| Procedure | CHI Health Bergan Mercy | CHI Health Lakeside | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $42 | $42 | $51 |
| Abdominal fluid drain (paracentesis) | $730 | $730 | $284 |
| Abdominal ultrasound | $422 | $422 | $100 |
| Abdominal ultrasound (complete) | $525 | $525 | $114 |
| Abdominal ultrasound (limited) | $320 | $320 | $86 |
| Abscess drainage (complex or multiple) | $402 | $402 | $220 |
| Abscess drainage (simple) | $508 | $508 | $129 |
| Abscess incision and drainage | $402 | $402 | $174 |
| Achilles tendon repair | $3,459 | $3,459 | $624 |
| Albumin blood test | $34 | $34 | $5 |
| Aldosterone test | $211 | $211 | $41 |
| Alkaline phosphatase test | $53 | $53 | $5 |
| Alpha-fetoprotein (AFP) test | $99 | $99 | $17 |
| ALT liver enzyme test | $61 | $61 | $5 |
| Ammonia blood test | $120 | $120 | $15 |
| Amniocentesis | $505 | $505 | $120 |
| Amylase test | $87 | $87 | $6 |
| Anoscopy | $238 | $238 | $129 |
| Antinuclear antibody (ANA) test | $29 | $29 | $12 |
| Aortic aneurysm repair (AAA) | $1,715 | $1,715 | $1,345 |
| Aortic valve replacement | $7,970 | $7,970 | $1,603 |
| Arterial blood gas (ABG) | $187 | $187 | $26 |
| AST liver enzyme test | $45 | $45 | $5 |
| Barium swallow study | $338 | $338 | $107 |
| Bartholin cyst removal | $213 | $213 | $182 |
| Basic metabolic panel | $165 | $165 | $8 |
| Benign skin lesion removal | $375 | $375 | $171 |
| Bilirubin blood test | $55 | $55 | $5 |
| Bladder scope (cystoscopy) | $514 | $514 | $216 |
| Blood clotting test (PT/INR) | $55 | $55 | $4 |
| Blood crossmatch | $118 | $118 | — |
| Blood glucose test | $37 | $37 | $5 |
| Blood transfusion | $726 | $726 | $47 |
| Blood type and screen | $77 | $77 | $10 |
| Blood type test | $52 | $52 | $3 |
| Blood type test (ABO group) | $56 | $56 | $3 |
| Blood type test (Rh/D antigen) | $47 | $47 | $3 |
| BNP (heart failure) test | $173 | $173 | $39 |
| Bone density scan (DEXA) | $280 | $280 | $39 |
| Bone marrow biopsy | $774 | $774 | $172 |
| Bone scan (nuclear) | $978 | $978 | $259 |
| Breast biopsy | $2,141 | $2,141 | $478 |
| Breast MRI | $202 | $202 | $216 |
| Breast MRI without contrast | $202 | $202 | $216 |
| Breast ultrasound | $139 | $139 | $92 |
| Breast ultrasound (complete) | $139 | $139 | $100 |
| Breast ultrasound (limited) | $139 | $139 | $84 |
| Breathing tube insertion (intubation) | $454 | $454 | $133 |
| Bronchoscopy | $918 | $918 | $303 |
| Burn dressing and debridement (medium) | $281 | $281 | $166 |
| Burn dressing and debridement (small) | $199 | $199 | $93 |
| Burn treatment | $258 | $258 | $129 |
| C-reactive protein (CRP) | $115 | $115 | $5 |
| CA 19-9 tumor marker test | $237 | $237 | $21 |
| CA-125 ovarian marker test | $110 | $110 | $21 |
| Calcium blood test | $87 | $87 | $5 |
| Capsule endoscopy | $1,111 | $1,111 | $802 |
| Cardiac ablation | $17,605 | $17,605 | $759 |
| Cardiac catheterization | $13,369 | $13,369 | $1,049 |
| Cardiac MRI | $1,015 | $1,015 | $322 |
| Cardiac MRI without contrast | $610 | $610 | $280 |
| Cardiac rehabilitation | $220 | $220 | $26 |
| Cardiac stress test | $385 | $385 | $39 |
| Cardioversion | $1,431 | $1,431 | $155 |
| Carotid artery ultrasound | $528 | $528 | $156 |
| CEA tumor marker test | $100 | $100 | $19 |
| Celiac disease test | $51 | $51 | $12 |
| Central line placement | $1,830 | $1,830 | $238 |
| Chemotherapy infusion | $310 | $310 | $81 |
| Chemotherapy infusion (each additional) | $200 | $200 | $28 |
| Chemotherapy infusion (first hour) | $420 | $420 | $133 |
