| Procedure | Clifton-Fine Hospital | Wynn Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $269 | $54 | $51 |
| Abdominal fluid drain (paracentesis) | $1,919 | $959 | $284 |
| Abdominal ultrasound | $797 | $1,013 | $100 |
| Abdominal ultrasound (complete) | $1,128 | $1,142 | $114 |
| Abdominal ultrasound (limited) | $797 | $883 | $86 |
| Abscess drainage (complex or multiple) | $607 | $257 | $220 |
| Abscess incision and drainage | $607 | $2,660 | $174 |
| Adenoid removal (adenoidectomy) | $486 | $9,776 | $204 |
| Albumin blood test | $114 | $11 | $5 |
| Aldosterone test | $773 | $95 | $41 |
| Alkaline phosphatase test | $52 | $15 | $5 |
| Allergy shots | $53 | $13 | $11 |
| Alpha-fetoprotein (AFP) test | $381 | $29 | $17 |
| ALT liver enzyme test | $114 | $24 | $5 |
| Ammonia blood test | $111 | $39 | $15 |
| Amylase test | $567 | $26 | $6 |
| Annual physical (established patient) | $179 | $140 | — |
| Annual physical (new patient) | $234 | $133 | — |
| Anoscopy | $280 | $128 | $129 |
| Antinuclear antibody (ANA) test | $246 | $56 | $12 |
| Arterial blood gas (ABG) | $224 | $343 | $26 |
| AST liver enzyme test | $114 | $15 | $5 |
| Barium swallow study | $452 | $454 | $107 |
| Bartholin cyst removal | $584 | $494 | $182 |
| Basic metabolic panel | $124 | $54 | $8 |
| Benign skin lesion removal | $865 | $7,295 | $171 |
| Bilirubin blood test | $65 | $17 | $5 |
| Bladder function test (urodynamics) | $1,307 | $720 | $345 |
| Bladder scope (cystoscopy) | $1,091 | $3,444 | $216 |
| Bladder tumor removal (TURBT) | $1,526 | $11,086 | $236 |
| Blood clotting test (PT/INR) | $78 | $15 | $4 |
| Blood crossmatch | $469 | $191 | — |
| Blood glucose test | $65 | $16 | $5 |
| Blood transfusion | $1,010 | $821 | $47 |
| Blood type and screen | $222 | $101 | $10 |
| Blood type test | $103 | $29 | $3 |
| Blood type test (ABO group) | $103 | $20 | $3 |
| Blood type test (Rh/D antigen) | $103 | $39 | $3 |
| BNP (heart failure) test | $262 | $235 | $39 |
| Bone density scan (DEXA) | $1,095 | $829 | $39 |
| Bone marrow biopsy | $3,733 | $2,697 | $172 |
| Bone scan (nuclear) | $2,120 | $2,188 | $259 |
| Breast MRI | $1,213 | $1,092 | $216 |
| Breast MRI without contrast | $1,190 | $1,092 | $216 |
| Breast ultrasound | $486 | $614 | $92 |
| Breast ultrasound (complete) | $486 | $638 | $100 |
| Breast ultrasound (limited) | $477 | $590 | $84 |
| Breathing tube insertion (intubation) | $931 | $760 | $133 |
| Bronchoscopy | $3,548 | $11,325 | $303 |
| Burn dressing and debridement (medium) | $748 | $383 | $166 |
| Burn dressing and debridement (small) | $630 | $158 | $93 |
| Burn treatment | $689 | $271 | $129 |
| C-reactive protein (CRP) | $102 | $26 | $5 |
| CA 19-9 tumor marker test | $426 | $51 | $21 |
| CA-125 ovarian marker test | $461 | $51 | $21 |
| Calcium blood test | $114 | $15 | $5 |
| Cardiac stress test | $648 | $429 | $39 |
| Cardioversion | $2,349 | $1,750 | $155 |
| Carotid artery ultrasound | $796 | $437 | $156 |
| CEA tumor marker test | $405 | $81 | $19 |
| Central line placement | $4,701 | $12,638 | $238 |
| Cervical cerclage | $386 | $6,218 | $137 |
| Cervical LEEP procedure | $6,226 | $8,682 | $325 |
| Chemotherapy infusion (each additional) | $192 | $443 | $28 |
| Chest fluid drain (thoracentesis) | $1,704 | $3,907 | $311 |
| Chest tube insertion | $2,242 | $1,343 | $143 |
| Chest X-ray | $346 | $377 | $37 |
| Chest X-ray (1 view) | $282 | $229 | $25 |
| Chest X-ray (2 views) | $328 | $331 | $33 |
