| 3D mammogram (tomosynthesis) |
$79 |
$79 |
$71 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$364 |
$364 |
$328 |
$284 | |
| Abdominal ultrasound |
$560 |
$560 |
$573 |
$100 | |
| Abdominal ultrasound (complete) |
$637 |
$637 |
$573 |
$114 | |
| Abdominal ultrasound (limited) |
$483 |
$483 |
$140 |
$86 | |
| Abscess drainage (complex or multiple) |
$292 |
$292 |
$249 |
$220 | |
| Abscess drainage (simple) |
$181 |
$181 |
$161 |
$129 | |
| Abscess incision and drainage |
$236 |
$236 |
$197 |
$174 | |
| Albumin blood test |
$25 |
$25 |
$23 |
$5 | |
| Aldosterone test |
$237 |
$237 |
$213 |
$41 | |
| Alkaline phosphatase test |
$26 |
$26 |
$23 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$127 |
$127 |
$114 |
$17 | |
| ALT liver enzyme test |
$27 |
$27 |
$24 |
$5 | |
| Ammonia blood test |
$74 |
$74 |
$67 |
$15 | |
| Amniocentesis |
$314 |
$314 |
$283 |
$120 | |
| Amylase test |
$33 |
$33 |
$30 |
$6 | |
| Anoscopy |
$80 |
$80 |
$74 |
$129 | |
| Antinuclear antibody (ANA) test |
$81 |
$81 |
$73 |
$12 | |
| Arterial blood gas (ABG) |
$133 |
$133 |
$120 |
$26 | |
| AST liver enzyme test |
$26 |
$26 |
$23 |
$5 | |
| Barium swallow study |
$685 |
$685 |
$542 |
$107 | |
| Bartholin cyst removal |
$309 |
$309 |
$210 |
$182 | |
| Basic metabolic panel |
$105 |
$105 |
$95 |
$8 | |
| Benign skin lesion removal |
$154 |
$154 |
$138 |
$171 | |
| Bilirubin blood test |
$26 |
$26 |
$23 |
$5 | |
| Blood clotting test (PT/INR) |
$22 |
$22 |
$20 |
$4 | |
| Blood crossmatch |
$75 |
$75 |
$68 |
— | |
| Blood glucose test |
$22 |
$22 |
$18 |
$5 | |
| Blood transfusion |
$476 |
$476 |
$145 |
$47 | |
| Blood type and screen |
$50 |
$50 |
$45 |
$10 | |
| Blood type test |
$15 |
$15 |
$14 |
$3 | |
| Blood type test (ABO group) |
$15 |
$15 |
$14 |
$3 | |
| Blood type test (Rh/D antigen) |
$15 |
$15 |
$14 |
$3 | |
| BNP (heart failure) test |
$200 |
$200 |
$180 |
$39 | |
| Bone density scan (DEXA) |
$240 |
$240 |
$216 |
$39 | |
| Bone scan (nuclear) |
$1,863 |
$1,863 |
$1,677 |
$259 | |
| Breast biopsy |
$1,776 |
$1,776 |
$1,598 |
$478 | |
| Breast ultrasound |
$201 |
$201 |
$158 |
$92 | |
| Breast ultrasound (complete) |
$226 |
$226 |
$203 |
$100 | |
| Breast ultrasound (limited) |
$175 |
$175 |
$158 |
$84 | |
| Breathing tube insertion (intubation) |
$259 |
$259 |
$232 |
$133 | |
| Bronchoscopy |
$1,110 |
$1,110 |
$999 |
$303 | |
| Burn dressing and debridement (medium) |
$233 |
$233 |
$158 |
$166 | |
| Burn dressing and debridement (small) |
$145 |
$145 |
$128 |
$93 | |
| Burn treatment |
$189 |
$189 |
$145 |
$129 | |
| C-reactive protein (CRP) |
$35 |
$35 |
$31 |
$5 | |
| CA 19-9 tumor marker test |
$118 |
$118 |
$106 |
$21 | |
| CA-125 ovarian marker test |
$145 |
$145 |
$130 |
$21 | |
| Calcium blood test |
$26 |
$26 |
$23 |
$5 | |
| Cardiac stress test |
$186 |
$186 |
$284 |
$39 | |
| Cardioversion |
$790 |
$790 |
$642 |
$155 | |
| Carotid artery ultrasound |
$903 |
$903 |
$642 |
$156 | |
| CEA tumor marker test |
$71 |
$71 |
$64 |
$19 | |
| Celiac disease test |
$88 |
$88 |
$73 |
$12 | |
| Central line placement |
$485 |
$485 |
$604 |
$238 | |
| Chalazion (eyelid cyst) removal |
$105 |
$105 |
$95 |
