| 3D mammogram (tomosynthesis) |
— |
$159 |
$116 |
$51 | |
| Abdominal fluid drain (paracentesis) |
— |
$1,311 |
$611 |
$284 | |
| Abdominal ultrasound |
— |
$854 |
$329 |
$100 | |
| Abdominal ultrasound (complete) |
— |
$2,231 |
$1,339 |
$114 | |
| Abdominal ultrasound (limited) |
— |
$429 |
$312 |
$86 | |
| Abscess drainage (complex or multiple) |
— |
$806 |
$484 |
$220 | |
| Abscess drainage (simple) |
— |
$432 |
$301 |
$129 | |
| Abscess incision and drainage |
— |
$432 |
$316 |
$174 | |
| Albumin blood test |
— |
$19 |
$8 |
$5 | |
| Aldosterone test |
— |
$151 |
$59 |
$41 | |
| Alkaline phosphatase test |
— |
$20 |
$8 |
$5 | |
| Alpha-fetoprotein (AFP) test |
— |
$63 |
$25 |
$17 | |
| ALT liver enzyme test |
— |
$47 |
$15 |
$5 | |
| Ammonia blood test |
— |
$54 |
$17 |
$15 | |
| Amylase test |
— |
$24 |
$14 |
$6 | |
| Antinuclear antibody (ANA) test |
— |
$48 |
$23 |
$12 | |
| Arterial blood gas (ABG) |
— |
$79 |
$31 |
$26 | |
| AST liver enzyme test |
— |
$45 |
$15 |
$5 | |
| Barium swallow study |
— |
$570 |
$397 |
$107 | |
| Basic metabolic panel |
— |
$32 |
$15 |
$8 | |
| Bilirubin blood test |
— |
$19 |
$7 |
$5 | |
| Blood clotting test (PT/INR) |
— |
$15 |
$8 |
$4 | |
| Blood crossmatch |
— |
$312 |
$122 |
— | |
| Blood glucose test |
— |
$15 |
$9 |
$5 | |
| Blood transfusion |
— |
$345 |
$207 |
$47 | |
| Blood type and screen |
— |
$30 |
$20 |
$10 | |
| Blood type test |
— |
$12 |
$5 |
$3 | |
| Blood type test (ABO group) |
— |
$12 |
$6 |
$3 | |
| Blood type test (Rh/D antigen) |
— |
$12 |
$5 |
$3 | |
| BNP (heart failure) test |
— |
$126 |
$40 |
$39 | |
| Bone density scan (DEXA) |
— |
$560 |
$256 |
$39 | |
| Bone marrow biopsy |
— |
$2,189 |
$1,068 |
$172 | |
| Bone scan (nuclear) |
— |
$1,968 |
$1,181 |
$259 | |
| Breast biopsy |
— |
$3,421 |
$1,633 |
$478 | |
| Breast MRI |
— |
$1,572 |
$500 |
$216 | |
| Breast MRI without contrast |
— |
$1,572 |
$500 |
$216 | |
| Breast ultrasound |
— |
$1,193 |
$466 |
$92 | |
| Breast ultrasound (complete) |
— |
$1,193 |
$842 |
$100 | |
| Breast ultrasound (limited) |
— |
$607 |
$428 |
$84 | |
| Breathing tube insertion (intubation) |
— |
$494 |
$193 |
$133 | |
| C-reactive protein (CRP) |
— |
$57 |
$15 |
$5 | |
| CA 19-9 tumor marker test |
— |
$86 |
$34 |
$21 | |
| CA-125 ovarian marker test |
— |
$78 |
$31 |
$21 | |
| Calcium blood test |
— |
$18 |
$7 |
$5 | |
| Cardiac ablation |
— |
$24,993 |
$14,996 |
$759 | |
| Cardiac catheterization |
— |
$13,861 |
$8,317 |
$1,049 | |
| Cardiac MRI |
— |
$3,231 |
$1,140 |
$322 | |
| Cardiac MRI without contrast |
— |
$2,661 |
$825 |
$280 | |
| Cardiac rehabilitation |
— |
$295 |
$206 |
$26 | |
| Cardiac stress test |
— |
$1,335 |
$813 |
$39 | |
| Cardioversion |
— |
$1,315 |
$834 |
$155 | |
| Carotid artery ultrasound |
— |
$1,012 |
$550 |
$156 | |
| CEA tumor marker test |
— |
$71 |
$28 |
$19 | |
