| Procedure | Wentworth-Douglass Hospital | York Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $256 | $61 | $51 |
| Abdominal fluid drain (paracentesis) | $1,310 | $986 | $284 |
| Abdominal ultrasound | $671 | $322 | $100 |
| Abdominal ultrasound (complete) | $671 | $428 | $114 |
| Abdominal ultrasound (limited) | $551 | $322 | $86 |
| Abscess drainage (simple) | $613 | $165 | $129 |
| Abscess incision and drainage | $613 | $258 | $174 |
| Albumin blood test | $42 | $31 | $5 |
| Aldosterone test | $133 | $148 | $41 |
| Alkaline phosphatase test | $44 | $43 | $5 |
| Alpha-fetoprotein (AFP) test | $55 | $140 | $17 |
| ALT liver enzyme test | $44 | $59 | $5 |
| Ammonia blood test | $124 | $83 | $15 |
| Amylase test | $56 | $56 | $6 |
| Antinuclear antibody (ANA) test | $39 | $25 | $12 |
| Arterial blood gas (ABG) | $185 | $109 | $26 |
| AST liver enzyme test | $44 | $57 | $5 |
| Barium swallow study | $1,065 | $305 | $107 |
| Bartholin cyst removal | $598 | $171 | $182 |
| Basic metabolic panel | $72 | $146 | $8 |
| Benign skin lesion removal | $996 | $306 | $171 |
| Bilirubin blood test | $43 | $22 | $5 |
| Blood clotting test (PT/INR) | $35 | $20 | $4 |
| Blood crossmatch | $227 | $111 | — |
| Blood glucose test | $34 | $30 | $5 |
| Blood transfusion | $1,022 | $285 | $47 |
| Blood type and screen | $79 | $81 | $10 |
| Blood type test | $29 | $45 | $3 |
| Blood type test (ABO group) | $29 | $45 | $3 |
| Blood type test (Rh/D antigen) | $29 | $44 | $3 |
| BNP (heart failure) test | $289 | $151 | $39 |
| Bone density scan (DEXA) | $497 | $337 | $39 |
| Bone marrow biopsy | $5,225 | $1,529 | $172 |
| Bone scan (nuclear) | $1,810 | $1,127 | $259 |
| Botox for migraine | $3,608 | $312 | $157 |
| Breast biopsy | $3,585 | $989 | $478 |
| Breast MRI | $3,237 | $315 | $216 |
| Breast MRI without contrast | $3,237 | $289 | $216 |
| Breast ultrasound | $424 | $283 | $92 |
| Breast ultrasound (limited) | $424 | $223 | $84 |
| Breathing tube insertion (intubation) | $949 | $354 | $133 |
| Bronchoscopy | $4,898 | $223 | $303 |
| Burn dressing and debridement (medium) | $686 | $196 | $166 |
| Burn dressing and debridement (small) | $355 | $148 | $93 |
| Burn treatment | $355 | $173 | $129 |
| C-reactive protein (CRP) | $44 | $40 | $5 |
| CA 19-9 tumor marker test | $67 | $82 | $21 |
| CA-125 ovarian marker test | $67 | $104 | $21 |
| Calcium blood test | $44 | $34 | $5 |
| Cardiac catheterization | $9,842 | $2,762 | $1,049 |
| Cardiac rehabilitation | $283 | $166 | $26 |
| Cardioversion | $2,996 | $952 | $155 |
| Carotid artery ultrasound | $1,172 | $344 | $156 |
| CEA tumor marker test | $162 | $74 | $19 |
| Central line placement | $1,784 | $1,072 | $238 |
| Chemotherapy infusion | $446 | $269 | $81 |
| Chemotherapy infusion (each additional) | $158 | $80 | $28 |
| Chemotherapy infusion (first hour) | $734 | $457 | $133 |
| Chest fluid drain (thoracentesis) | $1,279 | $988 | $311 |
| Chest X-ray | $349 | $196 | $37 |
| Chest X-ray (1 view) | $265 | $148 | $25 |
| Chest X-ray (2 views) | $349 | $196 | $33 |
| Clotting time test (PTT) | $55 | $67 | $6 |
| Colonoscopy | $3,464 | $497 | $480 |
| Colposcopy | $688 | $310 | $161 |
| Complete blood count (CBC) | $65 | $85 | $7 |
| Complete blood count (CBC) (complete) | $70 | $85 | $8 |
| Comprehensive metabolic panel | $89 | $184 | $11 |
