| Procedure | Nazareth Hospital | Shriners Hospitals for Children-Philadelphia | Medicare |
|---|
| Abdominal ultrasound | $97 | $666 | $100 |
| Abdominal ultrasound (complete) | $110 | $727 | $114 |
| Abdominal ultrasound (limited) | $65 | $606 | $86 |
| Abscess drainage (simple) | $239 | $355 | $129 |
| ACL knee reconstruction | $31,627 | $17,593 | $889 |
| Aldosterone test | $454 | $336 | $41 |
| Alkaline phosphatase test | $62 | $46 | $5 |
| Alpha-fetoprotein (AFP) test | $211 | $148 | $17 |
| ALT liver enzyme test | $62 | $47 | $5 |
| Ammonia blood test | $157 | $129 | $15 |
| Amylase test | $77 | $57 | $6 |
| Antinuclear antibody (ANA) test | $198 | $107 | $12 |
| Arterial blood gas (ABG) | $214 | $332 | $26 |
| AST liver enzyme test | $62 | $46 | $5 |
| Barium swallow study | $321 | $545 | $107 |
| Basic metabolic panel | $501 | $75 | $8 |
| Benign skin lesion removal | $320 | $3,422 | $171 |
| Bilirubin blood test | $55 | $98 | $5 |
| Blood clotting test (PT/INR) | $75 | $35 | $4 |
| Blood crossmatch | $163 | $91 | — |
| Blood glucose test | $96 | $34 | $5 |
| Blood transfusion | $445 | $2,063 | $47 |
| Blood type and screen | $316 | $91 | $10 |
| Blood type test | $70 | $53 | $3 |
| Blood type test (ABO group) | $83 | $53 | $3 |
| Blood type test (Rh/D antigen) | $57 | $52 | $3 |
| BNP (heart failure) test | $320 | $300 | $39 |
| Bone density scan (DEXA) | $562 | $451 | $39 |
| Bone scan (nuclear) | $1,409 | $1,574 | $259 |
| Breathing tube insertion (intubation) | $299 | $981 | $133 |
| Burn dressing and debridement (medium) | $329 | $355 | $166 |
| Burn dressing and debridement (small) | $170 | $355 | $93 |
| Burn treatment | $249 | $355 | $129 |
| C-reactive protein (CRP) | $108 | $46 | $5 |
| Calcium blood test | $55 | $46 | $5 |
| Celiac disease test | $49 | $61 | $12 |
| Chemotherapy infusion | $276 | $1,028 | $81 |
| Chemotherapy infusion (each additional) | $138 | $354 | $28 |
| Chemotherapy infusion (first hour) | $413 | $1,701 | $133 |
| Chest X-ray | $358 | $336 | $37 |
| Chest X-ray (2 views) | $395 | $336 | $33 |
| Complete blood count (CBC) | $85 | $69 | $7 |
| Complex wound repair | $636 | $3,369 | $390 |
| Comprehensive metabolic panel | $811 | $93 | $11 |
| Copper blood test | $168 | $74 | $12 |
| Cortisol test | $197 | $144 | $16 |
| COVID-19 PCR test | $125 | $59 | $51 |
| CPAP titration study | $439 | $593 | $69 |
| Creatine kinase (CK) test | $62 | $58 | $7 |
| CT angiography of the chest | $2,021 | $2,119 | $281 |
| CT angiography of the head | $1,886 | $2,119 | $274 |
| CT scan of the abdomen | $2,189 | $1,849 | $230 |
| CT scan of the abdomen and pelvis | $4,241 | $3,558 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $4,967 | $3,558 | $338 |
| CT scan of the abdomen and pelvis with contrast | $4,241 | $3,558 | $300 |
| CT scan of the abdomen and pelvis without contrast | $3,593 | $2,508 | $183 |
| CT scan of the abdomen with and without contrast | $2,557 | $2,076 | $259 |
| CT scan of the abdomen with contrast | $2,189 | $1,849 | $230 |
| CT scan of the abdomen without contrast | $1,810 | $1,214 | $136 |
| CT scan of the arm | $1,799 | $1,849 | $199 |
| CT scan of the arm with contrast | $2,242 | $1,849 | $199 |
| CT scan of the arm without contrast | $1,235 | $1,214 | $161 |
| CT scan of the chest | $1,877 | $1,849 | $167 |
| CT scan of the chest with and without contrast | $1,458 | $2,076 | $196 |
| CT scan of the chest without contrast | $1,625 | $1,214 | $133 |
