| 3D mammogram (tomosynthesis) |
$22 |
$37 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$3,689 |
$6,148 |
— |
$284 | |
| Abdominal ultrasound |
$2,063 |
$3,439 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$2,063 |
$3,439 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$826 |
$1,376 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$616 |
$1,027 |
— |
$220 | |
| Abscess drainage (simple) |
$264 |
$440 |
— |
$129 | |
| Abscess incision and drainage |
$440 |
$734 |
— |
$174 | |
| Albumin blood test |
$42 |
$70 |
— |
$5 | |
| Aldosterone test |
$322 |
$537 |
— |
$41 | |
| Alkaline phosphatase test |
$32 |
$53 |
— |
$5 | |
| Alpha-fetoprotein (AFP) test |
$135 |
$225 |
— |
$17 | |
| ALT liver enzyme test |
$47 |
$78 |
— |
$5 | |
| Ammonia blood test |
$149 |
$249 |
— |
$15 | |
| Amylase test |
$113 |
$188 |
— |
$6 | |
| Antinuclear antibody (ANA) test |
$169 |
$281 |
— |
$12 | |
| Arterial blood gas (ABG) |
$188 |
$313 |
— |
$26 | |
| AST liver enzyme test |
$41 |
$68 |
— |
$5 | |
| Barium swallow study |
$517 |
$861 |
— |
$107 | |
| Bartholin cyst removal |
$185 |
$308 |
— |
$182 | |
| Basic metabolic panel |
$205 |
$342 |
— |
$8 | |
| Bilirubin blood test |
$63 |
$105 |
— |
$5 | |
| Blood clotting test (PT/INR) |
$55 |
$92 |
— |
$4 | |
| Blood crossmatch |
$36 |
$60 |
— |
— | |
| Blood glucose test |
$79 |
$132 |
— |
$5 | |
| Blood transfusion |
$1,099 |
$1,832 |
— |
$47 | |
| Blood type and screen |
$76 |
$126 |
— |
$10 | |
| Blood type test |
$115 |
$191 |
— |
$3 | |
| Blood type test (ABO group) |
$192 |
$320 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$37 |
$62 |
— |
$3 | |
| BNP (heart failure) test |
$157 |
$262 |
— |
$39 | |
| Bone density scan (DEXA) |
$422 |
$703 |
— |
$39 | |
| Bone marrow biopsy |
$2,870 |
$4,784 |
— |
$172 | |
| Bone scan (nuclear) |
$1,862 |
$3,104 |
— |
$259 | |
| Breast biopsy |
$4,332 |
$7,220 |
— |
$478 | |
| Breast MRI |
$1,997 |
$3,328 |
— |
$216 | |
| Breast MRI without contrast |
$1,997 |
$3,328 |
— |
$216 | |
| Breast ultrasound |
$591 |
$985 |
— |
$92 | |
| Breast ultrasound (complete) |
$591 |
$985 |
— |
$100 | |
| Breast ultrasound (limited) |
$591 |
$985 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$714 |
$1,190 |
— |
$133 | |
| Burn dressing and debridement (medium) |
$532 |
$887 |
— |
$166 | |
| Burn dressing and debridement (small) |
$457 |
$761 |
— |
$93 | |
| Burn treatment |
$457 |
$761 |
— |
$129 | |
| C-reactive protein (CRP) |
$130 |
$217 |
— |
$5 | |
| CA 19-9 tumor marker test |
$262 |
$436 |
— |
$21 | |
| CA-125 ovarian marker test |
$248 |
$414 |
— |
$21 | |
| Calcium blood test |
$55 |
$92 |
— |
$5 | |
| Cardiac MRI |
$2,064 |
$3,440 |
— |
$322 | |
| Cardiac MRI without contrast |
$1,997 |
$3,328 |
— |
$280 | |
| Cardiac rehabilitation |
$571 |
$952 |
— |
$26 | |
| Cardiac stress test |
$960 |
$1,600 |
— |
$39 | |
| Cardioversion |
$1,267 |
$2,111 |
— |
$155 | |
| Carotid artery ultrasound |
$1,035 |
$1,725 |
— |
$156 | |
| Carpal tunnel release |
$7,999 |
$13,331 |
— |
$483 | |
| Cataract surgery |
$8,881 |
$14,802 |
— |
$547 | |
| CEA tumor marker test |
$214 |
$356 |
— |
$19 | |
| Celiac disease test |
$29 |
$49 |
— |
$12 | |
| Central line placement |
$4,926 |
$8,210 |
— |
$238 | |
| Chemotherapy infusion |
$326 |
$543 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$278 |
$464 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$373 |
$622 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$2,601 |
