St. David's Georgetown Hospital
TX 79029
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.
Can't afford a bill from St. David's Georgetown Hospital?
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Financial assistance: see income limits & how to applyPrices at this hospital (255 procedures)
| Procedure | Cash price | Where it sits | Insurance pays (typical) | Gross charge |
|---|---|---|---|---|
| Achilles tendon repair, primary | —Insurance typically pays $1,261Sticker price — | — | $1,261 | — |
| Amino acid analysis, quantitative, each specimen | —Insurance typically pays $24Sticker price — | — | $24 | — |
| Analysis for antibody to Herpes simplex virus | —Insurance typically pays $15Sticker price — | — | $15 | — |
| Ankle fracture repair, open | —Insurance typically pays $1,261Sticker price — | — | $1,261 | — |
| Appendix removal, laparoscopic | —Insurance typically pays $8,044Sticker price — | — | $8,044 | — |
| Arteriovenous fistula creation for dialysis | —Insurance typically pays $1,027Sticker price — | — | $1,027 | — |
| Arthroscopic ACL reconstruction | —Insurance typically pays $1,261Sticker price — | — | $1,261 | — |
| Arthroscopic rotator cuff repair | —Insurance typically pays $1,261Sticker price — | — | $1,261 | — |
| Basic metabolic blood panel | —Insurance typically pays $9Sticker price — | — | $9 | — |
| Benign skin growth removal | —Insurance typically pays $2,039Sticker price — | — | $2,039 | — |
| Biceps tenodesis (tendon repair) | —Insurance typically pays $1,261Sticker price — | — | $1,261 | — |
| Blood count (CBC) | —Insurance typically pays $7Sticker price — | — | $7 | — |
| Blood count with differential | —Insurance typically pays $8Sticker price — | — | $8 | — |
| Blood draw | —Insurance typically pays $3Sticker price — | — | $3 | — |
| Blood sugar test | —Insurance typically pays $4Sticker price — | — | $4 | — |
| Bone biopsy, deep | —Insurance typically pays $497Sticker price — | — | $497 | — |
| Bone biopsy, superficial | —Insurance typically pays $497Sticker price — | — | $497 | — |
| Breast biopsy, open | —Insurance typically pays $968Sticker price — | — | $968 | — |
| Breast biopsy with stereotactic guidance | —Insurance typically pays $497Sticker price — | — | $497 | — |
| Bunionectomy | —Insurance typically pays $1,027Sticker price — | — | $1,027 | — |
| BUN kidney test | —Insurance typically pays $4Sticker price — | — | $4 | — |
| Capillary blood draw (finger stick) | —Insurance typically pays $3Sticker price — | — | $3 | — |
| Carpal tunnel release | —Insurance typically pays $612Sticker price — | — | $612 | — |
| Cataract surgery, complex | —Insurance typically pays $884Sticker price — | — | $884 | — |
| Cataract surgery with lens implant | —Insurance typically pays $884Sticker price — | — | $884 | — |
| Cervical spinal fusion, anterior | —Insurance typically pays $1,261Sticker price — | — | $1,261 | — |
| Cholesterol panel | —Insurance typically pays $14Sticker price — | — | $14 | — |
| Closed treatment of broken or growth plate separate of forearm bone at wrist with manipulation | —Insurance typically pays $612Sticker price — | — | $612 | — |
| Clotting factor VII (proconvertin, stable factor) | —Insurance typically pays $19Sticker price — | — | $19 | — |
| Cold knife conization of cervix | —Insurance typically pays $1,027Sticker price — | — | $1,027 | — |
| Colonoscopy | —Insurance typically pays $323Sticker price — | — | $323 | — |
