| Procedure | Penn Highlands Brookville | Acmh Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $145 | $23 | $51 |
| Abdominal fluid drain (paracentesis) | $11,350 | $783 | $284 |
| Abdominal ultrasound | $1,287 | $156 | $100 |
| Abdominal ultrasound (complete) | $1,287 | $116 | $114 |
| Abdominal ultrasound (limited) | $1,287 | $195 | $86 |
| Abscess drainage (complex or multiple) | $4,837 | $337 | $220 |
| Abscess drainage (simple) | $2,406 | $193 | $129 |
| Abscess incision and drainage | $3,622 | $193 | $174 |
| Albumin blood test | $58 | $13 | $5 |
| Aldosterone test | $479 | $104 | $41 |
| Alkaline phosphatase test | $61 | $19 | $5 |
| Alpha-fetoprotein (AFP) test | $197 | $60 | $17 |
| ALT liver enzyme test | $62 | $15 | $5 |
| Ammonia blood test | $171 | $41 | $15 |
| Amylase test | $76 | $31 | $6 |
| Anoscopy | $1,561 | $125 | $129 |
| Antinuclear antibody (ANA) test | $142 | $44 | $12 |
| Arterial blood gas (ABG) | $306 | $65 | $26 |
| AST liver enzyme test | $61 | $15 | $5 |
| Barium swallow study | $2,155 | $172 | $107 |
| Bartholin cyst removal | $2,435 | $173 | $182 |
| Basic metabolic panel | $99 | $101 | $8 |
| Bilirubin blood test | $59 | $25 | $5 |
| Blood clotting test (PT/INR) | $35 | $17 | $4 |
| Blood crossmatch | $530 | $136 | — |
| Blood glucose test | $51 | $17 | $5 |
| Blood transfusion | $5,293 | $434 | $47 |
| Blood type and screen | $115 | $66 | $10 |
| Blood type test | $191 | $105 | $3 |
| Blood type test (ABO group) | $297 | $105 | $3 |
| Blood type test (Rh/D antigen) | $85 | $66 | $3 |
| BNP (heart failure) test | $461 | $163 | $39 |
| Bone density scan (DEXA) | $338 | $215 | $39 |
| Bone scan (nuclear) | $4,865 | $389 | $259 |
| Breast biopsy | $19,615 | $1,298 | $478 |
| Breast MRI | $3,240 | $792 | $216 |
| Breast MRI without contrast | $3,240 | $792 | $216 |
| Breast ultrasound | $1,177 | $165 | $92 |
| Breast ultrasound (complete) | $1,287 | $165 | $100 |
| Breast ultrasound (limited) | $1,066 | $165 | $84 |
| Breathing tube insertion (intubation) | $2,811 | $224 | $133 |
| Burn dressing and debridement (medium) | $773 | $173 | $166 |
| Burn dressing and debridement (small) | $2,406 | $173 | $93 |
| Burn treatment | $1,590 | $173 | $129 |
| C-reactive protein (CRP) | $61 | $15 | $5 |
| CA 19-9 tumor marker test | $245 | $100 | $21 |
| CA-125 ovarian marker test | $245 | $93 | $21 |
| Calcium blood test | $61 | $17 | $5 |
| Cardiac catheterization | $38,939 | $4,488 | $1,049 |
| Cardiac rehabilitation | $1,524 | $180 | $26 |
| Cardiac stress test | $3,770 | $324 | $39 |
| Cardioversion | $7,922 | $530 | $155 |
| Carotid artery ultrasound | $2,107 | $236 | $156 |
| CEA tumor marker test | $223 | $74 | $19 |
| Celiac disease test | $135 | $13 | $12 |
| Chemotherapy infusion | $2,439 | $197 | $81 |
| Chemotherapy infusion (each additional) | $862 | $94 | $28 |
| Chemotherapy infusion (first hour) | $4,016 | $300 | $133 |
| Chest fluid drain (thoracentesis) | $7,485 | $710 | $311 |
| Chest X-ray | $602 | $104 | $37 |
| Chest X-ray (1 view) | $105 | $104 | $25 |
| Chest X-ray (2 views) | $137 | $94 | $33 |
| Chickenpox (varicella) vaccine | $286 | $276 | — |
| CK-MB heart enzyme test | $136 | $31 | $12 |
| Clotting time test (PTT) | $49 | $27 | $6 |
| Complete blood count (CBC) | $84 | $23 | $7 |
| Complete blood count (CBC) (complete) | $91 | $26 | $8 |
| Comprehensive metabolic panel | $124 | $119 | $11 |
| Copper blood test | $146 | $45 | $12 |
