| 3D mammogram (tomosynthesis) |
$23 |
$78 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$371 |
$1,237 |
— |
$284 | |
| Abdominal ultrasound |
$114 |
$382 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$140 |
$466 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$89 |
$297 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$110 |
$377 |
— |
$220 | |
| Abscess drainage (simple) |
$105 |
$150 |
— |
$129 | |
| Abscess incision and drainage |
$105 |
$350 |
— |
$174 | |
| Albumin blood test |
$7 |
$22 |
— |
$5 | |
| Aldosterone test |
$75 |
$250 |
— |
$41 | |
| Alkaline phosphatase test |
$7 |
$23 |
— |
$5 | |
| Allergy shots |
— |
$33 |
— |
$11 | |
| Allergy testing |
— |
$11 |
— |
$4 | |
| Alpha-fetoprotein (AFP) test |
$34 |
$113 |
— |
$17 | |
| ALT liver enzyme test |
$8 |
$25 |
— |
$5 | |
| Ammonia blood test |
$18 |
$59 |
— |
$15 | |
| Amylase test |
$17 |
$55 |
— |
$6 | |
| Anal fistula repair |
— |
$1,436 |
— |
$541 | |
| Annual physical (established patient) |
— |
$240 |
— |
— | |
| Annual physical (new patient) |
— |
$260 |
— |
— | |
| Anoscopy |
— |
$210 |
— |
$129 | |
| Antinuclear antibody (ANA) test |
$29 |
$97 |
— |
$12 | |
| Arterial blood gas (ABG) |
$41 |
$138 |
— |
$26 | |
| AST liver enzyme test |
$7 |
$23 |
— |
$5 | |
| Bartholin cyst removal |
— |
$372 |
— |
$182 | |
| Basic metabolic panel |
$26 |
$85 |
— |
$8 | |
| Benign skin lesion removal |
$116 |
$344 |
— |
$171 | |
| Bilirubin blood test |
$16 |
$52 |
— |
$5 | |
| Blood clotting test (PT/INR) |
$20 |
$68 |
— |
$4 | |
| Blood glucose test |
$11 |
$37 |
— |
$5 | |
| Blood transfusion |
$398 |
$1,325 |
— |
$47 | |
| Blood type and screen |
$17 |
$55 |
— |
$10 | |
| Blood type test |
$24 |
$81 |
— |
$3 | |
| Blood type test (ABO group) |
$37 |
$122 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$12 |
$39 |
— |
$3 | |
| BNP (heart failure) test |
$71 |
$236 |
— |
$39 | |
| Bone density scan (DEXA) |
$137 |
$456 |
— |
$39 | |
| Bone scan (nuclear) |
$213 |
$711 |
— |
$259 | |
| Botox for migraine |
$172 |
$409 |
— |
$157 | |
| Breast MRI |
$245 |
$817 |
— |
$216 | |
| Breast MRI without contrast |
$240 |
$802 |
— |
$216 | |
| Breast ultrasound |
$62 |
$208 |
— |
$92 | |
| Breast ultrasound (complete) |
$62 |
$208 |
— |
$100 | |
| Breast ultrasound (limited) |
$62 |
$208 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$100 |
$396 |
— |
$133 | |
| Bronchoscopy |
— |
$1,030 |
— |
$303 | |
| Burn dressing and debridement (medium) |
$149 |
$451 |
— |
$166 | |
| Burn dressing and debridement (small) |
$137 |
$185 |
— |
$93 | |
| Burn treatment |
$143 |
$295 |
— |
$129 | |
| C-reactive protein (CRP) |
$17 |
$57 |
— |
$5 | |
| CA 19-9 tumor marker test |
$23 |
$76 |
— |
$21 | |
| CA-125 ovarian marker test |
$33 |
$111 |
— |
$21 | |
| Calcium blood test |
$14 |
$48 |
— |
$5 | |
| Cardiac stress test |
$107 |
$124 |
— |
$39 | |
| Cardioversion |
$272 |
$667 |
— |
$155 | |
| Carotid artery ultrasound |
$315 |
$1,051 |
— |
$156 | |
| Cataract surgery |
$1,540 |
$5,132 |
— |
$547 | |
| CEA tumor marker test |
$47 |
$155 |
— |
$19 | |
| Celiac disease test |
$66 |
$220 |
— |
$12 | |
| Central line placement |
— |
$464 |
— |
$238 | |
