| Procedure | Montgomery General Hospital | Charleston Area Medical Center | Medicare |
|---|
| Abdominal fluid drain (paracentesis) | $753 | $1,135 | $284 |
| Abdominal ultrasound | $250 | $1,109 | $100 |
| Abdominal ultrasound (complete) | $318 | $1,418 | $114 |
| Abdominal ultrasound (limited) | $250 | $1,012 | $86 |
| Abscess drainage (complex or multiple) | $256 | $588 | $220 |
| Abscess drainage (simple) | $174 | $814 | $129 |
| Abscess incision and drainage | $183 | $701 | $174 |
| Achilles tendon repair | $13,500 | $1,772 | $624 |
| ACL knee reconstruction | $7,455 | $2,684 | $889 |
| Albumin blood test | $27 | $83 | $5 |
| Aldosterone test | $112 | $180 | $41 |
| Alkaline phosphatase test | $34 | $89 | $5 |
| Allergy shots | $34 | $86 | $11 |
| Alpha-fetoprotein (AFP) test | $69 | $189 | $17 |
| ALT liver enzyme test | $34 | $96 | $5 |
| Ammonia blood test | $74 | $142 | $15 |
| Amylase test | $54 | $137 | $6 |
| Ankle fracture repair | $13,125 | $2,006 | $608 |
| Annual physical (established patient) | $165 | $334 | — |
| Annual physical (new patient) | $216 | $394 | — |
| Anoscopy | $135 | $222 | $129 |
| Antinuclear antibody (ANA) test | $55 | $116 | $12 |
| AST liver enzyme test | $34 | $90 | $5 |
| Barium swallow study | $157 | $761 | $107 |
| Bartholin cyst removal | $222 | $246 | $182 |
| Basic metabolic panel | $100 | $207 | $8 |
| Benign skin lesion removal | $263 | $393 | $171 |
| Bilirubin blood test | $46 | $92 | $5 |
| Bladder function test (urodynamics) | $152 | $847 | $345 |
| Bladder scope (cystoscopy) | $695 | $2,321 | $216 |
| Bladder tumor removal (TURBT) | $386 | $740 | $236 |
| Blood clotting test (PT/INR) | $38 | $89 | $4 |
| Blood crossmatch | $27 | $206 | — |
| Blood glucose test | $33 | $81 | $5 |
| Blood transfusion | $558 | $706 | $47 |
| Blood type and screen | $40 | $146 | $10 |
| Blood type test | $38 | $130 | $3 |
| Blood type test (ABO group) | $30 | $124 | $3 |
| Blood type test (Rh/D antigen) | $46 | $130 | $3 |
| BNP (heart failure) test | $121 | $154 | $39 |
| Bone density scan (DEXA) | $224 | $714 | $39 |
| Bone scan (nuclear) | $424 | $2,206 | $259 |
| Breast biopsy | $2,704 | $1,453 | $478 |
| Breast ultrasound | $63 | $839 | $92 |
| Breast ultrasound (complete) | $155 | $887 | $100 |
| Breast ultrasound (limited) | $63 | $839 | $84 |
| Breathing tube insertion (intubation) | $243 | $322 | $133 |
| Burn dressing and debridement (medium) | $247 | $554 | $166 |
| Burn dressing and debridement (small) | $127 | $437 | $93 |
| Burn treatment | $148 | $437 | $129 |
| C-reactive protein (CRP) | $33 | $129 | $5 |
| Calcium blood test | $40 | $86 | $5 |
| Capsule endoscopy | $324 | $1,610 | $802 |
| Cardiac rehabilitation | $73 | $446 | $26 |
| Cardiac stress test | $608 | $994 | $39 |
| Cardioversion | $554 | $1,667 | $155 |
| Carotid artery ultrasound | $234 | $450 | $156 |
| Carpal tunnel release | $2,202 | $1,141 | $483 |
| Cataract surgery | $2,704 | $3,160 | $547 |
| CEA tumor marker test | $78 | $229 | $19 |
| Central line placement | $537 | $4,244 | $238 |
| Chemotherapy infusion | $324 | $271 | $81 |
| Chemotherapy infusion (first hour) | $324 | $1,719 | $133 |
| Chest fluid drain (thoracentesis) | $585 | $1,446 | $311 |
| Chest tube insertion | $305 | $2,090 | $143 |
| Chest X-ray | $112 | $410 | $37 |
