| Procedure | Carle Foundation Hospital | Decatur Memorial Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $735 | $249 | $51 |
| Abdominal fluid drain (paracentesis) | $2,016 | $2,390 | $284 |
| Abdominal ultrasound | $1,654 | $1,569 | $100 |
| Abdominal ultrasound (complete) | $1,922 | $2,055 | $114 |
| Abdominal ultrasound (limited) | $1,386 | $1,569 | $86 |
| Abscess drainage (complex or multiple) | $830 | $834 | $220 |
| Abscess drainage (simple) | $914 | $415 | $129 |
| Abscess incision and drainage | $872 | $597 | $174 |
| Albumin blood test | $21 | $108 | $5 |
| Aldosterone test | $171 | $399 | $41 |
| Alkaline phosphatase test | $22 | $115 | $5 |
| Alpha-fetoprotein (AFP) test | $70 | $350 | $17 |
| ALT liver enzyme test | $22 | $211 | $5 |
| Ammonia blood test | $61 | $121 | $15 |
| Amniocentesis | $2,520 | $1,813 | $120 |
| Amylase test | $27 | $202 | $6 |
| Anoscopy | $777 | $279 | $129 |
| Antinuclear antibody (ANA) test | $50 | $266 | $12 |
| Aortic valve replacement | $17,241 | $53,879 | $1,603 |
| Arterial blood gas (ABG) | $441 | $410 | $26 |
| AST liver enzyme test | $22 | $202 | $5 |
| Barium swallow study | $1,344 | $1,274 | $107 |
| Bartholin cyst removal | $861 | $698 | $182 |
| Basic metabolic panel | $36 | $147 | $8 |
| Benign skin lesion removal | $1,785 | $1,632 | $171 |
| Bilirubin blood test | $21 | $83 | $5 |
| Bladder scope (cystoscopy) | $1,785 | $1,390 | $216 |
| Blood clotting test (PT/INR) | $18 | $60 | $4 |
| Blood crossmatch | $651 | $357 | — |
| Blood glucose test | $181 | $98 | $5 |
| Blood transfusion | $1,160 | $1,706 | $47 |
| Blood type and screen | $234 | $146 | $10 |
| Blood type test | $368 | $232 | $3 |
| Blood type test (ABO group) | $564 | $232 | $3 |
| BNP (heart failure) test | $462 | $200 | $39 |
| Bone density scan (DEXA) | $882 | $912 | $39 |
| Bone marrow biopsy | $3,884 | $5,435 | $172 |
| Bone scan (nuclear) | $2,730 | $3,020 | $259 |
| Breast biopsy | $4,715 | $6,343 | $478 |
| Breast MRI | $2,641 | $2,035 | $216 |
| Breast MRI without contrast | $3,497 | $3,053 | $216 |
| Breast ultrasound | $1,219 | $2,216 | $92 |
| Breast ultrasound (complete) | $1,397 | $2,216 | $100 |
| Breast ultrasound (limited) | $1,040 | $1,166 | $84 |
| Breathing tube insertion (intubation) | $1,722 | $915 | $133 |
| Burn dressing and debridement (medium) | $714 | $538 | $166 |
| Burn dressing and debridement (small) | $452 | $420 | $93 |
| Burn treatment | $583 | $538 | $129 |
| C-reactive protein (CRP) | $22 | $113 | $5 |
| CA 19-9 tumor marker test | $23 | $128 | $21 |
| CA-125 ovarian marker test | $121 | $221 | $21 |
| Calcium blood test | $22 | $166 | $5 |
| Capsule endoscopy | $4,620 | $2,230 | $802 |
| Cardiac ablation | $39,129 | $39,736 | $759 |
| Cardiac catheterization | $21,016 | $9,455 | $1,049 |
| Cardiac MRI | $2,305 | $2,724 | $322 |
| Cardiac MRI without contrast | $1,932 | $1,857 | $280 |
| Cardiac stress test | $1,649 | $1,883 | $39 |
| Cardioversion | $2,709 | $2,056 | $155 |
| CEA tumor marker test | $80 | $264 | $19 |
| Celiac disease test | $48 | $113 | $12 |
| Central line placement | $4,001 | $5,456 | $238 |
| Chemotherapy infusion | $967 | $866 | $81 |
| Chemotherapy infusion (each additional) | $599 | $473 | $28 |
| Chemotherapy infusion (first hour) | $1,334 | $1,119 | $133 |
