |
| Knee joint injection |
$171 |
$1,709 |
— |
$69 |
| Lactate test |
$36 |
$360 |
— |
$12 |
| Laryngoscopy |
$113 |
$1,132 |
— |
$189 |
| LDH test |
$10 |
$103 |
— |
$6 |
| LDL cholesterol test |
$17 |
$167 |
— |
$11 |
| Leg artery angiogram |
$770 |
$7,702 |
— |
$149 |
| Leg artery angioplasty |
$1,609 |
$16,089 |
— |
— |
| Leg vein ultrasound (Doppler) |
$335 |
$3,350 |
— |
$150 |
| LH hormone test |
$14 |
$144 |
— |
$19 |
| Lipase test |
$16 |
$163 |
— |
$7 |
| Lipid (cholesterol) panel |
$31 |
$313 |
— |
$13 |
| Liver biopsy |
$227 |
$2,267 |
— |
$288 |
| Liver function panel |
$24 |
$241 |
— |
$8 |
| Lumbar discectomy |
$1,876 |
$18,760 |
— |
$898 |
| Lung function test (PFT) |
$94 |
$942 |
— |
$37 |
| Lung scan (V/Q) |
$390 |
$3,898 |
— |
$291 |
| Magnesium blood test |
$13 |
$125 |
— |
$7 |
| MRA of the brain |
$1,023 |
$10,233 |
— |
$226 |
| MRA of the neck |
$909 |
$9,091 |
— |
$245 |
| MRI of the abdomen |
$1,062 |
$10,619 |
— |
$300 |
| MRI of the ankle |
$1,102 |
$11,018 |
— |
$261 |
| MRI of the brain |
$1,076 |
$10,761 |
— |
$269 |
| MRI of the chest |
$1,353 |
$13,530 |
— |
$371 |
| MRI of the knee |
$1,124 |
$11,243 |
— |
$315 |
| MRI of the lower back (lumbar spine) |
$1,024 |
$10,235 |
— |
$270 |
| MRI of the mid-back (thoracic spine) |
$929 |
$9,289 |
— |
$271 |
| MRI of the neck (cervical spine) |
$929 |
$9,285 |
— |
$274 |
| MRI of the pelvis |
$1,208 |
$12,083 |
— |
$268 |
| MRI of the shoulder |
$923 |
$9,229 |
— |
$313 |
| MRI of the wrist |
$1,024 |
$10,244 |
— |
$330 |
| Nebulizer breathing treatment |
$31 |
$306 |
— |
$9 |
| Nuchal translucency ultrasound |
$197 |
$1,969 |
— |
$116 |
| Nuclear cardiac stress test |
$960 |
$9,604 |
— |
$428 |
| Occupational therapy evaluation |
$50 |
$495 |
— |
$101 |
| Office visit (established patient) |
$71 |
$713 |
— |
$115 |
| Office visit (new patient) |
$115 |
$1,152 |
— |
$177 |
| Orthopedic hardware removal |
$823 |
$8,226 |
— |
$632 |
| Pap smear (cervical screening) |
$24 |
$235 |
— |
$20 |
| Parathyroid hormone (PTH) test |
$75 |
$748 |
— |
$41 |
| Pelvic ultrasound |
$263 |
$2,630 |
— |
$78 |
| PET scan |
$635 |
$6,353 |
— |
— |
| Phosphorus blood test |
$10 |
$96 |
— |
$5 |
| Physical therapy evaluation |
$50 |
$495 |
— |
$98 |
| Platelet count |
$20 |
$201 |
— |
$4 |
| Pneumonia vaccine |
$282 |
$2,822 |
— |
— |
| Pregnancy blood test (hCG) |
$25 |
$247 |
— |
$8 |
| Pregnancy ultrasound |
$236 |
$2,364 |
— |
$126 |
| Procalcitonin test |
$45 |
$454 |
— |
$27 |
| Prolactin test |
$41 |
$411 |
— |
$19 |
| Prostate biopsy |
$308 |
$3,083 |
— |
— |
| Prostate test (PSA) |
$57 |
$567 |
— |
$18 |
| Psychiatric evaluation |
$115 |
$1,152 |
— |
$188 |
| Psychotherapy session |
$53 |
$533 |
— |
$140 |
| Pulmonary rehabilitation |
$39 |
$388 |
— |
$87 |
| Radiofrequency nerve ablation |
$645 |
$6,446 |
— |
$462 |
| Retina scan (OCT) |
$73 |
$725 |
— |
$33 |
| Retinal (fundus) photography |
$78 |
$782 |
— |
$37 |
| Routine eye exam |
$19 |
$190 |
— |
$88 |
| Sacroiliac joint injection |
$304 |
$3,040 |
— |
$176 |
| Scoliosis spine X-ray |
$115 |
$1,152 |
— |
$58 |
| Screening mammogram |
$169 |
$1,687 |
— |
$126 |
| Scrotal ultrasound |
$269 |
$2,694 |
— |
$99 |
| Sedimentation rate (ESR) test |
$9 |
$92 |
— |
$3 |
