| 3D mammogram (tomosynthesis) |
$90 |
$150 |
— |
$51 | |
| Abdominal ultrasound |
$1,039 |
$1,731 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$1,799 |
$2,999 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$989 |
$1,649 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$203 |
$338 |
— |
$220 | |
| Abscess drainage (simple) |
$120 |
$200 |
— |
$129 | |
| Abscess incision and drainage |
$164 |
$274 |
— |
$174 | |
| Albumin blood test |
$22 |
$37 |
— |
$5 | |
| Aldosterone test |
$197 |
$328 |
— |
$41 | |
| Alkaline phosphatase test |
$23 |
$39 |
— |
$5 | |
| Allergy patch testing |
$53 |
$88 |
— |
$5 | |
| Allergy shots |
$61 |
$102 |
— |
$11 | |
| Alpha-fetoprotein (AFP) test |
$155 |
$258 |
— |
$17 | |
| ALT liver enzyme test |
$21 |
$35 |
— |
$5 | |
| Ammonia blood test |
$159 |
$266 |
— |
$15 | |
| Amylase test |
$32 |
$53 |
— |
$6 | |
| Anoscopy |
$93 |
$154 |
— |
$129 | |
| Antinuclear antibody (ANA) test |
$95 |
$158 |
— |
$12 | |
| Arterial blood gas (ABG) |
$112 |
$187 |
— |
$26 | |
| AST liver enzyme test |
$21 |
$35 |
— |
$5 | |
| Barium swallow study |
$380 |
$634 |
— |
$107 | |
| Bartholin cyst removal |
$262 |
$436 |
— |
$182 | |
| Basic metabolic panel |
$58 |
$96 |
— |
$8 | |
| Benign skin lesion removal |
$658 |
$1,097 |
— |
$171 | |
| Bilirubin blood test |
$19 |
$31 |
— |
$5 | |
| Bladder function test (urodynamics) |
$910 |
$1,517 |
— |
$345 | |
| Bladder scope (cystoscopy) |
$1,169 |
$1,949 |
— |
$216 | |
| Bladder tumor removal (TURBT) |
$4,354 |
$7,256 |
— |
$236 | |
| Blood clotting test (PT/INR) |
$12 |
$19 |
— |
$4 | |
| Blood crossmatch |
$39 |
$65 |
— |
— | |
| Blood glucose test |
$20 |
$33 |
— |
$5 | |
| Blood transfusion |
$1,440 |
$2,401 |
— |
$47 | |
| Blood type and screen |
$64 |
$106 |
— |
$10 | |
| Blood type test |
$42 |
$70 |
— |
$3 | |
| Blood type test (ABO group) |
$42 |
$71 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$33 |
$55 |
— |
$3 | |
| BNP (heart failure) test |
$210 |
$350 |
— |
$39 | |
| Bone density scan (DEXA) |
$713 |
$1,188 |
— |
$39 | |
| Bone marrow biopsy |
$802 |
$1,337 |
— |
$172 | |
| Bone scan (nuclear) |
$1,952 |
$3,254 |
— |
$259 | |
| Botox for migraine |
$373 |
$622 |
— |
$157 | |
| Breast ultrasound |
$748 |
$1,246 |
— |
$92 | |
| Breast ultrasound (complete) |
$805 |
$1,342 |
— |
$100 | |
| Breast ultrasound (limited) |
$495 |
$826 |
— |
$84 | |
| Burn dressing and debridement (small) |
$304 |
$507 |
— |
$93 | |
| Burn treatment |
$304 |
$507 |
— |
$129 | |
| C-reactive protein (CRP) |
$57 |
$95 |
— |
$5 | |
| CA 19-9 tumor marker test |
$152 |
$253 |
— |
$21 | |
| CA-125 ovarian marker test |
$152 |
$253 |
— |
$21 | |
| Calcium blood test |
$28 |
$47 |
— |
$5 | |
| Capsule endoscopy |
$2,442 |
$4,070 |
— |
$802 | |
| Cardiac ablation |
$35,495 |
$59,159 |
— |
$759 | |
| Cardiac catheterization |
$11,611 |
$19,352 |
— |
$1,049 | |
| Cardiac MRI |
$2,602 |
$4,337 |
— |
$322 | |
| Cardiac rehabilitation |
$238 |
$397 |
— |
$26 | |
| Cardiac stress test |
$957 |
$1,596 |
— |
$39 | |
| Cardioversion |
$828 |
$1,380 |
— |
$155 | |
| Carotid artery ultrasound |
$660 |
$1,100 |
— |
$156 | |
| CEA tumor marker test |
$133 |
$221 |
— |
$19 | |
| Celiac disease test |
$27 |
$45 |
— |
$12 | |
| Chemotherapy infusion |
$399 |
$664 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$134 |
$223 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$627 |
$1,045 |
— |
$133 | |
| Chest X-ray |
$246 |
$409 |
— |
$37 | |
| Chest X-ray (1 view) |
$231 |
$386 |
— |
$25 | |
