| Procedure | Uchealth Greeley Hospital | Poudre Valley Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $51 | $60 | $51 |
| Abdominal fluid drain (paracentesis) | $1,640 | $1,914 | $284 |
| Abdominal ultrasound | $617 | $720 | $100 |
| Abdominal ultrasound (complete) | $705 | $823 | $114 |
| Abdominal ultrasound (limited) | $529 | $617 | $86 |
| Abscess drainage (complex or multiple) | $760 | $886 | $220 |
| Abscess drainage (simple) | $397 | $463 | $129 |
| Abscess incision and drainage | $578 | $886 | $174 |
| Achilles tendon repair | $5,916 | $6,902 | $624 |
| Acupuncture | $32 | $37 | $38 |
| Acupuncture (each additional) | $28 | $32 | $28 |
| Albumin blood test | $103 | $67 | $5 |
| Aldosterone test | $118 | $40 | $41 |
| Alkaline phosphatase test | $45 | $22 | $5 |
| Alpha-fetoprotein (AFP) test | $68 | $79 | $17 |
| ALT liver enzyme test | $48 | $56 | $5 |
| Ammonia blood test | $139 | $162 | $15 |
| Amniocentesis | $842 | $982 | $120 |
| Amylase test | $113 | $241 | $6 |
| Ankle fracture repair | $5,916 | $6,902 | $608 |
| Anoscopy | $204 | $238 | $129 |
| Antinuclear antibody (ANA) test | $51 | $58 | $12 |
| Aortic valve replacement | $10,681 | $12,461 | $1,603 |
| Arterial blood gas (ABG) | $294 | $343 | $26 |
| AST liver enzyme test | $67 | $112 | $5 |
| Barium swallow study | $481 | $561 | $107 |
| Bartholin cyst removal | $541 | $631 | $182 |
| Basic metabolic panel | $157 | $183 | $8 |
| Benign skin lesion removal | $669 | $781 | $171 |
| Bilirubin blood test | $19 | $22 | $5 |
| Bladder function test (urodynamics) | $1,083 | $1,264 | $345 |
| Bladder scope (cystoscopy) | $1,253 | $1,462 | $216 |
| Blood clotting test (PT/INR) | $61 | $87 | $4 |
| Blood crossmatch | $160 | $186 | — |
| Blood glucose test | $114 | $133 | $5 |
| Blood transfusion | $690 | $805 | $47 |
| Blood type and screen | $91 | $124 | $10 |
| Blood type test | $35 | $58 | $3 |
| Blood type test (ABO group) | $51 | $67 | $3 |
| Blood type test (Rh/D antigen) | $25 | $31 | $3 |
| BNP (heart failure) test | $181 | $211 | $39 |
| Bone density scan (DEXA) | $521 | $608 | $39 |
| Bone marrow biopsy | $1,927 | $2,248 | $172 |
| Bone scan (nuclear) | $1,730 | $2,019 | $259 |
| Botox for migraine | $581 | $678 | $157 |
| Breast biopsy | $4,830 | $5,635 | $478 |
| Breast MRI | $817 | $953 | $216 |
| Breast MRI without contrast | $1,192 | $1,390 | $216 |
| Breast ultrasound | $410 | $478 | $92 |
| Breast ultrasound (complete) | $430 | $502 | $100 |
| Breast ultrasound (limited) | $389 | $454 | $84 |
| Breathing tube insertion (intubation) | $737 | $860 | $133 |
| Bronchoscopy | $2,068 | $2,413 | $303 |
| Burn dressing and debridement (medium) | $311 | $363 | $166 |
| Burn dressing and debridement (small) | $275 | $321 | $93 |
| Burn treatment | $293 | $363 | $129 |
| C-reactive protein (CRP) | $174 | $203 | $5 |
| CA 19-9 tumor marker test | $35 | $70 | $21 |
| CA-125 ovarian marker test | $283 | $225 | $21 |
| Calcium blood test | $46 | $53 | $5 |
| Capsule endoscopy | $1,822 | $2,126 | $802 |
| Cardiac ablation | $46,473 | $54,218 | $759 |
| Cardiac catheterization | $10,417 | $12,153 | $1,049 |
| Cardiac MRI | $1,467 | $1,712 | $322 |
| Cardiac MRI without contrast | $1,160 | $1,353 | $280 |
| Cardiac rehabilitation | $290 | $339 | $26 |
| Cardiac stress test | $602 | $702 | $39 |
| Cardioversion | $847 | $988 | $155 |
| Carotid artery ultrasound | $708 | $826 | $156 |
| CEA tumor marker test | $313 | $366 | $19 |
| Celiac disease test | $44 | $52 | $12 |