$4,335 |
— |
$311 | |
| Chest tube insertion |
$1,071 |
$1,785 |
— |
$143 | |
| Chest X-ray |
$403 |
$672 |
— |
$37 | |
| Chest X-ray (1 view) |
$235 |
$391 |
— |
$25 | |
| Chest X-ray (2 views) |
$458 |
$764 |
— |
$33 | |
| CK-MB heart enzyme test |
$132 |
$220 |
— |
$12 | |
| Clotting time test (PTT) |
$29 |
$48 |
— |
$6 | |
| Colonoscopy |
$6,080 |
$10,133 |
— |
$480 | |
| Complete blood count (CBC) |
$82 |
$136 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$100 |
$166 |
— |
$8 | |
| Comprehensive metabolic panel |
$179 |
$298 |
— |
$11 | |
| Copper blood test |
$128 |
$214 |
— |
$12 | |
| Cortisol test |
$163 |
$272 |
— |
$16 | |
| COVID-19 PCR test |
$106 |
$176 |
— |
$51 | |
| CPAP titration study |
$184 |
$307 |
— |
$69 | |
| Creatine kinase (CK) test |
$95 |
$158 |
— |
$7 | |
| CT angiography of the chest |
$1,149 |
$1,915 |
— |
$281 | |
| CT angiography of the head |
$1,131 |
$1,885 |
— |
$274 | |
| CT scan of the abdomen |
$1,495 |
$2,492 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$2,347 |
$3,911 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,554 |
$4,257 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,452 |
$4,086 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,180 |
$3,633 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,661 |
$2,768 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$1,532 |
$2,554 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$1,362 |
$2,271 |
— |
$136 | |
| CT scan of the arm |
$1,495 |
$2,492 |
— |
$199 | |
| CT scan of the arm with contrast |
$1,532 |
$2,554 |
— |
$199 | |
| CT scan of the arm without contrast |
$1,362 |
$2,271 |
— |
$161 | |
| CT scan of the chest |
$1,285 |
$2,142 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$1,661 |
$2,768 |
— |
$196 | |
| CT scan of the chest with contrast |
$1,226 |
$2,043 |
— |
$167 | |
| CT scan of the chest without contrast |
$1,090 |
$1,817 |
— |
$133 | |
| CT scan of the head |
$1,126 |
$1,876 |
— |
$148 | |
| CT scan of the head with and without contrast |
$1,413 |
$2,356 |
— |
$173 | |
| CT scan of the head with contrast |
$1,304 |
$2,174 |
— |
$148 | |
| CT scan of the head without contrast |
$928 |
$1,547 |
— |
$107 | |
| CT scan of the leg |
$1,421 |
$2,369 |
— |
$166 | |
| CT scan of the leg with contrast |
$1,532 |
$2,554 |
— |
$166 | |
| CT scan of the leg without contrast |
$1,226 |
$2,044 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,421 |
$2,369 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,661 |
$2,768 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,532 |
$2,554 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,090 |
$1,817 |
— |
$130 | |
| CT scan of the neck |
$1,263 |
$2,105 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$1,421 |
$2,369 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,661 |
$2,768 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,532 |
$2,554 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,090 |
$1,817 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$1,413 |
$2,356 |
— |
$220 | |
| CT scan of the neck with contrast |
$1,304 |
$2,174 |
— |
$183 | |
| CT scan of the neck without contrast |
$1,160 |
$1,933 |
— |
$150 | |
| CT scan of the pelvis |
$1,495 |
$2,492 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,661 |
$2,768 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$1,532 |
$2,554 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$1,362 |
