| 3D mammogram (tomosynthesis) |
$41 |
$58 |
$55 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$628 |
$1,204 |
$1,132 |
$284 | |
| Abdominal ultrasound |
$823 |
$1,049 |
$986 |
$100 | |
| Abdominal ultrasound (complete) |
$832 |
$1,060 |
$996 |
$114 | |
| Abdominal ultrasound (limited) |
$815 |
$1,038 |
$976 |
$86 | |
| Abscess drainage (complex or multiple) |
— |
— |
$322 |
$220 | |
| Abscess drainage (simple) |
— |
— |
$70 |
$129 | |
| Abscess incision and drainage |
— |
— |
$196 |
$174 | |
| ACL knee reconstruction |
— |
— |
$222 |
$889 | |
| Albumin blood test |
$24 |
$39 |
$12 |
$5 | |
| Alkaline phosphatase test |
$31 |
$49 |
$7 |
$5 | |
| ALT liver enzyme test |
$31 |
$50 |
$9 |
$5 | |
| Ammonia blood test |
$28 |
$44 |
$42 |
$15 | |
| Amniocentesis |
$433 |
$830 |
$780 |
$120 | |
| Amylase test |
$13 |
$20 |
$28 |
$6 | |
| Anal fistula repair |
— |
— |
$248 |
$541 | |
| Ankle fracture repair |
— |
— |
$626 |
$608 | |
| Arterial blood gas (ABG) |
$49 |
$79 |
$74 |
$26 | |
| AST liver enzyme test |
$31 |
$50 |
$6 |
$5 | |
| Barium swallow study |
$338 |
$516 |
$348 |
$107 | |
| Basic metabolic panel |
$69 |
$111 |
$104 |
$8 | |
| Benign skin lesion removal |
— |
— |
$199 |
$171 | |
| Bilirubin blood test |
$29 |
$47 |
$41 |
$5 | |
| Blood clotting test (PT/INR) |
$8 |
$13 |
$12 |
$4 | |
| Blood crossmatch |
$253 |
$365 |
$347 |
— | |
| Blood glucose test |
$9 |
$15 |
$14 |
$5 | |
| Blood transfusion |
$541 |
$1,063 |
$1,156 |
$47 | |
| Blood type and screen |
$79 |
$114 |
$103 |
$10 | |
| Blood type test |
$124 |
$180 |
$34 |
$3 | |
| Blood type test (ABO group) |
$190 |
$275 |
$52 |
$3 | |
| Blood type test (Rh/D antigen) |
$58 |
$84 |
$20 |
$3 | |
| BNP (heart failure) test |
$74 |
$118 |
$93 |
$39 | |
| Bone density scan (DEXA) |
$491 |
$749 |
$704 |
$39 | |
| Bone marrow biopsy |
$944 |
$1,808 |
$1,157 |
$172 | |
| Bone scan (nuclear) |
$1,985 |
$2,958 |
$2,781 |
$259 | |
| Breast biopsy |
$2,264 |
$4,338 |
$4,078 |
$478 | |
| Breast MRI |
$1,242 |
$1,787 |
$1,452 |
$216 | |
| Breast MRI without contrast |
$1,242 |
$1,787 |
$1,680 |
$216 | |
| Breast ultrasound |
$809 |
$1,030 |
$626 |
$92 | |
| Breast ultrasound (complete) |
$857 |
$1,092 |
$699 |
$100 | |
| Breast ultrasound (limited) |
$760 |
$968 |
$619 |
$84 | |
| Breathing tube insertion (intubation) |
$365 |
$658 |
$625 |
$133 | |
| C-reactive protein (CRP) |
$10 |
$16 |
$10 |
$5 | |
| Calcium blood test |
$29 |
$46 |
$30 |
$5 | |
| Cardiac stress test |
$655 |
$876 |
$62 |
$39 | |
| Cardioversion |
$974 |
$2,005 |
$1,885 |
$155 | |
| Carotid artery ultrasound |
$806 |
$1,330 |
$749 |
$156 | |
| Carpal tunnel release |
— |
— |
$523 |
$483 | |
| CEA tumor marker test |
$36 |
$57 |
$25 |
$19 | |
| Central line placement |
$217 |
$391 |
$371 |
$238 | |
| Cervical cerclage |
— |
— |
$35 |
$137 | |
| Chemotherapy infusion |
$137 |
$311 |
$105 |
$81 | |
| Chemotherapy infusion (each additional) |
$47 |
$108 |
$102 |
$28 | |
| Chemotherapy infusion (first hour) |
$226 |
$514 |
$483 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,091 |
$2,090 |
$1,337 |
$311 | |
| Chest X-ray |
$322 |
$515 |
$455 |
$37 | |
| Chest X-ray (1 view) |
$286 |
$457 |
$430 |
$25 | |
| Chest X-ray (2 views) |
$314 |
$502 |
$472 |
$33 | |
