| Procedure | Carilion Medical Center | Lewisgale Hospital Montgomery | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $30 | $84 | $51 |
| Abdominal ultrasound | $470 | $2,761 | $100 |
| Abdominal ultrasound (complete) | $527 | $2,911 | $114 |
| Abdominal ultrasound (limited) | $412 | $2,611 | $86 |
| Albumin blood test | $39 | $129 | $5 |
| Aldosterone test | $167 | $774 | $41 |
| Alkaline phosphatase test | $37 | $294 | $5 |
| Alpha-fetoprotein (AFP) test | $103 | $375 | $17 |
| ALT liver enzyme test | $50 | $246 | $5 |
| Ammonia blood test | $84 | $294 | $15 |
| Amylase test | $56 | $480 | $6 |
| Antinuclear antibody (ANA) test | $64 | $415 | $12 |
| Arterial blood gas (ABG) | $145 | $511 | $26 |
| AST liver enzyme test | $50 | $246 | $5 |
| Barium swallow study | $301 | $2,146 | $107 |
| Basic metabolic panel | $127 | $423 | $8 |
| Bilirubin blood test | $89 | $210 | $5 |
| Blood clotting test (PT/INR) | $26 | $190 | $4 |
| Blood crossmatch | $213 | $647 | — |
| Blood glucose test | $36 | $49 | $5 |
| Blood transfusion | $565 | $4,045 | $47 |
| Blood type and screen | $125 | $378 | $10 |
| Blood type test | $111 | $214 | $3 |
| Blood type test (ABO group) | $160 | $204 | $3 |
| Blood type test (Rh/D antigen) | $62 | $224 | $3 |
| BNP (heart failure) test | $161 | $447 | $39 |
| Bone density scan (DEXA) | $351 | $2,163 | $39 |
| Bone scan (nuclear) | $975 | $6,091 | $259 |
| Breast ultrasound | $250 | $997 | $92 |
| Breast ultrasound (limited) | $250 | $821 | $84 |
| C-reactive protein (CRP) | $54 | $280 | $5 |
| CA 19-9 tumor marker test | $82 | $408 | $21 |
| CA-125 ovarian marker test | $123 | $783 | $21 |
| Calcium blood test | $21 | $243 | $5 |
| Cardiac rehabilitation | $156 | $221 | $26 |
| Cardiac stress test | $476 | $3,677 | $39 |
| Cardioversion | $812 | $1,558 | $155 |
| Carotid artery ultrasound | $365 | $6,873 | $156 |
| CEA tumor marker test | $81 | $429 | $19 |
| Chemotherapy infusion | $397 | $2,336 | $81 |
| Chemotherapy infusion (each additional) | $140 | $274 | $28 |
| Chemotherapy infusion (first hour) | $653 | $4,397 | $133 |
| Chest X-ray | $145 | $1,484 | $37 |
| Chest X-ray (1 view) | $127 | $772 | $25 |
| Chest X-ray (2 views) | $145 | $1,187 | $33 |
| CK-MB heart enzyme test | $48 | $259 | $12 |
| Clotting time test (PTT) | $42 | $294 | $6 |
| Complete blood count (CBC) | $51 | $280 | $7 |
| Comprehensive metabolic panel | $170 | $860 | $11 |
| Copper blood test | $75 | $301 | $12 |
| Cortisol test | $87 | $324 | $16 |
| COVID-19 PCR test | $61 | $83 | $51 |
| CPAP titration study | $252 | $777 | $69 |
| Creatine kinase (CK) test | $36 | $391 | $7 |
| CT angiography of the chest | $1,095 | $5,486 | $281 |
| CT angiography of the head | $1,121 | $5,360 | $274 |
| CT scan of the abdomen | $1,150 | $4,394 | $230 |
| CT scan of the abdomen and pelvis | $1,542 | $7,056 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $2,154 | $7,729 | $338 |
| CT scan of the abdomen and pelvis with contrast | $1,542 | $7,056 | $300 |
| CT scan of the abdomen and pelvis without contrast | $1,191 | $5,977 | $183 |
| CT scan of the abdomen with and without contrast | $1,233 | $5,387 | $259 |
| CT scan of the abdomen with contrast | $1,150 | $4,394 | $230 |
| CT scan of the abdomen without contrast | $661 | $3,675 | $136 |
| CT scan of the arm | $1,055 | $2,603 | $199 |
| CT scan of the arm with contrast | $1,301 | $2,603 | $199 |
| CT scan of the arm without contrast | $874 | $2,374 | $161 |
| CT scan of the chest | $1,029 | $4,606 | $167 |
| CT scan of the chest with and without contrast | $1,373 | $5,416 | $196 |
| CT scan of the chest with contrast | $1,029 | $4,606 | $167 |
| CT scan of the chest without contrast | $869 | $4,506 | $133 |
| CT scan of the head | $1,029 | $4,362 | $148 |
