| 3D mammogram (tomosynthesis) |
$40 |
$67 |
$21 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,124 |
$1,874 |
$590 |
$284 | |
| Abdominal ultrasound |
$814 |
$1,357 |
$147 |
$100 | |
| Abdominal ultrasound (complete) |
$1,012 |
$1,687 |
$241 |
$114 | |
| Abdominal ultrasound (limited) |
$616 |
$1,027 |
$147 |
$86 | |
| Abscess drainage (complex or multiple) |
$524 |
$874 |
$252 |
$220 | |
| Abscess drainage (simple) |
$228 |
$381 |
$125 |
$129 | |
| Abscess incision and drainage |
$423 |
$705 |
$252 |
$174 | |
| ACL knee reconstruction |
$3,287 |
$5,479 |
$849 |
$889 | |
| Albumin blood test |
$92 |
$153 |
$5 |
$5 | |
| Aldosterone test |
$87 |
$145 |
$41 |
$41 | |
| Alkaline phosphatase test |
$83 |
$138 |
$5 |
$5 | |
| Allergy shots |
$18 |
$31 |
$24 |
$11 | |
| Alpha-fetoprotein (AFP) test |
$173 |
$288 |
$17 |
$17 | |
| ALT liver enzyme test |
$119 |
$198 |
$5 |
$5 | |
| Ammonia blood test |
$204 |
$340 |
$15 |
$15 | |
| Amylase test |
$365 |
$609 |
$6 |
$6 | |
| Ankle fracture repair |
$1,147 |
$1,911 |
$576 |
$608 | |
| Annual physical (established patient) |
$120 |
$200 |
$94 |
— | |
| Annual physical (new patient) |
$128 |
$213 |
$102 |
— | |
| Antinuclear antibody (ANA) test |
$265 |
$442 |
$12 |
$12 | |
| Arterial blood gas (ABG) |
$175 |
$292 |
$26 |
$26 | |
| AST liver enzyme test |
$116 |
$194 |
$5 |
$5 | |
| Barium swallow study |
$722 |
$1,203 |
$172 |
$107 | |
| Basic metabolic panel |
$144 |
$240 |
$8 |
$8 | |
| Bilirubin blood test |
$119 |
$198 |
$5 |
$5 | |
| Blood clotting test (PT/INR) |
$11 |
$18 |
$4 |
$4 | |
| Blood glucose test |
$73 |
$122 |
$5 |
$5 | |
| Blood transfusion |
$511 |
$852 |
$275 |
$47 | |
| Blood type and screen |
$88 |
$147 |
$34 |
$10 | |
| Blood type test |
$65 |
$108 |
$25 |
$3 | |
| Blood type test (ABO group) |
$55 |
$91 |
$72 |
$3 | |
| Blood type test (Rh/D antigen) |
$74 |
$124 |
$25 |
$3 | |
| BNP (heart failure) test |
$198 |
$330 |
$39 |
$39 | |
| Bone density scan (DEXA) |
$170 |
$284 |
$67 |
$39 | |
| Bone scan (nuclear) |
$1,540 |
$2,566 |
$366 |
$259 | |
| Breast ultrasound |
$539 |
$899 |
$70 |
$92 | |
| Breast ultrasound (complete) |
$854 |
$1,423 |
$102 |
$100 | |
| Breast ultrasound (limited) |
$225 |
$375 |
$55 |
$84 | |
| Breathing tube insertion (intubation) |
$416 |
$693 |
$146 |
$133 | |
| Burn dressing and debridement (medium) |
$238 |
$396 |
$125 |
$166 | |
| Burn dressing and debridement (small) |
$163 |
$272 |
$125 |
$93 | |
| Burn treatment |
$212 |
$354 |
$125 |
$129 | |
| C-reactive protein (CRP) |
$98 |
$163 |
$5 |
$5 | |
| CA 19-9 tumor marker test |
$180 |
$300 |
$21 |
$21 | |
| CA-125 ovarian marker test |
$641 |
$1,068 |
$21 |
$21 | |
| Calcium blood test |
$83 |
$138 |
$5 |
$5 | |
| Cardiac stress test |
$769 |
$1,281 |
$196 |
$39 | |
| Cardioversion |
$781 |
$1,301 |
$412 |
$155 | |