| Semen analysis |
$44 |
$436 |
— |
$12 |
| Sex hormone binding globulin test |
$35 |
$345 |
— |
$22 |
| Simple wound stitches |
$91 |
$907 |
— |
$127 |
| Skin biopsy |
$218 |
$2,184 |
— |
$121 |
| Skin cancer lesion removal |
$413 |
$4,131 |
— |
$240 |
| Skin tag removal |
$38 |
$378 |
— |
$92 |
| Sleep study (polysomnography) |
$912 |
$9,120 |
— |
$691 |
| Soft tissue ultrasound |
$132 |
$1,323 |
— |
$64 |
| Speech therapy |
$37 |
$372 |
— |
$76 |
| Spinal tap (lumbar puncture) |
$109 |
$1,093 |
— |
$165 |
| Spine fracture repair (kyphoplasty) |
$2,887 |
$28,869 |
— |
$5,803 |
| Strep throat test |
$11 |
$105 |
— |
$17 |
| Stress echocardiogram |
$423 |
$4,232 |
— |
$209 |
| Swallow study |
$89 |
$891 |
— |
$85 |
| T3 thyroid test |
$38 |
$376 |
— |
$14 |
| Tdap (tetanus) vaccine |
$59 |
$589 |
— |
— |
| Testosterone test |
$54 |
$538 |
— |
$26 |
| Thyroid test (TSH) |
$37 |
$369 |
— |
$17 |
| Thyroid ultrasound |
$247 |
$2,474 |
— |
$109 |
| Thyroid uptake scan |
$176 |
$1,762 |
— |
$145 |
| Tilt table test |
$172 |
$1,717 |
— |
$168 |
| Total IgE allergy test |
$65 |
$651 |
— |
$16 |
| Total protein test |
$8 |
$83 |
— |
$4 |
| Tracheostomy |
$882 |
$8,815 |
— |
$273 |
| Transesophageal echocardiogram (TEE) |
$521 |
$5,211 |
— |
$239 |
| Transvaginal ultrasound |
$255 |
$2,547 |
— |
$118 |
| Trigger point injection |
$79 |
$786 |
— |
$56 |
| Triglycerides test |
$20 |
$202 |
— |
$6 |
| Troponin (heart) test |
$20 |
$204 |
— |
$12 |
| Turning a breech baby (version) |
$536 |
$5,362 |
— |
$94 |
| Upper GI series (barium) |
$313 |
$3,126 |
— |
$128 |
| Uric acid (gout) test |
$19 |
$187 |
— |
$5 |
| Urinalysis |
$12 |
$122 |
— |
$3 |
| Urine microalbumin test |
$13 |
$129 |
— |
$5 |
| Urine pregnancy test |
$15 |
$154 |
— |
$9 |
| Vaccine administration |
$18 |
$183 |
— |
$19 |
| Vitamin B12 test |
$22 |
$218 |
— |
$15 |
| Vitamin D test |
$62 |
$615 |
— |
$30 |
| Wart removal |
$51 |
$508 |
— |
$121 |
| Well-child visit |
$17 |
$167 |
— |
— |
| Wound debridement |
$152 |
$1,525 |
— |
$186 |
| X-ray of the abdomen |
$137 |
$1,373 |
— |
$36 |
| X-ray of the ankle |
$140 |
$1,402 |
— |
$37 |
| X-ray of the collarbone |
$127 |
$1,269 |
— |
$33 |
| X-ray of the elbow |
$142 |
$1,415 |
— |
$33 |
| X-ray of the facial bones |
$136 |
$1,364 |
— |
$39 |
| X-ray of the foot |
$123 |
$1,231 |
— |
$34 |
| X-ray of the forearm |
$136 |
$1,362 |
— |
$29 |
| X-ray of the hand |
$126 |
$1,257 |
— |
$38 |
| X-ray of the hip |
$107 |
$1,072 |
— |
$49 |
| X-ray of the knee |
$171 |
$1,705 |
— |
$42 |
| X-ray of the lower back (lumbar spine) |
$212 |
$2,122 |
— |
$47 |
| X-ray of the lower leg |
$144 |
$1,435 |
— |
$31 |
| X-ray of the mid-back (thoracic spine) |
$134 |
$1,340 |
— |
$36 |
| X-ray of the neck (cervical spine) |
$183 |
$1,833 |
— |
$47 |
| X-ray of the pelvis |
$133 |
$1,331 |
— |
$36 |
| X-ray of the ribs |
$100 |
$995 |
— |
$42 |
| X-ray of the shoulder |
$134 |
$1,341 |
— |
$36 |
| X-ray of the skull |
$168 |
$1,681 |
— |
$40 |
| X-ray of the upper arm |
$143 |
$1,434 |
— |
$32 |
| X-ray of the wrist |
$146 |
$1,455 |
— |
$43 |
| YAG laser capsulotomy (eye) |
$404 |
$4,036 |
— |
$335 |
| Zinc blood test |
$25 |
$245 |
— |
$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.