| Abdominal fluid drain (paracentesis) |
$413 |
$825 |
— |
$284 | |
| Abdominal ultrasound |
$141 |
$281 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$141 |
$281 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$270 |
$541 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$440 |
$879 |
— |
$220 | |
| Abscess drainage (simple) |
$234 |
$468 |
— |
$129 | |
| Abscess incision and drainage |
$247 |
$493 |
— |
$174 | |
| Acupuncture |
$88 |
$175 |
— |
$38 | |
| Acupuncture (each additional) |
$95 |
$190 |
— |
$28 | |
| Albumin blood test |
$42 |
$83 |
— |
$5 | |
| Aldosterone test |
$166 |
$332 |
— |
$41 | |
| Alkaline phosphatase test |
$45 |
$89 |
— |
$5 | |
| Allergy shots |
$30 |
$59 |
— |
$11 | |
| Alpha-fetoprotein (AFP) test |
$104 |
$207 |
— |
$17 | |
| ALT liver enzyme test |
$86 |
$171 |
— |
$5 | |
| Ammonia blood test |
$164 |
$327 |
— |
$15 | |
| Amylase test |
$71 |
$142 |
— |
$6 | |
| Annual physical (established patient) |
$212 |
$424 |
— |
— | |
| Annual physical (new patient) |
$256 |
$511 |
— |
— | |
| Anoscopy |
$243 |
$486 |
— |
$129 | |
| Antinuclear antibody (ANA) test |
$75 |
$149 |
— |
$12 | |
| Arterial blood gas (ABG) |
$286 |
$572 |
— |
$26 | |
| AST liver enzyme test |
$41 |
$82 |
— |
$5 | |
| Barium swallow study |
$86 |
$172 |
— |
$107 | |
| Basic metabolic panel |
$103 |
$205 |
— |
$8 | |
| Benign skin lesion removal |
$429 |
$858 |
— |
$171 | |
| Bilirubin blood test |
$41 |
$82 |
— |
$5 | |
| Blood clotting test (PT/INR) |
$67 |
$133 |
— |
$4 | |
| Blood crossmatch |
$104 |
$207 |
— |
— | |
| Blood glucose test |
$36 |
$71 |
— |
$5 | |
| Blood transfusion |
$1,182 |
$2,363 |
— |
$47 | |
| Blood type and screen |
$31 |
$62 |
— |
$10 | |
| Blood type test |
$58 |
$116 |
— |
$3 | |
| Blood type test (ABO group) |
$58 |
$116 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$53 |
$105 |
— |
$3 | |
| BNP (heart failure) test |
$228 |
$456 |
— |
$39 | |
| Breast ultrasound |
$125 |
$249 |
— |
$92 | |
| Breast ultrasound (complete) |
$125 |
$249 |
— |
$100 | |
| Breast ultrasound (limited) |
$114 |
$228 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$655 |
$1,310 |
— |
$133 | |
| Burn dressing and debridement (medium) |
$372 |
$744 |
— |
$166 | |
| Burn dressing and debridement (small) |
$206 |
$411 |
— |
$93 | |
| Burn treatment |
$206 |
$411 |
— |
$129 | |
| C-reactive protein (CRP) |
$49 |
$98 |
— |
$5 | |
| CA 19-9 tumor marker test |
$185 |
$370 |
— |
$21 | |
| CA-125 ovarian marker test |
$141 |
$282 |
— |
$21 | |
| Calcium blood test |
$46 |
$92 |
— |
$5 | |
| Cardiac stress test |
$305 |
$609 |
— |
$39 | |
| Cardioversion |
$643 |
$1,286 |
— |
$155 | |
| Carotid artery ultrasound |
$121 |
$241 |
— |
$156 | |
| CEA tumor marker test |
$164 |
$327 |
— |
$19 | |
| Celiac disease test |
$142 |
$283 |
— |
$12 | |
| Central line placement |
$867 |
$1,733 |
— |
$238 | |
| Chalazion (eyelid cyst) removal |
$352 |
$704 |
— |
$131 | |
| Chemotherapy infusion |
$359 |
$718 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$279 |
$557 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$439 |
$878 |
— |
$133 | |
| Chest tube insertion |
$857 |
$1,713 |
— |
$143 | |
| Chest X-ray |
$47 |
$93 |
— |
$37 | |
| Chest X-ray (1 view) |
$30 |
$59 |
— |
$25 | |
| Chest X-ray (2 views) |
$30 |
$59 |
— |
$33 | |
| Chickenpox (varicella) vaccine |
$389 |
$778 |
