| Abdominal ultrasound |
$733 |
$748 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$822 |
$839 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$643 |
$656 |
— |
$86 | |
| Albumin blood test |
$4 |
$4 |
— |
$5 | |
| Aldosterone test |
$55 |
$56 |
— |
$41 | |
| Alkaline phosphatase test |
$4 |
$4 |
— |
$5 | |
| Alpha-fetoprotein (AFP) test |
$33 |
$33 |
— |
$17 | |
| ALT liver enzyme test |
$4 |
$4 |
— |
$5 | |
| Ammonia blood test |
$44 |
$45 |
— |
$15 | |
| Amylase test |
$13 |
$13 |
— |
$6 | |
| Antinuclear antibody (ANA) test |
$33 |
$33 |
— |
$12 | |
| Arterial blood gas (ABG) |
$68 |
$69 |
— |
$26 | |
| AST liver enzyme test |
$4 |
$4 |
— |
$5 | |
| Barium swallow study |
$822 |
$839 |
— |
$107 | |
| Basic metabolic panel |
$24 |
$24 |
— |
$8 | |
| Bilirubin blood test |
$13 |
$13 |
— |
$5 | |
| Blood clotting test (PT/INR) |
$17 |
$18 |
— |
$4 | |
| Blood crossmatch |
$17 |
$18 |
— |
— | |
| Blood glucose test |
$9 |
$9 |
— |
$5 | |
| Blood transfusion |
$1,024 |
$1,044 |
— |
$47 | |
| Blood type and screen |
$26 |
$27 |
— |
$10 | |
| Blood type test |
$9 |
$9 |
— |
$3 | |
| Blood type test (ABO group) |
$9 |
$9 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$9 |
$9 |
— |
$3 | |
| BNP (heart failure) test |
$65 |
$67 |
— |
$39 | |
| Bone scan (nuclear) |
$1,368 |
$1,396 |
— |
$259 | |
| Breast ultrasound |
$625 |
$638 |
— |
$92 | |
| Breast ultrasound (complete) |
$715 |
$729 |
— |
$100 | |
| Breast ultrasound (limited) |
$536 |
$547 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$104 |
$106 |
— |
$133 | |
| C-reactive protein (CRP) |
$33 |
$33 |
— |
$5 | |
| CA 19-9 tumor marker test |
$72 |
$73 |
— |
$21 | |
| CA-125 ovarian marker test |
$72 |
$73 |
— |
$21 | |
| Calcium blood test |
$4 |
$4 |
— |
$5 | |
| Cardiac rehabilitation |
$465 |
$475 |
— |
$26 | |
| Cardiac stress test |
$192 |
$196 |
— |
$39 | |
| Cardioversion |
$2,518 |
$2,569 |
— |
$155 | |
| Carotid artery ultrasound |
$1,340 |
$1,368 |
— |
$156 | |
| CEA tumor marker test |
$55 |
$56 |
— |
$19 | |
| Celiac disease test |
$24 |
$24 |
— |
$12 | |
| Chemotherapy infusion |
$1,024 |
$1,044 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$372 |
$380 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$1,675 |
$1,709 |
— |
$133 | |
| Chest X-ray |
$214 |
$219 |
— |
$37 | |
| Chest X-ray (1 view) |
$107 |
$109 |
— |
$25 | |
| Chest X-ray (2 views) |
$179 |
$182 |
— |
$33 | |
| CK-MB heart enzyme test |
$33 |
$33 |
— |
$12 | |
| Clotting time test (PTT) |
$17 |
$18 |
— |
$6 | |
| Complete blood count (CBC) |
$20 |
$20 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$22 |
$22 |
— |
$8 | |
| Comprehensive metabolic panel |
$33 |
$33 |
— |
$11 | |
| Copper blood test |
$55 |
$56 |
— |
$12 | |
| Coronary CT angiography |
$346 |
$353 |
— |
$326 | |
| Cortisol test |
$33 |
$33 |
— |
$16 | |
| COVID-19 PCR test |
$50 |
$51 |
— |
$51 | |
| CPAP titration study |
$498 |
$508 |
— |
$69 | |
| Creatine kinase (CK) test |
$13 |
$13 |
— |
$7 | |
| CT angiography of the chest |
$240 |
$245 |
— |
$281 | |
| CT angiography of the head |
$236 |
$241 |
— |
$274 | |
| CT scan of the abdomen |
$191 |
$195 |
— |
$230 | |
| CT scan of the abdomen with and without contrast |
$220 |