| Chest X-ray (1 view) | $106 | $301 | $25 |
| Chest X-ray (2 views) | $126 | $400 | $33 |
| Chickenpox (varicella) vaccine | $193 | $473 | — |
| Circumcision | $325 | $4,058 | $167 |
| CK-MB heart enzyme test | $102 | $183 | $12 |
| Clotting time test (PTT) | $38 | $90 | $6 |
| Colon resection (colectomy) | $2,858 | $3,769 | $1,238 |
| Colonoscopy | $900 | $1,940 | $480 |
| Complete blood count (CBC) | $35 | $173 | $7 |
| Complete blood count (CBC) (complete) | $35 | $189 | $8 |
| Complex wound repair | $511 | $1,032 | $390 |
| Comprehensive metabolic panel | $97 | $260 | $11 |
| Continuous glucose monitor setup | $81 | $129 | $35 |
| Contraceptive implant (Nexplanon) | $270 | $380 | $115 |
| Cortisol test | $82 | $211 | $16 |
| COVID-19 PCR test | $116 | $113 | $51 |
| CPAP titration study | $309 | $901 | $69 |
| Creatine kinase (CK) test | $35 | $104 | $7 |
| CT angiography of the chest | $1,045 | $3,506 | $281 |
| CT angiography of the head | $1,045 | $4,435 | $274 |
| CT scan of the abdomen | $625 | $3,444 | $230 |
| CT scan of the abdomen and pelvis | $1,150 | $7,116 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $1,264 | $7,116 | $338 |
| CT scan of the abdomen and pelvis with contrast | $1,026 | $7,116 | $300 |
| CT scan of the abdomen and pelvis without contrast | $1,150 | $4,453 | $183 |
| CT scan of the abdomen with and without contrast | $757 | $4,916 | $259 |
| CT scan of the abdomen with contrast | $639 | $3,751 | $230 |
| CT scan of the abdomen without contrast | $625 | $2,170 | $136 |
| CT scan of the arm | $425 | $2,675 | $199 |
| CT scan of the arm with contrast | $425 | $2,675 | $199 |
| CT scan of the arm without contrast | $399 | $2,271 | $161 |
| CT scan of the chest | $625 | $2,528 | $167 |
| CT scan of the chest with and without contrast | $757 | $3,454 | $196 |
| CT scan of the chest with contrast | $687 | $2,979 | $167 |
| CT scan of the chest without contrast | $625 | $2,382 | $133 |
| CT scan of the head | $575 | $2,355 | $148 |
| CT scan of the head with and without contrast | $723 | $3,011 | $173 |
| CT scan of the head with contrast | $625 | $2,294 | $148 |
| CT scan of the head without contrast | $575 | $2,170 | $107 |
| CT scan of the leg | $425 | $2,578 | $166 |
| CT scan of the leg with contrast | $425 | $2,573 | $166 |
| CT scan of the leg without contrast | $399 | $2,382 | $130 |
| CT scan of the lower back (lumbar spine) | $521 | $2,585 | $169 |
| CT scan of the lower back (lumbar spine) with contrast | $521 | $2,967 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $699 | $2,382 | $130 |
| CT scan of the neck | $275 | $3,299 | $183 |
| CT scan of the neck (cervical spine) | $721 | $2,642 | $168 |
| CT scan of the neck (cervical spine) without contrast | $721 | $2,382 | $131 |
| CT scan of the neck with and without contrast | $512 | $5,143 | $220 |
| CT scan of the neck with contrast | $412 | $3,164 | $183 |
| CT scan of the neck without contrast | $275 | $2,382 | $150 |
| CT scan of the pelvis | $309 | $3,177 | $226 |
| CT scan of the pelvis with and without contrast | $386 | $4,916 | $251 |
| CT scan of the pelvis with contrast | $309 | $3,177 | $226 |
| CT scan of the pelvis without contrast | $155 | $2,382 | $133 |
| CT scan of the sinuses | $375 | $2,767 | $152 |
| CT scan of the sinuses with and without contrast | $512 | $4,685 | $184 |
