| 3D mammogram (tomosynthesis) |
$319 |
$325 |
$325 |
$51 | |
| Abdominal ultrasound |
$820 |
$836 |
$836 |
$100 | |
| Abdominal ultrasound (complete) |
$1,047 |
$1,069 |
$1,069 |
$114 | |
| Abdominal ultrasound (limited) |
$820 |
$836 |
$836 |
$86 | |
| Albumin blood test |
$5 |
$5 |
$5 |
$5 | |
| Aldosterone test |
$66 |
$67 |
$67 |
$41 | |
| Alkaline phosphatase test |
$5 |
$5 |
$5 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$40 |
$40 |
$40 |
$17 | |
| ALT liver enzyme test |
$5 |
$5 |
$5 |
$5 | |
| Ammonia blood test |
$53 |
$54 |
$54 |
$15 | |
| Amniocentesis |
$662 |
$676 |
$676 |
$120 | |
| Amylase test |
$16 |
$16 |
$16 |
$6 | |
| Antinuclear antibody (ANA) test |
$40 |
$40 |
$40 |
$12 | |
| Arterial blood gas (ABG) |
$82 |
$84 |
$84 |
$26 | |
| AST liver enzyme test |
$5 |
$5 |
$5 |
$5 | |
| Barium swallow study |
$1,047 |
$1,069 |
$1,069 |
$107 | |
| Basic metabolic panel |
$29 |
$30 |
$30 |
$8 | |
| Bilirubin blood test |
$16 |
$16 |
$16 |
$5 | |
| Bladder scope (cystoscopy) |
$1,766 |
$1,802 |
$1,802 |
$216 | |
| Blood clotting test (PT/INR) |
$21 |
$22 |
$22 |
$4 | |
| Blood crossmatch |
$21 |
$22 |
$22 |
— | |
| Blood glucose test |
$11 |
$11 |
$11 |
$5 | |
| Blood transfusion |
$2,478 |
$2,529 |
$2,529 |
$47 | |
| Blood type and screen |
$32 |
$32 |
$32 |
$10 | |
| Blood type test |
$11 |
$11 |
$11 |
$3 | |
| Blood type test (ABO group) |
$11 |
$11 |
$11 |
$3 | |
| Blood type test (Rh/D antigen) |
$11 |
$11 |
$11 |
$3 | |
| BNP (heart failure) test |
$79 |
$81 |
$81 |
$39 | |
| Bone density scan (DEXA) |
$410 |
$418 |
$418 |
$39 | |
| Bone scan (nuclear) |
$1,334 |
$1,361 |
$1,361 |
$259 | |
| Breast biopsy |
$533 |
$543 |
$543 |
$478 | |
| Breast MRI |
$1,709 |
$1,744 |
$1,744 |
$216 | |
| Breast MRI without contrast |
$1,675 |
$1,709 |
$1,709 |
$216 | |
| Breast ultrasound |
$1,366 |
$1,394 |
$1,394 |
$92 | |
| Breast ultrasound (complete) |
$1,822 |
$1,859 |
$1,859 |
$100 | |
| Breast ultrasound (limited) |
$1,366 |
$1,394 |
$1,394 |
$84 | |
| Breathing tube insertion (intubation) |
$94 |
$96 |
$96 |
$133 | |
| C-reactive protein (CRP) |
$40 |
$40 |
$40 |
$5 | |
| CA 19-9 tumor marker test |
$87 |
$89 |
$89 |
$21 | |
| CA-125 ovarian marker test |
$87 |
$89 |
$89 |
$21 | |
| Calcium blood test |
$5 |
$5 |
$5 |
$5 | |
| Cardiac MRI |
$2,392 |
$2,441 |
$2,441 |
$322 | |
| Cardiac MRI without contrast |
$1,948 |
$1,988 |
$1,988 |
$280 | |
| Cardiac rehabilitation |
$400 |
$408 |
$408 |
$26 | |
| Cardiac stress test |
$119 |
$122 |
$122 |
$39 | |
| Carotid artery ultrasound |
$1,708 |
$1,743 |
$1,743 |
$156 | |
| CEA tumor marker test |
$66 |
$67 |
$67 |
$19 | |
| Celiac disease test |
$66 |
$67 |
$67 |
$12 | |
| Cervical cerclage |
$2,208 |
$2,253 |
$2,253 |
$137 | |
| Chemotherapy infusion |
$879 |
$897 |
$897 |
$81 | |
| Chemotherapy infusion (each additional) |
$320 |
$326 |
$326 |
$28 | |
| Chemotherapy infusion (first hour) |
$1,439 |
$1,468 |
$1,468 |
$133 | |
| Chest X-ray |
$228 |
$232 |
$232 |
$37 | |
| Chest X-ray (1 view) |
$137 |
$139 |
$139 |
$25 | |
| Chest X-ray (2 views) |
$228 |
$232 |
$232 |
