| Procedure | Tanner Medical Center-Carrollton | Higgins General Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $68 | $23 | $51 |
| Abdominal fluid drain (paracentesis) | $829 | $579 | $284 |
| Abdominal ultrasound | $573 | $429 | $100 |
| Abdominal ultrasound (complete) | $798 | $798 | $114 |
| Abdominal ultrasound (limited) | $374 | $174 | $86 |
| Abscess drainage (complex or multiple) | $690 | $656 | $220 |
| Abscess drainage (simple) | $394 | $394 | $129 |
| Abscess incision and drainage | $555 | $424 | $174 |
| Albumin blood test | $24 | $20 | $5 |
| Aldosterone test | $122 | $122 | $41 |
| Alkaline phosphatase test | $36 | $36 | $5 |
| Alpha-fetoprotein (AFP) test | $89 | $89 | $17 |
| ALT liver enzyme test | $40 | $40 | $5 |
| Ammonia blood test | $31 | $31 | $15 |
| Amylase test | $85 | $85 | $6 |
| Anoscopy | $278 | $172 | $129 |
| Antinuclear antibody (ANA) test | $109 | $109 | $12 |
| Aortic valve replacement | $21,600 | $21,600 | $1,603 |
| Arterial blood gas (ABG) | $113 | $113 | $26 |
| AST liver enzyme test | $40 | $40 | $5 |
| Barium swallow study | $269 | $213 | $107 |
| Bartholin cyst removal | $251 | $166 | $182 |
| Basic metabolic panel | $72 | $72 | $8 |
| Benign skin lesion removal | $2,252 | $2,920 | $171 |
| Bilirubin blood test | $39 | $38 | $5 |
| Bladder scope (cystoscopy) | $4,373 | $1,974 | $216 |
| Bladder tumor removal (TURBT) | $3,688 | $3,339 | $236 |
| Blood clotting test (PT/INR) | $38 | $38 | $4 |
| Blood glucose test | $38 | $40 | $5 |
| Blood transfusion | $481 | $481 | $47 |
| Blood type and screen | $92 | $92 | $10 |
| Blood type test | $63 | $51 | $3 |
| Blood type test (ABO group) | $75 | $57 | $3 |
| Blood type test (Rh/D antigen) | $56 | $42 | $3 |
| BNP (heart failure) test | $83 | $83 | $39 |
| Bone density scan (DEXA) | $349 | $349 | $39 |
| Bone marrow biopsy | $581 | $586 | $172 |
| Bone scan (nuclear) | $1,065 | $994 | $259 |
| Botox for migraine | $294 | $294 | $157 |
| Breast biopsy | $2,241 | $1,987 | $478 |
| Breast MRI | $1,795 | $1,759 | $216 |
| Breast MRI without contrast | $1,795 | $1,795 | $216 |
| Breast reconstruction | $3,317 | $7,233 | $1,227 |
| Breast reduction | $9,425 | $7,368 | $980 |
| Breast ultrasound | $358 | $368 | $92 |
| Breast ultrasound (complete) | $368 | $217 | $100 |
| Breast ultrasound (limited) | $348 | $401 | $84 |
| Breathing tube insertion (intubation) | $316 | $425 | $133 |
| Bronchoscopy | $1,163 | $874 | $303 |
| Burn dressing and debridement (medium) | $246 | $246 | $166 |
| Burn dressing and debridement (small) | $270 | $270 | $93 |
| Burn treatment | $270 | $270 | $129 |
| C-reactive protein (CRP) | $89 | $89 | $5 |
| CA 19-9 tumor marker test | $71 | $71 | $21 |
| CA-125 ovarian marker test | $92 | $92 | $21 |
| Calcium blood test | $24 | $24 | $5 |
| Capsule endoscopy | $970 | $797 | $802 |
| Cardiac ablation | $9,866 | $9,969 | $759 |
| Cardiac catheterization | $7,233 | $7,661 | $1,049 |
| Cardiac MRI | $1,564 | $1,564 | $322 |
| Cardiac MRI without contrast | $1,359 | $1,359 | $280 |
| Cardiac rehabilitation | $108 | $108 | $26 |
| Cardiac stress test | $851 | $625 | $39 |
| Cardioversion | $640 | $569 | $155 |
| Carotid artery ultrasound | $420 | $420 | $156 |
| CEA tumor marker test | $78 | $70 | $19 |
| Celiac disease test | $90 | $90 | $12 |
| Central line placement | $476 | $476 | $238 |
| Chemotherapy infusion | $186 | $186 | $81 |
| Chemotherapy infusion (each additional) | $186 | $186 | $28 |
