| Abdominal fluid drain (paracentesis) |
$413 |
$413 |
$852 |
$284 | |
| Abdominal ultrasound |
$354 |
$354 |
$115 |
$100 | |
| Abdominal ultrasound (complete) |
$413 |
$413 |
$115 |
$114 | |
| Abdominal ultrasound (limited) |
$295 |
$295 |
— |
$86 | |
| Barium swallow study |
$282 |
$282 |
$192 |
$107 | |
| Basic metabolic panel |
$220 |
$220 |
$9 |
$8 | |
| Blood clotting test (PT/INR) |
$144 |
$144 |
$4 |
$4 | |
| Bone scan (nuclear) |
$681 |
$681 |
— |
$259 | |
| Breast MRI |
$1,767 |
$1,767 |
— |
$216 | |
| Breast MRI without contrast |
$1,549 |
$1,549 |
— |
$216 | |
| Breast ultrasound |
$207 |
$207 |
$168 |
$92 | |
| Breast ultrasound (complete) |
$242 |
$242 |
$168 |
$100 | |
| Breast ultrasound (limited) |
$173 |
$173 |
— |
$84 | |
| Carotid artery ultrasound |
$1,229 |
$1,229 |
$256 |
$156 | |
| Chest X-ray |
$158 |
$158 |
$95 |
$37 | |
| Chest X-ray (1 view) |
$138 |
$138 |
$95 |
$25 | |
| Chest X-ray (2 views) |
$178 |
$178 |
$95 |
$33 | |
| Clotting time test (PTT) |
$302 |
$302 |
$6 |
$6 | |
| Colonoscopy |
$2,111 |
$2,111 |
— |
$480 | |
| Complete blood count (CBC) |
$101 |
$101 |
$8 |
$7 | |
| Complete blood count (CBC) (complete) |
$74 |
$74 |
$8 |
$8 | |
| Comprehensive metabolic panel |
$330 |
$330 |
$11 |
$11 | |
| Coronary CT angiography |
$376 |
$376 |
— |
$326 | |
| CT angiography of the chest |
$981 |
$981 |
— |
$281 | |
| CT angiography of the head |
$1,176 |
$1,176 |
— |
$274 | |
| CT colonography (virtual colonoscopy) |
$416 |
$416 |
— |
$835 | |
| CT scan of the abdomen |
$1,094 |
$1,094 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$2,182 |
$2,182 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,182 |
$2,182 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,182 |
$2,182 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,827 |
$1,827 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,220 |
$1,220 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$1,094 |
$1,094 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$907 |
$907 |
— |
$136 | |
| CT scan of the arm |
$920 |
$920 |
— |
$199 | |
| CT scan of the arm without contrast |
$920 |
$920 |
— |
$161 | |
| CT scan of the chest |
$1,073 |
$1,073 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$1,260 |
$1,260 |
— |
$196 | |
| CT scan of the chest with contrast |
$1,073 |
$1,073 |
— |
$167 | |
| CT scan of the chest without contrast |
$920 |
$920 |
— |
$133 | |
| CT scan of the head |
$970 |
$970 |
$115 |
$148 | |
| CT scan of the head with and without contrast |
$1,040 |
$1,040 |
— |
$173 | |
| CT scan of the head with contrast |
$831 |
$831 |
— |
$148 | |
| CT scan of the head without contrast |
$970 |
$970 |
$115 |
$107 | |
| CT scan of the leg |
$1,073 |
$1,073 |
— |
$166 | |
| CT scan of the leg without contrast |
$920 |
$920 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,329 |
$1,329 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,404 |
$1,404 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,254 |
$1,254 |
— |
$130 | |
| CT scan of the neck |
$1,010 |
$1,010 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$1,254 |
$1,254 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,254 |
$1,254 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$1,097 |
$1,097 |
— |
