| Procedure | McLeod Loris Hospital | McLeod Medical Center-Dillon | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $236 | $236 | $51 |
| Abdominal fluid drain (paracentesis) | $2,007 | $2,007 | $284 |
| Abdominal ultrasound | $1,112 | $1,112 | $100 |
| Abdominal ultrasound (complete) | $1,286 | $1,286 | $114 |
| Abdominal ultrasound (limited) | $937 | $937 | $86 |
| Abscess drainage (complex or multiple) | $644 | $644 | $220 |
| Abscess drainage (simple) | $479 | $479 | $129 |
| Abscess incision and drainage | $561 | $561 | $174 |
| Albumin blood test | $40 | $40 | $5 |
| Aldosterone test | $381 | $381 | $41 |
| Alkaline phosphatase test | $48 | $48 | $5 |
| Allergy shots | $121 | $121 | $11 |
| Alpha-fetoprotein (AFP) test | $117 | $117 | $17 |
| ALT liver enzyme test | $79 | $79 | $5 |
| Ammonia blood test | $104 | $104 | $15 |
| Amniocentesis | $1,097 | $1,097 | $120 |
| Amylase test | $94 | $94 | $6 |
| Annual physical (established patient) | $110 | $110 | — |
| Annual physical (new patient) | $108 | $108 | — |
| Anoscopy | $376 | $376 | $129 |
| Antinuclear antibody (ANA) test | $104 | $104 | $12 |
| Aortic valve replacement | $43,664 | $43,664 | $1,603 |
| Arterial blood gas (ABG) | $207 | $207 | $26 |
| AST liver enzyme test | $77 | $77 | $5 |
| Barium swallow study | $524 | $524 | $107 |
| Bartholin cyst removal | $523 | $523 | $182 |
| Basic metabolic panel | $222 | $222 | $8 |
| Benign skin lesion removal | $2,098 | $2,098 | $171 |
| Bilirubin blood test | $74 | $74 | $5 |
| Bladder function test (urodynamics) | $715 | $715 | $345 |
| Blood clotting test (PT/INR) | $70 | $70 | $4 |
| Blood crossmatch | $153 | $153 | — |
| Blood glucose test | $48 | $48 | $5 |
| Blood transfusion | $1,016 | $1,016 | $47 |
| Blood type and screen | $83 | $83 | $10 |
| Blood type test | $58 | $58 | $3 |
| Blood type test (ABO group) | $61 | $61 | $3 |
| Blood type test (Rh/D antigen) | $55 | $55 | $3 |
| BNP (heart failure) test | $184 | $184 | $39 |
| Bone density scan (DEXA) | $618 | $618 | $39 |
| Bone marrow biopsy | $1,142 | $1,142 | $172 |
| Bone scan (nuclear) | $1,448 | $1,448 | $259 |
| Botox for migraine | $731 | $731 | $157 |
| Breast biopsy | $4,773 | $4,773 | $478 |
| Breast MRI | $2,665 | $2,665 | $216 |
| Breast MRI without contrast | $2,665 | $2,665 | $216 |
| Breast ultrasound | $510 | $510 | $92 |
| Breast ultrasound (complete) | $510 | $510 | $100 |
| Breast ultrasound (limited) | $632 | $632 | $84 |
| Breathing tube insertion (intubation) | $559 | $559 | $133 |
| Bronchoscopy | $4,143 | $4,143 | $303 |
| Burn dressing and debridement (medium) | $746 | $746 | $166 |
| Burn dressing and debridement (small) | $325 | $325 | $93 |
| Burn treatment | $536 | $536 | $129 |
| C-reactive protein (CRP) | $81 | $81 | $5 |
| CA 19-9 tumor marker test | $145 | $145 | $21 |
| CA-125 ovarian marker test | $167 | $167 | $21 |
| Calcium blood test | $48 | $48 | $5 |
| Cardiac ablation | $36,530 | $36,530 | $759 |
| Cardiac catheterization | $14,493 | $14,493 | $1,049 |
| Cardiac MRI | $3,858 | $3,858 | $322 |
| Cardiac MRI without contrast | $3,719 | $3,719 | $280 |
| Cardiac rehabilitation | $286 | $286 | $26 |
| Cardiac stress test | $1,300 | $1,300 | $39 |
| Cardioversion | $1,602 | $1,602 | $155 |
| Carotid artery ultrasound | $583 | $583 | $156 |
| CEA tumor marker test | $230 | $230 | $19 |
| Celiac disease test | $120 | $120 | $12 |
| Central line placement | $5,370 | $5,370 | $238 |
| Chemotherapy infusion | $586 | $586 | $81 |
