| 3D mammogram (tomosynthesis) |
$52 |
$87 |
$63 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$968 |
$1,614 |
$1,005 |
$284 | |
| Abdominal ultrasound |
$323 |
$539 |
$116 |
$100 | |
| Abdominal ultrasound (complete) |
$363 |
$606 |
$116 |
$114 | |
| Abdominal ultrasound (limited) |
$283 |
$472 |
$116 |
$86 | |
| Abscess drainage (complex or multiple) |
$464 |
$774 |
$450 |
$220 | |
| Abscess drainage (simple) |
$321 |
$535 |
$217 |
$129 | |
| Abscess incision and drainage |
$392 |
$654 |
$428 |
$174 | |
| Albumin blood test |
$24 |
$40 |
$5 |
$5 | |
| Aldosterone test |
$153 |
$255 |
$42 |
$41 | |
| Alkaline phosphatase test |
$29 |
$49 |
$5 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$100 |
$167 |
$17 |
$17 | |
| ALT liver enzyme test |
$31 |
$51 |
$5 |
$5 | |
| Ammonia blood test |
$184 |
$306 |
$15 |
$15 | |
| Amniocentesis |
$757 |
$1,262 |
$972 |
$120 | |
| Amylase test |
$74 |
$123 |
$7 |
$6 | |
| Antinuclear antibody (ANA) test |
$76 |
$126 |
$12 |
$12 | |
| Arterial blood gas (ABG) |
$203 |
$338 |
$27 |
$26 | |
| AST liver enzyme test |
$54 |
$91 |
$5 |
$5 | |
| Barium swallow study |
$258 |
$430 |
$194 |
$107 | |
| Bartholin cyst removal |
$321 |
$535 |
$224 |
$182 | |
| Basic metabolic panel |
$58 |
$96 |
$9 |
$8 | |
| Benign skin lesion removal |
$414 |
$689 |
$441 |
$171 | |
| Bilirubin blood test |
$42 |
$71 |
$5 |
$5 | |
| Blood clotting test (PT/INR) |
$28 |
$47 |
$4 |
$4 | |
| Blood crossmatch |
$178 |
$297 |
$189 |
— | |
| Blood glucose test |
$26 |
$43 |
$5 |
$5 | |
| Blood transfusion |
$630 |
$1,050 |
$489 |
$47 | |
| Blood type and screen |
$60 |
$99 |
$55 |
$10 | |
| Blood type test |
$95 |
$159 |
$87 |
$3 | |
| Blood type test (ABO group) |
$134 |
$223 |
$140 |
$3 | |
| Blood type test (Rh/D antigen) |
$57 |
$94 |
$39 |
$3 | |
| BNP (heart failure) test |
$285 |
$476 |
$40 |
$39 | |
| Bone density scan (DEXA) |
$257 |
$428 |
$116 |
$39 | |
| Bone marrow biopsy |
$1,284 |
$2,140 |
$1,866 |
$172 | |
| Bone scan (nuclear) |
$1,089 |
$1,814 |
$443 |
$259 | |
| Botox for migraine |
$317 |
$528 |
$338 |
$157 | |
| Breast biopsy |
$3,083 |
$5,138 |
$1,866 |
$478 | |
| Breast MRI |
$2,172 |
$3,620 |
$264 |
$216 | |
| Breast MRI without contrast |
$1,908 |
$3,180 |
$264 |
$216 | |
| Breast ultrasound |
$294 |
$489 |
$110 |
$92 | |
| Breast ultrasound (complete) |
$352 |
$587 |
$116 |
$100 | |
| Breast ultrasound (limited) |
$235 |
$392 |
$96 |
$84 | |
| Breathing tube insertion (intubation) |
$474 |
$790 |
$262 |
$133 | |
| Burn dressing and debridement (medium) |
$297 |
$495 |
$222 |
$166 | |
| Burn dressing and debridement (small) |
$217 |
$361 |
$217 |
$93 | |
| Burn treatment |
$257 |
$428 |
$222 |
$129 | |
| C-reactive protein (CRP) |
$54 |
$91 |
$5 |
$5 | |
| CA 19-9 tumor marker test |
$48 |
$81 |
$21 |
$21 | |
| CA-125 ovarian marker test |
$59 |
$99 |
$21 |
$21 | |
| Calcium blood test |
$26 |
$43 |
$5 |
$5 | |
| Cardiac rehabilitation |
$139 |
$231 |
$143 |
$26 | |
| Cardiac stress test |
$697 |
$1,161 |
$239 |
