| 3D mammogram (tomosynthesis) |
$109 |
$152 |
$127 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$2,025 |
$2,813 |
$2,242 |
$284 | |
| Abdominal ultrasound |
$827 |
$1,149 |
$800 |
$100 | |
| Abdominal ultrasound (complete) |
$922 |
$1,280 |
$895 |
$114 | |
| Abdominal ultrasound (limited) |
$732 |
$1,017 |
$711 |
$86 | |
| Abscess drainage (complex or multiple) |
$863 |
$1,199 |
$838 |
$220 | |
| Abscess drainage (simple) |
$402 |
$559 |
$446 |
$129 | |
| Abscess incision and drainage |
$633 |
$879 |
$466 |
$174 | |
| Aldosterone test |
$145 |
$201 |
$141 |
$41 | |
| Alkaline phosphatase test |
$104 |
$145 |
$101 |
$5 | |
| Allergy shots |
$99 |
$138 |
$96 |
$11 | |
| Alpha-fetoprotein (AFP) test |
$229 |
$318 |
$222 |
$17 | |
| ALT liver enzyme test |
$99 |
$137 |
$96 |
$5 | |
| Ammonia blood test |
$526 |
$730 |
$456 |
$15 | |
| Amylase test |
$150 |
$209 |
$146 |
$6 | |
| Antinuclear antibody (ANA) test |
$93 |
$129 |
$90 |
$12 | |
| Arterial blood gas (ABG) |
$284 |
$394 |
$275 |
$26 | |
| AST liver enzyme test |
$103 |
$143 |
$100 |
$5 | |
| Barium swallow study |
$589 |
$818 |
$491 |
$107 | |
| Bartholin cyst removal |
$574 |
$797 |
$635 |
$182 | |
| Basic metabolic panel |
$42 |
$58 |
$41 |
$8 | |
| Benign skin lesion removal |
$863 |
$1,199 |
$956 |
$171 | |
| Bilirubin blood test |
$72 |
$100 |
$70 |
$5 | |
| Blood clotting test (PT/INR) |
$70 |
$97 |
$72 |
$4 | |
| Blood crossmatch |
$197 |
$273 |
$218 |
— | |
| Blood glucose test |
$53 |
$74 |
$21 |
$5 | |
| Blood transfusion |
$1,300 |
$1,806 |
$1,343 |
$47 | |
| Blood type and screen |
$77 |
$107 |
$75 |
$10 | |
| Blood type test |
$102 |
$142 |
$59 |
$3 | |
| Blood type test (ABO group) |
$153 |
$213 |
$149 |
$3 | |
| Blood type test (Rh/D antigen) |
$50 |
$70 |
$49 |
$3 | |
| BNP (heart failure) test |
$269 |
$373 |
$275 |
$39 | |
| Bone density scan (DEXA) |
$480 |
$666 |
$531 |
$39 | |
| Bone scan (nuclear) |
$1,531 |
$2,127 |
$1,487 |
$259 | |
| Breast ultrasound |
$750 |
$1,041 |
$728 |
$92 | |
| Breast ultrasound (complete) |
$750 |
$1,041 |
$728 |
$100 | |
| Breast ultrasound (limited) |
$750 |
$1,041 |
$728 |
$84 | |
| Breathing tube insertion (intubation) |
$727 |
$1,010 |
$805 |
$133 | |
| Burn dressing and debridement (small) |
$429 |
$596 |
$475 |
$93 | |
| Burn treatment |
$429 |
$596 |
$475 |
$129 | |
| C-reactive protein (CRP) |
$110 |
$153 |
$107 |
$5 | |
| CA 19-9 tumor marker test |
$212 |
$295 |
$206 |
$21 | |
| CA-125 ovarian marker test |
$250 |
$347 |
$266 |
$21 | |
| Calcium blood test |
$89 |
$124 |
$92 |
$5 | |
| Cardiac rehabilitation |
$236 |
$328 |
$274 |
$26 | |
| Cardiac stress test |
$1,351 |
$1,877 |
$1,312 |
$39 | |
| Cardioversion |
$1,413 |
$1,963 |
$1,565 |
$155 | |
| Carotid artery ultrasound |
$967 |
$1,344 |
$923 |
$156 | |
| CEA tumor marker test |
$147 |
$204 |
$151 |
$19 | |
| Celiac disease test |
