| 3D mammogram (tomosynthesis) |
$348 |
$348 |
$194 |
$51 | |
| Abdominal ultrasound |
$914 |
$914 |
$320 |
$100 | |
| Abdominal ultrasound (complete) |
$914 |
$914 |
$320 |
$114 | |
| Abscess drainage (simple) |
$410 |
$410 |
$258 |
$129 | |
| Abscess incision and drainage |
$410 |
$410 |
$258 |
$174 | |
| ALT liver enzyme test |
$79 |
$79 |
$73 |
$5 | |
| Ammonia blood test |
$152 |
$152 |
$103 |
$15 | |
| Antinuclear antibody (ANA) test |
$105 |
$105 |
$99 |
$12 | |
| Arterial blood gas (ABG) |
$210 |
$210 |
$137 |
$26 | |
| AST liver enzyme test |
$77 |
$77 |
$77 |
$5 | |
| Basic metabolic panel |
$106 |
$106 |
$74 |
$8 | |
| Bilirubin blood test |
$57 |
$57 |
$27 |
$5 | |
| Blood clotting test (PT/INR) |
$43 |
$43 |
$25 |
$4 | |
| Blood crossmatch |
$386 |
$386 |
$97 |
— | |
| Blood glucose test |
$44 |
$44 |
$26 |
$5 | |
| Blood transfusion |
$958 |
$958 |
$900 |
$47 | |
| Blood type and screen |
$136 |
$136 |
$105 |
$10 | |
| Blood type test |
$69 |
$69 |
$52 |
$3 | |
| Blood type test (ABO group) |
$76 |
$76 |
$52 |
$3 | |
| Blood type test (Rh/D antigen) |
$62 |
$62 |
$53 |
$3 | |
| BNP (heart failure) test |
$272 |
$272 |
$155 |
$39 | |
| Breast ultrasound |
$464 |
$464 |
$265 |
$92 | |
| Breast ultrasound (complete) |
$551 |
$551 |
$385 |
$100 | |
| Breast ultrasound (limited) |
$378 |
$378 |
$265 |
$84 | |
| Breathing tube insertion (intubation) |
$775 |
$775 |
$622 |
$133 | |
| C-reactive protein (CRP) |
$98 |
$98 |
$69 |
$5 | |
| Calcium blood test |
$53 |
$53 |
$21 |
$5 | |
| Carotid artery ultrasound |
$811 |
$811 |
$568 |
$156 | |
| Carpal tunnel release |
$1,620 |
$1,620 |
$78 |
$483 | |
| Central line placement |
$3,148 |
$3,148 |
$1,045 |
$238 | |
| Chest X-ray |
$367 |
$367 |
$248 |
$37 | |
| Chest X-ray (1 view) |
$359 |
$359 |
$248 |
$25 | |
| Chest X-ray (2 views) |
$375 |
$375 |
$246 |
$33 | |
| Clotting time test (PTT) |
$84 |
$84 |
$55 |
$6 | |
| Colonoscopy |
$1,990 |
$1,990 |
$1,293 |
$480 | |
| Complete blood count (CBC) |
$76 |
$76 |
$49 |
$7 | |
| Complete blood count (CBC) (complete) |
$77 |
$77 |
$49 |
$8 | |
| Comprehensive metabolic panel |
$212 |
$212 |
$148 |
$11 | |
| Copper blood test |
$76 |
$76 |
$51 |
$12 | |
| Cortisol test |
$238 |
$238 |
$133 |
$16 | |
| Creatine kinase (CK) test |
$85 |
$85 |
$59 |
$7 | |
| CT angiography of the chest |
$2,700 |
$2,700 |
$1,731 |
$281 | |
| CT angiography of the head |
$2,444 |
$2,444 |
$1,534 |
$274 | |
| CT scan of the abdomen |
$3,986 |
$3,986 |
$2,287 |
$230 | |
| CT scan of the abdomen and pelvis |
$3,554 |
$3,554 |
$2,278 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$4,954 |
$4,954 |
$2,190 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$3,554 |
$3,554 |
$2,310 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,627 |
$2,627 |
$1,608 |
$183 | |
| CT scan of the abdomen with and without contrast |
$3,986 |
$3,986 |
$2,287 |
$259 | |
| CT scan of the arm |
$2,550 |
$2,550 |
$1,056 |
$199 | |
| CT scan of the arm without contrast |
$2,550 |
$2,550 |
$1,056 |
$161 | |
| CT scan of the chest |
$2,075 |
$2,075 |
$1,297 |
$167 | |
| CT scan of the chest with contrast |
$2,155 |
$2,155 |
$1,445 |
$167 | |
| CT scan of the chest without contrast |
$1,996 |
$1,996 |
$1,162 |
$133 | |
| CT scan of the head |
$393 |
$393 |
$1,176 |
$148 | |