— |
— | |
| Circumcision |
$510 |
$1,020 |
— |
$167 | |
| CK-MB heart enzyme test |
$228 |
$455 |
— |
$12 | |
| Clotting time test (PTT) |
$102 |
$203 |
— |
$6 | |
| Complete blood count (CBC) |
$113 |
$225 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$122 |
$244 |
— |
$8 | |
| Complex wound repair |
$1,501 |
$3,001 |
— |
$390 | |
| Comprehensive metabolic panel |
$124 |
$247 |
— |
$11 | |
| Contraceptive implant (Nexplanon) |
$329 |
$658 |
— |
$115 | |
| Copper blood test |
$114 |
$228 |
— |
$12 | |
| Coronary CT angiography |
$336 |
$672 |
— |
$326 | |
| Cortisol test |
$81 |
$162 |
— |
$16 | |
| COVID-19 PCR test |
$109 |
$218 |
— |
$51 | |
| CPAP titration study |
$2,455 |
$4,910 |
— |
$69 | |
| Creatine kinase (CK) test |
$107 |
$213 |
— |
$7 | |
| CT angiography of the chest |
$473 |
$945 |
— |
$281 | |
| CT angiography of the head |
$497 |
$993 |
— |
$274 | |
| CT colonography (virtual colonoscopy) |
$327 |
$653 |
— |
$835 | |
| CT scan of the abdomen |
$357 |
$714 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$647 |
$1,293 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$562 |
$1,123 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$549 |
$1,098 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$647 |
$1,293 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$353 |
$705 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$332 |
$664 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$357 |
$714 |
— |
$136 | |
| CT scan of the arm |
$174 |
$348 |
— |
$199 | |
| CT scan of the arm with contrast |
$181 |
$361 |
— |
$199 | |
| CT scan of the arm without contrast |
$155 |
$309 |
— |
$161 | |
| CT scan of the chest |
$304 |
$608 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$346 |
$692 |
— |
$196 | |
| CT scan of the chest with contrast |
$304 |
$608 |
— |
$167 | |
| CT scan of the chest without contrast |
$271 |
$542 |
— |
$133 | |
| CT scan of the head |
$334 |
$668 |
— |
$148 | |
| CT scan of the head with and without contrast |
$399 |
$797 |
— |
$173 | |
| CT scan of the head with contrast |
$334 |
$668 |
— |
$148 | |
| CT scan of the head without contrast |
$299 |
$598 |
— |
$107 | |
| CT scan of the leg |
$336 |
$672 |
— |
$166 | |
| CT scan of the leg with contrast |
$418 |
$835 |
— |
$166 | |
| CT scan of the leg without contrast |
$394 |
$787 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$311 |
$622 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$180 |
$360 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$311 |
$622 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$267 |
$534 |
— |
$130 | |
| CT scan of the neck |
$332 |
$663 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$301 |
$601 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$181 |
$362 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$286 |
$572 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$301 |
$601 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$232 |
$464 |
— |
$220 | |
| CT scan of the neck with contrast |
$332 |
$663 |
— |
$183 | |
| CT scan of the neck without contrast |
$323 |
$646 |
— |
$150 | |
| CT scan of the pelvis |
$328 |
$656 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$328 |
$656 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$299 |
$598 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$291 |
$582 |
— |
