| Procedure | Trinity Muscatine | Trinity-Bettendorf | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $53 | $53 | $51 |
| Abdominal fluid drain (paracentesis) | $1,510 | $1,510 | $284 |
| Abdominal ultrasound | $656 | $656 | $100 |
| Abdominal ultrasound (complete) | $1,061 | $1,061 | $114 |
| Abdominal ultrasound (limited) | $656 | $656 | $86 |
| Abscess drainage (complex or multiple) | $689 | $689 | $220 |
| Abscess drainage (simple) | $375 | $375 | $129 |
| Abscess incision and drainage | $445 | $445 | $174 |
| Achilles tendon repair | $1,632 | $1,632 | $624 |
| ACL knee reconstruction | $2,416 | $2,416 | $889 |
| Acupuncture | $73 | $73 | $38 |
| Acupuncture (each additional) | $62 | $62 | $28 |
| Adenoid removal (adenoidectomy) | $535 | $535 | $204 |
| Albumin blood test | $34 | $34 | $5 |
| Aldosterone test | $109 | $109 | $41 |
| Alkaline phosphatase test | $34 | $34 | $5 |
| Allergy patch testing | $16 | $16 | $5 |
| Allergy shots | $29 | $29 | $11 |
| Allergy testing | $44 | $44 | $4 |
| Alpha-fetoprotein (AFP) test | $64 | $64 | $17 |
| ALT liver enzyme test | $34 | $34 | $5 |
| Ammonia blood test | $64 | $64 | $15 |
| Amniocentesis | $1,176 | $1,176 | $120 |
| Amylase test | $34 | $34 | $6 |
| Anal fistula repair | $1,230 | $1,230 | $541 |
| Ankle fracture repair | $2,976 | $1,595 | $608 |
| Ankle replacement | $2,384 | $2,384 | $885 |
| Annual physical (established patient) | $220 | $220 | — |
| Annual physical (new patient) | $254 | $254 | — |
| Anoscopy | $84 | $84 | $129 |
| Antinuclear antibody (ANA) test | $49 | $49 | $12 |
| Aortic aneurysm repair (AAA) | $7,859 | $7,859 | $1,345 |
| Aortic valve replacement | $14,516 | $14,516 | $1,603 |
| Arterial blood gas (ABG) | $86 | $86 | $26 |
| AST liver enzyme test | $34 | $34 | $5 |
| Barium swallow study | $435 | $435 | $107 |
| Bartholin cyst removal | $504 | $504 | $182 |
| Basic metabolic panel | $69 | $69 | $8 |
| Benign skin lesion removal | $416 | $416 | $171 |
| Bilirubin blood test | $34 | $34 | $5 |
| Bladder function test (urodynamics) | $459 | $730 | $345 |
| Bladder scope (cystoscopy) | $2,071 | $2,071 | $216 |
| Bladder tumor removal (TURBT) | $674 | $674 | $236 |
| Blood clotting test (PT/INR) | $33 | $33 | $4 |
| Blood crossmatch | $156 | $156 | — |
| Blood glucose test | $34 | $34 | $5 |
| Blood transfusion | $418 | $418 | $47 |
| Blood type and screen | $57 | $57 | $10 |
| Blood type test | $57 | $57 | $3 |
| Blood type test (ABO group) | $57 | $57 | $3 |
| Blood type test (Rh/D antigen) | $57 | $57 | $3 |
| BNP (heart failure) test | $86 | $86 | $39 |
| Bone density scan (DEXA) | $417 | $417 | $39 |
| Bone marrow biopsy | $3,071 | $3,071 | $172 |
| Bone scan (nuclear) | $1,534 | $1,534 | $259 |
| Botox for migraine | $682 | $682 | $157 |
| Brain shunt (VP shunt) | $2,464 | $2,464 | $1,023 |
| Breast biopsy | $3,929 | $4,225 | $478 |
| Breast MRI | $626 | $779 | $216 |
| Breast MRI without contrast | $626 | $779 | $216 |
| Breast reconstruction | $5,657 | $5,747 | $1,227 |
| Breast reduction | $2,714 | $2,714 | $980 |
| Breast ultrasound | $427 | $301 | $92 |
| Breast ultrasound (complete) | $571 | $285 | $100 |
| Breast ultrasound (limited) | $427 | $427 | $84 |
| Breathing tube insertion (intubation) | $619 | $619 | $133 |
| Bronchoscopy | $3,147 | $3,147 | $303 |
