| 3D mammogram (tomosynthesis) |
$62 |
$78 |
— |
$51 | |
| Abdominal ultrasound |
$256 |
$320 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$256 |
$320 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$256 |
$320 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$549 |
$687 |
— |
$220 | |
| Abscess drainage (simple) |
$349 |
$436 |
— |
$129 | |
| Abscess incision and drainage |
$449 |
$561 |
— |
$174 | |
| Albumin blood test |
$91 |
$114 |
— |
$5 | |
| Aldosterone test |
$134 |
$168 |
— |
$41 | |
| Alkaline phosphatase test |
$85 |
$106 |
— |
$5 | |
| Alpha-fetoprotein (AFP) test |
$55 |
$69 |
— |
$17 | |
| ALT liver enzyme test |
$46 |
$57 |
— |
$5 | |
| Ammonia blood test |
$218 |
$272 |
— |
$15 | |
| Amylase test |
$189 |
$237 |
— |
$6 | |
| Antinuclear antibody (ANA) test |
$40 |
$50 |
— |
$12 | |
| Arterial blood gas (ABG) |
$700 |
$875 |
— |
$26 | |
| AST liver enzyme test |
$41 |
$51 |
— |
$5 | |
| Basic metabolic panel |
$192 |
$239 |
— |
$8 | |
| Bilirubin blood test |
$90 |
$112 |
— |
$5 | |
| Blood clotting test (PT/INR) |
$183 |
$229 |
— |
$4 | |
| Blood crossmatch |
$515 |
$643 |
— |
— | |
| Blood glucose test |
$66 |
$82 |
— |
$5 | |
| Blood transfusion |
$2,162 |
$2,703 |
— |
$47 | |
| Blood type and screen |
$25 |
$31 |
— |
$10 | |
| Blood type test |
$97 |
$121 |
— |
$3 | |
| Blood type test (ABO group) |
$76 |
$96 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$118 |
$147 |
— |
$3 | |
| BNP (heart failure) test |
$664 |
$830 |
— |
$39 | |
| Botox for migraine |
$253 |
$317 |
— |
$157 | |
| Breathing tube insertion (intubation) |
$2,240 |
$2,800 |
— |
$133 | |
| Burn dressing and debridement (small) |
$256 |
$320 |
— |
$93 | |
| Burn treatment |
$256 |
$320 |
— |
$129 | |
| C-reactive protein (CRP) |
$21 |
$26 |
— |
$5 | |
| CA 19-9 tumor marker test |
$69 |
$86 |
— |
$21 | |
| CA-125 ovarian marker test |
$69 |
$86 |
— |
$21 | |
| Calcium blood test |
$70 |
$87 |
— |
$5 | |
| Cardioversion |
$802 |
$1,002 |
— |
$155 | |
| Carotid artery ultrasound |
$422 |
$527 |
— |
$156 | |
| CEA tumor marker test |
$62 |
$78 |
— |
$19 | |
| Celiac disease test |
$27 |
$33 |
— |
$12 | |
| Central line placement |
$718 |
$897 |
— |
$238 | |
| Chest tube insertion |
$967 |
$1,209 |
— |
$143 | |
| Chest X-ray |
$32 |
$40 |
— |
$37 | |
| Chest X-ray (1 view) |
$32 |
$40 |
— |
$25 | |
| Chest X-ray (2 views) |
$32 |
$40 |
— |
$33 | |
| CK-MB heart enzyme test |
$38 |
$48 |
— |
$12 | |
| Clotting time test (PTT) |
$208 |
$260 |
— |
$6 | |
| Complete blood count (CBC) |
$156 |
$195 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$174 |
$217 |
— |
$8 | |
| Comprehensive metabolic panel |
$227 |
$284 |
— |
$11 | |
| Copper blood test |
$41 |
$51 |
— |
$12 | |
| Cortisol test |
$54 |
$67 |
— |
$16 | |
| COVID-19 PCR test |
$129 |
$161 |
— |
$51 | |
| Creatine kinase (CK) test |
$153 |
$192 |
— |
$7 | |
| CT angiography of the chest |
$1,641 |
$2,051 |
— |
$281 | |
| CT angiography of the head |
$1,641 |
$2,051 |
— |
$274 | |
| CT scan of the abdomen |
$1,641 |
$2,051 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$1,917 |
$2,396 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,791 |
$3,489 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$1,641 |