| Chest fluid drain (thoracentesis) | $3,150 | $2,476 | $311 |
| Chest tube insertion | $2,121 | $2,670 | $143 |
| Chest X-ray | $672 | $529 | $37 |
| Chest X-ray (1 view) | $609 | $393 | $25 |
| Chest X-ray (2 views) | $609 | $529 | $33 |
| Chickenpox (varicella) vaccine | $276 | $696 | — |
| CK-MB heart enzyme test | $326 | $166 | $12 |
| Clotting time test (PTT) | $25 | $205 | $6 |
| Complete blood count (CBC) | $145 | $163 | $7 |
| Complete blood count (CBC) (complete) | $110 | $163 | $8 |
| Complex wound repair | $2,195 | $1,276 | $390 |
| Comprehensive metabolic panel | $44 | $265 | $11 |
| Contraceptive implant (Nexplanon) | $874 | $270 | $115 |
| Copper blood test | $53 | $151 | $12 |
| Coronary CT angiography | $1,869 | $4,990 | $326 |
| Cortisol test | $68 | $341 | $16 |
| COVID-19 PCR test | $226 | $257 | $51 |
| CPAP titration study | $315 | $1,246 | $69 |
| Creatine kinase (CK) test | $27 | $83 | $7 |
| CT angiography of the chest | $5,061 | $4,561 | $281 |
| CT angiography of the head | $3,728 | $5,130 | $274 |
| CT colonography (virtual colonoscopy) | $1,764 | $2,002 | $835 |
| CT scan of the abdomen | $4,988 | $5,422 | $230 |
| CT scan of the abdomen and pelvis | $7,518 | $8,137 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $8,285 | $8,137 | $338 |
| CT scan of the abdomen and pelvis with contrast | $7,518 | $7,838 | $300 |
| CT scan of the abdomen and pelvis without contrast | $6,195 | $6,857 | $183 |
| CT scan of the abdomen with and without contrast | $5,492 | $5,422 | $259 |
| CT scan of the abdomen with contrast | $4,988 | $4,869 | $230 |
| CT scan of the abdomen without contrast | $4,158 | $3,600 | $136 |
| CT scan of the arm | $4,085 | $4,510 | $199 |
| CT scan of the arm with contrast | $3,654 | $5,060 | $199 |
| CT scan of the arm without contrast | $4,085 | $3,959 | $161 |
| CT scan of the chest | $4,977 | $4,585 | $167 |
| CT scan of the chest with and without contrast | $5,618 | $5,221 | $196 |
| CT scan of the chest with contrast | $4,977 | $4,585 | $167 |
| CT scan of the chest without contrast | $3,906 | $3,372 | $133 |
| CT scan of the head | $3,812 | $3,642 | $148 |
| CT scan of the head with and without contrast | $4,095 | $4,627 | $173 |
| CT scan of the head with contrast | $3,560 | $3,694 | $148 |
| CT scan of the head without contrast | $3,812 | $3,590 | $107 |
| CT scan of the leg | $3,486 | $4,566 | $166 |
| CT scan of the leg with contrast | $3,245 | $4,566 | $166 |
| CT scan of the leg without contrast | $3,539 | $4,348 | $130 |
| CT scan of the lower back (lumbar spine) | $5,198 | $4,930 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $5,555 | $5,177 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $5,198 | $4,930 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $3,738 | $4,529 | $130 |
| CT scan of the neck | $4,400 | $3,460 | $183 |
| CT scan of the neck (cervical spine) | $4,977 | $4,879 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $6,741 | $5,129 | $196 |
| CT scan of the neck (cervical spine) with contrast | $4,977 | $4,879 | $168 |
| CT scan of the neck (cervical spine) without contrast | $4,421 | $4,546 | $131 |
| CT scan of the neck with and without contrast | $4,421 | $5,067 | $220 |
| CT scan of the neck with contrast | $4,400 | $3,460 | $183 |
