| Abdominal ultrasound |
$446 |
$686 |
$110 |
$100 | |
| Abdominal ultrasound (complete) |
$469 |
$722 |
$146 |
$114 | |
| Abdominal ultrasound (limited) |
$422 |
$649 |
$110 |
$86 | |
| Abscess drainage (complex or multiple) |
$406 |
$624 |
— |
$220 | |
| Abscess drainage (simple) |
$372 |
$573 |
— |
$129 | |
| Abscess incision and drainage |
$389 |
$599 |
— |
$174 | |
| Albumin blood test |
$34 |
$53 |
$12 |
$5 | |
| Aldosterone test |
$267 |
$411 |
$97 |
$41 | |
| Alkaline phosphatase test |
$46 |
$70 |
$12 |
$5 | |
| ALT liver enzyme test |
$61 |
$94 |
$13 |
$5 | |
| Ammonia blood test |
$112 |
$173 |
$35 |
$15 | |
| Amylase test |
$56 |
$86 |
$15 |
$6 | |
| Antinuclear antibody (ANA) test |
$105 |
$161 |
$29 |
$12 | |
| Arterial blood gas (ABG) |
$161 |
$247 |
$46 |
$26 | |
| AST liver enzyme test |
$46 |
$70 |
$12 |
$5 | |
| Bartholin cyst removal |
$470 |
$723 |
— |
$182 | |
| Basic metabolic panel |
$70 |
$107 |
$20 |
$8 | |
| Bilirubin blood test |
$35 |
$54 |
$12 |
$5 | |
| Blood clotting test (PT/INR) |
$20 |
$31 |
$9 |
$4 | |
| Blood glucose test |
$27 |
$42 |
$9 |
$5 | |
| Blood type test |
$69 |
$106 |
$8 |
$3 | |
| Blood type test (ABO group) |
$75 |
$116 |
$7 |
$3 | |
| Blood type test (Rh/D antigen) |
$62 |
$95 |
$8 |
$3 | |
| BNP (heart failure) test |
$235 |
$362 |
$81 |
$39 | |
| Breathing tube insertion (intubation) |
$728 |
$1,120 |
$94 |
$133 | |
| Burn dressing and debridement (medium) |
$210 |
$323 |
— |
$166 | |
| Burn dressing and debridement (small) |
$263 |
$404 |
— |
$93 | |
| Burn treatment |
$236 |
$364 |
— |
$129 | |
| C-reactive protein (CRP) |
$40 |
$62 |
$12 |
$5 | |
| CA 19-9 tumor marker test |
$144 |
$221 |
$49 |
$21 | |
| Calcium blood test |
$45 |
$69 |
$12 |
$5 | |
| Cardioversion |
$1,653 |
$2,543 |
— |
$155 | |
| Carotid artery ultrasound |
$682 |
$1,049 |
$170 |
$156 | |
| CEA tumor marker test |
$131 |
$201 |
$45 |
$19 | |
| Central line placement |
$3,242 |
$4,988 |
— |
$238 | |
| Cesarean section (C-section) |
— |
— |
$17,151 |
$7,552 | |
| Chest tube insertion |
$1,629 |
$2,506 |
$93 |
$143 | |
| Chest X-ray |
$280 |
$432 |
$27 |
$37 | |
| Chest X-ray (1 view) |
$237 |
$365 |
$17 |
$25 | |
| Chest X-ray (2 views) |
$270 |
$415 |
$23 |
$33 | |
| CK-MB heart enzyme test |
$80 |
$123 |
$27 |
$12 | |
| Clotting time test (PTT) |
$42 |
$64 |
$14 |
$6 | |
| Complete blood count (CBC) |
$59 |
$92 |
$16 |
$7 | |
| Complete blood count (CBC) (complete) |
$68 |
$104 |
$18 |
$8 | |
| Comprehensive metabolic panel |
$86 |
$133 |
$25 |
$11 | |
| Coronary artery bypass (CABG) |
— |
— |
$89,274 |
$36,593 | |
| Cortisol test |
$116 |
$179 |
$39 |
$16 | |
| COVID-19 PCR test |
$169 |
$260 |
$73 |
$51 | |
| CPAP titration study |
$404 |
$621 |
$67 |
$69 | |
| Creatine kinase (CK) test |
$56 |
$86 |
$15 |
$7 | |
| CT angiography of the chest |
$1,437 |
$2,211 |
$595 |
$281 | |
| CT angiography of the head |
$1,102 |
$1,696 |
$591 |
$274 | |
| CT scan of the abdomen |
$1,026 |
$1,578 |
$548 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,178 |
$3,350 |
$452 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,275 |
$3,500 |
$664 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,178 |
