| Procedure | Pennsylvania Hospital | Penn Presbyterian Medical Center | Medicare |
|---|
| Abdominal fluid drain (paracentesis) | $6,891 | $2,346 | $284 |
| Abdominal ultrasound | $1,684 | $2,606 | $100 |
| Abdominal ultrasound (complete) | $1,819 | $3,317 | $114 |
| Abdominal ultrasound (limited) | $1,514 | $1,895 | $86 |
| Abscess drainage (complex or multiple) | $3,691 | $1,174 | $220 |
| Abscess drainage (simple) | $957 | $599 | $129 |
| Abscess incision and drainage | $1,716 | $999 | $174 |
| Albumin blood test | $170 | $185 | $5 |
| Aldosterone test | $32 | $30 | $41 |
| Alkaline phosphatase test | $170 | $185 | $5 |
| Allergy patch testing | $63 | $134 | $5 |
| Allergy shots | $40 | $36 | $11 |
| Allergy testing | $134 | $134 | $4 |
| Alpha-fetoprotein (AFP) test | $790 | $752 | $17 |
| ALT liver enzyme test | $170 | $185 | $5 |
| Ammonia blood test | $457 | $500 | $15 |
| Amylase test | $258 | $245 | $6 |
| Anoscopy | $548 | $830 | $129 |
| Antinuclear antibody (ANA) test | $479 | $304 | $12 |
| Arterial blood gas (ABG) | $609 | $717 | $26 |
| AST liver enzyme test | $170 | $185 | $5 |
| Barium swallow study | $1,124 | $1,551 | $107 |
| Bartholin cyst removal | $1,622 | $2,151 | $182 |
| Basic metabolic panel | $263 | $287 | $8 |
| Benign skin lesion removal | $722 | $545 | $171 |
| Bilirubin blood test | $170 | $99 | $5 |
| Bladder function test (urodynamics) | $485 | $485 | $345 |
| Bladder scope (cystoscopy) | $1,506 | $621 | $216 |
| Blood clotting test (PT/INR) | $84 | $91 | $4 |
| Blood crossmatch | $460 | $446 | — |
| Blood glucose test | $111 | $132 | $5 |
| Blood transfusion | $2,288 | $1,928 | $47 |
| Blood type and screen | $662 | $643 | $10 |
| Blood type test | $251 | $239 | $3 |
| Blood type test (ABO group) | $618 | $62 | $3 |
| Blood type test (Rh/D antigen) | $213 | $239 | $3 |
| Bone density scan (DEXA) | $2,171 | $1,065 | $39 |
| Bone marrow biopsy | $6,215 | $3,186 | $172 |
| Bone scan (nuclear) | $3,866 | $3,999 | $259 |
| Botox for migraine | $415 | $2,556 | $157 |
| Breast biopsy | $4,198 | $4,263 | $478 |
| Breast ultrasound | $954 | $1,430 | $92 |
| Breast ultrasound (complete) | $1,154 | $833 | $100 |
| Breast ultrasound (limited) | $567 | $1,430 | $84 |
| Breathing tube insertion (intubation) | $3,615 | $2,178 | $133 |
| Bronchoscopy | $6,447 | $5,166 | $303 |
| Burn dressing and debridement (medium) | $1,326 | $564 | $166 |
| Burn dressing and debridement (small) | $1,092 | $1,034 | $93 |
| Burn treatment | $1,209 | $799 | $129 |
| C-reactive protein (CRP) | $493 | $403 | $5 |
| CA 19-9 tumor marker test | $249 | $251 | $21 |
| CA-125 ovarian marker test | $622 | $519 | $21 |
| Calcium blood test | $170 | $185 | $5 |
| Capsule endoscopy | $4,433 | $3,792 | $802 |
| Cardiac ablation | $61,717 | $84,715 | $759 |
| Cardiac catheterization | $59,812 | $47,228 | $1,049 |
| Cardiac MRI | $10,417 | $10,057 | $322 |
| Cardiac MRI without contrast | $7,769 | $7,731 | $280 |
| Cardiac stress test | $4,596 | $3,263 | $39 |
| Cardioversion | $3,902 | $11,360 | $155 |
| Carotid artery ultrasound | $2,988 | $2,566 | $156 |
| CEA tumor marker test | $878 | $741 | $19 |
| Celiac disease test | $194 | $185 | $12 |
| Central line placement | $3,978 | $3,694 | $238 |
| Chalazion (eyelid cyst) removal | $372 | $372 | $131 |
| Chemotherapy infusion | $1,621 | $592 | $81 |
| Chemotherapy infusion (each additional) | $1,161 | $592 | $28 |
| Chemotherapy infusion (first hour) | $2,064 | $1,501 | $133 |
