| Abdominal ultrasound |
$781 |
$781 |
$118 |
$100 | |
| Abdominal ultrasound (complete) |
$898 |
$898 |
$133 |
$114 | |
| Abdominal ultrasound (limited) |
$664 |
$664 |
$118 |
$86 | |
| ALT liver enzyme test |
$32 |
$32 |
$8 |
$5 | |
| Antinuclear antibody (ANA) test |
$30 |
$30 |
$17 |
$12 | |
| Arterial blood gas (ABG) |
$97 |
$97 |
$39 |
$26 | |
| Barium swallow study |
$823 |
$823 |
$135 |
$107 | |
| Basic metabolic panel |
$59 |
$59 |
$12 |
$8 | |
| Bladder scope (cystoscopy) |
$1,566 |
$1,566 |
$441 |
$216 | |
| Blood clotting test (PT/INR) |
$33 |
$33 |
$6 |
$4 | |
| Blood glucose test |
$33 |
$33 |
$6 |
$5 | |
| BNP (heart failure) test |
$175 |
$175 |
$49 |
$39 | |
| Bone density scan (DEXA) |
$290 |
$290 |
$62 |
$39 | |
| C-reactive protein (CRP) |
$33 |
$33 |
$7 |
$5 | |
| Cardiac rehabilitation |
$284 |
$284 |
$133 |
$26 | |
| Cardiac stress test |
$509 |
$509 |
$129 |
$39 | |
| Carotid artery ultrasound |
$1,220 |
$1,220 |
$249 |
$156 | |
| Chest X-ray |
$270 |
$270 |
$55 |
$37 | |
| Chest X-ray (1 view) |
$188 |
$188 |
$32 |
$25 | |
| Chest X-ray (2 views) |
$239 |
$239 |
$44 |
$33 | |
| Clotting time test (PTT) |
$75 |
$75 |
$8 |
$6 | |
| Complete blood count (CBC) |
$59 |
$59 |
$9 |
$7 | |
| Complete blood count (CBC) (complete) |
$66 |
$66 |
$10 |
$8 | |
| Comprehensive metabolic panel |
$82 |
$82 |
$15 |
$11 | |
| COVID-19 PCR test |
$192 |
$192 |
$64 |
$51 | |
| CPAP titration study |
$274 |
$274 |
$115 |
$69 | |
| Creatine kinase (CK) test |
$47 |
$47 |
$9 |
$7 | |
| CT scan of the abdomen |
$1,495 |
$1,495 |
$214 |
$230 | |
| CT scan of the abdomen with contrast |
$1,801 |
$1,801 |
$334 |
$230 | |
| CT scan of the abdomen without contrast |
$1,188 |
$1,188 |
$169 |
$136 | |
| CT scan of the arm |
$1,301 |
$1,301 |
$219 |
$199 | |
| CT scan of the arm without contrast |
$1,301 |
$1,301 |
$219 |
$161 | |
| CT scan of the chest |
$1,284 |
$1,284 |
$197 |
$167 | |
| CT scan of the chest with contrast |
$1,424 |
$1,424 |
$234 |
$167 | |
| CT scan of the chest without contrast |
$1,143 |
$1,143 |
$171 |
$133 | |
| CT scan of the head |
$1,181 |
$1,181 |
$199 |
$148 | |
| CT scan of the head with and without contrast |
$1,386 |
$1,386 |
$239 |
$173 | |
| CT scan of the head with contrast |
$1,181 |
$1,181 |
$199 |
$148 | |
| CT scan of the head without contrast |
$839 |
$839 |
$137 |
$107 | |
| CT scan of the leg |
$1,125 |
$1,125 |
$172 |
$166 | |
| CT scan of the leg without contrast |
$1,125 |
$1,125 |
$172 |
$130 | |
| CT scan of the neck |
$1,188 |
$1,188 |
$188 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,130 |
$1,130 |
$173 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,130 |
$1,130 |
$173 |
$131 | |
| CT scan of the neck without contrast |
$1,188 |
$1,188 |
$188 |
$150 | |
| CT scan of the pelvis |
$1,407 |
$1,407 |
$241 |
$226 | |
| CT scan of the pelvis with contrast |
$1,763 |
$1,763 |
$308 |
$226 | |
| CT scan of the pelvis without contrast |
$1,051 |
$1,051 |
$171 |
$133 | |
| Ear pressure test (tympanometry) |
$96 |
$96 |
$135 |
$16 | |
| EKG / ECG (tracing only) |
$66 |
$66 |
$31 |
$7 | |
| Electrocardiogram (EKG) |
$59 |
$59 |
$13 |
$8 | |
| Electrolyte panel |
$97 |
$97 |
$10 |
$7 | |
| Electromyography (EMG) |
$1,247 |
$1,247 |
$172 |
$141 | |
| Estradiol (estrogen) test |
$144 |
$144 |
$40 |
$28 | |
| Family therapy session |
$710 |
$710 |
$153 |
$110 | |
| Fecal occult blood (stool) test |
$40 |
$40 |
$5 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$40 |
$40 |
$5 |
$4 | |
| Ferritin (iron) test |
$54 |
$54 |
$20 |
