| Procedure | Heywood Hospital | Adcare Hospital of Worcester Inc | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $81 | $548 | $51 |
| Abdominal ultrasound | $982 | $2,710 | $100 |
| Abdominal ultrasound (complete) | $880 | $2,951 | $114 |
| Abdominal ultrasound (limited) | $1,084 | $2,710 | $86 |
| Albumin blood test | $21 | $97 | $5 |
| Aldosterone test | $496 | $343 | $41 |
| Alkaline phosphatase test | $33 | $170 | $5 |
| Alpha-fetoprotein (AFP) test | $100 | $360 | $17 |
| ALT liver enzyme test | $34 | $92 | $5 |
| Ammonia blood test | $85 | $207 | $15 |
| Amylase test | $40 | $263 | $6 |
| Antinuclear antibody (ANA) test | $76 | $213 | $12 |
| Arterial blood gas (ABG) | $107 | $571 | $26 |
| AST liver enzyme test | $30 | $93 | $5 |
| Barium swallow study | $313 | $1,209 | $107 |
| Basic metabolic panel | $98 | $119 | $8 |
| Bilirubin blood test | $29 | $145 | $5 |
| Blood clotting test (PT/INR) | $33 | $78 | $4 |
| Blood crossmatch | $91 | $364 | — |
| Blood glucose test | $55 | $71 | $5 |
| Blood transfusion | $1,812 | $3,603 | $47 |
| Blood type and screen | $248 | $249 | $10 |
| Blood type test | $39 | $200 | $3 |
| Blood type test (ABO group) | $40 | $263 | $3 |
| Blood type test (Rh/D antigen) | $38 | $137 | $3 |
| BNP (heart failure) test | $292 | $467 | $39 |
| Bone density scan (DEXA) | $646 | $1,692 | $39 |
| Bone scan (nuclear) | $967 | $3,851 | $259 |
| Breast ultrasound | $843 | $1,447 | $92 |
| Breast ultrasound (complete) | $843 | $981 | $100 |
| Breast ultrasound (limited) | $843 | $1,447 | $84 |
| C-reactive protein (CRP) | $56 | $103 | $5 |
| CA 19-9 tumor marker test | $201 | $228 | $21 |
| CA-125 ovarian marker test | $218 | $428 | $21 |
| Calcium blood test | $29 | $102 | $5 |
| Capsule endoscopy | $3,663 | $6,533 | $802 |
| Cardiac stress test | $700 | $2,854 | $39 |
| Cardioversion | $1,110 | $4,701 | $155 |
| Carotid artery ultrasound | $858 | $1,458 | $156 |
| CEA tumor marker test | $110 | $254 | $19 |
| Celiac disease test | $43 | $161 | $12 |
| Chemotherapy infusion | $603 | $1,096 | $81 |
| Chemotherapy infusion (each additional) | $407 | $441 | $28 |
| Chemotherapy infusion (first hour) | $798 | $1,751 | $133 |
| Chest X-ray | $256 | $448 | $37 |
| Chest X-ray (1 view) | $256 | $445 | $25 |
| Chest X-ray (2 views) | $256 | $451 | $33 |
| CK-MB heart enzyme test | $43 | $307 | $12 |
| Clotting time test (PTT) | $37 | $124 | $6 |
| Complete blood count (CBC) | $38 | $183 | $7 |
| Complete blood count (CBC) (complete) | $43 | $114 | $8 |
| Comprehensive metabolic panel | $202 | $148 | $11 |
| Copper blood test | $275 | $147 | $12 |
| Cortisol test | $96 | $389 | $16 |
| CPAP titration study | $356 | $914 | $69 |
| Creatine kinase (CK) test | $45 | $128 | $7 |
| CT angiography of the chest | $1,079 | $4,121 | $281 |
| CT angiography of the head | $1,444 | $3,826 | $274 |
| CT scan of the abdomen | $1,497 | $2,382 | $230 |
| CT scan of the abdomen and pelvis | $2,868 | $7,863 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $4,265 | $7,863 | $338 |
| CT scan of the abdomen and pelvis with contrast | $2,868 | $9,708 | $300 |
| CT scan of the abdomen and pelvis without contrast | $2,517 | $5,550 | $183 |
| CT scan of the abdomen with and without contrast | $2,179 | $2,382 | $259 |
| CT scan of the abdomen with contrast | $1,497 | $3,078 | $230 |
| CT scan of the abdomen without contrast | $1,251 | $2,061 | $136 |
| CT scan of the arm | $1,466 | $3,179 | $199 |