| Chest tube insertion |
$687 |
$1,261 |
— |
$143 | |
| Chest X-ray |
$98 |
$327 |
— |
$37 | |
| Chest X-ray (1 view) |
$88 |
$293 |
— |
$25 | |
| Chest X-ray (2 views) |
$108 |
$360 |
— |
$33 | |
| Circumcision |
— |
$357 |
— |
$167 | |
| CK-MB heart enzyme test |
$33 |
$110 |
— |
$12 | |
| Clotting time test (PTT) |
$16 |
$52 |
— |
$6 | |
| Colonoscopy |
— |
$959 |
— |
$480 | |
| Colposcopy |
— |
$422 |
— |
$161 | |
| Complete blood count (CBC) |
$23 |
$75 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$23 |
$75 |
— |
$8 | |
| Comprehensive metabolic panel |
$36 |
$119 |
— |
$11 | |
| Contraceptive implant (Nexplanon) |
— |
$278 |
— |
$115 | |
| Copper blood test |
$27 |
$89 |
— |
$12 | |
| Cortisol test |
$40 |
$133 |
— |
$16 | |
| CPAP titration study |
$103 |
$342 |
— |
$69 | |
| Creatine kinase (CK) test |
$22 |
$73 |
— |
$7 | |
| CT angiography of the chest |
$574 |
$1,912 |
— |
$281 | |
| CT angiography of the head |
$617 |
$2,056 |
— |
$274 | |
| CT scan of the abdomen |
$413 |
$1,378 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$806 |
$2,685 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$896 |
$2,987 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$806 |
$2,685 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$732 |
$2,441 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$496 |
$1,653 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$413 |
$1,378 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$320 |
$1,067 |
— |
$136 | |
| CT scan of the arm |
$384 |
$1,281 |
— |
$199 | |
| CT scan of the arm with contrast |
$384 |
$1,281 |
— |
$199 | |
| CT scan of the arm without contrast |
$344 |
$1,148 |
— |
$161 | |
| CT scan of the chest |
$413 |
$1,378 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$496 |
$1,653 |
— |
$196 | |
| CT scan of the chest with contrast |
$413 |
$1,378 |
— |
$167 | |
| CT scan of the chest without contrast |
$344 |
$1,148 |
— |
$133 | |
| CT scan of the head |
$589 |
$1,964 |
— |
$148 | |
| CT scan of the head with and without contrast |
$632 |
$2,107 |
— |
$173 | |
| CT scan of the head with contrast |
$589 |
$1,964 |
— |
$148 | |
| CT scan of the head without contrast |
$536 |
$1,786 |
— |
$107 | |
| CT scan of the leg |
$384 |
$1,281 |
— |
$166 | |
| CT scan of the leg with contrast |
$384 |
$1,281 |
— |
$166 | |
| CT scan of the leg without contrast |
$344 |
$1,148 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$384 |
$1,281 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$479 |
$1,596 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$384 |
$1,281 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$344 |
$1,148 |
— |
$130 | |
| CT scan of the neck |
$413 |
$1,378 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$510 |
$1,701 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$574 |
$1,912 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$510 |
$1,701 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$464 |
$1,546 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$461 |
$1,537 |
— |
$220 | |
| CT scan of the neck with contrast |
$413 |
$1,378 |
— |
$183 | |
| CT scan of the neck without contrast |
$320 |
$1,067 |
