| 3D mammogram (tomosynthesis) |
$55 |
$69 |
— |
$51 | |
| Abdominal ultrasound |
$908 |
$1,136 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$1,125 |
$1,406 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$692 |
$865 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$466 |
$583 |
— |
$220 | |
| Abscess drainage (simple) |
$350 |
$350 |
— |
$129 | |
| Abscess incision and drainage |
$408 |
$467 |
— |
$174 | |
| Albumin blood test |
$61 |
$76 |
— |
$5 | |
| Aldosterone test |
$298 |
$373 |
— |
$41 | |
| Alkaline phosphatase test |
$106 |
$133 |
— |
$5 | |
| Allergy shots |
$54 |
$68 |
— |
$11 | |
| Alpha-fetoprotein (AFP) test |
$174 |
$217 |
— |
$17 | |
| ALT liver enzyme test |
$75 |
$94 |
— |
$5 | |
| Ammonia blood test |
$143 |
$179 |
— |
$15 | |
| Amylase test |
$89 |
$111 |
— |
$6 | |
| Annual physical (established patient) |
$225 |
$225 |
— |
— | |
| Annual physical (new patient) |
$297 |
$297 |
— |
— | |
| Antinuclear antibody (ANA) test |
$142 |
$178 |
— |
$12 | |
| AST liver enzyme test |
$75 |
$94 |
— |
$5 | |
| Basic metabolic panel |
$178 |
$222 |
— |
$8 | |
| Benign skin lesion removal |
$417 |
$521 |
— |
$171 | |
| Bilirubin blood test |
$65 |
$81 |
— |
$5 | |
| Blood clotting test (PT/INR) |
$65 |
$81 |
— |
$4 | |
| Blood crossmatch |
$108 |
$135 |
— |
— | |
| Blood glucose test |
$83 |
$104 |
— |
$5 | |
| Blood transfusion |
$1,447 |
$1,809 |
— |
$47 | |
| Blood type and screen |
$93 |
$116 |
— |
$10 | |
| Blood type test |
$50 |
$63 |
— |
$3 | |
| Blood type test (ABO group) |
$50 |
$63 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$50 |
$63 |
— |
$3 | |
| BNP (heart failure) test |
$238 |
$297 |
— |
$39 | |
| Bone density scan (DEXA) |
$424 |
$530 |
— |
$39 | |
| Bone scan (nuclear) |
$1,994 |
$2,493 |
— |
$259 | |
| Breast ultrasound |
$514 |
$643 |
— |
$92 | |
| Breast ultrasound (complete) |
$474 |
$592 |
— |
$100 | |
| Breast ultrasound (limited) |
$554 |
$693 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$822 |
$1,028 |
— |
$133 | |
| Burn dressing and debridement (small) |
$346 |
$433 |
— |
$93 | |
| Burn treatment |
$346 |
$433 |
— |
$129 | |
| C-reactive protein (CRP) |
$105 |
$131 |
— |
$5 | |
| CA-125 ovarian marker test |
$169 |
$211 |
— |
$21 | |
| Calcium blood test |
$56 |
$70 |
— |
$5 | |
| Cardiac rehabilitation |
$216 |
$270 |
— |
$26 | |
| Cardiac stress test |
$592 |
$741 |
— |
$39 | |
| Carotid artery ultrasound |
$1,038 |
$1,298 |
— |
$156 | |
| CEA tumor marker test |
$149 |
$186 |
— |
$19 | |
| Celiac disease test |
$317 |
$396 |
— |
$12 | |
| Central line placement |
$2,475 |
$3,094 |
— |
$238 | |
| Chest X-ray |
$242 |
$303 |
— |
$37 | |
| Chest X-ray (1 view) |
$190 |
$237 |
— |
$25 | |
| Chest X-ray (2 views) |
$294 |
$368 |
— |
$33 | |
| Chickenpox (varicella) vaccine |
$431 |
$431 |
— |
— | |
| CK-MB heart enzyme test |
$126 |
$158 |
— |
$12 | |
| Clotting time test (PTT) |
$89 |
$111 |
— |
$6 | |
| Colonoscopy |
$2,266 |
$2,832 |
— |
$480 | |
| Complete blood count (CBC) |
$92 |
$115 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$122 |
$153 |
— |
$8 | |
| Comprehensive metabolic panel |
$246 |
$308 |
— |
$11 | |
| Copper blood test |
$90 |
$113 |
— |
$12 | |
| Cortisol test |
$136 |
$170 |
— |
$16 | |
| Creatine kinase (CK) test |
$110 |
$137 |
— |
$7 | |
