| Abdominal ultrasound |
$743 |
$928 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$787 |
$983 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$699 |
$873 |
— |
$86 | |
| Abscess drainage (simple) |
$264 |
$330 |
— |
$129 | |
| Abscess incision and drainage |
$264 |
$330 |
— |
$174 | |
| Albumin blood test |
$5 |
$7 |
— |
$5 | |
| Alkaline phosphatase test |
$38 |
$48 |
— |
$5 | |
| ALT liver enzyme test |
$48 |
$61 |
— |
$5 | |
| Amylase test |
$22 |
$28 |
— |
$6 | |
| Antinuclear antibody (ANA) test |
$20 |
$25 |
— |
$12 | |
| Arterial blood gas (ABG) |
$218 |
$273 |
— |
$26 | |
| AST liver enzyme test |
$5 |
$7 |
— |
$5 | |
| Barium swallow study |
$480 |
$601 |
— |
$107 | |
| Bilirubin blood test |
$5 |
$7 |
— |
$5 | |
| Bladder function test (urodynamics) |
$1,495 |
$1,868 |
— |
$345 | |
| Blood clotting test (PT/INR) |
$6 |
$8 |
— |
$4 | |
| Blood glucose test |
$7 |
$9 |
— |
$5 | |
| Bronchoscopy |
$4,152 |
$5,190 |
— |
$303 | |
| Burn dressing and debridement (medium) |
$220 |
$275 |
— |
$166 | |
| Burn dressing and debridement (small) |
$198 |
$248 |
— |
$93 | |
| Burn treatment |
$209 |
$261 |
— |
$129 | |
| C-reactive protein (CRP) |
$22 |
$28 |
— |
$5 | |
| Calcium blood test |
$5 |
$7 |
— |
$5 | |
| Chest X-ray |
$311 |
$388 |
— |
$37 | |
| Chest X-ray (1 view) |
$262 |
$328 |
— |
$25 | |
| Chest X-ray (2 views) |
$311 |
$388 |
— |
$33 | |
| Clotting time test (PTT) |
$26 |
$32 |
— |
$6 | |
| Colonoscopy |
$1,071 |
$1,339 |
— |
$480 | |
| Copper blood test |
$26 |
$32 |
— |
$12 | |
| Cortisol test |
$23 |
$29 |
— |
$16 | |
| COVID-19 PCR test |
$22 |
$28 |
— |
$51 | |
| CPAP titration study |
$308 |
$385 |
— |
$69 | |
| Creatine kinase (CK) test |
$12 |
$15 |
— |
$7 | |
| CT scan of the abdomen |
$1,112 |
$1,390 |
— |
$230 | |
| CT scan of the abdomen with and without contrast |
$1,297 |
$1,621 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$1,112 |
$1,390 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$849 |
$1,061 |
— |
$136 | |
| CT scan of the chest |
$1,488 |
$1,860 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$1,664 |
$2,080 |
— |
$196 | |
| CT scan of the chest with contrast |
$1,488 |
$1,860 |
— |
$167 | |
| CT scan of the chest without contrast |
$1,312 |
$1,640 |
— |
$133 | |
| CT scan of the head |
$1,772 |
$2,215 |
— |
$148 | |
| CT scan of the head with and without contrast |
$2,036 |
$2,545 |
— |
$173 | |
| CT scan of the head with contrast |
$1,772 |
$2,215 |
— |
$148 | |
| CT scan of the head without contrast |
$1,596 |
$1,995 |
— |
$107 | |
| CT scan of the lower back (lumbar spine) |
$1,711 |
$2,139 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,887 |
$2,359 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,711 |
$2,139 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,535 |
$1,919 |
— |
$130 | |
| CT scan of the neck (cervical spine) |
$2,022 |
$2,527 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,198 |
$2,747 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$2,022 |
$2,527 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,846 |
$2,307 |
— |
$131 | |
| CT scan of the pelvis |
$1,889 |
$2,362 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,065 |
$2,582 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$1,889 |
$2,362 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$1,713 |
$2,142 |
— |
$133 | |
| CT scan of the sinuses |
$1,937 |
$2,421 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,113 |
$2,641 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$1,937 |
$2,421 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$1,761 |
$2,201 |
— |
$128 | |
| Developmental screening (child) |
$286 |
$358 |
$72 |
— | |
| Drug screen (urine) |
$53 |
$66 |
— |
$17 | |
| Echocardiogram |
