| Procedure | Summersville Regional Medical Center | Raleigh General Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $94 | $102 | $51 |
| Abdominal fluid drain (paracentesis) | $458 | $803 | $284 |
| Abdominal ultrasound | $341 | $364 | $100 |
| Abdominal ultrasound (complete) | $440 | $364 | $114 |
| Abdominal ultrasound (limited) | $341 | $364 | $86 |
| Abscess drainage (complex or multiple) | $259 | $283 | $220 |
| Abscess drainage (simple) | $144 | $273 | $129 |
| Abscess incision and drainage | $195 | $278 | $174 |
| Albumin blood test | $8 | $17 | $5 |
| Alkaline phosphatase test | $18 | $24 | $5 |
| Alpha-fetoprotein (AFP) test | $76 | $60 | $17 |
| ALT liver enzyme test | $25 | $27 | $5 |
| Ammonia blood test | $63 | $48 | $15 |
| Amylase test | $138 | $26 | $6 |
| Ankle fracture repair | $799 | $10,960 | $608 |
| Anoscopy | $44 | $88 | $129 |
| Antinuclear antibody (ANA) test | $38 | $603 | $12 |
| Arterial blood gas (ABG) | $82 | $22 | $26 |
| AST liver enzyme test | $25 | $24 | $5 |
| Barium swallow study | $238 | $383 | $107 |
| Bartholin cyst removal | $189 | $444 | $182 |
| Basic metabolic panel | $72 | $68 | $8 |
| Bilirubin blood test | $31 | $15 | $5 |
| Bladder function test (urodynamics) | $119 | $518 | $345 |
| Bladder scope (cystoscopy) | $330 | $5,209 | $216 |
| Blood clotting test (PT/INR) | $37 | $23 | $4 |
| Blood glucose test | $37 | $16 | $5 |
| Blood transfusion | $618 | $963 | $47 |
| Blood type and screen | $44 | $70 | $10 |
| Blood type test | $32 | $168 | $3 |
| Blood type test (ABO group) | $32 | $256 | $3 |
| Blood type test (Rh/D antigen) | $32 | $81 | $3 |
| BNP (heart failure) test | $112 | $110 | $39 |
| Bone density scan (DEXA) | $283 | $252 | $39 |
| Bone scan (nuclear) | $772 | $864 | $259 |
| Breast biopsy | $1,404 | $4,441 | $478 |
| Breast ultrasound | $265 | $253 | $92 |
| Breast ultrasound (complete) | $275 | $259 | $100 |
| Breast ultrasound (limited) | $265 | $243 | $84 |
| Breathing tube insertion (intubation) | $326 | $714 | $133 |
| Burn dressing and debridement (medium) | $182 | $266 | $166 |
| Burn dressing and debridement (small) | $143 | $264 | $93 |
| Burn treatment | $171 | $265 | $129 |
| C-reactive protein (CRP) | $56 | $17 | $5 |
| CA 19-9 tumor marker test | $131 | $90 | $21 |
| CA-125 ovarian marker test | $130 | $92 | $21 |
| Calcium blood test | $30 | $65 | $5 |
| Cardiac rehabilitation | $124 | $95 | $26 |
| Cardioversion | $452 | $1,181 | $155 |
| Carotid artery ultrasound | $503 | $483 | $156 |
| Carpal tunnel release | $1,047 | $4,904 | $483 |
| CEA tumor marker test | $86 | $73 | $19 |
| Celiac disease test | $34 | $59 | $12 |
| Central line placement | $2,336 | $3,627 | $238 |
| Chemotherapy infusion | $257 | $175 | $81 |
| Chemotherapy infusion (each additional) | $133 | $60 | $28 |
| Chemotherapy infusion (first hour) | $386 | $290 | $133 |
| Chest fluid drain (thoracentesis) | $376 | $457 | $311 |
| Chest tube insertion | $1,860 | $1,012 | $143 |
| Chest X-ray | $116 | $169 | $37 |
| Chest X-ray (1 view) | $107 | $169 | $25 |
| Chest X-ray (2 views) | $139 | $176 | $33 |
| Circumcision | $154 | $6,215 | $167 |
| CK-MB heart enzyme test | $17 | $43 | $12 |
| Clotting time test (PTT) | $41 | $30 | $6 |
| Colonoscopy | $539 | $2,489 | $480 |
| Complete blood count (CBC) | $33 | $26 | $7 |
| Complete blood count (CBC) (complete) | $34 | $27 | $8 |
| Complex wound repair | $263 | $3,498 | $390 |
| Comprehensive metabolic panel | $49 | $207 | $11 |
| Copper blood test | $8 | $60 | $12 |
| Cortisol test | $80 | $53 | $16 |
| CPAP titration study | $201 | $271 | $69 |
| Creatine kinase (CK) test | $30 | $32 | $7 |
| CT angiography of the chest | $1,596 | $1,891 | $281 |
