| Procedure | Poudre Valley Hospital | Longmont United Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $60 | $16 | $51 |
| Abdominal fluid drain (paracentesis) | $1,914 | $2,356 | $284 |
| Abdominal ultrasound | $720 | $655 | $100 |
| Abdominal ultrasound (complete) | $823 | $693 | $114 |
| Abdominal ultrasound (limited) | $617 | $618 | $86 |
| Abscess drainage (complex or multiple) | $886 | $455 | $220 |
| Abscess drainage (simple) | $463 | $256 | $129 |
| Abscess incision and drainage | $886 | $430 | $174 |
| Acupuncture | $37 | $47 | $38 |
| Acupuncture (each additional) | $32 | $46 | $28 |
| Albumin blood test | $67 | $45 | $5 |
| Aldosterone test | $40 | $280 | $41 |
| Alkaline phosphatase test | $22 | $122 | $5 |
| Alpha-fetoprotein (AFP) test | $79 | $97 | $17 |
| ALT liver enzyme test | $56 | $38 | $5 |
| Ammonia blood test | $162 | $126 | $15 |
| Amniocentesis | $982 | $809 | $120 |
| Amylase test | $241 | $135 | $6 |
| Antinuclear antibody (ANA) test | $58 | $142 | $12 |
| Aortic valve replacement | $12,461 | $23,113 | $1,603 |
| Arterial blood gas (ABG) | $343 | $138 | $26 |
| AST liver enzyme test | $112 | $76 | $5 |
| Barium swallow study | $561 | $680 | $107 |
| Basic metabolic panel | $183 | $102 | $8 |
| Benign skin lesion removal | $781 | $487 | $171 |
| Bilirubin blood test | $22 | $38 | $5 |
| Bladder scope (cystoscopy) | $1,462 | $1,541 | $216 |
| Blood clotting test (PT/INR) | $87 | $69 | $4 |
| Blood crossmatch | $186 | $501 | — |
| Blood glucose test | $133 | $52 | $5 |
| Blood transfusion | $805 | $1,096 | $47 |
| Blood type and screen | $124 | $305 | $10 |
| Blood type test | $58 | $60 | $3 |
| Blood type test (ABO group) | $67 | $68 | $3 |
| Blood type test (Rh/D antigen) | $31 | $51 | $3 |
| BNP (heart failure) test | $211 | $347 | $39 |
| Bone density scan (DEXA) | $608 | $391 | $39 |
| Bone marrow biopsy | $2,248 | $2,416 | $172 |
| Bone scan (nuclear) | $2,019 | $2,443 | $259 |
| Botox for migraine | $678 | $612 | $157 |
| Breast biopsy | $5,635 | $3,773 | $478 |
| Breast MRI | $953 | $2,106 | $216 |
| Breast MRI without contrast | $1,390 | $2,371 | $216 |
| Breast ultrasound | $478 | $693 | $92 |
| Breast ultrasound (complete) | $502 | $923 | $100 |
| Breast ultrasound (limited) | $454 | $693 | $84 |
| Breathing tube insertion (intubation) | $860 | $1,122 | $133 |
| Bronchoscopy | $2,413 | $1,868 | $303 |
| Burn dressing and debridement (medium) | $363 | $378 | $166 |
| Burn dressing and debridement (small) | $321 | $315 | $93 |
| Burn treatment | $363 | $346 | $129 |
| C-reactive protein (CRP) | $203 | $122 | $5 |
| CA 19-9 tumor marker test | $70 | $120 | $21 |
| CA-125 ovarian marker test | $225 | $120 | $21 |
| Calcium blood test | $53 | $76 | $5 |
| Capsule endoscopy | $2,126 | $1,615 | $802 |
| Cardiac ablation | $54,218 | $25,701 | $759 |
| Cardiac catheterization | $12,153 | $11,327 | $1,049 |
| Cardiac MRI | $1,712 | $1,224 | $322 |
| Cardiac MRI without contrast | $1,353 | $968 | $280 |
| Cardiac rehabilitation | $339 | $262 | $26 |
| Cardiac stress test | $702 | $2,078 | $39 |
| Cardioversion | $988 | $4,014 | $155 |
| Carotid artery ultrasound | $826 | $786 | $156 |
| CEA tumor marker test | $366 | $109 | $19 |
| Celiac disease test | $52 | $62 | $12 |
| Central line placement | $3,562 | $1,147 | $238 |
