| Procedure | Fairview Hospital | Uh St John Medical Center | Medicare |
|---|
| Abdominal fluid drain (paracentesis) | $2,803 | $1,429 | $284 |
| Abdominal ultrasound | $477 | $723 | $100 |
| Abdominal ultrasound (limited) | $477 | $723 | $86 |
| Abscess drainage (complex or multiple) | $779 | $383 | $220 |
| Abscess drainage (simple) | $387 | $477 | $129 |
| Abscess incision and drainage | $583 | $430 | $174 |
| Acupuncture | $21 | $39 | $38 |
| Acupuncture (each additional) | $21 | $35 | $28 |
| Allergy shots | $109 | $42 | $11 |
| Allergy testing | $110 | $94 | $4 |
| Ammonia blood test | $66 | $146 | $15 |
| Annual physical (established patient) | $176 | $136 | — |
| Annual physical (new patient) | $142 | $134 | — |
| Anoscopy | $385 | $175 | $129 |
| Aortic valve replacement | $9,826 | $24,217 | $1,603 |
| Bartholin cyst removal | $601 | $962 | $182 |
| Benign skin lesion removal | $1,372 | $1,462 | $171 |
| Bilirubin blood test | $23 | $43 | $5 |
| Bladder function test (urodynamics) | $1,996 | $962 | $345 |
| Bladder tumor removal (TURBT) | $10,312 | $3,148 | $236 |
| Blood clotting test (PT/INR) | $20 | $69 | $4 |
| Blood crossmatch | $768 | $126 | — |
| Blood glucose test | $21 | $44 | $5 |
| Blood transfusion | $1,634 | $1,262 | $47 |
| Blood type test | $14 | $74 | $3 |
| Blood type test (ABO group) | $14 | $94 | $3 |
| Blood type test (Rh/D antigen) | $14 | $53 | $3 |
| Bone marrow biopsy | $5,827 | $1,860 | $172 |
| Breathing tube insertion (intubation) | $694 | $698 | $133 |
| Bronchoscopy | $5,156 | $2,843 | $303 |
| Burn dressing and debridement (medium) | $387 | $407 | $166 |
| Burn dressing and debridement (small) | $387 | $329 | $93 |
| Burn treatment | $387 | $368 | $129 |
| Calcium blood test | $23 | $44 | $5 |
| Capsule endoscopy | $2,803 | $2,754 | $802 |
| Cardiac ablation | $48,183 | $25,758 | $759 |
| Cardiac catheterization | $12,021 | $17,707 | $1,049 |
| Cardiac stress test | $1,164 | $1,055 | $39 |
| Cardioversion | $2,446 | $2,012 | $155 |
| Central line placement | $11,764 | $2,393 | $238 |
| Cervical cerclage | $8,267 | $6,919 | $137 |
| Cervical LEEP procedure | $9,507 | $4,358 | $325 |
| Chemotherapy infusion | $904 | $659 | $81 |
| Chemotherapy infusion (each additional) | $319 | $474 | $28 |
| Chemotherapy infusion (first hour) | $1,488 | $844 | $133 |
| Chest fluid drain (thoracentesis) | $1,849 | $1,590 | $311 |
| Chest tube insertion | $4,645 | $1,874 | $143 |
| Chest X-ray | $395 | $282 | $37 |
| Chest X-ray (2 views) | $395 | $282 | $33 |
| Chickenpox (varicella) vaccine | $427 | $72 | — |
| Circumcision | $6,125 | $1,490 | $167 |
| Clotting time test (PTT) | $27 | $69 | $6 |
| Colonoscopy | $3,526 | $2,503 | $480 |
| Colposcopy | $909 | $1,103 | $161 |
| Complete blood count (CBC) | $32 | $91 | $7 |
| Complete blood count (CBC) (complete) | $35 | $95 | $8 |
| Comprehensive eye exam | $385 | $192 | $138 |
| Contraceptive implant (Nexplanon) | $778 | $1,193 | $115 |
| CPAP titration study | $608 | $601 | $69 |
| CT angiography of the chest | $798 | $2,306 | $281 |
| Defibrillator (ICD) implant | $36,429 | $22,725 | $798 |
| Developmental screening (child) | $205 | $552 | — |
| Dilation and curettage (D&C) | $9,507 | $2,271 | $298 |
