| 3D mammogram (tomosynthesis) |
$85 |
$85 |
$65 |
$51 | |
| Abdominal ultrasound |
$706 |
$706 |
$521 |
$100 | |
| Abdominal ultrasound (complete) |
$950 |
$950 |
$643 |
$114 | |
| Abdominal ultrasound (limited) |
$706 |
$706 |
$478 |
$86 | |
| Abscess drainage (complex or multiple) |
$274 |
$273 |
$343 |
$220 | |
| Abscess drainage (simple) |
$193 |
$193 |
$230 |
$129 | |
| Abscess incision and drainage |
$274 |
$273 |
$248 |
$174 | |
| Albumin blood test |
$108 |
$108 |
$73 |
$5 | |
| Aldosterone test |
$169 |
$169 |
$114 |
$41 | |
| Alkaline phosphatase test |
$107 |
$107 |
$70 |
$5 | |
| Allergy shots |
$29 |
$29 |
$19 |
$11 | |
| Alpha-fetoprotein (AFP) test |
$187 |
$187 |
$127 |
$17 | |
| ALT liver enzyme test |
$124 |
$124 |
$84 |
$5 | |
| Ammonia blood test |
$207 |
$207 |
$140 |
$15 | |
| Amylase test |
$170 |
$170 |
$115 |
$6 | |
| Annual physical (established patient) |
$158 |
$158 |
$135 |
— | |
| Annual physical (new patient) |
$175 |
$175 |
$153 |
— | |
| Anoscopy |
$166 |
$165 |
$105 |
$129 | |
| Arterial blood gas (ABG) |
$296 |
$296 |
$200 |
$26 | |
| AST liver enzyme test |
$105 |
$105 |
$71 |
$5 | |
| Barium swallow study |
$595 |
$595 |
$391 |
$107 | |
| Basic metabolic panel |
$202 |
$202 |
$137 |
$8 | |
| Benign skin lesion removal |
$215 |
$215 |
$228 |
$171 | |
| Bilirubin blood test |
$107 |
$107 |
$72 |
$5 | |
| Bladder scope (cystoscopy) |
$444 |
$443 |
$234 |
$216 | |
| Blood clotting test (PT/INR) |
$34 |
$34 |
$22 |
$4 | |
| Blood crossmatch |
$129 |
$129 |
$87 |
— | |
| Blood glucose test |
$88 |
$88 |
$62 |
$5 | |
| Blood transfusion |
$348 |
$348 |
$236 |
$47 | |
| Blood type and screen |
$63 |
$63 |
$25 |
$10 | |
| Blood type test |
$49 |
$49 |
$25 |
$3 | |
| Blood type test (ABO group) |
$49 |
$49 |
$25 |
$3 | |
| Blood type test (Rh/D antigen) |
$50 |
$50 |
$25 |
$3 | |
| BNP (heart failure) test |
$233 |
$233 |
$104 |
$39 | |
| Bone density scan (DEXA) |
$592 |
$592 |
$389 |
$39 | |
| Bone scan (nuclear) |
$1,937 |
$1,937 |
$1,311 |
$259 | |
| Breast biopsy |
$2,984 |
$2,984 |
$2,020 |
$478 | |
| Breast ultrasound |
$220 |
$220 |
$170 |
$92 | |
| Breast ultrasound (limited) |
$220 |
$220 |
$170 |
$84 | |
| Breathing tube insertion (intubation) |
$399 |
$399 |
$292 |
$133 | |
| Burn dressing and debridement (small) |
$151 |
$151 |
$120 |
$93 | |
| Burn treatment |
$151 |
$151 |
$120 |
$129 | |
| C-reactive protein (CRP) |
$123 |
$123 |
$83 |
$5 | |
| CA 19-9 tumor marker test |
$217 |
$217 |
$147 |
$21 | |
| CA-125 ovarian marker test |
$256 |
$256 |
$173 |
$21 | |
| Calcium blood test |
$60 |
$60 |
$17 |
$5 | |
| Cardiac stress test |
$1,043 |
$1,043 |
$550 |
$39 | |
| Cardioversion |
$290 |
$290 |
$196 |
$155 | |
| Carotid artery ultrasound |
$957 |
$957 |
$648 |
$156 | |
| CEA tumor marker test |
$236 |
$236 |
$160 |
$19 | |
| Celiac disease test |
$160 |