$33 | |
| Chickenpox (varicella) vaccine |
$262 |
$267 |
$267 |
— | |
| Circumcision |
$662 |
$676 |
$676 |
$167 | |
| CK-MB heart enzyme test |
$40 |
$40 |
$40 |
$12 | |
| Clotting time test (PTT) |
$21 |
$22 |
$22 |
$6 | |
| Complete blood count (CBC) |
$24 |
$24 |
$24 |
$7 | |
| Complete blood count (CBC) (complete) |
$26 |
$27 |
$27 |
$8 | |
| Comprehensive metabolic panel |
$40 |
$40 |
$40 |
$11 | |
| Copper blood test |
$66 |
$67 |
$67 |
$12 | |
| Coronary CT angiography |
$283 |
$288 |
$288 |
$326 | |
| Cortisol test |
$40 |
$40 |
$40 |
$16 | |
| COVID-19 PCR test |
$317 |
$324 |
$324 |
$51 | |
| CPAP titration study |
$454 |
$463 |
$463 |
$69 | |
| Creatine kinase (CK) test |
$16 |
$16 |
$16 |
$7 | |
| CT angiography of the chest |
$196 |
$200 |
$200 |
$281 | |
| CT angiography of the head |
$193 |
$197 |
$197 |
$274 | |
| CT colonography (virtual colonoscopy) |
$599 |
$611 |
$611 |
$835 | |
| CT scan of the arm |
$178 |
$182 |
$182 |
$199 | |
| CT scan of the arm with contrast |
$229 |
$234 |
$234 |
$199 | |
| CT scan of the chest |
$156 |
$159 |
$159 |
$167 | |
| CT scan of the chest with and without contrast |
$193 |
$197 |
$197 |
$196 | |
| CT scan of the chest with contrast |
$156 |
$159 |
$159 |
$167 | |
| CT scan of the leg |
$200 |
$204 |
$204 |
$166 | |
| CT scan of the leg with contrast |
$156 |
$159 |
$159 |
$166 | |
| CT scan of the leg without contrast |
$180 |
$183 |
$183 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$156 |
$159 |
$159 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$193 |
$197 |
$197 |
$197 | |
| CT scan of the neck |
$156 |
$159 |
$159 |
$183 | |
| CT scan of the neck (cervical spine) |
$156 |
$159 |
$159 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$193 |
$197 |
$197 |
$196 | |
| CT scan of the neck with and without contrast |
$193 |
$197 |
$197 |
$220 | |
| CT scan of the neck with contrast |
$156 |
$159 |
$159 |
$183 | |
| CT scan of the neck without contrast |
$120 |
$122 |
$122 |
$150 | |
| CT scan of the pelvis |
$156 |
$159 |
$159 |
$226 | |
| CT scan of the pelvis with and without contrast |
$186 |
$190 |
$190 |
$251 | |
| CT scan of the pelvis with contrast |
$156 |
$159 |
$159 |
$226 | |
| D-dimer test |
$40 |
$40 |
$40 |
$10 | |
| DHEA-sulfate test |
$40 |
$40 |
$40 |
$22 | |
| Diagnostic mammogram |
$1,184 |
$1,208 |
$1,208 |
$140 | |
| Drug screen (urine) |
$148 |
$151 |
$151 |
$17 | |
| Echocardiogram |
$239 |
$243 |
$243 |
$138 | |
| Echocardiogram with and without contrast |
$80 |
$81 |
$81 |
$101 | |
| EEG (awake and asleep) |
$1,220 |
$1,245 |
$1,245 |
$482 | |
| EKG / ECG (tracing only) |
$48 |
$49 |
$49 |
$7 | |
| Electrocardiogram (EKG) |
$48 |
$49 |
$49 |
$8 | |
| Electroencephalogram (EEG) |
$1,123 |
$1,146 |
$1,146 |
$448 | |
| Electrolyte panel |
$21 |
$22 |
$22 |
$7 | |
| Emergency department visit |
$192 |
$196 |
$196 |
$69 | |
| Emergency department visit (level 1) |
$164 |
$167 |
$167 |
$11 | |
| Emergency department visit (level 2) |
$164 |
$167 |
$167 |
$40 | |
| Emergency department visit (level 3) |
$328 |
$334 |
$334 |
$69 | |
