| Procedure | Prosser Memorial Hospital | Astria Toppenish Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $59 | $106 | $51 |
| Abdominal fluid drain (paracentesis) | $304 | $1,385 | $284 |
| Abdominal ultrasound | $83 | $386 | $100 |
| Abdominal ultrasound (complete) | $321 | $749 | $114 |
| Abdominal ultrasound (limited) | $83 | $386 | $86 |
| Abscess drainage (complex or multiple) | $414 | $356 | $220 |
| Abscess drainage (simple) | $232 | $244 | $129 |
| Abscess incision and drainage | $407 | $335 | $174 |
| Achilles tendon repair | $933 | $1,750 | $624 |
| ACL knee reconstruction | $1,855 | $3,104 | $889 |
| Adenoid removal (adenoidectomy) | $369 | $338 | $204 |
| Albumin blood test | $40 | $88 | $5 |
| Aldosterone test | $127 | $63 | $41 |
| Alkaline phosphatase test | $38 | $119 | $5 |
| Allergy shots | $21 | $21 | $11 |
| Allergy testing | $13 | $14 | $4 |
| Alpha-fetoprotein (AFP) test | $116 | $260 | $17 |
| ALT liver enzyme test | $69 | $76 | $5 |
| Ammonia blood test | $63 | $174 | $15 |
| Amniocentesis | $167 | $367 | $120 |
| Amylase test | $71 | $21 | $6 |
| Anal fistula repair | $804 | $836 | $541 |
| Ankle fracture repair | $1,077 | $1,553 | $608 |
| Annual physical (established patient) | $199 | $168 | — |
| Annual physical (new patient) | $198 | $190 | — |
| Anoscopy | $139 | $255 | $129 |
| Antinuclear antibody (ANA) test | $74 | $46 | $12 |
| Aortic aneurysm repair (AAA) | $20,224 | $3,229 | $1,345 |
| Arterial blood gas (ABG) | $168 | $281 | $26 |
| AST liver enzyme test | $48 | $77 | $5 |
| Barium swallow study | $272 | $879 | $107 |
| Bartholin cyst removal | $332 | $429 | $182 |
| Basic metabolic panel | $89 | $142 | $8 |
| Benign skin lesion removal | $272 | $265 | $171 |
| Bilirubin blood test | $63 | $47 | $5 |
| Bladder scope (cystoscopy) | $398 | $344 | $216 |
| Bladder tumor removal (TURBT) | $549 | $1,262 | $236 |
| Blood clotting test (PT/INR) | $63 | $33 | $4 |
| Blood crossmatch | $121 | $332 | — |
| Blood glucose test | $45 | $64 | $5 |
| Blood transfusion | $356 | $1,188 | $47 |
| Blood type and screen | $111 | $213 | $10 |
| Blood type test | $52 | $213 | $3 |
| Blood type test (ABO group) | $54 | $213 | $3 |
| Blood type test (Rh/D antigen) | $50 | $213 | $3 |
| BNP (heart failure) test | $167 | $111 | $39 |
| Bone density scan (DEXA) | $37 | $449 | $39 |
| Bone marrow biopsy | $1,162 | $979 | $172 |
| Bone scan (nuclear) | $774 | $2,085 | $259 |
| Botox for migraine | $228 | $270 | $157 |
| Breast biopsy | $1,794 | $2,138 | $478 |
| Breast MRI | $1,267 | $996 | $216 |
| Breast MRI without contrast | $1,267 | $1,121 | $216 |
| Breast ultrasound | $266 | $467 | $92 |
| Breast ultrasound (complete) | $318 | $467 | $100 |
| Breast ultrasound (limited) | $207 | $467 | $84 |
| Breathing tube insertion (intubation) | $538 | $745 | $133 |
| Bronchoscopy | $497 | $657 | $303 |
| Bunion surgery (bunionectomy) | $1,740 | $1,799 | $883 |
| Burn dressing and debridement (medium) | $332 | $331 | $166 |
| Burn dressing and debridement (small) | $165 | $239 | $93 |
| Burn treatment | $306 | $256 | $129 |
| C-reactive protein (CRP) | $52 | $25 | $5 |
| CA 19-9 tumor marker test | $76 | $277 | $21 |