— |
$150 | |
| CT scan of the pelvis |
$413 |
$1,378 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$496 |
$1,653 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$413 |
$1,378 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$320 |
$1,067 |
— |
$133 | |
| CT scan of the sinuses |
$467 |
$1,557 |
— |
$152 | |
| CT scan of the sinuses with contrast |
$489 |
$1,631 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$445 |
$1,483 |
— |
$128 | |
| D-dimer test |
$45 |
$150 |
— |
$10 | |
| Developmental screening (child) |
— |
$80 |
— |
— | |
| DHEA-sulfate test |
$53 |
$176 |
— |
$22 | |
| Diagnostic mammogram |
$57 |
$189 |
— |
$140 | |
| Drug screen (urine) |
$58 |
$193 |
— |
$17 | |
| Ear tubes (myringotomy) |
$2,193 |
$7,310 |
— |
$174 | |
| Echocardiogram |
$525 |
$1,749 |
— |
$138 | |
| Echocardiogram with and without contrast |
$377 |
$1,258 |
— |
$101 | |
| EKG / ECG (tracing only) |
$50 |
$165 |
— |
$7 | |
| Electrocardiogram (EKG) |
$50 |
$87 |
— |
$8 | |
| Electrolyte panel |
$18 |
$59 |
— |
$7 | |
| Emergency department visit |
$131 |
$380 |
— |
$69 | |
| Emergency department visit (level 1) |
$55 |
$137 |
— |
$11 | |
| Emergency department visit (level 2) |
$85 |
$238 |
— |
$40 | |
| Emergency department visit (level 3) |
$131 |
$380 |
— |
$69 | |
| Emergency department visit (level 4) |
$209 |
$696 |
— |
$118 | |
| Emergency department visit (level 5) |
$324 |
$1,081 |
— |
$171 | |
| Endometrial biopsy |
— |
$253 |
— |
$98 | |
| Epidural steroid injection |
$356 |
$847 |
— |
$275 | |
| Esophageal dilation |
— |
$265 |
— |
$522 | |
| Estradiol (estrogen) test |
$76 |
$254 |
— |
$28 | |
| Facet joint injection (spine) |
$308 |
$869 |
— |
$99 | |
| Fecal occult blood (stool) test |
$14 |
$44 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$14 |
$44 |
— |
$4 | |
| Ferritin (iron) test |
$35 |
$117 |
— |
$14 | |
| Fibrinogen test |
$16 |
$52 |
— |
$10 | |
| Flexible sigmoidoscopy |
— |
$365 |
— |
$323 | |
| Flu test |
— |
$56 |
— |
$17 | |
| Folate (folic acid) test |
$38 |
$126 |
— |
$15 | |
| Foreign body removal (skin) |
$114 |
$222 |
— |
$157 | |
| Free T4 thyroid test |
$33 |
$111 |
— |
$9 | |
| FSH hormone test |
$47 |
$156 |
— |
$19 | |
| Gallbladder removal (laparoscopic) |
— |
$2,750 |
— |
$658 | |
| Gallbladder scan (HIDA) |
$282 |
$940 |
— |
$334 | |
| GGT liver test |
$22 |
$74 |
— |
$7 | |
| Glucose tolerance test |
$21 |
$70 |
— |
$8 | |
| Hematocrit test |
$7 |
$23 |
— |
$2 | |
| Hemoglobin A1c (diabetes test) |
$25 |
$83 |
— |
$10 | |
| Hemorrhoid removal |
$752 |
$1,539 |
— |
$338 | |
| Hepatitis B test |
$25 |
$84 |
— |
$10 | |
| Hepatitis C test |
$32 |
$106 |
— |
$14 | |
| Hip replacement |
— |
$6,751 |
— |
$1,162 | |
| HIV test |
$41 |
$135 |
— |
$19 | |
| HIV test (antigen/antibody combo) |
$41 |
$135 |
— |
$24 | |
| Holter heart monitor |
$80 |
$190 |
— |
$26 | |
| Inguinal hernia repair |
— |
$1,796 |
— |
$538 | |
| Iron blood test |
$16 |
$52 |
— |
$6 | |
| IUD insertion |
— |
$192 |
— |
— | |
| IUD removal |
— |
$159 |
— |
$112 | |
| IV infusion therapy |
$86 |
$286 |
— |
$44 | |
| IV infusion therapy (each additional) |
$64 |
$214 |
— |
$21 | |
| IV infusion therapy (initial) |
