| Abdominal ultrasound |
$3,450 |
$4,600 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$3,881 |
$5,175 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$3,018 |
$4,024 |
— |
$86 | |
| ALT liver enzyme test |
$13 |
$17 |
— |
$5 | |
| Ammonia blood test |
$381 |
$509 |
— |
$15 | |
| Amylase test |
$9 |
$13 |
— |
$6 | |
| Antinuclear antibody (ANA) test |
$46 |
$61 |
— |
$12 | |
| Arterial blood gas (ABG) |
$647 |
$863 |
— |
$26 | |
| AST liver enzyme test |
$28 |
$37 |
— |
$5 | |
| Barium swallow study |
$906 |
$1,208 |
— |
$107 | |
| Basic metabolic panel |
$211 |
$281 |
— |
$8 | |
| Bilirubin blood test |
$26 |
$35 |
— |
$5 | |
| Blood clotting test (PT/INR) |
$11 |
$15 |
— |
$4 | |
| Blood crossmatch |
$602 |
$803 |
— |
— | |
| Blood glucose test |
$28 |
$37 |
— |
$5 | |
| Blood transfusion |
$1,645 |
$2,193 |
— |
$47 | |
| Blood type and screen |
$281 |
$374 |
— |
$10 | |
| Blood type test |
$103 |
$137 |
— |
$3 | |
| Blood type test (ABO group) |
$103 |
$137 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$108 |
$144 |
— |
$3 | |
| BNP (heart failure) test |
$408 |
$544 |
— |
$39 | |
| Bone density scan (DEXA) |
$1,036 |
$1,381 |
— |
$39 | |
| Bone scan (nuclear) |
$2,264 |
$3,019 |
— |
$259 | |
| Breast MRI |
$3,176 |
$4,234 |
— |
$216 | |
| Breast MRI without contrast |
$3,176 |
$4,234 |
— |
$216 | |
| Breast ultrasound |
$429 |
$572 |
— |
$92 | |
| Breast ultrasound (complete) |
$693 |
$924 |
— |
$100 | |
| Breast ultrasound (limited) |
$421 |
$561 |
— |
$84 | |
| CA 19-9 tumor marker test |
$165 |
$220 |
— |
$21 | |
| CA-125 ovarian marker test |
$58 |
$77 |
— |
$21 | |
| Calcium blood test |
$35 |
$47 |
— |
$5 | |
| Cardiac ablation |
$58,048 |
$77,397 |
— |
$759 | |
| Cardiac catheterization |
$46,530 |
$62,040 |
— |
$1,049 | |
| Cardiac MRI |
$6,672 |
$8,896 |
— |
$322 | |
| Cardiac MRI without contrast |
$6,257 |
$8,343 |
— |
$280 | |
| Cardiac rehabilitation |
$467 |
$622 |
— |
$26 | |
| Cardiac stress test |
$3,157 |
$4,210 |
— |
$39 | |
| Cardioversion |
$1,481 |
$1,975 |
— |
$155 | |
| Carotid artery ultrasound |
$1,909 |
$2,546 |
— |
$156 | |
| CEA tumor marker test |
$224 |
$299 |
— |
$19 | |
| Celiac disease test |
$6 |
$8 |
— |
$12 | |
| Chemotherapy infusion |
$416 |
$554 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$156 |
$208 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$675 |
$900 |
— |
$133 | |
| Chest X-ray |
$1,011 |
$1,348 |
— |
$37 | |
| Chest X-ray (1 view) |
$887 |
$1,183 |
— |
$25 | |
| Chest X-ray (2 views) |
$1,340 |
$1,787 |
— |
$33 | |
| Chickenpox (varicella) vaccine |
$389 |
$518 |
— |
— | |
| CK-MB heart enzyme test |
$139 |
$185 |
— |
$12 | |
| Clotting time test (PTT) |
$13 |
$17 |
— |
$6 | |
| Complete blood count (CBC) |
$86 |
$114 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$109 |
$145 |
— |
$8 | |
| Comprehensive metabolic panel |
$748 |
$997 |
— |
$11 | |
| Copper blood test |
$8 |
$11 |
— |
$12 | |
| Coronary CT angiography |
$5,988 |
$7,984 |
— |
$326 | |
| Cortisol test |
$192 |
$256 |
— |
$16 | |
| COVID-19 PCR test |
$38 |
$51 |
— |
$51 | |
| CPAP titration study |
$1,547 |
$2,063 |
— |
$69 | |
| Creatine kinase (CK) test |
$60 |
$80 |
— |
$7 | |
| CT angiography of the chest |
$8,757 |
$11,677 |
— |
$281 | |
| CT angiography of the head |
$14,142 |
$18,856 |
— |
$274 | |
| CT scan of the abdomen |
$9,396 |
$12,528 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$10,900 |
$14,533 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$10,900 |
