| Procedure | Regional Medical Center | St Lukes Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $56 | $97 | $51 |
| Abdominal fluid drain (paracentesis) | $1,151 | $1,807 | $284 |
| Abdominal ultrasound | $459 | $247 | $100 |
| Abdominal ultrasound (complete) | $705 | $339 | $114 |
| Abdominal ultrasound (limited) | $441 | $247 | $86 |
| Abscess drainage (complex or multiple) | $737 | $437 | $220 |
| Abscess drainage (simple) | $285 | $437 | $129 |
| Abscess incision and drainage | $509 | $437 | $174 |
| Achilles tendon repair | $2,841 | $1,632 | $624 |
| ACL knee reconstruction | $11,409 | $2,416 | $889 |
| Adenoid removal (adenoidectomy) | $2,362 | $535 | $204 |
| Albumin blood test | $34 | $34 | $5 |
| Aldosterone test | $150 | $109 | $41 |
| Alkaline phosphatase test | $34 | $34 | $5 |
| Allergy shots | $26 | $29 | $11 |
| Alpha-fetoprotein (AFP) test | $88 | $64 | $17 |
| ALT liver enzyme test | $35 | $34 | $5 |
| Ammonia blood test | $100 | $64 | $15 |
| Amylase test | $41 | $34 | $6 |
| Anal fistula repair | $2,142 | $1,230 | $541 |
| Annual physical (established patient) | $156 | $220 | — |
| Annual physical (new patient) | $186 | $254 | — |
| Anoscopy | $610 | $103 | $129 |
| Antinuclear antibody (ANA) test | $85 | $49 | $12 |
| Arterial blood gas (ABG) | $103 | $86 | $26 |
| AST liver enzyme test | $34 | $34 | $5 |
| Barium swallow study | $371 | $403 | $107 |
| Bartholin cyst removal | $333 | $437 | $182 |
| Basic metabolic panel | $92 | $69 | $8 |
| Benign skin lesion removal | $373 | $479 | $171 |
| Bilirubin blood test | $18 | $34 | $5 |
| Bladder function test (urodynamics) | $661 | $730 | $345 |
| Bladder scope (cystoscopy) | $1,777 | $831 | $216 |
| Bladder tumor removal (TURBT) | $972 | $674 | $236 |
| Blood clotting test (PT/INR) | $30 | $33 | $4 |
| Blood crossmatch | $34 | $156 | — |
| Blood glucose test | $31 | $34 | $5 |
| Blood transfusion | $749 | $254 | $47 |
| Blood type and screen | $43 | $57 | $10 |
| Blood type test | $34 | $57 | $3 |
| Blood type test (ABO group) | $34 | $57 | $3 |
| Blood type test (Rh/D antigen) | $34 | $57 | $3 |
| BNP (heart failure) test | $208 | $86 | $39 |
| Bone density scan (DEXA) | $415 | $255 | $39 |
| Botox for migraine | $281 | $358 | $157 |
| Breast biopsy | $3,496 | $1,493 | $478 |
| Breast ultrasound | $412 | $384 | $92 |
| Breast ultrasound (complete) | $429 | $257 | $100 |
| Breast ultrasound (limited) | $326 | $452 | $84 |
| Breathing tube insertion (intubation) | $503 | $921 | $133 |
| Burn dressing and debridement (medium) | $373 | $154 | $166 |
| Burn dressing and debridement (small) | $170 | $154 | $93 |
| Burn treatment | $292 | $154 | $129 |
| C-reactive protein (CRP) | $45 | $49 | $5 |
| CA 19-9 tumor marker test | $88 | $49 | $21 |
| CA-125 ovarian marker test | $96 | $49 | $21 |
| Calcium blood test | $34 | $34 | $5 |
| Cardiac rehabilitation | $224 | $136 | $26 |
| Cardioversion | $2,115 | $996 | $155 |
| Carotid artery ultrasound | $739 | $384 | $156 |
| Carpal tunnel release | $1,362 | $2,139 | $483 |
| Cataract surgery | $4,367 | $1,610 | $547 |
| CEA tumor marker test | $130 | $64 | $19 |
| Celiac disease test | $67 | $49 | $12 |
| Central line placement | $2,401 | $1,925 | $238 |
| Cervical cerclage | $342 | $366 | $137 |
| Cervical LEEP procedure | $689 | $778 | $325 |
| Chemotherapy infusion | $438 | $211 | $81 |
| Chemotherapy infusion (each additional) | $398 | $172 | $28 |
| Chemotherapy infusion (first hour) | $480 | $825 | $133 |
