| Abdominal ultrasound |
$327 |
$819 |
$131 |
$100 | |
| Abdominal ultrasound (complete) |
$327 |
$819 |
$131 |
$114 | |
| Abdominal ultrasound (limited) |
$327 |
$819 |
$114 |
$86 | |
| Abscess drainage (simple) |
$241 |
$603 |
$159 |
$129 | |
| Abscess incision and drainage |
$241 |
$603 |
$159 |
$174 | |
| Albumin blood test |
$10 |
$25 |
— |
$5 | |
| Alkaline phosphatase test |
$10 |
$26 |
$5 |
$5 | |
| ALT liver enzyme test |
$11 |
$27 |
$13 |
$5 | |
| Ammonia blood test |
$29 |
$73 |
$14 |
$15 | |
| Amylase test |
$13 |
$32 |
$18 |
$6 | |
| Antinuclear antibody (ANA) test |
$24 |
$60 |
$12 |
$12 | |
| AST liver enzyme test |
$10 |
$26 |
$13 |
$5 | |
| Bartholin cyst removal |
$229 |
$574 |
— |
$182 | |
| Basic metabolic panel |
$17 |
$42 |
$8 |
$8 | |
| Bilirubin blood test |
$10 |
$25 |
$13 |
$5 | |
| Blood clotting test (PT/INR) |
$9 |
$21 |
$17 |
$4 | |
| Blood crossmatch |
$47 |
$117 |
$235 |
— | |
| Blood glucose test |
$8 |
$20 |
— |
$5 | |
| Blood transfusion |
$1,546 |
$3,865 |
— |
$47 | |
| Blood type and screen |
$20 |
$49 |
$40 |
$10 | |
| Blood type test |
$11 |
$27 |
$18 |
$3 | |
| Blood type test (ABO group) |
$11 |
$27 |
$18 |
$3 | |
| BNP (heart failure) test |
$79 |
$196 |
$72 |
$39 | |
| Breast ultrasound |
$140 |
$351 |
— |
$92 | |
| Breast ultrasound (limited) |
$140 |
$351 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$282 |
$706 |
$207 |
$133 | |
| C-reactive protein (CRP) |
$10 |
$26 |
$5 |
$5 | |
| Calcium blood test |
$10 |
$26 |
— |
$5 | |
| Carotid artery ultrasound |
$233 |
$583 |
$210 |
$156 | |
| CEA tumor marker test |
$38 |
$95 |
— |
$19 | |
| Chest fluid drain (thoracentesis) |
$352 |
$879 |
— |
$311 | |
| Chest X-ray |
$144 |
$359 |
$79 |
$37 | |
| Chest X-ray (1 view) |
$127 |
$316 |
$79 |
$25 | |
| Chest X-ray (2 views) |
$161 |
$403 |
$79 |
$33 | |
| Clotting time test (PTT) |
$12 |
$30 |
$23 |
$6 | |
| Complete blood count (CBC) |
$14 |
$36 |
$14 |
$7 | |
| Complete blood count (CBC) (complete) |
$16 |
$39 |
$16 |
$8 | |
| Comprehensive metabolic panel |
$21 |
$53 |
$18 |
$11 | |
| Coronary CT angiography |
$240 |
$600 |
— |
$326 | |
| Cortisol test |
$33 |
$82 |
— |
$16 | |
| COVID-19 PCR test |
$103 |
$257 |
$51 |
$51 | |
| CPAP titration study |
$463 |
$1,158 |
— |
$69 | |
| Creatine kinase (CK) test |
$13 |
$33 |
$7 |
$7 | |
| CT angiography of the chest |
$240 |
$600 |
$208 |
$281 | |
| CT angiography of the head |
$442 |
$1,105 |
$600 |
$274 | |
| CT scan of the abdomen |
$194 |
$484 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$496 |
$1,241 |
$320 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$496 |
$1,241 |
$312 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$496 |
$1,241 |
$322 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$311 |
$777 |
$225 |
$183 | |
| CT scan of the abdomen with contrast |
$240 |
$600 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$147 |
$368 |
— |
$136 | |
| CT scan of the arm |
$275 |
$689 |
— |
$199 | |
| CT scan of the arm with contrast |
$496 |
$1,241 |
— |
$199 | |
| CT scan of the chest |
$240 |
$600 |
$108 |
$167 | |
| CT scan of the chest with and without contrast |
$240 |
$600 |
$116 |
$196 | |
| CT scan of the chest with contrast |
$240 |
$600 |
$154 |
$167 | |
| CT scan of the chest without contrast |
$147 |
$368 |
$95 |
$133 | |
| CT scan of the head |
$194 |
$484 |
