| 3D mammogram (tomosynthesis) |
$170 |
$340 |
$196 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$545 |
$1,089 |
$654 |
$284 | |
| Abdominal ultrasound |
$329 |
$657 |
$449 |
$100 | |
| Abdominal ultrasound (complete) |
$439 |
$877 |
$638 |
$114 | |
| Abdominal ultrasound (limited) |
$276 |
$551 |
$397 |
$86 | |
| Abscess incision and drainage |
$49 |
$98 |
$80 |
$174 | |
| Albumin blood test |
$26 |
$53 |
$46 |
$5 | |
| Aldosterone test |
$37 |
$74 |
$59 |
$41 | |
| Alkaline phosphatase test |
$22 |
$44 |
$28 |
$5 | |
| Allergy shots |
$28 |
$55 |
$42 |
$11 | |
| Alpha-fetoprotein (AFP) test |
$16 |
$33 |
$28 |
$17 | |
| ALT liver enzyme test |
$23 |
$47 |
$38 |
$5 | |
| Ammonia blood test |
$73 |
$146 |
$106 |
$15 | |
| Amylase test |
$47 |
$94 |
$76 |
$6 | |
| Anoscopy |
$51 |
$102 |
$81 |
$129 | |
| Antinuclear antibody (ANA) test |
$9 |
$19 |
$15 |
$12 | |
| Arterial blood gas (ABG) |
$171 |
$341 |
$248 |
$26 | |
| AST liver enzyme test |
$22 |
$44 |
$36 |
$5 | |
| Barium swallow study |
$280 |
$560 |
$408 |
$107 | |
| Bartholin cyst removal |
$123 |
$246 |
$180 |
$182 | |
| Basic metabolic panel |
$95 |
$190 |
$138 |
$8 | |
| Bilirubin blood test |
$19 |
$37 |
$30 |
$5 | |
| Bladder scope (cystoscopy) |
$376 |
$752 |
$547 |
$216 | |
| Blood clotting test (PT/INR) |
$26 |
$53 |
$47 |
$4 | |
| Blood crossmatch |
$86 |
$173 |
$126 |
— | |
| Blood glucose test |
$21 |
$42 |
$34 |
$5 | |
| Blood transfusion |
$215 |
$429 |
$312 |
$47 | |
| Blood type and screen |
$78 |
$157 |
$114 |
$10 | |
| Blood type test |
$23 |
$46 |
$34 |
$3 | |
| Blood type test (ABO group) |
$23 |
$46 |
$34 |
$3 | |
| Blood type test (Rh/D antigen) |
$23 |
$46 |
$34 |
$3 | |
| BNP (heart failure) test |
$143 |
$287 |
$209 |
$39 | |
| Bone density scan (DEXA) |
$316 |
$632 |
$460 |
$39 | |
| Bone marrow biopsy |
$188 |
$376 |
$277 |
$172 | |
| Bone scan (nuclear) |
$796 |
$1,592 |
$1,158 |
$259 | |
| Botox for migraine |
$56 |
$113 |
$91 |
$157 | |
| Breast biopsy |
$611 |
$1,222 |
$1,088 |
$478 | |
| Breast ultrasound |
$252 |
$505 |
$403 |
$92 | |
| Breast ultrasound (complete) |
$465 |
$930 |
$545 |
$100 | |
| Breast ultrasound (limited) |
$224 |
$448 |
$316 |
$84 | |
| Breathing tube insertion (intubation) |
$130 |
$260 |
$234 |
$133 | |
| Burn dressing and debridement (medium) |
$146 |
$291 |
$177 |
$166 | |
| Burn treatment |
$91 |
$183 |
$121 |
$129 | |
| C-reactive protein (CRP) |
$64 |
$127 |
$80 |
$5 | |
| CA 19-9 tumor marker test |
$133 |
$266 |
$103 |
$21 | |
| CA-125 ovarian marker test |
$69 |
$138 |
$103 |
$21 | |
| Calcium blood test |
$22 |
$44 |
$36 |
$5 | |
| Cardiac rehabilitation |
$161 |
$322 |
$234 |
$26 | |
| Cardiac stress test |
$642 |
$1,284 |
$934 |
$39 | |
| Cardioversion |
$723 |
$1,446 |
$1,052 |
$155 | |
| Carotid artery ultrasound |
$509 |
$1,019 |
$917 |
$156 | |
| CEA tumor marker test |
