| Procedure | Trinity-Bettendorf | Morrison Community Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $53 | $122 | $51 |
| Abdominal fluid drain (paracentesis) | $1,510 | $1,407 | $284 |
| Abdominal ultrasound | $656 | $887 | $100 |
| Abdominal ultrasound (complete) | $1,061 | $978 | $114 |
| Abdominal ultrasound (limited) | $656 | $797 | $86 |
| Abscess drainage (complex or multiple) | $689 | $401 | $220 |
| Abscess drainage (simple) | $375 | $222 | $129 |
| Abscess incision and drainage | $445 | $311 | $174 |
| Achilles tendon repair | $1,632 | $8,927 | $624 |
| ACL knee reconstruction | $2,416 | $17,181 | $889 |
| Adenoid removal (adenoidectomy) | $535 | $5,184 | $204 |
| Albumin blood test | $34 | $46 | $5 |
| Aldosterone test | $109 | $53 | $41 |
| Alkaline phosphatase test | $34 | $65 | $5 |
| Allergy patch testing | $16 | $73 | $5 |
| Allergy shots | $29 | $38 | $11 |
| Alpha-fetoprotein (AFP) test | $64 | $96 | $17 |
| ALT liver enzyme test | $34 | $66 | $5 |
| Ammonia blood test | $64 | $178 | $15 |
| Amylase test | $34 | $75 | $6 |
| Ankle fracture repair | $1,595 | $15,565 | $608 |
| Ankle replacement | $2,384 | $18,918 | $885 |
| Annual physical (established patient) | $220 | $280 | — |
| Annual physical (new patient) | $254 | $330 | — |
| Anoscopy | $84 | $257 | $129 |
| Antinuclear antibody (ANA) test | $49 | $96 | $12 |
| AST liver enzyme test | $34 | $65 | $5 |
| Bartholin cyst removal | $504 | $825 | $182 |
| Basic metabolic panel | $69 | $123 | $8 |
| Benign skin lesion removal | $416 | $1,181 | $171 |
| Bilirubin blood test | $34 | $63 | $5 |
| Bladder function test (urodynamics) | $730 | $814 | $345 |
| Bladder scope (cystoscopy) | $2,071 | $2,307 | $216 |
| Blood clotting test (PT/INR) | $33 | $61 | $4 |
| Blood glucose test | $34 | $49 | $5 |
| Blood transfusion | $418 | $760 | $47 |
| Blood type and screen | $57 | $152 | $10 |
| Blood type test | $57 | $61 | $3 |
| Blood type test (ABO group) | $57 | $61 | $3 |
| Blood type test (Rh/D antigen) | $57 | $61 | $3 |
| BNP (heart failure) test | $86 | $320 | $39 |
| Botox for migraine | $682 | $421 | $157 |
| Breast biopsy | $4,225 | $2,650 | $478 |
| Breast ultrasound | $301 | $477 | $92 |
| Breast ultrasound (complete) | $285 | $520 | $100 |
| Breast ultrasound (limited) | $427 | $434 | $84 |
| Breathing tube insertion (intubation) | $619 | $290 | $133 |
| Bronchoscopy | $3,147 | $2,839 | $303 |
| Bunion surgery (bunionectomy) | $4,203 | $9,460 | $883 |
| Burn dressing and debridement (medium) | $375 | $319 | $166 |
| Burn dressing and debridement (small) | $375 | $188 | $93 |
| Burn treatment | $375 | $253 | $129 |
| C-reactive protein (CRP) | $49 | $68 | $5 |
| CA 19-9 tumor marker test | $49 | $127 | $21 |
| CA-125 ovarian marker test | $49 | $127 | $21 |
| Calcium blood test | $34 | $65 | $5 |
| Carotid artery ultrasound | $813 | $1,117 | $156 |
| Carpal tunnel release | $2,139 | $6,093 | $483 |
| Cataract surgery | $2,541 | $6,473 | $547 |
| CEA tumor marker test | $64 | $199 | $19 |
| Celiac disease test | $49 | $27 | $12 |
| Central line placement | $1,845 | $834 | $238 |
| Cervical LEEP procedure | $778 | $6,860 | $325 |
| Chemotherapy infusion | $198 | $324 | $81 |
| Chemotherapy infusion (each additional) | $146 | $150 | $28 |
| Chemotherapy infusion (first hour) | $749 | $498 | $133 |
| Chest tube insertion | $1,221 | $4,520 | $143 |
