| 3D mammogram (tomosynthesis) |
$75 |
$75 |
$68 |
$51 | |
| Abdominal ultrasound |
$1,333 |
$1,333 |
$1,266 |
$100 | |
| Abdominal ultrasound (complete) |
$1,510 |
$1,510 |
$1,372 |
$114 | |
| Abdominal ultrasound (limited) |
$1,333 |
$1,333 |
$1,211 |
$86 | |
| Abscess drainage (simple) |
$845 |
$845 |
$660 |
$129 | |
| Abscess incision and drainage |
$845 |
$845 |
$660 |
$174 | |
| Albumin blood test |
$205 |
$205 |
$186 |
$5 | |
| Aldosterone test |
$650 |
$650 |
$591 |
$41 | |
| Alkaline phosphatase test |
$254 |
$254 |
$231 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$448 |
$448 |
$407 |
$17 | |
| ALT liver enzyme test |
$307 |
$307 |
$279 |
$5 | |
| Ammonia blood test |
$534 |
$534 |
$485 |
$15 | |
| Amylase test |
$229 |
$229 |
$208 |
$6 | |
| Arterial blood gas (ABG) |
$183 |
$183 |
$166 |
$26 | |
| AST liver enzyme test |
$307 |
$307 |
$279 |
$5 | |
| Basic metabolic panel |
$367 |
$367 |
$333 |
$8 | |
| Bilirubin blood test |
$254 |
$254 |
$231 |
$5 | |
| Blood clotting test (PT/INR) |
$111 |
$111 |
$108 |
$4 | |
| Blood glucose test |
$221 |
$221 |
$197 |
$5 | |
| Blood transfusion |
$1,230 |
$1,230 |
$1,117 |
$47 | |
| Blood type and screen |
$258 |
$258 |
$234 |
$10 | |
| Blood type test |
$143 |
$143 |
$130 |
$3 | |
| Blood type test (ABO group) |
$143 |
$143 |
$130 |
$3 | |
| Blood type test (Rh/D antigen) |
$143 |
$143 |
$130 |
$3 | |
| BNP (heart failure) test |
$342 |
$342 |
$311 |
$39 | |
| Bone density scan (DEXA) |
$700 |
$700 |
$636 |
$39 | |
| Breast ultrasound |
$442 |
$442 |
$429 |
$92 | |
| Breast ultrasound (limited) |
$442 |
$442 |
$429 |
$84 | |
| Breathing tube insertion (intubation) |
$1,037 |
$1,037 |
$942 |
$133 | |
| Burn dressing and debridement (small) |
$268 |
$268 |
$209 |
$93 | |
| Burn treatment |
$268 |
$268 |
$209 |
$129 | |
| C-reactive protein (CRP) |
$245 |
$245 |
$223 |
$5 | |
| CA 19-9 tumor marker test |
$286 |
$286 |
$260 |
$21 | |
| CA-125 ovarian marker test |
$301 |
$301 |
$273 |
$21 | |
| Calcium blood test |
$205 |
$205 |
$186 |
$5 | |
| Cardiac rehabilitation |
$333 |
$333 |
$303 |
$26 | |
| Cardiac stress test |
$1,309 |
$1,309 |
$1,022 |
$39 | |
| Carotid artery ultrasound |
$1,869 |
$1,869 |
$1,698 |
$156 | |
| CEA tumor marker test |
$463 |
$463 |
$421 |
$19 | |
| Celiac disease test |
$123 |
$123 |
$112 |
$12 | |
| Chemotherapy infusion |
$422 |
$422 |
$303 |
$81 | |
| Chemotherapy infusion (each additional) |
$162 |
$162 |
$147 |
$28 | |
| Chemotherapy infusion (first hour) |
$682 |
$682 |
$620 |
$133 | |
| Chest fluid drain (thoracentesis) |
$2,105 |
$2,105 |
$1,912 |
$311 | |
| Chest tube insertion |
$1,720 |
$1,720 |
$1,343 |
$143 | |
| Chest X-ray |
$520 |
$520 |
$547 |
$37 | |
| Chest X-ray (1 view) |
$373 |
$373 |
$358 |
$25 | |
| Chest X-ray (2 views) |
$667 |
$667 |
$640 |
$33 | |
| CK-MB heart enzyme test |
$541 |
$541 |
$492 |
$12 | |
| Clotting time test (PTT) |
$156 |
$156 |
$115 |
$6 | |
| Complete blood count (CBC) |
$226 |
$226 |
$205 |
$7 | |
| Complete blood count (CBC) (complete) |
$237 |
$237 |
$215 |
$8 | |
| Comprehensive metabolic panel |
$408 |
$408 |
$371 |
$11 | |
| Copper blood test |
$170 |
$170 |
