| 3D mammogram (tomosynthesis) |
$55 |
$184 |
$93 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,326 |
$4,419 |
$1,215 |
$284 | |
| Abdominal ultrasound |
$600 |
$2,001 |
$608 |
$100 | |
| Abdominal ultrasound (complete) |
$663 |
$2,211 |
$608 |
$114 | |
| Abdominal ultrasound (limited) |
$537 |
$1,791 |
$493 |
$86 | |
| Abscess drainage (complex or multiple) |
$727 |
$2,422 |
$666 |
$220 | |
| Abscess drainage (simple) |
$641 |
$2,136 |
$587 |
$129 | |
| Abscess incision and drainage |
$684 |
$2,279 |
$666 |
$174 | |
| Albumin blood test |
$64 |
$212 |
$107 |
$5 | |
| Aldosterone test |
$79 |
$264 |
$134 |
$41 | |
| Alkaline phosphatase test |
$110 |
$367 |
$186 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$187 |
$624 |
$316 |
$17 | |
| ALT liver enzyme test |
$147 |
$489 |
$247 |
$5 | |
| Ammonia blood test |
$147 |
$489 |
$247 |
$15 | |
| Amylase test |
$137 |
$458 |
$232 |
$6 | |
| Antinuclear antibody (ANA) test |
$141 |
$470 |
$238 |
$12 | |
| AST liver enzyme test |
$153 |
$509 |
$258 |
$5 | |
| Barium swallow study |
$466 |
$1,554 |
$779 |
$107 | |
| Bartholin cyst removal |
$690 |
$2,299 |
$632 |
$182 | |
| Basic metabolic panel |
$205 |
$684 |
$346 |
$8 | |
| Bilirubin blood test |
$95 |
$315 |
$159 |
$5 | |
| Blood clotting test (PT/INR) |
$103 |
$344 |
$174 |
$4 | |
| Blood crossmatch |
$358 |
$1,193 |
$604 |
— | |
| Blood glucose test |
$70 |
$233 |
$108 |
$5 | |
| Blood transfusion |
$1,022 |
$3,405 |
$1,723 |
$47 | |
| Blood type and screen |
$146 |
$487 |
$246 |
$10 | |
| Blood type test |
$103 |
$344 |
$164 |
$3 | |
| Blood type test (ABO group) |
$110 |
$365 |
$185 |
$3 | |
| Blood type test (Rh/D antigen) |
$97 |
$322 |
$163 |
$3 | |
| BNP (heart failure) test |
$229 |
$763 |
$386 |
$39 | |
| Bone density scan (DEXA) |
$270 |
$900 |
$455 |
$39 | |
| Bone scan (nuclear) |
$2,081 |
$6,937 |
$3,122 |
$259 | |
| Breast biopsy |
$2,053 |
$6,842 |
$3,462 |
$478 | |
| Breast MRI |
$1,220 |
$4,067 |
$2,058 |
$216 | |
| Breast MRI without contrast |
$1,220 |
$4,067 |
$2,058 |
$216 | |
| Breast ultrasound |
$367 |
$1,223 |
$648 |
$92 | |
| Breast ultrasound (complete) |
$384 |
$1,281 |
$648 |
$100 | |
| Breast ultrasound (limited) |
$349 |
$1,164 |
$715 |
$84 | |
| Breathing tube insertion (intubation) |
$1,042 |
$3,474 |
$955 |
$133 | |
| Burn dressing and debridement (small) |
$413 |
$1,377 |
$379 |
$93 | |
| Burn treatment |
$413 |
$1,377 |
$379 |
$129 | |
| C-reactive protein (CRP) |
$119 |
$398 |
$201 |
$5 | |
| CA 19-9 tumor marker test |
$135 |
$449 |
$227 |
$21 | |
| CA-125 ovarian marker test |
$198 |
$661 |
$334 |
$21 | |
| Calcium blood test |
$92 |
$307 |
$155 |
$5 | |
| Cardiac MRI |
$779 |
$2,597 |
$714 |
$322 | |
| Cardiac stress test |
$652 |
$2,173 |
$1,100 |
$39 | |
| Cardioversion |
$2,618 |
$8,727 |
$4,416 |
$155 | |
| Carotid artery ultrasound |
$676 |
$2,254 |
$952 |
$156 | |
| CEA tumor marker test |
$231 |
$771 |
$390 |
$19 | |
| Celiac disease test |
$142 |
$473 |
$239 |
$12 | |
| Central line placement |
$2,049 |
$6,829 |
$1,707 |
$238 | |
| Chest fluid drain (thoracentesis) |
$1,175 |
$3,915 |
$1,077 |
$311 | |
| Chest tube insertion |
$733 |
$2,444 |
$611 |
$143 | |
| Chest X-ray |
$346 |
$1,153 |
$569 |
$37 | |
| Chest X-ray (1 view) |
$287 |
$958 |
