| Abdominal ultrasound |
$224 |
$280 |
$277 |
$100 | |
| Abdominal ultrasound (complete) |
$525 |
$656 |
$646 |
$114 | |
| Abdominal ultrasound (limited) |
$224 |
$280 |
$276 |
$86 | |
| Abscess drainage (complex or multiple) |
$336 |
$420 |
$414 |
$220 | |
| Abscess drainage (simple) |
$186 |
$233 |
$230 |
$129 | |
| Abscess incision and drainage |
$186 |
$233 |
$233 |
$174 | |
| Albumin blood test |
$27 |
$34 |
$34 |
$5 | |
| Aldosterone test |
$182 |
$227 |
$224 |
$41 | |
| Alkaline phosphatase test |
$29 |
$36 |
$36 |
$5 | |
| Allergy shots |
$36 |
$45 |
$45 |
$11 | |
| Alpha-fetoprotein (AFP) test |
$115 |
$144 |
$142 |
$17 | |
| ALT liver enzyme test |
$34 |
$42 |
$42 |
$5 | |
| Ammonia blood test |
$86 |
$107 |
$106 |
$15 | |
| Amylase test |
$44 |
$55 |
$54 |
$6 | |
| Annual physical (established patient) |
$211 |
$264 |
$262 |
— | |
| Annual physical (new patient) |
$243 |
$304 |
$300 |
— | |
| Anoscopy |
$132 |
$165 |
$163 |
$129 | |
| Antinuclear antibody (ANA) test |
$63 |
$78 |
$77 |
$12 | |
| Arterial blood gas (ABG) |
$101 |
$126 |
$124 |
$26 | |
| AST liver enzyme test |
$34 |
$42 |
$42 |
$5 | |
| Basic metabolic panel |
$75 |
$94 |
$93 |
$8 | |
| Benign skin lesion removal |
$254 |
$317 |
$313 |
$171 | |
| Bilirubin blood test |
$27 |
$34 |
$34 |
$5 | |
| Bladder scope (cystoscopy) |
$315 |
$394 |
$388 |
$216 | |
| Blood clotting test (PT/INR) |
$33 |
$41 |
$41 |
$4 | |
| Blood crossmatch |
$112 |
$140 |
$138 |
— | |
| Blood glucose test |
$34 |
$42 |
$42 |
$5 | |
| Blood type and screen |
$66 |
$83 |
$82 |
$10 | |
| Blood type test |
$35 |
$44 |
$44 |
$3 | |
| Blood type test (ABO group) |
$35 |
$44 |
$44 |
$3 | |
| Blood type test (Rh/D antigen) |
$35 |
$44 |
$44 |
$3 | |
| BNP (heart failure) test |
$190 |
$238 |
$235 |
$39 | |
| Bone density scan (DEXA) |
$212 |
$265 |
$261 |
$39 | |
| Bone marrow biopsy |
$242 |
$303 |
$299 |
$172 | |
| Breast ultrasound |
$230 |
$287 |
$281 |
$92 | |
| Breast ultrasound (complete) |
$230 |
$287 |
$280 |
$100 | |
| Breast ultrasound (limited) |
$231 |
$289 |
$282 |
$84 | |
| Breathing tube insertion (intubation) |
$694 |
$868 |
$855 |
$133 | |
| Burn dressing and debridement (small) |
$138 |
$173 |
$171 |
$93 | |
| Burn treatment |
$138 |
$173 |
$171 |
$129 | |
| C-reactive protein (CRP) |
$60 |
$75 |
$74 |
$5 | |
| CA 19-9 tumor marker test |
$143 |
$179 |
$176 |
$21 | |
| CA-125 ovarian marker test |
$153 |
$191 |
$188 |
$21 | |
| Calcium blood test |
$38 |
$48 |
$48 |
$5 | |
| Cardioversion |
$230 |
$288 |
$284 |
$155 | |
| CEA tumor marker test |
$163 |
$204 |
$201 |
$19 | |
| Celiac disease test |
$95 |
$118 |
$117 |
$12 | |
| Chalazion (eyelid cyst) removal |
$185 |
$231 |
$228 |
$131 | |
| Chest tube insertion |
$1,489 |
$1,861 |
$1,833 |
$143 | |
| Chest X-ray |
$147 |
$184 |
$181 |
$37 | |
| Chest X-ray (1 view) |
$187 |
$234 |
$230 |
$25 | |
| Chest X-ray (2 views) |
$147 |
$184 |
$181 |
$33 | |
| Chiropractic adjustment |
$54 |
$68 |
$67 |
$38 | |
| CK-MB heart enzyme test |
$86 |
$108 |
$107 |
$12 | |
| Clotting time test (PTT) |
$44 |
$55 |
$54 |
$6 | |
| Complete blood count (CBC) |
$34 |
$43 |
$42 |
$7 | |
| Complete blood count (CBC) (complete) |
$30 |
$37 |
$37 |
$8 | |
| Comprehensive metabolic panel |
$62 |
$77 |
$76 |
$11 | |
| Copper blood test |
$45 |
$56 |
$55 |
$12 | |
| Cortisol test |
$118 |
$147 |
$145 |
$16 | |
