| 3D mammogram (tomosynthesis) |
$51 |
$64 |
$45 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,642 |
$2,052 |
$1,436 |
$284 | |
| Abdominal ultrasound |
$686 |
$858 |
$600 |
$100 | |
| Abdominal ultrasound (complete) |
$758 |
$947 |
$663 |
$114 | |
| Abdominal ultrasound (limited) |
$614 |
$768 |
$538 |
$86 | |
| Abscess drainage (complex or multiple) |
$963 |
$1,204 |
$843 |
$220 | |
| Abscess drainage (simple) |
$541 |
$676 |
$473 |
$129 | |
| Abscess incision and drainage |
$752 |
$940 |
$658 |
$174 | |
| Albumin blood test |
$37 |
$46 |
$32 |
$5 | |
| Aldosterone test |
$60 |
$75 |
$53 |
$41 | |
| Alkaline phosphatase test |
$37 |
$46 |
$32 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$28 |
$35 |
$25 |
$17 | |
| ALT liver enzyme test |
$37 |
$46 |
$32 |
$5 | |
| Ammonia blood test |
$110 |
$138 |
$97 |
$15 | |
| Amylase test |
$63 |
$79 |
$55 |
$6 | |
| Antinuclear antibody (ANA) test |
$82 |
$103 |
$72 |
$12 | |
| Arterial blood gas (ABG) |
$164 |
$205 |
$144 |
$26 | |
| AST liver enzyme test |
$29 |
$36 |
$25 |
$5 | |
| Barium swallow study |
$424 |
$530 |
$371 |
$107 | |
| Basic metabolic panel |
$119 |
$149 |
$104 |
$8 | |
| Bilirubin blood test |
$37 |
$46 |
$32 |
$5 | |
| Blood clotting test (PT/INR) |
$46 |
$57 |
$40 |
$4 | |
| Blood crossmatch |
$156 |
$195 |
$137 |
— | |
| Blood glucose test |
$23 |
$29 |
$20 |
$5 | |
| Blood transfusion |
$1,395 |
$1,744 |
$1,221 |
$47 | |
| Blood type and screen |
$73 |
$91 |
$64 |
$10 | |
| Blood type test |
$86 |
$108 |
$75 |
$3 | |
| Blood type test (ABO group) |
$118 |
$148 |
$104 |
$3 | |
| Blood type test (Rh/D antigen) |
$54 |
$67 |
$47 |
$3 | |
| BNP (heart failure) test |
$136 |
$170 |
$119 |
$39 | |
| Bone density scan (DEXA) |
$543 |
$679 |
$475 |
$39 | |
| Bone marrow biopsy |
$2,356 |
$2,945 |
$2,061 |
$172 | |
| Bone scan (nuclear) |
$1,506 |
$1,882 |
$1,317 |
$259 | |
| Botox for migraine |
$985 |
$1,231 |
$862 |
$157 | |
| Breast biopsy |
$2,948 |
$3,686 |
$2,580 |
$478 | |
| Breast MRI |
$2,170 |
$2,712 |
$1,898 |
$216 | |
| Breast ultrasound |
$342 |
$428 |
$300 |
$92 | |
| Breast ultrasound (complete) |
$368 |
$460 |
$322 |
$100 | |
| Breast ultrasound (limited) |
$317 |
$396 |
$277 |
$84 | |
| Breathing tube insertion (intubation) |
$464 |
$580 |
$406 |
$133 | |
| Burn dressing and debridement (medium) |
$436 |
$545 |
$382 |
$166 | |
| Burn dressing and debridement (small) |
$541 |
$676 |
$473 |
$93 | |
| Burn treatment |
$488 |
$611 |
$427 |
$129 | |
| C-reactive protein (CRP) |
$46 |
$57 |
$40 |
$5 | |
| CA 19-9 tumor marker test |
$39 |
$49 |
$34 |
$21 | |
| CA-125 ovarian marker test |
$32 |
$40 |
$28 |
$21 | |
| Calcium blood test |
$29 |
$36 |
$25 |
$5 | |
| Cardiac rehabilitation |
$234 |
$292 |
$204 |
$26 | |
| Cardiac stress test |
$792 |
$990 |
$693 |
$39 | |
| Cardioversion |
$1,178 |
$1,473 |
$1,031 |
$155 | |
| Carotid artery ultrasound |
$764 |
$955 |
$669 |
$156 | |
| CEA tumor marker test |
$145 |
$181 |
$127 |
$19 | |
| Celiac disease test |
$49 |
$61 |
$43 |
$12 | |
| Chemotherapy infusion |
$406 |
$508 |
$355 |
$81 | |
| Chemotherapy infusion (each additional) |
$324 |
$405 |
$284 |
$28 | |
| Chemotherapy infusion (first hour) |
$488 |
$610 |
$427 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,462 |
