| Procedure | Cash | Chargemaster | Insurer | Medicare |
|---|
| 3D mammogram (tomosynthesis) |
— |
— |
$127 |
$51 |
| Abdominal fluid drain (paracentesis) |
— |
— |
$2,569 |
$284 |
| Abdominal ultrasound |
$3,036 |
$3,036 |
$295 |
$100 |
| Abscess incision and drainage |
— |
— |
$2,062 |
$174 |
| Achilles tendon repair |
— |
— |
$3,514 |
$624 |
| ACL knee reconstruction |
— |
— |
$3,514 |
$889 |
| Acupuncture |
— |
— |
$72 |
$38 |
| Adenoid removal (adenoidectomy) |
— |
— |
$3,727 |
$204 |
| Aldosterone test |
$63 |
$63 |
$41 |
$41 |
| Allergy patch testing |
— |
— |
$6 |
$5 |
| Allergy shots |
— |
— |
$22 |
$11 |
| Allergy testing |
— |
— |
$3 |
$4 |
| Amniocentesis |
— |
— |
$2,154 |
$120 |
| Anal fistula repair |
— |
— |
$3,514 |
$541 |
| Ankle fracture repair |
— |
— |
$3,514 |
$608 |
| Ankle replacement |
— |
— |
$5,647 |
$885 |
| Annual physical (established patient) |
— |
— |
$61 |
— |
| Annual physical (new patient) |
— |
— |
$58 |
— |
| Anoscopy |
— |
— |
$1,933 |
$129 |
| Aortic aneurysm repair (AAA) |
— |
— |
$3,435 |
$1,345 |
| Aortic valve replacement |
— |
— |
$4,013 |
$1,603 |
| Barium swallow study |
— |
— |
$179 |
$107 |
| Bartholin cyst removal |
— |
— |
$2,303 |
$182 |
| Benign skin lesion removal |
— |
— |
$2,303 |
$171 |
| Bilirubin blood test |
$351 |
$351 |
$5 |
$5 |
| Bladder function test (urodynamics) |
— |
— |
$2,020 |
$345 |
| Bladder scope (cystoscopy) |
— |
— |
$2,154 |
$216 |
| Bladder tumor removal (TURBT) |
— |
— |
$2,614 |
$236 |
| Blood crossmatch |
$1,101 |
$1,101 |
$149 |
— |
| Blood transfusion |
$1,455 |
$1,455 |
$2,031 |
$47 |
| Blood type test |
$516 |
$516 |
$3 |
$3 |
| BNP (heart failure) test |
$1,111 |
$1,111 |
$41 |
$39 |
| Bone density scan (DEXA) |
— |
— |
$155 |
$39 |
| Bone marrow biopsy |
— |
— |
$2,550 |
$172 |
| Bone scan (nuclear) |
— |
— |
$472 |
$259 |
| Botox for migraine |
— |
— |
$1,004 |
$157 |
| Brain shunt (VP shunt) |
— |
— |
$2,569 |
$1,023 |
| Breast biopsy |
— |
— |
$2,569 |
$478 |
| Breast MRI |
— |
— |
$322 |
$216 |
| Breast reconstruction |
— |
— |
$3,435 |
$1,227 |
| Breast reduction |
— |
— |
$4,013 |
$980 |
| Breast ultrasound |
— |
— |
$144 |
$92 |
| Breathing tube insertion (intubation) |
— |
— |
$2,303 |
$133 |
| Bronchoscopy |
— |
— |
$2,303 |
$303 |
| Bunion surgery (bunionectomy) |
— |
— |
$3,514 |
$883 |
| Burn treatment |
— |
— |
$2,062 |
$129 |
| CA 19-9 tumor marker test |
— |
— |
$21 |
$21 |
| Calcium blood test |
$278 |
$278 |
$6 |
$5 |
| Capsule endoscopy |
— |
— |
$1,111 |
$802 |
| Cardiac ablation |
— |
— |
$5,078 |
$759 |
| Cardiac catheterization |
— |
— |
$7,086 |
$1,049 |
| Cardiac event monitor |
— |
— |
$108 |
$170 |
| Cardiac MRI |
— |
— |
$616 |
$322 |
| Cardiac rehabilitation |
— |
— |
$49 |
$26 |
| Cardiac stress test |
— |
— |
$148 |
$39 |
| Cardioversion |
— |
— |
$2,154 |
$155 |
| Carotid artery surgery |
— |
— |
$3,635 |
$1,026 |
| Carotid artery ultrasound |
