| Procedure | Uchealth Greeley Hospital | Longmont United Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $51 | $16 | $51 |
| Abdominal fluid drain (paracentesis) | $1,640 | $2,356 | $284 |
| Abdominal ultrasound | $617 | $655 | $100 |
| Abdominal ultrasound (complete) | $705 | $693 | $114 |
| Abdominal ultrasound (limited) | $529 | $618 | $86 |
| Abscess drainage (complex or multiple) | $760 | $455 | $220 |
| Abscess drainage (simple) | $397 | $256 | $129 |
| Abscess incision and drainage | $578 | $430 | $174 |
| Acupuncture | $32 | $47 | $38 |
| Acupuncture (each additional) | $28 | $46 | $28 |
| Albumin blood test | $103 | $45 | $5 |
| Aldosterone test | $118 | $280 | $41 |
| Alkaline phosphatase test | $45 | $122 | $5 |
| Alpha-fetoprotein (AFP) test | $68 | $97 | $17 |
| ALT liver enzyme test | $48 | $38 | $5 |
| Ammonia blood test | $139 | $126 | $15 |
| Amniocentesis | $842 | $809 | $120 |
| Amylase test | $113 | $135 | $6 |
| Antinuclear antibody (ANA) test | $51 | $142 | $12 |
| Aortic valve replacement | $10,681 | $23,113 | $1,603 |
| Arterial blood gas (ABG) | $294 | $138 | $26 |
| AST liver enzyme test | $67 | $76 | $5 |
| Barium swallow study | $481 | $680 | $107 |
| Basic metabolic panel | $157 | $102 | $8 |
| Benign skin lesion removal | $669 | $487 | $171 |
| Bilirubin blood test | $19 | $38 | $5 |
| Bladder scope (cystoscopy) | $1,253 | $1,541 | $216 |
| Blood clotting test (PT/INR) | $61 | $69 | $4 |
| Blood crossmatch | $160 | $501 | — |
| Blood glucose test | $114 | $52 | $5 |
| Blood transfusion | $690 | $1,096 | $47 |
| Blood type and screen | $91 | $305 | $10 |
| Blood type test | $35 | $60 | $3 |
| Blood type test (ABO group) | $51 | $68 | $3 |
| Blood type test (Rh/D antigen) | $25 | $51 | $3 |
| BNP (heart failure) test | $181 | $347 | $39 |
| Bone density scan (DEXA) | $521 | $391 | $39 |
| Bone marrow biopsy | $1,927 | $2,416 | $172 |
| Bone scan (nuclear) | $1,730 | $2,443 | $259 |
| Botox for migraine | $581 | $612 | $157 |
| Breast biopsy | $4,830 | $3,773 | $478 |
| Breast MRI | $817 | $2,106 | $216 |
| Breast MRI without contrast | $1,192 | $2,371 | $216 |
| Breast ultrasound | $410 | $693 | $92 |
| Breast ultrasound (complete) | $430 | $923 | $100 |
| Breast ultrasound (limited) | $389 | $693 | $84 |
| Breathing tube insertion (intubation) | $737 | $1,122 | $133 |
| Bronchoscopy | $2,068 | $1,868 | $303 |
| Burn dressing and debridement (medium) | $311 | $378 | $166 |
| Burn dressing and debridement (small) | $275 | $315 | $93 |
| Burn treatment | $293 | $346 | $129 |
| C-reactive protein (CRP) | $174 | $122 | $5 |
| CA 19-9 tumor marker test | $35 | $120 | $21 |
| CA-125 ovarian marker test | $283 | $120 | $21 |
| Calcium blood test | $46 | $76 | $5 |
| Capsule endoscopy | $1,822 | $1,615 | $802 |
| Cardiac ablation | $46,473 | $25,701 | $759 |
| Cardiac catheterization | $10,417 | $11,327 | $1,049 |
| Cardiac MRI | $1,467 | $1,224 | $322 |
| Cardiac MRI without contrast | $1,160 | $968 | $280 |
| Cardiac rehabilitation | $290 | $262 | $26 |
| Cardiac stress test | $602 | $2,078 | $39 |
| Cardioversion | $847 | $4,014 | $155 |
| Carotid artery ultrasound | $708 | $786 | $156 |
| CEA tumor marker test | $313 | $109 | $19 |
| Celiac disease test | $44 | $62 | $12 |
| Central line placement | $3,053 | $1,147 | $238 |