$39 | |
| Cardioversion |
$889 |
$1,482 |
$732 |
$155 | |
| Carotid artery ultrasound |
$810 |
$1,350 |
$264 |
$156 | |
| CEA tumor marker test |
$254 |
$424 |
$19 |
$19 | |
| Celiac disease test |
$80 |
$134 |
$12 |
$12 | |
| Central line placement |
$1,221 |
$2,035 |
$2,035 |
$238 | |
| Chemotherapy infusion |
$283 |
$471 |
$348 |
$81 | |
| Chemotherapy infusion (each additional) |
$89 |
$149 |
$80 |
$28 | |
| Chemotherapy infusion (first hour) |
$476 |
$793 |
$366 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,179 |
$1,965 |
$695 |
$311 | |
| Chest tube insertion |
$687 |
$1,145 |
$1,145 |
$143 | |
| Chest X-ray |
$200 |
$334 |
$96 |
$37 | |
| Chest X-ray (1 view) |
$194 |
$324 |
$96 |
$25 | |
| Chest X-ray (2 views) |
$200 |
$334 |
$96 |
$33 | |
| Circumcision |
$783 |
$1,305 |
$1,305 |
$167 | |
| CK-MB heart enzyme test |
$169 |
$281 |
$12 |
$12 | |
| Clotting time test (PTT) |
$32 |
$54 |
$6 |
$6 | |
| Complete blood count (CBC) |
$38 |
$64 |
$8 |
$7 | |
| Complete blood count (CBC) (complete) |
$41 |
$68 |
$8 |
$8 | |
| Complex wound repair |
$627 |
$1,045 |
$780 |
$390 | |
| Comprehensive metabolic panel |
$80 |
$134 |
$11 |
$11 | |
| Copper blood test |
$58 |
$97 |
$13 |
$12 | |
| Coronary CT angiography |
$899 |
$1,498 |
$386 |
$326 | |
| Cortisol test |
$36 |
$61 |
$17 |
$16 | |
| COVID-19 PCR test |
$45 |
$75 |
$51 |
$51 | |
| CPAP titration study |
$395 |
$659 |
$243 |
$69 | |
| Creatine kinase (CK) test |
$59 |
$99 |
$7 |
$7 | |
| CT angiography of the chest |
$1,210 |
$2,017 |
$194 |
$281 | |
| CT angiography of the head |
$1,365 |
$2,275 |
$194 |
$274 | |
| CT scan of the abdomen |
$1,198 |
$1,997 |
$194 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,239 |
$3,732 |
$386 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,558 |
$4,263 |
$386 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,239 |
$3,732 |
$386 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,848 |
$3,080 |
$264 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,373 |
$2,289 |
$194 |
$259 | |
| CT scan of the abdomen with contrast |
$1,198 |
$1,997 |
$194 |
$230 | |
| CT scan of the abdomen without contrast |
$1,023 |
$1,705 |
$116 |
$136 | |
| CT scan of the arm |
$1,362 |
$2,269 |
$377 |
$199 | |
| CT scan of the arm with contrast |
$1,362 |
$2,269 |
$386 |
$199 | |
| CT scan of the arm without contrast |
$1,440 |
$2,400 |
$116 |
$161 | |
| CT scan of the chest |
$1,151 |
$1,919 |
$194 |
$167 | |
| CT scan of the chest with and without contrast |
$1,618 |
$2,697 |
$194 |
$196 | |
| CT scan of the chest with contrast |
$1,151 |
$1,919 |
$194 |
$167 | |
| CT scan of the chest without contrast |
$938 |
$1,564 |
$116 |
$133 | |
| CT scan of the head |
$1,127 |
$1,878 |
$194 |
$148 | |
| CT scan of the head with and without contrast |
$1,268 |
$2,114 |
$194 |
$173 | |
| CT scan of the head with contrast |
$1,127 |
$1,878 |
$194 |
$148 | |
| CT scan of the head without contrast |
$915 |
$1,525 |
$116 |
$107 | |
| CT scan of the leg |
$1,669 |
$2,782 |
