| Procedure | Penn Highlands Brookville | Penn Highlands Tyrone | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $145 | $145 | $51 |
| Abdominal fluid drain (paracentesis) | $11,350 | $11,350 | $284 |
| Abdominal ultrasound | $1,287 | $1,287 | $100 |
| Abdominal ultrasound (complete) | $1,287 | $1,287 | $114 |
| Abdominal ultrasound (limited) | $1,287 | $1,287 | $86 |
| Abscess drainage (complex or multiple) | $4,837 | $4,837 | $220 |
| Abscess drainage (simple) | $2,406 | $2,406 | $129 |
| Abscess incision and drainage | $3,622 | $3,622 | $174 |
| Albumin blood test | $58 | $58 | $5 |
| Aldosterone test | $479 | $479 | $41 |
| Alkaline phosphatase test | $61 | $61 | $5 |
| Allergy shots | $143 | $143 | $11 |
| Alpha-fetoprotein (AFP) test | $197 | $197 | $17 |
| ALT liver enzyme test | $62 | $62 | $5 |
| Ammonia blood test | $171 | $171 | $15 |
| Amylase test | $76 | $76 | $6 |
| Annual physical (established patient) | $150 | $150 | — |
| Annual physical (new patient) | $267 | $267 | — |
| Anoscopy | $1,561 | $1,561 | $129 |
| Antinuclear antibody (ANA) test | $142 | $142 | $12 |
| Arterial blood gas (ABG) | $306 | $306 | $26 |
| AST liver enzyme test | $61 | $61 | $5 |
| Barium swallow study | $2,155 | $2,155 | $107 |
| Bartholin cyst removal | $2,435 | $2,435 | $182 |
| Basic metabolic panel | $99 | $99 | $8 |
| Benign skin lesion removal | $2,084 | $2,084 | $171 |
| Bilirubin blood test | $59 | $59 | $5 |
| Blood clotting test (PT/INR) | $35 | $35 | $4 |
| Blood crossmatch | $530 | $530 | — |
| Blood glucose test | $51 | $51 | $5 |
| Blood transfusion | $5,293 | $5,293 | $47 |
| Blood type and screen | $115 | $115 | $10 |
| Blood type test | $191 | $191 | $3 |
| Blood type test (ABO group) | $297 | $297 | $3 |
| Blood type test (Rh/D antigen) | $85 | $85 | $3 |
| BNP (heart failure) test | $461 | $461 | $39 |
| Bone density scan (DEXA) | $338 | $338 | $39 |
| Bone scan (nuclear) | $4,865 | $4,865 | $259 |
| Breast biopsy | $19,615 | $19,615 | $478 |
| Breast MRI | $3,240 | $3,240 | $216 |
| Breast MRI without contrast | $3,240 | $3,240 | $216 |
| Breast ultrasound | $1,177 | $1,177 | $92 |
| Breast ultrasound (complete) | $1,287 | $1,287 | $100 |
| Breast ultrasound (limited) | $1,066 | $1,066 | $84 |
| Breathing tube insertion (intubation) | $2,811 | $2,811 | $133 |
| Bronchoscopy | $2,478 | $2,478 | $303 |
| Burn dressing and debridement (medium) | $773 | $773 | $166 |
| Burn dressing and debridement (small) | $2,406 | $2,406 | $93 |
| Burn treatment | $1,590 | $1,590 | $129 |
| C-reactive protein (CRP) | $61 | $61 | $5 |
| CA 19-9 tumor marker test | $245 | $245 | $21 |
| CA-125 ovarian marker test | $245 | $245 | $21 |
| Calcium blood test | $61 | $61 | $5 |
| Cardiac catheterization | $38,939 | $38,939 | $1,049 |
| Cardiac MRI | $3,625 | $3,625 | $322 |
| Cardiac MRI without contrast | $2,926 | $2,926 | $280 |
| Cardiac rehabilitation | $1,524 | $1,524 | $26 |
| Cardiac stress test | $3,770 | $3,770 | $39 |
| Cardioversion | $7,922 | $7,922 | $155 |
| Carotid artery ultrasound | $2,107 | $2,107 | $156 |
| Carpal tunnel release | $23,641 | $23,641 | $483 |
| CEA tumor marker test | $223 | $223 | $19 |
| Celiac disease test | $135 | $135 | $12 |
| Chemotherapy infusion | $2,439 | $2,439 | $81 |
| Chemotherapy infusion (each additional) | $862 | $862 | $28 |
| Chemotherapy infusion (first hour) | $4,016 | $4,016 | $133 |
| Chest fluid drain (thoracentesis) | $7,485 | $7,485 | $311 |
