| Abdominal fluid drain (paracentesis) |
— |
$4,963 |
$4,963 |
$284 | |
| Abdominal ultrasound |
— |
$4,410 |
$4,410 |
$100 | |
| Abdominal ultrasound (complete) |
— |
$4,410 |
$4,410 |
$114 | |
| Abdominal ultrasound (limited) |
— |
$4,410 |
$4,410 |
$86 | |
| Abscess drainage (complex or multiple) |
— |
$1,701 |
$1,701 |
$220 | |
| Abscess drainage (simple) |
— |
$992 |
$992 |
$129 | |
| Abscess incision and drainage |
— |
$1,347 |
$1,347 |
$174 | |
| Albumin blood test |
— |
$5 |
$5 |
$5 | |
| Aldosterone test |
— |
$41 |
$41 |
$41 | |
| Alkaline phosphatase test |
— |
$5 |
$5 |
$5 | |
| Alpha-fetoprotein (AFP) test |
— |
$17 |
$17 |
$17 | |
| Ammonia blood test |
— |
$15 |
$15 |
$15 | |
| Amylase test |
— |
$6 |
$6 |
$6 | |
| Antinuclear antibody (ANA) test |
— |
$12 |
$12 |
$12 | |
| AST liver enzyme test |
— |
$5 |
$5 |
$5 | |
| Barium swallow study |
— |
$4,050 |
$4,050 |
$107 | |
| Basic metabolic panel |
— |
$8 |
$8 |
$8 | |
| Bilirubin blood test |
— |
$5 |
$5 |
$5 | |
| Blood clotting test (PT/INR) |
— |
$4 |
$4 |
$4 | |
| Blood crossmatch |
— |
$1 |
$1 |
— | |
| Blood type and screen |
— |
$10 |
$10 |
$10 | |
| Blood type test |
— |
$3 |
$3 |
$3 | |
| Blood type test (ABO group) |
— |
$3 |
$3 |
$3 | |
| BNP (heart failure) test |
— |
$39 |
$39 |
$39 | |
| Breast ultrasound |
— |
$2,225 |
$2,225 |
$92 | |
| Breast ultrasound (complete) |
— |
$2,225 |
$2,225 |
$100 | |
| Breathing tube insertion (intubation) |
— |
$689 |
$689 |
$133 | |
| Bronchoscopy |
— |
$6,440 |
$6,440 |
$303 | |
| Burn dressing and debridement (medium) |
— |
$835 |
$835 |
$166 | |
| Burn dressing and debridement (small) |
— |
$835 |
$835 |
$93 | |
| Burn treatment |
— |
$835 |
$835 |
$129 | |
| CA 19-9 tumor marker test |
— |
$21 |
$21 |
$21 | |
| Calcium blood test |
— |
$5 |
$5 |
$5 | |
| Carotid artery ultrasound |
— |
$1,017 |
$1,017 |
$156 | |
| CEA tumor marker test |
— |
$19 |
$19 |
$19 | |
| Chest fluid drain (thoracentesis) |
— |
$9,590 |
$9,590 |
$311 | |
| Chest X-ray |
— |
$1,510 |
$1,510 |
$37 | |
| Chest X-ray (1 view) |
— |
$1,510 |
$1,510 |
$25 | |
| Chest X-ray (2 views) |
— |
$2,300 |
$2,300 |
$33 | |
| CK-MB heart enzyme test |
— |
$12 |
$12 |
$12 | |
| Clotting time test (PTT) |
— |
$6 |
$6 |
$6 | |
| Complete blood count (CBC) |
— |
$7 |
$7 |
$7 | |
| Complete blood count (CBC) (complete) |
— |
$8 |
$8 |
$8 | |
| Comprehensive metabolic panel |
— |
$11 |
$11 |
$11 | |
| Coronary CT angiography |
— |
$2,404 |
$2,404 |
$326 | |
| Cortisol test |
— |
$16 |
$16 |
$16 | |
| COVID-19 PCR test |
— |
$101 |
$101 |
$51 | |
| CPAP titration study |
— |
$4,904 |
$4,904 |
$69 | |
| Creatine kinase (CK) test |
— |
$7 |
$7 |
$7 | |
| CT angiography of the chest |
— |
$1,342 |
$1,342 |
$281 | |
| CT angiography of the head |
— |
$1,867 |
$1,867 |
$274 | |