$154 |
$12 | |
| Cortisol test |
$533 |
$533 |
$394 |
$16 | |
| COVID-19 PCR test |
$141 |
$141 |
$128 |
$51 | |
| CPAP titration study |
$844 |
$844 |
$767 |
$69 | |
| Creatine kinase (CK) test |
$307 |
$307 |
$279 |
$7 | |
| CT angiography of the chest |
$4,127 |
$4,127 |
$3,749 |
$281 | |
| CT angiography of the head |
$3,915 |
$3,915 |
$3,557 |
$274 | |
| CT scan of the abdomen |
$3,473 |
$3,473 |
$3,000 |
$230 | |
| CT scan of the abdomen and pelvis |
$7,379 |
$7,379 |
$6,241 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$9,481 |
$9,481 |
$8,613 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$7,379 |
$7,379 |
$6,704 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$6,241 |
$6,241 |
$5,670 |
$183 | |
| CT scan of the abdomen with and without contrast |
$3,915 |
$3,915 |
$3,557 |
$259 | |
| CT scan of the abdomen with contrast |
$3,473 |
$3,473 |
$3,155 |
$230 | |
| CT scan of the abdomen without contrast |
$3,000 |
$3,000 |
$2,726 |
$136 | |
| CT scan of the arm |
$3,000 |
$3,000 |
$2,850 |
$199 | |
| CT scan of the arm with contrast |
$3,473 |
$3,473 |
$3,155 |
$199 | |
| CT scan of the arm without contrast |
$3,000 |
$3,000 |
$2,726 |
$161 | |
| CT scan of the chest |
$3,693 |
$3,693 |
$3,194 |
$167 | |
| CT scan of the chest with and without contrast |
$4,127 |
$4,127 |
$3,749 |
$196 | |
| CT scan of the chest with contrast |
$3,693 |
$3,693 |
$3,355 |
$167 | |
| CT scan of the chest without contrast |
$3,250 |
$3,250 |
$2,953 |
$133 | |
| CT scan of the head |
$3,458 |
$3,458 |
$2,910 |
$148 | |
| CT scan of the head with and without contrast |
$3,915 |
$3,915 |
$3,557 |
$173 | |
| CT scan of the head without contrast |
$3,000 |
$3,000 |
$2,726 |
$107 | |
| CT scan of the leg |
$3,497 |
$3,497 |
$3,322 |
$166 | |
| CT scan of the leg with contrast |
$3,915 |
$3,915 |
$3,557 |
$166 | |
| CT scan of the leg without contrast |
$3,497 |
$3,497 |
$3,177 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$3,937 |
$3,937 |
$3,569 |
$169 | |
| CT scan of the lower back (lumbar spine) with contrast |
$4,127 |
$4,127 |
$3,749 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$3,747 |
$3,747 |
$3,404 |
$130 | |
| CT scan of the neck |
$3,237 |
$3,237 |
$2,880 |
$183 | |
| CT scan of the neck (cervical spine) |
$3,497 |
$3,497 |
$3,177 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$3,497 |
$3,497 |
$3,177 |
$131 | |
| CT scan of the neck with contrast |
$3,473 |
$3,473 |
$3,155 |
$183 | |
| CT scan of the neck without contrast |
$3,000 |
$3,000 |
$2,726 |
$150 | |
| CT scan of the pelvis |
$3,706 |
$3,706 |
$3,357 |
$226 | |
| CT scan of the pelvis with contrast |
$3,915 |
$3,915 |
$3,557 |
$226 | |
| CT scan of the pelvis without contrast |
$3,497 |
$3,497 |
$3,177 |
$133 | |
| CT scan of the sinuses |
$3,512 |
$3,512 |
$2,970 |
$152 | |
| CT scan of the sinuses with and without contrast |
$3,962 |
$3,962 |
$3,599 |
$184 | |
| CT scan of the sinuses without contrast |
$3,062 |
$3,062 |
$2,782 |
$128 | |
| D-dimer test |
$339 |
$339 |
$308 |
$10 | |
| DHEA-sulfate test |
$556 |
$556 |
$505 |
$22 | |
| Diagnostic mammogram |
$518 |
$518 |
$481 |
$140 | |
| Drug screen (urine) |
