| Procedure | Fairview Hospital | Uh Cleveland Medical Center | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $87 | $68 | $51 |
| Abdominal fluid drain (paracentesis) | $2,803 | $1,429 | $284 |
| Abdominal ultrasound | $477 | $897 | $100 |
| Abdominal ultrasound (complete) | $477 | $1,072 | $114 |
| Abdominal ultrasound (limited) | $477 | $723 | $86 |
| Abscess drainage (complex or multiple) | $779 | $383 | $220 |
| Abscess drainage (simple) | $387 | $477 | $129 |
| Abscess incision and drainage | $583 | $430 | $174 |
| Acupuncture | $21 | $39 | $38 |
| Acupuncture (each additional) | $21 | $35 | $28 |
| Albumin blood test | $22 | $38 | $5 |
| Aldosterone test | $183 | $261 | $41 |
| Alkaline phosphatase test | $23 | $45 | $5 |
| Allergy shots | $109 | $42 | $11 |
| Allergy testing | $110 | $94 | $4 |
| Alpha-fetoprotein (AFP) test | $75 | $122 | $17 |
| ALT liver enzyme test | $24 | $59 | $5 |
| Ammonia blood test | $66 | $146 | $15 |
| Amniocentesis | $2,264 | $1,223 | $120 |
| Amylase test | $29 | $168 | $6 |
| Annual physical (established patient) | $176 | $136 | — |
| Annual physical (new patient) | $142 | $134 | — |
| Anoscopy | $385 | $175 | $129 |
| Antinuclear antibody (ANA) test | $54 | $100 | $12 |
| Aortic aneurysm repair (AAA) | $19,352 | $2,395 | $1,345 |
| Aortic valve replacement | $9,826 | $24,217 | $1,603 |
| Arterial blood gas (ABG) | $117 | $191 | $26 |
| AST liver enzyme test | $23 | $48 | $5 |
| Barium swallow study | $798 | $612 | $107 |
| Bartholin cyst removal | $601 | $962 | $182 |
| Basic metabolic panel | $38 | $118 | $8 |
| Benign skin lesion removal | $1,372 | $1,462 | $171 |
| Bilirubin blood test | $23 | $43 | $5 |
| Bladder function test (urodynamics) | $1,996 | $962 | $345 |
| Bladder scope (cystoscopy) | $1,996 | $2,590 | $216 |
| Bladder tumor removal (TURBT) | $10,312 | $3,148 | $236 |
| Blood clotting test (PT/INR) | $20 | $69 | $4 |
| Blood crossmatch | $768 | $126 | — |
| Blood glucose test | $21 | $29 | $5 |
| Blood transfusion | $1,634 | $1,262 | $47 |
| Blood type and screen | $44 | $101 | $10 |
| Blood type test | $14 | $74 | $3 |
| Blood type test (ABO group) | $14 | $137 | $3 |
| Blood type test (Rh/D antigen) | $14 | $53 | $3 |
| BNP (heart failure) test | $176 | $198 | $39 |
| Bone density scan (DEXA) | $477 | $569 | $39 |
| Bone marrow biopsy | $5,827 | $1,860 | $172 |
| Bone scan (nuclear) | $1,802 | $1,824 | $259 |
| Botox for migraine | $1,324 | $503 | $157 |
| Breast biopsy | $7,267 | $3,953 | $478 |
| Breast MRI | $1,084 | $272 | $216 |
| Breast MRI without contrast | $1,084 | $253 | $216 |
| Breast ultrasound | $436 | $612 | $92 |
| Breast ultrasound (complete) | $477 | $706 | $100 |
| Breast ultrasound (limited) | $395 | $519 | $84 |
| Breathing tube insertion (intubation) | $694 | $698 | $133 |
| Bronchoscopy | $5,156 | $2,291 | $303 |
| Burn dressing and debridement (medium) | $387 | $407 | $166 |
| Burn dressing and debridement (small) | $387 | $329 | $93 |
| Burn treatment | $387 | $368 | $129 |
| C-reactive protein (CRP) | $23 | $94 | $5 |
| CA 19-9 tumor marker test | $94 | $169 | $21 |
| CA-125 ovarian marker test | $94 | $101 | $21 |
| Calcium blood test | $23 | $44 | $5 |
| Capsule endoscopy | $2,803 | $2,754 | $802 |
| Cardiac ablation | $48,183 | $25,758 | $759 |
| Cardiac catheterization | $12,021 | $17,707 | $1,049 |
| Cardiac MRI | $1,343 | $2,641 | $322 |
| Cardiac MRI without contrast | $1,084 | $2,125 | $280 |
| Cardiac rehabilitation | $471 | $258 | $26 |
| Cardiac stress test | $1,164 | $1,055 | $39 |
