| 3D mammogram (tomosynthesis) |
$143 |
$238 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,360 |
$2,266 |
— |
$284 | |
| Abdominal ultrasound |
$293 |
$489 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$537 |
$895 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$293 |
$489 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$387 |
$645 |
— |
$220 | |
| Abscess drainage (simple) |
$258 |
$430 |
— |
$129 | |
| Abscess incision and drainage |
$277 |
$461 |
— |
$174 | |
| Albumin blood test |
$42 |
$70 |
— |
$5 | |
| Aldosterone test |
$215 |
$359 |
— |
$41 | |
| Alkaline phosphatase test |
$128 |
$214 |
— |
$5 | |
| Allergy shots |
$39 |
$65 |
— |
$11 | |
| Alpha-fetoprotein (AFP) test |
$114 |
$190 |
— |
$17 | |
| ALT liver enzyme test |
$45 |
$75 |
— |
$5 | |
| Ammonia blood test |
$119 |
$198 |
— |
$15 | |
| Amylase test |
$150 |
$250 |
— |
$6 | |
| Annual physical (established patient) |
$159 |
$265 |
— |
— | |
| Annual physical (new patient) |
$179 |
$298 |
— |
— | |
| Anoscopy |
$148 |
$246 |
— |
$129 | |
| Antinuclear antibody (ANA) test |
$75 |
$125 |
— |
$12 | |
| Arterial blood gas (ABG) |
$176 |
$293 |
— |
$26 | |
| AST liver enzyme test |
$44 |
$74 |
— |
$5 | |
| Barium swallow study |
$456 |
$761 |
— |
$107 | |
| Bartholin cyst removal |
$291 |
$485 |
— |
$182 | |
| Basic metabolic panel |
$45 |
$75 |
— |
$8 | |
| Benign skin lesion removal |
$344 |
$573 |
— |
$171 | |
| Bilirubin blood test |
$42 |
$70 |
— |
$5 | |
| Bladder function test (urodynamics) |
$639 |
$1,065 |
— |
$345 | |
| Bladder scope (cystoscopy) |
$171 |
$285 |
— |
$216 | |
| Blood clotting test (PT/INR) |
$34 |
$56 |
— |
$4 | |
| Blood crossmatch |
$116 |
$194 |
— |
— | |
| Blood glucose test |
$34 |
$56 |
— |
$5 | |
| Blood transfusion |
$1,335 |
$2,225 |
— |
$47 | |
| Blood type and screen |
$86 |
$144 |
— |
$10 | |
| Blood type test |
$32 |
$53 |
— |
$3 | |
| Blood type test (ABO group) |
$32 |
$53 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$30 |
$50 |
— |
$3 | |
| BNP (heart failure) test |
$324 |
$541 |
— |
$39 | |
| Bone marrow biopsy |
$345 |
$575 |
— |
$172 | |
| Botox for migraine |
$742 |
$1,236 |
— |
$157 | |
| Breast ultrasound |
$341 |
$569 |
— |
$92 | |
| Breast ultrasound (complete) |
$370 |
$616 |
— |
$100 | |
| Breast ultrasound (limited) |
$225 |
$376 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$619 |
$1,031 |
— |
$133 | |
| Bronchoscopy |
$2,107 |
$3,512 |
— |
$303 | |
| Burn dressing and debridement (medium) |
$864 |
$1,440 |
— |
$166 | |
| Burn dressing and debridement (small) |
$816 |
$1,360 |
— |
$93 | |
| Burn treatment |
$816 |
$1,360 |
— |
$129 | |
| C-reactive protein (CRP) |
$67 |
$112 |
— |
$5 | |
| CA 19-9 tumor marker test |
$177 |
$295 |
— |
$21 | |
| CA-125 ovarian marker test |
$139 |
$232 |
— |
$21 | |
| Calcium blood test |
$44 |
$74 |
— |
$5 | |
| Capsule endoscopy |
$3,204 |
$5,340 |
— |
$802 | |
| Cardiac MRI |
$1,958 |
$3,264 |
— |
$322 | |
| Cardiac MRI without contrast |
$1,445 |
$2,408 |
— |
$280 | |
| Cardiac stress test |
$1,436 |
$2,394 |
— |
$39 | |
| Carotid artery ultrasound |
$1,022 |
$1,704 |
— |
$156 | |
| CEA tumor marker test |
$158 |
$264 |
— |
$19 | |
| Celiac disease test |
$23 |
$39 |
— |
$12 | |
| Cervical LEEP procedure |
$970 |
$1,617 |
— |
$325 | |
| Chemotherapy infusion |
$707 |
$1,179 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$425 |
$708 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$989 |
