Published prices for 340 procedures at Wyandot Memorial Hospital (Upper Sandusky, OH), from its machine-readable file.
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| Procedure | Cash | Chargemaster | Insurer | Medicare |
|---|---|---|---|---|
| 3D mammogram (tomosynthesis) | $56 | $62 | $54 | $51 |
| Abdominal fluid drain (paracentesis) | $553 | $614 | $500 | $284 |
| Abdominal ultrasound | $723 | $804 | $223 | $100 |
| Abscess incision and drainage | $231 | $256 | $192 | $174 |
| Achilles tendon repair | $3,035 | $3,372 | $2,934 | $624 |
| ACL knee reconstruction | $2,291 | $2,546 | $4,179 | $889 |
| Adenoid removal (adenoidectomy) | $4,487 | $4,986 | $4,338 | $204 |
| Albumin blood test | $53 | $59 | $51 | $5 |
| Aldosterone test | $61 | $68 | $59 | $41 |
| Alkaline phosphatase test | $55 | $61 | $53 | $5 |
| Allergy shots | $39 | $43 | $33 | $11 |
| Alpha-fetoprotein (AFP) test | $11 | $12 | $10 | $17 |
| ALT liver enzyme test | $57 | $63 | $55 | $5 |
| Ammonia blood test | $151 | $167 | $146 | $15 |
| Amniocentesis | $275 | $305 | $111 | $120 |
| Amylase test | $69 | $77 | $67 | $6 |
| Anal fistula repair | $713 | $792 | $289 | $541 |
| Ankle fracture repair | $2,929 | $3,255 | $2,325 | $608 |
| Annual physical (established patient) | $211 | $235 | $197 | — |
| Annual physical (new patient) | $252 | $280 | $229 | — |
| Anoscopy | $69 | $76 | $28 | $129 |
| Antinuclear antibody (ANA) test | $23 | $25 | $35 | $12 |
| Arterial blood gas (ABG) | $337 | $374 | $124 | $26 |
| AST liver enzyme test | $55 | $61 | $53 | $5 |
| Barium swallow study | $386 | $429 | $140 | $107 |
| Bartholin cyst removal | $241 | $268 | $130 | $182 |
| Basic metabolic panel | $73 | $81 | $70 | $8 |
| Benign skin lesion removal | $228 | $253 | $98 | $171 |
| Bilirubin blood test | $42 | $47 | $41 | $5 |
| Bladder function test (urodynamics) | $239 | $265 | $97 | $345 |
| Bladder scope (cystoscopy) | $1,154 | $1,282 | $1,528 | $216 |
| Bladder tumor removal (TURBT) | $599 | $665 | $1,077 | $236 |
| Blood clotting test (PT/INR) | $57 | $64 | $45 | $4 |
| Blood crossmatch | $60 | $67 | $58 | — |
| Blood glucose test | $42 | $47 | $33 | $5 |
| Blood transfusion | $512 | $569 | $325 | $47 |
| Blood type and screen | $210 | $234 | $79 | $10 |
| Blood type test | $88 | $97 | $47 | $3 |
| BNP (heart failure) test | $129 | $144 | $125 | $39 |
| Bone density scan (DEXA) | $560 | $622 | $141 | $39 |
| Bone marrow biopsy | $454 | $504 | $829 | $172 |
| Bone scan (nuclear) | $1,521 | $1,690 | $383 | $259 |
| Breast biopsy | $247 | $274 | $452 | $478 |
| Breast MRI | $2,327 | $2,586 | $2,250 | $216 |
| Breast reconstruction | $10,114 | $11,237 | $9,777 | $1,227 |
| Breast reduction | $2,526 | $2,806 | $1,021 | $980 |
| Breast ultrasound | $400 | $444 | $140 | $92 |
| Breathing tube insertion (intubation) | $641 | $713 | $481 | $133 |
| Bronchoscopy | $492 | $547 | $890 | $303 |
| Bunion surgery (bunionectomy) | $6,834 | $7,593 | $6,606 | $883 |
| Burn treatment | $253 | $281 | $188 | $129 |
| C-reactive protein (CRP) | $62 | $69 | $60 | $5 |
| CA 19-9 tumor marker test | $144 | $160 | $139 | $21 |
