| Procedure | Salem Township Hospital | St Anthonys Memorial Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $104 | $109 | $51 |
| Abdominal ultrasound | $670 | $827 | $100 |
| Abdominal ultrasound (complete) | $750 | $922 | $114 |
| Abdominal ultrasound (limited) | $591 | $732 | $86 |
| Aldosterone test | $234 | $145 | $41 |
| ALT liver enzyme test | $42 | $99 | $5 |
| Ammonia blood test | $100 | $526 | $15 |
| Amylase test | $98 | $150 | $6 |
| Antinuclear antibody (ANA) test | $80 | $93 | $12 |
| Arterial blood gas (ABG) | $47 | $284 | $26 |
| AST liver enzyme test | $44 | $103 | $5 |
| Barium swallow study | $365 | $589 | $107 |
| Basic metabolic panel | $149 | $42 | $8 |
| Blood clotting test (PT/INR) | $35 | $70 | $4 |
| Blood crossmatch | $46 | $197 | — |
| Blood glucose test | $34 | $53 | $5 |
| Blood transfusion | $531 | $1,300 | $47 |
| Blood type and screen | $133 | $77 | $10 |
| Blood type test | $84 | $102 | $3 |
| Blood type test (ABO group) | $88 | $153 | $3 |
| Blood type test (Rh/D antigen) | $79 | $50 | $3 |
| BNP (heart failure) test | $205 | $269 | $39 |
| Bone density scan (DEXA) | $454 | $480 | $39 |
| Bone scan (nuclear) | $1,097 | $1,531 | $259 |
| Breast ultrasound | $147 | $750 | $92 |
| Breast ultrasound (complete) | $172 | $750 | $100 |
| Breast ultrasound (limited) | $121 | $750 | $84 |
| Breathing tube insertion (intubation) | $148 | $727 | $133 |
| C-reactive protein (CRP) | $73 | $110 | $5 |
| CA 19-9 tumor marker test | $130 | $212 | $21 |
| Calcium blood test | $55 | $89 | $5 |
| Cardiac rehabilitation | $223 | $236 | $26 |
| Cardiac stress test | $805 | $1,351 | $39 |
| Carotid artery ultrasound | $861 | $967 | $156 |
| CEA tumor marker test | $53 | $147 | $19 |
| Celiac disease test | $74 | $96 | $12 |
| Chemotherapy infusion | $341 | $423 | $81 |
| Chemotherapy infusion (each additional) | $215 | $154 | $28 |
| Chemotherapy infusion (first hour) | $468 | $693 | $133 |
| Chest X-ray | $271 | $263 | $37 |
| Chest X-ray (1 view) | $222 | $233 | $25 |
| Chest X-ray (2 views) | $320 | $293 | $33 |
| Clotting time test (PTT) | $159 | $99 | $6 |
| Complete blood count (CBC) | $87 | $86 | $7 |
| Complete blood count (CBC) (complete) | $87 | $92 | $8 |
| Comprehensive metabolic panel | $212 | $224 | $11 |
| Copper blood test | $99 | $159 | $12 |
| Cortisol test | $85 | $73 | $16 |
| COVID-19 PCR test | $70 | $65 | $51 |
| CPAP titration study | $435 | $382 | $69 |
| Creatine kinase (CK) test | $87 | $117 | $7 |
| CT angiography of the chest | $2,646 | $2,521 | $281 |
| CT angiography of the head | $1,517 | $2,561 | $274 |
| CT scan of the abdomen | $1,621 | $2,255 | $230 |
| CT scan of the abdomen and pelvis | $3,879 | $4,723 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $4,364 | $5,240 | $338 |
| CT scan of the abdomen and pelvis with contrast | $3,879 | $4,723 | $300 |
| CT scan of the abdomen and pelvis without contrast | $3,661 | $3,879 | $183 |
| CT scan of the abdomen with and without contrast | $1,649 | $2,904 | $259 |
| CT scan of the abdomen with contrast | $1,594 | $2,255 | $230 |
| CT scan of the arm | $890 | $1,966 | $199 |
| CT scan of the arm without contrast | $890 | $1,732 | $161 |
| CT scan of the chest | $1,671 | $2,457 | $167 |
| CT scan of the chest with and without contrast | $1,355 | $2,873 | $196 |
| CT scan of the chest with contrast | $1,671 | $2,457 | $167 |
| CT scan of the chest without contrast | $1,783 | $1,892 | $133 |
| CT scan of the head | $1,925 | $1,814 | $148 |
| CT scan of the head without contrast | $1,925 | $1,722 | $107 |
| CT scan of the leg | $1,545 | $1,966 | $166 |
| CT scan of the leg without contrast | $1,545 | $1,779 | $130 |
| CT scan of the lower back (lumbar spine) | $1,604 | $2,387 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,895 | $3,058 | $197 |
| CT scan of the lower back (lumbar spine) without contrast | $1,313 | $1,982 | $130 |
