| 3D mammogram (tomosynthesis) |
$35 |
$118 |
$118 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$562 |
$1,873 |
$1,873 |
$284 | |
| Abdominal ultrasound |
$469 |
$1,564 |
$1,289 |
$100 | |
| Abdominal ultrasound (complete) |
$552 |
$1,840 |
$1,840 |
$114 | |
| Abdominal ultrasound (limited) |
$387 |
$1,289 |
$1,289 |
$86 | |
| Abscess drainage (complex or multiple) |
$247 |
$824 |
$824 |
$220 | |
| Abscess drainage (simple) |
$128 |
$428 |
$428 |
$129 | |
| Abscess incision and drainage |
$188 |
$626 |
$595 |
$174 | |
| Albumin blood test |
$35 |
$118 |
$61 |
$5 | |
| Aldosterone test |
$103 |
$342 |
$171 |
$41 | |
| Alkaline phosphatase test |
$61 |
$204 |
$105 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$96 |
$320 |
$165 |
$17 | |
| ALT liver enzyme test |
$40 |
$135 |
$69 |
$5 | |
| Ammonia blood test |
$64 |
$214 |
$110 |
$15 | |
| Amylase test |
$72 |
$239 |
$123 |
$6 | |
| Antinuclear antibody (ANA) test |
$91 |
$305 |
$141 |
$12 | |
| Appendix removal (appendectomy) |
— |
— |
$10,260 |
$592 | |
| Arterial blood gas (ABG) |
$94 |
$313 |
$161 |
$26 | |
| AST liver enzyme test |
$98 |
$326 |
$168 |
$5 | |
| Barium swallow study |
$272 |
$906 |
$906 |
$107 | |
| Bartholin cyst removal |
$119 |
$396 |
$396 |
$182 | |
| Basic metabolic panel |
$105 |
$350 |
$180 |
$8 | |
| Benign skin lesion removal |
$445 |
$1,482 |
$1,146 |
$171 | |
| Bilirubin blood test |
$91 |
$305 |
$157 |
$5 | |
| Blood clotting test (PT/INR) |
$35 |
$115 |
$59 |
$4 | |
| Blood crossmatch |
$65 |
$217 |
$217 |
— | |
| Blood glucose test |
$69 |
$231 |
$90 |
$5 | |
| Blood transfusion |
$291 |
$970 |
$1,111 |
$47 | |
| Blood type and screen |
$42 |
$139 |
$71 |
$10 | |
| Blood type test |
$60 |
$201 |
$58 |
$3 | |
| Blood type test (ABO group) |
$99 |
$332 |
$63 |
$3 | |
| Blood type test (Rh/D antigen) |
$21 |
$70 |
$36 |
$3 | |
| BNP (heart failure) test |
$319 |
$1,064 |
$548 |
$39 | |
| Bone density scan (DEXA) |
$214 |
$714 |
$714 |
$39 | |
| Bone marrow biopsy |
$1,098 |
$3,659 |
$3,659 |
$172 | |
| Bone scan (nuclear) |
$711 |
$2,370 |
$2,370 |
$259 | |
| Breast biopsy |
$681 |
$2,269 |
$2,269 |
$478 | |
| Breast ultrasound |
$244 |
$812 |
$811 |
$92 | |
| Breast ultrasound (complete) |
$244 |
$814 |
$814 |
$100 | |
| Breast ultrasound (limited) |
$243 |
$811 |
$519 |
$84 | |
| Breathing tube insertion (intubation) |
$385 |
$1,284 |
$1,284 |
$133 | |
| Burn dressing and debridement (medium) |
$188 |
$625 |
$625 |
$166 | |
| Burn dressing and debridement (small) |
$179 |
$597 |
$597 |
$93 | |
| Burn treatment |
$183 |
$611 |
$597 |
$129 | |
| C-reactive protein (CRP) |
$67 |
$224 |
$115 |
$5 | |
| CA 19-9 tumor marker test |
$120 |
$400 |
$206 |
$21 | |
| CA-125 ovarian marker test |
$121 |
$403 |
$207 |
$21 | |
| Calcium blood test |
$51 |
$171 |
$88 |
$5 | |
| Cardiac rehabilitation |
$125 |
$417 |
$417 |
$26 | |
