| Abdominal fluid drain (paracentesis) |
$2,591 |
$4,318 |
— |
$284 | |
| Abdominal ultrasound |
$2,168 |
$3,614 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$1,934 |
$3,224 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$2,402 |
$4,003 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$632 |
$1,053 |
— |
$220 | |
| Abscess drainage (simple) |
$632 |
$1,053 |
— |
$129 | |
| Abscess incision and drainage |
$632 |
$1,053 |
— |
$174 | |
| Albumin blood test |
$122 |
$204 |
— |
$5 | |
| Alkaline phosphatase test |
$184 |
$306 |
— |
$5 | |
| ALT liver enzyme test |
$180 |
$300 |
— |
$5 | |
| Ammonia blood test |
$612 |
$1,020 |
— |
$15 | |
| Amylase test |
$343 |
$572 |
— |
$6 | |
| Antinuclear antibody (ANA) test |
$247 |
$411 |
— |
$12 | |
| Arterial blood gas (ABG) |
$389 |
$649 |
— |
$26 | |
| AST liver enzyme test |
$214 |
$356 |
— |
$5 | |
| Bartholin cyst removal |
$1,186 |
$1,977 |
— |
$182 | |
| Basic metabolic panel |
$858 |
$1,430 |
— |
$8 | |
| Bilirubin blood test |
$220 |
$366 |
— |
$5 | |
| Blood glucose test |
$288 |
$480 |
— |
$5 | |
| Blood transfusion |
$1,574 |
$2,623 |
— |
$47 | |
| Blood type test (ABO group) |
$612 |
$1,020 |
— |
$3 | |
| BNP (heart failure) test |
$634 |
$1,056 |
— |
$39 | |
| Breast ultrasound |
$923 |
$1,539 |
— |
$92 | |
| Breast ultrasound (complete) |
$1,130 |
$1,884 |
— |
$100 | |
| Breast ultrasound (limited) |
$716 |
$1,194 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$1,050 |
$1,750 |
— |
$133 | |
| Burn dressing and debridement (small) |
$817 |
$1,362 |
— |
$93 | |
| Burn treatment |
$817 |
$1,362 |
— |
$129 | |
| C-reactive protein (CRP) |
$302 |
$504 |
— |
$5 | |
| Calcium blood test |
$302 |
$504 |
— |
$5 | |
| Cardioversion |
$1,200 |
$2,000 |
— |
$155 | |
| Carotid artery ultrasound |
$1,620 |
$2,700 |
— |
$156 | |
| CEA tumor marker test |
$294 |
$490 |
— |
$19 | |
| Central line placement |
$450 |
$750 |
— |
$238 | |
| Chest fluid drain (thoracentesis) |
$1,860 |
$3,100 |
— |
$311 | |
| Chest tube insertion |
$4,500 |
$7,500 |
— |
$143 | |
| Chest X-ray |
$1,377 |
$2,296 |
— |
$37 | |
| Chest X-ray (1 view) |
$470 |
$784 |
— |
$25 | |
| Chest X-ray (2 views) |
$940 |
$1,567 |
— |
$33 | |
| CK-MB heart enzyme test |
$468 |
$780 |
— |
$12 | |
| Clotting time test (PTT) |
$215 |
$359 |
— |
$6 | |
| Complete blood count (CBC) |
$576 |
$960 |
— |
$7 | |
| Comprehensive metabolic panel |
$1,076 |
$1,794 |
— |
$11 | |
| Contraceptive implant (Nexplanon) |
$681 |
$1,135 |
— |
$115 | |
| Copper blood test |
$149 |
$248 |
— |
$12 | |
| Cortisol test |
$245 |
$408 |
— |
$16 | |
| COVID-19 PCR test |
$360 |
$600 |
— |
$51 | |
| CPAP titration study |
$854 |
$1,423 |
— |
$69 | |
| Creatine kinase (CK) test |
$281 |
$468 |
— |
$7 | |
| CT angiography of the chest |
$3,540 |
$5,900 |
— |
$281 | |
| CT angiography of the head |
$4,355 |
$7,258 |
— |
$274 | |
| CT scan of the abdomen |
$3,600 |
$6,000 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$4,082 |
$6,804 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$4,320 |
$7,200 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$4,082 |
$6,804 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$4,020 |
$6,700 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$5,358 |
$8,930 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$3,600 |
$6,000 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$3,456 |
$5,760 |
— |
$136 | |