$1,649 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,849 |
$3,082 |
— |
$311 | |
| Chest X-ray |
$66 |
$110 |
— |
$37 | |
| Chest X-ray (1 view) |
$26 |
$44 |
— |
$25 | |
| Chest X-ray (2 views) |
$47 |
$79 |
— |
$33 | |
| Chickenpox (varicella) vaccine |
$293 |
$488 |
— |
— | |
| CK-MB heart enzyme test |
$115 |
$191 |
— |
$12 | |
| Clotting time test (PTT) |
$37 |
$61 |
— |
$6 | |
| Colonoscopy |
$4,174 |
$6,957 |
— |
$480 | |
| Colposcopy |
$419 |
$698 |
— |
$161 | |
| Complete blood count (CBC) |
$64 |
$107 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$70 |
$117 |
— |
$8 | |
| Comprehensive metabolic panel |
$59 |
$98 |
— |
$11 | |
| Contraceptive implant (Nexplanon) |
$432 |
$720 |
— |
$115 | |
| Copper blood test |
$105 |
$175 |
— |
$12 | |
| Coronary CT angiography |
$1,672 |
$2,787 |
— |
$326 | |
| Cortisol test |
$136 |
$227 |
— |
$16 | |
| COVID-19 PCR test |
$71 |
$119 |
— |
$51 | |
| CPAP titration study |
$551 |
$918 |
— |
$69 | |
| Creatine kinase (CK) test |
$42 |
$70 |
— |
$7 | |
| CT angiography of the chest |
$1,963 |
$3,272 |
— |
$281 | |
| CT angiography of the head |
$2,306 |
$3,844 |
— |
$274 | |
| CT scan of the abdomen |
$1,550 |
$2,584 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$4,180 |
$6,967 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$4,937 |
$8,228 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$4,180 |
$6,967 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,705 |
$4,508 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,843 |
$3,072 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$1,550 |
$2,584 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$986 |
$1,644 |
— |
$136 | |
| CT scan of the arm |
$1,900 |
$3,167 |
— |
$199 | |
| CT scan of the arm with contrast |
$1,900 |
$3,167 |
— |
$199 | |
| CT scan of the arm without contrast |
$1,553 |
$2,589 |
— |
$161 | |
| CT scan of the chest |
$2,002 |
$3,336 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$2,495 |
$4,158 |
— |
$196 | |
| CT scan of the chest with contrast |
$2,002 |
$3,336 |
— |
$167 | |
| CT scan of the chest without contrast |
$1,165 |
$1,941 |
— |
$133 | |
| CT scan of the head |
$1,717 |
$2,862 |
— |
$148 | |
| CT scan of the head with and without contrast |
$2,181 |
$3,635 |
— |
$173 | |
| CT scan of the head with contrast |
$1,717 |
$2,862 |
— |
$148 | |
| CT scan of the head without contrast |
$1,165 |
$1,941 |
— |
$107 | |
| CT scan of the leg |
$1,717 |
$2,862 |
— |
$166 | |
| CT scan of the leg with contrast |
$1,717 |
$2,862 |
— |
$166 | |
| CT scan of the leg without contrast |
$1,553 |
$2,589 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,180 |
$3,633 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,662 |
$4,436 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,180 |
$3,633 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,729 |
$2,881 |
— |
$130 | |
| CT scan of the neck |
$2,000 |
$3,333 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$2,153 |
$3,589 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,259 |
$3,765 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$2,153 |
$3,589 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,478 |
$2,463 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$3,012 |
$5,020 |
— |
$220 | |
| CT scan of the neck with contrast |
$2,000 |
$3,333 |
— |
$183 | |
| CT scan of the neck without contrast |
$986 |
$1,644 |
— |
