| Procedure | McLaren Caro Region | McLaren Lapeer Region | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $59 | $41 | $51 |
| Abdominal fluid drain (paracentesis) | $713 | $878 | $284 |
| Abdominal ultrasound | $91 | $185 | $100 |
| Abdominal ultrasound (complete) | $191 | $221 | $114 |
| Abdominal ultrasound (limited) | $84 | $177 | $86 |
| Abscess drainage (complex or multiple) | $149 | $198 | $220 |
| Abscess drainage (simple) | $82 | $151 | $129 |
| Abscess incision and drainage | $89 | $181 | $174 |
| Achilles tendon repair | $2,082 | $4,146 | $624 |
| ACL knee reconstruction | $4,301 | $4,301 | $889 |
| Adenoid removal (adenoidectomy) | $479 | $479 | $204 |
| Albumin blood test | $8 | $17 | $5 |
| Aldosterone test | $49 | $54 | $41 |
| Alkaline phosphatase test | $8 | $25 | $5 |
| Allergy shots | $15 | $39 | $11 |
| Allergy testing | $15 | $15 | $4 |
| Alpha-fetoprotein (AFP) test | $14 | $74 | $17 |
| ALT liver enzyme test | $8 | $43 | $5 |
| Amylase test | $16 | $46 | $6 |
| Anal fistula repair | $985 | $2,057 | $541 |
| Ankle fracture repair | $1,321 | $1,410 | $608 |
| Ankle replacement | $4,882 | $4,882 | $885 |
| Annual physical (established patient) | $156 | $162 | — |
| Annual physical (new patient) | $171 | $175 | — |
| Anoscopy | $121 | $121 | $129 |
| Antinuclear antibody (ANA) test | $14 | $110 | $12 |
| Aortic aneurysm repair (AAA) | $1,852 | $1,852 | $1,345 |
| Aortic valve replacement | $3,516 | $3,516 | $1,603 |
| Arterial blood gas (ABG) | $52 | $84 | $26 |
| AST liver enzyme test | $8 | $43 | $5 |
| Barium swallow study | $100 | $159 | $107 |
| Bartholin cyst removal | $268 | $277 | $182 |
| Basic metabolic panel | $67 | $99 | $8 |
| Benign skin lesion removal | $123 | $447 | $171 |
| Bilirubin blood test | $8 | $66 | $5 |
| Bladder function test (urodynamics) | $557 | $557 | $345 |
| Bladder scope (cystoscopy) | $368 | $632 | $216 |
| Bladder tumor removal (TURBT) | $1,365 | $3,222 | $236 |
| Blood clotting test (PT/INR) | $14 | $29 | $4 |
| Blood crossmatch | $54 | $64 | — |
| Blood glucose test | $16 | $23 | $5 |
| Blood transfusion | $381 | $6,973 | $47 |
| Blood type and screen | $36 | $51 | $10 |
| Blood type test | $23 | $31 | $3 |
| Blood type test (ABO group) | $23 | $34 | $3 |
| Blood type test (Rh/D antigen) | $23 | $27 | $3 |
| BNP (heart failure) test | $93 | $110 | $39 |
| Bone density scan (DEXA) | $103 | $98 | $39 |
| Bone marrow biopsy | $296 | $1,595 | $172 |
| Bone scan (nuclear) | $205 | $398 | $259 |
| Botox for migraine | $167 | $310 | $157 |
| Brain shunt (VP shunt) | $3,827 | $3,827 | $1,023 |
| Breast biopsy | $753 | $1,244 | $478 |
| Breast reconstruction | $2,642 | $2,642 | $1,227 |
| Breast reduction | $1,922 | $1,922 | $980 |
| Breast ultrasound | $143 | $126 | $92 |
| Breast ultrasound (complete) | $143 | $126 | $100 |
| Breast ultrasound (limited) | $141 | $201 | $84 |
| Breathing tube insertion (intubation) | $439 | $994 | $133 |
| Bronchoscopy | $587 | $791 | $303 |
| Bunion surgery (bunionectomy) | $1,947 | $1,949 | $883 |
| Burn dressing and debridement (medium) | $105 | $105 | $166 |
| Burn dressing and debridement (small) | $160 | $111 | $93 |
| Burn treatment | $105 | $105 | $129 |
| C-reactive protein (CRP) | $23 | $32 | $5 |
| CA 19-9 tumor marker test | $12 | $62 | $21 |
| CA-125 ovarian marker test | $13 | $73 | $21 |
| Calcium blood test | $8 | $21 | $5 |