| CT scan of the sinuses with contrast | $412 | $2,989 | $152 |
| CT scan of the sinuses without contrast | $277 | $2,271 | $128 |
| D-dimer test | $67 | $223 | $10 |
| Developmental screening (child) | $35 | $21 | — |
| DHEA-sulfate test | $112 | $242 | $22 |
| Diagnostic mammogram | $99 | $240 | $140 |
| Dialysis fistula creation | $892 | $16,673 | $601 |
| Drug screen (urine) | $176 | $244 | $17 |
| Ear pressure test (tympanometry) | $39 | $126 | $16 |
| Echocardiogram | $1,463 | $363 | $138 |
| EEG (awake and asleep) | $488 | $1,796 | $482 |
| EKG / ECG (tracing only) | $111 | $471 | $7 |
| Electrocardiogram (EKG) | $111 | $374 | $8 |
| Electroencephalogram (EEG) | $488 | $1,721 | $448 |
| Electrolyte panel | $59 | $161 | $7 |
| Emergency department visit | $192 | $492 | $69 |
| Emergency department visit (level 1) | $85 | $198 | $11 |
| Emergency department visit (level 2) | $138 | $433 | $40 |
| Emergency department visit (level 3) | $202 | $949 | $69 |
| Emergency department visit (level 4) | $406 | $1,720 | $118 |
| Emergency department visit (level 5) | $545 | $2,845 | $171 |
| ERCP (bile duct endoscopy) | $2,472 | $1,020 | $311 |
| Esophageal variceal banding | $463 | $1,853 | $126 |
| Estradiol (estrogen) test | $140 | $381 | $28 |
| Fecal occult blood (stool) test | $21 | $49 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $21 | $49 | $4 |
| Feeding tube (PEG) placement | $503 | $2,182 | $178 |
| Femoral hernia repair | $776 | $1,695 | $584 |
| Ferritin (iron) test | $66 | $187 | $14 |
| Fibrinogen test | $46 | $122 | $10 |
| Flexible sigmoidoscopy | $309 | $1,219 | $323 |
| Flu test | $64 | $123 | $17 |
| Flu vaccine | $35 | $214 | — |
| Folate (folic acid) test | $70 | $174 | $15 |
| Foreign body removal (skin) | $141 | $394 | $157 |
| Free T4 thyroid test | $99 | $196 | $9 |
| FSH hormone test | $85 | $262 | $19 |
| Gallbladder removal (laparoscopic) | $1,389 | $2,784 | $658 |
| Gallbladder scan (HIDA) | $382 | $1,680 | $334 |
| Ganglion cyst removal | $1,632 | $848 | $321 |
| GGT liver test | $35 | $129 | $7 |
| Glucose tolerance test | $20 | $166 | $8 |
| Group therapy session | $50 | $231 | $30 |
| Hammertoe repair | $5,021 | $1,931 | $548 |
| HDL cholesterol test | $56 | $201 | $8 |
| Hematocrit test | $19 | $52 | $2 |
| Hemorrhoid removal | $402 | $632 | $338 |
| Hepatitis B test | $35 | $75 | $10 |
| Hepatitis B vaccine | $157 | $203 | — |
| Hepatitis C test | $66 | $249 | $14 |
| Hip fracture repair | $5,794 | $3,376 | $1,120 |
| Hip replacement | $25,493 | $3,718 | $1,162 |
| HPV vaccine | $386 | $839 | — |
| Hydrocele repair | $817 | $913 | $315 |
| Ileostomy | $2,086 | $2,812 | $968 |
| Inguinal hernia repair | $1,048 | $6,009 | $538 |
| Iron blood test | $56 | $115 | $6 |
| IUD removal | $243 | $720 | $112 |
| IV infusion therapy | $277 | $392 | $44 |
| IV infusion therapy (each additional) | $51 | $392 | $21 |
| IV infusion therapy (initial) | $324 | $936 | $67 |
| Joint aspiration (small/intermediate) | $156 | $914 | $57 |
| Joint aspiration or injection (mid-size joint) | $100 | $914 | $57 |
| Joint aspiration or injection (small joint) | $230 | $914 | $56 |
| Kidney removal (nephrectomy) | $1,890 | $3,654 | $1,164 |
| Kidney stone shock-wave (lithotripsy) | $1,159 | $1,545 | $760 |
| Kidney ultrasound | $116 | $1,074 | $84 |
