| 3D mammogram (tomosynthesis) |
$145 |
$145 |
$101 |
$51 | |
| Abdominal ultrasound |
$410 |
$410 |
$300 |
$100 | |
| Abdominal ultrasound (complete) |
$468 |
$468 |
$328 |
$114 | |
| Abdominal ultrasound (limited) |
$352 |
$352 |
$246 |
$86 | |
| Abscess drainage (simple) |
$351 |
$351 |
$246 |
$129 | |
| Abscess incision and drainage |
$351 |
$351 |
$246 |
$174 | |
| Albumin blood test |
$32 |
$32 |
$22 |
$5 | |
| Aldosterone test |
$267 |
$267 |
$187 |
$41 | |
| Alkaline phosphatase test |
$33 |
$33 |
$23 |
$5 | |
| Allergy shots |
$42 |
$42 |
$31 |
$11 | |
| Alpha-fetoprotein (AFP) test |
$111 |
$111 |
$78 |
$17 | |
| ALT liver enzyme test |
$34 |
$34 |
$24 |
$5 | |
| Ammonia blood test |
$95 |
$95 |
$67 |
$15 | |
| Amylase test |
$42 |
$42 |
$29 |
$6 | |
| Antinuclear antibody (ANA) test |
$79 |
$79 |
$55 |
$12 | |
| AST liver enzyme test |
$33 |
$33 |
$23 |
$5 | |
| Basic metabolic panel |
$55 |
$55 |
$39 |
$8 | |
| Bilirubin blood test |
$32 |
$32 |
$22 |
$5 | |
| Blood clotting test (PT/INR) |
$27 |
$27 |
$19 |
$4 | |
| Blood glucose test |
$26 |
$26 |
$20 |
$5 | |
| Blood transfusion |
$913 |
$913 |
$639 |
$47 | |
| Blood type and screen |
$95 |
$95 |
$67 |
$10 | |
| Blood type test |
$19 |
$19 |
$13 |
$3 | |
| Blood type test (ABO group) |
$19 |
$19 |
$13 |
$3 | |
| Blood type test (Rh/D antigen) |
$19 |
$19 |
$13 |
$3 | |
| BNP (heart failure) test |
$252 |
$252 |
$176 |
$39 | |
| Bone density scan (DEXA) |
$174 |
$174 |
$122 |
$39 | |
| Breast ultrasound |
$308 |
$308 |
$216 |
$92 | |
| Breast ultrasound (limited) |
$308 |
$308 |
$216 |
$84 | |
| C-reactive protein (CRP) |
$33 |
$33 |
$23 |
$5 | |
| CA 19-9 tumor marker test |
$136 |
$136 |
$95 |
$21 | |
| CA-125 ovarian marker test |
$136 |
$136 |
$95 |
$21 | |
| Calcium blood test |
$33 |
$33 |
$23 |
$5 | |
| Carotid artery ultrasound |
$738 |
$738 |
$517 |
$156 | |
| CEA tumor marker test |
$124 |
$124 |
$87 |
$19 | |
| Celiac disease test |
$74 |
$74 |
$52 |
$12 | |
| Chemotherapy infusion |
$443 |
$443 |
$184 |
$81 | |
| Chemotherapy infusion (each additional) |
$147 |
$147 |
$103 |
$28 | |
| Chemotherapy infusion (first hour) |
$738 |
$738 |
$517 |
$133 | |
| Chest X-ray |
$134 |
$134 |
$93 |
$37 | |
| Chest X-ray (1 view) |
$98 |
$98 |
$69 |
$25 | |
| Chest X-ray (2 views) |
$134 |
$134 |
$94 |
$33 | |
| Chickenpox (varicella) vaccine |
$255 |
$255 |
$179 |
— | |
| Clotting time test (PTT) |
$39 |
$39 |
$27 |
$6 | |
| Colonoscopy |
$3,338 |
$3,338 |
$1,719 |
$480 | |
| Complete blood count (CBC) |
$47 |
$47 |
$35 |
$7 | |
| Complete blood count (CBC) (complete) |
$51 |
$51 |
$36 |
$8 | |
| Comprehensive metabolic panel |
$69 |
$69 |
$48 |
$11 | |
| Copper blood test |
$81 |
$81 |
$57 |
$12 | |
| Cortisol test |
$107 |
$107 |
$75 |
$16 | |
| COVID-19 PCR test |
$173 |
$173 |
$121 |
$51 | |
| Creatine kinase (CK) test |
$44 |
$44 |
$31 |
$7 | |
| CT angiography of the chest |
$2,082 |
