| Abdominal fluid drain (paracentesis) |
$911 |
$1,302 |
$1,130 |
$284 | |
| Abscess drainage (complex or multiple) |
$380 |
$543 |
$303 |
$220 | |
| Abscess drainage (simple) |
$224 |
$320 |
$262 |
$129 | |
| Abscess incision and drainage |
$224 |
$320 |
$303 |
$174 | |
| Achilles tendon repair |
$1,190 |
$1,700 |
— |
$624 | |
| Adenoid removal (adenoidectomy) |
$865 |
$1,235 |
— |
$204 | |
| Albumin blood test |
$34 |
$48 |
$31 |
$5 | |
| Aldosterone test |
$157 |
$224 |
$116 |
$41 | |
| Alkaline phosphatase test |
$39 |
$55 |
$34 |
$5 | |
| Allergy shots |
$29 |
$42 |
$42 |
$11 | |
| Alpha-fetoprotein (AFP) test |
$93 |
$133 |
$69 |
$17 | |
| ALT liver enzyme test |
$38 |
$55 |
$34 |
$5 | |
| Amylase test |
$59 |
$84 |
$44 |
$6 | |
| Ankle fracture repair |
$1,050 |
$1,500 |
— |
$608 | |
| Ankle replacement |
$5,444 |
$7,777 |
— |
$885 | |
| Annual physical (established patient) |
$173 |
$247 |
$64 |
— | |
| Annual physical (new patient) |
$202 |
$289 |
$75 |
— | |
| Anoscopy |
$209 |
$299 |
$1,432 |
$129 | |
| Antinuclear antibody (ANA) test |
$53 |
$75 |
$42 |
$12 | |
| Arterial blood gas (ABG) |
$130 |
$185 |
$118 |
$26 | |
| AST liver enzyme test |
$38 |
$54 |
$34 |
$5 | |
| Barium swallow study |
$299 |
$427 |
$222 |
$107 | |
| Bartholin cyst removal |
$421 |
$602 |
$164 |
$182 | |
| Basic metabolic panel |
$56 |
$80 |
$62 |
$8 | |
| Benign skin lesion removal |
$201 |
$287 |
$124 |
$171 | |
| Bilirubin blood test |
$44 |
$63 |
$34 |
$5 | |
| Bladder scope (cystoscopy) |
$596 |
$851 |
— |
$216 | |
| Blood clotting test (PT/INR) |
$22 |
$32 |
$25 |
$4 | |
| Blood crossmatch |
$74 |
$106 |
$79 |
— | |
| Blood glucose test |
$28 |
$41 |
$29 |
$5 | |
| Blood transfusion |
$644 |
$920 |
$478 |
$47 | |
| Blood type and screen |
$47 |
$67 |
$50 |
$10 | |
| Blood type test |
$35 |
$50 |
$32 |
$3 | |
| Blood type test (ABO group) |
$35 |
$50 |
$32 |
$3 | |
| Blood type test (Rh/D antigen) |
$35 |
$50 |
$32 |
$3 | |
| BNP (heart failure) test |
$105 |
$150 |
$96 |
$39 | |
| Bone marrow biopsy |
$713 |
$1,019 |
$1,655 |
$172 | |
| Breast biopsy |
$2,499 |
$3,570 |
$2,285 |
$478 | |
| Breast MRI |
$475 |
$678 |
$579 |
$216 | |
| Breast MRI without contrast |
$633 |
$904 |
$579 |
$216 | |
| Breast ultrasound |
$277 |
$395 |
$253 |
$92 | |
| Breast ultrasound (complete) |
$277 |
$395 |
$253 |
$100 | |
| Breast ultrasound (limited) |
$277 |
$395 |
$253 |
$84 | |
| Breathing tube insertion (intubation) |
$314 |
$448 |
$403 |
$133 | |
| Bunion surgery (bunionectomy) |
$1,505 |
$2,150 |
— |
$883 | |
| Burn dressing and debridement (medium) |
$163 |
$233 |
$124 |
$166 | |
| Burn dressing and debridement (small) |
$188 |
$268 |
$262 |
$93 | |
| Burn treatment |
$188 |
$268 |
$184 |
$129 | |
| C-reactive protein (CRP) |
$58 |
$83 |
$46 |
$5 | |
| CA-125 ovarian marker test |
$108 |
$154 |
$80 |
$21 | |
| Calcium blood test |
$40 |
$58 |
$34 |
$5 | |
| Cardiac rehabilitation |
$168 |
$240 |
$154 |
$26 | |
| Cardiac stress test |
$680 |
$972 |
