| 3D mammogram (tomosynthesis) |
$90 |
$138 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,722 |
$2,649 |
— |
$284 | |
| Abdominal ultrasound |
$578 |
$889 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$653 |
$1,004 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$502 |
$773 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$389 |
$598 |
— |
$220 | |
| Abscess drainage (simple) |
$218 |
$335 |
— |
$129 | |
| Abscess incision and drainage |
$303 |
$467 |
— |
$174 | |
| Albumin blood test |
$5 |
$8 |
— |
$5 | |
| Aldosterone test |
$27 |
$42 |
— |
$41 | |
| Alkaline phosphatase test |
$5 |
$8 |
— |
$5 | |
| Alpha-fetoprotein (AFP) test |
$14 |
$21 |
— |
$17 | |
| ALT liver enzyme test |
$14 |
$21 |
— |
$5 | |
| Ammonia blood test |
$24 |
$37 |
— |
$15 | |
| Amniocentesis |
$699 |
$1,076 |
— |
$120 | |
| Amylase test |
$11 |
$16 |
— |
$6 | |
| Anoscopy |
$101 |
$155 |
— |
$129 | |
| Antinuclear antibody (ANA) test |
$17 |
$26 |
— |
$12 | |
| Arterial blood gas (ABG) |
$27 |
$42 |
— |
$26 | |
| AST liver enzyme test |
$14 |
$21 |
— |
$5 | |
| Barium swallow study |
$229 |
$353 |
— |
$107 | |
| Bartholin cyst removal |
$219 |
$337 |
— |
$182 | |
| Basic metabolic panel |
$13 |
$19 |
— |
$8 | |
| Benign skin lesion removal |
$660 |
$1,015 |
— |
$171 | |
| Bilirubin blood test |
$34 |
$52 |
— |
$5 | |
| Bladder scope (cystoscopy) |
$476 |
$732 |
— |
$216 | |
| Blood clotting test (PT/INR) |
$17 |
$26 |
— |
$4 | |
| Blood crossmatch |
$33 |
$51 |
— |
— | |
| Blood glucose test |
$16 |
$25 |
— |
$5 | |
| Blood transfusion |
$331 |
$509 |
— |
$47 | |
| Blood type and screen |
$14 |
$22 |
— |
$10 | |
| BNP (heart failure) test |
$37 |
$57 |
— |
$39 | |
| Bone density scan (DEXA) |
$195 |
$300 |
— |
$39 | |
| Bone marrow biopsy |
$1,361 |
$2,095 |
— |
$172 | |
| Bone scan (nuclear) |
$543 |
$835 |
— |
$259 | |
| Brain shunt (VP shunt) |
$6,009 |
$9,245 |
— |
$1,023 | |
| Breast biopsy |
$2,628 |
$4,043 |
— |
$478 | |
| Breast MRI |
$2,276 |
$3,502 |
— |
$216 | |
| Breast MRI without contrast |
$2,276 |
$3,502 |
— |
$216 | |
| Breast ultrasound |
$529 |
$814 |
— |
$92 | |
| Breast ultrasound (complete) |
$548 |
$844 |
— |
$100 | |
| Breast ultrasound (limited) |
$517 |
$796 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$727 |
$1,119 |
— |
$133 | |
| Bronchoscopy |
$1,891 |
$2,909 |
— |
$303 | |
| Burn dressing and debridement (medium) |
$232 |
$357 |
— |
$166 | |
| Burn dressing and debridement (small) |
$232 |
$357 |
— |
$93 | |
| Burn treatment |
$232 |
$357 |
— |
$129 | |
| C-reactive protein (CRP) |
$10 |
$16 |
— |
$5 | |
| CA 19-9 tumor marker test |
$25 |
$38 |
— |
$21 | |
| CA-125 ovarian marker test |
$16 |
$25 |
— |
$21 | |
| Calcium blood test |
$8 |
$12 |
— |
$5 | |
| Cardiac MRI |
$1,017 |
$1,564 |
— |
$322 | |
| Cardiac MRI without contrast |
$1,017 |
$1,564 |
— |
$280 | |
| Cardiac rehabilitation |
$101 |
$155 |
— |
$26 | |
| Cardiac stress test |
$677 |
$1,041 |
— |
$39 | |
| Cardioversion |
$900 |
$1,385 |
— |
$155 | |
| Carotid artery ultrasound |
$440 |
$677 |
— |
$156 | |
| CEA tumor marker test |
$56 |
$86 |
— |
$19 | |
| Celiac disease test |
$8 |
$12 |
— |
$12 | |
| Central line placement |
$2,397 |
$3,687 |
— |
$238 | |
| Cervical cerclage |
$2,203 |
$3,389 |
— |
$137 | |
| Cesarean section (C-section) |
— |
— |
$17,574 |
$7,552 | |
| Chemotherapy infusion |
$517 |
