| Abscess drainage (simple) |
$129 |
$323 |
$105 |
$129 | |
| Abscess incision and drainage |
$129 |
$323 |
$105 |
$174 | |
| Acupuncture |
$45 |
$113 |
$3 |
$38 | |
| Aldosterone test |
$82 |
$204 |
$30 |
$41 | |
| Allergy shots |
$13 |
$33 |
$12 |
$11 | |
| ALT liver enzyme test |
$11 |
$27 |
$5 |
$5 | |
| Amylase test |
$13 |
$32 |
$21 |
$6 | |
| Annual physical (established patient) |
$126 |
$315 |
$112 |
— | |
| Annual physical (new patient) |
$180 |
$450 |
$126 |
— | |
| Antinuclear antibody (ANA) test |
$24 |
$60 |
$24 |
$12 | |
| AST liver enzyme test |
$10 |
$26 |
$5 |
$5 | |
| Barium swallow study |
$210 |
$525 |
$102 |
$107 | |
| Basic metabolic panel |
$17 |
$42 |
$8 |
$8 | |
| Benign skin lesion removal |
$489 |
$1,222 |
$159 |
$171 | |
| Bilirubin blood test |
$10 |
$25 |
$8 |
$5 | |
| Blood clotting test (PT/INR) |
$12 |
$30 |
$4 |
$4 | |
| Blood transfusion |
$1,546 |
$3,865 |
$399 |
$47 | |
| BNP (heart failure) test |
$79 |
$196 |
$93 |
$39 | |
| Breast ultrasound |
$187 |
$468 |
$99 |
$92 | |
| Breast ultrasound (complete) |
$234 |
$585 |
$273 |
$100 | |
| Breast ultrasound (limited) |
$140 |
$351 |
$99 |
$84 | |
| Breathing tube insertion (intubation) |
$158 |
$395 |
$212 |
$133 | |
| C-reactive protein (CRP) |
$10 |
$26 |
$5 |
$5 | |
| Cataract surgery |
$2,789 |
$6,972 |
$2,083 |
$547 | |
| Central line placement |
$3,845 |
$9,612 |
$1,438 |
$238 | |
| Chest fluid drain (thoracentesis) |
$727 |
$1,817 |
$140 |
$311 | |
| Clotting time test (PTT) |
$12 |
$30 |
$20 |
$6 | |
| Colon resection (colectomy) |
$1,470 |
$3,676 |
$1,277 |
$1,238 | |
| Colonoscopy |
$483 |
$1,207 |
$966 |
$480 | |
| Complete blood count (CBC) |
$14 |
$36 |
$19 |
$7 | |
| Complete blood count (CBC) (complete) |
$16 |
$39 |
$23 |
$8 | |
| Complex wound repair |
$702 |
$1,755 |
$602 |
$390 | |
| Comprehensive metabolic panel |
$21 |
$53 |
$29 |
$11 | |
| Contraceptive implant (Nexplanon) |
$111 |
$278 |
$106 |
$115 | |
| Coronary CT angiography |
$137 |
$342 |
$361 |
$326 | |
| COVID-19 PCR test |
$103 |
$257 |
$51 |
$51 | |
| Creatine kinase (CK) test |
$38 |
$96 |
$18 |
$7 | |
| CT angiography of the head |
$442 |
$1,105 |
$68 |
$274 | |
| CT scan of the abdomen with and without contrast |
$240 |
$600 |
$469 |
$259 | |
| CT scan of the abdomen without contrast |
$147 |
$368 |
$238 |
$136 | |
| CT scan of the head |
$240 |
$600 |
$94 |
$148 | |
| CT scan of the head with and without contrast |
$240 |
$600 |
$62 |
$173 | |
| CT scan of the head with contrast |
$240 |
$600 |
$255 |
$148 | |
| CT scan of the leg |
$147 |
$368 |
$83 |
$166 | |
| CT scan of the leg without contrast |
$147 |
$368 |
$83 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$275 |
$689 |
$91 |
$169 | |
| CT scan of the lower back (lumbar spine) with contrast |
$496 |
$1,241 |
$108 |
$169 | |
| CT scan of the neck |
$155 |
$388 |
$63 |
$183 | |
| CT scan of the neck (cervical spine) without contrast |
$147 |
$368 |
$43 |
$131 | |
| CT scan of the neck with contrast |
$240 |
$600 |
$69 |
$183 | |
| CT scan of the sinuses |
$194 |
$484 |
$45 |
$152 | |
| CT scan of the sinuses with contrast |
$240 |
$600 |
$163 |
$152 | |
