All Medicaid Procedures — Average Costs by City

CT Scan (Computed Tomography)

CT scans combine X-ray images taken from different angles to create cross-sectional views of bones, blood vessels, and soft tissues. Used for diagnosing injuries, diseases, and planning treatments.

$88.19 avg 88.8M claims 3768 cities

Ultrasound

Ultrasound imaging uses high-frequency sound waves to create images of structures within the body. Common uses include pregnancy monitoring, abdominal imaging, and cardiovascular assessment.

$62.22 avg 87.1M claims 3957 cities

Echocardiogram

An echocardiogram uses ultrasound waves to create images of the heart's chambers, valves, walls, and blood vessels. Essential for diagnosing heart conditions.

$102.65 avg 23.4M claims 2977 cities

Mammogram

A mammogram is an X-ray of the breast used to detect and diagnose breast disease. Screening mammograms check for breast cancer in women without symptoms.

$56.78 avg 18.6M claims 2650 cities

MRI (Magnetic Resonance Imaging)

MRI uses powerful magnets and radio waves to create detailed images of organs and tissues. Common types include brain MRI, spine MRI, joint MRI, and abdominal MRI.

$157.22 avg 12.5M claims 2069 cities

Molecular & Genetic Testing

Advanced laboratory tests that analyze DNA, RNA, or proteins to diagnose genetic disorders, identify infectious agents, and guide personalized treatment.

$107.98 avg 7.1M claims 457 cities

Root Canal

Root canal therapy removes infected pulp from inside a tooth, cleans and shapes the canal, and fills it to prevent further infection.

$147.81 avg 6.1M claims 2259 cities

Upper Endoscopy (EGD)

Upper endoscopy examines the lining of the esophagus, stomach, and first part of the small intestine using a thin, flexible tube with a camera.

$251.83 avg 5.9M claims 2153 cities

Colonoscopy

A colonoscopy examines the inside of the colon and rectum using a flexible tube with a camera. Used for cancer screening, polyp detection, and investigating digestive symptoms.

$332.74 avg 4.1M claims 1732 cities

Allergy Testing

Allergy testing identifies specific substances that trigger allergic reactions. Methods include skin prick tests, blood tests, and patch testing.

$151.91 avg 2.6M claims 1407 cities

Sleep Study (Polysomnography)

A sleep study monitors brain activity, eye movement, heart rate, breathing, and oxygen levels during sleep to diagnose sleep disorders like sleep apnea.

$323.45 avg 2.3M claims 1304 cities

Cardiac Stress Test

A stress test evaluates how the heart performs under physical stress. May include exercise on a treadmill or stationary bike, or medication-induced stress with imaging.

$209.51 avg 1.9M claims 1472 cities

Dental Crown

A dental crown is a cap placed over a tooth to restore its shape, size, strength, and appearance. Common materials include porcelain, ceramic, and metal alloys.

$511.33 avg 1.6M claims 1734 cities

Bone Density Scan (DEXA)

A DEXA scan measures bone mineral density to assess osteoporosis risk and monitor bone health. Primarily scans the hip and spine.

$30.52 avg 1.5M claims 1200 cities

Cataract Surgery

Cataract surgery removes the cloudy natural lens of the eye and replaces it with an artificial intraocular lens (IOL) to restore clear vision.

$364.34 avg 1.5M claims 1071 cities

Tonsillectomy

Surgical removal of the tonsils, commonly performed for recurrent tonsillitis or obstructive sleep apnea in children and adults.

$976.50 avg 553.8K claims 622 cities

Circumcision

Circumcision is the surgical removal of the foreskin covering the tip of the penis. Most commonly performed on newborns.

$216.67 avg 460.9K claims 782 cities

Cardiac Catheterization

Cardiac catheterization is a procedure to diagnose and treat cardiovascular conditions. A thin tube is inserted into a blood vessel and guided to the heart.

$762.37 avg 247.4K claims 524 cities

Gallbladder Removal (Cholecystectomy)

Surgical removal of the gallbladder, usually performed laparoscopically. Common treatment for gallstones and gallbladder inflammation.

$1,646 avg 69.1K claims 308 cities

Appendectomy

Surgical removal of the appendix, usually performed as an emergency procedure for appendicitis.

