| Procedure | Berkshire Medical Center | Southwestern Vermont Medical Center | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $385 | $52 | $51 |
| Abdominal fluid drain (paracentesis) | $2,938 | $1,824 | $284 |
| Abdominal ultrasound | $744 | $344 | $100 |
| Abdominal ultrasound (complete) | $827 | $68 | $114 |
| Abdominal ultrasound (limited) | $744 | $620 | $86 |
| Abscess drainage (complex or multiple) | $501 | $296 | $220 |
| Abscess drainage (simple) | $299 | $190 | $129 |
| Abscess incision and drainage | $299 | $284 | $174 |
| Achilles tendon repair | $2,661 | $672 | $624 |
| Albumin blood test | $43 | $58 | $5 |
| Aldosterone test | $198 | $319 | $41 |
| Alkaline phosphatase test | $80 | $60 | $5 |
| Allergy patch testing | $15 | $19 | $5 |
| Allergy shots | $48 | $29 | $11 |
| Alpha-fetoprotein (AFP) test | $154 | $123 | $17 |
| ALT liver enzyme test | $46 | $57 | $5 |
| Ammonia blood test | $126 | $205 | $15 |
| Amylase test | $56 | $46 | $6 |
| Anal fistula repair | $325 | $649 | $541 |
| Annual physical (established patient) | $99 | $169 | — |
| Anoscopy | $132 | $143 | $129 |
| Antinuclear antibody (ANA) test | $71 | $89 | $12 |
| Arterial blood gas (ABG) | $386 | $285 | $26 |
| AST liver enzyme test | $45 | $54 | $5 |
| Barium swallow study | $571 | $60 | $107 |
| Bartholin cyst removal | $459 | $217 | $182 |
| Basic metabolic panel | $78 | $78 | $8 |
| Benign skin lesion removal | $205 | $334 | $171 |
| Bilirubin blood test | $43 | $82 | $5 |
| Bladder function test (urodynamics) | $256 | $475 | $345 |
| Bladder scope (cystoscopy) | $1,691 | $370 | $216 |
| Blood clotting test (PT/INR) | $25 | $30 | $4 |
| Blood crossmatch | $201 | $394 | — |
| Blood transfusion | $895 | $1,051 | $47 |
| Blood type and screen | $80 | $161 | $10 |
| Blood type test | $41 | $91 | $3 |
| Blood type test (ABO group) | $35 | $95 | $3 |
| Blood type test (Rh/D antigen) | $47 | $88 | $3 |
| Bone marrow biopsy | $5,107 | $521 | $172 |
| Bone scan (nuclear) | $2,002 | $950 | $259 |
| Botox for migraine | $149 | $200 | $157 |
| Breast biopsy | $3,454 | $1,319 | $478 |
| Breast MRI | $1,996 | $2,315 | $216 |
| Breast MRI without contrast | $1,996 | $2,935 | $216 |
| Breast ultrasound | $437 | $387 | $92 |
| Breast ultrasound (complete) | $437 | $387 | $100 |
| Breast ultrasound (limited) | $437 | $63 | $84 |
| Breathing tube insertion (intubation) | $638 | $324 | $133 |
| Bronchoscopy | $4,886 | $589 | $303 |
| Burn dressing and debridement (medium) | $294 | $221 | $166 |
| Burn dressing and debridement (small) | $209 | $137 | $93 |
| Burn treatment | $291 | $177 | $129 |
| C-reactive protein (CRP) | $61 | $62 | $5 |
| CA 19-9 tumor marker test | $107 | $144 | $21 |
| CA-125 ovarian marker test | $115 | $128 | $21 |
| Calcium blood test | $45 | $67 | $5 |
| Capsule endoscopy | $2,523 | $320 | $802 |
| Cardiac MRI | $1,535 | $218 | $322 |
| Cardiac MRI without contrast | $1,229 | $207 | $280 |
| Cardiac rehabilitation | $242 | $116 | $26 |
| Cardiac stress test | $1,067 | $691 | $39 |
| Cardioversion | $1,136 | $937 | $155 |
| Carotid artery ultrasound | $1,171 | $499 | $156 |
| Carpal tunnel release | $485 | $1,387 | $483 |
| CEA tumor marker test | $164 | $209 | $19 |
| Celiac disease test | $45 | $116 | $12 |
| Central line placement | $10,387 | $319 | $238 |