$185 |
$166 | |
| CT scan of the leg with contrast |
$1,462 |
$2,437 |
$194 |
$166 | |
| CT scan of the leg without contrast |
$1,875 |
$3,126 |
$116 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,497 |
$2,495 |
$368 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,497 |
$2,495 |
$194 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,576 |
$2,627 |
$386 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,062 |
$1,769 |
$116 |
$130 | |
| CT scan of the neck |
$1,011 |
$1,684 |
$194 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,274 |
$2,123 |
$368 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,859 |
$3,099 |
$194 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,274 |
$2,123 |
$386 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,274 |
$2,123 |
$116 |
$131 | |
| CT scan of the neck with and without contrast |
$1,145 |
$1,908 |
$194 |
$220 | |
| CT scan of the neck with contrast |
$1,011 |
$1,684 |
$194 |
$183 | |
| CT scan of the neck without contrast |
$660 |
$1,101 |
$116 |
$150 | |
| CT scan of the pelvis |
$1,123 |
$1,871 |
$194 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,281 |
$2,136 |
$194 |
$251 | |
| CT scan of the pelvis with contrast |
$1,123 |
$1,871 |
$194 |
$226 | |
| CT scan of the pelvis without contrast |
$918 |
$1,530 |
$116 |
$133 | |
| CT scan of the sinuses |
$750 |
$1,250 |
$190 |
$152 | |
| CT scan of the sinuses with and without contrast |
$780 |
$1,300 |
$194 |
$184 | |
| CT scan of the sinuses with contrast |
$750 |
$1,250 |
$194 |
$152 | |
| CT scan of the sinuses without contrast |
$720 |
$1,200 |
$116 |
$128 | |
| D-dimer test |
$102 |
$170 |
$10 |
$10 | |
| Developmental screening (child) |
$121 |
$202 |
$161 |
— | |
| DHEA-sulfate test |
$130 |
$217 |
$23 |
$22 | |
| Diagnostic mammogram |
$131 |
$219 |
$117 |
$140 | |
| Drug screen (urine) |
$101 |
$168 |
$62 |
$17 | |
| Echocardiogram |
$923 |
$1,539 |
$419 |
$138 | |
| Echocardiogram with and without contrast |
$289 |
$482 |
$264 |
$101 | |
| EKG / ECG (tracing only) |
$217 |
$362 |
$62 |
$7 | |
| Electrocardiogram (EKG) |
$217 |
$362 |
$62 |
$8 | |
| Electroencephalogram (EEG) |
$638 |
$1,063 |
$239 |
$448 | |
| Electrolyte panel |
$59 |
$99 |
$7 |
$7 | |
| Emergency department visit |
$277 |
$462 |
$346 |
$69 | |
| Emergency department visit (level 1) |
$169 |
$281 |
$137 |
$11 | |
| Emergency department visit (level 2) |
$223 |
$371 |
$204 |
$40 | |
| Emergency department visit (level 3) |
$277 |
$462 |
$299 |
$69 | |
| Emergency department visit (level 4) |
$492 |
$820 |
$494 |
$118 | |
| Emergency department visit (level 5) |
$869 |
$1,449 |
$793 |
$171 | |
| Epidural steroid injection |
$759 |
$1,265 |
$782 |
$275 | |
| ERCP (bile duct endoscopy) |
$3,973 |
$6,622 |
$4,356 |
$311 | |
| Estradiol (estrogen) test |
$124 |
$207 |
$29 |
$28 | |
| Facet joint injection (spine) |
$256 |
$426 |
$933 |
$99 | |
| Fallopian tube X-ray (HSG) |
$294 |
$489 |
$358 |
$164 | |
| Fecal occult blood (stool) test |
$75 |
$126 |