| Emergency department visit (level 4) |
$655 |
$669 |
$669 |
$118 | |
| Emergency department visit (level 5) |
$655 |
$669 |
$669 |
$171 | |
| Estradiol (estrogen) test |
$40 |
$40 |
$40 |
$28 | |
| Fallopian tube X-ray (HSG) |
$533 |
$543 |
$543 |
$164 | |
| Family therapy session |
$320 |
$326 |
$326 |
$110 | |
| Fecal occult blood (stool) test |
$13 |
$14 |
$14 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$13 |
$14 |
$14 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$66 |
$67 |
$67 |
$16 | |
| Ferritin (iron) test |
$40 |
$40 |
$40 |
$14 | |
| Fibrinogen test |
$24 |
$24 |
$24 |
$10 | |
| Flu test |
$66 |
$67 |
$67 |
$17 | |
| Folate (folic acid) test |
$40 |
$40 |
$40 |
$15 | |
| Free T4 thyroid test |
$40 |
$40 |
$40 |
$9 | |
| FSH hormone test |
$40 |
$40 |
$40 |
$19 | |
| Gallbladder scan (HIDA) |
$2,230 |
$2,275 |
$2,275 |
$334 | |
| GGT liver test |
$5 |
$5 |
$5 |
$7 | |
| Glucose tolerance test |
$25 |
$26 |
$26 |
$8 | |
| Group therapy session |
$160 |
$163 |
$163 |
$30 | |
| H. pylori test |
$53 |
$54 |
$54 |
$67 | |
| HDL cholesterol test |
$40 |
$40 |
$40 |
$8 | |
| Hematocrit test |
$11 |
$11 |
$11 |
$2 | |
| Hemodialysis |
$1,505 |
$1,536 |
$1,536 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$53 |
$54 |
$54 |
$10 | |
| Hepatitis A vaccine |
$107 |
$110 |
$110 |
— | |
| Hepatitis B test |
$66 |
$67 |
$67 |
$10 | |
| Hepatitis B vaccine |
$82 |
$84 |
$84 |
— | |
| Hepatitis C test |
$66 |
$67 |
$67 |
$14 | |
| HIV test |
$66 |
$67 |
$67 |
$19 | |
| HIV test (antibody) |
$66 |
$67 |
$67 |
$14 | |
| HIV test (antigen/antibody combo) |
$66 |
$67 |
$67 |
$24 | |
| HPV vaccine |
$430 |
$439 |
$439 |
— | |
| Iron blood test |
$16 |
$16 |
$16 |
$6 | |
| IV infusion therapy |
$879 |
$897 |
$897 |
$44 | |
| IV infusion therapy (each additional) |
$320 |
$326 |
$326 |
$21 | |
| IV infusion therapy (initial) |
$1,439 |
$1,468 |
$1,468 |
$67 | |
| Kidney scan (nuclear) |
$743 |
$758 |
$758 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$3,263 |
$3,329 |
$3,329 |
$760 | |
| Kidney ultrasound |
$683 |
$697 |
$697 |
$84 | |
| Kidney ultrasound (limited) |
$364 |
$372 |
$372 |
$61 | |
| Lactate test |
$53 |
$54 |
$54 |
$12 | |
| LDH test |
$11 |
$11 |
$11 |
$6 | |
| LDL cholesterol test |
$40 |
$40 |
$40 |
$11 | |
| Leg vein ultrasound (Doppler) |
$1,685 |
$1,719 |
$1,719 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,275 |
$1,301 |
$1,301 |
$116 | |
| LH hormone test |
$66 |
$67 |
$67 |
$19 | |
| Lipase test |
$21 |
$22 |
$22 |
$7 | |
| Lipid (cholesterol) panel |
$50 |
$51 |
$51 |
$13 | |
| Liver function panel |
$29 |
$30 |
$30 |
$8 | |
| Lung function test (PFT) |
$658 |
$671 |
$671 |
$37 | |
| Lung scan (V/Q) |
$1,793 |
$1,829 |
$1,829 |
$291 | |
| Magnesium blood test |
$16 |
$16 |
$16 |
$7 | |
| MMR vaccine |
$134 |
$136 |
$136 |
— | |
| MRA of the brain |
$3,178 |
$3,243 |
$3,243 |
$226 | |
| MRA of the brain with contrast |
$3,144 |
$3,208 |
$3,208 |
$226 | |
| MRA of the brain without contrast |
$4,887 |
$4,987 |
$4,987 |
$328 | |
| MRA of the neck |
$3,383 |
$3,452 |
$3,452 |
$245 | |
