| Procedure | Slidell Memorial Hospital | St Tammany Parish Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $41 | $61 | $51 |
| Abdominal fluid drain (paracentesis) | $386 | $1,423 | $284 |
| Abdominal ultrasound | $113 | $513 | $100 |
| Abdominal ultrasound (complete) | $140 | $524 | $114 |
| Abdominal ultrasound (limited) | $87 | $502 | $86 |
| Abscess drainage (complex or multiple) | $144 | $845 | $220 |
| Abscess drainage (simple) | $73 | $420 | $129 |
| Abscess incision and drainage | $116 | $632 | $174 |
| Achilles tendon repair | $8,211 | $20,961 | $624 |
| ACL knee reconstruction | $7,501 | $14,255 | $889 |
| Albumin blood test | $15 | $28 | $5 |
| Aldosterone test | $84 | $165 | $41 |
| Alkaline phosphatase test | $25 | $38 | $5 |
| Alpha-fetoprotein (AFP) test | $80 | $94 | $17 |
| ALT liver enzyme test | $26 | $50 | $5 |
| Ammonia blood test | $17 | $52 | $15 |
| Amniocentesis | $230 | $1,228 | $120 |
| Amylase test | $28 | $106 | $6 |
| Anal fistula repair | $2,947 | $6,510 | $541 |
| Ankle fracture repair | $2,351 | $18,813 | $608 |
| Anoscopy | $44 | $201 | $129 |
| Antinuclear antibody (ANA) test | $47 | $67 | $12 |
| Arterial blood gas (ABG) | $72 | $68 | $26 |
| AST liver enzyme test | $25 | $50 | $5 |
| Barium swallow study | $85 | $365 | $107 |
| Bartholin cyst removal | $69 | $395 | $182 |
| Basic metabolic panel | $61 | $36 | $8 |
| Benign skin lesion removal | $255 | $5,582 | $171 |
| Bilirubin blood test | $14 | $31 | $5 |
| Bladder scope (cystoscopy) | $258 | $8,922 | $216 |
| Bladder tumor removal (TURBT) | $1,322 | $9,312 | $236 |
| Blood clotting test (PT/INR) | $18 | $33 | $4 |
| Blood crossmatch | $84 | $247 | — |
| Blood glucose test | $15 | $34 | $5 |
| Blood transfusion | $177 | $924 | $47 |
| Blood type and screen | $13 | $86 | $10 |
| Blood type test | $12 | $131 | $3 |
| Blood type test (ABO group) | $15 | $201 | $3 |
| Blood type test (Rh/D antigen) | $9 | $61 | $3 |
| BNP (heart failure) test | $43 | $204 | $39 |
| Bone density scan (DEXA) | $79 | $309 | $39 |
| Bone marrow biopsy | $556 | $2,580 | $172 |
| Bone scan (nuclear) | $311 | $1,252 | $259 |
| Breast biopsy | $774 | $2,580 | $478 |
| Breast MRI | $690 | $498 | $216 |
| Breast MRI without contrast | $690 | $498 | $216 |
| Breast reduction | $11,508 | $18,810 | $980 |
| Breast ultrasound | $131 | $255 | $92 |
| Breast ultrasound (complete) | $178 | $255 | $100 |
| Breast ultrasound (limited) | $106 | $255 | $84 |
| Breathing tube insertion (intubation) | $113 | $427 | $133 |
| Bronchoscopy | $349 | $2,533 | $303 |
| Bunion surgery (bunionectomy) | $10,159 | $20,220 | $883 |
| Burn dressing and debridement (medium) | $113 | $323 | $166 |
| Burn dressing and debridement (small) | $100 | $277 | $93 |
| Burn treatment | $106 | $300 | $129 |
| C-reactive protein (CRP) | $32 | $41 | $5 |
| CA 19-9 tumor marker test | $38 | $129 | $21 |
| CA-125 ovarian marker test | $27 | $159 | $21 |
| Calcium blood test | $25 | $29 | $5 |
| Cardiac ablation | $7,530 | $41,400 | $759 |
| Cardiac catheterization | $1,543 | $7,600 | $1,049 |
| Cardiac rehabilitation | $37 | $266 | $26 |
| Cardiac stress test | $270 | $476 | $39 |
| Cardioversion | $194 | $1,166 | $155 |
| Carotid artery ultrasound | $128 | $377 | $156 |
| Carpal tunnel release | $1,672 | $7,562 | $483 |
| CEA tumor marker test | $55 | $114 | $19 |
| Celiac disease test | $5 | $34 | $12 |
| Central line placement | $1,068 | $1,881 | $238 |
| Cervical cerclage | $365 | $5,749 | $137 |
| Cervical LEEP procedure | $2,334 | $6,962 | $325 |
