| 3D mammogram (tomosynthesis) |
$43 |
$58 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,277 |
$1,703 |
— |
$284 | |
| Abdominal ultrasound |
$421 |
$561 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$444 |
$592 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$421 |
$561 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$375 |
$500 |
— |
$220 | |
| Abscess drainage (simple) |
$375 |
$500 |
— |
$129 | |
| Abscess incision and drainage |
$375 |
$500 |
— |
$174 | |
| Albumin blood test |
$42 |
$56 |
— |
$5 | |
| Aldosterone test |
$267 |
$356 |
— |
$41 | |
| Alkaline phosphatase test |
$51 |
$68 |
— |
$5 | |
| Allergy shots |
$63 |
$84 |
— |
$11 | |
| Alpha-fetoprotein (AFP) test |
$156 |
$208 |
— |
$17 | |
| ALT liver enzyme test |
$45 |
$60 |
— |
$5 | |
| Ammonia blood test |
$168 |
$224 |
— |
$15 | |
| Amniocentesis |
$655 |
$873 |
— |
$120 | |
| Amylase test |
$107 |
$143 |
— |
$6 | |
| Anoscopy |
$161 |
$214 |
— |
$129 | |
| Arterial blood gas (ABG) |
$140 |
$187 |
— |
$26 | |
| AST liver enzyme test |
$44 |
$59 |
— |
$5 | |
| Barium swallow study |
$323 |
$430 |
— |
$107 | |
| Bartholin cyst removal |
$347 |
$463 |
— |
$182 | |
| Basic metabolic panel |
$97 |
$129 |
— |
$8 | |
| Bilirubin blood test |
$68 |
$90 |
— |
$5 | |
| Blood clotting test (PT/INR) |
$53 |
$71 |
— |
$4 | |
| Blood crossmatch |
$137 |
$183 |
— |
— | |
| Blood glucose test |
$63 |
$84 |
— |
$5 | |
| Blood transfusion |
$401 |
$535 |
— |
$47 | |
| Blood type and screen |
$117 |
$156 |
— |
$10 | |
| Blood type test |
$49 |
$65 |
— |
$3 | |
| Blood type test (ABO group) |
$101 |
$134 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$47 |
$63 |
— |
$3 | |
| BNP (heart failure) test |
$132 |
$177 |
— |
$39 | |
| Bone density scan (DEXA) |
$243 |
$325 |
— |
$39 | |
| Bone marrow biopsy |
$1,172 |
$1,563 |
— |
$172 | |
| Bone scan (nuclear) |
$945 |
$1,260 |
— |
$259 | |
| Breast biopsy |
$2,913 |
$3,884 |
— |
$478 | |
| Breast MRI |
$551 |
$735 |
— |
$216 | |
| Breast MRI without contrast |
$513 |
$684 |
— |
$216 | |
| Breast ultrasound |
$243 |
$324 |
— |
$92 | |
| Breast ultrasound (complete) |
$243 |
$324 |
— |
$100 | |
| Breast ultrasound (limited) |
$232 |
$309 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$628 |
$837 |
— |
$133 | |
| Burn dressing and debridement (medium) |
$368 |
$491 |
— |
$166 | |
| Burn dressing and debridement (small) |
$368 |
$491 |
— |
$93 | |
| Burn treatment |
$368 |
$491 |
— |
$129 | |
| C-reactive protein (CRP) |
$104 |
$138 |
— |
$5 | |
| CA 19-9 tumor marker test |
$177 |
$236 |
— |
$21 | |
| CA-125 ovarian marker test |
$177 |
$236 |
— |
$21 | |
| Calcium blood test |
$51 |
$68 |
— |
$5 | |
| Cardiac rehabilitation |
$194 |
$258 |
— |
$26 | |
| Cardiac stress test |
$636 |
$848 |
— |
$39 | |
| Cardioversion |
$1,649 |
$2,198 |
— |
$155 | |
| Carotid artery ultrasound |
$557 |
$743 |
— |
$156 | |
| CEA tumor marker test |
$166 |
$221 |
— |
$19 | |
| Central line placement |
$2,654 |
$3,538 |
— |
$238 | |
| Chemotherapy infusion |
$739 |
$986 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$271 |
$361 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$1,208 |
$1,610 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$497 |
$663 |
— |
$311 | |
| Chest tube insertion |
$1,359 |
$1,812 |
— |
$143 | |
| Chest X-ray |
$191 |
