| Abdominal ultrasound |
$1,596 |
$3,192 |
$2,076 |
$100 | |
| Abdominal ultrasound (complete) |
$2,067 |
$4,133 |
$2,076 |
$114 | |
| Abdominal ultrasound (limited) |
$1,544 |
$3,088 |
$1,551 |
$86 | |
| Albumin blood test |
$124 |
$247 |
$120 |
$5 | |
| Aldosterone test |
$17 |
$35 |
$18 |
$41 | |
| Alkaline phosphatase test |
$69 |
$138 |
$127 |
$5 | |
| Allergy shots |
$55 |
$109 |
$66 |
$11 | |
| Allergy testing |
$68 |
$135 |
$70 |
$4 | |
| Alpha-fetoprotein (AFP) test |
$237 |
$474 |
$230 |
$17 | |
| ALT liver enzyme test |
$203 |
$405 |
$203 |
$5 | |
| Ammonia blood test |
$97 |
$195 |
$407 |
$15 | |
| Amniocentesis |
$746 |
$1,491 |
$775 |
$120 | |
| Amylase test |
$95 |
$190 |
$8,000 |
$6 | |
| Annual physical (established patient) |
— |
$458 |
$332 |
— | |
| Antinuclear antibody (ANA) test |
$65 |
$130 |
$99 |
$12 | |
| Arterial blood gas (ABG) |
$809 |
$1,617 |
$742 |
$26 | |
| AST liver enzyme test |
$214 |
$428 |
$208 |
$5 | |
| Barium swallow study |
$1,974 |
$3,949 |
$2,136 |
$107 | |
| Basic metabolic panel |
$426 |
$851 |
$407 |
$8 | |
| Bilirubin blood test |
$142 |
$283 |
$138 |
$5 | |
| Bladder function test (urodynamics) |
$1,809 |
$3,618 |
$1,881 |
$345 | |
| Blood clotting test (PT/INR) |
$188 |
$377 |
$176 |
$4 | |
| Blood crossmatch |
$506 |
$1,012 |
$492 |
— | |
| Blood glucose test |
$195 |
$389 |
$189 |
$5 | |
| Blood transfusion |
$796 |
$1,592 |
$8,000 |
$47 | |
| Blood type and screen |
$314 |
$627 |
$305 |
$10 | |
| Blood type test |
$230 |
$459 |
$215 |
$3 | |
| Blood type test (ABO group) |
$238 |
$475 |
$231 |
$3 | |
| Blood type test (Rh/D antigen) |
$218 |
$436 |
$208 |
$3 | |
| BNP (heart failure) test |
$735 |
$1,469 |
$714 |
$39 | |
| Bone density scan (DEXA) |
$457 |
$913 |
$573 |
$39 | |
| Bone marrow biopsy |
$1,559 |
$3,118 |
$8,000 |
$172 | |
| Bone scan (nuclear) |
$3,800 |
$7,599 |
$3,951 |
$259 | |
| Botox for migraine |
$2,708 |
$5,415 |
$2,285 |
$157 | |
| Breast ultrasound |
$1,015 |
$2,030 |
$1,095 |
$92 | |
| Breast ultrasound (complete) |
$1,127 |
$2,253 |
$1,095 |
$100 | |
| Breast ultrasound (limited) |
$903 |
$1,806 |
$878 |
$84 | |
| Bronchoscopy |
$2,799 |
$5,598 |
$8,000 |
$303 | |
| C-reactive protein (CRP) |
$163 |
$325 |
$172 |
$5 | |
| CA 19-9 tumor marker test |
$225 |
$450 |
$8,000 |
$21 | |
| CA-125 ovarian marker test |
$286 |
$571 |
$277 |
$21 | |
| Calcium blood test |
$43 |
$85 |
$176 |
$5 | |
| Capsule endoscopy |
$2,382 |
$4,764 |
$2,151 |
$802 | |
| Cardiac ablation |
$40,086 |
$80,172 |
$38,304 |
$759 | |
| Cardiac catheterization |
$12,436 |
$24,871 |
$12,085 |
$1,049 | |
| Cardiac MRI |
$6,608 |
$13,217 |
$6,870 |
$322 | |
| Cardiac MRI without contrast |
$6,147 |
$12,294 |
$5,974 |
$280 | |
| Cardiac stress test |
$1,580 |
$3,160 |
$1,643 |
$39 | |
| Carotid artery ultrasound |
$2,532 |
$5,064 |
$3,370 |
$156 | |
| CEA tumor marker test |
$222 |
$445 |
$395 |
$19 | |
| Cesarean section (C-section) |
$79,215 |
— |
$17,000 |
$7,552 | |
| Chemotherapy infusion |
$1,292 |
$2,583 |
$1,343 |
$81 | |
| Chemotherapy infusion (each additional) |
$1,292 |
$2,583 |
$1,343 |
