| 3D mammogram (tomosynthesis) |
$255 |
$260 |
$260 |
$51 | |
| Abdominal ultrasound |
$655 |
$669 |
$669 |
$100 | |
| Abdominal ultrasound (complete) |
$837 |
$855 |
$855 |
$114 | |
| Abdominal ultrasound (limited) |
$655 |
$669 |
$669 |
$86 | |
| Abscess drainage (complex or multiple) |
$1,724 |
$1,760 |
$1,760 |
$220 | |
| Abscess drainage (simple) |
$1,468 |
$1,497 |
$1,497 |
$129 | |
| Abscess incision and drainage |
$1,596 |
$1,629 |
$1,629 |
$174 | |
| Albumin blood test |
$6 |
$6 |
$6 |
$5 | |
| Aldosterone test |
$73 |
$75 |
$75 |
$41 | |
| Alkaline phosphatase test |
$6 |
$6 |
$6 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$44 |
$45 |
$45 |
$17 | |
| ALT liver enzyme test |
$6 |
$6 |
$6 |
$5 | |
| Ammonia blood test |
$59 |
$60 |
$60 |
$15 | |
| Amylase test |
$18 |
$18 |
$18 |
$6 | |
| Annual physical (established patient) |
$253 |
$258 |
$258 |
— | |
| Annual physical (new patient) |
$253 |
$258 |
$258 |
— | |
| Antinuclear antibody (ANA) test |
$44 |
$45 |
$45 |
$12 | |
| Arterial blood gas (ABG) |
$91 |
$93 |
$93 |
$26 | |
| AST liver enzyme test |
$6 |
$6 |
$6 |
$5 | |
| Barium swallow study |
$837 |
$855 |
$855 |
$107 | |
| Basic metabolic panel |
$32 |
$33 |
$33 |
$8 | |
| Benign skin lesion removal |
$1,651 |
$1,685 |
$1,685 |
$171 | |
| Bilirubin blood test |
$18 |
$18 |
$18 |
$5 | |
| Blood clotting test (PT/INR) |
$23 |
$24 |
$24 |
$4 | |
| Blood crossmatch |
$23 |
$24 |
$24 |
— | |
| Blood glucose test |
$12 |
$12 |
$12 |
$5 | |
| Blood transfusion |
$2,117 |
$2,160 |
$2,160 |
$47 | |
| Blood type and screen |
$35 |
$36 |
$36 |
$10 | |
| Blood type test |
$12 |
$12 |
$12 |
$3 | |
| Blood type test (ABO group) |
$12 |
$12 |
$12 |
$3 | |
| Blood type test (Rh/D antigen) |
$12 |
$12 |
$12 |
$3 | |
| BNP (heart failure) test |
$88 |
$90 |
$90 |
$39 | |
| Bone density scan (DEXA) |
$328 |
$334 |
$334 |
$39 | |
| Bone scan (nuclear) |
$1,267 |
$1,293 |
$1,293 |
$259 | |
| Breast biopsy |
$2,243 |
$2,289 |
$2,289 |
$478 | |
| Breast MRI |
$816 |
$832 |
$832 |
$216 | |
| Breast MRI without contrast |
$800 |
$816 |
$816 |
$216 | |
| Breast ultrasound |
$1,092 |
$1,115 |
$1,115 |
$92 | |
| Breast ultrasound (complete) |
$1,456 |
$1,486 |
$1,486 |
$100 | |
| Breast ultrasound (limited) |
$1,092 |
$1,115 |
$1,115 |
$84 | |
| Breathing tube insertion (intubation) |
$126 |
$129 |
$129 |
$133 | |
| Burn dressing and debridement (medium) |
$1,651 |
$1,685 |
$1,685 |
$166 | |
| Burn dressing and debridement (small) |
$1,101 |
$1,123 |
$1,123 |
$93 | |
| Burn treatment |
$1,376 |
$1,404 |
$1,404 |
$129 | |
| C-reactive protein (CRP) |
$44 |
$45 |
$45 |
$5 | |
| CA 19-9 tumor marker test |
$97 |
$99 |
$99 |
$21 | |
| CA-125 ovarian marker test |
$97 |
$99 |
$99 |
$21 | |
| Calcium blood test |
$6 |
$6 |
$6 |
$5 | |
| Cardiac MRI |
$1,142 |
$1,165 |
$1,165 |
$322 | |
| Cardiac MRI without contrast |
$930 |
$949 |
$949 |
$280 | |
| Cardiac rehabilitation |
$187 |
$191 |
$191 |
$26 | |
| Cardiac stress test |
