| 3D mammogram (tomosynthesis) |
$109 |
$112 |
$96 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$289 |
$298 |
$234 |
$284 | |
| Abdominal ultrasound |
$410 |
$423 |
$278 |
$100 | |
| Abdominal ultrasound (complete) |
$442 |
$456 |
$296 |
$114 | |
| Abdominal ultrasound (limited) |
$410 |
$423 |
$275 |
$86 | |
| Abscess drainage (complex or multiple) |
$482 |
$497 |
$424 |
$220 | |
| Abscess drainage (simple) |
$271 |
$279 |
$230 |
$129 | |
| Abscess incision and drainage |
$279 |
$288 |
$233 |
$174 | |
| Albumin blood test |
$46 |
$48 |
$41 |
$5 | |
| Aldosterone test |
$203 |
$209 |
$178 |
$41 | |
| Alkaline phosphatase test |
$51 |
$53 |
$40 |
$5 | |
| Allergy shots |
$11 |
$11 |
$9 |
$11 | |
| Alpha-fetoprotein (AFP) test |
$156 |
$161 |
$137 |
$17 | |
| ALT liver enzyme test |
$54 |
$56 |
$48 |
$5 | |
| Ammonia blood test |
$145 |
$149 |
$127 |
$15 | |
| Amylase test |
$93 |
$96 |
$82 |
$6 | |
| Annual physical (established patient) |
$117 |
$121 |
$117 |
— | |
| Annual physical (new patient) |
$140 |
$144 |
$140 |
— | |
| Arterial blood gas (ABG) |
$165 |
$170 |
$145 |
$26 | |
| AST liver enzyme test |
$62 |
$64 |
$55 |
$5 | |
| Barium swallow study |
$260 |
$268 |
$186 |
$107 | |
| Basic metabolic panel |
$146 |
$150 |
$128 |
$8 | |
| Benign skin lesion removal |
$226 |
$233 |
$216 |
$171 | |
| Bilirubin blood test |
$71 |
$73 |
$62 |
$5 | |
| Blood clotting test (PT/INR) |
$51 |
$53 |
$42 |
$4 | |
| Blood crossmatch |
$142 |
$146 |
$125 |
— | |
| Blood glucose test |
$72 |
$75 |
$63 |
$5 | |
| Blood transfusion |
$331 |
$342 |
$242 |
$47 | |
| Blood type and screen |
$71 |
$73 |
$56 |
$10 | |
| Blood type test |
$49 |
$50 |
$42 |
$3 | |
| Blood type test (ABO group) |
$49 |
$50 |
$42 |
$3 | |
| Blood type test (Rh/D antigen) |
$49 |
$50 |
$42 |
$3 | |
| BNP (heart failure) test |
$233 |
$240 |
$204 |
$39 | |
| Bone density scan (DEXA) |
$484 |
$499 |
$89 |
$39 | |
| Bone scan (nuclear) |
$1,008 |
$1,039 |
$886 |
$259 | |
| Breast biopsy |
$808 |
$833 |
$492 |
$478 | |
| Breast ultrasound |
$288 |
$297 |
$225 |
$92 | |
| Breast ultrasound (complete) |
$349 |
$360 |
$239 |
$100 | |
| Breast ultrasound (limited) |
$280 |
$289 |
$198 |
$84 | |
| Breathing tube insertion (intubation) |
$372 |
$384 |
$300 |
$133 | |
| Burn dressing and debridement (medium) |
$300 |
$309 |
$238 |
$166 | |
| Burn dressing and debridement (small) |
$160 |
$165 |
$126 |
$93 | |
| Burn treatment |
$227 |
$234 |
$203 |
$129 | |
| C-reactive protein (CRP) |
$88 |
$91 |
$78 |
$5 | |
| CA 19-9 tumor marker test |
$182 |
$188 |
$160 |
$21 | |
| CA-125 ovarian marker test |
$190 |
$196 |
$167 |
$21 | |
| Calcium blood test |
$56 |
$58 |
$49 |
$5 | |
| Cardiac rehabilitation |
$209 |
$215 |
$183 |
$26 | |
| Cardiac stress test |
$672 |
$693 |
$450 |
$39 | |
| Carotid artery ultrasound |
$924 |
$953 |