| Contraceptive implant (Nexplanon) | $488 | $209 | $115 |
| Copper blood test | $41 | $128 | $12 |
| Cortisol test | $139 | $88 | $16 |
| COVID-19 PCR test | $160 | $149 | $51 |
| CPAP titration study | $256 | $178 | $69 |
| Creatine kinase (CK) test | $56 | $67 | $7 |
| CT angiography of the chest | $2,368 | $1,753 | $281 |
| CT angiography of the head | $4,323 | $1,534 | $274 |
| CT scan of the abdomen | $3,649 | $1,120 | $230 |
| CT scan of the abdomen and pelvis | $4,748 | $1,910 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $5,425 | $2,968 | $338 |
| CT scan of the abdomen and pelvis with contrast | $4,748 | $1,910 | $300 |
| CT scan of the abdomen and pelvis without contrast | $4,612 | $1,596 | $183 |
| CT scan of the abdomen with and without contrast | $4,183 | $1,557 | $259 |
| CT scan of the abdomen with contrast | $3,649 | $1,120 | $230 |
| CT scan of the abdomen without contrast | $1,873 | $923 | $136 |
| CT scan of the arm | $2,690 | $876 | $199 |
| CT scan of the arm without contrast | $2,690 | $824 | $161 |
| CT scan of the chest | $2,793 | $1,120 | $167 |
| CT scan of the chest with contrast | $2,793 | $1,120 | $167 |
| CT scan of the chest without contrast | $2,087 | $924 | $133 |
| CT scan of the head | $2,483 | $969 | $148 |
| CT scan of the head with and without contrast | $2,660 | $1,400 | $173 |
| CT scan of the head without contrast | $2,306 | $823 | $107 |
| CT scan of the leg | $2,698 | $878 | $166 |
| CT scan of the leg with contrast | $3,493 | $878 | $166 |
| CT scan of the leg without contrast | $2,698 | $825 | $130 |
| CT scan of the lower back (lumbar spine) | $2,698 | $852 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $2,698 | $852 | $130 |
| CT scan of the neck | $2,778 | $1,120 | $183 |
| CT scan of the neck (cervical spine) | $2,720 | $1,112 | $168 |
| CT scan of the neck (cervical spine) with contrast | $3,462 | $1,107 | $168 |
| CT scan of the neck (cervical spine) without contrast | $2,720 | $1,112 | $131 |
| CT scan of the neck with and without contrast | $3,404 | $1,395 | $220 |
| CT scan of the neck with contrast | $2,778 | $1,120 | $183 |
| CT scan of the neck without contrast | $2,087 | $962 | $150 |
| CT scan of the pelvis | $2,780 | $798 | $226 |
| CT scan of the pelvis with contrast | $3,664 | $798 | $226 |
| CT scan of the pelvis without contrast | $1,895 | $676 | $133 |
| CT scan of the sinuses | $2,159 | $965 | $152 |
| CT scan of the sinuses with contrast | $2,312 | $965 | $152 |
| CT scan of the sinuses without contrast | $2,006 | $823 | $128 |
| D-dimer test | $87 | $92 | $10 |
| DHEA-sulfate test | $72 | $86 | $22 |
| Drug screen (urine) | $496 | $110 | $17 |
| Echocardiogram | $1,511 | $226 | $138 |
| Echocardiogram with and without contrast | $1,073 | $226 | $101 |
| EEG (awake and asleep) | $1,425 | $303 | $482 |
| EKG / ECG (tracing only) | $220 | $95 | $7 |
| Electrocardiogram (EKG) | $220 | $81 | $8 |
| Electroencephalogram (EEG) | $1,302 | $303 | $448 |
| Electrolyte panel | $60 | $74 | $7 |
| Emergency department visit | $1,314 | $158 | $69 |
| Emergency department visit (level 3) | $732 | $209 | $69 |
| Emergency department visit (level 4) | $1,314 | $341 | $118 |
| Emergency department visit (level 5) | $1,942 | $515 | $171 |
| Endometrial biopsy | $363 | $173 | $98 |
| Epidural steroid injection | $3,026 | $994 | $275 |