$139 |
$142 |
$142 |
$39 | |
| Carotid artery ultrasound |
$1,365 |
$1,393 |
$1,393 |
$156 | |
| CEA tumor marker test |
$73 |
$75 |
$75 |
$19 | |
| Celiac disease test |
$73 |
$75 |
$75 |
$12 | |
| Chemotherapy infusion |
$695 |
$709 |
$709 |
$81 | |
| Chemotherapy infusion (each additional) |
$253 |
$258 |
$258 |
$28 | |
| Chemotherapy infusion (first hour) |
$1,137 |
$1,161 |
$1,161 |
$133 | |
| Chest X-ray |
$182 |
$186 |
$186 |
$37 | |
| Chest X-ray (1 view) |
$109 |
$111 |
$111 |
$25 | |
| Chest X-ray (2 views) |
$182 |
$186 |
$186 |
$33 | |
| Chickenpox (varicella) vaccine |
$577 |
$589 |
$589 |
— | |
| CK-MB heart enzyme test |
$44 |
$45 |
$45 |
$12 | |
| Clotting time test (PTT) |
$23 |
$24 |
$24 |
$6 | |
| Complete blood count (CBC) |
$26 |
$27 |
$27 |
$7 | |
| Complete blood count (CBC) (complete) |
$29 |
$30 |
$30 |
$8 | |
| Comprehensive metabolic panel |
$44 |
$45 |
$45 |
$11 | |
| Copper blood test |
$73 |
$75 |
$75 |
$12 | |
| Coronary CT angiography |
$442 |
$451 |
$451 |
$326 | |
| Cortisol test |
$44 |
$45 |
$45 |
$16 | |
| COVID-19 PCR test |
$352 |
$360 |
$360 |
$51 | |
| CPAP titration study |
$606 |
$619 |
$619 |
$69 | |
| Creatine kinase (CK) test |
$18 |
$18 |
$18 |
$7 | |
| CT angiography of the chest |
$307 |
$313 |
$313 |
$281 | |
| CT angiography of the head |
$302 |
$308 |
$308 |
$274 | |
| CT colonography (virtual colonoscopy) |
$936 |
$955 |
$955 |
$835 | |
| CT scan of the abdomen |
$244 |
$249 |
$249 |
$230 | |
| CT scan of the abdomen and pelvis |
$322 |
$329 |
$329 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$369 |
$377 |
$377 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$322 |
$329 |
$329 |
$300 | |
| CT scan of the abdomen with and without contrast |
$281 |
$286 |
$286 |
$259 | |
| CT scan of the abdomen with contrast |
$244 |
$249 |
$249 |
$230 | |
| CT scan of the abdomen without contrast |
$130 |
$133 |
$133 |
$136 | |
| CT scan of the arm |
$278 |
$284 |
$284 |
$199 | |
| CT scan of the arm with contrast |
$359 |
$366 |
$366 |
$199 | |
| CT scan of the arm without contrast |
$187 |
$191 |
$191 |
$161 | |
| CT scan of the chest |
$244 |
$249 |
$249 |
$167 | |
| CT scan of the chest with and without contrast |
$302 |
$308 |
$308 |
$196 | |
| CT scan of the chest with contrast |
$244 |
$249 |
$249 |
$167 | |
| CT scan of the chest without contrast |
$187 |
$191 |
$191 |
$133 | |
| CT scan of the head |
$156 |
$159 |
$159 |
$148 | |
| CT scan of the head with and without contrast |
$187 |
$191 |
$191 |
$173 | |
| CT scan of the head with contrast |
$156 |
$159 |
$159 |
$148 | |
| CT scan of the leg |
$312 |
$318 |
$318 |
$166 | |
| CT scan of the leg with contrast |
$244 |
$249 |
$249 |
$166 | |
| CT scan of the leg without contrast |
$281 |
$286 |
$286 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$244 |
$249 |
$249 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$302 |
$308 |
$308 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$244 |
$249 |
