| Abdominal ultrasound |
$484 |
$1,211 |
$682 |
$100 | |
| Abdominal ultrasound (complete) |
$621 |
$1,553 |
$682 |
$114 | |
| Abdominal ultrasound (limited) |
$348 |
$869 |
$579 |
$86 | |
| Abscess drainage (simple) |
$280 |
$700 |
$253 |
$129 | |
| Abscess incision and drainage |
$280 |
$700 |
$253 |
$174 | |
| Aldosterone test |
$158 |
$394 |
$177 |
$41 | |
| Alpha-fetoprotein (AFP) test |
$123 |
$308 |
$139 |
$17 | |
| Ammonia blood test |
$48 |
$121 |
$54 |
$15 | |
| Amylase test |
$41 |
$103 |
$45 |
$6 | |
| Antinuclear antibody (ANA) test |
$35 |
$88 |
$40 |
$12 | |
| Arterial blood gas (ABG) |
$75 |
$187 |
$82 |
$26 | |
| Barium swallow study |
$115 |
$288 |
$89 |
$107 | |
| Bilirubin blood test |
$12 |
$31 |
$10 |
$5 | |
| Blood clotting test (PT/INR) |
$10 |
$25 |
$11 |
$4 | |
| Blood crossmatch |
$151 |
$377 |
$166 |
— | |
| Blood glucose test |
$39 |
$98 |
$42 |
$5 | |
| Blood type and screen |
$63 |
$157 |
$69 |
$10 | |
| Blood type test |
$33 |
$83 |
$40 |
$3 | |
| Blood type test (ABO group) |
$38 |
$95 |
$43 |
$3 | |
| Blood type test (Rh/D antigen) |
$28 |
$71 |
$31 |
$3 | |
| BNP (heart failure) test |
$74 |
$186 |
$80 |
$39 | |
| Bone scan (nuclear) |
$1,552 |
$3,879 |
$1,703 |
$259 | |
| Breast ultrasound |
$248 |
$620 |
$121 |
$92 | |
| Breast ultrasound (complete) |
$390 |
$974 |
$259 |
$100 | |
| Breast ultrasound (limited) |
$106 |
$265 |
$119 |
$84 | |
| Breathing tube insertion (intubation) |
$282 |
$705 |
$385 |
$133 | |
| Burn dressing and debridement (small) |
$90 |
$225 |
$116 |
$93 | |
| Burn treatment |
$90 |
$225 |
$116 |
$129 | |
| C-reactive protein (CRP) |
$12 |
$30 |
$14 |
$5 | |
| Cardiac rehabilitation |
$241 |
$603 |
$268 |
$26 | |
| Cardiac stress test |
$377 |
$943 |
$1,011 |
$39 | |
| Carotid artery ultrasound |
$533 |
$1,333 |
$574 |
$156 | |
| CEA tumor marker test |
$53 |
$133 |
$59 |
$19 | |
| Celiac disease test |
$73 |
$182 |
$143 |
$12 | |
| Chest tube insertion |
$523 |
$1,307 |
$588 |
$143 | |
| Chest X-ray |
$75 |
$188 |
$112 |
$37 | |
| Chest X-ray (1 view) |
$108 |
$271 |
$119 |
$25 | |
| Chest X-ray (2 views) |
$42 |
$104 |
$47 |
$33 | |
| CK-MB heart enzyme test |
$88 |
$221 |
$122 |
$12 | |
| Clotting time test (PTT) |
$15 |
$37 |
$16 |
$6 | |
| Complete blood count (CBC) |
$22 |
$55 |
$31 |
$7 | |
| Complete blood count (CBC) (complete) |
$22 |
$55 |
$31 |
$8 | |
| Cortisol test |
$51 |
$127 |
$57 |
$16 | |
| CT angiography of the head |
$892 |
$2,229 |
$978 |
$274 | |
| CT scan of the abdomen |
$1,292 |
$3,231 |
$1,648 |
$230 | |
| CT scan of the abdomen with and without contrast |
$1,558 |
$3,894 |
$1,665 |
$259 | |
| CT scan of the abdomen without contrast |
$1,027 |
$2,567 |
$1,155 |
$136 | |
| CT scan of the arm |
$767 |
$1,917 |
$863 |
$199 | |
| CT scan of the arm without contrast |
$767 |
$1,917 |
$863 |
$161 | |
| CT scan of the chest |
$267 |
$667 |
$236 |
$167 | |
| CT scan of the chest with and without contrast |
$381 |
$953 |
$413 |
$196 | |
| CT scan of the chest with contrast |
$267 |
$667 |
$289 |
$167 | |
| CT scan of the chest without contrast |
$127 |
$318 |
$220 |
$133 | |
| CT scan of the head |
$1,021 |
$2,553 |
$1,208 |
$148 | |
| CT scan of the head with and without contrast |
$1,309 |
$3,273 |
$2,107 |
$173 | |
| CT scan of the head without contrast |