$2,051 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,917 |
$2,396 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,641 |
$2,051 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$1,641 |
$2,051 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$863 |
$1,078 |
— |
$136 | |
| CT scan of the arm |
$1,252 |
$1,565 |
— |
$199 | |
| CT scan of the arm with contrast |
$1,641 |
$2,051 |
— |
$199 | |
| CT scan of the arm without contrast |
$863 |
$1,078 |
— |
$161 | |
| CT scan of the chest |
$1,641 |
$2,051 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$1,641 |
$2,051 |
— |
$196 | |
| CT scan of the chest with contrast |
$1,641 |
$2,051 |
— |
$167 | |
| CT scan of the chest without contrast |
$863 |
$1,078 |
— |
$133 | |
| CT scan of the head |
$1,641 |
$2,051 |
— |
$148 | |
| CT scan of the head with and without contrast |
$1,641 |
$2,051 |
— |
$173 | |
| CT scan of the head with contrast |
$1,641 |
$2,051 |
— |
$148 | |
| CT scan of the head without contrast |
$863 |
$1,078 |
— |
$107 | |
| CT scan of the leg |
$1,252 |
$1,565 |
— |
$166 | |
| CT scan of the leg with contrast |
$1,641 |
$2,051 |
— |
$166 | |
| CT scan of the leg without contrast |
$863 |
$1,078 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$863 |
$1,078 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$863 |
$1,078 |
— |
$130 | |
| CT scan of the neck |
$1,641 |
$2,051 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$863 |
$1,078 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$863 |
$1,078 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$1,641 |
$2,051 |
— |
$220 | |
| CT scan of the neck with contrast |
$1,641 |
$2,051 |
— |
$183 | |
| CT scan of the neck without contrast |
$863 |
$1,078 |
— |
$150 | |
| CT scan of the pelvis |
$1,252 |
$1,565 |
— |
$226 | |
| CT scan of the pelvis with contrast |
$1,641 |
$2,051 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$863 |
$1,078 |
— |
$133 | |
| CT scan of the sinuses |
$1,641 |
$2,051 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,641 |
$2,051 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$1,641 |
$2,051 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$863 |
$1,078 |
— |
$128 | |
| D-dimer test |
$327 |
$408 |
— |
$10 | |
| DHEA-sulfate test |
$73 |
$91 |
— |
$22 | |
| Diagnostic mammogram |
$306 |
$382 |
— |
$140 | |
| Drug screen (urine) |
$155 |
$193 |
— |
$17 | |
| EKG / ECG (tracing only) |
$666 |
$832 |
— |
$7 | |
| Electrocardiogram (EKG) |
$366 |
$458 |
— |
$8 | |
| Electrolyte panel |
$135 |
$169 |
— |
$7 | |
| Emergency department visit |
$2,202 |
$2,752 |
— |
$69 | |
| Emergency department visit (level 1) |
$375 |
$468 |
— |
$11 | |
| Emergency department visit (level 2) |
$1,177 |
$1,472 |
— |
$40 | |
| Emergency department visit (level 3) |
$2,202 |
$2,752 |
— |
$69 | |
| Emergency department visit (level 4) |
$3,204 |
$4,006 |
— |
$118 | |
| Emergency department visit (level 5) |
$5,802 |
$7,253 |
— |
$171 | |
| Estradiol (estrogen) test |
$92 |
$115 |
— |
$28 | |
| Fecal occult blood (stool) test |
$61 |
$76 |
— |
$10 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$61 |
$76 |
— |
$16 | |
| Ferritin (iron) test |
$45 |
$56 |
— |
$14 | |
| Folate (folic acid) test |
