| Procedure | New London Hospital | Cheshire Medical Center | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $112 | $51 | $51 |
| Abdominal fluid drain (paracentesis) | $574 | $669 | $284 |
| Abdominal ultrasound | $328 | $225 | $100 |
| Abdominal ultrasound (complete) | $424 | $242 | $114 |
| Abdominal ultrasound (limited) | $214 | $225 | $86 |
| Abscess drainage (complex or multiple) | $237 | $441 | $220 |
| Abscess drainage (simple) | $142 | $319 | $129 |
| Abscess incision and drainage | $176 | $392 | $174 |
| Achilles tendon repair | $1,830 | $1,642 | $624 |
| ACL knee reconstruction | $2,433 | $3,483 | $889 |
| Adenoid removal (adenoidectomy) | $415 | $796 | $204 |
| Albumin blood test | $27 | $28 | $5 |
| Aldosterone test | $43 | $26 | $41 |
| Alkaline phosphatase test | $13 | $10 | $5 |
| Alpha-fetoprotein (AFP) test | $52 | $35 | $17 |
| ALT liver enzyme test | $26 | $24 | $5 |
| Ammonia blood test | $66 | $30 | $15 |
| Amylase test | $25 | $66 | $6 |
| Anal fistula repair | $644 | $982 | $541 |
| Ankle fracture repair | $1,172 | $1,949 | $608 |
| Anoscopy | $131 | $202 | $129 |
| Antinuclear antibody (ANA) test | $50 | $16 | $12 |
| Arterial blood gas (ABG) | $71 | $59 | $26 |
| AST liver enzyme test | $21 | $31 | $5 |
| Barium swallow study | $396 | $194 | $107 |
| Bartholin cyst removal | $185 | $309 | $182 |
| Basic metabolic panel | $37 | $23 | $8 |
| Benign skin lesion removal | $243 | $393 | $171 |
| Bilirubin blood test | $25 | $20 | $5 |
| Bladder function test (urodynamics) | $682 | $668 | $345 |
| Bladder scope (cystoscopy) | $368 | $605 | $216 |
| Bladder tumor removal (TURBT) | $403 | $1,071 | $236 |
| Blood clotting test (PT/INR) | $21 | $13 | $4 |
| Blood crossmatch | $157 | $242 | — |
| Blood glucose test | $19 | $14 | $5 |
| Blood transfusion | $425 | $491 | $47 |
| Blood type and screen | $60 | $49 | $10 |
| Blood type test | $19 | $31 | $3 |
| Blood type test (ABO group) | $32 | $39 | $3 |
| Blood type test (Rh/D antigen) | $15 | $24 | $3 |
| BNP (heart failure) test | $107 | $65 | $39 |
| Bone density scan (DEXA) | $252 | $153 | $39 |
| Bone scan (nuclear) | $1,217 | $375 | $259 |
| Breast biopsy | $1,276 | $2,239 | $478 |
| Breast MRI | $466 | $285 | $216 |
| Breast MRI without contrast | $466 | $204 | $216 |
| Breast ultrasound | $308 | $102 | $92 |
| Breast ultrasound (complete) | $333 | $127 | $100 |
| Breast ultrasound (limited) | $226 | $102 | $84 |
| Breathing tube insertion (intubation) | $278 | $179 | $133 |
| Burn dressing and debridement (medium) | $238 | $286 | $166 |
| Burn treatment | $120 | $286 | $129 |
| C-reactive protein (CRP) | $50 | $39 | $5 |
| CA 19-9 tumor marker test | $85 | $64 | $21 |
| CA-125 ovarian marker test | $85 | $64 | $21 |
| Calcium blood test | $21 | $31 | $5 |
| Cardiac stress test | $319 | $307 | $39 |
| Cardioversion | $463 | $639 | $155 |
| Carotid artery ultrasound | $770 | $408 | $156 |
| Carpal tunnel release | $792 | $1,215 | $483 |
| CEA tumor marker test | $71 | $42 | $19 |
| Celiac disease test | $11 | $6 | $12 |
| Central line placement | $542 | $878 | $238 |
| Cervical LEEP procedure | $639 | $1,090 | $325 |
| Chemotherapy infusion | $204 | $225 | $81 |
| Chemotherapy infusion (each additional) | $99 | $119 | $28 |
| Chemotherapy infusion (first hour) | $310 | $346 | $133 |
| Chest fluid drain (thoracentesis) | $820 | $644 | $311 |
