| Abdominal ultrasound |
$854 |
$1,138 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$1,273 |
$1,697 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$829 |
$1,106 |
— |
$86 | |
| Abscess drainage (simple) |
$536 |
$714 |
— |
$129 | |
| Abscess incision and drainage |
$536 |
$714 |
— |
$174 | |
| Albumin blood test |
$22 |
$29 |
— |
$5 | |
| Alkaline phosphatase test |
$22 |
$29 |
— |
$5 | |
| Alpha-fetoprotein (AFP) test |
$199 |
$265 |
— |
$17 | |
| ALT liver enzyme test |
$15 |
$20 |
— |
$5 | |
| Ammonia blood test |
$176 |
$235 |
— |
$15 | |
| Amylase test |
$9 |
$12 |
— |
$6 | |
| Antinuclear antibody (ANA) test |
$160 |
$213 |
— |
$12 | |
| Arterial blood gas (ABG) |
$430 |
$573 |
— |
$26 | |
| AST liver enzyme test |
$22 |
$29 |
— |
$5 | |
| Barium swallow study |
$999 |
$1,332 |
— |
$107 | |
| Basic metabolic panel |
$389 |
$519 |
— |
$8 | |
| Bilirubin blood test |
$30 |
$40 |
— |
$5 | |
| Blood clotting test (PT/INR) |
$83 |
$111 |
— |
$4 | |
| Blood crossmatch |
$271 |
$361 |
— |
— | |
| Blood glucose test |
$111 |
$148 |
— |
$5 | |
| Blood transfusion |
$1,237 |
$1,649 |
— |
$47 | |
| Blood type and screen |
$202 |
$269 |
— |
$10 | |
| Blood type test |
$108 |
$144 |
— |
$3 | |
| Blood type test (ABO group) |
$140 |
$186 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$77 |
$102 |
— |
$3 | |
| BNP (heart failure) test |
$34 |
$45 |
— |
$39 | |
| Bone density scan (DEXA) |
$905 |
$1,207 |
— |
$39 | |
| Bone marrow biopsy |
$3,650 |
$4,867 |
— |
$172 | |
| Bone scan (nuclear) |
$2,817 |
$3,757 |
— |
$259 | |
| Breast MRI |
$3,007 |
$4,009 |
— |
$216 | |
| Breast MRI without contrast |
$3,007 |
$4,009 |
— |
$216 | |
| Breast ultrasound |
$261 |
$348 |
— |
$92 | |
| Breast ultrasound (complete) |
$261 |
$348 |
— |
$100 | |
| Breast ultrasound (limited) |
$261 |
$348 |
— |
$84 | |
| Bronchoscopy |
$3,866 |
$5,154 |
— |
$303 | |
| Burn dressing and debridement (medium) |
$428 |
$570 |
— |
$166 | |
| Burn dressing and debridement (small) |
$428 |
$571 |
— |
$93 | |
| Burn treatment |
$428 |
$570 |
— |
$129 | |
| C-reactive protein (CRP) |
$143 |
$190 |
— |
$5 | |
| CA 19-9 tumor marker test |
$14 |
$19 |
— |
$21 | |
| CA-125 ovarian marker test |
$121 |
$161 |
— |
$21 | |
| Calcium blood test |
$61 |
$81 |
— |
$5 | |
| Cardiac ablation |
$57,946 |
$77,261 |
— |
$759 | |
| Cardiac catheterization |
$17,548 |
$23,397 |
— |
$1,049 | |
| Cardiac MRI |
$4,850 |
$6,467 |
— |
$322 | |
| Cardiac MRI without contrast |
$4,533 |
$6,044 |
— |
$280 | |
| Cardiac stress test |
$806 |
$1,075 |
— |
$39 | |
| Cardioversion |
$6,263 |
$8,350 |
— |
$155 | |
| Carotid artery ultrasound |
$1,237 |
$1,649 |
— |
$156 | |
| CEA tumor marker test |
$179 |
$238 |
— |
$19 | |
| Celiac disease test |
$29 |
$38 |
— |
$12 | |
| Central line placement |
$2,470 |
$3,294 |
— |
$238 | |
| Chemotherapy infusion |
$524 |
$699 |
— |
$81 | |
| Chemotherapy infusion (first hour) |
$524 |
$699 |
— |
$133 | |
| Chest X-ray |
$489 |
$652 |
— |
$37 | |
| Chest X-ray (1 view) |
$321 |
$428 |
— |
$25 | |
| Chest X-ray (2 views) |
$425 |
$567 |
— |
$33 | |
| Chickenpox (varicella) vaccine |
$321 |
$428 |
— |
— | |
| CK-MB heart enzyme test |
$17 |
$22 |
— |
$12 | |
| Clotting time test (PTT) |
$104 |
$139 |
— |
$6 | |
| Colposcopy |
$669 |
$892 |
— |