$150 | |
| CT scan of the pelvis |
$1,788 |
$2,980 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,973 |
$3,288 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$1,788 |
$2,980 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$1,165 |
$1,941 |
— |
$133 | |
| CT scan of the sinuses |
$1,912 |
$3,187 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,125 |
$3,542 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$1,912 |
$3,187 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$1,220 |
$2,034 |
— |
$128 | |
| D-dimer test |
$97 |
$162 |
— |
$10 | |
| Developmental screening (child) |
$43 |
$71 |
— |
— | |
| DHEA-sulfate test |
$152 |
$254 |
— |
$22 | |
| Diagnostic mammogram |
$390 |
$650 |
— |
$140 | |
| Drug screen (urine) |
$216 |
$360 |
— |
$17 | |
| Ear pressure test (tympanometry) |
$52 |
$87 |
— |
$16 | |
| Echocardiogram |
$1,193 |
$1,988 |
— |
$138 | |
| Echocardiogram with and without contrast |
$497 |
$828 |
— |
$101 | |
| EEG (awake and asleep) |
$818 |
$1,363 |
— |
$482 | |
| EKG / ECG (tracing only) |
$55 |
$92 |
— |
$7 | |
| Electrocardiogram (EKG) |
$55 |
$92 |
— |
$8 | |
| Electroencephalogram (EEG) |
$949 |
$1,582 |
— |
$448 | |
| Electrolyte panel |
$105 |
$175 |
— |
$7 | |
| Endometrial biopsy |
$289 |
$481 |
— |
$98 | |
| Epidural steroid injection |
$1,445 |
$2,408 |
— |
$275 | |
| ERCP (bile duct endoscopy) |
$2,432 |
$4,053 |
— |
$311 | |
| Esophageal dilation |
$1,847 |
$3,078 |
— |
$522 | |
| Esophageal variceal banding |
$2,294 |
$3,824 |
— |
$126 | |
| Estradiol (estrogen) test |
$121 |
$202 |
— |
$28 | |
| Facet joint injection (spine) |
$803 |
$1,338 |
— |
$99 | |
| Fallopian tube X-ray (HSG) |
$994 |
$1,657 |
— |
$164 | |
| Fecal occult blood (stool) test |
$30 |
$50 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$30 |
$50 |
— |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$58 |
$97 |
— |
$16 | |
| Feeding tube (PEG) placement |
$3,977 |
$6,629 |
— |
$178 | |
| Ferritin (iron) test |
$84 |
$140 |
— |
$14 | |
| Fibrinogen test |
$87 |
$145 |
— |
$10 | |
| Flexible sigmoidoscopy |
$2,164 |
$3,607 |
— |
$323 | |
| Flu test |
$72 |
$120 |
— |
$17 | |
| Folate (folic acid) test |
$74 |
$124 |
— |
$15 | |
| Foreign body removal (skin) |
$368 |
$614 |
— |
$157 | |
| Free T4 thyroid test |
$79 |
$131 |
— |
$9 | |
| FSH hormone test |
$121 |
$202 |
— |
$19 | |
| Gallbladder scan (HIDA) |
$2,711 |
$4,519 |
— |
$334 | |
| GGT liver test |
$63 |
$105 |
— |
$7 | |
| Glucose tolerance test |
$79 |
$131 |
— |
$8 | |
| H. pylori test |
$347 |
$578 |
— |
$67 | |
| HDL cholesterol test |
$47 |
$79 |
— |
$8 | |
| Hematocrit test |
$20 |
$34 |
— |
$2 | |
| Hemoglobin A1c (diabetes test) |
$81 |
$135 |
— |
$10 | |
| Hemorrhoid removal |
$2,239 |
$3,732 |
— |
$338 | |
| Hepatitis A vaccine |
$104 |
$173 |
— |
— | |
| Hepatitis B test |
$30 |
$50 |
— |
$10 | |
| Hepatitis B vaccine |
$70 |
$116 |
— |
— | |
| Hepatitis C test |
$79 |
$132 |
— |
$14 | |
| HIV test |
$97 |
$162 |
— |
$19 | |
| HIV test (antibody) |
$160 |
$267 |
— |
$14 | |
| HIV test (antigen/antibody combo) |
$97 |
$162 |
— |
$24 | |
| Holter heart monitor |
$833 |
$1,388 |
— |
$26 | |
| Home sleep apnea test |
$793 |
$1,321 |
— |
$123 | |
| HPV vaccine |
$458 |
$764 |
— |
— | |
| Iron blood test |
$50 |
$83 |
— |
$6 | |
| IUD insertion |
$307 |
$512 |
— |
— | |
| IUD removal |
$179 |
$298 |
— |
$112 | |
| IV infusion therapy |
$115 |
$192 |
— |
$44 | |