$619 |
$156 | |
| CEA tumor marker test |
$185 |
$191 |
$163 |
$19 | |
| Celiac disease test |
$116 |
$120 |
$102 |
$12 | |
| Chemotherapy infusion |
$455 |
$469 |
$330 |
$81 | |
| Chemotherapy infusion (each additional) |
$151 |
$156 |
$133 |
$28 | |
| Chemotherapy infusion (first hour) |
$759 |
$782 |
$667 |
$133 | |
| Chest fluid drain (thoracentesis) |
$582 |
$601 |
$228 |
$311 | |
| Chest X-ray |
$157 |
$162 |
$110 |
$37 | |
| Chest X-ray (1 view) |
$171 |
$176 |
$114 |
$25 | |
| Chest X-ray (2 views) |
$157 |
$162 |
$105 |
$33 | |
| Chickenpox (varicella) vaccine |
$543 |
$559 |
$454 |
— | |
| CK-MB heart enzyme test |
$140 |
$144 |
$123 |
$12 | |
| Clotting time test (PTT) |
$67 |
$70 |
$59 |
$6 | |
| Colonoscopy |
$1,268 |
$1,307 |
$423 |
$480 | |
| Colposcopy |
$207 |
$213 |
$207 |
$161 | |
| Complete blood count (CBC) |
$79 |
$81 |
$69 |
$7 | |
| Complete blood count (CBC) (complete) |
$79 |
$82 |
$62 |
$8 | |
| Comprehensive metabolic panel |
$172 |
$177 |
$151 |
$11 | |
| Continuous glucose monitor setup |
$94 |
$97 |
$70 |
$35 | |
| Copper blood test |
$100 |
$103 |
$88 |
$12 | |
| Cortisol test |
$135 |
$139 |
$112 |
$16 | |
| COVID-19 PCR test |
$136 |
$140 |
$119 |
$51 | |
| CPAP titration study |
$208 |
$214 |
$183 |
$69 | |
| Creatine kinase (CK) test |
$82 |
$85 |
$73 |
$7 | |
| CT angiography of the chest |
$2,151 |
$2,218 |
$194 |
$281 | |
| CT angiography of the head |
$1,846 |
$1,903 |
$247 |
$274 | |
| CT scan of the abdomen |
$1,111 |
$1,145 |
$149 |
$230 | |
| CT scan of the abdomen and pelvis |
$1,339 |
$1,380 |
$214 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,005 |
$2,067 |
$480 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$1,339 |
$1,380 |
$228 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,488 |
$1,534 |
$185 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,747 |
$1,801 |
$148 |
$259 | |
| CT scan of the abdomen with contrast |
$1,513 |
$1,560 |
$707 |
$230 | |
| CT scan of the abdomen without contrast |
$1,111 |
$1,145 |
$744 |
$136 | |
| CT scan of the arm |
$979 |
$1,009 |
$513 |
$199 | |
| CT scan of the arm with contrast |
$1,120 |
$1,155 |
$459 |
$199 | |
| CT scan of the arm without contrast |
$979 |
$1,009 |
$369 |
$161 | |
| CT scan of the chest |
$1,301 |
$1,341 |
$126 |
$167 | |
| CT scan of the chest with and without contrast |
$1,992 |
$2,054 |
$133 |
$196 | |
| CT scan of the chest with contrast |
$1,531 |
$1,578 |
$124 |
$167 | |
| CT scan of the chest without contrast |
$1,301 |
$1,341 |
$115 |
$133 | |
| CT scan of the head |
$1,255 |
$1,294 |
$135 |
$148 | |
| CT scan of the head with and without contrast |
$1,810 |
$1,866 |
$241 |
$173 | |
| CT scan of the head without contrast |
$1,255 |
$1,294 |
$91 |
$107 | |
| CT scan of the leg |
$1,153 |
$1,189 |
$361 |
$166 | |
| CT scan of the leg with contrast |
