| 3D mammogram (tomosynthesis) |
$131 |
$145 |
— |
$51 | |
| Abdominal ultrasound |
$398 |
$442 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$452 |
$502 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$344 |
$382 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$559 |
$621 |
— |
$220 | |
| Abscess drainage (simple) |
$291 |
$323 |
— |
$129 | |
| Abscess incision and drainage |
$425 |
$472 |
— |
$174 | |
| Albumin blood test |
$28 |
$31 |
— |
$5 | |
| Aldosterone test |
$231 |
$257 |
— |
$41 | |
| Alkaline phosphatase test |
$30 |
$33 |
— |
$5 | |
| Allergy shots |
$36 |
$40 |
— |
$11 | |
| Alpha-fetoprotein (AFP) test |
$95 |
$106 |
— |
$17 | |
| ALT liver enzyme test |
$30 |
$33 |
— |
$5 | |
| Ammonia blood test |
$83 |
$92 |
— |
$15 | |
| Amylase test |
$37 |
$41 |
— |
$6 | |
| Annual physical (established patient) |
$288 |
$320 |
— |
— | |
| Annual physical (new patient) |
$334 |
$371 |
— |
— | |
| Antinuclear antibody (ANA) test |
$68 |
$76 |
— |
$12 | |
| Arterial blood gas (ABG) |
$140 |
$155 |
— |
$26 | |
| AST liver enzyme test |
$30 |
$33 |
— |
$5 | |
| Basic metabolic panel |
$48 |
$53 |
— |
$8 | |
| Benign skin lesion removal |
$1,005 |
$1,117 |
— |
$171 | |
| Bilirubin blood test |
$29 |
$32 |
— |
$5 | |
| Blood clotting test (PT/INR) |
$23 |
$25 |
— |
$4 | |
| Blood glucose test |
$27 |
$30 |
— |
$5 | |
| Blood transfusion |
$765 |
$850 |
— |
$47 | |
| Blood type and screen |
$84 |
$93 |
— |
$10 | |
| Blood type test |
$25 |
$28 |
— |
$3 | |
| Blood type test (ABO group) |
$25 |
$28 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$25 |
$28 |
— |
$3 | |
| BNP (heart failure) test |
$210 |
$233 |
— |
$39 | |
| Bone density scan (DEXA) |
$374 |
$415 |
— |
$39 | |
| Bone scan (nuclear) |
$1,139 |
$1,265 |
— |
$259 | |
| Breast ultrasound |
$270 |
$300 |
— |
$92 | |
| Breast ultrasound (limited) |
$270 |
$300 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$334 |
$371 |
— |
$133 | |
| Burn dressing and debridement (small) |
$291 |
$323 |
— |
$93 | |
| Burn treatment |
$291 |
$323 |
— |
$129 | |
| C-reactive protein (CRP) |
$30 |
$33 |
— |
$5 | |
| CA-125 ovarian marker test |
$118 |
$131 |
— |
$21 | |
| Calcium blood test |
$30 |
$33 |
— |
$5 | |
| Cardiac rehabilitation |
$104 |
$115 |
— |
$26 | |
| Carotid artery ultrasound |
$698 |
$775 |
— |
$156 | |
| CEA tumor marker test |
$107 |
$119 |
— |
$19 | |
| Chemotherapy infusion |
$368 |
$409 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$122 |
$136 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$614 |
$682 |
— |
$133 | |
| Chest X-ray |
$120 |
$133 |
— |
$37 | |
| Chest X-ray (1 view) |
$82 |
$91 |
— |
$25 | |
| Chest X-ray (2 views) |
$112 |
$124 |
— |
$33 | |
| Clotting time test (PTT) |
$50 |
$56 |
— |
$6 | |
| Colonoscopy |
$1,814 |
$2,016 |
— |
$480 | |
| Complete blood count (CBC) |
$41 |
$45 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$44 |
$49 |
— |
$8 | |
| Comprehensive metabolic panel |
$60 |
$67 |
— |
$11 | |
| Cortisol test |
$93 |
$103 |
— |
$16 | |
| COVID-19 PCR test |
$144 |
$160 |
— |
$51 | |
| Creatine kinase (CK) test |
$37 |
$41 |
— |
$7 | |
