| Procedure | Fairview Hospital | Parma Community General Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $87 | $68 | $51 |
| Abdominal fluid drain (paracentesis) | $2,803 | $1,469 | $284 |
| Abdominal ultrasound | $477 | $900 | $100 |
| Abdominal ultrasound (complete) | $477 | $1,077 | $114 |
| Abdominal ultrasound (limited) | $477 | $724 | $86 |
| Abscess drainage (complex or multiple) | $779 | $383 | $220 |
| Abscess drainage (simple) | $387 | $540 | $129 |
| Abscess incision and drainage | $583 | $461 | $174 |
| Acupuncture | $21 | $39 | $38 |
| Acupuncture (each additional) | $21 | $35 | $28 |
| Albumin blood test | $22 | $42 | $5 |
| Aldosterone test | $183 | $182 | $41 |
| Alkaline phosphatase test | $23 | $50 | $5 |
| Allergy shots | $109 | $54 | $11 |
| Allergy testing | $110 | $94 | $4 |
| Alpha-fetoprotein (AFP) test | $75 | $162 | $17 |
| ALT liver enzyme test | $24 | $62 | $5 |
| Ammonia blood test | $66 | $99 | $15 |
| Amylase test | $29 | $154 | $6 |
| Annual physical (established patient) | $176 | $161 | — |
| Annual physical (new patient) | $142 | $161 | — |
| Anoscopy | $385 | $175 | $129 |
| Antinuclear antibody (ANA) test | $54 | $95 | $12 |
| Aortic aneurysm repair (AAA) | $19,352 | $2,960 | $1,345 |
| Aortic valve replacement | $9,826 | $24,217 | $1,603 |
| AST liver enzyme test | $23 | $55 | $5 |
| Barium swallow study | $798 | $727 | $107 |
| Bartholin cyst removal | $601 | $757 | $182 |
| Basic metabolic panel | $38 | $119 | $8 |
| Benign skin lesion removal | $1,372 | $1,676 | $171 |
| Bilirubin blood test | $23 | $47 | $5 |
| Bladder function test (urodynamics) | $1,996 | $939 | $345 |
| Bladder scope (cystoscopy) | $1,996 | $2,481 | $216 |
| Blood clotting test (PT/INR) | $20 | $69 | $4 |
| Blood crossmatch | $768 | $126 | — |
| Blood glucose test | $21 | $102 | $5 |
| Blood transfusion | $1,634 | $1,166 | $47 |
| Blood type and screen | $44 | $131 | $10 |
| Blood type test | $14 | $80 | $3 |
| Blood type test (ABO group) | $14 | $137 | $3 |
| Blood type test (Rh/D antigen) | $14 | $66 | $3 |
| BNP (heart failure) test | $176 | $168 | $39 |
| Bone density scan (DEXA) | $477 | $464 | $39 |
| Bone marrow biopsy | $5,827 | $1,761 | $172 |
| Bone scan (nuclear) | $1,802 | $2,404 | $259 |
| Botox for migraine | $1,324 | $493 | $157 |
| Breast biopsy | $7,267 | $3,893 | $478 |
| Breast MRI | $1,084 | $272 | $216 |
| Breast MRI without contrast | $1,084 | $253 | $216 |
| Breast ultrasound | $436 | $475 | $92 |
| Breast ultrasound (complete) | $477 | $491 | $100 |
| Breast ultrasound (limited) | $395 | $460 | $84 |
| Breathing tube insertion (intubation) | $694 | $899 | $133 |
| Bronchoscopy | $5,156 | $2,630 | $303 |
| Burn dressing and debridement (medium) | $387 | $337 | $166 |
| Burn dressing and debridement (small) | $387 | $326 | $93 |
| Burn treatment | $387 | $331 | $129 |
| C-reactive protein (CRP) | $23 | $94 | $5 |
| CA 19-9 tumor marker test | $94 | $125 | $21 |
| CA-125 ovarian marker test | $94 | $101 | $21 |
| Calcium blood test | $23 | $50 | $5 |
| Capsule endoscopy | $2,803 | $2,639 | $802 |
| Cardiac ablation | $48,183 | $25,233 | $759 |
| Cardiac catheterization | $12,021 | $16,838 | $1,049 |
| Cardiac MRI | $1,343 | $2,560 | $322 |
| Cardiac MRI without contrast | $1,084 | $2,288 | $280 |
| Cardiac rehabilitation | $471 | $258 | $26 |
| Cardiac stress test | $1,164 | $974 | $39 |
| Cardioversion | $2,446 | $2,028 | $155 |
| Carotid artery ultrasound | $650 | $1,256 | $156 |