| COVID-19 PCR test |
$126 |
$158 |
$155 |
$51 | |
| Creatine kinase (CK) test |
$42 |
$53 |
$52 |
$7 | |
| D-dimer test |
$191 |
$239 |
$236 |
$10 | |
| Developmental screening (child) |
$42 |
$53 |
$52 |
— | |
| DHEA-sulfate test |
$166 |
$208 |
$205 |
$22 | |
| Drug screen (urine) |
$58 |
$73 |
$72 |
$17 | |
| Ear pressure test (tympanometry) |
$43 |
$54 |
$53 |
$16 | |
| EKG / ECG (tracing only) |
$146 |
$182 |
$179 |
$7 | |
| Electrocardiogram (EKG) |
$85 |
$106 |
$103 |
$8 | |
| Electrolyte panel |
$62 |
$78 |
$77 |
$7 | |
| Emergency department visit |
$318 |
$398 |
$392 |
$69 | |
| Emergency department visit (level 1) |
$157 |
$196 |
$193 |
$11 | |
| Emergency department visit (level 2) |
$210 |
$263 |
$259 |
$40 | |
| Emergency department visit (level 3) |
$318 |
$398 |
$392 |
$69 | |
| Emergency department visit (level 4) |
$482 |
$603 |
$594 |
$118 | |
| Emergency department visit (level 5) |
$699 |
$874 |
$861 |
$171 | |
| Endometrial biopsy |
$190 |
$238 |
$235 |
$98 | |
| Estradiol (estrogen) test |
$151 |
$189 |
$186 |
$28 | |
| Family therapy session |
$126 |
$158 |
$156 |
$110 | |
| Fecal occult blood (stool) test |
$87 |
$109 |
$107 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$87 |
$109 |
$108 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$87 |
$109 |
$107 |
$16 | |
| Feeding tube (PEG) placement |
$687 |
$859 |
$846 |
$178 | |
| Ferritin (iron) test |
$56 |
$70 |
$69 |
$14 | |
| Fibrinogen test |
$69 |
$86 |
$85 |
$10 | |
| Flexible sigmoidoscopy |
$219 |
$274 |
$270 |
$323 | |
| Flu test |
$41 |
$51 |
$50 |
$17 | |
| Folate (folic acid) test |
$13 |
$16 |
$16 |
$15 | |
| Foreign body removal (skin) |
$230 |
$288 |
$284 |
$157 | |
| Free T4 thyroid test |
$73 |
$92 |
$90 |
$9 | |
| FSH hormone test |
$111 |
$139 |
$137 |
$19 | |
| Ganglion cyst removal |
$671 |
$839 |
$827 |
$321 | |
| GGT liver test |
$38 |
$47 |
$47 |
$7 | |
| Glucose tolerance test |
$27 |
$34 |
$34 |
$8 | |
| Group therapy session |
$34 |
$42 |
$42 |
$30 | |
| HDL cholesterol test |
$73 |
$91 |
$90 |
$8 | |
| Hematocrit test |
$22 |
$28 |
$28 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$67 |
$84 |
$82 |
$10 | |
| Hemorrhoid removal |
$323 |
$404 |
$398 |
$338 | |
| Hepatitis B test |
$70 |
$87 |
$86 |
$10 | |
| Hepatitis C test |
$114 |
$143 |
$141 |
$14 | |
| HIV test |
$74 |
$92 |
$91 |
$19 | |
| HIV test (antibody) |
$74 |
$92 |
$91 |
$14 | |
| Holter heart monitor |
$37 |
$46 |
$45 |
$26 | |
| Iron blood test |
$24 |
$30 |
$30 |
$6 | |
| IUD insertion |
$198 |
$248 |
$245 |
— | |
| IUD removal |
$195 |
$244 |
$241 |
$112 | |
| IV infusion therapy |
$149 |
$186 |
$183 |
$44 | |
| IV infusion therapy (each additional) |
$86 |
$107 |
$106 |
$21 | |
| IV infusion therapy (initial) |
$212 |
$265 |
$261 |
$67 | |
| Joint aspiration (small/intermediate) |
$128 |
$159 |
$158 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$130 |
$162 |
$160 |
$57 | |
| Joint aspiration or injection (small joint) |
$125 |
$156 |
$154 |
$56 | |
| Kidney ultrasound |
$386 |
$483 |
$471 |
$84 | |
| Kidney ultrasound (limited) |
$386 |
$483 |
$476 |
$61 | |
| Knee joint injection |
$155 |
$194 |
$191 |
$69 | |
| Lactate test |
$89 |
$111 |
$110 |
$12 | |
| LDH test |
$35 |
$44 |
$44 |
$6 | |
| LDL cholesterol test |
$38 |
$47 |
$47 |
$11 | |
| Leg vein ultrasound (Doppler) |
$416 |
$520 |
