| 3D mammogram (tomosynthesis) |
$283 |
$283 |
$204 |
$51 | |
| Abdominal ultrasound |
$328 |
$328 |
$208 |
$100 | |
| Abdominal ultrasound (complete) |
$339 |
$339 |
$201 |
$114 | |
| Abdominal ultrasound (limited) |
$317 |
$317 |
$208 |
$86 | |
| Abscess drainage (simple) |
$248 |
$248 |
$181 |
$129 | |
| Abscess incision and drainage |
$248 |
$248 |
$181 |
$174 | |
| Albumin blood test |
$29 |
$29 |
$16 |
$5 | |
| Aldosterone test |
$264 |
$264 |
$41 |
$41 | |
| Alkaline phosphatase test |
$31 |
$31 |
$5 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$91 |
$91 |
$52 |
$17 | |
| ALT liver enzyme test |
$29 |
$29 |
$5 |
$5 | |
| Ammonia blood test |
$79 |
$79 |
$58 |
$15 | |
| Amylase test |
$39 |
$39 |
$14 |
$6 | |
| Annual physical (established patient) |
$248 |
$248 |
$138 |
— | |
| Annual physical (new patient) |
$253 |
$253 |
$230 |
— | |
| Antinuclear antibody (ANA) test |
$73 |
$73 |
$12 |
$12 | |
| Arterial blood gas (ABG) |
$385 |
$385 |
$216 |
$26 | |
| AST liver enzyme test |
$29 |
$29 |
$10 |
$5 | |
| Basic metabolic panel |
$132 |
$132 |
$74 |
$8 | |
| Bilirubin blood test |
$30 |
$30 |
$5 |
$5 | |
| Blood clotting test (PT/INR) |
$29 |
$29 |
$15 |
$4 | |
| Blood crossmatch |
$251 |
$251 |
$144 |
— | |
| Blood glucose test |
$24 |
$24 |
$4 |
$5 | |
| Blood transfusion |
$1,092 |
$1,092 |
$652 |
$47 | |
| Blood type and screen |
$74 |
$74 |
$41 |
$10 | |
| Blood type test |
$123 |
$123 |
$32 |
$3 | |
| Blood type test (ABO group) |
$189 |
$189 |
$106 |
$3 | |
| Blood type test (Rh/D antigen) |
$57 |
$57 |
$32 |
$3 | |
| BNP (heart failure) test |
$220 |
$220 |
$123 |
$39 | |
| Bone density scan (DEXA) |
$422 |
$422 |
$255 |
$39 | |
| Breast ultrasound |
$455 |
$455 |
$205 |
$92 | |
| Breast ultrasound (complete) |
$339 |
$339 |
$244 |
$100 | |
| Breast ultrasound (limited) |
$570 |
$570 |
$205 |
$84 | |
| Breathing tube insertion (intubation) |
$523 |
$523 |
$338 |
$133 | |
| C-reactive protein (CRP) |
$37 |
$37 |
$23 |
$5 | |
| CA 19-9 tumor marker test |
$111 |
$111 |
$21 |
$21 | |
| CA-125 ovarian marker test |
$111 |
$111 |
$21 |
$21 | |
| Calcium blood test |
$29 |
$29 |
$16 |
$5 | |
| Carotid artery ultrasound |
$640 |
$640 |
$398 |
$156 | |
| CEA tumor marker test |
$108 |
$108 |
$40 |
$19 | |
| Celiac disease test |
$99 |
$99 |
$12 |
$12 | |
| Chest X-ray |
$178 |
$178 |
$110 |
$37 | |
| Chest X-ray (1 view) |
$162 |
$162 |
$101 |
$25 | |
| Chest X-ray (2 views) |
$193 |
$193 |
$131 |
$33 | |
| CK-MB heart enzyme test |
$54 |
$54 |
$30 |
$12 | |
| Clotting time test (PTT) |
$37 |
$37 |
$18 |
$6 | |
| Colonoscopy |
$3,347 |
$3,347 |
$1,917 |
$480 | |
| Complete blood count (CBC) |
$83 |
$83 |
$46 |
$7 | |
| Complete blood count (CBC) (complete) |
$83 |
$83 |
$46 |
$8 | |
| Comprehensive metabolic panel |
$165 |
$165 |
$93 |
$11 | |
| Copper blood test |
$55 |
$55 |
$20 |
$12 | |
| Cortisol test |
$121 |
$121 |
$51 |
$16 | |
| CPAP titration study |
$369 |
$369 |
$265 |
$69 | |
| Creatine kinase (CK) test |
$37 |
$37 |
$21 |
$7 | |
| CT angiography of the chest |