| MRA of the neck with contrast |
$3,383 |
$3,452 |
$3,452 |
$245 | |
| MRA of the neck without contrast |
$4,921 |
$5,022 |
$5,022 |
$343 | |
| MRI of the abdomen |
$3,007 |
$3,069 |
$3,069 |
$300 | |
| MRI of the abdomen with contrast |
$3,520 |
$3,592 |
$3,592 |
$300 | |
| MRI of the abdomen without contrast |
$1,999 |
$2,040 |
$2,040 |
$194 | |
| MRI of the ankle |
$3,452 |
$3,522 |
$3,522 |
$261 | |
| MRI of the ankle with contrast |
$3,110 |
$3,173 |
$3,173 |
$261 | |
| MRI of the ankle without contrast |
$2,836 |
$2,894 |
$2,894 |
$222 | |
| MRI of the brain |
$2,221 |
$2,267 |
$2,267 |
$269 | |
| MRI of the brain with contrast |
$2,221 |
$2,267 |
$2,267 |
$269 | |
| MRI of the brain without contrast |
$1,504 |
$1,534 |
$1,534 |
$195 | |
| MRI of the chest |
$3,435 |
$3,505 |
$3,505 |
$371 | |
| MRI of the chest with contrast |
$3,588 |
$3,662 |
$3,662 |
$371 | |
| MRI of the chest without contrast |
$4,477 |
$4,568 |
$4,568 |
$466 | |
| MRI of the knee |
$2,238 |
$2,284 |
$2,284 |
$315 | |
| MRI of the knee with contrast |
$2,871 |
$2,929 |
$2,929 |
$315 | |
| MRI of the knee without contrast |
$513 |
$523 |
$523 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,221 |
$2,267 |
$2,267 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,221 |
$2,267 |
$2,267 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,435 |
$1,465 |
$1,465 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,256 |
$2,302 |
$2,302 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,563 |
$2,615 |
$2,615 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,256 |
$2,302 |
$2,302 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,435 |
$1,465 |
$1,465 |
$190 | |
| MRI of the neck (cervical spine) |
$2,256 |
$2,302 |
$2,302 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,529 |
$2,581 |
$2,581 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,256 |
$2,302 |
$2,302 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,435 |
$1,465 |
$1,465 |
$191 | |
| MRI of the pelvis |
$3,110 |
$3,173 |
$3,173 |
$268 | |
| MRI of the pelvis with contrast |
$3,110 |
$3,173 |
$3,173 |
$268 | |
| MRI of the pelvis without contrast |
$2,905 |
$2,964 |
$2,964 |
$227 | |
| MRI of the shoulder |
$3,024 |
$3,086 |
$3,086 |
$313 | |
| MRI of the shoulder with contrast |
$2,836 |
$2,894 |
$2,894 |
$313 | |
| MRI of the shoulder without contrast |
$1,606 |
$1,639 |
$1,639 |
$205 | |
| MRI of the wrist |
$3,417 |
$3,487 |
$3,487 |
$330 | |
| MRI of the wrist with contrast |
$3,076 |
$3,138 |
$3,138 |
$330 | |
| MRI of the wrist without contrast |
$2,871 |
$2,929 |
$2,929 |
$303 | |
| Nebulizer breathing treatment |
$983 |
$1,003 |
$1,003 |
$9 | |
| Nuchal translucency ultrasound |
$774 |
$790 |
$790 |
$116 | |
| Nuclear cardiac stress test |
$2,514 |
$2,565 |
$2,565 |
$428 | |
| Occupational therapy evaluation |
$476 |
$486 |
$486 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$476 |
$486 |
$486 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$476 |
$486 |
$486 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$476 |
$486 |
$486 |
$101 | |
| Office visit (established patient) |