$459 |
$459 |
$417 |
$17 | |
| Echocardiogram |
$2,171 |
$2,171 |
$1,660 |
$138 | |
| Echocardiogram with and without contrast |
$1,421 |
$1,421 |
$1,291 |
$101 | |
| EKG / ECG (tracing only) |
$215 |
$215 |
$195 |
$7 | |
| Electrocardiogram (EKG) |
$215 |
$215 |
$195 |
$8 | |
| Electrolyte panel |
$186 |
$186 |
$169 |
$7 | |
| Emergency department visit |
$749 |
$749 |
$578 |
$69 | |
| Emergency department visit (level 2) |
$587 |
$587 |
$458 |
$40 | |
| Emergency department visit (level 3) |
$850 |
$850 |
$664 |
$69 | |
| Emergency department visit (level 4) |
$2,003 |
$2,003 |
$1,564 |
$118 | |
| Emergency department visit (level 5) |
$2,482 |
$2,482 |
$1,938 |
$171 | |
| Estradiol (estrogen) test |
$263 |
$263 |
$239 |
$28 | |
| Fecal occult blood (stool) test |
$138 |
$138 |
$125 |
$10 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$138 |
$138 |
$125 |
$16 | |
| Ferritin (iron) test |
$414 |
$414 |
$376 |
$14 | |
| Flu test |
$99 |
$99 |
$90 |
$17 | |
| Folate (folic acid) test |
$307 |
$307 |
$279 |
$15 | |
| Foreign body removal (skin) |
$577 |
$577 |
$451 |
$157 | |
| Free T4 thyroid test |
$276 |
$276 |
$251 |
$9 | |
| FSH hormone test |
$442 |
$442 |
$402 |
$19 | |
| Gallbladder scan (HIDA) |
$3,197 |
$3,197 |
$2,904 |
$334 | |
| GGT liver test |
$307 |
$307 |
$279 |
$7 | |
| Glucose tolerance test |
$187 |
$187 |
$170 |
$8 | |
| Hematocrit test |
$111 |
$111 |
$101 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$307 |
$307 |
$279 |
$10 | |
| Hepatitis B test |
$186 |
$186 |
$169 |
$10 | |
| Hepatitis C test |
$392 |
$392 |
$356 |
$14 | |
| Iron blood test |
$205 |
$205 |
$186 |
$6 | |
| IV infusion therapy |
$481 |
$481 |
$368 |
$44 | |
| IV infusion therapy (each additional) |
$314 |
$314 |
$285 |
$21 | |
| IV infusion therapy (initial) |
$648 |
$648 |
$589 |
$67 | |
| Kidney ultrasound |
$1,180 |
$1,180 |
$902 |
$84 | |
| Kidney ultrasound (limited) |
$769 |
$769 |
$699 |
$61 | |
| Knee joint injection |
$412 |
$412 |
$322 |
$69 | |
| Lactate test |
$193 |
$193 |
$175 |
$12 | |
| LDH test |
$176 |
$176 |
$122 |
$6 | |
| LDL cholesterol test |
$10 |
$10 |
$9 |
$11 | |
| Leg vein ultrasound (Doppler) |
$1,216 |
$1,216 |
$1,167 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,216 |
$1,216 |
$1,105 |
$116 | |
| LH hormone test |
$381 |
$381 |
$346 |
$19 | |
| Lipase test |
$225 |
$225 |
$204 |
$7 | |
| Lipid (cholesterol) panel |
$370 |
$370 |
$336 |
$13 | |
| Liver function panel |
$367 |
$367 |
$333 |
$8 | |
| Lung function test (PFT) |
$530 |
$530 |
$504 |
$37 | |
| Lung scan (V/Q) |
$2,200 |
$2,200 |
$1,999 |
$291 | |
| Magnesium blood test |
$134 |
$134 |
$98 |
$7 | |
| MRA of the brain |
$4,116 |
$4,116 |
$3,690 |
$226 | |
| MRA of the brain without contrast |
$4,387 |
$4,387 |
$3,986 |
$328 | |
| MRA of the neck |
$4,113 |
$4,113 |
$3,737 |
$245 | |
| MRA of the neck without contrast |
$4,113 |
$4,113 |
$3,737 |
$343 | |
| MRI of the abdomen |
$5,514 |
$5,514 |
$5,009 |
$300 | |
| MRI of the ankle |
$3,747 |
$3,747 |
$3,560 |
$261 | |
| MRI of the ankle without contrast |
$3,747 |
$3,747 |
$3,404 |
$222 | |
| MRI of the brain |
$4,331 |
$4,331 |
$3,743 |
$269 | |
