| Procedure | Mercy Hospital Springfield | Citizens Memorial Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $114 | $114 | $51 |
| Abdominal fluid drain (paracentesis) | $447 | $590 | $284 |
| Abdominal ultrasound | $1,000 | $749 | $100 |
| Abdominal ultrasound (complete) | $1,279 | $766 | $114 |
| Abdominal ultrasound (limited) | $721 | $749 | $86 |
| Abscess drainage (complex or multiple) | $671 | $382 | $220 |
| Abscess drainage (simple) | $293 | $227 | $129 |
| Abscess incision and drainage | $482 | $382 | $174 |
| ACL knee reconstruction | $24,796 | $5,514 | $889 |
| Adenoid removal (adenoidectomy) | $7,928 | $432 | $204 |
| Albumin blood test | $85 | $38 | $5 |
| Aldosterone test | $157 | $351 | $41 |
| Alkaline phosphatase test | $75 | $40 | $5 |
| Allergy shots | $24 | $31 | $11 |
| Alpha-fetoprotein (AFP) test | $111 | $132 | $17 |
| ALT liver enzyme test | $70 | $63 | $5 |
| Ammonia blood test | $74 | $110 | $15 |
| Amylase test | $190 | $101 | $6 |
| Anal fistula repair | $9,293 | $699 | $541 |
| Antinuclear antibody (ANA) test | $109 | $66 | $12 |
| AST liver enzyme test | $72 | $63 | $5 |
| Barium swallow study | $476 | $98 | $107 |
| Bartholin cyst removal | $405 | $395 | $182 |
| Basic metabolic panel | $148 | $160 | $8 |
| Benign skin lesion removal | $3,195 | $935 | $171 |
| Bilirubin blood test | $96 | $62 | $5 |
| Bladder function test (urodynamics) | $1,618 | $698 | $345 |
| Bladder scope (cystoscopy) | $4,632 | $1,271 | $216 |
| Bladder tumor removal (TURBT) | $12,017 | $1,219 | $236 |
| Blood clotting test (PT/INR) | $47 | $22 | $4 |
| Blood glucose test | $35 | $48 | $5 |
| Blood transfusion | $502 | $790 | $47 |
| Blood type and screen | $158 | $104 | $10 |
| Blood type test | $90 | $34 | $3 |
| Blood type test (ABO group) | $94 | $46 | $3 |
| Blood type test (Rh/D antigen) | $87 | $32 | $3 |
| BNP (heart failure) test | $90 | $141 | $39 |
| Bone density scan (DEXA) | $384 | $458 | $39 |
| Bone marrow biopsy | $5,718 | $351 | $172 |
| Bone scan (nuclear) | $2,018 | $846 | $259 |
| Botox for migraine | $99 | $236 | $157 |
| Breast biopsy | $1,714 | $3,143 | $478 |
| Breast MRI | $2,407 | $360 | $216 |
| Breast MRI without contrast | $2,661 | $252 | $216 |
| Breast ultrasound | $741 | $371 | $92 |
| Breast ultrasound (limited) | $809 | $371 | $84 |
| Breathing tube insertion (intubation) | $980 | $564 | $133 |
| Bronchoscopy | $11,664 | $1,245 | $303 |
| Burn dressing and debridement (medium) | $259 | $374 | $166 |
| Burn dressing and debridement (small) | $248 | $268 | $93 |
| Burn treatment | $254 | $322 | $129 |
| C-reactive protein (CRP) | $92 | $56 | $5 |
| CA 19-9 tumor marker test | $142 | $162 | $21 |
| CA-125 ovarian marker test | $92 | $166 | $21 |
| Calcium blood test | $60 | $30 | $5 |
| Cardiac catheterization | $12,348 | $11,189 | $1,049 |
| Cardiac MRI | $1,623 | $304 | $322 |
| Cardiac MRI without contrast | $1,197 | $304 | $280 |
| Cardiac rehabilitation | $253 | $321 | $26 |
| Cardiac stress test | $564 | $266 | $39 |
| Cardioversion | $1,838 | $1,531 | $155 |
| Carotid artery ultrasound | $707 | $270 | $156 |
