| 3D mammogram (tomosynthesis) |
— |
$81 |
$41 |
$51 | |
| Abdominal ultrasound |
— |
$736 |
$368 |
$100 | |
| Abdominal ultrasound (complete) |
— |
$1,095 |
$548 |
$114 | |
| Abdominal ultrasound (limited) |
— |
$736 |
$368 |
$86 | |
| Abscess drainage (simple) |
— |
$407 |
$227 |
$129 | |
| Abscess incision and drainage |
— |
$407 |
$227 |
$174 | |
| Albumin blood test |
— |
$119 |
$60 |
$5 | |
| Aldosterone test |
— |
$111 |
$56 |
$41 | |
| Alkaline phosphatase test |
— |
$104 |
$52 |
$5 | |
| Alpha-fetoprotein (AFP) test |
— |
$135 |
$68 |
$17 | |
| ALT liver enzyme test |
— |
$127 |
$64 |
$5 | |
| Ammonia blood test |
— |
$215 |
$108 |
$15 | |
| Amylase test |
— |
$131 |
$65 |
$6 | |
| Arterial blood gas (ABG) |
— |
$356 |
$178 |
$26 | |
| AST liver enzyme test |
— |
$127 |
$64 |
$5 | |
| Basic metabolic panel |
— |
$352 |
$176 |
$8 | |
| Bilirubin blood test |
— |
$127 |
$64 |
$5 | |
| Blood clotting test (PT/INR) |
— |
$94 |
$47 |
$4 | |
| Blood crossmatch |
— |
$120 |
$60 |
— | |
| Blood glucose test |
— |
$73 |
$37 |
$5 | |
| Blood transfusion |
— |
$384 |
$192 |
$47 | |
| Blood type and screen |
— |
$181 |
$91 |
$10 | |
| Blood type test |
— |
$85 |
$43 |
$3 | |
| Blood type test (ABO group) |
— |
$85 |
$43 |
$3 | |
| Blood type test (Rh/D antigen) |
— |
$85 |
$43 |
$3 | |
| BNP (heart failure) test |
— |
$334 |
$167 |
$39 | |
| Bone density scan (DEXA) |
— |
$620 |
$310 |
$39 | |
| Bone scan (nuclear) |
— |
$1,772 |
$886 |
$259 | |
| Breast MRI |
— |
$3,987 |
$1,994 |
$216 | |
| Breast ultrasound |
— |
$837 |
$112 |
$92 | |
| Breast ultrasound (complete) |
— |
$1,072 |
$135 |
$100 | |
| Breast ultrasound (limited) |
— |
$669 |
$104 |
$84 | |
| Breathing tube insertion (intubation) |
— |
$503 |
$252 |
$133 | |
| Burn dressing and debridement (medium) |
— |
$665 |
$298 |
$166 | |
| Burn dressing and debridement (small) |
— |
$294 |
$177 |
$93 | |
| Burn treatment |
— |
$300 |
$191 |
$129 | |
| C-reactive protein (CRP) |
— |
$155 |
$78 |
$5 | |
| CA 19-9 tumor marker test |
— |
$85 |
$43 |
$21 | |
| CA-125 ovarian marker test |
— |
$265 |
$133 |
$21 | |
| Calcium blood test |
— |
$100 |
$50 |
$5 | |
| Cardiac rehabilitation |
— |
$324 |
$162 |
$26 | |
| Cardiac stress test |
— |
$247 |
$31 |
$39 | |
| Cardioversion |
— |
$2,549 |
$1,275 |
$155 | |
| Carotid artery ultrasound |
— |
$1,356 |
$678 |
$156 | |
| CEA tumor marker test |
— |
$446 |
$223 |
$19 | |
| Celiac disease test |
— |
$200 |
$100 |
$12 | |
| Cervical LEEP procedure |
— |
$1,543 |
$634 |
$325 | |
| Chemotherapy infusion |
— |
$798 |
$399 |
$81 | |
| Chemotherapy infusion (each additional) |
— |
$624 |
$312 |
$28 | |
| Chemotherapy infusion (first hour) |
— |
$972 |
$486 |
$133 | |
| Chest fluid drain (thoracentesis) |
— |
$1,292 |
$646 |
$311 | |
| Chest X-ray |
— |
$331 |
$165 |
$37 | |
| Chest X-ray (1 view) |
— |
$291 |
$146 |
$25 | |
| Chest X-ray (2 views) |
— |
$370 |
$185 |
$33 | |