$28 | |
| Chemotherapy infusion (first hour) |
$1,292 |
$2,583 |
$4,672 |
$133 | |
| Chest X-ray |
$1,187 |
$2,373 |
$1,523 |
$37 | |
| Chest X-ray (1 view) |
$1,037 |
$2,073 |
$4,504 |
$25 | |
| Chest X-ray (2 views) |
$1,112 |
$2,223 |
$1,153 |
$33 | |
| Chickenpox (varicella) vaccine |
$707 |
$740 |
$463 |
— | |
| CK-MB heart enzyme test |
$273 |
$546 |
$8,000 |
$12 | |
| Clotting time test (PTT) |
$232 |
$463 |
$239 |
$6 | |
| Complete blood count (CBC) |
$201 |
$402 |
$216 |
$7 | |
| Complete blood count (CBC) (complete) |
$184 |
$367 |
$216 |
$8 | |
| Comprehensive eye exam |
— |
$590 |
$459 |
$138 | |
| Comprehensive metabolic panel |
$490 |
$979 |
$480 |
$11 | |
| Continuous glucose monitor setup |
— |
$182 |
$119 |
$35 | |
| Contraceptive implant (Nexplanon) |
$443 |
$886 |
$514 |
$115 | |
| Copper blood test |
$9 |
$18 |
$19 |
$12 | |
| Coronary CT angiography |
$4,304 |
$8,608 |
$4,183 |
$326 | |
| COVID-19 PCR test |
$209 |
$417 |
$203 |
$51 | |
| CPAP titration study |
$3,226 |
$6,453 |
$4,113 |
$69 | |
| Creatine kinase (CK) test |
$115 |
$229 |
$217 |
$7 | |
| CT angiography of the chest |
$6,376 |
$12,751 |
$6,196 |
$281 | |
| CT angiography of the head |
$6,989 |
$13,977 |
$6,791 |
$274 | |
| CT scan of the abdomen |
$6,196 |
$12,392 |
$6,162 |
$230 | |
| CT scan of the abdomen and pelvis |
$8,456 |
$16,912 |
$8,218 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$8,842 |
$17,683 |
$8,592 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$8,456 |
$16,912 |
$8,218 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$7,687 |
$15,374 |
$7,470 |
$183 | |
| CT scan of the abdomen with and without contrast |
$6,196 |
$12,392 |
$6,021 |
$259 | |
| CT scan of the abdomen with contrast |
$6,341 |
$12,682 |
$6,162 |
$230 | |
| CT scan of the abdomen without contrast |
$5,765 |
$11,530 |
$5,602 |
$136 | |
| CT scan of the arm |
$5,164 |
$10,328 |
$5,135 |
$199 | |
| CT scan of the arm with contrast |
$5,284 |
$10,568 |
$5,135 |
$199 | |
| CT scan of the arm without contrast |
$4,806 |
$9,611 |
$4,670 |
$161 | |
| CT scan of the chest |
$6,341 |
$12,682 |
$6,443 |
$167 | |
| CT scan of the chest with and without contrast |
$6,630 |
$13,259 |
$6,443 |
$196 | |
| CT scan of the chest with contrast |
$6,341 |
$12,682 |
$6,162 |
$167 | |
| CT scan of the chest without contrast |
$5,765 |
$11,530 |
$5,602 |
$133 | |
| CT scan of the head |
$4,756 |
$9,512 |
$4,833 |
$148 | |
| CT scan of the head with and without contrast |
$4,973 |
$9,946 |
$4,833 |
$173 | |
| CT scan of the head with contrast |
$4,756 |
$9,512 |
$4,622 |
$148 | |
| CT scan of the head without contrast |
$4,324 |
$8,648 |
$4,202 |
$107 | |
| CT scan of the leg |
$5,284 |
$10,568 |
$5,370 |
$166 | |
| CT scan of the leg with contrast |
$5,284 |
$10,568 |
$5,135 |
$166 | |
| CT scan of the leg without contrast |
$4,806 |
$9,611 |
$4,670 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$4,648 |
$9,295 |
$4,621 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$4,648 |
$9,295 |
$4,516 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$4,755 |
$9,510 |
