| 3D mammogram (tomosynthesis) |
$164 |
$273 |
$53 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$859 |
$1,431 |
$1,191 |
$284 | |
| Abdominal ultrasound |
$356 |
$594 |
$138 |
$100 | |
| Abdominal ultrasound (complete) |
$356 |
$594 |
$149 |
$114 | |
| Abdominal ultrasound (limited) |
$356 |
$594 |
$138 |
$86 | |
| Abscess drainage (complex or multiple) |
$598 |
$997 |
$508 |
$220 | |
| Abscess drainage (simple) |
$301 |
$501 |
$252 |
$129 | |
| Abscess incision and drainage |
$449 |
$749 |
$301 |
$174 | |
| Aldosterone test |
$28 |
$46 |
$39 |
$41 | |
| Alkaline phosphatase test |
$11 |
$19 |
$5 |
$5 | |
| ALT liver enzyme test |
$21 |
$35 |
$7 |
$5 | |
| Ammonia blood test |
$58 |
$97 |
$19 |
$15 | |
| Amniocentesis |
$752 |
$1,253 |
$1,106 |
$120 | |
| Amylase test |
$15 |
$24 |
$7 |
$6 | |
| Anoscopy |
$192 |
$320 |
$164 |
$129 | |
| Antinuclear antibody (ANA) test |
$20 |
$34 |
$12 |
$12 | |
| Aortic valve replacement |
$13,829 |
$23,049 |
$12,003 |
$1,603 | |
| Arterial blood gas (ABG) |
$784 |
$1,307 |
$28 |
$26 | |
| AST liver enzyme test |
$20 |
$34 |
$7 |
$5 | |
| Barium swallow study |
$270 |
$450 |
$226 |
$107 | |
| Bartholin cyst removal |
$299 |
$498 |
$256 |
$182 | |
| Basic metabolic panel |
$46 |
$76 |
$12 |
$8 | |
| Benign skin lesion removal |
$1,055 |
$1,759 |
$894 |
$171 | |
| Bilirubin blood test |
$20 |
$33 |
$5 |
$5 | |
| Bladder scope (cystoscopy) |
$1,024 |
$1,707 |
$848 |
$216 | |
| Blood clotting test (PT/INR) |
$16 |
$26 |
$5 |
$4 | |
| Blood crossmatch |
$43 |
$72 |
$72 |
— | |
| Blood glucose test |
$16 |
$26 |
$6 |
$5 | |
| Blood transfusion |
$720 |
$1,200 |
$555 |
$47 | |
| Blood type and screen |
$32 |
$53 |
$65 |
$10 | |
| Blood type test |
$32 |
$53 |
$19 |
$3 | |
| Blood type test (ABO group) |
$32 |
$53 |
$19 |
$3 | |
| Blood type test (Rh/D antigen) |
$32 |
$53 |
$19 |
$3 | |
| BNP (heart failure) test |
$77 |
$129 |
$39 |
$39 | |
| Bone marrow biopsy |
$5,782 |
$9,637 |
$2,177 |
$172 | |
| Bone scan (nuclear) |
$2,214 |
$3,690 |
$521 |
$259 | |
| Breast biopsy |
$4,180 |
$6,966 |
$2,100 |
$478 | |
| Breast ultrasound |
$587 |
$978 |
$136 |
$92 | |
| Breast ultrasound (complete) |
$946 |
$1,576 |
$144 |
$100 | |
| Breast ultrasound (limited) |
$227 |
$379 |
$114 |
$84 | |
| Breathing tube insertion (intubation) |
$455 |
$758 |
$295 |
$133 | |
| Bronchoscopy |
$2,545 |
$4,242 |
$2,191 |
$303 | |
| Burn dressing and debridement (medium) |
$301 |
$501 |
$252 |
$166 | |
| Burn dressing and debridement (small) |
$301 |
$501 |
$252 |
$93 | |
| Burn treatment |
$301 |
$501 |
$252 |
$129 | |
| C-reactive protein (CRP) |
$20 |
$34 |
$7 |
$5 | |
| CA 19-9 tumor marker test |
$11 |
$19 |
$19 |
$21 | |
| Calcium blood test |
$20 |
$34 |
$7 |
$5 | |
| Cardiac ablation |
$29,664 |
$49,440 |
$24,621 |
$759 | |
| Cardiac catheterization |
$8,210 |
$13,684 |
$4,169 |
$1,049 | |
| Cardiac rehabilitation |
$456 |
$760 |
$163 |
$26 | |
| Cardiac stress test |