| Chest X-ray | $258 | $343 | $37 |
| Chest X-ray (1 view) | $207 | $297 | $25 |
| Chest X-ray (2 views) | $309 | $389 | $33 |
| Chickenpox (varicella) vaccine | $166 | $196 | — |
| Circumcision | $2,489 | $5,403 | $167 |
| CK-MB heart enzyme test | $64 | $136 | $12 |
| Clotting time test (PTT) | $33 | $101 | $6 |
| Colon resection (colectomy) | $3,298 | $12,377 | $1,238 |
| Colonoscopy | $1,047 | $3,547 | $480 |
| Colposcopy | $382 | $924 | $161 |
| Complete blood count (CBC) | $34 | $76 | $7 |
| Complete blood count (CBC) (complete) | $34 | $85 | $8 |
| Comprehensive metabolic panel | $69 | $164 | $11 |
| Continuous glucose monitor setup | $80 | $104 | $35 |
| Contraceptive implant (Nexplanon) | $395 | $565 | $115 |
| Copper blood test | $32 | $109 | $12 |
| Cortisol test | $55 | $155 | $16 |
| COVID-19 PCR test | $67 | $75 | $51 |
| CPAP titration study | $551 | $157 | $69 |
| Creatine kinase (CK) test | $34 | $71 | $7 |
| CT angiography of the chest | $2,675 | $3,407 | $281 |
| CT angiography of the head | $2,412 | $2,630 | $274 |
| CT scan of the abdomen | $1,925 | $2,659 | $230 |
| CT scan of the abdomen and pelvis | $3,942 | $5,113 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $4,601 | $5,625 | $338 |
| CT scan of the abdomen and pelvis with contrast | $4,299 | $5,113 | $300 |
| CT scan of the abdomen and pelvis without contrast | $3,942 | $4,705 | $183 |
| CT scan of the abdomen with and without contrast | $2,185 | $2,969 | $259 |
| CT scan of the abdomen with contrast | $2,157 | $2,659 | $230 |
| CT scan of the abdomen without contrast | $1,925 | $2,481 | $136 |
| CT scan of the arm | $1,870 | $1,727 | $199 |
| CT scan of the arm with contrast | $2,161 | $1,727 | $199 |
| CT scan of the arm without contrast | $1,870 | $1,551 | $161 |
| CT scan of the chest | $1,954 | $2,456 | $167 |
| CT scan of the chest with and without contrast | $2,318 | $2,762 | $196 |
| CT scan of the chest with contrast | $2,234 | $2,456 | $167 |
| CT scan of the chest without contrast | $1,954 | $1,894 | $133 |
| CT scan of the head | $1,705 | $2,106 | $148 |
| CT scan of the head with and without contrast | $2,167 | $2,609 | $173 |
| CT scan of the head with contrast | $1,946 | $2,106 | $148 |
| CT scan of the head without contrast | $1,705 | $1,966 | $107 |
| CT scan of the leg | $1,589 | $1,727 | $166 |
| CT scan of the leg with contrast | $1,859 | $1,727 | $166 |
| CT scan of the leg without contrast | $1,589 | $1,551 | $130 |
| CT scan of the lower back (lumbar spine) | $2,161 | $2,645 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $2,675 | $2,909 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $2,426 | $2,645 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $2,161 | $2,404 | $130 |
| CT scan of the neck | $1,688 | $2,276 | $183 |
| CT scan of the neck (cervical spine) | $2,128 | $2,701 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $2,580 | $2,957 | $196 |
| CT scan of the neck (cervical spine) with contrast | $2,393 | $2,701 | $168 |
| CT scan of the neck (cervical spine) without contrast | $2,128 | $2,444 | $131 |
| CT scan of the neck with and without contrast | $1,996 | $2,661 | $220 |
| CT scan of the neck with contrast | $1,950 | $2,276 | $183 |
| CT scan of the neck without contrast | $1,688 | $2,047 | $150 |
| CT scan of the pelvis | $1,870 | $2,456 | $226 |