$1,213 |
$1,250 |
$383 |
$166 | |
| CT scan of the leg without contrast |
$1,153 |
$1,189 |
$298 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,472 |
$1,518 |
$235 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,472 |
$1,518 |
$235 |
$130 | |
| CT scan of the neck |
$1,072 |
$1,105 |
$277 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,351 |
$1,393 |
$173 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,351 |
$1,393 |
$173 |
$131 | |
| CT scan of the neck with and without contrast |
$1,552 |
$1,600 |
$423 |
$220 | |
| CT scan of the neck with contrast |
$1,364 |
$1,406 |
$358 |
$183 | |
| CT scan of the neck without contrast |
$1,072 |
$1,105 |
$277 |
$150 | |
| CT scan of the pelvis |
$1,191 |
$1,228 |
$593 |
$226 | |
| CT scan of the pelvis with contrast |
$1,369 |
$1,411 |
$593 |
$226 | |
| CT scan of the pelvis without contrast |
$1,191 |
$1,228 |
$597 |
$133 | |
| CT scan of the sinuses |
$1,187 |
$1,224 |
$188 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,499 |
$1,545 |
$320 |
$184 | |
| CT scan of the sinuses with contrast |
$1,187 |
$1,224 |
$268 |
$152 | |
| CT scan of the sinuses without contrast |
$1,606 |
$1,656 |
$188 |
$128 | |
| D-dimer test |
$132 |
$136 |
$116 |
$10 | |
| DHEA-sulfate test |
$193 |
$199 |
$170 |
$22 | |
| Diagnostic mammogram |
$308 |
$318 |
$246 |
$140 | |
| Drug screen (urine) |
$168 |
$173 |
$150 |
$17 | |
| Echocardiogram |
$725 |
$747 |
$552 |
$138 | |
| Echocardiogram with and without contrast |
$404 |
$417 |
$356 |
$101 | |
| EKG / ECG (tracing only) |
$189 |
$195 |
$166 |
$7 | |
| Electrocardiogram (EKG) |
$189 |
$195 |
$166 |
$8 | |
| Electrolyte panel |
$85 |
$88 |
$75 |
$7 | |
| Emergency department visit |
$293 |
$302 |
$226 |
$69 | |
| Emergency department visit (level 1) |
$65 |
$68 |
$48 |
$11 | |
| Emergency department visit (level 2) |
$293 |
$302 |
$196 |
$40 | |
| Emergency department visit (level 3) |
$515 |
$531 |
$345 |
$69 | |
| Emergency department visit (level 4) |
$531 |
$548 |
$237 |
$118 | |
| Emergency department visit (level 5) |
$1,109 |
$1,143 |
$743 |
$171 | |
| Endometrial biopsy |
$125 |
$129 |
$123 |
$98 | |
| Epidural steroid injection |
$796 |
$821 |
$223 |
$275 | |
| Estradiol (estrogen) test |
$130 |
$135 |
$97 |
$28 | |
| Facet joint injection (spine) |
$323 |
$333 |
$115 |
$99 | |
| Fecal occult blood (stool) test |
$86 |
$89 |
$76 |
$10 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$86 |
$89 |
$76 |
$16 | |
| Ferritin (iron) test |
$130 |
$134 |
$114 |
$14 | |
| Fibrinogen test |
$104 |
$107 |
$91 |
$10 | |
| Flexible sigmoidoscopy |
$505 |
$521 |
$168 |
$323 | |
| Folate (folic acid) test |
$129 |
$133 |
$113 |
$15 | |
| Foreign body removal (skin) |
$304 |
$313 |
$242 |
$157 | |
| Free T4 thyroid test |
$169 |
$175 |
$130 |
$9 | |
| FSH hormone test |
$146 |
$150 |