| Colonoscopy with ablation of lesion | —Insurance typically pays $433Sticker price — | — | $433 | — |
| Colonoscopy with biopsy | —Insurance typically pays $433Sticker price — | — | $433 | — |
| Colonoscopy with polyp removal | —Insurance typically pays $433Sticker price — | — | $433 | — |
| Colonoscopy with submucosal injection | —Insurance typically pays $433Sticker price — | — | $433 | — |
| Creatinine test | —Insurance typically pays $5Sticker price — | — | $5 | — |
| Critical care, first hour | —Insurance typically pays $2,948Sticker price — | — | $2,948 | — |
| Detection test by immunoassay technique for rotavirus | —Insurance typically pays $13Sticker price — | — | $13 | — |
| Diagnostic exam of lower portion of large bowel using a flexible endoscope | —Insurance typically pays $2,039Sticker price — | — | $2,039 | — |
| Dilation and curettage (D&C), diagnostic | —Insurance typically pays $1,027Sticker price — | — | $1,027 | — |
| Distal radius fracture repair, open | —Insurance typically pays $1,261Sticker price — | — | $1,261 | — |
| EKG | —Insurance typically pays $36Sticker price — | — | $36 | — |
| Endoscopic lumbar decompression | —Insurance typically pays $1,261Sticker price — | — | $1,261 | — |
| Esophagus stretching | —Insurance typically pays $497Sticker price — | — | $497 | — |
| ESRD dialysis management, adult | —Insurance typically pays $298Sticker price — | — | $298 | — |
| Excision of breast lesion with radiologic marker | —Insurance typically pays $968Sticker price — | — | $968 | — |
| Extended doctor visit | —Insurance typically pays $25Sticker price — | — | $25 | — |
| Facet joint injection, cervical or thoracic | —Insurance typically pays $323Sticker price — | — | $323 | — |
| Facet joint injection, lumbar or sacral | —Insurance typically pays $323Sticker price — | — | $323 | — |
| Femoral/popliteal artery stent placement | —Insurance typically pays $1,261Sticker price — | — | $1,261 | — |
| Ferritin test | —Insurance typically pays $14Sticker price — | — | $14 | — |
| Fetal non-stress test | —Insurance typically pays $43Sticker price — | — | $43 | — |
| Flu shot | —Insurance typically pays $25Sticker price — | — | $25 | — |
| Flu shot | —Insurance typically pays $63Sticker price — | — | $63 | — |
| Gallbladder removal (laparoscopic) | —Insurance typically pays $1,290Sticker price — | — | $1,290 | — |
| Hammertoe correction | —Insurance typically pays $1,027Sticker price — | — | $1,027 | — |
| HCHG ACTH PLASMA LC | —Insurance typically pays $41Sticker price — | — | $41 | — |
| 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 $14Sticker price — | — | $14 | — |
| HCHG AMINO ACIDEMIAS (PKU) | —Insurance typically pays $26Sticker price — | — | $26 | — |
| HCHG AMPA RECEPTOR ABY TITER SPINAL FLUID | —Insurance typically pays $13Sticker price — | — | $13 | — |
| HCHG ANA | —Insurance typically pays $13Sticker price — | — | $13 | — |
| HCHG ANAEROBIC CULTURE | —Insurance typically pays $10Sticker price — | — | $10 | — |
| HCHG ANTI-DNASE B STREP ANTIBODIES LC | —Insurance typically pays $14Sticker price — | — | $14 | — |
| HCHG ANTISTREPTOLYSIN O AB LC | —Insurance typically pays $8Sticker price — | — | $8 | — |
| HCHG ANTITHROMBIN III | —Insurance typically pays $13Sticker price — | — | $13 | — |
| HCHG ARC-ABY ID EACH SELECTED REAGENT CELL | —Insurance typically pays $6Sticker price — | — | $6 | — |
| HCHG CA15.3 | —Insurance typically pays $22Sticker price — | — | $22 | — |
| HCHG CARBAMAZEPINE | —Insurance typically pays $15Sticker price — | — | $15 | — |
