| 3D mammogram (tomosynthesis) |
$164 |
$205 |
$162 |
$51 | |
| Abdominal ultrasound |
$575 |
$719 |
$352 |
$100 | |
| Abdominal ultrasound (complete) |
$654 |
$817 |
$352 |
$114 | |
| Abdominal ultrasound (limited) |
$497 |
$621 |
$352 |
$86 | |
| Abscess drainage (complex or multiple) |
$562 |
$703 |
$425 |
$220 | |
| Abscess drainage (simple) |
$322 |
$402 |
$267 |
$129 | |
| Abscess incision and drainage |
$442 |
$553 |
$322 |
$174 | |
| Albumin blood test |
$38 |
$48 |
$24 |
$5 | |
| Aldosterone test |
$186 |
$232 |
$99 |
$41 | |
| Alkaline phosphatase test |
$41 |
$51 |
$24 |
$5 | |
| Allergy shots |
$24 |
$30 |
$24 |
$11 | |
| Alpha-fetoprotein (AFP) test |
$130 |
$162 |
$62 |
$17 | |
| ALT liver enzyme test |
$44 |
$55 |
$24 |
$5 | |
| Ammonia blood test |
$108 |
$135 |
$52 |
$15 | |
| Amylase test |
$50 |
$62 |
$42 |
$6 | |
| Annual physical (established patient) |
$238 |
$298 |
$193 |
— | |
| Annual physical (new patient) |
$269 |
$336 |
$217 |
— | |
| Antinuclear antibody (ANA) test |
$94 |
$117 |
$45 |
$12 | |
| Arterial blood gas (ABG) |
$201 |
$251 |
$96 |
$26 | |
| AST liver enzyme test |
$40 |
$50 |
$24 |
$5 | |
| Barium swallow study |
$920 |
$1,150 |
$484 |
$107 | |
| Bartholin cyst removal |
$414 |
$518 |
$337 |
$182 | |
| Basic metabolic panel |
$69 |
$86 |
$49 |
$8 | |
| Benign skin lesion removal |
$389 |
$486 |
$375 |
$171 | |
| Bilirubin blood test |
$38 |
$48 |
$24 |
$5 | |
| Blood clotting test (PT/INR) |
$41 |
$52 |
$20 |
$4 | |
| Blood crossmatch |
$212 |
$265 |
$130 |
— | |
| Blood glucose test |
$30 |
$37 |
$24 |
$5 | |
| Blood transfusion |
$960 |
$1,200 |
$780 |
$47 | |
| Blood type and screen |
$75 |
$94 |
$43 |
$10 | |
| Blood type test |
$23 |
$29 |
$14 |
$3 | |
| Blood type test (ABO group) |
$23 |
$29 |
$14 |
$3 | |
| Blood type test (Rh/D antigen) |
$23 |
$29 |
$14 |
$3 | |
| BNP (heart failure) test |
$291 |
$364 |
$139 |
$39 | |
| Bone density scan (DEXA) |
$353 |
$441 |
$168 |
$39 | |
| Breast ultrasound |
$336 |
$420 |
$305 |
$92 | |
| Breast ultrasound (limited) |
$336 |
$420 |
$305 |
$84 | |
| Breathing tube insertion (intubation) |
$405 |
$506 |
$506 |
$133 | |
| Burn dressing and debridement (medium) |
$222 |
$278 |
$257 |
$166 | |
| Burn dressing and debridement (small) |
$218 |
$273 |
$232 |
$93 | |
| Burn treatment |
$220 |
$276 |
$233 |
$129 | |
| C-reactive protein (CRP) |
$40 |
$50 |
$34 |
$5 | |
| CA 19-9 tumor marker test |
$126 |
$157 |
$106 |
$21 | |
| CA-125 ovarian marker test |
$154 |
$193 |
$127 |
$21 | |
| Calcium blood test |
$39 |
$49 |
$24 |
$5 | |
| Cardioversion |
$1,127 |
$1,409 |
$971 |
$155 | |
| Carotid artery ultrasound |
$1,111 |
$1,388 |
$530 |
$156 | |
| CEA tumor marker test |
$142 |
$177 |
$68 |
$19 | |
| Celiac disease test |
$138 |
$173 |
$66 |
$12 | |
| Central line placement |
$564 |
$705 |
$1,058 |
$238 | |
| Chest fluid drain (thoracentesis) |
$306 |
$383 |
$304 |
$311 | |
| Chest tube insertion |
$839 |
$1,049 |
$917 |
$143 | |
| Chest X-ray |
$263 |
$329 |
$172 |
$37 | |
| Chest X-ray (1 view) |
$261 |
$326 |
$156 |
$25 | |
| Chest X-ray (2 views) |
$330 |
$413 |
$172 |
$33 | |
| Chickenpox (varicella) vaccine |
$103 |
$129 |
$0 |
— | |
| CK-MB heart enzyme test |
$89 |
$111 |
$46 |
$12 | |
| Clotting time test (PTT) |
$48 |
$60 |
$23 |
