| Procedure | Slhs Massena, Inc | Canton-Potsdam Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $55 | $55 | $51 |
| Abdominal fluid drain (paracentesis) | $1,858 | $1,197 | $284 |
| Abdominal ultrasound | $572 | $568 | $100 |
| Abdominal ultrasound (complete) | $653 | $585 | $114 |
| Abdominal ultrasound (limited) | $490 | $551 | $86 |
| Abscess drainage (complex or multiple) | $340 | $321 | $220 |
| Abscess incision and drainage | $340 | $321 | $174 |
| Albumin blood test | $42 | $51 | $5 |
| Aldosterone test | $324 | $151 | $41 |
| Alkaline phosphatase test | $38 | $54 | $5 |
| Allergy shots | $36 | $52 | $11 |
| Alpha-fetoprotein (AFP) test | $318 | $318 | $17 |
| ALT liver enzyme test | $55 | $59 | $5 |
| Ammonia blood test | $116 | $83 | $15 |
| Amylase test | $55 | $62 | $6 |
| Annual physical (established patient) | $132 | $201 | — |
| Annual physical (new patient) | $137 | $185 | — |
| Anoscopy | $809 | $184 | $129 |
| Antinuclear antibody (ANA) test | $87 | $90 | $12 |
| Arterial blood gas (ABG) | $103 | $64 | $26 |
| AST liver enzyme test | $55 | $59 | $5 |
| Barium swallow study | $203 | $245 | $107 |
| Bartholin cyst removal | $353 | $332 | $182 |
| Basic metabolic panel | $75 | $101 | $8 |
| Benign skin lesion removal | $743 | $627 | $171 |
| Bilirubin blood test | $70 | $100 | $5 |
| Blood clotting test (PT/INR) | $26 | $27 | $4 |
| Blood crossmatch | $267 | $267 | — |
| Blood glucose test | $48 | $48 | $5 |
| Blood transfusion | $651 | $1,588 | $47 |
| Blood type and screen | $50 | $53 | $10 |
| Blood type test | $34 | $58 | $3 |
| Blood type test (ABO group) | $34 | $59 | $3 |
| Blood type test (Rh/D antigen) | $34 | $57 | $3 |
| BNP (heart failure) test | $133 | $171 | $39 |
| Bone density scan (DEXA) | $511 | $463 | $39 |
| Bone scan (nuclear) | $1,077 | $1,241 | $259 |
| Breast biopsy | $1,626 | $1,871 | $478 |
| Breast MRI | $3,307 | $3,307 | $216 |
| Breast MRI without contrast | $3,307 | $3,307 | $216 |
| Breast ultrasound | $616 | $915 | $92 |
| Breast ultrasound (complete) | $669 | $922 | $100 |
| Breast ultrasound (limited) | $616 | $907 | $84 |
| Breathing tube insertion (intubation) | $460 | $460 | $133 |
| Bunion surgery (bunionectomy) | $11,897 | $1,632 | $883 |
| Burn dressing and debridement (medium) | $373 | $373 | $166 |
| Burn dressing and debridement (small) | $257 | $257 | $93 |
| Burn treatment | $373 | $373 | $129 |
| C-reactive protein (CRP) | $75 | $83 | $5 |
| CA 19-9 tumor marker test | $100 | $183 | $21 |
| CA-125 ovarian marker test | $151 | $193 | $21 |
| Calcium blood test | $51 | $51 | $5 |
| Cardiac stress test | $260 | $276 | $39 |
| Cardioversion | $937 | $506 | $155 |
| Carotid artery ultrasound | $390 | $586 | $156 |
| Carpal tunnel release | $3,477 | $1,885 | $483 |
| Cataract surgery | $5,981 | $2,351 | $547 |
| CEA tumor marker test | $148 | $118 | $19 |
| Celiac disease test | $24 | $24 | $12 |
| Central line placement | $376 | $784 | $238 |
| Chemotherapy infusion | $209 | $209 | $81 |
| Chemotherapy infusion (each additional) | $163 | $163 | $28 |
| Chemotherapy infusion (first hour) | $256 | $256 | $133 |
| Chest fluid drain (thoracentesis) | $541 | $505 | $311 |
| Chest tube insertion | $1,631 | $1,015 | $143 |