| Carotid artery ultrasound |
$491 |
$819 |
$152 |
$156 | |
| Carpal tunnel release |
$1,185 |
$1,975 |
$397 |
$483 | |
| CEA tumor marker test |
$443 |
$739 |
$19 |
$19 | |
| Central line placement |
$3,974 |
$6,624 |
$1,981 |
$238 | |
| Chest fluid drain (thoracentesis) |
$752 |
$1,254 |
$389 |
$311 | |
| Chest tube insertion |
$1,954 |
$3,256 |
$978 |
$143 | |
| Chest X-ray |
$281 |
$468 |
$62 |
$37 | |
| Chest X-ray (1 view) |
$259 |
$431 |
$62 |
$25 | |
| Chest X-ray (2 views) |
$302 |
$504 |
$72 |
$33 | |
| CK-MB heart enzyme test |
$176 |
$294 |
$12 |
$12 | |
| Clotting time test (PTT) |
$257 |
$428 |
$6 |
$6 | |
| Complete blood count (CBC) |
$64 |
$106 |
$8 |
$7 | |
| Complete blood count (CBC) (complete) |
$72 |
$120 |
$8 |
$8 | |
| Comprehensive metabolic panel |
$149 |
$248 |
$11 |
$11 | |
| Copper blood test |
$30 |
$50 |
$12 |
$12 | |
| Coronary CT angiography |
$1,781 |
$2,969 |
$424 |
$326 | |
| Cortisol test |
$50 |
$83 |
$16 |
$16 | |
| CPAP titration study |
$499 |
$831 |
$128 |
$69 | |
| Creatine kinase (CK) test |
$82 |
$137 |
$7 |
$7 | |
| CT angiography of the chest |
$3,163 |
$5,272 |
$647 |
$281 | |
| CT angiography of the head |
$2,464 |
$4,107 |
$564 |
$274 | |
| CT scan of the abdomen |
$2,221 |
$3,701 |
$529 |
$230 | |
| CT scan of the abdomen and pelvis |
$4,987 |
$8,312 |
$723 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$6,093 |
$10,155 |
$996 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$4,987 |
$8,312 |
$864 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$3,797 |
$6,328 |
$723 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,651 |
$4,418 |
$586 |
$259 | |
| CT scan of the abdomen with contrast |
$2,221 |
$3,701 |
$529 |
$230 | |
| CT scan of the abdomen without contrast |
$1,802 |
$3,003 |
$429 |
$136 | |
| CT scan of the arm |
$2,362 |
$3,936 |
$542 |
$199 | |
| CT scan of the arm with contrast |
$2,362 |
$3,936 |
$552 |
$199 | |
| CT scan of the arm without contrast |
$1,869 |
$3,115 |
$445 |
$161 | |
| CT scan of the chest |
$2,848 |
$4,746 |
$542 |
$167 | |
| CT scan of the chest with and without contrast |
$3,404 |
$5,674 |
$676 |
$196 | |
| CT scan of the chest with contrast |
$2,848 |
$4,746 |
$610 |
$167 | |
| CT scan of the chest without contrast |
$2,080 |
$3,467 |
$495 |
$133 | |
| CT scan of the head |
$1,853 |
$3,088 |
$441 |
$148 | |
| CT scan of the head with and without contrast |
$2,632 |
$4,386 |
$584 |
$173 | |
| CT scan of the head with contrast |
$1,853 |
$3,088 |
$441 |
$148 | |
| CT scan of the head without contrast |
$1,693 |
$2,821 |
$403 |
$107 | |
| CT scan of the leg |
$3,739 |
$6,232 |
$542 |
$166 | |
| CT scan of the leg with contrast |
$4,723 |
$7,872 |
$552 |
$166 | |
| CT scan of the leg without contrast |
$3,739 |
$6,232 |
$445 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,911 |