$1,369 |
$2,282 |
$404 |
$39 | |
| Cardioversion |
$375 |
$625 |
$625 |
$155 | |
| Carotid artery ultrasound |
$1,263 |
$2,105 |
$310 |
$156 | |
| CEA tumor marker test |
$43 |
$72 |
$19 |
$19 | |
| Celiac disease test |
$7 |
$12 |
$12 |
$12 | |
| Central line placement |
$3,314 |
$5,524 |
$3,082 |
$238 | |
| Chemotherapy infusion |
$596 |
$994 |
$421 |
$81 | |
| Chemotherapy infusion (each additional) |
$107 |
$178 |
$90 |
$28 | |
| Chemotherapy infusion (first hour) |
$596 |
$994 |
$421 |
$133 | |
| Chest fluid drain (thoracentesis) |
$339 |
$565 |
$746 |
$311 | |
| Chest tube insertion |
$2,402 |
$4,003 |
$1,974 |
$143 | |
| Chest X-ray |
$152 |
$253 |
$112 |
$37 | |
| Chest X-ray (1 view) |
$152 |
$253 |
$112 |
$25 | |
| Chest X-ray (2 views) |
$152 |
$253 |
$112 |
$33 | |
| Circumcision |
$3,903 |
$6,505 |
$2,603 |
$167 | |
| CK-MB heart enzyme test |
$46 |
$77 |
$15 |
$12 | |
| Clotting time test (PTT) |
$23 |
$38 |
$7 |
$6 | |
| Complete blood count (CBC) |
$29 |
$48 |
$10 |
$7 | |
| Complete blood count (CBC) (complete) |
$31 |
$52 |
$10 |
$8 | |
| Complex wound repair |
$942 |
$1,570 |
$778 |
$390 | |
| Comprehensive metabolic panel |
$57 |
$95 |
$15 |
$11 | |
| Contraceptive implant (Nexplanon) |
$598 |
$996 |
$507 |
$115 | |
| Copper blood test |
$7 |
$11 |
$11 |
$12 | |
| Coronary CT angiography |
$589 |
$981 |
$454 |
$326 | |
| Cortisol test |
$65 |
$109 |
$22 |
$16 | |
| COVID-19 PCR test |
$132 |
$220 |
$52 |
$51 | |
| CPAP titration study |
$1,574 |
$2,624 |
$264 |
$69 | |
| Creatine kinase (CK) test |
$26 |
$43 |
$9 |
$7 | |
| CT angiography of the chest |
$773 |
$1,289 |
$322 |
$281 | |
| CT angiography of the head |
$773 |
$1,289 |
$322 |
$274 | |
| CT scan of the abdomen |
$660 |
$1,100 |
$275 |
$230 | |
| CT scan of the abdomen and pelvis |
$1,034 |
$1,723 |
$454 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$1,034 |
$1,723 |
$463 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$1,034 |
$1,723 |
$463 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$640 |
$1,067 |
$313 |
$183 | |
| CT scan of the abdomen with and without contrast |
$743 |
$1,239 |
$364 |
$259 | |
| CT scan of the abdomen with contrast |
$660 |
$1,100 |
$339 |
$230 | |
| CT scan of the abdomen without contrast |
$335 |
$558 |
$195 |
$136 | |
| CT scan of the arm |
$660 |
$1,100 |
$385 |
$199 | |
| CT scan of the arm with contrast |
$660 |
$1,100 |
$463 |
$199 | |
| CT scan of the arm without contrast |
$335 |
$558 |
$195 |
$161 | |
| CT scan of the chest |
$497 |
$829 |
$236 |
$167 | |
| CT scan of the chest with and without contrast |
$743 |
$1,239 |
$310 |
$196 | |
| CT scan of the chest with contrast |
$660 |
$1,100 |
$275 |
$167 | |
| CT scan of the chest without contrast |
$335 |
$558 |
$193 |
$133 | |
| CT scan of the head |
$660 |
$1,100 |
$248 |
$148 | |
| CT scan of the head with and without contrast |
$743 |
$1,239 |
$310 |
$173 | |
| CT scan of the head with contrast |
$660 |
$1,100 |