| Chest X-ray | $602 | $602 | $37 |
| Chest X-ray (1 view) | $105 | $105 | $25 |
| Chest X-ray (2 views) | $137 | $137 | $33 |
| Chickenpox (varicella) vaccine | $286 | $286 | — |
| CK-MB heart enzyme test | $136 | $136 | $12 |
| Clotting time test (PTT) | $49 | $49 | $6 |
| Complete blood count (CBC) | $84 | $84 | $7 |
| Complete blood count (CBC) (complete) | $91 | $91 | $8 |
| Complex wound repair | $7,411 | $7,411 | $390 |
| Comprehensive metabolic panel | $124 | $124 | $11 |
| Copper blood test | $146 | $146 | $12 |
| Coronary CT angiography | $4,324 | $4,324 | $326 |
| Cortisol test | $192 | $192 | $16 |
| CPAP titration study | $2,462 | $2,462 | $69 |
| Creatine kinase (CK) test | $76 | $76 | $7 |
| CT angiography of the chest | $2,155 | $2,155 | $281 |
| CT angiography of the head | $2,155 | $2,155 | $274 |
| CT scan of the abdomen | $2,155 | $2,155 | $230 |
| CT scan of the abdomen and pelvis | $4,324 | $4,324 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $4,324 | $4,324 | $338 |
| CT scan of the abdomen and pelvis with contrast | $4,324 | $4,324 | $300 |
| CT scan of the abdomen and pelvis without contrast | $2,926 | $2,926 | $183 |
| CT scan of the abdomen with and without contrast | $2,155 | $2,155 | $259 |
| CT scan of the abdomen with contrast | $2,155 | $2,155 | $230 |
| CT scan of the abdomen without contrast | $1,287 | $1,287 | $136 |
| CT scan of the arm | $2,155 | $2,155 | $199 |
| CT scan of the arm with contrast | $4,324 | $4,324 | $199 |
| CT scan of the arm without contrast | $1,287 | $1,287 | $161 |
| CT scan of the chest | $2,155 | $2,155 | $167 |
| CT scan of the chest with and without contrast | $2,155 | $2,155 | $196 |
| CT scan of the chest with contrast | $2,155 | $2,155 | $167 |
| CT scan of the chest without contrast | $1,332 | $1,332 | $133 |
| CT scan of the head | $2,155 | $2,155 | $148 |
| CT scan of the head with and without contrast | $2,155 | $2,155 | $173 |
| CT scan of the head with contrast | $2,155 | $2,155 | $148 |
| CT scan of the head without contrast | $1,287 | $1,287 | $107 |
| CT scan of the leg | $2,155 | $2,155 | $166 |
| CT scan of the leg with contrast | $2,155 | $2,155 | $166 |
| CT scan of the leg without contrast | $1,287 | $1,287 | $130 |
| CT scan of the lower back (lumbar spine) | $2,155 | $2,155 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $2,155 | $2,155 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $4,324 | $4,324 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,652 | $1,652 | $130 |
| CT scan of the neck | $2,155 | $2,155 | $183 |
| CT scan of the neck (cervical spine) | $2,155 | $2,155 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $2,155 | $2,155 | $196 |
| CT scan of the neck (cervical spine) with contrast | $4,324 | $4,324 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,621 | $1,621 | $131 |
| CT scan of the neck with and without contrast | $2,155 | $2,155 | $220 |
| CT scan of the neck with contrast | $2,155 | $2,155 | $183 |
| CT scan of the neck without contrast | $1,287 | $1,287 | $150 |
| CT scan of the pelvis | $2,155 | $2,155 | $226 |
| CT scan of the pelvis with and without contrast | $2,155 | $2,155 | $251 |
| CT scan of the pelvis with contrast | $2,155 | $2,155 | $226 |
| CT scan of the pelvis without contrast | $1,287 | $1,287 | $133 |
| CT scan of the sinuses | $2,155 | $2,155 | $152 |
| CT scan of the sinuses with and without contrast | $2,155 | $2,155 | $184 |