| Central line placement | $3,053 | $3,562 | $238 |
| Cervical LEEP procedure | $4,588 | $5,352 | $325 |
| Chemotherapy infusion | $455 | $530 | $81 |
| Chemotherapy infusion (each additional) | $190 | $221 | $28 |
| Chemotherapy infusion (first hour) | $719 | $839 | $133 |
| Chest fluid drain (thoracentesis) | $1,604 | $1,871 | $311 |
| Chest tube insertion | $1,609 | $1,877 | $143 |
| Chest X-ray | $363 | $423 | $37 |
| Chest X-ray (1 view) | $325 | $379 | $25 |
| Chest X-ray (2 views) | $346 | $404 | $33 |
| Chickenpox (varicella) vaccine | $323 | $396 | — |
| Circumcision | $1,748 | $2,039 | $167 |
| CK-MB heart enzyme test | $110 | $128 | $12 |
| Clotting time test (PTT) | $95 | $27 | $6 |
| Colonoscopy | $2,869 | $3,347 | $480 |
| Colposcopy | $526 | $594 | $161 |
| Complete blood count (CBC) | $131 | $153 | $7 |
| Complete blood count (CBC) (complete) | $170 | $199 | $8 |
| Complex wound repair | $1,208 | $1,410 | $390 |
| Comprehensive metabolic panel | $197 | $230 | $11 |
| Contraceptive implant (Nexplanon) | $470 | $295 | $115 |
| Copper blood test | $165 | $163 | $12 |
| Coronary CT angiography | $1,217 | $1,420 | $326 |
| Cortisol test | $214 | $250 | $16 |
| COVID-19 PCR test | $60 | $70 | $51 |
| CPAP titration study | $563 | $657 | $69 |
| Creatine kinase (CK) test | $111 | $130 | $7 |
| CT angiography of the chest | $2,693 | $3,142 | $281 |
| CT angiography of the head | $1,844 | $2,151 | $274 |
| CT scan of the abdomen | $1,588 | $1,853 | $230 |
| CT scan of the abdomen and pelvis | $3,989 | $4,654 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $4,236 | $4,942 | $338 |
| CT scan of the abdomen and pelvis with contrast | $3,989 | $4,654 | $300 |
| CT scan of the abdomen and pelvis without contrast | $2,722 | $3,175 | $183 |
| CT scan of the abdomen with and without contrast | $1,904 | $2,221 | $259 |
| CT scan of the abdomen with contrast | $1,588 | $1,853 | $230 |
| CT scan of the abdomen without contrast | $1,371 | $1,600 | $136 |
| CT scan of the arm | $1,409 | $1,644 | $199 |
| CT scan of the arm with contrast | $1,409 | $1,644 | $199 |
| CT scan of the arm without contrast | $1,226 | $1,431 | $161 |
| CT scan of the chest | $1,845 | $2,153 | $167 |
| CT scan of the chest with and without contrast | $2,258 | $2,634 | $196 |
| CT scan of the chest with contrast | $1,845 | $2,153 | $167 |
| CT scan of the chest without contrast | $1,053 | $1,229 | $133 |
| CT scan of the head | $1,957 | $2,129 | $148 |
| CT scan of the head with and without contrast | $2,302 | $2,686 | $173 |
| CT scan of the head with contrast | $1,957 | $2,283 | $148 |
| CT scan of the head without contrast | $1,693 | $1,975 | $107 |
| CT scan of the leg | $1,417 | $1,653 | $166 |
| CT scan of the leg with contrast | $1,417 | $1,653 | $166 |
| CT scan of the leg without contrast | $1,051 | $1,226 | $130 |
| CT scan of the lower back (lumbar spine) | $1,465 | $1,709 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,757 | $2,050 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,465 | $1,709 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,354 | $1,580 | $130 |
| CT scan of the neck | $1,409 | $1,644 | $183 |
| CT scan of the neck (cervical spine) | $2,000 | $2,333 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $2,242 | $2,615 | $196 |
| CT scan of the neck (cervical spine) with contrast | $2,000 | $2,333 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,497 | $1,747 | $131 |
| CT scan of the neck with and without contrast | $1,664 | $1,941 | $220 |