| Cortisol test | $192 | $58 | $16 |
| CPAP titration study | $2,462 | $274 | $69 |
| Creatine kinase (CK) test | $76 | $23 | $7 |
| CT angiography of the chest | $2,155 | $440 | $281 |
| CT angiography of the head | $2,155 | $353 | $274 |
| CT scan of the abdomen | $2,155 | $592 | $230 |
| CT scan of the abdomen and pelvis | $4,324 | $1,112 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $4,324 | $1,197 | $338 |
| CT scan of the abdomen and pelvis with contrast | $4,324 | $1,028 | $300 |
| CT scan of the abdomen and pelvis without contrast | $2,926 | $785 | $183 |
| CT scan of the abdomen with and without contrast | $2,155 | $770 | $259 |
| CT scan of the abdomen with contrast | $2,155 | $592 | $230 |
| CT scan of the abdomen without contrast | $1,287 | $504 | $136 |
| CT scan of the arm | $2,155 | $839 | $199 |
| CT scan of the arm with contrast | $4,324 | $845 | $199 |
| CT scan of the arm without contrast | $1,287 | $569 | $161 |
| CT scan of the chest | $2,155 | $596 | $167 |
| CT scan of the chest with and without contrast | $2,155 | $947 | $196 |
| CT scan of the chest with contrast | $2,155 | $923 | $167 |
| CT scan of the chest without contrast | $1,332 | $268 | $133 |
| CT scan of the head | $2,155 | $506 | $148 |
| CT scan of the head with and without contrast | $2,155 | $923 | $173 |
| CT scan of the head with contrast | $2,155 | $506 | $148 |
| CT scan of the head without contrast | $1,287 | $374 | $107 |
| CT scan of the leg | $2,155 | $512 | $166 |
| CT scan of the leg with contrast | $2,155 | $512 | $166 |
| CT scan of the leg without contrast | $1,287 | $431 | $130 |
| CT scan of the lower back (lumbar spine) | $2,155 | $673 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $2,155 | $931 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $4,324 | $673 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,652 | $568 | $130 |
| CT scan of the neck | $2,155 | $285 | $183 |
| CT scan of the neck (cervical spine) | $2,155 | $620 | $168 |
| CT scan of the neck (cervical spine) with contrast | $4,324 | $673 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,621 | $568 | $131 |
| CT scan of the neck with and without contrast | $2,155 | $658 | $220 |
| CT scan of the neck with contrast | $2,155 | $285 | $183 |
| CT scan of the neck without contrast | $1,287 | $245 | $150 |
| CT scan of the pelvis | $2,155 | $302 | $226 |
| CT scan of the pelvis with and without contrast | $2,155 | $385 | $251 |
| CT scan of the pelvis with contrast | $2,155 | $321 | $226 |
| CT scan of the pelvis without contrast | $1,287 | $283 | $133 |
| CT scan of the sinuses | $2,155 | $544 | $152 |
| CT scan of the sinuses with and without contrast | $2,155 | $807 | $184 |
| CT scan of the sinuses with contrast | $2,155 | $544 | $152 |
| CT scan of the sinuses without contrast | $1,287 | $454 | $128 |
| D-dimer test | $120 | $39 | $10 |
| DHEA-sulfate test | $261 | $79 | $22 |
| Diagnostic mammogram | $1,054 | $118 | $140 |
| Drug screen (urine) | $201 | $69 | $17 |
| Echocardiogram | $4,782 | $562 | $138 |
| Echocardiogram with and without contrast | $2,926 | $211 | $101 |
| EEG (awake and asleep) | $3,770 | $307 | $482 |
| EKG / ECG (tracing only) | $153 | $68 | $7 |
| Electrocardiogram (EKG) | $65 | $68 | $8 |
| Electroencephalogram (EEG) | $3,770 | $289 | $448 |
| Electrolyte panel | $93 | $42 | $7 |
| Electromyography (EMG) | $1,561 | $120 | $141 |
| Emergency department visit | $3,352 | $243 | $69 |
