Patient Price Information List

On August 2, 2018, the Centers for Medicare & Medicaid Services("CMS") issued a final rule (CMS-1694-F) updating Medicare payment policies, specifically requiring hospitals "make available a list of their current standard charges via the Internet in a machine readable format and to update this information at least annually, or more often as appropriate."

Community Memorial Hospital has partnered with Hospital Pricing Specialists LLC to analyze current charges, based off CMS adjudicated claims through 3/31/2020. Standard charges will be updated quarterly.

Disclaimer: In compliance with Centers for Medicare and Medicaid Services (CMS), this price list is provided containing our hospital standard charges. This information does not provide a quote or guarantee of actual charges. Standard charges are the same for all patients, but a patient's responsibility may vary, depending on payment plans negotiated with individual health insurers. Uninsured or underinsured patients should consult with our Financial Counseling staff at (315) 824-6552 to determine whether they qualify for discounts. These prices are correct as of 3/31/2020. Inpatient charges may vary from the hospital price list, due to a variety of reasons including, but not limited to, medical complications, length of stay, condition, and use of laboratory tests, pharmaceuticals, etc. For more specific information, please contact our Financial Counseling Department at (315) 824-6552

LOCAL MARKET HOSPITALS

Community Memorial Hospital’s charges are displayed and compared with the local market charge, consisting of the following hospitals:

Hospital Name
Location

Bassett Medical Center

Cooperstown

NY

Carthage Area Hospital

Carthage

NY

Clifton-Fine Hospital

Star Lake

NY

Crouse Hospital

Syracuse

NY

Lewis County General Hospital

Lowville

NY

Little Falls Hospital

Little Falls

NY

MVHS - St. Elizabeth Campus

Utica

NY

Oneida Healthcare Center

Oneida

NY

Rome Memorial Hospital

Rome

NY

The University of Vermont Health Network Elizabethtown Community Hospital

Elizabethtown

NY

UHS Chenango Memorial Hospital

Norwich

NY

INPATIENT ROOM AND BOARD DAILY CHARGES

Description

Our Charge
Market Charge

Variance

Private Room

$2,200
$1,313

67% higher than market

Semi-Private Room

$1,300
$1,413

8% lower than market

Swing Bed

$1,000
$1,000

Approximately equal to market

OUTPATIENT EMERGENCY DEPARTMENT CHARGES

Emergency Department charges are based on the level of emergency care provided to our patients. The levels, with Level 1 representing basic emergency care, reflect the type of accommodations needed, the personnel resources, the intensity of care and the amount of time needed to provide treatment. The following charges do not include fees for drugs, supplies or additional ancillary procedures that may be required for a particular emergency treatment. They also do not include fees for Emergency Department physicians, who will bill separately for their services.

Description

Our Charge
Market Charge

Variance

Emergency Department Visit - Level 1

$103
$298

65% lower than market

Emergency Department Visit - Level 2

$321
$389

17% lower than market

Emergency Department Visit - Level 3

$500
$573

13% lower than market

Emergency Department Visit - Level 4

$700
$862

19% lower than market

Emergency Department Visit - Level 5

$900
$1,289

30% lower than market

Emergency Critical Care, Each Additional 30 Minutes

$206
$974

79% lower than market

OUTPATIENT PHYSICAL THERAPY CHARGES

The following charges reflect the most common services offered by our Physical Therapy department. Patients may have additional charges, depending on the services performed.

Description

Our Charge
Market Charge

Variance

Gait Training - 15 Minutes

$111
$97

14% higher than market

PT Evaluation - Moderate Complexity

$129
$234

45% lower than market

PT to Re-Educate Brain to Muscle Function (15 min)

$111
$106

5% higher than market

Physical Therapy 1 or More Regions (15 min)

$91
$110

17% lower than market

Physical Therapy Exercise, 15 Minutes

$111
$101

10% higher than market

Physical Therapy, standard evaluation - 20 minutes

$129
$186

30% lower than market

OUTPATIENT CLINIC CHARGES

Description

Our Charge
Market Charge

Variance

Established patient office or other outpatient visit, typically 10 minutes

$107
$91

17% higher than market

Hospital Outpatient Clinic Visit for Assessment and Management of a Patient

$103
$137

25% lower than market

OUTPATIENT OCCUPATIONAL THERAPY CHARGES

The following charges reflect the most common services offered by our Occupational Therapy department. Patients may have additional charges, depending on the services performed.

