| 3D mammogram (tomosynthesis) |
$45 |
$56 |
$47 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$809 |
$1,011 |
$585 |
$284 | |
| Abdominal ultrasound |
$658 |
$823 |
$215 |
$100 | |
| Abdominal ultrasound (complete) |
$1,014 |
$1,267 |
$221 |
$114 | |
| Abdominal ultrasound (limited) |
$303 |
$379 |
$211 |
$86 | |
| Abscess drainage (complex or multiple) |
$564 |
$705 |
$479 |
$220 | |
| Abscess drainage (simple) |
$214 |
$268 |
$229 |
$129 | |
| Abscess incision and drainage |
$389 |
$487 |
$393 |
$174 | |
| Albumin blood test |
$68 |
$86 |
$48 |
$5 | |
| Aldosterone test |
$296 |
$370 |
$206 |
$41 | |
| Alkaline phosphatase test |
$62 |
$78 |
$43 |
$5 | |
| Allergy shots |
$40 |
$50 |
$27 |
$11 | |
| Alpha-fetoprotein (AFP) test |
$146 |
$183 |
$102 |
$17 | |
| ALT liver enzyme test |
$56 |
$70 |
$39 |
$5 | |
| Ammonia blood test |
$154 |
$192 |
$107 |
$15 | |
| Amylase test |
$65 |
$82 |
$45 |
$6 | |
| Annual physical (established patient) |
$369 |
$461 |
$277 |
— | |
| Annual physical (new patient) |
$436 |
$545 |
$324 |
— | |
| Anoscopy |
$262 |
$327 |
$185 |
$129 | |
| Antinuclear antibody (ANA) test |
$131 |
$164 |
$91 |
$12 | |
| Arterial blood gas (ABG) |
$251 |
$314 |
$175 |
$26 | |
| AST liver enzyme test |
$58 |
$72 |
$40 |
$5 | |
| Barium swallow study |
$702 |
$878 |
$508 |
$107 | |
| Bartholin cyst removal |
$334 |
$417 |
$279 |
$182 | |
| Basic metabolic panel |
$92 |
$116 |
$64 |
$8 | |
| Benign skin lesion removal |
$452 |
$565 |
$354 |
$171 | |
| Bilirubin blood test |
$54 |
$67 |
$37 |
$5 | |
| Blood clotting test (PT/INR) |
$58 |
$72 |
$40 |
$4 | |
| Blood crossmatch |
$160 |
$200 |
$116 |
— | |
| Blood glucose test |
$66 |
$82 |
$46 |
$5 | |
| Blood transfusion |
$310 |
$388 |
$224 |
$47 | |
| Blood type and screen |
$118 |
$147 |
$82 |
$10 | |
| Blood type test |
$85 |
$106 |
$60 |
$3 | |
| Blood type test (ABO group) |
$83 |
$104 |
$58 |
$3 | |
| Blood type test (Rh/D antigen) |
$86 |
$108 |
$60 |
$3 | |
| BNP (heart failure) test |
$328 |
$410 |
$116 |
$39 | |
| Bone density scan (DEXA) |
$567 |
$709 |
$73 |
$39 | |
| Breast MRI |
$1,684 |
$2,105 |
$519 |
$216 | |
| Breast MRI without contrast |
$1,684 |
$2,105 |
$342 |
$216 | |
| Breathing tube insertion (intubation) |
$308 |
$385 |
$233 |
$133 | |
| Burn dressing and debridement (medium) |
$375 |
$469 |
$340 |
$166 | |
| Burn dressing and debridement (small) |
$230 |
$288 |
$171 |
$93 | |
| Burn treatment |
$303 |
$379 |
$240 |
$129 | |
| C-reactive protein (CRP) |
$86 |
$108 |
$60 |
$5 | |
| CA 19-9 tumor marker test |
$245 |
$306 |
$170 |
$21 | |
| CA-125 ovarian marker test |
$259 |
$324 |
$180 |
$21 | |
| Calcium blood test |
$54 |
$67 |
$37 |
$5 | |
| Cardiac event monitor |
$1,933 |
$2,416 |
$1,397 |
$170 | |
| Cardiac rehabilitation |
$199 |
$249 |
$144 |
$26 | |
| Cardiac stress test |
$442 |
$552 |
$319 |
$39 | |
| Cardioversion |
$731 |
$914 |
$508 |
$155 | |
| Carotid artery ultrasound |
$662 |
$828 |
$461 |
$156 | |
| CEA tumor marker test |
$211 |
$264 |
$147 |
$19 | |
| Celiac disease test |
