| 3D mammogram (tomosynthesis) |
$104 |
$115 |
$64 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,041 |
$1,157 |
$644 |
$284 | |
| Abdominal ultrasound |
$764 |
$849 |
$513 |
$100 | |
| Abdominal ultrasound (complete) |
$850 |
$944 |
$525 |
$114 | |
| Abdominal ultrasound (limited) |
$678 |
$753 |
$419 |
$86 | |
| Abscess drainage (complex or multiple) |
$542 |
$602 |
$335 |
$220 | |
| Abscess drainage (simple) |
$362 |
$402 |
$224 |
$129 | |
| Abscess incision and drainage |
$452 |
$502 |
$327 |
$174 | |
| Albumin blood test |
$50 |
$56 |
$31 |
$5 | |
| Aldosterone test |
$244 |
$271 |
$151 |
$41 | |
| Alkaline phosphatase test |
$69 |
$77 |
$43 |
$5 | |
| Allergy shots |
$24 |
$27 |
$16 |
$11 | |
| Alpha-fetoprotein (AFP) test |
$103 |
$114 |
$63 |
$17 | |
| ALT liver enzyme test |
$55 |
$61 |
$34 |
$5 | |
| Ammonia blood test |
$154 |
$171 |
$95 |
$15 | |
| Amylase test |
$88 |
$98 |
$55 |
$6 | |
| Annual physical (established patient) |
$226 |
$251 |
$141 |
— | |
| Annual physical (new patient) |
$262 |
$291 |
$169 |
— | |
| Anoscopy |
$268 |
$298 |
$166 |
$129 | |
| AST liver enzyme test |
$65 |
$72 |
$40 |
$5 | |
| Barium swallow study |
$635 |
$706 |
$393 |
$107 | |
| Basic metabolic panel |
$122 |
$136 |
$76 |
$8 | |
| Benign skin lesion removal |
$374 |
$416 |
$253 |
$171 | |
| Bilirubin blood test |
$97 |
$108 |
$60 |
$5 | |
| Blood clotting test (PT/INR) |
$58 |
$64 |
$36 |
$4 | |
| Blood crossmatch |
$419 |
$465 |
$259 |
— | |
| Blood glucose test |
$53 |
$58 |
$34 |
$5 | |
| Blood transfusion |
$1,044 |
$1,160 |
$646 |
$47 | |
| Blood type and screen |
$107 |
$119 |
$66 |
$10 | |
| Blood type test |
$67 |
$75 |
$42 |
$3 | |
| Blood type test (ABO group) |
$65 |
$72 |
$40 |
$3 | |
| Blood type test (Rh/D antigen) |
$69 |
$77 |
$43 |
$3 | |
| BNP (heart failure) test |
$266 |
$295 |
$164 |
$39 | |
| Bone density scan (DEXA) |
$464 |
$516 |
$287 |
$39 | |
| Breast ultrasound |
$466 |
$518 |
$319 |
$92 | |
| Breast ultrasound (complete) |
$528 |
$587 |
$327 |
$100 | |
| Breast ultrasound (limited) |
$403 |
$448 |
$249 |
$84 | |
| Breathing tube insertion (intubation) |
$447 |
$497 |
$277 |
$133 | |
| Burn dressing and debridement (small) |
$182 |
$202 |
$112 |
$93 | |
| Burn treatment |
$182 |
$202 |
$112 |
$129 | |
| C-reactive protein (CRP) |
$93 |
$103 |
$57 |
$5 | |
| CA 19-9 tumor marker test |
$172 |
$191 |
$106 |
$21 | |
| CA-125 ovarian marker test |
$149 |
$165 |
$92 |
$21 | |
| Calcium blood test |
$60 |
$67 |
$37 |
$5 | |
| Cardioversion |
$360 |
$400 |
$223 |
$155 | |
| Carotid artery ultrasound |
$1,095 |
$1,216 |
$836 |
$156 | |
| CEA tumor marker test |
$149 |
$165 |
$92 |
$19 | |
| Chest X-ray |
$333 |
$370 |
$229 |
$37 | |
| Chest X-ray (1 view) |
$274 |
$304 |
$169 |
$25 | |
| Chest X-ray (2 views) |
$344 |
$382 |
$213 |
$33 | |
| Chickenpox (varicella) vaccine |
$98 |
$109 |
$63 |
— | |
| CK-MB heart enzyme test |
$182 |
$202 |
$112 |
$12 | |
| Clotting time test (PTT) |
$93 |
$103 |
$57 |
$6 | |
| Colonoscopy |
$1,655 |
$1,839 |
$1,204 |
$480 | |
| Complete blood count (CBC) |
$86 |
$95 |
$56 |
$7 | |
| Complete blood count (CBC) (complete) |
$93 |
$103 |
$57 |
$8 | |
| Complex wound repair |
$609 |
$677 |
$446 |
$390 | |
