| 3D mammogram (tomosynthesis) |
$134 |
$149 |
— |
$51 | |
| Abdominal ultrasound |
$428 |
$475 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$484 |
$538 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$371 |
$412 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$614 |
$682 |
— |
$220 | |
| Abscess drainage (simple) |
$319 |
$354 |
— |
$129 | |
| Abscess incision and drainage |
$552 |
$613 |
— |
$174 | |
| ACL knee reconstruction |
$15,901 |
$17,668 |
— |
$889 | |
| Adenoid removal (adenoidectomy) |
$3,016 |
$3,352 |
— |
$204 | |
| Albumin blood test |
$41 |
$45 |
— |
$5 | |
| Aldosterone test |
$74 |
$82 |
— |
$41 | |
| Alkaline phosphatase test |
$41 |
$46 |
— |
$5 | |
| Allergy shots |
$41 |
$46 |
— |
$11 | |
| Alpha-fetoprotein (AFP) test |
$131 |
$146 |
— |
$17 | |
| ALT liver enzyme test |
$43 |
$48 |
— |
$5 | |
| Ammonia blood test |
$31 |
$34 |
— |
$15 | |
| Amylase test |
$65 |
$72 |
— |
$6 | |
| Ankle fracture repair |
$6,674 |
$7,415 |
— |
$608 | |
| Ankle replacement |
$10,579 |
$11,754 |
— |
$885 | |
| Annual physical (established patient) |
$327 |
$363 |
— |
— | |
| Annual physical (new patient) |
$378 |
$420 |
— |
— | |
| Anoscopy |
$239 |
$266 |
— |
$129 | |
| Antinuclear antibody (ANA) test |
$61 |
$68 |
— |
$12 | |
| Arterial blood gas (ABG) |
$151 |
$167 |
— |
$26 | |
| AST liver enzyme test |
$41 |
$46 |
— |
$5 | |
| Basic metabolic panel |
$65 |
$72 |
— |
$8 | |
| Benign skin lesion removal |
$449 |
$499 |
— |
$171 | |
| Bilirubin blood test |
$39 |
$43 |
— |
$5 | |
| Blood clotting test (PT/INR) |
$69 |
$77 |
— |
$4 | |
| Blood crossmatch |
$257 |
$285 |
— |
— | |
| Blood glucose test |
$33 |
$37 |
— |
$5 | |
| Blood transfusion |
$927 |
$1,030 |
— |
$47 | |
| Blood type and screen |
$101 |
$112 |
— |
$10 | |
| Blood type test |
$22 |
$24 |
— |
$3 | |
| Blood type test (ABO group) |
$22 |
$24 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$42 |
$47 |
— |
$3 | |
| BNP (heart failure) test |
$257 |
$286 |
— |
$39 | |
| Bone density scan (DEXA) |
$108 |
$120 |
— |
$39 | |
| Bone scan (nuclear) |
$1,393 |
$1,548 |
— |
$259 | |
| Botox for migraine |
$408 |
$453 |
— |
$157 | |
| Breast ultrasound |
$392 |
$436 |
— |
$92 | |
| Breast ultrasound (complete) |
$392 |
$436 |
— |
$100 | |
| Breast ultrasound (limited) |
$327 |
$363 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$411 |
$457 |
— |
$133 | |
| Bunion surgery (bunionectomy) |
$4,007 |
$4,452 |
— |
$883 | |
| Burn dressing and debridement (medium) |
$353 |
$393 |
— |
$166 | |
| Burn dressing and debridement (small) |
$260 |
$289 |
— |
$93 | |
| Burn treatment |
$343 |
$381 |
— |
$129 | |
| C-reactive protein (CRP) |
$42 |
$47 |
— |
$5 | |
| CA 19-9 tumor marker test |
$50 |
$56 |
— |
$21 | |
| CA-125 ovarian marker test |
$48 |
$53 |
— |
$21 | |
| Calcium blood test |
$41 |
$46 |
— |
$5 | |
| Cardiac rehabilitation |
$209 |
$232 |
— |
$26 | |
| Carotid artery ultrasound |
$684 |
$760 |
— |
$156 | |
| Carpal tunnel release |
$2,521 |
$2,801 |
— |
$483 | |
| Cataract surgery |
$5,072 |
$5,636 |
— |
$547 | |
| CEA tumor marker test |
$27 |
$30 |
— |
$19 | |
| Celiac disease test |
$38 |
$42 |
— |
$12 | |
| Chest tube insertion |
$1,608 |
