| Procedure | Penn Highlands Huntingdon | Conemaugh Memorial Medical Center | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $145 | $26 | $51 |
| Abdominal fluid drain (paracentesis) | $11,350 | $1,664 | $284 |
| Abdominal ultrasound | $1,287 | $969 | $100 |
| Abdominal ultrasound (complete) | $1,287 | $969 | $114 |
| Abdominal ultrasound (limited) | $1,287 | $970 | $86 |
| Abscess drainage (complex or multiple) | $4,837 | $546 | $220 |
| Abscess drainage (simple) | $2,406 | $210 | $129 |
| Abscess incision and drainage | $3,622 | $378 | $174 |
| Albumin blood test | $58 | $24 | $5 |
| Aldosterone test | $479 | $119 | $41 |
| Alkaline phosphatase test | $61 | $52 | $5 |
| Allergy shots | $143 | $26 | $11 |
| Alpha-fetoprotein (AFP) test | $197 | $135 | $17 |
| ALT liver enzyme test | $62 | $60 | $5 |
| Ammonia blood test | $171 | $84 | $15 |
| Amylase test | $76 | $56 | $6 |
| Annual physical (established patient) | $150 | $188 | — |
| Annual physical (new patient) | $267 | $102 | — |
| Anoscopy | $1,561 | $184 | $129 |
| Antinuclear antibody (ANA) test | $142 | $74 | $12 |
| Arterial blood gas (ABG) | $306 | $289 | $26 |
| AST liver enzyme test | $61 | $50 | $5 |
| Barium swallow study | $2,155 | $183 | $107 |
| Bartholin cyst removal | $2,435 | $905 | $182 |
| Basic metabolic panel | $99 | $56 | $8 |
| Benign skin lesion removal | $2,084 | $2,737 | $171 |
| Bilirubin blood test | $59 | $24 | $5 |
| Blood clotting test (PT/INR) | $35 | $29 | $4 |
| Blood crossmatch | $530 | $149 | — |
| Blood glucose test | $51 | $23 | $5 |
| Blood transfusion | $5,293 | $526 | $47 |
| Blood type and screen | $115 | $56 | $10 |
| Blood type test | $191 | $53 | $3 |
| Blood type test (ABO group) | $297 | $53 | $3 |
| Blood type test (Rh/D antigen) | $85 | $53 | $3 |
| BNP (heart failure) test | $461 | $139 | $39 |
| Bone density scan (DEXA) | $338 | $219 | $39 |
| Bone scan (nuclear) | $4,865 | $620 | $259 |
| Breast biopsy | $19,615 | $2,242 | $478 |
| Breast MRI | $3,240 | $2,314 | $216 |
| Breast MRI without contrast | $3,240 | $2,314 | $216 |
| Breast ultrasound | $1,177 | $211 | $92 |
| Breast ultrasound (complete) | $1,287 | $235 | $100 |
| Breast ultrasound (limited) | $1,066 | $188 | $84 |
| Breathing tube insertion (intubation) | $2,811 | $892 | $133 |
| Bronchoscopy | $2,478 | $3,799 | $303 |
| Burn dressing and debridement (medium) | $773 | $158 | $166 |
| Burn dressing and debridement (small) | $2,406 | $158 | $93 |
| Burn treatment | $1,590 | $158 | $129 |
| C-reactive protein (CRP) | $61 | $37 | $5 |
| CA 19-9 tumor marker test | $245 | $212 | $21 |
| CA-125 ovarian marker test | $245 | $130 | $21 |
| Calcium blood test | $61 | $34 | $5 |
| Cardiac catheterization | $38,939 | $4,427 | $1,049 |
| Cardiac MRI | $3,625 | $1,452 | $322 |
| Cardiac MRI without contrast | $2,926 | $1,118 | $280 |
| Cardiac rehabilitation | $1,524 | $144 | $26 |
| Cardiac stress test | $3,770 | $343 | $39 |
| Cardioversion | $7,922 | $553 | $155 |
| Carotid artery ultrasound | $2,107 | $428 | $156 |
| Carpal tunnel release | $23,641 | $3,444 | $483 |
| CEA tumor marker test | $223 | $89 | $19 |
| Celiac disease test | $135 | $9 | $12 |
| Chemotherapy infusion | $2,439 | $421 | $81 |