| CT scan of the pelvis with and without contrast | $2,114 | $2,486 | $251 |
| CT scan of the pelvis with contrast | $2,088 | $2,456 | $226 |
| CT scan of the pelvis without contrast | $1,870 | $2,252 | $133 |
| CT scan of the sinuses | $1,536 | $2,356 | $152 |
| CT scan of the sinuses with contrast | $1,774 | $2,666 | $152 |
| CT scan of the sinuses without contrast | $1,536 | $2,047 | $128 |
| D-dimer test | $33 | $169 | $10 |
| Developmental screening (child) | $57 | $29 | — |
| DHEA-sulfate test | $55 | $134 | $22 |
| Diagnostic mammogram | $402 | $414 | $140 |
| Dilation and curettage (D&C) | $3,312 | $2,652 | $298 |
| Drug screen (urine) | $72 | $135 | $17 |
| Ear pressure test (tympanometry) | $35 | $54 | $16 |
| Ear tubes (myringotomy) | $870 | $2,524 | $174 |
| Eardrum repair (tympanoplasty) | $4,330 | $8,785 | $799 |
| Echocardiogram | $454 | $1,803 | $138 |
| Echocardiogram with and without contrast | $454 | $1,101 | $101 |
| EEG (awake and asleep) | $1,026 | $1,801 | $482 |
| EKG / ECG (tracing only) | $172 | $227 | $7 |
| Electrocardiogram (EKG) | $105 | $147 | $8 |
| Electroencephalogram (EEG) | $1,026 | $1,645 | $448 |
| Electrolyte panel | $69 | $91 | $7 |
| Emergency department visit | $170 | $565 | $69 |
| Emergency department visit (level 1) | $170 | $190 | $11 |
| Emergency department visit (level 2) | $346 | $302 | $40 |
| Emergency department visit (level 3) | $130 | $565 | $69 |
| Emergency department visit (level 4) | $1,037 | $1,217 | $118 |
| Endometrial biopsy | $994 | $280 | $98 |
| Esophageal dilation | $1,282 | $3,984 | $522 |
| Estradiol (estrogen) test | $55 | $148 | $28 |
| Fallopian tube X-ray (HSG) | $449 | $649 | $164 |
| Family therapy session | $239 | $264 | $110 |
| Fecal occult blood (stool) test | $37 | $42 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $34 | $42 | $4 |
| Femoral hernia repair | $2,960 | $10,285 | $584 |
| Ferritin (iron) test | $64 | $167 | $14 |
| Fibrinogen test | $33 | $106 | $10 |
| Flexible sigmoidoscopy | $672 | $1,835 | $323 |
| Flu test | $39 | $90 | $17 |
| Flu vaccine | $22 | $25 | — |
| Folate (folic acid) test | $64 | $180 | $15 |
| Foreign body removal (skin) | $236 | $651 | $157 |
| Free T4 thyroid test | $55 | $112 | $9 |
| FSH hormone test | $55 | $167 | $19 |
| Gallbladder removal (laparoscopic) | $1,686 | $14,289 | $658 |
| Ganglion cyst removal | $1,579 | $4,399 | $321 |
| GGT liver test | $34 | $58 | $7 |
| Glucose tolerance test | $34 | $143 | $8 |
| Group therapy session | $115 | $74 | $30 |
| H. pylori test | $291 | $311 | $67 |
| Hammertoe repair | $2,688 | $6,313 | $548 |
| HDL cholesterol test | $34 | $101 | $8 |
| Hematocrit test | $34 | $32 | $2 |
| Hemoglobin A1c (diabetes test) | $34 | $119 | $10 |
| Hemorrhoid removal | $750 | $2,456 | $338 |
| Hepatitis B test | $39 | $127 | $10 |
| Hepatitis B vaccine | $106 | $88 | — |
| Hepatitis C test | $49 | $174 | $14 |
| HIV test | $44 | $92 | $19 |
| HIV test (antigen/antibody combo) | $39 | $92 | $24 |
| Holter heart monitor | $320 | $711 | $26 |
| Home sleep apnea test | $661 | $621 | $123 |
| HPV vaccine | $278 | $333 | — |
| Hydrocele repair | $847 | $8,901 | $315 |
| Hysterectomy | $2,521 | $10,992 | $933 |
| Hysteroscopy | $627 | $7,291 | $1,270 |
| Inguinal hernia repair | $2,076 | $8,441 | $538 |
| Iron blood test | $34 | $71 | $6 |
| IUD insertion | $226 | $817 | — |