| Emergency department visit (level 1) | $1,066 | $110 | $11 |
| Emergency department visit (level 2) | $1,917 | $165 | $40 |
| Emergency department visit (level 3) | $3,352 | $243 | $69 |
| Emergency department visit (level 4) | $5,155 | $382 | $118 |
| Emergency department visit (level 5) | $7,422 | $555 | $171 |
| Epidural steroid injection | $8,384 | $581 | $275 |
| Estradiol (estrogen) test | $328 | $96 | $28 |
| Facet joint injection (spine) | $1,188 | $403 | $99 |
| Fallopian tube X-ray (HSG) | $1,710 | $224 | $164 |
| Fecal occult blood (stool) test | $26 | $12 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $22 | $7 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $30 | $16 | $16 |
| Ferritin (iron) test | $160 | $48 | $14 |
| Fibrinogen test | $114 | $35 | $10 |
| Flu test | $194 | $51 | $17 |
| Folate (folic acid) test | $97 | $38 | $15 |
| Foreign body removal (skin) | $1,277 | $323 | $157 |
| Free T4 thyroid test | $143 | $44 | $9 |
| FSH hormone test | $218 | $57 | $19 |
| Gallbladder scan (HIDA) | $5,691 | $534 | $334 |
| GGT liver test | $85 | $26 | $7 |
| Glucose tolerance test | $99 | $30 | $8 |
| HDL cholesterol test | $96 | $27 | $8 |
| Hematocrit test | $28 | $11 | $2 |
| Hemodialysis | $8,471 | $603 | $75 |
| Hemoglobin A1c (diabetes test) | $45 | $30 | $10 |
| Hepatitis B test | $121 | $46 | $10 |
| Hepatitis B vaccine | $49 | $51 | — |
| Hepatitis C test | $168 | $63 | $14 |
| HIV test | $283 | $61 | $19 |
| HIV test (antigen/antibody combo) | $283 | $31 | $24 |
| Holter heart monitor | $1,140 | $145 | $26 |
| Iron blood test | $76 | $83 | $6 |
| IV infusion therapy | $422 | $143 | $44 |
| IV infusion therapy (each additional) | $165 | $101 | $21 |
| IV infusion therapy (initial) | $679 | $186 | $67 |
| Joint aspiration (small/intermediate) | $846 | $287 | $57 |
| Joint aspiration or injection (mid-size joint) | $847 | $287 | $57 |
| Joint aspiration or injection (small joint) | $845 | $236 | $56 |
| Kidney biopsy | $2,255 | $1,298 | $492 |
| Kidney ultrasound | $1,287 | $119 | $84 |
| Kidney ultrasound (limited) | $1,287 | $122 | $61 |
| Knee joint injection | $867 | $287 | $69 |
| Lactate test | $136 | $49 | $12 |
| Laryngoscopy | $3,840 | $338 | $189 |
| LDH test | $43 | $21 | $6 |
| LDL cholesterol test | $123 | $27 | $11 |
| Leg vein ultrasound (Doppler) | $2,107 | $226 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $1,287 | $226 | $116 |
| LH hormone test | $218 | $50 | $19 |
| Lipase test | $55 | $26 | $7 |
| Lipid (cholesterol) panel | $157 | $27 | $13 |
| Liver function panel | $96 | $21 | $8 |
| Lung function test (PFT) | $1,518 | $138 | $37 |
| Lung scan (V/Q) | $6,516 | $538 | $291 |
| Magnesium blood test | $79 | $26 | $7 |
| MMR vaccine | $154 | $141 | — |
| MRA of the brain | $4,324 | $726 | $226 |
| MRA of the brain without contrast | $4,324 | $752 | $328 |
| MRA of the neck | $4,324 | $770 | $245 |
| MRA of the neck without contrast | $4,324 | $815 | $343 |
| MRI of the abdomen | $4,324 | $1,010 | $300 |
| MRI of the abdomen without contrast | $2,926 | $1,010 | $194 |
| MRI of the ankle | $4,324 | $681 | $261 |
| MRI of the ankle without contrast | $2,926 | $618 | $222 |
| MRI of the brain | $4,324 | $743 | $269 |
| MRI of the brain with contrast | $4,324 | $726 | $269 |
| MRI of the brain without contrast | $2,926 | $743 | $195 |
| MRI of the chest | $4,324 | $902 | $371 |
| MRI of the chest without contrast | $4,324 | $947 | $466 |