$107 |
$357 |
— |
$67 | |
| Joint aspiration (small/intermediate) |
$203 |
$187 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$203 |
$206 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
— |
$178 |
— |
$56 | |
| Kidney scan (nuclear) |
$416 |
$1,386 |
— |
$172 | |
| Kidney ultrasound |
$100 |
$332 |
— |
$84 | |
| Knee joint injection |
$227 |
$276 |
— |
$69 | |
| Lactate test |
$31 |
$104 |
— |
$12 | |
| LDH test |
$14 |
$46 |
— |
$6 | |
| LDL cholesterol test |
$28 |
$92 |
— |
$11 | |
| Leg vein ultrasound (Doppler) |
$293 |
$977 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$293 |
$977 |
— |
$116 | |
| LH hormone test |
$46 |
$152 |
— |
$19 | |
| Lipase test |
$18 |
$61 |
— |
$7 | |
| Lipid (cholesterol) panel |
$32 |
$105 |
— |
$13 | |
| Liver function panel |
$25 |
$82 |
— |
$8 | |
| Lumpectomy (breast) |
$1,642 |
$5,472 |
— |
$750 | |
| Magnesium blood test |
$10 |
$34 |
— |
$7 | |
| Mastectomy |
$2,531 |
$5,673 |
— |
$1,021 | |
| MRA of the brain |
$345 |
$1,150 |
— |
$226 | |
| MRA of the neck |
$337 |
$1,122 |
— |
$245 | |
| MRA of the neck with contrast |
$337 |
$1,122 |
— |
$245 | |
| MRA of the neck without contrast |
$560 |
$1,867 |
— |
$343 | |
| MRI of the abdomen |
$636 |
$2,120 |
— |
$300 | |
| MRI of the abdomen without contrast |
$560 |
$1,868 |
— |
$194 | |
| MRI of the ankle |
$486 |
$1,619 |
— |
$261 | |
| MRI of the ankle without contrast |
$415 |
$1,384 |
— |
$222 | |
| MRI of the brain |
$638 |
$2,126 |
— |
$269 | |
| MRI of the brain with contrast |
$383 |
$1,276 |
— |
$269 | |
| MRI of the brain without contrast |
$299 |
$996 |
— |
$195 | |
| MRI of the chest |
$500 |
$1,668 |
— |
$371 | |
| MRI of the chest without contrast |
$625 |
$2,082 |
— |
$466 | |
| MRI of the knee |
$450 |
$1,500 |
— |
$315 | |
| MRI of the knee with contrast |
$450 |
$1,500 |
— |
$315 | |
| MRI of the knee without contrast |
$403 |
$1,344 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$625 |
$2,082 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$677 |
$2,258 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$603 |
$2,009 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$603 |
$2,009 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$700 |
$2,332 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$603 |
$2,009 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$603 |
$2,009 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$651 |
$2,169 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$700 |
$2,332 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$651 |
$2,169 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$607 |
$2,024 |
— |
$191 | |
| MRI of the pelvis |
$466 |
$1,555 |
— |
$268 | |
| MRI of the pelvis without contrast |
$366 |
$1,220 |
— |
$227 | |
| MRI of the shoulder |
$540 |
$1,800 |
— |
$313 | |
| MRI of the shoulder without contrast |
$403 |
$1,344 |
— |
$205 | |
| MRI of the wrist |
$560 |
$1,868 |
— |
$330 | |
| MRI of the wrist without contrast |
$560 |
$1,868 |
— |
$303 | |
| Nebulizer breathing treatment |
$61 |
$125 |
— |
$9 | |
| Newborn hospital care |
— |
$185 |
— |
$58 | |
| Nuclear cardiac stress test |
$764 |
$2,545 |
— |