| Cardioversion | $2,446 | $2,012 | $155 |
| Carotid artery ultrasound | $650 | $1,164 | $156 |
| CEA tumor marker test | $85 | $157 | $19 |
| Celiac disease test | $52 | $41 | $12 |
| Central line placement | $11,764 | $2,393 | $238 |
| Cervical cerclage | $8,267 | $6,919 | $137 |
| Cervical LEEP procedure | $9,507 | $4,358 | $325 |
| Chemotherapy infusion | $904 | $659 | $81 |
| Chemotherapy infusion (each additional) | $319 | $474 | $28 |
| Chemotherapy infusion (first hour) | $1,488 | $844 | $133 |
| Chest fluid drain (thoracentesis) | $1,849 | $1,590 | $311 |
| Chest tube insertion | $4,645 | $1,874 | $143 |
| Chest X-ray | $395 | $331 | $37 |
| Chest X-ray (1 view) | $395 | $242 | $25 |
| Chest X-ray (2 views) | $395 | $282 | $33 |
| Chickenpox (varicella) vaccine | $427 | $72 | — |
| Circumcision | $6,125 | $1,490 | $167 |
| CK-MB heart enzyme test | $52 | $110 | $12 |
| Clotting time test (PTT) | $27 | $69 | $6 |
| Colonoscopy | $3,526 | $2,503 | $480 |
| Colposcopy | $909 | $1,103 | $161 |
| Complete blood count (CBC) | $32 | $91 | $7 |
| Complete blood count (CBC) (complete) | $35 | $95 | $8 |
| Comprehensive eye exam | $385 | $206 | $138 |
| Comprehensive metabolic panel | $47 | $191 | $11 |
| Contraceptive implant (Nexplanon) | $778 | $1,193 | $115 |
| Copper blood test | $56 | $234 | $12 |
| Coronary CT angiography | $1,602 | $2,404 | $326 |
| Cortisol test | $73 | $190 | $16 |
| COVID-19 PCR test | $230 | $141 | $51 |
| CPAP titration study | $608 | $601 | $69 |
| Creatine kinase (CK) test | $29 | $86 | $7 |
| CT angiography of the chest | $798 | $2,306 | $281 |
| CT angiography of the head | $798 | $2,398 | $274 |
| CT scan of the abdomen | $798 | $1,851 | $230 |
| CT scan of the abdomen and pelvis | $1,602 | $2,353 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $1,602 | $2,457 | $338 |
| CT scan of the abdomen and pelvis with contrast | $1,602 | $2,353 | $300 |
| CT scan of the abdomen and pelvis without contrast | $1,084 | $2,320 | $183 |
| CT scan of the abdomen with and without contrast | $798 | $1,933 | $259 |
| CT scan of the abdomen with contrast | $798 | $1,851 | $230 |
| CT scan of the abdomen without contrast | $477 | $1,625 | $136 |
| CT scan of the arm | $798 | $1,523 | $199 |
| CT scan of the arm with contrast | $1,602 | $1,523 | $199 |
| CT scan of the arm without contrast | $477 | $1,390 | $161 |
| CT scan of the chest | $798 | $1,649 | $167 |
| CT scan of the chest with and without contrast | $798 | $1,725 | $196 |
| CT scan of the chest with contrast | $798 | $1,649 | $167 |
| CT scan of the chest without contrast | $477 | $1,628 | $133 |
| CT scan of the head | $798 | $1,412 | $148 |
| CT scan of the head with and without contrast | $798 | $1,538 | $173 |
| CT scan of the head with contrast | $798 | $1,412 | $148 |
| CT scan of the head without contrast | $477 | $1,186 | $107 |
| CT scan of the leg | $798 | $1,464 | $166 |
| CT scan of the leg with contrast | $798 | $1,464 | $166 |
| CT scan of the leg without contrast | $477 | $1,295 | $130 |
| CT scan of the lower back (lumbar spine) | $798 | $1,725 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $798 | $1,928 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,602 | $1,725 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $477 | $1,637 | $130 |
| CT scan of the neck | $798 | $1,632 | $183 |
| CT scan of the neck (cervical spine) | $798 | $1,558 | $168 |
| CT scan of the neck (cervical spine) with contrast | $1,602 | $1,636 | $168 |
| CT scan of the neck (cervical spine) without contrast | $477 | $1,481 | $131 |