| Capsule endoscopy | $228 | $228 | $802 |
| Cardiac stress test | $208 | $317 | $39 |
| Cardioversion | $681 | $1,796 | $155 |
| Carotid artery surgery | $2,185 | $2,185 | $1,026 |
| Carpal tunnel release | $834 | $1,779 | $483 |
| Cataract surgery | $1,723 | $2,225 | $547 |
| CEA tumor marker test | $15 | $88 | $19 |
| Celiac disease test | $23 | $56 | $12 |
| Central line placement | $2,014 | $443 | $238 |
| Cervical cerclage | $360 | $360 | $137 |
| Chalazion (eyelid cyst) removal | $109 | $242 | $131 |
| Chest fluid drain (thoracentesis) | $596 | $692 | $311 |
| Chest tube insertion | $349 | $783 | $143 |
| Chest X-ray (1 view) | $34 | $76 | $25 |
| Chest X-ray (2 views) | $46 | $77 | $33 |
| Chickenpox (varicella) vaccine | $194 | $461 | — |
| Circumcision | $486 | $1,288 | $167 |
| Clotting time test (PTT) | $17 | $35 | $6 |
| Colon resection (colectomy) | $2,968 | $2,968 | $1,238 |
| Colonoscopy | $680 | $1,680 | $480 |
| Colostomy | $2,015 | $2,015 | $1,122 |
| Colposcopy | $272 | $230 | $161 |
| Complete blood count (CBC) | $35 | $32 | $7 |
| Complete blood count (CBC) (complete) | $40 | $43 | $8 |
| Complex wound repair | $454 | $454 | $390 |
| Comprehensive metabolic panel | $118 | $106 | $11 |
| Continuous glucose monitor setup | $30 | $30 | $35 |
| Contraceptive implant (Nexplanon) | $180 | $275 | $115 |
| Cortisol test | $17 | $137 | $16 |
| COVID-19 PCR test | $38 | $88 | $51 |
| CPAP titration study | $138 | $1,135 | $69 |
| Craniotomy (brain surgery) | $7,242 | $7,242 | $2,161 |
| Creatine kinase (CK) test | $18 | $91 | $7 |
| CT angiography of the chest | $743 | $630 | $281 |
| CT angiography of the head | $647 | $625 | $274 |
| CT colonography (virtual colonoscopy) | $124 | $124 | $835 |
| CT scan of the abdomen | $349 | $450 | $230 |
| CT scan of the abdomen and pelvis | $635 | $433 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $747 | $673 | $338 |
| CT scan of the abdomen and pelvis with contrast | $707 | $604 | $300 |
| CT scan of the abdomen and pelvis without contrast | $626 | $424 | $183 |
| CT scan of the abdomen with and without contrast | $399 | $778 | $259 |
| CT scan of the abdomen with contrast | $362 | $664 | $230 |
| CT scan of the abdomen without contrast | $344 | $444 | $136 |
| CT scan of the arm with contrast | $310 | $416 | $199 |
| CT scan of the arm without contrast | $292 | $401 | $161 |
| CT scan of the chest | $303 | $450 | $167 |
| CT scan of the chest with and without contrast | $365 | $633 | $196 |
| CT scan of the chest with contrast | $349 | $608 | $167 |
| CT scan of the chest without contrast | $291 | $438 | $133 |
| CT scan of the head | $354 | $450 | $148 |
| CT scan of the head with and without contrast | $402 | $753 | $173 |
| CT scan of the head with contrast | $366 | $515 | $148 |
| CT scan of the head without contrast | $336 | $433 | $107 |
| CT scan of the leg | $298 | $483 | $166 |
| CT scan of the leg with contrast | $334 | $586 | $166 |
| CT scan of the leg without contrast | $292 | $478 | $130 |
| CT scan of the lower back (lumbar spine) without contrast | $342 | $441 | $130 |
| CT scan of the neck | $305 | $555 | $183 |
| CT scan of the neck (cervical spine) with contrast | $331 | $552 | $168 |
| CT scan of the neck (cervical spine) without contrast | $305 | $442 | $131 |
| CT scan of the neck with and without contrast | $406 | $619 | $220 |
