| 3D mammogram (tomosynthesis) |
$65 |
$215 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$574 |
$1,913 |
— |
$284 | |
| Abdominal ultrasound |
$438 |
$1,460 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$423 |
$1,409 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$453 |
$1,511 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$205 |
$684 |
— |
$220 | |
| Abscess drainage (simple) |
$239 |
$796 |
— |
$129 | |
| Abscess incision and drainage |
$222 |
$740 |
— |
$174 | |
| Achilles tendon repair |
$33,133 |
$55,222 |
$7,582 |
$624 | |
| ACL knee reconstruction |
$22,407 |
$37,345 |
$7,582 |
$889 | |
| Albumin blood test |
$71 |
$235 |
— |
$5 | |
| Aldosterone test |
$265 |
$884 |
— |
$41 | |
| Alkaline phosphatase test |
$28 |
$93 |
— |
$5 | |
| Alpha-fetoprotein (AFP) test |
$59 |
$198 |
— |
$17 | |
| ALT liver enzyme test |
$71 |
$235 |
— |
$5 | |
| Ammonia blood test |
$105 |
$350 |
— |
$15 | |
| Amylase test |
$73 |
$244 |
— |
$6 | |
| Anoscopy |
$81 |
$270 |
— |
$129 | |
| Antinuclear antibody (ANA) test |
$87 |
$290 |
— |
$12 | |
| Arterial blood gas (ABG) |
$33 |
$111 |
— |
$26 | |
| AST liver enzyme test |
$71 |
$235 |
— |
$5 | |
| Barium swallow study |
$329 |
$1,096 |
— |
$107 | |
| Bartholin cyst removal |
$235 |
$783 |
— |
$182 | |
| Basic metabolic panel |
$13 |
$44 |
— |
$8 | |
| Benign skin lesion removal |
$4,640 |
$7,949 |
$740 |
$171 | |
| Bilirubin blood test |
$71 |
$235 |
— |
$5 | |
| Bladder scope (cystoscopy) |
$435 |
$1,449 |
— |
$216 | |
| Blood clotting test (PT/INR) |
$19 |
$62 |
— |
$4 | |
| Blood crossmatch |
$70 |
$233 |
— |
— | |
| Blood glucose test |
$71 |
$235 |
— |
$5 | |
| Blood transfusion |
$591 |
$1,970 |
— |
$47 | |
| Blood type and screen |
$53 |
$175 |
— |
$10 | |
| Blood type test |
$54 |
$181 |
— |
$3 | |
| Blood type test (ABO group) |
$43 |
$144 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$65 |
$217 |
— |
$3 | |
| BNP (heart failure) test |
$101 |
$337 |
— |
$39 | |
| Bone density scan (DEXA) |
$347 |
$1,155 |
— |
$39 | |
| Bone scan (nuclear) |
$1,165 |
$3,883 |
— |
$259 | |
| Breast ultrasound |
$337 |
$1,124 |
— |
$92 | |
| Breast ultrasound (complete) |
$442 |
$1,474 |
— |
$100 | |
| Breast ultrasound (limited) |
$232 |
$774 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$428 |
$1,425 |
— |
$133 | |
| Burn dressing and debridement (medium) |
$126 |
$419 |
— |
$166 | |
| Burn dressing and debridement (small) |
$144 |
$480 |
— |
$93 | |
| Burn treatment |
$135 |
$450 |
— |
$129 | |
| C-reactive protein (CRP) |
$110 |
$366 |
— |
$5 | |
| CA 19-9 tumor marker test |
$54 |
$180 |
— |
$21 | |
| CA-125 ovarian marker test |
$206 |
$687 |
— |
$21 | |
| Calcium blood test |
$63 |
$211 |
— |
$5 | |
| Cardiac stress test |
$991 |
$3,303 |
— |
$39 | |
| Cardioversion |
$951 |
$3,169 |
— |
$155 | |
| Carotid artery ultrasound |
$963 |
$3,210 |
— |
$156 | |
| Carpal tunnel release |
$9,855 |
$16,425 |
$2,041 |
$483 | |
| Cataract surgery |
$5,578 |
$9,297 |
$2,412 |
$547 | |
| CEA tumor marker test |
$168 |
$559 |
— |
$19 | |
| Celiac disease test |
$20 |
$67 |
— |
$12 | |
