| Abdominal fluid drain (paracentesis) |
$1,358 |
$1,358 |
— |
$284 | |
| Abdominal ultrasound |
$974 |
$974 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$1,111 |
$1,111 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$836 |
$836 |
— |
$86 | |
| Abscess drainage (simple) |
$385 |
$385 |
— |
$129 | |
| Abscess incision and drainage |
$385 |
$385 |
— |
$174 | |
| Albumin blood test |
$49 |
$49 |
— |
$5 | |
| Aldosterone test |
$228 |
$228 |
— |
$41 | |
| Alkaline phosphatase test |
$54 |
$54 |
— |
$5 | |
| Alpha-fetoprotein (AFP) test |
$229 |
$229 |
— |
$17 | |
| ALT liver enzyme test |
$76 |
$76 |
— |
$5 | |
| Ammonia blood test |
$218 |
$218 |
— |
$15 | |
| Amylase test |
$114 |
$114 |
— |
$6 | |
| Antinuclear antibody (ANA) test |
$179 |
$179 |
— |
$12 | |
| AST liver enzyme test |
$87 |
$87 |
— |
$5 | |
| Basic metabolic panel |
$178 |
$178 |
— |
$8 | |
| Bilirubin blood test |
$52 |
$52 |
— |
$5 | |
| Blood clotting test (PT/INR) |
$79 |
$79 |
— |
$4 | |
| Blood glucose test |
$63 |
$63 |
— |
$5 | |
| Blood transfusion |
$1,177 |
$1,177 |
— |
$47 | |
| Blood type and screen |
$113 |
$113 |
— |
$10 | |
| Blood type test |
$74 |
$74 |
— |
$3 | |
| Blood type test (ABO group) |
$75 |
$75 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$73 |
$73 |
— |
$3 | |
| BNP (heart failure) test |
$318 |
$318 |
— |
$39 | |
| Breast ultrasound |
$844 |
$844 |
— |
$92 | |
| Breast ultrasound (complete) |
$957 |
$957 |
— |
$100 | |
| Breast ultrasound (limited) |
$732 |
$732 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$895 |
$895 |
— |
$133 | |
| Burn dressing and debridement (medium) |
$547 |
$547 |
— |
$166 | |
| Burn dressing and debridement (small) |
$334 |
$334 |
— |
$93 | |
| Burn treatment |
$441 |
$441 |
— |
$129 | |
| C-reactive protein (CRP) |
$114 |
$114 |
— |
$5 | |
| CA 19-9 tumor marker test |
$209 |
$209 |
— |
$21 | |
| CA-125 ovarian marker test |
$354 |
$354 |
— |
$21 | |
| Calcium blood test |
$58 |
$58 |
— |
$5 | |
| Cardiac event monitor |
$1,003 |
$1,003 |
— |
$170 | |
| Cardiac rehabilitation |
$267 |
$267 |
— |
$26 | |
| Cardioversion |
$811 |
$811 |
— |
$155 | |
| Carotid artery ultrasound |
$1,815 |
$1,815 |
— |
$156 | |
| CEA tumor marker test |
$271 |
$271 |
— |
$19 | |
| Celiac disease test |
$129 |
$129 |
— |
$12 | |
| Chest tube insertion |
$1,189 |
$1,189 |
— |
$143 | |
| Chest X-ray |
$336 |
$336 |
— |
$37 | |
| Chest X-ray (1 view) |
$295 |
$295 |
— |
$25 | |
| Chest X-ray (2 views) |
$376 |
$376 |
— |
$33 | |
| CK-MB heart enzyme test |
$210 |
$210 |
— |
$12 | |
| Clotting time test (PTT) |
$106 |
$106 |
— |
$6 | |
| Complete blood count (CBC) |
$110 |
$110 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$130 |
$130 |
— |
$8 | |
| Complex wound repair |
$1,027 |
$1,027 |
— |
$390 | |
| Comprehensive metabolic panel |
$229 |
$229 |
— |
$11 | |
| Copper blood test |
$121 |
$121 |
— |
$12 | |
| Cortisol test |
$100 |
$100 |
— |
$16 | |
| COVID-19 PCR test |
$147 |
$147 |
— |
$51 | |
| CPAP titration study |
$886 |
$886 |
— |
$69 | |
| Creatine kinase (CK) test |
$92 |
$92 |
— |
$7 | |
| CT angiography of the chest |
$3,558 |
$3,558 |
— |
$281 | |
| CT angiography of the head |
$3,275 |
$3,275 |
— |
$274 | |
| CT scan of the abdomen |
$2,857 |
$2,857 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$4,890 |
$4,890 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$5,076 |
$5,076 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$4,890 |
$4,890 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$4,150 |