| Chest fluid drain (thoracentesis) | $1,569 | $1,403 | $311 |
| Chest tube insertion | $523 | $1,190 | $143 |
| Chest X-ray | $220 | $193 | $37 |
| Chest X-ray (1 view) | $213 | $195 | $25 |
| Chest X-ray (2 views) | $224 | $195 | $33 |
| Chickenpox (varicella) vaccine | $132 | $166 | — |
| Circumcision | $463 | $2,435 | $167 |
| CK-MB heart enzyme test | $84 | $64 | $12 |
| Clotting time test (PTT) | $39 | $33 | $6 |
| Colon resection (colectomy) | $3,871 | $3,298 | $1,238 |
| Colonoscopy | $4,456 | $1,047 | $480 |
| Colostomy | $3,877 | $2,954 | $1,122 |
| Colposcopy | $369 | $382 | $161 |
| Complete blood count (CBC) | $90 | $34 | $7 |
| Complete blood count (CBC) (complete) | $90 | $34 | $8 |
| Complex wound repair | $686 | $443 | $390 |
| Comprehensive metabolic panel | $125 | $69 | $11 |
| Continuous glucose monitor setup | $38 | $80 | $35 |
| Contraceptive implant (Nexplanon) | $280 | $253 | $115 |
| Copper blood test | $45 | $32 | $12 |
| Cortisol test | $111 | $55 | $16 |
| COVID-19 PCR test | $222 | $67 | $51 |
| CPAP titration study | $570 | $779 | $69 |
| Creatine kinase (CK) test | $41 | $34 | $7 |
| CT angiography of the chest | $2,260 | $1,144 | $281 |
| CT angiography of the head | $1,879 | $1,144 | $274 |
| CT scan of the abdomen | $1,694 | $1,193 | $230 |
| CT scan of the abdomen and pelvis | $3,219 | $1,193 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $3,590 | $2,392 | $338 |
| CT scan of the abdomen and pelvis with contrast | $3,219 | $1,465 | $300 |
| CT scan of the abdomen and pelvis without contrast | $2,483 | $1,193 | $183 |
| CT scan of the abdomen with and without contrast | $2,076 | $1,193 | $259 |
| CT scan of the abdomen with contrast | $1,694 | $1,193 | $230 |
| CT scan of the abdomen without contrast | $1,441 | $1,193 | $136 |
| CT scan of the arm | $1,842 | $684 | $199 |
| CT scan of the arm with contrast | $1,879 | $849 | $199 |
| CT scan of the arm without contrast | $1,244 | $684 | $161 |
| CT scan of the chest | $1,802 | $684 | $167 |
| CT scan of the chest with and without contrast | $1,938 | $843 | $196 |
| CT scan of the chest with contrast | $1,896 | $758 | $167 |
| CT scan of the chest without contrast | $964 | $684 | $133 |
| CT scan of the head | $1,549 | $743 | $148 |
| CT scan of the head with and without contrast | $1,743 | $843 | $173 |
| CT scan of the head with contrast | $1,612 | $758 | $148 |
| CT scan of the head without contrast | $1,268 | $743 | $107 |
| CT scan of the leg | $1,744 | $684 | $166 |
| CT scan of the leg with contrast | $1,779 | $758 | $166 |
| CT scan of the leg without contrast | $1,244 | $684 | $130 |
| CT scan of the lower back (lumbar spine) | $1,656 | $686 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,987 | $843 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,842 | $828 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,441 | $686 | $130 |
| CT scan of the neck | $1,646 | $684 | $183 |
| CT scan of the neck (cervical spine) | $1,774 | $686 | $168 |
| CT scan of the neck (cervical spine) with contrast | $2,065 | $849 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,740 | $686 | $131 |
| CT scan of the neck with and without contrast | $1,793 | $843 | $220 |
| CT scan of the neck with contrast | $1,680 | $758 | $183 |
| CT scan of the neck without contrast | $1,144 | $684 | $150 |
| CT scan of the pelvis | $1,829 | $684 | $226 |
| CT scan of the pelvis with and without contrast | $1,987 | $843 | $251 |
