| Abdominal ultrasound |
$805 |
$821 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$903 |
$921 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$707 |
$721 |
— |
$86 | |
| Abscess drainage (simple) |
$259 |
$265 |
— |
$129 | |
| Abscess incision and drainage |
$259 |
$265 |
— |
$174 | |
| Albumin blood test |
$10 |
$10 |
— |
$5 | |
| Aldosterone test |
$127 |
$130 |
— |
$41 | |
| Alkaline phosphatase test |
$10 |
$10 |
— |
$5 | |
| Alpha-fetoprotein (AFP) test |
$76 |
$78 |
— |
$17 | |
| ALT liver enzyme test |
$10 |
$10 |
— |
$5 | |
| Ammonia blood test |
$102 |
$104 |
— |
$15 | |
| Amylase test |
$31 |
$31 |
— |
$6 | |
| Antinuclear antibody (ANA) test |
$76 |
$78 |
— |
$12 | |
| Arterial blood gas (ABG) |
$158 |
$161 |
— |
$26 | |
| AST liver enzyme test |
$10 |
$10 |
— |
$5 | |
| Barium swallow study |
$903 |
$921 |
— |
$107 | |
| Basic metabolic panel |
$56 |
$57 |
— |
$8 | |
| Bilirubin blood test |
$31 |
$31 |
— |
$5 | |
| Bladder function test (urodynamics) |
$822 |
$838 |
— |
$345 | |
| Blood clotting test (PT/INR) |
$41 |
$42 |
— |
$4 | |
| Blood glucose test |
$20 |
$21 |
— |
$5 | |
| Blood type and screen |
$61 |
$62 |
— |
$10 | |
| Blood type test |
$20 |
$21 |
— |
$3 | |
| Blood type test (ABO group) |
$20 |
$21 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$20 |
$21 |
— |
$3 | |
| BNP (heart failure) test |
$153 |
$156 |
— |
$39 | |
| Bone density scan (DEXA) |
$353 |
$361 |
— |
$39 | |
| Botox for migraine |
$186 |
$190 |
— |
$157 | |
| Breathing tube insertion (intubation) |
$131 |
$134 |
— |
$133 | |
| C-reactive protein (CRP) |
$76 |
$78 |
— |
$5 | |
| CA 19-9 tumor marker test |
$168 |
$171 |
— |
$21 | |
| CA-125 ovarian marker test |
$168 |
$171 |
— |
$21 | |
| Calcium blood test |
$10 |
$10 |
— |
$5 | |
| Carotid artery ultrasound |
$1,472 |
$1,502 |
— |
$156 | |
| CEA tumor marker test |
$127 |
$130 |
— |
$19 | |
| Celiac disease test |
$20 |
$21 |
— |
$12 | |
| Chalazion (eyelid cyst) removal |
$259 |
$265 |
— |
$131 | |
| Chest X-ray |
$236 |
$240 |
— |
$37 | |
| Chest X-ray (1 view) |
$118 |
$120 |
— |
$25 | |
| Chest X-ray (2 views) |
$196 |
$200 |
— |
$33 | |
| Chickenpox (varicella) vaccine |
$485 |
$495 |
— |
— | |
| CK-MB heart enzyme test |
$76 |
$78 |
— |
$12 | |
| Clotting time test (PTT) |
$41 |
$42 |
— |
$6 | |
| Complete blood count (CBC) |
$46 |
$47 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$51 |
$52 |
— |
$8 | |
| Comprehensive eye exam |
$489 |
$499 |
— |
$138 | |
| Comprehensive metabolic panel |
$76 |
$78 |
— |
$11 | |
| Copper blood test |
$127 |
$130 |
— |
$12 | |
| Cortisol test |
$76 |
$78 |
— |
$16 | |
| COVID-19 PCR test |
$122 |
$125 |
— |
$51 | |
| CPAP titration study |
$630 |
$643 |
— |
$69 | |
| Creatine kinase (CK) test |
$31 |
$31 |
— |
$7 | |
| CT angiography of the chest |
$375 |
$382 |
— |
$281 | |
| CT angiography of the head |
$368 |
$376 |
— |
$274 | |
| CT scan of the abdomen |
$298 |
$305 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$394 |
$402 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$451 |
$460 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$394 |
$402 |
— |
$300 | |
| CT scan of the abdomen with and without contrast |
$343 |
$350 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$298 |
$305 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$159 |
$162 |
— |
$136 | |
| CT scan of the arm |
$292 |
$298 |
— |
$199 | |
| CT scan of the arm with contrast |
$292 |
$298 |
— |
$199 | |
| CT scan of the arm without contrast |
$229 |
$233 |