| CT scan of the head | $1,706 | $1,849 | $148 |
| CT scan of the head with and without contrast | $2,169 | $2,076 | $173 |
| CT scan of the head with contrast | $1,706 | $1,849 | $148 |
| CT scan of the head without contrast | $1,459 | $1,214 | $107 |
| CT scan of the leg | $1,853 | $1,849 | $166 |
| CT scan of the leg with contrast | $2,242 | $1,849 | $166 |
| CT scan of the leg without contrast | $1,853 | $1,214 | $130 |
| CT scan of the lower back (lumbar spine) | $1,947 | $5,547 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $2,342 | $6,229 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,947 | $5,547 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,693 | $3,643 | $130 |
| CT scan of the neck | $1,737 | $1,849 | $183 |
| CT scan of the neck (cervical spine) | $1,947 | $5,547 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $2,359 | $6,229 | $196 |
| CT scan of the neck (cervical spine) with contrast | $1,947 | $5,547 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,693 | $3,643 | $131 |
| CT scan of the neck with and without contrast | $2,023 | $2,076 | $220 |
| CT scan of the neck with contrast | $1,737 | $1,849 | $183 |
| CT scan of the neck without contrast | $1,420 | $1,214 | $150 |
| CT scan of the pelvis | $1,898 | $1,849 | $226 |
| CT scan of the pelvis with and without contrast | $2,538 | $2,076 | $251 |
| CT scan of the pelvis with contrast | $2,023 | $1,849 | $226 |
| CT scan of the pelvis without contrast | $1,772 | $1,214 | $133 |
| CT scan of the sinuses | $1,639 | $1,849 | $152 |
| CT scan of the sinuses with and without contrast | $2,023 | $2,076 | $184 |
| CT scan of the sinuses with contrast | $1,780 | $1,849 | $152 |
| CT scan of the sinuses without contrast | $1,498 | $1,214 | $128 |
| D-dimer test | $118 | $90 | $10 |
| DHEA-sulfate test | $263 | $192 | $22 |
| Electrocardiogram (EKG) | $17 | $165 | $8 |
| Electrolyte panel | $85 | $62 | $7 |
| Estradiol (estrogen) test | $263 | $237 | $28 |
| Facet joint injection (spine) | $5,037 | $4,493 | $99 |
| Ferritin (iron) test | $177 | $120 | $14 |
| Fibrinogen test | $103 | $75 | $10 |
| Flu test | $99 | $102 | $17 |
| Folate (folic acid) test | $182 | $130 | $15 |
| Free T4 thyroid test | $155 | $80 | $9 |
| FSH hormone test | $209 | $164 | $19 |
| GGT liver test | $69 | $64 | $7 |
| Glucose tolerance test | $36 | $111 | $8 |
| HDL cholesterol test | $90 | $71 | $8 |
| Hemoglobin A1c (diabetes test) | $113 | $86 | $10 |
| Hepatitis B test | $152 | $91 | $10 |
| Hepatitis C test | $278 | $126 | $14 |
| HIV test | $218 | $162 | $19 |
| HIV test (antibody) | $238 | $121 | $14 |
| HIV test (antigen/antibody combo) | $199 | $204 | $24 |
| Iron blood test | $161 | $57 | $6 |
| Joint aspiration (small/intermediate) | $158 | $1,434 | $57 |
| Joint aspiration or injection (mid-size joint) | $100 | $1,434 | $57 |
| Kidney ultrasound | $350 | $666 | $84 |
| Kidney ultrasound (limited) | $150 | $606 | $61 |
| Knee joint injection | $196 | $1,434 | $69 |
| Lactate test | $134 | $93 | $12 |
| Laryngoscopy | $1,942 | $942 | $189 |
| LDH test | $68 | $53 | $6 |
| LDL cholesterol test | $84 | $55 | $11 |
| Leg vein ultrasound (Doppler) | $833 | $965 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $833 | $606 | $116 |
| LH hormone test | $209 | $164 | $19 |
| Lipase test | $97 | $61 | $7 |
| Lipid (cholesterol) panel | $171 | $118 | $13 |
| Liver function panel | $263 | $72 | $8 |
| Lung function test (PFT) | $648 | $593 | $37 |
