| 3D mammogram (tomosynthesis) |
$78 |
$120 |
$74 |
$51 | |
| Abdominal ultrasound |
$625 |
$961 |
$787 |
$100 | |
| Abdominal ultrasound (complete) |
$693 |
$1,066 |
$980 |
$114 | |
| Abdominal ultrasound (limited) |
$556 |
$856 |
$787 |
$86 | |
| Abscess drainage (complex or multiple) |
$407 |
$407 |
$65 |
$220 | |
| Abscess drainage (simple) |
$239 |
$239 |
$46 |
$129 | |
| Abscess incision and drainage |
$379 |
$379 |
$57 |
$174 | |
| Albumin blood test |
$58 |
$89 |
$82 |
$5 | |
| Aldosterone test |
$287 |
$442 |
$253 |
$41 | |
| Alpha-fetoprotein (AFP) test |
$129 |
$199 |
$183 |
$17 | |
| ALT liver enzyme test |
$68 |
$104 |
$96 |
$5 | |
| Ammonia blood test |
$155 |
$238 |
$219 |
$15 | |
| Amylase test |
$72 |
$110 |
$101 |
$6 | |
| Antinuclear antibody (ANA) test |
$106 |
$163 |
$150 |
$12 | |
| AST liver enzyme test |
$59 |
$91 |
$84 |
$5 | |
| Bilirubin blood test |
$55 |
$84 |
$77 |
$5 | |
| Blood clotting test (PT/INR) |
$77 |
$66 |
$61 |
$4 | |
| Blood crossmatch |
$107 |
$165 |
$152 |
— | |
| Blood glucose test |
$42 |
$60 |
$51 |
$5 | |
| Blood type and screen |
$86 |
$132 |
$121 |
$10 | |
| Blood type test |
$64 |
$99 |
$65 |
$3 | |
| Blood type test (ABO group) |
$84 |
$129 |
$119 |
$3 | |
| Blood type test (Rh/D antigen) |
$45 |
$69 |
$63 |
$3 | |
| BNP (heart failure) test |
$204 |
$314 |
$289 |
$39 | |
| Bone density scan (DEXA) |
$454 |
$698 |
$641 |
$39 | |
| Breast ultrasound |
$729 |
$1,122 |
$687 |
$92 | |
| Breast ultrasound (limited) |
$729 |
$1,122 |
$687 |
$84 | |
| Breathing tube insertion (intubation) |
$299 |
$450 |
$119 |
$133 | |
| Burn dressing and debridement (small) |
$183 |
$281 |
$258 |
$93 | |
| Burn treatment |
$183 |
$281 |
$258 |
$129 | |
| C-reactive protein (CRP) |
$71 |
$109 |
$100 |
$5 | |
| CA 19-9 tumor marker test |
$105 |
$161 |
$148 |
$21 | |
| CA-125 ovarian marker test |
$132 |
$203 |
$187 |
$21 | |
| Cardiac rehabilitation |
$261 |
$401 |
$369 |
$26 | |
| Cardiac stress test |
$765 |
$1,177 |
$1,082 |
$39 | |
| Carotid artery ultrasound |
$720 |
$1,107 |
$1,017 |
$156 | |
| CEA tumor marker test |
$166 |
$255 |
$234 |
$19 | |
| Celiac disease test |
$177 |
$272 |
$250 |
$12 | |
| Chemotherapy infusion |
$442 |
$680 |
$482 |
$81 | |
| Chemotherapy infusion (each additional) |
$341 |
$524 |
$482 |
$28 | |
| Chemotherapy infusion (first hour) |
$543 |
$836 |
$768 |
$133 | |
| Chest X-ray |
$187 |
$288 |
$237 |
$37 | |
| Chest X-ray (1 view) |
$168 |
$258 |
$237 |
$25 | |
| Chest X-ray (2 views) |
$207 |
$318 |
$292 |
$33 | |
| Chickenpox (varicella) vaccine |
$149 |
$229 |
$183 |
— | |
| CK-MB heart enzyme test |
$109 |
$168 |
$154 |
$12 | |
| Clotting time test (PTT) |
$64 |
$99 |
$91 |
$6 | |
| Copper blood test |
$65 |
$100 |
$92 |
$12 | |
| Cortisol test |
$122 |
$188 |
$173 |
$16 | |
| CPAP titration study |
$642 |
$987 |
$907 |
$69 | |
| Creatine kinase (CK) test |
$66 |
$102 |
$94 |
$7 | |
| CT angiography of the chest |
$983 |
$1,513 |
$1,390 |
$281 | |
| CT angiography of the head |
$2,529 |
$3,890 |
$3,575 |
$274 | |
| CT scan of the abdomen |
$1,591 |