$16 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$27 |
$45 |
$4 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$124 |
$206 |
$16 |
$16 | |
| Ferritin (iron) test |
$88 |
$146 |
$14 |
$14 | |
| Fibrinogen test |
$74 |
$123 |
$10 |
$10 | |
| Flu test |
$25 |
$41 |
$17 |
$17 | |
| Folate (folic acid) test |
$96 |
$160 |
$15 |
$15 | |
| Foreign body removal (skin) |
$414 |
$689 |
$435 |
$157 | |
| Free T4 thyroid test |
$76 |
$126 |
$9 |
$9 | |
| FSH hormone test |
$44 |
$73 |
$19 |
$19 | |
| Gallbladder removal (laparoscopic) |
$6,706 |
$11,177 |
$6,864 |
$658 | |
| Gallbladder scan (HIDA) |
$802 |
$1,337 |
$587 |
$334 | |
| GGT liver test |
$54 |
$91 |
$7 |
$7 | |
| Glucose tolerance test |
$54 |
$90 |
$13 |
$8 | |
| H. pylori test |
$168 |
$280 |
$69 |
$67 | |
| HDL cholesterol test |
$78 |
$131 |
$8 |
$8 | |
| Hematocrit test |
$15 |
$25 |
$2 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$20 |
$33 |
$10 |
$10 | |
| Hepatitis B test |
$68 |
$113 |
$11 |
$10 | |
| Hepatitis C test |
$98 |
$164 |
$15 |
$14 | |
| HIV test |
$62 |
$103 |
$24 |
$19 | |
| HIV test (antibody) |
$93 |
$155 |
$14 |
$14 | |
| HIV test (antigen/antibody combo) |
$31 |
$52 |
$25 |
$24 | |
| Holter heart monitor |
$197 |
$328 |
$147 |
$26 | |
| Iron blood test |
$33 |
$54 |
$7 |
$6 | |
| IUD removal |
$337 |
$561 |
$338 |
$112 | |
| IV infusion therapy |
$198 |
$331 |
$224 |
$44 | |
| IV infusion therapy (each additional) |
$59 |
$98 |
$52 |
$21 | |
| IV infusion therapy (initial) |
$338 |
$563 |
$236 |
$67 | |
| Joint aspiration (small/intermediate) |
$342 |
$570 |
$340 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$354 |
$591 |
$340 |
$57 | |
| Joint aspiration or injection (small joint) |
$330 |
$550 |
$340 |
$56 | |
| Kidney biopsy |
$1,020 |
$1,701 |
$1,701 |
$492 | |
| Kidney scan (nuclear) |
$1,003 |
$1,672 |
$601 |
$172 | |
| Kidney ultrasound |
$448 |
$747 |
$116 |
$84 | |
| Kidney ultrasound (limited) |
$335 |
$559 |
$116 |
$61 | |
| Knee joint injection |
$780 |
$1,300 |
$340 |
$69 | |
| Lactate test |
$78 |
$130 |
$12 |
$12 | |
| Laryngoscopy |
$474 |
$790 |
$221 |
$189 | |
| LDH test |
$42 |
$71 |
$6 |
$6 | |
| LDL cholesterol test |
$24 |
$40 |
$11 |
$11 | |
| Leg vein ultrasound (Doppler) |
$667 |
$1,111 |
$252 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$557 |
$929 |
$116 |
$116 | |
| LH hormone test |
$105 |
$176 |
$19 |
$19 | |
| Lipase test |
$64 |
$106 |
$7 |
$7 | |
| Lipid (cholesterol) panel |
$83 |
$138 |
$13 |
$13 | |
| Liver biopsy |
$916 |
$1,527 |
$1,527 |
$288 | |
| Liver function panel |
$90 |
$150 |
$8 |
$8 | |
| Lung function test (PFT) |
$277 |
$462 |
$351 |
$37 | |
| Magnesium blood test |
$54 |
$89 |
$7 |
$7 | |
| MRA of the brain |
$1,859 |
$3,099 |
$386 |
$226 | |
| MRA of the brain with contrast |
$1,859 |
$3,099 |
$386 |
$226 | |
| MRA of the brain without contrast |
$1,904 |
$3,173 |
$386 |
$328 | |
| MRA of the neck |
$1,461 |
$2,434 |
$386 |
$245 | |
| MRA of the neck with contrast |
$1,461 |
$2,434 |
$386 |
$245 | |
