| 3D mammogram (tomosynthesis) |
$104 |
$261 |
$192 |
$51 | |
| Abdominal ultrasound |
$670 |
$1,676 |
$325 |
$100 | |
| Abdominal ultrasound (complete) |
$750 |
$1,875 |
$400 |
$114 | |
| Abdominal ultrasound (limited) |
$591 |
$1,477 |
$310 |
$86 | |
| Aldosterone test |
$234 |
$586 |
$574 |
$41 | |
| ALT liver enzyme test |
$42 |
$106 |
$22 |
$5 | |
| Ammonia blood test |
$100 |
$250 |
$51 |
$15 | |
| Amylase test |
$98 |
$245 |
$50 |
$6 | |
| Antinuclear antibody (ANA) test |
$80 |
$200 |
$109 |
$12 | |
| Arterial blood gas (ABG) |
$47 |
$119 |
$24 |
$26 | |
| AST liver enzyme test |
$44 |
$110 |
$23 |
$5 | |
| Barium swallow study |
$365 |
$911 |
$187 |
$107 | |
| Basic metabolic panel |
$149 |
$372 |
$82 |
$8 | |
| Blood clotting test (PT/INR) |
$35 |
$88 |
$20 |
$4 | |
| Blood crossmatch |
$46 |
$116 |
$23 |
— | |
| Blood glucose test |
$34 |
$85 |
$18 |
$5 | |
| Blood transfusion |
$531 |
$1,327 |
$252 |
$47 | |
| Blood type and screen |
$133 |
$333 |
$69 |
$10 | |
| Blood type test |
$84 |
$209 |
$41 |
$3 | |
| Blood type test (ABO group) |
$88 |
$221 |
$43 |
$3 | |
| Blood type test (Rh/D antigen) |
$79 |
$197 |
$39 |
$3 | |
| BNP (heart failure) test |
$205 |
$511 |
$113 |
$39 | |
| Bone density scan (DEXA) |
$454 |
$1,134 |
$250 |
$39 | |
| Bone scan (nuclear) |
$1,097 |
$2,741 |
$603 |
$259 | |
| Breast ultrasound |
$147 |
$367 |
$73 |
$92 | |
| Breast ultrasound (complete) |
$172 |
$431 |
$87 |
$100 | |
| Breast ultrasound (limited) |
$121 |
$303 |
$65 |
$84 | |
| Breathing tube insertion (intubation) |
$148 |
$369 |
$66 |
$133 | |
| C-reactive protein (CRP) |
$73 |
$182 |
$40 |
$5 | |
| CA 19-9 tumor marker test |
$130 |
$326 |
$72 |
$21 | |
| Calcium blood test |
$55 |
$138 |
$29 |
$5 | |
| Cardiac rehabilitation |
$223 |
$557 |
$111 |
$26 | |
| Cardiac stress test |
$805 |
$2,013 |
$462 |
$39 | |
| Carotid artery ultrasound |
$861 |
$2,153 |
$452 |
$156 | |
| CEA tumor marker test |
$53 |
$132 |
$29 |
$19 | |
| Celiac disease test |
$74 |
$185 |
$38 |
$12 | |
| Chemotherapy infusion |
$341 |
$853 |
$186 |
$81 | |
| Chemotherapy infusion (each additional) |
$215 |
$536 |
$107 |
$28 | |
| Chemotherapy infusion (first hour) |
$468 |
$1,170 |
$234 |
$133 | |
| Chest X-ray |
$271 |
$676 |
$160 |
$37 | |
| Chest X-ray (1 view) |
$222 |
$554 |
$116 |
$25 | |
| Chest X-ray (2 views) |
$320 |
$799 |
$180 |
$33 | |
| Clotting time test (PTT) |
$159 |
$397 |
$87 |
$6 | |
| Complete blood count (CBC) |
$87 |
$217 |
$48 |
$7 | |
| Complete blood count (CBC) (complete) |
$87 |
$217 |
$48 |
$8 | |
| Comprehensive metabolic panel |
$212 |
$529 |
$116 |
$11 | |
| Copper blood test |
$99 |
$248 |
$55 |
$12 | |
| Cortisol test |
$85 |
$212 |
$44 |
$16 | |
| COVID-19 PCR test |
$70 |
$174 |
$39 |
$51 | |
| CPAP titration study |
$435 |