| Chest fluid drain (thoracentesis) | $7,216 | $2,995 | $311 |
| Chest tube insertion | $5,076 | $6,582 | $143 |
| Chest X-ray | $615 | $1,033 | $37 |
| Chest X-ray (1 view) | $374 | $570 | $25 |
| Chest X-ray (2 views) | $654 | $863 | $33 |
| Chickenpox (varicella) vaccine | $692 | $628 | — |
| CK-MB heart enzyme test | $754 | $505 | $12 |
| Clotting time test (PTT) | $219 | $238 | $6 |
| Colonoscopy | $4,663 | $5,689 | $480 |
| Colposcopy | $281 | $282 | $161 |
| Complete blood count (CBC) | $259 | $266 | $7 |
| Complete blood count (CBC) (complete) | $273 | $281 | $8 |
| Complex wound repair | $3,233 | $2,390 | $390 |
| Comprehensive eye exam | $116 | $116 | $138 |
| Comprehensive metabolic panel | $368 | $403 | $11 |
| Contact lens fitting | $192 | $128 | — |
| Contraceptive implant (Nexplanon) | $270 | $245 | $115 |
| Coronary CT angiography | $6,796 | $4,593 | $326 |
| Cortisol test | $613 | $583 | $16 |
| COVID-19 PCR test | $590 | $245 | $51 |
| CPAP titration study | $1,129 | $903 | $69 |
| Creatine kinase (CK) test | $205 | $195 | $7 |
| CT angiography of the chest | $9,914 | $7,664 | $281 |
| CT angiography of the head | $10,059 | $7,455 | $274 |
| CT scan of the abdomen | $6,048 | $5,653 | $230 |
| CT scan of the abdomen and pelvis | $7,194 | $11,304 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $9,516 | $13,954 | $338 |
| CT scan of the abdomen and pelvis with contrast | $7,194 | $11,304 | $300 |
| CT scan of the abdomen and pelvis without contrast | $3,778 | $8,329 | $183 |
| CT scan of the abdomen with and without contrast | $7,739 | $6,751 | $259 |
| CT scan of the abdomen with contrast | $6,048 | $5,653 | $230 |
| CT scan of the abdomen without contrast | $4,765 | $4,165 | $136 |
| CT scan of the arm | $5,274 | $4,918 | $199 |
| CT scan of the arm with contrast | $5,274 | $4,918 | $199 |
| CT scan of the arm without contrast | $4,365 | $3,629 | $161 |
| CT scan of the chest | $5,518 | $5,653 | $167 |
| CT scan of the chest with and without contrast | $7,583 | $6,964 | $196 |
| CT scan of the chest with contrast | $6,041 | $5,653 | $167 |
| CT scan of the chest without contrast | $2,749 | $4,165 | $133 |
| CT scan of the head | $4,855 | $5,653 | $148 |
| CT scan of the head with and without contrast | $6,026 | $6,751 | $173 |
| CT scan of the head with contrast | $4,855 | $5,653 | $148 |
| CT scan of the head without contrast | $3,957 | $4,165 | $107 |
| CT scan of the leg | $5,285 | $4,918 | $166 |
| CT scan of the leg with contrast | $5,285 | $4,918 | $166 |
| CT scan of the leg without contrast | $4,365 | $3,636 | $130 |
| CT scan of the lower back (lumbar spine) | $5,904 | $6,443 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $7,594 | $7,253 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $5,904 | $6,443 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $4,995 | $4,165 | $130 |
| CT scan of the neck | $5,123 | $5,653 | $183 |
| CT scan of the neck (cervical spine) | $5,754 | $5,653 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $7,562 | $6,524 | $196 |
| CT scan of the neck (cervical spine) with contrast | $5,898 | $5,653 | $168 |
| CT scan of the neck (cervical spine) without contrast | $4,764 | $4,165 | $131 |
| CT scan of the neck with and without contrast | $6,424 | $6,751 | $220 |
| CT scan of the neck with contrast | $5,123 | $5,653 | $183 |
| CT scan of the neck without contrast | $4,230 | $4,371 | $150 |
| CT scan of the pelvis | $5,816 | $5,737 | $226 |
