| Abdominal fluid drain (paracentesis) |
— |
— |
$1,331 |
$284 | |
| Abdominal ultrasound |
— |
— |
$1,003 |
$100 | |
| Abdominal ultrasound (complete) |
— |
— |
$1,065 |
$114 | |
| Abdominal ultrasound (limited) |
— |
— |
$916 |
$86 | |
| Abscess drainage (complex or multiple) |
— |
— |
$552 |
$220 | |
| Abscess drainage (simple) |
— |
— |
$381 |
$129 | |
| Abscess incision and drainage |
— |
— |
$471 |
$174 | |
| Albumin blood test |
— |
— |
$57 |
$5 | |
| Aldosterone test |
— |
— |
$323 |
$41 | |
| Allergy shots |
— |
— |
$41 |
$11 | |
| Alpha-fetoprotein (AFP) test |
— |
— |
$143 |
$17 | |
| ALT liver enzyme test |
— |
— |
$66 |
$5 | |
| Ammonia blood test |
— |
— |
$219 |
$15 | |
| Amylase test |
— |
— |
$85 |
$6 | |
| Antinuclear antibody (ANA) test |
— |
— |
$119 |
$12 | |
| Arterial blood gas (ABG) |
— |
— |
$303 |
$26 | |
| AST liver enzyme test |
— |
— |
$58 |
$5 | |
| Bartholin cyst removal |
— |
— |
$520 |
$182 | |
| Basic metabolic panel |
— |
— |
$149 |
$8 | |
| Benign skin lesion removal |
— |
— |
$577 |
$171 | |
| Bilirubin blood test |
— |
— |
$64 |
$5 | |
| Blood clotting test (PT/INR) |
— |
— |
$62 |
$4 | |
| Blood glucose test |
— |
— |
$64 |
$5 | |
| Blood transfusion |
— |
— |
$1,061 |
$47 | |
| Blood type and screen |
— |
— |
$109 |
$10 | |
| Blood type test |
— |
— |
$57 |
$3 | |
| Blood type test (ABO group) |
— |
— |
$57 |
$3 | |
| Blood type test (Rh/D antigen) |
— |
— |
$57 |
$3 | |
| BNP (heart failure) test |
— |
— |
$308 |
$39 | |
| Breathing tube insertion (intubation) |
— |
— |
$680 |
$133 | |
| Burn dressing and debridement (medium) |
— |
— |
$445 |
$166 | |
| Burn dressing and debridement (small) |
— |
— |
$276 |
$93 | |
| Burn treatment |
— |
— |
$363 |
$129 | |
| C-reactive protein (CRP) |
— |
— |
$77 |
$5 | |
| CA 19-9 tumor marker test |
— |
— |
$221 |
$21 | |
| CA-125 ovarian marker test |
— |
— |
$221 |
$21 | |
| Calcium blood test |
— |
— |
$59 |
$5 | |
| Cardiac event monitor |
— |
— |
$636 |
$170 | |
| Cardiac stress test |
— |
— |
$462 |
$39 | |
| Cardioversion |
— |
— |
$779 |
$155 | |
| Carotid artery ultrasound |
— |
— |
$1,039 |
$156 | |
| CEA tumor marker test |
— |
— |
$169 |
$19 | |
| Chemotherapy infusion |
— |
— |
$365 |
$81 | |
| Chemotherapy infusion (each additional) |
— |
— |
$201 |
$28 | |
| Chemotherapy infusion (first hour) |
— |
— |
$530 |
$133 | |
| Chest fluid drain (thoracentesis) |
— |
— |
$861 |
$311 | |
| Chest tube insertion |
— |
— |
$723 |
$143 | |
| Chest X-ray |
— |
— |
$387 |
$37 | |
| Chest X-ray (1 view) |
— |
— |
$260 |
$25 | |
| Chest X-ray (2 views) |
— |
— |
$337 |
$33 | |
| CK-MB heart enzyme test |
— |
— |
$157 |
$12 | |
| Clotting time test (PTT) |
— |
— |
$90 |
$6 | |
| Colposcopy |
— |
— |
$464 |
$161 | |
| Complete blood count (CBC) |
— |
— |
$110 |
$7 | |
| Complete blood count (CBC) (complete) |
— |
— |
$119 |
$8 | |
| Complex wound repair |
— |
— |
$1,031 |
$390 | |
| Comprehensive metabolic panel |
— |
— |
$164 |
$11 | |
| Copper blood test |
— |
— |
$177 |
$12 | |
| Cortisol test |
— |
— |
$185 |
$16 | |
| COVID-19 PCR test |
— |
— |
$219 |
$51 | |
| CPAP titration study |
— |
— |
$603 |
$69 | |
| Creatine kinase (CK) test |
— |
— |
$92 |
$7 | |
| CT angiography of the chest |