| Celiac disease test |
— |
$43 |
$19 |
$12 | |
| Central line placement |
— |
$6,437 |
$1,995 |
$238 | |
| Chemotherapy infusion |
— |
$222 |
$96 |
$81 | |
| Chemotherapy infusion (each additional) |
— |
$107 |
$68 |
$28 | |
| Chemotherapy infusion (first hour) |
— |
$363 |
$229 |
$133 | |
| Chest fluid drain (thoracentesis) |
— |
$1,343 |
$744 |
$311 | |
| Chest tube insertion |
— |
$3,235 |
$1,265 |
$143 | |
| Chest X-ray |
— |
$447 |
$223 |
$37 | |
| Chest X-ray (1 view) |
— |
$304 |
$215 |
$25 | |
| Chest X-ray (2 views) |
— |
$476 |
$332 |
$33 | |
| Chickenpox (varicella) vaccine |
— |
$374 |
$261 |
— | |
| Circumcision |
— |
$4,114 |
$2,869 |
$167 | |
| CK-MB heart enzyme test |
— |
$43 |
$17 |
$12 | |
| Clotting time test (PTT) |
— |
$31 |
$14 |
$6 | |
| Complete blood count (CBC) |
— |
$29 |
$9 |
$7 | |
| Complete blood count (CBC) (complete) |
— |
$29 |
$9 |
$8 | |
| Comprehensive metabolic panel |
— |
$40 |
$19 |
$11 | |
| Copper blood test |
— |
$46 |
$28 |
$12 | |
| Coronary CT angiography |
— |
$2,277 |
$683 |
$326 | |
| Cortisol test |
— |
$61 |
$24 |
$16 | |
| COVID-19 PCR test |
— |
$150 |
$51 |
$51 | |
| CPAP titration study |
— |
$490 |
$342 |
$69 | |
| Creatine kinase (CK) test |
— |
$25 |
$9 |
$7 | |
| CT angiography of the chest |
— |
$2,277 |
$683 |
$281 | |
| CT angiography of the head |
— |
$2,348 |
$557 |
$274 | |
| CT colonography (virtual colonoscopy) |
— |
$1,254 |
$376 |
$835 | |
| CT scan of the abdomen |
— |
$2,667 |
$670 |
$230 | |
| CT scan of the abdomen and pelvis |
— |
$5,030 |
$1,471 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
— |
$6,006 |
$1,534 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
— |
$5,853 |
$1,471 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
— |
$2,239 |
$672 |
$183 | |
| CT scan of the abdomen with and without contrast |
— |
$2,762 |
$829 |
$259 | |
| CT scan of the abdomen with contrast |
— |
$2,667 |
$800 |
$230 | |
| CT scan of the abdomen without contrast |
— |
$1,106 |
$339 |
$136 | |
| CT scan of the arm |
— |
$2,138 |
$641 |
$199 | |
| CT scan of the arm with contrast |
— |
$2,138 |
$641 |
$199 | |
| CT scan of the arm without contrast |
— |
$1,177 |
$353 |
$161 | |
| CT scan of the chest |
— |
$2,393 |
$616 |
$167 | |
| CT scan of the chest with and without contrast |
— |
$2,689 |
$807 |
$196 | |
| CT scan of the chest with contrast |
— |
$2,393 |
$718 |
$167 | |
| CT scan of the chest without contrast |
— |
$1,777 |
$533 |
$133 | |
| CT scan of the head |
— |
$2,134 |
$640 |
$148 | |
| CT scan of the head with and without contrast |
— |
$2,348 |
$704 |
$173 | |
| CT scan of the head with contrast |
— |
$2,134 |
$640 |
$148 | |
| CT scan of the head without contrast |
— |
$1,693 |
$508 |
$107 | |
| CT scan of the leg |
— |
$1,815 |
$545 |
$166 | |
| CT scan of the leg with contrast |
— |
$1,815 |
$545 |
$166 | |