| Carpal tunnel release | $8,482 | $4,907 | $483 |
| Cataract surgery | $9,547 | $2,836 | $547 |
| CEA tumor marker test | $134 | $142 | $19 |
| Celiac disease test | $91 | $39 | $12 |
| Central line placement | $1,926 | $1,521 | $238 |
| Cervical LEEP procedure | $10,097 | $449 | $325 |
| Chalazion (eyelid cyst) removal | $530 | $236 | $131 |
| Chemotherapy infusion | $452 | $356 | $81 |
| Chemotherapy infusion (each additional) | $452 | $203 | $28 |
| Chemotherapy infusion (first hour) | $452 | $594 | $133 |
| Chest fluid drain (thoracentesis) | $2,654 | $1,247 | $311 |
| Chest X-ray | $387 | $65 | $37 |
| Chest X-ray (1 view) | $286 | $238 | $25 |
| Chest X-ray (2 views) | $361 | $65 | $33 |
| Circumcision | $5,046 | $1,408 | $167 |
| CK-MB heart enzyme test | $218 | $92 | $12 |
| Clotting time test (PTT) | $103 | $54 | $6 |
| Colonoscopy | $3,168 | $1,641 | $480 |
| Complete blood count (CBC) | $108 | $74 | $7 |
| Complete blood count (CBC) (complete) | $107 | $92 | $8 |
| Comprehensive eye exam | $95 | $146 | $138 |
| Comprehensive metabolic panel | $266 | $187 | $11 |
| Continuous glucose monitor setup | $55 | $80 | $35 |
| Contraceptive implant (Nexplanon) | $1,510 | $322 | $115 |
| Copper blood test | $68 | $109 | $12 |
| Coronary CT angiography | $1,908 | $1,634 | $326 |
| Cortisol test | $183 | $89 | $16 |
| COVID-19 PCR test | $146 | $100 | $51 |
| CPAP titration study | $1,038 | $894 | $69 |
| Creatine kinase (CK) test | $75 | $78 | $7 |
| CT angiography of the chest | $1,775 | $2,358 | $281 |
| CT angiography of the head | $2,841 | $2,721 | $274 |
| CT scan of the abdomen | $1,325 | $254 | $230 |
| CT scan of the abdomen and pelvis | $4,157 | $4,061 | $300 |
| CT scan of the abdomen and pelvis with contrast | $4,157 | $5,013 | $300 |
| CT scan of the abdomen and pelvis without contrast | $3,736 | $4,061 | $183 |
| CT scan of the abdomen with and without contrast | $2,304 | $266 | $259 |
| CT scan of the abdomen with contrast | $1,325 | $241 | $230 |
| CT scan of the abdomen without contrast | $1,071 | $226 | $136 |
| CT scan of the arm | $2,527 | $404 | $199 |
| CT scan of the arm with contrast | $2,148 | $1,208 | $199 |
| CT scan of the arm without contrast | $2,946 | $1,168 | $161 |
| CT scan of the chest | $1,643 | $261 | $167 |
| CT scan of the chest with and without contrast | $1,858 | $261 | $196 |
| CT scan of the chest with contrast | $1,643 | $1,410 | $167 |
| CT scan of the chest without contrast | $1,448 | $1,249 | $133 |
| CT scan of the head | $2,139 | $2,095 | $148 |
| CT scan of the head with and without contrast | $2,358 | $241 | $173 |
| CT scan of the head with contrast | $2,139 | $216 | $148 |
| CT scan of the head without contrast | $1,935 | $2,095 | $107 |
| CT scan of the leg | $2,299 | $1,147 | $166 |
| CT scan of the leg with contrast | $2,952 | $2,265 | $166 |
| CT scan of the leg without contrast | $1,947 | $1,163 | $130 |
| CT scan of the lower back (lumbar spine) | $1,979 | $235 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $2,046 | $241 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,979 | $1,498 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,671 | $220 | $130 |