$14,533 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$12,587 |
$16,782 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$10,468 |
$13,957 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$9,626 |
$12,834 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$9,396 |
$12,528 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$8,891 |
$11,854 |
— |
$136 | |
| CT scan of the arm |
$4,198 |
$5,597 |
— |
$199 | |
| CT scan of the arm with contrast |
$4,324 |
$5,765 |
— |
$199 | |
| CT scan of the arm without contrast |
$3,951 |
$5,268 |
— |
$161 | |
| CT scan of the chest |
$9,046 |
$12,061 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$10,772 |
$14,362 |
— |
$196 | |
| CT scan of the chest with contrast |
$9,046 |
$12,061 |
— |
$167 | |
| CT scan of the chest without contrast |
$7,387 |
$9,849 |
— |
$133 | |
| CT scan of the head |
$9,499 |
$12,665 |
— |
$148 | |
| CT scan of the head with and without contrast |
$9,499 |
$12,665 |
— |
$173 | |
| CT scan of the head with contrast |
$9,050 |
$12,066 |
— |
$148 | |
| CT scan of the head without contrast |
$10,310 |
$13,747 |
— |
$107 | |
| CT scan of the leg |
$11,129 |
$14,838 |
— |
$166 | |
| CT scan of the leg with contrast |
$11,129 |
$14,838 |
— |
$166 | |
| CT scan of the leg without contrast |
$7,406 |
$9,874 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$9,290 |
$12,386 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$12,527 |
$16,703 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$8,603 |
$11,471 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$9,290 |
$12,386 |
— |
$130 | |
| CT scan of the neck |
$8,091 |
$10,788 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$7,718 |
$10,290 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$7,718 |
$10,290 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$6,701 |
$8,935 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$10,534 |
$14,045 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$4,378 |
$5,837 |
— |
$220 | |
| CT scan of the neck with contrast |
$9,469 |
$12,625 |
— |
$183 | |
| CT scan of the neck without contrast |
$8,091 |
$10,788 |
— |
$150 | |
| CT scan of the pelvis |
$10,765 |
$14,353 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$12,317 |
$16,423 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$10,765 |
$14,353 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$8,299 |
$11,065 |
— |
$133 | |
| CT scan of the sinuses |
$9,899 |
$13,198 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$14,178 |
$18,904 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$9,337 |
$12,450 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$9,654 |
$12,872 |
— |
$128 | |
| Diagnostic mammogram |
$433 |
$577 |
— |
$140 | |
| Drug screen (urine) |
$57 |
$76 |
— |
$17 | |
| Echocardiogram |
$5,597 |
$7,462 |
— |
$138 | |
| Echocardiogram with and without contrast |
$1,670 |
$2,227 |
— |
$101 | |
| Echocardiogram without contrast |
$5,597 |
$7,462 |
— |
$138 | |
| EEG (awake and asleep) |
$2,396 |
$3,195 |
— |
$482 | |
| EKG / ECG (tracing only) |
$1,029 |
$1,372 |
— |
$7 | |
| Electrocardiogram (EKG) |
$1,029 |
$1,372 |
— |
$8 | |
| Electroencephalogram (EEG) |
$2,024 |
$2,698 |
— |
$448 | |
| Electrolyte panel |
$314 |
$419 |
— |
$7 | |
| Electromyography (EMG) |
$1,463 |
$1,951 |
— |
$141 | |
| Emergency department visit |
$2,065 |
$2,753 |
— |
$69 | |
| Emergency department visit (level 1) |
$561 |
$748 |
— |
$11 | |
