| 3D mammogram (tomosynthesis) |
$56 |
$86 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$722 |
$1,110 |
— |
$284 | |
| Abdominal ultrasound |
$220 |
$338 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$220 |
$338 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$302 |
$465 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$461 |
$709 |
— |
$220 | |
| Abscess drainage (simple) |
$192 |
$295 |
— |
$129 | |
| Abscess incision and drainage |
$237 |
$364 |
— |
$174 | |
| Albumin blood test |
$14 |
$21 |
— |
$5 | |
| Aldosterone test |
$102 |
$157 |
— |
$41 | |
| Alkaline phosphatase test |
$16 |
$25 |
— |
$5 | |
| Alpha-fetoprotein (AFP) test |
$56 |
$86 |
— |
$17 | |
| ALT liver enzyme test |
$21 |
$32 |
— |
$5 | |
| Ammonia blood test |
$122 |
$187 |
— |
$15 | |
| Amylase test |
$50 |
$77 |
— |
$6 | |
| Annual physical (established patient) |
$221 |
$340 |
— |
— | |
| Annual physical (new patient) |
$296 |
$455 |
— |
— | |
| Anoscopy |
$254 |
$390 |
— |
$129 | |
| Antinuclear antibody (ANA) test |
$64 |
$99 |
— |
$12 | |
| Arterial blood gas (ABG) |
$188 |
$289 |
— |
$26 | |
| AST liver enzyme test |
$17 |
$26 |
— |
$5 | |
| Bartholin cyst removal |
$492 |
$757 |
— |
$182 | |
| Basic metabolic panel |
$55 |
$85 |
— |
$8 | |
| Bilirubin blood test |
$21 |
$32 |
— |
$5 | |
| Blood clotting test (PT/INR) |
$28 |
$43 |
— |
$4 | |
| Blood crossmatch |
$71 |
$109 |
— |
— | |
| Blood glucose test |
$22 |
$34 |
— |
$5 | |
| Blood transfusion |
$437 |
$672 |
— |
$47 | |
| Blood type and screen |
$70 |
$108 |
— |
$10 | |
| Blood type test |
$37 |
$57 |
— |
$3 | |
| Blood type test (ABO group) |
$37 |
$57 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$37 |
$57 |
— |
$3 | |
| BNP (heart failure) test |
$291 |
$448 |
— |
$39 | |
| Bone density scan (DEXA) |
$133 |
$204 |
— |
$39 | |
| Breast ultrasound |
$356 |
$548 |
— |
$92 | |
| Breast ultrasound (complete) |
$398 |
$613 |
— |
$100 | |
| Breast ultrasound (limited) |
$313 |
$482 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$248 |
$381 |
— |
$133 | |
| Burn dressing and debridement (medium) |
$410 |
$631 |
— |
$166 | |
| Burn dressing and debridement (small) |
$349 |
$537 |
— |
$93 | |
| Burn treatment |
$380 |
$584 |
— |
$129 | |
| C-reactive protein (CRP) |
$41 |
$63 |
— |
$5 | |
| CA 19-9 tumor marker test |
$55 |
$85 |
— |
$21 | |
| CA-125 ovarian marker test |
$86 |
$133 |
— |
$21 | |
| Calcium blood test |
$17 |
$26 |
— |
$5 | |
| Cardiac MRI |
$1,854 |
$2,853 |
— |
$322 | |
| Cardioversion |
$1,114 |
$1,714 |
— |
$155 | |
| Carotid artery ultrasound |
$970 |
$1,493 |
— |
$156 | |
| CEA tumor marker test |
$36 |
$56 |
— |
$19 | |
| Celiac disease test |
$16 |
$25 |
— |
$12 | |
| Central line placement |
$749 |
$1,153 |
— |
$238 | |
| Chemotherapy infusion |
$132 |
$203 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$55 |
$84 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$209 |
$322 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,535 |
$2,362 |
— |
$311 | |
| Chest tube insertion |
$716 |
$1,101 |
— |
$143 | |
| Chest X-ray |
$146 |
$225 |
— |
$37 | |
| Chest X-ray (1 view) |
$111 |
$170 |
— |
$25 | |
| Chest X-ray (2 views) |
$146 |
$225 |
— |
$33 | |
| CK-MB heart enzyme test |
$120 |
$185 |
— |
$12 | |
| Clotting time test (PTT) |
$52 |
$80 |
— |
$6 | |
| Complete blood count (CBC) |
$51 |
$79 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$77 |
$119 |
— |
$8 | |
| Comprehensive metabolic panel |
$55 |
$85 |
— |
$11 | |
| Continuous glucose monitor setup |
$68 |
$105 |
— |
$35 | |
| Copper blood test |