$131 |
$148 | |
| CT scan of the head with and without contrast |
$240 |
$600 |
— |
$173 | |
| CT scan of the head without contrast |
$147 |
$368 |
$131 |
$107 | |
| CT scan of the leg |
$147 |
$368 |
$167 |
$166 | |
| CT scan of the leg with contrast |
$240 |
$600 |
$167 |
$166 | |
| CT scan of the lower back (lumbar spine) |
$322 |
$805 |
$212 |
$169 | |
| CT scan of the lower back (lumbar spine) with contrast |
$496 |
$1,241 |
$411 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$147 |
$368 |
$131 |
$130 | |
| CT scan of the neck |
$194 |
$484 |
$156 |
$183 | |
| CT scan of the neck (cervical spine) without contrast |
$147 |
$368 |
$197 |
$131 | |
| CT scan of the neck with contrast |
$240 |
$600 |
$380 |
$183 | |
| CT scan of the neck without contrast |
$147 |
$368 |
$129 |
$150 | |
| CT scan of the pelvis |
$194 |
$484 |
$180 |
$226 | |
| CT scan of the pelvis with contrast |
$240 |
$600 |
$380 |
$226 | |
| CT scan of the pelvis without contrast |
$147 |
$368 |
$180 |
$133 | |
| CT scan of the sinuses |
$240 |
$600 |
$201 |
$152 | |
| CT scan of the sinuses with and without contrast |
$240 |
$600 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$240 |
$600 |
$600 |
$152 | |
| CT scan of the sinuses without contrast |
$147 |
$368 |
$192 |
$128 | |
| D-dimer test |
$20 |
$51 |
$48 |
$10 | |
| Drug screen (urine) |
$47 |
$118 |
$35 |
$17 | |
| Electrocardiogram (EKG) |
$18 |
$45 |
$55 |
$8 | |
| Emergency department visit |
$617 |
$1,541 |
$382 |
$69 | |
| Emergency department visit (level 1) |
$345 |
$863 |
$160 |
$11 | |
| Emergency department visit (level 2) |
$374 |
$934 |
$143 |
$40 | |
| Emergency department visit (level 3) |
$617 |
$1,541 |
$270 |
$69 | |
| Emergency department visit (level 4) |
$1,049 |
$2,623 |
$386 |
$118 | |
| Emergency department visit (level 5) |
$1,061 |
$2,653 |
$544 |
$171 | |
| Fecal occult blood (stool) test |
$32 |
$80 |
$57 |
$10 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$32 |
$80 |
$57 |
$16 | |
| Feeding tube (PEG) placement |
$2,176 |
$5,440 |
— |
$178 | |
| Ferritin (iron) test |
$27 |
$68 |
$13 |
$14 | |
| Fibrinogen test |
$19 |
$49 |
— |
$10 | |
| Folate (folic acid) test |
$29 |
$74 |
$14 |
$15 | |
| Foreign body removal (skin) |
$168 |
$419 |
— |
$157 | |
| Free T4 thyroid test |
$18 |
$45 |
— |
$9 | |
| FSH hormone test |
$37 |
$93 |
— |
$19 | |
| GGT liver test |
$14 |
$36 |
— |
$7 | |
| Hematocrit test |
$5 |
$12 |
— |
$2 | |
| Hemoglobin A1c (diabetes test) |
$19 |
$49 |
$10 |
$10 | |
| HIV test |
$105 |
$262 |
$91 |
$19 | |
| HIV test (antigen/antibody combo) |
$105 |
$262 |
$91 |
$24 | |
| Iron blood test |
$13 |
$32 |
$6 |
$6 | |
| IV infusion therapy |
$215 |
$537 |
$189 |
$44 | |
| IV infusion therapy (each additional) |
$215 |
$537 |
$41 |
$21 | |
| IV infusion therapy (initial) |
$215 |
$537 |
$189 |
$67 | |
| Kidney ultrasound |
$327 |
$819 |
$95 |
$84 | |
| Kidney ultrasound (limited) |
$327 |
$819 |
$96 |
$61 | |
| Lactate test |
$23 |
$58 |
$32 |
$12 | |
| LDH test |
$12 |
$30 |
$4 |
$6 | |
| Leg vein ultrasound (Doppler) |
$129 |
$322 |
$96 |
$150 | |
| LH hormone test |
$37 |
$93 |
— |
$19 | |
| Lipase test |
$14 |
$34 |
$18 |
$7 | |
| Lipid (cholesterol) panel |
$27 |
$67 |
$13 |
$13 | |
| Liver function panel |
$16 |
$41 |
$14 |
$8 | |
| Lung function test (PFT) |
$152 |
$379 |
$63 |
$37 | |
| Magnesium blood test |
