| Procedure | Frederick Health Hospital | Wellspan Waynesboro Hospital | Medicare |
|---|
| Abdominal ultrasound | $398 | $1,109 | $100 |
| Abdominal ultrasound (complete) | $447 | $1,272 | $114 |
| Abdominal ultrasound (limited) | $350 | $946 | $86 |
| Abscess drainage (complex or multiple) | $1,697 | $866 | $220 |
| Abscess drainage (simple) | $1,018 | $630 | $129 |
| Abscess incision and drainage | $1,358 | $748 | $174 |
| Albumin blood test | $4 | $21 | $5 |
| Aldosterone test | $50 | $204 | $41 |
| Alkaline phosphatase test | $4 | $26 | $5 |
| Alpha-fetoprotein (AFP) test | $30 | $70 | $17 |
| Ammonia blood test | $40 | $61 | $15 |
| Amylase test | $12 | $26 | $6 |
| Antinuclear antibody (ANA) test | $30 | $50 | $12 |
| Arterial blood gas (ABG) | $62 | $130 | $26 |
| AST liver enzyme test | $4 | $22 | $5 |
| Barium swallow study | $447 | $535 | $107 |
| Basic metabolic panel | $22 | $20 | $8 |
| Bilirubin blood test | $12 | $10 | $5 |
| Blood clotting test (PT/INR) | $16 | $15 | $4 |
| Blood crossmatch | $16 | $654 | — |
| Blood glucose test | $8 | $18 | $5 |
| Blood transfusion | $80 | $1,714 | $47 |
| Blood type and screen | $24 | $209 | $10 |
| Blood type test | $8 | $95 | $3 |
| Blood type test (ABO group) | $8 | $146 | $3 |
| Blood type test (Rh/D antigen) | $8 | $43 | $3 |
| BNP (heart failure) test | $60 | $80 | $39 |
| Bone density scan (DEXA) | $175 | $237 | $39 |
| Bone scan (nuclear) | $1,325 | $1,714 | $259 |
| Breast biopsy | $448 | $4,006 | $478 |
| Breast ultrasound | $340 | $516 | $92 |
| Breast ultrasound (complete) | $389 | $541 | $100 |
| Breast ultrasound (limited) | $291 | $492 | $84 |
| Breathing tube insertion (intubation) | $77 | $878 | $133 |
| Burn dressing and debridement (small) | $679 | $457 | $93 |
| Burn treatment | $849 | $457 | $129 |
| C-reactive protein (CRP) | $30 | $20 | $5 |
| CA 19-9 tumor marker test | $66 | $85 | $21 |
| CA-125 ovarian marker test | $66 | $85 | $21 |
| Calcium blood test | $4 | $26 | $5 |
| Cardiac stress test | $102 | $1,102 | $39 |
| Cardioversion | $153 | $1,271 | $155 |
| Carotid artery ultrasound | $729 | $911 | $156 |
| CEA tumor marker test | $50 | $65 | $19 |
| Celiac disease test | $75 | $58 | $12 |
| Chemotherapy infusion | $172 | $539 | $81 |
| Chemotherapy infusion (each additional) | $60 | $283 | $28 |
| Chemotherapy infusion (first hour) | $285 | $795 | $133 |
| Chest X-ray | $117 | $369 | $37 |
| Chest X-ray (1 view) | $58 | $293 | $25 |
| Chest X-ray (2 views) | $97 | $322 | $33 |
| CK-MB heart enzyme test | $30 | $58 | $12 |
| Clotting time test (PTT) | $16 | $30 | $6 |
| Complete blood count (CBC) | $18 | $15 | $7 |
| Complete blood count (CBC) (complete) | $20 | $15 | $8 |
| Comprehensive metabolic panel | $30 | $25 | $11 |
| Copper blood test | $50 | $51 | $12 |
| Cortisol test | $30 | $68 | $16 |
| COVID-19 PCR test | $55 | $100 | $51 |
| CPAP titration study | $371 | $1,038 | $69 |
| Creatine kinase (CK) test | $12 | $33 | $7 |
| CT angiography of the chest | $296 | $532 | $281 |
| CT angiography of the head | $291 | $538 | $274 |
| CT scan of the abdomen | $236 | $469 | $230 |
| CT scan of the abdomen and pelvis | $311 | $438 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $356 | $525 | $338 |
| CT scan of the abdomen and pelvis with contrast | $311 | $438 | $300 |
| CT scan of the abdomen with and without contrast | $271 | $560 | $259 |
| CT scan of the abdomen with contrast | $236 | $469 | $230 |
| CT scan of the abdomen without contrast | $125 | $274 | $136 |
| CT scan of the arm | $231 | $476 | $199 |
| CT scan of the arm with contrast | $231 | $476 | $199 |