| Cesarean section (C-section) | $7,072 | $9,571 | $7,552 |
| Chemotherapy infusion | $183 | $340 | $81 |
| Chemotherapy infusion (each additional) | $151 | $111 | $28 |
| Chemotherapy infusion (first hour) | $216 | $569 | $133 |
| Chest fluid drain (thoracentesis) | $281 | $1,342 | $311 |
| Chest tube insertion | $525 | $1,881 | $143 |
| Chest X-ray | $65 | $183 | $37 |
| Chest X-ray (1 view) | $49 | $186 | $25 |
| Chest X-ray (2 views) | $61 | $180 | $33 |
| Circumcision | $693 | $4,730 | $167 |
| CK-MB heart enzyme test | $29 | $44 | $12 |
| Clotting time test (PTT) | $31 | $88 | $6 |
| Colonoscopy | $392 | $2,515 | $480 |
| Complete blood count (CBC) | $27 | $58 | $7 |
| Complete blood count (CBC) (complete) | $31 | $65 | $8 |
| Complex wound repair | $228 | $6,456 | $390 |
| Comprehensive metabolic panel | $80 | $44 | $11 |
| Contraceptive implant (Nexplanon) | $67 | $4,084 | $115 |
| Copper blood test | $39 | $56 | $12 |
| Coronary artery bypass (CABG) | $32,519 | $80,438 | $36,593 |
| Coronary CT angiography | $225 | $755 | $326 |
| Cortisol test | $47 | $67 | $16 |
| COVID-19 PCR test | $21 | $108 | $51 |
| CPAP titration study | $66 | $356 | $69 |
| Creatine kinase (CK) test | $25 | $94 | $7 |
| CT angiography of the chest | $491 | $2,082 | $281 |
| CT angiography of the head | $491 | $808 | $274 |
| CT scan of the abdomen | $366 | $1,736 | $230 |
| CT scan of the abdomen and pelvis | $725 | $2,982 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $797 | $3,293 | $338 |
| CT scan of the abdomen and pelvis with contrast | $725 | $2,982 | $300 |
| CT scan of the abdomen and pelvis without contrast | $634 | $2,663 | $183 |
| CT scan of the abdomen with and without contrast | $439 | $1,916 | $259 |
| CT scan of the abdomen with contrast | $366 | $1,736 | $230 |
| CT scan of the abdomen without contrast | $316 | $1,387 | $136 |
| CT scan of the arm | $298 | $1,059 | $199 |
| CT scan of the arm with contrast | $298 | $1,096 | $199 |
| CT scan of the arm without contrast | $263 | $1,059 | $161 |
| CT scan of the chest | $372 | $1,139 | $167 |
| CT scan of the chest with and without contrast | $455 | $1,139 | $196 |
| CT scan of the chest with contrast | $372 | $1,139 | $167 |
| CT scan of the chest without contrast | $328 | $1,139 | $133 |
| CT scan of the head | $363 | $1,203 | $148 |
| CT scan of the head with and without contrast | $408 | $1,203 | $173 |
| CT scan of the head with contrast | $363 | $1,203 | $148 |
| CT scan of the head without contrast | $303 | $1,203 | $107 |
| CT scan of the leg | $298 | $1,059 | $166 |
| CT scan of the leg with contrast | $298 | $1,059 | $166 |
| CT scan of the leg without contrast | $263 | $1,057 | $130 |
| CT scan of the lower back (lumbar spine) | $365 | $1,561 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $379 | $1,561 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $373 | $1,824 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $325 | $1,171 | $130 |
| CT scan of the neck | $331 | $1,126 | $183 |
| CT scan of the neck (cervical spine) | $365 | $1,371 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $379 | $1,561 | $196 |
| CT scan of the neck (cervical spine) with contrast | $373 | $1,371 | $168 |
| CT scan of the neck (cervical spine) without contrast | $324 | $1,191 | $131 |
| CT scan of the neck with and without contrast | $372 | $1,126 | $220 |
| CT scan of the neck with contrast | $331 | $1,126 | $183 |
| CT scan of the neck without contrast | $283 | $1,126 | $150 |
| CT scan of the pelvis | $359 | $1,246 | $226 |
