| Abdominal ultrasound |
$856 |
$856 |
$122 |
$100 | |
| Abdominal ultrasound (complete) |
$856 |
$856 |
$135 |
$114 | |
| Abdominal ultrasound (limited) |
$714 |
$714 |
$108 |
$86 | |
| Abscess drainage (complex or multiple) |
$2,420 |
$2,420 |
$152 |
$220 | |
| Abscess drainage (simple) |
$417 |
$417 |
$91 |
$129 | |
| Abscess incision and drainage |
$1,418 |
$1,418 |
$110 |
$174 | |
| ACL knee reconstruction |
$9,587 |
$9,587 |
$9,417 |
$889 | |
| Albumin blood test |
$43 |
$43 |
$6 |
$5 | |
| Aldosterone test |
$413 |
$413 |
$52 |
$41 | |
| Alkaline phosphatase test |
$54 |
$54 |
$6 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$175 |
$175 |
$122 |
$17 | |
| ALT liver enzyme test |
$55 |
$55 |
$7 |
$5 | |
| Ammonia blood test |
$152 |
$152 |
$19 |
$15 | |
| Amylase test |
$67 |
$67 |
$8 |
$6 | |
| Ankle fracture repair |
$9,587 |
$9,587 |
$9,417 |
$608 | |
| Antinuclear antibody (ANA) test |
$126 |
$126 |
$15 |
$12 | |
| Arterial blood gas (ABG) |
$391 |
$391 |
$17 |
$26 | |
| AST liver enzyme test |
$54 |
$54 |
$6 |
$5 | |
| Barium swallow study |
$642 |
$642 |
$105 |
$107 | |
| Basic metabolic panel |
$88 |
$88 |
$10 |
$8 | |
| Benign skin lesion removal |
$5,076 |
$5,076 |
$601 |
$171 | |
| Bilirubin blood test |
$115 |
$115 |
$6 |
$5 | |
| Bladder function test (urodynamics) |
$4,338 |
$4,338 |
$614 |
$345 | |
| Bladder scope (cystoscopy) |
$4,621 |
$4,621 |
$905 |
$216 | |
| Blood clotting test (PT/INR) |
$41 |
$41 |
$5 |
$4 | |
| Blood crossmatch |
$108 |
$108 |
$221 |
— | |
| Blood glucose test |
$41 |
$41 |
$5 |
$5 | |
| Blood transfusion |
$2,538 |
$2,538 |
$641 |
$47 | |
| Blood type and screen |
$108 |
$108 |
$9 |
$10 | |
| Blood type test |
$124 |
$124 |
$4 |
$3 | |
| Blood type test (ABO group) |
$93 |
$93 |
$100 |
$3 | |
| Blood type test (Rh/D antigen) |
$246 |
$246 |
$4 |
$3 | |
| BNP (heart failure) test |
$353 |
$353 |
$43 |
$39 | |
| Bone density scan (DEXA) |
$532 |
$532 |
$56 |
$39 | |
| Bone scan (nuclear) |
$1,427 |
$1,427 |
$256 |
$259 | |
| Breast reduction |
$23,289 |
$23,289 |
$8,618 |
$980 | |
| Breathing tube insertion (intubation) |
$1,156 |
$1,156 |
$1,983 |
$133 | |
| Bronchoscopy |
$4,763 |
$4,763 |
$237 |
$303 | |
| Burn dressing and debridement (medium) |
$1,171 |
$1,171 |
$107 |
$166 | |
| Burn dressing and debridement (small) |
$799 |
$799 |
$52 |
$93 | |
| Burn treatment |
$1,171 |
$1,171 |
$87 |
$129 | |
| C-reactive protein (CRP) |
$54 |
$54 |
$7 |
$5 | |
| Calcium blood test |
$54 |
$54 |
$6 |
$5 | |
| Cardiac event monitor |
$1,157 |
$1,157 |
$203 |
$170 | |
| Carpal tunnel release |
$8,123 |
$8,123 |
$2,266 |
$483 | |
| Celiac disease test |
$75 |
$75 |
$16 |
$12 | |
| Chemotherapy infusion |
$1,264 |
$1,264 |
$56 |
$81 | |
| Chemotherapy infusion (each additional) |
$435 |
$435 |
$31 |
$28 | |
| Chemotherapy infusion (first hour) |
$2,093 |
$2,093 |
$119 |
$133 | |
| Chest X-ray |
$395 |
$395 |
$54 |
$37 | |
| Chest X-ray (1 view) |
$329 |
$329 |
$35 |
$25 | |
| Chest X-ray (2 views) |
$395 |
$395 |
$47 |
$33 | |
| Circumcision |
$6,547 |
$6,547 |
$1,814 |
$167 | |
| Clotting time test (PTT) |
$63 |
$63 |
$8 |
$6 | |
| Colonoscopy |
$5,334 |
$5,334 |
$1,248 |
$480 | |
| Complete blood count (CBC) |
