| 3D mammogram (tomosynthesis) |
$31 |
$61 |
$49 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$650 |
$1,299 |
$893 |
$284 | |
| Abdominal ultrasound |
$498 |
$996 |
$647 |
$100 | |
| Abdominal ultrasound (complete) |
$568 |
$1,135 |
$699 |
$114 | |
| Abdominal ultrasound (limited) |
$498 |
$996 |
$613 |
$86 | |
| Abscess drainage (complex or multiple) |
$343 |
$685 |
$445 |
$220 | |
| Abscess drainage (simple) |
$343 |
$685 |
$422 |
$129 | |
| Abscess incision and drainage |
$343 |
$685 |
$445 |
$174 | |
| Albumin blood test |
$36 |
$72 |
$54 |
$5 | |
| Aldosterone test |
$252 |
$503 |
$377 |
$41 | |
| Alkaline phosphatase test |
$29 |
$57 |
$43 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$106 |
$212 |
$159 |
$17 | |
| ALT liver enzyme test |
$34 |
$67 |
$50 |
$5 | |
| Ammonia blood test |
$105 |
$209 |
$157 |
$15 | |
| Amniocentesis |
$343 |
$685 |
$634 |
$120 | |
| Amylase test |
$36 |
$72 |
$54 |
$6 | |
| Antinuclear antibody (ANA) test |
$81 |
$161 |
$121 |
$12 | |
| Arterial blood gas (ABG) |
$129 |
$258 |
$190 |
$26 | |
| AST liver enzyme test |
$34 |
$68 |
$51 |
$5 | |
| Barium swallow study |
$397 |
$793 |
$235 |
$107 | |
| Basic metabolic panel |
$69 |
$137 |
$103 |
$8 | |
| Bilirubin blood test |
$35 |
$70 |
$53 |
$5 | |
| Bladder function test (urodynamics) |
$761 |
$1,521 |
$956 |
$345 | |
| Blood clotting test (PT/INR) |
$34 |
$68 |
$51 |
$4 | |
| Blood crossmatch |
$66 |
$131 |
$105 |
— | |
| Blood glucose test |
$31 |
$61 |
$46 |
$5 | |
| Blood transfusion |
$627 |
$1,254 |
$846 |
$47 | |
| Blood type and screen |
$47 |
$94 |
$61 |
$10 | |
| Blood type test |
$23 |
$47 |
$37 |
$3 | |
| Blood type test (ABO group) |
$24 |
$48 |
$44 |
$3 | |
| Blood type test (Rh/D antigen) |
$23 |
$45 |
$35 |
$3 | |
| BNP (heart failure) test |
$85 |
$170 |
$128 |
$39 | |
| Bone density scan (DEXA) |
$188 |
$375 |
$231 |
$39 | |
| Bone marrow biopsy |
$563 |
$1,125 |
$1,041 |
$172 | |
| Bone scan (nuclear) |
$968 |
$1,935 |
$1,191 |
$259 | |
| Botox for migraine |
$341 |
$682 |
$477 |
$157 | |
| Breast biopsy |
$411 |
$821 |
$1,563 |
$478 | |
| Breast MRI |
$1,928 |
$3,856 |
$1,221 |
$216 | |
| Breast MRI without contrast |
$1,928 |
$3,856 |
$2,373 |
$216 | |
| Breast ultrasound |
$434 |
$869 |
$376 |
$92 | |
| Breast ultrasound (complete) |
$579 |
$1,158 |
$713 |
$100 | |
| Breast ultrasound (limited) |
$290 |
$579 |
$356 |
$84 | |
| Breathing tube insertion (intubation) |
$340 |
$680 |
$476 |
$133 | |
| Burn dressing and debridement (medium) |
$309 |
$617 |
$390 |
$166 | |
| Burn dressing and debridement (small) |
$308 |
$615 |
$389 |
$93 | |
| Burn treatment |
$308 |
$616 |
$389 |
$129 | |
| C-reactive protein (CRP) |
$42 |
$83 |
$62 |
$5 | |
| CA 19-9 tumor marker test |
$133 |
$266 |
$200 |
$21 | |
| CA-125 ovarian marker test |
$133 |
$266 |
$200 |
$21 | |
| Calcium blood test |
$36 |
$72 |
$54 |
$5 | |
| Cardiac ablation |
$17,979 |
$35,958 |
$24,728 |
$759 | |
| Cardiac catheterization |
$6,058 |
$12,117 |
$7,445 |
$1,049 | |
| Cardiac stress test |
$570 |
$1,140 |
$741 |
$39 | |
| Cardioversion |
$1,351 |
$2,702 |
$1,663 |
$155 | |
| Carotid artery ultrasound |
$623 |
$1,245 |
$603 |
$156 | |
| CEA tumor marker test |
