| Procedure | Meritus Medical Center | Jefferson Medical Center | Medicare |
|---|
| Abdominal ultrasound | $639 | $241 | $100 |
| Abdominal ultrasound (complete) | $717 | $241 | $114 |
| Abdominal ultrasound (limited) | $561 | $236 | $86 |
| Abscess drainage (complex or multiple) | $2,644 | $390 | $220 |
| Abscess drainage (simple) | $1,586 | $153 | $129 |
| Abscess incision and drainage | $2,115 | $193 | $174 |
| Albumin blood test | $7 | $19 | $5 |
| Aldosterone test | $82 | $24 | $41 |
| Alkaline phosphatase test | $7 | $25 | $5 |
| Alpha-fetoprotein (AFP) test | $49 | $49 | $17 |
| ALT liver enzyme test | $7 | $45 | $5 |
| Ammonia blood test | $65 | $30 | $15 |
| Amylase test | $20 | $143 | $6 |
| Antinuclear antibody (ANA) test | $49 | $66 | $12 |
| Arterial blood gas (ABG) | $101 | $100 | $26 |
| AST liver enzyme test | $7 | $49 | $5 |
| Barium swallow study | $717 | $366 | $107 |
| Basic metabolic panel | $36 | $39 | $8 |
| Benign skin lesion removal | $1,234 | $270 | $171 |
| Bilirubin blood test | $20 | $25 | $5 |
| Bladder scope (cystoscopy) | $1,586 | $571 | $216 |
| Blood clotting test (PT/INR) | $26 | $43 | $4 |
| Blood crossmatch | $26 | $140 | — |
| Blood glucose test | $13 | $24 | $5 |
| Blood transfusion | $1,414 | $646 | $47 |
| Blood type and screen | $39 | $65 | $10 |
| Blood type test | $13 | $25 | $3 |
| Blood type test (ABO group) | $13 | $27 | $3 |
| Blood type test (Rh/D antigen) | $13 | $25 | $3 |
| BNP (heart failure) test | $98 | $73 | $39 |
| Bone scan (nuclear) | $1,248 | $352 | $259 |
| Breast ultrasound | $545 | $154 | $92 |
| Breast ultrasound (complete) | $623 | $154 | $100 |
| Breast ultrasound (limited) | $467 | $154 | $84 |
| Breathing tube insertion (intubation) | $62 | $481 | $133 |
| Burn dressing and debridement (medium) | $1,058 | $116 | $166 |
| Burn dressing and debridement (small) | $529 | $201 | $93 |
| Burn treatment | $793 | $116 | $129 |
| C-reactive protein (CRP) | $49 | $41 | $5 |
| CA 19-9 tumor marker test | $108 | $91 | $21 |
| CA-125 ovarian marker test | $108 | $91 | $21 |
| Calcium blood test | $7 | $21 | $5 |
| Cardiac stress test | $84 | $78 | $39 |
| CEA tumor marker test | $82 | $140 | $19 |
| Celiac disease test | $72 | $34 | $12 |
| Chemotherapy infusion | $578 | $310 | $81 |
| Chemotherapy infusion (each additional) | $386 | $149 | $28 |
| Chemotherapy infusion (first hour) | $771 | $471 | $133 |
| Chest X-ray | $171 | $93 | $37 |
| Chest X-ray (1 view) | $125 | $92 | $25 |
| Chest X-ray (2 views) | $156 | $93 | $33 |
| CK-MB heart enzyme test | $49 | $17 | $12 |
| Clotting time test (PTT) | $26 | $54 | $6 |
| Complete blood count (CBC) | $29 | $57 | $7 |
| Complete blood count (CBC) (complete) | $33 | $50 | $8 |
| Comprehensive metabolic panel | $49 | $49 | $11 |
| Copper blood test | $82 | $8 | $12 |
| Cortisol test | $49 | $32 | $16 |
| CPAP titration study | $295 | $345 | $69 |
| Creatine kinase (CK) test | $20 | $29 | $7 |
| CT scan of the neck with and without contrast | $171 | $577 | $220 |
| D-dimer test | $49 | $66 | $10 |
| DHEA-sulfate test | $49 | $62 | $22 |
| Drug screen (urine) | $82 | $100 | $17 |
| EKG / ECG (tracing only) | $33 | $117 | $7 |
| Electrocardiogram (EKG) | $33 | $63 | $8 |
| Electrolyte panel | $26 | $33 | $7 |
| Emergency department visit | $238 | $169 | $69 |
| Emergency department visit (level 1) | $119 | $76 | $11 |
| Emergency department visit (level 2) | $119 | $123 | $40 |
| Emergency department visit (level 3) | $238 | $176 | $69 |
| Emergency department visit (level 4) | $476 | $293 | $118 |
| Emergency department visit (level 5) | $833 | $440 | $171 |
| Estradiol (estrogen) test | $49 | $82 | $28 |
| Family therapy session | $245 | $104 | $110 |
| Fecal occult blood (stool) test | $49 | $26 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $16 | $21 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $82 | $31 | $16 |
| Ferritin (iron) test | $49 | $103 | $14 |
| Fibrinogen test | $29 | $55 | $10 |
| Folate (folic acid) test | $49 | $90 | $15 |