| Chemotherapy infusion (each additional) | $862 | $145 | $28 |
| Chemotherapy infusion (first hour) | $4,016 | $696 | $133 |
| Chest fluid drain (thoracentesis) | $7,485 | $747 | $311 |
| Chest X-ray | $602 | $154 | $37 |
| Chest X-ray (1 view) | $105 | $143 | $25 |
| Chest X-ray (2 views) | $137 | $154 | $33 |
| CK-MB heart enzyme test | $136 | $36 | $12 |
| Clotting time test (PTT) | $49 | $53 | $6 |
| Complete blood count (CBC) | $84 | $31 | $7 |
| Complete blood count (CBC) (complete) | $91 | $37 | $8 |
| Complex wound repair | $7,411 | $925 | $390 |
| Comprehensive metabolic panel | $124 | $60 | $11 |
| Copper blood test | $146 | $49 | $12 |
| Coronary CT angiography | $4,324 | $782 | $326 |
| Cortisol test | $192 | $193 | $16 |
| CPAP titration study | $2,462 | $278 | $69 |
| Creatine kinase (CK) test | $76 | $34 | $7 |
| CT angiography of the chest | $2,155 | $982 | $281 |
| CT angiography of the head | $2,155 | $903 | $274 |
| CT scan of the abdomen | $2,155 | $994 | $230 |
| CT scan of the abdomen and pelvis | $4,324 | $2,059 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $4,324 | $2,527 | $338 |
| CT scan of the abdomen and pelvis with contrast | $4,324 | $2,059 | $300 |
| CT scan of the abdomen and pelvis without contrast | $2,926 | $1,569 | $183 |
| CT scan of the abdomen with and without contrast | $2,155 | $1,282 | $259 |
| CT scan of the abdomen with contrast | $2,155 | $994 | $230 |
| CT scan of the abdomen without contrast | $1,287 | $786 | $136 |
| CT scan of the arm | $2,155 | $528 | $199 |
| CT scan of the arm with contrast | $4,324 | $528 | $199 |
| CT scan of the arm without contrast | $1,287 | $463 | $161 |
| CT scan of the chest | $2,155 | $982 | $167 |
| CT scan of the chest with and without contrast | $2,155 | $1,394 | $196 |
| CT scan of the chest with contrast | $2,155 | $982 | $167 |
| CT scan of the chest without contrast | $1,332 | $735 | $133 |
| CT scan of the head | $2,155 | $903 | $148 |
| CT scan of the head with and without contrast | $2,155 | $1,277 | $173 |
| CT scan of the head with contrast | $2,155 | $903 | $148 |
| CT scan of the head without contrast | $1,287 | $824 | $107 |
| CT scan of the leg | $2,155 | $668 | $166 |
| CT scan of the leg with contrast | $2,155 | $668 | $166 |
| CT scan of the leg without contrast | $1,287 | $589 | $130 |
| CT scan of the lower back (lumbar spine) | $2,155 | $864 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $2,155 | $1,217 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $4,324 | $864 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,652 | $786 | $130 |
| CT scan of the neck | $2,155 | $805 | $183 |
| CT scan of the neck (cervical spine) | $2,155 | $1,178 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $2,155 | $1,252 | $196 |
| CT scan of the neck (cervical spine) with contrast | $4,324 | $1,178 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,621 | $1,099 | $131 |
| CT scan of the neck with and without contrast | $2,155 | $1,129 | $220 |
| CT scan of the neck with contrast | $2,155 | $805 | $183 |
| CT scan of the neck without contrast | $1,287 | $727 | $150 |
| CT scan of the pelvis | $2,155 | $884 | $226 |
| CT scan of the pelvis with and without contrast | $2,155 | $1,247 | $251 |