| Chickenpox (varicella) vaccine | $374 | $148 | — |
| Circumcision | $2,513 | $6,789 | $167 |
| CK-MB heart enzyme test | $168 | $29 | $12 |
| Clotting time test (PTT) | $98 | $28 | $6 |
| Colonoscopy | $1,072 | $3,642 | $480 |
| Colposcopy | $721 | $229 | $161 |
| Complete blood count (CBC) | $119 | $28 | $7 |
| Complete blood count (CBC) (complete) | $134 | $29 | $8 |
| Complex wound repair | $1,936 | $317 | $390 |
| Comprehensive metabolic panel | $293 | $85 | $11 |
| Continuous glucose monitor setup | $117 | $40 | $35 |
| Contraceptive implant (Nexplanon) | $593 | $117 | $115 |
| Copper blood test | $209 | $98 | $12 |
| Cortisol test | $281 | $38 | $16 |
| CPAP titration study | $272 | $213 | $69 |
| Creatine kinase (CK) test | $114 | $29 | $7 |
| CT angiography of the chest | $4,899 | $2,457 | $281 |
| CT angiography of the head | $4,502 | $1,575 | $274 |
| CT scan of the abdomen | $3,548 | $2,045 | $230 |
| CT scan of the abdomen and pelvis | $3,548 | $3,126 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $4,190 | $3,173 | $338 |
| CT scan of the abdomen and pelvis with contrast | $3,548 | $3,126 | $300 |
| CT scan of the abdomen and pelvis without contrast | $3,100 | $2,915 | $183 |
| CT scan of the abdomen with and without contrast | $4,190 | $2,254 | $259 |
| CT scan of the abdomen with contrast | $3,548 | $2,045 | $230 |
| CT scan of the abdomen without contrast | $3,100 | $1,749 | $136 |
| CT scan of the arm | $3,248 | $1,768 | $199 |
| CT scan of the arm with contrast | $3,248 | $1,791 | $199 |
| CT scan of the arm without contrast | $2,923 | $1,715 | $161 |
| CT scan of the chest | $3,525 | $1,994 | $167 |
| CT scan of the chest with and without contrast | $1,694 | $2,765 | $196 |
| CT scan of the chest with contrast | $3,866 | $1,994 | $167 |
| CT scan of the chest without contrast | $3,525 | $1,760 | $133 |
| CT scan of the head | $3,320 | $1,720 | $148 |
| CT scan of the head with and without contrast | $4,432 | $2,106 | $173 |
| CT scan of the head with contrast | $1,317 | $1,720 | $148 |
| CT scan of the head without contrast | $3,320 | $1,528 | $107 |
| CT scan of the leg | $2,161 | $1,768 | $166 |
| CT scan of the leg with contrast | $3,004 | $1,906 | $166 |
| CT scan of the leg without contrast | $1,317 | $1,717 | $130 |
| CT scan of the lower back (lumbar spine) | $2,689 | $2,032 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $4,605 | $2,038 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $2,689 | $2,032 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,004 | $1,679 | $130 |
| CT scan of the neck | $3,870 | $1,963 | $183 |
| CT scan of the neck (cervical spine) | $3,502 | $1,775 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $4,768 | $1,951 | $196 |
| CT scan of the neck (cervical spine) with contrast | $2,936 | $1,775 | $168 |
| CT scan of the neck (cervical spine) without contrast | $3,502 | $1,688 | $131 |
| CT scan of the neck with and without contrast | $4,548 | $1,989 | $220 |
| CT scan of the neck with contrast | $3,870 | $1,963 | $183 |
| CT scan of the neck without contrast | $1,004 | $1,741 | $150 |
| CT scan of the pelvis | $1,317 | $1,877 | $226 |
| CT scan of the pelvis with and without contrast | $4,074 | $1,877 | $251 |
| CT scan of the pelvis with contrast | $1,317 | $1,949 | $226 |
| CT scan of the pelvis without contrast | $1,004 | $1,748 | $133 |
| CT scan of the sinuses | $1,694 | $1,801 | $152 |
| CT scan of the sinuses with and without contrast | $1,694 | $1,924 | $184 |