$519 |
$39 | |
| Cardioversion |
$890 |
$1,272 |
$814 |
$155 | |
| Carotid artery ultrasound |
$659 |
$941 |
$489 |
$156 | |
| Carpal tunnel release |
$833 |
$1,190 |
— |
$483 | |
| Cataract surgery |
$2,960 |
$4,228 |
$2,706 |
$547 | |
| Celiac disease test |
$73 |
$104 |
$54 |
$12 | |
| Central line placement |
$585 |
$835 |
$1,292 |
$238 | |
| Cervical LEEP procedure |
$1,026 |
$1,465 |
— |
$325 | |
| Cesarean section (C-section) |
$4,799 |
$6,856 |
$4,388 |
$7,552 | |
| Chalazion (eyelid cyst) removal |
$74 |
$105 |
$67 |
$131 | |
| Chemotherapy infusion |
$277 |
$396 |
$294 |
$81 | |
| Chemotherapy infusion (each additional) |
$159 |
$227 |
$145 |
$28 | |
| Chemotherapy infusion (first hour) |
$396 |
$565 |
$362 |
$133 | |
| Chest fluid drain (thoracentesis) |
$868 |
$1,240 |
$645 |
$311 | |
| Chest tube insertion |
$398 |
$568 |
$282 |
$143 | |
| Chickenpox (varicella) vaccine |
$242 |
$345 |
$327 |
— | |
| Circumcision |
$231 |
$330 |
$211 |
$167 | |
| CK-MB heart enzyme test |
$96 |
$137 |
$71 |
$12 | |
| Clotting time test (PTT) |
$45 |
$64 |
$33 |
$6 | |
| Colon resection (colectomy) |
$3,686 |
$5,266 |
— |
$1,238 | |
| Colonoscopy |
$1,159 |
$1,655 |
— |
$480 | |
| Colostomy |
$3,043 |
$4,347 |
— |
$1,122 | |
| Colposcopy |
$390 |
$557 |
$195 |
$161 | |
| Complete blood count (CBC) |
$46 |
$66 |
$42 |
$7 | |
| Complete blood count (CBC) (complete) |
$52 |
$74 |
$45 |
$8 | |
| Complex wound repair |
$461 |
$659 |
$546 |
$390 | |
| Comprehensive metabolic panel |
$113 |
$162 |
$84 |
$11 | |
| Continuous glucose monitor setup |
$72 |
$103 |
— |
$35 | |
| Contraceptive implant (Nexplanon) |
$303 |
$434 |
$303 |
$115 | |
| Coronary artery bypass (CABG) |
$23,256 |
$33,222 |
$21,262 |
$36,593 | |
| COVID-19 PCR test |
$91 |
$130 |
$83 |
$51 | |
| CPAP titration study |
$588 |
$841 |
$437 |
$69 | |
| Creatine kinase (CK) test |
$53 |
$76 |
$40 |
$7 | |
| CT angiography of the chest |
$1,738 |
$2,483 |
$1,291 |
$281 | |
| CT angiography of the head |
$1,676 |
$2,394 |
$1,245 |
$274 | |
| CT scan of the abdomen |
$1,332 |
$1,903 |
$990 |
$230 | |
| CT scan of the abdomen with contrast |
$1,332 |
$1,903 |
$990 |
$230 | |
| CT scan of the arm |
$967 |
$1,381 |
$884 |
$199 | |
| CT scan of the arm with contrast |
$1,250 |
$1,785 |
$928 |
$199 | |
| CT scan of the arm without contrast |
$955 |
$1,364 |
$709 |
$161 | |
| CT scan of the chest |
$1,331 |
$1,901 |
$989 |
$167 | |
| CT scan of the chest with contrast |
$1,331 |
$1,901 |
$989 |
$167 | |
| CT scan of the leg |
$1,019 |
$1,456 |
$877 |
$166 | |
| CT scan of the leg with contrast |
$1,441 |
$2,059 |
$1,071 |
$166 | |
| CT scan of the leg without contrast |
$1,019 |
$1,456 |
$757 |
$130 | |
| D-dimer test |
$98 |
$140 |
$73 |
$10 | |
| Developmental screening (child) |
$53 |
$76 |
$457 |
— | |
| Diagnostic mammogram |
$208 |
$297 |
$190 |
$140 | |
| Dilation and curettage (D&C) |
$937 |
$1,339 |
— |
$298 | |
| Drug screen (urine) |
$166 |
$237 |
$123 |
$17 | |
| Ear pressure test (tympanometry) |
