| Abdominal ultrasound |
$214 |
$535 |
$400 |
$100 | |
| Abdominal ultrasound (complete) |
$221 |
$552 |
$414 |
$114 | |
| Abdominal ultrasound (limited) |
$207 |
$517 |
$388 |
$86 | |
| Abscess drainage (complex or multiple) |
$436 |
$1,091 |
$757 |
$220 | |
| Abscess drainage (simple) |
$138 |
$346 |
$270 |
$129 | |
| Abscess incision and drainage |
$154 |
$386 |
$309 |
$174 | |
| Achilles tendon repair |
$8,334 |
$20,836 |
$16,148 |
$624 | |
| Adenoid removal (adenoidectomy) |
$3,517 |
$8,792 |
$6,814 |
$204 | |
| Albumin blood test |
$25 |
$62 |
$47 |
$5 | |
| Alkaline phosphatase test |
$25 |
$62 |
$47 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$52 |
$131 |
$105 |
$17 | |
| ALT liver enzyme test |
$25 |
$62 |
$47 |
$5 | |
| Ammonia blood test |
$36 |
$91 |
$66 |
$15 | |
| Amylase test |
$48 |
$119 |
$89 |
$6 | |
| Ankle fracture repair |
$7,938 |
$19,844 |
$15,379 |
$608 | |
| Annual physical (established patient) |
$119 |
$298 |
$222 |
— | |
| Annual physical (new patient) |
$118 |
$295 |
$220 |
— | |
| Antinuclear antibody (ANA) test |
$44 |
$110 |
$88 |
$12 | |
| Arterial blood gas (ABG) |
$58 |
$146 |
$110 |
$26 | |
| AST liver enzyme test |
$25 |
$62 |
$47 |
$5 | |
| Barium swallow study |
$226 |
$564 |
$395 |
$107 | |
| Basic metabolic panel |
$50 |
$125 |
$94 |
$8 | |
| Benign skin lesion removal |
$818 |
$2,045 |
$1,585 |
$171 | |
| Bilirubin blood test |
$25 |
$62 |
$47 |
$5 | |
| Blood clotting test (PT/INR) |
$33 |
$82 |
$62 |
$4 | |
| Blood glucose test |
$24 |
$60 |
$43 |
$5 | |
| Blood transfusion |
$501 |
$1,253 |
$940 |
$47 | |
| Blood type and screen |
$36 |
$91 |
$72 |
$10 | |
| Blood type test |
$91 |
$228 |
$165 |
$3 | |
| Blood type test (ABO group) |
$141 |
$352 |
$264 |
$3 | |
| Blood type test (Rh/D antigen) |
$29 |
$72 |
$52 |
$3 | |
| BNP (heart failure) test |
$61 |
$154 |
$115 |
$39 | |
| Breast ultrasound |
$104 |
$260 |
$208 |
$92 | |
| Breast ultrasound (complete) |
$184 |
$459 |
$344 |
$100 | |
| Breast ultrasound (limited) |
$104 |
$260 |
$195 |
$84 | |
| Breathing tube insertion (intubation) |
$267 |
$668 |
$468 |
$133 | |
| Bunion surgery (bunionectomy) |
$3,679 |
$9,198 |
$7,818 |
$883 | |
| C-reactive protein (CRP) |
$42 |
$105 |
$79 |
$5 | |
| CA-125 ovarian marker test |
$262 |
$654 |
$465 |
$21 | |
| Calcium blood test |
$25 |
$62 |
$47 |
$5 | |
| Cardiac stress test |
$335 |
$838 |
$587 |
$39 | |
| Cardioversion |
$709 |
$1,773 |
$996 |
$155 | |
| Carotid artery ultrasound |
$126 |
$314 |
$509 |
$156 | |
| Cataract surgery |
$2,669 |
$6,673 |
$5,172 |
$547 | |
| CEA tumor marker test |
$88 |
$220 |
$165 |
$19 | |
| Central line placement |
$3,754 |
$9,384 |
$3,659 |
$238 | |
| Chemotherapy infusion |
$252 |
$631 |
$160 |
$81 | |
| Chemotherapy infusion (each additional) |
$85 |
$213 |
$149 |
$28 | |
| Chemotherapy infusion (first hour) |
$419 |
$1,048 |
$734 |
$133 | |
| Chest tube insertion |
$1,875 |
$4,687 |
$2,015 |
$143 | |
| Chest X-ray |
$104 |
$260 |
$182 |
$37 | |
| Chest X-ray (1 view) |
$104 |
$260 |
$182 |
$25 | |
| Chest X-ray (2 views) |
$102 |
$256 |
$179 |
$33 | |
| CK-MB heart enzyme test |
$63 |
$158 |
$119 |
$12 | |
| Clotting time test (PTT) |
$47 |
$117 |
$88 |
$6 | |
| Colonoscopy |
$1,339 |
$3,347 |
$2,343 |
$480 | |
| Complete blood count (CBC) |
$27 |
$68 |