| Chest fluid drain (thoracentesis) | $601 | $601 | $311 |
| Chest tube insertion | $769 | $769 | $143 |
| Chest X-ray | $182 | $182 | $37 |
| Chest X-ray (1 view) | $141 | $141 | $25 |
| Chest X-ray (2 views) | $145 | $145 | $33 |
| Chickenpox (varicella) vaccine | $282 | $282 | — |
| Circumcision | $1,359 | $1,359 | $167 |
| CK-MB heart enzyme test | $149 | $149 | $12 |
| Clotting time test (PTT) | $67 | $67 | $6 |
| Colposcopy | $200 | $200 | $161 |
| Complete blood count (CBC) | $81 | $81 | $7 |
| Complete blood count (CBC) (complete) | $92 | $92 | $8 |
| Complex wound repair | $459 | $459 | $390 |
| Comprehensive metabolic panel | $205 | $205 | $11 |
| Contraceptive implant (Nexplanon) | $215 | $215 | $115 |
| Copper blood test | $37 | $37 | $12 |
| Coronary CT angiography | $1,310 | $1,310 | $326 |
| Cortisol test | $131 | $131 | $16 |
| COVID-19 PCR test | $71 | $71 | $51 |
| CPAP titration study | $452 | $452 | $69 |
| Creatine kinase (CK) test | $104 | $104 | $7 |
| CT angiography of the chest | $1,198 | $1,198 | $281 |
| CT angiography of the head | $1,199 | $1,199 | $274 |
| CT colonography (virtual colonoscopy) | $1,062 | $1,062 | $835 |
| CT scan of the abdomen | $1,258 | $1,258 | $230 |
| CT scan of the abdomen and pelvis | $2,051 | $2,051 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $2,934 | $2,934 | $338 |
| CT scan of the abdomen and pelvis with contrast | $2,051 | $2,051 | $300 |
| CT scan of the abdomen and pelvis without contrast | $1,559 | $1,559 | $183 |
| CT scan of the abdomen with and without contrast | $1,396 | $1,396 | $259 |
| CT scan of the abdomen with contrast | $1,258 | $1,258 | $230 |
| CT scan of the abdomen without contrast | $943 | $943 | $136 |
| CT scan of the arm | $1,045 | $1,045 | $199 |
| CT scan of the arm with contrast | $1,045 | $1,045 | $199 |
| CT scan of the arm without contrast | $893 | $893 | $161 |
| CT scan of the chest | $1,110 | $1,110 | $167 |
| CT scan of the chest with and without contrast | $1,265 | $1,265 | $196 |
| CT scan of the chest with contrast | $1,110 | $1,110 | $167 |
| CT scan of the chest without contrast | $755 | $755 | $133 |
| CT scan of the head | $916 | $916 | $148 |
| CT scan of the head with and without contrast | $1,105 | $1,105 | $173 |
| CT scan of the head with contrast | $916 | $916 | $148 |
| CT scan of the head without contrast | $674 | $674 | $107 |
| CT scan of the leg | $1,040 | $1,040 | $166 |
| CT scan of the leg with contrast | $1,040 | $1,040 | $166 |
| CT scan of the leg without contrast | $806 | $806 | $130 |
| CT scan of the lower back (lumbar spine) | $1,094 | $1,094 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,150 | $1,150 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,094 | $1,094 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $935 | $935 | $130 |
| CT scan of the neck | $1,129 | $1,129 | $183 |
| CT scan of the neck (cervical spine) | $1,153 | $1,153 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $1,217 | $1,217 | $196 |
| CT scan of the neck (cervical spine) with contrast | $1,153 | $1,153 | $168 |
| CT scan of the neck (cervical spine) without contrast | $915 | $915 | $131 |
| CT scan of the neck with and without contrast | $1,388 | $1,388 | $220 |
| CT scan of the neck with contrast | $1,129 | $1,129 | $183 |
| CT scan of the neck without contrast | $1,072 | $1,072 | $150 |
| CT scan of the pelvis | $950 | $950 | $226 |
| CT scan of the pelvis with and without contrast | $700 | $700 | $251 |
