Knowing a Hospital Charge and what Private Insurance and Medicare pays is valuable information. The Healthcare Consumer with No Insurance can utilize the information to negotiate a price for services they need.
Comprehensive metabolic panel: A blood test that assesses liver and kidney function as well as electrolytes
Hospital charge: $179 Private insurance: $15 Medicare: $15
Lipid Panel: A blood test that checks to tal cholesterol and breaks it down to good and bad components.
Hospital charge: $68 Private insurance: $19 Medicare: $19
Complete Blood Count: A blood test that checks your hemoglobin, hematocrit, white blood counts.
Hospital charge: $51 Private insurance: $11 Medicare: $11
Urine Analysis: Looks for blood, signs of infection or protein in your urine.
Hospital charge: $92 Private insurance: $5 Medicare: $4
Hemoglobin A1C: A single blood test that checks your average blood sugar for the last 3 months.
Hospital charge: $61 Private insurance: $14 Medicare: $13
Thyroid Stimulating Hormone: A blood test that evaluates your thyroid function.
Hospital charge: $108 Private insurance: $24 Medicare: $23
Prothrombin Time: A blood test to check Coumadin level and your blood’s ability to clot
Hospital charge: $36 Private insurance: $6 Medicare: $6
PSA: A blood test that helps to check for prostate cancer.
Hospital charge: $117 Private insurance: $26 Medicare: $22
HIV: Tests for HIV (obviously).
Hospital charge: $92 Private insurance: $20 Medicare: $19
EKG: A screening test for abnormal heart rhythms and other signs of heart disease.
Hospital charge: $367 Private insurance: $26 Medicare: $26
Echocardiogram: An ultrasound of the heart to look at valves and assess function.
Hospital charge: $4,361 Private insurance: $317 Medicare: $291
Exercise Stress Test: This test is good for evaluating chest pain to see if your heart is the cause.
Hospital charge: $1,182 Private insurance: $123 Medicare: $123
(Price includes fee for Radiologist)
Chest X-Ray: To check for lung disease and some forms of heart disease.
Hospital charge: $375 Private insurance: $42 Medicare: $41
Mammogram: Screening test for breast cancer
Hospital charge: $336 Private insurance: $191 Medicare: $146
Ultrasound of the Abdomen: Can assess Kidneys, Liver, Gall Bladder and other organs.
Hospital charge: $1,440 Private insurance: $184 Medicare: $181
Ultrasound of the Pelvis: Images the Uterus and Ovaries
Hospital charge: $1,106 Private insurance: $170 Medicare: $169
CT of Head: Often used to look for lesions in the Brain.
Hospital charge: $2,621 Private insurance: $344 Medicare: $269
CT of Chest with IV Contrast: Can accurately evaluate lung disease and other problem in the chest.
Hospital charge: $5,295 Private insurance: $431 Medicare: $426
CT of Abdomen with IV Contrast: Accurately images the abdomen for tumors or other disease.
Hospital charge: $5,680 Private insurance: $463 Medicare: $458
CT of Pelvis with IV Contrast: Often done at the same time as the abdominal CT.
Hospital charge: $5,030 Private insurance: $408 Medicare: $403
MRI of the Brain: A more accurate way to image the brain than a CT scan but it’s more expensive and can’t be done as quickly or easily.
Hospital charge: $3,422 Private insurance: $578 Medicare: $654
MRI of the Cervical Spine: Accurately images the neck
Hospital charge: $3,041 Private insurance: $584 Medicare: $587
MRI of the Thoracic Spine: Accurately images the upper back
Hospital charge: $3,422 Private insurance: $584 Medicare: $596
MRI of the Lumbar Spine: Accurately images the lower back.
Hospital charge: $3,535 Private insurance: $577 Medicare: $588
(Usually these procedures are done in an office not a hospital. The amount billed varies substantially for different medical groups but it usually ranges from $1,000 to $8,000 for each).
Colonoscopy, Diagnostic: A screening test for colon cancer where the entire colon is examined through a fiber optic tube.
Private insurance: $504 Medicare: $464
Colonoscopy with Biopsy: If a lesion is found on screening colonoscopy a biopsy is needed.
Private insurance: $603 Medicare: $555
Upper endoscopy with Biopsy: Evaluates problems in the esophagus and stomach, again through a fiber optic tube.
Private insurance: $447 Medicare: $410