$1,943 |
$1,943 |
$1,040 |
$281 | |
| CT angiography of the head |
$2,533 |
$2,533 |
$1,538 |
$274 | |
| CT scan of the abdomen |
$1,339 |
$1,339 |
$946 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,705 |
$2,705 |
$1,575 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,454 |
$3,454 |
$2,398 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,705 |
$2,705 |
$1,549 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,187 |
$2,187 |
$1,252 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,937 |
$1,937 |
$1,233 |
$259 | |
| CT scan of the abdomen with contrast |
$1,339 |
$1,339 |
$891 |
$230 | |
| CT scan of the abdomen without contrast |
$1,313 |
$1,313 |
$946 |
$136 | |
| CT scan of the arm |
$1,128 |
$1,128 |
$692 |
$199 | |
| CT scan of the arm with contrast |
$1,128 |
$1,128 |
$746 |
$199 | |
| CT scan of the arm without contrast |
$961 |
$961 |
$616 |
$161 | |
| CT scan of the chest |
$1,348 |
$1,348 |
$805 |
$167 | |
| CT scan of the chest with and without contrast |
$1,618 |
$1,618 |
$1,046 |
$196 | |
| CT scan of the chest with contrast |
$1,348 |
$1,348 |
$858 |
$167 | |
| CT scan of the chest without contrast |
$1,128 |
$1,128 |
$646 |
$133 | |
| CT scan of the head |
$1,322 |
$1,322 |
$812 |
$148 | |
| CT scan of the head with and without contrast |
$1,432 |
$1,432 |
$1,031 |
$173 | |
| CT scan of the head with contrast |
$1,322 |
$1,322 |
$960 |
$148 | |
| CT scan of the head without contrast |
$1,128 |
$1,128 |
$709 |
$107 | |
| CT scan of the leg |
$1,129 |
$1,129 |
$692 |
$166 | |
| CT scan of the leg with contrast |
$1,128 |
$1,128 |
$812 |
$166 | |
| CT scan of the leg without contrast |
$1,130 |
$1,130 |
$670 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,246 |
$1,246 |
$791 |
$169 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,364 |
$1,364 |
$771 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,128 |
$1,128 |
$812 |
$130 | |
| CT scan of the neck |
$1,213 |
$1,213 |
$859 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,123 |
$1,123 |
$731 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,123 |
$1,123 |
$731 |
$131 | |
| CT scan of the neck with and without contrast |
$1,491 |
$1,491 |
$845 |
$220 | |
| CT scan of the neck with contrast |
$1,213 |
$1,213 |
$874 |
$183 | |
| CT scan of the neck without contrast |
$1,010 |
$1,010 |
$727 |
$150 | |
| CT scan of the pelvis |
$1,231 |
$1,231 |
$788 |
$226 | |
| CT scan of the pelvis with contrast |
$1,366 |
$1,366 |
$984 |
$226 | |
| CT scan of the pelvis without contrast |
$1,095 |
$1,095 |
$788 |
$133 | |
| CT scan of the sinuses |
$1,187 |
$1,187 |
$812 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,474 |
$1,474 |
$1,126 |
$184 | |
| CT scan of the sinuses with contrast |
$1,187 |
$1,187 |
$855 |
$152 | |
| CT scan of the sinuses without contrast |
$1,128 |
$1,128 |
$812 |
$128 | |
| D-dimer test |
$66 |
$66 |
$35 |
$10 | |
| DHEA-sulfate test |
$111 |
$111 |
$22 |
$22 | |
| Diagnostic mammogram |
$235 |
$235 |
$151 |
$140 | |
| Drug screen (urine) |
$124 |
$124 |
$62 |
$17 | |