| ERCP (bile duct endoscopy) | $6,140 | $3,668 | $311 |
| Estradiol (estrogen) test | $91 | $94 | $28 |
| Facet joint injection (spine) | $1,524 | $314 | $99 |
| Fallopian tube X-ray (HSG) | $799 | $490 | $164 |
| Fecal occult blood (stool) test | $32 | $37 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $32 | $25 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $144 | $52 | $16 |
| Feeding tube (PEG) placement | $3,460 | $320 | $178 |
| Ferritin (iron) test | $116 | $105 | $14 |
| Fibrinogen test | $77 | $104 | $10 |
| Flexible sigmoidoscopy | $1,126 | $385 | $323 |
| Flu test | $70 | $91 | $17 |
| Flu vaccine | $38 | $21 | — |
| Folate (folic acid) test | $47 | $100 | $15 |
| Foreign body removal (skin) | $646 | $253 | $157 |
| Free T4 thyroid test | $77 | $41 | $9 |
| FSH hormone test | $158 | $74 | $19 |
| Gallbladder scan (HIDA) | $2,419 | $1,178 | $334 |
| GGT liver test | $61 | $47 | $7 |
| Glucose tolerance test | $109 | $33 | $8 |
| HDL cholesterol test | $70 | $56 | $8 |
| Hematocrit test | $21 | $20 | $2 |
| Hemodialysis | $1,627 | $1,178 | $75 |
| Hemoglobin A1c (diabetes test) | $83 | $47 | $10 |
| Hepatitis B test | $88 | $76 | $10 |
| Hepatitis C test | $122 | $103 | $14 |
| HIV test | $205 | $40 | $19 |
| HIV test (antigen/antibody combo) | $205 | $25 | $24 |
| Holter heart monitor | $533 | $224 | $26 |
| Hysterectomy | $14,684 | $1,570 | $933 |
| Iron blood test | $56 | $65 | $6 |
| IUD insertion | $821 | $125 | — |
| IUD removal | $1,085 | $167 | $112 |
| IV infusion therapy | $625 | $384 | $44 |
| IV infusion therapy (each additional) | $177 | $56 | $21 |
| IV infusion therapy (initial) | $625 | $384 | $67 |
| IVC filter placement | $12,346 | $6,416 | $1,885 |
| Joint aspiration (small/intermediate) | $1,138 | $202 | $57 |
| Joint aspiration or injection (mid-size joint) | $1,138 | $308 | $57 |
| Kidney biopsy | $3,029 | $1,538 | $492 |
| Kidney scan (nuclear) | $2,302 | $849 | $172 |
| Kidney ultrasound | $628 | $209 | $84 |
| Knee joint injection | $1,517 | $412 | $69 |
| Lactate test | $91 | $133 | $12 |
| Laryngoscopy | $674 | $282 | $189 |
| LDH test | $52 | $46 | $6 |
| LDL cholesterol test | $81 | $75 | $11 |
| Leg artery angioplasty | $19,051 | $5,416 | — |
| Leg vein ultrasound (Doppler) | $941 | $308 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $715 | $268 | $116 |
| LH hormone test | $158 | $88 | $19 |
| Lipase test | $59 | $95 | $7 |
| Lipid (cholesterol) panel | $113 | $142 | $13 |
| Liver biopsy | $2,929 | $1,538 | $288 |
| Liver function panel | $70 | $94 | $8 |
| Lung function test (PFT) | $365 | $58 | $37 |
| Lung scan (V/Q) | $1,961 | $876 | $291 |
| Magnesium blood test | $58 | $72 | $7 |
| MRA of the brain | $4,026 | $1,618 | $226 |
| MRA of the neck | $5,247 | $1,618 | $245 |
| MRA of the neck with contrast | $4,281 | $1,618 | $245 |
| MRA of the neck without contrast | $6,212 | $3,153 | $343 |
| MRI of the abdomen | $5,017 | $1,600 | $300 |
| MRI of the abdomen with contrast | $5,017 | $1,588 | $300 |
| MRI of the abdomen without contrast | $3,152 | $1,600 | $194 |
| MRI of the ankle | $4,475 | $1,910 | $261 |
| MRI of the ankle without contrast | $3,592 | $1,239 | $222 |
| MRI of the brain | $3,477 | $1,951 | $269 |
| MRI of the brain with contrast | $4,150 | $1,951 | $269 |
| MRI of the brain without contrast | $2,804 | $1,618 | $195 |
