Northern Light Acadia Hospital
ME 04401
Prices last published by the hospital: —
What these numbers mean.
Cash price is what the hospital lists for patients paying out of pocket.
Negotiated median is the middle of what insurance companies actually agreed to pay.
Gross charge is the sticker price — almost nobody pays it.
What you will actually pay is usually different from both numbers:
with insurance, your deductible, copay, or coinsurance decides what you owe —
the negotiated rate is what the insurer pays, not your bill.
A single line item may not be the whole cost: physician, anesthesia, pathology,
and facility fees can be billed separately.
Prices vary by hospital and change over time; always confirm with the hospital before you go.
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Financial assistance: see income limits & how to applyPrices at this hospital (465 procedures)
| Procedure | Cash price | Where it sits | Insurance pays (typical) | Gross charge |
|---|---|---|---|---|
| Abdominal ultrasound | —Insurance typically pays $68Sticker price — | — | $68 | — |
| Ablation for supraventricular tachycardia | —Insurance typically pays $1,017Sticker price — | — | $1,017 | — |
| Achilles tendon repair, primary | —Insurance typically pays $551Sticker price — | — | $551 | — |
| Amino acid analysis, quantitative, each specimen | —Insurance typically pays $23Sticker price — | — | $23 | — |
| Analysis for antibody to Herpes simplex virus | —Insurance typically pays $14Sticker price — | — | $14 | — |
| Ankle-brachial index (ABI), complete | —Insurance typically pays $96Sticker price — | — | $96 | — |
| Ankle-brachial index (ABI), limited | —Insurance typically pays $62Sticker price — | — | $62 | — |
| Ankle fracture repair, open | —Insurance typically pays $637Sticker price — | — | $637 | — |
| Appendix removal, laparoscopic | —Insurance typically pays $346Sticker price — | — | $346 | — |
| Application of long leg cast | —Insurance typically pays $114Sticker price — | — | $114 | — |
| Application of short arm cast | —Insurance typically pays $133Sticker price — | — | $133 | — |
| Application of short leg cast | —Insurance typically pays $123Sticker price — | — | $123 | — |
| Application of short leg splint | —Insurance typically pays $108Sticker price — | — | $108 | — |
| Arterial line placement | —Insurance typically pays $41Sticker price — | — | $41 | — |
| Arterial puncture for blood draw | —Insurance typically pays $25Sticker price — | — | $25 | — |
| Arteriovenous fistula creation for dialysis | —Insurance typically pays $489Sticker price — | — | $489 | — |
| Arthroscopic ACL reconstruction | —Insurance typically pays $808Sticker price — | — | $808 | — |
| Arthroscopic rotator cuff repair | —Insurance typically pays $886Sticker price — | — | $886 | — |
| Aspiration of fluid from chest cavity | —Insurance typically pays $309Sticker price — | — | $309 | — |
| Aspiration or injection of ganglion cyst | —Insurance typically pays $63Sticker price — | — | $63 | — |
| Basic metabolic blood panel | $39Insurance typically pays $9Sticker price $108 | Cheaper than 84% of hospitals | $9 | $108 |
| Benign skin growth removal | —Insurance typically pays $133Sticker price — | — | $133 | — |
| Biceps tenodesis (tendon repair) | —Insurance typically pays $621Sticker price — | — | $621 | — |
| Bladder catheter placement | —Insurance typically pays $41Sticker price — | — | $41 | — |
| Blood count (CBC) | $27Insurance typically pays $7Sticker price $76 | Cheaper than 81% of hospitals | $7 | $76 |
| Blood count with differential | $33Insurance typically pays $8Sticker price $92 | Cheaper than 80% of hospitals | $8 | $92 |
| Blood draw | $8Insurance typically pays $9Sticker price $22 | Cheaper than 85% of hospitals | $9 | $22 |
| Blood sugar test | —Insurance typically pays $4Sticker price — | — | $4 | — |
| Bone biopsy, deep | —Insurance typically pays $332Sticker price — | — | $332 | — |
| Bone biopsy, superficial | —Insurance typically pays $204Sticker price — | — | $204 | — |
| Bowel adhesion removal, laparoscopic | —Insurance typically pays $674Sticker price — | — | $674 | — |
| Breast biopsy, open | —Insurance typically pays $582Sticker price — | — | $582 | — |
| Breast biopsy with stereotactic guidance | —Insurance typically pays $655Sticker price — | — | $655 | — |
| Bunionectomy | —Insurance typically pays $558Sticker price — | — | $558 | — |
| BUN kidney test | $9Insurance typically pays $4Sticker price $26 | Cheaper than 93% of hospitals | $4 | $26 |
| Capillary blood draw (finger stick) | —Insurance typically pays $3Sticker price — | — | $3 | — |
| Cardiac stress test | —Insurance typically pays $68Sticker price — | — | $68 | — |
| Carotid endarterectomy | —Insurance typically pays $979Sticker price — | — | $979 | — |
| Carpal tunnel release | —Insurance typically pays $606Sticker price — | — | $606 | — |
| Cataract surgery, complex | —Insurance typically pays $1,012Sticker price — | — | $1,012 | — |
| Cataract surgery with lens implant | —Insurance typically pays $739Sticker price — | — | $739 | — |
| Cervical spinal fusion, anterior | —Insurance typically pays $967Sticker price — | — | $967 | — |
| Cesarean delivery only | —Insurance typically pays $177Sticker price — | — | $177 | — |
| Cesarean delivery with routine obstetric care | —Insurance typically pays $2,448Sticker price — | — | $2,448 | — |
| Chemotherapy infusion, additional hour | —Insurance typically pays $33Sticker price — | — | $33 | — |
| Chemotherapy infusion, first hour | —Insurance typically pays $151Sticker price — | — | $151 | — |
| Chemotherapy injection under skin or into muscle | —Insurance typically pays $65Sticker price — | — | $65 | — |
| Chiropractic adjustment | —Insurance typically pays $35Sticker price — | — | $35 | — |
| Cholesterol panel | $54Insurance typically pays $14Sticker price $149 | Cheaper than 78% of hospitals | $14 | $149 |
| Closed treatment of broken middle or upper end of outside lower leg bone | —Insurance typically pays $322Sticker price — | — | $322 | — |
| Closed treatment of broken or growth plate separate of forearm bone at wrist with manipulation | —Insurance typically pays $716Sticker price — | — | $716 | — |