$161 | |
| Complete blood count (CBC) |
$66 |
$88 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$71 |
$95 |
— |
$8 | |
| Comprehensive metabolic panel |
$446 |
$595 |
— |
$11 | |
| Copper blood test |
$10 |
$13 |
— |
$12 | |
| Coronary CT angiography |
$2,368 |
$3,157 |
— |
$326 | |
| Cortisol test |
$95 |
$126 |
— |
$16 | |
| COVID-19 PCR test |
$116 |
$155 |
— |
$51 | |
| CPAP titration study |
$413 |
$550 |
— |
$69 | |
| Creatine kinase (CK) test |
$37 |
$50 |
— |
$7 | |
| CT angiography of the chest |
$7,115 |
$9,486 |
— |
$281 | |
| CT angiography of the head |
$10,755 |
$14,340 |
— |
$274 | |
| CT scan of the abdomen |
$3,916 |
$5,221 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$4,132 |
$5,509 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$4,878 |
$6,504 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$4,132 |
$5,509 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$3,870 |
$5,160 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$6,228 |
$8,304 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$3,916 |
$5,221 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$3,590 |
$4,787 |
— |
$136 | |
| CT scan of the arm |
$3,743 |
$4,990 |
— |
$199 | |
| CT scan of the arm with contrast |
$3,858 |
$5,144 |
— |
$199 | |
| CT scan of the arm without contrast |
$3,536 |
$4,715 |
— |
$161 | |
| CT scan of the chest |
$4,948 |
$6,597 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$6,929 |
$9,238 |
— |
$196 | |
| CT scan of the chest with contrast |
$4,948 |
$6,597 |
— |
$167 | |
| CT scan of the chest without contrast |
$4,617 |
$6,156 |
— |
$133 | |
| CT scan of the head |
$4,184 |
$5,578 |
— |
$148 | |
| CT scan of the head with and without contrast |
$5,603 |
$7,471 |
— |
$173 | |
| CT scan of the head with contrast |
$4,184 |
$5,578 |
— |
$148 | |
| CT scan of the head without contrast |
$3,631 |
$4,841 |
— |
$107 | |
| CT scan of the leg |
$3,735 |
$4,980 |
— |
$166 | |
| CT scan of the leg with contrast |
$3,735 |
$4,980 |
— |
$166 | |
| CT scan of the leg without contrast |
$3,427 |
$4,569 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$3,735 |
$4,980 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$5,603 |
$7,471 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$3,735 |
$4,980 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$3,631 |
$4,841 |
— |
$130 | |
| CT scan of the neck |
$4,457 |
$5,942 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$3,735 |
$4,980 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$5,603 |
$7,471 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$3,735 |
$4,980 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$3,427 |
$4,569 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$6,070 |
$8,093 |
— |
$220 | |
| CT scan of the neck with contrast |
$4,457 |
$5,942 |
— |
$183 | |
| CT scan of the neck without contrast |
$3,894 |
$5,192 |
— |
$150 | |
| CT scan of the pelvis |
$3,735 |
$4,980 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$5,603 |
$7,471 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$3,735 |
$4,980 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$3,427 |
$4,569 |
— |
$133 | |
| CT scan of the sinuses |
$4,668 |
$6,224 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$6,668 |