| MRI of the chest | $8,366 | $1,756 | $371 |
| MRI of the chest without contrast | $8,366 | $3,502 | $466 |
| MRI of the knee | $4,213 | $1,596 | $315 |
| MRI of the knee with contrast | $5,384 | $1,596 | $315 |
| MRI of the knee without contrast | $3,041 | $1,429 | $204 |
| MRI of the lower back (lumbar spine) | $3,730 | $1,937 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $2,699 | $1,793 | $192 |
| MRI of the mid-back (thoracic spine) | $3,746 | $1,937 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $4,793 | $3,589 | $319 |
| MRI of the mid-back (thoracic spine) without contrast | $2,699 | $1,793 | $190 |
| MRI of the neck (cervical spine) | $3,733 | $1,951 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $4,774 | $3,589 | $318 |
| MRI of the neck (cervical spine) without contrast | $2,692 | $1,618 | $191 |
| MRI of the pelvis | $4,481 | $1,588 | $268 |
| MRI of the pelvis without contrast | $3,637 | $1,239 | $227 |
| MRI of the shoulder | $3,041 | $1,596 | $313 |
| MRI of the shoulder without contrast | $3,041 | $1,273 | $205 |
| MRI of the wrist | $5,378 | $1,910 | $330 |
| MRI of the wrist without contrast | $5,378 | $1,585 | $303 |
| Nebulizer breathing treatment | $123 | $374 | $9 |
| Nuclear cardiac stress test | $4,834 | $2,342 | $428 |
| Occupational therapy evaluation | $342 | $200 | $101 |
| Occupational therapy evaluation (low complexity) | $342 | $200 | $101 |
| Occupational therapy evaluation (moderate complexity) | $342 | $200 | $101 |
| Office visit (established patient) | $386 | $161 | $115 |
| Office visit, established patient (level 3) | $304 | $141 | $95 |
| Office visit, established patient (level 4) | $469 | $169 | $136 |
| Pap smear (cervical screening) | $163 | $98 | $20 |
| Parathyroid hormone (PTH) test | $351 | $115 | $41 |
| Pelvic ultrasound | $602 | $247 | $78 |
| Pelvic ultrasound (complete) | $622 | $392 | $105 |
| Pelvic ultrasound (limited) | $581 | $185 | $51 |
| Phosphorus blood test | $41 | $50 | $5 |
| Physical therapy evaluation | $311 | $191 | $98 |
| Physical therapy evaluation (high complexity) | $311 | $191 | $98 |
| Physical therapy evaluation (moderate complexity) | $311 | $191 | $98 |
| Platelet count | $41 | $55 | $4 |
| Pregnancy blood test (hCG) | $68 | $68 | $8 |
| Pregnancy ultrasound | $749 | $420 | $126 |
| Pregnancy ultrasound (first trimester) | $601 | $337 | $117 |
| Pregnancy ultrasound (second or third trimester) | $749 | $476 | $136 |
| Procalcitonin test | $206 | $169 | $27 |
| Prolactin test | $165 | $123 | $19 |
| Prostate test (PSA) | $157 | $122 | $18 |
| Sacroiliac joint injection | $2,439 | $322 | $176 |
| Scoliosis spine X-ray | $824 | $208 | $58 |
| Scoliosis spine X-ray (3 views) | $824 | $208 | $72 |
| Screening colonoscopy | $1,951 | $364 | $378 |
| Scrotal ultrasound | $607 | $275 | $99 |
| Sedimentation rate (ESR) test | $24 | $58 | $3 |
| Semen analysis | $109 | $69 | $12 |
| Sex hormone binding globulin test | $71 | $121 | $22 |
| Shingles vaccine | $173 | $197 | — |
| Simple laceration repair (small, up to 2.5 cm) | $275 | $161 | $114 |
| Simple wound stitches | $318 | $169 | $127 |
| Skin biopsy | $796 | $347 | $121 |
| Skin biopsy (punch) | $325 | $347 | $121 |
| Skin tag removal | $429 | $131 | $92 |
| Soft tissue ultrasound | $523 | $185 | $64 |
| Speech therapy | $346 | $215 | $76 |
