| Procedure | Nazareth Hospital | Roxborough Memorial Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $42 | $24 | $51 |
| Abdominal fluid drain (paracentesis) | $225 | $927 | $284 |
| Abdominal ultrasound | $97 | $106 | $100 |
| Abdominal ultrasound (complete) | $110 | $106 | $114 |
| Abdominal ultrasound (limited) | $65 | $106 | $86 |
| Abscess drainage (simple) | $239 | $205 | $129 |
| Achilles tendon repair | $34,950 | $7,418 | $624 |
| ACL knee reconstruction | $31,627 | $7,418 | $889 |
| Aldosterone test | $454 | $40 | $41 |
| Alkaline phosphatase test | $62 | $5 | $5 |
| Alpha-fetoprotein (AFP) test | $211 | $16 | $17 |
| ALT liver enzyme test | $62 | $5 | $5 |
| Ammonia blood test | $157 | $14 | $15 |
| Antinuclear antibody (ANA) test | $198 | $12 | $12 |
| Arterial blood gas (ABG) | $214 | $26 | $26 |
| AST liver enzyme test | $62 | $5 | $5 |
| Barium swallow study | $321 | $179 | $107 |
| Bartholin cyst removal | $243 | $206 | $182 |
| Benign skin lesion removal | $320 | $723 | $171 |
| Bilirubin blood test | $55 | $5 | $5 |
| Blood clotting test (PT/INR) | $75 | $4 | $4 |
| Blood crossmatch | $163 | $174 | — |
| Blood glucose test | $96 | $4 | $5 |
| Blood transfusion | $445 | $451 | $47 |
| Blood type and screen | $316 | $53 | $10 |
| Blood type test | $70 | $87 | $3 |
| Blood type test (ABO group) | $83 | $136 | $3 |
| Blood type test (Rh/D antigen) | $57 | $38 | $3 |
| BNP (heart failure) test | $320 | $39 | $39 |
| Bone density scan (DEXA) | $562 | $106 | $39 |
| Bone marrow biopsy | $3,069 | $2,329 | $172 |
| Bone scan (nuclear) | $1,409 | $408 | $259 |
| Breast biopsy | $5,822 | $1,688 | $478 |
| Breast MRI | $4,282 | $243 | $216 |
| Breast MRI without contrast | $4,282 | $243 | $216 |
| Breast ultrasound | $891 | $97 | $92 |
| Breast ultrasound (complete) | $1,105 | $106 | $100 |
| Breast ultrasound (limited) | $677 | $88 | $84 |
| Breathing tube insertion (intubation) | $299 | $242 | $133 |
| Bronchoscopy | $3,438 | $1,819 | $303 |
| Bunion surgery (bunionectomy) | $27,904 | $7,418 | $883 |
| Burn dressing and debridement (medium) | $329 | $205 | $166 |
| Burn dressing and debridement (small) | $170 | $205 | $93 |
| Burn treatment | $249 | $205 | $129 |
| CA 19-9 tumor marker test | $295 | $20 | $21 |
| CA-125 ovarian marker test | $295 | $20 | $21 |
| Calcium blood test | $55 | $5 | $5 |
| Cardiac rehabilitation | $221 | $131 | $26 |
| Cardiac stress test | $180 | $220 | $39 |
| Cardioversion | $455 | $675 | $155 |
| Carotid artery ultrasound | $987 | $175 | $156 |
| CEA tumor marker test | $250 | $18 | $19 |
| Celiac disease test | $49 | $11 | $12 |
| Cervical LEEP procedure | $563 | $3,309 | $325 |
| Chest fluid drain (thoracentesis) | $2,218 | $641 | $311 |
| Chest tube insertion | $385 | $1,609 | $143 |
| Chest X-ray | $358 | $88 | $37 |
| Chest X-ray (2 views) | $395 | $88 | $33 |
| CK-MB heart enzyme test | $84 | $11 | $12 |
| Colonoscopy | $560 | $1,087 | $480 |
| Complete blood count (CBC) | $85 | $7 | $7 |
| Complex wound repair | $636 | $755 | $390 |
| Copper blood test | $168 | $12 | $12 |
| Coronary CT angiography | $2,024 | $356 | $326 |
| Cortisol test | $197 | $16 | $16 |
| COVID-19 PCR test | $125 | $51 | $51 |