| Echocardiogram |
$1,322 |
$1,322 |
$822 |
$138 | |
| EKG / ECG (tracing only) |
$138 |
$138 |
$120 |
$7 | |
| Electrocardiogram (EKG) |
$138 |
$138 |
$120 |
$8 | |
| Electrolyte panel |
$37 |
$37 |
$21 |
$7 | |
| Emergency department visit |
$363 |
$363 |
$261 |
$69 | |
| Emergency department visit (level 1) |
$188 |
$188 |
$119 |
$11 | |
| Emergency department visit (level 2) |
$242 |
$242 |
$154 |
$40 | |
| Emergency department visit (level 3) |
$363 |
$363 |
$226 |
$69 | |
| Emergency department visit (level 4) |
$484 |
$484 |
$304 |
$118 | |
| Emergency department visit (level 5) |
$726 |
$726 |
$439 |
$171 | |
| Esophageal dilation |
$2,659 |
$2,659 |
$1,523 |
$522 | |
| Estradiol (estrogen) test |
$155 |
$155 |
$28 |
$28 | |
| Fecal occult blood (stool) test |
$74 |
$74 |
$19 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$39 |
$39 |
$19 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$108 |
$108 |
$38 |
$16 | |
| Ferritin (iron) test |
$84 |
$84 |
$47 |
$14 | |
| Fibrinogen test |
$41 |
$41 |
$10 |
$10 | |
| Folate (folic acid) test |
$87 |
$87 |
$49 |
$15 | |
| Free T4 thyroid test |
$55 |
$55 |
$29 |
$9 | |
| FSH hormone test |
$111 |
$111 |
$19 |
$19 | |
| GGT liver test |
$31 |
$31 |
$7 |
$7 | |
| H. pylori test |
$149 |
$149 |
$56 |
$67 | |
| Hematocrit test |
$17 |
$17 |
$9 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$58 |
$58 |
$33 |
$10 | |
| Hepatitis B test |
$64 |
$64 |
$10 |
$10 | |
| Hepatitis C test |
$89 |
$89 |
$14 |
$14 | |
| HIV test |
$138 |
$138 |
$24 |
$19 | |
| HIV test (antigen/antibody combo) |
$138 |
$138 |
$24 |
$24 | |
| Holter heart monitor |
$275 |
$275 |
$174 |
$26 | |
| Iron blood test |
$35 |
$35 |
$19 |
$6 | |
| IV infusion therapy |
$206 |
$206 |
$194 |
$44 | |
| IV infusion therapy (each additional) |
$67 |
$67 |
$38 |
$21 | |
| IV infusion therapy (initial) |
$344 |
$344 |
$197 |
$67 | |
| Kidney ultrasound |
$339 |
$339 |
$208 |
$84 | |
| Lactate test |
$70 |
$70 |
$40 |
$12 | |
| LDH test |
$31 |
$31 |
$6 |
$6 | |
| LDL cholesterol test |
$41 |
$41 |
$23 |
$11 | |
| Leg vein ultrasound (Doppler) |
$490 |
$490 |
$273 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$380 |
$380 |
$227 |
$116 | |
| LH hormone test |
$32 |
$32 |
$19 |
$19 | |
| Lipase test |
$45 |
$45 |
$16 |
$7 | |
| Lipid (cholesterol) panel |
$138 |
$138 |
$77 |
$13 | |
| Liver function panel |
$51 |
$51 |
$16 |
$8 | |
| Lung function test (PFT) |
$468 |
$468 |
$284 |
$37 | |
| Magnesium blood test |
$50 |
$50 |
$17 |
$7 | |
| MRA of the brain |
$2,368 |
$2,368 |
$1,507 |
$226 | |
| MRI of the abdomen |
$2,929 |
$2,929 |
$1,751 |
$300 | |
| MRI of the abdomen with contrast |
$2,929 |
$2,929 |
$2,109 |
$300 | |
| MRI of the abdomen without contrast |
$2,448 |
$2,448 |
$1,208 |
$194 | |
| MRI of the brain |
$2,890 |
$2,890 |
$1,705 |
$269 | |
| MRI of the brain with contrast |
$2,890 |
$2,890 |
$1,863 |
$269 | |
| MRI of the brain without contrast |
$2,367 |
$2,367 |
$1,561 |
$195 | |
| MRI of the knee |
$2,775 |
$2,775 |
$1,546 |
$315 | |