| Comprehensive metabolic panel |
$145 |
$161 |
$90 |
$11 | |
| Contraceptive implant (Nexplanon) |
$332 |
$369 |
$288 |
$115 | |
| Copper blood test |
$125 |
$139 |
$77 |
$12 | |
| Cortisol test |
$131 |
$145 |
$81 |
$16 | |
| Creatine kinase (CK) test |
$88 |
$98 |
$55 |
$7 | |
| CT angiography of the chest |
$3,281 |
$3,645 |
$2,028 |
$281 | |
| CT angiography of the head |
$3,010 |
$3,344 |
$1,861 |
$274 | |
| CT scan of the abdomen |
$2,463 |
$2,737 |
$1,709 |
$230 | |
| CT scan of the abdomen and pelvis |
$4,416 |
$4,907 |
$2,998 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$5,091 |
$5,657 |
$3,148 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$4,416 |
$4,907 |
$2,731 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$3,794 |
$4,215 |
$2,346 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,902 |
$3,224 |
$1,794 |
$259 | |
| CT scan of the abdomen with contrast |
$2,463 |
$2,737 |
$1,523 |
$230 | |
| CT scan of the abdomen without contrast |
$2,234 |
$2,482 |
$1,381 |
$136 | |
| CT scan of the arm |
$2,385 |
$2,650 |
$1,786 |
$199 | |
| CT scan of the arm with contrast |
$2,166 |
$2,407 |
$1,718 |
$199 | |
| CT scan of the arm without contrast |
$2,084 |
$2,316 |
$1,718 |
$161 | |
| CT scan of the chest |
$2,568 |
$2,853 |
$1,688 |
$167 | |
| CT scan of the chest with and without contrast |
$2,866 |
$3,184 |
$1,772 |
$196 | |
| CT scan of the chest with contrast |
$2,568 |
$2,853 |
$1,588 |
$167 | |
| CT scan of the chest without contrast |
$2,309 |
$2,566 |
$1,428 |
$133 | |
| CT scan of the head |
$2,281 |
$2,534 |
$1,576 |
$148 | |
| CT scan of the head with and without contrast |
$2,676 |
$2,973 |
$1,654 |
$173 | |
| CT scan of the head with contrast |
$2,281 |
$2,534 |
$1,410 |
$148 | |
| CT scan of the head without contrast |
$2,022 |
$2,247 |
$1,250 |
$107 | |
| CT scan of the leg |
$2,633 |
$2,925 |
$2,205 |
$166 | |
| CT scan of the leg with contrast |
$2,166 |
$2,407 |
$1,786 |
$166 | |
| CT scan of the leg without contrast |
$2,156 |
$2,395 |
$2,205 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,589 |
$2,877 |
$1,662 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,589 |
$2,877 |
$1,601 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,822 |
$3,135 |
$1,745 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$2,311 |
$2,568 |
$1,429 |
$130 | |
| CT scan of the neck |
$2,388 |
$2,653 |
$1,895 |
$183 | |
| CT scan of the neck (cervical spine) |
$2,480 |
$2,756 |
$1,759 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,480 |
$2,756 |
$1,534 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$2,986 |
$3,318 |
$1,846 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$2,320 |
$2,578 |
$1,435 |
$131 | |
| CT scan of the neck with and without contrast |
$3,218 |
$3,576 |
$1,990 |
$220 | |
| CT scan of the neck with contrast |
$2,388 |
$2,653 |
$1,476 |
$183 | |
| CT scan of the neck without contrast |
$2,013 |
$2,237 |
$1,245 |
$150 | |
| CT scan of the pelvis |
$2,534 |
$2,815 |
$1,567 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,629 |
$2,921 |
$1,626 |
$251 | |
| CT scan of the pelvis with contrast |
$2,534 |
$2,815 |
$1,567 |
$226 | |
| CT scan of the pelvis without contrast |
$2,255 |
