| 3D mammogram (tomosynthesis) |
$82 |
$102 |
$78 |
$51 | |
| Abdominal ultrasound |
$641 |
$802 |
$593 |
$100 | |
| Abdominal ultrasound (complete) |
$723 |
$904 |
$691 |
$114 | |
| Abdominal ultrasound (limited) |
$559 |
$699 |
$534 |
$86 | |
| Abscess drainage (complex or multiple) |
$394 |
$492 |
$376 |
$220 | |
| Abscess drainage (simple) |
$272 |
$339 |
$250 |
$129 | |
| Abscess incision and drainage |
$309 |
$386 |
$284 |
$174 | |
| Albumin blood test |
$42 |
$52 |
$47 |
$5 | |
| Aldosterone test |
$299 |
$374 |
$339 |
$41 | |
| Alkaline phosphatase test |
$30 |
$37 |
$34 |
$5 | |
| Allergy shots |
$26 |
$32 |
$25 |
$11 | |
| Allergy testing |
$12 |
$15 |
$12 |
$4 | |
| ALT liver enzyme test |
$38 |
$48 |
$44 |
$5 | |
| Ammonia blood test |
$105 |
$131 |
$119 |
$15 | |
| Amylase test |
$78 |
$98 |
$89 |
$6 | |
| Annual physical (established patient) |
$241 |
$301 |
$228 |
— | |
| Annual physical (new patient) |
$289 |
$361 |
$273 |
— | |
| Arterial blood gas (ABG) |
$198 |
$247 |
$224 |
$26 | |
| AST liver enzyme test |
$54 |
$68 |
$62 |
$5 | |
| Basic metabolic panel |
$120 |
$150 |
$136 |
$8 | |
| Benign skin lesion removal |
$326 |
$407 |
$302 |
$171 | |
| Bilirubin blood test |
$50 |
$62 |
$56 |
$5 | |
| Blood clotting test (PT/INR) |
$52 |
$65 |
$62 |
$4 | |
| Blood glucose test |
$20 |
$25 |
$25 |
$5 | |
| Blood transfusion |
$607 |
$759 |
$516 |
$47 | |
| Blood type and screen |
$86 |
$107 |
$97 |
$10 | |
| Blood type test |
$54 |
$68 |
$62 |
$3 | |
| Blood type test (ABO group) |
$54 |
$67 |
$61 |
$3 | |
| Blood type test (Rh/D antigen) |
$54 |
$68 |
$62 |
$3 | |
| BNP (heart failure) test |
$140 |
$175 |
$159 |
$39 | |
| Bone density scan (DEXA) |
$393 |
$491 |
$474 |
$39 | |
| Bone scan (nuclear) |
$1,521 |
$1,901 |
$1,452 |
$259 | |
| Botox for migraine |
$463 |
$579 |
$442 |
$157 | |
| Breast ultrasound |
$387 |
$483 |
$471 |
$92 | |
| Breast ultrasound (complete) |
$430 |
$537 |
$572 |
$100 | |
| Breast ultrasound (limited) |
$343 |
$429 |
$429 |
$84 | |
| Breathing tube insertion (intubation) |
$702 |
$877 |
$670 |
$133 | |
| Burn dressing and debridement (small) |
$221 |
$276 |
$209 |
$93 | |
| Burn treatment |
$221 |
$276 |
$209 |
$129 | |
| C-reactive protein (CRP) |
$86 |
$108 |
$98 |
$5 | |
| CA-125 ovarian marker test |
$156 |
$195 |
$177 |
$21 | |
| Calcium blood test |
$45 |
$56 |
$51 |
$5 | |
| Cardiac rehabilitation |
$202 |
$253 |
$193 |
$26 | |
| Cardiac stress test |
$908 |
$1,135 |
$860 |
$39 | |
| Carotid artery ultrasound |
$654 |
$817 |
$829 |
$156 | |
| CEA tumor marker test |
$130 |
$163 |
$148 |
$19 | |
| Chest X-ray |
$255 |
$318 |
$286 |
$37 | |
| Chest X-ray (1 view) |
$246 |
$308 |
$280 |
$25 | |
| Chest X-ray (2 views) |
$282 |
$353 |
$341 |
$33 | |
| Chickenpox (varicella) vaccine |
$124 |
$155 |
$92 |
— | |
| Clotting time test (PTT) |
$80 |
$100 |
$91 |