| Chest X-ray | $259 | $306 | $37 |
| Chest X-ray (1 view) | $204 | $171 | $25 |
| Chest X-ray (2 views) | $296 | $268 | $33 |
| Circumcision | $192 | $248 | $167 |
| CK-MB heart enzyme test | $60 | $54 | $12 |
| Clotting time test (PTT) | $59 | $59 | $6 |
| Colonoscopy | $858 | $1,056 | $480 |
| Colposcopy | $177 | $237 | $161 |
| Complete blood count (CBC) | $45 | $61 | $7 |
| Complete blood count (CBC) (complete) | $52 | $79 | $8 |
| Comprehensive eye exam | $129 | $144 | $138 |
| Comprehensive metabolic panel | $124 | $165 | $11 |
| Contraceptive implant (Nexplanon) | $210 | $254 | $115 |
| Copper blood test | $129 | $98 | $12 |
| Coronary CT angiography | $1,820 | $1,832 | $326 |
| Cortisol test | $134 | $158 | $16 |
| COVID-19 PCR test | $74 | $62 | $51 |
| CPAP titration study | $173 | $182 | $69 |
| Creatine kinase (CK) test | $43 | $55 | $7 |
| CT angiography of the chest | $1,989 | $2,357 | $281 |
| CT angiography of the head | $1,766 | $2,146 | $274 |
| CT colonography (virtual colonoscopy) | $2,261 | $427 | $835 |
| CT scan of the abdomen | $1,592 | $1,500 | $230 |
| CT scan of the abdomen and pelvis | $3,013 | $2,873 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $3,765 | $3,094 | $338 |
| CT scan of the abdomen and pelvis with contrast | $3,013 | $2,873 | $300 |
| CT scan of the abdomen and pelvis without contrast | $2,546 | $2,255 | $183 |
| CT scan of the abdomen with and without contrast | $2,105 | $2,016 | $259 |
| CT scan of the abdomen with contrast | $1,592 | $1,500 | $230 |
| CT scan of the abdomen without contrast | $1,284 | $1,410 | $136 |
| CT scan of the arm | $1,181 | $1,080 | $199 |
| CT scan of the arm with contrast | $1,489 | $1,249 | $199 |
| CT scan of the arm without contrast | $1,181 | $1,080 | $161 |
| CT scan of the chest | $1,695 | $1,500 | $167 |
| CT scan of the chest with and without contrast | $2,207 | $1,633 | $196 |
| CT scan of the chest with contrast | $1,695 | $1,500 | $167 |
| CT scan of the chest without contrast | $1,386 | $1,410 | $133 |
| CT scan of the head | $1,386 | $1,500 | $148 |
| CT scan of the head with and without contrast | $1,900 | $1,938 | $173 |
| CT scan of the head with contrast | $1,386 | $1,500 | $148 |
| CT scan of the head without contrast | $1,079 | $1,215 | $107 |
| CT scan of the leg | $1,335 | $1,249 | $166 |
| CT scan of the leg with contrast | $1,489 | $1,370 | $166 |
| CT scan of the leg without contrast | $1,772 | $1,249 | $130 |
| CT scan of the lower back (lumbar spine) | $1,537 | $1,436 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,537 | $1,537 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,695 | $1,436 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,386 | $1,410 | $130 |
| CT scan of the neck | $1,386 | $1,124 | $183 |
| CT scan of the neck (cervical spine) | $1,695 | $1,224 | $168 |
| CT scan of the neck (cervical spine) with contrast | $1,695 | $1,436 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,386 | $1,013 | $131 |
| CT scan of the neck with and without contrast | $1,900 | $1,511 | $220 |
| CT scan of the neck with contrast | $1,386 | $1,124 | $183 |
| CT scan of the neck without contrast | $1,079 | $1,013 | $150 |
| CT scan of the pelvis | $1,418 | $1,418 | $226 |