| CT scan of the pelvis with and without contrast | $7,357 | $7,207 | $251 |
| CT scan of the pelvis with contrast | $5,816 | $5,737 | $226 |
| CT scan of the pelvis without contrast | $4,918 | $4,165 | $133 |
| CT scan of the sinuses | $4,745 | $5,653 | $152 |
| CT scan of the sinuses with and without contrast | $6,493 | $6,751 | $184 |
| CT scan of the sinuses with contrast | $5,200 | $5,653 | $152 |
| CT scan of the sinuses without contrast | $2,248 | $4,165 | $128 |
| D-dimer test | $366 | $348 | $10 |
| Defibrillator (ICD) implant | $61,748 | $71,705 | $798 |
| Diagnostic mammogram | $2,240 | $1,057 | $140 |
| Dilation and curettage (D&C) | $3,116 | $1,892 | $298 |
| Droopy eyelid repair (ptosis) | $1,638 | $1,638 | $745 |
| Drug screen (urine) | $593 | $691 | $17 |
| Ear pressure test (tympanometry) | $75 | $75 | $16 |
| Ear tubes (myringotomy) | $446 | $446 | $174 |
| Echocardiogram | $3,270 | $5,206 | $138 |
| Echocardiogram with and without contrast | $3,270 | $4,228 | $101 |
| EEG (awake and asleep) | $3,980 | $3,422 | $482 |
| EKG / ECG (tracing only) | $317 | $543 | $7 |
| Electrocardiogram (EKG) | $317 | $543 | $8 |
| Electroencephalogram (EEG) | $3,653 | $3,422 | $448 |
| Electrolyte panel | $218 | $237 | $7 |
| Electromyography (EMG) | $1,110 | $723 | $141 |
| Emergency department visit | $2,126 | $2,012 | $69 |
| Emergency department visit (level 1) | $1,314 | $642 | $11 |
| Emergency department visit (level 2) | $1,473 | $1,562 | $40 |
| Emergency department visit (level 3) | $2,126 | $2,012 | $69 |
| Emergency department visit (level 4) | $3,489 | $3,297 | $118 |
| Emergency department visit (level 5) | $6,331 | $4,953 | $171 |
| Endometrial biopsy | $673 | $282 | $98 |
| ERCP (bile duct endoscopy) | $5,799 | $12,311 | $311 |
| Esophageal dilation | $1,926 | $3,910 | $522 |
| Estradiol (estrogen) test | $455 | $661 | $28 |
| Eyelid surgery (blepharoplasty) | $1,502 | $1,502 | $552 |
| Fallopian tube X-ray (HSG) | $965 | $3,040 | $164 |
| Family therapy session | $139 | $304 | $110 |
| Fecal occult blood (stool) test | $159 | $132 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $159 | $132 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $143 | $136 | $16 |
| Feeding tube (PEG) placement | $5,355 | $5,242 | $178 |
| Ferritin (iron) test | $479 | $525 | $14 |
| Fibrinogen test | $144 | $137 | $10 |
| Flexible sigmoidoscopy | $3,163 | $3,778 | $323 |
| Flu vaccine | $66 | $68 | — |
| Folate (folic acid) test | $666 | $634 | $15 |
| Foreign body removal (skin) | $1,433 | $3,315 | $157 |
| Free T4 thyroid test | $388 | $426 | $9 |
| FSH hormone test | $407 | $615 | $19 |
| GGT liver test | $127 | $132 | $7 |
| Glucose tolerance test | $306 | $335 | $8 |
| Group therapy session | $115 | $141 | $30 |
| HDL cholesterol test | $249 | $271 | $8 |
| Hearing test (audiometry) | $190 | $190 | $36 |
| Hematocrit test | $143 | $137 | $2 |
| Hemodialysis | $3,114 | $3,329 | $75 |
| Hemoglobin A1c (diabetes test) | $108 | $181 | $10 |
| Hemorrhoid removal | $2,058 | $546 | $338 |
| Hepatitis A vaccine | $306 | $284 | — |
| Hepatitis B vaccine | $191 | $220 | — |
| Hepatitis C test | $479 | $404 | $14 |
| HIV test | $371 | $183 | $19 |
| HIV test (antibody) | $501 | $137 | $14 |
| HIV test (antigen/antibody combo) | $240 | $228 | $24 |
| Holter heart monitor | $1,106 | $1,557 | $26 |
| HPV vaccine | $1,110 | $1,035 | — |
| Iron blood test | $170 | $185 | $6 |
| IUD insertion | $398 | $205 | — |