$57 |
$88 |
— |
$12 | |
| Coronary CT angiography |
$1,366 |
$2,102 |
— |
$326 | |
| Cortisol test |
$92 |
$142 |
— |
$16 | |
| COVID-19 PCR test |
$74 |
$114 |
— |
$51 | |
| CPAP titration study |
$462 |
$710 |
$4,910 |
$69 | |
| Creatine kinase (CK) test |
$64 |
$99 |
— |
$7 | |
| CT angiography of the chest |
$2,328 |
$3,581 |
— |
$281 | |
| CT angiography of the head |
$2,142 |
$3,295 |
— |
$274 | |
| CT scan of the abdomen |
$1,104 |
$1,699 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$2,248 |
$3,459 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,308 |
$3,550 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,057 |
$3,165 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,248 |
$3,459 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,284 |
$1,975 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$1,036 |
$1,594 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$1,104 |
$1,699 |
— |
$136 | |
| CT scan of the arm |
$845 |
$1,300 |
— |
$199 | |
| CT scan of the arm with contrast |
$1,148 |
$1,766 |
— |
$199 | |
| CT scan of the arm without contrast |
$845 |
$1,300 |
— |
$161 | |
| CT scan of the chest |
$1,143 |
$1,759 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$1,695 |
$2,608 |
— |
$196 | |
| CT scan of the chest with contrast |
$1,095 |
$1,685 |
— |
$167 | |
| CT scan of the chest without contrast |
$1,143 |
$1,759 |
— |
$133 | |
| CT scan of the head |
$770 |
$1,184 |
— |
$148 | |
| CT scan of the head with and without contrast |
$1,234 |
$1,898 |
— |
$173 | |
| CT scan of the head with contrast |
$956 |
$1,470 |
— |
$148 | |
| CT scan of the head without contrast |
$770 |
$1,184 |
— |
$107 | |
| CT scan of the leg |
$1,058 |
$1,628 |
— |
$166 | |
| CT scan of the leg with contrast |
$1,148 |
$1,766 |
— |
$166 | |
| CT scan of the leg without contrast |
$969 |
$1,490 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,385 |
$2,131 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,978 |
$3,043 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,622 |
$2,496 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,148 |
$1,766 |
— |
$130 | |
| CT scan of the neck |
$1,117 |
$1,718 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$1,148 |
$1,766 |
— |
$168 | |
| CT scan of the neck (cervical spine) with contrast |
$1,388 |
$2,136 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,148 |
$1,766 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$1,169 |
$1,798 |
— |
$220 | |
| CT scan of the neck with contrast |
$1,117 |
$1,718 |
— |
$183 | |
| CT scan of the neck without contrast |
$939 |
$1,445 |
— |
$150 | |
| CT scan of the pelvis |
$1,144 |
$1,760 |
— |
$226 | |
| CT scan of the pelvis with contrast |
$1,058 |
$1,628 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$1,144 |
$1,760 |
— |
$133 | |
| CT scan of the sinuses |
$1,025 |
$1,577 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,025 |
$1,577 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$1,113 |
$1,713 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$930 |
$1,430 |
— |
$128 | |
| D-dimer test |
$195 |
$300 |
— |
$10 | |
| DHEA-sulfate test |
$90 |
$138 |
— |
$22 | |
| Diagnostic mammogram |
$275 |
$424 |
— |
$140 | |
| Drug screen (urine) |
$75 |
$116 |
— |
$17 | |
| Echocardiogram |
$1,166 |
$1,795 |
— |
$138 | |
| Echocardiogram with and without contrast |
$429 |
$660 |
— |
$101 | |
| EKG / ECG (tracing only) |
$168 |
$259 |
— |
$7 | |
| Electrocardiogram (EKG) |
$168 |
$259 |
— |
$8 | |
| Electrolyte panel |
$53 |
$81 |
— |
$7 | |
| Emergency department visit |
$341 |