| IUD removal | $368 | $651 | $112 |
| IV infusion therapy | $121 | $288 | $44 |
| IV infusion therapy (each additional) | $92 | $125 | $21 |
| IV infusion therapy (initial) | $444 | $450 | $67 |
| Joint aspiration (small/intermediate) | $517 | $491 | $57 |
| Joint aspiration or injection (mid-size joint) | $517 | $186 | $57 |
| Joint aspiration or injection (small joint) | $517 | $796 | $56 |
| Kidney stone shock-wave (lithotripsy) | $1,839 | $11,452 | $760 |
| Kidney ultrasound | $501 | $755 | $84 |
| Kidney ultrasound (limited) | $501 | $686 | $61 |
| Knee arthroscopy | $2,046 | $10,985 | $524 |
| Knee joint injection | $568 | $611 | $69 |
| Lactate test | $64 | $85 | $12 |
| Laminectomy (spine) | $2,856 | $14,557 | $1,157 |
| Laryngoscopy | $549 | $2,539 | $189 |
| LDH test | $34 | $58 | $6 |
| LDL cholesterol test | $34 | $117 | $11 |
| Leg vein ultrasound (Doppler) | $555 | $838 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $555 | $699 | $116 |
| LH hormone test | $55 | $226 | $19 |
| Lipase test | $34 | $113 | $7 |
| Lipid (cholesterol) panel | $69 | $164 | $13 |
| Liver function panel | $69 | $135 | $8 |
| Lumbar discectomy | $4,667 | $11,780 | $898 |
| Lumpectomy (breast) | $3,005 | $9,845 | $750 |
| Lung function test (PFT) | $146 | $303 | $37 |
| Magnesium blood test | $34 | $83 | $7 |
| Mastectomy | $2,643 | $13,661 | $1,021 |
| Meniscus repair (knee) | $2,921 | $12,116 | $714 |
| MMR vaccine | $86 | $101 | — |
| MRA of the brain | $2,970 | $3,136 | $226 |
| MRA of the brain with contrast | $3,501 | $3,136 | $226 |
| MRA of the brain without contrast | $3,768 | $4,577 | $328 |
| MRA of the neck | $2,970 | $3,802 | $245 |
| MRA of the neck without contrast | $3,768 | $4,601 | $343 |
| MRI of the abdomen | $2,730 | $3,208 | $300 |
| MRI of the abdomen with contrast | $4,520 | $3,208 | $300 |
| MRI of the abdomen without contrast | $2,730 | $2,331 | $194 |
| MRI of the ankle | $2,730 | $3,106 | $261 |
| MRI of the ankle without contrast | $2,730 | $2,671 | $222 |
| MRI of the brain | $2,034 | $3,018 | $269 |
| MRI of the brain with contrast | $3,501 | $2,065 | $269 |
| MRI of the brain without contrast | $2,034 | $3,018 | $195 |
| MRI of the chest | $2,730 | $3,066 | $371 |
| MRI of the knee | $2,730 | $2,379 | $315 |
| MRI of the knee without contrast | $2,730 | $1,499 | $204 |
| MRI of the lower back (lumbar spine) | $2,730 | $1,840 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $2,730 | $1,323 | $192 |
| MRI of the mid-back (thoracic spine) | $2,730 | $1,855 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $5,408 | $2,375 | $319 |
| MRI of the mid-back (thoracic spine) without contrast | $2,730 | $1,335 | $190 |
| MRI of the neck (cervical spine) | $2,730 | $2,373 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $5,408 | $2,373 | $318 |
| MRI of the neck (cervical spine) with contrast | $4,520 | $2,095 | $274 |
| MRI of the neck (cervical spine) without contrast | $2,730 | $2,598 | $191 |
| MRI of the pelvis | $2,730 | $3,118 | $268 |
| MRI of the pelvis without contrast | $2,730 | $2,718 | $227 |
| MRI of the shoulder | $2,730 | $2,369 | $313 |
| MRI of the shoulder without contrast | $2,730 | $1,499 | $205 |
| MRI of the wrist | $2,730 | $3,089 | $330 |
| MRI of the wrist without contrast | $2,730 | $2,665 | $303 |
| Nebulizer breathing treatment | $124 | $148 | $9 |
