| Procedure | Cash | Chargemaster | Insurer | Medicare |
| 3D mammogram (tomosynthesis) |
$125 |
$208 |
$208 |
$51 |
| Abdominal ultrasound |
$366 |
$611 |
$611 |
$100 |
| Aldosterone test |
$40 |
$67 |
$67 |
$41 |
| Alpha-fetoprotein (AFP) test |
$24 |
$40 |
$40 |
$17 |
| Ammonia blood test |
$32 |
$54 |
$54 |
$15 |
| Amylase test |
$10 |
$16 |
$16 |
$6 |
| Antinuclear antibody (ANA) test |
$24 |
$40 |
$40 |
$12 |
| Arterial blood gas (ABG) |
$50 |
$83 |
$83 |
$26 |
| Barium swallow study |
$411 |
$685 |
$685 |
$107 |
| Basic metabolic panel |
$17 |
$29 |
$29 |
$8 |
| Bilirubin blood test |
$10 |
$16 |
$16 |
$5 |
| Blood clotting test (PT/INR) |
$13 |
$21 |
$21 |
$4 |
| Blood glucose test |
$6 |
$10 |
$10 |
$5 |
| Blood transfusion |
$322 |
$537 |
$1,147 |
$47 |
| Blood type and screen |
$19 |
$32 |
$32 |
$10 |
| BNP (heart failure) test |
$49 |
$81 |
$81 |
$39 |
| Bone density scan (DEXA) |
$161 |
$268 |
$268 |
$39 |
| Bone marrow biopsy |
$498 |
$831 |
$831 |
$172 |
| Bone scan (nuclear) |
$223 |
$372 |
$372 |
$259 |
| Breast biopsy |
$608 |
$1,013 |
$1,013 |
$478 |
| Breast MRI |
$566 |
$943 |
$943 |
$216 |
| Breast ultrasound |
$313 |
$522 |
$522 |
$92 |
| C-reactive protein (CRP) |
$24 |
$40 |
$40 |
$5 |
| CA 19-9 tumor marker test |
$53 |
$89 |
$89 |
$21 |
| CA-125 ovarian marker test |
$53 |
$89 |
$89 |
$21 |
| Cardiac MRI |
$413 |
$688 |
$688 |
$322 |
| Cardiac rehabilitation |
$146 |
$244 |
$244 |
$26 |
| Cardiac stress test |
$100 |
$167 |
$332 |
$39 |
| Carotid artery ultrasound |
$670 |
$1,117 |
$1,117 |
$156 |
| CEA tumor marker test |
$40 |
$67 |
$67 |
$19 |
| Cervical cerclage |
$1,445 |
$2,408 |
$2,408 |
$137 |
| Chemotherapy infusion |
$322 |
$537 |
$879 |
$81 |
| Chest X-ray |
$89 |
$149 |
$149 |
$37 |
| Chickenpox (varicella) vaccine |
$162 |
$270 |
$270 |
— |
| Circumcision |
$433 |
$722 |
$722 |
$167 |
| CK-MB heart enzyme test |
$24 |
$40 |
$40 |
$12 |
| Clotting time test (PTT) |
$13 |
$21 |
$21 |
$6 |
| Complete blood count (CBC) |
$14 |
$24 |
$24 |
$7 |
| Comprehensive metabolic panel |
$24 |
$40 |
$40 |
$11 |
| Copper blood test |
$40 |
$67 |
$67 |
$12 |
| Coronary CT angiography |
$254 |
$423 |
$423 |
$326 |
| Cortisol test |
$24 |
$40 |
$40 |
$16 |
| COVID-19 PCR test |
$194 |
$324 |
$324 |
$51 |
| CPAP titration study |
$191 |
$318 |
$318 |
$69 |
| Creatine kinase (CK) test |
$10 |
$16 |
$16 |
$7 |
| D-dimer test |
$24 |
$40 |
$40 |
$10 |
| Developmental screening (child) |
$34 |
$57 |
$57 |
— |
| DHEA-sulfate test |
$24 |
$40 |
$40 |
$22 |
| Drug screen (urine) |
$60 |
$100 |
$100 |
$17 |
| Echocardiogram |
$299 |
$498 |
$498 |
$138 |
| Electrocardiogram (EKG) |
$79 |
$132 |
$132 |
$8 |
| Electroencephalogram (EEG) |
$461 |
$769 |
$835 |
$448 |
| Electrolyte panel |
$13 |
$21 |
$21 |
$7 |
| Emergency department visit |
$293 |
$489 |
$489 |
$69 |
| Estradiol (estrogen) test |
$24 |
$40 |
$40 |
$28 |
| Family therapy session |