| CT scan of the pelvis with contrast | $2,155 | $884 | $226 |
| CT scan of the pelvis without contrast | $1,287 | $786 | $133 |
| CT scan of the sinuses | $2,155 | $1,056 | $152 |
| CT scan of the sinuses with and without contrast | $2,155 | $1,505 | $184 |
| CT scan of the sinuses with contrast | $2,155 | $1,056 | $152 |
| CT scan of the sinuses without contrast | $1,287 | $978 | $128 |
| D-dimer test | $120 | $63 | $10 |
| Defibrillator (ICD) implant | $99,101 | $22,136 | $798 |
| Developmental screening (child) | $28 | $34 | — |
| DHEA-sulfate test | $261 | $62 | $22 |
| Diagnostic mammogram | $1,054 | $256 | $140 |
| Drug screen (urine) | $201 | $101 | $17 |
| Ear pressure test (tympanometry) | $127 | $66 | $16 |
| Echocardiogram | $4,782 | $990 | $138 |
| Echocardiogram with and without contrast | $2,926 | $188 | $101 |
| EEG (awake and asleep) | $3,770 | $324 | $482 |
| EKG / ECG (tracing only) | $153 | $124 | $7 |
| Electrocardiogram (EKG) | $65 | $153 | $8 |
| Electroencephalogram (EEG) | $3,770 | $331 | $448 |
| Electrolyte panel | $93 | $64 | $7 |
| Electromyography (EMG) | $1,561 | $158 | $141 |
| Emergency department visit | $3,352 | $359 | $69 |
| Emergency department visit (level 1) | $1,066 | $89 | $11 |
| Emergency department visit (level 2) | $1,917 | $178 | $40 |
| Emergency department visit (level 3) | $3,352 | $359 | $69 |
| Emergency department visit (level 4) | $5,155 | $619 | $118 |
| Emergency department visit (level 5) | $7,422 | $939 | $171 |
| Endometrial biopsy | $2,435 | $558 | $98 |
| Epidural steroid injection | $8,384 | $790 | $275 |
| Estradiol (estrogen) test | $328 | $152 | $28 |
| Eyelid surgery (blepharoplasty) | $22,145 | $3,484 | $552 |
| Facet joint injection (spine) | $1,188 | $1,035 | $99 |
| Fallopian tube X-ray (HSG) | $1,710 | $256 | $164 |
| Family therapy session | $1,133 | $107 | $110 |
| Fecal occult blood (stool) test | $26 | $23 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $22 | $23 | $4 |
| Ferritin (iron) test | $160 | $36 | $14 |
| Fibrinogen test | $114 | $49 | $10 |
| Flu test | $194 | $38 | $17 |
| Folate (folic acid) test | $97 | $48 | $15 |
| Foreign body removal (skin) | $1,277 | $220 | $157 |
| Free T4 thyroid test | $143 | $48 | $9 |
| FSH hormone test | $218 | $207 | $19 |
| Gallbladder scan (HIDA) | $5,691 | $861 | $334 |
| GGT liver test | $85 | $37 | $7 |
| Glucose tolerance test | $99 | $49 | $8 |
| Group therapy session | $477 | $89 | $30 |
| HDL cholesterol test | $96 | $54 | $8 |
| Hematocrit test | $28 | $20 | $2 |
| Hemodialysis | $8,471 | $675 | $75 |
| Hemoglobin A1c (diabetes test) | $45 | $37 | $10 |
| Hepatitis B test | $121 | $48 | $10 |
| Hepatitis C test | $168 | $54 | $14 |
| HIV test | $283 | $67 | $19 |
| HIV test (antigen/antibody combo) | $283 | $70 | $24 |
| Holter heart monitor | $1,140 | $265 | $26 |
| Iron blood test | $76 | $57 | $6 |
| IV infusion therapy | $422 | $138 | $44 |
| IV infusion therapy (each additional) | $165 | $93 | $21 |
| IV infusion therapy (initial) | $679 | $183 | $67 |
| Joint aspiration (small/intermediate) | $846 | $156 | $57 |
| Joint aspiration or injection (mid-size joint) | $847 | $156 | $57 |
| Joint aspiration or injection (small joint) | $845 | $156 | $56 |