$4,621 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$4,323 |
$8,646 |
$4,201 |
$130 | |
| CT scan of the neck |
$6,341 |
$12,682 |
$6,443 |
$183 | |
| CT scan of the neck (cervical spine) |
$4,755 |
$9,510 |
$4,833 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$4,973 |
$9,946 |
$4,833 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$4,755 |
$9,510 |
$4,621 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$4,323 |
$8,646 |
$4,201 |
$131 | |
| CT scan of the neck with and without contrast |
$6,630 |
$13,259 |
$6,443 |
$220 | |
| CT scan of the neck with contrast |
$6,341 |
$12,682 |
$6,162 |
$183 | |
| CT scan of the neck without contrast |
$5,765 |
$11,530 |
$5,602 |
$150 | |
| CT scan of the pelvis |
$6,196 |
$12,392 |
$6,162 |
$226 | |
| CT scan of the pelvis with and without contrast |
$6,196 |
$12,392 |
$6,021 |
$251 | |
| CT scan of the pelvis with contrast |
$6,341 |
$12,682 |
$6,162 |
$226 | |
| CT scan of the pelvis without contrast |
$5,765 |
$11,530 |
$5,602 |
$133 | |
| CT scan of the sinuses |
$3,700 |
$7,400 |
$3,760 |
$152 | |
| CT scan of the sinuses with and without contrast |
$3,869 |
$7,738 |
$3,760 |
$184 | |
| CT scan of the sinuses with contrast |
$3,700 |
$7,400 |
$3,596 |
$152 | |
| CT scan of the sinuses without contrast |
$3,365 |
$6,730 |
$3,270 |
$128 | |
| D-dimer test |
$483 |
$965 |
$469 |
$10 | |
| Defibrillator (ICD) implant |
$65,669 |
$131,338 |
$47,833 |
$798 | |
| Developmental screening (child) |
$302 |
$327 |
$293 |
— | |
| DHEA-sulfate test |
$14 |
$29 |
$8,000 |
$22 | |
| Drug screen (urine) |
$21 |
$41 |
$47 |
$17 | |
| Ear pressure test (tympanometry) |
$211 |
$422 |
$219 |
$16 | |
| Echocardiogram |
$2,060 |
$4,119 |
$4,811 |
$138 | |
| Echocardiogram with and without contrast |
$1,783 |
$3,566 |
$1,994 |
$101 | |
| Echocardiogram without contrast |
$2,060 |
$4,119 |
$2,414 |
$138 | |
| EEG (awake and asleep) |
$2,117 |
$4,234 |
$2,364 |
$482 | |
| EKG / ECG (tracing only) |
$1,033 |
$2,066 |
$1,075 |
$7 | |
| Electrocardiogram (EKG) |
$1,033 |
$2,066 |
$1,075 |
$8 | |
| Electroencephalogram (EEG) |
$2,117 |
$4,234 |
$2,208 |
$448 | |
| Electromyography (EMG) |
$1,393 |
$2,786 |
$1,697 |
$141 | |
| Estradiol (estrogen) test |
$23 |
$45 |
$185 |
$28 | |
| Eye refraction (glasses prescription) |
— |
$274 |
$137 |
— | |
| Facet joint injection (spine) |
$1,409 |
$2,817 |
$1,189 |
$99 | |
| Family therapy session |
$381 |
$639 |
$396 |
$110 | |
| Fecal occult blood (stool) test |
$113 |
$225 |
$109 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$113 |
$225 |
$109 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$179 |
$358 |
$174 |
$16 | |
| Ferritin (iron) test |
$220 |
$440 |
$327 |
$14 | |
| Fibrinogen test |
$337 |
$673 |
$314 |
$10 | |
| Flu vaccine |
$67 |
$133 |
$43 |
— | |
| Folate (folic acid) test |
$284 |
$567 |
$276 |
$15 | |
| Free T4 thyroid test |
$15 |
$30 |
$222 |
$9 | |
| FSH hormone test |
$147 |
$294 |
$274 |
$19 | |
| Gallbladder scan (HIDA) |
$3,961 |
$7,922 |
$4,337 |
$334 | |
| GGT liver test |
$100 |
$200 |
$170 |
$7 | |
| Glucose tolerance test |
$393 |
$786 |