| Chest tube insertion | $467 | $674 | $143 |
| Chest X-ray | $150 | $148 | $37 |
| Chest X-ray (1 view) | $122 | $87 | $25 |
| Chest X-ray (2 views) | $146 | $91 | $33 |
| Chickenpox (varicella) vaccine | $139 | $168 | — |
| Circumcision | $297 | $447 | $167 |
| Clotting time test (PTT) | $29 | $33 | $6 |
| Colon resection (colectomy) | $2,267 | $3,824 | $1,238 |
| Colonoscopy | $1,595 | $1,092 | $480 |
| Colostomy | $1,796 | $2,604 | $1,122 |
| Complete blood count (CBC) | $35 | $24 | $7 |
| Complete blood count (CBC) (complete) | $43 | $12 | $8 |
| Comprehensive metabolic panel | $46 | $103 | $11 |
| Contraceptive implant (Nexplanon) | $224 | $302 | $115 |
| Copper blood test | $39 | $24 | $12 |
| Cortisol test | $32 | $19 | $16 |
| COVID-19 PCR test | $228 | $241 | $51 |
| CPAP titration study | $137 | $168 | $69 |
| Creatine kinase (CK) test | $32 | $31 | $7 |
| CT angiography of the chest | $1,360 | $658 | $281 |
| CT angiography of the head | $1,275 | $685 | $274 |
| CT scan of the abdomen | $1,134 | $429 | $230 |
| CT scan of the abdomen and pelvis | $1,919 | $778 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $2,111 | $941 | $338 |
| CT scan of the abdomen and pelvis with contrast | $1,919 | $778 | $300 |
| CT scan of the abdomen and pelvis without contrast | $1,248 | $601 | $183 |
| CT scan of the abdomen with and without contrast | $1,406 | $713 | $259 |
| CT scan of the abdomen with contrast | $1,134 | $587 | $230 |
| CT scan of the abdomen without contrast | $783 | $427 | $136 |
| CT scan of the arm | $918 | $738 | $199 |
| CT scan of the arm with contrast | $918 | $621 | $199 |
| CT scan of the arm without contrast | $623 | $436 | $161 |
| CT scan of the chest | $1,093 | $706 | $167 |
| CT scan of the chest with and without contrast | $1,266 | $660 | $196 |
| CT scan of the chest with contrast | $1,093 | $706 | $167 |
| CT scan of the chest without contrast | $646 | $454 | $133 |
| CT scan of the head | $914 | $599 | $148 |
| CT scan of the head with and without contrast | $1,145 | $1,032 | $173 |
| CT scan of the head with contrast | $873 | $553 | $148 |
| CT scan of the head without contrast | $914 | $433 | $107 |
| CT scan of the leg | $938 | $792 | $166 |
| CT scan of the leg with contrast | $938 | $532 | $166 |
| CT scan of the leg without contrast | $646 | $463 | $130 |
| CT scan of the lower back (lumbar spine) | $934 | $582 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,152 | $727 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $934 | $589 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $786 | $479 | $130 |
| CT scan of the neck | $873 | $515 | $183 |
| CT scan of the neck (cervical spine) | $936 | $902 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $1,154 | $1,070 | $196 |
| CT scan of the neck (cervical spine) with contrast | $936 | $1,000 | $168 |
| CT scan of the neck (cervical spine) without contrast | $786 | $476 | $131 |
| CT scan of the neck with and without contrast | $1,145 | $768 | $220 |
| CT scan of the neck with contrast | $873 | $590 | $183 |
| CT scan of the neck without contrast | $804 | $425 | $150 |
| CT scan of the pelvis | $1,134 | $705 | $226 |
| CT scan of the pelvis with and without contrast | $1,287 | $963 | $251 |
| CT scan of the pelvis with contrast | $1,134 | $515 | $226 |