| CT scan of the head without contrast |
$393 |
$393 |
$1,176 |
$107 | |
| CT scan of the leg |
$2,088 |
$2,088 |
$1,198 |
$166 | |
| CT scan of the leg without contrast |
$2,088 |
$2,088 |
$1,198 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,091 |
$2,091 |
$1,141 |
$169 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,222 |
$2,222 |
$1,391 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,959 |
$1,959 |
$902 |
$130 | |
| CT scan of the neck |
$2,740 |
$2,740 |
$1,362 |
$183 | |
| CT scan of the neck (cervical spine) |
$2,114 |
$2,114 |
$1,170 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$2,114 |
$2,114 |
$1,170 |
$131 | |
| CT scan of the neck with contrast |
$2,740 |
$2,740 |
$1,362 |
$183 | |
| CT scan of the pelvis |
$1,896 |
$1,896 |
$1,859 |
$226 | |
| CT scan of the pelvis without contrast |
$1,896 |
$1,896 |
$1,859 |
$133 | |
| CT scan of the sinuses |
$1,588 |
$1,588 |
$1,033 |
$152 | |
| CT scan of the sinuses without contrast |
$1,588 |
$1,588 |
$1,033 |
$128 | |
| D-dimer test |
$166 |
$166 |
$107 |
$10 | |
| DHEA-sulfate test |
$335 |
$335 |
$211 |
$22 | |
| Diagnostic mammogram |
$400 |
$400 |
$283 |
$140 | |
| Drug screen (urine) |
$297 |
$297 |
$193 |
$17 | |
| Echocardiogram |
$1,188 |
$1,188 |
$1,108 |
$138 | |
| Echocardiogram with and without contrast |
$648 |
$648 |
$415 |
$101 | |
| EKG / ECG (tracing only) |
$244 |
$244 |
$171 |
$7 | |
| Electrocardiogram (EKG) |
$244 |
$244 |
$171 |
$8 | |
| Emergency department visit |
$665 |
$665 |
$611 |
$69 | |
| Emergency department visit (level 1) |
$361 |
$361 |
$173 |
$11 | |
| Emergency department visit (level 2) |
$431 |
$431 |
$356 |
$40 | |
| Emergency department visit (level 3) |
$665 |
$665 |
$515 |
$69 | |
| Emergency department visit (level 4) |
$1,091 |
$1,091 |
$846 |
$118 | |
| Emergency department visit (level 5) |
$2,084 |
$2,084 |
$1,204 |
$171 | |
| Epidural steroid injection |
$2,392 |
$2,392 |
$1,610 |
$275 | |
| Estradiol (estrogen) test |
$184 |
$184 |
$129 |
$28 | |
| Facet joint injection (spine) |
$1,944 |
$1,944 |
$1,094 |
$99 | |
| Fecal occult blood (stool) test |
$44 |
$44 |
$44 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$44 |
$44 |
$44 |
$4 | |
| Ferritin (iron) test |
$168 |
$168 |
$118 |
$14 | |
| Fibrinogen test |
$130 |
$130 |
$35 |
$10 | |
| Flu test |
$107 |
$107 |
$93 |
$17 | |
| Folate (folic acid) test |
$121 |
$121 |
$93 |
$15 | |
| Free T4 thyroid test |
$106 |
$106 |
$74 |
$9 | |
| FSH hormone test |
$126 |
$126 |
$82 |
$19 | |
| GGT liver test |
$75 |
$75 |
$29 |
$7 | |
| Glucose tolerance test |
$70 |
$70 |
$26 |
$8 | |
| Hematocrit test |
$43 |
$43 |
$26 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$109 |
$109 |
$71 |
$10 | |
| Hepatitis B test |
$122 |
$122 |
$86 |
$10 | |
| Hepatitis C test |
$150 |
$150 |
$54 |
$14 | |
| HIV test |
$108 |
$108 |
$62 |
$19 | |
| HIV test (antibody) |
$135 |
$135 |
$43 |
$14 | |
| HIV test (antigen/antibody combo) |
$81 |
$81 |
$81 |
$24 | |
| Iron blood test |
$74 |
$74 |
$26 |
$6 | |
| IV infusion therapy |
$293 |
$293 |
$287 |
$44 | |
| IV infusion therapy (each additional) |
$177 |
$177 |
$160 |
$21 | |
| IV infusion therapy (initial) |
$409 |
$409 |
$351 |
$67 | |
| Joint aspiration (small/intermediate) |
$621 |
$621 |
$38 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$621 |
