| 3D mammogram (tomosynthesis) |
$75 |
$151 |
$61 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,084 |
$2,168 |
$1,350 |
$284 | |
| Albumin blood test |
$35 |
$70 |
$7 |
$5 | |
| Alkaline phosphatase test |
$35 |
$70 |
$7 |
$5 | |
| ALT liver enzyme test |
$30 |
$60 |
$7 |
$5 | |
| Ammonia blood test |
$71 |
$141 |
$20 |
$15 | |
| Amniocentesis |
$1,217 |
$2,434 |
$1,441 |
$120 | |
| Amylase test |
$48 |
$96 |
$9 |
$6 | |
| AST liver enzyme test |
$30 |
$60 |
$7 |
$5 | |
| Barium swallow study |
$341 |
$681 |
$245 |
$107 | |
| Basic metabolic panel |
$76 |
$151 |
$12 |
$8 | |
| Bilirubin blood test |
$30 |
$60 |
$7 |
$5 | |
| Blood clotting test (PT/INR) |
$50 |
$99 |
$6 |
$4 | |
| Blood crossmatch |
$233 |
$466 |
$219 |
— | |
| Blood glucose test |
$39 |
$78 |
$6 |
$5 | |
| Blood transfusion |
$1,208 |
$2,415 |
$1,065 |
$47 | |
| Blood type and screen |
$81 |
$162 |
$74 |
$10 | |
| Blood type test |
$18 |
$37 |
$37 |
$3 | |
| Blood type test (ABO group) |
$18 |
$37 |
$37 |
$3 | |
| BNP (heart failure) test |
$210 |
$420 |
$50 |
$39 | |
| Bone density scan (DEXA) |
$97 |
$193 |
$135 |
$39 | |
| Breast biopsy |
$289 |
$578 |
$578 |
$478 | |
| Breast MRI |
$4,530 |
$9,061 |
$3,131 |
$216 | |
| Breast MRI without contrast |
$4,530 |
$9,061 |
$619 |
$216 | |
| Breast ultrasound |
$333 |
$665 |
$169 |
$92 | |
| Breast ultrasound (complete) |
$518 |
$1,035 |
$258 |
$100 | |
| Breast ultrasound (limited) |
$148 |
$296 |
$156 |
$84 | |
| Calcium blood test |
$35 |
$70 |
$7 |
$5 | |
| Cardiac MRI |
$2,066 |
$4,133 |
$901 |
$322 | |
| Cardiac MRI without contrast |
$2,066 |
$4,133 |
$901 |
$280 | |
| Cardioversion |
$619 |
$1,237 |
$858 |
$155 | |
| Chemotherapy infusion |
$306 |
$611 |
$293 |
$81 | |
| Chemotherapy infusion (each additional) |
$80 |
$161 |
$94 |
$28 | |
| Chemotherapy infusion (first hour) |
$531 |
$1,062 |
$467 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,273 |
$2,546 |
$1,248 |
$311 | |
| Chest tube insertion |
$1,610 |
$3,219 |
$2,139 |
$143 | |
| Chest X-ray |
$213 |
$426 |
$134 |
$37 | |
| Chest X-ray (1 view) |
$147 |
$294 |
$112 |
$25 | |
| Chest X-ray (2 views) |
$231 |
$462 |
$117 |
$33 | |
| CK-MB heart enzyme test |
$120 |
$241 |
$16 |
$12 | |
| Clotting time test (PTT) |
$48 |
$96 |
$8 |
$6 | |
| Complete blood count (CBC) |
$42 |
$84 |
$10 |
$7 | |
| Complete blood count (CBC) (complete) |
$64 |
$128 |
$11 |
$8 | |
| Comprehensive metabolic panel |
$122 |
$244 |
$15 |
$11 | |
| CPAP titration study |
$649 |
$1,297 |
$310 |
$69 | |
| Creatine kinase (CK) test |
$30 |
$60 |
$9 |
$7 | |
| CT angiography of the chest |
$1,795 |
$3,589 |
$774 |
$281 | |
| CT angiography of the head |
$1,822 |
$3,644 |
$658 |
$274 | |
| CT scan of the abdomen |
$1,332 |
$2,664 |
$538 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,709 |
$5,419 |
$538 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,709 |
$5,419 |
$933 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,709 |
$5,419 |
$771 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,814 |
$3,628 |
$447 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,997 |
$3,995 |
$736 |
$259 | |
| CT scan of the abdomen with contrast |
$1,295 |
$2,590 |
$620 |
$230 | |
| CT scan of the abdomen without contrast |
$1,036 |
$2,071 |
$483 |
$136 | |
| CT scan of the arm |
$1,627 |
$3,254 |
$622 |
$199 | |
| CT scan of the arm with contrast |
$1,627 |
$3,254 |
$689 |
$199 | |
| CT scan of the arm without contrast |
$1,332 |
$2,664 |
$433 |
$161 | |
| CT scan of the chest |
$1,479 |
$2,959 |
$555 |
$167 | |
| CT scan of the chest with and without contrast |
$1,997 |
$3,995 |
