| Procedure | Ngmc Barrow, Llc | Piedmont Newton Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $75 | $121 | $51 |
| Abdominal fluid drain (paracentesis) | $1,891 | $1,566 | $284 |
| Abdominal ultrasound | $907 | $521 | $100 |
| Abdominal ultrasound (complete) | $1,157 | $581 | $114 |
| Abdominal ultrasound (limited) | $907 | $460 | $86 |
| Abscess drainage (complex or multiple) | $1,003 | $1,362 | $220 |
| Abscess drainage (simple) | $442 | $836 | $129 |
| Abscess incision and drainage | $508 | $1,099 | $174 |
| Albumin blood test | $53 | $36 | $5 |
| Aldosterone test | $186 | $162 | $41 |
| Alkaline phosphatase test | $52 | $34 | $5 |
| Alpha-fetoprotein (AFP) test | $117 | $88 | $17 |
| ALT liver enzyme test | $48 | $32 | $5 |
| Ammonia blood test | $180 | $88 | $15 |
| Amniocentesis | $1,453 | $512 | $120 |
| Amylase test | $59 | $77 | $6 |
| Anoscopy | $121 | $360 | $129 |
| Antinuclear antibody (ANA) test | $94 | $92 | $12 |
| Aortic valve replacement | $12,328 | $21,640 | $1,603 |
| Arterial blood gas (ABG) | $200 | $100 | $26 |
| AST liver enzyme test | $48 | $31 | $5 |
| Barium swallow study | $524 | $335 | $107 |
| Bartholin cyst removal | $404 | $319 | $182 |
| Basic metabolic panel | $119 | $131 | $8 |
| Benign skin lesion removal | $2,684 | $1,612 | $171 |
| Bilirubin blood test | $48 | $42 | $5 |
| Bladder scope (cystoscopy) | $1,258 | $1,668 | $216 |
| Blood clotting test (PT/INR) | $69 | $39 | $4 |
| Blood crossmatch | $143 | $132 | — |
| Blood glucose test | $74 | $37 | $5 |
| Blood transfusion | $2,059 | $910 | $47 |
| Blood type and screen | $179 | $111 | $10 |
| Blood type test | $61 | $51 | $3 |
| Blood type test (ABO group) | $58 | $55 | $3 |
| Blood type test (Rh/D antigen) | $64 | $47 | $3 |
| BNP (heart failure) test | $56 | $121 | $39 |
| Bone density scan (DEXA) | $508 | $385 | $39 |
| Bone marrow biopsy | $3,204 | $1,773 | $172 |
| Bone scan (nuclear) | $1,192 | $1,276 | $259 |
| Breast biopsy | $3,047 | $2,088 | $478 |
| Breast MRI | $1,539 | $1,826 | $216 |
| Breast MRI without contrast | $1,477 | $1,826 | $216 |
| Breast ultrasound | $148 | $398 | $92 |
| Breast ultrasound (complete) | $196 | $464 | $100 |
| Breast ultrasound (limited) | $108 | $332 | $84 |
| Breathing tube insertion (intubation) | $439 | $586 | $133 |
| Bronchoscopy | $2,864 | $2,230 | $303 |
| Burn dressing and debridement (medium) | $690 | $744 | $166 |
| Burn dressing and debridement (small) | $650 | $670 | $93 |
| Burn treatment | $670 | $707 | $129 |
| C-reactive protein (CRP) | $64 | $88 | $5 |
| CA 19-9 tumor marker test | $69 | $96 | $21 |
| CA-125 ovarian marker test | $224 | $153 | $21 |
| Calcium blood test | $54 | $30 | $5 |
| Capsule endoscopy | $1,425 | $2,926 | $802 |
| Cardiac ablation | $18,625 | $12,465 | $759 |
| Cardiac catheterization | $8,814 | $7,723 | $1,049 |
| Cardiac MRI | $1,378 | $1,811 | $322 |
| Cardiac MRI without contrast | $1,320 | $1,873 | $280 |
| Cardiac rehabilitation | $127 | $147 | $26 |
| Cardiac stress test | $1,195 | $1,087 | $39 |
| Cardioversion | $2,286 | $1,483 | $155 |
| Carotid artery ultrasound | $774 | $794 | $156 |
| CEA tumor marker test | $138 | $99 | $19 |
| Celiac disease test | $12 | $91 | $12 |
| Central line placement | $3,485 | $3,102 | $238 |
| Chemotherapy infusion | $571 | $283 | $81 |
