| Abdominal ultrasound |
$514 |
$664 |
$274 |
$100 | |
| Abdominal ultrasound (complete) |
$407 |
$777 |
$274 |
$114 | |
| Abdominal ultrasound (limited) |
$622 |
$551 |
$236 |
$86 | |
| Abscess drainage (complex or multiple) |
$236 |
$295 |
$243 |
$220 | |
| Aldosterone test |
$24 |
$170 |
$52 |
$41 | |
| Alkaline phosphatase test |
$61 |
$95 |
$7 |
$5 | |
| Ammonia blood test |
$112 |
$140 |
$18 |
$15 | |
| Amylase test |
$32 |
$30 |
$8 |
$6 | |
| Arterial blood gas (ABG) |
$200 |
$278 |
$26 |
$26 | |
| Blood clotting test (PT/INR) |
$10 |
$406 |
$5 |
$4 | |
| Blood type test (Rh/D antigen) |
$38 |
$110 |
$36 |
$3 | |
| Breast ultrasound |
$380 |
$370 |
$196 |
$92 | |
| Breast ultrasound (limited) |
$380 |
$370 |
$196 |
$84 | |
| Burn dressing and debridement (medium) |
$246 |
$373 |
$229 |
$166 | |
| Burn dressing and debridement (small) |
$134 |
$307 |
$197 |
$93 | |
| Burn treatment |
$190 |
$340 |
$207 |
$129 | |
| C-reactive protein (CRP) |
$40 |
$60 |
$7 |
$5 | |
| Carotid artery ultrasound |
$747 |
$1,034 |
$312 |
$156 | |
| Chest tube insertion |
$822 |
$2,155 |
$1,459 |
$143 | |
| Chest X-ray |
$199 |
$276 |
$132 |
$37 | |
| Chest X-ray (1 view) |
$177 |
$160 |
$112 |
$25 | |
| Chest X-ray (2 views) |
$128 |
$276 |
$183 |
$33 | |
| CK-MB heart enzyme test |
$60 |
$180 |
$15 |
$12 | |
| Clotting time test (PTT) |
$104 |
$583 |
$8 |
$6 | |
| Complete blood count (CBC) |
$22 |
$118 |
$8 |
$7 | |
| Complete blood count (CBC) (complete) |
$32 |
$142 |
$10 |
$8 | |
| Complex wound repair |
$507 |
$634 |
$523 |
$390 | |
| Comprehensive metabolic panel |
$48 |
$68 |
$13 |
$11 | |
| Copper blood test |
$60 |
$74 |
$16 |
$12 | |
| Cortisol test |
$97 |
$80 |
$21 |
$16 | |
| Creatine kinase (CK) test |
$54 |
$50 |
$8 |
$7 | |
| CT angiography of the chest |
$1,985 |
$4,576 |
$290 |
$281 | |
| CT angiography of the head |
$1,808 |
$1,764 |
$290 |
$274 | |
| CT scan of the abdomen |
$335 |
$1,958 |
$201 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,033 |
$2,937 |
$476 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,350 |
$3,721 |
$555 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,033 |
$2,937 |
$555 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,852 |
$2,541 |
$348 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,566 |
$2,481 |
$290 |
$259 | |
| CT scan of the abdomen with contrast |
$170 |
$1,958 |
$290 |
$230 | |
| CT scan of the abdomen without contrast |
$335 |
$1,694 |
$166 |
$136 | |
| CT scan of the arm |
$1,058 |
$1,588 |
$335 |
$199 | |
| CT scan of the arm with contrast |
$1,058 |
$1,588 |
$555 |
$199 | |
| CT scan of the arm without contrast |
$202 |
$1,323 |
$182 |
$161 | |
| CT scan of the chest |
$1,355 |
$1,958 |
$281 |
$167 | |
| CT scan of the chest with and without contrast |
$1,566 |
$2,481 |
$290 |
$196 | |
| CT scan of the chest with contrast |
$1,355 |
$1,958 |
$290 |
$167 | |
| CT scan of the chest without contrast |
$216 |
$1,694 |
$182 |
$133 | |
| CT scan of the head |
$1,180 |
$1,740 |
$281 |
$148 | |
| CT scan of the head with and without contrast |
$1,392 |
$2,355 |
$290 |
$173 | |
| CT scan of the head with contrast |
$1,180 |
$1,740 |
$290 |
$148 | |
| CT scan of the head without contrast |