| CT scan of the neck | $1,193 | $261 | $183 |
| CT scan of the neck (cervical spine) | $2,451 | $230 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $2,722 | $241 | $196 |
| CT scan of the neck (cervical spine) with contrast | $2,451 | $229 | $168 |
| CT scan of the neck (cervical spine) without contrast | $2,314 | $220 | $131 |
| CT scan of the neck with and without contrast | $1,419 | $274 | $220 |
| CT scan of the neck with contrast | $1,193 | $261 | $183 |
| CT scan of the neck without contrast | $1,012 | $242 | $150 |
| CT scan of the pelvis | $2,078 | $2,167 | $226 |
| CT scan of the pelvis with and without contrast | $2,460 | $1,767 | $251 |
| CT scan of the pelvis with contrast | $2,078 | $2,580 | $226 |
| CT scan of the pelvis without contrast | $1,552 | $2,156 | $133 |
| CT scan of the sinuses | $1,864 | $267 | $152 |
| CT scan of the sinuses with and without contrast | $2,019 | $267 | $184 |
| CT scan of the sinuses with contrast | $1,864 | $1,290 | $152 |
| CT scan of the sinuses without contrast | $1,718 | $1,118 | $128 |
| D-dimer test | $174 | $88 | $10 |
| Defibrillator (ICD) implant | $61,876 | $13,243 | $798 |
| DHEA-sulfate test | $137 | $102 | $22 |
| Diagnostic mammogram | $476 | $171 | $140 |
| Dilation and curettage (D&C) | $9,358 | $471 | $298 |
| Droopy eyelid repair (ptosis) | $7,462 | $4,281 | $745 |
| Drug screen (urine) | $124 | $162 | $17 |
| Ear pressure test (tympanometry) | $107 | $34 | $16 |
| Ear tubes (myringotomy) | $5,958 | $333 | $174 |
| Eardrum repair (tympanoplasty) | $13,365 | $1,158 | $799 |
| Echocardiogram | $920 | $481 | $138 |
| Echocardiogram with and without contrast | $920 | $481 | $101 |
| Echocardiogram without contrast | $330 | $851 | $138 |
| EEG (awake and asleep) | $1,174 | $943 | $482 |
| EKG / ECG (tracing only) | $265 | $302 | $7 |
| Electrocardiogram (EKG) | $135 | $302 | $8 |
| Electroencephalogram (EEG) | $1,112 | $844 | $448 |
| Electrolyte panel | $90 | $64 | $7 |
| Electromyography (EMG) | $283 | $108 | $141 |
| Emergency department visit | $1,159 | $376 | $69 |
| Emergency department visit (level 1) | $482 | $60 | $11 |
| Emergency department visit (level 2) | $515 | $353 | $40 |
| Emergency department visit (level 3) | $1,159 | $531 | $69 |
| Emergency department visit (level 4) | $2,732 | $872 | $118 |
| Emergency department visit (level 5) | $2,155 | $1,001 | $171 |
| Epidural steroid injection | $2,712 | $488 | $275 |
| Esophageal dilation | $3,094 | $268 | $522 |
| Estradiol (estrogen) test | $207 | $137 | $28 |
| Eye refraction (glasses prescription) | $20 | $25 | — |
| Facet joint injection (spine) | $2,543 | $517 | $99 |
| Fallopian tube X-ray (HSG) | $1,116 | $170 | $164 |
| Fecal occult blood (stool) test | $69 | $47 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $61 | $22 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $77 | $67 | $16 |
| Femoral hernia repair | $15,157 | $1,027 | $584 |
| Ferritin (iron) test | $125 | $106 | $14 |
| Fibrinogen test | $145 | $79 | $10 |
| Flexible sigmoidoscopy | $2,767 | $267 | $323 |
| Flu test | $60 | $89 | $17 |
