| Procedure | Cash (median) | Hospitals |
|---|
| 3D mammogram (tomosynthesis) | $62 | 4 |
| Abdominal fluid drain (paracentesis) | $953 | 4 |
| Abdominal ultrasound | $348 | 4 |
| Abdominal ultrasound (complete) | $380 | 4 |
| Abdominal ultrasound (limited) | $323 | 4 |
| Abscess drainage (complex or multiple) | $279 | 4 |
| Abscess drainage (simple) | $115 | 4 |
| Abscess incision and drainage | $197 | 4 |
| Achilles tendon repair | — | 4 |
| ACL knee reconstruction | — | 4 |
| Acupuncture | $58 | 3 |
| Adenoid removal (adenoidectomy) | — | 4 |
| Albumin blood test | $11 | 3 |
| Aldosterone test | $85 | 3 |
| Alkaline phosphatase test | $13 | 4 |
| Allergy patch testing | $447 | 4 |
| Allergy shots | — | 3 |
| Allergy testing | — | 3 |
| Alpha-fetoprotein (AFP) test | $38 | 3 |
| ALT liver enzyme test | $14 | 4 |
| Ammonia blood test | $38 | 4 |
| Amniocentesis | $850 | 4 |
| Amylase test | $17 | 4 |
| Anal fistula repair | — | 4 |
| Ankle fracture repair | — | 4 |
| Ankle replacement | — | 4 |
| Annual physical (established patient) | $101 | 3 |
| Annual physical (new patient) | $144 | 3 |
| Anoscopy | $344 | 4 |
| Antinuclear antibody (ANA) test | $29 | 3 |
| Aortic aneurysm repair (AAA) | $2,716 | 3 |
| Aortic valve replacement | $16,125 | 3 |
| Arterial blood gas (ABG) | $31 | 3 |
| AST liver enzyme test | $13 | 4 |
| Barium swallow study | $510 | 4 |
| Bartholin cyst removal | $303 | 4 |
| Basic metabolic panel | $24 | 4 |
| Benign skin lesion removal | $1,826 | 4 |
| Bilirubin blood test | $13 | 4 |
| Bladder function test (urodynamics) | $1,309 | 4 |
| Bladder scope (cystoscopy) | $1,828 | 4 |
| Bladder tumor removal (TURBT) | — | 4 |
| Blood clotting test (PT/INR) | $12 | 4 |
| Blood crossmatch | $106 | 4 |
| Blood glucose test | $11 | 4 |
| Blood transfusion | $1,150 | 4 |
| Blood type and screen | $63 | 4 |
| Blood type test | $54 | 4 |
| Blood type test (ABO group) | $87 | 4 |
| Blood type test (Rh/D antigen) | $28 | 4 |
| BNP (heart failure) test | $131 | 4 |
| Bone density scan (DEXA) | $320 | 4 |
| Bone marrow biopsy | $4,173 | 4 |
| Bone scan (nuclear) | $1,086 | 4 |
| Botox for migraine | $661 | 4 |
| Breast biopsy | $2,565 | 4 |
| Breast MRI | $1,612 | 4 |
| Breast MRI without contrast | $1,303 | 4 |
| Breast reconstruction | — | 4 |
| Breast reduction | — | 4 |
| Breast ultrasound | $267 | 3 |
| Breast ultrasound (complete) | $312 | 3 |
| Breast ultrasound (limited) | $230 | 3 |
| Breathing tube insertion (intubation) | $460 | 4 |
| Bronchoscopy | $2,912 | 4 |
| Bunion surgery (bunionectomy) | — | 4 |
| Burn dressing and debridement (medium) | $314 | 4 |
| Burn dressing and debridement (small) | $260 | 4 |
| Burn treatment | $287 | 4 |
| C-reactive protein (CRP) | $13 | 4 |
| CA 19-9 tumor marker test | $48 | 3 |
| CA-125 ovarian marker test | $48 | 3 |
| Calcium blood test | $13 | 4 |
| Capsule endoscopy | — | 3 |
| Cardiac ablation | $20,393 | 4 |
| Cardiac catheterization | $9,296 | 4 |
