| 3D mammogram (tomosynthesis) |
$127 |
$127 |
$21 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,877 |
$1,877 |
$647 |
$284 | |
| Abdominal ultrasound |
$661 |
$661 |
$103 |
$100 | |
| Abdominal ultrasound (complete) |
$770 |
$770 |
$185 |
$114 | |
| Abdominal ultrasound (limited) |
$551 |
$551 |
$103 |
$86 | |
| Abscess drainage (complex or multiple) |
$399 |
$399 |
$369 |
$220 | |
| Abscess incision and drainage |
$399 |
$399 |
$369 |
$174 | |
| Albumin blood test |
$11 |
$11 |
$5 |
$5 | |
| Aldosterone test |
$61 |
$61 |
$57 |
$41 | |
| Alkaline phosphatase test |
$64 |
$64 |
$5 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$12 |
$12 |
$16 |
$17 | |
| ALT liver enzyme test |
$28 |
$28 |
$5 |
$5 | |
| Ammonia blood test |
$24 |
$24 |
$14 |
$15 | |
| Amylase test |
$93 |
$93 |
$6 |
$6 | |
| Annual physical (established patient) |
$22 |
$22 |
$69 |
— | |
| Antinuclear antibody (ANA) test |
$10 |
$10 |
$12 |
$12 | |
| AST liver enzyme test |
$56 |
$56 |
$5 |
$5 | |
| Barium swallow study |
$354 |
$354 |
$172 |
$107 | |
| Basic metabolic panel |
$127 |
$127 |
$8 |
$8 | |
| Bilirubin blood test |
$27 |
$27 |
$5 |
$5 | |
| Blood clotting test (PT/INR) |
$19 |
$19 |
$4 |
$4 | |
| Blood crossmatch |
$169 |
$169 |
$79 |
— | |
| Blood glucose test |
$55 |
$55 |
$4 |
$5 | |
| Blood transfusion |
$873 |
$873 |
$377 |
$47 | |
| Blood type and screen |
$110 |
$110 |
$37 |
$10 | |
| Blood type test |
$101 |
$101 |
$20 |
$3 | |
| Blood type test (ABO group) |
$144 |
$144 |
$67 |
$3 | |
| Blood type test (Rh/D antigen) |
$58 |
$58 |
$20 |
$3 | |
| BNP (heart failure) test |
$201 |
$201 |
$38 |
$39 | |
| Bone density scan (DEXA) |
$468 |
$468 |
$102 |
$39 | |
| Bone scan (nuclear) |
$1,283 |
$1,283 |
$391 |
$259 | |
| Breast biopsy |
$1,704 |
$1,704 |
$1,411 |
$478 | |
| Breast MRI |
$2,735 |
$2,735 |
$987 |
$216 | |
| Breast ultrasound |
$366 |
$366 |
$96 |
$92 | |
| Breast ultrasound (complete) |
$455 |
$455 |
$96 |
$100 | |
| Breast ultrasound (limited) |
$277 |
$277 |
$130 |
$84 | |
| Breathing tube insertion (intubation) |
$607 |
$607 |
$169 |
$133 | |
| Burn dressing and debridement (small) |
$236 |
$236 |
$195 |
$93 | |
| Burn treatment |
$236 |
$236 |
$195 |
$129 | |
| C-reactive protein (CRP) |
$79 |
$79 |
$5 |
$5 | |
| CA 19-9 tumor marker test |
$18 |
$18 |
$35 |
$21 | |
| CA-125 ovarian marker test |
$126 |
$126 |
$20 |
$21 | |
| Calcium blood test |
$58 |
$58 |
$5 |
$5 | |
| Cardiac stress test |
$875 |
$875 |
$300 |
$39 | |
| Cardioversion |
$1,357 |
$1,357 |
$631 |
$155 | |
| Carotid artery ultrasound |
$723 |
$723 |
$232 |
$156 | |
| CEA tumor marker test |
$148 |
$148 |
$19 |
$19 | |
| Celiac disease test |
$19 |
$19 |
$12 |
$12 | |
| Chest fluid drain (thoracentesis) |
$758 |
$758 |
$600 |
$311 | |
| Chest tube insertion |
$1,211 |
$1,211 |
$546 |
$143 | |
| Chest X-ray |
$140 |
$140 |