| Chemotherapy infusion (first hour) | $320 | $320 | $133 |
| Chest fluid drain (thoracentesis) | $798 | $413 | $311 |
| Chest tube insertion | $1,083 | $757 | $143 |
| Chest X-ray | $201 | $139 | $37 |
| Chest X-ray (1 view) | $139 | $139 | $25 |
| Chest X-ray (2 views) | $222 | $172 | $33 |
| Chickenpox (varicella) vaccine | $456 | $456 | — |
| Circumcision | $4,542 | $3,494 | $167 |
| CK-MB heart enzyme test | $65 | $65 | $12 |
| Clotting time test (PTT) | $42 | $42 | $6 |
| Colonoscopy | $1,010 | $1,291 | $480 |
| Complete blood count (CBC) | $48 | $48 | $7 |
| Complete blood count (CBC) (complete) | $60 | $58 | $8 |
| Complex wound repair | $2,051 | $938 | $390 |
| Comprehensive metabolic panel | $108 | $108 | $11 |
| Contraceptive implant (Nexplanon) | $990 | $494 | $115 |
| Copper blood test | $56 | $58 | $12 |
| Coronary CT angiography | $1,311 | $972 | $326 |
| Cortisol test | $67 | $53 | $16 |
| COVID-19 PCR test | $60 | $60 | $51 |
| CPAP titration study | $253 | $253 | $69 |
| Creatine kinase (CK) test | $35 | $35 | $7 |
| CT angiography of the chest | $1,595 | $1,595 | $281 |
| CT angiography of the head | $1,133 | $1,133 | $274 |
| CT scan of the abdomen | $1,456 | $1,456 | $230 |
| CT scan of the abdomen and pelvis | $2,370 | $2,370 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $1,398 | $1,398 | $338 |
| CT scan of the abdomen and pelvis with contrast | $2,917 | $2,917 | $300 |
| CT scan of the abdomen and pelvis without contrast | $2,370 | $2,370 | $183 |
| CT scan of the abdomen with and without contrast | $1,456 | $1,456 | $259 |
| CT scan of the abdomen with contrast | $1,717 | $1,717 | $230 |
| CT scan of the abdomen without contrast | $1,354 | $1,354 | $136 |
| CT scan of the arm | $1,106 | $1,060 | $199 |
| CT scan of the arm with contrast | $1,106 | $1,106 | $199 |
| CT scan of the arm without contrast | $1,060 | $1,060 | $161 |
| CT scan of the chest | $878 | $878 | $167 |
| CT scan of the chest with and without contrast | $1,167 | $1,167 | $196 |
| CT scan of the chest with contrast | $1,247 | $960 | $167 |
| CT scan of the chest without contrast | $878 | $878 | $133 |
| CT scan of the head | $903 | $903 | $148 |
| CT scan of the head with and without contrast | $1,526 | $1,077 | $173 |
| CT scan of the head with contrast | $881 | $881 | $148 |
| CT scan of the head without contrast | $903 | $903 | $107 |
| CT scan of the leg | $1,140 | $1,140 | $166 |
| CT scan of the leg with contrast | $1,140 | $1,140 | $166 |
| CT scan of the leg without contrast | $1,089 | $1,089 | $130 |
| CT scan of the lower back (lumbar spine) | $981 | $981 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,017 | $1,017 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,103 | $1,103 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $816 | $816 | $130 |
| CT scan of the neck | $1,030 | $1,102 | $183 |
| CT scan of the neck (cervical spine) | $851 | $851 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $1,016 | $1,016 | $196 |
| CT scan of the neck (cervical spine) with contrast | $890 | $890 | $168 |
| CT scan of the neck (cervical spine) without contrast | $816 | $816 | $131 |
| CT scan of the neck with and without contrast | $1,488 | $1,488 | $220 |
| CT scan of the neck with contrast | $1,388 | $1,388 | $183 |
| CT scan of the neck without contrast | $958 | $958 | $150 |
| CT scan of the pelvis | $902 | $902 | $226 |
| CT scan of the pelvis with and without contrast | $1,696 | $1,696 | $251 |
