| 3D mammogram (tomosynthesis) |
$78 |
$156 |
$20 |
$51 | |
| Abdominal ultrasound |
$385 |
$770 |
$102 |
$100 | |
| Abdominal ultrasound (complete) |
$488 |
$975 |
$102 |
$114 | |
| Abdominal ultrasound (limited) |
$283 |
$565 |
$102 |
$86 | |
| Abscess drainage (complex or multiple) |
$262 |
$523 |
$384 |
$220 | |
| Abscess drainage (simple) |
$276 |
$551 |
$191 |
$129 | |
| Abscess incision and drainage |
$262 |
$523 |
$345 |
$174 | |
| Albumin blood test |
$38 |
$75 |
$5 |
$5 | |
| Aldosterone test |
$148 |
$297 |
$41 |
$41 | |
| Alkaline phosphatase test |
$29 |
$57 |
$5 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$57 |
$114 |
$17 |
$17 | |
| ALT liver enzyme test |
$38 |
$75 |
$5 |
$5 | |
| Ammonia blood test |
$75 |
$150 |
$15 |
$15 | |
| Amylase test |
$54 |
$108 |
$6 |
$6 | |
| Arterial blood gas (ABG) |
$55 |
$110 |
$26 |
$26 | |
| AST liver enzyme test |
$43 |
$85 |
$5 |
$5 | |
| Barium swallow study |
$151 |
$301 |
$171 |
$107 | |
| Bartholin cyst removal |
$162 |
$324 |
$193 |
$182 | |
| Basic metabolic panel |
$50 |
$99 |
$8 |
$8 | |
| Bilirubin blood test |
$26 |
$52 |
$5 |
$5 | |
| Blood clotting test (PT/INR) |
$18 |
$35 |
$4 |
$4 | |
| Blood crossmatch |
$28 |
$55 |
$165 |
— | |
| Blood glucose test |
$21 |
$43 |
$5 |
$5 | |
| Blood transfusion |
$180 |
$360 |
$420 |
$47 | |
| Blood type and screen |
$38 |
$75 |
$51 |
$10 | |
| Blood type test |
$10 |
$21 |
$38 |
$3 | |
| Blood type test (ABO group) |
$8 |
$15 |
$124 |
$3 | |
| Blood type test (Rh/D antigen) |
$13 |
$26 |
$38 |
$3 | |
| BNP (heart failure) test |
$116 |
$231 |
$39 |
$39 | |
| Bone density scan (DEXA) |
$205 |
$410 |
$102 |
$39 | |
| Bone scan (nuclear) |
$750 |
$1,500 |
$386 |
$259 | |
| Breast ultrasound |
$223 |
$445 |
$102 |
$92 | |
| Breast ultrasound (complete) |
$223 |
$445 |
$102 |
$100 | |
| Breathing tube insertion (intubation) |
$195 |
$391 |
$223 |
$133 | |
| Burn dressing and debridement (medium) |
$176 |
$353 |
$191 |
$166 | |
| Burn dressing and debridement (small) |
$176 |
$353 |
$191 |
$93 | |
| Burn treatment |
$176 |
$353 |
$191 |
$129 | |
| C-reactive protein (CRP) |
$38 |
$76 |
$5 |
$5 | |
| CA 19-9 tumor marker test |
$103 |
$205 |
$21 |
$21 | |
| CA-125 ovarian marker test |
$66 |
$132 |
$21 |
$21 | |
| Calcium blood test |
$18 |
$36 |
$5 |
$5 | |
| Cardiac stress test |
$245 |
$490 |
$299 |
$39 | |
| Cardioversion |
$280 |
$560 |
$629 |
$155 | |
| Carotid artery ultrasound |
$296 |
$593 |
$191 |
$156 | |
| CEA tumor marker test |
$75 |
$149 |
$19 |
$19 | |
| Celiac disease test |
$18 |
$36 |
$12 |
$12 | |
| Central line placement |
$1,113 |
$2,226 |
$1,565 |
$238 | |
| Chemotherapy infusion |
$464 |
$929 |
$319 |
$81 | |
| Chemotherapy infusion (first hour) |
$464 |
$929 |
$319 |
$133 | |
| Chest tube insertion |
$455 |
$909 |
$882 |
$143 | |
| Chest X-ray |
$144 |
$287 |
$85 |
$37 | |
| Chest X-ray (1 view) |
$126 |
$252 |
$85 |
$25 | |