$3,190 |
$3,988 |
— |
$138 | |
| Echocardiogram with and without contrast |
$2,711 |
$3,389 |
— |
$101 | |
| Echocardiogram without contrast |
$3,668 |
$4,585 |
— |
$138 | |
| EKG / ECG (tracing only) |
$176 |
$220 |
— |
$7 | |
| Electrocardiogram (EKG) |
$253 |
$316 |
— |
$8 | |
| Electromyography (EMG) |
$413 |
$516 |
— |
$141 | |
| Family therapy session |
$187 |
$233 |
— |
$110 | |
| Fecal occult blood (stool) test |
$15 |
$19 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$15 |
$19 |
— |
$4 | |
| Feeding tube (PEG) placement |
$892 |
$1,115 |
— |
$178 | |
| Ferritin (iron) test |
$21 |
$26 |
— |
$14 | |
| Flu test |
$130 |
$163 |
— |
$17 | |
| Folate (folic acid) test |
$34 |
$43 |
— |
$15 | |
| Free T4 thyroid test |
$40 |
$50 |
— |
$9 | |
| FSH hormone test |
$19 |
$24 |
— |
$19 | |
| GGT liver test |
$22 |
$28 |
— |
$7 | |
| Group therapy session |
$45 |
$56 |
— |
$30 | |
| HDL cholesterol test |
$22 |
$28 |
— |
$8 | |
| Hematocrit test |
$3 |
$4 |
— |
$2 | |
| Hemoglobin A1c (diabetes test) |
$14 |
$17 |
— |
$10 | |
| Hepatitis B test |
$19 |
$23 |
— |
$10 | |
| Hepatitis C test |
$21 |
$27 |
— |
$14 | |
| Iron blood test |
$41 |
$51 |
— |
$6 | |
| Kidney ultrasound |
$633 |
$791 |
— |
$84 | |
| Kidney ultrasound (limited) |
$545 |
$681 |
— |
$61 | |
| Knee joint injection |
$170 |
$212 |
— |
$69 | |
| Lactate test |
$22 |
$27 |
— |
$12 | |
| Laryngoscopy |
$1,471 |
$1,839 |
— |
$189 | |
| LDH test |
$12 |
$15 |
— |
$6 | |
| LDL cholesterol test |
$22 |
$27 |
— |
$11 | |
| Leg vein ultrasound (Doppler) |
$660 |
$825 |
— |
$150 | |
| LH hormone test |
$200 |
$251 |
— |
$19 | |
| Lipase test |
$20 |
$25 |
— |
$7 | |
| Lipid (cholesterol) panel |
$17 |
$21 |
— |
$13 | |
| Liver biopsy |
$1,496 |
$1,870 |
— |
$288 | |
| Magnesium blood test |
$8 |
$10 |
— |
$7 | |
| MRI of the ankle |
$1,039 |
$1,299 |
— |
$261 | |
| MRI of the ankle with contrast |
$1,039 |
$1,299 |
— |
$261 | |
| MRI of the ankle without contrast |
$932 |
$1,165 |
— |
$222 | |
| MRI of the brain |
$2,476 |
$3,095 |
— |
$269 | |
| MRI of the brain with contrast |
$2,212 |
$2,765 |
— |
$269 | |
| MRI of the brain without contrast |
$3,092 |
$3,865 |
— |
$195 | |
| MRI of the knee |
$1,159 |
$1,449 |
— |
$315 | |
| MRI of the knee with contrast |
$1,159 |
$1,449 |
— |
$315 | |
| MRI of the knee without contrast |
$826 |
$1,033 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,151 |
$2,688 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,151 |
$2,688 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,975 |
$2,468 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,285 |
$2,857 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,104 |
$2,630 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,461 |
$3,077 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,285 |
$2,857 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$2,461 |
$3,077 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,637 |
$3,297 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,461 |
$3,077 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,285 |
$2,857 |
— |
$191 | |
| MRI of the shoulder |
$2,730 |
$3,413 |
— |
$313 | |
| MRI of the shoulder with contrast |
$2,730 |
$3,413 |
— |
$313 | |
| MRI of the shoulder without contrast |
$2,730 |
$3,413 |
— |
$205 | |
| MRI of the wrist |
$2,311 |
$2,888 |
— |
$330 | |
| MRI of the wrist with contrast |
$2,311 |
$2,888 |
— |
$330 | |
| MRI of the wrist without contrast |
$2,311 |
$2,888 |
— |
$303 | |
| Nebulizer breathing treatment |
$22 |
$28 |
— |
$9 | |
| Occupational therapy evaluation |
$286 |
$358 |
$76 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$286 |
$358 |
$76 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$286 |
$358 |
