| 3D mammogram (tomosynthesis) |
$72 |
$72 |
$54 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$2,892 |
$2,892 |
$2,169 |
$284 | |
| Abdominal ultrasound |
$913 |
$913 |
$460 |
$100 | |
| Abdominal ultrasound (complete) |
$1,143 |
$1,143 |
$858 |
$114 | |
| Abdominal ultrasound (limited) |
$582 |
$582 |
$279 |
$86 | |
| Abscess drainage (complex or multiple) |
$454 |
$454 |
$341 |
$220 | |
| Abscess drainage (simple) |
$286 |
$286 |
$172 |
$129 | |
| Abscess incision and drainage |
$370 |
$370 |
$220 |
$174 | |
| Albumin blood test |
$66 |
$66 |
$50 |
$5 | |
| Aldosterone test |
$341 |
$341 |
$256 |
$41 | |
| Alkaline phosphatase test |
$73 |
$73 |
$53 |
$5 | |
| Allergy shots |
$28 |
$28 |
$21 |
$11 | |
| Alpha-fetoprotein (AFP) test |
$75 |
$75 |
$57 |
$17 | |
| ALT liver enzyme test |
$68 |
$68 |
$51 |
$5 | |
| Ammonia blood test |
$65 |
$65 |
$49 |
$15 | |
| Amylase test |
$83 |
$83 |
$36 |
$6 | |
| Annual physical (established patient) |
$490 |
$490 |
$363 |
— | |
| Annual physical (new patient) |
$539 |
$539 |
$400 |
— | |
| Antinuclear antibody (ANA) test |
$100 |
$100 |
$48 |
$12 | |
| Arterial blood gas (ABG) |
$347 |
$347 |
$261 |
$26 | |
| AST liver enzyme test |
$52 |
$52 |
$21 |
$5 | |
| Basic metabolic panel |
$127 |
$127 |
$50 |
$8 | |
| Benign skin lesion removal |
$317 |
$317 |
$192 |
$171 | |
| Bilirubin blood test |
$54 |
$54 |
$22 |
$5 | |
| Bladder scope (cystoscopy) |
$2,479 |
$2,479 |
$1,859 |
$216 | |
| Blood clotting test (PT/INR) |
$43 |
$43 |
$26 |
$4 | |
| Blood crossmatch |
$231 |
$231 |
$170 |
— | |
| Blood glucose test |
$97 |
$97 |
$69 |
$5 | |
| Blood transfusion |
$1,271 |
$1,271 |
$837 |
$47 | |
| Blood type and screen |
$162 |
$162 |
$119 |
$10 | |
| Blood type test |
$90 |
$90 |
$68 |
$3 | |
| Blood type test (ABO group) |
$91 |
$91 |
$85 |
$3 | |
| Blood type test (Rh/D antigen) |
$87 |
$87 |
$51 |
$3 | |
| BNP (heart failure) test |
$237 |
$237 |
$107 |
$39 | |
| Bone density scan (DEXA) |
$582 |
$582 |
$437 |
$39 | |
| Bone scan (nuclear) |
$2,782 |
$2,782 |
$2,087 |
$259 | |
| Botox for migraine |
$647 |
$647 |
$486 |
$157 | |
| Breast ultrasound |
$515 |
$515 |
$479 |
$92 | |
| Breast ultrasound (limited) |
$515 |
$515 |
$479 |
$84 | |
| Breathing tube insertion (intubation) |
$490 |
$490 |
$339 |
$133 | |
| Burn dressing and debridement (small) |
$566 |
$566 |
$351 |
$93 | |
| Burn treatment |
$566 |
$566 |
$351 |
$129 | |
| C-reactive protein (CRP) |
$97 |
$97 |
$42 |
$5 | |
| CA 19-9 tumor marker test |
$98 |
$98 |
$74 |
$21 | |
| CA-125 ovarian marker test |
$211 |
$211 |
$158 |
$21 | |
| Calcium blood test |
$52 |
$52 |
$25 |
$5 | |
| Cardiac rehabilitation |
$345 |
$345 |
$259 |
$26 | |
| Cardiac stress test |
$1,841 |
$1,841 |
$1,381 |
$39 | |
| Cardioversion |
$1,084 |
$1,084 |
$420 |
$155 | |
| Carotid artery ultrasound |
$1,091 |
$1,091 |
$1,015 |
$156 | |
| CEA tumor marker test |
$189 |
$189 |
$142 |
$19 | |
| Celiac disease test |
$42 |
$42 |
$32 |
$12 | |
| Central line placement |
$2,998 |
$2,998 |
$2,249 |
$238 | |
| Chemotherapy infusion |
$493 |
$493 |
$238 |
$81 | |
| Chemotherapy infusion (each additional) |