| Cervical LEEP procedure | $345 | $501 | $325 |
| Chemotherapy infusion | $430 | $231 | $81 |
| Chemotherapy infusion (each additional) | $199 | $181 | $28 |
| Chemotherapy infusion (first hour) | $662 | $632 | $133 |
| Chest fluid drain (thoracentesis) | $3,005 | $1,455 | $311 |
| Chest tube insertion | $797 | $1,592 | $143 |
| Chest X-ray | $308 | $480 | $37 |
| Chest X-ray (1 view) | $308 | $334 | $25 |
| Chest X-ray (2 views) | $308 | $480 | $33 |
| Chickenpox (varicella) vaccine | $623 | $213 | — |
| Circumcision | $503 | $344 | $167 |
| CK-MB heart enzyme test | $79 | $268 | $12 |
| Clotting time test (PTT) | $21 | $84 | $6 |
| Colonoscopy | $2,540 | $774 | $480 |
| Colposcopy | $116 | $235 | $161 |
| Complete blood count (CBC) | $76 | $95 | $7 |
| Complete blood count (CBC) (complete) | $71 | $95 | $8 |
| Complex wound repair | $981 | $626 | $390 |
| Comprehensive metabolic panel | $97 | $100 | $11 |
| Copper blood test | $103 | $127 | $12 |
| Cortisol test | $212 | $103 | $16 |
| COVID-19 PCR test | $168 | $81 | $51 |
| CPAP titration study | $507 | $645 | $69 |
| Creatine kinase (CK) test | $56 | $117 | $7 |
| CT angiography of the chest | $2,271 | $1,387 | $281 |
| CT angiography of the head | $2,574 | $1,465 | $274 |
| CT colonography (virtual colonoscopy) | $928 | $969 | $835 |
| CT scan of the abdomen | $1,873 | $2,295 | $230 |
| CT scan of the abdomen and pelvis | $3,492 | $3,387 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $5,035 | $4,586 | $338 |
| CT scan of the abdomen and pelvis with contrast | $5,161 | $3,387 | $300 |
| CT scan of the abdomen and pelvis without contrast | $3,354 | $2,800 | $183 |
| CT scan of the abdomen with and without contrast | $2,638 | $3,001 | $259 |
| CT scan of the abdomen with contrast | $2,260 | $2,295 | $230 |
| CT scan of the abdomen without contrast | $1,873 | $1,072 | $136 |
| CT scan of the arm | $1,592 | $2,041 | $199 |
| CT scan of the arm with contrast | $1,960 | $2,406 | $199 |
| CT scan of the arm without contrast | $1,532 | $2,041 | $161 |
| CT scan of the chest with and without contrast | $2,711 | $1,332 | $196 |
| CT scan of the chest with contrast | $2,260 | $1,197 | $167 |
| CT scan of the chest without contrast | $1,560 | $125 | $133 |
| CT scan of the head | $1,727 | $1,776 | $148 |
| CT scan of the head with and without contrast | $2,272 | $1,290 | $173 |
| CT scan of the head with contrast | $2,017 | $1,029 | $148 |
| CT scan of the head without contrast | $1,515 | $1,776 | $107 |
| CT scan of the leg | $1,532 | $1,939 | $166 |
| CT scan of the leg with contrast | $1,960 | $2,406 | $166 |
| CT scan of the leg without contrast | $1,532 | $1,939 | $130 |
| CT scan of the lower back (lumbar spine) | $2,247 | $1,074 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $2,666 | $1,326 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $2,247 | $1,197 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,979 | $1,069 | $130 |
| CT scan of the neck | $2,329 | $1,548 | $183 |
| CT scan of the neck (cervical spine) | $1,979 | $1,074 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $2,627 | $1,326 | $196 |
| CT scan of the neck (cervical spine) with contrast | $2,247 | $1,197 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,979 | $1,069 | $131 |