— |
— |
$3,734 |
$281 | |
| CT angiography of the head |
— |
— |
$3,696 |
$274 | |
| CT scan of the abdomen |
— |
— |
$2,805 |
$230 | |
| CT scan of the abdomen and pelvis |
— |
— |
$3,580 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
— |
— |
$4,273 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
— |
— |
$3,580 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
— |
— |
$3,156 |
$183 | |
| CT scan of the abdomen with and without contrast |
— |
— |
$3,314 |
$259 | |
| CT scan of the abdomen with contrast |
— |
— |
$2,805 |
$230 | |
| CT scan of the abdomen without contrast |
— |
— |
$2,253 |
$136 | |
| CT scan of the arm |
— |
— |
$3,142 |
$199 | |
| CT scan of the arm with contrast |
— |
— |
$3,142 |
$199 | |
| CT scan of the arm without contrast |
— |
— |
$2,303 |
$161 | |
| CT scan of the chest |
— |
— |
$2,797 |
$167 | |
| CT scan of the chest with and without contrast |
— |
— |
$3,099 |
$196 | |
| CT scan of the chest with contrast |
— |
— |
$2,797 |
$167 | |
| CT scan of the chest without contrast |
— |
— |
$2,508 |
$133 | |
| CT scan of the head |
— |
— |
$2,469 |
$148 | |
| CT scan of the head with and without contrast |
— |
— |
$2,969 |
$173 | |
| CT scan of the head with contrast |
— |
— |
$2,469 |
$148 | |
| CT scan of the head without contrast |
— |
— |
$1,806 |
$107 | |
| CT scan of the leg |
— |
— |
$3,233 |
$166 | |
| CT scan of the leg with contrast |
— |
— |
$3,233 |
$166 | |
| CT scan of the leg without contrast |
— |
— |
$2,423 |
$130 | |
| CT scan of the lower back (lumbar spine) |
— |
— |
$2,934 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
— |
— |
$3,042 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
— |
— |
$2,934 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
— |
— |
$2,792 |
$130 | |
| CT scan of the neck |
— |
— |
$3,291 |
$183 | |
| CT scan of the neck (cervical spine) |
— |
— |
$3,291 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
— |
— |
$3,753 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
— |
— |
$3,291 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
— |
— |
$2,598 |
$131 | |
| CT scan of the neck with and without contrast |
— |
— |
$3,350 |
$220 | |
| CT scan of the neck with contrast |
— |
— |
$3,291 |
$183 | |
| CT scan of the neck without contrast |
— |
— |
$2,990 |
$150 | |
| CT scan of the pelvis |
— |
— |
$3,448 |
$226 | |
| CT scan of the pelvis with and without contrast |
— |
— |
$4,038 |
$251 | |
| CT scan of the pelvis with contrast |
— |
— |
$3,448 |
$226 | |
| CT scan of the pelvis without contrast |
— |
— |
$2,203 |
$133 | |
| CT scan of the sinuses |
— |
— |
$2,202 |
$152 | |
| CT scan of the sinuses with and without contrast |
— |
— |
$2,657 |
$184 | |
| CT scan of the sinuses with contrast |
— |
— |
$2,096 |
$152 | |
| CT scan of the sinuses without contrast |
— |
— |
$2,202 |
$128 | |
| D-dimer test |
— |
— |
$212 |
$10 | |
| DHEA-sulfate test |
— |
— |
$195 |
$22 | |
| Drug screen (urine) |
— |
— |
$286 |
$17 | |
| EKG / ECG (tracing only) |
— |
— |
$185 |
$7 | |
| Electrocardiogram (EKG) |
— |
— |
$185 |
$8 | |
| Electrolyte panel |
— |
— |
$91 |
$7 | |
| Emergency department visit |
— |
— |
$550 |
$69 | |
| Emergency department visit (level 1) |