$128 |
$19 | |
| Gallbladder removal (laparoscopic) |
$1,906 |
$1,965 |
$1,441 |
$658 | |
| Gallbladder scan (HIDA) |
$1,510 |
$1,557 |
$1,321 |
$334 | |
| GGT liver test |
$88 |
$91 |
$78 |
$7 | |
| Glucose tolerance test |
$95 |
$98 |
$69 |
$8 | |
| Group therapy session |
$18 |
$19 |
$18 |
$30 | |
| Hematocrit test |
$39 |
$40 |
$34 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$111 |
$114 |
$97 |
$10 | |
| Hemorrhoid removal |
$394 |
$407 |
$406 |
$338 | |
| Hepatitis A vaccine |
$109 |
$112 |
$99 |
— | |
| Hepatitis B test |
$79 |
$82 |
$62 |
$10 | |
| Hepatitis B vaccine |
$110 |
$113 |
$100 |
— | |
| Hepatitis C test |
$105 |
$108 |
$79 |
$14 | |
| HIV test |
$90 |
$93 |
$69 |
$19 | |
| HIV test (antigen/antibody combo) |
$90 |
$93 |
$69 |
$24 | |
| Holter heart monitor |
$404 |
$416 |
$320 |
$26 | |
| HPV vaccine |
$284 |
$293 |
$260 |
— | |
| Hysteroscopy |
$3,864 |
$3,984 |
$492 |
$1,270 | |
| Inguinal hernia repair |
$1,453 |
$1,498 |
$1,131 |
$538 | |
| Iron blood test |
$79 |
$81 |
$69 |
$6 | |
| IUD insertion |
$137 |
$141 |
$111 |
— | |
| IUD removal |
$167 |
$172 |
$140 |
$112 | |
| IV infusion therapy |
$212 |
$219 |
$165 |
$44 | |
| IV infusion therapy (each additional) |
$97 |
$100 |
$74 |
$21 | |
| IV infusion therapy (initial) |
$289 |
$298 |
$254 |
$67 | |
| Joint aspiration (small/intermediate) |
$83 |
$86 |
$76 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$91 |
$94 |
$77 |
$57 | |
| Joint aspiration or injection (small joint) |
$74 |
$77 |
$73 |
$56 | |
| Kidney scan (nuclear) |
$1,068 |
$1,101 |
$939 |
$172 | |
| Kidney ultrasound |
$218 |
$225 |
$150 |
$84 | |
| Kidney ultrasound (limited) |
$218 |
$225 |
$148 |
$61 | |
| Knee joint injection |
$140 |
$144 |
$100 |
$69 | |
| Lactate test |
$121 |
$125 |
$107 |
$12 | |
| LDH test |
$57 |
$59 |
$50 |
$6 | |
| LDL cholesterol test |
$90 |
$93 |
$79 |
$11 | |
| Leg vein ultrasound (Doppler) |
$755 |
$778 |
$506 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$755 |
$778 |
$506 |
$116 | |
| LH hormone test |
$138 |
$142 |
$121 |
$19 | |
| Lipase test |
$132 |
$136 |
$116 |
$7 | |
| Lipid (cholesterol) panel |
$110 |
$114 |
$88 |
$13 | |
| Liver function panel |
$104 |
$107 |
$91 |
$8 | |
| Lung function test (PFT) |
$320 |
$330 |
$281 |
$37 | |
| Lung scan (V/Q) |
$1,371 |
$1,413 |
$1,205 |
$291 | |
| Magnesium blood test |
$81 |
$83 |
$73 |
$7 | |
| MMR vaccine |
$191 |
$197 |
$93 |
— | |
| MRA of the brain |
$2,635 |
$2,717 |
$408 |
$226 | |
| MRA of the brain without contrast |
$2,713 |
$2,797 |
$545 |
$328 | |
| MRA of the neck |
$2,938 |
$3,029 |
$536 |
$245 | |
| MRA of the neck with contrast |
$2,938 |
$3,029 |
$536 |
$245 | |
| MRA of the neck without contrast |
$3,803 |
$3,921 |
$667 |
$343 | |
| MRI of the abdomen |
$2,343 |
$2,415 |
$544 |
$300 | |
| MRI of the abdomen without contrast |