$180 |
$361 |
$218 |
$19 | |
| Celiac disease test |
$49 |
$99 |
$77 |
$12 | |
| Central line placement |
$347 |
$694 |
$505 |
$238 | |
| Chemotherapy infusion |
$214 |
$428 |
$238 |
$81 | |
| Chemotherapy infusion (each additional) |
$123 |
$245 |
$147 |
$28 | |
| Chemotherapy infusion (first hour) |
$305 |
$610 |
$492 |
$133 | |
| Chest fluid drain (thoracentesis) |
$185 |
$369 |
$269 |
$311 | |
| Chest tube insertion |
$292 |
$585 |
$526 |
$143 | |
| Chest X-ray |
$110 |
$220 |
$171 |
$37 | |
| Chest X-ray (1 view) |
$85 |
$170 |
$144 |
$25 | |
| Chest X-ray (2 views) |
$142 |
$285 |
$189 |
$33 | |
| Chickenpox (varicella) vaccine |
$166 |
$332 |
$246 |
— | |
| CK-MB heart enzyme test |
$49 |
$97 |
$78 |
$12 | |
| Clotting time test (PTT) |
$73 |
$146 |
$103 |
$6 | |
| Colposcopy |
$61 |
$123 |
$99 |
$161 | |
| Complete blood count (CBC) |
$47 |
$95 |
$60 |
$7 | |
| Complete blood count (CBC) (complete) |
$47 |
$95 |
$76 |
$8 | |
| Comprehensive metabolic panel |
$124 |
$249 |
$149 |
$11 | |
| Contraceptive implant (Nexplanon) |
$81 |
$162 |
$121 |
$115 | |
| Copper blood test |
$26 |
$53 |
$45 |
$12 | |
| Cortisol test |
$21 |
$41 |
$33 |
$16 | |
| COVID-19 PCR test |
$116 |
$233 |
$151 |
$51 | |
| CPAP titration study |
$114 |
$227 |
$165 |
$69 | |
| Creatine kinase (CK) test |
$23 |
$46 |
$51 |
$7 | |
| CT angiography of the chest |
$1,992 |
$3,983 |
$2,898 |
$281 | |
| CT angiography of the head |
$2,780 |
$5,559 |
$4,045 |
$274 | |
| CT scan of the abdomen |
$1,204 |
$2,408 |
$1,688 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,309 |
$4,619 |
$3,374 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,929 |
$5,858 |
$4,262 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,309 |
$4,619 |
$3,360 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,875 |
$3,749 |
$2,728 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,373 |
$2,746 |
$1,978 |
$259 | |
| CT scan of the abdomen with contrast |
$1,204 |
$2,408 |
$1,752 |
$230 | |
| CT scan of the abdomen without contrast |
$938 |
$1,876 |
$1,365 |
$136 | |
| CT scan of the arm |
$1,065 |
$2,129 |
$1,611 |
$199 | |
| CT scan of the arm with contrast |
$1,065 |
$2,129 |
$1,549 |
$199 | |
| CT scan of the arm without contrast |
$894 |
$1,788 |
$1,301 |
$161 | |
| CT scan of the chest |
$1,161 |
$2,322 |
$1,724 |
$167 | |
| CT scan of the chest with and without contrast |
$1,433 |
$2,866 |
$2,085 |
$196 | |
| CT scan of the chest with contrast |
$1,161 |
$2,322 |
$1,689 |
$167 | |
| CT scan of the chest without contrast |
$973 |
$1,946 |
$1,416 |
$133 | |
| CT scan of the head |
$753 |
$1,506 |
$1,335 |
$148 | |
| CT scan of the head with and without contrast |
$1,162 |
$2,325 |
$1,691 |
$173 | |
| CT scan of the head with contrast |
$958 |
$1,915 |
$1,394 |
$148 | |
| CT scan of the head without contrast |
$753 |
$1,506 |
$1,096 |
$107 | |