| Folate (folic acid) test | $86 | $87 | $15 |
| Foreign body removal (skin) | $3,225 | $560 | $157 |
| Free T4 thyroid test | $116 | $93 | $9 |
| FSH hormone test | $90 | $211 | $19 |
| Gallbladder removal (laparoscopic) | $15,324 | $3,540 | $658 |
| Gallbladder scan (HIDA) | $1,968 | $162 | $334 |
| GGT liver test | $98 | $82 | $7 |
| Glaucoma surgery | $15,207 | $1,562 | $984 |
| Glucose tolerance test | $44 | $49 | $8 |
| Group therapy session | $255 | $65 | $30 |
| HDL cholesterol test | $79 | $26 | $8 |
| Hearing test (audiometry) | $265 | $179 | $36 |
| Hematocrit test | $37 | $44 | $2 |
| Hemoglobin A1c (diabetes test) | $109 | $89 | $10 |
| Hemorrhoid removal | $6,995 | $466 | $338 |
| Hepatitis B test | $72 | $89 | $10 |
| Hepatitis C test | $88 | $145 | $14 |
| Hip arthroscopy | $36,007 | $2,293 | $931 |
| HIV test | $116 | $64 | $19 |
| HIV test (antigen/antibody combo) | $81 | $64 | $24 |
| Holter heart monitor | $671 | $445 | $26 |
| Home sleep apnea test | $638 | $117 | $123 |
| Hydrocele repair | $12,101 | $4,907 | $315 |
| Hysterectomy | $27,592 | $1,713 | $933 |
| Hysteroscopy | $12,010 | $6,510 | $1,270 |
| Inguinal hernia repair | $13,429 | $6,847 | $538 |
| Iron blood test | $46 | $67 | $6 |
| IV infusion therapy | $288 | $501 | $44 |
| IV infusion therapy (each additional) | $288 | $286 | $21 |
| IV infusion therapy (initial) | $288 | $513 | $67 |
| IVC filter placement | $10,784 | $4,627 | $1,885 |
| Joint aspiration (small/intermediate) | $429 | $218 | $57 |
| Joint aspiration or injection (mid-size joint) | $442 | $218 | $57 |
| Joint aspiration or injection (small joint) | $416 | $213 | $56 |
| Kidney biopsy | $5,374 | $1,256 | $492 |
| Kidney removal (nephrectomy) | $37,019 | $1,950 | $1,164 |
| Kidney scan (nuclear) | $2,395 | $229 | $172 |
| Kidney stone shock-wave (lithotripsy) | $11,141 | $1,272 | $760 |
| Kidney ultrasound | $567 | $138 | $84 |
| Kidney ultrasound (limited) | $365 | $112 | $61 |
| Knee arthroscopy | $11,736 | $4,165 | $524 |
| Knee joint injection | $577 | $350 | $69 |
| Lactate test | $159 | $74 | $12 |
| Laminectomy (spine) | $21,099 | $2,269 | $1,157 |
| Laryngoscopy | $1,195 | $192 | $189 |
| LDH test | $59 | $69 | $6 |
| LDL cholesterol test | $59 | $32 | $11 |
| Leg artery angiogram | $2,266 | $3,751 | $149 |
| Leg artery angioplasty | $24,872 | $12,224 | — |
| Leg vein ultrasound (Doppler) | $1,126 | $420 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $931 | $554 | $116 |
| LH hormone test | $92 | $209 | $19 |
| Lipase test | $112 | $45 | $7 |
| Lipid (cholesterol) panel | $120 | $131 | $13 |
| Liver biopsy | $5,088 | $1,302 | $288 |
| Liver function panel | $222 | $194 | $8 |
| Lumbar discectomy | $18,720 | $4,683 | $898 |
| Lung function test (PFT) | $434 | $302 | $37 |
| Lung scan (V/Q) | $1,540 | $876 | $291 |
| Magnesium blood test | $105 | $76 | $7 |
| Meniscus repair (knee) | $26,214 | $4,301 | $714 |
| MRA of the brain | $2,507 | $332 | $226 |
| MRA of the brain without contrast | $3,140 | $340 | $328 |
| MRA of the neck | $2,301 | $324 | $245 |
| MRA of the neck with contrast | $2,301 | $226 | $245 |