| CT scan of the pelvis without contrast | $895 | $426 | $133 |
| CT scan of the sinuses | $873 | $739 | $152 |
| CT scan of the sinuses with and without contrast | $1,145 | $842 | $184 |
| CT scan of the sinuses with contrast | $873 | $548 | $152 |
| CT scan of the sinuses without contrast | $804 | $502 | $128 |
| D-dimer test | $59 | $25 | $10 |
| DHEA-sulfate test | $69 | $45 | $22 |
| Diagnostic mammogram | $500 | $114 | $140 |
| Dilation and curettage (D&C) | $595 | $1,009 | $298 |
| Drug screen (urine) | $92 | $57 | $17 |
| Ear tubes (myringotomy) | $371 | $542 | $174 |
| Echocardiogram | $425 | $367 | $138 |
| Echocardiogram with and without contrast | $262 | $285 | $101 |
| EKG / ECG (tracing only) | $75 | $94 | $7 |
| Electrocardiogram (EKG) | $56 | $94 | $8 |
| Electrolyte panel | $38 | $33 | $7 |
| Emergency department visit | $191 | $182 | $69 |
| Emergency department visit (level 1) | $88 | $79 | $11 |
| Emergency department visit (level 2) | $131 | $128 | $40 |
| Emergency department visit (level 3) | $223 | $207 | $69 |
| Emergency department visit (level 4) | $335 | $331 | $118 |
| Emergency department visit (level 5) | $486 | $456 | $171 |
| Endometrial biopsy | $155 | $251 | $98 |
| Epidural steroid injection | $536 | $701 | $275 |
| Estradiol (estrogen) test | $31 | $19 | $28 |
| Facet joint injection (spine) | $370 | $317 | $99 |
| Fallopian tube X-ray (HSG) | $371 | $377 | $164 |
| Fecal occult blood (stool) test | $68 | $38 | $10 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $68 | $38 | $16 |
| Feeding tube (PEG) placement | $552 | $1,335 | $178 |
| Femoral hernia repair | $907 | $1,240 | $584 |
| Ferritin (iron) test | $94 | $76 | $14 |
| Fibrinogen test | $34 | $66 | $10 |
| Flexible sigmoidoscopy | $428 | $677 | $323 |
| Folate (folic acid) test | $60 | $69 | $15 |
| Foreign body removal (skin) | $162 | $274 | $157 |
| Free T4 thyroid test | $59 | $28 | $9 |
| FSH hormone test | $48 | $31 | $19 |
| Gallbladder removal (laparoscopic) | $1,145 | $2,336 | $658 |
| Gallbladder scan (HIDA) | $1,624 | $512 | $334 |
| Ganglion cyst removal | $549 | $1,257 | $321 |
| GGT liver test | $30 | $29 | $7 |
| Glucose tolerance test | $36 | $52 | $8 |
| HDL cholesterol test | $32 | $60 | $8 |
| Hematocrit test | $11 | $7 | $2 |
| Hemoglobin A1c (diabetes test) | $40 | $25 | $10 |
| Hemorrhoid removal | $688 | $593 | $338 |
| Hepatitis A vaccine | $173 | $38 | — |
| Hepatitis B test | $46 | $22 | $10 |
| Hepatitis B vaccine | $137 | $25 | — |
| Hepatitis C test | $60 | $41 | $14 |
| Hip fracture repair | $2,394 | $3,840 | $1,120 |
| Hip replacement | $2,447 | $4,060 | $1,162 |
| HIV test | $67 | $33 | $19 |
| HIV test (antigen/antibody combo) | $67 | $41 | $24 |
| Holter heart monitor | $289 | $269 | $26 |
| HPV vaccine | $604 | $284 | — |
| Hydrocele repair | $770 | $957 | $315 |
| Hysterectomy | $2,005 | $2,568 | $933 |
| Hysteroscopy | $704 | $942 | $1,270 |
| Ileostomy | $1,561 | $2,103 | $968 |
| Inguinal hernia repair | $1,277 | $1,673 | $538 |
| Iron blood test | $40 | $28 | $6 |
| IUD insertion | $190 | $190 | — |
| IUD removal | $254 | $219 | $112 |
| IV infusion therapy | $150 | $161 | $44 |
| IV infusion therapy (each additional) | $72 | $69 | $21 |
| IV infusion therapy (initial) | $228 | $258 | $67 |
| Joint aspiration (small/intermediate) | $77 | $185 | $57 |
| Joint aspiration or injection (mid-size joint) | $64 | $185 | $57 |
