| 3D mammogram (tomosynthesis) |
$18 |
$73 |
$88 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$633 |
$2,531 |
$1,339 |
$284 | |
| Abdominal ultrasound |
$189 |
$757 |
$121 |
$100 | |
| Abdominal ultrasound (complete) |
$226 |
$905 |
$121 |
$114 | |
| Abdominal ultrasound (limited) |
$152 |
$609 |
$121 |
$86 | |
| Abscess drainage (complex or multiple) |
$113 |
$453 |
$608 |
$220 | |
| Abscess drainage (simple) |
$165 |
$660 |
$352 |
$129 | |
| Abscess incision and drainage |
$139 |
$557 |
$379 |
$174 | |
| Achilles tendon repair |
$1,169 |
$4,675 |
$8,706 |
$624 | |
| ACL knee reconstruction |
$1,556 |
$6,225 |
$10,592 |
$889 | |
| Albumin blood test |
$7 |
$26 |
$8 |
$5 | |
| Aldosterone test |
$30 |
$119 |
$67 |
$41 | |
| Alkaline phosphatase test |
$7 |
$27 |
$9 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$83 |
$331 |
$28 |
$17 | |
| ALT liver enzyme test |
$7 |
$28 |
$9 |
$5 | |
| Ammonia blood test |
$34 |
$136 |
$19 |
$15 | |
| Amylase test |
$25 |
$99 |
$11 |
$6 | |
| Ankle fracture repair |
$1,818 |
$7,270 |
$10,592 |
$608 | |
| Antinuclear antibody (ANA) test |
$9 |
$36 |
$20 |
$12 | |
| AST liver enzyme test |
$7 |
$27 |
$9 |
$5 | |
| Barium swallow study |
$88 |
$353 |
$196 |
$107 | |
| Basic metabolic panel |
$111 |
$445 |
$14 |
$8 | |
| Benign skin lesion removal |
$544 |
$2,177 |
$1,026 |
$171 | |
| Bilirubin blood test |
$7 |
$26 |
$8 |
$5 | |
| Blood crossmatch |
$30 |
$119 |
$178 |
— | |
| Blood glucose test |
$5 |
$21 |
$7 |
$5 | |
| Blood transfusion |
$348 |
$1,390 |
$662 |
$47 | |
| Blood type and screen |
$43 |
$171 |
$57 |
$10 | |
| Blood type test |
$31 |
$123 |
$49 |
$3 | |
| Blood type test (ABO group) |
$50 |
$199 |
$132 |
$3 | |
| Blood type test (Rh/D antigen) |
$12 |
$48 |
$49 |
$3 | |
| BNP (heart failure) test |
$58 |
$234 |
$64 |
$39 | |
| Bone density scan (DEXA) |
$98 |
$390 |
$166 |
$39 | |
| Breast ultrasound |
$51 |
$205 |
$86 |
$92 | |
| Breast ultrasound (limited) |
$51 |
$205 |
$86 |
$84 | |
| Breathing tube insertion (intubation) |
$236 |
$942 |
$495 |
$133 | |
| Burn dressing and debridement (small) |
$96 |
$386 |
$293 |
$93 | |
| Burn treatment |
$96 |
$386 |
$293 |
$129 | |
| C-reactive protein (CRP) |
$7 |
$27 |
$9 |
$5 | |
| CA 19-9 tumor marker test |
$27 |
$109 |
$34 |
$21 | |
| CA-125 ovarian marker test |
$27 |
$109 |
$34 |
$21 | |
| Calcium blood test |
$7 |
$27 |
$8 |
$5 | |
| Cardiac rehabilitation |
$63 |
$251 |
$194 |
$26 | |
| Cardioversion |
$157 |
$629 |
$954 |
$155 | |
| Carotid artery ultrasound |
$265 |
$1,061 |
$324 |
$156 | |
| Carpal tunnel release |
$1,040 |
$4,160 |
$2,916 |
$483 | |
| Cataract surgery |
$2,008 |
$8,034 |
$3,486 |
$547 | |
| CEA tumor marker test |
$25 |
$100 |
$31 |
$19 | |
| Celiac disease test |
$8 |
$31 |
$16 |
$12 | |
| Central line placement |
$313 |
$1,253 |
$4,727 |
$238 | |
| Chemotherapy infusion |
$189 |
$757 |
$297 |
$81 | |
| Chemotherapy infusion (each additional) |
$59 |
$234 |
$108 |
$28 | |
| Chemotherapy infusion (first hour) |
$320 |
$1,280 |
$497 |
$133 | |
| Chest fluid drain (thoracentesis) |