$4,851 |
$555 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$3,443 |
$5,738 |
$681 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,911 |
$4,851 |
$617 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$2,389 |
$3,982 |
$555 |
$130 | |
| CT scan of the neck |
$2,362 |
$3,936 |
$542 |
$183 | |
| CT scan of the neck (cervical spine) |
$2,911 |
$4,851 |
$571 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$3,443 |
$5,738 |
$681 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$2,911 |
$4,851 |
$617 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$2,522 |
$4,203 |
$571 |
$131 | |
| CT scan of the neck with and without contrast |
$2,686 |
$4,477 |
$591 |
$220 | |
| CT scan of the neck with contrast |
$2,362 |
$3,936 |
$552 |
$183 | |
| CT scan of the neck without contrast |
$1,869 |
$3,115 |
$445 |
$150 | |
| CT scan of the pelvis |
$2,768 |
$4,613 |
$542 |
$226 | |
| CT scan of the pelvis with and without contrast |
$3,443 |
$5,738 |
$681 |
$251 | |
| CT scan of the pelvis with contrast |
$2,768 |
$4,613 |
$600 |
$226 | |
| CT scan of the pelvis without contrast |
$1,997 |
$3,329 |
$475 |
$133 | |
| CT scan of the sinuses |
$2,362 |
$3,936 |
$542 |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,686 |
$4,477 |
$591 |
$184 | |
| CT scan of the sinuses with contrast |
$2,362 |
$3,936 |
$552 |
$152 | |
| CT scan of the sinuses without contrast |
$1,869 |
$3,115 |
$445 |
$128 | |
| DHEA-sulfate test |
$275 |
$459 |
$22 |
$22 | |
| Diagnostic mammogram |
$434 |
$723 |
$98 |
$140 | |
| Drug screen (urine) |
$165 |
$276 |
$62 |
$17 | |
| Echocardiogram |
$541 |
$901 |
$345 |
$138 | |
| Echocardiogram with and without contrast |
$541 |
$901 |
$152 |
$101 | |
| EEG (awake and asleep) |
$463 |
$772 |
$196 |
$482 | |
| EKG / ECG (tracing only) |
$64 |
$107 |
$41 |
$7 | |
| Electrocardiogram (EKG) |
$64 |
$107 |
$37 |
$8 | |
| Electroencephalogram (EEG) |
$463 |
$772 |
$196 |
$448 | |
| Electrolyte panel |
$115 |
$192 |
$7 |
$7 | |
| Electromyography (EMG) |
$62 |
$104 |
$80 |
$141 | |
| Emergency department visit |
$293 |
$488 |
$386 |
$69 | |
| Emergency department visit (level 1) |
$67 |
$111 |
$55 |
$11 | |
| Emergency department visit (level 2) |
$152 |
$254 |
$100 |
$40 | |
| Emergency department visit (level 3) |
$293 |
$488 |
$174 |
$69 | |
| Emergency department visit (level 4) |
$1,847 |
$3,079 |
$440 |
$118 | |
| Emergency department visit (level 5) |
$3,149 |
$5,248 |
$569 |
$171 | |
| Epidural steroid injection |
$708 |
$1,180 |
$436 |
$275 | |
| Estradiol (estrogen) test |
$192 |
$320 |
$28 |
$28 | |
| Facet joint injection (spine) |
$886 |
$1,476 |
$560 |
$99 | |
| Fecal occult blood (stool) test |
$253 |
$421 |
$16 |
$10 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$253 |
$421 |
$16 |
$16 | |
| Ferritin (iron) test |
