| 3D mammogram (tomosynthesis) |
$140 |
$465 |
$70 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$616 |
$2,053 |
$1,213 |
$284 | |
| Abdominal ultrasound |
$712 |
$2,374 |
$1,019 |
$100 | |
| Abdominal ultrasound (complete) |
$907 |
$3,024 |
$1,787 |
$114 | |
| Abdominal ultrasound (limited) |
$517 |
$1,724 |
$1,019 |
$86 | |
| Abscess drainage (simple) |
$77 |
$257 |
$180 |
$129 | |
| Abscess incision and drainage |
$77 |
$257 |
$180 |
$174 | |
| Albumin blood test |
$11 |
$37 |
$5 |
$5 | |
| Aldosterone test |
$108 |
$361 |
$51 |
$41 | |
| Alkaline phosphatase test |
$35 |
$117 |
$15 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$54 |
$180 |
$25 |
$17 | |
| ALT liver enzyme test |
$35 |
$117 |
$15 |
$5 | |
| Ammonia blood test |
$108 |
$361 |
$47 |
$15 | |
| Amylase test |
$24 |
$81 |
$11 |
$6 | |
| Anoscopy |
$600 |
$2,000 |
$1,182 |
$129 | |
| Antinuclear antibody (ANA) test |
$46 |
$155 |
$21 |
$12 | |
| Appendix removal (appendectomy) |
— |
— |
$10,647 |
$592 | |
| Arterial blood gas (ABG) |
$326 |
$1,086 |
$141 |
$26 | |
| AST liver enzyme test |
$144 |
$479 |
$62 |
$5 | |
| Barium swallow study |
$444 |
$1,479 |
$811 |
$107 | |
| Bartholin cyst removal |
$300 |
$1,000 |
$591 |
$182 | |
| Basic metabolic panel |
$33 |
$111 |
$15 |
$8 | |
| Bilirubin blood test |
$26 |
$88 |
$11 |
$5 | |
| Blood clotting test (PT/INR) |
$81 |
$269 |
$35 |
$4 | |
| Blood crossmatch |
$108 |
$361 |
$57 |
— | |
| Blood glucose test |
$26 |
$88 |
$10 |
$5 | |
| Blood transfusion |
$173 |
$578 |
$342 |
$47 | |
| Blood type and screen |
$108 |
$361 |
$47 |
$10 | |
| Blood type test |
$57 |
$190 |
$13 |
$3 | |
| Blood type test (ABO group) |
$87 |
$289 |
$38 |
$3 | |
| Blood type test (Rh/D antigen) |
$27 |
$91 |
$12 |
$3 | |
| BNP (heart failure) test |
$108 |
$361 |
$51 |
$39 | |
| Bone density scan (DEXA) |
$77 |
$257 |
$152 |
$39 | |
| Bone scan (nuclear) |
$910 |
$3,033 |
$1,366 |
$259 | |
| Breast biopsy |
$939 |
$3,131 |
$1,869 |
$478 | |
| Breast MRI |
$673 |
$2,243 |
$1,025 |
$216 | |
| Breast MRI without contrast |
$709 |
$2,363 |
$1,396 |
$216 | |
| Breast ultrasound |
$708 |
$2,360 |
$800 |
$92 | |
| Breast ultrasound (complete) |
$1,010 |
$3,367 |
$995 |
$100 | |
| Breast ultrasound (limited) |
$406 |
$1,354 |
$800 |
$84 | |
| Breathing tube insertion (intubation) |
$335 |
$1,116 |
$659 |
$133 | |
| C-reactive protein (CRP) |
$41 |
$136 |
$18 |
$5 | |
| CA 19-9 tumor marker test |
$71 |
$237 |
$33 |
$21 | |
| CA-125 ovarian marker test |
$39 |
$130 |
$21 |
$21 | |
| Calcium blood test |
$14 |
$46 |
$6 |
$5 | |
| Cardiac catheterization |
$5,595 |
$18,651 |
$10,465 |
$1,049 | |
| Cardiac stress test |
$882 |
$2,939 |
$1,737 |
$39 | |
| Cardioversion |
$728 |
$2,426 |
$1,434 |
$155 | |
| Carotid artery ultrasound |
$754 |
$2,515 |
$1,152 |
$156 | |
| Cataract surgery |
$2,354 |
$7,846 |
$864 |
$547 | |