$51 |
$7 | |
| Complete blood count (CBC) (complete) |
$26 |
$64 |
$48 |
$8 | |
| Comprehensive metabolic panel |
$67 |
$168 |
$126 |
$11 | |
| Contraceptive implant (Nexplanon) |
$148 |
$371 |
$278 |
$115 | |
| Copper blood test |
$80 |
$199 |
$149 |
$12 | |
| Cortisol test |
$65 |
$163 |
$122 |
$16 | |
| COVID-19 PCR test |
$64 |
$159 |
$119 |
$51 | |
| CPAP titration study |
$340 |
$850 |
$595 |
$69 | |
| Creatine kinase (CK) test |
$35 |
$87 |
$65 |
$7 | |
| CT angiography of the chest |
$1,140 |
$2,849 |
$1,994 |
$281 | |
| CT angiography of the head |
$210 |
$525 |
$368 |
$274 | |
| CT scan of the abdomen |
$1,344 |
$3,360 |
$2,352 |
$230 | |
| CT scan of the abdomen and pelvis |
$440 |
$1,099 |
$769 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$880 |
$2,200 |
$1,540 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$440 |
$1,099 |
$769 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$280 |
$700 |
$490 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,344 |
$3,360 |
$2,352 |
$259 | |
| CT scan of the abdomen with contrast |
$552 |
$1,379 |
$965 |
$230 | |
| CT scan of the abdomen without contrast |
$126 |
$314 |
$220 |
$136 | |
| CT scan of the arm |
$440 |
$1,099 |
$769 |
$199 | |
| CT scan of the arm with contrast |
$440 |
$1,099 |
$769 |
$199 | |
| CT scan of the arm without contrast |
$454 |
$1,135 |
$795 |
$161 | |
| CT scan of the chest |
$483 |
$1,208 |
$846 |
$167 | |
| CT scan of the chest with and without contrast |
$490 |
$1,225 |
$858 |
$196 | |
| CT scan of the chest with contrast |
$483 |
$1,208 |
$846 |
$167 | |
| CT scan of the chest without contrast |
$126 |
$314 |
$220 |
$133 | |
| CT scan of the head |
$441 |
$1,102 |
$771 |
$148 | |
| CT scan of the head with and without contrast |
$791 |
$1,977 |
$1,384 |
$173 | |
| CT scan of the head with contrast |
$440 |
$1,099 |
$769 |
$148 | |
| CT scan of the head without contrast |
$284 |
$710 |
$497 |
$107 | |
| CT scan of the leg |
$610 |
$1,525 |
$1,068 |
$166 | |
| CT scan of the leg with contrast |
$610 |
$1,525 |
$1,068 |
$166 | |
| CT scan of the leg without contrast |
$461 |
$1,153 |
$807 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$283 |
$707 |
$495 |
$169 | |
| CT scan of the lower back (lumbar spine) with contrast |
$440 |
$1,099 |
$769 |
$169 | |
| CT scan of the neck |
$210 |
$525 |
$368 |
$183 | |
| CT scan of the neck (cervical spine) |
$440 |
$1,099 |
$769 |
$168 | |
| CT scan of the neck (cervical spine) with contrast |
$440 |
$1,099 |
$769 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$440 |
$1,099 |
$769 |
$131 | |
| CT scan of the neck with and without contrast |
$1,402 |
$3,505 |
$2,454 |
$220 | |
| CT scan of the neck with contrast |
$210 |
$525 |
$368 |
$183 | |
| CT scan of the neck without contrast |
$126 |
$314 |
$220 |
$150 | |
| CT scan of the pelvis |
$463 |
$1,158 |
$811 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,433 |
$3,583 |
$2,508 |
$251 | |
| CT scan of the pelvis with contrast |
$440 |
$1,099 |
$769 |
$226 | |
| CT scan of the pelvis without contrast |
$306 |
$766 |
$536 |
$133 | |
| CT scan of the sinuses |
$453 |
$1,133 |
$793 |
$152 | |
| CT scan of the sinuses with and without contrast |
$490 |
$1,225 |
$858 |
$184 | |
| CT scan of the sinuses with contrast |
$210 |
$525 |
$368 |