$131 | |
| Chemotherapy infusion |
$488 |
$488 |
$269 |
$81 | |
| Chemotherapy infusion (each additional) |
$168 |
$168 |
$151 |
$28 | |
| Chemotherapy infusion (first hour) |
$807 |
$807 |
$726 |
$133 | |
| Chest fluid drain (thoracentesis) |
$485 |
$485 |
$437 |
$311 | |
| Chest tube insertion |
$370 |
$370 |
$588 |
$143 | |
| Chest X-ray |
$222 |
$222 |
$154 |
$37 | |
| Chest X-ray (1 view) |
$140 |
$140 |
$130 |
$25 | |
| Chest X-ray (2 views) |
$189 |
$189 |
$182 |
$33 | |
| Circumcision |
$1,838 |
$1,838 |
$1,654 |
$167 | |
| CK-MB heart enzyme test |
$59 |
$59 |
$53 |
$12 | |
| Clotting time test (PTT) |
$31 |
$31 |
$28 |
$6 | |
| Complete blood count (CBC) |
$40 |
$40 |
$36 |
$7 | |
| Complete blood count (CBC) (complete) |
$40 |
$40 |
$36 |
$8 | |
| Complex wound repair |
$680 |
$680 |
$481 |
$390 | |
| Comprehensive metabolic panel |
$155 |
$155 |
$140 |
$11 | |
| Contraceptive implant (Nexplanon) |
$230 |
$230 |
$207 |
$115 | |
| Copper blood test |
$72 |
$72 |
$65 |
$12 | |
| Coronary CT angiography |
$2,301 |
$2,301 |
$2,071 |
$326 | |
| Cortisol test |
$79 |
$79 |
$71 |
$16 | |
| COVID-19 PCR test |
$262 |
$262 |
$236 |
$51 | |
| CPAP titration study |
$234 |
$234 |
$211 |
$69 | |
| Creatine kinase (CK) test |
$33 |
$33 |
$30 |
$7 | |
| CT angiography of the chest |
$2,688 |
$2,688 |
$2,419 |
$281 | |
| CT angiography of the head |
$2,658 |
$2,658 |
$2,392 |
$274 | |
| CT scan of the abdomen |
$2,372 |
$2,372 |
$1,755 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,988 |
$2,988 |
$2,689 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,375 |
$3,375 |
$3,038 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,988 |
$2,988 |
$2,689 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,404 |
$1,404 |
$1,264 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,688 |
$2,688 |
$2,419 |
$259 | |
| CT scan of the abdomen with contrast |
$2,372 |
$2,372 |
$2,135 |
$230 | |
| CT scan of the abdomen without contrast |
$1,113 |
$1,113 |
$1,002 |
$136 | |
| CT scan of the arm |
$2,328 |
$2,328 |
$1,452 |
$199 | |
| CT scan of the arm with contrast |
$2,328 |
$2,328 |
$1,802 |
$199 | |
| CT scan of the arm without contrast |
$2,245 |
$2,245 |
$1,409 |
$161 | |
| CT scan of the chest |
$1,540 |
$1,540 |
$1,371 |
$167 | |
| CT scan of the chest with and without contrast |
$1,888 |
$1,888 |
$1,699 |
$196 | |
| CT scan of the chest with contrast |
$1,540 |
$1,540 |
$1,386 |
$167 | |
| CT scan of the chest without contrast |
$1,131 |
$1,131 |
$1,018 |
$133 | |
| CT scan of the head |
$1,307 |
$1,307 |
$1,176 |
$148 | |
| CT scan of the head with and without contrast |
$1,562 |
$1,562 |
$1,406 |
$173 | |
| CT scan of the head with contrast |
$1,307 |
$1,307 |
$1,176 |
$148 | |
| CT scan of the head without contrast |
$911 |
$911 |
$820 |
$107 | |
| CT scan of the leg |
$2,328 |
$2,328 |
$1,335 |
$166 | |
| CT scan of the leg with contrast |
$2,328 |
$2,328 |
$1,350 |
$166 | |
| CT scan of the leg without contrast |
$2,245 |
$2,245 |
$1,022 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,536 |
$1,536 |
$1,018 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,896 |
$1,896 |
