| Procedure | Kaiser Foundation Hospital-Fremont | St Rose Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $336 | $74 | $51 |
| Abdominal fluid drain (paracentesis) | $2,559 | $959 | $284 |
| Abdominal ultrasound | $910 | $261 | $100 |
| Abdominal ultrasound (complete) | $991 | $760 | $114 |
| Abdominal ultrasound (limited) | $829 | $261 | $86 |
| Abscess drainage (complex or multiple) | $1,109 | $422 | $220 |
| Abscess drainage (simple) | $997 | $212 | $129 |
| Abscess incision and drainage | $1,053 | $212 | $174 |
| Albumin blood test | $45 | $8 | $5 |
| Alkaline phosphatase test | $37 | $43 | $5 |
| ALT liver enzyme test | $43 | $65 | $5 |
| Ammonia blood test | $223 | $51 | $15 |
| Amylase test | $149 | $44 | $6 |
| Antinuclear antibody (ANA) test | $53 | $18 | $12 |
| Arterial blood gas (ABG) | $566 | $108 | $26 |
| AST liver enzyme test | $45 | $65 | $5 |
| Barium swallow study | $1,109 | $407 | $107 |
| Bartholin cyst removal | $1,142 | $211 | $182 |
| Basic metabolic panel | $193 | $91 | $8 |
| Bilirubin blood test | $63 | $51 | $5 |
| Blood clotting test (PT/INR) | $90 | $24 | $4 |
| Blood crossmatch | $403 | $181 | — |
| Blood glucose test | $32 | $28 | $5 |
| Blood transfusion | $1,450 | $459 | $47 |
| Blood type and screen | $146 | $39 | $10 |
| Blood type test | $176 | $120 | $3 |
| Blood type test (ABO group) | $262 | $135 | $3 |
| Blood type test (Rh/D antigen) | $90 | $68 | $3 |
| BNP (heart failure) test | $302 | $59 | $39 |
| Bone marrow biopsy | $2,475 | $3,007 | $172 |
| Bone scan (nuclear) | $2,593 | $1,441 | $259 |
| Breast biopsy | $4,458 | $1,716 | $478 |
| Breast ultrasound | $862 | $205 | $92 |
| Breast ultrasound (complete) | $1,165 | $205 | $100 |
| Breast ultrasound (limited) | $560 | $205 | $84 |
| Breathing tube insertion (intubation) | $924 | $259 | $133 |
| Bronchoscopy | $4,878 | $3,660 | $303 |
| Burn dressing and debridement (medium) | $650 | $212 | $166 |
| Burn dressing and debridement (small) | $627 | $212 | $93 |
| Burn treatment | $638 | $212 | $129 |
| Calcium blood test | $65 | $37 | $5 |
| Cardiac catheterization | $19,488 | $9,942 | $1,049 |
| Cardiac stress test | $1,551 | $703 | $39 |
| Cardioversion | $3,310 | $1,453 | $155 |
| Carotid artery ultrasound | $1,282 | $953 | $156 |
| Central line placement | $4,026 | $3,374 | $238 |
| Chemotherapy infusion | $753 | $221 | $81 |
| Chemotherapy infusion (each additional) | $403 | $84 | $28 |
| Chemotherapy infusion (first hour) | $1,103 | $358 | $133 |
| Chest fluid drain (thoracentesis) | $2,346 | $665 | $311 |
| Chest tube insertion | $3,662 | $1,695 | $143 |
| Chest X-ray | $543 | $165 | $37 |
| Chest X-ray (1 view) | $476 | $98 | $25 |
| Chest X-ray (2 views) | $504 | $98 | $33 |
| Clotting time test (PTT) | $142 | $33 | $6 |
| Complete blood count (CBC) | $106 | $34 | $7 |
| Complete blood count (CBC) (complete) | $123 | $29 | $8 |
| Complex wound repair | $3,018 | $665 | $390 |
| Comprehensive metabolic panel | $255 | $133 | $11 |
| Coronary CT angiography | $4,222 | $3,564 | $326 |
| Cortisol test | $302 | $76 | $16 |
| COVID-19 PCR test | $113 | $40 | $51 |
| CPAP titration study | $1,590 | $683 | $69 |
| CT angiography of the chest | $4,872 | $2,361 | $281 |