$1,828 |
$1,280 |
$311 | |
| Chest X-ray |
$308 |
$385 |
$270 |
$37 | |
| Chest X-ray (1 view) |
$178 |
$223 |
$156 |
$25 | |
| Chest X-ray (2 views) |
$282 |
$352 |
$246 |
$33 | |
| Circumcision |
$1,230 |
$1,538 |
$1,077 |
$167 | |
| CK-MB heart enzyme test |
$119 |
$149 |
$104 |
$12 | |
| Clotting time test (PTT) |
$37 |
$46 |
$32 |
$6 | |
| Complete blood count (CBC) |
$54 |
$68 |
$48 |
$7 | |
| Complete blood count (CBC) (complete) |
$63 |
$79 |
$55 |
$8 | |
| Comprehensive metabolic panel |
$119 |
$149 |
$104 |
$11 | |
| Copper blood test |
$19 |
$24 |
$17 |
$12 | |
| Cortisol test |
$26 |
$33 |
$23 |
$16 | |
| CPAP titration study |
$622 |
$778 |
$545 |
$69 | |
| Creatine kinase (CK) test |
$63 |
$79 |
$55 |
$7 | |
| CT angiography of the chest |
$2,231 |
$2,789 |
$1,952 |
$281 | |
| CT angiography of the head |
$2,363 |
$2,954 |
$2,068 |
$274 | |
| CT scan of the abdomen |
$2,039 |
$2,549 |
$1,784 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,901 |
$3,626 |
$2,538 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,845 |
$4,806 |
$3,364 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,901 |
$3,626 |
$2,538 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,917 |
$2,396 |
$1,677 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,576 |
$3,220 |
$2,254 |
$259 | |
| CT scan of the abdomen with contrast |
$2,039 |
$2,549 |
$1,784 |
$230 | |
| CT scan of the abdomen without contrast |
$1,442 |
$1,802 |
$1,261 |
$136 | |
| CT scan of the arm |
$1,835 |
$2,294 |
$1,606 |
$199 | |
| CT scan of the arm with contrast |
$1,835 |
$2,294 |
$1,606 |
$199 | |
| CT scan of the arm without contrast |
$1,642 |
$2,052 |
$1,436 |
$161 | |
| CT scan of the chest |
$2,120 |
$2,650 |
$1,855 |
$167 | |
| CT scan of the chest with and without contrast |
$2,638 |
$3,298 |
$2,309 |
$196 | |
| CT scan of the chest with contrast |
$2,120 |
$2,650 |
$1,855 |
$167 | |
| CT scan of the chest without contrast |
$1,481 |
$1,851 |
$1,296 |
$133 | |
| CT scan of the head |
$1,816 |
$2,270 |
$1,589 |
$148 | |
| CT scan of the head with and without contrast |
$2,231 |
$2,789 |
$1,952 |
$173 | |
| CT scan of the head with contrast |
$1,816 |
$2,270 |
$1,589 |
$148 | |
| CT scan of the head without contrast |
$1,410 |
$1,763 |
$1,234 |
$107 | |
| CT scan of the leg |
$1,835 |
$2,294 |
$1,606 |
$166 | |
| CT scan of the leg with contrast |
$1,835 |
$2,294 |
$1,606 |
$166 | |
| CT scan of the leg without contrast |
$1,642 |
$2,052 |
$1,436 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,998 |
$2,498 |
$1,749 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,231 |
$2,789 |
$1,952 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,998 |
$2,498 |
$1,749 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,486 |
$1,858 |
$1,301 |
$130 | |
| CT scan of the neck |
$1,988 |
$2,485 |
$1,740 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,724 |
$2,155 |
$1,509 |
$168 | |
| CT scan of the neck (cervical spine) with contrast |
$1,724 |
$2,155 |
$1,509 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,724 |
$2,155 |
$1,509 |
$131 | |
| CT scan of the neck with and without contrast |
$2,231 |
$2,789 |
$1,952 |
$220 | |
| CT scan of the neck with contrast |
$1,988 |