| CT scan of the sinuses without contrast |
$147 |
$368 |
$45 |
$128 | |
| D-dimer test |
$20 |
$51 |
$41 |
$10 | |
| Developmental screening (child) |
$11 |
$28 |
$9 |
— | |
| Diagnostic mammogram |
$133 |
$334 |
$97 |
$140 | |
| Drug screen (urine) |
$34 |
$86 |
$41 |
$17 | |
| EKG / ECG (tracing only) |
$56 |
$140 |
$111 |
$7 | |
| Electrocardiogram (EKG) |
$56 |
$140 |
$11 |
$8 | |
| Emergency department visit |
$200 |
$501 |
$167 |
$69 | |
| Emergency department visit (level 2) |
$374 |
$934 |
$42 |
$40 | |
| Emergency department visit (level 3) |
$617 |
$1,541 |
$76 |
$69 | |
| Emergency department visit (level 4) |
$138 |
$345 |
$247 |
$118 | |
| Emergency department visit (level 5) |
$200 |
$501 |
$560 |
$171 | |
| Estradiol (estrogen) test |
$56 |
$140 |
$21 |
$28 | |
| Fecal occult blood (stool) test |
$32 |
$80 |
$28 |
$10 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$32 |
$80 |
$28 |
$16 | |
| Ferritin (iron) test |
$27 |
$68 |
$14 |
$14 | |
| Folate (folic acid) test |
$29 |
$74 |
$15 |
$15 | |
| Foreign body removal (skin) |
$168 |
$419 |
$117 |
$157 | |
| Free T4 thyroid test |
$18 |
$45 |
$9 |
$9 | |
| FSH hormone test |
$37 |
$93 |
$14 |
$19 | |
| Gallbladder removal (laparoscopic) |
$833 |
$2,082 |
$2,842 |
$658 | |
| GGT liver test |
$14 |
$36 |
$7 |
$7 | |
| H. pylori test |
$135 |
$337 |
$176 |
$67 | |
| Hemoglobin A1c (diabetes test) |
$19 |
$49 |
$10 |
$10 | |
| Hepatitis B test |
$21 |
$52 |
$23 |
$10 | |
| Hepatitis B vaccine |
$141 |
$352 |
$76 |
— | |
| Hepatitis C test |
$29 |
$71 |
$37 |
$14 | |
| HIV test |
$105 |
$262 |
$41 |
$19 | |
| HIV test (antigen/antibody combo) |
$105 |
$262 |
$41 |
$24 | |
| HPV vaccine |
$300 |
$750 |
$328 |
— | |
| Iron blood test |
$13 |
$32 |
$6 |
$6 | |
| IUD removal |
$123 |
$308 |
$88 |
$112 | |
| IV infusion therapy |
$215 |
$537 |
$192 |
$44 | |
| IV infusion therapy (each additional) |
$215 |
$537 |
$42 |
$21 | |
| IV infusion therapy (initial) |
$215 |
$537 |
$192 |
$67 | |
| Knee joint injection |
$72 |
$179 |
$59 |
$69 | |
| Lactate test |
$23 |
$58 |
$36 |
$12 | |
| LH hormone test |
$37 |
$93 |
$14 |
$19 | |
| Lipase test |
$14 |
$34 |
$22 |
$7 | |
| Lipid (cholesterol) panel |
$36 |
$90 |
$13 |
$13 | |
| Liver function panel |
$16 |
$41 |
$8 |
$8 | |
| Magnesium blood test |
$13 |
$34 |
$7 |
$7 | |
| MMR vaccine |
$100 |
$250 |
$95 |
— | |
| Nebulizer breathing treatment |
$113 |
$283 |
$16 |
$9 | |
| Occupational therapy evaluation |
$115 |
$288 |
$191 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$115 |
$288 |
$95 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$115 |
$288 |
$288 |
$101 | |
| Office visit (established patient) |
$137 |
$341 |
$88 |
$115 | |
| Office visit (new patient) |
$207 |
$518 |
$125 |
$177 | |
| Office visit, established patient (level 3) |
$113 |
$282 |
$71 |
$95 | |
| Office visit, established patient (level 4) |
$160 |
$401 |
$115 |
$136 | |
| Office visit, new patient (level 3) |
$138 |
$345 |
$108 |
$118 | |
| Office visit, new patient (level 4) |
$207 |
$518 |
$154 |
$177 | |
| Office visit, new patient (level 5) |
$274 |
$685 |
$179 |
$237 | |
| Parathyroid hormone (PTH) test |
$83 |
$206 |
$31 |
$41 | |