| CT scan of the leg |
$1,070 |
$2,139 |
$1,699 |
$166 | |
| CT scan of the leg with contrast |
$1,070 |
$2,139 |
$1,557 |
$166 | |
| CT scan of the leg without contrast |
$894 |
$1,788 |
$1,609 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$972 |
$1,944 |
$1,414 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$972 |
$1,944 |
$1,414 |
$130 | |
| CT scan of the neck |
$1,087 |
$2,174 |
$1,615 |
$183 | |
| CT scan of the neck (cervical spine) |
$974 |
$1,948 |
$1,417 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$974 |
$1,948 |
$1,417 |
$131 | |
| CT scan of the neck with and without contrast |
$1,318 |
$2,636 |
$1,918 |
$220 | |
| CT scan of the neck with contrast |
$1,087 |
$2,174 |
$1,582 |
$183 | |
| CT scan of the neck without contrast |
$912 |
$1,823 |
$1,326 |
$150 | |
| CT scan of the pelvis |
$1,107 |
$2,214 |
$1,514 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,107 |
$2,214 |
$1,611 |
$251 | |
| CT scan of the pelvis with contrast |
$1,107 |
$2,214 |
$1,611 |
$226 | |
| CT scan of the pelvis without contrast |
$938 |
$1,876 |
$1,365 |
$133 | |
| CT scan of the sinuses |
$1,095 |
$2,191 |
$1,611 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,336 |
$2,673 |
$1,945 |
$184 | |
| CT scan of the sinuses with contrast |
$1,095 |
$2,191 |
$1,594 |
$152 | |
| CT scan of the sinuses without contrast |
$909 |
$1,818 |
$1,323 |
$128 | |
| D-dimer test |
$61 |
$122 |
$98 |
$10 | |
| DHEA-sulfate test |
$107 |
$213 |
$155 |
$22 | |
| Diagnostic mammogram |
$239 |
$478 |
$385 |
$140 | |
| Drug screen (urine) |
$132 |
$265 |
$193 |
$17 | |
| Echocardiogram |
$775 |
$1,551 |
$732 |
$138 | |
| Echocardiogram with and without contrast |
$377 |
$755 |
$549 |
$101 | |
| EEG (awake and asleep) |
$471 |
$941 |
$685 |
$482 | |
| EKG / ECG (tracing only) |
$88 |
$175 |
$127 |
$7 | |
| Electrocardiogram (EKG) |
$88 |
$175 |
$127 |
$8 | |
| Electroencephalogram (EEG) |
$418 |
$837 |
$602 |
$448 | |
| Electrolyte panel |
$78 |
$156 |
$113 |
$7 | |
| Electromyography (EMG) |
$159 |
$317 |
$231 |
$141 | |
| Emergency department visit |
$249 |
$498 |
$299 |
$69 | |
| Emergency department visit (level 1) |
$97 |
$194 |
$141 |
$11 | |
| Emergency department visit (level 2) |
$151 |
$302 |
$219 |
$40 | |
| Emergency department visit (level 3) |
$249 |
$498 |
$363 |
$69 | |
| Emergency department visit (level 4) |
$392 |
$784 |
$570 |
$118 | |
| Emergency department visit (level 5) |
$623 |
$1,246 |
$906 |
$171 | |
| Endometrial biopsy |
$41 |
$82 |
$66 |
$98 | |
| Estradiol (estrogen) test |
$44 |
$87 |
$55 |
$28 | |
| Fallopian tube X-ray (HSG) |
$318 |
$636 |
$463 |
$164 | |
| Fecal occult blood (stool) test |
$21 |
$42 |
$30 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$21 |
$42 |
$34 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$15 |
$31 |
$25 |
$16 | |
| Ferritin (iron) test |