$81 |
$37 | |
| Chest X-ray (1 view) |
$128 |
$128 |
$85 |
$25 | |
| Chest X-ray (2 views) |
$152 |
$152 |
$79 |
$33 | |
| CK-MB heart enzyme test |
$83 |
$83 |
$43 |
$12 | |
| Clotting time test (PTT) |
$28 |
$28 |
$20 |
$6 | |
| Complete blood count (CBC) |
$69 |
$69 |
$7 |
$7 | |
| Complete blood count (CBC) (complete) |
$81 |
$81 |
$8 |
$8 | |
| Comprehensive metabolic panel |
$167 |
$167 |
$11 |
$11 | |
| Copper blood test |
$14 |
$14 |
$12 |
$12 | |
| Cortisol test |
$53 |
$53 |
$16 |
$16 | |
| CPAP titration study |
$309 |
$309 |
$184 |
$69 | |
| Creatine kinase (CK) test |
$15 |
$15 |
$6 |
$7 | |
| CT angiography of the chest |
$2,071 |
$2,071 |
$171 |
$281 | |
| CT angiography of the head |
$1,884 |
$1,884 |
$418 |
$274 | |
| CT scan of the abdomen |
$1,742 |
$1,742 |
$173 |
$230 | |
| CT scan of the abdomen and pelvis |
$3,500 |
$3,500 |
$344 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,525 |
$3,525 |
$348 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$3,500 |
$3,500 |
$347 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,936 |
$2,936 |
$232 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,019 |
$2,019 |
$173 |
$259 | |
| CT scan of the abdomen with contrast |
$1,742 |
$1,742 |
$174 |
$230 | |
| CT scan of the abdomen without contrast |
$1,370 |
$1,370 |
$104 |
$136 | |
| CT scan of the arm |
$1,554 |
$1,554 |
$159 |
$199 | |
| CT scan of the arm with contrast |
$1,480 |
$1,480 |
$788 |
$199 | |
| CT scan of the arm without contrast |
$1,628 |
$1,628 |
$104 |
$161 | |
| CT scan of the chest |
$1,701 |
$1,701 |
$224 |
$167 | |
| CT scan of the chest with and without contrast |
$1,884 |
$1,884 |
$174 |
$196 | |
| CT scan of the chest with contrast |
$1,701 |
$1,701 |
$397 |
$167 | |
| CT scan of the chest without contrast |
$1,405 |
$1,405 |
$107 |
$133 | |
| CT scan of the head |
$1,521 |
$1,521 |
$214 |
$148 | |
| CT scan of the head with and without contrast |
$1,770 |
$1,770 |
$961 |
$173 | |
| CT scan of the head with contrast |
$1,521 |
$1,521 |
$163 |
$148 | |
| CT scan of the head without contrast |
$1,299 |
$1,299 |
$186 |
$107 | |
| CT scan of the leg |
$1,653 |
$1,653 |
$104 |
$166 | |
| CT scan of the leg with contrast |
$1,632 |
$1,632 |
$171 |
$166 | |
| CT scan of the leg without contrast |
$1,653 |
$1,653 |
$104 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,654 |
$1,654 |
$104 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,881 |
$1,881 |
$1,087 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,654 |
$1,654 |
$346 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,477 |
$1,477 |
$104 |
$130 | |
| CT scan of the neck |
$1,516 |
$1,516 |
$171 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,566 |
$1,566 |
$216 |
$168 | |
| CT scan of the neck (cervical spine) with contrast |
$1,654 |
$1,654 |
$343 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,477 |