$152 | |
| CT scan of the sinuses without contrast |
$453 |
$1,133 |
$793 |
$128 | |
| D-dimer test |
$67 |
$168 |
$126 |
$10 | |
| DHEA-sulfate test |
$64 |
$160 |
$120 |
$22 | |
| Diagnostic mammogram |
$152 |
$379 |
$303 |
$140 | |
| Drug screen (urine) |
$77 |
$193 |
$154 |
$17 | |
| Ear pressure test (tympanometry) |
$46 |
$115 |
$92 |
$16 | |
| Ear tubes (myringotomy) |
$1,140 |
$2,851 |
$2,066 |
$174 | |
| Eardrum repair (tympanoplasty) |
$6,728 |
$16,820 |
$13,036 |
$799 | |
| Echocardiogram |
$461 |
$1,152 |
$1,067 |
$138 | |
| Echocardiogram with and without contrast |
$291 |
$727 |
$545 |
$101 | |
| EKG / ECG (tracing only) |
$70 |
$176 |
$141 |
$7 | |
| Electrocardiogram (EKG) |
$70 |
$176 |
$141 |
$8 | |
| Electrolyte panel |
$47 |
$118 |
$89 |
$7 | |
| Emergency department visit |
$292 |
$731 |
$750 |
$69 | |
| Emergency department visit (level 1) |
$92 |
$229 |
$455 |
$11 | |
| Emergency department visit (level 2) |
$166 |
$415 |
$520 |
$40 | |
| Emergency department visit (level 3) |
$292 |
$731 |
$631 |
$69 | |
| Emergency department visit (level 4) |
$459 |
$1,148 |
$777 |
$118 | |
| Emergency department visit (level 5) |
$659 |
$1,648 |
$952 |
$171 | |
| Epidural steroid injection |
$773 |
$1,933 |
$1,353 |
$275 | |
| Estradiol (estrogen) test |
$72 |
$179 |
$134 |
$28 | |
| Facet joint injection (spine) |
$1,054 |
$2,634 |
$1,945 |
$99 | |
| Family therapy session |
$34 |
$84 |
$67 |
$110 | |
| Fecal occult blood (stool) test |
$20 |
$51 |
$38 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$20 |
$51 |
$38 |
$4 | |
| Feeding tube (PEG) placement |
$2,153 |
$5,382 |
$4,171 |
$178 | |
| Ferritin (iron) test |
$56 |
$139 |
$104 |
$14 | |
| Flexible sigmoidoscopy |
$559 |
$1,396 |
$994 |
$323 | |
| Flu test |
$20 |
$50 |
$38 |
$17 | |
| Folate (folic acid) test |
$54 |
$134 |
$101 |
$15 | |
| Foreign body removal (skin) |
$190 |
$475 |
$565 |
$157 | |
| Free T4 thyroid test |
$44 |
$109 |
$82 |
$9 | |
| FSH hormone test |
$60 |
$150 |
$113 |
$19 | |
| GGT liver test |
$30 |
$76 |
$57 |
$7 | |
| Glucose tolerance test |
$57 |
$143 |
$107 |
$8 | |
| Group therapy session |
$28 |
$70 |
$56 |
$30 | |
| Hammertoe repair |
$3,679 |
$9,198 |
$7,128 |
$548 | |
| HDL cholesterol test |
$25 |
$62 |
$47 |
$8 | |
| Hearing test (audiometry) |
$107 |
$269 |
$144 |
$36 | |
| Hematocrit test |
$18 |
$45 |
$34 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$41 |
$102 |
$77 |
$10 | |
| Hepatitis C test |
$56 |
$140 |
$105 |
$14 | |
| Holter heart monitor |
$142 |
$356 |
$285 |
$26 | |
| Hydrocele repair |
$4,378 |
$10,945 |
$8,482 |
$315 | |
| Hysteroscopy |
$3,562 |
$8,906 |
$6,902 |
$1,270 | |
| Iron blood test |
$28 |
$70 |
$53 |
$6 | |
| IV infusion therapy |
$164 |
$411 |
$133 |
$44 | |
| IV infusion therapy (each additional) |
$70 |
$175 |
$125 |
$21 | |
| IV infusion therapy (initial) |
$258 |
$646 |
$452 |
$67 | |
| Joint aspiration (small/intermediate) |
$330 |
$825 |
$619 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$330 |
$825 |
$619 |
$57 | |
| Joint aspiration or injection (small joint) |
$330 |
$825 |
$619 |
$56 | |
| Kidney ultrasound |
$126 |
$314 |
$236 |
$84 | |
| Knee joint injection |
$326 |
$816 |
$615 |
$69 | |
| Lactate test |
$59 |
$148 |
$111 |
$12 | |
| Laryngoscopy |
$225 |
$563 |
$415 |