| IUD removal | $1,860 | $1,702 | $112 |
| IV infusion therapy | $1,343 | $368 | $44 |
| IV infusion therapy (each additional) | $574 | $303 | $21 |
| IV infusion therapy (initial) | $1,860 | $724 | $67 |
| IVC filter placement | $15,413 | $7,170 | $1,885 |
| Joint aspiration (small/intermediate) | $896 | $737 | $57 |
| Joint aspiration or injection (mid-size joint) | $960 | $737 | $57 |
| Joint aspiration or injection (small joint) | $895 | $751 | $56 |
| Kidney biopsy | $7,628 | $4,132 | $492 |
| Kidney scan (nuclear) | $5,827 | $4,837 | $172 |
| Kidney stone shock-wave (lithotripsy) | $4,850 | $4,492 | $760 |
| Kidney ultrasound | $1,743 | $2,791 | $84 |
| Kidney ultrasound (limited) | $1,684 | $2,738 | $61 |
| Knee joint injection | $1,232 | $1,066 | $69 |
| Lactate test | $419 | $453 | $12 |
| Laryngoscopy | $4,709 | $4,085 | $189 |
| LDH test | $170 | $185 | $6 |
| LDL cholesterol test | $249 | $262 | $11 |
| Leg artery angiogram | $8,712 | $10,488 | $149 |
| Leg artery angioplasty | $95,422 | $22,314 | — |
| Leg vein ultrasound (Doppler) | $3,084 | $2,566 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $3,084 | $2,566 | $116 |
| LH hormone test | $417 | $615 | $19 |
| Lipase test | $289 | $317 | $7 |
| Lipid (cholesterol) panel | $480 | $527 | $13 |
| Liver biopsy | $2,780 | $3,888 | $288 |
| Liver function panel | $254 | $277 | $8 |
| Lung function test (PFT) | $937 | $966 | $37 |
| Magnesium blood test | $184 | $201 | $7 |
| MMR vaccine | $352 | $332 | — |
| MRA of the brain | $10,779 | $9,251 | $226 |
| MRA of the brain with contrast | $10,779 | $9,251 | $226 |
| MRA of the brain without contrast | $18,488 | $10,783 | $328 |
| MRA of the neck | $11,141 | $9,251 | $245 |
| MRA of the neck with contrast | $11,141 | $9,251 | $245 |
| MRA of the neck without contrast | $18,474 | $10,783 | $343 |
| MRI of the abdomen | $11,768 | $5,853 | $300 |
| MRI of the abdomen with contrast | $11,768 | $5,853 | $300 |
| MRI of the abdomen without contrast | $9,437 | $5,202 | $194 |
| MRI of the ankle | $11,346 | $5,853 | $261 |
| MRI of the ankle with contrast | $11,346 | $5,853 | $261 |
| MRI of the ankle without contrast | $9,280 | $5,285 | $222 |
| MRI of the brain | $11,605 | $6,820 | $269 |
| MRI of the brain with contrast | $11,605 | $6,820 | $269 |
| MRI of the brain without contrast | $9,957 | $6,802 | $195 |
| MRI of the chest | $11,872 | $7,093 | $371 |
| MRI of the chest with contrast | $11,872 | $7,093 | $371 |
| MRI of the chest without contrast | $19,727 | $9,380 | $466 |
| MRI of the knee | $10,472 | $6,411 | $315 |
| MRI of the knee with contrast | $11,199 | $5,853 | $315 |
| MRI of the knee without contrast | $9,710 | $6,411 | $204 |
| MRI of the lower back (lumbar spine) | $11,605 | $8,858 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $11,605 | $8,858 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $10,369 | $6,802 | $192 |
| MRI of the mid-back (thoracic spine) | $11,201 | $8,858 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $19,127 | $11,736 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $11,201 | $8,858 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $10,369 | $7,310 | $190 |
| MRI of the neck (cervical spine) | $11,597 | $8,858 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $19,434 | $11,736 | $318 |
| MRI of the neck (cervical spine) with contrast | $11,597 | $8,858 | $274 |
| MRI of the neck (cervical spine) without contrast | $9,578 | $7,310 | $191 |