| MRI of the knee without contrast |
$2,312 |
$2,312 |
$1,530 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,923 |
$2,923 |
$1,751 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,431 |
$2,431 |
$1,530 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,918 |
$2,918 |
$1,670 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$3,388 |
$3,388 |
$2,190 |
$319 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,448 |
$2,448 |
$1,490 |
$190 | |
| MRI of the neck (cervical spine) |
$2,897 |
$2,897 |
$1,726 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$3,507 |
$3,507 |
$2,525 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,897 |
$2,897 |
$1,873 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,397 |
$2,397 |
$1,726 |
$191 | |
| MRI of the pelvis |
$2,918 |
$2,918 |
$974 |
$268 | |
| MRI of the pelvis without contrast |
$2,448 |
$2,448 |
$630 |
$227 | |
| MRI of the shoulder |
$2,312 |
$2,312 |
$1,324 |
$313 | |
| MRI of the shoulder without contrast |
$2,312 |
$2,312 |
$1,324 |
$205 | |
| MRI of the wrist |
$2,363 |
$2,363 |
$1,701 |
$330 | |
| MRI of the wrist without contrast |
$2,363 |
$2,363 |
$1,701 |
$303 | |
| Nebulizer breathing treatment |
$317 |
$317 |
$156 |
$9 | |
| Occupational therapy evaluation |
$417 |
$417 |
$82 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$417 |
$417 |
$95 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$417 |
$417 |
$81 |
$101 | |
| Office visit (established patient) |
$164 |
$164 |
$220 |
$115 | |
| Office visit (new patient) |
$193 |
$193 |
$294 |
$177 | |
| Office visit, established patient (level 3) |
$160 |
$160 |
$145 |
$95 | |
| Office visit, established patient (level 4) |
$167 |
$167 |
$295 |
$136 | |
| Office visit, new patient (level 3) |
$193 |
$193 |
$294 |
$118 | |
| Parathyroid hormone (PTH) test |
$29 |
$29 |
$78 |
$41 | |
| Pelvic ultrasound |
$360 |
$360 |
$244 |
$78 | |
| Pelvic ultrasound (complete) |
$339 |
$339 |
$230 |
$105 | |
| Pelvic ultrasound (limited) |
$380 |
$380 |
$273 |
$51 | |
| Phosphorus blood test |
$24 |
$24 |
$12 |
$5 | |
| Physical therapy evaluation |
$413 |
$413 |
$79 |
$98 | |
| Physical therapy evaluation (high complexity) |
$413 |
$413 |
$79 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$413 |
$413 |
$78 |
$98 | |
| Pregnancy blood test (hCG) |
$45 |
$45 |
$8 |
$8 | |
| Pregnancy ultrasound |
$380 |
$380 |
$273 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$380 |
$380 |
$273 |
$117 | |
| Procalcitonin test |
$853 |
$853 |
$775 |
$27 | |
| Prolactin test |
$64 |
$64 |
$19 |
$19 | |
| Prostate test (PSA) |
$78 |
$78 |
$32 |
$18 | |
| Scoliosis spine X-ray |
$144 |
$144 |
$104 |
$58 | |
| Scoliosis spine X-ray (3 views) |
$144 |
$144 |
$104 |
$72 | |
| Screening mammogram |
$221 |
$221 |
$150 |
$126 | |
| Scrotal ultrasound |
$339 |
$339 |
$244 |
$99 | |
| Sedimentation rate (ESR) test |
$24 |
$24 |
$14 |
$3 | |
| Simple laceration repair (small, up to 2.5 cm) |
$303 |
$303 |
$173 |
$114 | |
| Simple wound stitches |
$288 |
$288 |
$173 |
$127 | |
| Soft tissue ultrasound |