$6 | |
| Colonoscopy |
$2,391 |
$2,989 |
$2,373 |
$480 | |
| Complete blood count (CBC) |
$54 |
$67 |
$63 |
$7 | |
| Complete blood count (CBC) (complete) |
$69 |
$86 |
$65 |
$8 | |
| Comprehensive metabolic panel |
$138 |
$172 |
$156 |
$11 | |
| Contraceptive implant (Nexplanon) |
$234 |
$292 |
$223 |
$115 | |
| Copper blood test |
$126 |
$157 |
$142 |
$12 | |
| Cortisol test |
$118 |
$147 |
$134 |
$16 | |
| COVID-19 PCR test |
$74 |
$93 |
$79 |
$51 | |
| Creatine kinase (CK) test |
$80 |
$100 |
$91 |
$7 | |
| CT angiography of the chest |
$2,792 |
$3,490 |
$2,666 |
$281 | |
| CT angiography of the head |
$2,622 |
$3,278 |
$2,504 |
$274 | |
| CT scan of the abdomen |
$2,202 |
$2,752 |
$2,094 |
$230 | |
| CT scan of the abdomen and pelvis |
$3,964 |
$4,955 |
$3,581 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$4,506 |
$5,633 |
$4,302 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$3,964 |
$4,955 |
$3,785 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$3,291 |
$4,114 |
$3,142 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,569 |
$3,211 |
$2,452 |
$259 | |
| CT scan of the abdomen with contrast |
$2,202 |
$2,752 |
$2,102 |
$230 | |
| CT scan of the abdomen without contrast |
$1,966 |
$2,457 |
$1,877 |
$136 | |
| CT scan of the arm |
$1,874 |
$2,343 |
$1,760 |
$199 | |
| CT scan of the arm with contrast |
$1,874 |
$2,343 |
$1,790 |
$199 | |
| CT scan of the arm without contrast |
$1,778 |
$2,222 |
$1,689 |
$161 | |
| CT scan of the chest |
$2,175 |
$2,719 |
$2,017 |
$167 | |
| CT scan of the chest with and without contrast |
$2,292 |
$2,865 |
$2,189 |
$196 | |
| CT scan of the chest with contrast |
$2,175 |
$2,719 |
$2,077 |
$167 | |
| CT scan of the chest without contrast |
$2,003 |
$2,504 |
$1,913 |
$133 | |
| CT scan of the head |
$1,874 |
$2,343 |
$1,808 |
$148 | |
| CT scan of the head with and without contrast |
$2,146 |
$2,683 |
$2,049 |
$173 | |
| CT scan of the head with contrast |
$1,874 |
$2,343 |
$1,790 |
$148 | |
| CT scan of the head without contrast |
$1,740 |
$2,175 |
$1,661 |
$107 | |
| CT scan of the leg |
$1,907 |
$2,384 |
$1,839 |
$166 | |
| CT scan of the leg with contrast |
$1,874 |
$2,343 |
$1,790 |
$166 | |
| CT scan of the leg without contrast |
$1,907 |
$2,384 |
$1,821 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,012 |
$2,515 |
$1,961 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,152 |
$2,690 |
$2,055 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,012 |
$2,515 |
$1,921 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,994 |
$2,493 |
$1,904 |
$130 | |
| CT scan of the neck |
$2,015 |
$2,519 |
$1,925 |
$183 | |
| CT scan of the neck (cervical spine) |
$2,029 |
$2,536 |
$1,971 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,152 |
$2,690 |
$2,055 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$2,012 |
$2,515 |