| CT scan of the sinuses with contrast | $1,317 | $1,801 | $152 |
| CT scan of the sinuses without contrast | $3,502 | $1,621 | $128 |
| D-dimer test | $246 | $38 | $10 |
| Developmental screening (child) | $16 | $79 | — |
| DHEA-sulfate test | $480 | $497 | $22 |
| Diagnostic mammogram | $676 | $512 | $140 |
| Drug screen (urine) | $541 | $95 | $17 |
| Ear pressure test (tympanometry) | $64 | $44 | $16 |
| Ear tubes (myringotomy) | $1,021 | $5,108 | $174 |
| Eardrum repair (tympanoplasty) | $1,955 | $8,534 | $799 |
| Echocardiogram | $1,488 | $574 | $138 |
| Echocardiogram with and without contrast | $617 | $301 | $101 |
| Echocardiogram without contrast | $1,488 | $574 | $138 |
| EEG (awake and asleep) | $1,439 | $680 | $482 |
| Electrocardiogram (EKG) | $255 | $21 | $8 |
| Electroencephalogram (EEG) | $961 | $680 | $448 |
| Electrolyte panel | $54 | $25 | $7 |
| Emergency department visit | $895 | $1,082 | $69 |
| Emergency department visit (level 1) | $344 | $67 | $11 |
| Emergency department visit (level 2) | $567 | $695 | $40 |
| Emergency department visit (level 3) | $895 | $1,082 | $69 |
| Emergency department visit (level 4) | $1,439 | $1,432 | $118 |
| Emergency department visit (level 5) | $2,135 | $2,350 | $171 |
| Endometrial biopsy | $425 | $175 | $98 |
| Epidural steroid injection | $1,591 | $6,628 | $275 |
| ERCP (bile duct endoscopy) | $850 | $10,189 | $311 |
| Estradiol (estrogen) test | $464 | $51 | $28 |
| Fallopian tube X-ray (HSG) | $812 | $905 | $164 |
| Family therapy session | $329 | $296 | $110 |
| Fecal occult blood (stool) test | $60 | $26 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $60 | $14 | $4 |
| Feeding tube (PEG) placement | $476 | $11,798 | $178 |
| Ferritin (iron) test | $259 | $307 | $14 |
| Fibrinogen test | $115 | $96 | $10 |
| Flexible sigmoidoscopy | $710 | $3,253 | $323 |
| Folate (folic acid) test | $302 | $56 | $15 |
| Free T4 thyroid test | $288 | $51 | $9 |
| FSH hormone test | $309 | $29 | $19 |
| Gallbladder removal (laparoscopic) | $1,160 | $13,265 | $658 |
| Gallbladder scan (HIDA) | $1,910 | $924 | $334 |
| GGT liver test | $212 | $28 | $7 |
| Glucose tolerance test | $149 | $30 | $8 |
| Group therapy session | $227 | $21 | $30 |
| Hematocrit test | $37 | $13 | $2 |
| Hemodialysis | $1,770 | $1,410 | $75 |
| Hemoglobin A1c (diabetes test) | $194 | $157 | $10 |
| Hepatitis A vaccine | $170 | $66 | — |
| Hepatitis B test | $171 | $222 | $10 |
| Hepatitis B vaccine | $143 | $70 | — |
| Hepatitis C test | $256 | $30 | $14 |
| HIV test | $130 | $95 | $19 |
| HIV test (antigen/antibody combo) | $130 | $29 | $24 |
| Holter heart monitor | $307 | $568 | $26 |
| HPV vaccine | $637 | $245 | — |
| Hydrocele repair | $2,721 | $9,007 | $315 |
| Hysterectomy | $3,609 | $24,690 | $933 |
| Hysteroscopy | $6,226 | $11,640 | $1,270 |
| Inguinal hernia repair | $3,634 | $9,484 | $538 |
| Iron blood test | $201 | $143 | $6 |
| IV infusion therapy | $351 | $575 | $44 |
| IV infusion therapy (each additional) | $123 | $427 | $21 |
| IV infusion therapy (initial) | $530 | $722 | $67 |
| IVC filter placement | $5,562 | $9,542 | $1,885 |
| Joint aspiration (small/intermediate) | $623 | $3,512 | $57 |
| Joint aspiration or injection (small joint) | $608 | $340 | $56 |
| Kidney biopsy | $1,318 | $16,614 | $492 |
| Kidney scan (nuclear) | $1,721 | $503 | $172 |
| Kidney ultrasound | $958 | $1,042 | $84 |
| Kidney ultrasound (limited) | $774 | $981 | $61 |