$22 |
$44 |
$36 |
$14 | |
| Fibrinogen test |
$43 |
$86 |
$69 |
$10 | |
| Flu test |
$68 |
$136 |
$103 |
$17 | |
| Flu vaccine |
$13 |
$25 |
$19 |
— | |
| Folate (folic acid) test |
$91 |
$181 |
$109 |
$15 | |
| Foreign body removal (skin) |
$108 |
$216 |
$147 |
$157 | |
| Free T4 thyroid test |
$21 |
$42 |
$30 |
$9 | |
| FSH hormone test |
$62 |
$125 |
$103 |
$19 | |
| Gallbladder scan (HIDA) |
$883 |
$1,767 |
$1,286 |
$334 | |
| GGT liver test |
$40 |
$81 |
$65 |
$7 | |
| Glucose tolerance test |
$62 |
$124 |
$103 |
$8 | |
| Group therapy session |
$44 |
$88 |
$67 |
$30 | |
| H. pylori test |
$242 |
$485 |
$353 |
$67 | |
| HDL cholesterol test |
$60 |
$120 |
$97 |
$8 | |
| Hematocrit test |
$11 |
$22 |
$18 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$29 |
$57 |
$57 |
$10 | |
| Hepatitis A vaccine |
$88 |
$177 |
$129 |
— | |
| Hepatitis B test |
$15 |
$30 |
$24 |
$10 | |
| Hepatitis B vaccine |
$58 |
$117 |
$90 |
— | |
| Hepatitis C test |
$13 |
$27 |
$21 |
$14 | |
| HIV test |
$126 |
$251 |
$177 |
$19 | |
| HIV test (antigen/antibody combo) |
$126 |
$251 |
$177 |
$24 | |
| Holter heart monitor |
$342 |
$684 |
$498 |
$26 | |
| HPV vaccine |
$286 |
$572 |
$416 |
— | |
| Iron blood test |
$14 |
$27 |
$26 |
$6 | |
| IUD insertion |
$36 |
$72 |
$58 |
— | |
| IUD removal |
$74 |
$147 |
$103 |
$112 | |
| IV infusion therapy |
$188 |
$375 |
$179 |
$44 | |
| IV infusion therapy (each additional) |
$92 |
$185 |
$134 |
$21 | |
| IV infusion therapy (initial) |
$188 |
$375 |
$273 |
$67 | |
| Kidney scan (nuclear) |
$694 |
$1,389 |
$1,010 |
$172 | |
| Kidney ultrasound |
$377 |
$753 |
$543 |
$84 | |
| Kidney ultrasound (limited) |
$331 |
$662 |
$482 |
$61 | |
| Knee joint injection |
$52 |
$104 |
$99 |
$69 | |
| Lactate test |
$55 |
$110 |
$88 |
$12 | |
| LDH test |
$33 |
$65 |
$52 |
$6 | |
| LDL cholesterol test |
$17 |
$35 |
$28 |
$11 | |
| Leg vein ultrasound (Doppler) |
$533 |
$1,066 |
$914 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$533 |
$1,066 |
$775 |
$116 | |
| Lipase test |
$42 |
$84 |
$62 |
$7 | |
| Lipid (cholesterol) panel |
$30 |
$60 |
$37 |
$13 | |
| Liver biopsy |
$477 |
$954 |
$694 |
$288 | |
| Liver function panel |
$94 |
$189 |
$137 |
$8 | |
| Lung function test (PFT) |
$78 |
$155 |
$106 |
$37 | |
| Lung scan (V/Q) |
$168 |
$335 |
$244 |
$291 | |
| Magnesium blood test |
$42 |
$84 |
$53 |
$7 | |
| MMR vaccine |
$87 |
$173 |
$116 |
— | |
| MRA of the brain |
$2,197 |
$4,394 |
$3,165 |
$226 | |
| MRA of the brain without contrast |
$2,630 |
$5,261 |
$3,828 |
$328 | |
| MRA of the neck |
$2,350 |
$4,700 |
$3,449 |
$245 | |
| MRA of the neck without contrast |
$2,769 |
$5,537 |
$4,029 |
$343 | |
| MRI of the abdomen |
$2,284 |
$4,567 |
$3,377 |
$300 | |
| MRI of the abdomen without contrast |
$1,741 |
$3,481 |
$2,533 |
$194 | |
| MRI of the ankle |
$2,091 |
$4,182 |
$3,480 |
$261 | |