$1,706 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,536 |
$1,536 |
$1,382 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,131 |
$1,131 |
$1,018 |
$130 | |
| CT scan of the neck |
$1,641 |
$1,641 |
$1,477 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,531 |
$1,531 |
$1,030 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,892 |
$1,892 |
$1,703 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,531 |
$1,531 |
$1,378 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,144 |
$1,144 |
$1,030 |
$131 | |
| CT scan of the neck with and without contrast |
$1,998 |
$1,998 |
$1,798 |
$220 | |
| CT scan of the neck with contrast |
$1,641 |
$1,641 |
$1,477 |
$183 | |
| CT scan of the neck without contrast |
$1,236 |
$1,236 |
$1,112 |
$150 | |
| CT scan of the pelvis |
$2,385 |
$2,385 |
$2,051 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,675 |
$2,675 |
$2,408 |
$251 | |
| CT scan of the pelvis with contrast |
$2,385 |
$2,385 |
$2,147 |
$226 | |
| CT scan of the pelvis without contrast |
$1,126 |
$1,126 |
$1,013 |
$133 | |
| CT scan of the sinuses |
$1,364 |
$1,364 |
$1,221 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,901 |
$1,901 |
$1,541 |
$184 | |
| CT scan of the sinuses with contrast |
$1,364 |
$1,364 |
$1,228 |
$152 | |
| CT scan of the sinuses without contrast |
$1,206 |
$1,206 |
$1,085 |
$128 | |
| D-dimer test |
$52 |
$52 |
$47 |
$10 | |
| DHEA-sulfate test |
$158 |
$158 |
$142 |
$22 | |
| Diagnostic mammogram |
$329 |
$329 |
$259 |
$140 | |
| Drug screen (urine) |
$64 |
$64 |
$58 |
$17 | |
| Ear pressure test (tympanometry) |
$33 |
$33 |
$30 |
$16 | |
| Echocardiogram |
$602 |
$602 |
$491 |
$138 | |
| Echocardiogram with and without contrast |
$602 |
$602 |
$497 |
$101 | |
| Echocardiogram without contrast |
$546 |
$546 |
$450 |
$138 | |
| EKG / ECG (tracing only) |
$67 |
$67 |
$55 |
$7 | |
| Electrocardiogram (EKG) |
$24 |
$24 |
$21 |
$8 | |
| Electroencephalogram (EEG) |
$2,749 |
$2,749 |
$2,474 |
$448 | |
| Electrolyte panel |
$36 |
$36 |
$32 |
$7 | |
| Emergency department visit |
$485 |
$485 |
$282 |
$69 | |
| Emergency department visit (level 1) |
$1,761 |
$1,761 |
$102 |
$11 | |
| Emergency department visit (level 2) |
$179 |
$179 |
$160 |
$40 | |
| Emergency department visit (level 3) |
$313 |
$313 |
$279 |
$69 | |
| Emergency department visit (level 4) |
$485 |
$485 |
$432 |
$118 | |
| Emergency department visit (level 5) |
$810 |
$810 |
$721 |
$171 | |
| Esophageal variceal banding |
$1,016 |
$1,016 |
$915 |
$126 | |
| Estradiol (estrogen) test |
$204 |
$204 |
$183 |
$28 | |
| Facet joint injection (spine) |
$197 |
$197 |
$177 |
$99 | |
| Fallopian tube X-ray (HSG) |
$403 |
$403 |
$196 |
$164 | |
| Fecal occult blood (stool) test |
$22 |
$22 |
$8 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$22 |
$22 |
$8 |
$4 | |
| Feeding tube (PEG) placement |
$1,016 |
$1,016 |
$915 |
$178 | |
| Ferritin (iron) test |
$74 |
$74 |
$67 |
$14 | |
| Fibrinogen test |
$64 |
$64 |
$57 |
$10 | |
| Flu test |
$84 |
$84 |
$69 |
$17 | |
| Folate (folic acid) test |
$53 |
$53 |
$48 |
$15 | |
| Foreign body removal (skin) |
$221 |
$221 |
$164 |
$157 | |
| Free T4 thyroid test |