| Central line placement |
$1,064 |
$3,545 |
— |
$238 | |
| Chest fluid drain (thoracentesis) |
$1,074 |
$3,579 |
— |
$311 | |
| Chest tube insertion |
$1,034 |
$3,445 |
— |
$143 | |
| Chest X-ray |
$169 |
$563 |
— |
$37 | |
| Chest X-ray (1 view) |
$151 |
$502 |
— |
$25 | |
| Chest X-ray (2 views) |
$187 |
$624 |
— |
$33 | |
| Circumcision |
$1,289 |
$4,296 |
— |
$167 | |
| CK-MB heart enzyme test |
$96 |
$321 |
— |
$12 | |
| Clotting time test (PTT) |
$70 |
$234 |
— |
$6 | |
| Colonoscopy |
$4,833 |
$8,055 |
$1,250 |
$480 | |
| Complete blood count (CBC) |
$30 |
$102 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$28 |
$93 |
— |
$8 | |
| Complex wound repair |
$717 |
$2,391 |
— |
$390 | |
| Comprehensive metabolic panel |
$38 |
$128 |
— |
$11 | |
| Copper blood test |
$39 |
$129 |
— |
$12 | |
| Cortisol test |
$30 |
$101 |
— |
$16 | |
| COVID-19 PCR test |
$65 |
$217 |
— |
$51 | |
| CPAP titration study |
$232 |
$772 |
— |
$69 | |
| Creatine kinase (CK) test |
$58 |
$193 |
— |
$7 | |
| CT angiography of the chest |
$719 |
$2,396 |
— |
$281 | |
| CT angiography of the head |
$899 |
$2,995 |
— |
$274 | |
| CT scan of the abdomen |
$899 |
$2,995 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$809 |
$2,696 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$899 |
$2,995 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$719 |
$2,396 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$696 |
$2,321 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$899 |
$2,995 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$899 |
$2,995 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$423 |
$1,409 |
— |
$136 | |
| CT scan of the arm |
$900 |
$2,999 |
— |
$199 | |
| CT scan of the arm with contrast |
$900 |
$2,999 |
— |
$199 | |
| CT scan of the arm without contrast |
$423 |
$1,409 |
— |
$161 | |
| CT scan of the chest |
$809 |
$2,696 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$899 |
$2,995 |
— |
$196 | |
| CT scan of the chest with contrast |
$719 |
$2,396 |
— |
$167 | |
| CT scan of the chest without contrast |
$423 |
$1,409 |
— |
$133 | |
| CT scan of the head |
$899 |
$2,995 |
— |
$148 | |
| CT scan of the head with and without contrast |
$899 |
$2,995 |
— |
$173 | |
| CT scan of the head with contrast |
$902 |
$3,005 |
— |
$148 | |
| CT scan of the head without contrast |
$338 |
$1,128 |
— |
$107 | |
| CT scan of the leg |
$985 |
$3,284 |
— |
$166 | |
| CT scan of the leg with contrast |
$985 |
$3,284 |
— |
$166 | |
| CT scan of the leg without contrast |
$423 |
$1,409 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$423 |
$1,409 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with contrast |
$990 |
$3,301 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$423 |
$1,409 |
— |
$130 | |
| CT scan of the neck |
$824 |
$2,745 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$935 |
$3,117 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,045 |
$3,483 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$935 |
$3,117 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$826 |
$2,752 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$899 |