| CA-125 ovarian marker test | $144 | $160 | $139 | $21 |
| Calcium blood test | $55 | $61 | $53 | $5 |
| Capsule endoscopy | $1,288 | $1,432 | $582 | $802 |
| Cardiac rehabilitation | $205 | $228 | $198 | $26 |
| Cardiac stress test | $277 | $308 | $268 | $39 |
| Cardioversion | $962 | $1,069 | $584 | $155 |
| Carotid artery ultrasound | $531 | $590 | $514 | $156 |
| Carpal tunnel release | $824 | $915 | $334 | $483 |
| Cataract surgery | $3,473 | $3,858 | $3,357 | $547 |
| CEA tumor marker test | $126 | $140 | $122 | $19 |
| Celiac disease test | $87 | $96 | $84 | $12 |
| Central line placement | $1,327 | $1,475 | $868 | $238 |
| Cervical cerclage | $857 | $953 | $347 | $137 |
| Cervical LEEP procedure | $867 | $963 | $350 | $325 |
| Chemotherapy infusion | $280 | $311 | $239 | $81 |
| Chest fluid drain (thoracentesis) | $1,124 | $1,249 | $1,086 | $311 |
| Chest tube insertion | $570 | $634 | $385 | $143 |
| Chest X-ray | $308 | $342 | $98 | $37 |
| Chickenpox (varicella) vaccine | $258 | $287 | $249 | — |
| Circumcision | $476 | $529 | $299 | $167 |
| CK-MB heart enzyme test | $94 | $105 | $91 | $12 |
| Clotting time test (PTT) | $20 | $22 | $62 | $6 |
| Colon resection (colectomy) | $4,851 | $5,389 | $4,689 | $1,238 |
| Colonoscopy | $2,108 | $2,342 | $1,826 | $480 |
| Colostomy | $2,978 | $3,309 | $2,879 | $1,122 |
| Colposcopy | $224 | $249 | $402 | $161 |
| Complete blood count (CBC) | $76 | $85 | $80 | $7 |
| Complex wound repair | $455 | $506 | $184 | $390 |
| Comprehensive metabolic panel | $96 | $107 | $52 | $11 |
| Continuous glucose monitor setup | $86 | $96 | $83 | $35 |
| Contraceptive implant (Nexplanon) | $520 | $578 | $370 | $115 |
| Copper blood test | $88 | $98 | $85 | $12 |
| Coronary CT angiography | $352 | $391 | $645 | $326 |
| Cortisol test | $101 | $112 | $97 | $16 |
| COVID-19 PCR test | $158 | $175 | $153 | $51 |
| COVID-19 vaccine | $0 | $0 | $0 | — |
| CPAP titration study | $74 | $83 | $136 | $69 |
| Creatine kinase (CK) test | $70 | $78 | $68 | $7 |
| CT angiography of the chest | $2,821 | $3,134 | $733 | $281 |
| CT angiography of the head | $2,429 | $2,699 | $659 | $274 |
| CT scan of the abdomen | $2,198 | $2,443 | $439 | $230 |
| CT scan of the abdomen and pelvis | $3,396 | $3,774 | $620 | $300 |
| CT scan of the arm | $1,860 | $2,067 | $278 | $199 |
| CT scan of the chest | $2,198 | $2,443 | $451 | $167 |
| CT scan of the head | $1,978 | $2,198 | $1,209 | $148 |
| CT scan of the leg | $1,860 | $2,067 | $264 | $166 |
| CT scan of the lower back (lumbar spine) | $1,529 | $1,699 | $622 | $169 |
| CT scan of the neck | $2,141 | $2,379 | $460 | $183 |
| CT scan of the neck (cervical spine) | $2,149 | $2,388 | $1,490 | $168 |
| CT scan of the pelvis | $2,087 | $2,319 | $1,384 | $226 |
| CT scan of the sinuses | $1,866 | $2,073 | $1,166 | $152 |
| D-dimer test | $121 | $134 | $117 | $10 |
| Developmental screening (child) | $211 | $235 | $96 | — |
| DHEA-sulfate test | $22 | $25 | $21 | $22 |
| Diagnostic mammogram | $479 | $533 | $435 | $140 |
| Dialysis fistula creation | $1,361 | $1,512 | $2,488 | $601 |
| Dilation and curettage (D&C) | $652 | $725 | $1,193 | $298 |