| CT scan of the arm without contrast | $180 | $286 | $161 |
| CT scan of the chest | $236 | $470 | $167 |
| CT scan of the chest with and without contrast | $291 | $562 | $196 |
| CT scan of the chest with contrast | $236 | $470 | $167 |
| CT scan of the chest without contrast | $180 | $285 | $133 |
| CT scan of the head | $150 | $478 | $148 |
| CT scan of the head with and without contrast | $180 | $569 | $173 |
| CT scan of the head with contrast | $150 | $478 | $148 |
| CT scan of the leg | $236 | $476 | $166 |
| CT scan of the leg with contrast | $236 | $476 | $166 |
| CT scan of the leg without contrast | $180 | $286 | $130 |
| CT scan of the lower back (lumbar spine) | $236 | $472 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $291 | $569 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $236 | $472 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $180 | $286 | $130 |
| CT scan of the neck | $236 | $462 | $183 |
| CT scan of the neck (cervical spine) | $236 | $472 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $291 | $569 | $196 |
| CT scan of the neck (cervical spine) with contrast | $236 | $472 | $168 |
| CT scan of the neck (cervical spine) without contrast | $185 | $282 | $131 |
| CT scan of the neck with and without contrast | $291 | $558 | $220 |
| CT scan of the neck with contrast | $236 | $462 | $183 |
| CT scan of the neck without contrast | $180 | $268 | $150 |
| CT scan of the pelvis | $236 | $378 | $226 |
| CT scan of the pelvis with contrast | $236 | $476 | $226 |
| CT scan of the pelvis without contrast | $130 | $281 | $133 |
| CT scan of the sinuses | $155 | $494 | $152 |
| CT scan of the sinuses with and without contrast | $200 | $568 | $184 |
| CT scan of the sinuses with contrast | $155 | $494 | $152 |
| CT scan of the sinuses without contrast | $135 | $295 | $128 |
| D-dimer test | $30 | $163 | $10 |
| DHEA-sulfate test | $30 | $92 | $22 |
| Drug screen (urine) | $134 | $258 | $17 |
| Echocardiogram | $136 | $2,464 | $138 |
| Echocardiogram with and without contrast | $68 | $1,781 | $101 |
| EEG (awake and asleep) | $1,473 | $1,456 | $482 |
| EKG / ECG (tracing only) | $41 | $326 | $7 |
| Electrocardiogram (EKG) | $41 | $326 | $8 |
| Electroencephalogram (EEG) | $1,357 | $1,391 | $448 |
| Electrolyte panel | $16 | $37 | $7 |
| Emergency department visit | $123 | $1,228 | $69 |
| Emergency department visit (level 1) | $123 | $511 | $11 |
| Emergency department visit (level 2) | $123 | $584 | $40 |
| Emergency department visit (level 3) | $246 | $1,228 | $69 |
| Emergency department visit (level 4) | $493 | $1,797 | $118 |
| Estradiol (estrogen) test | $30 | $140 | $28 |
| Fecal occult blood (stool) test | $30 | $26 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $10 | $15 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $50 | $36 | $16 |
| Ferritin (iron) test | $30 | $40 | $14 |
| Fibrinogen test | $18 | $106 | $10 |
| Folate (folic acid) test | $30 | $45 | $15 |
| Foreign body removal (skin) | $792 | $1,246 | $157 |
| Free T4 thyroid test | $30 | $35 | $9 |
| FSH hormone test | $30 | $78 | $19 |
| Gallbladder scan (HIDA) | $2,215 | $1,970 | $334 |
| Glucose tolerance test | $19 | $42 | $8 |
| H. pylori test | $40 | $280 | $67 |
| HDL cholesterol test | $30 | $34 | $8 |
| Hematocrit test | $8 | $35 | $2 |
| Hemoglobin A1c (diabetes test) | $40 | $25 | $10 |
| Hepatitis B test | $50 | $51 | $10 |
| Hepatitis C test | $50 | $55 | $14 |
| HIV test | $50 | $145 | $19 |
| HIV test (antigen/antibody combo) | $50 | $145 | $24 |
| Holter heart monitor | $102 | $879 | $26 |
| Iron blood test | $12 | $20 | $6 |