$2,995 |
— |
$220 | |
| CT scan of the neck with contrast |
$749 |
$2,495 |
— |
$183 | |
| CT scan of the neck without contrast |
$423 |
$1,409 |
— |
$150 | |
| CT scan of the pelvis |
$899 |
$2,995 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$914 |
$3,046 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$899 |
$2,995 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$423 |
$1,409 |
— |
$133 | |
| CT scan of the sinuses |
$609 |
$2,029 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$609 |
$2,029 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$863 |
$2,878 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$423 |
$1,409 |
— |
$128 | |
| D-dimer test |
$75 |
$249 |
— |
$10 | |
| DHEA-sulfate test |
$106 |
$352 |
— |
$22 | |
| Diagnostic mammogram |
$167 |
$556 |
— |
$140 | |
| Drug screen (urine) |
$95 |
$318 |
— |
$17 | |
| Echocardiogram |
$1,246 |
$4,153 |
— |
$138 | |
| Echocardiogram with and without contrast |
$959 |
$3,195 |
— |
$101 | |
| EKG / ECG (tracing only) |
$180 |
$601 |
— |
$7 | |
| Electrocardiogram (EKG) |
$180 |
$601 |
— |
$8 | |
| Electrolyte panel |
$111 |
$370 |
— |
$7 | |
| Emergency department visit |
$1,619 |
$5,398 |
— |
$69 | |
| Emergency department visit (level 1) |
$266 |
$887 |
— |
$11 | |
| Emergency department visit (level 2) |
$531 |
$1,771 |
— |
$40 | |
| Emergency department visit (level 3) |
$1,019 |
$3,395 |
— |
$69 | |
| Emergency department visit (level 4) |
$1,619 |
$5,398 |
— |
$118 | |
| Emergency department visit (level 5) |
$2,391 |
$7,970 |
— |
$171 | |
| Epidural steroid injection |
$672 |
$2,240 |
— |
$275 | |
| Esophageal dilation |
$5,030 |
$8,383 |
$948 |
$522 | |
| Estradiol (estrogen) test |
$88 |
$294 |
— |
$28 | |
| Facet joint injection (spine) |
$1,251 |
$4,170 |
— |
$99 | |
| Fecal occult blood (stool) test |
$26 |
$88 |
— |
$10 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$26 |
$88 |
— |
$16 | |
| Ferritin (iron) test |
$62 |
$207 |
— |
$14 | |
| Fibrinogen test |
$128 |
$428 |
— |
$10 | |
| Flexible sigmoidoscopy |
$2,988 |
$4,980 |
$972 |
$323 | |
| Flu test |
$38 |
$125 |
— |
$17 | |
| Folate (folic acid) test |
$136 |
$454 |
— |
$15 | |
| Foreign body removal (skin) |
$259 |
$864 |
— |
$157 | |
| Free T4 thyroid test |
$41 |
$138 |
— |
$9 | |
| FSH hormone test |
$185 |
$615 |
— |
$19 | |
| Gallbladder scan (HIDA) |
$883 |
$2,944 |
— |
$334 | |
| GGT liver test |
$13 |
$44 |
— |
$7 | |
| Hematocrit test |
$24 |
$79 |
— |
$2 | |
| Hemodialysis |
$684 |
$2,280 |
— |
$75 | |
| Hemoglobin A1c (diabetes test) |
$44 |
$146 |
— |
$10 | |
| Hepatitis B test |
$114 |
$380 |
— |
$10 | |
| Hepatitis C test |
$63 |
$211 |
— |
$14 | |
| Hip replacement |
$33,635 |
$56,058 |
$13,416 |
$1,162 | |
| HIV test |
$65 |
$217 |
— |
$19 | |
| HIV test (antigen/antibody combo) |
$65 |
$217 |
— |
$24 | |
| Holter heart monitor |
$858 |
$2,861 |
— |
$26 | |
| Hysteroscopy |
$7,141 |
$11,901 |
$3,383 |
$1,270 | |
| Iron blood test |
$79 |
$263 |
— |
$6 | |
| IUD insertion |
$581 |
$1,936 |
— |
— | |
| IUD removal |
$203 |
$676 |
— |
$112 | |
| IV infusion therapy |
$159 |
