| Procedure | Morton Plant Hospital | Mease Dunedin Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $66 | $66 | $51 |
| Abdominal fluid drain (paracentesis) | $1,121 | $1,121 | $284 |
| Abdominal ultrasound | $909 | $909 | $100 |
| Abdominal ultrasound (complete) | $1,218 | $1,218 | $114 |
| Abdominal ultrasound (limited) | $682 | $682 | $86 |
| Abscess drainage (complex or multiple) | $965 | $965 | $220 |
| Abscess drainage (simple) | $483 | $483 | $129 |
| Abscess incision and drainage | $483 | $724 | $174 |
| Achilles tendon repair | $6,238 | $6,238 | $624 |
| Albumin blood test | $8 | $8 | $5 |
| Aldosterone test | $19 | $19 | $41 |
| Alkaline phosphatase test | $28 | $28 | $5 |
| Alpha-fetoprotein (AFP) test | $52 | $52 | $17 |
| ALT liver enzyme test | $20 | $20 | $5 |
| Ammonia blood test | $17 | $17 | $15 |
| Amniocentesis | $1,313 | $1,313 | $120 |
| Amylase test | $26 | $26 | $6 |
| Anoscopy | $88 | $88 | $129 |
| Antinuclear antibody (ANA) test | $39 | $39 | $12 |
| Aortic aneurysm repair (AAA) | $4,148 | $4,148 | $1,345 |
| Arterial blood gas (ABG) | $223 | $223 | $26 |
| AST liver enzyme test | $20 | $20 | $5 |
| Barium swallow study | $707 | $707 | $107 |
| Bartholin cyst removal | $538 | $538 | $182 |
| Basic metabolic panel | $154 | $154 | $8 |
| Benign skin lesion removal | $3,232 | $3,232 | $171 |
| Bilirubin blood test | $34 | $34 | $5 |
| Bladder scope (cystoscopy) | $2,827 | $2,827 | $216 |
| Blood clotting test (PT/INR) | $50 | $50 | $4 |
| Blood crossmatch | $146 | $146 | — |
| Blood glucose test | $13 | $13 | $5 |
| Blood transfusion | $783 | $783 | $47 |
| Blood type and screen | $75 | $71 | $10 |
| Blood type test | $45 | $45 | $3 |
| Blood type test (ABO group) | $45 | $45 | $3 |
| Blood type test (Rh/D antigen) | $46 | $46 | $3 |
| BNP (heart failure) test | $132 | $132 | $39 |
| Bone density scan (DEXA) | $175 | $175 | $39 |
| Bone marrow biopsy | $2,660 | $2,660 | $172 |
| Bone scan (nuclear) | $2,181 | $2,181 | $259 |
| Botox for migraine | $587 | $587 | $157 |
| Breast biopsy | $1,027 | $1,027 | $478 |
| Breast MRI | $1,543 | $1,543 | $216 |
| Breast MRI without contrast | $1,543 | $1,543 | $216 |
| Breast ultrasound | $180 | $180 | $92 |
| Breast ultrasound (complete) | $205 | $205 | $100 |
| Breast ultrasound (limited) | $155 | $155 | $84 |
| Breathing tube insertion (intubation) | $440 | $440 | $133 |
| Bronchoscopy | $2,882 | $2,882 | $303 |
| Burn dressing and debridement (medium) | $739 | $739 | $166 |
| Burn dressing and debridement (small) | $302 | $302 | $93 |
| Burn treatment | $521 | $521 | $129 |
| C-reactive protein (CRP) | $24 | $24 | $5 |
| CA 19-9 tumor marker test | $40 | $40 | $21 |
| CA-125 ovarian marker test | $65 | $65 | $21 |
| Calcium blood test | $35 | $35 | $5 |
| Capsule endoscopy | $2,095 | $2,095 | $802 |
| Cardiac catheterization | $12,937 | $12,937 | $1,049 |
| Cardiac MRI | $1,598 | $1,598 | $322 |
| Cardiac MRI without contrast | $1,487 | $1,487 | $280 |
| Cardiac stress test | $1,504 | $1,504 | $39 |
| Cardioversion | $1,062 | $1,062 | $155 |
| Carotid artery ultrasound | $1,106 | $1,106 | $156 |
| CEA tumor marker test | $44 | $44 | $19 |
| Celiac disease test | $29 | $29 | $12 |
| Central line placement | $1,085 | $1,085 | $238 |
| Chemotherapy infusion | $566 | $566 | $81 |