| CEA tumor marker test | $85 | $157 | $19 |
| Celiac disease test | $52 | $41 | $12 |
| Central line placement | $11,764 | $2,609 | $238 |
| Cervical LEEP procedure | $9,507 | $4,358 | $325 |
| Chemotherapy infusion | $904 | $639 | $81 |
| Chemotherapy infusion (each additional) | $319 | $455 | $28 |
| Chemotherapy infusion (first hour) | $1,488 | $824 | $133 |
| Chest fluid drain (thoracentesis) | $1,849 | $1,622 | $311 |
| Chest tube insertion | $4,645 | $2,027 | $143 |
| Chest X-ray | $395 | $416 | $37 |
| Chest X-ray (1 view) | $395 | $281 | $25 |
| Chest X-ray (2 views) | $395 | $352 | $33 |
| Chickenpox (varicella) vaccine | $427 | $72 | — |
| CK-MB heart enzyme test | $52 | $110 | $12 |
| Clotting time test (PTT) | $27 | $75 | $6 |
| Colonoscopy | $3,526 | $2,441 | $480 |
| Colposcopy | $909 | $1,112 | $161 |
| Complete blood count (CBC) | $32 | $94 | $7 |
| Complete blood count (CBC) (complete) | $35 | $101 | $8 |
| Comprehensive metabolic panel | $47 | $191 | $11 |
| Contraceptive implant (Nexplanon) | $778 | $1,393 | $115 |
| Copper blood test | $56 | $190 | $12 |
| Coronary CT angiography | $1,602 | $2,157 | $326 |
| Cortisol test | $73 | $183 | $16 |
| COVID-19 PCR test | $230 | $141 | $51 |
| CPAP titration study | $608 | $554 | $69 |
| Creatine kinase (CK) test | $29 | $86 | $7 |
| CT angiography of the chest | $798 | $2,068 | $281 |
| CT angiography of the head | $798 | $2,151 | $274 |
| CT scan of the abdomen | $798 | $1,887 | $230 |
| CT scan of the abdomen and pelvis | $1,602 | $2,398 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $1,602 | $2,505 | $338 |
| CT scan of the abdomen and pelvis with contrast | $1,602 | $2,398 | $300 |
| CT scan of the abdomen and pelvis without contrast | $1,084 | $2,326 | $183 |
| CT scan of the abdomen with and without contrast | $798 | $1,970 | $259 |
| CT scan of the abdomen with contrast | $798 | $1,887 | $230 |
| CT scan of the abdomen without contrast | $477 | $1,656 | $136 |
| CT scan of the arm | $798 | $1,553 | $199 |
| CT scan of the arm with contrast | $1,602 | $1,553 | $199 |
| CT scan of the arm without contrast | $477 | $1,417 | $161 |
| CT scan of the chest | $798 | $1,680 | $167 |
| CT scan of the chest with and without contrast | $798 | $1,759 | $196 |
| CT scan of the chest with contrast | $798 | $1,680 | $167 |
| CT scan of the chest without contrast | $477 | $1,461 | $133 |
| CT scan of the head | $798 | $1,439 | $148 |
| CT scan of the head with and without contrast | $798 | $1,566 | $173 |
| CT scan of the head with contrast | $798 | $1,439 | $148 |
| CT scan of the head without contrast | $477 | $1,209 | $107 |
| CT scan of the leg | $798 | $1,493 | $166 |
| CT scan of the leg with contrast | $798 | $1,493 | $166 |
| CT scan of the leg without contrast | $477 | $1,320 | $130 |
| CT scan of the lower back (lumbar spine) | $798 | $1,713 | $169 |
| CT scan of the lower back (lumbar spine) with contrast | $1,602 | $1,759 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $477 | $1,668 | $130 |
| CT scan of the neck | $798 | $1,664 | $183 |
| CT scan of the neck (cervical spine) | $798 | $1,587 | $168 |
| CT scan of the neck (cervical spine) with contrast | $1,602 | $1,666 | $168 |
| CT scan of the neck (cervical spine) without contrast | $477 | $1,508 | $131 |
| CT scan of the neck with and without contrast | $798 | $1,685 | $220 |
| CT scan of the neck with contrast | $798 | $1,664 | $183 |
| CT scan of the neck without contrast | $477 | $1,337 | $150 |
| CT scan of the pelvis | $798 | $1,645 | $226 |