$133 | |
| CT scan of the sinuses |
$461 |
$922 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$461 |
$922 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$343 |
$685 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$958 |
$1,916 |
— |
$128 | |
| D-dimer test |
$272 |
$543 |
— |
$10 | |
| Developmental screening (child) |
$44 |
$87 |
— |
— | |
| DHEA-sulfate test |
$113 |
$226 |
— |
$22 | |
| Dilation and curettage (D&C) |
$2,194 |
$4,387 |
— |
$298 | |
| Drug screen (urine) |
$36 |
$72 |
— |
$17 | |
| Ear pressure test (tympanometry) |
$105 |
$210 |
— |
$16 | |
| Echocardiogram with and without contrast |
$89 |
$177 |
— |
$101 | |
| EKG / ECG (tracing only) |
$399 |
$797 |
— |
$7 | |
| Electrocardiogram (EKG) |
$48 |
$96 |
— |
$8 | |
| Electrolyte panel |
$88 |
$176 |
— |
$7 | |
| Emergency department visit |
$435 |
$870 |
— |
$69 | |
| Emergency department visit (level 1) |
$130 |
$259 |
— |
$11 | |
| Emergency department visit (level 2) |
$223 |
$446 |
— |
$40 | |
| Emergency department visit (level 3) |
$413 |
$826 |
— |
$69 | |
| Emergency department visit (level 4) |
$673 |
$1,347 |
— |
$118 | |
| Emergency department visit (level 5) |
$1,163 |
$2,326 |
— |
$171 | |
| Endometrial biopsy |
$350 |
$700 |
— |
$98 | |
| Estradiol (estrogen) test |
$222 |
$444 |
— |
$28 | |
| Family therapy session |
$186 |
$371 |
— |
$110 | |
| Fecal occult blood (stool) test |
$88 |
$175 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$88 |
$175 |
— |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$118 |
$235 |
— |
$16 | |
| Ferritin (iron) test |
$141 |
$282 |
— |
$14 | |
| Fibrinogen test |
$102 |
$203 |
— |
$10 | |
| Flu test |
$48 |
$97 |
— |
$17 | |
| Folate (folic acid) test |
$107 |
$213 |
— |
$15 | |
| Foreign body removal (skin) |
$297 |
$594 |
— |
$157 | |
| Free T4 thyroid test |
$162 |
$324 |
— |
$9 | |
| FSH hormone test |
$99 |
$199 |
— |
$19 | |
| GGT liver test |
$64 |
$128 |
— |
$7 | |
| Glucose tolerance test |
$73 |
$146 |
— |
$8 | |
| Group therapy session |
$61 |
$122 |
— |
$30 | |
| H. pylori test |
$249 |
$497 |
— |
$67 | |
| Hematocrit test |
$37 |
$74 |
— |
$2 | |
| Hemoglobin A1c (diabetes test) |
$123 |
$246 |
— |
$10 | |
| Hepatitis A vaccine |
$192 |
$384 |
— |
— | |
| Hepatitis B test |
$71 |
$142 |
— |
$10 | |
| Hepatitis B vaccine |
$118 |
$236 |
— |
— | |
| Hepatitis C test |
$104 |
$207 |
— |
$14 | |
| HIV test |
$77 |
$154 |
— |
$19 | |
| HIV test (antigen/antibody combo) |
$77 |
$154 |
— |
$24 | |
| Holter heart monitor |
$231 |
$462 |
— |
$26 | |
| HPV vaccine |
$477 |
$953 |
— |
— | |
| Iron blood test |
$55 |
$110 |
— |
$6 | |
| IUD insertion |
$333 |
$666 |
— |
— | |
| IUD removal |
$280 |
$560 |
— |
$112 | |
| IV infusion therapy |
$197 |
$394 |
— |
$44 | |
| IV infusion therapy (each additional) |
$143 |
$286 |
— |
$21 | |
| IV infusion therapy (initial) |
$251 |
$501 |
— |
$67 | |
| Joint aspiration (small/intermediate) |
$171 |
$342 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$189 |
$378 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$165 |
$329 |
— |
$56 | |
| Kidney ultrasound |
$156 |
$312 |
— |
$84 | |
| Kidney ultrasound (limited) |
$156 |
$312 |
— |
$61 | |
| Knee joint injection |
$216 |
$431 |
— |
$69 | |
| Lactate test |
$119 |
$237 |
— |
$12 | |
| LDH test |
$51 |
$101 |
— |
$6 | |
| LDL cholesterol test |
$98 |
$195 |