| Kidney biopsy | $2,255 | $940 | $492 |
| Kidney scan (nuclear) | $6,516 | $472 | $172 |
| Kidney ultrasound | $1,287 | $200 | $84 |
| Kidney ultrasound (limited) | $1,287 | $164 | $61 |
| Knee joint injection | $867 | $156 | $69 |
| Lactate test | $136 | $49 | $12 |
| Laryngoscopy | $3,840 | $694 | $189 |
| LDH test | $43 | $70 | $6 |
| LDL cholesterol test | $123 | $49 | $11 |
| Leg vein ultrasound (Doppler) | $2,107 | $337 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $1,287 | $325 | $116 |
| LH hormone test | $218 | $177 | $19 |
| Lipase test | $55 | $64 | $7 |
| Lipid (cholesterol) panel | $157 | $37 | $13 |
| Liver function panel | $96 | $59 | $8 |
| Lung function test (PFT) | $1,518 | $141 | $37 |
| Lung scan (V/Q) | $6,516 | $475 | $291 |
| Magnesium blood test | $79 | $57 | $7 |
| MRA of the brain | $4,324 | $1,196 | $226 |
| MRA of the brain with contrast | $4,324 | $1,380 | $226 |
| MRA of the brain without contrast | $4,324 | $1,196 | $328 |
| MRA of the neck | $4,324 | $972 | $245 |
| MRA of the neck with contrast | $4,324 | $972 | $245 |
| MRA of the neck without contrast | $4,324 | $1,196 | $343 |
| MRI of the abdomen | $4,324 | $1,196 | $300 |
| MRI of the abdomen with contrast | $4,324 | $1,196 | $300 |
| MRI of the abdomen without contrast | $2,926 | $953 | $194 |
| MRI of the ankle | $4,324 | $931 | $261 |
| MRI of the ankle with contrast | $4,324 | $1,140 | $261 |
| MRI of the ankle without contrast | $2,926 | $792 | $222 |
| MRI of the brain | $4,324 | $1,118 | $269 |
| MRI of the brain with contrast | $4,324 | $1,118 | $269 |
| MRI of the brain without contrast | $2,926 | $938 | $195 |
| MRI of the chest | $4,324 | $1,278 | $371 |
| MRI of the chest without contrast | $4,324 | $1,611 | $466 |
| MRI of the knee | $4,324 | $896 | $315 |
| MRI of the knee with contrast | $9,565 | $896 | $315 |
| MRI of the knee without contrast | $2,926 | $878 | $204 |
| MRI of the lower back (lumbar spine) | $4,324 | $1,129 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $4,324 | $1,129 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $2,926 | $1,017 | $192 |
| MRI of the mid-back (thoracic spine) | $4,324 | $1,086 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $4,324 | $1,996 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $4,324 | $1,086 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $2,926 | $1,028 | $190 |
| MRI of the neck (cervical spine) | $4,324 | $1,077 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $4,324 | $2,000 | $318 |
| MRI of the neck (cervical spine) with contrast | $4,324 | $1,077 | $274 |
| MRI of the neck (cervical spine) without contrast | $2,926 | $953 | $191 |
| MRI of the pelvis | $4,324 | $1,172 | $268 |
| MRI of the pelvis without contrast | $2,926 | $811 | $227 |
| MRI of the shoulder | $4,324 | $896 | $313 |
| MRI of the shoulder with contrast | $9,565 | $896 | $313 |
| MRI of the shoulder without contrast | $2,926 | $887 | $205 |
| MRI of the wrist | $4,324 | $862 | $330 |
| MRI of the wrist without contrast | $2,926 | $786 | $303 |
| Nebulizer breathing treatment | $524 | $120 | $9 |
| Nerve conduction study | $3,770 | $149 | $118 |
| Nuchal translucency ultrasound | $1,287 | $170 | $116 |