| Chemotherapy infusion | $455 | $483 | $81 |
| Chemotherapy infusion (each additional) | $190 | $448 | $28 |
| Chemotherapy infusion (first hour) | $719 | $517 | $133 |
| Chest fluid drain (thoracentesis) | $1,604 | $2,644 | $311 |
| Chest tube insertion | $1,609 | $2,552 | $143 |
| Chest X-ray | $363 | $432 | $37 |
| Chest X-ray (1 view) | $325 | $351 | $25 |
| Chest X-ray (2 views) | $346 | $393 | $33 |
| Chickenpox (varicella) vaccine | $323 | $343 | — |
| CK-MB heart enzyme test | $110 | $77 | $12 |
| Clotting time test (PTT) | $95 | $93 | $6 |
| Complete blood count (CBC) | $131 | $94 | $7 |
| Complete blood count (CBC) (complete) | $170 | $118 | $8 |
| Comprehensive metabolic panel | $197 | $112 | $11 |
| Contraceptive implant (Nexplanon) | $470 | $585 | $115 |
| Copper blood test | $165 | $69 | $12 |
| Coronary CT angiography | $1,217 | $674 | $326 |
| Cortisol test | $214 | $94 | $16 |
| COVID-19 PCR test | $60 | $62 | $51 |
| CPAP titration study | $563 | $1,232 | $69 |
| Creatine kinase (CK) test | $111 | $38 | $7 |
| CT angiography of the chest | $2,693 | $3,307 | $281 |
| CT angiography of the head | $1,844 | $3,283 | $274 |
| CT scan of the abdomen | $1,588 | $2,829 | $230 |
| CT scan of the abdomen and pelvis | $3,989 | $5,357 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $4,236 | $6,186 | $338 |
| CT scan of the abdomen and pelvis with contrast | $3,989 | $5,357 | $300 |
| CT scan of the abdomen and pelvis without contrast | $2,722 | $4,121 | $183 |
| CT scan of the abdomen with and without contrast | $1,904 | $3,240 | $259 |
| CT scan of the abdomen with contrast | $1,588 | $2,829 | $230 |
| CT scan of the abdomen without contrast | $1,371 | $2,167 | $136 |
| CT scan of the arm | $1,409 | $2,900 | $199 |
| CT scan of the arm with contrast | $1,409 | $2,888 | $199 |
| CT scan of the arm without contrast | $1,226 | $2,429 | $161 |
| CT scan of the chest | $1,845 | $2,957 | $167 |
| CT scan of the chest with and without contrast | $2,258 | $3,013 | $196 |
| CT scan of the chest with contrast | $1,845 | $2,957 | $167 |
| CT scan of the chest without contrast | $1,053 | $2,099 | $133 |
| CT scan of the head | $1,957 | $2,604 | $148 |
| CT scan of the head with and without contrast | $2,302 | $3,105 | $173 |
| CT scan of the head with contrast | $1,957 | $2,604 | $148 |
| CT scan of the head without contrast | $1,693 | $2,353 | $107 |
| CT scan of the leg | $1,417 | $3,354 | $166 |
| CT scan of the leg with contrast | $1,417 | $3,507 | $166 |
| CT scan of the leg without contrast | $1,051 | $2,248 | $130 |
| CT scan of the lower back (lumbar spine) | $1,465 | $2,519 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,757 | $2,546 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,465 | $2,519 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,354 | $2,302 | $130 |
| CT scan of the neck | $1,409 | $2,978 | $183 |
| CT scan of the neck (cervical spine) | $2,000 | $2,581 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $2,242 | $2,672 | $196 |
| CT scan of the neck (cervical spine) with contrast | $2,000 | $2,581 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,497 | $2,307 | $131 |
| CT scan of the neck with and without contrast | $1,664 | $3,342 | $220 |
| CT scan of the neck with contrast | $1,409 | $2,978 | $183 |
