| Procedure | Hopedale Hospital | Carle Health Methodist Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $118 | $97 | $51 |
| Abdominal fluid drain (paracentesis) | $426 | $1,823 | $284 |
| Abdominal ultrasound | $708 | $888 | $100 |
| Abdominal ultrasound (complete) | $951 | $1,189 | $114 |
| Abdominal ultrasound (limited) | $708 | $888 | $86 |
| Abscess drainage (complex or multiple) | $573 | $546 | $220 |
| Abscess drainage (simple) | $292 | $536 | $129 |
| Abscess incision and drainage | $318 | $536 | $174 |
| Achilles tendon repair | $1,779 | $3,264 | $624 |
| ACL knee reconstruction | $2,184 | $2,416 | $889 |
| Acupuncture | $69 | $73 | $38 |
| Albumin blood test | $22 | $34 | $5 |
| Aldosterone test | $100 | $109 | $41 |
| Alkaline phosphatase test | $35 | $34 | $5 |
| Allergy shots | $23 | $29 | $11 |
| Alpha-fetoprotein (AFP) test | $64 | $64 | $17 |
| ALT liver enzyme test | $35 | $34 | $5 |
| Ammonia blood test | $59 | $64 | $15 |
| Amylase test | $148 | $34 | $6 |
| Anal fistula repair | $1,159 | $1,230 | $541 |
| Ankle fracture repair | $1,758 | $1,795 | $608 |
| Annual physical (established patient) | $166 | $220 | — |
| Annual physical (new patient) | $194 | $254 | — |
| Anoscopy | $213 | $272 | $129 |
| Antinuclear antibody (ANA) test | $82 | $49 | $12 |
| Aortic aneurysm repair (AAA) | $2,822 | $7,490 | $1,345 |
| Arterial blood gas (ABG) | $216 | $86 | $26 |
| AST liver enzyme test | $35 | $34 | $5 |
| Barium swallow study | $487 | $491 | $107 |
| Bartholin cyst removal | $412 | $262 | $182 |
| Basic metabolic panel | $92 | $69 | $8 |
| Benign skin lesion removal | $323 | $554 | $171 |
| Bilirubin blood test | $35 | $34 | $5 |
| Bladder scope (cystoscopy) | $491 | $922 | $216 |
| Bladder tumor removal (TURBT) | $899 | $674 | $236 |
| Blood clotting test (PT/INR) | $40 | $33 | $4 |
| Blood crossmatch | $269 | $156 | — |
| Blood glucose test | $27 | $34 | $5 |
| Blood transfusion | $964 | $571 | $47 |
| Blood type and screen | $132 | $57 | $10 |
| Blood type test | $109 | $57 | $3 |
| Blood type test (ABO group) | $143 | $57 | $3 |
| Blood type test (Rh/D antigen) | $76 | $57 | $3 |
| BNP (heart failure) test | $236 | $86 | $39 |
| Bone density scan (DEXA) | $161 | $558 | $39 |
| Bone marrow biopsy | $399 | $3,404 | $172 |
| Bone scan (nuclear) | $979 | $1,490 | $259 |
| Botox for migraine | $401 | $393 | $157 |
| Brain shunt (VP shunt) | $2,357 | $2,464 | $1,023 |
| Breast biopsy | $1,803 | $4,488 | $478 |
| Breast ultrasound | $668 | $581 | $92 |
| Breast ultrasound (complete) | $708 | $660 | $100 |
| Breast ultrasound (limited) | $634 | $502 | $84 |
| Breathing tube insertion (intubation) | $689 | $1,047 | $133 |
| Bronchoscopy | $605 | $2,226 | $303 |
| Burn dressing and debridement (medium) | $308 | $451 | $166 |
| Burn dressing and debridement (small) | $203 | $451 | $93 |
| Burn treatment | $256 | $451 | $129 |
| C-reactive protein (CRP) | $82 | $49 | $5 |
| CA 19-9 tumor marker test | $113 | $49 | $21 |
| CA-125 ovarian marker test | $121 | $49 | $21 |
| Calcium blood test | $35 | $34 | $5 |
| Capsule endoscopy | $1,168 | $2,460 | $802 |
| Cardiac catheterization | $7,210 | $14,262 | $1,049 |