| CT scan of the neck with and without contrast | $798 | $1,655 | $220 |
| CT scan of the neck with contrast | $798 | $1,632 | $183 |
| CT scan of the neck without contrast | $477 | $1,311 | $150 |
| CT scan of the pelvis | $798 | $1,614 | $226 |
| CT scan of the pelvis with and without contrast | $798 | $1,775 | $251 |
| CT scan of the pelvis with contrast | $798 | $1,614 | $226 |
| CT scan of the pelvis without contrast | $477 | $1,314 | $133 |
| CT scan of the sinuses | $798 | $1,434 | $152 |
| CT scan of the sinuses with and without contrast | $798 | $1,486 | $184 |
| CT scan of the sinuses with contrast | $798 | $1,434 | $152 |
| CT scan of the sinuses without contrast | $477 | $1,230 | $128 |
| D-dimer test | $46 | $156 | $10 |
| Defibrillator (ICD) implant | $36,429 | $22,725 | $798 |
| Developmental screening (child) | $205 | $552 | — |
| DHEA-sulfate test | $99 | $240 | $22 |
| Diagnostic mammogram | $412 | $429 | $140 |
| Dilation and curettage (D&C) | $9,507 | $2,271 | $298 |
| Drug screen (urine) | $279 | $52 | $17 |
| Ear pressure test (tympanometry) | $102 | $100 | $16 |
| Ear tubes (myringotomy) | $3,851 | $1,970 | $174 |
| Echocardiogram | $904 | $1,255 | $138 |
| Echocardiogram with and without contrast | $904 | $866 | $101 |
| Echocardiogram without contrast | $904 | $1,255 | $138 |
| EEG (awake and asleep) | $1,397 | $1,234 | $482 |
| EKG / ECG (tracing only) | $222 | $293 | $7 |
| Electrocardiogram (EKG) | $246 | $155 | $8 |
| Electroencephalogram (EEG) | $1,397 | $1,124 | $448 |
| Electrolyte panel | $31 | $117 | $7 |
| Electromyography (EMG) | $578 | $505 | $141 |
| Emergency department visit | $1,242 | $772 | $69 |
| Emergency department visit (level 1) | $395 | $247 | $11 |
| Emergency department visit (level 2) | $710 | $404 | $40 |
| Emergency department visit (level 3) | $1,242 | $772 | $69 |
| Emergency department visit (level 4) | $1,910 | $1,055 | $118 |
| Emergency department visit (level 5) | $2,750 | $4,829 | $171 |
| Endometrial biopsy | $601 | $356 | $98 |
| Epidural steroid injection | $3,106 | $1,895 | $275 |
| ERCP (bile duct endoscopy) | $11,376 | $3,764 | $311 |
| Esophageal dilation | $2,803 | $1,555 | $522 |
| Estradiol (estrogen) test | $125 | $174 | $28 |
| Facet joint injection (spine) | $1,129 | $1,283 | $99 |
| Fallopian tube X-ray (HSG) | $812 | $656 | $164 |
| Family therapy session | $313 | $423 | $110 |
| Fecal occult blood (stool) test | $46 | $51 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $20 | $44 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $72 | $57 | $16 |
| Feeding tube (PEG) placement | $5,672 | $2,913 | $178 |
| Ferritin (iron) test | $61 | $151 | $14 |
| Fibrinogen test | $44 | $84 | $10 |
| Flexible sigmoidoscopy | $2,726 | $1,949 | $323 |
| Flu test | $74 | $98 | $17 |
| Flu vaccine | $46 | $47 | — |
| Folate (folic acid) test | $66 | $83 | $15 |
| Foreign body removal (skin) | $779 | $759 | $157 |
| Free T4 thyroid test | $40 | $41 | $9 |
| FSH hormone test | $83 | $198 | $19 |
| Gallbladder scan (HIDA) | $2,108 | $1,670 | $334 |
| GGT liver test | $33 | $47 | $7 |
| Glucose tolerance test | $38 | $112 | $8 |
| Group therapy session | $542 | $269 | $30 |
| H. pylori test | $302 | $473 | $67 |
| HDL cholesterol test | $37 | $90 | $8 |
| Hearing test (audiometry) | $407 | $191 | $36 |
| Hematocrit test | $10 | $38 | $2 |
| Hemodialysis | $3,138 | $2,133 | $75 |
| Hemoglobin A1c (diabetes test) | $44 | $103 | $10 |
| Hemorrhoid removal | $2,726 | $2,020 | $338 |
| Hepatitis A vaccine | $200 | $226 | — |