| CT scan of the pelvis with and without contrast | $427 | $1,408 | $251 |
| CT scan of the pelvis with contrast | $359 | $1,246 | $226 |
| CT scan of the pelvis without contrast | $318 | $1,246 | $133 |
| CT scan of the sinuses | $320 | $1,122 | $152 |
| CT scan of the sinuses with and without contrast | $415 | $1,236 | $184 |
| CT scan of the sinuses with contrast | $320 | $1,122 | $152 |
| CT scan of the sinuses without contrast | $277 | $1,078 | $128 |
| D-dimer test | $35 | $104 | $10 |
| Defibrillator (ICD) implant | $12,300 | $59,251 | $798 |
| DHEA-sulfate test | $28 | $92 | $22 |
| Diagnostic mammogram | $87 | $255 | $140 |
| Dialysis fistula creation | $3,658 | $14,644 | $601 |
| Dilation and curettage (D&C) | $3,588 | $5,462 | $298 |
| Drug screen (urine) | $27 | $400 | $17 |
| Echocardiogram | $213 | $1,016 | $138 |
| Echocardiogram with and without contrast | $166 | $472 | $101 |
| Echocardiogram without contrast | $213 | $1,016 | $138 |
| EEG (awake and asleep) | $143 | $631 | $482 |
| EKG / ECG (tracing only) | $43 | $164 | $7 |
| Electrocardiogram (EKG) | $43 | $164 | $8 |
| Electroencephalogram (EEG) | $123 | $631 | $448 |
| Electrolyte panel | $66 | $33 | $7 |
| Emergency department visit | $119 | $1,800 | $69 |
| Emergency department visit (level 1) | $36 | $285 | $11 |
| Emergency department visit (level 2) | $83 | $480 | $40 |
| Emergency department visit (level 3) | $119 | $810 | $69 |
| Emergency department visit (level 4) | $148 | $3,060 | $118 |
| Emergency department visit (level 5) | $201 | $3,600 | $171 |
| Endometrial biopsy | $2,754 | $300 | $98 |
| Epidural steroid injection | $266 | $3,946 | $275 |
| ERCP (bile duct endoscopy) | $932 | $5,250 | $311 |
| Esophageal dilation | $458 | $2,077 | $522 |
| Estradiol (estrogen) test | $59 | $128 | $28 |
| Facet joint injection (spine) | $181 | $592 | $99 |
| Fallopian tube X-ray (HSG) | $66 | $445 | $164 |
| Fecal occult blood (stool) test | $6 | $55 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $6 | $41 | $4 |
| Feeding tube (PEG) placement | $612 | $2,868 | $178 |
| Ferritin (iron) test | $25 | $139 | $14 |
| Fibrinogen test | $33 | $56 | $10 |
| Fibroid removal (myomectomy) | $9,342 | $10,135 | $914 |
| Flexible sigmoidoscopy | $307 | $1,364 | $323 |
| Folate (folic acid) test | $44 | $95 | $15 |
| Foreign body removal (skin) | $121 | $845 | $157 |
| Free T4 thyroid test | $93 | $63 | $9 |
| FSH hormone test | $64 | $106 | $19 |
| Gallbladder removal (laparoscopic) | $6,509 | $14,581 | $658 |
| Gallbladder scan (HIDA) | $320 | $768 | $334 |
| Ganglion cyst removal | $1,688 | $8,506 | $321 |
| GGT liver test | $38 | $56 | $7 |
| Glucose tolerance test | $32 | $66 | $8 |
| H. pylori test | $208 | $134 | $67 |
| Hammertoe repair | $4,774 | $11,816 | $548 |
| HDL cholesterol test | $28 | $77 | $8 |
| Hematocrit test | $12 | $11 | $2 |
| Hemoglobin A1c (diabetes test) | $9 | $67 | $10 |
| Hemorrhoid removal | $307 | $2,895 | $338 |
| Hepatitis B test | $42 | $50 | $10 |
| Hepatitis C test | $40 | $113 | $14 |
| Hip replacement | $9,867 | $28,109 | $1,162 |
| HIV test | $23 | $146 | $19 |
| HIV test (antibody) | $35 | $146 | $14 |
| HIV test (antigen/antibody combo) | $23 | $146 | $24 |
| Holter heart monitor | $89 | $980 | $26 |
| Home sleep apnea test | $69 | $297 | $123 |
| Hysterectomy | $6,981 | $20,102 | $933 |
| Hysteroscopy | $3,020 | $10,889 | $1,270 |
| Inguinal hernia repair | $5,079 | $10,079 | $538 |
| Iron blood test | $35 | $94 | $6 |
| IUD insertion | $2,250 | $414 | — |
| IUD removal | $137 | $414 | $112 |
| IV infusion therapy | $106 | $354 | $44 |