Description

Our Charge
Market Charge

Variance

Occupational Therapy, standard evaluation - 30 minutes

$129
$197

34% lower than market

Therapeutic Activities Involving Functional Activities (15 min)

$70
$103

32% lower than market

OUTPATIENT PULMONARY THERAPY CHARGES

The following charges reflect the most common services offered by our Pulmonary Therapy department. Patients may have additional charges, depending on the services performed.

Description

Our Charge
Market Charge

Variance

Routine EKG - Minimum 12 Leads

$160
$187

15% lower than market

Stress Test with EKG tracing

$366
$840

56% lower than market

OUTPATIENT LABORATORY AND PATHOLOGY CHARGES

The following charges reflect our most common laboratory procedures. For all lab specimens collected via blood draw, the venipuncture will be charged separately.

Description

Our Charge
Market Charge

Variance

Acute hepatitis panel

$329
$412

20% lower than market

Adrenocorticotropic hormone (ACTH) level

$271
$209

30% higher than market

Albumin (protein) level

$60
$49

23% higher than market

Aldolase (enzyme) level

$74
$81

8% lower than market

Alpha-1-antitrypsin; phenotype

$89
$72

24% higher than market

Amylase (enzyme) level

$60
$74

19% lower than market

Analgesics, non-opioid; 1 or 2

$114
$287

60% lower than market

Analysis for antibody to HIV -1 virus

$50
$88

43% lower than market

Analysis for antibody to Leptospira

$108
$122

11% lower than market

Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA)

$46
$59

23% lower than market

Antithrombin III antigen (clotting inhibitor) activity

$49
$157

69% lower than market

Arterial Blood Gases Measurement

$132
$180

27% lower than market

Bacterial Blood Culture

$120
$120

Approximately equal to market

Bacterial Culture for Aerobic Isolates

$32
$83

61% lower than market

Bacterial Culture, Any Source Blood

$23
$113

79% lower than market

Bacterial culture for anaerobic isolates

$32
$88

63% lower than market

Bacterial urine culture; quantitative colony count

$79
$94

16% lower than market

Bilirubin level (Direct)

$60
$57

6% higher than market

Bilirubin level (Total)

$60
$65

7% lower than market

Blood Typing, ABO

$48
$69

31% lower than market

Blood Typing, Rh (D)

$60
$70

15% lower than market

Blood Unit Compatibility Test; Electronic Technique

$26
$62

58% lower than market

Blood creatinine level

$60
$57

6% higher than market

Blood glucose (sugar) level

$60
$55

9% higher than market

Blood glucose (sugar) measurement using reagent strip

$27
$24

12% higher than market

Blood osmolality (concentration) measurement

$72
$68

6% higher than market

Blood potassium level

$60
$55

9% higher than market

Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)

$56
$93

40% lower than market

Blood test, basic group of blood chemicals

$79
$131

39% lower than market

Blood test, clotting time

$40
$45

10% lower than market

Blood test, comprehensive group of blood chemicals

$102
$193

47% lower than market

Blood test, lipids (cholesterol and triglycerides)

$82
$158

48% lower than market

Blood test, thyroid stimulating hormone (TSH)

$124
$172

28% lower than market

Calcium level

$60
$52

16% higher than market

Carbamazepine level

$100
$127

21% lower than market

Carboxyhemoglobin

$98
$113

13% lower than market

Carcinoembryonic antigen (CEA) protein level

$132
$167

21% lower than market

Cardiolipin antibody (tissue antibody) measurement

$137
$130

6% higher than market

Cell examination of specimen

$240
$209

15% higher than market

Clozapine level

$49
$82

41% lower than market

Coagulation Function Measurement; D-dimer; quantitative

$133
$130

2% higher than market

Coagulation assessment blood test

$137
$181

24% lower than market

Complete blood cell count - automated differential WBC count

$36
$82

56% lower than market

Complete blood cell count - automated test with out Differential

$34
$59

43% lower than market

Confirmation test for antibody to Borrelia burgdorferi (Lyme disease bacteria)

