| 3D mammogram (tomosynthesis) |
$81 |
$81 |
$79 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$2,694 |
$2,694 |
$2,613 |
$284 | |
| Abdominal ultrasound |
$1,185 |
$1,185 |
$1,005 |
$100 | |
| Abdominal ultrasound (complete) |
$1,344 |
$1,344 |
$1,304 |
$114 | |
| Abdominal ultrasound (limited) |
$1,025 |
$1,025 |
$994 |
$86 | |
| Abscess drainage (complex or multiple) |
$1,015 |
$1,015 |
$985 |
$220 | |
| Abscess drainage (simple) |
$678 |
$678 |
$658 |
$129 | |
| Abscess incision and drainage |
$847 |
$847 |
$664 |
$174 | |
| Aldosterone test |
$46 |
$46 |
$46 |
$41 | |
| Allergy shots |
$32 |
$32 |
$11 |
$11 | |
| ALT liver enzyme test |
$87 |
$87 |
$84 |
$5 | |
| Ammonia blood test |
$139 |
$139 |
$26 |
$15 | |
| Amylase test |
$121 |
$121 |
$117 |
$6 | |
| Annual physical (established patient) |
$247 |
$247 |
$93 |
— | |
| Anoscopy |
$400 |
$400 |
$152 |
$129 | |
| Antinuclear antibody (ANA) test |
$68 |
$68 |
$48 |
$12 | |
| Arterial blood gas (ABG) |
$250 |
$250 |
$243 |
$26 | |
| AST liver enzyme test |
$87 |
$87 |
$84 |
$5 | |
| Basic metabolic panel |
$172 |
$172 |
$167 |
$8 | |
| Benign skin lesion removal |
$987 |
$987 |
$279 |
$171 | |
| Bilirubin blood test |
$100 |
$100 |
$10 |
$5 | |
| Blood clotting test (PT/INR) |
$83 |
$83 |
$16 |
$4 | |
| Blood crossmatch |
$170 |
$170 |
$165 |
— | |
| Blood glucose test |
$71 |
$71 |
$69 |
$5 | |
| Blood transfusion |
$1,125 |
$1,125 |
$1,091 |
$47 | |
| Blood type test |
$15 |
$15 |
$15 |
$3 | |
| Blood type test (ABO group) |
$15 |
$15 |
$15 |
$3 | |
| Blood type test (Rh/D antigen) |
$15 |
$15 |
$15 |
$3 | |
| BNP (heart failure) test |
$255 |
$255 |
$210 |
$39 | |
| Bone density scan (DEXA) |
$684 |
$684 |
$663 |
$39 | |
| Breathing tube insertion (intubation) |
$784 |
$784 |
$760 |
$133 | |
| Burn dressing and debridement (medium) |
$501 |
$501 |
$190 |
$166 | |
| Burn dressing and debridement (small) |
$551 |
$551 |
$534 |
$93 | |
| Burn treatment |
$551 |
$551 |
$534 |
$129 | |
| C-reactive protein (CRP) |
$100 |
$100 |
$93 |
$5 | |
| CA 19-9 tumor marker test |
$320 |
$320 |
$33 |
$21 | |
| CA-125 ovarian marker test |
$196 |
$196 |
$190 |
$21 | |
| Calcium blood test |
$91 |
$91 |
$33 |
$5 | |
| Cardiac rehabilitation |
$380 |
$380 |
$369 |
$26 | |
| Cardioversion |
$1,707 |
$1,707 |
$1,656 |
$155 | |
| Carotid artery ultrasound |
$1,457 |
$1,457 |
$1,413 |
$156 | |
| CEA tumor marker test |
$198 |
$198 |
$192 |
$19 | |
| Celiac disease test |
$22 |
$22 |
$22 |
$12 | |
| Chest fluid drain (thoracentesis) |
$2,317 |
$2,317 |
$2,247 |
$311 | |
| Chest tube insertion |
$3,379 |
$3,379 |
$3,278 |
$143 | |
| Chest X-ray |
$418 |
$418 |
$399 |
$37 | |
| Chest X-ray (1 view) |
$407 |
$407 |
$395 |
$25 | |
| Chest X-ray (2 views) |
$428 |
$428 |
$415 |
$33 | |
| Clotting time test (PTT) |
$107 |
$107 |
$40 |
$6 | |
| Complete blood count (CBC) |
$116 |
$116 |
$101 |
$7 | |
| Complete blood count (CBC) (complete) |
$129 |
$129 |
$125 |
$8 | |
| Comprehensive metabolic panel |
$192 |
$192 |
$186 |
$11 | |
| Copper blood test |
$406 |
$406 |
$46 |
$12 | |
| Cortisol test |
$225 |
$225 |
$84 |
$16 | |