| Cardiac stress test |
$479 |
$1,597 |
$1,597 |
$39 | |
| Cardioversion |
$507 |
$1,692 |
$1,692 |
$155 | |
| Carotid artery ultrasound |
$445 |
$1,482 |
$1,482 |
$156 | |
| Cataract surgery |
$530 |
$1,767 |
$1,163 |
$547 | |
| CEA tumor marker test |
$118 |
$393 |
$202 |
$19 | |
| Celiac disease test |
$161 |
$538 |
$302 |
$12 | |
| Central line placement |
$1,166 |
$3,887 |
$3,887 |
$238 | |
| Cesarean section (C-section) |
— |
— |
$6,690 |
$7,552 | |
| Chemotherapy infusion |
$266 |
$888 |
$888 |
$81 | |
| Chemotherapy infusion (each additional) |
$266 |
$888 |
$888 |
$28 | |
| Chest fluid drain (thoracentesis) |
$545 |
$1,815 |
$1,404 |
$311 | |
| Chest tube insertion |
$874 |
$2,913 |
$2,913 |
$143 | |
| Chest X-ray |
$137 |
$457 |
$457 |
$37 | |
| Chest X-ray (1 view) |
$137 |
$457 |
$457 |
$25 | |
| Chest X-ray (2 views) |
$137 |
$457 |
$457 |
$33 | |
| CK-MB heart enzyme test |
$43 |
$143 |
$74 |
$12 | |
| Clotting time test (PTT) |
$35 |
$115 |
$59 |
$6 | |
| Colonoscopy |
$457 |
$1,523 |
$531 |
$480 | |
| Complete blood count (CBC) |
$74 |
$247 |
$132 |
$7 | |
| Complete blood count (CBC) (complete) |
$71 |
$237 |
$122 |
$8 | |
| Complex wound repair |
$214 |
$715 |
$715 |
$390 | |
| Comprehensive metabolic panel |
$157 |
$524 |
$270 |
$11 | |
| Copper blood test |
$68 |
$228 |
$117 |
$12 | |
| Coronary angioplasty / stent (PCI) |
— |
— |
$18,873 |
$426 | |
| Coronary artery bypass (CABG) |
— |
— |
$37,074 |
$36,593 | |
| Cortisol test |
$71 |
$237 |
$150 |
$16 | |
| COVID-19 PCR test |
$33 |
$110 |
$57 |
$51 | |
| CPAP titration study |
$282 |
$940 |
$940 |
$69 | |
| Creatine kinase (CK) test |
$35 |
$115 |
$59 |
$7 | |
| CT angiography of the chest |
$1,305 |
$4,349 |
$4,349 |
$281 | |
| CT angiography of the head |
$1,305 |
$4,349 |
$3,953 |
$274 | |
| CT scan of the abdomen |
$1,100 |
$3,668 |
$2,541 |
$230 | |
| CT scan of the abdomen and pelvis |
$1,797 |
$5,989 |
$5,076 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$1,797 |
$5,989 |
$5,989 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,202 |
$7,339 |
$7,339 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,523 |
$5,076 |
$5,076 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,293 |
$4,309 |
$4,309 |
$259 | |
| CT scan of the abdomen with contrast |
$1,100 |
$3,668 |
$3,668 |
$230 | |
| CT scan of the abdomen without contrast |
$762 |
$2,541 |
$2,541 |
$136 | |
| CT scan of the arm |
$762 |
$2,541 |
$2,447 |
$199 | |
| CT scan of the arm with contrast |
$734 |
$2,447 |
$2,447 |
$199 | |
| CT scan of the arm without contrast |
$762 |
$2,541 |
$2,541 |
$161 | |
| CT scan of the chest |
$1,100 |
$3,668 |
$2,541 |
$167 | |
| CT scan of the chest with and without contrast |
$1,293 |
$4,309 |
$4,309 |
$196 | |
| CT scan of the chest with contrast |
$1,100 |
$3,668 |
$3,668 |
$167 | |
| CT scan of the chest without contrast |
$762 |