$160 |
$108 |
$12 | |
| Central line placement |
$219 |
$219 |
$175 |
$238 | |
| Chemotherapy infusion |
$690 |
$690 |
$445 |
$81 | |
| Chemotherapy infusion (each additional) |
$497 |
$497 |
$336 |
$28 | |
| Chemotherapy infusion (first hour) |
$882 |
$882 |
$597 |
$133 | |
| Chest fluid drain (thoracentesis) |
$414 |
$414 |
$353 |
$311 | |
| Chest X-ray |
$368 |
$368 |
$280 |
$37 | |
| Chest X-ray (1 view) |
$328 |
$328 |
$236 |
$25 | |
| Chest X-ray (2 views) |
$407 |
$407 |
$347 |
$33 | |
| Chickenpox (varicella) vaccine |
$315 |
$315 |
$229 |
— | |
| Circumcision |
$359 |
$358 |
$228 |
$167 | |
| CK-MB heart enzyme test |
$240 |
$240 |
$162 |
$12 | |
| Clotting time test (PTT) |
$76 |
$76 |
$24 |
$6 | |
| Colonoscopy |
$194 |
$194 |
$423 |
$480 | |
| Colposcopy |
$218 |
$218 |
$208 |
$161 | |
| Complete blood count (CBC) |
$137 |
$137 |
$83 |
$7 | |
| Complete blood count (CBC) (complete) |
$106 |
$106 |
$78 |
$8 | |
| Comprehensive metabolic panel |
$269 |
$269 |
$182 |
$11 | |
| Continuous glucose monitor setup |
$33 |
$32 |
$70 |
$35 | |
| Contraceptive implant (Nexplanon) |
$247 |
$247 |
$189 |
$115 | |
| Copper blood test |
$228 |
$228 |
$154 |
$12 | |
| Cortisol test |
$156 |
$156 |
$102 |
$16 | |
| COVID-19 PCR test |
$152 |
$152 |
$117 |
$51 | |
| CPAP titration study |
$168 |
$168 |
$114 |
$69 | |
| Creatine kinase (CK) test |
$113 |
$113 |
$77 |
$7 | |
| CT angiography of the chest |
$2,613 |
$2,613 |
$1,717 |
$281 | |
| CT angiography of the head |
$2,921 |
$2,921 |
$1,919 |
$274 | |
| CT scan of the abdomen |
$2,494 |
$2,494 |
$1,583 |
$230 | |
| CT scan of the abdomen and pelvis |
$4,179 |
$4,179 |
$2,666 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$4,348 |
$4,348 |
$2,857 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$4,179 |
$4,179 |
$2,746 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$3,938 |
$3,938 |
$2,587 |
$183 | |
| CT scan of the abdomen with and without contrast |
$3,049 |
$3,049 |
$2,003 |
$259 | |
| CT scan of the abdomen with contrast |
$2,494 |
$2,494 |
$1,639 |
$230 | |
| CT scan of the abdomen without contrast |
$2,063 |
$2,063 |
$1,355 |
$136 | |
| CT scan of the arm |
$1,544 |
$1,544 |
$1,113 |
$199 | |
| CT scan of the arm with contrast |
$3,719 |
$3,719 |
$2,443 |
$199 | |
| CT scan of the arm without contrast |
$1,544 |
$1,544 |
$1,014 |
$161 | |
| CT scan of the chest |
$2,613 |
$2,613 |
$1,633 |
$167 | |
| CT scan of the chest with and without contrast |
$3,155 |
$3,155 |
$2,073 |
$196 | |
| CT scan of the chest with contrast |
$2,613 |
$2,613 |
$1,717 |
$167 | |
| CT scan of the chest without contrast |
$2,094 |
$2,094 |
$1,376 |
$133 | |
| CT scan of the head |
$2,126 |
$2,126 |
$1,355 |
$148 | |
| CT scan of the head with and without contrast |
$2,611 |
$2,611 |
$1,715 |
$173 | |
| CT scan of the head with contrast |
$2,126 |
$2,126 |