$216 |
$216 |
$162 |
$28 | |
| Chemotherapy infusion (first hour) |
$770 |
$770 |
$578 |
$133 | |
| Chest fluid drain (thoracentesis) |
$741 |
$741 |
$347 |
$311 | |
| Chest tube insertion |
$751 |
$751 |
$573 |
$143 | |
| Chest X-ray |
$427 |
$427 |
$311 |
$37 | |
| Chest X-ray (1 view) |
$376 |
$376 |
$282 |
$25 | |
| Chest X-ray (2 views) |
$477 |
$477 |
$358 |
$33 | |
| Chickenpox (varicella) vaccine |
$376 |
$376 |
$282 |
— | |
| Circumcision |
$2,152 |
$2,152 |
$950 |
$167 | |
| CK-MB heart enzyme test |
$152 |
$152 |
$76 |
$12 | |
| Clotting time test (PTT) |
$65 |
$65 |
$45 |
$6 | |
| Colonoscopy |
$504 |
$504 |
$379 |
$480 | |
| Colposcopy |
$334 |
$334 |
$251 |
$161 | |
| Complete blood count (CBC) |
$122 |
$122 |
$81 |
$7 | |
| Complete blood count (CBC) (complete) |
$142 |
$142 |
$81 |
$8 | |
| Comprehensive metabolic panel |
$269 |
$269 |
$201 |
$11 | |
| Continuous glucose monitor setup |
$131 |
$131 |
$99 |
$35 | |
| Contraceptive implant (Nexplanon) |
$347 |
$347 |
$301 |
$115 | |
| Copper blood test |
$216 |
$216 |
$162 |
$12 | |
| Cortisol test |
$179 |
$179 |
$133 |
$16 | |
| COVID-19 PCR test |
$142 |
$142 |
$107 |
$51 | |
| CPAP titration study |
$960 |
$960 |
$720 |
$69 | |
| Creatine kinase (CK) test |
$116 |
$116 |
$87 |
$7 | |
| CT angiography of the chest |
$5,126 |
$5,126 |
$3,845 |
$281 | |
| CT angiography of the head |
$3,692 |
$3,692 |
$2,769 |
$274 | |
| CT scan of the abdomen |
$4,614 |
$4,614 |
$3,463 |
$230 | |
| CT scan of the abdomen and pelvis |
$6,471 |
$6,471 |
$4,704 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$7,502 |
$7,502 |
$5,627 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$6,471 |
$6,471 |
$4,853 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$5,517 |
$5,517 |
$4,138 |
$183 | |
| CT scan of the abdomen with and without contrast |
$5,307 |
$5,307 |
$3,981 |
$259 | |
| CT scan of the abdomen with contrast |
$4,614 |
$4,614 |
$3,461 |
$230 | |
| CT scan of the abdomen without contrast |
$4,194 |
$4,194 |
$3,146 |
$136 | |
| CT scan of the arm |
$3,342 |
$3,342 |
$2,478 |
$199 | |
| CT scan of the arm with contrast |
$3,500 |
$3,500 |
$2,625 |
$199 | |
| CT scan of the arm without contrast |
$3,183 |
$3,183 |
$2,387 |
$161 | |
| CT scan of the chest |
$4,112 |
$4,112 |
$3,448 |
$167 | |
| CT scan of the chest with and without contrast |
$5,757 |
$5,757 |
$4,318 |
$196 | |
| CT scan of the chest with contrast |
$4,112 |
$4,112 |
$3,084 |
$167 | |
| CT scan of the chest without contrast |
$3,886 |
$3,886 |
$2,915 |
$133 | |
| CT scan of the head |
$3,708 |
$3,708 |
$2,782 |
$148 | |
| CT scan of the head with and without contrast |
$4,262 |
$4,262 |
$3,197 |
$173 | |
| CT scan of the head with contrast |
$3,708 |
$3,708 |
$2,781 |
$148 | |
| CT scan of the head without contrast |
$3,371 |
$3,371 |
$2,528 |
$107 | |
| CT scan of the leg |
$3,485 |
$3,485 |
$2,584 |
$166 | |
| CT scan of the leg with contrast |
$3,651 |
$3,651 |
$2,738 |
$166 | |
| CT scan of the leg without contrast |
$3,319 |
$3,319 |
$2,490 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$3,599 |
$3,599 |