$2,485 |
$1,740 |
$183 | |
| CT scan of the neck without contrast |
$1,614 |
$2,018 |
$1,413 |
$150 | |
| CT scan of the pelvis |
$1,958 |
$2,447 |
$1,713 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,718 |
$3,397 |
$2,378 |
$251 | |
| CT scan of the pelvis with contrast |
$1,958 |
$2,447 |
$1,713 |
$226 | |
| CT scan of the pelvis without contrast |
$1,643 |
$2,054 |
$1,438 |
$133 | |
| CT scan of the sinuses |
$1,816 |
$2,270 |
$1,589 |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,231 |
$2,789 |
$1,952 |
$184 | |
| CT scan of the sinuses with contrast |
$1,816 |
$2,270 |
$1,589 |
$152 | |
| CT scan of the sinuses without contrast |
$1,512 |
$1,890 |
$1,323 |
$128 | |
| D-dimer test |
$46 |
$57 |
$40 |
$10 | |
| Developmental screening (child) |
$167 |
$209 |
$146 |
— | |
| DHEA-sulfate test |
$132 |
$165 |
$116 |
$22 | |
| Diagnostic mammogram |
$412 |
$515 |
$360 |
$140 | |
| Drug screen (urine) |
$55 |
$69 |
$48 |
$17 | |
| Echocardiogram |
$1,258 |
$1,573 |
$1,101 |
$138 | |
| Echocardiogram with and without contrast |
$902 |
$1,128 |
$790 |
$101 | |
| EEG (awake and asleep) |
$714 |
$893 |
$625 |
$482 | |
| EKG / ECG (tracing only) |
$142 |
$178 |
$125 |
$7 | |
| Electrocardiogram (EKG) |
$142 |
$178 |
$125 |
$8 | |
| Electroencephalogram (EEG) |
$714 |
$893 |
$625 |
$448 | |
| Electrolyte panel |
$74 |
$92 |
$64 |
$7 | |
| Emergency department visit |
$595 |
$744 |
$521 |
$69 | |
| Emergency department visit (level 1) |
$276 |
$345 |
$242 |
$11 | |
| Emergency department visit (level 2) |
$403 |
$504 |
$353 |
$40 | |
| Emergency department visit (level 3) |
$595 |
$744 |
$521 |
$69 | |
| Emergency department visit (level 4) |
$839 |
$1,049 |
$734 |
$118 | |
| Emergency department visit (level 5) |
$1,286 |
$1,608 |
$1,126 |
$171 | |
| Estradiol (estrogen) test |
$90 |
$112 |
$78 |
$28 | |
| Fallopian tube X-ray (HSG) |
$549 |
$687 |
$481 |
$164 | |
| Fecal occult blood (stool) test |
$28 |
$36 |
$25 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$29 |
$36 |
$25 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$28 |
$35 |
$25 |
$16 | |
| Ferritin (iron) test |
$82 |
$103 |
$72 |
$14 | |
| Fibrinogen test |
$54 |
$67 |
$47 |
$10 | |
| Flu test |
$80 |
$100 |
$70 |
$17 | |
| Folate (folic acid) test |
$98 |
$123 |
$86 |
$15 | |
| Free T4 thyroid test |
$90 |
$113 |
$79 |
$9 | |
| FSH hormone test |
$119 |
$149 |
$104 |
$19 | |
| Gallbladder scan (HIDA) |
$1,293 |
$1,617 |
$1,132 |
$334 | |
| GGT liver test |
$46 |
$57 |
$40 |
$7 | |
| Glucose tolerance test |
$50 |
$62 |
$43 |
$8 | |
| H. pylori test |
$123 |
$154 |
$108 |
$67 | |
| HDL cholesterol test |
$46 |
$57 |
$40 |
$8 | |
| Hematocrit test |
$17 |
$21 |
$15 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$54 |
$67 |
$47 |
$10 | |
| Hepatitis B test |
$63 |
$79 |
$55 |
$10 | |
| Hepatitis C test |
$46 |
$57 |
$40 |
$14 | |
| HIV test |
$60 |
$75 |
$52 |
$19 | |
| HIV test (antibody) |
$90 |
$113 |
$79 |
$14 | |
| HIV test (antigen/antibody combo) |
$29 |
$36 |
$25 |
$24 | |
| Holter heart monitor |
$463 |
$579 |
$405 |
$26 | |
| Iron blood test |
$46 |
$57 |
$40 |
$6 | |
| IV infusion therapy |
$325 |
$406 |
$284 |
$44 | |
| IV infusion therapy (each additional) |
$214 |
$267 |
$187 |
$21 | |