| Chemotherapy infusion (each additional) | $327 | $327 | $28 |
| Chemotherapy infusion (first hour) | $846 | $846 | $133 |
| Chest fluid drain (thoracentesis) | $1,001 | $1,001 | $311 |
| Chest tube insertion | $870 | $870 | $143 |
| Chest X-ray | $270 | $270 | $37 |
| Chest X-ray (1 view) | $209 | $209 | $25 |
| Chest X-ray (2 views) | $253 | $253 | $33 |
| Chickenpox (varicella) vaccine | $557 | $557 | — |
| Circumcision | $890 | $890 | $167 |
| CK-MB heart enzyme test | $135 | $135 | $12 |
| Clotting time test (PTT) | $77 | $77 | $6 |
| Colposcopy | $1,639 | $1,639 | $161 |
| Complete blood count (CBC) | $104 | $104 | $7 |
| Complete blood count (CBC) (complete) | $121 | $121 | $8 |
| Complex wound repair | $2,571 | $2,571 | $390 |
| Comprehensive metabolic panel | $260 | $260 | $11 |
| Contraceptive implant (Nexplanon) | $325 | $325 | $115 |
| Copper blood test | $117 | $117 | $12 |
| Coronary CT angiography | $2,633 | $2,633 | $326 |
| Cortisol test | $165 | $165 | $16 |
| COVID-19 PCR test | $188 | $188 | $51 |
| CPAP titration study | $677 | $677 | $69 |
| Creatine kinase (CK) test | $74 | $74 | $7 |
| CT angiography of the chest | $3,126 | $3,126 | $281 |
| CT angiography of the head | $2,850 | $2,850 | $274 |
| CT colonography (virtual colonoscopy) | $1,870 | $1,870 | $835 |
| CT scan of the abdomen | $2,822 | $2,822 | $230 |
| CT scan of the abdomen and pelvis | $4,836 | $4,836 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $5,875 | $5,875 | $338 |
| CT scan of the abdomen and pelvis with contrast | $4,836 | $4,836 | $300 |
| CT scan of the abdomen and pelvis without contrast | $4,095 | $4,095 | $183 |
| CT scan of the abdomen with and without contrast | $3,432 | $3,432 | $259 |
| CT scan of the abdomen with contrast | $2,822 | $2,822 | $230 |
| CT scan of the abdomen without contrast | $2,455 | $2,455 | $136 |
| CT scan of the arm | $2,175 | $2,175 | $199 |
| CT scan of the arm with contrast | $2,175 | $2,175 | $199 |
| CT scan of the arm without contrast | $1,965 | $1,965 | $161 |
| CT scan of the chest | $2,771 | $2,771 | $167 |
| CT scan of the chest with and without contrast | $3,182 | $3,182 | $196 |
| CT scan of the chest with contrast | $2,771 | $2,771 | $167 |
| CT scan of the chest without contrast | $2,311 | $2,311 | $133 |
| CT scan of the head | $2,264 | $2,264 | $148 |
| CT scan of the head with and without contrast | $2,492 | $2,492 | $173 |
| CT scan of the head with contrast | $2,264 | $2,264 | $148 |
| CT scan of the head without contrast | $1,936 | $1,936 | $107 |
| CT scan of the leg | $1,481 | $1,481 | $166 |
| CT scan of the leg with contrast | $1,747 | $1,747 | $166 |
| CT scan of the leg without contrast | $1,481 | $1,481 | $130 |
| CT scan of the lower back (lumbar spine) | $2,726 | $2,726 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $3,145 | $3,145 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $2,726 | $2,726 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $2,262 | $2,262 | $130 |
| CT scan of the neck | $2,396 | $2,396 | $183 |
| CT scan of the neck (cervical spine) | $2,633 | $2,633 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $2,698 | $2,698 | $196 |
| CT scan of the neck (cervical spine) with contrast | $2,633 | $2,633 | $168 |
| CT scan of the neck (cervical spine) without contrast | $2,330 | $2,330 | $131 |
| CT scan of the neck with and without contrast | $2,760 | $2,760 | $220 |
| CT scan of the neck with contrast | $2,396 | $2,396 | $183 |