| Droopy eyelid repair (ptosis) | $3,282 | $3,647 | $3,173 | $745 |
| Drug screen (urine) | $89 | $99 | $90 | $17 |
| Ear pressure test (tympanometry) | $67 | $74 | $52 | $16 |
| Ear tubes (myringotomy) | $484 | $538 | $478 | $174 |
| Echocardiogram | $533 | $593 | $547 | $138 |
| Electrocardiogram (EKG) | $120 | $133 | $117 | $8 |
| Electroencephalogram (EEG) | $730 | $811 | $706 | $448 |
| Electrolyte panel | $85 | $94 | $82 | $7 |
| Electromyography (EMG) | $120 | $133 | $115 | $141 |
| Emergency department visit | $298 | $331 | $166 | $69 |
| Endometrial biopsy | $174 | $193 | $70 | $98 |
| Epidural steroid injection | $1,829 | $2,032 | $1,768 | $275 |
| Esophageal dilation | $1,053 | $1,170 | $1,065 | $522 |
| Estradiol (estrogen) test | $105 | $117 | $102 | $28 |
| Eyelid surgery (blepharoplasty) | $1,498 | $1,664 | $613 | $552 |
| Facet joint injection (spine) | $1,002 | $1,114 | $969 | $99 |
| Fallopian tube X-ray (HSG) | $62 | $69 | $121 | $164 |
| Fecal occult blood (stool) test | $29 | $32 | $29 | $10 |
| Feeding tube (PEG) placement | $1,369 | $1,521 | $1,115 | $178 |
| Femoral hernia repair | $1,200 | $1,333 | $1,474 | $584 |
| Ferritin (iron) test | $145 | $161 | $140 | $14 |
| Fibrinogen test | $91 | $101 | $88 | $10 |
| Fibroid removal (myomectomy) | $4,026 | $4,473 | $3,891 | $914 |
| Flexible sigmoidoscopy | $783 | $870 | $514 | $323 |
| Flu test | $86 | $95 | $59 | $17 |
| Flu vaccine | $39 | $43 | $38 | — |
| Folate (folic acid) test | $157 | $174 | $152 | $15 |
| Foreign body removal (skin) | $199 | $221 | $241 | $157 |
| Free T4 thyroid test | $96 | $107 | $93 | $9 |
| FSH hormone test | $68 | $76 | $66 | $19 |
| Gallbladder removal (laparoscopic) | $2,022 | $2,247 | $826 | $658 |
| Gallbladder scan (HIDA) | $1,148 | $1,275 | $1,110 | $334 |
| Ganglion cyst removal | $1,482 | $1,647 | $1,433 | $321 |
| GGT liver test | $77 | $85 | $74 | $7 |
| Glucose tolerance test | $40 | $44 | $39 | $8 |
| H. pylori test | $126 | $140 | $226 | $67 |
| Hammertoe repair | $4,738 | $5,264 | $4,580 | $548 |
| HDL cholesterol test | $87 | $97 | $84 | $8 |
| Hearing test (audiometry) | $169 | $188 | $212 | $36 |
| Hematocrit test | $26 | $28 | $25 | $2 |
| Hemodialysis | $1,259 | $1,399 | $1,217 | $75 |
| Hemoglobin A1c (diabetes test) | $104 | $115 | $100 | $10 |
| Hemorrhoid removal | $249 | $277 | $455 | $338 |
| Hepatitis A vaccine | $137 | $152 | $132 | — |
| Hepatitis B test | $15 | $17 | $26 | $10 |
| Hepatitis B vaccine | $117 | $130 | $113 | — |
| Hepatitis C test | $28 | $32 | $43 | $14 |
| Hip fracture repair | $2,607 | $2,896 | $3,405 | $1,120 |
| Hip replacement | $3,223 | $3,581 | $1,307 | $1,162 |
| HIV test | $122 | $135 | $112 | $19 |
| Holter heart monitor | $441 | $490 | $406 | $26 |
| Home sleep apnea test | $742 | $824 | $517 | $123 |
| HPV vaccine | $433 | $481 | $418 | — |
| Hydrocele repair | $640 | $711 | $1,170 | $315 |
| Hysterectomy | $4,291 | $4,768 | $4,148 | $933 |
| Hysteroscopy | $1,082 | $1,202 | $1,977 | $1,270 |
| Ileostomy | $3,059 | $3,398 | $2,957 | $968 |
| Incisional hernia repair | $1,560 | $1,733 | $637 | — |
| Inguinal hernia repair | $1,202 | $1,336 | $1,500 | $538 |
