| 3D mammogram (tomosynthesis) |
$89 |
$111 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$988 |
$1,235 |
— |
$284 | |
| Abdominal ultrasound |
$730 |
$913 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$1,013 |
$1,266 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$730 |
$913 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$558 |
$698 |
— |
$220 | |
| Abscess drainage (simple) |
$490 |
$613 |
— |
$129 | |
| Abscess incision and drainage |
$534 |
$668 |
— |
$174 | |
| Albumin blood test |
$75 |
$94 |
— |
$5 | |
| Aldosterone test |
$360 |
$450 |
— |
$41 | |
| Alkaline phosphatase test |
$88 |
$110 |
— |
$5 | |
| Allergy testing |
$53 |
$66 |
— |
$4 | |
| Alpha-fetoprotein (AFP) test |
$128 |
$160 |
— |
$17 | |
| ALT liver enzyme test |
$91 |
$114 |
— |
$5 | |
| Ammonia blood test |
$178 |
$223 |
— |
$15 | |
| Amniocentesis |
$731 |
$914 |
— |
$120 | |
| Amylase test |
$146 |
$183 |
— |
$6 | |
| Antinuclear antibody (ANA) test |
$18 |
$22 |
— |
$12 | |
| Arterial blood gas (ABG) |
$282 |
$352 |
— |
$26 | |
| AST liver enzyme test |
$88 |
$110 |
— |
$5 | |
| Barium swallow study |
$591 |
$739 |
— |
$107 | |
| Bartholin cyst removal |
$281 |
$351 |
— |
$182 | |
| Basic metabolic panel |
$186 |
$233 |
— |
$8 | |
| Bilirubin blood test |
$90 |
$112 |
— |
$5 | |
| Blood clotting test (PT/INR) |
$95 |
$119 |
— |
$4 | |
| Blood crossmatch |
$144 |
$180 |
— |
— | |
| Blood glucose test |
$94 |
$117 |
— |
$5 | |
| Blood transfusion |
$1,011 |
$1,264 |
— |
$47 | |
| Blood type and screen |
$123 |
$154 |
— |
$10 | |
| Blood type test |
$108 |
$135 |
— |
$3 | |
| Blood type test (ABO group) |
$108 |
$135 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$63 |
$79 |
— |
$3 | |
| BNP (heart failure) test |
$227 |
$284 |
— |
$39 | |
| Bone density scan (DEXA) |
$566 |
$707 |
— |
$39 | |
| Bone marrow biopsy |
$2,258 |
$2,823 |
— |
$172 | |
| Bone scan (nuclear) |
$1,749 |
$2,186 |
— |
$259 | |
| Breast biopsy |
$1,727 |
$2,159 |
— |
$478 | |
| Breast ultrasound |
$597 |
$746 |
— |
$92 | |
| Breast ultrasound (complete) |
$597 |
$746 |
— |
$100 | |
| Breast ultrasound (limited) |
$561 |
$701 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$692 |
$865 |
— |
$133 | |
| Burn dressing and debridement (medium) |
$326 |
$408 |
— |
$166 | |
| Burn dressing and debridement (small) |
$418 |
$523 |
— |
$93 | |
| Burn treatment |
$326 |
$408 |
— |
$129 | |
| C-reactive protein (CRP) |
$101 |
$126 |
— |
$5 | |
| CA 19-9 tumor marker test |
$294 |
$367 |
— |
$21 | |
| CA-125 ovarian marker test |
$201 |
$251 |
— |
$21 | |
| Calcium blood test |
$86 |
$108 |
— |
$5 | |
| Capsule endoscopy |
$1,704 |
$2,130 |
— |
$802 | |
| Cardiac ablation |
$20,607 |
$25,759 |
— |
$759 | |
| Cardiac rehabilitation |
$225 |
$281 |
— |
$26 | |
| Cardiac stress test |
$928 |
$1,160 |
— |
$39 | |
| Cardioversion |
$907 |
$1,134 |
— |
$155 | |
| Carotid artery ultrasound |
$980 |
$1,226 |
— |
$156 | |
| CEA tumor marker test |
$213 |
$266 |
— |
$19 | |
| Central line placement |
$2,472 |
$3,090 |
— |
$238 | |
| Chemotherapy infusion |
$436 |
$545 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$238 |
$297 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$634 |
$792 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,068 |
$1,336 |
— |
$311 | |
| Chest tube insertion |
$1,305 |
$1,631 |
— |
$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 |
$169 |
$211 |
— |
$12 | |
| Clotting time test (PTT) |
$158 |
$198 |
— |
$6 | |
| Complete blood count (CBC) |
$98 |
$123 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$122 |
$153 |
— |
$8 | |
| Complex wound repair |
$754 |
$942 |
— |
$390 | |