$1,088 |
$239 |
$69 | |
| Creatine kinase (CK) test |
$87 |
$218 |
$45 |
$7 | |
| CT angiography of the chest |
$2,646 |
$6,615 |
$1,421 |
$281 | |
| CT angiography of the head |
$1,517 |
$3,793 |
$852 |
$274 | |
| CT scan of the abdomen |
$1,621 |
$4,053 |
$797 |
$230 | |
| CT scan of the abdomen and pelvis |
$3,879 |
$9,697 |
$2,182 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$4,364 |
$10,910 |
$2,289 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$3,879 |
$9,697 |
$2,179 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$3,661 |
$9,154 |
$1,981 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,649 |
$4,122 |
$824 |
$259 | |
| CT scan of the abdomen with contrast |
$1,594 |
$3,984 |
$797 |
$230 | |
| CT scan of the arm |
$890 |
$2,225 |
$467 |
$199 | |
| CT scan of the arm without contrast |
$890 |
$2,225 |
$467 |
$161 | |
| CT scan of the chest |
$1,671 |
$4,178 |
$935 |
$167 | |
| CT scan of the chest with and without contrast |
$1,355 |
$3,387 |
$1,666 |
$196 | |
| CT scan of the chest with contrast |
$1,671 |
$4,178 |
$919 |
$167 | |
| CT scan of the chest without contrast |
$1,783 |
$4,457 |
$935 |
$133 | |
| CT scan of the head |
$1,925 |
$4,813 |
$1,010 |
$148 | |
| CT scan of the head without contrast |
$1,925 |
$4,813 |
$1,010 |
$107 | |
| CT scan of the leg |
$1,545 |
$3,863 |
$1,082 |
$166 | |
| CT scan of the leg without contrast |
$1,545 |
$3,863 |
$1,082 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,604 |
$4,011 |
$706 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,895 |
$4,738 |
$1,026 |
$197 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,313 |
$3,283 |
$673 |
$130 | |
| CT scan of the neck |
$1,178 |
$2,946 |
$724 |
$183 | |
| CT scan of the neck (cervical spine) |
$2,459 |
$6,148 |
$1,353 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$2,459 |
$6,148 |
$1,353 |
$131 | |
| CT scan of the neck with contrast |
$1,381 |
$3,453 |
$724 |
$183 | |
| CT scan of the neck without contrast |
$975 |
$2,438 |
$488 |
$150 | |
| CT scan of the pelvis |
$1,079 |
$2,697 |
$539 |
$226 | |
| CT scan of the pelvis without contrast |
$1,079 |
$2,697 |
$539 |
$133 | |
| CT scan of the sinuses |
$1,751 |
$4,377 |
$918 |
$152 | |
| CT scan of the sinuses without contrast |
$1,751 |
$4,377 |
$918 |
$128 | |
| D-dimer test |
$154 |
$384 |
$85 |
$10 | |
| Diagnostic mammogram |
$134 |
$336 |
$46 |
$140 | |
| Drug screen (urine) |
$86 |
$214 |
$12 |
$17 | |
| Echocardiogram |
$2,147 |
$5,368 |
$1,171 |
$138 | |
| EKG / ECG (tracing only) |
$285 |
$713 |
$157 |
$7 | |
| Electrocardiogram (EKG) |
$285 |
$713 |
$157 |
$8 | |
| Emergency department visit |
$929 |
$2,323 |
$860 |
$69 | |
| Emergency department visit (level 1) |
$94 |
$234 |
$49 |
$11 | |
| Emergency department visit (level 2) |