| CT scan of the pelvis with and without contrast | $1,418 | $1,418 | $251 |
| CT scan of the pelvis with contrast | $1,695 | $1,491 | $226 |
| CT scan of the pelvis without contrast | $1,386 | $1,410 | $133 |
| CT scan of the sinuses | $1,386 | $1,585 | $152 |
| CT scan of the sinuses with and without contrast | $1,615 | $1,615 | $184 |
| CT scan of the sinuses with contrast | $1,386 | $1,585 | $152 |
| CT scan of the sinuses without contrast | $1,079 | $1,500 | $128 |
| D-dimer test | $218 | $218 | $10 |
| Developmental screening (child) | $123 | $19 | — |
| DHEA-sulfate test | $248 | $177 | $22 |
| Diagnostic mammogram | $421 | $408 | $140 |
| Drug screen (urine) | $53 | $49 | $17 |
| Ear tubes (myringotomy) | $967 | $326 | $174 |
| EEG (awake and asleep) | $564 | $655 | $482 |
| EKG / ECG (tracing only) | $217 | $108 | $7 |
| Electrocardiogram (EKG) | $53 | $20 | $8 |
| Electroencephalogram (EEG) | $603 | $614 | $448 |
| Electrolyte panel | $71 | $89 | $7 |
| Electromyography (EMG) | $287 | $285 | $141 |
| Emergency department visit | $324 | $361 | $69 |
| Emergency department visit (level 1) | $183 | $131 | $11 |
| Emergency department visit (level 2) | $209 | $286 | $40 |
| Emergency department visit (level 3) | $291 | $361 | $69 |
| Emergency department visit (level 4) | $667 | $667 | $118 |
| Emergency department visit (level 5) | $666 | $399 | $171 |
| Endometrial biopsy | $136 | $144 | $98 |
| Epidural steroid injection | $2,016 | $673 | $275 |
| Estradiol (estrogen) test | $152 | $299 | $28 |
| Facet joint injection (spine) | $209 | $638 | $99 |
| Fallopian tube X-ray (HSG) | $323 | $395 | $164 |
| Family therapy session | $267 | $241 | $110 |
| Fecal occult blood (stool) test | $40 | $80 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $29 | $109 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $51 | $51 | $16 |
| Ferritin (iron) test | $123 | $114 | $14 |
| Fibrinogen test | $83 | $83 | $10 |
| Flexible sigmoidoscopy | $397 | $611 | $323 |
| Flu test | $41 | $32 | $17 |
| Flu vaccine | $16 | $28 | — |
| Folate (folic acid) test | $96 | $110 | $15 |
| Foreign body removal (skin) | $242 | $546 | $157 |
| Free T4 thyroid test | $136 | $67 | $9 |
| FSH hormone test | $152 | $166 | $19 |
| Gallbladder scan (HIDA) | $951 | $907 | $334 |
| GGT liver test | $71 | $47 | $7 |
| Glucose tolerance test | $51 | $133 | $8 |
| Hammertoe repair | $5,184 | $523 | $548 |
| HDL cholesterol test | $48 | $43 | $8 |
| Hematocrit test | $38 | $35 | $2 |
| Hemoglobin A1c (diabetes test) | $110 | $129 | $10 |
| Hepatitis B test | $33 | $33 | $10 |
| Hepatitis B vaccine | $104 | $104 | — |
| Hepatitis C test | $45 | $45 | $14 |
| Hip replacement | $22,878 | $10,764 | $1,162 |
| HIV test | $159 | $103 | $19 |
| HIV test (antibody) | $242 | $129 | $14 |
| HIV test (antigen/antibody combo) | $77 | $77 | $24 |
| Holter heart monitor | $69 | $179 | $26 |
| Hysterectomy | $939 | $1,640 | $933 |
| Hysteroscopy | $1,438 | $4,432 | $1,270 |
| Inguinal hernia repair | $6,715 | $1,009 | $538 |
| Iron blood test | $62 | $73 | $6 |
| IUD insertion | $125 | $125 | — |
| IUD removal | $137 | $340 | $112 |
| IV infusion therapy | $181 | $112 | $44 |
| IV infusion therapy (each additional) | $181 | $112 | $21 |
| Kidney biopsy | $943 | $2,075 | $492 |