$8,000 |
$8 | |
| Group therapy session |
— |
$163 |
$90 |
$30 | |
| H. pylori test |
$35 |
$70 |
$34 |
$67 | |
| HDL cholesterol test |
$162 |
$324 |
$157 |
$8 | |
| Hearing test (audiometry) |
$569 |
$1,139 |
$709 |
$36 | |
| Hematocrit test |
$199 |
$397 |
$193 |
$2 | |
| Hemodialysis |
$2,854 |
$5,707 |
$2,968 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$94 |
$188 |
$153 |
$10 | |
| Hepatitis A vaccine |
$247 |
$494 |
$215 |
— | |
| Hepatitis B test |
$28 |
$56 |
$203 |
$10 | |
| Hepatitis B vaccine |
$329 |
$658 |
$330 |
— | |
| Hepatitis C test |
$70 |
$140 |
$175 |
$14 | |
| HIV test |
$257 |
$514 |
$237 |
$19 | |
| HIV test (antibody) |
$151 |
$301 |
$202 |
$14 | |
| HIV test (antigen/antibody combo) |
$298 |
$596 |
$290 |
$24 | |
| Holter heart monitor |
$1,359 |
$2,717 |
$2,441 |
$26 | |
| HPV vaccine |
$2,104 |
$2,726 |
$1,301 |
— | |
| Iron blood test |
$126 |
$251 |
$122 |
$6 | |
| IUD insertion |
$528 |
$1,056 |
$8,000 |
— | |
| IV infusion therapy |
$783 |
$1,566 |
$1,003 |
$44 | |
| IV infusion therapy (each additional) |
$602 |
$1,203 |
$4,313 |
$21 | |
| IV infusion therapy (initial) |
$965 |
$1,929 |
$1,003 |
$67 | |
| IVC filter placement |
$12,004 |
$24,008 |
$8,744 |
$1,885 | |
| Kidney biopsy |
$2,649 |
$5,298 |
$18,269 |
$492 | |
| Kidney scan (nuclear) |
$3,528 |
$7,056 |
$3,669 |
$172 | |
| Kidney ultrasound |
$1,627 |
$3,255 |
$1,615 |
$84 | |
| Kidney ultrasound (limited) |
$1,662 |
$3,323 |
$1,615 |
$61 | |
| Lactate test |
$369 |
$738 |
$359 |
$12 | |
| LDH test |
$32 |
$64 |
$169 |
$6 | |
| LDL cholesterol test |
$107 |
$214 |
$104 |
$11 | |
| Leg artery angiogram |
$17,326 |
$34,651 |
$16,837 |
$149 | |
| Leg artery angioplasty |
$18,995 |
$37,990 |
$18,346 |
— | |
| Leg vein ultrasound (Doppler) |
$2,982 |
$5,964 |
$3,370 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$2,496 |
$4,992 |
$2,426 |
$116 | |
| LH hormone test |
$160 |
$320 |
$300 |
$19 | |
| Lipase test |
$243 |
$485 |
$8,000 |
$7 | |
| Lipid (cholesterol) panel |
$331 |
$662 |
$322 |
$13 | |
| Liver biopsy |
$2,197 |
$4,394 |
$8,000 |
$288 | |
| Liver function panel |
$318 |
$636 |
$332 |
$8 | |
| Lung function test (PFT) |
$1,329 |
$2,657 |
$2,398 |
$37 | |
| Lung scan (V/Q) |
$4,349 |
$8,698 |
$4,523 |
$291 | |
| Magnesium blood test |
$258 |
$517 |
$310 |
$7 | |
| MMR vaccine |
$666 |
$1,332 |
$426 |
— | |
| MRA of the brain |
$7,070 |
$14,139 |
$7,466 |
$226 | |
| MRA of the brain with contrast |
$7,070 |
$14,139 |
$6,870 |
$226 | |
| MRA of the brain without contrast |
$7,683 |
$15,366 |
$7,466 |
$328 | |
| MRA of the neck |
$6,608 |
$13,217 |
$7,466 |
$245 | |
| MRA of the neck with contrast |
$4,337 |
$8,674 |
$6,870 |
$245 | |
| MRA of the neck without contrast |
$7,683 |
$15,366 |
$7,466 |
$343 | |
| MRI of the abdomen |
$6,505 |
$13,010 |
$7,352 |
$300 | |
| MRI of the abdomen with contrast |
$7,070 |
$14,139 |
$6,870 |
$300 | |
| MRI of the abdomen without contrast |
$6,147 |
$12,294 |
$6,669 |
$194 | |
| MRI of the ankle |
$6,147 |
$12,294 |
$7,466 |
$261 | |
| MRI of the ankle with contrast |
$7,070 |
$14,139 |
$6,870 |