| Cardiac rehabilitation | $264 | $274 | $26 |
| Cardiac stress test | $1,131 | $168 | $39 |
| Cardioversion | $1,215 | $1,437 | $155 |
| Carotid artery surgery | $1,799 | $2,760 | $1,026 |
| Carotid artery ultrasound | $772 | $560 | $156 |
| Carpal tunnel release | $1,331 | $1,070 | $483 |
| CEA tumor marker test | $128 | $64 | $19 |
| Central line placement | $586 | $2,332 | $238 |
| Chalazion (eyelid cyst) removal | $237 | $318 | $131 |
| Chest fluid drain (thoracentesis) | $871 | $2,239 | $311 |
| Chest tube insertion | $545 | $1,230 | $143 |
| Chest X-ray | $180 | $316 | $37 |
| Chest X-ray (1 view) | $180 | $293 | $25 |
| Chest X-ray (2 views) | $156 | $339 | $33 |
| Chickenpox (varicella) vaccine | $159 | $363 | — |
| Circumcision | $506 | $2,142 | $167 |
| CK-MB heart enzyme test | $94 | $64 | $12 |
| Clotting time test (PTT) | $62 | $33 | $6 |
| Colon resection (colectomy) | $2,004 | $3,298 | $1,238 |
| Colonoscopy | $939 | $1,072 | $480 |
| Colostomy | $1,803 | $2,954 | $1,122 |
| Colposcopy | $342 | $382 | $161 |
| Complete blood count (CBC) | $91 | $34 | $7 |
| Complete blood count (CBC) (complete) | $91 | $34 | $8 |
| Complex wound repair | $697 | $567 | $390 |
| Comprehensive metabolic panel | $175 | $69 | $11 |
| Contraceptive implant (Nexplanon) | $322 | $504 | $115 |
| Copper blood test | $76 | $32 | $12 |
| Coronary CT angiography | $2,580 | $2,475 | $326 |
| Cortisol test | $103 | $55 | $16 |
| COVID-19 PCR test | $149 | $67 | $51 |
| CPAP titration study | $651 | $1,216 | $69 |
| Creatine kinase (CK) test | $60 | $34 | $7 |
| CT angiography of the chest | $2,569 | $3,497 | $281 |
| CT angiography of the head | $2,156 | $3,234 | $274 |
| CT scan of the abdomen | $2,023 | $2,225 | $230 |
| CT scan of the abdomen and pelvis | $3,065 | $4,743 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $3,313 | $6,054 | $338 |
| CT scan of the abdomen and pelvis with contrast | $3,065 | $5,233 | $300 |
| CT scan of the abdomen and pelvis without contrast | $2,657 | $4,743 | $183 |
| CT scan of the abdomen with and without contrast | $2,321 | $3,269 | $259 |
| CT scan of the abdomen with contrast | $2,023 | $2,583 | $230 |
| CT scan of the abdomen without contrast | $1,795 | $2,225 | $136 |
| CT scan of the arm | $1,940 | $1,975 | $199 |
| CT scan of the arm with contrast | $1,968 | $2,177 | $199 |
| CT scan of the arm without contrast | $1,828 | $1,975 | $161 |
| CT scan of the chest | $1,795 | $2,079 | $167 |
| CT scan of the chest with and without contrast | $2,321 | $3,158 | $196 |
| CT scan of the chest with contrast | $2,073 | $2,760 | $167 |
| CT scan of the chest without contrast | $1,795 | $2,079 | $133 |
| CT scan of the head | $1,915 | $2,155 | $148 |
| CT scan of the head with and without contrast | $2,156 | $2,607 | $173 |
| CT scan of the head with contrast | $1,915 | $2,228 | $148 |
| CT scan of the head without contrast | $1,640 | $2,155 | $107 |
| CT scan of the leg | $1,996 | $1,992 | $166 |
| CT scan of the leg with contrast | $1,996 | $1,999 | $166 |
| CT scan of the leg without contrast | $1,716 | $1,992 | $130 |
