| Procedure | Northwestern Medicine McHenry | Saint Joseph Hospital-Elgin | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $113 | $61 | $51 |
| Abdominal fluid drain (paracentesis) | $2,883 | $435 | $284 |
| Abdominal ultrasound | $1,688 | $770 | $100 |
| Abdominal ultrasound (complete) | $1,772 | $966 | $114 |
| Abdominal ultrasound (limited) | $1,604 | $575 | $86 |
| Abscess drainage (complex or multiple) | $1,133 | $199 | $220 |
| Abscess drainage (simple) | $954 | $103 | $129 |
| Abscess incision and drainage | $1,043 | $151 | $174 |
| Albumin blood test | $54 | $15 | $5 |
| Aldosterone test | $165 | $81 | $41 |
| Alkaline phosphatase test | $140 | $15 | $5 |
| Alpha-fetoprotein (AFP) test | $175 | $125 | $17 |
| ALT liver enzyme test | $48 | $16 | $5 |
| Ammonia blood test | $128 | $45 | $15 |
| Amniocentesis | $426 | $292 | $120 |
| Amylase test | $89 | $74 | $6 |
| Antinuclear antibody (ANA) test | $93 | $30 | $12 |
| Aortic valve replacement | $19,648 | $5,605 | $1,603 |
| Arterial blood gas (ABG) | $223 | $38 | $26 |
| AST liver enzyme test | $50 | $15 | $5 |
| Barium swallow study | $747 | $243 | $107 |
| Bartholin cyst removal | $907 | $173 | $182 |
| Basic metabolic panel | $220 | $139 | $8 |
| Benign skin lesion removal | $3,022 | $541 | $171 |
| Bilirubin blood test | $56 | $15 | $5 |
| Bladder scope (cystoscopy) | $1,571 | $259 | $216 |
| Blood clotting test (PT/INR) | $51 | $20 | $4 |
| Blood crossmatch | $125 | $83 | — |
| Blood glucose test | $43 | $16 | $5 |
| Blood transfusion | $4,200 | $197 | $47 |
| Blood type and screen | $165 | $50 | $10 |
| Blood type test | $78 | $41 | $3 |
| Blood type test (ABO group) | $99 | $68 | $3 |
| Blood type test (Rh/D antigen) | $66 | $14 | $3 |
| BNP (heart failure) test | $237 | $68 | $39 |
| Bone density scan (DEXA) | $637 | $435 | $39 |
| Bone marrow biopsy | $2,321 | $1,190 | $172 |
| Bone scan (nuclear) | $2,663 | $658 | $259 |
| Breast biopsy | $2,353 | $1,799 | $478 |
| Breast MRI | $3,885 | $1,601 | $216 |
| Breast MRI without contrast | $3,492 | $1,601 | $216 |
| Breast ultrasound | $485 | $338 | $92 |
| Breast ultrasound (complete) | $532 | $354 | $100 |
| Breast ultrasound (limited) | $439 | $322 | $84 |
| Breathing tube insertion (intubation) | $923 | $236 | $133 |
| Bronchoscopy | $2,724 | $776 | $303 |
| Burn dressing and debridement (medium) | $646 | $197 | $166 |
| Burn dressing and debridement (small) | $597 | $102 | $93 |
| Burn treatment | $604 | $150 | $129 |
| C-reactive protein (CRP) | $92 | $33 | $5 |
| CA 19-9 tumor marker test | $225 | $35 | $21 |
| CA-125 ovarian marker test | $266 | $185 | $21 |
| Calcium blood test | $85 | $15 | $5 |
| Cardiac ablation | $26,019 | $15,111 | $759 |
| Cardiac catheterization | $21,571 | $8,989 | $1,049 |
| Cardiac MRI | $4,088 | $1,235 | $322 |
| Cardiac MRI without contrast | $3,835 | $848 | $280 |
| Cardiac rehabilitation | $370 | $158 | $26 |
| Cardiac stress test | $630 | $1,026 | $39 |
| Carotid artery ultrasound | $1,698 | $293 | $156 |
| CEA tumor marker test | $331 | $121 | $19 |
| Central line placement | $3,473 | $773 | $238 |
| Cervical cerclage | $11,965 | $1,871 | $137 |
| Cervical LEEP procedure | $5,312 | $1,990 | $325 |
| Chalazion (eyelid cyst) removal | $1,122 | $572 | $131 |
| Chemotherapy infusion | $750 | $423 | $81 |
| Chemotherapy infusion (each additional) | $449 | $299 | $28 |
| Chemotherapy infusion (first hour) | $1,051 | $547 | $133 |