| Chemotherapy infusion (each additional) | $145 | $181 | $28 |
| Chemotherapy infusion (first hour) | $571 | $384 | $133 |
| Chest fluid drain (thoracentesis) | $2,921 | $1,410 | $311 |
| Chest tube insertion | $1,271 | $2,014 | $143 |
| Chest X-ray | $629 | $160 | $37 |
| Chest X-ray (1 view) | $213 | $124 | $25 |
| Chest X-ray (2 views) | $298 | $155 | $33 |
| CK-MB heart enzyme test | $125 | $92 | $12 |
| Clotting time test (PTT) | $78 | $55 | $6 |
| Colposcopy | $481 | $568 | $161 |
| Complete blood count (CBC) | $58 | $59 | $7 |
| Complete blood count (CBC) (complete) | $77 | $62 | $8 |
| Comprehensive eye exam | $143 | $269 | $138 |
| Comprehensive metabolic panel | $218 | $147 | $11 |
| Contraceptive implant (Nexplanon) | $489 | $1,564 | $115 |
| Copper blood test | $133 | $71 | $12 |
| Coronary CT angiography | $1,053 | $591 | $326 |
| Cortisol test | $80 | $107 | $16 |
| COVID-19 PCR test | $96 | $76 | $51 |
| CPAP titration study | $593 | $401 | $69 |
| Creatine kinase (CK) test | $43 | $51 | $7 |
| CT angiography of the chest | $1,318 | $1,482 | $281 |
| CT angiography of the head | $1,764 | $1,579 | $274 |
| CT scan of the abdomen | $1,100 | $1,397 | $230 |
| CT scan of the abdomen and pelvis | $2,186 | $2,266 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $2,860 | $2,594 | $338 |
| CT scan of the abdomen and pelvis with contrast | $2,186 | $2,266 | $300 |
| CT scan of the abdomen and pelvis without contrast | $1,823 | $1,841 | $183 |
| CT scan of the abdomen with and without contrast | $1,476 | $1,534 | $259 |
| CT scan of the abdomen with contrast | $1,100 | $1,397 | $230 |
| CT scan of the abdomen without contrast | $916 | $1,166 | $136 |
| CT scan of the arm | $1,085 | $825 | $199 |
| CT scan of the arm with contrast | $1,085 | $825 | $199 |
| CT scan of the arm without contrast | $904 | $785 | $161 |
| CT scan of the chest | $1,086 | $1,279 | $167 |
| CT scan of the chest with and without contrast | $1,240 | $1,519 | $196 |
| CT scan of the chest with contrast | $1,057 | $1,279 | $167 |
| CT scan of the chest without contrast | $954 | $1,005 | $133 |
| CT scan of the head | $974 | $1,125 | $148 |
| CT scan of the head with and without contrast | $1,180 | $1,271 | $173 |
| CT scan of the head with contrast | $974 | $1,125 | $148 |
| CT scan of the head without contrast | $746 | $1,083 | $107 |
| CT scan of the leg | $1,091 | $861 | $166 |
| CT scan of the leg with contrast | $1,091 | $861 | $166 |
| CT scan of the leg without contrast | $905 | $820 | $130 |
| CT scan of the lower back (lumbar spine) | $1,089 | $1,046 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,394 | $1,616 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,060 | $1,046 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $954 | $912 | $130 |
| CT scan of the neck | $1,150 | $1,056 | $183 |
| CT scan of the neck (cervical spine) | $1,049 | $1,332 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $1,278 | $1,379 | $196 |
| CT scan of the neck (cervical spine) with contrast | $1,049 | $1,332 | $168 |
| CT scan of the neck (cervical spine) without contrast | $878 | $1,189 | $131 |
| CT scan of the neck with and without contrast | $1,397 | $1,241 | $220 |
| CT scan of the neck with contrast | $1,150 | $1,056 | $183 |
| CT scan of the neck without contrast | $959 | $916 | $150 |