$166
$153

9% higher than market

Cortisol Measurement

$132
$112

18% higher than market

Creatine kinase Level (cardiac enzyme) - Total

$31
$66

53% lower than market

Cyanocobalamin (vitamin B-12) level

$96
$121

21% lower than market

Cyclosporine level

$243
$212

14% higher than market

Deoxyribonucleic acid (DNA) antibody; native or double stranded

$104
$87

19% higher than market

Detection Test for Chlamydia; Amplified Probe Technique

$49
$94

47% lower than market

Detection Test for Hepatitis B

$92
$130

30% lower than market

Detection Test for Hepatitis C Virus; Includes Reverse Transcription

$135
$239

44% lower than market

Detection Test for Neisseria Gonorrhoeae

$49
$99

50% lower than market

Detection test for HIV-1 and HIV-2

$54
$145

62% lower than market

Detection test for clostridium difficile toxins (stool pathogen)

$33
$157

79% lower than market

Detection test for cryptosporidium (parasite); immunoassay technique

$54
$75

28% lower than market

Detection test for multiple types influenza virus

$225
$355

37% lower than market

Detection test for organism; amplified probe technique

$162
$141

15% higher than market

Detection test for respiratory syncytial virus (RSV); immunoassay technique

$111
$136

18% lower than market

Digoxin level

$110
$122

10% lower than market

Dihydroxyvitamin D, 1, 25 level

$48
$203

76% lower than market

Drug test(s); includes specimen validity testing, per day; 8-14 drug class(es)

$42
$205

79% lower than market

Estriol (hormone) level

$102
$87

17% higher than market

Ferritin (blood protein) level

$120
$163

26% lower than market

Folic acid; serum

$98
$130

24% lower than market

Fungal culture (mold or yeast) of skin, hair, or nail

$111
$127

13% lower than market

Gammaglobulin Measurement

$33
$107

69% lower than market

Gene analysis (hemochromatosis) common variants

$326
$589

45% lower than market

Glutamyltransferase (liver enzyme) level

$48
$65

27% lower than market

Gonadotropin (reproductive hormone) analysis

$72
$82

12% lower than market

Gonadotropin, chorionic (reproductive hormone) level

$124
$149

17% lower than market

Gonadotropin, follicle stimulating (reproductive hormone) level

$122
$157

23% lower than market

Gonadotropin, luteinizing (reproductive hormone) level

$127
$157

19% lower than market

Haptoglobin (serum protein) level

$116
$98

18% higher than market

Hemoglobin A1C level

$111
$108

4% higher than market

Hemoglobin Measurement

$28
$38

25% lower than market

Hepatitis B Antibody Measurement

$94
$104

9% lower than market

Hepatitis B surface antibody measurement

$84
$104

19% lower than market

Hepatitis C Antibody Measurement

$104
$157

34% lower than market

IgE (immune system protein) level

$24
$100

76% lower than market

Immunologic Analysis for Detection of Tumor Antigen; Immunoassay - Quantitative CA 15-3

$148
$136

8% higher than market

Immunologic analysis for detection of tumor antigen (CA 125)