| MRA of the neck without contrast |
$1,735 |
$2,892 |
$386 |
$343 | |
| MRI of the abdomen |
$2,262 |
$3,770 |
$386 |
$300 | |
| MRI of the abdomen with contrast |
$2,262 |
$3,770 |
$386 |
$300 | |
| MRI of the abdomen without contrast |
$2,015 |
$3,358 |
$264 |
$194 | |
| MRI of the ankle |
$2,116 |
$3,526 |
$386 |
$261 | |
| MRI of the ankle with contrast |
$1,703 |
$2,838 |
$386 |
$261 | |
| MRI of the ankle without contrast |
$2,116 |
$3,526 |
$264 |
$222 | |
| MRI of the brain |
$1,843 |
$3,072 |
$386 |
$269 | |
| MRI of the brain with contrast |
$1,843 |
$3,072 |
$386 |
$269 | |
| MRI of the brain without contrast |
$1,733 |
$2,889 |
$264 |
$195 | |
| MRI of the chest |
$2,262 |
$3,770 |
$827 |
$371 | |
| MRI of the chest with contrast |
$2,262 |
$3,770 |
$868 |
$371 | |
| MRI of the chest without contrast |
$2,382 |
$3,971 |
$386 |
$466 | |
| MRI of the knee |
$2,585 |
$4,309 |
$827 |
$315 | |
| MRI of the knee with contrast |
$1,419 |
$2,365 |
$868 |
$315 | |
| MRI of the knee without contrast |
$2,585 |
$4,309 |
$264 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,010 |
$3,351 |
$386 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,010 |
$3,351 |
$386 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,759 |
$2,932 |
$264 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,865 |
$3,108 |
$386 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,011 |
$3,352 |
$386 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,865 |
$3,108 |
$386 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,759 |
$2,931 |
$264 |
$190 | |
| MRI of the neck (cervical spine) |
$1,884 |
$3,140 |
$386 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,259 |
$3,766 |
$386 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,884 |
$3,140 |
$386 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,685 |
$2,808 |
$264 |
$191 | |
| MRI of the pelvis |
$2,314 |
$3,857 |
$386 |
$268 | |
| MRI of the pelvis with contrast |
$2,314 |
$3,857 |
$386 |
$268 | |
| MRI of the pelvis without contrast |
$2,088 |
$3,480 |
$264 |
$227 | |
| MRI of the shoulder |
$3,241 |
$5,402 |
$827 |
$313 | |
| MRI of the shoulder with contrast |
$1,632 |
$2,721 |
$868 |
$313 | |
| MRI of the shoulder without contrast |
$3,241 |
$5,402 |
$264 |
$205 | |
| MRI of the wrist |
$1,884 |
$3,140 |
$386 |
$330 | |
| MRI of the wrist with contrast |
$1,884 |
$3,140 |
$386 |
$330 | |
| MRI of the wrist without contrast |
$1,652 |
$2,753 |
$264 |
$303 | |
| Nebulizer breathing treatment |
$225 |
$374 |
$240 |
$9 | |
| Nuclear cardiac stress test |
$2,388 |
$3,981 |
$1,434 |
$428 | |
| Occupational therapy evaluation |
$121 |
$201 |
$109 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$121 |
$201 |
$109 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$121 |
$201 |
$109 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$121 |
$201 |
$109 |
$101 | |
| Office visit (established patient) |
$138 |
$230 |
$142 |
$115 | |
| Office visit (new patient) |
$209 |
$349 |
$147 |
$177 | |