| Bunion surgery (bunionectomy) | $4,203 | $4,203 | $883 |
| Burn dressing and debridement (medium) | $375 | $375 | $166 |
| Burn dressing and debridement (small) | $375 | $375 | $93 |
| Burn treatment | $375 | $375 | $129 |
| C-reactive protein (CRP) | $49 | $49 | $5 |
| CA 19-9 tumor marker test | $49 | $49 | $21 |
| CA-125 ovarian marker test | $49 | $49 | $21 |
| Calcium blood test | $34 | $34 | $5 |
| Capsule endoscopy | $2,628 | $2,628 | $802 |
| Cardiac ablation | $29,085 | $29,085 | $759 |
| Cardiac catheterization | $11,421 | $11,421 | $1,049 |
| Cardiac event monitor | $470 | $470 | $170 |
| Cardiac MRI | $2,730 | $2,730 | $322 |
| Cardiac MRI without contrast | $2,730 | $2,730 | $280 |
| Cardiac rehabilitation | $230 | $230 | $26 |
| Cardiac stress test | $168 | $168 | $39 |
| Cardioversion | $1,512 | $1,512 | $155 |
| Carotid artery surgery | $2,760 | $5,520 | $1,026 |
| Carotid artery ultrasound | $813 | $813 | $156 |
| Carpal tunnel release | $1,070 | $2,139 | $483 |
| Cataract surgery | $2,289 | $2,541 | $547 |
| CEA tumor marker test | $64 | $64 | $19 |
| Celiac disease test | $49 | $49 | $12 |
| Central line placement | $1,845 | $1,845 | $238 |
| Cervical cerclage | $366 | $366 | $137 |
| Cervical LEEP procedure | $778 | $778 | $325 |
| Chalazion (eyelid cyst) removal | $318 | $318 | $131 |
| Chemotherapy infusion | $198 | $198 | $81 |
| Chemotherapy infusion (each additional) | $146 | $146 | $28 |
| Chemotherapy infusion (first hour) | $749 | $749 | $133 |
| Chest fluid drain (thoracentesis) | $879 | $879 | $311 |
| Chest tube insertion | $1,221 | $1,221 | $143 |
| Chest X-ray | $258 | $258 | $37 |
| Chest X-ray (1 view) | $207 | $207 | $25 |
| Chest X-ray (2 views) | $309 | $309 | $33 |
| Chickenpox (varicella) vaccine | $166 | $166 | — |
| Chiropractic adjustment | $74 | $74 | $38 |
| Circumcision | $2,489 | $2,489 | $167 |
| CK-MB heart enzyme test | $64 | $64 | $12 |
| Clotting time test (PTT) | $33 | $33 | $6 |
| Colon resection (colectomy) | $3,298 | $3,298 | $1,238 |
| Colonoscopy | $1,072 | $1,047 | $480 |
| Colostomy | $2,954 | $2,954 | $1,122 |
| Colposcopy | $382 | $382 | $161 |
| Complete blood count (CBC) | $34 | $34 | $7 |
| Complete blood count (CBC) (complete) | $34 | $34 | $8 |
| Complex wound repair | $673 | $673 | $390 |
| Comprehensive eye exam | $286 | $286 | $138 |
| Comprehensive metabolic panel | $69 | $69 | $11 |
| Continuous glucose monitor setup | $80 | $80 | $35 |
| Contraceptive implant (Nexplanon) | $395 | $395 | $115 |
| Copper blood test | $32 | $32 | $12 |
| Corneal transplant | $3,094 | $3,094 | $1,066 |
| Coronary CT angiography | $2,544 | $2,544 | $326 |
| Cortisol test | $55 | $55 | $16 |
| COVID-19 PCR test | $67 | $67 | $51 |
| CPAP titration study | $1,398 | $551 | $69 |
| Craniotomy (brain surgery) | $5,154 | $5,154 | $2,161 |
| Creatine kinase (CK) test | $34 | $34 | $7 |
| CT angiography of the chest | $2,675 | $2,675 | $281 |
| CT angiography of the head | $2,412 | $2,412 | $274 |
| CT colonography (virtual colonoscopy) | $210 | $1,080 | $835 |
| CT scan of the abdomen | $1,925 | $1,925 | $230 |
| CT scan of the abdomen and pelvis | $3,942 | $3,942 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $4,601 | $4,601 | $338 |
| CT scan of the abdomen and pelvis with contrast | $4,299 | $4,299 | $300 |