$162
$127

28% higher than market

Immunologic analysis technique on body fluid; with concentration

$70
$276

75% lower than market

Ionized Calcium

$126
$148

15% lower than market

Iron Binding Capacity

$30
$97

69% lower than market

Iron level

$30
$85

65% lower than market

Kidney Function Blood Test Panel

$78
$185

58% lower than market

LDL cholesterol level

$51
$73

31% lower than market

Lactate dehydrogenase (enzyme) level

$60
$58

3% higher than market

Lead level

$100
$100

Approximately equal to market

Levetiracetam level

$35
$132

73% lower than market

Lithium Level

$60
$69

14% lower than market

Liver enzyme (SGOT), level

$60
$65

7% lower than market

Liver enzyme (SGPT), level

$60
$62

3% lower than market

Liver function blood test panel

$82
$139

41% lower than market

Measurement C-reactive protein

$46
$66

31% lower than market

Measurement high sensitivity C-reactive protein

$55
$93

40% lower than market

Measurement of Antibody for Assessment of Autoimmune Disorder

$25
$125

80% lower than market

Measurement of Hepatitis A antibody

$98
$129

24% lower than market

Measurement of antibody for rheumatoid arthritis assessment

$63
$61

3% higher than market

Microscopic Examination of White Blood Cells with Manual Count

$36
$70

49% lower than market

Natriuretic peptide (heart and blood vessel protein) level

$127
$251

49% lower than market

PSA (prostate specific antigen) measurement

$140
$149

6% lower than market

PSA Measurement; Free

$140
$125

12% higher than market

Pap test (Pap smear), Any Reporting System; Requires Interpretation by Physician

$42
$94

55% lower than market

Pap test (Pap smear); Automated Thin Layer Preparation; Screening Under Physician Supervision

$56
$67

17% lower than market

Pap test; screening by automated system and manual review

$67
$148

54% lower than market

Parathormone

$271
$234

16% higher than market

Coagulation assessment blood test

$137
$61

124% higher than market

Pathology examination of tissue using a microscope

$35
$162

78% lower than market

Pathology examination of tissue using a microscope, intermediate complexity

$83
$343

76% lower than market

Pathology examination of tissue using a microscope, moderately high complexity

$104
$505

79% lower than market

Pathology examination of tissue using a microscope, moderately low complexity

$42
$217

81% lower than market

Phenobarbital level

$120
$117

2% higher than market

Phenytoin level

$110
$111

1% lower than market

Phosphatase (enzyme) level

$60
$56

7% higher than market

Phosphatase, alkaline; isoenzymes

$96
$111

13% lower than market

Phosphate level

$60
$50

21% higher than market

Progesterone (reproductive hormone) level

$120
$157

24% lower than market

Prolactin (milk producing hormone) level

$152
$147

3% higher than market

Prostate Cancer Screening Test

$140
$148

6% lower than market

Red Blood Cell Concentration Measurement

$28
$32

13% lower than market

Red Blood Cells, Leukocytes Reduced, Each Unit

$541
$650

17% lower than market

Red blood cell sedimentation rate, to detect inflammation

$36
$38

6% lower than market

Red blood count, automated test

$42
$48

13% lower than market

Renin (kidney enzyme) level

$150
$170

12% lower than market

Rheumatoid factor analysis

$46
$101

55% lower than market

Russell viper venom time (includes venom); diluted

$137
$107

28% higher than market

Screening Test for Autoimmune Disorder

$79
$75

6% higher than market

Screening test for antibody to noninfectious agent

$38
$170

78% lower than market

Screening test for mononucleosis (mono)

$46
$64

28% lower than market

Sirolimus level

$136
$130

4% higher than market

Smear for infectious agents

$60
$52

15% higher than market

Special Stain for Microorganism; Gram or Glemsa Stain

$50
$48

4% higher than market

Special stained specimen slides to examine tissue including interpretation and report

$120
$267

55% lower than market

Special stained specimen slides to identify organisms including interpretation and report