| CT scan of the pelvis with and without contrast | $798 | $1,809 | $251 |
| CT scan of the pelvis with contrast | $798 | $1,645 | $226 |
| CT scan of the pelvis without contrast | $477 | $1,340 | $133 |
| CT scan of the sinuses | $798 | $1,461 | $152 |
| CT scan of the sinuses with and without contrast | $798 | $1,516 | $184 |
| CT scan of the sinuses with contrast | $798 | $1,461 | $152 |
| CT scan of the sinuses without contrast | $477 | $1,253 | $128 |
| D-dimer test | $46 | $156 | $10 |
| Defibrillator (ICD) implant | $36,429 | $25,771 | $798 |
| Developmental screening (child) | $205 | $552 | — |
| DHEA-sulfate test | $99 | $240 | $22 |
| Diagnostic mammogram | $412 | $557 | $140 |
| Drug screen (urine) | $279 | $62 | $17 |
| Ear pressure test (tympanometry) | $102 | $100 | $16 |
| Ear tubes (myringotomy) | $3,851 | $1,970 | $174 |
| Echocardiogram | $904 | $1,229 | $138 |
| Echocardiogram with and without contrast | $904 | $903 | $101 |
| Echocardiogram without contrast | $904 | $1,229 | $138 |
| EEG (awake and asleep) | $1,397 | $1,128 | $482 |
| EKG / ECG (tracing only) | $222 | $281 | $7 |
| Electrocardiogram (EKG) | $246 | $281 | $8 |
| Electroencephalogram (EEG) | $1,397 | $1,093 | $448 |
| Electrolyte panel | $31 | $116 | $7 |
| Electromyography (EMG) | $578 | $540 | $141 |
| Emergency department visit | $1,242 | $818 | $69 |
| Emergency department visit (level 1) | $395 | $300 | $11 |
| Emergency department visit (level 2) | $710 | $491 | $40 |
| Emergency department visit (level 3) | $1,242 | $818 | $69 |
| Emergency department visit (level 4) | $1,910 | $1,283 | $118 |
| Emergency department visit (level 5) | $2,750 | $2,016 | $171 |
| Endometrial biopsy | $601 | $1,628 | $98 |
| Epidural steroid injection | $3,106 | $2,008 | $275 |
| ERCP (bile duct endoscopy) | $11,376 | $3,803 | $311 |
| Esophageal dilation | $2,803 | $1,489 | $522 |
| Estradiol (estrogen) test | $125 | $174 | $28 |
| Facet joint injection (spine) | $1,129 | $1,283 | $99 |
| Fallopian tube X-ray (HSG) | $812 | $809 | $164 |
| Fecal occult blood (stool) test | $46 | $45 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $20 | $33 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $72 | $58 | $16 |
| Feeding tube (PEG) placement | $5,672 | $2,944 | $178 |
| Ferritin (iron) test | $61 | $151 | $14 |
| Fibrinogen test | $44 | $70 | $10 |
| Flexible sigmoidoscopy | $2,726 | $1,868 | $323 |
| Flu test | $74 | $98 | $17 |
| Flu vaccine | $46 | $26 | — |
| Folate (folic acid) test | $66 | $83 | $15 |
| Foreign body removal (skin) | $779 | $650 | $157 |
| Free T4 thyroid test | $40 | $44 | $9 |
| FSH hormone test | $83 | $180 | $19 |
| Gallbladder scan (HIDA) | $2,108 | $1,837 | $334 |
| GGT liver test | $33 | $74 | $7 |
| Glucose tolerance test | $38 | $128 | $8 |
| H. pylori test | $302 | $329 | $67 |
| HDL cholesterol test | $37 | $90 | $8 |
| Hearing test (audiometry) | $407 | $191 | $36 |
| Hematocrit test | $10 | $50 | $2 |
| Hemodialysis | $3,138 | $2,216 | $75 |
| Hemoglobin A1c (diabetes test) | $44 | $104 | $10 |
| Hemorrhoid removal | $2,726 | $3,357 | $338 |
| Hepatitis A vaccine | $200 | $226 | — |
| Hepatitis B test | $46 | $65 | $10 |
| Hepatitis B vaccine | $168 | $155 | — |
| Hepatitis C test | $64 | $107 | $14 |
| HIV test | $85 | $85 | $19 |
| HIV test (antibody) | $62 | $80 | $14 |
| HIV test (antigen/antibody combo) | $108 | $85 | $24 |
| Holter heart monitor | $352 | $537 | $26 |
| HPV vaccine | $719 | $499 | — |