$2,541 |
$2,541 |
$133 | |
| CT scan of the head |
$762 |
$2,541 |
$2,447 |
$148 | |
| CT scan of the head with and without contrast |
$1,292 |
$4,306 |
$4,306 |
$173 | |
| CT scan of the head with contrast |
$734 |
$2,447 |
$2,447 |
$148 | |
| CT scan of the head without contrast |
$762 |
$2,541 |
$2,541 |
$107 | |
| CT scan of the leg |
$734 |
$2,447 |
$2,420 |
$166 | |
| CT scan of the leg with contrast |
$734 |
$2,447 |
$2,447 |
$166 | |
| CT scan of the leg without contrast |
$762 |
$2,541 |
$2,420 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$762 |
$2,541 |
$2,447 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$862 |
$2,873 |
$2,873 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$734 |
$2,447 |
$2,447 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$762 |
$2,541 |
$2,541 |
$130 | |
| CT scan of the neck |
$762 |
$2,541 |
$2,447 |
$183 | |
| CT scan of the neck (cervical spine) |
$762 |
$2,541 |
$2,447 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$783 |
$2,612 |
$2,612 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$734 |
$2,447 |
$2,447 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$762 |
$2,541 |
$2,541 |
$131 | |
| CT scan of the neck with and without contrast |
$1,293 |
$4,309 |
$4,309 |
$220 | |
| CT scan of the neck with contrast |
$734 |
$2,447 |
$2,447 |
$183 | |
| CT scan of the neck without contrast |
$762 |
$2,541 |
$2,541 |
$150 | |
| CT scan of the pelvis |
$1,100 |
$3,668 |
$2,541 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,293 |
$4,309 |
$4,309 |
$251 | |
| CT scan of the pelvis with contrast |
$1,100 |
$3,668 |
$3,668 |
$226 | |
| CT scan of the pelvis without contrast |
$762 |
$2,541 |
$2,541 |
$133 | |
| CT scan of the sinuses |
$762 |
$2,541 |
$2,447 |
$152 | |
| CT scan of the sinuses with and without contrast |
$862 |
$2,873 |
$2,873 |
$184 | |
| CT scan of the sinuses with contrast |
$734 |
$2,447 |
$2,447 |
$152 | |
| CT scan of the sinuses without contrast |
$762 |
$2,541 |
$2,541 |
$128 | |
| D-dimer test |
$67 |
$224 |
$115 |
$10 | |
| DHEA-sulfate test |
$216 |
$719 |
$370 |
$22 | |
| Diagnostic mammogram |
$140 |
$467 |
$433 |
$140 | |
| Drug screen (urine) |
$99 |
$331 |
$67 |
$17 | |
| Echocardiogram |
$1,120 |
$3,733 |
$1,936 |
$138 | |
| Echocardiogram with and without contrast |
$1,033 |
$3,444 |
$1,801 |
$101 | |
| EKG / ECG (tracing only) |
$117 |
$390 |
$390 |
$7 | |
| Electrocardiogram (EKG) |
$117 |
$390 |
$390 |
$8 | |
| Electrolyte panel |
$49 |
$164 |
$84 |
$7 | |
| Emergency department visit |
$429 |
$1,430 |
$739 |
$69 | |
| Emergency department visit (level 1) |
$198 |
$660 |
$125 |
$11 | |
| Emergency department visit (level 2) |
$297 |
$990 |
$990 |
$40 | |
| Emergency department visit (level 3) |
$429 |
$1,430 |
$1,430 |
$69 | |
| Emergency department visit (level 4) |
$627 |
$2,090 |
$2,090 |
$118 | |