$1,477 |
$210 |
$131 | |
| CT scan of the neck with and without contrast |
$1,717 |
$1,717 |
$171 |
$220 | |
| CT scan of the neck with contrast |
$1,516 |
$1,516 |
$163 |
$183 | |
| CT scan of the neck without contrast |
$1,118 |
$1,118 |
$314 |
$150 | |
| CT scan of the pelvis |
$1,644 |
$1,644 |
$167 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,872 |
$1,872 |
$838 |
$251 | |
| CT scan of the pelvis with contrast |
$1,644 |
$1,644 |
$174 |
$226 | |
| CT scan of the pelvis without contrast |
$1,372 |
$1,372 |
$102 |
$133 | |
| CT scan of the sinuses |
$1,486 |
$1,486 |
$104 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,685 |
$1,685 |
$663 |
$184 | |
| CT scan of the sinuses with contrast |
$1,486 |
$1,486 |
$161 |
$152 | |
| CT scan of the sinuses without contrast |
$1,294 |
$1,294 |
$104 |
$128 | |
| D-dimer test |
$49 |
$49 |
$10 |
$10 | |
| DHEA-sulfate test |
$18 |
$18 |
$22 |
$22 | |
| Diagnostic mammogram |
$390 |
$390 |
$85 |
$140 | |
| Drug screen (urine) |
$83 |
$83 |
$62 |
$17 | |
| Echocardiogram |
$1,243 |
$1,243 |
$529 |
$138 | |
| Echocardiogram with and without contrast |
$385 |
$385 |
$233 |
$101 | |
| EKG / ECG (tracing only) |
$165 |
$165 |
$58 |
$7 | |
| Electrocardiogram (EKG) |
$165 |
$165 |
$58 |
$8 | |
| Electrolyte panel |
$86 |
$86 |
$24 |
$7 | |
| Emergency department visit |
$728 |
$728 |
$269 |
$69 | |
| Emergency department visit (level 1) |
$321 |
$321 |
$86 |
$11 | |
| Emergency department visit (level 2) |
$450 |
$450 |
$155 |
$40 | |
| Emergency department visit (level 3) |
$728 |
$728 |
$268 |
$69 | |
| Emergency department visit (level 4) |
$1,166 |
$1,166 |
$411 |
$118 | |
| Emergency department visit (level 5) |
$1,990 |
$1,990 |
$591 |
$171 | |
| Estradiol (estrogen) test |
$68 |
$68 |
$28 |
$28 | |
| Fallopian tube X-ray (HSG) |
$644 |
$644 |
$401 |
$164 | |
| Fecal occult blood (stool) test |
$187 |
$187 |
$16 |
$10 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$187 |
$187 |
$16 |
$16 | |
| Ferritin (iron) test |
$114 |
$114 |
$13 |
$14 | |
| Folate (folic acid) test |
$102 |
$102 |
$14 |
$15 | |
| Free T4 thyroid test |
$98 |
$98 |
$9 |
$9 | |
| FSH hormone test |
$148 |
$148 |
$19 |
$19 | |
| Gallbladder scan (HIDA) |
$1,751 |
$1,751 |
$522 |
$334 | |
| GGT liver test |
$40 |
$40 |
$7 |
$7 | |
| Glucose tolerance test |
$116 |
$116 |
$13 |
$8 | |
| H. pylori test |
$50 |
$50 |
$169 |
$67 | |
| Hematocrit test |
$23 |
$23 |
$2 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$83 |
$83 |
$10 |
$10 | |
| Hepatitis B test |
$121 |
$121 |
$10 |
$10 | |
| Hepatitis C test |
$68 |
$68 |
$14 |
$14 | |
| HIV test |
$62 |
$62 |
$24 |
$19 | |
| HIV test (antigen/antibody combo) |
$62 |
$62 |
$24 |
$24 | |
| Holter heart monitor |
$871 |
$871 |
$57 |
$26 | |
| Iron blood test |
$32 |
$32 |
$6 |
$6 | |
| IV infusion therapy |