$534 |
$1,336 |
$280 |
$40 | |
| Emergency department visit (level 3) |
$929 |
$2,323 |
$499 |
$69 | |
| Emergency department visit (level 4) |
$1,467 |
$3,668 |
$807 |
$118 | |
| Emergency department visit (level 5) |
$2,027 |
$5,068 |
$1,163 |
$171 | |
| Estradiol (estrogen) test |
$66 |
$165 |
$62 |
$28 | |
| Fecal occult blood (stool) test |
$37 |
$93 |
$21 |
$10 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$37 |
$93 |
$21 |
$16 | |
| Femoral hernia repair |
$582 |
$1,456 |
$669 |
$584 | |
| Ferritin (iron) test |
$114 |
$285 |
$61 |
$14 | |
| Folate (folic acid) test |
$103 |
$258 |
$58 |
$15 | |
| Free T4 thyroid test |
$98 |
$246 |
$55 |
$9 | |
| FSH hormone test |
$164 |
$409 |
$196 |
$19 | |
| Gallbladder scan (HIDA) |
$1,165 |
$2,911 |
$611 |
$334 | |
| GGT liver test |
$42 |
$106 |
$23 |
$7 | |
| Group therapy session |
$195 |
$487 |
$102 |
$30 | |
| H. pylori test |
$241 |
$603 |
$288 |
$67 | |
| Hematocrit test |
$39 |
$98 |
$17 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$81 |
$203 |
$45 |
$10 | |
| Hepatitis B test |
$112 |
$280 |
$224 |
$10 | |
| Hepatitis C test |
$18 |
$46 |
$10 |
$14 | |
| HIV test |
$101 |
$252 |
$235 |
$19 | |
| HIV test (antigen/antibody combo) |
$101 |
$252 |
$235 |
$24 | |
| Holter heart monitor |
$608 |
$1,520 |
$318 |
$26 | |
| Iron blood test |
$59 |
$148 |
$30 |
$6 | |
| IV infusion therapy |
$341 |
$853 |
$234 |
$44 | |
| IV infusion therapy (each additional) |
$215 |
$536 |
$113 |
$21 | |
| IV infusion therapy (initial) |
$468 |
$1,170 |
$246 |
$67 | |
| Kidney ultrasound |
$479 |
$1,196 |
$263 |
$84 | |
| Kidney ultrasound (limited) |
$431 |
$1,078 |
$231 |
$61 | |
| Knee joint injection |
$101 |
$252 |
$246 |
$69 | |
| Lactate test |
$121 |
$301 |
$62 |
$12 | |
| LDH test |
$62 |
$155 |
$30 |
$6 | |
| Leg vein ultrasound (Doppler) |
$481 |
$1,203 |
$157 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$279 |
$698 |
$150 |
$116 | |
| LH hormone test |
$171 |
$427 |
$217 |
$19 | |
| Lipase test |
$124 |
$311 |
$70 |
$7 | |
| Lipid (cholesterol) panel |
$124 |
$309 |
$68 |
$13 | |
| Liver function panel |
$137 |
$341 |
$73 |
$8 | |
| Lung function test (PFT) |
$44 |
$110 |
$11 |
$37 | |
| Lung scan (V/Q) |
$534 |
$1,336 |
$575 |
$291 | |
| Magnesium blood test |
$82 |
$205 |
$42 |
$7 | |
| MRI of the abdomen |
$1,712 |
$4,279 |
$1,085 |
$300 | |
| MRI of the abdomen without contrast |
$1,253 |
$3,132 |
$689 |
$194 | |
| MRI of the ankle |
$1,222 |
$3,056 |
$1,834 |
$261 | |
| MRI of the ankle without contrast |
$1,222 |
$3,056 |
$1,834 |
$222 | |
| MRI of the brain |
$2,020 |
$5,049 |
$960 |
$269 | |
| MRI of the brain without contrast |
$1,674 |
$4,186 |
$921 |
$195 | |
| MRI of the knee |
$1,408 |
$3,521 |
$706 |
$315 | |
| MRI of the knee without contrast |
$1,283 |