| Emergency department visit (level 5) |
$957 |
$3,190 |
$3,190 |
$171 | |
| Estradiol (estrogen) test |
$136 |
$454 |
$234 |
$28 | |
| Fecal occult blood (stool) test |
$33 |
$110 |
$59 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$28 |
$92 |
$47 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$38 |
$128 |
$66 |
$16 | |
| Ferritin (iron) test |
$94 |
$312 |
$161 |
$14 | |
| Fibrinogen test |
$61 |
$204 |
$105 |
$10 | |
| Flu test |
$98 |
$328 |
$169 |
$17 | |
| Flu vaccine |
$54 |
$182 |
$182 |
— | |
| Folate (folic acid) test |
$24 |
$80 |
$41 |
$15 | |
| Foreign body removal (skin) |
$252 |
$841 |
$841 |
$157 | |
| Free T4 thyroid test |
$138 |
$461 |
$237 |
$9 | |
| FSH hormone test |
$104 |
$346 |
$178 |
$19 | |
| Gallbladder scan (HIDA) |
$795 |
$2,651 |
$2,651 |
$334 | |
| GGT liver test |
$64 |
$215 |
$110 |
$7 | |
| Glucose tolerance test |
$92 |
$307 |
$86 |
$8 | |
| HDL cholesterol test |
$31 |
$105 |
$54 |
$8 | |
| Hematocrit test |
$18 |
$61 |
$31 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$64 |
$215 |
$110 |
$10 | |
| Hepatitis B test |
$24 |
$80 |
$41 |
$10 | |
| Hepatitis C test |
$129 |
$431 |
$222 |
$14 | |
| HIV test |
$93 |
$311 |
$160 |
$19 | |
| HIV test (antigen/antibody combo) |
$93 |
$311 |
$160 |
$24 | |
| Holter heart monitor |
$188 |
$626 |
$626 |
$26 | |
| Inguinal hernia repair |
$2,104 |
$7,014 |
$5,844 |
$538 | |
| Iron blood test |
$39 |
$130 |
$67 |
$6 | |
| IV infusion therapy |
$156 |
$519 |
$177 |
$44 | |
| IV infusion therapy (each additional) |
$53 |
$177 |
$177 |
$21 | |
| IV infusion therapy (initial) |
$258 |
$861 |
$861 |
$67 | |
| Joint aspiration (small/intermediate) |
$162 |
$541 |
$592 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$187 |
$623 |
$623 |
$57 | |
| Joint aspiration or injection (small joint) |
$138 |
$459 |
$459 |
$56 | |
| Kidney scan (nuclear) |
$516 |
$1,721 |
$1,721 |
$172 | |
| Kidney ultrasound |
$442 |
$1,472 |
$1,472 |
$84 | |
| Knee arthroscopy |
$530 |
$1,767 |
$1,089 |
$524 | |
| Knee joint injection |
$318 |
$1,061 |
$1,061 |
$69 | |
| Knee replacement |
— |
— |
$20,595 |
$18,054 | |
| Lactate test |
$35 |
$118 |
$61 |
$12 | |
| LDH test |
$55 |
$185 |
$95 |
$6 | |
| LDL cholesterol test |
$43 |
$143 |
$74 |
$11 | |
| Leg artery angiogram |
$2,046 |
$6,819 |
$6,819 |
$149 | |
| Leg vein ultrasound (Doppler) |
$382 |
$1,274 |
$992 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$298 |
$992 |
$992 |
$116 | |
| LH hormone test |
$105 |
$350 |
$180 |
$19 | |
| Lipase test |
$76 |
$255 |
$131 |
$7 | |
| Lipid (cholesterol) panel |
$117 |
$391 |
$201 |
$13 | |
| Liver function panel |
$124 |
$413 |
$212 |
$8 | |
| Lower back (lumbar) spinal fusion |
— |
— |
$41,788 |
$1,511 | |
| Lung scan (V/Q) |
$763 |
$2,545 |
$2,545 |
$291 | |
| Magnesium blood test |
$24 |
$80 |
$37 |
$7 | |
| MMR vaccine |
$202 |
$673 |
$673 |
— | |
