| 3D mammogram (tomosynthesis) |
$614 |
$768 |
$192 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,290 |
$1,612 |
$588 |
$284 | |
| Abdominal ultrasound |
$723 |
$904 |
$300 |
$100 | |
| Abdominal ultrasound (complete) |
$665 |
$832 |
$354 |
$114 | |
| Abdominal ultrasound (limited) |
$723 |
$904 |
$298 |
$86 | |
| Abscess drainage (complex or multiple) |
$453 |
$566 |
$280 |
$220 | |
| Abscess drainage (simple) |
$334 |
$417 |
$280 |
$129 | |
| Abscess incision and drainage |
$393 |
$492 |
$280 |
$174 | |
| Albumin blood test |
$22 |
$28 |
$24 |
$5 | |
| Aldosterone test |
$188 |
$235 |
$76 |
$41 | |
| Alpha-fetoprotein (AFP) test |
$57 |
$71 |
$43 |
$17 | |
| ALT liver enzyme test |
$73 |
$91 |
$64 |
$5 | |
| Ammonia blood test |
$122 |
$153 |
$42 |
$15 | |
| Amylase test |
$113 |
$141 |
$42 |
$6 | |
| Ankle fracture repair |
$1,570 |
$1,962 |
$1,914 |
$608 | |
| Antinuclear antibody (ANA) test |
$106 |
$132 |
$108 |
$12 | |
| Barium swallow study |
$550 |
$687 |
$259 |
$107 | |
| Basic metabolic panel |
$165 |
$206 |
$59 |
$8 | |
| Bilirubin blood test |
$57 |
$71 |
$37 |
$5 | |
| Blood clotting test (PT/INR) |
$62 |
$77 |
$23 |
$4 | |
| Blood crossmatch |
$163 |
$204 |
$143 |
— | |
| Blood glucose test |
$34 |
$42 |
$69 |
$5 | |
| Blood transfusion |
$1,246 |
$1,557 |
$440 |
$47 | |
| Blood type and screen |
$132 |
$165 |
$47 |
$10 | |
| Blood type test |
$78 |
$98 |
$182 |
$3 | |
| Blood type test (ABO group) |
$95 |
$119 |
$184 |
$3 | |
| Blood type test (Rh/D antigen) |
$62 |
$77 |
$22 |
$3 | |
| BNP (heart failure) test |
$227 |
$284 |
$80 |
$39 | |
| Bone density scan (DEXA) |
$158 |
$198 |
$147 |
$39 | |
| Bone scan (nuclear) |
$1,058 |
$1,323 |
$705 |
$259 | |
| Breast ultrasound |
$497 |
$622 |
$238 |
$92 | |
| Breast ultrasound (complete) |
$497 |
$622 |
$238 |
$100 | |
| Breast ultrasound (limited) |
$470 |
$588 |
$234 |
$84 | |
| Bunion surgery (bunionectomy) |
$1,509 |
$1,886 |
$1,186 |
$883 | |
| Burn dressing and debridement (small) |
$338 |
$422 |
$297 |
$93 | |
| Burn treatment |
$338 |
$422 |
$297 |
$129 | |
| C-reactive protein (CRP) |
$94 |
$118 |
$39 |
$5 | |
| CA 19-9 tumor marker test |
$166 |
$208 |
$59 |
$21 | |
| Calcium blood test |
$58 |
$73 |
$23 |
$5 | |
| Cardiac stress test |
$876 |
$1,095 |
$318 |
$39 | |
| Cardioversion |
$1,323 |
$1,654 |
$459 |
$155 | |
| Carotid artery ultrasound |
$971 |
$1,214 |
$423 |
$156 | |
| Carpal tunnel release |
$1,073 |
$1,341 |
$383 |
$483 | |
| Cataract surgery |
$486 |
$608 |
$169 |
$547 | |
| CEA tumor marker test |
$184 |
$230 |
$66 |
$19 | |
| Central line placement |
$2,849 |
$3,561 |
$3,363 |
$238 | |
| Chemotherapy infusion |
$400 |
$501 |
$219 |
$81 | |
| Chemotherapy infusion (each additional) |
$178 |
$223 |
$63 |
$28 | |
| Chemotherapy infusion (first hour) |
$622 |
$778 |
$220 |
$133 | |
| Chest X-ray |
$237 |
$296 |
$177 |
$37 | |
| Chest X-ray (1 view) |
$376 |