| Hysteroscopy | $9,507 | $4,914 | $1,270 |
| Iron blood test | $29 | $238 | $6 |
| IUD insertion | $326 | $696 | — |
| IUD removal | $909 | $260 | $112 |
| IV infusion therapy | $576 | $567 | $44 |
| IV infusion therapy (each additional) | $207 | $440 | $21 |
| IV infusion therapy (initial) | $945 | $695 | $67 |
| IVC filter placement | $11,946 | $6,444 | $1,885 |
| Joint aspiration (small/intermediate) | $883 | $530 | $57 |
| Joint aspiration or injection (mid-size joint) | $883 | $586 | $57 |
| Joint aspiration or injection (small joint) | $883 | $475 | $56 |
| Kidney biopsy | $4,844 | $2,006 | $492 |
| Kidney scan (nuclear) | $2,414 | $1,610 | $172 |
| Kidney ultrasound | $477 | $813 | $84 |
| Kidney ultrasound (limited) | $477 | $691 | $61 |
| Knee joint injection | $883 | $696 | $69 |
| Lactate test | $52 | $209 | $12 |
| Laryngoscopy | $2,868 | $1,129 | $189 |
| LDH test | $27 | $65 | $6 |
| LDL cholesterol test | $47 | $101 | $11 |
| Leg artery angiogram | $14,117 | $3,650 | $149 |
| Leg vein ultrasound (Doppler) | $650 | $1,062 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $397 | $962 | $116 |
| LH hormone test | $83 | $124 | $19 |
| Lipase test | $31 | $178 | $7 |
| Lipid (cholesterol) panel | $60 | $138 | $13 |
| Liver biopsy | $4,844 | $2,137 | $288 |
| Liver function panel | $36 | $137 | $8 |
| Lung function test (PFT) | $699 | $553 | $37 |
| Lung scan (V/Q) | $2,414 | $2,522 | $291 |
| Magnesium blood test | $30 | $70 | $7 |
| MMR vaccine | $218 | $100 | — |
| MRA of the brain | $1,602 | $1,922 | $226 |
| MRA of the brain with contrast | $1,602 | $1,922 | $226 |
| MRA of the brain without contrast | $1,602 | $2,144 | $328 |
| MRA of the neck | $1,602 | $1,922 | $245 |
| MRA of the neck with contrast | $1,602 | $1,922 | $245 |
| MRA of the neck without contrast | $1,602 | $2,144 | $343 |
| MRI of the abdomen | $1,602 | $2,363 | $300 |
| MRI of the abdomen with contrast | $1,602 | $2,363 | $300 |
| MRI of the abdomen without contrast | $1,084 | $2,198 | $194 |
| MRI of the ankle | $1,602 | $2,172 | $261 |
| MRI of the ankle with contrast | $1,602 | $2,172 | $261 |
| MRI of the ankle without contrast | $1,084 | $2,045 | $222 |
| MRI of the brain | $1,602 | $2,128 | $269 |
| MRI of the brain with contrast | $1,602 | $2,128 | $269 |
| MRI of the brain without contrast | $1,084 | $2,001 | $195 |
| MRI of the chest | $1,602 | $2,024 | $371 |
| MRI of the chest with contrast | $3,543 | $2,024 | $371 |
| MRI of the chest without contrast | $1,602 | $2,767 | $466 |
| MRI of the knee | $1,602 | $2,528 | $315 |
| MRI of the knee with contrast | $3,543 | $2,172 | $315 |
| MRI of the knee without contrast | $1,084 | $2,528 | $204 |
| MRI of the lower back (lumbar spine) | $1,602 | $2,348 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $1,602 | $2,348 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,084 | $2,179 | $192 |
| MRI of the mid-back (thoracic spine) | $1,602 | $2,348 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $1,602 | $2,491 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $1,602 | $2,348 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $1,084 | $2,179 | $190 |
| MRI of the neck (cervical spine) | $1,602 | $2,282 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $1,602 | $2,491 | $318 |
| MRI of the neck (cervical spine) with contrast | $1,602 | $2,282 | $274 |
| MRI of the neck (cervical spine) without contrast | $1,084 | $2,110 | $191 |
| MRI of the pelvis | $1,602 | $2,282 | $268 |
