| Abdominal ultrasound |
$235 |
$941 |
$373 |
$100 | |
| Abdominal ultrasound (complete) |
$227 |
$909 |
$373 |
$114 | |
| Abdominal ultrasound (limited) |
$243 |
$972 |
$243 |
$86 | |
| Abscess drainage (simple) |
$122 |
$488 |
$122 |
$129 | |
| Abscess incision and drainage |
$122 |
$488 |
$122 |
$174 | |
| Albumin blood test |
$41 |
$166 |
$41 |
$5 | |
| Ammonia blood test |
$36 |
$142 |
$36 |
$15 | |
| Amylase test |
$49 |
$196 |
$80 |
$6 | |
| Antinuclear antibody (ANA) test |
$10 |
$41 |
$10 |
$12 | |
| Arterial blood gas (ABG) |
$47 |
$189 |
$47 |
$26 | |
| Barium swallow study |
$141 |
$563 |
$195 |
$107 | |
| Basic metabolic panel |
$46 |
$182 |
$75 |
$8 | |
| Bilirubin blood test |
$5 |
$18 |
$5 |
$5 | |
| Blood clotting test (PT/INR) |
$13 |
$51 |
$21 |
$4 | |
| Blood crossmatch |
$100 |
$399 |
$164 |
— | |
| Blood glucose test |
$9 |
$36 |
$9 |
$5 | |
| Blood transfusion |
$288 |
$1,153 |
$473 |
$47 | |
| Blood type and screen |
$23 |
$93 |
$38 |
$10 | |
| Blood type test |
$44 |
$175 |
$55 |
$3 | |
| Blood type test (ABO group) |
$74 |
$294 |
$121 |
$3 | |
| Blood type test (Rh/D antigen) |
$14 |
$56 |
$23 |
$3 | |
| BNP (heart failure) test |
$41 |
$166 |
$41 |
$39 | |
| Botox for migraine |
$182 |
$727 |
$182 |
$157 | |
| C-reactive protein (CRP) |
$27 |
$107 |
$27 |
$5 | |
| Calcium blood test |
$14 |
$57 |
$23 |
$5 | |
| Carotid artery ultrasound |
$181 |
$722 |
$296 |
$156 | |
| Central line placement |
$754 |
$3,014 |
$754 |
$238 | |
| Chest X-ray |
$70 |
$278 |
$114 |
$37 | |
| Chest X-ray (1 view) |
$70 |
$278 |
$114 |
$25 | |
| Chest X-ray (2 views) |
$70 |
$278 |
$114 |
$33 | |
| CK-MB heart enzyme test |
$44 |
$175 |
$72 |
$12 | |
| Clotting time test (PTT) |
$17 |
$69 |
$28 |
$6 | |
| Colonoscopy |
$766 |
$3,063 |
$1,256 |
$480 | |
| Complete blood count (CBC) |
$23 |
$91 |
$29 |
$7 | |
| Complete blood count (CBC) (complete) |
$28 |
$112 |
$46 |
$8 | |
| Cortisol test |
$14 |
$57 |
$14 |
$16 | |
| CPAP titration study |
$89 |
$356 |
$89 |
$69 | |
| Creatine kinase (CK) test |
$16 |
$63 |
$16 |
$7 | |
| CT angiography of the chest |
$524 |
$2,097 |
$524 |
$281 | |
| CT angiography of the head |
$524 |
$2,097 |
$860 |
$274 | |
| CT scan of the abdomen |
$459 |
$1,837 |
$517 |
$230 | |
| CT scan of the abdomen and pelvis |
$899 |
$3,596 |
$1,474 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$899 |
$3,596 |
$1,474 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$899 |
$3,596 |
$1,474 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$918 |
$3,671 |
$1,505 |
$183 | |
| CT scan of the abdomen with and without contrast |
$517 |
$2,070 |
$849 |
$259 | |
| CT scan of the abdomen with contrast |
$459 |
$1,837 |
$753 |
$230 | |
| CT scan of the abdomen without contrast |
$297 |
$1,189 |
$487 |
$136 | |
| CT scan of the arm |
$381 |
$1,525 |
$487 |
$199 | |
| CT scan of the arm with contrast |
$465 |
$1,861 |
$763 |
$199 | |
| CT scan of the arm without contrast |
$297 |
$1,189 |
$487 |
$161 | |
| CT scan of the chest |
$465 |
$1,861 |