$4,150 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$3,309 |
$3,309 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$2,857 |
$2,857 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$2,345 |
$2,345 |
— |
$136 | |
| CT scan of the arm |
$1,731 |
$1,731 |
— |
$199 | |
| CT scan of the arm with contrast |
$1,833 |
$1,833 |
— |
$199 | |
| CT scan of the arm without contrast |
$1,629 |
$1,629 |
— |
$161 | |
| CT scan of the chest |
$2,732 |
$2,732 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$2,887 |
$2,887 |
— |
$196 | |
| CT scan of the chest with contrast |
$2,732 |
$2,732 |
— |
$167 | |
| CT scan of the chest without contrast |
$2,403 |
$2,403 |
— |
$133 | |
| CT scan of the head |
$2,133 |
$2,133 |
— |
$148 | |
| CT scan of the head with and without contrast |
$2,229 |
$2,229 |
— |
$173 | |
| CT scan of the head with contrast |
$1,831 |
$1,831 |
— |
$148 | |
| CT scan of the head without contrast |
$2,133 |
$2,133 |
— |
$107 | |
| CT scan of the leg |
$2,159 |
$2,159 |
— |
$166 | |
| CT scan of the leg with contrast |
$1,865 |
$1,865 |
— |
$166 | |
| CT scan of the leg without contrast |
$2,453 |
$2,453 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,435 |
$2,435 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$2,435 |
$2,435 |
— |
$130 | |
| CT scan of the neck |
$2,000 |
$2,000 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$2,685 |
$2,685 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$2,685 |
$2,685 |
— |
$131 | |
| CT scan of the neck with contrast |
$2,089 |
$2,089 |
— |
$183 | |
| CT scan of the neck without contrast |
$1,911 |
$1,911 |
— |
$150 | |
| CT scan of the pelvis |
$2,347 |
$2,347 |
— |
$226 | |
| CT scan of the pelvis with contrast |
$2,105 |
$2,105 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$2,588 |
$2,588 |
— |
$133 | |
| CT scan of the sinuses |
$2,025 |
$2,025 |
— |
$152 | |
| CT scan of the sinuses with contrast |
$1,949 |
$1,949 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$2,102 |
$2,102 |
— |
$128 | |
| D-dimer test |
$204 |
$204 |
— |
$10 | |
| Developmental screening (child) |
$82 |
$82 |
— |
— | |
| Drug screen (urine) |
$240 |
$240 |
— |
$17 | |
| Echocardiogram |
$1,713 |
$1,713 |
— |
$138 | |
| Echocardiogram with and without contrast |
$1,336 |
$1,336 |
— |
$101 | |
| Echocardiogram without contrast |
$1,713 |
$1,713 |
— |
$138 | |
| EKG / ECG (tracing only) |
$293 |
$293 |
— |
$7 | |
| Electrocardiogram (EKG) |
$176 |
$176 |
— |
$8 | |
| Electrolyte panel |
$125 |
$125 |
— |
$7 | |
| Emergency department visit |
$550 |
$550 |
— |
$69 | |
| Emergency department visit (level 1) |
$263 |
$263 |
— |
$11 | |
| Emergency department visit (level 2) |
$347 |
$347 |
— |
$40 | |
| Emergency department visit (level 3) |
$550 |
$550 |
— |
$69 | |
| Emergency department visit (level 4) |
$846 |
$846 |
— |
$118 | |
| Emergency department visit (level 5) |
$1,411 |
$1,411 |
— |
$171 | |
| Estradiol (estrogen) test |
$255 |
$255 |
— |
$28 | |
| Family therapy session |
$845 |
$845 |
— |
$110 | |
| Fecal occult blood (stool) test |
$71 |
$71 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$44 |
$44 |
— |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$97 |
$97 |
— |
$16 | |
| Ferritin (iron) test |
$152 |
$152 |
— |
$14 | |
| Fibrinogen test |
$114 |
$114 |
— |
$10 | |
| Flu test |
$180 |
$180 |
— |
$17 | |
| Folate (folic acid) test |
$214 |
$214 |
— |
$15 | |
| Foreign body removal (skin) |
$535 |
$535 |
— |
$157 | |
| Free T4 thyroid test |
$123 |
$123 |
— |
$9 | |
| FSH hormone test |
$197 |
$197 |
— |
$19 | |