$254 |
— |
$37 | |
| Chest X-ray (1 view) |
$119 |
$159 |
— |
$25 | |
| Chest X-ray (2 views) |
$220 |
$293 |
— |
$33 | |
| Circumcision |
$3,945 |
$5,260 |
— |
$167 | |
| Clotting time test (PTT) |
$62 |
$83 |
— |
$6 | |
| Colonoscopy |
$2,499 |
$3,332 |
— |
$480 | |
| Complete blood count (CBC) |
$122 |
$163 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$122 |
$163 |
— |
$8 | |
| Complex wound repair |
$1,451 |
$1,934 |
— |
$390 | |
| Comprehensive metabolic panel |
$263 |
$350 |
— |
$11 | |
| Contraceptive implant (Nexplanon) |
$303 |
$404 |
— |
$115 | |
| Copper blood test |
$99 |
$132 |
— |
$12 | |
| Coronary CT angiography |
$1,419 |
$1,892 |
— |
$326 | |
| Cortisol test |
$86 |
$115 |
— |
$16 | |
| COVID-19 PCR test |
$140 |
$187 |
— |
$51 | |
| CPAP titration study |
$416 |
$554 |
— |
$69 | |
| Creatine kinase (CK) test |
$42 |
$56 |
— |
$7 | |
| CT angiography of the chest |
$1,529 |
$2,039 |
— |
$281 | |
| CT angiography of the head |
$1,531 |
$2,041 |
— |
$274 | |
| CT colonography (virtual colonoscopy) |
$703 |
$937 |
— |
$835 | |
| CT scan of the abdomen |
$878 |
$1,171 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$1,822 |
$2,429 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,394 |
$3,193 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,001 |
$2,668 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,776 |
$2,369 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,212 |
$1,617 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$1,000 |
$1,334 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$847 |
$1,129 |
— |
$136 | |
| CT scan of the arm |
$375 |
$500 |
— |
$199 | |
| CT scan of the arm with contrast |
$884 |
$1,179 |
— |
$199 | |
| CT scan of the arm without contrast |
$375 |
$500 |
— |
$161 | |
| CT scan of the chest |
$362 |
$482 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$1,151 |
$1,535 |
— |
$196 | |
| CT scan of the chest with contrast |
$956 |
$1,274 |
— |
$167 | |
| CT scan of the chest without contrast |
$305 |
$406 |
— |
$133 | |
| CT scan of the head |
$923 |
$1,231 |
— |
$148 | |
| CT scan of the head with and without contrast |
$1,271 |
$1,695 |
— |
$173 | |
| CT scan of the head with contrast |
$1,054 |
$1,406 |
— |
$148 | |
| CT scan of the head without contrast |
$849 |
$1,132 |
— |
$107 | |
| CT scan of the leg |
$559 |
$745 |
— |
$166 | |
| CT scan of the leg with contrast |
$783 |
$1,044 |
— |
$166 | |
| CT scan of the leg without contrast |
$559 |
$745 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,754 |
$2,339 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,464 |
$1,952 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,238 |
$1,651 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,754 |
$2,339 |
— |
$130 | |
| CT scan of the neck |
$858 |
$1,144 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$1,095 |
$1,460 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,462 |
$1,949 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,236 |
$1,648 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,079 |
$1,438 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$1,095 |
$1,460 |
— |
$220 | |
| CT scan of the neck with contrast |
$941 |
$1,255 |
— |
$183 | |
| CT scan of the neck without contrast |
$835 |
$1,114 |
— |
$150 | |
| CT scan of the pelvis |
$1,708 |
