| 3D mammogram (tomosynthesis) |
$57 |
$226 |
$146 |
$51 | |
| Abdominal ultrasound |
$271 |
$1,085 |
$544 |
$100 | |
| Abdominal ultrasound (complete) |
$334 |
$1,336 |
$671 |
$114 | |
| Abdominal ultrasound (limited) |
$208 |
$833 |
$500 |
$86 | |
| Abscess drainage (complex or multiple) |
$243 |
$973 |
$542 |
$220 | |
| Abscess drainage (simple) |
$159 |
$634 |
$353 |
$129 | |
| Abscess incision and drainage |
$201 |
$804 |
$447 |
$174 | |
| Albumin blood test |
$8 |
$31 |
$17 |
$5 | |
| Aldosterone test |
$50 |
$198 |
$119 |
$41 | |
| Alkaline phosphatase test |
$8 |
$32 |
$18 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$34 |
$135 |
$75 |
$17 | |
| ALT liver enzyme test |
$7 |
$29 |
$16 |
$5 | |
| Ammonia blood test |
$27 |
$108 |
$60 |
$15 | |
| Amylase test |
$22 |
$88 |
$49 |
$6 | |
| Antinuclear antibody (ANA) test |
$28 |
$110 |
$61 |
$12 | |
| Arterial blood gas (ABG) |
$79 |
$317 |
$176 |
$26 | |
| AST liver enzyme test |
$8 |
$30 |
$17 |
$5 | |
| Barium swallow study |
$222 |
$886 |
$492 |
$107 | |
| Bartholin cyst removal |
$54 |
$216 |
$160 |
$182 | |
| Basic metabolic panel |
$25 |
$100 |
$56 |
$8 | |
| Bilirubin blood test |
$12 |
$47 |
$26 |
$5 | |
| Blood clotting test (PT/INR) |
$16 |
$66 |
$36 |
$4 | |
| Blood crossmatch |
$124 |
$496 |
$298 |
— | |
| Blood glucose test |
$9 |
$36 |
$18 |
$5 | |
| Blood transfusion |
$369 |
$1,477 |
$823 |
$47 | |
| Blood type and screen |
$30 |
$121 |
$67 |
$10 | |
| Blood type test |
$30 |
$122 |
$58 |
$3 | |
| Blood type test (ABO group) |
$42 |
$168 |
$101 |
$3 | |
| Blood type test (Rh/D antigen) |
$19 |
$75 |
$42 |
$3 | |
| BNP (heart failure) test |
$43 |
$173 |
$104 |
$39 | |
| Bone density scan (DEXA) |
$136 |
$542 |
$325 |
$39 | |
| Bone marrow biopsy |
$1,308 |
$5,231 |
$3,060 |
$172 | |
| Bone scan (nuclear) |
$471 |
$1,884 |
$1,130 |
$259 | |
| Breast biopsy |
$1,880 |
$7,518 |
$4,188 |
$478 | |
| Breast MRI |
$1,038 |
$4,150 |
$3,113 |
$216 | |
| Breast MRI without contrast |
$1,038 |
$4,150 |
$2,490 |
$216 | |
| Breast ultrasound |
$161 |
$645 |
$350 |
$92 | |
| Breast ultrasound (complete) |
$188 |
$751 |
$451 |
$100 | |
| Breast ultrasound (limited) |
$135 |
$539 |
$323 |
$84 | |
| Breathing tube insertion (intubation) |
$227 |
$910 |
$532 |
$133 | |
| Bronchoscopy |
$2,018 |
$8,072 |
$4,496 |
$303 | |
| Burn dressing and debridement (medium) |
$163 |
$652 |
$363 |
$166 | |
| Burn dressing and debridement (small) |
$163 |
$652 |
$363 |
$93 | |
| Burn treatment |
$163 |
$652 |
$363 |
$129 | |
| C-reactive protein (CRP) |
$14 |
$56 |
$31 |
$5 | |
| CA 19-9 tumor marker test |
$22 |
$86 |
$52 |
$21 | |
| CA-125 ovarian marker test |
$25 |
$101 |
$61 |
$21 | |
| Calcium blood test |
$13 |
$50 |
$28 |
$5 | |
| Capsule endoscopy |
$1,017 |
$4,066 |
$2,058 |
$802 | |
| Cardiac ablation |
$11,589 |
$46,354 |
$27,812 |
$759 | |
| Cardiac catheterization |
$3,246 |