$96 |
$133 |
$93 |
$12 | |
| Central line placement |
$5,912 |
$8,211 |
$5,739 |
$238 | |
| Chemotherapy infusion |
$423 |
$588 |
$269 |
$81 | |
| Chemotherapy infusion (each additional) |
$154 |
$214 |
$171 |
$28 | |
| Chemotherapy infusion (first hour) |
$693 |
$962 |
$767 |
$133 | |
| Chest tube insertion |
$2,917 |
$4,052 |
$3,229 |
$143 | |
| Chest X-ray |
$263 |
$365 |
$257 |
$37 | |
| Chest X-ray (1 view) |
$233 |
$323 |
$226 |
$25 | |
| Chest X-ray (2 views) |
$293 |
$407 |
$284 |
$33 | |
| CK-MB heart enzyme test |
$194 |
$269 |
$188 |
$12 | |
| Clotting time test (PTT) |
$99 |
$138 |
$102 |
$6 | |
| Complete blood count (CBC) |
$86 |
$120 |
$88 |
$7 | |
| Complete blood count (CBC) (complete) |
$92 |
$128 |
$94 |
$8 | |
| Comprehensive metabolic panel |
$224 |
$311 |
$230 |
$11 | |
| Copper blood test |
$159 |
$221 |
$154 |
$12 | |
| Cortisol test |
$73 |
$102 |
$71 |
$16 | |
| COVID-19 PCR test |
$65 |
$90 |
$112 |
$51 | |
| CPAP titration study |
$382 |
$531 |
$423 |
$69 | |
| Creatine kinase (CK) test |
$117 |
$162 |
$113 |
$7 | |
| CT angiography of the chest |
$2,521 |
$3,502 |
$2,290 |
$281 | |
| CT angiography of the head |
$2,561 |
$3,557 |
$2,290 |
$274 | |
| CT scan of the abdomen |
$2,255 |
$3,132 |
$2,241 |
$230 | |
| CT scan of the abdomen and pelvis |
$4,723 |
$6,560 |
$4,196 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$5,240 |
$7,278 |
$4,655 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$4,723 |
$6,560 |
$4,196 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$3,879 |
$5,388 |
$3,446 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,904 |
$4,034 |
$2,580 |
$259 | |
| CT scan of the abdomen with contrast |
$2,255 |
$3,132 |
$2,189 |
$230 | |
| CT scan of the abdomen without contrast |
$2,025 |
$2,812 |
$1,966 |
$136 | |
| CT scan of the arm |
$1,966 |
$2,730 |
$1,913 |
$199 | |
| CT scan of the arm with contrast |
$1,966 |
$2,730 |
$1,908 |
$199 | |
| CT scan of the arm without contrast |
$1,732 |
$2,406 |
$1,682 |
$161 | |
| CT scan of the chest |
$2,457 |
$3,412 |
$2,133 |
$167 | |
| CT scan of the chest with and without contrast |
$2,873 |
$3,990 |
$2,552 |
$196 | |
| CT scan of the chest with contrast |
$2,457 |
$3,412 |
$2,290 |
$167 | |
| CT scan of the chest without contrast |
$1,892 |
$2,628 |
$1,837 |
$133 | |
| CT scan of the head |
$1,814 |
$2,520 |
$1,751 |
$148 | |
| CT scan of the head with and without contrast |
$2,004 |
$2,784 |
$1,946 |
$173 | |
| CT scan of the head with contrast |
$1,814 |
$2,520 |
$1,761 |
$148 | |
| CT scan of the head without contrast |
$1,722 |
$2,391 |
$1,671 |
$107 | |
| CT scan of the leg |
$1,966 |
$2,730 |
$1,969 |
$166 | |
| CT scan of the leg with contrast |
$1,966 |
$2,730 |
$1,908 |
$166 | |
| CT scan of the leg without contrast |
$1,779 |
$2,471 |
$1,727 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,387 |
