| 3D mammogram (tomosynthesis) |
$96 |
$128 |
$96 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,054 |
$1,405 |
$1,122 |
$284 | |
| Abdominal ultrasound |
$1,522 |
$2,029 |
$1,474 |
$100 | |
| Abdominal ultrasound (complete) |
$1,880 |
$2,506 |
$2,002 |
$114 | |
| Abdominal ultrasound (limited) |
$1,164 |
$1,552 |
$1,240 |
$86 | |
| Abscess drainage (complex or multiple) |
$227 |
$302 |
$242 |
$220 | |
| Abscess drainage (simple) |
$93 |
$124 |
$99 |
$129 | |
| Abscess incision and drainage |
$160 |
$213 |
$118 |
$174 | |
| Albumin blood test |
$49 |
$65 |
$52 |
$5 | |
| Aldosterone test |
$359 |
$479 |
$303 |
$41 | |
| Alkaline phosphatase test |
$49 |
$65 |
$48 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$89 |
$118 |
$95 |
$17 | |
| ALT liver enzyme test |
$48 |
$64 |
$50 |
$5 | |
| Ammonia blood test |
$62 |
$82 |
$52 |
$15 | |
| Amylase test |
$106 |
$141 |
$113 |
$6 | |
| Annual physical (established patient) |
$81 |
$107 |
$83 |
— | |
| Annual physical (new patient) |
$160 |
$213 |
$139 |
— | |
| Antinuclear antibody (ANA) test |
$33 |
$44 |
$35 |
$12 | |
| AST liver enzyme test |
$68 |
$90 |
$72 |
$5 | |
| Barium swallow study |
$947 |
$1,262 |
$734 |
$107 | |
| Bartholin cyst removal |
$289 |
$385 |
$308 |
$182 | |
| Basic metabolic panel |
$91 |
$121 |
$97 |
$8 | |
| Benign skin lesion removal |
$142 |
$190 |
$137 |
$171 | |
| Bilirubin blood test |
$41 |
$55 |
$44 |
$5 | |
| Bladder function test (urodynamics) |
$368 |
$491 |
$392 |
$345 | |
| Bladder scope (cystoscopy) |
$655 |
$873 |
$371 |
$216 | |
| Blood clotting test (PT/INR) |
$55 |
$73 |
$71 |
$4 | |
| Blood crossmatch |
$122 |
$162 |
$130 |
— | |
| Blood glucose test |
$47 |
$62 |
$45 |
$5 | |
| Blood transfusion |
$1,213 |
$1,617 |
$1,159 |
$47 | |
| Blood type and screen |
$128 |
$171 |
$137 |
$10 | |
| Blood type test |
$71 |
$94 |
$75 |
$3 | |
| Blood type test (ABO group) |
$71 |
$94 |
$75 |
$3 | |
| Blood type test (Rh/D antigen) |
$70 |
$93 |
$75 |
$3 | |
| BNP (heart failure) test |
$303 |
$404 |
$323 |
$39 | |
| Bone density scan (DEXA) |
$425 |
$567 |
$453 |
$39 | |
| Bone scan (nuclear) |
$1,500 |
$2,000 |
$1,598 |
$259 | |
| Breast biopsy |
$1,316 |
$1,754 |
$1,307 |
$478 | |
| Breast reduction |
$3,307 |
$4,409 |
$3,522 |
$980 | |
| Breast ultrasound |
$796 |
$1,061 |
$857 |
$92 | |
| Breast ultrasound (complete) |
$755 |
$1,006 |
$804 |
$100 | |
| Breast ultrasound (limited) |
$796 |
$1,061 |
$918 |
$84 | |
| Breathing tube insertion (intubation) |
$165 |
$220 |
$176 |
$133 | |
| C-reactive protein (CRP) |
$49 |
$65 |
$52 |
$5 | |
| CA 19-9 tumor marker test |
$247 |
$329 |
$263 |
$21 | |
| CA-125 ovarian marker test |
$466 |
$621 |
$269 |
$21 | |
| Calcium blood test |
$24 |
$32 |
$25 |
$5 | |
| Cardiac MRI |
$1,913 |
$2,550 |
$2,037 |
$322 | |
| Cardiac MRI without contrast |
$1,913 |
$2,550 |
$2,037 |
$280 | |
| Cardiac rehabilitation |
$237 |
$316 |
$252 |
$26 | |
| Cardiac stress test |
$1,288 |
$1,717 |
$1,372 |
$39 | |
| Cardioversion |
$1,161 |
$1,548 |
$1,237 |
$155 | |