| Chest X-ray (2 views) |
$154 |
$307 |
$85 |
$33 | |
| CK-MB heart enzyme test |
$45 |
$90 |
$12 |
$12 | |
| Clotting time test (PTT) |
$34 |
$68 |
$6 |
$6 | |
| Complete blood count (CBC) |
$50 |
$99 |
$8 |
$7 | |
| Complete blood count (CBC) (complete) |
$55 |
$110 |
$8 |
$8 | |
| Complex wound repair |
$660 |
$1,320 |
$588 |
$390 | |
| Comprehensive metabolic panel |
$125 |
$250 |
$11 |
$11 | |
| Copper blood test |
$56 |
$113 |
$12 |
$12 | |
| Cortisol test |
$56 |
$111 |
$16 |
$16 | |
| COVID-19 PCR test |
$119 |
$238 |
$51 |
$51 | |
| CPAP titration study |
$95 |
$189 |
$196 |
$69 | |
| Creatine kinase (CK) test |
$33 |
$65 |
$7 |
$7 | |
| CT angiography of the chest |
$400 |
$800 |
$171 |
$281 | |
| CT angiography of the head |
$560 |
$1,121 |
$171 |
$274 | |
| CT scan of the abdomen |
$1,210 |
$2,419 |
$171 |
$230 | |
| CT scan of the abdomen and pelvis |
$900 |
$1,800 |
$343 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$988 |
$1,975 |
$343 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$900 |
$1,800 |
$343 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$600 |
$1,200 |
$232 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,374 |
$2,747 |
$171 |
$259 | |
| CT scan of the abdomen with contrast |
$1,210 |
$2,419 |
$171 |
$230 | |
| CT scan of the abdomen without contrast |
$1,000 |
$2,000 |
$102 |
$136 | |
| CT scan of the arm |
$1,169 |
$2,338 |
$171 |
$199 | |
| CT scan of the arm with contrast |
$1,169 |
$2,338 |
$343 |
$199 | |
| CT scan of the arm without contrast |
$950 |
$1,900 |
$102 |
$161 | |
| CT scan of the chest |
$1,100 |
$2,200 |
$171 |
$167 | |
| CT scan of the chest with and without contrast |
$1,225 |
$2,450 |
$171 |
$196 | |
| CT scan of the chest with contrast |
$1,100 |
$2,200 |
$171 |
$167 | |
| CT scan of the chest without contrast |
$1,025 |
$2,050 |
$102 |
$133 | |
| CT scan of the head |
$1,100 |
$2,200 |
$171 |
$148 | |
| CT scan of the head with and without contrast |
$1,200 |
$2,400 |
$171 |
$173 | |
| CT scan of the head with contrast |
$1,100 |
$2,200 |
$171 |
$148 | |
| CT scan of the head without contrast |
$1,050 |
$2,100 |
$102 |
$107 | |
| CT scan of the leg |
$1,225 |
$2,450 |
$171 |
$166 | |
| CT scan of the leg with contrast |
$1,255 |
$2,510 |
$171 |
$166 | |
| CT scan of the leg without contrast |
$1,150 |
$2,300 |
$102 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$823 |
$1,646 |
$338 |
$169 | |
| CT scan of the lower back (lumbar spine) with contrast |
$371 |
$743 |
$343 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,275 |
$2,550 |
$102 |
$130 | |
| CT scan of the neck |
$1,150 |
$2,300 |
$171 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,275 |
$2,550 |
$171 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,478 |
$2,955 |
$171 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,266 |
$2,532 |
$343 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,275 |