| Cardiac MRI | $1,648 | 4 |
| Cardiac MRI without contrast | $1,578 | 4 |
| Cardiac rehabilitation | $285 | 4 |
| Cardiac stress test | $740 | 4 |
| Cardioversion | $1,334 | 4 |
| Carotid artery ultrasound | $574 | 4 |
| Carpal tunnel release | — | 4 |
| Cataract surgery | — | 4 |
| CEA tumor marker test | $43 | 3 |
| Celiac disease test | $23 | 3 |
| Central line placement | $1,939 | 4 |
| Cervical cerclage | $2,746 | 4 |
| Cervical LEEP procedure | — | 4 |
| Cesarean section (C-section) | — | 3 |
| Chalazion (eyelid cyst) removal | $194 | 4 |
| Chemotherapy infusion | $489 | 4 |
| Chemotherapy infusion (each additional) | $162 | 4 |
| Chemotherapy infusion (first hour) | $816 | 4 |
| Chest fluid drain (thoracentesis) | $1,302 | 4 |
| Chest tube insertion | $1,165 | 4 |
| Chest X-ray | $212 | 4 |
| Chest X-ray (1 view) | $191 | 4 |
| Chest X-ray (2 views) | $240 | 4 |
| Chiropractic adjustment | — | 3 |
| Circumcision | $2,285 | 4 |
| CK-MB heart enzyme test | $31 | 4 |
| Clotting time test (PTT) | $16 | 4 |
| Colonoscopy | — | 4 |
| Colposcopy | $408 | 4 |
| Complete blood count (CBC) | $22 | 4 |
| Complete blood count (CBC) (complete) | $24 | 4 |
| Complex wound repair | $626 | 4 |
| Comprehensive eye exam | — | 3 |
| Comprehensive metabolic panel | $31 | 4 |
| Contraceptive implant (Nexplanon) | $1,397 | 4 |
| Copper blood test | $26 | 3 |
| Corneal transplant | — | 4 |
| Coronary artery bypass (CABG) | — | 3 |
| Coronary CT angiography | $1,132 | 4 |
| Cortisol test | $43 | 4 |
| COVID-19 PCR test | $124 | 4 |
| CPAP titration study | $1,946 | 4 |
| Creatine kinase (CK) test | $17 | 4 |
| CT angiography of the chest | $1,261 | 4 |
| CT angiography of the head | $1,366 | 4 |
| CT colonography (virtual colonoscopy) | $991 | 4 |
| CT scan of the abdomen | $1,108 | 4 |
| CT scan of the abdomen and pelvis | $1,645 | 4 |
| CT scan of the abdomen and pelvis with and without contrast | $1,882 | 4 |
| CT scan of the abdomen and pelvis with contrast | $1,819 | 4 |
| CT scan of the abdomen and pelvis without contrast | $1,292 | 4 |
| CT scan of the abdomen with and without contrast | $1,429 | 4 |
| CT scan of the abdomen with contrast | $1,108 | 4 |
| CT scan of the abdomen without contrast | $745 | 4 |
| CT scan of the arm | $1,107 | 3 |
| CT scan of the arm with contrast | $1,184 | 3 |
| CT scan of the arm without contrast | $779 | 3 |
| CT scan of the chest | $1,005 | 4 |
| CT scan of the chest with and without contrast | $1,244 | 4 |
| CT scan of the chest with contrast | $1,018 | 4 |
| CT scan of the chest without contrast | $794 | 4 |
| CT scan of the head | $915 | 4 |
| CT scan of the head with and without contrast | $1,083 | 4 |
| CT scan of the head with contrast | $975 | 4 |
| CT scan of the head without contrast | $622 | 4 |
| CT scan of the leg | $1,013 | 3 |
| CT scan of the leg with contrast | $1,013 | 3 |
| CT scan of the leg without contrast | $783 | 3 |