| CT angiography of the chest |
$3,029 |
$3,786 |
— |
$281 | |
| CT angiography of the head |
$2,354 |
$2,943 |
— |
$274 | |
| CT scan of the abdomen |
$2,302 |
$2,878 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$4,499 |
$5,624 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$4,889 |
$6,111 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$4,499 |
$5,624 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$3,980 |
$4,975 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,562 |
$3,202 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$2,302 |
$2,878 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$2,017 |
$2,521 |
— |
$136 | |
| CT scan of the arm |
$2,522 |
$3,152 |
— |
$199 | |
| CT scan of the arm without contrast |
$2,522 |
$3,152 |
— |
$161 | |
| CT scan of the chest |
$2,596 |
$3,245 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$2,769 |
$3,461 |
— |
$196 | |
| CT scan of the chest with contrast |
$2,596 |
$3,245 |
— |
$167 | |
| CT scan of the chest without contrast |
$2,163 |
$2,704 |
— |
$133 | |
| CT scan of the head |
$2,012 |
$2,515 |
— |
$148 | |
| CT scan of the head with and without contrast |
$2,120 |
$2,650 |
— |
$173 | |
| CT scan of the head without contrast |
$1,904 |
$2,380 |
— |
$107 | |
| CT scan of the leg |
$1,990 |
$2,488 |
— |
$166 | |
| CT scan of the leg with contrast |
$1,990 |
$2,488 |
— |
$166 | |
| CT scan of the leg without contrast |
$1,817 |
$2,271 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,423 |
$3,029 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,596 |
$3,245 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) without contrast |
$2,250 |
$2,812 |
— |
$130 | |
| CT scan of the neck |
$1,968 |
$2,461 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$2,250 |
$2,812 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$2,250 |
$2,812 |
— |
$131 | |
| CT scan of the neck with contrast |
$2,055 |
$2,569 |
— |
$183 | |
| CT scan of the neck without contrast |
$1,882 |
$2,352 |
— |
$150 | |
| CT scan of the pelvis |
$2,021 |
$2,526 |
— |
$226 | |
| CT scan of the pelvis with contrast |
$2,107 |
$2,634 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$1,934 |
$2,418 |
— |
$133 | |
| CT scan of the sinuses |
$2,115 |
$2,644 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,202 |
$2,752 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$2,115 |
$2,644 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$1,899 |
$2,374 |
— |
$128 | |
| D-dimer test |
$208 |
$260 |
— |
$10 | |
| DHEA-sulfate test |
$213 |
$266 |
— |
$22 | |
| Diagnostic mammogram |
$337 |
$422 |
— |
$140 | |
| Drug screen (urine) |
$303 |
$379 |
— |
$17 | |
| Echocardiogram |
$2,474 |
$3,093 |
— |
$138 | |
| EKG / ECG (tracing only) |
$230 |
$287 |
— |
$7 | |
| Electrocardiogram (EKG) |
$136 |
$171 |
— |
$8 | |
| Electrolyte panel |
$121 |
$151 |
— |
$7 | |
| Emergency department visit |
$562 |
$703 |
— |
$69 | |
| Emergency department visit (level 1) |
$205 |
$256 |
— |
$11 | |
| Emergency department visit (level 2) |
$303 |
$379 |
— |
$40 | |
| Emergency department visit (level 3) |
$562 |
$703 |
— |
$69 | |
| Emergency department visit (level 4) |
$778 |
$973 |
— |
$118 | |
| Emergency department visit (level 5) |
$1,082 |
$1,352 |
— |
$171 | |
| Estradiol (estrogen) test |
$149 |
$186 |