$141 |
$281 |
$211 |
$19 | |
| Celiac disease test |
$49 |
$97 |
$73 |
$12 | |
| Central line placement |
$799 |
$1,597 |
$1,463 |
$238 | |
| Cervical cerclage |
$2,359 |
$4,717 |
$3,538 |
$137 | |
| Cesarean section (C-section) |
— |
— |
$7,743 |
$7,552 | |
| Chemotherapy infusion |
$290 |
$580 |
$367 |
$81 | |
| Chemotherapy infusion (each additional) |
$204 |
$408 |
$286 |
$28 | |
| Chemotherapy infusion (first hour) |
$376 |
$752 |
$513 |
$133 | |
| Chest fluid drain (thoracentesis) |
$733 |
$1,465 |
$1,026 |
$311 | |
| Chest tube insertion |
$821 |
$1,641 |
$1,477 |
$143 | |
| Chest X-ray |
$199 |
$398 |
$208 |
$37 | |
| Chest X-ray (1 view) |
$139 |
$277 |
$171 |
$25 | |
| Chest X-ray (2 views) |
$199 |
$398 |
$245 |
$33 | |
| CK-MB heart enzyme test |
$51 |
$102 |
$77 |
$12 | |
| Clotting time test (PTT) |
$42 |
$83 |
$62 |
$6 | |
| Complete blood count (CBC) |
$43 |
$85 |
$62 |
$7 | |
| Complete blood count (CBC) (complete) |
$44 |
$87 |
$65 |
$8 | |
| Comprehensive metabolic panel |
$82 |
$163 |
$122 |
$11 | |
| Contraceptive implant (Nexplanon) |
$506 |
$1,012 |
$625 |
$115 | |
| Copper blood test |
$67 |
$133 |
$100 |
$12 | |
| Coronary CT angiography |
$211 |
$421 |
$330 |
$326 | |
| Cortisol test |
$96 |
$191 |
$143 |
$16 | |
| COVID-19 PCR test |
$72 |
$143 |
$107 |
$51 | |
| CPAP titration study |
$251 |
$502 |
$309 |
$69 | |
| Creatine kinase (CK) test |
$34 |
$68 |
$51 |
$7 | |
| CT angiography of the chest |
$1,561 |
$3,122 |
$1,922 |
$281 | |
| CT angiography of the head |
$1,561 |
$3,122 |
$1,922 |
$274 | |
| CT scan of the abdomen |
$1,523 |
$3,046 |
$1,557 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,174 |
$4,348 |
$2,272 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,275 |
$4,550 |
$2,801 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,174 |
$4,348 |
$2,676 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,748 |
$3,495 |
$2,151 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,592 |
$3,183 |
$1,959 |
$259 | |
| CT scan of the abdomen with contrast |
$1,523 |
$3,046 |
$1,875 |
$230 | |
| CT scan of the abdomen without contrast |
$1,038 |
$2,076 |
$1,278 |
$136 | |
| CT scan of the arm |
$1,284 |
$2,567 |
$1,578 |
$199 | |
| CT scan of the arm with contrast |
$1,322 |
$2,644 |
$1,602 |
$199 | |
| CT scan of the arm without contrast |
$1,246 |
$2,492 |
$1,534 |
$161 | |
| CT scan of the chest |
$1,386 |
$2,771 |
$1,458 |
$167 | |
| CT scan of the chest with and without contrast |
$1,454 |
$2,907 |
$1,789 |
$196 | |
| CT scan of the chest with contrast |
$1,386 |
$2,771 |
$1,706 |
$167 | |
| CT scan of the chest without contrast |
$1,112 |
$2,223 |
$1,368 |
$133 | |
| CT scan of the head |
$1,400 |
$2,800 |
$1,580 |
$148 | |
| CT scan of the head with and without contrast |
$1,639 |
$3,277 |
$2,017 |
$173 | |
| CT scan of the head with contrast |
$1,400 |
$2,800 |
$1,723 |
$148 | |
| CT scan of the head without contrast |
$1,208 |
$2,416 |
$1,487 |
$107 | |
| CT scan of the leg |
$874 |
$1,748 |
$1,015 |
$166 | |
| CT scan of the leg with contrast |
$874 |
$1,748 |
$1,076 |
$166 | |
| CT scan of the leg without contrast |
$781 |
$1,561 |
$961 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,538 |