$8,890 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$4,668 |
$6,224 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$4,617 |
$6,156 |
— |
$128 | |
| D-dimer test |
$279 |
$372 |
— |
$10 | |
| Defibrillator (ICD) implant |
$83,471 |
$111,294 |
— |
$798 | |
| Developmental screening (child) |
$285 |
$380 |
— |
— | |
| DHEA-sulfate test |
$246 |
$328 |
— |
$22 | |
| Diagnostic mammogram |
$582 |
$776 |
— |
$140 | |
| Drug screen (urine) |
$131 |
$175 |
— |
$17 | |
| Echocardiogram |
$1,648 |
$2,198 |
— |
$138 | |
| Echocardiogram with and without contrast |
$1,459 |
$1,945 |
— |
$101 | |
| Echocardiogram without contrast |
$2,105 |
$2,806 |
— |
$138 | |
| EEG (awake and asleep) |
$1,902 |
$2,536 |
— |
$482 | |
| EKG / ECG (tracing only) |
$194 |
$259 |
— |
$7 | |
| Electrocardiogram (EKG) |
$194 |
$259 |
— |
$8 | |
| Electroencephalogram (EEG) |
$1,871 |
$2,495 |
— |
$448 | |
| Electrolyte panel |
$323 |
$430 |
— |
$7 | |
| Electromyography (EMG) |
$479 |
$638 |
— |
$141 | |
| Emergency department visit |
$1,610 |
$2,146 |
— |
$69 | |
| Emergency department visit (level 1) |
$552 |
$736 |
— |
$11 | |
| Emergency department visit (level 2) |
$879 |
$1,172 |
— |
$40 | |
| Emergency department visit (level 3) |
$1,610 |
$2,146 |
— |
$69 | |
| Emergency department visit (level 4) |
$2,877 |
$3,836 |
— |
$118 | |
| Emergency department visit (level 5) |
$3,772 |
$5,029 |
— |
$171 | |
| Endometrial biopsy |
$441 |
$588 |
— |
$98 | |
| Epidural steroid injection |
$3,515 |
$4,687 |
— |
$275 | |
| Estradiol (estrogen) test |
$251 |
$334 |
— |
$28 | |
| Fecal occult blood (stool) test |
$89 |
$119 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$75 |
$101 |
— |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$93 |
$124 |
— |
$16 | |
| Ferritin (iron) test |
$575 |
$767 |
— |
$14 | |
| Flu vaccine |
$73 |
$97 |
— |
— | |
| Folate (folic acid) test |
$228 |
$304 |
— |
$15 | |
| Foreign body removal (skin) |
$1,157 |
$1,542 |
— |
$157 | |
| Free T4 thyroid test |
$133 |
$178 |
— |
$9 | |
| FSH hormone test |
$207 |
$276 |
— |
$19 | |
| Gallbladder scan (HIDA) |
$1,571 |
$2,094 |
— |
$334 | |
| GGT liver test |
$29 |
$39 |
— |
$7 | |
| Glucose tolerance test |
$243 |
$324 |
— |
$8 | |
| H. pylori test |
$227 |
$302 |
— |
$67 | |
| HDL cholesterol test |
$125 |
$166 |
— |
$8 | |
| Hematocrit test |
$59 |
$79 |
— |
$2 | |
| Hemoglobin A1c (diabetes test) |
$90 |
$120 |
— |
$10 | |
| Hepatitis A vaccine |
$93 |
$124 |
— |
— | |
| Hepatitis B vaccine |
$224 |
$298 |
— |
— | |
| Hepatitis C test |
$123 |
$164 |
— |
$14 | |
| HIV test |
$170 |
$227 |
— |
$19 | |
| HIV test (antibody) |
$98 |
$131 |
— |
$14 | |
| HIV test (antigen/antibody combo) |
$242 |
$323 |
— |
$24 | |
| Holter heart monitor |
$1,383 |
$1,844 |
— |
$26 | |
| Home sleep apnea test |
$806 |
$1,075 |
— |
$123 | |
| HPV vaccine |
$734 |
$978 |
— |
— | |
| Iron blood test |
$62 |
$83 |
— |
$6 | |
| IV infusion therapy |
$402 |
$537 |
— |
$44 | |
| IV infusion therapy (each additional) |
$225 |
$300 |
— |
$21 | |
| IV infusion therapy (initial) |
$445 |
$593 |
— |
$67 | |
| IVC filter placement |
$10,082 |
$13,442 |
— |
$1,885 | |
| Joint aspiration (small/intermediate) |
$993 |
$1,324 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$1,118 |