| CT scan of the lower back (lumbar spine) | $1,795 | $2,428 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,904 | $3,071 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $911 | $2,626 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,795 | $2,428 | $130 |
| CT scan of the neck | $1,968 | $2,117 | $183 |
| CT scan of the neck (cervical spine) | $1,904 | $2,795 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $1,904 | $2,921 | $196 |
| CT scan of the neck (cervical spine) with contrast | $1,904 | $2,896 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,820 | $2,795 | $131 |
| CT scan of the neck with and without contrast | $2,216 | $2,792 | $220 |
| CT scan of the neck with contrast | $1,968 | $2,339 | $183 |
| CT scan of the neck without contrast | $1,687 | $2,117 | $150 |
| CT scan of the pelvis | $2,023 | $2,184 | $226 |
| CT scan of the pelvis with and without contrast | $2,322 | $3,111 | $251 |
| CT scan of the pelvis with contrast | $2,023 | $2,588 | $226 |
| CT scan of the pelvis without contrast | $1,795 | $2,184 | $133 |
| CT scan of the sinuses | $1,959 | $2,005 | $152 |
| CT scan of the sinuses with and without contrast | $2,207 | $2,673 | $184 |
| CT scan of the sinuses with contrast | $1,959 | $2,333 | $152 |
| CT scan of the sinuses without contrast | $895 | $2,005 | $128 |
| D-dimer test | $116 | $33 | $10 |
| Developmental screening (child) | $42 | $57 | — |
| DHEA-sulfate test | $84 | $55 | $22 |
| Diagnostic mammogram | $366 | $334 | $140 |
| Dialysis fistula creation | $1,079 | $1,622 | $601 |
| Dilation and curettage (D&C) | $698 | $695 | $298 |
| Drug screen (urine) | $73 | $72 | $17 |
| Echocardiogram | $839 | $930 | $138 |
| Echocardiogram with and without contrast | $839 | $930 | $101 |
| Echocardiogram without contrast | $385 | $930 | $138 |
| EKG / ECG (tracing only) | $243 | $204 | $7 |
| Electrocardiogram (EKG) | $55 | $38 | $8 |
| Electrolyte panel | $58 | $69 | $7 |
| Emergency department visit | $584 | $130 | $69 |
| Emergency department visit (level 1) | $188 | $44 | $11 |
| Emergency department visit (level 2) | $315 | $78 | $40 |
| Emergency department visit (level 4) | $912 | $1,945 | $118 |
| Emergency department visit (level 5) | $1,393 | $319 | $171 |
| Endometrial biopsy | $268 | $241 | $98 |
| Epidural steroid injection | $667 | $2,431 | $275 |
| ERCP (bile duct endoscopy) | $1,121 | $905 | $311 |
| Esophageal dilation | $452 | $1,339 | $522 |
| Esophageal variceal banding | $590 | $357 | $126 |
| Estradiol (estrogen) test | $63 | $55 | $28 |
| Facet joint injection (spine) | $354 | $459 | $99 |
| Fecal occult blood (stool) test | $56 | $34 | $10 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $56 | $64 | $16 |
| Feeding tube (PEG) placement | $749 | $4,105 | $178 |
| Femoral hernia repair | $1,374 | $2,254 | $584 |
| Ferritin (iron) test | $94 | $64 | $14 |
| Fibrinogen test | $91 | $33 | $10 |
| Fibroid removal (myomectomy) | $2,349 | $2,606 | $914 |
| Flexible sigmoidoscopy | $414 | $672 | $323 |
| Flu test | $59 | $39 | $17 |
| Flu vaccine | $32 | $22 | — |
| Folate (folic acid) test | $62 | $64 | $15 |
| Foreign body removal (skin) | $351 | $660 | $157 |
| Free T4 thyroid test | $79 | $55 | $9 |
| FSH hormone test | $102 | $55 | $19 |