| Hepatitis B test | $46 | $68 | $10 |
| Hepatitis B vaccine | $168 | $155 | — |
| Hepatitis C test | $64 | $116 | $14 |
| HIV test | $85 | $76 | $19 |
| HIV test (antibody) | $62 | $94 | $14 |
| HIV test (antigen/antibody combo) | $108 | $63 | $24 |
| Holter heart monitor | $352 | $647 | $26 |
| HPV vaccine | $719 | $881 | — |
| Hysteroscopy | $9,507 | $4,914 | $1,270 |
| Iron blood test | $29 | $247 | $6 |
| IUD insertion | $326 | $711 | — |
| IUD removal | $909 | $235 | $112 |
| IV infusion therapy | $576 | $665 | $44 |
| IV infusion therapy (each additional) | $207 | $588 | $21 |
| IV infusion therapy (initial) | $945 | $741 | $67 |
| IVC filter placement | $11,946 | $6,444 | $1,885 |
| Joint aspiration (small/intermediate) | $883 | $537 | $57 |
| Joint aspiration or injection (mid-size joint) | $883 | $600 | $57 |
| Joint aspiration or injection (small joint) | $883 | $474 | $56 |
| Kidney biopsy | $4,844 | $2,666 | $492 |
| Kidney scan (nuclear) | $2,414 | $1,545 | $172 |
| Kidney ultrasound | $477 | $787 | $84 |
| Kidney ultrasound (limited) | $477 | $512 | $61 |
| Knee joint injection | $883 | $1,067 | $69 |
| Lactate test | $52 | $222 | $12 |
| Laryngoscopy | $2,868 | $1,115 | $189 |
| LDH test | $27 | $62 | $6 |
| LDL cholesterol test | $47 | $108 | $11 |
| Leg artery angiogram | $14,117 | $3,968 | $149 |
| Leg vein ultrasound (Doppler) | $650 | $1,350 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $397 | $1,109 | $116 |
| LH hormone test | $83 | $125 | $19 |
| Lipase test | $31 | $178 | $7 |
| Lipid (cholesterol) panel | $60 | $91 | $13 |
| Liver biopsy | $4,844 | $1,702 | $288 |
| Liver function panel | $36 | $137 | $8 |
| Lung function test (PFT) | $699 | $479 | $37 |
| Lung scan (V/Q) | $2,414 | $2,030 | $291 |
| Magnesium blood test | $30 | $60 | $7 |
| MMR vaccine | $218 | $87 | — |
| MRA of the brain | $1,602 | $2,005 | $226 |
| MRA of the brain with contrast | $1,602 | $2,005 | $226 |
| MRA of the brain without contrast | $1,602 | $2,301 | $328 |
| MRA of the neck | $1,602 | $1,970 | $245 |
| MRA of the neck with contrast | $1,602 | $1,970 | $245 |
| MRA of the neck without contrast | $1,602 | $2,149 | $343 |
| MRI of the abdomen | $1,602 | $2,634 | $300 |
| MRI of the abdomen with contrast | $1,602 | $2,634 | $300 |
| MRI of the abdomen without contrast | $1,084 | $2,450 | $194 |
| MRI of the ankle | $1,602 | $2,421 | $261 |
| MRI of the ankle with contrast | $1,602 | $2,421 | $261 |
| MRI of the ankle without contrast | $1,084 | $2,279 | $222 |
| MRI of the brain | $1,602 | $2,372 | $269 |
| MRI of the brain with contrast | $1,602 | $2,372 | $269 |
| MRI of the brain without contrast | $1,084 | $2,157 | $195 |
| MRI of the chest | $1,602 | $2,481 | $371 |
| MRI of the chest with contrast | $3,543 | $2,481 | $371 |
| MRI of the chest without contrast | $1,602 | $2,893 | $466 |
| MRI of the knee | $1,602 | $2,597 | $315 |
| MRI of the knee with contrast | $3,543 | $2,597 | $315 |
| MRI of the knee without contrast | $1,084 | $2,479 | $204 |
| MRI of the lower back (lumbar spine) | $1,602 | $2,617 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $1,602 | $2,617 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,084 | $2,158 | $192 |
| MRI of the mid-back (thoracic spine) | $1,602 | $2,617 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $1,602 | $2,776 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $1,602 | $2,617 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $1,084 | $2,178 | $190 |
| MRI of the neck (cervical spine) | $1,602 | $2,543 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $1,602 | $2,776 | $318 |