$12,983 |
$7,633 |
$1,049 | |
| Cardiac MRI |
$561 |
$2,244 |
$1,296 |
$322 | |
| Cardiac MRI without contrast |
$405 |
$1,620 |
$972 |
$280 | |
| Cardiac rehabilitation |
$99 |
$394 |
$236 |
$26 | |
| Cardiac stress test |
$260 |
$1,040 |
$624 |
$39 | |
| Cardioversion |
$330 |
$1,320 |
$764 |
$155 | |
| Carotid artery ultrasound |
$96 |
$383 |
$306 |
$156 | |
| CEA tumor marker test |
$36 |
$145 |
$81 |
$19 | |
| Central line placement |
$425 |
$1,701 |
$1,021 |
$238 | |
| Cervical cerclage |
$2,758 |
$11,030 |
$8,824 |
$137 | |
| Cesarean section (C-section) |
— |
— |
$23,172 |
$7,552 | |
| Chemotherapy infusion |
$88 |
$353 |
$184 |
$81 | |
| Chemotherapy infusion (each additional) |
$26 |
$103 |
$97 |
$28 | |
| Chemotherapy infusion (first hour) |
$151 |
$604 |
$323 |
$133 | |
| Chest tube insertion |
$525 |
$2,099 |
$1,259 |
$143 | |
| Chest X-ray |
$142 |
$567 |
$340 |
$37 | |
| Chest X-ray (1 view) |
$108 |
$431 |
$259 |
$25 | |
| Chest X-ray (2 views) |
$141 |
$562 |
$337 |
$33 | |
| CK-MB heart enzyme test |
$25 |
$98 |
$55 |
$12 | |
| Clotting time test (PTT) |
$22 |
$86 |
$48 |
$6 | |
| Complete blood count (CBC) |
$21 |
$86 |
$44 |
$7 | |
| Complete blood count (CBC) (complete) |
$25 |
$98 |
$55 |
$8 | |
| Comprehensive metabolic panel |
$29 |
$116 |
$65 |
$11 | |
| Copper blood test |
$15 |
$60 |
$36 |
$12 | |
| Coronary artery bypass (CABG) |
— |
— |
$101,316 |
$36,593 | |
| Coronary CT angiography |
$863 |
$3,453 |
$2,026 |
$326 | |
| Cortisol test |
$31 |
$122 |
$68 |
$16 | |
| COVID-19 PCR test |
$39 |
$157 |
$98 |
$51 | |
| CPAP titration study |
$277 |
$1,106 |
$555 |
$69 | |
| Creatine kinase (CK) test |
$18 |
$70 |
$39 |
$7 | |
| CT angiography of the chest |
$874 |
$3,496 |
$2,026 |
$281 | |
| CT angiography of the head |
$607 |
$2,427 |
$1,456 |
$274 | |
| CT scan of the abdomen |
$552 |
$2,207 |
$1,131 |
$230 | |
| CT scan of the abdomen and pelvis |
$1,410 |
$5,640 |
$2,172 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$1,430 |
$5,720 |
$2,202 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$1,410 |
$5,640 |
$2,172 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$998 |
$3,991 |
$2,026 |
$183 | |
| CT scan of the abdomen with and without contrast |
$650 |
$2,598 |
$1,559 |
$259 | |
| CT scan of the abdomen with contrast |
$552 |
$2,207 |
$1,324 |
$230 | |
| CT scan of the abdomen without contrast |
$354 |
$1,414 |
$848 |
$136 | |
| CT scan of the arm |
$447 |
$1,789 |
$1,154 |
$199 | |
| CT scan of the arm with contrast |
$447 |
$1,789 |
$1,073 |
$199 | |
| CT scan of the arm without contrast |
$415 |
$1,661 |
$997 |
$161 | |
| CT scan of the chest |
$626 |
$2,504 |
$1,255 |
$167 | |
| CT scan of the chest with and without contrast |
$637 |
$2,549 |
$1,529 |
$196 | |
| CT scan of the chest with contrast |
$626 |
$2,504 |
$1,502 |
$167 | |
| CT scan of the chest without contrast |
$418 |
$1,673 |