| CT scan of the neck with contrast | $354 | $599 | $183 |
| CT scan of the neck without contrast | $299 | $550 | $150 |
| CT scan of the pelvis with contrast | $359 | $532 | $226 |
| CT scan of the pelvis without contrast | $306 | $517 | $133 |
| CT scan of the sinuses | $317 | $503 | $152 |
| CT scan of the sinuses with and without contrast | $731 | $526 | $184 |
| CT scan of the sinuses with contrast | $325 | $502 | $152 |
| CT scan of the sinuses without contrast | $307 | $493 | $128 |
| D-dimer test | $53 | $32 | $10 |
| Defibrillator (ICD) implant | $2,914 | $2,914 | $798 |
| Developmental screening (child) | $11 | $11 | — |
| DHEA-sulfate test | $11 | $75 | $22 |
| Diagnostic mammogram | $124 | $154 | $140 |
| Dialysis fistula creation | $1,522 | $4,557 | $601 |
| Dilation and curettage (D&C) | $513 | $4,185 | $298 |
| Droopy eyelid repair (ptosis) | $2,721 | $2,721 | $745 |
| Drug screen (urine) | $93 | $84 | $17 |
| Ear tubes (myringotomy) | $378 | $707 | $174 |
| Eardrum repair (tympanoplasty) | $1,074 | $1,074 | $799 |
| Echocardiogram | $238 | $238 | $138 |
| Echocardiogram with and without contrast | $238 | $355 | $101 |
| EKG / ECG (tracing only) | $75 | $91 | $7 |
| Elbow replacement | $3,107 | $3,107 | $1,301 |
| Electrocardiogram (EKG) | $17 | $17 | $8 |
| Electrolyte panel | $35 | $84 | $7 |
| Electromyography (EMG) | $64 | $238 | $141 |
| Emergency department visit | $218 | $294 | $69 |
| Emergency department visit (level 1) | $94 | $129 | $11 |
| Emergency department visit (level 2) | $147 | $237 | $40 |
| Emergency department visit (level 3) | $258 | $440 | $69 |
| Emergency department visit (level 4) | $414 | $635 | $118 |
| Emergency department visit (level 5) | $624 | $813 | $171 |
| Endometrial biopsy | $389 | $247 | $98 |
| Epidural steroid injection | $208 | $721 | $275 |
| ERCP (bile duct endoscopy) | $1,445 | $1,468 | $311 |
| Esophageal dilation | $186 | $212 | $522 |
| Esophageal variceal banding | $715 | $715 | $126 |
| Estradiol (estrogen) test | $14 | $95 | $28 |
| Eyelid surgery (blepharoplasty) | $854 | $2,058 | $552 |
| Facet joint injection (spine) | $99 | $417 | $99 |
| Fallopian tube X-ray (HSG) | $205 | $367 | $164 |
| Family therapy session | $117 | $109 | $110 |
| Fecal occult blood (stool) test | $17 | $51 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $4 | $23 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $30 | $79 | $16 |
| Feeding tube (PEG) placement | $491 | $1,726 | $178 |
| Femoral hernia repair | $1,307 | $1,307 | $584 |
| Ferritin (iron) test | $44 | $78 | $14 |
| Fibrinogen test | $34 | $41 | $10 |
| Fibroid removal (myomectomy) | $2,064 | $2,064 | $914 |
| Flexible sigmoidoscopy | $332 | $481 | $323 |
| Flu test | $11 | $12 | $17 |
| Flu vaccine | $32 | $33 | — |
| Folate (folic acid) test | $41 | $79 | $15 |
| Foreign body removal (skin) | $87 | $132 | $157 |
| Free T4 thyroid test | $32 | $79 | $9 |
| Gallbladder removal (laparoscopic) | $1,474 | $4,876 | $658 |
| Ganglion cyst removal | $388 | $1,866 | $321 |
| GGT liver test | $5 | $37 | $7 |
| Glaucoma surgery | $1,399 | $1,399 | $984 |
| Glucose tolerance test | $25 | $77 | $8 |
| Group therapy session | $299 | $58 | $30 |
| H. pylori test | $35 | $165 | $67 |
| Hammertoe repair | $837 | $2,174 | $548 |
| HDL cholesterol test | $21 | $40 | $8 |
| Hematocrit test | $9 | $13 | $2 |