| CT scan of the arm with contrast | $1,974 | $2,714 | $199 |
| CT scan of the arm without contrast | $1,455 | $3,179 | $161 |
| CT scan of the chest | $1,909 | $3,368 | $167 |
| CT scan of the chest with and without contrast | $2,080 | $2,382 | $196 |
| CT scan of the chest with contrast | $1,909 | $3,990 | $167 |
| CT scan of the chest without contrast | $1,378 | $3,368 | $133 |
| CT scan of the head | $1,607 | $2,840 | $148 |
| CT scan of the head with and without contrast | $1,700 | $3,625 | $173 |
| CT scan of the head with contrast | $1,607 | $1,434 | $148 |
| CT scan of the head without contrast | $1,295 | $2,840 | $107 |
| CT scan of the leg | $1,466 | $3,203 | $166 |
| CT scan of the leg with contrast | $1,974 | $3,203 | $166 |
| CT scan of the leg without contrast | $1,455 | $3,609 | $130 |
| CT scan of the lower back (lumbar spine) | $2,050 | $4,457 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $2,357 | $6,093 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $2,050 | $3,488 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $2,050 | $4,457 | $130 |
| CT scan of the neck | $1,409 | $3,273 | $183 |
| CT scan of the neck (cervical spine) | $2,357 | $3,582 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $2,357 | $7,481 | $196 |
| CT scan of the neck (cervical spine) with contrast | $2,357 | $3,582 | $168 |
| CT scan of the neck (cervical spine) without contrast | $2,050 | $3,248 | $131 |
| CT scan of the neck with and without contrast | $1,856 | $3,273 | $220 |
| CT scan of the neck with contrast | $1,409 | $4,361 | $183 |
| CT scan of the neck without contrast | $980 | $2,429 | $150 |
| CT scan of the pelvis | $1,370 | $2,528 | $226 |
| CT scan of the pelvis with and without contrast | $2,086 | $2,598 | $251 |
| CT scan of the pelvis with contrast | $1,370 | $2,528 | $226 |
| CT scan of the pelvis without contrast | $1,265 | $2,155 | $133 |
| CT scan of the sinuses | $1,370 | $4,029 | $152 |
| CT scan of the sinuses with and without contrast | $1,953 | $5,488 | $184 |
| CT scan of the sinuses with contrast | $1,370 | $2,425 | $152 |
| CT scan of the sinuses without contrast | $911 | $1,950 | $128 |
| D-dimer test | $210 | $236 | $10 |
| DHEA-sulfate test | $250 | $256 | $22 |
| Diagnostic mammogram | $666 | $920 | $140 |
| Drug screen (urine) | $215 | $555 | $17 |
| Echocardiogram | $747 | $1,609 | $138 |
| Echocardiogram with and without contrast | $747 | $1,609 | $101 |
| EEG (awake and asleep) | $705 | $997 | $482 |
| EKG / ECG (tracing only) | $112 | $633 | $7 |
| Electrocardiogram (EKG) | $112 | $633 | $8 |
| Electroencephalogram (EEG) | $370 | $1,426 | $448 |
| Electrolyte panel | $104 | $113 | $7 |
| Electromyography (EMG) | $562 | $1,383 | $141 |
| Emergency department visit | $415 | $1,164 | $69 |
| Emergency department visit (level 1) | $151 | $600 | $11 |
| Emergency department visit (level 2) | $260 | $890 | $40 |
| Emergency department visit (level 3) | $389 | $1,474 | $69 |
| Emergency department visit (level 4) | $664 | $2,444 | $118 |
| Emergency department visit (level 5) | $967 | $4,652 | $171 |
| Estradiol (estrogen) test | $160 | $191 | $28 |
| Fallopian tube X-ray (HSG) | $870 | $2,723 | $164 |
| Family therapy session | $606 | $428 | $110 |
| Fecal occult blood (stool) test | $47 | $29 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $13 | $29 | $4 |
| Ferritin (iron) test | $64 | $288 | $14 |
| Fibrinogen test | $76 | $194 | $10 |
| Flu test | $118 | $150 | $17 |
| Folate (folic acid) test | $80 | $307 | $15 |