$2,700 avg 28.8K claims 112 cities

Knee Replacement

Knee replacement surgery (arthroplasty) replaces damaged knee joint surfaces with artificial components to relieve pain and restore function.

$2,382 avg 15.4K claims 94 cities

Hip Replacement

Hip replacement surgery replaces damaged or worn parts of the hip joint with artificial components to relieve pain and improve mobility.

$3,529 avg 2.8K claims 24 cities

Hernia Repair

Hernia repair surgery pushes the bulging tissue back into place and strengthens the weakened muscle wall, often using mesh reinforcement.

$1,850 avg 2.8K claims 34 cities

Office Visit

A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.

$51.55 avg 1469.2M claims 14934 cities

Home Health Visit

Home health services provide skilled nursing care, therapy, and medical social services in the patient's home.

$119.41 avg 1054.6M claims 3754 cities

Substance Abuse Treatment

Treatment programs for substance use disorders, including detoxification, counseling, medication-assisted treatment (MAT), and rehabilitation services.

$58.84 avg 490.4M claims 5169 cities

Emergency Room Visit

Emergency department visits for urgent and emergency medical care. Costs vary significantly based on severity level and treatments needed.

$119.20 avg 450.3M claims 7184 cities

Dental Cleaning & Exam

Routine dental cleaning (prophylaxis) and oral examination. Includes scaling, polishing, and assessment of oral health.

$34.13 avg 361.6M claims 8581 cities

Psychiatric Evaluation

Psychiatric evaluations assess mental health conditions through clinical interviews, observation, and sometimes psychological testing.

$79.46 avg 359.1M claims 10180 cities

Physical Therapy

Physical therapy helps restore movement and function when someone is affected by injury, illness, or disability. Includes exercises, manual therapy, and modalities.

$40.38 avg 358.1M claims 9125 cities

Behavioral & Mental Health Therapy

Psychotherapy and behavioral health services for mental health conditions, including individual therapy, group therapy, and family therapy.

$113.38 avg 313.6M claims 5398 cities

Speech Therapy

Speech-language pathology services help with communication disorders, swallowing difficulties, and cognitive-communication disorders.

$38.21 avg 219.1M claims 7859 cities

Ambulance Transport

Emergency and non-emergency ambulance transportation services, including basic life support (BLS) and advanced life support (ALS) transport.

$103.08 avg 191.5M claims 6157 cities

Eye Exam

Comprehensive eye examinations assess vision and check for eye diseases. Includes refraction, eye health evaluation, and screening for conditions like glaucoma.

$34.29 avg 132.9M claims 6154 cities

Dental Filling

Dental fillings repair teeth damaged by cavities or fractures. Materials include composite resin, amalgam, and other restorative materials.

$73.88 avg 76.4M claims 6497 cities

Tooth Extraction

Surgical or simple removal of a tooth. Includes wisdom tooth extraction and other dental extractions.

$90.73 avg 36.2M claims 5267 cities

Dialysis

Dialysis filters waste and excess fluid from the blood when the kidneys can no longer perform this function adequately. Includes hemodialysis and peritoneal dialysis.

$71.66 avg 15.3M claims 1692 cities

Chemotherapy

Chemotherapy uses drugs to destroy cancer cells. Treatment may be given intravenously, orally, or through injection.

$109.50 avg 8.5M claims 1568 cities

Pregnancy & Prenatal Care

Prenatal care services monitor the health of the mother and developing baby throughout pregnancy, including routine exams, ultrasounds, and lab work.

$194.17 avg 7.2M claims 2086 cities

Anesthesia Services

Anesthesia services for surgical and diagnostic procedures. Includes general anesthesia, regional anesthesia, and monitored anesthesia care.

$131.04 avg 3M claims 1829 cities

Radiation Therapy

Radiation therapy uses high-energy beams to kill cancer cells and shrink tumors. May be used alone or combined with other treatments.

$240.50 avg 1.3M claims 567 cities

Skin Biopsy & Lesion Removal

Removal and microscopic examination of skin tissue to diagnose skin conditions, including suspicious moles, rashes, and potential skin cancers.

$58.10 avg 1.1M claims 1141 cities

Blood Work & Lab Tests

Blood tests help diagnose diseases, check organ function, and monitor treatments. Common panels include CBC, metabolic panels, lipid panels, and thyroid tests.

$7.81 avg 1305.6M claims 10851 cities