| CT scan of the neck without contrast | $2,004 | $2,004 | $150 |
| CT scan of the pelvis | $2,506 | $2,506 | $226 |
| CT scan of the pelvis with and without contrast | $3,078 | $3,078 | $251 |
| CT scan of the pelvis with contrast | $2,506 | $2,506 | $226 |
| CT scan of the pelvis without contrast | $2,125 | $2,125 | $133 |
| CT scan of the sinuses | $2,521 | $2,521 | $152 |
| CT scan of the sinuses with and without contrast | $2,851 | $2,851 | $184 |
| CT scan of the sinuses with contrast | $2,521 | $2,521 | $152 |
| CT scan of the sinuses without contrast | $2,078 | $2,078 | $128 |
| D-dimer test | $187 | $187 | $10 |
| Defibrillator (ICD) implant | $35,318 | $35,318 | $798 |
| DHEA-sulfate test | $180 | $180 | $22 |
| Diagnostic mammogram | $375 | $375 | $140 |
| Drug screen (urine) | $320 | $320 | $17 |
| Ear pressure test (tympanometry) | $145 | $145 | $16 |
| Echocardiogram | $999 | $999 | $138 |
| Echocardiogram with and without contrast | $599 | $599 | $101 |
| Echocardiogram without contrast | $999 | $999 | $138 |
| EEG (awake and asleep) | $719 | $719 | $482 |
| EKG / ECG (tracing only) | $354 | $354 | $7 |
| Electrocardiogram (EKG) | $354 | $354 | $8 |
| Electroencephalogram (EEG) | $719 | $719 | $448 |
| Electrolyte panel | $104 | $104 | $7 |
| Electromyography (EMG) | $669 | $669 | $141 |
| Emergency department visit | $1,016 | $1,016 | $69 |
| Emergency department visit (level 1) | $431 | $431 | $11 |
| Emergency department visit (level 2) | $474 | $474 | $40 |
| Emergency department visit (level 3) | $1,016 | $1,016 | $69 |
| Emergency department visit (level 4) | $1,504 | $1,504 | $118 |
| Emergency department visit (level 5) | $2,337 | $2,337 | $171 |
| Endometrial biopsy | $738 | $738 | $98 |
| Epidural steroid injection | $3,465 | $3,465 | $275 |
| Esophageal dilation | $2,209 | $2,209 | $522 |
| Estradiol (estrogen) test | $321 | $321 | $28 |
| Facet joint injection (spine) | $852 | $852 | $99 |
| Fallopian tube X-ray (HSG) | $719 | $719 | $164 |
| Fecal occult blood (stool) test | $28 | $28 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $28 | $28 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $93 | $93 | $16 |
| Ferritin (iron) test | $114 | $114 | $14 |
| Fibrinogen test | $173 | $173 | $10 |
| Flu test | $84 | $84 | $17 |
| Flu vaccine | $27 | $27 | — |
| Folate (folic acid) test | $119 | $119 | $15 |
| Foreign body removal (skin) | $1,352 | $1,352 | $157 |
| Free T4 thyroid test | $107 | $107 | $9 |
| FSH hormone test | $230 | $230 | $19 |
| Gallbladder scan (HIDA) | $2,236 | $2,236 | $334 |
| GGT liver test | $104 | $104 | $7 |
| Glucose tolerance test | $50 | $50 | $8 |
| H. pylori test | $259 | $259 | $67 |
| HDL cholesterol test | $72 | $72 | $8 |
| Hematocrit test | $51 | $51 | $2 |
| Hemoglobin A1c (diabetes test) | $87 | $87 | $10 |
| Hemorrhoid removal | $1,692 | $1,692 | $338 |
| Hepatitis A vaccine | $112 | $112 | — |
| Hepatitis B test | $96 | $96 | $10 |
| Hepatitis B vaccine | $371 | $371 | — |
| Hepatitis C test | $131 | $131 | $14 |
| HIV test | $190 | $190 | $19 |
| HIV test (antibody) | $178 | $178 | $14 |
| HIV test (antigen/antibody combo) | $190 | $190 | $24 |
| Holter heart monitor | $698 | $698 | $26 |
| Home sleep apnea test | $1,182 | $1,182 | $123 |
| HPV vaccine | $343 | $343 | — |
| Iron blood test | $62 | $62 | $6 |
| IUD insertion | $124 | $124 | — |
| IUD removal | $738 | $738 | $112 |
| IV infusion therapy | $395 | $395 | $44 |
| IV infusion therapy (each additional) | $219 | $219 | $21 |