| Chemotherapy infusion (each additional) | $287 | $287 | $28 |
| Chemotherapy infusion (first hour) | $844 | $844 | $133 |
| Chest fluid drain (thoracentesis) | $1,015 | $1,015 | $311 |
| Chest tube insertion | $1,516 | $1,516 | $143 |
| Chest X-ray | $515 | $515 | $37 |
| Chest X-ray (1 view) | $359 | $359 | $25 |
| Chest X-ray (2 views) | $455 | $455 | $33 |
| Chickenpox (varicella) vaccine | $285 | $285 | — |
| Circumcision | $992 | $992 | $167 |
| CK-MB heart enzyme test | $138 | $138 | $12 |
| Clotting time test (PTT) | $64 | $64 | $6 |
| Complete blood count (CBC) | $51 | $51 | $7 |
| Complete blood count (CBC) (complete) | $71 | $71 | $8 |
| Complex wound repair | $844 | $844 | $390 |
| Comprehensive metabolic panel | $194 | $194 | $11 |
| Copper blood test | $21 | $21 | $12 |
| Coronary CT angiography | $1,642 | $1,642 | $326 |
| Cortisol test | $49 | $49 | $16 |
| COVID-19 PCR test | $102 | $102 | $51 |
| CPAP titration study | $563 | $563 | $69 |
| Creatine kinase (CK) test | $71 | $71 | $7 |
| CT angiography of the chest | $3,284 | $3,284 | $281 |
| CT angiography of the head | $3,536 | $3,536 | $274 |
| CT colonography (virtual colonoscopy) | $391 | $391 | $835 |
| CT scan of the abdomen | $3,172 | $3,172 | $230 |
| CT scan of the abdomen and pelvis | $4,532 | $4,532 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $5,665 | $5,665 | $338 |
| CT scan of the abdomen and pelvis with contrast | $4,532 | $4,532 | $300 |
| CT scan of the abdomen and pelvis without contrast | $3,399 | $3,399 | $183 |
| CT scan of the abdomen with and without contrast | $3,852 | $3,852 | $259 |
| CT scan of the abdomen with contrast | $3,172 | $3,172 | $230 |
| CT scan of the abdomen without contrast | $2,266 | $2,266 | $136 |
| CT scan of the arm | $2,720 | $2,720 | $199 |
| CT scan of the arm with contrast | $2,657 | $2,657 | $199 |
| CT scan of the arm without contrast | $2,229 | $2,229 | $161 |
| CT scan of the chest | $3,349 | $3,349 | $167 |
| CT scan of the chest with and without contrast | $3,985 | $3,985 | $196 |
| CT scan of the chest with contrast | $3,349 | $3,349 | $167 |
| CT scan of the chest without contrast | $2,713 | $2,713 | $133 |
| CT scan of the head | $3,743 | $3,743 | $148 |
| CT scan of the head with and without contrast | $4,408 | $4,408 | $173 |
| CT scan of the head with contrast | $3,743 | $3,743 | $148 |
| CT scan of the head without contrast | $2,655 | $2,655 | $107 |
| CT scan of the leg | $4,429 | $4,429 | $166 |
| CT scan of the leg with contrast | $4,429 | $4,429 | $166 |
| CT scan of the leg without contrast | $3,666 | $3,666 | $130 |
| CT scan of the lower back (lumbar spine) | $4,117 | $4,117 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $4,862 | $4,862 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $4,117 | $4,117 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $3,241 | $3,241 | $130 |
| CT scan of the neck | $2,989 | $2,989 | $183 |
| CT scan of the neck (cervical spine) | $3,725 | $3,725 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $4,416 | $4,416 | $196 |
| CT scan of the neck (cervical spine) with contrast | $3,725 | $3,725 | $168 |
| CT scan of the neck (cervical spine) without contrast | $3,004 | $3,004 | $131 |
| CT scan of the neck with and without contrast | $3,616 | $3,616 | $220 |
| CT scan of the neck with contrast | $2,989 | $2,989 | $183 |