$3,350 |
$524 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,690 |
$2,600 |
$306 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,026 |
$1,578 |
$548 |
$259 | |
| CT scan of the arm |
$1,211 |
$1,863 |
$320 |
$199 | |
| CT scan of the arm with contrast |
$1,399 |
$2,153 |
$430 |
$199 | |
| CT scan of the arm without contrast |
$1,022 |
$1,572 |
$320 |
$161 | |
| CT scan of the chest |
$1,190 |
$1,831 |
$358 |
$167 | |
| CT scan of the chest with contrast |
$1,389 |
$2,137 |
$477 |
$167 | |
| CT scan of the chest without contrast |
$991 |
$1,525 |
$320 |
$133 | |
| CT scan of the head |
$1,151 |
$1,771 |
$298 |
$148 | |
| CT scan of the head with and without contrast |
$1,311 |
$2,017 |
$364 |
$173 | |
| CT scan of the head without contrast |
$991 |
$1,525 |
$208 |
$107 | |
| CT scan of the leg |
$1,089 |
$1,676 |
$340 |
$166 | |
| CT scan of the leg with contrast |
$1,157 |
$1,780 |
$430 |
$166 | |
| CT scan of the leg without contrast |
$1,022 |
$1,572 |
$320 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$955 |
$1,469 |
$397 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$955 |
$1,469 |
$591 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,073 |
$1,650 |
$478 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$683 |
$1,050 |
$320 |
$130 | |
| CT scan of the neck |
$1,143 |
$1,758 |
$332 |
$183 | |
| CT scan of the neck (cervical spine) |
$910 |
$1,400 |
$320 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$910 |
$1,400 |
$320 |
$131 | |
| CT scan of the neck with contrast |
$1,340 |
$2,061 |
$411 |
$183 | |
| CT scan of the neck without contrast |
$946 |
$1,455 |
$320 |
$150 | |
| CT scan of the pelvis |
$828 |
$1,274 |
$328 |
$226 | |
| CT scan of the pelvis with contrast |
$963 |
$1,481 |
$479 |
$226 | |
| CT scan of the pelvis without contrast |
$693 |
$1,067 |
$260 |
$133 | |
| CT scan of the sinuses |
$990 |
$1,523 |
$298 |
$152 | |
| CT scan of the sinuses with contrast |
$1,070 |
$1,646 |
$318 |
$152 | |
| CT scan of the sinuses without contrast |
$910 |
$1,400 |
$277 |
$128 | |
| D-dimer test |
$88 |
$135 |
$24 |
$10 | |
| Drug screen (urine) |
$188 |
$289 |
$59 |
$17 | |
| EKG / ECG (tracing only) |
$166 |
$256 |
$32 |
$7 | |
| Electrocardiogram (EKG) |
$166 |
$256 |
$32 |
$8 | |
| Electroencephalogram (EEG) |
$1,099 |
$1,691 |
$146 |
$448 | |
| Electrolyte panel |
$48 |
$74 |
$17 |
$7 | |
| Emergency department visit |
$883 |
$1,359 |
$703 |
$69 | |
| Emergency department visit (level 1) |
$303 |
$466 |
$703 |
$11 | |
| Emergency department visit (level 2) |
$554 |
$853 |
$703 |
$40 | |
| Emergency department visit (level 3) |
$883 |
$1,359 |
$703 |
$69 | |
| Emergency department visit (level 4) |
$1,534 |
$2,360 |
$703 |
$118 | |
| Emergency department visit (level 5) |
$2,140 |
$3,292 |
$703 |
$171 | |
| Estradiol (estrogen) test |
$194 |
$298 |
$66 |
$28 | |
| Fecal occult blood (stool) test |
$23 |
$35 |
$8 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$23 |
$35 |
$8 |
$4 | |
| Ferritin (iron) test |
$99 |
$152 |
$27 |
$14 | |
| Flu test |
$32 |
$49 |
$28 |
$17 | |
| Folate (folic acid) test |
$101 |
$156 |
$35 |
$15 | |
| Foreign body removal (skin) |
$406 |