| Carotid artery ultrasound |
$661 |
$881 |
$704 |
$156 | |
| Cataract surgery |
$1,086 |
$1,448 |
$1,157 |
$547 | |
| CEA tumor marker test |
$34 |
$45 |
$36 |
$19 | |
| Celiac disease test |
$29 |
$39 |
$34 |
$12 | |
| Central line placement |
$599 |
$798 |
$637 |
$238 | |
| Chemotherapy infusion |
$690 |
$919 |
$474 |
$81 | |
| Chemotherapy infusion (each additional) |
$284 |
$378 |
$302 |
$28 | |
| Chemotherapy infusion (first hour) |
$1,095 |
$1,460 |
$1,166 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,033 |
$1,377 |
$1,100 |
$311 | |
| Chest X-ray |
$355 |
$473 |
$332 |
$37 | |
| Chest X-ray (1 view) |
$172 |
$229 |
$183 |
$25 | |
| Chest X-ray (2 views) |
$355 |
$473 |
$378 |
$33 | |
| Clotting time test (PTT) |
$66 |
$88 |
$71 |
$6 | |
| Colonoscopy |
$1,924 |
$2,565 |
$2,069 |
$480 | |
| Colposcopy |
$156 |
$208 |
$159 |
$161 | |
| Complete blood count (CBC) |
$83 |
$111 |
$83 |
$7 | |
| Complete blood count (CBC) (complete) |
$87 |
$116 |
$93 |
$8 | |
| Comprehensive metabolic panel |
$76 |
$101 |
$81 |
$11 | |
| Contraceptive implant (Nexplanon) |
$109 |
$145 |
$116 |
$115 | |
| Copper blood test |
$109 |
$145 |
$109 |
$12 | |
| Cortisol test |
$42 |
$56 |
$51 |
$16 | |
| COVID-19 PCR test |
$140 |
$186 |
$139 |
$51 | |
| CPAP titration study |
$293 |
$390 |
$312 |
$69 | |
| Creatine kinase (CK) test |
$70 |
$93 |
$63 |
$7 | |
| CT angiography of the chest |
$2,283 |
$3,044 |
$2,432 |
$281 | |
| CT angiography of the head |
$1,433 |
$1,911 |
$1,526 |
$274 | |
| CT scan of the abdomen |
$2,336 |
$3,115 |
$1,977 |
$230 | |
| CT scan of the abdomen and pelvis |
$3,947 |
$5,262 |
$4,013 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,979 |
$5,305 |
$4,237 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$3,947 |
$5,262 |
$4,203 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$3,590 |
$4,787 |
$3,824 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,360 |
$3,147 |
$2,514 |
$259 | |
| CT scan of the abdomen with contrast |
$2,336 |
$3,115 |
$2,488 |
$230 | |
| CT scan of the abdomen without contrast |
$1,483 |
$1,977 |
$1,579 |
$136 | |
| CT scan of the arm |
$1,406 |
$1,874 |
$1,439 |
$199 | |
| CT scan of the arm with contrast |
$1,406 |
$1,874 |
$1,497 |
$199 | |
| CT scan of the arm without contrast |
$2,130 |
$2,840 |
$2,269 |
$161 | |
| CT scan of the chest |
$1,511 |
$2,014 |
$1,657 |
$167 | |
| CT scan of the chest with and without contrast |
$1,511 |
$2,014 |
$1,609 |
$196 | |
| CT scan of the chest with contrast |
$1,837 |
$2,449 |
$1,956 |
$167 | |
| CT scan of the chest without contrast |
$1,488 |
$1,984 |
$1,585 |
$133 | |
| CT scan of the head |
$1,553 |
$2,070 |
$1,594 |
$148 | |
| CT scan of the head with and without contrast |
$1,838 |
$2,450 |
$1,957 |
$173 | |
| CT scan of the head with contrast |
$1,208 |
$1,611 |
$1,287 |
$148 | |
| CT scan of the head without contrast |
$1,553 |
$2,070 |
$1,654 |
$107 | |
| CT scan of the leg |
$1,196 |
$1,594 |
$1,323 |
$166 | |
| CT scan of the leg with contrast |
$1,196 |
$1,594 |
$1,273 |
$166 | |