| CT angiography of the head | $1,095 | $1,227 | $274 |
| CT scan of the abdomen | $1,020 | $1,049 | $230 |
| CT scan of the abdomen and pelvis | $1,020 | $1,637 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $1,458 | $1,637 | $338 |
| CT scan of the abdomen and pelvis with contrast | $1,204 | $1,637 | $300 |
| CT scan of the abdomen and pelvis without contrast | $1,020 | $1,421 | $183 |
| CT scan of the abdomen with and without contrast | $1,458 | $1,174 | $259 |
| CT scan of the abdomen with contrast | $1,204 | $1,049 | $230 |
| CT scan of the abdomen without contrast | $1,020 | $523 | $136 |
| CT scan of the arm | $904 | $872 | $199 |
| CT scan of the arm with contrast | $1,277 | $1,165 | $199 |
| CT scan of the arm without contrast | $904 | $581 | $161 |
| CT scan of the chest | $1,051 | $1,083 | $167 |
| CT scan of the chest with and without contrast | $1,507 | $1,211 | $196 |
| CT scan of the chest with contrast | $1,229 | $1,049 | $167 |
| CT scan of the chest without contrast | $1,051 | $1,180 | $133 |
| CT scan of the head | $579 | $1,165 | $148 |
| CT scan of the head with and without contrast | $867 | $1,174 | $173 |
| CT scan of the head with contrast | $710 | $1,165 | $148 |
| CT scan of the head without contrast | $579 | $523 | $107 |
| CT scan of the leg | $1,275 | $1,140 | $166 |
| CT scan of the leg with contrast | $1,275 | $1,109 | $166 |
| CT scan of the leg without contrast | $904 | $553 | $130 |
| CT scan of the lower back (lumbar spine) | $1,051 | $885 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,330 | $923 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,227 | $1,165 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,051 | $538 | $130 |
| CT scan of the neck | $636 | $1,077 | $183 |
| CT scan of the neck (cervical spine) | $737 | $907 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $933 | $886 | $196 |
| CT scan of the neck (cervical spine) with contrast | $478 | $1,165 | $168 |
| CT scan of the neck (cervical spine) without contrast | $737 | $523 | $131 |
| CT scan of the neck with and without contrast | $890 | $1,174 | $220 |
| CT scan of the neck with contrast | $741 | $1,694 | $183 |
| CT scan of the neck without contrast | $636 | $523 | $150 |
| CT scan of the pelvis | $1,037 | $1,049 | $226 |
| CT scan of the pelvis with and without contrast | $741 | $1,174 | $251 |
| CT scan of the pelvis with contrast | $1,182 | $1,049 | $226 |
| CT scan of the pelvis without contrast | $1,037 | $523 | $133 |
| CT scan of the sinuses | $752 | $1,153 | $152 |
| CT scan of the sinuses with and without contrast | $886 | $1,242 | $184 |
| CT scan of the sinuses with contrast | $896 | $1,049 | $152 |
| CT scan of the sinuses without contrast | $618 | $1,076 | $128 |
| D-dimer test | $129 | $105 | $10 |
| DHEA-sulfate test | $100 | $88 | $22 |
| Diagnostic mammogram | $172 | $288 | $140 |
| Dialysis fistula creation | $702 | $17,333 | $601 |
| Drug screen (urine) | $121 | $140 | $17 |
| Echocardiogram | $98 | $409 | $138 |
| Echocardiogram with and without contrast | $150 | $197 | $101 |
| EKG / ECG (tracing only) | $136 | $121 | $7 |
| Electrocardiogram (EKG) | $136 | $121 | $8 |
| Electroencephalogram (EEG) | $448 | $629 | $448 |
| Electrolyte panel | $33 | $83 | $7 |
| Emergency department visit | $135 | $572 | $69 |
| Emergency department visit (level 1) | $118 | $178 | $11 |
| Emergency department visit (level 2) | $47 | $328 | $40 |
| Emergency department visit (level 3) | $80 | $572 | $69 |
| Emergency department visit (level 4) | $135 | $888 | $118 |
| Emergency department visit (level 5) | $196 | $1,328 | $171 |
| Epidural steroid injection | $698 | $1,642 | $275 |