$529 |
— |
$44 | |
| IV infusion therapy (each additional) |
$80 |
$265 |
— |
$21 | |
| IV infusion therapy (initial) |
$238 |
$792 |
— |
$67 | |
| Joint aspiration (small/intermediate) |
$189 |
$630 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$189 |
$630 |
— |
$57 | |
| Kidney ultrasound |
$423 |
$1,409 |
— |
$84 | |
| Kidney ultrasound (limited) |
$423 |
$1,409 |
— |
$61 | |
| Knee arthroscopy |
$7,561 |
$12,601 |
$3,419 |
$524 | |
| Knee joint injection |
$444 |
$1,481 |
— |
$69 | |
| Knee replacement |
— |
— |
$20,486 |
$18,054 | |
| Lactate test |
$75 |
$249 |
— |
$12 | |
| Laryngoscopy |
$125 |
$415 |
— |
$189 | |
| LDH test |
$44 |
$146 |
— |
$6 | |
| LDL cholesterol test |
$99 |
$330 |
— |
$11 | |
| Leg vein ultrasound (Doppler) |
$839 |
$2,795 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$644 |
$2,147 |
— |
$116 | |
| LH hormone test |
$159 |
$531 |
— |
$19 | |
| Lipase test |
$88 |
$294 |
— |
$7 | |
| Lipid (cholesterol) panel |
$48 |
$159 |
— |
$13 | |
| Liver function panel |
$162 |
$541 |
— |
$8 | |
| Lung function test (PFT) |
$297 |
$990 |
— |
$37 | |
| Lung scan (V/Q) |
$1,380 |
$4,601 |
— |
$291 | |
| Magnesium blood test |
$12 |
$40 |
— |
$7 | |
| MRA of the brain |
$929 |
$3,095 |
— |
$226 | |
| MRA of the brain with contrast |
$944 |
$3,145 |
— |
$226 | |
| MRA of the neck |
$944 |
$3,145 |
— |
$245 | |
| MRA of the neck with contrast |
$944 |
$3,145 |
— |
$245 | |
| MRA of the neck without contrast |
$1,700 |
$5,666 |
— |
$343 | |
| MRI of the abdomen |
$1,307 |
$4,356 |
— |
$300 | |
| MRI of the abdomen with contrast |
$2,125 |
$7,082 |
— |
$300 | |
| MRI of the abdomen without contrast |
$914 |
$3,045 |
— |
$194 | |
| MRI of the ankle |
$1,307 |
$4,356 |
— |
$261 | |
| MRI of the ankle without contrast |
$914 |
$3,045 |
— |
$222 | |
| MRI of the brain |
$944 |
$3,145 |
— |
$269 | |
| MRI of the brain with contrast |
$944 |
$3,145 |
— |
$269 | |
| MRI of the brain without contrast |
$914 |
$3,045 |
— |
$195 | |
| MRI of the chest |
$1,470 |
$4,901 |
— |
$371 | |
| MRI of the chest without contrast |
$1,952 |
$6,507 |
— |
$466 | |
| MRI of the knee |
$1,700 |
$5,666 |
— |
$315 | |
| MRI of the knee with contrast |
$2,542 |
$8,474 |
— |
$315 | |
| MRI of the knee without contrast |
$731 |
$2,436 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,215 |
$4,051 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,700 |
$5,666 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$731 |
$2,436 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,307 |
$4,356 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$1,700 |
$5,666 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) without contrast |
$914 |
$3,045 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$914 |
$3,045 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$1,700 |
$5,666 |
— |
$318 | |
| MRI of the neck (cervical spine) without contrast |
$914 |
$3,045 |
— |
$191 | |
| MRI of the pelvis |
$1,307 |
$4,356 |
— |
$268 | |
| MRI of the pelvis without contrast |
$914 |
$3,045 |
— |
$227 | |
| MRI of the shoulder |
$1,700 |
$5,666 |
— |
$313 | |