| CT scan of the leg without contrast |
$1,826 |
$2,434 |
$1,944 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,377 |
$3,169 |
$2,307 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,377 |
$3,169 |
$2,531 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,671 |
$3,561 |
$2,844 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,821 |
$2,428 |
$1,940 |
$130 | |
| CT scan of the neck |
$1,451 |
$1,934 |
$1,501 |
$183 | |
| CT scan of the neck (cervical spine) |
$2,377 |
$3,169 |
$2,249 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,377 |
$3,169 |
$2,531 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,730 |
$2,307 |
$1,843 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$2,774 |
$3,698 |
$2,954 |
$131 | |
| CT scan of the neck with and without contrast |
$1,451 |
$1,934 |
$1,545 |
$220 | |
| CT scan of the neck with contrast |
$1,358 |
$1,811 |
$1,446 |
$183 | |
| CT scan of the neck without contrast |
$1,466 |
$1,955 |
$1,562 |
$150 | |
| CT scan of the pelvis |
$2,035 |
$2,713 |
$1,990 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,035 |
$2,713 |
$2,134 |
$251 | |
| CT scan of the pelvis with contrast |
$2,447 |
$3,263 |
$2,607 |
$226 | |
| CT scan of the pelvis without contrast |
$1,559 |
$2,078 |
$1,660 |
$133 | |
| CT scan of the sinuses |
$1,902 |
$2,536 |
$1,401 |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,809 |
$3,745 |
$2,992 |
$184 | |
| CT scan of the sinuses with contrast |
$3,211 |
$4,281 |
$3,419 |
$152 | |
| CT scan of the sinuses without contrast |
$995 |
$1,326 |
$1,059 |
$128 | |
| D-dimer test |
$100 |
$133 |
$106 |
$10 | |
| Developmental screening (child) |
$248 |
$330 |
$195 |
— | |
| DHEA-sulfate test |
$227 |
$303 |
$242 |
$22 | |
| Diagnostic mammogram |
$440 |
$587 |
$487 |
$140 | |
| Drug screen (urine) |
$189 |
$252 |
$166 |
$17 | |
| Ear pressure test (tympanometry) |
$39 |
$52 |
$42 |
$16 | |
| Echocardiogram |
$1,190 |
$1,587 |
$796 |
$138 | |
| Echocardiogram with and without contrast |
$440 |
$586 |
$468 |
$101 | |
| EKG / ECG (tracing only) |
$196 |
$261 |
$209 |
$7 | |
| Electrocardiogram (EKG) |
$196 |
$261 |
$209 |
$8 | |
| Electrolyte panel |
$86 |
$115 |
$92 |
$7 | |
| Emergency department visit |
$573 |
$764 |
$447 |
$69 | |
| Emergency department visit (level 1) |
$247 |
$329 |
$263 |
$11 | |
| Emergency department visit (level 2) |
$335 |
$447 |
$357 |
$40 | |
| Emergency department visit (level 3) |
$573 |
$764 |
$610 |
$69 | |
| Emergency department visit (level 4) |
$830 |
$1,106 |
$884 |
$118 | |
| Emergency department visit (level 5) |
$985 |
$1,313 |
$1,049 |
$171 | |
| Endometrial biopsy |
$134 |
$179 |
$143 |
$98 | |
| Epidural steroid injection |
$593 |
$791 |
$438 |
$275 | |
| Estradiol (estrogen) test |
$111 |
$148 |
$118 |
$28 | |
| Facet joint injection (spine) |
$224 |
$298 |
$238 |
$99 | |
| Fallopian tube X-ray (HSG) |
$323 |
$430 |
$213 |
$164 | |
| Ferritin (iron) test |
$23 |
$31 |
$30 |
$14 | |
| Fibrinogen test |
$57 |
$76 |
$59 |
$10 | |
| Folate (folic acid) test |
$29 |
$39 |
$32 |