$13 |
$34 |
$17 |
$7 | |
| Nebulizer breathing treatment |
$113 |
$283 |
$93 |
$9 | |
| Nuchal translucency ultrasound |
$327 |
$819 |
$50 |
$116 | |
| Occupational therapy evaluation |
$115 |
$288 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$115 |
$288 |
— |
$101 | |
| Office visit (established patient) |
$113 |
$282 |
— |
$115 | |
| Office visit, established patient (level 3) |
$113 |
$282 |
— |
$95 | |
| Parathyroid hormone (PTH) test |
$83 |
$206 |
$41 |
$41 | |
| Pelvic ultrasound |
$290 |
$726 |
$93 |
$78 | |
| Pelvic ultrasound (complete) |
$327 |
$819 |
$94 |
$105 | |
| Pelvic ultrasound (limited) |
$253 |
$633 |
$24 |
$51 | |
| Phosphorus blood test |
$9 |
$24 |
$4 |
$5 | |
| Physical therapy evaluation |
$93 |
$233 |
$91 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$93 |
$233 |
$91 |
$98 | |
| Pregnancy blood test (hCG) |
$15 |
$38 |
$24 |
$8 | |
| Pregnancy ultrasound |
$327 |
$819 |
$95 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$327 |
$819 |
$96 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$327 |
$819 |
$68 |
$136 | |
| Prolactin test |
$39 |
$97 |
$18 |
$19 | |
| Prostate test (PSA) |
$37 |
$92 |
— |
$18 | |
| Rheumatoid factor test |
$12 |
$31 |
— |
$6 | |
| Scrotal ultrasound |
$327 |
$819 |
$72 |
$99 | |
| Sedimentation rate (ESR) test |
$5 |
$14 |
$7 |
$3 | |
| Simple laceration repair (small, up to 2.5 cm) |
$104 |
$260 |
$153 |
$114 | |
| Simple wound stitches |
$115 |
$287 |
$160 |
$127 | |
| Soft tissue ultrasound |
$38 |
$95 |
$452 |
$64 | |
| Spirometry (lung function test) |
$152 |
$379 |
$63 |
$30 | |
| Swallow study |
$105 |
$262 |
— |
$85 | |
| T3 thyroid test |
$28 |
$71 |
$35 |
$14 | |
| Testosterone test |
$52 |
$129 |
— |
$26 | |
| Thyroid test (TSH) |
$34 |
$84 |
$26 |
$17 | |
| Thyroid ultrasound |
$327 |
$819 |
$351 |
$109 | |
| Transvaginal ultrasound |
$100 |
$250 |
$105 |
$118 | |
| Trigger point injection |
$354 |
$884 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$354 |
$884 |
— |
$52 | |
| Troponin (heart) test |
$30 |
$75 |
$42 |
$12 | |
| Uric acid (gout) test |
$9 |
$23 |
$4 |
$5 | |
| Urinalysis |
$8 |
$19 |
$10 |
$3 | |
| Urine microalbumin test |
$45 |
$113 |
$6 |
$5 | |
| Urine pregnancy test |
$17 |
$43 |
$30 |
$9 | |
| Vaccine administration |
$23 |
$58 |
$39 |
$19 | |
| Vitamin B12 test |
$30 |
$75 |
$15 |
$15 | |
| Vitamin D test |
$59 |
$148 |
$29 |
$30 | |
| X-ray of the abdomen |
$183 |
$459 |
$71 |
$36 | |
| X-ray of the facial bones |
$198 |
$494 |
— |
$39 | |
| X-ray of the hip (4 views) |
$267 |
$668 |
— |
$63 | |
| X-ray of the knee (4+ views) |
$247 |
$618 |
$180 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$216 |
$540 |
$97 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$181 |
$454 |
$97 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$251 |
$626 |
— |
$53 | |
| X-ray of the mid-back (thoracic spine) |
$187 |
$467 |
$96 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$178 |
$444 |
$96 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$196 |
$489 |
$144 |
$39 | |
| X-ray of the neck (cervical spine) |
$208 |
$521 |
$122 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$170 |
$424 |
$173 |
$40 | |
| X-ray of the pelvis |
$184 |
$460 |
$93 |
$36 | |
| X-ray of the pelvis (1 view) |
$161 |
$404 |
$93 |
$28 | |
| X-ray of the skull |
$228 |
$571 |
$74 |
$40 | |