| CA-125 ovarian marker test | $91 | $403 | $21 |
| Calcium blood test | $42 | $61 | $5 |
| Cardiac ablation | $5,370 | $17,839 | $759 |
| Cardiac catheterization | $11,052 | $13,167 | $1,049 |
| Cardiac rehabilitation | $170 | $227 | $26 |
| Cardiac stress test | $111 | $631 | $39 |
| Cardioversion | $664 | $1,511 | $155 |
| Carotid artery ultrasound | $261 | $610 | $156 |
| CEA tumor marker test | $49 | $184 | $19 |
| Celiac disease test | $31 | $129 | $12 |
| Central line placement | $1,027 | $2,872 | $238 |
| Cervical LEEP procedure | $668 | $720 | $325 |
| Chemotherapy infusion | $339 | $306 | $81 |
| Chemotherapy infusion (each additional) | $178 | $149 | $28 |
| Chemotherapy infusion (first hour) | $500 | $796 | $133 |
| Chest fluid drain (thoracentesis) | $642 | $1,294 | $311 |
| Chest tube insertion | $312 | $807 | $143 |
| Chest X-ray | $86 | $806 | $37 |
| Chest X-ray (1 view) | $141 | $806 | $25 |
| Chest X-ray (2 views) | $25 | $672 | $33 |
| Chickenpox (varicella) vaccine | $89 | $124 | — |
| Circumcision | $193 | $481 | $167 |
| CK-MB heart enzyme test | $153 | $135 | $12 |
| Clotting time test (PTT) | $58 | $69 | $6 |
| Colon resection (colectomy) | $2,229 | $2,703 | $1,238 |
| Colonoscopy | $781 | $1,373 | $480 |
| Colostomy | $1,907 | $1,988 | $1,122 |
| Colposcopy | $254 | $209 | $161 |
| Complete blood count (CBC) | $92 | $109 | $7 |
| Complete blood count (CBC) (complete) | $92 | $119 | $8 |
| Complex wound repair | $742 | $676 | $390 |
| Comprehensive metabolic panel | $137 | $235 | $11 |
| Continuous glucose monitor setup | $54 | $50 | $35 |
| Contraceptive implant (Nexplanon) | $246 | $412 | $115 |
| Copper blood test | $91 | $213 | $12 |
| Coronary CT angiography | $2,204 | $1,386 | $326 |
| Cortisol test | $153 | $150 | $16 |
| COVID-19 PCR test | $112 | $157 | $51 |
| CPAP titration study | $390 | $568 | $69 |
| Creatine kinase (CK) test | $73 | $88 | $7 |
| CT angiography of the chest | $1,277 | $5,667 | $281 |
| CT angiography of the head | $1,052 | $3,383 | $274 |
| CT scan of the abdomen | $702 | $3,150 | $230 |
| CT scan of the abdomen and pelvis | $1,385 | $5,584 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $1,773 | $5,980 | $338 |
| CT scan of the abdomen and pelvis with contrast | $1,664 | $5,584 | $300 |
| CT scan of the abdomen and pelvis without contrast | $1,368 | $3,869 | $183 |
| CT scan of the abdomen with and without contrast | $1,288 | $3,740 | $259 |
| CT scan of the abdomen with contrast | $1,022 | $3,150 | $230 |
| CT scan of the abdomen without contrast | $693 | $2,194 | $136 |
| CT scan of the arm | $1,400 | $3,233 | $199 |
| CT scan of the arm with contrast | $783 | $3,233 | $199 |
| CT scan of the arm without contrast | $763 | $2,720 | $161 |
| CT scan of the chest | $1,310 | $3,227 | $167 |
| CT scan of the chest with and without contrast | $1,268 | $4,087 | $196 |
| CT scan of the chest with contrast | $931 | $3,227 | $167 |
| CT scan of the chest without contrast | $1,310 | $2,306 | $133 |
| CT scan of the head | $855 | $2,482 | $148 |
| CT scan of the head with and without contrast | $1,282 | $2,840 | $173 |