| MRI of the neck (cervical spine) with contrast | $1,602 | $2,543 | $274 |
| MRI of the neck (cervical spine) without contrast | $1,084 | $2,070 | $191 |
| MRI of the pelvis | $1,602 | $2,543 | $268 |
| MRI of the pelvis with contrast | $1,602 | $2,543 | $268 |
| MRI of the pelvis without contrast | $1,084 | $2,380 | $227 |
| MRI of the shoulder | $1,602 | $2,345 | $313 |
| MRI of the shoulder with contrast | $3,543 | $2,345 | $313 |
| MRI of the shoulder without contrast | $1,084 | $2,279 | $205 |
| MRI of the wrist | $1,602 | $2,214 | $330 |
| MRI of the wrist with contrast | $1,602 | $2,214 | $330 |
| MRI of the wrist without contrast | $1,084 | $2,006 | $303 |
| Nebulizer breathing treatment | $608 | $194 | $9 |
| Nerve conduction study | $1,397 | $1,431 | $118 |
| Nuchal translucency ultrasound | $477 | $635 | $116 |
| Nuclear cardiac stress test | $5,855 | $5,555 | $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 | $277 | $115 |
| Office visit, established patient (level 3) | $98 | $277 | $95 |
| Office visit, established patient (level 4) | $122 | $283 | $136 |
| Orthopedic hardware removal | $8,557 | $5,352 | $632 |
| Pap smear (cervical screening) | $105 | $188 | $20 |
| Parathyroid hormone (PTH) test | $185 | $481 | $41 |
| Pelvic ultrasound | $477 | $646 | $78 |
| Pelvic ultrasound (complete) | $477 | $747 | $105 |
| Pelvic ultrasound (limited) | $477 | $545 | $51 |
| PET scan | $6,542 | $4,668 | — |
| Phosphorus blood test | $21 | $56 | $5 |
| Physical therapy evaluation | $393 | $230 | $98 |
| Physical therapy evaluation (high complexity) | $393 | $230 | $98 |
| Physical therapy evaluation (moderate complexity) | $393 | $230 | $98 |
| Pilonidal cyst removal | $5,581 | $3,042 | $541 |
| Platelet count | $20 | $42 | $4 |
| Pneumonia vaccine | $275 | $60 | — |
| Pregnancy ultrasound | $477 | $815 | $126 |
| Pregnancy ultrasound (first trimester) | $477 | $808 | $117 |
| Pregnancy ultrasound (second or third trimester) | $477 | $823 | $136 |
| Procalcitonin test | $122 | $72 | $27 |
| Prolactin test | $87 | $206 | $19 |
| Prostate test (PSA) | $83 | $134 | $18 |
| Psychiatric evaluation | $313 | $380 | $188 |
| Psychotherapy session | $313 | $286 | $140 |
| Radiofrequency nerve ablation | $8,758 | $2,263 | $462 |
| Retinal (fundus) photography | $385 | $195 | $37 |
| RSV vaccine | $719 | $872 | — |
| Sacroiliac joint injection | $1,253 | $473 | $176 |
| Scoliosis spine X-ray | $436 | $280 | $58 |
| Scoliosis spine X-ray (1 view) | $395 | $280 | $44 |
| Scoliosis spine X-ray (3 views) | $477 | $280 | $72 |
| Screening colonoscopy | $2,371 | $2,503 | $378 |
| Screening mammogram | $396 | $363 | $126 |
| Scrotal ultrasound | $477 | $707 | $99 |
| Sedimentation rate (ESR) test | $12 | $72 | $3 |
| Semen analysis | $129 | $197 | $12 |
| Sex hormone binding globulin test | $98 | $195 | $22 |
| Shingles vaccine | $505 | $402 | — |
| Simple laceration repair (small, up to 2.5 cm) | $387 | $288 | $114 |
| Simple wound stitches | $387 | $297 | $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 | $389 | $92 |
| Sleep study (polysomnography) | $4,563 | $6,802 | $691 |
| Soft tissue ultrasound | $477 | $544 | $64 |
| Speech therapy | $307 | $325 | $76 |
| Spinal cord stimulator | $16,516 | $4,973 | $2,388 |
| Spinal tap (lumbar puncture) | $3,106 | $1,283 | $165 |
| Spine fracture repair (kyphoplasty) | $21,360 | $8,794 | $5,803 |
| Spirometry (lung function test) | $468 | $404 | $30 |
| Spirometry with bronchodilator | $931 | $555 | $43 |