| CT scan of the abdomen and pelvis without contrast | $3,942 | $3,942 | $183 |
| CT scan of the abdomen with and without contrast | $2,185 | $2,185 | $259 |
| CT scan of the abdomen with contrast | $2,157 | $2,157 | $230 |
| CT scan of the abdomen without contrast | $1,925 | $1,925 | $136 |
| CT scan of the arm | $1,870 | $1,870 | $199 |
| CT scan of the arm with contrast | $2,161 | $2,161 | $199 |
| CT scan of the arm without contrast | $1,870 | $1,870 | $161 |
| CT scan of the chest | $1,954 | $1,954 | $167 |
| CT scan of the chest with and without contrast | $2,318 | $2,318 | $196 |
| CT scan of the chest with contrast | $2,234 | $2,234 | $167 |
| CT scan of the chest without contrast | $1,954 | $1,954 | $133 |
| CT scan of the head | $1,705 | $1,705 | $148 |
| CT scan of the head with and without contrast | $2,167 | $2,167 | $173 |
| CT scan of the head with contrast | $1,946 | $1,946 | $148 |
| CT scan of the head without contrast | $1,705 | $1,705 | $107 |
| CT scan of the leg | $1,589 | $1,589 | $166 |
| CT scan of the leg with contrast | $1,859 | $1,859 | $166 |
| CT scan of the leg without contrast | $1,589 | $1,589 | $130 |
| CT scan of the lower back (lumbar spine) | $2,161 | $2,161 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $2,675 | $2,675 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $2,426 | $2,426 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $2,161 | $2,161 | $130 |
| CT scan of the neck | $1,688 | $1,688 | $183 |
| CT scan of the neck (cervical spine) | $2,128 | $2,128 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $2,580 | $2,580 | $196 |
| CT scan of the neck (cervical spine) with contrast | $2,393 | $2,393 | $168 |
| CT scan of the neck (cervical spine) without contrast | $2,128 | $2,128 | $131 |
| CT scan of the neck with and without contrast | $1,996 | $1,996 | $220 |
| CT scan of the neck with contrast | $1,950 | $1,950 | $183 |
| CT scan of the neck without contrast | $1,688 | $1,688 | $150 |
| CT scan of the pelvis | $1,870 | $1,870 | $226 |
| CT scan of the pelvis with and without contrast | $2,114 | $2,114 | $251 |
| CT scan of the pelvis with contrast | $2,088 | $2,088 | $226 |
| CT scan of the pelvis without contrast | $1,870 | $1,870 | $133 |
| CT scan of the sinuses | $1,536 | $1,536 | $152 |
| CT scan of the sinuses with and without contrast | $1,871 | $1,871 | $184 |
| CT scan of the sinuses with contrast | $1,774 | $1,774 | $152 |
| CT scan of the sinuses without contrast | $1,536 | $1,536 | $128 |
| D-dimer test | $33 | $33 | $10 |
| Defibrillator (ICD) implant | $34,230 | $34,230 | $798 |
| Developmental screening (child) | $57 | $57 | — |
| DHEA-sulfate test | $55 | $55 | $22 |
| Diagnostic mammogram | $402 | $402 | $140 |
| Dialysis fistula creation | $1,622 | $1,622 | $601 |
| Dilation and curettage (D&C) | $3,312 | $3,312 | $298 |
| Droopy eyelid repair (ptosis) | $3,650 | $3,650 | $745 |
| Drug screen (urine) | $72 | $72 | $17 |
| Ear pressure test (tympanometry) | $35 | $35 | $16 |
| Ear tubes (myringotomy) | $435 | $870 | $174 |
| Eardrum repair (tympanoplasty) | $2,165 | $4,330 | $799 |
| Echocardiogram | $454 | $454 | $138 |
| Echocardiogram with and without contrast | $454 | $454 | $101 |
| Echocardiogram without contrast | $866 | $866 | $138 |
| EEG (awake and asleep) | $1,026 | $1,026 | $482 |
| EKG / ECG (tracing only) | $172 | $172 | $7 |
