| 3D mammogram (tomosynthesis) |
$118 |
$147 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,571 |
$1,964 |
— |
$284 | |
| Abdominal ultrasound |
$1,162 |
$1,452 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$1,446 |
$1,807 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$1,162 |
$1,452 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$626 |
$783 |
— |
$220 | |
| Abscess drainage (simple) |
$925 |
$1,157 |
— |
$129 | |
| Abscess incision and drainage |
$626 |
$783 |
— |
$174 | |
| Albumin blood test |
$66 |
$82 |
— |
$5 | |
| Aldosterone test |
$845 |
$1,056 |
— |
$41 | |
| Alkaline phosphatase test |
$84 |
$106 |
— |
$5 | |
| Allergy testing |
$53 |
$66 |
— |
$4 | |
| Alpha-fetoprotein (AFP) test |
$148 |
$185 |
— |
$17 | |
| ALT liver enzyme test |
$49 |
$61 |
— |
$5 | |
| Ammonia blood test |
$76 |
$96 |
— |
$15 | |
| Amniocentesis |
$731 |
$914 |
— |
$120 | |
| Amylase test |
$161 |
$201 |
— |
$6 | |
| Antinuclear antibody (ANA) test |
$141 |
$176 |
— |
$12 | |
| Arterial blood gas (ABG) |
$373 |
$466 |
— |
$26 | |
| AST liver enzyme test |
$88 |
$110 |
— |
$5 | |
| Barium swallow study |
$1,073 |
$1,341 |
— |
$107 | |
| Bartholin cyst removal |
$1,106 |
$1,382 |
— |
$182 | |
| Basic metabolic panel |
$215 |
$269 |
— |
$8 | |
| Bilirubin blood test |
$49 |
$61 |
— |
$5 | |
| Blood clotting test (PT/INR) |
$93 |
$116 |
— |
$4 | |
| Blood crossmatch |
$140 |
$175 |
— |
— | |
| Blood glucose test |
$124 |
$155 |
— |
$5 | |
| Blood transfusion |
$1,801 |
$2,252 |
— |
$47 | |
| Blood type and screen |
$234 |
$292 |
— |
$10 | |
| Blood type test |
$104 |
$130 |
— |
$3 | |
| Blood type test (ABO group) |
$104 |
$130 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$80 |
$100 |
— |
$3 | |
| BNP (heart failure) test |
$201 |
$251 |
— |
$39 | |
| Bone density scan (DEXA) |
$761 |
$951 |
— |
$39 | |
| Bone marrow biopsy |
$2,315 |
$2,894 |
— |
$172 | |
| Bone scan (nuclear) |
$3,220 |
$4,025 |
— |
$259 | |
| Breast biopsy |
$2,516 |
$3,145 |
— |
$478 | |
| Breast MRI |
$4,214 |
$5,268 |
— |
$216 | |
| Breast MRI without contrast |
$5,372 |
$6,715 |
— |
$216 | |
| Breast ultrasound |
$518 |
$648 |
— |
$92 | |
| Breast ultrasound (complete) |
$518 |
$648 |
— |
$100 | |
| Breast ultrasound (limited) |
$518 |
$648 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$1,713 |
$2,142 |
— |
$133 | |
| Burn dressing and debridement (medium) |
$1,544 |
$1,931 |
— |
$166 | |
| Burn dressing and debridement (small) |
$865 |
$1,081 |
— |
$93 | |
| Burn treatment |
$865 |
$1,081 |
— |
$129 | |
| C-reactive protein (CRP) |
$117 |
$147 |
— |
$5 | |
| CA 19-9 tumor marker test |
$217 |
$272 |
— |
$21 | |
| CA-125 ovarian marker test |
$258 |
$322 |
— |
$21 | |
| Calcium blood test |
$87 |
$109 |
— |
$5 | |
| Cardiac ablation |
$20,413 |
$25,516 |
— |
$759 | |
| Cardiac rehabilitation |
$250 |
$312 |
— |
$26 | |
| Cardiac stress test |
$1,342 |
$1,677 |
— |
$39 | |
| Cardioversion |
$2,062 |
$2,578 |
— |
$155 | |
| Carotid artery ultrasound |
$1,167 |
$1,459 |
— |
$156 | |
| CEA tumor marker test |
$590 |
$738 |
— |
$19 | |
| Central line placement |
$2,574 |
$3,218 |
— |
$238 | |
| Chemotherapy infusion |
$454 |
$567 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$268 |
$335 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$639 |
