| Abdominal ultrasound |
$1,159 |
$2,317 |
$211 |
$100 | |
| Abdominal ultrasound (complete) |
$1,041 |
$2,082 |
$241 |
$114 | |
| Abdominal ultrasound (limited) |
$1,277 |
$2,553 |
$181 |
$86 | |
| Abscess drainage (complex or multiple) |
$1,548 |
$3,095 |
$453 |
$220 | |
| Abscess drainage (simple) |
$507 |
$1,014 |
$269 |
$129 | |
| Abscess incision and drainage |
$1,027 |
$2,054 |
$361 |
$174 | |
| Albumin blood test |
$183 |
$367 |
— |
$5 | |
| Aldosterone test |
$39 |
$78 |
— |
$41 | |
| Alkaline phosphatase test |
$82 |
$164 |
— |
$5 | |
| Alpha-fetoprotein (AFP) test |
$66 |
$132 |
— |
$17 | |
| ALT liver enzyme test |
$98 |
$196 |
— |
$5 | |
| Ammonia blood test |
$66 |
$132 |
— |
$15 | |
| Amylase test |
$182 |
$365 |
— |
$6 | |
| Annual physical (new patient) |
$38 |
$75 |
— |
— | |
| Antinuclear antibody (ANA) test |
$70 |
$139 |
— |
$12 | |
| Arterial blood gas (ABG) |
$410 |
$819 |
— |
$26 | |
| AST liver enzyme test |
$99 |
$198 |
— |
$5 | |
| Barium swallow study |
$1,524 |
$3,048 |
$200 |
$107 | |
| Bartholin cyst removal |
$482 |
$964 |
$386 |
$182 | |
| Basic metabolic panel |
$303 |
$607 |
— |
$8 | |
| Bilirubin blood test |
$86 |
$171 |
— |
$5 | |
| Blood clotting test (PT/INR) |
$230 |
$459 |
— |
$4 | |
| Blood glucose test |
$83 |
$166 |
— |
$5 | |
| Blood transfusion |
$993 |
$1,986 |
$89 |
$47 | |
| Blood type and screen |
$134 |
$268 |
— |
$10 | |
| Blood type test |
$166 |
$332 |
— |
$3 | |
| Blood type test (ABO group) |
$237 |
$474 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$95 |
$191 |
— |
$3 | |
| BNP (heart failure) test |
$280 |
$560 |
— |
$39 | |
| Bone scan (nuclear) |
$1,048 |
$2,097 |
$548 |
$259 | |
| Breast ultrasound |
$488 |
$977 |
$195 |
$92 | |
| Breast ultrasound (complete) |
$790 |
$1,581 |
$213 |
$100 | |
| Breast ultrasound (limited) |
$186 |
$373 |
$177 |
$84 | |
| Breathing tube insertion (intubation) |
$422 |
$843 |
$303 |
$133 | |
| Burn dressing and debridement (medium) |
$507 |
$1,014 |
$330 |
$166 | |
| Burn dressing and debridement (small) |
$507 |
$1,014 |
$180 |
$93 | |
| Burn treatment |
$507 |
$1,014 |
$255 |
$129 | |
| C-reactive protein (CRP) |
$133 |
$266 |
— |
$5 | |
| CA 19-9 tumor marker test |
$96 |
$192 |
— |
$21 | |
| CA-125 ovarian marker test |
$106 |
$213 |
— |
$21 | |
| Calcium blood test |
$127 |
$254 |
— |
$5 | |
| Cardioversion |
$554 |
$1,108 |
$323 |
$155 | |
| Carotid artery ultrasound |
$850 |
$1,700 |
$322 |
$156 | |
| CEA tumor marker test |
$75 |
$150 |
— |
$19 | |
| Central line placement |
$605 |
$1,211 |
$435 |
$238 | |
| Chest tube insertion |
$468 |
$937 |
$329 |
$143 | |
| Chest X-ray |
$638 |
$1,277 |
$79 |
$37 | |
| Chest X-ray (1 view) |
$623 |
$1,246 |
$54 |
$25 | |
| Chest X-ray (2 views) |
$654 |
$1,307 |
$70 |
$33 | |
| Chickenpox (varicella) vaccine |
$43 |
$86 |
— |
— | |
| CK-MB heart enzyme test |