| Kidney ultrasound (limited) | $116 | $1,038 | $61 |
| Knee arthroscopy | $1,313 | $1,519 | $524 |
| Knee joint injection | $349 | $728 | $69 |
| Lactate test | $54 | $152 | $12 |
| LDH test | $35 | $76 | $6 |
| LDL cholesterol test | $91 | $176 | $11 |
| Leg vein ultrasound (Doppler) | $234 | $383 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $234 | $324 | $116 |
| LH hormone test | $84 | $251 | $19 |
| Lipase test | $38 | $159 | $7 |
| Lipid (cholesterol) panel | $93 | $216 | $13 |
| Liver biopsy | $1,391 | $2,177 | $288 |
| Liver function panel | $90 | $262 | $8 |
| Lumpectomy (breast) | $917 | $2,166 | $750 |
| Lung function test (PFT) | $207 | $373 | $37 |
| Lung scan (V/Q) | $651 | $1,168 | $291 |
| Magnesium blood test | $49 | $95 | $7 |
| Mastectomy | $1,707 | $6,722 | $1,021 |
| Meniscus repair (knee) | $1,931 | $2,097 | $714 |
| MMR vaccine | $53 | $238 | — |
| MRA of the brain | $927 | $3,815 | $226 |
| MRA of the brain with contrast | $998 | $3,815 | $226 |
| MRA of the brain without contrast | $998 | $5,988 | $328 |
| MRA of the neck | $857 | $3,567 | $245 |
| MRA of the neck with contrast | $998 | $3,567 | $245 |
| MRA of the neck without contrast | $998 | $5,371 | $343 |
| MRI of the abdomen | $998 | $5,821 | $300 |
| MRI of the abdomen with contrast | $998 | $5,274 | $300 |
| MRI of the abdomen without contrast | $857 | $4,007 | $194 |
| MRI of the ankle | $998 | $6,049 | $261 |
| MRI of the ankle with contrast | $998 | $6,049 | $261 |
| MRI of the ankle without contrast | $857 | $4,055 | $222 |
| MRI of the brain | $857 | $4,653 | $269 |
| MRI of the brain with contrast | $963 | $4,374 | $269 |
| MRI of the brain without contrast | $857 | $3,858 | $195 |
| MRI of the chest | $998 | $4,269 | $371 |
| MRI of the chest with contrast | $998 | $4,269 | $371 |
| MRI of the chest without contrast | $998 | $5,288 | $466 |
| MRI of the knee | $857 | $5,101 | $315 |
| MRI of the knee with contrast | $998 | $5,917 | $315 |
| MRI of the knee without contrast | $857 | $4,250 | $204 |
| MRI of the lower back (lumbar spine) | $857 | $6,092 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $963 | $6,229 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $857 | $4,380 | $192 |
| MRI of the mid-back (thoracic spine) | $857 | $6,092 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $1,712 | $7,178 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $963 | $6,118 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $517 | $4,343 | $190 |
| MRI of the neck (cervical spine) | $910 | $5,504 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $1,712 | $7,178 | $318 |
| MRI of the neck (cervical spine) with contrast | $963 | $5,504 | $274 |
| MRI of the neck (cervical spine) without contrast | $857 | $4,272 | $191 |
| MRI of the pelvis | $998 | $4,989 | $268 |
| MRI of the pelvis with contrast | $998 | $4,989 | $268 |
| MRI of the pelvis without contrast | $899 | $3,599 | $227 |
| MRI of the shoulder | $998 | $4,346 | $313 |
| MRI of the shoulder with contrast | $998 | $2,362 | $313 |
| MRI of the shoulder without contrast | $857 | $4,235 | $205 |
| MRI of the wrist | $998 | $5,633 | $330 |
| MRI of the wrist with contrast | $998 | $5,666 | $330 |
| MRI of the wrist without contrast | $998 | $4,051 | $303 |
| Nebulizer breathing treatment | $462 | $134 | $9 |