| CT scan of the lower back (lumbar spine) | $1,098 | 4 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,286 | 4 |
| CT scan of the lower back (lumbar spine) with contrast | $1,184 | 4 |
| CT scan of the lower back (lumbar spine) without contrast | $796 | 4 |
| CT scan of the neck | $992 | 4 |
| CT scan of the neck (cervical spine) | $1,095 | 4 |
| CT scan of the neck (cervical spine) with and without contrast | $1,279 | 4 |
| CT scan of the neck (cervical spine) with contrast | $1,184 | 4 |
| CT scan of the neck (cervical spine) without contrast | $802 | 4 |
| CT scan of the neck with and without contrast | $1,233 | 4 |
| CT scan of the neck with contrast | $999 | 4 |
| CT scan of the neck without contrast | $778 | 4 |
| CT scan of the pelvis | $975 | 4 |
| CT scan of the pelvis with and without contrast | $1,265 | 4 |
| CT scan of the pelvis with contrast | $975 | 4 |
| CT scan of the pelvis without contrast | $748 | 4 |
| CT scan of the sinuses | $1,028 | 4 |
| CT scan of the sinuses with and without contrast | $1,266 | 4 |
| CT scan of the sinuses with contrast | $1,047 | 4 |
| CT scan of the sinuses without contrast | $820 | 4 |
| D-dimer test | $70 | 4 |
| Defibrillator (ICD) implant | $26,037 | 4 |
| DHEA-sulfate test | $46 | 3 |
| Diagnostic mammogram | $304 | 4 |
| Dialysis fistula creation | $7,611 | 4 |
| Dilation and curettage (D&C) | $2,466 | 4 |
| Droopy eyelid repair (ptosis) | — | 4 |
| Drug screen (urine) | $118 | 4 |
| Ear pressure test (tympanometry) | $96 | 3 |
| Ear tubes (myringotomy) | — | 4 |
| Eardrum repair (tympanoplasty) | — | 4 |
| Echocardiogram | $1,274 | 4 |
| Echocardiogram with and without contrast | $713 | 4 |
| Echocardiogram without contrast | $1,328 | 4 |
| EEG (awake and asleep) | $657 | 4 |
| EKG / ECG (tracing only) | $142 | 4 |
| Elbow replacement | — | 4 |
| Electrocardiogram (EKG) | $142 | 4 |
| Electroencephalogram (EEG) | $657 | 4 |
| Electrolyte panel | $18 | 4 |
| Electromyography (EMG) | $313 | 4 |
| Emergency department visit | $702 | 4 |
| Emergency department visit (level 1) | $240 | 4 |
| Emergency department visit (level 2) | $384 | 4 |
| Emergency department visit (level 3) | $702 | 4 |
| Emergency department visit (level 4) | $1,103 | 4 |
| Emergency department visit (level 5) | $1,970 | 4 |
| Endometrial biopsy | $412 | 4 |
| Epidural steroid injection | $1,877 | 4 |
| ERCP (bile duct endoscopy) | — | 4 |
| Esophageal dilation | $710 | 4 |
| Esophageal variceal banding | — | 4 |
| Estradiol (estrogen) test | $59 | 3 |
| Eyelid surgery (blepharoplasty) | — | 4 |
| Facet joint injection (spine) | $712 | 4 |
| Fallopian tube X-ray (HSG) | $307 | 4 |
| Family therapy session | $131 | 3 |
| Fecal occult blood (stool) test | $20 | 4 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $11 | 4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $36 | 3 |
| Feeding tube (PEG) placement | $1,686 | 4 |
| Femoral hernia repair | — | 4 |
| Ferritin (iron) test | $36 | 4 |
| Fibrinogen test | $24 | 4 |