| Drug screen (urine) | $279 | $52 | $17 |
| Ear pressure test (tympanometry) | $102 | $100 | $16 |
| Ear tubes (myringotomy) | $3,851 | $1,970 | $174 |
| Echocardiogram | $904 | $1,255 | $138 |
| Echocardiogram with and without contrast | $904 | $866 | $101 |
| Echocardiogram without contrast | $904 | $1,255 | $138 |
| EEG (awake and asleep) | $1,397 | $1,234 | $482 |
| EKG / ECG (tracing only) | $222 | $293 | $7 |
| Electrocardiogram (EKG) | $246 | $293 | $8 |
| Electroencephalogram (EEG) | $1,397 | $1,124 | $448 |
| Emergency department visit | $1,242 | $772 | $69 |
| Emergency department visit (level 1) | $395 | $247 | $11 |
| Emergency department visit (level 2) | $710 | $404 | $40 |
| Emergency department visit (level 3) | $1,242 | $772 | $69 |
| Emergency department visit (level 4) | $1,910 | $1,055 | $118 |
| Emergency department visit (level 5) | $2,750 | $4,949 | $171 |
| Endometrial biopsy | $601 | $356 | $98 |
| ERCP (bile duct endoscopy) | $11,376 | $3,764 | $311 |
| Esophageal dilation | $2,803 | $1,555 | $522 |
| Family therapy session | $313 | $423 | $110 |
| Fecal occult blood (stool) test | $46 | $44 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $20 | $44 | $4 |
| Flexible sigmoidoscopy | $2,726 | $1,949 | $323 |
| Flu test | $74 | $98 | $17 |
| Flu vaccine | $46 | $47 | — |
| Foreign body removal (skin) | $779 | $759 | $157 |
| Group therapy session | $542 | $247 | $30 |
| Hearing test (audiometry) | $407 | $191 | $36 |
| Hemodialysis | $3,138 | $1,823 | $75 |
| Hemoglobin A1c (diabetes test) | $44 | $110 | $10 |
| Hemorrhoid removal | $2,726 | $2,984 | $338 |
| Hepatitis A vaccine | $200 | $226 | — |
| Hepatitis B test | $46 | $68 | $10 |
| Hepatitis B vaccine | $168 | $215 | — |
| Hepatitis C test | $64 | $116 | $14 |
| HIV test | $85 | $63 | $19 |
| HIV test (antigen/antibody combo) | $108 | $63 | $24 |
| Holter heart monitor | $352 | $647 | $26 |
| HPV vaccine | $719 | $881 | — |
| Hysteroscopy | $9,507 | $4,914 | $1,270 |
| IUD insertion | $326 | $711 | — |
| IUD removal | $909 | $235 | $112 |
| IV infusion therapy | $576 | $665 | $44 |
| IV infusion therapy (each additional) | $207 | $588 | $21 |
| IV infusion therapy (initial) | $945 | $741 | $67 |
| Joint aspiration (small/intermediate) | $883 | $537 | $57 |
| Joint aspiration or injection (mid-size joint) | $883 | $600 | $57 |
| Joint aspiration or injection (small joint) | $883 | $474 | $56 |
| Kidney biopsy | $4,844 | $2,666 | $492 |
| Kidney ultrasound | $477 | $512 | $84 |
| Kidney ultrasound (limited) | $477 | $512 | $61 |
| Knee joint injection | $883 | $1,067 | $69 |
| Lactate test | $52 | $222 | $12 |
| Laryngoscopy | $2,868 | $338 | $189 |
| Leg artery angiogram | $14,117 | $3,968 | $149 |
| Leg vein ultrasound (Doppler) | $650 | $1,109 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $397 | $1,109 | $116 |
| Lipid (cholesterol) panel | $60 | $138 | $13 |
| Liver function panel | $36 | $137 | $8 |
| Lung function test (PFT) | $699 | $479 | $37 |
| Magnesium blood test | $30 | $92 | $7 |
| MMR vaccine | $218 | $87 | — |
| MRI of the brain | $1,602 | $2,514 | $269 |
| Nebulizer breathing treatment | $608 | $194 | $9 |
| Nerve conduction study | $1,397 | $1,431 | $118 |