| MRI of the ankle with contrast |
$2,091 |
$4,182 |
$3,043 |
$261 | |
| MRI of the ankle without contrast |
$1,832 |
$3,663 |
$3,297 |
$222 | |
| MRI of the brain |
$2,154 |
$4,308 |
$3,583 |
$269 | |
| MRI of the brain with contrast |
$2,154 |
$4,308 |
$3,135 |
$269 | |
| MRI of the brain without contrast |
$1,886 |
$3,772 |
$2,745 |
$195 | |
| MRI of the chest |
$2,678 |
$5,357 |
$3,853 |
$371 | |
| MRI of the chest without contrast |
$3,371 |
$6,742 |
$4,905 |
$466 | |
| MRI of the knee |
$2,034 |
$4,068 |
$3,295 |
$315 | |
| MRI of the knee with contrast |
$2,034 |
$4,068 |
$2,960 |
$315 | |
| MRI of the knee without contrast |
$1,807 |
$3,614 |
$2,630 |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,976 |
$3,951 |
$3,318 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,976 |
$3,951 |
$2,875 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,843 |
$3,686 |
$2,682 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,046 |
$4,092 |
$3,353 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$3,094 |
$6,187 |
$4,502 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,046 |
$4,092 |
$2,977 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,863 |
$3,726 |
$2,711 |
$190 | |
| MRI of the neck (cervical spine) |
$2,174 |
$4,349 |
$3,449 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$3,193 |
$6,385 |
$4,646 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,174 |
$4,349 |
$3,164 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,778 |
$3,556 |
$2,587 |
$191 | |
| MRI of the pelvis |
$2,520 |
$5,040 |
$3,617 |
$268 | |
| MRI of the pelvis without contrast |
$1,865 |
$3,729 |
$2,713 |
$227 | |
| MRI of the shoulder |
$2,022 |
$4,045 |
$3,584 |
$313 | |
| MRI of the shoulder with contrast |
$2,022 |
$4,045 |
$2,943 |
$313 | |
| MRI of the shoulder without contrast |
$1,787 |
$3,574 |
$2,601 |
$205 | |
| MRI of the wrist |
$2,091 |
$4,182 |
$2,996 |
$330 | |
| MRI of the wrist with contrast |
$2,091 |
$4,182 |
$3,043 |
$330 | |
| MRI of the wrist without contrast |
$1,856 |
$3,711 |
$2,854 |
$303 | |
| Nebulizer breathing treatment |
$55 |
$109 |
$98 |
$9 | |
| Nerve conduction study |
$96 |
$191 |
$139 |
$118 | |
| Nuclear cardiac stress test |
$1,737 |
$3,473 |
$2,527 |
$428 | |
| Occupational therapy evaluation |
$198 |
$397 |
$286 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$238 |
$476 |
$347 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$159 |
$319 |
$232 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$198 |
$397 |
$289 |
$101 | |
| Office visit (established patient) |
$44 |
$88 |
$53 |
$115 | |
| Office visit, established patient (level 3) |
$27 |
$54 |
$44 |
$95 | |
| Office visit, established patient (level 4) |
$44 |
$88 |
$71 |
$136 | |
| Pap smear (cervical screening) |
$92 |
$183 |
$135 |
$20 | |
| Parathyroid hormone (PTH) test |
$153 |
$306 |
$222 |