| Clotting factor VII (proconvertin, stable factor) | —Insurance typically pays $18Sticker price — | — | $18 | — |
| Cold knife conization of cervix | —Insurance typically pays $275Sticker price — | — | $275 | — |
| Colectomy with colostomy | —Insurance typically pays $1,206Sticker price — | — | $1,206 | — |
| Colonoscopy | —Insurance typically pays $234Sticker price — | — | $234 | — |
| Colonoscopy with ablation of lesion | —Insurance typically pays $1,164Sticker price — | — | $1,164 | — |
| Colonoscopy with biopsy | —Insurance typically pays $388Sticker price — | — | $388 | — |
| Colonoscopy with polyp removal | —Insurance typically pays $414Sticker price — | — | $414 | — |
| Colonoscopy with submucosal injection | —Insurance typically pays $437Sticker price — | — | $437 | — |
| Coronary angiography | —Insurance typically pays $557Sticker price — | — | $557 | — |
| Coronary angioplasty (balloon), single vessel | —Insurance typically pays $646Sticker price — | — | $646 | — |
| Creatinine test | $15Insurance typically pays $5Sticker price $43 | Cheaper than 86% of hospitals | $5 | $43 |
| Critical care, additional 30 minutes | —Insurance typically pays $111Sticker price — | — | $111 | — |
| Critical care, first hour | —Insurance typically pays $300Sticker price — | — | $300 | — |
| CT abdomen and pelvis with contrast | —Insurance typically pays $195Sticker price — | — | $195 | — |
| CT head without contrast | —Insurance typically pays $62Sticker price — | — | $62 | — |
| Debridement of skin, muscle or fascia | —Insurance typically pays $227Sticker price — | — | $227 | — |
| Defibrillator interrogation in office | —Insurance typically pays $33Sticker price — | — | $33 | — |
| Detailed obstetric ultrasound | —Insurance typically pays $86Sticker price — | — | $86 | — |
| Detection test by immunoassay technique for rotavirus | —Insurance typically pays $12Sticker price — | — | $12 | — |
| Diagnostic exam of bladder and urethra using an endoscope | —Insurance typically pays $199Sticker price — | — | $199 | — |
| Diagnostic exam of lower portion of large bowel using a flexible endoscope | —Insurance typically pays $166Sticker price — | — | $166 | — |
| Dilation and curettage (D&C), diagnostic | —Insurance typically pays $243Sticker price — | — | $243 | — |
| Distal radius fracture repair, open | —Insurance typically pays $621Sticker price — | — | $621 | — |
| Doctor office visit (established patient) | $87Insurance typically pays $182Sticker price $242 | Cheaper than 79% of hospitals | $182 | $242 |
| Doctor visit, established patient | $122Insurance typically pays $256Sticker price $340 | Cheaper than 73% of hospitals | $256 | $340 |
| Doctor visit, established patient, complex | $177Insurance typically pays $371Sticker price $492 | Cheaper than 74% of hospitals | $371 | $492 |
| Doctor visit, established patient, quick | $59Insurance typically pays $124Sticker price $164 | Cheaper than 82% of hospitals | $124 | $164 |
| Doctor visit, new patient | $110Insurance typically pays $225Sticker price $306 | Cheaper than 79% of hospitals | $225 | $306 |
| Doctor visit, new patient | $163Insurance typically pays $340Sticker price $454 | Cheaper than 76% of hospitals | $340 | $454 |
| Doctor visit, new patient, complex | $242Insurance typically pays $473Sticker price $672 | Cheaper than 70% of hospitals | $473 | $672 |
| Doctor visit, new patient, quick | $80Insurance typically pays $166Sticker price $222 | Cheaper than 79% of hospitals | $166 | $222 |
| Duplex ultrasound of aorta and iliac arteries | —Insurance typically pays $125Sticker price — | — | $125 | — |
| Duplex ultrasound of dialysis access | —Insurance typically pays $97Sticker price — | — | $97 | — |
| Duplex ultrasound of lower extremity arteries, bilateral | —Insurance typically pays $176Sticker price — | — | $176 | — |
| Ear wax removal | —Insurance typically pays $48Sticker price — | — | $48 | — |
| ECG reading | $13Insurance typically pays $26Sticker price $35 | Cheaper than 80% of hospitals | $26 | $35 |
| EEG, awake and asleep | —Insurance typically pays $304Sticker price — | — | $304 | — |
| EEG, awake and drowsy | —Insurance typically pays $294Sticker price — | — | $294 | — |
| EKG | —Insurance typically pays $13Sticker price — | — | $13 | — |
| Electrophysiology study, comprehensive | —Insurance typically pays $551Sticker price — | — | $551 | — |
| Emergency room visit, high complexity | —Insurance typically pays $267Sticker price — | — | $267 | — |
| Emergency room visit (high severity) | —Insurance typically pays $181Sticker price — | — | $181 | — |
| Emergency room visit, low complexity | —Insurance typically pays $64Sticker price — | — | $64 | — |
| Emergency room visit, minor | —Insurance typically pays $18Sticker price — | — | $18 | — |
| Emergency room visit, moderate | —Insurance typically pays $95Sticker price — | — | $95 | — |
| Endoscopic lumbar decompression | —Insurance typically pays $1,109Sticker price — | — | $1,109 | — |
| Epidural injection, cervical or thoracic | —Insurance typically pays $234Sticker price — | — | $234 | — |
| Epidural steroid shot, lower back | —Insurance typically pays $229Sticker price — | — | $229 | — |
| Esophagus stretching | —Insurance typically pays $909Sticker price — | — | $909 | — |
| ESRD dialysis management, adult | —Insurance typically pays $335Sticker price — | — | $335 | — |
| Excision of breast lesion with radiologic marker | —Insurance typically pays $644Sticker price — | — | $644 | — |
| Extended doctor visit | $17Insurance typically pays $36Sticker price $46 | Cheaper than 94% of hospitals | $36 | $46 |
| Eye exam | —Insurance typically pays $82Sticker price — | — | $82 | — |
| Eye exam, established patient | —Insurance typically pays $119Sticker price — | — | $119 | — |
| Eye exam, new patient | —Insurance typically pays $78Sticker price — | — | $78 | — |
| Eye exam, new patient, comprehensive | —Insurance typically pays $131Sticker price — | — | $131 | — |
| Eye injection | —Insurance typically pays $179Sticker price — | — | $179 | — |
| Eyelid bump removal | —Insurance typically pays $36Sticker price — | — | $36 | — |