$2,271 |
— |
$133 | |
| CT scan of the sinuses |
$1,126 |
$1,876 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,413 |
$2,356 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$1,304 |
$2,174 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$928 |
$1,547 |
— |
$128 | |
| D-dimer test |
$149 |
$248 |
— |
$10 | |
| DHEA-sulfate test |
$173 |
$288 |
— |
$22 | |
| Diagnostic mammogram |
$239 |
$399 |
— |
$140 | |
| Drug screen (urine) |
$148 |
$247 |
— |
$17 | |
| Echocardiogram |
$2,514 |
$4,190 |
— |
$138 | |
| EKG / ECG (tracing only) |
$272 |
$454 |
— |
$7 | |
| Electrocardiogram (EKG) |
$272 |
$454 |
— |
$8 | |
| Electrolyte panel |
$146 |
$244 |
— |
$7 | |
| Emergency department visit |
$1,322 |
$2,204 |
— |
$69 | |
| Emergency department visit (level 1) |
$293 |
$488 |
— |
$11 | |
| Emergency department visit (level 2) |
$945 |
$1,575 |
— |
$40 | |
| Emergency department visit (level 3) |
$1,259 |
$2,099 |
— |
$69 | |
| Emergency department visit (level 4) |
$1,385 |
$2,309 |
— |
$118 | |
| Emergency department visit (level 5) |
$1,575 |
$2,625 |
— |
$171 | |
| Epidural steroid injection |
$2,723 |
$4,538 |
— |
$275 | |
| Estradiol (estrogen) test |
$124 |
$206 |
— |
$28 | |
| Facet joint injection (spine) |
$5,354 |
$8,924 |
— |
$99 | |
| Fallopian tube X-ray (HSG) |
$945 |
$1,575 |
— |
$164 | |
| Family therapy session |
$257 |
$428 |
— |
$110 | |
| Fecal occult blood (stool) test |
$69 |
$115 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$41 |
$69 |
— |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$97 |
$161 |
— |
$16 | |
| Ferritin (iron) test |
$123 |
$205 |
— |
$14 | |
| Fibrinogen test |
$87 |
$145 |
— |
$10 | |
| Flu test |
$91 |
$152 |
— |
$17 | |
| Folate (folic acid) test |
$158 |
$263 |
— |
$15 | |
| Foreign body removal (skin) |
$3,125 |
$5,209 |
— |
$157 | |
| Free T4 thyroid test |
$134 |
$223 |
— |
$9 | |
| FSH hormone test |
$190 |
$316 |
— |
$19 | |
| Gallbladder removal (laparoscopic) |
$11,749 |
$19,582 |
— |
$658 | |
| Gallbladder scan (HIDA) |
$1,355 |
$2,258 |
— |
$334 | |
| GGT liver test |
$89 |
$149 |
— |
$7 | |
| Glucose tolerance test |
$102 |
$171 |
— |
$8 | |
| Group therapy session |
$281 |
$469 |
— |
$30 | |
| H. pylori test |
$61 |
$101 |
— |
$67 | |
| HDL cholesterol test |
$114 |
$190 |
— |
$8 | |
| Hematocrit test |
$32 |
$54 |
— |
$2 | |
| Hemodialysis |
$2,097 |
$3,495 |
— |
$75 | |
| Hemoglobin A1c (diabetes test) |
$109 |
$181 |
— |
$10 | |
| Hepatitis B test |
$193 |
$322 |
— |
$10 | |
| Hepatitis C test |
$137 |
$228 |
— |
$14 | |
| Hip replacement |
$59,950 |
$99,917 |
— |
$1,162 | |
| HIV test |
$73 |
$122 |
— |
$19 | |
| HIV test (antibody) |
$114 |
$190 |
— |
$14 | |
| HIV test (antigen/antibody combo) |
$32 |
$53 |
— |
$24 | |
| Holter heart monitor |
$819 |
$1,365 |
— |
$26 | |
| Home sleep apnea test |
$784 |
$1,307 |
— |
$123 | |
| Inguinal hernia repair |
$15,048 |
$25,081 |
— |
$538 | |
| Iron blood test |
$52 |
$87 |
— |
$6 | |
| IUD removal |
$514 |
$857 |
— |
$112 | |
| IV infusion therapy |
$218 |
$364 |
— |
$44 | |
| IV infusion therapy (each additional) |
$162 |
$270 |
— |
$21 | |
| IV infusion therapy (initial) |
$275 |
$458 |
— |
$67 | |
| Joint aspiration (small/intermediate) |
$512 |
$854 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$524 |
$874 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$500 |
$833 |
— |
$56 | |
| Kidney biopsy |
$1,454 |