$81 |
$81 |
$8 |
$7 | |
| Complete blood count (CBC) (complete) |
$81 |
$81 |
$10 |
$8 | |
| Complex wound repair |
$3,768 |
$3,768 |
$240 |
$390 | |
| Comprehensive metabolic panel |
$110 |
$110 |
$13 |
$11 | |
| Copper blood test |
$86 |
$86 |
$16 |
$12 | |
| Coronary angioplasty / stent (PCI) |
— |
— |
$1,983 |
$426 | |
| Cortisol test |
$170 |
$170 |
$21 |
$16 | |
| COVID-19 PCR test |
$108 |
$108 |
$59 |
$51 | |
| CPAP titration study |
$699 |
$699 |
$1,983 |
$69 | |
| Creatine kinase (CK) test |
$68 |
$68 |
$8 |
$7 | |
| CT angiography of the chest |
$2,497 |
$2,497 |
$384 |
$281 | |
| CT angiography of the head |
$2,497 |
$2,497 |
$382 |
$274 | |
| CT scan of the abdomen |
$2,178 |
$2,178 |
$256 |
$230 | |
| CT scan of the abdomen and pelvis |
$4,130 |
$4,130 |
$398 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$4,130 |
$4,130 |
$458 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$4,130 |
$4,130 |
$404 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,911 |
$2,911 |
$250 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,446 |
$2,446 |
$313 |
$259 | |
| CT scan of the abdomen with contrast |
$2,178 |
$2,178 |
$294 |
$230 | |
| CT scan of the abdomen without contrast |
$1,430 |
$1,430 |
$172 |
$136 | |
| CT scan of the arm |
$2,178 |
$2,178 |
$262 |
$199 | |
| CT scan of the arm with contrast |
$2,178 |
$2,178 |
$282 |
$199 | |
| CT scan of the arm without contrast |
$1,430 |
$1,430 |
$202 |
$161 | |
| CT scan of the chest |
$2,178 |
$2,178 |
$231 |
$167 | |
| CT scan of the chest with and without contrast |
$2,446 |
$2,446 |
$275 |
$196 | |
| CT scan of the chest with contrast |
$2,178 |
$2,178 |
$231 |
$167 | |
| CT scan of the chest without contrast |
$1,430 |
$1,430 |
$183 |
$133 | |
| CT scan of the head |
$2,178 |
$2,178 |
$205 |
$148 | |
| CT scan of the head with and without contrast |
$2,446 |
$2,446 |
$241 |
$173 | |
| CT scan of the head with contrast |
$2,178 |
$2,178 |
$205 |
$148 | |
| CT scan of the head without contrast |
$1,430 |
$1,430 |
$145 |
$107 | |
| CT scan of the leg |
$2,178 |
$2,178 |
$231 |
$166 | |
| CT scan of the leg with contrast |
$2,178 |
$2,178 |
$231 |
$166 | |
| CT scan of the leg without contrast |
$1,430 |
$1,430 |
$178 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$6,534 |
$6,534 |
$234 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$7,337 |
$7,337 |
$276 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$6,534 |
$6,534 |
$252 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$4,291 |
$4,291 |
$178 |
$130 | |
| CT scan of the neck |
$2,178 |
$2,178 |
$256 |
$183 | |
| CT scan of the neck (cervical spine) |
$6,534 |
$6,534 |
$234 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$7,337 |
$7,337 |
$276 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$6,534 |
$6,534 |
$253 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$4,291 |
$4,291 |
$179 |
$131 | |
| CT scan of the neck with and without contrast |
$2,446 |
$2,446 |
$308 |
$220 | |
| CT scan of the neck with contrast |
$2,178 |
$2,178 |
$256 |
$183 | |
| CT scan of the neck without contrast |
$1,430 |
$1,430 |
$201 |
$150 | |
| CT scan of the pelvis |
$2,178 |
$2,178 |
$255 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,446 |
