| Abdominal ultrasound |
$475 |
$475 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$550 |
$550 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$400 |
$400 |
— |
$86 | |
| Albumin blood test |
$50 |
$50 |
— |
$5 | |
| Aldosterone test |
$250 |
$250 |
— |
$41 | |
| Alpha-fetoprotein (AFP) test |
$90 |
$90 |
— |
$17 | |
| ALT liver enzyme test |
$34 |
$34 |
— |
$5 | |
| Ammonia blood test |
$131 |
$131 |
— |
$15 | |
| Amylase test |
$97 |
$97 |
— |
$6 | |
| Antinuclear antibody (ANA) test |
$86 |
$86 |
— |
$12 | |
| AST liver enzyme test |
$36 |
$36 |
— |
$5 | |
| Barium swallow study |
$450 |
$450 |
— |
$107 | |
| Basic metabolic panel |
$64 |
$64 |
— |
$8 | |
| Blood clotting test (PT/INR) |
$43 |
$43 |
— |
$4 | |
| Blood glucose test |
$39 |
$39 |
— |
$5 | |
| Blood transfusion |
$2,000 |
$2,000 |
— |
$47 | |
| Blood type and screen |
$155 |
$155 |
— |
$10 | |
| Blood type test |
$132 |
$132 |
— |
$3 | |
| Blood type test (ABO group) |
$132 |
$132 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$132 |
$132 |
— |
$3 | |
| BNP (heart failure) test |
$589 |
$589 |
— |
$39 | |
| Bone density scan (DEXA) |
$910 |
$910 |
— |
$39 | |
| Breast ultrasound |
$325 |
$325 |
— |
$92 | |
| Breast ultrasound (complete) |
$350 |
$350 |
— |
$100 | |
| Breast ultrasound (limited) |
$300 |
$300 |
— |
$84 | |
| C-reactive protein (CRP) |
$60 |
$60 |
— |
$5 | |
| CA 19-9 tumor marker test |
$312 |
$312 |
— |
$21 | |
| CA-125 ovarian marker test |
$312 |
$312 |
— |
$21 | |
| Calcium blood test |
$27 |
$27 |
— |
$5 | |
| Cardiac MRI |
$4,750 |
$4,750 |
— |
$322 | |
| Cardiac MRI without contrast |
$4,500 |
$4,500 |
— |
$280 | |
| Cardiac stress test |
$2,518 |
$2,518 |
— |
$39 | |
| Carotid artery ultrasound |
$825 |
$825 |
— |
$156 | |
| CEA tumor marker test |
$284 |
$284 |
— |
$19 | |
| Chemotherapy infusion |
$3,500 |
$3,500 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$1,000 |
$1,000 |
— |
$28 | |
| Chest X-ray |
$450 |
$450 |
— |
$37 | |
| Chest X-ray (1 view) |
$350 |
$350 |
— |
$25 | |
| Chest X-ray (2 views) |
$450 |
$450 |
— |
$33 | |
| Clotting time test (PTT) |
$101 |
$101 |
— |
$6 | |
| Colonoscopy |
$6,500 |
$6,500 |
— |
$480 | |
| Complete blood count (CBC) |
$42 |
$42 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$58 |
$58 |
— |
$8 | |
| Comprehensive metabolic panel |
$79 |
$79 |
— |
$11 | |
| Copper blood test |
$245 |
$245 |
— |
$12 | |
| Coronary CT angiography |
$4,500 |
$4,500 |
— |
$326 | |
| Cortisol test |
$245 |
$245 |
— |
$16 | |
| Creatine kinase (CK) test |
$70 |
$70 |
— |
$7 | |
| CT angiography of the chest |
$3,000 |
$3,000 |
— |
$281 | |
| CT angiography of the head |
$5,500 |
$5,500 |
— |
$274 | |
| CT scan of the abdomen |
$3,000 |
$3,000 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$4,500 |
$4,500 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$7,500 |
$7,500 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$4,500 |
$4,500 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$3,000 |
$3,000 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$5,000 |
$5,000 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$3,000 |
$3,000 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$2,000 |
$2,000 |
— |
$136 | |
| CT scan of the arm |
$2,860 |
$2,860 |
— |
$199 | |
| CT scan of the arm with contrast |
$2,860 |
$2,860 |
— |
$199 | |
| CT scan of the arm without contrast |
$2,330 |
$2,330 |
— |
$161 | |
| CT scan of the chest |
$2,500 |
$2,500 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$4,000 |
$4,000 |
— |
$196 | |
| CT scan of the chest with contrast |
$2,500 |
$2,500 |
— |
$167 | |
| CT scan of the chest without contrast |
$2,000 |
$2,000 |