$1,787 |
— |
$143 | |
| Chest X-ray |
$213 |
$237 |
— |
$37 | |
| Chest X-ray (1 view) |
$185 |
$206 |
— |
$25 | |
| Chest X-ray (2 views) |
$241 |
$268 |
— |
$33 | |
| CK-MB heart enzyme test |
$89 |
$99 |
— |
$12 | |
| Clotting time test (PTT) |
$48 |
$53 |
— |
$6 | |
| Colonoscopy |
$2,785 |
$3,094 |
— |
$480 | |
| Complete blood count (CBC) |
$61 |
$68 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$61 |
$68 |
— |
$8 | |
| Complex wound repair |
$1,049 |
$1,166 |
— |
$390 | |
| Comprehensive metabolic panel |
$96 |
$107 |
— |
$11 | |
| Copper blood test |
$43 |
$48 |
— |
$12 | |
| Cortisol test |
$26 |
$29 |
— |
$16 | |
| COVID-19 PCR test |
$128 |
$142 |
— |
$51 | |
| CPAP titration study |
$327 |
$363 |
— |
$69 | |
| Creatine kinase (CK) test |
$70 |
$78 |
— |
$7 | |
| CT angiography of the chest |
$2,195 |
$2,439 |
— |
$281 | |
| CT angiography of the head |
$2,152 |
$2,391 |
— |
$274 | |
| CT scan of the abdomen |
$1,509 |
$1,677 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$2,481 |
$2,757 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,157 |
$3,508 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,481 |
$2,757 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,715 |
$1,905 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,210 |
$2,456 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$1,509 |
$1,677 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$1,246 |
$1,384 |
— |
$136 | |
| CT scan of the arm |
$1,577 |
$1,752 |
— |
$199 | |
| CT scan of the arm with contrast |
$1,577 |
$1,752 |
— |
$199 | |
| CT scan of the arm without contrast |
$1,316 |
$1,462 |
— |
$161 | |
| CT scan of the chest |
$1,557 |
$1,730 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$2,060 |
$2,289 |
— |
$196 | |
| CT scan of the chest with contrast |
$1,557 |
$1,730 |
— |
$167 | |
| CT scan of the chest without contrast |
$1,302 |
$1,447 |
— |
$133 | |
| CT scan of the head |
$1,244 |
$1,382 |
— |
$148 | |
| CT scan of the head with and without contrast |
$1,557 |
$1,730 |
— |
$173 | |
| CT scan of the head with contrast |
$1,244 |
$1,382 |
— |
$148 | |
| CT scan of the head without contrast |
$1,185 |
$1,317 |
— |
$107 | |
| CT scan of the leg |
$1,418 |
$1,576 |
— |
$166 | |
| CT scan of the leg with contrast |
$1,418 |
$1,576 |
— |
$166 | |
| CT scan of the leg without contrast |
$1,247 |
$1,386 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,467 |
$1,630 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,557 |
$1,730 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,377 |
$1,530 |
— |
$130 | |
| CT scan of the neck |
$1,568 |
$1,742 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$1,467 |
$1,630 |
— |
$168 | |
| CT scan of the neck (cervical spine) with contrast |
$1,557 |
$1,730 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,377 |
$1,530 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$1,733 |
$1,925 |
— |
$220 | |
| CT scan of the neck with contrast |
$1,402 |
$1,558 |
— |
$183 | |
| CT scan of the neck without contrast |
$1,237 |
$1,374 |
— |
$150 | |
| CT scan of the pelvis |
$1,509 |
$1,677 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,869 |