| CEA tumor marker test |
$108 |
$361 |
$47 |
$19 | |
| Central line placement |
$2,223 |
$7,409 |
$4,378 |
$238 | |
| Cesarean section (C-section) |
— |
— |
$7,302 |
$7,552 | |
| Chest fluid drain (thoracentesis) |
$1,915 |
$6,382 |
$1,304 |
$311 | |
| Chest tube insertion |
$600 |
$2,000 |
$1,194 |
$143 | |
| Chest X-ray |
$213 |
$711 |
$138 |
$37 | |
| Chest X-ray (1 view) |
$178 |
$594 |
$351 |
$25 | |
| Chest X-ray (2 views) |
$211 |
$702 |
$415 |
$33 | |
| Circumcision |
$1,384 |
$4,613 |
$2,726 |
$167 | |
| CK-MB heart enzyme test |
$54 |
$180 |
$23 |
$12 | |
| Clotting time test (PTT) |
$42 |
$140 |
$18 |
$6 | |
| Complete blood count (CBC) |
$60 |
$199 |
$18 |
$7 | |
| Complete blood count (CBC) (complete) |
$81 |
$269 |
$35 |
$8 | |
| Complex wound repair |
$600 |
$2,000 |
$1,022 |
$390 | |
| Comprehensive metabolic panel |
$52 |
$175 |
$23 |
$11 | |
| Copper blood test |
$54 |
$180 |
$22 |
$12 | |
| Coronary angioplasty / stent (PCI) |
— |
— |
$19,584 |
$426 | |
| Coronary artery bypass (CABG) |
— |
— |
$29,807 |
$36,593 | |
| Cortisol test |
$30 |
$99 |
$16 |
$16 | |
| CPAP titration study |
$3,893 |
$12,977 |
$1,837 |
$69 | |
| Creatine kinase (CK) test |
$22 |
$74 |
$10 |
$7 | |
| CT angiography of the chest |
$1,476 |
$4,919 |
$2,907 |
$281 | |
| CT angiography of the head |
$1,377 |
$4,590 |
$2,713 |
$274 | |
| CT scan of the abdomen |
$1,494 |
$4,979 |
$2,943 |
$230 | |
| CT scan of the abdomen and pelvis |
$3,135 |
$10,449 |
$6,175 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,681 |
$12,270 |
$7,252 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$3,135 |
$10,449 |
$6,175 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$3,135 |
$10,449 |
$6,175 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,951 |
$6,504 |
$3,844 |
$259 | |
| CT scan of the abdomen with contrast |
$1,494 |
$4,979 |
$2,943 |
$230 | |
| CT scan of the abdomen without contrast |
$1,494 |
$4,979 |
$2,943 |
$136 | |
| CT scan of the arm |
$1,629 |
$5,429 |
$3,209 |
$199 | |
| CT scan of the arm with contrast |
$1,629 |
$5,429 |
$3,209 |
$199 | |
| CT scan of the arm without contrast |
$1,629 |
$5,429 |
$3,209 |
$161 | |
| CT scan of the chest |
$1,553 |
$5,175 |
$3,058 |
$167 | |
| CT scan of the chest with and without contrast |
$1,823 |
$6,077 |
$3,592 |
$196 | |
| CT scan of the chest with contrast |
$1,553 |
$5,175 |
$3,058 |
$167 | |
| CT scan of the chest without contrast |
$1,553 |
$5,175 |
$3,058 |
$133 | |
| CT scan of the head |
$1,427 |
$4,756 |
$2,811 |
$148 | |
| CT scan of the head with and without contrast |
$1,537 |
$5,122 |
$3,027 |
$173 | |
| CT scan of the head with contrast |
$1,427 |
$4,756 |
$2,811 |
$148 | |
| CT scan of the head without contrast |
$1,427 |
$4,756 |
$2,811 |
$107 | |
| CT scan of the leg |
$1,629 |
$5,429 |
$3,209 |
$166 | |
| CT scan of the leg with contrast |
$1,629 |
$5,429 |