— |
$133 | |
| CT scan of the head |
$2,430 |
$2,430 |
— |
$148 | |
| CT scan of the head with and without contrast |
$2,940 |
$2,940 |
— |
$173 | |
| CT scan of the head with contrast |
$2,430 |
$2,430 |
— |
$148 | |
| CT scan of the head without contrast |
$1,860 |
$1,860 |
— |
$107 | |
| CT scan of the leg |
$5,720 |
$5,720 |
— |
$166 | |
| CT scan of the leg with contrast |
$5,720 |
$5,720 |
— |
$166 | |
| CT scan of the leg without contrast |
$4,660 |
$4,660 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$3,500 |
$3,500 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$4,000 |
$4,000 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$3,500 |
$3,500 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$3,000 |
$3,000 |
— |
$130 | |
| CT scan of the neck |
$2,940 |
$2,940 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$3,500 |
$3,500 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$4,000 |
$4,000 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$3,500 |
$3,500 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$3,000 |
$3,000 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$3,540 |
$3,540 |
— |
$220 | |
| CT scan of the neck with contrast |
$2,940 |
$2,940 |
— |
$183 | |
| CT scan of the neck without contrast |
$2,440 |
$2,440 |
— |
$150 | |
| CT scan of the pelvis |
$2,000 |
$2,000 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,500 |
$2,500 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$2,000 |
$2,000 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$1,500 |
$1,500 |
— |
$133 | |
| CT scan of the sinuses |
$3,000 |
$3,000 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$3,500 |
$3,500 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$3,000 |
$3,000 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$2,500 |
$2,500 |
— |
$128 | |
| D-dimer test |
$185 |
$185 |
— |
$10 | |
| DHEA-sulfate test |
$161 |
$161 |
— |
$22 | |
| Drug screen (urine) |
$750 |
$750 |
— |
$17 | |
| Echocardiogram |
$1,200 |
$1,200 |
— |
$138 | |
| Echocardiogram with and without contrast |
$700 |
$700 |
— |
$101 | |
| Echocardiogram without contrast |
$1,200 |
$1,200 |
— |
$138 | |
| EKG / ECG (tracing only) |
$50 |
$50 |
— |
$7 | |
| Electrocardiogram (EKG) |
$50 |
$50 |
— |
$8 | |
| Epidural steroid injection |
$10,450 |
$10,450 |
— |
$275 | |
| Estradiol (estrogen) test |
$172 |
$172 |
— |
$28 | |
| Facet joint injection (spine) |
$1,000 |
$1,000 |
— |
$99 | |
| Fecal occult blood (stool) test |
$45 |
$45 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$45 |
$45 |
— |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$45 |
$45 |
— |
$16 | |
| Feeding tube (PEG) placement |
$3,824 |
$3,824 |
— |
$178 | |
| Ferritin (iron) test |
$136 |
$136 |
— |
$14 | |
| Flexible sigmoidoscopy |
$2,321 |
$2,321 |
— |
$323 | |
| Folate (folic acid) test |
$221 |
$221 |
— |
$15 | |
| Free T4 thyroid test |
$90 |
$90 |
— |
$9 | |
| FSH hormone test |
$279 |
$279 |
— |
$19 | |
| HDL cholesterol test |
$43 |
$43 |
— |
$8 | |
| Hematocrit test |
$40 |
$40 |
— |
$2 | |
| Hemoglobin A1c (diabetes test) |
$98 |
$98 |
— |
$10 | |
| Hepatitis B test |
$93 |
$93 |
— |
$10 | |
| Hepatitis C test |
$139 |
$139 |
— |
$14 | |
| HIV test |
$388 |
$388 |
— |
$19 | |
| HIV test (antibody) |
$740 |
$740 |
— |
$14 | |
| HIV test (antigen/antibody combo) |
$37 |
$37 |
— |
$24 | |
| Iron blood test |
$72 |
$72 |
— |
$6 | |
| IV infusion therapy |
$365 |
$365 |
— |
$44 | |
| IV infusion therapy (each additional) |
$365 |
$365 |
— |
$21 | |
| Kidney ultrasound |
$500 |
$500 |
— |
$84 | |
| Kidney ultrasound (limited) |
$400 |
$400 |
— |
$61 | |
| Lactate test |
$240 |
$240 |
— |
$12 | |
| LDH test |