| HCHG CATECHOLAMINESURFREE24 HR LC | —Insurance typically pays $27Sticker price — | — | $27 | — |
| HCHG CF SCREEN | —Insurance typically pays $12Sticker price — | — | $12 | — |
| HCHG CHROMIUM BLOOD | —Insurance typically pays $22Sticker price — | — | $22 | — |
| HCHG CHROMOGRANIN A | —Insurance typically pays $22Sticker price — | — | $22 | — |
| HCHG CMV IGM ABY | —Insurance typically pays $18Sticker price — | — | $18 | — |
| HCHG CMV QUANT DNA PCR (PLASMA) LC | —Insurance typically pays $45Sticker price — | — | $45 | — |
| HCHG COMPREHENSIVE METABOLIC PANE | —Insurance typically pays $11Sticker price — | — | $11 | — |
| HCHG COVID 19 NAA LC | —Insurance typically pays $54Sticker price — | — | $54 | — |
| HCHG C-PEPTIDE SERUM | —Insurance typically pays $22Sticker price — | — | $22 | — |
| HCHG CREATININE URINE | —Insurance typically pays $5Sticker price — | — | $5 | — |
| HCHG CROSSMATCH IS | —Insurance typically pays $149Sticker price — | — | $149 | — |
| HCHG CRYOGLOBULIN QUAL WITH REFLEX | —Insurance typically pays $7Sticker price — | — | $7 | — |
| HCHG CRYPTOCOCCAL AG LATEX SCREEN W/REFL TITER QUE | —Insurance typically pays $12Sticker price — | — | $12 | — |
| HCHG CT CHEST TUBE PLACEMENT AND PLEURAL DRAINAGE | —Insurance typically pays $497Sticker price — | — | $497 | — |
| HCHG DHEA SERUM LC | —Insurance typically pays $27Sticker price — | — | $27 | — |
| HCHG DIPTHERIA TOXOID IGG ABY | —Insurance typically pays $16Sticker price — | — | $16 | — |
| HCHG DIRECT ANTIGLOBULIN TEST | —Insurance typically pays $6Sticker price — | — | $6 | — |
| HCHG EBV NA | —Insurance typically pays $16Sticker price — | — | $16 | — |
| HCHG EBV VCA IGG | —Insurance typically pays $19Sticker price — | — | $19 | — |
| HCHG FACTOR 2 GENE MUTATION | —Insurance typically pays $70Sticker price — | — | $70 | — |
| HCHG FACTOR 8 ASSAY | —Insurance typically pays $19Sticker price — | — | $19 | — |
| HCHG FACTOR IX ACTIVITY LC | —Insurance typically pays $20Sticker price — | — | $20 | — |
| HCHG FOLIC ACID | —Insurance typically pays $16Sticker price — | — | $16 | — |
| HCHG FSH-SERUM | —Insurance typically pays $20Sticker price — | — | $20 | — |
| HCHG GENERAL LAB 8007400 | —Insurance typically pays $50Sticker price — | — | $50 | — |
| HCHG GENERAL LAB 8663103 LC | —Insurance typically pays $13Sticker price — | — | $13 | — |
| HCHG GENERAL LAB 8670600 | —Insurance typically pays $11Sticker price — | — | $11 | — |
| HCHG GENERAL LAB 8680300 | —Insurance typically pays $15Sticker price — | — | $15 | — |
| HCHG GENERAL LAB 8738900 | —Insurance typically pays $26Sticker price — | — | $26 | — |
| HCHG GENERAL LAB 8748602 LC | —Insurance typically pays $37Sticker price — | — | $37 | — |
| HCHG GENERAL LAB 8749100 | —Insurance typically pays $37Sticker price — | — | $37 | — |
| HCHG GENERAL LAB 87522 LCC | —Insurance typically pays $45Sticker price — | — | $45 | — |
| HCHG GENTAMICIN KINETICS | —Insurance typically pays $17Sticker price — | — | $17 | — |
| HCHG GRAM STAIN | —Insurance typically pays $5Sticker price — | — | $5 | — |
| HCHG HEMOGLOBINOPATHIES | —Insurance typically pays $14Sticker price — | — | $14 | — |
| HCHG H HEMACHROMATOSIS | —Insurance typically pays $69Sticker price — | — | $69 | — |
| HCHG H. PYLORI ANTIGEN STOOL | —Insurance typically pays $15Sticker price — | — | $15 | — |
| HCHG IHC STAIN ADDL | —Insurance typically pays $143Sticker price — | — | $143 | — |