$3,315 |
$2,194 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$3,058 |
$4,247 |
$2,716 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,387 |
$3,315 |
$2,290 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,982 |
$2,753 |
$1,924 |
$130 | |
| CT scan of the neck |
$1,764 |
$2,450 |
$1,710 |
$183 | |
| CT scan of the neck (cervical spine) |
$2,367 |
$3,287 |
$2,054 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,932 |
$4,072 |
$2,604 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$2,367 |
$3,287 |
$2,290 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,975 |
$2,743 |
$1,917 |
$131 | |
| CT scan of the neck with and without contrast |
$1,818 |
$2,525 |
$1,765 |
$220 | |
| CT scan of the neck with contrast |
$1,764 |
$2,450 |
$1,713 |
$183 | |
| CT scan of the neck without contrast |
$1,668 |
$2,317 |
$1,620 |
$150 | |
| CT scan of the pelvis |
$2,674 |
$3,714 |
$2,290 |
$226 | |
| CT scan of the pelvis with and without contrast |
$3,160 |
$4,389 |
$2,807 |
$251 | |
| CT scan of the pelvis with contrast |
$2,674 |
$3,714 |
$2,375 |
$226 | |
| CT scan of the pelvis without contrast |
$2,143 |
$2,977 |
$2,081 |
$133 | |
| CT scan of the sinuses |
$1,565 |
$2,174 |
$1,359 |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,025 |
$2,812 |
$1,966 |
$184 | |
| CT scan of the sinuses with contrast |
$1,565 |
$2,174 |
$1,520 |
$152 | |
| CT scan of the sinuses without contrast |
$1,177 |
$1,635 |
$1,143 |
$128 | |
| D-dimer test |
$60 |
$84 |
$59 |
$10 | |
| DHEA-sulfate test |
$182 |
$253 |
$177 |
$22 | |
| Diagnostic mammogram |
$425 |
$591 |
$416 |
$140 | |
| Drug screen (urine) |
$165 |
$230 |
$176 |
$17 | |
| Echocardiogram |
$611 |
$848 |
$912 |
$138 | |
| Echocardiogram with and without contrast |
$522 |
$725 |
$578 |
$101 | |
| Echocardiogram without contrast |
$611 |
$848 |
$676 |
$138 | |
| EEG (awake and asleep) |
$1,196 |
$1,661 |
$1,161 |
$482 | |
| EKG / ECG (tracing only) |
$264 |
$366 |
$256 |
$7 | |
| Electrocardiogram (EKG) |
$264 |
$366 |
$256 |
$8 | |
| Electroencephalogram (EEG) |
$1,008 |
$1,400 |
$967 |
$448 | |
| Electrolyte panel |
$179 |
$249 |
$174 |
$7 | |
| Electromyography (EMG) |
$279 |
$387 |
$308 |
$141 | |
| Emergency department visit |
$598 |
$831 |
$419 |
$69 | |
| Emergency department visit (level 1) |
$207 |
$288 |
$221 |
$11 | |
| Emergency department visit (level 2) |
$297 |
$413 |
$317 |
$40 | |
| Emergency department visit (level 3) |
$598 |
$831 |
$638 |
$69 | |
| Emergency department visit (level 4) |
$714 |
$992 |
$761 |
$118 | |
| Emergency department visit (level 5) |
$1,076 |
$1,495 |
$1,147 |
$171 | |
| Estradiol (estrogen) test |
$289 |
$401 |
$280 |
$28 | |
| Fecal occult blood (stool) test |
$51 |
$71 |
$49 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$48 |
$66 |
$46 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$54 |
$75 |