$2,645 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$3,296 |
$3,296 |
$2,472 |
$197 | |
| CT scan of the lower back (lumbar spine) without contrast |
$3,902 |
$3,902 |
$2,927 |
$130 | |
| CT scan of the neck |
$4,092 |
$4,092 |
$3,071 |
$183 | |
| CT scan of the neck (cervical spine) |
$3,746 |
$3,746 |
$2,810 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$3,746 |
$3,746 |
$2,810 |
$131 | |
| CT scan of the neck with and without contrast |
$4,706 |
$4,706 |
$3,530 |
$220 | |
| CT scan of the neck with contrast |
$4,092 |
$4,092 |
$3,069 |
$183 | |
| CT scan of the neck without contrast |
$3,719 |
$3,719 |
$2,790 |
$150 | |
| CT scan of the pelvis |
$4,463 |
$4,463 |
$3,146 |
$226 | |
| CT scan of the pelvis with and without contrast |
$4,463 |
$4,463 |
$3,348 |
$251 | |
| CT scan of the pelvis with contrast |
$3,882 |
$3,882 |
$2,912 |
$226 | |
| CT scan of the pelvis without contrast |
$4,706 |
$4,706 |
$3,530 |
$133 | |
| CT scan of the sinuses |
$3,745 |
$3,745 |
$2,415 |
$152 | |
| CT scan of the sinuses with and without contrast |
$4,198 |
$4,198 |
$3,149 |
$184 | |
| CT scan of the sinuses with contrast |
$3,745 |
$3,745 |
$2,809 |
$152 | |
| CT scan of the sinuses without contrast |
$2,620 |
$2,620 |
$1,965 |
$128 | |
| D-dimer test |
$50 |
$50 |
$47 |
$10 | |
| DHEA-sulfate test |
$119 |
$119 |
$90 |
$22 | |
| Diagnostic mammogram |
$409 |
$409 |
$343 |
$140 | |
| Drug screen (urine) |
$253 |
$253 |
$173 |
$17 | |
| Ear pressure test (tympanometry) |
$31 |
$31 |
$24 |
$16 | |
| Echocardiogram |
$2,070 |
$2,070 |
$1,052 |
$138 | |
| Echocardiogram with and without contrast |
$1,091 |
$1,091 |
$819 |
$101 | |
| EKG / ECG (tracing only) |
$378 |
$378 |
$284 |
$7 | |
| Electrocardiogram (EKG) |
$200 |
$200 |
$77 |
$8 | |
| Electrolyte panel |
$171 |
$171 |
$128 |
$7 | |
| Emergency department visit |
$664 |
$664 |
$399 |
$69 | |
| Emergency department visit (level 1) |
$288 |
$288 |
$216 |
$11 | |
| Emergency department visit (level 2) |
$424 |
$424 |
$318 |
$40 | |
| Emergency department visit (level 3) |
$664 |
$664 |
$498 |
$69 | |
| Emergency department visit (level 4) |
$1,010 |
$1,010 |
$758 |
$118 | |
| Emergency department visit (level 5) |
$1,417 |
$1,417 |
$1,063 |
$171 | |
| Endometrial biopsy |
$177 |
$177 |
$107 |
$98 | |
| Epidural steroid injection |
$2,266 |
$2,266 |
$1,292 |
$275 | |
| Estradiol (estrogen) test |
$198 |
$198 |
$149 |
$28 | |
| Facet joint injection (spine) |
$1,153 |
$1,153 |
$888 |
$99 | |
| Fecal occult blood (stool) test |
$72 |
$72 |
$53 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$64 |
$64 |
$48 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$79 |
$79 |
$59 |
$16 | |
| Ferritin (iron) test |
$234 |
$234 |
$176 |
$14 | |
| Fibrinogen test |
$84 |
$84 |
$55 |
$10 | |
| Flexible sigmoidoscopy |
$2,083 |
$2,083 |
$1,821 |
$323 | |
| Flu test |
$166 |
$166 |
$107 |
$17 | |
| Flu vaccine |
$23 |
$23 |
$17 |
— | |
| Folate (folic acid) test |
$111 |
$111 |
$50 |
$15 | |
| Foreign body removal (skin) |
$493 |
$493 |
$285 |
$157 | |
| Free T4 thyroid test |
$127 |
$127 |
$94 |
$9 | |