| HCHG IHC STAIN FIRST | —Insurance typically pays $276Sticker price — | — | $276 | — |
| HCHG INSERT PICC WO SUBQ PORT/PUMP WO GUIDANCE >5 | —Insurance typically pays $497Sticker price — | — | $497 | — |
| HCHG INTRINSIC FACTOR ABS SERUM LC | —Insurance typically pays $16Sticker price — | — | $16 | — |
| HCHG IRON | —Insurance typically pays $7Sticker price — | — | $7 | — |
| HCHG JAK2 MUTATION DETECTION | —Insurance typically pays $97Sticker price — | — | $97 | — |
| HCHG LEAD FILTER PAPER | —Insurance typically pays $13Sticker price — | — | $13 | — |
| HCHG LUTEINIZING HORMONE | —Insurance typically pays $20Sticker price — | — | $20 | — |
| HCHG N METHYLHISTAMINE URINE | —Insurance typically pays $26Sticker price — | — | $26 | — |
| HCHG OCCULT BLOOD IFOBT | —Insurance typically pays $17Sticker price — | — | $17 | — |
| HCHG OT EVAL HIGH COMPLEXITY | —Insurance typically pays $97Sticker price — | — | $97 | — |
| HCHG OT EVAL LOW COMPLEXITY | —Insurance typically pays $97Sticker price — | — | $97 | — |
| HCHG OT EVAL MOD COMPLEXITY | —Insurance typically pays $97Sticker price — | — | $97 | — |
| HCHG OT RE-EVALUATION | —Insurance typically pays $67Sticker price — | — | $67 | — |
| HCHG OT THER INTERVENT COGNITIVE FUNCT 1 1 EA ADDL | —Insurance typically pays $22Sticker price — | — | $22 | — |
| HCHG OT THER INTERVENT COGNITIVE FUNCT 1 1 INIT 15 | —Insurance typically pays $21Sticker price — | — | $21 | — |
| HCHG PARACENTESIS ABD WO IMAGING | —Insurance typically pays $323Sticker price — | — | $323 | — |
| HCHG PHENOBARBITAL | —Insurance typically pays $16Sticker price — | — | $16 | — |
| HCHG PLCMT NEPHROSTOMY CATHETER WWO NEPHRO/URETERO | —Insurance typically pays $612Sticker price — | — | $612 | — |
| HCHG POTASSIUM | —Insurance typically pays $5Sticker price — | — | $5 | — |
| HCHG PROCALCITONIN | —Insurance typically pays $29Sticker price — | — | $29 | — |
| HCHG PROTEIN TOTAL | —Insurance typically pays $4Sticker price — | — | $4 | — |
| HCHG PROTHOMBIN TIME | —Insurance typically pays $5Sticker price — | — | $5 | — |
| HCHG PSA-SCREEN | —Insurance typically pays $20Sticker price — | — | $20 | — |
| HCHG PT E-STIM-ATTENDED 15MIN | —Insurance typically pays $14Sticker price — | — | $14 | — |
| HCHG PT EVAL HIGH COMPLEXITY | —Insurance typically pays $96Sticker price — | — | $96 | — |
| HCHG PT EVAL LOW COMPLEXITY | —Insurance typically pays $96Sticker price — | — | $96 | — |
| HCHG PT EVAL MOD COMPLEXITY | —Insurance typically pays $96Sticker price — | — | $96 | — |
| HCHG PT FLUIDOTHERAPY | —Insurance typically pays $17Sticker price — | — | $17 | — |
| HCHG PT GAIT TRAINING 15MIN | —Insurance typically pays $28Sticker price — | — | $28 | — |
| HCHG PT GROUP THERAPY | —Insurance typically pays $17Sticker price — | — | $17 | — |
| HCHG PT IONTOPHORESIS 15MIN | —Insurance typically pays $19Sticker price — | — | $19 | — |
| 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 $33Sticker price — | — | $33 | — |
| HCHG PT ORTHO/PROSTHETIC TRAIN UPR/LWR EXT TRUNK S | —Insurance typically pays $53Sticker price — | — | $53 | — |
| HCHG PT ORTHOTIC FIT/TRAIN UPR/LWR EXT TRUNK INITI | —Insurance typically pays $48Sticker price — | — | $48 | — |
| HCHG PT PHONOPHORESIS 15MIN | —Insurance typically pays $14Sticker price — | — | $14 | — |
| HCHG PT PROSTHETIC TRAIN UPR/LWR EXT INITIAL ENC E | —Insurance typically pays $44Sticker price — | — | $44 | — |
| HCHG PT RE-EVALUATION | —Insurance typically pays $67Sticker price — | — | $67 | — |