$487 |
$167 | |
| CT scan of the chest with and without contrast |
$517 |
$2,070 |
$517 |
$196 | |
| CT scan of the chest with contrast |
$465 |
$1,861 |
$763 |
$167 | |
| CT scan of the chest without contrast |
$297 |
$1,189 |
$487 |
$133 | |
| CT scan of the head |
$524 |
$2,098 |
$763 |
$148 | |
| CT scan of the head with and without contrast |
$699 |
$2,797 |
$1,147 |
$173 | |
| CT scan of the head with contrast |
$465 |
$1,861 |
$763 |
$148 | |
| CT scan of the head without contrast |
$524 |
$2,098 |
$860 |
$107 | |
| CT scan of the leg |
$350 |
$1,399 |
$517 |
$166 | |
| CT scan of the leg with contrast |
$321 |
$1,283 |
$526 |
$166 | |
| CT scan of the leg without contrast |
$350 |
$1,399 |
$573 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$517 |
$2,070 |
$763 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$517 |
$2,070 |
$849 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$465 |
$1,861 |
$763 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$524 |
$2,098 |
$860 |
$130 | |
| CT scan of the neck |
$465 |
$1,861 |
$517 |
$183 | |
| CT scan of the neck (cervical spine) |
$517 |
$2,070 |
$543 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$517 |
$2,070 |
$517 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$465 |
$1,861 |
$763 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$524 |
$2,098 |
$860 |
$131 | |
| CT scan of the neck with and without contrast |
$517 |
$2,070 |
$849 |
$220 | |
| CT scan of the neck with contrast |
$465 |
$1,861 |
$763 |
$183 | |
| CT scan of the neck without contrast |
$297 |
$1,189 |
$487 |
$150 | |
| CT scan of the pelvis |
$481 |
$1,924 |
$517 |
$226 | |
| CT scan of the pelvis with and without contrast |
$517 |
$2,070 |
$517 |
$251 | |
| CT scan of the pelvis with contrast |
$481 |
$1,924 |
$789 |
$226 | |
| CT scan of the pelvis without contrast |
$437 |
$1,748 |
$717 |
$133 | |
| CT scan of the sinuses |
$517 |
$2,070 |
$633 |
$152 | |
| CT scan of the sinuses with and without contrast |
$517 |
$2,070 |
$517 |
$184 | |
| CT scan of the sinuses with contrast |
$465 |
$1,861 |
$763 |
$152 | |
| CT scan of the sinuses without contrast |
$612 |
$2,447 |
$1,003 |
$128 | |
| Drug screen (urine) |
$49 |
$195 |
$80 |
$17 | |
| Ear tubes (myringotomy) |
$3,563 |
$14,250 |
$4,085 |
$174 | |
| Echocardiogram |
$343 |
$1,371 |
$343 |
$138 | |
| EKG / ECG (tracing only) |
$100 |
$400 |
$164 |
$7 | |
| Electrocardiogram (EKG) |
$100 |
$400 |
$164 |
$8 | |
| Emergency department visit |
$169 |
$676 |
$250 |
$69 | |
| Emergency department visit (level 1) |
$62 |
$250 |
$57 |
$11 | |
| Emergency department visit (level 2) |
$107 |
$430 |
$99 |
$40 | |
| Emergency department visit (level 3) |
$169 |
$676 |
$156 |
$69 | |
| Emergency department visit (level 4) |
$272 |
$1,088 |
$250 |
$118 | |
| Emergency department visit (level 5) |
$402 |
$1,607 |
$370 |
$171 | |
| Epidural steroid injection |
$635 |
$2,539 |
$1,041 |
$275 | |
| Esophageal dilation |
$834 |
$3,337 |
$834 |
$522 | |
| Estradiol (estrogen) test |