$799 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,806 |
$2,257 |
— |
$311 | |
| Chest tube insertion |
$4,918 |
$6,148 |
— |
$143 | |
| Chest X-ray |
$347 |
$434 |
— |
$37 | |
| Chest X-ray (1 view) |
$269 |
$336 |
— |
$25 | |
| Chest X-ray (2 views) |
$317 |
$396 |
— |
$33 | |
| CK-MB heart enzyme test |
$263 |
$329 |
— |
$12 | |
| Clotting time test (PTT) |
$87 |
$109 |
— |
$6 | |
| Complete blood count (CBC) |
$119 |
$149 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$130 |
$163 |
— |
$8 | |
| Complex wound repair |
$4,750 |
$5,937 |
— |
$390 | |
| Comprehensive metabolic panel |
$300 |
$375 |
— |
$11 | |
| Copper blood test |
$183 |
$229 |
— |
$12 | |
| Coronary CT angiography |
$3,183 |
$3,979 |
— |
$326 | |
| Cortisol test |
$199 |
$249 |
— |
$16 | |
| COVID-19 PCR test |
$68 |
$85 |
— |
$51 | |
| CPAP titration study |
$517 |
$646 |
— |
$69 | |
| Creatine kinase (CK) test |
$118 |
$148 |
— |
$7 | |
| CT angiography of the chest |
$3,183 |
$3,979 |
— |
$281 | |
| CT angiography of the head |
$3,335 |
$4,169 |
— |
$274 | |
| CT colonography (virtual colonoscopy) |
$2,030 |
$2,537 |
— |
$835 | |
| CT scan of the abdomen |
$2,710 |
$3,387 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$6,005 |
$7,506 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$6,075 |
$7,594 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$6,005 |
$7,506 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$5,098 |
$6,373 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$3,264 |
$4,080 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$2,710 |
$3,387 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$2,639 |
$3,299 |
— |
$136 | |
| CT scan of the arm |
$3,274 |
$4,092 |
— |
$199 | |
| CT scan of the arm with contrast |
$3,274 |
$4,092 |
— |
$199 | |
| CT scan of the arm without contrast |
$2,339 |
$2,924 |
— |
$161 | |
| CT scan of the chest |
$2,886 |
$3,607 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$3,306 |
$4,132 |
— |
$196 | |
| CT scan of the chest with contrast |
$2,886 |
$3,607 |
— |
$167 | |
| CT scan of the chest without contrast |
$2,515 |
$3,144 |
— |
$133 | |
| CT scan of the head |
$2,646 |
$3,307 |
— |
$148 | |
| CT scan of the head with and without contrast |
$2,687 |
$3,359 |
— |
$173 | |
| CT scan of the head with contrast |
$2,646 |
$3,307 |
— |
$148 | |
| CT scan of the head without contrast |
$2,498 |
$3,122 |
— |
$107 | |
| CT scan of the leg |
$3,264 |
$4,080 |
— |
$166 | |
| CT scan of the leg with contrast |
$3,144 |
$3,930 |
— |
$166 | |
| CT scan of the leg without contrast |
$2,734 |
$3,417 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$3,336 |
$4,170 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$3,472 |
$4,340 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$3,303 |
$4,129 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$3,336 |
$4,170 |
— |
$130 | |
| CT scan of the neck |
$2,697 |
$3,371 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$3,158 |
$3,947 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$3,330 |
$4,163 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$2,503 |
$3,129 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$3,158 |
$3,947 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$2,774 |
$3,467 |
— |
$220 | |
| CT scan of the neck with contrast |
$2,697 |
$3,371 |
— |
$183 | |