$46 |
$46 |
$41 |
$9 | |
| FSH hormone test |
$132 |
$132 |
$119 |
$19 | |
| Gallbladder scan (HIDA) |
$2,507 |
$2,507 |
$2,048 |
$334 | |
| GGT liver test |
$37 |
$37 |
$33 |
$7 | |
| Glucose tolerance test |
$66 |
$66 |
$35 |
$8 | |
| HDL cholesterol test |
$42 |
$42 |
$38 |
$8 | |
| Hearing test (audiometry) |
$75 |
$75 |
$68 |
$36 | |
| Hematocrit test |
$12 |
$12 |
$11 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$50 |
$50 |
$45 |
$10 | |
| Hemorrhoid removal |
$251 |
$251 |
$226 |
$338 | |
| Hepatitis B test |
$43 |
$43 |
$38 |
$10 | |
| Hepatitis B vaccine |
$88 |
$88 |
$79 |
— | |
| Hepatitis C test |
$93 |
$93 |
$84 |
$14 | |
| HIV test |
$123 |
$123 |
$111 |
$19 | |
| HIV test (antigen/antibody combo) |
$123 |
$123 |
$111 |
$24 | |
| Holter heart monitor |
$92 |
$92 |
$61 |
$26 | |
| Iron blood test |
$43 |
$43 |
$31 |
$6 | |
| IUD removal |
$139 |
$139 |
$64 |
$112 | |
| IV infusion therapy |
$144 |
$144 |
$108 |
$44 | |
| IV infusion therapy (each additional) |
$52 |
$52 |
$47 |
$21 | |
| IV infusion therapy (initial) |
$235 |
$235 |
$212 |
$67 | |
| Joint aspiration (small/intermediate) |
$181 |
$181 |
$83 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$187 |
$187 |
$241 |
$57 | |
| Joint aspiration or injection (small joint) |
$175 |
$175 |
$40 |
$56 | |
| Kidney scan (nuclear) |
$972 |
$972 |
$875 |
$172 | |
| Kidney ultrasound |
$431 |
$431 |
$537 |
$84 | |
| Kidney ultrasound (limited) |
$265 |
$265 |
$237 |
$61 | |
| Knee joint injection |
$198 |
$198 |
$268 |
$69 | |
| Lactate test |
$59 |
$59 |
$53 |
$12 | |
| Laryngoscopy |
$727 |
$727 |
$239 |
$189 | |
| LDH test |
$31 |
$31 |
$28 |
$6 | |
| LDL cholesterol test |
$67 |
$67 |
$61 |
$11 | |
| Leg vein ultrasound (Doppler) |
$1,025 |
$1,025 |
$717 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$797 |
$797 |
$683 |
$116 | |
| LH hormone test |
$132 |
$132 |
$118 |
$19 | |
| Lipase test |
$35 |
$35 |
$32 |
$7 | |
| Lipid (cholesterol) panel |
$130 |
$130 |
$117 |
$13 | |
| Liver function panel |
$105 |
$105 |
$95 |
$8 | |
| Lung function test (PFT) |
$196 |
$196 |
$141 |
$37 | |
| Lung scan (V/Q) |
$2,060 |
$2,060 |
$1,854 |
$291 | |
| Magnesium blood test |
$136 |
$136 |
$48 |
$7 | |
| Nebulizer breathing treatment |
$234 |
$234 |
$211 |
$9 | |
| Nerve conduction study |
$381 |
$381 |
$339 |
$118 | |
| Newborn hospital care |
$46 |
$46 |
$41 |
$58 | |
| Nuchal translucency ultrasound |
$335 |
$335 |
$301 |
$116 | |
| Nuclear cardiac stress test |
$2,905 |
$2,905 |
$2,615 |
$428 | |
| Occupational therapy evaluation |
$295 |
$295 |
$246 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$302 |
$302 |
$272 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$230 |
$230 |
$207 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$295 |
$295 |
$266 |
$101 | |
| Office visit (established patient) |
$326 |
$326 |
$131 |
$115 | |
| Office visit (new patient) |
$253 |
$253 |
$229 |
$177 | |
| Office visit, established patient (level 3) |
$241 |
$241 |
$130 |
$95 | |
| Office visit, established patient (level 4) |
$412 |
$412 |
$131 |
$136 | |
| Office visit, new patient (level 3) |
$163 |
$163 |
$157 |
$118 | |