$19 |
$77 |
$19 |
$28 | |
| Facet joint injection (spine) |
$272 |
$1,087 |
$446 |
$99 | |
| Fallopian tube X-ray (HSG) |
$311 |
$1,244 |
$317 |
$164 | |
| Fecal occult blood (stool) test |
$16 |
$63 |
$16 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$16 |
$63 |
$16 |
$4 | |
| Feeding tube (PEG) placement |
$1,083 |
$4,331 |
$1,083 |
$178 | |
| Ferritin (iron) test |
$10 |
$38 |
$10 |
$14 | |
| Fibrinogen test |
$8 |
$30 |
$8 |
$10 | |
| Flexible sigmoidoscopy |
$502 |
$2,009 |
$513 |
$323 | |
| Flu test |
$13 |
$50 |
$13 |
$17 | |
| Folate (folic acid) test |
$37 |
$147 |
$37 |
$15 | |
| Free T4 thyroid test |
$44 |
$178 |
$44 |
$9 | |
| FSH hormone test |
$13 |
$51 |
$13 |
$19 | |
| GGT liver test |
$6 |
$24 |
$6 |
$7 | |
| Hematocrit test |
$7 |
$28 |
$11 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$23 |
$91 |
$37 |
$10 | |
| Hepatitis B test |
$25 |
$99 |
$25 |
$10 | |
| Hepatitis C test |
$35 |
$140 |
$57 |
$14 | |
| HIV test |
$34 |
$136 |
$35 |
$19 | |
| HIV test (antibody) |
$35 |
$140 |
$35 |
$14 | |
| HIV test (antigen/antibody combo) |
$33 |
$133 |
$54 |
$24 | |
| Home sleep apnea test |
$94 |
$377 |
$155 |
$123 | |
| Iron blood test |
$14 |
$54 |
$22 |
$6 | |
| IV infusion therapy |
$88 |
$350 |
$98 |
$44 | |
| IV infusion therapy (each additional) |
$28 |
$113 |
$28 |
$21 | |
| IV infusion therapy (initial) |
$147 |
$587 |
$147 |
$67 | |
| Joint aspiration (small/intermediate) |
$389 |
$1,557 |
$510 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$467 |
$1,866 |
$535 |
$57 | |
| Joint aspiration or injection (small joint) |
$312 |
$1,249 |
$312 |
$56 | |
| Kidney biopsy |
$948 |
$3,791 |
$948 |
$492 | |
| Kidney ultrasound |
$78 |
$311 |
$128 |
$84 | |
| Kidney ultrasound (limited) |
$78 |
$311 |
$78 |
$61 | |
| Knee joint injection |
$272 |
$1,087 |
$435 |
$69 | |
| Lactate test |
$24 |
$98 |
$24 |
$12 | |
| LDH test |
$16 |
$64 |
$16 |
$6 | |
| LDL cholesterol test |
$8 |
$33 |
$8 |
$11 | |
| Leg artery angiogram |
$1,983 |
$7,930 |
$1,983 |
$149 | |
| Leg vein ultrasound (Doppler) |
$173 |
$690 |
$257 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$157 |
$627 |
$257 |
$116 | |
| Lipase test |
$61 |
$245 |
$100 |
$7 | |
| Lipid (cholesterol) panel |
$11 |
$45 |
$11 |
$13 | |
| Liver biopsy |
$835 |
$3,341 |
$835 |
$288 | |
| Magnesium blood test |
$17 |
$70 |
$17 |
$7 | |
| MRA of the brain |
$549 |
$2,194 |
$818 |
$226 | |
| MRA of the brain with contrast |
$642 |
$2,569 |
$1,053 |
$226 | |
| MRA of the brain without contrast |
$549 |
$2,194 |
$900 |
$328 | |
| MRA of the neck |
$549 |
$2,194 |
$624 |
$245 | |
| MRA of the neck with contrast |
$549 |
$2,194 |
$900 |
$245 | |
| MRA of the neck without contrast |
$603 |
$2,413 |
$989 |
$343 | |
| MRI of the abdomen |
$462 |
$1,847 |
$579 |
$300 | |
| MRI of the ankle |
$625 |
$2,499 |
$795 |
$261 | |
| MRI of the ankle without contrast |
$485 |
$1,939 |
$795 |
$222 | |
| MRI of the brain |
$832 |
$3,327 |
$1,291 |
$269 | |
| MRI of the brain with contrast |
$915 |