| CT scan of the abdomen |
— |
$11,321 |
$11,321 |
$230 | |
| CT scan of the abdomen and pelvis |
— |
$4,543 |
$4,543 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
— |
$4,543 |
$4,543 |
$183 | |
| CT scan of the abdomen with and without contrast |
— |
$1,770 |
$1,770 |
$259 | |
| CT scan of the abdomen with contrast |
— |
$11,321 |
$11,321 |
$230 | |
| CT scan of the abdomen without contrast |
— |
$11,321 |
$11,321 |
$136 | |
| CT scan of the arm |
— |
$1,316 |
$1,316 |
$199 | |
| CT scan of the arm with contrast |
— |
$1,316 |
$1,316 |
$199 | |
| CT scan of the arm without contrast |
— |
$1,072 |
$1,072 |
$161 | |
| CT scan of the chest |
— |
$11,321 |
$11,321 |
$167 | |
| CT scan of the chest with and without contrast |
— |
$1,232 |
$1,232 |
$196 | |
| CT scan of the chest with contrast |
— |
$11,321 |
$11,321 |
$167 | |
| CT scan of the chest without contrast |
— |
$11,321 |
$11,321 |
$133 | |
| CT scan of the head |
— |
$11,321 |
$11,321 |
$148 | |
| CT scan of the head with and without contrast |
— |
$5,376 |
$5,376 |
$173 | |
| CT scan of the head with contrast |
— |
$11,321 |
$11,321 |
$148 | |
| CT scan of the head without contrast |
— |
$11,321 |
$11,321 |
$107 | |
| CT scan of the leg |
— |
$1,328 |
$1,328 |
$166 | |
| CT scan of the leg with contrast |
— |
$1,328 |
$1,328 |
$166 | |
| CT scan of the leg without contrast |
— |
$1,072 |
$1,072 |
$130 | |
| CT scan of the lower back (lumbar spine) |
— |
$954 |
$954 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
— |
$954 |
$954 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
— |
$11,321 |
$11,321 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
— |
$1,072 |
$1,072 |
$130 | |
| CT scan of the neck |
— |
$1,129 |
$1,129 |
$183 | |
| CT scan of the neck (cervical spine) |
— |
$1,199 |
$1,199 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
— |
$1,199 |
$1,199 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
— |
$1,395 |
$1,395 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
— |
$1,072 |
$1,072 |
$131 | |
| CT scan of the neck with and without contrast |
— |
$677 |
$677 |
$220 | |
| CT scan of the neck with contrast |
— |
$1,361 |
$1,361 |
$183 | |
| CT scan of the neck without contrast |
— |
$1,129 |
$1,129 |
$150 | |
| CT scan of the pelvis |
— |
$11,321 |
$11,321 |
$226 | |
| CT scan of the pelvis with contrast |
— |
$11,321 |
$11,321 |
$226 | |
| CT scan of the pelvis without contrast |
— |
$11,321 |
$11,321 |
$133 | |
| CT scan of the sinuses |
— |
$1,349 |
$1,349 |
$152 | |
| CT scan of the sinuses with and without contrast |
— |
$1,349 |
$1,349 |
$184 | |
| CT scan of the sinuses with contrast |
— |
$747 |
$747 |
$152 | |
| CT scan of the sinuses without contrast |
— |
$6,752 |
$6,752 |
$128 | |
| D-dimer test |
— |
$10 |
$10 |
$10 | |
| Ear pressure test (tympanometry) |