$470 |
$177 |
$25 | |
| Chest X-ray (2 views) |
$442 |
$552 |
$139 |
$33 | |
| Clotting time test (PTT) |
$57 |
$71 |
$29 |
$6 | |
| Colonoscopy |
$1,358 |
$1,697 |
$368 |
$480 | |
| Complete blood count (CBC) |
$88 |
$110 |
$38 |
$7 | |
| Complete blood count (CBC) (complete) |
$91 |
$114 |
$39 |
$8 | |
| Comprehensive metabolic panel |
$243 |
$304 |
$97 |
$11 | |
| Copper blood test |
$69 |
$86 |
$100 |
$12 | |
| Coronary CT angiography |
$1,886 |
$2,357 |
$1,156 |
$326 | |
| Cortisol test |
$127 |
$159 |
$19 |
$16 | |
| COVID-19 PCR test |
$170 |
$213 |
$60 |
$51 | |
| CPAP titration study |
$582 |
$727 |
$205 |
$69 | |
| Creatine kinase (CK) test |
$73 |
$91 |
$37 |
$7 | |
| CT angiography of the chest |
$1,790 |
$2,238 |
$1,128 |
$281 | |
| CT angiography of the head |
$1,723 |
$2,154 |
$1,075 |
$274 | |
| CT scan of the abdomen |
$1,552 |
$1,940 |
$1,067 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,686 |
$3,358 |
$1,661 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,237 |
$4,047 |
$2,120 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$3,147 |
$3,934 |
$2,099 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,686 |
$3,358 |
$1,640 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,100 |
$2,625 |
$1,250 |
$259 | |
| CT scan of the abdomen with contrast |
$1,844 |
$2,305 |
$849 |
$230 | |
| CT scan of the abdomen without contrast |
$1,552 |
$1,940 |
$710 |
$136 | |
| CT scan of the arm |
$230 |
$287 |
$736 |
$199 | |
| CT scan of the chest |
$1,300 |
$1,626 |
$833 |
$167 | |
| CT scan of the chest with and without contrast |
$1,725 |
$2,156 |
$720 |
$196 | |
| CT scan of the chest with contrast |
$1,494 |
$1,868 |
$965 |
$167 | |
| CT scan of the chest without contrast |
$1,282 |
$1,603 |
$811 |
$133 | |
| CT scan of the head |
$1,299 |
$1,624 |
$820 |
$148 | |
| CT scan of the head with and without contrast |
$1,688 |
$2,111 |
$524 |
$173 | |
| CT scan of the head with contrast |
$1,498 |
$1,873 |
$849 |
$148 | |
| CT scan of the head without contrast |
$1,256 |
$1,571 |
$820 |
$107 | |
| CT scan of the leg |
$1,443 |
$1,804 |
$840 |
$166 | |
| CT scan of the leg with contrast |
$1,672 |
$2,091 |
$911 |
$166 | |
| CT scan of the leg without contrast |
$1,260 |
$1,575 |
$557 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,802 |
$3,502 |
$974 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,826 |
$2,282 |
$631 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$3,050 |
$3,813 |
$2,667 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,505 |
$1,882 |
$766 |
$130 | |
| CT scan of the neck |
$2,100 |
$2,625 |
$800 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,544 |
$1,931 |
$1,018 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,544 |
$1,931 |
$1,018 |
$131 | |
| CT scan of the neck with and without contrast |
$3,082 |
$3,852 |
$953 |
$220 | |
| CT scan of the neck with contrast |
$1,510 |