| Nuclear cardiac stress test | $15,805 | $1,285 | $428 |
| Occupational therapy evaluation | $581 | $213 | $101 |
| Occupational therapy evaluation (high complexity) | $581 | $232 | $101 |
| Occupational therapy evaluation (low complexity) | $581 | $195 | $101 |
| Occupational therapy evaluation (moderate complexity) | $581 | $213 | $101 |
| Office visit (established patient) | $125 | $272 | $115 |
| Office visit (new patient) | $209 | $272 | $177 |
| Office visit, established patient (level 3) | $106 | $272 | $95 |
| Office visit, established patient (level 4) | $144 | $272 | $136 |
| Office visit, new patient (level 3) | $146 | $272 | $118 |
| Office visit, new patient (level 4) | $209 | $272 | $177 |
| Office visit, new patient (level 5) | $252 | $272 | $237 |
| Pap smear (cervical screening) | $311 | $93 | $20 |
| Parathyroid hormone (PTH) test | $485 | $120 | $41 |
| Pelvic ultrasound | $1,287 | $249 | $78 |
| Pelvic ultrasound (complete) | $1,287 | $386 | $105 |
| Pelvic ultrasound (limited) | $1,287 | $112 | $51 |
| PET scan | $17,658 | $1,937 | — |
| Phosphorus blood test | $51 | $50 | $5 |
| Physical therapy evaluation | $567 | $213 | $98 |
| Physical therapy evaluation (high complexity) | $567 | $232 | $98 |
| Physical therapy evaluation (moderate complexity) | $567 | $213 | $98 |
| Platelet count | $53 | $50 | $4 |
| Pregnancy blood test (hCG) | $91 | $46 | $8 |
| Pregnancy ultrasound | $1,287 | $256 | $126 |
| Pregnancy ultrasound (first trimester) | $1,287 | $258 | $117 |
| Pregnancy ultrasound (second or third trimester) | $1,287 | $254 | $136 |
| Procalcitonin test | $320 | $100 | $27 |
| Prolactin test | $228 | $163 | $19 |
| Prostate test (PSA) | $216 | $54 | $18 |
| Psychiatric evaluation | $1,074 | $137 | $188 |
| Psychotherapy session | $1,209 | $87 | $140 |
| Pulmonary rehabilitation | $719 | $82 | $87 |
| Radiofrequency nerve ablation | $23,641 | $2,172 | $462 |
| Rheumatoid factor test | $75 | $23 | $6 |
| Sacroiliac joint injection | $1,377 | $758 | $176 |
| Scoliosis spine X-ray | $1,177 | $123 | $58 |
| Scoliosis spine X-ray (1 view) | $1,066 | $93 | $44 |
| Scoliosis spine X-ray (3 views) | $1,287 | $153 | $72 |
| Screening mammogram | $976 | $274 | $126 |
| Scrotal ultrasound | $1,287 | $327 | $99 |
| Sedimentation rate (ESR) test | $54 | $36 | $3 |
| Semen analysis | $119 | $79 | $12 |
| Sex hormone binding globulin test | $255 | $49 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $618 | $176 | $114 |
| Simple wound stitches | $635 | $177 | $127 |
| Skin biopsy | $1,139 | $259 | $121 |
| Skin biopsy (punch) | $1,139 | $259 | $121 |
| Skin cancer lesion removal | $2,266 | $2,749 | $240 |
| Skin lesion freezing (cryotherapy) | $378 | $145 | $36 |
| Skin tag removal | $692 | $340 | $92 |
| Sleep study (polysomnography) | $3,023 | $2,102 | $691 |
| Soft tissue ultrasound | $1,287 | $188 | $64 |
| Speech therapy | $436 | $142 | $76 |
| Spinal cord stimulator | $3,150 | $7,472 | $2,388 |
| Spirometry (lung function test) | $759 | $141 | $30 |
| Spirometry with bronchodilator | $2,277 | $344 | $43 |
| Strep throat test | $194 | $46 | $17 |
| Stress echocardiogram | $6,638 | $751 | $209 |
| Swallow study | $475 | $337 | $85 |
| T3 thyroid test | $167 | $97 | $14 |