| CT scan of the pelvis with contrast | $1,865 | $758 | $226 |
| CT scan of the pelvis without contrast | $1,249 | $684 | $133 |
| CT scan of the sinuses | $1,406 | $684 | $152 |
| CT scan of the sinuses with and without contrast | $1,406 | $843 | $184 |
| CT scan of the sinuses with contrast | $1,481 | $758 | $152 |
| CT scan of the sinuses without contrast | $1,080 | $684 | $128 |
| D-dimer test | $60 | $33 | $10 |
| Developmental screening (child) | $22 | $57 | — |
| DHEA-sulfate test | $81 | $55 | $22 |
| Diagnostic mammogram | $382 | $204 | $140 |
| Dilation and curettage (D&C) | $1,889 | $695 | $298 |
| Drug screen (urine) | $98 | $72 | $17 |
| Ear pressure test (tympanometry) | $34 | $35 | $16 |
| Ear tubes (myringotomy) | $4,189 | $629 | $174 |
| Echocardiogram | $470 | $391 | $138 |
| Echocardiogram with and without contrast | $355 | $391 | $101 |
| EKG / ECG (tracing only) | $325 | $142 | $7 |
| Electrocardiogram (EKG) | $325 | $38 | $8 |
| Electrolyte panel | $54 | $69 | $7 |
| Emergency department visit (level 1) | $30 | $44 | $11 |
| Emergency department visit (level 2) | $82 | $44 | $40 |
| Emergency department visit (level 4) | $234 | $221 | $118 |
| Emergency department visit (level 5) | $1,255 | $319 | $171 |
| Endometrial biopsy | $251 | $241 | $98 |
| Epidural steroid injection | $727 | $577 | $275 |
| Estradiol (estrogen) test | $86 | $55 | $28 |
| Facet joint injection (spine) | $1,147 | $663 | $99 |
| Fallopian tube X-ray (HSG) | $120 | $436 | $164 |
| Family therapy session | $226 | $239 | $110 |
| Fecal occult blood (stool) test | $41 | $37 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $33 | $34 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $43 | $64 | $16 |
| Femoral hernia repair | $1,852 | $2,186 | $584 |
| Ferritin (iron) test | $96 | $64 | $14 |
| Fibrinogen test | $85 | $33 | $10 |
| Flexible sigmoidoscopy | $2,880 | $672 | $323 |
| Flu test | $21 | $39 | $17 |
| Flu vaccine | $19 | $22 | — |
| Folate (folic acid) test | $102 | $64 | $15 |
| Foreign body removal (skin) | $291 | $698 | $157 |
| Free T4 thyroid test | $67 | $55 | $9 |
| FSH hormone test | $69 | $55 | $19 |
| Gallbladder removal (laparoscopic) | $11,230 | $1,686 | $658 |
| Ganglion cyst removal | $1,020 | $1,579 | $321 |
| GGT liver test | $46 | $34 | $7 |
| Glucose tolerance test | $67 | $34 | $8 |
| Group therapy session | $630 | $696 | $30 |
| Hammertoe repair | $1,515 | $2,688 | $548 |
| HDL cholesterol test | $59 | $34 | $8 |
| Hematocrit test | $21 | $34 | $2 |
| Hemoglobin A1c (diabetes test) | $65 | $34 | $10 |
| Hemorrhoid removal | $630 | $750 | $338 |
| Hepatitis A vaccine | $87 | $78 | — |
| Hepatitis B test | $61 | $39 | $10 |
| Hepatitis B vaccine | $76 | $106 | — |
| Hepatitis C test | $96 | $49 | $14 |
| Hip replacement | $22,238 | $6,675 | $1,162 |
| HIV test | $112 | $44 | $19 |
| HIV test (antigen/antibody combo) | $112 | $39 | $24 |
| Holter heart monitor | $262 | $264 | $26 |
| Home sleep apnea test | $292 | $294 | $123 |
| HPV vaccine | $219 | $278 | — |
| Hydrocele repair | $1,138 | $847 | $315 |
| Hysterectomy | $7,539 | $2,521 | $933 |
| Hysteroscopy | $2,648 | $627 | $1,270 |
| Inguinal hernia repair | $1,883 | $1,357 | $538 |
| Iron blood test | $48 | $34 | $6 |
| IUD insertion | $194 | $226 | — |
| IUD removal | $248 | $173 | $112 |
| IV infusion therapy | $405 | $133 | $44 |
| IV infusion therapy (each additional) | $370 | $116 | $21 |
| IV infusion therapy (initial) | $410 | $522 | $67 |
| Joint aspiration (small/intermediate) | $379 | $514 | $57 |