— |
$28 | |
| Fecal occult blood (stool) test |
$46 |
$58 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$46 |
$58 |
— |
$4 | |
| Ferritin (iron) test |
$191 |
$239 |
— |
$14 | |
| Fibrinogen test |
$117 |
$146 |
— |
$10 | |
| Flu test |
$132 |
$132 |
— |
$17 | |
| Flu vaccine |
$45 |
$45 |
— |
— | |
| Folate (folic acid) test |
$197 |
$246 |
— |
$15 | |
| Foreign body removal (skin) |
$350 |
$438 |
— |
$157 | |
| Free T4 thyroid test |
$146 |
$183 |
— |
$9 | |
| FSH hormone test |
$143 |
$179 |
— |
$19 | |
| Gallbladder scan (HIDA) |
$2,336 |
$2,920 |
— |
$334 | |
| GGT liver test |
$86 |
$108 |
— |
$7 | |
| H. pylori test |
$167 |
$209 |
— |
$67 | |
| Hematocrit test |
$40 |
$50 |
— |
$2 | |
| Hemoglobin A1c (diabetes test) |
$130 |
$162 |
— |
$10 | |
| Hepatitis B test |
$89 |
$111 |
— |
$10 | |
| Hepatitis B vaccine |
$291 |
$291 |
— |
— | |
| Hepatitis C test |
$173 |
$173 |
— |
$14 | |
| HIV test |
$183 |
$183 |
— |
$19 | |
| HIV test (antigen/antibody combo) |
$183 |
$183 |
— |
$24 | |
| Home sleep apnea test |
$562 |
$703 |
— |
$123 | |
| HPV vaccine |
$753 |
$753 |
— |
— | |
| Iron blood test |
$77 |
$96 |
— |
$6 | |
| IV infusion therapy |
$229 |
$287 |
— |
$44 | |
| IV infusion therapy (each additional) |
$112 |
$140 |
— |
$21 | |
| IV infusion therapy (initial) |
$346 |
$433 |
— |
$67 | |
| Joint aspiration (small/intermediate) |
$162 |
$202 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$162 |
$202 |
— |
$56 | |
| Kidney scan (nuclear) |
$2,209 |
$2,761 |
— |
$172 | |
| Kidney ultrasound |
$574 |
$718 |
— |
$84 | |
| Kidney ultrasound (limited) |
$326 |
$408 |
— |
$61 | |
| Knee joint injection |
$208 |
$260 |
— |
$69 | |
| Lactate test |
$132 |
$165 |
— |
$12 | |
| LDH test |
$80 |
$100 |
— |
$6 | |
| LDL cholesterol test |
$72 |
$90 |
— |
$11 | |
| Leg vein ultrasound (Doppler) |
$844 |
$1,055 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$735 |
$919 |
— |
$116 | |
| LH hormone test |
$106 |
$133 |
— |
$19 | |
| Lipase test |
$112 |
$140 |
— |
$7 | |
| Lipid (cholesterol) panel |
$199 |
$249 |
— |
$13 | |
| Liver function panel |
$179 |
$224 |
— |
$8 | |
| Lung function test (PFT) |
$362 |
$452 |
— |
$37 | |
| Magnesium blood test |
$95 |
$119 |
— |
$7 | |
| MMR vaccine |
$249 |
$249 |
— |
— | |
| MRA of the brain |
$2,588 |
$3,235 |
— |
$226 | |
| MRA of the brain without contrast |
$2,674 |
$3,343 |
— |
$328 | |
| MRA of the neck |
$2,674 |
$3,343 |
— |
$245 | |
| MRA of the neck without contrast |
$2,674 |
$3,343 |
— |
$343 | |
| MRI of the abdomen |
$2,353 |
$2,941 |
— |
$300 | |
| MRI of the abdomen with contrast |
$2,353 |
$2,941 |
— |
$300 | |
| MRI of the abdomen without contrast |
$2,180 |
$2,725 |
— |
$194 | |
| MRI of the ankle |
$2,214 |
$2,768 |
— |
$261 | |
| MRI of the ankle without contrast |
$2,127 |
$2,659 |
— |
$222 | |
| MRI of the brain |
$2,949 |
$3,686 |
— |
$269 | |
| MRI of the brain with contrast |
$2,949 |
$3,686 |
— |
$269 | |
| MRI of the brain without contrast |
$2,898 |
$3,623 |
— |
$195 | |
| MRI of the chest |
$4,110 |
$5,138 |
— |
$371 | |
| MRI of the chest without contrast |
$4,110 |
$5,138 |
— |
$466 | |
| MRI of the knee |
$3,029 |
$3,786 |
— |
$315 | |
| MRI of the knee without contrast |
$3,029 |
$3,786 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,942 |