| MRA of the brain |
$1,595 |
$5,316 |
$5,316 |
$226 | |
| MRA of the brain with contrast |
$1,595 |
$5,316 |
$5,316 |
$226 | |
| MRA of the brain without contrast |
$1,595 |
$5,316 |
$5,316 |
$328 | |
| MRA of the neck |
$1,379 |
$4,596 |
$3,877 |
$245 | |
| MRA of the neck without contrast |
$1,595 |
$5,316 |
$5,316 |
$343 | |
| MRI of the abdomen |
$1,265 |
$4,217 |
$3,877 |
$300 | |
| MRI of the abdomen without contrast |
$1,163 |
$3,877 |
$3,877 |
$194 | |
| MRI of the ankle |
$1,169 |
$3,896 |
$2,849 |
$261 | |
| MRI of the ankle with contrast |
$855 |
$2,849 |
$2,849 |
$261 | |
| MRI of the ankle without contrast |
$1,169 |
$3,896 |
$2,849 |
$222 | |
| MRI of the brain |
$1,503 |
$5,009 |
$4,543 |
$269 | |
| MRI of the brain with contrast |
$1,503 |
$5,009 |
$5,009 |
$269 | |
| MRI of the brain without contrast |
$1,163 |
$3,877 |
$3,877 |
$195 | |
| MRI of the chest |
$1,455 |
$4,852 |
$4,852 |
$371 | |
| MRI of the chest without contrast |
$1,455 |
$4,852 |
$4,852 |
$466 | |
| MRI of the knee |
$1,169 |
$3,896 |
$3,877 |
$315 | |
| MRI of the knee with contrast |
$1,169 |
$3,896 |
$3,896 |
$315 | |
| MRI of the knee without contrast |
$1,163 |
$3,877 |
$3,877 |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,517 |
$5,056 |
$4,267 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,280 |
$4,267 |
$4,267 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,367 |
$4,556 |
$3,877 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$1,595 |
$5,316 |
$5,316 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,367 |
$4,556 |
$4,556 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,163 |
$3,877 |
$3,877 |
$190 | |
| MRI of the neck (cervical spine) |
$1,280 |
$4,267 |
$4,261 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$1,711 |
$5,703 |
$5,703 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,278 |
$4,261 |
$4,261 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,280 |
$4,267 |
$4,267 |
$191 | |
| MRI of the pelvis |
$1,150 |
$3,835 |
$3,529 |
$268 | |
| MRI of the pelvis without contrast |
$1,059 |
$3,529 |
$3,529 |
$227 | |
| MRI of the shoulder |
$1,225 |
$4,082 |
$4,023 |
$313 | |
| MRI of the shoulder without contrast |
$1,207 |
$4,023 |
$4,023 |
$205 | |
| MRI of the wrist |
$1,111 |
$3,703 |
$2,849 |
$330 | |
| MRI of the wrist without contrast |
$855 |
$2,849 |
$2,849 |
$303 | |
| Nebulizer breathing treatment |
$52 |
$174 |
$210 |
$9 | |
| Nuclear cardiac stress test |
$2,111 |
$7,035 |
$7,035 |
$428 | |
| Occupational therapy evaluation |
$179 |
$596 |
$379 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$244 |
$812 |
$609 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$114 |
$379 |
$284 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$179 |
$596 |
$447 |
$101 | |
| Pacemaker insertion |
— |
— |
$17,228 |
$15,506 | |
| Parathyroid hormone (PTH) test |
$120 |
$402 |