| Chest X-ray (2 views) |
$454 |
$757 |
— |
$33 | |
| Circumcision |
$3,156 |
$5,259 |
— |
$167 | |
| CK-MB heart enzyme test |
$107 |
$179 |
— |
$12 | |
| Clotting time test (PTT) |
$44 |
$73 |
— |
$6 | |
| Colposcopy |
$391 |
$652 |
— |
$161 | |
| Complete blood count (CBC) |
$51 |
$84 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$76 |
$126 |
— |
$8 | |
| Comprehensive metabolic panel |
$76 |
$126 |
— |
$11 | |
| Copper blood test |
$247 |
$411 |
— |
$12 | |
| Coronary CT angiography |
$1,041 |
$1,735 |
— |
$326 | |
| Cortisol test |
$115 |
$192 |
— |
$16 | |
| COVID-19 PCR test |
$154 |
$257 |
— |
$51 | |
| CPAP titration study |
$742 |
$1,237 |
— |
$69 | |
| Creatine kinase (CK) test |
$27 |
$45 |
— |
$7 | |
| CT angiography of the chest |
$2,345 |
$3,909 |
— |
$281 | |
| CT angiography of the head |
$1,359 |
$2,265 |
— |
$274 | |
| CT scan of the abdomen |
$2,373 |
$3,954 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$2,736 |
$4,560 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,736 |
$4,560 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,736 |
$4,560 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,180 |
$3,633 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$3,535 |
$5,892 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$2,373 |
$3,954 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$2,180 |
$3,633 |
— |
$136 | |
| CT scan of the arm |
$1,945 |
$3,241 |
— |
$199 | |
| CT scan of the arm with contrast |
$1,945 |
$3,241 |
— |
$199 | |
| CT scan of the arm without contrast |
$2,099 |
$3,498 |
— |
$161 | |
| CT scan of the chest |
$2,814 |
$4,689 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$3,040 |
$5,067 |
— |
$196 | |
| CT scan of the chest with contrast |
$2,814 |
$4,689 |
— |
$167 | |
| CT scan of the chest without contrast |
$2,502 |
$4,169 |
— |
$133 | |
| CT scan of the head |
$2,241 |
$3,735 |
— |
$148 | |
| CT scan of the head with and without contrast |
$3,273 |
$5,454 |
— |
$173 | |
| CT scan of the head with contrast |
$1,744 |
$2,906 |
— |
$148 | |
| CT scan of the head without contrast |
$2,241 |
$3,735 |
— |
$107 | |
| CT scan of the leg |
$1,900 |
$3,166 |
— |
$166 | |
| CT scan of the leg with contrast |
$1,900 |
$3,166 |
— |
$166 | |
| CT scan of the leg without contrast |
$1,900 |
$3,166 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,212 |
$3,687 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,212 |
$3,687 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,212 |
$3,687 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$2,212 |
$3,687 |
— |
$130 | |
| CT scan of the neck |
$2,038 |
$3,397 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$2,033 |
$3,388 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,527 |
$2,545 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$2,347 |
$3,912 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$2,033 |
$3,388 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$2,343 |
$3,905 |
— |
$220 | |
| CT scan of the neck with contrast |
$2,038 |
$3,397 |
— |
$183 | |
| CT scan of the neck without contrast |
$1,379 |
$2,298 |
— |
$150 | |
| CT scan of the pelvis |
$2,634 |
$4,391 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$3,409 |
$5,682 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$2,634 |
$4,391 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$2,538 |
$4,230 |
— |
$133 | |
| CT scan of the sinuses |
$1,730 |
$2,883 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,180 |