$3,076 |
$1,902 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,836 |
$3,672 |
$2,260 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,538 |
$3,076 |
$1,893 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,463 |
$2,926 |
$1,801 |
$130 | |
| CT scan of the neck |
$1,241 |
$2,482 |
$1,373 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,538 |
$3,076 |
$1,902 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,836 |
$3,672 |
$2,260 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,538 |
$3,076 |
$1,893 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,463 |
$2,926 |
$1,801 |
$131 | |
| CT scan of the neck with and without contrast |
$1,493 |
$2,986 |
$1,838 |
$220 | |
| CT scan of the neck with contrast |
$1,241 |
$2,482 |
$1,528 |
$183 | |
| CT scan of the neck without contrast |
$1,028 |
$2,056 |
$1,265 |
$150 | |
| CT scan of the pelvis |
$908 |
$1,815 |
$1,074 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,051 |
$2,102 |
$1,294 |
$251 | |
| CT scan of the pelvis with contrast |
$908 |
$1,815 |
$1,117 |
$226 | |
| CT scan of the pelvis without contrast |
$827 |
$1,653 |
$1,017 |
$133 | |
| CT scan of the sinuses |
$1,800 |
$3,600 |
$1,480 |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,257 |
$4,514 |
$2,778 |
$184 | |
| CT scan of the sinuses with contrast |
$1,800 |
$3,600 |
$2,216 |
$152 | |
| CT scan of the sinuses without contrast |
$987 |
$1,973 |
$1,214 |
$128 | |
| D-dimer test |
$64 |
$127 |
$95 |
$10 | |
| Defibrillator (ICD) implant |
$11,743 |
$23,486 |
$21,725 |
$798 | |
| DHEA-sulfate test |
$156 |
$311 |
$233 |
$22 | |
| Diagnostic mammogram |
$350 |
$700 |
$365 |
$140 | |
| Drug screen (urine) |
$127 |
$253 |
$164 |
$17 | |
| Echocardiogram |
$691 |
$1,382 |
$683 |
$138 | |
| Echocardiogram with and without contrast |
$311 |
$622 |
$429 |
$101 | |
| EEG (awake and asleep) |
$618 |
$1,235 |
$760 |
$482 | |
| EKG / ECG (tracing only) |
$103 |
$206 |
$127 |
$7 | |
| Electrocardiogram (EKG) |
$103 |
$206 |
$127 |
$8 | |
| Electroencephalogram (EEG) |
$590 |
$1,180 |
$724 |
$448 | |
| Electrolyte panel |
$51 |
$102 |
$77 |
$7 | |
| Emergency department visit |
$284 |
$568 |
$352 |
$69 | |
| Emergency department visit (level 1) |
$113 |
$225 |
$143 |
$11 | |
| Emergency department visit (level 2) |
$227 |
$454 |
$279 |
$40 | |
| Emergency department visit (level 3) |
$284 |
$568 |
$365 |
$69 | |
| Emergency department visit (level 4) |
$340 |
$679 |
$441 |
$118 | |
| Emergency department visit (level 5) |
$418 |
$835 |
$563 |
$171 | |
| Epidural steroid injection |
$961 |
$1,922 |
$1,148 |
$275 | |
| Estradiol (estrogen) test |
$107 |
$213 |
$160 |
$28 | |
| Eyelid surgery (blepharoplasty) |
$1,993 |
$3,986 |
$2,861 |
$552 | |
| Facet joint injection (spine) |
$293 |
$585 |
$837 |
$99 | |
| Fallopian tube X-ray (HSG) |
$419 |
$838 |
$450 |
$164 | |
| Fecal occult blood (stool) test |
$48 |
$96 |
$35 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$18 |
$36 |
$27 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$78 |
$155 |
$116 |
$16 | |
| Feeding tube (PEG) placement |
$253 |
$505 |
$467 |
$178 | |
| Ferritin (iron) test |
$86 |
$171 |
$128 |
$14 | |