| CT scan of the pelvis | $1,087 | $1,332 | $226 |
| CT scan of the pelvis with and without contrast | $1,384 | $1,459 | $251 |
| CT scan of the pelvis with contrast | $1,087 | $1,332 | $226 |
| CT scan of the pelvis without contrast | $908 | $1,060 | $133 |
| CT scan of the sinuses | $1,171 | $1,239 | $152 |
| CT scan of the sinuses with and without contrast | $1,425 | $1,302 | $184 |
| CT scan of the sinuses with contrast | $1,171 | $1,239 | $152 |
| CT scan of the sinuses without contrast | $633 | $863 | $128 |
| D-dimer test | $179 | $97 | $10 |
| Defibrillator (ICD) implant | $3,186 | $8,774 | $798 |
| DHEA-sulfate test | $103 | $73 | $22 |
| Diagnostic mammogram | $350 | $276 | $140 |
| Drug screen (urine) | $53 | $72 | $17 |
| Echocardiogram | $705 | $974 | $138 |
| Echocardiogram with and without contrast | $705 | $395 | $101 |
| EEG (awake and asleep) | $768 | $623 | $482 |
| EKG / ECG (tracing only) | $222 | $190 | $7 |
| Electrocardiogram (EKG) | $122 | $190 | $8 |
| Electroencephalogram (EEG) | $715 | $598 | $448 |
| Electrolyte panel | $112 | $89 | $7 |
| Electromyography (EMG) | $229 | $541 | $141 |
| Emergency department visit | $314 | $573 | $69 |
| Emergency department visit (level 1) | $260 | $300 | $11 |
| Emergency department visit (level 2) | $383 | $465 | $40 |
| Emergency department visit (level 3) | $498 | $573 | $69 |
| Emergency department visit (level 4) | $748 | $829 | $118 |
| Emergency department visit (level 5) | $885 | $1,161 | $171 |
| Endometrial biopsy | $291 | $221 | $98 |
| Epidural steroid injection | $3,761 | $1,419 | $275 |
| Estradiol (estrogen) test | $128 | $120 | $28 |
| Facet joint injection (spine) | $1,334 | $1,424 | $99 |
| Fallopian tube X-ray (HSG) | $835 | $589 | $164 |
| Fecal occult blood (stool) test | $60 | $54 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $74 | $72 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $46 | $36 | $16 |
| Feeding tube (PEG) placement | $1,306 | $3,109 | $178 |
| Ferritin (iron) test | $106 | $67 | $14 |
| Fibrinogen test | $119 | $76 | $10 |
| Flu test | $207 | $80 | $17 |
| Folate (folic acid) test | $119 | $87 | $15 |
| Foreign body removal (skin) | $502 | $1,522 | $157 |
| Free T4 thyroid test | $137 | $60 | $9 |
| FSH hormone test | $92 | $126 | $19 |
| Gallbladder scan (HIDA) | $2,370 | $1,280 | $334 |
| GGT liver test | $56 | $43 | $7 |
| Glucose tolerance test | $131 | $49 | $8 |
| H. pylori test | $309 | $115 | $67 |
| HDL cholesterol test | $50 | $45 | $8 |
| Hematocrit test | $28 | $23 | $2 |
| Hemodialysis | $1,325 | $1,027 | $75 |
| Hemoglobin A1c (diabetes test) | $85 | $54 | $10 |
| Hepatitis B test | $110 | $65 | $10 |
| Hepatitis C test | $130 | $121 | $14 |
| HIV test | $84 | $114 | $19 |
| HIV test (antibody) | $84 | $110 | $14 |
| HIV test (antigen/antibody combo) | $99 | $119 | $24 |
| Holter heart monitor | $403 | $341 | $26 |
| Home sleep apnea test | $632 | $770 | $123 |
| Iron blood test | $93 | $51 | $6 |
| IUD insertion | $520 | $466 | — |
| IUD removal | $413 | $118 | $112 |
| IV infusion therapy | $466 | $140 | $44 |
| IV infusion therapy (each additional) | $117 | $114 | $21 |
| IV infusion therapy (initial) | $466 | $165 | $67 |
| IVC filter placement | $10,136 | $3,638 | $1,885 |
| Joint aspiration (small/intermediate) | $670 | $699 | $57 |
