| Abdominal fluid drain (paracentesis) |
$2,028 |
$2,028 |
— |
$284 | |
| Abdominal ultrasound |
$473 |
$473 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$473 |
$473 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$473 |
$473 |
— |
$86 | |
| Abscess drainage (simple) |
$105 |
$105 |
— |
$129 | |
| Abscess incision and drainage |
$105 |
$105 |
— |
$174 | |
| Albumin blood test |
$20 |
$20 |
— |
$5 | |
| Alkaline phosphatase test |
$130 |
$130 |
— |
$5 | |
| Alpha-fetoprotein (AFP) test |
$96 |
$96 |
— |
$17 | |
| ALT liver enzyme test |
$115 |
$115 |
— |
$5 | |
| Ammonia blood test |
$94 |
$94 |
— |
$15 | |
| Amylase test |
$195 |
$195 |
— |
$6 | |
| Antinuclear antibody (ANA) test |
$64 |
$64 |
— |
$12 | |
| Arterial blood gas (ABG) |
$210 |
$210 |
— |
$26 | |
| AST liver enzyme test |
$115 |
$115 |
— |
$5 | |
| Barium swallow study |
$404 |
$404 |
— |
$107 | |
| Basic metabolic panel |
$238 |
$238 |
— |
$8 | |
| Bilirubin blood test |
$54 |
$54 |
— |
$5 | |
| Blood clotting test (PT/INR) |
$89 |
$89 |
— |
$4 | |
| Blood crossmatch |
$165 |
$165 |
— |
— | |
| Blood glucose test |
$23 |
$23 |
— |
$5 | |
| Blood transfusion |
$1,657 |
$1,657 |
— |
$47 | |
| Blood type and screen |
$54 |
$54 |
— |
$10 | |
| Blood type test |
$55 |
$55 |
— |
$3 | |
| Blood type test (ABO group) |
$45 |
$45 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$55 |
$55 |
— |
$3 | |
| BNP (heart failure) test |
$406 |
$406 |
— |
$39 | |
| Bone marrow biopsy |
$1,050 |
$1,050 |
— |
$172 | |
| Breast biopsy |
$5,491 |
$5,491 |
— |
$478 | |
| Breathing tube insertion (intubation) |
$1,575 |
$1,575 |
— |
$133 | |
| Bronchoscopy |
$770 |
$770 |
— |
$303 | |
| C-reactive protein (CRP) |
$130 |
$130 |
— |
$5 | |
| CA 19-9 tumor marker test |
$122 |
$122 |
— |
$21 | |
| Calcium blood test |
$47 |
$47 |
— |
$5 | |
| Cardiac MRI |
$1,491 |
$1,491 |
— |
$322 | |
| Cardiac MRI without contrast |
$1,491 |
$1,491 |
— |
$280 | |
| Carotid artery ultrasound |
$368 |
$368 |
— |
$156 | |
| CEA tumor marker test |
$30 |
$30 |
— |
$19 | |
| Central line placement |
$2,057 |
$2,057 |
— |
$238 | |
| Chest fluid drain (thoracentesis) |
$2,028 |
$2,028 |
— |
$311 | |
| Chest X-ray |
$294 |
$294 |
— |
$37 | |
| Chest X-ray (1 view) |
$389 |
$389 |
— |
$25 | |
| Chest X-ray (2 views) |
$286 |
$286 |
— |
$33 | |
| CK-MB heart enzyme test |
$177 |
$177 |
— |
$12 | |
| Clotting time test (PTT) |
$114 |
$114 |
— |
$6 | |
| Complete blood count (CBC) |
$192 |
$192 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$193 |
$193 |
— |
$8 | |
| Comprehensive metabolic panel |
$472 |
$472 |
— |
$11 | |
| Cortisol test |
$147 |
$147 |
— |
$16 | |
| COVID-19 PCR test |
$650 |
$650 |
— |
$51 | |
| CPAP titration study |
$419 |
$419 |
— |
$69 | |
| Creatine kinase (CK) test |
$115 |
$115 |
— |
$7 | |
| CT angiography of the chest |
$1,114 |
$1,114 |
$464 |
$281 | |
| CT angiography of the head |
$1,114 |
$1,114 |
$464 |
$274 | |
| CT scan of the abdomen |
$1,114 |
$1,114 |
$464 |
$230 | |
| CT scan of the abdomen and pelvis |
$1,114 |
$1,114 |
$464 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$1,114 |