$796 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$273 |
$420 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$762 |
$1,172 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$863 |
$1,328 |
— |
$311 | |
| Chest tube insertion |
$759 |
$1,167 |
— |
$143 | |
| Chest X-ray |
$281 |
$433 |
— |
$37 | |
| Chest X-ray (1 view) |
$281 |
$433 |
— |
$25 | |
| Chest X-ray (2 views) |
$216 |
$333 |
— |
$33 | |
| Circumcision |
$241 |
$370 |
— |
$167 | |
| CK-MB heart enzyme test |
$16 |
$25 |
— |
$12 | |
| Clotting time test (PTT) |
$61 |
$94 |
— |
$6 | |
| Colposcopy |
$423 |
$650 |
— |
$161 | |
| Complete blood count (CBC) |
$16 |
$25 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$16 |
$25 |
— |
$8 | |
| Complex wound repair |
$676 |
$1,040 |
— |
$390 | |
| Comprehensive metabolic panel |
$14 |
$22 |
— |
$11 | |
| Contraceptive implant (Nexplanon) |
$293 |
$452 |
— |
$115 | |
| Copper blood test |
$9 |
$13 |
— |
$12 | |
| Coronary artery bypass (CABG) |
— |
— |
$58,519 |
$36,593 | |
| Coronary CT angiography |
$701 |
$1,079 |
— |
$326 | |
| Cortisol test |
$42 |
$65 |
— |
$16 | |
| COVID-19 PCR test |
$43 |
$66 |
— |
$51 | |
| CPAP titration study |
$385 |
$593 |
— |
$69 | |
| Creatine kinase (CK) test |
$9 |
$14 |
— |
$7 | |
| CT angiography of the chest |
$844 |
$1,298 |
— |
$281 | |
| CT angiography of the head |
$852 |
$1,310 |
— |
$274 | |
| CT colonography (virtual colonoscopy) |
$630 |
$969 |
— |
$835 | |
| CT scan of the abdomen |
$622 |
$957 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$622 |
$957 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$685 |
$1,054 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$622 |
$957 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$521 |
$801 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$685 |
$1,054 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$622 |
$957 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$257 |
$395 |
— |
$136 | |
| CT scan of the arm |
$622 |
$957 |
— |
$199 | |
| CT scan of the arm with contrast |
$622 |
$957 |
— |
$199 | |
| CT scan of the arm without contrast |
$330 |
$508 |
— |
$161 | |
| CT scan of the chest |
$622 |
$957 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$685 |
$1,054 |
— |
$196 | |
| CT scan of the chest with contrast |
$622 |
$957 |
— |
$167 | |
| CT scan of the chest without contrast |
$332 |
$510 |
— |
$133 | |
| CT scan of the head |
$622 |
$957 |
— |
$148 | |
| CT scan of the head with and without contrast |
$685 |
$1,054 |
— |
$173 | |
| CT scan of the head with contrast |
$622 |
$957 |
— |
$148 | |
| CT scan of the head without contrast |
$414 |
$637 |
— |
$107 | |
| CT scan of the leg |
$559 |
$860 |
— |
$166 | |
| CT scan of the leg with contrast |
$622 |
$957 |
— |
$166 | |
| CT scan of the leg without contrast |
$413 |
$636 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,059 |
$1,629 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,059 |
$1,629 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,124 |
$1,729 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$333 |
$512 |
— |
$130 | |
| CT scan of the neck |
$622 |
$957 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$907 |
$1,396 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,059 |
$1,629 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$907 |
$1,396 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$336 |