| HCHG PT SELFCARE/HOME MNGMNT 15MIN | —Insurance typically pays $32Sticker price — | — | $32 | — |
| HCHG PT THERAPEUTIC ACTIVITY 15MIN | —Insurance typically pays $36Sticker price — | — | $36 | — |
| HCHG PT THERAPEUTIC EXERCISE 15MIN | —Insurance typically pays $28Sticker price — | — | $28 | — |
| HCHG REPLACE CATH ONLY CVAD W SQ PORT/PUMP | —Insurance typically pays $1,027Sticker price — | — | $1,027 | — |
| HCHG REPOSITIONING PREV PLC CV CATH FLUOR GUID | —Insurance typically pays $497Sticker price — | — | $497 | — |
| HCHG RESPIRATORY DISEASE MULTIPLEX PCR PANEL | —Insurance typically pays $442Sticker price — | — | $442 | — |
| HCHG REVERSE T3 SERUM LC | —Insurance typically pays $17Sticker price — | — | $17 | — |
| HCHG RN APPL MULTLAY COMPRS LWR LEG UNILATERAL | —Insurance typically pays $42Sticker price — | — | $42 | — |
| HCHG SCHISTOSOMA IGG ABY | —Insurance typically pays $14Sticker price — | — | $14 | — |
| HCHG SELENIUM SERUM/PLASMA LC | —Insurance typically pays $27Sticker price — | — | $27 | — |
| HCHG SLP EVAL ORAL/PHAR SWALLOWING | —Insurance typically pays $88Sticker price — | — | $88 | — |
| HCHG SLP EVAL SPEECH SOUND W LANGUAGE COMP | —Insurance typically pays $235Sticker price — | — | $235 | — |
| HCHG SLP INDIV TX COMMUNICATION | —Insurance typically pays $79Sticker price — | — | $79 | — |
| HCHG SODIUM URINE | —Insurance typically pays $5Sticker price — | — | $5 | — |
| HCHG SP STAIN 1 ORG | —Insurance typically pays $117Sticker price — | — | $117 | — |
| HCHG STONE ANALYSIS LC | —Insurance typically pays $14Sticker price — | — | $14 | — |
| HCHG STOOL CULTURE AEROBIC BACTERIA LC | —Insurance typically pays $10Sticker price — | — | $10 | — |
| HCHG T3 FREE | —Insurance typically pays $18Sticker price — | — | $18 | — |
| HCHG T4 FREE | —Insurance typically pays $10Sticker price — | — | $10 | — |
| HCHG TACROLIMUS AHL | —Insurance typically pays $15Sticker price — | — | $15 | — |
| HCHG TESTOSTERONE FREE EQUILIBRIUM ULTRAFILTRATION | —Insurance typically pays $27Sticker price — | — | $27 | — |
| HCHG THER APHERESIS PLASMA PHERESIS | —Insurance typically pays $497Sticker price — | — | $497 | — |
| HCHG THY PEROXIDASE ABY | —Insurance typically pays $15Sticker price — | — | $15 | — |
| HCHG THYROGLOBULIN ABY LC | —Insurance typically pays $17Sticker price — | — | $17 | — |
| HCHG THYROGLOBULIN TUMOR MARKER FNA ASP BX NEEDLE | —Insurance typically pays $17Sticker price — | — | $17 | — |
| HCHG TISSUE LEVEL 2 | —Insurance typically pays $52Sticker price — | — | $52 | — |
| HCHG TOTAL T CELLS | —Insurance typically pays $40Sticker price — | — | $40 | — |
| HCHG URIC ACID URINE | —Insurance typically pays $5Sticker price — | — | $5 | — |
| HCHG VALPROIC ACID | —Insurance typically pays $14Sticker price — | — | $14 | — |
| HCHG VANILLYLMANDELIC ACID 24-HR U LC | —Insurance typically pays $16Sticker price — | — | $16 | — |
| HCHG VEDOLIZUMAB QUANT LC | —Insurance typically pays $41Sticker price — | — | $41 | — |
| HCHG VENOUS MECH THROMBECTOMY | —Insurance typically pays $1,261Sticker price — | — | $1,261 | — |
| HCHG VITAMIN A SERUM LC | —Insurance typically pays $12Sticker price — | — | $12 | — |
| HCHG VITAMIN B6 PLASMA LC | —Insurance typically pays $30Sticker price — | — | $30 | — |
| Hemodialysis with repeated evaluation | —Insurance typically pays $86Sticker price — | — | $86 | — |
| Hemorrhoid removal | —Insurance typically pays $884Sticker price — | — | $884 | — |
| Hernia repair (inguinal) | —Insurance typically pays $1,027Sticker price — | — | $1,027 | — |