| CT scan of the head with and without contrast | $1,261 | $5,466 | $173 |
| CT scan of the head with contrast | $1,029 | $4,362 | $148 |
| CT scan of the head without contrast | $799 | $3,316 | $107 |
| CT scan of the leg | $1,010 | $3,059 | $166 |
| CT scan of the leg with contrast | $1,010 | $3,059 | $166 |
| CT scan of the leg without contrast | $761 | $2,732 | $130 |
| CT scan of the lower back (lumbar spine) | $1,093 | $3,942 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,093 | $4,271 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,205 | $3,476 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,027 | $3,942 | $130 |
| CT scan of the neck | $1,016 | $4,362 | $183 |
| CT scan of the neck (cervical spine) | $1,555 | $4,190 | $168 |
| CT scan of the neck (cervical spine) with contrast | $2,106 | $4,085 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,004 | $4,190 | $131 |
| CT scan of the neck with and without contrast | $1,406 | $5,466 | $220 |
| CT scan of the neck with contrast | $1,016 | $4,362 | $183 |
| CT scan of the neck without contrast | $469 | $4,240 | $150 |
| CT scan of the pelvis | $921 | $4,918 | $226 |
| CT scan of the pelvis with and without contrast | $921 | $4,918 | $251 |
| CT scan of the pelvis with contrast | $1,486 | $5,014 | $226 |
| CT scan of the pelvis without contrast | $700 | $4,291 | $133 |
| CT scan of the sinuses | $776 | $4,269 | $152 |
| CT scan of the sinuses with and without contrast | $960 | $4,915 | $184 |
| CT scan of the sinuses with contrast | $662 | $4,269 | $152 |
| CT scan of the sinuses without contrast | $776 | $2,289 | $128 |
| D-dimer test | $78 | $294 | $10 |
| DHEA-sulfate test | $120 | $582 | $22 |
| Diagnostic mammogram | $229 | $1,025 | $140 |
| Drug screen (urine) | $138 | $887 | $17 |
| Echocardiogram | $869 | $2,701 | $138 |
| Echocardiogram with and without contrast | $397 | $1,119 | $101 |
| Echocardiogram without contrast | $869 | $2,701 | $138 |
| EEG (awake and asleep) | $452 | $3,791 | $482 |
| EKG / ECG (tracing only) | $104 | $843 | $7 |
| Electrocardiogram (EKG) | $104 | $843 | $8 |
| Electroencephalogram (EEG) | $439 | $3,791 | $448 |
| Electrolyte panel | $96 | $259 | $7 |
| Emergency department visit | $462 | $2,297 | $69 |
| Emergency department visit (level 1) | $175 | $928 | $11 |
| Emergency department visit (level 2) | $280 | $1,387 | $40 |
| Emergency department visit (level 3) | $462 | $2,297 | $69 |
| Emergency department visit (level 4) | $762 | $3,135 | $118 |
| Emergency department visit (level 5) | $1,160 | $5,204 | $171 |
| Estradiol (estrogen) test | $122 | $1,109 | $28 |
| Fecal occult blood (stool) test | $51 | $168 | $10 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $51 | $286 | $16 |
| Ferritin (iron) test | $64 | $280 | $14 |
| Fibrinogen test | $78 | $646 | $10 |
| Flu test | $84 | $270 | $17 |
| Folate (folic acid) test | $76 | $294 | $15 |
| Free T4 thyroid test | $56 | $256 | $9 |
| FSH hormone test | $106 | $480 | $19 |
| Gallbladder scan (HIDA) | $1,242 | $4,840 | $334 |
| GGT liver test | $40 | $294 | $7 |
| H. pylori test | $184 | $917 | $67 |
| HDL cholesterol test | $43 | $224 | $8 |
| Hematocrit test | $25 | $133 | $2 |
| Hemoglobin A1c (diabetes test) | $49 | $300 | $10 |
| Hepatitis B test | $63 | $261 | $10 |
| Hepatitis C test | $78 | $343 | $14 |
| HIV test | $96 | $198 | $19 |
| HIV test (antigen/antibody combo) | $96 | $76 | $24 |
| Holter heart monitor | $217 | $1,150 | $26 |
| IV infusion therapy | $171 | $931 | $44 |
| IV infusion therapy (each additional) | $81 | $219 | $21 |
| IV infusion therapy (initial) | $261 | $931 | $67 |
| Kidney ultrasound | $311 | $2,358 | $84 |
| Kidney ultrasound (limited) | $228 | $2,215 | $61 |
| Lactate test | $83 | $224 | $12 |
| LDH test | $31 | $202 | $6 |