$224 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$191 |
$195 |
— |
$230 | |
| CT scan of the arm |
$187 |
$191 |
— |
$199 | |
| CT scan of the arm with contrast |
$187 |
$191 |
— |
$199 | |
| CT scan of the arm without contrast |
$147 |
$150 |
— |
$161 | |
| CT scan of the chest |
$191 |
$195 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$236 |
$241 |
— |
$196 | |
| CT scan of the chest with contrast |
$191 |
$195 |
— |
$167 | |
| CT scan of the chest without contrast |
$147 |
$150 |
— |
$133 | |
| CT scan of the leg |
$191 |
$195 |
— |
$166 | |
| CT scan of the leg with contrast |
$191 |
$195 |
— |
$166 | |
| CT scan of the leg without contrast |
$147 |
$150 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$191 |
$195 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$236 |
$241 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$191 |
$195 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$147 |
$150 |
— |
$130 | |
| CT scan of the neck |
$191 |
$195 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$191 |
$195 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$236 |
$241 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$191 |
$195 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$151 |
$154 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$236 |
$241 |
— |
$220 | |
| CT scan of the neck with contrast |
$191 |
$195 |
— |
$183 | |
| CT scan of the neck without contrast |
$147 |
$150 |
— |
$150 | |
| CT scan of the pelvis |
$191 |
$195 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$228 |
$233 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$191 |
$195 |
— |
$226 | |
| CT scan of the sinuses with and without contrast |
$163 |
$166 |
— |
$184 | |
| D-dimer test |
$33 |
$33 |
— |
$10 | |
| DHEA-sulfate test |
$33 |
$33 |
— |
$22 | |
| Drug screen (urine) |
$191 |
$195 |
— |
$17 | |
| Echocardiogram |
$256 |
$261 |
— |
$138 | |
| Echocardiogram with and without contrast |
$128 |
$131 |
— |
$101 | |
| EEG (awake and asleep) |
$2,001 |
$2,042 |
— |
$482 | |
| EKG / ECG (tracing only) |
$77 |
$78 |
— |
$7 | |
| Electrocardiogram (EKG) |
$77 |
$78 |
— |
$8 | |
| Electroencephalogram (EEG) |
$1,843 |
$1,880 |
— |
$448 | |
| Electrolyte panel |
$17 |
$18 |
— |
$7 | |
| Electromyography (EMG) |
$515 |
$526 |
— |
$141 | |
| Emergency department visit |
$247 |
$252 |
— |
$69 | |
| Emergency department visit (level 1) |
$123 |
$126 |
— |
$11 | |
| Emergency department visit (level 2) |
$123 |
$126 |
— |
$40 | |
| Emergency department visit (level 3) |
$247 |
$252 |
— |
$69 | |
| Emergency department visit (level 4) |
$494 |
$504 |
— |
$118 | |
| Emergency department visit (level 5) |
$864 |
$881 |
— |
$171 | |
| Estradiol (estrogen) test |
$33 |
$33 |
— |
$28 | |
| Fecal occult blood (stool) test |
$33 |
$33 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$11 |
$11 |
— |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$55 |
$56 |
— |
$16 | |
| Ferritin (iron) test |
$33 |
$33 |
— |
$14 | |
| Fibrinogen test |
$20 |
$20 |
— |
$10 | |
| Flu test |
$55 |
$56 |
— |
$17 | |
| Folate (folic acid) test |
$33 |
$33 |
— |
$15 | |
| Free T4 thyroid test |
$33 |
$33 |
— |
$9 | |
| FSH hormone test |
$33 |
$33 |
— |
$19 | |