$261 | |
| MRI of the ankle without contrast |
$3,876 |
$7,752 |
$5,974 |
$222 | |
| MRI of the brain |
$4,610 |
$9,221 |
$7,364 |
$269 | |
| MRI of the brain with contrast |
$7,070 |
$14,139 |
$6,870 |
$269 | |
| MRI of the brain without contrast |
$3,074 |
$6,147 |
$5,882 |
$195 | |
| MRI of the chest |
$6,147 |
$12,294 |
$7,466 |
$371 | |
| MRI of the chest with contrast |
$7,070 |
$14,139 |
$6,870 |
$371 | |
| MRI of the chest without contrast |
$4,844 |
$9,688 |
$7,466 |
$466 | |
| MRI of the knee |
$3,502 |
$7,004 |
$7,466 |
$315 | |
| MRI of the knee with contrast |
$7,070 |
$14,139 |
$6,870 |
$315 | |
| MRI of the knee without contrast |
$2,578 |
$5,156 |
$5,974 |
$204 | |
| MRI of the lower back (lumbar spine) |
$6,608 |
$13,217 |
$7,466 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$7,070 |
$14,139 |
$6,870 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$5,133 |
$10,266 |
$5,974 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$6,608 |
$13,217 |
$7,466 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$7,683 |
$15,366 |
$7,733 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$7,070 |
$14,139 |
$6,870 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$5,133 |
$10,266 |
$5,974 |
$190 | |
| MRI of the neck (cervical spine) |
$6,608 |
$13,217 |
$7,466 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$7,683 |
$15,366 |
$7,466 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$7,070 |
$14,139 |
$6,870 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$5,133 |
$10,266 |
$5,974 |
$191 | |
| MRI of the pelvis |
$3,209 |
$6,417 |
$7,466 |
$268 | |
| MRI of the pelvis with contrast |
$7,070 |
$14,139 |
$6,870 |
$268 | |
| MRI of the pelvis without contrast |
$3,209 |
$6,417 |
$5,974 |
$227 | |
| MRI of the shoulder |
$4,098 |
$8,197 |
$7,466 |
$313 | |
| MRI of the shoulder with contrast |
$6,607 |
$13,214 |
$6,421 |
$313 | |
| MRI of the shoulder without contrast |
$2,050 |
$4,099 |
$5,974 |
$205 | |
| MRI of the wrist |
$7,070 |
$14,139 |
$7,466 |
$330 | |
| MRI of the wrist with contrast |
$7,070 |
$14,139 |
$6,870 |
$330 | |
| MRI of the wrist without contrast |
$6,147 |
$12,294 |
$5,974 |
$303 | |
| Nebulizer breathing treatment |
$264 |
$453 |
$347 |
$9 | |
| Newborn hospital care |
— |
$227 |
$139 |
$58 | |
| Nuchal translucency ultrasound |
$754 |
$1,508 |
$733 |
$116 | |
| Nuclear cardiac stress test |
$5,904 |
$11,808 |
$8,000 |
$428 | |
| Occupational therapy evaluation |
$515 |
$569 |
$434 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$687 |
$912 |
$667 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$344 |
$538 |
$335 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$515 |
$715 |
$500 |
$101 | |
| Office visit (established patient) |
$74 |
$299 |
$303 |
$115 | |
| Office visit (new patient) |
$95 |
$534 |
$438 |
$177 | |
| Office visit, established patient (level 3) |
$186 |
$299 |
$296 |
$95 | |
| Office visit, established patient (level 4) |
$74 |
$286 |
$343 |
$136 | |
| Office visit, new patient (level 3) |
$78 |
$424 |
$258 |
$118 | |
| Office visit, new patient (level 4) |