$249 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$187 |
$191 |
$191 |
$130 | |
| CT scan of the neck |
$244 |
$249 |
$249 |
$183 | |
| CT scan of the neck (cervical spine) |
$244 |
$249 |
$249 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$302 |
$308 |
$308 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$244 |
$249 |
$249 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$192 |
$196 |
$196 |
$131 | |
| CT scan of the neck with and without contrast |
$302 |
$308 |
$308 |
$220 | |
| CT scan of the neck with contrast |
$244 |
$249 |
$249 |
$183 | |
| CT scan of the neck without contrast |
$187 |
$191 |
$191 |
$150 | |
| CT scan of the pelvis |
$244 |
$249 |
$249 |
$226 | |
| CT scan of the pelvis with and without contrast |
$291 |
$297 |
$297 |
$251 | |
| CT scan of the pelvis with contrast |
$244 |
$249 |
$249 |
$226 | |
| CT scan of the pelvis without contrast |
$135 |
$138 |
$138 |
$133 | |
| CT scan of the sinuses |
$161 |
$164 |
$164 |
$152 | |
| CT scan of the sinuses with and without contrast |
$208 |
$212 |
$212 |
$184 | |
| CT scan of the sinuses with contrast |
$161 |
$164 |
$164 |
$152 | |
| CT scan of the sinuses without contrast |
$140 |
$143 |
$143 |
$128 | |
| D-dimer test |
$44 |
$45 |
$45 |
$10 | |
| Developmental screening (child) |
$72 |
$73 |
$73 |
— | |
| DHEA-sulfate test |
$44 |
$45 |
$45 |
$22 | |
| Diagnostic mammogram |
$947 |
$966 |
$966 |
$140 | |
| Drug screen (urine) |
$164 |
$168 |
$168 |
$17 | |
| Echocardiogram |
$209 |
$213 |
$213 |
$138 | |
| Echocardiogram with and without contrast |
$93 |
$95 |
$95 |
$101 | |
| Echocardiogram without contrast |
$209 |
$213 |
$213 |
$138 | |
| EEG (awake and asleep) |
$1,297 |
$1,323 |
$1,323 |
$482 | |
| EKG / ECG (tracing only) |
$56 |
$57 |
$57 |
$7 | |
| Electrocardiogram (EKG) |
$56 |
$57 |
$57 |
$8 | |
| Electroencephalogram (EEG) |
$1,194 |
$1,218 |
$1,218 |
$448 | |
| Electrolyte panel |
$23 |
$24 |
$24 |
$7 | |
| Emergency department visit |
$155 |
$159 |
$159 |
$69 | |
| Emergency department visit (level 1) |
$155 |
$159 |
$159 |
$11 | |
| Emergency department visit (level 2) |
$155 |
$159 |
$159 |
$40 | |
| Emergency department visit (level 3) |
$311 |
$317 |
$317 |
$69 | |
| Emergency department visit (level 4) |
$621 |
$634 |
$634 |
$118 | |
| Emergency department visit (level 5) |
$1,087 |
$1,110 |
$1,110 |
$171 | |
| Estradiol (estrogen) test |
$44 |
$45 |
$45 |
$28 | |
| Fallopian tube X-ray (HSG) |
$1,795 |
$1,831 |
$1,831 |
$164 | |
| Family therapy session |
$190 |
$193 |
$193 |
$110 | |
| Fecal occult blood (stool) test |
$15 |
$15 |
$15 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$15 |
$15 |
$15 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$73 |
$75 |
$75 |
$16 | |
| Ferritin (iron) test |
$44 |
$45 |
$45 |
$14 | |
| Fibrinogen test |
$26 |
$27 |
$27 |
$10 | |
| Flu test |
$73 |
$75 |
$75 |
$17 | |
| Folate (folic acid) test |
$44 |
$45 |
$45 |
$15 | |
| Free T4 thyroid test |
$44 |
$45 |