| FSH hormone test |
$163 |
$163 |
$123 |
$19 | |
| Gallbladder removal (laparoscopic) |
$1,286 |
$1,286 |
$1,209 |
$658 | |
| Gallbladder scan (HIDA) |
$2,377 |
$2,377 |
$1,636 |
$334 | |
| GGT liver test |
$13 |
$13 |
$10 |
$7 | |
| Glucose tolerance test |
$143 |
$143 |
$73 |
$8 | |
| H. pylori test |
$212 |
$212 |
$159 |
$67 | |
| Hematocrit test |
$65 |
$65 |
$49 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$79 |
$79 |
$37 |
$10 | |
| Hepatitis A vaccine |
$191 |
$191 |
$144 |
— | |
| Hepatitis B test |
$37 |
$37 |
$28 |
$10 | |
| Hepatitis B vaccine |
$161 |
$161 |
$121 |
— | |
| Hepatitis C test |
$149 |
$149 |
$112 |
$14 | |
| HIV test |
$99 |
$99 |
$57 |
$19 | |
| HIV test (antibody) |
$137 |
$137 |
$103 |
$14 | |
| HIV test (antigen/antibody combo) |
$60 |
$60 |
$45 |
$24 | |
| Holter heart monitor |
$774 |
$774 |
$581 |
$26 | |
| HPV vaccine |
$560 |
$560 |
$420 |
— | |
| Inguinal hernia repair |
$1,024 |
$1,024 |
$768 |
$538 | |
| Iron blood test |
$78 |
$78 |
$59 |
$6 | |
| IUD insertion |
$177 |
$177 |
$133 |
— | |
| IUD removal |
$201 |
$201 |
$93 |
$112 | |
| IV infusion therapy |
$358 |
$358 |
$184 |
$44 | |
| IV infusion therapy (each additional) |
$192 |
$192 |
$144 |
$21 | |
| IV infusion therapy (initial) |
$527 |
$527 |
$394 |
$67 | |
| Joint aspiration (small/intermediate) |
$107 |
$107 |
$74 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$208 |
$208 |
$153 |
$57 | |
| Joint aspiration or injection (small joint) |
$80 |
$80 |
$43 |
$56 | |
| Kidney scan (nuclear) |
$2,009 |
$2,009 |
$1,507 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$11,624 |
$11,624 |
$8,718 |
$760 | |
| Kidney ultrasound |
$876 |
$876 |
$627 |
$84 | |
| Kidney ultrasound (limited) |
$707 |
$707 |
$531 |
$61 | |
| Knee arthroscopy |
$1,091 |
$1,091 |
$819 |
$524 | |
| Knee joint injection |
$239 |
$239 |
$198 |
$69 | |
| Lactate test |
$226 |
$226 |
$155 |
$12 | |
| Laryngoscopy |
$124 |
$124 |
$93 |
$189 | |
| LDH test |
$48 |
$48 |
$21 |
$6 | |
| LDL cholesterol test |
$121 |
$121 |
$91 |
$11 | |
| Leg vein ultrasound (Doppler) |
$1,488 |
$1,488 |
$1,244 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,488 |
$1,488 |
$1,116 |
$116 | |
| LH hormone test |
$146 |
$146 |
$110 |
$19 | |
| Lipase test |
$115 |
$115 |
$53 |
$7 | |
| Lipid (cholesterol) panel |
$120 |
$120 |
$53 |
$13 | |
| Liver function panel |
$197 |
$197 |
$148 |
$8 | |
| Lung function test (PFT) |
$557 |
$557 |
$333 |
$37 | |
| Lung scan (V/Q) |
$2,974 |
$2,974 |
$2,231 |
$291 | |
| Magnesium blood test |
$86 |
$86 |
$46 |
$7 | |
| MMR vaccine |
$205 |
$205 |
$153 |
— | |
| MRA of the brain |
$5,564 |
$5,564 |
$4,177 |
$226 | |
| MRA of the brain with contrast |
$5,564 |
$5,564 |
$4,173 |
$226 | |
| MRA of the brain without contrast |
$6,400 |
$6,400 |
$4,800 |
$328 | |
| MRA of the neck |
$4,878 |
$4,878 |
$3,661 |
$245 | |
| MRA of the neck with contrast |
$4,878 |
$4,878 |
$3,659 |
$245 | |
| MRA of the neck without contrast |
$5,609 |
$5,609 |
$4,207 |
$343 | |
| MRI of the abdomen |
$4,393 |
$4,393 |
$3,298 |
$300 | |
| MRI of the abdomen with contrast |
$4,393 |
$4,393 |