| Estradiol (estrogen) test | $179 | $91 | $28 |
| Facet joint injection (spine) | $920 | $1,549 | $99 |
| Fallopian tube X-ray (HSG) | $61 | $830 | $164 |
| Fecal occult blood (stool) test | $56 | $32 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $77 | $12 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $35 | $52 | $16 |
| Feeding tube (PEG) placement | $671 | $6,673 | $178 |
| Ferritin (iron) test | $64 | $45 | $14 |
| Fibrinogen test | $99 | $28 | $10 |
| Fibroid removal (myomectomy) | $1,096 | $6,846 | $914 |
| Flexible sigmoidoscopy | $232 | $2,525 | $323 |
| Flu test | $175 | $40 | $17 |
| Folate (folic acid) test | $47 | $67 | $15 |
| Foreign body removal (skin) | $374 | $283 | $157 |
| Free T4 thyroid test | $82 | $79 | $9 |
| FSH hormone test | $87 | $68 | $19 |
| Gallbladder removal (laparoscopic) | $4,085 | $12,203 | $658 |
| Gallbladder scan (HIDA) | $681 | $1,035 | $334 |
| Ganglion cyst removal | $343 | $6,961 | $321 |
| GGT liver test | $30 | $27 | $7 |
| Glucose tolerance test | $53 | $30 | $8 |
| H. pylori test | $60 | $239 | $67 |
| Hammertoe repair | $403 | $12,411 | $548 |
| HDL cholesterol test | $20 | $27 | $8 |
| Hematocrit test | $16 | $15 | $2 |
| Hemoglobin A1c (diabetes test) | $51 | $32 | $10 |
| Hemorrhoid removal | $256 | $2,466 | $338 |
| Hepatitis B test | $59 | $35 | $10 |
| Hepatitis C test | $94 | $43 | $14 |
| Hip replacement | $9,675 | $15,046 | $1,162 |
| Hydrocele repair | $370 | $7,069 | $315 |
| Hysterectomy | $1,015 | $22,558 | $933 |
| Inguinal hernia repair | $2,882 | $11,174 | $538 |
| Iron blood test | $32 | $26 | $6 |
| IUD removal | $167 | $2,921 | $112 |
| IV infusion therapy | $203 | $132 | $44 |
| IV infusion therapy (each additional) | $65 | $38 | $21 |
| IV infusion therapy (initial) | $203 | $226 | $67 |
| Joint aspiration (small/intermediate) | $173 | $310 | $57 |
| Joint aspiration or injection (mid-size joint) | $79 | $413 | $57 |
| Joint aspiration or injection (small joint) | $265 | $206 | $56 |
| Kidney scan (nuclear) | $820 | $1,133 | $172 |
| Kidney ultrasound | $330 | $362 | $84 |
| Kidney ultrasound (limited) | $330 | $361 | $61 |
| Knee arthroscopy | $8,120 | $9,814 | $524 |
| Knee joint injection | $76 | $413 | $69 |
| Lactate test | $19 | $27 | $12 |
| Laminectomy (spine) | $1,409 | $27,833 | $1,157 |
| LDH test | $17 | $37 | $6 |
| LDL cholesterol test | $75 | $31 | $11 |
| Leg vein ultrasound (Doppler) | $256 | $424 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $256 | $344 | $116 |
| LH hormone test | $100 | $66 | $19 |
| Lipase test | $47 | $26 | $7 |
| Lipid (cholesterol) panel | $63 | $51 | $13 |
| Liver function panel | $38 | $75 | $8 |
| Lumbar discectomy | $5,055 | $27,070 | $898 |
| Lung function test (PFT) | $125 | $139 | $37 |
| Lung scan (V/Q) | $507 | $1,116 | $291 |
| Magnesium blood test | $23 | $22 | $7 |
| MRA of the brain | $1,041 | $1,812 | $226 |
| MRA of the brain without contrast | $881 | $2,214 | $328 |
| MRA of the neck | $1,041 | $1,663 | $245 |
| MRA of the neck with contrast | $736 | $1,663 | $245 |
| MRA of the neck without contrast | $1,691 | $1,904 | $343 |
| MRI of the abdomen | $1,041 | $1,647 | $300 |
| MRI of the abdomen with contrast | $1,398 | $1,647 | $300 |
| MRI of the abdomen without contrast | $1,041 | $1,151 | $194 |
| MRI of the ankle | $1,041 | $1,812 | $261 |
| MRI of the ankle without contrast | $1,041 | $1,254 | $222 |
| MRI of the brain | $1,219 | $1,869 | $269 |
| MRI of the brain with contrast | $1,398 | $1,869 | $269 |
| MRI of the brain without contrast | $1,041 | $1,589 | $195 |
| MRI of the chest | $1,041 | $1,812 | $371 |
| MRI of the chest without contrast | $1,691 | $1,941 | $466 |