| Fibroid removal (myomectomy) | — | 3 |
| Flexible sigmoidoscopy | — | 4 |
| Flu test | $30 | 3 |
| Folate (folic acid) test | $36 | 4 |
| Foreign body removal (skin) | $926 | 4 |
| Free T4 thyroid test | $24 | 4 |
| FSH hormone test | $39 | 3 |
| Gallbladder removal (laparoscopic) | — | 4 |
| Gallbladder scan (HIDA) | $1,215 | 4 |
| Ganglion cyst removal | — | 4 |
| GGT liver test | $19 | 4 |
| Glaucoma surgery | — | 4 |
| Glucose tolerance test | $19 | 4 |
| Group therapy session | $94 | 3 |
| H. pylori test | $136 | 3 |
| Hammertoe repair | $4,028 | 4 |
| HDL cholesterol test | $19 | 3 |
| Hearing test (audiometry) | $354 | 3 |
| Hematocrit test | $6 | 4 |
| Hemodialysis | $702 | 4 |
| Hemoglobin A1c (diabetes test) | $25 | 4 |
| Hemorrhoid removal | $888 | 4 |
| Hepatitis A vaccine | $104 | 3 |
| Hepatitis B test | $23 | 3 |
| Hepatitis B vaccine | $156 | 3 |
| Hepatitis C test | $30 | 4 |
| Hip arthroscopy | — | 4 |
| Hip fracture repair | — | 4 |
| Hip replacement | — | 4 |
| HIV test | $47 | 4 |
| HIV test (antibody) | $36 | 4 |
| HIV test (antigen/antibody combo) | $59 | 4 |
| Holter heart monitor | $350 | 4 |
| Home sleep apnea test | $358 | 3 |
| Hydrocele repair | — | 4 |
| Hysterectomy | — | 4 |
| Hysteroscopy | — | 4 |
| Inguinal hernia repair | — | 4 |
| Iron blood test | $17 | 4 |
| IUD insertion | $122 | 3 |
| IUD removal | $420 | 4 |
| IV infusion therapy | $319 | 4 |
| IV infusion therapy (each additional) | $110 | 4 |
| IV infusion therapy (initial) | $528 | 4 |
| IVC filter placement | $7,586 | 4 |
| Joint aspiration (small/intermediate) | $695 | 4 |
| Joint aspiration or injection (mid-size joint) | $678 | 4 |
| Joint aspiration or injection (small joint) | $712 | 4 |
| Kidney biopsy | $1,778 | 4 |
| Kidney scan (nuclear) | $1,279 | 4 |
| Kidney stone shock-wave (lithotripsy) | — | 4 |
| Kidney ultrasound | $348 | 4 |
| Kidney ultrasound (limited) | $323 | 4 |
| Knee arthroscopy | — | 4 |
| Knee joint injection | $712 | 4 |
| Knee replacement | — | 3 |
| Lactate test | $30 | 4 |
| Laminectomy (spine) | — | 4 |
| Laryngoscopy | $2,407 | 4 |
| LDH test | $16 | 4 |
| LDL cholesterol test | $27 | 4 |
| Leg artery angiogram | $2,597 | 3 |
| Leg artery angioplasty | — | 3 |
| Leg vein ultrasound (Doppler) | $479 | 4 |
| Leg vein ultrasound (Doppler) (limited) | $332 | 3 |
| LH hormone test | $39 | 3 |
| Lipase test | $18 | 4 |
| Lipid (cholesterol) panel | $35 | 4 |
| Liver biopsy | $1,053 | 4 |
| Liver function panel | $20 | 4 |
| Lower back (lumbar) spinal fusion | — | 3 |
| Lumbar discectomy | — | 4 |
| Lumpectomy (breast) | — | 4 |
| Lung function test (PFT) | $369 | 4 |
| Lung scan (V/Q) | $1,388 | 4 |
| Magnesium blood test | $20 | 4 |
| Mastectomy | — | 4 |
| Mastoidectomy | — | 4 |
| Meniscus repair (knee) | — | 4 |
| Mohs skin cancer surgery | — | 4 |
| MRA of the brain | $1,733 | 4 |
| MRA of the brain with contrast | $1,684 | 4 |
| MRA of the brain without contrast | $1,881 | 4 |
| MRA of the neck | $1,680 | 4 |