$1,888 |
$951 |
$183 | |
| CT scan of the neck without contrast |
$1,183 |
$1,479 |
$413 |
$150 | |
| CT scan of the pelvis |
$1,385 |
$1,731 |
$718 |
$226 | |
| CT scan of the pelvis with contrast |
$1,609 |
$2,011 |
$1,046 |
$226 | |
| CT scan of the pelvis without contrast |
$1,377 |
$1,721 |
$557 |
$133 | |
| CT scan of the sinuses |
$1,076 |
$1,345 |
$668 |
$152 | |
| CT scan of the sinuses with contrast |
$1,214 |
$1,518 |
$759 |
$152 | |
| CT scan of the sinuses without contrast |
$1,048 |
$1,310 |
$664 |
$128 | |
| D-dimer test |
$223 |
$279 |
$80 |
$10 | |
| DHEA-sulfate test |
$131 |
$164 |
$115 |
$22 | |
| Diagnostic mammogram |
$458 |
$573 |
$301 |
$140 | |
| Drug screen (urine) |
$184 |
$231 |
$86 |
$17 | |
| Echocardiogram |
$1,588 |
$1,985 |
$581 |
$138 | |
| Echocardiogram without contrast |
$2,305 |
$2,881 |
$2,015 |
$138 | |
| EKG / ECG (tracing only) |
$338 |
$422 |
$123 |
$7 | |
| Electrocardiogram (EKG) |
$182 |
$228 |
$119 |
$8 | |
| Emergency department visit |
$788 |
$985 |
$430 |
$69 | |
| Emergency department visit (level 1) |
$322 |
$402 |
$117 |
$11 | |
| Emergency department visit (level 2) |
$474 |
$593 |
$173 |
$40 | |
| Emergency department visit (level 3) |
$788 |
$985 |
$286 |
$69 | |
| Emergency department visit (level 4) |
$1,219 |
$1,524 |
$637 |
$118 | |
| Emergency department visit (level 5) |
$1,806 |
$2,258 |
$661 |
$171 | |
| Estradiol (estrogen) test |
$217 |
$271 |
$132 |
$28 | |
| Fecal occult blood (stool) test |
$70 |
$88 |
$49 |
$10 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$70 |
$88 |
$49 |
$16 | |
| Feeding tube (PEG) placement |
$542 |
$678 |
$188 |
$178 | |
| Ferritin (iron) test |
$158 |
$198 |
$57 |
$14 | |
| Fibrinogen test |
$91 |
$114 |
$23 |
$10 | |
| Flu test |
$79 |
$99 |
$28 |
$17 | |
| Folate (folic acid) test |
$79 |
$99 |
$29 |
$15 | |
| Free T4 thyroid test |
$123 |
$154 |
$46 |
$9 | |
| FSH hormone test |
$158 |
$198 |
$153 |
$19 | |
| Gallbladder removal (laparoscopic) |
$1,610 |
$2,012 |
$1,172 |
$658 | |
| Gallbladder scan (HIDA) |
$854 |
$1,068 |
$667 |
$334 | |
| GGT liver test |
$86 |
$107 |
$34 |
$7 | |
| Glucose tolerance test |
$77 |
$96 |
$29 |
$8 | |
| H. pylori test |
$103 |
$129 |
$70 |
$67 | |
| Hematocrit test |
$38 |
$48 |
$34 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$79 |
$99 |
$34 |
$10 | |
| Hepatitis B test |
$57 |
$71 |
$84 |
$10 | |
| Hepatitis C test |
$84 |
$105 |
$102 |
$14 | |
| Hip replacement |
$1,230 |
$1,538 |
$1,245 |
$1,162 | |
| HIV test |
$79 |
$99 |
$70 |
$19 | |
| HIV test (antigen/antibody combo) |
$79 |
$99 |
$70 |
$24 | |
| Inguinal hernia repair |
$1,408 |
$1,760 |
$561 |
$538 | |
| Iron blood test |
$90 |
$113 |
$31 |
$6 | |
| IV infusion therapy |
$262 |
$328 |
$146 |
$44 | |
| IV infusion therapy (each additional) |
$103 |
$129 |
$38 |
$21 | |
| IV infusion therapy (initial) |
$422 |
$527 |
$258 |
$67 | |