$189 | |
| LDH test |
$23 |
$58 |
$43 |
$6 | |
| Leg vein ultrasound (Doppler) |
$126 |
$314 |
$554 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$126 |
$314 |
$251 |
$116 | |
| LH hormone test |
$65 |
$163 |
$122 |
$19 | |
| Lipase test |
$51 |
$127 |
$95 |
$7 | |
| Lipid (cholesterol) panel |
$70 |
$174 |
$131 |
$13 | |
| Liver function panel |
$57 |
$143 |
$107 |
$8 | |
| Lung function test (PFT) |
$269 |
$672 |
$335 |
$37 | |
| Magnesium blood test |
$30 |
$74 |
$59 |
$7 | |
| MRA of the brain |
$589 |
$1,474 |
$1,032 |
$226 | |
| MRA of the brain with contrast |
$589 |
$1,474 |
$1,032 |
$226 | |
| MRA of the brain without contrast |
$589 |
$1,474 |
$1,032 |
$328 | |
| MRA of the neck |
$374 |
$934 |
$654 |
$245 | |
| MRA of the neck with contrast |
$250 |
$625 |
$438 |
$245 | |
| MRA of the neck without contrast |
$590 |
$1,474 |
$1,032 |
$343 | |
| MRI of the abdomen |
$465 |
$1,163 |
$814 |
$300 | |
| MRI of the abdomen with contrast |
$465 |
$1,163 |
$814 |
$300 | |
| MRI of the abdomen without contrast |
$374 |
$934 |
$654 |
$194 | |
| MRI of the ankle |
$590 |
$1,474 |
$1,032 |
$261 | |
| MRI of the ankle without contrast |
$374 |
$934 |
$654 |
$222 | |
| MRI of the brain |
$590 |
$1,474 |
$1,032 |
$269 | |
| MRI of the brain with contrast |
$590 |
$1,474 |
$1,032 |
$269 | |
| MRI of the brain without contrast |
$374 |
$934 |
$654 |
$195 | |
| MRI of the chest |
$745 |
$1,863 |
$1,304 |
$371 | |
| MRI of the chest with contrast |
$678 |
$1,696 |
$1,187 |
$371 | |
| MRI of the chest without contrast |
$1,268 |
$3,170 |
$2,219 |
$466 | |
| MRI of the knee |
$374 |
$934 |
$654 |
$315 | |
| MRI of the knee with contrast |
$1,067 |
$2,667 |
$1,867 |
$315 | |
| MRI of the knee without contrast |
$374 |
$934 |
$654 |
$204 | |
| MRI of the lower back (lumbar spine) |
$465 |
$1,163 |
$814 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$465 |
$1,163 |
$814 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$374 |
$934 |
$654 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$589 |
$1,474 |
$1,032 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$589 |
$1,474 |
$1,032 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$634 |
$1,585 |
$1,110 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$374 |
$934 |
$654 |
$190 | |
| MRI of the neck (cervical spine) |
$590 |
$1,474 |
$1,032 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$590 |
$1,474 |
$1,032 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$680 |
$1,701 |
$1,191 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$374 |
$934 |
$654 |
$191 | |
| MRI of the pelvis |
$440 |
$1,099 |
$769 |
$268 | |
| MRI of the pelvis with contrast |
$440 |
$1,099 |
$769 |
$268 | |
| MRI of the pelvis without contrast |
$374 |
$934 |
$654 |
$227 | |
| MRI of the shoulder |
$482 |
$1,204 |
$843 |
$313 | |
| MRI of the shoulder without contrast |
$374 |
$934 |
$654 |
$205 | |
| MRI of the wrist |
$590 |
$1,474 |
$1,032 |
$330 | |
| MRI of the wrist without contrast |
$374 |
$934 |
$654 |
$303 | |
| Nebulizer breathing treatment |
$238 |
$594 |
$416 |
$9 | |
| Nuclear cardiac stress test |
$1,650 |
$4,124 |
$2,887 |
$428 | |
| Occupational therapy evaluation |
$150 |
$376 |
$165 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$150 |
$376 |