$101 |
$126 |
$73 |
$12 | |
| Chest fluid drain (thoracentesis) |
$1,010 |
$1,262 |
$730 |
$311 | |
| Chest tube insertion |
$805 |
$1,006 |
$511 |
$143 | |
| Chest X-ray |
$296 |
$370 |
$79 |
$37 | |
| Chest X-ray (1 view) |
$246 |
$307 |
$59 |
$25 | |
| Chest X-ray (2 views) |
$262 |
$328 |
$70 |
$33 | |
| Chickenpox (varicella) vaccine |
$154 |
$192 |
$112 |
— | |
| Circumcision |
$367 |
$459 |
$265 |
$167 | |
| CK-MB heart enzyme test |
$139 |
$174 |
$97 |
$12 | |
| Clotting time test (PTT) |
$67 |
$84 |
$47 |
$6 | |
| Colonoscopy |
$2,677 |
$3,346 |
$1,053 |
$480 | |
| Colposcopy |
$500 |
$625 |
$361 |
$161 | |
| Complete blood count (CBC) |
$81 |
$101 |
$56 |
$7 | |
| Complete blood count (CBC) (complete) |
$95 |
$119 |
$66 |
$8 | |
| Complex wound repair |
$920 |
$1,150 |
$695 |
$390 | |
| Comprehensive metabolic panel |
$116 |
$145 |
$80 |
$11 | |
| Continuous glucose monitor setup |
$94 |
$117 |
$68 |
$35 | |
| Contraceptive implant (Nexplanon) |
$357 |
$446 |
$312 |
$115 | |
| Copper blood test |
$182 |
$227 |
$126 |
$12 | |
| Cortisol test |
$158 |
$197 |
$110 |
$16 | |
| COVID-19 PCR test |
$214 |
$267 |
$149 |
$51 | |
| Creatine kinase (CK) test |
$88 |
$110 |
$61 |
$7 | |
| CT angiography of the chest |
$3,481 |
$4,351 |
$546 |
$281 | |
| CT angiography of the head |
$3,105 |
$3,881 |
$537 |
$274 | |
| CT scan of the abdomen |
$2,626 |
$3,283 |
$410 |
$230 | |
| CT scan of the abdomen and pelvis |
$3,427 |
$4,284 |
$420 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,639 |
$4,549 |
$458 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$3,427 |
$4,284 |
$427 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,804 |
$3,505 |
$349 |
$183 | |
| CT scan of the abdomen with and without contrast |
$3,412 |
$4,265 |
$459 |
$259 | |
| CT scan of the abdomen with contrast |
$2,626 |
$3,283 |
$425 |
$230 | |
| CT scan of the abdomen without contrast |
$2,219 |
$2,774 |
$366 |
$136 | |
| CT scan of the arm |
$1,818 |
$2,272 |
$494 |
$199 | |
| CT scan of the arm with contrast |
$1,386 |
$1,732 |
$329 |
$199 | |
| CT scan of the arm without contrast |
$1,808 |
$2,260 |
$316 |
$161 | |
| CT scan of the chest |
$2,438 |
$3,048 |
$396 |
$167 | |
| CT scan of the chest with and without contrast |
$3,004 |
$3,755 |
$439 |
$196 | |
| CT scan of the chest with contrast |
$2,438 |
$3,048 |
$396 |
$167 | |
| CT scan of the chest without contrast |
$2,098 |
$2,622 |
$376 |
$133 | |
| CT scan of the head |
$2,002 |
$2,502 |
$343 |
$148 | |
| CT scan of the head with and without contrast |
$3,005 |
$3,756 |
$428 |
$173 | |
| CT scan of the head with contrast |
$2,002 |
$2,502 |
$382 |
$148 | |
| CT scan of the head without contrast |
$1,510 |
$1,888 |
$288 |
$107 | |
| CT scan of the leg |
$1,898 |
$2,373 |
$1,223 |
$166 | |
| CT scan of the leg with contrast |
$1,919 |
$2,399 |
$1,271 |
$166 | |
| CT scan of the leg without contrast |
$1,730 |
$2,162 |
$1,088 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,380 |
$1,725 |
$363 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,001 |