| Circumcision |
$196 |
$281 |
$267 |
$167 | |
| CK-MB heart enzyme test |
$22 |
$35 |
$33 |
$12 | |
| Clotting time test (PTT) |
$11 |
$19 |
$6 |
$6 | |
| Colon resection (colectomy) |
— |
— |
$1,911 |
$1,238 | |
| Colonoscopy |
— |
— |
$545 |
$480 | |
| Complete blood count (CBC) |
$25 |
$43 |
$22 |
$7 | |
| Complete blood count (CBC) (complete) |
$39 |
$65 |
$23 |
$8 | |
| Comprehensive metabolic panel |
$86 |
$137 |
$129 |
$11 | |
| Copper blood test |
$8 |
$13 |
$14 |
$12 | |
| COVID-19 PCR test |
$86 |
$154 |
$67 |
$51 | |
| CPAP titration study |
$489 |
$1,008 |
$948 |
$69 | |
| Creatine kinase (CK) test |
$13 |
$20 |
$7 |
$7 | |
| CT angiography of the chest |
$2,446 |
$4,299 |
$4,041 |
$281 | |
| CT angiography of the head |
$1,122 |
$1,997 |
$1,877 |
$274 | |
| CT scan of the abdomen |
$1,889 |
$3,320 |
$2,576 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,980 |
$5,237 |
$4,063 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,576 |
$6,284 |
$5,907 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,980 |
$5,237 |
$4,923 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,384 |
$4,189 |
$3,938 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,267 |
$3,984 |
$3,745 |
$259 | |
| CT scan of the abdomen with contrast |
$1,889 |
$3,320 |
$3,121 |
$230 | |
| CT scan of the abdomen without contrast |
$1,511 |
$2,656 |
$2,497 |
$136 | |
| CT scan of the arm |
$929 |
$1,632 |
$1,266 |
$199 | |
| CT scan of the arm with contrast |
$929 |
$1,632 |
$1,534 |
$199 | |
| CT scan of the arm without contrast |
$743 |
$1,305 |
$1,227 |
$161 | |
| CT scan of the chest |
$1,941 |
$3,412 |
$2,647 |
$167 | |
| CT scan of the chest with and without contrast |
$2,329 |
$4,094 |
$3,848 |
$196 | |
| CT scan of the chest with contrast |
$1,941 |
$3,412 |
$3,207 |
$167 | |
| CT scan of the chest without contrast |
$1,553 |
$2,729 |
$2,565 |
$133 | |
| CT scan of the head |
$890 |
$1,584 |
$1,229 |
$148 | |
| CT scan of the head with and without contrast |
$1,068 |
$1,901 |
$1,787 |
$173 | |
| CT scan of the head with contrast |
$890 |
$1,584 |
$1,489 |
$148 | |
| CT scan of the head without contrast |
$712 |
$1,267 |
$1,191 |
$107 | |
| CT scan of the leg |
$1,017 |
$1,788 |
$1,387 |
$166 | |
| CT scan of the leg with contrast |
$1,017 |
$1,788 |
$1,681 |
$166 | |
| CT scan of the leg without contrast |
$814 |
$1,430 |
$1,344 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,746 |
$3,069 |
$2,381 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,096 |
$3,683 |
$3,462 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,746 |
$3,069 |
$2,885 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,397 |
$2,455 |
$2,308 |
$130 | |
| CT scan of the neck |
$921 |
$1,639 |
$1,272 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,427 |
$2,508 |
$1,946 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,712 |
$3,009 |
$2,828 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,427 |
$2,508 |
$2,358 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,141 |
$2,006 |
$1,886 |
$131 | |
| CT scan of the neck with and without contrast |
$1,105 |
$1,967 |
$1,849 |
$220 | |
| CT scan of the neck with contrast |
$921 |
$1,639 |
$1,541 |
$183 | |
| CT scan of the neck without contrast |