| CT scan of the neck with contrast | $1,409 | $1,644 | $183 |
| CT scan of the neck without contrast | $1,354 | $1,580 | $150 |
| CT scan of the pelvis | $1,450 | $1,691 | $226 |
| CT scan of the pelvis with and without contrast | $1,625 | $1,896 | $251 |
| CT scan of the pelvis with contrast | $1,450 | $1,691 | $226 |
| CT scan of the pelvis without contrast | $1,427 | $1,665 | $133 |
| CT scan of the sinuses | $1,486 | $1,733 | $152 |
| CT scan of the sinuses with and without contrast | $1,867 | $2,178 | $184 |
| CT scan of the sinuses with contrast | $1,486 | $1,733 | $152 |
| CT scan of the sinuses without contrast | $1,050 | $1,225 | $128 |
| D-dimer test | $124 | $145 | $10 |
| Defibrillator (ICD) implant | $41,935 | $48,924 | $798 |
| DHEA-sulfate test | $120 | $115 | $22 |
| Diagnostic mammogram | $386 | $450 | $140 |
| Dilation and curettage (D&C) | $4,022 | $4,693 | $298 |
| Drug screen (urine) | $184 | $186 | $17 |
| Echocardiogram | $782 | $912 | $138 |
| Echocardiogram with and without contrast | $618 | $721 | $101 |
| Echocardiogram without contrast | $782 | $912 | $138 |
| EEG (awake and asleep) | $1,708 | $1,992 | $482 |
| EKG / ECG (tracing only) | $200 | $234 | $7 |
| Electrocardiogram (EKG) | $200 | $234 | $8 |
| Electroencephalogram (EEG) | $1,694 | $1,976 | $448 |
| Electrolyte panel | $143 | $167 | $7 |
| Electromyography (EMG) | $282 | $329 | $141 |
| Emergency department visit | $757 | $883 | $69 |
| Emergency department visit (level 1) | $256 | $299 | $11 |
| Emergency department visit (level 2) | $442 | $516 | $40 |
| Emergency department visit (level 3) | $757 | $883 | $69 |
| Emergency department visit (level 4) | $1,091 | $1,273 | $118 |
| Emergency department visit (level 5) | $2,132 | $2,487 | $171 |
| Endometrial biopsy | $238 | $277 | $98 |
| Epidural steroid injection | $1,545 | $1,803 | $275 |
| ERCP (bile duct endoscopy) | $3,976 | $4,639 | $311 |
| Esophageal dilation | $1,978 | $2,308 | $522 |
| Estradiol (estrogen) test | $148 | $260 | $28 |
| Facet joint injection (spine) | $1,805 | $2,106 | $99 |
| Fallopian tube X-ray (HSG) | $1,281 | $1,495 | $164 |
| Family therapy session | $370 | $431 | $110 |
| Fecal occult blood (stool) test | $18 | $21 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $18 | $21 | $4 |
| Feeding tube (PEG) placement | $2,829 | $3,301 | $178 |
| Ferritin (iron) test | $169 | $201 | $14 |
| Fibrinogen test | $211 | $246 | $10 |
| Flexible sigmoidoscopy | $1,395 | $1,628 | $323 |
| Flu test | $49 | $57 | $17 |
| Folate (folic acid) test | $168 | $341 | $15 |
| Foreign body removal (skin) | $526 | $614 | $157 |
| Free T4 thyroid test | $292 | $209 | $9 |
| FSH hormone test | $15 | $131 | $19 |
| Gallbladder scan (HIDA) | $1,998 | $2,331 | $334 |
| GGT liver test | $38 | $67 | $7 |
| Glucose tolerance test | $125 | $145 | $8 |
| Group therapy session | $250 | $291 | $30 |
| H. pylori test | $198 | $218 | $67 |
| HDL cholesterol test | $170 | $199 | $8 |
| Hematocrit test | $92 | $108 | $2 |
| Hemodialysis | $999 | $1,166 | $75 |
| Hemoglobin A1c (diabetes test) | $106 | $203 | $10 |
| Hemorrhoid removal | $1,703 | $1,987 | $338 |
| Hepatitis A vaccine | $127 | $148 | — |
| Hepatitis B test | $85 | $99 | $10 |
| Hepatitis B vaccine | $85 | $99 | — |
| Hepatitis C test | $85 | $60 | $14 |
| HIV test | $28 | $33 | $19 |
| HIV test (antibody) | $28 | $33 | $14 |
| Holter heart monitor | $443 | $516 | $26 |
| Home sleep apnea test | $496 | $578 | $123 |
| Iron blood test | $189 | $210 | $6 |
