| 3D mammogram (tomosynthesis) |
$214 |
$218 |
— |
$51 | |
| Abdominal ultrasound |
$626 |
$639 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$702 |
$716 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$549 |
$561 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$623 |
$636 |
— |
$220 | |
| Abscess drainage (simple) |
$234 |
$238 |
— |
$129 | |
| Abscess incision and drainage |
$273 |
$278 |
— |
$174 | |
| Acupuncture |
$122 |
$125 |
— |
$38 | |
| Acupuncture (each additional) |
$73 |
$75 |
— |
$28 | |
| Albumin blood test |
$6 |
$6 |
— |
$5 | |
| Aldosterone test |
$75 |
$77 |
— |
$41 | |
| Alkaline phosphatase test |
$6 |
$6 |
— |
$5 | |
| Allergy testing |
$58 |
$59 |
— |
$4 | |
| Alpha-fetoprotein (AFP) test |
$45 |
$46 |
— |
$17 | |
| ALT liver enzyme test |
$6 |
$6 |
— |
$5 | |
| Ammonia blood test |
$60 |
$62 |
— |
$15 | |
| Amniocentesis |
$366 |
$373 |
— |
$120 | |
| Amylase test |
$18 |
$18 |
— |
$6 | |
| Anoscopy |
$156 |
$159 |
— |
$129 | |
| Antinuclear antibody (ANA) test |
$45 |
$46 |
— |
$12 | |
| Arterial blood gas (ABG) |
$95 |
$97 |
— |
$26 | |
| AST liver enzyme test |
$6 |
$6 |
— |
$5 | |
| Barium swallow study |
$702 |
$716 |
— |
$107 | |
| Bartholin cyst removal |
$487 |
$497 |
— |
$182 | |
| Basic metabolic panel |
$33 |
$34 |
— |
$8 | |
| Bilirubin blood test |
$18 |
$19 |
— |
$5 | |
| Blood clotting test (PT/INR) |
$24 |
$25 |
— |
$4 | |
| Blood crossmatch |
$25 |
$25 |
— |
— | |
| Blood glucose test |
$12 |
$12 |
— |
$5 | |
| Blood transfusion |
$1,002 |
$1,023 |
— |
$47 | |
| Blood type and screen |
$37 |
$37 |
— |
$10 | |
| Blood type test |
$12 |
$12 |
— |
$3 | |
| Blood type test (ABO group) |
$12 |
$12 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$12 |
$12 |
— |
$3 | |
| BNP (heart failure) test |
$91 |
$92 |
— |
$39 | |
| Bone marrow biopsy |
$352 |
$359 |
— |
$172 | |
| Bone scan (nuclear) |
$409 |
$418 |
— |
$259 | |
| Botox for migraine |
$250 |
$255 |
— |
$157 | |
| Breast MRI |
$864 |
$882 |
— |
$216 | |
| Breast MRI without contrast |
$847 |
$864 |
— |
$216 | |
| Breast ultrasound |
$458 |
$467 |
— |
$92 | |
| Breast ultrasound (complete) |
$611 |
$623 |
— |
$100 | |
| Breast ultrasound (limited) |
$458 |
$467 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$66 |
$67 |
— |
$133 | |
| C-reactive protein (CRP) |
$45 |
$46 |
— |
$5 | |
| CA 19-9 tumor marker test |
$100 |
$102 |
— |
$21 | |
| CA-125 ovarian marker test |
$100 |
$102 |
— |
$21 | |
| Calcium blood test |
$6 |
$6 |
— |
$5 | |
| Cardiac MRI |
$1,210 |
$1,235 |
— |
$322 | |
| Cardiac MRI without contrast |
$985 |
$1,005 |
— |
$280 | |
| Cardiac stress test |
$183 |
$186 |
— |
$39 | |
| Cardioversion |
$274 |
$279 |
— |
$155 | |
| Carotid artery ultrasound |
$1,145 |
$1,168 |
— |
$156 | |
| CEA tumor marker test |
$75 |
$77 |
— |
$19 | |
| Celiac disease test |
$12 |
$12 |
— |
$12 | |
| Central line placement |
$244 |
$249 |
— |
$238 | |
| Cervical cerclage |
$1,218 |
$1,243 |
— |
$137 | |
| Chalazion (eyelid cyst) removal |
$234 |
$238 |
— |
$131 | |
| Chemotherapy infusion |
$335 |
$342 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$189 |
$193 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$850 |
$868 |
— |
$133 | |
| Chest X-ray |
$183 |
$187 |
— |
$37 | |
| Chest X-ray (1 view) |
$92 |
$93 |
— |
$25 | |
| Chest X-ray (2 views) |
$153 |
$156 |
— |
$33 | |
| Chickenpox (varicella) vaccine |