| CK-MB heart enzyme test |
— |
$276 |
$138 |
$12 | |
| Clotting time test (PTT) |
— |
$120 |
$60 |
$6 | |
| Complete blood count (CBC) |
— |
$142 |
$71 |
$7 | |
| Complete blood count (CBC) (complete) |
— |
$142 |
$71 |
$8 | |
| Comprehensive metabolic panel |
— |
$469 |
$235 |
$11 | |
| Copper blood test |
— |
$82 |
$41 |
$12 | |
| Cortisol test |
— |
$404 |
$202 |
$16 | |
| COVID-19 PCR test |
— |
$179 |
$90 |
$51 | |
| CPAP titration study |
— |
$155 |
$78 |
$69 | |
| Creatine kinase (CK) test |
— |
$156 |
$78 |
$7 | |
| CT angiography of the chest |
— |
$2,966 |
$1,483 |
$281 | |
| CT angiography of the head |
— |
$2,592 |
$1,296 |
$274 | |
| CT scan of the abdomen |
— |
$2,458 |
$1,229 |
$230 | |
| CT scan of the abdomen and pelvis |
— |
$4,278 |
$2,139 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
— |
$4,946 |
$2,473 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
— |
$4,278 |
$2,139 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
— |
$4,278 |
$2,139 |
$183 | |
| CT scan of the abdomen with and without contrast |
— |
$2,524 |
$1,262 |
$259 | |
| CT scan of the abdomen with contrast |
— |
$2,458 |
$1,229 |
$230 | |
| CT scan of the abdomen without contrast |
— |
$2,458 |
$1,229 |
$136 | |
| CT scan of the arm |
— |
$2,205 |
$1,103 |
$199 | |
| CT scan of the arm with contrast |
— |
$2,205 |
$1,103 |
$199 | |
| CT scan of the arm without contrast |
— |
$2,205 |
$1,103 |
$161 | |
| CT scan of the chest |
— |
$1,752 |
$876 |
$167 | |
| CT scan of the chest with and without contrast |
— |
$2,031 |
$1,016 |
$196 | |
| CT scan of the chest with contrast |
— |
$1,752 |
$876 |
$167 | |
| CT scan of the chest without contrast |
— |
$1,752 |
$876 |
$133 | |
| CT scan of the head |
— |
$2,140 |
$1,070 |
$148 | |
| CT scan of the head without contrast |
— |
$2,140 |
$1,070 |
$107 | |
| CT scan of the leg |
— |
$2,140 |
$1,070 |
$166 | |
| CT scan of the leg with contrast |
— |
$2,140 |
$1,070 |
$166 | |
| CT scan of the leg without contrast |
— |
$2,140 |
$1,070 |
$130 | |
| CT scan of the lower back (lumbar spine) |
— |
$2,407 |
$1,204 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
— |
$2,407 |
$1,204 |
$130 | |
| CT scan of the neck |
— |
$2,458 |
$1,229 |
$183 | |
| CT scan of the neck (cervical spine) |
— |
$2,407 |
$1,204 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
— |
$2,407 |
$1,204 |
$131 | |
| CT scan of the neck with contrast |
— |
$2,458 |
$1,229 |
$183 | |
| CT scan of the pelvis |
— |
$2,272 |
$1,136 |
$226 | |
| CT scan of the pelvis with contrast |
— |
$2,272 |
$1,136 |
$226 | |
| CT scan of the pelvis without contrast |
— |
$2,272 |
$1,136 |
$133 | |
| CT scan of the sinuses |
— |
$2,340 |
$1,170 |
$152 | |
| CT scan of the sinuses with contrast |
— |
$2,340 |
$1,170 |
$152 | |
| CT scan of the sinuses without contrast |
— |
$2,340 |
$1,170 |
$128 | |
| D-dimer test |
— |
$255 |
$128 |
$10 | |
| DHEA-sulfate test |
— |
$88 |
$44 |