$2,446 |
$313 |
$251 | |
| CT scan of the pelvis with contrast |
$2,178 |
$2,178 |
$291 |
$226 | |
| CT scan of the pelvis without contrast |
$1,430 |
$1,430 |
$171 |
$133 | |
| CT scan of the sinuses |
$2,178 |
$2,178 |
$214 |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,446 |
$2,446 |
$258 |
$184 | |
| CT scan of the sinuses with contrast |
$2,178 |
$2,178 |
$226 |
$152 | |
| CT scan of the sinuses without contrast |
$1,430 |
$1,430 |
$177 |
$128 | |
| D-dimer test |
$106 |
$106 |
$13 |
$10 | |
| Developmental screening (child) |
$110 |
$110 |
$160 |
— | |
| DHEA-sulfate test |
$226 |
$226 |
$28 |
$22 | |
| Drug screen (urine) |
$147 |
$147 |
$40 |
$17 | |
| Ear pressure test (tympanometry) |
$248 |
$248 |
$48 |
$16 | |
| EKG / ECG (tracing only) |
$195 |
$195 |
$19 |
$7 | |
| Electrocardiogram (EKG) |
$195 |
$195 |
$19 |
$8 | |
| Electrolyte panel |
$73 |
$73 |
$9 |
$7 | |
| Electromyography (EMG) |
$753 |
$753 |
$113 |
$141 | |
| Estradiol (estrogen) test |
$280 |
$280 |
$35 |
$28 | |
| Facet joint injection (spine) |
$5,527 |
$5,527 |
$105 |
$99 | |
| Ferritin (iron) test |
$142 |
$142 |
$17 |
$14 | |
| Fibrinogen test |
$89 |
$89 |
$11 |
$10 | |
| Flu test |
$120 |
$120 |
$13 |
$17 | |
| Folate (folic acid) test |
$153 |
$153 |
$19 |
$15 | |
| Free T4 thyroid test |
$94 |
$94 |
$11 |
$9 | |
| FSH hormone test |
$193 |
$193 |
$24 |
$19 | |
| Ganglion cyst removal |
$6,614 |
$6,614 |
$2,376 |
$321 | |
| GGT liver test |
$75 |
$75 |
$9 |
$7 | |
| Glucose tolerance test |
$131 |
$131 |
$16 |
$8 | |
| Hammertoe repair |
$15,307 |
$15,307 |
$4,671 |
$548 | |
| HDL cholesterol test |
$84 |
$84 |
$10 |
$8 | |
| Hearing test (audiometry) |
$965 |
$965 |
$47 |
$36 | |
| Hematocrit test |
$25 |
$25 |
$3 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$101 |
$101 |
$12 |
$10 | |
| Hepatitis B test |
$107 |
$107 |
$13 |
$10 | |
| Hepatitis C test |
$149 |
$149 |
$18 |
$14 | |
| Hip arthroscopy |
$7,041 |
$7,041 |
$9,417 |
$931 | |
| HIV test |
$197 |
$197 |
$20 |
$19 | |
| HIV test (antibody) |
$143 |
$143 |
$17 |
$14 | |
| HIV test (antigen/antibody combo) |
$250 |
$250 |
$29 |
$24 | |
| Hydrocele repair |
$5,591 |
$5,591 |
$4,686 |
$315 | |
| Inguinal hernia repair |
$8,967 |
$8,967 |
$5,111 |
$538 | |
| Iron blood test |
$67 |
$67 |
$8 |
$6 | |
| IV infusion therapy |
$547 |
$547 |
$70 |
$44 | |
| IV infusion therapy (each additional) |
$181 |
$181 |
$28 |
$21 | |
| IV infusion therapy (initial) |
$913 |
$913 |
$90 |
$67 | |
| Joint aspiration (small/intermediate) |
$1,763 |
$1,763 |
$44 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$1,763 |
$1,763 |
$44 |
$57 | |
| Joint aspiration or injection (small joint) |
$1,763 |
$1,763 |
$37 |
$56 | |
| Kidney ultrasound |
$856 |
$856 |
$127 |
$84 | |
| Kidney ultrasound (limited) |
$714 |
$714 |
$82 |
$61 | |
| Knee arthroscopy |
$10,747 |
$10,747 |
$4,671 |
$524 | |
| Knee joint injection |
$3,863 |
$3,863 |
$454 |
$69 | |
| Knee replacement |
— |
— |
$7,818 |
$18,054 | |
| Lactate test |
$111 |
$111 |
$14 |
$12 | |
| Laryngoscopy |
$1,159 |
$1,159 |
$111 |
$189 | |
| LDH test |
$63 |
$63 |
$8 |
$6 | |
| LDL cholesterol test |
$68 |
$68 |
$12 |
$11 | |
| Leg vein ultrasound (Doppler) |