$609 |
$622 |
— |
— | |
| Circumcision |
$366 |
$373 |
— |
$167 | |
| CK-MB heart enzyme test |
$46 |
$47 |
— |
$12 | |
| Clotting time test (PTT) |
$24 |
$25 |
— |
$6 | |
| Colposcopy |
$311 |
$318 |
— |
$161 | |
| Complete blood count (CBC) |
$24 |
$25 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$30 |
$31 |
— |
$8 | |
| Comprehensive eye exam |
$98 |
$100 |
— |
$138 | |
| Comprehensive metabolic panel |
$45 |
$46 |
— |
$11 | |
| Contraceptive implant (Nexplanon) |
$122 |
$124 |
— |
$115 | |
| Copper blood test |
$75 |
$77 |
— |
$12 | |
| Coronary CT angiography |
$397 |
$405 |
— |
$326 | |
| Cortisol test |
$45 |
$46 |
— |
$16 | |
| COVID-19 PCR test |
$66 |
$67 |
— |
$51 | |
| CPAP titration study |
$315 |
$322 |
— |
$69 | |
| Creatine kinase (CK) test |
$18 |
$18 |
— |
$7 | |
| CT angiography of the chest |
$275 |
$281 |
— |
$281 | |
| CT angiography of the head |
$271 |
$276 |
— |
$274 | |
| CT colonography (virtual colonoscopy) |
$840 |
$857 |
— |
$835 | |
| CT scan of the abdomen |
$219 |
$224 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$289 |
$295 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$331 |
$338 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$289 |
$295 |
— |
$300 | |
| CT scan of the abdomen with and without contrast |
$252 |
$257 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$219 |
$224 |
— |
$230 | |
| CT scan of the arm |
$215 |
$219 |
— |
$199 | |
| CT scan of the arm with contrast |
$215 |
$219 |
— |
$199 | |
| CT scan of the arm without contrast |
$168 |
$171 |
— |
$161 | |
| CT scan of the chest |
$219 |
$224 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$271 |
$276 |
— |
$196 | |
| CT scan of the chest with contrast |
$219 |
$224 |
— |
$167 | |
| CT scan of the chest without contrast |
$168 |
$171 |
— |
$133 | |
| CT scan of the head |
$140 |
$143 |
— |
$148 | |
| CT scan of the head with and without contrast |
$168 |
$171 |
— |
$173 | |
| CT scan of the head with contrast |
$140 |
$143 |
— |
$148 | |
| CT scan of the leg |
$219 |
$224 |
— |
$166 | |
| CT scan of the leg with contrast |
$219 |
$224 |
— |
$166 | |
| CT scan of the leg without contrast |
$168 |
$171 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$219 |
$224 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$271 |
$276 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$219 |
$224 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$168 |
$171 |
— |
$130 | |
| CT scan of the neck |
$219 |
$224 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$219 |
$224 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$271 |
$276 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$219 |
$224 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$173 |
$176 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$271 |
$276 |
— |
$220 | |
| CT scan of the neck with contrast |
$219 |
$224 |
— |
$183 | |
| CT scan of the neck without contrast |
$168 |
$171 |
— |
$150 | |
| CT scan of the pelvis |
$219 |
$224 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$261 |
$267 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$219 |
$224 |
— |
$226 | |
| CT scan of the sinuses |
$145 |
$148 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$187 |
$190 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$145 |
$148 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$126 |