| Lactate test | $113 | $64 | $12 |
| LDH test | $114 | $29 | $6 |
| LDL cholesterol test | $155 | $26 | $11 |
| Leg artery angiogram | $5,079 | $1,843 | $149 |
| Leg vein ultrasound (Doppler) | $696 | $1,236 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $535 | $987 | $116 |
| LH hormone test | $309 | $29 | $19 |
| Lipase test | $139 | $26 | $7 |
| Lipid (cholesterol) panel | $259 | $85 | $13 |
| Liver biopsy | $3,510 | $16,215 | $288 |
| Liver function panel | $135 | $37 | $8 |
| Lumpectomy (breast) | $1,793 | $16,902 | $750 |
| Lung function test (PFT) | $315 | $364 | $37 |
| Lung scan (V/Q) | $1,750 | $1,584 | $291 |
| Magnesium blood test | $146 | $26 | $7 |
| Mastectomy | $2,445 | $22,744 | $1,021 |
| MMR vaccine | $134 | $70 | — |
| MRA of the brain | $5,131 | $1,691 | $226 |
| MRA of the brain with contrast | $5,131 | $1,463 | $226 |
| MRA of the brain without contrast | $2,689 | $1,743 | $328 |
| MRA of the neck | $5,131 | $1,691 | $245 |
| MRA of the neck without contrast | $5,131 | $1,691 | $343 |
| MRI of the abdomen | $4,751 | $1,463 | $300 |
| MRI of the abdomen with contrast | $2,689 | $1,463 | $300 |
| MRI of the abdomen without contrast | $4,751 | $1,309 | $194 |
| MRI of the ankle | $3,808 | $1,463 | $261 |
| MRI of the ankle with contrast | $2,689 | $1,463 | $261 |
| MRI of the ankle without contrast | $3,808 | $1,214 | $222 |
| MRI of the brain | $6,108 | $1,448 | $269 |
| MRI of the brain with contrast | $2,689 | $1,448 | $269 |
| MRI of the brain without contrast | $6,108 | $1,309 | $195 |
| MRI of the chest | $7,145 | $1,463 | $371 |
| MRI of the chest with contrast | $7,145 | $1,463 | $371 |
| MRI of the chest without contrast | $8,578 | $1,714 | $466 |
| MRI of the knee | $4,970 | $1,743 | $315 |
| MRI of the knee with contrast | $4,270 | $1,983 | $315 |
| MRI of the knee without contrast | $5,131 | $1,309 | $204 |
| MRI of the lower back (lumbar spine) | $2,689 | $1,489 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $2,689 | $1,489 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $6,078 | $1,309 | $192 |
| MRI of the mid-back (thoracic spine) | $2,689 | $1,463 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $7,936 | $1,589 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $2,689 | $1,463 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $1,706 | $1,309 | $190 |
| MRI of the neck (cervical spine) | $5,867 | $1,489 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $7,440 | $1,589 | $318 |
| MRI of the neck (cervical spine) with contrast | $2,689 | $1,489 | $274 |
| MRI of the neck (cervical spine) without contrast | $5,867 | $1,309 | $191 |
| MRI of the pelvis | $5,749 | $1,463 | $268 |
| MRI of the pelvis with contrast | $5,749 | $1,463 | $268 |
| MRI of the pelvis without contrast | $1,706 | $1,309 | $227 |
| MRI of the shoulder | $4,751 | $1,743 | $313 |
| MRI of the shoulder with contrast | $4,751 | $2,776 | $313 |
| MRI of the shoulder without contrast | $4,751 | $1,235 | $205 |
| MRI of the wrist | $3,817 | $1,463 | $330 |
| MRI of the wrist with contrast | $3,817 | $1,463 | $330 |
| MRI of the wrist without contrast | $1,706 | $1,214 | $303 |
| Nebulizer breathing treatment | $249 | $73 | $9 |
| Nuchal translucency ultrasound | $418 | $204 | $116 |
| Nuclear cardiac stress test | $2,928 | $2,974 | $428 |
| Occupational therapy evaluation | $224 | $162 | $101 |
| Occupational therapy evaluation (high complexity) | $224 | $180 | $101 |