$498 |
$1,994 |
$941 |
$311 | |
| Chest tube insertion |
$449 |
$1,794 |
$2,359 |
$143 | |
| Chest X-ray |
$36 |
$145 |
$86 |
$37 | |
| Chest X-ray (1 view) |
$29 |
$118 |
$86 |
$25 | |
| Chest X-ray (2 views) |
$36 |
$145 |
$86 |
$33 | |
| Colonoscopy |
$569 |
$2,276 |
$1,712 |
$480 | |
| Complete blood count (CBC) |
$27 |
$109 |
$12 |
$7 | |
| Complete blood count (CBC) (complete) |
$31 |
$123 |
$13 |
$8 | |
| Complex wound repair |
$742 |
$2,968 |
$942 |
$390 | |
| Comprehensive metabolic panel |
$255 |
$1,019 |
$17 |
$11 | |
| Copper blood test |
$20 |
$79 |
$20 |
$12 | |
| Cortisol test |
$21 |
$86 |
$27 |
$16 | |
| CPAP titration study |
$166 |
$665 |
$329 |
$69 | |
| Creatine kinase (CK) test |
$29 |
$117 |
$11 |
$7 | |
| CT angiography of the chest |
$582 |
$2,330 |
$275 |
$281 | |
| CT angiography of the head |
$519 |
$2,076 |
$275 |
$274 | |
| CT scan of the abdomen |
$571 |
$2,285 |
$268 |
$230 | |
| CT scan of the abdomen and pelvis |
$671 |
$2,683 |
$384 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$690 |
$2,759 |
$412 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$671 |
$2,683 |
$412 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$652 |
$2,608 |
$251 |
$183 | |
| CT scan of the abdomen with and without contrast |
$693 |
$2,774 |
$275 |
$259 | |
| CT scan of the abdomen with contrast |
$571 |
$2,285 |
$275 |
$230 | |
| CT scan of the abdomen without contrast |
$490 |
$1,961 |
$164 |
$136 | |
| CT scan of the arm |
$403 |
$1,613 |
$236 |
$199 | |
| CT scan of the arm with contrast |
$452 |
$1,810 |
$412 |
$199 | |
| CT scan of the arm without contrast |
$354 |
$1,415 |
$164 |
$161 | |
| CT scan of the chest |
$555 |
$2,221 |
$268 |
$167 | |
| CT scan of the chest with and without contrast |
$778 |
$3,114 |
$275 |
$196 | |
| CT scan of the chest with contrast |
$555 |
$2,221 |
$275 |
$167 | |
| CT scan of the chest without contrast |
$480 |
$1,918 |
$164 |
$133 | |
| CT scan of the head |
$496 |
$1,983 |
$232 |
$148 | |
| CT scan of the head with and without contrast |
$548 |
$2,193 |
$275 |
$173 | |
| CT scan of the head with contrast |
$496 |
$1,983 |
$275 |
$148 | |
| CT scan of the head without contrast |
$444 |
$1,774 |
$164 |
$107 | |
| CT scan of the leg |
$392 |
$1,567 |
$220 |
$166 | |
| CT scan of the leg with contrast |
$396 |
$1,583 |
$196 |
$166 | |
| CT scan of the leg without contrast |
$327 |
$1,310 |
$164 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$541 |
$2,165 |
$246 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$577 |
$2,308 |
$275 |
$197 | |
| CT scan of the lower back (lumbar spine) without contrast |
$506 |
$2,023 |
$164 |
$130 | |
| CT scan of the neck |
$496 |
$1,983 |
$220 |
$183 | |
| CT scan of the neck (cervical spine) |
$545 |
$2,180 |
$335 |
$168 | |
| CT scan of the neck (cervical spine) with contrast |
$584 |
$2,337 |
$412 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$506 |
$2,023 |
$164 |
$131 | |
| CT scan of the neck with and without contrast |
$548 |
$2,193 |
$200 |
$220 | |
| CT scan of the neck with contrast |
$496 |