$2,424 |
— |
$492 | |
| Kidney scan (nuclear) |
$1,519 |
$2,532 |
— |
$172 | |
| Kidney ultrasound |
$929 |
$1,549 |
— |
$84 | |
| Kidney ultrasound (limited) |
$929 |
$1,549 |
— |
$61 | |
| Knee joint injection |
$551 |
$918 |
— |
$69 | |
| Lactate test |
$122 |
$204 |
— |
$12 | |
| Laryngoscopy |
$234 |
$390 |
— |
$189 | |
| LDH test |
$62 |
$104 |
— |
$6 | |
| LDL cholesterol test |
$45 |
$75 |
— |
$11 | |
| Leg vein ultrasound (Doppler) |
$1,389 |
$2,316 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,111 |
$1,852 |
— |
$116 | |
| LH hormone test |
$193 |
$321 |
— |
$19 | |
| Lipase test |
$85 |
$141 |
— |
$7 | |
| Lipid (cholesterol) panel |
$160 |
$267 |
— |
$13 | |
| Liver biopsy |
$1,433 |
$2,389 |
— |
$288 | |
| Liver function panel |
$106 |
$177 |
— |
$8 | |
| Lung function test (PFT) |
$362 |
$604 |
— |
$37 | |
| Lung scan (V/Q) |
$1,973 |
$3,288 |
— |
$291 | |
| Magnesium blood test |
$76 |
$127 |
— |
$7 | |
| MRA of the brain |
$2,325 |
$3,876 |
— |
$226 | |
| MRA of the brain with contrast |
$2,194 |
$3,657 |
— |
$226 | |
| MRA of the brain without contrast |
$2,541 |
$4,235 |
— |
$328 | |
| MRA of the neck |
$2,325 |
$3,876 |
— |
$245 | |
| MRA of the neck with contrast |
$2,194 |
$3,657 |
— |
$245 | |
| MRA of the neck without contrast |
$2,541 |
$4,235 |
— |
$343 | |
| MRI of the abdomen |
$2,183 |
$3,639 |
— |
$300 | |
| MRI of the abdomen with contrast |
$2,189 |
$3,649 |
— |
$300 | |
| MRI of the abdomen without contrast |
$1,997 |
$3,328 |
— |
$194 | |
| MRI of the ankle |
$2,183 |
$3,639 |
— |
$261 | |
| MRI of the ankle with contrast |
$2,189 |
$3,649 |
— |
$261 | |
| MRI of the ankle without contrast |
$1,997 |
$3,328 |
— |
$222 | |
| MRI of the brain |
$1,816 |
$3,026 |
— |
$269 | |
| MRI of the brain with contrast |
$2,139 |
$3,565 |
— |
$269 | |
| MRI of the brain without contrast |
$1,561 |
$2,602 |
— |
$195 | |
| MRI of the chest |
$2,183 |
$3,639 |
— |
$371 | |
| MRI of the chest with contrast |
$2,189 |
$3,649 |
— |
$371 | |
| MRI of the chest without contrast |
$2,534 |
$4,224 |
— |
$466 | |
| MRI of the knee |
$2,183 |
$3,639 |
— |
$315 | |
| MRI of the knee with contrast |
$2,189 |
$3,649 |
— |
$315 | |
| MRI of the knee without contrast |
$1,997 |
$3,328 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,894 |
$3,157 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,156 |
$3,594 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,574 |
$2,623 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,151 |
$3,585 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,497 |
$4,162 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,156 |
$3,594 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,967 |
$3,279 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$2,151 |
$3,585 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,497 |
$4,162 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,156 |
$3,594 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,967 |
$3,279 |
— |
$191 | |
| MRI of the pelvis |
$2,183 |
$3,639 |
— |
$268 | |
| MRI of the pelvis with contrast |
$2,189 |
$3,649 |
— |
$268 | |
| MRI of the pelvis without contrast |
$1,997 |
$3,328 |
— |
$227 | |
| MRI of the shoulder |
$2,183 |
$3,639 |
— |
$313 | |
| MRI of the shoulder with contrast |
$2,189 |
$3,649 |
— |
$313 | |
| MRI of the shoulder without contrast |
$1,997 |
$3,328 |
— |
$205 | |
| MRI of the wrist |
$2,183 |
$3,639 |
— |
$330 | |