| Chest fluid drain (thoracentesis) | $2,419 | $706 | $311 |
| Chest tube insertion | $2,333 | $629 | $143 |
| Chest X-ray | $787 | $210 | $37 |
| Chest X-ray (1 view) | $538 | $182 | $25 |
| Chest X-ray (2 views) | $674 | $200 | $33 |
| Circumcision | $7,013 | $1,208 | $167 |
| CK-MB heart enzyme test | $188 | $41 | $12 |
| Clotting time test (PTT) | $77 | $30 | $6 |
| Complete blood count (CBC) | $81 | $59 | $7 |
| Complete blood count (CBC) (complete) | $84 | $100 | $8 |
| Complex wound repair | $1,581 | $317 | $390 |
| Comprehensive metabolic panel | $307 | $197 | $11 |
| Copper blood test | $78 | $42 | $12 |
| Coronary CT angiography | $3,641 | $880 | $326 |
| Cortisol test | $198 | $53 | $16 |
| COVID-19 PCR test | $116 | $68 | $51 |
| CPAP titration study | $340 | $208 | $69 |
| Creatine kinase (CK) test | $185 | $28 | $7 |
| CT angiography of the chest | $3,503 | $995 | $281 |
| CT angiography of the head | $3,656 | $694 | $274 |
| CT scan of the abdomen | $3,201 | $1,866 | $230 |
| CT scan of the abdomen and pelvis | $6,049 | $2,107 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $7,106 | $2,319 | $338 |
| CT scan of the abdomen and pelvis with contrast | $6,049 | $2,107 | $300 |
| CT scan of the abdomen and pelvis without contrast | $4,802 | $1,288 | $183 |
| CT scan of the abdomen with and without contrast | $3,659 | $2,054 | $259 |
| CT scan of the abdomen with contrast | $3,201 | $1,866 | $230 |
| CT scan of the abdomen without contrast | $2,576 | $1,214 | $136 |
| CT scan of the arm | $2,813 | $867 | $199 |
| CT scan of the arm with contrast | $2,813 | $867 | $199 |
| CT scan of the arm without contrast | $2,563 | $788 | $161 |
| CT scan of the chest | $3,174 | $813 | $167 |
| CT scan of the chest with and without contrast | $3,416 | $1,002 | $196 |
| CT scan of the chest with contrast | $3,174 | $813 | $167 |
| CT scan of the chest without contrast | $2,611 | $602 | $133 |
| CT scan of the head | $2,922 | $1,480 | $148 |
| CT scan of the head with and without contrast | $3,757 | $1,628 | $173 |
| CT scan of the head with contrast | $2,922 | $1,480 | $148 |
| CT scan of the head without contrast | $2,475 | $1,345 | $107 |
| CT scan of the leg | $2,976 | $610 | $166 |
| CT scan of the leg with contrast | $2,976 | $610 | $166 |
| CT scan of the leg without contrast | $2,623 | $578 | $130 |
| CT scan of the lower back (lumbar spine) | $3,506 | $760 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $3,717 | $774 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $3,506 | $760 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $3,084 | $500 | $130 |
| CT scan of the neck | $3,251 | $668 | $183 |
| CT scan of the neck (cervical spine) | $3,497 | $649 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $4,096 | $954 | $196 |
| CT scan of the neck (cervical spine) with contrast | $3,497 | $649 | $168 |
| CT scan of the neck (cervical spine) without contrast | $3,168 | $592 | $131 |
| CT scan of the neck with and without contrast | $3,704 | $826 | $220 |
| CT scan of the neck with contrast | $3,251 | $668 | $183 |
| CT scan of the neck without contrast | $2,566 | $510 | $150 |
| CT scan of the pelvis | $2,908 | $725 | $226 |
| CT scan of the pelvis with and without contrast | $3,318 | $752 | $251 |
| CT scan of the pelvis with contrast | $2,908 | $725 | $226 |
| CT scan of the pelvis without contrast | $2,157 | $551 | $133 |