| CT scan of the neck without contrast | $2,421 | $2,421 | $150 |
| CT scan of the pelvis | $3,827 | $4,722 | $226 |
| CT scan of the pelvis with and without contrast | $5,367 | $5,367 | $251 |
| CT scan of the pelvis with contrast | $4,722 | $4,722 | $226 |
| CT scan of the pelvis without contrast | $2,933 | $2,933 | $133 |
| CT scan of the sinuses | $3,158 | $3,158 | $152 |
| CT scan of the sinuses with and without contrast | $3,842 | $3,842 | $184 |
| CT scan of the sinuses with contrast | $3,158 | $3,158 | $152 |
| CT scan of the sinuses without contrast | $2,632 | $2,632 | $128 |
| D-dimer test | $179 | $179 | $10 |
| Defibrillator (ICD) implant | $31,830 | $31,830 | $798 |
| DHEA-sulfate test | $28 | $28 | $22 |
| Diagnostic mammogram | $246 | $246 | $140 |
| Dilation and curettage (D&C) | $2,818 | $2,818 | $298 |
| Drug screen (urine) | $89 | $89 | $17 |
| Echocardiogram | $889 | $889 | $138 |
| Echocardiogram with and without contrast | $779 | $779 | $101 |
| Echocardiogram without contrast | $889 | $889 | $138 |
| EEG (awake and asleep) | $1,100 | $1,100 | $482 |
| EKG / ECG (tracing only) | $288 | $288 | $7 |
| Electrocardiogram (EKG) | $288 | $288 | $8 |
| Electroencephalogram (EEG) | $1,016 | $1,016 | $448 |
| Electrolyte panel | $161 | $161 | $7 |
| Electromyography (EMG) | $397 | $397 | $141 |
| Emergency department visit | $1,309 | $1,309 | $69 |
| Emergency department visit (level 1) | $528 | $528 | $11 |
| Emergency department visit (level 2) | $952 | $952 | $40 |
| Emergency department visit (level 3) | $1,666 | $1,666 | $69 |
| Emergency department visit (level 4) | $2,737 | $2,737 | $118 |
| Emergency department visit (level 5) | $3,966 | $3,966 | $171 |
| Epidural steroid injection | $1,391 | $1,391 | $275 |
| ERCP (bile duct endoscopy) | $3,099 | $3,099 | $311 |
| Estradiol (estrogen) test | $41 | $41 | $28 |
| Facet joint injection (spine) | $731 | $731 | $99 |
| Fallopian tube X-ray (HSG) | $330 | $330 | $164 |
| Fecal occult blood (stool) test | $30 | $30 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $17 | $17 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $54 | $54 | $16 |
| Feeding tube (PEG) placement | $4,206 | $4,206 | $178 |
| Ferritin (iron) test | $78 | $78 | $14 |
| Fibrinogen test | $91 | $91 | $10 |
| Folate (folic acid) test | $92 | $92 | $15 |
| Foreign body removal (skin) | $1,202 | $1,202 | $157 |
| Free T4 thyroid test | $52 | $52 | $9 |
| FSH hormone test | $35 | $35 | $19 |
| Gallbladder scan (HIDA) | $2,344 | $2,344 | $334 |
| GGT liver test | $21 | $21 | $7 |
| Glucose tolerance test | $54 | $54 | $8 |
| H. pylori test | $71 | $71 | $67 |
| HDL cholesterol test | $163 | $163 | $8 |
| Hematocrit test | $52 | $52 | $2 |
| Hemodialysis | $806 | $806 | $75 |
| Hemoglobin A1c (diabetes test) | $22 | $22 | $10 |
| Hemorrhoid removal | $881 | $881 | $338 |
| Hepatitis B test | $68 | $68 | $10 |
| Hepatitis B vaccine | $251 | $251 | — |
| Hepatitis C test | $83 | $83 | $14 |
| HIV test | $46 | $46 | $19 |
| HIV test (antibody) | $111 | $111 | $14 |
| HIV test (antigen/antibody combo) | $46 | $46 | $24 |
| Holter heart monitor | $483 | $483 | $26 |
| Home sleep apnea test | $239 | $239 | $123 |
| HPV vaccine | $944 | $944 | — |
| Inguinal hernia repair | $8,497 | $8,497 | $538 |
| Iron blood test | $61 | $61 | $6 |
