| Abdominal ultrasound |
$230 |
$659 |
$141 |
$100 | |
| Abdominal ultrasound (complete) |
$278 |
$794 |
$141 |
$114 | |
| Abdominal ultrasound (limited) |
$183 |
$523 |
$141 |
$86 | |
| Abscess drainage (simple) |
$220 |
$629 |
$224 |
$129 | |
| Abscess incision and drainage |
$220 |
$629 |
$224 |
$174 | |
| Albumin blood test |
$13 |
$36 |
$5 |
$5 | |
| Alkaline phosphatase test |
$13 |
$36 |
$7 |
$5 | |
| ALT liver enzyme test |
$13 |
$38 |
$7 |
$5 | |
| Ammonia blood test |
$34 |
$97 |
$16 |
$15 | |
| Amylase test |
$19 |
$55 |
$8 |
$6 | |
| Antinuclear antibody (ANA) test |
$30 |
$85 |
$15 |
$12 | |
| AST liver enzyme test |
$13 |
$38 |
$7 |
$5 | |
| Basic metabolic panel |
$35 |
$99 |
$12 |
$8 | |
| Bilirubin blood test |
$14 |
$39 |
$6 |
$5 | |
| Blood clotting test (PT/INR) |
$19 |
$55 |
$5 |
$4 | |
| Blood glucose test |
$10 |
$29 |
$5 |
$5 | |
| Blood transfusion |
$727 |
$2,076 |
$494 |
$47 | |
| Blood type and screen |
$23 |
$66 |
$10 |
$10 | |
| Blood type test |
$32 |
$90 |
$4 |
$3 | |
| Blood type test (ABO group) |
$39 |
$111 |
$4 |
$3 | |
| Blood type test (Rh/D antigen) |
$24 |
$69 |
$4 |
$3 | |
| BNP (heart failure) test |
$91 |
$260 |
$44 |
$39 | |
| Burn dressing and debridement (small) |
$220 |
$629 |
$224 |
$93 | |
| Burn treatment |
$220 |
$629 |
$224 |
$129 | |
| C-reactive protein (CRP) |
$37 |
$106 |
$7 |
$5 | |
| CA-125 ovarian marker test |
$48 |
$138 |
$26 |
$21 | |
| Calcium blood test |
$13 |
$37 |
$7 |
$5 | |
| CEA tumor marker test |
$48 |
$138 |
$24 |
$19 | |
| Celiac disease test |
$40 |
$113 |
$12 |
$12 | |
| Chest X-ray |
$97 |
$278 |
$97 |
$37 | |
| Chest X-ray (1 view) |
$97 |
$278 |
$97 |
$25 | |
| Chest X-ray (2 views) |
$97 |
$278 |
$97 |
$33 | |
| Clotting time test (PTT) |
$22 |
$62 |
$8 |
$6 | |
| Complete blood count (CBC) |
$22 |
$62 |
$9 |
$7 | |
| Complete blood count (CBC) (complete) |
$27 |
$78 |
$9 |
$8 | |
| Comprehensive metabolic panel |
$43 |
$124 |
$12 |
$11 | |
| Copper blood test |
$29 |
$82 |
$16 |
$12 | |
| Cortisol test |
$42 |
$119 |
$21 |
$16 | |
| COVID-19 PCR test |
$87 |
$248 |
$51 |
$51 | |
| CPAP titration study |
$261 |
$746 |
$245 |
$69 | |
| Creatine kinase (CK) test |
$15 |
$43 |
$8 |
$7 | |
| CT angiography of the chest |
$415 |
$1,186 |
$286 |
$281 | |
| CT angiography of the head |
$546 |
$1,559 |
$286 |
$274 | |
| CT scan of the abdomen |
$277 |
$792 |
$124 |
$230 | |
| CT scan of the abdomen and pelvis |
$1,505 |
$4,300 |
$390 |
$300 | |
| CT scan of the abdomen and pelvis with contrast |
$1,700 |
$4,858 |
$390 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,309 |
$3,741 |
$267 |
$183 | |
| CT scan of the abdomen without contrast |