$737 |
$1,311 |
$1,232 |
$150 | |
| CT scan of the pelvis |
$1,929 |
$3,390 |
$2,631 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,315 |
$4,068 |
$3,824 |
$251 | |
| CT scan of the pelvis with contrast |
$1,929 |
$3,390 |
$3,187 |
$226 | |
| CT scan of the pelvis without contrast |
$1,543 |
$2,712 |
$2,549 |
$133 | |
| CT scan of the sinuses |
$1,017 |
$1,809 |
$1,404 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,220 |
$2,171 |
$2,041 |
$184 | |
| CT scan of the sinuses with contrast |
$1,017 |
$1,809 |
$1,700 |
$152 | |
| CT scan of the sinuses without contrast |
$813 |
$1,447 |
$1,360 |
$128 | |
| D-dimer test |
$18 |
$31 |
$29 |
$10 | |
| Diagnostic mammogram |
$323 |
$391 |
$299 |
$140 | |
| Dilation and curettage (D&C) |
— |
— |
$449 |
$298 | |
| Drug screen (urine) |
$33 |
$52 |
$36 |
$17 | |
| Echocardiogram |
$628 |
$1,064 |
$146 |
$138 | |
| Echocardiogram with and without contrast |
$388 |
$658 |
$124 |
$101 | |
| Echocardiogram without contrast |
$628 |
$1,064 |
$248 |
$138 | |
| EEG (awake and asleep) |
$543 |
$937 |
$881 |
$482 | |
| EKG / ECG (tracing only) |
$291 |
$488 |
$459 |
$7 | |
| Electrocardiogram (EKG) |
$150 |
$253 |
$270 |
$8 | |
| Electroencephalogram (EEG) |
$499 |
$862 |
$755 |
$448 | |
| Electrolyte panel |
$49 |
$78 |
$73 |
$7 | |
| Emergency department visit |
$1,059 |
$1,098 |
$736 |
$69 | |
| Emergency department visit (level 1) |
$312 |
$342 |
$321 |
$11 | |
| Emergency department visit (level 2) |
$503 |
$625 |
$588 |
$40 | |
| Emergency department visit (level 3) |
$1,059 |
$1,098 |
$1,032 |
$69 | |
| Facet joint injection (spine) |
$902 |
$1,292 |
$398 |
$99 | |
| Fallopian tube X-ray (HSG) |
$539 |
$899 |
$728 |
$164 | |
| Fecal occult blood (stool) test |
$8 |
$13 |
$12 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$9 |
$14 |
$13 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$8 |
$12 |
$11 |
$16 | |
| Feeding tube (PEG) placement |
— |
— |
$399 |
$178 | |
| Ferritin (iron) test |
$26 |
$41 |
$39 |
$14 | |
| Fibrinogen test |
$18 |
$30 |
$10 |
$10 | |
| Flexible sigmoidoscopy |
— |
— |
$90 |
$323 | |
| Folate (folic acid) test |
$12 |
$19 |
$18 |
$15 | |
| Free T4 thyroid test |
$18 |
$28 |
$15 |
$9 | |
| FSH hormone test |
$35 |
$56 |
$15 |
$19 | |
| Gallbladder removal (laparoscopic) |
— |
— |
$154 |
$658 | |
| Gallbladder scan (HIDA) |
$1,357 |
$2,023 |
$1,082 |
$334 | |
| Ganglion cyst removal |
— |
— |
$69 |
$321 | |
| GGT liver test |
$14 |
$22 |
$12 |
$7 | |
| Glucose tolerance test |
$16 |
$26 |
$12 |
$8 | |
| HDL cholesterol test |
$7 |
$11 |
$10 |
$8 | |
| Hematocrit test |
$5 |
$8 |
$8 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$19 |
$30 |
$8 |
$10 | |
| Hepatitis C test |
$61 |
$95 |
$13 |
$14 | |
| Hip fracture repair |
— |
— |
$278 |
$1,120 | |
| Hip replacement |
— |
— |
$491 |
$1,162 | |
| HIV test |
$38 |
$65 |
$40 |
$19 | |
| HIV test (antibody) |
$27 |
$42 |
$39 |
$14 | |
| HIV test (antigen/antibody combo) |
$49 |
$87 |
$82 |
$24 | |
| Holter heart monitor |
$347 |
$480 |
$418 |
$26 | |
| Hysterectomy |
— |
— |
$1,484 |
$933 | |
| Hysteroscopy |
— |
— |
$2,109 |
$1,270 | |
| Inguinal hernia repair |
— |
— |
$399 |
$538 | |
| Iron blood test |
$13 |
$20 |
$18 |
$6 | |
| IUD removal |
$270 |