| CT scan of the neck without contrast | $3,056 | $2,735 | $150 |
| CT scan of the pelvis | $4,589 | $4,844 | $226 |
| CT scan of the pelvis with and without contrast | $4,589 | $5,201 | $251 |
| CT scan of the pelvis with contrast | $5,061 | $4,844 | $226 |
| CT scan of the pelvis without contrast | $4,148 | $2,690 | $133 |
| CT scan of the sinuses | $4,347 | $4,246 | $152 |
| CT scan of the sinuses with and without contrast | $4,652 | $5,197 | $184 |
| CT scan of the sinuses with contrast | $4,347 | $4,246 | $152 |
| CT scan of the sinuses without contrast | $3,581 | $3,564 | $128 |
| Defibrillator (ICD) implant | $76,808 | $36,096 | $798 |
| DHEA-sulfate test | $93 | $218 | $22 |
| Diagnostic mammogram | $851 | $718 | $140 |
| Drug screen (urine) | $544 | $212 | $17 |
| Echocardiogram | $2,037 | $1,579 | $138 |
| Echocardiogram with and without contrast | $1,208 | $1,283 | $101 |
| EEG (awake and asleep) | $1,617 | $1,204 | $482 |
| EKG / ECG (tracing only) | $462 | $357 | $7 |
| Electrocardiogram (EKG) | $462 | $357 | $8 |
| Electroencephalogram (EEG) | $1,617 | $1,109 | $448 |
| Electrolyte panel | $215 | $86 | $7 |
| Emergency department visit | $851 | $1,263 | $69 |
| Emergency department visit (level 1) | $305 | $387 | $11 |
| Emergency department visit (level 2) | $599 | $707 | $40 |
| Emergency department visit (level 3) | $851 | $1,263 | $69 |
| Emergency department visit (level 4) | $2,027 | $2,079 | $118 |
| Emergency department visit (level 5) | $2,877 | $2,411 | $171 |
| Endometrial biopsy | $861 | $447 | $98 |
| Epidural steroid injection | $3,255 | $4,725 | $275 |
| Estradiol (estrogen) test | $118 | $318 | $28 |
| Facet joint injection (spine) | $882 | $4,806 | $99 |
| Fallopian tube X-ray (HSG) | $1,182 | $1,478 | $164 |
| Fecal occult blood (stool) test | $78 | $57 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $88 | $35 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $67 | $79 | $16 |
| Ferritin (iron) test | $58 | $331 | $14 |
| Fibrinogen test | $226 | $106 | $10 |
| Flu vaccine | $28 | $190 | — |
| Folate (folic acid) test | $315 | $193 | $15 |
| Foreign body removal (skin) | $1,533 | $1,182 | $157 |
| Free T4 thyroid test | $38 | $287 | $9 |
| FSH hormone test | $373 | $383 | $19 |
| Gallbladder scan (HIDA) | $3,025 | $2,920 | $334 |
| GGT liver test | $30 | $136 | $7 |
| Glucose tolerance test | $292 | $128 | $8 |
| HDL cholesterol test | $19 | $109 | $8 |
| Hematocrit test | $86 | $34 | $2 |
| Hemoglobin A1c (diabetes test) | $263 | $254 | $10 |
| Hemorrhoid removal | $4,125 | $1,899 | $338 |
| Hepatitis B test | $86 | $141 | $10 |
| Hepatitis B vaccine | $108 | $435 | — |
| Hepatitis C test | $189 | $400 | $14 |
| HIV test | $112 | $359 | $19 |
| HIV test (antibody) | $158 | $91 | $14 |
| HIV test (antigen/antibody combo) | $66 | $359 | $24 |
| Holter heart monitor | $1,050 | $984 | $26 |
| Iron blood test | $184 | $186 | $6 |
| IUD insertion | $746 | $443 | — |
| IUD removal | $1,250 | $725 | $112 |
| IV infusion therapy | $704 | $656 | $44 |
| IV infusion therapy (each additional) | $326 | $201 | $21 |
| IV infusion therapy (initial) | $1,082 | $656 | $67 |
| IVC filter placement | $11,330 | $14,113 | $1,885 |
| Joint aspiration (small/intermediate) | $788 | $831 | $57 |
| Joint aspiration or injection (mid-size joint) | $672 | $882 | $57 |