$3,633 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$1,730 |
$2,883 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$1,730 |
$2,883 |
— |
$128 | |
| D-dimer test |
$105 |
$175 |
— |
$10 | |
| DHEA-sulfate test |
$66 |
$110 |
— |
$22 | |
| Diagnostic mammogram |
$84 |
$140 |
— |
$140 | |
| Drug screen (urine) |
$24 |
$40 |
— |
$17 | |
| Ear pressure test (tympanometry) |
$34 |
$57 |
— |
$16 | |
| Echocardiogram |
$1,236 |
$2,061 |
— |
$138 | |
| Echocardiogram with and without contrast |
$1,175 |
$1,958 |
— |
$101 | |
| Echocardiogram without contrast |
$1,992 |
$3,320 |
— |
$138 | |
| EEG (awake and asleep) |
$741 |
$1,236 |
— |
$482 | |
| EKG / ECG (tracing only) |
$181 |
$301 |
— |
$7 | |
| Electrocardiogram (EKG) |
$181 |
$301 |
— |
$8 | |
| Electroencephalogram (EEG) |
$711 |
$1,185 |
— |
$448 | |
| Electrolyte panel |
$49 |
$82 |
— |
$7 | |
| Electromyography (EMG) |
$206 |
$343 |
— |
$141 | |
| Emergency department visit |
$900 |
$1,501 |
— |
$69 | |
| Emergency department visit (level 1) |
$324 |
$540 |
— |
$11 | |
| Emergency department visit (level 2) |
$541 |
$902 |
— |
$40 | |
| Emergency department visit (level 3) |
$900 |
$1,501 |
— |
$69 | |
| Emergency department visit (level 4) |
$1,259 |
$2,099 |
— |
$118 | |
| Emergency department visit (level 5) |
$1,854 |
$3,091 |
— |
$171 | |
| Endometrial biopsy |
$234 |
$389 |
— |
$98 | |
| Estradiol (estrogen) test |
$154 |
$257 |
— |
$28 | |
| Fallopian tube X-ray (HSG) |
$521 |
$869 |
— |
$164 | |
| Family therapy session |
$504 |
$840 |
— |
$110 | |
| Fecal occult blood (stool) test |
$36 |
$59 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$36 |
$59 |
— |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$117 |
$195 |
— |
$16 | |
| Ferritin (iron) test |
$57 |
$95 |
— |
$14 | |
| Fibrinogen test |
$74 |
$123 |
— |
$10 | |
| Flu test |
$56 |
$93 |
— |
$17 | |
| Folate (folic acid) test |
$127 |
$211 |
— |
$15 | |
| Foreign body removal (skin) |
$222 |
$370 |
— |
$157 | |
| Free T4 thyroid test |
$49 |
$81 |
— |
$9 | |
| FSH hormone test |
$196 |
$326 |
— |
$19 | |
| Gallbladder scan (HIDA) |
$1,197 |
$1,995 |
— |
$334 | |
| GGT liver test |
$36 |
$60 |
— |
$7 | |
| Glucose tolerance test |
$22 |
$37 |
— |
$8 | |
| Group therapy session |
$61 |
$101 |
— |
$30 | |
| H. pylori test |
$346 |
$576 |
— |
$67 | |
| HDL cholesterol test |
$69 |
$115 |
— |
$8 | |
| Hearing test (audiometry) |
$75 |
$125 |
— |
$36 | |
| Hematocrit test |
$14 |
$23 |
— |
$2 | |
| Hemodialysis |
$1,145 |
$1,908 |
— |
$75 | |
| Hemoglobin A1c (diabetes test) |
$79 |
$132 |
— |
$10 | |
| Hemorrhoid removal |
$3,944 |
$6,573 |
— |
$338 | |
| Hepatitis B test |
$79 |
$131 |
— |
$10 | |
| Hepatitis C test |
$106 |
$177 |
— |
$14 | |
| HIV test |
$132 |
$219 |
— |
$19 | |
| HIV test (antibody) |
$111 |
$185 |
— |
$14 | |
| HIV test (antigen/antibody combo) |
$152 |
$253 |
— |
$24 | |
| Holter heart monitor |
$469 |
$781 |
— |
$26 | |
| Iron blood test |
$56 |
$94 |
— |
$6 | |
| IUD insertion |
$782 |
$1,303 |
— |
— | |
| IUD removal |
$439 |
$731 |
— |
$112 | |
| IV infusion therapy |
$228 |
$380 |
— |
$44 | |
| IV infusion therapy (each additional) |
$80 |
$134 |
— |
$21 | |
| IV infusion therapy (initial) |
$449 |
$748 |
— |
$67 | |
| Joint aspiration (small/intermediate) |
$418 |
$697 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$418 |
$697 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$418 |
$697 |
— |
$56 | |
| Kidney scan (nuclear) |
$1,183 |
$1,972 |
— |
$172 | |
| Kidney ultrasound |
$949 |