$524 |
— |
$69 | |
| Emergency department visit (level 1) |
$135 |
$208 |
— |
$11 | |
| Emergency department visit (level 2) |
$214 |
$329 |
— |
$40 | |
| Emergency department visit (level 3) |
$481 |
$740 |
— |
$69 | |
| Emergency department visit (level 4) |
$890 |
$1,369 |
— |
$118 | |
| Emergency department visit (level 5) |
$1,335 |
$2,054 |
— |
$171 | |
| Estradiol (estrogen) test |
$113 |
$174 |
— |
$28 | |
| Fecal occult blood (stool) test |
$29 |
$45 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$17 |
$26 |
— |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$40 |
$61 |
— |
$16 | |
| Ferritin (iron) test |
$57 |
$87 |
— |
$14 | |
| Fibrinogen test |
$65 |
$100 |
— |
$10 | |
| Folate (folic acid) test |
$103 |
$158 |
— |
$15 | |
| Foreign body removal (skin) |
$573 |
$882 |
— |
$157 | |
| Free T4 thyroid test |
$49 |
$76 |
— |
$9 | |
| FSH hormone test |
$40 |
$62 |
— |
$19 | |
| GGT liver test |
$27 |
$42 |
— |
$7 | |
| HDL cholesterol test |
$42 |
$64 |
— |
$8 | |
| Hematocrit test |
$25 |
$39 |
— |
$2 | |
| Hemoglobin A1c (diabetes test) |
$36 |
$55 |
— |
$10 | |
| Hemorrhoid removal |
$1,132 |
$1,742 |
— |
$338 | |
| Hepatitis A vaccine |
$103 |
$159 |
— |
— | |
| Hepatitis B test |
$45 |
$69 |
— |
$10 | |
| Hepatitis B vaccine |
$71 |
$110 |
— |
— | |
| Hepatitis C test |
$59 |
$91 |
— |
$14 | |
| HIV test |
$85 |
$131 |
— |
$19 | |
| HIV test (antibody) |
$85 |
$131 |
— |
$14 | |
| HIV test (antigen/antibody combo) |
$90 |
$138 |
— |
$24 | |
| Iron blood test |
$51 |
$79 |
— |
$6 | |
| IUD removal |
$262 |
$403 |
— |
$112 | |
| IV infusion therapy |
$332 |
$511 |
— |
$44 | |
| IV infusion therapy (each additional) |
$367 |
$564 |
— |
$21 | |
| IV infusion therapy (initial) |
$332 |
$511 |
— |
$67 | |
| Joint aspiration (small/intermediate) |
$216 |
$332 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$72 |
$111 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$359 |
$553 |
— |
$56 | |
| Kidney ultrasound |
$209 |
$322 |
— |
$84 | |
| Kidney ultrasound (limited) |
$248 |
$381 |
— |
$61 | |
| Knee joint injection |
$75 |
$115 |
— |
$69 | |
| Lactate test |
$124 |
$191 |
— |
$12 | |
| Laryngoscopy |
$374 |
$576 |
— |
$189 | |
| LDH test |
$44 |
$68 |
— |
$6 | |
| LDL cholesterol test |
$46 |
$71 |
— |
$11 | |
| Leg vein ultrasound (Doppler) |
$635 |
$977 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$338 |
$520 |
— |
$116 | |
| LH hormone test |
$46 |
$70 |
— |
$19 | |
| Lipase test |
$34 |
$53 |
— |
$7 | |
| Lipid (cholesterol) panel |
$93 |
$143 |
— |
$13 | |
| Liver function panel |
$46 |
$70 |
— |
$8 | |
| Magnesium blood test |
$64 |
$99 |
— |
$7 | |
| MMR vaccine |
$193 |
$297 |
— |
— | |
| MRA of the brain |
$2,761 |
$4,248 |
— |
$226 | |
| MRA of the brain without contrast |
$2,761 |
$4,248 |
— |
$328 | |
| MRA of the neck |
$3,062 |
$4,711 |
— |
$245 | |
| MRA of the neck without contrast |
$3,970 |
$6,108 |
— |
$343 | |
| MRI of the abdomen |
$2,148 |
$3,304 |
— |
$300 | |
| MRI of the abdomen with contrast |
$1,674 |
$2,575 |
— |
$300 | |
| MRI of the abdomen without contrast |
$2,148 |
$3,304 |
— |
$194 | |
| MRI of the ankle |
$2,665 |
$4,100 |
— |
$261 | |
| MRI of the ankle without contrast |
$1,333 |
$2,050 |
— |
$222 | |
| MRI of the brain |
$1,751 |
$2,694 |
— |
$269 | |
| MRI of the brain with contrast |
$1,591 |
$2,447 |
— |
$269 | |
| MRI of the brain without contrast |
$1,751 |
$2,694 |
— |
$195 | |
| MRI of the knee |
$1,846 |
$2,840 |
— |
$315 | |
| MRI of the knee with contrast |
$1,978 |
$3,043 |
— |
$315 | |
| MRI of the knee without contrast |