| Hemoglobin A1c (diabetes test) | $29 | $47 | $10 |
| Hemorrhoid removal | $308 | $308 | $338 |
| Hepatitis A vaccine | $72 | $118 | — |
| Hepatitis B test | $10 | $71 | $10 |
| Hepatitis B vaccine | $69 | $84 | — |
| Hepatitis C test | $11 | $90 | $14 |
| Hip arthroscopy | $1,232 | $1,232 | $931 |
| Hip fracture repair | $2,917 | $2,917 | $1,120 |
| Hip replacement | $5,587 | $15,297 | $1,162 |
| HIV test | $48 | $46 | $19 |
| HIV test (antigen/antibody combo) | $48 | $46 | $24 |
| Holter heart monitor | $53 | $206 | $26 |
| Home sleep apnea test | $297 | $205 | $123 |
| HPV vaccine | $388 | $403 | — |
| Hydrocele repair | $1,404 | $2,595 | $315 |
| Hysterectomy | $2,116 | $2,627 | $933 |
| Hysteroscopy | $713 | $2,082 | $1,270 |
| Ileostomy | $2,134 | $2,134 | $968 |
| Inguinal hernia repair | $1,242 | $1,307 | $538 |
| Iron blood test | $23 | $35 | $6 |
| IUD insertion | $266 | $297 | — |
| IUD removal | $143 | $376 | $112 |
| IV infusion therapy | $147 | $298 | $44 |
| IV infusion therapy (each additional) | $100 | $219 | $21 |
| IV infusion therapy (initial) | $227 | $340 | $67 |
| Joint aspiration (small/intermediate) | $56 | $467 | $57 |
| Joint aspiration or injection (mid-size joint) | $56 | $460 | $57 |
| Kidney biopsy | $744 | $752 | $492 |
| Kidney removal (nephrectomy) | $2,574 | $2,574 | $1,164 |
| Kidney stone shock-wave (lithotripsy) | $2,323 | $4,538 | $760 |
| Kidney ultrasound | $132 | $189 | $84 |
| Kidney ultrasound (limited) | $127 | $177 | $61 |
| Knee arthroscopy | $1,981 | $2,953 | $524 |
| Knee joint injection | $71 | $446 | $69 |
| Lactate test | $18 | $82 | $12 |
| Laminectomy (spine) | $4,466 | $4,601 | $1,157 |
| Laryngoscopy | $327 | $309 | $189 |
| LDH test | $7 | $29 | $6 |
| LDL cholesterol test | $10 | $39 | $11 |
| Leg vein ultrasound (Doppler) | $119 | $294 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $113 | $288 | $116 |
| Lipase test | $12 | $70 | $7 |
| Lipid (cholesterol) panel | $57 | $51 | $13 |
| Liver biopsy | $400 | $1,562 | $288 |
| Liver function panel | $59 | $77 | $8 |
| Lumbar discectomy | $3,642 | $6,662 | $898 |
| Lumpectomy (breast) | $1,089 | $1,493 | $750 |
| Lung scan (V/Q) | $271 | $580 | $291 |
| Magnesium blood test | $18 | $36 | $7 |
| Mastectomy | $1,890 | $1,932 | $1,021 |
| Mastoidectomy | $1,142 | $1,142 | $840 |
| Meniscus repair (knee) | $2,111 | $2,111 | $714 |
| MMR vaccine | $131 | $136 | — |
| MRI of the pelvis with contrast | $671 | $1,147 | $268 |
| Nebulizer breathing treatment | $46 | $67 | $9 |
| Neck (cervical) spinal fusion | $3,745 | $3,745 | $1,410 |
| Nerve conduction study | $65 | $213 | $118 |
| Newborn hospital care | $98 | $98 | $58 |
| Nuchal translucency ultrasound | $49 | $49 | $116 |
| Nuclear cardiac stress test | $869 | $894 | $428 |
| Occupational therapy evaluation | $180 | $208 | $101 |
| Occupational therapy evaluation (high complexity) | $221 | $348 | $101 |
| Occupational therapy evaluation (low complexity) | $118 | $185 | $101 |
| Occupational therapy evaluation (moderate complexity) | $180 | $208 | $101 |
| Office visit (established patient) | $59 | $79 | $115 |
| Office visit (new patient) | $116 | $182 | $177 |
| Office visit, established patient (level 3) | $47 | $67 | $95 |
| Office visit, established patient (level 4) | $71 | $83 | $136 |
| Office visit, new patient (level 3) | $72 | $142 | $118 |