| MRA of the neck with contrast | $1,684 | 4 |
| MRA of the neck without contrast | $1,738 | 4 |
| MRI of the abdomen | $1,648 | 4 |
| MRI of the abdomen with contrast | $1,634 | 4 |
| MRI of the abdomen without contrast | $1,578 | 4 |
| MRI of the ankle | $1,648 | 3 |
| MRI of the ankle with contrast | $1,684 | 3 |
| MRI of the ankle without contrast | $1,578 | 3 |
| MRI of the brain | $1,621 | 4 |
| MRI of the brain with contrast | $1,634 | 4 |
| MRI of the brain without contrast | $1,533 | 4 |
| MRI of the chest | $1,724 | 4 |
| MRI of the chest with contrast | $1,906 | 4 |
| MRI of the chest without contrast | $1,789 | 4 |
| MRI of the knee | $1,644 | 3 |
| MRI of the knee with contrast | $1,964 | 3 |
| MRI of the knee without contrast | $1,378 | 3 |
| MRI of the lower back (lumbar spine) | $1,623 | 4 |
| MRI of the lower back (lumbar spine) with contrast | $1,706 | 4 |
| MRI of the lower back (lumbar spine) without contrast | $1,533 | 4 |
| MRI of the mid-back (thoracic spine) | $1,673 | 4 |
| MRI of the mid-back (thoracic spine) with and without contrast | $1,736 | 4 |
| MRI of the mid-back (thoracic spine) with contrast | $1,791 | 4 |
| MRI of the mid-back (thoracic spine) without contrast | $1,578 | 4 |
| MRI of the neck (cervical spine) | $1,623 | 4 |
| MRI of the neck (cervical spine) with and without contrast | $1,736 | 4 |
| MRI of the neck (cervical spine) with contrast | $1,706 | 4 |
| MRI of the neck (cervical spine) without contrast | $1,533 | 4 |
| MRI of the pelvis | $1,648 | 4 |
| MRI of the pelvis with contrast | $1,634 | 4 |
| MRI of the pelvis without contrast | $1,578 | 4 |
| MRI of the shoulder | $1,750 | 3 |
| MRI of the shoulder with contrast | $1,964 | 3 |
| MRI of the shoulder without contrast | $1,578 | 3 |
| MRI of the wrist | $1,672 | 3 |
| MRI of the wrist with contrast | $1,684 | 3 |
| MRI of the wrist without contrast | $1,578 | 3 |
| Nebulizer breathing treatment | $350 | 4 |
| Neck (cervical) spinal fusion | — | 4 |
| Nerve conduction study | $270 | 3 |
| Newborn hospital care | — | 3 |
| Nuchal translucency ultrasound | $323 | 4 |
| Nuclear cardiac stress test | $3,292 | 4 |
| Occupational therapy evaluation | $156 | 3 |
| Occupational therapy evaluation (high complexity) | $167 | 3 |
| Occupational therapy evaluation (low complexity) | $144 | 3 |
| Occupational therapy evaluation (moderate complexity) | $156 | 3 |
| Office visit (established patient) | $177 | 3 |
| Office visit, established patient (level 3) | $177 | 3 |
| Office visit, established patient (level 4) | $177 | 3 |
| Orthopedic hardware removal | $4,485 | 4 |
| Ovarian cyst removal | — | 4 |
| Pacemaker insertion | — | 3 |
| Pap smear (cervical screening) | $47 | 4 |
| Parathyroid hormone (PTH) test | $105 | 4 |
| Parathyroid removal | — | 4 |
| Pelvic ultrasound | $347 | 4 |
| Pelvic ultrasound (complete) | $378 | 4 |
| Pelvic ultrasound (limited) | $323 | 4 |
| PET scan | $4,121 | 4 |
| Phosphorus blood test | $13 | 4 |