$2,082 |
$1,457 |
$281 | |
| CT scan of the abdomen and pelvis |
$2,370 |
$2,370 |
$1,612 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,679 |
$2,679 |
$1,875 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,370 |
$2,370 |
$1,659 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,091 |
$1,091 |
$764 |
$183 | |
| CT scan of the arm |
$1,431 |
$1,431 |
$1,048 |
$199 | |
| CT scan of the arm with contrast |
$1,605 |
$1,605 |
$1,124 |
$199 | |
| CT scan of the arm without contrast |
$1,256 |
$1,256 |
$879 |
$161 | |
| CT scan of the chest |
$1,385 |
$1,385 |
$969 |
$167 | |
| CT scan of the chest with and without contrast |
$1,706 |
$1,706 |
$1,194 |
$196 | |
| CT scan of the chest with contrast |
$1,385 |
$1,385 |
$969 |
$167 | |
| CT scan of the chest without contrast |
$1,073 |
$1,073 |
$751 |
$133 | |
| CT scan of the head |
$1,129 |
$1,129 |
$809 |
$148 | |
| CT scan of the head with and without contrast |
$1,233 |
$1,233 |
$863 |
$173 | |
| CT scan of the head with contrast |
$1,024 |
$1,024 |
$717 |
$148 | |
| CT scan of the head without contrast |
$840 |
$840 |
$588 |
$107 | |
| CT scan of the leg |
$1,394 |
$1,394 |
$1,021 |
$166 | |
| CT scan of the leg with contrast |
$1,573 |
$1,573 |
$1,101 |
$166 | |
| CT scan of the leg without contrast |
$1,215 |
$1,215 |
$851 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,390 |
$1,390 |
$1,018 |
$169 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,564 |
$1,564 |
$1,095 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,215 |
$1,215 |
$851 |
$130 | |
| CT scan of the neck |
$1,222 |
$1,222 |
$902 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,226 |
$1,226 |
$858 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,226 |
$1,226 |
$858 |
$131 | |
| CT scan of the neck with and without contrast |
$1,700 |
$1,700 |
$1,190 |
$220 | |
| CT scan of the neck with contrast |
$1,376 |
$1,376 |
$963 |
$183 | |
| CT scan of the neck without contrast |
$1,067 |
$1,067 |
$747 |
$150 | |
| CT scan of the pelvis |
$1,376 |
$1,376 |
$860 |
$226 | |
| CT scan of the pelvis with contrast |
$1,869 |
$1,869 |
$1,308 |
$226 | |
| CT scan of the pelvis without contrast |
$882 |
$882 |
$617 |
$133 | |
| CT scan of the sinuses |
$1,217 |
$1,217 |
$874 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,362 |
$1,362 |
$953 |
$184 | |
| CT scan of the sinuses with contrast |
$1,071 |
$1,071 |
$750 |
$152 | |
| CT scan of the sinuses without contrast |
$938 |
$938 |
$657 |
$128 | |
| D-dimer test |
$67 |
$67 |
$47 |
$10 | |
| DHEA-sulfate test |
$146 |
$146 |
$102 |
$22 | |
| Diagnostic mammogram |
$597 |
$597 |
$438 |
$140 | |
| Drug screen (urine) |
$81 |
$81 |
$57 |
$17 | |
| Ear pressure test (tympanometry) |
$63 |
$63 |
$44 |
$16 | |
| Echocardiogram |
$749 |
$749 |
$524 |
$138 | |
| EKG / ECG (tracing only) |
$87 |
$87 |
$61 |
$7 | |
| Electrocardiogram (EKG) |
$112 |
$112 |
$70 |
$8 | |