| Joint aspiration or injection (small joint) | $903 | $520 | $56 |
| Kidney biopsy | $2,216 | $3,254 | $492 |
| Kidney scan (nuclear) | $2,426 | $2,914 | $172 |
| Kidney ultrasound | $1,528 | $1,335 | $84 |
| Kidney ultrasound (limited) | $1,397 | $1,104 | $61 |
| Knee joint injection | $1,365 | $1,203 | $69 |
| Lactate test | $320 | $287 | $12 |
| Laryngoscopy | $1,250 | $460 | $189 |
| LDH test | $25 | $63 | $6 |
| LDL cholesterol test | $44 | $144 | $11 |
| Leg artery angiogram | $3,875 | $5,456 | $149 |
| LH hormone test | $78 | $373 | $19 |
| Lipase test | $29 | $164 | $7 |
| Lipid (cholesterol) panel | $389 | $327 | $13 |
| Liver biopsy | $1,953 | $3,673 | $288 |
| Liver function panel | $320 | $308 | $8 |
| Lung function test (PFT) | $602 | $1,105 | $37 |
| Lung scan (V/Q) | $3,371 | $1,977 | $291 |
| Magnesium blood test | $28 | $178 | $7 |
| MRA of the brain | $7,928 | $6,060 | $226 |
| MRA of the brain with contrast | $9,093 | $6,060 | $226 |
| MRA of the brain without contrast | $7,928 | $8,212 | $328 |
| MRA of the neck | $7,928 | $5,834 | $245 |
| MRA of the neck with contrast | $8,337 | $5,834 | $245 |
| MRA of the neck without contrast | $7,928 | $8,762 | $343 |
| MRI of the abdomen | $7,928 | $5,600 | $300 |
| MRI of the abdomen with contrast | $7,928 | $5,600 | $300 |
| MRI of the abdomen without contrast | $5,145 | $4,404 | $194 |
| MRI of the ankle | $7,928 | $6,457 | $261 |
| MRI of the ankle with contrast | $9,093 | $6,457 | $261 |
| MRI of the ankle without contrast | $5,576 | $5,507 | $222 |
| MRI of the brain | $7,928 | $5,221 | $269 |
| MRI of the brain with contrast | $9,093 | $5,221 | $269 |
| MRI of the brain without contrast | $4,841 | $4,218 | $195 |
| MRI of the chest | $6,416 | $6,508 | $371 |
| MRI of the chest with contrast | $6,416 | $5,502 | $371 |
| MRI of the chest without contrast | $9,093 | $8,533 | $466 |
| MRI of the knee | $7,928 | $7,672 | $315 |
| MRI of the knee with contrast | $9,828 | $7,672 | $315 |
| MRI of the knee without contrast | $5,576 | $6,424 | $204 |
| MRI of the lower back (lumbar spine) | $7,928 | $6,550 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $9,093 | $8,084 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $5,292 | $6,550 | $192 |
| MRI of the mid-back (thoracic spine) | $6,657 | $6,899 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $7,928 | $8,089 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $6,657 | $6,899 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $5,072 | $5,849 | $190 |
| MRI of the neck (cervical spine) | $7,928 | $5,980 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $7,928 | $9,164 | $318 |
| MRI of the neck (cervical spine) with contrast | $9,093 | $6,273 | $274 |
| MRI of the neck (cervical spine) without contrast | $5,397 | $5,686 | $191 |
| MRI of the pelvis | $9,093 | $6,638 | $268 |
| MRI of the pelvis with contrast | $9,093 | $6,638 | $268 |
| MRI of the pelvis without contrast | $5,576 | $5,680 | $227 |
| MRI of the shoulder | $7,928 | $7,522 | $313 |
| MRI of the shoulder with contrast | $8,558 | $7,522 | $313 |
| MRI of the shoulder without contrast | $5,576 | $6,424 | $205 |
| MRI of the wrist | $6,447 | $6,949 | $330 |
| MRI of the wrist with contrast | $6,447 | $6,949 | $330 |