$517 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$685 |
$1,054 |
— |
$220 | |
| CT scan of the neck with contrast |
$622 |
$957 |
— |
$183 | |
| CT scan of the neck without contrast |
$330 |
$508 |
— |
$150 | |
| CT scan of the pelvis |
$654 |
$1,006 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$685 |
$1,054 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$622 |
$957 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$742 |
$1,142 |
— |
$133 | |
| CT scan of the sinuses |
$489 |
$753 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$685 |
$1,054 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$622 |
$957 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$356 |
$548 |
— |
$128 | |
| D-dimer test |
$36 |
$55 |
— |
$10 | |
| DHEA-sulfate test |
$21 |
$33 |
— |
$22 | |
| Diagnostic mammogram |
$383 |
$589 |
— |
$140 | |
| Drug screen (urine) |
$43 |
$66 |
— |
$17 | |
| Echocardiogram |
$513 |
$789 |
— |
$138 | |
| Echocardiogram with and without contrast |
$513 |
$789 |
— |
$101 | |
| EKG / ECG (tracing only) |
$209 |
$322 |
— |
$7 | |
| Electrocardiogram (EKG) |
$123 |
$189 |
— |
$8 | |
| Electrolyte panel |
$12 |
$18 |
— |
$7 | |
| Emergency department visit |
$571 |
$878 |
— |
$69 | |
| Emergency department visit (level 1) |
$159 |
$244 |
— |
$11 | |
| Emergency department visit (level 2) |
$257 |
$396 |
— |
$40 | |
| Emergency department visit (level 3) |
$571 |
$878 |
— |
$69 | |
| Emergency department visit (level 4) |
$911 |
$1,402 |
— |
$118 | |
| Emergency department visit (level 5) |
$1,353 |
$2,081 |
— |
$171 | |
| Endometrial biopsy |
$274 |
$421 |
— |
$98 | |
| Estradiol (estrogen) test |
$26 |
$40 |
— |
$28 | |
| Eyelid surgery (blepharoplasty) |
$4,370 |
$6,723 |
— |
$552 | |
| Facet joint injection (spine) |
$795 |
$1,223 |
— |
$99 | |
| Fallopian tube X-ray (HSG) |
$317 |
$488 |
— |
$164 | |
| Fecal occult blood (stool) test |
$42 |
$65 |
— |
$10 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$42 |
$65 |
— |
$16 | |
| Ferritin (iron) test |
$27 |
$41 |
— |
$14 | |
| Fibrinogen test |
$16 |
$24 |
— |
$10 | |
| Flu test |
$28 |
$43 |
— |
$17 | |
| Folate (folic acid) test |
$22 |
$34 |
— |
$15 | |
| Foreign body removal (skin) |
$417 |
$641 |
— |
$157 | |
| Free T4 thyroid test |
$21 |
$33 |
— |
$9 | |
| FSH hormone test |
$18 |
$27 |
— |
$19 | |
| Gallbladder scan (HIDA) |
$839 |
$1,291 |
— |
$334 | |
| GGT liver test |
$10 |
$16 |
— |
$7 | |
| Glucose tolerance test |
$32 |
$50 |
— |
$8 | |
| H. pylori test |
$46 |
$70 |
— |
$67 | |
| HDL cholesterol test |
$9 |
$13 |
— |
$8 | |
| Hematocrit test |
$6 |
$10 |
— |
$2 | |
| Hemoglobin A1c (diabetes test) |
$14 |
$21 |
— |
$10 | |
| Hepatitis B test |
$11 |
$17 |
— |
$10 | |
| Hepatitis C test |
$21 |
$32 |
— |
$14 | |
| HIV test |
$19 |
$30 |
— |
$19 | |
| HIV test (antibody) |
$53 |
$82 |
— |
$14 | |
| HIV test (antigen/antibody combo) |
$17 |
$25 |
— |
$24 | |
| Holter heart monitor |
$309 |
$475 |
— |
$26 | |
| Iron blood test |
$13 |
$21 |
— |
$6 | |
| IUD insertion |
$161 |
$247 |
— |
— | |
| IUD removal |
$219 |
$337 |
— |
$112 | |
| IV infusion therapy |
$397 |
$610 |
— |
$44 | |
| IV infusion therapy (each additional) |
$287 |
$442 |
— |
$21 | |
| IV infusion therapy (initial) |
$397 |
$610 |
— |
$67 | |
| Joint aspiration (small/intermediate) |
$547 |
$841 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$579 |