$2,277 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,205 |
$1,607 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$1,028 |
$1,370 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$1,995 |
$2,660 |
— |
$133 | |
| CT scan of the sinuses |
$603 |
$805 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,293 |
$1,724 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$1,094 |
$1,459 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$560 |
$747 |
— |
$128 | |
| D-dimer test |
$147 |
$196 |
— |
$10 | |
| DHEA-sulfate test |
$127 |
$169 |
— |
$22 | |
| Diagnostic mammogram |
$236 |
$314 |
— |
$140 | |
| Drug screen (urine) |
$60 |
$81 |
— |
$17 | |
| Ear pressure test (tympanometry) |
$101 |
$135 |
— |
$16 | |
| Echocardiogram |
$787 |
$1,049 |
— |
$138 | |
| Echocardiogram with and without contrast |
$787 |
$1,049 |
— |
$101 | |
| EEG (awake and asleep) |
$1,092 |
$1,456 |
— |
$482 | |
| EKG / ECG (tracing only) |
$226 |
$301 |
— |
$7 | |
| Electrocardiogram (EKG) |
$226 |
$301 |
— |
$8 | |
| Electroencephalogram (EEG) |
$1,092 |
$1,456 |
— |
$448 | |
| Electrolyte panel |
$86 |
$114 |
— |
$7 | |
| Emergency department visit |
$806 |
$1,075 |
— |
$69 | |
| Emergency department visit (level 1) |
$191 |
$255 |
— |
$11 | |
| Emergency department visit (level 2) |
$376 |
$501 |
— |
$40 | |
| Emergency department visit (level 3) |
$806 |
$1,075 |
— |
$69 | |
| Emergency department visit (level 4) |
$1,377 |
$1,836 |
— |
$118 | |
| Emergency department visit (level 5) |
$2,535 |
$3,380 |
— |
$171 | |
| Estradiol (estrogen) test |
$243 |
$324 |
— |
$28 | |
| Fallopian tube X-ray (HSG) |
$448 |
$597 |
— |
$164 | |
| Fecal occult blood (stool) test |
$32 |
$42 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$30 |
$41 |
— |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$41 |
$55 |
— |
$16 | |
| Ferritin (iron) test |
$131 |
$175 |
— |
$14 | |
| Fibrinogen test |
$132 |
$176 |
— |
$10 | |
| Flexible sigmoidoscopy |
$1,636 |
$2,181 |
— |
$323 | |
| Flu test |
$77 |
$102 |
— |
$17 | |
| Folate (folic acid) test |
$79 |
$105 |
— |
$15 | |
| Foreign body removal (skin) |
$719 |
$959 |
— |
$157 | |
| Free T4 thyroid test |
$96 |
$128 |
— |
$9 | |
| FSH hormone test |
$179 |
$239 |
— |
$19 | |
| Gallbladder scan (HIDA) |
$606 |
$809 |
— |
$334 | |
| GGT liver test |
$61 |
$81 |
— |
$7 | |
| Glucose tolerance test |
$89 |
$119 |
— |
$8 | |
| Hematocrit test |
$33 |
$44 |
— |
$2 | |
| Hemoglobin A1c (diabetes test) |
$107 |
$142 |
— |
$10 | |
| Hepatitis A vaccine |
$68 |
$90 |
— |
— | |
| Hepatitis B test |
$75 |
$100 |
— |
$10 | |
| Hepatitis B vaccine |
$38 |
$51 |
— |
— | |
| Hepatitis C test |
$91 |
$122 |
— |
$14 | |
| HIV test |
$56 |
$74 |
— |
$19 | |
| HIV test (antigen/antibody combo) |
$56 |
$74 |
— |
$24 | |
| Holter heart monitor |
$279 |
$372 |
— |
$26 | |
| Iron blood test |
$102 |
$136 |
— |
$6 | |
| IUD removal |
$283 |
$377 |
— |
$112 | |
| IV infusion therapy |
$384 |
$512 |
— |
$44 | |
| IV infusion therapy (each additional) |
$134 |
$178 |
— |
$21 | |
| IV infusion therapy (initial) |
$403 |
$537 |
— |
$67 | |
| Joint aspiration (small/intermediate) |
$552 |
$736 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$628 |
$837 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$247 |
$329 |
— |
$56 | |
| Kidney scan (nuclear) |
$840 |