| MRI of the pelvis with contrast | $1,602 | $2,282 | $268 |
| MRI of the pelvis without contrast | $1,084 | $2,136 | $227 |
| MRI of the shoulder | $1,602 | $2,172 | $313 |
| MRI of the shoulder with contrast | $3,543 | $2,172 | $313 |
| MRI of the shoulder without contrast | $1,084 | $2,045 | $205 |
| MRI of the wrist | $1,602 | $2,453 | $330 |
| MRI of the wrist with contrast | $1,602 | $2,453 | $330 |
| MRI of the wrist without contrast | $1,084 | $2,045 | $303 |
| Nebulizer breathing treatment | $608 | $191 | $9 |
| Nerve conduction study | $1,397 | $1,175 | $118 |
| Nuclear cardiac stress test | $5,855 | $5,209 | $428 |
| Occupational therapy evaluation | $438 | $286 | $101 |
| Occupational therapy evaluation (high complexity) | $438 | $286 | $101 |
| Occupational therapy evaluation (low complexity) | $438 | $286 | $101 |
| Occupational therapy evaluation (moderate complexity) | $438 | $286 | $101 |
| Office visit (established patient) | $110 | $132 | $115 |
| Office visit, established patient (level 3) | $98 | $122 | $95 |
| Office visit, established patient (level 4) | $122 | $142 | $136 |
| Orthopedic hardware removal | $8,557 | $5,352 | $632 |
| Pap smear (cervical screening) | $105 | $180 | $20 |
| Parathyroid hormone (PTH) test | $185 | $378 | $41 |
| Pelvic ultrasound | $477 | $715 | $78 |
| Pelvic ultrasound (complete) | $477 | $884 | $105 |
| Pelvic ultrasound (limited) | $477 | $545 | $51 |
| PET scan | $6,542 | $4,697 | — |
| Phosphorus blood test | $21 | $56 | $5 |
| Physical therapy evaluation | $393 | $264 | $98 |
| Physical therapy evaluation (high complexity) | $393 | $286 | $98 |
| Physical therapy evaluation (moderate complexity) | $393 | $264 | $98 |
| Pilonidal cyst removal | $5,581 | $3,042 | $541 |
| Platelet count | $20 | $42 | $4 |
| Pneumonia vaccine | $275 | $74 | — |
| Pregnancy ultrasound | $477 | $803 | $126 |
| Pregnancy ultrasound (first trimester) | $477 | $771 | $117 |
| Pregnancy ultrasound (second or third trimester) | $477 | $834 | $136 |
| Procalcitonin test | $122 | $95 | $27 |
| Prolactin test | $87 | $156 | $19 |
| Prostate test (PSA) | $83 | $122 | $18 |
| Radiofrequency nerve ablation | $8,758 | $2,263 | $462 |
| RSV vaccine | $719 | $1,124 | — |
| Sacroiliac joint injection | $1,253 | $473 | $176 |
| Scoliosis spine X-ray | $436 | $359 | $58 |
| Scoliosis spine X-ray (1 view) | $395 | $353 | $44 |
| Scoliosis spine X-ray (3 views) | $477 | $364 | $72 |
| Screening colonoscopy | $2,371 | $2,503 | $378 |
| Screening mammogram | $396 | $490 | $126 |
| Scrotal ultrasound | $477 | $707 | $99 |
| Sedimentation rate (ESR) test | $12 | $72 | $3 |
| Sex hormone binding globulin test | $98 | $136 | $22 |
| Shingles vaccine | $505 | $557 | — |
| Simple laceration repair (small, up to 2.5 cm) | $387 | $317 | $114 |
| Simple wound stitches | $387 | $328 | $127 |
| Skin biopsy | $779 | $299 | $121 |
| Skin biopsy (punch) | $779 | $299 | $121 |
| Skin cancer lesion removal | $1,372 | $1,463 | $240 |
| Skin lesion freezing (cryotherapy) | $302 | $136 | $36 |
| Skin tag removal | $387 | $281 | $92 |
| Sleep study (polysomnography) | $4,563 | $6,094 | $691 |
| Soft tissue ultrasound | $477 | $521 | $64 |
| Speech therapy | $307 | $325 | $76 |
| Spinal cord stimulator | $16,516 | $5,306 | $2,388 |
| Spinal tap (lumbar puncture) | $3,106 | $1,046 | $165 |
| Spine fracture repair (kyphoplasty) | $21,360 | $8,794 | $5,803 |
| Spirometry (lung function test) | $468 | $460 | $30 |
| Spirometry with bronchodilator | $931 | $647 | $43 |