$3,678 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,898 |
$3,623 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,813 |
$3,517 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,986 |
$3,733 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,640 |
$3,300 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$2,964 |
$3,705 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,986 |
$3,733 |
— |
$318 | |
| MRI of the neck (cervical spine) without contrast |
$2,942 |
$3,677 |
— |
$191 | |
| MRI of the pelvis |
$2,633 |
$3,291 |
— |
$268 | |
| MRI of the pelvis without contrast |
$2,293 |
$2,866 |
— |
$227 | |
| MRI of the shoulder |
$3,085 |
$3,856 |
— |
$313 | |
| MRI of the shoulder without contrast |
$3,029 |
$3,786 |
— |
$205 | |
| MRI of the wrist |
$2,328 |
$2,910 |
— |
$330 | |
| MRI of the wrist without contrast |
$2,328 |
$2,910 |
— |
$303 | |
| Nebulizer breathing treatment |
$199 |
$249 |
— |
$9 | |
| Nuclear cardiac stress test |
$5,278 |
$6,598 |
— |
$428 | |
| Occupational therapy evaluation |
$369 |
$461 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$458 |
$573 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$278 |
$348 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$369 |
$461 |
— |
$101 | |
| Office visit (established patient) |
$226 |
$226 |
— |
$115 | |
| Office visit (new patient) |
$312 |
$312 |
— |
$177 | |
| Office visit, established patient (level 3) |
$201 |
$201 |
— |
$95 | |
| Office visit, established patient (level 4) |
$251 |
$251 |
— |
$136 | |
| Office visit, new patient (level 3) |
$255 |
$255 |
— |
$118 | |
| Office visit, new patient (level 4) |
$368 |
$368 |
— |
$177 | |
| Parathyroid hormone (PTH) test |
$230 |
$287 |
— |
$41 | |
| Pelvic ultrasound |
$533 |
$666 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$787 |
$984 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$278 |
$348 |
— |
$51 | |
| Phosphorus blood test |
$62 |
$78 |
— |
$5 | |
| Physical therapy evaluation |
$306 |
$382 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$346 |
$432 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$306 |
$382 |
— |
$98 | |
| Platelet count |
$61 |
$76 |
— |
$4 | |
| Pregnancy blood test (hCG) |
$107 |
$134 |
— |
$8 | |
| Pregnancy ultrasound |
$677 |
$847 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$612 |
$765 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$742 |
$928 |
— |
$136 | |
| Procalcitonin test |
$272 |
$340 |
— |
$27 | |
| Prolactin test |
$170 |
$212 |
— |
$19 | |
| Prostate test (PSA) |
$143 |
$179 |
— |
$18 | |
| Scoliosis spine X-ray |
$296 |
$370 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$308 |
$385 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$283 |
$354 |
— |
$72 | |
| Screening mammogram |
$369 |
$461 |
— |
$126 | |
| Scrotal ultrasound |
$830 |
$1,038 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$56 |
$70 |
— |
$3 | |
| Sex hormone binding globulin test |
$274 |
$342 |
— |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$303 |
$379 |
— |
$114 | |
| Simple wound stitches |
$368 |
$460 |
— |
$127 | |
| Skin biopsy |
$322 |
$403 |
— |
$121 | |
| Skin biopsy (punch) |
$237 |
$296 |
— |
$121 | |
| Skin cancer lesion removal |
$566 |
$707 |
— |
$240 | |
| Skin tag removal |
$215 |
$269 |
— |
$92 | |
| Soft tissue ultrasound |