| Elbow replacement | $3,585 | $7,170 | $1,301 |
| Electrocardiogram (EKG) | $38 | $105 | $8 |
| Electroencephalogram (EEG) | $1,026 | $1,026 | $448 |
| Electrolyte panel | $69 | $69 | $7 |
| Electromyography (EMG) | $409 | $409 | $141 |
| Emergency department visit (level 1) | $44 | $170 | $11 |
| Emergency department visit (level 2) | $44 | $346 | $40 |
| Endometrial biopsy | $994 | $994 | $98 |
| Epidural steroid injection | $1,510 | $1,510 | $275 |
| ERCP (bile duct endoscopy) | $905 | $905 | $311 |
| Esophageal dilation | $1,282 | $1,282 | $522 |
| Esophageal variceal banding | $357 | $357 | $126 |
| Estradiol (estrogen) test | $55 | $55 | $28 |
| Eyelid surgery (blepharoplasty) | $1,879 | $2,080 | $552 |
| Facet joint injection (spine) | $600 | $600 | $99 |
| Fallopian tube X-ray (HSG) | $449 | $449 | $164 |
| Family therapy session | $239 | $239 | $110 |
| Fecal occult blood (stool) test | $37 | $37 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $34 | $34 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $64 | $64 | $16 |
| Feeding tube (PEG) placement | $502 | $502 | $178 |
| Femoral hernia repair | $2,254 | $2,960 | $584 |
| Ferritin (iron) test | $64 | $64 | $14 |
| Fibrinogen test | $33 | $33 | $10 |
| Fibroid removal (myomectomy) | $2,606 | $2,606 | $914 |
| Flexible sigmoidoscopy | $672 | $672 | $323 |
| Flu test | $39 | $39 | $17 |
| Flu vaccine | $22 | $22 | — |
| Folate (folic acid) test | $64 | $64 | $15 |
| Foreign body removal (skin) | $236 | $236 | $157 |
| Free T4 thyroid test | $55 | $55 | $9 |
| FSH hormone test | $55 | $55 | $19 |
| Gallbladder removal (laparoscopic) | $1,686 | $1,686 | $658 |
| Gallbladder scan (HIDA) | $1,206 | $1,206 | $334 |
| Ganglion cyst removal | $1,579 | $1,579 | $321 |
| GGT liver test | $34 | $34 | $7 |
| Glaucoma surgery | $2,833 | $2,833 | $984 |
| Glucose tolerance test | $34 | $34 | $8 |
| Group therapy session | $115 | $115 | $30 |
| H. pylori test | $291 | $291 | $67 |
| Hammertoe repair | $2,688 | $2,688 | $548 |
| HDL cholesterol test | $34 | $34 | $8 |
| Hematocrit test | $34 | $34 | $2 |
| Hemodialysis | $1,023 | $1,023 | $75 |
| Hemoglobin A1c (diabetes test) | $34 | $34 | $10 |
| Hemorrhoid removal | $750 | $750 | $338 |
| Hepatitis A vaccine | $78 | $78 | — |
| Hepatitis B test | $39 | $39 | $10 |
| Hepatitis B vaccine | $106 | $106 | — |
| Hepatitis C test | $49 | $49 | $14 |
| Hip arthroscopy | $5,043 | $2,523 | $931 |
| Hip fracture repair | $6,050 | $3,025 | $1,120 |
| Hip replacement | $6,675 | $6,675 | $1,162 |
| HIV test | $44 | $44 | $19 |
| HIV test (antibody) | $49 | $49 | $14 |
| HIV test (antigen/antibody combo) | $39 | $39 | $24 |
| Holter heart monitor | $320 | $320 | $26 |
| Home sleep apnea test | $661 | $661 | $123 |
| HPV vaccine | $562 | $278 | — |
| Hydrocele repair | $847 | $847 | $315 |
| Hysterectomy | $2,521 | $2,521 | $933 |
| Hysteroscopy | $627 | $627 | $1,270 |
| Ileostomy | $2,569 | $2,569 | $968 |
| Inguinal hernia repair | $1,996 | $2,076 | $538 |
| Iron blood test | $34 | $34 | $6 |
| IUD insertion | $226 | $226 | — |
| IUD removal | $368 | $368 | $112 |
| IV infusion therapy | $121 | $121 | $44 |
| IV infusion therapy (each additional) | $92 | $92 | $21 |
| IV infusion therapy (initial) | $444 | $444 | $67 |
| IVC filter placement | $5,649 | $5,649 | $1,885 |