| CT scan of the head with contrast | $939 | $2,482 | $148 |
| CT scan of the head without contrast | $834 | $1,832 | $107 |
| CT scan of the leg | $1,411 | $3,356 | $166 |
| CT scan of the leg with contrast | $772 | $3,934 | $166 |
| CT scan of the leg without contrast | $887 | $2,338 | $130 |
| CT scan of the lower back (lumbar spine) | $1,735 | $2,779 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $2,994 | $2,779 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,091 | $3,341 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $939 | $2,339 | $130 |
| CT scan of the neck | $1,505 | $2,739 | $183 |
| CT scan of the neck (cervical spine) | $1,061 | $2,639 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $1,378 | $2,675 | $196 |
| CT scan of the neck (cervical spine) with contrast | $1,092 | $2,639 | $168 |
| CT scan of the neck (cervical spine) without contrast | $929 | $2,066 | $131 |
| CT scan of the neck with and without contrast | $2,079 | $2,919 | $220 |
| CT scan of the neck with contrast | $970 | $2,739 | $183 |
| CT scan of the neck without contrast | $825 | $2,109 | $150 |
| CT scan of the pelvis | $1,043 | $2,789 | $226 |
| CT scan of the pelvis with and without contrast | $1,229 | $2,789 | $251 |
| CT scan of the pelvis with contrast | $1,218 | $3,097 | $226 |
| CT scan of the pelvis without contrast | $1,041 | $2,205 | $133 |
| CT scan of the sinuses | $1,217 | $1,775 | $152 |
| CT scan of the sinuses with and without contrast | $822 | $1,884 | $184 |
| CT scan of the sinuses with contrast | $684 | $1,775 | $152 |
| CT scan of the sinuses without contrast | $1,318 | $739 | $128 |
| D-dimer test | $117 | $99 | $10 |
| Developmental screening (child) | $21 | $13 | — |
| DHEA-sulfate test | $123 | $296 | $22 |
| Diagnostic mammogram | $204 | $409 | $140 |
| Dilation and curettage (D&C) | $571 | $810 | $298 |
| Drug screen (urine) | $182 | $220 | $17 |
| Ear pressure test (tympanometry) | $34 | $45 | $16 |
| Ear tubes (myringotomy) | $317 | $256 | $174 |
| Eardrum repair (tympanoplasty) | $1,466 | $1,262 | $799 |
| Echocardiogram | $211 | $516 | $138 |
| Echocardiogram with and without contrast | $211 | $321 | $101 |
| EEG (awake and asleep) | $1,095 | $424 | $482 |
| EKG / ECG (tracing only) | $174 | $331 | $7 |
| Electrocardiogram (EKG) | $156 | $331 | $8 |
| Electroencephalogram (EEG) | $1,054 | $647 | $448 |
| Electrolyte panel | $52 | $61 | $7 |
| Emergency department visit | $369 | $554 | $69 |
| Emergency department visit (level 1) | $137 | $185 | $11 |
| Emergency department visit (level 2) | $255 | $315 | $40 |
| Emergency department visit (level 3) | $427 | $554 | $69 |
| Emergency department visit (level 4) | $754 | $955 | $118 |
| Emergency department visit (level 5) | $1,279 | $2,547 | $171 |
| Endometrial biopsy | $190 | $211 | $98 |
| Epidural steroid injection | $526 | $332 | $275 |
| ERCP (bile duct endoscopy) | $638 | $721 | $311 |
| Esophageal variceal banding | $270 | $2,147 | $126 |
| Estradiol (estrogen) test | $76 | $391 | $28 |
| Facet joint injection (spine) | $313 | $277 | $99 |
| Fallopian tube X-ray (HSG) | $284 | $418 | $164 |
| Family therapy session | $204 | $148 | $110 |
