| Abdominal ultrasound |
$534 |
$544 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$599 |
$611 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$469 |
$478 |
— |
$86 | |
| Albumin blood test |
$4 |
$4 |
— |
$5 | |
| Aldosterone test |
$45 |
$46 |
— |
$41 | |
| Alpha-fetoprotein (AFP) test |
$27 |
$27 |
— |
$17 | |
| Ammonia blood test |
$36 |
$36 |
— |
$15 | |
| Amniocentesis |
$471 |
$481 |
— |
$120 | |
| Amylase test |
$11 |
$11 |
— |
$6 | |
| Antinuclear antibody (ANA) test |
$27 |
$27 |
— |
$12 | |
| Arterial blood gas (ABG) |
$55 |
$56 |
— |
$26 | |
| Barium swallow study |
$599 |
$611 |
— |
$107 | |
| Basic metabolic panel |
$20 |
$20 |
— |
$8 | |
| Bilirubin blood test |
$11 |
$11 |
— |
$5 | |
| Blood clotting test (PT/INR) |
$14 |
$15 |
— |
$4 | |
| Blood glucose test |
$7 |
$7 |
— |
$5 | |
| Blood transfusion |
$578 |
$590 |
— |
$47 | |
| Blood type and screen |
$21 |
$22 |
— |
$10 | |
| Blood type test |
$7 |
$7 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$7 |
$7 |
— |
$3 | |
| BNP (heart failure) test |
$54 |
$55 |
— |
$39 | |
| Bone scan (nuclear) |
$955 |
$974 |
— |
$259 | |
| Breast ultrasound |
$456 |
$465 |
— |
$92 | |
| Breast ultrasound (complete) |
$521 |
$531 |
— |
$100 | |
| Breast ultrasound (limited) |
$390 |
$398 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$72 |
$74 |
— |
$133 | |
| C-reactive protein (CRP) |
$27 |
$27 |
— |
$5 | |
| CA 19-9 tumor marker test |
$59 |
$60 |
— |
$21 | |
| CA-125 ovarian marker test |
$59 |
$60 |
— |
$21 | |
| Cardiac rehabilitation |
$263 |
$268 |
— |
$26 | |
| Cardiac stress test |
$80 |
$82 |
— |
$39 | |
| Cardioversion |
$120 |
$123 |
— |
$155 | |
| Carotid artery ultrasound |
$976 |
$996 |
— |
$156 | |
| CEA tumor marker test |
$45 |
$46 |
— |
$19 | |
| Celiac disease test |
$20 |
$20 |
— |
$12 | |
| Central line placement |
$1,300 |
$1,326 |
— |
$238 | |
| Cervical cerclage |
$1,571 |
$1,604 |
— |
$137 | |
| Chemotherapy infusion |
$578 |
$590 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$210 |
$215 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$946 |
$966 |
— |
$133 | |
| Chest X-ray |
$156 |
$159 |
— |
$37 | |
| Chest X-ray (1 view) |
$78 |
$80 |
— |
$25 | |
| Chest X-ray (2 views) |
$130 |
$133 |
— |
$33 | |
| CK-MB heart enzyme test |
$27 |
$27 |
— |
$12 | |
| Clotting time test (PTT) |
$14 |
$15 |
— |
$6 | |
| Complete blood count (CBC) |
$16 |
$16 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$18 |
$18 |
— |
$8 | |
| Comprehensive metabolic panel |
$27 |
$27 |
— |
$11 | |
| Copper blood test |
$45 |
$46 |
— |
$12 | |
| Coronary CT angiography |
$324 |
$331 |
— |
$326 | |
| Cortisol test |
$27 |
$27 |
— |
$16 | |
| COVID-19 PCR test |
$50 |
$51 |
— |
$51 | |
| CPAP titration study |
$346 |
$353 |
— |
$69 | |
| Creatine kinase (CK) test |
$11 |
$11 |
— |
$7 | |
| CT angiography of the chest |
$225 |
$230 |
— |
$281 | |
| CT angiography of the head |
$221 |
$226 |
— |
$274 | |
| CT scan of the abdomen |
$179 |
$183 |
— |
$230 | |
| CT scan of the abdomen with and without contrast |
$206 |
$210 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$179 |
$183 |
— |
$230 | |
| CT scan of the arm |
$175 |
$179 |
— |
$199 | |
| CT scan of the arm with contrast |
$175 |
$179 |
— |
$199 | |
| CT scan of the arm without contrast |
$137 |
$140 |
— |
$161 | |
| CT scan of the chest |
$179 |
$183 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$221 |
$226 |
— |
$196 | |
| CT scan of the chest with contrast |
$179 |
$183 |
— |
$167 | |
| CT scan of the chest without contrast |
$137 |
$140 |
— |
$133 | |
| CT scan of the leg |
$179 |
$183 |
— |
$166 | |
| CT scan of the leg with contrast |
$179 |
$183 |
— |
$166 | |
| CT scan of the leg without contrast |
$137 |
$140 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$179 |
$183 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$221 |