| IV infusion therapy | $92 | $353 | $44 |
| IV infusion therapy (each additional) | $43 | $154 | $21 |
| IV infusion therapy (initial) | $140 | $552 | $67 |
| Kidney scan (nuclear) | $738 | $2,226 | $172 |
| Kidney ultrasound | $291 | $760 | $84 |
| Kidney ultrasound (limited) | $155 | $626 | $61 |
| Lactate test | $40 | $75 | $12 |
| LDH test | $8 | $25 | $6 |
| LDL cholesterol test | $30 | $44 | $11 |
| Leg vein ultrasound (Doppler) | $719 | $985 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $544 | $823 | $116 |
| LH hormone test | $50 | $78 | $19 |
| Lipase test | $16 | $42 | $7 |
| Lipid (cholesterol) panel | $38 | $40 | $13 |
| Liver function panel | $22 | $25 | $8 |
| Lung function test (PFT) | $328 | $668 | $37 |
| Lung scan (V/Q) | $1,781 | $2,226 | $291 |
| Magnesium blood test | $12 | $30 | $7 |
| MRA of the brain | $887 | $474 | $226 |
| MRA of the neck | $945 | $473 | $245 |
| MRI of the abdomen | $983 | $640 | $300 |
| MRI of the abdomen with contrast | $983 | $640 | $300 |
| MRI of the abdomen without contrast | $697 | $457 | $194 |
| MRI of the ankle | $868 | $588 | $261 |
| MRI of the ankle without contrast | $792 | $463 | $222 |
| MRI of the brain | $620 | $636 | $269 |
| MRI of the brain with contrast | $620 | $636 | $269 |
| MRI of the brain without contrast | $420 | $455 | $195 |
| MRI of the chest | $1,002 | $582 | $371 |
| MRI of the chest without contrast | $1,250 | $706 | $466 |
| MRI of the knee | $802 | $645 | $315 |
| MRI of the knee with contrast | $802 | $645 | $315 |
| MRI of the knee without contrast | $448 | $462 | $204 |
| MRI of the lower back (lumbar spine) | $620 | $636 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $620 | $636 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $401 | $454 | $192 |
| MRI of the mid-back (thoracic spine) | $630 | $634 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $716 | $701 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $630 | $634 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $401 | $454 | $190 |
| MRI of the neck (cervical spine) | $630 | $634 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $706 | $702 | $318 |
| MRI of the neck (cervical spine) with contrast | $630 | $634 | $274 |
| MRI of the neck (cervical spine) without contrast | $401 | $454 | $191 |
| MRI of the pelvis | $868 | $639 | $268 |
| MRI of the pelvis with contrast | $868 | $639 | $268 |
| MRI of the pelvis without contrast | $811 | $456 | $227 |
| MRI of the shoulder | $792 | $646 | $313 |
| MRI of the shoulder with contrast | $792 | $646 | $313 |
| MRI of the shoulder without contrast | $448 | $462 | $205 |
| MRI of the wrist | $859 | $588 | $330 |
| MRI of the wrist without contrast | $802 | $464 | $303 |
| Nebulizer breathing treatment | $625 | $252 | $9 |
| Occupational therapy evaluation | $285 | $440 | $101 |
| Occupational therapy evaluation (high complexity) | $285 | $576 | $101 |
| Occupational therapy evaluation (low complexity) | $285 | $335 | $101 |
| Occupational therapy evaluation (moderate complexity) | $285 | $440 | $101 |
| Office visit (established patient) | $154 | $488 | $115 |
| Office visit, established patient (level 3) | $137 | $422 | $95 |
| Office visit, established patient (level 4) | $171 | $554 | $136 |
| Pap smear (cervical screening) | $75 | $102 | $20 |
| Parathyroid hormone (PTH) test | $30 | $249 | $41 |
| Pelvic ultrasound | $272 | $493 | $78 |
| Pelvic ultrasound (complete) | $408 | $518 | $105 |
| Pelvic ultrasound (limited) | $136 | $468 | $51 |
| Physical therapy evaluation | $302 | $302 | $98 |
| Physical therapy evaluation (high complexity) | $302 | $340 | $98 |