$48 |
$60 |
— |
$15 | |
| Foreign body removal (skin) |
$387 |
$483 |
— |
$157 | |
| Free T4 thyroid test |
$188 |
$235 |
— |
$9 | |
| FSH hormone test |
$61 |
$76 |
— |
$19 | |
| GGT liver test |
$24 |
$30 |
— |
$7 | |
| Glucose tolerance test |
$251 |
$314 |
— |
$8 | |
| H. pylori test |
$221 |
$277 |
— |
$67 | |
| HDL cholesterol test |
$27 |
$34 |
— |
$8 | |
| Hematocrit test |
$71 |
$88 |
— |
$2 | |
| Hemoglobin A1c (diabetes test) |
$188 |
$235 |
— |
$10 | |
| Hepatitis B test |
$34 |
$42 |
— |
$10 | |
| Hepatitis C test |
$47 |
$59 |
— |
$14 | |
| HIV test |
$79 |
$99 |
— |
$19 | |
| HIV test (antigen/antibody combo) |
$79 |
$99 |
— |
$24 | |
| Iron blood test |
$21 |
$27 |
— |
$6 | |
| IV infusion therapy |
$541 |
$676 |
— |
$44 | |
| IV infusion therapy (each additional) |
$458 |
$573 |
— |
$21 | |
| IV infusion therapy (initial) |
$623 |
$779 |
— |
$67 | |
| Joint aspiration (small/intermediate) |
$625 |
$782 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$625 |
$782 |
— |
$57 | |
| Kidney ultrasound |
$256 |
$320 |
— |
$84 | |
| Knee joint injection |
$790 |
$988 |
— |
$69 | |
| Lactate test |
$210 |
$262 |
— |
$12 | |
| LDH test |
$24 |
$30 |
— |
$6 | |
| LDL cholesterol test |
$182 |
$227 |
— |
$11 | |
| Leg vein ultrasound (Doppler) |
$398 |
$498 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$256 |
$320 |
— |
$116 | |
| LH hormone test |
$61 |
$76 |
— |
$19 | |
| Lipase test |
$135 |
$169 |
— |
$7 | |
| Lipid (cholesterol) panel |
$248 |
$310 |
— |
$13 | |
| Liver function panel |
$162 |
$202 |
— |
$8 | |
| Magnesium blood test |
$129 |
$162 |
— |
$7 | |
| Nebulizer breathing treatment |
$238 |
$298 |
— |
$9 | |
| Office visit (established patient) |
$138 |
$172 |
— |
$115 | |
| Office visit (new patient) |
$365 |
$456 |
— |
$177 | |
| Office visit, established patient (level 3) |
$138 |
$172 |
— |
$95 | |
| Office visit, new patient (level 3) |
$255 |
$319 |
— |
$118 | |
| Office visit, new patient (level 4) |
$365 |
$456 |
— |
$177 | |
| Office visit, new patient (level 5) |
$492 |
$615 |
— |
$237 | |
| Pap smear (cervical screening) |
$77 |
$96 |
— |
$20 | |
| Parathyroid hormone (PTH) test |
$136 |
$170 |
— |
$41 | |
| Pelvic ultrasound |
$256 |
$320 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$256 |
$320 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$256 |
$320 |
— |
$51 | |
| Phosphorus blood test |
$95 |
$118 |
— |
$5 | |
| Physical therapy evaluation |
$280 |
$350 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$308 |
$385 |
— |
$98 | |
| Pregnancy blood test (hCG) |
$147 |
$184 |
— |
$8 | |
| Pregnancy ultrasound |
$256 |
$320 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$256 |
$320 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$256 |
$320 |
— |
$136 | |
| Procalcitonin test |
$88 |
$110 |
— |
$27 | |
| Prolactin test |
$64 |
$80 |
— |
$19 | |
| Prostate test (PSA) |
$233 |
$292 |
— |
$18 | |
| Rheumatoid factor test |
$14 |
$18 |
— |
$6 | |
| Scoliosis spine X-ray |
$166 |
$207 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$166 |
$207 |
— |
$44 | |
| Screening mammogram |
$124 |
$156 |
— |
$126 | |
| Scrotal ultrasound |
$256 |
$320 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$78 |