| Fibrinogen test |
$44 |
$88 |
$66 |
$10 | |
| Flu test |
$48 |
$96 |
$72 |
$17 | |
| Folate (folic acid) test |
$96 |
$191 |
$143 |
$15 | |
| Foreign body removal (skin) |
$598 |
$1,195 |
$736 |
$157 | |
| Free T4 thyroid test |
$78 |
$155 |
$116 |
$9 | |
| FSH hormone test |
$126 |
$252 |
$189 |
$19 | |
| Gallbladder scan (HIDA) |
$1,113 |
$2,226 |
$1,238 |
$334 | |
| GGT liver test |
$34 |
$67 |
$50 |
$7 | |
| Glucose tolerance test |
$41 |
$81 |
$62 |
$8 | |
| H. pylori test |
$65 |
$129 |
$97 |
$67 | |
| HDL cholesterol test |
$51 |
$102 |
$77 |
$8 | |
| Hematocrit test |
$18 |
$36 |
$27 |
$2 | |
| Hemodialysis |
$870 |
$1,740 |
$1,071 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$76 |
$152 |
$114 |
$10 | |
| Hepatitis B test |
$39 |
$77 |
$58 |
$10 | |
| Hepatitis C test |
$105 |
$210 |
$158 |
$14 | |
| HIV test |
$103 |
$206 |
$138 |
$19 | |
| HIV test (antibody) |
$80 |
$160 |
$120 |
$14 | |
| HIV test (antigen/antibody combo) |
$126 |
$252 |
$189 |
$24 | |
| Holter heart monitor |
$376 |
$752 |
$463 |
$26 | |
| Hysterectomy |
$605 |
$1,209 |
$967 |
$933 | |
| Iron blood test |
$38 |
$75 |
$56 |
$6 | |
| IV infusion therapy |
$172 |
$344 |
$201 |
$44 | |
| IV infusion therapy (each additional) |
$60 |
$119 |
$83 |
$21 | |
| IV infusion therapy (initial) |
$172 |
$344 |
$258 |
$67 | |
| IVC filter placement |
$4,294 |
$8,587 |
$5,582 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$228 |
$456 |
$290 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$356 |
$712 |
$438 |
$57 | |
| Joint aspiration or injection (small joint) |
$100 |
$200 |
$185 |
$56 | |
| Kidney biopsy |
$470 |
$939 |
$869 |
$492 | |
| Kidney scan (nuclear) |
$784 |
$1,568 |
$965 |
$172 | |
| Kidney ultrasound |
$342 |
$683 |
$444 |
$84 | |
| Kidney ultrasound (limited) |
$342 |
$683 |
$420 |
$61 | |
| Knee joint injection |
$356 |
$711 |
$438 |
$69 | |
| Knee replacement |
— |
— |
$18,864 |
$18,054 | |
| Lactate test |
$81 |
$161 |
$121 |
$12 | |
| LDH test |
$36 |
$72 |
$54 |
$6 | |
| LDL cholesterol test |
$51 |
$102 |
$77 |
$11 | |
| Leg artery angiogram |
$977 |
$1,954 |
$1,807 |
$149 | |
| Leg artery angioplasty |
$6,764 |
$13,529 |
$10,394 |
— | |
| Leg vein ultrasound (Doppler) |
$513 |
$1,026 |
$667 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$513 |
$1,026 |
$632 |
$116 | |
| LH hormone test |
$126 |
$252 |
$189 |
$19 | |
| Lipase test |
$52 |
$103 |
$77 |
$7 | |
| Lipid (cholesterol) panel |
$107 |
$213 |
$160 |
$13 | |
| Liver biopsy |
$951 |
$1,901 |
$1,521 |
$288 | |
| Liver function panel |
$63 |
$126 |
$95 |
$8 | |
| Lung function test (PFT) |
$190 |
$380 |
$247 |
$37 | |
| Lung scan (V/Q) |
$976 |
$1,951 |
$1,366 |
$291 | |
| Magnesium blood test |
$36 |
$72 |
$54 |
$7 | |
| MRA of the brain |
$1,033 |
$2,066 |
$1,242 |
$226 | |
| MRA of the brain with contrast |
$828 |
$1,656 |
$1,019 |
$226 | |
| MRA of the brain without contrast |
$1,612 |
$3,223 |
$1,800 |
$328 | |
| MRA of the neck |
$1,201 |
$2,401 |
$1,043 |
$245 | |
| MRA of the neck with contrast |
$1,201 |
$2,401 |
$1,478 |
$245 | |
| MRA of the neck without contrast |
$1,783 |
$3,565 |
$2,194 |
$343 | |
| MRI of the abdomen |
$1,017 |
$2,034 |
$1,322 |
$300 | |