$14 | |
| Free T4 thyroid test |
$117 |
$117 |
$13 |
$9 | |
| FSH hormone test |
$53 |
$53 |
$27 |
$19 | |
| Glucose tolerance test |
$39 |
$39 |
$18 |
$8 | |
| Group therapy session |
$168 |
$168 |
$44 |
$30 | |
| HDL cholesterol test |
$42 |
$42 |
$12 |
$8 | |
| Hearing test (audiometry) |
$270 |
$270 |
$70 |
$36 | |
| Hemoglobin A1c (diabetes test) |
$82 |
$82 |
$14 |
$10 | |
| Hepatitis B test |
$56 |
$56 |
$15 |
$10 | |
| Hepatitis C test |
$129 |
$129 |
$20 |
$14 | |
| Holter heart monitor |
$415 |
$415 |
$147 |
$26 | |
| Iron blood test |
$47 |
$47 |
$9 |
$6 | |
| IV infusion therapy |
$344 |
$344 |
$127 |
$44 | |
| IV infusion therapy (each additional) |
$156 |
$156 |
$43 |
$21 | |
| IV infusion therapy (initial) |
$531 |
$531 |
$186 |
$67 | |
| Joint aspiration (small/intermediate) |
$273 |
$273 |
$44 |
$57 | |
| Joint aspiration or injection (small joint) |
$273 |
$273 |
$44 |
$56 | |
| Kidney ultrasound |
$624 |
$624 |
$106 |
$84 | |
| Kidney ultrasound (limited) |
$426 |
$426 |
$71 |
$61 | |
| Knee joint injection |
$349 |
$349 |
$56 |
$69 | |
| Lactate test |
$55 |
$55 |
$15 |
$12 | |
| Leg vein ultrasound (Doppler) |
$1,171 |
$1,171 |
$234 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$898 |
$898 |
$192 |
$116 | |
| LH hormone test |
$53 |
$53 |
$27 |
$19 | |
| Lipid (cholesterol) panel |
$123 |
$123 |
$20 |
$13 | |
| Liver function panel |
$59 |
$59 |
$12 |
$8 | |
| Lung function test (PFT) |
$275 |
$275 |
$129 |
$37 | |
| MRI of the brain |
$1,849 |
$1,849 |
$413 |
$269 | |
| MRI of the brain with contrast |
$2,248 |
$2,248 |
$404 |
$269 | |
| MRI of the brain without contrast |
$1,663 |
$1,663 |
$302 |
$195 | |
| MRI of the knee |
$1,664 |
$1,664 |
$312 |
$315 | |
| MRI of the knee without contrast |
$1,664 |
$1,664 |
$312 |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,920 |
$1,920 |
$386 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,261 |
$2,261 |
$408 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,578 |
$1,578 |
$298 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,929 |
$1,929 |
$343 |
$271 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,282 |
$2,282 |
$413 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,575 |
$1,575 |
$300 |
$190 | |
| MRI of the shoulder |
$1,667 |
$1,667 |
$313 |
$313 | |
| MRI of the shoulder without contrast |
$1,667 |
$1,667 |
$313 |
$205 | |
| Nebulizer breathing treatment |
$24 |
$24 |
$27 |
$9 | |
| Occupational therapy evaluation |
$645 |
$645 |
$138 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$645 |
$645 |
$138 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$645 |
$645 |
$138 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$645 |
$645 |
$138 |
$101 | |
| Office visit (established patient) |
$366 |
$366 |
$122 |
$115 | |
| Office visit (new patient) |
$930 |
$930 |
$205 |
$177 | |
| Office visit, established patient (level 3) |
$366 |
$366 |
$121 |
$95 | |
| Office visit, established patient (level 4) |
$560 |
$560 |
$160 |
$136 | |
| Office visit, new patient (level 3) |
$544 |
$544 |
$152 |
$118 | |
| Office visit, new patient (level 4) |
$930 |
$930 |
$246 |
$177 | |
| Office visit, new patient (level 5) |
$1,213 |
$1,213 |
$227 |
$237 | |
| Pap smear (cervical screening) |
$63 |
$63 |
$29 |
$20 | |
| Parathyroid hormone (PTH) test |
$165 |
$165 |
$59 |
$41 | |
| Pelvic ultrasound |
$574 |
$574 |
$97 |
$78 | |
| Pelvic ultrasound (complete) |
$797 |
$797 |
$133 |
$105 | |
| Pelvic ultrasound (limited) |
$350 |
$350 |
$63 |
$51 | |
| Physical therapy evaluation |