$3,209 |
$166 | |
| CT scan of the leg without contrast |
$1,629 |
$5,429 |
$3,209 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,726 |
$5,753 |
$3,400 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,094 |
$6,981 |
$4,126 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,726 |
$5,753 |
$3,400 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,726 |
$5,753 |
$3,400 |
$130 | |
| CT scan of the neck |
$774 |
$2,580 |
$1,525 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,726 |
$5,753 |
$3,400 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,132 |
$7,106 |
$4,200 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,726 |
$5,753 |
$3,400 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,726 |
$5,753 |
$3,400 |
$131 | |
| CT scan of the neck with and without contrast |
$774 |
$2,580 |
$1,525 |
$220 | |
| CT scan of the neck with contrast |
$774 |
$2,580 |
$1,525 |
$183 | |
| CT scan of the neck without contrast |
$774 |
$2,580 |
$1,525 |
$150 | |
| CT scan of the pelvis |
$1,640 |
$5,468 |
$3,232 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,730 |
$5,768 |
$3,409 |
$251 | |
| CT scan of the pelvis with contrast |
$1,640 |
$5,468 |
$3,232 |
$226 | |
| CT scan of the pelvis without contrast |
$1,640 |
$5,468 |
$3,232 |
$133 | |
| CT scan of the sinuses |
$1,464 |
$4,879 |
$2,179 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,741 |
$5,803 |
$3,430 |
$184 | |
| CT scan of the sinuses with contrast |
$1,106 |
$3,688 |
$2,179 |
$152 | |
| CT scan of the sinuses without contrast |
$1,464 |
$4,879 |
$2,883 |
$128 | |
| D-dimer test |
$50 |
$167 |
$22 |
$10 | |
| Defibrillator (ICD) implant |
$29,687 |
$98,957 |
$15,313 |
$798 | |
| DHEA-sulfate test |
$99 |
$330 |
$43 |
$22 | |
| Diagnostic mammogram |
$168 |
$561 |
$98 |
$140 | |
| Drug screen (urine) |
$83 |
$276 |
$62 |
$17 | |
| Echocardiogram |
$726 |
$2,420 |
$862 |
$138 | |
| Echocardiogram with and without contrast |
$726 |
$2,420 |
$905 |
$101 | |
| Echocardiogram without contrast |
$433 |
$1,444 |
$853 |
$138 | |
| EKG / ECG (tracing only) |
$288 |
$960 |
$136 |
$7 | |
| Electrocardiogram (EKG) |
$288 |
$960 |
$136 |
$8 | |
| Electrolyte panel |
$14 |
$46 |
$7 |
$7 | |
| Emergency department visit |
$390 |
$1,301 |
$397 |
$69 | |
| Emergency department visit (level 1) |
$187 |
$624 |
$100 |
$11 | |
| Emergency department visit (level 2) |
$261 |
$871 |
$515 |
$40 | |
| Emergency department visit (level 3) |
$390 |
$1,301 |
$769 |
$69 | |
| Emergency department visit (level 4) |
$600 |
$2,000 |
$1,182 |
$118 | |
| Emergency department visit (level 5) |
$876 |
$2,920 |
$1,726 |
$171 | |
| Estradiol (estrogen) test |
$54 |
$180 |
$28 |
$28 | |
| Fallopian tube X-ray (HSG) |
$137 |
$458 |
$273 |
$164 | |
| Fecal occult blood (stool) test |
$27 |
$91 |
$12 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$27 |
$91 |
$12 |