| CT scan of the leg without contrast |
— |
$1,377 |
$413 |
$130 | |
| CT scan of the lower back (lumbar spine) |
— |
$2,184 |
$655 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
— |
$2,374 |
$712 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
— |
$2,184 |
$655 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
— |
$1,731 |
$519 |
$130 | |
| CT scan of the neck |
— |
$1,833 |
$550 |
$183 | |
| CT scan of the neck (cervical spine) |
— |
$2,368 |
$689 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
— |
$3,161 |
$948 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
— |
$2,368 |
$710 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
— |
$2,224 |
$667 |
$131 | |
| CT scan of the neck with and without contrast |
— |
$1,833 |
$550 |
$220 | |
| CT scan of the neck with contrast |
— |
$1,935 |
$581 |
$183 | |
| CT scan of the neck without contrast |
— |
$1,378 |
$413 |
$150 | |
| CT scan of the pelvis |
— |
$2,494 |
$670 |
$226 | |
| CT scan of the pelvis with and without contrast |
— |
$2,828 |
$848 |
$251 | |
| CT scan of the pelvis with contrast |
— |
$2,494 |
$748 |
$226 | |
| CT scan of the pelvis without contrast |
— |
$1,382 |
$422 |
$133 | |
| CT scan of the sinuses |
— |
$1,932 |
$580 |
$152 | |
| CT scan of the sinuses with and without contrast |
— |
$2,232 |
$670 |
$184 | |
| CT scan of the sinuses with contrast |
— |
$1,932 |
$580 |
$152 | |
| CT scan of the sinuses without contrast |
— |
$1,620 |
$486 |
$128 | |
| D-dimer test |
— |
$38 |
$12 |
$10 | |
| DHEA-sulfate test |
— |
$92 |
$36 |
$22 | |
| Diagnostic mammogram |
— |
$367 |
$223 |
$140 | |
| Drug screen (urine) |
— |
$216 |
$67 |
$17 | |
| Ear pressure test (tympanometry) |
— |
$56 |
$34 |
$16 | |
| Echocardiogram |
— |
$314 |
$191 |
$138 | |
| Echocardiogram with and without contrast |
— |
$255 |
$164 |
$101 | |
| EKG / ECG (tracing only) |
— |
$405 |
$287 |
$7 | |
| Electrocardiogram (EKG) |
— |
$405 |
$158 |
$8 | |
| Electroencephalogram (EEG) |
— |
$973 |
$678 |
$448 | |
| Electrolyte panel |
— |
$26 |
$10 |
$7 | |
| Electromyography (EMG) |
— |
$602 |
$298 |
$141 | |
| Emergency department visit |
— |
$899 |
$517 |
$69 | |
| Emergency department visit (level 1) |
— |
$334 |
$217 |
$11 | |
| Emergency department visit (level 2) |
— |
$565 |
$408 |
$40 | |
| Emergency department visit (level 3) |
— |
$899 |
$655 |
$69 | |
| Emergency department visit (level 4) |
— |
$1,435 |
$1,045 |
$118 | |
| Emergency department visit (level 5) |
— |
$2,124 |
$1,431 |
$171 | |
| Epidural steroid injection |
— |
$983 |
$632 |
$275 | |
| Estradiol (estrogen) test |
— |
$115 |
$66 |
$28 | |
| Facet joint injection (spine) |
— |
$646 |
$388 |
$99 | |
| Fallopian tube X-ray (HSG) |
— |
$650 |
$289 |
$164 | |
| Family therapy session |
— |
$206 |
$139 |
$110 | |
| Fecal occult blood (stool) test |
— |
$52 |