| IUD removal | $544 | $544 | $112 |
| IV infusion therapy | $453 | $453 | $44 |
| IV infusion therapy (each additional) | $271 | $271 | $21 |
| IV infusion therapy (initial) | $635 | $635 | $67 |
| IVC filter placement | $6,910 | $6,910 | $1,885 |
| Joint aspiration (small/intermediate) | $557 | $557 | $57 |
| Joint aspiration or injection (mid-size joint) | $564 | $564 | $57 |
| Joint aspiration or injection (small joint) | $551 | $551 | $56 |
| Kidney biopsy | $1,520 | $1,520 | $492 |
| Kidney scan (nuclear) | $733 | $733 | $172 |
| Kidney ultrasound | $683 | $683 | $84 |
| Kidney ultrasound (limited) | $467 | $467 | $61 |
| Knee joint injection | $656 | $656 | $69 |
| Lactate test | $39 | $39 | $12 |
| Laryngoscopy | $289 | $289 | $189 |
| LDH test | $21 | $21 | $6 |
| LDL cholesterol test | $29 | $29 | $11 |
| Leg artery angiogram | $4,930 | $4,930 | $149 |
| Leg artery angioplasty | $12,911 | $12,911 | — |
| Leg vein ultrasound (Doppler) | $1,017 | $1,017 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $848 | $848 | $116 |
| LH hormone test | $35 | $35 | $19 |
| Lipase test | $89 | $89 | $7 |
| Lipid (cholesterol) panel | $35 | $35 | $13 |
| Liver biopsy | $1,193 | $1,193 | $288 |
| Liver function panel | $148 | $148 | $8 |
| Lung function test (PFT) | $475 | $371 | $37 |
| Lung scan (V/Q) | $1,477 | $1,477 | $291 |
| Magnesium blood test | $18 | $18 | $7 |
| MMR vaccine | $174 | $174 | — |
| MRA of the brain | $4,425 | $4,425 | $226 |
| MRA of the brain with contrast | $4,425 | $4,425 | $226 |
| MRA of the brain without contrast | $4,425 | $4,425 | $328 |
| MRA of the neck | $3,029 | $3,029 | $245 |
| MRA of the neck with contrast | $3,029 | $3,029 | $245 |
| MRA of the neck without contrast | $3,029 | $3,029 | $343 |
| MRI of the abdomen | $3,397 | $3,397 | $300 |
| MRI of the abdomen with contrast | $3,397 | $3,397 | $300 |
| MRI of the abdomen without contrast | $2,038 | $2,038 | $194 |
| MRI of the ankle | $4,266 | $4,266 | $261 |
| MRI of the ankle with contrast | $4,142 | $4,142 | $261 |
| MRI of the ankle without contrast | $3,452 | $3,452 | $222 |
| MRI of the brain | $3,687 | $3,687 | $269 |
| MRI of the brain with contrast | $3,687 | $3,687 | $269 |
| MRI of the brain without contrast | $2,672 | $2,672 | $195 |
| MRI of the chest | $2,644 | $2,644 | $371 |
| MRI of the chest with contrast | $4,732 | $4,732 | $371 |
| MRI of the chest without contrast | $2,644 | $2,644 | $466 |
| MRI of the knee | $5,612 | $5,612 | $315 |
| MRI of the knee with contrast | $9,499 | $9,499 | $315 |
| MRI of the knee without contrast | $3,653 | $3,653 | $204 |
| MRI of the lower back (lumbar spine) | $4,185 | $4,185 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $4,185 | $4,185 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $2,511 | $2,511 | $192 |
| MRI of the mid-back (thoracic spine) | $3,665 | $3,665 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $3,665 | $3,665 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $3,665 | $3,665 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $2,199 | $2,199 | $190 |
| MRI of the neck (cervical spine) | $3,065 | $3,065 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $3,065 | $3,065 | $318 |
| MRI of the neck (cervical spine) with contrast | $3,065 | $3,065 | $274 |