| Emergency department visit (level 2) |
$1,496 |
$1,994 |
— |
$40 | |
| Emergency department visit (level 3) |
$2,634 |
$3,512 |
— |
$69 | |
| Emergency department visit (level 4) |
$4,076 |
$5,434 |
— |
$118 | |
| Emergency department visit (level 5) |
$4,922 |
$6,562 |
— |
$171 | |
| Estradiol (estrogen) test |
$18 |
$24 |
— |
$28 | |
| Fallopian tube X-ray (HSG) |
$2,885 |
$3,847 |
— |
$164 | |
| Fecal occult blood (stool) test |
$136 |
$182 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$111 |
$148 |
— |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$161 |
$215 |
— |
$16 | |
| Ferritin (iron) test |
$143 |
$190 |
— |
$14 | |
| Fibrinogen test |
$333 |
$444 |
— |
$10 | |
| Flu test |
$201 |
$269 |
— |
$17 | |
| Flu vaccine |
$93 |
$124 |
— |
— | |
| Folate (folic acid) test |
$140 |
$187 |
— |
$15 | |
| Free T4 thyroid test |
$20 |
$26 |
— |
$9 | |
| FSH hormone test |
$14 |
$19 |
— |
$19 | |
| Gallbladder scan (HIDA) |
$4,394 |
$5,858 |
— |
$334 | |
| GGT liver test |
$28 |
$37 |
— |
$7 | |
| Glucose tolerance test |
$514 |
$686 |
— |
$8 | |
| H. pylori test |
$55 |
$73 |
— |
$67 | |
| HDL cholesterol test |
$378 |
$504 |
— |
$8 | |
| Hematocrit test |
$34 |
$46 |
— |
$2 | |
| Hemodialysis |
$2,556 |
$3,408 |
— |
$75 | |
| Hemoglobin A1c (diabetes test) |
$87 |
$116 |
— |
$10 | |
| Hepatitis B vaccine |
$777 |
$1,036 |
— |
— | |
| Hepatitis C test |
$50 |
$67 |
— |
$14 | |
| HIV test (antibody) |
$385 |
$513 |
— |
$14 | |
| Holter heart monitor |
$1,420 |
$1,894 |
— |
$26 | |
| Iron blood test |
$36 |
$48 |
— |
$6 | |
| IV infusion therapy |
$581 |
$775 |
— |
$44 | |
| IV infusion therapy (each additional) |
$202 |
$270 |
— |
$21 | |
| IV infusion therapy (initial) |
$1,004 |
$1,338 |
— |
$67 | |
| Kidney scan (nuclear) |
$1,271 |
$1,695 |
— |
$172 | |
| Kidney ultrasound |
$1,299 |
$1,732 |
— |
$84 | |
| Kidney ultrasound (limited) |
$750 |
$1,000 |
— |
$61 | |
| Lactate test |
$180 |
$240 |
— |
$12 | |
| LDH test |
$96 |
$128 |
— |
$6 | |
| LDL cholesterol test |
$155 |
$207 |
— |
$11 | |
| Leg artery angiogram |
$14,366 |
$19,154 |
— |
$149 | |
| Leg vein ultrasound (Doppler) |
$2,256 |
$3,008 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$2,224 |
$2,965 |
— |
$116 | |
| LH hormone test |
$16 |
$21 |
— |
$19 | |
| Lipase test |
$453 |
$605 |
— |
$7 | |
| Lipid (cholesterol) panel |
$12 |
$16 |
— |
$13 | |
| Liver function panel |
$164 |
$219 |
— |
$8 | |
| Lung function test (PFT) |
$592 |
$790 |
— |
$37 | |
| Lung scan (V/Q) |
$4,917 |
$6,556 |
— |
$291 | |
| Magnesium blood test |
$16 |
$22 |
— |
$7 | |
| MRA of the brain |
$4,733 |
$6,310 |
— |
$226 | |
| MRA of the brain without contrast |
$4,964 |
$6,618 |
— |
$328 | |
| MRA of the neck |
$4,733 |
$6,310 |
— |
$245 | |
| MRA of the neck without contrast |
$4,964 |
$6,618 |
— |
$343 | |
| MRI of the abdomen |
$4,766 |
$6,354 |
— |
$300 | |
| MRI of the abdomen with contrast |
$4,766 |
$6,354 |
— |
$300 | |
| MRI of the abdomen without contrast |
$4,238 |
$5,651 |
— |
$194 | |
| MRI of the ankle |
$4,418 |
$5,891 |
— |
$261 | |
| MRI of the ankle with contrast |
$7,594 |
$10,125 |
— |
$261 | |
| MRI of the ankle without contrast |
$2,849 |
$3,798 |
— |
$222 | |
| MRI of the brain |
$8,544 |
$11,392 |
— |
$269 | |
| MRI of the brain with contrast |
$5,978 |
$7,971 |
— |
$269 | |
| MRI of the brain without contrast |
$8,723 |
$11,631 |
— |
$195 | |
| MRI of the chest |
$5,992 |
$7,989 |
— |
$371 | |
| MRI of the chest with contrast |
$8,420 |
$11,226 |