| Office visit, new patient (level 4) |
$253 |
$253 |
$240 |
$177 | |
| Office visit, new patient (level 5) |
$357 |
$357 |
$338 |
$237 | |
| Parathyroid hormone (PTH) test |
$226 |
$226 |
$203 |
$41 | |
| Pelvic ultrasound |
$404 |
$404 |
$531 |
$78 | |
| Pelvic ultrasound (complete) |
$594 |
$594 |
$493 |
$105 | |
| Pelvic ultrasound (limited) |
$213 |
$213 |
$635 |
$51 | |
| PET scan |
$1,714 |
$1,714 |
$1,929 |
— | |
| Phosphorus blood test |
$24 |
$24 |
$22 |
$5 | |
| Physical therapy evaluation |
$285 |
$285 |
$254 |
$98 | |
| Physical therapy evaluation (high complexity) |
$285 |
$285 |
$257 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$285 |
$285 |
$257 |
$98 | |
| Pilonidal cyst removal |
$2,011 |
$2,011 |
$1,659 |
$541 | |
| Platelet count |
$43 |
$43 |
$39 |
$4 | |
| Pregnancy blood test (hCG) |
$38 |
$38 |
$34 |
$8 | |
| Pregnancy ultrasound |
$648 |
$648 |
$518 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$575 |
$575 |
$518 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$721 |
$721 |
$649 |
$136 | |
| Procalcitonin test |
$26 |
$26 |
$23 |
$27 | |
| Prolactin test |
$138 |
$138 |
$124 |
$19 | |
| Prostate biopsy |
$2,232 |
$2,232 |
$2,009 |
— | |
| Prostate test (PSA) |
$94 |
$94 |
$85 |
$18 | |
| Rheumatoid factor test |
$31 |
$31 |
$28 |
$6 | |
| Sacroiliac joint injection |
$420 |
$420 |
$378 |
$176 | |
| Scoliosis spine X-ray |
$347 |
$347 |
$234 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$246 |
$246 |
$216 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$448 |
$448 |
$403 |
$72 | |
| Screening mammogram |
$305 |
$305 |
$275 |
$126 | |
| Scrotal ultrasound |
$570 |
$570 |
$513 |
$99 | |
| Sedimentation rate (ESR) test |
$14 |
$14 |
$13 |
$3 | |
| Semen analysis |
$61 |
$61 |
$55 |
$12 | |
| Simple laceration repair (small, up to 2.5 cm) |
$295 |
$295 |
$196 |
$114 | |
| Simple wound stitches |
$281 |
$281 |
$196 |
$127 | |
| Skin biopsy |
$62 |
$62 |
$92 |
$121 | |
| Skin biopsy (punch) |
$62 |
$62 |
$104 |
$121 | |
| Skin graft |
$857 |
$857 |
$967 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$82 |
$82 |
$99 |
$36 | |
| Skin tag removal |
$104 |
$104 |
$125 |
$92 | |
| Sleep study (polysomnography) |
$4,214 |
$4,214 |
$3,706 |
$691 | |
| Soft tissue ultrasound |
$251 |
$251 |
$226 |
$64 | |
| Speech therapy |
$129 |
$129 |
$116 |
$76 | |
| Spinal tap (lumbar puncture) |
$282 |
$282 |
$315 |
$165 | |
| Spirometry (lung function test) |
$157 |
$157 |
$141 |
$30 | |
| Spirometry with bronchodilator |
$235 |
$235 |
$209 |
$43 | |
| Strep throat test |
$84 |
$84 |
$69 |
$17 | |
| Stress echocardiogram |
$984 |
$984 |
$668 |
$209 | |
| Stress echocardiogram (complete) |
$1,226 |
$1,226 |
$1,103 |
$233 | |
| Swallow study |
$162 |
$162 |
$146 |
$85 | |
| T3 thyroid test |
$59 |
$59 |
$53 |
$14 | |
| Tdap (tetanus) vaccine |
$151 |
$151 |
$136 |
— | |
| Testosterone test |
$183 |
$183 |
$165 |
$26 | |
| Thyroid test (TSH) |
$86 |
$86 |
$77 |
$17 | |
| Thyroid ultrasound |
$680 |
$680 |
$612 |
$109 | |
| Thyroid uptake scan |
$1,580 |
$1,580 |
$1,422 |
$145 | |
| Tilt table test |
$591 |
$591 |
$488 |
$168 | |
| Total IgE allergy test |
$117 |