| Fecal occult blood (stool) test | $51 | $34 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $29 | $34 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $74 | $70 | $16 |
| Feeding tube (PEG) placement | $426 | $2,205 | $178 |
| Femoral hernia repair | $1,104 | $1,208 | $584 |
| Ferritin (iron) test | $84 | $15 | $14 |
| Fibrinogen test | $100 | $102 | $10 |
| Fibroid removal (myomectomy) | $1,947 | $2,725 | $914 |
| Flexible sigmoidoscopy | $587 | $429 | $323 |
| Flu test | $79 | $69 | $17 |
| Folate (folic acid) test | $99 | $97 | $15 |
| Foreign body removal (skin) | $227 | $475 | $157 |
| Free T4 thyroid test | $86 | $88 | $9 |
| FSH hormone test | $53 | $234 | $19 |
| Gallbladder removal (laparoscopic) | $1,174 | $2,405 | $658 |
| Gallbladder scan (HIDA) | $614 | $3,593 | $334 |
| Ganglion cyst removal | $527 | $801 | $321 |
| GGT liver test | $86 | $82 | $7 |
| Glucose tolerance test | $134 | $164 | $8 |
| H. pylori test | $251 | $294 | $67 |
| Hammertoe repair | $880 | $950 | $548 |
| HDL cholesterol test | $50 | $103 | $8 |
| Hearing test (audiometry) | $80 | $121 | $36 |
| Hematocrit test | $30 | $23 | $2 |
| Hemodialysis | $123 | $144 | $75 |
| Hemoglobin A1c (diabetes test) | $86 | $142 | $10 |
| Hemorrhoid removal | $541 | $330 | $338 |
| Hepatitis A vaccine | $77 | $46 | — |
| Hepatitis B test | $38 | $110 | $10 |
| Hepatitis B vaccine | $52 | $57 | — |
| Hepatitis C test | $39 | $114 | $14 |
| Hip fracture repair | $2,436 | $3,161 | $1,120 |
| Hip replacement | $2,377 | $4,544 | $1,162 |
| HIV test | $72 | $72 | $19 |
| HIV test (antibody) | $63 | $104 | $14 |
| HIV test (antigen/antibody combo) | $82 | $40 | $24 |
| Holter heart monitor | $377 | $84 | $26 |
| HPV vaccine | $72 | $257 | — |
| Hydrocele repair | $696 | $588 | $315 |
| Hysterectomy | $1,895 | $2,226 | $933 |
| Hysteroscopy | $1,058 | $512 | $1,270 |
| Inguinal hernia repair | $908 | $1,249 | $538 |
| Iron blood test | $47 | $88 | $6 |
| IUD insertion | $198 | $205 | — |
| IUD removal | $153 | $132 | $112 |
| IV infusion therapy | $256 | $114 | $44 |
| IV infusion therapy (each additional) | $91 | $103 | $21 |
| IV infusion therapy (initial) | $432 | $610 | $67 |
| IVC filter placement | $4,389 | $4,749 | $1,885 |
| Joint aspiration (small/intermediate) | $90 | $681 | $57 |
| Joint aspiration or injection (mid-size joint) | $90 | $681 | $57 |
| Joint aspiration or injection (small joint) | $89 | $412 | $56 |
| Kidney biopsy | $1,057 | $1,611 | $492 |
| Kidney scan (nuclear) | $713 | $2,485 | $172 |
| Kidney ultrasound | $82 | $738 | $84 |
| Kidney ultrasound (limited) | $70 | $587 | $61 |
| Knee arthroscopy | $912 | $1,662 | $524 |
| Knee joint injection | $116 | $331 | $69 |
| Lactate test | $99 | $129 | $12 |
| Laryngoscopy | $272 | $255 | $189 |
| LDH test | $52 | $72 | $6 |
| LDL cholesterol test | $61 | $127 | $11 |
| Leg artery angiogram | $3,972 | $7,139 | $149 |
| Leg vein ultrasound (Doppler) | $394 | $950 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $378 | $950 | $116 |
| LH hormone test | $79 | $247 | $19 |
| Lipase test | $92 | $92 | $7 |
| Lipid (cholesterol) panel | $108 | $223 | $13 |
| Liver biopsy | $756 | $2,588 | $288 |