$714 |
$714 |
$155 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$714 |
$714 |
$136 |
$116 | |
| LH hormone test |
$193 |
$193 |
$24 |
$19 | |
| Lipase test |
$72 |
$72 |
$9 |
$7 | |
| Lipid (cholesterol) panel |
$139 |
$139 |
$17 |
$13 | |
| Liver function panel |
$85 |
$85 |
$9 |
$8 | |
| Lower back (lumbar) spinal fusion |
— |
— |
$2,428 |
$1,511 | |
| Lung function test (PFT) |
$560 |
$560 |
$58 |
$37 | |
| Magnesium blood test |
$70 |
$70 |
$9 |
$7 | |
| Meniscus repair (knee) |
$5,210 |
$5,210 |
$4,671 |
$714 | |
| MRA of the brain |
$3,109 |
$3,109 |
$423 |
$226 | |
| MRA of the brain with contrast |
$3,109 |
$3,109 |
$381 |
$226 | |
| MRA of the brain without contrast |
$3,926 |
$3,926 |
$482 |
$328 | |
| MRA of the neck |
$3,109 |
$3,109 |
$431 |
$245 | |
| MRA of the neck with contrast |
$3,109 |
$3,109 |
$398 |
$245 | |
| MRA of the neck without contrast |
$3,926 |
$3,926 |
$492 |
$343 | |
| MRI of the abdomen |
$3,109 |
$3,109 |
$448 |
$300 | |
| MRI of the abdomen with contrast |
$3,109 |
$3,109 |
$453 |
$300 | |
| MRI of the abdomen without contrast |
$2,563 |
$2,563 |
$309 |
$194 | |
| MRI of the ankle |
$3,109 |
$3,109 |
$404 |
$261 | |
| MRI of the ankle with contrast |
$3,109 |
$3,109 |
$404 |
$261 | |
| MRI of the ankle without contrast |
$2,563 |
$2,563 |
$316 |
$222 | |
| MRI of the brain |
$3,109 |
$3,109 |
$379 |
$269 | |
| MRI of the brain with contrast |
$3,109 |
$3,109 |
$379 |
$269 | |
| MRI of the brain without contrast |
$2,563 |
$2,563 |
$273 |
$195 | |
| MRI of the chest |
$3,109 |
$3,109 |
$537 |
$371 | |
| MRI of the chest with contrast |
$3,109 |
$3,109 |
$537 |
$371 | |
| MRI of the chest without contrast |
$3,926 |
$3,926 |
$630 |
$466 | |
| MRI of the knee |
$3,109 |
$3,109 |
$449 |
$315 | |
| MRI of the knee with contrast |
$3,109 |
$3,109 |
$449 |
$315 | |
| MRI of the knee without contrast |
$2,563 |
$2,563 |
$282 |
$204 | |
| MRI of the lower back (lumbar spine) |
$8,666 |
$8,666 |
$381 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$8,666 |
$8,666 |
$381 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$7,144 |
$7,144 |
$267 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$8,666 |
$8,666 |
$384 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$10,944 |
$10,944 |
$450 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$8,666 |
$8,666 |
$384 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$7,144 |
$7,144 |
$266 |
$190 | |
| MRI of the neck (cervical spine) |
$8,883 |
$8,883 |
$388 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$11,218 |
$11,218 |
$449 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$8,883 |
$8,883 |
$388 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$7,323 |
$7,323 |
$266 |
$191 | |
| MRI of the pelvis |
$3,109 |
$3,109 |
$419 |
$268 | |
| MRI of the pelvis with contrast |
$3,109 |
$3,109 |
$419 |
$268 | |
| MRI of the pelvis without contrast |
$2,563 |
$2,563 |
$325 |
$227 | |
| MRI of the shoulder |
$3,109 |
$3,109 |
$448 |
$313 | |
| MRI of the shoulder with contrast |
$3,109 |
$3,109 |
$448 |
$313 | |
| MRI of the shoulder without contrast |
$2,563 |
$2,563 |
$283 |
$205 | |
| MRI of the wrist |
$3,109 |
$3,109 |
$473 |
$330 | |