| CPAP titration study | $439 | $223 | $69 |
| Creatine kinase (CK) test | $62 | $6 | $7 |
| CT angiography of the head | $1,886 | $179 | $274 |
| CT colonography (virtual colonoscopy) | $692 | $243 | $835 |
| CT scan of the abdomen | $2,189 | $179 | $230 |
| CT scan of the abdomen and pelvis | $4,241 | $356 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $4,967 | $356 | $338 |
| CT scan of the abdomen and pelvis with contrast | $4,241 | $356 | $300 |
| CT scan of the abdomen and pelvis without contrast | $3,593 | $243 | $183 |
| CT scan of the abdomen with contrast | $2,189 | $179 | $230 |
| CT scan of the arm | $1,799 | $179 | $199 |
| CT scan of the arm with contrast | $2,242 | $356 | $199 |
| CT scan of the chest | $1,877 | $179 | $167 |
| CT scan of the chest with and without contrast | $1,458 | $179 | $196 |
| CT scan of the head | $1,706 | $179 | $148 |
| CT scan of the head with and without contrast | $2,169 | $179 | $173 |
| CT scan of the head with contrast | $1,706 | $179 | $148 |
| CT scan of the leg | $1,853 | $179 | $166 |
| CT scan of the leg with contrast | $2,242 | $179 | $166 |
| CT scan of the lower back (lumbar spine) | $1,947 | $179 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $2,342 | $179 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,947 | $356 | $169 |
| CT scan of the neck | $1,737 | $179 | $183 |
| CT scan of the neck (cervical spine) | $1,947 | $179 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $2,359 | $179 | $196 |
| CT scan of the neck (cervical spine) with contrast | $1,947 | $356 | $168 |
| CT scan of the neck with and without contrast | $2,023 | $179 | $220 |
| CT scan of the neck with contrast | $1,737 | $179 | $183 |
| CT scan of the pelvis | $1,898 | $179 | $226 |
| CT scan of the pelvis with and without contrast | $2,538 | $179 | $251 |
| CT scan of the pelvis with contrast | $2,023 | $179 | $226 |
| CT scan of the sinuses | $1,639 | $179 | $152 |
| CT scan of the sinuses with and without contrast | $2,023 | $179 | $184 |
| CT scan of the sinuses with contrast | $1,780 | $179 | $152 |
| D-dimer test | $118 | $10 | $10 |
| DHEA-sulfate test | $263 | $22 | $22 |
| Diagnostic mammogram | $391 | $102 | $140 |
| Echocardiogram | $236 | $243 | $138 |
| Echocardiogram with and without contrast | $280 | $243 | $101 |
| Echocardiogram without contrast | $120 | $243 | $138 |
| EEG (awake and asleep) | $761 | $220 | $482 |
| Electrocardiogram (EKG) | $17 | $60 | $8 |
| Electroencephalogram (EEG) | $761 | $220 | $448 |
| Electrolyte panel | $85 | $7 | $7 |
| Emergency department visit | $250 | $279 | $69 |
| Emergency department visit (level 1) | $250 | $86 | $11 |
| Emergency department visit (level 2) | $250 | $156 | $40 |
| Emergency department visit (level 3) | $250 | $279 | $69 |
| Emergency department visit (level 4) | $250 | $426 | $118 |
| Emergency department visit (level 5) | $367 | $608 | $171 |
| ERCP (bile duct endoscopy) | $815 | $3,941 | $311 |
| Estradiol (estrogen) test | $263 | $27 | $28 |
| Facet joint injection (spine) | $5,037 | $904 | $99 |
| Fallopian tube X-ray (HSG) | $1,851 | $243 | $164 |
| Fecal occult blood (stool) test | $55 | $10 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $42 | $4 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $68 | $15 | $16 |