| CT scan of the neck with and without contrast | $2,627 | $2,475 | $220 |
| CT scan of the neck with contrast | $2,611 | $1,207 | $183 |
| CT scan of the neck without contrast | $2,329 | $828 | $150 |
| CT scan of the pelvis | $1,729 | $2,041 | $226 |
| CT scan of the pelvis with and without contrast | $2,568 | $1,388 | $251 |
| CT scan of the pelvis with contrast | $2,344 | $2,337 | $226 |
| CT scan of the pelvis without contrast | $1,532 | $1,066 | $133 |
| CT scan of the sinuses | $1,529 | $945 | $152 |
| CT scan of the sinuses with and without contrast | $2,272 | $1,114 | $184 |
| CT scan of the sinuses with contrast | $2,017 | $1,006 | $152 |
| CT scan of the sinuses without contrast | $1,515 | $933 | $128 |
| D-dimer test | $107 | $149 | $10 |
| Developmental screening (child) | $301 | $18 | — |
| DHEA-sulfate test | $134 | $135 | $22 |
| Diagnostic mammogram | $385 | $506 | $140 |
| Dilation and curettage (D&C) | $325 | $392 | $298 |
| Ear pressure test (tympanometry) | $249 | $38 | $16 |
| Echocardiogram | $1,778 | $444 | $138 |
| Echocardiogram with and without contrast | $573 | $444 | $101 |
| EEG (awake and asleep) | $558 | $487 | $482 |
| EKG / ECG (tracing only) | $211 | $143 | $7 |
| Electrocardiogram (EKG) | $211 | $109 | $8 |
| Electroencephalogram (EEG) | $526 | $487 | $448 |
| Electrolyte panel | $66 | $67 | $7 |
| Emergency department visit | $586 | $202 | $69 |
| Emergency department visit (level 1) | $209 | $71 | $11 |
| Emergency department visit (level 2) | $307 | $99 | $40 |
| Emergency department visit (level 3) | $709 | $159 | $69 |
| Emergency department visit (level 4) | $1,650 | $244 | $118 |
| Emergency department visit (level 5) | $2,553 | $334 | $171 |
| Endometrial biopsy | $94 | $203 | $98 |
| ERCP (bile duct endoscopy) | $9,966 | $677 | $311 |
| Esophageal dilation | $2,725 | $264 | $522 |
| Esophageal variceal banding | $5,323 | $355 | $126 |
| Estradiol (estrogen) test | $327 | $144 | $28 |
| Fallopian tube X-ray (HSG) | $911 | $168 | $164 |
| Family therapy session | $296 | $187 | $110 |
| Fecal occult blood (stool) test | $30 | $20 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $30 | $20 | $4 |
| Feeding tube (PEG) placement | $5,323 | $396 | $178 |
| Ferritin (iron) test | $118 | $61 | $14 |
| Fibrinogen test | $99 | $110 | $10 |
| Flexible sigmoidoscopy | $2,540 | $284 | $323 |
| Flu test | $45 | $29 | $17 |
| Flu vaccine | $172 | $14 | — |
| Folate (folic acid) test | $127 | $83 | $15 |
| Foreign body removal (skin) | $423 | $274 | $157 |
| Free T4 thyroid test | $94 | $122 | $9 |
| FSH hormone test | $218 | $212 | $19 |
| Gallbladder scan (HIDA) | $2,423 | $2,157 | $334 |
| GGT liver test | $84 | $67 | $7 |
| Glucose tolerance test | $82 | $143 | $8 |
| Group therapy session | $88 | $54 | $30 |
| HDL cholesterol test | $91 | $80 | $8 |
| Hearing test (audiometry) | $250 | $89 | $36 |
| Hematocrit test | $23 | $28 | $2 |
| Hemodialysis | $299 | $151 | $75 |
| Hemoglobin A1c (diabetes test) | $86 | $26 | $10 |
| Hemorrhoid removal | $2,587 | $380 | $338 |
| Hepatitis A vaccine | $371 | $94 | — |
| Hepatitis B test | $93 | $139 | $10 |
| Hepatitis B vaccine | $357 | $62 | — |
| Hepatitis C test | $128 | $83 | $14 |
| Holter heart monitor | $216 | $50 | $26 |
| HPV vaccine | $387 | $291 | — |
| Hysteroscopy | $710 | $1,050 | $1,270 |