$1,121 |
— |
$172 | |
| Kidney ultrasound |
$407 |
$543 |
— |
$84 | |
| Kidney ultrasound (limited) |
$407 |
$543 |
— |
$61 | |
| Knee joint injection |
$487 |
$649 |
— |
$69 | |
| Lactate test |
$131 |
$175 |
— |
$12 | |
| Laryngoscopy |
$325 |
$433 |
— |
$189 | |
| LDH test |
$71 |
$94 |
— |
$6 | |
| LDL cholesterol test |
$66 |
$88 |
— |
$11 | |
| Leg vein ultrasound (Doppler) |
$918 |
$1,224 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$918 |
$1,224 |
— |
$116 | |
| LH hormone test |
$138 |
$184 |
— |
$19 | |
| Lipase test |
$89 |
$118 |
— |
$7 | |
| Lipid (cholesterol) panel |
$84 |
$112 |
— |
$13 | |
| Liver biopsy |
$513 |
$684 |
— |
$288 | |
| Liver function panel |
$153 |
$204 |
— |
$8 | |
| Lung function test (PFT) |
$232 |
$309 |
— |
$37 | |
| Lung scan (V/Q) |
$442 |
$590 |
— |
$291 | |
| Magnesium blood test |
$65 |
$87 |
— |
$7 | |
| MMR vaccine |
$50 |
$66 |
— |
— | |
| MRA of the brain |
$543 |
$724 |
— |
$226 | |
| MRA of the brain with contrast |
$540 |
$721 |
— |
$226 | |
| MRA of the brain without contrast |
$663 |
$884 |
— |
$328 | |
| MRA of the neck |
$544 |
$726 |
— |
$245 | |
| MRA of the neck with contrast |
$540 |
$720 |
— |
$245 | |
| MRA of the neck without contrast |
$652 |
$869 |
— |
$343 | |
| MRI of the abdomen |
$563 |
$751 |
— |
$300 | |
| MRI of the abdomen with contrast |
$585 |
$780 |
— |
$300 | |
| MRI of the abdomen without contrast |
$524 |
$699 |
— |
$194 | |
| MRI of the ankle |
$542 |
$723 |
— |
$261 | |
| MRI of the ankle with contrast |
$577 |
$770 |
— |
$261 | |
| MRI of the ankle without contrast |
$501 |
$669 |
— |
$222 | |
| MRI of the brain |
$557 |
$743 |
— |
$269 | |
| MRI of the brain with contrast |
$560 |
$747 |
— |
$269 | |
| MRI of the brain without contrast |
$517 |
$689 |
— |
$195 | |
| MRI of the chest |
$534 |
$713 |
— |
$371 | |
| MRI of the chest with contrast |
$518 |
$691 |
— |
$371 | |
| MRI of the chest without contrast |
$672 |
$896 |
— |
$466 | |
| MRI of the knee |
$541 |
$722 |
— |
$315 | |
| MRI of the knee with contrast |
$556 |
$741 |
— |
$315 | |
| MRI of the knee without contrast |
$501 |
$668 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$557 |
$742 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$547 |
$730 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$516 |
$688 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$561 |
$748 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$690 |
$920 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$581 |
$775 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$521 |
$694 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$557 |
$743 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$684 |
$913 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$562 |
$750 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$516 |
$689 |
— |
$191 | |
| MRI of the pelvis |
$551 |
$735 |
— |
$268 | |
| MRI of the pelvis with contrast |
$577 |
$770 |
— |
$268 | |
| MRI of the pelvis without contrast |
$512 |
$683 |
— |
$227 | |
| MRI of the shoulder |
$543 |
$724 |
— |
$313 | |
| MRI of the shoulder with contrast |
$566 |
$755 |
— |
$313 | |
| MRI of the shoulder without contrast |
$503 |
$671 |
— |
$205 | |
| MRI of the wrist |
$542 |
$723 |
— |
$330 | |
| MRI of the wrist with contrast |
$527 |
$703 |
— |
$330 | |