$275 |
$148 | |
| CT scan of the head without contrast |
$335 |
$558 |
$155 |
$107 | |
| CT scan of the leg |
$660 |
$1,100 |
$248 |
$166 | |
| CT scan of the leg with contrast |
$660 |
$1,100 |
$275 |
$166 | |
| CT scan of the leg without contrast |
$335 |
$558 |
$189 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$497 |
$829 |
$398 |
$169 | |
| CT scan of the lower back (lumbar spine) with contrast |
$660 |
$1,100 |
$463 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$335 |
$558 |
$188 |
$130 | |
| CT scan of the neck |
$660 |
$1,100 |
$268 |
$183 | |
| CT scan of the neck (cervical spine) |
$660 |
$1,100 |
$364 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$743 |
$1,239 |
$310 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$660 |
$1,100 |
$463 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$335 |
$558 |
$189 |
$131 | |
| CT scan of the neck with and without contrast |
$743 |
$1,239 |
$322 |
$220 | |
| CT scan of the neck with contrast |
$660 |
$1,100 |
$275 |
$183 | |
| CT scan of the neck without contrast |
$335 |
$558 |
$195 |
$150 | |
| CT scan of the pelvis |
$660 |
$1,100 |
$275 |
$226 | |
| CT scan of the pelvis with and without contrast |
$743 |
$1,239 |
$364 |
$251 | |
| CT scan of the pelvis with contrast |
$660 |
$1,100 |
$334 |
$226 | |
| CT scan of the pelvis without contrast |
$335 |
$558 |
$193 |
$133 | |
| CT scan of the sinuses |
$497 |
$829 |
$233 |
$152 | |
| CT scan of the sinuses with and without contrast |
$743 |
$1,239 |
$310 |
$184 | |
| CT scan of the sinuses with contrast |
$660 |
$1,100 |
$275 |
$152 | |
| CT scan of the sinuses without contrast |
$335 |
$558 |
$187 |
$128 | |
| D-dimer test |
$40 |
$67 |
$13 |
$10 | |
| Defibrillator (ICD) implant |
$35,668 |
$59,447 |
$29,724 |
$798 | |
| Developmental screening (child) |
$198 |
$330 |
$157 |
— | |
| DHEA-sulfate test |
$12 |
$20 |
$20 |
$22 | |
| Diagnostic mammogram |
$241 |
$402 |
$130 |
$140 | |
| Dilation and curettage (D&C) |
$4,688 |
$7,813 |
$4,040 |
$298 | |
| Drug screen (urine) |
$31 |
$52 |
$52 |
$17 | |
| Echocardiogram |
$2,626 |
$4,376 |
$564 |
$138 | |
| Echocardiogram with and without contrast |
$616 |
$1,026 |
$310 |
$101 | |
| Echocardiogram without contrast |
$2,626 |
$4,376 |
$314 |
$138 | |
| EEG (awake and asleep) |
$755 |
$1,258 |
$404 |
$482 | |
| EKG / ECG (tracing only) |
$331 |
$552 |
$77 |
$7 | |
| Electrocardiogram (EKG) |
$331 |
$552 |
$77 |
$8 | |
| Electroencephalogram (EEG) |
$755 |
$1,258 |
$404 |
$448 | |
| Electrolyte panel |
$35 |
$58 |
$10 |
$7 | |
| Emergency department visit |
$900 |
$1,500 |
$382 |
$69 | |
| Emergency department visit (level 1) |
$240 |
$400 |
$113 |
$11 | |
| Emergency department visit (level 2) |
$360 |
$600 |
$203 |
$40 | |
| Emergency department visit (level 3) |
$900 |
$1,500 |
$359 |
$69 | |
| Emergency department visit (level 4) |
$1,632 |
$2,720 |
$552 |
$118 | |
| Emergency department visit (level 5) |
$1,896 |