| GGT liver test |
$40 |
$40 |
— |
$7 | |
| Glucose tolerance test |
$134 |
$134 |
— |
$8 | |
| Group therapy session |
$735 |
$735 |
— |
$30 | |
| H. pylori test |
$616 |
$616 |
— |
$67 | |
| HDL cholesterol test |
$59 |
$59 |
— |
$8 | |
| Hematocrit test |
$52 |
$52 |
— |
$2 | |
| Hemoglobin A1c (diabetes test) |
$100 |
$100 |
— |
$10 | |
| Hepatitis B test |
$88 |
$88 |
— |
$10 | |
| Hepatitis C test |
$219 |
$219 |
— |
$14 | |
| Holter heart monitor |
$515 |
$515 |
— |
$26 | |
| Iron blood test |
$76 |
$76 |
— |
$6 | |
| IV infusion therapy |
$286 |
$286 |
— |
$44 | |
| IV infusion therapy (each additional) |
$176 |
$176 |
— |
$21 | |
| IV infusion therapy (initial) |
$396 |
$396 |
— |
$67 | |
| Joint aspiration (small/intermediate) |
$235 |
$235 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$235 |
$235 |
— |
$57 | |
| Kidney ultrasound |
$830 |
$830 |
— |
$84 | |
| Kidney ultrasound (limited) |
$627 |
$627 |
— |
$61 | |
| Knee joint injection |
$302 |
$302 |
— |
$69 | |
| Lactate test |
$158 |
$158 |
— |
$12 | |
| LDH test |
$100 |
$100 |
— |
$6 | |
| LDL cholesterol test |
$104 |
$104 |
— |
$11 | |
| Leg vein ultrasound (Doppler) |
$1,774 |
$1,774 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,336 |
$1,336 |
— |
$116 | |
| LH hormone test |
$197 |
$197 |
— |
$19 | |
| Lipase test |
$144 |
$144 |
— |
$7 | |
| Lipid (cholesterol) panel |
$174 |
$174 |
— |
$13 | |
| Liver function panel |
$230 |
$230 |
— |
$8 | |
| Lung function test (PFT) |
$527 |
$527 |
— |
$37 | |
| Magnesium blood test |
$201 |
$201 |
— |
$7 | |
| Nebulizer breathing treatment |
$254 |
$254 |
— |
$9 | |
| Newborn hospital care |
$296 |
$296 |
— |
$58 | |
| Nuchal translucency ultrasound |
$813 |
$813 |
— |
$116 | |
| Occupational therapy evaluation |
$243 |
$243 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$243 |
$243 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$268 |
$268 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$243 |
$243 |
— |
$101 | |
| Office visit (established patient) |
$208 |
$208 |
— |
$115 | |
| Office visit (new patient) |
$439 |
$439 |
— |
$177 | |
| Office visit, established patient (level 3) |
$169 |
$169 |
— |
$95 | |
| Office visit, established patient (level 4) |
$246 |
$246 |
— |
$136 | |
| Office visit, new patient (level 4) |
$439 |
$439 |
— |
$177 | |
| Parathyroid hormone (PTH) test |
$289 |
$289 |
— |
$41 | |
| Pelvic ultrasound |
$739 |
$739 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$1,020 |
$1,020 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$458 |
$458 |
— |
$51 | |
| Phosphorus blood test |
$73 |
$73 |
— |
$5 | |
| Physical therapy evaluation |
$279 |
$279 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$279 |
$279 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$279 |
$279 |
— |
$98 | |
| Platelet count |
$56 |
$56 |
— |
$4 | |
| Pneumonia vaccine |
$461 |
$461 |
— |
— | |
| Pregnancy blood test (hCG) |
$55 |
$55 |
— |
$8 | |
| Pregnancy ultrasound |
$1,112 |
$1,112 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$985 |
$985 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$1,240 |
$1,240 |
— |
$136 | |
| Procalcitonin test |
$326 |
$326 |
— |
$27 | |
| Prolactin test |
$169 |
$169 |
— |
$19 | |
| Prostate test (PSA) |
$192 |
$192 |
— |
$18 | |
| Psychotherapy session |
$763 |
$763 |
— |
$140 | |
| Rheumatoid factor test |
$74 |
$74 |
— |
$6 | |
| Scrotal ultrasound |
$477 |
$477 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$74 |
$74 |
— |
$3 | |
| Sex hormone binding globulin test |
$121 |
$121 |