$4 | |
| Ferritin (iron) test |
$54 |
$180 |
$24 |
$14 | |
| Fibrinogen test |
$54 |
$180 |
$23 |
$10 | |
| Flu test |
$173 |
$578 |
$75 |
$17 | |
| Flu vaccine |
$13 |
$44 |
$26 |
— | |
| Folate (folic acid) test |
$54 |
$180 |
$25 |
$15 | |
| Foreign body removal (skin) |
$278 |
$928 |
$554 |
$157 | |
| Free T4 thyroid test |
$61 |
$205 |
$27 |
$9 | |
| FSH hormone test |
$54 |
$180 |
$25 |
$19 | |
| Gallbladder scan (HIDA) |
$884 |
$2,948 |
$1,742 |
$334 | |
| GGT liver test |
$37 |
$124 |
$16 |
$7 | |
| Glucose tolerance test |
$41 |
$136 |
$12 |
$8 | |
| H. pylori test |
$57 |
$189 |
$67 |
$67 | |
| HDL cholesterol test |
$41 |
$136 |
$18 |
$8 | |
| Hematocrit test |
$5 |
$16 |
$2 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$81 |
$270 |
$35 |
$10 | |
| Hepatitis B test |
$54 |
$180 |
$20 |
$10 | |
| Hepatitis C test |
$108 |
$361 |
$47 |
$14 | |
| HIV test |
$47 |
$156 |
$24 |
$19 | |
| HIV test (antibody) |
$52 |
$175 |
$24 |
$14 | |
| HIV test (antigen/antibody combo) |
$41 |
$138 |
$25 |
$24 | |
| Holter heart monitor |
$1,151 |
$3,836 |
$951 |
$26 | |
| Home sleep apnea test |
$135 |
$451 |
$267 |
$123 | |
| Iron blood test |
$14 |
$46 |
$6 |
$6 | |
| IV infusion therapy |
$144 |
$480 |
$198 |
$44 | |
| IV infusion therapy (each additional) |
$69 |
$232 |
$137 |
$21 | |
| IV infusion therapy (initial) |
$218 |
$728 |
$430 |
$67 | |
| IVC filter placement |
$3,298 |
$10,993 |
$6,497 |
$1,885 | |
| Kidney scan (nuclear) |
$495 |
$1,650 |
$975 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$5,842 |
$19,474 |
$11,509 |
$760 | |
| Kidney ultrasound |
$335 |
$1,117 |
$582 |
$84 | |
| Kidney ultrasound (limited) |
$296 |
$985 |
$582 |
$61 | |
| Knee joint injection |
$600 |
$2,000 |
$944 |
$69 | |
| Knee replacement |
— |
— |
$16,719 |
$18,054 | |
| Lactate test |
$54 |
$180 |
$23 |
$12 | |
| LDH test |
$26 |
$86 |
$11 |
$6 | |
| LDL cholesterol test |
$41 |
$138 |
$18 |
$11 | |
| Leg artery angiogram |
$2,018 |
$6,727 |
$3,975 |
$149 | |
| Leg vein ultrasound (Doppler) |
$1,008 |
$3,361 |
$1,892 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$960 |
$3,201 |
$1,892 |
$116 | |
| LH hormone test |
$54 |
$180 |
$25 |
$19 | |
| Lipase test |
$25 |
$84 |
$12 |
$7 | |
| Lipid (cholesterol) panel |
$54 |
$180 |
$23 |
$13 | |
| Liver biopsy |
$1,119 |
$3,730 |
$2,204 |
$288 | |
| Liver function panel |
$33 |
$111 |
$14 |
$8 | |
| Lower back (lumbar) spinal fusion |
— |
— |
$39,026 |
$1,511 | |
| Lung function test (PFT) |
$564 |
$1,882 |
$447 |
$37 | |
| Lung scan (V/Q) |
$376 |
$1,255 |
$819 |
$291 | |
| Magnesium blood test |
$26 |
$86 |
$11 |
$7 | |
| MMR vaccine |
$115 |
$383 |
$226 |
— | |
| MRA of the brain |
$2,196 |
$7,321 |
$3,859 |
$226 | |
| MRA of the brain with contrast |
$2,196 |
$7,321 |
$4,326 |
$226 | |
| MRA of the brain without contrast |
$2,196 |
$7,321 |
$4,326 |
$328 | |
| MRA of the neck |