$6 | |
| Complete blood count (CBC) |
$55 |
$69 |
$34 |
$7 | |
| Complete blood count (CBC) (complete) |
$62 |
$77 |
$34 |
$8 | |
| Complex wound repair |
$539 |
$674 |
$376 |
$390 | |
| Comprehensive metabolic panel |
$82 |
$103 |
$49 |
$11 | |
| Contraceptive implant (Nexplanon) |
$244 |
$305 |
$230 |
$115 | |
| Copper blood test |
$96 |
$120 |
$68 |
$12 | |
| Cortisol test |
$121 |
$151 |
$98 |
$16 | |
| CPAP titration study |
$299 |
$374 |
$288 |
$69 | |
| Creatine kinase (CK) test |
$52 |
$66 |
$25 |
$7 | |
| CT angiography of the chest |
$3,246 |
$4,058 |
$1,542 |
$281 | |
| CT angiography of the head |
$2,337 |
$2,921 |
$1,110 |
$274 | |
| CT scan of the abdomen |
$1,747 |
$2,184 |
$964 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,768 |
$3,460 |
$1,315 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,101 |
$3,876 |
$1,473 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,768 |
$3,460 |
$1,315 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,058 |
$2,573 |
$978 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,229 |
$2,786 |
$1,059 |
$259 | |
| CT scan of the abdomen with contrast |
$1,747 |
$2,184 |
$964 |
$230 | |
| CT scan of the abdomen without contrast |
$1,602 |
$2,002 |
$964 |
$136 | |
| CT scan of the arm |
$1,825 |
$2,281 |
$871 |
$199 | |
| CT scan of the arm with contrast |
$1,761 |
$2,201 |
$836 |
$199 | |
| CT scan of the arm without contrast |
$1,825 |
$2,281 |
$867 |
$161 | |
| CT scan of the chest |
$1,968 |
$2,460 |
$935 |
$167 | |
| CT scan of the chest with and without contrast |
$2,054 |
$2,568 |
$976 |
$196 | |
| CT scan of the chest with contrast |
$1,968 |
$2,460 |
$935 |
$167 | |
| CT scan of the chest without contrast |
$1,571 |
$1,963 |
$785 |
$133 | |
| CT scan of the head |
$1,538 |
$1,923 |
$731 |
$148 | |
| CT scan of the head with and without contrast |
$1,810 |
$2,262 |
$860 |
$173 | |
| CT scan of the head with contrast |
$1,538 |
$1,923 |
$731 |
$148 | |
| CT scan of the head without contrast |
$1,461 |
$1,826 |
$694 |
$107 | |
| CT scan of the leg |
$1,918 |
$2,397 |
$951 |
$166 | |
| CT scan of the leg with contrast |
$1,918 |
$2,397 |
$911 |
$166 | |
| CT scan of the leg without contrast |
$1,582 |
$1,978 |
$785 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,514 |
$1,892 |
$778 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,747 |
$2,184 |
$830 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,514 |
$1,892 |
$719 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,491 |
$1,864 |
$708 |
$130 | |
| CT scan of the neck |
$1,802 |
$2,253 |
$905 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,795 |
$2,244 |
$873 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,311 |
$2,889 |
$1,098 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,795 |
$2,244 |
$853 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,750 |
$2,187 |
$831 |
$131 | |
| CT scan of the neck with and without contrast |
$1,802 |
$2,253 |
$856 |
$220 | |
| CT scan of the neck with contrast |
$1,904 |
$2,380 |
$905 |
$183 | |
| CT scan of the neck without contrast |
$1,428 |
$1,785 |
$785 |
$150 | |
| CT scan of the pelvis |
$1,694 |
$2,118 |
$964 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,933 |
$2,416 |
$964 |
$251 | |
| CT scan of the pelvis with contrast |
