| Abdominal ultrasound |
$360 |
$507 |
$405 |
$100 | |
| Abdominal ultrasound (complete) |
$405 |
$570 |
$422 |
$114 | |
| Abdominal ultrasound (limited) |
$315 |
$444 |
$329 |
$86 | |
| Abscess drainage (complex or multiple) |
$353 |
$497 |
$368 |
$220 | |
| Abscess drainage (simple) |
$207 |
$292 |
$227 |
$129 | |
| Abscess incision and drainage |
$218 |
$307 |
$262 |
$174 | |
| Allergy shots |
$18 |
$26 |
$19 |
$11 | |
| Alpha-fetoprotein (AFP) test |
$114 |
$161 |
$119 |
$17 | |
| Arterial blood gas (ABG) |
$80 |
$112 |
$83 |
$26 | |
| Benign skin lesion removal |
$781 |
$1,100 |
$814 |
$171 | |
| Blood clotting test (PT/INR) |
$30 |
$42 |
$31 |
$4 | |
| Blood glucose test |
$33 |
$46 |
$34 |
$5 | |
| Blood transfusion |
$436 |
$614 |
$487 |
$47 | |
| Blood type and screen |
$124 |
$175 |
$130 |
$10 | |
| Blood type test |
$71 |
$100 |
$50 |
$3 | |
| Blood type test (ABO group) |
$103 |
$145 |
$107 |
$3 | |
| Blood type test (Rh/D antigen) |
$39 |
$55 |
$41 |
$3 | |
| Bone density scan (DEXA) |
$206 |
$290 |
$215 |
$39 | |
| Breast MRI |
$2,672 |
$3,763 |
$2,799 |
$216 | |
| Breast MRI without contrast |
$2,672 |
$3,763 |
$2,785 |
$216 | |
| Breathing tube insertion (intubation) |
$280 |
$395 |
$314 |
$133 | |
| Burn dressing and debridement (small) |
$245 |
$345 |
$255 |
$93 | |
| Burn treatment |
$245 |
$345 |
$255 |
$129 | |
| CA-125 ovarian marker test |
$143 |
$201 |
$149 |
$21 | |
| Cardiac rehabilitation |
$80 |
$113 |
$84 |
$26 | |
| Carotid artery ultrasound |
$632 |
$890 |
$659 |
$156 | |
| Celiac disease test |
$31 |
$44 |
$33 |
$12 | |
| Chest X-ray |
$89 |
$126 |
$94 |
$37 | |
| Chest X-ray (1 view) |
$77 |
$108 |
$80 |
$25 | |
| Chest X-ray (2 views) |
$94 |
$133 |
$98 |
$33 | |
| Chickenpox (varicella) vaccine |
$121 |
$170 |
$135 |
— | |
| Copper blood test |
$66 |
$93 |
$69 |
$12 | |
| COVID-19 PCR test |
$146 |
$206 |
$152 |
$51 | |
| CT angiography of the chest |
$1,304 |
$1,837 |
$1,359 |
$281 | |
| CT scan of the abdomen |
$1,065 |
$1,500 |
$1,114 |
$230 | |
| CT scan of the abdomen and pelvis |
$1,676 |
$2,360 |
$1,746 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$1,923 |
$2,709 |
$2,005 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$1,676 |
$2,360 |
$1,746 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$992 |
$1,397 |
$1,034 |
$183 | |
| CT scan of the abdomen with contrast |
$1,061 |
$1,494 |
$1,106 |
$230 | |
| CT scan of the abdomen without contrast |
$1,069 |
$1,506 |
$1,114 |
$136 | |
| CT scan of the chest |
$1,114 |
$1,569 |
$1,245 |
$167 | |
| CT scan of the chest with and without contrast |
$1,401 |
$1,973 |
$1,460 |
$196 | |
| CT scan of the chest with contrast |
$1,114 |
$1,569 |
$1,161 |
$167 | |
| CT scan of the chest without contrast |
$893 |
$1,258 |
$931 |
$133 | |
| CT scan of the head |
$684 |
$964 |
$754 |
$148 | |
| CT scan of the head with and without contrast |
$723 |
$1,019 |
$754 |
$173 | |
| CT scan of the head with contrast |
$684 |
$964 |
$713 |
$148 | |
| CT scan of the head without contrast |
$678 |
$955 |
$707 |
$107 | |
| CT scan of the leg |
$704 |
$991 |
$773 |
$166 | |
| CT scan of the leg with contrast |
$665 |
$937 |
$693 |
$166 | |
| CT scan of the leg without contrast |
$742 |
$1,045 |
$773 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$940 |