$1,004 |
$133 | |
| CT scan of the head |
$602 |
$2,408 |
$1,445 |
$148 | |
| CT scan of the head with and without contrast |
$731 |
$2,922 |
$1,753 |
$173 | |
| CT scan of the head with contrast |
$602 |
$2,408 |
$1,445 |
$148 | |
| CT scan of the head without contrast |
$590 |
$2,361 |
$1,417 |
$107 | |
| CT scan of the leg |
$524 |
$2,097 |
$1,192 |
$166 | |
| CT scan of the leg with contrast |
$524 |
$2,097 |
$1,258 |
$166 | |
| CT scan of the leg without contrast |
$423 |
$1,692 |
$1,015 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$511 |
$2,045 |
$1,224 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$523 |
$2,090 |
$1,254 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$511 |
$2,045 |
$1,227 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$510 |
$2,040 |
$1,224 |
$130 | |
| CT scan of the neck |
$571 |
$2,285 |
$1,204 |
$183 | |
| CT scan of the neck (cervical spine) |
$563 |
$2,252 |
$1,238 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$647 |
$2,586 |
$1,552 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$413 |
$1,650 |
$990 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$563 |
$2,252 |
$1,351 |
$131 | |
| CT scan of the neck with and without contrast |
$722 |
$2,887 |
$1,732 |
$220 | |
| CT scan of the neck with contrast |
$571 |
$2,285 |
$1,371 |
$183 | |
| CT scan of the neck without contrast |
$401 |
$1,605 |
$963 |
$150 | |
| CT scan of the pelvis |
$589 |
$2,355 |
$1,413 |
$226 | |
| CT scan of the pelvis with and without contrast |
$783 |
$3,133 |
$1,880 |
$251 | |
| CT scan of the pelvis with contrast |
$589 |
$2,355 |
$1,413 |
$226 | |
| CT scan of the pelvis without contrast |
$529 |
$2,116 |
$1,270 |
$133 | |
| CT scan of the sinuses |
$555 |
$2,220 |
$1,306 |
$152 | |
| CT scan of the sinuses with contrast |
$566 |
$2,263 |
$1,358 |
$152 | |
| CT scan of the sinuses without contrast |
$544 |
$2,176 |
$1,306 |
$128 | |
| D-dimer test |
$34 |
$134 |
$75 |
$10 | |
| Defibrillator (ICD) implant |
$9,948 |
$39,793 |
$23,876 |
$798 | |
| DHEA-sulfate test |
$45 |
$180 |
$100 |
$22 | |
| Diagnostic mammogram |
$183 |
$733 |
$391 |
$140 | |
| Dilation and curettage (D&C) |
$2,038 |
$8,152 |
$4,541 |
$298 | |
| Drug screen (urine) |
$67 |
$269 |
$161 |
$17 | |
| Echocardiogram |
$520 |
$2,079 |
$1,123 |
$138 | |
| Echocardiogram with and without contrast |
$358 |
$1,430 |
$858 |
$101 | |
| EEG (awake and asleep) |
$285 |
$1,141 |
$636 |
$482 | |
| EKG / ECG (tracing only) |
$81 |
$322 |
$193 |
$7 | |
| Electrocardiogram (EKG) |
$81 |
$322 |
$193 |
$8 | |
| Electroencephalogram (EEG) |
$271 |
$1,082 |
$593 |
$448 | |
| Electrolyte panel |
$18 |
$71 |
$40 |
$7 | |
| Emergency department visit |
$550 |
$2,199 |
$813 |
$69 | |
| Emergency department visit (level 1) |
$173 |
$691 |
$415 |
$11 | |
| Emergency department visit (level 2) |
$254 |
$1,017 |
$661 |
$40 | |