$621 |
$38 |
$57 | |
| Kidney ultrasound |
$738 |
$738 |
$415 |
$84 | |
| Knee joint injection |
$702 |
$702 |
$66 |
$69 | |
| Lactate test |
$102 |
$102 |
$71 |
$12 | |
| LDH test |
$60 |
$60 |
$24 |
$6 | |
| Leg vein ultrasound (Doppler) |
$933 |
$933 |
$707 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$808 |
$808 |
$727 |
$116 | |
| LH hormone test |
$143 |
$143 |
$86 |
$19 | |
| Lipase test |
$91 |
$91 |
$63 |
$7 | |
| Lipid (cholesterol) panel |
$137 |
$137 |
$87 |
$13 | |
| Liver function panel |
$131 |
$131 |
$59 |
$8 | |
| Lung function test (PFT) |
$156 |
$156 |
$58 |
$37 | |
| Magnesium blood test |
$86 |
$86 |
$73 |
$7 | |
| MRA of the brain |
$2,427 |
$2,427 |
$1,094 |
$226 | |
| MRA of the neck |
$2,331 |
$2,331 |
$1,094 |
$245 | |
| MRI of the abdomen |
$4,382 |
$4,382 |
$1,765 |
$300 | |
| MRI of the abdomen without contrast |
$3,669 |
$3,669 |
$1,713 |
$194 | |
| MRI of the ankle |
$2,948 |
$2,948 |
$2,153 |
$261 | |
| MRI of the ankle without contrast |
$2,948 |
$2,948 |
$2,153 |
$222 | |
| MRI of the brain |
$3,564 |
$3,564 |
$2,220 |
$269 | |
| MRI of the brain without contrast |
$2,943 |
$2,943 |
$1,773 |
$195 | |
| MRI of the knee |
$2,683 |
$2,683 |
$1,878 |
$315 | |
| MRI of the knee without contrast |
$2,683 |
$2,683 |
$1,878 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,764 |
$2,764 |
$2,396 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,764 |
$2,764 |
$2,396 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$3,388 |
$3,388 |
$2,938 |
$271 | |
| MRI of the mid-back (thoracic spine) with contrast |
$3,388 |
$3,388 |
$2,938 |
$271 | |
| MRI of the neck (cervical spine) |
$4,144 |
$4,144 |
$2,071 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$5,532 |
$5,532 |
$3,277 |
$318 | |
| MRI of the neck (cervical spine) without contrast |
$2,756 |
$2,756 |
$1,799 |
$191 | |
| MRI of the pelvis |
$3,691 |
$3,691 |
$2,907 |
$268 | |
| MRI of the pelvis without contrast |
$2,591 |
$2,591 |
$2,545 |
$227 | |
| MRI of the shoulder |
$2,558 |
$2,558 |
$1,661 |
$313 | |
| MRI of the shoulder without contrast |
$2,558 |
$2,558 |
$1,661 |
$205 | |
| Nebulizer breathing treatment |
$203 |
$203 |
$117 |
$9 | |
| Office visit (established patient) |
$213 |
$213 |
$69 |
$115 | |
| Office visit (new patient) |
$312 |
$312 |
$112 |
$177 | |
| Office visit, established patient (level 3) |
$189 |
$189 |
$69 |
$95 | |
| Office visit, established patient (level 4) |
$238 |
$238 |
$101 |
$136 | |
| Office visit, new patient (level 3) |
$245 |
$245 |
$85 |
$118 | |
| Office visit, new patient (level 4) |
$378 |
$378 |
$141 |
$177 | |
| Parathyroid hormone (PTH) test |
$262 |
$262 |
$218 |
$41 | |
| Pelvic ultrasound |
$793 |
$793 |
$608 |
$78 | |
| Pelvic ultrasound (complete) |
$793 |
$793 |
$608 |
$105 | |
| Phosphorus blood test |
$62 |
$62 |
$53 |
$5 | |
| Physical therapy evaluation |
$280 |
$280 |
$210 |
$98 | |
| Pregnancy ultrasound |
$631 |
$631 |
$492 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$607 |
$607 |
$526 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$655 |
$655 |
$458 |
$136 | |
| Procalcitonin test |
$294 |
$294 |
$187 |
$27 | |
| Prolactin test |
$180 |
$180 |
$153 |
$19 | |
| Prostate test (PSA) |
$160 |
$160 |
$96 |
$18 | |
| Radiofrequency nerve ablation |