| Iron blood test | $39 | $60 | $6 |
| IUD removal | $226 | $167 | $112 |
| IV infusion therapy | $430 | $263 | $44 |
| IV infusion therapy (each additional) | $199 | $142 | $21 |
| IV infusion therapy (initial) | $662 | $467 | $67 |
| IVC filter placement | $14,496 | $2,681 | $1,885 |
| Kidney biopsy | $5,107 | $1,162 | $492 |
| Kidney scan (nuclear) | $3,481 | $947 | $172 |
| Kidney ultrasound | $815 | $486 | $84 |
| Kidney ultrasound (limited) | $751 | $486 | $61 |
| Knee joint injection | $611 | $248 | $69 |
| Lactate test | $95 | $314 | $12 |
| Laryngoscopy | $549 | $327 | $189 |
| LDH test | $52 | $56 | $6 |
| LDL cholesterol test | $77 | $65 | $11 |
| Leg vein ultrasound (Doppler) | $785 | $504 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $785 | $504 | $116 |
| LH hormone test | $217 | $218 | $19 |
| Lipase test | $60 | $67 | $7 |
| Lipid (cholesterol) panel | $116 | $59 | $13 |
| Liver biopsy | $5,203 | $2,078 | $288 |
| Liver function panel | $96 | $86 | $8 |
| Lung function test (PFT) | $443 | $78 | $37 |
| Lung scan (V/Q) | $2,398 | $1,708 | $291 |
| Magnesium blood test | $58 | $88 | $7 |
| MMR vaccine | $508 | $116 | — |
| MRA of the brain | $3,384 | $3,015 | $226 |
| MRA of the brain with contrast | $4,230 | $1,620 | $226 |
| MRA of the brain without contrast | $4,622 | $1,728 | $328 |
| MRA of the neck | $3,384 | $1,584 | $245 |
| MRA of the neck with contrast | $4,230 | $1,621 | $245 |
| MRA of the neck without contrast | $4,622 | $1,728 | $343 |
| MRI of the abdomen | $3,616 | $2,432 | $300 |
| MRI of the abdomen with contrast | $4,230 | $1,365 | $300 |
| MRI of the abdomen without contrast | $3,384 | $2,432 | $194 |
| MRI of the ankle | $3,384 | $2,951 | $261 |
| MRI of the ankle with contrast | $4,230 | $2,951 | $261 |
| MRI of the ankle without contrast | $3,384 | $2,805 | $222 |
| MRI of the brain | $3,384 | $2,970 | $269 |
| MRI of the brain with contrast | $4,230 | $2,970 | $269 |
| MRI of the brain without contrast | $3,384 | $1,493 | $195 |
| MRI of the chest | $3,384 | $2,396 | $371 |
| MRI of the chest without contrast | $4,622 | $3,303 | $466 |
| MRI of the knee | $3,384 | $3,035 | $315 |
| MRI of the knee with contrast | $4,230 | $3,035 | $315 |
| MRI of the knee without contrast | $3,384 | $2,903 | $204 |
| MRI of the lower back (lumbar spine) | $3,384 | $2,913 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $4,230 | $1,600 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $3,384 | $2,913 | $192 |
| MRI of the mid-back (thoracic spine) | $3,384 | $2,431 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $4,622 | $1,771 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $4,230 | $1,357 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $3,384 | $2,431 | $190 |
| MRI of the neck (cervical spine) | $3,384 | $2,822 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $4,622 | $1,706 | $318 |
| MRI of the neck (cervical spine) with contrast | $3,384 | $1,552 | $274 |
| MRI of the neck (cervical spine) without contrast | $4,230 | $2,822 | $191 |
| MRI of the pelvis | $3,254 | $1,311 | $268 |
| MRI of the pelvis with contrast | $3,848 | $1,402 | $268 |
| MRI of the pelvis without contrast | $3,384 | $1,277 | $227 |
| MRI of the shoulder | $3,384 | $3,093 | $313 |