$360 |
$367 |
$367 |
$115 | |
| Office visit (new patient) |
$400 |
$408 |
$408 |
$177 | |
| Office visit, established patient (level 3) |
$320 |
$326 |
$326 |
$95 | |
| Office visit, established patient (level 4) |
$400 |
$408 |
$408 |
$136 | |
| Office visit, new patient (level 3) |
$320 |
$326 |
$326 |
$118 | |
| Office visit, new patient (level 4) |
$400 |
$408 |
$408 |
$177 | |
| Office visit, new patient (level 5) |
$480 |
$490 |
$490 |
$237 | |
| Pap smear (cervical screening) |
$106 |
$108 |
$108 |
$20 | |
| Parathyroid hormone (PTH) test |
$40 |
$40 |
$40 |
$41 | |
| Pelvic ultrasound |
$956 |
$976 |
$976 |
$78 | |
| Pelvic ultrasound (complete) |
$956 |
$976 |
$976 |
$105 | |
| Pelvic ultrasound (limited) |
$319 |
$325 |
$325 |
$51 | |
| PET scan |
$10,166 |
$10,373 |
$10,373 |
— | |
| Phosphorus blood test |
$5 |
$5 |
$5 |
$5 | |
| Physical therapy evaluation |
$672 |
$686 |
$686 |
$98 | |
| Physical therapy evaluation (high complexity) |
$672 |
$686 |
$686 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$672 |
$686 |
$686 |
$98 | |
| Platelet count |
$11 |
$11 |
$11 |
$4 | |
| Pneumonia vaccine |
$182 |
$186 |
$186 |
— | |
| Pregnancy blood test (hCG) |
$26 |
$27 |
$27 |
$8 | |
| Pregnancy ultrasound |
$1,070 |
$1,092 |
$1,092 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$956 |
$976 |
$976 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$1,184 |
$1,208 |
$1,208 |
$136 | |
| Procalcitonin test |
$397 |
$405 |
$405 |
$27 | |
| Prolactin test |
$53 |
$54 |
$54 |
$19 | |
| Prostate test (PSA) |
$53 |
$54 |
$54 |
$18 | |
| Psychiatric evaluation |
$959 |
$979 |
$979 |
$188 | |
| Psychotherapy session |
$480 |
$489 |
$489 |
$140 | |
| Pulmonary rehabilitation |
$1,199 |
$1,224 |
$1,224 |
$87 | |
| Retinal (fundus) photography |
$400 |
$408 |
$408 |
$37 | |
| RSV vaccine |
$504 |
$514 |
$514 |
— | |
| Scoliosis spine X-ray |
$455 |
$465 |
$465 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$319 |
$325 |
$325 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$592 |
$604 |
$604 |
$72 | |
| Screening mammogram |
$1,025 |
$1,046 |
$1,046 |
$126 | |
| Scrotal ultrasound |
$455 |
$465 |
$465 |
$99 | |
| Sedimentation rate (ESR) test |
$15 |
$15 |
$15 |
$3 | |
| Semen analysis |
$77 |
$78 |
$78 |
$12 | |
| Sex hormone binding globulin test |
$66 |
$67 |
$67 |
$22 | |
| Shingles vaccine |
$352 |
$359 |
$359 |
— | |
| Sleep study (polysomnography) |
$1,268 |
$1,294 |
$1,294 |
$691 | |
| Soft tissue ultrasound |
$137 |
$139 |
$139 |
$64 | |
| Speech therapy |
$417 |
$426 |
$426 |
$76 | |
| Spirometry (lung function test) |
$530 |
$541 |
$541 |
$30 | |
| Spirometry with bronchodilator |
$785 |
$801 |
$801 |
$43 | |
| Strep throat test |
$66 |
$67 |
$67 |
$17 | |
| Stress echocardiogram |
$239 |
$243 |
$243 |
$209 | |
| Swallow study |
$557 |
$568 |
$568 |
$85 | |
| T3 thyroid test |
$40 |
$40 |
$40 |
$14 | |
| Tdap (tetanus) vaccine |
$86 |
$88 |
$88 |
— | |
| Testosterone test |
$40 |
$40 |
$40 |
$26 | |
| Thyroid test (TSH) |
$40 |
$40 |
$40 |
$17 | |
| Thyroid ultrasound |
$1,139 |
$1,162 |