$226 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$179 |
$183 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$137 |
$140 |
— |
$130 | |
| CT scan of the neck |
$179 |
$183 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$179 |
$183 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$221 |
$226 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$179 |
$183 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$141 |
$144 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$221 |
$226 |
— |
$220 | |
| CT scan of the neck with contrast |
$179 |
$183 |
— |
$183 | |
| CT scan of the neck without contrast |
$137 |
$140 |
— |
$150 | |
| CT scan of the pelvis |
$179 |
$183 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$213 |
$218 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$179 |
$183 |
— |
$226 | |
| D-dimer test |
$27 |
$27 |
— |
$10 | |
| Developmental screening (child) |
$55 |
$56 |
— |
— | |
| DHEA-sulfate test |
$27 |
$27 |
— |
$22 | |
| Drug screen (urine) |
$114 |
$116 |
— |
$17 | |
| Echocardiogram |
$107 |
$109 |
— |
$138 | |
| EEG (awake and asleep) |
$608 |
$620 |
— |
$482 | |
| EKG / ECG (tracing only) |
$32 |
$33 |
— |
$7 | |
| Electrocardiogram (EKG) |
$32 |
$33 |
— |
$8 | |
| Electroencephalogram (EEG) |
$560 |
$571 |
— |
$448 | |
| Electrolyte panel |
$14 |
$15 |
— |
$7 | |
| Electromyography (EMG) |
$156 |
$160 |
— |
$141 | |
| Emergency department visit |
$144 |
$147 |
— |
$69 | |
| Emergency department visit (level 1) |
$144 |
$147 |
— |
$11 | |
| Emergency department visit (level 2) |
$144 |
$147 |
— |
$40 | |
| Emergency department visit (level 3) |
$289 |
$295 |
— |
$69 | |
| Emergency department visit (level 4) |
$578 |
$589 |
— |
$118 | |
| Emergency department visit (level 5) |
$144 |
$147 |
— |
$171 | |
| Estradiol (estrogen) test |
$27 |
$27 |
— |
$28 | |
| Fecal occult blood (stool) test |
$27 |
$27 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$9 |
$9 |
— |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$45 |
$46 |
— |
$16 | |
| Ferritin (iron) test |
$27 |
$27 |
— |
$14 | |
| Fibrinogen test |
$16 |
$16 |
— |
$10 | |
| Flu test |
$45 |
$46 |
— |
$17 | |
| Folate (folic acid) test |
$27 |
$27 |
— |
$15 | |
| Free T4 thyroid test |
$27 |
$27 |
— |
$9 | |
| FSH hormone test |
$27 |
$27 |
— |
$19 | |
| Gallbladder scan (HIDA) |
$1,596 |
$1,629 |
— |
$334 | |
| Glucose tolerance test |
$17 |
$17 |
— |
$8 | |
| H. pylori test |
$36 |
$36 |
— |
$67 | |
| HDL cholesterol test |
$27 |
$27 |
— |
$8 | |
| Hematocrit test |
$7 |
$7 |
— |
$2 | |
| Hemodialysis |
$506 |
$516 |
— |
$75 | |
| Hemoglobin A1c (diabetes test) |
$36 |
$36 |
— |
$10 | |
| Hepatitis B test |
$45 |
$46 |
— |
$10 | |
| Hepatitis C test |
$45 |
$46 |
— |
$14 | |
| HIV test |
$45 |
$46 |
— |
$19 | |
| HIV test (antibody) |
$45 |
$46 |
— |
$14 | |
| HIV test (antigen/antibody combo) |
$45 |
$46 |
— |
$24 | |
| Iron blood test |
$11 |
$11 |
— |
$6 | |
| IV infusion therapy |
$578 |
$590 |
— |
$44 | |
| IV infusion therapy (each additional) |
$210 |
$215 |
— |
$21 | |
| IV infusion therapy (initial) |
$946 |
$966 |
— |
$67 | |
| Kidney scan (nuclear) |
$532 |
$543 |
— |
$172 | |
| Kidney ultrasound |
$390 |
$398 |
— |
$84 | |
| Kidney ultrasound (limited) |
$208 |
$212 |
— |
$61 | |
| Lactate test |
$36 |
$36 |
— |
$12 | |
| Laryngoscopy |
$511 |
$521 |
— |
$189 | |
| LDH test |
$7 |
$7 |
— |
$6 | |
| LDL cholesterol test |
$27 |
$27 |
— |
$11 | |
| Leg vein ultrasound (Doppler) |
$963 |
$983 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$729 |
$744 |
— |
$116 | |
| LH hormone test |
$45 |
$46 |
— |
$19 | |
| Lipase test |
$14 |
$15 |
— |
$7 | |
| Lipid (cholesterol) panel |
$34 |
$35 |
— |
$13 | |
| Liver function panel |
$20 |
$20 |
— |
$8 | |
| Lung function test (PFT) |
$151 |
$154 |
— |
$37 | |
| Lung scan (V/Q) |
$1,283 |
$1,310 |
— |
$291 | |
| Magnesium blood test |