| MRI of the knee | $1,041 | $1,869 | $315 |
| MRI of the knee with contrast | $1,398 | $1,963 | $315 |
| MRI of the knee without contrast | $1,041 | $1,254 | $204 |
| MRI of the lower back (lumbar spine) | $1,041 | $1,747 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $1,398 | $1,869 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,041 | $1,129 | $192 |
| MRI of the mid-back (thoracic spine) | $1,041 | $1,663 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $1,691 | $1,941 | $319 |
| MRI of the mid-back (thoracic spine) without contrast | $1,041 | $1,129 | $190 |
| MRI of the neck (cervical spine) | $1,041 | $1,647 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $1,691 | $1,904 | $318 |
| MRI of the neck (cervical spine) with contrast | $1,398 | $1,647 | $274 |
| MRI of the neck (cervical spine) without contrast | $1,041 | $1,589 | $191 |
| MRI of the pelvis | $1,041 | $1,812 | $268 |
| MRI of the pelvis without contrast | $1,041 | $1,129 | $227 |
| MRI of the shoulder | $1,041 | $1,715 | $313 |
| MRI of the shoulder with contrast | $1,398 | $1,869 | $313 |
| MRI of the shoulder without contrast | $1,041 | $1,254 | $205 |
| MRI of the wrist | $1,041 | $1,922 | $330 |
| MRI of the wrist with contrast | $1,398 | $2,057 | $330 |
| MRI of the wrist without contrast | $1,041 | $1,202 | $303 |
| Nuclear cardiac stress test | $1,752 | $2,976 | $428 |
| Occupational therapy evaluation | $84 | $329 | $101 |
| Occupational therapy evaluation (high complexity) | $87 | $355 | $101 |
| Occupational therapy evaluation (low complexity) | $82 | $305 | $101 |
| Occupational therapy evaluation (moderate complexity) | $87 | $302 | $101 |
| Office visit (established patient) | $72 | $321 | $115 |
| Office visit (new patient) | $90 | $429 | $177 |
| Office visit, established patient (level 3) | $72 | $277 | $95 |
| Office visit, established patient (level 4) | $106 | $368 | $136 |
| Office visit, new patient (level 3) | $90 | $335 | $118 |
| Office visit, new patient (level 4) | $146 | $300 | $177 |
| Office visit, new patient (level 5) | $198 | $667 | $237 |
| Orthopedic hardware removal | $6,230 | $9,040 | $632 |
| Pap smear (cervical screening) | $62 | $83 | $20 |
| Parathyroid hormone (PTH) test | $132 | $133 | $41 |
| Pelvic ultrasound | $363 | $702 | $78 |
| Pelvic ultrasound (complete) | $366 | $1,273 | $105 |
| Pelvic ultrasound (limited) | $363 | $673 | $51 |
| PET scan | $1,398 | $3,137 | — |
| Phosphorus blood test | $30 | $16 | $5 |
| Physical therapy evaluation | $86 | $292 | $98 |
| Physical therapy evaluation (high complexity) | $90 | $317 | $98 |
| Physical therapy evaluation (moderate complexity) | $90 | $276 | $98 |
| Pilonidal cyst removal | $341 | $10,075 | $541 |
| Platelet count | $42 | $19 | $4 |
| Pregnancy blood test (hCG) | $89 | $36 | $8 |
| Pregnancy ultrasound | $163 | $364 | $126 |
| Pregnancy ultrasound (first trimester) | $151 | $364 | $117 |
| Pregnancy ultrasound (second or third trimester) | $511 | $364 | $136 |
| Procalcitonin test | $109 | $175 | $27 |
| Prolactin test | $44 | $83 | $19 |
| Prostate surgery (TURP) | $761 | $16,768 | $526 |
| Prostate test (PSA) | $88 | $60 | $18 |
| Radiofrequency nerve ablation | $1,871 | $1,958 | $462 |
| Scoliosis spine X-ray | $130 | $198 | $58 |
| Scoliosis spine X-ray (1 view) | $125 | $189 | $44 |
| Scoliosis spine X-ray (3 views) | $167 | $229 | $72 |
| Screening mammogram | $216 | $225 | $126 |
| Scrotal ultrasound | $355 | $347 | $99 |
| Sedimentation rate (ESR) test | $13 | $13 | $3 |
| Semen analysis | $81 | $44 | $12 |
| Sex hormone binding globulin test | $14 | $69 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $226 | $283 | $114 |
