| 3D mammogram (tomosynthesis) |
$111 |
$111 |
$100 |
$51 | |
| Abdominal ultrasound |
$1,134 |
$1,133 |
$1,077 |
$100 | |
| Abdominal ultrasound (complete) |
$1,675 |
$1,675 |
$1,510 |
$114 | |
| Abdominal ultrasound (limited) |
$1,134 |
$1,133 |
$1,077 |
$86 | |
| Albumin blood test |
$75 |
$75 |
$68 |
$5 | |
| Aldosterone test |
$404 |
$404 |
$364 |
$41 | |
| Alkaline phosphatase test |
$79 |
$78 |
$71 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$106 |
$105 |
$95 |
$17 | |
| ALT liver enzyme test |
$63 |
$63 |
$57 |
$5 | |
| Ammonia blood test |
$153 |
$152 |
$138 |
$15 | |
| Amylase test |
$203 |
$203 |
$183 |
$6 | |
| Arterial blood gas (ABG) |
$304 |
$303 |
$274 |
$26 | |
| AST liver enzyme test |
$82 |
$81 |
$74 |
$5 | |
| Basic metabolic panel |
$246 |
$245 |
$222 |
$8 | |
| Benign skin lesion removal |
$351 |
$350 |
$247 |
$171 | |
| Bilirubin blood test |
$75 |
$75 |
$68 |
$5 | |
| Blood clotting test (PT/INR) |
$100 |
$100 |
$87 |
$4 | |
| Blood crossmatch |
$226 |
$226 |
$204 |
— | |
| Blood glucose test |
$64 |
$64 |
$58 |
$5 | |
| Blood transfusion |
$734 |
$733 |
$662 |
$47 | |
| Blood type and screen |
$152 |
$151 |
$137 |
$10 | |
| Blood type test |
$74 |
$74 |
$66 |
$3 | |
| Blood type test (ABO group) |
$79 |
$78 |
$71 |
$3 | |
| Blood type test (Rh/D antigen) |
$70 |
$69 |
$63 |
$3 | |
| BNP (heart failure) test |
$308 |
$307 |
$278 |
$39 | |
| Bone density scan (DEXA) |
$622 |
$622 |
$561 |
$39 | |
| Burn dressing and debridement (small) |
$173 |
$172 |
$142 |
$93 | |
| Burn treatment |
$173 |
$172 |
$142 |
$129 | |
| C-reactive protein (CRP) |
$233 |
$232 |
$210 |
$5 | |
| CA 19-9 tumor marker test |
$198 |
$197 |
$178 |
$21 | |
| Calcium blood test |
$44 |
$44 |
$33 |
$5 | |
| Cardiac rehabilitation |
$346 |
$346 |
$312 |
$26 | |
| Carotid artery ultrasound |
$1,214 |
$1,214 |
$1,095 |
$156 | |
| CEA tumor marker test |
$179 |
$179 |
$161 |
$19 | |
| Celiac disease test |
$100 |
$100 |
$91 |
$12 | |
| Chest tube insertion |
$580 |
$580 |
$453 |
$143 | |
| Chest X-ray |
$432 |
$432 |
$397 |
$37 | |
| Chest X-ray (1 view) |
$393 |
$393 |
$373 |
$25 | |
| Chest X-ray (2 views) |
$471 |
$470 |
$447 |
$33 | |
| Clotting time test (PTT) |
$125 |
$125 |
$112 |
$6 | |
| Complete blood count (CBC) |
$137 |
$136 |
$107 |
$7 | |
| Complete blood count (CBC) (complete) |
$166 |
$165 |
$150 |
$8 | |
| Comprehensive metabolic panel |
$234 |
$233 |
$211 |
$11 | |
| Copper blood test |
$133 |
$133 |
$120 |
$12 | |
| Cortisol test |
$138 |
$137 |
$124 |
$16 | |
| COVID-19 PCR test |
$369 |
$369 |
$333 |
$51 | |
| Creatine kinase (CK) test |
$198 |
$197 |
$178 |
$7 | |
| CT angiography of the chest |
$4,062 |
$4,062 |
$3,662 |
$281 | |
| CT angiography of the head |
$3,667 |
$3,666 |
$3,306 |
$274 | |
| CT scan of the abdomen |
$2,450 |
$2,450 |
$2,209 |
$230 | |
| CT scan of the abdomen and pelvis |
$6,413 |
$6,413 |
$5,541 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$6,413 |
$6,413 |
$5,782 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$6,998 |
$6,997 |
$6,308 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$5,832 |
$5,832 |
$5,258 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,450 |
$2,450 |
$2,209 |
$259 | |
| CT scan of the arm |
$3,385 |