$411 |
$514 |
— |
$64 | |
| Speech therapy |
$286 |
$357 |
— |
$76 | |
| Spirometry (lung function test) |
$294 |
$368 |
— |
$30 | |
| Spirometry with bronchodilator |
$429 |
$536 |
— |
$43 | |
| Strep throat test |
$75 |
$75 |
— |
$17 | |
| Swallow study |
$402 |
$503 |
— |
$85 | |
| T3 thyroid test |
$128 |
$160 |
— |
$14 | |
| Tdap (tetanus) vaccine |
$185 |
$185 |
— |
— | |
| Testosterone test |
$220 |
$275 |
— |
$26 | |
| Thyroid test (TSH) |
$186 |
$233 |
— |
$17 | |
| Thyroid ultrasound |
$670 |
$838 |
— |
$109 | |
| Thyroid uptake scan |
$1,422 |
$1,778 |
— |
$145 | |
| Total IgE allergy test |
$125 |
$156 |
— |
$16 | |
| Total protein test |
$54 |
$67 |
— |
$4 | |
| Transvaginal ultrasound |
$778 |
$973 |
— |
$118 | |
| Triglycerides test |
$85 |
$106 |
— |
$6 | |
| Troponin (heart) test |
$208 |
$260 |
— |
$12 | |
| Upper GI endoscopy (EGD) |
$2,070 |
$2,588 |
— |
$371 | |
| Uric acid (gout) test |
$78 |
$98 |
— |
$5 | |
| Urinalysis |
$72 |
$90 |
— |
$3 | |
| Urine microalbumin test |
$108 |
$135 |
— |
$5 | |
| Urine pregnancy test |
$134 |
$134 |
— |
$9 | |
| Vaccine administration |
$91 |
$91 |
— |
$19 | |
| Vaccine administration (each additional) |
$79 |
$79 |
— |
$16 | |
| Vitamin B12 test |
$143 |
$179 |
— |
$15 | |
| Vitamin D test |
$122 |
$153 |
— |
$30 | |
| Wart removal |
$209 |
$261 |
— |
$121 | |
| Well-child visit |
$202 |
$202 |
— |
— | |
| Wound debridement |
$460 |
$575 |
— |
$186 | |
| X-ray of the abdomen |
$316 |
$395 |
— |
$36 | |
| X-ray of the ankle |
$303 |
$379 |
— |
$37 | |
| X-ray of the collarbone |
$242 |
$303 |
— |
$33 | |
| X-ray of the elbow |
$320 |
$400 |
— |
$33 | |
| X-ray of the foot |
$338 |
$422 |
— |
$34 | |
| X-ray of the forearm |
$294 |
$368 |
— |
$29 | |
| X-ray of the hand |
$298 |
$373 |
— |
$38 | |
| X-ray of the hip |
$405 |
$506 |
— |
$49 | |
| X-ray of the hip (3 views) |
$405 |
$506 |
— |
$49 | |
| X-ray of the knee |
$450 |
$563 |
— |
$42 | |
| X-ray of the knee (2 views) |
$294 |
$368 |
— |
$34 | |
| X-ray of the knee (3 views) |
$450 |
$563 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$623 |
$779 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$458 |
$573 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$441 |
$551 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$476 |
$595 |
— |
$53 | |
| X-ray of the lower leg |
$320 |
$400 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$359 |
$449 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$277 |
$346 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$441 |
$551 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$454 |
$568 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$363 |
$454 |
— |
$40 | |
| X-ray of the pelvis |
$268 |
$335 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$268 |
$335 |
— |
$28 | |
| X-ray of the ribs |
$398 |
$497 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$398 |
$497 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$398 |
$497 |
— |
$42 | |
| X-ray of the shoulder |
$368 |
$460 |
— |
$36 | |
| X-ray of the skull |
$259 |
$324 |
— |
$40 | |
| X-ray of the upper arm |
$268 |
$335 |
— |
$32 | |
| X-ray of the wrist |
$286 |
$357 |
— |
$43 | |
| YAG laser capsulotomy (eye) |
$2,330 |
$2,912 |
— |
$335 | |
| Zinc blood test |
$84 |
$105 |
— |
$11 | |