| IV infusion therapy (initial) |
$436 |
$545 |
$382 |
$67 | |
| Kidney biopsy |
$2,556 |
$3,195 |
$2,237 |
$492 | |
| Kidney scan (nuclear) |
$1,226 |
$1,533 |
$1,073 |
$172 | |
| Kidney ultrasound |
$604 |
$756 |
$529 |
$84 | |
| Kidney ultrasound (limited) |
$502 |
$627 |
$439 |
$61 | |
| Knee joint injection |
$794 |
$992 |
$694 |
$69 | |
| Lactate test |
$74 |
$92 |
$64 |
$12 | |
| LDH test |
$46 |
$57 |
$40 |
$6 | |
| LDL cholesterol test |
$54 |
$67 |
$47 |
$11 | |
| Leg vein ultrasound (Doppler) |
$896 |
$1,120 |
$784 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$758 |
$947 |
$663 |
$116 | |
| LH hormone test |
$110 |
$138 |
$97 |
$19 | |
| Lipase test |
$46 |
$57 |
$40 |
$7 | |
| Lipid (cholesterol) panel |
$90 |
$113 |
$79 |
$13 | |
| Liver biopsy |
$2,556 |
$3,195 |
$2,237 |
$288 | |
| Liver function panel |
$74 |
$92 |
$64 |
$8 | |
| Lung function test (PFT) |
$507 |
$634 |
$444 |
$37 | |
| Lung scan (V/Q) |
$1,284 |
$1,605 |
$1,124 |
$291 | |
| Magnesium blood test |
$37 |
$46 |
$32 |
$7 | |
| MRA of the brain |
$2,661 |
$3,327 |
$2,329 |
$226 | |
| MRA of the brain without contrast |
$3,091 |
$3,864 |
$2,705 |
$328 | |
| MRA of the neck |
$2,607 |
$3,259 |
$2,281 |
$245 | |
| MRA of the neck without contrast |
$3,246 |
$4,057 |
$2,840 |
$343 | |
| MRI of the abdomen |
$2,454 |
$3,068 |
$2,148 |
$300 | |
| MRI of the abdomen with contrast |
$2,454 |
$3,068 |
$2,148 |
$300 | |
| MRI of the abdomen without contrast |
$2,405 |
$3,006 |
$2,104 |
$194 | |
| MRI of the ankle |
$2,957 |
$3,697 |
$2,588 |
$261 | |
| MRI of the ankle without contrast |
$2,475 |
$3,094 |
$2,166 |
$222 | |
| MRI of the brain |
$3,286 |
$4,108 |
$2,876 |
$269 | |
| MRI of the brain with contrast |
$3,286 |
$4,108 |
$2,876 |
$269 | |
| MRI of the brain without contrast |
$2,648 |
$3,310 |
$2,317 |
$195 | |
| MRI of the chest |
$2,892 |
$3,616 |
$2,531 |
$371 | |
| MRI of the chest without contrast |
$3,380 |
$4,225 |
$2,958 |
$466 | |
| MRI of the knee |
$2,485 |
$3,106 |
$2,174 |
$315 | |
| MRI of the knee with contrast |
$2,231 |
$2,789 |
$1,952 |
$315 | |
| MRI of the knee without contrast |
$2,485 |
$3,106 |
$2,174 |
$204 | |
| MRI of the lower back (lumbar spine) |
$3,286 |
$4,108 |
$2,876 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$3,286 |
$4,108 |
$2,876 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,779 |
$3,474 |
$2,432 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,830 |
$3,538 |
$2,477 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$4,037 |
$5,046 |
$3,532 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,830 |
$3,538 |
$2,477 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,496 |
$3,120 |
$2,184 |
$190 | |
| MRI of the neck (cervical spine) |
$2,830 |
$3,538 |
$2,477 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$3,986 |
$4,982 |
$3,487 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,830 |
$3,538 |
$2,477 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,506 |
$3,133 |
$2,193 |
$191 | |
| MRI of the pelvis |
$2,454 |
$3,068 |
$2,148 |
$268 | |
| MRI of the pelvis with contrast |
$2,454 |
$3,068 |
$2,148 |
$268 | |
| MRI of the pelvis without contrast |
$2,354 |
$2,942 |
$2,059 |
$227 | |
| MRI of the shoulder |
$2,598 |
$3,248 |