$1,694 |
$2,118 |
$964 |
$226 | |
| CT scan of the pelvis without contrast |
$1,473 |
$1,841 |
$964 |
$133 | |
| CT scan of the sinuses |
$1,499 |
$1,874 |
$785 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,587 |
$1,984 |
$785 |
$184 | |
| CT scan of the sinuses with contrast |
$1,499 |
$1,874 |
$785 |
$152 | |
| CT scan of the sinuses without contrast |
$1,365 |
$1,706 |
$785 |
$128 | |
| D-dimer test |
$126 |
$158 |
$60 |
$10 | |
| Developmental screening (child) |
$19 |
$24 |
$16 |
— | |
| DHEA-sulfate test |
$300 |
$375 |
$143 |
$22 | |
| Diagnostic mammogram |
$330 |
$413 |
$179 |
$140 | |
| Drug screen (urine) |
$107 |
$134 |
$57 |
$17 | |
| Echocardiogram |
$1,032 |
$1,290 |
$837 |
$138 | |
| Echocardiogram with and without contrast |
$807 |
$1,009 |
$731 |
$101 | |
| EKG / ECG (tracing only) |
$166 |
$207 |
$135 |
$7 | |
| Electrocardiogram (EKG) |
$139 |
$174 |
$112 |
$8 | |
| Electrolyte panel |
$67 |
$84 |
$49 |
$7 | |
| Emergency department visit |
$571 |
$714 |
$258 |
$69 | |
| Emergency department visit (level 1) |
$60 |
$75 |
$78 |
$11 | |
| Emergency department visit (level 2) |
$317 |
$397 |
$151 |
$40 | |
| Emergency department visit (level 3) |
$571 |
$714 |
$271 |
$69 | |
| Emergency department visit (level 4) |
$865 |
$1,082 |
$411 |
$118 | |
| Emergency department visit (level 5) |
$1,216 |
$1,520 |
$578 |
$171 | |
| Endometrial biopsy |
$235 |
$294 |
$233 |
$98 | |
| Estradiol (estrogen) test |
$146 |
$182 |
$99 |
$28 | |
| Fecal occult blood (stool) test |
$69 |
$86 |
$24 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$69 |
$86 |
$24 |
$4 | |
| Ferritin (iron) test |
$107 |
$134 |
$51 |
$14 | |
| Fibrinogen test |
$91 |
$114 |
$44 |
$10 | |
| Flu test |
$40 |
$50 |
$46 |
$17 | |
| Folate (folic acid) test |
$112 |
$140 |
$54 |
$15 | |
| Foreign body removal (skin) |
$360 |
$450 |
$397 |
$157 | |
| Free T4 thyroid test |
$72 |
$90 |
$60 |
$9 | |
| FSH hormone test |
$127 |
$159 |
$99 |
$19 | |
| GGT liver test |
$56 |
$70 |
$27 |
$7 | |
| Glucose tolerance test |
$56 |
$71 |
$46 |
$8 | |
| H. pylori test |
$340 |
$425 |
$162 |
$67 | |
| HDL cholesterol test |
$88 |
$110 |
$46 |
$8 | |
| Hematocrit test |
$18 |
$23 |
$16 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$77 |
$97 |
$46 |
$10 | |
| Hepatitis B test |
$69 |
$86 |
$40 |
$10 | |
| Hepatitis C test |
$110 |
$137 |
$66 |
$14 | |
| HIV test |
$90 |
$113 |
$43 |
$19 | |
| HIV test (antigen/antibody combo) |
$90 |
$113 |
$43 |
$24 | |
| Holter heart monitor |
$318 |
$398 |
$193 |
$26 | |
| HPV vaccine |
$240 |
$300 |
$42 |
— | |
| Iron blood test |
$54 |
$68 |
$26 |
$6 | |
| IUD removal |
$275 |
$344 |
$298 |
$112 | |
| IV infusion therapy |
$326 |
$407 |
$223 |
$44 | |
| IV infusion therapy (each additional) |
$170 |
$212 |
$121 |
$21 | |
| IV infusion therapy (initial) |
$482 |
$602 |
$290 |
$67 | |
| Joint aspiration (small/intermediate) |
$148 |
$185 |
$142 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$176 |
$220 |
$170 |
$57 | |
| Joint aspiration or injection (small joint) |
$121 |
$151 |
$120 |
$56 | |
| Kidney ultrasound |
$501 |
$627 |
$352 |
$84 | |
| Kidney ultrasound (limited) |
$387 |
$484 |
$345 |
$61 | |
| Knee joint injection |
$192 |
$240 |
$185 |
$69 | |
| Lactate test |
$91 |
$114 |