$129 |
— |
$128 | |
| D-dimer test |
$45 |
$46 |
— |
$10 | |
| Developmental screening (child) |
$298 |
$304 |
— |
— | |
| DHEA-sulfate test |
$46 |
$47 |
— |
$22 | |
| Diagnostic mammogram |
$916 |
$935 |
— |
$140 | |
| Drug screen (urine) |
$194 |
$198 |
— |
$17 | |
| Ear tubes (myringotomy) |
$156 |
$159 |
— |
$174 | |
| Echocardiogram |
$274 |
$279 |
— |
$138 | |
| Echocardiogram with and without contrast |
$122 |
$124 |
— |
$101 | |
| Echocardiogram without contrast |
$274 |
$279 |
— |
$138 | |
| EEG (awake and asleep) |
$1,582 |
$1,614 |
— |
$482 | |
| EKG / ECG (tracing only) |
$69 |
$70 |
— |
$7 | |
| Electrocardiogram (EKG) |
$69 |
$70 |
— |
$8 | |
| Electroencephalogram (EEG) |
$1,456 |
$1,486 |
— |
$448 | |
| Electrolyte panel |
$25 |
$25 |
— |
$7 | |
| Electromyography (EMG) |
$360 |
$368 |
— |
$141 | |
| Emergency department visit |
$256 |
$261 |
— |
$69 | |
| Emergency department visit (level 1) |
$85 |
$86 |
— |
$11 | |
| Emergency department visit (level 2) |
$184 |
$187 |
— |
$40 | |
| Emergency department visit (level 3) |
$367 |
$375 |
— |
$69 | |
| Emergency department visit (level 4) |
$734 |
$749 |
— |
$118 | |
| Emergency department visit (level 5) |
$1,285 |
$1,311 |
— |
$171 | |
| Estradiol (estrogen) test |
$45 |
$46 |
— |
$28 | |
| Eye refraction (glasses prescription) |
$82 |
$84 |
— |
— | |
| Fallopian tube X-ray (HSG) |
$66 |
$67 |
— |
$164 | |
| Family therapy session |
$183 |
$187 |
— |
$110 | |
| Fecal occult blood (stool) test |
$15 |
$15 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$15 |
$15 |
— |
$4 | |
| Ferritin (iron) test |
$45 |
$46 |
— |
$14 | |
| Fibrinogen test |
$27 |
$28 |
— |
$10 | |
| Folate (folic acid) test |
$45 |
$46 |
— |
$15 | |
| Foreign body removal (skin) |
$234 |
$238 |
— |
$157 | |
| Free T4 thyroid test |
$45 |
$46 |
— |
$9 | |
| FSH hormone test |
$45 |
$46 |
— |
$19 | |
| Gallbladder scan (HIDA) |
$685 |
$699 |
— |
$334 | |
| GGT liver test |
$6 |
$6 |
— |
$7 | |
| Glucose tolerance test |
$29 |
$30 |
— |
$8 | |
| Group therapy session |
$68 |
$69 |
— |
$30 | |
| HDL cholesterol test |
$46 |
$47 |
— |
$8 | |
| Hematocrit test |
$12 |
$12 |
— |
$2 | |
| Hemodialysis |
$801 |
$818 |
— |
$75 | |
| Hemoglobin A1c (diabetes test) |
$60 |
$62 |
— |
$10 | |
| Hepatitis A vaccine |
$279 |
$284 |
— |
— | |
| Hepatitis B test |
$76 |
$78 |
— |
$10 | |
| Hepatitis B vaccine |
$186 |
$190 |
— |
— | |
| Hepatitis C test |
$76 |
$78 |
— |
$14 | |
| HIV test |
$76 |
$78 |
— |
$19 | |
| HIV test (antibody) |
$77 |
$78 |
— |
$14 | |
| HIV test (antigen/antibody combo) |
$75 |
$77 |
— |
$24 | |
| Holter heart monitor |
$183 |
$186 |
— |
$26 | |
| HPV vaccine |
$1,039 |
$1,060 |
— |
— | |
| Iron blood test |
$18 |
$18 |
— |
$6 | |
| IUD insertion |
$122 |
$124 |
— |
— | |
| IUD removal |
$122 |
$124 |
— |
$112 | |
| IV infusion therapy |
$335 |
$342 |
— |
$44 | |
| IV infusion therapy (each additional) |
$189 |
$193 |
— |
$21 | |
| IV infusion therapy (initial) |
$850 |
$868 |
— |
$67 | |
| Joint aspiration (small/intermediate) |
$156 |
$159 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$156 |
$159 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$156 |
$159 |
— |
$56 | |
| Kidney scan (nuclear) |
$228 |
$233 |
— |
$172 | |
| Kidney ultrasound |
$458 |
$467 |
— |
$84 | |
| Kidney ultrasound (limited) |
$244 |
$249 |
— |
$61 | |
| Knee joint injection |