$892 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$381 |
$586 |
— |
$56 | |
| Kidney biopsy |
$1,133 |
$1,743 |
— |
$492 | |
| Kidney scan (nuclear) |
$703 |
$1,081 |
— |
$172 | |
| Kidney ultrasound |
$513 |
$789 |
— |
$84 | |
| Kidney ultrasound (limited) |
$502 |
$773 |
— |
$61 | |
| Knee joint injection |
$512 |
$787 |
— |
$69 | |
| Knee replacement |
— |
— |
$33,016 |
$18,054 | |
| Lactate test |
$19 |
$30 |
— |
$12 | |
| Laryngoscopy |
$1,341 |
$2,064 |
— |
$189 | |
| LDH test |
$9 |
$14 |
— |
$6 | |
| LDL cholesterol test |
$18 |
$27 |
— |
$11 | |
| Leg vein ultrasound (Doppler) |
$723 |
$1,113 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$411 |
$633 |
— |
$116 | |
| Lipase test |
$15 |
$23 |
— |
$7 | |
| Lipid (cholesterol) panel |
$11 |
$17 |
— |
$13 | |
| Liver biopsy |
$969 |
$1,490 |
— |
$288 | |
| Liver function panel |
$13 |
$20 |
— |
$8 | |
| Lung function test (PFT) |
$170 |
$262 |
— |
$37 | |
| Lung scan (V/Q) |
$703 |
$1,081 |
— |
$291 | |
| Magnesium blood test |
$9 |
$14 |
— |
$7 | |
| MRA of the brain |
$978 |
$1,504 |
— |
$226 | |
| MRA of the brain with contrast |
$978 |
$1,504 |
— |
$226 | |
| MRA of the brain without contrast |
$1,425 |
$2,193 |
— |
$328 | |
| MRA of the neck |
$1,007 |
$1,549 |
— |
$245 | |
| MRA of the neck with contrast |
$1,007 |
$1,549 |
— |
$245 | |
| MRA of the neck without contrast |
$1,427 |
$2,196 |
— |
$343 | |
| MRI of the abdomen |
$790 |
$1,215 |
— |
$300 | |
| MRI of the abdomen with contrast |
$790 |
$1,215 |
— |
$300 | |
| MRI of the abdomen without contrast |
$642 |
$988 |
— |
$194 | |
| MRI of the ankle |
$943 |
$1,451 |
— |
$261 | |
| MRI of the ankle with contrast |
$943 |
$1,451 |
— |
$261 | |
| MRI of the ankle without contrast |
$716 |
$1,101 |
— |
$222 | |
| MRI of the brain |
$1,108 |
$1,704 |
— |
$269 | |
| MRI of the brain with contrast |
$1,108 |
$1,704 |
— |
$269 | |
| MRI of the brain without contrast |
$934 |
$1,437 |
— |
$195 | |
| MRI of the chest |
$977 |
$1,503 |
— |
$371 | |
| MRI of the chest without contrast |
$1,138 |
$1,750 |
— |
$466 | |
| MRI of the knee |
$804 |
$1,237 |
— |
$315 | |
| MRI of the knee with contrast |
$804 |
$1,237 |
— |
$315 | |
| MRI of the knee without contrast |
$688 |
$1,058 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$886 |
$1,363 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,124 |
$1,729 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$523 |
$805 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,124 |
$1,729 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$1,236 |
$1,902 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,124 |
$1,729 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$675 |
$1,038 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$1,011 |
$1,556 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$1,487 |
$2,288 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,293 |
$1,989 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$594 |
$914 |
— |
$191 | |
| MRI of the pelvis |
$1,440 |
$2,216 |
— |
$268 | |
| MRI of the pelvis with contrast |
$1,440 |
$2,216 |
— |
$268 | |
| MRI of the pelvis without contrast |
$1,440 |
$2,216 |
— |
$227 | |
| MRI of the shoulder |
$1,141 |
$1,756 |
— |
$313 | |
| MRI of the shoulder with contrast |
$1,141 |
$1,756 |
— |
$313 | |
| MRI of the shoulder without contrast |
$711 |
$1,094 |
— |
$205 | |
| MRI of the wrist |
$1,115 |
$1,715 |
— |
