| 3D mammogram (tomosynthesis) |
$188 |
$235 |
— |
$51 | |
| Abdominal ultrasound |
$558 |
$697 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$792 |
$990 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$535 |
$669 |
— |
$86 | |
| Annual physical (established patient) |
$348 |
$435 |
— |
— | |
| Annual physical (new patient) |
$347 |
$434 |
— |
— | |
| Barium swallow study |
$508 |
$635 |
— |
$107 | |
| Basic metabolic panel |
$136 |
$170 |
— |
$8 | |
| Bilirubin blood test |
$28 |
$35 |
— |
$5 | |
| Blood clotting test (PT/INR) |
$60 |
$75 |
— |
$4 | |
| BNP (heart failure) test |
$98 |
$122 |
— |
$39 | |
| Bone density scan (DEXA) |
$501 |
$626 |
— |
$39 | |
| Bone scan (nuclear) |
$711 |
$889 |
— |
$259 | |
| Breast ultrasound |
$530 |
$663 |
— |
$92 | |
| Breast ultrasound (complete) |
$560 |
$700 |
— |
$100 | |
| Breast ultrasound (limited) |
$500 |
$625 |
— |
$84 | |
| Cardiac stress test |
$366 |
$457 |
— |
$39 | |
| Carotid artery ultrasound |
$680 |
$850 |
— |
$156 | |
| Chest X-ray |
$274 |
$343 |
— |
$37 | |
| Chest X-ray (1 view) |
$269 |
$336 |
— |
$25 | |
| Chest X-ray (2 views) |
$271 |
$339 |
— |
$33 | |
| Colonoscopy |
$2,398 |
$2,998 |
— |
$480 | |
| Complete blood count (CBC) |
$104 |
$130 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$140 |
$175 |
— |
$8 | |
| COVID-19 PCR test |
$216 |
$270 |
— |
$51 | |
| CT scan of the abdomen |
$1,073 |
$1,342 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$4,376 |
$5,470 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$4,391 |
$5,489 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$4,360 |
$5,450 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$3,196 |
$3,995 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,592 |
$3,240 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$1,636 |
$2,045 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$1,073 |
$1,342 |
— |
$136 | |
| CT scan of the arm |
$960 |
$1,200 |
— |
$199 | |
| CT scan of the arm with contrast |
$800 |
$1,000 |
— |
$199 | |
| CT scan of the arm without contrast |
$1,440 |
$1,800 |
— |
$161 | |
| CT scan of the chest |
$1,840 |
$2,300 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$1,800 |
$2,250 |
— |
$196 | |
| CT scan of the chest with contrast |
$1,888 |
$2,360 |
— |
$167 | |
| CT scan of the chest without contrast |
$1,840 |
$2,300 |
— |
$133 | |
| CT scan of the head |
$2,440 |
$3,050 |
— |
$148 | |
| CT scan of the head with and without contrast |
$2,440 |
$3,050 |
— |
$173 | |
| CT scan of the head with contrast |
$2,880 |
$3,600 |
— |
$148 | |
| CT scan of the head without contrast |
$2,040 |
$2,550 |
— |
$107 | |
| CT scan of the leg |
$960 |
$1,200 |
— |
$166 | |
| CT scan of the lower back (lumbar spine) |
$1,106 |
$1,382 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,520 |
$1,900 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$692 |
$865 |
— |
$130 | |
| CT scan of the neck |
$1,516 |
$1,895 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$865 |
$1,082 |
— |
$168 | |
| CT scan of the neck (cervical spine) with contrast |
$1,520 |
$1,900 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$779 |
$973 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$1,591 |
$1,989 |
— |
$220 | |
| CT scan of the neck with contrast |
$1,916 |
$2,395 |
— |
$183 | |
| CT scan of the neck without contrast |
$1,440 |
$1,800 |
— |
$150 | |
| CT scan of the pelvis |
$1,375 |
$1,719 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,520 |
$1,900 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$1,888 |
$2,360 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$810 |
$1,013 |
— |
$133 | |
| CT scan of the sinuses |
$1,288 |
$1,610 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,288 |
$1,610 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$960 |