$220 | |
| CT scan of the neck with contrast |
$1,010 |
$1,010 |
— |
$183 | |
| CT scan of the neck without contrast |
$920 |
$920 |
— |
$150 | |
| CT scan of the pelvis |
$1,004 |
$1,004 |
— |
$226 | |
| CT scan of the pelvis with contrast |
$1,087 |
$1,087 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$920 |
$920 |
— |
$133 | |
| CT scan of the sinuses |
$1,080 |
$1,080 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,196 |
$1,196 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$1,080 |
$1,080 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$380 |
$380 |
— |
$128 | |
| Echocardiogram |
$825 |
$825 |
— |
$138 | |
| Echocardiogram without contrast |
$605 |
$605 |
— |
$138 | |
| EKG / ECG (tracing only) |
$193 |
$193 |
$64 |
$7 | |
| Electrocardiogram (EKG) |
$171 |
$171 |
$64 |
$8 | |
| Epidural steroid injection |
$1,598 |
$1,598 |
— |
$275 | |
| Fallopian tube X-ray (HSG) |
$356 |
$356 |
$297 |
$164 | |
| Gallbladder removal (laparoscopic) |
$7,214 |
$7,214 |
— |
$658 | |
| Group therapy session |
$143 |
$143 |
$92 |
$30 | |
| Hip replacement |
$12,135 |
$12,135 |
— |
$1,162 | |
| Kidney ultrasound |
$327 |
$327 |
$115 |
$84 | |
| Kidney ultrasound (limited) |
$295 |
$295 |
— |
$61 | |
| Knee arthroscopy |
$3,356 |
$3,356 |
— |
$524 | |
| Knee joint injection |
$899 |
$899 |
— |
$69 | |
| Leg vein ultrasound (Doppler) |
$556 |
$556 |
$244 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$391 |
$391 |
$115 |
$116 | |
| Lipid (cholesterol) panel |
$220 |
$220 |
$14 |
$13 | |
| Liver function panel |
$318 |
$275 |
$9 |
$8 | |
| MRA of the brain |
$1,699 |
$1,699 |
$965 |
$226 | |
| MRA of the brain with contrast |
$1,699 |
$1,699 |
— |
$226 | |
| MRA of the brain without contrast |
$1,984 |
$1,984 |
— |
$328 | |
| MRA of the neck |
$1,178 |
$1,178 |
— |
$245 | |
| MRA of the neck without contrast |
$1,323 |
$1,323 |
— |
$343 | |
| MRI of the abdomen |
$1,767 |
$1,767 |
— |
$300 | |
| MRI of the abdomen without contrast |
$1,549 |
$1,549 |
— |
$194 | |
| MRI of the ankle |
$1,268 |
$1,268 |
$401 |
$261 | |
| MRI of the ankle without contrast |
$1,549 |
$1,549 |
— |
$222 | |
| MRI of the brain |
$1,484 |
$1,484 |
$388 |
$269 | |
| MRI of the brain with contrast |
$1,924 |
$1,924 |
$401 |
$269 | |
| MRI of the brain without contrast |
$1,431 |
$1,431 |
$256 |
$195 | |
| MRI of the chest |
$1,984 |
$1,984 |
— |
$371 | |
| MRI of the chest without contrast |
$1,984 |
$1,984 |
— |
$466 | |
| MRI of the knee |
$1,699 |
$1,699 |
$256 |
$315 | |
| MRI of the knee with contrast |
$1,699 |
$1,699 |
— |
$315 | |
| MRI of the knee without contrast |
$988 |
$988 |
$256 |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,779 |
$1,779 |
$1,022 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,573 |
$1,573 |
$1,022 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,702 |
$1,702 |
$1,022 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$1,830 |
$1,830 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,573 |
$1,573 |
$1,022 |
$190 | |
| MRI of the neck (cervical spine) |
$1,781 |
$1,781 |
$1,065 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$1,984 |
$1,984 |
— |
$318 | |
| MRI of the neck (cervical spine) without contrast |
$1,578 |
$1,578 |
$1,065 |
$191 | |