| MRI of the wrist without contrast | $5,576 | $6,501 | $303 |
| Nebulizer breathing treatment | $483 | $682 | $9 |
| Nuchal translucency ultrasound | $1,292 | $668 | $116 |
| Nuclear cardiac stress test | $5,607 | $7,602 | $428 |
| Occupational therapy evaluation | $630 | $630 | $101 |
| Occupational therapy evaluation (high complexity) | $641 | $681 | $101 |
| Occupational therapy evaluation (low complexity) | $630 | $536 | $101 |
| Occupational therapy evaluation (moderate complexity) | $630 | $587 | $101 |
| Office visit (established patient) | $675 | $325 | $115 |
| Office visit (new patient) | $315 | $384 | $177 |
| Office visit, established patient (level 3) | $215 | $229 | $95 |
| Office visit, established patient (level 4) | $1,134 | $458 | $136 |
| Office visit, new patient (level 3) | $215 | $294 | $118 |
| Office visit, new patient (level 4) | $315 | $500 | $177 |
| Office visit, new patient (level 5) | $362 | $1,155 | $237 |
| Orthopedic hardware removal | $5,754 | $5,838 | $632 |
| Pap smear (cervical screening) | $383 | $196 | $20 |
| Parathyroid hormone (PTH) test | $173 | $258 | $41 |
| Pelvic ultrasound | $1,350 | $1,246 | $78 |
| Pelvic ultrasound (complete) | $1,397 | $1,784 | $105 |
| Pelvic ultrasound (limited) | $1,302 | $707 | $51 |
| PET scan | $10,857 | $11,612 | — |
| Phosphorus blood test | $20 | $156 | $5 |
| Physical therapy evaluation | $630 | $711 | $98 |
| Physical therapy evaluation (high complexity) | $641 | $751 | $98 |
| Physical therapy evaluation (moderate complexity) | $630 | $672 | $98 |
| Platelet count | $131 | $46 | $4 |
| Pneumonia vaccine | $548 | $413 | — |
| Pregnancy ultrasound | $1,397 | $1,298 | $126 |
| Pregnancy ultrasound (first trimester) | $1,397 | $1,320 | $117 |
| Pregnancy ultrasound (second or third trimester) | $1,397 | $1,275 | $136 |
| Procalcitonin test | $168 | $427 | $27 |
| Prolactin test | $82 | $358 | $19 |
| Prostate biopsy | $2,016 | $3,993 | — |
| Prostate test (PSA) | $30 | $326 | $18 |
| Radiofrequency nerve ablation | $8,673 | $10,460 | $462 |
| Scoliosis spine X-ray | $1,192 | $1,373 | $58 |
| Scoliosis spine X-ray (1 view) | $861 | $753 | $44 |
| Scoliosis spine X-ray (3 views) | $1,523 | $1,373 | $72 |
| Screening mammogram | $924 | $604 | $126 |
| Scrotal ultrasound | $1,397 | $1,468 | $99 |
| Sedimentation rate (ESR) test | $179 | $136 | $3 |
| Sex hormone binding globulin test | $91 | $211 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $578 | $683 | $114 |
| Simple wound stitches | $694 | $774 | $127 |
| Skin biopsy | $662 | $834 | $121 |
| Skin biopsy (punch) | $662 | $834 | $121 |
| Skin lesion freezing (cryotherapy) | $392 | $415 | $36 |
| Skin tag removal | $609 | $415 | $92 |
| Sleep study (polysomnography) | $6,259 | $8,335 | $691 |
| Soft tissue ultrasound | $1,397 | $1,345 | $64 |
| Speech therapy | $110 | $470 | $76 |
| Spinal cord stimulator | $18,197 | $14,029 | $2,388 |
| Spinal tap (lumbar puncture) | $1,208 | $1,442 | $165 |
| Spine fracture repair (kyphoplasty) | $18,255 | $14,293 | $5,803 |
| Spirometry (lung function test) | $394 | $537 | $30 |
| Spirometry with bronchodilator | $809 | $1,105 | $43 |
| Strep throat test | $320 | $54 | $17 |
| Stress echocardiogram | $3,072 | $1,797 | $209 |
| Swallow study | $420 | $791 | $85 |
| T3 thyroid test | $60 | $340 | $14 |