| Facet joint injection, cervical or thoracic | —Insurance typically pays $147Sticker price — | — | $147 | — |
| Facet joint injection, lumbar or sacral | —Insurance typically pays $127Sticker price — | — | $127 | — |
| Femoral/popliteal artery stent placement | —Insurance typically pays $10,028Sticker price — | — | $10,028 | — |
| Femoral-popliteal bypass graft | —Insurance typically pays $1,208Sticker price — | — | $1,208 | — |
| Femur shaft fracture repair with plate or screws | —Insurance typically pays $1,108Sticker price — | — | $1,108 | — |
| Ferritin test | $38Insurance typically pays $14Sticker price $105 | Cheaper than 90% of hospitals | $14 | $105 |
| Fetal non-stress test | —Insurance typically pays $27Sticker price — | — | $27 | — |
| Flu shot | —Insurance typically pays $23Sticker price — | — | $23 | — |
| Flu shot | —Insurance typically pays $100Sticker price — | — | $100 | — |
| Gallbladder removal (laparoscopic) | —Insurance typically pays $486Sticker price — | — | $486 | — |
| Gastric bypass (Roux-en-Y), open | —Insurance typically pays $1,207Sticker price — | — | $1,207 | — |
| Glaucoma laser treatment | —Insurance typically pays $292Sticker price — | — | $292 | — |
| Glaucoma laser treatment | —Insurance typically pays $326Sticker price — | — | $326 | — |
| Hammertoe correction | —Insurance typically pays $553Sticker price — | — | $553 | — |
| HCHG ACTH PLASMA LC | $92Insurance typically pays $39Sticker price $256 | Cheaper than 73% of hospitals | $39 | $256 |
| HCHG AFB CONCENTRATION | —Insurance typically pays $7Sticker price — | — | $7 | — |
| HCHG ALDOLASE LC | —Insurance typically pays $10Sticker price — | — | $10 | — |
| HCHG ALK PHOSPHATASE | —Insurance typically pays $5Sticker price — | — | $5 | — |
| HCHG ALPHA-1-ANTITRYPSIN SERUM LC | —Insurance typically pays $13Sticker price — | — | $13 | — |
| HCHG AMINO ACIDEMIAS (PKU) | —Insurance typically pays $24Sticker price — | — | $24 | — |
| HCHG AMPA RECEPTOR ABY TITER SPINAL FLUID | —Insurance typically pays $17Sticker price — | — | $17 | — |
| HCHG ANA | $38Insurance typically pays $12Sticker price $105 | Cheaper than 79% of hospitals | $12 | $105 |
| HCHG ANAEROBIC CULTURE | $38Insurance typically pays $10Sticker price $106 | Cheaper than 84% of hospitals | $10 | $106 |
| HCHG ANTI-DNASE B STREP ANTIBODIES LC | —Insurance typically pays $13Sticker price — | — | $13 | — |
| HCHG ANTISTREPTOLYSIN O AB LC | $29Insurance typically pays $7Sticker price $80 | Cheaper than 80% of hospitals | $7 | $80 |
| HCHG ANTITHROMBIN III | —Insurance typically pays $12Sticker price — | — | $12 | — |
| HCHG ARC-ABY ID EACH SELECTED REAGENT CELL | —Insurance typically pays $6Sticker price — | — | $6 | — |
| HCHG ARTHROCENT/ASPIR/INJ SMALL JOINT/BURSA WO US | —Insurance typically pays $77Sticker price — | — | $77 | — |
| HCHG BLOOD/BLOOD PRODUCT ADMIN PER UNIT | —Insurance typically pays $45Sticker price — | — | $45 | — |
| HCHG CA15.3 | —Insurance typically pays $21Sticker price — | — | $21 | — |
| HCHG CARBAMAZEPINE | $36Insurance typically pays $15Sticker price $101 | Cheaper than 91% of hospitals | $15 | $101 |
| HCHG CATECHOLAMINESURFREE24 HR LC | —Insurance typically pays $25Sticker price — | — | $25 | — |
| HCHG CF SCREEN | $33Insurance typically pays $12Sticker price $93 | Cheaper than 82% of hospitals | $12 | $93 |
| HCHG CHROMIUM BLOOD | —Insurance typically pays $20Sticker price — | — | $20 | — |
| HCHG CHROMOGRANIN A | —Insurance typically pays $21Sticker price — | — | $21 | — |
| HCHG CMV IGM ABY | $61Insurance typically pays $17Sticker price $169 | Cheaper than 63% of hospitals | $17 | $169 |
| HCHG CMV QUANT DNA PCR (PLASMA) LC | —Insurance typically pays $43Sticker price — | — | $43 | — |
| HCHG COMPREHENSIVE METABOLIC PANE | $56Insurance typically pays $11Sticker price $155 | Cheaper than 68% of hospitals | $11 | $155 |
| HCHG COVID 19 NAA LC | $41Insurance typically pays $52Sticker price $114 | Cheaper than 88% of hospitals | $52 | $114 |
| HCHG C-PEPTIDE SERUM | $32Insurance typically pays $21Sticker price $89 | Cheaper than 85% of hospitals | $21 | $89 |
| HCHG CREATININE URINE | $8Insurance typically pays $5Sticker price $23 | Cheaper than 96% of hospitals | $5 | $23 |
| HCHG CROSSMATCH IS | —Insurance typically pays $43Sticker price — | — | $43 | — |
| HCHG CRYOGLOBULIN QUAL WITH REFLEX | —Insurance typically pays $6Sticker price — | — | $6 | — |
| HCHG CRYPTOCOCCAL AG LATEX SCREEN W/REFL TITER QUE | $13Insurance typically pays $12Sticker price $35 | Cheaper than 97% of hospitals | $12 | $35 |
| HCHG CT CHEST TUBE PLACEMENT AND PLEURAL DRAINAGE | —Insurance typically pays $856Sticker price — | — | $856 | — |
| HCHG CT SOFT TISSUE NECK W CONTRAST | —Insurance typically pays $108Sticker price — | — | $108 | — |
| HCHG CT THORACENTESIS PLEURAL ASPIRATION | —Insurance typically pays $414Sticker price — | — | $414 | — |
| HCHG DEBRIDE SQ TISSUE FIRST 20 SQ CM | —Insurance typically pays $117Sticker price — | — | $117 | — |
| HCHG DHEA SERUM LC | —Insurance typically pays $25Sticker price — | — | $25 | — |
| HCHG DIPTHERIA TOXOID IGG ABY | $26Insurance typically pays $15Sticker price $71 | Cheaper than 85% of hospitals | $15 | $71 |
| HCHG DIRECT ANTIGLOBULIN TEST | —Insurance typically pays $5Sticker price — | — | $5 | — |
| HCHG EBV NA | $64Insurance typically pays $16Sticker price $178 | Cheaper than 59% of hospitals | $16 | $178 |
| HCHG EBV VCA IGG | $86Insurance typically pays $18Sticker price $238 | Cheaper than 50% of hospitals | $18 | $238 |
| HCHG ECHO 2D F-U OR LTD STUDY W BUBBLE | —Insurance typically pays $65Sticker price — | — | $65 | — |
| HCHG FACTOR 2 GENE MUTATION | —Insurance typically pays $66Sticker price — | — | $66 | — |
| HCHG FACTOR 8 ASSAY | $37Insurance typically pays $18Sticker price $103 | Cheaper than 85% of hospitals | $18 | $103 |
| HCHG FACTOR IX ACTIVITY LC | —Insurance typically pays $19Sticker price — | — | $19 | — |
| HCHG FLUORO < 1 HOUR | —Insurance typically pays $25Sticker price — | — | $25 | — |
| HCHG FOLIC ACID | $39Insurance typically pays $15Sticker price $109 | Cheaper than 86% of hospitals | $15 | $109 |