| IV infusion therapy (initial) | $572 | $572 | $67 |
| IVC filter placement | $13,065 | $13,065 | $1,885 |
| Joint aspiration (small/intermediate) | $1,233 | $1,233 | $57 |
| Joint aspiration or injection (mid-size joint) | $1,233 | $1,233 | $57 |
| Joint aspiration or injection (small joint) | $1,233 | $1,233 | $56 |
| Kidney biopsy | $2,032 | $2,032 | $492 |
| Kidney scan (nuclear) | $1,393 | $1,393 | $172 |
| Kidney ultrasound | $592 | $592 | $84 |
| Kidney ultrasound (limited) | $622 | $622 | $61 |
| Knee joint injection | $1,233 | $1,233 | $69 |
| Lactate test | $108 | $108 | $12 |
| Laryngoscopy | $886 | $886 | $189 |
| LDH test | $59 | $59 | $6 |
| LDL cholesterol test | $47 | $47 | $11 |
| Leg artery angiogram | $9,606 | $9,606 | $149 |
| Leg artery angioplasty | $11,939 | $11,939 | — |
| Leg vein ultrasound (Doppler) | $1,083 | $1,083 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $1,083 | $1,083 | $116 |
| LH hormone test | $219 | $219 | $19 |
| Lipase test | $151 | $151 | $7 |
| Lipid (cholesterol) panel | $117 | $117 | $13 |
| Liver biopsy | $2,043 | $2,043 | $288 |
| Liver function panel | $202 | $202 | $8 |
| Lung function test (PFT) | $334 | $334 | $37 |
| Lung scan (V/Q) | $1,435 | $1,435 | $291 |
| Magnesium blood test | $70 | $70 | $7 |
| MMR vaccine | $521 | $521 | — |
| MRA of the brain | $2,940 | $2,940 | $226 |
| MRA of the brain with contrast | $2,940 | $2,940 | $226 |
| MRA of the brain without contrast | $4,560 | $4,560 | $328 |
| MRA of the neck | $2,989 | $2,989 | $245 |
| MRA of the neck with contrast | $3,074 | $3,074 | $245 |
| MRA of the neck without contrast | $2,989 | $2,989 | $343 |
| MRI of the abdomen | $3,837 | $3,837 | $300 |
| MRI of the abdomen with contrast | $3,837 | $3,837 | $300 |
| MRI of the abdomen without contrast | $3,476 | $3,476 | $194 |
| MRI of the ankle | $3,765 | $3,765 | $261 |
| MRI of the ankle with contrast | $3,765 | $3,765 | $261 |
| MRI of the ankle without contrast | $3,531 | $3,531 | $222 |
| MRI of the brain | $3,483 | $3,483 | $269 |
| MRI of the brain with contrast | $3,483 | $3,483 | $269 |
| MRI of the brain without contrast | $3,177 | $3,177 | $195 |
| MRI of the chest | $2,883 | $2,883 | $371 |
| MRI of the chest without contrast | $3,215 | $3,215 | $466 |
| MRI of the knee | $3,756 | $3,756 | $315 |
| MRI of the knee with contrast | $3,756 | $3,756 | $315 |
| MRI of the knee without contrast | $3,551 | $3,551 | $204 |
| MRI of the lower back (lumbar spine) | $4,012 | $4,012 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $4,012 | $4,012 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $3,363 | $3,363 | $192 |
| MRI of the mid-back (thoracic spine) | $2,190 | $2,190 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $3,236 | $3,236 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $2,190 | $2,190 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $2,162 | $2,162 | $190 |
| MRI of the neck (cervical spine) | $3,864 | $3,864 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $4,721 | $4,721 | $318 |
| MRI of the neck (cervical spine) with contrast | $3,864 | $3,864 | $274 |
| MRI of the neck (cervical spine) without contrast | $3,307 | $3,307 | $191 |
| MRI of the pelvis | $3,358 | $3,358 | $268 |
| MRI of the pelvis with contrast | $3,358 | $3,358 | $268 |
| MRI of the pelvis without contrast | $3,272 | $3,272 | $227 |
| MRI of the shoulder | $3,696 | $3,696 | $313 |
| MRI of the shoulder with contrast | $3,696 | $3,696 | $313 |