| Gallbladder scan (HIDA) |
$2,288 |
$2,334 |
— |
$334 | |
| Glucose tolerance test |
$21 |
$21 |
— |
$8 | |
| HDL cholesterol test |
$33 |
$33 |
— |
$8 | |
| Hematocrit test |
$9 |
$9 |
— |
$2 | |
| Hemodialysis |
$935 |
$954 |
— |
$75 | |
| Hemoglobin A1c (diabetes test) |
$44 |
$45 |
— |
$10 | |
| Hepatitis B test |
$55 |
$56 |
— |
$10 | |
| Hepatitis C test |
$55 |
$56 |
— |
$14 | |
| HIV test |
$55 |
$56 |
— |
$19 | |
| HIV test (antibody) |
$55 |
$56 |
— |
$14 | |
| HIV test (antigen/antibody combo) |
$55 |
$56 |
— |
$24 | |
| Home sleep apnea test |
$713 |
$728 |
— |
$123 | |
| Iron blood test |
$13 |
$13 |
— |
$6 | |
| IV infusion therapy |
$1,024 |
$1,044 |
— |
$44 | |
| IV infusion therapy (each additional) |
$372 |
$380 |
— |
$21 | |
| IV infusion therapy (initial) |
$1,675 |
$1,709 |
— |
$67 | |
| Kidney scan (nuclear) |
$763 |
$778 |
— |
$172 | |
| Kidney ultrasound |
$536 |
$547 |
— |
$84 | |
| Kidney ultrasound (limited) |
$286 |
$292 |
— |
$61 | |
| Lactate test |
$44 |
$45 |
— |
$12 | |
| LDH test |
$9 |
$9 |
— |
$6 | |
| LDL cholesterol test |
$33 |
$33 |
— |
$11 | |
| Leg vein ultrasound (Doppler) |
$1,322 |
$1,349 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,001 |
$1,021 |
— |
$116 | |
| LH hormone test |
$55 |
$56 |
— |
$19 | |
| Lipase test |
$17 |
$18 |
— |
$7 | |
| Lipid (cholesterol) panel |
$41 |
$42 |
— |
$13 | |
| Liver function panel |
$24 |
$24 |
— |
$8 | |
| Lung function test (PFT) |
$83 |
$84 |
— |
$37 | |
| Lung scan (V/Q) |
$1,839 |
$1,877 |
— |
$291 | |
| Magnesium blood test |
$13 |
$13 |
— |
$7 | |
| MRA of the brain |
$1,811 |
$1,848 |
— |
$226 | |
| MRA of the brain with contrast |
$1,791 |
$1,828 |
— |
$226 | |
| MRA of the brain without contrast |
$2,784 |
$2,841 |
— |
$328 | |
| MRA of the neck |
$1,927 |
$1,967 |
— |
$245 | |
| MRA of the neck with contrast |
$1,927 |
$1,967 |
— |
$245 | |
| MRA of the neck without contrast |
$2,803 |
$2,861 |
— |
$343 | |
| MRI of the abdomen |
$2,005 |
$2,046 |
— |
$300 | |
| MRI of the abdomen with contrast |
$2,005 |
$2,046 |
— |
$300 | |
| MRI of the abdomen without contrast |
$1,421 |
$1,450 |
— |
$194 | |
| MRI of the ankle |
$1,772 |
$1,808 |
— |
$261 | |
| MRI of the ankle with contrast |
$1,772 |
$1,808 |
— |
$261 | |
| MRI of the ankle without contrast |
$1,616 |
$1,649 |
— |
$222 | |
| MRI of the brain |
$1,265 |
$1,291 |
— |
$269 | |
| MRI of the brain with contrast |
$1,265 |
$1,291 |
— |
$269 | |
| MRI of the brain without contrast |
$857 |
$874 |
— |
$195 | |
| MRI of the chest |
$2,044 |
$2,086 |
— |
$371 | |
| MRI of the chest with contrast |
$2,044 |
$2,086 |
— |
$371 | |
| MRI of the chest without contrast |
$2,550 |
$2,602 |
— |
$466 | |
| MRI of the knee |
$1,635 |
$1,669 |
— |
$315 | |
| MRI of the knee with contrast |
$1,635 |
$1,669 |
— |
$315 | |
| MRI of the knee without contrast |
$915 |
$934 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,265 |
$1,291 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,265 |
$1,291 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$818 |
$834 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,285 |
$1,311 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$1,460 |
$1,490 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,285 |