$1,983 |
$275 |
$183 | |
| CT scan of the neck without contrast |
$444 |
$1,774 |
$164 |
$150 | |
| CT scan of the pelvis |
$696 |
$2,784 |
$268 |
$226 | |
| CT scan of the pelvis with and without contrast |
$715 |
$2,860 |
$275 |
$251 | |
| CT scan of the pelvis with contrast |
$696 |
$2,784 |
$275 |
$226 | |
| CT scan of the pelvis without contrast |
$650 |
$2,600 |
$164 |
$133 | |
| CT scan of the sinuses |
$516 |
$2,064 |
$250 |
$152 | |
| CT scan of the sinuses with and without contrast |
$895 |
$3,579 |
$275 |
$184 | |
| CT scan of the sinuses with contrast |
$516 |
$2,064 |
$269 |
$152 | |
| CT scan of the sinuses without contrast |
$444 |
$1,774 |
$164 |
$128 | |
| D-dimer test |
$33 |
$133 |
$17 |
$10 | |
| DHEA-sulfate test |
$29 |
$116 |
$36 |
$22 | |
| Diagnostic mammogram |
$127 |
$509 |
$160 |
$140 | |
| Drug screen (urine) |
$50 |
$200 |
$102 |
$17 | |
| Echocardiogram |
$513 |
$2,052 |
$697 |
$138 | |
| EKG / ECG (tracing only) |
$76 |
$305 |
$80 |
$7 | |
| Electrocardiogram (EKG) |
$76 |
$305 |
$80 |
$8 | |
| Electroencephalogram (EEG) |
$292 |
$1,168 |
$334 |
$448 | |
| Electrolyte panel |
$9 |
$36 |
$12 |
$7 | |
| Emergency department visit |
$203 |
$811 |
$984 |
$69 | |
| Emergency department visit (level 1) |
$59 |
$234 |
$586 |
$11 | |
| Emergency department visit (level 2) |
$126 |
$504 |
$1,028 |
$40 | |
| Emergency department visit (level 3) |
$203 |
$811 |
$1,284 |
$69 | |
| Emergency department visit (level 4) |
$309 |
$1,238 |
$1,204 |
$118 | |
| Emergency department visit (level 5) |
$432 |
$1,726 |
$1,589 |
$171 | |
| Epidural steroid injection |
$913 |
$3,651 |
$1,053 |
$275 | |
| Esophageal dilation |
$260 |
$1,039 |
$1,339 |
$522 | |
| Estradiol (estrogen) test |
$37 |
$147 |
$46 |
$28 | |
| Fecal occult blood (stool) test |
$6 |
$25 |
$26 |
$10 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$6 |
$25 |
$26 |
$16 | |
| Feeding tube (PEG) placement |
$1,383 |
$5,533 |
$2,825 |
$178 | |
| Ferritin (iron) test |
$18 |
$72 |
$22 |
$14 | |
| Fibrinogen test |
$10 |
$40 |
$16 |
$10 | |
| Flexible sigmoidoscopy |
$364 |
$1,456 |
$1,373 |
$323 | |
| Flu test |
$27 |
$108 |
$21 |
$17 | |
| Folate (folic acid) test |
$34 |
$134 |
$24 |
$15 | |
| Foreign body removal (skin) |
$550 |
$2,198 |
$608 |
$157 | |
| Free T4 thyroid test |
$12 |
$47 |
$15 |
$9 | |
| FSH hormone test |
$24 |
$98 |
$31 |
$19 | |
| Gallbladder removal (laparoscopic) |
$2,168 |
$8,672 |
$8,455 |
$658 | |
| Ganglion cyst removal |
$779 |
$3,116 |
$2,372 |
$321 | |
| GGT liver test |
$26 |
$105 |
$12 |
$7 | |
| Glucose tolerance test |
$9 |
$34 |
$11 |
$8 | |
| H. pylori test |
$84 |
$336 |
$86 |
$67 | |
| Hematocrit test |
$11 |
$45 |
$4 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$13 |
$51 |
$16 |
$10 | |
| Hepatitis B test |
$7 |
$27 |
$17 |
$10 | |
| Hepatitis C test |
$19 |
$76 |
$23 |
$14 | |
| Hip replacement |
$3,176 |
$12,702 |
$15,421 |
$1,162 | |
| HIV test |
$16 |
$63 |
$40 |
$19 | |
| HIV test (antigen/antibody combo) |
$16 |
$63 |
$40 |
$24 | |
| Iron blood test |
$9 |
$34 |
$11 |
$6 | |