$46 |
$12 | |
| Laryngoscopy |
$364 |
$455 |
$1,164 |
$189 | |
| LDH test |
$46 |
$58 |
$24 |
$6 | |
| LDL cholesterol test |
$76 |
$95 |
$46 |
$11 | |
| Leg vein ultrasound (Doppler) |
$753 |
$941 |
$585 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$633 |
$792 |
$570 |
$116 | |
| LH hormone test |
$138 |
$172 |
$99 |
$19 | |
| Lipase test |
$55 |
$69 |
$26 |
$7 | |
| Lipid (cholesterol) panel |
$106 |
$133 |
$51 |
$13 | |
| Liver function panel |
$67 |
$84 |
$49 |
$8 | |
| Lung function test (PFT) |
$466 |
$582 |
$329 |
$37 | |
| Magnesium blood test |
$53 |
$67 |
$25 |
$7 | |
| MMR vaccine |
$70 |
$88 |
$0 |
— | |
| MRA of the brain |
$952 |
$1,190 |
$1,011 |
$226 | |
| MRA of the brain with contrast |
$952 |
$1,190 |
$871 |
$226 | |
| MRA of the brain without contrast |
$2,142 |
$2,678 |
$1,687 |
$328 | |
| MRA of the neck |
$2,472 |
$3,090 |
$1,687 |
$245 | |
| MRA of the neck with contrast |
$2,472 |
$3,090 |
$1,687 |
$245 | |
| MRA of the neck without contrast |
$2,802 |
$3,502 |
$1,687 |
$343 | |
| MRI of the abdomen |
$1,974 |
$2,468 |
$1,666 |
$300 | |
| MRI of the abdomen with contrast |
$1,974 |
$2,468 |
$1,727 |
$300 | |
| MRI of the abdomen without contrast |
$1,689 |
$2,112 |
$1,478 |
$194 | |
| MRI of the ankle |
$2,080 |
$2,600 |
$1,656 |
$261 | |
| MRI of the ankle with contrast |
$1,916 |
$2,395 |
$1,606 |
$261 | |
| MRI of the ankle without contrast |
$2,080 |
$2,600 |
$1,656 |
$222 | |
| MRI of the brain |
$2,111 |
$2,639 |
$1,321 |
$269 | |
| MRI of the brain with contrast |
$1,992 |
$2,491 |
$1,321 |
$269 | |
| MRI of the brain without contrast |
$2,111 |
$2,639 |
$1,321 |
$195 | |
| MRI of the chest |
$1,917 |
$2,396 |
$1,557 |
$371 | |
| MRI of the chest with contrast |
$1,917 |
$2,396 |
$1,687 |
$371 | |
| MRI of the chest without contrast |
$2,340 |
$2,925 |
$1,730 |
$466 | |
| MRI of the knee |
$1,978 |
$2,473 |
$1,074 |
$315 | |
| MRI of the knee with contrast |
$1,916 |
$2,395 |
$910 |
$315 | |
| MRI of the knee without contrast |
$1,978 |
$2,473 |
$940 |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,978 |
$2,473 |
$1,011 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,916 |
$2,395 |
$910 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,978 |
$2,473 |
$940 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,031 |
$2,539 |
$1,054 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,960 |
$3,700 |
$1,406 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,974 |
$2,468 |
$938 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,031 |
$2,539 |
$965 |
$190 | |
| MRI of the neck (cervical spine) |
$2,111 |
$2,639 |
$1,008 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,506 |
$3,133 |
$1,191 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,974 |
$2,468 |
$938 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,111 |
$2,639 |
$1,003 |
$191 | |
| MRI of the pelvis |
$1,916 |
$2,395 |
$1,609 |
$268 | |
| MRI of the pelvis with contrast |
$1,916 |
$2,395 |
$1,606 |
$268 | |
| MRI of the pelvis without contrast |
$1,609 |
$2,012 |
$1,408 |
$227 | |
| MRI of the shoulder |
$2,301 |
$2,877 |
$1,147 |
$313 | |
| MRI of the shoulder with contrast |
$1,978 |
$2,473 |
$940 |
$313 | |
| MRI of the shoulder without contrast |
$2,301 |
$2,877 |
$1,093 |
$205 | |