$15 | |
| Foreign body removal (skin) |
$254 |
$339 |
$271 |
$157 | |
| Free T4 thyroid test |
$114 |
$152 |
$104 |
$9 | |
| FSH hormone test |
$29 |
$39 |
$31 |
$19 | |
| Gallbladder removal (laparoscopic) |
$4,485 |
$5,980 |
$3,485 |
$658 | |
| Gallbladder scan (HIDA) |
$2,760 |
$3,680 |
$2,824 |
$334 | |
| GGT liver test |
$35 |
$47 |
$36 |
$7 | |
| Glucose tolerance test |
$107 |
$143 |
$79 |
$8 | |
| Group therapy session |
$185 |
$246 |
$137 |
$30 | |
| HDL cholesterol test |
$46 |
$62 |
$34 |
$8 | |
| Hearing test (audiometry) |
$108 |
$144 |
$115 |
$36 | |
| Hematocrit test |
$33 |
$44 |
$35 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$102 |
$136 |
$104 |
$10 | |
| Hepatitis B test |
$93 |
$124 |
$83 |
$10 | |
| Hepatitis C test |
$41 |
$55 |
$41 |
$14 | |
| HIV test |
$36 |
$47 |
$30 |
$19 | |
| HIV test (antigen/antibody combo) |
$36 |
$47 |
$30 |
$24 | |
| Holter heart monitor |
$468 |
$624 |
$498 |
$26 | |
| Inguinal hernia repair |
$5,031 |
$6,708 |
$3,232 |
$538 | |
| Iron blood test |
$14 |
$18 |
$17 |
$6 | |
| IUD insertion |
$160 |
$213 |
$118 |
— | |
| IUD removal |
$215 |
$286 |
$229 |
$112 | |
| IV infusion therapy |
$672 |
$896 |
$340 |
$44 | |
| IV infusion therapy (each additional) |
$185 |
$247 |
$197 |
$21 | |
| IV infusion therapy (initial) |
$672 |
$896 |
$716 |
$67 | |
| Joint aspiration (small/intermediate) |
$312 |
$416 |
$196 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$312 |
$416 |
$196 |
$57 | |
| Joint aspiration or injection (small joint) |
$305 |
$407 |
$187 |
$56 | |
| Kidney biopsy |
$2,960 |
$3,947 |
$3,153 |
$492 | |
| Kidney scan (nuclear) |
$1,115 |
$1,486 |
$1,187 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$2,903 |
$3,870 |
$3,091 |
$760 | |
| Kidney ultrasound |
$958 |
$1,277 |
$674 |
$84 | |
| Kidney ultrasound (limited) |
$428 |
$570 |
$456 |
$61 | |
| Knee arthroscopy |
$2,777 |
$3,703 |
$2,549 |
$524 | |
| Knee joint injection |
$314 |
$419 |
$199 |
$69 | |
| Lactate test |
$179 |
$238 |
$142 |
$12 | |
| Laryngoscopy |
$142 |
$190 |
$105 |
$189 | |
| LDH test |
$78 |
$104 |
$83 |
$6 | |
| LDL cholesterol test |
$97 |
$129 |
$103 |
$11 | |
| Leg vein ultrasound (Doppler) |
$567 |
$756 |
$626 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$567 |
$756 |
$604 |
$116 | |
| LH hormone test |
$29 |
$39 |
$31 |
$19 | |
| Lipase test |
$77 |
$102 |
$47 |
$7 | |
| Lipid (cholesterol) panel |
$89 |
$119 |
$55 |
$13 | |
| Liver biopsy |
$2,960 |
$3,947 |
$3,153 |
$288 | |
| Liver function panel |
$178 |
$237 |
$189 |
$8 | |
| Lung function test (PFT) |
$593 |
$791 |
$631 |
$37 | |
| Lung scan (V/Q) |
$2,032 |
$2,709 |
$2,164 |
$291 | |
| Magnesium blood test |
$72 |
$95 |
$49 |
$7 | |
| Mastectomy |
$2,543 |
$3,390 |
$2,708 |
$1,021 | |
| MRA of the brain |
$1,517 |
$2,022 |
$1,549 |
$226 | |
| MRA of the brain with contrast |
$1,392 |
$1,856 |
$1,483 |
$226 | |
| MRA of the brain without contrast |
$1,615 |
$2,153 |
$1,720 |
$328 | |
| MRA of the neck |
$1,616 |
$2,155 |
$1,740 |
$245 | |
| MRA of the neck with contrast |