$207 |
$41 | |
| Pelvic ultrasound |
$378 |
$1,261 |
$1,100 |
$78 | |
| Pelvic ultrasound (complete) |
$427 |
$1,422 |
$1,422 |
$105 | |
| Pelvic ultrasound (limited) |
$330 |
$1,100 |
$1,100 |
$51 | |
| Phosphorus blood test |
$30 |
$101 |
$52 |
$5 | |
| Physical therapy evaluation |
$146 |
$487 |
$353 |
$98 | |
| Physical therapy evaluation (high complexity) |
$179 |
$595 |
$446 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$146 |
$487 |
$365 |
$98 | |
| Platelet count |
$21 |
$69 |
$36 |
$4 | |
| Pneumonia vaccine |
$271 |
$903 |
$903 |
— | |
| Pregnancy blood test (hCG) |
$64 |
$212 |
$109 |
$8 | |
| Pregnancy ultrasound |
$449 |
$1,496 |
$1,496 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$449 |
$1,496 |
$1,496 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$449 |
$1,496 |
$1,496 |
$136 | |
| Procalcitonin test |
$58 |
$192 |
$99 |
$27 | |
| Prolactin test |
$115 |
$385 |
$198 |
$19 | |
| Prostate test (PSA) |
$94 |
$314 |
$162 |
$18 | |
| Rheumatoid factor test |
$75 |
$251 |
$129 |
$6 | |
| Scoliosis spine X-ray |
$131 |
$437 |
$437 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$131 |
$437 |
$437 |
$44 | |
| Screening mammogram |
$151 |
$505 |
$505 |
$126 | |
| Scrotal ultrasound |
$362 |
$1,206 |
$1,206 |
$99 | |
| Sedimentation rate (ESR) test |
$47 |
$155 |
$80 |
$3 | |
| Sex hormone binding globulin test |
$47 |
$158 |
$81 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$69 |
$230 |
$230 |
$114 | |
| Simple wound stitches |
$69 |
$230 |
$230 |
$127 | |
| Skin biopsy |
$247 |
$824 |
$572 |
$121 | |
| Skin biopsy (punch) |
$247 |
$824 |
$572 |
$121 | |
| Skin lesion freezing (cryotherapy) |
$95 |
$318 |
$208 |
$36 | |
| Sleep study (polysomnography) |
$1,765 |
$5,885 |
$3,858 |
$691 | |
| Soft tissue ultrasound |
$298 |
$992 |
$992 |
$64 | |
| Speech therapy |
$117 |
$390 |
$312 |
$76 | |
| Spinal tap (lumbar puncture) |
$428 |
$1,428 |
$1,428 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$4,277 |
$14,255 |
$14,255 |
$5,803 | |
| Strep throat test |
$28 |
$92 |
$47 |
$17 | |
| Stress echocardiogram |
$1,049 |
$3,498 |
$3,498 |
$209 | |
| Swallow study |
$195 |
$650 |
$488 |
$85 | |
| T3 thyroid test |
$30 |
$100 |
$51 |
$14 | |
| Tdap (tetanus) vaccine |
$119 |
$396 |
$396 |
— | |
| Testosterone test |
$168 |
$561 |
$289 |
$26 | |
| Thyroid test (TSH) |
$114 |
$380 |
$195 |
$17 | |
| Thyroid ultrasound |
$389 |
$1,295 |
$1,295 |
$109 | |
| Thyroid uptake scan |
$325 |
$1,084 |
$1,084 |
$145 | |
| Tonsillectomy |
$410 |
$1,367 |
$589 |
$252 | |
| Total IgE allergy test |
$167 |
$558 |
$287 |
$16 | |
| Total protein test |
$27 |
$91 |
$47 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$1,049 |
$3,498 |
$3,498 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,049 |
$3,498 |
$3,498 |
$239 | |
| Transvaginal ultrasound |
$354 |
$1,181 |
$1,181 |
$118 | |