$2,501 |
$391 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,380 |
$1,725 |
$366 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,201 |
$1,501 |
$301 |
$130 | |
| CT scan of the neck |
$2,050 |
$2,562 |
$452 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,368 |
$1,710 |
$391 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,236 |
$2,795 |
$390 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,494 |
$1,867 |
$377 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,242 |
$1,553 |
$864 |
$131 | |
| CT scan of the neck with and without contrast |
$2,547 |
$3,184 |
$481 |
$220 | |
| CT scan of the neck with contrast |
$2,050 |
$2,562 |
$456 |
$183 | |
| CT scan of the neck without contrast |
$1,494 |
$1,868 |
$448 |
$150 | |
| CT scan of the pelvis |
$2,550 |
$3,188 |
$355 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,929 |
$3,661 |
$389 |
$251 | |
| CT scan of the pelvis with contrast |
$2,550 |
$3,188 |
$366 |
$226 | |
| CT scan of the pelvis without contrast |
$1,998 |
$2,498 |
$324 |
$133 | |
| CT scan of the sinuses |
$1,741 |
$2,176 |
$421 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,904 |
$2,380 |
$442 |
$184 | |
| CT scan of the sinuses with contrast |
$1,741 |
$2,176 |
$461 |
$152 | |
| CT scan of the sinuses without contrast |
$1,475 |
$1,844 |
$393 |
$128 | |
| D-dimer test |
$137 |
$171 |
$95 |
$10 | |
| Developmental screening (child) |
$72 |
$90 |
$78 |
— | |
| DHEA-sulfate test |
$250 |
$312 |
$174 |
$22 | |
| Drug screen (urine) |
$84 |
$105 |
$61 |
$17 | |
| Ear pressure test (tympanometry) |
$73 |
$91 |
$53 |
$16 | |
| Echocardiogram |
$2,001 |
$2,501 |
$483 |
$138 | |
| Echocardiogram with and without contrast |
$695 |
$869 |
$149 |
$101 | |
| EEG (awake and asleep) |
$414 |
$518 |
$325 |
$482 | |
| EKG / ECG (tracing only) |
$184 |
$230 |
$133 |
$7 | |
| Electrocardiogram (EKG) |
$124 |
$155 |
$68 |
$8 | |
| Electroencephalogram (EEG) |
$234 |
$293 |
$282 |
$448 | |
| Electrolyte panel |
$84 |
$105 |
$58 |
$7 | |
| Emergency department visit |
$764 |
$956 |
$361 |
$69 | |
| Emergency department visit (level 1) |
$243 |
$304 |
$103 |
$11 | |
| Emergency department visit (level 2) |
$643 |
$804 |
$199 |
$40 | |
| Emergency department visit (level 3) |
$886 |
$1,107 |
$348 |
$69 | |
| Emergency department visit (level 4) |
$1,523 |
$1,904 |
$685 |
$118 | |
| Emergency department visit (level 5) |
$1,997 |
$2,496 |
$1,041 |
$171 | |
| Endometrial biopsy |
$304 |
$380 |
$212 |
$98 | |
| Estradiol (estrogen) test |
$214 |
$267 |
$149 |
$28 | |
| Family therapy session |
$364 |
$456 |
$263 |
$110 | |
| Fecal occult blood (stool) test |
$58 |
$72 |
$32 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$41 |
$51 |
$28 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$74 |
$93 |
$52 |
$16 | |
| Ferritin (iron) test |
$137 |
$171 |
$95 |
$14 | |
| Fibrinogen test |
$98 |
$122 |
$68 |
$10 | |
| Flexible sigmoidoscopy |
$2,054 |
$2,568 |
$412 |
$323 | |
| Flu test |
$53 |
$66 |
$37 |
$17 | |
| Flu vaccine |