$428 | |
| Occupational therapy evaluation |
$69 |
$230 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$69 |
$230 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$69 |
$230 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$69 |
$230 |
— |
$101 | |
| Office visit (established patient) |
$71 |
$180 |
— |
$115 | |
| Office visit (new patient) |
$69 |
$206 |
— |
$177 | |
| Office visit, established patient (level 3) |
$58 |
$180 |
— |
$95 | |
| Office visit, established patient (level 4) |
$90 |
$280 |
— |
$136 | |
| Office visit, new patient (level 3) |
$54 |
$180 |
— |
$118 | |
| Office visit, new patient (level 4) |
$84 |
$255 |
— |
$177 | |
| Office visit, new patient (level 5) |
— |
$300 |
— |
$237 | |
| Pap smear (cervical screening) |
$31 |
$103 |
— |
$20 | |
| Parathyroid hormone (PTH) test |
$95 |
$315 |
— |
$41 | |
| Pelvic ultrasound |
$78 |
$262 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$89 |
$297 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$68 |
$226 |
— |
$51 | |
| Phosphorus blood test |
$16 |
$52 |
— |
$5 | |
| Physical therapy evaluation |
$73 |
$242 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$73 |
$242 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$73 |
$242 |
— |
$98 | |
| Pilonidal cyst removal |
$827 |
$2,757 |
— |
$541 | |
| Platelet count |
$9 |
$31 |
— |
$4 | |
| Pneumonia vaccine |
$70 |
$137 |
— |
— | |
| Pregnancy blood test (hCG) |
$23 |
$76 |
— |
$8 | |
| Pregnancy ultrasound |
$94 |
$312 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$77 |
$256 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$110 |
$368 |
— |
$136 | |
| Procalcitonin test |
$33 |
$109 |
— |
$27 | |
| Prolactin test |
$48 |
$161 |
— |
$19 | |
| Prostate biopsy |
$582 |
$1,941 |
— |
— | |
| Prostate test (PSA) |
$54 |
$180 |
— |
$18 | |
| Radiofrequency nerve ablation |
$722 |
$1,817 |
— |
$462 | |
| RSV vaccine |
— |
$403 |
— |
— | |
| Sacroiliac joint injection |
$251 |
$836 |
— |
$176 | |
| Scoliosis spine X-ray |
$85 |
$285 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$101 |
$336 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$70 |
$233 |
— |
$72 | |
| Screening mammogram |
$37 |
$124 |
— |
$126 | |
| Scrotal ultrasound |
$89 |
$297 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$14 |
$46 |
— |
$3 | |
| Semen analysis |
$28 |
$94 |
— |
$12 | |
| Sex hormone binding globulin test |
$79 |
$262 |
— |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$134 |
$307 |
— |
$114 | |
| Simple wound stitches |
$146 |
$273 |
— |
$127 | |
| Skin biopsy |
$146 |
$500 |
— |
$121 | |
| Skin biopsy (punch) |
$143 |
$475 |
— |
$121 | |
| Skin cancer lesion removal |
$120 |
$401 |
— |
$240 | |
| Skin lesion freezing (cryotherapy) |
$27 |
$89 |
— |
$36 | |
| Skin tag removal |
$35 |
$118 |
— |
$92 | |
| Soft tissue ultrasound |
$89 |
$297 |
— |
$64 | |
| Speech therapy |
$69 |
$230 |
— |
$76 | |
| Spinal cord stimulator |
— |
$5,252 |
— |
$2,388 | |
| Spinal tap (lumbar puncture) |
$198 |
$659 |
— |
$165 | |
| Spine fracture repair (kyphoplasty) |
— |
$3,291 |
— |
$5,803 | |
| Swallow study |
$77 |
$255 |
— |
$85 | |
| T3 thyroid test |
$31 |
$104 |
— |
$14 | |