$52 |
$16 | |
| Ferritin (iron) test |
$210 |
$291 |
$215 |
$14 | |
| Fibrinogen test |
$110 |
$153 |
$107 |
$10 | |
| Flu test |
$55 |
$76 |
$53 |
$17 | |
| Folate (folic acid) test |
$91 |
$126 |
$88 |
$15 | |
| Foreign body removal (skin) |
$863 |
$1,199 |
$838 |
$157 | |
| Free T4 thyroid test |
$82 |
$114 |
$84 |
$9 | |
| FSH hormone test |
$99 |
$137 |
$96 |
$19 | |
| Gallbladder scan (HIDA) |
$1,170 |
$1,625 |
$1,222 |
$334 | |
| GGT liver test |
$109 |
$152 |
$117 |
$7 | |
| Glucose tolerance test |
$163 |
$227 |
$181 |
$8 | |
| H. pylori test |
$181 |
$252 |
$186 |
$67 | |
| HDL cholesterol test |
$106 |
$147 |
$103 |
$8 | |
| Hematocrit test |
$37 |
$51 |
$38 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$147 |
$204 |
$143 |
$10 | |
| Hepatitis B test |
$170 |
$236 |
$174 |
$10 | |
| Hepatitis C test |
$106 |
$147 |
$117 |
$14 | |
| HIV test |
$65 |
$90 |
$63 |
$19 | |
| HIV test (antigen/antibody combo) |
$65 |
$90 |
$63 |
$24 | |
| Holter heart monitor |
$1,416 |
$1,967 |
$1,375 |
$26 | |
| Iron blood test |
$93 |
$129 |
$95 |
$6 | |
| IV infusion therapy |
$258 |
$359 |
$167 |
$44 | |
| IV infusion therapy (each additional) |
$120 |
$167 |
$133 |
$21 | |
| IV infusion therapy (initial) |
$396 |
$550 |
$438 |
$67 | |
| Joint aspiration (small/intermediate) |
$754 |
$1,047 |
$784 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$799 |
$1,110 |
$819 |
$57 | |
| Joint aspiration or injection (small joint) |
$708 |
$984 |
$784 |
$56 | |
| Kidney scan (nuclear) |
$2,030 |
$2,819 |
$1,970 |
$172 | |
| Kidney ultrasound |
$751 |
$1,044 |
$716 |
$84 | |
| Kidney ultrasound (limited) |
$716 |
$995 |
$696 |
$61 | |
| Knee joint injection |
$1,620 |
$2,250 |
$897 |
$69 | |
| Lactate test |
$239 |
$332 |
$232 |
$12 | |
| LDH test |
$98 |
$136 |
$95 |
$6 | |
| LDL cholesterol test |
$95 |
$132 |
$97 |
$11 | |
| Leg vein ultrasound (Doppler) |
$1,182 |
$1,642 |
$1,016 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$813 |
$1,129 |
$900 |
$116 | |
| LH hormone test |
$99 |
$137 |
$96 |
$19 | |
| Lipase test |
$104 |
$144 |
$101 |
$7 | |
| Lipid (cholesterol) panel |
$141 |
$196 |
$145 |
$13 | |
| Liver function panel |
$174 |
$242 |
$169 |
$8 | |
| Lung function test (PFT) |
$461 |
$641 |
$469 |
$37 | |
| Magnesium blood test |
$140 |
$195 |
$144 |
$7 | |
| MRA of the brain |
$3,506 |
$4,869 |
$2,992 |
$226 | |
| MRA of the brain with contrast |
$3,506 |
$4,869 |
$3,114 |
$226 | |
| MRA of the brain without contrast |
$3,851 |
$5,348 |
$3,421 |
$328 | |
| MRA of the neck |
$3,506 |
$4,869 |
$2,992 |
$245 | |
| MRA of the neck with contrast |
$3,506 |
$4,869 |
$3,114 |
$245 | |
| MRA of the neck without contrast |
$3,851 |
$5,348 |
$3,421 |
$343 | |
| MRI of the abdomen |
$3,620 |
$5,028 |
$3,048 |
$300 | |
| MRI of the abdomen with contrast |
$3,620 |
$5,028 |
$3,216 |
$300 | |
| MRI of the abdomen without contrast |
