| Abdominal ultrasound |
$609 |
$622 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$683 |
$697 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$535 |
$546 |
— |
$86 | |
| Albumin blood test |
$5 |
$6 |
— |
$5 | |
| Aldosterone test |
$68 |
$70 |
— |
$41 | |
| Alkaline phosphatase test |
$5 |
$6 |
— |
$5 | |
| Alpha-fetoprotein (AFP) test |
$41 |
$42 |
— |
$17 | |
| ALT liver enzyme test |
$5 |
$6 |
— |
$5 | |
| Ammonia blood test |
$55 |
$56 |
— |
$15 | |
| Amylase test |
$16 |
$17 |
— |
$6 | |
| Antinuclear antibody (ANA) test |
$41 |
$42 |
— |
$12 | |
| Arterial blood gas (ABG) |
$85 |
$87 |
— |
$26 | |
| AST liver enzyme test |
$5 |
$6 |
— |
$5 | |
| Barium swallow study |
$683 |
$697 |
— |
$107 | |
| Basic metabolic panel |
$30 |
$31 |
— |
$8 | |
| Bilirubin blood test |
$16 |
$17 |
— |
$5 | |
| Blood clotting test (PT/INR) |
$22 |
$22 |
— |
$4 | |
| Blood crossmatch |
$22 |
$22 |
— |
— | |
| Blood glucose test |
$11 |
$11 |
— |
$5 | |
| Blood transfusion |
$484 |
$494 |
— |
$47 | |
| Blood type and screen |
$33 |
$34 |
— |
$10 | |
| Blood type test |
$11 |
$11 |
— |
$3 | |
| Blood type test (ABO group) |
$11 |
$11 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$11 |
$11 |
— |
$3 | |
| BNP (heart failure) test |
$82 |
$84 |
— |
$39 | |
| Bone scan (nuclear) |
$1,504 |
$1,535 |
— |
$259 | |
| Breast ultrasound |
$446 |
$455 |
— |
$92 | |
| Breast ultrasound (limited) |
$446 |
$455 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$101 |
$103 |
— |
$133 | |
| C-reactive protein (CRP) |
$41 |
$42 |
— |
$5 | |
| CA 19-9 tumor marker test |
$90 |
$92 |
— |
$21 | |
| CA-125 ovarian marker test |
$90 |
$92 |
— |
$21 | |
| Calcium blood test |
$5 |
$6 |
— |
$5 | |
| Cardiac rehabilitation |
$220 |
$225 |
— |
$26 | |
| Carotid artery ultrasound |
$1,114 |
$1,137 |
— |
$156 | |
| CEA tumor marker test |
$68 |
$70 |
— |
$19 | |
| Chemotherapy infusion |
$484 |
$494 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$176 |
$180 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$793 |
$809 |
— |
$133 | |
| Chest X-ray |
$208 |
$212 |
— |
$37 | |
| Chest X-ray (1 view) |
$119 |
$121 |
— |
$25 | |
| Chest X-ray (2 views) |
$178 |
$182 |
— |
$33 | |
| Circumcision |
$593 |
$606 |
— |
$167 | |
| CK-MB heart enzyme test |
$41 |
$42 |
— |
$12 | |
| Clotting time test (PTT) |
$22 |
$22 |
— |
$6 | |
| Complete blood count (CBC) |
$25 |
$25 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$27 |
$28 |
— |
$8 | |
| Comprehensive metabolic panel |
$41 |
$42 |
— |
$11 | |
| Copper blood test |
$68 |
$70 |
— |
$12 | |
| Cortisol test |
$41 |
$42 |
— |
$16 | |
| COVID-19 PCR test |
$328 |
$335 |
— |
$51 | |
| CPAP titration study |
$485 |
$495 |
— |
$69 | |
| Creatine kinase (CK) test |
$16 |
$17 |
— |
$7 | |
| CT angiography of the chest |
$329 |
$335 |
— |
$281 | |
| CT angiography of the head |
$323 |
$330 |
— |
$274 | |
| CT scan of the abdomen |
$262 |
$267 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$345 |
$353 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$396 |
$404 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$345 |
$353 |
— |
$300 | |
| CT scan of the abdomen with and without contrast |
$301 |
$307 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$262 |