| Joint aspiration or injection (mid-size joint) | $379 | $514 | $57 |
| Joint aspiration or injection (small joint) | $379 | $514 | $56 |
| Kidney removal (nephrectomy) | $4,524 | $3,307 | $1,164 |
| Kidney stone shock-wave (lithotripsy) | $6,168 | $1,839 | $760 |
| Kidney ultrasound | $354 | $247 | $84 |
| Kidney ultrasound (limited) | $347 | $247 | $61 |
| Knee arthroscopy | $7,843 | $2,020 | $524 |
| Knee joint injection | $451 | $514 | $69 |
| Lactate test | $72 | $64 | $12 |
| LDH test | $38 | $34 | $6 |
| LDL cholesterol test | $59 | $34 | $11 |
| Leg vein ultrasound (Doppler) | $614 | $322 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $614 | $247 | $116 |
| LH hormone test | $69 | $55 | $19 |
| Lipase test | $69 | $34 | $7 |
| Lipid (cholesterol) panel | $88 | $69 | $13 |
| Liver function panel | $83 | $69 | $8 |
| Lung function test (PFT) | $346 | $182 | $37 |
| Magnesium blood test | $45 | $34 | $7 |
| Meniscus repair (knee) | $8,735 | $1,886 | $714 |
| MMR vaccine | $107 | $222 | — |
| MRA of the brain | $3,490 | $1,369 | $226 |
| MRA of the brain with contrast | $3,490 | $1,788 | $226 |
| MRA of the brain without contrast | $4,278 | $1,788 | $328 |
| MRA of the neck | $3,801 | $1,119 | $245 |
| MRA of the neck with contrast | $3,490 | $1,154 | $245 |
| MRA of the neck without contrast | $4,281 | $1,896 | $343 |
| MRI of the abdomen | $3,490 | $1,186 | $300 |
| MRI of the abdomen with contrast | $3,490 | $1,263 | $300 |
| MRI of the abdomen without contrast | $2,842 | $1,186 | $194 |
| MRI of the ankle | $3,490 | $1,101 | $261 |
| MRI of the ankle with contrast | $3,490 | $1,178 | $261 |
| MRI of the ankle without contrast | $2,842 | $1,101 | $222 |
| MRI of the brain | $3,252 | $1,371 | $269 |
| MRI of the brain with contrast | $3,490 | $1,371 | $269 |
| MRI of the brain without contrast | $2,898 | $1,371 | $195 |
| MRI of the chest | $3,801 | $1,128 | $371 |
| MRI of the chest with contrast | $3,490 | $1,697 | $371 |
| MRI of the chest without contrast | $4,195 | $1,936 | $466 |
| MRI of the knee | $3,490 | $1,024 | $315 |
| MRI of the knee with contrast | $3,490 | $1,697 | $315 |
| MRI of the knee without contrast | $2,842 | $1,024 | $204 |
| MRI of the lower back (lumbar spine) | $3,560 | $1,084 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $3,560 | $1,200 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $2,842 | $1,084 | $192 |
| MRI of the mid-back (thoracic spine) | $3,490 | $1,084 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $4,195 | $1,727 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $3,490 | $1,119 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $2,842 | $1,084 | $190 |
| MRI of the neck (cervical spine) | $3,560 | $1,084 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $4,195 | $1,791 | $318 |
| MRI of the neck (cervical spine) with contrast | $3,560 | $1,202 | $274 |
| MRI of the neck (cervical spine) without contrast | $2,842 | $1,084 | $191 |
| MRI of the pelvis | $3,490 | $1,101 | $268 |
| MRI of the pelvis with contrast | $3,490 | $1,186 | $268 |
| MRI of the pelvis without contrast | $2,842 | $1,101 | $227 |
| MRI of the shoulder | $3,560 | $1,011 | $313 |
| MRI of the shoulder with contrast | $3,560 | $1,697 | $313 |
| MRI of the shoulder without contrast | $2,842 | $1,011 | $205 |
| MRI of the wrist | $3,490 | $1,101 | $330 |
| MRI of the wrist without contrast | $2,842 | $1,101 | $303 |
| Nebulizer breathing treatment | $112 | $168 | $9 |