| IV infusion therapy |
$90 |
$359 |
$127 |
$44 | |
| IV infusion therapy (each additional) |
$45 |
$179 |
$70 |
$21 | |
| IV infusion therapy (initial) |
$135 |
$539 |
$286 |
$67 | |
| Joint aspiration (small/intermediate) |
$386 |
$1,543 |
$451 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$120 |
$478 |
$451 |
$57 | |
| Joint aspiration or injection (small joint) |
$652 |
$2,608 |
$451 |
$56 | |
| Kidney ultrasound |
$148 |
$591 |
$121 |
$84 | |
| Kidney ultrasound (limited) |
$148 |
$591 |
$121 |
$61 | |
| Knee arthroscopy |
$1,789 |
$7,156 |
$4,874 |
$524 | |
| Knee joint injection |
$101 |
$405 |
$451 |
$69 | |
| Lactate test |
$40 |
$159 |
$19 |
$12 | |
| LDH test |
$8 |
$32 |
$10 |
$6 | |
| LDL cholesterol test |
$22 |
$86 |
$17 |
$11 | |
| Leg vein ultrasound (Doppler) |
$274 |
$1,094 |
$159 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$226 |
$903 |
$148 |
$116 | |
| LH hormone test |
$24 |
$98 |
$30 |
$19 | |
| Lipase test |
$27 |
$108 |
$11 |
$7 | |
| Lipid (cholesterol) panel |
$17 |
$68 |
$22 |
$13 | |
| Liver function panel |
$131 |
$524 |
$13 |
$8 | |
| Lung function test (PFT) |
$118 |
$473 |
$263 |
$37 | |
| Magnesium blood test |
$25 |
$100 |
$11 |
$7 | |
| MRA of the brain |
$724 |
$2,895 |
$503 |
$226 | |
| MRA of the brain without contrast |
$843 |
$3,372 |
$546 |
$328 | |
| MRA of the neck |
$605 |
$2,418 |
$374 |
$245 | |
| MRI of the abdomen |
$794 |
$3,176 |
$532 |
$300 | |
| MRI of the abdomen with contrast |
$794 |
$3,176 |
$546 |
$300 | |
| MRI of the abdomen without contrast |
$725 |
$2,900 |
$374 |
$194 | |
| MRI of the ankle |
$640 |
$2,558 |
$503 |
$261 | |
| MRI of the ankle without contrast |
$624 |
$2,496 |
$374 |
$222 | |
| MRI of the brain |
$886 |
$3,543 |
$532 |
$269 | |
| MRI of the brain with contrast |
$584 |
$2,335 |
$546 |
$269 | |
| MRI of the brain without contrast |
$886 |
$3,543 |
$374 |
$195 | |
| MRI of the knee |
$694 |
$2,776 |
$503 |
$315 | |
| MRI of the knee without contrast |
$528 |
$2,114 |
$374 |
$204 | |
| MRI of the lower back (lumbar spine) |
$777 |
$3,109 |
$532 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$584 |
$2,335 |
$546 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$777 |
$3,109 |
$374 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$645 |
$2,580 |
$532 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$760 |
$3,040 |
$546 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$584 |
$2,335 |
$546 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$645 |
$2,580 |
$374 |
$190 | |
| MRI of the neck (cervical spine) |
$645 |
$2,580 |
$532 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$865 |
$3,459 |
$546 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$584 |
$2,335 |
$546 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$645 |
$2,580 |
$374 |
$191 | |
| MRI of the pelvis |
$699 |
$2,796 |
$503 |
$268 | |
| MRI of the pelvis without contrast |
$565 |
$2,261 |
$374 |
$227 | |
| MRI of the shoulder |
$647 |
$2,589 |
$503 |
$313 | |
| MRI of the shoulder without contrast |
$530 |
$2,122 |
$374 |
$205 | |