$2,343 |
$2,415 |
$544 |
$194 | |
| MRI of the ankle |
$2,178 |
$2,245 |
$759 |
$261 | |
| MRI of the ankle without contrast |
$2,178 |
$2,245 |
$540 |
$222 | |
| MRI of the brain |
$2,777 |
$2,863 |
$447 |
$269 | |
| MRI of the brain without contrast |
$2,777 |
$2,863 |
$447 |
$195 | |
| MRI of the knee |
$2,276 |
$2,346 |
$862 |
$315 | |
| MRI of the knee with contrast |
$2,797 |
$2,884 |
$759 |
$315 | |
| MRI of the knee without contrast |
$2,276 |
$2,346 |
$489 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,656 |
$2,738 |
$315 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,656 |
$2,738 |
$315 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,664 |
$2,746 |
$391 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$3,902 |
$4,023 |
$535 |
$319 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,664 |
$2,746 |
$391 |
$190 | |
| MRI of the neck (cervical spine) |
$2,452 |
$2,528 |
$265 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$3,916 |
$4,037 |
$340 |
$318 | |
| MRI of the neck (cervical spine) without contrast |
$2,452 |
$2,528 |
$234 |
$191 | |
| MRI of the pelvis |
$2,549 |
$2,628 |
$253 |
$268 | |
| MRI of the pelvis without contrast |
$2,549 |
$2,628 |
$156 |
$227 | |
| MRI of the shoulder |
$2,258 |
$2,328 |
$864 |
$313 | |
| MRI of the shoulder with contrast |
$2,834 |
$2,922 |
$759 |
$313 | |
| MRI of the shoulder without contrast |
$2,258 |
$2,328 |
$490 |
$205 | |
| MRI of the wrist |
$2,062 |
$2,126 |
$925 |
$330 | |
| MRI of the wrist without contrast |
$2,062 |
$2,126 |
$737 |
$303 | |
| Nebulizer breathing treatment |
$111 |
$114 |
$87 |
$9 | |
| Newborn hospital care |
$134 |
$138 |
$114 |
$58 | |
| Nuclear cardiac stress test |
$1,470 |
$1,515 |
$1,292 |
$428 | |
| Occupational therapy evaluation |
$199 |
$205 |
$175 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$199 |
$205 |
$175 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$199 |
$205 |
$175 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$199 |
$205 |
$175 |
$101 | |
| Office visit (established patient) |
$132 |
$137 |
$137 |
$115 | |
| Office visit (new patient) |
$178 |
$184 |
$178 |
$177 | |
| Office visit, established patient (level 3) |
$87 |
$90 |
$98 |
$95 | |
| Office visit, established patient (level 4) |
$220 |
$227 |
$171 |
$136 | |
| Office visit, new patient (level 3) |
$173 |
$179 |
$144 |
$118 | |
| Office visit, new patient (level 4) |
$174 |
$179 |
$208 |
$177 | |
| Office visit, new patient (level 5) |
$219 |
$226 |
$270 |
$237 | |
| Parathyroid hormone (PTH) test |
$280 |
$289 |
$247 |
$41 | |
| Pelvic ultrasound |
$146 |
$151 |
$100 |
$78 | |
| Pelvic ultrasound (complete) |
$456 |
$470 |
$306 |
$105 | |
| Pelvic ultrasound (limited) |
$146 |
$150 |
$99 |
$51 | |
| PET scan |
$5,440 |
$5,608 |
$4,784 |
— | |
| Phosphorus blood test |
$56 |