| CT scan of the sinuses with contrast | $2,155 | $2,155 | $152 |
| CT scan of the sinuses without contrast | $1,287 | $1,287 | $128 |
| D-dimer test | $120 | $120 | $10 |
| Defibrillator (ICD) implant | $99,101 | $99,101 | $798 |
| Developmental screening (child) | $28 | $28 | — |
| DHEA-sulfate test | $261 | $261 | $22 |
| Diagnostic mammogram | $1,054 | $1,054 | $140 |
| Drug screen (urine) | $201 | $201 | $17 |
| Ear pressure test (tympanometry) | $127 | $127 | $16 |
| Echocardiogram | $4,782 | $4,782 | $138 |
| Echocardiogram with and without contrast | $2,926 | $2,926 | $101 |
| EEG (awake and asleep) | $3,770 | $3,770 | $482 |
| EKG / ECG (tracing only) | $153 | $153 | $7 |
| Electrocardiogram (EKG) | $65 | $65 | $8 |
| Electroencephalogram (EEG) | $3,770 | $3,770 | $448 |
| Electrolyte panel | $93 | $93 | $7 |
| Electromyography (EMG) | $1,561 | $1,561 | $141 |
| Emergency department visit | $3,352 | $3,352 | $69 |
| Emergency department visit (level 1) | $1,066 | $1,066 | $11 |
| Emergency department visit (level 2) | $1,917 | $1,917 | $40 |
| Emergency department visit (level 3) | $3,352 | $3,352 | $69 |
| Emergency department visit (level 4) | $5,155 | $5,155 | $118 |
| Emergency department visit (level 5) | $7,422 | $7,422 | $171 |
| Endometrial biopsy | $2,435 | $2,435 | $98 |
| Epidural steroid injection | $8,384 | $8,384 | $275 |
| Estradiol (estrogen) test | $328 | $328 | $28 |
| Eyelid surgery (blepharoplasty) | $22,145 | $22,145 | $552 |
| Facet joint injection (spine) | $1,188 | $1,188 | $99 |
| Fallopian tube X-ray (HSG) | $1,710 | $1,710 | $164 |
| Family therapy session | $1,133 | $1,133 | $110 |
| Fecal occult blood (stool) test | $26 | $26 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $22 | $22 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $30 | $30 | $16 |
| Ferritin (iron) test | $160 | $160 | $14 |
| Fibrinogen test | $114 | $114 | $10 |
| Flu test | $194 | $194 | $17 |
| Flu vaccine | $23 | $23 | — |
| Folate (folic acid) test | $97 | $97 | $15 |
| Foreign body removal (skin) | $1,277 | $1,277 | $157 |
| Free T4 thyroid test | $143 | $143 | $9 |
| FSH hormone test | $218 | $218 | $19 |
| Gallbladder scan (HIDA) | $5,691 | $5,691 | $334 |
| GGT liver test | $85 | $85 | $7 |
| Glucose tolerance test | $99 | $99 | $8 |
| Group therapy session | $477 | $477 | $30 |
| HDL cholesterol test | $96 | $96 | $8 |
| Hematocrit test | $28 | $28 | $2 |
| Hemodialysis | $8,471 | $8,471 | $75 |
| Hemoglobin A1c (diabetes test) | $45 | $45 | $10 |
| Hepatitis A vaccine | $259 | $259 | — |
| Hepatitis B test | $121 | $121 | $10 |
| Hepatitis B vaccine | $49 | $49 | — |
| Hepatitis C test | $168 | $168 | $14 |
| HIV test | $283 | $283 | $19 |
| HIV test (antigen/antibody combo) | $283 | $283 | $24 |
| Holter heart monitor | $1,140 | $1,140 | $26 |
| Home sleep apnea test | $1,894 | $1,894 | $123 |
| HPV vaccine | $473 | $473 | — |
| Iron blood test | $76 | $76 | $6 |
| IV infusion therapy | $422 | $422 | $44 |
| IV infusion therapy (each additional) | $165 | $165 | $21 |
| IV infusion therapy (initial) | $679 | $679 | $67 |
| Joint aspiration (small/intermediate) | $846 | $846 | $57 |
| Joint aspiration or injection (mid-size joint) | $847 | $847 | $57 |
| Joint aspiration or injection (small joint) | $845 | $845 | $56 |
| Kidney biopsy | $2,255 | $2,255 | $492 |
| Kidney scan (nuclear) | $6,516 | $6,516 | $172 |