$3,385 |
$3,052 |
$199 | |
| CT scan of the arm without contrast |
$3,385 |
$3,385 |
$3,052 |
$161 | |
| CT scan of the chest |
$3,176 |
$3,175 |
$2,541 |
$167 | |
| CT scan of the chest with and without contrast |
$3,176 |
$3,175 |
$2,863 |
$196 | |
| CT scan of the chest with contrast |
$3,586 |
$3,586 |
$3,233 |
$167 | |
| CT scan of the chest without contrast |
$2,541 |
$2,541 |
$2,291 |
$133 | |
| CT scan of the head |
$2,317 |
$2,317 |
$2,089 |
$148 | |
| CT scan of the head without contrast |
$2,317 |
$2,317 |
$2,089 |
$107 | |
| CT scan of the leg |
$3,597 |
$3,597 |
$3,243 |
$166 | |
| CT scan of the leg without contrast |
$3,597 |
$3,597 |
$3,243 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,611 |
$2,610 |
$2,354 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$2,611 |
$2,610 |
$2,354 |
$130 | |
| CT scan of the neck |
$3,518 |
$3,518 |
$2,972 |
$183 | |
| CT scan of the neck (cervical spine) |
$2,611 |
$2,610 |
$2,354 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$2,611 |
$2,610 |
$2,354 |
$131 | |
| CT scan of the neck with and without contrast |
$3,667 |
$3,666 |
$3,306 |
$220 | |
| CT scan of the neck with contrast |
$3,518 |
$3,518 |
$3,172 |
$183 | |
| CT scan of the neck without contrast |
$3,098 |
$3,098 |
$2,793 |
$150 | |
| CT scan of the sinuses |
$2,611 |
$2,610 |
$2,354 |
$152 | |
| CT scan of the sinuses without contrast |
$2,611 |
$2,610 |
$2,354 |
$128 | |
| D-dimer test |
$456 |
$456 |
$412 |
$10 | |
| DHEA-sulfate test |
$320 |
$319 |
$288 |
$22 | |
| Drug screen (urine) |
$120 |
$120 |
$108 |
$17 | |
| Echocardiogram |
$1,428 |
$1,428 |
$1,145 |
$138 | |
| Echocardiogram with and without contrast |
$1,163 |
$1,162 |
$1,048 |
$101 | |
| EKG / ECG (tracing only) |
$306 |
$305 |
$276 |
$7 | |
| Electrocardiogram (EKG) |
$306 |
$305 |
$276 |
$8 | |
| Emergency department visit |
$690 |
$690 |
$539 |
$69 | |
| Emergency department visit (level 2) |
$483 |
$482 |
$435 |
$40 | |
| Emergency department visit (level 3) |
$690 |
$690 |
$539 |
$69 | |
| Emergency department visit (level 4) |
$937 |
$936 |
$732 |
$118 | |
| Emergency department visit (level 5) |
$1,352 |
$1,351 |
$1,056 |
$171 | |
| Estradiol (estrogen) test |
$159 |
$159 |
$144 |
$28 | |
| Fecal occult blood (stool) test |
$78 |
$78 |
$70 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$75 |
$75 |
$68 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$81 |
$80 |
$73 |
$16 | |
| Ferritin (iron) test |
$177 |
$176 |
$159 |
$14 | |
| Flu test |
$194 |
$194 |
$175 |
$17 | |
| Folate (folic acid) test |
$162 |
$161 |
$146 |
$15 | |
| Free T4 thyroid test |
$78 |
$77 |
$70 |
$9 | |
| FSH hormone test |
$201 |
$200 |
$181 |
$19 | |
| GGT liver test |
$81 |
$80 |
$73 |
$7 | |
| Glucose tolerance test |
$397 |
$397 |
$310 |
$8 | |
| Hematocrit test |
$51 |
$51 |
$46 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$120 |
$120 |
$108 |
$10 | |
| Hepatitis B test |
$114 |
$113 |
$102 |
$10 | |
| Hepatitis B vaccine |
$98 |
$98 |
$93 |
— | |
| Hepatitis C test |
$199 |
$198 |
$179 |
$14 | |
| Iron blood test |
$92 |
$91 |
$83 |
$6 | |
| IV infusion therapy |
$233 |
$232 |
$183 |
$44 | |
| IV infusion therapy (each additional) |
$181 |
$181 |
$163 |
$21 | |
| IV infusion therapy (initial) |