| CT scan of the neck without contrast | $1,354 | $2,224 | $150 |
| CT scan of the pelvis | $1,450 | $2,528 | $226 |
| CT scan of the pelvis with and without contrast | $1,625 | $2,946 | $251 |
| CT scan of the pelvis with contrast | $1,450 | $2,528 | $226 |
| CT scan of the pelvis without contrast | $1,427 | $1,953 | $133 |
| CT scan of the sinuses | $1,486 | $2,687 | $152 |
| CT scan of the sinuses with and without contrast | $1,867 | $3,225 | $184 |
| CT scan of the sinuses with contrast | $1,486 | $2,687 | $152 |
| CT scan of the sinuses without contrast | $1,050 | $2,056 | $128 |
| D-dimer test | $124 | $151 | $10 |
| Defibrillator (ICD) implant | $41,935 | $33,120 | $798 |
| DHEA-sulfate test | $120 | $225 | $22 |
| Diagnostic mammogram | $386 | $265 | $140 |
| Drug screen (urine) | $184 | $38 | $17 |
| Echocardiogram | $782 | $1,731 | $138 |
| Echocardiogram with and without contrast | $618 | $923 | $101 |
| Echocardiogram without contrast | $782 | $1,731 | $138 |
| EEG (awake and asleep) | $1,708 | $1,905 | $482 |
| EKG / ECG (tracing only) | $200 | $332 | $7 |
| Electrocardiogram (EKG) | $200 | $332 | $8 |
| Electroencephalogram (EEG) | $1,694 | $1,715 | $448 |
| Electrolyte panel | $143 | $148 | $7 |
| Electromyography (EMG) | $282 | $613 | $141 |
| Emergency department visit | $757 | $1,558 | $69 |
| Emergency department visit (level 1) | $256 | $362 | $11 |
| Emergency department visit (level 2) | $442 | $697 | $40 |
| Emergency department visit (level 3) | $757 | $1,558 | $69 |
| Emergency department visit (level 4) | $1,091 | $3,343 | $118 |
| Emergency department visit (level 5) | $2,132 | $7,026 | $171 |
| Endometrial biopsy | $238 | $569 | $98 |
| Epidural steroid injection | $1,545 | $1,069 | $275 |
| Estradiol (estrogen) test | $148 | $161 | $28 |
| Facet joint injection (spine) | $1,805 | $1,833 | $99 |
| Fallopian tube X-ray (HSG) | $1,281 | $463 | $164 |
| Family therapy session | $370 | $186 | $110 |
| Fecal occult blood (stool) test | $18 | $56 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $18 | $12 | $4 |
| Ferritin (iron) test | $169 | $79 | $14 |
| Fibrinogen test | $211 | $87 | $10 |
| Flu test | $49 | $53 | $17 |
| Folate (folic acid) test | $168 | $85 | $15 |
| Foreign body removal (skin) | $526 | $426 | $157 |
| Free T4 thyroid test | $292 | $57 | $9 |
| FSH hormone test | $15 | $107 | $19 |
| Gallbladder scan (HIDA) | $1,998 | $2,065 | $334 |
| GGT liver test | $38 | $42 | $7 |
| Glucose tolerance test | $125 | $48 | $8 |
| Group therapy session | $250 | $186 | $30 |
| H. pylori test | $198 | $91 | $67 |
| HDL cholesterol test | $170 | $158 | $8 |
| Hematocrit test | $92 | $55 | $2 |
| Hemodialysis | $999 | $1,526 | $75 |
| Hemoglobin A1c (diabetes test) | $106 | $56 | $10 |
| Hepatitis A vaccine | $127 | $197 | — |
| Hepatitis B test | $85 | $57 | $10 |
| Hepatitis B vaccine | $85 | $165 | — |
| Hepatitis C test | $85 | $74 | $14 |
| HIV test | $28 | $122 | $19 |
| HIV test (antibody) | $28 | $118 | $14 |
| Holter heart monitor | $443 | $1,023 | $26 |
| Home sleep apnea test | $496 | $350 | $123 |
| Iron blood test | $189 | $90 | $6 |
| IUD insertion | $730 | $569 | — |
| IV infusion therapy | $258 | $268 | $44 |
| IV infusion therapy (each additional) | $138 | $232 | $21 |