| MRI of the knee | $4,324 | $1,133 | $315 |
| MRI of the knee with contrast | $9,565 | $1,193 | $315 |
| MRI of the knee without contrast | $2,926 | $799 | $204 |
| MRI of the lower back (lumbar spine) | $4,324 | $743 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $4,324 | $726 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $2,926 | $743 | $192 |
| MRI of the mid-back (thoracic spine) | $4,324 | $743 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $4,324 | $1,070 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $4,324 | $665 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $2,926 | $743 | $190 |
| MRI of the neck (cervical spine) | $4,324 | $908 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $4,324 | $1,073 | $318 |
| MRI of the neck (cervical spine) without contrast | $2,926 | $743 | $191 |
| MRI of the pelvis | $4,324 | $728 | $268 |
| MRI of the pelvis without contrast | $2,926 | $555 | $227 |
| MRI of the shoulder | $4,324 | $1,136 | $313 |
| MRI of the shoulder with contrast | $9,565 | $1,136 | $313 |
| MRI of the shoulder without contrast | $2,926 | $1,073 | $205 |
| MRI of the wrist | $4,324 | $712 | $330 |
| MRI of the wrist without contrast | $2,926 | $681 | $303 |
| Nebulizer breathing treatment | $524 | $173 | $9 |
| Nerve conduction study | $3,770 | $271 | $118 |
| Nuclear cardiac stress test | $15,805 | $1,197 | $428 |
| Occupational therapy evaluation | $581 | $90 | $101 |
| Occupational therapy evaluation (high complexity) | $581 | $90 | $101 |
| Occupational therapy evaluation (low complexity) | $581 | $90 | $101 |
| Occupational therapy evaluation (moderate complexity) | $581 | $90 | $101 |
| Pap smear (cervical screening) | $311 | $61 | $20 |
| Parathyroid hormone (PTH) test | $485 | $106 | $41 |
| Pelvic ultrasound | $1,287 | $108 | $78 |
| Pelvic ultrasound (complete) | $1,287 | $116 | $105 |
| Pelvic ultrasound (limited) | $1,287 | $100 | $51 |
| PET scan | $17,658 | $2,870 | — |
| Phosphorus blood test | $51 | $12 | $5 |
| Physical therapy evaluation | $567 | $87 | $98 |
| Physical therapy evaluation (high complexity) | $567 | $87 | $98 |
| Physical therapy evaluation (moderate complexity) | $567 | $87 | $98 |
| Platelet count | $53 | $11 | $4 |
| Pneumonia vaccine | $212 | $226 | — |
| Pregnancy blood test (hCG) | $91 | $28 | $8 |
| Pregnancy ultrasound | $1,287 | $133 | $126 |
| Pregnancy ultrasound (first trimester) | $1,287 | $129 | $117 |
| Pregnancy ultrasound (second or third trimester) | $1,287 | $137 | $136 |
| Procalcitonin test | $320 | $26 | $27 |
| Prolactin test | $228 | $48 | $19 |
| Prostate test (PSA) | $216 | $65 | $18 |
| Pulmonary rehabilitation | $719 | $52 | $87 |
| Radiofrequency nerve ablation | $23,641 | $1,623 | $462 |
| Rheumatoid factor test | $75 | $10 | $6 |
| Scoliosis spine X-ray | $1,177 | $84 | $58 |
| Scoliosis spine X-ray (1 view) | $1,066 | $76 | $44 |
| Scoliosis spine X-ray (3 views) | $1,287 | $92 | $72 |
| Screening mammogram | $976 | $143 | $126 |
| Scrotal ultrasound | $1,287 | $115 | $99 |
| Sedimentation rate (ESR) test | $54 | $16 | $3 |
| Semen analysis | $119 | $78 | $12 |
| Sex hormone binding globulin test | $255 | $74 | $22 |
| Shingles vaccine | $647 | $338 | — |
| Simple laceration repair (small, up to 2.5 cm) | $618 | $173 | $114 |
| Simple wound stitches | $635 | $173 | $127 |
| Skin biopsy | $1,139 | $323 | $121 |
| Skin biopsy (punch) | $1,139 | $323 | $121 |