$2,550 |
$102 |
$131 | |
| CT scan of the neck with and without contrast |
$1,325 |
$2,650 |
$171 |
$220 | |
| CT scan of the neck with contrast |
$1,150 |
$2,300 |
$171 |
$183 | |
| CT scan of the neck without contrast |
$1,050 |
$2,100 |
$102 |
$150 | |
| CT scan of the pelvis |
$1,150 |
$2,300 |
$171 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,299 |
$2,597 |
$171 |
$251 | |
| CT scan of the pelvis with contrast |
$1,150 |
$2,300 |
$171 |
$226 | |
| CT scan of the pelvis without contrast |
$1,050 |
$2,100 |
$102 |
$133 | |
| CT scan of the sinuses |
$1,000 |
$2,000 |
$171 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,000 |
$2,000 |
$171 |
$184 | |
| CT scan of the sinuses with contrast |
$1,050 |
$2,100 |
$171 |
$152 | |
| CT scan of the sinuses without contrast |
$549 |
$1,097 |
$102 |
$128 | |
| D-dimer test |
$57 |
$114 |
$10 |
$10 | |
| DHEA-sulfate test |
$87 |
$174 |
$22 |
$22 | |
| Diagnostic mammogram |
$295 |
$590 |
$94 |
$140 | |
| Drug screen (urine) |
$180 |
$359 |
$62 |
$17 | |
| Echocardiogram |
$99 |
$197 |
$232 |
$138 | |
| Echocardiogram with and without contrast |
$99 |
$197 |
$232 |
$101 | |
| EKG / ECG (tracing only) |
$64 |
$127 |
$57 |
$7 | |
| Electrocardiogram (EKG) |
$63 |
$125 |
$57 |
$8 | |
| Electroencephalogram (EEG) |
$199 |
$397 |
$299 |
$448 | |
| Electrolyte panel |
$28 |
$57 |
$7 |
$7 | |
| Emergency department visit |
$163 |
$325 |
$266 |
$69 | |
| Emergency department visit (level 1) |
$63 |
$125 |
$85 |
$11 | |
| Emergency department visit (level 2) |
$104 |
$207 |
$152 |
$40 | |
| Emergency department visit (level 3) |
$163 |
$325 |
$266 |
$69 | |
| Emergency department visit (level 4) |
$263 |
$525 |
$409 |
$118 | |
| Emergency department visit (level 5) |
$407 |
$813 |
$589 |
$171 | |
| Estradiol (estrogen) test |
$95 |
$190 |
$28 |
$28 | |
| Fallopian tube X-ray (HSG) |
$205 |
$410 |
$232 |
$164 | |
| Fecal occult blood (stool) test |
$55 |
$109 |
$16 |
$10 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$55 |
$109 |
$16 |
$16 | |
| Ferritin (iron) test |
$48 |
$95 |
$14 |
$14 | |
| Fibrinogen test |
$29 |
$58 |
$10 |
$10 | |
| Flu test |
$144 |
$287 |
$17 |
$17 | |
| Folate (folic acid) test |
$48 |
$96 |
$15 |
$15 | |
| Foreign body removal (skin) |
$182 |
$364 |
$384 |
$157 | |
| Free T4 thyroid test |
$69 |
$137 |
$9 |
$9 | |
| FSH hormone test |
$63 |
$127 |
$19 |
$19 | |
| Gallbladder scan (HIDA) |
$563 |
$1,125 |
$424 |
$334 | |
| GGT liver test |
$23 |
$45 |
$7 |
$7 | |
| Glucose tolerance test |
$30 |
$59 |
$13 |
$8 | |
| H. pylori test |
$213 |
$425 |
$67 |
$67 | |
| HDL cholesterol test |
$28 |
$56 |
$8 |
$8 | |
| Hematocrit test |
$38 |
$75 |
$2 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$44 |
$88 |
$10 |
$10 | |
| Hepatitis B test |
$63 |
$125 |
$10 |
$10 | |
| Hepatitis B vaccine |
$256 |
$512 |
$70 |
— | |
| Hepatitis C test |
$59 |
$117 |
$14 |
$14 | |
| HIV test |