| CT angiography of the head | $4,990 | $1,595 | $274 |
| CT scan of the abdomen | $2,520 | $1,201 | $230 |
| CT scan of the abdomen and pelvis | $4,754 | $1,849 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $6,602 | $3,207 | $338 |
| CT scan of the abdomen and pelvis with contrast | $4,754 | $1,849 | $300 |
| CT scan of the abdomen and pelvis without contrast | $4,351 | $1,671 | $183 |
| CT scan of the abdomen with and without contrast | $2,834 | $2,205 | $259 |
| CT scan of the abdomen with contrast | $2,520 | $1,201 | $230 |
| CT scan of the abdomen without contrast | $2,206 | $1,162 | $136 |
| CT scan of the arm | $2,873 | $1,180 | $199 |
| CT scan of the arm with contrast | $2,873 | $1,203 | $199 |
| CT scan of the arm without contrast | $2,514 | $1,147 | $161 |
| CT scan of the chest | $3,763 | $1,604 | $167 |
| CT scan of the chest with and without contrast | $4,379 | $1,746 | $196 |
| CT scan of the chest with contrast | $3,763 | $1,660 | $167 |
| CT scan of the chest without contrast | $2,845 | $1,549 | $133 |
| CT scan of the head | $2,946 | $1,270 | $148 |
| CT scan of the head with and without contrast | $3,550 | $1,557 | $173 |
| CT scan of the head with contrast | $2,946 | $1,270 | $148 |
| CT scan of the head without contrast | $2,682 | $1,197 | $107 |
| CT scan of the leg | $3,248 | $1,125 | $166 |
| CT scan of the leg with contrast | $3,248 | $1,180 | $166 |
| CT scan of the leg without contrast | $2,867 | $1,125 | $130 |
| CT scan of the lower back (lumbar spine) | $3,948 | $1,300 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $4,665 | $482 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $3,948 | $2,275 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $3,231 | $1,300 | $130 |
| CT scan of the neck | $3,265 | $1,413 | $183 |
| CT scan of the neck (cervical spine) | $3,948 | $1,825 | $168 |
| CT scan of the neck (cervical spine) with contrast | $3,948 | $2,275 | $168 |
| CT scan of the neck (cervical spine) without contrast | $3,231 | $1,375 | $131 |
| CT scan of the neck with and without contrast | $4,788 | $1,708 | $220 |
| CT scan of the neck with contrast | $3,265 | $1,413 | $183 |
| CT scan of the neck without contrast | $2,425 | $1,345 | $150 |
| CT scan of the pelvis | $4,760 | $1,236 | $226 |
| CT scan of the pelvis with contrast | $4,760 | $1,236 | $226 |
| CT scan of the pelvis without contrast | $3,590 | $1,087 | $133 |
| CT scan of the sinuses | $3,282 | $1,284 | $152 |
| CT scan of the sinuses with contrast | $3,282 | $1,382 | $152 |
| CT scan of the sinuses without contrast | $2,934 | $1,186 | $128 |
| D-dimer test | $200 | $51 | $10 |
| Defibrillator (ICD) implant | $34,821 | $35,598 | $798 |
| Diagnostic mammogram | $440 | $142 | $140 |
| Drug screen (urine) | $482 | $38 | $17 |
| Echocardiogram | $1,910 | $661 | $138 |
| Echocardiogram with and without contrast | $1,910 | $661 | $101 |
| EEG (awake and asleep) | $1,674 | $575 | $482 |
| EKG / ECG (tracing only) | $381 | $208 | $7 |
| Electrocardiogram (EKG) | $90 | $208 | $8 |
| Electroencephalogram (EEG) | $1,599 | $575 | $448 |
| Electrolyte panel | $72 | $67 | $7 |
| Emergency department visit | $1,622 | $520 | $69 |
| Emergency department visit (level 1) | $472 | $215 | $11 |