$485 |
$25 | |
| Chest X-ray (2 views) |
$404 |
$1,347 |
$682 |
$33 | |
| Circumcision |
$2,945 |
$9,818 |
$4,968 |
$167 | |
| CK-MB heart enzyme test |
$173 |
$575 |
$291 |
$12 | |
| Clotting time test (PTT) |
$152 |
$508 |
$257 |
$6 | |
| Colonoscopy |
$1,483 |
$4,943 |
$2,358 |
$480 | |
| Complete blood count (CBC) |
$130 |
$433 |
$216 |
$7 | |
| Complete blood count (CBC) (complete) |
$154 |
$512 |
$259 |
$8 | |
| Comprehensive metabolic panel |
$246 |
$820 |
$415 |
$11 | |
| Coronary CT angiography |
$1,391 |
$4,638 |
$1,275 |
$326 | |
| Cortisol test |
$214 |
$714 |
$361 |
$16 | |
| COVID-19 PCR test |
$61 |
$204 |
$103 |
$51 | |
| CPAP titration study |
$619 |
$2,064 |
$929 |
$69 | |
| Creatine kinase (CK) test |
$113 |
$378 |
$191 |
$7 | |
| CT angiography of the chest |
$1,795 |
$5,982 |
$1,645 |
$281 | |
| CT angiography of the head |
$1,671 |
$5,569 |
$1,531 |
$274 | |
| CT scan of the abdomen |
$1,340 |
$4,467 |
$1,371 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,504 |
$8,348 |
$2,364 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,836 |
$9,454 |
$2,600 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,504 |
$8,348 |
$2,296 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,178 |
$7,260 |
$1,997 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,645 |
$5,484 |
$1,508 |
$259 | |
| CT scan of the abdomen with contrast |
$1,340 |
$4,467 |
$1,228 |
$230 | |
| CT scan of the abdomen without contrast |
$1,171 |
$3,904 |
$1,074 |
$136 | |
| CT scan of the arm |
$1,302 |
$4,339 |
$1,193 |
$199 | |
| CT scan of the arm with contrast |
$1,365 |
$4,550 |
$1,251 |
$199 | |
| CT scan of the arm without contrast |
$1,302 |
$4,339 |
$1,193 |
$161 | |
| CT scan of the chest |
$1,398 |
$4,660 |
$1,282 |
$167 | |
| CT scan of the chest with and without contrast |
$1,536 |
$5,119 |
$1,408 |
$196 | |
| CT scan of the chest with contrast |
$1,398 |
$4,660 |
$1,282 |
$167 | |
| CT scan of the chest without contrast |
$1,159 |
$3,864 |
$1,063 |
$133 | |
| CT scan of the head |
$1,520 |
$5,068 |
$1,444 |
$148 | |
| CT scan of the head with and without contrast |
$1,733 |
$5,776 |
$1,588 |
$173 | |
| CT scan of the head with contrast |
$1,520 |
$5,068 |
$1,394 |
$148 | |
| CT scan of the head without contrast |
$1,428 |
$4,761 |
$1,309 |
$107 | |
| CT scan of the leg |
$1,455 |
$4,849 |
$1,818 |
$166 | |
| CT scan of the leg with contrast |
$1,265 |
$4,216 |
$1,627 |
$166 | |
| CT scan of the leg without contrast |
$1,477 |
$4,923 |
$1,900 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,400 |
$4,666 |
$1,284 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,540 |
$5,134 |
$1,412 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,400 |
$4,666 |
$1,283 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,330 |
$4,432 |
$1,219 |
$130 | |
| CT scan of the neck |
$1,481 |
$4,935 |
$1,357 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,524 |
$5,079 |
$1,492 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,790 |
$5,967 |
$1,641 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,524 |
$5,079 |
$1,397 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,417 |
$4,724 |
$1,299 |
$131 | |
| CT scan of the neck with and without contrast |
$1,626 |
$5,419 |
$1,490 |
$220 | |