$95 |
$644 |
$438 |
$177 | |
| Office visit, new patient (level 5) |
$108 |
$799 |
$651 |
$237 | |
| Orthopedic hardware removal |
— |
$2,637 |
$1,846 |
$632 | |
| Pacemaker insertion |
$260,682 |
— |
$26,951 |
$15,506 | |
| Pap smear (cervical screening) |
$97 |
$194 |
$94 |
$20 | |
| Parathyroid hormone (PTH) test |
$704 |
$1,407 |
$684 |
$41 | |
| Pelvic ultrasound |
$1,401 |
$2,802 |
$1,551 |
$78 | |
| Pelvic ultrasound (complete) |
$1,596 |
$3,192 |
$1,551 |
$105 | |
| Pelvic ultrasound (limited) |
$1,206 |
$2,411 |
$1,172 |
$51 | |
| Phosphorus blood test |
$185 |
$369 |
$196 |
$5 | |
| Physical therapy evaluation |
$515 |
$525 |
$362 |
$98 | |
| Physical therapy evaluation (high complexity) |
$687 |
$868 |
$667 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$515 |
$696 |
$500 |
$98 | |
| Platelet count |
$224 |
$447 |
$217 |
$4 | |
| Pneumonia vaccine |
$562 |
$653 |
$331 |
— | |
| Pregnancy blood test (hCG) |
$429 |
$857 |
$416 |
$8 | |
| Pregnancy ultrasound |
$1,308 |
$2,616 |
$1,295 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$1,284 |
$2,567 |
$4,624 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$1,333 |
$2,665 |
$1,295 |
$136 | |
| Procalcitonin test |
$359 |
$717 |
$348 |
$27 | |
| Prolactin test |
$293 |
$586 |
$285 |
$19 | |
| Prostate test (PSA) |
$292 |
$584 |
$284 |
$18 | |
| Psychiatric evaluation |
— |
$654 |
$487 |
$188 | |
| Psychotherapy session |
— |
$632 |
$316 |
$140 | |
| Retina scan (OCT) |
— |
$207 |
$152 |
$33 | |
| Retinal (fundus) photography |
$708 |
$887 |
$642 |
$37 | |
| Routine eye exam |
$173 |
$370 |
$259 |
$88 | |
| RSV vaccine |
$1,239 |
$2,478 |
$1,265 |
— | |
| Sacroiliac joint injection |
$3,126 |
$6,252 |
$2,638 |
$176 | |
| Scoliosis spine X-ray |
$1,196 |
$2,391 |
$1,911 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$1,037 |
$2,073 |
$1,007 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$1,581 |
$3,162 |
$1,911 |
$72 | |
| Scrotal ultrasound |
$1,596 |
$3,192 |
$1,551 |
$99 | |
| Sedimentation rate (ESR) test |
$162 |
$324 |
$159 |
$3 | |
| Sex hormone binding globulin test |
$67 |
$133 |
$91 |
$22 | |
| Shingles vaccine |
$895 |
$1,789 |
$943 |
— | |
| Sleep study (polysomnography) |
$7,803 |
$15,606 |
$8,131 |
$691 | |
| Soft tissue ultrasound |
$1,329 |
$2,657 |
$4,776 |
$64 | |
| Speech therapy |
$572 |
$736 |
$555 |
$76 | |
| Spine fracture repair (kyphoplasty) |
$19,562 |
$39,124 |
$19,992 |
$5,803 | |
| Spirometry (lung function test) |
$684 |
$1,368 |
$711 |
$30 | |
| Spirometry with bronchodilator |
$1,329 |
$2,657 |
$2,398 |
$43 | |
| Strep throat test |
$268 |
$536 |
$260 |
$17 | |
| Stress echocardiogram |
$4,170 |
$8,339 |
$4,664 |
$209 | |
| Stress echocardiogram (complete) |
$4,170 |
$8,339 |
$4,664 |
$233 | |
| Swallow study |
$717 |
$1,015 |
$696 |
$85 | |
| T3 thyroid test |
$133 |
$266 |
$218 |
$14 | |
| Tdap (tetanus) vaccine |
$92 |
$181 |
$71 |
— | |
| Thyroid test (TSH) |
$41 |
$81 |
$288 |
$17 | |
| Thyroid ultrasound |
$1,596 |
$3,192 |
$1,551 |
$109 | |
| Thyroid uptake scan |
$2,523 |
$5,046 |
$3,248 |
$145 | |
| Total IgE allergy test |