$341 |
$340 |
$277 |
$67 | |
| Joint aspiration (small/intermediate) |
$118 |
$117 |
$80 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$238 |
$238 |
$79 |
$57 | |
| Joint aspiration or injection (small joint) |
$118 |
$117 |
$80 |
$56 | |
| Kidney ultrasound |
$1,089 |
$1,089 |
$928 |
$84 | |
| Kidney ultrasound (limited) |
$976 |
$976 |
$880 |
$61 | |
| Knee joint injection |
$317 |
$316 |
$97 |
$69 | |
| Lactate test |
$119 |
$119 |
$107 |
$12 | |
| LDH test |
$124 |
$124 |
$112 |
$6 | |
| LDL cholesterol test |
$92 |
$91 |
$83 |
$11 | |
| Leg vein ultrasound (Doppler) |
$1,040 |
$1,039 |
$988 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,040 |
$1,039 |
$937 |
$116 | |
| LH hormone test |
$187 |
$186 |
$168 |
$19 | |
| Lipase test |
$112 |
$112 |
$101 |
$7 | |
| Lipid (cholesterol) panel |
$146 |
$146 |
$132 |
$13 | |
| Liver function panel |
$64 |
$64 |
$58 |
$8 | |
| Magnesium blood test |
$118 |
$118 |
$91 |
$7 | |
| MRI of the brain |
$4,731 |
$4,730 |
$4,006 |
$269 | |
| MRI of the brain without contrast |
$4,217 |
$4,217 |
$3,802 |
$195 | |
| MRI of the knee |
$3,667 |
$3,666 |
$3,306 |
$315 | |
| MRI of the knee without contrast |
$3,667 |
$3,666 |
$3,306 |
$204 | |
| MRI of the lower back (lumbar spine) |
$4,091 |
$4,090 |
$3,688 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$4,091 |
$4,090 |
$3,688 |
$192 | |
| MRI of the neck (cervical spine) |
$4,512 |
$4,512 |
$4,068 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$4,512 |
$4,512 |
$4,068 |
$191 | |
| MRI of the shoulder |
$3,385 |
$3,385 |
$3,052 |
$313 | |
| MRI of the shoulder without contrast |
$3,385 |
$3,385 |
$3,052 |
$205 | |
| Nebulizer breathing treatment |
$104 |
$104 |
$93 |
$9 | |
| Occupational therapy evaluation |
$327 |
$326 |
$278 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$389 |
$388 |
$350 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$277 |
$277 |
$250 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$327 |
$326 |
$294 |
$101 | |
| Office visit (established patient) |
$317 |
$317 |
$248 |
$115 | |
| Office visit, established patient (level 3) |
$317 |
$317 |
$248 |
$95 | |
| Parathyroid hormone (PTH) test |
$290 |
$290 |
$262 |
$41 | |
| Pelvic ultrasound |
$1,247 |
$1,247 |
$1,124 |
$78 | |
| Pelvic ultrasound (complete) |
$1,247 |
$1,247 |
$1,124 |
$105 | |
| Phosphorus blood test |
$69 |
$68 |
$62 |
$5 | |
| Physical therapy evaluation |
$302 |
$302 |
$264 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$327 |
$326 |
$294 |
$98 | |
| Pneumonia vaccine |
$213 |
$213 |
$192 |
— | |
| Pregnancy blood test (hCG) |
$205 |
$205 |
$185 |
$8 | |
| Prolactin test |
$194 |
$194 |
$175 |
$19 | |
| Prostate test (PSA) |
$212 |
$211 |
$191 |
$18 | |
| Scoliosis spine X-ray |
$511 |
$511 |
$461 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$511 |
$511 |
$461 |
$44 | |
| Screening mammogram |
$654 |
$654 |
$579 |
$126 | |
| Scrotal ultrasound |
$791 |
$790 |
$713 |
$99 | |
| Sedimentation rate (ESR) test |
$84 |
$84 |
$76 |
$3 | |
| Sex hormone binding globulin test |
$272 |
$271 |
$245 |
$22 | |
| Shingles vaccine |
$319 |
$319 |
$288 |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
$107 |
$107 |
$94 |
$114 | |
| Simple wound stitches |
$107 |