| CT scan of the neck with contrast |
$1,481 |
$4,935 |
$1,357 |
$183 | |
| CT scan of the neck without contrast |
$1,043 |
$3,477 |
$956 |
$150 | |
| CT scan of the pelvis |
$1,390 |
$4,632 |
$1,274 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,529 |
$5,095 |
$1,401 |
$251 | |
| CT scan of the pelvis with contrast |
$1,390 |
$4,632 |
$1,274 |
$226 | |
| CT scan of the pelvis without contrast |
$1,234 |
$4,112 |
$1,131 |
$133 | |
| CT scan of the sinuses |
$1,343 |
$4,475 |
$1,231 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,477 |
$4,922 |
$1,354 |
$184 | |
| CT scan of the sinuses with contrast |
$1,343 |
$4,475 |
$1,231 |
$152 | |
| CT scan of the sinuses without contrast |
$1,198 |
$3,994 |
$1,098 |
$128 | |
| D-dimer test |
$200 |
$666 |
$337 |
$10 | |
| DHEA-sulfate test |
$28 |
$94 |
$48 |
$22 | |
| Diagnostic mammogram |
$271 |
$904 |
$410 |
$140 | |
| Drug screen (urine) |
$304 |
$1,013 |
$831 |
$17 | |
| Echocardiogram |
$1,182 |
$3,939 |
$1,549 |
$138 | |
| Echocardiogram with and without contrast |
$451 |
$1,504 |
$761 |
$101 | |
| EKG / ECG (tracing only) |
$246 |
$820 |
$415 |
$7 | |
| Electrocardiogram (EKG) |
$246 |
$820 |
$415 |
$8 | |
| Electrolyte panel |
$158 |
$526 |
$266 |
$7 | |
| Emergency department visit |
$751 |
$2,504 |
$995 |
$69 | |
| Emergency department visit (level 1) |
$278 |
$927 |
$469 |
$11 | |
| Emergency department visit (level 2) |
$515 |
$1,715 |
$394 |
$40 | |
| Emergency department visit (level 3) |
$751 |
$2,504 |
$576 |
$69 | |
| Emergency department visit (level 4) |
$1,085 |
$3,617 |
$1,830 |
$118 | |
| Emergency department visit (level 5) |
$1,412 |
$4,705 |
$2,381 |
$171 | |
| Endometrial biopsy |
$193 |
$642 |
$177 |
$98 | |
| Epidural steroid injection |
$788 |
$2,627 |
$722 |
$275 | |
| Facet joint injection (spine) |
$1,006 |
$3,353 |
$1,213 |
$99 | |
| Fallopian tube X-ray (HSG) |
$561 |
$1,872 |
$747 |
$164 | |
| Feeding tube (PEG) placement |
$2,803 |
$9,344 |
$4,401 |
$178 | |
| Ferritin (iron) test |
$157 |
$524 |
$265 |
$14 | |
| Fibrinogen test |
$112 |
$373 |
$189 |
$10 | |
| Flexible sigmoidoscopy |
$947 |
$3,156 |
$1,516 |
$323 | |
| Folate (folic acid) test |
$131 |
$435 |
$220 |
$15 | |
| Foreign body removal (skin) |
$1,043 |
$3,477 |
$956 |
$157 | |
| Free T4 thyroid test |
$156 |
$519 |
$263 |
$9 | |
| FSH hormone test |
$21 |
$70 |
$35 |
$19 | |
| Gallbladder scan (HIDA) |
$3,009 |
$10,029 |
$4,728 |
$334 | |
| GGT liver test |
$126 |
$419 |
$212 |
$7 | |
| H. pylori test |
$226 |
$752 |
$381 |
$67 | |
| HDL cholesterol test |
$113 |
$378 |
$191 |
$8 | |
| Hematocrit test |
$51 |
$171 |
$87 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$111 |
$370 |
$62 |
$10 | |
| Hepatitis B test |
$60 |
$200 |
$101 |
$10 | |
| Hepatitis C test |
$134 |
$446 |
$226 |
$14 | |
| HIV test |
$107 |
$357 |
$181 |
$19 | |
| HIV test (antigen/antibody combo) |
$107 |
$357 |
$181 |
$24 | |
| Home sleep apnea test |
$141 |
$470 |
$238 |
$123 | |
| Iron blood test |
$79 |
$264 |
$134 |
$6 | |
| IV infusion therapy |
$290 |
$966 |
$422 |
$44 | |
| IV infusion therapy (each additional) |
$183 |
$609 |
$308 |
$21 | |
| IV infusion therapy (initial) |
$397 |
$1,322 |
$669 |
$67 | |
| Joint aspiration (small/intermediate) |
$296 |
$986 |