| Emergency department visit |
$517 |
$517 |
$352 |
$69 | |
| Emergency department visit (level 1) |
$162 |
$162 |
$113 |
$11 | |
| Emergency department visit (level 2) |
$293 |
$293 |
$205 |
$40 | |
| Emergency department visit (level 3) |
$517 |
$517 |
$362 |
$69 | |
| Emergency department visit (level 4) |
$819 |
$819 |
$573 |
$118 | |
| Emergency department visit (level 5) |
$1,195 |
$1,195 |
$837 |
$171 | |
| Estradiol (estrogen) test |
$183 |
$183 |
$128 |
$28 | |
| Fecal occult blood (stool) test |
$103 |
$103 |
$72 |
$10 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$103 |
$103 |
$72 |
$16 | |
| Ferritin (iron) test |
$90 |
$90 |
$63 |
$14 | |
| Fibrinogen test |
$62 |
$62 |
$43 |
$10 | |
| Flexible sigmoidoscopy |
$494 |
$494 |
$346 |
$323 | |
| Folate (folic acid) test |
$96 |
$96 |
$67 |
$15 | |
| Foreign body removal (skin) |
$671 |
$671 |
$470 |
$157 | |
| Free T4 thyroid test |
$59 |
$59 |
$41 |
$9 | |
| FSH hormone test |
$122 |
$122 |
$85 |
$19 | |
| GGT liver test |
$48 |
$48 |
$34 |
$7 | |
| Glucose tolerance test |
$84 |
$84 |
$59 |
$8 | |
| HDL cholesterol test |
$54 |
$54 |
$38 |
$8 | |
| Hematocrit test |
$15 |
$15 |
$11 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$63 |
$63 |
$44 |
$10 | |
| Hepatitis A vaccine |
$154 |
$154 |
$108 |
— | |
| Hepatitis B test |
$68 |
$68 |
$48 |
$10 | |
| Hepatitis B vaccine |
$116 |
$116 |
$81 |
— | |
| Hepatitis C test |
$93 |
$93 |
$65 |
$14 | |
| HIV test |
$158 |
$158 |
$111 |
$19 | |
| HIV test (antigen/antibody combo) |
$158 |
$158 |
$111 |
$24 | |
| HPV vaccine |
$441 |
$441 |
$309 |
— | |
| Iron blood test |
$42 |
$42 |
$29 |
$6 | |
| IV infusion therapy |
$289 |
$289 |
$120 |
$44 | |
| IV infusion therapy (each additional) |
$95 |
$95 |
$67 |
$21 | |
| IV infusion therapy (initial) |
$482 |
$482 |
$337 |
$67 | |
| Joint aspiration (small/intermediate) |
$339 |
$339 |
$154 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$528 |
$528 |
$370 |
$57 | |
| Joint aspiration or injection (small joint) |
$150 |
$150 |
$105 |
$56 | |
| Kidney ultrasound |
$303 |
$303 |
$167 |
$84 | |
| Kidney ultrasound (limited) |
$171 |
$171 |
$120 |
$61 | |
| Knee joint injection |
$528 |
$528 |
$370 |
$69 | |
| Lactate test |
$75 |
$75 |
$53 |
$12 | |
| LDH test |
$40 |
$40 |
$28 |
$6 | |
| LDL cholesterol test |
$42 |
$42 |
$29 |
$11 | |
| Leg vein ultrasound (Doppler) |
$603 |
$603 |
$410 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$464 |
$464 |
$325 |
$116 | |
| LH hormone test |
$121 |
$121 |
$85 |
$19 | |
| Lipase test |
$46 |
$46 |
$32 |
$7 | |
| Lipid (cholesterol) panel |
$88 |
$88 |
$62 |
$13 | |
| Liver function panel |
$53 |
$53 |
$37 |
$8 | |
| Magnesium blood test |
$45 |
$45 |
$31 |
$7 | |
| MMR vaccine |
$147 |
$147 |
$103 |
— | |
| MRA of the neck |
$2,929 |
$2,929 |
$2,050 |
$245 | |
| MRA of the neck with contrast |
$2,929 |
$2,929 |
$2,050 |
$245 | |
| MRI of the abdomen |