| Joint aspiration or injection (mid-size joint) | $677 | $901 | $57 |
| Joint aspiration or injection (small joint) | $664 | $496 | $56 |
| Kidney biopsy | $2,997 | $2,466 | $492 |
| Kidney scan (nuclear) | $1,834 | $1,115 | $172 |
| Kidney stone shock-wave (lithotripsy) | $37,214 | $12,207 | $760 |
| Kidney ultrasound | $748 | $496 | $84 |
| Kidney ultrasound (limited) | $748 | $492 | $61 |
| Knee joint injection | $956 | $1,146 | $69 |
| Lactate test | $158 | $99 | $12 |
| Laryngoscopy | $633 | $1,005 | $189 |
| LDH test | $41 | $44 | $6 |
| LDL cholesterol test | $44 | $17 | $11 |
| Leg artery angiogram | $2,441 | $2,608 | $149 |
| Leg artery angioplasty | $13,692 | $5,846 | — |
| Leg vein ultrasound (Doppler) | $991 | $622 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $991 | $553 | $116 |
| LH hormone test | $89 | $71 | $19 |
| Lipase test | $143 | $77 | $7 |
| Lipid (cholesterol) panel | $177 | $98 | $13 |
| Liver biopsy | $2,997 | $1,670 | $288 |
| Liver function panel | $171 | $106 | $8 |
| Lung function test (PFT) | $509 | $313 | $37 |
| Lung scan (V/Q) | $3,211 | $1,097 | $291 |
| Magnesium blood test | $86 | $45 | $7 |
| MRA of the brain | $1,579 | $1,663 | $226 |
| MRA of the brain with contrast | $1,609 | $1,663 | $226 |
| MRA of the brain without contrast | $1,701 | $1,902 | $328 |
| MRA of the neck | $1,579 | $1,710 | $245 |
| MRA of the neck with contrast | $1,537 | $1,710 | $245 |
| MRA of the neck without contrast | $1,761 | $1,919 | $343 |
| MRI of the abdomen | $1,218 | $1,770 | $300 |
| MRI of the abdomen with contrast | $1,218 | $1,770 | $300 |
| MRI of the abdomen without contrast | $919 | $1,520 | $194 |
| MRI of the ankle | $1,353 | $1,902 | $261 |
| MRI of the ankle with contrast | $1,411 | $1,902 | $261 |
| MRI of the ankle without contrast | $995 | $1,586 | $222 |
| MRI of the brain | $1,390 | $1,790 | $269 |
| MRI of the brain with contrast | $1,390 | $1,790 | $269 |
| MRI of the brain without contrast | $1,150 | $1,343 | $195 |
| MRI of the chest | $681 | $1,657 | $371 |
| MRI of the chest with contrast | $700 | $1,657 | $371 |
| MRI of the chest without contrast | $782 | $2,243 | $466 |
| MRI of the knee | $1,067 | $1,708 | $315 |
| MRI of the knee with contrast | $1,067 | $1,708 | $315 |
| MRI of the knee without contrast | $903 | $1,516 | $204 |
| MRI of the lower back (lumbar spine) | $1,152 | $1,883 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $1,152 | $1,883 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $886 | $1,711 | $192 |
| MRI of the mid-back (thoracic spine) | $1,067 | $1,657 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $1,468 | $2,161 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $1,067 | $1,657 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $897 | $1,606 | $190 |
| MRI of the neck (cervical spine) | $1,278 | $1,872 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $1,694 | $2,278 | $318 |
| MRI of the neck (cervical spine) with contrast | $1,278 | $1,872 | $274 |
| MRI of the neck (cervical spine) without contrast | $979 | $1,522 | $191 |
| MRI of the pelvis | $1,014 | $1,712 | $268 |
| MRI of the pelvis with contrast | $1,014 | $1,712 | $268 |
| MRI of the pelvis without contrast | $630 | $1,626 | $227 |
| MRI of the shoulder | $1,064 | $1,513 | $313 |
| MRI of the shoulder with contrast | $1,064 | $1,513 | $313 |