$117 |
$195 |
$195 |
$110 |
| Fecal occult blood (stool) test |
$8 |
$13 |
$13 |
$10 |
| Ferritin (iron) test |
$24 |
$40 |
$40 |
$14 |
| Fibrinogen test |
$14 |
$24 |
$24 |
$10 |
| Flu test |
$40 |
$67 |
$67 |
$17 |
| Folate (folic acid) test |
$24 |
$40 |
$40 |
$15 |
| Free T4 thyroid test |
$24 |
$40 |
$40 |
$9 |
| FSH hormone test |
$24 |
$40 |
$40 |
$19 |
| Gallbladder scan (HIDA) |
$374 |
$623 |
$623 |
$334 |
| Glucose tolerance test |
$15 |
$25 |
$25 |
$8 |
| Group therapy session |
$58 |
$97 |
$97 |
$30 |
| H. pylori test |
$32 |
$54 |
$54 |
$67 |
| HDL cholesterol test |
$24 |
$40 |
$40 |
$8 |
| Hematocrit test |
$6 |
$10 |
$10 |
$2 |
| Hemodialysis |
$871 |
$1,452 |
$1,452 |
$75 |
| Hemoglobin A1c (diabetes test) |
$32 |
$54 |
$54 |
$10 |
| Hepatitis B test |
$40 |
$67 |
$67 |
$10 |
| Hepatitis C test |
$40 |
$67 |
$67 |
$14 |
| HIV test |
$40 |
$67 |
$67 |
$19 |
| Holter heart monitor |
$199 |
$332 |
$332 |
$26 |
| HPV vaccine |
$297 |
$495 |
$495 |
— |
| Iron blood test |
$10 |
$16 |
$16 |
$6 |
| IV infusion therapy |
$322 |
$537 |
$879 |
$44 |
| Kidney ultrasound |
$268 |
$447 |
$447 |
$84 |
| Lactate test |
$32 |
$54 |
$54 |
$12 |
| LDH test |
$6 |
$10 |
$10 |
$6 |
| LDL cholesterol test |
$24 |
$40 |
$40 |
$11 |
| Leg vein ultrasound (Doppler) |
$509 |
$849 |
$834 |
$150 |
| LH hormone test |
$40 |
$67 |
$67 |
$19 |
| Lipase test |
$13 |
$21 |
$21 |
$7 |
| Lipid (cholesterol) panel |
$31 |
$51 |
$51 |
$13 |
| Liver function panel |
$17 |
$29 |
$29 |
$8 |
| Lung function test (PFT) |
$102 |
$170 |
$170 |
$37 |
| Lung scan (V/Q) |
$301 |
$501 |
$501 |
$291 |
| Magnesium blood test |
$10 |
$16 |
$16 |
$7 |
| MRA of the brain |
$548 |
$913 |
$913 |
$226 |
| MRA of the neck |
$569 |
$948 |
$948 |
$245 |
| MRI of the abdomen |
$607 |
$1,012 |
$1,012 |
$300 |
| MRI of the ankle |
$572 |
$953 |
$953 |
$261 |
| MRI of the brain |
$383 |
$638 |
$638 |
$269 |
| MRI of the chest |
$669 |
$1,115 |
$1,115 |
$371 |
| MRI of the knee |
$495 |
$825 |
$825 |
$315 |
| MRI of the lower back (lumbar spine) |
$383 |
$638 |
$638 |
$270 |
| MRI of the mid-back (thoracic spine) |
$389 |
$648 |
$648 |
$271 |
| MRI of the neck (cervical spine) |
$389 |
$648 |
$648 |
$274 |
| MRI of the pelvis |
$536 |
$894 |
$894 |
$268 |
| MRI of the shoulder |
$489 |
$815 |
$815 |
$313 |
| MRI of the wrist |
$572 |
$953 |
$953 |
$330 |
| Nebulizer breathing treatment |
$765 |
$1,275 |
$691 |
$9 |
| Nuclear cardiac stress test |
$422 |
$703 |
$703 |
$428 |
| Occupational therapy evaluation |
$110 |
$184 |
$184 |
$101 |
| Office visit (established patient) |
$132 |
$220 |
$195 |
$115 |
| Office visit (new patient) |
$146 |
$244 |
$244 |
$177 |
| Pap smear (cervical screening) |
$65 |
$108 |
$108 |
$20 |
| Parathyroid hormone (PTH) test |
$24 |
$40 |
$40 |
$41 |
| Pelvic ultrasound |
$250 |
$417 |
$417 |
$78 |
| PET scan |
$1,706 |
$2,843 |
$2,843 |
— |
| Physical therapy evaluation |