$267 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$139 |
$142 |
— |
$136 | |
| CT scan of the arm |
$256 |
$262 |
— |
$199 | |
| CT scan of the arm with contrast |
$256 |
$262 |
— |
$199 | |
| CT scan of the arm without contrast |
$201 |
$205 |
— |
$161 | |
| CT scan of the chest |
$262 |
$267 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$323 |
$330 |
— |
$196 | |
| CT scan of the chest with contrast |
$262 |
$267 |
— |
$167 | |
| CT scan of the chest without contrast |
$201 |
$205 |
— |
$133 | |
| CT scan of the head |
$167 |
$171 |
— |
$148 | |
| CT scan of the head with and without contrast |
$201 |
$205 |
— |
$173 | |
| CT scan of the head with contrast |
$167 |
$171 |
— |
$148 | |
| CT scan of the head without contrast |
$117 |
$119 |
— |
$107 | |
| CT scan of the leg |
$262 |
$267 |
— |
$166 | |
| CT scan of the leg with contrast |
$262 |
$267 |
— |
$166 | |
| CT scan of the leg without contrast |
$201 |
$205 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$262 |
$267 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$323 |
$330 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$262 |
$267 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$201 |
$205 |
— |
$130 | |
| CT scan of the neck |
$262 |
$267 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$262 |
$267 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$323 |
$330 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$262 |
$267 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$206 |
$210 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$323 |
$330 |
— |
$220 | |
| CT scan of the neck with contrast |
$262 |
$267 |
— |
$183 | |
| CT scan of the neck without contrast |
$201 |
$205 |
— |
$150 | |
| CT scan of the pelvis |
$262 |
$267 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$312 |
$318 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$262 |
$267 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$145 |
$148 |
— |
$133 | |
| CT scan of the sinuses |
$173 |
$176 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$223 |
$227 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$173 |
$176 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$150 |
$154 |
— |
$128 | |
| D-dimer test |
$41 |
$42 |
— |
$10 | |
| DHEA-sulfate test |
$41 |
$42 |
— |
$22 | |
| Diagnostic mammogram |
$1,010 |
$1,031 |
— |
$140 | |
| Drug screen (urine) |
$68 |
$70 |
— |
$17 | |
| EEG (awake and asleep) |
$675 |
$689 |
— |
$482 | |
| EKG / ECG (tracing only) |
$25 |
$25 |
— |
$7 | |
| Electrocardiogram (EKG) |
$25 |
$25 |
— |
$8 | |
| Electroencephalogram (EEG) |
$622 |
$634 |
— |
$448 | |
| Electrolyte panel |
$22 |
$22 |
— |
$7 | |
| Electromyography (EMG) |
$174 |
$177 |
— |
$141 | |
| Emergency department visit |
$235 |
$240 |
— |
$69 | |
| Emergency department visit (level 1) |
$118 |
$120 |
— |
$11 | |
| Emergency department visit (level 2) |
$118 |
$120 |
— |
$40 | |
| Emergency department visit (level 3) |
$235 |
$240 |
— |
$69 | |
| Emergency department visit (level 4) |
$470 |
$480 |
— |
$118 | |
| Emergency department visit (level 5) |
$823 |
$840 |
— |
$171 | |
| Estradiol (estrogen) test |
$41 |
$42 |
— |
$28 | |
| Family therapy session |
$72 |
$74 |
— |
$110 | |
| Fecal occult blood (stool) test |
$14 |