| Nuclear cardiac stress test | $1,703 | $2,527 | $428 |
| Occupational therapy evaluation | $141 | $568 | $101 |
| Occupational therapy evaluation (high complexity) | $183 | $610 | $101 |
| Occupational therapy evaluation (low complexity) | $120 | $549 | $101 |
| Occupational therapy evaluation (moderate complexity) | $112 | $581 | $101 |
| Office visit (established patient) | $23 | $261 | $115 |
| Office visit (new patient) | $41 | $401 | $177 |
| Office visit, established patient (level 3) | $16 | $261 | $95 |
| Office visit, established patient (level 4) | $23 | $314 | $136 |
| Office visit, new patient (level 3) | $31 | $334 | $118 |
| Office visit, new patient (level 4) | $39 | $401 | $177 |
| Office visit, new patient (level 5) | $58 | $434 | $237 |
| Orthopedic hardware removal | $773 | $1,146 | $632 |
| Parathyroid hormone (PTH) test | $193 | $358 | $41 |
| Pelvic ultrasound | $205 | $841 | $78 |
| Pelvic ultrasound (complete) | $273 | $1,199 | $105 |
| Pelvic ultrasound (limited) | $205 | $775 | $51 |
| Phosphorus blood test | $51 | $81 | $5 |
| Physical therapy evaluation | $162 | $557 | $98 |
| Physical therapy evaluation (high complexity) | $183 | $599 | $98 |
| Physical therapy evaluation (moderate complexity) | $162 | $566 | $98 |
| Pilonidal cyst removal | $464 | $941 | $541 |
| Platelet count | $43 | $86 | $4 |
| Pneumonia vaccine | $151 | $323 | — |
| Pregnancy blood test (hCG) | $44 | $163 | $8 |
| Pregnancy ultrasound | $162 | $775 | $126 |
| Pregnancy ultrasound (first trimester) | $162 | $775 | $117 |
| Pregnancy ultrasound (second or third trimester) | $164 | $1,402 | $136 |
| Procalcitonin test | $446 | $238 | $27 |
| Prolactin test | $97 | $235 | $19 |
| Prostate surgery (TURP) | $676 | $2,313 | $526 |
| Prostate test (PSA) | $64 | $224 | $18 |
| Psychiatric evaluation | $193 | $472 | $188 |
| Psychotherapy session | $193 | $309 | $140 |
| Rotator cuff repair | $13,133 | $2,303 | $792 |
| Sacroiliac joint injection | $309 | $997 | $176 |
| Scoliosis spine X-ray | $213 | $481 | $58 |
| Scoliosis spine X-ray (1 view) | $26 | $461 | $44 |
| Scoliosis spine X-ray (3 views) | $386 | $503 | $72 |
| Screening mammogram | $78 | $493 | $126 |
| Scrotal ultrasound | $273 | $1,005 | $99 |
| Sedimentation rate (ESR) test | $30 | $98 | $3 |
| Shingles vaccine | $309 | $579 | — |
| Shoulder arthroscopy | $6,975 | $2,867 | $962 |
| Shoulder replacement | $25,493 | $3,982 | $1,300 |
| Simple laceration repair (small, up to 2.5 cm) | $203 | $436 | $114 |
| Simple wound stitches | $203 | $436 | $127 |
| Skin biopsy | $299 | $409 | $121 |
| Skin biopsy (punch) | $193 | $681 | $121 |
| Skin cancer lesion removal | $576 | $530 | $240 |
| Skin lesion freezing (cryotherapy) | $41 | $168 | $36 |
| Skin tag removal | $108 | $321 | $92 |
| Sleep study (polysomnography) | $1,293 | $5,238 | $691 |
| Small bowel resection | $1,732 | $3,335 | $1,136 |
| Soft tissue ultrasound | $500 | $824 | $64 |
| Speech therapy | $89 | $415 | $76 |
| Spinal tap (lumbar puncture) | $243 | $1,879 | $165 |
| Spirometry (lung function test) | $207 | $366 | $30 |
| Spirometry with bronchodilator | $702 | $733 | $43 |
| Spleen removal (splenectomy) | $1,525 | $3,119 | $1,036 |
| Stomach removal (gastrectomy) | $1,931 | $4,004 | $1,595 |
| Strep throat test | $29 | $79 | $17 |
| Swallow study | $136 | $576 | $85 |