$2,448 |
$1,946 |
$230 | |
| CT scan of the abdomen and pelvis |
$3,664 |
$5,637 |
$4,506 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$4,115 |
$6,331 |
$5,818 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$3,664 |
$5,637 |
$5,180 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$3,052 |
$4,696 |
$4,316 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,951 |
$3,002 |
$2,759 |
$259 | |
| CT scan of the abdomen with contrast |
$1,591 |
$2,448 |
$2,250 |
$230 | |
| CT scan of the abdomen without contrast |
$1,291 |
$1,986 |
$1,825 |
$136 | |
| CT scan of the arm |
$1,702 |
$2,618 |
$1,604 |
$199 | |
| CT scan of the arm without contrast |
$1,702 |
$2,618 |
$1,604 |
$161 | |
| CT scan of the chest |
$1,627 |
$2,503 |
$2,038 |
$167 | |
| CT scan of the chest with contrast |
$1,812 |
$2,788 |
$2,562 |
$167 | |
| CT scan of the chest without contrast |
$1,442 |
$2,218 |
$2,038 |
$133 | |
| CT scan of the head |
$1,509 |
$2,322 |
$1,935 |
$148 | |
| CT scan of the head with and without contrast |
$1,747 |
$2,688 |
$2,470 |
$173 | |
| CT scan of the head with contrast |
$1,509 |
$2,322 |
$2,134 |
$148 | |
| CT scan of the head without contrast |
$1,368 |
$2,105 |
$1,935 |
$107 | |
| CT scan of the leg |
$1,841 |
$2,833 |
$2,110 |
$166 | |
| CT scan of the leg with contrast |
$2,269 |
$3,491 |
$2,139 |
$166 | |
| CT scan of the leg without contrast |
$1,414 |
$2,175 |
$1,999 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,517 |
$2,334 |
$2,145 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,517 |
$2,334 |
$2,145 |
$130 | |
| CT scan of the neck |
$1,440 |
$2,216 |
$1,806 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,506 |
$2,317 |
$2,129 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,506 |
$2,317 |
$2,129 |
$131 | |
| CT scan of the neck with contrast |
$1,604 |
$2,467 |
$2,267 |
$183 | |
| CT scan of the neck without contrast |
$1,277 |
$1,965 |
$1,806 |
$150 | |
| CT scan of the pelvis |
$1,291 |
$1,986 |
$1,825 |
$226 | |
| CT scan of the pelvis without contrast |
$1,291 |
$1,986 |
$1,825 |
$133 | |
| CT scan of the sinuses |
$1,689 |
$2,598 |
$1,803 |
$152 | |
| CT scan of the sinuses with contrast |
$2,102 |
$3,234 |
$2,972 |
$152 | |
| CT scan of the sinuses without contrast |
$1,275 |
$1,962 |
$1,803 |
$128 | |
| D-dimer test |
$146 |
$224 |
$118 |
$10 | |
| DHEA-sulfate test |
$186 |
$286 |
$263 |
$22 | |
| Diagnostic mammogram |
$371 |
$572 |
$420 |
$140 | |
| Drug screen (urine) |
$137 |
$211 |
$194 |
$17 | |
| Echocardiogram with and without contrast |
$304 |
$304 |
$87 |
$101 | |
| EKG / ECG (tracing only) |
$202 |
$245 |
$225 |
$7 | |
| Electrolyte panel |
$63 |
$97 |
$89 |
$7 | |
| Emergency department visit |
$341 |
$367 |
$108 |
$69 | |
| Emergency department visit (level 1) |
$341 |
$525 |
$305 |
$11 | |
| Emergency department visit (level 2) |
$104 |
$104 |
$37 |
$40 | |
| Emergency department visit (level 3) |
$156 |
$156 |
$63 |
$69 | |
| Emergency department visit (level 4) |
$284 |
$284 |
$108 |
$118 | |
| Emergency department visit (level 5) |