$1,397 |
$148 | |
| CT scan of the head without contrast |
$1,773 |
$1,773 |
$1,165 |
$107 | |
| CT scan of the leg |
$2,777 |
$2,777 |
$1,322 |
$166 | |
| CT scan of the leg with contrast |
$3,719 |
$3,719 |
$2,443 |
$166 | |
| CT scan of the leg without contrast |
$1,834 |
$1,834 |
$1,205 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,527 |
$2,527 |
$1,752 |
$169 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,836 |
$2,836 |
$1,877 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$2,218 |
$2,218 |
$1,457 |
$130 | |
| CT scan of the neck |
$1,950 |
$1,950 |
$1,200 |
$183 | |
| CT scan of the neck (cervical spine) |
$2,218 |
$2,218 |
$1,457 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$2,218 |
$2,218 |
$1,457 |
$131 | |
| CT scan of the neck with contrast |
$2,126 |
$2,126 |
$1,397 |
$183 | |
| CT scan of the neck without contrast |
$1,773 |
$1,773 |
$1,165 |
$150 | |
| CT scan of the pelvis |
$2,155 |
$2,155 |
$1,416 |
$226 | |
| CT scan of the pelvis without contrast |
$2,155 |
$2,155 |
$1,416 |
$133 | |
| CT scan of the sinuses |
$2,011 |
$2,011 |
$1,200 |
$152 | |
| CT scan of the sinuses with contrast |
$2,248 |
$2,248 |
$1,477 |
$152 | |
| CT scan of the sinuses without contrast |
$1,773 |
$1,773 |
$1,165 |
$128 | |
| D-dimer test |
$254 |
$254 |
$172 |
$10 | |
| Developmental screening (child) |
$53 |
$53 |
$28 |
— | |
| DHEA-sulfate test |
$454 |
$454 |
$307 |
$22 | |
| Diagnostic mammogram |
$403 |
$403 |
$286 |
$140 | |
| Drug screen (urine) |
$239 |
$239 |
$120 |
$17 | |
| Echocardiogram |
$1,513 |
$1,513 |
$648 |
$138 | |
| Echocardiogram with and without contrast |
$682 |
$682 |
$462 |
$101 | |
| EKG / ECG (tracing only) |
$239 |
$239 |
$184 |
$7 | |
| Electrocardiogram (EKG) |
$136 |
$136 |
$34 |
$8 | |
| Electrolyte panel |
$184 |
$184 |
$125 |
$7 | |
| Emergency department visit |
$632 |
$632 |
$368 |
$69 | |
| Emergency department visit (level 1) |
$1,103 |
$1,103 |
$747 |
$11 | |
| Emergency department visit (level 2) |
$416 |
$416 |
$219 |
$40 | |
| Emergency department visit (level 3) |
$632 |
$632 |
$333 |
$69 | |
| Emergency department visit (level 4) |
$1,404 |
$1,404 |
$741 |
$118 | |
| Emergency department visit (level 5) |
$1,208 |
$1,208 |
$395 |
$171 | |
| Endometrial biopsy |
$157 |
$156 |
$123 |
$98 | |
| Epidural steroid injection |
$1,240 |
$1,240 |
$214 |
$275 | |
| Estradiol (estrogen) test |
$284 |
$284 |
$192 |
$28 | |
| Fecal occult blood (stool) test |
$57 |
$57 |
$37 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$57 |
$57 |
$39 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$53 |
$53 |
$35 |
$16 | |
| Feeding tube (PEG) placement |
$575 |
$575 |
$421 |
$178 | |
| Ferritin (iron) test |
$202 |
$202 |
$137 |
$14 | |
| Fibrinogen test |
$123 |
$123 |
$83 |
$10 | |
| Flu vaccine |
$23 |
$23 |
$20 |
— | |
| Folate (folic acid) test |