$230 |
$383 |
$14 |
$14 | |
| Fibrinogen test |
$134 |
$223 |
$10 |
$10 | |
| Flu test |
$41 |
$69 |
$17 |
$17 | |
| Flu vaccine |
$62 |
$103 |
$26 |
— | |
| Folate (folic acid) test |
$256 |
$426 |
$15 |
$15 | |
| Foreign body removal (skin) |
$136 |
$226 |
$120 |
$157 | |
| Free T4 thyroid test |
$175 |
$292 |
$9 |
$9 | |
| FSH hormone test |
$266 |
$444 |
$19 |
$19 | |
| Gallbladder scan (HIDA) |
$1,123 |
$1,872 |
$353 |
$334 | |
| Ganglion cyst removal |
$699 |
$1,165 |
$300 |
$321 | |
| GGT liver test |
$119 |
$198 |
$7 |
$7 | |
| HDL cholesterol test |
$98 |
$163 |
$8 |
$8 | |
| Hematocrit test |
$53 |
$88 |
$2 |
$2 | |
| Hemodialysis |
$1,500 |
$2,500 |
$441 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$71 |
$118 |
$10 |
$10 | |
| Hepatitis B test |
$232 |
$386 |
$10 |
$10 | |
| Hepatitis B vaccine |
$189 |
$315 |
$83 |
— | |
| Hepatitis C test |
$139 |
$232 |
$14 |
$14 | |
| Hip fracture repair |
$2,601 |
$4,335 |
$1,068 |
$1,120 | |
| Hip replacement |
$4,007 |
$6,679 |
$1,113 |
$1,162 | |
| HIV test |
$244 |
$406 |
$24 |
$19 | |
| HIV test (antigen/antibody combo) |
$244 |
$406 |
$24 |
$24 | |
| Holter heart monitor |
$127 |
$212 |
$81 |
$26 | |
| Iron blood test |
$133 |
$222 |
$6 |
$6 | |
| IV infusion therapy |
$118 |
$196 |
$80 |
$44 | |
| IV infusion therapy (each additional) |
$72 |
$120 |
$29 |
$21 | |
| IV infusion therapy (initial) |
$163 |
$272 |
$133 |
$67 | |
| Joint aspiration (small/intermediate) |
$325 |
$542 |
$186 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$395 |
$658 |
$186 |
$57 | |
| Joint aspiration or injection (small joint) |
$201 |
$335 |
$160 |
$56 | |
| Kidney ultrasound |
$345 |
$575 |
$67 |
$84 | |
| Kidney ultrasound (limited) |
$151 |
$252 |
$67 |
$61 | |
| Knee arthroscopy |
$2,093 |
$3,488 |
$504 |
$524 | |
| Knee joint injection |
$283 |
$472 |
$186 |
$69 | |
| Knee replacement |
— |
— |
$26,197 |
$18,054 | |
| Lactate test |
$48 |
$80 |
$12 |
$12 | |
| LDH test |
$10 |
$16 |
$6 |
$6 | |
| LDL cholesterol test |
$113 |
$188 |
$11 |
$11 | |
| Leg vein ultrasound (Doppler) |
$839 |
$1,399 |
$172 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$721 |
$1,202 |
$172 |
$116 | |
| LH hormone test |
$266 |
$444 |
$19 |
$19 | |
| Lipase test |
$164 |
$274 |
$7 |
$7 | |
| Lipid (cholesterol) panel |
$211 |
$351 |
$13 |
$13 | |
| Liver function panel |
$179 |
$298 |
$8 |
$8 | |
| Lung function test (PFT) |
$344 |
$574 |
$174 |
$37 | |
| Lung scan (V/Q) |
$1,642 |
$2,736 |
$391 |
$291 | |
| Magnesium blood test |
$473 |
$789 |
$7 |
$7 | |
| MRA of the brain |
$3,052 |
$5,086 |
$726 |
$226 | |
| MRA of the neck |
$3,052 |
$5,086 |
$726 |
$245 | |
| MRI of the abdomen |
$3,032 |
$5,054 |
$697 |
$300 | |
| MRI of the abdomen without contrast |
$2,930 |
$4,883 |
$697 |
$194 | |
| MRI of the ankle |
$3,050 |
$5,083 |