$1,921 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$2,029 |
$2,536 |
$1,937 |
$131 | |
| CT scan of the neck with and without contrast |
$2,434 |
$3,042 |
$2,324 |
$220 | |
| CT scan of the neck with contrast |
$2,015 |
$2,519 |
$1,924 |
$183 | |
| CT scan of the neck without contrast |
$1,762 |
$2,202 |
$1,682 |
$150 | |
| CT scan of the pelvis |
$2,068 |
$2,585 |
$1,928 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,236 |
$2,795 |
$2,135 |
$251 | |
| CT scan of the pelvis with contrast |
$2,068 |
$2,585 |
$1,975 |
$226 | |
| CT scan of the pelvis without contrast |
$1,887 |
$2,359 |
$1,802 |
$133 | |
| CT scan of the sinuses |
$1,993 |
$2,491 |
$2,252 |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,086 |
$2,607 |
$2,362 |
$184 | |
| CT scan of the sinuses with contrast |
$1,900 |
$2,375 |
$2,152 |
$152 | |
| D-dimer test |
$133 |
$166 |
$151 |
$10 | |
| DHEA-sulfate test |
$38 |
$48 |
$44 |
$22 | |
| Diagnostic mammogram |
$294 |
$368 |
$296 |
$140 | |
| Drug screen (urine) |
$40 |
$50 |
$50 |
$17 | |
| Ear tubes (myringotomy) |
$554 |
$693 |
$529 |
$174 | |
| Echocardiogram |
$1,667 |
$2,084 |
$1,484 |
$138 | |
| Echocardiogram with and without contrast |
$744 |
$930 |
$711 |
$101 | |
| Echocardiogram without contrast |
$1,510 |
$1,887 |
$1,442 |
$138 | |
| EKG / ECG (tracing only) |
$251 |
$314 |
$240 |
$7 | |
| Electrocardiogram (EKG) |
$251 |
$314 |
$240 |
$8 | |
| Emergency department visit |
$323 |
$528 |
$449 |
$69 | |
| Emergency department visit (level 1) |
$104 |
$155 |
$119 |
$11 | |
| Emergency department visit (level 2) |
$283 |
$354 |
$270 |
$40 | |
| Emergency department visit (level 3) |
$422 |
$528 |
$404 |
$69 | |
| Emergency department visit (level 4) |
$323 |
$816 |
$623 |
$118 | |
| Emergency department visit (level 5) |
$982 |
$1,227 |
$938 |
$171 | |
| Epidural steroid injection |
$1,532 |
$1,915 |
$1,385 |
$275 | |
| Estradiol (estrogen) test |
$177 |
$221 |
$200 |
$28 | |
| Family therapy session |
$264 |
$330 |
$263 |
$110 | |
| Fecal occult blood (stool) test |
$14 |
$18 |
$21 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$14 |
$18 |
$21 |
$4 | |
| Ferritin (iron) test |
$107 |
$134 |
$121 |
$14 | |
| Fibrinogen test |
$92 |
$115 |
$104 |
$10 | |
| Flu test |
$38 |
$47 |
$35 |
$17 | |
| Flu vaccine |
$16 |
$20 |
$18 |
— | |
| Folate (folic acid) test |
$118 |
$147 |
$134 |
$15 | |
| Foreign body removal (skin) |
$432 |
$540 |
$423 |
$157 | |
| Free T4 thyroid test |
$87 |
$109 |
$99 |
$9 | |
| FSH hormone test |
$113 |
$141 |
$128 |
$19 | |
| Gallbladder removal (laparoscopic) |
$7,428 |
$9,285 |
$6,412 |
$658 | |
| Gallbladder scan (HIDA) |
$1,724 |
$2,155 |
$1,583 |
$334 | |
| GGT liver test |
$26 |
$26 |
$24 |
$7 | |
| Glucose tolerance test |
$137 |
$171 |
$155 |
$8 | |
| Group therapy session |
$375 |
$469 |
$359 |
$30 | |
| HDL cholesterol test |