$624 |
— |
$157 | |
| Free T4 thyroid test |
$70 |
$108 |
$21 |
$9 | |
| FSH hormone test |
$129 |
$198 |
$44 |
$19 | |
| GGT liver test |
$49 |
$76 |
$17 |
$7 | |
| Hematocrit test |
$17 |
$26 |
$6 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$75 |
$116 |
$23 |
$10 | |
| Hepatitis B test |
$89 |
$137 |
$24 |
$10 | |
| Hepatitis C test |
$99 |
$152 |
$34 |
$14 | |
| HIV test |
$175 |
$269 |
$42 |
$19 | |
| HIV test (antigen/antibody combo) |
$175 |
$269 |
$42 |
$24 | |
| Iron blood test |
$50 |
$77 |
$15 |
$6 | |
| IV infusion therapy |
$305 |
$469 |
$92 |
$44 | |
| IV infusion therapy (each additional) |
$127 |
$195 |
— |
$21 | |
| IV infusion therapy (initial) |
$483 |
$743 |
$92 |
$67 | |
| Joint aspiration (small/intermediate) |
$484 |
$745 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$561 |
$863 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$408 |
$627 |
— |
$56 | |
| Kidney ultrasound |
$453 |
$698 |
$83 |
$84 | |
| Kidney ultrasound (limited) |
$437 |
$673 |
$83 |
$61 | |
| Knee joint injection |
$561 |
$863 |
— |
$69 | |
| Knee replacement |
— |
— |
$32,729 |
$18,054 | |
| Lactate test |
$98 |
$151 |
$25 |
$12 | |
| Laryngoscopy |
$528 |
$813 |
— |
$189 | |
| LDH test |
$53 |
$81 |
$14 |
$6 | |
| Leg vein ultrasound (Doppler) |
$708 |
$1,090 |
$110 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$471 |
$725 |
$110 |
$116 | |
| Lipase test |
$60 |
$92 |
$16 |
$7 | |
| Lipid (cholesterol) panel |
$93 |
$143 |
$32 |
$13 | |
| Liver function panel |
$72 |
$110 |
$19 |
$8 | |
| Lower back (lumbar) spinal fusion |
— |
— |
$77,830 |
$1,511 | |
| Magnesium blood test |
$59 |
$90 |
$16 |
$7 | |
| Nebulizer breathing treatment |
$217 |
$334 |
$31 |
$9 | |
| Occupational therapy evaluation |
$340 |
$523 |
$79 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$374 |
$575 |
$79 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$309 |
$475 |
$79 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$340 |
$523 |
$79 |
$101 | |
| Pacemaker insertion |
— |
— |
$50,943 |
$15,506 | |
| Parathyroid hormone (PTH) test |
$285 |
$439 |
$98 |
$41 | |
| Pelvic ultrasound |
$436 |
$671 |
$70 |
$78 | |
| Pelvic ultrasound (complete) |
$502 |
$772 |
$126 |
$105 | |
| Pelvic ultrasound (limited) |
$370 |
$569 |
$70 |
$51 | |
| Phosphorus blood test |
$33 |
$51 |
$11 |
$5 | |
| Physical therapy evaluation |
$324 |
$499 |
$77 |
$98 | |
| Physical therapy evaluation (high complexity) |
$357 |
$549 |
$77 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$324 |
$499 |
$77 |
$98 | |
| Pregnancy blood test (hCG) |
$66 |
$101 |
$18 |
$8 | |
| Pregnancy ultrasound |
$470 |
$724 |
$142 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$469 |
$722 |
$131 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$471 |
$725 |
$153 |
$136 | |
| Procalcitonin test |
$194 |
$299 |
$37 |
$27 | |
| Prolactin test |
$168 |
$258 |
$46 |
$19 | |
| Prostate test (PSA) |
$128 |
$197 |
$44 |
$18 | |
| Scrotal ultrasound |
$471 |
$725 |
$102 |
$99 | |
| Sedimentation rate (ESR) test |
$31 |
$48 |
$8 |
$3 | |
| Simple laceration repair (small, up to 2.5 cm) |
$383 |
$589 |
— |
$114 | |
| Simple wound stitches |
$383 |
$589 |
— |