$4,687 |
$4,687 |
$284 |
$156 |
| Carpal tunnel release |
— |
— |
$2,303 |
$483 |
| Cataract surgery |
— |
— |
$4,473 |
$547 |
| CEA tumor marker test |
— |
— |
$19 |
$19 |
| Celiac disease test |
— |
— |
$12 |
$12 |
| Central line placement |
— |
— |
$2,303 |
$238 |
| Cervical cerclage |
— |
— |
$2,303 |
$137 |
| Cervical LEEP procedure |
— |
— |
$2,569 |
$325 |
| Cesarean section (C-section) |
— |
— |
$1,947 |
$7,552 |
| Chalazion (eyelid cyst) removal |
— |
— |
$2,303 |
$131 |
| Chemotherapy infusion |
— |
— |
$110 |
$81 |
| Chest fluid drain (thoracentesis) |
— |
— |
$2,303 |
$311 |
| Chest tube insertion |
— |
— |
$2,303 |
$143 |
| Chest X-ray |
$1,322 |
$1,322 |
$84 |
$37 |
| Chickenpox (varicella) vaccine |
— |
— |
$611 |
— |
| Chiropractic adjustment |
— |
— |
$24 |
$38 |
| Circumcision |
— |
— |
$2,303 |
$167 |
| CK-MB heart enzyme test |
— |
— |
$12 |
$12 |
| Colon resection (colectomy) |
— |
— |
$2,569 |
$1,238 |
| Colonoscopy |
— |
— |
$2,303 |
$480 |
| Colostomy |
— |
— |
$2,614 |
$1,122 |
| Colposcopy |
— |
— |
$2,303 |
$161 |
| Complex wound repair |
— |
— |
$2,577 |
$390 |
| Comprehensive eye exam |
— |
— |
$246 |
$138 |
| Contact lens fitting |
— |
— |
$66 |
— |
| Continuous glucose monitor setup |
— |
— |
$69 |
$35 |
| Contraceptive implant (Nexplanon) |
— |
— |
$1,933 |
$115 |
| Corneal transplant |
— |
— |
$6,178 |
$1,066 |
| Coronary artery bypass (CABG) |
— |
— |
$1,947 |
$36,593 |
| Coronary CT angiography |
— |
— |
$443 |
$326 |
| COVID-19 PCR test |
$42 |
$42 |
$51 |
$51 |
| CPAP titration study |
— |
— |
$128 |
$69 |
| Craniotomy (brain surgery) |
— |
— |
$4,013 |
$2,161 |
| CT angiography of the chest |
$13,897 |
$13,897 |
$716 |
$281 |
| CT angiography of the head |
$14,864 |
$14,864 |
$649 |
$274 |
| CT colonography (virtual colonoscopy) |
— |
— |
$891 |
$835 |
| CT scan of the abdomen |
$10,033 |
$10,033 |
$459 |
$230 |
| CT scan of the abdomen and pelvis |
$19,972 |
$19,972 |
$459 |
$300 |
| CT scan of the arm |
$9,397 |
$9,397 |
$1,602 |
$199 |
| CT scan of the chest |
$9,910 |
$9,910 |
$459 |
$167 |
| CT scan of the head |
$9,176 |
$9,176 |
$459 |
$148 |
| CT scan of the leg |
$9,397 |
$9,397 |
$459 |
$166 |
| CT scan of the lower back (lumbar spine) |
$11,987 |
$11,987 |
$538 |
$169 |
| CT scan of the neck |
$9,729 |
$9,729 |
$459 |
$183 |
| CT scan of the neck (cervical spine) |
$10,559 |
$10,559 |
$459 |
$168 |
| CT scan of the pelvis |
$9,432 |
$9,432 |
$459 |
$226 |
| CT scan of the sinuses |
$9,729 |
$9,729 |
$435 |
$152 |
| Defibrillator (ICD) implant |
— |
— |
$10,402 |
$798 |
| Developmental screening (child) |
— |
— |
$58 |
— |
| Diagnostic mammogram |
— |
— |
$130 |
$140 |
| Dialysis fistula creation |
— |
— |
$6,446 |
$601 |
| Dilation and curettage (D&C) |
— |
— |
$2,303 |
$298 |
| Droopy eyelid repair (ptosis) |
— |
— |
$3,727 |
$745 |
| Drug screen (urine) |
$718 |
$718 |
$19 |
$17 |