$761 |
$196 | |
| CT scan of the chest with contrast |
$1,627 |
$3,254 |
$637 |
$167 | |
| CT scan of the chest without contrast |
$1,036 |
$2,071 |
$500 |
$133 | |
| CT scan of the head |
$1,332 |
$2,664 |
$471 |
$148 | |
| CT scan of the head with and without contrast |
$1,775 |
$3,551 |
$637 |
$173 | |
| CT scan of the head with contrast |
$1,332 |
$2,664 |
$537 |
$148 | |
| CT scan of the head without contrast |
$1,110 |
$2,221 |
$416 |
$107 | |
| CT scan of the leg |
$1,627 |
$3,254 |
$488 |
$166 | |
| CT scan of the leg with contrast |
$1,627 |
$3,254 |
$555 |
$166 | |
| CT scan of the leg without contrast |
$1,332 |
$2,664 |
$433 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,627 |
$3,254 |
$689 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,997 |
$3,995 |
$760 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,627 |
$3,254 |
$771 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,332 |
$2,664 |
$500 |
$130 | |
| CT scan of the neck |
$1,627 |
$3,254 |
$472 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,627 |
$3,254 |
$689 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,997 |
$3,995 |
$760 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,627 |
$3,254 |
$771 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,332 |
$2,664 |
$500 |
$131 | |
| CT scan of the neck with and without contrast |
$1,997 |
$3,995 |
$638 |
$220 | |
| CT scan of the neck with contrast |
$1,627 |
$3,254 |
$538 |
$183 | |
| CT scan of the neck without contrast |
$1,332 |
$2,664 |
$417 |
$150 | |
| CT scan of the pelvis |
$1,479 |
$2,959 |
$555 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,997 |
$3,995 |
$735 |
$251 | |
| CT scan of the pelvis with contrast |
$1,627 |
$3,254 |
$620 |
$226 | |
| CT scan of the pelvis without contrast |
$1,036 |
$2,071 |
$500 |
$133 | |
| CT scan of the sinuses |
$1,295 |
$2,590 |
$401 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,997 |
$3,995 |
$638 |
$184 | |
| CT scan of the sinuses with contrast |
$1,627 |
$3,254 |
$538 |
$152 | |
| CT scan of the sinuses without contrast |
$999 |
$1,998 |
$347 |
$128 | |
| Drug screen (urine) |
$248 |
$496 |
$82 |
$17 | |
| Echocardiogram |
$496 |
$992 |
$368 |
$138 | |
| Echocardiogram with and without contrast |
$341 |
$683 |
$357 |
$101 | |
| Echocardiogram without contrast |
$651 |
$1,302 |
$527 |
$138 | |
| EEG (awake and asleep) |
$400 |
$799 |
$305 |
$482 | |
| Electroencephalogram (EEG) |
$400 |
$799 |
$320 |
$448 | |
| Electrolyte panel |
$44 |
$88 |
$10 |
$7 | |
| Emergency department visit |
$609 |
$1,217 |
$537 |
$69 | |
| Emergency department visit (level 1) |
$112 |
$223 |
$130 |
$11 | |
| Emergency department visit (level 2) |
$348 |
$696 |
$327 |
$40 | |
| Emergency department visit (level 3) |
$609 |
$1,217 |
$576 |
$69 | |
| Emergency department visit (level 4) |
$942 |
$1,885 |
$887 |
$118 | |
| Emergency department visit (level 5) |
$1,649 |
$3,297 |
$1,342 |
$171 | |
| Epidural steroid injection |
$929 |
$1,858 |
$1,102 |
$275 | |
| Facet joint injection (spine) |
$494 |
$987 |
$1,062 |
$99 | |
| Fallopian tube X-ray (HSG) |
$244 |
$487 |
$307 |
$164 | |
| Fecal occult blood (stool) test |
$30 |
$60 |
$5 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$30 |
$60 |
$5 |
$4 | |
| Fibrinogen test |
$77 |
$155 |
$13 |
$10 | |
| Free T4 thyroid test |
$71 |
$141 |
$12 |
$9 | |
| GGT liver test |
$30 |
$60 |
$10 |
$7 | |
| Glucose tolerance test |
$77 |
$155 |
$14 |
$8 | |
| HDL cholesterol test |
$50 |
$99 |
$11 |
$8 | |
| Hemoglobin A1c (diabetes test) |
$111 |
$222 |
$13 |
$10 | |
| Hepatitis B test |
$60 |
$120 |
$14 |
$10 | |