— |
— |
$208 |
$11 | |
| Emergency department visit (level 2) |
— |
— |
$341 |
$40 | |
| Emergency department visit (level 3) |
— |
— |
$550 |
$69 | |
| Emergency department visit (level 4) |
— |
— |
$849 |
$118 | |
| Emergency department visit (level 5) |
— |
— |
$1,248 |
$171 | |
| Estradiol (estrogen) test |
— |
— |
$349 |
$28 | |
| Fecal occult blood (stool) test |
— |
— |
$44 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
— |
— |
$44 |
$4 | |
| Ferritin (iron) test |
— |
— |
$135 |
$14 | |
| Fibrinogen test |
— |
— |
$135 |
$10 | |
| Flu test |
— |
— |
$114 |
$17 | |
| Folate (folic acid) test |
— |
— |
$139 |
$15 | |
| Foreign body removal (skin) |
— |
— |
$305 |
$157 | |
| Free T4 thyroid test |
— |
— |
$134 |
$9 | |
| FSH hormone test |
— |
— |
$219 |
$19 | |
| GGT liver test |
— |
— |
$92 |
$7 | |
| Glucose tolerance test |
— |
— |
$104 |
$8 | |
| H. pylori test |
— |
— |
$525 |
$67 | |
| HDL cholesterol test |
— |
— |
$110 |
$8 | |
| Hematocrit test |
— |
— |
$37 |
$2 | |
| Hemoglobin A1c (diabetes test) |
— |
— |
$99 |
$10 | |
| Hepatitis A vaccine |
— |
— |
$89 |
— | |
| Hepatitis B test |
— |
— |
$121 |
$10 | |
| Hepatitis B vaccine |
— |
— |
$98 |
— | |
| Hepatitis C test |
— |
— |
$126 |
$14 | |
| HIV test |
— |
— |
$190 |
$19 | |
| HIV test (antibody) |
— |
— |
$130 |
$14 | |
| HIV test (antigen/antibody combo) |
— |
— |
$248 |
$24 | |
| Holter heart monitor |
— |
— |
$346 |
$26 | |
| HPV vaccine |
— |
— |
$517 |
— | |
| Iron blood test |
— |
— |
$100 |
$6 | |
| IUD removal |
— |
— |
$249 |
$112 | |
| IV infusion therapy |
— |
— |
$326 |
$44 | |
| IV infusion therapy (each additional) |
— |
— |
$158 |
$21 | |
| IV infusion therapy (initial) |
— |
— |
$497 |
$67 | |
| Joint aspiration (small/intermediate) |
— |
— |
$250 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
— |
— |
$255 |
$57 | |
| Joint aspiration or injection (small joint) |
— |
— |
$237 |
$56 | |
| Kidney ultrasound |
— |
— |
$864 |
$84 | |
| Kidney ultrasound (limited) |
— |
— |
$782 |
$61 | |
| Knee joint injection |
— |
— |
$277 |
$69 | |
| Lactate test |
— |
— |
$111 |
$12 | |
| LDH test |
— |
— |
$85 |
$6 | |
| LDL cholesterol test |
— |
— |
$81 |
$11 | |
| Leg vein ultrasound (Doppler) |
— |
— |
$1,010 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
— |
— |
$759 |
$116 | |
| LH hormone test |
— |
— |
$229 |
$19 | |
| Lipase test |
— |
— |
$92 |
$7 | |
| Lipid (cholesterol) panel |
— |
— |
$154 |
$13 | |
| Liver function panel |
— |
— |
$111 |
$8 | |
| Lung function test (PFT) |
— |
— |
$238 |
$37 | |
| Magnesium blood test |
— |
— |
$96 |
$7 | |
| MMR vaccine |
— |
— |
$187 |
— | |
| MRA of the brain |
— |
— |
$2,954 |
$226 | |
| MRA of the brain with contrast |
— |
— |
$2,933 |
$226 | |
| MRA of the neck |
— |
— |
$3,133 |
$245 | |
| MRA of the neck with contrast |
— |
— |
$3,133 |
$245 | |
| MRA of the neck without contrast |
— |
— |
$3,491 |
$343 | |
| MRI of the abdomen |
— |
— |
$2,918 |
$300 | |
| MRI of the abdomen with contrast |
— |
— |
$2,918 |
$300 | |
| MRI of the abdomen without contrast |
— |
— |
$2,841 |
$194 | |
| MRI of the ankle |
— |
— |
$2,789 |
$261 | |
| MRI of the ankle with contrast |
— |
— |
$2,595 |
$261 | |