$556 |
$509 |
$112 | |
| IV infusion therapy |
$242 |
$361 |
$99 |
$44 | |
| IV infusion therapy (each additional) |
$68 |
$102 |
$96 |
$21 | |
| IV infusion therapy (initial) |
$415 |
$620 |
$583 |
$67 | |
| Joint aspiration (small/intermediate) |
$297 |
$568 |
$356 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$302 |
$579 |
$371 |
$57 | |
| Joint aspiration or injection (small joint) |
$291 |
$557 |
$356 |
$56 | |
| Kidney biopsy |
$1,041 |
$1,994 |
$1,276 |
$492 | |
| Kidney scan (nuclear) |
$623 |
$929 |
$873 |
$172 | |
| Kidney ultrasound |
$674 |
$858 |
$636 |
$84 | |
| Kidney ultrasound (limited) |
$520 |
$663 |
$623 |
$61 | |
| Knee arthroscopy |
— |
— |
$909 |
$524 | |
| Knee joint injection |
$775 |
$1,484 |
$949 |
$69 | |
| Lactate test |
$22 |
$35 |
$21 |
$12 | |
| LDH test |
$12 |
$19 |
$11 |
$6 | |
| LDL cholesterol test |
$20 |
$32 |
$8 |
$11 | |
| Leg vein ultrasound (Doppler) |
$736 |
$1,215 |
$1,125 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$714 |
$1,179 |
$1,108 |
$116 | |
| Lipase test |
$13 |
$21 |
$19 |
$7 | |
| Lipid (cholesterol) panel |
$64 |
$102 |
$38 |
$13 | |
| Liver biopsy |
$720 |
$1,380 |
$1,297 |
$288 | |
| Liver function panel |
$68 |
$108 |
$19 |
$8 | |
| Lung function test (PFT) |
$361 |
$663 |
$504 |
$37 | |
| Lung scan (V/Q) |
$729 |
$1,086 |
$1,021 |
$291 | |
| Magnesium blood test |
$13 |
$21 |
$20 |
$7 | |
| Meniscus repair (knee) |
— |
— |
$921 |
$714 | |
| MRA of the brain |
$699 |
$2,588 |
$2,008 |
$226 | |
| MRA of the brain with contrast |
$699 |
$2,588 |
$2,433 |
$226 | |
| MRA of the brain without contrast |
$838 |
$3,105 |
$2,919 |
$328 | |
| MRA of the neck |
$1,173 |
$4,344 |
$3,371 |
$245 | |
| MRA of the neck with contrast |
$1,173 |
$4,344 |
$4,083 |
$245 | |
| MRA of the neck without contrast |
$1,408 |
$5,213 |
$4,900 |
$343 | |
| MRI of the abdomen |
$2,836 |
$4,080 |
$3,166 |
$300 | |
| MRI of the abdomen with contrast |
$2,836 |
$4,080 |
$3,835 |
$300 | |
| MRI of the abdomen without contrast |
$2,268 |
$3,264 |
$3,068 |
$194 | |
| MRI of the ankle |
$1,336 |
$1,923 |
$1,492 |
$261 | |
| MRI of the ankle with contrast |
$1,336 |
$1,923 |
$1,808 |
$261 | |
| MRI of the ankle without contrast |
$1,069 |
$1,538 |
$1,446 |
$222 | |
| MRI of the brain |
$2,814 |
$4,860 |
$3,771 |
$269 | |
| MRI of the brain with contrast |
$2,814 |
$4,860 |
$4,568 |
$269 | |
| MRI of the brain without contrast |
$2,251 |
$3,888 |
$3,655 |
$195 | |
| MRI of the chest |
$1,870 |
$2,690 |
$2,087 |
$371 | |
| MRI of the chest with contrast |
$1,870 |
$2,690 |
$2,529 |
$371 | |
| MRI of the chest without contrast |
$2,243 |
$3,228 |
$3,034 |
$466 | |
| MRI of the knee |
$2,932 |
$4,219 |
$3,274 |
$315 | |
| MRI of the knee with contrast |
$2,932 |
$4,219 |
$3,966 |
$315 | |
| MRI of the knee without contrast |
$2,346 |
$3,375 |
$3,173 |
$204 | |
| MRI of the lower back (lumbar spine) |
$3,060 |
$5,388 |
$4,181 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$3,060 |
$5,388 |
$5,065 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,448 |
$4,310 |
$4,051 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,598 |
$2,813 |
$2,183 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$1,917 |
$3,375 |
$3,173 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,598 |