| Chemotherapy infusion | $530 | $483 | $81 |
| Chemotherapy infusion (each additional) | $221 | $448 | $28 |
| Chemotherapy infusion (first hour) | $839 | $517 | $133 |
| Chest fluid drain (thoracentesis) | $1,871 | $2,644 | $311 |
| Chest tube insertion | $1,877 | $2,552 | $143 |
| Chest X-ray | $423 | $432 | $37 |
| Chest X-ray (1 view) | $379 | $351 | $25 |
| Chest X-ray (2 views) | $404 | $393 | $33 |
| Chickenpox (varicella) vaccine | $396 | $343 | — |
| CK-MB heart enzyme test | $128 | $77 | $12 |
| Clotting time test (PTT) | $27 | $93 | $6 |
| Complete blood count (CBC) | $153 | $94 | $7 |
| Complete blood count (CBC) (complete) | $199 | $118 | $8 |
| Comprehensive metabolic panel | $230 | $112 | $11 |
| Contraceptive implant (Nexplanon) | $295 | $585 | $115 |
| Copper blood test | $163 | $69 | $12 |
| Coronary CT angiography | $1,420 | $674 | $326 |
| Cortisol test | $250 | $94 | $16 |
| COVID-19 PCR test | $70 | $62 | $51 |
| CPAP titration study | $657 | $1,232 | $69 |
| Creatine kinase (CK) test | $130 | $38 | $7 |
| CT angiography of the chest | $3,142 | $3,307 | $281 |
| CT angiography of the head | $2,151 | $3,283 | $274 |
| CT scan of the abdomen | $1,853 | $2,829 | $230 |
| CT scan of the abdomen and pelvis | $4,654 | $5,357 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $4,942 | $6,186 | $338 |
| CT scan of the abdomen and pelvis with contrast | $4,654 | $5,357 | $300 |
| CT scan of the abdomen and pelvis without contrast | $3,175 | $4,121 | $183 |
| CT scan of the abdomen with and without contrast | $2,221 | $3,240 | $259 |
| CT scan of the abdomen with contrast | $1,853 | $2,829 | $230 |
| CT scan of the abdomen without contrast | $1,600 | $2,167 | $136 |
| CT scan of the arm | $1,644 | $2,900 | $199 |
| CT scan of the arm with contrast | $1,644 | $2,888 | $199 |
| CT scan of the arm without contrast | $1,431 | $2,429 | $161 |
| CT scan of the chest | $2,153 | $2,957 | $167 |
| CT scan of the chest with and without contrast | $2,634 | $3,013 | $196 |
| CT scan of the chest with contrast | $2,153 | $2,957 | $167 |
| CT scan of the chest without contrast | $1,229 | $2,099 | $133 |
| CT scan of the head | $2,129 | $2,604 | $148 |
| CT scan of the head with and without contrast | $2,686 | $3,105 | $173 |
| CT scan of the head with contrast | $2,283 | $2,604 | $148 |
| CT scan of the head without contrast | $1,975 | $2,353 | $107 |
| CT scan of the leg | $1,653 | $3,354 | $166 |
| CT scan of the leg with contrast | $1,653 | $3,507 | $166 |
| CT scan of the leg without contrast | $1,226 | $2,248 | $130 |
| CT scan of the lower back (lumbar spine) | $1,709 | $2,519 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $2,050 | $2,546 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,709 | $2,519 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,580 | $2,302 | $130 |
| CT scan of the neck | $1,644 | $2,978 | $183 |
| CT scan of the neck (cervical spine) | $2,333 | $2,581 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $2,615 | $2,672 | $196 |
| CT scan of the neck (cervical spine) with contrast | $2,333 | $2,581 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,747 | $2,307 | $131 |
| CT scan of the neck with and without contrast | $1,941 | $3,342 | $220 |
| CT scan of the neck with contrast | $1,644 | $2,978 | $183 |