| CT angiography of the chest |
$1,877 |
$2,085 |
— |
$281 | |
| CT angiography of the head |
$1,829 |
$2,032 |
— |
$274 | |
| CT scan of the abdomen |
$1,597 |
$1,774 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$2,048 |
$2,275 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,332 |
$2,591 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,048 |
$2,275 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,035 |
$1,150 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,868 |
$2,075 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$1,597 |
$1,774 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$870 |
$967 |
— |
$136 | |
| CT scan of the arm |
$1,399 |
$1,554 |
— |
$199 | |
| CT scan of the arm with contrast |
$1,399 |
$1,554 |
— |
$199 | |
| CT scan of the arm without contrast |
$1,141 |
$1,268 |
— |
$161 | |
| CT scan of the chest |
$1,365 |
$1,517 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$1,828 |
$2,031 |
— |
$196 | |
| CT scan of the chest with contrast |
$1,365 |
$1,517 |
— |
$167 | |
| CT scan of the chest without contrast |
$1,058 |
$1,175 |
— |
$133 | |
| CT scan of the head |
$900 |
$1,000 |
— |
$148 | |
| CT scan of the head with and without contrast |
$1,161 |
$1,290 |
— |
$173 | |
| CT scan of the head with contrast |
$900 |
$1,000 |
— |
$148 | |
| CT scan of the head without contrast |
$748 |
$831 |
— |
$107 | |
| CT scan of the leg |
$1,289 |
$1,433 |
— |
$166 | |
| CT scan of the leg with contrast |
$1,454 |
$1,616 |
— |
$166 | |
| CT scan of the leg without contrast |
$1,124 |
$1,249 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,286 |
$1,429 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,447 |
$1,608 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,124 |
$1,249 |
— |
$130 | |
| CT scan of the neck |
$1,356 |
$1,507 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$1,170 |
$1,300 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,170 |
$1,300 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$1,676 |
$1,862 |
— |
$220 | |
| CT scan of the neck with contrast |
$1,356 |
$1,507 |
— |
$183 | |
| CT scan of the neck without contrast |
$1,052 |
$1,169 |
— |
$150 | |
| CT scan of the pelvis |
$1,247 |
$1,385 |
— |
$226 | |
| CT scan of the pelvis with contrast |
$1,602 |
$1,780 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$891 |
$990 |
— |
$133 | |
| CT scan of the sinuses |
$927 |
$1,030 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$927 |
$1,030 |
— |
$128 | |
| D-dimer test |
$54 |
$60 |
— |
$10 | |
| DHEA-sulfate test |
$126 |
$140 |
— |
$22 | |
| Diagnostic mammogram |
$495 |
$550 |
— |
$140 | |
| Drug screen (urine) |
$59 |
$66 |
— |
$17 | |
| Echocardiogram |
$810 |
$900 |
— |
$138 | |
| EKG / ECG (tracing only) |
$77 |
$85 |
— |
$7 | |
| Electrocardiogram (EKG) |
$77 |
$85 |
— |
$8 | |
| Electrolyte panel |
$40 |
$44 |
— |
$7 | |
| Emergency department visit |
$170 |
$189 |
— |
$69 | |
| Emergency department visit (level 1) |
$52 |
$58 |
— |
$11 | |
| Emergency department visit (level 2) |
$101 |
$112 |
— |
$40 | |
| Emergency department visit (level 3) |
$170 |
$189 |
— |
$69 | |