$2,881 |
$4,002 |
$2,797 |
$194 | |
| MRI of the ankle |
$3,313 |
$4,602 |
$2,862 |
$261 | |
| MRI of the ankle without contrast |
$2,881 |
$4,002 |
$2,797 |
$222 | |
| MRI of the brain |
$3,563 |
$4,948 |
$3,165 |
$269 | |
| MRI of the brain with contrast |
$3,563 |
$4,948 |
$3,165 |
$269 | |
| MRI of the brain without contrast |
$2,881 |
$4,002 |
$2,797 |
$195 | |
| MRI of the chest |
$4,080 |
$5,666 |
$3,624 |
$371 | |
| MRI of the chest without contrast |
$4,080 |
$5,666 |
$3,624 |
$466 | |
| MRI of the knee |
$3,594 |
$4,992 |
$3,190 |
$315 | |
| MRI of the knee with contrast |
$3,594 |
$4,992 |
$3,193 |
$315 | |
| MRI of the knee without contrast |
$2,881 |
$4,002 |
$2,797 |
$204 | |
| MRI of the lower back (lumbar spine) |
$3,514 |
$4,881 |
$3,120 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$3,514 |
$4,881 |
$3,122 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,881 |
$4,002 |
$2,797 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$3,730 |
$5,181 |
$3,190 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$4,085 |
$5,673 |
$3,628 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$3,730 |
$5,181 |
$3,314 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,881 |
$4,002 |
$2,797 |
$190 | |
| MRI of the neck (cervical spine) |
$3,881 |
$5,390 |
$3,711 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$4,568 |
$6,345 |
$4,058 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$3,881 |
$5,390 |
$3,447 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$3,620 |
$5,028 |
$3,216 |
$191 | |
| MRI of the pelvis |
$3,600 |
$5,000 |
$3,198 |
$268 | |
| MRI of the pelvis with contrast |
$3,600 |
$5,000 |
$3,198 |
$268 | |
| MRI of the pelvis without contrast |
$3,044 |
$4,228 |
$2,862 |
$227 | |
| MRI of the shoulder |
$3,857 |
$5,357 |
$3,338 |
$313 | |
| MRI of the shoulder with contrast |
$3,857 |
$5,357 |
$3,426 |
$313 | |
| MRI of the shoulder without contrast |
$2,881 |
$4,002 |
$2,797 |
$205 | |
| MRI of the wrist |
$3,412 |
$4,739 |
$3,031 |
$330 | |
| MRI of the wrist with contrast |
$3,412 |
$4,739 |
$3,031 |
$330 | |
| MRI of the wrist without contrast |
$2,881 |
$4,002 |
$2,797 |
$303 | |
| Nebulizer breathing treatment |
$169 |
$235 |
$187 |
$9 | |
| Nerve conduction study |
$702 |
$975 |
$671 |
$118 | |
| Nuclear cardiac stress test |
$5,333 |
$7,407 |
$5,903 |
$428 | |
| Occupational therapy evaluation |
$244 |
$339 |
$268 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$305 |
$424 |
$338 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$215 |
$298 |
$238 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$244 |
$339 |
$270 |
$101 | |
| Office visit (established patient) |
$166 |
$231 |
$164 |
$115 | |
| Office visit (new patient) |
$336 |
$467 |
$273 |
$177 | |
| Office visit, established patient (level 3) |
$131 |
$182 |
$140 |
$95 | |