| MRI of the shoulder without contrast | $892 | $1,411 | $205 |
| MRI of the wrist | $1,387 | $1,740 | $330 |
| MRI of the wrist with contrast | $1,313 | $1,740 | $330 |
| MRI of the wrist without contrast | $1,261 | $1,417 | $303 |
| Nebulizer breathing treatment | $334 | $116 | $9 |
| Nerve conduction study | $948 | $977 | $118 |
| Nuchal translucency ultrasound | $233 | $108 | $116 |
| Nuclear cardiac stress test | $4,107 | $2,441 | $428 |
| Occupational therapy evaluation | $125 | $192 | $101 |
| Occupational therapy evaluation (high complexity) | $125 | $207 | $101 |
| Occupational therapy evaluation (low complexity) | $125 | $175 | $101 |
| Occupational therapy evaluation (moderate complexity) | $125 | $192 | $101 |
| Office visit (established patient) | $169 | $162 | $115 |
| Office visit (new patient) | $230 | $200 | $177 |
| Office visit, established patient (level 3) | $169 | $151 | $95 |
| Office visit, established patient (level 4) | $194 | $173 | $136 |
| Office visit, new patient (level 3) | $221 | $157 | $118 |
| Office visit, new patient (level 4) | $242 | $200 | $177 |
| Office visit, new patient (level 5) | $308 | $492 | $237 |
| Pap smear (cervical screening) | $158 | $38 | $20 |
| Parathyroid hormone (PTH) test | $325 | $146 | $41 |
| Pelvic ultrasound | $492 | $407 | $78 |
| Pelvic ultrasound (complete) | $1,119 | $482 | $105 |
| Pelvic ultrasound (limited) | $492 | $332 | $51 |
| PET scan | $10,018 | $2,934 | — |
| Phosphorus blood test | $40 | $35 | $5 |
| Physical therapy evaluation | $111 | $177 | $98 |
| Physical therapy evaluation (high complexity) | $111 | $208 | $98 |
| Physical therapy evaluation (moderate complexity) | $111 | $177 | $98 |
| Platelet count | $72 | $37 | $4 |
| Pregnancy blood test (hCG) | $86 | $98 | $8 |
| Pregnancy ultrasound | $675 | $487 | $126 |
| Pregnancy ultrasound (first trimester) | $742 | $431 | $117 |
| Pregnancy ultrasound (second or third trimester) | $675 | $543 | $136 |
| Procalcitonin test | $352 | $133 | $27 |
| Prolactin test | $89 | $118 | $19 |
| Prostate test (PSA) | $109 | $101 | $18 |
| Pulmonary rehabilitation | $141 | $169 | $87 |
| Radiofrequency nerve ablation | $3,183 | $2,346 | $462 |
| Rheumatoid factor test | $126 | $71 | $6 |
| Sacroiliac joint injection | $1,606 | $2,108 | $176 |
| Scoliosis spine X-ray | $335 | $239 | $58 |
| Scoliosis spine X-ray (1 view) | $230 | $182 | $44 |
| Scoliosis spine X-ray (3 views) | $460 | $296 | $72 |
| Screening mammogram | $412 | $281 | $126 |
| Scrotal ultrasound | $907 | $600 | $99 |
| Sedimentation rate (ESR) test | $68 | $33 | $3 |
| Semen analysis | $153 | $80 | $12 |
| Sex hormone binding globulin test | $121 | $41 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $771 | $288 | $114 |
| Simple wound stitches | $771 | $343 | $127 |
| Skin biopsy | $656 | $1,026 | $121 |
| Skin biopsy (punch) | $656 | $1,026 | $121 |
| Skin tag removal | $262 | $317 | $92 |
| Sleep study (polysomnography) | $4,070 | $2,078 | $691 |
| Soft tissue ultrasound | $230 | $558 | $64 |
| Speech therapy | $126 | $135 | $76 |
| Spinal tap (lumbar puncture) | $1,917 | $1,267 | $165 |
| Spine fracture repair (kyphoplasty) | $6,305 | $6,065 | $5,803 |
| Spirometry (lung function test) | $336 | $245 | $30 |
| Spirometry with bronchodilator | $683 | $380 | $43 |