| Comprehensive metabolic panel |
$298 |
$372 |
— |
$11 | |
| Copper blood test |
$95 |
$119 |
— |
$12 | |
| Cortisol test |
$180 |
$225 |
— |
$16 | |
| COVID-19 PCR test |
$64 |
$80 |
— |
$51 | |
| CPAP titration study |
$413 |
$516 |
— |
$69 | |
| Creatine kinase (CK) test |
$90 |
$113 |
— |
$7 | |
| CT angiography of the chest |
$3,077 |
$3,846 |
— |
$281 | |
| CT angiography of the head |
$2,891 |
$3,614 |
— |
$274 | |
| CT scan of the abdomen |
$3,048 |
$3,810 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$4,498 |
$5,623 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$5,698 |
$7,123 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$4,498 |
$5,623 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$3,989 |
$4,986 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$3,653 |
$4,566 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$3,048 |
$3,810 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$2,852 |
$3,565 |
— |
$136 | |
| CT scan of the arm |
$2,686 |
$3,358 |
— |
$199 | |
| CT scan of the arm with contrast |
$2,417 |
$3,021 |
— |
$199 | |
| CT scan of the arm without contrast |
$2,139 |
$2,674 |
— |
$161 | |
| CT scan of the chest |
$2,550 |
$3,187 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$2,783 |
$3,479 |
— |
$196 | |
| CT scan of the chest with contrast |
$2,550 |
$3,187 |
— |
$167 | |
| CT scan of the chest without contrast |
$2,142 |
$2,677 |
— |
$133 | |
| CT scan of the head |
$2,171 |
$2,714 |
— |
$148 | |
| CT scan of the head with and without contrast |
$2,550 |
$3,187 |
— |
$173 | |
| CT scan of the head with contrast |
$2,171 |
$2,714 |
— |
$148 | |
| CT scan of the head without contrast |
$2,006 |
$2,507 |
— |
$107 | |
| CT scan of the leg |
$2,409 |
$3,011 |
— |
$166 | |
| CT scan of the leg with contrast |
$2,118 |
$2,648 |
— |
$166 | |
| CT scan of the leg without contrast |
$2,029 |
$2,536 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,572 |
$3,215 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$3,460 |
$4,325 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,572 |
$3,215 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$2,420 |
$3,025 |
— |
$130 | |
| CT scan of the neck |
$2,548 |
$3,185 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$2,936 |
$3,670 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$3,460 |
$4,325 |
— |
$196 | |
| CT scan of the neck (cervical spine) without contrast |
$2,412 |
$3,015 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$2,598 |
$3,248 |
— |
$220 | |
| CT scan of the neck with contrast |
$2,548 |
$3,185 |
— |
$183 | |
| CT scan of the neck without contrast |
$1,962 |
$2,452 |
— |
$150 | |
| CT scan of the pelvis |
$2,350 |
$2,938 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,916 |
$3,645 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$2,350 |
$2,938 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$2,053 |
$2,566 |
— |
$133 | |
| CT scan of the sinuses |
$2,313 |
$2,892 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,596 |
$3,245 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$2,406 |
$3,007 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$2,221 |
$2,776 |
— |
$128 | |
| D-dimer test |
$215 |
$269 |
— |
$10 | |
| Defibrillator (ICD) implant |
$26,866 |
$33,583 |
— |
$798 | |
| Developmental screening (child) |
$219 |
$274 |
— |
— | |
| DHEA-sulfate test |
$162 |
$203 |
— |
$22 | |
| Diagnostic mammogram |
$458 |
$573 |
— |
$140 | |
| Drug screen (urine) |
$186 |
$233 |
— |
$17 | |
| Echocardiogram |
$1,698 |
$2,123 |
— |
$138 | |
| Echocardiogram with and without contrast |
$900 |
$1,125 |
— |
$101 | |
| EEG (awake and asleep) |
