Wayne Hospital — procedure prices

Published prices for 261 procedures at Wayne Hospital (Greenville, OH), from its machine-readable file.

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ProcedureCashChargemasterInsurerMedicare
3D mammogram (tomosynthesis) $71 $95 $48 $51
Abdominal ultrasound $905 $1,206 $318 $100
Achilles tendon repair $16,642 $22,190 $7,419 $624
ACL knee reconstruction $28,260 $37,680 $7,419 $889
Albumin blood test $22 $29 $5
Aldosterone test $161 $215 $41
Alkaline phosphatase test $22 $29 $5
Alpha-fetoprotein (AFP) test $69 $92 $17
ALT liver enzyme test $23 $31 $5
Ammonia blood test $56 $74 $15
Amylase test $26 $34 $6
Ankle fracture repair $21,952 $29,269 $7,419 $608
Antinuclear antibody (ANA) test $49 $65 $12
Arterial blood gas (ABG) $81 $108 $26
AST liver enzyme test $23 $31 $5
Barium swallow study $752 $1,003 $185 $107
Basic metabolic panel $35 $47 $8
Bilirubin blood test $22 $29 $5
Bladder scope (cystoscopy) $5,071 $6,761 $693 $216
Bladder tumor removal (TURBT) $14,684 $19,579 $3,582 $236
Blood clotting test (PT/INR) $14 $19 $4
Blood crossmatch $474 $632 $178
Blood glucose test $21 $28 $4 $5
Blood transfusion $1,300 $1,733 $454 $47
Blood type and screen $170 $226 $55 $10
Blood type test $107 $142 $87 $3
BNP (heart failure) test $151 $201 $39
Bone density scan (DEXA) $421 $561 $110 $39
Bone scan (nuclear) $1,411 $1,881 $417 $259
Botox for migraine $4,442 $5,922 $307 $157
Breast biopsy $6,894 $9,192 $1,683 $478
Breast MRI $2,904 $3,872 $561 $216
Breast reduction $24,495 $32,659 $6,772 $980
Breast ultrasound $749 $999 $101 $92
Bunion surgery (bunionectomy) $16,639 $22,185 $7,419 $883
C-reactive protein (CRP) $23 $30 $5
CA 19-9 tumor marker test $85 $113 $21
CA-125 ovarian marker test $83 $110 $21
Calcium blood test $23 $31 $5
Cardiac rehabilitation $284 $378 $131 $26
Cardiac stress test $329 $439 $323 $39
Cardioversion $3,628 $4,838 $680 $155
Carotid artery ultrasound $782 $1,043 $181 $156
Carpal tunnel release $4,279 $5,705 $2,028 $483
CEA tumor marker test $71 $95 $19
Celiac disease test $47 $63 $12
Cervical LEEP procedure $8,373 $11,164 $3,302 $325
Cesarean section (C-section) $18,560 $24,746 $25,656 $7,552
Chemotherapy infusion $447 $596 $81
Chest fluid drain (thoracentesis) $8,550 $11,400 $642 $311
Chest tube insertion $10,429 $13,905 $1,613 $143
Chest X-ray $344 $458 $493 $37
Circumcision $2,927 $3,903 $2,127 $167
CK-MB heart enzyme test $89 $119 $12
Clotting time test (PTT) $26 $34 $6
Colonoscopy $4,550 $6,067 $1,224 $480
Colposcopy $813 $1,084 $316 $161
Complete blood count (CBC) $66 $88 $7
Comprehensive metabolic panel $84 $112 $11
Copper blood test $87 $116 $12
Cortisol test $67 $89 $16
COVID-19 PCR test $155 $207 $51 $51
CPAP titration study $271 $361 $211 $69
Creatine kinase (CK) test $26 $35 $7
CT angiography of the chest $1,978 $2,637 $452 $281
CT angiography of the head $1,978 $2,637 $452 $274
CT scan of the abdomen $1,706 $2,274 $452 $230
CT scan of the abdomen and pelvis $4,144 $5,525 $452 $300
CT scan of the arm $2,435 $3,246 $452 $199
CT scan of the chest $1,671 $2,228 $452 $167
CT scan of the head $1,978 $2,637 $452 $148
CT scan of the leg $1,813 $2,417 $452 $166
CT scan of the lower back (lumbar spine) $1,553 $2,070 $452 $169
CT scan of the neck $1,706 $2,274 $452 $183
CT scan of the neck (cervical spine) $2,462 $3,282 $452 $168
CT scan of the pelvis $1,978 $2,637 $452 $226
CT scan of the sinuses $1,978 $2,637 $452 $152
D-dimer test $42 $56 $10
DHEA-sulfate test $104 $139 $22
Diagnostic mammogram $336 $448 $128 $140
Drug screen (urine) $48 $64 $17
Ear pressure test (tympanometry) $30 $40 $41 $16
Echocardiogram $1,676 $2,235 $410 $138
Electrocardiogram (EKG) $186 $249 $62 $8