— |
$128 |
$128 |
$16 | |
| Echocardiogram |
— |
$83 |
$83 |
$138 | |
| Echocardiogram with and without contrast |
— |
$411 |
$411 |
$101 | |
| EKG / ECG (tracing only) |
— |
$211 |
$211 |
$7 | |
| Electrocardiogram (EKG) |
— |
$211 |
$211 |
$8 | |
| Electrolyte panel |
— |
$7 |
$7 |
$7 | |
| Electromyography (EMG) |
— |
$427 |
$427 |
$141 | |
| Fecal occult blood (stool) test |
— |
$4 |
$4 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
— |
$4 |
$4 |
$4 | |
| Feeding tube (PEG) placement |
— |
$13,444 |
$13,444 |
$178 | |
| Ferritin (iron) test |
— |
$14 |
$14 |
$14 | |
| Fibrinogen test |
— |
$10 |
$10 |
$10 | |
| Flexible sigmoidoscopy |
— |
$3,386 |
$3,386 |
$323 | |
| Folate (folic acid) test |
— |
$15 |
$15 |
$15 | |
| Free T4 thyroid test |
— |
$9 |
$9 |
$9 | |
| HDL cholesterol test |
— |
$43 |
$43 |
$8 | |
| Hematocrit test |
— |
$2 |
$2 |
$2 | |
| Hemodialysis |
— |
$11,201 |
$11,201 |
$75 | |
| Hemoglobin A1c (diabetes test) |
— |
$10 |
$10 |
$10 | |
| Hepatitis B test |
— |
$10 |
$10 |
$10 | |
| Hepatitis C test |
— |
$14 |
$14 |
$14 | |
| HIV test |
— |
$24 |
$24 |
$19 | |
| HIV test (antigen/antibody combo) |
— |
$24 |
$24 |
$24 | |
| Iron blood test |
— |
$6 |
$6 |
$6 | |
| Kidney ultrasound |
— |
$503 |
$503 |
$84 | |
| Lactate test |
— |
$12 |
$12 |
$12 | |
| Laryngoscopy |
— |
$2,624 |
$2,624 |
$189 | |
| LDH test |
— |
$6 |
$6 |
$6 | |
| LDL cholesterol test |
— |
$11 |
$11 |
$11 | |
| Leg vein ultrasound (Doppler) |
— |
$412 |
$412 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
— |
$397 |
$397 |
$116 | |
| Lipase test |
— |
$7 |
$7 |
$7 | |
| Lipid (cholesterol) panel |
— |
$13 |
$13 |
$13 | |
| Liver function panel |
— |
$8 |
$8 |
$8 | |
| Lung function test (PFT) |
— |
$1,013 |
$1,013 |
$37 | |
| Magnesium blood test |
— |
$7 |
$7 |
$7 | |
| MRA of the brain |
— |
$1,764 |
$1,764 |
$226 | |
| MRI of the abdomen |
— |
$2,827 |
$2,827 |
$300 | |
| MRI of the abdomen with contrast |
— |
$2,290 |
$2,290 |
$300 | |
| MRI of the abdomen without contrast |
— |
$4,819 |
$4,819 |
$194 | |
| MRI of the ankle |
— |
$1,797 |
$1,797 |
$261 | |
| MRI of the ankle with contrast |
— |
$1,795 |
$1,795 |
$261 | |
| MRI of the ankle without contrast |
— |
$1,797 |
$1,797 |
$222 | |
| MRI of the brain |
— |
$18,861 |
$18,861 |
$269 | |
| MRI of the brain with contrast |
— |
$18,861 |
$18,861 |
$269 | |
| MRI of the brain without contrast |
— |
$18,861 |
$18,861 |
$195 | |
| MRI of the chest |
— |
$1,395 |
$1,395 |
$371 | |
| MRI of the chest with contrast |
— |
$2,711 |
$2,711 |
$371 | |
| MRI of the chest without contrast |
— |
$1,395 |
$1,395 |
$466 | |
| MRI of the knee |
— |
$2,710 |
$2,710 |
$315 | |
| MRI of the knee with contrast |
— |
$2,710 |
$2,710 |
$315 | |
| MRI of the knee without contrast |
— |
$1,801 |
$1,801 |