| Joint aspiration or injection (small joint) | $152 | $193 | $56 |
| Kidney scan (nuclear) | $874 | $545 | $172 |
| Kidney ultrasound | $139 | $189 | $84 |
| Kidney ultrasound (limited) | $120 | $179 | $61 |
| Knee arthroscopy | $1,228 | $2,101 | $524 |
| Knee joint injection | $194 | $226 | $69 |
| Lactate test | $46 | $32 | $12 |
| Laryngoscopy | $250 | $363 | $189 |
| LDH test | $30 | $19 | $6 |
| LDL cholesterol test | $37 | $23 | $11 |
| Leg vein ultrasound (Doppler) | $485 | $150 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $345 | $127 | $116 |
| LH hormone test | $54 | $35 | $19 |
| Lipase test | $34 | $62 | $7 |
| Lipid (cholesterol) panel | $59 | $36 | $13 |
| Liver biopsy | $616 | $631 | $288 |
| Liver function panel | $36 | $56 | $8 |
| Lumpectomy (breast) | $1,372 | $1,614 | $750 |
| Lung function test (PFT) | $202 | $100 | $37 |
| Magnesium blood test | $40 | $43 | $7 |
| Mastectomy | $2,018 | $1,977 | $1,021 |
| Meniscus repair (knee) | $1,160 | $2,282 | $714 |
| MMR vaccine | $220 | $109 | — |
| MRA of the brain | $1,504 | $834 | $226 |
| MRA of the brain with contrast | $1,504 | $834 | $226 |
| MRA of the brain without contrast | $1,966 | $1,355 | $328 |
| MRA of the neck | $1,504 | $1,424 | $245 |
| MRA of the neck with contrast | $1,504 | $915 | $245 |
| MRA of the neck without contrast | $1,966 | $2,484 | $343 |
| MRI of the abdomen | $1,769 | $1,356 | $300 |
| MRI of the abdomen without contrast | $1,295 | $772 | $194 |
| MRI of the ankle | $1,644 | $1,043 | $261 |
| MRI of the ankle without contrast | $1,259 | $603 | $222 |
| MRI of the brain | $1,768 | $1,356 | $269 |
| MRI of the brain with contrast | $1,768 | $1,703 | $269 |
| MRI of the brain without contrast | $1,185 | $765 | $195 |
| MRI of the chest | $1,804 | $1,920 | $371 |
| MRI of the chest without contrast | $2,359 | $2,484 | $466 |
| MRI of the knee | $1,676 | $1,076 | $315 |
| MRI of the knee with contrast | $1,676 | $1,087 | $315 |
| MRI of the knee without contrast | $1,259 | $616 | $204 |
| MRI of the lower back (lumbar spine) | $1,515 | $1,356 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $1,515 | $1,703 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,382 | $778 | $192 |
| MRI of the mid-back (thoracic spine) | $1,515 | $1,356 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $1,969 | $1,367 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $1,515 | $1,356 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $1,382 | $785 | $190 |
| MRI of the neck (cervical spine) | $1,515 | $1,356 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $1,969 | $1,378 | $318 |
| MRI of the neck (cervical spine) with contrast | $1,515 | $1,703 | $274 |
| MRI of the neck (cervical spine) without contrast | $1,382 | $777 | $191 |
| MRI of the pelvis | $1,721 | $1,043 | $268 |
| MRI of the pelvis without contrast | $1,249 | $607 | $227 |
| MRI of the shoulder | $1,969 | $1,070 | $313 |
| MRI of the shoulder with contrast | $1,969 | $1,076 | $313 |
| MRI of the shoulder without contrast | $1,251 | $615 | $205 |
| MRI of the wrist | $1,722 | $954 | $330 |
| MRI of the wrist without contrast | $1,251 | $530 | $303 |
| Nebulizer breathing treatment | $81 | $74 | $9 |
| Neck (cervical) spinal fusion | $2,909 | $3,658 | $1,410 |
| Nerve conduction study | $271 | $343 | $118 |