$556 |
$261 | |
| MRI of the ankle without contrast |
$2,336 |
$3,894 |
$556 |
$222 | |
| MRI of the brain |
$4,239 |
$7,065 |
$828 |
$269 | |
| MRI of the brain with contrast |
$4,239 |
$7,065 |
$884 |
$269 | |
| MRI of the brain without contrast |
$3,763 |
$6,272 |
$828 |
$195 | |
| MRI of the chest |
$3,763 |
$6,272 |
$828 |
$371 | |
| MRI of the chest without contrast |
$3,763 |
$6,272 |
$828 |
$466 | |
| MRI of the knee |
$3,640 |
$6,067 |
$799 |
$315 | |
| MRI of the knee without contrast |
$3,517 |
$5,862 |
$799 |
$204 | |
| MRI of the lower back (lumbar spine) |
$3,913 |
$6,521 |
$798 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$3,509 |
$5,849 |
$798 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$4,740 |
$7,900 |
$828 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$5,717 |
$9,528 |
$1,060 |
$319 | |
| MRI of the mid-back (thoracic spine) without contrast |
$3,763 |
$6,272 |
$828 |
$190 | |
| MRI of the neck (cervical spine) |
$4,617 |
$7,695 |
$799 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$5,717 |
$9,528 |
$1,060 |
$318 | |
| MRI of the neck (cervical spine) without contrast |
$3,517 |
$5,862 |
$799 |
$191 | |
| MRI of the pelvis |
$3,640 |
$6,067 |
$799 |
$268 | |
| MRI of the pelvis without contrast |
$3,517 |
$5,862 |
$799 |
$227 | |
| MRI of the shoulder |
$3,763 |
$6,272 |
$799 |
$313 | |
| MRI of the shoulder with contrast |
$3,763 |
$6,272 |
$828 |
$313 | |
| MRI of the shoulder without contrast |
$3,517 |
$5,862 |
$799 |
$205 | |
| MRI of the wrist |
$3,240 |
$5,400 |
$646 |
$330 | |
| MRI of the wrist without contrast |
$2,713 |
$4,521 |
$646 |
$303 | |
| Nebulizer breathing treatment |
$253 |
$422 |
$128 |
$9 | |
| Nerve conduction study |
$202 |
$337 |
$99 |
$118 | |
| Nuchal translucency ultrasound |
$931 |
$1,551 |
$221 |
$116 | |
| Nuclear cardiac stress test |
$1,186 |
$1,976 |
$822 |
$428 | |
| Occupational therapy evaluation |
$276 |
$460 |
$95 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$276 |
$460 |
$95 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$276 |
$460 |
$95 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$276 |
$460 |
$95 |
$101 | |
| Office visit (established patient) |
$122 |
$204 |
$107 |
$115 | |
| Office visit (new patient) |
$220 |
$366 |
$157 |
$177 | |
| Office visit, established patient (level 3) |
$301 |
$501 |
$92 |
$95 | |
| Office visit, established patient (level 4) |
$122 |
$204 |
$126 |
$136 | |
| Office visit, new patient (level 3) |
$99 |
$166 |
$108 |
$118 | |
| Office visit, new patient (level 4) |
$434 |
$723 |
$158 |
$177 | |
| Office visit, new patient (level 5) |
$554 |
$923 |
$208 |
$237 | |
| Orthopedic hardware removal |
$980 |
$1,634 |
$375 |
$632 | |
| Pap smear (cervical screening) |
$39 |
$65 |
$27 |
$20 | |
| Parathyroid hormone (PTH) test |