| MRI of the neck (cervical spine) without contrast | $1,839 | $1,839 | $191 |
| MRI of the pelvis | $3,091 | $3,091 | $268 |
| MRI of the pelvis with contrast | $3,091 | $3,091 | $268 |
| MRI of the pelvis without contrast | $1,855 | $1,855 | $227 |
| MRI of the shoulder | $4,720 | $4,720 | $313 |
| MRI of the shoulder with contrast | $7,989 | $7,989 | $313 |
| MRI of the shoulder without contrast | $3,073 | $3,073 | $205 |
| MRI of the wrist | $3,144 | $3,144 | $330 |
| MRI of the wrist with contrast | $3,743 | $3,743 | $330 |
| MRI of the wrist without contrast | $2,546 | $2,546 | $303 |
| Nebulizer breathing treatment | $92 | $92 | $9 |
| Nerve conduction study | $684 | $684 | $118 |
| Nuchal translucency ultrasound | $279 | $279 | $116 |
| Nuclear cardiac stress test | $5,370 | $5,370 | $428 |
| Occupational therapy evaluation | $145 | $274 | $101 |
| Occupational therapy evaluation (high complexity) | $145 | $343 | $101 |
| Occupational therapy evaluation (low complexity) | $87 | $206 | $101 |
| Occupational therapy evaluation (moderate complexity) | $116 | $274 | $101 |
| Pap smear (cervical screening) | $77 | $77 | $20 |
| Parathyroid hormone (PTH) test | $92 | $92 | $41 |
| Pelvic ultrasound | $882 | $882 | $78 |
| Pelvic ultrasound (complete) | $882 | $882 | $105 |
| Pelvic ultrasound (limited) | $882 | $882 | $51 |
| PET scan | $5,201 | $5,201 | — |
| Phosphorus blood test | $54 | $54 | $5 |
| Physical therapy evaluation | $150 | $239 | $98 |
| Physical therapy evaluation (high complexity) | $150 | $299 | $98 |
| Physical therapy evaluation (moderate complexity) | $120 | $239 | $98 |
| Platelet count | $56 | $56 | $4 |
| Pneumonia vaccine | $398 | $398 | — |
| Pregnancy blood test (hCG) | $101 | $101 | $8 |
| Pregnancy ultrasound | $602 | $602 | $126 |
| Pregnancy ultrasound (first trimester) | $560 | $560 | $117 |
| Pregnancy ultrasound (second or third trimester) | $644 | $644 | $136 |
| Procalcitonin test | $96 | $96 | $27 |
| Prolactin test | $31 | $31 | $19 |
| Prostate biopsy | $5,368 | $5,368 | — |
| Prostate test (PSA) | $31 | $31 | $18 |
| Psychiatric evaluation | $239 | $239 | $188 |
| Radiofrequency nerve ablation | $3,022 | $3,022 | $462 |
| Retinal (fundus) photography | $162 | $162 | $37 |
| Sacroiliac joint injection | $1,953 | $1,953 | $176 |
| Scoliosis spine X-ray | $156 | $156 | $58 |
| Scoliosis spine X-ray (1 view) | $119 | $119 | $44 |
| Scoliosis spine X-ray (3 views) | $192 | $192 | $72 |
| Screening mammogram | $273 | $273 | $126 |
| Scrotal ultrasound | $922 | $922 | $99 |
| Sedimentation rate (ESR) test | $64 | $64 | $3 |
| Sex hormone binding globulin test | $38 | $38 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $557 | $557 | $114 |
| Simple wound stitches | $657 | $657 | $127 |
| Skin biopsy | $1,177 | $1,177 | $121 |
| Skin biopsy (punch) | $1,177 | $1,177 | $121 |
| Skin graft | $4,249 | $4,249 | $898 |
| Skin lesion freezing (cryotherapy) | $125 | $125 | $36 |
| Skin tag removal | $323 | $323 | $92 |
| Sleep study (polysomnography) | $2,629 | $2,629 | $691 |
| Soft tissue ultrasound | $637 | $637 | $64 |
| Speech therapy | $173 | $173 | $76 |
| Spinal tap (lumbar puncture) | $983 | $983 | $165 |
| Spine fracture repair (kyphoplasty) | $16,148 | $16,148 | $5,803 |
| Spirometry (lung function test) | $268 | $268 | $30 |
| Spirometry with bronchodilator | $475 | $475 | $43 |