$156 |
$159 |
— |
$69 | |
| Lactate test |
$60 |
$62 |
— |
$12 | |
| Laryngoscopy |
$202 |
$207 |
— |
$189 | |
| LDH test |
$12 |
$12 |
— |
$6 | |
| LDL cholesterol test |
$46 |
$47 |
— |
$11 | |
| Leg vein ultrasound (Doppler) |
$1,130 |
$1,153 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$855 |
$872 |
— |
$116 | |
| LH hormone test |
$75 |
$77 |
— |
$19 | |
| Lipase test |
$24 |
$25 |
— |
$7 | |
| Lipid (cholesterol) panel |
$57 |
$59 |
— |
$13 | |
| Liver biopsy |
$311 |
$318 |
— |
$288 | |
| Liver function panel |
$33 |
$34 |
— |
$8 | |
| Lung function test (PFT) |
$488 |
$498 |
— |
$37 | |
| Lung scan (V/Q) |
$550 |
$562 |
— |
$291 | |
| Magnesium blood test |
$18 |
$18 |
— |
$7 | |
| MMR vaccine |
$329 |
$335 |
— |
— | |
| MRA of the brain |
$1,608 |
$1,641 |
— |
$226 | |
| MRA of the brain with contrast |
$1,590 |
$1,623 |
— |
$226 | |
| MRA of the brain without contrast |
$2,472 |
$2,523 |
— |
$328 | |
| MRA of the neck |
$1,711 |
$1,746 |
— |
$245 | |
| MRA of the neck with contrast |
$1,711 |
$1,746 |
— |
$245 | |
| MRA of the neck without contrast |
$2,489 |
$2,540 |
— |
$343 | |
| MRI of the abdomen |
$1,781 |
$1,817 |
— |
$300 | |
| MRI of the abdomen with contrast |
$1,781 |
$1,817 |
— |
$300 | |
| MRI of the abdomen without contrast |
$1,262 |
$1,288 |
— |
$194 | |
| MRI of the ankle |
$1,573 |
$1,605 |
— |
$261 | |
| MRI of the ankle with contrast |
$1,573 |
$1,605 |
— |
$261 | |
| MRI of the ankle without contrast |
$1,435 |
$1,464 |
— |
$222 | |
| MRI of the brain |
$1,124 |
$1,147 |
— |
$269 | |
| MRI of the brain with contrast |
$1,124 |
$1,147 |
— |
$269 | |
| MRI of the brain without contrast |
$761 |
$776 |
— |
$195 | |
| MRI of the chest |
$1,815 |
$1,852 |
— |
$371 | |
| MRI of the chest with contrast |
$1,815 |
$1,852 |
— |
$371 | |
| MRI of the chest without contrast |
$2,265 |
$2,311 |
— |
$466 | |
| MRI of the knee |
$1,452 |
$1,482 |
— |
$315 | |
| MRI of the knee with contrast |
$1,452 |
$1,482 |
— |
$315 | |
| MRI of the knee without contrast |
$813 |
$829 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,124 |
$1,147 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,124 |
$1,147 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$726 |
$741 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,141 |
$1,164 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$1,297 |
$1,323 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,141 |
$1,164 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$726 |
$741 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$1,141 |
$1,164 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$1,279 |
$1,305 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,141 |
$1,164 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$726 |
$741 |
— |
$191 | |
| MRI of the pelvis |
$1,573 |
$1,605 |
— |
$268 | |
| MRI of the pelvis with contrast |
$1,573 |
$1,605 |
— |
$268 | |
| MRI of the pelvis without contrast |
$1,469 |
$1,499 |
— |
$227 | |
| MRI of the shoulder |
$1,435 |
$1,464 |
— |
$313 | |
| MRI of the shoulder with contrast |
$1,435 |
$1,464 |
— |
$313 | |
| MRI of the shoulder without contrast |
$813 |
$829 |
— |
$205 | |
| MRI of the wrist |
$1,556 |
$1,588 |
— |
$330 | |
| MRI of the wrist with contrast |
$1,556 |
$1,588 |
— |
$330 | |
| MRI of the wrist without contrast |
$1,452 |
$1,482 |
— |
$303 | |
| Nebulizer breathing treatment |