| Emergency department visit (level 4) |
$290 |
$322 |
— |
$118 | |
| Emergency department visit (level 5) |
$422 |
$469 |
— |
$171 | |
| Estradiol (estrogen) test |
$158 |
$176 |
— |
$28 | |
| Fecal occult blood (stool) test |
$86 |
$95 |
— |
$10 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$86 |
$95 |
— |
$16 | |
| Ferritin (iron) test |
$77 |
$86 |
— |
$14 | |
| Flu test |
$88 |
$98 |
— |
$17 | |
| Folate (folic acid) test |
$84 |
$93 |
— |
$15 | |
| Foreign body removal (skin) |
$559 |
$621 |
— |
$157 | |
| Free T4 thyroid test |
$49 |
$54 |
— |
$9 | |
| FSH hormone test |
$105 |
$117 |
— |
$19 | |
| Gallbladder scan (HIDA) |
$1,873 |
$2,081 |
— |
$334 | |
| GGT liver test |
$41 |
$45 |
— |
$7 | |
| Glucose tolerance test |
$48 |
$53 |
— |
$8 | |
| HDL cholesterol test |
$43 |
$48 |
— |
$8 | |
| Hematocrit test |
$23 |
$25 |
— |
$2 | |
| Hemoglobin A1c (diabetes test) |
$55 |
$61 |
— |
$10 | |
| Hepatitis B test |
$56 |
$62 |
— |
$10 | |
| Hepatitis B vaccine |
$100 |
$111 |
— |
— | |
| Hepatitis C test |
$81 |
$90 |
— |
$14 | |
| HIV test |
$100 |
$111 |
— |
$19 | |
| HIV test (antibody) |
$73 |
$81 |
— |
$14 | |
| HIV test (antigen/antibody combo) |
$127 |
$141 |
— |
$24 | |
| Holter heart monitor |
$135 |
$150 |
— |
$26 | |
| HPV vaccine |
$391 |
$434 |
— |
— | |
| Iron blood test |
$37 |
$41 |
— |
$6 | |
| IV infusion therapy |
$240 |
$267 |
— |
$44 | |
| IV infusion therapy (each additional) |
$79 |
$88 |
— |
$21 | |
| IV infusion therapy (initial) |
$401 |
$446 |
— |
$67 | |
| Joint aspiration (small/intermediate) |
$431 |
$479 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$431 |
$479 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$431 |
$479 |
— |
$56 | |
| Kidney ultrasound |
$391 |
$434 |
— |
$84 | |
| Knee joint injection |
$431 |
$479 |
— |
$69 | |
| Lactate test |
$62 |
$69 |
— |
$12 | |
| LDH test |
$34 |
$38 |
— |
$6 | |
| Leg vein ultrasound (Doppler) |
$618 |
$687 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$493 |
$548 |
— |
$116 | |
| LH hormone test |
$105 |
$117 |
— |
$19 | |
| Lipase test |
$39 |
$43 |
— |
$7 | |
| Lipid (cholesterol) panel |
$94 |
$104 |
— |
$13 | |
| Liver function panel |
$46 |
$51 |
— |
$8 | |
| Lung function test (PFT) |
$95 |
$105 |
— |
$37 | |
| Magnesium blood test |
$38 |
$42 |
— |
$7 | |
| MRA of the brain |
$2,569 |
$2,854 |
— |
$226 | |
| MRA of the neck |
$2,637 |
$2,930 |
— |
$245 | |
| MRA of the neck with contrast |
$2,731 |
$3,034 |
— |
$245 | |
| MRI of the abdomen |
$2,527 |
$2,808 |
— |
$300 | |
| MRI of the abdomen without contrast |
$2,025 |
$2,250 |
— |
$194 | |
| MRI of the ankle |
$2,394 |
$2,660 |
— |
$261 | |
| MRI of the ankle with contrast |
$2,394 |
$2,660 |
— |
$261 | |
| MRI of the ankle without contrast |
$2,229 |
$2,477 |
— |
$222 | |
| MRI of the brain |
$2,014 |
$2,238 |
— |
$269 | |
| MRI of the brain without contrast |
$1,598 |
$1,775 |
— |
$195 | |
| MRI of the chest |
$2,835 |
$3,150 |
— |
$371 | |
| MRI of the chest without contrast |
$2,835 |
$3,150 |
— |
$466 | |
| MRI of the knee |
$2,304 |
$2,560 |
— |
$315 | |
| MRI of the knee with contrast |
$2,304 |
$2,560 |