| MRI of the shoulder with contrast | $4,230 | $3,093 | $313 |
| MRI of the shoulder without contrast | $3,384 | $2,899 | $205 |
| MRI of the wrist | $3,384 | $2,553 | $330 |
| MRI of the wrist with contrast | $4,230 | $2,553 | $330 |
| MRI of the wrist without contrast | $3,384 | $2,432 | $303 |
| Nebulizer breathing treatment | $94 | $100 | $9 |
| Nerve conduction study | $125 | $158 | $118 |
| Nuchal translucency ultrasound | $626 | $100 | $116 |
| Nuclear cardiac stress test | $4,955 | $2,508 | $428 |
| Occupational therapy evaluation | $389 | $247 | $101 |
| Occupational therapy evaluation (high complexity) | $389 | $247 | $101 |
| Occupational therapy evaluation (low complexity) | $389 | $247 | $101 |
| Occupational therapy evaluation (moderate complexity) | $389 | $247 | $101 |
| Office visit (established patient) | $232 | $144 | $115 |
| Office visit (new patient) | $491 | $228 | $177 |
| Office visit, established patient (level 3) | $177 | $144 | $95 |
| Office visit, established patient (level 4) | $244 | $172 | $136 |
| Office visit, new patient (level 3) | $262 | $182 | $118 |
| Office visit, new patient (level 4) | $561 | $228 | $177 |
| Office visit, new patient (level 5) | $491 | $287 | $237 |
| Pap smear (cervical screening) | $109 | $145 | $20 |
| Parathyroid hormone (PTH) test | $357 | $168 | $41 |
| Pelvic ultrasound | $616 | $566 | $78 |
| Pelvic ultrasound (complete) | $780 | $423 | $105 |
| Pelvic ultrasound (limited) | $568 | $566 | $51 |
| Phosphorus blood test | $41 | $67 | $5 |
| Physical therapy evaluation | $429 | $248 | $98 |
| Physical therapy evaluation (high complexity) | $429 | $248 | $98 |
| Physical therapy evaluation (moderate complexity) | $429 | $248 | $98 |
| Platelet count | $35 | $47 | $4 |
| Pneumonia vaccine | $642 | $255 | — |
| Pregnancy blood test (hCG) | $65 | $130 | $8 |
| Pregnancy ultrasound | $846 | $437 | $126 |
| Pregnancy ultrasound (first trimester) | $244 | $437 | $117 |
| Pregnancy ultrasound (second or third trimester) | $1,045 | $443 | $136 |
| Procalcitonin test | $100 | $50 | $27 |
| Prolactin test | $138 | $242 | $19 |
| Prostate test (PSA) | $159 | $225 | $18 |
| Psychiatric evaluation | $330 | $198 | $188 |
| Psychotherapy session | $237 | $149 | $140 |
| Pulmonary rehabilitation | $201 | $156 | $87 |
| Rheumatoid factor test | $67 | $74 | $6 |
| RSV vaccine | $1,263 | $470 | — |
| Sacroiliac joint injection | $178 | $272 | $176 |
| Scoliosis spine X-ray | $331 | $408 | $58 |
| Scoliosis spine X-ray (1 view) | $331 | $408 | $44 |
| Screening mammogram | $364 | $550 | $126 |
| Scrotal ultrasound | $485 | $422 | $99 |
| Sedimentation rate (ESR) test | $33 | $54 | $3 |
| Semen analysis | $61 | $72 | $12 |
| Sex hormone binding globulin test | $188 | $96 | $22 |
| Shingles vaccine | $727 | $322 | — |
| Simple laceration repair (small, up to 2.5 cm) | $333 | $236 | $114 |
| Simple wound stitches | $333 | $242 | $127 |
| Skin biopsy | $641 | $169 | $121 |
| Skin biopsy (punch) | $716 | $177 | $121 |
| Skin cancer lesion removal | $257 | $377 | $240 |
| Skin lesion freezing (cryotherapy) | $76 | $74 | $36 |
| Skin tag removal | $188 | $161 | $92 |
| Soft tissue ultrasound | $297 | $600 | $64 |
| Speech therapy | $275 | $127 | $76 |
| Spinal tap (lumbar puncture) | $2,303 | $992 | $165 |