| Office visit, new patient (level 4) | $116 | $195 | $177 |
| Office visit, new patient (level 5) | $144 | $251 | $237 |
| Ovarian cyst removal | $1,585 | $1,585 | $698 |
| Ovary removal (oophorectomy) | $2,392 | $2,392 | $822 |
| Parathyroid hormone (PTH) test | $58 | $140 | $41 |
| Parathyroid removal | $2,574 | $2,574 | $891 |
| Pelvic ultrasound | $135 | $114 | $78 |
| Pelvic ultrasound (complete) | $135 | $284 | $105 |
| Pelvic ultrasound (limited) | $158 | $112 | $51 |
| Phosphorus blood test | $8 | $43 | $5 |
| Physical therapy evaluation | $118 | $214 | $98 |
| Physical therapy evaluation (high complexity) | $180 | $278 | $98 |
| Physical therapy evaluation (moderate complexity) | $118 | $214 | $98 |
| Pilonidal cyst removal | $567 | $2,861 | $541 |
| Platelet count | $14 | $27 | $4 |
| Pneumonia vaccine | $159 | $166 | — |
| Pregnancy blood test (hCG) | $22 | $33 | $8 |
| Pregnancy ultrasound | $149 | $138 | $126 |
| Pregnancy ultrasound (first trimester) | $149 | $138 | $117 |
| Pregnancy ultrasound (second or third trimester) | $152 | $243 | $136 |
| Prostate removal (prostatectomy) | $3,317 | $14,925 | $1,063 |
| Prostate surgery (TURP) | $2,518 | $4,394 | $526 |
| Prostate test (PSA) | $44 | $91 | $18 |
| Psychiatric evaluation | $153 | $177 | $188 |
| Psychotherapy session | $162 | $101 | $140 |
| Radiofrequency nerve ablation | $437 | $1,126 | $462 |
| Retinal detachment repair | $1,399 | $1,399 | $966 |
| Rotator cuff repair | $2,076 | $2,076 | $792 |
| RSV vaccine | $478 | $497 | — |
| Scoliosis spine X-ray (3 views) | $78 | $128 | $72 |
| Screening colonoscopy | $1,720 | $2,048 | $378 |
| Screening mammogram | $127 | $201 | $126 |
| Scrotal ultrasound | $139 | $240 | $99 |
| Sedimentation rate (ESR) test | $13 | $10 | $3 |
| Septoplasty (deviated septum) | $1,538 | $3,503 | $613 |
| Sex hormone binding globulin test | $29 | $65 | $22 |
| Shingles vaccine | $246 | $256 | — |
| Shoulder arthroscopy | $1,876 | $1,922 | $962 |
| Shoulder replacement | $3,209 | $21,756 | $1,300 |
| Simple laceration repair (small, up to 2.5 cm) | $161 | $169 | $114 |
| Simple wound stitches | $269 | $174 | $127 |
| Sinus surgery (endoscopic) | $411 | $411 | $224 |
| Skin biopsy | $54 | $241 | $121 |
| Skin biopsy (punch) | $76 | $170 | $121 |
| Skin cancer lesion removal | $131 | $471 | $240 |
| Skin graft | $846 | $846 | $898 |
| Skin lesion freezing (cryotherapy) | $28 | $34 | $36 |
| Skin tag removal | $93 | $96 | $92 |
| Sleep study (polysomnography) | $1,569 | $2,199 | $691 |
| Small bowel resection | $2,680 | $2,680 | $1,136 |
| Soft tissue ultrasound | $70 | $129 | $64 |
| Spinal cord stimulator | $1,339 | $7,858 | $2,388 |
| Spinal tap (lumbar puncture) | $300 | $733 | $165 |
| Spirometry (lung function test) | $31 | $284 | $30 |
| Spirometry with bronchodilator | $123 | $200 | $43 |
| Spleen removal (splenectomy) | $2,404 | $2,404 | $1,036 |
| Stomach removal (gastrectomy) | $2,939 | $2,939 | $1,595 |
| Strep throat test | $14 | $41 | $17 |
| Stress echocardiogram | $327 | $327 | $209 |
| Stress echocardiogram (complete) | $468 | $606 | $233 |
| Swallow study | $120 | $100 | $85 |
| T3 thyroid test | $12 | $48 | $14 |
| Tdap (tetanus) vaccine | $64 | $67 | — |
| Testicle removal (orchiectomy) | $1,111 | $3,017 | $306 |
| Testosterone test | $17 | $89 | $26 |
| Thyroid removal (thyroidectomy) | $2,770 | $2,770 | $1,004 |