| MRI of the pelvis | $11,402 | $6,031 | $268 |
| MRI of the pelvis with contrast | $11,402 | $6,031 | $268 |
| MRI of the pelvis without contrast | $9,813 | $5,101 | $227 |
| MRI of the shoulder | $11,150 | $10,587 | $313 |
| MRI of the shoulder with contrast | $11,150 | $10,587 | $313 |
| MRI of the shoulder without contrast | $9,618 | $4,467 | $205 |
| MRI of the wrist | $11,360 | $6,567 | $330 |
| MRI of the wrist with contrast | $11,360 | $5,853 | $330 |
| MRI of the wrist without contrast | $9,822 | $6,567 | $303 |
| Nebulizer breathing treatment | $491 | $312 | $9 |
| Nerve conduction study | $1,258 | $927 | $118 |
| Nuclear cardiac stress test | $12,187 | $11,444 | $428 |
| Occupational therapy evaluation | $496 | $665 | $101 |
| Occupational therapy evaluation (high complexity) | $496 | $665 | $101 |
| Occupational therapy evaluation (low complexity) | $496 | $665 | $101 |
| Occupational therapy evaluation (moderate complexity) | $496 | $665 | $101 |
| Office visit (established patient) | $442 | $871 | $115 |
| Office visit, established patient (level 3) | $366 | $777 | $95 |
| Office visit, established patient (level 4) | $518 | $965 | $136 |
| Pap smear (cervical screening) | $307 | $304 | $20 |
| Parathyroid hormone (PTH) test | $839 | $724 | $41 |
| Pelvic ultrasound | $929 | $1,720 | $78 |
| Pelvic ultrasound (complete) | $1,401 | $2,575 | $105 |
| Pelvic ultrasound (limited) | $929 | $999 | $51 |
| Phosphorus blood test | $170 | $185 | $5 |
| Physical therapy evaluation | $708 | $674 | $98 |
| Physical therapy evaluation (high complexity) | $708 | $674 | $98 |
| Physical therapy evaluation (moderate complexity) | $708 | $674 | $98 |
| Platelet count | $123 | $125 | $4 |
| Pneumonia vaccine | $631 | $400 | — |
| Pregnancy blood test (hCG) | $32 | $32 | $8 |
| Pregnancy ultrasound | $1,069 | $1,488 | $126 |
| Pregnancy ultrasound (first trimester) | $1,060 | $1,092 | $117 |
| Pregnancy ultrasound (second or third trimester) | $1,680 | $1,884 | $136 |
| Procalcitonin test | $649 | $618 | $27 |
| Prolactin test | $323 | $559 | $19 |
| Prostate biopsy | $8,140 | $4,426 | — |
| Prostate test (PSA) | $554 | $599 | $18 |
| Psychiatric evaluation | $783 | $725 | $188 |
| Retina scan (OCT) | $304 | $92 | $33 |
| Retinal (fundus) photography | $506 | $109 | $37 |
| Routine eye exam | $116 | $116 | $88 |
| RSV vaccine | $537 | $537 | — |
| Scoliosis spine X-ray | $735 | $828 | $58 |
| Scoliosis spine X-ray (1 view) | $569 | $828 | $44 |
| Scoliosis spine X-ray (3 views) | $900 | $828 | $72 |
| Screening mammogram | $2,388 | $1,057 | $126 |
| Scrotal ultrasound | $2,305 | $1,938 | $99 |
| Sedimentation rate (ESR) test | $162 | $162 | $3 |
| Shingles vaccine | $776 | $713 | — |
| Simple laceration repair (small, up to 2.5 cm) | $1,286 | $708 | $114 |
| Simple wound stitches | $1,286 | $756 | $127 |
| Skin biopsy | $746 | $930 | $121 |
| Skin biopsy (punch) | $1,037 | $930 | $121 |
| Skin cancer lesion removal | $464 | $464 | $240 |
| Skin graft | $2,475 | $7,331 | $898 |
| Skin lesion freezing (cryotherapy) | $258 | $258 | $36 |
| Skin tag removal | $877 | $761 | $92 |
| Soft tissue ultrasound | $171 | $1,040 | $64 |
| Speech therapy | $262 | $321 | $76 |
| Spinal tap (lumbar puncture) | $1,174 | $1,265 | $165 |
| Spine fracture repair (kyphoplasty) | $45,002 | $37,504 | $5,803 |
| Spirometry (lung function test) | $981 | $1,083 | $30 |
| Spirometry with bronchodilator | $937 | $849 | $43 |
| Strep throat test | $20 | $48 | $17 |