$45 |
$9 | |
| FSH hormone test |
$44 |
$45 |
$45 |
$19 | |
| Gallbladder scan (HIDA) |
$2,119 |
$2,163 |
$2,163 |
$334 | |
| GGT liver test |
$6 |
$6 |
$6 |
$7 | |
| Glucose tolerance test |
$28 |
$28 |
$28 |
$8 | |
| Group therapy session |
$126 |
$129 |
$129 |
$30 | |
| H. pylori test |
$59 |
$60 |
$60 |
$67 | |
| HDL cholesterol test |
$44 |
$45 |
$45 |
$8 | |
| Hematocrit test |
$12 |
$12 |
$12 |
$2 | |
| Hemodialysis |
$1,063 |
$1,085 |
$1,085 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$59 |
$60 |
$60 |
$10 | |
| Hepatitis A vaccine |
$237 |
$242 |
$242 |
— | |
| Hepatitis B test |
$73 |
$75 |
$75 |
$10 | |
| Hepatitis B vaccine |
$182 |
$185 |
$185 |
— | |
| Hepatitis C test |
$73 |
$75 |
$75 |
$14 | |
| HIV test |
$73 |
$75 |
$75 |
$19 | |
| HIV test (antibody) |
$73 |
$75 |
$75 |
$14 | |
| HIV test (antigen/antibody combo) |
$73 |
$75 |
$75 |
$24 | |
| Holter heart monitor |
$81 |
$83 |
$83 |
$26 | |
| Home sleep apnea test |
$462 |
$472 |
$472 |
$123 | |
| HPV vaccine |
$948 |
$967 |
$967 |
— | |
| Iron blood test |
$18 |
$18 |
$18 |
$6 | |
| IV infusion therapy |
$1,137 |
$1,161 |
$1,161 |
$44 | |
| IV infusion therapy (each additional) |
$253 |
$258 |
$258 |
$21 | |
| IV infusion therapy (initial) |
$1,137 |
$1,161 |
$1,161 |
$67 | |
| Kidney scan (nuclear) |
$706 |
$721 |
$721 |
$172 | |
| Kidney ultrasound |
$546 |
$557 |
$557 |
$84 | |
| Kidney ultrasound (limited) |
$291 |
$297 |
$297 |
$61 | |
| Lactate test |
$59 |
$60 |
$60 |
$12 | |
| LDH test |
$12 |
$12 |
$12 |
$6 | |
| LDL cholesterol test |
$44 |
$45 |
$45 |
$11 | |
| Leg vein ultrasound (Doppler) |
$1,347 |
$1,375 |
$1,375 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,019 |
$1,040 |
$1,040 |
$116 | |
| LH hormone test |
$73 |
$75 |
$75 |
$19 | |
| Lipase test |
$23 |
$24 |
$24 |
$7 | |
| Lipid (cholesterol) panel |
$56 |
$57 |
$57 |
$13 | |
| Liver function panel |
$32 |
$33 |
$33 |
$8 | |
| Lung function test (PFT) |
$262 |
$268 |
$268 |
$37 | |
| Lung scan (V/Q) |
$1,704 |
$1,739 |
$1,739 |
$291 | |
| Magnesium blood test |
$18 |
$18 |
$18 |
$7 | |
| MMR vaccine |
$295 |
$301 |
$301 |
— | |
| MRA of the brain |
$1,517 |
$1,548 |
$1,548 |
$226 | |
| MRA of the brain with contrast |
$1,501 |
$1,532 |
$1,532 |
$226 | |
| MRA of the brain without contrast |
$2,333 |
$2,381 |
$2,381 |
$328 | |
| MRA of the neck |
$1,615 |
$1,648 |
$1,648 |
$245 | |
| MRA of the neck with contrast |
$1,615 |
$1,648 |
$1,648 |
$245 | |
| MRA of the neck without contrast |
$2,350 |
$2,398 |
$2,398 |
$343 | |
| MRI of the abdomen |
$1,436 |
$1,465 |
$1,465 |
$300 | |
| MRI of the abdomen with contrast |
$1,681 |
$1,715 |
$1,715 |
$300 | |
| MRI of the abdomen without contrast |
$955 |
$974 |
$974 |
$194 | |
| MRI of the ankle |
$1,648 |
$1,682 |
$1,682 |
$261 | |
| MRI of the ankle with contrast |
$1,485 |
$1,515 |
$1,515 |
$261 | |
| MRI of the ankle without contrast |
$1,354 |
$1,382 |
$1,382 |
$222 | |
| MRI of the brain |
$1,061 |
$1,082 |
$1,082 |