$60 |
$75 |
$68 |
$8 | |
| Hematocrit test |
$34 |
$43 |
$39 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$68 |
$85 |
$77 |
$10 | |
| Hepatitis A vaccine |
$44 |
$55 |
$42 |
— | |
| Hepatitis B test |
$82 |
$103 |
$94 |
$10 | |
| Hepatitis B vaccine |
$72 |
$90 |
$52 |
— | |
| Hepatitis C test |
$42 |
$52 |
$47 |
$14 | |
| HIV test |
$158 |
$198 |
$180 |
$19 | |
| HIV test (antigen/antibody combo) |
$158 |
$198 |
$180 |
$24 | |
| Holter heart monitor |
$434 |
$543 |
$415 |
$26 | |
| HPV vaccine |
$297 |
$371 |
$204 |
— | |
| Inguinal hernia repair |
$4,537 |
$5,671 |
$3,672 |
$538 | |
| Iron blood test |
$59 |
$74 |
$67 |
$6 | |
| IUD removal |
$126 |
$157 |
$120 |
$112 | |
| IV infusion therapy |
$200 |
$250 |
$204 |
$44 | |
| IV infusion therapy (each additional) |
$90 |
$113 |
$92 |
$21 | |
| IV infusion therapy (initial) |
$332 |
$415 |
$346 |
$67 | |
| Joint aspiration (small/intermediate) |
$146 |
$182 |
$155 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$146 |
$182 |
$159 |
$57 | |
| Joint aspiration or injection (small joint) |
$145 |
$181 |
$137 |
$56 | |
| Kidney ultrasound |
$569 |
$712 |
$518 |
$84 | |
| Kidney ultrasound (limited) |
$460 |
$575 |
$439 |
$61 | |
| Knee arthroscopy |
$5,947 |
$7,434 |
$5,721 |
$524 | |
| Knee joint injection |
$186 |
$232 |
$239 |
$69 | |
| Lactate test |
$114 |
$143 |
$130 |
$12 | |
| Laryngoscopy |
$302 |
$378 |
$287 |
$189 | |
| LDH test |
$14 |
$18 |
$17 |
$6 | |
| Leg vein ultrasound (Doppler) |
$878 |
$1,098 |
$934 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$878 |
$1,098 |
$839 |
$116 | |
| LH hormone test |
$101 |
$126 |
$115 |
$19 | |
| Lipase test |
$95 |
$119 |
$108 |
$7 | |
| Lipid (cholesterol) panel |
$104 |
$130 |
$118 |
$13 | |
| Liver function panel |
$119 |
$149 |
$135 |
$8 | |
| Lung function test (PFT) |
$506 |
$633 |
$366 |
$37 | |
| Magnesium blood test |
$71 |
$89 |
$81 |
$7 | |
| MMR vaccine |
$49 |
$61 |
$45 |
— | |
| MRA of the brain |
$2,794 |
$3,492 |
$2,676 |
$226 | |
| MRA of the brain with contrast |
$2,629 |
$3,286 |
$2,510 |
$226 | |
| MRA of the brain without contrast |
$3,089 |
$3,861 |
$2,949 |
$328 | |
| MRA of the neck |
$2,460 |
$3,075 |
$2,273 |
$245 | |
| MRA of the neck with contrast |
$2,460 |
$3,075 |
$2,349 |
$245 | |
| MRA of the neck without contrast |
$2,527 |
$3,159 |
$2,413 |
$343 | |
| MRI of the abdomen |
$2,794 |
$3,492 |
$2,819 |
$300 | |
| MRI of the abdomen with contrast |
$2,794 |
$3,492 |
$2,667 |
$300 | |
| MRI of the abdomen without contrast |
$2,629 |
$3,286 |
$2,510 |
$194 | |
| MRI of the ankle |
$2,126 |
$2,657 |
$2,090 |
$261 | |
| MRI of the ankle with contrast |
$2,126 |
$2,657 |
$2,029 |
$261 | |
| MRI of the ankle without contrast |
$2,126 |
$2,657 |
$2,029 |
$222 | |
| MRI of the brain |
$2,922 |
$3,653 |
$2,753 |
$269 | |
| MRI of the brain with contrast |
$2,629 |