$3,295 |
$300 | |
| MRI of the abdomen without contrast |
$3,994 |
$3,994 |
$2,996 |
$194 | |
| MRI of the ankle |
$3,961 |
$3,961 |
$2,888 |
$261 | |
| MRI of the ankle without contrast |
$3,498 |
$3,498 |
$2,624 |
$222 | |
| MRI of the brain |
$5,059 |
$5,059 |
$3,796 |
$269 | |
| MRI of the brain with contrast |
$5,059 |
$5,059 |
$3,795 |
$269 | |
| MRI of the brain without contrast |
$4,598 |
$4,598 |
$3,449 |
$195 | |
| MRI of the chest |
$4,332 |
$4,332 |
$3,252 |
$371 | |
| MRI of the chest with contrast |
$4,332 |
$4,332 |
$3,249 |
$371 | |
| MRI of the chest without contrast |
$4,982 |
$4,982 |
$3,737 |
$466 | |
| MRI of the knee |
$4,256 |
$4,256 |
$3,194 |
$315 | |
| MRI of the knee with contrast |
$4,256 |
$4,256 |
$3,192 |
$315 | |
| MRI of the knee without contrast |
$3,869 |
$3,869 |
$2,902 |
$204 | |
| MRI of the lower back (lumbar spine) |
$5,961 |
$5,961 |
$4,475 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$5,961 |
$5,961 |
$4,471 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$5,421 |
$5,421 |
$4,066 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$5,961 |
$5,961 |
$4,475 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$6,855 |
$6,855 |
$5,141 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$5,961 |
$5,961 |
$4,471 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$5,421 |
$5,421 |
$4,066 |
$190 | |
| MRI of the neck (cervical spine) |
$5,961 |
$5,961 |
$4,475 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$6,855 |
$6,855 |
$5,141 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$5,961 |
$5,961 |
$4,471 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$5,421 |
$5,421 |
$4,066 |
$191 | |
| MRI of the pelvis |
$5,049 |
$5,049 |
$3,791 |
$268 | |
| MRI of the pelvis with contrast |
$5,049 |
$5,049 |
$3,787 |
$268 | |
| MRI of the pelvis without contrast |
$4,592 |
$4,592 |
$3,444 |
$227 | |
| MRI of the shoulder |
$4,256 |
$4,256 |
$3,194 |
$313 | |
| MRI of the shoulder with contrast |
$4,256 |
$4,256 |
$3,192 |
$313 | |
| MRI of the shoulder without contrast |
$3,869 |
$3,869 |
$2,902 |
$205 | |
| MRI of the wrist |
$4,136 |
$4,136 |
$2,931 |
$330 | |
| MRI of the wrist with contrast |
$4,136 |
$4,136 |
$3,102 |
$330 | |
| MRI of the wrist without contrast |
$3,761 |
$3,761 |
$2,821 |
$303 | |
| Nebulizer breathing treatment |
$271 |
$271 |
$203 |
$9 | |
| Nuclear cardiac stress test |
$6,252 |
$6,252 |
$4,689 |
$428 | |
| Occupational therapy evaluation |
$152 |
$152 |
$119 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$170 |
$170 |
$128 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$152 |
$152 |
$114 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$150 |
$150 |
$113 |
$101 | |
| Office visit (established patient) |
$194 |
$194 |
$113 |
$115 | |
| Office visit (new patient) |
$347 |
$347 |
$214 |
$177 | |
| Office visit, established patient (level 3) |
$123 |
$123 |
$59 |
$95 | |
| Office visit, established patient (level 4) |
$328 |
$328 |
$246 |
$136 | |
| Office visit, new patient (level 3) |
$246 |
$246 |
$157 |
$118 | |
| Office visit, new patient (level 4) |
$327 |
$327 |