| Gallbladder removal (laparoscopic) | $1,224 | $1,686 | $658 |
| Gallbladder scan (HIDA) | $1,162 | $1,500 | $334 |
| Ganglion cyst removal | $874 | $1,579 | $321 |
| GGT liver test | $36 | $34 | $7 |
| Glucose tolerance test | $15 | $34 | $8 |
| H. pylori test | $104 | $291 | $67 |
| HDL cholesterol test | $40 | $34 | $8 |
| Hematocrit test | $13 | $34 | $2 |
| Hemoglobin A1c (diabetes test) | $89 | $34 | $10 |
| Hemorrhoid removal | $586 | $750 | $338 |
| Hepatitis A vaccine | $101 | $78 | — |
| Hepatitis B test | $30 | $39 | $10 |
| Hepatitis B vaccine | $159 | $53 | — |
| Hepatitis C test | $37 | $49 | $14 |
| Hip fracture repair | $2,073 | $4,537 | $1,120 |
| Hip replacement | $3,029 | $3,338 | $1,162 |
| HIV test | $87 | $44 | $19 |
| HIV test (antibody) | $105 | $49 | $14 |
| HIV test (antigen/antibody combo) | $50 | $39 | $24 |
| Holter heart monitor | $306 | $354 | $26 |
| Hydrocele repair | $891 | $847 | $315 |
| Hysterectomy | $1,710 | $2,521 | $933 |
| Ileostomy | $1,656 | $2,569 | $968 |
| Inguinal hernia repair | $835 | $2,076 | $538 |
| Iron blood test | $39 | $34 | $6 |
| IV infusion therapy | $305 | $145 | $44 |
| IV infusion therapy (each additional) | $159 | $140 | $21 |
| IV infusion therapy (initial) | $450 | $675 | $67 |
| IVC filter placement | $6,590 | $9,700 | $1,885 |
| Joint aspiration (small/intermediate) | $175 | $425 | $57 |
| Joint aspiration or injection (mid-size joint) | $175 | $425 | $57 |
| Joint aspiration or injection (small joint) | $573 | $518 | $56 |
| Kidney biopsy | $748 | $2,195 | $492 |
| Kidney removal (nephrectomy) | $2,259 | $4,998 | $1,164 |
| Kidney scan (nuclear) | $1,170 | $1,722 | $172 |
| Kidney stone shock-wave (lithotripsy) | $1,992 | $3,678 | $760 |
| Kidney ultrasound | $666 | $825 | $84 |
| Kidney ultrasound (limited) | $666 | $825 | $61 |
| Knee arthroscopy | $1,306 | $2,020 | $524 |
| Knee joint injection | $223 | $658 | $69 |
| Lactate test | $78 | $64 | $12 |
| Laminectomy (spine) | $2,866 | $2,856 | $1,157 |
| Laryngoscopy | $412 | $909 | $189 |
| LDH test | $47 | $34 | $6 |
| LDL cholesterol test | $42 | $34 | $11 |
| Leg artery angiogram | $6,840 | $5,919 | $149 |
| Leg vein ultrasound (Doppler) | $860 | $1,020 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $860 | $1,020 | $116 |
| LH hormone test | $159 | $55 | $19 |
| Lipase test | $73 | $34 | $7 |
| Lipid (cholesterol) panel | $129 | $69 | $13 |
| Liver biopsy | $509 | $1,995 | $288 |
| Liver function panel | $93 | $69 | $8 |
| Lumbar discectomy | $2,301 | $2,334 | $898 |
| Lumpectomy (breast) | $1,048 | $2,706 | $750 |
| Lung function test (PFT) | $194 | $341 | $37 |
| Lung scan (V/Q) | $383 | $1,708 | $291 |
| Magnesium blood test | $57 | $34 | $7 |
| Mastectomy | $2,660 | $4,114 | $1,021 |
| Meniscus repair (knee) | $2,411 | $3,773 | $714 |
| MMR vaccine | $96 | $222 | — |
| MRA of the brain | $2,497 | $3,175 | $226 |
| MRA of the brain without contrast | $2,672 | $3,830 | $328 |
| MRA of the neck | $2,497 | $2,649 | $245 |
| MRA of the neck without contrast | $2,672 | $3,793 | $343 |
| MRI of the abdomen | $2,936 | $3,553 | $300 |
| MRI of the abdomen with contrast | $3,055 | $3,729 | $300 |