$11 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
— |
$14 |
$4 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
— |
$52 |
$20 |
$16 | |
| Ferritin (iron) test |
— |
$113 |
$37 |
$14 | |
| Fibrinogen test |
— |
$32 |
$13 |
$10 | |
| Flu vaccine |
— |
$24 |
$17 |
— | |
| Folate (folic acid) test |
— |
$55 |
$22 |
$15 | |
| Free T4 thyroid test |
— |
$81 |
$22 |
$9 | |
| FSH hormone test |
— |
$73 |
$29 |
$19 | |
| Gallbladder scan (HIDA) |
— |
$2,107 |
$1,264 |
$334 | |
| GGT liver test |
— |
$27 |
$16 |
$7 | |
| Glucose tolerance test |
— |
$15 |
$11 |
$8 | |
| Group therapy session |
— |
$193 |
$135 |
$30 | |
| H. pylori test |
— |
$227 |
$89 |
$67 | |
| HDL cholesterol test |
— |
$65 |
$23 |
$8 | |
| Hematocrit test |
— |
$9 |
$4 |
$2 | |
| Hemoglobin A1c (diabetes test) |
— |
$36 |
$11 |
$10 | |
| Hepatitis A vaccine |
— |
$200 |
$139 |
— | |
| Hepatitis B test |
— |
$35 |
$14 |
$10 | |
| Hepatitis B vaccine |
— |
$119 |
$60 |
— | |
| Hepatitis C test |
— |
$48 |
$19 |
$14 | |
| HIV test |
— |
$77 |
$30 |
$19 | |
| HIV test (antigen/antibody combo) |
— |
$77 |
$30 |
$24 | |
| Holter heart monitor |
— |
$418 |
$196 |
$26 | |
| Iron blood test |
— |
$24 |
$9 |
$6 | |
| IV infusion therapy |
— |
$391 |
$137 |
$44 | |
| IV infusion therapy (each additional) |
— |
$95 |
$60 |
$21 | |
| IV infusion therapy (initial) |
— |
$450 |
$289 |
$67 | |
| IVC filter placement |
— |
$4,531 |
$3,127 |
$1,885 | |
| Joint aspiration (small/intermediate) |
— |
$348 |
$239 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
— |
$348 |
$209 |
$57 | |
| Joint aspiration or injection (small joint) |
— |
$348 |
$243 |
$56 | |
| Kidney biopsy |
— |
$1,441 |
$865 |
$492 | |
| Kidney scan (nuclear) |
— |
$1,138 |
$683 |
$172 | |
| Kidney ultrasound |
— |
$348 |
$257 |
$84 | |
| Kidney ultrasound (limited) |
— |
$348 |
$245 |
$61 | |
| Knee joint injection |
— |
$331 |
$222 |
$69 | |
| Lactate test |
— |
$40 |
$21 |
$12 | |
| Laryngoscopy |
— |
$454 |
$275 |
$189 | |
| LDH test |
— |
$23 |
$9 |
$6 | |
| LDL cholesterol test |
— |
$36 |
$14 |
$11 | |
| Leg artery angiogram |
— |
$3,712 |
$2,387 |
$149 | |
| Leg artery angioplasty |
— |
$10,594 |
$5,026 |
— | |
| Leg vein ultrasound (Doppler) |
— |
$1,558 |
$733 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
— |
$1,558 |
$718 |
$116 | |
| LH hormone test |
— |
$77 |
$34 |
$19 | |
| Lipase test |
— |
$26 |
$9 |
$7 | |
| Lipid (cholesterol) panel |
— |
$94 |
$30 |
$13 | |
| Liver biopsy |
— |
$1,091 |
$655 |
$288 | |
| Liver function panel |
— |
$31 |
$10 |
$8 | |
| Lung function test (PFT) |
— |
$553 |
$260 |
$37 | |
| Lung scan (V/Q) |
— |
$1,399 |
$839 |
$291 | |
| Magnesium blood test |
— |
$25 |
$15 |
$7 | |
| MRA of the brain |
— |
$2,542 |
$796 |
$226 | |
| MRA of the brain with contrast |
— |
$2,479 |
$768 |
$226 | |
| MRA of the brain without contrast |