$339 |
$339 |
$244 |
$64 | |
| Speech therapy |
$305 |
$305 |
$50 |
$76 | |
| Spirometry (lung function test) |
$440 |
$440 |
$235 |
$30 | |
| Spirometry with bronchodilator |
$495 |
$495 |
$296 |
$43 | |
| Swallow study |
$377 |
$377 |
$37 |
$85 | |
| T3 thyroid test |
$72 |
$72 |
$40 |
$14 | |
| Tdap (tetanus) vaccine |
$200 |
$200 |
$145 |
— | |
| Testosterone test |
$146 |
$146 |
$26 |
$26 | |
| Thyroid test (TSH) |
$99 |
$99 |
$56 |
$17 | |
| Thyroid ultrasound |
$339 |
$339 |
$204 |
$109 | |
| Total IgE allergy test |
$94 |
$94 |
$16 |
$16 | |
| Transvaginal ultrasound |
$570 |
$570 |
$410 |
$118 | |
| Triglycerides test |
$30 |
$30 |
$6 |
$6 | |
| Troponin (heart) test |
$227 |
$227 |
$127 |
$12 | |
| Upper GI endoscopy (EGD) |
$2,659 |
$2,659 |
$1,523 |
$371 | |
| Uric acid (gout) test |
$29 |
$29 |
$16 |
$5 | |
| Urinalysis |
$39 |
$39 |
$19 |
$3 | |
| Urine microalbumin test |
$35 |
$35 |
$17 |
$5 | |
| Urine pregnancy test |
$28 |
$28 |
$9 |
$9 | |
| Vaccine administration |
$70 |
$70 |
$63 |
$19 | |
| Vitamin B12 test |
$94 |
$94 |
$53 |
$15 | |
| Vitamin D test |
$180 |
$180 |
$101 |
$30 | |
| X-ray of the abdomen |
$175 |
$175 |
$115 |
$36 | |
| X-ray of the ankle |
$150 |
$150 |
$92 |
$37 | |
| X-ray of the collarbone |
$134 |
$134 |
$95 |
$33 | |
| X-ray of the elbow |
$177 |
$177 |
$120 |
$33 | |
| X-ray of the facial bones |
$163 |
$163 |
$137 |
$39 | |
| X-ray of the foot |
$165 |
$165 |
$106 |
$34 | |
| X-ray of the forearm |
$127 |
$127 |
$88 |
$29 | |
| X-ray of the hand |
$144 |
$144 |
$92 |
$38 | |
| X-ray of the hip |
$155 |
$155 |
$95 |
$49 | |
| X-ray of the hip (1 view) |
$165 |
$165 |
$95 |
$34 | |
| X-ray of the hip (3 views) |
$144 |
$144 |
$97 |
$49 | |
| X-ray of the knee |
$169 |
$169 |
$106 |
$42 | |
| X-ray of the knee (2 views) |
$144 |
$144 |
$83 |
$34 | |
| X-ray of the knee (3 views) |
$169 |
$169 |
$99 |
$42 | |
| X-ray of the knee (4+ views) |
$186 |
$186 |
$127 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$208 |
$208 |
$125 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$162 |
$162 |
$116 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$254 |
$254 |
$179 |
$53 | |
| X-ray of the lower leg |
$153 |
$153 |
$99 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$160 |
$160 |
$115 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$160 |
$160 |
$115 |
$33 | |
| X-ray of the neck (cervical spine) |
$206 |
$206 |
$108 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$144 |
$144 |
$104 |
$40 | |
| X-ray of the pelvis |
$160 |
$160 |
$95 |
$36 | |
| X-ray of the pelvis (1 view) |
$132 |
$132 |
$85 |
$28 | |
| X-ray of the ribs |
$212 |
$212 |
$120 |
$42 | |
| X-ray of the ribs (2 views) |
$153 |
$153 |
$99 |
$36 | |
| X-ray of the ribs (3 views) |
$212 |
$212 |
$122 |
$42 | |
| X-ray of the shoulder |
$165 |
$165 |
$105 |
$36 | |
| X-ray of the skull |
$195 |
$195 |
$130 |
$40 | |
| X-ray of the upper arm |
$128 |
$128 |
$81 |
$32 | |
| X-ray of the wrist |
$165 |
$165 |
$113 |
$43 | |
| Zinc blood test |
$58 |
$58 |
$11 |
$11 | |