| MRI of the abdomen with contrast |
$914 |
$1,828 |
$1,125 |
$300 | |
| MRI of the abdomen without contrast |
$1,017 |
$2,034 |
$1,252 |
$194 | |
| MRI of the ankle |
$1,006 |
$2,012 |
$1,308 |
$261 | |
| MRI of the ankle without contrast |
$1,006 |
$2,012 |
$1,238 |
$222 | |
| MRI of the brain |
$1,473 |
$2,946 |
$1,583 |
$269 | |
| MRI of the brain with contrast |
$1,473 |
$2,946 |
$1,813 |
$269 | |
| MRI of the brain without contrast |
$1,075 |
$2,150 |
$1,323 |
$195 | |
| MRI of the chest |
$1,296 |
$2,592 |
$1,056 |
$371 | |
| MRI of the chest without contrast |
$1,779 |
$3,558 |
$2,190 |
$466 | |
| MRI of the knee |
$1,418 |
$2,835 |
$1,375 |
$315 | |
| MRI of the knee with contrast |
$1,418 |
$2,835 |
$1,745 |
$315 | |
| MRI of the knee without contrast |
$1,058 |
$2,116 |
$1,302 |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,192 |
$2,384 |
$1,305 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$906 |
$1,812 |
$1,115 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,192 |
$2,384 |
$1,467 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,192 |
$2,384 |
$1,204 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$1,853 |
$3,705 |
$2,280 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$782 |
$1,563 |
$962 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,192 |
$2,384 |
$1,467 |
$190 | |
| MRI of the neck (cervical spine) |
$1,237 |
$2,473 |
$1,398 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,043 |
$4,086 |
$2,515 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,237 |
$2,473 |
$1,522 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,075 |
$2,150 |
$1,323 |
$191 | |
| MRI of the pelvis |
$1,017 |
$2,034 |
$1,109 |
$268 | |
| MRI of the pelvis with contrast |
$765 |
$1,529 |
$941 |
$268 | |
| MRI of the pelvis without contrast |
$1,017 |
$2,034 |
$1,252 |
$227 | |
| MRI of the shoulder |
$1,428 |
$2,855 |
$1,505 |
$313 | |
| MRI of the shoulder with contrast |
$1,428 |
$2,855 |
$1,757 |
$313 | |
| MRI of the shoulder without contrast |
$1,058 |
$2,116 |
$1,302 |
$205 | |
| MRI of the wrist |
$1,002 |
$2,004 |
$1,100 |
$330 | |
| MRI of the wrist with contrast |
$942 |
$1,883 |
$1,159 |
$330 | |
| MRI of the wrist without contrast |
$846 |
$1,692 |
$1,041 |
$303 | |
| Nebulizer breathing treatment |
$251 |
$502 |
$309 |
$9 | |
| Nerve conduction study |
$77 |
$153 |
$142 |
$118 | |
| Nuchal translucency ultrasound |
$352 |
$703 |
$433 |
$116 | |
| Nuclear cardiac stress test |
$2,210 |
$4,420 |
$2,721 |
$428 | |
| Occupational therapy evaluation |
$123 |
$246 |
$185 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$123 |
$246 |
$185 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$123 |
$246 |
$185 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$123 |
$246 |
$185 |
$101 | |
| Office visit (established patient) |
$229 |
$459 |
$266 |
$115 | |
| Office visit (new patient) |
$229 |
$457 |
$299 |
$177 | |
| Office visit, established patient (level 3) |
$220 |
$441 |
$266 |
$95 | |
| Office visit, established patient (level 4) |
$302 |
$604 |
$299 |
$136 | |
| Office visit, new patient (level 3) |
$166 |
$332 |
$249 |
$118 | |
| Office visit, new patient (level 4) |
$229 |
$457 |