| Joint aspiration (small/intermediate) |
$635 |
$794 |
$492 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$635 |
$794 |
$492 |
$57 | |
| Kidney ultrasound |
$1,187 |
$1,484 |
$564 |
$84 | |
| Knee arthroscopy |
$1,342 |
$1,678 |
$586 |
$524 | |
| Knee joint injection |
$738 |
$923 |
$492 |
$69 | |
| Lactate test |
$96 |
$120 |
$34 |
$12 | |
| LDH test |
$95 |
$119 |
$36 |
$6 | |
| LDL cholesterol test |
$77 |
$96 |
$72 |
$11 | |
| Leg vein ultrasound (Doppler) |
$1,063 |
$1,329 |
$262 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$540 |
$675 |
$260 |
$116 | |
| LH hormone test |
$168 |
$210 |
$147 |
$19 | |
| Lipase test |
$136 |
$170 |
$49 |
$7 | |
| Lipid (cholesterol) panel |
$208 |
$260 |
$182 |
$13 | |
| Liver biopsy |
$1,022 |
$1,277 |
$577 |
$288 | |
| Liver function panel |
$167 |
$209 |
$60 |
$8 | |
| Magnesium blood test |
$77 |
$96 |
$34 |
$7 | |
| Mastectomy |
$3,258 |
$4,072 |
$1,129 |
$1,021 | |
| MRA of the brain |
$1,268 |
$1,586 |
$428 |
$226 | |
| MRA of the brain without contrast |
$1,806 |
$2,258 |
$637 |
$328 | |
| MRA of the neck |
$2,054 |
$2,568 |
$723 |
$245 | |
| MRA of the neck without contrast |
$2,054 |
$2,568 |
$723 |
$343 | |
| MRI of the abdomen |
$2,140 |
$2,676 |
$1,130 |
$300 | |
| MRI of the abdomen without contrast |
$2,062 |
$2,578 |
$1,113 |
$194 | |
| MRI of the ankle |
$1,562 |
$1,953 |
$999 |
$261 | |
| MRI of the ankle without contrast |
$1,562 |
$1,953 |
$999 |
$222 | |
| MRI of the brain |
$1,706 |
$2,133 |
$1,037 |
$269 | |
| MRI of the brain without contrast |
$1,620 |
$2,025 |
$1,016 |
$195 | |
| MRI of the knee |
$1,825 |
$2,282 |
$1,224 |
$315 | |
| MRI of the knee without contrast |
$1,825 |
$2,282 |
$1,224 |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,947 |
$2,434 |
$1,200 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,860 |
$2,326 |
$1,200 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,957 |
$2,447 |
$1,209 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,506 |
$3,132 |
$869 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,085 |
$2,606 |
$712 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,871 |
$2,339 |
$1,209 |
$190 | |
| MRI of the neck (cervical spine) |
$1,845 |
$2,306 |
$1,117 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,526 |
$3,157 |
$1,661 |
$318 | |
| MRI of the neck (cervical spine) without contrast |
$1,758 |
$2,198 |
$1,058 |
$191 | |
| MRI of the pelvis |
$3,024 |
$3,780 |
$1,395 |
$268 | |
| MRI of the pelvis without contrast |
$3,024 |
$3,780 |
$1,070 |
$227 | |
| MRI of the shoulder |
$2,948 |
$3,685 |
$1,057 |
$313 | |
| MRI of the shoulder without contrast |
$1,616 |
$2,020 |
$1,041 |
$205 | |
| MRI of the wrist |
$1,397 |
$1,747 |
$900 |
$330 | |
| MRI of the wrist without contrast |
$1,397 |
$1,747 |
$900 |
$303 | |
| Nebulizer breathing treatment |
$309 |
$386 |
$270 |
$9 | |
| Nuclear cardiac stress test |
$1,925 |
$2,407 |
$1,316 |