| Physical therapy evaluation (moderate complexity) | $302 | $302 | $98 |
| Platelet count | $8 | $65 | $4 |
| Pregnancy ultrasound | $457 | $867 | $126 |
| Pregnancy ultrasound (first trimester) | $408 | $846 | $117 |
| Pregnancy ultrasound (second or third trimester) | $505 | $889 | $136 |
| Procalcitonin test | $300 | $136 | $27 |
| Prolactin test | $40 | $81 | $19 |
| Prostate test (PSA) | $40 | $45 | $18 |
| Scoliosis spine X-ray | $194 | $373 | $58 |
| Scoliosis spine X-ray (1 view) | $136 | $373 | $44 |
| Scrotal ultrasound | $194 | $702 | $99 |
| Sedimentation rate (ESR) test | $10 | $20 | $3 |
| Semen analysis | $37 | $60 | $12 |
| Sex hormone binding globulin test | $50 | $108 | $22 |
| Skin biopsy | $1,018 | $687 | $121 |
| Skin biopsy (punch) | $1,018 | $756 | $121 |
| Soft tissue ultrasound | $58 | $468 | $64 |
| Speech therapy | $138 | $305 | $76 |
| Spirometry (lung function test) | $77 | $495 | $30 |
| Spirometry with bronchodilator | $578 | $842 | $43 |
| Swallow study | $183 | $380 | $85 |
| T3 thyroid test | $30 | $59 | $14 |
| Testosterone test | $30 | $157 | $26 |
| Thyroid test (TSH) | $30 | $40 | $17 |
| Thyroid ultrasound | $486 | $635 | $109 |
| Thyroid uptake scan | $912 | $1,714 | $145 |
| Total IgE allergy test | $30 | $68 | $16 |
| Total protein test | $4 | $15 | $4 |
| Transesophageal echocardiogram (TEE) | $204 | $3,702 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $204 | $3,702 | $239 |
| Transvaginal ultrasound | $486 | $709 | $118 |
| Troponin (heart) test | $50 | $118 | $12 |
| Upper GI series (barium) | $515 | $811 | $128 |
| Urinalysis | $8 | $10 | $3 |
| Urine microalbumin test | $25 | $28 | $5 |
| Vaccine administration | $34 | $143 | $19 |
| Vitamin B12 test | $30 | $40 | $15 |
| Vitamin D test | $30 | $100 | $30 |
| Wound debridement | $849 | $1,498 | $186 |
| X-ray of the abdomen | $117 | $437 | $36 |
| X-ray of the ankle | $117 | $483 | $37 |
| X-ray of the collarbone | $97 | $292 | $33 |
| X-ray of the elbow | $117 | $453 | $33 |
| X-ray of the facial bones | $126 | $363 | $39 |
| X-ray of the foot | $117 | $460 | $34 |
| X-ray of the forearm | $97 | $392 | $29 |
| X-ray of the hand | $117 | $446 | $38 |
| X-ray of the hip | $155 | $430 | $49 |
| X-ray of the hip (1 view) | $117 | $370 | $34 |
| X-ray of the hip (3 views) | $155 | $490 | $49 |
| X-ray of the knee | $136 | $499 | $42 |
| X-ray of the knee (2 views) | $117 | $380 | $34 |
| X-ray of the knee (3 views) | $136 | $499 | $42 |
| X-ray of the knee (4+ views) | $155 | $737 | $49 |
| X-ray of the lower back (lumbar spine) | $155 | $687 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $136 | $650 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $175 | $724 | $53 |
| X-ray of the lower leg | $117 | $460 | $31 |
| X-ray of the mid-back (thoracic spine) | $126 | $555 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $117 | $504 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $136 | $606 | $39 |
| X-ray of the neck (cervical spine) | $136 | $626 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $117 | $484 | $40 |
| X-ray of the pelvis | $136 | $576 | $36 |
| X-ray of the pelvis (1 view) | $117 | $479 | $28 |
| X-ray of the ribs | $117 | $502 | $42 |
| X-ray of the ribs (2 views) | $117 | $400 | $36 |
| X-ray of the ribs (3 views) | $117 | $552 | $42 |
| X-ray of the shoulder | $97 | $470 | $36 |
| X-ray of the skull | $146 | $648 | $40 |
| X-ray of the upper arm | $117 | $421 | $32 |
| X-ray of the wrist | $136 | $444 | $43 |
| Zinc blood test | $50 | $47 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