| CT scan of the neck without contrast |
$2,404 |
$3,005 |
— |
$150 | |
| CT scan of the pelvis |
$2,962 |
$3,703 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$3,160 |
$3,950 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$2,962 |
$3,703 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$2,574 |
$3,217 |
— |
$133 | |
| CT scan of the sinuses |
$3,170 |
$3,962 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$3,640 |
$4,550 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$2,766 |
$3,457 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$2,822 |
$3,527 |
— |
$128 | |
| D-dimer test |
$137 |
$171 |
— |
$10 | |
| Defibrillator (ICD) implant |
$29,095 |
$36,369 |
— |
$798 | |
| Developmental screening (child) |
$219 |
$274 |
— |
— | |
| DHEA-sulfate test |
$376 |
$470 |
— |
$22 | |
| Diagnostic mammogram |
$604 |
$755 |
— |
$140 | |
| Drug screen (urine) |
$423 |
$529 |
— |
$17 | |
| Echocardiogram |
$2,017 |
$2,521 |
— |
$138 | |
| Echocardiogram with and without contrast |
$1,002 |
$1,253 |
— |
$101 | |
| EKG / ECG (tracing only) |
$484 |
$605 |
— |
$7 | |
| Electrocardiogram (EKG) |
$484 |
$605 |
— |
$8 | |
| Electrolyte panel |
$177 |
$221 |
— |
$7 | |
| Emergency department visit |
$648 |
$810 |
— |
$69 | |
| Emergency department visit (level 1) |
$183 |
$229 |
— |
$11 | |
| Emergency department visit (level 2) |
$380 |
$475 |
— |
$40 | |
| Emergency department visit (level 3) |
$648 |
$810 |
— |
$69 | |
| Emergency department visit (level 4) |
$1,026 |
$1,283 |
— |
$118 | |
| Emergency department visit (level 5) |
$1,707 |
$2,134 |
— |
$171 | |
| Epidural steroid injection |
$1,001 |
$1,251 |
— |
$275 | |
| Estradiol (estrogen) test |
$285 |
$356 |
— |
$28 | |
| Fallopian tube X-ray (HSG) |
$760 |
$951 |
— |
$164 | |
| Fecal occult blood (stool) test |
$87 |
$109 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$59 |
$74 |
— |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$87 |
$109 |
— |
$16 | |
| Ferritin (iron) test |
$188 |
$235 |
— |
$14 | |
| Fibrinogen test |
$109 |
$137 |
— |
$10 | |
| Flu test |
$249 |
$311 |
— |
$17 | |
| Folate (folic acid) test |
$283 |
$354 |
— |
$15 | |
| Foreign body removal (skin) |
$612 |
$765 |
— |
$157 | |
| Free T4 thyroid test |
$133 |
$166 |
— |
$9 | |
| FSH hormone test |
$156 |
$195 |
— |
$19 | |
| Gallbladder scan (HIDA) |
$2,865 |
$3,582 |
— |
$334 | |
| GGT liver test |
$49 |
$61 |
— |
$7 | |
| Glucose tolerance test |
$114 |
$143 |
— |
$8 | |
| H. pylori test |
$328 |
$410 |
— |
$67 | |
| HDL cholesterol test |
$126 |
$157 |
— |
$8 | |
| Hematocrit test |
$88 |
$110 |
— |
$2 | |
| Hemoglobin A1c (diabetes test) |
$79 |
$99 |
— |
$10 | |
| Hepatitis B test |
$196 |
$245 |
— |
$10 | |
| Hepatitis C test |
$294 |
$368 |
— |
$14 | |
| HIV test |
$398 |
$498 |
— |
$19 | |
| HIV test (antibody) |
$182 |
$228 |
— |
$14 | |
| HIV test (antigen/antibody combo) |
$614 |
$767 |
— |
$24 | |
| Holter heart monitor |
$614 |
$767 |
— |
$26 | |
| Home sleep apnea test |
$523 |
$654 |
— |
$123 | |
| Iron blood test |
$134 |
$168 |
— |
$6 | |
| IUD removal |
$263 |
$329 |
— |
$112 | |
| IV infusion therapy |
$473 |
$592 |
— |
$44 | |
| IV infusion therapy (each additional) |
$279 |
$349 |
— |
$21 | |
| IV infusion therapy (initial) |
$667 |
$834 |
— |
$67 | |
| Joint aspiration (small/intermediate) |
$1,117 |