| Liver function panel | $103 | $77 | $8 |
| Lumpectomy (breast) | $1,114 | $1,566 | $750 |
| Lung function test (PFT) | $102 | $487 | $37 |
| Lung scan (V/Q) | $926 | $3,441 | $291 |
| Magnesium blood test | $79 | $33 | $7 |
| Meniscus repair (knee) | $1,212 | $1,960 | $714 |
| MMR vaccine | $134 | $69 | — |
| MRA of the brain | $2,001 | $2,241 | $226 |
| MRA of the brain with contrast | $2,231 | $2,458 | $226 |
| MRA of the brain without contrast | $2,793 | $2,458 | $328 |
| MRA of the neck | $898 | $2,458 | $245 |
| MRA of the neck with contrast | $1,099 | $2,458 | $245 |
| MRA of the neck without contrast | $1,470 | $2,812 | $343 |
| MRI of the abdomen | $917 | $1,022 | $300 |
| MRI of the abdomen without contrast | $878 | $705 | $194 |
| MRI of the ankle | $1,168 | $733 | $261 |
| MRI of the ankle without contrast | $1,125 | $572 | $222 |
| MRI of the brain | $1,171 | $898 | $269 |
| MRI of the brain with contrast | $1,374 | $558 | $269 |
| MRI of the brain without contrast | $1,125 | $733 | $195 |
| MRI of the chest | $2,034 | $697 | $371 |
| MRI of the chest without contrast | $2,920 | $1,064 | $466 |
| MRI of the knee | $1,077 | $831 | $315 |
| MRI of the knee with contrast | $1,074 | $831 | $315 |
| MRI of the knee without contrast | $1,034 | $686 | $204 |
| MRI of the lower back (lumbar spine) | $1,201 | $938 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $1,261 | $876 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,151 | $938 | $192 |
| MRI of the mid-back (thoracic spine) | $2,251 | $976 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $1,850 | $1,124 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $2,535 | $971 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $1,218 | $976 | $190 |
| MRI of the neck (cervical spine) | $2,169 | $1,114 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $2,112 | $1,224 | $318 |
| MRI of the neck (cervical spine) with contrast | $2,913 | $1,114 | $274 |
| MRI of the neck (cervical spine) without contrast | $1,178 | $1,064 | $191 |
| MRI of the pelvis | $1,049 | $766 | $268 |
| MRI of the pelvis without contrast | $1,005 | $733 | $227 |
| MRI of the shoulder | $1,069 | $873 | $313 |
| MRI of the shoulder with contrast | $1,197 | $873 | $313 |
| MRI of the shoulder without contrast | $1,021 | $720 | $205 |
| MRI of the wrist | $1,038 | $761 | $330 |
| MRI of the wrist without contrast | $987 | $572 | $303 |
| Nebulizer breathing treatment | $178 | $437 | $9 |
| Nuchal translucency ultrasound | $129 | $634 | $116 |
| Nuclear cardiac stress test | $2,087 | $3,866 | $428 |
| Occupational therapy evaluation | $142 | $262 | $101 |
| Occupational therapy evaluation (high complexity) | $171 | $262 | $101 |
| Occupational therapy evaluation (low complexity) | $114 | $262 | $101 |
| Occupational therapy evaluation (moderate complexity) | $142 | $262 | $101 |
| Office visit (established patient) | $157 | $239 | $115 |
| Office visit (new patient) | $239 | $198 | $177 |
| Office visit, established patient (level 3) | $157 | $233 | $95 |
| Office visit, established patient (level 4) | $222 | $245 | $136 |
| Office visit, new patient (level 3) | $191 | $157 | $118 |