| HCHG FSH-SERUM | $88Insurance typically pays $19Sticker price $245 | Cheaper than 59% of hospitals | $19 | $245 |
| HCHG GENERAL LAB 8007400 | $80Insurance typically pays $49Sticker price $222 | Cheaper than 89% of hospitals | $49 | $222 |
| HCHG GENERAL LAB 8663103 LC | —Insurance typically pays $12Sticker price — | — | $12 | — |
| HCHG GENERAL LAB 8670600 | $27Insurance typically pays $11Sticker price $74 | Cheaper than 93% of hospitals | $11 | $74 |
| HCHG GENERAL LAB 8680300 | $65Insurance typically pays $15Sticker price $181 | Cheaper than 59% of hospitals | $15 | $181 |
| HCHG GENERAL LAB 8738900 | $30Insurance typically pays $25Sticker price $84 | Cheaper than 89% of hospitals | $25 | $84 |
| HCHG GENERAL LAB 8748602 LC | —Insurance typically pays $35Sticker price — | — | $35 | — |
| HCHG GENERAL LAB 8749100 | $74Insurance typically pays $36Sticker price $206 | Cheaper than 68% of hospitals | $36 | $206 |
| HCHG GENERAL LAB 87522 LCC | $108Insurance typically pays $44Sticker price $300 | Cheaper than 83% of hospitals | $44 | $300 |
| HCHG GENTAMICIN KINETICS | —Insurance typically pays $16Sticker price — | — | $16 | — |
| HCHG GRAM STAIN | $15Insurance typically pays $4Sticker price $43 | Cheaper than 91% of hospitals | $4 | $43 |
| HCHG HEMOGLOBINOPATHIES | —Insurance typically pays $17Sticker price — | — | $17 | — |
| HCHG H HEMACHROMATOSIS | —Insurance typically pays $65Sticker price — | — | $65 | — |
| HCHG H. PYLORI ANTIGEN STOOL | —Insurance typically pays $14Sticker price — | — | $14 | — |
| HCHG ICU MD RETROPERITONEAL LIMITED | —Insurance typically pays $30Sticker price — | — | $30 | — |
| HCHG I D ABSCESS/CARB/CYST SINGLE SIMPLE | —Insurance typically pays $107Sticker price — | — | $107 | — |
| HCHG I D HEMATOMA/SEROMA FLUID COLL | —Insurance typically pays $135Sticker price — | — | $135 | — |
| HCHG IHC STAIN ADDL | —Insurance typically pays $47Sticker price — | — | $47 | — |
| HCHG IHC STAIN FIRST | —Insurance typically pays $70Sticker price — | — | $70 | — |
| HCHG INJ EPIDURAL BLOOD/CLOT PATCH TX | —Insurance typically pays $166Sticker price — | — | $166 | — |
| HCHG INSERT PICC WO SUBQ PORT/PUMP WO GUIDANCE >5 | —Insurance typically pays $111Sticker price — | — | $111 | — |
| HCHG INTRINSIC FACTOR ABS SERUM LC | —Insurance typically pays $15Sticker price — | — | $15 | — |
| HCHG INTUBATION ENDOTRACHEAL EMERGENCY | —Insurance typically pays $160Sticker price — | — | $160 | — |
| HCHG IR INJ CHOLANGIOGRAPHY PERC W GUIDE EXISTING | —Insurance typically pays $361Sticker price — | — | $361 | — |
| HCHG IRON | $18Insurance typically pays $7Sticker price $51 | Cheaper than 93% of hospitals | $7 | $51 |
| HCHG JAK2 MUTATION DETECTION | —Insurance typically pays $92Sticker price — | — | $92 | — |
| HCHG LEAD FILTER PAPER | $39Insurance typically pays $12Sticker price $109 | Cheaper than 66% of hospitals | $12 | $109 |
| HCHG LUTEINIZING HORMONE | $91Insurance typically pays $19Sticker price $252 | Cheaper than 56% of hospitals | $19 | $252 |
| HCHG MEAS POST VOID RES US NON-IMAGING | —Insurance typically pays $14Sticker price — | — | $14 | — |
| HCHG N METHYLHISTAMINE URINE | —Insurance typically pays $24Sticker price — | — | $24 | — |
| HCHG OCCULT BLOOD IFOBT | —Insurance typically pays $16Sticker price — | — | $16 | — |
| HCHG OT APPLICATION LONG ARM CAST | —Insurance typically pays $145Sticker price — | — | $145 | — |
| HCHG OT EVAL HIGH COMPLEXITY | $175Insurance typically pays $98Sticker price $487 | Cheaper than 73% of hospitals | $98 | $487 |
| HCHG OT EVAL LOW COMPLEXITY | $145Insurance typically pays $98Sticker price $403 | Cheaper than 72% of hospitals | $98 | $403 |
| HCHG OT EVAL MOD COMPLEXITY | $159Insurance typically pays $98Sticker price $443 | Cheaper than 73% of hospitals | $98 | $443 |
| HCHG OT RE-EVALUATION | $63Insurance typically pays $67Sticker price $174 | Cheaper than 93% of hospitals | $67 | $174 |
| HCHG OT THER INTERVENT COGNITIVE FUNCT 1 1 EA ADDL | —Insurance typically pays $21Sticker price — | — | $21 | — |
| HCHG OT THER INTERVENT COGNITIVE FUNCT 1 1 INIT 15 | $22Insurance typically pays $37Sticker price $62 | Cheaper than 97% of hospitals | $37 | $62 |
| HCHG PARACENTESIS ABD WO IMAGING | —Insurance typically pays $185Sticker price — | — | $185 | — |
| HCHG PFT C0 MEMBRANE DIFFUSE CAPACITY | —Insurance typically pays $32Sticker price — | — | $32 | — |
| HCHG PHENOBARBITAL | —Insurance typically pays $15Sticker price — | — | $15 | — |
| HCHG PLCMT NEPHROSTOMY CATHETER WWO NEPHRO/URETERO | —Insurance typically pays $1,168Sticker price — | — | $1,168 | — |
| HCHG POTASSIUM | $11Insurance typically pays $5Sticker price $30 | Cheaper than 92% of hospitals | $5 | $30 |
| HCHG PROCALCITONIN | —Insurance typically pays $27Sticker price — | — | $27 | — |
| HCHG PROTEIN TOTAL | —Insurance typically pays $4Sticker price — | — | $4 | — |
| HCHG PROTHOMBIN TIME | $24Insurance typically pays $4Sticker price $66 | Cheaper than 65% of hospitals | $4 | $66 |
| HCHG PSA-SCREEN | $63Insurance typically pays $20Sticker price $175 | Cheaper than 76% of hospitals | $20 | $175 |
| HCHG PT APPLICATION LONG ARM SPLINT | —Insurance typically pays $117Sticker price — | — | $117 | — |
| HCHG PT E-STIM-ATTENDED 15MIN | —Insurance typically pays $14Sticker price — | — | $14 | — |
| HCHG PT EVAL HIGH COMPLEXITY | —Insurance typically pays $95Sticker price — | — | $95 | — |
| HCHG PT EVAL LOW COMPLEXITY | —Insurance typically pays $95Sticker price — | — | $95 | — |
| HCHG PT EVAL MOD COMPLEXITY | —Insurance typically pays $95Sticker price — | — | $95 | — |
| HCHG PT FLUIDOTHERAPY | —Insurance typically pays $15Sticker price — | — | $15 | — |
| HCHG PT GAIT TRAINING 15MIN | —Insurance typically pays $28Sticker price — | — | $28 | — |
| HCHG PT GROUP THERAPY | $65Insurance typically pays $127Sticker price $181 | Cheaper than 53% of hospitals | $127 | $181 |
| HCHG PT IONTOPHORESIS 15MIN | —Insurance typically pays $18Sticker price — | — | $18 | — |
| HCHG PT MANUAL THERAPY 15MIN | —Insurance typically pays $26Sticker price — | — | $26 | — |
| HCHG PT MASSAGE 15 MIN | —Insurance typically pays $29Sticker price — | — | $29 | — |