| Hernia repair, laparoscopic | —Insurance typically pays $1,290Sticker price — | — | $1,290 | — |
| Hernia repair, open | —Insurance typically pays $1,027Sticker price — | — | $1,027 | — |
| Hysterectomy (laparoscopic) | —Insurance typically pays $1,261Sticker price — | — | $1,261 | — |
| Hysteroscopy with biopsy | —Insurance typically pays $1,050Sticker price — | — | $1,050 | — |
| Hysteroscopy with endometrial ablation | —Insurance typically pays $1,290Sticker price — | — | $1,290 | — |
| Iliac artery stent placement | —Insurance typically pays $1,261Sticker price — | — | $1,261 | — |
| Inguinal hernia repair, incarcerated, open | —Insurance typically pays $1,027Sticker price — | — | $1,027 | — |
| Iron test | —Insurance typically pays $9Sticker price — | — | $9 | — |
| Kidney function panel | —Insurance typically pays $9Sticker price — | — | $9 | — |
| Knee arthroscopy | —Insurance typically pays $1,027Sticker price — | — | $1,027 | — |
| Knee arthroscopy, meniscectomy medial and lateral | —Insurance typically pays $1,027Sticker price — | — | $1,027 | — |
| Knee arthroscopy with debridement | —Insurance typically pays $1,027Sticker price — | — | $1,027 | — |
| Knee arthroscopy with meniscus repair | —Insurance typically pays $1,027Sticker price — | — | $1,027 | — |
| Kyphoplasty (vertebral augmentation) | —Insurance typically pays $1,261Sticker price — | — | $1,261 | — |
| Laparoscopic colectomy with anastomosis | —Insurance typically pays $8,044Sticker price — | — | $8,044 | — |
| Laparoscopic incisional hernia repair | —Insurance typically pays $1,261Sticker price — | — | $1,261 | — |
| Laparoscopic inguinal hernia repair, incarcerated | —Insurance typically pays $1,027Sticker price — | — | $1,027 | — |
| Laparoscopic partial colectomy | —Insurance typically pays $8,044Sticker price — | — | $8,044 | — |
| Laparoscopic removal of ovary | —Insurance typically pays $1,290Sticker price — | — | $1,290 | — |
| Laparoscopic ventral hernia repair | —Insurance typically pays $1,261Sticker price — | — | $1,261 | — |
| LDH test | —Insurance typically pays $6Sticker price — | — | $6 | — |
| LEEP conization of cervix | —Insurance typically pays $1,027Sticker price — | — | $1,027 | — |
| Liver biopsy | —Insurance typically pays $497Sticker price — | — | $497 | — |
| Liver function panel | —Insurance typically pays $9Sticker price — | — | $9 | — |
| Lumbar laminectomy with discectomy | —Insurance typically pays $1,261Sticker price — | — | $1,261 | — |
| Lumbar laminectomy with facetectomy | —Insurance typically pays $1,261Sticker price — | — | $1,261 | — |
| Lumbar spinal fusion, posterior | —Insurance typically pays $1,261Sticker price — | — | $1,261 | — |
| Lumpectomy (partial mastectomy) | —Insurance typically pays $968Sticker price — | — | $968 | — |
| Manipulation of knee under anesthesia | —Insurance typically pays $612Sticker price — | — | $612 | — |
| Mastectomy, simple | —Insurance typically pays $1,261Sticker price — | — | $1,261 | — |
| Molecular pathology procedure level 6 genetic analysis | —Insurance typically pays $319Sticker price — | — | $319 | — |
| Molecular pathology procedure level 7 genetic analysis | —Insurance typically pays $300Sticker price — | — | $300 | — |
| Molecular pathology procedure level 9 genetic analysis | —Insurance typically pays $2,120Sticker price — | — | $2,120 | — |
| Nail bed removal | —Insurance typically pays $2,039Sticker price — | — | $2,039 | — |