| IV infusion therapy (each additional) |
$115 |
$192 |
— |
$21 | |
| Joint aspiration (small/intermediate) |
$466 |
$777 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$466 |
$776 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$466 |
$777 |
— |
$56 | |
| Kidney biopsy |
$1,906 |
$3,176 |
— |
$492 | |
| Kidney ultrasound |
$463 |
$772 |
— |
$84 | |
| Kidney ultrasound (limited) |
$456 |
$760 |
— |
$61 | |
| Knee joint injection |
$536 |
$893 |
— |
$69 | |
| Lactate test |
$93 |
$155 |
— |
$12 | |
| LDH test |
$87 |
$145 |
— |
$6 | |
| LDL cholesterol test |
$47 |
$79 |
— |
$11 | |
| Leg artery angiogram |
$2,584 |
$4,306 |
— |
$149 | |
| Leg vein ultrasound (Doppler) |
$1,420 |
$2,366 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,182 |
$1,970 |
— |
$116 | |
| LH hormone test |
$158 |
$264 |
— |
$19 | |
| Lipase test |
$40 |
$66 |
— |
$7 | |
| Lipid (cholesterol) panel |
$76 |
$127 |
— |
$13 | |
| Liver function panel |
$72 |
$120 |
— |
$8 | |
| Lung function test (PFT) |
$232 |
$387 |
— |
$37 | |
| Lung scan (V/Q) |
$1,558 |
$2,596 |
— |
$291 | |
| Magnesium blood test |
$56 |
$93 |
— |
$7 | |
| MMR vaccine |
$142 |
$237 |
— |
— | |
| MRA of the brain |
$1,918 |
$3,196 |
— |
$226 | |
| MRA of the neck |
$1,861 |
$3,102 |
— |
$245 | |
| MRA of the neck with contrast |
$1,861 |
$3,102 |
— |
$245 | |
| MRA of the neck without contrast |
$3,696 |
$6,160 |
— |
$343 | |
| MRI of the abdomen |
$1,564 |
$2,606 |
— |
$300 | |
| MRI of the abdomen with contrast |
$1,564 |
$2,606 |
— |
$300 | |
| MRI of the abdomen without contrast |
$1,214 |
$2,023 |
— |
$194 | |
| MRI of the ankle |
$2,039 |
$3,399 |
— |
$261 | |
| MRI of the ankle with contrast |
$2,039 |
$3,399 |
— |
$261 | |
| MRI of the ankle without contrast |
$1,735 |
$2,892 |
— |
$222 | |
| MRI of the brain |
$1,916 |
$3,194 |
— |
$269 | |
| MRI of the brain with contrast |
$1,564 |
$2,606 |
— |
$269 | |
| MRI of the brain without contrast |
$1,982 |
$3,303 |
— |
$195 | |
| MRI of the chest |
$1,818 |
$3,030 |
— |
$371 | |
| MRI of the chest with contrast |
$2,039 |
$3,399 |
— |
$371 | |
| MRI of the knee |
$2,142 |
$3,570 |
— |
$315 | |
| MRI of the knee with contrast |
$2,142 |
$3,570 |
— |
$315 | |
| MRI of the knee without contrast |
$1,765 |
$2,942 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,142 |
$3,570 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,142 |
$3,570 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,855 |
$3,091 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,743 |
$4,571 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,833 |
$4,721 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,743 |
$4,571 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,648 |
$4,414 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$2,142 |
$3,570 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,833 |
$4,721 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,142 |
$3,570 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,855 |
$3,091 |
— |
$191 | |
| MRI of the pelvis |
$1,504 |
$2,507 |
— |
$268 | |
| MRI of the pelvis with contrast |
$1,504 |
$2,507 |
— |
$268 | |
| MRI of the pelvis without contrast |
$1,156 |
$1,926 |
— |
$227 | |
| MRI of the shoulder |
$1,489 |
$2,482 |
— |
$313 | |
| MRI of the shoulder with contrast |
$1,489 |
$2,482 |
— |
$313 | |
| MRI of the shoulder without contrast |
$1,214 |
$2,023 |
— |
$205 | |
| MRI of the wrist |
$1,489 |
$2,482 |
— |