| MRA of the brain | $2,737 | $2,639 | $226 |
| MRA of the brain with contrast | $1,027 | $2,639 | $226 |
| MRA of the brain without contrast | $3,236 | $3,333 | $328 |
| MRA of the neck | $2,824 | $2,639 | $245 |
| MRA of the neck with contrast | $1,037 | $2,639 | $245 |
| MRA of the neck without contrast | $3,407 | $3,333 | $343 |
| MRI of the abdomen | $3,477 | $2,639 | $300 |
| MRI of the abdomen with contrast | $3,477 | $2,639 | $300 |
| MRI of the abdomen without contrast | $3,041 | $2,176 | $194 |
| MRI of the ankle | $5,148 | $2,639 | $261 |
| MRI of the ankle without contrast | $3,472 | $2,176 | $222 |
| MRI of the brain | $3,303 | $2,639 | $269 |
| MRI of the brain with contrast | $3,303 | $2,639 | $269 |
| MRI of the brain without contrast | $2,797 | $2,176 | $195 |
| MRI of the chest | $2,167 | $2,639 | $371 |
| MRI of the chest without contrast | $2,447 | $3,333 | $466 |
| MRI of the knee | $4,638 | $2,639 | $315 |
| MRI of the knee with contrast | $4,638 | $2,639 | $315 |
| MRI of the knee without contrast | $4,512 | $2,176 | $204 |
| MRI of the lower back (lumbar spine) | $3,146 | $7,357 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $3,146 | $7,357 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $2,876 | $6,065 | $192 |
| MRI of the mid-back (thoracic spine) | $2,784 | $7,357 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $6,115 | $9,291 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $2,784 | $7,357 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $2,631 | $6,065 | $190 |
| MRI of the neck (cervical spine) | $2,738 | $7,541 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $6,115 | $9,523 | $318 |
| MRI of the neck (cervical spine) with contrast | $2,738 | $7,541 | $274 |
| MRI of the neck (cervical spine) without contrast | $2,644 | $6,217 | $191 |
| MRI of the pelvis | $2,305 | $2,639 | $268 |
| MRI of the pelvis with contrast | $2,305 | $2,639 | $268 |
| MRI of the pelvis without contrast | $2,168 | $2,176 | $227 |
| MRI of the shoulder | $5,512 | $2,639 | $313 |
| MRI of the shoulder with contrast | $6,782 | $2,639 | $313 |
| MRI of the shoulder without contrast | $3,370 | $2,176 | $205 |
| MRI of the wrist | $3,575 | $2,639 | $330 |
| MRI of the wrist with contrast | $3,575 | $2,639 | $330 |
| MRI of the wrist without contrast | $2,738 | $2,176 | $303 |
| Nebulizer breathing treatment | $148 | $171 | $9 |
| Occupational therapy evaluation | $180 | $270 | $101 |
| Occupational therapy evaluation (high complexity) | $220 | $540 | $101 |
| Occupational therapy evaluation (low complexity) | $137 | $270 | $101 |
| Occupational therapy evaluation (moderate complexity) | $180 | $405 | $101 |
| Office visit (established patient) | $140 | $307 | $115 |
| Office visit (new patient) | $323 | $419 | $177 |
| Office visit, established patient (level 3) | $140 | $293 | $95 |
| Office visit, established patient (level 4) | $205 | $330 | $136 |
| Office visit, new patient (level 3) | $190 | $330 | $118 |
| Office visit, new patient (level 4) | $323 | $419 | $177 |
| Office visit, new patient (level 5) | $389 | $825 | $237 |
| Orthopedic hardware removal | $15,394 | $6,170 | $632 |
| Parathyroid hormone (PTH) test | $73 | $365 | $41 |
| Pelvic ultrasound | $488 | $606 | $78 |
| Pelvic ultrasound (complete) | $1,277 | $606 | $105 |
| Pelvic ultrasound (limited) | $169 | $606 | $51 |
| Phosphorus blood test | $61 | $42 | $5 |