| CT scan of the pelvis with contrast | $1,598 | $1,598 | $226 |
| CT scan of the pelvis without contrast | $902 | $902 | $133 |
| CT scan of the sinuses | $768 | $768 | $152 |
| CT scan of the sinuses with and without contrast | $951 | $951 | $184 |
| CT scan of the sinuses with contrast | $975 | $975 | $152 |
| CT scan of the sinuses without contrast | $743 | $743 | $128 |
| D-dimer test | $111 | $111 | $10 |
| Defibrillator (ICD) implant | $10,551 | $10,551 | $798 |
| DHEA-sulfate test | $98 | $98 | $22 |
| Diagnostic mammogram | $228 | $253 | $140 |
| Drug screen (urine) | $88 | $87 | $17 |
| Echocardiogram | $514 | $470 | $138 |
| Echocardiogram with and without contrast | $287 | $287 | $101 |
| Echocardiogram without contrast | $502 | $410 | $138 |
| EEG (awake and asleep) | $489 | $327 | $482 |
| EKG / ECG (tracing only) | $259 | $130 | $7 |
| Electrocardiogram (EKG) | $259 | $130 | $8 |
| Electroencephalogram (EEG) | $447 | $366 | $448 |
| Electrolyte panel | $76 | $57 | $7 |
| Electromyography (EMG) | $299 | $180 | $141 |
| Emergency department visit | $495 | $495 | $69 |
| Emergency department visit (level 1) | $103 | $144 | $11 |
| Emergency department visit (level 2) | $251 | $251 | $40 |
| Emergency department visit (level 3) | $495 | $495 | $69 |
| Emergency department visit (level 4) | $800 | $800 | $118 |
| Emergency department visit (level 5) | $853 | $853 | $171 |
| Epidural steroid injection | $560 | $652 | $275 |
| Estradiol (estrogen) test | $107 | $107 | $28 |
| Facet joint injection (spine) | $547 | $458 | $99 |
| Fallopian tube X-ray (HSG) | $222 | $206 | $164 |
| Family therapy session | $115 | $115 | $110 |
| Fecal occult blood (stool) test | $27 | $27 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $40 | $40 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $18 | $18 | $16 |
| Ferritin (iron) test | $73 | $59 | $14 |
| Fibrinogen test | $80 | $80 | $10 |
| Flexible sigmoidoscopy | $1,370 | $1,553 | $323 |
| Flu test | $35 | $35 | $17 |
| Flu vaccine | $10 | $10 | — |
| Folate (folic acid) test | $71 | $59 | $15 |
| Foreign body removal (skin) | $814 | $814 | $157 |
| Free T4 thyroid test | $56 | $56 | $9 |
| FSH hormone test | $98 | $98 | $19 |
| Gallbladder removal (laparoscopic) | $7,582 | $7,601 | $658 |
| Gallbladder scan (HIDA) | $723 | $610 | $334 |
| GGT liver test | $52 | $52 | $7 |
| Glucose tolerance test | $35 | $35 | $8 |
| Group therapy session | $157 | $143 | $30 |
| H. pylori test | $138 | $138 | $67 |
| HDL cholesterol test | $43 | $36 | $8 |
| Hematocrit test | $27 | $27 | $2 |
| Hemodialysis | $713 | $713 | $75 |
| Hemoglobin A1c (diabetes test) | $54 | $54 | $10 |
| Hepatitis B test | $58 | $58 | $10 |
| Hepatitis B vaccine | $37 | $37 | — |
| Hepatitis C test | $89 | $89 | $14 |
| HIV test | $64 | $64 | $19 |
| HIV test (antigen/antibody combo) | $64 | $64 | $24 |
| Holter heart monitor | $340 | $241 | $26 |
| Home sleep apnea test | $348 | $354 | $123 |
| HPV vaccine | $740 | $740 | — |
| Hydrocele repair | $3,844 | $3,688 | $315 |
| Inguinal hernia repair | $9,918 | $6,748 | $538 |
| Iron blood test | $29 | $33 | $6 |
| IUD insertion | $1,123 | $410 | — |
| IUD removal | $273 | $230 | $112 |
| IV infusion therapy | $205 | $205 | $44 |
| IV infusion therapy (each additional) | $69 | $138 | $21 |
| IV infusion therapy (initial) | $205 | $205 | $67 |
| IVC filter placement | $3,584 | $3,584 | $1,885 |
| Joint aspiration (small/intermediate) | $244 | $244 | $57 |