| Tdap (tetanus) vaccine | $72 | $352 | — |
| Testosterone test | $108 | $367 | $26 |
| Thyroid test (TSH) | $70 | $337 | $17 |
| Thyroid ultrasound | $1,397 | $1,377 | $109 |
| Thyroid uptake scan | $1,455 | $1,517 | $145 |
| Tilt table test | $2,825 | $2,905 | $168 |
| Total IgE allergy test | $69 | $196 | $16 |
| Total protein test | $103 | $46 | $4 |
| Transesophageal echocardiogram (TEE) | $3,066 | $3,055 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $3,717 | $3,923 | $239 |
| Transvaginal ultrasound | $1,397 | $1,422 | $118 |
| Trigger finger release | $4,778 | $5,890 | $630 |
| Trigger point injection | $667 | $1,066 | $56 |
| Trigger point injection (1-2 muscles) | $515 | $1,066 | $52 |
| Triglycerides test | $24 | $68 | $6 |
| Troponin (heart) test | $320 | $122 | $12 |
| Turning a breech baby (version) | $8,736 | $6,563 | $94 |
| Upper GI endoscopy (EGD) | $2,562 | $1,900 | $371 |
| Upper GI series (barium) | $1,444 | $1,311 | $128 |
| Uric acid (gout) test | $168 | $148 | $5 |
| Urinalysis | $132 | $85 | $3 |
| Urine microalbumin test | $117 | $107 | $5 |
| Urine pregnancy test | $173 | $179 | $9 |
| Vaccine administration | $180 | $182 | $19 |
| Vaccine administration (each additional) | $102 | $69 | $16 |
| Varicose vein ablation | $12,716 | $5,729 | $1,018 |
| Vitamin B12 test | $326 | $370 | $15 |
| Vitamin D test | $124 | $442 | $30 |
| Wart removal | $830 | $415 | $121 |
| Wound debridement | $1,339 | $1,605 | $186 |
| X-ray of the abdomen | $840 | $737 | $36 |
| X-ray of the ankle | $693 | $829 | $37 |
| X-ray of the collarbone | $693 | $660 | $33 |
| X-ray of the elbow | $693 | $751 | $33 |
| X-ray of the facial bones | $799 | $705 | $39 |
| X-ray of the foot | $693 | $835 | $34 |
| X-ray of the forearm | $609 | $726 | $29 |
| X-ray of the hand | $693 | $802 | $38 |
| X-ray of the hip | $914 | $870 | $49 |
| X-ray of the hip (1 view) | $704 | $334 | $34 |
| X-ray of the hip (3 views) | $914 | $870 | $49 |
| X-ray of the hip (4 views) | $1,113 | $900 | $63 |
| X-ray of the knee | $693 | $867 | $42 |
| X-ray of the knee (2 views) | $609 | $738 | $34 |
| X-ray of the knee (3 views) | $693 | $867 | $42 |
| X-ray of the knee (4+ views) | $1,029 | $966 | $49 |
| X-ray of the lower back (lumbar spine) | $977 | $876 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $840 | $876 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $1,113 | $1,135 | $53 |
| X-ray of the lower leg | $693 | $749 | $31 |
| X-ray of the mid-back (thoracic spine) | $840 | $1,016 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $840 | $784 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $840 | $1,016 | $39 |
| X-ray of the neck (cervical spine) | $893 | $832 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $830 | $832 | $40 |
| X-ray of the pelvis | $898 | $971 | $36 |
| X-ray of the pelvis (1 view) | $840 | $825 | $28 |
| X-ray of the ribs | $840 | $904 | $42 |
| X-ray of the ribs (2 views) | $693 | $741 | $36 |
| X-ray of the ribs (3 views) | $840 | $904 | $42 |
| X-ray of the shoulder | $683 | $773 | $36 |
| X-ray of the skull | $840 | $490 | $40 |
| X-ray of the upper arm | $609 | $751 | $32 |
| X-ray of the wrist | $693 | $798 | $43 |
| Zinc blood test | $48 | $143 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