— |
$371 | |
| MRI of the chest without contrast |
$5,992 |
$7,989 |
— |
$466 | |
| MRI of the knee |
$6,087 |
$8,116 |
— |
$315 | |
| MRI of the knee with contrast |
$6,087 |
$8,116 |
— |
$315 | |
| MRI of the knee without contrast |
$2,849 |
$3,798 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$8,061 |
$10,748 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$7,660 |
$10,213 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$8,061 |
$10,748 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$11,912 |
$15,882 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$13,745 |
$18,327 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$6,875 |
$9,167 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$11,912 |
$15,882 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$12,496 |
$16,661 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$15,152 |
$20,203 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$7,755 |
$10,340 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$12,496 |
$16,661 |
— |
$191 | |
| MRI of the pelvis |
$9,845 |
$13,126 |
— |
$268 | |
| MRI of the pelvis without contrast |
$8,651 |
$11,534 |
— |
$227 | |
| MRI of the shoulder |
$7,848 |
$10,464 |
— |
$313 | |
| MRI of the shoulder without contrast |
$5,928 |
$7,904 |
— |
$205 | |
| MRI of the wrist |
$7,848 |
$10,464 |
— |
$330 | |
| MRI of the wrist without contrast |
$5,928 |
$7,904 |
— |
$303 | |
| Nebulizer breathing treatment |
$372 |
$496 |
— |
$9 | |
| Nuchal translucency ultrasound |
$1,756 |
$2,341 |
— |
$116 | |
| Nuclear cardiac stress test |
$18,569 |
$24,759 |
— |
$428 | |
| Occupational therapy evaluation |
$686 |
$914 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$764 |
$1,019 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$664 |
$886 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$674 |
$898 |
— |
$101 | |
| Office visit (established patient) |
$366 |
$488 |
— |
$115 | |
| Office visit (new patient) |
$1,016 |
$1,355 |
— |
$177 | |
| Office visit, established patient (level 3) |
$366 |
$488 |
— |
$95 | |
| Office visit, new patient (level 3) |
$676 |
$901 |
— |
$118 | |
| Office visit, new patient (level 4) |
$1,016 |
$1,355 |
— |
$177 | |
| Office visit, new patient (level 5) |
$1,355 |
$1,806 |
— |
$237 | |
| Pelvic ultrasound |
$1,676 |
$2,234 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$2,300 |
$3,066 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$1,052 |
$1,402 |
— |
$51 | |
| Phosphorus blood test |
$146 |
$194 |
— |
$5 | |
| Physical therapy evaluation |
$725 |
$967 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$725 |
$967 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$738 |
$984 |
— |
$98 | |
| Platelet count |
$217 |
$290 |
— |
$4 | |
| Pneumonia vaccine |
$335 |
$447 |
— |
— | |
| Pregnancy blood test (hCG) |
$611 |
$815 |
— |
$8 | |
| Pregnancy ultrasound |
$1,382 |
$1,842 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$1,325 |
$1,766 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$1,439 |
$1,918 |
— |
$136 | |
| Procalcitonin test |
$223 |
$298 |
— |
$27 | |
| Prolactin test |
$27 |
$36 |
— |
$19 | |
| Prostate test (PSA) |
$10 |
$13 |
— |
$18 | |
| Pulmonary rehabilitation |
$508 |
$677 |
— |
$87 | |
| Rheumatoid factor test |
$273 |
$364 |
— |
$6 | |
| Scoliosis spine X-ray |
$1,371 |
$1,828 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$1,048 |
$1,397 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$1,694 |
$2,258 |
— |