| Creatine kinase (CK) test |
$91 |
$91 |
$12 |
$7 | |
| CT angiography of the chest |
$3,189 |
$3,189 |
$3,093 |
$281 | |
| CT angiography of the head |
$3,086 |
$3,086 |
$2,993 |
$274 | |
| CT scan of the abdomen |
$3,545 |
$3,545 |
$3,439 |
$230 | |
| CT scan of the abdomen and pelvis |
$5,294 |
$5,294 |
$4,116 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$5,294 |
$5,294 |
$5,135 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$5,471 |
$5,471 |
$5,307 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$4,158 |
$4,158 |
$4,033 |
$183 | |
| CT scan of the abdomen with contrast |
$3,545 |
$3,545 |
$3,439 |
$230 | |
| CT scan of the arm |
$2,683 |
$2,683 |
$2,361 |
$199 | |
| CT scan of the arm with contrast |
$2,957 |
$2,957 |
$2,868 |
$199 | |
| CT scan of the arm without contrast |
$2,409 |
$2,409 |
$2,337 |
$161 | |
| CT scan of the chest |
$2,715 |
$2,715 |
$2,273 |
$167 | |
| CT scan of the chest with contrast |
$3,110 |
$3,110 |
$3,017 |
$167 | |
| CT scan of the chest without contrast |
$2,319 |
$2,319 |
$2,249 |
$133 | |
| CT scan of the head |
$2,601 |
$2,601 |
$2,141 |
$148 | |
| CT scan of the head with and without contrast |
$3,266 |
$3,266 |
$3,168 |
$173 | |
| CT scan of the head with contrast |
$2,601 |
$2,601 |
$2,523 |
$148 | |
| CT scan of the head without contrast |
$2,163 |
$2,163 |
$2,098 |
$107 | |
| CT scan of the leg |
$2,508 |
$2,508 |
$2,273 |
$166 | |
| CT scan of the leg with contrast |
$2,697 |
$2,697 |
$2,616 |
$166 | |
| CT scan of the leg without contrast |
$2,319 |
$2,319 |
$2,249 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,438 |
$2,438 |
$2,223 |
$169 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,608 |
$2,608 |
$2,530 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$2,268 |
$2,268 |
$2,200 |
$130 | |
| CT scan of the neck |
$2,605 |
$2,605 |
$2,232 |
$183 | |
| CT scan of the neck (cervical spine) |
$2,586 |
$2,586 |
$2,273 |
$168 | |
| CT scan of the neck (cervical spine) with contrast |
$2,853 |
$2,853 |
$2,767 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$2,319 |
$2,319 |
$2,249 |
$131 | |
| CT scan of the neck with contrast |
$2,931 |
$2,931 |
$2,843 |
$183 | |
| CT scan of the neck without contrast |
$2,278 |
$2,278 |
$2,210 |
$150 | |
| CT scan of the pelvis |
$2,573 |
$2,573 |
$2,078 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,746 |
$2,746 |
$2,664 |
$251 | |
| CT scan of the pelvis with contrast |
$2,573 |
$2,573 |
$2,496 |
$226 | |
| CT scan of the pelvis without contrast |
$2,099 |
$2,099 |
$2,036 |
$133 | |
| CT scan of the sinuses |
$2,721 |
$2,721 |
$2,063 |
$152 | |
| CT scan of the sinuses with and without contrast |
$3,146 |
$3,146 |
$3,052 |
$184 | |
| CT scan of the sinuses with contrast |
$2,721 |
$2,721 |
$2,639 |
$152 | |
| CT scan of the sinuses without contrast |
$2,084 |
$2,084 |
$2,021 |
$128 | |
| D-dimer test |
$169 |
$169 |
$70 |
$10 | |
| Drug screen (urine) |
$300 |
$300 |
$48 |
$17 | |
| Echocardiogram |
$1,909 |
$1,909 |
$1,002 |
$138 | |
| Echocardiogram with and without contrast |
$1,022 |
$1,022 |
$991 |
$101 | |
| EKG / ECG (tracing only) |
$281 |
$281 |