$1,616 |
$2,155 |
$1,721 |
$245 | |
| MRA of the neck without contrast |
$1,874 |
$2,498 |
$1,995 |
$343 | |
| MRI of the abdomen |
$2,247 |
$2,996 |
$2,310 |
$300 | |
| MRI of the abdomen with contrast |
$1,906 |
$2,541 |
$2,030 |
$300 | |
| MRI of the abdomen without contrast |
$2,247 |
$2,996 |
$2,393 |
$194 | |
| MRI of the ankle |
$1,517 |
$2,022 |
$1,569 |
$261 | |
| MRI of the ankle with contrast |
$1,300 |
$1,733 |
$1,384 |
$261 | |
| MRI of the ankle without contrast |
$1,517 |
$2,022 |
$1,615 |
$222 | |
| MRI of the brain |
$815 |
$1,087 |
$772 |
$269 | |
| MRI of the brain with contrast |
$2,257 |
$3,009 |
$2,404 |
$269 | |
| MRI of the brain without contrast |
$644 |
$858 |
$711 |
$195 | |
| MRI of the chest |
$2,171 |
$2,895 |
$2,236 |
$371 | |
| MRI of the chest with contrast |
$2,171 |
$2,895 |
$2,312 |
$371 | |
| MRI of the chest without contrast |
$2,394 |
$3,192 |
$2,550 |
$466 | |
| MRI of the knee |
$1,766 |
$2,354 |
$1,881 |
$315 | |
| MRI of the knee with contrast |
$1,624 |
$2,165 |
$1,729 |
$315 | |
| MRI of the knee without contrast |
$1,766 |
$2,354 |
$1,881 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,201 |
$2,935 |
$1,743 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,034 |
$2,712 |
$2,166 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,718 |
$2,290 |
$1,351 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,142 |
$2,856 |
$1,403 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,744 |
$3,659 |
$2,922 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,281 |
$3,041 |
$2,429 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,411 |
$1,881 |
$1,055 |
$190 | |
| MRI of the neck (cervical spine) |
$2,694 |
$3,591 |
$2,207 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$3,201 |
$4,268 |
$3,409 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,617 |
$3,489 |
$2,787 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,641 |
$2,188 |
$1,056 |
$191 | |
| MRI of the pelvis |
$2,056 |
$2,741 |
$1,932 |
$268 | |
| MRI of the pelvis with contrast |
$2,056 |
$2,741 |
$2,031 |
$268 | |
| MRI of the pelvis without contrast |
$1,517 |
$2,022 |
$1,615 |
$227 | |
| MRI of the shoulder |
$2,432 |
$3,243 |
$2,277 |
$313 | |
| MRI of the shoulder with contrast |
$2,432 |
$3,243 |
$2,590 |
$313 | |
| MRI of the shoulder without contrast |
$2,432 |
$3,243 |
$1,375 |
$205 | |
| MRI of the wrist |
$1,766 |
$2,354 |
$1,912 |
$330 | |
| MRI of the wrist with contrast |
$1,730 |
$2,307 |
$1,843 |
$330 | |
| MRI of the wrist without contrast |
$1,766 |
$2,354 |
$1,881 |
$303 | |
| Nebulizer breathing treatment |
$67 |
$89 |
$72 |
$9 | |
| Nuclear cardiac stress test |
$3,262 |
$4,349 |
$3,474 |
$428 | |
| Occupational therapy evaluation |
$257 |
$342 |
$278 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$293 |
$390 |
$312 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$251 |
$335 |
$268 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$257 |
$342 |
$273 |
$101 | |
| Office visit (new patient) |
$201 |
$268 |
$158 |
$177 | |