| MRI of the wrist with contrast |
$2,189 |
$3,649 |
— |
$330 | |
| MRI of the wrist without contrast |
$1,997 |
$3,328 |
— |
$303 | |
| Nebulizer breathing treatment |
$317 |
$528 |
— |
$9 | |
| Nuchal translucency ultrasound |
$198 |
$330 |
— |
$116 | |
| Nuclear cardiac stress test |
$5,052 |
$8,420 |
— |
$428 | |
| Occupational therapy evaluation |
$428 |
$713 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$457 |
$762 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$338 |
$564 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$398 |
$664 |
— |
$101 | |
| Office visit (established patient) |
$170 |
$284 |
— |
$115 | |
| Office visit (new patient) |
$545 |
$908 |
— |
$177 | |
| Office visit, established patient (level 3) |
$162 |
$270 |
— |
$95 | |
| Office visit, established patient (level 4) |
$179 |
$298 |
— |
$136 | |
| Office visit, new patient (level 3) |
$434 |
$723 |
— |
$118 | |
| Office visit, new patient (level 4) |
$545 |
$908 |
— |
$177 | |
| Office visit, new patient (level 5) |
$710 |
$1,184 |
— |
$237 | |
| Orthopedic hardware removal |
$18,314 |
$30,523 |
— |
$632 | |
| Pap smear (cervical screening) |
$92 |
$154 |
— |
$20 | |
| Parathyroid hormone (PTH) test |
$314 |
$524 |
— |
$41 | |
| Pelvic ultrasound |
$725 |
$1,208 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$1,032 |
$1,720 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$418 |
$696 |
— |
$51 | |
| Phosphorus blood test |
$57 |
$95 |
— |
$5 | |
| Physical therapy evaluation |
$538 |
$896 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$617 |
$1,029 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$538 |
$896 |
— |
$98 | |
| Pilonidal cyst removal |
$4,322 |
$7,203 |
— |
$541 | |
| Platelet count |
$65 |
$108 |
— |
$4 | |
| Pregnancy blood test (hCG) |
$156 |
$260 |
— |
$8 | |
| Pregnancy ultrasound |
$896 |
$1,494 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$863 |
$1,439 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$929 |
$1,549 |
— |
$136 | |
| Procalcitonin test |
$301 |
$502 |
— |
$27 | |
| Prolactin test |
$210 |
$350 |
— |
$19 | |
| Prostate test (PSA) |
$112 |
$186 |
— |
$18 | |
| Psychiatric evaluation |
$257 |
$428 |
— |
$188 | |
| Psychotherapy session |
$257 |
$428 |
— |
$140 | |
| Pulmonary rehabilitation |
$408 |
$680 |
— |
$87 | |
| Rheumatoid factor test |
$12 |
$20 |
— |
$6 | |
| Rotator cuff repair |
$24,141 |
$40,234 |
— |
$792 | |
| Scoliosis spine X-ray |
$332 |
$554 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$305 |
$508 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$392 |
$653 |
— |
$72 | |
| Screening mammogram |
$224 |
$373 |
— |
$126 | |
| Scrotal ultrasound |
$1,032 |
$1,720 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$29 |
$49 |
— |
$3 | |
| Semen analysis |
$211 |
$352 |
— |
$12 | |
| Sex hormone binding globulin test |
$136 |
$227 |
— |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$341 |
$568 |
— |
$114 | |
| Simple wound stitches |
$301 |
$502 |
— |
$127 | |
| Skin biopsy |
$366 |
$610 |
— |
$121 | |
| Skin biopsy (punch) |
$366 |
$610 |
— |
$121 | |
| Sleep study (polysomnography) |
$4,505 |
$7,509 |
— |
$691 | |
| Soft tissue ultrasound |
$736 |
$1,227 |
— |
$64 | |
| Speech therapy |
$272 |
$454 |
— |
$76 | |
| Spinal tap (lumbar puncture) |
$1,395 |
$2,325 |
— |
$165 | |
| Spirometry (lung function test) |
$362 |
$604 |
— |
$30 | |
| Spirometry with bronchodilator |
$484 |
$807 |
— |