| Office visit, new patient (level 4) | $239 | $187 | $177 |
| Office visit, new patient (level 5) | $378 | $222 | $237 |
| Orthopedic hardware removal | $1,025 | $850 | $632 |
| Ovarian cyst removal | $1,311 | $1,728 | $698 |
| Ovary removal (oophorectomy) | $1,075 | $1,694 | $822 |
| Pap smear (cervical screening) | $90 | $70 | $20 |
| Parathyroid hormone (PTH) test | $212 | $157 | $41 |
| Pelvic ultrasound | $105 | $514 | $78 |
| Pelvic ultrasound (complete) | $105 | $696 | $105 |
| Pelvic ultrasound (limited) | $257 | $333 | $51 |
| PET scan | $4,488 | $5,717 | — |
| Phosphorus blood test | $45 | $72 | $5 |
| Physical therapy evaluation | $228 | $278 | $98 |
| Physical therapy evaluation (high complexity) | $273 | $278 | $98 |
| Physical therapy evaluation (moderate complexity) | $228 | $278 | $98 |
| Pilonidal cyst removal | $663 | $712 | $541 |
| Platelet count | $26 | $18 | $4 |
| Pneumonia vaccine | $76 | $138 | — |
| Pregnancy blood test (hCG) | $75 | $89 | $8 |
| Pregnancy ultrasound | $112 | $522 | $126 |
| Pregnancy ultrasound (first trimester) | $111 | $358 | $117 |
| Pregnancy ultrasound (second or third trimester) | $113 | $686 | $136 |
| Procalcitonin test | $371 | $620 | $27 |
| Prolactin test | $92 | $261 | $19 |
| Prostate test (PSA) | $112 | $309 | $18 |
| Psychiatric evaluation | $208 | $183 | $188 |
| Psychotherapy session | $111 | $148 | $140 |
| Rotator cuff repair | $1,774 | $2,111 | $792 |
| Sacroiliac joint injection | $167 | $640 | $176 |
| Scoliosis spine X-ray | $131 | $824 | $58 |
| Scoliosis spine X-ray (1 view) | $127 | $824 | $44 |
| Scoliosis spine X-ray (3 views) | $149 | $824 | $72 |
| Screening mammogram | $375 | $339 | $126 |
| Scrotal ultrasound | $71 | $668 | $99 |
| Sedimentation rate (ESR) test | $53 | $59 | $3 |
| Semen analysis | $142 | $111 | $12 |
| Septoplasty (deviated septum) | $1,050 | $868 | $613 |
| Sex hormone binding globulin test | $47 | $70 | $22 |
| Shoulder arthroscopy | $1,728 | $1,888 | $962 |
| Shoulder replacement | $2,627 | $3,764 | $1,300 |
| Simple laceration repair (small, up to 2.5 cm) | $234 | $436 | $114 |
| Simple wound stitches | $234 | $436 | $127 |
| Sinus surgery (endoscopic) | $543 | $476 | $224 |
| Skin biopsy | $212 | $297 | $121 |
| Skin biopsy (punch) | $186 | $341 | $121 |
| Skin cancer lesion removal | $491 | $317 | $240 |
| Skin lesion freezing (cryotherapy) | $76 | $77 | $36 |
| Skin tag removal | $106 | $150 | $92 |
| Small bowel resection | $2,593 | $2,603 | $1,136 |
| Soft tissue ultrasound | $205 | $289 | $64 |
| Speech therapy | $222 | $306 | $76 |
| Spinal tap (lumbar puncture) | $455 | $1,040 | $165 |
| Spirometry (lung function test) | $68 | $428 | $30 |
| Spirometry with bronchodilator | $102 | $797 | $43 |
| Strep throat test | $68 | $39 | $17 |
| Stress echocardiogram | $601 | $696 | $209 |
| Stress echocardiogram (complete) | $601 | $166 | $233 |
| Swallow study | $252 | $970 | $85 |
| T3 thyroid test | $51 | $153 | $14 |
| Tdap (tetanus) vaccine | $77 | $85 | — |
| Testosterone test | $144 | $313 | $26 |
| Thyroid removal (thyroidectomy) | $2,172 | $1,706 | $1,004 |
| Thyroid test (TSH) | $86 | $79 | $17 |