| MRI of the wrist with contrast |
$3,109 |
$3,109 |
$473 |
$330 | |
| MRI of the wrist without contrast |
$2,563 |
$2,563 |
$411 |
$303 | |
| Nebulizer breathing treatment |
$201 |
$201 |
$1,983 |
$9 | |
| Nerve conduction study |
$1,940 |
$1,940 |
$175 |
$118 | |
| Occupational therapy evaluation |
$415 |
$415 |
$122 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$664 |
$664 |
$122 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$332 |
$332 |
$122 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$498 |
$498 |
$122 |
$101 | |
| Office visit (established patient) |
$346 |
$346 |
$85 |
$115 | |
| Office visit (new patient) |
$731 |
$731 |
$95 |
$177 | |
| Office visit, established patient (level 3) |
$346 |
$346 |
$64 |
$95 | |
| Office visit, established patient (level 4) |
$346 |
$346 |
$97 |
$136 | |
| Office visit, new patient (level 3) |
$481 |
$481 |
$66 |
$118 | |
| Office visit, new patient (level 4) |
$713 |
$713 |
$109 |
$177 | |
| Office visit, new patient (level 5) |
$731 |
$731 |
$156 |
$237 | |
| Orthopedic hardware removal |
$5,505 |
$5,505 |
$3,770 |
$632 | |
| Parathyroid hormone (PTH) test |
$429 |
$429 |
$50 |
$41 | |
| Pelvic ultrasound |
$745 |
$745 |
$108 |
$78 | |
| Pelvic ultrasound (complete) |
$745 |
$745 |
$125 |
$105 | |
| Pelvic ultrasound (limited) |
$745 |
$745 |
$67 |
$51 | |
| Phosphorus blood test |
$49 |
$49 |
$6 |
$5 | |
| Physical therapy evaluation |
$261 |
$261 |
$118 |
$98 | |
| Physical therapy evaluation (high complexity) |
$588 |
$588 |
$118 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$392 |
$392 |
$118 |
$98 | |
| Pilonidal cyst removal |
$8,683 |
$8,683 |
$4,147 |
$541 | |
| Platelet count |
$47 |
$47 |
$5 |
$4 | |
| Pregnancy blood test (hCG) |
$78 |
$78 |
$9 |
$8 | |
| Procalcitonin test |
$185 |
$185 |
$32 |
$27 | |
| Prolactin test |
$194 |
$194 |
$25 |
$19 | |
| Rheumatoid factor test |
$59 |
$59 |
$7 |
$6 | |
| Sacroiliac joint injection |
$162 |
$162 |
$170 |
$176 | |
| Scoliosis spine X-ray |
$368 |
$368 |
$113 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$329 |
$329 |
$113 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$368 |
$368 |
$136 |
$72 | |
| Scrotal ultrasound |
$688 |
$688 |
$86 |
$99 | |
| Sedimentation rate (ESR) test |
$32 |
$32 |
$3 |
$3 | |
| Sex hormone binding globulin test |
$79 |
$79 |
$27 |
$22 | |
| Shoulder arthroscopy |
$14,534 |
$14,534 |
$9,417 |
$962 | |
| Simple wound stitches |
$1,171 |
$1,171 |
$85 |
$127 | |
| Skin graft |
$16,147 |
$16,147 |
$667 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$878 |
$878 |
$47 |
$36 | |
| Skin tag removal |
$1,171 |
$1,171 |
$286 |
$92 | |
| Soft tissue ultrasound |
$714 |
$714 |
$136 |
$64 | |
| Speech therapy |
$490 |
$490 |
$96 |
$76 | |
| Spinal tap (lumbar puncture) |
$4,115 |
$4,115 |
$94 |
$165 | |
| Spirometry (lung function test) |
$420 |
$420 |
$280 |
$30 | |
| Spirometry with bronchodilator |
$699 |
$699 |
$53 |
$43 | |
| Strep throat test |
$125 |
$125 |
$13 |
$17 | |
| Swallow study |
$781 |
$781 |
$103 |
$85 | |
| T3 thyroid test |
$148 |
$148 |
$18 |
$14 | |
| Testicle removal (orchiectomy) |
$4,053 |
$4,053 |
$4,686 |
$306 | |
| Testosterone test |
$262 |
$262 |
$33 |
$26 | |