$1,967 |
$6,557 |
$3,875 |
$245 | |
| MRA of the neck with contrast |
$1,967 |
$6,557 |
$3,875 |
$245 | |
| MRA of the neck without contrast |
$2,300 |
$7,668 |
$4,531 |
$343 | |
| MRI of the abdomen |
$2,050 |
$6,833 |
$3,859 |
$300 | |
| MRI of the abdomen with contrast |
$2,050 |
$6,833 |
$4,038 |
$300 | |
| MRI of the abdomen without contrast |
$1,959 |
$6,529 |
$3,859 |
$194 | |
| MRI of the ankle |
$1,652 |
$5,506 |
$1,627 |
$261 | |
| MRI of the ankle with contrast |
$826 |
$2,753 |
$1,627 |
$261 | |
| MRI of the ankle without contrast |
$1,652 |
$5,506 |
$3,254 |
$222 | |
| MRI of the brain |
$1,968 |
$6,561 |
$3,878 |
$269 | |
| MRI of the brain with contrast |
$1,968 |
$6,561 |
$3,878 |
$269 | |
| MRI of the brain without contrast |
$1,968 |
$6,561 |
$3,878 |
$195 | |
| MRI of the chest |
$2,085 |
$6,952 |
$3,971 |
$371 | |
| MRI of the chest with contrast |
$2,085 |
$6,952 |
$4,108 |
$371 | |
| MRI of the chest without contrast |
$2,325 |
$7,749 |
$4,579 |
$466 | |
| MRI of the knee |
$1,605 |
$5,349 |
$1,643 |
$315 | |
| MRI of the knee with contrast |
$826 |
$2,753 |
$1,627 |
$315 | |
| MRI of the knee without contrast |
$1,605 |
$5,349 |
$3,161 |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,970 |
$6,566 |
$3,880 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,970 |
$6,566 |
$3,880 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,970 |
$6,566 |
$3,880 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,949 |
$6,497 |
$3,840 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,489 |
$8,298 |
$4,904 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,949 |
$6,497 |
$3,840 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,949 |
$6,497 |
$3,840 |
$190 | |
| MRI of the neck (cervical spine) |
$1,995 |
$6,649 |
$3,929 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,531 |
$8,437 |
$4,986 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,995 |
$6,649 |
$3,929 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,995 |
$6,649 |
$3,929 |
$191 | |
| MRI of the pelvis |
$2,065 |
$6,883 |
$3,499 |
$268 | |
| MRI of the pelvis with contrast |
$2,065 |
$6,883 |
$4,068 |
$268 | |
| MRI of the pelvis without contrast |
$1,767 |
$5,890 |
$3,481 |
$227 | |
| MRI of the shoulder |
$2,085 |
$6,952 |
$1,643 |
$313 | |
| MRI of the shoulder with contrast |
$826 |
$2,753 |
$1,627 |
$313 | |
| MRI of the shoulder without contrast |
$2,085 |
$6,952 |
$3,193 |
$205 | |
| MRI of the wrist |
$1,458 |
$4,861 |
$1,627 |
$330 | |
| MRI of the wrist with contrast |
$826 |
$2,753 |
$1,627 |
$330 | |
| MRI of the wrist without contrast |
$1,738 |
$5,793 |
$3,424 |
$303 | |
| Nebulizer breathing treatment |
$95 |
$317 |
$257 |
$9 | |
| Nuclear cardiac stress test |
$1,585 |
$5,283 |
$1,971 |
$428 | |
| Occupational therapy evaluation |
$179 |
$596 |
$98 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$244 |