$22 | |
| Diagnostic mammogram |
— |
$437 |
$219 |
$140 | |
| Drug screen (urine) |
— |
$637 |
$318 |
$17 | |
| Echocardiogram |
— |
$1,422 |
$711 |
$138 | |
| Echocardiogram with and without contrast |
— |
$804 |
$402 |
$101 | |
| EKG / ECG (tracing only) |
— |
$287 |
$144 |
$7 | |
| Electrocardiogram (EKG) |
— |
$227 |
$18 |
$8 | |
| Electrolyte panel |
— |
$284 |
$142 |
$7 | |
| Emergency department visit |
— |
$555 |
$195 |
$69 | |
| Emergency department visit (level 1) |
— |
$237 |
$119 |
$11 | |
| Emergency department visit (level 2) |
— |
$390 |
$195 |
$40 | |
| Emergency department visit (level 3) |
— |
$806 |
$403 |
$69 | |
| Emergency department visit (level 4) |
— |
$1,273 |
$637 |
$118 | |
| Emergency department visit (level 5) |
— |
$1,921 |
$961 |
$171 | |
| Epidural steroid injection |
— |
$1,701 |
$507 |
$275 | |
| Estradiol (estrogen) test |
— |
$269 |
$135 |
$28 | |
| Facet joint injection (spine) |
— |
$1,296 |
$324 |
$99 | |
| Family therapy session |
— |
$845 |
$423 |
$110 | |
| Fecal occult blood (stool) test |
— |
$110 |
$55 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
— |
$111 |
$56 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
— |
$108 |
$54 |
$16 | |
| Ferritin (iron) test |
— |
$188 |
$94 |
$14 | |
| Fibrinogen test |
— |
$121 |
$61 |
$10 | |
| Flu test |
— |
$133 |
$67 |
$17 | |
| Folate (folic acid) test |
— |
$168 |
$84 |
$15 | |
| Foreign body removal (skin) |
— |
$453 |
$250 |
$157 | |
| Free T4 thyroid test |
— |
$179 |
$90 |
$9 | |
| FSH hormone test |
— |
$184 |
$92 |
$19 | |
| Gallbladder scan (HIDA) |
— |
$3,322 |
$1,661 |
$334 | |
| GGT liver test |
— |
$133 |
$67 |
$7 | |
| Glucose tolerance test |
— |
$189 |
$94 |
$8 | |
| Group therapy session |
— |
$735 |
$368 |
$30 | |
| H. pylori test |
— |
$248 |
$124 |
$67 | |
| HDL cholesterol test |
— |
$131 |
$66 |
$8 | |
| Hematocrit test |
— |
$68 |
$34 |
$2 | |
| Hemoglobin A1c (diabetes test) |
— |
$179 |
$90 |
$10 | |
| Hepatitis B test |
— |
$145 |
$73 |
$10 | |
| Hepatitis B vaccine |
— |
$337 |
$169 |
— | |
| Hepatitis C test |
— |
$145 |
$72 |
$14 | |
| HIV test |
— |
$77 |
$39 |
$19 | |
| HIV test (antigen/antibody combo) |
— |
$77 |
$39 |
$24 | |
| Holter heart monitor |
— |
$496 |
$248 |
$26 | |
| Hysteroscopy |
— |
$5,710 |
$2,805 |
$1,270 | |
| Iron blood test |
— |
$122 |
$61 |
$6 | |
| IUD insertion |
— |
$394 |
$230 |
— | |
| IV infusion therapy |
— |
$491 |
$246 |
$44 | |
| IV infusion therapy (each additional) |
— |
$72 |
$36 |
$21 | |
| IV infusion therapy (initial) |
— |
$546 |
$273 |
$67 | |
| Joint aspiration (small/intermediate) |
— |
$486 |
$243 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
— |
$486 |
$243 |
$57 | |
| Joint aspiration or injection (small joint) |
— |
$486 |
$243 |
$56 | |
| Kidney scan (nuclear) |
— |
$3,209 |
$1,605 |
$172 | |
| Kidney ultrasound |
— |
$652 |
$326 |
$84 | |
| Kidney ultrasound (limited) |
— |
$639 |