$187 |
$187 |
$127 |
$15 | |
| Foreign body removal (skin) |
$295 |
$295 |
$227 |
$157 | |
| Free T4 thyroid test |
$149 |
$149 |
$101 |
$9 | |
| FSH hormone test |
$237 |
$237 |
$160 |
$19 | |
| Gallbladder removal (laparoscopic) |
$1,938 |
$1,938 |
$1,421 |
$658 | |
| Gallbladder scan (HIDA) |
$2,556 |
$2,556 |
$1,730 |
$334 | |
| GGT liver test |
$113 |
$113 |
$77 |
$7 | |
| Glucose tolerance test |
$153 |
$153 |
$50 |
$8 | |
| Group therapy session |
$464 |
$464 |
$314 |
$30 | |
| Hematocrit test |
$77 |
$77 |
$52 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$128 |
$128 |
$87 |
$10 | |
| Hepatitis A vaccine |
$99 |
$98 |
$84 |
— | |
| Hepatitis B test |
$87 |
$87 |
$29 |
$10 | |
| Hepatitis B vaccine |
$141 |
$141 |
$120 |
— | |
| Hepatitis C test |
$87 |
$87 |
$29 |
$14 | |
| HIV test |
$96 |
$96 |
$44 |
$19 | |
| HIV test (antigen/antibody combo) |
$96 |
$96 |
$44 |
$24 | |
| Holter heart monitor |
$857 |
$857 |
$563 |
$26 | |
| HPV vaccine |
$411 |
$411 |
$297 |
— | |
| Inguinal hernia repair |
$499 |
$499 |
$1,131 |
$538 | |
| Iron blood test |
$108 |
$108 |
$73 |
$6 | |
| IUD insertion |
$206 |
$206 |
$132 |
— | |
| IUD removal |
$165 |
$165 |
$129 |
$112 | |
| IV infusion therapy |
$279 |
$279 |
$152 |
$44 | |
| IV infusion therapy (each additional) |
$135 |
$135 |
$75 |
$21 | |
| IV infusion therapy (initial) |
$502 |
$502 |
$325 |
$67 | |
| Joint aspiration (small/intermediate) |
$150 |
$149 |
$100 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$150 |
$149 |
$95 |
$57 | |
| Joint aspiration or injection (small joint) |
$196 |
$196 |
$103 |
$56 | |
| Kidney ultrasound |
$738 |
$738 |
$506 |
$84 | |
| Kidney ultrasound (limited) |
$706 |
$706 |
$478 |
$61 | |
| Knee joint injection |
$244 |
$244 |
$126 |
$69 | |
| Lactate test |
$213 |
$213 |
$144 |
$12 | |
| LDH test |
$68 |
$68 |
$22 |
$6 | |
| LDL cholesterol test |
$141 |
$141 |
$95 |
$11 | |
| Leg vein ultrasound (Doppler) |
$878 |
$878 |
$680 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$878 |
$878 |
$594 |
$116 | |
| LH hormone test |
$165 |
$165 |
$112 |
$19 | |
| Lipase test |
$143 |
$143 |
$97 |
$7 | |
| Lipid (cholesterol) panel |
$201 |
$201 |
$136 |
$13 | |
| Liver function panel |
$222 |
$222 |
$150 |
$8 | |
| Lung function test (PFT) |
$282 |
$282 |
$169 |
$37 | |
| Lung scan (V/Q) |
$1,896 |
$1,896 |
$1,284 |
$291 | |
| Magnesium blood test |
$109 |
$109 |
$76 |
$7 | |
| MMR vaccine |
$159 |
$158 |
$115 |
— | |
| MRA of the brain |
$4,154 |
$4,154 |
$2,233 |
$226 | |
| MRA of the brain without contrast |
$5,211 |
$5,211 |
$3,424 |
$328 | |
| MRA of the neck |
$3,521 |
$3,521 |
$2,313 |
$245 | |
| MRA of the neck without contrast |
$3,521 |
$3,521 |
$2,313 |
$343 | |
| MRI of the abdomen |
$4,673 |
$4,673 |
$2,988 |
$300 | |
| MRI of the abdomen without contrast |
$4,413 |
$4,413 |
$2,899 |