| Leg vein ultrasound (Doppler) | $525 | $2,643 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $385 | $1,949 | $116 |
| LH hormone test | $106 | $480 | $19 |
| Lipase test | $52 | $193 | $7 |
| Lipid (cholesterol) panel | $64 | $529 | $13 |
| Liver function panel | $83 | $696 | $8 |
| Lung function test (PFT) | $303 | $2,540 | $37 |
| Lung scan (V/Q) | $991 | $3,749 | $291 |
| Magnesium blood test | $62 | $220 | $7 |
| MRA of the brain | $1,156 | $7,241 | $226 |
| MRA of the brain without contrast | $1,370 | $7,673 | $328 |
| MRA of the neck | $983 | $7,673 | $245 |
| MRA of the neck with contrast | $983 | $7,673 | $245 |
| MRA of the neck without contrast | $1,828 | $7,673 | $343 |
| MRI of the abdomen | $1,266 | $6,808 | $300 |
| MRI of the abdomen with contrast | $1,266 | $6,808 | $300 |
| MRI of the abdomen without contrast | $1,138 | $6,808 | $194 |
| MRI of the ankle | $1,874 | $7,699 | $261 |
| MRI of the ankle with contrast | $1,874 | $7,214 | $261 |
| MRI of the ankle without contrast | $1,611 | $7,699 | $222 |
| MRI of the brain | $1,372 | $7,214 | $269 |
| MRI of the brain with contrast | $1,372 | $7,214 | $269 |
| MRI of the brain without contrast | $1,192 | $6,808 | $195 |
| MRI of the chest | $1,722 | $7,214 | $371 |
| MRI of the chest without contrast | $1,988 | $7,673 | $466 |
| MRI of the knee | $1,888 | $7,551 | $315 |
| MRI of the knee without contrast | $1,353 | $7,551 | $204 |
| MRI of the lower back (lumbar spine) | $1,252 | $7,498 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $1,162 | $7,498 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,252 | $6,808 | $192 |
| MRI of the mid-back (thoracic spine) | $1,616 | $7,214 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $2,004 | $7,673 | $319 |
| MRI of the mid-back (thoracic spine) without contrast | $1,229 | $6,808 | $190 |
| MRI of the neck (cervical spine) | $1,982 | $7,214 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $2,430 | $7,673 | $318 |
| MRI of the neck (cervical spine) with contrast | $1,982 | $7,214 | $274 |
| MRI of the neck (cervical spine) without contrast | $1,445 | $6,808 | $191 |
| MRI of the pelvis | $1,923 | $7,214 | $268 |
| MRI of the pelvis with contrast | $1,923 | $7,214 | $268 |
| MRI of the pelvis without contrast | $1,744 | $6,808 | $227 |
| MRI of the shoulder | $1,813 | $7,214 | $313 |
| MRI of the shoulder without contrast | $1,311 | $6,808 | $205 |
| MRI of the wrist | $1,885 | $7,711 | $330 |
| MRI of the wrist without contrast | $1,744 | $7,321 | $303 |
| Nebulizer breathing treatment | $252 | $406 | $9 |
| Nuclear cardiac stress test | $2,355 | $11,893 | $428 |
| Occupational therapy evaluation | $126 | $644 | $101 |
| Occupational therapy evaluation (high complexity) | $193 | $745 | $101 |
| Occupational therapy evaluation (low complexity) | $117 | $494 | $101 |
| Occupational therapy evaluation (moderate complexity) | $126 | $644 | $101 |
| Office visit (established patient) | $92 | $603 | $115 |
| Office visit (new patient) | $158 | $600 | $177 |
| Office visit, established patient (level 3) | $79 | $603 | $95 |
| Office visit, new patient (level 3) | $123 | $509 | $118 |
| Office visit, new patient (level 4) | $158 | $691 | $177 |
| Pap smear (cervical screening) | $82 | $255 | $20 |
| Parathyroid hormone (PTH) test | $179 | $652 | $41 |
| Pelvic ultrasound | $363 | $1,801 | $78 |
| Pelvic ultrasound (complete) | $427 | $2,728 | $105 |
| Pelvic ultrasound (limited) | $298 | $873 | $51 |
| Phosphorus blood test | $36 | $294 | $5 |
| Physical therapy evaluation | $151 | $644 | $98 |
| Physical therapy evaluation (high complexity) | $166 | $745 | $98 |
| Physical therapy evaluation (moderate complexity) | $151 | $644 | $98 |
| Platelet count | $36 | $110 | $4 |
| Pregnancy blood test (hCG) | $86 | $206 | $8 |