| Joint aspiration or injection (mid-size joint) | $267 | $267 | $57 |
| Joint aspiration or injection (small joint) | $171 | $171 | $56 |
| Kidney biopsy | $2,019 | $2,834 | $492 |
| Kidney scan (nuclear) | $924 | $924 | $172 |
| Kidney stone shock-wave (lithotripsy) | $7,458 | $9,363 | $760 |
| Kidney ultrasound | $332 | $332 | $84 |
| Kidney ultrasound (limited) | $332 | $332 | $61 |
| Knee joint injection | $310 | $142 | $69 |
| Lactate test | $60 | $108 | $12 |
| Laryngoscopy | $222 | $156 | $189 |
| LDH test | $52 | $52 | $6 |
| LDL cholesterol test | $39 | $38 | $11 |
| Leg artery angiogram | $1,727 | $1,727 | $149 |
| Leg artery angioplasty | $8,818 | $6,962 | — |
| Leg vein ultrasound (Doppler) | $590 | $590 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $590 | $590 | $116 |
| LH hormone test | $98 | $98 | $19 |
| Lipase test | $106 | $106 | $7 |
| Lipid (cholesterol) panel | $66 | $36 | $13 |
| Liver biopsy | $1,302 | $1,354 | $288 |
| Liver function panel | $76 | $76 | $8 |
| Lumpectomy (breast) | $4,751 | $6,515 | $750 |
| Lung function test (PFT) | $149 | $137 | $37 |
| Lung scan (V/Q) | $718 | $718 | $291 |
| Magnesium blood test | $39 | $39 | $7 |
| MRA of the brain | $1,908 | $1,955 | $226 |
| MRA of the brain with contrast | $1,908 | $1,955 | $226 |
| MRA of the brain without contrast | $2,085 | $2,085 | $328 |
| MRA of the neck | $1,814 | $1,737 | $245 |
| MRA of the neck with contrast | $1,737 | $1,737 | $245 |
| MRA of the neck without contrast | $1,890 | $1,890 | $343 |
| MRI of the abdomen | $2,510 | $2,510 | $300 |
| MRI of the abdomen with contrast | $2,510 | $2,510 | $300 |
| MRI of the abdomen without contrast | $2,352 | $2,423 | $194 |
| MRI of the ankle | $1,748 | $1,870 | $261 |
| MRI of the ankle with contrast | $1,360 | $1,360 | $261 |
| MRI of the ankle without contrast | $1,626 | $1,247 | $222 |
| MRI of the brain | $1,690 | $1,731 | $269 |
| MRI of the brain with contrast | $1,690 | $1,731 | $269 |
| MRI of the brain without contrast | $1,572 | $1,572 | $195 |
| MRI of the chest | $1,733 | $1,746 | $371 |
| MRI of the chest with contrast | $1,746 | $1,746 | $371 |
| MRI of the chest without contrast | $1,766 | $1,766 | $466 |
| MRI of the knee | $1,870 | $1,965 | $315 |
| MRI of the knee with contrast | $1,248 | $1,248 | $315 |
| MRI of the knee without contrast | $1,870 | $2,082 | $204 |
| MRI of the lower back (lumbar spine) | $1,884 | $1,729 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $1,729 | $1,729 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,649 | $1,649 | $192 |
| MRI of the mid-back (thoracic spine) | $2,182 | $1,729 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $2,726 | $2,817 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $1,729 | $1,729 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $1,649 | $1,649 | $190 |
| MRI of the neck (cervical spine) | $2,257 | $1,946 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $2,744 | $2,920 | $318 |
| MRI of the neck (cervical spine) with contrast | $1,946 | $1,946 | $274 |
| MRI of the neck (cervical spine) without contrast | $1,795 | $1,795 | $191 |
| MRI of the pelvis | $1,732 | $1,732 | $268 |
| MRI of the pelvis with contrast | $1,732 | $1,732 | $268 |
| MRI of the pelvis without contrast | $1,550 | $1,550 | $227 |
| MRI of the shoulder | $2,008 | $1,615 | $313 |
| MRI of the shoulder with contrast | $2,053 | $1,615 | $313 |
| MRI of the shoulder without contrast | $1,962 | $1,267 | $205 |