| Ear pressure test (tympanometry) |
— |
— |
$32 |
$16 |
| Ear tubes (myringotomy) |
— |
— |
$2,569 |
$174 |
| Eardrum repair (tympanoplasty) |
— |
— |
$4,679 |
$799 |
| Echocardiogram |
$3,176 |
$3,176 |
$794 |
$138 |
| Elbow replacement |
— |
— |
$9,251 |
$1,301 |
| Electrocardiogram (EKG) |
$772 |
$772 |
$193 |
$8 |
| Electroencephalogram (EEG) |
— |
— |
$44 |
$448 |
| Electromyography (EMG) |
— |
— |
$115 |
$141 |
| Emergency department visit |
$1,856 |
$1,856 |
$928 |
$69 |
| Endometrial biopsy |
— |
— |
$1,933 |
$98 |
| Epidural steroid injection |
— |
— |
$2,303 |
$275 |
| ERCP (bile duct endoscopy) |
— |
— |
$2,303 |
$311 |
| Esophageal dilation |
— |
— |
$2,303 |
$522 |
| Esophageal variceal banding |
— |
— |
$2,303 |
$126 |
| Eye refraction (glasses prescription) |
— |
— |
$13 |
— |
| Eyelid surgery (blepharoplasty) |
— |
— |
$3,433 |
$552 |
| Facet joint injection (spine) |
— |
— |
$2,303 |
$99 |
| Fallopian tube X-ray (HSG) |
— |
— |
$1,804 |
$164 |
| Family therapy session |
— |
— |
$100 |
$110 |
| Feeding tube (PEG) placement |
— |
— |
$2,303 |
$178 |
| Femoral hernia repair |
— |
— |
$4,649 |
$584 |
| Fibrinogen test |
— |
— |
$10 |
$10 |
| Fibroid removal (myomectomy) |
— |
— |
$4,100 |
$914 |
| Flexible sigmoidoscopy |
— |
— |
$2,154 |
$323 |
| Flu test |
— |
— |
$17 |
$17 |
| Flu vaccine |
— |
— |
$29 |
— |
| Folate (folic acid) test |
$747 |
$747 |
$15 |
$15 |
| Foreign body removal (skin) |
— |
— |
$1,933 |
$157 |
| Gallbladder removal (laparoscopic) |
— |
— |
$6,489 |
$658 |
| Gallbladder scan (HIDA) |
— |
— |
$612 |
$334 |
| Ganglion cyst removal |
— |
— |
$3,514 |
$321 |
| Glaucoma surgery |
— |
— |
$3,727 |
$984 |
| Group therapy session |
— |
— |
$24 |
$30 |
| H. pylori test |
$798 |
$798 |
$71 |
$67 |
| Hammertoe repair |
— |
— |
$3,514 |
$548 |
| HDL cholesterol test |
— |
— |
$8 |
$8 |
| Hearing test (audiometry) |
— |
— |
$73 |
$36 |
| Hemodialysis |
— |
— |
$167 |
$75 |
| Hemorrhoid removal |
— |
— |
$2,303 |
$338 |
| Hepatitis A vaccine |
— |
— |
$195 |
— |
| Hepatitis B vaccine |
$637 |
$637 |
$199 |
— |
| Hip arthroscopy |
— |
— |
$6,922 |
$931 |
| Hip fracture repair |
— |
— |
$4,991 |
$1,120 |
| Hip replacement |
— |
— |
$4,013 |
$1,162 |
| Holter heart monitor |
— |
— |
$177 |
$26 |
| Home sleep apnea test |
— |
— |
$1,446 |
$123 |
| HPV vaccine |
— |
— |
$1,046 |
— |
| Hydrocele repair |
— |
— |
$3,514 |
$315 |
| Hysterectomy |
— |
— |
$4,662 |
$933 |
| Hysteroscopy |
— |
— |
$3,514 |
$1,270 |
| Ileostomy |
— |
— |
$2,569 |
$968 |
| Incisional hernia repair |
— |
— |
$4,238 |
— |
| Inguinal hernia repair |
— |
— |
$4,100 |
$538 |
| Iron blood test |
$423 |
$423 |
$7 |
$6 |
| IUD insertion |
— |
— |
$1,933 |
— |
| IUD removal |
— |
— |
$2,303 |
$112 |
| IV infusion therapy |
$1,401 |
$1,401 |
$394 |
$44 |
| IVC filter placement |
— |
— |
$3,514 |
$1,885 |
| Joint aspiration (small/intermediate) |
— |
— |
$2,303 |