$34 |
$43 |
$25 |
— | |
| Folate (folic acid) test |
$154 |
$192 |
$107 |
$15 | |
| Foreign body removal (skin) |
$310 |
$387 |
$275 |
$157 | |
| Free T4 thyroid test |
$130 |
$163 |
$91 |
$9 | |
| FSH hormone test |
$166 |
$207 |
$115 |
$19 | |
| GGT liver test |
$70 |
$88 |
$49 |
$7 | |
| Glucose tolerance test |
$108 |
$136 |
$63 |
$8 | |
| Group therapy session |
$103 |
$129 |
$74 |
$30 | |
| H. pylori test |
$242 |
$303 |
$169 |
$67 | |
| HDL cholesterol test |
$82 |
$103 |
$57 |
$8 | |
| Hematocrit test |
$34 |
$42 |
$23 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$77 |
$96 |
$53 |
$10 | |
| Hepatitis A vaccine |
$224 |
$280 |
$170 |
— | |
| Hepatitis B test |
$116 |
$145 |
$81 |
$10 | |
| Hepatitis B vaccine |
$144 |
$180 |
$123 |
— | |
| Hepatitis C test |
$185 |
$231 |
$129 |
$14 | |
| HIV test |
$157 |
$196 |
$94 |
$19 | |
| HIV test (antibody) |
$193 |
$241 |
$134 |
$14 | |
| HIV test (antigen/antibody combo) |
$121 |
$151 |
$84 |
$24 | |
| Holter heart monitor |
$223 |
$279 |
$161 |
$26 | |
| HPV vaccine |
$1,226 |
$1,532 |
$310 |
— | |
| Iron blood test |
$70 |
$88 |
$49 |
$6 | |
| IUD insertion |
$316 |
$395 |
$228 |
— | |
| IUD removal |
$286 |
$357 |
$206 |
$112 | |
| IV infusion therapy |
$225 |
$282 |
$154 |
$44 | |
| IV infusion therapy (each additional) |
$142 |
$178 |
$103 |
$21 | |
| IV infusion therapy (initial) |
$308 |
$385 |
$223 |
$67 | |
| Joint aspiration (small/intermediate) |
$218 |
$273 |
$127 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$269 |
$336 |
$157 |
$57 | |
| Joint aspiration or injection (small joint) |
$167 |
$209 |
$127 |
$56 | |
| Kidney ultrasound |
$303 |
$379 |
$181 |
$84 | |
| Kidney ultrasound (limited) |
$303 |
$379 |
$162 |
$61 | |
| Knee joint injection |
$132 |
$165 |
$153 |
$69 | |
| Lactate test |
$154 |
$192 |
$107 |
$12 | |
| Laryngoscopy |
$4,279 |
$5,349 |
$609 |
$189 | |
| LDH test |
$74 |
$93 |
$52 |
$6 | |
| LDL cholesterol test |
$64 |
$80 |
$45 |
$11 | |
| Leg vein ultrasound (Doppler) |
$782 |
$978 |
$262 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$603 |
$754 |
$219 |
$116 | |
| LH hormone test |
$174 |
$218 |
$121 |
$19 | |
| Lipase test |
$86 |
$108 |
$60 |
$7 | |
| Lipid (cholesterol) panel |
$127 |
$159 |
$88 |
$13 | |
| Liver function panel |
$111 |
$139 |
$77 |
$8 | |
| Lung function test (PFT) |
$154 |
$193 |
$80 |
$37 | |
| Magnesium blood test |
$75 |
$94 |
$52 |
$7 | |
| MMR vaccine |
$177 |
$221 |
$104 |
— | |
| MRA of the brain |
$2,350 |
$2,938 |
$542 |
$226 | |
| MRA of the brain with contrast |
$2,350 |
$2,938 |
$503 |
$226 | |
| MRA of the brain without contrast |
$2,546 |
$3,182 |
$567 |
$328 | |
| MRA of the neck |
$1,992 |
$2,490 |
$485 |
$245 | |
| MRA of the neck with contrast |
$1,992 |
$2,490 |
$444 |
$245 | |
| MRA of the neck without contrast |
$2,268 |
$2,835 |
$571 |
$343 | |
| MRI of the abdomen |
$2,869 |
$3,586 |
$614 |
$300 | |
| MRI of the abdomen with contrast |
$2,869 |
$3,586 |
$614 |
$300 | |
| MRI of the abdomen without contrast |
$2,590 |
$3,237 |