| CT scan of the arm |
$4,082 |
$6,804 |
— |
$199 | |
| CT scan of the arm with contrast |
$2,880 |
$4,800 |
— |
$199 | |
| CT scan of the arm without contrast |
$4,082 |
$6,804 |
— |
$161 | |
| CT scan of the chest |
$4,899 |
$8,165 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$5,307 |
$8,845 |
— |
$196 | |
| CT scan of the chest with contrast |
$4,082 |
$6,804 |
— |
$167 | |
| CT scan of the chest without contrast |
$4,899 |
$8,165 |
— |
$133 | |
| CT scan of the head |
$3,358 |
$5,596 |
— |
$148 | |
| CT scan of the head with and without contrast |
$3,358 |
$5,596 |
— |
$173 | |
| CT scan of the head with contrast |
$4,082 |
$6,804 |
— |
$148 | |
| CT scan of the head without contrast |
$2,640 |
$4,400 |
— |
$107 | |
| CT scan of the leg |
$4,802 |
$8,004 |
— |
$166 | |
| CT scan of the leg with contrast |
$4,802 |
$8,004 |
— |
$166 | |
| CT scan of the leg without contrast |
$4,802 |
$8,004 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$4,082 |
$6,804 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$4,082 |
$6,804 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$4,082 |
$6,804 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$4,082 |
$6,804 |
— |
$130 | |
| CT scan of the neck |
$3,629 |
$6,048 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$4,158 |
$6,930 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$4,158 |
$6,930 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$4,355 |
$7,258 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$4,082 |
$6,804 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$3,629 |
$6,048 |
— |
$220 | |
| CT scan of the neck with contrast |
$4,082 |
$6,804 |
— |
$183 | |
| CT scan of the neck without contrast |
$3,629 |
$6,048 |
— |
$150 | |
| CT scan of the pelvis |
$4,082 |
$6,804 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$3,140 |
$5,234 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$4,082 |
$6,804 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$4,082 |
$6,804 |
— |
$133 | |
| CT scan of the sinuses |
$4,082 |
$6,804 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$3,629 |
$6,048 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$4,082 |
$6,804 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$4,082 |
$6,804 |
— |
$128 | |
| D-dimer test |
$630 |
$1,050 |
— |
$10 | |
| Drug screen (urine) |
$375 |
$625 |
— |
$17 | |
| Echocardiogram |
$1,728 |
$2,880 |
— |
$138 | |
| Echocardiogram with and without contrast |
$651 |
$1,085 |
— |
$101 | |
| Echocardiogram without contrast |
$1,728 |
$2,880 |
— |
$138 | |
| EKG / ECG (tracing only) |
$576 |
$960 |
— |
$7 | |
| Electrocardiogram (EKG) |
$515 |
$858 |
— |
$8 | |
| Electrolyte panel |
$324 |
$540 |
— |
$7 | |
| Emergency department visit |
$3,024 |
$5,040 |
— |
$69 | |
| Emergency department visit (level 1) |
$719 |
$1,199 |
— |
$11 | |
| Emergency department visit (level 2) |
$1,440 |
$2,400 |
— |
$40 | |
| Emergency department visit (level 3) |
$3,024 |
$5,040 |
— |
$69 | |
| Emergency department visit (level 4) |
$3,240 |
$5,400 |
— |
$118 | |
| Emergency department visit (level 5) |
$3,600 |
$6,000 |
— |
$171 | |
| Epidural steroid injection |
$3,558 |
$5,930 |
— |
$275 | |
| Estradiol (estrogen) test |
$300 |
$500 |
— |
$28 | |
| Facet joint injection (spine) |
$4,168 |
$6,947 |
— |
$99 | |
| Ferritin (iron) test |
$396 |
$660 |
— |
$14 | |
| Flu test |
$345 |
$575 |
— |
$17 | |
| Folate (folic acid) test |