$57 |
| Kidney biopsy |
— |
— |
$2,303 |
$492 |
| Kidney removal (nephrectomy) |
— |
— |
$2,569 |
$1,164 |
| Kidney scan (nuclear) |
— |
— |
$432 |
$172 |
| Kidney stone shock-wave (lithotripsy) |
— |
— |
$6,489 |
$760 |
| Kidney ultrasound |
$3,107 |
$3,107 |
$249 |
$84 |
| Knee arthroscopy |
— |
— |
$4,013 |
$524 |
| Knee joint injection |
— |
— |
$2,303 |
$69 |
| Knee replacement |
— |
— |
$1,947 |
$18,054 |
| Lactate test |
$829 |
$829 |
$12 |
$12 |
| Laminectomy (spine) |
— |
— |
$5,050 |
$1,157 |
| Laryngoscopy |
— |
— |
$2,062 |
$189 |
| LDL cholesterol test |
— |
— |
$11 |
$11 |
| Leg artery angiogram |
— |
— |
$2,157 |
$149 |
| Leg artery angioplasty |
— |
— |
$5,050 |
— |
| Leg vein ultrasound (Doppler) |
$3,390 |
$3,390 |
$288 |
$150 |
| Lipase test |
$574 |
$574 |
$7 |
$7 |
| Liver biopsy |
— |
— |
$2,303 |
$288 |
| Lower back (lumbar) spinal fusion |
— |
— |
$38,112 |
$1,511 |
| Lumbar discectomy |
— |
— |
$6,446 |
$898 |
| Lumpectomy (breast) |
— |
— |
$3,901 |
$750 |
| Lung function test (PFT) |
— |
— |
$29 |
$37 |
| Lung scan (V/Q) |
— |
— |
$612 |
$291 |
| Mastectomy |
— |
— |
$4,100 |
$1,021 |
| Mastoidectomy |
— |
— |
$5,078 |
$840 |
| Meniscus repair (knee) |
— |
— |
$3,514 |
$714 |
| MMR vaccine |
— |
— |
$151 |
— |
| Mohs skin cancer surgery |
— |
— |
$2,303 |
$535 |
| MRA of the brain |
$15,135 |
$15,135 |
$616 |
$226 |
| MRA of the neck |
— |
— |
$596 |
$245 |
| MRI of the abdomen |
$16,571 |
$16,571 |
$616 |
$300 |
| MRI of the ankle |
$6,316 |
$6,316 |
$616 |
$261 |
| MRI of the brain |
$15,068 |
$15,068 |
$616 |
$269 |
| MRI of the chest |
— |
— |
$735 |
$371 |
| MRI of the knee |
$13,543 |
$13,543 |
$1,097 |
$315 |
| MRI of the lower back (lumbar spine) |
$11,472 |
$11,472 |
$616 |
$270 |
| MRI of the mid-back (thoracic spine) |
$15,612 |
$15,612 |
$616 |
$271 |
| MRI of the neck (cervical spine) |
$15,295 |
$15,295 |
$616 |
$274 |
| MRI of the pelvis |
$9,499 |
$9,499 |
$616 |
$268 |
| MRI of the shoulder |
$10,997 |
$10,997 |
$890 |
$313 |
| MRI of the wrist |
$13,224 |
$13,224 |
$616 |
$330 |
| Nebulizer breathing treatment |
— |
— |
$15 |
$9 |
| Neck (cervical) spinal fusion |
— |
— |
$7,729 |
$1,410 |
| Nerve conduction study |
— |
— |
$86 |
$118 |
| Newborn hospital care |
— |
— |
$49 |
$58 |
| Nuchal translucency ultrasound |
— |
— |
$185 |
$116 |
| Nuclear cardiac stress test |
— |
— |
$1,258 |
$428 |
| Occupational therapy evaluation |
— |
— |
$138 |
$101 |
| Office visit (established patient) |
— |
— |
$51 |
$115 |
| Office visit (new patient) |
— |
— |
$105 |
$177 |
| Orthopedic hardware removal |
— |
— |
$3,514 |
$632 |
| Ovarian cyst removal |
— |
— |
$5,050 |
$698 |
| Ovary removal (oophorectomy) |
— |
— |
$2,569 |
$822 |
| Pacemaker insertion |
— |
— |
$1,947 |
$15,506 |
| Pap smear (cervical screening) |
— |
— |
$21 |
$20 |
| Parathyroid hormone (PTH) test |
$1,167 |
$1,167 |
$43 |
$41 |
| Parathyroid removal |