| Iron blood test | $69 | $77 | $67 | $6 |
| IUD insertion | $179 | $199 | $327 | — |
| IUD removal | $122 | $136 | $49 | $112 |
| IV infusion therapy | $120 | $133 | $69 | $44 |
| IVC filter placement | $4,077 | $4,530 | $881 | $1,885 |
| Joint aspiration (small/intermediate) | $122 | $135 | $80 | $57 |
| Kidney biopsy | $865 | $961 | $836 | $492 |
| Kidney removal (nephrectomy) | $5,303 | $5,892 | $5,126 | $1,164 |
| Kidney scan (nuclear) | $1,566 | $1,740 | $682 | $172 |
| Kidney stone shock-wave (lithotripsy) | $1,297 | $1,441 | $2,934 | $760 |
| Kidney ultrasound | $709 | $787 | $216 | $84 |
| Knee arthroscopy | $2,258 | $2,509 | $3,143 | $524 |
| Knee joint injection | $172 | $191 | $146 | $69 |
| Lactate test | $41 | $45 | $38 | $12 |
| Laminectomy (spine) | $11,210 | $12,456 | $10,714 | $1,157 |
| Laryngoscopy | $462 | $513 | $329 | $189 |
| LDH test | $22 | $25 | $33 | $6 |
| LDL cholesterol test | $94 | $105 | $91 | $11 |
| Leg artery angiogram | $4,695 | $5,217 | $4,539 | $149 |
| Leg artery angioplasty | $3,519 | $3,910 | $1,812 | — |
| Leg vein ultrasound (Doppler) | $501 | $557 | $357 | $150 |
| Lipase test | $74 | $82 | $71 | $7 |
| Lipid (cholesterol) panel | $134 | $149 | $130 | $13 |
| Liver biopsy | $429 | $477 | $753 | $288 |
| Liver function panel | $61 | $67 | $59 | $8 |
| Lumbar discectomy | $3,316 | $3,685 | $6,048 | $898 |
| Lumpectomy (breast) | $989 | $1,099 | $1,726 | $750 |
| Lung scan (V/Q) | $1,565 | $1,739 | $1,513 | $291 |
| Magnesium blood test | $31 | $34 | $31 | $7 |
| Mastectomy | $1,770 | $1,966 | $3,190 | $1,021 |
| Meniscus repair (knee) | $2,077 | $2,307 | $3,796 | $714 |
| MMR vaccine | $150 | $166 | $145 | — |
| MRA of the brain | $3,151 | $3,501 | $2,666 | $226 |
| MRA of the neck | $3,327 | $3,697 | $2,725 | $245 |
| MRI of the abdomen | $3,167 | $3,519 | $2,310 | $300 |
| MRI of the ankle | $3,377 | $3,753 | $704 | $261 |
| MRI of the brain | $3,991 | $4,435 | $869 | $269 |
| MRI of the chest | $4,201 | $4,668 | $2,717 | $371 |
| MRI of the knee | $3,543 | $3,936 | $301 | $315 |
| MRI of the lower back (lumbar spine) | $3,185 | $3,539 | $2,235 | $270 |
| MRI of the mid-back (thoracic spine) | $3,185 | $3,539 | $2,235 | $271 |
| MRI of the neck (cervical spine) | $3,185 | $3,539 | $721 | $274 |
| MRI of the pelvis | $3,358 | $3,731 | $2,811 | $268 |
| MRI of the shoulder | $3,025 | $3,361 | $712 | $313 |
| MRI of the wrist | $2,888 | $3,209 | $338 | $330 |
| Nebulizer breathing treatment | $51 | $57 | $100 | $9 |
| Neck (cervical) spinal fusion | $4,310 | $4,789 | $4,166 | $1,410 |
| Nerve conduction study | $270 | $300 | $237 | $118 |
| Newborn hospital care | $187 | $207 | $128 | $58 |
| Nuchal translucency ultrasound | $312 | $347 | $301 | $116 |
| Occupational therapy evaluation | $180 | $200 | $174 | $101 |
| Office visit (established patient) | $59 | $65 | $233 | $115 |
| Office visit (new patient) | $132 | $147 | $266 | $177 |
| Orthopedic hardware removal | $640 | $711 | $571 | $632 |
| Ovarian cyst removal | $1,434 | $1,594 | $2,616 | $698 |
| Ovary removal (oophorectomy) | $3,671 | $4,079 | $4,121 | $822 |