| CT scan of the sinuses | $3,161 | $764 | $152 |
| CT scan of the sinuses with and without contrast | $3,656 | $970 | $184 |
| CT scan of the sinuses with contrast | $3,161 | $764 | $152 |
| CT scan of the sinuses without contrast | $2,606 | $694 | $128 |
| D-dimer test | $135 | $97 | $10 |
| Defibrillator (ICD) implant | $121,679 | $17,729 | $798 |
| DHEA-sulfate test | $140 | $72 | $22 |
| Diagnostic mammogram | $489 | $251 | $140 |
| Dilation and curettage (D&C) | $15,385 | $1,132 | $298 |
| Drug screen (urine) | $261 | $85 | $17 |
| Ear pressure test (tympanometry) | $151 | $91 | $16 |
| Echocardiogram | $1,997 | $456 | $138 |
| Echocardiogram with and without contrast | $1,306 | $225 | $101 |
| Echocardiogram without contrast | $1,997 | $456 | $138 |
| EEG (awake and asleep) | $1,092 | $252 | $482 |
| EKG / ECG (tracing only) | $238 | $197 | $7 |
| Electrocardiogram (EKG) | $238 | $197 | $8 |
| Electroencephalogram (EEG) | $989 | $220 | $448 |
| Electrolyte panel | $75 | $37 | $7 |
| Electromyography (EMG) | $482 | $92 | $141 |
| Emergency department visit | $1,549 | $456 | $69 |
| Emergency department visit (level 1) | $390 | $156 | $11 |
| Emergency department visit (level 2) | $757 | $305 | $40 |
| Emergency department visit (level 3) | $1,549 | $456 | $69 |
| Emergency department visit (level 4) | $3,287 | $857 | $118 |
| Emergency department visit (level 5) | $6,808 | $1,328 | $171 |
| Endometrial biopsy | $646 | $585 | $98 |
| Epidural steroid injection | $1,777 | $627 | $275 |
| ERCP (bile duct endoscopy) | $19,302 | $1,277 | $311 |
| Esophageal dilation | $5,705 | $872 | $522 |
| Estradiol (estrogen) test | $144 | $127 | $28 |
| Facet joint injection (spine) | $2,435 | $740 | $99 |
| Fallopian tube X-ray (HSG) | $762 | $560 | $164 |
| Family therapy session | $240 | $95 | $110 |
| Fecal occult blood (stool) test | $71 | $19 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $58 | $9 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $77 | $29 | $16 |
| Feeding tube (PEG) placement | $7,598 | $1,874 | $178 |
| Ferritin (iron) test | $144 | $44 | $14 |
| Fibrinogen test | $102 | $24 | $10 |
| Flexible sigmoidoscopy | $3,272 | $455 | $323 |
| Folate (folic acid) test | $131 | $42 | $15 |
| Foreign body removal (skin) | $1,439 | $345 | $157 |
| Free T4 thyroid test | $121 | $35 | $9 |
| FSH hormone test | $124 | $193 | $19 |
| Gallbladder scan (HIDA) | $3,023 | $861 | $334 |
| Ganglion cyst removal | $7,624 | $1,253 | $321 |
| GGT liver test | $62 | $55 | $7 |
| Glucose tolerance test | $237 | $82 | $8 |
| Group therapy session | $674 | $128 | $30 |
| H. pylori test | $313 | $182 | $67 |
| HDL cholesterol test | $68 | $24 | $8 |
| Hearing test (audiometry) | $257 | $183 | $36 |
| Hematocrit test | $44 | $10 | $2 |
| Hemodialysis | $2,696 | $1,583 | $75 |
| Hemoglobin A1c (diabetes test) | $117 | $39 | $10 |
| Hepatitis B test | $109 | $27 | $10 |
| Hepatitis C test | $117 | $38 | $14 |
| HIV test | $112 | $30 | $19 |
| HIV test (antigen/antibody combo) | $109 | $30 | $24 |
| Holter heart monitor | $788 | $764 | $26 |
| Home sleep apnea test | $1,086 | $180 | $123 |
| Iron blood test | $79 | $26 | $6 |
| IUD removal | $652 | $184 | $112 |
| IV infusion therapy | $309 | $240 | $44 |
| IV infusion therapy (each additional) | $289 | $102 | $21 |
| IV infusion therapy (initial) | $329 | $378 | $67 |
| IVC filter placement | $9,680 | $2,731 | $1,885 |