| IV infusion therapy (initial) | $379 | $455 | $67 |
| IVC filter placement | $19,729 | $6,165 | $1,885 |
| Joint aspiration (small/intermediate) | $461 | $317 | $57 |
| Joint aspiration or injection (mid-size joint) | $456 | $317 | $57 |
| Joint aspiration or injection (small joint) | $465 | $621 | $56 |
| Kidney biopsy | $2,012 | $1,237 | $492 |
| Kidney scan (nuclear) | $2,030 | $2,840 | $172 |
| Kidney ultrasound | $564 | $768 | $84 |
| Kidney ultrasound (limited) | $531 | $683 | $61 |
| Knee joint injection | $532 | $475 | $69 |
| Lactate test | $167 | $90 | $12 |
| Laryngoscopy | $1,301 | $415 | $189 |
| LDH test | $39 | $35 | $6 |
| LDL cholesterol test | $93 | $71 | $11 |
| Leg artery angiogram | $3,160 | $2,331 | $149 |
| Leg artery angioplasty | $11,044 | $11,883 | — |
| Leg vein ultrasound (Doppler) | $1,311 | $786 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $1,197 | $649 | $116 |
| LH hormone test | $13 | $107 | $19 |
| Lipase test | $127 | $140 | $7 |
| Lipid (cholesterol) panel | $186 | $196 | $13 |
| Liver biopsy | $2,943 | $1,495 | $288 |
| Liver function panel | $163 | $101 | $8 |
| Lung function test (PFT) | $407 | $686 | $37 |
| Lung scan (V/Q) | $2,405 | $2,482 | $291 |
| Magnesium blood test | $40 | $39 | $7 |
| MMR vaccine | $157 | $217 | — |
| MRA of the brain | $2,785 | $2,515 | $226 |
| MRA of the brain with contrast | $2,785 | $2,515 | $226 |
| MRA of the brain without contrast | $2,993 | $3,631 | $328 |
| MRA of the neck | $2,993 | $2,832 | $245 |
| MRA of the neck with contrast | $2,993 | $2,832 | $245 |
| MRA of the neck without contrast | $3,454 | $3,206 | $343 |
| MRI of the abdomen | $2,378 | $2,838 | $300 |
| MRI of the abdomen with contrast | $2,378 | $2,838 | $300 |
| MRI of the abdomen without contrast | $1,847 | $2,521 | $194 |
| MRI of the ankle | $2,140 | $5,240 | $261 |
| MRI of the ankle with contrast | $2,140 | $5,738 | $261 |
| MRI of the ankle without contrast | $1,377 | $3,557 | $222 |
| MRI of the brain | $2,226 | $2,981 | $269 |
| MRI of the brain with contrast | $2,226 | $2,981 | $269 |
| MRI of the brain without contrast | $1,859 | $2,888 | $195 |
| MRI of the chest | $2,395 | $2,664 | $371 |
| MRI of the chest without contrast | $2,821 | $3,330 | $466 |
| MRI of the knee | $1,649 | $2,880 | $315 |
| MRI of the knee with contrast | $1,649 | $3,927 | $315 |
| MRI of the knee without contrast | $1,578 | $2,414 | $204 |
| MRI of the lower back (lumbar spine) | $2,350 | $3,079 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $2,350 | $3,079 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,849 | $2,677 | $192 |
| MRI of the mid-back (thoracic spine) | $2,350 | $2,736 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $2,467 | $3,268 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $2,350 | $2,736 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $1,913 | $2,446 | $190 |
| MRI of the neck (cervical spine) | $2,350 | $2,803 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $2,467 | $3,097 | $318 |
| MRI of the neck (cervical spine) with contrast | $2,350 | $2,803 | $274 |
| MRI of the neck (cervical spine) without contrast | $1,808 | $2,562 | $191 |
| MRI of the pelvis | $2,459 | $2,292 | $268 |
| MRI of the pelvis with contrast | $2,459 | $2,292 | $268 |