$2,274 |
$313 | |
| MRI of the shoulder with contrast |
$2,598 |
$3,248 |
$2,274 |
$313 | |
| MRI of the shoulder without contrast |
$2,576 |
$3,220 |
$2,254 |
$205 | |
| MRI of the wrist |
$2,795 |
$3,494 |
$2,446 |
$330 | |
| MRI of the wrist without contrast |
$2,151 |
$2,689 |
$1,882 |
$303 | |
| Nebulizer breathing treatment |
$227 |
$284 |
$199 |
$9 | |
| Nuclear cardiac stress test |
$3,448 |
$4,310 |
$3,017 |
$428 | |
| Occupational therapy evaluation |
$304 |
$380 |
$266 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$324 |
$405 |
$284 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$167 |
$209 |
$146 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$304 |
$380 |
$266 |
$101 | |
| Office visit (established patient) |
$118 |
$147 |
$103 |
$115 | |
| Office visit, established patient (level 3) |
$118 |
$147 |
$103 |
$95 | |
| Office visit, established patient (level 4) |
$118 |
$147 |
$103 |
$136 | |
| Pap smear (cervical screening) |
$106 |
$132 |
$92 |
$20 | |
| Parathyroid hormone (PTH) test |
$119 |
$149 |
$104 |
$41 | |
| Pelvic ultrasound |
$604 |
$756 |
$529 |
$78 | |
| Pelvic ultrasound (complete) |
$738 |
$923 |
$646 |
$105 | |
| Pelvic ultrasound (limited) |
$470 |
$588 |
$412 |
$51 | |
| PET scan |
$6,139 |
$7,674 |
$5,372 |
— | |
| Phosphorus blood test |
$29 |
$36 |
$25 |
$5 | |
| Physical therapy evaluation |
$304 |
$380 |
$266 |
$98 | |
| Physical therapy evaluation (high complexity) |
$324 |
$405 |
$284 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$304 |
$380 |
$266 |
$98 | |
| Platelet count |
$37 |
$46 |
$32 |
$4 | |
| Pregnancy blood test (hCG) |
$95 |
$119 |
$83 |
$8 | |
| Pregnancy ultrasound |
$727 |
$909 |
$636 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$758 |
$947 |
$663 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$696 |
$870 |
$609 |
$136 | |
| Procalcitonin test |
$29 |
$36 |
$25 |
$27 | |
| Prolactin test |
$127 |
$159 |
$111 |
$19 | |
| Prostate test (PSA) |
$101 |
$126 |
$88 |
$18 | |
| Pulmonary rehabilitation |
$166 |
$207 |
$145 |
$87 | |
| Rheumatoid factor test |
$46 |
$57 |
$40 |
$6 | |
| Scoliosis spine X-ray |
$358 |
$448 |
$314 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$270 |
$338 |
$237 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$446 |
$558 |
$391 |
$72 | |
| Screening mammogram |
$444 |
$555 |
$389 |
$126 | |
| Scrotal ultrasound |
$696 |
$870 |
$609 |
$99 | |
| Sedimentation rate (ESR) test |
$63 |
$79 |
$55 |
$3 | |
| Semen analysis |
$90 |
$113 |
$79 |
$12 | |
| Sex hormone binding globulin test |
$39 |
$49 |
$34 |
$22 | |
| Skin biopsy |
$618 |
$772 |
$540 |
$121 | |
| Skin biopsy (punch) |
$618 |
$772 |
$540 |
$121 | |
| Sleep study (polysomnography) |
$3,664 |
$4,580 |
$3,206 |
$691 | |
| Soft tissue ultrasound |
$432 |
$540 |
$378 |
$64 | |
| Speech therapy |
$174 |
$217 |
$152 |
$76 | |
| Spinal tap (lumbar puncture) |
$570 |
$712 |
$498 |
$165 | |
| Spirometry (lung function test) |
$346 |
$432 |
$302 |
$30 | |
| Spirometry with bronchodilator |
$669 |
$836 |
$585 |
$43 | |
| Strep throat test |
$51 |
$64 |
$45 |
$17 | |
| Swallow study |
$304 |
$380 |
$266 |
$85 | |
| T3 thyroid test |
$82 |
$103 |
$72 |
$14 | |
| Testosterone test |
$63 |
$79 |
$55 |
$26 | |
| Thyroid test (TSH) |