| Occupational therapy evaluation (low complexity) | $162 | $142 | $101 |
| Occupational therapy evaluation (moderate complexity) | $224 | $162 | $101 |
| Office visit (established patient) | $193 | $125 | $115 |
| Office visit (new patient) | $282 | $190 | $177 |
| Office visit, established patient (level 3) | $197 | $104 | $95 |
| Office visit, established patient (level 4) | $189 | $146 | $136 |
| Office visit, new patient (level 3) | $282 | $127 | $118 |
| Office visit, new patient (level 4) | $189 | $190 | $177 |
| Office visit, new patient (level 5) | $282 | $251 | $237 |
| Pap smear (cervical screening) | $219 | $198 | $20 |
| Parathyroid hormone (PTH) test | $125 | $351 | $41 |
| Parathyroid removal | $2,433 | $11,988 | $891 |
| Pelvic ultrasound | $742 | $750 | $78 |
| Pelvic ultrasound (complete) | $987 | $961 | $105 |
| Pelvic ultrasound (limited) | $488 | $539 | $51 |
| PET scan | $7,627 | $6,506 | — |
| Phosphorus blood test | $114 | $17 | $5 |
| Physical therapy evaluation | $230 | $161 | $98 |
| Physical therapy evaluation (high complexity) | $230 | $180 | $98 |
| Physical therapy evaluation (moderate complexity) | $230 | $161 | $98 |
| Pilonidal cyst removal | $6,192 | $4,140 | $541 |
| Platelet count | $49 | $17 | $4 |
| Pneumonia vaccine | $179 | $137 | — |
| Pregnancy blood test (hCG) | $160 | $32 | $8 |
| Pregnancy ultrasound | $496 | $652 | $126 |
| Pregnancy ultrasound (first trimester) | $496 | $562 | $117 |
| Pregnancy ultrasound (second or third trimester) | $645 | $742 | $136 |
| Procalcitonin test | $309 | $60 | $27 |
| Prolactin test | $380 | $85 | $19 |
| Prostate biopsy | $397 | $263 | — |
| Prostate removal (prostatectomy) | $9,695 | $40,927 | $1,063 |
| Prostate surgery (TURP) | $1,778 | $13,126 | $526 |
| Prostate test (PSA) | $383 | $68 | $18 |
| Psychiatric evaluation | $329 | $155 | $188 |
| Psychotherapy session | $329 | $123 | $140 |
| Retinal (fundus) photography | $292 | $203 | $37 |
| Rheumatoid factor test | $124 | $25 | $6 |
| RSV vaccine | $594 | $808 | — |
| Sacroiliac joint injection | $1,499 | $1,246 | $176 |
| Scoliosis spine X-ray | $826 | $235 | $58 |
| Scoliosis spine X-ray (1 view) | $822 | $172 | $44 |
| Scoliosis spine X-ray (3 views) | $847 | $298 | $72 |
| Screening mammogram | $418 | $1,444 | $126 |
| Scrotal ultrasound | $901 | $760 | $99 |
| Sedimentation rate (ESR) test | $78 | $20 | $3 |
| Semen analysis | $250 | $27 | $12 |
| Septoplasty (deviated septum) | $1,484 | $8,166 | $613 |
| Sex hormone binding globulin test | $343 | $51 | $22 |
| Shingles vaccine | $419 | $238 | — |
| Sinus surgery (endoscopic) | $576 | $8,442 | $224 |
| Skin biopsy | $413 | $178 | $121 |
| Skin biopsy (punch) | $466 | $178 | $121 |
| Skin cancer lesion removal | $865 | $319 | $240 |
| Skin graft | $7,056 | $3,978 | $898 |
| Skin lesion freezing (cryotherapy) | $135 | $52 | $36 |
| Sleep study (polysomnography) | $5,710 | $4,254 | $691 |
| Soft tissue ultrasound | $1,218 | $335 | $64 |
| Speech therapy | $312 | $140 | $76 |
| Spinal cord stimulator | $3,462 | $20,043 | $2,388 |
| Spinal tap (lumbar puncture) | $1,766 | $1,259 | $165 |
| Spine fracture repair (kyphoplasty) | $8,401 | $26,336 | $5,803 |
| Spirometry (lung function test) | $315 | $221 | $30 |
| Spirometry with bronchodilator | $574 | $506 | $43 |
| Strep throat test | $78 | $16 | $17 |
| Stress echocardiogram | $1,138 | $1,316 | $209 |
| Stress echocardiogram (complete) | $1,138 | $835 | $233 |
| Swallow study | $731 | $300 | $85 |