$330 | |
| MRI of the wrist with contrast |
$993 |
$1,528 |
— |
$330 | |
| MRI of the wrist without contrast |
$827 |
$1,273 |
— |
$303 | |
| Nebulizer breathing treatment |
$154 |
$238 |
— |
$9 | |
| Nuchal translucency ultrasound |
$866 |
$1,333 |
— |
$116 | |
| Nuclear cardiac stress test |
$1,864 |
$2,868 |
— |
$428 | |
| Occupational therapy evaluation |
$206 |
$317 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$288 |
$443 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$170 |
$261 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$206 |
$317 |
— |
$101 | |
| Pacemaker insertion |
— |
— |
$33,535 |
$15,506 | |
| Pap smear (cervical screening) |
$16 |
$24 |
$31 |
$20 | |
| Parathyroid hormone (PTH) test |
$56 |
$86 |
— |
$41 | |
| Pelvic ultrasound |
$499 |
$768 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$564 |
$868 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$434 |
$668 |
— |
$51 | |
| Phosphorus blood test |
$8 |
$12 |
— |
$5 | |
| Physical therapy evaluation |
$206 |
$317 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$288 |
$443 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$206 |
$317 |
— |
$98 | |
| Pilonidal cyst removal |
$2,205 |
$3,392 |
— |
$541 | |
| Platelet count |
$6 |
$10 |
— |
$4 | |
| Pregnancy blood test (hCG) |
$12 |
$18 |
— |
$8 | |
| Pregnancy ultrasound |
$586 |
$902 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$521 |
$801 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$651 |
$1,002 |
— |
$136 | |
| Procalcitonin test |
$68 |
$105 |
— |
$27 | |
| Prolactin test |
$18 |
$28 |
— |
$19 | |
| Prostate biopsy |
$1,188 |
$1,827 |
— |
— | |
| Prostate test (PSA) |
$12 |
$18 |
— |
$18 | |
| Pulmonary rehabilitation |
$319 |
$491 |
— |
$87 | |
| Sacroiliac joint injection |
$523 |
$804 |
— |
$176 | |
| Scoliosis spine X-ray |
$186 |
$287 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$194 |
$299 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$178 |
$274 |
— |
$72 | |
| Screening colonoscopy |
$616 |
$948 |
$1,466 |
$378 | |
| Screening mammogram |
$418 |
$643 |
— |
$126 | |
| Scrotal ultrasound |
$540 |
$830 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$8 |
$12 |
— |
$3 | |
| Semen analysis |
$15 |
$23 |
— |
$12 | |
| Sex hormone binding globulin test |
$36 |
$55 |
— |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$470 |
$723 |
— |
$114 | |
| Simple wound stitches |
$566 |
$872 |
— |
$127 | |
| Skin biopsy |
$309 |
$475 |
— |
$121 | |
| Skin biopsy (punch) |
$309 |
$475 |
— |
$121 | |
| Skin graft |
$5,969 |
$9,183 |
— |
$898 | |
| Skin lesion freezing (cryotherapy) |
$93 |
$143 |
— |
$36 | |
| Skin tag removal |
$152 |
$234 |
— |
$92 | |
| Soft tissue ultrasound |
$434 |
$668 |
— |
$64 | |
| Speech therapy |
$192 |
$296 |
— |
$76 | |
| Spinal tap (lumbar puncture) |
$803 |
$1,236 |
— |
$165 | |
| Spine fracture repair (kyphoplasty) |
$7,352 |
$11,310 |
— |
$5,803 | |
| Spirometry (lung function test) |
$153 |
$236 |
— |
$30 | |
| Spirometry with bronchodilator |
$270 |
$415 |
— |
$43 | |
| Strep throat test |
$66 |
$101 |
— |
$17 | |
| Stress echocardiogram |
$857 |
$1,319 |
— |
$209 | |
| Stress echocardiogram (complete) |
$962 |
$1,481 |
— |
$233 | |
| Swallow study |
$198 |
$304 |
— |
$85 | |
| T3 thyroid test |
$24 |
$37 |
— |
$14 | |
| Testosterone test |
$34 |
$52 |
— |
$26 | |
| Thyroid test (TSH) |
$35 |
$54 |
— |
$17 | |