| Neck (cervical) spinal fusion | $3,547 | $17,246 | $1,410 |
| Nerve conduction study | $325 | $281 | $118 |
| Occupational therapy evaluation | $221 | $140 | $101 |
| Occupational therapy evaluation (high complexity) | $242 | $153 | $101 |
| Occupational therapy evaluation (low complexity) | $221 | $127 | $101 |
| Occupational therapy evaluation (moderate complexity) | $232 | $140 | $101 |
| Office visit (established patient) | $176 | $193 | $115 |
| Office visit (new patient) | $290 | $369 | $177 |
| Office visit, established patient (level 3) | $161 | $158 | $95 |
| Office visit, established patient (level 4) | $192 | $228 | $136 |
| Office visit, new patient (level 3) | $190 | $255 | $118 |
| Office visit, new patient (level 4) | $290 | $369 | $177 |
| Office visit, new patient (level 5) | $367 | $464 | $237 |
| Orthopedic hardware removal | $3,570 | $6,000 | $632 |
| Ovarian cyst removal | $1,884 | $7,751 | $698 |
| Pap smear (cervical screening) | $55 | $110 | $20 |
| Parathyroid hormone (PTH) test | $109 | $223 | $41 |
| Parathyroid removal | $2,376 | $8,050 | $891 |
| Pelvic ultrasound | $376 | $664 | $78 |
| Pelvic ultrasound (complete) | $504 | $699 | $105 |
| Pelvic ultrasound (limited) | $376 | $629 | $51 |
| Phosphorus blood test | $34 | $60 | $5 |
| Physical therapy evaluation | $221 | $140 | $98 |
| Physical therapy evaluation (high complexity) | $242 | $153 | $98 |
| Physical therapy evaluation (moderate complexity) | $232 | $140 | $98 |
| Pilonidal cyst removal | $1,112 | $6,750 | $541 |
| Platelet count | $34 | $58 | $4 |
| Pregnancy blood test (hCG) | $34 | $64 | $8 |
| Pregnancy ultrasound | $661 | $644 | $126 |
| Pregnancy ultrasound (first trimester) | $661 | $602 | $117 |
| Pregnancy ultrasound (second or third trimester) | $706 | $686 | $136 |
| Procalcitonin test | $55 | $291 | $27 |
| Prolactin test | $55 | $248 | $19 |
| Prostate biopsy | $2,599 | $2,574 | — |
| Prostate test (PSA) | $64 | $145 | $18 |
| Psychiatric evaluation | $361 | $339 | $188 |
| Psychotherapy session | $126 | $319 | $140 |
| Pulmonary rehabilitation | $189 | $185 | $87 |
| Rotator cuff repair | $2,097 | $15,432 | $792 |
| Scoliosis spine X-ray | $190 | $482 | $58 |
| Scoliosis spine X-ray (1 view) | $190 | $438 | $44 |
| Scoliosis spine X-ray (3 views) | $313 | $526 | $72 |
| Screening colonoscopy | $814 | $2,206 | $378 |
| Screening mammogram | $397 | $456 | $126 |
| Scrotal ultrasound | $706 | $769 | $99 |
| Sedimentation rate (ESR) test | $34 | $45 | $3 |
| Semen analysis | $56 | $79 | $12 |
| Septoplasty (deviated septum) | $1,590 | $8,418 | $613 |
| Sex hormone binding globulin test | $64 | $66 | $22 |
| Shoulder arthroscopy | $3,877 | $13,881 | $962 |
| Simple laceration repair (small, up to 2.5 cm) | $355 | $778 | $114 |
| Simple wound stitches | $355 | $623 | $127 |
| Sinus surgery (endoscopic) | $662 | $5,578 | $224 |
| Skin biopsy | $394 | $328 | $121 |
| Skin biopsy (punch) | $394 | $328 | $121 |
| Skin cancer lesion removal | $607 | $1,534 | $240 |
| Skin graft | $4,062 | $5,513 | $898 |
| Skin lesion freezing (cryotherapy) | $88 | $215 | $36 |
| Skin tag removal | $196 | $400 | $92 |
| Soft tissue ultrasound | $207 | $686 | $64 |
| Speech therapy | $210 | $167 | $76 |
| Spinal tap (lumbar puncture) | $1,215 | $562 | $165 |
| Spine fracture repair (kyphoplasty) | $19,676 | $21,431 | $5,803 |