| MRI of the ankle without contrast |
— |
— |
$2,789 |
$222 | |
| MRI of the brain |
— |
— |
$3,397 |
$269 | |
| MRI of the brain with contrast |
— |
— |
$3,397 |
$269 | |
| MRI of the brain without contrast |
— |
— |
$3,197 |
$195 | |
| MRI of the chest |
— |
— |
$3,453 |
$371 | |
| MRI of the chest with contrast |
— |
— |
$3,453 |
$371 | |
| MRI of the chest without contrast |
— |
— |
$4,344 |
$466 | |
| MRI of the knee |
— |
— |
$3,251 |
$315 | |
| MRI of the knee without contrast |
— |
— |
$2,873 |
$204 | |
| MRI of the lower back (lumbar spine) |
— |
— |
$2,901 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
— |
— |
$2,901 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
— |
— |
$2,724 |
$192 | |
| MRI of the mid-back (thoracic spine) |
— |
— |
$2,886 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
— |
— |
$3,484 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
— |
— |
$2,886 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
— |
— |
$2,759 |
$190 | |
| MRI of the neck (cervical spine) |
— |
— |
$3,050 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
— |
— |
$3,733 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
— |
— |
$3,050 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
— |
— |
$2,759 |
$191 | |
| MRI of the pelvis |
— |
— |
$3,086 |
$268 | |
| MRI of the pelvis with contrast |
— |
— |
$3,119 |
$268 | |
| MRI of the pelvis without contrast |
— |
— |
$3,030 |
$227 | |
| MRI of the shoulder |
— |
— |
$2,839 |
$313 | |
| MRI of the shoulder without contrast |
— |
— |
$2,589 |
$205 | |
| MRI of the wrist |
— |
— |
$3,088 |
$330 | |
| MRI of the wrist without contrast |
— |
— |
$2,695 |
$303 | |
| Nebulizer breathing treatment |
— |
— |
$221 |
$9 | |
| Parathyroid hormone (PTH) test |
— |
— |
$457 |
$41 | |
| Pelvic ultrasound |
— |
— |
$774 |
$78 | |
| Pelvic ultrasound (complete) |
— |
— |
$956 |
$105 | |
| Pelvic ultrasound (limited) |
— |
— |
$581 |
$51 | |
| Phosphorus blood test |
— |
— |
$57 |
$5 | |
| Physical therapy evaluation |
— |
— |
$264 |
$98 | |
| Physical therapy evaluation (high complexity) |
— |
— |
$304 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
— |
— |
$264 |
$98 | |
| Platelet count |
— |
— |
$57 |
$4 | |
| Pneumonia vaccine |
— |
— |
$146 |
— | |
| Pregnancy blood test (hCG) |
— |
— |
$121 |
$8 | |
| Pregnancy ultrasound |
— |
— |
$908 |
$126 | |
| Pregnancy ultrasound (first trimester) |
— |
— |
$826 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
— |
— |
$967 |
$136 | |
| Procalcitonin test |
— |
— |
$186 |
$27 | |
| Prolactin test |
— |
— |
$251 |
$19 | |
| Prostate test (PSA) |
— |
— |
$169 |
$18 | |
| Rheumatoid factor test |
— |
— |
$66 |
$6 | |
| Routine eye exam |
— |
— |
$291 |
$88 | |
| Scoliosis spine X-ray |
— |
— |
$554 |
$58 | |
| Scoliosis spine X-ray (1 view) |
— |
— |
$421 |
$44 | |
| Scoliosis spine X-ray (3 views) |
— |
— |
$678 |
$72 | |
| Scrotal ultrasound |
— |
— |
$876 |
$99 | |
| Sedimentation rate (ESR) test |
— |
— |
$74 |
$3 | |
| Sex hormone binding globulin test |
— |
— |
$208 |
$22 | |
| Shingles vaccine |
— |
— |
$308 |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
— |
— |
$329 |
$114 | |
| Simple wound stitches |
— |
— |
$322 |
$127 | |