$158 |
$315 |
$153 |
$16 | |
| Total protein test |
$61 |
$122 |
$59 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$3,203 |
$6,405 |
$4,837 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$2,081 |
$4,161 |
$2,327 |
$239 | |
| Transvaginal ultrasound |
$1,368 |
$2,736 |
$1,329 |
$118 | |
| Triglycerides test |
$16 |
$33 |
$141 |
$6 | |
| Troponin (heart) test |
$560 |
$1,120 |
$544 |
$12 | |
| Turning a breech baby (version) |
$2,785 |
$5,569 |
$8,000 |
$94 | |
| Upper GI series (barium) |
$1,675 |
$3,350 |
$1,729 |
$128 | |
| Uric acid (gout) test |
$216 |
$432 |
$207 |
$5 | |
| Urinalysis |
$198 |
$396 |
$207 |
$3 | |
| Urine microalbumin test |
$8 |
$17 |
$149 |
$5 | |
| Urine pregnancy test |
$105 |
$210 |
$125 |
$9 | |
| Vaccine administration |
$96 |
$98 |
$60 |
$19 | |
| Vaginal delivery |
$56,580 |
— |
$2,350 |
$5,487 | |
| Visual field test |
— |
$409 |
$242 |
$64 | |
| Vitamin B12 test |
$277 |
$553 |
$269 |
$15 | |
| Vitamin D test |
$371 |
$742 |
$361 |
$30 | |
| Weight-loss (bariatric) surgery |
$92,471 |
— |
$17,000 |
$11,645 | |
| Well-child visit |
— |
$398 |
$279 |
— | |
| X-ray of the abdomen |
$1,362 |
$2,724 |
$1,324 |
$36 | |
| X-ray of the ankle |
$818 |
$1,635 |
$794 |
$37 | |
| X-ray of the collarbone |
$818 |
$1,636 |
$795 |
$33 | |
| X-ray of the elbow |
$818 |
$1,635 |
$794 |
$33 | |
| X-ray of the facial bones |
$827 |
$1,654 |
$853 |
$39 | |
| X-ray of the foot |
$818 |
$1,635 |
$794 |
$34 | |
| X-ray of the forearm |
$782 |
$1,563 |
$759 |
$29 | |
| X-ray of the hand |
$818 |
$1,635 |
$794 |
$38 | |
| X-ray of the hip |
$957 |
$1,914 |
$995 |
$49 | |
| X-ray of the hip (1 view) |
$891 |
$1,781 |
$865 |
$34 | |
| X-ray of the hip (3 views) |
$1,024 |
$2,047 |
$995 |
$49 | |
| X-ray of the knee |
$980 |
$1,960 |
$1,151 |
$42 | |
| X-ray of the knee (2 views) |
$891 |
$1,781 |
$865 |
$34 | |
| X-ray of the knee (3 views) |
$980 |
$1,960 |
$952 |
$42 | |
| X-ray of the knee (4+ views) |
$1,185 |
$2,369 |
$1,151 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$990 |
$1,981 |
$1,096 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$853 |
$1,706 |
$829 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$1,128 |
$2,255 |
$1,096 |
$53 | |
| X-ray of the lower leg |
$893 |
$1,786 |
$868 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$853 |
$1,706 |
$829 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$853 |
$1,706 |
$829 |
$33 | |
| X-ray of the neck (cervical spine) |
$990 |
$1,981 |
$1,096 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$853 |
$1,706 |
$829 |
$40 | |
| X-ray of the pelvis |
$1,116 |
$2,232 |
$1,162 |
$36 | |
| X-ray of the pelvis (1 view) |
$1,037 |
$2,073 |
$1,007 |
$28 | |
| X-ray of the ribs |
$1,317 |
$2,634 |
$1,341 |
$42 | |
| X-ray of the ribs (2 views) |
$1,254 |
$2,508 |
$1,219 |
$36 | |
| X-ray of the shoulder |
$1,024 |
$2,047 |
$995 |
$36 | |
| X-ray of the skull |
$1,004 |
$2,008 |
$1,068 |
$40 | |
| X-ray of the upper arm |
$782 |
$1,563 |
$759 |
$32 | |
| X-ray of the wrist |
$818 |
$1,635 |
$794 |
$43 | |
| Zinc blood test |
$36 |
$71 |
$35 |
$11 | |