| Iron blood test |
$22 |
$44 |
$9 |
$6 | |
| IV infusion therapy |
$193 |
$387 |
$195 |
$44 | |
| IV infusion therapy (each additional) |
$59 |
$117 |
$65 |
$21 | |
| IV infusion therapy (initial) |
$328 |
$657 |
$301 |
$67 | |
| Joint aspiration (small/intermediate) |
$950 |
$1,900 |
$807 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$950 |
$1,900 |
$807 |
$57 | |
| Kidney biopsy |
$992 |
$1,983 |
$1,983 |
$492 | |
| Knee joint injection |
$248 |
$495 |
$395 |
$69 | |
| Lactate test |
$106 |
$211 |
$15 |
$12 | |
| LDH test |
$31 |
$62 |
$8 |
$6 | |
| LDL cholesterol test |
$64 |
$128 |
$14 |
$11 | |
| Lipase test |
$87 |
$174 |
$10 |
$7 | |
| Lipid (cholesterol) panel |
$108 |
$216 |
$19 |
$13 | |
| Liver biopsy |
$2,196 |
$4,391 |
$2,574 |
$288 | |
| Liver function panel |
$60 |
$119 |
$11 |
$8 | |
| Lung function test (PFT) |
$180 |
$360 |
$331 |
$37 | |
| Magnesium blood test |
$35 |
$70 |
$9 |
$7 | |
| MRA of the brain |
$2,647 |
$5,294 |
$1,084 |
$226 | |
| MRA of the brain with contrast |
$2,647 |
$5,294 |
$1,084 |
$226 | |
| MRA of the brain without contrast |
$4,204 |
$8,408 |
$1,835 |
$328 | |
| MRA of the neck |
$2,647 |
$5,294 |
$1,084 |
$245 | |
| MRA of the neck with contrast |
$2,647 |
$5,294 |
$1,084 |
$245 | |
| MRA of the neck without contrast |
$4,204 |
$8,408 |
$1,835 |
$343 | |
| MRI of the abdomen |
$2,640 |
$5,281 |
$1,062 |
$300 | |
| MRI of the abdomen with contrast |
$2,640 |
$5,281 |
$1,237 |
$300 | |
| MRI of the abdomen without contrast |
$2,199 |
$4,398 |
$976 |
$194 | |
| MRI of the ankle |
$2,553 |
$5,106 |
$1,061 |
$261 | |
| MRI of the ankle with contrast |
$2,553 |
$5,106 |
$1,235 |
$261 | |
| MRI of the brain |
$2,602 |
$5,204 |
$1,061 |
$269 | |
| MRI of the brain with contrast |
$2,602 |
$5,204 |
$1,218 |
$269 | |
| MRI of the brain without contrast |
$1,756 |
$3,511 |
$976 |
$195 | |
| MRI of the chest |
$2,643 |
$5,286 |
$1,397 |
$371 | |
| MRI of the chest with contrast |
$2,643 |
$5,286 |
$1,573 |
$371 | |
| MRI of the chest without contrast |
$4,628 |
$9,257 |
$1,835 |
$466 | |
| MRI of the knee |
$2,553 |
$5,106 |
$1,394 |
$315 | |
| MRI of the knee with contrast |
$2,553 |
$5,106 |
$1,570 |
$315 | |
| MRI of the knee without contrast |
$2,157 |
$4,313 |
$973 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,602 |
$5,204 |
$1,147 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,602 |
$5,204 |
$1,219 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,065 |
$4,130 |
$1,062 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,601 |
$5,202 |
$1,148 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$3,141 |
$6,282 |
$1,828 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,601 |
$5,202 |
$1,220 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,065 |
$4,130 |
$1,063 |
$190 | |
| MRI of the neck (cervical spine) |
$2,603 |
$5,206 |
$1,062 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$3,141 |
$6,282 |
$1,828 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,603 |
$5,206 |
$1,220 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,065 |
$4,130 |
$976 |
$191 | |
| MRI of the pelvis |
$2,526 |
$5,052 |
$1,062 |
$268 | |
| MRI of the pelvis with contrast |
$2,526 |
$5,052 |
$1,062 |
$268 | |
| MRI of the pelvis without contrast |
$2,164 |
$4,327 |
$992 |
$227 | |
| MRI of the shoulder |
$2,553 |
$5,106 |
$1,394 |
$313 | |
| MRI of the shoulder with contrast |
$2,553 |
$5,106 |
$1,570 |
$313 | |
| MRI of the shoulder without contrast |
$2,157 |
$4,313 |
$973 |
$205 | |
| MRI of the wrist |
$2,553 |
$5,106 |
$1,061 |
$330 | |
| MRI of the wrist with contrast |
$2,553 |
$5,106 |