$172 |
$344 |
— |
$12 | |
| Clotting time test (PTT) |
$106 |
$212 |
— |
$6 | |
| Complete blood count (CBC) |
$131 |
$262 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$165 |
$329 |
— |
$8 | |
| Complex wound repair |
$1,465 |
$2,929 |
$825 |
$390 | |
| Comprehensive metabolic panel |
$516 |
$1,032 |
— |
$11 | |
| Coronary CT angiography |
$885 |
$1,770 |
$686 |
$326 | |
| Cortisol test |
$110 |
$220 |
— |
$16 | |
| COVID-19 PCR test |
$138 |
$276 |
— |
$51 | |
| CPAP titration study |
$501 |
$1,003 |
$138 |
$69 | |
| Creatine kinase (CK) test |
$133 |
$265 |
— |
$7 | |
| CT angiography of the chest |
$2,491 |
$4,983 |
$563 |
$281 | |
| CT angiography of the head |
$2,459 |
$4,918 |
$555 |
$274 | |
| CT scan of the abdomen |
$1,516 |
$3,033 |
$488 |
$230 | |
| CT scan of the abdomen and pelvis |
$4,727 |
$9,453 |
$639 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$4,727 |
$9,453 |
$716 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$4,541 |
$9,083 |
$639 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$4,759 |
$9,517 |
$391 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,516 |
$3,033 |
$519 |
$259 | |
| CT scan of the abdomen with contrast |
$2,346 |
$4,691 |
$488 |
$230 | |
| CT scan of the abdomen without contrast |
$858 |
$1,717 |
$290 |
$136 | |
| CT scan of the arm |
$2,283 |
$4,567 |
$423 |
$199 | |
| CT scan of the arm with contrast |
$758 |
$1,516 |
$423 |
$199 | |
| CT scan of the arm without contrast |
$2,283 |
$4,567 |
$327 |
$161 | |
| CT scan of the chest |
$2,153 |
$4,306 |
$354 |
$167 | |
| CT scan of the chest with and without contrast |
$2,153 |
$4,306 |
$416 |
$196 | |
| CT scan of the chest with contrast |
$2,302 |
$4,604 |
$354 |
$167 | |
| CT scan of the chest without contrast |
$1,912 |
$3,823 |
$283 |
$133 | |
| CT scan of the head |
$2,176 |
$4,352 |
$315 |
$148 | |
| CT scan of the head with and without contrast |
$2,176 |
$4,352 |
$368 |
$173 | |
| CT scan of the head with contrast |
$758 |
$1,516 |
$315 |
$148 | |
| CT scan of the head without contrast |
$2,612 |
$5,224 |
$227 |
$107 | |
| CT scan of the leg |
$1,992 |
$3,984 |
$353 |
$166 | |
| CT scan of the leg with contrast |
$2,391 |
$4,781 |
$353 |
$166 | |
| CT scan of the leg without contrast |
$1,992 |
$3,984 |
$276 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,553 |
$5,106 |
$317 |
$169 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,369 |
$2,738 |
$359 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$3,737 |
$7,474 |
$275 |
$130 | |
| CT scan of the neck |
$1,753 |
$3,507 |
$391 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,369 |
$2,738 |
$358 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$758 |
$1,516 |
$416 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,369 |
$2,738 |
$358 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$2,005 |
$4,010 |