$1,311 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$818 |
$834 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$1,285 |
$1,311 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$1,441 |
$1,470 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,285 |
$1,311 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$818 |
$834 |
— |
$191 | |
| MRI of the pelvis |
$1,772 |
$1,808 |
— |
$268 | |
| MRI of the pelvis with contrast |
$1,772 |
$1,808 |
— |
$268 | |
| MRI of the pelvis without contrast |
$1,655 |
$1,689 |
— |
$227 | |
| MRI of the shoulder |
$1,616 |
$1,649 |
— |
$313 | |
| MRI of the shoulder with contrast |
$1,616 |
$1,649 |
— |
$313 | |
| MRI of the shoulder without contrast |
$915 |
$934 |
— |
$205 | |
| MRI of the wrist |
$1,752 |
$1,788 |
— |
$330 | |
| MRI of the wrist with contrast |
$1,752 |
$1,788 |
— |
$330 | |
| MRI of the wrist without contrast |
$1,635 |
$1,669 |
— |
$303 | |
| Nerve conduction study |
$317 |
$323 |
— |
$118 | |
| Nuclear cardiac stress test |
$2,579 |
$2,632 |
— |
$428 | |
| Occupational therapy evaluation |
$104 |
$107 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$104 |
$107 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$104 |
$107 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$104 |
$107 |
— |
$101 | |
| Office visit (established patient) |
$419 |
$427 |
— |
$115 | |
| Office visit (new patient) |
$465 |
$475 |
— |
$177 | |
| Office visit, established patient (level 3) |
$372 |
$380 |
— |
$95 | |
| Office visit, established patient (level 4) |
$465 |
$475 |
— |
$136 | |
| Office visit, new patient (level 3) |
$372 |
$380 |
— |
$118 | |
| Office visit, new patient (level 4) |
$465 |
$475 |
— |
$177 | |
| Office visit, new patient (level 5) |
$558 |
$570 |
— |
$237 | |
| Pap smear (cervical screening) |
$76 |
$78 |
— |
$20 | |
| Parathyroid hormone (PTH) test |
$33 |
$33 |
— |
$41 | |
| Pelvic ultrasound |
$500 |
$511 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$751 |
$766 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$250 |
$255 |
— |
$51 | |
| Phosphorus blood test |
$4 |
$4 |
— |
$5 | |
| Physical therapy evaluation |
$188 |
$192 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$188 |
$192 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$188 |
$192 |
— |
$98 | |
| Platelet count |
$9 |
$9 |
— |
$4 | |
| Pregnancy blood test (hCG) |
$22 |
$22 |
— |
$8 | |
| Pregnancy ultrasound |
$840 |
$857 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$751 |
$766 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$929 |
$948 |
— |
$136 | |
| Procalcitonin test |
$327 |
$334 |
— |
$27 | |
| Prolactin test |
$44 |
$45 |
— |
$19 | |
| Prostate test (PSA) |
$44 |
$45 |
— |
$18 | |
| Pulmonary rehabilitation |
$1,396 |
$1,424 |
— |
$87 | |
| Scoliosis spine X-ray |
$357 |
$365 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$250 |
$255 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$465 |
$474 |
— |
$72 | |
| Scrotal ultrasound |
$357 |
$365 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$11 |
$11 |
— |
$3 | |
| Sex hormone binding globulin test |
$55 |
$56 |
— |
$22 | |
| Sleep study (polysomnography) |
$2,853 |
$2,911 |
— |
$691 | |