$1,114 |
$464 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$1,114 |
$1,114 |
$464 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$949 |
$949 |
$464 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,114 |
$1,114 |
$464 |
$259 | |
| CT scan of the abdomen with contrast |
$1,114 |
$1,114 |
$464 |
$230 | |
| CT scan of the abdomen without contrast |
$474 |
$474 |
$464 |
$136 | |
| CT scan of the arm |
$1,114 |
$1,114 |
$464 |
$199 | |
| CT scan of the arm with contrast |
$1,114 |
$1,114 |
$464 |
$199 | |
| CT scan of the arm without contrast |
$474 |
$474 |
$464 |
$161 | |
| CT scan of the chest |
$1,114 |
$1,114 |
$464 |
$167 | |
| CT scan of the chest with and without contrast |
$1,114 |
$1,114 |
— |
$196 | |
| CT scan of the chest with contrast |
$1,114 |
$1,114 |
$464 |
$167 | |
| CT scan of the chest without contrast |
$525 |
$525 |
$464 |
$133 | |
| CT scan of the head |
$1,114 |
$1,114 |
$464 |
$148 | |
| CT scan of the head with and without contrast |
$1,114 |
$1,114 |
$464 |
$173 | |
| CT scan of the head with contrast |
$1,114 |
$1,114 |
$464 |
$148 | |
| CT scan of the head without contrast |
$474 |
$474 |
$464 |
$107 | |
| CT scan of the leg |
$1,114 |
$1,114 |
$464 |
$166 | |
| CT scan of the leg with contrast |
$1,114 |
$1,114 |
— |
$166 | |
| CT scan of the leg without contrast |
$474 |
$474 |
$464 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,114 |
$1,114 |
$464 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,114 |
$1,114 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,792 |
$1,792 |
$464 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$474 |
$474 |
$464 |
$130 | |
| CT scan of the neck |
$1,114 |
$1,114 |
$464 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,114 |
$1,114 |
$464 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,114 |
$1,114 |
$464 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,792 |
$1,792 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,114 |
$1,114 |
$464 |
$131 | |
| CT scan of the neck with and without contrast |
$1,114 |
$1,114 |
— |
$220 | |
| CT scan of the neck with contrast |
$1,114 |
$1,114 |
$464 |
$183 | |
| CT scan of the neck without contrast |
$474 |
$474 |
— |
$150 | |
| CT scan of the pelvis |
$1,114 |
$1,114 |
$464 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,114 |
$1,114 |
$464 |
$251 | |
| CT scan of the pelvis with contrast |
$1,114 |
$1,114 |
$464 |
$226 | |
| CT scan of the pelvis without contrast |
$474 |
$474 |
$464 |
$133 | |
| CT scan of the sinuses |
$1,114 |
$1,114 |
$464 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,114 |
$1,114 |
$464 |
$184 | |
| CT scan of the sinuses with contrast |
$1,114 |
$1,114 |
$464 |
$152 | |
| CT scan of the sinuses without contrast |
$474 |
$474 |
$464 |
$128 | |
| D-dimer test |
$206 |
$206 |
— |
$10 | |
| DHEA-sulfate test |
$23 |
$23 |
— |
$22 | |
| Echocardiogram |
$525 |
$525 |
— |
$138 | |
| Echocardiogram without contrast |
$984 |
$984 |
— |
$138 | |
| EEG (awake and asleep) |
$1,030 |
$1,030 |
— |
$482 | |
| EKG / ECG (tracing only) |
$342 |
$342 |
— |
$7 | |