— |
$315 | |
| MRI of the knee without contrast |
$1,575 |
$1,750 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,919 |
$2,133 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,409 |
$1,565 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,913 |
$2,125 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,340 |
$2,600 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,485 |
$1,650 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$1,890 |
$2,100 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,273 |
$2,525 |
— |
$318 | |
| MRI of the neck (cervical spine) without contrast |
$1,508 |
$1,675 |
— |
$191 | |
| MRI of the pelvis |
$2,311 |
$2,568 |
— |
$268 | |
| MRI of the pelvis without contrast |
$2,311 |
$2,568 |
— |
$227 | |
| MRI of the shoulder |
$2,357 |
$2,619 |
— |
$313 | |
| MRI of the shoulder with contrast |
$2,357 |
$2,619 |
— |
$313 | |
| MRI of the shoulder without contrast |
$1,530 |
$1,700 |
— |
$205 | |
| MRI of the wrist |
$2,739 |
$3,043 |
— |
$330 | |
| MRI of the wrist without contrast |
$2,372 |
$2,636 |
— |
$303 | |
| Nebulizer breathing treatment |
$63 |
$70 |
— |
$9 | |
| Office visit (established patient) |
$224 |
$249 |
— |
$115 | |
| Office visit (new patient) |
$378 |
$420 |
— |
$177 | |
| Office visit, established patient (level 3) |
$189 |
$210 |
— |
$95 | |
| Office visit, established patient (level 4) |
$258 |
$287 |
— |
$136 | |
| Office visit, new patient (level 3) |
$248 |
$276 |
— |
$118 | |
| Office visit, new patient (level 4) |
$378 |
$420 |
— |
$177 | |
| Office visit, new patient (level 5) |
$475 |
$528 |
— |
$237 | |
| Parathyroid hormone (PTH) test |
$234 |
$260 |
— |
$41 | |
| Pelvic ultrasound |
$382 |
$424 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$382 |
$424 |
— |
$105 | |
| Phosphorus blood test |
$27 |
$30 |
— |
$5 | |
| Physical therapy evaluation |
$289 |
$321 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$289 |
$321 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$289 |
$321 |
— |
$98 | |
| Platelet count |
$25 |
$28 |
— |
$4 | |
| Pneumonia vaccine |
$338 |
$375 |
— |
— | |
| Pregnancy ultrasound |
$386 |
$429 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$386 |
$429 |
— |
$117 | |
| Procalcitonin test |
$225 |
$250 |
— |
$27 | |
| Prolactin test |
$110 |
$122 |
— |
$19 | |
| Prostate test (PSA) |
$104 |
$116 |
— |
$18 | |
| RSV vaccine |
$365 |
$406 |
— |
— | |
| Screening mammogram |
$455 |
$505 |
— |
$126 | |
| Scrotal ultrasound |
$386 |
$429 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$23 |
$25 |
— |
$3 | |
| Sex hormone binding globulin test |
$123 |
$137 |
— |
$22 | |
| Shingles vaccine |
$236 |
$262 |
— |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
$291 |
$323 |
— |
$114 | |
| Simple wound stitches |
$291 |
$323 |
— |
$127 | |
| Skin biopsy |
$559 |
$621 |
— |
$121 | |
| Skin biopsy (punch) |
$559 |
$621 |
— |
$121 | |
| Skin cancer lesion removal |
$1,005 |
$1,117 |
— |
$240 | |
| Skin lesion freezing (cryotherapy) |
$175 |
$194 |
— |
$36 | |
| Skin tag removal |
$291 |
$323 |
— |
$92 | |
| Sleep study (polysomnography) |
$1,944 |
$2,160 |
— |