$1,582 |
— |
$84 | |
| Kidney ultrasound (limited) |
$904 |
$1,506 |
— |
$61 | |
| Knee joint injection |
$418 |
$697 |
— |
$69 | |
| Lactate test |
$115 |
$191 |
— |
$12 | |
| LDH test |
$26 |
$44 |
— |
$6 | |
| LDL cholesterol test |
$70 |
$116 |
— |
$11 | |
| Leg artery angiogram |
$5,770 |
$9,617 |
— |
$149 | |
| Leg vein ultrasound (Doppler) |
$688 |
$1,147 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$655 |
$1,092 |
— |
$116 | |
| LH hormone test |
$152 |
$253 |
— |
$19 | |
| Lipase test |
$51 |
$84 |
— |
$7 | |
| Lipid (cholesterol) panel |
$105 |
$174 |
— |
$13 | |
| Liver function panel |
$49 |
$82 |
— |
$8 | |
| Lower back (lumbar) spinal fusion |
$111,233 |
$185,388 |
— |
$1,511 | |
| Lung function test (PFT) |
$273 |
$455 |
— |
$37 | |
| Lung scan (V/Q) |
$1,247 |
$2,079 |
— |
$291 | |
| Magnesium blood test |
$21 |
$35 |
— |
$7 | |
| MRA of the brain |
$3,703 |
$6,172 |
— |
$226 | |
| MRA of the brain with contrast |
$2,394 |
$3,990 |
— |
$226 | |
| MRA of the brain without contrast |
$5,316 |
$8,860 |
— |
$328 | |
| MRA of the neck |
$2,778 |
$4,631 |
— |
$245 | |
| MRA of the neck with contrast |
$2,778 |
$4,631 |
— |
$245 | |
| MRA of the neck without contrast |
$2,796 |
$4,660 |
— |
$343 | |
| MRI of the abdomen |
$4,267 |
$7,111 |
— |
$300 | |
| MRI of the abdomen with contrast |
$2,717 |
$4,528 |
— |
$300 | |
| MRI of the abdomen without contrast |
$4,267 |
$7,111 |
— |
$194 | |
| MRI of the ankle |
$3,275 |
$5,459 |
— |
$261 | |
| MRI of the ankle with contrast |
$2,506 |
$4,176 |
— |
$261 | |
| MRI of the ankle without contrast |
$3,275 |
$5,459 |
— |
$222 | |
| MRI of the brain |
$4,281 |
$7,134 |
— |
$269 | |
| MRI of the brain with contrast |
$4,281 |
$7,134 |
— |
$269 | |
| MRI of the brain without contrast |
$4,281 |
$7,134 |
— |
$195 | |
| MRI of the chest |
$3,534 |
$5,890 |
— |
$371 | |
| MRI of the chest with contrast |
$3,534 |
$5,890 |
— |
$371 | |
| MRI of the chest without contrast |
$5,154 |
$8,590 |
— |
$466 | |
| MRI of the knee |
$3,532 |
$5,887 |
— |
$315 | |
| MRI of the knee with contrast |
$3,532 |
$5,887 |
— |
$315 | |
| MRI of the knee without contrast |
$3,275 |
$5,459 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$4,673 |
$7,789 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$4,673 |
$7,789 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$4,332 |
$7,221 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$4,298 |
$7,163 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$5,659 |
$9,432 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,902 |
$4,837 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$4,298 |
$7,163 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$4,038 |
$6,730 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$5,659 |
$9,432 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$4,038 |
$6,730 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$3,931 |
$6,552 |
— |
$191 | |
| MRI of the pelvis |
$4,160 |
$6,933 |
— |
$268 | |
| MRI of the pelvis with contrast |
$2,689 |
$4,482 |
— |
$268 | |
| MRI of the pelvis without contrast |
$4,267 |
$7,111 |
— |
$227 | |
| MRI of the shoulder |
$3,532 |
$5,887 |
— |
$313 | |
| MRI of the shoulder with contrast |
$3,532 |
$5,887 |
— |
$313 | |
| MRI of the shoulder without contrast |
$3,275 |
$5,459 |
— |
$205 | |
| MRI of the wrist |
$3,297 |
$5,495 |
— |
$330 | |
| MRI of the wrist with contrast |
$2,930 |
$4,883 |
— |
$330 | |
| MRI of the wrist without contrast |
$3,297 |
$5,495 |
— |
$303 | |