$608 |
$608 |
$138 |
$98 | |
| Physical therapy evaluation (high complexity) |
$608 |
$608 |
$138 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$608 |
$608 |
$138 |
$98 | |
| Pregnancy blood test (hCG) |
$79 |
$79 |
$11 |
$8 | |
| Prostate test (PSA) |
$96 |
$96 |
$27 |
$18 | |
| Psychiatric evaluation |
$900 |
$900 |
$193 |
$188 | |
| Psychotherapy session |
$707 |
$707 |
$153 |
$140 | |
| Scoliosis spine X-ray |
$496 |
$496 |
$103 |
$58 | |
| Scoliosis spine X-ray (3 views) |
$496 |
$496 |
$103 |
$72 | |
| Scrotal ultrasound |
$544 |
$544 |
$132 |
$99 | |
| Soft tissue ultrasound |
$413 |
$413 |
$63 |
$64 | |
| Speech therapy |
$557 |
$557 |
$135 |
$76 | |
| Spinal tap (lumbar puncture) |
$468 |
$468 |
$56 |
$165 | |
| Spirometry (lung function test) |
$202 |
$202 |
$129 |
$30 | |
| Spirometry with bronchodilator |
$347 |
$347 |
$129 |
$43 | |
| Swallow study |
$617 |
$617 |
$135 |
$85 | |
| T3 thyroid test |
$75 |
$75 |
$20 |
$14 | |
| Thyroid test (TSH) |
$109 |
$109 |
$24 |
$17 | |
| Thyroid ultrasound |
$843 |
$843 |
$133 |
$109 | |
| Transesophageal echocardiogram (TEE) |
$1,174 |
$1,174 |
$264 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,174 |
$1,174 |
$264 |
$239 | |
| Transvaginal ultrasound |
$897 |
$897 |
$133 |
$118 | |
| Troponin (heart) test |
$62 |
$62 |
$16 |
$12 | |
| Urinalysis |
$19 |
$19 |
$3 |
$3 | |
| Urine microalbumin test |
$48 |
$48 |
$7 |
$5 | |
| Urine pregnancy test |
$54 |
$54 |
$9 |
$9 | |
| Vaccine administration |
$102 |
$102 |
$51 |
$19 | |
| Vitamin B12 test |
$79 |
$79 |
$22 |
$15 | |
| Vitamin D test |
$101 |
$101 |
$43 |
$30 | |
| X-ray of the abdomen |
$238 |
$238 |
$44 |
$36 | |
| X-ray of the ankle |
$257 |
$257 |
$53 |
$37 | |
| X-ray of the collarbone |
$278 |
$278 |
$46 |
$33 | |
| X-ray of the elbow |
$288 |
$288 |
$45 |
$33 | |
| X-ray of the facial bones |
$335 |
$335 |
$65 |
$39 | |
| X-ray of the foot |
$241 |
$241 |
$49 |
$34 | |
| X-ray of the forearm |
$212 |
$212 |
$40 |
$29 | |
| X-ray of the hand |
$257 |
$257 |
$53 |
$38 | |
| X-ray of the hip |
$408 |
$408 |
$64 |
$49 | |
| X-ray of the hip (1 view) |
$233 |
$233 |
$44 |
$34 | |
| X-ray of the hip (3 views) |
$498 |
$498 |
$67 |
$49 | |
| X-ray of the hip (4 views) |
$408 |
$408 |
$85 |
$63 | |
| X-ray of the knee |
$288 |
$288 |
$49 |
$42 | |
| X-ray of the knee (2 views) |
$246 |
$246 |
$49 |
$34 | |
| X-ray of the knee (3 views) |
$288 |
$288 |
$59 |
$42 | |
| X-ray of the knee (4+ views) |
$320 |
$320 |
$66 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$316 |
$316 |
$55 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$279 |
$279 |
$55 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$353 |
$353 |
$72 |
$53 | |
| X-ray of the lower leg |
$225 |
$225 |
$45 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$232 |
$232 |
$43 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$232 |
$232 |
$43 |
$33 | |
| X-ray of the neck (cervical spine) |
$323 |
$323 |
$54 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$276 |
$276 |
$54 |
$40 | |
| X-ray of the pelvis |
$253 |
$253 |
$41 |
$36 | |
| X-ray of the pelvis (1 view) |
$209 |
$209 |
$37 |
$28 | |
| X-ray of the ribs |
$298 |
$298 |
$49 |
$42 | |
| X-ray of the ribs (2 views) |
$260 |
$260 |
$49 |
$36 | |
| X-ray of the ribs (3 views) |
$298 |
$298 |
$55 |
$42 | |
| X-ray of the shoulder |
$243 |
$243 |
$48 |
$36 | |
| X-ray of the skull |
$291 |
$291 |
$51 |
$40 | |
| X-ray of the upper arm |
$231 |
$231 |
$46 |
$32 | |
| X-ray of the wrist |
$286 |
$286 |
$60 |
$43 | |