$2,077 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$1,509 |
$1,677 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$1,377 |
$1,530 |
— |
$133 | |
| CT scan of the sinuses |
$1,253 |
$1,392 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,645 |
$1,828 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$1,253 |
$1,392 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$1,185 |
$1,317 |
— |
$128 | |
| D-dimer test |
$73 |
$81 |
— |
$10 | |
| Developmental screening (child) |
$34 |
$38 |
— |
— | |
| DHEA-sulfate test |
$48 |
$53 |
— |
$22 | |
| Diagnostic mammogram |
$517 |
$574 |
— |
$140 | |
| Drug screen (urine) |
$384 |
$427 |
— |
$17 | |
| Ear pressure test (tympanometry) |
$40 |
$44 |
— |
$16 | |
| Ear tubes (myringotomy) |
$1,697 |
$1,885 |
— |
$174 | |
| Echocardiogram |
$627 |
$697 |
— |
$138 | |
| Echocardiogram with and without contrast |
$412 |
$458 |
— |
$101 | |
| EKG / ECG (tracing only) |
$144 |
$160 |
— |
$7 | |
| Electrocardiogram (EKG) |
$144 |
$160 |
— |
$8 | |
| Electrolyte panel |
$58 |
$64 |
— |
$7 | |
| Emergency department visit |
$333 |
$370 |
— |
$69 | |
| Emergency department visit (level 1) |
$204 |
$227 |
— |
$11 | |
| Emergency department visit (level 2) |
$289 |
$321 |
— |
$40 | |
| Emergency department visit (level 3) |
$526 |
$584 |
— |
$69 | |
| Emergency department visit (level 4) |
$825 |
$917 |
— |
$118 | |
| Emergency department visit (level 5) |
$1,288 |
$1,431 |
— |
$171 | |
| Endometrial biopsy |
$248 |
$276 |
— |
$98 | |
| Estradiol (estrogen) test |
$96 |
$107 |
— |
$28 | |
| Family therapy session |
$941 |
$1,045 |
— |
$110 | |
| Feeding tube (PEG) placement |
$2,814 |
$3,127 |
— |
$178 | |
| Ferritin (iron) test |
$22 |
$24 |
— |
$14 | |
| Fibrinogen test |
$65 |
$72 |
— |
$10 | |
| Flu test |
$108 |
$120 |
— |
$17 | |
| Folate (folic acid) test |
$96 |
$107 |
— |
$15 | |
| Foreign body removal (skin) |
$407 |
$452 |
— |
$157 | |
| Free T4 thyroid test |
$73 |
$81 |
— |
$9 | |
| FSH hormone test |
$66 |
$73 |
— |
$19 | |
| Gallbladder removal (laparoscopic) |
$1,925 |
$2,139 |
— |
$658 | |
| Gallbladder scan (HIDA) |
$1,861 |
$2,067 |
— |
$334 | |
| Ganglion cyst removal |
$1,741 |
$1,934 |
— |
$321 | |
| GGT liver test |
$19 |
$21 |
— |
$7 | |
| Glucose tolerance test |
$32 |
$35 |
— |
$8 | |
| Group therapy session |
$842 |
$935 |
— |
$30 | |
| Hammertoe repair |
$3,373 |
$3,748 |
— |
$548 | |
| HDL cholesterol test |
$64 |
$71 |
— |
$8 | |
| Hematocrit test |
$20 |
$22 |
— |
$2 | |
| Hemoglobin A1c (diabetes test) |
$78 |
$87 |
— |
$10 | |
| Hepatitis B test |
$88 |
$98 |
— |
$10 | |
| Hepatitis C test |
$112 |
$124 |
— |
$14 | |
| HIV test |
$90 |
$100 |
— |
$19 | |
| HIV test (antibody) |
$90 |
$100 |
— |
$14 | |
| HIV test (antigen/antibody combo) |
$84 |
$93 |
— |
$24 | |
| Holter heart monitor |
$289 |
$321 |
— |
$26 | |
| Hydrocele repair |
$5,821 |
$6,468 |
— |
$315 | |
| Incisional hernia repair |
$1,890 |
$2,099 |
— |
— | |
| Inguinal hernia repair |
$1,450 |
$1,611 |
— |
$538 | |
| Iron blood test |
$11 |
$12 |
— |
$6 | |
| IUD removal |
$279 |
$310 |
— |
$112 | |
| IV infusion therapy |
$307 |
$340 |
— |
$44 | |
| IV infusion therapy (each additional) |
$120 |
$133 |
— |
$21 | |