| HCHG PT MECHANICAL TRACTION | —Insurance typically pays $14Sticker price — | — | $14 | — |
| HCHG PT NEUROMUSCULAR RE-ED 15MIN | —Insurance typically pays $31Sticker price — | — | $31 | — |
| HCHG PT ORTHO/PROSTHETIC TRAIN UPR/LWR EXT TRUNK S | —Insurance typically pays $48Sticker price — | — | $48 | — |
| HCHG PT ORTHOTIC FIT/TRAIN UPR/LWR EXT TRUNK INITI | —Insurance typically pays $44Sticker price — | — | $44 | — |
| HCHG PT PHONOPHORESIS 15MIN | —Insurance typically pays $13Sticker price — | — | $13 | — |
| HCHG PT PROSTHETIC TRAIN UPR/LWR EXT INITIAL ENC E | —Insurance typically pays $39Sticker price — | — | $39 | — |
| HCHG PT RE-EVALUATION | —Insurance typically pays $66Sticker price — | — | $66 | — |
| HCHG PT SELFCARE/HOME MNGMNT 15MIN | $30Insurance typically pays $31Sticker price $83 | Cheaper than 97% of hospitals | $31 | $83 |
| HCHG PT STRAPPING ANKLE | —Insurance typically pays $40Sticker price — | — | $40 | — |
| HCHG PT THERAPEUTIC ACTIVITY 15MIN | $62Insurance typically pays $60Sticker price $171 | Cheaper than 82% of hospitals | $60 | $171 |
| HCHG PT THERAPEUTIC EXERCISE 15MIN | —Insurance typically pays $28Sticker price — | — | $28 | — |
| HCHG RAD CT ANGIO CHEST | —Insurance typically pays $162Sticker price — | — | $162 | — |
| HCHG RAD CT ANGIO HEART CORONARY ARTERIES | —Insurance typically pays $191Sticker price — | — | $191 | — |
| HCHG RAD CT ANGIO LOWER EXTREMITY | —Insurance typically pays $169Sticker price — | — | $169 | — |
| HCHG RAD CT ANGIO NECK W CONTRAST | —Insurance typically pays $162Sticker price — | — | $162 | — |
| HCHG RAD CT GUIDED NEEDLE PLACEMENT | —Insurance typically pays $64Sticker price — | — | $64 | — |
| HCHG RAD CT HEAD BRAIN WWO | —Insurance typically pays $103Sticker price — | — | $103 | — |
| HCHG RAD CT LIMITED OR LOCALIZED FOLLOW UP | —Insurance typically pays $78Sticker price — | — | $78 | — |
| HCHG RAD CT LOWER EXTREMITY WO | —Insurance typically pays $88Sticker price — | — | $88 | — |
| HCHG RAD ECHO STRESS TRANSTHORACIC 2D EXERCISE OR | —Insurance typically pays $104Sticker price — | — | $104 | — |
| HCHG RAD MRI ANGIO HEAD BRAIN WWO | —Insurance typically pays $235Sticker price — | — | $235 | — |
| HCHG RAD MRI ANGIO HEAD WO | —Insurance typically pays $144Sticker price — | — | $144 | — |
| HCHG RAD MRI ANGIO NECK WO | —Insurance typically pays $144Sticker price — | — | $144 | — |
| HCHG RAD MRI ANGIO NECK WWO | —Insurance typically pays $236Sticker price — | — | $236 | — |
| HCHG RAD MRI JOINT LOWER EXTREMITY WO | —Insurance typically pays $134Sticker price — | — | $134 | — |
| HCHG RAD MRI SPINE CERVICAL WO | —Insurance typically pays $112Sticker price — | — | $112 | — |
| HCHG RAD MRI SPINE THORACIC WO | —Insurance typically pays $112Sticker price — | — | $112 | — |
| HCHG RAD NM BONE SCAN WHOLE BODY | —Insurance typically pays $198Sticker price — | — | $198 | — |
| HCHG RAD NM LUNG PERFUSION SCAN | —Insurance typically pays $158Sticker price — | — | $158 | — |
| HCHG RAD NM LUNG VENTILATION AND PERFUSION QUANTIT | —Insurance typically pays $204Sticker price — | — | $204 | — |
| HCHG RAD NM RADIOPHARM ORAL THERAPY | —Insurance typically pays $79Sticker price — | — | $79 | — |
| HCHG RAD US ARTERIAL UPPER EXTREMITY BILATERAL COM | —Insurance typically pays $141Sticker price — | — | $141 | — |
| HCHG RAD XRAY ABDOMEN ACUTE W CHEST 1 VIEW | —Insurance typically pays $31Sticker price — | — | $31 | — |
| HCHG RAD XRAY CHEST FRONTAL 1 VIEW | $137Insurance typically pays $16Sticker price $381 | Cheaper than 65% of hospitals | $16 | $381 |
| HCHG RAD XRAY FEMUR 1 VIEW UNILATERAL | —Insurance typically pays $20Sticker price — | — | $20 | — |
| HCHG RAD XRAY FOOT 2 VIEWS | $127Insurance typically pays $25Sticker price $352 | Cheaper than 78% of hospitals | $25 | $352 |
| HCHG RAD XRAY KNEE 3 VIEWS | $157Insurance typically pays $36Sticker price $435 | Cheaper than 80% of hospitals | $36 | $435 |
| HCHG RAD XRAY KNEES STANDING BILATERAL | —Insurance typically pays $28Sticker price — | — | $28 | — |
| HCHG RAD XRAY MANDIBLE MINIMUM OF FOUR VIEWS | —Insurance typically pays $28Sticker price — | — | $28 | — |
| HCHG RAD XRAY RIBS 3 VIEWS BILATERAL | —Insurance typically pays $26Sticker price — | — | $26 | — |
| HCHG REPLACE CATH ONLY CVAD W SQ PORT/PUMP | —Insurance typically pays $297Sticker price — | — | $297 | — |
| HCHG REPOSITIONING PREV PLC CV CATH FLUOR GUID | —Insurance typically pays $101Sticker price — | — | $101 | — |
| HCHG RESPIRATORY DISEASE MULTIPLEX PCR PANEL | —Insurance typically pays $417Sticker price — | — | $417 | — |
| HCHG REVERSE T3 SERUM LC | —Insurance typically pays $16Sticker price — | — | $16 | — |
| HCHG RN APPL MULTLAY COMPRS LWR LEG UNILATERAL | —Insurance typically pays $118Sticker price — | — | $118 | — |
| HCHG SCHISTOSOMA IGG ABY | $32Insurance typically pays $13Sticker price $88 | Cheaper than 82% of hospitals | $13 | $88 |
| HCHG SELENIUM SERUM/PLASMA LC | $70Insurance typically pays $26Sticker price $195 | Cheaper than 64% of hospitals | $26 | $195 |
| HCHG SLP EVAL ORAL/PHAR SWALLOWING | —Insurance typically pays $74Sticker price — | — | $74 | — |
| HCHG SLP EVAL SPEECH SOUND W LANGUAGE COMP | —Insurance typically pays $218Sticker price — | — | $218 | — |
| HCHG SLP INDIV TX COMMUNICATION | —Insurance typically pays $73Sticker price — | — | $73 | — |
| HCHG SODIUM URINE | $13Insurance typically pays $5Sticker price $36 | Cheaper than 94% of hospitals | $5 | $36 |
| HCHG SP STAIN 1 ORG | —Insurance typically pays $52Sticker price — | — | $52 | — |
| HCHG STONE ANALYSIS LC | —Insurance typically pays $13Sticker price — | — | $13 | — |
| HCHG STOOL CULTURE AEROBIC BACTERIA LC | $33Insurance typically pays $10Sticker price $92 | Cheaper than 87% of hospitals | $10 | $92 |
| HCHG T3 FREE | $69Insurance typically pays $17Sticker price $193 | Cheaper than 70% of hospitals | $17 | $193 |
| HCHG T4 FREE | $26Insurance typically pays $9Sticker price $72 | Cheaper than 89% of hospitals | $9 | $72 |
| HCHG TACROLIMUS AHL | —Insurance typically pays $14Sticker price — | — | $14 | — |
| HCHG TESTOSTERONE FREE EQUILIBRIUM ULTRAFILTRATION | $39Insurance typically pays $26Sticker price $109 | Cheaper than 78% of hospitals | $26 | $109 |