| Free T4 thyroid test | $112 | $121 | $9 |
| FSH hormone test | $166 | $502 | $19 |
| Gallbladder scan (HIDA) | $1,616 | $3,423 | $334 |
| GGT liver test | $40 | $86 | $7 |
| Glucose tolerance test | $56 | $147 | $8 |
| Group therapy session | $123 | $330 | $30 |
| HDL cholesterol test | $49 | $194 | $8 |
| Hematocrit test | $25 | $71 | $2 |
| Hemoglobin A1c (diabetes test) | $72 | $324 | $10 |
| Hepatitis B vaccine | $169 | $566 | — |
| Hepatitis C test | $145 | $275 | $14 |
| HIV test | $38 | $217 | $19 |
| HIV test (antigen/antibody combo) | $38 | $399 | $24 |
| Holter heart monitor | $405 | $1,536 | $26 |
| Iron blood test | $43 | $299 | $6 |
| IV infusion therapy | $400 | $628 | $44 |
| IV infusion therapy (each additional) | $301 | $405 | $21 |
| IV infusion therapy (initial) | $498 | $1,229 | $67 |
| Kidney scan (nuclear) | $1,271 | $3,821 | $172 |
| Kidney ultrasound | $652 | $1,639 | $84 |
| Kidney ultrasound (limited) | $460 | $735 | $61 |
| Lactate test | $131 | $149 | $12 |
| LDH test | $39 | $85 | $6 |
| LDL cholesterol test | $51 | $115 | $11 |
| Leg vein ultrasound (Doppler) | $616 | $1,700 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $616 | $1,700 | $116 |
| LH hormone test | $163 | $251 | $19 |
| Lipase test | $51 | $246 | $7 |
| Lipid (cholesterol) panel | $236 | $125 | $13 |
| Liver function panel | $121 | $134 | $8 |
| Lung function test (PFT) | $162 | $1,157 | $37 |
| Lung scan (V/Q) | $2,513 | $2,883 | $291 |
| Magnesium blood test | $50 | $111 | $7 |
| Nebulizer breathing treatment | $226 | $773 | $9 |
| Nerve conduction study | $319 | $1,320 | $118 |
| Nuclear cardiac stress test | $5,198 | $8,033 | $428 |
| Occupational therapy evaluation | $269 | $415 | $101 |
| Occupational therapy evaluation (high complexity) | $269 | $402 | $101 |
| Occupational therapy evaluation (low complexity) | $269 | $415 | $101 |
| Occupational therapy evaluation (moderate complexity) | $269 | $415 | $101 |
| Office visit (established patient) | $248 | $519 | $115 |
| Office visit (new patient) | $305 | $485 | $177 |
| Office visit, established patient (level 3) | $248 | $442 | $95 |
| Office visit, established patient (level 4) | $343 | $519 | $136 |
| Office visit, new patient (level 3) | $305 | $446 | $118 |
| Office visit, new patient (level 4) | $437 | $485 | $177 |
| Office visit, new patient (level 5) | $571 | $681 | $237 |
| Pap smear (cervical screening) | $159 | $338 | $20 |
| Parathyroid hormone (PTH) test | $333 | $380 | $41 |
| Pelvic ultrasound | $448 | $752 | $78 |
| Pelvic ultrasound (complete) | $475 | $3,071 | $105 |
| Pelvic ultrasound (limited) | $420 | $695 | $51 |
| Phosphorus blood test | $33 | $87 | $5 |
| Physical therapy evaluation | $313 | $424 | $98 |
| Physical therapy evaluation (high complexity) | $313 | $424 | $98 |
| Physical therapy evaluation (moderate complexity) | $313 | $424 | $98 |
| Platelet count | $25 | $135 | $4 |
| Pneumonia vaccine | $90 | $948 | — |
| Pregnancy blood test (hCG) | $129 | $222 | $8 |
| Pregnancy ultrasound | $606 | $1,616 | $126 |
| Pregnancy ultrasound (first trimester) | $369 | $458 | $117 |
| Pregnancy ultrasound (second or third trimester) | $843 | $2,028 | $136 |
| Procalcitonin test | $138 | $420 | $27 |
| Prolactin test | $243 | $353 | $19 |
| Prostate test (PSA) | $105 | $156 | $18 |
| Psychiatric evaluation | $295 | $789 | $188 |
| Psychotherapy session | $210 | $389 | $140 |
| Rheumatoid factor test | $55 | $119 | $6 |