| Phosphorus blood test |
$9 |
$24 |
$15 |
$5 | |
| Physical therapy evaluation |
$115 |
$288 |
$93 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$115 |
$288 |
$93 |
$98 | |
| Pneumonia vaccine |
$72 |
$180 |
$132 |
— | |
| Pregnancy blood test (hCG) |
$15 |
$38 |
$27 |
$8 | |
| Pregnancy ultrasound |
$194 |
$484 |
$49 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$60 |
$150 |
$46 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$327 |
$819 |
$88 |
$136 | |
| Prolactin test |
$39 |
$97 |
$53 |
$19 | |
| Prostate test (PSA) |
$37 |
$92 |
$18 |
$18 | |
| Screening mammogram |
$130 |
$324 |
$80 |
$126 | |
| Sedimentation rate (ESR) test |
$5 |
$14 |
$3 |
$3 | |
| Shingles vaccine |
$116 |
$290 |
$226 |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
$104 |
$260 |
$43 |
$114 | |
| Simple wound stitches |
$115 |
$287 |
$52 |
$127 | |
| Skin biopsy |
$241 |
$603 |
$116 |
$121 | |
| Skin lesion freezing (cryotherapy) |
$158 |
$394 |
$39 |
$36 | |
| Skin tag removal |
$102 |
$254 |
$77 |
$92 | |
| Soft tissue ultrasound |
$273 |
$683 |
$34 |
$64 | |
| Tdap (tetanus) vaccine |
$48 |
$121 |
$51 |
— | |
| Testosterone test |
$52 |
$129 |
$26 |
$26 | |
| Thyroid test (TSH) |
$34 |
$84 |
$17 |
$17 | |
| Trigger point injection |
$211 |
$527 |
$44 |
$56 | |
| Trigger point injection (1-2 muscles) |
$354 |
$884 |
$40 |
$52 | |
| Triglycerides test |
$11 |
$29 |
$11 |
$6 | |
| Troponin (heart) test |
$30 |
$75 |
$60 |
$12 | |
| Upper GI endoscopy (EGD) |
$369 |
$922 |
$460 |
$371 | |
| Upper GI series (barium) |
$210 |
$525 |
$181 |
$128 | |
| Uric acid (gout) test |
$9 |
$23 |
$5 |
$5 | |
| Urinalysis |
$11 |
$26 |
$5 |
$3 | |
| Urine microalbumin test |
$90 |
$225 |
$6 |
$5 | |
| Urine pregnancy test |
$17 |
$43 |
$17 |
$9 | |
| Vaccine administration |
$19 |
$48 |
$16 |
$19 | |
| Vaccine administration (each additional) |
$15 |
$38 |
$10 |
$16 | |
| Vitamin B12 test |
$30 |
$75 |
$15 |
$15 | |
| Vitamin D test |
$59 |
$148 |
$30 |
$30 | |
| Wart removal |
$126 |
$315 |
$85 |
$121 | |
| Well-child visit |
$104 |
$260 |
$81 |
— | |
| Wound debridement |
$465 |
$1,162 |
$383 |
$186 | |
| X-ray of the collarbone |
$148 |
$371 |
$25 |
$33 | |
| X-ray of the facial bones |
$81 |
$203 |
$23 |
$39 | |
| X-ray of the foot |
$148 |
$371 |
$23 |
$34 | |
| X-ray of the forearm |
$148 |
$371 |
$8 |
$29 | |
| X-ray of the hip |
$166 |
$414 |
$16 |
$49 | |
| X-ray of the hip (1 view) |
$153 |
$383 |
$12 |
$34 | |
| X-ray of the hip (3 views) |
$178 |
$445 |
$20 |
$49 | |
| X-ray of the knee |
$169 |
$422 |
$22 |
$42 | |
| X-ray of the knee (2 views) |
$161 |
$404 |
$22 |
$34 | |
| X-ray of the knee (3 views) |
$176 |
$441 |
$15 |
$42 | |
| X-ray of the lower back (lumbar spine) |
$98 |
$245 |
$24 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$181 |
$454 |
$23 |
$40 | |
| X-ray of the lower leg |
$148 |
$371 |
$7 |
$31 | |
| X-ray of the neck (cervical spine) |
$130 |
$324 |
$26 |
$47 | |
| X-ray of the ribs (2 views) |
$153 |
$382 |
$14 |
$36 | |
| X-ray of the shoulder |
$148 |
$371 |
$14 |
$36 | |
| X-ray of the upper arm |
$148 |
$371 |
$9 |
$32 | |
| X-ray of the wrist |
$148 |
$371 |
$9 |
$43 | |