$276 |
$131 | |
| CT scan of the neck with and without contrast |
$1,516 |
$3,033 |
$469 |
$220 | |
| CT scan of the neck with contrast |
$2,720 |
$5,440 |
$391 |
$183 | |
| CT scan of the neck without contrast |
$1,753 |
$3,507 |
$319 |
$150 | |
| CT scan of the pelvis |
$1,869 |
$3,738 |
$479 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,516 |
$3,033 |
$501 |
$251 | |
| CT scan of the pelvis with contrast |
$1,869 |
$3,738 |
$479 |
$226 | |
| CT scan of the pelvis without contrast |
$2,548 |
$5,097 |
$283 |
$133 | |
| CT scan of the sinuses |
$1,814 |
$3,628 |
$323 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,516 |
$3,033 |
$390 |
$184 | |
| CT scan of the sinuses with contrast |
$2,283 |
$4,566 |
$323 |
$152 | |
| CT scan of the sinuses without contrast |
$1,814 |
$3,628 |
$272 |
$128 | |
| D-dimer test |
$214 |
$427 |
— |
$10 | |
| Drug screen (urine) |
$183 |
$366 |
— |
$17 | |
| Echocardiogram |
$1,460 |
$2,920 |
$282 |
$138 | |
| Echocardiogram with and without contrast |
$697 |
$1,394 |
$203 |
$101 | |
| Echocardiogram without contrast |
$1,460 |
$2,920 |
$282 |
$138 | |
| EKG / ECG (tracing only) |
$434 |
$868 |
$13 |
$7 | |
| Electrocardiogram (EKG) |
$162 |
$324 |
$17 |
$8 | |
| Electrolyte panel |
$383 |
$766 |
— |
$7 | |
| Emergency department visit |
$1,380 |
$2,761 |
$151 |
$69 | |
| Emergency department visit (level 1) |
$487 |
$975 |
$24 |
$11 | |
| Emergency department visit (level 2) |
$723 |
$1,446 |
$90 |
$40 | |
| Emergency department visit (level 3) |
$1,380 |
$2,761 |
$151 |
$69 | |
| Emergency department visit (level 4) |
$2,045 |
$4,090 |
$258 |
$118 | |
| Emergency department visit (level 5) |
$2,589 |
$5,177 |
$375 |
$171 | |
| Estradiol (estrogen) test |
$62 |
$124 |
— |
$28 | |
| Fecal occult blood (stool) test |
$92 |
$184 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$133 |
$265 |
— |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$51 |
$103 |
— |
$16 | |
| Ferritin (iron) test |
$124 |
$248 |
— |
$14 | |
| Fibrinogen test |
$277 |
$555 |
— |
$10 | |
| Folate (folic acid) test |
$124 |
$247 |
— |
$15 | |
| Foreign body removal (skin) |
$932 |
$1,865 |
$318 |
$157 | |
| Free T4 thyroid test |
$154 |
$308 |
— |
$9 | |
| GGT liver test |
$116 |
$231 |
— |
$7 | |
| H. pylori test |
$130 |
$259 |
— |
$67 | |
| Hematocrit test |
$67 |
$134 |
— |
$2 | |
| Hemoglobin A1c (diabetes test) |
$120 |
$240 |
— |
$10 | |
| Hepatitis B test |
$70 |
$141 |
— |
$10 | |
| Hepatitis C test |
$70 |
$141 |
— |
$14 | |
| HIV test |
$70 |
$140 |
— |
$19 | |
| HIV test (antibody) |
$38 |
$75 |
— |
$14 | |
| HIV test (antigen/antibody combo) |
$102 |
$204 |
— |
$24 | |
| Holter heart monitor |
$97 |
$195 |
$147 |
$26 | |
| Inguinal hernia repair |
$1,535 |
$3,071 |
$1,127 |
$538 | |
| Iron blood test |
$83 |
$165 |
— |
$6 | |
| IUD removal |
$276 |
$553 |
$231 |