$966 |
$1,208 |
— |
$482 | |
| EKG / ECG (tracing only) |
$327 |
$409 |
— |
$7 | |
| Electrocardiogram (EKG) |
$327 |
$409 |
— |
$8 | |
| Electroencephalogram (EEG) |
$966 |
$1,208 |
— |
$448 | |
| Electrolyte panel |
$140 |
$175 |
— |
$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 |
$1,558 |
$1,947 |
— |
$275 | |
| Estradiol (estrogen) test |
$213 |
$266 |
— |
$28 | |
| Facet joint injection (spine) |
$1,558 |
$1,947 |
— |
$99 | |
| Fallopian tube X-ray (HSG) |
$1,167 |
$1,459 |
— |
$164 | |
| Family therapy session |
$231 |
$289 |
— |
$110 | |
| Fecal occult blood (stool) test |
$88 |
$110 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$88 |
$110 |
— |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$78 |
$97 |
— |
$16 | |
| Ferritin (iron) test |
$160 |
$200 |
— |
$14 | |
| Fibrinogen test |
$18 |
$23 |
— |
$10 | |
| Flu test |
$45 |
$56 |
— |
$17 | |
| Folate (folic acid) test |
$170 |
$213 |
— |
$15 | |
| Foreign body removal (skin) |
$517 |
$646 |
— |
$157 | |
| Free T4 thyroid test |
$133 |
$166 |
— |
$9 | |
| FSH hormone test |
$226 |
$282 |
— |
$19 | |
| Gallbladder scan (HIDA) |
$1,818 |
$2,273 |
— |
$334 | |
| GGT liver test |
$135 |
$169 |
— |
$7 | |
| Glucose tolerance test |
$168 |
$210 |
— |
$8 | |
| Group therapy session |
$138 |
$172 |
— |
$30 | |
| H. pylori test |
$214 |
$268 |
— |
$67 | |
| HDL cholesterol test |
$86 |
$107 |
— |
$8 | |
| Hematocrit test |
$82 |
$103 |
— |
$2 | |
| Hemoglobin A1c (diabetes test) |
$79 |
$99 |
— |
$10 | |
| Hepatitis B test |
$128 |
$160 |
— |
$10 | |
| Hepatitis C test |
$202 |
$253 |
— |
$14 | |
| HIV test |
$207 |
$259 |
— |
$19 | |
| HIV test (antibody) |
$207 |
$259 |
— |
$14 | |
| HIV test (antigen/antibody combo) |
$242 |
$302 |
— |
$24 | |
| Holter heart monitor |
$614 |
$767 |
— |
$26 | |
| Home sleep apnea test |
$99 |
$124 |
— |
$123 | |
| Iron blood test |
$79 |
$99 |
— |
$6 | |
| IUD removal |
$246 |
$307 |
— |
$112 | |
| IV infusion therapy |
$320 |
$400 |
— |
$44 | |
| IV infusion therapy (each additional) |
$165 |
$206 |
— |
$21 | |
| IV infusion therapy (initial) |
$475 |
$594 |
— |
$67 | |
| Joint aspiration (small/intermediate) |
$726 |
$908 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$726 |
$908 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$726 |
$908 |
— |
$56 | |
| Kidney scan (nuclear) |
$1,593 |
$1,991 |
— |
$172 | |
| Kidney ultrasound |
$983 |
$1,229 |
— |
$84 | |
| Kidney ultrasound (limited) |
$778 |
$972 |
— |
$61 | |
| Knee joint injection |
$598 |
$748 |
— |
$69 | |
| Lactate test |
$132 |
$165 |
— |
$12 | |
| LDH test |
$127 |
$159 |
— |
$6 | |
| LDL cholesterol test |
$90 |
$112 |
— |
$11 | |
| Leg vein ultrasound (Doppler) |
$893 |
$1,116 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$893 |
$1,116 |
— |
$116 | |
| LH hormone test |
$189 |
$236 |
— |
$19 | |
| Lipase test |
$228 |
$286 |
— |
$7 | |
| Lipid (cholesterol) panel |
$214 |
$268 |
— |
$13 | |
| Liver biopsy |
$1,289 |
$1,611 |
— |
$288 | |
| Liver function panel |
$235 |
$294 |
— |
$8 | |
| Lung function test (PFT) |
$449 |
$562 |
— |
$37 | |
| Lung scan (V/Q) |
$1,278 |
$1,597 |
— |
$291 | |
| Magnesium blood test |
$126 |
$157 |
— |
$7 | |
| MRA of the brain |
$3,454 |
$4,317 |
— |
$226 | |
| MRA of the brain with contrast |
$3,380 |
$4,225 |
— |
$226 | |
| MRA of the brain without contrast |
$3,486 |
$4,357 |
— |
$328 | |
| MRA of the neck |
$3,380 |
$4,225 |
— |
$245 | |
| MRA of the neck with contrast |
$3,380 |
$4,225 |
— |
$245 | |
| MRA of the neck without contrast |
$3,555 |
$4,444 |
— |
$343 | |
| MRI of the abdomen |
$3,777 |
$4,722 |
— |
$300 | |
| MRI of the abdomen without contrast |