| Pap smear (cervical screening) | $122 | $136 | $104 | $20 |
| Parathyroid hormone (PTH) test | $167 | $185 | $161 | $41 |
| Parathyroid removal | $4,299 | $4,777 | $4,156 | $891 |
| Pelvic ultrasound | $724 | $804 | $649 | $78 |
| PET scan | $7,768 | $8,631 | $1,708 | — |
| Phosphorus blood test | $51 | $56 | $49 | $5 |
| Physical therapy evaluation | $172 | $191 | $166 | $98 |
| Pilonidal cyst removal | $1,625 | $1,805 | $1,571 | $541 |
| Platelet count | $48 | $53 | $46 | $4 |
| Pneumonia vaccine | $50 | $55 | $48 | — |
| Pregnancy blood test (hCG) | $81 | $90 | $78 | $8 |
| Pregnancy ultrasound | $644 | $716 | $483 | $126 |
| Procalcitonin test | $234 | $261 | $227 | $27 |
| Prolactin test | $119 | $132 | $115 | $19 |
| Prostate biopsy | $674 | $748 | $1,442 | — |
| Prostate removal (prostatectomy) | $2,835 | $3,150 | $1,146 | $1,063 |
| Prostate surgery (TURP) | $8,947 | $9,941 | $8,648 | $526 |
| Prostate test (PSA) | $148 | $165 | $143 | $18 |
| Psychotherapy session | $76 | $85 | $31 | $140 |
| Pulmonary rehabilitation | $132 | $147 | $128 | $87 |
| Radiofrequency nerve ablation | $2,583 | $2,870 | $1,054 | $462 |
| Rheumatoid factor test | $61 | $68 | $59 | $6 |
| Rotator cuff repair | $1,593 | $1,770 | $662 | $792 |
| Sacroiliac joint injection | $747 | $830 | $747 | $176 |
| Scoliosis spine X-ray | $231 | $256 | $223 | $58 |
| Screening colonoscopy | $2,031 | $2,256 | $1,309 | $378 |
| Screening mammogram | $143 | $159 | $102 | $126 |
| Scrotal ultrasound | $546 | $607 | $183 | $99 |
| Sedimentation rate (ESR) test | $75 | $84 | $42 | $3 |
| Semen analysis | $83 | $92 | $81 | $12 |
| Septoplasty (deviated septum) | $4,487 | $4,986 | $4,338 | $613 |
| Sex hormone binding globulin test | $40 | $44 | $45 | $22 |
| Shingles vaccine | $288 | $320 | $278 | — |
| Shoulder arthroscopy | $10,274 | $11,415 | $9,931 | $962 |
| Shoulder replacement | $3,168 | $3,520 | $1,281 | $1,300 |
| Simple wound stitches | $295 | $328 | $213 | $127 |
| Sinus surgery (endoscopic) | $5,136 | $5,707 | $5,012 | $224 |
| Skin biopsy | $308 | $342 | $142 | $121 |
| Skin cancer lesion removal | $237 | $263 | $102 | $240 |
| Skin graft | $1,173 | $1,304 | $482 | $898 |
| Skin lesion freezing (cryotherapy) | $88 | $98 | $70 | $36 |
| Skin tag removal | $274 | $305 | $160 | $92 |
| Sleep study (polysomnography) | $1,635 | $1,817 | $722 | $691 |
| Small bowel resection | $4,157 | $4,619 | $4,019 | $1,136 |
| Soft tissue ultrasound | $61 | $67 | $111 | $64 |
| Speech therapy | $205 | $228 | $199 | $76 |
| Spinal cord stimulator | $2,317 | $2,574 | $4,225 | $2,388 |
| Spinal tap (lumbar puncture) | $333 | $370 | $307 | $165 |
| Spine fracture repair (kyphoplasty) | $1,247 | $1,385 | $4,831 | $5,803 |
| Spleen removal (splenectomy) | $2,351 | $2,612 | $954 | $1,036 |
| Strep throat test | $70 | $78 | $32 | $17 |
| Stress echocardiogram | $549 | $610 | $698 | $209 |
| Swallow study | $362 | $402 | $350 | $85 |
| T3 thyroid test | $147 | $163 | $142 | $14 |
| Tdap (tetanus) vaccine | $96 | $106 | $93 | — |
| Testicle removal (orchiectomy) | $5,043 | $5,603 | $4,875 | $306 |
| Testosterone test | $57 | $63 | $55 | $26 |