$112 | |
| IV infusion therapy |
$428 |
$857 |
$83 |
$44 | |
| IV infusion therapy (each additional) |
$224 |
$448 |
$42 |
$21 | |
| IV infusion therapy (initial) |
$633 |
$1,266 |
$124 |
$67 | |
| Joint aspiration (small/intermediate) |
$734 |
$1,468 |
$115 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$734 |
$1,468 |
$116 |
$57 | |
| Joint aspiration or injection (small joint) |
$734 |
$1,468 |
$114 |
$56 | |
| Kidney ultrasound |
$846 |
$1,693 |
$176 |
$84 | |
| Kidney ultrasound (limited) |
$1,035 |
$2,069 |
$127 |
$61 | |
| Knee joint injection |
$734 |
$1,468 |
$138 |
$69 | |
| Lactate test |
$186 |
$372 |
— |
$12 | |
| Laryngoscopy |
$3,971 |
$7,942 |
$525 |
$189 | |
| LDH test |
$27 |
$54 |
— |
$6 | |
| Leg vein ultrasound (Doppler) |
$1,702 |
$3,403 |
$314 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,364 |
$2,728 |
$245 |
$116 | |
| Lipase test |
$190 |
$380 |
— |
$7 | |
| Lipid (cholesterol) panel |
$337 |
$675 |
— |
$13 | |
| Liver function panel |
$186 |
$372 |
— |
$8 | |
| Lung function test (PFT) |
$449 |
$897 |
$81 |
$37 | |
| Magnesium blood test |
$178 |
$356 |
— |
$7 | |
| MMR vaccine |
$125 |
$249 |
— |
— | |
| MRA of the brain |
$2,642 |
$5,284 |
$576 |
$226 | |
| MRA of the brain without contrast |
$3,882 |
$7,764 |
$696 |
$328 | |
| MRA of the neck |
$1,236 |
$2,473 |
$490 |
$245 | |
| MRA of the neck with contrast |
$1,776 |
$3,552 |
$522 |
$245 | |
| MRI of the abdomen |
$1,033 |
$2,066 |
$565 |
$300 | |
| MRI of the abdomen without contrast |
$697 |
$1,394 |
$415 |
$194 | |
| MRI of the ankle |
$2,148 |
$4,296 |
$471 |
$261 | |
| MRI of the ankle without contrast |
$2,148 |
$4,296 |
$471 |
$222 | |
| MRI of the brain |
$2,911 |
$5,823 |
$547 |
$269 | |
| MRI of the brain without contrast |
$2,173 |
$4,345 |
$417 |
$195 | |
| MRI of the chest |
$697 |
$1,394 |
$662 |
$371 | |
| MRI of the knee |
$2,046 |
$4,091 |
$660 |
$315 | |
| MRI of the knee with contrast |
$2,046 |
$4,091 |
$660 |
$315 | |
| MRI of the knee without contrast |
$2,736 |
$5,472 |
$431 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,846 |
$5,692 |
$542 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$4,322 |
$8,645 |
$406 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,862 |
$5,724 |
$543 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$1,369 |
$2,738 |
$680 |
$319 | |
| MRI of the mid-back (thoracic spine) without contrast |
$4,355 |
$8,710 |
$405 |
$190 | |
| MRI of the neck (cervical spine) |
$1,033 |
$2,066 |
$542 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$1,369 |
$2,738 |
$679 |
$318 | |
| MRI of the neck (cervical spine) without contrast |
$697 |
$1,394 |
$405 |
$191 | |
| MRI of the pelvis |
$1,369 |
$2,738 |
$569 |
$268 | |
| MRI of the pelvis with contrast |
$1,369 |
$2,738 |
$569 |
$268 | |
| MRI of the pelvis without contrast |
$697 |
$1,394 |
$483 |