| MRA of the neck without contrast | $3,275 | $340 | $343 |
| MRI of the abdomen | $1,667 | $415 | $300 |
| MRI of the abdomen with contrast | $1,667 | $329 | $300 |
| MRI of the abdomen without contrast | $1,382 | $274 | $194 |
| MRI of the ankle | $1,733 | $445 | $261 |
| MRI of the ankle with contrast | $1,733 | $304 | $261 |
| MRI of the ankle without contrast | $1,471 | $485 | $222 |
| MRI of the brain | $2,635 | $520 | $269 |
| MRI of the brain with contrast | $2,635 | $336 | $269 |
| MRI of the brain without contrast | $2,459 | $1,614 | $195 |
| MRI of the chest | $2,256 | $326 | $371 |
| MRI of the chest without contrast | $2,991 | $334 | $466 |
| MRI of the knee | $4,175 | $642 | $315 |
| MRI of the knee with contrast | $4,175 | $308 | $315 |
| MRI of the knee without contrast | $2,583 | $1,638 | $204 |
| MRI of the lower back (lumbar spine) | $1,893 | $422 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $1,893 | $338 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,600 | $282 | $192 |
| MRI of the mid-back (thoracic spine) | $1,949 | $460 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $3,141 | $483 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $1,949 | $363 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $1,666 | $303 | $190 |
| MRI of the neck (cervical spine) | $2,917 | $472 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $2,999 | $483 | $318 |
| MRI of the neck (cervical spine) with contrast | $2,917 | $365 | $274 |
| MRI of the neck (cervical spine) without contrast | $2,731 | $1,631 | $191 |
| MRI of the pelvis | $2,484 | $425 | $268 |
| MRI of the pelvis without contrast | $2,912 | $3,006 | $227 |
| MRI of the shoulder | $4,388 | $485 | $313 |
| MRI of the shoulder with contrast | $5,246 | $308 | $313 |
| MRI of the shoulder without contrast | $4,388 | $2,922 | $205 |
| MRI of the wrist | $2,349 | $397 | $330 |
| MRI of the wrist with contrast | $2,349 | $308 | $330 |
| MRI of the wrist without contrast | $2,211 | $1,502 | $303 |
| Nebulizer breathing treatment | $212 | $85 | $9 |
| Nuclear cardiac stress test | $4,986 | $460 | $428 |
| Occupational therapy evaluation | $345 | $299 | $101 |
| Occupational therapy evaluation (high complexity) | $345 | $356 | $101 |
| Occupational therapy evaluation (low complexity) | $357 | $243 | $101 |
| Occupational therapy evaluation (moderate complexity) | $309 | $299 | $101 |
| Office visit (established patient) | $111 | $145 | $115 |
| Office visit (new patient) | $192 | $246 | $177 |
| Office visit, established patient (level 3) | $92 | $114 | $95 |
| Office visit, established patient (level 4) | $131 | $158 | $136 |
| Office visit, new patient (level 3) | $138 | $170 | $118 |
| Office visit, new patient (level 4) | $192 | $260 | $177 |
| Office visit, new patient (level 5) | $244 | $306 | $237 |
| Pap smear (cervical screening) | $111 | $78 | $20 |
| Parathyroid hormone (PTH) test | $171 | $146 | $41 |
| Parathyroid removal | $19,311 | $3,820 | $891 |
| Pelvic ultrasound | $738 | $265 | $78 |
| Pelvic ultrasound (complete) | $902 | $265 | $105 |