| Strep throat test | $74 | $97 | $17 |
| Stress echocardiogram | $2,049 | $1,902 | $209 |
| Stress echocardiogram (complete) | $2,049 | $1,930 | $233 |
| Swallow study | $371 | $425 | $85 |
| T3 thyroid test | $64 | $50 | $14 |
| Tdap (tetanus) vaccine | $111 | $141 | — |
| Testosterone test | $116 | $186 | $26 |
| Thyroid test (TSH) | $75 | $131 | $17 |
| Thyroid ultrasound | $477 | $852 | $109 |
| Thyroid uptake scan | $1,802 | $1,364 | $145 |
| Tilt table test | $1,983 | $1,373 | $168 |
| Total IgE allergy test | $74 | $143 | $16 |
| Total protein test | $16 | $45 | $4 |
| Transesophageal echocardiogram (TEE) | $2,049 | $2,195 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $2,049 | $2,195 | $239 |
| Transvaginal ultrasound | $477 | $844 | $118 |
| Trigger point injection | $883 | $867 | $56 |
| Trigger point injection (1-2 muscles) | $883 | $1,079 | $52 |
| Triglycerides test | $26 | $76 | $6 |
| Troponin (heart) test | $56 | $180 | $12 |
| Upper GI endoscopy (EGD) | $2,803 | $2,394 | $371 |
| Upper GI series (barium) | $798 | $732 | $128 |
| Uric acid (gout) test | $20 | $56 | $5 |
| Urinalysis | $12 | $90 | $3 |
| Urine microalbumin test | $25 | $69 | $5 |
| Urine pregnancy test | $38 | $67 | $9 |
| Vaccine administration | $90 | $34 | $19 |
| Vaccine administration (each additional) | $42 | $34 | $16 |
| Varicose vein ablation | $11,764 | $6,681 | $1,018 |
| Vasectomy | $6,125 | $2,270 | $347 |
| Vitamin B12 test | $68 | $107 | $15 |
| Vitamin D test | $133 | $255 | $30 |
| Wart removal | $387 | $289 | $121 |
| Well-child visit | $99 | $130 | — |
| Wound debridement | $986 | $979 | $186 |
| X-ray of the abdomen | $477 | $470 | $36 |
| X-ray of the ankle | $395 | $382 | $37 |
| X-ray of the collarbone | $395 | $350 | $33 |
| X-ray of the elbow | $395 | $444 | $33 |
| X-ray of the facial bones | $436 | $593 | $39 |
| X-ray of the foot | $395 | $404 | $34 |
| X-ray of the forearm | $395 | $380 | $29 |
| X-ray of the hand | $395 | $415 | $38 |
| X-ray of the hip | $395 | $420 | $49 |
| X-ray of the hip (1 view) | $395 | $255 | $34 |
| X-ray of the hip (3 views) | $395 | $420 | $49 |
| X-ray of the hip (4 views) | $477 | $511 | $63 |
| X-ray of the knee | $395 | $404 | $42 |
| X-ray of the knee (2 views) | $395 | $272 | $34 |
| X-ray of the knee (3 views) | $395 | $404 | $42 |
| X-ray of the knee (4+ views) | $477 | $489 | $49 |
| X-ray of the lower back (lumbar spine) | $477 | $475 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $477 | $422 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $477 | $527 | $53 |
| X-ray of the lower leg | $395 | $359 | $31 |
| X-ray of the mid-back (thoracic spine) | $477 | $478 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $477 | $374 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $477 | $583 | $39 |
| X-ray of the neck (cervical spine) | $436 | $527 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $395 | $416 | $40 |
| X-ray of the pelvis | $477 | $315 | $36 |
| X-ray of the pelvis (1 view) | $477 | $289 | $28 |
| X-ray of the ribs | $477 | $454 | $42 |
| X-ray of the ribs (2 views) | $395 | $431 | $36 |
| X-ray of the ribs (3 views) | $477 | $454 | $42 |
| X-ray of the shoulder | $395 | $443 | $36 |
| X-ray of the skull | $477 | $542 | $40 |
| X-ray of the upper arm | $395 | $350 | $32 |
| X-ray of the wrist | $395 | $443 | $43 |
| YAG laser capsulotomy (eye) | $1,641 | $1,442 | $335 |
| Zinc blood test | $51 | $90 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