$1,490 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$929 |
$1,239 |
— |
$56 | |
| Kidney biopsy |
$3,957 |
$5,276 |
— |
$492 | |
| Kidney scan (nuclear) |
$4,811 |
$6,415 |
— |
$172 | |
| Kidney ultrasound |
$1,028 |
$1,371 |
— |
$84 | |
| Kidney ultrasound (limited) |
$607 |
$809 |
— |
$61 | |
| Knee joint injection |
$1,141 |
$1,521 |
— |
$69 | |
| Lactate test |
$173 |
$230 |
— |
$12 | |
| Laryngoscopy |
$1,657 |
$2,209 |
— |
$189 | |
| LDH test |
$35 |
$46 |
— |
$6 | |
| Leg artery angiogram |
$8,897 |
$11,862 |
— |
$149 | |
| Leg vein ultrasound (Doppler) |
$1,430 |
$1,907 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$875 |
$1,166 |
— |
$116 | |
| LH hormone test |
$299 |
$398 |
— |
$19 | |
| Lipase test |
$90 |
$121 |
— |
$7 | |
| Lipid (cholesterol) panel |
$207 |
$277 |
— |
$13 | |
| Liver biopsy |
$2,280 |
$3,041 |
— |
$288 | |
| Liver function panel |
$83 |
$111 |
— |
$8 | |
| Lung function test (PFT) |
$820 |
$1,093 |
— |
$37 | |
| Lung scan (V/Q) |
$6,003 |
$8,004 |
— |
$291 | |
| MMR vaccine |
$225 |
$300 |
— |
— | |
| MRA of the brain |
$7,784 |
$10,378 |
— |
$226 | |
| MRA of the brain with contrast |
$7,784 |
$10,378 |
— |
$226 | |
| MRA of the brain without contrast |
$10,329 |
$13,772 |
— |
$328 | |
| MRA of the neck |
$8,250 |
$11,000 |
— |
$245 | |
| MRA of the neck with contrast |
$8,250 |
$11,000 |
— |
$245 | |
| MRA of the neck without contrast |
$9,882 |
$13,176 |
— |
$343 | |
| MRI of the abdomen |
$3,650 |
$4,866 |
— |
$300 | |
| MRI of the abdomen without contrast |
$2,235 |
$2,981 |
— |
$194 | |
| MRI of the ankle |
$4,211 |
$5,615 |
— |
$261 | |
| MRI of the ankle without contrast |
$4,220 |
$5,627 |
— |
$222 | |
| MRI of the brain |
$6,452 |
$8,602 |
— |
$269 | |
| MRI of the brain with contrast |
$6,452 |
$8,602 |
— |
$269 | |
| MRI of the brain without contrast |
$5,909 |
$7,879 |
— |
$195 | |
| MRI of the chest |
$6,782 |
$9,042 |
— |
$371 | |
| MRI of the chest without contrast |
$8,406 |
$11,208 |
— |
$466 | |
| MRI of the knee |
$5,424 |
$7,232 |
— |
$315 | |
| MRI of the knee without contrast |
$3,941 |
$5,255 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$4,033 |
$5,377 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$4,033 |
$5,377 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$3,935 |
$5,247 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$5,699 |
$7,599 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$8,339 |
$11,119 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$5,699 |
$7,599 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$4,053 |
$5,404 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$5,378 |
$7,170 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$8,826 |
$11,768 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$5,378 |
$7,170 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$4,053 |
$5,404 |
— |
$191 | |
| MRI of the pelvis |
$5,079 |
$6,772 |
— |
$268 | |
| MRI of the pelvis without contrast |
$3,854 |
$5,139 |
— |
$227 | |
| MRI of the shoulder |
$7,301 |
$9,735 |
— |
$313 | |
| MRI of the shoulder without contrast |
$5,522 |
$7,363 |
— |
$205 | |
| MRI of the wrist |
$5,090 |
$6,786 |
— |
$330 | |
| MRI of the wrist without contrast |
$5,550 |
$7,400 |
— |
$303 | |
| Nebulizer breathing treatment |
$376 |
$501 |
— |
$9 | |
| Nerve conduction study |