$780 |
$796 |
— |
$9 | |
| Nerve conduction study |
$251 |
$256 |
— |
$118 | |
| Nuchal translucency ultrasound |
$366 |
$373 |
— |
$116 | |
| Nuclear cardiac stress test |
$772 |
$788 |
— |
$428 | |
| Occupational therapy evaluation |
$265 |
$270 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$265 |
$270 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$265 |
$270 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$265 |
$270 |
— |
$101 | |
| Office visit (established patient) |
$179 |
$183 |
— |
$115 | |
| Office visit (new patient) |
$203 |
$207 |
— |
$177 | |
| Office visit, established patient (level 3) |
$162 |
$166 |
— |
$95 | |
| Office visit, established patient (level 4) |
$203 |
$207 |
— |
$136 | |
| Office visit, new patient (level 3) |
$162 |
$166 |
— |
$118 | |
| Office visit, new patient (level 4) |
$203 |
$207 |
— |
$177 | |
| Office visit, new patient (level 5) |
$243 |
$248 |
— |
$237 | |
| Orthopedic hardware removal |
$389 |
$397 |
— |
$632 | |
| Pap smear (cervical screening) |
$123 |
$125 |
— |
$20 | |
| Parathyroid hormone (PTH) test |
$45 |
$46 |
— |
$41 | |
| Pelvic ultrasound |
$366 |
$373 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$503 |
$514 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$290 |
$296 |
— |
$51 | |
| PET scan |
$3,122 |
$3,185 |
— |
— | |
| Phosphorus blood test |
$6 |
$6 |
— |
$5 | |
| Physical therapy evaluation |
$895 |
$913 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$895 |
$913 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$895 |
$913 |
— |
$98 | |
| Platelet count |
$12 |
$12 |
— |
$4 | |
| Pneumonia vaccine |
$393 |
$401 |
— |
— | |
| Pregnancy blood test (hCG) |
$30 |
$31 |
— |
$8 | |
| Pregnancy ultrasound |
$503 |
$514 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$503 |
$514 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$580 |
$591 |
— |
$136 | |
| Procalcitonin test |
$460 |
$470 |
— |
$27 | |
| Prolactin test |
$61 |
$62 |
— |
$19 | |
| Prostate test (PSA) |
$60 |
$62 |
— |
$18 | |
| Psychiatric evaluation |
$457 |
$466 |
— |
$188 | |
| Psychotherapy session |
$305 |
$311 |
— |
$140 | |
| Retinal (fundus) photography |
$205 |
$209 |
— |
$37 | |
| RSV vaccine |
$870 |
$888 |
— |
— | |
| Scoliosis spine X-ray |
$305 |
$312 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$214 |
$218 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$397 |
$405 |
— |
$72 | |
| Screening mammogram |
$855 |
$872 |
— |
$126 | |
| Scrotal ultrasound |
$305 |
$312 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$15 |
$16 |
— |
$3 | |
| Sex hormone binding globulin test |
$75 |
$77 |
— |
$22 | |
| Shingles vaccine |
$651 |
$664 |
— |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
$156 |
$159 |
— |
$114 | |
| Simple wound stitches |
$156 |
$159 |
— |
$127 | |
| Skin biopsy |
$234 |
$238 |
— |
$121 | |
| Skin biopsy (punch) |
$234 |
$238 |
— |
$121 | |
| Skin tag removal |
$156 |
$159 |
— |
$92 | |
| Sleep study (polysomnography) |
$2,255 |
$2,301 |
— |
$691 | |
| Soft tissue ultrasound |
$92 |
$93 |
— |
$64 | |
| Spinal tap (lumbar puncture) |
$701 |
$715 |
— |
$165 | |
| Spirometry (lung function test) |
$277 |
$282 |
— |
$30 | |
| Spirometry with bronchodilator |
$722 |
$736 |
— |
$43 | |
| Strep throat test |
$61 |
$62 |
— |
$17 | |
| Stress echocardiogram |
$365 |
$373 |
— |
$209 | |
| T3 thyroid test |