| CT scan of the neck without contrast | $1,580 | $2,224 | $150 |
| CT scan of the pelvis | $1,691 | $2,528 | $226 |
| CT scan of the pelvis with and without contrast | $1,896 | $2,946 | $251 |
| CT scan of the pelvis with contrast | $1,691 | $2,528 | $226 |
| CT scan of the pelvis without contrast | $1,665 | $1,953 | $133 |
| CT scan of the sinuses | $1,733 | $2,687 | $152 |
| CT scan of the sinuses with and without contrast | $2,178 | $3,225 | $184 |
| CT scan of the sinuses with contrast | $1,733 | $2,687 | $152 |
| CT scan of the sinuses without contrast | $1,225 | $2,056 | $128 |
| D-dimer test | $145 | $151 | $10 |
| Defibrillator (ICD) implant | $48,924 | $33,120 | $798 |
| DHEA-sulfate test | $115 | $225 | $22 |
| Diagnostic mammogram | $450 | $265 | $140 |
| Drug screen (urine) | $186 | $38 | $17 |
| Echocardiogram | $912 | $1,731 | $138 |
| Echocardiogram with and without contrast | $721 | $923 | $101 |
| Echocardiogram without contrast | $912 | $1,731 | $138 |
| EEG (awake and asleep) | $1,992 | $1,905 | $482 |
| EKG / ECG (tracing only) | $234 | $332 | $7 |
| Electrocardiogram (EKG) | $234 | $332 | $8 |
| Electroencephalogram (EEG) | $1,976 | $1,715 | $448 |
| Electrolyte panel | $167 | $148 | $7 |
| Electromyography (EMG) | $329 | $613 | $141 |
| Emergency department visit | $883 | $1,558 | $69 |
| Emergency department visit (level 1) | $299 | $362 | $11 |
| Emergency department visit (level 2) | $516 | $697 | $40 |
| Emergency department visit (level 3) | $883 | $1,558 | $69 |
| Emergency department visit (level 4) | $1,273 | $3,343 | $118 |
| Emergency department visit (level 5) | $2,487 | $7,026 | $171 |
| Endometrial biopsy | $277 | $569 | $98 |
| Epidural steroid injection | $1,803 | $1,069 | $275 |
| Estradiol (estrogen) test | $260 | $161 | $28 |
| Facet joint injection (spine) | $2,106 | $1,833 | $99 |
| Fallopian tube X-ray (HSG) | $1,495 | $463 | $164 |
| Family therapy session | $431 | $186 | $110 |
| Fecal occult blood (stool) test | $21 | $56 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $21 | $12 | $4 |
| Ferritin (iron) test | $201 | $79 | $14 |
| Fibrinogen test | $246 | $87 | $10 |
| Flu test | $57 | $53 | $17 |
| Folate (folic acid) test | $341 | $85 | $15 |
| Foreign body removal (skin) | $614 | $426 | $157 |
| Free T4 thyroid test | $209 | $57 | $9 |
| FSH hormone test | $131 | $107 | $19 |
| Gallbladder scan (HIDA) | $2,331 | $2,065 | $334 |
| GGT liver test | $67 | $42 | $7 |
| Glucose tolerance test | $145 | $48 | $8 |
| Group therapy session | $291 | $186 | $30 |
| H. pylori test | $218 | $91 | $67 |
| HDL cholesterol test | $199 | $158 | $8 |
| Hematocrit test | $108 | $55 | $2 |
| Hemodialysis | $1,166 | $1,526 | $75 |
| Hemoglobin A1c (diabetes test) | $203 | $56 | $10 |
| Hepatitis A vaccine | $148 | $197 | — |
| Hepatitis B test | $99 | $57 | $10 |
| Hepatitis B vaccine | $99 | $165 | — |
| Hepatitis C test | $60 | $74 | $14 |
| HIV test | $33 | $122 | $19 |
| HIV test (antibody) | $33 | $118 | $14 |
| Holter heart monitor | $516 | $1,023 | $26 |
| Home sleep apnea test | $578 | $350 | $123 |
| Iron blood test | $210 | $90 | $6 |
| IUD insertion | $852 | $569 | — |
| IV infusion therapy | $301 | $268 | $44 |
| IV infusion therapy (each additional) | $161 | $232 | $21 |