| Nuclear cardiac stress test | $1,837 | $1,572 | $428 |
| Occupational therapy evaluation | $179 | $206 | $101 |
| Occupational therapy evaluation (high complexity) | $192 | $206 | $101 |
| Occupational therapy evaluation (low complexity) | $154 | $206 | $101 |
| Occupational therapy evaluation (moderate complexity) | $179 | $206 | $101 |
| Office visit (established patient) | $70 | $78 | $115 |
| Office visit (new patient) | $163 | $220 | $177 |
| Office visit, established patient (level 3) | $70 | $52 | $95 |
| Office visit, established patient (level 4) | $83 | $78 | $136 |
| Office visit, new patient (level 3) | $126 | $149 | $118 |
| Office visit, new patient (level 4) | $163 | $220 | $177 |
| Office visit, new patient (level 5) | $207 | $276 | $237 |
| Orthopedic hardware removal | $618 | $1,301 | $632 |
| Pap smear (cervical screening) | $112 | $54 | $20 |
| Parathyroid hormone (PTH) test | $97 | $27 | $41 |
| Pelvic ultrasound | $195 | $121 | $78 |
| Pelvic ultrasound (complete) | $399 | $233 | $105 |
| Pelvic ultrasound (limited) | $147 | $90 | $51 |
| Phosphorus blood test | $46 | $35 | $5 |
| Physical therapy evaluation | $166 | $206 | $98 |
| Physical therapy evaluation (high complexity) | $179 | $206 | $98 |
| Physical therapy evaluation (moderate complexity) | $166 | $206 | $98 |
| Pilonidal cyst removal | $550 | $863 | $541 |
| Platelet count | $19 | $30 | $4 |
| Pregnancy ultrasound | $390 | $228 | $126 |
| Pregnancy ultrasound (first trimester) | $346 | $278 | $117 |
| Pregnancy ultrasound (second or third trimester) | $434 | $193 | $136 |
| Prolactin test | $59 | $32 | $19 |
| Prostate surgery (TURP) | $1,196 | $2,664 | $526 |
| Prostate test (PSA) | $92 | $60 | $18 |
| Psychiatric evaluation | $141 | $160 | $188 |
| Psychotherapy session | $108 | $146 | $140 |
| Radiofrequency nerve ablation | $862 | $857 | $462 |
| Rotator cuff repair | $1,916 | $2,446 | $792 |
| RSV vaccine | $227 | $137 | — |
| Sacroiliac joint injection | $413 | $759 | $176 |
| Scoliosis spine X-ray | $201 | $107 | $58 |
| Scoliosis spine X-ray (1 view) | $144 | $104 | $44 |
| Scoliosis spine X-ray (3 views) | $259 | $108 | $72 |
| Screening mammogram | $464 | $136 | $126 |
| Scrotal ultrasound | $205 | $237 | $99 |
| Sedimentation rate (ESR) test | $29 | $25 | $3 |
| Semen analysis | $41 | $42 | $12 |
| Septoplasty (deviated septum) | $931 | $1,908 | $613 |
| Sex hormone binding globulin test | $32 | $19 | $22 |
| Shingles vaccine | $169 | $102 | — |
| Shoulder arthroscopy | $1,626 | $3,148 | $962 |
| Shoulder replacement | $2,234 | $4,120 | $1,300 |
| Simple laceration repair (small, up to 2.5 cm) | $134 | $302 | $114 |
| Simple wound stitches | $151 | $302 | $127 |
| Sinus surgery (endoscopic) | $557 | $1,404 | $224 |
| Skin biopsy | $135 | $220 | $121 |
| Skin cancer lesion removal | $337 | $429 | $240 |
| Skin graft | $1,189 | $1,980 | $898 |
| Skin lesion freezing (cryotherapy) | $77 | $82 | $36 |
| Skin tag removal | $128 | $289 | $92 |
| Small bowel resection | $1,820 | $2,288 | $1,136 |
| Soft tissue ultrasound | $109 | $92 | $64 |
| Speech therapy | $96 | $90 | $76 |
| Spinal cord stimulator | $1,445 | $4,103 | $2,388 |
| Spinal tap (lumbar puncture) | $740 | $563 | $165 |
| Spirometry (lung function test) | $151 | $100 | $30 |
| Spirometry with bronchodilator | $278 | $184 | $43 |