$1,324 |
$980 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$940 |
$1,324 |
$980 |
$130 | |
| CT scan of the neck |
$943 |
$1,328 |
$1,055 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,007 |
$1,418 |
$1,049 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,007 |
$1,418 |
$1,049 |
$131 | |
| CT scan of the neck with and without contrast |
$1,052 |
$1,481 |
$1,096 |
$220 | |
| CT scan of the neck with contrast |
$834 |
$1,175 |
$870 |
$183 | |
| CT scan of the pelvis |
$974 |
$1,372 |
$1,104 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,104 |
$1,555 |
$1,151 |
$251 | |
| CT scan of the pelvis without contrast |
$843 |
$1,188 |
$879 |
$133 | |
| CT scan of the sinuses |
$839 |
$1,181 |
$874 |
$152 | |
| CT scan of the sinuses without contrast |
$839 |
$1,181 |
$874 |
$128 | |
| D-dimer test |
$80 |
$113 |
$84 |
$10 | |
| Diagnostic mammogram |
$356 |
$502 |
$400 |
$140 | |
| Drug screen (urine) |
$226 |
$319 |
$236 |
$17 | |
| Echocardiogram |
$345 |
$486 |
$382 |
$138 | |
| Echocardiogram without contrast |
$187 |
$264 |
$195 |
$138 | |
| EKG / ECG (tracing only) |
$94 |
$133 |
$98 |
$7 | |
| Electrocardiogram (EKG) |
$56 |
$80 |
$60 |
$8 | |
| Emergency department visit |
$222 |
$313 |
$238 |
$69 | |
| Emergency department visit (level 1) |
$104 |
$146 |
$112 |
$11 | |
| Emergency department visit (level 2) |
$154 |
$218 |
$170 |
$40 | |
| Emergency department visit (level 3) |
$235 |
$331 |
$258 |
$69 | |
| Emergency department visit (level 4) |
$424 |
$597 |
$467 |
$118 | |
| Emergency department visit (level 5) |
$675 |
$951 |
$737 |
$171 | |
| Fecal occult blood (stool) test |
$31 |
$44 |
$33 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$31 |
$44 |
$33 |
$4 | |
| Flu test |
$67 |
$94 |
$70 |
$17 | |
| Flu vaccine |
$20 |
$29 |
$23 |
— | |
| Foreign body removal (skin) |
$339 |
$477 |
$353 |
$157 | |
| GGT liver test |
$50 |
$71 |
$53 |
$7 | |
| Hepatitis A vaccine |
$44 |
$62 |
$50 |
— | |
| Hepatitis B test |
$70 |
$99 |
$73 |
$10 | |
| Hepatitis B vaccine |
$28 |
$40 |
$32 |
— | |
| Hip replacement |
— |
— |
$17,556 |
$1,162 | |
| Holter heart monitor |
$111 |
$157 |
$116 |
$26 | |
| HPV vaccine |
$195 |
$275 |
$219 |
— | |
| Kidney ultrasound |
$357 |
$503 |
$372 |
$84 | |
| Knee joint injection |
$144 |
$203 |
$150 |
$69 | |
| LDH test |
$53 |
$74 |
$55 |
$6 | |
| Leg vein ultrasound (Doppler) |
$662 |
$933 |
$769 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$542 |
$764 |
$565 |
$116 | |
| Liver function panel |
$64 |
$90 |
$67 |
$8 | |
| MMR vaccine |
$69 |
$97 |
$84 |
— | |
| Nebulizer breathing treatment |
$170 |
$240 |
$178 |
$9 | |
| Occupational therapy evaluation |
$204 |
$287 |
$246 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$204 |
$287 |
$212 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$246 |
$346 |
$256 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$204 |
$287 |
$212 |
$101 | |
| Pap smear (cervical screening) |
$121 |
$170 |
$126 |
$20 | |
| Pelvic ultrasound |
$335 |
$472 |
$349 |
$78 | |
| Pelvic ultrasound (complete) |
$335 |
$472 |
$349 |
$105 | |
| Physical therapy evaluation |
$280 |
$394 |
$313 |
$98 | |
| Physical therapy evaluation (high complexity) |
$300 |
$423 |