$3,160 |
$792 |
$171 | |
| Epidural steroid injection |
$1,139 |
$1,899 |
$880 |
$275 | |
| Estradiol (estrogen) test |
$64 |
$106 |
$28 |
$28 | |
| Facet joint injection (spine) |
$1,709 |
$2,849 |
$1,068 |
$99 | |
| Fallopian tube X-ray (HSG) |
$842 |
$1,404 |
$316 |
$164 | |
| Fecal occult blood (stool) test |
$38 |
$64 |
$15 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$13 |
$21 |
$5 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$64 |
$107 |
$21 |
$16 | |
| Ferritin (iron) test |
$38 |
$63 |
$17 |
$14 | |
| Fibrinogen test |
$34 |
$57 |
$12 |
$10 | |
| Folate (folic acid) test |
$59 |
$98 |
$20 |
$15 | |
| Foreign body removal (skin) |
$598 |
$997 |
$508 |
$157 | |
| Free T4 thyroid test |
$37 |
$61 |
$12 |
$9 | |
| FSH hormone test |
$75 |
$125 |
$25 |
$19 | |
| Gallbladder scan (HIDA) |
$1,637 |
$2,729 |
$521 |
$334 | |
| GGT liver test |
$24 |
$40 |
$9 |
$7 | |
| Glucose tolerance test |
$34 |
$56 |
$13 |
$8 | |
| H. pylori test |
$271 |
$452 |
$90 |
$67 | |
| HDL cholesterol test |
$21 |
$35 |
$9 |
$8 | |
| Hearing test (audiometry) |
$588 |
$980 |
$203 |
$36 | |
| Hematocrit test |
$27 |
$45 |
$3 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$22 |
$37 |
$10 |
$10 | |
| Hepatitis B test |
$16 |
$27 |
$11 |
$10 | |
| Hepatitis C test |
$23 |
$38 |
$15 |
$14 | |
| HIV test |
$68 |
$113 |
$28 |
$19 | |
| HIV test (antigen/antibody combo) |
$68 |
$113 |
$28 |
$24 | |
| Holter heart monitor |
$895 |
$1,492 |
$164 |
$26 | |
| Iron blood test |
$26 |
$43 |
$9 |
$6 | |
| IUD removal |
$481 |
$802 |
$387 |
$112 | |
| IV infusion therapy |
$226 |
$377 |
$129 |
$44 | |
| IV infusion therapy (each additional) |
$78 |
$131 |
$59 |
$21 | |
| IV infusion therapy (initial) |
$435 |
$725 |
$268 |
$67 | |
| IVC filter placement |
$10,574 |
$17,623 |
$6,868 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$445 |
$741 |
$375 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$445 |
$741 |
$375 |
$57 | |
| Joint aspiration or injection (small joint) |
$445 |
$741 |
$375 |
$56 | |
| Kidney biopsy |
$942 |
$1,570 |
$1,570 |
$492 | |
| Kidney scan (nuclear) |
$2,329 |
$3,881 |
$698 |
$172 | |
| Kidney ultrasound |
$356 |
$594 |
$138 |
$84 | |
| Kidney ultrasound (limited) |
$356 |
$594 |
$138 |
$61 | |
| Knee joint injection |
$603 |
$1,005 |
$375 |
$69 | |
| Lactate test |
$43 |
$71 |
$15 |
$12 | |
| Laryngoscopy |
$1,421 |
$2,369 |
$799 |
$189 | |
| LDH test |
$24 |
$40 |
$6 |
$6 | |
| LDL cholesterol test |
$5 |
$8 |
$8 |
$11 | |
| Leg artery angiogram |
$4,286 |
$7,143 |
$3,999 |
$149 | |
| Leg artery angioplasty |
$11,428 |
$19,047 |
$7,389 |
— | |
| Leg vein ultrasound (Doppler) |
$535 |
$892 |
$307 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$356 |
$594 |
$142 |
$116 | |
| LH hormone test |
$74 |
$124 |
$25 |
$19 | |
| Lipase test |
$16 |
$26 |
$7 |
$7 | |
| Lipid (cholesterol) panel |
$53 |
$89 |
$17 |
$13 | |
| Liver biopsy |
$1,241 |
$2,068 |
$2,059 |
$288 | |