| T3 thyroid test | $389 | $58 | $14 |
| Tdap (tetanus) vaccine | $98 | $58 | — |
| Testicle removal (orchiectomy) | $640 | $12,808 | $306 |
| Testosterone test | $494 | $42 | $26 |
| Thyroid removal (thyroidectomy) | $1,986 | $13,555 | $1,004 |
| Thyroid test (TSH) | $398 | $85 | $17 |
| Thyroid ultrasound | $1,008 | $677 | $109 |
| Thyroid uptake scan | $965 | $536 | $145 |
| Tonsillectomy | $653 | $7,688 | $252 |
| Total IgE allergy test | $322 | $65 | $16 |
| Total protein test | $114 | $11 | $4 |
| Transesophageal echocardiogram (TEE) | $1,810 | $2,369 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $1,810 | $2,369 | $239 |
| Transvaginal ultrasound | $1,161 | $761 | $118 |
| Trigger point injection | $639 | $343 | $56 |
| Trigger point injection (1-2 muscles) | $639 | $96 | $52 |
| Triglycerides test | $230 | $23 | $6 |
| Troponin (heart) test | $514 | $55 | $12 |
| Turbinate reduction | $649 | $8,166 | $294 |
| Turning a breech baby (version) | $6,879 | $939 | $94 |
| Upper GI endoscopy (EGD) | $826 | $3,645 | $371 |
| Upper GI series (barium) | $733 | $824 | $128 |
| Ureteral stent placement | $1,623 | $7,614 | $373 |
| Ureteroscopy (stone removal) | $998 | $15,133 | $365 |
| Uric acid (gout) test | $65 | $16 | $5 |
| Urinalysis | $64 | $15 | $3 |
| Urine microalbumin test | $169 | $27 | $5 |
| Urine pregnancy test | $68 | $22 | $9 |
| Vaccine administration | $81 | $30 | $19 |
| Vaccine administration (each additional) | $65 | $19 | $16 |
| Varicose vein ablation | $1,539 | $8,124 | $1,018 |
| Vasectomy | $2,270 | $7,177 | $347 |
| Vitamin B12 test | $298 | $56 | $15 |
| Vitamin D test | $68 | $51 | $30 |
| Wart removal | $413 | $165 | $121 |
| Well-child visit | $160 | $155 | — |
| X-ray of the abdomen | $328 | $439 | $36 |
| X-ray of the ankle | $328 | $318 | $37 |
| X-ray of the collarbone | $230 | $218 | $33 |
| X-ray of the elbow | $316 | $347 | $33 |
| X-ray of the facial bones | $438 | $349 | $39 |
| X-ray of the foot | $328 | $343 | $34 |
| X-ray of the forearm | $272 | $262 | $29 |
| X-ray of the hand | $297 | $329 | $38 |
| X-ray of the hip | $350 | $423 | $49 |
| X-ray of the hip (1 view) | $334 | $253 | $34 |
| X-ray of the hip (3 views) | $350 | $423 | $49 |
| X-ray of the hip (4 views) | $369 | $492 | $63 |
| X-ray of the knee | $318 | $238 | $42 |
| X-ray of the knee (2 views) | $312 | $184 | $34 |
| X-ray of the knee (4+ views) | $324 | $370 | $49 |
| X-ray of the lower back (lumbar spine) | $530 | $507 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $413 | $421 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $659 | $592 | $53 |
| X-ray of the lower leg | $338 | $239 | $31 |
| X-ray of the mid-back (thoracic spine) | $356 | $295 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $190 | $197 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $522 | $392 | $39 |
| X-ray of the neck (cervical spine) | $364 | $291 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $427 | $254 | $40 |
| X-ray of the pelvis | $349 | $321 | $36 |
| X-ray of the pelvis (1 view) | $323 | $321 | $28 |
| X-ray of the ribs | $383 | $388 | $42 |
| X-ray of the ribs (2 views) | $328 | $388 | $36 |
| X-ray of the ribs (3 views) | $391 | $335 | $42 |
| X-ray of the shoulder | $310 | $343 | $36 |
| X-ray of the skull | $444 | $395 | $40 |
| X-ray of the upper arm | $276 | $200 | $32 |
| X-ray of the wrist | $297 | $314 | $43 |
| Zinc blood test | $211 | $49 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