| Office visit, new patient (level 3) |
$141 |
$188 |
$104 |
$118 | |
| Office visit, new patient (level 4) |
$203 |
$271 |
$150 |
$177 | |
| Office visit, new patient (level 5) |
$208 |
$277 |
$185 |
$237 | |
| Orthopedic hardware removal |
$723 |
$964 |
$770 |
$632 | |
| Pap smear (cervical screening) |
$80 |
$106 |
$71 |
$20 | |
| Parathyroid hormone (PTH) test |
$67 |
$89 |
$72 |
$41 | |
| Pelvic ultrasound |
$1,083 |
$1,444 |
$827 |
$78 | |
| Pelvic ultrasound (complete) |
$1,513 |
$2,017 |
$1,611 |
$105 | |
| Pelvic ultrasound (limited) |
$653 |
$870 |
$695 |
$51 | |
| Phosphorus blood test |
$55 |
$73 |
$45 |
$5 | |
| Physical therapy evaluation |
$257 |
$342 |
$284 |
$98 | |
| Physical therapy evaluation (high complexity) |
$339 |
$452 |
$361 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$257 |
$342 |
$273 |
$98 | |
| Platelet count |
$52 |
$69 |
$55 |
$4 | |
| Pregnancy blood test (hCG) |
$95 |
$126 |
$101 |
$8 | |
| Pregnancy ultrasound |
$1,355 |
$1,806 |
$1,443 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$1,355 |
$1,806 |
$1,443 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$1,355 |
$1,806 |
$1,443 |
$136 | |
| Procalcitonin test |
$136 |
$181 |
$177 |
$27 | |
| Prolactin test |
$44 |
$58 |
$39 |
$19 | |
| Prostate biopsy |
$918 |
$1,224 |
$1,071 |
— | |
| Prostate test (PSA) |
$42 |
$56 |
$40 |
$18 | |
| Radiofrequency nerve ablation |
$555 |
$740 |
$591 |
$462 | |
| Sacroiliac joint injection |
$233 |
$311 |
$248 |
$176 | |
| Scoliosis spine X-ray |
$1,172 |
$1,562 |
$732 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$314 |
$418 |
$334 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$2,030 |
$2,706 |
$2,162 |
$72 | |
| Screening mammogram |
$283 |
$377 |
$326 |
$126 | |
| Scrotal ultrasound |
$1,541 |
$2,054 |
$1,641 |
$99 | |
| Sedimentation rate (ESR) test |
$44 |
$58 |
$42 |
$3 | |
| Semen analysis |
$107 |
$142 |
$113 |
$12 | |
| Sex hormone binding globulin test |
$38 |
$51 |
$50 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$143 |
$190 |
$152 |
$114 | |
| Simple wound stitches |
$143 |
$190 |
$152 |
$127 | |
| Skin biopsy |
$51 |
$68 |
$54 |
$121 | |
| Skin biopsy (punch) |
$51 |
$68 |
$54 |
$121 | |
| Skin cancer lesion removal |
$183 |
$243 |
$185 |
$240 | |
| Skin tag removal |
$87 |
$116 |
$93 |
$92 | |
| Soft tissue ultrasound |
$1,541 |
$2,054 |
$1,641 |
$64 | |
| Speech therapy |
$242 |
$323 |
$211 |
$76 | |
| Spinal tap (lumbar puncture) |
$1,272 |
$1,696 |
$1,340 |
$165 | |
| Spirometry (lung function test) |
$596 |
$794 |
$634 |
$30 | |
| Spirometry with bronchodilator |
$590 |
$787 |
$629 |
$43 | |
| Strep throat test |
$164 |
$219 |
$175 |
$17 | |
| Swallow study |
$308 |
$410 |
$271 |
$85 | |
| T3 thyroid test |
$88 |
$117 |
$57 |
$14 | |
| Testosterone test |
$48 |
$64 |
$61 |
$26 | |
| Thyroid test (TSH) |
$91 |
$121 |
$71 |
$17 | |
| Thyroid ultrasound |
$995 |
$1,326 |
$1,059 |
$109 | |
| Thyroid uptake scan |
$1,607 |
$2,142 |
$1,155 |
$145 | |
| Tonsillectomy |
$2,701 |
$3,600 |
$1,847 |
$252 | |