$355 |
$473 |
— |
$118 | |
| Nuclear cardiac stress test |
$4,595 |
$6,127 |
— |
$428 | |
| Occupational therapy evaluation |
$1,379 |
$1,838 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$1,397 |
$1,863 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$1,237 |
$1,649 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$1,379 |
$1,838 |
— |
$101 | |
| Office visit (established patient) |
$359 |
$479 |
— |
$115 | |
| Office visit (new patient) |
$480 |
$640 |
— |
$177 | |
| Office visit, established patient (level 3) |
$317 |
$423 |
— |
$95 | |
| Office visit, established patient (level 4) |
$370 |
$493 |
— |
$136 | |
| Office visit, new patient (level 3) |
$376 |
$501 |
— |
$118 | |
| Office visit, new patient (level 4) |
$445 |
$593 |
— |
$177 | |
| Office visit, new patient (level 5) |
$770 |
$1,026 |
— |
$237 | |
| Pap smear (cervical screening) |
$105 |
$140 |
— |
$20 | |
| Parathyroid hormone (PTH) test |
$183 |
$244 |
— |
$41 | |
| Pelvic ultrasound |
$1,009 |
$1,346 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$1,136 |
$1,515 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$882 |
$1,176 |
— |
$51 | |
| Phosphorus blood test |
$83 |
$111 |
— |
$5 | |
| Physical therapy evaluation |
$1,399 |
$1,865 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$1,409 |
$1,879 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$1,399 |
$1,865 |
— |
$98 | |
| Platelet count |
$46 |
$61 |
— |
$4 | |
| Pneumonia vaccine |
$154 |
$205 |
— |
— | |
| Pregnancy blood test (hCG) |
$167 |
$222 |
— |
$8 | |
| Pregnancy ultrasound |
$1,140 |
$1,520 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$1,141 |
$1,522 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$1,072 |
$1,430 |
— |
$136 | |
| Procalcitonin test |
$244 |
$325 |
— |
$27 | |
| Prolactin test |
$136 |
$181 |
— |
$19 | |
| Prostate test (PSA) |
$355 |
$474 |
— |
$18 | |
| Psychiatric evaluation |
$672 |
$896 |
— |
$188 | |
| Psychotherapy session |
$448 |
$597 |
— |
$140 | |
| RSV vaccine |
$506 |
$674 |
— |
— | |
| Sacroiliac joint injection |
$2,135 |
$2,847 |
— |
$176 | |
| Scoliosis spine X-ray |
$428 |
$571 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$392 |
$522 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$562 |
$750 |
— |
$72 | |
| Screening mammogram |
$539 |
$719 |
— |
$126 | |
| Scrotal ultrasound |
$1,199 |
$1,599 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$44 |
$59 |
— |
$3 | |
| Semen analysis |
$176 |
$235 |
— |
$12 | |
| Shingles vaccine |
$253 |
$337 |
— |
— | |
| Skin biopsy |
$534 |
$712 |
— |
$121 | |
| Skin biopsy (punch) |
$1,038 |
$1,385 |
— |
$121 | |
| Sleep study (polysomnography) |
$9,971 |
$13,294 |
— |
$691 | |
| Soft tissue ultrasound |
$569 |
$759 |
— |
$64 | |
| Speech therapy |
$489 |
$652 |
— |
$76 | |
| Spinal tap (lumbar puncture) |
$1,583 |
$2,110 |
— |
$165 | |
| Spine fracture repair (kyphoplasty) |
$20,381 |
$27,174 |
— |
$5,803 | |
| Spirometry (lung function test) |
$820 |
$1,093 |
— |
$30 | |
| Spirometry with bronchodilator |
$544 |
$726 |
— |
$43 | |
| Strep throat test |
$119 |
$159 |
— |
$17 | |
| Stress echocardiogram |
$3,476 |
$4,635 |
— |
$209 | |
| Swallow study |
$667 |
$889 |
— |
$85 | |
| T3 thyroid test |
$160 |
$213 |
— |
$14 | |
| Tdap (tetanus) vaccine |