$271 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$296 |
$986 |
$271 |
$57 | |
| Kidney scan (nuclear) |
$2,195 |
$7,316 |
$3,292 |
$172 | |
| Kidney ultrasound |
$500 |
$1,668 |
$537 |
$84 | |
| Kidney ultrasound (limited) |
$416 |
$1,385 |
$381 |
$61 | |
| Knee joint injection |
$1,238 |
$4,127 |
$1,135 |
$69 | |
| Lactate test |
$152 |
$508 |
$257 |
$12 | |
| LDH test |
$100 |
$332 |
$168 |
$6 | |
| Leg vein ultrasound (Doppler) |
$652 |
$2,173 |
$1,012 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$447 |
$1,490 |
$754 |
$116 | |
| LH hormone test |
$21 |
$70 |
$35 |
$19 | |
| Lipase test |
$120 |
$401 |
$203 |
$7 | |
| Lipid (cholesterol) panel |
$209 |
$697 |
$353 |
$13 | |
| Liver biopsy |
$1,292 |
$4,308 |
$1,185 |
$288 | |
| Liver function panel |
$131 |
$438 |
$222 |
$8 | |
| Lung function test (PFT) |
$361 |
$1,205 |
$548 |
$37 | |
| Lung scan (V/Q) |
$1,498 |
$4,992 |
$2,246 |
$291 | |
| Magnesium blood test |
$119 |
$398 |
$201 |
$7 | |
| MRA of the brain |
$1,053 |
$3,511 |
$966 |
$226 | |
| MRA of the neck |
$996 |
$3,320 |
$1,301 |
$245 | |
| MRA of the neck with contrast |
$996 |
$3,320 |
$913 |
$245 | |
| MRA of the neck without contrast |
$1,562 |
$5,205 |
$1,431 |
$343 | |
| MRI of the abdomen |
$1,632 |
$5,441 |
$1,554 |
$300 | |
| MRI of the abdomen with contrast |
$1,632 |
$5,441 |
$1,496 |
$300 | |
| MRI of the abdomen without contrast |
$1,483 |
$4,944 |
$1,360 |
$194 | |
| MRI of the ankle |
$1,746 |
$5,819 |
$1,806 |
$261 | |
| MRI of the ankle with contrast |
$1,746 |
$5,819 |
$1,600 |
$261 | |
| MRI of the ankle without contrast |
$1,667 |
$5,557 |
$2,145 |
$222 | |
| MRI of the brain |
$1,877 |
$6,258 |
$1,721 |
$269 | |
| MRI of the brain with contrast |
$1,877 |
$6,258 |
$1,721 |
$269 | |
| MRI of the brain without contrast |
$1,751 |
$5,836 |
$1,605 |
$195 | |
| MRI of the chest |
$1,476 |
$4,920 |
$1,108 |
$371 | |
| MRI of the chest with contrast |
$1,744 |
$5,812 |
$1,453 |
$371 | |
| MRI of the knee |
$1,984 |
$6,612 |
$1,750 |
$315 | |
| MRI of the knee with contrast |
$1,804 |
$6,012 |
$1,653 |
$315 | |
| MRI of the knee without contrast |
$2,582 |
$8,606 |
$2,215 |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,764 |
$5,881 |
$1,742 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,764 |
$5,881 |
$1,617 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,604 |
$5,346 |
$1,470 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,949 |
$6,498 |
$1,734 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$1,949 |
$6,498 |
$1,787 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,081 |
$6,937 |
$1,734 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,406 |
$4,688 |
$1,289 |
$190 | |
| MRI of the neck (cervical spine) |
$1,744 |
$5,814 |
$1,746 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,095 |
$6,982 |
$1,920 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,744 |
$5,814 |
$1,599 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,589 |
$5,296 |
$1,456 |
$191 | |
| MRI of the pelvis |
$1,387 |
$4,624 |
$1,453 |
$268 | |
| MRI of the pelvis without contrast |
$1,080 |
$3,601 |
$990 |
$227 | |
| MRI of the shoulder |
$2,034 |
$6,779 |
$2,066 |
$313 | |
| MRI of the shoulder with contrast |
$2,773 |
$9,245 |
$2,379 |
$313 | |