| IV infusion therapy (each additional) | $83 | $187 | $21 |
| IV infusion therapy (initial) | $130 | $520 | $67 |
| IVC filter placement | $3,106 | $8,630 | $1,885 |
| Joint aspiration (small/intermediate) | $106 | $468 | $57 |
| Joint aspiration or injection (mid-size joint) | $106 | $702 | $57 |
| Joint aspiration or injection (small joint) | $106 | $468 | $56 |
| Kidney biopsy | $652 | $2,580 | $492 |
| Kidney scan (nuclear) | $325 | $1,721 | $172 |
| Kidney stone shock-wave (lithotripsy) | $2,178 | $12,610 | $760 |
| Kidney ultrasound | $126 | $317 | $84 |
| Kidney ultrasound (limited) | $112 | $276 | $61 |
| Knee arthroscopy | $2,960 | $15,397 | $524 |
| Knee joint injection | $106 | $468 | $69 |
| Knee replacement | $14,127 | $56,266 | $18,054 |
| Lactate test | $33 | $96 | $12 |
| Laryngoscopy | $309 | $301 | $189 |
| LDH test | $26 | $51 | $6 |
| LDL cholesterol test | $37 | $31 | $11 |
| Leg artery angiogram | $1,074 | $4,770 | $149 |
| Leg artery angioplasty | $3,237 | $15,324 | — |
| Leg vein ultrasound (Doppler) | $187 | $540 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $116 | $431 | $116 |
| LH hormone test | $56 | $113 | $19 |
| Lipase test | $23 | $106 | $7 |
| Lipid (cholesterol) panel | $41 | $83 | $13 |
| Liver biopsy | $280 | $2,580 | $288 |
| Liver function panel | $76 | $57 | $8 |
| Lumpectomy (breast) | $5,539 | $10,183 | $750 |
| Lung function test (PFT) | $62 | $494 | $37 |
| Lung scan (V/Q) | $317 | $1,138 | $291 |
| Mastectomy | $6,239 | $20,742 | $1,021 |
| Meniscus repair (knee) | $4,595 | $24,661 | $714 |
| MRA of the brain | $570 | $1,768 | $226 |
| MRA of the brain with contrast | $570 | $1,768 | $226 |
| MRA of the brain without contrast | $872 | $2,667 | $328 |
| MRA of the neck | $570 | $1,779 | $245 |
| MRA of the neck with contrast | $570 | $1,779 | $245 |
| MRA of the neck without contrast | $872 | $2,824 | $343 |
| MRI of the abdomen | $490 | $1,275 | $300 |
| MRI of the abdomen with contrast | $478 | $1,275 | $300 |
| MRI of the abdomen without contrast | $473 | $1,116 | $194 |
| MRI of the ankle | $662 | $1,660 | $261 |
| MRI of the ankle with contrast | $478 | $1,660 | $261 |
| MRI of the ankle without contrast | $695 | $1,456 | $222 |
| MRI of the brain | $574 | $2,329 | $269 |
| MRI of the brain with contrast | $574 | $2,329 | $269 |
| MRI of the brain without contrast | $484 | $2,038 | $195 |
| MRI of the chest | $490 | $1,900 | $371 |
| MRI of the chest without contrast | $935 | $2,402 | $466 |
| MRI of the knee | $907 | $1,759 | $315 |
| MRI of the knee with contrast | $709 | $1,759 | $315 |
| MRI of the knee without contrast | $695 | $1,543 | $204 |
| MRI of the lower back (lumbar spine) | $541 | $1,961 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $541 | $1,961 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $492 | $1,569 | $192 |
| MRI of the mid-back (thoracic spine) | $541 | $1,782 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $935 | $2,266 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $541 | $1,782 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $492 | $1,562 | $190 |
| MRI of the neck (cervical spine) | $541 | $2,079 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $935 | $2,371 | $318 |
| MRI of the neck (cervical spine) with contrast | $541 | $2,079 | $274 |
| MRI of the neck (cervical spine) without contrast | $492 | $1,823 | $191 |
| MRI of the pelvis | $478 | $1,457 | $268 |
| MRI of the pelvis with contrast | $478 | $1,398 | $268 |
| MRI of the pelvis without contrast | $428 | $1,457 | $227 |
