| Procedure | Forbes Hospital | Jefferson Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $38 | $33 | $51 |
| Abscess drainage (complex or multiple) | $113 | $98 | $220 |
| Abscess drainage (simple) | $66 | $57 | $129 |
| Abscess incision and drainage | $90 | $77 | $174 |
| Acupuncture | $17 | $15 | $38 |
| Acupuncture (each additional) | $15 | $13 | $28 |
| Aldosterone test | $27 | $23 | $41 |
| Alpha-fetoprotein (AFP) test | $11 | $10 | $17 |
| Annual physical (established patient) | $58 | $50 | — |
| Annual physical (new patient) | $67 | $58 | — |
| Anoscopy | $26 | $22 | $129 |
| Antinuclear antibody (ANA) test | $8 | $7 | $12 |
| Aortic aneurysm repair (AAA) | $897 | $775 | $1,345 |
| Bartholin cyst removal | $68 | $58 | $182 |
| BNP (heart failure) test | $26 | $22 | $39 |
| Botox for migraine | $76 | $66 | $157 |
| Brain shunt (VP shunt) | $643 | $556 | $1,023 |
| Breathing tube insertion (intubation) | $88 | $76 | $133 |
| Burn dressing and debridement (medium) | $68 | $59 | $166 |
| Burn dressing and debridement (small) | $34 | $30 | $93 |
| Burn treatment | $51 | $44 | $129 |
| CA 19-9 tumor marker test | $14 | $12 | $21 |
| CA-125 ovarian marker test | $14 | $12 | $21 |
| Carotid artery surgery | $683 | $590 | $1,026 |
| Cataract surgery | $390 | $336 | $547 |
| Chalazion (eyelid cyst) removal | $62 | $54 | $131 |
| Chiropractic adjustment | $21 | $18 | $38 |
| Colon resection (colectomy) | $824 | $712 | $1,238 |
| Colostomy | $741 | $640 | $1,122 |
| Colposcopy | $67 | $58 | $161 |
| Complex wound repair | $151 | $130 | $390 |
| Comprehensive eye exam | $51 | $44 | $138 |
| Contact lens fitting | $37 | $32 | — |
| Continuous glucose monitor setup | $21 | $18 | $35 |
| Copper blood test | $8 | $7 | $12 |
| Corneal transplant | $755 | $652 | $1,066 |
| COVID-19 PCR test | $34 | $29 | $51 |
| Craniotomy (brain surgery) | $1,374 | $1,187 | $2,161 |
| DHEA-sulfate test | $15 | $13 | $22 |
| Droopy eyelid repair (ptosis) | $361 | $311 | $745 |
| Elbow replacement | $898 | $776 | $1,301 |
| Electromyography (EMG) | $40 | $34 | $141 |
| Endometrial biopsy | $39 | $34 | $98 |
| Estradiol (estrogen) test | $18 | $16 | $28 |
| Eye refraction (glasses prescription) | $12 | $10 | — |
| Family therapy session | $66 | $57 | $110 |
| Fecal occult blood (stool) test | $7 | $6 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $3 | $3 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $11 | $9 | $16 |
| Femoral hernia repair | $377 | $326 | $584 |
| Fibroid removal (myomectomy) | $641 | $553 | $914 |
| Flu test | $11 | $10 | $17 |
| Foreign body removal (skin) | $65 | $56 | $157 |
| FSH hormone test | $12 | $11 | $19 |
| Glaucoma surgery | $690 | $596 | $984 |
| H. pylori test | $44 | $38 | $67 |
| Hemorrhoid removal | $165 | $143 | $338 |
| Hip fracture repair | $761 | $657 | $1,120 |
| HIV test | $13 | $11 | $19 |
| HIV test (antibody) | $9 | $8 | $14 |
| HIV test (antigen/antibody combo) | $16 | $14 | $24 |
| Hysterectomy | $630 | $544 | $933 |
| Ileostomy | $641 | $554 | $968 |
| IUD removal | $41 | $35 | $112 |
| Kidney removal (nephrectomy) | $804 | $695 | $1,164 |
| LDL cholesterol test | $7 | $6 | $11 |
| LH hormone test | $12 | $11 | $19 |
| Lumpectomy (breast) | $486 | $419 | $750 |
| Mastectomy | $662 | $572 | $1,021 |
| Mastoidectomy | $577 | $498 | $840 |
| Meniscus repair (knee) | $476 | $411 | $714 |
| Mohs skin cancer surgery | $167 | $144 | $535 |
| Neck (cervical) spinal fusion | $921 | $795 | $1,410 |
| Newborn hospital care | $41 | $35 | $58 |
| Office visit (established patient) | $50 | $43 | $115 |
| Office visit (new patient) | $82 | $71 | $177 |
| Office visit, established patient (level 3) | $41 | $35 | $95 |
| Office visit, established patient (level 4) | $60 | $52 | $136 |
| Office visit, new patient (level 3) | $51 | $44 | $118 |
| Office visit, new patient (level 4) | $82 | $71 | $177 |
| Office visit, new patient (level 5) | $112 | $97 | $237 |
| Ovarian cyst removal | $476 | $411 | $698 |
| Ovary removal (oophorectomy) | $543 | $469 | $822 |
| Pap smear (cervical screening) | $13 | $11 | $20 |
| Parathyroid hormone (PTH) test | $27 | $24 | $41 |
| Physical therapy evaluation | $62 | $54 | $98 |
| Physical therapy evaluation (moderate complexity) | $62 | $54 | $98 |
| Procalcitonin test | $18 | $16 | $27 |
| Prolactin test | $13 | $11 | $19 |
| Prostate test (PSA) | $12 | $11 | $18 |
| Psychiatric evaluation | $99 | $86 | $188 |
| Psychotherapy session | $73 | $63 | $140 |
| Retinal detachment repair | $699 | $603 | $966 |
| Routine eye exam | $29 | $25 | $88 |
| Sex hormone binding globulin test | $15 | $13 | $22 |
| Shingles vaccine | $70 | $60 | — |
| Shoulder arthroscopy | $649 | $561 | $962 |
| Skin cancer lesion removal | $99 | $86 | $240 |
| Skin graft | $434 | $375 | $898 |
| Skin lesion freezing (cryotherapy) | $17 | $15 | $36 |
| Skin tag removal | $47 | $41 | $92 |
| Small bowel resection | $755 | $652 | $1,136 |
| Spleen removal (splenectomy) | $683 | $590 | $1,036 |
| Stomach removal (gastrectomy) | $1,061 | $916 | $1,595 |
| Strep throat test | $11 | $10 | $17 |
| Swallow study | $44 | $38 | $85 |
| Testosterone test | $17 | $15 | $26 |
| Thyroid test (TSH) | $11 | $10 | $17 |
| Total IgE allergy test | $11 | $10 | $16 |
| Ulnar nerve surgery (elbow) | $378 | $326 | $575 |
| Vaccine administration | $11 | $9 | $19 |
| Vaccine administration (each additional) | $9 | $8 | $16 |
| Vitamin B12 test | $10 | $9 | $15 |
| Vitamin D test | $19 | $17 | $30 |
| Vitrectomy (eye) | $583 | $504 | $814 |
| Wart removal | $47 | $41 | $121 |
| Well-child visit | $48 | $41 | — |
| Whipple procedure (pancreas) | $1,920 | $1,658 | $2,871 |
| YAG laser capsulotomy (eye) | $187 | $162 | $335 |
| Zinc blood test | $7 | $6 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.