| Strep throat test | $74 | $95 | $17 |
| Stress echocardiogram | $2,049 | $1,902 | $209 |
| Stress echocardiogram (complete) | $2,049 | $1,930 | $233 |
| Swallow study | $371 | $335 | $85 |
| T3 thyroid test | $64 | $42 | $14 |
| Tdap (tetanus) vaccine | $111 | $141 | — |
| Testosterone test | $116 | $200 | $26 |
| Thyroid test (TSH) | $75 | $178 | $17 |
| Thyroid ultrasound | $477 | $768 | $109 |
| Thyroid uptake scan | $1,802 | $960 | $145 |
| Tilt table test | $1,983 | $2,045 | $168 |
| Total IgE allergy test | $74 | $143 | $16 |
| Total protein test | $16 | $41 | $4 |
| Tracheostomy | $9,697 | $1,262 | $273 |
| Transesophageal echocardiogram (TEE) | $2,049 | $2,199 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $2,049 | $2,378 | $239 |
| Transvaginal ultrasound | $477 | $886 | $118 |
| Trigger point injection | $883 | $867 | $56 |
| Trigger point injection (1-2 muscles) | $883 | $1,051 | $52 |
| Triglycerides test | $26 | $70 | $6 |
| Troponin (heart) test | $56 | $299 | $12 |
| Turning a breech baby (version) | $8,267 | $2,271 | $94 |
| Upper GI endoscopy (EGD) | $2,803 | $2,630 | $371 |
| Upper GI series (barium) | $798 | $595 | $128 |
| Uric acid (gout) test | $20 | $48 | $5 |
| Urinalysis | $12 | $70 | $3 |
| Urine microalbumin test | $25 | $60 | $5 |
| Urine pregnancy test | $38 | $65 | $9 |
| Vaccine administration | $90 | $39 | $19 |
| Vaccine administration (each additional) | $42 | $45 | $16 |
| Varicose vein ablation | $11,764 | $6,479 | $1,018 |
| Vitamin B12 test | $68 | $107 | $15 |
| Vitamin D test | $133 | $272 | $30 |
| Wart removal | $387 | $358 | $121 |
| Well-child visit | $99 | $99 | — |
| Wound debridement | $986 | $920 | $186 |
| X-ray of the abdomen | $477 | $337 | $36 |
| X-ray of the ankle | $395 | $378 | $37 |
| X-ray of the collarbone | $395 | $344 | $33 |
| X-ray of the elbow | $395 | $378 | $33 |
| X-ray of the facial bones | $436 | $452 | $39 |
| X-ray of the foot | $395 | $435 | $34 |
| X-ray of the forearm | $395 | $308 | $29 |
| X-ray of the hand | $395 | $321 | $38 |
| X-ray of the hip | $395 | $373 | $49 |
| X-ray of the hip (1 view) | $395 | $332 | $34 |
| X-ray of the hip (3 views) | $395 | $373 | $49 |
| X-ray of the hip (4 views) | $477 | $581 | $63 |
| X-ray of the knee | $395 | $320 | $42 |
| X-ray of the knee (2 views) | $395 | $309 | $34 |
| X-ray of the knee (3 views) | $395 | $320 | $42 |
| X-ray of the knee (4+ views) | $477 | $399 | $49 |
| X-ray of the lower back (lumbar spine) | $477 | $413 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $477 | $333 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $477 | $494 | $53 |
| X-ray of the lower leg | $395 | $342 | $31 |
| X-ray of the mid-back (thoracic spine) | $477 | $390 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $477 | $329 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $477 | $450 | $39 |
| X-ray of the neck (cervical spine) | $436 | $400 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $395 | $329 | $40 |
| X-ray of the pelvis | $477 | $333 | $36 |
| X-ray of the pelvis (1 view) | $477 | $278 | $28 |
| X-ray of the ribs | $477 | $406 | $42 |
| X-ray of the ribs (2 views) | $395 | $370 | $36 |
| X-ray of the ribs (3 views) | $477 | $406 | $42 |
| X-ray of the shoulder | $395 | $380 | $36 |
| X-ray of the skull | $477 | $514 | $40 |
| X-ray of the upper arm | $395 | $384 | $32 |
| X-ray of the wrist | $395 | $398 | $43 |
| YAG laser capsulotomy (eye) | $1,641 | $1,403 | $335 |
| Zinc blood test | $51 | $98 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