$3,660 |
$1,500 |
$269 | |
| MRI of the brain without contrast |
$832 |
$3,327 |
$1,364 |
$195 | |
| MRI of the chest |
$586 |
$2,343 |
$586 |
$371 | |
| MRI of the chest without contrast |
$755 |
$3,019 |
$755 |
$466 | |
| MRI of the knee |
$589 |
$2,354 |
$795 |
$315 | |
| MRI of the knee with contrast |
$624 |
$2,497 |
$1,024 |
$315 | |
| MRI of the knee without contrast |
$485 |
$1,939 |
$795 |
$204 | |
| MRI of the lower back (lumbar spine) |
$647 |
$2,587 |
$1,024 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$624 |
$2,497 |
$1,024 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$647 |
$2,587 |
$1,060 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$485 |
$1,939 |
$791 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$765 |
$3,059 |
$1,254 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$481 |
$1,922 |
$481 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$485 |
$1,939 |
$795 |
$190 | |
| MRI of the neck (cervical spine) |
$642 |
$2,569 |
$814 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$787 |
$3,148 |
$1,291 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$642 |
$2,569 |
$642 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$582 |
$2,329 |
$955 |
$191 | |
| MRI of the pelvis |
$625 |
$2,499 |
$795 |
$268 | |
| MRI of the pelvis without contrast |
$485 |
$1,939 |
$795 |
$227 | |
| MRI of the shoulder |
$619 |
$2,475 |
$795 |
$313 | |
| MRI of the shoulder with contrast |
$624 |
$2,497 |
$1,024 |
$313 | |
| MRI of the shoulder without contrast |
$485 |
$1,939 |
$795 |
$205 | |
| Nebulizer breathing treatment |
$132 |
$528 |
$216 |
$9 | |
| Parathyroid hormone (PTH) test |
$44 |
$175 |
$72 |
$41 | |
| Pelvic ultrasound |
$78 |
$311 |
$128 |
$78 | |
| Pelvic ultrasound (complete) |
$78 |
$311 |
$128 |
$105 | |
| Pelvic ultrasound (limited) |
$78 |
$311 |
$128 |
$51 | |
| Phosphorus blood test |
$14 |
$57 |
$14 |
$5 | |
| Physical therapy evaluation |
$63 |
$252 |
$103 |
$98 | |
| Physical therapy evaluation (high complexity) |
$63 |
$252 |
$103 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$63 |
$252 |
$103 |
$98 | |
| Platelet count |
$12 |
$49 |
$12 |
$4 | |
| Pregnancy blood test (hCG) |
$19 |
$77 |
$19 |
$8 | |
| Procalcitonin test |
$65 |
$259 |
$65 |
$27 | |
| Prostate test (PSA) |
$70 |
$278 |
$70 |
$18 | |
| Radiofrequency nerve ablation |
$1,717 |
$6,870 |
$1,995 |
$462 | |
| Scoliosis spine X-ray |
$142 |
$566 |
$187 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$107 |
$427 |
$107 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$177 |
$706 |
$290 |
$72 | |
| Sedimentation rate (ESR) test |
$7 |
$28 |
$11 |
$3 | |
| Sex hormone binding globulin test |
$15 |
$60 |
$15 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$122 |
$487 |
$122 |
$114 | |
| Simple wound stitches |
$122 |
$487 |
$122 |
$127 | |
| Sleep study (polysomnography) |
$1,501 |
$6,004 |
$2,395 |
$691 | |
| Soft tissue ultrasound |
$74 |
$296 |
$121 |
$64 | |
| Spinal cord stimulator |
$4,671 |
$18,685 |