$1,396 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$423 |
$529 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$1,128 |
$1,410 |
— |
$56 | |
| Kidney scan (nuclear) |
$9,596 |
$11,995 |
— |
$172 | |
| Kidney ultrasound |
$1,150 |
$1,438 |
— |
$84 | |
| Kidney ultrasound (limited) |
$989 |
$1,236 |
— |
$61 | |
| Knee joint injection |
$1,098 |
$1,372 |
— |
$69 | |
| Lactate test |
$208 |
$260 |
— |
$12 | |
| LDH test |
$63 |
$79 |
— |
$6 | |
| LDL cholesterol test |
$94 |
$118 |
— |
$11 | |
| Leg vein ultrasound (Doppler) |
$1,383 |
$1,729 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,383 |
$1,729 |
— |
$116 | |
| LH hormone test |
$410 |
$513 |
— |
$19 | |
| Lipase test |
$256 |
$321 |
— |
$7 | |
| Lipid (cholesterol) panel |
$195 |
$244 |
— |
$13 | |
| Liver biopsy |
$2,241 |
$2,801 |
— |
$288 | |
| Liver function panel |
$218 |
$272 |
— |
$8 | |
| Lung function test (PFT) |
$542 |
$677 |
— |
$37 | |
| Lung scan (V/Q) |
$1,983 |
$2,479 |
— |
$291 | |
| Magnesium blood test |
$82 |
$103 |
— |
$7 | |
| MRA of the brain |
$4,449 |
$5,562 |
— |
$226 | |
| MRA of the brain without contrast |
$4,430 |
$5,537 |
— |
$328 | |
| MRA of the neck |
$4,063 |
$5,079 |
— |
$245 | |
| MRA of the neck with contrast |
$2,857 |
$3,571 |
— |
$245 | |
| MRA of the neck without contrast |
$4,650 |
$5,813 |
— |
$343 | |
| MRI of the abdomen |
$3,938 |
$4,922 |
— |
$300 | |
| MRI of the abdomen with contrast |
$3,938 |
$4,922 |
— |
$300 | |
| MRI of the abdomen without contrast |
$3,828 |
$4,785 |
— |
$194 | |
| MRI of the ankle |
$5,522 |
$6,903 |
— |
$261 | |
| MRI of the ankle with contrast |
$4,608 |
$5,760 |
— |
$261 | |
| MRI of the ankle without contrast |
$4,463 |
$5,579 |
— |
$222 | |
| MRI of the brain |
$4,769 |
$5,961 |
— |
$269 | |
| MRI of the brain with contrast |
$4,769 |
$5,961 |
— |
$269 | |
| MRI of the brain without contrast |
$4,469 |
$5,586 |
— |
$195 | |
| MRI of the chest |
$4,225 |
$5,281 |
— |
$371 | |
| MRI of the chest with contrast |
$4,225 |
$5,281 |
— |
$371 | |
| MRI of the chest without contrast |
$4,645 |
$5,806 |
— |
$466 | |
| MRI of the knee |
$5,230 |
$6,537 |
— |
$315 | |
| MRI of the knee with contrast |
$4,225 |
$5,281 |
— |
$315 | |
| MRI of the knee without contrast |
$3,877 |
$4,846 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$4,436 |
$5,545 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$4,436 |
$5,545 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$4,058 |
$5,072 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$4,037 |
$5,046 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$5,282 |
$6,603 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$4,037 |
$5,046 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$3,877 |
$4,846 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$4,541 |
$5,676 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$5,042 |
$6,303 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$4,541 |
$5,676 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$3,877 |
$4,846 |
— |
$191 | |
| MRI of the pelvis |
$3,940 |
$4,925 |
— |
$268 | |
| MRI of the pelvis with contrast |
$3,940 |
$4,925 |
— |
$268 | |
| MRI of the pelvis without contrast |
$3,569 |
$4,461 |
— |
$227 | |
| MRI of the shoulder |
$4,436 |
$5,545 |
— |
$313 | |
| MRI of the shoulder with contrast |
$4,436 |
$5,545 |
— |