| Physical therapy evaluation | $144 | 3 |
| Physical therapy evaluation (high complexity) | $150 | 3 |
| Physical therapy evaluation (moderate complexity) | $144 | 3 |
| Pilonidal cyst removal | — | 4 |
| Platelet count | $12 | 4 |
| Pregnancy blood test (hCG) | $20 | 4 |
| Pregnancy ultrasound | $348 | 4 |
| Pregnancy ultrasound (first trimester) | $323 | 4 |
| Pregnancy ultrasound (second or third trimester) | $380 | 4 |
| Procalcitonin test | $69 | 4 |
| Prolactin test | $51 | 4 |
| Prostate biopsy | $1,712 | 3 |
| Prostate removal (prostatectomy) | — | 4 |
| Prostate surgery (TURP) | — | 4 |
| Prostate test (PSA) | $35 | 3 |
| Psychiatric evaluation | $309 | 3 |
| Psychotherapy session | $309 | 3 |
| Pterygium removal (eye) | — | 4 |
| Pulmonary rehabilitation | $136 | 4 |
| Radiofrequency nerve ablation | $3,190 | 4 |
| Retina scan (OCT) | — | 3 |
| Retinal (fundus) photography | — | 3 |
| Retinal detachment repair | — | 4 |
| Rheumatoid factor test | $14 | 3 |
| Rotator cuff repair | — | 4 |
| Routine eye exam | — | 3 |
| Sacroiliac joint injection | $2,087 | 3 |
| Scoliosis spine X-ray | $252 | 4 |
| Scoliosis spine X-ray (1 view) | $203 | 4 |
| Scoliosis spine X-ray (3 views) | $312 | 4 |
| Screening colonoscopy | — | 3 |
| Screening mammogram | $204 | 4 |
| Scrotal ultrasound | $383 | 4 |
| Sedimentation rate (ESR) test | $10 | 4 |
| Semen analysis | $28 | 3 |
| Septoplasty (deviated septum) | — | 4 |
| Sex hormone binding globulin test | $49 | 3 |
| Shoulder arthroscopy | — | 4 |
| Shoulder replacement | — | 4 |
| Simple laceration repair (small, up to 2.5 cm) | $494 | 4 |
| Simple wound stitches | $494 | 4 |
| Sinus surgery (endoscopic) | — | 4 |
| Skin biopsy | $346 | 4 |
| Skin biopsy (punch) | $346 | 4 |
| Skin cancer lesion removal | $1,984 | 4 |
| Skin graft | — | 4 |
| Skin lesion freezing (cryotherapy) | $148 | 4 |
| Skin tag removal | $420 | 4 |
| Sleep study (polysomnography) | $2,611 | 4 |
| Soft tissue ultrasound | $274 | 3 |
| Speech therapy | $143 | 3 |
| Spinal cord stimulator | $13,946 | 4 |
| Spinal tap (lumbar puncture) | $599 | 4 |
| Spine fracture repair (kyphoplasty) | $5,617 | 4 |
| Spirometry (lung function test) | $240 | 4 |
| Spirometry with bronchodilator | $497 | 4 |
| Spleen removal (splenectomy) | — | 4 |
| Strabismus (eye muscle) surgery | — | 4 |
| Stress echocardiogram | $692 | 4 |
| Stress echocardiogram (complete) | $339 | 4 |
| Swallow study | $188 | 4 |
| T3 thyroid test | $37 | 4 |
| Tdap (tetanus) vaccine | $30 | 3 |
| Testicle removal (orchiectomy) | — | 4 |
| Testosterone test | $66 | 4 |
| Thyroid removal (thyroidectomy) | — | 4 |
| Thyroid test (TSH) | $44 | 4 |
| Thyroid ultrasound | $402 | 4 |
| Thyroid uptake scan | $482 | 4 |
| Tilt table test | $1,256 | 4 |
| Tonsillectomy | — | 4 |
| Total IgE allergy test | $37 | 3 |
| Total protein test | $9 | 3 |
| Tracheostomy | $3,719 | 4 |
| Transesophageal echocardiogram (TEE) | $1,470 | 4 |