| MRI of the shoulder without contrast | $3,630 | $3,630 | $205 |
| MRI of the wrist | $3,584 | $3,584 | $330 |
| MRI of the wrist with contrast | $3,439 | $3,439 | $330 |
| MRI of the wrist without contrast | $3,584 | $3,584 | $303 |
| Nebulizer breathing treatment | $200 | $200 | $9 |
| Nerve conduction study | $694 | $694 | $118 |
| Nuclear cardiac stress test | $5,038 | $5,038 | $428 |
| Occupational therapy evaluation | $279 | $279 | $101 |
| Occupational therapy evaluation (high complexity) | $370 | $370 | $101 |
| Occupational therapy evaluation (low complexity) | $187 | $187 | $101 |
| Occupational therapy evaluation (moderate complexity) | $279 | $279 | $101 |
| Office visit (established patient) | $302 | $302 | $115 |
| Office visit (new patient) | $709 | $709 | $177 |
| Office visit, established patient (level 3) | $302 | $302 | $95 |
| Office visit, established patient (level 4) | $392 | $392 | $136 |
| Office visit, new patient (level 3) | $392 | $392 | $118 |
| Office visit, new patient (level 4) | $495 | $495 | $177 |
| Office visit, new patient (level 5) | $709 | $709 | $237 |
| Pap smear (cervical screening) | $160 | $160 | $20 |
| Parathyroid hormone (PTH) test | $214 | $214 | $41 |
| Pelvic ultrasound | $768 | $768 | $78 |
| Pelvic ultrasound (complete) | $884 | $884 | $105 |
| Pelvic ultrasound (limited) | $651 | $651 | $51 |
| PET scan | $5,423 | $5,423 | — |
| Phosphorus blood test | $48 | $48 | $5 |
| Physical therapy evaluation | $187 | $187 | $98 |
| Physical therapy evaluation (high complexity) | $279 | $279 | $98 |
| Physical therapy evaluation (moderate complexity) | $187 | $187 | $98 |
| Platelet count | $53 | $53 | $4 |
| Pneumonia vaccine | $158 | $158 | — |
| Pregnancy blood test (hCG) | $155 | $155 | $8 |
| Pregnancy ultrasound | $919 | $919 | $126 |
| Pregnancy ultrasound (first trimester) | $772 | $772 | $117 |
| Pregnancy ultrasound (second or third trimester) | $1,065 | $1,065 | $136 |
| Procalcitonin test | $232 | $232 | $27 |
| Prolactin test | $217 | $217 | $19 |
| Prostate test (PSA) | $123 | $123 | $18 |
| Pulmonary rehabilitation | $209 | $209 | $87 |
| Radiofrequency nerve ablation | $3,921 | $3,921 | $462 |
| Rheumatoid factor test | $71 | $71 | $6 |
| RSV vaccine | $321 | $321 | — |
| Sacroiliac joint injection | $1,323 | $1,323 | $176 |
| Scoliosis spine X-ray | $429 | $429 | $58 |
| Scoliosis spine X-ray (1 view) | $466 | $466 | $44 |
| Scoliosis spine X-ray (3 views) | $391 | $391 | $72 |
| Screening mammogram | $294 | $294 | $126 |
| Scrotal ultrasound | $668 | $668 | $99 |
| Sedimentation rate (ESR) test | $114 | $114 | $3 |
| Semen analysis | $112 | $112 | $12 |
| Sex hormone binding globulin test | $124 | $124 | $22 |
| Shingles vaccine | $191 | $191 | — |
| Simple laceration repair (small, up to 2.5 cm) | $427 | $427 | $114 |
| Simple wound stitches | $451 | $451 | $127 |
| Skin biopsy | $746 | $746 | $121 |
| Skin biopsy (punch) | $746 | $746 | $121 |
| Skin cancer lesion removal | $1,411 | $1,411 | $240 |
| Skin lesion freezing (cryotherapy) | $322 | $322 | $36 |
| Skin tag removal | $429 | $429 | $92 |
| Sleep study (polysomnography) | $4,262 | $4,262 | $691 |
| Soft tissue ultrasound | $654 | $654 | $64 |
| Speech therapy | $209 | $209 | $76 |
| Spinal cord stimulator | $31,579 | $31,579 | $2,388 |
| Spinal tap (lumbar puncture) | $1,012 | $1,012 | $165 |
| Spine fracture repair (kyphoplasty) | $14,116 | $14,116 | $5,803 |
| Spirometry (lung function test) | $307 | $307 | $30 |