$3,286 |
$2,510 |
$269 | |
| MRI of the brain without contrast |
$2,922 |
$3,653 |
$2,790 |
$195 | |
| MRI of the chest |
$2,629 |
$3,286 |
$2,440 |
$371 | |
| MRI of the chest with contrast |
$2,629 |
$3,286 |
$2,510 |
$371 | |
| MRI of the chest without contrast |
$2,712 |
$3,390 |
$2,590 |
$466 | |
| MRI of the knee |
$2,292 |
$2,865 |
$2,412 |
$315 | |
| MRI of the knee with contrast |
$2,292 |
$2,865 |
$2,189 |
$315 | |
| MRI of the knee without contrast |
$2,182 |
$2,727 |
$2,083 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,964 |
$3,705 |
$2,895 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,964 |
$3,705 |
$2,830 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,794 |
$3,492 |
$2,667 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,794 |
$3,492 |
$2,621 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,794 |
$3,492 |
$2,667 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,629 |
$3,286 |
$2,510 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,935 |
$3,669 |
$2,803 |
$190 | |
| MRI of the neck (cervical spine) |
$2,794 |
$3,492 |
$2,615 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,794 |
$3,492 |
$2,667 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,629 |
$3,286 |
$2,510 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,920 |
$3,650 |
$2,788 |
$191 | |
| MRI of the pelvis |
$2,635 |
$3,294 |
$2,570 |
$268 | |
| MRI of the pelvis with contrast |
$2,629 |
$3,286 |
$2,510 |
$268 | |
| MRI of the pelvis without contrast |
$2,635 |
$3,294 |
$2,516 |
$227 | |
| MRI of the shoulder |
$2,158 |
$2,697 |
$2,090 |
$313 | |
| MRI of the shoulder with contrast |
$2,126 |
$2,657 |
$2,029 |
$313 | |
| MRI of the shoulder without contrast |
$2,158 |
$2,697 |
$2,060 |
$205 | |
| MRI of the wrist |
$2,126 |
$2,657 |
$1,871 |
$330 | |
| MRI of the wrist with contrast |
$2,126 |
$2,657 |
$2,029 |
$330 | |
| MRI of the wrist without contrast |
$1,757 |
$2,196 |
$1,677 |
$303 | |
| Nebulizer breathing treatment |
$45 |
$56 |
$56 |
$9 | |
| Nuclear cardiac stress test |
$3,569 |
$4,461 |
$3,407 |
$428 | |
| Occupational therapy evaluation |
$190 |
$238 |
$174 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$203 |
$254 |
$194 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$168 |
$210 |
$161 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$190 |
$238 |
$182 |
$101 | |
| Office visit (established patient) |
$103 |
$129 |
$105 |
$115 | |
| Office visit (new patient) |
$72 |
$91 |
$112 |
$177 | |
| Office visit, established patient (level 3) |
$93 |
$117 |
$86 |
$95 | |
| Office visit, established patient (level 4) |
$131 |
$164 |
$123 |
$136 | |
| Office visit, new patient (level 3) |
$55 |
$69 |
$89 |
$118 | |
| Office visit, new patient (level 4) |
$62 |
$78 |
$101 |
$177 | |
| Office visit, new patient (level 5) |
$217 |
$272 |
$211 |
$237 | |