$269 | |
| MRI of the brain with contrast |
$1,061 |
$1,082 |
$1,082 |
$269 | |
| MRI of the brain without contrast |
$718 |
$733 |
$733 |
$195 | |
| MRI of the chest |
$1,640 |
$1,673 |
$1,673 |
$371 | |
| MRI of the chest with contrast |
$1,713 |
$1,748 |
$1,748 |
$371 | |
| MRI of the chest without contrast |
$2,137 |
$2,181 |
$2,181 |
$466 | |
| MRI of the knee |
$1,069 |
$1,091 |
$1,091 |
$315 | |
| MRI of the knee with contrast |
$1,371 |
$1,399 |
$1,399 |
$315 | |
| MRI of the knee without contrast |
$245 |
$250 |
$250 |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,061 |
$1,082 |
$1,082 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,061 |
$1,082 |
$1,082 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$685 |
$699 |
$699 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,077 |
$1,099 |
$1,099 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$1,224 |
$1,249 |
$1,249 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,077 |
$1,099 |
$1,099 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$685 |
$699 |
$699 |
$190 | |
| MRI of the neck (cervical spine) |
$1,077 |
$1,099 |
$1,099 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$1,207 |
$1,232 |
$1,232 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,077 |
$1,099 |
$1,099 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$685 |
$699 |
$699 |
$191 | |
| MRI of the pelvis |
$1,485 |
$1,515 |
$1,515 |
$268 | |
| MRI of the pelvis with contrast |
$1,485 |
$1,515 |
$1,515 |
$268 | |
| MRI of the pelvis without contrast |
$1,387 |
$1,415 |
$1,415 |
$227 | |
| MRI of the shoulder |
$1,444 |
$1,473 |
$1,473 |
$313 | |
| MRI of the shoulder with contrast |
$1,354 |
$1,382 |
$1,382 |
$313 | |
| MRI of the shoulder without contrast |
$767 |
$783 |
$783 |
$205 | |
| MRI of the wrist |
$1,632 |
$1,665 |
$1,665 |
$330 | |
| MRI of the wrist with contrast |
$1,468 |
$1,498 |
$1,498 |
$330 | |
| MRI of the wrist without contrast |
$1,371 |
$1,399 |
$1,399 |
$303 | |
| Nebulizer breathing treatment |
$1,314 |
$1,340 |
$1,340 |
$9 | |
| Nerve conduction study |
$205 |
$210 |
$210 |
$118 | |
| Nuchal translucency ultrasound |
$619 |
$632 |
$632 |
$116 | |
| Nuclear cardiac stress test |
$2,389 |
$2,438 |
$2,438 |
$428 | |
| Occupational therapy evaluation |
$486 |
$496 |
$496 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$486 |
$496 |
$496 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$486 |
$496 |
$496 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$486 |
$496 |
$496 |
$101 | |
| Office visit (established patient) |
$284 |
$290 |
$290 |
$115 | |
| Office visit (new patient) |
$316 |
$322 |
$322 |
$177 | |
| Office visit, established patient (level 3) |
$253 |
$258 |
$258 |
$95 | |
| Office visit, established patient (level 4) |
$316 |
$322 |
$322 |
$136 | |
| Office visit, new patient (level 3) |
$253 |
$258 |
$258 |
$118 | |
| Office visit, new patient (level 4) |
$316 |
$322 |
$322 |
$177 | |
| Office visit, new patient (level 5) |