$273 |
$7 | |
| Electrocardiogram (EKG) |
$165 |
$165 |
$266 |
$8 | |
| Emergency department visit |
$817 |
$817 |
$548 |
$69 | |
| Emergency department visit (level 1) |
$319 |
$319 |
$309 |
$11 | |
| Emergency department visit (level 2) |
$509 |
$509 |
$494 |
$40 | |
| Emergency department visit (level 3) |
$817 |
$817 |
$792 |
$69 | |
| Emergency department visit (level 4) |
$1,327 |
$1,327 |
$1,287 |
$118 | |
| Emergency department visit (level 5) |
$1,892 |
$1,892 |
$1,835 |
$171 | |
| Endometrial biopsy |
$326 |
$326 |
$124 |
$98 | |
| Estradiol (estrogen) test |
$197 |
$197 |
$83 |
$28 | |
| Fecal occult blood (stool) test |
$89 |
$89 |
$86 |
$10 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$89 |
$89 |
$86 |
$16 | |
| Ferritin (iron) test |
$126 |
$126 |
$123 |
$14 | |
| Flu test |
$173 |
$173 |
$168 |
$17 | |
| Flu vaccine |
$40 |
$40 |
$39 |
— | |
| Folate (folic acid) test |
$119 |
$119 |
$115 |
$15 | |
| Foreign body removal (skin) |
$1,015 |
$1,015 |
$985 |
$157 | |
| Free T4 thyroid test |
$95 |
$95 |
$93 |
$9 | |
| FSH hormone test |
$130 |
$130 |
$126 |
$19 | |
| GGT liver test |
$83 |
$83 |
$81 |
$7 | |
| Hematocrit test |
$55 |
$55 |
$53 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$88 |
$88 |
$40 |
$10 | |
| Hemorrhoid removal |
$932 |
$932 |
$353 |
$338 | |
| Hepatitis A vaccine |
$116 |
$116 |
$44 |
— | |
| Hepatitis B test |
$27 |
$27 |
$26 |
$10 | |
| Hepatitis B vaccine |
$100 |
$100 |
$38 |
— | |
| Hepatitis C test |
$121 |
$121 |
$57 |
$14 | |
| Holter heart monitor |
$527 |
$527 |
$517 |
$26 | |
| Iron blood test |
$87 |
$87 |
$36 |
$6 | |
| IV infusion therapy |
$358 |
$358 |
$196 |
$44 | |
| IV infusion therapy (each additional) |
$199 |
$199 |
$193 |
$21 | |
| IV infusion therapy (initial) |
$516 |
$516 |
$501 |
$67 | |
| Joint aspiration (small/intermediate) |
$880 |
$880 |
$854 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$880 |
$880 |
$854 |
$57 | |
| Joint aspiration or injection (small joint) |
$168 |
$168 |
$64 |
$56 | |
| Kidney ultrasound |
$956 |
$956 |
$869 |
$84 | |
| Kidney ultrasound (limited) |
$887 |
$887 |
$860 |
$61 | |
| Knee joint injection |
$800 |
$800 |
$776 |
$69 | |
| Lactate test |
$125 |
$125 |
$121 |
$12 | |
| LDH test |
$87 |
$87 |
$21 |
$6 | |
| LDL cholesterol test |
$154 |
$154 |
$149 |
$11 | |
| Leg vein ultrasound (Doppler) |
$1,295 |
$1,295 |
$1,110 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,133 |
$1,133 |
$1,099 |
$116 | |
| LH hormone test |
$227 |
$227 |
$216 |
$19 | |
| Lipase test |
$144 |
$144 |
$140 |
$7 | |
| Lipid (cholesterol) panel |
$129 |
$129 |
$125 |
$13 | |
| Liver function panel |
$167 |
$167 |
$162 |
$8 | |
| Magnesium blood test |
$92 |
$92 |
$38 |
$7 | |
| MRA of the brain |
$3,796 |
$3,796 |
$3,682 |
$226 | |
| MRI of the abdomen |
$5,073 |
$5,073 |
$4,921 |
$300 | |
| MRI of the ankle |
$4,538 |
$4,538 |
$3,767 |
$261 | |
| MRI of the ankle without contrast |
$3,844 |
$3,844 |
$3,729 |
$222 | |
| MRI of the brain |
$4,388 |
$4,388 |
$3,665 |
$269 | |
| MRI of the brain without contrast |
$3,740 |
$3,740 |
$3,628 |
$195 | |
| MRI of the knee |
$3,692 |