| Spirometry with bronchodilator | $521 | $521 | $43 |
| Strep throat test | $70 | $70 | $17 |
| Stress echocardiogram | $1,302 | $1,302 | $209 |
| Stress echocardiogram (complete) | $2,719 | $2,719 | $233 |
| Swallow study | $288 | $288 | $85 |
| T3 thyroid test | $160 | $160 | $14 |
| Tdap (tetanus) vaccine | $287 | $287 | — |
| Testosterone test | $222 | $222 | $26 |
| Thyroid test (TSH) | $140 | $140 | $17 |
| Thyroid ultrasound | $802 | $802 | $109 |
| Thyroid uptake scan | $904 | $904 | $145 |
| Tilt table test | $2,297 | $2,297 | $168 |
| Total IgE allergy test | $186 | $186 | $16 |
| Total protein test | $55 | $55 | $4 |
| Transesophageal echocardiogram (TEE) | $1,699 | $1,699 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $1,699 | $1,699 | $239 |
| Transvaginal ultrasound | $774 | $774 | $118 |
| Trigger point injection | $1,011 | $1,011 | $56 |
| Trigger point injection (1-2 muscles) | $1,233 | $1,233 | $52 |
| Triglycerides test | $48 | $48 | $6 |
| Troponin (heart) test | $146 | $146 | $12 |
| Turning a breech baby (version) | $2,319 | $2,319 | $94 |
| Upper GI series (barium) | $908 | $908 | $128 |
| Ureteral stent placement | $7,269 | $7,269 | $373 |
| Uric acid (gout) test | $62 | $62 | $5 |
| Urinalysis | $92 | $92 | $3 |
| Urine microalbumin test | $68 | $68 | $5 |
| Urine pregnancy test | $115 | $115 | $9 |
| Vaccine administration | $99 | $99 | $19 |
| Vaccine administration (each additional) | $99 | $99 | $16 |
| Vitamin B12 test | $109 | $109 | $15 |
| Vitamin D test | $201 | $201 | $30 |
| Wart removal | $436 | $436 | $121 |
| Well-child visit | $59 | $59 | — |
| Wound debridement | $1,143 | $1,143 | $186 |
| X-ray of the abdomen | $371 | $371 | $36 |
| X-ray of the ankle | $437 | $437 | $37 |
| X-ray of the collarbone | $342 | $342 | $33 |
| X-ray of the elbow | $438 | $438 | $33 |
| X-ray of the facial bones | $307 | $307 | $39 |
| X-ray of the foot | $436 | $436 | $34 |
| X-ray of the forearm | $378 | $378 | $29 |
| X-ray of the hand | $486 | $486 | $38 |
| X-ray of the hip | $393 | $393 | $49 |
| X-ray of the hip (1 view) | $373 | $373 | $34 |
| X-ray of the hip (3 views) | $393 | $393 | $49 |
| X-ray of the hip (4 views) | $567 | $567 | $63 |
| X-ray of the knee | $477 | $477 | $42 |
| X-ray of the knee (2 views) | $327 | $327 | $34 |
| X-ray of the knee (3 views) | $477 | $477 | $42 |
| X-ray of the knee (4+ views) | $495 | $495 | $49 |
| X-ray of the lower back (lumbar spine) | $596 | $596 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $505 | $505 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $687 | $687 | $53 |
| X-ray of the lower leg | $367 | $367 | $31 |
| X-ray of the mid-back (thoracic spine) | $507 | $507 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $476 | $476 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $537 | $537 | $39 |
| X-ray of the neck (cervical spine) | $530 | $530 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $469 | $469 | $40 |
| X-ray of the pelvis | $289 | $289 | $36 |
| X-ray of the pelvis (1 view) | $251 | $251 | $28 |
| X-ray of the ribs | $438 | $438 | $42 |
| X-ray of the ribs (2 views) | $362 | $362 | $36 |
| X-ray of the ribs (3 views) | $438 | $438 | $42 |
| X-ray of the shoulder | $456 | $456 | $36 |
| X-ray of the skull | $524 | $524 | $40 |
| X-ray of the upper arm | $261 | $261 | $32 |
| X-ray of the wrist | $378 | $378 | $43 |
| Zinc blood test | $154 | $154 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