| Emergency department visit (level 2) | $872 | $357 | $40 |
| Emergency department visit (level 3) | $1,622 | $520 | $69 |
| Emergency department visit (level 4) | $2,713 | $822 | $118 |
| Emergency department visit (level 5) | $4,220 | $1,273 | $171 |
| Epidural steroid injection | $4,371 | $732 | $275 |
| Fallopian tube X-ray (HSG) | $1,330 | $398 | $164 |
| Fecal occult blood (stool) test | $61 | $57 | $10 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $71 | $57 | $16 |
| Ferritin (iron) test | $128 | $47 | $14 |
| Fibrinogen test | $175 | $36 | $10 |
| Folate (folic acid) test | $109 | $17 | $15 |
| Foreign body removal (skin) | $2,223 | $422 | $157 |
| Free T4 thyroid test | $102 | $77 | $9 |
| Gallbladder scan (HIDA) | $1,966 | $844 | $334 |
| GGT liver test | $99 | $32 | $7 |
| Glucose tolerance test | $95 | $10 | $8 |
| H. pylori test | $117 | $28 | $67 |
| HDL cholesterol test | $39 | $32 | $8 |
| Hemodialysis | $1,831 | $740 | $75 |
| Hemoglobin A1c (diabetes test) | $80 | $75 | $10 |
| Hepatitis C test | $111 | $11 | $14 |
| Holter heart monitor | $748 | $333 | $26 |
| Iron blood test | $80 | $24 | $6 |
| IV infusion therapy | $706 | $309 | $44 |
| IV infusion therapy (each additional) | $301 | $170 | $21 |
| IV infusion therapy (initial) | $706 | $387 | $67 |
| IVC filter placement | $14,756 | $5,816 | $1,885 |
| Joint aspiration (small/intermediate) | $941 | $313 | $57 |
| Joint aspiration or injection (mid-size joint) | $1,025 | $313 | $57 |
| Joint aspiration or injection (small joint) | $857 | $313 | $56 |
| Kidney biopsy | $2,341 | $1,716 | $492 |
| Kidney scan (nuclear) | $3,046 | $613 | $172 |
| Kidney ultrasound | $848 | $128 | $84 |
| Kidney ultrasound (limited) | $795 | $128 | $61 |
| Knee joint injection | $1,271 | $321 | $69 |
| Lactate test | $206 | $84 | $12 |
| LDH test | $87 | $36 | $6 |
| LDL cholesterol test | $62 | $50 | $11 |
| Leg artery angiogram | $8,854 | $3,702 | $149 |
| Leg vein ultrasound (Doppler) | $1,478 | $378 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $1,154 | $378 | $116 |
| Lipid (cholesterol) panel | $156 | $28 | $13 |
| Liver biopsy | $3,478 | $1,716 | $288 |
| Liver function panel | $134 | $70 | $8 |
| Lung function test (PFT) | $801 | $249 | $37 |
| Lung scan (V/Q) | $2,750 | $1,539 | $291 |
| MMR vaccine | $165 | $27 | — |
| MRA of the brain | $6,238 | $900 | $226 |
| MRA of the neck | $4,004 | $1,093 | $245 |
| MRA of the neck without contrast | $4,732 | $1,286 | $343 |
| MRI of the abdomen | $4,390 | $1,052 | $300 |
| MRI of the abdomen with contrast | $4,390 | $971 | $300 |
| MRI of the abdomen without contrast | $3,450 | $1,052 | $194 |
| MRI of the ankle | $4,575 | $899 | $261 |
| MRI of the ankle with contrast | $4,575 | $898 | $261 |
| MRI of the ankle without contrast | $3,590 | $899 | $222 |
| MRI of the brain | $5,057 | $971 | $269 |
| MRI of the brain with contrast | $5,057 | $971 | $269 |
| MRI of the brain without contrast | $3,629 | $900 | $195 |
| MRI of the chest | $5,824 | $971 | $371 |
| MRI of the chest with contrast | $5,824 | $971 | $371 |
| MRI of the chest without contrast | $8,137 | $1,225 | $466 |
| MRI of the knee | $4,161 | $970 | $315 |