| Emergency department visit (level 3) |
$550 |
$2,199 |
$1,649 |
$69 | |
| Emergency department visit (level 4) |
$839 |
$3,354 |
$2,181 |
$118 | |
| Emergency department visit (level 5) |
$1,061 |
$4,245 |
$2,547 |
$171 | |
| Estradiol (estrogen) test |
$34 |
$136 |
$82 |
$28 | |
| Fecal occult blood (stool) test |
$8 |
$30 |
$17 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$8 |
$30 |
$17 |
$4 | |
| Ferritin (iron) test |
$25 |
$101 |
$56 |
$14 | |
| Fibrinogen test |
$18 |
$73 |
$41 |
$10 | |
| Folate (folic acid) test |
$36 |
$145 |
$81 |
$15 | |
| Foreign body removal (skin) |
$60 |
$241 |
$145 |
$157 | |
| Free T4 thyroid test |
$20 |
$78 |
$43 |
$9 | |
| FSH hormone test |
$24 |
$96 |
$56 |
$19 | |
| Gallbladder scan (HIDA) |
$341 |
$1,364 |
$851 |
$334 | |
| GGT liver test |
$16 |
$63 |
$35 |
$7 | |
| Glucose tolerance test |
$13 |
$52 |
$18 |
$8 | |
| H. pylori test |
$76 |
$304 |
$182 |
$67 | |
| HDL cholesterol test |
$10 |
$40 |
$24 |
$8 | |
| Hematocrit test |
$16 |
$65 |
$35 |
$2 | |
| Hemodialysis |
$1,175 |
$4,698 |
$3,524 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$18 |
$72 |
$40 |
$10 | |
| Hepatitis B test |
$24 |
$94 |
$52 |
$10 | |
| Hepatitis C test |
$26 |
$104 |
$58 |
$14 | |
| HIV test |
$19 |
$76 |
$46 |
$19 | |
| HIV test (antigen/antibody combo) |
$19 |
$76 |
$46 |
$24 | |
| Iron blood test |
$13 |
$50 |
$28 |
$6 | |
| IV infusion therapy |
$73 |
$291 |
$184 |
$44 | |
| IV infusion therapy (each additional) |
$32 |
$130 |
$126 |
$21 | |
| IV infusion therapy (initial) |
$113 |
$452 |
$271 |
$67 | |
| IVC filter placement |
$2,420 |
$9,680 |
$6,034 |
$1,885 | |
| Kidney biopsy |
$586 |
$2,345 |
$1,725 |
$492 | |
| Kidney scan (nuclear) |
$434 |
$1,737 |
$1,042 |
$172 | |
| Kidney ultrasound |
$210 |
$842 |
$485 |
$84 | |
| Kidney ultrasound (limited) |
$202 |
$809 |
$485 |
$61 | |
| Knee joint injection |
$575 |
$2,300 |
$1,331 |
$69 | |
| Knee replacement |
— |
— |
$50,202 |
$18,054 | |
| Lactate test |
$21 |
$86 |
$48 |
$12 | |
| LDH test |
$17 |
$66 |
$37 |
$6 | |
| LDL cholesterol test |
$12 |
$49 |
$29 |
$11 | |
| Leg artery angioplasty |
$4,272 |
$17,086 |
$13,669 |
— | |
| Leg vein ultrasound (Doppler) |
$303 |
$1,211 |
$665 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$222 |
$887 |
$532 |
$116 | |
| LH hormone test |
$24 |
$95 |
$56 |
$19 | |
| Lipase test |
$26 |
$103 |
$57 |
$7 | |
| Lipid (cholesterol) panel |
$18 |
$73 |
$41 |
$13 | |
| Liver biopsy |
$847 |
$3,387 |
$2,032 |
$288 | |
| Liver function panel |
$26 |
$103 |
$57 |
$8 | |
| Lower back (lumbar) spinal fusion |
— |
— |
$79,729 |
$1,511 | |
| Lung function test (PFT) |
$161 |
$643 |
$422 |
$37 | |
| Lung scan (V/Q) |
$458 |
$1,833 |
$1,100 |
$291 | |
| Magnesium blood test |
$13 |
$53 |
$30 |
$7 | |
| MRA of the brain |
$646 |
$2,584 |
$1,592 |
$226 | |
| MRA of the brain with contrast |
$646 |
$2,584 |
$1,550 |
$226 | |