| Kidney ultrasound | $1,287 | $1,287 | $84 |
| Kidney ultrasound (limited) | $1,287 | $1,287 | $61 |
| Knee joint injection | $867 | $867 | $69 |
| Lactate test | $136 | $136 | $12 |
| Laryngoscopy | $3,840 | $3,840 | $189 |
| LDH test | $43 | $43 | $6 |
| LDL cholesterol test | $123 | $123 | $11 |
| Leg vein ultrasound (Doppler) | $2,107 | $2,107 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $1,287 | $1,287 | $116 |
| LH hormone test | $218 | $218 | $19 |
| Lipase test | $55 | $55 | $7 |
| Lipid (cholesterol) panel | $157 | $157 | $13 |
| Liver function panel | $96 | $96 | $8 |
| Lung function test (PFT) | $1,518 | $1,518 | $37 |
| Lung scan (V/Q) | $6,516 | $6,516 | $291 |
| Magnesium blood test | $79 | $79 | $7 |
| MMR vaccine | $154 | $154 | — |
| MRA of the brain | $4,324 | $4,324 | $226 |
| MRA of the brain with contrast | $4,324 | $4,324 | $226 |
| MRA of the brain without contrast | $4,324 | $4,324 | $328 |
| MRA of the neck | $4,324 | $4,324 | $245 |
| MRA of the neck with contrast | $4,324 | $4,324 | $245 |
| MRA of the neck without contrast | $4,324 | $4,324 | $343 |
| MRI of the abdomen | $4,324 | $4,324 | $300 |
| MRI of the abdomen with contrast | $4,324 | $4,324 | $300 |
| MRI of the abdomen without contrast | $2,926 | $2,926 | $194 |
| MRI of the ankle | $4,324 | $4,324 | $261 |
| MRI of the ankle with contrast | $4,324 | $4,324 | $261 |
| MRI of the ankle without contrast | $2,926 | $2,926 | $222 |
| MRI of the brain | $4,324 | $4,324 | $269 |
| MRI of the brain with contrast | $4,324 | $4,324 | $269 |
| MRI of the brain without contrast | $2,926 | $2,926 | $195 |
| MRI of the chest | $4,324 | $4,324 | $371 |
| MRI of the chest with contrast | $9,565 | $9,565 | $371 |
| MRI of the chest without contrast | $4,324 | $4,324 | $466 |
| MRI of the knee | $4,324 | $4,324 | $315 |
| MRI of the knee with contrast | $9,565 | $9,565 | $315 |
| MRI of the knee without contrast | $2,926 | $2,926 | $204 |
| MRI of the lower back (lumbar spine) | $4,324 | $4,324 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $4,324 | $4,324 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $2,926 | $2,926 | $192 |
| MRI of the mid-back (thoracic spine) | $4,324 | $4,324 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $4,324 | $4,324 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $4,324 | $4,324 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $2,926 | $2,926 | $190 |
| MRI of the neck (cervical spine) | $4,324 | $4,324 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $4,324 | $4,324 | $318 |
| MRI of the neck (cervical spine) with contrast | $4,324 | $4,324 | $274 |
| MRI of the neck (cervical spine) without contrast | $2,926 | $2,926 | $191 |
| MRI of the pelvis | $4,324 | $4,324 | $268 |
| MRI of the pelvis with contrast | $4,324 | $4,324 | $268 |
| MRI of the pelvis without contrast | $2,926 | $2,926 | $227 |
| MRI of the shoulder | $4,324 | $4,324 | $313 |
| MRI of the shoulder with contrast | $9,565 | $9,565 | $313 |
| MRI of the shoulder without contrast | $2,926 | $2,926 | $205 |
| MRI of the wrist | $4,324 | $4,324 | $330 |
| MRI of the wrist with contrast | $4,324 | $4,324 | $330 |
| MRI of the wrist without contrast | $2,926 | $2,926 | $303 |
| Nebulizer breathing treatment | $524 | $524 | $9 |
| Nerve conduction study | $3,770 | $3,770 | $118 |
| Nuchal translucency ultrasound | $1,287 | $1,287 | $116 |
| Nuclear cardiac stress test | $15,805 | $15,805 | $428 |