$179 |
$299 |
— |
$15 | |
| Foreign body removal (skin) |
$632 |
$1,053 |
— |
$157 | |
| Free T4 thyroid test |
$323 |
$538 |
— |
$9 | |
| FSH hormone test |
$225 |
$375 |
— |
$19 | |
| GGT liver test |
$360 |
$600 |
— |
$7 | |
| H. pylori test |
$410 |
$684 |
— |
$67 | |
| HDL cholesterol test |
$252 |
$420 |
— |
$8 | |
| Hemoglobin A1c (diabetes test) |
$198 |
$330 |
— |
$10 | |
| Hepatitis B test |
$162 |
$270 |
— |
$10 | |
| Hepatitis C test |
$180 |
$300 |
— |
$14 | |
| HIV test |
$432 |
$720 |
— |
$19 | |
| HIV test (antigen/antibody combo) |
$432 |
$720 |
— |
$24 | |
| Holter heart monitor |
$727 |
$1,212 |
— |
$26 | |
| IUD removal |
$2,408 |
$4,013 |
— |
$112 | |
| IV infusion therapy |
$735 |
$1,225 |
— |
$44 | |
| IV infusion therapy (each additional) |
$562 |
$937 |
— |
$21 | |
| IV infusion therapy (initial) |
$907 |
$1,512 |
— |
$67 | |
| Joint aspiration (small/intermediate) |
$1,261 |
$2,102 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$1,087 |
$1,812 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$1,435 |
$2,392 |
— |
$56 | |
| Kidney ultrasound |
$1,553 |
$2,589 |
— |
$84 | |
| Kidney ultrasound (limited) |
$1,814 |
$3,024 |
— |
$61 | |
| Knee joint injection |
$1,653 |
$2,755 |
— |
$69 | |
| Lactate test |
$342 |
$570 |
— |
$12 | |
| LDH test |
$360 |
$600 |
— |
$6 | |
| Leg vein ultrasound (Doppler) |
$1,830 |
$3,051 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,588 |
$2,646 |
— |
$116 | |
| LH hormone test |
$210 |
$350 |
— |
$19 | |
| Lipase test |
$334 |
$556 |
— |
$7 | |
| Lipid (cholesterol) panel |
$907 |
$1,512 |
— |
$13 | |
| Liver function panel |
$875 |
$1,458 |
— |
$8 | |
| Magnesium blood test |
$360 |
$600 |
— |
$7 | |
| MRI of the ankle |
$4,688 |
$7,814 |
— |
$261 | |
| MRI of the ankle without contrast |
$4,688 |
$7,814 |
— |
$222 | |
| Nebulizer breathing treatment |
$480 |
$800 |
— |
$9 | |
| Parathyroid hormone (PTH) test |
$410 |
$684 |
— |
$41 | |
| Pelvic ultrasound |
$1,724 |
$2,874 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$1,814 |
$3,024 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$1,634 |
$2,724 |
— |
$51 | |
| Phosphorus blood test |
$175 |
$292 |
— |
$5 | |
| Physical therapy evaluation |
$638 |
$1,064 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$728 |
$1,214 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$638 |
$1,064 |
— |
$98 | |
| Platelet count |
$48 |
$80 |
— |
$4 | |
| Pneumonia vaccine |
$211 |
$351 |
— |
— | |
| Pregnancy blood test (hCG) |
$612 |
$1,020 |
— |
$8 | |
| Pregnancy ultrasound |
$1,724 |
$2,874 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$1,634 |
$2,724 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$1,814 |
$3,024 |
— |
$136 | |
| Procalcitonin test |
$612 |
$1,020 |
— |
$27 | |
| Prolactin test |
$233 |
$388 |
— |
$19 | |
| Prostate test (PSA) |
$168 |
$280 |
— |
$18 | |
| Radiofrequency nerve ablation |
$4,415 |
$7,358 |
— |
$462 | |
| Scoliosis spine X-ray |
$1,657 |
$2,762 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$1,500 |
$2,500 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$1,814 |
$3,024 |
— |
$72 | |
| Scrotal ultrasound |
$2,192 |
$3,654 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$256 |
$426 |
— |
$3 | |
| Sex hormone binding globulin test |
$196 |
$326 |
— |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$369 |
$615 |
— |
$114 | |
| Simple wound stitches |
$369 |