$190 |
$1,475 |
$182 |
$107 | |
| CT scan of the leg |
$1,076 |
$1,588 |
$281 |
$166 | |
| CT scan of the leg with contrast |
$1,076 |
$1,588 |
$290 |
$166 | |
| CT scan of the leg without contrast |
$163 |
$1,323 |
$182 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,482 |
$1,852 |
$335 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,482 |
$2,183 |
$290 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,218 |
$1,852 |
$555 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,482 |
$1,523 |
$182 |
$130 | |
| CT scan of the neck |
$1,408 |
$1,760 |
$281 |
$183 | |
| CT scan of the neck (cervical spine) |
$766 |
$1,576 |
$347 |
$168 | |
| CT scan of the neck (cervical spine) with contrast |
$1,218 |
$1,628 |
$555 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$314 |
$1,523 |
$182 |
$131 | |
| CT scan of the neck with and without contrast |
$1,408 |
$2,260 |
$290 |
$220 | |
| CT scan of the neck with contrast |
$1,196 |
$1,760 |
$290 |
$183 | |
| CT scan of the neck without contrast |
$1,720 |
$1,495 |
$182 |
$150 | |
| CT scan of the pelvis |
$1,566 |
$1,958 |
$281 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,566 |
$2,481 |
$290 |
$251 | |
| CT scan of the pelvis with contrast |
$1,355 |
$1,958 |
$290 |
$226 | |
| CT scan of the pelvis without contrast |
$1,941 |
$1,694 |
$182 |
$133 | |
| CT scan of the sinuses |
$1,376 |
$1,720 |
$281 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,376 |
$2,150 |
$290 |
$184 | |
| CT scan of the sinuses with contrast |
$1,086 |
$1,720 |
$290 |
$152 | |
| CT scan of the sinuses without contrast |
$1,596 |
$1,357 |
$182 |
$128 | |
| D-dimer test |
$36 |
$152 |
$13 |
$10 | |
| DHEA-sulfate test |
$116 |
$131 |
$28 |
$22 | |
| Echocardiogram |
$969 |
$1,211 |
$274 |
$138 | |
| Echocardiogram without contrast |
$969 |
$1,211 |
$274 |
$138 | |
| EEG (awake and asleep) |
$700 |
$875 |
$613 |
$482 | |
| Emergency department visit |
$273 |
$473 |
$295 |
$69 | |
| Emergency department visit (level 1) |
$80 |
$236 |
$95 |
$11 | |
| Emergency department visit (level 2) |
$189 |
$341 |
$190 |
$40 | |
| Emergency department visit (level 3) |
$273 |
$473 |
$305 |
$69 | |
| Emergency department visit (level 4) |
$378 |
$945 |
$545 |
$118 | |
| Emergency department visit (level 5) |
$756 |
$1,575 |
$808 |
$171 | |
| Fibrinogen test |
$66 |
$150 |
$11 |
$10 | |
| Folate (folic acid) test |
$24 |
$110 |
$17 |
$15 | |
| Free T4 thyroid test |
$20 |
$35 |
$11 |
$9 | |
| FSH hormone test |
$12 |
$59 |
$21 |
$19 | |
| Gallbladder scan (HIDA) |
$1,320 |
$1,519 |
$649 |
$334 | |
| GGT liver test |
$52 |
$140 |
$9 |
$7 | |
| Glucose tolerance test |
$20 |
$75 |
$13 |
$8 | |
| Hematocrit test |
$52 |
$80 |
$3 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$40 |
$120 |
$12 |
$10 | |
| Hepatitis B test |
$96 |
$170 |
$13 |
$10 | |
| Hepatitis C test |
$36 |
$226 |
$18 |
$14 | |
| HIV test |
$28 |
$217 |
$17 |
$19 | |
| HIV test (antibody) |
$28 |
$217 |
$17 |
$14 | |
| Iron blood test |
$125 |
$124 |
$8 |
$6 | |
| Joint aspiration or injection (mid-size joint) |
$498 |
$622 |
$383 |
$57 | |
| Kidney ultrasound |
$338 |
$527 |
$237 |
$84 | |
| Kidney ultrasound (limited) |
$393 |