| CT scan of the pelvis with contrast | $1,052 | $1,052 | $226 |
| CT scan of the pelvis without contrast | $848 | $848 | $133 |
| CT scan of the sinuses | $1,034 | $1,034 | $152 |
| CT scan of the sinuses with and without contrast | $1,051 | $1,051 | $184 |
| CT scan of the sinuses with contrast | $1,034 | $1,034 | $152 |
| CT scan of the sinuses without contrast | $809 | $809 | $128 |
| D-dimer test | $166 | $166 | $10 |
| Defibrillator (ICD) implant | $22,226 | $22,226 | $798 |
| DHEA-sulfate test | $142 | $142 | $22 |
| Diagnostic mammogram | $99 | $99 | $140 |
| Dialysis fistula creation | $2,138 | $2,138 | $601 |
| Drug screen (urine) | $212 | $212 | $17 |
| Echocardiogram | $788 | $788 | $138 |
| Echocardiogram with and without contrast | $751 | $751 | $101 |
| Echocardiogram without contrast | $788 | $788 | $138 |
| EEG (awake and asleep) | $658 | $658 | $482 |
| EKG / ECG (tracing only) | $188 | $188 | $7 |
| Electrocardiogram (EKG) | $188 | $188 | $8 |
| Electroencephalogram (EEG) | $654 | $654 | $448 |
| Electrolyte panel | $106 | $106 | $7 |
| Electromyography (EMG) | $402 | $402 | $141 |
| Emergency department visit | $651 | $651 | $69 |
| Emergency department visit (level 1) | $152 | $152 | $11 |
| Emergency department visit (level 2) | $305 | $305 | $40 |
| Emergency department visit (level 3) | $651 | $651 | $69 |
| Emergency department visit (level 4) | $1,038 | $1,038 | $118 |
| Emergency department visit (level 5) | $1,384 | $1,384 | $171 |
| Endometrial biopsy | $123 | $123 | $98 |
| Epidural steroid injection | $1,121 | $1,121 | $275 |
| ERCP (bile duct endoscopy) | $2,058 | $2,058 | $311 |
| Esophageal dilation | $378 | $378 | $522 |
| Estradiol (estrogen) test | $137 | $137 | $28 |
| Facet joint injection (spine) | $430 | $430 | $99 |
| Fallopian tube X-ray (HSG) | $417 | $417 | $164 |
| Family therapy session | $202 | $202 | $110 |
| Fecal occult blood (stool) test | $31 | $31 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $28 | $28 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $34 | $34 | $16 |
| Ferritin (iron) test | $102 | $102 | $14 |
| Fibrinogen test | $108 | $108 | $10 |
| Flu test | $158 | $158 | $17 |
| Flu vaccine | $17 | $17 | — |
| Folate (folic acid) test | $105 | $105 | $15 |
| Foreign body removal (skin) | $474 | $474 | $157 |
| Free T4 thyroid test | $64 | $64 | $9 |
| FSH hormone test | $113 | $113 | $19 |
| Gallbladder scan (HIDA) | $905 | $905 | $334 |
| Ganglion cyst removal | $2,588 | $2,588 | $321 |
| GGT liver test | $58 | $58 | $7 |
| Glucose tolerance test | $168 | $168 | $8 |
| Group therapy session | $52 | $52 | $30 |
| HDL cholesterol test | $96 | $96 | $8 |
| Hearing test (audiometry) | $97 | $97 | $36 |
| Hematocrit test | $26 | $26 | $2 |
| Hemoglobin A1c (diabetes test) | $81 | $81 | $10 |
| Hemorrhoid removal | $585 | $585 | $338 |
| Hepatitis A vaccine | $101 | $101 | — |
| Hepatitis B test | $81 | $81 | $10 |
| Hepatitis B vaccine | $84 | $84 | — |
| Hepatitis C test | $92 | $92 | $14 |
| HIV test | $79 | $79 | $19 |
| HIV test (antibody) | $45 | $45 | $14 |
| HIV test (antigen/antibody combo) | $114 | $114 | $24 |
| Holter heart monitor | $428 | $428 | $26 |
| Home sleep apnea test | $291 | $291 | $123 |
| Iron blood test | $64 | $64 | $6 |
| IUD insertion | $126 | $126 | — |
| IUD removal | $156 | $156 | $112 |
| IV infusion therapy | $170 | $170 | $44 |
| IV infusion therapy (each additional) | $27 | $27 | $21 |
| IV infusion therapy (initial) | $313 | $313 | $67 |
| IVC filter placement | $5,320 | $5,320 | $1,885 |