$2,214 |
$2,214 |
$3,114 |
$462 | |
| Sacroiliac joint injection |
$1,512 |
$1,512 |
$66 |
$176 | |
| Screening colonoscopy |
$2,096 |
$2,096 |
$199 |
$378 | |
| Screening mammogram |
$99 |
$99 |
$226 |
$126 | |
| Sedimentation rate (ESR) test |
$55 |
$55 |
$38 |
$3 | |
| Sex hormone binding globulin test |
$183 |
$183 |
$92 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$387 |
$387 |
$271 |
$114 | |
| Simple wound stitches |
$397 |
$397 |
$271 |
$127 | |
| Sleep study (polysomnography) |
$4,320 |
$4,320 |
$3,024 |
$691 | |
| Spirometry (lung function test) |
$156 |
$156 |
$58 |
$30 | |
| Strep throat test |
$87 |
$87 |
$61 |
$17 | |
| Stress echocardiogram |
$1,890 |
$1,890 |
$1,652 |
$209 | |
| Stress echocardiogram (complete) |
$1,944 |
$1,944 |
$1,652 |
$233 | |
| T3 thyroid test |
$95 |
$95 |
$58 |
$14 | |
| Testosterone test |
$168 |
$168 |
$106 |
$26 | |
| Thyroid test (TSH) |
$149 |
$149 |
$100 |
$17 | |
| Total IgE allergy test |
$113 |
$113 |
$66 |
$16 | |
| Transvaginal ultrasound |
$856 |
$856 |
$535 |
$118 | |
| Trigger finger release |
$1,836 |
$1,836 |
$179 |
$630 | |
| Triglycerides test |
$45 |
$45 |
$38 |
$6 | |
| Troponin (heart) test |
$160 |
$160 |
$104 |
$12 | |
| Turning a breech baby (version) |
$378 |
$378 |
$328 |
$94 | |
| Upper GI endoscopy (EGD) |
$2,160 |
$2,160 |
$773 |
$371 | |
| Uric acid (gout) test |
$63 |
$63 |
$40 |
$5 | |
| Urine microalbumin test |
$114 |
$114 |
$24 |
$5 | |
| Urine pregnancy test |
$133 |
$133 |
$93 |
$9 | |
| Vaccine administration |
$83 |
$83 |
$72 |
$19 | |
| Vitamin B12 test |
$144 |
$144 |
$92 |
$15 | |
| Vitamin D test |
$208 |
$208 |
$112 |
$30 | |
| Wound debridement |
$1,400 |
$1,400 |
$207 |
$186 | |
| X-ray of the abdomen |
$432 |
$432 |
$226 |
$36 | |
| X-ray of the ankle |
$336 |
$336 |
$243 |
$37 | |
| X-ray of the collarbone |
$287 |
$287 |
$246 |
$33 | |
| X-ray of the elbow |
$448 |
$448 |
$260 |
$33 | |
| X-ray of the foot |
$321 |
$321 |
$230 |
$34 | |
| X-ray of the forearm |
$378 |
$378 |
$214 |
$29 | |
| X-ray of the hand |
$326 |
$326 |
$224 |
$38 | |
| X-ray of the hip |
$318 |
$318 |
$233 |
$49 | |
| X-ray of the hip (3 views) |
$318 |
$318 |
$233 |
$49 | |
| X-ray of the knee |
$328 |
$328 |
$243 |
$42 | |
| X-ray of the knee (2 views) |
$294 |
$294 |
$167 |
$34 | |
| X-ray of the knee (3 views) |
$363 |
$363 |
$243 |
$42 | |
| X-ray of the lower back (lumbar spine) |
$454 |
$454 |
$403 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$414 |
$414 |
$289 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$493 |
$493 |
$403 |
$53 | |
| X-ray of the lower leg |
$360 |
$360 |
$210 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$447 |
$447 |
$181 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$447 |
$447 |
$181 |
$33 | |
| X-ray of the neck (cervical spine) |
$411 |
$411 |
$302 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$411 |
$411 |
$302 |
$40 | |
| X-ray of the pelvis |
$363 |
$363 |
$216 |
$36 | |
| X-ray of the pelvis (1 view) |
$363 |
$363 |
$216 |
$28 | |
| X-ray of the ribs |
$366 |
$366 |
$233 |
$42 | |
| X-ray of the ribs (2 views) |
$317 |
$317 |
$222 |
$36 | |
| X-ray of the shoulder |
$326 |
$326 |
$222 |
$36 | |
| X-ray of the upper arm |
$363 |
$363 |
$201 |
$32 | |
| X-ray of the wrist |
$320 |
$320 |
$224 |
$43 | |