| MRI of the wrist without contrast |
$502 |
$670 |
— |
$303 | |
| Nebulizer breathing treatment |
$179 |
$238 |
— |
$9 | |
| Neck (cervical) spinal fusion |
$3,266 |
$4,355 |
— |
$1,410 | |
| Nuchal translucency ultrasound |
$373 |
$497 |
— |
$116 | |
| Nuclear cardiac stress test |
$1,557 |
$2,076 |
— |
$428 | |
| Occupational therapy evaluation |
$162 |
$216 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$162 |
$216 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$162 |
$216 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$162 |
$216 |
— |
$101 | |
| Office visit (established patient) |
$178 |
$237 |
— |
$115 | |
| Office visit (new patient) |
$311 |
$415 |
— |
$177 | |
| Office visit, established patient (level 3) |
$162 |
$216 |
— |
$95 | |
| Office visit, established patient (level 4) |
$224 |
$299 |
— |
$136 | |
| Office visit, new patient (level 3) |
$240 |
$320 |
— |
$118 | |
| Office visit, new patient (level 4) |
$333 |
$444 |
— |
$177 | |
| Office visit, new patient (level 5) |
$410 |
$546 |
— |
$237 | |
| Pap smear (cervical screening) |
$54 |
$73 |
— |
$20 | |
| Parathyroid hormone (PTH) test |
$137 |
$182 |
— |
$41 | |
| Pelvic ultrasound |
$348 |
$464 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$348 |
$464 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$347 |
$463 |
— |
$51 | |
| PET scan |
$2,856 |
$3,808 |
— |
— | |
| Phosphorus blood test |
$47 |
$63 |
— |
$5 | |
| Physical therapy evaluation |
$187 |
$249 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$187 |
$249 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$187 |
$249 |
— |
$98 | |
| Platelet count |
$47 |
$63 |
— |
$4 | |
| Pregnancy blood test (hCG) |
$65 |
$87 |
— |
$8 | |
| Pregnancy ultrasound |
$645 |
$860 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$692 |
$922 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$645 |
$860 |
— |
$136 | |
| Procalcitonin test |
$173 |
$231 |
— |
$27 | |
| Prolactin test |
$82 |
$109 |
— |
$19 | |
| Prostate test (PSA) |
$145 |
$193 |
— |
$18 | |
| Sacroiliac joint injection |
$463 |
$617 |
— |
$176 | |
| Scoliosis spine X-ray |
$249 |
$332 |
— |
$58 | |
| Scoliosis spine X-ray (3 views) |
$249 |
$332 |
— |
$72 | |
| Screening mammogram |
$399 |
$532 |
— |
$126 | |
| Scrotal ultrasound |
$333 |
$444 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$53 |
$71 |
— |
$3 | |
| Semen analysis |
$53 |
$71 |
— |
$12 | |
| Sex hormone binding globulin test |
$50 |
$66 |
— |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$349 |
$465 |
— |
$114 | |
| Simple wound stitches |
$349 |
$465 |
— |
$127 | |
| Skin biopsy |
$480 |
$641 |
— |
$121 | |
| Skin biopsy (punch) |
$316 |
$421 |
— |
$121 | |
| Sleep study (polysomnography) |
$3,517 |
$4,689 |
— |
$691 | |
| Soft tissue ultrasound |
$215 |
$286 |
— |
$64 | |
| Speech therapy |
$200 |
$267 |
— |
$76 | |
| Spinal tap (lumbar puncture) |
$1,116 |
$1,488 |
— |
$165 | |
| Spirometry (lung function test) |
$232 |
$309 |
— |
$30 | |
| Spirometry with bronchodilator |
$616 |
$821 |
— |
$43 | |
| Stress echocardiogram |
$2,106 |
$2,808 |
— |
$209 | |
| Swallow study |
$259 |
$345 |
— |
$85 | |
| T3 thyroid test |
$179 |
$239 |
— |
$14 | |
| Tdap (tetanus) vaccine |
$45 |
$60 |
— |
— | |
| Testosterone test |
$122 |
$163 |
— |
$26 | |
| Thyroid test (TSH) |
$139 |
$185 |