| Liver function panel |
$33 |
$55 |
$11 |
$8 | |
| Lung function test (PFT) |
$495 |
$825 |
$203 |
$37 | |
| Lung scan (V/Q) |
$1,119 |
$1,865 |
$684 |
$291 | |
| Magnesium blood test |
$27 |
$45 |
$9 |
$7 | |
| MRA of the brain |
$1,130 |
$1,884 |
$463 |
$226 | |
| MRA of the brain with contrast |
$1,130 |
$1,884 |
$463 |
$226 | |
| MRA of the brain without contrast |
$1,306 |
$2,177 |
$474 |
$328 | |
| MRA of the neck |
$1,130 |
$1,884 |
$463 |
$245 | |
| MRA of the neck with contrast |
$1,130 |
$1,884 |
$463 |
$245 | |
| MRA of the neck without contrast |
$1,306 |
$2,177 |
$496 |
$343 | |
| MRI of the abdomen |
$781 |
$1,302 |
$463 |
$300 | |
| MRI of the abdomen without contrast |
$781 |
$1,302 |
$326 |
$194 | |
| MRI of the ankle |
$1,130 |
$1,884 |
$463 |
$261 | |
| MRI of the ankle with contrast |
$1,130 |
$1,884 |
$463 |
$261 | |
| MRI of the ankle without contrast |
$781 |
$1,302 |
$322 |
$222 | |
| MRI of the brain |
$1,130 |
$1,884 |
$471 |
$269 | |
| MRI of the brain with contrast |
$1,130 |
$1,884 |
$471 |
$269 | |
| MRI of the brain without contrast |
$781 |
$1,302 |
$326 |
$195 | |
| MRI of the chest |
$1,044 |
$1,740 |
$472 |
$371 | |
| MRI of the chest without contrast |
$1,306 |
$2,177 |
$544 |
$466 | |
| MRI of the knee |
$1,130 |
$1,884 |
$563 |
$315 | |
| MRI of the knee with contrast |
$1,130 |
$1,884 |
$1,004 |
$315 | |
| MRI of the knee without contrast |
$781 |
$1,302 |
$326 |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,130 |
$1,884 |
$465 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,130 |
$1,884 |
$471 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$781 |
$1,302 |
$326 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,130 |
$1,884 |
$467 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$1,306 |
$2,177 |
$544 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,130 |
$1,884 |
$471 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$781 |
$1,302 |
$326 |
$190 | |
| MRI of the neck (cervical spine) |
$1,130 |
$1,884 |
$466 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$1,306 |
$2,177 |
$544 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,130 |
$1,884 |
$471 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$781 |
$1,302 |
$326 |
$191 | |
| MRI of the pelvis |
$956 |
$1,593 |
$456 |
$268 | |
| MRI of the pelvis with contrast |
$1,130 |
$1,884 |
$471 |
$268 | |
| MRI of the pelvis without contrast |
$781 |
$1,302 |
$326 |
$227 | |
| MRI of the shoulder |
$956 |
$1,593 |
$544 |
$313 | |
| MRI of the shoulder with contrast |
$1,130 |
$1,884 |
$1,004 |
$313 | |
| MRI of the shoulder without contrast |
$781 |
$1,302 |
$326 |
$205 | |
| MRI of the wrist |
$1,130 |
$1,884 |
$463 |
$330 | |
| MRI of the wrist with contrast |
$1,130 |
$1,884 |
$471 |
$330 | |
| MRI of the wrist without contrast |
$781 |
$1,302 |
$326 |
$303 | |
| Nebulizer breathing treatment |
$310 |
$516 |
$258 |
$9 | |
| Nuclear cardiac stress test |
$2,547 |