| Occupational therapy evaluation | $581 | $581 | $101 |
| Occupational therapy evaluation (high complexity) | $581 | $581 | $101 |
| Occupational therapy evaluation (low complexity) | $581 | $581 | $101 |
| Occupational therapy evaluation (moderate complexity) | $581 | $581 | $101 |
| Office visit (established patient) | $125 | $125 | $115 |
| Office visit (new patient) | $209 | $209 | $177 |
| Office visit, established patient (level 3) | $106 | $106 | $95 |
| Office visit, established patient (level 4) | $144 | $144 | $136 |
| Office visit, new patient (level 3) | $146 | $146 | $118 |
| Office visit, new patient (level 4) | $209 | $209 | $177 |
| Office visit, new patient (level 5) | $252 | $252 | $237 |
| Pap smear (cervical screening) | $311 | $311 | $20 |
| Parathyroid hormone (PTH) test | $485 | $485 | $41 |
| Pelvic ultrasound | $1,287 | $1,287 | $78 |
| Pelvic ultrasound (complete) | $1,287 | $1,287 | $105 |
| Pelvic ultrasound (limited) | $1,287 | $1,287 | $51 |
| PET scan | $17,658 | $17,658 | — |
| Phosphorus blood test | $51 | $51 | $5 |
| Physical therapy evaluation | $567 | $567 | $98 |
| Physical therapy evaluation (high complexity) | $567 | $567 | $98 |
| Physical therapy evaluation (moderate complexity) | $567 | $567 | $98 |
| Platelet count | $53 | $53 | $4 |
| Pneumonia vaccine | $212 | $212 | — |
| Pregnancy blood test (hCG) | $91 | $91 | $8 |
| Pregnancy ultrasound | $1,287 | $1,287 | $126 |
| Pregnancy ultrasound (first trimester) | $1,287 | $1,287 | $117 |
| Pregnancy ultrasound (second or third trimester) | $1,287 | $1,287 | $136 |
| Procalcitonin test | $320 | $320 | $27 |
| Prolactin test | $228 | $228 | $19 |
| Prostate test (PSA) | $216 | $216 | $18 |
| Psychiatric evaluation | $1,074 | $1,074 | $188 |
| Psychotherapy session | $1,209 | $1,209 | $140 |
| Pulmonary rehabilitation | $719 | $719 | $87 |
| Radiofrequency nerve ablation | $23,641 | $23,641 | $462 |
| Retinal (fundus) photography | $1,561 | $1,561 | $37 |
| Rheumatoid factor test | $75 | $75 | $6 |
| RSV vaccine | $885 | $885 | — |
| Sacroiliac joint injection | $1,377 | $1,377 | $176 |
| Scoliosis spine X-ray | $1,177 | $1,177 | $58 |
| Scoliosis spine X-ray (1 view) | $1,066 | $1,066 | $44 |
| Scoliosis spine X-ray (3 views) | $1,287 | $1,287 | $72 |
| Screening mammogram | $976 | $976 | $126 |
| Scrotal ultrasound | $1,287 | $1,287 | $99 |
| Sedimentation rate (ESR) test | $54 | $54 | $3 |
| Semen analysis | $119 | $119 | $12 |
| Sex hormone binding globulin test | $255 | $255 | $22 |
| Shingles vaccine | $647 | $647 | — |
| Simple laceration repair (small, up to 2.5 cm) | $618 | $618 | $114 |
| Simple wound stitches | $635 | $635 | $127 |
| Skin biopsy | $1,139 | $1,139 | $121 |
| Skin biopsy (punch) | $1,139 | $1,139 | $121 |
| Skin cancer lesion removal | $2,266 | $2,266 | $240 |
| Skin lesion freezing (cryotherapy) | $378 | $378 | $36 |
| Skin tag removal | $692 | $692 | $92 |
| Sleep study (polysomnography) | $3,023 | $3,023 | $691 |
| Soft tissue ultrasound | $1,287 | $1,287 | $64 |
| Speech therapy | $436 | $436 | $76 |
| Spinal cord stimulator | $3,150 | $3,150 | $2,388 |
| Spirometry (lung function test) | $759 | $759 | $30 |
| Spirometry with bronchodilator | $2,277 | $2,277 | $43 |
| Strep throat test | $194 | $194 | $17 |
| Stress echocardiogram | $6,638 | $6,638 | $209 |
| Swallow study | $475 | $475 | $85 |
| T3 thyroid test | $167 | $167 | $14 |