| IUD insertion | $730 | $852 | — |
| IUD removal | $311 | $363 | $112 |
| IV infusion therapy | $258 | $301 | $44 |
| IV infusion therapy (each additional) | $138 | $161 | $21 |
| IV infusion therapy (initial) | $379 | $442 | $67 |
| IVC filter placement | $19,729 | $23,017 | $1,885 |
| Joint aspiration (small/intermediate) | $461 | $537 | $57 |
| Joint aspiration or injection (mid-size joint) | $456 | $532 | $57 |
| Joint aspiration or injection (small joint) | $465 | $543 | $56 |
| Kidney biopsy | $2,012 | $2,348 | $492 |
| Kidney scan (nuclear) | $2,030 | $2,368 | $172 |
| Kidney ultrasound | $564 | $658 | $84 |
| Kidney ultrasound (limited) | $531 | $620 | $61 |
| Knee joint injection | $532 | $620 | $69 |
| Lactate test | $167 | $15 | $12 |
| Laryngoscopy | $1,301 | $1,518 | $189 |
| LDH test | $39 | $46 | $6 |
| LDL cholesterol test | $93 | $109 | $11 |
| Leg artery angiogram | $3,160 | $3,686 | $149 |
| Leg artery angioplasty | $11,044 | $16,090 | — |
| Leg vein ultrasound (Doppler) | $1,311 | $1,529 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $1,197 | $1,397 | $116 |
| LH hormone test | $13 | $190 | $19 |
| Lipase test | $127 | $148 | $7 |
| Lipid (cholesterol) panel | $186 | $196 | $13 |
| Liver biopsy | $2,943 | $3,434 | $288 |
| Liver function panel | $163 | $190 | $8 |
| Lung function test (PFT) | $407 | $474 | $37 |
| Lung scan (V/Q) | $2,405 | $2,806 | $291 |
| Magnesium blood test | $40 | $149 | $7 |
| MMR vaccine | $157 | $186 | — |
| MRA of the brain | $2,785 | $3,249 | $226 |
| MRA of the brain with contrast | $2,785 | $3,249 | $226 |
| MRA of the brain without contrast | $2,993 | $3,492 | $328 |
| MRA of the neck | $2,993 | $3,492 | $245 |
| MRA of the neck with contrast | $2,993 | $3,492 | $245 |
| MRA of the neck without contrast | $3,454 | $4,029 | $343 |
| MRI of the abdomen | $2,378 | $2,774 | $300 |
| MRI of the abdomen with contrast | $2,378 | $2,774 | $300 |
| MRI of the abdomen without contrast | $1,847 | $2,155 | $194 |
| MRI of the ankle | $2,140 | $2,496 | $261 |
| MRI of the ankle with contrast | $2,140 | $2,496 | $261 |
| MRI of the ankle without contrast | $1,377 | $1,607 | $222 |
| MRI of the brain | $2,226 | $2,597 | $269 |
| MRI of the brain with contrast | $2,226 | $2,597 | $269 |
| MRI of the brain without contrast | $1,859 | $2,169 | $195 |
| MRI of the chest | $2,395 | $2,794 | $371 |
| MRI of the chest without contrast | $2,821 | $3,291 | $466 |
| MRI of the knee | $1,649 | $1,924 | $315 |
| MRI of the knee with contrast | $1,649 | $1,924 | $315 |
| MRI of the knee without contrast | $1,578 | $1,841 | $204 |
| MRI of the lower back (lumbar spine) | $2,350 | $2,741 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $2,350 | $2,741 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $1,849 | $2,157 | $192 |
| MRI of the mid-back (thoracic spine) | $2,350 | $2,741 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $2,467 | $2,878 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $2,350 | $2,741 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $1,913 | $2,232 | $190 |
| MRI of the neck (cervical spine) | $2,350 | $2,741 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $2,467 | $2,878 | $318 |
| MRI of the neck (cervical spine) with contrast | $2,350 | $2,741 | $274 |
| MRI of the neck (cervical spine) without contrast | $1,808 | $2,110 | $191 |
| MRI of the pelvis | $2,459 | $2,869 | $268 |
| MRI of the pelvis with contrast | $2,459 | $2,869 | $268 |