$194 | |
| MRI of the ankle |
$4,219 |
$4,219 |
$2,725 |
$261 | |
| MRI of the ankle without contrast |
$4,025 |
$4,025 |
$2,644 |
$222 | |
| MRI of the brain |
$3,290 |
$3,290 |
$1,940 |
$269 | |
| MRI of the brain without contrast |
$2,731 |
$2,731 |
$1,794 |
$195 | |
| MRI of the chest |
$4,413 |
$4,413 |
$2,899 |
$371 | |
| MRI of the knee |
$4,220 |
$4,220 |
$2,750 |
$315 | |
| MRI of the knee with contrast |
$4,220 |
$4,220 |
$3,043 |
$315 | |
| MRI of the knee without contrast |
$3,495 |
$3,495 |
$2,296 |
$204 | |
| MRI of the lower back (lumbar spine) |
$3,399 |
$3,399 |
$2,026 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,992 |
$2,992 |
$1,966 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$3,322 |
$3,322 |
$2,026 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$3,651 |
$3,651 |
$2,399 |
$319 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,992 |
$2,992 |
$1,966 |
$190 | |
| MRI of the neck (cervical spine) |
$3,399 |
$3,399 |
$2,026 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$3,806 |
$3,806 |
$2,501 |
$318 | |
| MRI of the neck (cervical spine) without contrast |
$2,992 |
$2,992 |
$1,966 |
$191 | |
| MRI of the pelvis |
$3,634 |
$3,634 |
$2,257 |
$268 | |
| MRI of the pelvis without contrast |
$3,334 |
$3,334 |
$2,190 |
$227 | |
| MRI of the shoulder |
$4,220 |
$4,220 |
$2,688 |
$313 | |
| MRI of the shoulder with contrast |
$4,220 |
$4,220 |
$3,043 |
$313 | |
| MRI of the shoulder without contrast |
$3,487 |
$3,487 |
$2,291 |
$205 | |
| MRI of the wrist |
$4,025 |
$4,025 |
$2,725 |
$330 | |
| MRI of the wrist without contrast |
$4,025 |
$4,025 |
$2,644 |
$303 | |
| Nebulizer breathing treatment |
$143 |
$143 |
$92 |
$9 | |
| Newborn hospital care |
$225 |
$225 |
$169 |
$58 | |
| Nuchal translucency ultrasound |
$213 |
$213 |
$144 |
$116 | |
| Nuclear cardiac stress test |
$3,408 |
$3,408 |
$2,622 |
$428 | |
| Occupational therapy evaluation |
$309 |
$309 |
$213 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$293 |
$293 |
$198 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$324 |
$324 |
$219 |
$101 | |
| Office visit (established patient) |
$173 |
$173 |
$133 |
$115 | |
| Office visit (new patient) |
$227 |
$227 |
$194 |
$177 | |
| Office visit, established patient (level 3) |
$143 |
$143 |
$117 |
$95 | |
| Office visit, established patient (level 4) |
$176 |
$175 |
$151 |
$136 | |
| Office visit, new patient (level 3) |
$152 |
$152 |
$145 |
$118 | |
| Office visit, new patient (level 4) |
$241 |
$241 |
$246 |
$177 | |
| Office visit, new patient (level 5) |
$210 |
$210 |
$334 |
$237 | |
| Parathyroid hormone (PTH) test |
$282 |
$282 |
$191 |
$41 | |
| Pelvic ultrasound |
$657 |
$657 |
$503 |
$78 | |
| Pelvic ultrasound (complete) |
$803 |
$803 |
$544 |
$105 | |
| Pelvic ultrasound (limited) |
$657 |
$657 |
$445 |
$51 | |
| Phosphorus blood test |