$107 |
$102 |
$127 | |
| Skin biopsy |
$164 |
$163 |
$133 |
$121 | |
| Skin biopsy (punch) |
$164 |
$163 |
$133 |
$121 | |
| Skin cancer lesion removal |
$164 |
$163 |
$156 |
$240 | |
| Sleep study (polysomnography) |
$2,879 |
$2,878 |
$2,514 |
$691 | |
| Soft tissue ultrasound |
$536 |
$536 |
$509 |
$64 | |
| Speech therapy |
$308 |
$307 |
$278 |
$76 | |
| Strep throat test |
$146 |
$146 |
$132 |
$17 | |
| Swallow study |
$333 |
$333 |
$300 |
$85 | |
| T3 thyroid test |
$189 |
$188 |
$170 |
$14 | |
| Tdap (tetanus) vaccine |
$88 |
$87 |
$79 |
— | |
| Testosterone test |
$250 |
$250 |
$227 |
$26 | |
| Thyroid test (TSH) |
$179 |
$179 |
$161 |
$17 | |
| Thyroid ultrasound |
$958 |
$957 |
$863 |
$109 | |
| Total protein test |
$60 |
$60 |
$54 |
$4 | |
| Transvaginal ultrasound |
$1,306 |
$1,306 |
$1,177 |
$118 | |
| Trigger point injection |
$170 |
$170 |
$86 |
$56 | |
| Trigger point injection (1-2 muscles) |
$114 |
$113 |
$79 |
$52 | |
| Triglycerides test |
$75 |
$75 |
$68 |
$6 | |
| Troponin (heart) test |
$239 |
$239 |
$216 |
$12 | |
| Uric acid (gout) test |
$79 |
$78 |
$71 |
$5 | |
| Urinalysis |
$46 |
$46 |
$41 |
$3 | |
| Urine microalbumin test |
$112 |
$111 |
$85 |
$5 | |
| Urine pregnancy test |
$205 |
$205 |
$185 |
$9 | |
| Vaccine administration |
$64 |
$64 |
$55 |
$19 | |
| Vaccine administration (each additional) |
$64 |
$64 |
$58 |
$16 | |
| Vitamin B12 test |
$215 |
$215 |
$194 |
$15 | |
| Vitamin D test |
$286 |
$285 |
$257 |
$30 | |
| X-ray of the abdomen |
$447 |
$447 |
$411 |
$36 | |
| X-ray of the ankle |
$459 |
$458 |
$413 |
$37 | |
| X-ray of the collarbone |
$440 |
$440 |
$397 |
$33 | |
| X-ray of the elbow |
$549 |
$549 |
$495 |
$33 | |
| X-ray of the facial bones |
$574 |
$574 |
$518 |
$39 | |
| X-ray of the foot |
$425 |
$424 |
$383 |
$34 | |
| X-ray of the forearm |
$536 |
$536 |
$483 |
$29 | |
| X-ray of the hand |
$447 |
$446 |
$403 |
$38 | |
| X-ray of the hip |
$332 |
$331 |
$315 |
$49 | |
| X-ray of the hip (3 views) |
$332 |
$331 |
$315 |
$49 | |
| X-ray of the knee |
$319 |
$318 |
$269 |
$42 | |
| X-ray of the knee (2 views) |
$355 |
$354 |
$320 |
$34 | |
| X-ray of the knee (3 views) |
$283 |
$282 |
$255 |
$42 | |
| X-ray of the lower back (lumbar spine) |
$704 |
$704 |
$635 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$704 |
$704 |
$635 |
$40 | |
| X-ray of the lower leg |
$553 |
$552 |
$497 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$737 |
$737 |
$692 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$723 |
$722 |
$687 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$751 |
$751 |
$706 |
$39 | |
| X-ray of the neck (cervical spine) |
$891 |
$891 |
$803 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$891 |
$891 |
$803 |
$40 | |
| X-ray of the pelvis |
$393 |
$393 |
$358 |
$36 | |
| X-ray of the pelvis (1 view) |
$393 |
$393 |
$358 |
$28 | |
| X-ray of the ribs |
$464 |
$464 |
$429 |
$42 | |
| X-ray of the ribs (2 views) |
$440 |
$440 |
$418 |
$36 | |
| X-ray of the ribs (3 views) |
$488 |
$488 |
$464 |
$42 | |
| X-ray of the shoulder |
$447 |
$446 |
$403 |
$36 | |
| X-ray of the upper arm |
$525 |
$525 |
$474 |
$32 | |
| X-ray of the wrist |
$447 |
$446 |
$403 |
$43 | |
| Zinc blood test |
$174 |
$173 |
$157 |
$11 | |