$29 |
$42 |
$27 |
$16 | |
| Ear tubes (myringotomy) |
$568 |
$812 |
$118 |
$174 | |
| EKG / ECG (tracing only) |
$130 |
$186 |
$97 |
$7 | |
| Electrocardiogram (EKG) |
$90 |
$128 |
$97 |
$8 | |
| Electrolyte panel |
$60 |
$85 |
$54 |
$7 | |
| Emergency department visit |
$206 |
$294 |
$326 |
$69 | |
| Emergency department visit (level 1) |
$98 |
$141 |
$119 |
$11 | |
| Emergency department visit (level 2) |
$167 |
$239 |
$204 |
$40 | |
| Emergency department visit (level 3) |
$189 |
$270 |
$326 |
$69 | |
| Emergency department visit (level 4) |
$310 |
$443 |
$554 |
$118 | |
| Emergency department visit (level 5) |
$720 |
$1,029 |
$871 |
$171 | |
| Endometrial biopsy |
$189 |
$271 |
$95 |
$98 | |
| Epidural steroid injection |
$2,460 |
$3,514 |
$1,827 |
$275 | |
| Facet joint injection (spine) |
$297 |
$424 |
$360 |
$99 | |
| Fallopian tube X-ray (HSG) |
$537 |
$767 |
— |
$164 | |
| Fecal occult blood (stool) test |
$27 |
$38 |
$33 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$24 |
$35 |
$38 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$27 |
$39 |
$25 |
$16 | |
| Ferritin (iron) test |
$83 |
$119 |
$68 |
$14 | |
| Fibrinogen test |
$85 |
$122 |
$63 |
$10 | |
| Flexible sigmoidoscopy |
$338 |
$483 |
$88 |
$323 | |
| Flu test |
$55 |
$79 |
$37 |
$17 | |
| Flu vaccine |
$21 |
$30 |
$29 |
— | |
| Folate (folic acid) test |
$79 |
$113 |
$68 |
$15 | |
| Foreign body removal (skin) |
$165 |
$236 |
$115 |
$157 | |
| Free T4 thyroid test |
$65 |
$93 |
$55 |
$9 | |
| Gallbladder removal (laparoscopic) |
$2,567 |
$3,668 |
— |
$658 | |
| Ganglion cyst removal |
$644 |
$920 |
— |
$321 | |
| Glucose tolerance test |
$65 |
$93 |
$48 |
$8 | |
| Hammertoe repair |
$980 |
$1,400 |
— |
$548 | |
| HDL cholesterol test |
$55 |
$79 |
$41 |
$8 | |
| Hearing test (audiometry) |
$29 |
$42 |
$27 |
$36 | |
| Hematocrit test |
$24 |
$34 |
$22 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$57 |
$82 |
$42 |
$10 | |
| Hemorrhoid removal |
$606 |
$866 |
$3,778 |
$338 | |
| Hepatitis A vaccine |
$106 |
$151 |
$82 |
— | |
| Hepatitis B vaccine |
$156 |
$223 |
$116 |
— | |
| Hepatitis C test |
$80 |
$114 |
$59 |
$14 | |
| Hip fracture repair |
$2,555 |
$3,650 |
— |
$1,120 | |
| Hip replacement |
$3,290 |
$4,700 |
— |
$1,162 | |
| HIV test |
$62 |
$89 |
$46 |
$19 | |
| HIV test (antigen/antibody combo) |
$62 |
$89 |
$46 |
$24 | |
| Holter heart monitor |
$321 |
$459 |
$284 |
$26 | |
| HPV vaccine |
$438 |
$625 |
$344 |
— | |
| Hysterectomy |
$3,309 |
$4,727 |
— |
$933 | |
| Hysteroscopy |
$1,382 |
$1,974 |
$5,501 |
$1,270 | |
| Inguinal hernia repair |
$2,051 |
$2,930 |
— |
$538 | |
| Iron blood test |
$40 |
$57 |
$34 |
$6 | |
| IUD insertion |
$166 |
$237 |
$86 |
— | |
| IUD removal |
$118 |
$168 |
$87 |
$112 | |
| IV infusion therapy |
$272 |
$389 |
$212 |
$44 | |
| IV infusion therapy (each additional) |
$95 |
$136 |
$90 |
$21 | |
| IV infusion therapy (initial) |
$285 |
$407 |
$260 |
$67 | |
| Joint aspiration (small/intermediate) |