$14 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$14 |
$14 |
— |
$4 | |
| Ferritin (iron) test |
$41 |
$42 |
— |
$14 | |
| Fibrinogen test |
$25 |
$25 |
— |
$10 | |
| Flu test |
$68 |
$70 |
— |
$17 | |
| Flu vaccine |
$61 |
$62 |
— |
— | |
| Folate (folic acid) test |
$41 |
$42 |
— |
$15 | |
| Free T4 thyroid test |
$41 |
$42 |
— |
$9 | |
| FSH hormone test |
$41 |
$42 |
— |
$19 | |
| Gallbladder scan (HIDA) |
$2,515 |
$2,566 |
— |
$334 | |
| GGT liver test |
$5 |
$6 |
— |
$7 | |
| Glucose tolerance test |
$26 |
$27 |
— |
$8 | |
| Group therapy session |
$72 |
$74 |
— |
$30 | |
| HDL cholesterol test |
$41 |
$42 |
— |
$8 | |
| Hematocrit test |
$11 |
$11 |
— |
$2 | |
| Hemoglobin A1c (diabetes test) |
$55 |
$56 |
— |
$10 | |
| Hepatitis B test |
$68 |
$70 |
— |
$10 | |
| Hepatitis C test |
$68 |
$70 |
— |
$14 | |
| HIV test |
$68 |
$70 |
— |
$19 | |
| HIV test (antigen/antibody combo) |
$68 |
$70 |
— |
$24 | |
| Iron blood test |
$16 |
$17 |
— |
$6 | |
| IV infusion therapy |
$484 |
$494 |
— |
$44 | |
| IV infusion therapy (each additional) |
$176 |
$180 |
— |
$21 | |
| IV infusion therapy (initial) |
$793 |
$809 |
— |
$67 | |
| Kidney scan (nuclear) |
$838 |
$855 |
— |
$172 | |
| Kidney ultrasound |
$446 |
$455 |
— |
$84 | |
| Kidney ultrasound (limited) |
$238 |
$243 |
— |
$61 | |
| Lactate test |
$55 |
$56 |
— |
$12 | |
| LDH test |
$11 |
$11 |
— |
$6 | |
| Leg vein ultrasound (Doppler) |
$1,100 |
$1,122 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$832 |
$849 |
— |
$116 | |
| LH hormone test |
$68 |
$70 |
— |
$19 | |
| Lipase test |
$22 |
$22 |
— |
$7 | |
| Lipid (cholesterol) panel |
$52 |
$53 |
— |
$13 | |
| Liver function panel |
$30 |
$31 |
— |
$8 | |
| Lung function test (PFT) |
$125 |
$128 |
— |
$37 | |
| Lung scan (V/Q) |
$2,022 |
$2,063 |
— |
$291 | |
| Magnesium blood test |
$16 |
$17 |
— |
$7 | |
| MMR vaccine |
$340 |
$347 |
— |
— | |
| MRA of the brain |
$730 |
$745 |
— |
$226 | |
| MRA of the brain with contrast |
$722 |
$737 |
— |
$226 | |
| MRA of the brain without contrast |
$1,122 |
$1,145 |
— |
$328 | |
| MRA of the neck |
$777 |
$793 |
— |
$245 | |
| MRA of the neck with contrast |
$777 |
$793 |
— |
$245 | |
| MRA of the neck without contrast |
$1,130 |
$1,153 |
— |
$343 | |
| MRI of the abdomen |
$808 |
$825 |
— |
$300 | |
| MRI of the abdomen with contrast |
$808 |
$825 |
— |
$300 | |
| MRI of the abdomen without contrast |
$573 |
$585 |
— |
$194 | |
| MRI of the ankle |
$714 |
$729 |
— |
$261 | |
| MRI of the ankle with contrast |
$714 |
$729 |
— |
$261 | |
| MRI of the ankle without contrast |
$651 |
$665 |
— |
$222 | |
| MRI of the brain |
$510 |
$520 |
— |
$269 | |
| MRI of the brain with contrast |
$510 |
$520 |
— |
$269 | |
| MRI of the brain without contrast |
$345 |
$352 |
— |
$195 | |
| MRI of the chest |
$824 |
$841 |
— |
$371 | |
| MRI of the chest with contrast |
$824 |
$841 |
— |
$371 | |
| MRI of the chest without contrast |
$1,028 |
$1,049 |
— |
$466 | |
| MRI of the knee |
$659 |
$673 |
— |
$315 | |
| MRI of the knee with contrast |
$659 |
$673 |
— |
$315 | |
| MRI of the knee without contrast |
$369 |
$376 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$510 |
$520 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$510 |