| T3 thyroid test | $67 | $247 | $14 |
| Tdap (tetanus) vaccine | $121 | $122 | — |
| Testicle removal (orchiectomy) | $535 | $879 | $306 |
| Testosterone test | $116 | $244 | $26 |
| Thyroid removal (thyroidectomy) | $1,355 | $3,826 | $1,004 |
| Thyroid test (TSH) | $75 | $189 | $17 |
| Thyroid ultrasound | $230 | $1,044 | $109 |
| Thyroid uptake scan | $386 | $2,011 | $145 |
| Tilt table test | $348 | $1,202 | $168 |
| Total IgE allergy test | $54 | $57 | $16 |
| Total protein test | $49 | $30 | $4 |
| Tracheostomy | $773 | $1,123 | $273 |
| Transvaginal ultrasound | $272 | $1,077 | $118 |
| Trigger finger release | $2,936 | $811 | $630 |
| Trigger point injection | $116 | $134 | $56 |
| Trigger point injection (1-2 muscles) | $103 | $105 | $52 |
| Triglycerides test | $43 | $102 | $6 |
| Troponin (heart) test | $108 | $209 | $12 |
| Ulnar nerve surgery (elbow) | $3,476 | $1,588 | $575 |
| Upper GI endoscopy (EGD) | $773 | $1,676 | $371 |
| Upper GI series (barium) | $289 | $1,168 | $128 |
| Ureteral stent placement | $1,388 | $5,795 | $373 |
| Uric acid (gout) test | $52 | $116 | $5 |
| Urinalysis | $16 | $59 | $3 |
| Urine microalbumin test | $40 | $90 | $5 |
| Urine pregnancy test | $12 | $120 | $9 |
| Vaccine administration | $21 | $94 | $19 |
| Vaccine administration (each additional) | $13 | $94 | $16 |
| Vasectomy | $386 | $1,364 | $347 |
| Vitamin B12 test | $73 | $239 | $15 |
| Vitamin D test | $195 | $113 | $30 |
| Wart removal | $173 | $227 | $121 |
| Well-child visit | $65 | $286 | — |
| Wound debridement | $219 | $748 | $186 |
| Wrist fracture repair | $7,223 | $2,098 | $735 |
| X-ray of the abdomen | $125 | $461 | $36 |
| X-ray of the ankle | $106 | $503 | $37 |
| X-ray of the collarbone | $90 | $503 | $33 |
| X-ray of the elbow | $122 | $503 | $33 |
| X-ray of the facial bones | $164 | $503 | $39 |
| X-ray of the foot | $96 | $503 | $34 |
| X-ray of the forearm | $114 | $503 | $29 |
| X-ray of the hand | $102 | $503 | $38 |
| X-ray of the hip | $125 | $454 | $49 |
| X-ray of the hip (1 view) | $112 | $295 | $34 |
| X-ray of the hip (3 views) | $125 | $454 | $49 |
| X-ray of the hip (4 views) | $382 | $711 | $63 |
| X-ray of the knee | $134 | $454 | $42 |
| X-ray of the knee (2 views) | $102 | $186 | $34 |
| X-ray of the knee (3 views) | $134 | $503 | $42 |
| X-ray of the knee (4+ views) | $161 | $503 | $49 |
| X-ray of the lower back (lumbar spine) | $102 | $634 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $128 | $503 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $102 | $774 | $53 |
| X-ray of the lower leg | $119 | $488 | $31 |
| X-ray of the mid-back (thoracic spine) | $139 | $596 | $36 |
| X-ray of the mid-back (thoracic spine) (3 views) | $139 | $634 | $39 |
| X-ray of the neck (cervical spine) | $90 | $639 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $115 | $503 | $40 |
| X-ray of the pelvis | $115 | $541 | $36 |
| X-ray of the pelvis (1 view) | $115 | $541 | $28 |
| X-ray of the ribs | $152 | $552 | $42 |
| X-ray of the ribs (3 views) | $152 | $604 | $42 |
| X-ray of the shoulder | $111 | $503 | $36 |
| X-ray of the skull | $135 | $492 | $40 |
| X-ray of the upper arm | $119 | $503 | $32 |
| X-ray of the wrist | $102 | $528 | $43 |
| Zinc blood test | $57 | $75 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