| Simple wound stitches | $146 | $406 | $127 |
| Skin biopsy | $257 | $362 | $121 |
| Skin biopsy (punch) | $374 | $283 | $121 |
| Skin graft | $734 | $11,744 | $898 |
| Soft tissue ultrasound | $244 | $240 | $64 |
| Speech therapy | $107 | $127 | $76 |
| Spinal tap (lumbar puncture) | $458 | $1,071 | $165 |
| Spine fracture repair (kyphoplasty) | $2,796 | $9,638 | $5,803 |
| Spirometry (lung function test) | $119 | $132 | $30 |
| Spirometry with bronchodilator | $194 | $630 | $43 |
| Strep throat test | $35 | $39 | $17 |
| Swallow study | $133 | $160 | $85 |
| T3 thyroid test | $93 | $72 | $14 |
| Testicle removal (orchiectomy) | $360 | $8,780 | $306 |
| Testosterone test | $153 | $97 | $26 |
| Thyroid test (TSH) | $73 | $223 | $17 |
| Thyroid ultrasound | $323 | $344 | $109 |
| Thyroid uptake scan | $461 | $689 | $145 |
| Total IgE allergy test | $81 | $63 | $16 |
| Total protein test | $55 | $16 | $4 |
| Transvaginal ultrasound | $366 | $347 | $118 |
| Trigger finger release | $933 | $5,308 | $630 |
| Trigger point injection | $277 | $206 | $56 |
| Trigger point injection (1-2 muscles) | $277 | $206 | $52 |
| Triglycerides test | $40 | $37 | $6 |
| Troponin (heart) test | $55 | $33 | $12 |
| Tubal ligation | $391 | $10,769 | $333 |
| Ulnar nerve surgery (elbow) | $1,775 | $8,786 | $575 |
| Upper GI endoscopy (EGD) | $305 | $2,612 | $371 |
| Upper GI series (barium) | $328 | $408 | $128 |
| Uric acid (gout) test | $34 | $16 | $5 |
| Urinalysis | $34 | $11 | $3 |
| Urine microalbumin test | $18 | $32 | $5 |
| Urine pregnancy test | $13 | $84 | $9 |
| Vaccine administration | $45 | $62 | $19 |
| Vaccine administration (each additional) | $26 | $65 | $16 |
| Vasectomy | $807 | $6,012 | $347 |
| Vitamin B12 test | $86 | $67 | $15 |
| Vitamin D test | $72 | $59 | $30 |
| Wound debridement | $343 | $686 | $186 |
| Wrist fracture repair | $9,135 | $9,073 | $735 |
| X-ray of the abdomen | $102 | $199 | $36 |
| X-ray of the ankle | $122 | $245 | $37 |
| X-ray of the collarbone | $116 | $181 | $33 |
| X-ray of the elbow | $132 | $196 | $33 |
| X-ray of the facial bones | $142 | $212 | $39 |
| X-ray of the foot | $126 | $196 | $34 |
| X-ray of the forearm | $118 | $177 | $29 |
| X-ray of the hand | $131 | $196 | $38 |
| X-ray of the hip | $127 | $45 | $49 |
| X-ray of the hip (1 view) | $110 | $89 | $34 |
| X-ray of the hip (3 views) | $136 | $187 | $49 |
| X-ray of the hip (4 views) | $279 | $45 | $63 |
| X-ray of the knee | $150 | $240 | $42 |
| X-ray of the knee (2 views) | $130 | $169 | $34 |
| X-ray of the knee (3 views) | $150 | $245 | $42 |
| X-ray of the knee (4+ views) | $162 | $245 | $49 |
| X-ray of the lower back (lumbar spine) | $159 | $240 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $153 | $240 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $286 | $240 | $53 |
| X-ray of the lower leg | $125 | $196 | $31 |
| X-ray of the mid-back (thoracic spine) | $159 | $240 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $148 | $240 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $163 | $240 | $39 |
| X-ray of the neck (cervical spine) | $152 | $240 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $141 | $240 | $40 |
| X-ray of the pelvis | $117 | $240 | $36 |
| X-ray of the pelvis (1 view) | $117 | $240 | $28 |
| X-ray of the ribs | $154 | $225 | $42 |
| X-ray of the ribs (2 views) | $136 | $196 | $36 |
| X-ray of the ribs (3 views) | $162 | $240 | $42 |
| X-ray of the shoulder | $136 | $245 | $36 |
| X-ray of the skull | $153 | $240 | $40 |
| X-ray of the upper arm | $128 | $153 | $32 |
| X-ray of the wrist | $125 | $196 | $43 |
| Zinc blood test | $6 | $59 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