$428 | |
| Occupational therapy evaluation |
$257 |
$321 |
$93 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$257 |
$321 |
$215 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$257 |
$321 |
$91 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$257 |
$321 |
$93 |
$101 | |
| Office visit (established patient) |
$241 |
$301 |
$102 |
$115 | |
| Office visit (new patient) |
$403 |
$504 |
$201 |
$177 | |
| Office visit, established patient (level 3) |
$158 |
$198 |
$61 |
$95 | |
| Office visit, established patient (level 4) |
$250 |
$312 |
$102 |
$136 | |
| Office visit, new patient (level 4) |
$403 |
$504 |
$140 |
$177 | |
| Office visit, new patient (level 5) |
$428 |
$535 |
$201 |
$237 | |
| Parathyroid hormone (PTH) test |
$155 |
$194 |
$57 |
$41 | |
| Pelvic ultrasound |
$684 |
$856 |
$256 |
$78 | |
| Pelvic ultrasound (complete) |
$814 |
$1,018 |
$278 |
$105 | |
| Pelvic ultrasound (limited) |
$394 |
$493 |
$224 |
$51 | |
| PET scan |
$2,378 |
$2,973 |
$1,538 |
— | |
| Phosphorus blood test |
$82 |
$103 |
$29 |
$5 | |
| Physical therapy evaluation |
$264 |
$330 |
$96 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$264 |
$330 |
$96 |
$98 | |
| Pilonidal cyst removal |
$1,107 |
$1,384 |
$1,350 |
$541 | |
| Pregnancy blood test (hCG) |
$114 |
$142 |
$100 |
$8 | |
| Pregnancy ultrasound |
$635 |
$794 |
$476 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$532 |
$665 |
$673 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$841 |
$1,051 |
$278 |
$136 | |
| Procalcitonin test |
$277 |
$346 |
$96 |
$27 | |
| Prolactin test |
$154 |
$193 |
$81 |
$19 | |
| Prostate test (PSA) |
$117 |
$146 |
$42 |
$18 | |
| Rotator cuff repair |
$6,646 |
$8,307 |
$1,967 |
$792 | |
| Scoliosis spine X-ray |
$540 |
$676 |
$387 |
$58 | |
| Scoliosis spine X-ray (3 views) |
$540 |
$676 |
$387 |
$72 | |
| Screening colonoscopy |
$1,014 |
$1,268 |
$197 |
$378 | |
| Screening mammogram |
$390 |
$487 |
$134 |
$126 | |
| Scrotal ultrasound |
$539 |
$674 |
$278 |
$99 | |
| Sedimentation rate (ESR) test |
$88 |
$110 |
$31 |
$3 | |
| Sex hormone binding globulin test |
$98 |
$123 |
$86 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$355 |
$444 |
$208 |
$114 | |
| Simple wound stitches |
$376 |
$470 |
$208 |
$127 | |
| Sleep study (polysomnography) |
$543 |
$679 |
$2,751 |
$691 | |
| Soft tissue ultrasound |
$379 |
$474 |
$156 |
$64 | |
| Speech therapy |
$206 |
$257 |
$75 |
$76 | |
| Strep throat test |
$149 |
$186 |
$53 |
$17 | |
| T3 thyroid test |
$107 |
$134 |
$109 |
$14 | |
| Tdap (tetanus) vaccine |
$156 |
$195 |
$87 |
— | |
| Testosterone test |
$178 |
$223 |
$63 |
$26 | |
| Thyroid test (TSH) |
$144 |
$180 |
$60 |
$17 | |
| Thyroid ultrasound |
$615 |
$769 |
$258 |
$109 | |
| Total IgE allergy test |
$126 |
$157 |
$44 |
$16 | |
| Total protein test |
$71 |
$89 |
$62 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$1,642 |
$2,053 |