$320 |
$61 | |
| Knee joint injection |
— |
$486 |
$189 |
$69 | |
| Lactate test |
— |
$121 |
$61 |
$12 | |
| LDH test |
— |
$107 |
$54 |
$6 | |
| LDL cholesterol test |
— |
$131 |
$66 |
$11 | |
| Leg vein ultrasound (Doppler) |
— |
$970 |
$208 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
— |
$970 |
$193 |
$116 | |
| LH hormone test |
— |
$449 |
$225 |
$19 | |
| Lipase test |
— |
$180 |
$90 |
$7 | |
| Lipid (cholesterol) panel |
— |
$312 |
$156 |
$13 | |
| Liver function panel |
— |
$313 |
$157 |
$8 | |
| Lung function test (PFT) |
— |
$325 |
$163 |
$37 | |
| Lung scan (V/Q) |
— |
$2,942 |
$1,471 |
$291 | |
| Magnesium blood test |
— |
$131 |
$66 |
$7 | |
| MMR vaccine |
— |
$467 |
$234 |
— | |
| MRA of the brain |
— |
$3,075 |
$1,538 |
$226 | |
| MRA of the brain without contrast |
— |
$3,075 |
$1,538 |
$328 | |
| MRA of the neck |
— |
$3,354 |
$1,677 |
$245 | |
| MRA of the neck without contrast |
— |
$3,935 |
$1,968 |
$343 | |
| MRI of the abdomen |
— |
$4,412 |
$2,206 |
$300 | |
| MRI of the abdomen without contrast |
— |
$4,211 |
$2,106 |
$194 | |
| MRI of the ankle |
— |
$3,426 |
$1,713 |
$261 | |
| MRI of the ankle without contrast |
— |
$2,910 |
$1,455 |
$222 | |
| MRI of the brain |
— |
$3,478 |
$1,739 |
$269 | |
| MRI of the brain without contrast |
— |
$2,910 |
$1,455 |
$195 | |
| MRI of the chest |
— |
$2,910 |
$1,455 |
$371 | |
| MRI of the knee |
— |
$2,910 |
$1,455 |
$315 | |
| MRI of the knee with contrast |
— |
$2,910 |
$1,455 |
$315 | |
| MRI of the knee without contrast |
— |
$2,910 |
$1,455 |
$204 | |
| MRI of the lower back (lumbar spine) |
— |
$3,571 |
$1,786 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
— |
$2,910 |
$1,455 |
$192 | |
| MRI of the mid-back (thoracic spine) |
— |
$3,209 |
$1,605 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
— |
$4,530 |
$2,265 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
— |
$3,209 |
$1,605 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
— |
$3,209 |
$1,605 |
$190 | |
| MRI of the neck (cervical spine) |
— |
$2,724 |
$1,362 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
— |
$2,238 |
$1,119 |
$318 | |
| MRI of the neck (cervical spine) without contrast |
— |
$3,209 |
$1,605 |
$191 | |
| MRI of the pelvis |
— |
$3,512 |
$1,756 |
$268 | |
| MRI of the pelvis without contrast |
— |
$2,910 |
$1,455 |
$227 | |
| MRI of the shoulder |
— |
$2,910 |
$1,455 |
$313 | |
| MRI of the shoulder with contrast |
— |
$2,910 |
$1,455 |
$313 | |
| MRI of the shoulder without contrast |
— |
$2,910 |
$1,455 |
$205 | |
| MRI of the wrist |
— |
$3,378 |
$1,689 |
$330 | |
| MRI of the wrist without contrast |
— |
$2,910 |
$1,455 |
$303 | |
| Nebulizer breathing treatment |
— |
$139 |
$69 |
$9 | |
| Nerve conduction study |
— |
$476 |
$238 |
$118 | |
| Nuclear cardiac stress test |
— |
$3,476 |
$1,738 |
$428 | |
| Occupational therapy evaluation |
— |
$228 |
$114 |
$101 | |