| Kidney scan (nuclear) | $678 | $1,019 | $172 |
| Kidney stone shock-wave (lithotripsy) | $5,660 | $8,807 | $760 |
| Kidney ultrasound | $749 | $477 | $84 |
| Kidney ultrasound (limited) | $637 | $70 | $61 |
| Knee replacement | $21,289 | $29,673 | $18,054 |
| Lactate test | $123 | $126 | $12 |
| Laryngoscopy | $244 | $244 | $189 |
| LDH test | $38 | $46 | $6 |
| LDL cholesterol test | $106 | $104 | $11 |
| Leg vein ultrasound (Doppler) | $322 | $714 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $319 | $551 | $116 |
| LH hormone test | $180 | $221 | $19 |
| Lipase test | $71 | $59 | $7 |
| Lipid (cholesterol) panel | $116 | $136 | $13 |
| Liver biopsy | $943 | $2,075 | $288 |
| Liver function panel | $105 | $109 | $8 |
| Lung function test (PFT) | $50 | $42 | $37 |
| Lung scan (V/Q) | $934 | $934 | $291 |
| Magnesium blood test | $67 | $51 | $7 |
| MRA of the brain | $2,435 | $2,185 | $226 |
| MRA of the brain with contrast | $2,185 | $2,185 | $226 |
| MRA of the brain without contrast | $3,131 | $3,760 | $328 |
| MRA of the neck | $2,721 | $1,957 | $245 |
| MRA of the neck with contrast | $2,721 | $1,957 | $245 |
| MRA of the neck without contrast | $3,131 | $3,725 | $343 |
| MRI of the abdomen | $2,773 | $2,552 | $300 |
| MRI of the abdomen with contrast | $2,773 | $2,552 | $300 |
| MRI of the abdomen without contrast | $2,428 | $2,388 | $194 |
| MRI of the ankle | $2,773 | $2,388 | $261 |
| MRI of the ankle with contrast | $2,773 | $2,388 | $261 |
| MRI of the ankle without contrast | $2,428 | $2,216 | $222 |
| MRI of the brain | $2,782 | $2,388 | $269 |
| MRI of the brain with contrast | $2,782 | $2,233 | $269 |
| MRI of the brain without contrast | $2,435 | $2,388 | $195 |
| MRI of the chest | $1,516 | $1,964 | $371 |
| MRI of the chest without contrast | $1,964 | $1,964 | $466 |
| MRI of the knee | $2,708 | $3,278 | $315 |
| MRI of the knee with contrast | $2,294 | $2,294 | $315 |
| MRI of the knee without contrast | $3,123 | $3,196 | $204 |
| MRI of the lower back (lumbar spine) | $2,773 | $2,388 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $2,773 | $2,388 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $2,428 | $2,233 | $192 |
| MRI of the mid-back (thoracic spine) | $2,428 | $2,294 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $3,122 | $2,826 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $2,294 | $2,294 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $2,428 | $2,148 | $190 |
| MRI of the neck (cervical spine) | $2,428 | $2,294 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $3,715 | $3,682 | $318 |
| MRI of the neck (cervical spine) with contrast | $2,294 | $2,294 | $274 |
| MRI of the neck (cervical spine) without contrast | $2,428 | $2,148 | $191 |
| MRI of the pelvis | $2,428 | $2,388 | $268 |
| MRI of the pelvis with contrast | $2,388 | $2,388 | $268 |
| MRI of the pelvis without contrast | $2,428 | $2,385 | $227 |
| MRI of the shoulder | $3,993 | $2,781 | $313 |
| MRI of the shoulder without contrast | $4,855 | $1,988 | $205 |
| MRI of the wrist | $2,574 | $2,216 | $330 |
| MRI of the wrist without contrast | $2,428 | $1,832 | $303 |
| Nebulizer breathing treatment | $406 | $406 | $9 |
| Nerve conduction study | $231 | $211 | $118 |