$412 |
$412 |
$157 |
$171 | |
| Estradiol (estrogen) test |
$155 |
$238 |
$219 |
$28 | |
| Family therapy session |
$303 |
$466 |
$428 |
$110 | |
| Fecal occult blood (stool) test |
$33 |
$50 |
$46 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$33 |
$50 |
$46 |
$4 | |
| Ferritin (iron) test |
$107 |
$165 |
$152 |
$14 | |
| Fibrinogen test |
$68 |
$104 |
$96 |
$10 | |
| Flu vaccine |
$44 |
$67 |
$20 |
— | |
| Folate (folic acid) test |
$94 |
$145 |
$133 |
$15 | |
| Foreign body removal (skin) |
$236 |
$236 |
$46 |
$157 | |
| FSH hormone test |
$133 |
$205 |
$188 |
$19 | |
| GGT liver test |
$60 |
$93 |
$85 |
$7 | |
| Glucose tolerance test |
$73 |
$113 |
$76 |
$8 | |
| Group therapy session |
$502 |
$772 |
$709 |
$30 | |
| HDL cholesterol test |
$62 |
$96 |
$88 |
$8 | |
| Hepatitis A vaccine |
$136 |
$209 |
$73 |
— | |
| Hepatitis B test |
$94 |
$145 |
$133 |
$10 | |
| Hepatitis B vaccine |
$137 |
$210 |
$70 |
— | |
| Hepatitis C test |
$127 |
$195 |
$179 |
$14 | |
| HIV test |
$124 |
$190 |
$175 |
$19 | |
| HIV test (antigen/antibody combo) |
$124 |
$190 |
$175 |
$24 | |
| Holter heart monitor |
$267 |
$694 |
$32 |
$26 | |
| HPV vaccine |
$245 |
$377 |
$308 |
— | |
| Iron blood test |
$53 |
$82 |
$75 |
$6 | |
| Kidney ultrasound |
$524 |
$806 |
$628 |
$84 | |
| Kidney ultrasound (limited) |
$444 |
$683 |
$628 |
$61 | |
| LDH test |
$49 |
$75 |
$69 |
$6 | |
| LDL cholesterol test |
$62 |
$96 |
$88 |
$11 | |
| Leg vein ultrasound (Doppler) |
$862 |
$1,326 |
$1,040 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$736 |
$1,132 |
$1,040 |
$116 | |
| LH hormone test |
$135 |
$208 |
$191 |
$19 | |
| Lipase test |
$83 |
$128 |
$118 |
$7 | |
| Liver function panel |
$111 |
$170 |
$156 |
$8 | |
| Lung function test (PFT) |
$337 |
$519 |
$328 |
$37 | |
| MMR vaccine |
$79 |
$122 |
$95 |
— | |
| MRA of the brain |
$2,501 |
$3,847 |
$3,535 |
$226 | |
| MRA of the neck |
$3,548 |
$5,458 |
$5,016 |
$245 | |
| MRA of the neck without contrast |
$3,548 |
$5,458 |
$5,016 |
$343 | |
| MRI of the abdomen |
$3,169 |
$4,875 |
$4,043 |
$300 | |
| MRI of the abdomen without contrast |
$2,859 |
$4,399 |
$4,043 |
$194 | |
| MRI of the ankle |
$4,271 |
$6,572 |
$4,192 |
$261 | |
| MRI of the ankle without contrast |
$2,725 |
$4,192 |
$3,852 |
$222 | |
| MRI of the brain |
$2,952 |
$4,542 |
$3,248 |
$269 | |
| MRI of the brain without contrast |
$2,297 |
$3,534 |
$3,248 |
$195 | |
| MRI of the knee |
$3,770 |
$5,801 |
$3,923 |
$315 | |
| MRI of the knee without contrast |
$2,602 |
$4,003 |
$3,679 |
$204 | |
| MRI of the lower back (lumbar spine) |
$3,201 |
$4,925 |
$3,674 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,599 |
$3,998 |
$3,674 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$3,593 |
$5,528 |
$3,608 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$4,635 |
$7,130 |
$6,552 |
$319 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,552 |
$3,926 |
$3,608 |
$190 | |
| MRI of the neck (cervical spine) |
$3,156 |
$4,856 |
$3,602 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$3,765 |
$5,792 |
$5,323 |