— |
$11 | |
| Leg vein ultrasound (Doppler) |
$124 |
$248 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$94 |
$188 |
— |
$116 | |
| LH hormone test |
$130 |
$259 |
— |
$19 | |
| Lipase test |
$83 |
$165 |
— |
$7 | |
| Lipid (cholesterol) panel |
$101 |
$201 |
— |
$13 | |
| Liver function panel |
$98 |
$195 |
— |
$8 | |
| Lung function test (PFT) |
$94 |
$187 |
— |
$37 | |
| Magnesium blood test |
$69 |
$137 |
— |
$7 | |
| MMR vaccine |
$202 |
$405 |
— |
— | |
| Nebulizer breathing treatment |
$190 |
$381 |
— |
$9 | |
| Newborn hospital care |
$106 |
$212 |
— |
$58 | |
| Occupational therapy evaluation |
$343 |
$686 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$412 |
$824 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$261 |
$522 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$343 |
$686 |
— |
$101 | |
| Office visit (established patient) |
$142 |
$283 |
— |
$115 | |
| Office visit (new patient) |
$245 |
$490 |
— |
$177 | |
| Office visit, established patient (level 3) |
$135 |
$269 |
— |
$95 | |
| Office visit, established patient (level 4) |
$198 |
$396 |
— |
$136 | |
| Office visit, new patient (level 3) |
$218 |
$435 |
— |
$118 | |
| Office visit, new patient (level 4) |
$340 |
$680 |
— |
$177 | |
| Office visit, new patient (level 5) |
$441 |
$881 |
— |
$237 | |
| Pap smear (cervical screening) |
$60 |
$119 |
— |
$20 | |
| Parathyroid hormone (PTH) test |
$115 |
$230 |
— |
$41 | |
| Pelvic ultrasound |
$124 |
$247 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$117 |
$234 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$124 |
$247 |
— |
$51 | |
| Phosphorus blood test |
$72 |
$144 |
— |
$5 | |
| Physical therapy evaluation |
$206 |
$412 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$276 |
$552 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$218 |
$436 |
— |
$98 | |
| Pilonidal cyst removal |
$1,414 |
$2,828 |
— |
$541 | |
| Platelet count |
$58 |
$115 |
— |
$4 | |
| Pneumonia vaccine |
$255 |
$509 |
— |
— | |
| Pregnancy blood test (hCG) |
$98 |
$195 |
— |
$8 | |
| Pregnancy ultrasound |
$185 |
$370 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$176 |
$351 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$185 |
$370 |
— |
$136 | |
| Procalcitonin test |
$130 |
$259 |
— |
$27 | |
| Prolactin test |
$149 |
$299 |
— |
$19 | |
| Prostate test (PSA) |
$124 |
$247 |
— |
$18 | |
| Psychiatric evaluation |
$299 |
$597 |
— |
$188 | |
| Psychotherapy session |
$140 |
$281 |
— |
$140 | |
| Rheumatoid factor test |
$58 |
$115 |
— |
$6 | |
| Routine eye exam |
$190 |
$379 |
— |
$88 | |
| RSV vaccine |
$600 |
$1,200 |
— |
— | |
| Scoliosis spine X-ray |
$71 |
$142 |
— |
$58 | |
| Scoliosis spine X-ray (3 views) |
$71 |
$142 |
— |
$72 | |
| Scrotal ultrasound |
$176 |
$352 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$37 |
$74 |
— |
$3 | |
| Semen analysis |
$76 |
$152 |
— |
$12 | |
| Shingles vaccine |
$448 |
$897 |
— |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
$368 |
$736 |
— |
$114 | |
| Simple wound stitches |
$372 |
$744 |
— |
$127 | |
| Skin biopsy |
$219 |
$438 |
— |
$121 | |
| Skin biopsy (punch) |
$256 |
$512 |
— |
$121 | |
| Skin cancer lesion removal |
$401 |
$802 |
— |
$240 | |
| Skin lesion freezing (cryotherapy) |
$84 |
$168 |
— |
$36 | |
| Skin tag removal |
$201 |
$401 |
— |
$92 | |
| Soft tissue ultrasound |