$165 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$150 |
$376 |
$165 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$150 |
$376 |
$165 |
$101 | |
| Office visit (established patient) |
$100 |
$250 |
$186 |
$115 | |
| Office visit (new patient) |
$155 |
$387 |
$290 |
$177 | |
| Office visit, established patient (level 3) |
$88 |
$219 |
$153 |
$95 | |
| Office visit, established patient (level 4) |
$129 |
$322 |
$225 |
$136 | |
| Office visit, new patient (level 3) |
$110 |
$274 |
$192 |
$118 | |
| Office visit, new patient (level 4) |
$177 |
$443 |
$310 |
$177 | |
| Office visit, new patient (level 5) |
$210 |
$526 |
$395 |
$237 | |
| Orthopedic hardware removal |
$3,147 |
$7,866 |
$6,088 |
$632 | |
| Parathyroid hormone (PTH) test |
$113 |
$282 |
$212 |
$41 | |
| Pelvic ultrasound |
$138 |
$344 |
$263 |
$78 | |
| Pelvic ultrasound (complete) |
$126 |
$314 |
$236 |
$105 | |
| Pelvic ultrasound (limited) |
$138 |
$344 |
$275 |
$51 | |
| Phosphorus blood test |
$25 |
$62 |
$47 |
$5 | |
| Physical therapy evaluation |
$149 |
$373 |
$212 |
$98 | |
| Physical therapy evaluation (high complexity) |
$149 |
$373 |
$212 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$149 |
$373 |
$212 |
$98 | |
| Pregnancy blood test (hCG) |
$55 |
$137 |
$103 |
$8 | |
| Pregnancy ultrasound |
$149 |
$373 |
$278 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$138 |
$344 |
$258 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$161 |
$402 |
$302 |
$136 | |
| Prolactin test |
$69 |
$173 |
$130 |
$19 | |
| Prostate test (PSA) |
$77 |
$193 |
$142 |
$18 | |
| Psychiatric evaluation |
$172 |
$429 |
$343 |
$188 | |
| Psychotherapy session |
$129 |
$323 |
$288 |
$140 | |
| Pulmonary rehabilitation |
$69 |
$172 |
$120 |
$87 | |
| Radiofrequency nerve ablation |
$2,222 |
$5,555 |
$3,889 |
$462 | |
| Rheumatoid factor test |
$32 |
$79 |
$59 |
$6 | |
| Sacroiliac joint injection |
$108 |
$269 |
$208 |
$176 | |
| Scoliosis spine X-ray |
$120 |
$300 |
$210 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$102 |
$256 |
$179 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$138 |
$344 |
$241 |
$72 | |
| Screening colonoscopy |
$1,024 |
$2,560 |
$1,983 |
$378 | |
| Scrotal ultrasound |
$126 |
$314 |
$236 |
$99 | |
| Sedimentation rate (ESR) test |
$25 |
$63 |
$47 |
$3 | |
| Septoplasty (deviated septum) |
$3,517 |
$8,792 |
$6,814 |
$613 | |
| Sex hormone binding globulin test |
$183 |
$458 |
$344 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$169 |
$424 |
$310 |
$114 | |
| Simple wound stitches |
$182 |
$455 |
$336 |
$127 | |
| Sinus surgery (endoscopic) |
$7,647 |
$19,118 |
$13,383 |
$224 | |
| Skin biopsy |
$61 |
$153 |
$115 |
$121 | |
| Skin biopsy (punch) |
$61 |
$153 |
$115 |
$121 | |
| Skin tag removal |
$31 |
$78 |
$59 |
$92 | |
| Sleep study (polysomnography) |
$1,176 |
$2,941 |
$2,058 |
$691 | |
| Speech therapy |
$113 |
$282 |
$165 |
$76 | |
| Spinal cord stimulator |
$8,163 |
$20,407 |
$15,815 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$812 |
$2,030 |
$1,086 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$8,176 |
$20,440 |
$15,841 |
$5,803 | |
| Spirometry (lung function test) |
$179 |
$447 |
$313 |
$30 | |
| Spirometry with bronchodilator |
$359 |
$897 |
$628 |
$43 | |
| Strep throat test |
$24 |
$59 |
$43 |
$17 | |
| Stress echocardiogram |