| MRI of the wrist |
$1,935 |
$2,419 |
$1,609 |
$330 | |
| MRI of the wrist with contrast |
$1,935 |
$2,419 |
$1,614 |
$330 | |
| MRI of the wrist without contrast |
$1,609 |
$2,012 |
$1,408 |
$303 | |
| Nebulizer breathing treatment |
$200 |
$250 |
$192 |
$9 | |
| Occupational therapy evaluation |
$266 |
$333 |
$155 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$266 |
$333 |
$155 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$267 |
$334 |
$155 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$266 |
$333 |
$155 |
$101 | |
| Office visit (established patient) |
$516 |
$645 |
$184 |
$115 | |
| Office visit (new patient) |
$318 |
$398 |
$232 |
$177 | |
| Office visit, established patient (level 3) |
$242 |
$303 |
$151 |
$95 | |
| Office visit, established patient (level 4) |
$790 |
$987 |
$253 |
$136 | |
| Office visit, new patient (level 3) |
$213 |
$266 |
$177 |
$118 | |
| Office visit, new patient (level 4) |
$318 |
$398 |
$259 |
$177 | |
| Office visit, new patient (level 5) |
$422 |
$527 |
$342 |
$237 | |
| Pap smear (cervical screening) |
$180 |
$226 |
$98 |
$20 | |
| Parathyroid hormone (PTH) test |
$210 |
$263 |
$100 |
$41 | |
| Pelvic ultrasound |
$406 |
$507 |
$214 |
$78 | |
| Pelvic ultrasound (complete) |
$611 |
$763 |
$352 |
$105 | |
| Pelvic ultrasound (limited) |
$201 |
$251 |
$193 |
$51 | |
| Phosphorus blood test |
$37 |
$46 |
$24 |
$5 | |
| Physical therapy evaluation |
$328 |
$410 |
$161 |
$98 | |
| Physical therapy evaluation (high complexity) |
$328 |
$410 |
$161 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$328 |
$410 |
$161 |
$98 | |
| Pneumonia vaccine |
$272 |
$340 |
$221 |
— | |
| Pregnancy ultrasound |
$610 |
$763 |
$373 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$575 |
$719 |
$373 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$646 |
$807 |
$373 |
$136 | |
| Prolactin test |
$142 |
$178 |
$99 |
$19 | |
| Prostate test (PSA) |
$148 |
$185 |
$71 |
$18 | |
| Rheumatoid factor test |
$68 |
$85 |
$40 |
$6 | |
| Routine eye exam |
$173 |
$216 |
$146 |
$88 | |
| Scoliosis spine X-ray |
$273 |
$341 |
$169 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$191 |
$239 |
$122 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$355 |
$444 |
$210 |
$72 | |
| Screening mammogram |
$160 |
$200 |
$301 |
$126 | |
| Scrotal ultrasound |
$579 |
$724 |
$352 |
$99 | |
| Sedimentation rate (ESR) test |
$21 |
$26 |
$18 |
$3 | |
| Sex hormone binding globulin test |
$114 |
$143 |
$55 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$240 |
$300 |
$225 |
$114 | |
| Simple wound stitches |
$268 |
$335 |
$255 |
$127 | |
| Skin biopsy |
$267 |
$334 |
$257 |
$121 | |
| Skin cancer lesion removal |
$517 |
$646 |
$513 |
$240 | |
| Skin lesion freezing (cryotherapy) |
$92 |
$114 |
$58 |
$36 | |
| Skin tag removal |
$236 |
$295 |
$181 |
$92 | |
| Soft tissue ultrasound |
$408 |
$510 |
$352 |
$64 | |
| Speech therapy |
$226 |
$283 |
$168 |
$76 | |
| Spinal tap (lumbar puncture) |
$647 |
$809 |
$557 |
$165 | |
| Spirometry (lung function test) |
$240 |
$300 |
$217 |
$30 | |
| Spirometry with bronchodilator |
$692 |
$865 |
$425 |
$43 | |
| Strep throat test |
$92 |
$115 |
$38 |
$17 | |
| Swallow study |
$241 |
$301 |
$174 |
$85 | |
| T3 thyroid test |
$110 |
$137 |
$74 |
$14 | |