| MRI of the brain without contrast |
$3,847 |
$3,847 |
$3,495 |
$195 | |
| MRI of the knee |
$4,562 |
$4,562 |
$4,074 |
$315 | |
| MRI of the knee without contrast |
$4,244 |
$4,244 |
$3,856 |
$204 | |
| MRI of the lower back (lumbar spine) |
$5,079 |
$5,079 |
$4,612 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$5,032 |
$5,032 |
$4,572 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$4,351 |
$4,351 |
$3,948 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$4,457 |
$4,457 |
$4,049 |
$319 | |
| MRI of the mid-back (thoracic spine) without contrast |
$4,244 |
$4,244 |
$3,856 |
$190 | |
| MRI of the neck (cervical spine) |
$4,351 |
$4,351 |
$3,948 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$4,457 |
$4,457 |
$4,049 |
$318 | |
| MRI of the neck (cervical spine) without contrast |
$4,244 |
$4,244 |
$3,856 |
$191 | |
| MRI of the pelvis |
$4,562 |
$4,562 |
$4,074 |
$268 | |
| MRI of the pelvis without contrast |
$4,244 |
$4,244 |
$3,856 |
$227 | |
| MRI of the shoulder |
$4,867 |
$4,867 |
$4,422 |
$313 | |
| MRI of the shoulder without contrast |
$4,867 |
$4,867 |
$4,422 |
$205 | |
| MRI of the wrist |
$4,244 |
$4,244 |
$3,856 |
$330 | |
| MRI of the wrist without contrast |
$4,244 |
$4,244 |
$3,856 |
$303 | |
| Nebulizer breathing treatment |
$254 |
$254 |
$231 |
$9 | |
| Nuclear cardiac stress test |
$4,500 |
$4,500 |
$4,088 |
$428 | |
| Occupational therapy evaluation |
$366 |
$366 |
$331 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$351 |
$351 |
$319 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$380 |
$380 |
$345 |
$101 | |
| Office visit (established patient) |
$261 |
$261 |
$145 |
$115 | |
| Office visit, established patient (level 3) |
$210 |
$210 |
$109 |
$95 | |
| Office visit, established patient (level 4) |
$311 |
$311 |
$162 |
$136 | |
| Pap smear (cervical screening) |
$88 |
$88 |
$80 |
$20 | |
| Parathyroid hormone (PTH) test |
$518 |
$518 |
$471 |
$41 | |
| Pelvic ultrasound |
$781 |
$781 |
$570 |
$78 | |
| Pelvic ultrasound (complete) |
$1,205 |
$1,205 |
$1,095 |
$105 | |
| Pelvic ultrasound (limited) |
$356 |
$356 |
$323 |
$51 | |
| Phosphorus blood test |
$205 |
$205 |
$186 |
$5 | |
| Physical therapy evaluation |
$380 |
$380 |
$337 |
$98 | |
| Physical therapy evaluation (high complexity) |
$409 |
$409 |
$372 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$380 |
$380 |
$345 |
$98 | |
| Platelet count |
$185 |
$185 |
$168 |
$4 | |
| Pregnancy blood test (hCG) |
$215 |
$215 |
$195 |
$8 | |
| Procalcitonin test |
$550 |
$550 |
$500 |
$27 | |
| Prolactin test |
$442 |
$442 |
$402 |
$19 | |
| Prostate test (PSA) |
$162 |
$162 |
$147 |
$18 | |
| Scoliosis spine X-ray |
$664 |
$664 |
$603 |
$58 | |
| Scoliosis spine X-ray (3 views) |
$664 |
$664 |
$603 |
$72 | |
| Screening mammogram |
$475 |
$475 |
$432 |
$126 | |
| Scrotal ultrasound |
$840 |
$840 |
$763 |
$99 | |
| Sedimentation rate (ESR) test |
$121 |
$121 |
$110 |
$3 | |
| Semen analysis |
$207 |
$207 |
$188 |
$12 | |
| Sex hormone binding globulin test |
$120 |
$120 |
$109 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$577 |
$577 |
$500 |
$114 | |
| Simple wound stitches |
$577 |