$691 | |
| Soft tissue ultrasound |
$165 |
$183 |
— |
$64 | |
| Spinal tap (lumbar puncture) |
$1,231 |
$1,368 |
— |
$165 | |
| Spirometry (lung function test) |
$95 |
$105 |
— |
$30 | |
| T3 thyroid test |
$80 |
$89 |
— |
$14 | |
| Tdap (tetanus) vaccine |
$46 |
$51 |
— |
— | |
| Testosterone test |
$147 |
$163 |
— |
$26 | |
| Thyroid test (TSH) |
$95 |
$106 |
— |
$17 | |
| Thyroid ultrasound |
$439 |
$488 |
— |
$109 | |
| Total protein test |
$23 |
$25 |
— |
$4 | |
| Transvaginal ultrasound |
$442 |
$491 |
— |
$118 | |
| Trigger point injection |
$431 |
$479 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$431 |
$479 |
— |
$52 | |
| Triglycerides test |
$32 |
$36 |
— |
$6 | |
| Troponin (heart) test |
$67 |
$74 |
— |
$12 | |
| Upper GI endoscopy (EGD) |
$1,417 |
$1,574 |
— |
$371 | |
| Uric acid (gout) test |
$25 |
$28 |
— |
$5 | |
| Urinalysis |
$23 |
$25 |
— |
$3 | |
| Urine microalbumin test |
$31 |
$35 |
— |
$5 | |
| Urine pregnancy test |
$46 |
$51 |
— |
$9 | |
| Vaccine administration |
$47 |
$53 |
— |
$19 | |
| Vaccine administration (each additional) |
$41 |
$45 |
— |
$16 | |
| Vitamin B12 test |
$86 |
$95 |
— |
$15 | |
| Vitamin D test |
$168 |
$187 |
— |
$30 | |
| Wart removal |
$291 |
$323 |
— |
$121 | |
| Well-child visit |
$248 |
$275 |
— |
— | |
| Wound debridement |
$559 |
$621 |
— |
$186 | |
| X-ray of the abdomen |
$131 |
$146 |
— |
$36 | |
| X-ray of the ankle |
$133 |
$148 |
— |
$37 | |
| X-ray of the collarbone |
$113 |
$126 |
— |
$33 | |
| X-ray of the elbow |
$125 |
$139 |
— |
$33 | |
| X-ray of the facial bones |
$151 |
$168 |
— |
$39 | |
| X-ray of the foot |
$123 |
$137 |
— |
$34 | |
| X-ray of the forearm |
$103 |
$114 |
— |
$29 | |
| X-ray of the hand |
$127 |
$141 |
— |
$38 | |
| X-ray of the hip |
$146 |
$162 |
— |
$49 | |
| X-ray of the hip (1 view) |
$121 |
$134 |
— |
$34 | |
| X-ray of the hip (3 views) |
$171 |
$190 |
— |
$49 | |
| X-ray of the knee |
$137 |
$152 |
— |
$42 | |
| X-ray of the knee (2 views) |
$122 |
$136 |
— |
$34 | |
| X-ray of the knee (3 views) |
$137 |
$152 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$161 |
$179 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$163 |
$182 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$142 |
$158 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$185 |
$205 |
— |
$53 | |
| X-ray of the lower leg |
$116 |
$129 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$115 |
$128 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$115 |
$128 |
— |
$33 | |
| X-ray of the neck (cervical spine) |
$154 |
$171 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$135 |
$150 |
— |
$40 | |
| X-ray of the pelvis |
$122 |
$135 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$122 |
$135 |
— |
$28 | |
| X-ray of the ribs |
$137 |
$152 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$134 |
$149 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$140 |
$155 |
— |
$42 | |
| X-ray of the shoulder |
$117 |
$130 |
— |
$36 | |
| X-ray of the skull |
$136 |
$151 |
— |
$40 | |
| X-ray of the upper arm |
$118 |
$131 |
— |
$32 | |
| X-ray of the wrist |
$149 |
$166 |
— |
$43 | |