| MRI of the wrist |
$774 |
$3,094 |
$503 |
$330 | |
| MRI of the wrist without contrast |
$729 |
$2,915 |
$374 |
$303 | |
| Nebulizer breathing treatment |
$42 |
$170 |
$265 |
$9 | |
| Nerve conduction study |
$119 |
$474 |
$334 |
$118 | |
| Occupational therapy evaluation |
$49 |
$194 |
$151 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$49 |
$194 |
$179 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$46 |
$185 |
$148 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$49 |
$194 |
$179 |
$101 | |
| Orthopedic hardware removal |
$1,578 |
$6,313 |
$4,137 |
$632 | |
| Parathyroid hormone (PTH) test |
$54 |
$216 |
$68 |
$41 | |
| Pelvic ultrasound |
$138 |
$553 |
$121 |
$78 | |
| Pelvic ultrasound (complete) |
$158 |
$632 |
$121 |
$105 | |
| Pelvic ultrasound (limited) |
$119 |
$474 |
$121 |
$51 | |
| PET scan |
$1,007 |
$4,028 |
$2,082 |
— | |
| Phosphorus blood test |
$6 |
$25 |
$8 |
$5 | |
| Physical therapy evaluation |
$52 |
$209 |
$151 |
$98 | |
| Physical therapy evaluation (high complexity) |
$52 |
$209 |
$175 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$52 |
$209 |
$175 |
$98 | |
| Platelet count |
$5 |
$20 |
$7 |
$4 | |
| Pregnancy blood test (hCG) |
$38 |
$152 |
$12 |
$8 | |
| Pregnancy ultrasound |
$95 |
$382 |
$121 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$94 |
$374 |
$121 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$97 |
$389 |
$121 |
$136 | |
| Procalcitonin test |
$51 |
$204 |
$40 |
$27 | |
| Prolactin test |
$23 |
$90 |
$32 |
$19 | |
| Prostate test (PSA) |
$31 |
$123 |
$30 |
$18 | |
| Radiofrequency nerve ablation |
$783 |
$3,134 |
$2,916 |
$462 | |
| Rheumatoid factor test |
$8 |
$30 |
$10 |
$6 | |
| Rotator cuff repair |
$853 |
$3,413 |
$10,592 |
$792 | |
| Scoliosis spine X-ray |
$42 |
$170 |
$119 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$32 |
$128 |
$86 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$53 |
$211 |
$121 |
$72 | |
| Screening colonoscopy |
$517 |
$2,068 |
$1,456 |
$378 | |
| Screening mammogram |
$67 |
$266 |
$139 |
$126 | |
| Scrotal ultrasound |
$151 |
$603 |
$121 |
$99 | |
| Sex hormone binding globulin test |
$14 |
$57 |
$36 |
$22 | |
| Shoulder arthroscopy |
$850 |
$3,401 |
$10,592 |
$962 | |
| Shoulder replacement |
$1,519 |
$6,078 |
$18,352 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$127 |
$509 |
$352 |
$114 | |
| Simple wound stitches |
$132 |
$529 |
$352 |
$127 | |
| Skin tag removal |
$976 |
$3,904 |
$352 |
$92 | |
| Sleep study (polysomnography) |
$735 |
$2,939 |
$1,293 |
$691 | |
| Soft tissue ultrasound |
$162 |
$648 |
$121 |
$64 | |
| Spinal tap (lumbar puncture) |
$173 |
$692 |
$1,053 |
$165 | |
| Spirometry (lung function test) |
$63 |
$253 |
$202 |
$30 | |
| Spirometry with bronchodilator |
$173 |
$693 |
$388 |
$43 | |
| Strep throat test |
$21 |
$82 |
$21 |
$17 | |
| T3 thyroid test |
$19 |
$75 |
$23 |
$14 | |
| Tdap (tetanus) vaccine |
$35 |
$138 |
$42 |
— | |
| Testosterone test |
$25 |
$99 |
$42 |
$26 | |
| Thyroid test (TSH) |
$58 |
$231 |
$28 |
$17 | |
| Thyroid ultrasound |
$143 |
$572 |