$127 | |
| Soft tissue ultrasound |
$697 |
$1,073 |
$16 |
$64 | |
| Speech therapy |
$244 |
$376 |
$36 |
$76 | |
| Spinal tap (lumbar puncture) |
$703 |
$1,082 |
— |
$165 | |
| Strep throat test |
$107 |
$165 |
$28 |
$17 | |
| Swallow study |
$430 |
$661 |
$119 |
$85 | |
| T3 thyroid test |
$123 |
$189 |
$34 |
$14 | |
| Thyroid test (TSH) |
$145 |
$223 |
$40 |
$17 | |
| Thyroid ultrasound |
$438 |
$674 |
$121 |
$109 | |
| Total protein test |
$32 |
$49 |
$9 |
$4 | |
| Transvaginal ultrasound |
$469 |
$722 |
$126 |
$118 | |
| Trigger point injection |
$510 |
$784 |
$54 |
$56 | |
| Trigger point injection (1-2 muscles) |
$510 |
$784 |
$54 |
$52 | |
| Troponin (heart) test |
$98 |
$152 |
$23 |
$12 | |
| Uric acid (gout) test |
$39 |
$60 |
$11 |
$5 | |
| Urinalysis |
$28 |
$43 |
$8 |
$3 | |
| Urine microalbumin test |
$43 |
$66 |
$12 |
$5 | |
| Urine pregnancy test |
$53 |
$81 |
$15 |
$9 | |
| Vaccine administration |
$88 |
$135 |
$5 |
$19 | |
| Vaccine administration (each additional) |
$88 |
$135 |
$5 |
$16 | |
| Vaginal delivery |
— |
— |
$9,639 |
$5,487 | |
| Vitamin B12 test |
$105 |
$161 |
$36 |
$15 | |
| Vitamin D test |
$256 |
$394 |
$70 |
$30 | |
| Weight-loss (bariatric) surgery |
— |
— |
$49,231 |
$11,645 | |
| X-ray of the abdomen |
$299 |
$460 |
$23 |
$36 | |
| X-ray of the ankle |
$248 |
$381 |
$39 |
$37 | |
| X-ray of the collarbone |
$270 |
$415 |
$38 |
$33 | |
| X-ray of the elbow |
$270 |
$416 |
$43 |
$33 | |
| X-ray of the facial bones |
$327 |
$503 |
$46 |
$39 | |
| X-ray of the foot |
$226 |
$348 |
$39 |
$34 | |
| X-ray of the forearm |
$226 |
$348 |
$38 |
$29 | |
| X-ray of the hand |
$270 |
$416 |
$39 |
$38 | |
| X-ray of the hip |
$209 |
$321 |
$37 |
$49 | |
| X-ray of the hip (1 view) |
$209 |
$321 |
$29 |
$34 | |
| X-ray of the hip (3 views) |
$209 |
$321 |
$43 |
$49 | |
| X-ray of the hip (4 views) |
$314 |
$483 |
$53 |
$63 | |
| X-ray of the knee |
$270 |
$416 |
$42 |
$42 | |
| X-ray of the knee (2 views) |
$226 |
$348 |
$38 |
$34 | |
| X-ray of the knee (3 views) |
$270 |
$416 |
$42 |
$42 | |
| X-ray of the knee (4+ views) |
$282 |
$434 |
$48 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$384 |
$590 |
$54 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$298 |
$458 |
$49 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$469 |
$722 |
$67 |
$53 | |
| X-ray of the lower leg |
$222 |
$341 |
$38 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$298 |
$458 |
$49 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$298 |
$458 |
$48 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$298 |
$458 |
$55 |
$39 | |
| X-ray of the neck (cervical spine) |
$338 |
$521 |
$49 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$270 |
$416 |
$44 |
$40 | |
| X-ray of the pelvis |
$269 |
$414 |
$39 |
$36 | |
| X-ray of the pelvis (1 view) |
$255 |
$393 |
$38 |
$28 | |
| X-ray of the ribs |
$270 |
$416 |
$47 |
$42 | |
| X-ray of the ribs (2 views) |
$259 |
$399 |
$42 |
$36 | |
| X-ray of the ribs (3 views) |
$270 |
$416 |
$49 |
$42 | |
| X-ray of the shoulder |
$270 |
$416 |
$42 |
$36 | |
| X-ray of the upper arm |
$226 |
$348 |
$42 |
$32 | |
| X-ray of the wrist |
$270 |
$416 |
$44 |
$43 | |