| Joint aspiration (small/intermediate) | $919 | $326 | $57 |
| Joint aspiration or injection (mid-size joint) | $586 | $379 | $57 |
| Joint aspiration or injection (small joint) | $919 | $273 | $56 |
| Kidney biopsy | $2,545 | $1,254 | $492 |
| Kidney scan (nuclear) | $2,494 | $472 | $172 |
| Kidney ultrasound | $1,394 | $563 | $84 |
| Kidney ultrasound (limited) | $1,313 | $537 | $61 |
| Knee joint injection | $613 | $470 | $69 |
| Lactate test | $191 | $27 | $12 |
| Laryngoscopy | $3,366 | $846 | $189 |
| LDH test | $81 | $21 | $6 |
| LDL cholesterol test | $95 | $20 | $11 |
| Leg artery angiogram | $6,423 | $1,098 | $149 |
| Leg artery angioplasty | $12,543 | $4,827 | — |
| Leg vein ultrasound (Doppler) | $2,150 | $666 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $1,673 | $635 | $116 |
| LH hormone test | $121 | $176 | $19 |
| Lipase test | $101 | $33 | $7 |
| Lipid (cholesterol) panel | $184 | $58 | $13 |
| Liver biopsy | $3,477 | $1,499 | $288 |
| Liver function panel | $139 | $68 | $8 |
| Lung function test (PFT) | $405 | $363 | $37 |
| Lung scan (V/Q) | $2,198 | $515 | $291 |
| Magnesium blood test | $81 | $62 | $7 |
| MMR vaccine | $243 | $201 | — |
| MRA of the brain | $4,890 | $1,077 | $226 |
| MRA of the brain with contrast | $4,890 | $1,077 | $226 |
| MRA of the brain without contrast | $5,711 | $1,667 | $328 |
| MRA of the neck | $3,843 | $965 | $245 |
| MRA of the neck with contrast | $3,843 | $965 | $245 |
| MRA of the neck without contrast | $4,370 | $1,107 | $343 |
| MRI of the abdomen | $3,770 | $1,846 | $300 |
| MRI of the abdomen with contrast | $3,770 | $1,846 | $300 |
| MRI of the abdomen without contrast | $3,700 | $911 | $194 |
| MRI of the ankle | $3,679 | $1,976 | $261 |
| MRI of the ankle with contrast | $3,679 | $1,976 | $261 |
| MRI of the ankle without contrast | $3,433 | $1,720 | $222 |
| MRI of the brain | $4,291 | $1,035 | $269 |
| MRI of the brain with contrast | $4,291 | $1,035 | $269 |
| MRI of the brain without contrast | $3,887 | $941 | $195 |
| MRI of the chest | $3,718 | $2,028 | $371 |
| MRI of the chest with contrast | $3,718 | $2,028 | $371 |
| MRI of the chest without contrast | $4,372 | $2,541 | $466 |
| MRI of the knee | $4,038 | $2,203 | $315 |
| MRI of the knee with contrast | $4,038 | $2,203 | $315 |
| MRI of the knee without contrast | $3,835 | $1,966 | $204 |
| MRI of the lower back (lumbar spine) | $4,173 | $1,300 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $4,173 | $1,300 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $3,837 | $1,181 | $192 |
| MRI of the mid-back (thoracic spine) | $4,101 | $1,043 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $4,696 | $1,287 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $4,101 | $1,043 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $3,809 | $949 | $190 |
| MRI of the neck (cervical spine) | $4,535 | $1,133 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $5,143 | $1,485 | $318 |
| MRI of the neck (cervical spine) with contrast | $4,535 | $1,133 | $274 |
| MRI of the neck (cervical spine) without contrast | $4,171 | $1,030 | $191 |
| MRI of the pelvis | $3,948 | $2,181 | $268 |
| MRI of the pelvis with contrast | $3,948 | $2,181 | $268 |
| MRI of the pelvis without contrast | $3,616 | $1,688 | $227 |
| MRI of the shoulder | $3,828 | $2,228 | $313 |
| MRI of the shoulder with contrast | $3,828 | $2,228 | $313 |
| MRI of the shoulder without contrast | $3,592 | $2,087 | $205 |