| Pelvic ultrasound (limited) | $574 | $91 | $51 |
| PET scan | $6,805 | $6,958 | — |
| Phosphorus blood test | $101 | $38 | $5 |
| Physical therapy evaluation | $374 | $257 | $98 |
| Physical therapy evaluation (high complexity) | $374 | $358 | $98 |
| Physical therapy evaluation (moderate complexity) | $334 | $301 | $98 |
| Platelet count | $85 | $49 | $4 |
| Pregnancy blood test (hCG) | $125 | $96 | $8 |
| Pregnancy ultrasound | $904 | $232 | $126 |
| Pregnancy ultrasound (first trimester) | $830 | $232 | $117 |
| Pregnancy ultrasound (second or third trimester) | $979 | $188 | $136 |
| Procalcitonin test | $226 | $211 | $27 |
| Prolactin test | $178 | $110 | $19 |
| Prostate biopsy | $8,345 | $1,269 | — |
| Prostate removal (prostatectomy) | $35,164 | $7,499 | $1,063 |
| Prostate surgery (TURP) | $14,280 | $3,383 | $526 |
| Prostate test (PSA) | $116 | $115 | $18 |
| Psychiatric evaluation | $204 | $416 | $188 |
| Psychotherapy session | $310 | $302 | $140 |
| Pulmonary rehabilitation | $206 | $268 | $87 |
| Radiofrequency nerve ablation | $3,200 | $1,800 | $462 |
| Retina scan (OCT) | $73 | $50 | $33 |
| Retinal (fundus) photography | $21 | $95 | $37 |
| Rotator cuff repair | $22,568 | $3,434 | $792 |
| Routine eye exam | $129 | $103 | $88 |
| Scoliosis spine X-ray | $281 | $90 | $58 |
| Scoliosis spine X-ray (3 views) | $333 | $90 | $72 |
| Screening mammogram | $410 | $264 | $126 |
| Scrotal ultrasound | $868 | $505 | $99 |
| Sedimentation rate (ESR) test | $68 | $18 | $3 |
| Semen analysis | $113 | $81 | $12 |
| Septoplasty (deviated septum) | $13,371 | $2,548 | $613 |
| Sex hormone binding globulin test | $102 | $112 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $641 | $547 | $114 |
| Simple wound stitches | $542 | $547 | $127 |
| Sinus surgery (endoscopic) | $20,214 | $1,584 | $224 |
| Skin biopsy | $405 | $158 | $121 |
| Skin biopsy (punch) | $455 | $167 | $121 |
| Skin graft | $3,219 | $2,274 | $898 |
| Skin lesion freezing (cryotherapy) | $261 | $84 | $36 |
| Skin tag removal | $909 | $225 | $92 |
| Sleep study (polysomnography) | $4,230 | $4,210 | $691 |
| Soft tissue ultrasound | $638 | $508 | $64 |
| Speech therapy | $174 | $260 | $76 |
| Spinal cord stimulator | $11,923 | $2,506 | $2,388 |
| Spinal tap (lumbar puncture) | $6,420 | $516 | $165 |
| Spine fracture repair (kyphoplasty) | $5,827 | $2,949 | $5,803 |
| Spirometry (lung function test) | $361 | $255 | $30 |
| Spirometry with bronchodilator | $506 | $468 | $43 |
| Spleen removal (splenectomy) | $23,372 | $1,883 | $1,036 |
| Strep throat test | $93 | $75 | $17 |
| Stress echocardiogram | $2,256 | $1,499 | $209 |
| Stress echocardiogram (complete) | $2,112 | $167 | $233 |
| Swallow study | $439 | $326 | $85 |
| T3 thyroid test | $64 | $75 | $14 |
| Testicle removal (orchiectomy) | $14,390 | $2,969 | $306 |
| Testosterone test | $96 | $185 | $26 |
| Thyroid removal (thyroidectomy) | $21,943 | $1,602 | $1,004 |
| Thyroid test (TSH) | $20 | $173 | $17 |
| Thyroid uptake scan | $1,584 | $88 | $145 |
| Tonsillectomy | $8,002 | $1,114 | $252 |
| Total IgE allergy test | $66 | $107 | $16 |
| Total protein test | $79 | $45 | $4 |