$142 |
$203 |
$130 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$96 |
$137 |
$116 |
$57 | |
| Joint aspiration or injection (small joint) |
$142 |
$203 |
$130 |
$56 | |
| Kidney biopsy |
$953 |
$1,361 |
$871 |
$492 | |
| Kidney ultrasound |
$464 |
$663 |
$413 |
$84 | |
| Knee arthroscopy |
$3,509 |
$5,013 |
$3,208 |
$524 | |
| Knee joint injection |
$123 |
$176 |
$166 |
$69 | |
| Knee replacement |
$11,474 |
$16,391 |
$10,490 |
$18,054 | |
| Lactate test |
$74 |
$106 |
$68 |
$12 | |
| Laryngoscopy |
$186 |
$266 |
$74 |
$189 | |
| LDH test |
$43 |
$61 |
$34 |
$6 | |
| LDL cholesterol test |
$46 |
$65 |
$34 |
$11 | |
| Leg vein ultrasound (Doppler) |
$485 |
$693 |
$444 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$485 |
$693 |
$360 |
$116 | |
| Lipase test |
$75 |
$107 |
$56 |
$7 | |
| Lipid (cholesterol) panel |
$74 |
$106 |
$67 |
$13 | |
| Liver biopsy |
$569 |
$813 |
$520 |
$288 | |
| Liver function panel |
$84 |
$120 |
$67 |
$8 | |
| Lumpectomy (breast) |
$1,999 |
$2,856 |
— |
$750 | |
| Lung function test (PFT) |
$221 |
$316 |
$216 |
$37 | |
| Magnesium blood test |
$49 |
$70 |
$36 |
$7 | |
| Mastectomy |
$2,925 |
$4,179 |
— |
$1,021 | |
| Meniscus repair (knee) |
$1,617 |
$2,310 |
— |
$714 | |
| MMR vaccine |
$64 |
$91 |
$86 |
— | |
| MRI of the ankle |
$1,693 |
$2,418 |
$1,516 |
$261 | |
| MRI of the ankle with contrast |
$1,658 |
$2,368 |
$1,231 |
$261 | |
| MRI of the ankle without contrast |
$1,693 |
$2,418 |
$1,257 |
$222 | |
| MRI of the chest |
$2,119 |
$3,027 |
$1,574 |
$371 | |
| MRI of the chest without contrast |
$2,119 |
$3,027 |
$1,574 |
$466 | |
| MRI of the knee |
$2,400 |
$3,428 |
$1,783 |
$315 | |
| MRI of the knee with contrast |
$2,400 |
$3,428 |
$1,783 |
$315 | |
| MRI of the knee without contrast |
$1,867 |
$2,667 |
$1,387 |
$204 | |
| MRI of the shoulder |
$1,957 |
$2,796 |
$1,723 |
$313 | |
| MRI of the shoulder with contrast |
$1,957 |
$2,796 |
$1,454 |
$313 | |
| MRI of the shoulder without contrast |
$1,884 |
$2,692 |
$1,400 |
$205 | |
| MRI of the wrist |
$2,110 |
$3,014 |
$1,567 |
$330 | |
| MRI of the wrist with contrast |
$2,110 |
$3,014 |
$1,567 |
$330 | |
| MRI of the wrist without contrast |
$1,581 |
$2,258 |
$1,174 |
$303 | |
| Nebulizer breathing treatment |
$378 |
$540 |
$281 |
$9 | |
| Newborn hospital care |
$343 |
$491 |
— |
$58 | |
| Occupational therapy evaluation |
$132 |
$189 |
$121 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$132 |
$189 |
$121 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$132 |
$189 |
$121 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$132 |
$189 |
$121 |
$101 | |
| Office visit (established patient) |
$139 |
$198 |
$110 |
$115 | |
| Office visit (new patient) |
$278 |
$397 |
$165 |
$177 | |
| Office visit, established patient (level 3) |
$125 |
$178 |
$101 |
$95 | |
| Office visit, established patient (level 4) |
$183 |
$262 |
$151 |
$136 | |
| Office visit, new patient (level 3) |
$201 |
$287 |
$122 |
$118 | |