$1,162 |
$109 | |
| Thyroid uptake scan |
$918 |
$937 |
$937 |
$145 | |
| Tilt table test |
$239 |
$243 |
$243 |
$168 | |
| Total IgE allergy test |
$40 |
$40 |
$40 |
$16 | |
| Total protein test |
$5 |
$5 |
$5 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$239 |
$243 |
$243 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$239 |
$243 |
$243 |
$239 | |
| Transvaginal ultrasound |
$1,139 |
$1,162 |
$1,162 |
$118 | |
| Triglycerides test |
$5 |
$5 |
$5 |
$6 | |
| Troponin (heart) test |
$66 |
$67 |
$67 |
$12 | |
| Turning a breech baby (version) |
$2,208 |
$2,253 |
$2,253 |
$94 | |
| Upper GI series (barium) |
$1,093 |
$1,115 |
$1,115 |
$128 | |
| Uric acid (gout) test |
$5 |
$5 |
$5 |
$5 | |
| Urinalysis |
$11 |
$11 |
$11 |
$3 | |
| Urine microalbumin test |
$33 |
$34 |
$34 |
$5 | |
| Urine pregnancy test |
$26 |
$27 |
$27 |
$9 | |
| Vaccine administration (each additional) |
$160 |
$163 |
$163 |
$16 | |
| Vitamin B12 test |
$40 |
$40 |
$40 |
$15 | |
| Vitamin D test |
$40 |
$40 |
$40 |
$30 | |
| X-ray of the abdomen |
$250 |
$256 |
$256 |
$36 | |
| X-ray of the ankle |
$273 |
$279 |
$279 |
$37 | |
| X-ray of the collarbone |
$342 |
$349 |
$349 |
$33 | |
| X-ray of the elbow |
$410 |
$418 |
$418 |
$33 | |
| X-ray of the facial bones |
$296 |
$302 |
$302 |
$39 | |
| X-ray of the foot |
$273 |
$279 |
$279 |
$34 | |
| X-ray of the forearm |
$228 |
$232 |
$232 |
$29 | |
| X-ray of the hand |
$273 |
$279 |
$279 |
$38 | |
| X-ray of the hip |
$364 |
$372 |
$372 |
$49 | |
| X-ray of the hip (1 view) |
$273 |
$279 |
$279 |
$34 | |
| X-ray of the hip (3 views) |
$364 |
$372 |
$372 |
$49 | |
| X-ray of the hip (4 views) |
$455 |
$465 |
$465 |
$63 | |
| X-ray of the knee |
$342 |
$349 |
$349 |
$42 | |
| X-ray of the knee (2 views) |
$273 |
$279 |
$279 |
$34 | |
| X-ray of the knee (3 views) |
$478 |
$488 |
$488 |
$42 | |
| X-ray of the knee (4+ views) |
$546 |
$558 |
$558 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$319 |
$325 |
$325 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$319 |
$325 |
$325 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$410 |
$418 |
$418 |
$53 | |
| X-ray of the lower leg |
$273 |
$279 |
$279 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$273 |
$279 |
$279 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$273 |
$279 |
$279 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$319 |
$325 |
$325 |
$39 | |
| X-ray of the neck (cervical spine) |
$273 |
$279 |
$279 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$273 |
$279 |
$279 |
$40 | |
| X-ray of the pelvis |
$319 |
$325 |
$325 |
$36 | |
| X-ray of the pelvis (1 view) |
$273 |
$279 |
$279 |
$28 | |
| X-ray of the ribs |
$273 |
$279 |
$279 |
$42 | |
| X-ray of the ribs (2 views) |
$273 |
$279 |
$279 |
$36 | |
| X-ray of the ribs (3 views) |
$273 |
$279 |
$279 |
$42 | |
| X-ray of the shoulder |
$342 |
$349 |
$349 |
$36 | |
| X-ray of the skull |
$319 |
$325 |
$325 |
$40 | |
| X-ray of the upper arm |
$273 |
$279 |
$279 |
$32 | |
| X-ray of the wrist |
$319 |
$325 |
$325 |
$43 | |
| Zinc blood test |
$66 |
$67 |
$67 |
$11 | |