| Thyroid ultrasound | $93 | $391 | $109 |
| Thyroid uptake scan | $332 | $948 | $145 |
| Tilt table test | $5,317 | $727 | $168 |
| Tonsillectomy | $447 | $405 | $252 |
| Total IgE allergy test | $95 | $296 | $16 |
| Total protein test | $54 | $60 | $4 |
| Transesophageal echocardiogram (TEE) | $962 | $1,121 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $955 | $1,574 | $239 |
| Transvaginal ultrasound | $135 | $523 | $118 |
| Trigger finger release | $1,013 | $1,065 | $630 |
| Trigger point injection | $108 | $171 | $56 |
| Trigger point injection (1-2 muscles) | $105 | $171 | $52 |
| Triglycerides test | $40 | $42 | $6 |
| Troponin (heart) test | $142 | $189 | $12 |
| Tubal ligation | $698 | $901 | $333 |
| Turbinate reduction | $748 | $541 | $294 |
| Turning a breech baby (version) | $1,573 | $2,800 | $94 |
| Ulnar nerve surgery (elbow) | $982 | $1,277 | $575 |
| Upper GI endoscopy (EGD) | $534 | $1,994 | $371 |
| Upper GI series (barium) | $207 | $2,074 | $128 |
| Ureteroscopy (stone removal) | $855 | $1,727 | $365 |
| Uric acid (gout) test | $45 | $58 | $5 |
| Urinalysis | $35 | $27 | $3 |
| Urine microalbumin test | $71 | $51 | $5 |
| Urine pregnancy test | $48 | $54 | $9 |
| Vaccine administration | $40 | $31 | $19 |
| Vaccine administration (each additional) | $25 | $152 | $16 |
| Varicose vein ablation | $2,901 | $2,769 | $1,018 |
| Vasectomy | $750 | $588 | $347 |
| Vitamin B12 test | $92 | $100 | $15 |
| Vitamin D test | $122 | $152 | $30 |
| Wart removal | $157 | $311 | $121 |
| Well-child visit | $93 | $121 | — |
| Wound debridement | $453 | $420 | $186 |
| Wrist fracture repair | $1,350 | $1,570 | $735 |
| X-ray of the collarbone | $28 | $656 | $33 |
| X-ray of the facial bones | $116 | $639 | $39 |
| X-ray of the hip | $81 | $753 | $49 |
| X-ray of the hip (1 view) | $71 | $508 | $34 |
| X-ray of the hip (3 views) | $145 | $753 | $49 |
| X-ray of the hip (4 views) | $204 | $1,130 | $63 |
| X-ray of the knee | $45 | $828 | $42 |
| X-ray of the knee (2 views) | $24 | $670 | $34 |
| X-ray of the knee (3 views) | $31 | $828 | $42 |
| X-ray of the knee (4+ views) | $46 | $954 | $49 |
| X-ray of the lower back (lumbar spine) | $65 | $1,436 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $35 | $1,242 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $65 | $1,629 | $53 |
| X-ray of the lower leg | $30 | $714 | $31 |
| X-ray of the mid-back (thoracic spine) | $35 | $922 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $30 | $835 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $35 | $1,009 | $39 |
| X-ray of the neck (cervical spine) | $63 | $1,148 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $32 | $956 | $40 |
| X-ray of the pelvis | $40 | $641 | $36 |
| X-ray of the pelvis (1 view) | $26 | $553 | $28 |
| X-ray of the ribs | $46 | $1,095 | $42 |
| X-ray of the ribs (2 views) | $35 | $972 | $36 |
| X-ray of the ribs (3 views) | $46 | $1,095 | $42 |
| X-ray of the shoulder | $74 | $831 | $36 |
| X-ray of the skull | $120 | $948 | $40 |
| X-ray of the upper arm | $101 | $549 | $32 |
| Zinc blood test | $78 | $194 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