| Occupational therapy evaluation (high complexity) |
— |
$228 |
$114 |
$101 | |
| Occupational therapy evaluation (low complexity) |
— |
$228 |
$114 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
— |
$228 |
$114 |
$101 | |
| Office visit (established patient) |
— |
$310 |
$180 |
$115 | |
| Office visit (new patient) |
— |
$529 |
$262 |
$177 | |
| Office visit, established patient (level 3) |
— |
$206 |
$127 |
$95 | |
| Office visit, established patient (level 4) |
— |
$400 |
$212 |
$136 | |
| Office visit, new patient (level 3) |
— |
$346 |
$158 |
$118 | |
| Office visit, new patient (level 4) |
— |
$481 |
$235 |
$177 | |
| Office visit, new patient (level 5) |
— |
$577 |
$299 |
$237 | |
| Parathyroid hormone (PTH) test |
— |
$362 |
$181 |
$41 | |
| Pelvic ultrasound |
— |
$699 |
$350 |
$78 | |
| Pelvic ultrasound (complete) |
— |
$804 |
$402 |
$105 | |
| Pelvic ultrasound (limited) |
— |
$632 |
$316 |
$51 | |
| PET scan |
— |
$11,030 |
$5,515 |
— | |
| Phosphorus blood test |
— |
$119 |
$60 |
$5 | |
| Physical therapy evaluation |
— |
$228 |
$114 |
$98 | |
| Physical therapy evaluation (high complexity) |
— |
$228 |
$114 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
— |
$228 |
$114 |
$98 | |
| Platelet count |
— |
$102 |
$51 |
$4 | |
| Pregnancy blood test (hCG) |
— |
$148 |
$74 |
$8 | |
| Pregnancy ultrasound |
— |
$581 |
$320 |
$126 | |
| Pregnancy ultrasound (first trimester) |
— |
$567 |
$302 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
— |
$641 |
$350 |
$136 | |
| Procalcitonin test |
— |
$166 |
$83 |
$27 | |
| Prolactin test |
— |
$274 |
$137 |
$19 | |
| Prostate test (PSA) |
— |
$245 |
$123 |
$18 | |
| Psychotherapy session |
— |
$763 |
$381 |
$140 | |
| Pulmonary rehabilitation |
— |
$269 |
$135 |
$87 | |
| Radiofrequency nerve ablation |
— |
$2,268 |
$1,134 |
$462 | |
| Sacroiliac joint injection |
— |
$1,458 |
$729 |
$176 | |
| Screening mammogram |
— |
$436 |
$218 |
$126 | |
| Scrotal ultrasound |
— |
$761 |
$381 |
$99 | |
| Sedimentation rate (ESR) test |
— |
$100 |
$50 |
$3 | |
| Sex hormone binding globulin test |
— |
$89 |
$45 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
— |
$436 |
$134 |
$114 | |
| Simple wound stitches |
— |
$463 |
$148 |
$127 | |
| Skin biopsy |
— |
$426 |
$294 |
$121 | |
| Skin biopsy (punch) |
— |
$426 |
$294 |
$121 | |
| Sleep study (polysomnography) |
— |
$4,360 |
$2,180 |
$691 | |
| Soft tissue ultrasound |
— |
$771 |
$19 |
$64 | |
| Speech therapy |
— |
$470 |
$235 |
$76 | |
| Spirometry (lung function test) |
— |
$251 |
$126 |
$30 | |
| Spirometry with bronchodilator |
— |
$399 |
$200 |
$43 | |
| Strep throat test |
— |
$182 |
$91 |
$17 | |
| Stress echocardiogram |
— |
$1,109 |
$555 |
$209 | |
| Stress echocardiogram (complete) |
— |
$1,109 |
$555 |
$233 | |
| Swallow study |
— |
$470 |
$235 |
$85 | |
| T3 thyroid test |
— |
$492 |
$246 |
$14 | |
| Tdap (tetanus) vaccine |
— |
$318 |
$159 |
— | |
| Testosterone test |