$2,824 |
$2,824 |
$1,977 |
$300 | |
| MRI of the ankle |
$2,868 |
$2,868 |
$2,098 |
$261 | |
| MRI of the ankle without contrast |
$2,463 |
$2,463 |
$1,724 |
$222 | |
| MRI of the brain |
$1,920 |
$1,920 |
$1,294 |
$269 | |
| MRI of the brain without contrast |
$1,430 |
$1,430 |
$1,001 |
$195 | |
| MRI of the knee |
$1,550 |
$1,550 |
$1,085 |
$315 | |
| MRI of the knee without contrast |
$1,550 |
$1,550 |
$1,085 |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,902 |
$1,902 |
$1,273 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,376 |
$1,376 |
$963 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,910 |
$1,910 |
$1,277 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,444 |
$2,444 |
$1,711 |
$319 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,376 |
$1,376 |
$963 |
$190 | |
| MRI of the neck (cervical spine) |
$1,903 |
$1,903 |
$1,273 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,433 |
$2,433 |
$1,703 |
$318 | |
| MRI of the neck (cervical spine) without contrast |
$1,373 |
$1,373 |
$961 |
$191 | |
| MRI of the pelvis |
$3,252 |
$3,252 |
$2,276 |
$268 | |
| MRI of the shoulder |
$1,550 |
$1,550 |
$1,085 |
$313 | |
| MRI of the shoulder without contrast |
$1,550 |
$1,550 |
$1,085 |
$205 | |
| MRI of the wrist |
$2,742 |
$2,742 |
$1,919 |
$330 | |
| MRI of the wrist without contrast |
$2,742 |
$2,742 |
$1,919 |
$303 | |
| Nebulizer breathing treatment |
$76 |
$76 |
$53 |
$9 | |
| Office visit (established patient) |
$93 |
$93 |
$68 |
$115 | |
| Office visit, established patient (level 3) |
$81 |
$81 |
$57 |
$95 | |
| Office visit, established patient (level 4) |
$104 |
$104 |
$73 |
$136 | |
| Pap smear (cervical screening) |
$173 |
$173 |
$118 |
$20 | |
| Parathyroid hormone (PTH) test |
$270 |
$270 |
$189 |
$41 | |
| Pelvic ultrasound |
$431 |
$431 |
$302 |
$78 | |
| Pelvic ultrasound (complete) |
$431 |
$431 |
$302 |
$105 | |
| Phosphorus blood test |
$31 |
$31 |
$22 |
$5 | |
| Physical therapy evaluation |
$436 |
$436 |
$305 |
$98 | |
| Physical therapy evaluation (high complexity) |
$447 |
$447 |
$313 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$436 |
$436 |
$305 |
$98 | |
| Platelet count |
$29 |
$29 |
$20 |
$4 | |
| Pregnancy blood test (hCG) |
$50 |
$50 |
$35 |
$8 | |
| Procalcitonin test |
$270 |
$270 |
$189 |
$27 | |
| Prolactin test |
$126 |
$126 |
$88 |
$19 | |
| Prostate test (PSA) |
$114 |
$114 |
$80 |
$18 | |
| Screening colonoscopy |
$1,719 |
$1,719 |
$1,203 |
$378 | |
| Screening mammogram |
$555 |
$555 |
$389 |
$126 | |
| Scrotal ultrasound |
$418 |
$418 |
$293 |
$99 | |
| Sedimentation rate (ESR) test |
$27 |
$27 |
$19 |
$3 | |
| Sex hormone binding globulin test |
$142 |
$142 |
$99 |
$22 | |
| Shingles vaccine |
$299 |
$299 |
$209 |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
$351 |
$351 |
$246 |
$114 | |
| Simple wound stitches |
$351 |
$351 |
$246 |
$127 | |
| Soft tissue ultrasound |
$187 |