| Tdap (tetanus) vaccine |
$85 |
$106 |
$38 |
— | |
| Testosterone test |
$146 |
$183 |
$99 |
$26 | |
| Thyroid test (TSH) |
$128 |
$161 |
$74 |
$17 | |
| Thyroid ultrasound |
$456 |
$570 |
$352 |
$109 | |
| Total IgE allergy test |
$93 |
$116 |
$46 |
$16 | |
| Total protein test |
$27 |
$34 |
$23 |
$4 | |
| Transvaginal ultrasound |
$628 |
$785 |
$352 |
$118 | |
| Trigger finger release |
$715 |
$894 |
$1,135 |
$630 | |
| Trigger point injection |
$122 |
$153 |
$122 |
$56 | |
| Trigger point injection (1-2 muscles) |
$122 |
$153 |
$122 |
$52 | |
| Triglycerides test |
$64 |
$80 |
$30 |
$6 | |
| Troponin (heart) test |
$101 |
$126 |
$48 |
$12 | |
| Uric acid (gout) test |
$35 |
$44 |
$24 |
$5 | |
| Urinalysis |
$25 |
$31 |
$11 |
$3 | |
| Urine microalbumin test |
$41 |
$51 |
$24 |
$5 | |
| Urine pregnancy test |
$65 |
$81 |
$4 |
$9 | |
| Vaccine administration |
$79 |
$99 |
$27 |
$19 | |
| Vaccine administration (each additional) |
$34 |
$42 |
$23 |
$16 | |
| Vitamin B12 test |
$116 |
$146 |
$74 |
$15 | |
| Vitamin D test |
$206 |
$258 |
$138 |
$30 | |
| Wart removal |
$253 |
$316 |
$120 |
$121 | |
| Well-child visit |
$204 |
$255 |
$166 |
— | |
| Wound debridement |
$304 |
$380 |
$264 |
$186 | |
| X-ray of the abdomen |
$296 |
$370 |
$180 |
$36 | |
| X-ray of the ankle |
$251 |
$314 |
$153 |
$37 | |
| X-ray of the collarbone |
$154 |
$193 |
$108 |
$33 | |
| X-ray of the elbow |
$233 |
$292 |
$144 |
$33 | |
| X-ray of the facial bones |
$185 |
$231 |
$108 |
$39 | |
| X-ray of the foot |
$277 |
$346 |
$159 |
$34 | |
| X-ray of the forearm |
$138 |
$172 |
$102 |
$29 | |
| X-ray of the hand |
$226 |
$282 |
$139 |
$38 | |
| X-ray of the hip |
$353 |
$441 |
$215 |
$49 | |
| X-ray of the hip (1 view) |
$275 |
$344 |
$159 |
$34 | |
| X-ray of the hip (3 views) |
$353 |
$441 |
$178 |
$49 | |
| X-ray of the hip (4 views) |
$453 |
$567 |
$234 |
$63 | |
| X-ray of the knee |
$309 |
$386 |
$177 |
$42 | |
| X-ray of the knee (2 views) |
$259 |
$324 |
$155 |
$34 | |
| X-ray of the knee (3 views) |
$309 |
$386 |
$167 |
$42 | |
| X-ray of the knee (4+ views) |
$349 |
$437 |
$209 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$339 |
$424 |
$184 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$184 |
$230 |
$119 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$495 |
$619 |
$244 |
$53 | |
| X-ray of the lower leg |
$249 |
$311 |
$153 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$353 |
$441 |
$212 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$343 |
$428 |
$207 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$363 |
$453 |
$212 |
$39 | |
| X-ray of the neck (cervical spine) |
$408 |
$510 |
$221 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$353 |
$441 |
$178 |
$40 | |
| X-ray of the pelvis |
$215 |
$268 |
$129 |
$36 | |
| X-ray of the pelvis (1 view) |
$238 |
$298 |
$146 |
$28 | |
| X-ray of the ribs |
$253 |
$316 |
$193 |
$42 | |
| X-ray of the ribs (2 views) |
$253 |
$316 |
$154 |
$36 | |
| X-ray of the ribs (3 views) |
$419 |
$524 |
$226 |
$42 | |
| X-ray of the shoulder |
$234 |
$293 |
$144 |
$36 | |
| X-ray of the skull |
$239 |
$299 |
$147 |
$40 | |
| X-ray of the upper arm |
$235 |
$294 |
$144 |
$32 | |
| X-ray of the wrist |
$208 |
$261 |
$128 |
$43 | |
| Zinc blood test |
$86 |
$108 |
$68 |
$11 | |