| Skin tag removal |
— |
— |
$202 |
$92 | |
| Soft tissue ultrasound |
— |
— |
$394 |
$64 | |
| Spinal tap (lumbar puncture) |
— |
— |
$449 |
$165 | |
| Spirometry (lung function test) |
— |
— |
$104 |
$30 | |
| Spirometry with bronchodilator |
— |
— |
$300 |
$43 | |
| Strep throat test |
— |
— |
$84 |
$17 | |
| T3 thyroid test |
— |
— |
$136 |
$14 | |
| Tdap (tetanus) vaccine |
— |
— |
$117 |
— | |
| Testosterone test |
— |
— |
$233 |
$26 | |
| Thyroid test (TSH) |
— |
— |
$177 |
$17 | |
| Thyroid ultrasound |
— |
— |
$812 |
$109 | |
| Total IgE allergy test |
— |
— |
$169 |
$16 | |
| Total protein test |
— |
— |
$59 |
$4 | |
| Tracheostomy |
— |
— |
$2,304 |
$273 | |
| Transvaginal ultrasound |
— |
— |
$839 |
$118 | |
| Trigger point injection |
— |
— |
$194 |
$56 | |
| Trigger point injection (1-2 muscles) |
— |
— |
$194 |
$52 | |
| Triglycerides test |
— |
— |
$68 |
$6 | |
| Troponin (heart) test |
— |
— |
$155 |
$12 | |
| Uric acid (gout) test |
— |
— |
$66 |
$5 | |
| Urinalysis |
— |
— |
$37 |
$3 | |
| Urine microalbumin test |
— |
— |
$81 |
$5 | |
| Urine pregnancy test |
— |
— |
$40 |
$9 | |
| Vaccine administration |
— |
— |
$63 |
$19 | |
| Vaccine administration (each additional) |
— |
— |
$40 |
$16 | |
| Vitamin B12 test |
— |
— |
$208 |
$15 | |
| Vitamin D test |
— |
— |
$405 |
$30 | |
| Wart removal |
— |
— |
$237 |
$121 | |
| Wound debridement |
— |
— |
$661 |
$186 | |
| X-ray of the abdomen |
— |
— |
$432 |
$36 | |
| X-ray of the ankle |
— |
— |
$374 |
$37 | |
| X-ray of the collarbone |
— |
— |
$323 |
$33 | |
| X-ray of the elbow |
— |
— |
$374 |
$33 | |
| X-ray of the facial bones |
— |
— |
$409 |
$39 | |
| X-ray of the foot |
— |
— |
$350 |
$34 | |
| X-ray of the forearm |
— |
— |
$312 |
$29 | |
| X-ray of the hand |
— |
— |
$366 |
$38 | |
| X-ray of the hip |
— |
— |
$440 |
$49 | |
| X-ray of the hip (1 view) |
— |
— |
$304 |
$34 | |
| X-ray of the hip (3 views) |
— |
— |
$440 |
$49 | |
| X-ray of the hip (4 views) |
— |
— |
$561 |
$63 | |
| X-ray of the knee |
— |
— |
$417 |
$42 | |
| X-ray of the knee (2 views) |
— |
— |
$343 |
$34 | |
| X-ray of the knee (3 views) |
— |
— |
$456 |
$42 | |
| X-ray of the lower back (lumbar spine) |
— |
— |
$549 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
— |
— |
$549 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
— |
— |
$549 |
$53 | |
| X-ray of the lower leg |
— |
— |
$307 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
— |
— |
$373 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
— |
— |
$225 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
— |
— |
$416 |
$39 | |
| X-ray of the neck (cervical spine) |
— |
— |
$475 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
— |
— |
$401 |
$40 | |
| X-ray of the pelvis |
— |
— |
$368 |
$36 | |
| X-ray of the pelvis (1 view) |
— |
— |
$323 |
$28 | |
| X-ray of the ribs |
— |
— |
$442 |
$42 | |
| X-ray of the ribs (2 views) |
— |
— |
$365 |
$36 | |
| X-ray of the ribs (3 views) |
— |
— |
$442 |
$42 | |
| X-ray of the shoulder |
— |
— |
$346 |
$36 | |
| X-ray of the skull |
— |
— |
$477 |
$40 | |
| X-ray of the upper arm |
— |
— |
$323 |
$32 | |
| X-ray of the wrist |
— |
— |
$421 |
$43 | |
| Zinc blood test |
— |
— |
$102 |
$11 | |