— |
— |
$4,955 |
$891 |
| Pelvic ultrasound |
$2,174 |
$2,174 |
$236 |
$78 |
| PET scan |
— |
— |
$2,672 |
— |
| Physical therapy evaluation |
— |
— |
$135 |
$98 |
| Pilonidal cyst removal |
— |
— |
$3,514 |
$541 |
| Pneumonia vaccine |
$1,635 |
$1,635 |
$354 |
— |
| Pregnancy ultrasound |
$2,643 |
$2,643 |
$327 |
$126 |
| Procalcitonin test |
— |
— |
$27 |
$27 |
| Prostate biopsy |
— |
— |
$1,924 |
— |
| Prostate removal (prostatectomy) |
— |
— |
$3,435 |
$1,063 |
| Prostate surgery (TURP) |
— |
— |
$4,013 |
$526 |
| Pterygium removal (eye) |
— |
— |
$2,303 |
$540 |
| Pulmonary rehabilitation |
— |
— |
$148 |
$87 |
| Radiofrequency nerve ablation |
— |
— |
$2,569 |
$462 |
| Retina scan (OCT) |
— |
— |
$13 |
$33 |
| Retinal (fundus) photography |
— |
— |
$31 |
$37 |
| Retinal detachment repair |
— |
— |
$4,955 |
$966 |
| Rheumatoid factor test |
— |
— |
$6 |
$6 |
| Rotator cuff repair |
— |
— |
$4,955 |
$792 |
| Routine eye exam |
— |
— |
$165 |
$88 |
| RSV vaccine |
— |
— |
$1,015 |
— |
| Sacroiliac joint injection |
— |
— |
$2,062 |
$176 |
| Scoliosis spine X-ray |
— |
— |
$94 |
$58 |
| Screening colonoscopy |
— |
— |
$2,087 |
$378 |
| Screening mammogram |
— |
— |
$122 |
$126 |
| Scrotal ultrasound |
$2,835 |
$2,835 |
$262 |
$99 |
| Semen analysis |
— |
— |
$12 |
$12 |
| Septoplasty (deviated septum) |
— |
— |
$3,727 |
$613 |
| Sex hormone binding globulin test |
$80 |
$80 |
$23 |
$22 |
| Shingles vaccine |
— |
— |
$294 |
— |
| Shoulder arthroscopy |
— |
— |
$3,514 |
$962 |
| Shoulder replacement |
— |
— |
$4,013 |
$1,300 |
| Simple wound stitches |
— |
— |
$1,933 |
$127 |
| Sinus surgery (endoscopic) |
— |
— |
$3,514 |
$224 |
| Skin biopsy |
— |
— |
$2,303 |
$121 |
| Skin cancer lesion removal |
— |
— |
$2,303 |
$240 |
| Skin graft |
— |
— |
$2,303 |
$898 |
| Skin lesion freezing (cryotherapy) |
— |
— |
$2,062 |
$36 |
| Skin tag removal |
— |
— |
$1,933 |
$92 |
| Sleep study (polysomnography) |
— |
— |
$1,446 |
$691 |
| Small bowel resection |
— |
— |
$2,569 |
$1,136 |
| Soft tissue ultrasound |
$1,409 |
$1,409 |
$155 |
$64 |
| Speech therapy |
— |
— |
$155 |
$76 |
| Spinal cord stimulator |
— |
— |
$2,303 |
$2,388 |
| Spinal tap (lumbar puncture) |
— |
— |
$2,154 |
$165 |
| Spine fracture repair (kyphoplasty) |
— |
— |
$6,446 |
$5,803 |
| Spleen removal (splenectomy) |
— |
— |
$3,435 |
$1,036 |
| Stomach removal (gastrectomy) |
— |
— |
$2,614 |
$1,595 |
| Strabismus (eye muscle) surgery |
— |
— |
$3,514 |
$475 |
| Stress echocardiogram |
— |
— |
$467 |
$209 |
| Swallow study |
— |
— |
$172 |
$85 |
| Tdap (tetanus) vaccine |
$819 |
$819 |
$105 |
— |
| Testicle removal (orchiectomy) |
— |
— |
$3,514 |
$306 |
| Thyroid removal (thyroidectomy) |
— |
— |
$4,955 |
$1,004 |
| Thyroid ultrasound |
$2,316 |
$2,316 |
$316 |
$109 |
| Thyroid uptake scan |
— |
— |
$319 |
$145 |
| Tilt table test |
— |
— |
$2,062 |
$168 |
| Tonsillectomy |
— |