| Parathyroid hormone (PTH) test |
$206 |
$258 |
$234 |
$41 | |
| Pelvic ultrasound |
$533 |
$666 |
$480 |
$78 | |
| Pelvic ultrasound (complete) |
$665 |
$831 |
$635 |
$105 | |
| Pelvic ultrasound (limited) |
$400 |
$500 |
$382 |
$51 | |
| Phosphorus blood test |
$50 |
$62 |
$56 |
$5 | |
| Physical therapy evaluation |
$173 |
$216 |
$157 |
$98 | |
| Physical therapy evaluation (high complexity) |
$208 |
$260 |
$199 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$173 |
$216 |
$165 |
$98 | |
| Pneumonia vaccine |
$137 |
$171 |
$96 |
— | |
| Pregnancy blood test (hCG) |
$109 |
$136 |
$123 |
$8 | |
| Pregnancy ultrasound |
$569 |
$711 |
$539 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$589 |
$736 |
$562 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$549 |
$686 |
$524 |
$136 | |
| Procalcitonin test |
$119 |
$149 |
$135 |
$27 | |
| Prolactin test |
$142 |
$177 |
$161 |
$19 | |
| Prostate test (PSA) |
$108 |
$135 |
$122 |
$18 | |
| Psychiatric evaluation |
$112 |
$140 |
$107 |
$188 | |
| Psychotherapy session |
$372 |
$465 |
$269 |
$140 | |
| Sacroiliac joint injection |
$1,457 |
$1,821 |
$1,758 |
$176 | |
| Scoliosis spine X-ray |
$208 |
$260 |
$238 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$223 |
$279 |
$269 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$192 |
$240 |
$232 |
$72 | |
| Screening mammogram |
$297 |
$371 |
$294 |
$126 | |
| Scrotal ultrasound |
$556 |
$695 |
$531 |
$99 | |
| Sedimentation rate (ESR) test |
$43 |
$54 |
$49 |
$3 | |
| Sex hormone binding globulin test |
$27 |
$34 |
$31 |
$22 | |
| Shingles vaccine |
$206 |
$258 |
$142 |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
$284 |
$355 |
$271 |
$114 | |
| Simple wound stitches |
$296 |
$370 |
$280 |
$127 | |
| Skin biopsy |
$188 |
$235 |
$201 |
$121 | |
| Skin biopsy (punch) |
$206 |
$257 |
$201 |
$121 | |
| Skin cancer lesion removal |
$333 |
$416 |
$318 |
$240 | |
| Skin lesion freezing (cryotherapy) |
$105 |
$131 |
$96 |
$36 | |
| Skin tag removal |
$152 |
$190 |
$146 |
$92 | |
| Sleep study (polysomnography) |
$3,321 |
$4,151 |
$3,128 |
$691 | |
| Soft tissue ultrasound |
$457 |
$571 |
$436 |
$64 | |
| Speech therapy |
$236 |
$295 |
$225 |
$76 | |
| Spirometry (lung function test) |
$249 |
$311 |
$238 |
$30 | |
| Spirometry with bronchodilator |
$506 |
$633 |
$484 |
$43 | |
| Strep throat test |
$53 |
$66 |
$52 |
$17 | |
| Stress echocardiogram |
$1,212 |
$1,515 |
$1,157 |
$209 | |
| Swallow study |
$273 |
$341 |
$261 |
$85 | |
| T3 thyroid test |
$112 |
$140 |
$127 |
$14 | |
| Tdap (tetanus) vaccine |
$51 |
$64 |
$36 |
— | |
| Testosterone test |
$118 |
$148 |
$135 |
$26 | |
| Thyroid test (TSH) |
$99 |
$124 |
$113 |
$17 | |
| Thyroid ultrasound |
$511 |
$639 |
$488 |
$109 | |
| Tonsillectomy |
$3,588 |
$4,484 |
$2,886 |
$252 | |
| Total IgE allergy test |
$134 |
$167 |
$152 |
$16 | |