| IV infusion therapy (initial) | $442 | $455 | $67 |
| IVC filter placement | $23,017 | $6,165 | $1,885 |
| Joint aspiration (small/intermediate) | $537 | $317 | $57 |
| Joint aspiration or injection (mid-size joint) | $532 | $317 | $57 |
| Joint aspiration or injection (small joint) | $543 | $621 | $56 |
| Kidney biopsy | $2,348 | $1,237 | $492 |
| Kidney scan (nuclear) | $2,368 | $2,840 | $172 |
| Kidney ultrasound | $658 | $768 | $84 |
| Kidney ultrasound (limited) | $620 | $683 | $61 |
| Knee joint injection | $620 | $475 | $69 |
| Lactate test | $15 | $90 | $12 |
| Laryngoscopy | $1,518 | $415 | $189 |
| LDH test | $46 | $35 | $6 |
| LDL cholesterol test | $109 | $71 | $11 |
| Leg artery angiogram | $3,686 | $2,331 | $149 |
| Leg artery angioplasty | $16,090 | $11,883 | — |
| Leg vein ultrasound (Doppler) | $1,529 | $786 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $1,397 | $649 | $116 |
| LH hormone test | $190 | $107 | $19 |
| Lipase test | $148 | $140 | $7 |
| Lipid (cholesterol) panel | $196 | $196 | $13 |
| Liver biopsy | $3,434 | $1,495 | $288 |
| Liver function panel | $190 | $101 | $8 |
| Lung function test (PFT) | $474 | $686 | $37 |
| Lung scan (V/Q) | $2,806 | $2,482 | $291 |
| Magnesium blood test | $149 | $39 | $7 |
| MMR vaccine | $186 | $217 | — |
| MRA of the brain | $3,249 | $2,515 | $226 |
| MRA of the brain with contrast | $3,249 | $2,515 | $226 |
| MRA of the brain without contrast | $3,492 | $3,631 | $328 |
| MRA of the neck | $3,492 | $2,832 | $245 |
| MRA of the neck with contrast | $3,492 | $2,832 | $245 |
| MRA of the neck without contrast | $4,029 | $3,206 | $343 |
| MRI of the abdomen | $2,774 | $2,838 | $300 |
| MRI of the abdomen with contrast | $2,774 | $2,838 | $300 |
| MRI of the abdomen without contrast | $2,155 | $2,521 | $194 |
| MRI of the ankle | $2,496 | $5,240 | $261 |
| MRI of the ankle with contrast | $2,496 | $5,738 | $261 |
| MRI of the ankle without contrast | $1,607 | $3,557 | $222 |
| MRI of the brain | $2,597 | $2,981 | $269 |
| MRI of the brain with contrast | $2,597 | $2,981 | $269 |
| MRI of the brain without contrast | $2,169 | $2,888 | $195 |
| MRI of the chest | $2,794 | $2,664 | $371 |
| MRI of the chest without contrast | $3,291 | $3,330 | $466 |
| MRI of the knee | $1,924 | $2,880 | $315 |
| MRI of the knee with contrast | $1,924 | $3,927 | $315 |
| MRI of the knee without contrast | $1,841 | $2,414 | $204 |
| MRI of the lower back (lumbar spine) | $2,741 | $3,079 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $2,741 | $3,079 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $2,157 | $2,677 | $192 |
| MRI of the mid-back (thoracic spine) | $2,741 | $2,736 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $2,878 | $3,268 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $2,741 | $2,736 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $2,232 | $2,446 | $190 |
| MRI of the neck (cervical spine) | $2,741 | $2,803 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $2,878 | $3,097 | $318 |
| MRI of the neck (cervical spine) with contrast | $2,741 | $2,803 | $274 |
| MRI of the neck (cervical spine) without contrast | $2,110 | $2,562 | $191 |
| MRI of the pelvis | $2,869 | $2,292 | $268 |
| MRI of the pelvis with contrast | $2,869 | $2,292 | $268 |