$555 |
$194 | |
| MRI of the ankle |
$2,035 |
$2,544 |
$519 |
$261 | |
| MRI of the ankle with contrast |
$2,035 |
$2,544 |
$452 |
$261 | |
| MRI of the ankle without contrast |
$1,838 |
$2,297 |
$408 |
$222 | |
| MRI of the brain |
$2,301 |
$2,876 |
$504 |
$269 | |
| MRI of the brain with contrast |
$2,301 |
$2,876 |
$511 |
$269 | |
| MRI of the brain without contrast |
$1,932 |
$2,415 |
$414 |
$195 | |
| MRI of the chest |
$1,762 |
$2,202 |
$515 |
$371 | |
| MRI of the chest with contrast |
$1,762 |
$2,202 |
$452 |
$371 | |
| MRI of the chest without contrast |
$2,092 |
$2,615 |
$536 |
$466 | |
| MRI of the knee |
$2,020 |
$2,525 |
$593 |
$315 | |
| MRI of the knee with contrast |
$2,020 |
$2,525 |
$500 |
$315 | |
| MRI of the knee without contrast |
$1,698 |
$2,123 |
$378 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,201 |
$2,751 |
$584 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,399 |
$2,999 |
$524 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,955 |
$2,444 |
$1,326 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,284 |
$2,855 |
$495 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,563 |
$3,204 |
$505 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,284 |
$2,855 |
$508 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,935 |
$2,419 |
$415 |
$190 | |
| MRI of the neck (cervical spine) |
$2,273 |
$2,841 |
$512 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,911 |
$3,639 |
$627 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,273 |
$2,841 |
$505 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,994 |
$2,493 |
$426 |
$191 | |
| MRI of the pelvis |
$2,386 |
$2,982 |
$534 |
$268 | |
| MRI of the pelvis with contrast |
$2,386 |
$2,982 |
$521 |
$268 | |
| MRI of the pelvis without contrast |
$1,860 |
$2,325 |
$413 |
$227 | |
| MRI of the shoulder |
$2,352 |
$2,940 |
$543 |
$313 | |
| MRI of the shoulder with contrast |
$2,352 |
$2,940 |
$523 |
$313 | |
| MRI of the shoulder without contrast |
$1,908 |
$2,385 |
$408 |
$205 | |
| MRI of the wrist |
$1,743 |
$2,179 |
$520 |
$330 | |
| MRI of the wrist with contrast |
$1,743 |
$2,179 |
$446 |
$330 | |
| MRI of the wrist without contrast |
$1,534 |
$1,917 |
$393 |
$303 | |
| Nebulizer breathing treatment |
$75 |
$94 |
$53 |
$9 | |
| Occupational therapy evaluation |
$256 |
$320 |
$197 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$284 |
$355 |
$205 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$227 |
$284 |
$164 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$256 |
$320 |
$185 |
$101 | |
| Office visit (established patient) |
$215 |
$269 |
$211 |
$115 | |
| Office visit (new patient) |
$406 |
$507 |
$348 |
$177 | |
| Office visit, established patient (level 3) |
$189 |
$236 |
$181 |
$95 | |
| Office visit, established patient (level 4) |
$241 |
$301 |
$252 |
$136 | |
| Office visit, new patient (level 3) |
$294 |
$368 |
$239 |
$118 | |
| Office visit, new patient (level 4) |
$406 |
$507 |
$380 |
$177 | |
| Office visit, new patient (level 5) |
$481 |
$601 |
$497 |