| Office visit, new patient (level 4) |
$307 |
$439 |
$153 |
$177 | |
| Office visit, new patient (level 5) |
$403 |
$576 |
$361 |
$237 | |
| Orthopedic hardware removal |
$1,496 |
$2,137 |
— |
$632 | |
| Pacemaker insertion |
$9,854 |
$14,078 |
$9,010 |
$15,506 | |
| Pap smear (cervical screening) |
$34 |
$49 |
$31 |
$20 | |
| Parathyroid hormone (PTH) test |
$188 |
$269 |
$140 |
$41 | |
| Phosphorus blood test |
$36 |
$51 |
$33 |
$5 | |
| Physical therapy evaluation |
$118 |
$168 |
$108 |
$98 | |
| Physical therapy evaluation (high complexity) |
$118 |
$168 |
$108 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$118 |
$168 |
$108 |
$98 | |
| Pilonidal cyst removal |
$699 |
$998 |
$2,838 |
$541 | |
| Platelet count |
$32 |
$46 |
$29 |
$4 | |
| Pneumonia vaccine |
$242 |
$345 |
$179 |
— | |
| Pregnancy blood test (hCG) |
$71 |
$101 |
$53 |
$8 | |
| Procalcitonin test |
$74 |
$105 |
$55 |
$27 | |
| Prostate biopsy |
$2,233 |
$3,190 |
$2,042 |
— | |
| Prostate test (PSA) |
$90 |
$128 |
$68 |
$18 | |
| Pulmonary rehabilitation |
$200 |
$285 |
$182 |
$87 | |
| Radiofrequency nerve ablation |
$2,948 |
$4,211 |
$2,324 |
$462 | |
| Retinal (fundus) photography |
$86 |
$123 |
$128 |
$37 | |
| Rotator cuff repair |
$1,750 |
$2,500 |
— |
$792 | |
| Sacroiliac joint injection |
$1,066 |
$1,523 |
$975 |
$176 | |
| Screening colonoscopy |
$919 |
$1,313 |
— |
$378 | |
| Screening mammogram |
$246 |
$351 |
$218 |
$126 | |
| Sedimentation rate (ESR) test |
$29 |
$42 |
$27 |
$3 | |
| Semen analysis |
$46 |
$66 |
$45 |
$12 | |
| Septoplasty (deviated septum) |
$2,035 |
$2,907 |
— |
$613 | |
| Sex hormone binding globulin test |
$75 |
$107 |
$68 |
$22 | |
| Shingles vaccine |
$384 |
$549 |
$351 |
— | |
| Shoulder arthroscopy |
$1,750 |
$2,500 |
— |
$962 | |
| Shoulder replacement |
$3,150 |
$4,500 |
— |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$251 |
$359 |
$240 |
$114 | |
| Simple wound stitches |
$263 |
$375 |
$319 |
$127 | |
| Sinus surgery (endoscopic) |
$2,464 |
$3,520 |
— |
$224 | |
| Skin biopsy |
$77 |
$110 |
$65 |
$121 | |
| Skin biopsy (punch) |
$77 |
$110 |
$57 |
$121 | |
| Skin cancer lesion removal |
$245 |
$350 |
$121 |
$240 | |
| Skin lesion freezing (cryotherapy) |
$47 |
$67 |
$56 |
$36 | |
| Skin tag removal |
$115 |
$164 |
$92 |
$92 | |
| Sleep study (polysomnography) |
$2,169 |
$3,098 |
$1,983 |
$691 | |
| Small bowel resection |
$3,429 |
$4,898 |
— |
$1,136 | |
| Soft tissue ultrasound |
$344 |
$492 |
$288 |
$64 | |
| Speech therapy |
$102 |
$145 |
$93 |
$76 | |
| Spinal tap (lumbar puncture) |
$348 |
$497 |
$304 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$4,826 |
$6,894 |
$5,003 |
$5,803 | |
| Spirometry (lung function test) |
$109 |
$156 |
$139 |
$30 | |
| Spirometry with bronchodilator |
$291 |
$415 |
$266 |
$43 | |
| Strep throat test |
$30 |
$43 |
$31 |
$17 | |
| Swallow study |
$162 |
$231 |
$148 |
$85 | |
| Tdap (tetanus) vaccine |
$86 |
$122 |
$88 |
— | |
| Testosterone test |
$80 |
$114 |
$73 |
$26 | |