| Joint aspiration (small/intermediate) | $258 | $258 | $57 |
| Joint aspiration or injection (mid-size joint) | $329 | $329 | $57 |
| Joint aspiration or injection (small joint) | $217 | $217 | $56 |
| Kidney biopsy | $1,418 | $1,418 | $492 |
| Kidney scan (nuclear) | $1,063 | $1,063 | $172 |
| Kidney ultrasound | $403 | $403 | $84 |
| Kidney ultrasound (limited) | $318 | $318 | $61 |
| Knee joint injection | $374 | $374 | $69 |
| Lactate test | $100 | $100 | $12 |
| Laryngoscopy | $664 | $664 | $189 |
| LDH test | $51 | $51 | $6 |
| LDL cholesterol test | $87 | $87 | $11 |
| Leg artery angiogram | $1,934 | $1,934 | $149 |
| Leg artery angioplasty | $6,027 | $6,027 | — |
| Leg vein ultrasound (Doppler) | $1,089 | $1,089 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $726 | $726 | $116 |
| LH hormone test | $124 | $124 | $19 |
| Lipase test | $96 | $96 | $7 |
| Lipid (cholesterol) panel | $66 | $66 | $13 |
| Liver biopsy | $1,011 | $1,011 | $288 |
| Liver function panel | $134 | $134 | $8 |
| Lung function test (PFT) | $305 | $305 | $37 |
| Lung scan (V/Q) | $714 | $714 | $291 |
| Magnesium blood test | $63 | $63 | $7 |
| MMR vaccine | $364 | $364 | — |
| MRA of the brain | $1,496 | $1,496 | $226 |
| MRA of the brain with contrast | $1,496 | $1,496 | $226 |
| MRA of the brain without contrast | $2,121 | $2,121 | $328 |
| MRA of the neck | $1,435 | $1,435 | $245 |
| MRA of the neck with contrast | $1,435 | $1,435 | $245 |
| MRA of the neck without contrast | $1,839 | $1,839 | $343 |
| MRI of the abdomen | $1,605 | $1,605 | $300 |
| MRI of the abdomen with contrast | $1,605 | $1,605 | $300 |
| MRI of the abdomen without contrast | $1,407 | $1,407 | $194 |
| MRI of the ankle | $1,242 | $1,242 | $261 |
| MRI of the ankle with contrast | $1,242 | $1,242 | $261 |
| MRI of the ankle without contrast | $1,150 | $1,150 | $222 |
| MRI of the brain | $1,696 | $1,696 | $269 |
| MRI of the brain with contrast | $1,696 | $1,696 | $269 |
| MRI of the brain without contrast | $1,454 | $1,454 | $195 |
| MRI of the chest | $1,923 | $1,923 | $371 |
| MRI of the chest with contrast | $1,923 | $1,923 | $371 |
| MRI of the chest without contrast | $2,090 | $2,090 | $466 |
| MRI of the knee | $1,547 | $1,547 | $315 |
| MRI of the knee with contrast | $1,547 | $1,547 | $315 |
| MRI of the knee without contrast | $1,258 | $1,258 | $204 |
| MRI of the lower back (lumbar spine) | $1,696 | $1,696 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $1,696 | $1,696 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,425 | $1,425 | $192 |
| MRI of the mid-back (thoracic spine) | $1,577 | $1,577 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $1,749 | $1,749 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $1,577 | $1,577 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $1,562 | $1,562 | $190 |
| MRI of the neck (cervical spine) | $1,881 | $1,881 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $2,094 | $2,094 | $318 |
| MRI of the neck (cervical spine) with contrast | $1,881 | $1,881 | $274 |
| MRI of the neck (cervical spine) without contrast | $1,425 | $1,425 | $191 |
| MRI of the pelvis | $1,621 | $1,621 | $268 |
| MRI of the pelvis with contrast | $1,621 | $1,621 | $268 |
| MRI of the pelvis without contrast | $1,435 | $1,435 | $227 |
| MRI of the shoulder | $1,397 | $1,397 | $313 |
| MRI of the shoulder with contrast | $1,397 | $1,397 | $313 |
| MRI of the shoulder without contrast | $1,173 | $1,173 | $205 |
| MRI of the wrist | $1,292 | $1,292 | $330 |