$2,505 |
$1,394 |
$133 | |
| CT scan of the sinuses |
$2,075 |
$2,306 |
$1,329 |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,075 |
$2,306 |
$1,283 |
$184 | |
| CT scan of the sinuses with contrast |
$2,256 |
$2,507 |
$1,395 |
$152 | |
| CT scan of the sinuses without contrast |
$1,830 |
$2,033 |
$1,131 |
$128 | |
| D-dimer test |
$144 |
$160 |
$89 |
$10 | |
| Developmental screening (child) |
$20 |
$22 |
$12 |
— | |
| DHEA-sulfate test |
$149 |
$166 |
$92 |
$22 | |
| Diagnostic mammogram |
$352 |
$391 |
$246 |
$140 | |
| Drug screen (urine) |
$331 |
$368 |
$195 |
$17 | |
| Echocardiogram |
$1,066 |
$1,184 |
$922 |
$138 | |
| Echocardiogram with and without contrast |
$847 |
$941 |
$524 |
$101 | |
| Echocardiogram without contrast |
$1,066 |
$1,184 |
$659 |
$138 | |
| EKG / ECG (tracing only) |
$311 |
$345 |
$192 |
$7 | |
| Electrocardiogram (EKG) |
$180 |
$200 |
$111 |
$8 | |
| Electrolyte panel |
$96 |
$107 |
$60 |
$7 | |
| Emergency department visit |
$533 |
$592 |
$368 |
$69 | |
| Emergency department visit (level 1) |
$195 |
$217 |
$121 |
$11 | |
| Emergency department visit (level 2) |
$338 |
$376 |
$209 |
$40 | |
| Emergency department visit (level 3) |
$533 |
$592 |
$329 |
$69 | |
| Emergency department visit (level 4) |
$750 |
$833 |
$464 |
$118 | |
| Emergency department visit (level 5) |
$1,168 |
$1,298 |
$722 |
$171 | |
| Estradiol (estrogen) test |
$140 |
$156 |
$87 |
$28 | |
| Family therapy session |
$761 |
$845 |
$470 |
$110 | |
| Fecal occult blood (stool) test |
$55 |
$61 |
$35 |
$10 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$55 |
$61 |
$35 |
$16 | |
| Ferritin (iron) test |
$116 |
$129 |
$72 |
$14 | |
| Fibrinogen test |
$135 |
$150 |
$83 |
$10 | |
| Flexible sigmoidoscopy |
$939 |
$1,043 |
$860 |
$323 | |
| Flu test |
$64 |
$70 |
$46 |
$17 | |
| Flu vaccine |
$36 |
$40 |
$26 |
— | |
| Folate (folic acid) test |
$130 |
$144 |
$80 |
$15 | |
| Foreign body removal (skin) |
$355 |
$394 |
$219 |
$157 | |
| Free T4 thyroid test |
$85 |
$94 |
$52 |
$9 | |
| FSH hormone test |
$116 |
$129 |
$72 |
$19 | |
| Ganglion cyst removal |
$708 |
$787 |
$438 |
$321 | |
| GGT liver test |
$86 |
$95 |
$53 |
$7 | |
| Glucose tolerance test |
$122 |
$136 |
$86 |
$8 | |
| Group therapy session |
$662 |
$735 |
$409 |
$30 | |
| Hammertoe repair |
$2,520 |
$2,800 |
$1,558 |
$548 | |
| HDL cholesterol test |
$53 |
$59 |
$33 |
$8 | |
| Hematocrit test |
$46 |
$51 |
$28 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$74 |
$82 |
$46 |
$10 | |
| Hemorrhoid removal |
$631 |
$701 |
$390 |
$338 | |
| Hepatitis A vaccine |
$166 |
$184 |
$102 |
— | |
| Hepatitis B test |
$78 |
$87 |
$48 |
$10 | |
| Hepatitis B vaccine |
$166 |
$184 |
$102 |
— | |
| Hepatitis C test |
$106 |
$118 |
$66 |
$14 | |
| HIV test |
$68 |
$76 |
$42 |
$19 | |
| HIV test (antigen/antibody combo) |
$68 |
$76 |
$42 |
$24 | |
| Holter heart monitor |
$569 |
$632 |
$393 |
$26 | |
| HPV vaccine |
$156 |
$173 |
$97 |
— | |
| Iron blood test |
$69 |
$77 |
$43 |
$6 | |
| IUD removal |
$239 |
$266 |
$148 |
$112 | |
| IV infusion therapy |
$232 |
$258 |
$161 |
$44 | |
| IV infusion therapy (each additional) |
$98 |
$109 |
$61 |
$21 | |
| IV infusion therapy (initial) |
$365 |
$406 |