— |
$194 |
$97 |
$26 | |
| Thyroid test (TSH) |
— |
$123 |
$62 |
$17 | |
| Thyroid ultrasound |
— |
$669 |
$335 |
$109 | |
| Total IgE allergy test |
— |
$81 |
$41 |
$16 | |
| Total protein test |
— |
$166 |
$83 |
$4 | |
| Transvaginal ultrasound |
— |
$703 |
$352 |
$118 | |
| Trigger point injection |
— |
$486 |
$102 |
$56 | |
| Trigger point injection (1-2 muscles) |
— |
$317 |
$84 |
$52 | |
| Triglycerides test |
— |
$131 |
$66 |
$6 | |
| Troponin (heart) test |
— |
$266 |
$133 |
$12 | |
| Turning a breech baby (version) |
— |
$3,449 |
$1,725 |
$94 | |
| Uric acid (gout) test |
— |
$100 |
$50 |
$5 | |
| Urinalysis |
— |
$108 |
$54 |
$3 | |
| Urine microalbumin test |
— |
$95 |
$48 |
$5 | |
| Urine pregnancy test |
— |
$148 |
$74 |
$9 | |
| Vaccine administration |
— |
$68 |
$34 |
$19 | |
| Vitamin B12 test |
— |
$162 |
$81 |
$15 | |
| Vitamin D test |
— |
$119 |
$60 |
$30 | |
| Wound debridement |
— |
$922 |
$597 |
$186 | |
| X-ray of the abdomen |
— |
$341 |
$171 |
$36 | |
| X-ray of the ankle |
— |
$309 |
$155 |
$37 | |
| X-ray of the collarbone |
— |
$299 |
$150 |
$33 | |
| X-ray of the elbow |
— |
$334 |
$167 |
$33 | |
| X-ray of the facial bones |
— |
$483 |
$242 |
$39 | |
| X-ray of the foot |
— |
$312 |
$156 |
$34 | |
| X-ray of the forearm |
— |
$285 |
$143 |
$29 | |
| X-ray of the hand |
— |
$313 |
$157 |
$38 | |
| X-ray of the hip |
— |
$470 |
$235 |
$49 | |
| X-ray of the hip (1 view) |
— |
$270 |
$135 |
$34 | |
| X-ray of the hip (3 views) |
— |
$470 |
$235 |
$49 | |
| X-ray of the hip (4 views) |
— |
$703 |
$352 |
$63 | |
| X-ray of the knee |
— |
$348 |
$174 |
$42 | |
| X-ray of the knee (2 views) |
— |
$295 |
$148 |
$34 | |
| X-ray of the knee (3 views) |
— |
$348 |
$174 |
$42 | |
| X-ray of the knee (4+ views) |
— |
$370 |
$185 |
$49 | |
| X-ray of the lower back (lumbar spine) |
— |
$551 |
$275 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
— |
$532 |
$266 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
— |
$569 |
$285 |
$53 | |
| X-ray of the lower leg |
— |
$321 |
$161 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
— |
$439 |
$219 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
— |
$407 |
$204 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
— |
$470 |
$235 |
$39 | |
| X-ray of the neck (cervical spine) |
— |
$424 |
$212 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
— |
$377 |
$189 |
$40 | |
| X-ray of the pelvis |
— |
$321 |
$161 |
$36 | |
| X-ray of the pelvis (1 view) |
— |
$321 |
$161 |
$28 | |
| X-ray of the ribs |
— |
$242 |
$121 |
$42 | |
| X-ray of the ribs (2 views) |
— |
$232 |
$116 |
$36 | |
| X-ray of the ribs (3 views) |
— |
$243 |
$122 |
$42 | |
| X-ray of the shoulder |
— |
$358 |
$179 |
$36 | |
| X-ray of the skull |
— |
$266 |
$133 |
$40 | |
| X-ray of the upper arm |
— |
$309 |
$155 |
$32 | |
| X-ray of the wrist |
— |
$308 |
$154 |
$43 | |
| Zinc blood test |
— |
$122 |
$61 |
$11 | |