| HCHG THER APHERESIS PLASMA PHERESIS | —Insurance typically pays $609Sticker price — | — | $609 | — |
| HCHG THY PEROXIDASE ABY | $84Insurance typically pays $15Sticker price $233 | Pricier than 61% of hospitals | $15 | $233 |
| HCHG THYROGLOBULIN ABY LC | $62Insurance typically pays $16Sticker price $172 | Cheaper than 60% of hospitals | $16 | $172 |
| HCHG THYROGLOBULIN TUMOR MARKER FNA ASP BX NEEDLE | —Insurance typically pays $16Sticker price — | — | $16 | — |
| HCHG TISSUE LEVEL 2 | —Insurance typically pays $24Sticker price — | — | $24 | — |
| HCHG TOTAL T CELLS | $46Insurance typically pays $38Sticker price $128 | Cheaper than 82% of hospitals | $38 | $128 |
| HCHG URIC ACID URINE | $17Insurance typically pays $5Sticker price $46 | Cheaper than 86% of hospitals | $5 | $46 |
| HCHG US ABDOMEN LIMITED | —Insurance typically pays $52Sticker price — | — | $52 | — |
| HCHG VALPROIC ACID | $35Insurance typically pays $14Sticker price $96 | Cheaper than 94% of hospitals | $14 | $96 |
| HCHG VANILLYLMANDELIC ACID 24-HR U LC | —Insurance typically pays $16Sticker price — | — | $16 | — |
| HCHG VEDOLIZUMAB QUANT LC | —Insurance typically pays $39Sticker price — | — | $39 | — |
| HCHG VENOUS MECH THROMBECTOMY | —Insurance typically pays $901Sticker price — | — | $901 | — |
| HCHG VITAMIN A SERUM LC | $43Insurance typically pays $12Sticker price $120 | Cheaper than 69% of hospitals | $12 | $120 |
| HCHG VITAMIN B6 PLASMA LC | $113Insurance typically pays $29Sticker price $315 | Cheaper than 53% of hospitals | $29 | $315 |
| Heart catheterization | —Insurance typically pays $554Sticker price — | — | $554 | — |
| Heart catheterization with bypass graft angiography | —Insurance typically pays $728Sticker price — | — | $728 | — |
| Heart stent placement | —Insurance typically pays $718Sticker price — | — | $718 | — |
| Heart ultrasound | —Insurance typically pays $112Sticker price — | — | $112 | — |
| Hemodialysis with repeated evaluation | —Insurance typically pays $96Sticker price — | — | $96 | — |
| Hemodialysis with single evaluation | —Insurance typically pays $90Sticker price — | — | $90 | — |
| Hemorrhoid banding | —Insurance typically pays $222Sticker price — | — | $222 | — |
| Hemorrhoid removal | —Insurance typically pays $477Sticker price — | — | $477 | — |
| Hernia repair (inguinal) | —Insurance typically pays $461Sticker price — | — | $461 | — |
| Hernia repair, laparoscopic | —Insurance typically pays $382Sticker price — | — | $382 | — |
| Hernia repair, open | —Insurance typically pays $1,125Sticker price — | — | $1,125 | — |
| Hip fracture repair with pins or screws | —Insurance typically pays $988Sticker price — | — | $988 | — |
| Hip fracture repair with plate and screws | —Insurance typically pays $1,016Sticker price — | — | $1,016 | — |
| Hip replacement (total) | —Insurance typically pays $1,061Sticker price — | — | $1,061 | — |
| Hormonal chemotherapy injection | —Insurance typically pays $39Sticker price — | — | $39 | — |
| Hospital admission visit | $267Insurance typically pays $558Sticker price $741 | Pricier than 52% of hospitals | $558 | $741 |
| Hospital admission visit | $288Insurance typically pays $604Sticker price $801 | Cheaper than 69% of hospitals | $604 | $801 |
| Hospital discharge visit | $201Insurance typically pays $406Sticker price $559 | Pricier than 69% of hospitals | $406 | $559 |
| Hospital discharge visit, extended | $251Insurance typically pays $522Sticker price $698 | Pricier than 67% of hospitals | $522 | $698 |
| Hospital follow-up visit | $148Insurance typically pays $309Sticker price $410 | Pricier than 58% of hospitals | $309 | $410 |
| Hospital follow-up visit, complex | $165Insurance typically pays $344Sticker price $457 | Cheaper than 64% of hospitals | $344 | $457 |
| Hysterectomy (laparoscopic) | —Insurance typically pays $525Sticker price — | — | $525 | — |
| Hysteroscopy with biopsy | —Insurance typically pays $687Sticker price — | — | $687 | — |
| Hysteroscopy with endometrial ablation | —Insurance typically pays $1,085Sticker price — | — | $1,085 | — |
| Iliac artery stent placement | —Insurance typically pays $3,849Sticker price — | — | $3,849 | — |
| Inguinal hernia repair, incarcerated, open | —Insurance typically pays $518Sticker price — | — | $518 | — |
| Insertion of tube in bypass graft for diagnosis with review by radiologist | —Insurance typically pays $612Sticker price — | — | $612 | — |
| Insertion of tube in right heart chambers for measurement | —Insurance typically pays $610Sticker price — | — | $610 | — |
| Iron test | $25Insurance typically pays $9Sticker price $69 | Cheaper than 86% of hospitals | $9 | $69 |
| Irrigation of implanted venous access (port flush) | —Insurance typically pays $29Sticker price — | — | $29 | — |
| IV hydration infusion, additional hour | —Insurance typically pays $15Sticker price — | — | $15 | — |
| IV hydration infusion, first hour | —Insurance typically pays $39Sticker price — | — | $39 | — |
| IV infusion, additional drug or sequence | —Insurance typically pays $34Sticker price — | — | $34 | — |
| IV infusion, additional hour | —Insurance typically pays $25Sticker price — | — | $25 | — |
| IV infusion, first hour | $333Insurance typically pays $113Sticker price $926 | Cheaper than 64% of hospitals | $113 | $926 |
| IV placement (needle into vein) | —Insurance typically pays $20Sticker price — | — | $20 | — |
| IV push injection | —Insurance typically pays $43Sticker price — | — | $43 | — |
| Joint injection, large joint | —Insurance typically pays $95Sticker price — | — | $95 | — |
| Joint injection, medium joint | —Insurance typically pays $79Sticker price — | — | $79 | — |
| Joint injection with ultrasound | —Insurance typically pays $137Sticker price — | — | $137 | — |
| Kidney function panel | $43Insurance typically pays $9Sticker price $119 | Cheaper than 85% of hospitals | $9 | $119 |
| Knee arthroscopy | —Insurance typically pays $749Sticker price — | — | $749 | — |
| Knee arthroscopy, meniscectomy medial and lateral | —Insurance typically pays $777Sticker price — | — | $777 | — |
| Knee arthroscopy with debridement | —Insurance typically pays $858Sticker price — | — | $858 | — |