$226 |
$67 | |
| Joint aspiration (small/intermediate) |
$119 |
$132 |
$74 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$121 |
$134 |
$75 |
$57 | |
| Joint aspiration or injection (small joint) |
$117 |
$130 |
$72 |
$56 | |
| Kidney ultrasound |
$686 |
$763 |
$473 |
$84 | |
| Kidney ultrasound (limited) |
$590 |
$656 |
$365 |
$61 | |
| Knee joint injection |
$145 |
$161 |
$90 |
$69 | |
| Lactate test |
$121 |
$134 |
$75 |
$12 | |
| LDH test |
$74 |
$82 |
$46 |
$6 | |
| LDL cholesterol test |
$195 |
$217 |
$121 |
$11 | |
| Leg vein ultrasound (Doppler) |
$1,049 |
$1,166 |
$836 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,049 |
$1,166 |
$649 |
$116 | |
| LH hormone test |
$111 |
$123 |
$68 |
$19 | |
| Lipase test |
$112 |
$124 |
$69 |
$7 | |
| Lipid (cholesterol) panel |
$112 |
$124 |
$69 |
$13 | |
| Liver function panel |
$121 |
$134 |
$75 |
$8 | |
| Lung function test (PFT) |
$482 |
$535 |
$354 |
$37 | |
| Magnesium blood test |
$84 |
$93 |
$52 |
$7 | |
| MMR vaccine |
$59 |
$66 |
$40 |
— | |
| MRA of the brain |
$3,217 |
$3,574 |
$1,989 |
$226 | |
| MRA of the neck |
$2,736 |
$3,040 |
$1,834 |
$245 | |
| MRA of the neck without contrast |
$3,038 |
$3,375 |
$1,878 |
$343 | |
| MRI of the abdomen |
$3,344 |
$3,716 |
$2,572 |
$300 | |
| MRI of the abdomen with contrast |
$3,344 |
$3,716 |
$2,068 |
$300 | |
| MRI of the abdomen without contrast |
$3,115 |
$3,461 |
$1,926 |
$194 | |
| MRI of the ankle |
$3,214 |
$3,571 |
$2,649 |
$261 | |
| MRI of the ankle without contrast |
$2,863 |
$3,181 |
$2,360 |
$222 | |
| MRI of the brain |
$3,744 |
$4,160 |
$2,448 |
$269 | |
| MRI of the brain without contrast |
$3,433 |
$3,814 |
$2,122 |
$195 | |
| MRI of the chest |
$3,457 |
$3,841 |
$2,233 |
$371 | |
| MRI of the chest with contrast |
$3,793 |
$4,214 |
$2,345 |
$371 | |
| MRI of the chest without contrast |
$3,407 |
$3,786 |
$2,107 |
$466 | |
| MRI of the knee |
$3,203 |
$3,559 |
$2,118 |
$315 | |
| MRI of the knee without contrast |
$2,570 |
$2,855 |
$2,118 |
$204 | |
| MRI of the lower back (lumbar spine) |
$4,089 |
$4,543 |
$2,528 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$4,089 |
$4,543 |
$2,528 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$3,362 |
$3,735 |
$2,079 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$4,487 |
$4,985 |
$3,270 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$5,416 |
$6,018 |
$3,349 |
$319 | |
| MRI of the mid-back (thoracic spine) without contrast |
$3,557 |
$3,952 |
$2,199 |
$190 | |
| MRI of the neck (cervical spine) |
$3,686 |
$4,095 |
$2,424 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$4,016 |
$4,462 |
$2,483 |
$318 | |
| MRI of the neck (cervical spine) without contrast |
$3,355 |
$3,728 |
$2,075 |
$191 | |
| MRI of the pelvis |
$3,069 |
$3,410 |
$1,898 |
$268 | |
| MRI of the pelvis with contrast |
$3,038 |
$3,375 |
$1,878 |
$268 | |
| MRI of the pelvis without contrast |
$3,069 |
$3,410 |
$1,898 |
$227 | |
| MRI of the shoulder |
$3,719 |
$4,132 |
$2,695 |
$313 | |
| MRI of the shoulder without contrast |
$2,540 |
$2,822 |
$2,094 |
$205 | |
| MRI of the wrist |
$2,921 |
$3,245 |
$2,408 |
$330 | |
| MRI of the wrist without contrast |
$2,726 |
$3,029 |
$2,248 |
$303 | |