| CT scan of the neck | $1,178 | $1,764 | $183 |
| CT scan of the neck (cervical spine) | $2,459 | $2,367 | $168 |
| CT scan of the neck (cervical spine) without contrast | $2,459 | $1,975 | $131 |
| CT scan of the neck with contrast | $1,381 | $1,764 | $183 |
| CT scan of the neck without contrast | $975 | $1,668 | $150 |
| CT scan of the pelvis | $1,079 | $2,674 | $226 |
| CT scan of the pelvis without contrast | $1,079 | $2,143 | $133 |
| CT scan of the sinuses | $1,751 | $1,565 | $152 |
| CT scan of the sinuses without contrast | $1,751 | $1,177 | $128 |
| D-dimer test | $154 | $60 | $10 |
| Diagnostic mammogram | $134 | $425 | $140 |
| Drug screen (urine) | $86 | $165 | $17 |
| Echocardiogram | $2,147 | $611 | $138 |
| EKG / ECG (tracing only) | $285 | $264 | $7 |
| Electrocardiogram (EKG) | $285 | $264 | $8 |
| Emergency department visit | $929 | $598 | $69 |
| Emergency department visit (level 1) | $94 | $207 | $11 |
| Emergency department visit (level 2) | $534 | $297 | $40 |
| Emergency department visit (level 3) | $929 | $598 | $69 |
| Emergency department visit (level 4) | $1,467 | $714 | $118 |
| Emergency department visit (level 5) | $2,027 | $1,076 | $171 |
| Estradiol (estrogen) test | $66 | $289 | $28 |
| Fecal occult blood (stool) test | $37 | $51 | $10 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $37 | $54 | $16 |
| Ferritin (iron) test | $114 | $210 | $14 |
| Folate (folic acid) test | $103 | $91 | $15 |
| Free T4 thyroid test | $98 | $82 | $9 |
| FSH hormone test | $164 | $99 | $19 |
| Gallbladder scan (HIDA) | $1,165 | $1,170 | $334 |
| GGT liver test | $42 | $109 | $7 |
| H. pylori test | $241 | $181 | $67 |
| Hematocrit test | $39 | $37 | $2 |
| Hemoglobin A1c (diabetes test) | $81 | $147 | $10 |
| Hepatitis B test | $112 | $170 | $10 |
| Hepatitis C test | $18 | $106 | $14 |
| HIV test | $101 | $65 | $19 |
| HIV test (antigen/antibody combo) | $101 | $65 | $24 |
| Holter heart monitor | $608 | $1,416 | $26 |
| Iron blood test | $59 | $93 | $6 |
| IV infusion therapy | $341 | $258 | $44 |
| IV infusion therapy (each additional) | $215 | $120 | $21 |
| IV infusion therapy (initial) | $468 | $396 | $67 |
| Kidney ultrasound | $479 | $751 | $84 |
| Kidney ultrasound (limited) | $431 | $716 | $61 |
| Knee joint injection | $101 | $1,620 | $69 |
| Lactate test | $121 | $239 | $12 |
| LDH test | $62 | $98 | $6 |
| Leg vein ultrasound (Doppler) | $481 | $1,182 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $279 | $813 | $116 |
| LH hormone test | $171 | $99 | $19 |
| Lipase test | $124 | $104 | $7 |
| Lipid (cholesterol) panel | $124 | $141 | $13 |
| Liver function panel | $137 | $174 | $8 |
| Lung function test (PFT) | $44 | $461 | $37 |
| Magnesium blood test | $82 | $140 | $7 |
| MRI of the abdomen | $1,712 | $3,620 | $300 |
| MRI of the abdomen without contrast | $1,253 | $2,881 | $194 |
| MRI of the ankle | $1,222 | $3,313 | $261 |
| MRI of the ankle without contrast | $1,222 | $2,881 | $222 |
| MRI of the brain | $2,020 | $3,563 | $269 |
| MRI of the brain without contrast | $1,674 | $2,881 | $195 |
| MRI of the knee | $1,408 | $3,594 | $315 |
| MRI of the knee without contrast | $1,283 | $2,881 | $204 |
| MRI of the lower back (lumbar spine) | $2,131 | $3,514 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $2,011 | $2,881 | $192 |
| MRI of the mid-back (thoracic spine) | $1,647 | $3,730 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $1,647 | $2,881 | $190 |
| MRI of the neck (cervical spine) | $1,994 | $3,881 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $2,219 | $4,568 | $318 |
| MRI of the neck (cervical spine) without contrast | $1,769 | $3,620 | $191 |
| MRI of the pelvis | $1,785 | $3,600 | $268 |
| MRI of the pelvis without contrast | $1,513 | $3,044 | $227 |
| MRI of the shoulder | $1,222 | $3,857 | $313 |
| MRI of the shoulder without contrast | $1,222 | $2,881 | $205 |
| Nebulizer breathing treatment | $230 | $169 | $9 |