| MRI of the knee with contrast | $4,161 | $970 | $315 |
| MRI of the knee without contrast | $3,438 | $899 | $204 |
| MRI of the lower back (lumbar spine) | $4,995 | $971 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $4,995 | $971 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $3,282 | $900 | $192 |
| MRI of the mid-back (thoracic spine) | $4,995 | $925 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $6,838 | $1,286 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $4,995 | $925 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $3,646 | $900 | $190 |
| MRI of the neck (cervical spine) | $4,995 | $1,129 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $5,930 | $1,286 | $318 |
| MRI of the neck (cervical spine) without contrast | $3,735 | $971 | $191 |
| MRI of the pelvis | $4,995 | $971 | $268 |
| MRI of the pelvis with contrast | $4,995 | $971 | $268 |
| MRI of the pelvis without contrast | $3,612 | $900 | $227 |
| MRI of the shoulder | $4,161 | $900 | $313 |
| MRI of the shoulder with contrast | $4,161 | $847 | $313 |
| MRI of the shoulder without contrast | $3,304 | $900 | $205 |
| MRI of the wrist | $4,670 | $970 | $330 |
| MRI of the wrist with contrast | $4,670 | $970 | $330 |
| MRI of the wrist without contrast | $3,153 | $899 | $303 |
| Nebulizer breathing treatment | $465 | $259 | $9 |
| Nuchal translucency ultrasound | $762 | $125 | $116 |
| Nuclear cardiac stress test | $5,146 | $1,503 | $428 |
| Occupational therapy evaluation | $571 | $110 | $101 |
| Occupational therapy evaluation (high complexity) | $700 | $110 | $101 |
| Occupational therapy evaluation (low complexity) | $414 | $110 | $101 |
| Occupational therapy evaluation (moderate complexity) | $571 | $110 | $101 |
| Pelvic ultrasound | $778 | $449 | $78 |
| Pelvic ultrasound (complete) | $941 | $614 | $105 |
| Pelvic ultrasound (limited) | $616 | $284 | $51 |
| Phosphorus blood test | $76 | $36 | $5 |
| Physical therapy evaluation | $381 | $113 | $98 |
| Physical therapy evaluation (high complexity) | $454 | $113 | $98 |
| Physical therapy evaluation (moderate complexity) | $381 | $113 | $98 |
| Platelet count | $123 | $28 | $4 |
| Pneumonia vaccine | $207 | $35 | — |
| Pregnancy blood test (hCG) | $174 | $20 | $8 |
| Pregnancy ultrasound | $1,123 | $125 | $126 |
| Pregnancy ultrasound (first trimester) | $1,299 | $125 | $117 |
| Pregnancy ultrasound (second or third trimester) | $946 | $125 | $136 |
| Procalcitonin test | $202 | $33 | $27 |
| Prostate test (PSA) | $130 | $14 | $18 |
| Rheumatoid factor test | $68 | $43 | $6 |
| Scoliosis spine X-ray | $299 | $159 | $58 |
| Scoliosis spine X-ray (1 view) | $257 | $96 | $44 |
| Scoliosis spine X-ray (3 views) | $342 | $159 | $72 |
| Screening mammogram | $375 | $129 | $126 |
| Scrotal ultrasound | $890 | $459 | $99 |
| Sedimentation rate (ESR) test | $74 | $54 | $3 |
| Semen analysis | $149 | $65 | $12 |
| Sex hormone binding globulin test | $54 | $9 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $795 | $212 | $114 |
| Simple wound stitches | $798 | $212 | $127 |
| Soft tissue ultrasound | $767 | $179 | $64 |
| Speech therapy | $278 | $228 | $76 |
| Spinal cord stimulator | $8,254 | $7,329 | $2,388 |
| Spinal tap (lumbar puncture) | $2,066 | $732 | $165 |