$108 |
$108 |
$73 |
$5 | |
| Physical therapy evaluation |
$324 |
$324 |
$249 |
$98 | |
| Physical therapy evaluation (high complexity) |
$418 |
$418 |
$283 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$324 |
$324 |
$219 |
$98 | |
| Pilonidal cyst removal |
$1,054 |
$1,054 |
$698 |
$541 | |
| Platelet count |
$90 |
$90 |
$61 |
$4 | |
| Pneumonia vaccine |
$160 |
$160 |
$115 |
— | |
| Pregnancy blood test (hCG) |
$123 |
$123 |
$83 |
$8 | |
| Pregnancy ultrasound |
$794 |
$794 |
$524 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$643 |
$643 |
$435 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$945 |
$945 |
$640 |
$136 | |
| Procalcitonin test |
$454 |
$454 |
$307 |
$27 | |
| Prolactin test |
$263 |
$263 |
$178 |
$19 | |
| Prostate test (PSA) |
$212 |
$212 |
$144 |
$18 | |
| Psychotherapy session |
$631 |
$631 |
$427 |
$140 | |
| Rheumatoid factor test |
$97 |
$97 |
$66 |
$6 | |
| RSV vaccine |
$378 |
$377 |
$272 |
— | |
| Scoliosis spine X-ray |
$386 |
$386 |
$230 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$284 |
$284 |
$187 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$488 |
$488 |
$321 |
$72 | |
| Screening colonoscopy |
$388 |
$388 |
$335 |
$378 | |
| Screening mammogram |
$387 |
$387 |
$316 |
$126 | |
| Scrotal ultrasound |
$619 |
$619 |
$419 |
$99 | |
| Sedimentation rate (ESR) test |
$77 |
$77 |
$52 |
$3 | |
| Semen analysis |
$106 |
$106 |
$72 |
$12 | |
| Sex hormone binding globulin test |
$142 |
$142 |
$96 |
$22 | |
| Shingles vaccine |
$285 |
$284 |
$237 |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
$323 |
$323 |
$142 |
$114 | |
| Simple wound stitches |
$323 |
$323 |
$161 |
$127 | |
| Skin biopsy |
$151 |
$150 |
$104 |
$121 | |
| Skin biopsy (punch) |
$153 |
$152 |
$104 |
$121 | |
| Skin cancer lesion removal |
$273 |
$273 |
$235 |
$240 | |
| Skin lesion freezing (cryotherapy) |
$55 |
$55 |
$40 |
$36 | |
| Skin tag removal |
$125 |
$125 |
$107 |
$92 | |
| Sleep study (polysomnography) |
$4,291 |
$4,291 |
$2,812 |
$691 | |
| Soft tissue ultrasound |
$628 |
$628 |
$425 |
$64 | |
| Speech therapy |
$358 |
$358 |
$275 |
$76 | |
| Spinal tap (lumbar puncture) |
$161 |
$161 |
$130 |
$165 | |
| Spirometry (lung function test) |
$188 |
$188 |
$127 |
$30 | |
| Spirometry with bronchodilator |
$376 |
$376 |
$255 |
$43 | |
| Strep throat test |
$119 |
$119 |
$81 |
$17 | |
| Swallow study |
$497 |
$497 |
$336 |
$85 | |
| T3 thyroid test |
$208 |
$208 |
$141 |
$14 | |
| Tdap (tetanus) vaccine |
$74 |
$74 |
$51 |
— | |
| Testosterone test |
$354 |
$354 |
$187 |
$26 | |
| Thyroid test (TSH) |
$85 |
$85 |
$78 |
$17 | |
| Thyroid ultrasound |
$643 |
$643 |
$435 |
$109 | |
| Total IgE allergy test |
$142 |
$142 |
$54 |
$16 | |
| Total protein test |
$84 |
$84 |
$57 |
$4 | |
| Transvaginal ultrasound |
$650 |
$650 |
$440 |
$118 | |
| Trigger point injection |