| Nebulizer breathing treatment |
$281 |
$312 |
$174 |
$9 | |
| Occupational therapy evaluation |
$223 |
$248 |
$173 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$294 |
$327 |
$182 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$197 |
$219 |
$122 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$223 |
$248 |
$138 |
$101 | |
| Office visit (established patient) |
$242 |
$296 |
$201 |
$115 | |
| Office visit (new patient) |
$340 |
$405 |
$266 |
$177 | |
| Office visit, established patient (level 3) |
$150 |
$221 |
$123 |
$95 | |
| Office visit, established patient (level 4) |
$333 |
$370 |
$206 |
$136 | |
| Office visit, new patient (level 3) |
$220 |
$271 |
$151 |
$118 | |
| Office visit, new patient (level 4) |
$340 |
$405 |
$225 |
$177 | |
| Office visit, new patient (level 5) |
$430 |
$535 |
$298 |
$237 | |
| Pap smear (cervical screening) |
$79 |
$88 |
$49 |
$20 | |
| Parathyroid hormone (PTH) test |
$233 |
$259 |
$144 |
$41 | |
| Pelvic ultrasound |
$610 |
$678 |
$466 |
$78 | |
| Pelvic ultrasound (complete) |
$792 |
$880 |
$490 |
$105 | |
| Pelvic ultrasound (limited) |
$428 |
$476 |
$265 |
$51 | |
| Phosphorus blood test |
$69 |
$77 |
$43 |
$5 | |
| Physical therapy evaluation |
$203 |
$225 |
$152 |
$98 | |
| Physical therapy evaluation (high complexity) |
$257 |
$286 |
$159 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$203 |
$225 |
$125 |
$98 | |
| Pneumonia vaccine |
$313 |
$348 |
$194 |
— | |
| Pregnancy blood test (hCG) |
$37 |
$41 |
$23 |
$8 | |
| Procalcitonin test |
$198 |
$220 |
$122 |
$27 | |
| Prolactin test |
$172 |
$191 |
$106 |
$19 | |
| Prostate test (PSA) |
$125 |
$139 |
$77 |
$18 | |
| Psychotherapy session |
$687 |
$763 |
$425 |
$140 | |
| Routine eye exam |
$198 |
$220 |
$122 |
$88 | |
| Scoliosis spine X-ray |
$278 |
$309 |
$200 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$225 |
$250 |
$139 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$330 |
$367 |
$204 |
$72 | |
| Screening mammogram |
$373 |
$414 |
$230 |
$126 | |
| Scrotal ultrasound |
$658 |
$731 |
$407 |
$99 | |
| Sedimentation rate (ESR) test |
$43 |
$48 |
$27 |
$3 | |
| Sex hormone binding globulin test |
$150 |
$167 |
$93 |
$22 | |
| Shingles vaccine |
$203 |
$225 |
$125 |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
$203 |
$225 |
$125 |
$114 | |
| Simple wound stitches |
$224 |
$249 |
$148 |
$127 | |
| Skin biopsy |
$275 |
$306 |
$200 |
$121 | |
| Skin biopsy (punch) |
$275 |
$306 |
$170 |
$121 | |
| Skin cancer lesion removal |
$536 |
$595 |
$358 |
$240 | |
| Skin lesion freezing (cryotherapy) |
$82 |
$91 |
$52 |
$36 | |
| Skin tag removal |
$200 |
$222 |
$124 |
$92 | |
| Soft tissue ultrasound |
$540 |
$600 |
$334 |
$64 | |
| Speech therapy |
$299 |
$332 |
$185 |
$76 | |
| Spinal tap (lumbar puncture) |
$667 |
$741 |
$412 |
$165 | |
| Spirometry (lung function test) |
$279 |
$310 |
$173 |
$30 | |
| Spirometry with bronchodilator |
$684 |
$760 |
$423 |
$43 | |
| Strep throat test |
$86 |
$96 |
$53 |
$17 | |
| Stress echocardiogram |
$1,343 |
$1,492 |
$830 |
$209 | |
| Swallow study |
$341 |
$379 |
$211 |
$85 | |
| T3 thyroid test |
$121 |
$134 |
$75 |
$14 | |
| Tdap (tetanus) vaccine |
$155 |
$172 |
$96 |
— | |
| Testosterone test |