$563 |
$237 |
$61 | |
| Knee joint injection |
$498 |
$622 |
$383 |
$69 | |
| Lactate test |
$15 |
$136 |
$14 |
$12 | |
| Leg vein ultrasound (Doppler) |
$813 |
$1,049 |
$314 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$948 |
$912 |
$215 |
$116 | |
| LH hormone test |
$30 |
$75 |
$21 |
$19 | |
| Lipase test |
$60 |
$132 |
$9 |
$7 | |
| Lung function test (PFT) |
$258 |
$376 |
$287 |
$37 | |
| MRA of the brain |
$1,657 |
$2,071 |
$477 |
$226 | |
| MRA of the brain with contrast |
$1,450 |
$2,071 |
$571 |
$226 | |
| MRA of the brain without contrast |
$1,657 |
$2,685 |
$571 |
$328 | |
| MRA of the neck |
$1,614 |
$2,018 |
$477 |
$245 | |
| MRA of the neck with contrast |
$1,438 |
$2,018 |
$571 |
$245 | |
| MRA of the neck without contrast |
$1,614 |
$2,481 |
$571 |
$343 | |
| MRI of the abdomen |
$2,008 |
$2,510 |
$477 |
$300 | |
| MRI of the abdomen with contrast |
$1,796 |
$2,510 |
$571 |
$300 | |
| MRI of the ankle |
$1,711 |
$2,139 |
$477 |
$261 | |
| MRI of the ankle with contrast |
$1,499 |
$2,139 |
$571 |
$261 | |
| MRI of the ankle without contrast |
$1,809 |
$1,874 |
$379 |
$222 | |
| MRI of the brain |
$2,062 |
$2,842 |
$400 |
$269 | |
| MRI of the brain with contrast |
$2,062 |
$2,842 |
$571 |
$269 | |
| MRI of the brain without contrast |
$1,985 |
$2,578 |
$379 |
$195 | |
| MRI of the knee |
$1,711 |
$2,139 |
$742 |
$315 | |
| MRI of the knee with contrast |
$1,499 |
$2,139 |
$842 |
$315 | |
| MRI of the knee without contrast |
$2,135 |
$1,874 |
$379 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,050 |
$2,563 |
$477 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,658 |
$2,563 |
$571 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,050 |
$2,073 |
$379 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,050 |
$2,563 |
$477 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,254 |
$2,817 |
$571 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,658 |
$2,563 |
$571 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,050 |
$2,073 |
$379 |
$190 | |
| MRI of the neck (cervical spine) |
$1,746 |
$2,563 |
$477 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,050 |
$2,817 |
$571 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,658 |
$2,563 |
$571 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,746 |
$2,073 |
$379 |
$191 | |
| MRI of the pelvis |
$1,985 |
$2,510 |
$477 |
$268 | |
| MRI of the pelvis with contrast |
$1,796 |
$2,510 |
$571 |
$268 | |
| MRI of the pelvis without contrast |
$1,985 |
$2,245 |
$379 |
$227 | |
| MRI of the shoulder |
$1,711 |
$2,139 |
$742 |
$313 | |
| MRI of the shoulder with contrast |
$1,499 |
$2,139 |
$842 |
$313 | |
| MRI of the shoulder without contrast |
$2,134 |
$1,874 |
$379 |
$205 | |
| MRI of the wrist |
$1,588 |
$2,139 |
$477 |
$330 | |
| MRI of the wrist with contrast |
$1,499 |
$2,139 |
$571 |
$330 | |
| MRI of the wrist without contrast |
$1,588 |
$1,874 |
$379 |
$303 | |
| Occupational therapy evaluation |
$110 |
$297 |
$103 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$110 |
$297 |
$103 |
$101 | |
| Parathyroid hormone (PTH) test |
$90 |
$205 |
$52 |
$41 | |
| Pelvic ultrasound |
$388 |
$376 |
$206 |
$78 | |
| Pelvic ultrasound (complete) |