| Thyroid removal (thyroidectomy) | $2,070 | $2,300 | $837 | $1,004 |
| Thyroid ultrasound | $546 | $607 | $170 | $109 |
| Thyroid uptake scan | $665 | $739 | $253 | $145 |
| Tilt table test | $1,190 | $1,323 | $1,151 | $168 |
| Tonsillectomy | $869 | $966 | $841 | $252 |
| Total IgE allergy test | $82 | $91 | $79 | $16 |
| Total protein test | $47 | $52 | $45 | $4 |
| Tracheostomy | $750 | $833 | $303 | $273 |
| Transesophageal echocardiogram (TEE) | $925 | $1,028 | $453 | $239 |
| Transvaginal ultrasound | $171 | $190 | $312 | $118 |
| Trigger finger release | $2,001 | $2,224 | $1,935 | $630 |
| Trigger point injection | $205 | $227 | $190 | $56 |
| Triglycerides test | $62 | $69 | $60 | $6 |
| Troponin (heart) test | $138 | $153 | $133 | $12 |
| Tubal ligation | $730 | $811 | $1,277 | $333 |
| Turbinate reduction | $4,487 | $4,986 | $4,338 | $294 |
| Turning a breech baby (version) | $792 | $880 | $766 | $94 |
| Ulnar nerve surgery (elbow) | $1,116 | $1,240 | $2,036 | $575 |
| Umbilical hernia repair | $988 | $1,098 | $449 | — |
| Upper GI endoscopy (EGD) | $1,547 | $1,719 | $1,047 | $371 |
| Upper GI series (barium) | $742 | $824 | $690 | $128 |
| Ureteral stent placement | $775 | $861 | $1,416 | $373 |
| Ureteroscopy (stone removal) | $985 | $1,094 | $1,800 | $365 |
| Uric acid (gout) test | $49 | $54 | $47 | $5 |
| Urinalysis | $40 | $45 | $24 | $3 |
| Urine microalbumin test | $107 | $119 | $53 | $5 |
| Urine pregnancy test | $25 | $28 | $25 | $9 |
| Vaccine administration | $41 | $46 | $39 | $19 |
| Varicose vein ablation | $4,695 | $5,217 | $5,630 | $1,018 |
| Vasectomy | $521 | $579 | $996 | $347 |
| Vitamin B12 test | $160 | $178 | $155 | $15 |
| Vitamin D test | $142 | $158 | $137 | $30 |
| Wart removal | $185 | $205 | $179 | $121 |
| Well-child visit | $151 | $168 | $146 | — |
| Wound debridement | $554 | $615 | $535 | $186 |
| Wrist fracture repair | $1,212 | $1,347 | $2,189 | $735 |
| X-ray of the abdomen | $231 | $256 | $149 | $36 |
| X-ray of the ankle | $231 | $256 | $65 | $37 |
| X-ray of the collarbone | $231 | $256 | $40 | $33 |
| X-ray of the elbow | $231 | $256 | $41 | $33 |
| X-ray of the facial bones | $318 | $353 | $242 | $39 |
| X-ray of the foot | $231 | $256 | $65 | $34 |
| X-ray of the forearm | $211 | $234 | $39 | $29 |
| X-ray of the hand | $211 | $234 | $64 | $38 |
| X-ray of the hip | $198 | $220 | $149 | $49 |
| X-ray of the knee | $231 | $256 | $72 | $42 |
| X-ray of the lower back (lumbar spine) | $442 | $491 | $97 | $47 |
| X-ray of the lower leg | $231 | $256 | $41 | $31 |
| X-ray of the mid-back (thoracic spine) | $308 | $342 | $298 | $36 |
| X-ray of the neck (cervical spine) | $371 | $412 | $239 | $47 |
| X-ray of the pelvis | $254 | $283 | $209 | $36 |
| X-ray of the ribs | $384 | $427 | $64 | $42 |
| X-ray of the shoulder | $288 | $320 | $42 | $36 |
| X-ray of the skull | $346 | $385 | $298 | $40 |
| X-ray of the upper arm | $241 | $267 | $41 | $32 |
| X-ray of the wrist | $231 | $256 | $41 | $43 |
| YAG laser capsulotomy (eye) | $1,333 | $1,481 | $1,288 | $335 |
| Zinc blood test | $13 | $14 | $12 | $11 |
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.