$1,200 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$2,000 |
$2,500 |
— |
$128 | |
| Drug screen (urine) |
$316 |
$395 |
— |
$17 | |
| Echocardiogram |
$1,036 |
$1,295 |
— |
$138 | |
| EKG / ECG (tracing only) |
$116 |
$145 |
— |
$7 | |
| Electrocardiogram (EKG) |
$158 |
$198 |
— |
$8 | |
| Electroencephalogram (EEG) |
$404 |
$505 |
— |
$448 | |
| Emergency department visit |
$651 |
$814 |
— |
$69 | |
| Emergency department visit (level 1) |
$184 |
$230 |
— |
$11 | |
| Emergency department visit (level 2) |
$438 |
$548 |
— |
$40 | |
| Emergency department visit (level 3) |
$686 |
$858 |
— |
$69 | |
| Emergency department visit (level 4) |
$984 |
$1,230 |
— |
$118 | |
| Emergency department visit (level 5) |
$1,280 |
$1,600 |
— |
$171 | |
| Fallopian tube X-ray (HSG) |
$376 |
$470 |
— |
$164 | |
| Fecal occult blood (stool) test |
$40 |
$50 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$40 |
$50 |
— |
$4 | |
| Ferritin (iron) test |
$72 |
$90 |
— |
$14 | |
| Gallbladder removal (laparoscopic) |
$3,056 |
$3,820 |
— |
$658 | |
| Hematocrit test |
$24 |
$30 |
— |
$2 | |
| Hemoglobin A1c (diabetes test) |
$87 |
$109 |
— |
$10 | |
| HPV vaccine |
$288 |
$360 |
— |
— | |
| Inguinal hernia repair |
$2,345 |
$2,931 |
— |
$538 | |
| IUD removal |
$234 |
$292 |
— |
$112 | |
| Kidney scan (nuclear) |
$612 |
$765 |
— |
$172 | |
| Kidney ultrasound |
$732 |
$915 |
— |
$84 | |
| Kidney ultrasound (limited) |
$960 |
$1,200 |
— |
$61 | |
| Leg vein ultrasound (Doppler) |
$560 |
$700 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$560 |
$700 |
— |
$116 | |
| Lipid (cholesterol) panel |
$158 |
$198 |
— |
$13 | |
| Liver function panel |
$55 |
$69 |
— |
$8 | |
| MRA of the brain |
$3,514 |
$4,393 |
— |
$226 | |
| MRA of the neck |
$5,468 |
$6,835 |
— |
$245 | |
| MRA of the neck without contrast |
$5,468 |
$6,835 |
— |
$343 | |
| MRI of the abdomen |
$2,640 |
$3,300 |
— |
$300 | |
| MRI of the abdomen with contrast |
$2,640 |
$3,300 |
— |
$300 | |
| MRI of the abdomen without contrast |
$2,376 |
$2,970 |
— |
$194 | |
| MRI of the ankle |
$2,700 |
$3,375 |
— |
$261 | |
| MRI of the ankle with contrast |
$2,120 |
$2,650 |
— |
$261 | |
| MRI of the ankle without contrast |
$2,700 |
$3,375 |
— |
$222 | |
| MRI of the brain |
$2,560 |
$3,200 |
— |
$269 | |
| MRI of the brain with contrast |
$2,520 |
$3,150 |
— |
$269 | |
| MRI of the brain without contrast |
$2,560 |
$3,200 |
— |
$195 | |
| MRI of the knee |
$3,720 |
$4,650 |
— |
$315 | |
| MRI of the knee with contrast |
$2,120 |
$2,650 |
— |
$315 | |
| MRI of the knee without contrast |
$3,720 |
$4,650 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$3,316 |
$4,145 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,621 |
$3,276 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$3,316 |
$4,145 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$3,080 |
$3,850 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$3,600 |
$4,500 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,720 |
$3,400 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$3,080 |
$3,850 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$2,858 |
$3,573 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$3,780 |
$4,725 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,520 |
$3,150 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,391 |
$2,989 |
— |
$191 | |
| MRI of the pelvis |
$2,640 |
$3,300 |
— |
$268 | |
| MRI of the pelvis with contrast |
$2,400 |
$3,000 |
— |
$268 | |
| MRI of the pelvis without contrast |
$2,640 |
$3,300 |
— |
$227 | |
| MRI of the shoulder |
$2,960 |
$3,700 |
— |
$313 | |
| MRI of the shoulder with contrast |
$2,960 |
$3,700 |
— |
$313 | |
| MRI of the shoulder without contrast |
$3,520 |
$4,400 |
— |
$205 | |
| MRI of the wrist |
$2,040 |
$2,550 |
— |
$330 | |
| MRI of the wrist with contrast |