| Spirometry (lung function test) | $146 | $210 | $30 |
| Spirometry with bronchodilator | $240 | $397 | $43 |
| Strep throat test | $39 | $61 | $17 |
| Swallow study | $332 | $223 | $85 |
| T3 thyroid test | $55 | $95 | $14 |
| Tdap (tetanus) vaccine | $146 | $53 | — |
| Testosterone test | $55 | $155 | $26 |
| Thyroid removal (thyroidectomy) | $2,758 | $13,934 | $1,004 |
| Thyroid test (TSH) | $55 | $103 | $17 |
| Thyroid ultrasound | $429 | $686 | $109 |
| Tonsillectomy | $683 | $6,746 | $252 |
| Total IgE allergy test | $64 | $115 | $16 |
| Total protein test | $34 | $46 | $4 |
| Transvaginal ultrasound | $504 | $686 | $118 |
| Trigger finger release | $1,334 | $6,243 | $630 |
| Trigger point injection | $517 | $420 | $56 |
| Trigger point injection (1-2 muscles) | $517 | $420 | $52 |
| Triglycerides test | $34 | $72 | $6 |
| Troponin (heart) test | $64 | $193 | $12 |
| Turbinate reduction | $785 | $7,871 | $294 |
| Ulnar nerve surgery (elbow) | $2,922 | $8,176 | $575 |
| Upper GI endoscopy (EGD) | $801 | $2,857 | $371 |
| Uric acid (gout) test | $34 | $58 | $5 |
| Urinalysis | $26 | $53 | $3 |
| Urine microalbumin test | $26 | $76 | $5 |
| Urine pregnancy test | $26 | $61 | $9 |
| Vaccine administration | $41 | $33 | $19 |
| Vaccine administration (each additional) | $35 | $26 | $16 |
| Varicose vein ablation | $6,664 | $4,561 | $1,018 |
| Vasectomy | $892 | $1,739 | $347 |
| Vitamin B12 test | $55 | $185 | $15 |
| Vitamin D test | $86 | $346 | $30 |
| Vocal cord injection | $617 | $4,979 | $211 |
| Wart removal | $272 | $303 | $121 |
| Well-child visit | $189 | $143 | — |
| Wound debridement | $976 | $4,613 | $186 |
| X-ray of the abdomen | $181 | $216 | $36 |
| X-ray of the ankle | $279 | $259 | $37 |
| X-ray of the collarbone | $307 | $236 | $33 |
| X-ray of the elbow | $263 | $259 | $33 |
| X-ray of the facial bones | $221 | $380 | $39 |
| X-ray of the foot | $279 | $259 | $34 |
| X-ray of the forearm | $307 | $245 | $29 |
| X-ray of the hand | $263 | $230 | $38 |
| X-ray of the hip | $190 | $259 | $49 |
| X-ray of the hip (3 views) | $190 | $259 | $49 |
| X-ray of the knee | $209 | $259 | $42 |
| X-ray of the knee (2 views) | $209 | $236 | $34 |
| X-ray of the knee (3 views) | $279 | $259 | $42 |
| X-ray of the knee (4+ views) | $314 | $290 | $49 |
| X-ray of the lower back (lumbar spine) | $514 | $350 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $514 | $259 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $514 | $442 | $53 |
| X-ray of the lower leg | $221 | $259 | $31 |
| X-ray of the mid-back (thoracic spine) | $334 | $262 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $334 | $259 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $440 | $266 | $39 |
| X-ray of the neck (cervical spine) | $334 | $312 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $334 | $259 | $40 |
| X-ray of the pelvis | $263 | $272 | $36 |
| X-ray of the pelvis (1 view) | $263 | $259 | $28 |
| X-ray of the ribs | $444 | $318 | $42 |
| X-ray of the ribs (2 views) | $444 | $259 | $36 |
| X-ray of the ribs (3 views) | $537 | $376 | $42 |
| X-ray of the shoulder | $295 | $259 | $36 |
| X-ray of the skull | $221 | $349 | $40 |
| X-ray of the upper arm | $279 | $259 | $32 |
| X-ray of the wrist | $263 | $230 | $43 |
| Zinc blood test | $32 | $123 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