| Foreign body removal (skin) | $529 | $250 | $157 |
| Free T4 thyroid test | $49 | $58 | $9 |
| FSH hormone test | $49 | $56 | $19 |
| Gallbladder scan (HIDA) | $2,086 | $445 | $334 |
| GGT liver test | $7 | $22 | $7 |
| Glucose tolerance test | $31 | $81 | $8 |
| HDL cholesterol test | $49 | $35 | $8 |
| Hematocrit test | $13 | $5 | $2 |
| Hemoglobin A1c (diabetes test) | $65 | $53 | $10 |
| Hemorrhoid removal | $846 | $216 | $338 |
| Hepatitis B test | $82 | $42 | $10 |
| Hepatitis C test | $82 | $87 | $14 |
| Iron blood test | $20 | $54 | $6 |
| IV infusion therapy | $386 | $122 | $44 |
| IV infusion therapy (each additional) | $257 | $99 | $21 |
| IV infusion therapy (initial) | $514 | $231 | $67 |
| Joint aspiration (small/intermediate) | $529 | $166 | $57 |
| Joint aspiration or injection (mid-size joint) | $529 | $166 | $57 |
| Kidney scan (nuclear) | $695 | $882 | $172 |
| Kidney ultrasound | $467 | $238 | $84 |
| Kidney ultrasound (limited) | $249 | $234 | $61 |
| Knee joint injection | $1,058 | $294 | $69 |
| Lactate test | $65 | $73 | $12 |
| LDH test | $13 | $21 | $6 |
| LDL cholesterol test | $49 | $20 | $11 |
| Leg vein ultrasound (Doppler) | $1,153 | $352 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $872 | $345 | $116 |
| LH hormone test | $82 | $38 | $19 |
| Lipase test | $26 | $35 | $7 |
| Lipid (cholesterol) panel | $62 | $63 | $13 |
| Liver function panel | $36 | $38 | $8 |
| Lung function test (PFT) | $413 | $101 | $37 |
| Lung scan (V/Q) | $1,677 | $847 | $291 |
| Magnesium blood test | $20 | $20 | $7 |
| MRA of the neck without contrast | $1,780 | $974 | $343 |
| MRI of the abdomen | $1,273 | $660 | $300 |
| MRI of the abdomen without contrast | $902 | $640 | $194 |
| MRI of the ankle | $1,125 | $659 | $261 |
| MRI of the ankle without contrast | $1,026 | $638 | $222 |
| MRI of the brain | $803 | $662 | $269 |
| MRI of the brain without contrast | $544 | $641 | $195 |
| MRI of the chest | $1,298 | $956 | $371 |
| MRI of the chest without contrast | $1,619 | $1,837 | $466 |
| MRI of the knee | $1,038 | $1,207 | $315 |
| MRI of the knee with contrast | $1,038 | $1,382 | $315 |
| MRI of the knee without contrast | $581 | $639 | $204 |
| MRI of the lower back (lumbar spine) | $803 | $662 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $519 | $641 | $192 |
| MRI of the mid-back (thoracic spine) | $816 | $662 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $927 | $987 | $319 |
| MRI of the mid-back (thoracic spine) without contrast | $519 | $641 | $190 |
| MRI of the neck (cervical spine) | $816 | $662 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $914 | $987 | $318 |
| MRI of the neck (cervical spine) without contrast | $519 | $641 | $191 |
| MRI of the pelvis | $1,125 | $640 | $268 |
| MRI of the pelvis without contrast | $1,050 | $621 | $227 |
| MRI of the shoulder | $1,026 | $1,206 | $313 |
| MRI of the shoulder with contrast | $1,026 | $1,382 | $313 |
| MRI of the shoulder without contrast | $581 | $638 | $205 |
| MRI of the wrist | $1,112 | $659 | $330 |
| MRI of the wrist without contrast | $1,038 | $638 | $303 |
| Nebulizer breathing treatment | $640 | $68 | $9 |
| Nerve conduction study | $147 | $74 | $118 |
| Nuclear cardiac stress test | $2,352 | $1,536 | $428 |
| Occupational therapy evaluation | $302 | $175 | $101 |
| Occupational therapy evaluation (high complexity) | $302 | $175 | $101 |
| Occupational therapy evaluation (low complexity) | $302 | $175 | $101 |
| Occupational therapy evaluation (moderate complexity) | $302 | $175 | $101 |
| Office visit (established patient) | $193 | $84 | $115 |
| Office visit (new patient) | $214 | $114 | $177 |
| Office visit, established patient (level 3) | $171 | $69 | $95 |
| Office visit, established patient (level 4) | $214 | $101 | $136 |
| Office visit, new patient (level 3) | $171 | $88 | $118 |
| Office visit, new patient (level 4) | $214 | $135 | $177 |
| Office visit, new patient (level 5) | $257 | $185 | $237 |
| Pap smear (cervical screening) | $131 | $59 | $20 |