| Joint aspiration (small/intermediate) | $517 | $517 | $57 |
| Joint aspiration or injection (mid-size joint) | $1,034 | $517 | $57 |
| Joint aspiration or injection (small joint) | $517 | $517 | $56 |
| Kidney biopsy | $1,579 | $1,579 | $492 |
| Kidney removal (nephrectomy) | $3,307 | $4,998 | $1,164 |
| Kidney scan (nuclear) | $1,680 | $1,680 | $172 |
| Kidney stone shock-wave (lithotripsy) | $1,839 | $1,839 | $760 |
| Kidney ultrasound | $501 | $501 | $84 |
| Kidney ultrasound (limited) | $501 | $501 | $61 |
| Knee arthroscopy | $1,355 | $2,046 | $524 |
| Knee joint injection | $568 | $568 | $69 |
| Lactate test | $64 | $64 | $12 |
| Laminectomy (spine) | $2,856 | $2,856 | $1,157 |
| Laryngoscopy | $549 | $549 | $189 |
| LDH test | $34 | $34 | $6 |
| LDL cholesterol test | $34 | $34 | $11 |
| Leg artery angiogram | $5,135 | $5,135 | $149 |
| Leg artery angioplasty | $14,834 | $10,732 | — |
| Leg vein ultrasound (Doppler) | $555 | $555 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $555 | $555 | $116 |
| LH hormone test | $55 | $55 | $19 |
| Lipase test | $34 | $34 | $7 |
| Lipid (cholesterol) panel | $69 | $69 | $13 |
| Liver biopsy | $1,579 | $1,579 | $288 |
| Liver function panel | $69 | $69 | $8 |
| Lumbar discectomy | $4,667 | $4,667 | $898 |
| Lumpectomy (breast) | $3,807 | $3,005 | $750 |
| Lung function test (PFT) | $146 | $146 | $37 |
| Lung scan (V/Q) | $2,245 | $2,245 | $291 |
| Magnesium blood test | $34 | $34 | $7 |
| Mastectomy | $2,643 | $2,643 | $1,021 |
| Mastoidectomy | $2,343 | $2,343 | $840 |
| Meniscus repair (knee) | $3,773 | $2,921 | $714 |
| MMR vaccine | $60 | $86 | — |
| Mohs skin cancer surgery | $1,306 | $1,306 | $535 |
| MRA of the brain | $2,970 | $2,970 | $226 |
| MRA of the brain with contrast | $3,501 | $3,501 | $226 |
| MRA of the brain without contrast | $3,768 | $3,768 | $328 |
| MRA of the neck | $2,970 | $2,970 | $245 |
| MRA of the neck with contrast | $3,501 | $3,501 | $245 |
| MRA of the neck without contrast | $3,768 | $3,768 | $343 |
| MRI of the abdomen | $2,730 | $2,730 | $300 |
| MRI of the abdomen with contrast | $4,520 | $4,520 | $300 |
| MRI of the abdomen without contrast | $2,730 | $2,730 | $194 |
| MRI of the ankle | $2,730 | $2,730 | $261 |
| MRI of the ankle with contrast | $4,520 | $4,520 | $261 |
| MRI of the ankle without contrast | $2,730 | $2,730 | $222 |
| MRI of the brain | $2,034 | $2,034 | $269 |
| MRI of the brain with contrast | $3,501 | $3,501 | $269 |
| MRI of the brain without contrast | $2,034 | $2,034 | $195 |
| MRI of the chest | $2,730 | $2,730 | $371 |
| MRI of the chest with contrast | $3,826 | $3,826 | $371 |
| MRI of the chest without contrast | $4,520 | $4,520 | $466 |
| MRI of the knee | $2,730 | $2,730 | $315 |
| MRI of the knee with contrast | $4,520 | $4,520 | $315 |
| MRI of the knee without contrast | $2,730 | $2,730 | $204 |
| MRI of the lower back (lumbar spine) | $2,730 | $2,730 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $4,520 | $4,520 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $2,730 | $2,730 | $192 |
| MRI of the mid-back (thoracic spine) | $2,730 | $2,730 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $5,408 | $5,408 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $4,520 | $4,520 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $2,730 | $2,730 | $190 |