| MRI of the shoulder without contrast |
$1,561 |
$5,203 |
$2,008 |
$205 | |
| MRI of the wrist |
$1,548 |
$5,160 |
$1,419 |
$330 | |
| MRI of the wrist with contrast |
$1,548 |
$5,160 |
$1,419 |
$330 | |
| MRI of the wrist without contrast |
$1,407 |
$4,691 |
$1,290 |
$303 | |
| Nebulizer breathing treatment |
$135 |
$449 |
$202 |
$9 | |
| Nuclear cardiac stress test |
$3,517 |
$11,722 |
$5,275 |
$428 | |
| Occupational therapy evaluation |
$188 |
$627 |
$180 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$209 |
$698 |
$192 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$167 |
$555 |
$153 |
$101 | |
| Pap smear (cervical screening) |
$43 |
$143 |
$72 |
$20 | |
| Parathyroid hormone (PTH) test |
$290 |
$966 |
$489 |
$41 | |
| Pelvic ultrasound |
$544 |
$1,813 |
$538 |
$78 | |
| Pelvic ultrasound (complete) |
$587 |
$1,956 |
$538 |
$105 | |
| Pelvic ultrasound (limited) |
$501 |
$1,669 |
$459 |
$51 | |
| Phosphorus blood test |
$75 |
$249 |
$126 |
$5 | |
| Physical therapy evaluation |
$191 |
$635 |
$175 |
$98 | |
| Physical therapy evaluation (high complexity) |
$209 |
$698 |
$192 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$191 |
$635 |
$175 |
$98 | |
| Platelet count |
$75 |
$251 |
$127 |
$4 | |
| Pregnancy blood test (hCG) |
$157 |
$524 |
$265 |
$8 | |
| Pregnancy ultrasound |
$547 |
$1,825 |
$847 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$374 |
$1,245 |
$630 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$721 |
$2,404 |
$1,216 |
$136 | |
| Procalcitonin test |
$324 |
$1,079 |
$546 |
$27 | |
| Prolactin test |
$135 |
$449 |
$227 |
$19 | |
| Prostate test (PSA) |
$112 |
$373 |
$189 |
$18 | |
| Scoliosis spine X-ray |
$512 |
$1,708 |
$823 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$488 |
$1,627 |
$823 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$537 |
$1,789 |
$905 |
$72 | |
| Screening mammogram |
$262 |
$874 |
$442 |
$126 | |
| Scrotal ultrasound |
$515 |
$1,718 |
$472 |
$99 | |
| Sedimentation rate (ESR) test |
$82 |
$273 |
$138 |
$3 | |
| Sex hormone binding globulin test |
$23 |
$75 |
$38 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$480 |
$1,601 |
$400 |
$114 | |
| Simple wound stitches |
$523 |
$1,744 |
$472 |
$127 | |
| Sleep study (polysomnography) |
$3,232 |
$10,772 |
$5,281 |
$691 | |
| Soft tissue ultrasound |
$305 |
$1,016 |
$624 |
$64 | |
| Speech therapy |
$191 |
$635 |
$175 |
$76 | |
| Spinal tap (lumbar puncture) |
$908 |
$3,028 |
$757 |
$165 | |
| Spirometry (lung function test) |
$242 |
$806 |
$408 |
$30 | |
| Spirometry with bronchodilator |
$481 |
$1,603 |
$811 |
$43 | |
| Strep throat test |
$144 |
$481 |
$243 |
$17 | |
| Stress echocardiogram |
$1,687 |
$5,623 |
$2,845 |
$209 | |
| Swallow study |
$258 |
$860 |
$378 |
$85 | |
| T3 thyroid test |
$28 |
$94 |
$48 |
$14 | |
| Testosterone test |
$99 |
$329 |
$166 |
$26 | |
| Thyroid test (TSH) |
$238 |
$794 |
$402 |
$17 | |
| Thyroid ultrasound |
$548 |
$1,828 |
$925 |
$109 | |
| Thyroid uptake scan |
$1,215 |
$4,052 |
$1,579 |
$145 | |
| Total IgE allergy test |
$26 |
$88 |
$45 |
$16 | |
| Total protein test |
$95 |
$315 |
$159 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$1,899 |
$6,329 |
$3,202 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,899 |
$6,329 |