| Parathyroid hormone (PTH) test | $49 | $114 | $41 |
| Pelvic ultrasound | $436 | $155 | $78 |
| Pelvic ultrasound (complete) | $654 | $239 | $105 |
| Pelvic ultrasound (limited) | $218 | $150 | $51 |
| Phosphorus blood test | $7 | $40 | $5 |
| Physical therapy evaluation | $497 | $174 | $98 |
| Physical therapy evaluation (high complexity) | $497 | $174 | $98 |
| Physical therapy evaluation (moderate complexity) | $497 | $174 | $98 |
| Platelet count | $13 | $49 | $4 |
| Pregnancy blood test (hCG) | $33 | $47 | $8 |
| Pregnancy ultrasound | $732 | $448 | $126 |
| Pregnancy ultrasound (first trimester) | $654 | $466 | $117 |
| Pregnancy ultrasound (second or third trimester) | $810 | $250 | $136 |
| Procalcitonin test | $490 | $170 | $27 |
| Prolactin test | $65 | $50 | $19 |
| Prostate test (PSA) | $65 | $112 | $18 |
| Psychiatric evaluation | $294 | $177 | $188 |
| Psychotherapy session | $306 | $151 | $140 |
| Scoliosis spine X-ray | $312 | $96 | $58 |
| Scoliosis spine X-ray (1 view) | $218 | $95 | $44 |
| Scoliosis spine X-ray (3 views) | $405 | $101 | $72 |
| Scrotal ultrasound | $312 | $237 | $99 |
| Sedimentation rate (ESR) test | $18 | $24 | $3 |
| Semen analysis | $60 | $99 | $12 |
| Sex hormone binding globulin test | $82 | $14 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $1,058 | $169 | $114 |
| Simple wound stitches | $1,058 | $177 | $127 |
| Skin biopsy | $1,058 | $222 | $121 |
| Skin biopsy (punch) | $1,058 | $217 | $121 |
| Skin cancer lesion removal | $1,939 | $184 | $240 |
| Soft tissue ultrasound | $93 | $181 | $64 |
| Speech therapy | $182 | $143 | $76 |
| Spirometry (lung function test) | $333 | $100 | $30 |
| Spirometry with bronchodilator | $492 | $171 | $43 |
| Strep throat test | $82 | $41 | $17 |
| Swallow study | $243 | $319 | $85 |
| T3 thyroid test | $49 | $88 | $14 |
| Testosterone test | $49 | $51 | $26 |
| Thyroid test (TSH) | $49 | $44 | $17 |
| Thyroid ultrasound | $779 | $235 | $109 |
| Total IgE allergy test | $49 | $53 | $16 |
| Total protein test | $7 | $38 | $4 |
| Transvaginal ultrasound | $779 | $239 | $118 |
| Triglycerides test | $7 | $34 | $6 |
| Troponin (heart) test | $82 | $67 | $12 |
| Upper GI series (barium) | $748 | $321 | $128 |
| Uric acid (gout) test | $7 | $43 | $5 |
| Urinalysis | $21 | $19 | $3 |
| Urine microalbumin test | $41 | $16 | $5 |
| Urine pregnancy test | $33 | $35 | $9 |
| Vitamin B12 test | $49 | $93 | $15 |
| Vitamin D test | $49 | $42 | $30 |
| Wound debridement | $1,974 | $160 | $186 |
| X-ray of the abdomen | $218 | $93 | $36 |
| X-ray of the ankle | $187 | $91 | $37 |
| X-ray of the collarbone | $156 | $91 | $33 |
| X-ray of the elbow | $187 | $91 | $33 |
| X-ray of the facial bones | $203 | $94 | $39 |
| X-ray of the foot | $187 | $91 | $34 |
| X-ray of the forearm | $156 | $91 | $29 |
| X-ray of the hand | $187 | $91 | $38 |
| X-ray of the hip | $249 | $92 | $49 |
| X-ray of the hip (1 view) | $187 | $91 | $34 |
| X-ray of the hip (3 views) | $249 | $94 | $49 |
| X-ray of the knee | $218 | $93 | $42 |
| X-ray of the knee (2 views) | $187 | $91 | $34 |
| X-ray of the knee (3 views) | $218 | $92 | $42 |
| X-ray of the knee (4+ views) | $249 | $93 | $49 |
| X-ray of the lower back (lumbar spine) | $249 | $119 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $218 | $117 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $280 | $157 | $53 |
| X-ray of the lower leg | $187 | $91 | $31 |
| X-ray of the mid-back (thoracic spine) (3 views) | $218 | $99 | $39 |
| X-ray of the neck (cervical spine) | $218 | $100 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $187 | $99 | $40 |
| X-ray of the pelvis (1 view) | $187 | $91 | $28 |
| X-ray of the ribs (2 views) | $187 | $92 | $36 |
| X-ray of the ribs (3 views) | $187 | $94 | $42 |
| X-ray of the shoulder | $156 | $94 | $36 |
| X-ray of the skull | $234 | $99 | $40 |
| X-ray of the upper arm | $187 | $93 | $32 |
| X-ray of the wrist | $218 | $91 | $43 |
| Zinc blood test | $82 | $6 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