— |
$161 | |
| CT scan of the chest |
$298 |
$305 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$368 |
$376 |
— |
$196 | |
| CT scan of the chest with contrast |
$298 |
$305 |
— |
$167 | |
| CT scan of the chest without contrast |
$229 |
$233 |
— |
$133 | |
| CT scan of the head |
$191 |
$194 |
— |
$148 | |
| CT scan of the head with and without contrast |
$229 |
$233 |
— |
$173 | |
| CT scan of the head with contrast |
$191 |
$194 |
— |
$148 | |
| CT scan of the head without contrast |
$133 |
$136 |
— |
$107 | |
| CT scan of the leg |
$298 |
$305 |
— |
$166 | |
| CT scan of the leg with contrast |
$298 |
$305 |
— |
$166 | |
| CT scan of the leg without contrast |
$229 |
$233 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$298 |
$305 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$368 |
$376 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$298 |
$305 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$229 |
$233 |
— |
$130 | |
| CT scan of the neck |
$298 |
$305 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$298 |
$305 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$368 |
$376 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$298 |
$305 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$235 |
$240 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$368 |
$376 |
— |
$220 | |
| CT scan of the neck with contrast |
$298 |
$305 |
— |
$183 | |
| CT scan of the neck without contrast |
$229 |
$233 |
— |
$150 | |
| CT scan of the pelvis |
$298 |
$305 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$356 |
$363 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$298 |
$305 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$165 |
$168 |
— |
$133 | |
| CT scan of the sinuses |
$197 |
$201 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$254 |
$259 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$197 |
$201 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$171 |
$175 |
— |
$128 | |
| D-dimer test |
$76 |
$78 |
— |
$10 | |
| DHEA-sulfate test |
$76 |
$78 |
— |
$22 | |
| Drug screen (urine) |
$163 |
$166 |
— |
$17 | |
| Echocardiogram |
$100 |
$102 |
— |
$138 | |
| EEG (awake and asleep) |
$670 |
$684 |
— |
$482 | |
| EKG / ECG (tracing only) |
$30 |
$31 |
— |
$7 | |
| Electrocardiogram (EKG) |
$30 |
$31 |
— |
$8 | |
| Electroencephalogram (EEG) |
$617 |
$630 |
— |
$448 | |
| Electrolyte panel |
$41 |
$42 |
— |
$7 | |
| Electromyography (EMG) |
$153 |
$156 |
— |
$141 | |
| Estradiol (estrogen) test |
$76 |
$78 |
— |
$28 | |
| Eye refraction (glasses prescription) |
$244 |
$249 |
— |
— | |
| Fecal occult blood (stool) test |
$25 |
$26 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$25 |
$26 |
— |
$4 | |
| Ferritin (iron) test |
$76 |
$78 |
— |
$14 | |
| Fibrinogen test |
$46 |
$47 |
— |
$10 | |
| Folate (folic acid) test |
$76 |
$78 |
— |
$15 | |
| Foreign body removal (skin) |
$259 |
$265 |
— |
$157 | |
| Free T4 thyroid test |
$76 |
$78 |
— |
$9 | |
| FSH hormone test |
$76 |
$78 |
— |
$19 | |
| GGT liver test |
$10 |
$10 |
— |
$7 | |
| Hematocrit test |
$20 |
$21 |
— |
$2 | |
| Hemodialysis |
$1,215 |
$1,240 |
— |
$75 | |
| Hemoglobin A1c (diabetes test) |
$102 |
$104 |
— |
$10 | |
| Hepatitis B test |
$127 |
$130 |
— |
$10 | |
| Hepatitis B vaccine |
$167 |
$170 |
— |
— | |
| Hepatitis C test |
$127 |
$130 |
— |
$14 | |
| HIV test |
$127 |
$130 |
— |
$19 | |
| HIV test (antigen/antibody combo) |
$127 |
$130 |
— |
$24 | |
| Iron blood test |
$31 |
$31 |
— |
$6 | |
| IV infusion therapy |