$2,120 |
$2,650 |
— |
$330 | |
| MRI of the wrist without contrast |
$1,960 |
$2,450 |
— |
$303 | |
| Nuclear cardiac stress test |
$1,794 |
$2,242 |
— |
$428 | |
| Office visit (established patient) |
$311 |
$389 |
— |
$115 | |
| Office visit (new patient) |
$592 |
$740 |
— |
$177 | |
| Office visit, established patient (level 3) |
$272 |
$340 |
— |
$95 | |
| Office visit, established patient (level 4) |
$350 |
$438 |
— |
$136 | |
| Office visit, new patient (level 3) |
$344 |
$430 |
— |
$118 | |
| Office visit, new patient (level 4) |
$592 |
$740 |
— |
$177 | |
| Office visit, new patient (level 5) |
$664 |
$830 |
— |
$237 | |
| Pap smear (cervical screening) |
$192 |
$240 |
— |
$20 | |
| Pelvic ultrasound |
$790 |
$988 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$920 |
$1,150 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$660 |
$825 |
— |
$51 | |
| Pneumonia vaccine |
$104 |
$130 |
— |
— | |
| Prostate test (PSA) |
$93 |
$116 |
— |
$18 | |
| Scoliosis spine X-ray |
$276 |
$346 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$276 |
$346 |
— |
$44 | |
| Screening mammogram |
$368 |
$460 |
— |
$126 | |
| Scrotal ultrasound |
$520 |
$650 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$40 |
$50 |
— |
$3 | |
| Sleep study (polysomnography) |
$3,640 |
$4,550 |
— |
$691 | |
| Strep throat test |
$69 |
$87 |
— |
$17 | |
| Stress echocardiogram |
$1,076 |
$1,345 |
— |
$209 | |
| Stress echocardiogram (complete) |
$1,920 |
$2,400 |
— |
$233 | |
| Thyroid test (TSH) |
$172 |
$215 |
— |
$17 | |
| Thyroid ultrasound |
$784 |
$980 |
— |
$109 | |
| Transvaginal ultrasound |
$1,040 |
$1,300 |
— |
$118 | |
| Upper GI endoscopy (EGD) |
$1,660 |
$2,075 |
— |
$371 | |
| Upper GI series (barium) |
$401 |
$501 |
— |
$128 | |
| Uric acid (gout) test |
$25 |
$32 |
— |
$5 | |
| Urinalysis |
$37 |
$46 |
— |
$3 | |
| Urine pregnancy test |
$128 |
$160 |
— |
$9 | |
| Vaccine administration |
$17 |
$21 |
— |
$19 | |
| Well-child visit |
$332 |
$415 |
— |
— | |
| X-ray of the abdomen |
$332 |
$415 |
— |
$36 | |
| X-ray of the ankle |
$372 |
$465 |
— |
$37 | |
| X-ray of the collarbone |
$332 |
$415 |
— |
$33 | |
| X-ray of the elbow |
$352 |
$440 |
— |
$33 | |
| X-ray of the foot |
$360 |
$450 |
— |
$34 | |
| X-ray of the forearm |
$356 |
$445 |
— |
$29 | |
| X-ray of the hand |
$360 |
$450 |
— |
$38 | |
| X-ray of the hip |
$586 |
$733 |
— |
$49 | |
| X-ray of the hip (1 view) |
$267 |
$333 |
— |
$34 | |
| X-ray of the hip (3 views) |
$592 |
$740 |
— |
$49 | |
| X-ray of the knee |
$332 |
$415 |
— |
$42 | |
| X-ray of the knee (2 views) |
$236 |
$295 |
— |
$34 | |
| X-ray of the knee (3 views) |
$368 |
$460 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$372 |
$465 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$352 |
$440 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$335 |
$419 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$470 |
$588 |
— |
$53 | |
| X-ray of the lower leg |
$262 |
$328 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$405 |
$506 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$318 |
$397 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$492 |
$615 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$660 |
$825 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$440 |
$550 |
— |
$40 | |
| X-ray of the pelvis |
$329 |
$412 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$309 |
$386 |
— |
$28 | |
| X-ray of the ribs |
$440 |
$550 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$456 |
$570 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$440 |
$550 |
— |
$42 | |
| X-ray of the shoulder |
$332 |
$415 |
— |
$36 | |
| X-ray of the skull |
$320 |
$400 |
— |
$40 | |
| X-ray of the upper arm |
$260 |
$325 |
— |
$32 | |
| X-ray of the wrist |
$368 |
$460 |
— |
$43 | |