| Scoliosis spine X-ray | $247 | $419 | $58 |
| Scoliosis spine X-ray (1 view) | $186 | $338 | $44 |
| Scoliosis spine X-ray (3 views) | $307 | $500 | $72 |
| Screening mammogram | $601 | $912 | $126 |
| Scrotal ultrasound | $843 | $1,309 | $99 |
| Sedimentation rate (ESR) test | $43 | $111 | $3 |
| Sex hormone binding globulin test | $192 | $265 | $22 |
| Soft tissue ultrasound | $280 | $1,111 | $64 |
| Speech therapy | $313 | $373 | $76 |
| Spirometry (lung function test) | $150 | $1,062 | $30 |
| Spirometry with bronchodilator | $383 | $1,252 | $43 |
| Strep throat test | $64 | $239 | $17 |
| Stress echocardiogram | $1,503 | $7,498 | $209 |
| Swallow study | $293 | $787 | $85 |
| T3 thyroid test | $160 | $159 | $14 |
| Testosterone test | $538 | $419 | $26 |
| Thyroid test (TSH) | $112 | $321 | $17 |
| Thyroid ultrasound | $626 | $1,461 | $109 |
| Thyroid uptake scan | $896 | $1,710 | $145 |
| Total IgE allergy test | $145 | $191 | $16 |
| Total protein test | $25 | $82 | $4 |
| Transesophageal echocardiogram (TEE) | $1,769 | $5,483 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $1,769 | $7,853 | $239 |
| Transvaginal ultrasound | $537 | $2,244 | $118 |
| Triglycerides test | $50 | $117 | $6 |
| Troponin (heart) test | $127 | $121 | $12 |
| Upper GI series (barium) | $469 | $2,048 | $128 |
| Uric acid (gout) test | $33 | $194 | $5 |
| Urinalysis | $31 | $101 | $3 |
| Urine microalbumin test | $43 | $120 | $5 |
| Vaccine administration | $154 | $161 | $19 |
| Vaccine administration (each additional) | $154 | $143 | $16 |
| Vitamin B12 test | $88 | $416 | $15 |
| Vitamin D test | $322 | $287 | $30 |
| X-ray of the abdomen | $340 | $569 | $36 |
| X-ray of the ankle | $319 | $1,307 | $37 |
| X-ray of the collarbone | $319 | $1,040 | $33 |
| X-ray of the elbow | $319 | $1,126 | $33 |
| X-ray of the facial bones | $347 | $789 | $39 |
| X-ray of the foot | $319 | $1,181 | $34 |
| X-ray of the forearm | $319 | $1,037 | $29 |
| X-ray of the hand | $319 | $1,256 | $38 |
| X-ray of the hip | $214 | $525 | $49 |
| X-ray of the hip (1 view) | $163 | $493 | $34 |
| X-ray of the hip (3 views) | $214 | $728 | $49 |
| X-ray of the hip (4 views) | $269 | $734 | $63 |
| X-ray of the knee | $319 | $1,072 | $42 |
| X-ray of the knee (2 views) | $319 | $1,072 | $34 |
| X-ray of the knee (3 views) | $319 | $1,073 | $42 |
| X-ray of the knee (4+ views) | $433 | $1,062 | $49 |
| X-ray of the lower back (lumbar spine) | $517 | $1,808 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $365 | $1,808 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $668 | $1,389 | $53 |
| X-ray of the lower leg | $319 | $1,097 | $31 |
| X-ray of the mid-back (thoracic spine) | $269 | $1,230 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $296 | $1,388 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $242 | $1,072 | $39 |
| X-ray of the neck (cervical spine) | $510 | $1,598 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $352 | $1,598 | $40 |
| X-ray of the pelvis | $236 | $838 | $36 |
| X-ray of the pelvis (1 view) | $245 | $838 | $28 |
| X-ray of the ribs | $501 | $856 | $42 |
| X-ray of the ribs (2 views) | $501 | $785 | $36 |
| X-ray of the ribs (3 views) | $762 | $1,559 | $42 |
| X-ray of the shoulder | $319 | $1,232 | $36 |
| X-ray of the skull | $543 | $885 | $40 |
| X-ray of the upper arm | $153 | $1,226 | $32 |
| X-ray of the wrist | $319 | $1,086 | $43 |
| Zinc blood test | $158 | $221 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