| IV infusion therapy (initial) |
$500 |
$555 |
— |
$67 | |
| Joint aspiration (small/intermediate) |
$517 |
$574 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$517 |
$574 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$324 |
$360 |
— |
$56 | |
| Kidney ultrasound |
$443 |
$492 |
— |
$84 | |
| Kidney ultrasound (limited) |
$412 |
$458 |
— |
$61 | |
| Knee arthroscopy |
$5,297 |
$5,885 |
— |
$524 | |
| Knee joint injection |
$161 |
$179 |
— |
$69 | |
| Lactate test |
$77 |
$86 |
— |
$12 | |
| LDH test |
$48 |
$53 |
— |
$6 | |
| Leg vein ultrasound (Doppler) |
$520 |
$578 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$520 |
$578 |
— |
$116 | |
| LH hormone test |
$145 |
$161 |
— |
$19 | |
| Lipase test |
$56 |
$62 |
— |
$7 | |
| Lipid (cholesterol) panel |
$110 |
$122 |
— |
$13 | |
| Liver function panel |
$64 |
$71 |
— |
$8 | |
| Lung function test (PFT) |
$136 |
$151 |
— |
$37 | |
| Magnesium blood test |
$64 |
$71 |
— |
$7 | |
| Meniscus repair (knee) |
$3,568 |
$3,964 |
— |
$714 | |
| MRA of the brain |
$2,809 |
$3,121 |
— |
$226 | |
| MRA of the neck |
$2,985 |
$3,317 |
— |
$245 | |
| MRA of the neck with contrast |
$2,985 |
$3,317 |
— |
$245 | |
| MRI of the abdomen |
$2,808 |
$3,120 |
— |
$300 | |
| MRI of the abdomen without contrast |
$2,195 |
$2,439 |
— |
$194 | |
| MRI of the ankle |
$2,971 |
$3,301 |
— |
$261 | |
| MRI of the ankle without contrast |
$2,510 |
$2,789 |
— |
$222 | |
| MRI of the brain |
$2,451 |
$2,723 |
— |
$269 | |
| MRI of the brain with contrast |
$2,451 |
$2,723 |
— |
$269 | |
| MRI of the brain without contrast |
$2,229 |
$2,477 |
— |
$195 | |
| MRI of the chest |
$3,405 |
$3,784 |
— |
$371 | |
| MRI of the chest without contrast |
$3,914 |
$4,349 |
— |
$466 | |
| MRI of the knee |
$2,147 |
$2,386 |
— |
$315 | |
| MRI of the knee without contrast |
$2,147 |
$2,386 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,563 |
$2,848 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,563 |
$2,848 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,074 |
$2,304 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,074 |
$2,304 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$3,031 |
$3,368 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,975 |
$2,194 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,074 |
$2,304 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$2,462 |
$2,735 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$3,246 |
$3,607 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,462 |
$2,735 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,953 |
$2,170 |
— |
$191 | |
| MRI of the pelvis |
$2,552 |
$2,836 |
— |
$268 | |
| MRI of the pelvis with contrast |
$2,210 |
$2,455 |
— |
$268 | |
| MRI of the pelvis without contrast |
$2,552 |
$2,836 |
— |
$227 | |
| MRI of the shoulder |
$2,765 |
$3,072 |
— |
$313 | |
| MRI of the shoulder without contrast |
$2,094 |
$2,327 |
— |
$205 | |
| MRI of the wrist |
$3,047 |
$3,385 |
— |
$330 | |
| MRI of the wrist with contrast |
$3,047 |
$3,385 |
— |
$330 | |
| MRI of the wrist without contrast |
$2,859 |
$3,177 |
— |
$303 | |
| Nebulizer breathing treatment |
$152 |
$169 |
— |
$9 | |
| Nuclear cardiac stress test |