$60
$185

68% lower than market

Stool culture - salmonella and shigella species

$102
$97

5% higher than market

Stool analysis for blood

$40
$66

39% lower than market

Stool lactoferrin (immune system protein) level

$58
$183

68% lower than market

Strep Test

$38
$48

22% lower than market

Syphilis Detection Test

$52
$52

1% lower than market

Test for Influenza Virus

$36
$136

74% lower than market

Thyroid hormone evaluation

$36
$49

27% lower than market

Thyroid hormone, T3 measurement - Total

$124
$106

18% higher than market

Thyroid stimulating immune globulins (thyroid related protein) level

$281
$265

6% higher than market

Thyroxine (thyroid chemical) measurement - Free Thyroxine

$124
$128

3% lower than market

Thyroxine (thyroid chemical) measurement - Total

$42
$96

56% lower than market

Topiramate level

$71
$98

28% lower than market

Total Protein Level, Body Fluid

$50
$52

3% lower than market

Total Protein Level, Urine

$70
$56

25% higher than market

Troponin (protein) analysis

$190
$162

17% higher than market

Tuberculosis Test

$78
$196

60% lower than market

Urea nitrogen level to assess kidney function

$60
$54

10% higher than market

Uric acid level, blood

$60
$52

14% higher than market

Urinalysis with Examination, using Microscope

$15
$52

70% lower than market

Urinalysis with Microscopy

$17
$52

68% lower than market

Urinalysis, Automated Test

$28
$32

12% lower than market

Urinalysis, Manual Test

$27
$37

29% lower than market

Urine Pregnancy Test

$56
$69

20% lower than market

Urine calcium level

$60
$95

37% lower than market

Urine microalbumin (protein) level

$67
$73

7% lower than market

Urine sodium level

$60
$59

2% higher than market

Urine vanillylmandelic acid

$108
$136

20% lower than market

Valproic acid level

$104
$142

27% lower than market

Vancomycin (antibiotic) level

$128
$134

5% lower than market

Vitamin B-6 level

$310
$241

29% higher than market

Vitamin D-3 Level

$91
$148

38% lower than market

OUTPATIENT MEDICINE CHARGES

Description

Our Charge
Market Charge

Variance

Hydration Infusion into a Vein

$54
$113

53% lower than market

Hydration Infusion into a Vein - 31 Minutes to 1 Hour

$96
$353

73% lower than market

Infusion into a Vein for Therapy, Diagnosis, or Prevention

$54
$187

71% lower than market

Infusion of Drug or Substance into Vein for Therapy or Diagnosis

$214
$462

54% lower than market

Injection Beneath the Skin for Therapy, Diagnosis, or Prevention

$64
$102

37% lower than market

Injection of Same Drug into Vein for Therapy or Diagnosis

$32
$124

74% lower than market

Negative pressure wound therapy; total wound(s) surface area less than or equal to 50 square centimeters

$187
$820

77% lower than market

Therapeutic massage to 1 or more areas, each 15 minutes

$91
$84

9% higher than market

Tracing of electrical activity of the heart using 1-3 leads

$46
$143

68% lower than market

OUTPATIENT OTHER CHARGES

Description

Our Charge
Market Charge

Variance

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206)

$80
$82

3% lower than market

Injection, gadoteridol, (prohance multipack), per ml

$4
$5

5% lower than market

Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries

$26
$104

75% lower than market

OUTPATIENT PHARMACY AND DRUG ADMINISTRATION CHARGES

Description

Our Charge
Market Charge

Variance

Administration of 1 Vaccine

$53
$69

22% lower than market

Administration of Influenza Virus Vaccine

$23
$48

53% lower than market

Injection of Drug or Substance into Vein for Therapy or Diagnosis

$80
$209

62% lower than market

Injection of New Drug into Vein for Therapy or Diagnosis

$54
$175

69% lower than market

Injection, Ceftriaxone Sodium, per 250 mg

$7
$5

30% higher than market

OUTPATIENT RESPIRATORY THERAPY CHARGES

The following charges reflect the most common services offered by our Respiratory Therapy department. Patients may have additional charges, depending on the services performed.

Description

Our Charge
Market Charge

Variance

Nebulizer Treatment

$32
$126

74% lower than market

Pulse Oximetry

$67
$95

30% lower than market

OUTPATIENT SUPPLIES CHARGES

Description

Our Charge
Market Charge

Variance

Technetium tc-99m sestamibi, diagnostic, per study dose

$209
$377

44% lower than market

OUTPATIENT SURGICAL SERVICES CHARGES

Description

Our Charge
Market Charge

Variance

Application of Short Arm Splint

$107
$241

56% lower than market

Biopsy of Large Bowel, Using an Endoscope

$1,553
$3,203

52% lower than market

Biopsy of prostate gland

$800
$730

10% higher than market

Biopsy of the Esophagus, Stomach, Using an Endoscope

$1,553
$2,616

41% lower than market

Carpal Tunnel Release

$2,946
$4,665

37% lower than market

Colonscopy

$1,553
$3,033

49% lower than market

Diagnostic Examination of Esophagus, Stomach, and/or Upper Small Bowel with Endoscope