| MRI of the abdomen without contrast | $2,675 | $3,198 | $194 |
| MRI of the ankle | $2,854 | $3,012 | $261 |
| MRI of the ankle with contrast | $2,854 | $3,551 | $261 |
| MRI of the ankle without contrast | $2,509 | $3,012 | $222 |
| MRI of the brain | $2,264 | $4,049 | $269 |
| MRI of the brain with contrast | $2,672 | $4,166 | $269 |
| MRI of the brain without contrast | $2,264 | $4,049 | $195 |
| MRI of the chest | $2,607 | $2,228 | $371 |
| MRI of the chest with contrast | $2,487 | $2,785 | $371 |
| MRI of the chest without contrast | $2,607 | $4,379 | $466 |
| MRI of the knee | $2,784 | $3,573 | $315 |
| MRI of the knee with contrast | $2,784 | $3,611 | $315 |
| MRI of the knee without contrast | $2,509 | $3,573 | $204 |
| MRI of the lower back (lumbar spine) | $2,837 | $4,099 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $2,837 | $4,171 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $2,490 | $4,099 | $192 |
| MRI of the mid-back (thoracic spine) | $2,756 | $3,091 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $3,000 | $5,086 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $2,756 | $4,053 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $2,490 | $3,091 | $190 |
| MRI of the neck (cervical spine) | $2,837 | $3,575 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $3,082 | $5,066 | $318 |
| MRI of the neck (cervical spine) with contrast | $2,837 | $3,824 | $274 |
| MRI of the neck (cervical spine) without contrast | $2,460 | $3,575 | $191 |
| MRI of the pelvis | $3,010 | $2,850 | $268 |
| MRI of the pelvis with contrast | $3,010 | $3,919 | $268 |
| MRI of the pelvis without contrast | $2,675 | $2,850 | $227 |
| MRI of the shoulder | $2,824 | $3,476 | $313 |
| MRI of the shoulder with contrast | $2,854 | $3,565 | $313 |
| MRI of the shoulder without contrast | $2,529 | $3,476 | $205 |
| MRI of the wrist | $2,854 | $2,547 | $330 |
| MRI of the wrist without contrast | $2,482 | $2,547 | $303 |
| Nebulizer breathing treatment | $491 | $229 | $9 |
| Neck (cervical) spinal fusion | $1,516 | $3,547 | $1,410 |
| Nuclear cardiac stress test | $3,027 | $3,943 | $428 |
| Occupational therapy evaluation | $310 | $300 | $101 |
| Occupational therapy evaluation (high complexity) | $355 | $350 | $101 |
| Occupational therapy evaluation (low complexity) | $267 | $300 | $101 |
| Occupational therapy evaluation (moderate complexity) | $310 | $330 | $101 |
| Office visit (established patient) | $127 | $176 | $115 |
| Office visit (new patient) | $231 | $290 | $177 |
| Office visit, established patient (level 3) | $103 | $161 | $95 |
| Office visit, established patient (level 4) | $151 | $192 | $136 |
| Office visit, new patient (level 3) | $149 | $190 | $118 |
| Office visit, new patient (level 4) | $231 | $290 | $177 |
| Office visit, new patient (level 5) | $307 | $367 | $237 |
| Orthopedic hardware removal | $811 | $4,071 | $632 |
| Ovarian cyst removal | $1,796 | $1,884 | $698 |
| Ovary removal (oophorectomy) | $2,242 | $2,121 | $822 |
| Pap smear (cervical screening) | $82 | $55 | $20 |
| Parathyroid hormone (PTH) test | $242 | $109 | $41 |
| Parathyroid removal | $1,667 | $2,376 | $891 |