$4,245 |
$1,659 |
$428 | |
| Occupational therapy evaluation |
$266 |
$443 |
$120 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$325 |
$541 |
$135 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$206 |
$344 |
$113 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$266 |
$443 |
$113 |
$101 | |
| Orthopedic hardware removal |
$4,261 |
$7,101 |
$3,637 |
$632 | |
| Pap smear (cervical screening) |
$69 |
$115 |
$29 |
$20 | |
| Parathyroid hormone (PTH) test |
$143 |
$238 |
$54 |
$41 | |
| Pelvic ultrasound |
$238 |
$397 |
$138 |
$78 | |
| Pelvic ultrasound (complete) |
$356 |
$594 |
$142 |
$105 | |
| Pelvic ultrasound (limited) |
$238 |
$397 |
$138 |
$51 | |
| Phosphorus blood test |
$19 |
$31 |
$6 |
$5 | |
| Physical therapy evaluation |
$236 |
$394 |
$110 |
$98 | |
| Physical therapy evaluation (high complexity) |
$295 |
$492 |
$136 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$236 |
$394 |
$110 |
$98 | |
| Platelet count |
$15 |
$25 |
$6 |
$4 | |
| Pregnancy blood test (hCG) |
$30 |
$50 |
$10 |
$8 | |
| Pregnancy ultrasound |
$356 |
$594 |
$138 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$356 |
$594 |
$138 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$356 |
$594 |
$149 |
$136 | |
| Procalcitonin test |
$92 |
$154 |
$32 |
$27 | |
| Prostate test (PSA) |
$74 |
$123 |
$24 |
$18 | |
| Pulmonary rehabilitation |
$421 |
$702 |
$91 |
$87 | |
| Scoliosis spine X-ray |
$290 |
$484 |
$135 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$152 |
$253 |
$112 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$428 |
$714 |
$138 |
$72 | |
| Screening mammogram |
$231 |
$385 |
$119 |
$126 | |
| Scrotal ultrasound |
$356 |
$594 |
$138 |
$99 | |
| Sedimentation rate (ESR) test |
$10 |
$17 |
$4 |
$3 | |
| Semen analysis |
$36 |
$60 |
$16 |
$12 | |
| Sex hormone binding globulin test |
$11 |
$19 |
$19 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$301 |
$501 |
$252 |
$114 | |
| Simple wound stitches |
$301 |
$501 |
$252 |
$127 | |
| Skin tag removal |
$301 |
$501 |
$252 |
$92 | |
| Soft tissue ultrasound |
$238 |
$397 |
$135 |
$64 | |
| Speech therapy |
$490 |
$817 |
$83 |
$76 | |
| Spinal tap (lumbar puncture) |
$1,313 |
$2,188 |
$880 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$15,134 |
$25,224 |
$9,077 |
$5,803 | |
| Spirometry (lung function test) |
$495 |
$825 |
$199 |
$30 | |
| Spirometry with bronchodilator |
$1,523 |
$2,538 |
$404 |
$43 | |
| Stress echocardiogram |
$3,415 |
$5,692 |
$711 |
$209 | |
| Swallow study |
$613 |
$1,022 |
$93 |
$85 | |
| T3 thyroid test |
$21 |
$35 |
$14 |
$14 | |
| Testosterone test |
$14 |
$23 |
$23 |
$26 | |
| Thyroid test (TSH) |
$68 |
$113 |
$23 |
$17 | |
| Thyroid ultrasound |
$356 |
$594 |
$138 |
$109 | |
| Thyroid uptake scan |
$878 |
$1,463 |
$511 |
$145 | |
| Tilt table test |
$1,369 |
$2,282 |
$681 |
$168 | |
| Total IgE allergy test |
$9 |
$15 |
$15 |
$16 | |
| Transesophageal echocardiogram (TEE) |
$3,651 |