$264 |
$264 |
$119 |
$44 | |
| IV infusion therapy (each additional) |
$85 |
$85 |
$44 |
$21 | |
| IV infusion therapy (initial) |
$442 |
$442 |
$203 |
$67 | |
| Kidney ultrasound |
$553 |
$553 |
$103 |
$84 | |
| Kidney ultrasound (limited) |
$526 |
$526 |
$102 |
$61 | |
| Lactate test |
$98 |
$98 |
$40 |
$12 | |
| LDH test |
$23 |
$23 |
$6 |
$6 | |
| Leg vein ultrasound (Doppler) |
$881 |
$881 |
$128 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$664 |
$664 |
$102 |
$116 | |
| LH hormone test |
$144 |
$144 |
$19 |
$19 | |
| Lipase test |
$83 |
$83 |
$7 |
$7 | |
| Lipid (cholesterol) panel |
$107 |
$107 |
$13 |
$13 | |
| Liver function panel |
$140 |
$140 |
$8 |
$8 | |
| Lung function test (PFT) |
$309 |
$309 |
$287 |
$37 | |
| Magnesium blood test |
$11 |
$11 |
$7 |
$7 | |
| MRA of the brain |
$2,448 |
$2,448 |
$978 |
$226 | |
| MRA of the brain without contrast |
$2,787 |
$2,787 |
$1,561 |
$328 | |
| MRA of the neck |
$2,719 |
$2,719 |
$1,307 |
$245 | |
| MRA of the neck without contrast |
$2,719 |
$2,719 |
$1,307 |
$343 | |
| MRI of the abdomen |
$2,657 |
$2,657 |
$344 |
$300 | |
| MRI of the abdomen without contrast |
$2,274 |
$2,274 |
$181 |
$194 | |
| MRI of the ankle |
$2,703 |
$2,703 |
$343 |
$261 | |
| MRI of the ankle without contrast |
$2,222 |
$2,222 |
$233 |
$222 | |
| MRI of the brain |
$2,626 |
$2,626 |
$344 |
$269 | |
| MRI of the brain without contrast |
$2,096 |
$2,096 |
$234 |
$195 | |
| MRI of the knee |
$2,710 |
$2,710 |
$234 |
$315 | |
| MRI of the knee with contrast |
$2,710 |
$2,710 |
$1,222 |
$315 | |
| MRI of the knee without contrast |
$2,638 |
$2,638 |
$233 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,715 |
$2,715 |
$339 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,379 |
$2,379 |
$237 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,715 |
$2,715 |
$347 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$3,051 |
$3,051 |
$1,396 |
$319 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,379 |
$2,379 |
$233 |
$190 | |
| MRI of the neck (cervical spine) |
$2,715 |
$2,715 |
$340 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$3,051 |
$3,051 |
$345 |
$318 | |
| MRI of the neck (cervical spine) without contrast |
$2,379 |
$2,379 |
$236 |
$191 | |
| MRI of the pelvis |
$2,524 |
$2,524 |
$400 |
$268 | |
| MRI of the pelvis without contrast |
$2,064 |
$2,064 |
$250 |
$227 | |
| MRI of the shoulder |
$2,862 |
$2,862 |
$238 |
$313 | |
| MRI of the shoulder with contrast |
$2,862 |
$2,862 |
$1,290 |
$313 | |
| MRI of the shoulder without contrast |
$2,647 |
$2,647 |
$235 |
$205 | |
| MRI of the wrist |
$2,624 |
$2,624 |
$835 |
$330 | |
| MRI of the wrist without contrast |
$2,293 |
$2,293 |
$233 |
$303 | |
| Nebulizer breathing treatment |
$175 |
$175 |
$119 |
$9 | |
| Nuclear cardiac stress test |
$3,462 |
$3,462 |
$1,237 |
$428 | |