$43 | |
| Strep throat test |
$112 |
$186 |
— |
$17 | |
| Swallow study |
$514 |
$857 |
— |
$85 | |
| T3 thyroid test |
$206 |
$343 |
— |
$14 | |
| Testosterone test |
$167 |
$278 |
— |
$26 | |
| Thyroid test (TSH) |
$131 |
$218 |
— |
$17 | |
| Thyroid ultrasound |
$1,032 |
$1,720 |
— |
$109 | |
| Thyroid uptake scan |
$772 |
$1,287 |
— |
$145 | |
| Total IgE allergy test |
$292 |
$487 |
— |
$16 | |
| Total protein test |
$36 |
$60 |
— |
$4 | |
| Tracheostomy |
$4,705 |
$7,842 |
— |
$273 | |
| Transvaginal ultrasound |
$970 |
$1,616 |
— |
$118 | |
| Trigger point injection |
$391 |
$652 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$391 |
$652 |
— |
$52 | |
| Triglycerides test |
$107 |
$179 |
— |
$6 | |
| Troponin (heart) test |
$130 |
$216 |
— |
$12 | |
| Ulnar nerve surgery (elbow) |
$11,873 |
$19,788 |
— |
$575 | |
| Upper GI endoscopy (EGD) |
$4,843 |
$8,071 |
— |
$371 | |
| Upper GI series (barium) |
$899 |
$1,499 |
— |
$128 | |
| Uric acid (gout) test |
$64 |
$107 |
— |
$5 | |
| Urinalysis |
$47 |
$79 |
— |
$3 | |
| Urine microalbumin test |
$95 |
$158 |
— |
$5 | |
| Urine pregnancy test |
$106 |
$176 |
— |
$9 | |
| Vaccine administration |
$48 |
$80 |
— |
$19 | |
| Vaccine administration (each additional) |
$48 |
$80 |
— |
$16 | |
| Vitamin B12 test |
$157 |
$261 |
— |
$15 | |
| Vitamin D test |
$222 |
$370 |
— |
$30 | |
| Wound debridement |
$1,229 |
$2,048 |
— |
$186 | |
| Wrist fracture repair |
$18,937 |
$31,562 |
— |
$735 | |
| X-ray of the abdomen |
$363 |
$605 |
— |
$36 | |
| X-ray of the ankle |
$598 |
$996 |
— |
$37 | |
| X-ray of the collarbone |
$305 |
$508 |
— |
$33 | |
| X-ray of the elbow |
$408 |
$681 |
— |
$33 | |
| X-ray of the facial bones |
$315 |
$525 |
— |
$39 | |
| X-ray of the foot |
$352 |
$587 |
— |
$34 | |
| X-ray of the forearm |
$332 |
$553 |
— |
$29 | |
| X-ray of the hand |
$664 |
$1,106 |
— |
$38 | |
| X-ray of the hip |
$383 |
$639 |
— |
$49 | |
| X-ray of the hip (1 view) |
$278 |
$464 |
— |
$34 | |
| X-ray of the hip (3 views) |
$431 |
$718 |
— |
$49 | |
| X-ray of the hip (4 views) |
$625 |
$1,042 |
— |
$63 | |
| X-ray of the knee |
$393 |
$656 |
— |
$42 | |
| X-ray of the knee (2 views) |
$352 |
$587 |
— |
$34 | |
| X-ray of the knee (3 views) |
$352 |
$586 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$482 |
$803 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$412 |
$687 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$392 |
$653 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$455 |
$759 |
— |
$53 | |
| X-ray of the lower leg |
$299 |
$498 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$351 |
$585 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$332 |
$553 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$392 |
$653 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$439 |
$732 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$392 |
$653 |
— |
$40 | |
| X-ray of the pelvis |
$324 |
$541 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$305 |
$508 |
— |
$28 | |
| X-ray of the ribs |
$385 |
$641 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$372 |
$621 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$406 |
$677 |
— |
$42 | |
| X-ray of the shoulder |
$348 |
$581 |
— |
$36 | |
| X-ray of the skull |
$324 |
$540 |
— |
$40 | |
| X-ray of the upper arm |
$342 |
$570 |
— |
$32 | |
| X-ray of the wrist |
$372 |
$620 |
— |
$43 | |
| Zinc blood test |
$85 |
$141 |
— |
$11 | |