| Knee arthroscopy with meniscus repair | —Insurance typically pays $950Sticker price — | — | $950 | — |
| Knee replacement (total) | —Insurance typically pays $1,060Sticker price — | — | $1,060 | — |
| Kyphoplasty (vertebral augmentation) | —Insurance typically pays $3,812Sticker price — | — | $3,812 | — |
| Laparoscopic colectomy with anastomosis | —Insurance typically pays $1,322Sticker price — | — | $1,322 | — |
| Laparoscopic gastric bypass | —Insurance typically pays $1,268Sticker price — | — | $1,268 | — |
| Laparoscopic incisional hernia repair | —Insurance typically pays $1,289Sticker price — | — | $1,289 | — |
| Laparoscopic inguinal hernia repair, incarcerated | —Insurance typically pays $723Sticker price — | — | $723 | — |
| Laparoscopic partial colectomy | —Insurance typically pays $1,122Sticker price — | — | $1,122 | — |
| Laparoscopic removal of ovary | —Insurance typically pays $486Sticker price — | — | $486 | — |
| Laparoscopic sleeve gastrectomy | —Insurance typically pays $804Sticker price — | — | $804 | — |
| Laparoscopic ventral hernia repair | —Insurance typically pays $1,134Sticker price — | — | $1,134 | — |
| Laser treatment after cataract surgery | —Insurance typically pays $421Sticker price — | — | $421 | — |
| LDH test | $17Insurance typically pays $6Sticker price $46 | Cheaper than 92% of hospitals | $6 | $46 |
| LEEP conization of cervix | —Insurance typically pays $240Sticker price — | — | $240 | — |
| Left heart catheterization with coronary angiography | —Insurance typically pays $625Sticker price — | — | $625 | — |
| Leg vein ultrasound | —Insurance typically pays $135Sticker price — | — | $135 | — |
| Liver biopsy | —Insurance typically pays $263Sticker price — | — | $263 | — |
| Liver function panel | $19Insurance typically pays $8Sticker price $53 | Cheaper than 95% of hospitals | $8 | $53 |
| Lumbar laminectomy with discectomy | —Insurance typically pays $643Sticker price — | — | $643 | — |
| Lumbar laminectomy with facetectomy | —Insurance typically pays $633Sticker price — | — | $633 | — |
| Lumbar spinal fusion, posterior | —Insurance typically pays $903Sticker price — | — | $903 | — |
| Lumpectomy (partial mastectomy) | —Insurance typically pays $897Sticker price — | — | $897 | — |
| Lysis of bowel adhesions, open | —Insurance typically pays $798Sticker price — | — | $798 | — |
| Manipulation of knee under anesthesia | —Insurance typically pays $214Sticker price — | — | $214 | — |
| Mastectomy, modified radical | —Insurance typically pays $980Sticker price — | — | $980 | — |
| Mastectomy, simple | —Insurance typically pays $797Sticker price — | — | $797 | — |
| Mohs skin cancer surgery | —Insurance typically pays $604Sticker price — | — | $604 | — |
| Molecular pathology procedure level 6 genetic analysis | —Insurance typically pays $301Sticker price — | — | $301 | — |
| Molecular pathology procedure level 7 genetic analysis | —Insurance typically pays $283Sticker price — | — | $283 | — |
| Molecular pathology procedure level 9 genetic analysis | —Insurance typically pays $2,000Sticker price — | — | $2,000 | — |
| MRI brain with and without contrast | —Insurance typically pays $191Sticker price — | — | $191 | — |
| MRI brain without contrast | —Insurance typically pays $115Sticker price — | — | $115 | — |
| MRI lower back with and without contrast | —Insurance typically pays $191Sticker price — | — | $191 | — |
| MRI lower back without contrast | —Insurance typically pays $112Sticker price — | — | $112 | — |
| Nail avulsion, additional nail | —Insurance typically pays $30Sticker price — | — | $30 | — |
| Nail avulsion (ingrown nail removal) | —Insurance typically pays $104Sticker price — | — | $104 | — |
| Nail bed removal | —Insurance typically pays $122Sticker price — | — | $122 | — |
| Nail trimming, 6 or more nails | —Insurance typically pays $42Sticker price — | — | $42 | — |
| Nebulizer treatment | —Insurance typically pays $10Sticker price — | — | $10 | — |
| Neck artery ultrasound | —Insurance typically pays $133Sticker price — | — | $133 | — |
| Needle EMG, one extremity | —Insurance typically pays $55Sticker price — | — | $55 | — |
| Needle EMG, two extremities | —Insurance typically pays $75Sticker price — | — | $75 | — |
| Nerve conduction study, 1-2 nerves | —Insurance typically pays $49Sticker price — | — | $49 | — |
| Nerve conduction study, 3-4 nerves | —Insurance typically pays $61Sticker price — | — | $61 | — |
| Nerve conduction study, 5-6 nerves | —Insurance typically pays $74Sticker price — | — | $74 | — |
| Nuclear heart stress test | —Insurance typically pays $307Sticker price — | — | $307 | — |
| Nursing home visit | —Insurance typically pays $70Sticker price — | — | $70 | — |
| Nursing home visit, complex | —Insurance typically pays $101Sticker price — | — | $101 | — |
| Obstetric ultrasound | —Insurance typically pays $78Sticker price — | — | $78 | — |
| Occipital nerve block | —Insurance typically pays $110Sticker price — | — | $110 | — |
| Occlusion of growths or obstructed vessels with review by radiologist | —Insurance typically pays $7,181Sticker price — | — | $7,181 | — |
| Osteotomy of foot bone | —Insurance typically pays $402Sticker price — | — | $402 | — |
| Pacemaker insertion, single chamber | —Insurance typically pays $346Sticker price — | — | $346 | — |
| Pacemaker interrogation in office | —Insurance typically pays $31Sticker price — | — | $31 | — |
| Panniculectomy (excess abdominal skin removal) | —Insurance typically pays $760Sticker price — | — | $760 | — |
| Parathyroidectomy | —Insurance typically pays $723Sticker price — | — | $723 | — |
| Partial colectomy | —Insurance typically pays $981Sticker price — | — | $981 | — |
| Partial excision of foot bone | —Insurance typically pays $416Sticker price — | — | $416 | — |
| Peripheral nerve block | —Insurance typically pays $103Sticker price — | — | $103 | — |
| Peritoneal dialysis with single evaluation | —Insurance typically pays $106Sticker price — | — | $106 | — |
| Posterior spinal instrumentation | —Insurance typically pays $312Sticker price — | — | $312 | — |