$127 |
$159 |
$111 |
$17 | |
| Thyroid ultrasound |
$490 |
$613 |
$429 |
$109 | |
| Total IgE allergy test |
$26 |
$33 |
$23 |
$16 | |
| Total protein test |
$17 |
$21 |
$15 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$1,362 |
$1,703 |
$1,192 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,362 |
$1,703 |
$1,192 |
$239 | |
| Transvaginal ultrasound |
$604 |
$755 |
$529 |
$118 | |
| Trigger point injection |
$810 |
$1,012 |
$708 |
$56 | |
| Trigger point injection (1-2 muscles) |
$749 |
$936 |
$655 |
$52 | |
| Triglycerides test |
$29 |
$36 |
$25 |
$6 | |
| Troponin (heart) test |
$110 |
$138 |
$97 |
$12 | |
| Turning a breech baby (version) |
$866 |
$1,083 |
$758 |
$94 | |
| Upper GI series (barium) |
$676 |
$845 |
$591 |
$128 | |
| Uric acid (gout) test |
$29 |
$36 |
$25 |
$5 | |
| Urinalysis |
$35 |
$44 |
$31 |
$3 | |
| Urine microalbumin test |
$37 |
$47 |
$33 |
$5 | |
| Urine pregnancy test |
$54 |
$67 |
$47 |
$9 | |
| Vaccine administration |
$80 |
$100 |
$70 |
$19 | |
| Vaccine administration (each additional) |
$78 |
$98 |
$69 |
$16 | |
| Vitamin B12 test |
$82 |
$103 |
$72 |
$15 | |
| Vitamin D test |
$90 |
$113 |
$79 |
$30 | |
| Wound debridement |
$1,222 |
$1,528 |
$1,069 |
$186 | |
| X-ray of the abdomen |
$324 |
$405 |
$284 |
$36 | |
| X-ray of the ankle |
$314 |
$392 |
$274 |
$37 | |
| X-ray of the collarbone |
$241 |
$301 |
$211 |
$33 | |
| X-ray of the elbow |
$230 |
$288 |
$202 |
$33 | |
| X-ray of the facial bones |
$276 |
$346 |
$242 |
$39 | |
| X-ray of the foot |
$314 |
$392 |
$274 |
$34 | |
| X-ray of the forearm |
$230 |
$288 |
$202 |
$29 | |
| X-ray of the hand |
$302 |
$378 |
$265 |
$38 | |
| X-ray of the hip |
$152 |
$190 |
$133 |
$49 | |
| X-ray of the hip (1 view) |
$109 |
$136 |
$95 |
$34 | |
| X-ray of the hip (3 views) |
$194 |
$243 |
$170 |
$49 | |
| X-ray of the knee |
$324 |
$405 |
$284 |
$42 | |
| X-ray of the knee (2 views) |
$262 |
$327 |
$229 |
$34 | |
| X-ray of the knee (3 views) |
$324 |
$405 |
$284 |
$42 | |
| X-ray of the knee (4+ views) |
$345 |
$431 |
$302 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$381 |
$476 |
$333 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$345 |
$431 |
$302 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$417 |
$521 |
$365 |
$53 | |
| X-ray of the lower leg |
$250 |
$312 |
$218 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$262 |
$327 |
$229 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$230 |
$288 |
$202 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$293 |
$366 |
$256 |
$39 | |
| X-ray of the neck (cervical spine) |
$371 |
$464 |
$324 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$302 |
$378 |
$265 |
$40 | |
| X-ray of the pelvis |
$307 |
$384 |
$268 |
$36 | |
| X-ray of the pelvis (1 view) |
$227 |
$284 |
$199 |
$28 | |
| X-ray of the ribs |
$250 |
$312 |
$218 |
$42 | |
| X-ray of the ribs (2 views) |
$187 |
$234 |
$164 |
$36 | |
| X-ray of the ribs (3 views) |
$345 |
$431 |
$302 |
$42 | |
| X-ray of the shoulder |
$314 |
$392 |
$274 |
$36 | |
| X-ray of the skull |
$313 |
$392 |
$274 |
$40 | |
| X-ray of the upper arm |
$270 |
$338 |
$237 |
$32 | |
| X-ray of the wrist |
$308 |
$385 |
$270 |
$43 | |
| Zinc blood test |
$46 |
$58 |
$41 |
$11 | |