| Office visit, established patient (level 4) |
$201 |
$279 |
$214 |
$136 | |
| Office visit, new patient (level 3) |
$197 |
$273 |
$210 |
$118 | |
| Office visit, new patient (level 4) |
$336 |
$467 |
$358 |
$177 | |
| Office visit, new patient (level 5) |
$409 |
$568 |
$436 |
$237 | |
| Pap smear (cervical screening) |
$137 |
$191 |
$132 |
$20 | |
| Parathyroid hormone (PTH) test |
$114 |
$158 |
$110 |
$41 | |
| Pelvic ultrasound |
$753 |
$1,046 |
$727 |
$78 | |
| Pelvic ultrasound (complete) |
$837 |
$1,163 |
$813 |
$105 | |
| Pelvic ultrasound (limited) |
$669 |
$929 |
$649 |
$51 | |
| Phosphorus blood test |
$86 |
$119 |
$83 |
$5 | |
| Physical therapy evaluation |
$258 |
$358 |
$285 |
$98 | |
| Physical therapy evaluation (high complexity) |
$322 |
$447 |
$356 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$258 |
$358 |
$285 |
$98 | |
| Platelet count |
$82 |
$114 |
$84 |
$4 | |
| Pregnancy blood test (hCG) |
$109 |
$152 |
$106 |
$8 | |
| Pregnancy ultrasound |
$567 |
$787 |
$550 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$567 |
$787 |
$550 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$567 |
$787 |
$550 |
$136 | |
| Procalcitonin test |
$400 |
$555 |
$388 |
$27 | |
| Prolactin test |
$106 |
$147 |
$103 |
$19 | |
| Prostate test (PSA) |
$210 |
$291 |
$215 |
$18 | |
| Psychiatric evaluation |
$347 |
$482 |
$384 |
$188 | |
| Pulmonary rehabilitation |
$136 |
$189 |
$132 |
$87 | |
| Rheumatoid factor test |
$81 |
$113 |
$79 |
$6 | |
| Scoliosis spine X-ray |
$413 |
$573 |
$401 |
$58 | |
| Scoliosis spine X-ray (3 views) |
$413 |
$573 |
$401 |
$72 | |
| Screening colonoscopy |
$2,499 |
$3,471 |
$2,766 |
$378 | |
| Screening mammogram |
$328 |
$455 |
$336 |
$126 | |
| Scrotal ultrasound |
$638 |
$886 |
$619 |
$99 | |
| Sedimentation rate (ESR) test |
$76 |
$106 |
$74 |
$3 | |
| Semen analysis |
$71 |
$98 |
$69 |
$12 | |
| Sex hormone binding globulin test |
$99 |
$138 |
$96 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$647 |
$899 |
$635 |
$114 | |
| Simple wound stitches |
$650 |
$903 |
$635 |
$127 | |
| Sleep study (polysomnography) |
$5,088 |
$7,066 |
$4,914 |
$691 | |
| Soft tissue ultrasound |
$450 |
$625 |
$437 |
$64 | |
| Speech therapy |
$297 |
$412 |
$328 |
$76 | |
| Spinal tap (lumbar puncture) |
$1,496 |
$2,078 |
$1,656 |
$165 | |
| Spirometry (lung function test) |
$338 |
$469 |
$328 |
$30 | |
| Spirometry with bronchodilator |
$585 |
$812 |
$598 |
$43 | |
| Strep throat test |
$100 |
$139 |
$107 |
$17 | |
| Swallow study |
$145 |
$201 |
$160 |
$85 | |
| T3 thyroid test |
$232 |
$322 |
$225 |
$14 | |
| Tdap (tetanus) vaccine |
$77 |
$107 |
$71 |
— | |
| Testosterone test |
$235 |
$326 |
$201 |
$26 | |
| Thyroid test (TSH) |
$154 |
$214 |
$158 |
$17 | |
| Thyroid ultrasound |
$669 |
$929 |
$649 |
$109 | |
| Thyroid uptake scan |
$868 |
$1,205 |
$960 |
$145 | |
| Total IgE allergy test |