$343 |
$177 | |
| Office visit, new patient (level 5) |
$309 |
$617 |
$463 |
$237 | |
| Pacemaker insertion |
— |
— |
$23,848 |
$15,506 | |
| Pap smear (cervical screening) |
$64 |
$127 |
$94 |
$20 | |
| Parathyroid hormone (PTH) test |
$210 |
$420 |
$315 |
$41 | |
| Pelvic ultrasound |
$328 |
$655 |
$293 |
$78 | |
| Pelvic ultrasound (complete) |
$460 |
$920 |
$566 |
$105 | |
| Pelvic ultrasound (limited) |
$195 |
$390 |
$240 |
$51 | |
| PET scan |
$3,711 |
$7,422 |
$4,568 |
— | |
| Phosphorus blood test |
$34 |
$67 |
$50 |
$5 | |
| Physical therapy evaluation |
$123 |
$246 |
$180 |
$98 | |
| Physical therapy evaluation (high complexity) |
$123 |
$246 |
$180 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$123 |
$246 |
$180 |
$98 | |
| Platelet count |
$31 |
$61 |
$46 |
$4 | |
| Pregnancy blood test (hCG) |
$42 |
$83 |
$62 |
$8 | |
| Pregnancy ultrasound |
$640 |
$1,279 |
$807 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$673 |
$1,346 |
$828 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$640 |
$1,279 |
$787 |
$136 | |
| Procalcitonin test |
$63 |
$126 |
$95 |
$27 | |
| Prolactin test |
$127 |
$253 |
$190 |
$19 | |
| Prostate biopsy |
$509 |
$1,017 |
$814 |
— | |
| Prostate test (PSA) |
$127 |
$253 |
$190 |
$18 | |
| Radiofrequency nerve ablation |
$2,476 |
$4,951 |
$3,047 |
$462 | |
| Rheumatoid factor test |
$34 |
$68 |
$51 |
$6 | |
| Sacroiliac joint injection |
$323 |
$646 |
$517 |
$176 | |
| Scoliosis spine X-ray |
$115 |
$229 |
$149 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$115 |
$229 |
$141 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$293 |
$585 |
$360 |
$72 | |
| Screening mammogram |
$224 |
$447 |
$335 |
$126 | |
| Scrotal ultrasound |
$520 |
$1,040 |
$640 |
$99 | |
| Sedimentation rate (ESR) test |
$31 |
$61 |
$46 |
$3 | |
| Sex hormone binding globulin test |
$115 |
$229 |
$172 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$208 |
$416 |
$291 |
$114 | |
| Simple wound stitches |
$208 |
$416 |
$291 |
$127 | |
| Skin biopsy |
$256 |
$511 |
$460 |
$121 | |
| Skin biopsy (punch) |
$256 |
$511 |
$385 |
$121 | |
| Skin tag removal |
$231 |
$462 |
$313 |
$92 | |
| Soft tissue ultrasound |
$426 |
$852 |
$524 |
$64 | |
| Speech therapy |
$100 |
$199 |
$144 |
$76 | |
| Spinal cord stimulator |
$8,911 |
$17,821 |
$10,969 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$273 |
$546 |
$505 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$11,915 |
$23,829 |
$14,667 |
$5,803 | |
| Spirometry (lung function test) |
$190 |
$380 |
$204 |
$30 | |
| Spirometry with bronchodilator |
$183 |
$365 |
$288 |
$43 | |
| Strep throat test |
$38 |
$75 |
$56 |
$17 | |
| Stress echocardiogram |
$1,453 |
$2,906 |
$1,172 |
$209 | |
| Stress echocardiogram (complete) |
$1,453 |
$2,906 |
$1,761 |
$233 | |
| Swallow study |
$237 |
$473 |
$307 |
$85 | |
| T3 thyroid test |
$96 |
$191 |
$143 |
$14 | |
| Tdap (tetanus) vaccine |
$36 |
$71 |
$53 |
— | |
| Testosterone test |
$123 |
$246 |
$185 |
$26 | |
| Thyroid test (TSH) |
$106 |
$212 |
$159 |
$17 | |
| Thyroid ultrasound |
$406 |
$812 |
$500 |
$109 | |
| Thyroid uptake scan |
$603 |
$1,206 |
$629 |
$145 | |
| Tilt table test |
$772 |
$1,543 |
$950 |
$168 | |