| Feeding tube (PEG) placement | $426 | $1,961 | $178 |
| Ferritin (iron) test | $177 | $13 | $14 |
| Fibrinogen test | $103 | $9 | $10 |
| Flu test | $99 | $16 | $17 |
| Folate (folic acid) test | $182 | $14 | $15 |
| Foreign body removal (skin) | $236 | $415 | $157 |
| Free T4 thyroid test | $155 | $9 | $9 |
| FSH hormone test | $209 | $18 | $19 |
| Gallbladder scan (HIDA) | $655 | $482 | $334 |
| GGT liver test | $69 | $7 | $7 |
| Glucose tolerance test | $36 | $8 | $8 |
| Hammertoe repair | $12,997 | $3,345 | $548 |
| HDL cholesterol test | $90 | $8 | $8 |
| Hemodialysis | $1,038 | $701 | $75 |
| Hemoglobin A1c (diabetes test) | $113 | $9 | $10 |
| Hepatitis B test | $152 | $10 | $10 |
| Hepatitis C test | $278 | $14 | $14 |
| HIV test | $218 | $19 | $19 |
| HIV test (antibody) | $238 | $13 | $14 |
| HIV test (antigen/antibody combo) | $199 | $24 | $24 |
| Holter heart monitor | $256 | $98 | $26 |
| Hysteroscopy | $498 | $3,309 | $1,270 |
| Iron blood test | $161 | $6 | $6 |
| IUD removal | $210 | $311 | $112 |
| IVC filter placement | $10,232 | $5,688 | $1,885 |
| Joint aspiration (small/intermediate) | $158 | $313 | $57 |
| Joint aspiration or injection (mid-size joint) | $100 | $313 | $57 |
| Kidney biopsy | $2,145 | $1,688 | $492 |
| Kidney scan (nuclear) | $798 | $555 | $172 |
| Kidney stone shock-wave (lithotripsy) | $6,221 | $3,603 | $760 |
| Kidney ultrasound | $350 | $106 | $84 |
| Kidney ultrasound (limited) | $150 | $106 | $61 |
| Knee arthroscopy | $31,627 | $3,345 | $524 |
| Knee joint injection | $196 | $313 | $69 |
| Lactate test | $134 | $11 | $12 |
| Laryngoscopy | $1,942 | $1,012 | $189 |
| LDH test | $68 | $6 | $6 |
| LDL cholesterol test | $84 | $10 | $11 |
| Leg artery angiogram | $392 | $3,227 | $149 |
| Leg artery angioplasty | $16,087 | $8,526 | — |
| Leg vein ultrasound (Doppler) | $833 | $175 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $833 | $106 | $116 |
| LH hormone test | $209 | $18 | $19 |
| Lipid (cholesterol) panel | $171 | $13 | $13 |
| Liver biopsy | $1,788 | $1,688 | $288 |
| Lung function test (PFT) | $648 | $301 | $37 |
| Lung scan (V/Q) | $1,457 | $555 | $291 |
| MRA of the brain | $2,737 | $356 | $226 |
| MRA of the brain with contrast | $1,027 | $356 | $226 |
| MRA of the brain without contrast | $3,236 | $356 | $328 |
| MRA of the neck | $2,824 | $356 | $245 |
| MRA of the neck with contrast | $1,037 | $356 | $245 |
| MRA of the neck without contrast | $3,407 | $356 | $343 |
| MRI of the abdomen | $3,477 | $356 | $300 |
| MRI of the abdomen with contrast | $3,477 | $356 | $300 |
| MRI of the abdomen without contrast | $3,041 | $243 | $194 |
| MRI of the ankle | $5,148 | $356 | $261 |
| MRI of the ankle without contrast | $3,472 | $243 | $222 |
| MRI of the brain | $3,303 | $356 | $269 |
| MRI of the brain with contrast | $3,303 | $356 | $269 |
| MRI of the brain without contrast | $2,797 | $243 | $195 |
| MRI of the chest | $2,167 | $356 | $371 |
| MRI of the chest without contrast | $2,447 | $356 | $466 |
| MRI of the knee | $4,638 | $356 | $315 |
| MRI of the knee with contrast | $4,638 | $801 | $315 |