| Electrocardiogram (EKG) |
$381 |
$381 |
— |
$8 | |
| Electroencephalogram (EEG) |
$798 |
$798 |
— |
$448 | |
| Electrolyte panel |
$204 |
$204 |
— |
$7 | |
| Emergency department visit |
$788 |
$788 |
— |
$69 | |
| Emergency department visit (level 1) |
$263 |
$263 |
— |
$11 | |
| Emergency department visit (level 2) |
$525 |
$525 |
— |
$40 | |
| Emergency department visit (level 3) |
$788 |
$788 |
— |
$69 | |
| Emergency department visit (level 4) |
$1,050 |
$1,050 |
— |
$118 | |
| Emergency department visit (level 5) |
$1,313 |
$1,313 |
— |
$171 | |
| Epidural steroid injection |
$2,130 |
$2,130 |
— |
$275 | |
| Estradiol (estrogen) test |
$124 |
$124 |
— |
$28 | |
| Facet joint injection (spine) |
$1,542 |
$1,542 |
— |
$99 | |
| Family therapy session |
$121 |
$121 |
— |
$110 | |
| Fecal occult blood (stool) test |
$73 |
$73 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$73 |
$73 |
— |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$84 |
$84 |
— |
$16 | |
| Feeding tube (PEG) placement |
$5,408 |
$5,408 |
— |
$178 | |
| Ferritin (iron) test |
$86 |
$86 |
— |
$14 | |
| Fibrinogen test |
$157 |
$157 |
— |
$10 | |
| Flu test |
$65 |
$65 |
— |
$17 | |
| Folate (folic acid) test |
$50 |
$50 |
— |
$15 | |
| Free T4 thyroid test |
$183 |
$183 |
— |
$9 | |
| FSH hormone test |
$83 |
$83 |
— |
$19 | |
| GGT liver test |
$87 |
$87 |
— |
$7 | |
| Group therapy session |
$118 |
$118 |
— |
$30 | |
| HDL cholesterol test |
$48 |
$48 |
— |
$8 | |
| Hematocrit test |
$30 |
$30 |
— |
$2 | |
| Hemoglobin A1c (diabetes test) |
$29 |
$29 |
— |
$10 | |
| Hepatitis B test |
$59 |
$59 |
— |
$10 | |
| Hepatitis C test |
$136 |
$136 |
— |
$14 | |
| HIV test |
$79 |
$79 |
— |
$19 | |
| HIV test (antibody) |
$80 |
$80 |
— |
$14 | |
| HIV test (antigen/antibody combo) |
$65 |
$65 |
— |
$24 | |
| Holter heart monitor |
$317 |
$317 |
— |
$26 | |
| Iron blood test |
$19 |
$19 |
— |
$6 | |
| IV infusion therapy |
$116 |
$116 |
— |
$44 | |
| IV infusion therapy (each additional) |
$116 |
$116 |
— |
$21 | |
| IV infusion therapy (initial) |
$414 |
$414 |
— |
$67 | |
| Joint aspiration (small/intermediate) |
$1,090 |
$1,090 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$1,102 |
$1,102 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$1,078 |
$1,078 |
— |
$56 | |
| Kidney ultrasound |
$473 |
$473 |
— |
$84 | |
| Kidney ultrasound (limited) |
$473 |
$473 |
— |
$61 | |
| Knee joint injection |
$1,355 |
$1,355 |
— |
$69 | |
| Lactate test |
$112 |
$112 |
— |
$12 | |
| Laryngoscopy |
$2,100 |
$2,100 |
— |
$189 | |
| LDH test |
$36 |
$36 |
— |
$6 | |
| Leg vein ultrasound (Doppler) |
$368 |
$368 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$368 |
$368 |
— |
$116 | |
| Lipase test |
$96 |
$96 |
— |
$7 | |
| Lipid (cholesterol) panel |
$79 |
$79 |
— |
$13 | |
| Liver function panel |
$48 |
$48 |
— |
$8 | |
| Lung function test (PFT) |
$593 |
$593 |
— |
$37 | |
| Magnesium blood test |
$8 |
$8 |
— |
$7 | |
| MMR vaccine |
$278 |
$278 |
— |
— | |
| MRI of the abdomen |
$1,513 |
$1,513 |
— |
$300 | |
| MRI of the abdomen with contrast |
$1,558 |
$1,558 |
— |
$300 | |