$520 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$330 |
$336 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$518 |
$528 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$589 |
$601 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$518 |
$528 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$330 |
$336 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$518 |
$528 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$581 |
$593 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$518 |
$528 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$330 |
$336 |
— |
$191 | |
| MRI of the pelvis |
$714 |
$729 |
— |
$268 | |
| MRI of the pelvis with contrast |
$714 |
$729 |
— |
$268 | |
| MRI of the pelvis without contrast |
$667 |
$681 |
— |
$227 | |
| MRI of the shoulder |
$651 |
$665 |
— |
$313 | |
| MRI of the shoulder with contrast |
$651 |
$665 |
— |
$313 | |
| MRI of the shoulder without contrast |
$369 |
$376 |
— |
$205 | |
| MRI of the wrist |
$706 |
$721 |
— |
$330 | |
| MRI of the wrist with contrast |
$706 |
$721 |
— |
$330 | |
| MRI of the wrist without contrast |
$659 |
$673 |
— |
$303 | |
| Nebulizer breathing treatment |
$162 |
$165 |
— |
$9 | |
| Nerve conduction study |
$107 |
$109 |
— |
$118 | |
| Nuclear cardiac stress test |
$2,835 |
$2,893 |
— |
$428 | |
| Occupational therapy evaluation |
$221 |
$225 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$662 |
$676 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$110 |
$113 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$221 |
$225 |
— |
$101 | |
| Office visit (established patient) |
$198 |
$202 |
— |
$115 | |
| Office visit (new patient) |
$220 |
$225 |
— |
$177 | |
| Office visit, established patient (level 3) |
$176 |
$180 |
— |
$95 | |
| Office visit, established patient (level 4) |
$220 |
$225 |
— |
$136 | |
| Office visit, new patient (level 3) |
$176 |
$180 |
— |
$118 | |
| Office visit, new patient (level 4) |
$220 |
$225 |
— |
$177 | |
| Office visit, new patient (level 5) |
$264 |
$270 |
— |
$237 | |
| Pap smear (cervical screening) |
$150 |
$154 |
— |
$20 | |
| Parathyroid hormone (PTH) test |
$41 |
$42 |
— |
$41 | |
| Pelvic ultrasound |
$416 |
$425 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$624 |
$637 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$208 |
$212 |
— |
$51 | |
| Phosphorus blood test |
$5 |
$6 |
— |
$5 | |
| Physical therapy evaluation |
$330 |
$336 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$330 |
$336 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$165 |
$168 |
— |
$98 | |
| Platelet count |
$11 |
$11 |
— |
$4 | |
| Pneumonia vaccine |
$252 |
$257 |
— |
— | |
| Pregnancy blood test (hCG) |
$27 |
$28 |
— |
$8 | |
| Pregnancy ultrasound |
$624 |
$637 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$624 |
$637 |
— |
$117 | |
| Procalcitonin test |
$410 |
$419 |
— |
$27 | |
| Prolactin test |
$55 |
$56 |
— |
$19 | |
| Prostate test (PSA) |
$55 |
$56 |
— |
$18 | |
| Psychiatric evaluation |
$72 |
$74 |
— |
$188 | |
| Psychotherapy session |
$72 |
$74 |
— |
$140 | |
| Rheumatoid factor test |
$22 |
$22 |
— |
$6 | |
| Scrotal ultrasound |
$297 |
$303 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$14 |
$14 |
— |
$3 | |
| Semen analysis |
$79 |
$81 |