$615 |
— |
$127 | |
| Skin tag removal |
$1,030 |
$1,717 |
— |
$92 | |
| Soft tissue ultrasound |
$828 |
$1,380 |
— |
$64 | |
| Spinal cord stimulator |
$9,774 |
$16,290 |
— |
$2,388 | |
| Spinal tap (lumbar puncture) |
$1,860 |
$3,100 |
— |
$165 | |
| Swallow study |
$559 |
$932 |
— |
$85 | |
| T3 thyroid test |
$410 |
$684 |
— |
$14 | |
| Tdap (tetanus) vaccine |
$54 |
$89 |
— |
— | |
| Testosterone test |
$330 |
$550 |
— |
$26 | |
| Thyroid test (TSH) |
$464 |
$774 |
— |
$17 | |
| Thyroid ultrasound |
$1,814 |
$3,024 |
— |
$109 | |
| Total protein test |
$208 |
$347 |
— |
$4 | |
| Transvaginal ultrasound |
$1,925 |
$3,208 |
— |
$118 | |
| Trigger point injection |
$1,070 |
$1,784 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$1,140 |
$1,900 |
— |
$52 | |
| Troponin (heart) test |
$633 |
$1,055 |
— |
$12 | |
| Upper GI series (barium) |
$1,814 |
$3,024 |
— |
$128 | |
| Uric acid (gout) test |
$410 |
$684 |
— |
$5 | |
| Urine microalbumin test |
$204 |
$340 |
— |
$5 | |
| Urine pregnancy test |
$410 |
$684 |
— |
$9 | |
| Vaccine administration |
$105 |
$175 |
— |
$19 | |
| Vaccine administration (each additional) |
$105 |
$175 |
— |
$16 | |
| Vitamin B12 test |
$300 |
$500 |
— |
$15 | |
| Vitamin D test |
$360 |
$600 |
— |
$30 | |
| Wound debridement |
$1,885 |
$3,141 |
— |
$186 | |
| X-ray of the abdomen |
$1,285 |
$2,142 |
— |
$36 | |
| X-ray of the ankle |
$2,722 |
$4,536 |
— |
$37 | |
| X-ray of the collarbone |
$1,814 |
$3,024 |
— |
$33 | |
| X-ray of the elbow |
$1,814 |
$3,024 |
— |
$33 | |
| X-ray of the facial bones |
$1,436 |
$2,394 |
— |
$39 | |
| X-ray of the foot |
$1,620 |
$2,700 |
— |
$34 | |
| X-ray of the forearm |
$1,814 |
$3,024 |
— |
$29 | |
| X-ray of the hand |
$1,814 |
$3,024 |
— |
$38 | |
| X-ray of the hip |
$1,814 |
$3,024 |
— |
$49 | |
| X-ray of the hip (1 view) |
$1,260 |
$2,100 |
— |
$34 | |
| X-ray of the hip (3 views) |
$1,814 |
$3,024 |
— |
$49 | |
| X-ray of the hip (4 views) |
$1,814 |
$3,024 |
— |
$63 | |
| X-ray of the knee |
$1,814 |
$3,024 |
— |
$42 | |
| X-ray of the knee (2 views) |
$1,210 |
$2,016 |
— |
$34 | |
| X-ray of the knee (3 views) |
$1,980 |
$3,300 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$1,814 |
$3,024 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$2,049 |
$3,415 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$1,955 |
$3,258 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$2,143 |
$3,571 |
— |
$53 | |
| X-ray of the lower leg |
$1,814 |
$3,024 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$1,814 |
$3,024 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$1,814 |
$3,024 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$1,814 |
$3,024 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$1,303 |
$2,172 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$1,094 |
$1,824 |
— |
$40 | |
| X-ray of the pelvis |
$1,298 |
$2,163 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$1,267 |
$2,111 |
— |
$28 | |
| X-ray of the ribs |
$1,580 |
$2,634 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$1,364 |
$2,274 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$1,580 |
$2,634 |
— |
$42 | |
| X-ray of the shoulder |
$1,941 |
$3,235 |
— |
$36 | |
| X-ray of the skull |
$1,634 |
$2,724 |
— |
$40 | |
| X-ray of the upper arm |
$1,814 |
$3,024 |
— |
$32 | |
| X-ray of the wrist |
$1,898 |
$3,164 |
— |
$43 | |
| Zinc blood test |
$137 |
$228 |
— |
$11 | |