| Triglycerides test |
$26 |
$86 |
$43 |
$6 | |
| Troponin (heart) test |
$78 |
$259 |
$133 |
$12 | |
| Upper GI endoscopy (EGD) |
$457 |
$1,523 |
$515 |
$371 | |
| Upper GI series (barium) |
$272 |
$906 |
$906 |
$128 | |
| Uric acid (gout) test |
$53 |
$177 |
$91 |
$5 | |
| Urinalysis |
$50 |
$168 |
$86 |
$3 | |
| Urine microalbumin test |
$68 |
$226 |
$11 |
$5 | |
| Urine pregnancy test |
$54 |
$180 |
$92 |
$9 | |
| Vaccine administration |
$84 |
$282 |
$427 |
$19 | |
| Vaccine administration (each additional) |
$41 |
$136 |
$136 |
$16 | |
| Vaginal delivery |
— |
— |
$5,476 |
$5,487 | |
| Vitamin B12 test |
$90 |
$301 |
$155 |
$15 | |
| Vitamin D test |
$215 |
$717 |
$369 |
$30 | |
| Wart removal |
$128 |
$428 |
$428 |
$121 | |
| Weight-loss (bariatric) surgery |
— |
— |
$13,721 |
$11,645 | |
| Wound debridement |
$311 |
$1,037 |
$824 |
$186 | |
| X-ray of the abdomen |
$119 |
$398 |
$339 |
$36 | |
| X-ray of the ankle |
$131 |
$437 |
$437 |
$37 | |
| X-ray of the collarbone |
$131 |
$437 |
$437 |
$33 | |
| X-ray of the elbow |
$131 |
$437 |
$437 |
$33 | |
| X-ray of the facial bones |
$131 |
$437 |
$437 |
$39 | |
| X-ray of the foot |
$131 |
$437 |
$437 |
$34 | |
| X-ray of the forearm |
$131 |
$437 |
$437 |
$29 | |
| X-ray of the hand |
$131 |
$437 |
$437 |
$38 | |
| X-ray of the hip |
$85 |
$284 |
$152 |
$49 | |
| X-ray of the hip (1 view) |
$45 |
$152 |
$152 |
$34 | |
| X-ray of the hip (3 views) |
$125 |
$416 |
$416 |
$49 | |
| X-ray of the knee |
$131 |
$437 |
$437 |
$42 | |
| X-ray of the knee (2 views) |
$131 |
$437 |
$437 |
$34 | |
| X-ray of the knee (3 views) |
$222 |
$740 |
$740 |
$42 | |
| X-ray of the knee (4+ views) |
$131 |
$437 |
$437 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$174 |
$581 |
$437 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$131 |
$437 |
$437 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$218 |
$725 |
$725 |
$53 | |
| X-ray of the lower leg |
$131 |
$437 |
$437 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$163 |
$544 |
$437 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$196 |
$652 |
$652 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$131 |
$437 |
$437 |
$39 | |
| X-ray of the neck (cervical spine) |
$174 |
$581 |
$437 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$131 |
$437 |
$437 |
$40 | |
| X-ray of the pelvis |
$168 |
$561 |
$437 |
$36 | |
| X-ray of the pelvis (1 view) |
$131 |
$437 |
$437 |
$28 | |
| X-ray of the ribs |
$131 |
$437 |
$437 |
$42 | |
| X-ray of the ribs (2 views) |
$131 |
$437 |
$437 |
$36 | |
| X-ray of the shoulder |
$131 |
$437 |
$437 |
$36 | |
| X-ray of the skull |
$174 |
$581 |
$437 |
$40 | |
| X-ray of the upper arm |
$131 |
$437 |
$437 |
$32 | |
| X-ray of the wrist |
$131 |
$437 |
$437 |
$43 | |
| YAG laser capsulotomy (eye) |
$1,172 |
$3,907 |
$655 |
$335 | |
| Zinc blood test |
$35 |
$115 |
$59 |
$11 | |