$60 |
$60 |
— |
$6 | |
| Leg artery angiogram |
$3,000 |
$3,000 |
— |
$149 | |
| Leg vein ultrasound (Doppler) |
$900 |
$900 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$750 |
$750 |
— |
$116 | |
| LH hormone test |
$106 |
$106 |
— |
$19 | |
| Lipase test |
$103 |
$103 |
— |
$7 | |
| Lipid (cholesterol) panel |
$100 |
$100 |
— |
$13 | |
| Liver function panel |
$40 |
$40 |
— |
$8 | |
| Magnesium blood test |
$101 |
$101 |
— |
$7 | |
| MRA of the brain |
$5,100 |
$5,100 |
— |
$226 | |
| MRA of the brain with contrast |
$5,100 |
$5,100 |
— |
$226 | |
| MRA of the brain without contrast |
$5,300 |
$5,300 |
— |
$328 | |
| MRA of the neck |
$5,100 |
$5,100 |
— |
$245 | |
| MRA of the neck with contrast |
$5,100 |
$5,100 |
— |
$245 | |
| MRA of the neck without contrast |
$5,300 |
$5,300 |
— |
$343 | |
| MRI of the abdomen |
$5,100 |
$5,100 |
— |
$300 | |
| MRI of the abdomen with contrast |
$5,100 |
$5,100 |
— |
$300 | |
| MRI of the abdomen without contrast |
$4,500 |
$4,500 |
— |
$194 | |
| MRI of the ankle |
$10,200 |
$10,200 |
— |
$261 | |
| MRI of the ankle with contrast |
$10,200 |
$10,200 |
— |
$261 | |
| MRI of the ankle without contrast |
$9,000 |
$9,000 |
— |
$222 | |
| MRI of the brain |
$5,100 |
$5,100 |
— |
$269 | |
| MRI of the brain with contrast |
$5,100 |
$5,100 |
— |
$269 | |
| MRI of the brain without contrast |
$4,500 |
$4,500 |
— |
$195 | |
| MRI of the chest |
$5,100 |
$5,100 |
— |
$371 | |
| MRI of the chest with contrast |
$5,100 |
$5,100 |
— |
$371 | |
| MRI of the chest without contrast |
$5,415 |
$5,415 |
— |
$466 | |
| MRI of the knee |
$9,000 |
$9,000 |
— |
$315 | |
| MRI of the knee with contrast |
$10,200 |
$10,200 |
— |
$315 | |
| MRI of the knee without contrast |
$9,000 |
$9,000 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$5,100 |
$5,100 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$5,100 |
$5,100 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$4,500 |
$4,500 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$5,100 |
$5,100 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$5,415 |
$5,415 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$5,100 |
$5,100 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$4,500 |
$4,500 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$5,100 |
$5,100 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$5,415 |
$5,415 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$5,100 |
$5,100 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$4,500 |
$4,500 |
— |
$191 | |
| MRI of the pelvis |
$5,100 |
$5,100 |
— |
$268 | |
| MRI of the pelvis with contrast |
$5,100 |
$5,100 |
— |
$268 | |
| MRI of the pelvis without contrast |
$4,500 |
$4,500 |
— |
$227 | |
| MRI of the shoulder |
$5,100 |
$5,100 |
— |
$313 | |
| MRI of the shoulder with contrast |
$5,100 |
$5,100 |
— |
$313 | |
| MRI of the shoulder without contrast |
$4,500 |
$4,500 |
— |
$205 | |
| MRI of the wrist |
$5,100 |
$5,100 |
— |
$330 | |
| MRI of the wrist with contrast |
$5,100 |
$5,100 |
— |
$330 | |
| MRI of the wrist without contrast |
$4,500 |
$4,500 |
— |
$303 | |
| Nebulizer breathing treatment |
$40 |
$40 |
— |
$9 | |
| Nuchal translucency ultrasound |
$300 |
$300 |
— |
$116 | |
| Pap smear (cervical screening) |
$350 |
$350 |
— |
$20 | |
| Parathyroid hormone (PTH) test |
$180 |
$180 |
— |
$41 | |
| Pelvic ultrasound |
$513 |
$513 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$575 |
$575 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$450 |
$450 |
— |
$51 | |
| Phosphorus blood test |
$47 |
$47 |
— |
$5 | |
| Platelet count |
$33 |
$33 |
— |
$4 | |
| Pregnancy blood test (hCG) |
$78 |
$78 |
— |
$8 | |
| Pregnancy ultrasound |