$94 |
$125 |
— |
— | |
| Testosterone test |
$125 |
$166 |
— |
$26 | |
| Thyroid test (TSH) |
$236 |
$315 |
— |
$17 | |
| Thyroid ultrasound |
$866 |
$1,154 |
— |
$109 | |
| Tilt table test |
$3,638 |
$4,851 |
— |
$168 | |
| Total IgE allergy test |
$42 |
$56 |
— |
$16 | |
| Total protein test |
$57 |
$76 |
— |
$4 | |
| Transesophageal echocardiogram (TEE) |
$3,310 |
$4,413 |
— |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$3,310 |
$4,413 |
— |
$239 | |
| Transvaginal ultrasound |
$1,073 |
$1,431 |
— |
$118 | |
| Trigger point injection |
$1,139 |
$1,519 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$1,085 |
$1,447 |
— |
$52 | |
| Triglycerides test |
$8 |
$11 |
— |
$6 | |
| Troponin (heart) test |
$34 |
$45 |
— |
$12 | |
| Upper GI series (barium) |
$1,357 |
$1,809 |
— |
$128 | |
| Uric acid (gout) test |
$92 |
$122 |
— |
$5 | |
| Urinalysis |
$36 |
$48 |
— |
$3 | |
| Urine microalbumin test |
$54 |
$72 |
— |
$5 | |
| Urine pregnancy test |
$144 |
$193 |
— |
$9 | |
| Vaccine administration |
$148 |
$198 |
— |
$19 | |
| Vaccine administration (each additional) |
$68 |
$90 |
— |
$16 | |
| Vitamin B12 test |
$192 |
$256 |
— |
$15 | |
| Vitamin D test |
$279 |
$372 |
— |
$30 | |
| Wart removal |
$428 |
$570 |
— |
$121 | |
| Wound debridement |
$1,196 |
$1,595 |
— |
$186 | |
| X-ray of the abdomen |
$518 |
$691 |
— |
$36 | |
| X-ray of the ankle |
$758 |
$1,011 |
— |
$37 | |
| X-ray of the collarbone |
$590 |
$787 |
— |
$33 | |
| X-ray of the elbow |
$569 |
$759 |
— |
$33 | |
| X-ray of the facial bones |
$809 |
$1,079 |
— |
$39 | |
| X-ray of the foot |
$569 |
$759 |
— |
$34 | |
| X-ray of the forearm |
$598 |
$797 |
— |
$29 | |
| X-ray of the hand |
$570 |
$760 |
— |
$38 | |
| X-ray of the hip |
$253 |
$337 |
— |
$49 | |
| X-ray of the hip (1 view) |
$336 |
$449 |
— |
$34 | |
| X-ray of the hip (3 views) |
$242 |
$323 |
— |
$49 | |
| X-ray of the hip (4 views) |
$291 |
$388 |
— |
$63 | |
| X-ray of the knee |
$569 |
$759 |
— |
$42 | |
| X-ray of the knee (2 views) |
$473 |
$631 |
— |
$34 | |
| X-ray of the knee (3 views) |
$569 |
$759 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$695 |
$927 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$766 |
$1,021 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$635 |
$847 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$858 |
$1,144 |
— |
$53 | |
| X-ray of the lower leg |
$705 |
$940 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$792 |
$1,057 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$726 |
$968 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$866 |
$1,154 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$847 |
$1,129 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$777 |
$1,036 |
— |
$40 | |
| X-ray of the pelvis |
$596 |
$795 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$540 |
$720 |
— |
$28 | |
| X-ray of the ribs |
$707 |
$942 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$707 |
$942 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$742 |
$989 |
— |
$42 | |
| X-ray of the shoulder |
$578 |
$771 |
— |
$36 | |
| X-ray of the skull |
$685 |
$914 |
— |
$40 | |
| X-ray of the upper arm |
$556 |
$742 |
— |
$32 | |
| X-ray of the wrist |
$569 |
$759 |
— |
$43 | |
| Zinc blood test |
$43 |
$58 |
— |
$11 | |