$277 |
$792 |
$124 |
$136 | |
| CT scan of the chest |
$740 |
$2,114 |
$245 |
$167 | |
| CT scan of the chest with contrast |
$740 |
$2,114 |
$245 |
$167 | |
| CT scan of the head |
$459 |
$1,312 |
$180 |
$148 | |
| CT scan of the head with and without contrast |
$425 |
$1,215 |
$276 |
$173 | |
| CT scan of the head without contrast |
$493 |
$1,409 |
$124 |
$107 | |
| CT scan of the lower back (lumbar spine) |
$304 |
$868 |
$124 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$304 |
$868 |
$124 |
$130 | |
| CT scan of the neck (cervical spine) |
$567 |
$1,619 |
$124 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$567 |
$1,619 |
$124 |
$131 | |
| CT scan of the sinuses |
$531 |
$1,517 |
$196 |
$152 | |
| CT scan of the sinuses with contrast |
$415 |
$1,186 |
$245 |
$152 | |
| CT scan of the sinuses without contrast |
$647 |
$1,848 |
$124 |
$128 | |
| D-dimer test |
$40 |
$115 |
$13 |
$10 | |
| Drug screen (urine) |
$79 |
$226 |
$36 |
$17 | |
| Echocardiogram |
$305 |
$872 |
$267 |
$138 | |
| Echocardiogram with and without contrast |
$305 |
$872 |
$267 |
$101 | |
| EKG / ECG (tracing only) |
$99 |
$283 |
$77 |
$7 | |
| Electrocardiogram (EKG) |
$99 |
$283 |
$77 |
$8 | |
| Electrolyte panel |
$28 |
$79 |
$9 |
$7 | |
| Emergency department visit |
$876 |
$2,502 |
$305 |
$69 | |
| Emergency department visit (level 3) |
$517 |
$1,478 |
$305 |
$69 | |
| Emergency department visit (level 4) |
$876 |
$2,502 |
$467 |
$118 | |
| Emergency department visit (level 5) |
$1,060 |
$3,029 |
$666 |
$171 | |
| Estradiol (estrogen) test |
$75 |
$214 |
$35 |
$28 | |
| Family therapy session |
$176 |
$503 |
$199 |
$110 | |
| Ferritin (iron) test |
$32 |
$90 |
$17 |
$14 | |
| Fibrinogen test |
$20 |
$56 |
$11 |
$10 | |
| Folate (folic acid) test |
$34 |
$97 |
$15 |
$15 | |
| Free T4 thyroid test |
$31 |
$88 |
$10 |
$9 | |
| FSH hormone test |
$43 |
$123 |
$23 |
$19 | |
| GGT liver test |
$17 |
$48 |
$9 |
$7 | |
| Group therapy session |
$84 |
$240 |
$113 |
$30 | |
| HDL cholesterol test |
$19 |
$54 |
$10 |
$8 | |
| Hemoglobin A1c (diabetes test) |
$39 |
$112 |
$10 |
$10 | |
| Hepatitis B test |
$41 |
$118 |
$13 |
$10 | |
| Hepatitis C test |
$57 |
$162 |
$17 |
$14 | |
| HIV test |
$56 |
$160 |
$29 |
$19 | |
| HIV test (antigen/antibody combo) |
$56 |
$160 |
$29 |
$24 | |
| Iron blood test |
$18 |
$50 |
$8 |
$6 | |
| IV infusion therapy |
$143 |
$409 |
$126 |
$44 | |
| IV infusion therapy (each additional) |
$112 |
$321 |
$52 |
$21 | |
| IV infusion therapy (initial) |
$174 |
$497 |
$238 |
$67 | |
| Kidney ultrasound |
$278 |
$794 |
$141 |
$84 | |
| Lactate test |
$44 |
$125 |
$13 |
$12 | |