— |
$17 | |
| Thyroid ultrasound |
$301 |
$402 |
— |
$109 | |
| Thyroid uptake scan |
$1,087 |
$1,449 |
— |
$145 | |
| Tilt table test |
$2,123 |
$2,830 |
— |
$168 | |
| Total IgE allergy test |
$176 |
$235 |
— |
$16 | |
| Total protein test |
$29 |
$39 |
— |
$4 | |
| Transesophageal echocardiogram (TEE) |
$2,567 |
$3,422 |
— |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$2,567 |
$3,422 |
— |
$239 | |
| Transvaginal ultrasound |
$480 |
$640 |
— |
$118 | |
| Trigger point injection |
$555 |
$740 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$539 |
$719 |
— |
$52 | |
| Triglycerides test |
$76 |
$101 |
— |
$6 | |
| Troponin (heart) test |
$135 |
$180 |
— |
$12 | |
| Turning a breech baby (version) |
$2,288 |
$3,050 |
— |
$94 | |
| Upper GI endoscopy (EGD) |
$909 |
$1,212 |
— |
$371 | |
| Upper GI series (barium) |
$416 |
$555 |
— |
$128 | |
| Uric acid (gout) test |
$54 |
$72 |
— |
$5 | |
| Urinalysis |
$72 |
$96 |
— |
$3 | |
| Urine microalbumin test |
$57 |
$77 |
— |
$5 | |
| Urine pregnancy test |
$65 |
$87 |
— |
$9 | |
| Vaccine administration |
$64 |
$85 |
— |
$19 | |
| Vaccine administration (each additional) |
$31 |
$41 |
— |
$16 | |
| Vitamin B12 test |
$68 |
$90 |
— |
$15 | |
| Vitamin D test |
$148 |
$197 |
— |
$30 | |
| Wart removal |
$190 |
$253 |
— |
$121 | |
| Wound debridement |
$1,251 |
$1,669 |
— |
$186 | |
| X-ray of the abdomen |
$165 |
$220 |
— |
$36 | |
| X-ray of the ankle |
$236 |
$314 |
— |
$37 | |
| X-ray of the collarbone |
$232 |
$309 |
— |
$33 | |
| X-ray of the elbow |
$247 |
$329 |
— |
$33 | |
| X-ray of the facial bones |
$224 |
$299 |
— |
$39 | |
| X-ray of the foot |
$245 |
$327 |
— |
$34 | |
| X-ray of the forearm |
$259 |
$345 |
— |
$29 | |
| X-ray of the hand |
$243 |
$324 |
— |
$38 | |
| X-ray of the hip |
$161 |
$215 |
— |
$49 | |
| X-ray of the hip (1 view) |
$161 |
$215 |
— |
$34 | |
| X-ray of the hip (3 views) |
$265 |
$353 |
— |
$49 | |
| X-ray of the hip (4 views) |
$438 |
$584 |
— |
$63 | |
| X-ray of the knee |
$196 |
$261 |
— |
$42 | |
| X-ray of the knee (2 views) |
$196 |
$261 |
— |
$34 | |
| X-ray of the knee (3 views) |
$515 |
$687 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$307 |
$409 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$314 |
$419 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$314 |
$419 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$463 |
$617 |
— |
$53 | |
| X-ray of the lower leg |
$262 |
$349 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$277 |
$369 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$295 |
$393 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$185 |
$246 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$272 |
$363 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$272 |
$363 |
— |
$40 | |
| X-ray of the pelvis |
$245 |
$326 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$245 |
$326 |
— |
$28 | |
| X-ray of the ribs |
$228 |
$305 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$225 |
$300 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$228 |
$305 |
— |
$42 | |
| X-ray of the shoulder |
$273 |
$364 |
— |
$36 | |
| X-ray of the skull |
$201 |
$269 |
— |
$40 | |
| X-ray of the upper arm |
$266 |
$355 |
— |
$32 | |
| X-ray of the wrist |
$236 |
$315 |
— |
$43 | |
| Zinc blood test |
$85 |
$113 |
— |
$11 | |