$182 |
$304 |
$304 |
$98 |
| Platelet count |
$6 |
$10 |
$10 |
$4 |
| Pregnancy blood test (hCG) |
$16 |
$27 |
$27 |
$8 |
| Pregnancy ultrasound |
$420 |
$700 |
$700 |
$126 |
| Procalcitonin test |
$244 |
$406 |
$406 |
$27 |
| Prolactin test |
$32 |
$54 |
$54 |
$19 |
| Prostate test (PSA) |
$32 |
$54 |
$54 |
$18 |
| Psychiatric evaluation |
$352 |
$586 |
$586 |
$188 |
| Psychotherapy session |
$220 |
$366 |
$293 |
$140 |
| Pulmonary rehabilitation |
$56 |
$93 |
$93 |
$87 |
| Rheumatoid factor test |
$13 |
$21 |
$21 |
$6 |
| Scoliosis spine X-ray |
$179 |
$298 |
$298 |
$58 |
| Scrotal ultrasound |
$179 |
$298 |
$298 |
$99 |
| Sedimentation rate (ESR) test |
$9 |
$15 |
$15 |
$3 |
| Semen analysis |
$30 |
$50 |
$50 |
$12 |
| Sex hormone binding globulin test |
$40 |
$67 |
$67 |
$22 |
| Sleep study (polysomnography) |
$715 |
$1,191 |
$1,191 |
$691 |
| Soft tissue ultrasound |
$53 |
$89 |
$89 |
$64 |
| Speech therapy |
$104 |
$173 |
$173 |
$76 |
| Spinal tap (lumbar puncture) |
$176 |
$293 |
$147 |
$165 |
| Stress echocardiogram |
$398 |
$664 |
$664 |
$209 |
| Swallow study |
$138 |
$230 |
$230 |
$85 |
| T3 thyroid test |
$24 |
$40 |
$40 |
$14 |
| Testosterone test |
$24 |
$40 |
$40 |
$26 |
| Thyroid test (TSH) |
$24 |
$40 |
$40 |
$17 |
| Thyroid ultrasound |
$447 |
$745 |
$745 |
$109 |
| Thyroid uptake scan |
$231 |
$385 |
$385 |
$145 |
| Total IgE allergy test |
$24 |
$40 |
$40 |
$16 |
| Transesophageal echocardiogram (TEE) |
$398 |
$664 |
$664 |
$239 |
| Transvaginal ultrasound |
$447 |
$745 |
$745 |
$118 |
| Troponin (heart) test |
$40 |
$67 |
$67 |
$12 |
| Turning a breech baby (version) |
$1,445 |
$2,408 |
$2,408 |
$94 |
| Upper GI series (barium) |
$429 |
$715 |
$715 |
$128 |
| Urinalysis |
$10 |
$17 |
$10 |
$3 |
| Urine microalbumin test |
$20 |
$34 |
$27 |
$5 |
| Urine pregnancy test |
$16 |
$27 |
$27 |
$9 |
| Vitamin B12 test |
$24 |
$40 |
$40 |
$15 |
| Vitamin D test |
$24 |
$40 |
$40 |
$30 |
| X-ray of the abdomen |
$125 |
$208 |
$208 |
$36 |
| X-ray of the ankle |
$29 |
$49 |
$178 |
$37 |
| X-ray of the elbow |
$29 |
$49 |
$178 |
$33 |
| X-ray of the facial bones |
$69 |
$116 |
$149 |
$39 |
| X-ray of the foot |
$29 |
$49 |
$178 |
$34 |
| X-ray of the hand |
$29 |
$49 |
$178 |
$38 |
| X-ray of the hip |
$143 |
$238 |
$238 |
$49 |
| X-ray of the knee |
$29 |
$49 |
$178 |
$42 |
| X-ray of the lower back (lumbar spine) |
$44 |
$74 |
$208 |
$47 |
| X-ray of the mid-back (thoracic spine) |
$34 |
$57 |
$178 |
$36 |
| X-ray of the neck (cervical spine) |
$34 |
$57 |
$178 |
$47 |
| X-ray of the pelvis |
$34 |
$57 |
$178 |
$36 |
| X-ray of the ribs |
$49 |
$82 |
$130 |
$42 |
| X-ray of the shoulder |
$29 |
$49 |
$149 |
$36 |
| X-ray of the skull |
$39 |
$66 |
$208 |
$40 |
| X-ray of the upper arm |
$29 |
$49 |
$178 |
$32 |
| X-ray of the wrist |
$29 |
$49 |
$208 |
$43 |
| Zinc blood test |
$40 |
$67 |
$67 |
$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.