— |
$3,514 |
$252 |
| Tracheostomy |
— |
— |
$2,614 |
$273 |
| Transesophageal echocardiogram (TEE) |
— |
— |
$331 |
$239 |
| Transvaginal ultrasound |
$3,035 |
$3,035 |
$324 |
$118 |
| Trigger finger release |
— |
— |
$2,303 |
$630 |
| Trigger point injection |
— |
— |
$2,303 |
$56 |
| Troponin (heart) test |
$747 |
$747 |
$13 |
$12 |
| Tubal ligation |
— |
— |
$3,514 |
$333 |
| Turbinate reduction |
— |
— |
$2,303 |
$294 |
| Turning a breech baby (version) |
— |
— |
$2,569 |
$94 |
| Ulnar nerve surgery (elbow) |
— |
— |
$2,303 |
$575 |
| Umbilical hernia repair |
— |
— |
$4,238 |
— |
| Upper GI endoscopy (EGD) |
— |
— |
$2,303 |
$371 |
| Upper GI series (barium) |
— |
— |
$341 |
$128 |
| Ureteral stent placement |
— |
— |
$2,614 |
$373 |
| Ureteroscopy (stone removal) |
— |
— |
$5,647 |
$365 |
| UV light therapy (skin) |
— |
— |
$188 |
$106 |
| Vaccine administration |
$361 |
$361 |
$93 |
$19 |
| Vaginal delivery |
— |
— |
$1,947 |
$5,487 |
| Varicocele repair |
— |
— |
$3,727 |
$327 |
| Varicose vein ablation |
— |
— |
$5,050 |
$1,018 |
| Vasectomy |
— |
— |
$2,303 |
$347 |
| Visual field test |
— |
— |
$69 |
$64 |
| Vitrectomy (eye) |
— |
— |
$4,679 |
$814 |
| Vocal cord injection |
— |
— |
$2,303 |
$211 |
| Wart removal |
— |
— |
$1,933 |
$121 |
| Weight-loss (bariatric) surgery |
— |
— |
$3,864 |
$11,645 |
| Well-child visit |
— |
— |
$47 |
— |
| Whipple procedure (pancreas) |
— |
— |
$4,955 |
$2,871 |
| Wound debridement |
— |
— |
$1,622 |
$186 |
| Wrist fracture repair |
— |
— |
$4,955 |
$735 |
| X-ray of the abdomen |
$1,486 |
$1,486 |
$138 |
$36 |
| X-ray of the ankle |
$1,963 |
$1,963 |
$104 |
$37 |
| X-ray of the collarbone |
$1,787 |
$1,787 |
$88 |
$33 |
| X-ray of the elbow |
$1,963 |
$1,963 |
$88 |
$33 |
| X-ray of the facial bones |
$1,787 |
$1,787 |
$84 |
$39 |
| X-ray of the foot |
$1,963 |
$1,963 |
$97 |
$34 |
| X-ray of the forearm |
$1,787 |
$1,787 |
$84 |
$29 |
| X-ray of the hand |
$1,963 |
$1,963 |
$103 |
$38 |
| X-ray of the hip |
$2,367 |
$2,367 |
$155 |
$49 |
| X-ray of the knee |
$1,875 |
$1,875 |
$130 |
$42 |
| X-ray of the lower back (lumbar spine) |
$2,884 |
$2,884 |
$155 |
$47 |
| X-ray of the lower leg |
$1,979 |
$1,979 |
$87 |
$31 |
| X-ray of the mid-back (thoracic spine) |
$2,227 |
$2,227 |
$155 |
$36 |
| X-ray of the neck (cervical spine) |
$1,682 |
$1,682 |
$148 |
$47 |
| X-ray of the pelvis |
$1,338 |
$1,338 |
$155 |
$36 |
| X-ray of the ribs |
$2,134 |
$2,134 |
$155 |
$42 |
| X-ray of the shoulder |
$1,979 |
$1,979 |
$93 |
$36 |
| X-ray of the skull |
$2,720 |
$2,720 |
$155 |
$40 |
| X-ray of the upper arm |
$1,787 |
$1,787 |
$88 |
$32 |
| X-ray of the wrist |
$1,963 |
$1,963 |
$119 |
$43 |
| YAG laser capsulotomy (eye) |
— |
— |
$2,154 |
$335 |
Source: this hospital’s machine-readable price file (45 CFR §180). Medicare from CMS fee schedules. Estimates — confirm with the hospital. Report an incorrect price.