| Soft tissue ultrasound |
$107 |
$109 |
— |
$64 | |
| Speech therapy |
$120 |
$122 |
— |
$76 | |
| Spirometry (lung function test) |
$67 |
$68 |
— |
$30 | |
| Spirometry with bronchodilator |
$99 |
$101 |
— |
$43 | |
| Strep throat test |
$55 |
$56 |
— |
$17 | |
| Swallow study |
$160 |
$163 |
— |
$85 | |
| T3 thyroid test |
$33 |
$33 |
— |
$14 | |
| Testosterone test |
$33 |
$33 |
— |
$26 | |
| Thyroid test (TSH) |
$33 |
$33 |
— |
$17 | |
| Thyroid ultrasound |
$893 |
$912 |
— |
$109 | |
| Thyroid uptake scan |
$942 |
$961 |
— |
$145 | |
| Total IgE allergy test |
$33 |
$33 |
— |
$16 | |
| Total protein test |
$4 |
$4 |
— |
$4 | |
| Transesophageal echocardiogram (TEE) |
$384 |
$392 |
— |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$384 |
$392 |
— |
$239 | |
| Transvaginal ultrasound |
$893 |
$912 |
— |
$118 | |
| Triglycerides test |
$4 |
$4 |
— |
$6 | |
| Troponin (heart) test |
$55 |
$56 |
— |
$12 | |
| Upper GI series (barium) |
$786 |
$802 |
— |
$128 | |
| Uric acid (gout) test |
$4 |
$4 |
— |
$5 | |
| Urinalysis |
$14 |
$14 |
— |
$3 | |
| Urine microalbumin test |
$27 |
$28 |
— |
$5 | |
| Urine pregnancy test |
$22 |
$22 |
— |
$9 | |
| Vitamin B12 test |
$33 |
$33 |
— |
$15 | |
| Vitamin D test |
$33 |
$33 |
— |
$30 | |
| X-ray of the abdomen |
$214 |
$219 |
— |
$36 | |
| X-ray of the ankle |
$214 |
$219 |
— |
$37 | |
| X-ray of the collarbone |
$179 |
$182 |
— |
$33 | |
| X-ray of the elbow |
$214 |
$219 |
— |
$33 | |
| X-ray of the facial bones |
$232 |
$237 |
— |
$39 | |
| X-ray of the foot |
$214 |
$219 |
— |
$34 | |
| X-ray of the forearm |
$179 |
$182 |
— |
$29 | |
| X-ray of the hand |
$214 |
$219 |
— |
$38 | |
| X-ray of the hip |
$286 |
$292 |
— |
$49 | |
| X-ray of the hip (1 view) |
$214 |
$219 |
— |
$34 | |
| X-ray of the hip (3 views) |
$286 |
$292 |
— |
$49 | |
| X-ray of the hip (4 views) |
$357 |
$365 |
— |
$63 | |
| X-ray of the knee |
$250 |
$255 |
— |
$42 | |
| X-ray of the knee (2 views) |
$214 |
$219 |
— |
$34 | |
| X-ray of the knee (3 views) |
$250 |
$255 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$286 |
$292 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$286 |
$292 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$250 |
$255 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$322 |
$328 |
— |
$53 | |
| X-ray of the lower leg |
$214 |
$219 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$232 |
$237 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$214 |
$219 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$250 |
$255 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$250 |
$255 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$214 |
$219 |
— |
$40 | |
| X-ray of the pelvis |
$250 |
$255 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$214 |
$219 |
— |
$28 | |
| X-ray of the ribs |
$214 |
$219 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$214 |
$219 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$214 |
$219 |
— |
$42 | |
| X-ray of the shoulder |
$179 |
$182 |
— |
$36 | |
| X-ray of the skull |
$268 |
$274 |
— |
$40 | |
| X-ray of the upper arm |
$214 |
$219 |
— |
$32 | |
| X-ray of the wrist |
$250 |
$255 |
— |
$43 | |
| Zinc blood test |
$55 |
$56 |
— |
$11 | |