| Spine fracture repair (kyphoplasty) | $10,968 | $9,955 | $5,803 |
| Spirometry (lung function test) | $487 | $165 | $30 |
| Spirometry with bronchodilator | $1,114 | $332 | $43 |
| Strep throat test | $171 | $26 | $17 |
| Stress echocardiogram | $3,741 | $1,627 | $209 |
| Stress echocardiogram (complete) | $3,338 | $1,664 | $233 |
| Swallow study | $348 | $291 | $85 |
| Tdap (tetanus) vaccine | $60 | $14 | — |
| Thyroid test (TSH) | $155 | $13 | $17 |
| Thyroid ultrasound | $907 | $125 | $109 |
| Thyroid uptake scan | $1,274 | $607 | $145 |
| Total IgE allergy test | $105 | $104 | $16 |
| Total protein test | $21 | $101 | $4 |
| Transesophageal echocardiogram (TEE) | $3,060 | $641 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $3,802 | $699 | $239 |
| Transvaginal ultrasound | $717 | $340 | $118 |
| Trigger point injection | $974 | $313 | $56 |
| Trigger point injection (1-2 muscles) | $840 | $313 | $52 |
| Triglycerides test | $92 | $29 | $6 |
| Troponin (heart) test | $286 | $42 | $12 |
| Upper GI series (barium) | $678 | $483 | $128 |
| Ureteral stent placement | $10,746 | $3,690 | $373 |
| Uric acid (gout) test | $67 | $40 | $5 |
| Urinalysis | $69 | $30 | $3 |
| Urine microalbumin test | $57 | $32 | $5 |
| Urine pregnancy test | $88 | $10 | $9 |
| Vaccine administration | $111 | $75 | $19 |
| Vaccine administration (each additional) | $99 | $43 | $16 |
| Vitamin B12 test | $121 | $17 | $15 |
| Wound debridement | $1,593 | $422 | $186 |
| X-ray of the abdomen | $504 | $116 | $36 |
| X-ray of the ankle | $605 | $96 | $37 |
| X-ray of the collarbone | $610 | $230 | $33 |
| X-ray of the elbow | $616 | $281 | $33 |
| X-ray of the facial bones | $484 | $318 | $39 |
| X-ray of the foot | $566 | $272 | $34 |
| X-ray of the forearm | $588 | $253 | $29 |
| X-ray of the hand | $566 | $285 | $38 |
| X-ray of the hip | $381 | $136 | $49 |
| X-ray of the hip (1 view) | $353 | $177 | $34 |
| X-ray of the hip (3 views) | $381 | $96 | $49 |
| X-ray of the knee | $459 | $266 | $42 |
| X-ray of the knee (2 views) | $403 | $138 | $34 |
| X-ray of the knee (3 views) | $459 | $266 | $42 |
| X-ray of the knee (4+ views) | $672 | $315 | $49 |
| X-ray of the lower back (lumbar spine) | $571 | $384 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $554 | $263 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $588 | $506 | $53 |
| X-ray of the lower leg | $577 | $259 | $31 |
| X-ray of the mid-back (thoracic spine) | $571 | $322 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $554 | $325 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $588 | $319 | $39 |
| X-ray of the neck (cervical spine) | $608 | $246 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $538 | $246 | $40 |
| X-ray of the pelvis | $540 | $153 | $36 |
| X-ray of the pelvis (1 view) | $526 | $182 | $28 |
| X-ray of the ribs | $616 | $325 | $42 |
| X-ray of the ribs (2 views) | $431 | $271 | $36 |
| X-ray of the ribs (3 views) | $616 | $325 | $42 |
| X-ray of the shoulder | $655 | $276 | $36 |
| X-ray of the skull | $843 | $325 | $40 |
| X-ray of the upper arm | $605 | $254 | $32 |
| X-ray of the wrist | $633 | $301 | $43 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