| Thyroid test (TSH) |
$97 |
$138 |
$72 |
$17 | |
| Tonsillectomy |
$1,119 |
$1,599 |
— |
$252 | |
| Total IgE allergy test |
$71 |
$101 |
$65 |
$16 | |
| Total protein test |
$27 |
$39 |
$27 |
$4 | |
| Transvaginal ultrasound |
$255 |
$364 |
$241 |
$118 | |
| Trigger finger release |
$1,015 |
$1,450 |
— |
$630 | |
| Trigger point injection |
$141 |
$201 |
$259 |
$56 | |
| Trigger point injection (1-2 muscles) |
$141 |
$201 |
$364 |
$52 | |
| Triglycerides test |
$39 |
$56 |
$34 |
$6 | |
| Troponin (heart) test |
$102 |
$146 |
$76 |
$12 | |
| Tubal ligation |
$1,503 |
$2,147 |
— |
$333 | |
| Turning a breech baby (version) |
$482 |
$688 |
— |
$94 | |
| Ulnar nerve surgery (elbow) |
$1,050 |
$1,500 |
— |
$575 | |
| Umbilical hernia repair |
$1,706 |
$2,437 |
— |
— | |
| Upper GI endoscopy (EGD) |
$866 |
$1,237 |
— |
$371 | |
| Upper GI series (barium) |
$362 |
$517 |
$329 |
$128 | |
| Uric acid (gout) test |
$39 |
$55 |
$34 |
$5 | |
| Urinalysis |
$29 |
$42 |
$27 |
$3 | |
| Urine microalbumin test |
$25 |
$36 |
$31 |
$5 | |
| Urine pregnancy test |
$50 |
$72 |
$41 |
$9 | |
| UV light therapy (skin) |
$61 |
$87 |
$63 |
$106 | |
| Vaccine administration |
$23 |
$34 |
$38 |
$19 | |
| Vaccine administration (each additional) |
$22 |
$32 |
$28 |
$16 | |
| Vaginal delivery |
$3,487 |
$4,981 |
$3,188 |
$5,487 | |
| Varicose vein ablation |
$4,227 |
$6,038 |
$3,864 |
$1,018 | |
| Vasectomy |
$1,158 |
$1,654 |
$289 |
$347 | |
| Vitamin B12 test |
$82 |
$117 |
$61 |
$15 | |
| Vitamin D test |
$123 |
$175 |
$112 |
$30 | |
| Wart removal |
$96 |
$137 |
$88 |
$121 | |
| Weight-loss (bariatric) surgery |
$7,401 |
$10,572 |
$6,766 |
$11,645 | |
| Well-child visit |
$136 |
$194 |
— |
— | |
| Wound debridement |
$375 |
$536 |
$710 |
$186 | |
| Wrist fracture repair |
$1,400 |
$2,000 |
— |
$735 | |
| X-ray of the ankle |
$173 |
$247 |
$128 |
$37 | |
| X-ray of the collarbone |
$162 |
$232 |
$121 |
$33 | |
| X-ray of the elbow |
$179 |
$255 |
$133 |
$33 | |
| X-ray of the foot |
$172 |
$246 |
$128 |
$34 | |
| X-ray of the forearm |
$173 |
$247 |
$128 |
$29 | |
| X-ray of the hand |
$172 |
$245 |
$127 |
$38 | |
| X-ray of the hip |
$207 |
$296 |
$169 |
$49 | |
| X-ray of the hip (1 view) |
$203 |
$290 |
$165 |
$34 | |
| X-ray of the hip (3 views) |
$211 |
$302 |
$172 |
$49 | |
| X-ray of the knee |
$199 |
$284 |
$153 |
$42 | |
| X-ray of the knee (2 views) |
$167 |
$239 |
$124 |
$34 | |
| X-ray of the knee (3 views) |
$199 |
$284 |
$148 |
$42 | |
| X-ray of the knee (4+ views) |
$207 |
$295 |
$153 |
$49 | |
| X-ray of the lower leg |
$165 |
$236 |
$123 |
$31 | |
| X-ray of the ribs |
$223 |
$319 |
$182 |
$42 | |
| X-ray of the ribs (2 views) |
$193 |
$275 |
$143 |
$36 | |
| X-ray of the ribs (3 views) |
$253 |
$362 |
$188 |
$42 | |
| X-ray of the shoulder |
$199 |
$284 |
$148 |
$36 | |
| X-ray of the upper arm |
$162 |
$231 |
$120 |
$32 | |
| X-ray of the wrist |
$170 |
$243 |
$126 |
$43 | |
| YAG laser capsulotomy (eye) |
$1,156 |
$1,651 |
$1,057 |
$335 | |