| Stress echocardiogram | $2,657 | $2,657 | $209 |
| Stress echocardiogram (complete) | $2,657 | $2,657 | $233 |
| Swallow study | $201 | $296 | $85 |
| T3 thyroid test | $74 | $74 | $14 |
| Tdap (tetanus) vaccine | $174 | $174 | — |
| Testosterone test | $32 | $32 | $26 |
| Thyroid test (TSH) | $49 | $49 | $17 |
| Thyroid ultrasound | $1,206 | $1,206 | $109 |
| Thyroid uptake scan | $973 | $973 | $145 |
| Tilt table test | $1,356 | $1,356 | $168 |
| Total IgE allergy test | $23 | $23 | $16 |
| Total protein test | $49 | $49 | $4 |
| Transesophageal echocardiogram (TEE) | $2,261 | $1,718 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $2,261 | $2,261 | $239 |
| Transvaginal ultrasound | $754 | $754 | $118 |
| Trigger point injection | $592 | $592 | $56 |
| Trigger point injection (1-2 muscles) | $592 | $592 | $52 |
| Triglycerides test | $14 | $14 | $6 |
| Troponin (heart) test | $149 | $149 | $12 |
| Upper GI endoscopy (EGD) | $2,288 | $2,288 | $371 |
| Upper GI series (barium) | $752 | $752 | $128 |
| Uric acid (gout) test | $70 | $70 | $5 |
| Urinalysis | $43 | $43 | $3 |
| Urine microalbumin test | $16 | $16 | $5 |
| Urine pregnancy test | $86 | $86 | $9 |
| Vaccine administration | $72 | $72 | $19 |
| Vaccine administration (each additional) | $36 | $36 | $16 |
| Varicose vein ablation | $6,100 | $6,100 | $1,018 |
| Vitamin B12 test | $79 | $79 | $15 |
| Vitamin D test | $56 | $56 | $30 |
| Wart removal | $125 | $125 | $121 |
| Wound debridement | $1,344 | $2,466 | $186 |
| X-ray of the abdomen | $638 | $638 | $36 |
| X-ray of the ankle | $584 | $584 | $37 |
| X-ray of the collarbone | $478 | $478 | $33 |
| X-ray of the elbow | $699 | $699 | $33 |
| X-ray of the facial bones | $626 | $626 | $39 |
| X-ray of the foot | $665 | $665 | $34 |
| X-ray of the forearm | $713 | $713 | $29 |
| X-ray of the hand | $684 | $684 | $38 |
| X-ray of the hip | $583 | $583 | $49 |
| X-ray of the hip (1 view) | $419 | $419 | $34 |
| X-ray of the hip (3 views) | $583 | $583 | $49 |
| X-ray of the hip (4 views) | $728 | $728 | $63 |
| X-ray of the knee | $881 | $881 | $42 |
| X-ray of the knee (2 views) | $796 | $796 | $34 |
| X-ray of the knee (3 views) | $889 | $889 | $42 |
| X-ray of the knee (4+ views) | $966 | $966 | $49 |
| X-ray of the lower back (lumbar spine) | $757 | $757 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $631 | $631 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $883 | $883 | $53 |
| X-ray of the lower leg | $788 | $788 | $31 |
| X-ray of the mid-back (thoracic spine) | $638 | $638 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $619 | $619 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $658 | $658 | $39 |
| X-ray of the neck (cervical spine) | $708 | $708 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $595 | $595 | $40 |
| X-ray of the pelvis | $520 | $520 | $36 |
| X-ray of the pelvis (1 view) | $473 | $473 | $28 |
| X-ray of the ribs | $662 | $662 | $42 |
| X-ray of the ribs (2 views) | $583 | $583 | $36 |
| X-ray of the ribs (3 views) | $662 | $662 | $42 |
| X-ray of the shoulder | $656 | $656 | $36 |
| X-ray of the skull | $604 | $604 | $40 |
| X-ray of the upper arm | $500 | $500 | $32 |
| X-ray of the wrist | $887 | $887 | $43 |
| Zinc blood test | $18 | $18 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.