| MRI of the shoulder with contrast |
$2,542 |
$8,474 |
— |
$313 | |
| MRI of the shoulder without contrast |
$914 |
$3,045 |
— |
$205 | |
| MRI of the wrist |
$1,307 |
$4,356 |
— |
$330 | |
| MRI of the wrist without contrast |
$914 |
$3,045 |
— |
$303 | |
| Nebulizer breathing treatment |
$90 |
$299 |
— |
$9 | |
| Nuclear cardiac stress test |
$2,632 |
$8,774 |
— |
$428 | |
| Occupational therapy evaluation |
$202 |
$674 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$202 |
$674 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$202 |
$674 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$202 |
$674 |
— |
$101 | |
| Orthopedic hardware removal |
$11,701 |
$19,501 |
$3,035 |
$632 | |
| Parathyroid hormone (PTH) test |
$278 |
$928 |
— |
$41 | |
| Pelvic ultrasound |
$406 |
$1,353 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$458 |
$1,525 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$354 |
$1,180 |
— |
$51 | |
| Phosphorus blood test |
$71 |
$235 |
— |
$5 | |
| Physical therapy evaluation |
$202 |
$674 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$202 |
$674 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$202 |
$674 |
— |
$98 | |
| Platelet count |
$42 |
$139 |
— |
$4 | |
| Pregnancy blood test (hCG) |
$110 |
$366 |
— |
$8 | |
| Pregnancy ultrasound |
$424 |
$1,413 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$424 |
$1,413 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$424 |
$1,413 |
— |
$136 | |
| Procalcitonin test |
$71 |
$236 |
— |
$27 | |
| Prolactin test |
$177 |
$589 |
— |
$19 | |
| Prostate test (PSA) |
$74 |
$248 |
— |
$18 | |
| Rotator cuff repair |
$11,529 |
$19,215 |
$7,582 |
$792 | |
| Scoliosis spine X-ray |
$224 |
$748 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$224 |
$748 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$224 |
$748 |
— |
$72 | |
| Screening mammogram |
$144 |
$481 |
— |
$126 | |
| Scrotal ultrasound |
$426 |
$1,419 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$34 |
$114 |
— |
$3 | |
| Sex hormone binding globulin test |
$71 |
$235 |
— |
$22 | |
| Shoulder replacement |
$41,785 |
$69,642 |
$18,322 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$380 |
$1,268 |
— |
$114 | |
| Simple wound stitches |
$380 |
$1,268 |
— |
$127 | |
| Skin biopsy |
$259 |
$864 |
— |
$121 | |
| Skin biopsy (punch) |
$259 |
$864 |
— |
$121 | |
| Skin tag removal |
$126 |
$419 |
— |
$92 | |
| Soft tissue ultrasound |
$214 |
$714 |
— |
$64 | |
| Speech therapy |
$239 |
$797 |
— |
$76 | |
| Spinal tap (lumbar puncture) |
$727 |
$2,423 |
— |
$165 | |
| Spirometry (lung function test) |
$235 |
$783 |
— |
$30 | |
| Spirometry with bronchodilator |
$297 |
$990 |
— |
$43 | |
| Strep throat test |
$99 |
$330 |
— |
$17 | |
| Stress echocardiogram |
$1,714 |
$5,714 |
— |
$209 | |
| Stress echocardiogram (complete) |
$1,714 |
$5,714 |
— |
$233 | |
| Swallow study |
$272 |
$907 |
— |
$85 | |
| Testosterone test |
$71 |
$235 |
— |
$26 | |
| Thyroid test (TSH) |
$71 |
$236 |
— |
$17 | |
| Thyroid ultrasound |
$403 |
$1,343 |
— |
$109 | |
| Thyroid uptake scan |
$323 |
$1,078 |
— |
$145 | |