$2,898 |
$3,623 |
— |
$194 | |
| MRI of the ankle |
$3,618 |
$4,523 |
— |
$261 | |
| MRI of the ankle with contrast |
$3,491 |
$4,364 |
— |
$261 | |
| MRI of the ankle without contrast |
$3,330 |
$4,162 |
— |
$222 | |
| MRI of the brain |
$3,848 |
$4,810 |
— |
$269 | |
| MRI of the brain with contrast |
$3,848 |
$4,810 |
— |
$269 | |
| MRI of the brain without contrast |
$3,726 |
$4,658 |
— |
$195 | |
| MRI of the chest |
$3,205 |
$4,006 |
— |
$371 | |
| MRI of the chest with contrast |
$3,205 |
$4,006 |
— |
$371 | |
| MRI of the chest without contrast |
$3,961 |
$4,951 |
— |
$466 | |
| MRI of the knee |
$3,983 |
$4,979 |
— |
$315 | |
| MRI of the knee with contrast |
$3,531 |
$4,414 |
— |
$315 | |
| MRI of the knee without contrast |
$3,080 |
$3,850 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$3,514 |
$4,392 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$3,514 |
$4,392 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$3,237 |
$4,046 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$3,726 |
$4,658 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$4,394 |
$5,493 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$3,726 |
$4,658 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$3,106 |
$3,883 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$3,704 |
$4,630 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$4,409 |
$5,511 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$3,704 |
$4,630 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$3,225 |
$4,031 |
— |
$191 | |
| MRI of the pelvis |
$3,558 |
$4,447 |
— |
$268 | |
| MRI of the pelvis with contrast |
$3,547 |
$4,434 |
— |
$268 | |
| MRI of the pelvis without contrast |
$3,558 |
$4,447 |
— |
$227 | |
| MRI of the shoulder |
$3,691 |
$4,614 |
— |
$313 | |
| MRI of the shoulder with contrast |
$3,267 |
$4,084 |
— |
$313 | |
| MRI of the shoulder without contrast |
$2,980 |
$3,725 |
— |
$205 | |
| MRI of the wrist |
$3,761 |
$4,701 |
— |
$330 | |
| MRI of the wrist with contrast |
$3,102 |
$3,877 |
— |
$330 | |
| MRI of the wrist without contrast |
$2,823 |
$3,529 |
— |
$303 | |
| Nebulizer breathing treatment |
$116 |
$145 |
— |
$9 | |
| Nuclear cardiac stress test |
$3,118 |
$3,897 |
— |
$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, established patient (level 3) |
$199 |
$249 |
— |
$95 | |
| Office visit, established patient (level 4) |
$302 |
$377 |
— |
$136 | |
| Pap smear (cervical screening) |
$178 |
$223 |
— |
$20 | |
| Parathyroid hormone (PTH) test |
$215 |
$269 |
— |
$41 | |
| Pelvic ultrasound |
$823 |
$1,029 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$1,061 |
$1,326 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$585 |
$731 |
— |
$51 | |
| PET scan |
$6,029 |
$7,537 |
— |
— | |
| Phosphorus blood test |
$82 |
$102 |
— |
$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 |
$90 |
$112 |
— |
$4 | |
| Pregnancy blood test (hCG) |
$216 |
$270 |
— |
$8 | |
| Pregnancy ultrasound |
$921 |
$1,151 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$921 |
$1,151 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$921 |
$1,151 |
— |
$136 | |
| Procalcitonin test |
$238 |
$297 |
— |
$27 | |
| Prolactin test |
$233 |
$291 |
— |
$19 | |
| Prostate test (PSA) |
$196 |
$245 |
— |
$18 | |
| Psychiatric evaluation |
$244 |
$305 |
— |
$188 | |
| Psychotherapy session |
$203 |
$254 |
— |
$140 | |
| Pulmonary rehabilitation |
$225 |
$281 |
— |
$87 | |
| Radiofrequency nerve ablation |
$2,612 |
$3,265 |
— |
$462 | |
| Rheumatoid factor test |
$174 |
$218 |
— |
$6 | |
| Sacroiliac joint injection |
$1,558 |
$1,947 |
— |
$176 | |
| 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 |