$733 |
$1,832 |
$831 |
$107 | |
| CT scan of the leg |
$711 |
$1,777 |
$800 |
$166 | |
| CT scan of the leg without contrast |
$711 |
$1,777 |
$800 |
$130 | |
| CT scan of the neck |
$568 |
$1,420 |
$617 |
$183 | |
| CT scan of the neck (cervical spine) |
$458 |
$1,145 |
$501 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$458 |
$1,145 |
$501 |
$131 | |
| CT scan of the neck without contrast |
$568 |
$1,420 |
$617 |
$150 | |
| CT scan of the sinuses |
$750 |
$1,874 |
$620 |
$152 | |
| CT scan of the sinuses with contrast |
$934 |
$2,336 |
$561 |
$152 | |
| CT scan of the sinuses without contrast |
$565 |
$1,412 |
$620 |
$128 | |
| Diagnostic mammogram |
$265 |
$664 |
$230 |
$140 | |
| Drug screen (urine) |
$221 |
$553 |
$222 |
$17 | |
| EKG / ECG (tracing only) |
$160 |
$399 |
$193 |
$7 | |
| Electrocardiogram (EKG) |
$160 |
$399 |
$193 |
$8 | |
| Emergency department visit |
$162 |
$406 |
$215 |
$69 | |
| Emergency department visit (level 1) |
$40 |
$100 |
$88 |
$11 | |
| Emergency department visit (level 2) |
$96 |
$239 |
$115 |
$40 | |
| Emergency department visit (level 3) |
$162 |
$406 |
$195 |
$69 | |
| Emergency department visit (level 4) |
$256 |
$641 |
$281 |
$118 | |
| Emergency department visit (level 5) |
$460 |
$1,151 |
$505 |
$171 | |
| Estradiol (estrogen) test |
$60 |
$149 |
$85 |
$28 | |
| Ferritin (iron) test |
$44 |
$109 |
$18 |
$14 | |
| Folate (folic acid) test |
$16 |
$41 |
$18 |
$15 | |
| Foreign body removal (skin) |
$802 |
$2,004 |
$931 |
$157 | |
| Free T4 thyroid test |
$52 |
$130 |
$34 |
$9 | |
| FSH hormone test |
$53 |
$132 |
$59 |
$19 | |
| GGT liver test |
$31 |
$77 |
$73 |
$7 | |
| Hemoglobin A1c (diabetes test) |
$51 |
$127 |
$40 |
$10 | |
| Iron blood test |
$26 |
$65 |
$29 |
$6 | |
| Kidney ultrasound |
$250 |
$625 |
$281 |
$84 | |
| Kidney ultrasound (limited) |
$244 |
$611 |
$391 |
$61 | |
| Knee joint injection |
$186 |
$465 |
$209 |
$69 | |
| Lactate test |
$20 |
$51 |
$22 |
$12 | |
| LDH test |
$29 |
$72 |
$32 |
$6 | |
| Leg vein ultrasound (Doppler) |
$476 |
$1,190 |
$562 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$350 |
$875 |
$393 |
$116 | |
| LH hormone test |
$50 |
$124 |
$56 |
$19 | |
| Lipase test |
$104 |
$261 |
$115 |
$7 | |
| Lipid (cholesterol) panel |
$77 |
$193 |
$109 |
$13 | |
| Lung function test (PFT) |
$349 |
$873 |
$385 |
$37 | |
| Magnesium blood test |
$13 |
$32 |
$14 |
$7 | |
| MRA of the brain |
$1,012 |
$2,531 |
$1,111 |
$226 | |
| MRI of the abdomen |
$497 |
$1,242 |
$559 |
$300 | |
| MRI of the abdomen without contrast |
$497 |
$1,242 |
$559 |
$194 | |
| MRI of the brain |
$653 |
$1,632 |
$476 |
$269 | |
| MRI of the brain without contrast |
$321 |
$803 |
$347 |
$195 | |
| MRI of the knee |
$931 |
$2,328 |
$1,000 |
$315 | |
| MRI of the knee without contrast |
$931 |
$2,328 |
$1,000 |
$204 | |
| MRI of the lower back (lumbar spine) |
$862 |
$2,155 |
$754 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$670 |
$1,676 |
$746 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$747 |
$1,867 |
$815 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$747 |
$1,867 |
$815 |
$190 | |
| MRI of the neck (cervical spine) |
$813 |
$2,034 |
$943 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$756 |
$1,889 |
$829 |
$318 | |