| Total IgE allergy test |
$172 |
$572 |
— |
$16 | |
| Total protein test |
$28 |
$92 |
— |
$4 | |
| Transvaginal ultrasound |
$423 |
$1,409 |
— |
$118 | |
| Trigger finger release |
$3,212 |
$6,184 |
$1,680 |
$630 | |
| Trigger point injection |
$189 |
$630 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$189 |
$630 |
— |
$52 | |
| Triglycerides test |
$71 |
$235 |
— |
$6 | |
| Troponin (heart) test |
$36 |
$120 |
— |
$12 | |
| Ulnar nerve surgery (elbow) |
$14,099 |
$23,498 |
$2,041 |
$575 | |
| Upper GI endoscopy (EGD) |
$4,484 |
$7,473 |
$967 |
$371 | |
| Upper GI series (barium) |
$589 |
$1,965 |
— |
$128 | |
| Uric acid (gout) test |
$54 |
$181 |
— |
$5 | |
| Urinalysis |
$10 |
$34 |
— |
$3 | |
| Urine microalbumin test |
$114 |
$380 |
— |
$5 | |
| Urine pregnancy test |
$29 |
$96 |
— |
$9 | |
| Vaccine administration |
$194 |
$647 |
— |
$19 | |
| Vaccine administration (each additional) |
$164 |
$548 |
— |
$16 | |
| Vitamin B12 test |
$26 |
$88 |
— |
$15 | |
| Vitamin D test |
$119 |
$396 |
— |
$30 | |
| Wart removal |
$126 |
$419 |
— |
$121 | |
| Wound debridement |
$451 |
$1,504 |
$3,487 |
$186 | |
| X-ray of the abdomen |
$311 |
$1,036 |
— |
$36 | |
| X-ray of the ankle |
$226 |
$753 |
— |
$37 | |
| X-ray of the collarbone |
$237 |
$790 |
— |
$33 | |
| X-ray of the elbow |
$225 |
$751 |
— |
$33 | |
| X-ray of the facial bones |
$221 |
$737 |
— |
$39 | |
| X-ray of the foot |
$226 |
$753 |
— |
$34 | |
| X-ray of the forearm |
$223 |
$743 |
— |
$29 | |
| X-ray of the hand |
$225 |
$751 |
— |
$38 | |
| X-ray of the hip |
$123 |
$409 |
— |
$49 | |
| X-ray of the hip (1 view) |
$123 |
$411 |
— |
$34 | |
| X-ray of the hip (3 views) |
$192 |
$641 |
— |
$49 | |
| X-ray of the hip (4 views) |
$122 |
$406 |
— |
$63 | |
| X-ray of the knee |
$245 |
$816 |
— |
$42 | |
| X-ray of the knee (2 views) |
$232 |
$774 |
— |
$34 | |
| X-ray of the knee (3 views) |
$223 |
$742 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$257 |
$858 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$332 |
$1,107 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$287 |
$957 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$377 |
$1,257 |
— |
$53 | |
| X-ray of the lower leg |
$226 |
$753 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$307 |
$1,023 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$279 |
$930 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$307 |
$1,023 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$310 |
$1,034 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$225 |
$751 |
— |
$40 | |
| X-ray of the pelvis |
$212 |
$708 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$211 |
$702 |
— |
$28 | |
| X-ray of the ribs |
$320 |
$1,065 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$234 |
$780 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$327 |
$1,090 |
— |
$42 | |
| X-ray of the shoulder |
$225 |
$751 |
— |
$36 | |
| X-ray of the skull |
$287 |
$958 |
— |
$40 | |
| X-ray of the upper arm |
$238 |
$794 |
— |
$32 | |
| X-ray of the wrist |
$226 |
$753 |
— |
$43 | |
| Zinc blood test |
$48 |
$159 |
— |
$11 | |