| MRI of the abdomen without contrast |
$1,467 |
$1,467 |
— |
$194 | |
| MRI of the ankle |
$1,491 |
$1,491 |
— |
$261 | |
| MRI of the ankle without contrast |
$1,479 |
$1,479 |
— |
$222 | |
| MRI of the brain |
$1,513 |
$1,513 |
— |
$269 | |
| MRI of the brain with contrast |
$1,558 |
$1,558 |
— |
$269 | |
| MRI of the brain without contrast |
$1,435 |
$1,435 |
— |
$195 | |
| MRI of the chest |
$1,491 |
$1,491 |
— |
$371 | |
| MRI of the knee |
$1,467 |
$1,467 |
— |
$315 | |
| MRI of the knee without contrast |
$1,467 |
$1,467 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,491 |
$1,491 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,525 |
$1,525 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,311 |
$1,311 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,491 |
$1,491 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,126 |
$2,126 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,525 |
$1,525 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,310 |
$1,310 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$1,558 |
$1,558 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,126 |
$2,126 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,558 |
$1,558 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,467 |
$1,467 |
— |
$191 | |
| MRI of the pelvis |
$1,558 |
$1,558 |
— |
$268 | |
| MRI of the pelvis with contrast |
$1,558 |
$1,558 |
— |
$268 | |
| MRI of the pelvis without contrast |
$1,467 |
$1,467 |
— |
$227 | |
| MRI of the wrist |
$1,491 |
$1,491 |
— |
$330 | |
| MRI of the wrist without contrast |
$1,491 |
$1,491 |
— |
$303 | |
| Nebulizer breathing treatment |
$96 |
$96 |
— |
$9 | |
| Office visit (established patient) |
$131 |
$131 |
— |
$115 | |
| Office visit, established patient (level 3) |
$131 |
$131 |
— |
$95 | |
| Parathyroid hormone (PTH) test |
$121 |
$121 |
— |
$41 | |
| Pelvic ultrasound |
$473 |
$473 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$473 |
$473 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$473 |
$473 |
— |
$51 | |
| Phosphorus blood test |
$66 |
$66 |
— |
$5 | |
| Physical therapy evaluation |
$301 |
$301 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$301 |
$301 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$301 |
$301 |
— |
$98 | |
| Platelet count |
$21 |
$21 |
— |
$4 | |
| Pneumonia vaccine |
$1,721 |
$1,721 |
— |
— | |
| Prolactin test |
$57 |
$57 |
— |
$19 | |
| Prostate test (PSA) |
$146 |
$146 |
— |
$18 | |
| Radiofrequency nerve ablation |
$4,883 |
$4,883 |
— |
$462 | |
| Scrotal ultrasound |
$473 |
$473 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$93 |
$93 |
— |
$3 | |
| Sleep study (polysomnography) |
$3,728 |
$3,728 |
— |
$691 | |
| Soft tissue ultrasound |
$252 |
$252 |
— |
$64 | |
| Speech therapy |
$121 |
$121 |
— |
$76 | |
| Spinal cord stimulator |
$22,221 |
$22,221 |
— |
$2,388 | |
| Spinal tap (lumbar puncture) |
$2,255 |
$2,255 |
— |
$165 | |
| Spine fracture repair (kyphoplasty) |
$26,556 |
$26,556 |
— |
$5,803 | |
| Spirometry (lung function test) |
$420 |
$420 |
— |
$30 | |
| Spirometry with bronchodilator |
$767 |
$767 |