| Nuchal translucency ultrasound | $201 | $201 | $116 |
| Nuclear cardiac stress test | $1,738 | $771 | $428 |
| Occupational therapy evaluation | $189 | $124 | $101 |
| Occupational therapy evaluation (high complexity) | $214 | $138 | $101 |
| Occupational therapy evaluation (low complexity) | $109 | $109 | $101 |
| Occupational therapy evaluation (moderate complexity) | $189 | $124 | $101 |
| Office visit (new patient) | $211 | $161 | $177 |
| Office visit, new patient (level 3) | $188 | $127 | $118 |
| Office visit, new patient (level 4) | $99 | $99 | $177 |
| Office visit, new patient (level 5) | $344 | $235 | $237 |
| Orthopedic hardware removal | $4,097 | $991 | $632 |
| Pap smear (cervical screening) | $97 | $81 | $20 |
| Parathyroid hormone (PTH) test | $80 | $183 | $41 |
| Pelvic ultrasound | $449 | $392 | $78 |
| Pelvic ultrasound (complete) | $573 | $516 | $105 |
| Pelvic ultrasound (limited) | $324 | $267 | $51 |
| PET scan | $4,168 | $3,821 | — |
| Phosphorus blood test | $32 | $43 | $5 |
| Physical therapy evaluation | $135 | $124 | $98 |
| Physical therapy evaluation (high complexity) | $159 | $138 | $98 |
| Physical therapy evaluation (moderate complexity) | $135 | $124 | $98 |
| Platelet count | $43 | $20 | $4 |
| Pneumonia vaccine | $183 | $39 | — |
| Pregnancy blood test (hCG) | $68 | $86 | $8 |
| Pregnancy ultrasound | $281 | $341 | $126 |
| Pregnancy ultrasound (first trimester) | $297 | $418 | $117 |
| Pregnancy ultrasound (second or third trimester) | $264 | $264 | $136 |
| Procalcitonin test | $395 | $168 | $27 |
| Prolactin test | $184 | $249 | $19 |
| Prostate biopsy | $3,935 | $2,430 | — |
| Prostate test (PSA) | $59 | $59 | $18 |
| Psychiatric evaluation | $231 | $226 | $188 |
| Psychotherapy session | $188 | $198 | $140 |
| Radiofrequency nerve ablation | $3,864 | $677 | $462 |
| Retina scan (OCT) | $47 | $42 | $33 |
| Rotator cuff repair | $10,663 | $1,378 | $792 |
| RSV vaccine | $391 | $391 | — |
| Sacroiliac joint injection | $518 | $948 | $176 |
| Scoliosis spine X-ray | $291 | $264 | $58 |
| Scoliosis spine X-ray (1 view) | $233 | $190 | $44 |
| Scoliosis spine X-ray (3 views) | $349 | $337 | $72 |
| Screening colonoscopy | $810 | $982 | $378 |
| Screening mammogram | $355 | $392 | $126 |
| Scrotal ultrasound | $510 | $516 | $99 |
| Sedimentation rate (ESR) test | $32 | $27 | $3 |
| Semen analysis | $63 | $83 | $12 |
| Sex hormone binding globulin test | $149 | $173 | $22 |
| Shoulder arthroscopy | $10,174 | $1,011 | $962 |
| Shoulder replacement | $36,995 | $12,893 | $1,300 |
| Simple laceration repair (small, up to 2.5 cm) | $85 | $209 | $114 |
| Simple wound stitches | $157 | $209 | $127 |
| Skin biopsy | $1,012 | $223 | $121 |
| Skin biopsy (punch) | $497 | $202 | $121 |
| Skin cancer lesion removal | $1,255 | $423 | $240 |
| Skin tag removal | $271 | $272 | $92 |
| Sleep study (polysomnography) | $1,982 | $2,381 | $691 |
| Soft tissue ultrasound | $483 | $275 | $64 |
| Speech therapy | $95 | $170 | $76 |
| Spinal tap (lumbar puncture) | $1,336 | $811 | $165 |
| Strep throat test | $39 | $29 | $17 |
| Stress echocardiogram | $1,401 | $431 | $209 |
| Stress echocardiogram (complete) | $1,401 | $431 | $233 |
| Swallow study | $336 | $209 | $85 |