$379 |
$387 |
$387 |
$237 | |
| Pap smear (cervical screening) |
$117 |
$120 |
$120 |
$20 | |
| Parathyroid hormone (PTH) test |
$44 |
$45 |
$45 |
$41 | |
| Pelvic ultrasound |
$765 |
$780 |
$780 |
$78 | |
| Pelvic ultrasound (complete) |
$765 |
$780 |
$780 |
$105 | |
| Pelvic ultrasound (limited) |
$255 |
$260 |
$260 |
$51 | |
| Phosphorus blood test |
$6 |
$6 |
$6 |
$5 | |
| Physical therapy evaluation |
$733 |
$747 |
$747 |
$98 | |
| Physical therapy evaluation (high complexity) |
$824 |
$841 |
$841 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$641 |
$654 |
$654 |
$98 | |
| Platelet count |
$12 |
$12 |
$12 |
$4 | |
| Pneumonia vaccine |
$402 |
$411 |
$411 |
— | |
| Pregnancy blood test (hCG) |
$29 |
$30 |
$30 |
$8 | |
| Pregnancy ultrasound |
$856 |
$873 |
$873 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$765 |
$780 |
$780 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$947 |
$966 |
$966 |
$136 | |
| Procalcitonin test |
$441 |
$450 |
$450 |
$27 | |
| Prolactin test |
$59 |
$60 |
$60 |
$19 | |
| Prostate test (PSA) |
$59 |
$60 |
$60 |
$18 | |
| Psychiatric evaluation |
$758 |
$774 |
$774 |
$188 | |
| Psychotherapy session |
$474 |
$484 |
$484 |
$140 | |
| Pulmonary rehabilitation |
$948 |
$967 |
$967 |
$87 | |
| Retinal (fundus) photography |
$316 |
$322 |
$322 |
$37 | |
| RSV vaccine |
$1,112 |
$1,134 |
$1,134 |
— | |
| Sacroiliac joint injection |
$897 |
$916 |
$916 |
$176 | |
| Scoliosis spine X-ray |
$364 |
$372 |
$372 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$255 |
$260 |
$260 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$473 |
$483 |
$483 |
$72 | |
| Screening mammogram |
$819 |
$836 |
$836 |
$126 | |
| Scrotal ultrasound |
$364 |
$372 |
$372 |
$99 | |
| Sedimentation rate (ESR) test |
$16 |
$16 |
$16 |
$3 | |
| Semen analysis |
$85 |
$87 |
$87 |
$12 | |
| Sex hormone binding globulin test |
$73 |
$75 |
$75 |
$22 | |
| Shingles vaccine |
$777 |
$792 |
$792 |
— | |
| Skin biopsy |
$1,101 |
$1,123 |
$1,123 |
$121 | |
| Skin biopsy (punch) |
$1,614 |
$1,647 |
$1,647 |
$121 | |
| Skin lesion freezing (cryotherapy) |
$367 |
$374 |
$374 |
$36 | |
| Sleep study (polysomnography) |
$924 |
$943 |
$943 |
$691 | |
| Soft tissue ultrasound |
$109 |
$111 |
$111 |
$64 | |
| Speech therapy |
$215 |
$220 |
$220 |
$76 | |
| Spirometry (lung function test) |
$211 |
$216 |
$216 |
$30 | |
| Spirometry with bronchodilator |
$313 |
$319 |
$319 |
$43 | |
| Strep throat test |
$73 |
$75 |
$75 |
$17 | |
| Stress echocardiogram |
$278 |
$284 |
$284 |
$209 | |
| Swallow study |
$287 |
$293 |
$293 |
$85 | |
| T3 thyroid test |
$44 |
$45 |
$45 |
$14 | |
| Tdap (tetanus) vaccine |
$189 |
$193 |
$193 |
— | |
| Testosterone test |
$44 |
$45 |
$45 |
$26 | |
| Thyroid test (TSH) |
$44 |
$45 |
$45 |
$17 | |
| Thyroid ultrasound |
$910 |
$929 |
$929 |
$109 | |
| Thyroid uptake scan |
$873 |
$890 |
$890 |
$145 | |
| Tilt table test |
$278 |
$284 |
$284 |
$168 | |
| Total IgE allergy test |