$1,714 |
$2,637 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,935 |
$2,977 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,935 |
$2,977 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,411 |
$3,709 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$4,553 |
$7,005 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,667 |
$2,565 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,411 |
$3,709 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$3,368 |
$5,182 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$4,555 |
$7,007 |
— |
$318 | |
| MRI of the neck (cervical spine) without contrast |
$2,182 |
$3,357 |
— |
$191 | |
| MRI of the pelvis |
$3,309 |
$5,090 |
— |
$268 | |
| MRI of the pelvis without contrast |
$2,148 |
$3,304 |
— |
$227 | |
| MRI of the shoulder |
$2,129 |
$3,276 |
— |
$313 | |
| MRI of the shoulder with contrast |
$1,649 |
$2,537 |
— |
$313 | |
| MRI of the shoulder without contrast |
$2,129 |
$3,276 |
— |
$205 | |
| MRI of the wrist |
$2,967 |
$4,565 |
— |
$330 | |
| MRI of the wrist without contrast |
$2,129 |
$3,276 |
— |
$303 | |
| Nebulizer breathing treatment |
$247 |
$380 |
$4,910 |
$9 | |
| Occupational therapy evaluation |
$211 |
$325 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$246 |
$378 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$202 |
$311 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$211 |
$325 |
— |
$101 | |
| Office visit (established patient) |
$130 |
$200 |
— |
$115 | |
| Office visit (new patient) |
$206 |
$317 |
— |
$177 | |
| Office visit, established patient (level 3) |
$88 |
$135 |
— |
$95 | |
| Office visit, established patient (level 4) |
$130 |
$200 |
— |
$136 | |
| Office visit, new patient (level 3) |
$108 |
$166 |
— |
$118 | |
| Office visit, new patient (level 4) |
$176 |
$270 |
— |
$177 | |
| Office visit, new patient (level 5) |
$292 |
$449 |
— |
$237 | |
| Pap smear (cervical screening) |
$65 |
$100 |
— |
$20 | |
| Parathyroid hormone (PTH) test |
$152 |
$234 |
— |
$41 | |
| Pelvic ultrasound |
$247 |
$380 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$337 |
$518 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$157 |
$241 |
— |
$51 | |
| Phosphorus blood test |
$45 |
$69 |
— |
$5 | |
| Physical therapy evaluation |
$207 |
$318 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$218 |
$336 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$207 |
$318 |
— |
$98 | |
| Platelet count |
$39 |
$60 |
— |
$4 | |
| Pregnancy blood test (hCG) |
$88 |
$135 |
— |
$8 | |
| Pregnancy ultrasound |
$467 |
$719 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$467 |
$719 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$467 |
$719 |
— |
$136 | |
| Procalcitonin test |
$170 |
$261 |
— |
$27 | |
| Prolactin test |
$59 |
$91 |
— |
$19 | |
| Prostate test (PSA) |
$41 |
$63 |
— |
$18 | |
| Psychiatric evaluation |
$173 |
$266 |
— |
$188 | |
| Psychotherapy session |
$96 |
$148 |
— |
$140 | |
| Rheumatoid factor test |
$43 |
$66 |
— |
$6 | |
| Scoliosis spine X-ray |
$92 |
$142 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$110 |
$169 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$74 |
$114 |
— |
$72 | |
| Screening mammogram |
$321 |
$494 |
— |
$126 | |
| Scrotal ultrasound |
$211 |
$324 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$21 |
$33 |
— |
$3 | |
| Semen analysis |
$38 |
$58 |
— |
$12 | |
| Sex hormone binding globulin test |
$52 |
$80 |
— |
$22 | |
| Shingles vaccine |
$287 |
$442 |
— |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
$735 |
$1,130 |
— |