— |
$2,912 |
$903 |
$328 | |
| MRA of the neck |
— |
$2,728 |
$874 |
$245 | |
| MRA of the neck with contrast |
— |
$2,728 |
$846 |
$245 | |
| MRA of the neck without contrast |
— |
$2,913 |
$903 |
$343 | |
| MRI of the abdomen |
— |
$2,019 |
$653 |
$300 | |
| MRI of the abdomen with contrast |
— |
$2,019 |
$626 |
$300 | |
| MRI of the abdomen without contrast |
— |
$1,861 |
$577 |
$194 | |
| MRI of the ankle |
— |
$2,293 |
$750 |
$261 | |
| MRI of the ankle with contrast |
— |
$1,833 |
$568 |
$261 | |
| MRI of the ankle without contrast |
— |
$2,293 |
$711 |
$222 | |
| MRI of the brain |
— |
$3,137 |
$1,005 |
$269 | |
| MRI of the brain with contrast |
— |
$3,137 |
$972 |
$269 | |
| MRI of the brain without contrast |
— |
$2,922 |
$906 |
$195 | |
| MRI of the chest |
— |
$1,966 |
$648 |
$371 | |
| MRI of the chest without contrast |
— |
$2,124 |
$658 |
$466 | |
| MRI of the knee |
— |
$2,476 |
$750 |
$315 | |
| MRI of the knee with contrast |
— |
$2,476 |
$768 |
$315 | |
| MRI of the knee without contrast |
— |
$2,293 |
$711 |
$204 | |
| MRI of the lower back (lumbar spine) |
— |
$3,041 |
$978 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
— |
$3,041 |
$943 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
— |
$2,824 |
$875 |
$192 | |
| MRI of the mid-back (thoracic spine) |
— |
$2,363 |
$733 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
— |
$2,363 |
$733 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
— |
$2,205 |
$684 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
— |
$2,410 |
$747 |
$190 | |
| MRI of the neck (cervical spine) |
— |
$2,661 |
$862 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
— |
$2,873 |
$891 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
— |
$2,661 |
$825 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
— |
$2,446 |
$758 |
$191 | |
| MRI of the pelvis |
— |
$2,019 |
$626 |
$268 | |
| MRI of the pelvis with contrast |
— |
$2,019 |
$626 |
$268 | |
| MRI of the pelvis without contrast |
— |
$1,748 |
$542 |
$227 | |
| MRI of the shoulder |
— |
$2,251 |
$750 |
$313 | |
| MRI of the shoulder with contrast |
— |
$2,251 |
$698 |
$313 | |
| MRI of the shoulder without contrast |
— |
$2,082 |
$814 |
$205 | |
| MRI of the wrist |
— |
$2,251 |
$727 |
$330 | |
| MRI of the wrist with contrast |
— |
$2,251 |
$698 |
$330 | |
| MRI of the wrist without contrast |
— |
$2,086 |
$647 |
$303 | |
| Nebulizer breathing treatment |
— |
$176 |
$129 |
$9 | |
| Nerve conduction study |
— |
$165 |
$126 |
$118 | |
| Nuclear cardiac stress test |
— |
$5,516 |
$3,310 |
$428 | |
| Occupational therapy evaluation |
— |
$313 |
$189 |
$101 | |
| Occupational therapy evaluation (high complexity) |
— |
$313 |
$189 |
$101 | |
| Occupational therapy evaluation (low complexity) |
— |
$313 |
$189 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
— |
$313 |