| MRI of the wrist | $1,783 | $1,235 | $330 |
| MRI of the wrist with contrast | $1,248 | $1,248 | $330 |
| MRI of the wrist without contrast | $1,600 | $1,162 | $303 |
| Nebulizer breathing treatment | $240 | $220 | $9 |
| Nerve conduction study | $288 | $137 | $118 |
| Nuclear cardiac stress test | $2,334 | $2,038 | $428 |
| Occupational therapy evaluation | $122 | $122 | $101 |
| Occupational therapy evaluation (high complexity) | $137 | $93 | $101 |
| Occupational therapy evaluation (low complexity) | $122 | $122 | $101 |
| Occupational therapy evaluation (moderate complexity) | $128 | $128 | $101 |
| Office visit (established patient) | $68 | $64 | $115 |
| Office visit (new patient) | $101 | $100 | $177 |
| Office visit, established patient (level 3) | $50 | $49 | $95 |
| Office visit, established patient (level 4) | $75 | $68 | $136 |
| Office visit, new patient (level 3) | $98 | $79 | $118 |
| Office visit, new patient (level 4) | $129 | $129 | $177 |
| Office visit, new patient (level 5) | $137 | $137 | $237 |
| Pap smear (cervical screening) | $34 | $34 | $20 |
| Parathyroid hormone (PTH) test | $109 | $106 | $41 |
| Pelvic ultrasound | $327 | $327 | $78 |
| Pelvic ultrasound (complete) | $584 | $584 | $105 |
| Pelvic ultrasound (limited) | $327 | $327 | $51 |
| PET scan | $3,048 | $3,256 | — |
| Phosphorus blood test | $29 | $22 | $5 |
| Physical therapy evaluation | $125 | $128 | $98 |
| Physical therapy evaluation (high complexity) | $137 | $137 | $98 |
| Physical therapy evaluation (moderate complexity) | $128 | $128 | $98 |
| Pilonidal cyst removal | $2,055 | $1,862 | $541 |
| Platelet count | $30 | $30 | $4 |
| Pneumonia vaccine | $151 | $151 | — |
| Pregnancy blood test (hCG) | $93 | $93 | $8 |
| Pregnancy ultrasound | $411 | $411 | $126 |
| Pregnancy ultrasound (first trimester) | $482 | $482 | $117 |
| Pregnancy ultrasound (second or third trimester) | $401 | $401 | $136 |
| Procalcitonin test | $90 | $71 | $27 |
| Prolactin test | $124 | $124 | $19 |
| Prostate biopsy | $1,902 | $1,921 | — |
| Prostate test (PSA) | $76 | $76 | $18 |
| Psychiatric evaluation | $116 | $116 | $188 |
| Psychotherapy session | $133 | $133 | $140 |
| Pulmonary rehabilitation | $110 | $110 | $87 |
| Radiofrequency nerve ablation | $921 | $903 | $462 |
| Retinal (fundus) photography | $170 | $170 | $37 |
| Sacroiliac joint injection | $992 | $1,061 | $176 |
| Scoliosis spine X-ray | $174 | $174 | $58 |
| Scoliosis spine X-ray (1 view) | $174 | $174 | $44 |
| Scoliosis spine X-ray (3 views) | $224 | $224 | $72 |
| Screening colonoscopy | $1,432 | $973 | $378 |
| Screening mammogram | $196 | $155 | $126 |
| Scrotal ultrasound | $548 | $548 | $99 |
| Sedimentation rate (ESR) test | $39 | $31 | $3 |
| Semen analysis | $54 | $49 | $12 |
| Sex hormone binding globulin test | $103 | $103 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $314 | $314 | $114 |
| Simple wound stitches | $321 | $314 | $127 |
| Skin biopsy | $216 | $233 | $121 |
| Skin biopsy (punch) | $198 | $233 | $121 |
| Skin lesion freezing (cryotherapy) | $85 | $85 | $36 |
| Skin tag removal | $267 | $254 | $92 |
| Sleep study (polysomnography) | $574 | $574 | $691 |
| Soft tissue ultrasound | $428 | $428 | $64 |
| Speech therapy | $105 | $100 | $76 |
| Spinal cord stimulator | $4,014 | $5,312 | $2,388 |
| Spinal tap (lumbar puncture) | $628 | $379 | $165 |
| Spine fracture repair (kyphoplasty) | $4,794 | $6,747 | $5,803 |
| Spirometry (lung function test) | $149 | $124 | $30 |