$116 |
$116 |
$78 |
$56 | |
| Trigger point injection (1-2 muscles) |
$116 |
$116 |
$78 |
$52 | |
| Triglycerides test |
$62 |
$62 |
$19 |
$6 | |
| Troponin (heart) test |
$220 |
$220 |
$149 |
$12 | |
| Uric acid (gout) test |
$108 |
$108 |
$73 |
$5 | |
| Urinalysis |
$60 |
$60 |
$38 |
$3 | |
| Urine microalbumin test |
$109 |
$109 |
$83 |
$5 | |
| Urine pregnancy test |
$99 |
$99 |
$67 |
$9 | |
| Vaccine administration |
$49 |
$49 |
$27 |
$19 | |
| Vaccine administration (each additional) |
$25 |
$25 |
$18 |
$16 | |
| Vitamin B12 test |
$187 |
$187 |
$127 |
$15 | |
| Vitamin D test |
$206 |
$206 |
$89 |
$30 | |
| Wart removal |
$155 |
$155 |
$145 |
$121 | |
| Well-child visit |
$133 |
$132 |
$113 |
— | |
| Wound debridement |
$358 |
$358 |
$187 |
$186 | |
| X-ray of the abdomen |
$390 |
$390 |
$284 |
$36 | |
| X-ray of the ankle |
$318 |
$318 |
$209 |
$37 | |
| X-ray of the collarbone |
$247 |
$247 |
$177 |
$33 | |
| X-ray of the elbow |
$310 |
$310 |
$204 |
$33 | |
| X-ray of the facial bones |
$435 |
$435 |
$286 |
$39 | |
| X-ray of the foot |
$318 |
$318 |
$209 |
$34 | |
| X-ray of the forearm |
$253 |
$253 |
$182 |
$29 | |
| X-ray of the hand |
$318 |
$318 |
$209 |
$38 | |
| X-ray of the hip |
$352 |
$352 |
$275 |
$49 | |
| X-ray of the hip (1 view) |
$228 |
$228 |
$164 |
$34 | |
| X-ray of the hip (3 views) |
$435 |
$435 |
$292 |
$49 | |
| X-ray of the hip (4 views) |
$406 |
$406 |
$293 |
$63 | |
| X-ray of the knee |
$325 |
$325 |
$220 |
$42 | |
| X-ray of the knee (2 views) |
$289 |
$289 |
$190 |
$34 | |
| X-ray of the knee (3 views) |
$325 |
$325 |
$214 |
$42 | |
| X-ray of the knee (4+ views) |
$419 |
$419 |
$275 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$466 |
$466 |
$290 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$428 |
$428 |
$281 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$503 |
$503 |
$330 |
$53 | |
| X-ray of the lower leg |
$305 |
$305 |
$200 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$409 |
$409 |
$294 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$415 |
$415 |
$299 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$402 |
$402 |
$290 |
$39 | |
| X-ray of the neck (cervical spine) |
$391 |
$391 |
$285 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$361 |
$361 |
$260 |
$40 | |
| X-ray of the pelvis |
$298 |
$298 |
$215 |
$36 | |
| X-ray of the pelvis (1 view) |
$278 |
$278 |
$200 |
$28 | |
| X-ray of the ribs |
$335 |
$335 |
$227 |
$42 | |
| X-ray of the ribs (2 views) |
$325 |
$325 |
$234 |
$36 | |
| X-ray of the ribs (3 views) |
$335 |
$335 |
$242 |
$42 | |
| X-ray of the shoulder |
$361 |
$361 |
$241 |
$36 | |
| X-ray of the skull |
$258 |
$258 |
$170 |
$40 | |
| X-ray of the upper arm |
$253 |
$253 |
$166 |
$32 | |
| X-ray of the wrist |
$318 |
$318 |
$209 |
$43 | |
| Zinc blood test |
$232 |
$232 |
$157 |
$11 | |