$423 |
$441 |
$236 |
$105 | |
| Pelvic ultrasound (limited) |
$353 |
$310 |
$206 |
$51 | |
| PET scan |
$5,873 |
$7,881 |
$2,057 |
— | |
| Phosphorus blood test |
$64 |
$90 |
$6 |
$5 | |
| Physical therapy evaluation |
$185 |
$218 |
$97 |
$98 | |
| Pregnancy blood test (hCG) |
$72 |
$144 |
$10 |
$8 | |
| Pregnancy ultrasound |
$346 |
$541 |
$195 |
$126 | |
| Pregnancy ultrasound (second or third trimester) |
$162 |
$662 |
$229 |
$136 | |
| Prostate test (PSA) |
$29 |
$46 |
$23 |
$18 | |
| Scrotal ultrasound |
$248 |
$610 |
$245 |
$99 | |
| Simple laceration repair (small, up to 2.5 cm) |
$189 |
$243 |
$183 |
$114 | |
| Simple wound stitches |
$192 |
$243 |
$183 |
$127 | |
| Sleep study (polysomnography) |
$2,580 |
$3,990 |
$1,084 |
$691 | |
| Speech therapy |
$348 |
$385 |
$120 |
$76 | |
| Spinal tap (lumbar puncture) |
$313 |
$697 |
$575 |
$165 | |
| Spirometry with bronchodilator |
$258 |
$376 |
$287 |
$43 | |
| Strep throat test |
$24 |
$110 |
$17 |
$17 | |
| Swallow study |
$213 |
$291 |
$143 |
$85 | |
| T3 thyroid test |
$28 |
$50 |
$18 |
$14 | |
| Tdap (tetanus) vaccine |
$69 |
$169 |
$60 |
— | |
| Thyroid test (TSH) |
$134 |
$270 |
$21 |
$17 | |
| Thyroid ultrasound |
$458 |
$730 |
$266 |
$109 | |
| Thyroid uptake scan |
$502 |
$1,099 |
$414 |
$145 | |
| Total IgE allergy test |
$36 |
$75 |
$21 |
$16 | |
| Transvaginal ultrasound |
$459 |
$585 |
$211 |
$118 | |
| Triglycerides test |
$28 |
$100 |
$6 |
$6 | |
| Troponin (heart) test |
$135 |
$200 |
$12 |
$12 | |
| Upper GI series (barium) |
$559 |
$823 |
$374 |
$128 | |
| Urine pregnancy test |
$19 |
$120 |
$9 |
$9 | |
| Vaccine administration |
$10 |
$32 |
$32 |
$19 | |
| Vitamin B12 test |
$58 |
$130 |
$19 |
$15 | |
| Vitamin D test |
$72 |
$286 |
$37 |
$30 | |
| X-ray of the ankle |
$177 |
$265 |
$179 |
$37 | |
| X-ray of the elbow |
$198 |
$265 |
$179 |
$33 | |
| X-ray of the facial bones |
$279 |
$364 |
$185 |
$39 | |
| X-ray of the foot |
$202 |
$259 |
$177 |
$34 | |
| X-ray of the hand |
$194 |
$265 |
$174 |
$38 | |
| X-ray of the knee |
$225 |
$336 |
$173 |
$42 | |
| X-ray of the knee (2 views) |
$225 |
$248 |
$173 |
$34 | |
| X-ray of the knee (3 views) |
$202 |
$336 |
$185 |
$42 | |
| X-ray of the knee (4+ views) |
$269 |
$375 |
$216 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$264 |
$377 |
$197 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$275 |
$317 |
$197 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$254 |
$436 |
$224 |
$53 | |
| X-ray of the mid-back (thoracic spine) |
$297 |
$338 |
$195 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$345 |
$312 |
$195 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$250 |
$364 |
$213 |
$39 | |
| X-ray of the neck (cervical spine) |
$203 |
$364 |
$185 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$169 |
$296 |
$185 |
$40 | |
| X-ray of the ribs |
$242 |
$243 |
$172 |
$42 | |
| X-ray of the ribs (3 views) |
$198 |
$295 |
$189 |
$42 | |
| X-ray of the shoulder |
$181 |
$273 |
$180 |
$36 | |
| X-ray of the skull |
$215 |
$378 |
$195 |
$40 | |
| X-ray of the upper arm |
$238 |
$265 |
$179 |
$32 | |
| X-ray of the wrist |
$194 |
$256 |
$174 |
$43 | |
| Zinc blood test |
$84 |
$100 |
$14 |
$11 | |