| Occupational therapy evaluation |
$207 |
$207 |
$95 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$207 |
$207 |
$95 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$207 |
$207 |
$93 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$207 |
$207 |
$95 |
$101 | |
| Office visit (established patient) |
$277 |
$277 |
$249 |
$115 | |
| Office visit (new patient) |
$327 |
$327 |
$288 |
$177 | |
| Office visit, established patient (level 3) |
$226 |
$226 |
$171 |
$95 | |
| Office visit, established patient (level 4) |
$327 |
$327 |
$249 |
$136 | |
| Office visit, new patient (level 4) |
$327 |
$327 |
$288 |
$177 | |
| Pap smear (cervical screening) |
$29 |
$29 |
$26 |
$20 | |
| Parathyroid hormone (PTH) test |
$193 |
$193 |
$40 |
$41 | |
| Pelvic ultrasound |
$619 |
$619 |
$103 |
$78 | |
| Pelvic ultrasound (complete) |
$619 |
$619 |
$103 |
$105 | |
| PET scan |
$3,857 |
$3,857 |
$1,406 |
— | |
| Phosphorus blood test |
$25 |
$25 |
$5 |
$5 | |
| Physical therapy evaluation |
$203 |
$203 |
$93 |
$98 | |
| Physical therapy evaluation (high complexity) |
$203 |
$203 |
$93 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$203 |
$203 |
$94 |
$98 | |
| Platelet count |
$42 |
$42 |
$4 |
$4 | |
| Pregnancy blood test (hCG) |
$92 |
$92 |
$24 |
$8 | |
| Pregnancy ultrasound |
$661 |
$661 |
$99 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$614 |
$614 |
$99 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$707 |
$707 |
$122 |
$136 | |
| Procalcitonin test |
$86 |
$86 |
$52 |
$27 | |
| Prolactin test |
$151 |
$151 |
$17 |
$19 | |
| Prostate test (PSA) |
$77 |
$77 |
$18 |
$18 | |
| Rheumatoid factor test |
$61 |
$61 |
$6 |
$6 | |
| Scoliosis spine X-ray |
$334 |
$334 |
$71 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$264 |
$264 |
$101 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$403 |
$403 |
$71 |
$72 | |
| Screening mammogram |
$367 |
$367 |
$80 |
$126 | |
| Scrotal ultrasound |
$566 |
$566 |
$186 |
$99 | |
| Sedimentation rate (ESR) test |
$53 |
$53 |
$4 |
$3 | |
| Semen analysis |
$103 |
$103 |
$54 |
$12 | |
| Sex hormone binding globulin test |
$53 |
$53 |
$22 |
$22 | |
| Skin biopsy |
$428 |
$428 |
$588 |
$121 | |
| Skin biopsy (punch) |
$442 |
$442 |
$348 |
$121 | |
| Sleep study (polysomnography) |
$3,229 |
$3,229 |
$977 |
$691 | |
| Soft tissue ultrasound |
$560 |
$560 |
$104 |
$64 | |
| Speech therapy |
$233 |
$233 |
$71 |
$76 | |
| Spinal tap (lumbar puncture) |
$1,023 |
$1,023 |
$425 |
$165 | |
| Spirometry (lung function test) |
$231 |
$231 |
$150 |
$30 | |
| Spirometry with bronchodilator |
$387 |
$387 |
$299 |
$43 | |
| Swallow study |
$245 |
$245 |
$80 |
$85 | |
| T3 thyroid test |
$105 |
$105 |
$14 |
$14 | |
| Tdap (tetanus) vaccine |
$145 |
$145 |
$76 |
— | |
| Testosterone test |
$16 |
$16 |
$25 |
$26 | |
| Thyroid test (TSH) |
$132 |
$132 |
$16 |
$17 | |