$3,512 |
$3,902 |
— |
$428 | |
| Occupational therapy evaluation |
$419 |
$466 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$383 |
$425 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$419 |
$466 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$419 |
$466 |
— |
$101 | |
| Office visit (established patient) |
$242 |
$269 |
— |
$115 | |
| Office visit (new patient) |
$435 |
$483 |
— |
$177 | |
| Office visit, established patient (level 3) |
$196 |
$218 |
— |
$95 | |
| Office visit, established patient (level 4) |
$288 |
$320 |
— |
$136 | |
| Office visit, new patient (level 3) |
$286 |
$318 |
— |
$118 | |
| Office visit, new patient (level 4) |
$435 |
$483 |
— |
$177 | |
| Office visit, new patient (level 5) |
$547 |
$608 |
— |
$237 | |
| Orthopedic hardware removal |
$3,018 |
$3,354 |
— |
$632 | |
| Pap smear (cervical screening) |
$169 |
$188 |
— |
$20 | |
| Parathyroid hormone (PTH) test |
$62 |
$69 |
— |
$41 | |
| Pelvic ultrasound |
$316 |
$351 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$433 |
$481 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$199 |
$221 |
— |
$51 | |
| Phosphorus blood test |
$38 |
$42 |
— |
$5 | |
| Physical therapy evaluation |
$432 |
$480 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$420 |
$467 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$432 |
$480 |
— |
$98 | |
| Platelet count |
$36 |
$40 |
— |
$4 | |
| Pneumonia vaccine |
$407 |
$452 |
— |
— | |
| Pregnancy blood test (hCG) |
$59 |
$66 |
— |
$8 | |
| Pregnancy ultrasound |
$423 |
$470 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$423 |
$470 |
— |
$117 | |
| Procalcitonin test |
$229 |
$254 |
— |
$27 | |
| Prolactin test |
$69 |
$77 |
— |
$19 | |
| Prostate test (PSA) |
$142 |
$158 |
— |
$18 | |
| Psychotherapy session |
$867 |
$963 |
— |
$140 | |
| Pulmonary rehabilitation |
$128 |
$142 |
— |
$87 | |
| Rotator cuff repair |
$7,282 |
$8,091 |
— |
$792 | |
| Screening mammogram |
$524 |
$582 |
— |
$126 | |
| Scrotal ultrasound |
$441 |
$490 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$30 |
$33 |
— |
$3 | |
| Semen analysis |
$89 |
$99 |
— |
$12 | |
| Septoplasty (deviated septum) |
$3,349 |
$3,721 |
— |
$613 | |
| Sex hormone binding globulin test |
$63 |
$70 |
— |
$22 | |
| Shoulder arthroscopy |
$7,268 |
$8,075 |
— |
$962 | |
| Simple laceration repair (small, up to 2.5 cm) |
$297 |
$330 |
— |
$114 | |
| Simple wound stitches |
$323 |
$359 |
— |
$127 | |
| Skin biopsy |
$335 |
$372 |
— |
$121 | |
| Skin biopsy (punch) |
$335 |
$372 |
— |
$121 | |
| Skin cancer lesion removal |
$711 |
$790 |
— |
$240 | |
| Skin lesion freezing (cryotherapy) |
$141 |
$156 |
— |
$36 | |
| Skin tag removal |
$236 |
$262 |
— |
$92 | |
| Sleep study (polysomnography) |
$2,909 |
$3,232 |
— |
$691 | |
| Soft tissue ultrasound |
$178 |
$198 |
— |
$64 | |
| Speech therapy |
$332 |
$369 |
— |
$76 | |
| Spirometry (lung function test) |
$114 |
$127 |
— |
$30 | |
| Spirometry with bronchodilator |
$269 |
$299 |
— |
$43 | |
| Strep throat test |
$106 |
$118 |
— |
$17 | |
| Swallow study |
$422 |
$469 |
— |
$85 | |
| T3 thyroid test |
$110 |
$122 |
— |
$14 | |
| Testosterone test |
$90 |
$100 |
— |
$26 | |
| Thyroid test (TSH) |