| LDH test |
$15 |
$43 |
$8 |
$6 | |
| LDL cholesterol test |
$25 |
$71 |
$11 |
$11 | |
| Leg vein ultrasound (Doppler) |
$204 |
$582 |
$145 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$186 |
$530 |
$117 |
$116 | |
| LH hormone test |
$65 |
$187 |
$23 |
$19 | |
| Lipase test |
$19 |
$53 |
$9 |
$7 | |
| Lipid (cholesterol) panel |
$37 |
$107 |
$14 |
$13 | |
| Liver function panel |
$34 |
$96 |
$9 |
$8 | |
| Magnesium blood test |
$15 |
$44 |
$8 |
$7 | |
| MRI of the brain |
$1,369 |
$3,912 |
$390 |
$269 | |
| MRI of the brain without contrast |
$1,184 |
$3,383 |
$291 |
$195 | |
| MRI of the knee |
$567 |
$1,620 |
$291 |
$315 | |
| MRI of the knee without contrast |
$567 |
$1,620 |
$291 |
$204 | |
| MRI of the neck (cervical spine) |
$676 |
$1,930 |
$291 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$676 |
$1,930 |
$291 |
$191 | |
| MRI of the pelvis |
$653 |
$1,866 |
$438 |
$268 | |
| MRI of the pelvis with contrast |
$653 |
$1,866 |
$438 |
$268 | |
| MRI of the wrist |
$567 |
$1,620 |
$291 |
$330 | |
| MRI of the wrist without contrast |
$567 |
$1,620 |
$291 |
$303 | |
| Nebulizer breathing treatment |
$79 |
$227 |
$245 |
$9 | |
| Occupational therapy evaluation |
$124 |
$353 |
$103 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$124 |
$353 |
$103 |
$101 | |
| Office visit (established patient) |
$105 |
$301 |
$111 |
$115 | |
| Office visit (new patient) |
$155 |
$444 |
$164 |
$177 | |
| Office visit, established patient (level 3) |
$91 |
$261 |
$80 |
$95 | |
| Office visit, established patient (level 4) |
$119 |
$340 |
$118 |
$136 | |
| Office visit, new patient (level 3) |
$128 |
$366 |
$110 |
$118 | |
| Office visit, new patient (level 4) |
$155 |
$444 |
$172 |
$177 | |
| Office visit, new patient (level 5) |
$175 |
$501 |
$234 |
$237 | |
| Parathyroid hormone (PTH) test |
$96 |
$274 |
$52 |
$41 | |
| Phosphorus blood test |
$13 |
$37 |
$6 |
$5 | |
| Physical therapy evaluation |
$123 |
$351 |
$101 |
$98 | |
| Physical therapy evaluation (high complexity) |
$140 |
$399 |
$101 |
$98 | |
| Platelet count |
$12 |
$35 |
$6 |
$4 | |
| Pregnancy blood test (hCG) |
$28 |
$79 |
$9 |
$8 | |
| Pregnancy ultrasound |
$278 |
$794 |
$136 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$278 |
$794 |
$136 |
$117 | |
| Prolactin test |
$51 |
$146 |
$24 |
$19 | |
| Prostate test (PSA) |
$49 |
$141 |
$23 |
$18 | |
| Psychiatric evaluation |
$167 |
$479 |
$320 |
$188 | |
| Psychotherapy session |
$151 |
$432 |
$199 |
$140 | |
| Scrotal ultrasound |
$177 |
$505 |
$133 |
$99 | |
| Sedimentation rate (ESR) test |
$18 |
$51 |
$4 |
$3 | |
| Simple wound stitches |
$220 |
$629 |
$224 |
$127 | |