$11 |
$11 |
— |
$7 | |
| MRA of the brain |
$557 |
$568 |
— |
$226 | |
| MRA of the brain with contrast |
$551 |
$562 |
— |
$226 | |
| MRA of the brain without contrast |
$856 |
$874 |
— |
$328 | |
| MRA of the neck |
$593 |
$605 |
— |
$245 | |
| MRA of the neck with contrast |
$593 |
$605 |
— |
$245 | |
| MRA of the neck without contrast |
$862 |
$880 |
— |
$343 | |
| MRI of the abdomen |
$617 |
$629 |
— |
$300 | |
| MRI of the abdomen with contrast |
$617 |
$629 |
— |
$300 | |
| MRI of the abdomen without contrast |
$437 |
$446 |
— |
$194 | |
| MRI of the ankle |
$545 |
$556 |
— |
$261 | |
| MRI of the ankle with contrast |
$545 |
$556 |
— |
$261 | |
| MRI of the ankle without contrast |
$497 |
$507 |
— |
$222 | |
| MRI of the brain |
$389 |
$397 |
— |
$269 | |
| MRI of the brain with contrast |
$389 |
$397 |
— |
$269 | |
| MRI of the brain without contrast |
$263 |
$269 |
— |
$195 | |
| MRI of the chest |
$629 |
$642 |
— |
$371 | |
| MRI of the chest with contrast |
$629 |
$642 |
— |
$371 | |
| MRI of the chest without contrast |
$784 |
$800 |
— |
$466 | |
| MRI of the knee |
$503 |
$513 |
— |
$315 | |
| MRI of the knee with contrast |
$503 |
$513 |
— |
$315 | |
| MRI of the knee without contrast |
$281 |
$287 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$389 |
$397 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$389 |
$397 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$251 |
$257 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$395 |
$403 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$449 |
$458 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$395 |
$403 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$251 |
$257 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$395 |
$403 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$443 |
$452 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$395 |
$403 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$251 |
$257 |
— |
$191 | |
| MRI of the pelvis |
$545 |
$556 |
— |
$268 | |
| MRI of the pelvis with contrast |
$545 |
$556 |
— |
$268 | |
| MRI of the pelvis without contrast |
$509 |
$519 |
— |
$227 | |
| MRI of the shoulder |
$497 |
$507 |
— |
$313 | |
| MRI of the shoulder with contrast |
$497 |
$507 |
— |
$313 | |
| MRI of the shoulder without contrast |
$281 |
$287 |
— |
$205 | |
| MRI of the wrist |
$539 |
$550 |
— |
$330 | |
| MRI of the wrist with contrast |
$539 |
$550 |
— |
$330 | |
| MRI of the wrist without contrast |
$503 |
$513 |
— |
$303 | |
| Nebulizer breathing treatment |
$1,383 |
$1,411 |
— |
$9 | |
| Nerve conduction study |
$96 |
$98 |
— |
$118 | |
| Nuclear cardiac stress test |
$1,800 |
$1,837 |
— |
$428 | |
| Occupational therapy evaluation |
$123 |
$125 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$123 |
$125 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$123 |
$125 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$123 |
$125 |
— |
$101 | |
| Office visit (established patient) |
$237 |
$241 |
— |
$115 | |
| Office visit, established patient (level 3) |
$210 |
$215 |
— |
$95 | |
| Office visit, established patient (level 4) |
$263 |
$268 |
— |
$136 | |
| Pap smear (cervical screening) |
$62 |
$64 |
— |
$20 | |
| Parathyroid hormone (PTH) test |
$27 |
$27 |
— |
$41 | |
| Pelvic ultrasound |
$364 |
$372 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$547 |
$558 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$182 |
$186 |
— |
$51 | |
| Physical therapy evaluation |
$129 |
$132 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$129 |
$132 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$129 |
$132 |
— |
$98 | |
| Platelet count |
$7 |
$7 |
— |
$4 | |
| Pregnancy blood test (hCG) |
$18 |
$18 |
— |
$8 | |
| Pregnancy ultrasound |
$612 |
$624 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$547 |
$558 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$677 |