| Nebulizer breathing treatment |
$161 |
$269 |
— |
$9 | |
| Nerve conduction study |
$40 |
$67 |
— |
$118 | |
| Nuchal translucency ultrasound |
$364 |
$606 |
— |
$116 | |
| Nuclear cardiac stress test |
$4,499 |
$7,498 |
— |
$428 | |
| Occupational therapy evaluation |
$266 |
$443 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$298 |
$496 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$234 |
$390 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$266 |
$443 |
— |
$101 | |
| Office visit (established patient) |
$73 |
$122 |
— |
$115 | |
| Office visit (new patient) |
$97 |
$162 |
— |
$177 | |
| Office visit, established patient (level 3) |
$52 |
$87 |
— |
$95 | |
| Office visit, established patient (level 4) |
$73 |
$122 |
— |
$136 | |
| Office visit, new patient (level 3) |
$73 |
$121 |
— |
$118 | |
| Office visit, new patient (level 4) |
$97 |
$162 |
— |
$177 | |
| Office visit, new patient (level 5) |
$127 |
$211 |
— |
$237 | |
| Pap smear (cervical screening) |
$127 |
$211 |
— |
$20 | |
| Parathyroid hormone (PTH) test |
$261 |
$436 |
— |
$41 | |
| Pelvic ultrasound |
$477 |
$795 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$682 |
$1,137 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$477 |
$795 |
— |
$51 | |
| PET scan |
$4,311 |
$10,641 |
— |
— | |
| Phosphorus blood test |
$20 |
$33 |
— |
$5 | |
| Physical therapy evaluation |
$266 |
$443 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$298 |
$496 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$266 |
$443 |
— |
$98 | |
| Platelet count |
$37 |
$61 |
— |
$4 | |
| Pregnancy blood test (hCG) |
$46 |
$77 |
— |
$8 | |
| Pregnancy ultrasound |
$642 |
$1,070 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$642 |
$1,070 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$642 |
$1,070 |
— |
$136 | |
| Procalcitonin test |
$75 |
$124 |
— |
$27 | |
| Prolactin test |
$161 |
$269 |
— |
$19 | |
| Prostate biopsy |
$2,304 |
$3,839 |
— |
— | |
| Prostate test (PSA) |
$118 |
$197 |
— |
$18 | |
| Psychiatric evaluation |
$505 |
$842 |
— |
$188 | |
| Psychotherapy session |
$504 |
$840 |
— |
$140 | |
| Retinal (fundus) photography |
$472 |
$787 |
— |
$37 | |
| Scoliosis spine X-ray |
$267 |
$445 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$267 |
$445 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$356 |
$594 |
— |
$72 | |
| Screening mammogram |
$441 |
$734 |
— |
$126 | |
| Scrotal ultrasound |
$1,164 |
$1,940 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$56 |
$93 |
— |
$3 | |
| Semen analysis |
$147 |
$245 |
— |
$12 | |
| Sex hormone binding globulin test |
$132 |
$220 |
— |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$174 |
$290 |
— |
$114 | |
| Simple wound stitches |
$183 |
$305 |
— |
$127 | |
| Skin biopsy |
$349 |
$581 |
— |
$121 | |
| Skin biopsy (punch) |
$349 |
$581 |
— |
$121 | |
| Skin cancer lesion removal |
$658 |
$1,097 |
— |
$240 | |
| Skin lesion freezing (cryotherapy) |
$60 |
$100 |
— |
$36 | |
| Skin tag removal |
$174 |
$290 |
— |
$92 | |
| Sleep study (polysomnography) |
$3,873 |
$6,456 |
— |
$691 | |
| Soft tissue ultrasound |
$685 |
$1,142 |
— |
$64 | |
| Speech therapy |
$369 |
$616 |
— |
$76 | |
| Spinal tap (lumbar puncture) |
$768 |
$1,280 |
— |
$165 | |
| Spirometry (lung function test) |
$184 |
$306 |
— |
$30 | |
| Spirometry with bronchodilator |
$390 |
$649 |
— |
$43 | |
| Strep throat test |
$35 |
$58 |
— |
$17 | |
| Stress echocardiogram |
$1,887 |
$3,145 |
— |
$209 | |
| Swallow study |
$465 |
$775 |