$313 | |
| MRI of the shoulder without contrast |
$3,877 |
$4,846 |
— |
$205 | |
| MRI of the wrist |
$4,645 |
$5,806 |
— |
$330 | |
| MRI of the wrist with contrast |
$4,225 |
$5,281 |
— |
$330 | |
| MRI of the wrist without contrast |
$3,411 |
$4,264 |
— |
$303 | |
| Nebulizer breathing treatment |
$116 |
$145 |
— |
$9 | |
| Nuclear cardiac stress test |
$6,214 |
$7,768 |
— |
$428 | |
| Occupational therapy evaluation |
$330 |
$412 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$371 |
$464 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$309 |
$386 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$330 |
$412 |
— |
$101 | |
| Office visit (established patient) |
$250 |
$313 |
— |
$115 | |
| Office visit (new patient) |
$372 |
$465 |
— |
$177 | |
| Office visit, established patient (level 3) |
$199 |
$249 |
— |
$95 | |
| Office visit, established patient (level 4) |
$302 |
$377 |
— |
$136 | |
| Office visit, new patient (level 3) |
$242 |
$302 |
— |
$118 | |
| Office visit, new patient (level 4) |
$372 |
$465 |
— |
$177 | |
| Office visit, new patient (level 5) |
$486 |
$608 |
— |
$237 | |
| Pap smear (cervical screening) |
$199 |
$249 |
— |
$20 | |
| Parathyroid hormone (PTH) test |
$349 |
$436 |
— |
$41 | |
| Pelvic ultrasound |
$1,078 |
$1,348 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$1,424 |
$1,780 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$733 |
$916 |
— |
$51 | |
| PET scan |
$5,929 |
$7,412 |
— |
— | |
| Phosphorus blood test |
$95 |
$119 |
— |
$5 | |
| Physical therapy evaluation |
$330 |
$412 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$371 |
$464 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$330 |
$412 |
— |
$98 | |
| Platelet count |
$86 |
$107 |
— |
$4 | |
| Pregnancy blood test (hCG) |
$162 |
$203 |
— |
$8 | |
| Pregnancy ultrasound |
$1,362 |
$1,703 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$970 |
$1,213 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$1,754 |
$2,192 |
— |
$136 | |
| Procalcitonin test |
$454 |
$568 |
— |
$27 | |
| Prolactin test |
$118 |
$148 |
— |
$19 | |
| Prostate test (PSA) |
$215 |
$269 |
— |
$18 | |
| Psychiatric evaluation |
$338 |
$423 |
— |
$188 | |
| Pulmonary rehabilitation |
$387 |
$484 |
— |
$87 | |
| Rheumatoid factor test |
$155 |
$194 |
— |
$6 | |
| Scoliosis spine X-ray |
$318 |
$398 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$295 |
$369 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$342 |
$427 |
— |
$72 | |
| Screening mammogram |
$312 |
$390 |
— |
$126 | |
| Scrotal ultrasound |
$1,424 |
$1,780 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$102 |
$127 |
— |
$3 | |
| Sex hormone binding globulin test |
$161 |
$201 |
— |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$380 |
$475 |
— |
$114 | |
| Simple wound stitches |
$391 |
$489 |
— |
$127 | |
| Skin biopsy |
$521 |
$651 |
— |
$121 | |
| Skin biopsy (punch) |
$626 |
$783 |
— |
$121 | |
| Skin tag removal |
$281 |
$351 |
— |
$92 | |
| Sleep study (polysomnography) |
$4,158 |
$5,198 |
— |
$691 | |
| Soft tissue ultrasound |
$1,190 |
$1,488 |
— |
$64 | |
| Speech therapy |
$227 |
$284 |
— |
$76 | |
| Spinal tap (lumbar puncture) |
$1,155 |
$1,444 |
— |
$165 | |
| Spirometry (lung function test) |
$542 |
$677 |
— |
$30 | |
| Spirometry with bronchodilator |
$662 |
$827 |
— |