| Tdap (tetanus) vaccine | $87 | $87 | — |
| Testosterone test | $303 | $303 | $26 |
| Thyroid test (TSH) | $197 | $197 | $17 |
| Thyroid ultrasound | $1,287 | $1,287 | $109 |
| Thyroid uptake scan | $4,865 | $4,865 | $145 |
| Tilt table test | $6,424 | $6,424 | $168 |
| Total IgE allergy test | $193 | $193 | $16 |
| Total protein test | $43 | $43 | $4 |
| Transesophageal echocardiogram (TEE) | $6,638 | $6,638 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $6,638 | $6,638 | $239 |
| Transvaginal ultrasound | $1,287 | $1,287 | $118 |
| Trigger finger release | $19,375 | $19,375 | $630 |
| Trigger point injection | $852 | $852 | $56 |
| Trigger point injection (1-2 muscles) | $846 | $846 | $52 |
| Triglycerides test | $67 | $67 | $6 |
| Troponin (heart) test | $147 | $147 | $12 |
| Turning a breech baby (version) | $11,061 | $11,061 | $94 |
| Upper GI endoscopy (EGD) | $8,100 | $8,100 | $371 |
| Upper GI series (barium) | $2,155 | $2,155 | $128 |
| Uric acid (gout) test | $48 | $48 | $5 |
| Urinalysis | $38 | $38 | $3 |
| Urine microalbumin test | $71 | $71 | $5 |
| Urine pregnancy test | $56 | $56 | $9 |
| Vaccine administration | $160 | $160 | $19 |
| Vaccine administration (each additional) | $89 | $89 | $16 |
| Varicose vein ablation | $38,105 | $38,105 | $1,018 |
| Vitamin B12 test | $177 | $177 | $15 |
| Vitamin D test | $348 | $348 | $30 |
| Wart removal | $691 | $691 | $121 |
| Well-child visit | $224 | $224 | — |
| Wound debridement | $6,124 | $6,124 | $186 |
| X-ray of the abdomen | $1,177 | $1,177 | $36 |
| X-ray of the ankle | $1,066 | $1,066 | $37 |
| X-ray of the collarbone | $1,066 | $1,066 | $33 |
| X-ray of the elbow | $1,066 | $1,066 | $33 |
| X-ray of the facial bones | $1,177 | $1,177 | $39 |
| X-ray of the foot | $1,066 | $1,066 | $34 |
| X-ray of the forearm | $1,066 | $1,066 | $29 |
| X-ray of the hand | $1,066 | $1,066 | $38 |
| X-ray of the hip | $1,066 | $1,066 | $49 |
| X-ray of the hip (1 view) | $1,066 | $1,066 | $34 |
| X-ray of the hip (3 views) | $1,066 | $1,066 | $49 |
| X-ray of the hip (4 views) | $1,287 | $1,287 | $63 |
| X-ray of the knee | $1,066 | $1,066 | $42 |
| X-ray of the knee (2 views) | $1,066 | $1,066 | $34 |
| X-ray of the knee (3 views) | $1,066 | $1,066 | $42 |
| X-ray of the knee (4+ views) | $1,287 | $1,287 | $49 |
| X-ray of the lower back (lumbar spine) | $185 | $185 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $156 | $156 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $213 | $213 | $53 |
| X-ray of the lower leg | $1,066 | $1,066 | $31 |
| X-ray of the mid-back (thoracic spine) | $1,287 | $1,287 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $1,287 | $1,287 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $1,287 | $1,287 | $39 |
| X-ray of the neck (cervical spine) | $1,177 | $1,177 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $1,066 | $1,066 | $40 |
| X-ray of the pelvis | $1,287 | $1,287 | $36 |
| X-ray of the pelvis (1 view) | $1,287 | $1,287 | $28 |
| X-ray of the ribs | $1,287 | $1,287 | $42 |
| X-ray of the ribs (2 views) | $1,066 | $1,066 | $36 |
| X-ray of the ribs (3 views) | $1,287 | $1,287 | $42 |
| X-ray of the shoulder | $1,066 | $1,066 | $36 |
| X-ray of the skull | $1,287 | $1,287 | $40 |
| X-ray of the upper arm | $1,066 | $1,066 | $32 |
| X-ray of the wrist | $1,066 | $1,066 | $43 |
| Zinc blood test | $134 | $134 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