| MRI of the wrist with contrast | $1,292 | $1,292 | $330 |
| MRI of the wrist without contrast | $1,192 | $1,192 | $303 |
| Nebulizer breathing treatment | $102 | $102 | $9 |
| Nerve conduction study | $470 | $470 | $118 |
| Nuchal translucency ultrasound | $150 | $150 | $116 |
| Nuclear cardiac stress test | $2,107 | $2,107 | $428 |
| Occupational therapy evaluation | $101 | $101 | $101 |
| Occupational therapy evaluation (high complexity) | $101 | $101 | $101 |
| Occupational therapy evaluation (low complexity) | $92 | $92 | $101 |
| Occupational therapy evaluation (moderate complexity) | $101 | $101 | $101 |
| Office visit (established patient) | $81 | $81 | $115 |
| Office visit (new patient) | $291 | $291 | $177 |
| Office visit, established patient (level 3) | $74 | $74 | $95 |
| Office visit, established patient (level 4) | $91 | $91 | $136 |
| Office visit, new patient (level 3) | $221 | $221 | $118 |
| Office visit, new patient (level 4) | $291 | $291 | $177 |
| Office visit, new patient (level 5) | $326 | $326 | $237 |
| Pap smear (cervical screening) | $72 | $72 | $20 |
| Parathyroid hormone (PTH) test | $211 | $211 | $41 |
| Pelvic ultrasound | $352 | $352 | $78 |
| Pelvic ultrasound (complete) | $472 | $472 | $105 |
| Pelvic ultrasound (limited) | $231 | $231 | $51 |
| PET scan | $3,221 | $3,221 | — |
| Phosphorus blood test | $47 | $47 | $5 |
| Physical therapy evaluation | $107 | $107 | $98 |
| Physical therapy evaluation (high complexity) | $107 | $107 | $98 |
| Physical therapy evaluation (moderate complexity) | $107 | $107 | $98 |
| Platelet count | $53 | $53 | $4 |
| Pneumonia vaccine | $231 | $231 | — |
| Pregnancy blood test (hCG) | $122 | $122 | $8 |
| Pregnancy ultrasound | $551 | $551 | $126 |
| Pregnancy ultrasound (first trimester) | $444 | $444 | $117 |
| Pregnancy ultrasound (second or third trimester) | $560 | $560 | $136 |
| Procalcitonin test | $109 | $109 | $27 |
| Prolactin test | $86 | $86 | $19 |
| Prostate biopsy | $1,347 | $1,347 | — |
| Prostate test (PSA) | $93 | $93 | $18 |
| Psychiatric evaluation | $192 | $192 | $188 |
| Psychotherapy session | $101 | $101 | $140 |
| Pulmonary rehabilitation | $166 | $166 | $87 |
| Radiofrequency nerve ablation | $1,509 | $1,509 | $462 |
| Rheumatoid factor test | $71 | $71 | $6 |
| Sacroiliac joint injection | $579 | $579 | $176 |
| Scoliosis spine X-ray | $180 | $180 | $58 |
| Scoliosis spine X-ray (1 view) | $58 | $58 | $44 |
| Scoliosis spine X-ray (3 views) | $302 | $302 | $72 |
| Screening mammogram | $128 | $128 | $126 |
| Scrotal ultrasound | $416 | $416 | $99 |
| Sedimentation rate (ESR) test | $55 | $55 | $3 |
| Semen analysis | $151 | $151 | $12 |
| Sex hormone binding globulin test | $136 | $136 | $22 |
| Shingles vaccine | $343 | $343 | — |
| Simple laceration repair (small, up to 2.5 cm) | $196 | $196 | $114 |
| Simple wound stitches | $196 | $196 | $127 |
| Skin biopsy | $255 | $255 | $121 |
| Skin biopsy (punch) | $255 | $255 | $121 |
| Skin graft | $1,793 | $1,793 | $898 |
| Skin lesion freezing (cryotherapy) | $128 | $128 | $36 |
| Skin tag removal | $209 | $209 | $92 |
| Sleep study (polysomnography) | $2,078 | $2,078 | $691 |
| Soft tissue ultrasound | $317 | $317 | $64 |
| Speech therapy | $162 | $162 | $76 |
| Spinal tap (lumbar puncture) | $486 | $486 | $165 |
| Spine fracture repair (kyphoplasty) | $5,425 | $5,425 | $5,803 |
| Spirometry (lung function test) | $173 | $173 | $30 |
| Spirometry with bronchodilator | $436 | $436 | $43 |