$330 | |
| MRI of the wrist with contrast |
$1,489 |
$2,482 |
— |
$330 | |
| MRI of the wrist without contrast |
$1,156 |
$1,926 |
— |
$303 | |
| Nebulizer breathing treatment |
$152 |
$254 |
— |
$9 | |
| Nerve conduction study |
$250 |
$417 |
— |
$118 | |
| Nuchal translucency ultrasound |
$338 |
$564 |
— |
$116 | |
| Occupational therapy evaluation |
$464 |
$773 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$464 |
$773 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$464 |
$773 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$464 |
$773 |
— |
$101 | |
| Office visit (established patient) |
$119 |
$198 |
— |
$115 | |
| Office visit (new patient) |
$208 |
$346 |
— |
$177 | |
| Office visit, established patient (level 3) |
$89 |
$149 |
— |
$95 | |
| Office visit, established patient (level 4) |
$119 |
$198 |
— |
$136 | |
| Office visit, new patient (level 3) |
$118 |
$197 |
— |
$118 | |
| Office visit, new patient (level 4) |
$160 |
$267 |
— |
$177 | |
| Office visit, new patient (level 5) |
$212 |
$354 |
— |
$237 | |
| Parathyroid hormone (PTH) test |
$278 |
$463 |
— |
$41 | |
| Pelvic ultrasound |
$262 |
$437 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$455 |
$758 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$260 |
$433 |
— |
$51 | |
| PET scan |
$6,027 |
$10,045 |
— |
— | |
| Phosphorus blood test |
$40 |
$66 |
— |
$5 | |
| Physical therapy evaluation |
$274 |
$456 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$274 |
$456 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$274 |
$456 |
— |
$98 | |
| Pneumonia vaccine |
$130 |
$216 |
— |
— | |
| Pregnancy blood test (hCG) |
$84 |
$140 |
— |
$8 | |
| Pregnancy ultrasound |
$394 |
$656 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$373 |
$621 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$415 |
$691 |
— |
$136 | |
| Procalcitonin test |
$127 |
$212 |
— |
$27 | |
| Prolactin test |
$112 |
$186 |
— |
$19 | |
| Prostate test (PSA) |
$125 |
$208 |
— |
$18 | |
| Psychiatric evaluation |
$239 |
$399 |
— |
$188 | |
| Psychotherapy session |
$184 |
$307 |
— |
$140 | |
| Radiofrequency nerve ablation |
$4,853 |
$8,089 |
— |
$462 | |
| RSV vaccine |
$408 |
$680 |
— |
— | |
| Scoliosis spine X-ray |
$158 |
$264 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$203 |
$339 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$113 |
$188 |
— |
$72 | |
| Screening mammogram |
$345 |
$575 |
— |
$126 | |
| Scrotal ultrasound |
$564 |
$940 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$44 |
$74 |
— |
$3 | |
| Semen analysis |
$58 |
$96 |
— |
$12 | |
| Sex hormone binding globulin test |
$167 |
$279 |
— |
$22 | |
| Shingles vaccine |
$289 |
$482 |
— |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
$303 |
$505 |
— |
$114 | |
| Simple wound stitches |
$303 |
$505 |
— |
$127 | |
| Skin biopsy |
$250 |
$417 |
— |
$121 | |
| Skin biopsy (punch) |
$275 |
$458 |
— |
$121 | |
| Skin cancer lesion removal |
$425 |
$709 |
— |
$240 | |
| Skin lesion freezing (cryotherapy) |
$60 |
$100 |
— |
$36 | |
| Skin tag removal |
$147 |
$245 |
— |
$92 | |
| Sleep study (polysomnography) |
$4,311 |
$7,185 |
— |
$691 | |
| Soft tissue ultrasound |
$127 |
$211 |
— |
$64 | |
| Speech therapy |
$398 |
$663 |
— |
$76 | |
| Spirometry (lung function test) |
$116 |
$193 |
— |
$30 | |
| Spirometry with bronchodilator |
$439 |
$732 |
— |
$43 | |
| Strep throat test |
$49 |
$82 |
— |
$17 | |
| Swallow study |