| MRI of the pelvis |
$1,767 |
$1,767 |
— |
$268 | |
| MRI of the pelvis without contrast |
$1,549 |
$1,549 |
— |
$227 | |
| MRI of the shoulder |
$1,709 |
$1,709 |
$1,014 |
$313 | |
| MRI of the shoulder with contrast |
$1,709 |
$1,709 |
— |
$313 | |
| MRI of the shoulder without contrast |
$1,503 |
$1,503 |
$1,014 |
$205 | |
| MRI of the wrist |
$1,526 |
$1,526 |
$1,014 |
$330 | |
| MRI of the wrist without contrast |
$1,549 |
$1,549 |
— |
$303 | |
| Neck (cervical) spinal fusion |
$16,493 |
$16,493 |
— |
$1,410 | |
| Pelvic ultrasound |
$265 |
$265 |
$115 |
$78 | |
| Pelvic ultrasound (complete) |
$365 |
$365 |
$115 |
$105 | |
| Pelvic ultrasound (limited) |
$165 |
$165 |
— |
$51 | |
| Prostate test (PSA) |
$31 |
$31 |
$19 |
$18 | |
| Psychotherapy session |
$180 |
$180 |
— |
$140 | |
| Rotator cuff repair |
$6,059 |
$6,059 |
— |
$792 | |
| Scoliosis spine X-ray |
$179 |
$179 |
$152 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$155 |
$155 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$202 |
$202 |
$152 |
$72 | |
| Scrotal ultrasound |
$359 |
$359 |
$115 |
$99 | |
| Soft tissue ultrasound |
$240 |
$240 |
— |
$64 | |
| Spinal tap (lumbar puncture) |
$4,730 |
$4,730 |
— |
$165 | |
| Thyroid test (TSH) |
$28 |
$28 |
$18 |
$17 | |
| Thyroid ultrasound |
$359 |
$359 |
$115 |
$109 | |
| Tonsillectomy |
$3,963 |
$3,963 |
— |
$252 | |
| Upper GI endoscopy (EGD) |
$2,863 |
$2,863 |
— |
$371 | |
| Upper GI series (barium) |
$296 |
$296 |
— |
$128 | |
| Urinalysis |
$44 |
$44 |
$3 |
$3 | |
| X-ray of the abdomen |
$169 |
$169 |
$123 |
$36 | |
| X-ray of the ankle |
$147 |
$147 |
$95 |
$37 | |
| X-ray of the collarbone |
$159 |
$159 |
$95 |
$33 | |
| X-ray of the elbow |
$158 |
$158 |
$95 |
$33 | |
| X-ray of the facial bones |
$211 |
$211 |
$95 |
$39 | |
| X-ray of the foot |
$147 |
$147 |
$95 |
$34 | |
| X-ray of the forearm |
$142 |
$142 |
$93 |
$29 | |
| X-ray of the hand |
$136 |
$136 |
$112 |
$38 | |
| X-ray of the hip |
$212 |
$212 |
$120 |
$49 | |
| X-ray of the hip (1 view) |
$148 |
$148 |
$118 |
$34 | |
| X-ray of the hip (3 views) |
$276 |
$276 |
$186 |
$49 | |
| X-ray of the knee |
$162 |
$162 |
$117 |
$42 | |
| X-ray of the knee (2 views) |
$145 |
$145 |
$117 |
$34 | |
| X-ray of the knee (3 views) |
$179 |
$179 |
$130 |
$42 | |
| X-ray of the lower back (lumbar spine) |
$174 |
$174 |
$146 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$188 |
$188 |
$146 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$161 |
$161 |
— |
$53 | |
| X-ray of the lower leg |
$116 |
$116 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$201 |
$201 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$201 |
$201 |
— |
$33 | |
| X-ray of the neck (cervical spine) |
$211 |
$211 |
$173 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$167 |
$167 |
— |
$40 | |
| X-ray of the pelvis |
$174 |
$174 |
$148 |
$36 | |
| X-ray of the pelvis (1 view) |
$192 |
$192 |
$148 |
$28 | |
| X-ray of the ribs |
$116 |
$116 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$116 |
$116 |
— |
$36 | |
| X-ray of the shoulder |
$160 |
$160 |
$122 |
$36 | |
| X-ray of the skull |
$233 |
$233 |
$149 |
$40 | |
| X-ray of the upper arm |
$158 |
$158 |
$122 |
$32 | |
| X-ray of the wrist |
$125 |
$125 |
— |
$43 | |