| Thyroid test (TSH) |
$175 |
$175 |
$21 |
$17 | |
| Thyroid ultrasound |
$714 |
$714 |
$114 |
$109 | |
| Total IgE allergy test |
$171 |
$171 |
$21 |
$16 | |
| Total protein test |
$38 |
$38 |
$4 |
$4 | |
| Trigger finger release |
$6,494 |
$6,494 |
$2,296 |
$630 | |
| Trigger point injection |
$1,763 |
$1,763 |
$398 |
$56 | |
| Trigger point injection (1-2 muscles) |
$3,591 |
$3,591 |
$398 |
$52 | |
| Triglycerides test |
$60 |
$60 |
$7 |
$6 | |
| Troponin (heart) test |
$102 |
$102 |
$12 |
$12 | |
| Ulnar nerve surgery (elbow) |
$14,857 |
$14,857 |
$2,788 |
$575 | |
| Upper GI endoscopy (EGD) |
$5,334 |
$5,334 |
$1,177 |
$371 | |
| Upper GI series (barium) |
$1,038 |
$1,038 |
$146 |
$128 | |
| Uric acid (gout) test |
$47 |
$47 |
$6 |
$5 | |
| Urinalysis |
$28 |
$28 |
$3 |
$3 | |
| Urine microalbumin test |
$36 |
$36 |
$7 |
$5 | |
| Urine pregnancy test |
$65 |
$65 |
$4 |
$9 | |
| Vitamin B12 test |
$157 |
$157 |
$19 |
$15 | |
| Vitamin D test |
$308 |
$308 |
$30 |
$30 | |
| Wart removal |
$1,171 |
$1,171 |
$115 |
$121 | |
| Wound debridement |
$4,833 |
$4,833 |
$601 |
$186 | |
| Wrist fracture repair |
$6,170 |
$6,170 |
$9,417 |
$735 | |
| X-ray of the abdomen |
$395 |
$395 |
$54 |
$36 | |
| X-ray of the ankle |
$515 |
$515 |
$113 |
$37 | |
| X-ray of the collarbone |
$329 |
$329 |
$113 |
$33 | |
| X-ray of the elbow |
$515 |
$515 |
$113 |
$33 | |
| X-ray of the facial bones |
$362 |
$362 |
$53 |
$39 | |
| X-ray of the foot |
$515 |
$515 |
$113 |
$34 | |
| X-ray of the forearm |
$412 |
$412 |
$113 |
$29 | |
| X-ray of the hand |
$515 |
$515 |
$113 |
$38 | |
| X-ray of the hip |
$240 |
$240 |
$113 |
$49 | |
| X-ray of the hip (1 view) |
$163 |
$163 |
$100 |
$34 | |
| X-ray of the hip (3 views) |
$240 |
$240 |
$113 |
$49 | |
| X-ray of the hip (4 views) |
$297 |
$297 |
$136 |
$63 | |
| X-ray of the knee |
$412 |
$412 |
$124 |
$42 | |
| X-ray of the knee (2 views) |
$329 |
$329 |
$113 |
$34 | |
| X-ray of the knee (3 views) |
$412 |
$412 |
$113 |
$42 | |
| X-ray of the knee (4+ views) |
$515 |
$515 |
$136 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$440 |
$440 |
$67 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$329 |
$329 |
$56 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$552 |
$552 |
$76 |
$53 | |
| X-ray of the lower leg |
$412 |
$412 |
$100 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$362 |
$362 |
$44 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$329 |
$329 |
$40 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$395 |
$395 |
$44 |
$39 | |
| X-ray of the neck (cervical spine) |
$329 |
$329 |
$100 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$329 |
$329 |
$100 |
$40 | |
| X-ray of the pelvis |
$329 |
$329 |
$83 |
$36 | |
| X-ray of the pelvis (1 view) |
$329 |
$329 |
$100 |
$28 | |
| X-ray of the ribs |
$515 |
$515 |
$48 |
$42 | |
| X-ray of the ribs (2 views) |
$412 |
$412 |
$39 |
$36 | |
| X-ray of the ribs (3 views) |
$515 |
$515 |
$46 |
$42 | |
| X-ray of the shoulder |
$412 |
$412 |
$113 |
$36 | |
| X-ray of the skull |
$329 |
$329 |
$58 |
$40 | |
| X-ray of the upper arm |
$412 |
$412 |
$113 |
$32 | |
| X-ray of the wrist |
$515 |
$515 |
$113 |
$43 | |
| Zinc blood test |
$119 |
$119 |
$15 |
$11 | |