$1,344 |
$1,372 |
— |
$44 | |
| IV infusion therapy (each additional) |
$489 |
$499 |
— |
$21 | |
| IV infusion therapy (initial) |
$2,200 |
$2,245 |
— |
$67 | |
| Joint aspiration (small/intermediate) |
$173 |
$177 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$173 |
$177 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$173 |
$177 |
— |
$56 | |
| Kidney ultrasound |
$589 |
$601 |
— |
$84 | |
| Kidney ultrasound (limited) |
$314 |
$320 |
— |
$61 | |
| Knee joint injection |
$173 |
$177 |
— |
$69 | |
| Lactate test |
$102 |
$104 |
— |
$12 | |
| Laryngoscopy |
$225 |
$229 |
— |
$189 | |
| LDH test |
$20 |
$21 |
— |
$6 | |
| Leg vein ultrasound (Doppler) |
$1,453 |
$1,482 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,099 |
$1,122 |
— |
$116 | |
| LH hormone test |
$127 |
$130 |
— |
$19 | |
| Lipase test |
$41 |
$42 |
— |
$7 | |
| Lipid (cholesterol) panel |
$97 |
$99 |
— |
$13 | |
| Liver function panel |
$56 |
$57 |
— |
$8 | |
| Lung function test (PFT) |
$131 |
$134 |
— |
$37 | |
| Magnesium blood test |
$31 |
$31 |
— |
$7 | |
| MMR vaccine |
$330 |
$337 |
— |
— | |
| Nebulizer breathing treatment |
$1,366 |
$1,394 |
— |
$9 | |
| Nerve conduction study |
$106 |
$108 |
— |
$118 | |
| Occupational therapy evaluation |
$506 |
$516 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$506 |
$516 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$506 |
$516 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$506 |
$516 |
— |
$101 | |
| Office visit (established patient) |
$550 |
$561 |
— |
$115 | |
| Office visit (new patient) |
$611 |
$624 |
— |
$177 | |
| Office visit, established patient (level 3) |
$489 |
$499 |
— |
$95 | |
| Office visit, established patient (level 4) |
$611 |
$624 |
— |
$136 | |
| Office visit, new patient (level 3) |
$489 |
$499 |
— |
$118 | |
| Office visit, new patient (level 4) |
$611 |
$624 |
— |
$177 | |
| Office visit, new patient (level 5) |
$733 |
$748 |
— |
$237 | |
| Pap smear (cervical screening) |
$203 |
$208 |
— |
$20 | |
| Parathyroid hormone (PTH) test |
$76 |
$78 |
— |
$41 | |
| Pelvic ultrasound |
$550 |
$561 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$824 |
$841 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$275 |
$280 |
— |
$51 | |
| Phosphorus blood test |
$10 |
$10 |
— |
$5 | |
| Physical therapy evaluation |
$595 |
$607 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$595 |
$607 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$595 |
$607 |
— |
$98 | |
| Platelet count |
$20 |
$21 |
— |
$4 | |
| Pneumonia vaccine |
$414 |
$422 |
— |
— | |
| Pregnancy blood test (hCG) |
$51 |
$52 |
— |
$8 | |
| Pregnancy ultrasound |
$923 |
$941 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$824 |
$841 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$1,021 |
$1,042 |
— |
$136 | |
| Procalcitonin test |
$763 |
$779 |
— |
$27 | |
| Prolactin test |
$102 |
$104 |
— |
$19 | |
| Prostate test (PSA) |
$102 |
$104 |
— |
$18 | |
| Psychiatric evaluation |
$1,650 |
$1,684 |
— |
$188 | |
| Psychotherapy session |
$917 |
$935 |
— |
$140 | |
| Retina scan (OCT) |
$611 |
$624 |
— |
$33 | |
| Retinal (fundus) photography |
$611 |
$624 |
— |
$37 | |
| Routine eye exam |
$489 |
$499 |
— |
$88 | |
| Scoliosis spine X-ray |
$393 |
$401 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$275 |
$280 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$510 |
$521 |
— |
$72 | |
| Scrotal ultrasound |
$393 |
$401 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$31 |
$31 |
— |
$3 | |