$1,240 |
$330 | |
| MRI of the wrist without contrast |
$2,157 |
$4,313 |
$989 |
$303 | |
| Nebulizer breathing treatment |
$213 |
$426 |
$273 |
$9 | |
| PET scan |
$2,319 |
$4,638 |
$2,495 |
— | |
| Phosphorus blood test |
$30 |
$60 |
$7 |
$5 | |
| Physical therapy evaluation |
$124 |
$247 |
$130 |
$98 | |
| Physical therapy evaluation (high complexity) |
$142 |
$284 |
$147 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$124 |
$247 |
$136 |
$98 | |
| Platelet count |
$29 |
$58 |
$6 |
$4 | |
| Pregnancy blood test (hCG) |
$47 |
$94 |
$10 |
$8 | |
| Prostate test (PSA) |
$97 |
$194 |
$25 |
$18 | |
| Rheumatoid factor test |
$35 |
$70 |
$8 |
$6 | |
| Scoliosis spine X-ray |
$213 |
$426 |
$157 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$185 |
$369 |
$141 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$365 |
$731 |
$209 |
$72 | |
| Screening mammogram |
$156 |
$313 |
$106 |
$126 | |
| Sedimentation rate (ESR) test |
$54 |
$108 |
$5 |
$3 | |
| Semen analysis |
$54 |
$107 |
$17 |
$12 | |
| Sleep study (polysomnography) |
$2,603 |
$5,206 |
$1,215 |
$691 | |
| Speech therapy |
$212 |
$425 |
$175 |
$76 | |
| Spinal tap (lumbar puncture) |
$480 |
$961 |
$871 |
$165 | |
| Spirometry (lung function test) |
$145 |
$291 |
$278 |
$30 | |
| Spirometry with bronchodilator |
$284 |
$568 |
$360 |
$43 | |
| Strep throat test |
$62 |
$125 |
$18 |
$17 | |
| Swallow study |
$326 |
$652 |
$231 |
$85 | |
| Thyroid test (TSH) |
$81 |
$162 |
$23 |
$17 | |
| Total protein test |
$42 |
$83 |
$5 |
$4 | |
| Triglycerides test |
$30 |
$60 |
$8 |
$6 | |
| Upper GI series (barium) |
$424 |
$847 |
$254 |
$128 | |
| Uric acid (gout) test |
$46 |
$92 |
$6 |
$5 | |
| Urinalysis |
$47 |
$93 |
$4 |
$3 | |
| Urine microalbumin test |
$48 |
$96 |
$8 |
$5 | |
| Urine pregnancy test |
$48 |
$96 |
$9 |
$9 | |
| X-ray of the abdomen |
$234 |
$468 |
$134 |
$36 | |
| X-ray of the ankle |
$200 |
$401 |
$114 |
$37 | |
| X-ray of the collarbone |
$173 |
$346 |
$113 |
$33 | |
| X-ray of the elbow |
$213 |
$426 |
$120 |
$33 | |
| X-ray of the facial bones |
$301 |
$602 |
$134 |
$39 | |
| X-ray of the foot |
$173 |
$346 |
$114 |
$34 | |
| X-ray of the forearm |
$167 |
$334 |
$113 |
$29 | |
| X-ray of the hand |
$213 |
$426 |
$114 |
$38 | |
| X-ray of the knee |
$192 |
$383 |
$134 |
$42 | |
| X-ray of the knee (2 views) |
$170 |
$340 |
$113 |
$34 | |
| X-ray of the knee (3 views) |
$195 |
$390 |
$120 |
$42 | |
| X-ray of the knee (4+ views) |
$228 |
$456 |
$137 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$328 |
$656 |
$142 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$245 |
$490 |
$142 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$411 |
$821 |
$148 |
$53 | |
| X-ray of the lower leg |
$173 |
$346 |
$113 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$272 |
$544 |
$140 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$223 |
$445 |
$140 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$321 |
$643 |
$148 |
$39 | |
| X-ray of the neck (cervical spine) |
$229 |
$459 |
$134 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$211 |
$423 |
$123 |
$40 | |
| X-ray of the pelvis |
$210 |
$421 |
$134 |
$36 | |
| X-ray of the pelvis (1 view) |
$192 |
$383 |
$134 |
$28 | |
| X-ray of the ribs |
$296 |
$591 |
$134 |
$42 | |
| X-ray of the ribs (2 views) |
$245 |
$490 |
$120 |
$36 | |
| X-ray of the ribs (3 views) |
$296 |
$591 |
$142 |
$42 | |
| X-ray of the shoulder |
$213 |
$426 |
$120 |
$36 | |
| X-ray of the skull |
$307 |
$614 |
$137 |
$40 | |
| X-ray of the upper arm |
$173 |
$346 |
$120 |
$32 | |
| X-ray of the wrist |
$213 |
$426 |
$114 |
$43 | |