| Strep throat test | $126 | $126 | $17 |
| Stress echocardiogram | $1,484 | $1,484 | $209 |
| Stress echocardiogram (complete) | $1,762 | $1,762 | $233 |
| Swallow study | $134 | $134 | $85 |
| T3 thyroid test | $87 | $87 | $14 |
| Tdap (tetanus) vaccine | $89 | $89 | — |
| Testosterone test | $127 | $127 | $26 |
| Thyroid test (TSH) | $113 | $113 | $17 |
| Thyroid ultrasound | $368 | $368 | $109 |
| Thyroid uptake scan | $391 | $391 | $145 |
| Tilt table test | $1,869 | $1,869 | $168 |
| Total IgE allergy test | $92 | $92 | $16 |
| Total protein test | $63 | $63 | $4 |
| Tracheostomy | $1,868 | $1,868 | $273 |
| Transesophageal echocardiogram (TEE) | $1,666 | $1,666 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $1,666 | $1,666 | $239 |
| Transvaginal ultrasound | $417 | $417 | $118 |
| Trigger finger release | $1,200 | $1,200 | $630 |
| Trigger point injection | $203 | $203 | $56 |
| Trigger point injection (1-2 muscles) | $180 | $180 | $52 |
| Triglycerides test | $61 | $61 | $6 |
| Troponin (heart) test | $165 | $165 | $12 |
| Turning a breech baby (version) | $1,748 | $1,748 | $94 |
| Upper GI endoscopy (EGD) | $1,284 | $1,284 | $371 |
| Upper GI series (barium) | $353 | $353 | $128 |
| Uric acid (gout) test | $53 | $53 | $5 |
| Urinalysis | $46 | $46 | $3 |
| Urine microalbumin test | $64 | $64 | $5 |
| Urine pregnancy test | $63 | $63 | $9 |
| Vaccine administration | $42 | $42 | $19 |
| Vaccine administration (each additional) | $137 | $137 | $16 |
| Varicose vein ablation | $4,106 | $4,106 | $1,018 |
| Vitamin B12 test | $113 | $113 | $15 |
| Vitamin D test | $233 | $233 | $30 |
| Wound debridement | $657 | $657 | $186 |
| X-ray of the abdomen | $205 | $205 | $36 |
| X-ray of the ankle | $229 | $229 | $37 |
| X-ray of the collarbone | $166 | $166 | $33 |
| X-ray of the elbow | $206 | $206 | $33 |
| X-ray of the facial bones | $167 | $167 | $39 |
| X-ray of the foot | $189 | $189 | $34 |
| X-ray of the forearm | $194 | $194 | $29 |
| X-ray of the hand | $223 | $223 | $38 |
| X-ray of the hip | $80 | $80 | $49 |
| X-ray of the hip (1 view) | $80 | $80 | $34 |
| X-ray of the hip (3 views) | $66 | $66 | $49 |
| X-ray of the hip (4 views) | $109 | $109 | $63 |
| X-ray of the knee | $264 | $264 | $42 |
| X-ray of the knee (2 views) | $232 | $232 | $34 |
| X-ray of the knee (3 views) | $264 | $264 | $42 |
| X-ray of the knee (4+ views) | $269 | $269 | $49 |
| X-ray of the lower back (lumbar spine) | $331 | $331 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $311 | $311 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $352 | $352 | $53 |
| X-ray of the lower leg | $214 | $214 | $31 |
| X-ray of the mid-back (thoracic spine) | $207 | $207 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $184 | $184 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $230 | $230 | $39 |
| X-ray of the neck (cervical spine) | $275 | $275 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $212 | $212 | $40 |
| X-ray of the pelvis | $215 | $215 | $36 |
| X-ray of the pelvis (1 view) | $168 | $168 | $28 |
| X-ray of the ribs | $229 | $229 | $42 |
| X-ray of the ribs (2 views) | $169 | $169 | $36 |
| X-ray of the ribs (3 views) | $229 | $229 | $42 |
| X-ray of the shoulder | $215 | $215 | $36 |
| X-ray of the skull | $193 | $193 | $40 |
| X-ray of the thigh bone | $133 | $133 | — |
| X-ray of the upper arm | $204 | $204 | $32 |
| X-ray of the wrist | $217 | $217 | $43 |
| Zinc blood test | $32 | $32 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