| Pelvic ultrasound | $598 | $560 | $78 |
| Pelvic ultrasound (complete) | $708 | $906 | $105 |
| Pelvic ultrasound (limited) | $488 | $560 | $51 |
| Phosphorus blood test | $35 | $34 | $5 |
| Physical therapy evaluation | $324 | $330 | $98 |
| Physical therapy evaluation (high complexity) | $379 | $375 | $98 |
| Physical therapy evaluation (moderate complexity) | $324 | $350 | $98 |
| Pilonidal cyst removal | $842 | $1,112 | $541 |
| Platelet count | $22 | $34 | $4 |
| Pneumonia vaccine | $288 | $129 | — |
| Pregnancy blood test (hCG) | $80 | $34 | $8 |
| Procalcitonin test | $256 | $55 | $27 |
| Prolactin test | $81 | $55 | $19 |
| Prostate surgery (TURP) | $1,957 | $1,842 | $526 |
| Prostate test (PSA) | $106 | $64 | $18 |
| Pulmonary rehabilitation | $137 | $405 | $87 |
| Radiofrequency nerve ablation | $4,464 | $1,576 | $462 |
| Rheumatoid factor test | $53 | $49 | $6 |
| Rotator cuff repair | $1,649 | $4,194 | $792 |
| Sacroiliac joint injection | $588 | $401 | $176 |
| Scoliosis spine X-ray | $312 | $359 | $58 |
| Scoliosis spine X-ray (1 view) | $290 | $359 | $44 |
| Scoliosis spine X-ray (3 views) | $335 | $575 | $72 |
| Screening colonoscopy | $910 | $814 | $378 |
| Screening mammogram | $379 | $327 | $126 |
| Scrotal ultrasound | $273 | $875 | $99 |
| Sedimentation rate (ESR) test | $57 | $34 | $3 |
| Semen analysis | $44 | $56 | $12 |
| Sex hormone binding globulin test | $60 | $64 | $22 |
| Shingles vaccine | $193 | $219 | — |
| Simple laceration repair (small, up to 2.5 cm) | $419 | $586 | $114 |
| Simple wound stitches | $432 | $586 | $127 |
| Skin biopsy | $218 | $554 | $121 |
| Skin biopsy (punch) | $218 | $554 | $121 |
| Skin cancer lesion removal | $386 | $607 | $240 |
| Skin graft | $2,083 | $2,106 | $898 |
| Skin lesion freezing (cryotherapy) | $72 | $88 | $36 |
| Skin tag removal | $146 | $217 | $92 |
| Sleep study (polysomnography) | $2,681 | $4,779 | $691 |
| Small bowel resection | $1,916 | $3,002 | $1,136 |
| Soft tissue ultrasound | $292 | $620 | $64 |
| Speech therapy | $288 | $310 | $76 |
| Spinal cord stimulator | $3,659 | $4,646 | $2,388 |
| Spinal tap (lumbar puncture) | $437 | $1,206 | $165 |
| Spine fracture repair (kyphoplasty) | $1,944 | $12,163 | $5,803 |
| Spirometry (lung function test) | $189 | $341 | $30 |
| Spirometry with bronchodilator | $332 | $721 | $43 |
| Spleen removal (splenectomy) | $1,837 | $2,705 | $1,036 |
| Stomach removal (gastrectomy) | $2,290 | $4,209 | $1,595 |
| Strep throat test | $44 | $39 | $17 |
| Stress echocardiogram | $859 | $1,056 | $209 |
| Stress echocardiogram (complete) | $235 | $1,901 | $233 |
| Swallow study | $588 | $388 | $85 |
| T3 thyroid test | $83 | $55 | $14 |
| Tdap (tetanus) vaccine | $127 | $146 | — |
| Testicle removal (orchiectomy) | $817 | $818 | $306 |
| Testosterone test | $164 | $55 | $26 |
| Thyroid removal (thyroidectomy) | $2,615 | $2,758 | $1,004 |
| Thyroid test (TSH) | $135 | $55 | $17 |
| Thyroid ultrasound | $685 | $843 | $109 |
| Thyroid uptake scan | $882 | $524 | $145 |
| Total IgE allergy test | $31 | $64 | $16 |
| Total protein test | $50 | $34 | $4 |
| Tracheostomy | $1,010 | $5,852 | $273 |