$47 |
$93 |
$24 |
$19 | |
| HIV test (antigen/antibody combo) |
$47 |
$93 |
$24 |
$24 | |
| Holter heart monitor |
$75 |
$150 |
$98 |
$26 | |
| Iron blood test |
$28 |
$55 |
$6 |
$6 | |
| IV infusion therapy |
$130 |
$260 |
$185 |
$44 | |
| IV infusion therapy (each additional) |
$95 |
$189 |
$44 |
$21 | |
| IV infusion therapy (initial) |
$223 |
$447 |
$203 |
$67 | |
| Joint aspiration (small/intermediate) |
$287 |
$573 |
$284 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$287 |
$573 |
$284 |
$57 | |
| Joint aspiration or injection (small joint) |
$287 |
$573 |
$284 |
$56 | |
| Kidney scan (nuclear) |
$1,121 |
$2,243 |
$517 |
$172 | |
| Kidney ultrasound |
$343 |
$687 |
$102 |
$84 | |
| Kidney ultrasound (limited) |
$259 |
$518 |
$102 |
$61 | |
| Knee joint injection |
$287 |
$573 |
$284 |
$69 | |
| Lactate test |
$42 |
$84 |
$12 |
$12 | |
| LDH test |
$18 |
$37 |
$6 |
$6 | |
| LDL cholesterol test |
$42 |
$84 |
$11 |
$11 | |
| Leg vein ultrasound (Doppler) |
$454 |
$908 |
$220 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$413 |
$825 |
$102 |
$116 | |
| LH hormone test |
$93 |
$185 |
$19 |
$19 | |
| Lipase test |
$39 |
$78 |
$7 |
$7 | |
| Lipid (cholesterol) panel |
$123 |
$245 |
$13 |
$13 | |
| Liver function panel |
$101 |
$201 |
$8 |
$8 | |
| Lung function test (PFT) |
$130 |
$260 |
$150 |
$37 | |
| Lung scan (V/Q) |
$458 |
$916 |
$517 |
$291 | |
| Magnesium blood test |
$29 |
$57 |
$7 |
$7 | |
| MRA of the brain |
$388 |
$776 |
$343 |
$226 | |
| MRA of the brain with contrast |
$283 |
$566 |
$343 |
$226 | |
| MRA of the brain without contrast |
$443 |
$886 |
$343 |
$328 | |
| MRA of the neck |
$462 |
$923 |
$343 |
$245 | |
| MRA of the neck with contrast |
$496 |
$993 |
$343 |
$245 | |
| MRA of the neck without contrast |
$462 |
$923 |
$343 |
$343 | |
| MRI of the abdomen |
$388 |
$776 |
$343 |
$300 | |
| MRI of the abdomen with contrast |
$353 |
$705 |
$343 |
$300 | |
| MRI of the abdomen without contrast |
$388 |
$776 |
$232 |
$194 | |
| MRI of the ankle |
$304 |
$608 |
$343 |
$261 | |
| MRI of the ankle with contrast |
$304 |
$608 |
$343 |
$261 | |
| MRI of the ankle without contrast |
$272 |
$545 |
$232 |
$222 | |
| MRI of the brain |
$388 |
$776 |
$343 |
$269 | |
| MRI of the brain with contrast |
$296 |
$593 |
$343 |
$269 | |
| MRI of the brain without contrast |
$388 |
$776 |
$232 |
$195 | |
| MRI of the knee |
$388 |
$775 |
$343 |
$315 | |
| MRI of the knee with contrast |
$352 |
$703 |
$760 |
$315 | |
| MRI of the knee without contrast |
$388 |
$775 |
$232 |
$204 | |
| MRI of the lower back (lumbar spine) |
$458 |
$916 |
$343 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$458 |
$916 |
$343 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$388 |
$776 |
$232 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$388 |
$776 |
$343 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$577 |
$1,154 |