| MRI of the neck (cervical spine) | $2,730 | $2,730 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $5,408 | $5,408 | $318 |
| MRI of the neck (cervical spine) with contrast | $4,520 | $4,520 | $274 |
| MRI of the neck (cervical spine) without contrast | $2,730 | $2,730 | $191 |
| MRI of the pelvis | $2,730 | $2,730 | $268 |
| MRI of the pelvis with contrast | $3,826 | $3,826 | $268 |
| MRI of the pelvis without contrast | $2,730 | $2,730 | $227 |
| MRI of the shoulder | $2,730 | $2,730 | $313 |
| MRI of the shoulder with contrast | $4,520 | $4,520 | $313 |
| MRI of the shoulder without contrast | $2,730 | $2,730 | $205 |
| MRI of the wrist | $2,730 | $2,730 | $330 |
| MRI of the wrist with contrast | $946 | $754 | $330 |
| MRI of the wrist without contrast | $2,730 | $2,730 | $303 |
| Nebulizer breathing treatment | $66 | $124 | $9 |
| Neck (cervical) spinal fusion | $3,547 | $3,547 | $1,410 |
| Nerve conduction study | $325 | $325 | $118 |
| Newborn hospital care | $124 | $124 | $58 |
| Nuchal translucency ultrasound | $225 | $104 | $116 |
| Nuclear cardiac stress test | $2,572 | $2,572 | $428 |
| Occupational therapy evaluation | $221 | $221 | $101 |
| Occupational therapy evaluation (high complexity) | $242 | $242 | $101 |
| Occupational therapy evaluation (low complexity) | $221 | $221 | $101 |
| Occupational therapy evaluation (moderate complexity) | $232 | $232 | $101 |
| Office visit (established patient) | $176 | $176 | $115 |
| Office visit (new patient) | $290 | $290 | $177 |
| Office visit, established patient (level 3) | $161 | $161 | $95 |
| Office visit, established patient (level 4) | $192 | $192 | $136 |
| Office visit, new patient (level 3) | $190 | $190 | $118 |
| Office visit, new patient (level 4) | $290 | $290 | $177 |
| Office visit, new patient (level 5) | $367 | $367 | $237 |
| Orthopedic hardware removal | $3,570 | $3,570 | $632 |
| Ovarian cyst removal | $1,884 | $1,884 | $698 |
| Ovary removal (oophorectomy) | $2,121 | $2,121 | $822 |
| Pap smear (cervical screening) | $55 | $55 | $20 |
| Parathyroid hormone (PTH) test | $109 | $109 | $41 |
| Parathyroid removal | $2,376 | $2,376 | $891 |
| Pelvic ultrasound | $376 | $376 | $78 |
| Pelvic ultrasound (complete) | $504 | $504 | $105 |
| Pelvic ultrasound (limited) | $376 | $376 | $51 |
| PET scan | $2,809 | $2,809 | — |
| Phosphorus blood test | $34 | $34 | $5 |
| Physical therapy evaluation | $221 | $221 | $98 |
| Physical therapy evaluation (high complexity) | $242 | $242 | $98 |
| Physical therapy evaluation (moderate complexity) | $232 | $232 | $98 |
| Pilonidal cyst removal | $1,112 | $1,112 | $541 |
| Platelet count | $34 | $34 | $4 |
| Pneumonia vaccine | $129 | $129 | — |
| Pregnancy blood test (hCG) | $34 | $34 | $8 |
| Pregnancy ultrasound | $661 | $661 | $126 |
| Pregnancy ultrasound (first trimester) | $661 | $661 | $117 |
| Pregnancy ultrasound (second or third trimester) | $706 | $706 | $136 |
| Procalcitonin test | $55 | $55 | $27 |
| Prolactin test | $55 | $55 | $19 |
| Prostate biopsy | $2,599 | $2,599 | — |
| Prostate removal (prostatectomy) | $3,302 | $3,302 | $1,063 |
| Prostate surgery (TURP) | $1,842 | $1,842 | $526 |
| Prostate test (PSA) | $64 | $64 | $18 |
| Psychiatric evaluation | $361 | $361 | $188 |
| Psychotherapy session | $126 | $126 | $140 |