| Tracheostomy | $3,139 | $2,681 | $273 |
| Transesophageal echocardiogram (TEE) | $2,391 | $2,593 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $2,569 | $2,593 | $239 |
| Transvaginal ultrasound | $671 | $124 | $118 |
| Trigger point injection | $538 | $338 | $56 |
| Trigger point injection (1-2 muscles) | $437 | $338 | $52 |
| Triglycerides test | $72 | $65 | $6 |
| Troponin (heart) test | $136 | $136 | $12 |
| Turbinate reduction | $12,540 | $734 | $294 |
| Turning a breech baby (version) | $3,305 | $399 | $94 |
| Ulnar nerve surgery (elbow) | $10,878 | $2,509 | $575 |
| Upper GI endoscopy (EGD) | $2,840 | $1,436 | $371 |
| Upper GI series (barium) | $547 | $130 | $128 |
| Ureteral stent placement | $11,548 | $3,717 | $373 |
| Ureteroscopy (stone removal) | $14,502 | $6,847 | $365 |
| Uric acid (gout) test | $43 | $54 | $5 |
| Urinalysis | $67 | $45 | $3 |
| Urine microalbumin test | $57 | $59 | $5 |
| Urine pregnancy test | $120 | $80 | $9 |
| Vaccine administration | $60 | $56 | $19 |
| Vaccine administration (each additional) | $47 | $41 | $16 |
| Varicose vein ablation | $12,496 | $2,338 | $1,018 |
| Visual field test | $42 | $95 | $64 |
| Vitamin B12 test | $78 | $86 | $15 |
| Vitamin D test | $125 | $186 | $30 |
| Wart removal | $228 | $180 | $121 |
| Wound debridement | $1,157 | $1,056 | $186 |
| X-ray of the abdomen | $347 | $50 | $36 |
| X-ray of the ankle | $408 | $68 | $37 |
| X-ray of the collarbone | $602 | $54 | $33 |
| X-ray of the elbow | $478 | $64 | $33 |
| X-ray of the facial bones | $235 | $62 | $39 |
| X-ray of the foot | $395 | $61 | $34 |
| X-ray of the forearm | $312 | $69 | $29 |
| X-ray of the hand | $406 | $55 | $38 |
| X-ray of the hip | $311 | $66 | $49 |
| X-ray of the hip (1 view) | $263 | $71 | $34 |
| X-ray of the hip (3 views) | $311 | $60 | $49 |
| X-ray of the knee | $442 | $66 | $42 |
| X-ray of the knee (2 views) | $436 | $70 | $34 |
| X-ray of the knee (3 views) | $442 | $61 | $42 |
| X-ray of the knee (4+ views) | $597 | $62 | $49 |
| X-ray of the lower back (lumbar spine) | $492 | $67 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $439 | $67 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $545 | $71 | $53 |
| X-ray of the lower leg | $345 | $74 | $31 |
| X-ray of the mid-back (thoracic spine) | $423 | $63 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $377 | $80 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $469 | $54 | $39 |
| X-ray of the neck (cervical spine) | $520 | $65 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $447 | $61 | $40 |
| X-ray of the pelvis | $345 | $52 | $36 |
| X-ray of the pelvis (1 view) | $348 | $65 | $28 |
| X-ray of the ribs | $293 | $58 | $42 |
| X-ray of the ribs (2 views) | $281 | $58 | $36 |
| X-ray of the ribs (3 views) | $389 | $86 | $42 |
| X-ray of the shoulder | $614 | $62 | $36 |
| X-ray of the skull | $321 | $71 | $40 |
| X-ray of the upper arm | $300 | $66 | $32 |
| X-ray of the wrist | $605 | $55 | $43 |
| YAG laser capsulotomy (eye) | $192 | $482 | $335 |
| Zinc blood test | $62 | $58 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