| Occupational therapy evaluation | $438 | $286 | $101 |
| Occupational therapy evaluation (low complexity) | $438 | $286 | $101 |
| Occupational therapy evaluation (moderate complexity) | $438 | $286 | $101 |
| Office visit (established patient) | $110 | $209 | $115 |
| Office visit, established patient (level 3) | $98 | $200 | $95 |
| Office visit, established patient (level 4) | $122 | $283 | $136 |
| Orthopedic hardware removal | $8,557 | $5,352 | $632 |
| Pap smear (cervical screening) | $105 | $182 | $20 |
| Pelvic ultrasound | $477 | $646 | $78 |
| Pelvic ultrasound (complete) | $477 | $747 | $105 |
| Pelvic ultrasound (limited) | $477 | $545 | $51 |
| Physical therapy evaluation | $393 | $230 | $98 |
| Physical therapy evaluation (high complexity) | $393 | $230 | $98 |
| Physical therapy evaluation (moderate complexity) | $393 | $230 | $98 |
| Pilonidal cyst removal | $5,581 | $3,042 | $541 |
| Pneumonia vaccine | $275 | $60 | — |
| Psychiatric evaluation | $313 | $380 | $188 |
| Psychotherapy session | $313 | $286 | $140 |
| Retina scan (OCT) | $177 | $101 | $33 |
| Retinal (fundus) photography | $385 | $195 | $37 |
| Routine eye exam | $385 | $143 | $88 |
| RSV vaccine | $719 | $1,124 | — |
| Sacroiliac joint injection | $1,253 | $473 | $176 |
| Screening colonoscopy | $2,371 | $2,503 | $378 |
| Shingles vaccine | $505 | $402 | — |
| Simple laceration repair (small, up to 2.5 cm) | $387 | $288 | $114 |
| Simple wound stitches | $387 | $297 | $127 |
| Skin biopsy | $779 | $299 | $121 |
| Skin biopsy (punch) | $779 | $299 | $121 |
| Skin cancer lesion removal | $1,372 | $1,463 | $240 |
| Skin lesion freezing (cryotherapy) | $302 | $136 | $36 |
| Skin tag removal | $387 | $389 | $92 |
| Sleep study (polysomnography) | $4,563 | $5,837 | $691 |
| Soft tissue ultrasound | $477 | $544 | $64 |
| Speech therapy | $307 | $325 | $76 |
| Spinal tap (lumbar puncture) | $3,106 | $1,283 | $165 |
| Spirometry (lung function test) | $468 | $404 | $30 |
| Spirometry with bronchodilator | $931 | $555 | $43 |
| Strep throat test | $74 | $95 | $17 |
| Stress echocardiogram | $2,049 | $1,874 | $209 |
| Tdap (tetanus) vaccine | $111 | $163 | — |
| Thyroid test (TSH) | $75 | $178 | $17 |
| Tilt table test | $1,983 | $2,045 | $168 |
| Transesophageal echocardiogram (TEE) | $2,049 | $2,199 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $2,049 | $2,378 | $239 |
| Transvaginal ultrasound | $477 | $886 | $118 |
| Trigger finger release | $4,785 | $2,043 | $630 |
| Trigger point injection | $883 | $867 | $56 |
| Trigger point injection (1-2 muscles) | $883 | $1,051 | $52 |
| Turning a breech baby (version) | $8,267 | $2,271 | $94 |
| Upper GI endoscopy (EGD) | $2,803 | $2,630 | $371 |
| Urinalysis | $12 | $70 | $3 |
| Urine microalbumin test | $25 | $13 | $5 |
| Urine pregnancy test | $38 | $65 | $9 |
| Vaccine administration | $90 | $39 | $19 |
| Vaccine administration (each additional) | $42 | $45 | $16 |
| Visual field test | $385 | $157 | $64 |
| Vitamin B12 test | $68 | $107 | $15 |
| Wart removal | $387 | $358 | $121 |
| Well-child visit | $99 | $99 | — |
| Wound debridement | $986 | $920 | $186 |
| YAG laser capsulotomy (eye) | $1,641 | $1,403 | $335 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