$204 | |
| MRI of the lower back (lumbar spine) |
— |
$2,304 |
$2,304 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
— |
$2,304 |
$2,304 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
— |
$1,826 |
$1,826 |
$192 | |
| MRI of the mid-back (thoracic spine) |
— |
$2,314 |
$2,314 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
— |
$2,900 |
$2,900 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
— |
$2,314 |
$2,314 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
— |
$1,852 |
$1,852 |
$190 | |
| MRI of the neck (cervical spine) |
— |
$2,332 |
$2,332 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
— |
$2,900 |
$2,900 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
— |
$2,332 |
$2,332 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
— |
$1,852 |
$1,852 |
$191 | |
| MRI of the pelvis |
— |
$2,829 |
$2,829 |
$268 | |
| MRI of the pelvis with contrast |
— |
$2,292 |
$2,292 |
$268 | |
| MRI of the pelvis without contrast |
— |
$4,231 |
$4,231 |
$227 | |
| MRI of the shoulder |
— |
$1,802 |
$1,802 |
$313 | |
| MRI of the shoulder without contrast |
— |
$1,802 |
$1,802 |
$205 | |
| MRI of the wrist |
— |
$1,615 |
$1,615 |
$330 | |
| MRI of the wrist with contrast |
— |
$1,791 |
$1,791 |
$330 | |
| MRI of the wrist without contrast |
— |
$1,615 |
$1,615 |
$303 | |
| Nebulizer breathing treatment |
— |
$962 |
$962 |
$9 | |
| Occupational therapy evaluation |
— |
$1,889 |
$1,889 |
$101 | |
| Occupational therapy evaluation (high complexity) |
— |
$1,889 |
$1,889 |
$101 | |
| Occupational therapy evaluation (low complexity) |
— |
$1,889 |
$1,889 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
— |
$1,889 |
$1,889 |
$101 | |
| Office visit (established patient) |
— |
$254 |
$254 |
$115 | |
| Office visit (new patient) |
— |
$510 |
$510 |
$177 | |
| Office visit, established patient (level 3) |
— |
$199 |
$199 |
$95 | |
| Office visit, established patient (level 4) |
— |
$308 |
$308 |
$136 | |
| Office visit, new patient (level 3) |
— |
$301 |
$301 |
$118 | |
| Office visit, new patient (level 4) |
— |
$510 |
$510 |
$177 | |
| Office visit, new patient (level 5) |
— |
$655 |
$655 |
$237 | |
| Parathyroid hormone (PTH) test |
— |
$41 |
$41 |
$41 | |
| Pelvic ultrasound |
— |
$2,921 |
$2,921 |
$78 | |
| Pelvic ultrasound (complete) |
— |
$2,921 |
$2,921 |
$105 | |
| Phosphorus blood test |
— |
$5 |
$5 |
$5 | |
| Physical therapy evaluation |
— |
$1,889 |
$1,889 |
$98 | |
| Physical therapy evaluation (high complexity) |
— |
$1,889 |
$1,889 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
— |
$1,889 |
$1,889 |
$98 | |
| Platelet count |
— |
$4 |
$4 |
$4 | |
| Pregnancy blood test (hCG) |
— |
$8 |
$8 |
$8 | |
| Procalcitonin test |
— |
$27 |
$27 |
$27 | |
| Prolactin test |
— |
$19 |
$19 |
$19 | |
| Prostate test (PSA) |