$2,813 |
$2,644 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,278 |
$2,250 |
$2,115 |
$190 | |
| MRI of the neck (cervical spine) |
$1,726 |
$3,038 |
$2,357 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,070 |
$3,645 |
$3,426 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,726 |
$3,038 |
$2,856 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,380 |
$2,430 |
$2,284 |
$191 | |
| MRI of the pelvis |
$2,059 |
$2,963 |
$2,299 |
$268 | |
| MRI of the pelvis with contrast |
$2,059 |
$2,963 |
$2,785 |
$268 | |
| MRI of the pelvis without contrast |
$1,647 |
$2,370 |
$2,228 |
$227 | |
| MRI of the shoulder |
$1,794 |
$2,582 |
$2,003 |
$313 | |
| MRI of the shoulder with contrast |
$1,794 |
$2,582 |
$2,427 |
$313 | |
| MRI of the shoulder without contrast |
$1,435 |
$2,065 |
$1,941 |
$205 | |
| MRI of the wrist |
$1,640 |
$2,359 |
$1,830 |
$330 | |
| MRI of the wrist with contrast |
$1,640 |
$2,359 |
$2,217 |
$330 | |
| MRI of the wrist without contrast |
$1,311 |
$1,887 |
$1,774 |
$303 | |
| Nuchal translucency ultrasound |
$515 |
$656 |
$617 |
$116 | |
| Nuclear cardiac stress test |
$4,155 |
$6,192 |
$574 |
$428 | |
| Office visit, established patient (level 3) |
$1,479 |
$1,475 |
$354 |
$95 | |
| Office visit, new patient (level 4) |
$2,668 |
$2,660 |
$548 |
$177 | |
| Orthopedic hardware removal |
— |
— |
$251 |
$632 | |
| Pelvic ultrasound |
$741 |
$944 |
$802 |
$78 | |
| Pelvic ultrasound (complete) |
$827 |
$1,053 |
$990 |
$105 | |
| Pelvic ultrasound (limited) |
$655 |
$835 |
$785 |
$51 | |
| Phosphorus blood test |
$29 |
$47 |
$16 |
$5 | |
| Physical therapy evaluation |
$288 |
$393 |
$315 |
$98 | |
| Physical therapy evaluation (high complexity) |
$356 |
$486 |
$457 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$288 |
$393 |
$373 |
$98 | |
| Pilonidal cyst removal |
— |
— |
$129 |
$541 | |
| Platelet count |
$8 |
$14 |
$8 |
$4 | |
| Pregnancy blood test (hCG) |
$14 |
$23 |
$22 |
$8 | |
| Pregnancy ultrasound |
$884 |
$1,127 |
$987 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$807 |
$1,028 |
$966 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$962 |
$1,225 |
$1,152 |
$136 | |
| Procalcitonin test |
$57 |
$91 |
$86 |
$27 | |
| Prolactin test |
$16 |
$26 |
$25 |
$19 | |
| Prostate test (PSA) |
$35 |
$56 |
$17 |
$18 | |
| Rheumatoid factor test |
$45 |
$70 |
$66 |
$6 | |
| Rotator cuff repair |
— |
— |
$815 |
$792 | |
| Sacroiliac joint injection |
$1,084 |
$2,076 |
$1,329 |
$176 | |
| Scoliosis spine X-ray |
$202 |
$308 |
$290 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$202 |
$308 |
$290 |
$44 | |
| Screening mammogram |
$176 |
$249 |
$239 |
$126 | |
| Scrotal ultrasound |
$762 |
$971 |
$913 |
$99 | |
| Sedimentation rate (ESR) test |
$7 |
$11 |
$9 |
$3 | |
| Sex hormone binding globulin test |
$9 |
$14 |
$13 |
$22 | |
| Shoulder arthroscopy |
— |
— |
$280 |
$962 | |
| Sleep study (polysomnography) |
$2,900 |
$5,009 |
$2,836 |
$691 | |
| Soft tissue ultrasound |
$564 |
$718 |
$675 |
$64 | |
| Spinal tap (lumbar puncture) |
$394 |
$754 |
$276 |
$165 | |
| Spirometry (lung function test) |
$286 |
$525 |
$494 |
$30 | |
| Spirometry with bronchodilator |
$436 |
$801 |
$753 |
$43 | |
| Stress echocardiogram |