$513 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$405 |
$506 |
$501 |
$116 | |
| LH hormone test |
$111 |
$139 |
$137 |
$19 | |
| Lipase test |
$38 |
$48 |
$48 |
$7 | |
| Lipid (cholesterol) panel |
$136 |
$170 |
$166 |
$13 | |
| Liver function panel |
$78 |
$97 |
$96 |
$8 | |
| Lung function test (PFT) |
$84 |
$105 |
$104 |
$37 | |
| Magnesium blood test |
$39 |
$48 |
$47 |
$7 | |
| MRI of the lower back (lumbar spine) |
$2,436 |
$3,045 |
$2,958 |
$270 | |
| MRI of the wrist |
$1,499 |
$1,874 |
$1,832 |
$330 | |
| MRI of the wrist without contrast |
$1,499 |
$1,874 |
$1,832 |
$303 | |
| Nebulizer breathing treatment |
$42 |
$53 |
$52 |
$9 | |
| Occupational therapy evaluation |
$168 |
$210 |
$207 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$210 |
$263 |
$259 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$126 |
$158 |
$156 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$168 |
$210 |
$207 |
$101 | |
| Office visit (established patient) |
$160 |
$200 |
$195 |
$115 | |
| Office visit (new patient) |
$214 |
$268 |
$264 |
$177 | |
| Office visit, established patient (level 3) |
$160 |
$200 |
$196 |
$95 | |
| Office visit, established patient (level 4) |
$154 |
$192 |
$189 |
$136 | |
| Office visit, new patient (level 3) |
$190 |
$237 |
$234 |
$118 | |
| Office visit, new patient (level 4) |
$214 |
$268 |
$264 |
$177 | |
| Office visit, new patient (level 5) |
$294 |
$368 |
$363 |
$237 | |
| Pap smear (cervical screening) |
$55 |
$69 |
$68 |
$20 | |
| Parathyroid hormone (PTH) test |
$222 |
$277 |
$273 |
$41 | |
| Pelvic ultrasound |
$208 |
$260 |
$256 |
$78 | |
| Pelvic ultrasound (complete) |
$246 |
$307 |
$303 |
$105 | |
| Pelvic ultrasound (limited) |
$194 |
$243 |
$240 |
$51 | |
| Phosphorus blood test |
$25 |
$31 |
$31 |
$5 | |
| Physical therapy evaluation |
$140 |
$175 |
$172 |
$98 | |
| Physical therapy evaluation (high complexity) |
$140 |
$175 |
$173 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$142 |
$177 |
$174 |
$98 | |
| Platelet count |
$29 |
$36 |
$36 |
$4 | |
| Pregnancy blood test (hCG) |
$67 |
$84 |
$83 |
$8 | |
| Pregnancy ultrasound |
$356 |
$445 |
$439 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$356 |
$445 |
$439 |
$117 | |
| Procalcitonin test |
$221 |
$276 |
$272 |
$27 | |
| Prolactin test |
$161 |
$202 |
$199 |
$19 | |
| Prostate test (PSA) |
$79 |
$98 |
$97 |
$18 | |
| Psychiatric evaluation |
$231 |
$289 |
$286 |
$188 | |
| Psychotherapy session |
$156 |
$195 |
$192 |
$140 | |
| Rheumatoid factor test |
$52 |
$65 |
$64 |
$6 | |
| Scoliosis spine X-ray |
$230 |
$287 |
$283 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$230 |
$287 |
$283 |
$44 | |
| Screening mammogram |
$151 |
$188 |
$186 |
$126 | |
| Scrotal ultrasound |
$200 |
$250 |
$247 |
$99 | |
| Sedimentation rate (ESR) test |
$34 |
$42 |
$42 |
$3 | |
| Sex hormone binding globulin test |
$114 |
$143 |
$141 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$701 |
$876 |
$863 |
$114 | |
| Simple wound stitches |
$810 |
$1,013 |
$1,000 |
$127 | |
| Skin biopsy |
$521 |
$651 |
$635 |
$121 | |
| Skin biopsy (punch) |
$521 |
$651 |
$641 |
$121 | |
| Skin cancer lesion removal |
$358 |
$447 |
$442 |
$240 | |
| Skin graft |
$1,549 |
$1,936 |
$1,907 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$69 |
$86 |
$84 |
$36 | |
| Skin tag removal |
$131 |
$164 |
$162 |
$92 | |