$619 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,642 |
$2,053 |
$619 |
$239 | |
| Transvaginal ultrasound |
$589 |
$737 |
$281 |
$118 | |
| Trigger finger release |
$1,386 |
$1,732 |
$495 |
$630 | |
| Trigger point injection |
$686 |
$858 |
$345 |
$56 | |
| Trigger point injection (1-2 muscles) |
$686 |
$858 |
$345 |
$52 | |
| Triglycerides test |
$78 |
$98 |
$75 |
$6 | |
| Troponin (heart) test |
$161 |
$201 |
$71 |
$12 | |
| Upper GI endoscopy (EGD) |
$1,209 |
$1,511 |
$421 |
$371 | |
| Upper GI series (barium) |
$554 |
$692 |
$202 |
$128 | |
| Uric acid (gout) test |
$78 |
$98 |
$48 |
$5 | |
| Urinalysis |
$59 |
$74 |
$28 |
$3 | |
| Urine microalbumin test |
$77 |
$96 |
$28 |
$5 | |
| Urine pregnancy test |
$99 |
$124 |
$87 |
$9 | |
| Vaccine administration |
$101 |
$126 |
$55 |
$19 | |
| Vitamin B12 test |
$90 |
$112 |
$38 |
$15 | |
| Vitamin D test |
$126 |
$157 |
$45 |
$30 | |
| Wound debridement |
$301 |
$376 |
$104 |
$186 | |
| X-ray of the abdomen |
$194 |
$243 |
$136 |
$36 | |
| X-ray of the ankle |
$502 |
$628 |
$151 |
$37 | |
| X-ray of the collarbone |
$414 |
$517 |
$361 |
$33 | |
| X-ray of the elbow |
$508 |
$635 |
$170 |
$33 | |
| X-ray of the facial bones |
$347 |
$434 |
$248 |
$39 | |
| X-ray of the foot |
$518 |
$648 |
$162 |
$34 | |
| X-ray of the forearm |
$504 |
$631 |
$152 |
$29 | |
| X-ray of the hand |
$519 |
$649 |
$163 |
$38 | |
| X-ray of the hip |
$602 |
$753 |
$147 |
$49 | |
| X-ray of the hip (3 views) |
$602 |
$753 |
$147 |
$49 | |
| X-ray of the knee |
$576 |
$721 |
$204 |
$42 | |
| X-ray of the knee (2 views) |
$490 |
$613 |
$138 |
$34 | |
| X-ray of the knee (3 views) |
$639 |
$799 |
$227 |
$42 | |
| X-ray of the knee (4+ views) |
$562 |
$703 |
$204 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$665 |
$832 |
$258 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$617 |
$771 |
$271 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$665 |
$832 |
$255 |
$53 | |
| X-ray of the lower leg |
$507 |
$634 |
$170 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$656 |
$821 |
$261 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$608 |
$760 |
$261 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$689 |
$862 |
$244 |
$39 | |
| X-ray of the neck (cervical spine) |
$546 |
$683 |
$271 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$607 |
$759 |
$213 |
$40 | |
| X-ray of the pelvis |
$480 |
$600 |
$169 |
$36 | |
| X-ray of the pelvis (1 view) |
$480 |
$600 |
$169 |
$28 | |
| X-ray of the ribs |
$444 |
$555 |
$157 |
$42 | |
| X-ray of the ribs (2 views) |
$274 |
$342 |
$155 |
$36 | |
| X-ray of the ribs (3 views) |
$444 |
$555 |
$214 |
$42 | |
| X-ray of the shoulder |
$557 |
$697 |
$167 |
$36 | |
| X-ray of the skull |
$325 |
$406 |
$271 |
$40 | |
| X-ray of the upper arm |
$480 |
$600 |
$170 |
$32 | |
| X-ray of the wrist |
$547 |
$684 |
$177 |
$43 | |
| Zinc blood test |
$91 |
$114 |
$46 |
$11 | |