$812 |
$105 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$114 |
$379 |
$95 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$179 |
$596 |
$95 |
$101 | |
| Pacemaker insertion |
— |
— |
$13,932 |
$15,506 | |
| Pap smear (cervical screening) |
$29 |
$97 |
$20 |
$20 | |
| Parathyroid hormone (PTH) test |
$68 |
$226 |
$41 |
$41 | |
| Pelvic ultrasound |
$350 |
$1,167 |
$270 |
$78 | |
| Pelvic ultrasound (complete) |
$624 |
$2,079 |
$1,228 |
$105 | |
| Pelvic ultrasound (limited) |
$76 |
$255 |
$150 |
$51 | |
| Phosphorus blood test |
$27 |
$91 |
$12 |
$5 | |
| Physical therapy evaluation |
$79 |
$264 |
$93 |
$98 | |
| Physical therapy evaluation (high complexity) |
$79 |
$264 |
$93 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$79 |
$264 |
$93 |
$98 | |
| Platelet count |
$19 |
$62 |
$8 |
$4 | |
| Pneumonia vaccine |
$154 |
$514 |
$303 |
— | |
| Pregnancy blood test (hCG) |
$28 |
$94 |
$13 |
$8 | |
| Pregnancy ultrasound |
$547 |
$1,822 |
$585 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$297 |
$990 |
$585 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$796 |
$2,655 |
$1,569 |
$136 | |
| Procalcitonin test |
$103 |
$344 |
$47 |
$27 | |
| Prolactin test |
$54 |
$180 |
$25 |
$19 | |
| Prostate test (PSA) |
$54 |
$180 |
$25 |
$18 | |
| Scoliosis spine X-ray |
$293 |
$978 |
$578 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$293 |
$978 |
$578 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$293 |
$978 |
$578 |
$72 | |
| Screening mammogram |
$130 |
$434 |
$83 |
$126 | |
| Scrotal ultrasound |
$581 |
$1,936 |
$1,144 |
$99 | |
| Sedimentation rate (ESR) test |
$31 |
$105 |
$14 |
$3 | |
| Sex hormone binding globulin test |
$70 |
$234 |
$33 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$77 |
$257 |
$180 |
$114 | |
| Simple wound stitches |
$77 |
$257 |
$180 |
$127 | |
| Sleep study (polysomnography) |
$930 |
$3,101 |
$709 |
$691 | |
| Soft tissue ultrasound |
$113 |
$377 |
$223 |
$64 | |
| Speech therapy |
$120 |
$399 |
$75 |
$76 | |
| Spinal tap (lumbar puncture) |
$600 |
$2,000 |
$1,182 |
$165 | |
| Spirometry (lung function test) |
$227 |
$756 |
$447 |
$30 | |
| Spirometry with bronchodilator |
$902 |
$3,008 |
$1,777 |
$43 | |
| Stress echocardiogram |
$959 |
$3,197 |
$853 |
$209 | |
| Stress echocardiogram (complete) |
$1,485 |
$4,950 |
$2,925 |
$233 | |
| Swallow study |
$210 |
$701 |
$83 |
$85 | |
| T3 thyroid test |
$107 |
$357 |
$46 |
$14 | |
| Tdap (tetanus) vaccine |
$64 |
$214 |
$126 |
— | |
| Testosterone test |
$54 |
$180 |
$26 |
$26 | |
| Thyroid test (TSH) |
$65 |
$218 |
$29 |
$17 | |
| Thyroid ultrasound |
$284 |
$948 |
$560 |
$109 | |
| Thyroid uptake scan |
$418 |
$1,392 |
$577 |
$145 | |
| Total IgE allergy test |
$26 |
$88 |
$16 |
$16 | |
| Total protein test |
$133 |
$442 |
$57 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$433 |