$322 |
$537 |
— |
$85 | |
| T3 thyroid test |
$120 |
$200 |
— |
$14 | |
| Tdap (tetanus) vaccine |
$57 |
$95 |
— |
— | |
| Testosterone test |
$172 |
$286 |
— |
$26 | |
| Thyroid test (TSH) |
$169 |
$282 |
— |
$17 | |
| Thyroid ultrasound |
$312 |
$520 |
— |
$109 | |
| Thyroid uptake scan |
$1,226 |
$2,044 |
— |
$145 | |
| Total IgE allergy test |
$188 |
$313 |
— |
$16 | |
| Total protein test |
$45 |
$75 |
— |
$4 | |
| Transesophageal echocardiogram (TEE) |
$2,922 |
$4,870 |
— |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$2,922 |
$4,870 |
— |
$239 | |
| Transvaginal ultrasound |
$339 |
$565 |
— |
$118 | |
| Trigger finger release |
$816 |
$1,360 |
— |
$630 | |
| Trigger point injection |
$465 |
$776 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$466 |
$776 |
— |
$52 | |
| Triglycerides test |
$17 |
$28 |
— |
$6 | |
| Troponin (heart) test |
$365 |
$608 |
— |
$12 | |
| Upper GI endoscopy (EGD) |
$2,594 |
$4,323 |
— |
$371 | |
| Upper GI series (barium) |
$905 |
$1,509 |
— |
$128 | |
| Uric acid (gout) test |
$51 |
$85 |
— |
$5 | |
| Urinalysis |
$20 |
$34 |
— |
$3 | |
| Urine microalbumin test |
$97 |
$162 |
— |
$5 | |
| Urine pregnancy test |
$37 |
$61 |
— |
$9 | |
| Vaccine administration |
$24 |
$40 |
— |
$19 | |
| Vaccine administration (each additional) |
$23 |
$38 |
— |
$16 | |
| Vasectomy |
$1,151 |
$1,919 |
— |
$347 | |
| Vitamin B12 test |
$74 |
$124 |
— |
$15 | |
| Vitamin D test |
$151 |
$251 |
— |
$30 | |
| Wart removal |
$166 |
$276 |
— |
$121 | |
| Well-child visit |
$131 |
$219 |
— |
— | |
| Wound debridement |
$953 |
$1,588 |
— |
$186 | |
| X-ray of the abdomen |
$61 |
$102 |
— |
$36 | |
| X-ray of the ankle |
$95 |
$159 |
— |
$37 | |
| X-ray of the collarbone |
$76 |
$127 |
— |
$33 | |
| X-ray of the elbow |
$91 |
$152 |
— |
$33 | |
| X-ray of the facial bones |
$182 |
$304 |
— |
$39 | |
| X-ray of the foot |
$102 |
$170 |
— |
$34 | |
| X-ray of the forearm |
$85 |
$141 |
— |
$29 | |
| X-ray of the hand |
$87 |
$145 |
— |
$38 | |
| X-ray of the hip |
$149 |
$248 |
— |
$49 | |
| X-ray of the hip (3 views) |
$149 |
$248 |
— |
$49 | |
| X-ray of the knee |
$97 |
$162 |
— |
$42 | |
| X-ray of the knee (2 views) |
$75 |
$125 |
— |
$34 | |
| X-ray of the knee (3 views) |
$83 |
$138 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$97 |
$162 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$131 |
$218 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$95 |
$159 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$131 |
$218 |
— |
$53 | |
| X-ray of the lower leg |
$85 |
$142 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$86 |
$144 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$86 |
$144 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$58 |
$96 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$122 |
$204 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$85 |
$141 |
— |
$40 | |
| X-ray of the pelvis |
$206 |
$344 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$70 |
$117 |
— |
$28 | |
| X-ray of the ribs |
$103 |
$172 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$92 |
$153 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$55 |
$92 |
— |
$42 | |
| X-ray of the shoulder |
$98 |
$163 |
— |
$36 | |
| X-ray of the skull |
$90 |
$150 |
— |
$40 | |
| X-ray of the upper arm |
$91 |
$152 |
— |
$32 | |
| X-ray of the wrist |
$87 |
$145 |
— |
$43 | |
| Zinc blood test |
$142 |
$237 |
— |
$11 | |