$6,085 |
$711 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$3,651 |
$6,085 |
$711 |
$239 | |
| Transvaginal ultrasound |
$356 |
$594 |
$142 |
$118 | |
| Trigger point injection |
$445 |
$741 |
$375 |
$56 | |
| Trigger point injection (1-2 muscles) |
$445 |
$741 |
$375 |
$52 | |
| Troponin (heart) test |
$39 |
$65 |
$14 |
$12 | |
| Turning a breech baby (version) |
$3,896 |
$6,494 |
$3,896 |
$94 | |
| Upper GI series (barium) |
$400 |
$667 |
$231 |
$128 | |
| Uric acid (gout) test |
$18 |
$30 |
$6 |
$5 | |
| Urinalysis |
$13 |
$21 |
$4 |
$3 | |
| Urine microalbumin test |
$13 |
$22 |
$7 |
$5 | |
| Urine pregnancy test |
$25 |
$42 |
$9 |
$9 | |
| Vaccine administration |
$17 |
$28 |
$28 |
$19 | |
| Vaccine administration (each additional) |
$72 |
$120 |
$49 |
$16 | |
| Vitamin B12 test |
$61 |
$101 |
$20 |
$15 | |
| Vitamin D test |
$15 |
$25 |
$25 |
$30 | |
| Wound debridement |
$770 |
$1,284 |
$550 |
$186 | |
| X-ray of the abdomen |
$152 |
$253 |
$114 |
$36 | |
| X-ray of the ankle |
$152 |
$253 |
$112 |
$37 | |
| X-ray of the collarbone |
$152 |
$253 |
$112 |
$33 | |
| X-ray of the elbow |
$152 |
$253 |
$112 |
$33 | |
| X-ray of the facial bones |
$196 |
$327 |
$125 |
$39 | |
| X-ray of the foot |
$152 |
$253 |
$112 |
$34 | |
| X-ray of the forearm |
$152 |
$253 |
$112 |
$29 | |
| X-ray of the hand |
$152 |
$253 |
$112 |
$38 | |
| X-ray of the hip |
$152 |
$253 |
$112 |
$49 | |
| X-ray of the hip (1 view) |
$152 |
$253 |
$112 |
$34 | |
| X-ray of the hip (3 views) |
$152 |
$253 |
$112 |
$49 | |
| X-ray of the knee |
$152 |
$253 |
$113 |
$42 | |
| X-ray of the knee (2 views) |
$152 |
$253 |
$112 |
$34 | |
| X-ray of the knee (3 views) |
$152 |
$253 |
$112 |
$42 | |
| X-ray of the knee (4+ views) |
$152 |
$253 |
$135 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$196 |
$327 |
$135 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$152 |
$253 |
$135 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$241 |
$401 |
$138 |
$53 | |
| X-ray of the lower leg |
$152 |
$253 |
$112 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$205 |
$342 |
$135 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$169 |
$282 |
$135 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$241 |
$401 |
$135 |
$39 | |
| X-ray of the neck (cervical spine) |
$196 |
$327 |
$131 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$152 |
$253 |
$112 |
$40 | |
| X-ray of the pelvis |
$152 |
$253 |
$135 |
$36 | |
| X-ray of the pelvis (1 view) |
$152 |
$253 |
$135 |
$28 | |
| X-ray of the ribs |
$241 |
$401 |
$135 |
$42 | |
| X-ray of the ribs (2 views) |
$152 |
$253 |
$112 |
$36 | |
| X-ray of the ribs (3 views) |
$241 |
$401 |
$135 |
$42 | |
| X-ray of the shoulder |
$152 |
$253 |
$112 |
$36 | |
| X-ray of the skull |
$196 |
$327 |
$135 |
$40 | |
| X-ray of the upper arm |
$152 |
$253 |
$112 |
$32 | |
| X-ray of the wrist |
$152 |
$253 |
$112 |
$43 | |
| Zinc blood test |
$6 |
$10 |
$10 |
$11 | |