| Spinal cord stimulator | $12,633 | $9,385 | $2,388 |
| Spinal tap (lumbar puncture) | $1,436 | $582 | $165 |
| Spirometry (lung function test) | $184 | $64 | $30 |
| Strep throat test | $70 | $40 | $17 |
| Stress echocardiogram | $1,768 | $305 | $209 |
| Swallow study | $319 | $215 | $85 |
| T3 thyroid test | $46 | $85 | $14 |
| Tdap (tetanus) vaccine | $85 | $46 | — |
| Testosterone test | $220 | $94 | $26 |
| Thyroid test (TSH) | $143 | $112 | $17 |
| Thyroid ultrasound | $691 | $457 | $109 |
| Thyroid uptake scan | $1,448 | $708 | $145 |
| Total IgE allergy test | $140 | $46 | $16 |
| Total protein test | $31 | $19 | $4 |
| Transesophageal echocardiogram (TEE) | $1,940 | $1,208 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $1,940 | $1,208 | $239 |
| Transvaginal ultrasound | $722 | $454 | $118 |
| Trigger point injection | $1,195 | $226 | $56 |
| Trigger point injection (1-2 muscles) | $1,118 | $186 | $52 |
| Triglycerides test | $49 | $36 | $6 |
| Troponin (heart) test | $86 | $126 | $12 |
| Turning a breech baby (version) | $254 | $251 | $94 |
| Upper GI endoscopy (EGD) | $2,583 | $245 | $371 |
| Upper GI series (barium) | $1,600 | $323 | $128 |
| Uric acid (gout) test | $39 | $46 | $5 |
| Urinalysis | $28 | $46 | $3 |
| Urine microalbumin test | $44 | $42 | $5 |
| Urine pregnancy test | $59 | $32 | $9 |
| Vaccine administration | $29 | $15 | $19 |
| Vaccine administration (each additional) | $29 | $15 | $16 |
| Varicose vein ablation | $7,289 | $4,710 | $1,018 |
| Vitamin B12 test | $49 | $66 | $15 |
| Vitamin D test | $253 | $110 | $30 |
| Wound debridement | $1,170 | $314 | $186 |
| X-ray of the abdomen | $391 | $250 | $36 |
| X-ray of the ankle | $415 | $170 | $37 |
| X-ray of the collarbone | $349 | $143 | $33 |
| X-ray of the elbow | $355 | $179 | $33 |
| X-ray of the facial bones | $512 | $216 | $39 |
| X-ray of the foot | $385 | $187 | $34 |
| X-ray of the forearm | $331 | $168 | $29 |
| X-ray of the hand | $415 | $187 | $38 |
| X-ray of the hip | $536 | $128 | $49 |
| X-ray of the hip (3 views) | $536 | $128 | $49 |
| X-ray of the knee | $469 | $197 | $42 |
| X-ray of the knee (2 views) | $403 | $157 | $34 |
| X-ray of the knee (3 views) | $469 | $197 | $42 |
| X-ray of the knee (4+ views) | $512 | $232 | $49 |
| X-ray of the lower back (lumbar spine) | $512 | $294 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $427 | $294 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $596 | $308 | $53 |
| X-ray of the lower leg | $362 | $196 | $31 |
| X-ray of the mid-back (thoracic spine) | $406 | $227 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $385 | $185 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $427 | $244 | $39 |
| X-ray of the neck (cervical spine) | $505 | $233 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $427 | $189 | $40 |
| X-ray of the pelvis | $409 | $161 | $36 |
| X-ray of the pelvis (1 view) | $409 | $138 | $28 |
| X-ray of the ribs | $439 | $217 | $42 |
| X-ray of the ribs (2 views) | $391 | $191 | $36 |
| X-ray of the ribs (3 views) | $433 | $242 | $42 |
| X-ray of the shoulder | $349 | $220 | $36 |
| X-ray of the skull | $506 | $230 | $40 |
| X-ray of the upper arm | $367 | $185 | $32 |
| X-ray of the wrist | $469 | $185 | $43 |
| Zinc blood test | $37 | $114 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