| Sleep study (polysomnography) | $3,023 | $842 | $691 |
| Soft tissue ultrasound | $1,287 | $89 | $64 |
| Speech therapy | $436 | $80 | $76 |
| Spinal cord stimulator | $3,150 | $5,716 | $2,388 |
| Spirometry (lung function test) | $759 | $138 | $30 |
| Spirometry with bronchodilator | $2,277 | $271 | $43 |
| Stress echocardiogram | $6,638 | $874 | $209 |
| Swallow study | $475 | $199 | $85 |
| T3 thyroid test | $167 | $51 | $14 |
| Tdap (tetanus) vaccine | $87 | $72 | — |
| Testosterone test | $303 | $90 | $26 |
| Thyroid test (TSH) | $197 | $53 | $17 |
| Thyroid ultrasound | $1,287 | $115 | $109 |
| Thyroid uptake scan | $4,865 | $402 | $145 |
| Total IgE allergy test | $193 | $59 | $16 |
| Total protein test | $43 | $24 | $4 |
| Transesophageal echocardiogram (TEE) | $6,638 | $543 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $6,638 | $543 | $239 |
| Transvaginal ultrasound | $1,287 | $116 | $118 |
| Trigger point injection | $852 | $245 | $56 |
| Trigger point injection (1-2 muscles) | $846 | $245 | $52 |
| Triglycerides test | $67 | $50 | $6 |
| Troponin (heart) test | $147 | $23 | $12 |
| Turning a breech baby (version) | $11,061 | $2,698 | $94 |
| Upper GI series (barium) | $2,155 | $163 | $128 |
| Uric acid (gout) test | $48 | $13 | $5 |
| Urinalysis | $38 | $13 | $3 |
| Urine microalbumin test | $71 | $25 | $5 |
| Vaccine administration | $160 | $59 | $19 |
| Vaccine administration (each additional) | $89 | $25 | $16 |
| Vitamin B12 test | $177 | $38 | $15 |
| Vitamin D test | $348 | $105 | $30 |
| Wound debridement | $6,124 | $644 | $186 |
| X-ray of the abdomen | $1,177 | $97 | $36 |
| X-ray of the ankle | $1,066 | $98 | $37 |
| X-ray of the collarbone | $1,066 | $97 | $33 |
| X-ray of the elbow | $1,066 | $100 | $33 |
| X-ray of the facial bones | $1,177 | $87 | $39 |
| X-ray of the foot | $1,066 | $99 | $34 |
| X-ray of the forearm | $1,066 | $87 | $29 |
| X-ray of the hand | $1,066 | $87 | $38 |
| X-ray of the hip | $1,066 | $76 | $49 |
| X-ray of the hip (1 view) | $1,066 | $76 | $34 |
| X-ray of the hip (3 views) | $1,066 | $76 | $49 |
| X-ray of the hip (4 views) | $1,287 | $166 | $63 |
| X-ray of the knee | $1,066 | $89 | $42 |
| X-ray of the knee (2 views) | $1,066 | $89 | $34 |
| X-ray of the knee (3 views) | $1,066 | $86 | $42 |
| X-ray of the knee (4+ views) | $1,287 | $124 | $49 |
| X-ray of the lower back (lumbar spine) | $185 | $98 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $156 | $98 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $213 | $98 | $53 |
| X-ray of the lower leg | $1,066 | $102 | $31 |
| X-ray of the mid-back (thoracic spine) | $1,287 | $98 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $1,287 | $98 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $1,287 | $98 | $39 |
| X-ray of the neck (cervical spine) | $1,177 | $124 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $1,066 | $115 | $40 |
| X-ray of the pelvis | $1,287 | $89 | $36 |
| X-ray of the pelvis (1 view) | $1,287 | $89 | $28 |
| X-ray of the ribs | $1,287 | $129 | $42 |
| X-ray of the ribs (2 views) | $1,066 | $121 | $36 |
| X-ray of the ribs (3 views) | $1,287 | $132 | $42 |
| X-ray of the shoulder | $1,066 | $113 | $36 |
| X-ray of the skull | $1,287 | $114 | $40 |
| X-ray of the upper arm | $1,066 | $100 | $32 |
| X-ray of the wrist | $1,066 | $90 | $43 |
| Zinc blood test | $134 | $42 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