| Newborn hospital care | $169 | $124 | $58 |
| Occupational therapy evaluation | $221 | $278 | $101 |
| Occupational therapy evaluation (high complexity) | $269 | $337 | $101 |
| Occupational therapy evaluation (low complexity) | $178 | $278 | $101 |
| Occupational therapy evaluation (moderate complexity) | $225 | $306 | $101 |
| Office visit (established patient) | $108 | $176 | $115 |
| Office visit (new patient) | $214 | $290 | $177 |
| Office visit, established patient (level 3) | $93 | $161 | $95 |
| Office visit, established patient (level 4) | $138 | $192 | $136 |
| Office visit, new patient (level 3) | $145 | $190 | $118 |
| Office visit, new patient (level 4) | $218 | $290 | $177 |
| Office visit, new patient (level 5) | $304 | $367 | $237 |
| Orthopedic hardware removal | $4,546 | $1,506 | $632 |
| Ovarian cyst removal | $5,694 | $1,884 | $698 |
| Parathyroid hormone (PTH) test | $142 | $109 | $41 |
| Pelvic ultrasound | $422 | $247 | $78 |
| Pelvic ultrasound (complete) | $503 | $306 | $105 |
| Pelvic ultrasound (limited) | $344 | $247 | $51 |
| Phosphorus blood test | $31 | $34 | $5 |
| Physical therapy evaluation | $214 | $199 | $98 |
| Physical therapy evaluation (high complexity) | $220 | $241 | $98 |
| Physical therapy evaluation (moderate complexity) | $218 | $219 | $98 |
| Pilonidal cyst removal | $608 | $3,795 | $541 |
| Platelet count | $36 | $34 | $4 |
| Pneumonia vaccine | $111 | $129 | — |
| Pregnancy blood test (hCG) | $33 | $34 | $8 |
| Pregnancy ultrasound | $614 | $243 | $126 |
| Pregnancy ultrasound (first trimester) | $590 | $243 | $117 |
| Pregnancy ultrasound (second or third trimester) | $638 | $243 | $136 |
| Procalcitonin test | $86 | $55 | $27 |
| Prolactin test | $69 | $55 | $19 |
| Prostate biopsy | $1,449 | $614 | — |
| Prostate removal (prostatectomy) | $4,705 | $3,302 | $1,063 |
| Prostate surgery (TURP) | $2,719 | $1,842 | $526 |
| Prostate test (PSA) | $120 | $64 | $18 |
| Psychiatric evaluation | $171 | $295 | $188 |
| Psychotherapy session | $214 | $414 | $140 |
| Pulmonary rehabilitation | $158 | $151 | $87 |
| Radiofrequency nerve ablation | $2,142 | $1,547 | $462 |
| Rotator cuff repair | $2,855 | $2,097 | $792 |
| Sacroiliac joint injection | $614 | $802 | $176 |
| Screening colonoscopy | $5,996 | $814 | $378 |
| Screening mammogram | $361 | $235 | $126 |
| Scrotal ultrasound | $532 | $247 | $99 |
| Sedimentation rate (ESR) test | $26 | $34 | $3 |
| Semen analysis | $68 | $56 | $12 |
| Sex hormone binding globulin test | $30 | $64 | $22 |
| Shingles vaccine | $198 | $212 | — |
| Shoulder replacement | $10,935 | $7,160 | $1,300 |
| Simple laceration repair (small, up to 2.5 cm) | $162 | $248 | $114 |
| Simple wound stitches | $198 | $248 | $127 |
| Skin biopsy | $175 | $357 | $121 |
| Skin biopsy (punch) | $186 | $308 | $121 |
| Skin cancer lesion removal | $413 | $607 | $240 |
| Skin lesion freezing (cryotherapy) | $37 | $88 | $36 |
| Skin tag removal | $247 | $160 | $92 |
| Sleep study (polysomnography) | $1,508 | $1,820 | $691 |
| Small bowel resection | $3,948 | $3,002 | $1,136 |
| Soft tissue ultrasound | $407 | $247 | $64 |
| Speech therapy | $189 | $207 | $76 |
| Spinal tap (lumbar puncture) | $2,046 | $696 | $165 |
| Spirometry (lung function test) | $333 | $182 | $30 |
| Spirometry with bronchodilator | $802 | $322 | $43 |
| Strep throat test | $30 | $39 | $17 |
| Swallow study | $310 | $295 | $85 |
| T3 thyroid test | $86 | $55 | $14 |
| Tdap (tetanus) vaccine | $65 | $146 | — |