| MRI of the pelvis without contrast | $2,091 | $2,440 | $227 |
| MRI of the shoulder | $2,017 | $2,353 | $313 |
| MRI of the shoulder with contrast | $2,017 | $2,353 | $313 |
| MRI of the shoulder without contrast | $1,574 | $1,837 | $205 |
| MRI of the wrist | $1,437 | $1,677 | $330 |
| MRI of the wrist with contrast | $1,437 | $1,677 | $330 |
| MRI of the wrist without contrast | $1,344 | $1,568 | $303 |
| Nebulizer breathing treatment | $131 | $153 | $9 |
| Nerve conduction study | $328 | $383 | $118 |
| Nuchal translucency ultrasound | $653 | $762 | $116 |
| Nuclear cardiac stress test | $4,588 | $5,352 | $428 |
| Occupational therapy evaluation | $225 | $263 | $101 |
| Occupational therapy evaluation (high complexity) | $232 | $271 | $101 |
| Occupational therapy evaluation (low complexity) | $220 | $257 | $101 |
| Occupational therapy evaluation (moderate complexity) | $225 | $263 | $101 |
| Pap smear (cervical screening) | $99 | $115 | $20 |
| Parathyroid hormone (PTH) test | $66 | $77 | $41 |
| Pelvic ultrasound | $533 | $622 | $78 |
| Pelvic ultrasound (complete) | $613 | $715 | $105 |
| Pelvic ultrasound (limited) | $454 | $529 | $51 |
| PET scan | $4,779 | $5,576 | — |
| Phosphorus blood test | $115 | $134 | $5 |
| Physical therapy evaluation | $225 | $263 | $98 |
| Physical therapy evaluation (high complexity) | $232 | $271 | $98 |
| Physical therapy evaluation (moderate complexity) | $225 | $263 | $98 |
| Pilonidal cyst removal | $3,381 | $3,945 | $541 |
| Platelet count | $60 | $70 | $4 |
| Pneumonia vaccine | $202 | $236 | — |
| Pregnancy blood test (hCG) | $100 | $116 | $8 |
| Pregnancy ultrasound | $705 | $823 | $126 |
| Pregnancy ultrasound (first trimester) | $705 | $823 | $117 |
| Pregnancy ultrasound (second or third trimester) | $705 | $823 | $136 |
| Procalcitonin test | $422 | $152 | $27 |
| Prolactin test | $209 | $244 | $19 |
| Prostate biopsy | $2,530 | $2,951 | — |
| Prostate test (PSA) | $50 | $177 | $18 |
| Psychiatric evaluation | $260 | $331 | $188 |
| Psychotherapy session | $337 | $393 | $140 |
| Pulmonary rehabilitation | $197 | $230 | $87 |
| Radiofrequency nerve ablation | $2,332 | $2,721 | $462 |
| RSV vaccine | $478 | $558 | — |
| Scoliosis spine X-ray | $188 | $219 | $58 |
| Scoliosis spine X-ray (1 view) | $175 | $204 | $44 |
| Scoliosis spine X-ray (3 views) | $200 | $233 | $72 |
| Screening colonoscopy | $1,511 | $1,763 | $378 |
| Screening mammogram | $310 | $295 | $126 |
| Scrotal ultrasound | $705 | $823 | $99 |
| Sedimentation rate (ESR) test | $115 | $134 | $3 |
| Semen analysis | $108 | $126 | $12 |
| Sex hormone binding globulin test | $101 | $118 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $286 | $334 | $114 |
| Simple wound stitches | $315 | $334 | $127 |
| Skin biopsy | $454 | $529 | $121 |
| Skin biopsy (punch) | $454 | $529 | $121 |
| Skin cancer lesion removal | $788 | $919 | $240 |
| Skin graft | $4,126 | $4,813 | $898 |
| Skin lesion freezing (cryotherapy) | $171 | $200 | $36 |
| Skin tag removal | $311 | $363 | $92 |
| Sleep study (polysomnography) | $5,114 | $5,966 | $691 |
| Soft tissue ultrasound | $551 | $643 | $64 |
| Speech therapy | $204 | $238 | $76 |
| Spinal cord stimulator | $7,348 | $8,573 | $2,388 |
| Spinal tap (lumbar puncture) | $835 | $974 | $165 |
| Spine fracture repair (kyphoplasty) | $8,678 | $10,124 | $5,803 |
| Spirometry (lung function test) | $222 | $259 | $30 |
| Spirometry with bronchodilator | $591 | $690 | $43 |
| Strep throat test | $57 | $67 | $17 |
| Stress echocardiogram | $956 | $1,115 | $209 |