$739 |
$1,253 |
$159 |
$209 | |
| T3 thyroid test |
$27 |
$43 |
$13 |
$14 | |
| Testosterone test |
$49 |
$78 |
$21 |
$26 | |
| Thyroid ultrasound |
$827 |
$1,053 |
$990 |
$109 | |
| Thyroid uptake scan |
$574 |
$855 |
$477 |
$145 | |
| Total protein test |
$35 |
$56 |
$4 |
$4 | |
| Transvaginal ultrasound |
$788 |
$1,004 |
$944 |
$118 | |
| Trigger finger release |
— |
— |
$348 |
$630 | |
| Triglycerides test |
$34 |
$54 |
$8 |
$6 | |
| Troponin (heart) test |
$86 |
$138 |
$130 |
$12 | |
| Turning a breech baby (version) |
$842 |
$745 |
$708 |
$94 | |
| Ulnar nerve surgery (elbow) |
— |
— |
$737 |
$575 | |
| Upper GI endoscopy (EGD) |
— |
— |
$378 |
$371 | |
| Upper GI series (barium) |
$762 |
$1,162 |
$1,079 |
$128 | |
| Uric acid (gout) test |
$9 |
$14 |
$13 |
$5 | |
| Urinalysis |
$5 |
$9 |
$7 |
$3 | |
| Urine microalbumin test |
$26 |
$41 |
$10 |
$5 | |
| Urine pregnancy test |
$34 |
$58 |
$55 |
$9 | |
| Vaccine administration |
$32 |
$71 |
$50 |
$19 | |
| Vaccine administration (each additional) |
$17 |
$37 |
$35 |
$16 | |
| Vitamin B12 test |
$12 |
$19 |
$18 |
$15 | |
| Vitamin D test |
$56 |
$89 |
$21 |
$30 | |
| Wound debridement |
— |
— |
$171 |
$186 | |
| Wrist fracture repair |
— |
— |
$587 |
$735 | |
| X-ray of the abdomen |
$199 |
$303 |
$200 |
$36 | |
| X-ray of the ankle |
$182 |
$278 |
$261 |
$37 | |
| X-ray of the collarbone |
$304 |
$463 |
$435 |
$33 | |
| X-ray of the elbow |
$186 |
$284 |
$267 |
$33 | |
| X-ray of the facial bones |
$248 |
$378 |
$255 |
$39 | |
| X-ray of the foot |
$343 |
$523 |
$492 |
$34 | |
| X-ray of the forearm |
$155 |
$237 |
$223 |
$29 | |
| X-ray of the hand |
$259 |
$395 |
$371 |
$38 | |
| X-ray of the hip |
$277 |
$423 |
$213 |
$49 | |
| X-ray of the hip (1 view) |
$144 |
$220 |
$207 |
$34 | |
| X-ray of the hip (3 views) |
$410 |
$625 |
$588 |
$49 | |
| X-ray of the knee |
$390 |
$594 |
$472 |
$42 | |
| X-ray of the knee (2 views) |
$319 |
$487 |
$458 |
$34 | |
| X-ray of the knee (3 views) |
$390 |
$594 |
$558 |
$42 | |
| X-ray of the knee (4+ views) |
$445 |
$679 |
$638 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$568 |
$866 |
$682 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$466 |
$710 |
$667 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$670 |
$1,022 |
$961 |
$53 | |
| X-ray of the lower leg |
$174 |
$265 |
$249 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$436 |
$665 |
$564 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$385 |
$587 |
$552 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$487 |
$743 |
$698 |
$39 | |
| X-ray of the neck (cervical spine) |
$435 |
$663 |
$554 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$379 |
$577 |
$542 |
$40 | |
| X-ray of the pelvis |
$370 |
$564 |
$492 |
$36 | |
| X-ray of the pelvis (1 view) |
$337 |
$513 |
$482 |
$28 | |
| X-ray of the ribs |
$389 |
$593 |
$501 |
$42 | |
| X-ray of the ribs (2 views) |
$342 |
$522 |
$491 |
$36 | |
| X-ray of the ribs (3 views) |
$435 |
$663 |
$623 |
$42 | |
| X-ray of the shoulder |
$388 |
$592 |
$556 |
$36 | |
| X-ray of the skull |
$248 |
$378 |
$291 |
$40 | |
| X-ray of the upper arm |
$222 |
$339 |
$319 |
$32 | |
| X-ray of the wrist |
$358 |
$545 |
$512 |
$43 | |
| Zinc blood test |
$8 |
$12 |
$11 |
$11 | |