$600 |
$600 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$600 |
$600 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$600 |
$600 |
— |
$136 | |
| Prolactin test |
$122 |
$122 |
— |
$19 | |
| Prostate test (PSA) |
$369 |
$369 |
— |
$18 | |
| Scoliosis spine X-ray |
$400 |
$400 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$350 |
$350 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$450 |
$450 |
— |
$72 | |
| Screening colonoscopy |
$7,500 |
$7,500 |
— |
$378 | |
| Scrotal ultrasound |
$700 |
$700 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$50 |
$50 |
— |
$3 | |
| Sex hormone binding globulin test |
$410 |
$410 |
— |
$22 | |
| Sleep study (polysomnography) |
$5,000 |
$5,000 |
— |
$691 | |
| Soft tissue ultrasound |
$330 |
$330 |
— |
$64 | |
| Stress echocardiogram |
$6,000 |
$6,000 |
— |
$209 | |
| Stress echocardiogram (complete) |
$6,000 |
$6,000 |
— |
$233 | |
| T3 thyroid test |
$355 |
$355 |
— |
$14 | |
| Testosterone test |
$645 |
$645 |
— |
$26 | |
| Thyroid test (TSH) |
$126 |
$126 |
— |
$17 | |
| Thyroid ultrasound |
$1,000 |
$1,000 |
— |
$109 | |
| Tilt table test |
$750 |
$750 |
— |
$168 | |
| Total IgE allergy test |
$300 |
$300 |
— |
$16 | |
| Transvaginal ultrasound |
$450 |
$450 |
— |
$118 | |
| Triglycerides test |
$89 |
$89 |
— |
$6 | |
| Troponin (heart) test |
$147 |
$147 |
— |
$12 | |
| Upper GI endoscopy (EGD) |
$2,250 |
$2,250 |
— |
$371 | |
| Upper GI series (barium) |
$440 |
$440 |
— |
$128 | |
| Uric acid (gout) test |
$113 |
$113 |
— |
$5 | |
| Urinalysis |
$58 |
$58 |
— |
$3 | |
| Urine microalbumin test |
$30 |
$30 |
— |
$5 | |
| Urine pregnancy test |
$55 |
$55 |
— |
$9 | |
| Vitamin B12 test |
$151 |
$151 |
— |
$15 | |
| Vitamin D test |
$222 |
$222 |
— |
$30 | |
| X-ray of the ankle |
$600 |
$600 |
— |
$37 | |
| X-ray of the collarbone |
$300 |
$300 |
— |
$33 | |
| X-ray of the elbow |
$700 |
$700 |
— |
$33 | |
| X-ray of the facial bones |
$350 |
$350 |
— |
$39 | |
| X-ray of the foot |
$640 |
$640 |
— |
$34 | |
| X-ray of the forearm |
$560 |
$560 |
— |
$29 | |
| X-ray of the hand |
$660 |
$660 |
— |
$38 | |
| X-ray of the hip |
$500 |
$500 |
— |
$49 | |
| X-ray of the hip (1 view) |
$500 |
$500 |
— |
$34 | |
| X-ray of the hip (3 views) |
$350 |
$350 |
— |
$49 | |
| X-ray of the hip (4 views) |
$800 |
$800 |
— |
$63 | |
| X-ray of the knee |
$640 |
$640 |
— |
$42 | |
| X-ray of the knee (2 views) |
$640 |
$640 |
— |
$34 | |
| X-ray of the knee (3 views) |
$760 |
$760 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$445 |
$445 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$460 |
$460 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$390 |
$390 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$530 |
$530 |
— |
$53 | |
| X-ray of the lower leg |
$560 |
$560 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$340 |
$340 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$320 |
$320 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$360 |
$360 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$435 |
$435 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$370 |
$370 |
— |
$40 | |
| X-ray of the pelvis |
$350 |
$350 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$300 |
$300 |
— |
$28 | |
| X-ray of the ribs |
$400 |
$400 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$350 |
$350 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$450 |
$450 |
— |
$42 | |
| X-ray of the shoulder |
$640 |
$640 |
— |
$36 | |
| X-ray of the skull |
$400 |
$400 |
— |
$40 | |
| X-ray of the upper arm |
$640 |
$640 |
— |
$32 | |
| X-ray of the wrist |
$760 |
$760 |
— |
$43 | |
| Zinc blood test |
$419 |
$419 |
— |
$11 | |