| Office visit, established patient (level 3) |
$111 |
$185 |
$140 |
$95 | |
| Office visit, established patient (level 4) |
$164 |
$274 |
$147 |
$136 | |
| Office visit, new patient (level 3) |
$166 |
$277 |
$147 |
$118 | |
| Office visit, new patient (level 4) |
$253 |
$421 |
$147 |
$177 | |
| Pap smear (cervical screening) |
$65 |
$108 |
$21 |
$20 | |
| Parathyroid hormone (PTH) test |
$182 |
$304 |
$42 |
$41 | |
| Pelvic ultrasound |
$321 |
$536 |
$116 |
$78 | |
| Pelvic ultrasound (complete) |
$512 |
$854 |
$116 |
$105 | |
| Pelvic ultrasound (limited) |
$130 |
$217 |
$116 |
$51 | |
| PET scan |
$5,017 |
$8,362 |
$1,584 |
— | |
| Phosphorus blood test |
$9 |
$14 |
$5 |
$5 | |
| Physical therapy evaluation |
$209 |
$349 |
$106 |
$98 | |
| Physical therapy evaluation (high complexity) |
$236 |
$394 |
$106 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$209 |
$349 |
$106 |
$98 | |
| Pilonidal cyst removal |
$469 |
$782 |
$782 |
$541 | |
| Platelet count |
$15 |
$25 |
$5 |
$4 | |
| Pregnancy blood test (hCG) |
$38 |
$63 |
$8 |
$8 | |
| Pregnancy ultrasound |
$436 |
$727 |
$116 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$409 |
$682 |
$116 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$462 |
$771 |
$116 |
$136 | |
| Procalcitonin test |
$128 |
$213 |
$28 |
$27 | |
| Prolactin test |
$80 |
$133 |
$20 |
$19 | |
| Prostate test (PSA) |
$91 |
$151 |
$19 |
$18 | |
| Pulmonary rehabilitation |
$115 |
$192 |
$65 |
$87 | |
| Radiofrequency nerve ablation |
$2,090 |
$3,483 |
$2,229 |
$462 | |
| Routine eye exam |
$162 |
$270 |
$147 |
$88 | |
| Sacroiliac joint injection |
$1,473 |
$2,455 |
$1,964 |
$176 | |
| Scoliosis spine X-ray |
$192 |
$320 |
$116 |
$58 | |
| Scoliosis spine X-ray (3 views) |
$192 |
$320 |
$116 |
$72 | |
| Screening mammogram |
$131 |
$218 |
$102 |
$126 | |
| Scrotal ultrasound |
$439 |
$732 |
$116 |
$99 | |
| Sedimentation rate (ESR) test |
$57 |
$94 |
$3 |
$3 | |
| Semen analysis |
$80 |
$134 |
$12 |
$12 | |
| Sex hormone binding globulin test |
$57 |
$94 |
$22 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$400 |
$667 |
$217 |
$114 | |
| Simple wound stitches |
$400 |
$667 |
$217 |
$127 | |
| Skin biopsy |
$627 |
$1,045 |
$780 |
$121 | |
| Skin tag removal |
$321 |
$535 |
$222 |
$92 | |
| Sleep study (polysomnography) |
$2,460 |
$4,099 |
$951 |
$691 | |
| Soft tissue ultrasound |
$166 |
$277 |
$116 |
$64 | |
| Spinal tap (lumbar puncture) |
$759 |
$1,265 |
$782 |
$165 | |
| Spirometry (lung function test) |
$194 |
$324 |
$228 |
$30 | |
| Spirometry with bronchodilator |
$360 |
$600 |
$394 |
$43 | |
| Strep throat test |
$28 |
$47 |
$17 |
$17 | |
| Stress echocardiogram |
$943 |
$1,572 |
$605 |
$209 | |
| Swallow study |
$262 |
$437 |
$283 |
$85 | |
| T3 thyroid test |
$38 |
$63 |
$15 |
$14 | |
| Tdap (tetanus) vaccine |
$64 |
$106 |
$96 |
— | |
| Testosterone test |
$118 |
$197 |
$26 |
$26 | |
| Thyroid test (TSH) |
$25 |
$42 |
$17 |
$17 | |
| Thyroid ultrasound |
$477 |
$795 |
$116 |
$109 | |
| Thyroid uptake scan |