$7,661 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$337 |
$1,347 |
$337 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$4,163 |
$16,651 |
$6,677 |
$5,803 | |
| Strep throat test |
$13 |
$50 |
$13 |
$17 | |
| T3 thyroid test |
$41 |
$164 |
$41 |
$14 | |
| Testosterone test |
$18 |
$71 |
$18 |
$26 | |
| Thyroid test (TSH) |
$38 |
$154 |
$63 |
$17 | |
| Thyroid ultrasound |
$99 |
$395 |
$162 |
$109 | |
| Total protein test |
$37 |
$149 |
$37 |
$4 | |
| Trigger point injection |
$181 |
$724 |
$297 |
$56 | |
| Trigger point injection (1-2 muscles) |
$181 |
$724 |
$297 |
$52 | |
| Triglycerides test |
$14 |
$56 |
$14 |
$6 | |
| Troponin (heart) test |
$37 |
$150 |
$61 |
$12 | |
| Upper GI endoscopy (EGD) |
$759 |
$3,034 |
$1,244 |
$371 | |
| Uric acid (gout) test |
$5 |
$18 |
$7 |
$5 | |
| Urinalysis |
$13 |
$52 |
$20 |
$3 | |
| Urine microalbumin test |
$5 |
$18 |
$5 |
$5 | |
| Vaccine administration |
$54 |
$214 |
$54 |
$19 | |
| Vitamin B12 test |
$38 |
$154 |
$38 |
$15 | |
| Vitamin D test |
$72 |
$287 |
$118 |
$30 | |
| Wart removal |
$114 |
$457 |
$114 |
$121 | |
| X-ray of the abdomen |
$58 |
$232 |
$95 |
$36 | |
| X-ray of the ankle |
$69 |
$278 |
$114 |
$37 | |
| X-ray of the collarbone |
$69 |
$278 |
$69 |
$33 | |
| X-ray of the elbow |
$42 |
$168 |
$42 |
$33 | |
| X-ray of the foot |
$69 |
$278 |
$114 |
$34 | |
| X-ray of the forearm |
$274 |
$1,094 |
$449 |
$29 | |
| X-ray of the hand |
$77 |
$306 |
$125 |
$38 | |
| X-ray of the hip |
$107 |
$427 |
$187 |
$49 | |
| X-ray of the hip (1 view) |
$107 |
$427 |
$175 |
$34 | |
| X-ray of the hip (3 views) |
$107 |
$427 |
$175 |
$49 | |
| X-ray of the hip (4 views) |
$118 |
$470 |
$193 |
$63 | |
| X-ray of the knee |
$69 |
$278 |
$122 |
$42 | |
| X-ray of the knee (2 views) |
$69 |
$278 |
$114 |
$34 | |
| X-ray of the knee (3 views) |
$69 |
$278 |
$114 |
$42 | |
| X-ray of the knee (4+ views) |
$117 |
$467 |
$137 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$93 |
$373 |
$122 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$69 |
$278 |
$114 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$117 |
$468 |
$192 |
$53 | |
| X-ray of the lower leg |
$69 |
$278 |
$114 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$69 |
$278 |
$114 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$69 |
$278 |
$114 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$69 |
$278 |
$114 |
$39 | |
| X-ray of the neck (cervical spine) |
$93 |
$373 |
$122 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$69 |
$278 |
$114 |
$40 | |
| X-ray of the pelvis |
$69 |
$278 |
$114 |
$36 | |
| X-ray of the pelvis (1 view) |
$69 |
$278 |
$114 |
$28 | |
| X-ray of the ribs |
$74 |
$296 |
$121 |
$42 | |
| X-ray of the ribs (2 views) |
$69 |
$278 |
$114 |
$36 | |
| X-ray of the ribs (3 views) |
$74 |
$296 |
$74 |
$42 | |
| X-ray of the shoulder |
$104 |
$416 |
$122 |
$36 | |
| X-ray of the skull |
$72 |
$287 |
$114 |
$40 | |
| X-ray of the upper arm |
$69 |
$278 |
$114 |
$32 | |
| X-ray of the wrist |
$64 |
$255 |
$105 |
$43 | |