| MRI of the neck (cervical spine) without contrast |
$871 |
$2,178 |
$944 |
$191 | |
| MRI of the shoulder |
$908 |
$2,271 |
$1,008 |
$313 | |
| MRI of the shoulder without contrast |
$908 |
$2,271 |
$1,008 |
$205 | |
| Occupational therapy evaluation |
$50 |
$124 |
$74 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$50 |
$124 |
$74 |
$101 | |
| Parathyroid hormone (PTH) test |
$38 |
$95 |
$43 |
$41 | |
| Pelvic ultrasound |
$434 |
$1,085 |
$492 |
$78 | |
| Pelvic ultrasound (complete) |
$434 |
$1,085 |
$492 |
$105 | |
| Rheumatoid factor test |
$20 |
$50 |
$23 |
$6 | |
| Screening mammogram |
$230 |
$575 |
$113 |
$126 | |
| Scrotal ultrasound |
$96 |
$240 |
$123 |
$99 | |
| Sedimentation rate (ESR) test |
$29 |
$73 |
$31 |
$3 | |
| Simple laceration repair (small, up to 2.5 cm) |
$104 |
$261 |
$125 |
$114 | |
| Simple wound stitches |
$208 |
$520 |
$261 |
$127 | |
| Soft tissue ultrasound |
$400 |
$999 |
$438 |
$64 | |
| Speech therapy |
$34 |
$84 |
$90 |
$76 | |
| Spirometry with bronchodilator |
$349 |
$873 |
$385 |
$43 | |
| Strep throat test |
$37 |
$93 |
$40 |
$17 | |
| T3 thyroid test |
$86 |
$216 |
$18 |
$14 | |
| Tdap (tetanus) vaccine |
$71 |
$177 |
$77 |
— | |
| Testosterone test |
$63 |
$158 |
$72 |
$26 | |
| Thyroid ultrasound |
$388 |
$969 |
$421 |
$109 | |
| Troponin (heart) test |
$111 |
$278 |
$174 |
$12 | |
| Uric acid (gout) test |
$27 |
$68 |
$29 |
$5 | |
| Urinalysis |
$22 |
$54 |
$19 |
$3 | |
| Urine pregnancy test |
$32 |
$81 |
$35 |
$9 | |
| Vitamin B12 test |
$46 |
$115 |
$81 |
$15 | |
| Vitamin D test |
$40 |
$100 |
$44 |
$30 | |
| X-ray of the abdomen |
$73 |
$182 |
$69 |
$36 | |
| X-ray of the ankle |
$286 |
$716 |
$125 |
$37 | |
| X-ray of the collarbone |
$273 |
$683 |
$296 |
$33 | |
| X-ray of the elbow |
$108 |
$271 |
$183 |
$33 | |
| X-ray of the facial bones |
$36 |
$90 |
$195 |
$39 | |
| X-ray of the foot |
$237 |
$593 |
$169 |
$34 | |
| X-ray of the forearm |
$175 |
$438 |
$201 |
$29 | |
| X-ray of the hand |
$186 |
$465 |
$215 |
$38 | |
| X-ray of the hip |
$266 |
$664 |
$206 |
$49 | |
| X-ray of the hip (3 views) |
$266 |
$664 |
$206 |
$49 | |
| X-ray of the knee |
$181 |
$453 |
$214 |
$42 | |
| X-ray of the knee (2 views) |
$155 |
$388 |
$176 |
$34 | |
| X-ray of the knee (3 views) |
$207 |
$517 |
$227 |
$42 | |
| X-ray of the lower back (lumbar spine) |
$316 |
$791 |
$347 |
$47 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$316 |
$791 |
$347 |
$53 | |
| X-ray of the lower leg |
$271 |
$677 |
$326 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$237 |
$593 |
$269 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$237 |
$593 |
$269 |
$33 | |
| X-ray of the neck (cervical spine) |
$161 |
$403 |
$178 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$231 |
$578 |
$260 |
$40 | |
| X-ray of the pelvis |
$305 |
$762 |
$278 |
$36 | |
| X-ray of the pelvis (1 view) |
$258 |
$644 |
$274 |
$28 | |
| X-ray of the ribs |
$178 |
$444 |
$272 |
$42 | |
| X-ray of the ribs (2 views) |
$108 |
$271 |
$156 |
$36 | |
| X-ray of the ribs (3 views) |
$247 |
$617 |
$278 |
$42 | |
| X-ray of the shoulder |
$194 |
$485 |
$213 |
$36 | |
| X-ray of the skull |
$36 |
$90 |
$162 |
$40 | |
| X-ray of the upper arm |
$176 |
$439 |
$199 |
$32 | |
| X-ray of the wrist |
$99 |
$248 |
$112 |
$43 | |