Electroencephalogram (EEG) $750 $1,001 $323 $448
Electrolyte panel $29 $38 $7
Emergency department visit $872 $1,163 $69
Endometrial biopsy $497 $662 $209 $98
Epidural steroid injection $1,669 $2,225 $719 $275
Esophageal dilation $4,449 $5,932 $974 $522
Estradiol (estrogen) test $129 $172 $28
Facet joint injection (spine) $2,989 $3,985 $925 $99
Fallopian tube X-ray (HSG) $864 $1,153 $251 $164
Fecal occult blood (stool) test $49 $65 $4 $10
Femoral hernia repair $21,759 $29,011 $3,665 $584
Ferritin (iron) test $56 $75 $14
Fibrinogen test $41 $54 $10
Flexible sigmoidoscopy $6,641 $8,855 $947 $323
Flu test $65 $87 $17
Folate (folic acid) test $59 $79 $15
Free T4 thyroid test $37 $49 $9
FSH hormone test $87 $116 $19
Gallbladder removal (laparoscopic) $24,374 $32,498 $6,059 $658
Gallbladder scan (HIDA) $1,837 $2,450 $488 $334
Ganglion cyst removal $6,045 $8,060 $1,662 $321
GGT liver test $28 $37 $7
Glucose tolerance test $35 $47 $13 $8
H. pylori test $188 $250 $67
Hammertoe repair $16,003 $21,337 $3,369 $548
HDL cholesterol test $29 $38 $8 $8
Hearing test (audiometry) $406 $541 $162 $36
Hematocrit test $10 $13 $2
Hemoglobin A1c (diabetes test) $41 $54 $10
Hemorrhoid removal $6,905 $9,207 $947 $338
Hepatitis B test $41 $55 $10
Hepatitis B vaccine $261 $348
Hepatitis C test $57 $76 $14
Hip arthroscopy $22,126 $29,502 $7,419 $931
Hip fracture repair $32,142 $42,856 $1,120
Hip replacement $33,686 $44,914 $13,362 $1,162
HIV test $82 $109 $19
Holter heart monitor $617 $822 $98 $26
Hysterectomy $20,276 $27,034 $10,812 $933
Hysteroscopy $9,999 $13,332 $3,302 $1,270
Inguinal hernia repair $16,078 $21,437 $3,665 $538
Iron blood test $26 $35 $6
IUD insertion $203 $270
IV infusion therapy $488 $650 $133 $44
Joint aspiration (small/intermediate) $1,246 $1,661 $307 $57
Kidney biopsy $2,283 $3,045 $1,683 $492
Kidney scan (nuclear) $1,461 $1,948 $559 $172
Kidney stone shock-wave (lithotripsy) $8,730 $11,640 $3,582 $760
Kidney ultrasound $741 $989 $214 $84
Knee arthroscopy $8,550 $11,400 $3,369 $524
Knee joint injection $3,524 $4,699 $307 $69
Knee replacement $61,390 $81,853 $17,997 $18,054
Lactate test $48 $64 $12
LDH test $25 $33 $6
LDL cholesterol test $44 $58 $11
Leg vein ultrasound (Doppler) $994 $1,326 $181 $150
LH hormone test $87 $116 $19
Lipase test $27 $36 $7
Lipid (cholesterol) panel $54 $72 $13 $13
Liver biopsy $3,752 $5,002 $1,683 $288
Liver function panel $34 $45 $8
Lumpectomy (breast) $24,495 $32,659 $3,977 $750
Lung function test (PFT) $354 $472 $243 $37
Lung scan (V/Q) $1,808 $2,410 $559 $291
Magnesium blood test $26 $35 $7
Mastectomy $36,861 $49,147 $6,772 $1,021
Meniscus repair (knee) $23,466 $31,288 $3,369 $714
MMR vaccine $320 $426
MRA of the brain $3,122 $4,162 $888 $226
MRA of the neck $2,940 $3,920 $888 $245
MRI of the abdomen $2,487 $3,316 $888 $300
MRI of the ankle $3,442 $4,590 $888 $261
MRI of the brain $3,023 $4,030 $888 $269
MRI of the chest $3,862 $5,149 $888 $371
MRI of the knee $4,088 $5,451 $888 $315
MRI of the lower back (lumbar spine) $3,023 $4,030 $888 $270
MRI of the mid-back (thoracic spine) $3,023 $4,030 $888 $271
MRI of the neck (cervical spine) $2,606 $3,474 $888 $274
MRI of the pelvis $2,606 $3,474 $888 $268
MRI of the shoulder $4,605 $6,140 $888 $313
MRI of the wrist $3,930 $5,240 $888 $330
Nebulizer breathing treatment $265 $353 $211 $9
Nuclear cardiac stress test $4,547 $6,063 $1,356 $428
Occupational therapy evaluation $249 $332 $101
Office visit (established patient) $259 $346 $115
Office visit (new patient) $315 $420 $177
Orthopedic hardware removal $24,098 $32,130 $2,972 $632
Ovarian cyst removal $16,568 $22,090 $5,126 $698
Ovary removal (oophorectomy) $16,568 $22,090 $822