$121 |
$109 | |
| Total IgE allergy test |
$21 |
$85 |
$27 |
$16 | |
| Total protein test |
$13 |
$52 |
$6 |
$4 | |
| Transvaginal ultrasound |
$157 |
$629 |
$121 |
$118 | |
| Trigger finger release |
$874 |
$3,495 |
$2,327 |
$630 | |
| Trigger point injection |
$77 |
$308 |
$451 |
$56 | |
| Trigger point injection (1-2 muscles) |
$77 |
$308 |
$451 |
$52 | |
| Triglycerides test |
$8 |
$30 |
$9 |
$6 | |
| Troponin (heart) test |
$47 |
$188 |
$20 |
$12 | |
| Ulnar nerve surgery (elbow) |
$807 |
$3,226 |
$2,916 |
$575 | |
| Upper GI endoscopy (EGD) |
$652 |
$2,609 |
$1,339 |
$371 | |
| Upper GI series (barium) |
$94 |
$374 |
$196 |
$128 | |
| Uric acid (gout) test |
$6 |
$24 |
$7 |
$5 | |
| Urinalysis |
$12 |
$49 |
$5 |
$3 | |
| Urine microalbumin test |
$7 |
$29 |
$9 |
$5 | |
| Urine pregnancy test |
$22 |
$87 |
$13 |
$9 | |
| Vaccine administration |
$21 |
$82 |
$94 |
$19 | |
| Vitamin B12 test |
$20 |
$80 |
$25 |
$15 | |
| Vitamin D test |
$39 |
$156 |
$49 |
$30 | |
| Wound debridement |
$606 |
$2,425 |
$942 |
$186 | |
| Wrist fracture repair |
$1,829 |
$7,315 |
$10,730 |
$735 | |
| X-ray of the abdomen |
$43 |
$171 |
$119 |
$36 | |
| X-ray of the ankle |
$92 |
$368 |
$86 |
$37 | |
| X-ray of the collarbone |
$44 |
$176 |
$86 |
$33 | |
| X-ray of the elbow |
$60 |
$241 |
$86 |
$33 | |
| X-ray of the facial bones |
$69 |
$278 |
$121 |
$39 | |
| X-ray of the foot |
$92 |
$368 |
$86 |
$34 | |
| X-ray of the forearm |
$64 |
$257 |
$86 |
$29 | |
| X-ray of the hand |
$59 |
$234 |
$86 |
$38 | |
| X-ray of the hip |
$42 |
$168 |
$86 |
$49 | |
| X-ray of the hip (3 views) |
$42 |
$168 |
$86 |
$49 | |
| X-ray of the knee |
$86 |
$342 |
$104 |
$42 | |
| X-ray of the knee (2 views) |
$74 |
$296 |
$86 |
$34 | |
| X-ray of the knee (3 views) |
$86 |
$342 |
$86 |
$42 | |
| X-ray of the knee (4+ views) |
$115 |
$461 |
$121 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$94 |
$375 |
$121 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$91 |
$363 |
$121 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$97 |
$388 |
$121 |
$53 | |
| X-ray of the lower leg |
$81 |
$325 |
$86 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$68 |
$274 |
$121 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$66 |
$262 |
$121 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$71 |
$285 |
$121 |
$39 | |
| X-ray of the neck (cervical spine) |
$75 |
$300 |
$119 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$71 |
$285 |
$86 |
$40 | |
| X-ray of the pelvis |
$74 |
$295 |
$121 |
$36 | |
| X-ray of the pelvis (1 view) |
$59 |
$235 |
$121 |
$28 | |
| X-ray of the ribs |
$68 |
$274 |
$121 |
$42 | |
| X-ray of the ribs (2 views) |
$63 |
$254 |
$86 |
$36 | |
| X-ray of the ribs (3 views) |
$68 |
$274 |
$121 |
$42 | |
| X-ray of the shoulder |
$49 |
$197 |
$86 |
$36 | |
| X-ray of the skull |
$99 |
$396 |
$121 |
$40 | |
| X-ray of the upper arm |
$60 |
$240 |
$86 |
$32 | |
| X-ray of the wrist |
$57 |
$227 |
$86 |
$43 | |
| YAG laser capsulotomy (eye) |
$308 |
$1,230 |
$856 |
$335 | |
| Zinc blood test |
$15 |
$59 |
$19 |
$11 | |