— |
$43 | |
| Strep throat test |
$65 |
$65 |
— |
$17 | |
| Swallow study |
$245 |
$245 |
— |
$85 | |
| T3 thyroid test |
$229 |
$229 |
— |
$14 | |
| Testosterone test |
$233 |
$233 |
— |
$26 | |
| Thyroid test (TSH) |
$118 |
$118 |
— |
$17 | |
| Thyroid ultrasound |
$473 |
$473 |
— |
$109 | |
| Total IgE allergy test |
$85 |
$85 |
— |
$16 | |
| Total protein test |
$124 |
$124 |
— |
$4 | |
| Transesophageal echocardiogram (TEE) |
$750 |
$750 |
— |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$750 |
$750 |
— |
$239 | |
| Transvaginal ultrasound |
$473 |
$473 |
— |
$118 | |
| Trigger point injection |
$2,625 |
$2,625 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$2,363 |
$2,363 |
— |
$52 | |
| Triglycerides test |
$21 |
$21 |
— |
$6 | |
| Troponin (heart) test |
$267 |
$267 |
— |
$12 | |
| Upper GI endoscopy (EGD) |
$3,132 |
$3,132 |
— |
$371 | |
| Uric acid (gout) test |
$27 |
$27 |
— |
$5 | |
| Urinalysis |
$105 |
$105 |
— |
$3 | |
| Urine microalbumin test |
$24 |
$24 |
— |
$5 | |
| Urine pregnancy test |
$57 |
$57 |
— |
$9 | |
| Vitamin B12 test |
$88 |
$88 |
— |
$15 | |
| Vitamin D test |
$205 |
$205 |
— |
$30 | |
| Wound debridement |
$3,551 |
$3,551 |
— |
$186 | |
| X-ray of the abdomen |
$304 |
$304 |
— |
$36 | |
| X-ray of the ankle |
$182 |
$182 |
— |
$37 | |
| X-ray of the collarbone |
$158 |
$158 |
— |
$33 | |
| X-ray of the elbow |
$158 |
$158 |
— |
$33 | |
| X-ray of the facial bones |
$182 |
$182 |
— |
$39 | |
| X-ray of the foot |
$182 |
$182 |
— |
$34 | |
| X-ray of the forearm |
$158 |
$158 |
— |
$29 | |
| X-ray of the hand |
$182 |
$182 |
— |
$38 | |
| X-ray of the hip |
$263 |
$263 |
— |
$49 | |
| X-ray of the hip (1 view) |
$263 |
$263 |
— |
$34 | |
| X-ray of the hip (3 views) |
$263 |
$263 |
— |
$49 | |
| X-ray of the knee |
$320 |
$320 |
— |
$42 | |
| X-ray of the knee (2 views) |
$261 |
$261 |
— |
$34 | |
| X-ray of the knee (3 views) |
$320 |
$320 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$320 |
$320 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$264 |
$264 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$316 |
$316 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$264 |
$264 |
— |
$53 | |
| X-ray of the lower leg |
$158 |
$158 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$182 |
$182 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$170 |
$170 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$182 |
$182 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$234 |
$234 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$278 |
$278 |
— |
$40 | |
| X-ray of the pelvis |
$170 |
$170 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$170 |
$170 |
— |
$28 | |
| X-ray of the ribs |
$457 |
$457 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$389 |
$389 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$525 |
$525 |
— |
$42 | |
| X-ray of the shoulder |
$399 |
$399 |
— |
$36 | |
| X-ray of the skull |
$182 |
$182 |
— |
$40 | |
| X-ray of the upper arm |
$158 |
$158 |
— |
$32 | |
| X-ray of the wrist |
$256 |
$256 |
— |
$43 | |
| Zinc blood test |
$46 |
$46 |
— |
$11 | |