| Thyroid ultrasound |
$533 |
$533 |
$104 |
$109 | |
| Thyroid uptake scan |
$542 |
$542 |
$301 |
$145 | |
| Total IgE allergy test |
$12 |
$12 |
$16 |
$16 | |
| Total protein test |
$61 |
$61 |
$4 |
$4 | |
| Transvaginal ultrasound |
$522 |
$522 |
$102 |
$118 | |
| Triglycerides test |
$9 |
$9 |
$20 |
$6 | |
| Troponin (heart) test |
$92 |
$92 |
$43 |
$12 | |
| Upper GI series (barium) |
$501 |
$501 |
$211 |
$128 | |
| Uric acid (gout) test |
$61 |
$61 |
$4 |
$5 | |
| Urinalysis |
$49 |
$49 |
$2 |
$3 | |
| Urine microalbumin test |
$45 |
$45 |
$6 |
$5 | |
| Urine pregnancy test |
$70 |
$70 |
$20 |
$9 | |
| Vaccine administration |
$38 |
$38 |
$43 |
$19 | |
| Vaccine administration (each additional) |
$29 |
$29 |
$16 |
$16 | |
| Vitamin B12 test |
$114 |
$114 |
$15 |
$15 | |
| Vitamin D test |
$140 |
$140 |
$29 |
$30 | |
| Well-child visit |
$22 |
$22 |
$65 |
— | |
| Wound debridement |
$589 |
$589 |
$347 |
$186 | |
| X-ray of the abdomen |
$167 |
$167 |
$79 |
$36 | |
| X-ray of the ankle |
$260 |
$260 |
$85 |
$37 | |
| X-ray of the collarbone |
$158 |
$158 |
$197 |
$33 | |
| X-ray of the elbow |
$177 |
$177 |
$109 |
$33 | |
| X-ray of the facial bones |
$325 |
$325 |
$175 |
$39 | |
| X-ray of the foot |
$187 |
$187 |
$86 |
$34 | |
| X-ray of the forearm |
$156 |
$156 |
$118 |
$29 | |
| X-ray of the hand |
$171 |
$171 |
$85 |
$38 | |
| X-ray of the hip |
$181 |
$181 |
$80 |
$49 | |
| X-ray of the hip (3 views) |
$181 |
$181 |
$80 |
$49 | |
| X-ray of the knee |
$187 |
$187 |
$86 |
$42 | |
| X-ray of the knee (2 views) |
$152 |
$152 |
$86 |
$34 | |
| X-ray of the knee (3 views) |
$187 |
$187 |
$85 |
$42 | |
| X-ray of the knee (4+ views) |
$223 |
$223 |
$100 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$217 |
$217 |
$103 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$182 |
$182 |
$103 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$252 |
$252 |
$103 |
$53 | |
| X-ray of the lower leg |
$170 |
$170 |
$85 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$198 |
$198 |
$104 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$184 |
$184 |
$103 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$212 |
$212 |
$141 |
$39 | |
| X-ray of the neck (cervical spine) |
$198 |
$198 |
$86 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$152 |
$152 |
$82 |
$40 | |
| X-ray of the pelvis |
$179 |
$179 |
$123 |
$36 | |
| X-ray of the pelvis (1 view) |
$146 |
$146 |
$117 |
$28 | |
| X-ray of the ribs |
$369 |
$369 |
$122 |
$42 | |
| X-ray of the ribs (2 views) |
$164 |
$164 |
$85 |
$36 | |
| X-ray of the ribs (3 views) |
$393 |
$393 |
$221 |
$42 | |
| X-ray of the shoulder |
$202 |
$202 |
$85 |
$36 | |
| X-ray of the skull |
$237 |
$237 |
$45 |
$40 | |
| X-ray of the upper arm |
$163 |
$163 |
$122 |
$32 | |
| X-ray of the wrist |
$165 |
$165 |
$85 |
$43 | |
| Zinc blood test |
$67 |
$67 |
$11 |
$11 | |