$953 |
$1,191 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$118 |
$147 |
— |
$3 | |
| Semen analysis |
$151 |
$189 |
— |
$12 | |
| Sex hormone binding globulin test |
$107 |
$134 |
— |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$380 |
$475 |
— |
$114 | |
| Simple wound stitches |
$380 |
$475 |
— |
$127 | |
| Skin biopsy |
$499 |
$624 |
— |
$121 | |
| Skin biopsy (punch) |
$561 |
$701 |
— |
$121 | |
| Skin tag removal |
$261 |
$326 |
— |
$92 | |
| Sleep study (polysomnography) |
$2,891 |
$3,614 |
— |
$691 | |
| Soft tissue ultrasound |
$656 |
$820 |
— |
$64 | |
| Speech therapy |
$111 |
$139 |
— |
$76 | |
| Spinal tap (lumbar puncture) |
$582 |
$727 |
— |
$165 | |
| Spirometry (lung function test) |
$338 |
$423 |
— |
$30 | |
| Spirometry with bronchodilator |
$560 |
$700 |
— |
$43 | |
| Strep throat test |
$120 |
$150 |
— |
$17 | |
| Stress echocardiogram |
$1,602 |
$2,003 |
— |
$209 | |
| Swallow study |
$413 |
$516 |
— |
$85 | |
| T3 thyroid test |
$166 |
$208 |
— |
$14 | |
| Testosterone test |
$268 |
$335 |
— |
$26 | |
| Thyroid test (TSH) |
$192 |
$240 |
— |
$17 | |
| Thyroid ultrasound |
$678 |
$847 |
— |
$109 | |
| Thyroid uptake scan |
$476 |
$595 |
— |
$145 | |
| Total IgE allergy test |
$171 |
$214 |
— |
$16 | |
| Total protein test |
$86 |
$107 |
— |
$4 | |
| Transvaginal ultrasound |
$353 |
$441 |
— |
$118 | |
| Trigger point injection |
$726 |
$908 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$559 |
$699 |
— |
$52 | |
| Triglycerides test |
$78 |
$97 |
— |
$6 | |
| Troponin (heart) test |
$196 |
$245 |
— |
$12 | |
| Upper GI series (barium) |
$896 |
$1,120 |
— |
$128 | |
| Uric acid (gout) test |
$131 |
$164 |
— |
$5 | |
| Urinalysis |
$59 |
$74 |
— |
$3 | |
| Urine microalbumin test |
$50 |
$62 |
— |
$5 | |
| Urine pregnancy test |
$128 |
$161 |
— |
$9 | |
| Vaccine administration |
$61 |
$77 |
— |
$19 | |
| Vaccine administration (each additional) |
$51 |
$64 |
— |
$16 | |
| Vitamin B12 test |
$119 |
$149 |
— |
$15 | |
| Vitamin D test |
$145 |
$181 |
— |
$30 | |
| Wart removal |
$223 |
$279 |
— |
$121 | |
| Wound debridement |
$688 |
$861 |
— |
$186 | |
| X-ray of the abdomen |
$383 |
$479 |
— |
$36 | |
| X-ray of the ankle |
$401 |
$501 |
— |
$37 | |
| X-ray of the collarbone |
$293 |
$366 |
— |
$33 | |
| X-ray of the elbow |
$362 |
$453 |
— |
$33 | |
| X-ray of the facial bones |
$404 |
$506 |
— |
$39 | |
| X-ray of the foot |
$421 |
$526 |
— |
$34 | |
| X-ray of the forearm |
$305 |
$381 |
— |
$29 | |
| X-ray of the hand |
$425 |
$531 |
— |
$38 | |
| X-ray of the hip |
$374 |
$467 |
— |
$49 | |
| X-ray of the hip (1 view) |
$275 |
$344 |
— |
$34 | |
| X-ray of the hip (3 views) |
$374 |
$467 |
— |
$49 | |
| X-ray of the hip (4 views) |
$506 |
$632 |
— |
$63 | |
| X-ray of the knee |
$477 |
$596 |
— |
$42 | |
| X-ray of the knee (2 views) |
$329 |
$411 |
— |
$34 | |
| X-ray of the knee (3 views) |
$374 |
$467 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$477 |
$596 |
— |
$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 |
$377 |
$471 |
— |
$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 |
$374 |
$468 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$344 |
$430 |
— |
$28 | |
| X-ray of the ribs |
$464 |
$580 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$383 |
$479 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$464 |
$580 |
— |
$42 | |
| X-ray of the shoulder |
$403 |
$504 |
— |
$36 | |
| X-ray of the skull |
$473 |
$592 |
— |
$40 | |
| X-ray of the upper arm |
$330 |
$412 |
— |
$32 | |
| X-ray of the wrist |
$386 |
$482 |
— |
$43 | |
| Zinc blood test |
$97 |
$121 |
— |
$11 | |