$45 |
$46 |
— |
$14 | |
| Tdap (tetanus) vaccine |
$168 |
$172 |
— |
— | |
| Testosterone test |
$45 |
$46 |
— |
$26 | |
| Thyroid test (TSH) |
$45 |
$46 |
— |
$17 | |
| Thyroid ultrasound |
$659 |
$673 |
— |
$109 | |
| Thyroid uptake scan |
$282 |
$288 |
— |
$145 | |
| Tilt table test |
$456 |
$466 |
— |
$168 | |
| Total IgE allergy test |
$46 |
$47 |
— |
$16 | |
| Total protein test |
$6 |
$6 |
— |
$4 | |
| Transesophageal echocardiogram (TEE) |
$456 |
$466 |
— |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$365 |
$373 |
— |
$239 | |
| Transvaginal ultrasound |
$763 |
$779 |
— |
$118 | |
| Triglycerides test |
$6 |
$6 |
— |
$6 | |
| Troponin (heart) test |
$75 |
$77 |
— |
$12 | |
| Turning a breech baby (version) |
$1,218 |
$1,243 |
— |
$94 | |
| Upper GI series (barium) |
$733 |
$748 |
— |
$128 | |
| Uric acid (gout) test |
$6 |
$6 |
— |
$5 | |
| Urinalysis |
$17 |
$17 |
— |
$3 | |
| Urine microalbumin test |
$34 |
$34 |
— |
$5 | |
| Urine pregnancy test |
$30 |
$31 |
— |
$9 | |
| Vaccine administration |
$119 |
$121 |
— |
$19 | |
| Vaccine administration (each additional) |
$114 |
$116 |
— |
$16 | |
| Visual field test |
$633 |
$646 |
— |
$64 | |
| Vitamin B12 test |
$45 |
$46 |
— |
$15 | |
| Vitamin D test |
$45 |
$46 |
— |
$30 | |
| Wart removal |
$62 |
$64 |
— |
$121 | |
| Wound debridement |
$623 |
$636 |
— |
$186 | |
| X-ray of the abdomen |
$183 |
$187 |
— |
$36 | |
| X-ray of the ankle |
$183 |
$187 |
— |
$37 | |
| X-ray of the collarbone |
$153 |
$156 |
— |
$33 | |
| X-ray of the elbow |
$183 |
$187 |
— |
$33 | |
| X-ray of the facial bones |
$153 |
$156 |
— |
$39 | |
| X-ray of the foot |
$183 |
$187 |
— |
$34 | |
| X-ray of the forearm |
$153 |
$156 |
— |
$29 | |
| X-ray of the hand |
$183 |
$187 |
— |
$38 | |
| X-ray of the hip |
$244 |
$249 |
— |
$49 | |
| X-ray of the hip (1 view) |
$183 |
$187 |
— |
$34 | |
| X-ray of the hip (3 views) |
$244 |
$249 |
— |
$49 | |
| X-ray of the hip (4 views) |
$305 |
$312 |
— |
$63 | |
| X-ray of the knee |
$214 |
$218 |
— |
$42 | |
| X-ray of the knee (2 views) |
$183 |
$187 |
— |
$34 | |
| X-ray of the knee (3 views) |
$214 |
$218 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$244 |
$249 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$244 |
$249 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$214 |
$218 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$275 |
$280 |
— |
$53 | |
| X-ray of the lower leg |
$183 |
$187 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$198 |
$202 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$183 |
$187 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$214 |
$218 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$214 |
$218 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$183 |
$187 |
— |
$40 | |
| X-ray of the pelvis |
$214 |
$218 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$183 |
$187 |
— |
$28 | |
| X-ray of the ribs |
$183 |
$187 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$183 |
$187 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$183 |
$187 |
— |
$42 | |
| X-ray of the shoulder |
$153 |
$156 |
— |
$36 | |
| X-ray of the skull |
$229 |
$234 |
— |
$40 | |
| X-ray of the upper arm |
$183 |
$187 |
— |
$32 | |
| X-ray of the wrist |
$214 |
$218 |
— |
$43 | |
| YAG laser capsulotomy (eye) |
$234 |
$238 |
— |
$335 | |
| Zinc blood test |
$75 |
$77 |
— |
$11 | |