— |
$12 | |
| Sex hormone binding globulin test |
$68 |
$70 |
— |
$22 | |
| Soft tissue ultrasound |
$89 |
$91 |
— |
$64 | |
| Speech therapy |
$234 |
$238 |
— |
$76 | |
| Spirometry (lung function test) |
$101 |
$103 |
— |
$30 | |
| Spirometry with bronchodilator |
$149 |
$153 |
— |
$43 | |
| Strep throat test |
$68 |
$70 |
— |
$17 | |
| Swallow study |
$311 |
$318 |
— |
$85 | |
| T3 thyroid test |
$41 |
$42 |
— |
$14 | |
| Tdap (tetanus) vaccine |
$121 |
$123 |
— |
— | |
| Testosterone test |
$41 |
$42 |
— |
$26 | |
| Thyroid test (TSH) |
$41 |
$42 |
— |
$17 | |
| Thyroid ultrasound |
$743 |
$758 |
— |
$109 | |
| Thyroid uptake scan |
$1,036 |
$1,057 |
— |
$145 | |
| Total IgE allergy test |
$41 |
$42 |
— |
$16 | |
| Total protein test |
$5 |
$6 |
— |
$4 | |
| Transvaginal ultrasound |
$743 |
$758 |
— |
$118 | |
| Triglycerides test |
$5 |
$6 |
— |
$6 | |
| Troponin (heart) test |
$68 |
$70 |
— |
$12 | |
| Upper GI series (barium) |
$713 |
$728 |
— |
$128 | |
| Uric acid (gout) test |
$5 |
$6 |
— |
$5 | |
| Urinalysis |
$18 |
$18 |
— |
$3 | |
| Urine microalbumin test |
$34 |
$35 |
— |
$5 | |
| Urine pregnancy test |
$27 |
$28 |
— |
$9 | |
| Vaccine administration |
$132 |
$135 |
— |
$19 | |
| Vitamin B12 test |
$41 |
$42 |
— |
$15 | |
| Vitamin D test |
$41 |
$42 |
— |
$30 | |
| X-ray of the abdomen |
$208 |
$212 |
— |
$36 | |
| X-ray of the ankle |
$178 |
$182 |
— |
$37 | |
| X-ray of the collarbone |
$149 |
$152 |
— |
$33 | |
| X-ray of the elbow |
$178 |
$182 |
— |
$33 | |
| X-ray of the facial bones |
$193 |
$197 |
— |
$39 | |
| X-ray of the foot |
$178 |
$182 |
— |
$34 | |
| X-ray of the forearm |
$149 |
$152 |
— |
$29 | |
| X-ray of the hand |
$178 |
$182 |
— |
$38 | |
| X-ray of the hip |
$238 |
$243 |
— |
$49 | |
| X-ray of the hip (1 view) |
$178 |
$182 |
— |
$34 | |
| X-ray of the hip (3 views) |
$238 |
$243 |
— |
$49 | |
| X-ray of the hip (4 views) |
$297 |
$303 |
— |
$63 | |
| X-ray of the knee |
$208 |
$212 |
— |
$42 | |
| X-ray of the knee (2 views) |
$178 |
$182 |
— |
$34 | |
| X-ray of the knee (3 views) |
$208 |
$212 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$238 |
$243 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$238 |
$243 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$208 |
$212 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$267 |
$273 |
— |
$53 | |
| X-ray of the lower leg |
$178 |
$182 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$193 |
$197 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$178 |
$182 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$208 |
$212 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$208 |
$212 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$178 |
$182 |
— |
$40 | |
| X-ray of the pelvis |
$208 |
$212 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$178 |
$182 |
— |
$28 | |
| X-ray of the ribs |
$178 |
$182 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$178 |
$182 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$178 |
$182 |
— |
$42 | |
| X-ray of the shoulder |
$149 |
$152 |
— |
$36 | |
| X-ray of the skull |
$223 |
$227 |
— |
$40 | |
| X-ray of the upper arm |
$178 |
$182 |
— |
$32 | |
| X-ray of the wrist |
$208 |
$212 |
— |
$43 | |
| Zinc blood test |
$68 |
$70 |
— |
$11 | |