| Spine fracture repair (kyphoplasty) | $36,471 | $7,846 | $5,803 |
| Spirometry (lung function test) | $356 | $56 | $30 |
| Spirometry with bronchodilator | $530 | $100 | $43 |
| Strep throat test | $64 | $68 | $17 |
| Stress echocardiogram | $1,931 | $2,059 | $209 |
| Stress echocardiogram (complete) | $2,123 | $2,059 | $233 |
| Swallow study | $321 | $242 | $85 |
| T3 thyroid test | $42 | $83 | $14 |
| Tdap (tetanus) vaccine | $295 | $68 | — |
| Testosterone test | $223 | $135 | $26 |
| Thyroid test (TSH) | $54 | $181 | $17 |
| Thyroid ultrasound | $367 | $740 | $109 |
| Thyroid uptake scan | $2,566 | $1,245 | $145 |
| Tilt table test | $885 | $172 | $168 |
| Total protein test | $32 | $54 | $4 |
| Transesophageal echocardiogram (TEE) | $1,271 | $248 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $1,271 | $194 | $239 |
| Transvaginal ultrasound | $608 | $306 | $118 |
| Trigger point injection | $108 | $99 | $56 |
| Triglycerides test | $50 | $64 | $6 |
| Troponin (heart) test | $152 | $266 | $12 |
| Upper GI endoscopy (EGD) | $1,819 | $571 | $371 |
| Upper GI series (barium) | $1,327 | $1,244 | $128 |
| Uric acid (gout) test | $39 | $54 | $5 |
| Urine microalbumin test | $45 | $77 | $5 |
| Urine pregnancy test | $31 | $17 | $9 |
| UV light therapy (skin) | $124 | $116 | $106 |
| Vaccine administration | $43 | $30 | $19 |
| Vaccine administration (each additional) | $42 | $21 | $16 |
| Varicose vein ablation | $1,362 | $3,088 | $1,018 |
| Vasectomy | $264 | $848 | $347 |
| Vitamin B12 test | $129 | $82 | $15 |
| Vitamin D test | $164 | $187 | $30 |
| Wart removal | $180 | $179 | $121 |
| X-ray of the abdomen | $567 | $603 | $36 |
| X-ray of the ankle | $385 | $448 | $37 |
| X-ray of the collarbone | $566 | $409 | $33 |
| X-ray of the elbow | $402 | $436 | $33 |
| X-ray of the facial bones | $605 | $706 | $39 |
| X-ray of the foot | $385 | $448 | $34 |
| X-ray of the forearm | $365 | $416 | $29 |
| X-ray of the hand | $385 | $428 | $38 |
| X-ray of the hip | $320 | $578 | $49 |
| X-ray of the hip (1 view) | $320 | $552 | $34 |
| X-ray of the hip (3 views) | $331 | $578 | $49 |
| X-ray of the knee | $403 | $428 | $42 |
| X-ray of the knee (2 views) | $385 | $382 | $34 |
| X-ray of the knee (3 views) | $436 | $428 | $42 |
| X-ray of the knee (4+ views) | $464 | $608 | $49 |
| X-ray of the lower back (lumbar spine) | $549 | $547 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $536 | $469 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $670 | $547 | $53 |
| X-ray of the lower leg | $365 | $416 | $31 |
| X-ray of the mid-back (thoracic spine) | $547 | $457 | $36 |
| X-ray of the mid-back (thoracic spine) (3 views) | $547 | $486 | $39 |
| X-ray of the neck (cervical spine) | $509 | $339 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $509 | $339 | $40 |
| X-ray of the pelvis | $350 | $365 | $36 |
| X-ray of the pelvis (1 view) | $322 | $365 | $28 |
| X-ray of the ribs | $379 | $547 | $42 |
| X-ray of the ribs (2 views) | $436 | $429 | $36 |
| X-ray of the ribs (3 views) | $121 | $665 | $42 |
| X-ray of the shoulder | $911 | $600 | $36 |
| X-ray of the skull | $401 | $592 | $40 |
| X-ray of the upper arm | $476 | $600 | $32 |
| X-ray of the wrist | $717 | $523 | $43 |
| Zinc blood test | $122 | $95 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