$235 |
$177 | |
| Office visit, new patient (level 5) |
$413 |
$413 |
$302 |
$237 | |
| Pap smear (cervical screening) |
$61 |
$61 |
$46 |
$20 | |
| Parathyroid hormone (PTH) test |
$302 |
$302 |
$227 |
$41 | |
| Pelvic ultrasound |
$782 |
$782 |
$497 |
$78 | |
| Pelvic ultrasound (complete) |
$1,036 |
$1,036 |
$777 |
$105 | |
| Pelvic ultrasound (limited) |
$528 |
$528 |
$396 |
$51 | |
| Phosphorus blood test |
$69 |
$69 |
$51 |
$5 | |
| Physical therapy evaluation |
$229 |
$229 |
$176 |
$98 | |
| Physical therapy evaluation (high complexity) |
$279 |
$279 |
$209 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$229 |
$229 |
$172 |
$98 | |
| Platelet count |
$91 |
$91 |
$69 |
$4 | |
| Pregnancy blood test (hCG) |
$219 |
$219 |
$165 |
$8 | |
| Pregnancy ultrasound |
$967 |
$967 |
$708 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$872 |
$872 |
$654 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$1,061 |
$1,061 |
$796 |
$136 | |
| Procalcitonin test |
$149 |
$149 |
$111 |
$27 | |
| Prolactin test |
$202 |
$202 |
$152 |
$19 | |
| Prostate biopsy |
$260 |
$260 |
$245 |
— | |
| Prostate test (PSA) |
$161 |
$161 |
$120 |
$18 | |
| Rotator cuff repair |
$12,054 |
$12,054 |
$9,041 |
$792 | |
| RSV vaccine |
$328 |
$328 |
$246 |
— | |
| Sacroiliac joint injection |
$1,216 |
$1,216 |
$912 |
$176 | |
| Scoliosis spine X-ray |
$475 |
$475 |
$338 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$375 |
$375 |
$282 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$574 |
$574 |
$431 |
$72 | |
| Screening colonoscopy |
$2,476 |
$2,476 |
$1,844 |
$378 | |
| Screening mammogram |
$447 |
$447 |
$336 |
$126 | |
| Scrotal ultrasound |
$884 |
$884 |
$663 |
$99 | |
| Sedimentation rate (ESR) test |
$90 |
$90 |
$68 |
$3 | |
| Sex hormone binding globulin test |
$154 |
$154 |
$116 |
$22 | |
| Shingles vaccine |
$396 |
$396 |
$297 |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
$360 |
$360 |
$202 |
$114 | |
| Simple wound stitches |
$307 |
$307 |
$202 |
$127 | |
| Skin biopsy |
$218 |
$218 |
$107 |
$121 | |
| Skin biopsy (punch) |
$151 |
$151 |
$61 |
$121 | |
| Skin cancer lesion removal |
$420 |
$420 |
$265 |
$240 | |
| Skin lesion freezing (cryotherapy) |
$67 |
$67 |
$27 |
$36 | |
| Skin tag removal |
$162 |
$162 |
$84 |
$92 | |
| Soft tissue ultrasound |
$1,019 |
$1,019 |
$765 |
$64 | |
| Speech therapy |
$442 |
$442 |
$332 |
$76 | |
| Spinal tap (lumbar puncture) |
$1,036 |
$1,036 |
$753 |
$165 | |
| Spirometry (lung function test) |
$354 |
$354 |
$266 |
$30 | |
| Spirometry with bronchodilator |
$760 |
$760 |
$570 |
$43 | |
| Strep throat test |
$83 |
$83 |
$37 |
$17 | |
| Stress echocardiogram |
$2,094 |
$2,094 |
$1,571 |
$209 | |
| Swallow study |
$255 |
$255 |
$116 |
$85 | |
| T3 thyroid test |
$37 |
$37 |
$28 |
$14 | |
| Tdap (tetanus) vaccine |
$148 |
$148 |
$111 |
— | |
| Testosterone test |
$133 |
$133 |
$92 |
$26 | |
| Thyroid test (TSH) |
$196 |
$196 |
$146 |
$17 | |
| Thyroid ultrasound |
$963 |
$963 |
$723 |
$109 | |
| Tonsillectomy |
$592 |
$592 |
$557 |
$252 | |
| Total IgE allergy test |
$57 |
$57 |
$47 |
$16 | |
| Total protein test |