$3,209 |
$706 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,131 |
$5,327 |
$1,088 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,011 |
$5,027 |
$1,088 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,647 |
$4,118 |
$945 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,647 |
$4,118 |
$945 |
$190 | |
| MRI of the neck (cervical spine) |
$1,994 |
$4,985 |
$1,110 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,219 |
$5,548 |
$1,110 |
$318 | |
| MRI of the neck (cervical spine) without contrast |
$1,769 |
$4,421 |
$1,529 |
$191 | |
| MRI of the pelvis |
$1,785 |
$4,463 |
$2,028 |
$268 | |
| MRI of the pelvis without contrast |
$1,513 |
$3,783 |
$3,027 |
$227 | |
| MRI of the shoulder |
$1,222 |
$3,056 |
$702 |
$313 | |
| MRI of the shoulder without contrast |
$1,222 |
$3,056 |
$702 |
$205 | |
| Nebulizer breathing treatment |
$230 |
$574 |
$120 |
$9 | |
| Nuclear cardiac stress test |
$2,968 |
$7,421 |
$2,205 |
$428 | |
| Occupational therapy evaluation |
$166 |
$416 |
$86 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$142 |
$354 |
$67 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$191 |
$478 |
$105 |
$101 | |
| Office visit (established patient) |
$92 |
$230 |
$243 |
$115 | |
| Office visit (new patient) |
$92 |
$230 |
$243 |
$177 | |
| Office visit, established patient (level 3) |
$80 |
$200 |
$278 |
$95 | |
| Office visit, established patient (level 4) |
$104 |
$260 |
$243 |
$136 | |
| Office visit, new patient (level 3) |
$80 |
$200 |
$289 |
$118 | |
| Office visit, new patient (level 4) |
$104 |
$260 |
$243 |
$177 | |
| Pap smear (cervical screening) |
$148 |
$370 |
$81 |
$20 | |
| Parathyroid hormone (PTH) test |
$216 |
$541 |
$111 |
$41 | |
| Pelvic ultrasound |
$555 |
$1,388 |
$390 |
$78 | |
| Pelvic ultrasound (complete) |
$744 |
$1,860 |
$390 |
$105 | |
| Pelvic ultrasound (limited) |
$366 |
$916 |
$183 |
$51 | |
| PET scan |
$3,580 |
$8,950 |
$1,878 |
— | |
| Phosphorus blood test |
$57 |
$144 |
$31 |
$5 | |
| Physical therapy evaluation |
$166 |
$416 |
$76 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$191 |
$478 |
$105 |
$98 | |
| Pregnancy blood test (hCG) |
$109 |
$271 |
$56 |
$8 | |
| Procalcitonin test |
$181 |
$453 |
$93 |
$27 | |
| Prolactin test |
$159 |
$397 |
$87 |
$19 | |
| Prostate test (PSA) |
$122 |
$305 |
$67 |
$18 | |
| Psychotherapy session |
$118 |
$295 |
$73 |
$140 | |
| Pulmonary rehabilitation |
$136 |
$341 |
$72 |
$87 | |
| Rheumatoid factor test |
$63 |
$157 |
$75 |
$6 | |
| Screening mammogram |
$283 |
$708 |
$317 |
$126 | |
| Scrotal ultrasound |
$498 |
$1,244 |
$274 |
$99 | |
| Sedimentation rate (ESR) test |
$56 |
$139 |
$30 |
$3 | |
| Semen analysis |
$43 |
$107 |
$86 |
$12 | |
| Sex hormone binding globulin test |
$39 |
$97 |
$71 |
$22 | |