$189 |
$101 | |
| Pap smear (cervical screening) |
— |
$101 |
$31 |
$20 | |
| Parathyroid hormone (PTH) test |
— |
$139 |
$54 |
$41 | |
| Pelvic ultrasound |
— |
$898 |
$395 |
$78 | |
| Pelvic ultrasound (complete) |
— |
$1,256 |
$754 |
$105 | |
| Pelvic ultrasound (limited) |
— |
$539 |
$323 |
$51 | |
| PET scan |
— |
$10,127 |
$6,076 |
— | |
| Phosphorus blood test |
— |
$23 |
$7 |
$5 | |
| Physical therapy evaluation |
— |
$279 |
$181 |
$98 | |
| Physical therapy evaluation (high complexity) |
— |
$279 |
$181 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
— |
$279 |
$181 |
$98 | |
| Platelet count |
— |
$17 |
$7 |
$4 | |
| Pneumonia vaccine |
— |
$252 |
$176 |
— | |
| Pregnancy blood test (hCG) |
— |
$28 |
$16 |
$8 | |
| Pregnancy ultrasound |
— |
$857 |
$486 |
$126 | |
| Pregnancy ultrasound (first trimester) |
— |
$857 |
$396 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
— |
$857 |
$514 |
$136 | |
| Procalcitonin test |
— |
$100 |
$39 |
$27 | |
| Prolactin test |
— |
$111 |
$41 |
$19 | |
| Prostate biopsy |
— |
$1,351 |
$811 |
— | |
| Prostate test (PSA) |
— |
$69 |
$27 |
$18 | |
| Psychiatric evaluation |
— |
$268 |
$187 |
$188 | |
| Psychotherapy session |
— |
$206 |
$138 |
$140 | |
| Pulmonary rehabilitation |
— |
$608 |
$424 |
$87 | |
| Rheumatoid factor test |
— |
$21 |
$8 |
$6 | |
| RSV vaccine |
— |
$564 |
$393 |
— | |
| Sacroiliac joint injection |
— |
$1,155 |
$805 |
$176 | |
| Scoliosis spine X-ray |
— |
$714 |
$351 |
$58 | |
| Scoliosis spine X-ray (1 view) |
— |
$474 |
$331 |
$44 | |
| Scoliosis spine X-ray (3 views) |
— |
$954 |
$665 |
$72 | |
| Screening mammogram |
— |
$344 |
$223 |
$126 | |
| Scrotal ultrasound |
— |
$959 |
$575 |
$99 | |
| Sedimentation rate (ESR) test |
— |
$14 |
$4 |
$3 | |
| Sex hormone binding globulin test |
— |
$77 |
$30 |
$22 | |
| Skin biopsy |
— |
$859 |
$555 |
$121 | |
| Skin biopsy (punch) |
— |
$859 |
$555 |
$121 | |
| Sleep study (polysomnography) |
— |
$4,005 |
$2,718 |
$691 | |
| Soft tissue ultrasound |
— |
$768 |
$461 |
$64 | |
| Speech therapy |
— |
$245 |
$161 |
$76 | |
| Spinal tap (lumbar puncture) |
— |
$1,397 |
$475 |
$165 | |
| Spirometry (lung function test) |
— |
$352 |
$245 |
$30 | |
| Spirometry with bronchodilator |
— |
$753 |
$525 |
$43 | |
| Strep throat test |
— |
$50 |
$20 |
$17 | |
| Stress echocardiogram |
— |
$1,638 |
$983 |
$209 | |
| Stress echocardiogram (complete) |
— |
$1,638 |
$983 |
$233 | |
| Swallow study |
— |
$550 |
$362 |
$85 | |
| T3 thyroid test |
— |
$53 |
$21 |
$14 | |
| Tdap (tetanus) vaccine |
— |
$299 |
$99 |
— | |
| Testosterone test |
— |
$96 |
$38 |
$26 | |
| Thyroid test (TSH) |
— |
$63 |
$26 |
$17 | |
| Thyroid ultrasound |
— |
$1,305 |
$783 |
$109 | |
| Thyroid uptake scan |
— |
$1,522 |
$717 |
$145 | |
| Tilt table test |
— |
$792 |
$475 |
$168 | |
| Total IgE allergy test |
— |