— |
$85 | |
| T3 thyroid test |
$101 |
$169 |
— |
$14 | |
| Testosterone test |
$156 |
$261 |
— |
$26 | |
| Thyroid test (TSH) |
$144 |
$240 |
— |
$17 | |
| Thyroid ultrasound |
$770 |
$1,283 |
— |
$109 | |
| Thyroid uptake scan |
$631 |
$1,052 |
— |
$145 | |
| Tilt table test |
$1,522 |
$2,537 |
— |
$168 | |
| Total IgE allergy test |
$132 |
$220 |
— |
$16 | |
| Total protein test |
$28 |
$47 |
— |
$4 | |
| Transesophageal echocardiogram (TEE) |
$1,413 |
$2,354 |
— |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,162 |
$1,937 |
— |
$239 | |
| Transvaginal ultrasound |
$515 |
$858 |
— |
$118 | |
| Trigger point injection |
$418 |
$697 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$418 |
$697 |
— |
$52 | |
| Triglycerides test |
$42 |
$70 |
— |
$6 | |
| Troponin (heart) test |
$81 |
$134 |
— |
$12 | |
| Turning a breech baby (version) |
$2,233 |
$3,721 |
— |
$94 | |
| Upper GI series (barium) |
$513 |
$856 |
— |
$128 | |
| Uric acid (gout) test |
$22 |
$36 |
— |
$5 | |
| Urinalysis |
$16 |
$26 |
— |
$3 | |
| Urine microalbumin test |
$42 |
$70 |
— |
$5 | |
| Urine pregnancy test |
$18 |
$31 |
— |
$9 | |
| UV light therapy (skin) |
$49 |
$82 |
— |
$106 | |
| Vaccine administration |
$90 |
$150 |
— |
$19 | |
| Vaccine administration (each additional) |
$24 |
$40 |
— |
$16 | |
| Varicose vein ablation |
$6,028 |
$10,046 |
— |
$1,018 | |
| Vasectomy |
$3,675 |
$6,125 |
— |
$347 | |
| Vitamin B12 test |
$121 |
$201 |
— |
$15 | |
| Vitamin D test |
$261 |
$436 |
— |
$30 | |
| Wart removal |
$140 |
$233 |
— |
$121 | |
| Wound debridement |
$568 |
$947 |
— |
$186 | |
| X-ray of the abdomen |
$384 |
$640 |
— |
$36 | |
| X-ray of the ankle |
$341 |
$569 |
— |
$37 | |
| X-ray of the collarbone |
$271 |
$452 |
— |
$33 | |
| X-ray of the elbow |
$377 |
$629 |
— |
$33 | |
| X-ray of the facial bones |
$434 |
$723 |
— |
$39 | |
| X-ray of the foot |
$318 |
$531 |
— |
$34 | |
| X-ray of the forearm |
$341 |
$569 |
— |
$29 | |
| X-ray of the hand |
$341 |
$569 |
— |
$38 | |
| X-ray of the hip |
$273 |
$455 |
— |
$49 | |
| X-ray of the hip (1 view) |
$249 |
$415 |
— |
$34 | |
| X-ray of the hip (3 views) |
$297 |
$495 |
— |
$49 | |
| X-ray of the knee |
$299 |
$498 |
— |
$42 | |
| X-ray of the knee (2 views) |
$279 |
$465 |
— |
$34 | |
| X-ray of the knee (3 views) |
$284 |
$474 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$577 |
$962 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$616 |
$1,026 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$616 |
$1,026 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$899 |
$1,498 |
— |
$53 | |
| X-ray of the lower leg |
$320 |
$533 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$356 |
$594 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$356 |
$594 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$423 |
$704 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$307 |
$511 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$307 |
$511 |
— |
$40 | |
| X-ray of the pelvis |
$341 |
$569 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$341 |
$569 |
— |
$28 | |
| X-ray of the ribs |
$563 |
$938 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$553 |
$922 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$563 |
$938 |
— |
$42 | |
| X-ray of the shoulder |
$386 |
$643 |
— |
$36 | |
| X-ray of the skull |
$376 |
$626 |
— |
$40 | |
| X-ray of the upper arm |
$284 |
$474 |
— |
$32 | |
| X-ray of the wrist |
$284 |
$474 |
— |
$43 | |
| Zinc blood test |
$62 |
$104 |
— |
$11 | |