| Sex hormone binding globulin test |
$127 |
$130 |
— |
$22 | |
| Skin biopsy |
$259 |
$265 |
— |
$121 | |
| Skin biopsy (punch) |
$259 |
$265 |
— |
$121 | |
| Sleep study (polysomnography) |
$955 |
$975 |
— |
$691 | |
| Soft tissue ultrasound |
$118 |
$120 |
— |
$64 | |
| Speech therapy |
$154 |
$157 |
— |
$76 | |
| Spirometry (lung function test) |
$131 |
$134 |
— |
$30 | |
| Swallow study |
$206 |
$210 |
— |
$85 | |
| T3 thyroid test |
$76 |
$78 |
— |
$14 | |
| Tdap (tetanus) vaccine |
$168 |
$171 |
— |
— | |
| Testosterone test |
$76 |
$78 |
— |
$26 | |
| Thyroid test (TSH) |
$76 |
$78 |
— |
$17 | |
| Thyroid ultrasound |
$981 |
$1,002 |
— |
$109 | |
| Total IgE allergy test |
$76 |
$78 |
— |
$16 | |
| Total protein test |
$10 |
$10 |
— |
$4 | |
| Transvaginal ultrasound |
$981 |
$1,002 |
— |
$118 | |
| Trigger point injection |
$173 |
$177 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$173 |
$177 |
— |
$52 | |
| Triglycerides test |
$10 |
$10 |
— |
$6 | |
| Troponin (heart) test |
$127 |
$130 |
— |
$12 | |
| Upper GI series (barium) |
$942 |
$961 |
— |
$128 | |
| Uric acid (gout) test |
$10 |
$10 |
— |
$5 | |
| Urinalysis |
$33 |
$34 |
— |
$3 | |
| Urine microalbumin test |
$64 |
$65 |
— |
$5 | |
| Urine pregnancy test |
$51 |
$52 |
— |
$9 | |
| Vaccine administration |
$367 |
$374 |
— |
$19 | |
| Visual field test |
$1,344 |
$1,372 |
— |
$64 | |
| Vitamin B12 test |
$76 |
$78 |
— |
$15 | |
| Vitamin D test |
$76 |
$78 |
— |
$30 | |
| Wart removal |
$69 |
$71 |
— |
$121 | |
| Wound debridement |
$692 |
$706 |
— |
$186 | |
| X-ray of the abdomen |
$236 |
$240 |
— |
$36 | |
| X-ray of the ankle |
$236 |
$240 |
— |
$37 | |
| X-ray of the collarbone |
$196 |
$200 |
— |
$33 | |
| X-ray of the elbow |
$236 |
$240 |
— |
$33 | |
| X-ray of the facial bones |
$255 |
$260 |
— |
$39 | |
| X-ray of the foot |
$236 |
$240 |
— |
$34 | |
| X-ray of the forearm |
$196 |
$200 |
— |
$29 | |
| X-ray of the hand |
$236 |
$240 |
— |
$38 | |
| X-ray of the hip |
$314 |
$320 |
— |
$49 | |
| X-ray of the hip (1 view) |
$236 |
$240 |
— |
$34 | |
| X-ray of the hip (3 views) |
$314 |
$320 |
— |
$49 | |
| X-ray of the hip (4 views) |
$393 |
$401 |
— |
$63 | |
| X-ray of the knee |
$275 |
$280 |
— |
$42 | |
| X-ray of the knee (2 views) |
$236 |
$240 |
— |
$34 | |
| X-ray of the knee (3 views) |
$275 |
$280 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$314 |
$320 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$314 |
$320 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$275 |
$280 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$353 |
$361 |
— |
$53 | |
| X-ray of the lower leg |
$236 |
$240 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$255 |
$260 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$236 |
$240 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$275 |
$280 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$275 |
$280 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$236 |
$240 |
— |
$40 | |
| X-ray of the pelvis |
$275 |
$280 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$236 |
$240 |
— |
$28 | |
| X-ray of the ribs |
$236 |
$240 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$236 |
$240 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$236 |
$240 |
— |
$42 | |
| X-ray of the shoulder |
$196 |
$200 |
— |
$36 | |
| X-ray of the skull |
$294 |
$300 |
— |
$40 | |
| X-ray of the upper arm |
$236 |
$240 |
— |
$32 | |
| X-ray of the wrist |
$275 |
$280 |
— |
$43 | |
| Zinc blood test |
$127 |
$130 |
— |
$11 | |