| Thyroid ultrasound |
$429 |
$660 |
— |
$109 | |
| Thyroid uptake scan |
$388 |
$598 |
— |
$145 | |
| Total IgE allergy test |
$20 |
$30 |
— |
$16 | |
| Total protein test |
$4 |
$6 |
— |
$4 | |
| Transesophageal echocardiogram (TEE) |
$743 |
$1,143 |
— |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$743 |
$1,143 |
— |
$239 | |
| Transvaginal ultrasound |
$220 |
$338 |
— |
$118 | |
| Trigger point injection |
$374 |
$576 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$417 |
$642 |
— |
$52 | |
| Triglycerides test |
$16 |
$25 |
— |
$6 | |
| Troponin (heart) test |
$25 |
$39 |
— |
$12 | |
| Turning a breech baby (version) |
$4,224 |
$6,498 |
— |
$94 | |
| Upper GI series (barium) |
$254 |
$390 |
— |
$128 | |
| Ureteral stent placement |
$1,737 |
$2,673 |
— |
$373 | |
| Uric acid (gout) test |
$91 |
$141 |
— |
$5 | |
| Urinalysis |
$12 |
$19 |
— |
$3 | |
| Urine microalbumin test |
$5 |
$8 |
— |
$5 | |
| Urine pregnancy test |
$12 |
$18 |
— |
$9 | |
| Vaccine administration |
$68 |
$105 |
— |
$19 | |
| Vaccine administration (each additional) |
$68 |
$105 |
— |
$16 | |
| Vaginal delivery |
— |
— |
$14,634 |
$5,487 | |
| Varicose vein ablation |
$3,346 |
$5,148 |
— |
$1,018 | |
| Vitamin B12 test |
$22 |
$34 |
— |
$15 | |
| Vitamin D test |
$42 |
$65 |
— |
$30 | |
| Wart removal |
$152 |
$234 |
— |
$121 | |
| Weight-loss (bariatric) surgery |
— |
— |
$27,918 |
$11,645 | |
| Wound debridement |
$489 |
$752 |
— |
$186 | |
| X-ray of the abdomen |
$168 |
$258 |
— |
$36 | |
| X-ray of the ankle |
$93 |
$143 |
— |
$37 | |
| X-ray of the collarbone |
$98 |
$150 |
— |
$33 | |
| X-ray of the elbow |
$92 |
$142 |
— |
$33 | |
| X-ray of the facial bones |
$98 |
$150 |
— |
$39 | |
| X-ray of the foot |
$75 |
$116 |
— |
$34 | |
| X-ray of the forearm |
$98 |
$150 |
— |
$29 | |
| X-ray of the hand |
$77 |
$118 |
— |
$38 | |
| X-ray of the hip |
$98 |
$150 |
— |
$49 | |
| X-ray of the hip (1 view) |
$98 |
$150 |
— |
$34 | |
| X-ray of the hip (3 views) |
$98 |
$150 |
— |
$49 | |
| X-ray of the hip (4 views) |
$619 |
$953 |
— |
$63 | |
| X-ray of the knee |
$98 |
$150 |
— |
$42 | |
| X-ray of the knee (2 views) |
$98 |
$150 |
— |
$34 | |
| X-ray of the knee (3 views) |
$93 |
$143 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$102 |
$157 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$136 |
$209 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$93 |
$143 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$178 |
$274 |
— |
$53 | |
| X-ray of the lower leg |
$98 |
$150 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$186 |
$287 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$194 |
$299 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$178 |
$274 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$136 |
$209 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$93 |
$143 |
— |
$40 | |
| X-ray of the pelvis |
$84 |
$129 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$93 |
$143 |
— |
$28 | |
| X-ray of the ribs |
$93 |
$143 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$73 |
$113 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$178 |
$274 |
— |
$42 | |
| X-ray of the shoulder |
$93 |
$143 |
— |
$36 | |
| X-ray of the skull |
$132 |
$203 |
— |
$40 | |
| X-ray of the upper arm |
$98 |
$150 |
— |
$32 | |
| X-ray of the wrist |
$91 |
$140 |
— |
$43 | |
| Zinc blood test |
$19 |
$29 |
— |
$11 | |