| MRI of the pelvis without contrast | $2,440 | $1,451 | $227 |
| MRI of the shoulder | $2,353 | $2,965 | $313 |
| MRI of the shoulder with contrast | $2,353 | $2,821 | $313 |
| MRI of the shoulder without contrast | $1,837 | $3,546 | $205 |
| MRI of the wrist | $1,677 | $4,318 | $330 |
| MRI of the wrist with contrast | $1,677 | $5,397 | $330 |
| MRI of the wrist without contrast | $1,568 | $2,343 | $303 |
| Nebulizer breathing treatment | $153 | $164 | $9 |
| Nerve conduction study | $383 | $952 | $118 |
| Nuchal translucency ultrasound | $762 | $664 | $116 |
| Nuclear cardiac stress test | $5,352 | $5,321 | $428 |
| Occupational therapy evaluation | $263 | $338 | $101 |
| Occupational therapy evaluation (high complexity) | $271 | $372 | $101 |
| Occupational therapy evaluation (low complexity) | $257 | $305 | $101 |
| Occupational therapy evaluation (moderate complexity) | $263 | $338 | $101 |
| Pap smear (cervical screening) | $115 | $117 | $20 |
| Parathyroid hormone (PTH) test | $77 | $238 | $41 |
| Pelvic ultrasound | $622 | $655 | $78 |
| Pelvic ultrasound (complete) | $715 | $693 | $105 |
| Pelvic ultrasound (limited) | $529 | $618 | $51 |
| PET scan | $5,576 | $5,233 | — |
| Phosphorus blood test | $134 | $45 | $5 |
| Physical therapy evaluation | $263 | $338 | $98 |
| Physical therapy evaluation (high complexity) | $271 | $372 | $98 |
| Physical therapy evaluation (moderate complexity) | $263 | $338 | $98 |
| Platelet count | $70 | $99 | $4 |
| Pneumonia vaccine | $236 | $281 | — |
| Pregnancy blood test (hCG) | $116 | $68 | $8 |
| Pregnancy ultrasound | $823 | $635 | $126 |
| Pregnancy ultrasound (first trimester) | $823 | $577 | $117 |
| Pregnancy ultrasound (second or third trimester) | $823 | $693 | $136 |
| Procalcitonin test | $152 | $150 | $27 |
| Prolactin test | $244 | $112 | $19 |
| Prostate biopsy | $2,951 | $1,197 | — |
| Prostate test (PSA) | $177 | $106 | $18 |
| Psychiatric evaluation | $331 | $191 | $188 |
| Psychotherapy session | $393 | $103 | $140 |
| Pulmonary rehabilitation | $230 | $63 | $87 |
| Radiofrequency nerve ablation | $2,721 | $2,739 | $462 |
| Scoliosis spine X-ray | $219 | $473 | $58 |
| Scoliosis spine X-ray (1 view) | $204 | $430 | $44 |
| Scoliosis spine X-ray (3 views) | $233 | $516 | $72 |
| Screening mammogram | $295 | $148 | $126 |
| Scrotal ultrasound | $823 | $664 | $99 |
| Sedimentation rate (ESR) test | $134 | $37 | $3 |
| Semen analysis | $126 | $69 | $12 |
| Sex hormone binding globulin test | $118 | $125 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $334 | $230 | $114 |
| Simple wound stitches | $334 | $249 | $127 |
| Skin biopsy | $529 | $263 | $121 |
| Skin biopsy (punch) | $529 | $263 | $121 |
| Skin lesion freezing (cryotherapy) | $200 | $61 | $36 |
| Skin tag removal | $363 | $98 | $92 |
| Sleep study (polysomnography) | $5,966 | $3,358 | $691 |
| Soft tissue ultrasound | $643 | $693 | $64 |
| Speech therapy | $238 | $195 | $76 |
| Spinal cord stimulator | $8,573 | $9,180 | $2,388 |
| Spinal tap (lumbar puncture) | $974 | $759 | $165 |
| Spine fracture repair (kyphoplasty) | $10,124 | $6,052 | $5,803 |
| Spirometry (lung function test) | $259 | $471 | $30 |
| Spirometry with bronchodilator | $690 | $901 | $43 |
| Strep throat test | $67 | $70 | $17 |
| Stress echocardiogram | $1,115 | $1,905 | $209 |