$76 |
$76 |
$55 |
$4 | |
| Transvaginal ultrasound |
$944 |
$944 |
$708 |
$118 | |
| Trigger finger release |
$600 |
$600 |
$450 |
$630 | |
| Trigger point injection |
$338 |
$338 |
$163 |
$56 | |
| Trigger point injection (1-2 muscles) |
$128 |
$128 |
$96 |
$52 | |
| Triglycerides test |
$80 |
$80 |
$60 |
$6 | |
| Troponin (heart) test |
$324 |
$324 |
$243 |
$12 | |
| Upper GI endoscopy (EGD) |
$276 |
$276 |
$233 |
$371 | |
| Uric acid (gout) test |
$51 |
$51 |
$21 |
$5 | |
| Urinalysis |
$75 |
$75 |
$43 |
$3 | |
| Urine microalbumin test |
$131 |
$131 |
$104 |
$5 | |
| Urine pregnancy test |
$121 |
$121 |
$91 |
$9 | |
| Vaccine administration |
$57 |
$57 |
$38 |
$19 | |
| Vaccine administration (each additional) |
$67 |
$67 |
$38 |
$16 | |
| Vasectomy |
$1,283 |
$1,283 |
$962 |
$347 | |
| Vitamin B12 test |
$37 |
$37 |
$28 |
$15 | |
| Vitamin D test |
$107 |
$107 |
$81 |
$30 | |
| Wart removal |
$223 |
$223 |
$164 |
$121 | |
| Well-child visit |
$358 |
$358 |
$253 |
— | |
| Wound debridement |
$216 |
$216 |
$155 |
$186 | |
| X-ray of the abdomen |
$487 |
$487 |
$354 |
$36 | |
| X-ray of the ankle |
$452 |
$452 |
$420 |
$37 | |
| X-ray of the collarbone |
$410 |
$410 |
$308 |
$33 | |
| X-ray of the elbow |
$435 |
$435 |
$327 |
$33 | |
| X-ray of the facial bones |
$553 |
$553 |
$415 |
$39 | |
| X-ray of the foot |
$452 |
$452 |
$420 |
$34 | |
| X-ray of the forearm |
$406 |
$406 |
$305 |
$29 | |
| X-ray of the hand |
$456 |
$456 |
$424 |
$38 | |
| X-ray of the hip |
$415 |
$415 |
$331 |
$49 | |
| X-ray of the hip (1 view) |
$381 |
$381 |
$286 |
$34 | |
| X-ray of the hip (3 views) |
$415 |
$415 |
$312 |
$49 | |
| X-ray of the hip (4 views) |
$539 |
$539 |
$404 |
$63 | |
| X-ray of the knee |
$492 |
$492 |
$420 |
$42 | |
| X-ray of the knee (2 views) |
$442 |
$442 |
$411 |
$34 | |
| X-ray of the knee (3 views) |
$468 |
$468 |
$435 |
$42 | |
| X-ray of the knee (4+ views) |
$492 |
$492 |
$458 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$605 |
$605 |
$450 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$583 |
$583 |
$437 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$626 |
$626 |
$470 |
$53 | |
| X-ray of the lower leg |
$437 |
$437 |
$328 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$578 |
$578 |
$418 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$492 |
$492 |
$369 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$664 |
$664 |
$498 |
$39 | |
| X-ray of the neck (cervical spine) |
$589 |
$589 |
$421 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$474 |
$474 |
$356 |
$40 | |
| X-ray of the pelvis |
$515 |
$515 |
$386 |
$36 | |
| X-ray of the pelvis (1 view) |
$517 |
$517 |
$388 |
$28 | |
| X-ray of the ribs |
$562 |
$562 |
$478 |
$42 | |
| X-ray of the ribs (2 views) |
$562 |
$562 |
$422 |
$36 | |
| X-ray of the ribs (3 views) |
$553 |
$553 |
$415 |
$42 | |
| X-ray of the shoulder |
$489 |
$489 |
$367 |
$36 | |
| X-ray of the skull |
$520 |
$520 |
$385 |
$40 | |
| X-ray of the upper arm |
$443 |
$443 |
$333 |
$32 | |
| X-ray of the wrist |
$376 |
$376 |
$350 |
$43 | |
| Zinc blood test |
$71 |
$71 |
$53 |
$11 | |