$43 | |
| Strep throat test |
$128 |
$160 |
— |
$17 | |
| Stress echocardiogram |
$3,089 |
$3,862 |
— |
$209 | |
| Stress echocardiogram (complete) |
$2,998 |
$3,748 |
— |
$233 | |
| Swallow study |
$413 |
$516 |
— |
$85 | |
| T3 thyroid test |
$202 |
$253 |
— |
$14 | |
| Testosterone test |
$233 |
$291 |
— |
$26 | |
| Thyroid test (TSH) |
$187 |
$234 |
— |
$17 | |
| Thyroid ultrasound |
$1,368 |
$1,710 |
— |
$109 | |
| Thyroid uptake scan |
$1,256 |
$1,570 |
— |
$145 | |
| Total IgE allergy test |
$193 |
$242 |
— |
$16 | |
| Total protein test |
$70 |
$88 |
— |
$4 | |
| Transvaginal ultrasound |
$1,290 |
$1,613 |
— |
$118 | |
| Trigger point injection |
$774 |
$967 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$422 |
$528 |
— |
$52 | |
| Triglycerides test |
$72 |
$90 |
— |
$6 | |
| Troponin (heart) test |
$286 |
$357 |
— |
$12 | |
| Upper GI series (barium) |
$1,162 |
$1,452 |
— |
$128 | |
| Uric acid (gout) test |
$94 |
$117 |
— |
$5 | |
| Urinalysis |
$86 |
$108 |
— |
$3 | |
| Urine microalbumin test |
$50 |
$62 |
— |
$5 | |
| Urine pregnancy test |
$107 |
$134 |
— |
$9 | |
| Vaccine administration |
$116 |
$145 |
— |
$19 | |
| Vaccine administration (each additional) |
$110 |
$138 |
— |
$16 | |
| Vitamin B12 test |
$119 |
$149 |
— |
$15 | |
| Vitamin D test |
$145 |
$181 |
— |
$30 | |
| Wound debridement |
$881 |
$1,101 |
— |
$186 | |
| X-ray of the abdomen |
$383 |
$479 |
— |
$36 | |
| X-ray of the ankle |
$559 |
$699 |
— |
$37 | |
| X-ray of the collarbone |
$546 |
$683 |
— |
$33 | |
| X-ray of the elbow |
$578 |
$722 |
— |
$33 | |
| X-ray of the facial bones |
$625 |
$781 |
— |
$39 | |
| X-ray of the foot |
$562 |
$703 |
— |
$34 | |
| X-ray of the forearm |
$549 |
$686 |
— |
$29 | |
| X-ray of the hand |
$559 |
$699 |
— |
$38 | |
| X-ray of the hip |
$519 |
$649 |
— |
$49 | |
| X-ray of the hip (1 view) |
$464 |
$580 |
— |
$34 | |
| X-ray of the hip (3 views) |
$519 |
$649 |
— |
$49 | |
| X-ray of the hip (4 views) |
$587 |
$734 |
— |
$63 | |
| X-ray of the knee |
$622 |
$778 |
— |
$42 | |
| X-ray of the knee (2 views) |
$521 |
$651 |
— |
$34 | |
| X-ray of the knee (3 views) |
$622 |
$778 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$622 |
$778 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$471 |
$589 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$471 |
$589 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$542 |
$678 |
— |
$53 | |
| X-ray of the lower leg |
$559 |
$699 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$459 |
$574 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$459 |
$574 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$527 |
$659 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$468 |
$585 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$468 |
$585 |
— |
$40 | |
| X-ray of the pelvis |
$521 |
$651 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$521 |
$651 |
— |
$28 | |
| X-ray of the ribs |
$678 |
$847 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$510 |
$637 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$678 |
$847 |
— |
$42 | |
| X-ray of the shoulder |
$582 |
$728 |
— |
$36 | |
| X-ray of the skull |
$656 |
$820 |
— |
$40 | |
| X-ray of the upper arm |
$647 |
$809 |
— |
$32 | |
| X-ray of the wrist |
$652 |
$815 |
— |
$43 | |
| Zinc blood test |
$127 |
$159 |
— |
$11 | |