| Total IgE allergy test |
$200 |
$266 |
$191 |
$16 | |
| Total protein test |
$14 |
$18 |
$15 |
$4 | |
| Transvaginal ultrasound |
$842 |
$1,122 |
$501 |
$118 | |
| Trigger point injection |
$93 |
$124 |
$95 |
$56 | |
| Trigger point injection (1-2 muscles) |
$80 |
$107 |
$86 |
$52 | |
| Triglycerides test |
$33 |
$44 |
$35 |
$6 | |
| Troponin (heart) test |
$104 |
$139 |
$115 |
$12 | |
| Turning a breech baby (version) |
$236 |
$314 |
$251 |
$94 | |
| Upper GI endoscopy (EGD) |
$1,350 |
$1,800 |
$1,263 |
$371 | |
| Upper GI series (barium) |
$902 |
$1,203 |
$877 |
$128 | |
| Uric acid (gout) test |
$30 |
$40 |
$19 |
$5 | |
| Urinalysis |
$38 |
$50 |
$34 |
$3 | |
| Urine microalbumin test |
$15 |
$19 |
$15 |
$5 | |
| Urine pregnancy test |
$68 |
$90 |
$42 |
$9 | |
| Vaccine administration |
$57 |
$76 |
$42 |
$19 | |
| Vitamin B12 test |
$29 |
$38 |
$28 |
$15 | |
| Vitamin D test |
$71 |
$95 |
$72 |
$30 | |
| Wart removal |
$83 |
$110 |
$88 |
$121 | |
| Wound debridement |
$74 |
$99 |
$79 |
$186 | |
| X-ray of the abdomen |
$427 |
$568 |
$446 |
$36 | |
| X-ray of the ankle |
$447 |
$595 |
$475 |
$37 | |
| X-ray of the collarbone |
$555 |
$740 |
$591 |
$33 | |
| X-ray of the elbow |
$610 |
$813 |
$675 |
$33 | |
| X-ray of the facial bones |
$782 |
$1,042 |
$579 |
$39 | |
| X-ray of the foot |
$678 |
$904 |
$721 |
$34 | |
| X-ray of the forearm |
$593 |
$791 |
$632 |
$29 | |
| X-ray of the hand |
$494 |
$659 |
$526 |
$38 | |
| X-ray of the hip |
$344 |
$458 |
$374 |
$49 | |
| X-ray of the hip (1 view) |
$382 |
$509 |
$387 |
$34 | |
| X-ray of the hip (3 views) |
$335 |
$447 |
$357 |
$49 | |
| X-ray of the knee |
$391 |
$521 |
$396 |
$42 | |
| X-ray of the knee (2 views) |
$391 |
$521 |
$416 |
$34 | |
| X-ray of the knee (3 views) |
$478 |
$637 |
$508 |
$42 | |
| X-ray of the knee (4+ views) |
$317 |
$422 |
$337 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$800 |
$1,066 |
$909 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$788 |
$1,051 |
$839 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$1,364 |
$1,818 |
$1,452 |
$53 | |
| X-ray of the lower leg |
$783 |
$1,044 |
$833 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$808 |
$1,077 |
$867 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$797 |
$1,062 |
$847 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$869 |
$1,158 |
$925 |
$39 | |
| X-ray of the neck (cervical spine) |
$808 |
$1,077 |
$893 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$797 |
$1,062 |
$847 |
$40 | |
| X-ray of the pelvis |
$521 |
$694 |
$592 |
$36 | |
| X-ray of the pelvis (1 view) |
$514 |
$684 |
$546 |
$28 | |
| X-ray of the ribs |
$662 |
$882 |
$656 |
$42 | |
| X-ray of the ribs (2 views) |
$593 |
$790 |
$586 |
$36 | |
| X-ray of the ribs (3 views) |
$770 |
$1,026 |
$820 |
$42 | |
| X-ray of the shoulder |
$587 |
$783 |
$625 |
$36 | |
| X-ray of the skull |
$733 |
$977 |
$655 |
$40 | |
| X-ray of the upper arm |
$373 |
$497 |
$397 |
$32 | |
| X-ray of the wrist |
$652 |
$869 |
$693 |
$43 | |
| Zinc blood test |
$194 |
$258 |
$131 |
$11 | |