| Pterygium removal (eye) | $1,303 | $1,303 | $540 |
| Pulmonary rehabilitation | $189 | $189 | $87 |
| Radiofrequency nerve ablation | $4,836 | $7,301 | $462 |
| Retina scan (OCT) | $54 | $54 | $33 |
| Retinal (fundus) photography | $52 | $97 | $37 |
| Retinal detachment repair | $2,896 | $2,896 | $966 |
| Rheumatoid factor test | $49 | $49 | $6 |
| Rotator cuff repair | $4,037 | $2,097 | $792 |
| Routine eye exam | $179 | $179 | $88 |
| RSV vaccine | $403 | $403 | — |
| Sacroiliac joint injection | $802 | $401 | $176 |
| Scoliosis spine X-ray | $190 | $190 | $58 |
| Scoliosis spine X-ray (1 view) | $190 | $190 | $44 |
| Scoliosis spine X-ray (3 views) | $313 | $313 | $72 |
| Screening colonoscopy | $814 | $814 | $378 |
| Screening mammogram | $397 | $397 | $126 |
| Scrotal ultrasound | $706 | $706 | $99 |
| Sedimentation rate (ESR) test | $34 | $34 | $3 |
| Semen analysis | $56 | $56 | $12 |
| Septoplasty (deviated septum) | $1,590 | $1,590 | $613 |
| Sex hormone binding globulin test | $64 | $64 | $22 |
| Shingles vaccine | $212 | $212 | — |
| Shoulder arthroscopy | $3,848 | $3,877 | $962 |
| Shoulder replacement | $7,160 | $3,580 | $1,300 |
| Simple laceration repair (small, up to 2.5 cm) | $355 | $355 | $114 |
| Simple wound stitches | $355 | $355 | $127 |
| Sinus surgery (endoscopic) | $898 | $662 | $224 |
| Skin biopsy | $394 | $394 | $121 |
| Skin biopsy (punch) | $394 | $394 | $121 |
| Skin cancer lesion removal | $607 | $607 | $240 |
| Skin graft | $4,062 | $4,062 | $898 |
| Skin lesion freezing (cryotherapy) | $88 | $88 | $36 |
| Skin tag removal | $196 | $196 | $92 |
| Sleep study (polysomnography) | $4,176 | $4,176 | $691 |
| Small bowel resection | $3,002 | $3,002 | $1,136 |
| Soft tissue ultrasound | $207 | $207 | $64 |
| Speech therapy | $210 | $210 | $76 |
| Spinal cord stimulator | $18,103 | $18,103 | $2,388 |
| Spinal tap (lumbar puncture) | $1,215 | $1,215 | $165 |
| Spine fracture repair (kyphoplasty) | $19,676 | $19,676 | $5,803 |
| Spirometry (lung function test) | $146 | $146 | $30 |
| Spirometry with bronchodilator | $240 | $240 | $43 |
| Spleen removal (splenectomy) | $2,705 | $2,705 | $1,036 |
| Stomach removal (gastrectomy) | $4,209 | $4,209 | $1,595 |
| Strabismus (eye muscle) surgery | $2,374 | $1,632 | $475 |
| Strep throat test | $39 | $39 | $17 |
| Stress echocardiogram | $1,347 | $1,347 | $209 |
| Stress echocardiogram (complete) | $2,550 | $2,550 | $233 |
| Swallow study | $332 | $332 | $85 |
| T3 thyroid test | $55 | $55 | $14 |
| Tdap (tetanus) vaccine | $146 | $146 | — |
| Testicle removal (orchiectomy) | $818 | $1,637 | $306 |
| Testosterone test | $55 | $55 | $26 |
| Thyroid removal (thyroidectomy) | $2,758 | $2,758 | $1,004 |
| Thyroid test (TSH) | $55 | $55 | $17 |
| Thyroid ultrasound | $429 | $429 | $109 |
| Thyroid uptake scan | $442 | $364 | $145 |
| Tilt table test | $2,052 | $2,052 | $168 |
| Tonsillectomy | $683 | $683 | $252 |
| Total IgE allergy test | $64 | $64 | $16 |
| Total protein test | $34 | $34 | $4 |
| Tracheostomy | $761 | $761 | $273 |
| Transesophageal echocardiogram (TEE) | $1,530 | $1,530 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $1,886 | $1,886 | $239 |
| Transvaginal ultrasound | $504 | $504 | $118 |
| Trigger finger release | $1,334 | $1,334 | $630 |
| Trigger point injection | $517 | $517 | $56 |