| MRI of the shoulder | $700 | $1,759 | $313 |
| MRI of the shoulder with contrast | $478 | $1,759 | $313 |
| MRI of the shoulder without contrast | $695 | $1,543 | $205 |
| MRI of the wrist | $487 | $1,811 | $330 |
| MRI of the wrist with contrast | $478 | $1,811 | $330 |
| MRI of the wrist without contrast | $468 | $1,456 | $303 |
| Nebulizer breathing treatment | $48 | $430 | $9 |
| Neck (cervical) spinal fusion | $12,573 | $7,214 | $1,410 |
| Nuclear cardiac stress test | $708 | $2,759 | $428 |
| Occupational therapy evaluation | $49 | $195 | $101 |
| Occupational therapy evaluation (high complexity) | $57 | $225 | $101 |
| Occupational therapy evaluation (low complexity) | $41 | $165 | $101 |
| Occupational therapy evaluation (moderate complexity) | $49 | $195 | $101 |
| Office visit (established patient) | $61 | $205 | $115 |
| Office visit (new patient) | $99 | $224 | $177 |
| Office visit, established patient (level 3) | $25 | $186 | $95 |
| Office visit, established patient (level 4) | $99 | $224 | $136 |
| Office visit, new patient (level 3) | $75 | $186 | $118 |
| Office visit, new patient (level 4) | $99 | $224 | $177 |
| Office visit, new patient (level 5) | $136 | $224 | $237 |
| Orthopedic hardware removal | $2,664 | $8,583 | $632 |
| Pacemaker insertion | $16,506 | $36,361 | $15,506 |
| Pap smear (cervical screening) | $11 | $75 | $20 |
| Parathyroid hormone (PTH) test | $106 | $152 | $41 |
| Parathyroid removal | $11,610 | $11,439 | $891 |
| Pelvic ultrasound | $99 | $375 | $78 |
| Pelvic ultrasound (complete) | $122 | $479 | $105 |
| Pelvic ultrasound (limited) | $77 | $271 | $51 |
| Physical therapy evaluation | $49 | $195 | $98 |
| Physical therapy evaluation (high complexity) | $57 | $225 | $98 |
| Physical therapy evaluation (moderate complexity) | $49 | $195 | $98 |
| Pilonidal cyst removal | $2,796 | $5,806 | $541 |
| Platelet count | $19 | $41 | $4 |
| Pregnancy blood test (hCG) | $54 | $110 | $8 |
| Pregnancy ultrasound | $175 | $316 | $126 |
| Pregnancy ultrasound (first trimester) | $175 | $285 | $117 |
| Pregnancy ultrasound (second or third trimester) | $175 | $346 | $136 |
| Procalcitonin test | $33 | $84 | $27 |
| Prolactin test | $12 | $112 | $19 |
| Prostate biopsy | $407 | $12,624 | — |
| Prostate surgery (TURP) | $3,923 | $11,311 | $526 |
| Prostate test (PSA) | $48 | $45 | $18 |
| Pulmonary rehabilitation | $61 | $135 | $87 |
| Radiofrequency nerve ablation | $742 | $7,677 | $462 |
| Rotator cuff repair | $5,898 | $23,939 | $792 |
| Scoliosis spine X-ray | $36 | $169 | $58 |
| Scoliosis spine X-ray (1 view) | $26 | $119 | $44 |
| Scoliosis spine X-ray (3 views) | $47 | $219 | $72 |
| Screening mammogram | $68 | $270 | $126 |
| Scrotal ultrasound | $92 | $466 | $99 |
| Sedimentation rate (ESR) test | $22 | $62 | $3 |
| Sex hormone binding globulin test | $20 | $65 | $22 |
| Shoulder arthroscopy | $6,987 | $40,012 | $962 |
| Shoulder replacement | $15,423 | $8,338 | $1,300 |
| Simple laceration repair (small, up to 2.5 cm) | $87 | $328 | $114 |
| Simple wound stitches | $70 | $328 | $127 |
| Skin biopsy | $73 | $845 | $121 |
| Skin biopsy (punch) | $73 | $845 | $121 |
| Sleep study (polysomnography) | $794 | $2,738 | $691 |
| Soft tissue ultrasound | $72 | $502 | $64 |
| Speech therapy | $82 | $210 | $76 |
| Spinal tap (lumbar puncture) | $167 | $1,231 | $165 |
| Spirometry (lung function test) | $67 | $331 | $30 |
| Spirometry with bronchodilator | $57 | $658 | $43 |
| Strep throat test | $17 | $65 | $17 |
| Stress echocardiogram | $178 | $1,140 | $209 |