$61 |
$27 |
$16 | |
| Total protein test |
— |
$14 |
$6 |
$4 | |
| Transesophageal echocardiogram (TEE) |
— |
$802 |
$481 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
— |
$802 |
$481 |
$239 | |
| Transvaginal ultrasound |
— |
$1,254 |
$807 |
$118 | |
| Triglycerides test |
— |
$25 |
$13 |
$6 | |
| Troponin (heart) test |
— |
$104 |
$28 |
$12 | |
| Turning a breech baby (version) |
— |
$1,559 |
$1,087 |
$94 | |
| Upper GI series (barium) |
— |
$906 |
$593 |
$128 | |
| Uric acid (gout) test |
— |
$17 |
$5 |
$5 | |
| Urinalysis |
— |
$9 |
$4 |
$3 | |
| Urine microalbumin test |
— |
$72 |
$15 |
$5 | |
| Vaccine administration |
— |
$62 |
$44 |
$19 | |
| Vaccine administration (each additional) |
— |
$64 |
$47 |
$16 | |
| Vitamin B12 test |
— |
$56 |
$22 |
$15 | |
| Vitamin D test |
— |
$110 |
$39 |
$30 | |
| Wound debridement |
— |
$868 |
$521 |
$186 | |
| X-ray of the abdomen |
— |
$582 |
$328 |
$36 | |
| X-ray of the ankle |
— |
$559 |
$390 |
$37 | |
| X-ray of the collarbone |
— |
$621 |
$433 |
$33 | |
| X-ray of the elbow |
— |
$565 |
$394 |
$33 | |
| X-ray of the facial bones |
— |
$603 |
$408 |
$39 | |
| X-ray of the foot |
— |
$536 |
$374 |
$34 | |
| X-ray of the forearm |
— |
$481 |
$335 |
$29 | |
| X-ray of the hand |
— |
$575 |
$401 |
$38 | |
| X-ray of the hip |
— |
$715 |
$365 |
$49 | |
| X-ray of the hip (1 view) |
— |
$476 |
$332 |
$34 | |
| X-ray of the hip (3 views) |
— |
$715 |
$499 |
$49 | |
| X-ray of the hip (4 views) |
— |
$728 |
$508 |
$63 | |
| X-ray of the knee |
— |
$653 |
$254 |
$42 | |
| X-ray of the knee (2 views) |
— |
$317 |
$221 |
$34 | |
| X-ray of the knee (3 views) |
— |
$653 |
$455 |
$42 | |
| X-ray of the knee (4+ views) |
— |
$819 |
$571 |
$49 | |
| X-ray of the lower back (lumbar spine) |
— |
$761 |
$342 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
— |
$761 |
$322 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
— |
$951 |
$663 |
$53 | |
| X-ray of the lower leg |
— |
$574 |
$400 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
— |
$481 |
$345 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
— |
$481 |
$335 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
— |
$733 |
$398 |
$39 | |
| X-ray of the neck (cervical spine) |
— |
$649 |
$356 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
— |
$483 |
$344 |
$40 | |
| X-ray of the pelvis |
— |
$478 |
$306 |
$36 | |
| X-ray of the pelvis (1 view) |
— |
$474 |
$284 |
$28 | |
| X-ray of the ribs |
— |
$554 |
$372 |
$42 | |
| X-ray of the ribs (2 views) |
— |
$526 |
$367 |
$36 | |
| X-ray of the ribs (3 views) |
— |
$696 |
$372 |
$42 | |
| X-ray of the shoulder |
— |
$568 |
$396 |
$36 | |
| X-ray of the skull |
— |
$535 |
$362 |
$40 | |
| X-ray of the upper arm |
— |
$544 |
$379 |
$32 | |
| X-ray of the wrist |
— |
$537 |
$374 |
$43 | |
| Zinc blood test |
— |
$55 |
$16 |
$11 | |