| Soft tissue ultrasound |
$123 |
$154 |
$152 |
$64 | |
| Speech therapy |
$126 |
$158 |
$156 |
$76 | |
| Spirometry (lung function test) |
$84 |
$105 |
$104 |
$30 | |
| Strep throat test |
$38 |
$48 |
$48 |
$17 | |
| Swallow study |
$210 |
$263 |
$259 |
$85 | |
| T3 thyroid test |
$106 |
$132 |
$130 |
$14 | |
| Testosterone test |
$153 |
$191 |
$188 |
$26 | |
| Thyroid test (TSH) |
$94 |
$118 |
$117 |
$17 | |
| Thyroid ultrasound |
$250 |
$312 |
$308 |
$109 | |
| Total IgE allergy test |
$63 |
$79 |
$78 |
$16 | |
| Total protein test |
$28 |
$35 |
$35 |
$4 | |
| Trigger point injection |
$395 |
$493 |
$482 |
$56 | |
| Trigger point injection (1-2 muscles) |
$132 |
$165 |
$163 |
$52 | |
| Triglycerides test |
$73 |
$91 |
$90 |
$6 | |
| Troponin (heart) test |
$190 |
$238 |
$235 |
$12 | |
| Upper GI endoscopy (EGD) |
$668 |
$835 |
$820 |
$371 | |
| Uric acid (gout) test |
$30 |
$38 |
$38 |
$5 | |
| Urinalysis |
$38 |
$47 |
$47 |
$3 | |
| Urine microalbumin test |
$53 |
$66 |
$65 |
$5 | |
| Urine pregnancy test |
$27 |
$34 |
$34 |
$9 | |
| Vaccine administration (each additional) |
$5 |
$6 |
$6 |
$16 | |
| Vitamin B12 test |
$83 |
$103 |
$102 |
$15 | |
| Vitamin D test |
$121 |
$151 |
$147 |
$30 | |
| Wart removal |
$166 |
$207 |
$204 |
$121 | |
| Well-child visit |
$177 |
$221 |
$216 |
— | |
| Wound debridement |
$262 |
$327 |
$322 |
$186 | |
| X-ray of the abdomen |
$150 |
$188 |
$185 |
$36 | |
| X-ray of the ankle |
$118 |
$147 |
$145 |
$37 | |
| X-ray of the collarbone |
$116 |
$145 |
$143 |
$33 | |
| X-ray of the elbow |
$126 |
$158 |
$156 |
$33 | |
| X-ray of the facial bones |
$150 |
$187 |
$185 |
$39 | |
| X-ray of the foot |
$116 |
$145 |
$143 |
$34 | |
| X-ray of the forearm |
$112 |
$140 |
$138 |
$29 | |
| X-ray of the hand |
$119 |
$149 |
$147 |
$38 | |
| X-ray of the hip |
$106 |
$132 |
$130 |
$49 | |
| X-ray of the hip (1 view) |
$139 |
$174 |
$172 |
$34 | |
| X-ray of the hip (3 views) |
$72 |
$90 |
$89 |
$49 | |
| X-ray of the knee |
$101 |
$126 |
$124 |
$42 | |
| X-ray of the knee (2 views) |
$76 |
$95 |
$94 |
$34 | |
| X-ray of the knee (3 views) |
$101 |
$126 |
$124 |
$42 | |
| X-ray of the knee (4+ views) |
$150 |
$188 |
$185 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$176 |
$220 |
$217 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$143 |
$179 |
$176 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$208 |
$260 |
$256 |
$53 | |
| X-ray of the lower leg |
$110 |
$137 |
$135 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$195 |
$244 |
$240 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$134 |
$167 |
$165 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$256 |
$320 |
$316 |
$39 | |
| X-ray of the neck (cervical spine) |
$167 |
$209 |
$207 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$139 |
$174 |
$172 |
$40 | |
| X-ray of the pelvis |
$147 |
$184 |
$181 |
$36 | |
| X-ray of the pelvis (1 view) |
$114 |
$143 |
$141 |
$28 | |
| X-ray of the ribs |
$154 |
$192 |
$190 |
$42 | |
| X-ray of the ribs (2 views) |
$142 |
$177 |
$173 |
$36 | |
| X-ray of the ribs (3 views) |
$166 |
$207 |
$204 |
$42 | |
| X-ray of the shoulder |
$136 |
$170 |
$168 |
$36 | |
| X-ray of the skull |
$181 |
$226 |
$223 |
$40 | |
| X-ray of the upper arm |
$125 |
$156 |
$154 |
$32 | |
| X-ray of the wrist |
$121 |
$151 |
$149 |
$43 | |
| Zinc blood test |
$58 |
$73 |
$72 |
$11 | |