$610 |
$1,525 |
$1,068 |
$209 | |
| Swallow study |
$92 |
$229 |
$154 |
$85 | |
| T3 thyroid test |
$57 |
$143 |
$107 |
$14 | |
| Testosterone test |
$64 |
$159 |
$118 |
$26 | |
| Thyroid test (TSH) |
$57 |
$142 |
$107 |
$17 | |
| Thyroid ultrasound |
$126 |
$314 |
$236 |
$109 | |
| Tilt table test |
$580 |
$1,450 |
$1,088 |
$168 | |
| Tonsillectomy |
$5,141 |
$12,852 |
$9,686 |
$252 | |
| Total IgE allergy test |
$48 |
$119 |
$89 |
$16 | |
| Transvaginal ultrasound |
$132 |
$329 |
$246 |
$118 | |
| Trigger finger release |
$1,808 |
$4,519 |
$3,502 |
$630 | |
| Trigger point injection |
$190 |
$475 |
$339 |
$56 | |
| Trigger point injection (1-2 muscles) |
$326 |
$816 |
$571 |
$52 | |
| Triglycerides test |
$23 |
$58 |
$43 |
$6 | |
| Troponin (heart) test |
$87 |
$217 |
$163 |
$12 | |
| Turbinate reduction |
$3,681 |
$9,203 |
$7,132 |
$294 | |
| Upper GI endoscopy (EGD) |
$1,073 |
$2,682 |
$2,069 |
$371 | |
| Uric acid (gout) test |
$23 |
$58 |
$44 |
$5 | |
| Urinalysis |
$21 |
$53 |
$39 |
$3 | |
| Urine microalbumin test |
$21 |
$53 |
$40 |
$5 | |
| Urine pregnancy test |
$26 |
$66 |
$47 |
$9 | |
| Vaccine administration |
$78 |
$196 |
$157 |
$19 | |
| Vaccine administration (each additional) |
$16 |
$41 |
$33 |
$16 | |
| Vitamin B12 test |
$70 |
$174 |
$129 |
$15 | |
| Vitamin D test |
$86 |
$216 |
$162 |
$30 | |
| Well-child visit |
$118 |
$296 |
$214 |
— | |
| Wound debridement |
$470 |
$1,175 |
$911 |
$186 | |
| X-ray of the abdomen |
$120 |
$300 |
$210 |
$36 | |
| X-ray of the ankle |
$90 |
$224 |
$157 |
$37 | |
| X-ray of the collarbone |
$104 |
$260 |
$182 |
$33 | |
| X-ray of the facial bones |
$121 |
$302 |
$211 |
$39 | |
| X-ray of the foot |
$104 |
$260 |
$182 |
$34 | |
| X-ray of the forearm |
$104 |
$260 |
$182 |
$29 | |
| X-ray of the hand |
$104 |
$260 |
$182 |
$38 | |
| X-ray of the hip |
$110 |
$274 |
$192 |
$49 | |
| X-ray of the hip (3 views) |
$110 |
$274 |
$192 |
$49 | |
| X-ray of the knee |
$99 |
$247 |
$173 |
$42 | |
| X-ray of the knee (2 views) |
$90 |
$226 |
$158 |
$34 | |
| X-ray of the knee (3 views) |
$88 |
$221 |
$155 |
$42 | |
| X-ray of the knee (4+ views) |
$99 |
$247 |
$173 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$138 |
$344 |
$241 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$138 |
$344 |
$241 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$138 |
$344 |
$241 |
$53 | |
| X-ray of the lower leg |
$84 |
$211 |
$148 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$138 |
$344 |
$241 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$138 |
$344 |
$241 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$133 |
$332 |
$232 |
$39 | |
| X-ray of the neck (cervical spine) |
$126 |
$314 |
$220 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$126 |
$314 |
$220 |
$40 | |
| X-ray of the pelvis |
$138 |
$344 |
$241 |
$36 | |
| X-ray of the pelvis (1 view) |
$138 |
$344 |
$241 |
$28 | |
| X-ray of the ribs |
$115 |
$287 |
$201 |
$42 | |
| X-ray of the ribs (2 views) |
$104 |
$260 |
$182 |
$36 | |
| X-ray of the ribs (3 views) |
$126 |
$314 |
$220 |
$42 | |
| X-ray of the shoulder |
$89 |
$222 |
$155 |
$36 | |
| X-ray of the skull |
$138 |
$344 |
$241 |
$40 | |
| X-ray of the upper arm |
$104 |
$260 |
$182 |
$32 | |
| X-ray of the wrist |
$84 |
$211 |
$148 |
$43 | |