| Strep throat test | $47 | $39 | $17 |
| Stress echocardiogram | $1,133 | $738 | $209 |
| Stress echocardiogram (complete) | $1,133 | $521 | $233 |
| Swallow study | $205 | $206 | $85 |
| T3 thyroid test | $58 | $51 | $14 |
| Tdap (tetanus) vaccine | $111 | $21 | — |
| Testicle removal (orchiectomy) | $919 | $640 | $306 |
| Testosterone test | $39 | $23 | $26 |
| Thyroid test (TSH) | $36 | $34 | $17 |
| Thyroid ultrasound | $271 | $179 | $109 |
| Tonsillectomy | $900 | $1,169 | $252 |
| Total IgE allergy test | $60 | $51 | $16 |
| Total protein test | $18 | $31 | $4 |
| Transvaginal ultrasound | $275 | $207 | $118 |
| Trigger finger release | $957 | $1,757 | $630 |
| Trigger point injection | $72 | $194 | $56 |
| Trigger point injection (1-2 muscles) | $68 | $226 | $52 |
| Triglycerides test | $25 | $39 | $6 |
| Troponin (heart) test | $133 | $92 | $12 |
| Turbinate reduction | $667 | $1,131 | $294 |
| Ulnar nerve surgery (elbow) | $916 | $1,540 | $575 |
| Upper GI endoscopy (EGD) | $1,079 | $998 | $371 |
| Upper GI series (barium) | $420 | $237 | $128 |
| Uric acid (gout) test | $22 | $35 | $5 |
| Urinalysis | $16 | $10 | $3 |
| Urine microalbumin test | $34 | $20 | $5 |
| Urine pregnancy test | $26 | $32 | $9 |
| Vaccine administration | $38 | $23 | $19 |
| Vaccine administration (each additional) | $24 | $15 | $16 |
| Varicocele repair | $494 | $725 | $327 |
| Vasectomy | $505 | $950 | $347 |
| Vitamin B12 test | $75 | $69 | $15 |
| Vitamin D test | $120 | $78 | $30 |
| Wart removal | $166 | $195 | $121 |
| Wound debridement | $200 | $429 | $186 |
| Wrist fracture repair | $1,151 | $1,234 | $735 |
| X-ray of the abdomen | $148 | $148 | $36 |
| X-ray of the ankle | $161 | $93 | $37 |
| X-ray of the collarbone | $114 | $89 | $33 |
| X-ray of the elbow | $126 | $87 | $33 |
| X-ray of the facial bones | $140 | $103 | $39 |
| X-ray of the foot | $152 | $97 | $34 |
| X-ray of the forearm | $100 | $81 | $29 |
| X-ray of the hand | $134 | $86 | $38 |
| X-ray of the hip | $142 | $105 | $49 |
| X-ray of the hip (1 view) | $113 | $66 | $34 |
| X-ray of the hip (3 views) | $171 | $108 | $49 |
| X-ray of the knee | $148 | $91 | $42 |
| X-ray of the knee (2 views) | $126 | $89 | $34 |
| X-ray of the knee (3 views) | $148 | $101 | $42 |
| X-ray of the knee (4+ views) | $201 | $113 | $49 |
| X-ray of the lower back (lumbar spine) | $160 | $122 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $135 | $118 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $185 | $138 | $53 |
| X-ray of the lower leg | $113 | $90 | $31 |
| X-ray of the mid-back (thoracic spine) | $131 | $104 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $128 | $104 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $134 | $122 | $39 |
| X-ray of the neck (cervical spine) | $196 | $110 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $134 | $110 | $40 |
| X-ray of the pelvis | $140 | $113 | $36 |
| X-ray of the pelvis (1 view) | $129 | $113 | $28 |
| X-ray of the ribs | $137 | $152 | $42 |
| X-ray of the ribs (2 views) | $123 | $90 | $36 |
| X-ray of the ribs (3 views) | $137 | $143 | $42 |
| X-ray of the shoulder | $179 | $113 | $36 |
| X-ray of the skull | $144 | $120 | $40 |
| X-ray of the upper arm | $115 | $81 | $32 |
| X-ray of the wrist | $152 | $75 | $43 |
| Zinc blood test | $29 | $18 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