$3,202 |
$239 | |
| Transvaginal ultrasound |
$470 |
$1,566 |
$792 |
$118 | |
| Trigger point injection |
$386 |
$1,286 |
$409 |
$56 | |
| Trigger point injection (1-2 muscles) |
$446 |
$1,486 |
$409 |
$52 | |
| Triglycerides test |
$79 |
$264 |
$134 |
$6 | |
| Troponin (heart) test |
$197 |
$657 |
$332 |
$12 | |
| Turning a breech baby (version) |
$2,854 |
$9,513 |
$2,616 |
$94 | |
| Upper GI endoscopy (EGD) |
$1,372 |
$4,573 |
$2,280 |
$371 | |
| Upper GI series (barium) |
$685 |
$2,284 |
$1,114 |
$128 | |
| Ureteral stent placement |
$29,280 |
$97,599 |
$24,400 |
$373 | |
| Ureteroscopy (stone removal) |
$29,280 |
$97,599 |
$24,400 |
$365 | |
| Uric acid (gout) test |
$84 |
$281 |
$142 |
$5 | |
| Urinalysis |
$69 |
$231 |
$114 |
$3 | |
| Urine microalbumin test |
$40 |
$135 |
$41 |
$5 | |
| Urine pregnancy test |
$119 |
$396 |
$200 |
$9 | |
| Vaccine administration |
$91 |
$302 |
$143 |
$19 | |
| Vaccine administration (each additional) |
$84 |
$279 |
$70 |
$16 | |
| Vitamin B12 test |
$134 |
$446 |
$226 |
$15 | |
| Vitamin D test |
$58 |
$193 |
$98 |
$30 | |
| Wart removal |
$233 |
$775 |
$194 |
$121 | |
| Wound debridement |
$343 |
$1,144 |
$315 |
$186 | |
| X-ray of the abdomen |
$374 |
$1,247 |
$602 |
$36 | |
| X-ray of the ankle |
$362 |
$1,205 |
$740 |
$37 | |
| X-ray of the collarbone |
$293 |
$977 |
$600 |
$33 | |
| X-ray of the elbow |
$335 |
$1,117 |
$565 |
$33 | |
| X-ray of the facial bones |
$329 |
$1,096 |
$532 |
$39 | |
| X-ray of the foot |
$367 |
$1,222 |
$751 |
$34 | |
| X-ray of the forearm |
$315 |
$1,051 |
$532 |
$29 | |
| X-ray of the hand |
$540 |
$1,799 |
$736 |
$38 | |
| X-ray of the hip |
$220 |
$733 |
$353 |
$49 | |
| X-ray of the hip (1 view) |
$193 |
$643 |
$325 |
$34 | |
| X-ray of the hip (3 views) |
$220 |
$733 |
$371 |
$49 | |
| X-ray of the hip (4 views) |
$242 |
$805 |
$407 |
$63 | |
| X-ray of the knee |
$509 |
$1,695 |
$678 |
$42 | |
| X-ray of the knee (2 views) |
$309 |
$1,029 |
$632 |
$34 | |
| X-ray of the knee (3 views) |
$509 |
$1,695 |
$694 |
$42 | |
| X-ray of the knee (4+ views) |
$568 |
$1,893 |
$775 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$425 |
$1,416 |
$695 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$336 |
$1,120 |
$567 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$514 |
$1,712 |
$866 |
$53 | |
| X-ray of the lower leg |
$510 |
$1,700 |
$746 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$379 |
$1,263 |
$622 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$309 |
$1,031 |
$522 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$449 |
$1,495 |
$756 |
$39 | |
| X-ray of the neck (cervical spine) |
$378 |
$1,261 |
$621 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$309 |
$1,029 |
$521 |
$40 | |
| X-ray of the pelvis |
$352 |
$1,173 |
$565 |
$36 | |
| X-ray of the pelvis (1 view) |
$335 |
$1,117 |
$565 |
$28 | |
| X-ray of the ribs |
$432 |
$1,439 |
$728 |
$42 | |
| X-ray of the ribs (2 views) |
$374 |
$1,245 |
$630 |
$36 | |
| X-ray of the ribs (3 views) |
$432 |
$1,439 |
$728 |
$42 | |
| X-ray of the shoulder |
$451 |
$1,503 |
$660 |
$36 | |
| X-ray of the skull |
$194 |
$645 |
$316 |
$40 | |
| X-ray of the upper arm |
$321 |
$1,070 |
$541 |
$32 | |
| X-ray of the wrist |
$356 |
$1,185 |
$728 |
$43 | |