$41 | |
| Pelvic ultrasound |
$351 |
$702 |
$519 |
$78 | |
| Pelvic ultrasound (complete) |
$378 |
$757 |
$551 |
$105 | |
| Pelvic ultrasound (limited) |
$323 |
$647 |
$471 |
$51 | |
| Phosphorus blood test |
$18 |
$36 |
$40 |
$5 | |
| Physical therapy evaluation |
$185 |
$370 |
$266 |
$98 | |
| Physical therapy evaluation (high complexity) |
$222 |
$444 |
$323 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$185 |
$370 |
$269 |
$98 | |
| Platelet count |
$16 |
$32 |
$26 |
$4 | |
| Pneumonia vaccine |
$98 |
$197 |
$159 |
— | |
| Pregnancy blood test (hCG) |
$72 |
$144 |
$105 |
$8 | |
| Pregnancy ultrasound |
$440 |
$880 |
$651 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$407 |
$813 |
$592 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$474 |
$947 |
$689 |
$136 | |
| Procalcitonin test |
$170 |
$341 |
$248 |
$27 | |
| Prolactin test |
$12 |
$24 |
$19 |
$19 | |
| Prostate test (PSA) |
$46 |
$93 |
$69 |
$18 | |
| Psychiatric evaluation |
$177 |
$355 |
$257 |
$188 | |
| Psychotherapy session |
$116 |
$231 |
$166 |
$140 | |
| Pulmonary rehabilitation |
$161 |
$322 |
$234 |
$87 | |
| Retinal (fundus) photography |
$31 |
$62 |
$50 |
$37 | |
| Scoliosis spine X-ray |
$159 |
$317 |
$269 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$151 |
$301 |
$219 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$191 |
$383 |
$282 |
$72 | |
| Screening mammogram |
$279 |
$559 |
$362 |
$126 | |
| Scrotal ultrasound |
$374 |
$747 |
$544 |
$99 | |
| Sedimentation rate (ESR) test |
$24 |
$48 |
$38 |
$3 | |
| Semen analysis |
$23 |
$45 |
$37 |
$12 | |
| Sex hormone binding globulin test |
$34 |
$69 |
$56 |
$22 | |
| Shingles vaccine |
$192 |
$384 |
$279 |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
$122 |
$243 |
$148 |
$114 | |
| Simple wound stitches |
$138 |
$276 |
$200 |
$127 | |
| Skin biopsy |
$193 |
$385 |
$278 |
$121 | |
| Skin biopsy (punch) |
$193 |
$385 |
$280 |
$121 | |
| Skin cancer lesion removal |
$186 |
$372 |
$270 |
$240 | |
| Skin lesion freezing (cryotherapy) |
$28 |
$57 |
$46 |
$36 | |
| Sleep study (polysomnography) |
$1,703 |
$3,407 |
$2,525 |
$691 | |
| Soft tissue ultrasound |
$381 |
$762 |
$555 |
$64 | |
| Speech therapy |
$209 |
$417 |
$296 |
$76 | |
| Spinal tap (lumbar puncture) |
$239 |
$478 |
$326 |
$165 | |
| Spirometry (lung function test) |
$78 |
$155 |
$98 |
$30 | |
| Spirometry with bronchodilator |
$237 |
$474 |
$345 |
$43 | |
| Strep throat test |
$21 |
$42 |
$34 |
$17 | |
| Swallow study |
$209 |
$417 |
$296 |
$85 | |
| T3 thyroid test |
$18 |
$36 |
$29 |
$14 | |
| Tdap (tetanus) vaccine |
$57 |
$154 |
$92 |
— | |
| Testosterone test |
$44 |
$89 |
$84 |
$26 | |
| Thyroid test (TSH) |
$70 |
$139 |
$96 |
$17 | |
| Thyroid ultrasound |
$344 |
$687 |
$500 |
$109 | |
| Thyroid uptake scan |
$695 |
$1,391 |
$1,012 |
$145 | |
| Total IgE allergy test |
$15 |
$30 |