| Testosterone test | $303 | $72 | $26 |
| Thyroid test (TSH) | $197 | $53 | $17 |
| Thyroid ultrasound | $1,287 | $365 | $109 |
| Thyroid uptake scan | $4,865 | $321 | $145 |
| Tilt table test | $6,424 | $603 | $168 |
| Total IgE allergy test | $193 | $53 | $16 |
| Total protein test | $43 | $46 | $4 |
| Transesophageal echocardiogram (TEE) | $6,638 | $854 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $6,638 | $854 | $239 |
| Transvaginal ultrasound | $1,287 | $382 | $118 |
| Trigger finger release | $19,375 | $2,768 | $630 |
| Trigger point injection | $852 | $321 | $56 |
| Trigger point injection (1-2 muscles) | $846 | $285 | $52 |
| Triglycerides test | $67 | $50 | $6 |
| Troponin (heart) test | $147 | $49 | $12 |
| Turning a breech baby (version) | $11,061 | $3,415 | $94 |
| Upper GI endoscopy (EGD) | $8,100 | $1,554 | $371 |
| Upper GI series (barium) | $2,155 | $174 | $128 |
| Uric acid (gout) test | $48 | $19 | $5 |
| Urinalysis | $38 | $24 | $3 |
| Urine microalbumin test | $71 | $53 | $5 |
| Urine pregnancy test | $56 | $30 | $9 |
| Vaccine administration | $160 | $28 | $19 |
| Vaccine administration (each additional) | $89 | $19 | $16 |
| Varicose vein ablation | $38,105 | $6,686 | $1,018 |
| Vitamin B12 test | $177 | $42 | $15 |
| Vitamin D test | $348 | $92 | $30 |
| Wart removal | $691 | $209 | $121 |
| Well-child visit | $224 | $88 | — |
| Wound debridement | $6,124 | $1,207 | $186 |
| X-ray of the abdomen | $1,177 | $110 | $36 |
| X-ray of the ankle | $1,066 | $276 | $37 |
| X-ray of the collarbone | $1,066 | $264 | $33 |
| X-ray of the elbow | $1,066 | $99 | $33 |
| X-ray of the facial bones | $1,177 | $136 | $39 |
| X-ray of the foot | $1,066 | $197 | $34 |
| X-ray of the forearm | $1,066 | $168 | $29 |
| X-ray of the hand | $1,066 | $95 | $38 |
| X-ray of the hip | $1,066 | $121 | $49 |
| X-ray of the hip (1 view) | $1,066 | $106 | $34 |
| X-ray of the hip (3 views) | $1,066 | $136 | $49 |
| X-ray of the knee | $1,066 | $135 | $42 |
| X-ray of the knee (2 views) | $1,066 | $120 | $34 |
| X-ray of the knee (3 views) | $1,066 | $135 | $42 |
| X-ray of the knee (4+ views) | $1,287 | $149 | $49 |
| X-ray of the lower back (lumbar spine) | $185 | $274 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $156 | $235 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $213 | $314 | $53 |
| X-ray of the lower leg | $1,066 | $181 | $31 |
| X-ray of the mid-back (thoracic spine) | $1,287 | $92 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $1,287 | $89 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $1,287 | $95 | $39 |
| X-ray of the neck (cervical spine) | $1,177 | $353 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $1,066 | $235 | $40 |
| X-ray of the pelvis | $1,287 | $140 | $36 |
| X-ray of the pelvis (1 view) | $1,287 | $135 | $28 |
| X-ray of the ribs | $1,287 | $74 | $42 |
| X-ray of the ribs (2 views) | $1,066 | $70 | $36 |
| X-ray of the ribs (3 views) | $1,287 | $74 | $42 |
| X-ray of the shoulder | $1,066 | $211 | $36 |
| X-ray of the skull | $1,287 | $159 | $40 |
| X-ray of the upper arm | $1,066 | $153 | $32 |
| X-ray of the wrist | $1,066 | $86 | $43 |
| Zinc blood test | $134 | $54 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