$577 |
$500 |
$127 | |
| Sleep study (polysomnography) |
$5,678 |
$5,678 |
$5,149 |
$691 | |
| Soft tissue ultrasound |
$615 |
$615 |
$559 |
$64 | |
| Speech therapy |
$537 |
$537 |
$488 |
$76 | |
| Spirometry (lung function test) |
$530 |
$530 |
$482 |
$30 | |
| Spirometry with bronchodilator |
$747 |
$747 |
$583 |
$43 | |
| Strep throat test |
$75 |
$75 |
$68 |
$17 | |
| Swallow study |
$680 |
$680 |
$618 |
$85 | |
| Tdap (tetanus) vaccine |
$111 |
$111 |
$101 |
— | |
| Testosterone test |
$276 |
$276 |
$251 |
$26 | |
| Thyroid test (TSH) |
$276 |
$276 |
$251 |
$17 | |
| Thyroid ultrasound |
$964 |
$964 |
$876 |
$109 | |
| Total IgE allergy test |
$463 |
$463 |
$421 |
$16 | |
| Total protein test |
$90 |
$90 |
$82 |
$4 | |
| Transvaginal ultrasound |
$718 |
$718 |
$652 |
$118 | |
| Triglycerides test |
$205 |
$205 |
$186 |
$6 | |
| Troponin (heart) test |
$301 |
$301 |
$273 |
$12 | |
| Uric acid (gout) test |
$254 |
$254 |
$231 |
$5 | |
| Urinalysis |
$111 |
$111 |
$101 |
$3 | |
| Urine microalbumin test |
$198 |
$198 |
$180 |
$5 | |
| Urine pregnancy test |
$146 |
$146 |
$133 |
$9 | |
| Vaccine administration |
$137 |
$137 |
$107 |
$19 | |
| Vitamin B12 test |
$307 |
$307 |
$279 |
$15 | |
| Vitamin D test |
$312 |
$312 |
$230 |
$30 | |
| X-ray of the abdomen |
$771 |
$771 |
$604 |
$36 | |
| X-ray of the ankle |
$856 |
$856 |
$778 |
$37 | |
| X-ray of the collarbone |
$541 |
$541 |
$492 |
$33 | |
| X-ray of the elbow |
$584 |
$584 |
$531 |
$33 | |
| X-ray of the foot |
$631 |
$631 |
$573 |
$34 | |
| X-ray of the forearm |
$783 |
$783 |
$711 |
$29 | |
| X-ray of the hand |
$541 |
$541 |
$492 |
$38 | |
| X-ray of the hip |
$923 |
$923 |
$860 |
$49 | |
| X-ray of the hip (3 views) |
$923 |
$923 |
$860 |
$49 | |
| X-ray of the knee |
$629 |
$629 |
$576 |
$42 | |
| X-ray of the knee (2 views) |
$602 |
$602 |
$547 |
$34 | |
| X-ray of the knee (3 views) |
$629 |
$629 |
$571 |
$42 | |
| X-ray of the knee (4+ views) |
$668 |
$668 |
$607 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$804 |
$804 |
$730 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$784 |
$784 |
$712 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$824 |
$824 |
$749 |
$53 | |
| X-ray of the lower leg |
$664 |
$664 |
$603 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$724 |
$724 |
$671 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$664 |
$664 |
$637 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$783 |
$783 |
$721 |
$39 | |
| X-ray of the neck (cervical spine) |
$583 |
$583 |
$553 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$583 |
$583 |
$553 |
$40 | |
| X-ray of the pelvis |
$533 |
$533 |
$484 |
$36 | |
| X-ray of the pelvis (1 view) |
$533 |
$533 |
$484 |
$28 | |
| X-ray of the ribs |
$924 |
$924 |
$839 |
$42 | |
| X-ray of the ribs (2 views) |
$787 |
$787 |
$756 |
$36 | |
| X-ray of the ribs (3 views) |
$924 |
$924 |
$887 |
$42 | |
| X-ray of the shoulder |
$660 |
$660 |
$600 |
$36 | |
| X-ray of the skull |
$787 |
$787 |
$715 |
$40 | |
| X-ray of the upper arm |
$562 |
$562 |
$511 |
$32 | |
| X-ray of the wrist |
$783 |
$783 |
$711 |
$43 | |
| Zinc blood test |
$167 |
$167 |
$151 |
$11 | |