$131 |
$146 |
— |
$17 | |
| Thyroid ultrasound |
$491 |
$545 |
— |
$109 | |
| Tonsillectomy |
$5,415 |
$6,017 |
— |
$252 | |
| Total IgE allergy test |
$129 |
$143 |
— |
$16 | |
| Total protein test |
$31 |
$34 |
— |
$4 | |
| Transvaginal ultrasound |
$488 |
$542 |
— |
$118 | |
| Trigger finger release |
$2,097 |
$2,330 |
— |
$630 | |
| Trigger point injection |
$148 |
$164 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$148 |
$164 |
— |
$52 | |
| Triglycerides test |
$47 |
$52 |
— |
$6 | |
| Troponin (heart) test |
$133 |
$148 |
— |
$12 | |
| Ulnar nerve surgery (elbow) |
$2,813 |
$3,125 |
— |
$575 | |
| Upper GI endoscopy (EGD) |
$2,489 |
$2,765 |
— |
$371 | |
| Uric acid (gout) test |
$38 |
$42 |
— |
$5 | |
| Urinalysis |
$62 |
$69 |
— |
$3 | |
| Urine microalbumin test |
$38 |
$42 |
— |
$5 | |
| Urine pregnancy test |
$57 |
$63 |
— |
$9 | |
| Vaccine administration |
$70 |
$78 |
— |
$19 | |
| Vaccine administration (each additional) |
$29 |
$32 |
— |
$16 | |
| Vitamin B12 test |
$99 |
$110 |
— |
$15 | |
| Vitamin D test |
$221 |
$246 |
— |
$30 | |
| Wart removal |
$345 |
$383 |
— |
$121 | |
| Well-child visit |
$282 |
$313 |
— |
— | |
| Wound debridement |
$614 |
$682 |
— |
$186 | |
| X-ray of the abdomen |
$223 |
$248 |
— |
$36 | |
| X-ray of the ankle |
$208 |
$231 |
— |
$37 | |
| X-ray of the collarbone |
$204 |
$227 |
— |
$33 | |
| X-ray of the elbow |
$225 |
$250 |
— |
$33 | |
| X-ray of the facial bones |
$273 |
$303 |
— |
$39 | |
| X-ray of the foot |
$208 |
$231 |
— |
$34 | |
| X-ray of the forearm |
$204 |
$227 |
— |
$29 | |
| X-ray of the hand |
$208 |
$231 |
— |
$38 | |
| X-ray of the hip |
$209 |
$233 |
— |
$49 | |
| X-ray of the hip (1 view) |
$178 |
$198 |
— |
$34 | |
| X-ray of the hip (3 views) |
$240 |
$267 |
— |
$49 | |
| X-ray of the knee |
$225 |
$250 |
— |
$42 | |
| X-ray of the knee (2 views) |
$204 |
$227 |
— |
$34 | |
| X-ray of the knee (3 views) |
$225 |
$250 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$269 |
$299 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$313 |
$348 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$260 |
$289 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$366 |
$407 |
— |
$53 | |
| X-ray of the lower leg |
$204 |
$227 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$271 |
$301 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$253 |
$281 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$289 |
$321 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$289 |
$321 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$233 |
$259 |
— |
$40 | |
| X-ray of the pelvis |
$232 |
$258 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$204 |
$227 |
— |
$28 | |
| X-ray of the ribs |
$352 |
$391 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$277 |
$308 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$374 |
$415 |
— |
$42 | |
| X-ray of the shoulder |
$225 |
$250 |
— |
$36 | |
| X-ray of the skull |
$312 |
$347 |
— |
$40 | |
| X-ray of the upper arm |
$225 |
$250 |
— |
$32 | |
| X-ray of the wrist |
$208 |
$231 |
— |
$43 | |
| YAG laser capsulotomy (eye) |
$1,365 |
$1,517 |
— |
$335 | |
| Zinc blood test |
$41 |
$46 |
— |
$11 | |