| Spirometry with bronchodilator | $268 | $138 | $43 |
| Strep throat test | $41 | $41 | $17 |
| Stress echocardiogram | $833 | $627 | $209 |
| Stress echocardiogram (complete) | $697 | $697 | $233 |
| Swallow study | $199 | $199 | $85 |
| T3 thyroid test | $93 | $93 | $14 |
| Tdap (tetanus) vaccine | $68 | $98 | — |
| Testosterone test | $130 | $130 | $26 |
| Thyroid test (TSH) | $73 | $73 | $17 |
| Thyroid ultrasound | $608 | $608 | $109 |
| Thyroid uptake scan | $696 | $480 | $145 |
| Tilt table test | $810 | $527 | $168 |
| Total IgE allergy test | $51 | $51 | $16 |
| Total protein test | $29 | $29 | $4 |
| Transesophageal echocardiogram (TEE) | $946 | $946 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $946 | $590 | $239 |
| Transvaginal ultrasound | $549 | $511 | $118 |
| Trigger point injection | $229 | $229 | $56 |
| Trigger point injection (1-2 muscles) | $229 | $229 | $52 |
| Triglycerides test | $34 | $34 | $6 |
| Troponin (heart) test | $127 | $85 | $12 |
| Turning a breech baby (version) | $1,269 | $1,900 | $94 |
| Upper GI endoscopy (EGD) | $1,134 | $1,067 | $371 |
| Upper GI series (barium) | $358 | $305 | $128 |
| Ureteral stent placement | $2,362 | $2,090 | $373 |
| Ureteroscopy (stone removal) | $5,085 | $3,262 | $365 |
| Uric acid (gout) test | $52 | $52 | $5 |
| Urinalysis | $54 | $50 | $3 |
| Urine microalbumin test | $30 | $30 | $5 |
| Urine pregnancy test | $80 | $80 | $9 |
| Vaccine administration | $25 | $34 | $19 |
| Vaccine administration (each additional) | $25 | $25 | $16 |
| Varicose vein ablation | $2,249 | $2,362 | $1,018 |
| Vasectomy | $3,184 | $3,688 | $347 |
| Vitamin B12 test | $62 | $55 | $15 |
| Vitamin D test | $94 | $96 | $30 |
| Wound debridement | $520 | $520 | $186 |
| X-ray of the abdomen | $152 | $140 | $36 |
| X-ray of the ankle | $323 | $274 | $37 |
| X-ray of the collarbone | $174 | $174 | $33 |
| X-ray of the elbow | $278 | $278 | $33 |
| X-ray of the facial bones | $173 | $173 | $39 |
| X-ray of the foot | $238 | $238 | $34 |
| X-ray of the forearm | $237 | $237 | $29 |
| X-ray of the hand | $227 | $211 | $38 |
| X-ray of the hip | $154 | $150 | $49 |
| X-ray of the hip (1 view) | $150 | $69 | $34 |
| X-ray of the hip (3 views) | $158 | $158 | $49 |
| X-ray of the knee | $213 | $213 | $42 |
| X-ray of the knee (2 views) | $187 | $187 | $34 |
| X-ray of the knee (3 views) | $223 | $240 | $42 |
| X-ray of the lower back (lumbar spine) | $228 | $228 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $228 | $228 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $264 | $264 | $53 |
| X-ray of the lower leg | $186 | $186 | $31 |
| X-ray of the mid-back (thoracic spine) | $171 | $171 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $170 | $170 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $176 | $176 | $39 |
| X-ray of the neck (cervical spine) | $264 | $264 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $264 | $264 | $40 |
| X-ray of the pelvis | $131 | $131 | $36 |
| X-ray of the pelvis (1 view) | $131 | $131 | $28 |
| X-ray of the ribs | $227 | $227 | $42 |
| X-ray of the ribs (2 views) | $221 | $221 | $36 |
| X-ray of the ribs (3 views) | $233 | $233 | $42 |
| X-ray of the shoulder | $261 | $207 | $36 |
| X-ray of the skull | $231 | $231 | $40 |
| X-ray of the upper arm | $135 | $135 | $32 |
| X-ray of the wrist | $280 | $237 | $43 |
| Zinc blood test | $29 | $29 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