| Physical therapy evaluation | $276 | $212 | $98 |
| Physical therapy evaluation (high complexity) | $365 | $478 | $98 |
| Physical therapy evaluation (moderate complexity) | $276 | $319 | $98 |
| Platelet count | $60 | $40 | $4 |
| Pregnancy blood test (hCG) | $97 | $66 | $8 |
| Procalcitonin test | $92 | $157 | $27 |
| Prolactin test | $209 | $165 | $19 |
| Rheumatoid factor test | $108 | $50 | $6 |
| Scoliosis spine X-ray | $401 | $280 | $58 |
| Scoliosis spine X-ray (1 view) | $308 | $280 | $44 |
| Scoliosis spine X-ray (3 views) | $494 | $299 | $72 |
| Scrotal ultrasound | $666 | $593 | $99 |
| Sedimentation rate (ESR) test | $62 | $31 | $3 |
| Sex hormone binding globulin test | $92 | $67 | $22 |
| Simple wound stitches | $185 | $952 | $127 |
| Skin graft | $1,615 | $13,126 | $898 |
| Soft tissue ultrasound | $70 | $606 | $64 |
| Speech therapy | $62 | $416 | $76 |
| Spinal tap (lumbar puncture) | $1,732 | $3,345 | $165 |
| Spirometry (lung function test) | $461 | $357 | $30 |
| Spirometry with bronchodilator | $836 | $593 | $43 |
| Strep throat test | $92 | $106 | $17 |
| Swallow study | $422 | $663 | $85 |
| T3 thyroid test | $212 | $125 | $14 |
| Testosterone test | $283 | $222 | $26 |
| Thyroid test (TSH) | $209 | $148 | $17 |
| Thyroid ultrasound | $342 | $606 | $109 |
| Total IgE allergy test | $180 | $146 | $16 |
| Triglycerides test | $115 | $51 | $6 |
| Ulnar nerve surgery (elbow) | $10,614 | $5,304 | $575 |
| Upper GI series (barium) | $356 | $881 | $128 |
| Uric acid (gout) test | $62 | $40 | $5 |
| Urine microalbumin test | $109 | $31 | $5 |
| Urine pregnancy test | $90 | $55 | $9 |
| Vitamin B12 test | $210 | $133 | $15 |
| Vitamin D test | $314 | $262 | $30 |
| Wound debridement | $284 | $5,840 | $186 |
| X-ray of the abdomen | $236 | $336 | $36 |
| X-ray of the ankle | $527 | $437 | $37 |
| X-ray of the collarbone | $312 | $280 | $33 |
| X-ray of the elbow | $558 | $437 | $33 |
| X-ray of the facial bones | $338 | $308 | $39 |
| X-ray of the forearm | $517 | $349 | $29 |
| X-ray of the hand | $447 | $437 | $38 |
| X-ray of the hip | $306 | $195 | $49 |
| X-ray of the hip (1 view) | $197 | $133 | $34 |
| X-ray of the hip (3 views) | $417 | $195 | $49 |
| X-ray of the hip (4 views) | $339 | $241 | $63 |
| X-ray of the knee | $353 | $349 | $42 |
| X-ray of the knee (2 views) | $294 | $280 | $34 |
| X-ray of the knee (3 views) | $306 | $349 | $42 |
| X-ray of the knee (4+ views) | $545 | $437 | $49 |
| X-ray of the lower back (lumbar spine) | $487 | $280 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $426 | $280 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $549 | $468 | $53 |
| X-ray of the lower leg | $495 | $349 | $31 |
| X-ray of the mid-back (thoracic spine) | $382 | $308 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $400 | $280 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $363 | $336 | $39 |
| X-ray of the neck (cervical spine) | $451 | $468 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $325 | $280 | $40 |
| X-ray of the pelvis | $461 | $280 | $36 |
| X-ray of the ribs | $352 | $393 | $42 |
| X-ray of the ribs (2 views) | $386 | $349 | $36 |
| X-ray of the ribs (3 views) | $320 | $437 | $42 |
| X-ray of the shoulder | $487 | $349 | $36 |
| X-ray of the skull | $460 | $374 | $40 |
| X-ray of the upper arm | $309 | $349 | $32 |
| X-ray of the wrist | $433 | $437 | $43 |
| Zinc blood test | $168 | $101 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