$1,553
$2,604

40% lower than market

Removal of cataract with insertion of lens

$2,570
$4,824

47% lower than market

Gallbladder Removal Using an Endoscope

$6,605
$9,263

29% lower than market

Injection of anesthetic and/or steroid into lower spine nerve root using imaging

$2,570
$3,708

31% lower than market

Insertion of Indwelling Bladder Catheter

$53
$212

75% lower than market

Insertion of Needle into Vein to Collect Blood

$20
$28

30% lower than market

Removal of one knee cartilage using an endoscope

$4,971
$6,973

29% lower than market

Colonoscopy with removal of polyp(s)

$1,553
$3,218

52% lower than market

Repair of groin hernia patient age 5 years or older

$3,605
$10,626

66% lower than market

Simple wound repair of scalp, neck, external genitalia; 2.5 cm or less

$107
$279

62% lower than market

OUTPATIENT VISION CHARGES

Description

Our Charge
Market Charge

Variance

Posterior chamber intraocular lens

$421
$412

2% higher than market

OUTPATIENT X-RAY AND RADIOLOGICAL CHARGES

The following charges reflect our most common x-ray and radiological procedures. For all exams requiring contrast, the contrast will be charged separately.

Description

Our Charge
Market Charge

Variance

Bone Density Scan (DEXA Scan)

$351
$567

38% lower than market

Breast Ultrasound - Complete

$322
$580

45% lower than market

CT Abdomen & Pelvis with Contrast

$2,860
$3,309

14% lower than market

CT Abdomen & Pelvis without Contrast

$2,505
$2,853

12% lower than market

CT Angiogram Chest with and without Contrast

$2,300
$2,588

11% lower than market

CT Chest with Contrast

$2,050
$2,220

8% lower than market

CT Chest without Contrast

$1,700
$1,776

4% lower than market

CT Face without Contrast

$1,700
$1,777

4% lower than market

CT Head Brain without Contrast

$1,700
$1,677

1% higher than market

CT Neck with Contrast

$2,050
$2,031

1% higher than market

CT Pelvis with Contrast

$2,050
$2,122

3% lower than market

CT Pelvis without Contrast

$1,700
$1,745

3% lower than market

CT Spine Cervical without Contrast

$1,700
$1,785

5% lower than market

CT Spine Lumbar without Contrast

$1,700
$1,913

11% lower than market

Cardiac testing - doppler color flow, add on

$200
$527

62% lower than market

Cardiac testing - stress test with electrocardiogram

$800
$1,447

45% lower than market

Chest X-Ray; 2 Views

$158
$323

51% lower than market

Chest X-Ray; Single View

$200
$242

17% lower than market

Diagnostic mammography, bilateral

$392
$555

29% lower than market

Diagnostic mammography, unilateral

$329
$444

26% lower than market

Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment

$600
$945

37% lower than market

Imaging guidance for procedure, up to 1 hour

$203
$613

67% lower than market

Imaging of Abdomen; Single View

$104
$304

66% lower than market

Low dose ct scan (ldct) for lung cancer screening

$1,500
$1,535

2% lower than market

MRI Arm Joint without Contrast

$2,600
$2,798

7% lower than market

MRI Brain with and without Conrast

$3,500
$4,202

17% lower than market

MRI Brain without Contrast

$2,600
$3,032

14% lower than market

MRI Leg Joint without Contrast

$2,600
$2,728

5% lower than market

MRI Spine Cervical without Contrast

$2,600
$2,908

11% lower than market

MRI Spine Lumbar with and without Contrast

$3,500
$4,098

15% lower than market

MRI Spine Lumbar without Contrast

$2,600
$2,908

11% lower than market

Myocardial Perfusion, Tomographic

$3,060
$4,168

27% lower than market

Radiologic examination, hips, bilateral, with pelvis when performed, min of 5 views