$198 |
$275 |
$192 |
$16 | |
| Total protein test |
$71 |
$99 |
$69 |
$4 | |
| Transvaginal ultrasound |
$765 |
$1,063 |
$743 |
$118 | |
| Trigger point injection |
$638 |
$886 |
$706 |
$56 | |
| Trigger point injection (1-2 muscles) |
$638 |
$886 |
$706 |
$52 | |
| Triglycerides test |
$86 |
$120 |
$96 |
$6 | |
| Troponin (heart) test |
$166 |
$230 |
$161 |
$12 | |
| Upper GI series (barium) |
$805 |
$1,119 |
$772 |
$128 | |
| Uric acid (gout) test |
$86 |
$119 |
$83 |
$5 | |
| Urinalysis |
$51 |
$72 |
$59 |
$3 | |
| Urine microalbumin test |
$30 |
$42 |
$29 |
$5 | |
| Urine pregnancy test |
$107 |
$148 |
$103 |
$9 | |
| Vaccine administration |
$139 |
$193 |
$135 |
$19 | |
| Vitamin B12 test |
$94 |
$130 |
$91 |
$15 | |
| Vitamin D test |
$122 |
$169 |
$125 |
$30 | |
| Wound debridement |
$1,621 |
$2,252 |
$1,574 |
$186 | |
| X-ray of the abdomen |
$464 |
$644 |
$442 |
$36 | |
| X-ray of the ankle |
$335 |
$465 |
$325 |
$37 | |
| X-ray of the collarbone |
$383 |
$532 |
$372 |
$33 | |
| X-ray of the elbow |
$387 |
$538 |
$376 |
$33 | |
| X-ray of the facial bones |
$449 |
$624 |
$442 |
$39 | |
| X-ray of the foot |
$352 |
$489 |
$342 |
$34 | |
| X-ray of the forearm |
$352 |
$489 |
$342 |
$29 | |
| X-ray of the hand |
$352 |
$489 |
$342 |
$38 | |
| X-ray of the hip |
$251 |
$349 |
$196 |
$49 | |
| X-ray of the hip (1 view) |
$166 |
$230 |
$183 |
$34 | |
| X-ray of the hip (3 views) |
$337 |
$468 |
$327 |
$49 | |
| X-ray of the knee |
$383 |
$532 |
$367 |
$42 | |
| X-ray of the knee (2 views) |
$354 |
$491 |
$343 |
$34 | |
| X-ray of the knee (3 views) |
$383 |
$532 |
$372 |
$42 | |
| X-ray of the knee (4+ views) |
$436 |
$606 |
$424 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$527 |
$732 |
$485 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$419 |
$582 |
$407 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$634 |
$881 |
$616 |
$53 | |
| X-ray of the lower leg |
$352 |
$489 |
$342 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$343 |
$477 |
$318 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$274 |
$381 |
$266 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$413 |
$573 |
$401 |
$39 | |
| X-ray of the neck (cervical spine) |
$635 |
$883 |
$619 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$697 |
$968 |
$677 |
$40 | |
| X-ray of the pelvis |
$280 |
$389 |
$284 |
$36 | |
| X-ray of the pelvis (1 view) |
$293 |
$407 |
$284 |
$28 | |
| X-ray of the ribs |
$323 |
$448 |
$325 |
$42 | |
| X-ray of the ribs (2 views) |
$323 |
$448 |
$313 |
$36 | |
| X-ray of the ribs (3 views) |
$454 |
$630 |
$440 |
$42 | |
| X-ray of the shoulder |
$413 |
$573 |
$401 |
$36 | |
| X-ray of the skull |
$525 |
$729 |
$491 |
$40 | |
| X-ray of the upper arm |
$352 |
$489 |
$342 |
$32 | |
| X-ray of the wrist |
$352 |
$489 |
$342 |
$43 | |
| Zinc blood test |
$124 |
$172 |
$120 |
$11 | |