| Trigger point injection (1-2 muscles) | $517 | $517 | $52 |
| Triglycerides test | $34 | $34 | $6 |
| Troponin (heart) test | $64 | $64 | $12 |
| Tubal ligation | $920 | $920 | $333 |
| Turbinate reduction | $1,570 | $785 | $294 |
| Turning a breech baby (version) | $2,005 | $2,005 | $94 |
| Ulnar nerve surgery (elbow) | $2,922 | $2,922 | $575 |
| Upper GI endoscopy (EGD) | $801 | $801 | $371 |
| Upper GI series (barium) | $490 | $490 | $128 |
| Ureteral stent placement | $1,114 | $2,229 | $373 |
| Ureteroscopy (stone removal) | $2,101 | $2,101 | $365 |
| Uric acid (gout) test | $34 | $34 | $5 |
| Urinalysis | $26 | $26 | $3 |
| Urine microalbumin test | $26 | $26 | $5 |
| Urine pregnancy test | $26 | $26 | $9 |
| UV light therapy (skin) | $228 | $228 | $106 |
| Vaccine administration | $41 | $41 | $19 |
| Vaccine administration (each additional) | $35 | $35 | $16 |
| Varicocele repair | $885 | $885 | $327 |
| Varicose vein ablation | $5,927 | $6,664 | $1,018 |
| Vasectomy | $892 | $892 | $347 |
| Visual field test | $80 | $80 | $64 |
| Vitamin B12 test | $55 | $55 | $15 |
| Vitamin D test | $86 | $86 | $30 |
| Vitrectomy (eye) | $3,705 | $4,822 | $814 |
| Vocal cord injection | $617 | $617 | $211 |
| Wart removal | $272 | $272 | $121 |
| Well-child visit | $189 | $189 | — |
| Whipple procedure (pancreas) | $7,638 | $7,638 | $2,871 |
| Wound debridement | $976 | $976 | $186 |
| Wrist fracture repair | $2,934 | $2,934 | $735 |
| X-ray of the abdomen | $181 | $181 | $36 |
| X-ray of the ankle | $279 | $279 | $37 |
| X-ray of the collarbone | $307 | $307 | $33 |
| X-ray of the elbow | $263 | $263 | $33 |
| X-ray of the facial bones | $221 | $221 | $39 |
| X-ray of the foot | $279 | $279 | $34 |
| X-ray of the forearm | $307 | $307 | $29 |
| X-ray of the hand | $263 | $263 | $38 |
| X-ray of the hip | $190 | $190 | $49 |
| X-ray of the hip (1 view) | $190 | $190 | $34 |
| X-ray of the hip (3 views) | $190 | $190 | $49 |
| X-ray of the hip (4 views) | $313 | $313 | $63 |
| X-ray of the knee | $209 | $209 | $42 |
| X-ray of the knee (2 views) | $209 | $209 | $34 |
| X-ray of the knee (3 views) | $279 | $279 | $42 |
| X-ray of the knee (4+ views) | $314 | $314 | $49 |
| X-ray of the lower back (lumbar spine) | $514 | $514 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $514 | $514 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $514 | $514 | $53 |
| X-ray of the lower leg | $221 | $221 | $31 |
| X-ray of the mid-back (thoracic spine) | $334 | $334 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $334 | $334 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $440 | $440 | $39 |
| X-ray of the neck (cervical spine) | $334 | $334 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $334 | $334 | $40 |
| X-ray of the pelvis | $263 | $263 | $36 |
| X-ray of the pelvis (1 view) | $263 | $263 | $28 |
| X-ray of the ribs | $444 | $444 | $42 |
| X-ray of the ribs (2 views) | $444 | $444 | $36 |
| X-ray of the ribs (3 views) | $537 | $537 | $42 |
| X-ray of the shoulder | $295 | $295 | $36 |
| X-ray of the skull | $221 | $221 | $40 |
| X-ray of the upper arm | $279 | $279 | $32 |
| X-ray of the wrist | $263 | $263 | $43 |
| YAG laser capsulotomy (eye) | $685 | $685 | $335 |
| Zinc blood test | $32 | $32 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