| Shoulder replacement |
$1,824 |
$4,560 |
$1,563 |
$1,300 | |
| Sleep study (polysomnography) |
$2,765 |
$6,912 |
$1,507 |
$691 | |
| Soft tissue ultrasound |
$99 |
$248 |
$53 |
$64 | |
| T3 thyroid test |
$102 |
$256 |
$122 |
$14 | |
| Tdap (tetanus) vaccine |
$56 |
$139 |
$57 |
— | |
| Thyroid test (TSH) |
$42 |
$105 |
$24 |
$17 | |
| Thyroid ultrasound |
$682 |
$1,704 |
$358 |
$109 | |
| Total IgE allergy test |
$87 |
$218 |
$160 |
$16 | |
| Total protein test |
$33 |
$82 |
$17 |
$4 | |
| Transvaginal ultrasound |
$471 |
$1,177 |
$247 |
$118 | |
| Troponin (heart) test |
$183 |
$456 |
$94 |
$12 | |
| Upper GI series (barium) |
$525 |
$1,312 |
$262 |
$128 | |
| Uric acid (gout) test |
$49 |
$123 |
$25 |
$5 | |
| Urinalysis |
$61 |
$152 |
$32 |
$3 | |
| Urine microalbumin test |
$63 |
$158 |
$35 |
$5 | |
| Urine pregnancy test |
$102 |
$255 |
$188 |
$9 | |
| Vaccine administration |
$37 |
$94 |
$20 |
$19 | |
| Vitamin B12 test |
$121 |
$301 |
$67 |
$15 | |
| Vitamin D test |
$191 |
$477 |
$106 |
$30 | |
| X-ray of the abdomen |
$260 |
$649 |
$159 |
$36 | |
| X-ray of the ankle |
$402 |
$1,005 |
$200 |
$37 | |
| X-ray of the collarbone |
$139 |
$347 |
$34 |
$33 | |
| X-ray of the elbow |
$219 |
$547 |
$63 |
$33 | |
| X-ray of the foot |
$420 |
$1,050 |
$437 |
$34 | |
| X-ray of the forearm |
$184 |
$461 |
$52 |
$29 | |
| X-ray of the hand |
$423 |
$1,058 |
$215 |
$38 | |
| X-ray of the hip |
$352 |
$879 |
$184 |
$49 | |
| X-ray of the hip (3 views) |
$352 |
$879 |
$184 |
$49 | |
| X-ray of the knee |
$287 |
$717 |
$114 |
$42 | |
| X-ray of the knee (2 views) |
$155 |
$386 |
$43 |
$34 | |
| X-ray of the knee (3 views) |
$503 |
$1,258 |
$218 |
$42 | |
| X-ray of the knee (4+ views) |
$287 |
$717 |
$83 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$266 |
$665 |
$146 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$266 |
$665 |
$146 |
$40 | |
| X-ray of the lower leg |
$188 |
$470 |
$54 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$195 |
$488 |
$149 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$93 |
$232 |
$49 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$298 |
$745 |
$164 |
$39 | |
| X-ray of the neck (cervical spine) |
$249 |
$624 |
$194 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$105 |
$263 |
$58 |
$40 | |
| X-ray of the pelvis |
$169 |
$422 |
$97 |
$36 | |
| X-ray of the pelvis (1 view) |
$194 |
$486 |
$97 |
$28 | |
| X-ray of the ribs |
$143 |
$358 |
$88 |
$42 | |
| X-ray of the ribs (2 views) |
$127 |
$318 |
$73 |
$36 | |
| X-ray of the ribs (3 views) |
$159 |
$397 |
$101 |
$42 | |
| X-ray of the shoulder |
$456 |
$1,140 |
$196 |
$36 | |
| X-ray of the upper arm |
$192 |
$479 |
$54 |
$32 | |
| X-ray of the wrist |
$188 |
$470 |
$58 |
$43 | |
| Zinc blood test |
$99 |
$247 |
$198 |
$11 | |