| MRI of the knee without contrast | $4,512 | $243 | $204 |
| MRI of the lower back (lumbar spine) | $3,146 | $356 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $3,146 | $356 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $2,876 | $243 | $192 |
| MRI of the mid-back (thoracic spine) | $2,784 | $356 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $6,115 | $356 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $2,784 | $356 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $2,631 | $243 | $190 |
| MRI of the neck (cervical spine) | $2,738 | $356 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $6,115 | $356 | $318 |
| MRI of the neck (cervical spine) with contrast | $2,738 | $356 | $274 |
| MRI of the neck (cervical spine) without contrast | $2,644 | $243 | $191 |
| MRI of the pelvis | $2,305 | $356 | $268 |
| MRI of the pelvis with contrast | $2,305 | $356 | $268 |
| MRI of the pelvis without contrast | $2,168 | $243 | $227 |
| MRI of the shoulder | $5,512 | $356 | $313 |
| MRI of the shoulder with contrast | $6,782 | $801 | $313 |
| MRI of the shoulder without contrast | $3,370 | $243 | $205 |
| MRI of the wrist | $3,575 | $356 | $330 |
| MRI of the wrist with contrast | $3,575 | $356 | $330 |
| MRI of the wrist without contrast | $2,738 | $243 | $303 |
| Nebulizer breathing treatment | $148 | $223 | $9 |
| Nuclear cardiac stress test | $1,664 | $1,323 | $428 |
| Occupational therapy evaluation | $180 | $103 | $101 |
| Occupational therapy evaluation (high complexity) | $220 | $103 | $101 |
| Occupational therapy evaluation (low complexity) | $137 | $103 | $101 |
| Occupational therapy evaluation (moderate complexity) | $180 | $103 | $101 |
| Orthopedic hardware removal | $15,394 | $2,969 | $632 |
| Pacemaker insertion | $53,139 | $20,074 | $15,506 |
| Pap smear (cervical screening) | $228 | $20 | $20 |
| Parathyroid hormone (PTH) test | $73 | $41 | $41 |
| Pelvic ultrasound | $488 | $106 | $78 |
| Pelvic ultrasound (complete) | $1,277 | $106 | $105 |
| Pelvic ultrasound (limited) | $169 | $106 | $51 |
| PET scan | $5,064 | $1,461 | — |
| Physical therapy evaluation | $276 | $100 | $98 |
| Physical therapy evaluation (high complexity) | $365 | $100 | $98 |
| Physical therapy evaluation (moderate complexity) | $276 | $100 | $98 |
| Platelet count | $60 | $4 | $4 |
| Pregnancy ultrasound | $878 | $106 | $126 |
| Pregnancy ultrasound (first trimester) | $878 | $106 | $117 |
| Pregnancy ultrasound (second or third trimester) | $878 | $106 | $136 |
| Procalcitonin test | $92 | $27 | $27 |
| Prolactin test | $209 | $19 | $19 |
| Prostate test (PSA) | $209 | $18 | $18 |
| Psychiatric evaluation | $365 | $181 | $188 |
| Radiofrequency nerve ablation | $6,164 | $1,996 | $462 |
| Rheumatoid factor test | $108 | $6 | $6 |
| Scoliosis spine X-ray | $401 | $97 | $58 |
| Scoliosis spine X-ray (1 view) | $308 | $88 | $44 |
| Scoliosis spine X-ray (3 views) | $494 | $106 | $72 |
| Screening colonoscopy | $478 | $950 | $378 |
| Screening mammogram | $326 | $94 | $126 |
| Scrotal ultrasound | $666 | $106 | $99 |
| Sex hormone binding globulin test | $92 | $21 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $179 | $205 | $114 |
| Simple wound stitches | $185 | $205 | $127 |