$952 |
$1,586 |
$443 |
$145 | |
| Total IgE allergy test |
$48 |
$80 |
$17 |
$16 | |
| Total protein test |
$22 |
$37 |
$4 |
$4 | |
| Transvaginal ultrasound |
$228 |
$380 |
$116 |
$118 | |
| Trigger point injection |
$312 |
$521 |
$337 |
$56 | |
| Trigger point injection (1-2 muscles) |
$312 |
$521 |
$337 |
$52 | |
| Triglycerides test |
$196 |
$326 |
$6 |
$6 | |
| Troponin (heart) test |
$102 |
$170 |
$13 |
$12 | |
| Turning a breech baby (version) |
$1,438 |
$2,396 |
$2,396 |
$94 | |
| Upper GI series (barium) |
$451 |
$752 |
$194 |
$128 | |
| Uric acid (gout) test |
$54 |
$91 |
$5 |
$5 | |
| Urinalysis |
$20 |
$33 |
$3 |
$3 | |
| Urine microalbumin test |
$47 |
$78 |
$6 |
$5 | |
| Urine pregnancy test |
$27 |
$45 |
$9 |
$9 | |
| Vaccine administration |
$65 |
$108 |
$79 |
$19 | |
| Vaccine administration (each additional) |
$55 |
$92 |
$73 |
$16 | |
| Vitamin B12 test |
$86 |
$143 |
$15 |
$15 | |
| Vitamin D test |
$62 |
$103 |
$30 |
$30 | |
| Wound debridement |
$559 |
$932 |
$450 |
$186 | |
| X-ray of the abdomen |
$239 |
$398 |
$110 |
$36 | |
| X-ray of the ankle |
$192 |
$320 |
$96 |
$37 | |
| X-ray of the collarbone |
$312 |
$521 |
$96 |
$33 | |
| X-ray of the elbow |
$190 |
$317 |
$96 |
$33 | |
| X-ray of the facial bones |
$321 |
$535 |
$116 |
$39 | |
| X-ray of the foot |
$203 |
$338 |
$96 |
$34 | |
| X-ray of the forearm |
$188 |
$313 |
$96 |
$29 | |
| X-ray of the hand |
$203 |
$338 |
$96 |
$38 | |
| X-ray of the hip |
$139 |
$231 |
$96 |
$49 | |
| X-ray of the hip (1 view) |
$90 |
$150 |
$96 |
$34 | |
| X-ray of the hip (3 views) |
$188 |
$313 |
$96 |
$49 | |
| X-ray of the knee |
$225 |
$375 |
$110 |
$42 | |
| X-ray of the knee (2 views) |
$147 |
$246 |
$96 |
$34 | |
| X-ray of the knee (3 views) |
$225 |
$375 |
$96 |
$42 | |
| X-ray of the knee (4+ views) |
$264 |
$441 |
$116 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$311 |
$519 |
$116 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$266 |
$443 |
$116 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$357 |
$595 |
$116 |
$53 | |
| X-ray of the lower leg |
$150 |
$250 |
$96 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$204 |
$340 |
$116 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$183 |
$306 |
$116 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$225 |
$375 |
$116 |
$39 | |
| X-ray of the neck (cervical spine) |
$277 |
$462 |
$113 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$218 |
$364 |
$96 |
$40 | |
| X-ray of the pelvis |
$198 |
$329 |
$116 |
$36 | |
| X-ray of the pelvis (1 view) |
$150 |
$249 |
$116 |
$28 | |
| X-ray of the ribs |
$259 |
$432 |
$116 |
$42 | |
| X-ray of the ribs (2 views) |
$259 |
$432 |
$96 |
$36 | |
| X-ray of the ribs (3 views) |
$130 |
$217 |
$116 |
$42 | |
| X-ray of the shoulder |
$209 |
$349 |
$96 |
$36 | |
| X-ray of the skull |
$292 |
$487 |
$116 |
$40 | |
| X-ray of the upper arm |
$203 |
$338 |
$96 |
$32 | |
| X-ray of the wrist |
$294 |
$491 |
$96 |
$43 | |
| Zinc blood test |
$58 |
$97 |
$12 |
$11 | |