| Stress echocardiogram (complete) | $1,067 | $1,245 | $233 |
| Swallow study | $203 | $237 | $85 |
| T3 thyroid test | $65 | $30 | $14 |
| Tdap (tetanus) vaccine | $69 | $81 | — |
| Testosterone test | $162 | $189 | $26 |
| Thyroid test (TSH) | $280 | $326 | $17 |
| Thyroid ultrasound | $715 | $834 | $109 |
| Thyroid uptake scan | $961 | $1,121 | $145 |
| Tilt table test | $1,013 | $1,182 | $168 |
| Total IgE allergy test | $51 | $67 | $16 |
| Total protein test | $40 | $22 | $4 |
| Tracheostomy | $2,054 | $2,396 | $273 |
| Transesophageal echocardiogram (TEE) | $1,893 | $2,209 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $2,175 | $2,538 | $239 |
| Transvaginal ultrasound | $705 | $823 | $118 |
| Trigger point injection | $381 | $445 | $56 |
| Trigger point injection (1-2 muscles) | $356 | $416 | $52 |
| Triglycerides test | $111 | $130 | $6 |
| Troponin (heart) test | $124 | $107 | $12 |
| Turning a breech baby (version) | $2,223 | $2,594 | $94 |
| Upper GI endoscopy (EGD) | $1,845 | $2,153 | $371 |
| Upper GI series (barium) | $678 | $791 | $128 |
| Ureteral stent placement | $4,453 | $5,195 | $373 |
| Ureteroscopy (stone removal) | $7,008 | $8,176 | $365 |
| Uric acid (gout) test | $115 | $134 | $5 |
| Urinalysis | $39 | $47 | $3 |
| Urine microalbumin test | $123 | $143 | $5 |
| Urine pregnancy test | $94 | $109 | $9 |
| Vaccine administration | $74 | $87 | $19 |
| Vaccine administration (each additional) | $62 | $72 | $16 |
| Varicose vein ablation | $4,753 | $5,545 | $1,018 |
| Vitamin B12 test | $169 | $197 | $15 |
| Vitamin D test | $113 | $160 | $30 |
| Wart removal | $239 | $279 | $121 |
| Wound debridement | $971 | $1,133 | $186 |
| X-ray of the abdomen | $344 | $401 | $36 |
| X-ray of the ankle | $261 | $305 | $37 |
| X-ray of the collarbone | $264 | $308 | $33 |
| X-ray of the elbow | $266 | $311 | $33 |
| X-ray of the facial bones | $238 | $277 | $39 |
| X-ray of the foot | $277 | $323 | $34 |
| X-ray of the forearm | $218 | $254 | $29 |
| X-ray of the hand | $346 | $404 | $38 |
| X-ray of the hip | $401 | $468 | $49 |
| X-ray of the hip (1 view) | $264 | $308 | $34 |
| X-ray of the hip (3 views) | $401 | $468 | $49 |
| X-ray of the hip (4 views) | $514 | $599 | $63 |
| X-ray of the knee | $277 | $323 | $42 |
| X-ray of the knee (2 views) | $236 | $276 | $34 |
| X-ray of the knee (3 views) | $277 | $323 | $42 |
| X-ray of the knee (4+ views) | $346 | $404 | $49 |
| X-ray of the lower back (lumbar spine) | $424 | $495 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $322 | $375 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $526 | $614 | $53 |
| X-ray of the lower leg | $218 | $254 | $31 |
| X-ray of the mid-back (thoracic spine) | $327 | $382 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $310 | $362 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $344 | $401 | $39 |
| X-ray of the neck (cervical spine) | $436 | $509 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $346 | $404 | $40 |
| X-ray of the pelvis | $295 | $344 | $36 |
| X-ray of the pelvis (1 view) | $290 | $339 | $28 |
| X-ray of the ribs | $344 | $401 | $42 |
| X-ray of the ribs (2 views) | $301 | $351 | $36 |
| X-ray of the ribs (3 views) | $344 | $401 | $42 |
| X-ray of the shoulder | $218 | $254 | $36 |
| X-ray of the skull | $381 | $445 | $40 |
| X-ray of the upper arm | $218 | $254 | $32 |
| X-ray of the wrist | $266 | $311 | $43 |
| Zinc blood test | $103 | $120 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