| MRA of the brain without contrast |
$721 |
$2,883 |
$1,730 |
$328 | |
| MRA of the neck |
$886 |
$3,544 |
$1,913 |
$245 | |
| MRA of the neck with contrast |
$886 |
$3,544 |
$2,126 |
$245 | |
| MRA of the neck without contrast |
$1,040 |
$4,160 |
$2,496 |
$343 | |
| MRI of the abdomen |
$711 |
$2,845 |
$1,654 |
$300 | |
| MRI of the abdomen without contrast |
$689 |
$2,757 |
$1,654 |
$194 | |
| MRI of the ankle |
$902 |
$3,609 |
$1,957 |
$261 | |
| MRI of the ankle without contrast |
$742 |
$2,968 |
$1,781 |
$222 | |
| MRI of the brain |
$862 |
$3,447 |
$2,050 |
$269 | |
| MRI of the brain with contrast |
$862 |
$3,447 |
$2,068 |
$269 | |
| MRI of the brain without contrast |
$854 |
$3,416 |
$2,050 |
$195 | |
| MRI of the chest |
$571 |
$2,285 |
$1,307 |
$371 | |
| MRI of the chest without contrast |
$721 |
$2,883 |
$1,730 |
$466 | |
| MRI of the knee |
$881 |
$3,525 |
$1,963 |
$315 | |
| MRI of the knee with contrast |
$881 |
$3,525 |
$2,115 |
$315 | |
| MRI of the knee without contrast |
$742 |
$2,968 |
$1,781 |
$204 | |
| MRI of the lower back (lumbar spine) |
$863 |
$3,453 |
$1,879 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$742 |
$2,967 |
$1,780 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$862 |
$3,449 |
$1,875 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$992 |
$3,968 |
$2,381 |
$319 | |
| MRI of the mid-back (thoracic spine) without contrast |
$733 |
$2,930 |
$1,758 |
$190 | |
| MRI of the neck (cervical spine) |
$793 |
$3,170 |
$1,902 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$993 |
$3,970 |
$2,382 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$793 |
$3,170 |
$1,902 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$772 |
$3,087 |
$1,852 |
$191 | |
| MRI of the pelvis |
$761 |
$3,045 |
$1,696 |
$268 | |
| MRI of the pelvis with contrast |
$761 |
$3,045 |
$1,827 |
$268 | |
| MRI of the pelvis without contrast |
$696 |
$2,784 |
$1,670 |
$227 | |
| MRI of the shoulder |
$817 |
$3,267 |
$1,960 |
$313 | |
| MRI of the shoulder with contrast |
$817 |
$3,267 |
$1,960 |
$313 | |
| MRI of the shoulder without contrast |
$725 |
$2,901 |
$1,741 |
$205 | |
| MRI of the wrist |
$769 |
$3,077 |
$1,575 |
$330 | |
| MRI of the wrist without contrast |
$492 |
$1,969 |
$1,181 |
$303 | |
| Nebulizer breathing treatment |
$125 |
$500 |
$300 |
$9 | |
| Nuclear cardiac stress test |
$939 |
$3,755 |
$2,253 |
$428 | |
| Occupational therapy evaluation |
$87 |
$348 |
$274 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$92 |
$366 |
$281 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$85 |
$341 |
$274 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$87 |
$348 |
$276 |
$101 | |
| Office visit (established patient) |
$70 |
$281 |
$169 |
$115 | |
| Office visit, established patient (level 3) |
$70 |
$281 |
$169 |
$95 | |
| Pacemaker insertion |
— |
— |
$47,780 |
$15,506 | |
| Pap smear (cervical screening) |