$125 |
$139 |
$77 |
$26 | |
| Thyroid test (TSH) |
$121 |
$134 |
$75 |
$17 | |
| Thyroid ultrasound |
$617 |
$685 |
$381 |
$109 | |
| Total IgE allergy test |
$158 |
$176 |
$98 |
$16 | |
| Total protein test |
$65 |
$72 |
$40 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$2,434 |
$2,704 |
$1,505 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$2,434 |
$2,704 |
$1,505 |
$239 | |
| Transvaginal ultrasound |
$680 |
$755 |
$420 |
$118 | |
| Trigger point injection |
$121 |
$134 |
$76 |
$56 | |
| Trigger point injection (1-2 muscles) |
$121 |
$134 |
$75 |
$52 | |
| Triglycerides test |
$57 |
$63 |
$35 |
$6 | |
| Upper GI endoscopy (EGD) |
$2,045 |
$2,272 |
$1,469 |
$371 | |
| Uric acid (gout) test |
$55 |
$61 |
$34 |
$5 | |
| Urinalysis |
$62 |
$69 |
$38 |
$3 | |
| Urine microalbumin test |
$74 |
$82 |
$57 |
$5 | |
| Vaccine administration |
$55 |
$61 |
$41 |
$19 | |
| Vaccine administration (each additional) |
$32 |
$36 |
$20 |
$16 | |
| Vitamin B12 test |
$125 |
$139 |
$77 |
$15 | |
| Vitamin D test |
$154 |
$171 |
$95 |
$30 | |
| Wart removal |
$249 |
$277 |
$162 |
$121 | |
| Well-child visit |
$195 |
$217 |
$121 |
— | |
| Wound debridement |
$176 |
$195 |
$109 |
$186 | |
| X-ray of the abdomen |
$345 |
$384 |
$234 |
$36 | |
| X-ray of the ankle |
$327 |
$363 |
$202 |
$37 | |
| X-ray of the collarbone |
$284 |
$315 |
$175 |
$33 | |
| X-ray of the elbow |
$338 |
$375 |
$209 |
$33 | |
| X-ray of the facial bones |
$177 |
$197 |
$121 |
$39 | |
| X-ray of the foot |
$340 |
$378 |
$210 |
$34 | |
| X-ray of the forearm |
$290 |
$322 |
$179 |
$29 | |
| X-ray of the hand |
$328 |
$364 |
$203 |
$38 | |
| X-ray of the hip |
$243 |
$270 |
$199 |
$49 | |
| X-ray of the hip (1 view) |
$243 |
$270 |
$150 |
$34 | |
| X-ray of the hip (3 views) |
$338 |
$375 |
$209 |
$49 | |
| X-ray of the knee |
$374 |
$415 |
$235 |
$42 | |
| X-ray of the knee (2 views) |
$329 |
$365 |
$203 |
$34 | |
| X-ray of the knee (3 views) |
$374 |
$415 |
$231 |
$42 | |
| X-ray of the knee (4+ views) |
$399 |
$443 |
$247 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$489 |
$543 |
$319 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$450 |
$500 |
$278 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$527 |
$586 |
$326 |
$53 | |
| X-ray of the lower leg |
$300 |
$333 |
$185 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$429 |
$476 |
$296 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$366 |
$407 |
$226 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$491 |
$545 |
$303 |
$39 | |
| X-ray of the neck (cervical spine) |
$436 |
$484 |
$312 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$355 |
$394 |
$219 |
$40 | |
| X-ray of the pelvis |
$345 |
$383 |
$224 |
$36 | |
| X-ray of the pelvis (1 view) |
$319 |
$354 |
$197 |
$28 | |
| X-ray of the ribs |
$432 |
$480 |
$331 |
$42 | |
| X-ray of the ribs (2 views) |
$321 |
$357 |
$199 |
$36 | |
| X-ray of the ribs (3 views) |
$432 |
$480 |
$267 |
$42 | |
| X-ray of the shoulder |
$350 |
$389 |
$216 |
$36 | |
| X-ray of the skull |
$317 |
$352 |
$237 |
$40 | |
| X-ray of the upper arm |
$316 |
$351 |
$195 |
$32 | |
| X-ray of the wrist |
$323 |
$359 |
$200 |
$43 | |
| Zinc blood test |
$59 |
$66 |
$37 |
$11 | |