$58 |
$49 |
$5 | |
| Physical therapy evaluation |
$210 |
$217 |
$185 |
$98 | |
| Physical therapy evaluation (high complexity) |
$210 |
$217 |
$185 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$210 |
$217 |
$185 |
$98 | |
| Platelet count |
$55 |
$57 |
$49 |
$4 | |
| Pregnancy blood test (hCG) |
$129 |
$133 |
$113 |
$8 | |
| Pregnancy ultrasound |
$546 |
$563 |
$368 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$546 |
$563 |
$366 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$551 |
$568 |
$369 |
$136 | |
| Procalcitonin test |
$318 |
$328 |
$280 |
$27 | |
| Prolactin test |
$155 |
$160 |
$136 |
$19 | |
| Prostate test (PSA) |
$140 |
$144 |
$123 |
$18 | |
| Psychiatric evaluation |
$147 |
$152 |
$147 |
$188 | |
| Psychotherapy session |
$102 |
$106 |
$106 |
$140 | |
| Pulmonary rehabilitation |
$165 |
$170 |
$145 |
$87 | |
| Radiofrequency nerve ablation |
$1,190 |
$1,227 |
$410 |
$462 | |
| RSV vaccine |
$311 |
$320 |
$284 |
— | |
| Sacroiliac joint injection |
$498 |
$513 |
$186 |
$176 | |
| Scoliosis spine X-ray |
$300 |
$309 |
$131 |
$58 | |
| Scoliosis spine X-ray (3 views) |
$300 |
$309 |
$131 |
$72 | |
| Screening colonoscopy |
$597 |
$615 |
$352 |
$378 | |
| Screening mammogram |
$318 |
$328 |
$264 |
$126 | |
| Scrotal ultrasound |
$455 |
$469 |
$305 |
$99 | |
| Sedimentation rate (ESR) test |
$49 |
$50 |
$43 |
$3 | |
| Semen analysis |
$126 |
$130 |
$111 |
$12 | |
| Sex hormone binding globulin test |
$183 |
$189 |
$161 |
$22 | |
| Shingles vaccine |
$216 |
$223 |
$210 |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
$117 |
$121 |
$96 |
$114 | |
| Simple wound stitches |
$146 |
$151 |
$115 |
$127 | |
| Skin biopsy |
$146 |
$151 |
$99 |
$121 | |
| Skin biopsy (punch) |
$148 |
$153 |
$104 |
$121 | |
| Skin cancer lesion removal |
$327 |
$337 |
$301 |
$240 | |
| Skin lesion freezing (cryotherapy) |
$49 |
$51 |
$34 |
$36 | |
| Skin tag removal |
$111 |
$114 |
$111 |
$92 | |
| Sleep study (polysomnography) |
$3,271 |
$3,372 |
$2,858 |
$691 | |
| Soft tissue ultrasound |
$98 |
$101 |
$123 |
$64 | |
| Speech therapy |
$169 |
$174 |
$148 |
$76 | |
| Spinal tap (lumbar puncture) |
$668 |
$689 |
$448 |
$165 | |
| Spirometry with bronchodilator |
$320 |
$330 |
$281 |
$43 | |
| Swallow study |
$473 |
$488 |
$416 |
$85 | |
| T3 thyroid test |
$142 |
$146 |
$125 |
$14 | |
| Tdap (tetanus) vaccine |
$108 |
$112 |
$64 |
— | |
| Testosterone test |
$159 |
$164 |
$127 |
$26 | |
| Thyroid test (TSH) |
$142 |
$146 |
$125 |
$17 | |
| Thyroid ultrasound |
$410 |
$423 |
$275 |
$109 | |
| Thyroid uptake scan |
$762 |
$786 |
$670 |
$145 | |
| Total IgE allergy test |
$115 |
$119 |
$102 |
$16 | |
| Total protein test |
$47 |
$48 |
$34 |
$4 | |
| Transvaginal ultrasound |
$308 |
$318 |
$207 |
$118 | |
| Trigger point injection |
$80 |
$82 |
$77 |
$56 | |