$440 |
$734 |
$41 |
$41 | |
| Pelvic ultrasound |
$623 |
$1,038 |
$95 |
$78 | |
| Pelvic ultrasound (complete) |
$845 |
$1,408 |
$201 |
$105 | |
| Pelvic ultrasound (limited) |
$400 |
$667 |
$95 |
$51 | |
| Phosphorus blood test |
$72 |
$120 |
$5 |
$5 | |
| Physical therapy evaluation |
$227 |
$378 |
$93 |
$98 | |
| Platelet count |
$57 |
$95 |
$4 |
$4 | |
| Pneumonia vaccine |
$452 |
$753 |
$150 |
— | |
| Pregnancy blood test (hCG) |
$113 |
$188 |
$8 |
$8 | |
| Pregnancy ultrasound |
$879 |
$1,465 |
$209 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$879 |
$1,465 |
$209 |
$117 | |
| Procalcitonin test |
$328 |
$546 |
$27 |
$27 | |
| Prolactin test |
$209 |
$348 |
$19 |
$19 | |
| Prostate test (PSA) |
$184 |
$307 |
$18 |
$18 | |
| Psychiatric evaluation |
$121 |
$201 |
$101 |
$188 | |
| Rheumatoid factor test |
$31 |
$51 |
$6 |
$6 | |
| Rotator cuff repair |
$2,064 |
$3,440 |
$932 |
$792 | |
| Sacroiliac joint injection |
$510 |
$850 |
$229 |
$176 | |
| Scoliosis spine X-ray |
$648 |
$1,080 |
$154 |
$58 | |
| Scoliosis spine X-ray (3 views) |
$648 |
$1,080 |
$154 |
$72 | |
| Screening mammogram |
$239 |
$398 |
$81 |
$126 | |
| Scrotal ultrasound |
$962 |
$1,604 |
$229 |
$99 | |
| Sedimentation rate (ESR) test |
$70 |
$116 |
$3 |
$3 | |
| Sex hormone binding globulin test |
$94 |
$156 |
$22 |
$22 | |
| Shoulder arthroscopy |
$2,421 |
$4,035 |
$927 |
$962 | |
| Shoulder replacement |
$3,493 |
$5,821 |
$1,246 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$183 |
$305 |
$125 |
$114 | |
| Simple wound stitches |
$301 |
$502 |
$125 |
$127 | |
| Skin tag removal |
$83 |
$139 |
$65 |
$92 | |
| Soft tissue ultrasound |
$253 |
$421 |
$67 |
$64 | |
| Speech therapy |
$266 |
$443 |
$73 |
$76 | |
| Spinal tap (lumbar puncture) |
$881 |
$1,469 |
$436 |
$165 | |
| Spirometry (lung function test) |
$199 |
$331 |
$99 |
$30 | |
| Spirometry with bronchodilator |
$490 |
$817 |
$196 |
$43 | |
| Strep throat test |
$19 |
$32 |
$17 |
$17 | |
| Swallow study |
$559 |
$931 |
$133 |
$85 | |
| T3 thyroid test |
$190 |
$316 |
$14 |
$14 | |
| Tdap (tetanus) vaccine |
$205 |
$342 |
$59 |
— | |
| Testosterone test |
$47 |
$79 |
$26 |
$26 | |
| Thyroid test (TSH) |
$159 |
$265 |
$17 |
$17 | |
| Thyroid ultrasound |
$764 |
$1,274 |
$182 |
$109 | |
| Thyroid uptake scan |
$1,055 |
$1,759 |
$253 |
$145 | |
| Tilt table test |
$678 |
$1,130 |
$334 |
$168 | |
| Total IgE allergy test |
$171 |
$285 |
$16 |
$16 | |
| Total protein test |
$102 |
$170 |
$4 |
$4 | |
| Transvaginal ultrasound |
$962 |
$1,604 |
$229 |
$118 | |
| Trigger finger release |
$661 |
$1,102 |
$269 |
$630 | |
| Trigger point injection |
$76 |
$126 |
$88 |
$56 | |
| Trigger point injection (1-2 muscles) |
$71 |
$118 |
$96 |
$52 | |
| Triglycerides test |
$89 |
$148 |
$6 |
$6 | |
| Troponin (heart) test |
$147 |
$245 |
$12 |