$318 | |
| MRI of the neck (cervical spine) without contrast |
$2,547 |
$3,919 |
$3,602 |
$191 | |
| MRI of the pelvis |
$2,949 |
$4,537 |
$3,054 |
$268 | |
| MRI of the pelvis without contrast |
$2,064 |
$3,175 |
$2,918 |
$227 | |
| MRI of the shoulder |
$3,858 |
$5,936 |
$3,636 |
$313 | |
| MRI of the shoulder without contrast |
$3,858 |
$5,936 |
$3,636 |
$205 | |
| MRI of the wrist |
$3,381 |
$5,202 |
$3,509 |
$330 | |
| MRI of the wrist without contrast |
$3,422 |
$5,264 |
$3,225 |
$303 | |
| Nebulizer breathing treatment |
$198 |
$304 |
$279 |
$9 | |
| Occupational therapy evaluation |
$199 |
$306 |
$259 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$216 |
$333 |
$306 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$179 |
$276 |
$254 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$199 |
$306 |
$281 |
$101 | |
| Office visit (established patient) |
$154 |
$195 |
$49 |
$115 | |
| Office visit (new patient) |
$251 |
$386 |
$247 |
$177 | |
| Office visit, established patient (level 3) |
$140 |
$141 |
$31 |
$95 | |
| Office visit, established patient (level 4) |
$207 |
$209 |
$49 |
$136 | |
| Office visit, new patient (level 3) |
$164 |
$252 |
$232 |
$118 | |
| Office visit, new patient (level 4) |
$251 |
$386 |
$355 |
$177 | |
| Office visit, new patient (level 5) |
$317 |
$488 |
$448 |
$237 | |
| Pap smear (cervical screening) |
$80 |
$123 |
$113 |
$20 | |
| Parathyroid hormone (PTH) test |
$239 |
$367 |
$337 |
$41 | |
| Pelvic ultrasound |
$598 |
$920 |
$845 |
$78 | |
| Pelvic ultrasound (complete) |
$598 |
$920 |
$845 |
$105 | |
| Phosphorus blood test |
$52 |
$80 |
$74 |
$5 | |
| Physical therapy evaluation |
$209 |
$321 |
$275 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$194 |
$299 |
$275 |
$98 | |
| Platelet count |
$33 |
$50 |
$46 |
$4 | |
| Pneumonia vaccine |
$259 |
$398 |
$133 |
— | |
| Pregnancy blood test (hCG) |
$85 |
$131 |
$120 |
$8 | |
| Procalcitonin test |
$259 |
$398 |
$366 |
$27 | |
| Prolactin test |
$150 |
$230 |
$211 |
$19 | |
| Prostate test (PSA) |
$122 |
$188 |
$173 |
$18 | |
| Psychotherapy session |
$496 |
$763 |
$694 |
$140 | |
| Pulmonary rehabilitation |
$157 |
$242 |
$222 |
$87 | |
| Rheumatoid factor test |
$55 |
$84 |
$77 |
$6 | |
| RSV vaccine |
$252 |
$387 |
$307 |
— | |
| Scoliosis spine X-ray |
$230 |
$354 |
$325 |
$58 | |
| Scoliosis spine X-ray (3 views) |
$230 |
$354 |
$325 |
$72 | |
| Screening mammogram |
$462 |
$710 |
$435 |
$126 | |
| Scrotal ultrasound |
$543 |
$835 |
$767 |
$99 | |
| Sedimentation rate (ESR) test |
$44 |
$68 |
$62 |
$3 | |
| Semen analysis |
$101 |
$155 |
$142 |
$12 | |
| Sex hormone binding globulin test |
$150 |
$230 |
$211 |
$22 | |
| Shingles vaccine |
$169 |
$260 |
$216 |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
$179 |
$179 |
$27 |
$114 | |
| Simple wound stitches |
$217 |
$256 |
$27 |
$127 | |
| Soft tissue ultrasound |
$514 |
$791 |
$727 |
$64 | |
| Speech therapy |
$246 |
$378 |
$347 |
$76 | |
| Spirometry (lung function test) |
$222 |
$341 |
$313 |
$30 | |
| Spirometry with bronchodilator |
$453 |