$373
$463

19% lower than market

Screening Mammography, Bilateral, with CAD

$258
$514

50% lower than market

Screening digital breast tomosynthesis, bilateral

$80
$133

40% lower than market

Ultrasound Abdomen - Complete

$790
$923

14% lower than market

Ultrasound Abdomen - Limited

$463
$700

34% lower than market

Ultrasound Behind Abdominal Cavity - Complete

$428
$863

50% lower than market

Ultrasound Blood Flow Outside the Brain

$600
$1,069

44% lower than market

Ultrasound Head Neck

$354
$632

44% lower than market

Ultrasound Heart

$1,100
$1,887

42% lower than market

Ultrasound Joint Soft Tissue - Complete

$376
$610

38% lower than market

Ultrasound Pelvis NonOB

$425
$732

42% lower than market

Ultrasound Pelvis through Vagina

$375
$720

48% lower than market

Ultrasound Pregnant Uterus > 14 Weeks Pregnant

$375
$766

51% lower than market

Ultrasound Veins of Both Arms or Legs

$458
$1,200

62% lower than market

Ultrasound Veins of One Arm or Leg

$203
$869

77% lower than market

Ultrasound, abdominal aorta, real time with image documenation, screening study for abdominal aortic aneurysm (AAA)

$391
$461

15% lower than market

X-Ray Ankle, 2 Views

$125
$233

46% lower than market

X-Ray Ankle, 3 Views

$230
$335

31% lower than market

X-Ray Elbow, 3 Views

$230
$313

27% lower than market

X-Ray Esophagus

$310
$574

46% lower than market

X-Ray Femus, 2 Views

$151
$293

48% lower than market

X-Ray Foot, 2 Views

$125
$254

51% lower than market

X-Ray Foot, 3 Views

$248
$325

24% lower than market

X-Ray Hand, 3 Views

$178
$319

44% lower than market

X-Ray Hip and Pelvis, 2 Views

$186
$380

51% lower than market

X-Ray Knee, 3 Views

$189
$348

46% lower than market

X-Ray Knee, 4 or More Views

$189
$388

51% lower than market

X-Ray Lower Leg, 2 Views

$132
$292

55% lower than market

X-Ray Lower Sacral Spine, 2-3 Views

$240
$359

33% lower than market

X-Ray Lower Sacral Spine, 4 or More Views

$336
$589

43% lower than market

X-Ray Pelvis, 1-2 Views

$151
$318

52% lower than market

X-Ray Shoulder, 2 Views

$193
$342

43% lower than market

X-Ray Wrist, 3 Views

$178
$317

44% lower than market

X-ray Ribs One Side, Minimum 3 Views

$245
$390

37% lower than market

X-ray of upper spine, 6 or more views

$258
$613

58% lower than market

INPATIENT CARDIOLOGY CHARGES

Description

Our Charge
Market Charge

Variance

Heart Failure with major complications

$12,454
$21,867

43% lower than market

INPATIENT MEDICINE CHARGES

Description

Our Charge
Market Charge

Variance

Blood Infection with major complications

$9,793
$24,875

61% lower than market

Blood infection without major complications

$7,119
$18,184

61% lower than market

Nutritional or Metabolic Disorders without major complications

$7,297
$13,013

44% lower than market

INPATIENT ORTHOPEDIC SURGERY CHARGES

Description

Our Charge
Market Charge

Variance

Cervical spinal fusion without complications

$28,760
$44,252

35% lower than market

Spinal fusion other than the neck without major complications

$39,513
$87,648

55% lower than market

Total Knee or Hip Replacement

$22,667
$48,611

53% lower than market

Total Shoulder Replacement

$37,269
$53,013

30% lower than market

INPATIENT PULMONOLOGY CHARGES

Description

Our Charge
Market Charge

Variance

Chronic Lung Disease with complications

$5,866
$17,098

66% lower than market

Chronic Lung Disease with major complications

$9,720
$19,761

51% lower than market

Pneumonia with complications

$8,217
$15,244

46% lower than market

Pneumonia with major complications

$11,116
$22,834

51% lower than market