$227 | |
| MRI of the shoulder |
$3,376 |
$6,753 |
$656 |
$313 | |
| MRI of the shoulder with contrast |
$3,376 |
$6,753 |
$656 |
$313 | |
| MRI of the shoulder without contrast |
$2,494 |
$4,988 |
$432 |
$205 | |
| MRI of the wrist |
$3,376 |
$6,753 |
$696 |
$330 | |
| MRI of the wrist with contrast |
$3,376 |
$6,753 |
$696 |
$330 | |
| MRI of the wrist without contrast |
$3,566 |
$7,133 |
$635 |
$303 | |
| Nebulizer breathing treatment |
$241 |
$483 |
$17 |
$9 | |
| Nuchal translucency ultrasound |
$343 |
$687 |
$239 |
$116 | |
| Parathyroid hormone (PTH) test |
$62 |
$124 |
— |
$41 | |
| Pelvic ultrasound |
$812 |
$1,624 |
$162 |
$78 | |
| Pelvic ultrasound (complete) |
$1,281 |
$2,562 |
$219 |
$105 | |
| Pelvic ultrasound (limited) |
$343 |
$687 |
$105 |
$51 | |
| Phosphorus blood test |
$145 |
$291 |
— |
$5 | |
| Pilonidal cyst removal |
$6,975 |
$13,949 |
$1,322 |
$541 | |
| Pregnancy blood test (hCG) |
$179 |
$359 |
— |
$8 | |
| Pregnancy ultrasound |
$928 |
$1,855 |
$262 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$1,142 |
$2,284 |
$244 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$714 |
$1,427 |
$280 |
$136 | |
| Procalcitonin test |
$99 |
$199 |
— |
$27 | |
| Prolactin test |
$72 |
$144 |
— |
$19 | |
| Prostate test (PSA) |
$102 |
$204 |
— |
$18 | |
| Pterygium removal (eye) |
$1,499 |
$2,998 |
$1,110 |
$540 | |
| Rheumatoid factor test |
$48 |
$97 |
— |
$6 | |
| Scoliosis spine X-ray |
$367 |
$734 |
$146 |
$58 | |
| Scoliosis spine X-ray (3 views) |
$367 |
$734 |
$146 |
$72 | |
| Screening mammogram |
$449 |
$898 |
$268 |
$126 | |
| Scrotal ultrasound |
$1,143 |
$2,286 |
$208 |
$99 | |
| Sedimentation rate (ESR) test |
$78 |
$157 |
— |
$3 | |
| Sex hormone binding globulin test |
$54 |
$109 |
— |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$1,306 |
$2,611 |
$197 |
$114 | |
| Simple wound stitches |
$1,328 |
$2,655 |
$219 |
$127 | |
| Skin lesion freezing (cryotherapy) |
$191 |
$382 |
$143 |
$36 | |
| Skin tag removal |
$259 |
$518 |
$195 |
$92 | |
| Soft tissue ultrasound |
$1,319 |
$2,638 |
$135 |
$64 | |
| Spinal tap (lumbar puncture) |
$1,630 |
$3,260 |
$306 |
$165 | |
| Spirometry with bronchodilator |
$449 |
$897 |
$81 |
$43 | |
| Strep throat test |
$109 |
$218 |
— |
$17 | |
| Stress echocardiogram |
$1,460 |
$2,920 |
$480 |
$209 | |
| Stress echocardiogram (complete) |
$1,460 |
$2,920 |
$480 |
$233 | |
| T3 thyroid test |
$94 |
$188 |
— |
$14 | |
| Testosterone test |
$171 |
$342 |
— |
$26 | |
| Thyroid test (TSH) |
$293 |
$586 |
— |
$17 | |
| Thyroid ultrasound |
$343 |
$687 |
$228 |
$109 | |
| Tilt table test |
$1,950 |
$3,900 |
$346 |
$168 | |
| Total IgE allergy test |
$197 |
$395 |
— |
$16 | |
| Total protein test |
$116 |
$232 |
— |
$4 | |
| Transesophageal echocardiogram (TEE) |
$1,460 |
$2,920 |
$489 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,460 |