$117 |
$105 |
$16 | |
| Total protein test |
$19 |
$19 |
$17 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$1,383 |
$1,383 |
$960 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,067 |
$1,067 |
$960 |
$239 | |
| Transvaginal ultrasound |
$705 |
$705 |
$635 |
$118 | |
| Trigger point injection |
$214 |
$214 |
$93 |
$56 | |
| Trigger point injection (1-2 muscles) |
$103 |
$103 |
$45 |
$52 | |
| Triglycerides test |
$29 |
$29 |
$28 |
$6 | |
| Troponin (heart) test |
$64 |
$64 |
$58 |
$12 | |
| Upper GI series (barium) |
$738 |
$738 |
$631 |
$128 | |
| Uric acid (gout) test |
$23 |
$23 |
$21 |
$5 | |
| Urinalysis |
$14 |
$14 |
$18 |
$3 | |
| Urine microalbumin test |
$30 |
$30 |
$27 |
$5 | |
| Urine pregnancy test |
$44 |
$44 |
$40 |
$9 | |
| Vaccine administration |
$50 |
$50 |
$23 |
$19 | |
| Vaccine administration (each additional) |
$24 |
$24 |
$21 |
$16 | |
| Varicose vein ablation |
$6,301 |
$6,301 |
$5,671 |
$1,018 | |
| Vitamin B12 test |
$82 |
$82 |
$74 |
$15 | |
| Vitamin D test |
$151 |
$151 |
$136 |
$30 | |
| Wart removal |
$185 |
$185 |
$163 |
$121 | |
| Wound debridement |
$133 |
$133 |
$268 |
$186 | |
| X-ray of the abdomen |
$211 |
$211 |
$164 |
$36 | |
| X-ray of the ankle |
$230 |
$230 |
$207 |
$37 | |
| X-ray of the collarbone |
$200 |
$200 |
$180 |
$33 | |
| X-ray of the elbow |
$200 |
$200 |
$180 |
$33 | |
| X-ray of the facial bones |
$234 |
$234 |
$177 |
$39 | |
| X-ray of the foot |
$213 |
$213 |
$192 |
$34 | |
| X-ray of the forearm |
$176 |
$176 |
$158 |
$29 | |
| X-ray of the hand |
$235 |
$235 |
$212 |
$38 | |
| X-ray of the hip |
$247 |
$247 |
$187 |
$49 | |
| X-ray of the hip (1 view) |
$194 |
$194 |
$175 |
$34 | |
| X-ray of the hip (3 views) |
$300 |
$300 |
$270 |
$49 | |
| X-ray of the knee |
$294 |
$294 |
$231 |
$42 | |
| X-ray of the knee (2 views) |
$213 |
$213 |
$192 |
$34 | |
| X-ray of the knee (3 views) |
$389 |
$389 |
$233 |
$42 | |
| X-ray of the knee (4+ views) |
$294 |
$294 |
$265 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$280 |
$280 |
$214 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$238 |
$238 |
$214 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$321 |
$321 |
$289 |
$53 | |
| X-ray of the lower leg |
$194 |
$194 |
$175 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$212 |
$212 |
$175 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$189 |
$189 |
$170 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$235 |
$235 |
$212 |
$39 | |
| X-ray of the neck (cervical spine) |
$284 |
$284 |
$212 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$235 |
$235 |
$212 |
$40 | |
| X-ray of the pelvis |
$203 |
$203 |
$153 |
$36 | |
| X-ray of the pelvis (1 view) |
$159 |
$159 |
$143 |
$28 | |
| X-ray of the ribs |
$240 |
$240 |
$221 |
$42 | |
| X-ray of the ribs (2 views) |
$213 |
$213 |
$192 |
$36 | |
| X-ray of the ribs (3 views) |
$240 |
$240 |
$216 |
$42 | |
| X-ray of the shoulder |
$211 |
$211 |
$190 |
$36 | |
| X-ray of the skull |
$238 |
$238 |
$199 |
$40 | |
| X-ray of the upper arm |
$197 |
$197 |
$177 |
$32 | |
| X-ray of the wrist |
$267 |
$267 |
$240 |
$43 | |
| Zinc blood test |
$66 |
$66 |
$60 |
$11 | |