$343 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$299 |
$599 |
$343 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$388 |
$776 |
$232 |
$190 | |
| MRI of the neck (cervical spine) |
$388 |
$776 |
$343 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$577 |
$1,154 |
$343 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$301 |
$602 |
$343 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$388 |
$776 |
$232 |
$191 | |
| MRI of the pelvis |
$388 |
$776 |
$343 |
$268 | |
| MRI of the pelvis with contrast |
$321 |
$641 |
$343 |
$268 | |
| MRI of the pelvis without contrast |
$388 |
$776 |
$232 |
$227 | |
| MRI of the shoulder |
$797 |
$1,594 |
$505 |
$313 | |
| MRI of the shoulder with contrast |
$1,021 |
$2,043 |
$760 |
$313 | |
| MRI of the shoulder without contrast |
$350 |
$699 |
$232 |
$205 | |
| MRI of the wrist |
$303 |
$607 |
$343 |
$330 | |
| MRI of the wrist with contrast |
$303 |
$607 |
$343 |
$330 | |
| MRI of the wrist without contrast |
$273 |
$545 |
$232 |
$303 | |
| Nebulizer breathing treatment |
$224 |
$447 |
$196 |
$9 | |
| Nuclear cardiac stress test |
$1,761 |
$3,522 |
$1,255 |
$428 | |
| Office visit (established patient) |
$41 |
$83 |
$39 |
$115 | |
| Office visit (new patient) |
$78 |
$155 |
$63 |
$177 | |
| Office visit, established patient (level 3) |
$33 |
$65 |
$35 |
$95 | |
| Office visit, established patient (level 4) |
$50 |
$100 |
$54 |
$136 | |
| Office visit, new patient (level 3) |
$47 |
$94 |
$51 |
$118 | |
| Office visit, new patient (level 4) |
$78 |
$155 |
$84 |
$177 | |
| Office visit, new patient (level 5) |
$100 |
$200 |
$108 |
$237 | |
| Parathyroid hormone (PTH) test |
$141 |
$281 |
$41 |
$41 | |
| Pelvic ultrasound |
$293 |
$585 |
$102 |
$78 | |
| Pelvic ultrasound (complete) |
$293 |
$585 |
$102 |
$105 | |
| Phosphorus blood test |
$14 |
$28 |
$5 |
$5 | |
| Physical therapy evaluation |
$42 |
$84 |
$91 |
$98 | |
| Platelet count |
$15 |
$30 |
$4 |
$4 | |
| Pneumonia vaccine |
$52 |
$103 |
$88 |
— | |
| Pregnancy blood test (hCG) |
$23 |
$46 |
$8 |
$8 | |
| Pregnancy ultrasound |
$120 |
$240 |
$102 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$120 |
$240 |
$102 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$120 |
$240 |
$102 |
$136 | |
| Procalcitonin test |
$418 |
$835 |
$27 |
$27 | |
| Prolactin test |
$74 |
$148 |
$19 |
$19 | |
| Prostate test (PSA) |
$78 |
$155 |
$18 |
$18 | |
| Psychiatric evaluation |
$197 |
$394 |
$160 |
$188 | |
| Rheumatoid factor test |
$33 |
$65 |
$6 |
$6 | |
| Scoliosis spine X-ray |
$113 |
$225 |
$102 |
$58 | |
| Scoliosis spine X-ray (3 views) |
$113 |
$225 |
$102 |
$72 | |
| Scrotal ultrasound |
$192 |
$383 |
$102 |
$99 | |
| Sedimentation rate (ESR) test |
$23 |
$45 |
$4 |
$3 | |
| Sex hormone binding globulin test |
$74 |
$148 |
$22 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$186 |
$372 |
$191 |
$114 | |
| Simple wound stitches |
$186 |
$372 |
$191 |
$127 | |