| Precancerous skin spot removal | —Insurance typically pays $57Sticker price — | — | $57 | — |
| Precancerous skin spots removal, 15+ | —Insurance typically pays $123Sticker price — | — | $123 | — |
| Precancerous skin spots removal, 2-14 | —Insurance typically pays $4Sticker price — | — | $4 | — |
| Radiofrequency ablation, lumbar/sacral facet nerve | —Insurance typically pays $371Sticker price — | — | $371 | — |
| Radiofrequency ablation of facet joint nerve | —Insurance typically pays $369Sticker price — | — | $369 | — |
| Removal of abdominal cavity tube | —Insurance typically pays $274Sticker price — | — | $274 | — |
| Retina scan (OCT) | —Insurance typically pays $17Sticker price — | — | $17 | — |
| Rhythm ECG interpretation | —Insurance typically pays $12Sticker price — | — | $12 | — |
| Sacroiliac joint injection | —Insurance typically pays $210Sticker price — | — | $210 | — |
| Salpingo-oophorectomy (tube and ovary removal) | —Insurance typically pays $514Sticker price — | — | $514 | — |
| Screening colonoscopy | —Insurance typically pays $234Sticker price — | — | $234 | — |
| Screening mammogram (3D) | —Insurance typically pays $82Sticker price — | — | $82 | — |
| Shot in muscle or under skin | $48Insurance typically pays $93Sticker price $132 | Cheaper than 91% of hospitals | $93 | $132 |
| Shoulder arthroscopy with distal clavicle excision | —Insurance typically pays $565Sticker price — | — | $565 | — |
| Shoulder arthroscopy with subacromial decompression | —Insurance typically pays $172Sticker price — | — | $172 | — |
| Sigmoidoscopy | —Insurance typically pays $250Sticker price — | — | $250 | — |
| Sigmoidoscopy with biopsy | —Insurance typically pays $203Sticker price — | — | $203 | — |
| Simple drainage of abscess of finger | —Insurance typically pays $196Sticker price — | — | $196 | — |
| Skin biopsy, shave | —Insurance typically pays $89Sticker price — | — | $89 | — |
| Skin cancer removal | —Insurance typically pays $191Sticker price — | — | $191 | — |
| Skin substitute graft | —Insurance typically pays $148Sticker price — | — | $148 | — |
| Sleep study (polysomnography) | —Insurance typically pays $452Sticker price — | — | $452 | — |
| Sleep study with CPAP initiation | —Insurance typically pays $474Sticker price — | — | $474 | — |
| Small bowel resection | —Insurance typically pays $893Sticker price — | — | $893 | — |
| Spinal nerve injection, lower back | —Insurance typically pays $329Sticker price — | — | $329 | — |
| Spirometry before and after bronchodilator | —Insurance typically pays $26Sticker price — | — | $26 | — |
| Spirometry (lung function test) | —Insurance typically pays $17Sticker price — | — | $17 | — |
| Stool blood test | $7Insurance typically pays $4Sticker price $19 | Cheaper than 95% of hospitals | $4 | $19 |
| Tdap vaccine | $28Insurance typically pays $45Sticker price $79 | Cheaper than 95% of hospitals | $45 | $79 |
| Tendon insertion injection | —Insurance typically pays $58Sticker price — | — | $58 | — |
| Tendon sheath injection | —Insurance typically pays $83Sticker price — | — | $83 | — |
| Therapy session, 60 minutes | $187Insurance typically pays $366Sticker price $520 | Cheaper than 71% of hospitals | $366 | $520 |
| Thyroid biopsy, open | —Insurance typically pays $112Sticker price — | — | $112 | — |
| Thyroid (TSH) test | $62Insurance typically pays $17Sticker price $173 | Cheaper than 69% of hospitals | $17 | $173 |
| Tilt table test | —Insurance typically pays $86Sticker price — | — | $86 | — |
| Tissue lab exam (pathology) | —Insurance typically pays $35Sticker price — | — | $35 | — |
| Tonsillectomy | —Insurance typically pays $252Sticker price — | — | $252 | — |
| Total abdominal hysterectomy | —Insurance typically pays $689Sticker price — | — | $689 | — |
| Total shoulder replacement (arthroplasty) | —Insurance typically pays $1,194Sticker price — | — | $1,194 | — |
| Total thyroidectomy | —Insurance typically pays $684Sticker price — | — | $684 | — |
| Total thyroidectomy with neck dissection | —Insurance typically pays $983Sticker price — | — | $983 | — |
| Transforaminal epidural, additional level | —Insurance typically pays $129Sticker price — | — | $129 | — |
| Trigger finger release | —Insurance typically pays $365Sticker price — | — | $365 | — |
| Trigger point injection | —Insurance typically pays $54Sticker price — | — | $54 | — |
| Trigger point injections, multiple | —Insurance typically pays $61Sticker price — | — | $61 | — |
| Unattended home sleep study | —Insurance typically pays $48Sticker price — | — | $48 | — |
| Upper endoscopy | —Insurance typically pays $258Sticker price — | — | $258 | — |
| Upper endoscopy (EGD) | —Insurance typically pays $330Sticker price — | — | $330 | — |
| Upper endoscopy with ablation | —Insurance typically pays $631Sticker price — | — | $631 | — |
| Upper endoscopy with control of bleeding | —Insurance typically pays $542Sticker price — | — | $542 | — |
| Upper endoscopy with fine needle biopsy | —Insurance typically pays $329Sticker price — | — | $329 | — |
| Upper endoscopy with guide wire placement | —Insurance typically pays $364Sticker price — | — | $364 | — |
| Upper endoscopy with limited ultrasound | —Insurance typically pays $245Sticker price — | — | $245 | — |
| Upper endoscopy with submucosal injection | —Insurance typically pays $351Sticker price — | — | $351 | — |
| Upper endoscopy with ultrasound | —Insurance typically pays $283Sticker price — | — | $283 | — |
| Urinalysis | —Insurance typically pays $3Sticker price — | — | $3 | — |
| Vaginal delivery only | —Insurance typically pays $983Sticker price — | — | $983 | — |
| Vaginal delivery with routine obstetric care | —Insurance typically pays $2,212Sticker price — | — | $2,212 | — |
| Vertebroplasty | —Insurance typically pays $1,236Sticker price — | — | $1,236 | — |
| Visual field test | —Insurance typically pays $33Sticker price — | — | $33 | — |
| Voice box scope | —Insurance typically pays $117Sticker price — | — | $117 | — |
| Wound repair, layered stitches | —Insurance typically pays $191Sticker price — | — | $191 | — |
Source: this hospital's own published price file. Original file · Methodology