$237 | |
| Pap smear (cervical screening) |
$144 |
$181 |
$104 |
$20 | |
| Parathyroid hormone (PTH) test |
$388 |
$485 |
$270 |
$41 | |
| Pelvic ultrasound |
$612 |
$765 |
$202 |
$78 | |
| Pelvic ultrasound (complete) |
$921 |
$1,151 |
$211 |
$105 | |
| Pelvic ultrasound (limited) |
$303 |
$379 |
$139 |
$51 | |
| Phosphorus blood test |
$52 |
$65 |
$36 |
$5 | |
| Physical therapy evaluation |
$256 |
$320 |
$197 |
$98 | |
| Physical therapy evaluation (high complexity) |
$284 |
$355 |
$205 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$256 |
$320 |
$185 |
$98 | |
| Platelet count |
$58 |
$72 |
$40 |
$4 | |
| Pneumonia vaccine |
$100 |
$126 |
$79 |
— | |
| Pregnancy blood test (hCG) |
$86 |
$108 |
$60 |
$8 | |
| Pregnancy ultrasound |
$303 |
$379 |
$213 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$303 |
$379 |
$213 |
$117 | |
| Procalcitonin test |
$306 |
$383 |
$213 |
$27 | |
| Prolactin test |
$189 |
$236 |
$134 |
$19 | |
| Prostate test (PSA) |
$154 |
$192 |
$107 |
$18 | |
| Psychiatric evaluation |
$195 |
$244 |
$153 |
$188 | |
| Psychotherapy session |
$273 |
$342 |
$226 |
$140 | |
| Rheumatoid factor test |
$73 |
$91 |
$51 |
$6 | |
| Scoliosis spine X-ray |
$306 |
$383 |
$81 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$306 |
$383 |
$81 |
$44 | |
| Screening colonoscopy |
$2,054 |
$2,568 |
$937 |
$378 | |
| Screening mammogram |
$120 |
$150 |
$125 |
$126 | |
| Scrotal ultrasound |
$380 |
$475 |
$211 |
$99 | |
| Sedimentation rate (ESR) test |
$46 |
$57 |
$33 |
$3 | |
| Semen analysis |
$164 |
$205 |
$111 |
$12 | |
| Sex hormone binding globulin test |
$235 |
$294 |
$164 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$502 |
$627 |
$205 |
$114 | |
| Simple wound stitches |
$513 |
$642 |
$266 |
$127 | |
| Skin biopsy |
$272 |
$340 |
$202 |
$121 | |
| Skin biopsy (punch) |
$272 |
$340 |
$197 |
$121 | |
| Skin cancer lesion removal |
$593 |
$741 |
$458 |
$240 | |
| Skin graft |
$7,580 |
$9,475 |
$2,681 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$122 |
$152 |
$88 |
$36 | |
| Skin tag removal |
$218 |
$272 |
$164 |
$92 | |
| Soft tissue ultrasound |
$363 |
$453 |
$211 |
$64 | |
| Speech therapy |
$312 |
$390 |
$226 |
$76 | |
| Spinal tap (lumbar puncture) |
$789 |
$986 |
$311 |
$165 | |
| Spirometry (lung function test) |
$104 |
$130 |
$75 |
$30 | |
| Spirometry with bronchodilator |
$204 |
$255 |
$104 |
$43 | |
| Strep throat test |
$110 |
$138 |
$77 |
$17 | |
| Swallow study |
$480 |
$600 |
$347 |
$85 | |
| T3 thyroid test |
$162 |
$202 |
$112 |
$14 | |
| Tdap (tetanus) vaccine |
$113 |
$142 |
$85 |
— | |
| Testosterone test |
$230 |
$288 |
$160 |
$26 | |
| Thyroid test (TSH) |
$155 |
$194 |
$108 |
$17 | |
| Thyroid ultrasound |
$304 |
$380 |
$167 |
$109 | |
| Total IgE allergy test |
$173 |
$216 |
$120 |
$16 | |
| Total protein test |
$67 |
$84 |
$47 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$3,301 |
$4,126 |
$2,386 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$3,301 |
$4,126 |
$2,386 |
$239 | |
| Transvaginal ultrasound |