| Total protein test |
$48 |
$60 |
$55 |
$4 | |
| Transvaginal ultrasound |
$549 |
$686 |
$524 |
$118 | |
| Trigger point injection |
$360 |
$450 |
$344 |
$56 | |
| Trigger point injection (1-2 muscles) |
$130 |
$163 |
$125 |
$52 | |
| Triglycerides test |
$55 |
$69 |
$63 |
$6 | |
| Troponin (heart) test |
$189 |
$236 |
$214 |
$12 | |
| Upper GI endoscopy (EGD) |
$3,152 |
$3,940 |
$2,740 |
$371 | |
| Uric acid (gout) test |
$52 |
$65 |
$59 |
$5 | |
| Urinalysis |
$48 |
$60 |
$55 |
$3 | |
| Urine microalbumin test |
$60 |
$75 |
$71 |
$5 | |
| Urine pregnancy test |
$32 |
$40 |
$40 |
$9 | |
| Vaccine administration |
$29 |
$36 |
$35 |
$19 | |
| Vaccine administration (each additional) |
$29 |
$36 |
$32 |
$16 | |
| Vitamin B12 test |
$119 |
$149 |
$135 |
$15 | |
| Vitamin D test |
$78 |
$98 |
$89 |
$30 | |
| Wart removal |
$161 |
$201 |
$154 |
$121 | |
| Well-child visit |
$146 |
$182 |
$138 |
— | |
| Wound debridement |
$438 |
$547 |
$449 |
$186 | |
| X-ray of the abdomen |
$286 |
$358 |
$311 |
$36 | |
| X-ray of the ankle |
$265 |
$332 |
$320 |
$37 | |
| X-ray of the collarbone |
$244 |
$305 |
$295 |
$33 | |
| X-ray of the elbow |
$277 |
$346 |
$334 |
$33 | |
| X-ray of the facial bones |
$358 |
$448 |
$433 |
$39 | |
| X-ray of the foot |
$277 |
$346 |
$332 |
$34 | |
| X-ray of the forearm |
$238 |
$297 |
$287 |
$29 | |
| X-ray of the hand |
$268 |
$335 |
$323 |
$38 | |
| X-ray of the hip |
$238 |
$297 |
$215 |
$49 | |
| X-ray of the hip (1 view) |
$182 |
$227 |
$210 |
$34 | |
| X-ray of the hip (3 views) |
$282 |
$353 |
$341 |
$49 | |
| X-ray of the knee |
$301 |
$376 |
$330 |
$42 | |
| X-ray of the knee (2 views) |
$264 |
$330 |
$319 |
$34 | |
| X-ray of the knee (3 views) |
$301 |
$376 |
$363 |
$42 | |
| X-ray of the knee (4+ views) |
$312 |
$390 |
$377 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$404 |
$505 |
$448 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$362 |
$452 |
$436 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$446 |
$557 |
$538 |
$53 | |
| X-ray of the lower leg |
$264 |
$330 |
$319 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$307 |
$384 |
$371 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$307 |
$384 |
$371 |
$33 | |
| X-ray of the neck (cervical spine) |
$359 |
$449 |
$357 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$288 |
$360 |
$348 |
$40 | |
| X-ray of the pelvis |
$306 |
$383 |
$321 |
$36 | |
| X-ray of the pelvis (1 view) |
$259 |
$324 |
$313 |
$28 | |
| X-ray of the ribs |
$305 |
$381 |
$328 |
$42 | |
| X-ray of the ribs (2 views) |
$265 |
$331 |
$319 |
$36 | |
| X-ray of the ribs (3 views) |
$344 |
$430 |
$415 |
$42 | |
| X-ray of the shoulder |
$290 |
$363 |
$351 |
$36 | |
| X-ray of the skull |
$289 |
$361 |
$268 |
$40 | |
| X-ray of the upper arm |
$262 |
$328 |
$317 |
$32 | |
| X-ray of the wrist |
$258 |
$323 |
$312 |
$43 | |