$1,444 |
$853 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$433 |
$1,444 |
$853 |
$239 | |
| Transvaginal ultrasound |
$387 |
$1,290 |
$762 |
$118 | |
| Triglycerides test |
$30 |
$99 |
$13 |
$6 | |
| Troponin (heart) test |
$108 |
$361 |
$47 |
$12 | |
| Upper GI series (barium) |
$656 |
$2,188 |
$884 |
$128 | |
| Uric acid (gout) test |
$26 |
$86 |
$11 |
$5 | |
| Urinalysis |
$44 |
$147 |
$4 |
$3 | |
| Urine microalbumin test |
$24 |
$81 |
$9 |
$5 | |
| Urine pregnancy test |
$27 |
$91 |
$13 |
$9 | |
| Vaccine administration |
$49 |
$164 |
$97 |
$19 | |
| Vaccine administration (each additional) |
$49 |
$165 |
$97 |
$16 | |
| Vaginal delivery |
— |
— |
$6,326 |
$5,487 | |
| Vitamin B12 test |
$41 |
$136 |
$19 |
$15 | |
| Vitamin D test |
$108 |
$361 |
$51 |
$30 | |
| Weight-loss (bariatric) surgery |
— |
— |
$10,463 |
$11,645 | |
| X-ray of the abdomen |
$336 |
$1,120 |
$409 |
$36 | |
| X-ray of the ankle |
$188 |
$627 |
$371 |
$37 | |
| X-ray of the collarbone |
$203 |
$678 |
$400 |
$33 | |
| X-ray of the elbow |
$189 |
$631 |
$373 |
$33 | |
| X-ray of the facial bones |
$293 |
$978 |
$578 |
$39 | |
| X-ray of the foot |
$188 |
$627 |
$307 |
$34 | |
| X-ray of the forearm |
$164 |
$545 |
$322 |
$29 | |
| X-ray of the hand |
$164 |
$545 |
$322 |
$38 | |
| X-ray of the hip |
$181 |
$603 |
$322 |
$49 | |
| X-ray of the hip (1 view) |
$164 |
$545 |
$322 |
$34 | |
| X-ray of the hip (3 views) |
$198 |
$661 |
$391 |
$49 | |
| X-ray of the knee |
$248 |
$825 |
$344 |
$42 | |
| X-ray of the knee (2 views) |
$176 |
$587 |
$315 |
$34 | |
| X-ray of the knee (3 views) |
$248 |
$825 |
$488 |
$42 | |
| X-ray of the knee (4+ views) |
$396 |
$1,320 |
$348 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$288 |
$961 |
$455 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$231 |
$771 |
$455 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$345 |
$1,151 |
$680 |
$53 | |
| X-ray of the lower leg |
$197 |
$657 |
$388 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$258 |
$859 |
$455 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$231 |
$771 |
$455 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$284 |
$948 |
$560 |
$39 | |
| X-ray of the neck (cervical spine) |
$277 |
$922 |
$455 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$231 |
$771 |
$455 |
$40 | |
| X-ray of the pelvis |
$211 |
$705 |
$386 |
$36 | |
| X-ray of the pelvis (1 view) |
$196 |
$654 |
$386 |
$28 | |
| X-ray of the ribs |
$260 |
$868 |
$468 |
$42 | |
| X-ray of the ribs (2 views) |
$238 |
$793 |
$468 |
$36 | |
| X-ray of the ribs (3 views) |
$304 |
$1,013 |
$598 |
$42 | |
| X-ray of the shoulder |
$227 |
$756 |
$447 |
$36 | |
| X-ray of the skull |
$269 |
$895 |
$455 |
$40 | |
| X-ray of the upper arm |
$189 |
$631 |
$373 |
$32 | |
| X-ray of the wrist |
$170 |
$566 |
$335 |
$43 | |
| Zinc blood test |
$54 |
$180 |
$20 |
$11 | |