| Stress echocardiogram | $2,879 | $10,866 | $209 |
| Stress echocardiogram (complete) | $1,761 | $12,705 | $233 |
| Swallow study | $1,025 | $1,008 | $85 |
| T3 thyroid test | $525 | $567 | $14 |
| Tdap (tetanus) vaccine | $175 | $170 | — |
| Testosterone test | $540 | $514 | $26 |
| Thyroid test (TSH) | $335 | $335 | $17 |
| Thyroid ultrasound | $1,512 | $1,835 | $109 |
| Thyroid uptake scan | $3,268 | $1,527 | $145 |
| Total IgE allergy test | $355 | $340 | $16 |
| Total protein test | $170 | $185 | $4 |
| Tracheostomy | $2,077 | $4,905 | $273 |
| Transesophageal echocardiogram (TEE) | $9,769 | $6,736 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $9,769 | $7,324 | $239 |
| Transvaginal ultrasound | $1,457 | $1,081 | $118 |
| Trigger point injection | $870 | $272 | $56 |
| Trigger point injection (1-2 muscles) | $857 | $803 | $52 |
| Triglycerides test | $195 | $185 | $6 |
| Troponin (heart) test | $772 | $787 | $12 |
| Upper GI endoscopy (EGD) | $3,897 | $4,150 | $371 |
| Upper GI series (barium) | $1,458 | $2,566 | $128 |
| Uric acid (gout) test | $170 | $185 | $5 |
| Urinalysis | $125 | $128 | $3 |
| Urine microalbumin test | $249 | $269 | $5 |
| Urine pregnancy test | $205 | $58 | $9 |
| Vaccine administration | $60 | $60 | $19 |
| Vaccine administration (each additional) | $50 | $45 | $16 |
| Varicose vein ablation | $4,017 | $11,735 | $1,018 |
| Visual field test | $730 | $120 | $64 |
| Vitamin B12 test | $655 | $623 | $15 |
| Vitamin D test | $334 | $318 | $30 |
| Wart removal | $271 | $271 | $121 |
| Wound debridement | $334 | $1,305 | $186 |
| X-ray of the abdomen | $545 | $993 | $36 |
| X-ray of the ankle | $467 | $919 | $37 |
| X-ray of the collarbone | $428 | $759 | $33 |
| X-ray of the elbow | $525 | $517 | $33 |
| X-ray of the facial bones | $588 | $2,169 | $39 |
| X-ray of the foot | $454 | $845 | $34 |
| X-ray of the forearm | $428 | $770 | $29 |
| X-ray of the hand | $454 | $676 | $38 |
| X-ray of the hip | $585 | $1,123 | $49 |
| X-ray of the hip (1 view) | $445 | $584 | $34 |
| X-ray of the hip (3 views) | $585 | $1,123 | $49 |
| X-ray of the hip (4 views) | $728 | $1,123 | $63 |
| X-ray of the knee | $511 | $845 | $42 |
| X-ray of the knee (2 views) | $435 | $845 | $34 |
| X-ray of the knee (3 views) | $511 | $973 | $42 |
| X-ray of the knee (4+ views) | $570 | $845 | $49 |
| X-ray of the lower back (lumbar spine) | $696 | $1,515 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $588 | $1,202 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $803 | $1,827 | $53 |
| X-ray of the lower leg | $428 | $827 | $31 |
| X-ray of the mid-back (thoracic spine) | $579 | $1,057 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $537 | $1,334 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $621 | $779 | $39 |
| X-ray of the neck (cervical spine) | $661 | $1,330 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $537 | $1,119 | $40 |
| X-ray of the pelvis | $510 | $1,003 | $36 |
| X-ray of the pelvis (1 view) | $425 | $672 | $28 |
| X-ray of the ribs | $570 | $865 | $42 |
| X-ray of the ribs (2 views) | $492 | $649 | $36 |
| X-ray of the ribs (3 views) | $570 | $1,313 | $42 |
| X-ray of the shoulder | $480 | $825 | $36 |
| X-ray of the skull | $642 | $1,581 | $40 |
| X-ray of the upper arm | $480 | $825 | $32 |
| X-ray of the wrist | $477 | $517 | $43 |
| YAG laser capsulotomy (eye) | $960 | $960 | $335 |
| Zinc blood test | $415 | $381 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