$187 |
$131 |
$64 | |
| T3 thyroid test |
$93 |
$93 |
$65 |
$14 | |
| Tdap (tetanus) vaccine |
$210 |
$210 |
$147 |
— | |
| Testosterone test |
$168 |
$168 |
$118 |
$26 | |
| Thyroid test (TSH) |
$111 |
$111 |
$78 |
$17 | |
| Thyroid ultrasound |
$502 |
$502 |
$351 |
$109 | |
| Total IgE allergy test |
$109 |
$109 |
$76 |
$16 | |
| Total protein test |
$24 |
$24 |
$17 |
$4 | |
| Transvaginal ultrasound |
$512 |
$512 |
$358 |
$118 | |
| Triglycerides test |
$38 |
$38 |
$27 |
$6 | |
| Troponin (heart) test |
$80 |
$80 |
$56 |
$12 | |
| Upper GI endoscopy (EGD) |
$2,540 |
$2,540 |
$1,620 |
$371 | |
| Uric acid (gout) test |
$29 |
$29 |
$20 |
$5 | |
| Urinalysis |
$15 |
$15 |
$11 |
$3 | |
| Urine microalbumin test |
$33 |
$33 |
$25 |
$5 | |
| Urine pregnancy test |
$55 |
$55 |
$39 |
$9 | |
| Vaccine administration |
$51 |
$51 |
$35 |
$19 | |
| Vaccine administration (each additional) |
$37 |
$37 |
$26 |
$16 | |
| Vitamin B12 test |
$98 |
$98 |
$69 |
$15 | |
| Vitamin D test |
$194 |
$194 |
$136 |
$30 | |
| X-ray of the abdomen |
$151 |
$151 |
$106 |
$36 | |
| X-ray of the ankle |
$164 |
$164 |
$115 |
$37 | |
| X-ray of the collarbone |
$140 |
$140 |
$98 |
$33 | |
| X-ray of the elbow |
$139 |
$139 |
$97 |
$33 | |
| X-ray of the facial bones |
$202 |
$202 |
$141 |
$39 | |
| X-ray of the foot |
$153 |
$153 |
$107 |
$34 | |
| X-ray of the forearm |
$123 |
$123 |
$86 |
$29 | |
| X-ray of the hand |
$162 |
$162 |
$113 |
$38 | |
| X-ray of the hip |
$208 |
$208 |
$146 |
$49 | |
| X-ray of the hip (3 views) |
$208 |
$208 |
$146 |
$49 | |
| X-ray of the knee |
$182 |
$182 |
$127 |
$42 | |
| X-ray of the knee (2 views) |
$153 |
$153 |
$107 |
$34 | |
| X-ray of the knee (3 views) |
$182 |
$182 |
$127 |
$42 | |
| X-ray of the knee (4+ views) |
$204 |
$204 |
$143 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$195 |
$195 |
$143 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$168 |
$168 |
$118 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$222 |
$222 |
$155 |
$53 | |
| X-ray of the lower leg |
$139 |
$139 |
$97 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$148 |
$148 |
$109 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$132 |
$132 |
$92 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$164 |
$164 |
$115 |
$39 | |
| X-ray of the neck (cervical spine) |
$198 |
$198 |
$145 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$166 |
$166 |
$116 |
$40 | |
| X-ray of the pelvis |
$135 |
$135 |
$95 |
$36 | |
| X-ray of the pelvis (1 view) |
$135 |
$135 |
$95 |
$28 | |
| X-ray of the ribs |
$170 |
$170 |
$119 |
$42 | |
| X-ray of the ribs (2 views) |
$151 |
$151 |
$106 |
$36 | |
| X-ray of the ribs (3 views) |
$170 |
$170 |
$119 |
$42 | |
| X-ray of the shoulder |
$145 |
$145 |
$102 |
$36 | |
| X-ray of the upper arm |
$140 |
$140 |
$98 |
$32 | |
| X-ray of the wrist |
$186 |
$186 |
$130 |
$43 | |
| Zinc blood test |
$75 |
$75 |
$53 |
$11 | |