$24 |
$16 | |
| Total protein test |
$10 |
$20 |
$16 |
$4 | |
| Transvaginal ultrasound |
$377 |
$755 |
$549 |
$118 | |
| Triglycerides test |
$45 |
$89 |
$72 |
$6 | |
| Troponin (heart) test |
$57 |
$114 |
$92 |
$12 | |
| Upper GI series (barium) |
$374 |
$747 |
$553 |
$128 | |
| Uric acid (gout) test |
$20 |
$40 |
$44 |
$5 | |
| Urinalysis |
$21 |
$41 |
$26 |
$3 | |
| Urine microalbumin test |
$23 |
$46 |
$37 |
$5 | |
| Urine pregnancy test |
$21 |
$42 |
$34 |
$9 | |
| Vaccine administration |
$27 |
$53 |
$34 |
$19 | |
| Vaccine administration (each additional) |
$24 |
$48 |
$35 |
$16 | |
| Varicose vein ablation |
$2,404 |
$4,809 |
$3,558 |
$1,018 | |
| Vasectomy |
$376 |
$752 |
$547 |
$347 | |
| Vitamin B12 test |
$89 |
$177 |
$106 |
$15 | |
| Vitamin D test |
$109 |
$219 |
$145 |
$30 | |
| Wart removal |
$64 |
$128 |
$109 |
$121 | |
| X-ray of the abdomen |
$132 |
$264 |
$172 |
$36 | |
| X-ray of the ankle |
$103 |
$206 |
$150 |
$37 | |
| X-ray of the collarbone |
$92 |
$185 |
$134 |
$33 | |
| X-ray of the elbow |
$112 |
$225 |
$164 |
$33 | |
| X-ray of the facial bones |
$144 |
$287 |
$190 |
$39 | |
| X-ray of the foot |
$103 |
$206 |
$150 |
$34 | |
| X-ray of the forearm |
$92 |
$185 |
$134 |
$29 | |
| X-ray of the hand |
$103 |
$206 |
$150 |
$38 | |
| X-ray of the hip |
$206 |
$412 |
$300 |
$49 | |
| X-ray of the hip (1 view) |
$202 |
$404 |
$294 |
$34 | |
| X-ray of the hip (3 views) |
$210 |
$420 |
$305 |
$49 | |
| X-ray of the knee |
$112 |
$225 |
$174 |
$42 | |
| X-ray of the knee (2 views) |
$97 |
$193 |
$174 |
$34 | |
| X-ray of the knee (3 views) |
$112 |
$225 |
$164 |
$42 | |
| X-ray of the knee (4+ views) |
$128 |
$256 |
$186 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$153 |
$306 |
$225 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$128 |
$256 |
$186 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$178 |
$356 |
$259 |
$53 | |
| X-ray of the lower leg |
$93 |
$187 |
$168 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$123 |
$246 |
$182 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$116 |
$232 |
$169 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$130 |
$260 |
$189 |
$39 | |
| X-ray of the neck (cervical spine) |
$147 |
$294 |
$216 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$122 |
$243 |
$177 |
$40 | |
| X-ray of the pelvis |
$91 |
$183 |
$133 |
$36 | |
| X-ray of the pelvis (1 view) |
$91 |
$183 |
$133 |
$28 | |
| X-ray of the ribs |
$132 |
$264 |
$179 |
$42 | |
| X-ray of the ribs (2 views) |
$110 |
$220 |
$160 |
$36 | |
| X-ray of the ribs (3 views) |
$132 |
$264 |
$192 |
$42 | |
| X-ray of the shoulder |
$103 |
$206 |
$185 |
$36 | |
| X-ray of the skull |
$143 |
$287 |
$211 |
$40 | |
| X-ray of the upper arm |
$101 |
$201 |
$146 |
$32 | |
| X-ray of the wrist |
$109 |
$217 |
$158 |
$43 | |
| Zinc blood test |
$47 |
$95 |
$100 |
$11 | |