$2,920 |
$489 |
$239 | |
| Transvaginal ultrasound |
$990 |
$1,980 |
$246 |
$118 | |
| Trigger point injection |
$785 |
$1,570 |
$119 |
$56 | |
| Trigger point injection (1-2 muscles) |
$1,070 |
$2,141 |
$111 |
$52 | |
| Triglycerides test |
$107 |
$214 |
— |
$6 | |
| Troponin (heart) test |
$224 |
$449 |
— |
$12 | |
| Umbilical hernia repair |
$1,313 |
$2,625 |
— |
— | |
| Uric acid (gout) test |
$99 |
$197 |
— |
$5 | |
| Urinalysis |
$88 |
$176 |
— |
$3 | |
| Urine microalbumin test |
$92 |
$183 |
— |
$5 | |
| Urine pregnancy test |
$232 |
$463 |
— |
$9 | |
| Vaccine administration |
$89 |
$177 |
$25 |
$19 | |
| Vitamin B12 test |
$235 |
$471 |
— |
$15 | |
| Vitamin D test |
$18 |
$37 |
— |
$30 | |
| Wart removal |
$321 |
$642 |
$237 |
$121 | |
| Wound debridement |
$1,199 |
$2,397 |
$380 |
$186 | |
| X-ray of the abdomen |
$553 |
$1,105 |
$77 |
$36 | |
| X-ray of the ankle |
$604 |
$1,208 |
$76 |
$37 | |
| X-ray of the collarbone |
$492 |
$984 |
$68 |
$33 | |
| X-ray of the elbow |
$609 |
$1,218 |
$68 |
$33 | |
| X-ray of the facial bones |
$307 |
$614 |
$82 |
$39 | |
| X-ray of the foot |
$548 |
$1,095 |
$71 |
$34 | |
| X-ray of the forearm |
$664 |
$1,328 |
$61 |
$29 | |
| X-ray of the hand |
$566 |
$1,133 |
$78 |
$38 | |
| X-ray of the hip |
$343 |
$687 |
$99 |
$49 | |
| X-ray of the hip (1 view) |
$239 |
$477 |
$69 |
$34 | |
| X-ray of the hip (3 views) |
$550 |
$1,099 |
$99 |
$49 | |
| X-ray of the hip (4 views) |
$343 |
$687 |
$126 |
$63 | |
| X-ray of the knee |
$624 |
$1,248 |
$85 |
$42 | |
| X-ray of the knee (2 views) |
$418 |
$836 |
$71 |
$34 | |
| X-ray of the knee (3 views) |
$624 |
$1,248 |
$85 |
$42 | |
| X-ray of the knee (4+ views) |
$806 |
$1,611 |
$99 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$669 |
$1,339 |
$96 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$684 |
$1,368 |
$83 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$655 |
$1,310 |
$108 |
$53 | |
| X-ray of the lower leg |
$795 |
$1,590 |
$66 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$540 |
$1,080 |
$75 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$504 |
$1,007 |
$69 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$576 |
$1,152 |
$82 |
$39 | |
| X-ray of the neck (cervical spine) |
$527 |
$1,055 |
$98 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$562 |
$1,123 |
$83 |
$40 | |
| X-ray of the pelvis |
$386 |
$773 |
$73 |
$36 | |
| X-ray of the pelvis (1 view) |
$430 |
$859 |
$58 |
$28 | |
| X-ray of the ribs |
$373 |
$745 |
$88 |
$42 | |
| X-ray of the ribs (2 views) |
$373 |
$745 |
$77 |
$36 | |
| X-ray of the ribs (3 views) |
$550 |
$1,100 |
$88 |
$42 | |
| X-ray of the shoulder |
$632 |
$1,264 |
$72 |
$36 | |
| X-ray of the skull |
$331 |
$663 |
$84 |
$40 | |
| X-ray of the upper arm |
$638 |
$1,276 |
$67 |
$32 | |
| X-ray of the wrist |
$528 |
$1,057 |
$86 |
$43 | |