$12 | |
| Ulnar nerve surgery (elbow) |
$1,550 |
$2,583 |
$542 |
$575 | |
| Upper GI series (barium) |
$1,225 |
$2,042 |
$292 |
$128 | |
| Uric acid (gout) test |
$70 |
$116 |
$5 |
$5 | |
| Urinalysis |
$55 |
$92 |
$3 |
$3 | |
| Urine microalbumin test |
$151 |
$252 |
$6 |
$5 | |
| Urine pregnancy test |
$170 |
$284 |
$9 |
$9 | |
| Vaccine administration |
$60 |
$100 |
$45 |
$19 | |
| Vaccine administration (each additional) |
$34 |
$56 |
$29 |
$16 | |
| Vitamin B12 test |
$209 |
$348 |
$15 |
$15 | |
| Vitamin D test |
$220 |
$366 |
$30 |
$30 | |
| Wart removal |
$97 |
$162 |
$103 |
$121 | |
| Well-child visit |
$88 |
$146 |
$76 |
— | |
| Wound debridement |
$481 |
$801 |
$252 |
$186 | |
| Wrist fracture repair |
$1,180 |
$1,966 |
$696 |
$735 | |
| X-ray of the abdomen |
$395 |
$658 |
$94 |
$36 | |
| X-ray of the ankle |
$642 |
$1,070 |
$76 |
$37 | |
| X-ray of the collarbone |
$605 |
$1,008 |
$72 |
$33 | |
| X-ray of the elbow |
$673 |
$1,122 |
$80 |
$33 | |
| X-ray of the facial bones |
$370 |
$616 |
$73 |
$39 | |
| X-ray of the foot |
$611 |
$1,019 |
$73 |
$34 | |
| X-ray of the forearm |
$576 |
$960 |
$69 |
$29 | |
| X-ray of the hand |
$606 |
$1,010 |
$72 |
$38 | |
| X-ray of the hip |
$295 |
$491 |
$70 |
$49 | |
| X-ray of the hip (1 view) |
$292 |
$486 |
$69 |
$34 | |
| X-ray of the hip (3 views) |
$295 |
$491 |
$70 |
$49 | |
| X-ray of the hip (4 views) |
$305 |
$509 |
$73 |
$63 | |
| X-ray of the knee |
$564 |
$940 |
$76 |
$42 | |
| X-ray of the knee (2 views) |
$564 |
$940 |
$67 |
$34 | |
| X-ray of the knee (3 views) |
$639 |
$1,065 |
$76 |
$42 | |
| X-ray of the knee (4+ views) |
$367 |
$611 |
$87 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$462 |
$770 |
$83 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$350 |
$583 |
$83 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$574 |
$957 |
$137 |
$53 | |
| X-ray of the lower leg |
$611 |
$1,019 |
$73 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$434 |
$723 |
$97 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$407 |
$678 |
$97 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$461 |
$768 |
$110 |
$39 | |
| X-ray of the neck (cervical spine) |
$389 |
$649 |
$80 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$337 |
$561 |
$80 |
$40 | |
| X-ray of the pelvis |
$348 |
$581 |
$74 |
$36 | |
| X-ray of the pelvis (1 view) |
$302 |
$504 |
$72 |
$28 | |
| X-ray of the ribs |
$471 |
$785 |
$112 |
$42 | |
| X-ray of the ribs (2 views) |
$385 |
$642 |
$92 |
$36 | |
| X-ray of the ribs (3 views) |
$471 |
$785 |
$112 |
$42 | |
| X-ray of the shoulder |
$605 |
$1,008 |
$72 |
$36 | |
| X-ray of the skull |
$396 |
$660 |
$74 |
$40 | |
| X-ray of the upper arm |
$605 |
$1,008 |
$72 |
$32 | |
| X-ray of the wrist |
$670 |
$1,116 |
$80 |
$43 | |
| Zinc blood test |
$149 |
$248 |
$11 |
$11 | |