$97 |
— |
$3 | |
| Sex hormone binding globulin test |
$71 |
$89 |
— |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$415 |
$519 |
— |
$114 | |
| Simple wound stitches |
$458 |
$573 |
— |
$127 | |
| Skin biopsy |
$137 |
$172 |
— |
$121 | |
| Skin biopsy (punch) |
$137 |
$172 |
— |
$121 | |
| Spinal tap (lumbar puncture) |
$1,317 |
$1,647 |
— |
$165 | |
| T3 thyroid test |
$47 |
$58 |
— |
$14 | |
| Testosterone test |
$85 |
$106 |
— |
$26 | |
| Thyroid test (TSH) |
$329 |
$411 |
— |
$17 | |
| Thyroid ultrasound |
$256 |
$320 |
— |
$109 | |
| Total IgE allergy test |
$54 |
$68 |
— |
$16 | |
| Total protein test |
$15 |
$19 |
— |
$4 | |
| Transvaginal ultrasound |
$256 |
$320 |
— |
$118 | |
| Trigger point injection |
$647 |
$808 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$670 |
$838 |
— |
$52 | |
| Triglycerides test |
$64 |
$79 |
— |
$6 | |
| Troponin (heart) test |
$39 |
$48 |
— |
$12 | |
| Uric acid (gout) test |
$15 |
$19 |
— |
$5 | |
| Urinalysis |
$132 |
$165 |
— |
$3 | |
| Urine microalbumin test |
$19 |
$24 |
— |
$5 | |
| Urine pregnancy test |
$101 |
$126 |
— |
$9 | |
| Vaccine administration |
$66 |
$83 |
— |
$19 | |
| Vaccine administration (each additional) |
$37 |
$46 |
— |
$16 | |
| Vitamin B12 test |
$50 |
$62 |
— |
$15 | |
| Vitamin D test |
$97 |
$122 |
— |
$30 | |
| X-ray of the abdomen |
$316 |
$395 |
— |
$36 | |
| X-ray of the ankle |
$166 |
$207 |
— |
$37 | |
| X-ray of the collarbone |
$166 |
$207 |
— |
$33 | |
| X-ray of the elbow |
$166 |
$207 |
— |
$33 | |
| X-ray of the facial bones |
$316 |
$395 |
— |
$39 | |
| X-ray of the foot |
$331 |
$414 |
— |
$34 | |
| X-ray of the forearm |
$166 |
$207 |
— |
$29 | |
| X-ray of the hand |
$331 |
$414 |
— |
$38 | |
| X-ray of the hip |
$166 |
$207 |
— |
$49 | |
| X-ray of the hip (1 view) |
$166 |
$207 |
— |
$34 | |
| X-ray of the hip (3 views) |
$166 |
$207 |
— |
$49 | |
| X-ray of the knee |
$331 |
$414 |
— |
$42 | |
| X-ray of the knee (2 views) |
$331 |
$414 |
— |
$34 | |
| X-ray of the knee (3 views) |
$331 |
$414 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$632 |
$790 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$316 |
$395 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$316 |
$395 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$316 |
$395 |
— |
$53 | |
| X-ray of the lower leg |
$166 |
$207 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$316 |
$395 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$316 |
$395 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$316 |
$395 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$241 |
$301 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$166 |
$207 |
— |
$40 | |
| X-ray of the pelvis |
$316 |
$395 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$316 |
$395 |
— |
$28 | |
| X-ray of the ribs |
$316 |
$395 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$166 |
$207 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$316 |
$395 |
— |
$42 | |
| X-ray of the shoulder |
$331 |
$414 |
— |
$36 | |
| X-ray of the skull |
$316 |
$395 |
— |
$40 | |
| X-ray of the upper arm |
$166 |
$207 |
— |
$32 | |
| X-ray of the wrist |
$331 |
$414 |
— |
$43 | |
| Zinc blood test |
$37 |
$47 |
— |
$11 | |