| MRI of the wrist | $3,628 | $1,963 | $330 |
| MRI of the wrist with contrast | $3,628 | $1,963 | $330 |
| MRI of the wrist without contrast | $3,502 | $1,627 | $303 |
| Nebulizer breathing treatment | $186 | $146 | $9 |
| Nuchal translucency ultrasound | $941 | $275 | $116 |
| Nuclear cardiac stress test | $5,433 | $2,861 | $428 |
| Occupational therapy evaluation | $382 | $135 | $101 |
| Occupational therapy evaluation (high complexity) | $550 | $149 | $101 |
| Occupational therapy evaluation (low complexity) | $349 | $123 | $101 |
| Occupational therapy evaluation (moderate complexity) | $382 | $135 | $101 |
| Office visit (established patient) | $228 | $252 | $115 |
| Office visit (new patient) | $438 | $281 | $177 |
| Office visit, established patient (level 3) | $221 | $223 | $95 |
| Office visit, established patient (level 4) | $281 | $281 | $136 |
| Office visit, new patient (level 3) | $380 | $223 | $118 |
| Office visit, new patient (level 4) | $438 | $281 | $177 |
| Office visit, new patient (level 5) | $641 | $365 | $237 |
| Pap smear (cervical screening) | $128 | $32 | $20 |
| Parathyroid hormone (PTH) test | $372 | $100 | $41 |
| Pelvic ultrasound | $1,186 | $539 | $78 |
| Pelvic ultrasound (complete) | $1,510 | $680 | $105 |
| Pelvic ultrasound (limited) | $862 | $397 | $51 |
| PET scan | $6,501 | $5,250 | — |
| Phosphorus blood test | $70 | $21 | $5 |
| Physical therapy evaluation | $352 | $133 | $98 |
| Physical therapy evaluation (high complexity) | $447 | $146 | $98 |
| Physical therapy evaluation (moderate complexity) | $352 | $133 | $98 |
| Pilonidal cyst removal | $3,979 | $1,442 | $541 |
| Platelet count | $69 | $17 | $4 |
| Pregnancy blood test (hCG) | $102 | $100 | $8 |
| Pregnancy ultrasound | $1,073 | $524 | $126 |
| Pregnancy ultrasound (first trimester) | $941 | $475 | $117 |
| Pregnancy ultrasound (second or third trimester) | $1,206 | $573 | $136 |
| Procalcitonin test | $248 | $56 | $27 |
| Prolactin test | $131 | $55 | $19 |
| Prostate biopsy | $5,029 | $1,086 | — |
| Prostate test (PSA) | $146 | $52 | $18 |
| Psychiatric evaluation | $343 | $185 | $188 |
| Psychotherapy session | $144 | $133 | $140 |
| Pterygium removal (eye) | $10,005 | $889 | $540 |
| Radiofrequency nerve ablation | $2,523 | $1,567 | $462 |
| Sacroiliac joint injection | $1,924 | $417 | $176 |
| Scoliosis spine X-ray | $680 | $214 | $58 |
| Scoliosis spine X-ray (1 view) | $613 | $118 | $44 |
| Scoliosis spine X-ray (3 views) | $747 | $309 | $72 |
| Screening colonoscopy | $2,794 | $794 | $378 |
| Screening mammogram | $524 | $238 | $126 |
| Scrotal ultrasound | $1,377 | $556 | $99 |
| Sedimentation rate (ESR) test | $45 | $18 | $3 |
| Sex hormone binding globulin test | $165 | $110 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $710 | $117 | $114 |
| Simple wound stitches | $699 | $175 | $127 |
| Skin biopsy | $816 | $183 | $121 |
| Skin biopsy (punch) | $1,092 | $183 | $121 |
| Skin graft | $5,211 | $1,362 | $898 |
| Skin tag removal | $509 | $109 | $92 |
| Sleep study (polysomnography) | $4,485 | $2,905 | $691 |
| Soft tissue ultrasound | $775 | $219 | $64 |
| Speech therapy | $356 | $90 | $76 |
| Spinal cord stimulator | $34,788 | $4,320 | $2,388 |
| Spinal tap (lumbar puncture) | $1,194 | $510 | $165 |
| Spine fracture repair (kyphoplasty) | $7,742 | $3,965 | $5,803 |
| Spirometry (lung function test) | $382 | $285 | $30 |