| Stress echocardiogram | $1,922 | $1,394 | $209 |
| Stress echocardiogram (complete) | $1,922 | $1,217 | $233 |
| Swallow study | $117 | $209 | $85 |
| T3 thyroid test | $143 | $84 | $14 |
| Tdap (tetanus) vaccine | $531 | $48 | — |
| Testosterone test | $119 | $131 | $26 |
| Thyroid test (TSH) | $115 | $73 | $17 |
| Thyroid ultrasound | $667 | $614 | $109 |
| Thyroid uptake scan | $1,139 | $947 | $145 |
| Tilt table test | $1,308 | $1,095 | $168 |
| Total IgE allergy test | $155 | $51 | $16 |
| Total protein test | $43 | $45 | $4 |
| Transesophageal echocardiogram (TEE) | $3,495 | $1,586 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $3,495 | $1,586 | $239 |
| Transvaginal ultrasound | $804 | $488 | $118 |
| Trigger point injection | $1,170 | $1,405 | $56 |
| Trigger point injection (1-2 muscles) | $1,170 | $1,281 | $52 |
| Triglycerides test | $50 | $40 | $6 |
| Troponin (heart) test | $111 | $126 | $12 |
| Turning a breech baby (version) | $4,339 | $1,364 | $94 |
| Upper GI endoscopy (EGD) | $718 | $1,466 | $371 |
| Upper GI series (barium) | $529 | $521 | $128 |
| Uric acid (gout) test | $49 | $42 | $5 |
| Urinalysis | $71 | $50 | $3 |
| Urine microalbumin test | $87 | $41 | $5 |
| Urine pregnancy test | $96 | $115 | $9 |
| Vaccine administration | $74 | $41 | $19 |
| Vaccine administration (each additional) | $74 | $39 | $16 |
| Vitamin B12 test | $124 | $81 | $15 |
| Vitamin D test | $136 | $79 | $30 |
| Wart removal | $514 | $1,115 | $121 |
| Wound debridement | $1,821 | $2,242 | $186 |
| X-ray of the abdomen | $585 | $269 | $36 |
| X-ray of the ankle | $342 | $271 | $37 |
| X-ray of the collarbone | $296 | $241 | $33 |
| X-ray of the elbow | $300 | $230 | $33 |
| X-ray of the facial bones | $391 | $268 | $39 |
| X-ray of the foot | $245 | $227 | $34 |
| X-ray of the forearm | $297 | $215 | $29 |
| X-ray of the hand | $330 | $200 | $38 |
| X-ray of the hip | $225 | $205 | $49 |
| X-ray of the hip (1 view) | $184 | $193 | $34 |
| X-ray of the hip (3 views) | $245 | $205 | $49 |
| X-ray of the hip (4 views) | $245 | $227 | $63 |
| X-ray of the knee | $281 | $236 | $42 |
| X-ray of the knee (2 views) | $214 | $203 | $34 |
| X-ray of the knee (3 views) | $305 | $236 | $42 |
| X-ray of the knee (4+ views) | $305 | $259 | $49 |
| X-ray of the lower back (lumbar spine) | $570 | $400 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $481 | $356 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $675 | $445 | $53 |
| X-ray of the lower leg | $438 | $215 | $31 |
| X-ray of the mid-back (thoracic spine) | $760 | $272 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $723 | $267 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $804 | $277 | $39 |
| X-ray of the neck (cervical spine) | $415 | $318 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $245 | $286 | $40 |
| X-ray of the pelvis | $372 | $208 | $36 |
| X-ray of the pelvis (1 view) | $314 | $207 | $28 |
| X-ray of the ribs | $439 | $241 | $42 |
| X-ray of the ribs (2 views) | $400 | $229 | $36 |
| X-ray of the ribs (3 views) | $481 | $300 | $42 |
| X-ray of the shoulder | $385 | $217 | $36 |
| X-ray of the skull | $459 | $256 | $40 |
| X-ray of the upper arm | $330 | $245 | $32 |
| X-ray of the wrist | $370 | $206 | $43 |
| Zinc blood test | $103 | $46 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