| Thyroid test (TSH) | $35 | $83 | $17 |
| Thyroid ultrasound | $122 | $224 | $109 |
| Tilt table test | $363 | $552 | $168 |
| Tonsillectomy | $740 | $805 | $252 |
| Total IgE allergy test | $8 | $63 | $16 |
| Total protein test | $8 | $18 | $4 |
| Tracheostomy | $878 | $878 | $273 |
| Transesophageal echocardiogram (TEE) | $392 | $827 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $634 | $857 | $239 |
| Transvaginal ultrasound | $83 | $263 | $118 |
| Trigger finger release | $504 | $1,530 | $630 |
| Trigger point injection | $50 | $551 | $56 |
| Trigger point injection (1-2 muscles) | $46 | $440 | $52 |
| Triglycerides test | $21 | $47 | $6 |
| Troponin (heart) test | $44 | $77 | $12 |
| Tubal ligation | $1,005 | $2,568 | $333 |
| Turbinate reduction | $582 | $582 | $294 |
| Turning a breech baby (version) | $568 | $568 | $94 |
| Ulnar nerve surgery (elbow) | $1,638 | $2,135 | $575 |
| Upper GI endoscopy (EGD) | $272 | $927 | $371 |
| Upper GI series (barium) | $135 | $207 | $128 |
| Ureteral stent placement | $600 | $3,834 | $373 |
| Uric acid (gout) test | $17 | $46 | $5 |
| Urinalysis | $23 | $27 | $3 |
| Urine microalbumin test | $23 | $25 | $5 |
| Urine pregnancy test | $22 | $50 | $9 |
| Vaccine administration | $14 | $30 | $19 |
| Vaccine administration (each additional) | $17 | $12 | $16 |
| Varicocele repair | $1,448 | $3,326 | $327 |
| Varicose vein ablation | $1,018 | $1,396 | $1,018 |
| Vasectomy | $240 | $1,967 | $347 |
| Vitamin B12 test | $44 | $79 | $15 |
| Vitamin D test | $48 | $126 | $30 |
| Vitrectomy (eye) | $1,399 | $1,399 | $814 |
| Vocal cord injection | $1,191 | $1,191 | $211 |
| Wart removal | $170 | $72 | $121 |
| Well-child visit | $122 | $115 | — |
| Whipple procedure (pancreas) | $6,036 | $6,036 | $2,871 |
| Wound debridement | $101 | $313 | $186 |
| Wrist fracture repair | $1,217 | $4,493 | $735 |
| X-ray of the ankle | $45 | $99 | $37 |
| X-ray of the collarbone | $39 | $77 | $33 |
| X-ray of the elbow | $42 | $83 | $33 |
| X-ray of the facial bones | $38 | $73 | $39 |
| X-ray of the foot | $48 | $98 | $34 |
| X-ray of the forearm | $36 | $76 | $29 |
| X-ray of the hand | $40 | $100 | $38 |
| X-ray of the hip (3 views) | $57 | $82 | $49 |
| X-ray of the knee | $47 | $60 | $42 |
| X-ray of the knee (2 views) | $46 | $58 | $34 |
| X-ray of the knee (3 views) | $50 | $82 | $42 |
| X-ray of the knee (4+ views) | $54 | $86 | $49 |
| X-ray of the lower back (lumbar spine) | $61 | $121 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $59 | $119 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $70 | $145 | $53 |
| X-ray of the lower leg | $45 | $99 | $31 |
| X-ray of the mid-back (thoracic spine) | $52 | $107 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $118 | $107 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $52 | $141 | $39 |
| X-ray of the neck (cervical spine) | $53 | $131 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $51 | $129 | $40 |
| X-ray of the pelvis | $40 | $102 | $36 |
| X-ray of the pelvis (1 view) | $35 | $97 | $28 |
| X-ray of the ribs (2 views) | $56 | $93 | $36 |
| X-ray of the ribs (3 views) | $59 | $125 | $42 |
| X-ray of the shoulder | $49 | $89 | $36 |
| X-ray of the skull | $59 | $104 | $40 |
| X-ray of the upper arm | $38 | $76 | $32 |
| X-ray of the wrist | $42 | $89 | $43 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