$72 | |
| Screening mammogram |
$494 |
$658 |
— |
$126 | |
| Scrotal ultrasound |
$3,414 |
$4,552 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$158 |
$211 |
— |
$3 | |
| Sex hormone binding globulin test |
$12 |
$16 |
— |
$22 | |
| Soft tissue ultrasound |
$713 |
$950 |
— |
$64 | |
| Speech therapy |
$191 |
$255 |
— |
$76 | |
| Spirometry (lung function test) |
$236 |
$315 |
— |
$30 | |
| Spirometry with bronchodilator |
$948 |
$1,264 |
— |
$43 | |
| Stress echocardiogram |
$3,946 |
$5,261 |
— |
$209 | |
| Swallow study |
$218 |
$291 |
— |
$85 | |
| Tdap (tetanus) vaccine |
$318 |
$424 |
— |
— | |
| Thyroid ultrasound |
$1,388 |
$1,850 |
— |
$109 | |
| Thyroid uptake scan |
$3,687 |
$4,916 |
— |
$145 | |
| Tilt table test |
$4,913 |
$6,551 |
— |
$168 | |
| Transesophageal echocardiogram (TEE) |
$5,971 |
$7,961 |
— |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$5,847 |
$7,797 |
— |
$239 | |
| Transvaginal ultrasound |
$3,185 |
$4,247 |
— |
$118 | |
| Triglycerides test |
$26 |
$35 |
— |
$6 | |
| Troponin (heart) test |
$140 |
$187 |
— |
$12 | |
| Upper GI series (barium) |
$1,314 |
$1,753 |
— |
$128 | |
| Urinalysis |
$110 |
$146 |
— |
$3 | |
| Vaccine administration |
$257 |
$342 |
— |
$19 | |
| Vaccine administration (each additional) |
$237 |
$316 |
— |
$16 | |
| Vitamin B12 test |
$263 |
$351 |
— |
$15 | |
| Vitamin D test |
$24 |
$32 |
— |
$30 | |
| X-ray of the abdomen |
$1,631 |
$2,175 |
— |
$36 | |
| X-ray of the ankle |
$1,518 |
$2,024 |
— |
$37 | |
| X-ray of the collarbone |
$1,278 |
$1,704 |
— |
$33 | |
| X-ray of the elbow |
$1,642 |
$2,189 |
— |
$33 | |
| X-ray of the facial bones |
$970 |
$1,293 |
— |
$39 | |
| X-ray of the foot |
$1,237 |
$1,649 |
— |
$34 | |
| X-ray of the forearm |
$1,294 |
$1,725 |
— |
$29 | |
| X-ray of the hand |
$1,314 |
$1,752 |
— |
$38 | |
| X-ray of the hip |
$1,201 |
$1,601 |
— |
$49 | |
| X-ray of the hip (1 view) |
$804 |
$1,073 |
— |
$34 | |
| X-ray of the hip (3 views) |
$1,239 |
$1,652 |
— |
$49 | |
| X-ray of the hip (4 views) |
$1,362 |
$1,816 |
— |
$63 | |
| X-ray of the knee |
$1,301 |
$1,735 |
— |
$42 | |
| X-ray of the knee (2 views) |
$1,228 |
$1,637 |
— |
$34 | |
| X-ray of the knee (3 views) |
$1,301 |
$1,735 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$1,889 |
$2,518 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$1,709 |
$2,279 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$1,632 |
$2,176 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$1,823 |
$2,431 |
— |
$53 | |
| X-ray of the lower leg |
$1,160 |
$1,546 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$1,569 |
$2,092 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$1,984 |
$2,645 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$1,154 |
$1,539 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$1,997 |
$2,663 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$1,997 |
$2,663 |
— |
$40 | |
| X-ray of the pelvis |
$1,412 |
$1,882 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$1,412 |
$1,882 |
— |
$28 | |
| X-ray of the ribs |
$1,025 |
$1,367 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$898 |
$1,197 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$1,319 |
$1,759 |
— |
$42 | |
| X-ray of the shoulder |
$1,619 |
$2,159 |
— |
$36 | |
| X-ray of the skull |
$1,459 |
$1,945 |
— |
$40 | |
| X-ray of the upper arm |
$1,502 |
$2,003 |
— |
$32 | |
| X-ray of the wrist |
$1,433 |
$1,911 |
— |
$43 | |
| Zinc blood test |
$11 |
$15 |
— |
$11 | |