— |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$602 |
$602 |
— |
$114 | |
| Simple wound stitches |
$665 |
$665 |
— |
$127 | |
| Soft tissue ultrasound |
$393 |
$393 |
— |
$64 | |
| Speech therapy |
$221 |
$221 |
— |
$76 | |
| Spirometry (lung function test) |
$342 |
$342 |
— |
$30 | |
| Spirometry with bronchodilator |
$713 |
$713 |
— |
$43 | |
| Strep throat test |
$119 |
$119 |
— |
$17 | |
| Stress echocardiogram |
$2,287 |
$2,287 |
— |
$209 | |
| Swallow study |
$593 |
$593 |
— |
$85 | |
| T3 thyroid test |
$150 |
$150 |
— |
$14 | |
| Tdap (tetanus) vaccine |
$328 |
$328 |
— |
— | |
| Testosterone test |
$221 |
$221 |
— |
$26 | |
| Thyroid test (TSH) |
$193 |
$193 |
— |
$17 | |
| Thyroid ultrasound |
$1,191 |
$1,191 |
— |
$109 | |
| Total IgE allergy test |
$153 |
$153 |
— |
$16 | |
| Total protein test |
$74 |
$74 |
— |
$4 | |
| Transvaginal ultrasound |
$1,182 |
$1,182 |
— |
$118 | |
| Trigger point injection |
$273 |
$273 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$273 |
$273 |
— |
$52 | |
| Triglycerides test |
$110 |
$110 |
— |
$6 | |
| Troponin (heart) test |
$234 |
$234 |
— |
$12 | |
| Uric acid (gout) test |
$79 |
$79 |
— |
$5 | |
| Urinalysis |
$66 |
$66 |
— |
$3 | |
| Urine microalbumin test |
$102 |
$102 |
— |
$5 | |
| Urine pregnancy test |
$169 |
$169 |
— |
$9 | |
| Vaccine administration |
$118 |
$118 |
— |
$19 | |
| Vaccine administration (each additional) |
$153 |
$153 |
— |
$16 | |
| Vitamin B12 test |
$174 |
$174 |
— |
$15 | |
| Vitamin D test |
$324 |
$324 |
— |
$30 | |
| Wound debridement |
$554 |
$554 |
— |
$186 | |
| X-ray of the abdomen |
$377 |
$377 |
— |
$36 | |
| X-ray of the ankle |
$395 |
$395 |
— |
$37 | |
| X-ray of the collarbone |
$244 |
$244 |
— |
$33 | |
| X-ray of the elbow |
$334 |
$334 |
— |
$33 | |
| X-ray of the facial bones |
$299 |
$299 |
— |
$39 | |
| X-ray of the foot |
$356 |
$356 |
— |
$34 | |
| X-ray of the forearm |
$228 |
$228 |
— |
$29 | |
| X-ray of the hand |
$351 |
$351 |
— |
$38 | |
| X-ray of the hip |
$370 |
$370 |
— |
$49 | |
| X-ray of the hip (1 view) |
$266 |
$266 |
— |
$34 | |
| X-ray of the hip (3 views) |
$370 |
$370 |
— |
$49 | |
| X-ray of the hip (4 views) |
$408 |
$408 |
— |
$63 | |
| X-ray of the knee |
$404 |
$404 |
— |
$42 | |
| X-ray of the knee (2 views) |
$326 |
$326 |
— |
$34 | |
| X-ray of the knee (3 views) |
$409 |
$409 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$404 |
$404 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$479 |
$479 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$461 |
$461 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$496 |
$496 |
— |
$53 | |
| X-ray of the lower leg |
$332 |
$332 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$430 |
$430 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$362 |
$362 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$498 |
$498 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$402 |
$402 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$379 |
$379 |
— |
$40 | |
| X-ray of the pelvis |
$342 |
$342 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$322 |
$322 |
— |
$28 | |
| X-ray of the ribs |
$416 |
$416 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$308 |
$308 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$524 |
$524 |
— |
$42 | |
| X-ray of the shoulder |
$368 |
$368 |
— |
$36 | |
| X-ray of the skull |
$360 |
$360 |
— |
$40 | |
| X-ray of the upper arm |
$303 |
$303 |
— |
$32 | |
| X-ray of the wrist |
$353 |
$353 |
— |
$43 | |
| Zinc blood test |
$135 |
$135 |
— |
$11 | |