$44 |
$45 |
$45 |
$16 | |
| Total protein test |
$6 |
$6 |
$6 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$348 |
$355 |
$355 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$278 |
$284 |
$284 |
$239 | |
| Transvaginal ultrasound |
$910 |
$929 |
$929 |
$118 | |
| Triglycerides test |
$6 |
$6 |
$6 |
$6 | |
| Troponin (heart) test |
$73 |
$75 |
$75 |
$12 | |
| Upper GI series (barium) |
$874 |
$892 |
$892 |
$128 | |
| Uric acid (gout) test |
$6 |
$6 |
$6 |
$5 | |
| Urinalysis |
$12 |
$12 |
$12 |
$3 | |
| Urine microalbumin test |
$37 |
$37 |
$37 |
$5 | |
| Urine pregnancy test |
$29 |
$30 |
$30 |
$9 | |
| Vaccine administration |
$72 |
$74 |
$74 |
$19 | |
| Vaccine administration (each additional) |
$72 |
$74 |
$74 |
$16 | |
| Vitamin B12 test |
$44 |
$45 |
$45 |
$15 | |
| Vitamin D test |
$44 |
$45 |
$45 |
$30 | |
| Wound debridement |
$1,669 |
$1,703 |
$1,703 |
$186 | |
| X-ray of the abdomen |
$200 |
$204 |
$204 |
$36 | |
| X-ray of the ankle |
$218 |
$223 |
$223 |
$37 | |
| X-ray of the collarbone |
$273 |
$279 |
$279 |
$33 | |
| X-ray of the elbow |
$328 |
$334 |
$334 |
$33 | |
| X-ray of the facial bones |
$237 |
$242 |
$242 |
$39 | |
| X-ray of the foot |
$218 |
$223 |
$223 |
$34 | |
| X-ray of the forearm |
$273 |
$279 |
$279 |
$29 | |
| X-ray of the hand |
$218 |
$223 |
$223 |
$38 | |
| X-ray of the hip |
$291 |
$297 |
$297 |
$49 | |
| X-ray of the hip (1 view) |
$218 |
$223 |
$223 |
$34 | |
| X-ray of the hip (3 views) |
$291 |
$297 |
$297 |
$49 | |
| X-ray of the hip (4 views) |
$364 |
$372 |
$372 |
$63 | |
| X-ray of the knee |
$273 |
$279 |
$279 |
$42 | |
| X-ray of the knee (2 views) |
$218 |
$223 |
$223 |
$34 | |
| X-ray of the knee (3 views) |
$382 |
$390 |
$390 |
$42 | |
| X-ray of the knee (4+ views) |
$437 |
$446 |
$446 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$291 |
$297 |
$297 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$255 |
$260 |
$260 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$328 |
$334 |
$334 |
$53 | |
| X-ray of the lower leg |
$218 |
$223 |
$223 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$218 |
$223 |
$223 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$218 |
$223 |
$223 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$255 |
$260 |
$260 |
$39 | |
| X-ray of the neck (cervical spine) |
$218 |
$223 |
$223 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$218 |
$223 |
$223 |
$40 | |
| X-ray of the pelvis |
$255 |
$260 |
$260 |
$36 | |
| X-ray of the pelvis (1 view) |
$218 |
$223 |
$223 |
$28 | |
| X-ray of the ribs |
$218 |
$223 |
$223 |
$42 | |
| X-ray of the ribs (2 views) |
$218 |
$223 |
$223 |
$36 | |
| X-ray of the ribs (3 views) |
$218 |
$223 |
$223 |
$42 | |
| X-ray of the shoulder |
$273 |
$279 |
$279 |
$36 | |
| X-ray of the skull |
$255 |
$260 |
$260 |
$40 | |
| X-ray of the upper arm |
$218 |
$223 |
$223 |
$32 | |
| X-ray of the wrist |
$255 |
$260 |
$260 |
$43 | |
| Zinc blood test |
$73 |
$75 |
$75 |
$11 | |