| Trigger point injection (1-2 muscles) |
$72 |
$75 |
$75 |
$52 | |
| Triglycerides test |
$52 |
$54 |
$46 |
$6 | |
| Troponin (heart) test |
$137 |
$141 |
$120 |
$12 | |
| Upper GI endoscopy (EGD) |
$1,057 |
$1,090 |
$287 |
$371 | |
| Uric acid (gout) test |
$54 |
$56 |
$48 |
$5 | |
| Urinalysis |
$49 |
$50 |
$45 |
$3 | |
| Urine microalbumin test |
$77 |
$79 |
$62 |
$5 | |
| Urine pregnancy test |
$85 |
$88 |
$75 |
$9 | |
| Vaccine administration |
$34 |
$35 |
$30 |
$19 | |
| Vaccine administration (each additional) |
$29 |
$30 |
$25 |
$16 | |
| Vitamin B12 test |
$116 |
$120 |
$102 |
$15 | |
| Vitamin D test |
$233 |
$240 |
$197 |
$30 | |
| Wart removal |
$149 |
$154 |
$144 |
$121 | |
| Well-child visit |
$97 |
$100 |
$97 |
— | |
| Wound debridement |
$194 |
$200 |
$158 |
$186 | |
| X-ray of the abdomen |
$175 |
$180 |
$128 |
$36 | |
| X-ray of the ankle |
$171 |
$176 |
$100 |
$37 | |
| X-ray of the collarbone |
$131 |
$135 |
$88 |
$33 | |
| X-ray of the elbow |
$145 |
$149 |
$72 |
$33 | |
| X-ray of the facial bones |
$205 |
$211 |
$82 |
$39 | |
| X-ray of the foot |
$171 |
$176 |
$75 |
$34 | |
| X-ray of the forearm |
$141 |
$145 |
$94 |
$29 | |
| X-ray of the hand |
$132 |
$136 |
$82 |
$38 | |
| X-ray of the hip |
$143 |
$147 |
$125 |
$49 | |
| X-ray of the hip (1 view) |
$143 |
$147 |
$96 |
$34 | |
| X-ray of the hip (3 views) |
$238 |
$245 |
$159 |
$49 | |
| X-ray of the hip (4 views) |
$238 |
$245 |
$159 |
$63 | |
| X-ray of the knee |
$140 |
$144 |
$105 |
$42 | |
| X-ray of the knee (2 views) |
$140 |
$144 |
$84 |
$34 | |
| X-ray of the knee (3 views) |
$156 |
$161 |
$105 |
$42 | |
| X-ray of the knee (4+ views) |
$194 |
$200 |
$129 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$191 |
$197 |
$67 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$191 |
$197 |
$90 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$225 |
$232 |
$67 |
$53 | |
| X-ray of the lower leg |
$185 |
$191 |
$74 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$162 |
$167 |
$117 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$188 |
$194 |
$126 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$162 |
$167 |
$109 |
$39 | |
| X-ray of the neck (cervical spine) |
$205 |
$211 |
$150 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$205 |
$211 |
$137 |
$40 | |
| X-ray of the pelvis |
$140 |
$144 |
$102 |
$36 | |
| X-ray of the pelvis (1 view) |
$140 |
$144 |
$94 |
$28 | |
| X-ray of the ribs |
$144 |
$148 |
$99 |
$42 | |
| X-ray of the ribs (2 views) |
$144 |
$148 |
$96 |
$36 | |
| X-ray of the ribs (3 views) |
$155 |
$160 |
$104 |
$42 | |
| X-ray of the shoulder |
$131 |
$135 |
$88 |
$36 | |
| X-ray of the skull |
$132 |
$136 |
$73 |
$40 | |
| X-ray of the upper arm |
$183 |
$189 |
$71 |
$32 | |
| X-ray of the wrist |
$161 |
$166 |
$91 |
$43 | |
| Zinc blood test |
$144 |
$149 |
$127 |
$11 | |