$697 |
$641 |
$43 | |
| Strep throat test |
$94 |
$145 |
$133 |
$17 | |
| Swallow study |
$293 |
$451 |
$414 |
$85 | |
| T3 thyroid test |
$97 |
$149 |
$137 |
$14 | |
| Tdap (tetanus) vaccine |
$116 |
$178 |
$40 |
— | |
| Testosterone test |
$181 |
$278 |
$255 |
$26 | |
| Thyroid ultrasound |
$554 |
$852 |
$783 |
$109 | |
| Total IgE allergy test |
$84 |
$129 |
$119 |
$16 | |
| Total protein test |
$55 |
$85 |
$78 |
$4 | |
| Transvaginal ultrasound |
$558 |
$859 |
$789 |
$118 | |
| Trigger finger release |
$667 |
$1,026 |
$943 |
$630 | |
| Trigger point injection |
$129 |
$129 |
$20 |
$56 | |
| Trigger point injection (1-2 muscles) |
$129 |
$129 |
$20 |
$52 | |
| Triglycerides test |
$50 |
$77 |
$71 |
$6 | |
| Uric acid (gout) test |
$58 |
$89 |
$82 |
$5 | |
| Urine microalbumin test |
$63 |
$93 |
$89 |
$5 | |
| Vaccine administration |
$39 |
$60 |
$29 |
$19 | |
| Vaccine administration (each additional) |
$65 |
$100 |
$29 |
$16 | |
| Vitamin B12 test |
$95 |
$146 |
$134 |
$15 | |
| X-ray of the abdomen |
$251 |
$386 |
$318 |
$36 | |
| X-ray of the ankle |
$408 |
$627 |
$384 |
$37 | |
| X-ray of the collarbone |
$181 |
$278 |
$255 |
$33 | |
| X-ray of the elbow |
$328 |
$504 |
$309 |
$33 | |
| X-ray of the facial bones |
$362 |
$558 |
$457 |
$39 | |
| X-ray of the foot |
$339 |
$522 |
$320 |
$34 | |
| X-ray of the forearm |
$233 |
$358 |
$329 |
$29 | |
| X-ray of the hand |
$306 |
$470 |
$288 |
$38 | |
| X-ray of the hip |
$222 |
$342 |
$282 |
$49 | |
| X-ray of the hip (1 view) |
$187 |
$288 |
$265 |
$34 | |
| X-ray of the hip (3 views) |
$222 |
$342 |
$314 |
$49 | |
| X-ray of the hip (4 views) |
$274 |
$421 |
$387 |
$63 | |
| X-ray of the knee |
$267 |
$410 |
$301 |
$42 | |
| X-ray of the knee (2 views) |
$267 |
$410 |
$251 |
$34 | |
| X-ray of the knee (3 views) |
$213 |
$327 |
$301 |
$42 | |
| X-ray of the knee (4+ views) |
$484 |
$744 |
$456 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$328 |
$504 |
$404 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$286 |
$440 |
$404 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$369 |
$568 |
$522 |
$53 | |
| X-ray of the lower leg |
$296 |
$455 |
$278 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$297 |
$458 |
$369 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$261 |
$402 |
$369 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$333 |
$513 |
$471 |
$39 | |
| X-ray of the neck (cervical spine) |
$301 |
$464 |
$356 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$252 |
$387 |
$356 |
$40 | |
| X-ray of the pelvis |
$227 |
$349 |
$321 |
$36 | |
| X-ray of the pelvis (1 view) |
$227 |
$349 |
$321 |
$28 | |
| X-ray of the ribs |
$356 |
$548 |
$327 |
$42 | |
| X-ray of the ribs (2 views) |
$218 |
$335 |
$308 |
$36 | |
| X-ray of the ribs (3 views) |
$494 |
$760 |
$698 |
$42 | |
| X-ray of the shoulder |
$257 |
$396 |
$364 |
$36 | |
| X-ray of the skull |
$302 |
$464 |
$426 |
$40 | |
| X-ray of the upper arm |
$202 |
$310 |
$285 |
$32 | |
| X-ray of the wrist |
$276 |
$424 |
$390 |
$43 | |
| Zinc blood test |
$98 |
$150 |
$138 |
$11 | |