| Pregnancy ultrasound | $358 | $1,410 | $126 |
| Pregnancy ultrasound (first trimester) | $311 | $996 | $117 |
| Pregnancy ultrasound (second or third trimester) | $404 | $1,824 | $136 |
| Procalcitonin test | $137 | $849 | $27 |
| Prolactin test | $107 | $510 | $19 |
| Prostate test (PSA) | $72 | $423 | $18 |
| Scoliosis spine X-ray | $148 | $1,518 | $58 |
| Scoliosis spine X-ray (1 view) | $110 | $1,601 | $44 |
| Scoliosis spine X-ray (3 views) | $187 | $1,435 | $72 |
| Screening mammogram | $222 | $755 | $126 |
| Scrotal ultrasound | $537 | $2,340 | $99 |
| Sedimentation rate (ESR) test | $29 | $199 | $3 |
| Sex hormone binding globulin test | $82 | $400 | $22 |
| Soft tissue ultrasound | $291 | $307 | $64 |
| Speech therapy | $79 | $530 | $76 |
| Spirometry (lung function test) | $221 | $1,729 | $30 |
| Spirometry with bronchodilator | $386 | $3,351 | $43 |
| Strep throat test | $63 | $280 | $17 |
| Stress echocardiogram | $1,629 | $6,586 | $209 |
| Stress echocardiogram (complete) | $1,716 | $3,780 | $233 |
| Swallow study | $145 | $499 | $85 |
| T3 thyroid test | $77 | $291 | $14 |
| Tdap (tetanus) vaccine | $40 | $409 | — |
| Thyroid test (TSH) | $98 | $350 | $17 |
| Thyroid ultrasound | $517 | $2,340 | $109 |
| Total IgE allergy test | $79 | $324 | $16 |
| Total protein test | $27 | $222 | $4 |
| Transesophageal echocardiogram (TEE) | $1,715 | $4,631 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $1,715 | $4,631 | $239 |
| Transvaginal ultrasound | $387 | $2,854 | $118 |
| Triglycerides test | $30 | $381 | $6 |
| Troponin (heart) test | $58 | $324 | $12 |
| Upper GI series (barium) | $490 | $2,475 | $128 |
| Uric acid (gout) test | $60 | $294 | $5 |
| Urinalysis | $33 | $119 | $3 |
| Urine microalbumin test | $33 | $193 | $5 |
| Urine pregnancy test | $57 | $215 | $9 |
| Vaccine administration | $54 | $140 | $19 |
| Vaccine administration (each additional) | $20 | $31 | $16 |
| Vitamin B12 test | $73 | $397 | $15 |
| Vitamin D test | $111 | $513 | $30 |
| X-ray of the abdomen | $202 | $1,863 | $36 |
| X-ray of the ankle | $207 | $1,493 | $37 |
| X-ray of the collarbone | $194 | $1,187 | $33 |
| X-ray of the elbow | $213 | $1,493 | $33 |
| X-ray of the facial bones | $148 | $1,953 | $39 |
| X-ray of the foot | $195 | $1,493 | $34 |
| X-ray of the forearm | $205 | $1,493 | $29 |
| X-ray of the hand | $184 | $1,493 | $38 |
| X-ray of the hip | $142 | $1,648 | $49 |
| X-ray of the hip (1 view) | $110 | $1,081 | $34 |
| X-ray of the hip (3 views) | $142 | $1,648 | $49 |
| X-ray of the hip (4 views) | $299 | $2,061 | $63 |
| X-ray of the knee | $216 | $1,629 | $42 |
| X-ray of the knee (2 views) | $151 | $1,090 | $34 |
| X-ray of the knee (3 views) | $216 | $1,151 | $42 |
| X-ray of the knee (4+ views) | $237 | $1,725 | $49 |
| X-ray of the lower back (lumbar spine) | $283 | $1,986 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $221 | $1,877 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $345 | $2,095 | $53 |
| X-ray of the lower leg | $186 | $1,493 | $31 |
| X-ray of the mid-back (thoracic spine) | $238 | $1,568 | $36 |
| X-ray of the mid-back (thoracic spine) (3 views) | $280 | $1,568 | $39 |
| X-ray of the neck (cervical spine) | $245 | $1,946 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $199 | $1,568 | $40 |
| X-ray of the pelvis | $209 | $1,483 | $36 |
| X-ray of the pelvis (1 view) | $187 | $1,483 | $28 |
| X-ray of the ribs | $203 | $2,473 | $42 |
| X-ray of the ribs (2 views) | $161 | $1,894 | $36 |
| X-ray of the ribs (3 views) | $203 | $2,300 | $42 |
| X-ray of the shoulder | $188 | $1,703 | $36 |
| X-ray of the skull | $219 | $1,759 | $40 |
| X-ray of the upper arm | $188 | $1,180 | $32 |
| X-ray of the wrist | $196 | $1,493 | $43 |
| Zinc blood test | $51 | $300 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