| Occlusion of growths or obstructed vessels with review by radiologist | —Insurance typically pays $1,261Sticker price — | — | $1,261 | — |
| Osteotomy of foot bone | —Insurance typically pays $1,261Sticker price — | — | $1,261 | — |
| Pacemaker insertion, single chamber | —Insurance typically pays $1,261Sticker price — | — | $1,261 | — |
| Panniculectomy (excess abdominal skin removal) | —Insurance typically pays $1,261Sticker price — | — | $1,261 | — |
| Parathyroidectomy | —Insurance typically pays $1,261Sticker price — | — | $1,261 | — |
| Partial excision of foot bone | —Insurance typically pays $1,027Sticker price — | — | $1,027 | — |
| Radiofrequency ablation, lumbar/sacral facet nerve | —Insurance typically pays $612Sticker price — | — | $612 | — |
| Radiofrequency ablation of facet joint nerve | —Insurance typically pays $612Sticker price — | — | $612 | — |
| Removal of abdominal cavity tube | —Insurance typically pays $1,027Sticker price — | — | $1,027 | — |
| Screening colonoscopy | —Insurance typically pays $323Sticker price — | — | $323 | — |
| Screening mammogram (3D) | —Insurance typically pays $101Sticker price — | — | $101 | — |
| Shoulder arthroscopy with distal clavicle excision | —Insurance typically pays $1,027Sticker price — | — | $1,027 | — |
| Sigmoidoscopy | —Insurance typically pays $323Sticker price — | — | $323 | — |
| Sigmoidoscopy with biopsy | —Insurance typically pays $433Sticker price — | — | $433 | — |
| Skin cancer removal | —Insurance typically pays $2,039Sticker price — | — | $2,039 | — |
| Skin substitute graft | —Insurance typically pays $698Sticker price — | — | $698 | — |
| Spinal nerve injection, lower back | —Insurance typically pays $323Sticker price — | — | $323 | — |
| Stool blood test | —Insurance typically pays $5Sticker price — | — | $5 | — |
| Tdap vaccine | —Insurance typically pays $36Sticker price — | — | $36 | — |
| Thyroid (TSH) test | —Insurance typically pays $18Sticker price — | — | $18 | — |
| Tissue lab exam (pathology) | —Insurance typically pays $110Sticker price — | — | $110 | — |
| Tonsillectomy | —Insurance typically pays $884Sticker price — | — | $884 | — |
| Total thyroidectomy | —Insurance typically pays $1,261Sticker price — | — | $1,261 | — |
| Trigger finger release | —Insurance typically pays $612Sticker price — | — | $612 | — |
| Upper endoscopy | —Insurance typically pays $323Sticker price — | — | $323 | — |
| Upper endoscopy (EGD) | —Insurance typically pays $323Sticker price — | — | $323 | — |
| Upper endoscopy with ablation | —Insurance typically pays $497Sticker price — | — | $497 | — |
| Upper endoscopy with control of bleeding | —Insurance typically pays $497Sticker price — | — | $497 | — |
| Upper endoscopy with fine needle biopsy | —Insurance typically pays $497Sticker price — | — | $497 | — |
| Upper endoscopy with guide wire placement | —Insurance typically pays $323Sticker price — | — | $323 | — |
| Upper endoscopy with limited ultrasound | —Insurance typically pays $497Sticker price — | — | $497 | — |
| Upper endoscopy with submucosal injection | —Insurance typically pays $323Sticker price — | — | $323 | — |
| Upper endoscopy with ultrasound | —Insurance typically pays $497Sticker price — | — | $497 | — |
| Urinalysis | —Insurance typically pays $3Sticker price — | — | $3 | — |
| Vertebroplasty | —Insurance typically pays $1,027Sticker price — | — | $1,027 | — |
Source: this hospital's own published price file. Original file · Methodology