| Skin biopsy |
$159 |
$455 |
$455 |
$121 | |
| Skin biopsy (punch) |
$159 |
$455 |
$455 |
$121 | |
| Soft tissue ultrasound |
$252 |
$721 |
$117 |
$64 | |
| Spinal tap (lumbar puncture) |
$1,092 |
$3,119 |
$1,161 |
$165 | |
| Swallow study |
$112 |
$319 |
$87 |
$85 | |
| T3 thyroid test |
$34 |
$96 |
$15 |
$14 | |
| Testosterone test |
$60 |
$171 |
$33 |
$26 | |
| Thyroid test (TSH) |
$39 |
$111 |
$20 |
$17 | |
| Thyroid ultrasound |
$230 |
$656 |
$133 |
$109 | |
| Transesophageal echocardiogram (TEE) |
$1,458 |
$4,167 |
$611 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,458 |
$4,167 |
$611 |
$239 | |
| Troponin (heart) test |
$41 |
$117 |
$12 |
$12 | |
| Uric acid (gout) test |
$13 |
$36 |
$6 |
$5 | |
| Urinalysis |
$12 |
$34 |
$3 |
$3 | |
| Urine microalbumin test |
$21 |
$61 |
$7 |
$5 | |
| Urine pregnancy test |
$28 |
$79 |
$9 |
$9 | |
| Vaccine administration |
$99 |
$284 |
$81 |
$19 | |
| Vitamin B12 test |
$35 |
$100 |
$19 |
$15 | |
| Vitamin D test |
$119 |
$340 |
$37 |
$30 | |
| X-ray of the abdomen |
$186 |
$532 |
$117 |
$36 | |
| X-ray of the ankle |
$90 |
$256 |
$97 |
$37 | |
| X-ray of the collarbone |
$90 |
$256 |
$97 |
$33 | |
| X-ray of the elbow |
$91 |
$260 |
$97 |
$33 | |
| X-ray of the facial bones |
$131 |
$376 |
$105 |
$39 | |
| X-ray of the foot |
$90 |
$256 |
$97 |
$34 | |
| X-ray of the forearm |
$91 |
$260 |
$97 |
$29 | |
| X-ray of the hand |
$90 |
$256 |
$97 |
$38 | |
| X-ray of the hip |
$92 |
$264 |
$97 |
$49 | |
| X-ray of the hip (1 view) |
$91 |
$260 |
$99 |
$34 | |
| X-ray of the hip (3 views) |
$94 |
$268 |
$97 |
$49 | |
| X-ray of the knee |
$90 |
$256 |
$100 |
$42 | |
| X-ray of the knee (2 views) |
$90 |
$256 |
$97 |
$34 | |
| X-ray of the knee (3 views) |
$90 |
$256 |
$97 |
$42 | |
| X-ray of the knee (4+ views) |
$190 |
$542 |
$117 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$177 |
$505 |
$117 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$177 |
$505 |
$117 |
$40 | |
| X-ray of the lower leg |
$90 |
$256 |
$97 |
$31 | |
| X-ray of the neck (cervical spine) |
$135 |
$387 |
$109 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$94 |
$268 |
$97 |
$40 | |
| X-ray of the pelvis |
$177 |
$505 |
$113 |
$36 | |
| X-ray of the pelvis (1 view) |
$177 |
$505 |
$113 |
$28 | |
| X-ray of the ribs |
$172 |
$491 |
$117 |
$42 | |
| X-ray of the ribs (2 views) |
$94 |
$268 |
$97 |
$36 | |
| X-ray of the ribs (3 views) |
$177 |
$505 |
$117 |
$42 | |
| X-ray of the shoulder |
$179 |
$512 |
$97 |
$36 | |
| X-ray of the skull |
$177 |
$505 |
$117 |
$40 | |
| X-ray of the upper arm |
$91 |
$260 |
$97 |
$32 | |
| X-ray of the wrist |
$90 |
$256 |
$97 |
$43 | |