$3,692 |
$3,581 |
$315 | |
| MRI of the knee without contrast |
$3,692 |
$3,692 |
$3,581 |
$204 | |
| MRI of the lower back (lumbar spine) |
$4,473 |
$4,473 |
$3,732 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$3,808 |
$3,808 |
$3,694 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$3,808 |
$3,808 |
$3,694 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$3,808 |
$3,808 |
$3,694 |
$190 | |
| MRI of the neck (cervical spine) |
$4,405 |
$4,405 |
$3,732 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$5,002 |
$5,002 |
$4,852 |
$318 | |
| MRI of the neck (cervical spine) without contrast |
$3,808 |
$3,808 |
$3,694 |
$191 | |
| MRI of the shoulder |
$4,183 |
$4,183 |
$4,058 |
$313 | |
| MRI of the shoulder without contrast |
$4,183 |
$4,183 |
$4,058 |
$205 | |
| MRI of the wrist |
$3,435 |
$3,435 |
$3,332 |
$330 | |
| MRI of the wrist without contrast |
$3,435 |
$3,435 |
$3,332 |
$303 | |
| Nebulizer breathing treatment |
$302 |
$302 |
$293 |
$9 | |
| Occupational therapy evaluation |
$305 |
$305 |
$296 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$305 |
$305 |
$296 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$305 |
$305 |
$296 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$305 |
$305 |
$296 |
$101 | |
| Office visit (established patient) |
$325 |
$325 |
$102 |
$115 | |
| Office visit (new patient) |
$492 |
$492 |
$182 |
$177 | |
| Office visit, established patient (level 3) |
$269 |
$269 |
$102 |
$95 | |
| Office visit, established patient (level 4) |
$381 |
$381 |
$144 |
$136 | |
| Office visit, new patient (level 3) |
$330 |
$330 |
$125 |
$118 | |
| Office visit, new patient (level 4) |
$492 |
$492 |
$187 |
$177 | |
| Office visit, new patient (level 5) |
$651 |
$651 |
$247 |
$237 | |
| Parathyroid hormone (PTH) test |
$259 |
$259 |
$251 |
$41 | |
| Phosphorus blood test |
$58 |
$58 |
$29 |
$5 | |
| Physical therapy evaluation |
$305 |
$305 |
$248 |
$98 | |
| Physical therapy evaluation (high complexity) |
$305 |
$305 |
$296 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$305 |
$305 |
$290 |
$98 | |
| Pneumonia vaccine |
$171 |
$171 |
$65 |
— | |
| Pregnancy blood test (hCG) |
$142 |
$142 |
$138 |
$8 | |
| Procalcitonin test |
$196 |
$196 |
$190 |
$27 | |
| Prolactin test |
$137 |
$137 |
$134 |
$19 | |
| Prostate test (PSA) |
$214 |
$214 |
$171 |
$18 | |
| Psychiatric evaluation |
$529 |
$529 |
$201 |
$188 | |
| Psychotherapy session |
$374 |
$374 |
$122 |
$140 | |
| Screening mammogram |
$564 |
$564 |
$547 |
$126 | |
| Scrotal ultrasound |
$1,147 |
$1,147 |
$1,113 |
$99 | |
| Sedimentation rate (ESR) test |
$83 |
$83 |
$81 |
$3 | |
| Simple laceration repair (small, up to 2.5 cm) |
$427 |
$427 |
$534 |
$114 | |
| Simple wound stitches |
$455 |
$455 |
$540 |
$127 | |
| Skin biopsy |
$531 |
$531 |
$519 |
$121 | |
| Skin biopsy (punch) |
$635 |
$635 |
$241 |
$121 | |
| Skin cancer lesion removal |
$1,120 |
$1,120 |
$347 |
$240 | |
| Skin lesion freezing (cryotherapy) |
$553 |
$553 |
$536 |
$36 | |
| Skin tag removal |
$290 |
$290 |
$110 |
$92 | |
| Soft tissue ultrasound |
$734 |
$734 |
$712 |
$64 | |
| Strep throat test |