| Stress echocardiogram (complete) | $178 | $1,140 | $233 |
| Swallow study | $55 | $165 | $85 |
| Testicle removal (orchiectomy) | $1,322 | $7,766 | $306 |
| Testosterone test | $62 | $128 | $26 |
| Thyroid test (TSH) | $40 | $99 | $17 |
| Thyroid ultrasound | $86 | $466 | $109 |
| Thyroid uptake scan | $233 | $781 | $145 |
| Tilt table test | $237 | $986 | $168 |
| Total IgE allergy test | $50 | $84 | $16 |
| Total protein test | $22 | $37 | $4 |
| Transesophageal echocardiogram (TEE) | $208 | $1,459 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $208 | $1,898 | $239 |
| Transvaginal ultrasound | $95 | $514 | $118 |
| Trigger finger release | $1,718 | $7,630 | $630 |
| Trigger point injection | $81 | $468 | $56 |
| Trigger point injection (1-2 muscles) | $56 | $468 | $52 |
| Triglycerides test | $13 | $31 | $6 |
| Troponin (heart) test | $17 | $106 | $12 |
| Tubal ligation | $6,572 | $15,872 | $333 |
| Turning a breech baby (version) | $979 | $4,349 | $94 |
| Ulnar nerve surgery (elbow) | $2,507 | $9,342 | $575 |
| Upper GI endoscopy (EGD) | $314 | $2,066 | $371 |
| Upper GI series (barium) | $89 | $390 | $128 |
| Ureteral stent placement | $9,328 | $13,007 | $373 |
| Ureteroscopy (stone removal) | $4,713 | $13,651 | $365 |
| Uric acid (gout) test | $26 | $70 | $5 |
| Urinalysis | $20 | $30 | $3 |
| Urine microalbumin test | $23 | $42 | $5 |
| Urine pregnancy test | $50 | $47 | $9 |
| Vaccine administration | $20 | $88 | $19 |
| Vaccine administration (each additional) | $8 | $64 | $16 |
| Vaginal delivery | $3,115 | $9,030 | $5,487 |
| Vasectomy | $765 | $8,364 | $347 |
| Vitamin B12 test | $18 | $87 | $15 |
| Vitamin D test | $60 | $101 | $30 |
| Wound debridement | $165 | $3,289 | $186 |
| Wrist fracture repair | $5,740 | $17,925 | $735 |
| X-ray of the abdomen | $61 | $219 | $36 |
| X-ray of the ankle | $73 | $177 | $37 |
| X-ray of the collarbone | $60 | $173 | $33 |
| X-ray of the elbow | $73 | $176 | $33 |
| X-ray of the facial bones | $41 | $234 | $39 |
| X-ray of the foot | $73 | $177 | $34 |
| X-ray of the forearm | $73 | $165 | $29 |
| X-ray of the hand | $95 | $177 | $38 |
| X-ray of the hip | $47 | $180 | $49 |
| X-ray of the hip (1 view) | $35 | $119 | $34 |
| X-ray of the hip (3 views) | $49 | $180 | $49 |
| X-ray of the hip (4 views) | $49 | $219 | $63 |
| X-ray of the knee | $84 | $219 | $42 |
| X-ray of the knee (2 views) | $56 | $147 | $34 |
| X-ray of the knee (3 views) | $95 | $195 | $42 |
| X-ray of the knee (4+ views) | $91 | $219 | $49 |
| X-ray of the lower back (lumbar spine) | $77 | $258 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $75 | $219 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $78 | $298 | $53 |
| X-ray of the lower leg | $73 | $177 | $31 |
| X-ray of the mid-back (thoracic spine) | $66 | $219 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $58 | $229 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $75 | $209 | $39 |
| X-ray of the neck (cervical spine) | $83 | $258 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $63 | $298 | $40 |
| X-ray of the pelvis | $40 | $224 | $36 |
| X-ray of the pelvis (1 view) | $37 | $219 | $28 |
| X-ray of the ribs | $80 | $219 | $42 |
| X-ray of the ribs (2 views) | $61 | $218 | $36 |
| X-ray of the ribs (3 views) | $83 | $219 | $42 |
| X-ray of the shoulder | $57 | $188 | $36 |
| X-ray of the skull | $48 | $257 | $40 |
| X-ray of the upper arm | $60 | $175 | $32 |
| X-ray of the wrist | $73 | $177 | $43 |
| Zinc blood test | $31 | $44 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