$93 |
$185 |
— |
$64 | |
| Speech therapy |
$319 |
$638 |
— |
$76 | |
| Spinal tap (lumbar puncture) |
$481 |
$961 |
— |
$165 | |
| Spirometry (lung function test) |
$94 |
$187 |
— |
$30 | |
| Spirometry with bronchodilator |
$748 |
$1,495 |
— |
$43 | |
| Strep throat test |
$63 |
$126 |
— |
$17 | |
| Swallow study |
$397 |
$794 |
— |
$85 | |
| T3 thyroid test |
$102 |
$204 |
— |
$14 | |
| Tdap (tetanus) vaccine |
$121 |
$242 |
— |
— | |
| Testosterone test |
$91 |
$181 |
— |
$26 | |
| Thyroid test (TSH) |
$120 |
$240 |
— |
$17 | |
| Thyroid ultrasound |
$87 |
$174 |
— |
$109 | |
| Total IgE allergy test |
$74 |
$148 |
— |
$16 | |
| Total protein test |
$45 |
$90 |
— |
$4 | |
| Transvaginal ultrasound |
$114 |
$227 |
— |
$118 | |
| Trigger point injection |
$283 |
$566 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$212 |
$423 |
— |
$52 | |
| Triglycerides test |
$50 |
$99 |
— |
$6 | |
| Troponin (heart) test |
$321 |
$641 |
— |
$12 | |
| Uric acid (gout) test |
$59 |
$118 |
— |
$5 | |
| Urinalysis |
$73 |
$146 |
— |
$3 | |
| Urine microalbumin test |
$93 |
$185 |
— |
$5 | |
| Urine pregnancy test |
$90 |
$180 |
— |
$9 | |
| Vaccine administration |
$31 |
$62 |
— |
$19 | |
| Vaccine administration (each additional) |
$28 |
$56 |
— |
$16 | |
| Vasectomy |
$568 |
$1,136 |
— |
$347 | |
| Vitamin B12 test |
$96 |
$192 |
— |
$15 | |
| Vitamin D test |
$149 |
$297 |
— |
$30 | |
| Wart removal |
$209 |
$417 |
— |
$121 | |
| Well-child visit |
$172 |
$344 |
— |
— | |
| Wound debridement |
$302 |
$603 |
— |
$186 | |
| X-ray of the abdomen |
$32 |
$63 |
— |
$36 | |
| X-ray of the ankle |
$52 |
$104 |
— |
$37 | |
| X-ray of the collarbone |
$54 |
$107 |
— |
$33 | |
| X-ray of the elbow |
$56 |
$111 |
— |
$33 | |
| X-ray of the facial bones |
$53 |
$105 |
— |
$39 | |
| X-ray of the forearm |
$51 |
$102 |
— |
$29 | |
| X-ray of the hand |
$52 |
$104 |
— |
$38 | |
| X-ray of the hip |
$63 |
$126 |
— |
$49 | |
| X-ray of the hip (1 view) |
$155 |
$309 |
— |
$34 | |
| X-ray of the hip (3 views) |
$63 |
$126 |
— |
$49 | |
| X-ray of the knee |
$84 |
$169 |
— |
$42 | |
| X-ray of the knee (2 views) |
$76 |
$152 |
— |
$34 | |
| X-ray of the knee (3 views) |
$44 |
$88 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$139 |
$278 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$67 |
$133 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$46 |
$92 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$67 |
$133 |
— |
$53 | |
| X-ray of the lower leg |
$54 |
$107 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$49 |
$98 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$48 |
$95 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$49 |
$98 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$67 |
$133 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$46 |
$92 |
— |
$40 | |
| X-ray of the pelvis |
$40 |
$80 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$40 |
$80 |
— |
$28 | |
| X-ray of the ribs |
$58 |
$115 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$49 |
$97 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$58 |
$115 |
— |
$42 | |
| X-ray of the shoulder |
$73 |
$145 |
— |
$36 | |
| X-ray of the skull |
$68 |
$135 |
— |
$40 | |
| X-ray of the upper arm |
$57 |
$113 |
— |
$32 | |
| X-ray of the wrist |
$48 |
$95 |
— |
$43 | |
| Zinc blood test |
$113 |
$226 |
— |
$11 | |