| Transesophageal echocardiogram (TEE) with and without contrast | $1,700 | 4 |
| Transvaginal ultrasound | $390 | 4 |
| Trigger finger release | $3,666 | 4 |
| Trigger point injection | $612 | 4 |
| Trigger point injection (1-2 muscles) | $678 | 4 |
| Triglycerides test | $13 | 4 |
| Troponin (heart) test | $35 | 4 |
| Tubal ligation | — | 4 |
| Turbinate reduction | — | 4 |
| Turning a breech baby (version) | $1,879 | 4 |
| Ulnar nerve surgery (elbow) | — | 4 |
| Upper GI endoscopy (EGD) | $4,089 | 4 |
| Upper GI series (barium) | $548 | 4 |
| Ureteral stent placement | — | 4 |
| Ureteroscopy (stone removal) | — | 4 |
| Uric acid (gout) test | $12 | 4 |
| Urinalysis | $7 | 4 |
| Urine microalbumin test | $14 | 4 |
| Urine pregnancy test | $18 | 4 |
| UV light therapy (skin) | — | 3 |
| Vaccine administration | $46 | 4 |
| Vaccine administration (each additional) | $38 | 4 |
| Vaginal delivery | — | 3 |
| Varicocele repair | — | 4 |
| Varicose vein ablation | $6,437 | 4 |
| Vasectomy | $1,371 | 4 |
| Visual field test | — | 3 |
| Vitamin B12 test | $40 | 4 |
| Vitamin D test | $76 | 4 |
| Vitrectomy (eye) | — | 4 |
| Vocal cord injection | — | 4 |
| Wart removal | $296 | 4 |
| Weight-loss (bariatric) surgery | — | 3 |
| Well-child visit | $169 | 3 |
| Wound debridement | $873 | 4 |
| Wrist fracture repair | — | 4 |
| X-ray of the abdomen | $243 | 4 |
| X-ray of the ankle | $225 | 3 |
| X-ray of the collarbone | $220 | 3 |
| X-ray of the elbow | $220 | 3 |
| X-ray of the facial bones | $237 | 4 |
| X-ray of the foot | $240 | 3 |
| X-ray of the forearm | $220 | 3 |
| X-ray of the hand | $220 | 3 |
| X-ray of the hip | $243 | 3 |
| X-ray of the hip (1 view) | $203 | 3 |
| X-ray of the hip (3 views) | $240 | 3 |
| X-ray of the hip (4 views) | $292 | 3 |
| X-ray of the knee | $247 | 3 |
| X-ray of the knee (2 views) | $220 | 3 |
| X-ray of the knee (3 views) | $225 | 3 |
| X-ray of the knee (4+ views) | $337 | 3 |
| X-ray of the lower back (lumbar spine) | $325 | 4 |
| X-ray of the lower back (lumbar spine) (2 views) | $309 | 4 |
| X-ray of the lower back (lumbar spine) (4+ views) | $328 | 4 |
| X-ray of the lower leg | $220 | 3 |
| X-ray of the mid-back (thoracic spine) | $256 | 4 |
| X-ray of the mid-back (thoracic spine) (2 views) | $254 | 4 |
| X-ray of the mid-back (thoracic spine) (3 views) | $258 | 4 |
| X-ray of the neck (cervical spine) | $271 | 4 |
| X-ray of the neck (cervical spine) (3 views) | $225 | 4 |
| X-ray of the pelvis | $254 | 4 |
| X-ray of the pelvis (1 view) | $254 | 4 |
| X-ray of the ribs | $237 | 4 |
| X-ray of the ribs (2 views) | $220 | 3 |
| X-ray of the ribs (3 views) | $258 | 3 |
| X-ray of the shoulder | $225 | 3 |
| X-ray of the skull | $287 | 4 |
| X-ray of the upper arm | $220 | 3 |
| X-ray of the wrist | $240 | 3 |
| YAG laser capsulotomy (eye) | $1,181 | 4 |
| Zinc blood test | $25 | 3 |
Source: hospitals' machine-readable price files (45 CFR §180). Estimates — confirm with the hospital.