$36 |
$144 |
$80 |
$20 | |
| Parathyroid hormone (PTH) test |
$61 |
$245 |
$136 |
$41 | |
| Pelvic ultrasound |
$199 |
$798 |
$405 |
$78 | |
| Pelvic ultrasound (complete) |
$265 |
$1,060 |
$544 |
$105 | |
| Pelvic ultrasound (limited) |
$134 |
$535 |
$321 |
$51 | |
| PET scan |
$978 |
$3,913 |
$2,413 |
— | |
| Phosphorus blood test |
$9 |
$35 |
$19 |
$5 | |
| Physical therapy evaluation |
$90 |
$360 |
$229 |
$98 | |
| Physical therapy evaluation (high complexity) |
$96 |
$382 |
$229 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$90 |
$360 |
$216 |
$98 | |
| Platelet count |
$17 |
$68 |
$38 |
$4 | |
| Pregnancy blood test (hCG) |
$39 |
$156 |
$87 |
$8 | |
| Pregnancy ultrasound |
$220 |
$880 |
$477 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$261 |
$1,044 |
$544 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$179 |
$715 |
$429 |
$136 | |
| Procalcitonin test |
$38 |
$152 |
$88 |
$27 | |
| Prolactin test |
$30 |
$120 |
$67 |
$19 | |
| Prostate test (PSA) |
$26 |
$102 |
$57 |
$18 | |
| Pulmonary rehabilitation |
$42 |
$166 |
$133 |
$87 | |
| Scoliosis spine X-ray |
$103 |
$413 |
$267 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$89 |
$356 |
$214 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$118 |
$470 |
$282 |
$72 | |
| Screening mammogram |
$200 |
$801 |
$441 |
$126 | |
| Scrotal ultrasound |
$213 |
$852 |
$511 |
$99 | |
| Sedimentation rate (ESR) test |
$11 |
$45 |
$25 |
$3 | |
| Sex hormone binding globulin test |
$19 |
$76 |
$46 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$130 |
$520 |
$290 |
$114 | |
| Simple wound stitches |
$130 |
$520 |
$290 |
$127 | |
| Soft tissue ultrasound |
$172 |
$688 |
$413 |
$64 | |
| Speech therapy |
$142 |
$569 |
$455 |
$76 | |
| Spinal tap (lumbar puncture) |
$613 |
$2,450 |
$941 |
$165 | |
| Spirometry (lung function test) |
$176 |
$703 |
$422 |
$30 | |
| Spirometry with bronchodilator |
$146 |
$582 |
$390 |
$43 | |
| Strep throat test |
$13 |
$50 |
$30 |
$17 | |
| Stress echocardiogram |
$591 |
$2,363 |
$1,418 |
$209 | |
| Swallow study |
$236 |
$945 |
$564 |
$85 | |
| T3 thyroid test |
$21 |
$82 |
$46 |
$14 | |
| Tdap (tetanus) vaccine |
$197 |
$789 |
$388 |
— | |
| Testosterone test |
$37 |
$147 |
$82 |
$26 | |
| Thyroid test (TSH) |
$31 |
$122 |
$68 |
$17 | |
| Thyroid ultrasound |
$207 |
$827 |
$496 |
$109 | |
| Thyroid uptake scan |
$186 |
$745 |
$447 |
$145 | |
| Tilt table test |
$1,015 |
$4,059 |
$2,138 |
$168 | |
| Total IgE allergy test |
$24 |
$96 |
$53 |
$16 | |
| Total protein test |
$9 |
$37 |
$21 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$394 |
$1,575 |
$945 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$394 |
$1,575 |
$945 |
$239 | |
| Transvaginal ultrasound |
$234 |
$936 |
$544 |
$118 | |
| Trigger point injection |
$216 |
$864 |
$481 |
$56 | |
| Trigger point injection (1-2 muscles) |
$216 |
$864 |
$481 |