$313 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$280 |
$394 |
$292 |
$98 | |
| Platelet count |
$35 |
$49 |
$36 |
$4 | |
| Pneumonia vaccine |
$130 |
$183 |
$136 |
— | |
| Screening mammogram |
$427 |
$601 |
$445 |
$126 | |
| Scrotal ultrasound |
$311 |
$438 |
$324 |
$99 | |
| Shingles vaccine |
$130 |
$183 |
$146 |
— | |
| Shoulder replacement |
— |
— |
$19,532 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$242 |
$341 |
$276 |
$114 | |
| Simple wound stitches |
$244 |
$344 |
$277 |
$127 | |
| Skin biopsy |
$167 |
$235 |
$169 |
$121 | |
| Skin biopsy (punch) |
$141 |
$199 |
$164 |
$121 | |
| Skin lesion freezing (cryotherapy) |
$84 |
$118 |
$88 |
$36 | |
| Skin tag removal |
$116 |
$164 |
$121 |
$92 | |
| Speech therapy |
$165 |
$232 |
$172 |
$76 | |
| Spinal tap (lumbar puncture) |
$910 |
$1,282 |
$949 |
$165 | |
| Strep throat test |
$107 |
$150 |
$111 |
$17 | |
| Swallow study |
$258 |
$364 |
$269 |
$85 | |
| Tdap (tetanus) vaccine |
$60 |
$84 |
$67 |
— | |
| Thyroid ultrasound |
$373 |
$526 |
$389 |
$109 | |
| Total protein test |
$26 |
$37 |
$27 |
$4 | |
| Transvaginal ultrasound |
$260 |
$366 |
$271 |
$118 | |
| Triglycerides test |
$45 |
$63 |
$47 |
$6 | |
| Urine pregnancy test |
$56 |
$79 |
$58 |
$9 | |
| Vaccine administration |
$67 |
$94 |
$70 |
$19 | |
| X-ray of the abdomen |
$99 |
$139 |
$116 |
$36 | |
| X-ray of the ankle |
$114 |
$160 |
$118 |
$37 | |
| X-ray of the collarbone |
$75 |
$105 |
$78 |
$33 | |
| X-ray of the elbow |
$113 |
$159 |
$118 |
$33 | |
| X-ray of the facial bones |
$81 |
$114 |
$84 |
$39 | |
| X-ray of the foot |
$105 |
$148 |
$110 |
$34 | |
| X-ray of the forearm |
$73 |
$103 |
$76 |
$29 | |
| X-ray of the hand |
$115 |
$162 |
$120 |
$38 | |
| X-ray of the hip |
$105 |
$149 |
$117 |
$49 | |
| X-ray of the hip (1 view) |
$60 |
$85 |
$63 |
$34 | |
| X-ray of the hip (3 views) |
$151 |
$212 |
$157 |
$49 | |
| X-ray of the knee |
$128 |
$181 |
$149 |
$42 | |
| X-ray of the knee (2 views) |
$112 |
$158 |
$117 |
$34 | |
| X-ray of the knee (3 views) |
$171 |
$241 |
$197 |
$42 | |
| X-ray of the knee (4+ views) |
$123 |
$173 |
$128 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$125 |
$176 |
$131 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$124 |
$174 |
$129 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$126 |
$177 |
$131 |
$53 | |
| X-ray of the lower leg |
$97 |
$137 |
$101 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$102 |
$144 |
$110 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$105 |
$148 |
$110 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$99 |
$139 |
$103 |
$39 | |
| X-ray of the neck (cervical spine) |
$127 |
$179 |
$139 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$120 |
$169 |
$125 |
$40 | |
| X-ray of the pelvis |
$89 |
$125 |
$93 |
$36 | |
| X-ray of the pelvis (1 view) |
$89 |
$125 |
$93 |
$28 | |
| X-ray of the ribs |
$99 |
$139 |
$104 |
$42 | |
| X-ray of the ribs (2 views) |
$100 |
$141 |
$104 |
$36 | |
| X-ray of the ribs (3 views) |
$97 |
$137 |
$101 |
$42 | |
| X-ray of the shoulder |
$114 |
$160 |
$118 |
$36 | |
| X-ray of the skull |
$83 |
$117 |
$87 |
$40 | |
| X-ray of the thigh bone |
$55 |
$78 |
$58 |
— | |
| X-ray of the upper arm |
$94 |
$132 |
$98 |
$32 | |
| X-ray of the wrist |
$126 |
$177 |
$131 |
$43 | |