| Spirometry with bronchodilator | $620 | $441 | $43 |
| Stress echocardiogram | $4,491 | $1,306 | $209 |
| Stress echocardiogram (complete) | $4,491 | $1,369 | $233 |
| Swallow study | $709 | $89 | $85 |
| T3 thyroid test | $161 | $33 | $14 |
| Tdap (tetanus) vaccine | $78 | $105 | — |
| Testosterone test | $137 | $175 | $26 |
| Thyroid test (TSH) | $162 | $60 | $17 |
| Thyroid ultrasound | $1,343 | $572 | $109 |
| Thyroid uptake scan | $2,568 | $507 | $145 |
| Total IgE allergy test | $92 | $31 | $16 |
| Total protein test | $39 | $11 | $4 |
| Transesophageal echocardiogram (TEE) | $2,573 | $637 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $2,573 | $637 | $239 |
| Transvaginal ultrasound | $1,079 | $472 | $118 |
| Trigger point injection | $673 | $570 | $56 |
| Trigger point injection (1-2 muscles) | $424 | $533 | $52 |
| Triglycerides test | $57 | $22 | $6 |
| Troponin (heart) test | $171 | $136 | $12 |
| Turning a breech baby (version) | $3,833 | $1,455 | $94 |
| Upper GI endoscopy (EGD) | $3,828 | $1,309 | $371 |
| Upper GI series (barium) | $936 | $341 | $128 |
| Uric acid (gout) test | $79 | $21 | $5 |
| Urinalysis | $46 | $19 | $3 |
| Urine microalbumin test | $69 | $17 | $5 |
| Urine pregnancy test | $139 | $89 | $9 |
| Vaccine administration | $51 | $30 | $19 |
| Vaccine administration (each additional) | $48 | $30 | $16 |
| Varicose vein ablation | $4,347 | $3,065 | $1,018 |
| Vitamin B12 test | $135 | $52 | $15 |
| Vitamin D test | $191 | $62 | $30 |
| Wart removal | $155 | $109 | $121 |
| Wound debridement | $1,607 | $727 | $186 |
| X-ray of the abdomen | $519 | $200 | $36 |
| X-ray of the ankle | $542 | $263 | $37 |
| X-ray of the collarbone | $547 | $245 | $33 |
| X-ray of the elbow | $578 | $281 | $33 |
| X-ray of the facial bones | $653 | $126 | $39 |
| X-ray of the foot | $594 | $291 | $34 |
| X-ray of the forearm | $516 | $216 | $29 |
| X-ray of the hand | $547 | $271 | $38 |
| X-ray of the hip | $523 | $108 | $49 |
| X-ray of the hip (1 view) | $497 | $65 | $34 |
| X-ray of the hip (3 views) | $523 | $108 | $49 |
| X-ray of the hip (4 views) | $1,071 | $240 | $63 |
| X-ray of the knee | $599 | $264 | $42 |
| X-ray of the knee (2 views) | $557 | $71 | $34 |
| X-ray of the knee (3 views) | $599 | $264 | $42 |
| X-ray of the knee (4+ views) | $725 | $365 | $49 |
| X-ray of the lower back (lumbar spine) | $781 | $275 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $652 | $142 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $909 | $409 | $53 |
| X-ray of the lower leg | $537 | $53 | $31 |
| X-ray of the mid-back (thoracic spine) | $738 | $121 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $698 | $90 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $778 | $153 | $39 |
| X-ray of the neck (cervical spine) | $805 | $360 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $666 | $291 | $40 |
| X-ray of the pelvis | $632 | $208 | $36 |
| X-ray of the pelvis (1 view) | $576 | $93 | $28 |
| X-ray of the ribs | $783 | $122 | $42 |
| X-ray of the ribs (2 views) | $659 | $111 | $36 |
| X-ray of the ribs (3 views) | $783 | $122 | $42 |
| X-ray of the shoulder | $623 | $304 | $36 |
| X-ray of the skull | $648 | $135 | $40 |
| X-ray of the upper arm | $620 | $109 | $32 |
| X-ray of the wrist | $493 | $273 | $43 |
| YAG laser capsulotomy (eye) | $894 | $395 | $335 |
| Zinc blood test | $66 | $72 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