| Transesophageal echocardiogram (TEE) | $2,264 | $1,534 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $2,264 | $1,756 | $239 |
| Transvaginal ultrasound | $665 | $819 | $118 |
| Trigger finger release | $1,264 | $1,334 | $630 |
| Trigger point injection | $176 | $386 | $56 |
| Trigger point injection (1-2 muscles) | $174 | $386 | $52 |
| Triglycerides test | $42 | $34 | $6 |
| Troponin (heart) test | $125 | $64 | $12 |
| Tubal ligation | $1,067 | $920 | $333 |
| Ulnar nerve surgery (elbow) | $451 | $1,461 | $575 |
| Upper GI endoscopy (EGD) | $668 | $1,610 | $371 |
| Ureteral stent placement | $1,091 | $2,229 | $373 |
| Ureteroscopy (stone removal) | $1,232 | $2,101 | $365 |
| Uric acid (gout) test | $42 | $34 | $5 |
| Urinalysis | $30 | $26 | $3 |
| Urine microalbumin test | $43 | $26 | $5 |
| Urine pregnancy test | $52 | $26 | $9 |
| Vaccine administration | $68 | $79 | $19 |
| Vaccine administration (each additional) | $67 | $79 | $16 |
| Varicocele repair | $931 | $885 | $327 |
| Varicose vein ablation | $3,744 | $4,238 | $1,018 |
| Vasectomy | $2,716 | $892 | $347 |
| Vitamin B12 test | $95 | $55 | $15 |
| Vitamin D test | $139 | $86 | $30 |
| Wart removal | $197 | $257 | $121 |
| Well-child visit | $123 | $189 | — |
| Whipple procedure (pancreas) | $5,310 | $7,638 | $2,871 |
| Wound debridement | $460 | $1,160 | $186 |
| Wrist fracture repair | $1,173 | $7,217 | $735 |
| X-ray of the abdomen | $299 | $279 | $36 |
| X-ray of the ankle | $264 | $400 | $37 |
| X-ray of the collarbone | $231 | $348 | $33 |
| X-ray of the elbow | $289 | $405 | $33 |
| X-ray of the facial bones | $303 | $358 | $39 |
| X-ray of the foot | $213 | $390 | $34 |
| X-ray of the forearm | $218 | $368 | $29 |
| X-ray of the hand | $213 | $390 | $38 |
| X-ray of the hip | $290 | $272 | $49 |
| X-ray of the hip (1 view) | $290 | $272 | $34 |
| X-ray of the hip (3 views) | $290 | $396 | $49 |
| X-ray of the hip (4 views) | $325 | $475 | $63 |
| X-ray of the knee | $275 | $338 | $42 |
| X-ray of the knee (2 views) | $213 | $338 | $34 |
| X-ray of the knee (3 views) | $275 | $427 | $42 |
| X-ray of the knee (4+ views) | $303 | $491 | $49 |
| X-ray of the lower back (lumbar spine) | $343 | $457 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $303 | $457 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $383 | $684 | $53 |
| X-ray of the lower leg | $284 | $380 | $31 |
| X-ray of the mid-back (thoracic spine) | $303 | $423 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $303 | $423 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $303 | $491 | $39 |
| X-ray of the neck (cervical spine) | $296 | $434 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $270 | $434 | $40 |
| X-ray of the pelvis | $299 | $355 | $36 |
| X-ray of the pelvis (1 view) | $299 | $355 | $28 |
| X-ray of the ribs | $253 | $414 | $42 |
| X-ray of the ribs (2 views) | $203 | $414 | $36 |
| X-ray of the ribs (3 views) | $303 | $491 | $42 |
| X-ray of the shoulder | $223 | $411 | $36 |
| X-ray of the skull | $290 | $401 | $40 |
| X-ray of the upper arm | $284 | $372 | $32 |
| X-ray of the wrist | $213 | $387 | $43 |
| Zinc blood test | $234 | $32 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