$691 |
— |
$136 | |
| Procalcitonin test |
$268 |
$273 |
— |
$27 | |
| Prolactin test |
$36 |
$36 |
— |
$19 | |
| Prostate test (PSA) |
$36 |
$36 |
— |
$18 | |
| Pulmonary rehabilitation |
$789 |
$805 |
— |
$87 | |
| Scrotal ultrasound |
$260 |
$266 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$9 |
$9 |
— |
$3 | |
| Semen analysis |
$9 |
$9 |
— |
$12 | |
| Sex hormone binding globulin test |
$45 |
$46 |
— |
$22 | |
| Sleep study (polysomnography) |
$866 |
$884 |
— |
$691 | |
| Soft tissue ultrasound |
$78 |
$80 |
— |
$64 | |
| Speech therapy |
$164 |
$167 |
— |
$76 | |
| Spinal tap (lumbar puncture) |
$721 |
$736 |
— |
$165 | |
| Spirometry (lung function test) |
$195 |
$199 |
— |
$30 | |
| Spirometry with bronchodilator |
$107 |
$109 |
— |
$43 | |
| Strep throat test |
$45 |
$46 |
— |
$17 | |
| Stress echocardiogram |
$161 |
$164 |
— |
$209 | |
| Swallow study |
$219 |
$223 |
— |
$85 | |
| T3 thyroid test |
$27 |
$27 |
— |
$14 | |
| Testosterone test |
$27 |
$27 |
— |
$26 | |
| Thyroid test (TSH) |
$27 |
$27 |
— |
$17 | |
| Thyroid ultrasound |
$651 |
$664 |
— |
$109 | |
| Thyroid uptake scan |
$657 |
$671 |
— |
$145 | |
| Tilt table test |
$161 |
$164 |
— |
$168 | |
| Total IgE allergy test |
$27 |
$27 |
— |
$16 | |
| Total protein test |
$4 |
$4 |
— |
$4 | |
| Transesophageal echocardiogram (TEE) |
$161 |
$164 |
— |
$239 | |
| Transvaginal ultrasound |
$651 |
$664 |
— |
$118 | |
| Troponin (heart) test |
$45 |
$46 |
— |
$12 | |
| Turning a breech baby (version) |
$1,571 |
$1,604 |
— |
$94 | |
| Upper GI series (barium) |
$625 |
$637 |
— |
$128 | |
| Urinalysis |
$12 |
$12 |
— |
$3 | |
| Urine microalbumin test |
$22 |
$23 |
— |
$5 | |
| Urine pregnancy test |
$18 |
$18 |
— |
$9 | |
| Vaccine administration |
$131 |
$134 |
— |
$19 | |
| Vaccine administration (each additional) |
$105 |
$107 |
— |
$16 | |
| Vitamin B12 test |
$27 |
$27 |
— |
$15 | |
| Vitamin D test |
$27 |
$27 |
— |
$30 | |
| X-ray of the abdomen |
$156 |
$159 |
— |
$36 | |
| X-ray of the ankle |
$156 |
$159 |
— |
$37 | |
| X-ray of the collarbone |
$130 |
$133 |
— |
$33 | |
| X-ray of the elbow |
$156 |
$159 |
— |
$33 | |
| X-ray of the facial bones |
$169 |
$173 |
— |
$39 | |
| X-ray of the foot |
$156 |
$159 |
— |
$34 | |
| X-ray of the forearm |
$130 |
$133 |
— |
$29 | |
| X-ray of the hand |
$156 |
$159 |
— |
$38 | |
| X-ray of the hip |
$182 |
$186 |
— |
$49 | |
| X-ray of the hip (1 view) |
$156 |
$159 |
— |
$34 | |
| X-ray of the hip (3 views) |
$208 |
$212 |
— |
$49 | |
| X-ray of the knee |
$182 |
$186 |
— |
$42 | |
| X-ray of the knee (2 views) |
$156 |
$159 |
— |
$34 | |
| X-ray of the knee (3 views) |
$182 |
$186 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$208 |
$212 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$208 |
$212 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$182 |
$186 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$234 |
$239 |
— |
$53 | |
| X-ray of the lower leg |
$156 |
$159 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$169 |
$173 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$156 |
$159 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$182 |
$186 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$182 |
$186 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$156 |
$159 |
— |
$40 | |
| X-ray of the pelvis |
$182 |
$186 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$156 |
$159 |
— |
$28 | |
| X-ray of the ribs |
$156 |
$159 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$156 |
$159 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$156 |
$159 |
— |
$42 | |
| X-ray of the shoulder |
$130 |
$133 |
— |
$36 | |
| X-ray of the skull |
$195 |
$199 |
— |
$40 | |
| X-ray of the upper arm |
$156 |
$159 |
— |
$32 | |
| X-ray of the wrist |
$182 |
$186 |
— |
$43 | |
| Zinc blood test |
$45 |
$46 |
— |
$11 | |