$52 | |
| Triglycerides test |
$11 |
$45 |
$25 |
$6 | |
| Troponin (heart) test |
$15 |
$58 |
$35 |
$12 | |
| Turning a breech baby (version) |
$2,758 |
$11,030 |
$6,144 |
$94 | |
| Upper GI series (barium) |
$346 |
$1,384 |
$570 |
$128 | |
| Uric acid (gout) test |
$10 |
$40 |
$22 |
$5 | |
| Urinalysis |
$9 |
$35 |
$10 |
$3 | |
| Urine microalbumin test |
$8 |
$33 |
$17 |
$5 | |
| Urine pregnancy test |
$18 |
$73 |
$41 |
$9 | |
| Vaccine administration |
$34 |
$135 |
$58 |
$19 | |
| Vaccine administration (each additional) |
$14 |
$55 |
$48 |
$16 | |
| Vaginal delivery |
— |
— |
$15,726 |
$5,487 | |
| Vitamin B12 test |
$25 |
$99 |
$55 |
$15 | |
| Vitamin D test |
$39 |
$155 |
$89 |
$30 | |
| Weight-loss (bariatric) surgery |
— |
— |
$38,176 |
$11,645 | |
| Wound debridement |
$652 |
$2,607 |
$1,393 |
$186 | |
| X-ray of the abdomen |
$116 |
$465 |
$346 |
$36 | |
| X-ray of the ankle |
$127 |
$507 |
$304 |
$37 | |
| X-ray of the collarbone |
$96 |
$385 |
$231 |
$33 | |
| X-ray of the elbow |
$109 |
$436 |
$262 |
$33 | |
| X-ray of the facial bones |
$121 |
$485 |
$291 |
$39 | |
| X-ray of the foot |
$100 |
$401 |
$241 |
$34 | |
| X-ray of the forearm |
$93 |
$372 |
$223 |
$29 | |
| X-ray of the hand |
$100 |
$399 |
$239 |
$38 | |
| X-ray of the hip |
$122 |
$486 |
$283 |
$49 | |
| X-ray of the hip (1 view) |
$89 |
$354 |
$212 |
$34 | |
| X-ray of the hip (3 views) |
$122 |
$486 |
$292 |
$49 | |
| X-ray of the hip (4 views) |
$129 |
$516 |
$310 |
$63 | |
| X-ray of the knee |
$115 |
$459 |
$285 |
$42 | |
| X-ray of the knee (2 views) |
$110 |
$438 |
$263 |
$34 | |
| X-ray of the knee (3 views) |
$115 |
$459 |
$275 |
$42 | |
| X-ray of the knee (4+ views) |
$119 |
$475 |
$285 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$134 |
$535 |
$355 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$118 |
$473 |
$284 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$149 |
$596 |
$358 |
$53 | |
| X-ray of the lower leg |
$98 |
$390 |
$234 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$111 |
$445 |
$267 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$111 |
$445 |
$267 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$111 |
$445 |
$267 |
$39 | |
| X-ray of the neck (cervical spine) |
$150 |
$600 |
$364 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$122 |
$489 |
$293 |
$40 | |
| X-ray of the pelvis |
$114 |
$456 |
$277 |
$36 | |
| X-ray of the pelvis (1 view) |
$113 |
$450 |
$270 |
$28 | |
| X-ray of the ribs |
$129 |
$514 |
$317 |
$42 | |
| X-ray of the ribs (2 views) |
$128 |
$511 |
$307 |
$36 | |
| X-ray of the ribs (3 views) |
$129 |
$514 |
$308 |
$42 | |
| X-ray of the shoulder |
$105 |
$418 |
$251 |
$36 | |
| X-ray of the skull |
$145 |
$579 |
$358 |
$40 | |
| X-ray of the upper arm |
$107 |
$427 |
$256 |
$32 | |
| X-ray of the wrist |
$98 |
$390 |
$234 |
$43 | |
| Zinc blood test |
$14 |
$55 |
$33 |
$11 | |