| Skin biopsy |
$176 |
$353 |
$384 |
$121 | |
| Skin biopsy (punch) |
$176 |
$353 |
$384 |
$121 | |
| Skin tag removal |
$179 |
$359 |
$191 |
$92 | |
| Soft tissue ultrasound |
$185 |
$370 |
$102 |
$64 | |
| Speech therapy |
$84 |
$167 |
$70 |
$76 | |
| Spinal tap (lumbar puncture) |
$99 |
$197 |
$666 |
$165 | |
| Spirometry (lung function test) |
$118 |
$236 |
$150 |
$30 | |
| Spirometry with bronchodilator |
$130 |
$260 |
$299 |
$43 | |
| Swallow study |
$79 |
$158 |
$78 |
$85 | |
| T3 thyroid test |
$64 |
$129 |
$14 |
$14 | |
| Tdap (tetanus) vaccine |
$70 |
$139 |
$38 |
— | |
| Testosterone test |
$88 |
$176 |
$26 |
$26 | |
| Thyroid test (TSH) |
$57 |
$114 |
$17 |
$17 | |
| Thyroid ultrasound |
$238 |
$476 |
$102 |
$109 | |
| Thyroid uptake scan |
$680 |
$1,360 |
$386 |
$145 | |
| Total IgE allergy test |
$49 |
$99 |
$16 |
$16 | |
| Total protein test |
$30 |
$60 |
$4 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$425 |
$850 |
$527 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$425 |
$850 |
$527 |
$239 | |
| Transvaginal ultrasound |
$125 |
$250 |
$102 |
$118 | |
| Trigger point injection |
$336 |
$673 |
$284 |
$56 | |
| Trigger point injection (1-2 muscles) |
$336 |
$673 |
$284 |
$52 | |
| Triglycerides test |
$10 |
$20 |
$6 |
$6 | |
| Troponin (heart) test |
$43 |
$85 |
$12 |
$12 | |
| Upper GI series (barium) |
$252 |
$505 |
$171 |
$128 | |
| Uric acid (gout) test |
$33 |
$65 |
$5 |
$5 | |
| Urinalysis |
$35 |
$70 |
$2 |
$3 | |
| Urine microalbumin test |
$38 |
$75 |
$6 |
$5 | |
| Urine pregnancy test |
$25 |
$51 |
$9 |
$9 | |
| Vaccine administration |
$31 |
$62 |
$68 |
$19 | |
| Vaccine administration (each additional) |
$31 |
$62 |
$48 |
$16 | |
| Vitamin B12 test |
$53 |
$106 |
$15 |
$15 | |
| Vitamin D test |
$167 |
$334 |
$30 |
$30 | |
| Wound debridement |
$314 |
$628 |
$588 |
$186 | |
| X-ray of the abdomen |
$163 |
$327 |
$88 |
$36 | |
| X-ray of the collarbone |
$143 |
$286 |
$85 |
$33 | |
| X-ray of the facial bones |
$204 |
$407 |
$92 |
$39 | |
| X-ray of the lower back (lumbar spine) |
$215 |
$430 |
$102 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$143 |
$285 |
$102 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$288 |
$575 |
$102 |
$53 | |
| X-ray of the mid-back (thoracic spine) |
$188 |
$376 |
$102 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$178 |
$356 |
$102 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$198 |
$395 |
$102 |
$39 | |
| X-ray of the neck (cervical spine) |
$206 |
$413 |
$91 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$148 |
$295 |
$85 |
$40 | |
| X-ray of the pelvis |
$171 |
$342 |
$102 |
$36 | |
| X-ray of the pelvis (1 view) |
$148 |
$295 |
$102 |
$28 | |
| X-ray of the ribs |
$240 |
$480 |
$102 |
$42 | |
| X-ray of the ribs (3 views) |
$198 |
$395 |
$102 |
$42 | |
| X-ray of the skull |
$192 |
$384 |
$102 |
$40 | |
| Zinc blood test |
$39 |
$78 |
$11 |
$11 | |