$76 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$286 |
$358 |
$76 |
$101 | |
| Office visit (established patient) |
$251 |
$251 |
$55 |
$115 | |
| Office visit (new patient) |
$602 |
$602 |
$91 |
$177 | |
| Office visit, established patient (level 3) |
$200 |
$200 |
$45 |
$95 | |
| Office visit, established patient (level 4) |
$301 |
$301 |
$66 |
$136 | |
| Office visit, new patient (level 3) |
$409 |
$409 |
$56 |
$118 | |
| Office visit, new patient (level 4) |
$602 |
$602 |
$91 |
$177 | |
| Office visit, new patient (level 5) |
$743 |
$743 |
$123 |
$237 | |
| Parathyroid hormone (PTH) test |
$39 |
$48 |
— |
$41 | |
| Pelvic ultrasound |
$836 |
$1,045 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$836 |
$1,045 |
— |
$105 | |
| Phosphorus blood test |
$5 |
$7 |
— |
$5 | |
| Physical therapy evaluation |
$286 |
$358 |
$76 |
$98 | |
| Physical therapy evaluation (high complexity) |
$286 |
$358 |
$76 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$286 |
$358 |
$76 |
$98 | |
| Pregnancy blood test (hCG) |
$38 |
$48 |
— |
$8 | |
| Psychiatric evaluation |
$295 |
$369 |
$124 |
$188 | |
| Psychotherapy session |
$186 |
$232 |
— |
$140 | |
| Scoliosis spine X-ray |
$1,176 |
$1,470 |
— |
$58 | |
| Scoliosis spine X-ray (3 views) |
$1,176 |
$1,470 |
— |
$72 | |
| Sedimentation rate (ESR) test |
$6 |
$7 |
— |
$3 | |
| Simple laceration repair (small, up to 2.5 cm) |
$220 |
$275 |
— |
$114 | |
| Simple wound stitches |
$220 |
$275 |
— |
$127 | |
| Speech therapy |
$286 |
$358 |
$72 |
$76 | |
| Spirometry (lung function test) |
$31 |
$39 |
— |
$30 | |
| Strep throat test |
$23 |
$29 |
— |
$17 | |
| Swallow study |
$286 |
$358 |
$74 |
$85 | |
| Testosterone test |
$26 |
$33 |
— |
$26 | |
| Thyroid test (TSH) |
$16 |
$20 |
— |
$17 | |
| Thyroid ultrasound |
$550 |
$688 |
— |
$109 | |
| Trigger point injection |
$166 |
$208 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$165 |
$206 |
— |
$52 | |
| Triglycerides test |
$8 |
$10 |
— |
$6 | |
| Upper GI endoscopy (EGD) |
$966 |
$1,207 |
— |
$371 | |
| Upper GI series (barium) |
$564 |
$705 |
— |
$128 | |
| Uric acid (gout) test |
$18 |
$23 |
— |
$5 | |
| Urinalysis |
$5 |
$6 |
— |
$3 | |
| Urine microalbumin test |
$18 |
$23 |
— |
$5 | |
| Vitamin B12 test |
$30 |
$37 |
— |
$15 | |
| Vitamin D test |
$26 |
$33 |
— |
$30 | |
| X-ray of the abdomen |
$425 |
$531 |
— |
$36 | |
| X-ray of the collarbone |
$376 |
$470 |
— |
$33 | |
| X-ray of the foot |
$453 |
$566 |
— |
$34 | |
| X-ray of the forearm |
$292 |
$365 |
— |
$29 | |
| X-ray of the hand |
$340 |
$425 |
— |
$38 | |
| X-ray of the hip |
$144 |
$180 |
— |
$49 | |
| X-ray of the hip (1 view) |
$144 |
$180 |
— |
$34 | |
| X-ray of the knee |
$331 |
$413 |
— |
$42 | |
| X-ray of the knee (2 views) |
$312 |
$391 |
— |
$34 | |
| X-ray of the knee (3 views) |
$349 |
$436 |
— |
$42 | |
| X-ray of the lower back (lumbar spine) |
$413 |
$516 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$413 |
$516 |
— |
$40 | |
| X-ray of the lower leg |
$415 |
$518 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$334 |
$417 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$316 |
$395 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$351 |
$439 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$635 |
$793 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$635 |
$793 |
— |
$40 | |
| X-ray of the pelvis |
$294 |
$367 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$250 |
$312 |
— |
$28 | |
| X-ray of the ribs |
$279 |
$349 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$213 |
$266 |
— |
$36 | |
| X-ray of the shoulder |
$429 |
$536 |
— |
$36 | |
| X-ray of the skull |
$477 |
$597 |
— |
$40 | |
| X-ray of the upper arm |
$448 |
$560 |
— |
$32 | |
| Zinc blood test |
$26 |
$32 |
— |
$11 | |