| Total IgE allergy test |
$90 |
$179 |
$134 |
$16 | |
| Total protein test |
$31 |
$61 |
$46 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$876 |
$1,752 |
$1,062 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$876 |
$1,752 |
$1,062 |
$239 | |
| Transvaginal ultrasound |
$460 |
$920 |
$566 |
$118 | |
| Triglycerides test |
$34 |
$68 |
$51 |
$6 | |
| Troponin (heart) test |
$59 |
$118 |
$89 |
$12 | |
| Turning a breech baby (version) |
$2,477 |
$4,953 |
$3,219 |
$94 | |
| Upper GI series (barium) |
$503 |
$1,006 |
$623 |
$128 | |
| Uric acid (gout) test |
$34 |
$67 |
$50 |
$5 | |
| Urinalysis |
$18 |
$36 |
$27 |
$3 | |
| Urine microalbumin test |
$42 |
$84 |
$66 |
$5 | |
| Urine pregnancy test |
$41 |
$81 |
$61 |
$9 | |
| Vaccine administration |
$84 |
$168 |
$78 |
$19 | |
| Vaccine administration (each additional) |
$44 |
$87 |
$65 |
$16 | |
| Vaginal delivery |
— |
— |
$5,691 |
$5,487 | |
| Varicose vein ablation |
$2,879 |
$5,758 |
$4,138 |
$1,018 | |
| Vitamin B12 test |
$106 |
$212 |
$159 |
$15 | |
| Vitamin D test |
$192 |
$384 |
$288 |
$30 | |
| Wart removal |
$208 |
$415 |
$291 |
$121 | |
| Wound debridement |
$746 |
$1,491 |
$778 |
$186 | |
| X-ray of the abdomen |
$171 |
$341 |
$222 |
$36 | |
| X-ray of the ankle |
$181 |
$361 |
$222 |
$37 | |
| X-ray of the collarbone |
$170 |
$340 |
$209 |
$33 | |
| X-ray of the elbow |
$176 |
$352 |
$217 |
$33 | |
| X-ray of the facial bones |
$140 |
$280 |
$182 |
$39 | |
| X-ray of the foot |
$232 |
$464 |
$286 |
$34 | |
| X-ray of the forearm |
$164 |
$327 |
$201 |
$29 | |
| X-ray of the hand |
$176 |
$351 |
$216 |
$38 | |
| X-ray of the hip |
$125 |
$249 |
$142 |
$49 | |
| X-ray of the hip (1 view) |
$109 |
$218 |
$134 |
$34 | |
| X-ray of the hip (3 views) |
$125 |
$249 |
$153 |
$49 | |
| X-ray of the knee |
$224 |
$448 |
$232 |
$42 | |
| X-ray of the knee (2 views) |
$169 |
$337 |
$207 |
$34 | |
| X-ray of the knee (3 views) |
$224 |
$448 |
$276 |
$42 | |
| X-ray of the knee (4+ views) |
$227 |
$453 |
$279 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$268 |
$535 |
$292 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$225 |
$449 |
$276 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$311 |
$621 |
$382 |
$53 | |
| X-ray of the lower leg |
$171 |
$342 |
$211 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$276 |
$551 |
$264 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$172 |
$343 |
$211 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$276 |
$551 |
$339 |
$39 | |
| X-ray of the neck (cervical spine) |
$261 |
$521 |
$274 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$211 |
$421 |
$259 |
$40 | |
| X-ray of the pelvis |
$167 |
$334 |
$217 |
$36 | |
| X-ray of the pelvis (1 view) |
$167 |
$334 |
$206 |
$28 | |
| X-ray of the ribs |
$204 |
$408 |
$236 |
$42 | |
| X-ray of the ribs (2 views) |
$182 |
$363 |
$223 |
$36 | |
| X-ray of the ribs (3 views) |
$220 |
$440 |
$271 |
$42 | |
| X-ray of the shoulder |
$177 |
$353 |
$217 |
$36 | |
| X-ray of the skull |
$208 |
$416 |
$176 |
$40 | |
| X-ray of the upper arm |
$198 |
$396 |
$244 |
$32 | |
| X-ray of the wrist |
$176 |
$352 |
$217 |
$43 | |
| Zinc blood test |
$81 |
$161 |
$121 |
$11 | |