| Nuclear cardiac stress test | $2,968 | $5,333 | $428 |
| Occupational therapy evaluation | $166 | $244 | $101 |
| Occupational therapy evaluation (low complexity) | $142 | $215 | $101 |
| Occupational therapy evaluation (moderate complexity) | $191 | $244 | $101 |
| Office visit (established patient) | $92 | $166 | $115 |
| Office visit (new patient) | $92 | $336 | $177 |
| Office visit, established patient (level 3) | $80 | $131 | $95 |
| Office visit, established patient (level 4) | $104 | $201 | $136 |
| Office visit, new patient (level 3) | $80 | $197 | $118 |
| Office visit, new patient (level 4) | $104 | $336 | $177 |
| Pap smear (cervical screening) | $148 | $137 | $20 |
| Parathyroid hormone (PTH) test | $216 | $114 | $41 |
| Pelvic ultrasound | $555 | $753 | $78 |
| Pelvic ultrasound (complete) | $744 | $837 | $105 |
| Pelvic ultrasound (limited) | $366 | $669 | $51 |
| Phosphorus blood test | $57 | $86 | $5 |
| Physical therapy evaluation | $166 | $258 | $98 |
| Physical therapy evaluation (moderate complexity) | $191 | $258 | $98 |
| Pregnancy blood test (hCG) | $109 | $109 | $8 |
| Procalcitonin test | $181 | $400 | $27 |
| Prolactin test | $159 | $106 | $19 |
| Prostate test (PSA) | $122 | $210 | $18 |
| Pulmonary rehabilitation | $136 | $136 | $87 |
| Rheumatoid factor test | $63 | $81 | $6 |
| Screening mammogram | $283 | $328 | $126 |
| Scrotal ultrasound | $498 | $638 | $99 |
| Sedimentation rate (ESR) test | $56 | $76 | $3 |
| Semen analysis | $43 | $71 | $12 |
| Sex hormone binding globulin test | $39 | $99 | $22 |
| Sleep study (polysomnography) | $2,765 | $5,088 | $691 |
| Soft tissue ultrasound | $99 | $450 | $64 |
| T3 thyroid test | $102 | $232 | $14 |
| Tdap (tetanus) vaccine | $56 | $77 | — |
| Thyroid test (TSH) | $42 | $154 | $17 |
| Thyroid ultrasound | $682 | $669 | $109 |
| Total IgE allergy test | $87 | $198 | $16 |
| Total protein test | $33 | $71 | $4 |
| Transvaginal ultrasound | $471 | $765 | $118 |
| Troponin (heart) test | $183 | $166 | $12 |
| Upper GI series (barium) | $525 | $805 | $128 |
| Uric acid (gout) test | $49 | $86 | $5 |
| Urinalysis | $61 | $51 | $3 |
| Urine microalbumin test | $63 | $30 | $5 |
| Urine pregnancy test | $102 | $107 | $9 |
| Vaccine administration | $37 | $139 | $19 |
| Vitamin B12 test | $121 | $94 | $15 |
| Vitamin D test | $191 | $122 | $30 |
| X-ray of the abdomen | $260 | $464 | $36 |
| X-ray of the ankle | $402 | $335 | $37 |
| X-ray of the collarbone | $139 | $383 | $33 |
| X-ray of the elbow | $219 | $387 | $33 |
| X-ray of the foot | $420 | $352 | $34 |
| X-ray of the forearm | $184 | $352 | $29 |
| X-ray of the hand | $423 | $352 | $38 |
| X-ray of the hip | $352 | $251 | $49 |
| X-ray of the hip (3 views) | $352 | $337 | $49 |
| X-ray of the knee | $287 | $383 | $42 |
| X-ray of the knee (2 views) | $155 | $354 | $34 |
| X-ray of the knee (3 views) | $503 | $383 | $42 |
| X-ray of the knee (4+ views) | $287 | $436 | $49 |
| X-ray of the lower back (lumbar spine) | $266 | $527 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $266 | $419 | $40 |
| X-ray of the lower leg | $188 | $352 | $31 |
| X-ray of the mid-back (thoracic spine) | $195 | $343 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $93 | $274 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $298 | $413 | $39 |
| X-ray of the neck (cervical spine) | $249 | $635 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $105 | $697 | $40 |
| X-ray of the pelvis | $169 | $280 | $36 |
| X-ray of the pelvis (1 view) | $194 | $293 | $28 |
| X-ray of the ribs | $143 | $323 | $42 |
| X-ray of the ribs (2 views) | $127 | $323 | $36 |
| X-ray of the ribs (3 views) | $159 | $454 | $42 |
| X-ray of the shoulder | $456 | $413 | $36 |
| X-ray of the upper arm | $192 | $352 | $32 |
| X-ray of the wrist | $188 | $352 | $43 |
| Zinc blood test | $99 | $124 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