$211 |
$211 |
$94 |
$17 | |
| Swallow study |
$348 |
$348 |
$338 |
$85 | |
| Tdap (tetanus) vaccine |
$50 |
$50 |
$19 |
— | |
| Testosterone test |
$29 |
$29 |
$28 |
$26 | |
| Thyroid test (TSH) |
$192 |
$192 |
$79 |
$17 | |
| Thyroid ultrasound |
$957 |
$957 |
$928 |
$109 | |
| Total IgE allergy test |
$50 |
$50 |
$19 |
$16 | |
| Total protein test |
$7 |
$7 |
$7 |
$4 | |
| Transvaginal ultrasound |
$675 |
$675 |
$655 |
$118 | |
| Trigger point injection |
$840 |
$840 |
$815 |
$56 | |
| Trigger point injection (1-2 muscles) |
$840 |
$840 |
$815 |
$52 | |
| Triglycerides test |
$83 |
$83 |
$34 |
$6 | |
| Troponin (heart) test |
$72 |
$72 |
$71 |
$12 | |
| Uric acid (gout) test |
$60 |
$60 |
$58 |
$5 | |
| Urinalysis |
$58 |
$58 |
$46 |
$3 | |
| Urine microalbumin test |
$88 |
$88 |
$14 |
$5 | |
| Urine pregnancy test |
$98 |
$98 |
$92 |
$9 | |
| Vaccine administration |
$73 |
$73 |
$64 |
$19 | |
| Vaccine administration (each additional) |
$65 |
$65 |
$63 |
$16 | |
| Vitamin B12 test |
$195 |
$195 |
$189 |
$15 | |
| Vitamin D test |
$33 |
$33 |
$47 |
$30 | |
| Wart removal |
$553 |
$553 |
$536 |
$121 | |
| Wound debridement |
$422 |
$422 |
$160 |
$186 | |
| X-ray of the abdomen |
$465 |
$465 |
$372 |
$36 | |
| X-ray of the ankle |
$325 |
$325 |
$315 |
$37 | |
| X-ray of the collarbone |
$291 |
$291 |
$282 |
$33 | |
| X-ray of the elbow |
$391 |
$391 |
$379 |
$33 | |
| X-ray of the facial bones |
$392 |
$392 |
$360 |
$39 | |
| X-ray of the foot |
$337 |
$337 |
$327 |
$34 | |
| X-ray of the forearm |
$361 |
$361 |
$350 |
$29 | |
| X-ray of the hand |
$349 |
$349 |
$339 |
$38 | |
| X-ray of the hip |
$287 |
$287 |
$271 |
$49 | |
| X-ray of the hip (1 view) |
$277 |
$277 |
$269 |
$34 | |
| X-ray of the hip (3 views) |
$297 |
$297 |
$288 |
$49 | |
| X-ray of the knee |
$334 |
$334 |
$308 |
$42 | |
| X-ray of the knee (2 views) |
$314 |
$314 |
$305 |
$34 | |
| X-ray of the knee (3 views) |
$353 |
$353 |
$342 |
$42 | |
| X-ray of the lower back (lumbar spine) |
$565 |
$565 |
$443 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$452 |
$452 |
$438 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$677 |
$677 |
$657 |
$53 | |
| X-ray of the lower leg |
$389 |
$389 |
$377 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$479 |
$479 |
$401 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$409 |
$409 |
$397 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$548 |
$548 |
$532 |
$39 | |
| X-ray of the neck (cervical spine) |
$516 |
$516 |
$404 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$412 |
$412 |
$400 |
$40 | |
| X-ray of the pelvis |
$368 |
$368 |
$357 |
$36 | |
| X-ray of the pelvis (1 view) |
$368 |
$368 |
$357 |
$28 | |
| X-ray of the ribs |
$498 |
$498 |
$371 |
$42 | |
| X-ray of the ribs (2 views) |
$375 |
$375 |
$364 |
$36 | |
| X-ray of the ribs (3 views) |
$498 |
$498 |
$483 |
$42 | |
| X-ray of the shoulder |
$219 |
$219 |
$386 |
$36 | |
| X-ray of the skull |
$551 |
$551 |
$534 |
$40 | |
| X-ray of the upper arm |
$341 |
$341 |
$331 |
$32 | |
| X-ray of the wrist |
$347 |
$347 |
$337 |
$43 | |
| Zinc blood test |
$18 |
$18 |
$18 |
$11 | |