| T3 thyroid test | $139 | $147 | $14 |
| Tdap (tetanus) vaccine | $57 | $16 | — |
| Testosterone test | $84 | $181 | $26 |
| Thyroid test (TSH) | $114 | $152 | $17 |
| Thyroid ultrasound | $471 | $551 | $109 |
| Thyroid uptake scan | $652 | $619 | $145 |
| Tilt table test | $972 | $1,171 | $168 |
| Total IgE allergy test | $120 | $122 | $16 |
| Total protein test | $29 | $83 | $4 |
| Transesophageal echocardiogram (TEE) | $1,710 | $1,645 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $1,710 | $922 | $239 |
| Transvaginal ultrasound | $637 | $516 | $118 |
| Trigger finger release | $3,531 | $885 | $630 |
| Triglycerides test | $55 | $35 | $6 |
| Troponin (heart) test | $156 | $132 | $12 |
| Tubal ligation | $382 | $382 | $333 |
| Ulnar nerve surgery (elbow) | $3,740 | $2,139 | $575 |
| Upper GI endoscopy (EGD) | $960 | $960 | $371 |
| Upper GI series (barium) | $573 | $468 | $128 |
| Ureteral stent placement | $5,666 | $775 | $373 |
| Uric acid (gout) test | $42 | $51 | $5 |
| Urinalysis | $26 | $50 | $3 |
| Urine microalbumin test | $63 | $48 | $5 |
| Urine pregnancy test | $23 | $17 | $9 |
| Vaginal delivery | $7,467 | $4,101 | $5,487 |
| Varicose vein ablation | $4,238 | $4,238 | $1,018 |
| Vitamin B12 test | $123 | $118 | $15 |
| Vitamin D test | $123 | $276 | $30 |
| Wart removal | $165 | $192 | $121 |
| Well-child visit | $107 | $87 | — |
| Wound debridement | $1,012 | $135 | $186 |
| Wrist fracture repair | $8,759 | $4,356 | $735 |
| X-ray of the abdomen | $199 | $307 | $36 |
| X-ray of the ankle | $283 | $218 | $37 |
| X-ray of the collarbone | $173 | $107 | $33 |
| X-ray of the facial bones | $240 | $275 | $39 |
| X-ray of the forearm | $200 | $236 | $29 |
| X-ray of the hand | $283 | $326 | $38 |
| X-ray of the hip | $232 | $232 | $49 |
| X-ray of the hip (1 view) | $173 | $173 | $34 |
| X-ray of the hip (3 views) | $307 | $349 | $49 |
| X-ray of the hip (4 views) | $232 | $232 | $63 |
| X-ray of the knee | $378 | $395 | $42 |
| X-ray of the knee (2 views) | $415 | $347 | $34 |
| X-ray of the knee (3 views) | $378 | $269 | $42 |
| X-ray of the knee (4+ views) | $225 | $647 | $49 |
| X-ray of the lower back (lumbar spine) | $299 | $362 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $232 | $271 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $366 | $454 | $53 |
| X-ray of the lower leg | $247 | $325 | $31 |
| X-ray of the mid-back (thoracic spine) | $259 | $232 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $248 | $199 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $271 | $264 | $39 |
| X-ray of the neck (cervical spine) | $315 | $231 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $271 | $204 | $40 |
| X-ray of the pelvis | $258 | $259 | $36 |
| X-ray of the pelvis (1 view) | $253 | $259 | $28 |
| X-ray of the ribs | $262 | $293 | $42 |
| X-ray of the ribs (2 views) | $262 | $259 | $36 |
| X-ray of the ribs (3 views) | $256 | $293 | $42 |
| X-ray of the shoulder | $323 | $380 | $36 |
| X-ray of the skull | $283 | $287 | $40 |
| X-ray of the upper arm | $214 | $172 | $32 |
| X-ray of the wrist | $186 | $326 | $43 |
| YAG laser capsulotomy (eye) | $482 | $895 | $335 |
| Zinc blood test | $72 | $80 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