| Stress echocardiogram (complete) | $1,245 | $1,905 | $233 |
| Swallow study | $237 | $337 | $85 |
| T3 thyroid test | $30 | $82 | $14 |
| Tdap (tetanus) vaccine | $81 | $135 | — |
| Testosterone test | $189 | $145 | $26 |
| Thyroid test (TSH) | $326 | $17 | $17 |
| Thyroid ultrasound | $834 | $577 | $109 |
| Thyroid uptake scan | $1,121 | $1,070 | $145 |
| Tilt table test | $1,182 | $1,439 | $168 |
| Total IgE allergy test | $67 | $95 | $16 |
| Total protein test | $22 | $45 | $4 |
| Transesophageal echocardiogram (TEE) | $2,209 | $1,876 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $2,538 | $1,876 | $239 |
| Transvaginal ultrasound | $823 | $664 | $118 |
| Trigger point injection | $445 | $952 | $56 |
| Trigger point injection (1-2 muscles) | $416 | $1,096 | $52 |
| Triglycerides test | $130 | $41 | $6 |
| Troponin (heart) test | $107 | $90 | $12 |
| Turning a breech baby (version) | $2,594 | $1,465 | $94 |
| Upper GI series (barium) | $791 | $518 | $128 |
| Uric acid (gout) test | $134 | $38 | $5 |
| Urinalysis | $47 | $64 | $3 |
| Urine microalbumin test | $143 | $79 | $5 |
| Urine pregnancy test | $109 | $37 | $9 |
| Vaccine administration | $87 | $82 | $19 |
| Vaccine administration (each additional) | $72 | $76 | $16 |
| Varicose vein ablation | $5,545 | $6,327 | $1,018 |
| Vitamin B12 test | $197 | $87 | $15 |
| Vitamin D test | $160 | $158 | $30 |
| Wart removal | $279 | $98 | $121 |
| Wound debridement | $1,133 | $1,011 | $186 |
| X-ray of the abdomen | $401 | $414 | $36 |
| X-ray of the ankle | $305 | $511 | $37 |
| X-ray of the collarbone | $308 | $453 | $33 |
| X-ray of the elbow | $311 | $435 | $33 |
| X-ray of the facial bones | $277 | $480 | $39 |
| X-ray of the foot | $323 | $464 | $34 |
| X-ray of the forearm | $254 | $454 | $29 |
| X-ray of the hand | $404 | $428 | $38 |
| X-ray of the hip | $468 | $638 | $49 |
| X-ray of the hip (1 view) | $308 | $532 | $34 |
| X-ray of the hip (3 views) | $468 | $638 | $49 |
| X-ray of the hip (4 views) | $599 | $765 | $63 |
| X-ray of the knee | $323 | $540 | $42 |
| X-ray of the knee (2 views) | $276 | $454 | $34 |
| X-ray of the knee (3 views) | $323 | $540 | $42 |
| X-ray of the knee (4+ views) | $404 | $670 | $49 |
| X-ray of the lower back (lumbar spine) | $495 | $771 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $375 | $601 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $614 | $941 | $53 |
| X-ray of the lower leg | $254 | $440 | $31 |
| X-ray of the mid-back (thoracic spine) | $382 | $518 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $362 | $471 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $401 | $565 | $39 |
| X-ray of the neck (cervical spine) | $509 | $575 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $404 | $456 | $40 |
| X-ray of the pelvis | $344 | $368 | $36 |
| X-ray of the pelvis (1 view) | $339 | $340 | $28 |
| X-ray of the ribs | $401 | $813 | $42 |
| X-ray of the ribs (2 views) | $351 | $565 | $36 |
| X-ray of the ribs (3 views) | $401 | $813 | $42 |
| X-ray of the shoulder | $254 | $525 | $36 |
| X-ray of the skull | $445 | $641 | $40 |
| X-ray of the upper arm | $254 | $395 | $32 |
| X-ray of the wrist | $311 | $451 | $43 |
| Zinc blood test | $120 | $67 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