| MRI of the pelvis without contrast | $2,091 | $1,451 | $227 |
| MRI of the shoulder | $2,017 | $2,965 | $313 |
| MRI of the shoulder with contrast | $2,017 | $2,821 | $313 |
| MRI of the shoulder without contrast | $1,574 | $3,546 | $205 |
| MRI of the wrist | $1,437 | $4,318 | $330 |
| MRI of the wrist with contrast | $1,437 | $5,397 | $330 |
| MRI of the wrist without contrast | $1,344 | $2,343 | $303 |
| Nebulizer breathing treatment | $131 | $164 | $9 |
| Nerve conduction study | $328 | $952 | $118 |
| Nuchal translucency ultrasound | $653 | $664 | $116 |
| Nuclear cardiac stress test | $4,588 | $5,321 | $428 |
| Occupational therapy evaluation | $225 | $338 | $101 |
| Occupational therapy evaluation (high complexity) | $232 | $372 | $101 |
| Occupational therapy evaluation (low complexity) | $220 | $305 | $101 |
| Occupational therapy evaluation (moderate complexity) | $225 | $338 | $101 |
| Pap smear (cervical screening) | $99 | $117 | $20 |
| Parathyroid hormone (PTH) test | $66 | $238 | $41 |
| Pelvic ultrasound | $533 | $655 | $78 |
| Pelvic ultrasound (complete) | $613 | $693 | $105 |
| Pelvic ultrasound (limited) | $454 | $618 | $51 |
| PET scan | $4,779 | $5,233 | — |
| Phosphorus blood test | $115 | $45 | $5 |
| Physical therapy evaluation | $225 | $338 | $98 |
| Physical therapy evaluation (high complexity) | $232 | $372 | $98 |
| Physical therapy evaluation (moderate complexity) | $225 | $338 | $98 |
| Platelet count | $60 | $99 | $4 |
| Pneumonia vaccine | $202 | $281 | — |
| Pregnancy blood test (hCG) | $100 | $68 | $8 |
| Pregnancy ultrasound | $705 | $635 | $126 |
| Pregnancy ultrasound (first trimester) | $705 | $577 | $117 |
| Pregnancy ultrasound (second or third trimester) | $705 | $693 | $136 |
| Procalcitonin test | $422 | $150 | $27 |
| Prolactin test | $209 | $112 | $19 |
| Prostate biopsy | $2,530 | $1,197 | — |
| Prostate test (PSA) | $50 | $106 | $18 |
| Psychiatric evaluation | $260 | $191 | $188 |
| Psychotherapy session | $337 | $103 | $140 |
| Pulmonary rehabilitation | $197 | $63 | $87 |
| Radiofrequency nerve ablation | $2,332 | $2,739 | $462 |
| Scoliosis spine X-ray | $188 | $473 | $58 |
| Scoliosis spine X-ray (1 view) | $175 | $430 | $44 |
| Scoliosis spine X-ray (3 views) | $200 | $516 | $72 |
| Screening mammogram | $310 | $148 | $126 |
| Scrotal ultrasound | $705 | $664 | $99 |
| Sedimentation rate (ESR) test | $115 | $37 | $3 |
| Semen analysis | $108 | $69 | $12 |
| Sex hormone binding globulin test | $101 | $125 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $286 | $230 | $114 |
| Simple wound stitches | $315 | $249 | $127 |
| Skin biopsy | $454 | $263 | $121 |
| Skin biopsy (punch) | $454 | $263 | $121 |
| Skin lesion freezing (cryotherapy) | $171 | $61 | $36 |
| Skin tag removal | $311 | $98 | $92 |
| Sleep study (polysomnography) | $5,114 | $3,358 | $691 |
| Soft tissue ultrasound | $551 | $693 | $64 |
| Speech therapy | $204 | $195 | $76 |
| Spinal cord stimulator | $7,348 | $9,180 | $2,388 |
| Spinal tap (lumbar puncture) | $835 | $759 | $165 |
| Spine fracture repair (kyphoplasty) | $8,678 | $6,052 | $5,803 |
| Spirometry (lung function test) | $222 | $471 | $30 |
| Spirometry with bronchodilator | $591 | $901 | $43 |
| Strep throat test | $57 | $70 | $17 |
| Stress echocardiogram | $956 | $1,905 | $209 |