| Testicle removal (orchiectomy) | $1,101 | $818 | $306 |
| Testosterone test | $102 | $55 | $26 |
| Thyroid test (TSH) | $109 | $55 | $17 |
| Thyroid ultrasound | $450 | $247 | $109 |
| Tonsillectomy | $4,367 | $683 | $252 |
| Total IgE allergy test | $60 | $64 | $16 |
| Total protein test | $26 | $34 | $4 |
| Transesophageal echocardiogram (TEE) | $1,796 | $1,336 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $1,796 | $1,336 | $239 |
| Transvaginal ultrasound | $503 | $247 | $118 |
| Trigger finger release | $1,604 | $1,334 | $630 |
| Trigger point injection | $198 | $336 | $56 |
| Trigger point injection (1-2 muscles) | $394 | $514 | $52 |
| Triglycerides test | $43 | $34 | $6 |
| Troponin (heart) test | $65 | $64 | $12 |
| Tubal ligation | $1,150 | $920 | $333 |
| Turning a breech baby (version) | $399 | $1,481 | $94 |
| Ulnar nerve surgery (elbow) | $1,827 | $1,461 | $575 |
| Upper GI endoscopy (EGD) | $1,515 | $801 | $371 |
| Upper GI series (barium) | $415 | $403 | $128 |
| Ureteral stent placement | $2,624 | $1,114 | $373 |
| Ureteroscopy (stone removal) | $7,843 | $2,101 | $365 |
| Uric acid (gout) test | $30 | $34 | $5 |
| Urinalysis | $39 | $26 | $3 |
| Urine microalbumin test | $35 | $26 | $5 |
| Urine pregnancy test | $28 | $26 | $9 |
| Vaccine administration | $25 | $91 | $19 |
| Vaccine administration (each additional) | $19 | $91 | $16 |
| Varicocele repair | $791 | $885 | $327 |
| Vasectomy | $628 | $892 | $347 |
| Vitamin B12 test | $106 | $55 | $15 |
| Vitamin D test | $154 | $86 | $30 |
| Wart removal | $156 | $216 | $121 |
| Well-child visit | $140 | $189 | — |
| Wound debridement | $516 | $932 | $186 |
| X-ray of the abdomen | $198 | $191 | $36 |
| X-ray of the ankle | $268 | $191 | $37 |
| X-ray of the collarbone | $208 | $191 | $33 |
| X-ray of the elbow | $278 | $191 | $33 |
| X-ray of the facial bones | $226 | $191 | $39 |
| X-ray of the foot | $268 | $212 | $34 |
| X-ray of the forearm | $263 | $191 | $29 |
| X-ray of the hand | $278 | $191 | $38 |
| X-ray of the hip | $274 | $191 | $49 |
| X-ray of the hip (1 view) | $204 | $191 | $34 |
| X-ray of the hip (3 views) | $274 | $191 | $49 |
| X-ray of the hip (4 views) | $312 | $255 | $63 |
| X-ray of the knee | $279 | $191 | $42 |
| X-ray of the knee (2 views) | $263 | $191 | $34 |
| X-ray of the knee (3 views) | $279 | $191 | $42 |
| X-ray of the knee (4+ views) | $318 | $231 | $49 |
| X-ray of the lower back (lumbar spine) | $329 | $255 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $316 | $255 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $388 | $255 | $53 |
| X-ray of the lower leg | $268 | $191 | $31 |
| X-ray of the mid-back (thoracic spine) | $290 | $255 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $278 | $255 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $310 | $255 | $39 |
| X-ray of the neck (cervical spine) | $316 | $191 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $316 | $191 | $40 |
| X-ray of the pelvis | $190 | $255 | $36 |
| X-ray of the pelvis (1 view) | $190 | $255 | $28 |
| X-ray of the ribs | $250 | $191 | $42 |
| X-ray of the ribs (2 views) | $194 | $191 | $36 |
| X-ray of the ribs (3 views) | $255 | $255 | $42 |
| X-ray of the shoulder | $354 | $212 | $36 |
| X-ray of the skull | $260 | $255 | $40 |
| X-ray of the upper arm | $250 | $191 | $32 |
| X-ray of the wrist | $278 | $191 | $43 |
| Zinc blood test | $52 | $32 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