$562 |
$703 |
$219 |
$118 | |
| Trigger point injection |
$158 |
$197 |
$105 |
$56 | |
| Trigger point injection (1-2 muscles) |
$100 |
$125 |
$79 |
$52 | |
| Triglycerides test |
$63 |
$79 |
$44 |
$6 | |
| Troponin (heart) test |
$113 |
$141 |
$78 |
$12 | |
| Upper GI endoscopy (EGD) |
$2,041 |
$2,551 |
$663 |
$371 | |
| Upper GI series (barium) |
$933 |
$1,167 |
$704 |
$128 | |
| Uric acid (gout) test |
$54 |
$67 |
$37 |
$5 | |
| Urinalysis |
$37 |
$47 |
$26 |
$3 | |
| Urine microalbumin test |
$56 |
$70 |
$40 |
$5 | |
| Urine pregnancy test |
$53 |
$67 |
$37 |
$9 | |
| Vaccine administration |
$52 |
$65 |
$22 |
$19 | |
| Vaccine administration (each additional) |
$27 |
$34 |
$17 |
$16 | |
| Vasectomy |
$2,133 |
$2,666 |
$1,541 |
$347 | |
| Vitamin B12 test |
$157 |
$196 |
$109 |
$15 | |
| Vitamin D test |
$171 |
$214 |
$119 |
$30 | |
| Wart removal |
$294 |
$367 |
$198 |
$121 | |
| Well-child visit |
$316 |
$395 |
$222 |
— | |
| Wound debridement |
$223 |
$279 |
$211 |
$186 | |
| X-ray of the abdomen |
$206 |
$257 |
$81 |
$36 | |
| X-ray of the ankle |
$397 |
$496 |
$58 |
$37 | |
| X-ray of the collarbone |
$357 |
$447 |
$53 |
$33 | |
| X-ray of the elbow |
$406 |
$508 |
$58 |
$33 | |
| X-ray of the facial bones |
$446 |
$557 |
$67 |
$39 | |
| X-ray of the foot |
$397 |
$496 |
$57 |
$34 | |
| X-ray of the forearm |
$371 |
$464 |
$54 |
$29 | |
| X-ray of the hand |
$366 |
$458 |
$59 |
$38 | |
| X-ray of the hip |
$194 |
$243 |
$70 |
$49 | |
| X-ray of the hip (1 view) |
$188 |
$236 |
$58 |
$34 | |
| X-ray of the hip (3 views) |
$216 |
$270 |
$70 |
$49 | |
| X-ray of the hip (4 views) |
$216 |
$270 |
$72 |
$63 | |
| X-ray of the knee |
$392 |
$490 |
$64 |
$42 | |
| X-ray of the knee (2 views) |
$392 |
$490 |
$58 |
$34 | |
| X-ray of the knee (3 views) |
$326 |
$408 |
$61 |
$42 | |
| X-ray of the knee (4+ views) |
$503 |
$629 |
$77 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$564 |
$705 |
$83 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$504 |
$630 |
$70 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$624 |
$780 |
$99 |
$53 | |
| X-ray of the lower leg |
$395 |
$494 |
$55 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$557 |
$696 |
$72 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$558 |
$697 |
$67 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$556 |
$695 |
$73 |
$39 | |
| X-ray of the neck (cervical spine) |
$589 |
$736 |
$81 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$408 |
$510 |
$73 |
$40 | |
| X-ray of the pelvis |
$343 |
$429 |
$77 |
$36 | |
| X-ray of the pelvis (1 view) |
$379 |
$474 |
$72 |
$28 | |
| X-ray of the ribs |
$472 |
$590 |
$80 |
$42 | |
| X-ray of the ribs (2 views) |
$279 |
$349 |
$73 |
$36 | |
| X-ray of the ribs (3 views) |
$279 |
$349 |
$89 |
$42 | |
| X-ray of the shoulder |
$444 |
$556 |
$66 |
$36 | |
| X-ray of the skull |
$270 |
$338 |
$80 |
$40 | |
| X-ray of the upper arm |
$388 |
$485 |
$60 |
$32 | |
| X-ray of the wrist |
$371 |
$464 |
$60 |
$43 | |
| Zinc blood test |
$132 |
$165 |
$92 |
$11 | |