Pacemaker insertion $19,058 $25,411 $17,104 $15,506
Pap smear (cervical screening) $96 $128 $20
Parathyroid hormone (PTH) test $160 $213 $41
Pelvic ultrasound $884 $1,179 $318 $78
PET scan $4,716 $6,289 $1,515
Phosphorus blood test $20 $27 $5
Physical therapy evaluation $254 $339 $98
Pilonidal cyst removal $8,500 $11,333 $2,972 $541
Platelet count $20 $26 $4
Pregnancy blood test (hCG) $31 $41 $8
Pregnancy ultrasound $905 $1,207 $110 $126
Procalcitonin test $203 $271 $27
Prolactin test $168 $224 $19
Prostate surgery (TURP) $18,670 $24,893 $5,279 $526
Prostate test (PSA) $56 $74 $18
Psychiatric evaluation $377 $502 $424 $188
Pulmonary rehabilitation $272 $362 $62 $87
Radiofrequency nerve ablation $6,978 $9,304 $2,028 $462
Rheumatoid factor test $18 $24 $6
Rotator cuff repair $21,174 $28,232 $7,419 $792
Sacroiliac joint injection $1,703 $2,271 $176
Scoliosis spine X-ray $407 $542 $101 $58
Screening colonoscopy $3,606 $4,808 $947 $378
Screening mammogram $113 $150 $116 $126
Scrotal ultrasound $914 $1,218 $110 $99
Sedimentation rate (ESR) test $11 $15 $3
Semen analysis $45 $61 $12
Sex hormone binding globulin test $77 $103 $22
Shoulder arthroscopy $22,887 $30,515 $7,419 $962
Shoulder replacement $42,424 $56,566 $19,098 $1,300
Sleep study (polysomnography) $3,926 $5,235 $1,057 $691
Soft tissue ultrasound $789 $1,052 $110 $64
Speech therapy $235 $313 $72 $76
Spinal cord stimulator $20,384 $27,179 $6,815 $2,388
Spine fracture repair (kyphoplasty) $14,153 $18,870 $7,419 $5,803
Stress echocardiogram $563 $751 $569 $209
Swallow study $249 $332 $67 $85
T3 thyroid test $58 $77 $14
Tdap (tetanus) vaccine $166 $222
Testosterone test $80 $107 $26
Thyroid test (TSH) $67 $89 $17
Thyroid ultrasound $914 $1,218 $110 $109
Thyroid uptake scan $1,715 $2,286 $417 $145
Total IgE allergy test $68 $91 $16
Total protein test $17 $22 $4
Transesophageal echocardiogram (TEE) $2,372 $3,163 $569 $239
Transvaginal ultrasound $896 $1,194 $110 $118
Trigger finger release $4,175 $5,567 $1,662 $630
Trigger point injection $928 $1,238 $307 $56
Triglycerides test $25 $33 $6 $6
Troponin (heart) test $52 $69 $12
Ulnar nerve surgery (elbow) $5,972 $7,962 $2,028 $575
Upper GI endoscopy (EGD) $12,674 $16,898 $974 $371
Upper GI series (barium) $781 $1,041 $185 $128
Ureteral stent placement $12,894 $17,192 $3,582 $373
Ureteroscopy (stone removal) $16,102 $21,469 $5,279 $365
Uric acid (gout) test $20 $26 $5
Urinalysis $11 $15 $3
Urine microalbumin test $24 $32 $5
Urine pregnancy test $27 $36 $9
Vaccine administration $208 $277 $74 $19
Vaginal delivery $10,088 $13,450 $17,104 $5,487
Varicose vein ablation $8,679 $11,572 $3,269 $1,018
Vasectomy $6,762 $9,016 $2,127 $347
Vitamin B12 test $61 $81 $15
Vitamin D test $119 $159 $30
Wrist fracture repair $15,169 $20,226 $7,419 $735
X-ray of the abdomen $473 $631 $110 $36
X-ray of the ankle $395 $527 $91 $37
X-ray of the collarbone $392 $522 $91 $33
X-ray of the elbow $341 $454 $91 $33
X-ray of the facial bones $435 $580 $101 $39
X-ray of the foot $341 $454 $91 $34
X-ray of the forearm $337 $450 $91 $29
X-ray of the hand $341 $454 $91 $38
X-ray of the hip $385 $513 $91 $49
X-ray of the knee $392 $522 $91 $42
X-ray of the lower back (lumbar spine) $498 $665 $110 $47
X-ray of the lower leg $332 $442 $91 $31
X-ray of the mid-back (thoracic spine) $401 $534 $110 $36
X-ray of the neck (cervical spine) $466 $622 $101 $47
X-ray of the pelvis $449 $598 $110 $36
X-ray of the ribs $458 $610 $110 $42
X-ray of the shoulder $332 $442 $91 $36
X-ray of the skull $504 $672 $110 $40
X-ray of the upper arm $321 $428 $91 $32
X-ray of the wrist $332 $442 $91 $43
Zinc blood test $47 $62 $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.