| Tdap (tetanus) vaccine |
$19 |
$102 |
— |
— | |
| Testosterone test |
$64 |
$213 |
— |
$26 | |
| Thyroid test (TSH) |
$39 |
$130 |
— |
$17 | |
| Thyroid ultrasound |
$293 |
$977 |
— |
$109 | |
| Thyroid uptake scan |
$210 |
$701 |
— |
$145 | |
| Total IgE allergy test |
$39 |
$129 |
— |
$16 | |
| Total protein test |
$6 |
$20 |
— |
$4 | |
| Transvaginal ultrasound |
$89 |
$297 |
— |
$118 | |
| Trigger point injection |
$128 |
$201 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$52 |
$199 |
— |
$52 | |
| Triglycerides test |
$16 |
$52 |
— |
$6 | |
| Troponin (heart) test |
$57 |
$191 |
— |
$12 | |
| Upper GI endoscopy (EGD) |
— |
$817 |
— |
$371 | |
| Uric acid (gout) test |
$16 |
$52 |
— |
$5 | |
| Urinalysis |
$13 |
$15 |
— |
$3 | |
| Urine microalbumin test |
$16 |
$53 |
— |
$5 | |
| Urine pregnancy test |
$18 |
$55 |
— |
$9 | |
| Vaccine administration (each additional) |
— |
$16 |
— |
$16 | |
| Vasectomy |
— |
$728 |
— |
$347 | |
| Vitamin B12 test |
$41 |
$138 |
— |
$15 | |
| Vitamin D test |
$73 |
$243 |
— |
$30 | |
| Wart removal |
$65 |
$167 |
— |
$121 | |
| Well-child visit |
— |
$204 |
— |
— | |
| Wound debridement |
$136 |
$437 |
— |
$186 | |
| X-ray of the abdomen |
$81 |
$270 |
— |
$36 | |
| X-ray of the ankle |
$84 |
$281 |
— |
$37 | |
| X-ray of the collarbone |
$44 |
$145 |
— |
$33 | |
| X-ray of the elbow |
$46 |
$152 |
— |
$33 | |
| X-ray of the facial bones |
$80 |
$268 |
— |
$39 | |
| X-ray of the foot |
$83 |
$277 |
— |
$34 | |
| X-ray of the forearm |
$45 |
$151 |
— |
$29 | |
| X-ray of the hand |
$45 |
$151 |
— |
$38 | |
| X-ray of the hip |
$80 |
$268 |
— |
$49 | |
| X-ray of the hip (1 view) |
$56 |
$185 |
— |
$34 | |
| X-ray of the hip (3 views) |
$80 |
$268 |
— |
$49 | |
| X-ray of the hip (4 views) |
$97 |
$323 |
— |
$63 | |
| X-ray of the knee |
$123 |
$410 |
— |
$42 | |
| X-ray of the knee (2 views) |
$76 |
$252 |
— |
$34 | |
| X-ray of the knee (3 views) |
$96 |
$319 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$123 |
$410 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$95 |
$315 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$87 |
$289 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$102 |
$341 |
— |
$53 | |
| X-ray of the lower leg |
$53 |
$178 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$82 |
$272 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$77 |
$255 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$87 |
$289 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$91 |
$305 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$80 |
$268 |
— |
$40 | |
| X-ray of the pelvis |
$46 |
$152 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$46 |
$152 |
— |
$28 | |
| X-ray of the ribs |
$69 |
$229 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$69 |
$229 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$61 |
$202 |
— |
$42 | |
| X-ray of the shoulder |
$81 |
$269 |
— |
$36 | |
| X-ray of the skull |
$108 |
$362 |
— |
$40 | |
| X-ray of the upper arm |
$53 |
$178 |
— |
$32 | |
| X-ray of the wrist |
$45 |
$151 |
— |
$43 | |
| YAG laser capsulotomy (eye) |
$834 |
$2,780 |
— |
$335 | |
| Zinc blood test |
$37 |
$122 |
— |
$11 | |