$114 | |
| Simple wound stitches |
$735 |
$1,130 |
— |
$127 | |
| Skin biopsy |
$50 |
$78 |
— |
$121 | |
| Skin biopsy (punch) |
$46 |
$70 |
— |
$121 | |
| Skin lesion freezing (cryotherapy) |
$41 |
$64 |
— |
$36 | |
| Skin tag removal |
$252 |
$387 |
— |
$92 | |
| Soft tissue ultrasound |
$90 |
$138 |
— |
$64 | |
| Speech therapy |
$143 |
$220 |
— |
$76 | |
| Spinal tap (lumbar puncture) |
$716 |
$1,102 |
— |
$165 | |
| Strep throat test |
$27 |
$42 |
— |
$17 | |
| Swallow study |
$194 |
$299 |
— |
$85 | |
| T3 thyroid test |
$36 |
$56 |
— |
$14 | |
| Tdap (tetanus) vaccine |
$64 |
$98 |
— |
— | |
| Testosterone test |
$57 |
$87 |
— |
$26 | |
| Thyroid test (TSH) |
$81 |
$124 |
— |
$17 | |
| Thyroid ultrasound |
$164 |
$252 |
— |
$109 | |
| Total IgE allergy test |
$90 |
$139 |
— |
$16 | |
| Total protein test |
$24 |
$37 |
— |
$4 | |
| Transvaginal ultrasound |
$337 |
$518 |
— |
$118 | |
| Trigger point injection |
$415 |
$638 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$449 |
$692 |
— |
$52 | |
| Triglycerides test |
$15 |
$23 |
— |
$6 | |
| Troponin (heart) test |
$244 |
$375 |
— |
$12 | |
| Uric acid (gout) test |
$46 |
$70 |
— |
$5 | |
| Urinalysis |
$31 |
$47 |
— |
$3 | |
| Urine microalbumin test |
$44 |
$68 |
— |
$5 | |
| Urine pregnancy test |
$49 |
$75 |
— |
$9 | |
| Vaccine administration |
$134 |
$207 |
— |
$19 | |
| Vaccine administration (each additional) |
$73 |
$113 |
— |
$16 | |
| Vitamin B12 test |
$72 |
$111 |
— |
$15 | |
| Vitamin D test |
$117 |
$180 |
— |
$30 | |
| Wart removal |
$90 |
$138 |
— |
$121 | |
| Wound debridement |
$878 |
$1,351 |
— |
$186 | |
| X-ray of the abdomen |
$150 |
$230 |
— |
$36 | |
| X-ray of the ankle |
$114 |
$175 |
— |
$37 | |
| X-ray of the collarbone |
$46 |
$71 |
— |
$33 | |
| X-ray of the elbow |
$125 |
$193 |
— |
$33 | |
| X-ray of the facial bones |
$202 |
$311 |
— |
$39 | |
| X-ray of the foot |
$114 |
$175 |
— |
$34 | |
| X-ray of the forearm |
$220 |
$338 |
— |
$29 | |
| X-ray of the hand |
$114 |
$175 |
— |
$38 | |
| X-ray of the hip |
$127 |
$195 |
— |
$49 | |
| X-ray of the hip (1 view) |
$102 |
$157 |
— |
$34 | |
| X-ray of the hip (3 views) |
$127 |
$195 |
— |
$49 | |
| X-ray of the hip (4 views) |
$300 |
$461 |
— |
$63 | |
| X-ray of the knee |
$125 |
$193 |
— |
$42 | |
| X-ray of the knee (2 views) |
$112 |
$173 |
— |
$34 | |
| X-ray of the knee (3 views) |
$125 |
$193 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$135 |
$208 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$110 |
$169 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$144 |
$222 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$75 |
$115 |
— |
$53 | |
| X-ray of the lower leg |
$112 |
$173 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$180 |
$277 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$180 |
$277 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$158 |
$243 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$123 |
$189 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$52 |
$80 |
— |
$40 | |
| X-ray of the pelvis |
$144 |
$222 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$112 |
$173 |
— |
$28 | |
| X-ray of the ribs |
$148 |
$228 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$127 |
$195 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$148 |
$228 |
— |
$42 | |
| X-ray of the shoulder |
$125 |
$193 |
— |
$36 | |
| X-ray of the skull |
$242 |
$372 |
— |
$40 | |
| X-ray of the upper arm |
$125 |
$193 |
— |
$32 | |
| X-ray of the wrist |
$114 |
$175 |
— |
$43 | |
| Zinc blood test |
$31 |
$48 |
— |
$11 | |