| Stress echocardiogram (complete) | $1,067 | $1,905 | $233 |
| Swallow study | $203 | $337 | $85 |
| T3 thyroid test | $65 | $82 | $14 |
| Tdap (tetanus) vaccine | $69 | $135 | — |
| Testosterone test | $162 | $145 | $26 |
| Thyroid test (TSH) | $280 | $17 | $17 |
| Thyroid ultrasound | $715 | $577 | $109 |
| Thyroid uptake scan | $961 | $1,070 | $145 |
| Tilt table test | $1,013 | $1,439 | $168 |
| Total IgE allergy test | $51 | $95 | $16 |
| Total protein test | $40 | $45 | $4 |
| Transesophageal echocardiogram (TEE) | $1,893 | $1,876 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $2,175 | $1,876 | $239 |
| Transvaginal ultrasound | $705 | $664 | $118 |
| Trigger point injection | $381 | $952 | $56 |
| Trigger point injection (1-2 muscles) | $356 | $1,096 | $52 |
| Triglycerides test | $111 | $41 | $6 |
| Troponin (heart) test | $124 | $90 | $12 |
| Turning a breech baby (version) | $2,223 | $1,465 | $94 |
| Upper GI series (barium) | $678 | $518 | $128 |
| Uric acid (gout) test | $115 | $38 | $5 |
| Urinalysis | $39 | $64 | $3 |
| Urine microalbumin test | $123 | $79 | $5 |
| Urine pregnancy test | $94 | $37 | $9 |
| Vaccine administration | $74 | $82 | $19 |
| Vaccine administration (each additional) | $62 | $76 | $16 |
| Varicose vein ablation | $4,753 | $6,327 | $1,018 |
| Vitamin B12 test | $169 | $87 | $15 |
| Vitamin D test | $113 | $158 | $30 |
| Wart removal | $239 | $98 | $121 |
| Wound debridement | $971 | $1,011 | $186 |
| X-ray of the abdomen | $344 | $414 | $36 |
| X-ray of the ankle | $261 | $511 | $37 |
| X-ray of the collarbone | $264 | $453 | $33 |
| X-ray of the elbow | $266 | $435 | $33 |
| X-ray of the facial bones | $238 | $480 | $39 |
| X-ray of the foot | $277 | $464 | $34 |
| X-ray of the forearm | $218 | $454 | $29 |
| X-ray of the hand | $346 | $428 | $38 |
| X-ray of the hip | $401 | $638 | $49 |
| X-ray of the hip (1 view) | $264 | $532 | $34 |
| X-ray of the hip (3 views) | $401 | $638 | $49 |
| X-ray of the hip (4 views) | $514 | $765 | $63 |
| X-ray of the knee | $277 | $540 | $42 |
| X-ray of the knee (2 views) | $236 | $454 | $34 |
| X-ray of the knee (3 views) | $277 | $540 | $42 |
| X-ray of the knee (4+ views) | $346 | $670 | $49 |
| X-ray of the lower back (lumbar spine) | $424 | $771 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $322 | $601 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $526 | $941 | $53 |
| X-ray of the lower leg | $218 | $440 | $31 |
| X-ray of the mid-back (thoracic spine) | $327 | $518 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $310 | $471 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $344 | $565 | $39 |
| X-ray of the neck (cervical spine) | $436 | $575 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $346 | $456 | $40 |
| X-ray of the pelvis | $295 | $368 | $36 |
| X-ray of the pelvis (1 view) | $290 | $340 | $28 |
| X-ray of the ribs | $344 | $813 | $42 |
| X-ray of the ribs (2 views) | $301 | $565 | $36 |
| X-ray of the ribs (3 views) | $344 | $813 | $42 |
| X-ray of the shoulder | $218 | $525 | $36 |
| X-ray of the skull | $381 | $641 | $40 |
| X-ray of the upper arm | $218 | $395 | $32 |
| X-ray of the wrist | $266 | $451 | $43 |
| Zinc blood test | $103 | $67 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