— |
$18 |
$18 |
$18 | |
| Sedimentation rate (ESR) test |
— |
$3 |
$3 |
$3 | |
| Skin biopsy |
— |
$1,485 |
$1,485 |
$121 | |
| Skin biopsy (punch) |
— |
$835 |
$835 |
$121 | |
| Speech therapy |
— |
$839 |
$839 |
$76 | |
| Spirometry with bronchodilator |
— |
$1,013 |
$1,013 |
$43 | |
| Swallow study |
— |
$1,825 |
$1,825 |
$85 | |
| T3 thyroid test |
— |
$14 |
$14 |
$14 | |
| Testosterone test |
— |
$26 |
$26 |
$26 | |
| Thyroid test (TSH) |
— |
$17 |
$17 |
$17 | |
| Thyroid ultrasound |
— |
$1,765 |
$1,765 |
$109 | |
| Total protein test |
— |
$4 |
$4 |
$4 | |
| Tracheostomy |
— |
$11,023 |
$11,023 |
$273 | |
| Triglycerides test |
— |
$6 |
$6 |
$6 | |
| Troponin (heart) test |
— |
$12 |
$12 |
$12 | |
| Upper GI endoscopy (EGD) |
— |
$6,501 |
$6,501 |
$371 | |
| Urinalysis |
— |
$3 |
$3 |
$3 | |
| Urine microalbumin test |
— |
$5 |
$5 |
$5 | |
| Vitamin B12 test |
— |
$15 |
$15 |
$15 | |
| Vitamin D test |
— |
$30 |
$30 |
$30 | |
| Wound debridement |
— |
$2,091 |
$2,091 |
$186 | |
| X-ray of the abdomen |
— |
$2,824 |
$2,824 |
$36 | |
| X-ray of the ankle |
— |
$1,363 |
$1,363 |
$37 | |
| X-ray of the collarbone |
— |
$4,020 |
$4,020 |
$33 | |
| X-ray of the elbow |
— |
$1,344 |
$1,344 |
$33 | |
| X-ray of the facial bones |
— |
$1,889 |
$1,889 |
$39 | |
| X-ray of the foot |
— |
$2,953 |
$2,953 |
$34 | |
| X-ray of the forearm |
— |
$1,510 |
$1,510 |
$29 | |
| X-ray of the hand |
— |
$2,268 |
$2,268 |
$38 | |
| X-ray of the hip |
— |
$392 |
$392 |
$49 | |
| X-ray of the hip (1 view) |
— |
$175 |
$175 |
$34 | |
| X-ray of the hip (4 views) |
— |
$402 |
$402 |
$63 | |
| X-ray of the knee |
— |
$140 |
$140 |
$42 | |
| X-ray of the knee (2 views) |
— |
$94 |
$94 |
$34 | |
| X-ray of the knee (4+ views) |
— |
$186 |
$186 |
$49 | |
| X-ray of the lower back (lumbar spine) |
— |
$5,319 |
$5,319 |
$47 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
— |
$5,319 |
$5,319 |
$53 | |
| X-ray of the lower leg |
— |
$2,268 |
$2,268 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
— |
$158 |
$158 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
— |
$150 |
$150 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
— |
$167 |
$167 |
$39 | |
| X-ray of the neck (cervical spine) |
— |
$2,953 |
$2,953 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
— |
$2,953 |
$2,953 |
$40 | |
| X-ray of the pelvis |
— |
$183 |
$183 |
$36 | |
| X-ray of the pelvis (1 view) |
— |
$183 |
$183 |
$28 | |
| X-ray of the ribs |
— |
$225 |
$225 |
$42 | |
| X-ray of the ribs (3 views) |
— |
$152 |
$152 |
$42 | |
| X-ray of the shoulder |
— |
$4,989 |
$4,989 |
$36 | |
| X-ray of the skull |
— |
$2,520 |
$2,520 |
$40 | |
| X-ray of the upper arm |
— |
$129 |
$129 |
$32 | |
| X-ray of the wrist |
— |
$4,520 |
$4,520 |
$43 | |
| Zinc blood test |
— |
$11 |
$11 |
$11 | |