| Skin biopsy | $177 | $415 | $121 |
| Skin biopsy (punch) | $103 | $415 | $121 |
| Skin graft | $1,615 | $2,866 | $898 |
| Soft tissue ultrasound | $70 | $106 | $64 |
| Speech therapy | $62 | $78 | $76 |
| Spinal tap (lumbar puncture) | $1,732 | $721 | $165 |
| Spine fracture repair (kyphoplasty) | $11,458 | $7,418 | $5,803 |
| Spirometry (lung function test) | $461 | $220 | $30 |
| Spirometry with bronchodilator | $836 | $381 | $43 |
| Strep throat test | $92 | $16 | $17 |
| Stress echocardiogram | $1,157 | $558 | $209 |
| Stress echocardiogram (complete) | $1,274 | $558 | $233 |
| Swallow study | $422 | $59 | $85 |
| T3 thyroid test | $212 | $14 | $14 |
| Testosterone test | $283 | $25 | $26 |
| Thyroid test (TSH) | $209 | $16 | $17 |
| Thyroid ultrasound | $342 | $106 | $109 |
| Thyroid uptake scan | $826 | $408 | $145 |
| Total IgE allergy test | $180 | $16 | $16 |
| Tracheostomy | $670 | $3,389 | $273 |
| Transesophageal echocardiogram (TEE) | $255 | $558 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $255 | $558 | $239 |
| Transvaginal ultrasound | $1,219 | $106 | $118 |
| Triglycerides test | $115 | $5 | $6 |
| Upper GI endoscopy (EGD) | $285 | $927 | $371 |
| Upper GI series (barium) | $356 | $179 | $128 |
| Urine microalbumin test | $109 | $5 | $5 |
| Urine pregnancy test | $90 | $8 | $9 |
| Varicose vein ablation | $6,423 | $3,227 | $1,018 |
| Vitamin B12 test | $210 | $15 | $15 |
| Vitamin D test | $314 | $29 | $30 |
| Wound debridement | $284 | $415 | $186 |
| X-ray of the abdomen | $236 | $97 | $36 |
| X-ray of the ankle | $527 | $88 | $37 |
| X-ray of the collarbone | $312 | $88 | $33 |
| X-ray of the elbow | $558 | $88 | $33 |
| X-ray of the facial bones | $338 | $97 | $39 |
| X-ray of the forearm | $517 | $88 | $29 |
| X-ray of the hand | $447 | $88 | $38 |
| X-ray of the hip | $306 | $88 | $49 |
| X-ray of the hip (1 view) | $197 | $88 | $34 |
| X-ray of the hip (3 views) | $417 | $88 | $49 |
| X-ray of the hip (4 views) | $339 | $106 | $63 |
| X-ray of the knee | $353 | $88 | $42 |
| X-ray of the knee (2 views) | $294 | $88 | $34 |
| X-ray of the knee (3 views) | $306 | $88 | $42 |
| X-ray of the knee (4+ views) | $545 | $106 | $49 |
| X-ray of the lower back (lumbar spine) | $487 | $106 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $426 | $106 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $549 | $106 | $53 |
| X-ray of the lower leg | $495 | $88 | $31 |
| X-ray of the mid-back (thoracic spine) | $382 | $106 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $400 | $106 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $363 | $106 | $39 |
| X-ray of the neck (cervical spine) | $451 | $97 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $325 | $88 | $40 |
| X-ray of the pelvis | $461 | $106 | $36 |
| X-ray of the ribs | $352 | $106 | $42 |
| X-ray of the ribs (2 views) | $386 | $88 | $36 |
| X-ray of the ribs (3 views) | $320 | $106 | $42 |
| X-ray of the shoulder | $487 | $88 | $36 |
| X-ray of the skull | $460 | $106 | $40 |
| X-ray of the upper arm | $309 | $88 | $32 |
| X-ray of the wrist | $433 | $88 | $43 |
| Zinc blood test | $168 | $11 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
