| 3D mammogram (tomosynthesis) |
$40 |
$61 |
$53 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,592 |
$2,343 |
$927 |
$284 | |
| Abdominal ultrasound |
$854 |
$1,314 |
$107 |
$100 | |
| Abdominal ultrasound (complete) |
$1,084 |
$1,668 |
$107 |
$114 | |
| Abdominal ultrasound (limited) |
$624 |
$960 |
$107 |
$86 | |
| Abscess drainage (complex or multiple) |
$229 |
$353 |
$78 |
$220 | |
| Abscess incision and drainage |
$290 |
$350 |
$57 |
$174 | |
| ACL knee reconstruction |
$43,122 |
— |
$7,413 |
$889 | |
| Adenoid removal (adenoidectomy) |
$856 |
$820 |
$96 |
$204 | |
| Aldosterone test |
$233 |
$358 |
$313 |
$41 | |
| Alkaline phosphatase test |
$44 |
$68 |
$60 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$155 |
$239 |
$161 |
$17 | |
| ALT liver enzyme test |
$53 |
$81 |
$71 |
$5 | |
| Ammonia blood test |
$178 |
$274 |
$240 |
$15 | |
| Amylase test |
$17 |
$26 |
$23 |
$6 | |
| Anal fistula repair |
$1,334 |
$1,611 |
$196 |
$541 | |
| Ankle fracture repair |
$1,441 |
$1,441 |
$266 |
$608 | |
| Annual physical (established patient) |
$190 |
$190 |
$98 |
— | |
| Annual physical (new patient) |
$220 |
$220 |
$123 |
— | |
| Anoscopy |
$618 |
$950 |
$18 |
$129 | |
| Antinuclear antibody (ANA) test |
$139 |
$214 |
$187 |
$12 | |
| AST liver enzyme test |
$59 |
$91 |
$80 |
$5 | |
| Barium swallow study |
$373 |
$574 |
$179 |
$107 | |
| Bartholin cyst removal |
$243 |
$243 |
$45 |
$182 | |
| Benign skin lesion removal |
$1,084 |
$1,496 |
$104 |
$171 | |
| Bilirubin blood test |
$79 |
$69 |
$42 |
$5 | |
| Blood clotting test (PT/INR) |
$42 |
$37 |
$4 |
$4 | |
| Blood glucose test |
$85 |
$130 |
$77 |
$5 | |
| Blood type and screen |
$129 |
$198 |
$53 |
$10 | |
| Blood type test |
$46 |
$72 |
$63 |
$3 | |
| Blood type test (ABO group) |
$42 |
$65 |
$136 |
$3 | |
| Blood type test (Rh/D antigen) |
$51 |
$78 |
$38 |
$3 | |
| BNP (heart failure) test |
$156 |
$240 |
$210 |
$39 | |
| Bone density scan (DEXA) |
$424 |
$613 |
$107 |
$39 | |
| Bone marrow biopsy |
$3,392 |
$5,219 |
$2,968 |
$172 | |
| Bone scan (nuclear) |
$1,649 |
$2,537 |
$408 |
$259 | |
| Breast biopsy |
$4,726 |
$7,271 |
$1,740 |
$478 | |
| Breast ultrasound |
$553 |
$851 |
$89 |
$92 | |
| Breast ultrasound (limited) |
$553 |
$851 |
$89 |
$84 | |
| Burn dressing and debridement (small) |
$331 |
$346 |
$24 |
$93 | |
| Burn treatment |
$331 |
$346 |
$24 |
$129 | |
| C-reactive protein (CRP) |
$85 |
$130 |
$114 |
$5 | |
| CA 19-9 tumor marker test |
$117 |
$180 |
$158 |
$21 | |
| CA-125 ovarian marker test |
$216 |
$332 |
$291 |
$21 | |
| Cardiac catheterization |
$11,041 |
$16,987 |
$3,312 |
$1,049 | |
| Cardiac rehabilitation |
$263 |
$404 |
$132 |
$26 | |
| Cardiac stress test |
$1,129 |
$1,737 |
$221 |
$39 | |
| Carotid artery ultrasound |
$1,216 |
$1,469 |
$244 |
$156 | |
| Cataract surgery |
$11,729 |
— |
$2,358 |
$547 | |
| CEA tumor marker test |
$120 |
$185 |
$162 |
$19 | |
| Celiac disease test |
$195 |
$300 |
$263 |
$12 | |
| Central line placement |
$4,228 |
$3,427 |
$114 |
$238 | |
| Cesarean section (C-section) |
$13,441 |
— |
$11,804 |
$7,552 | |
| Chemotherapy infusion |
$479 |
$737 |
$308 |
$81 | |
| Chemotherapy infusion (each additional) |
$127 |
$195 |
$74 |
$28 | |
| Chemotherapy infusion (first hour) |
$831 |
$1,279 |
$337 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,266 |
$1,947 |
$110 |
$311 | |
| Chest tube insertion |
$1,258 |
$1,936 |
$1,608 |
$143 | |
| Chest X-ray |
$289 |
$417 |
$107 |
$37 | |
| Chest X-ray (2 views) |
$335 |
$417 |
$89 |
$33 | |
| Chickenpox (varicella) vaccine |
$156 |
$240 |
$183 |
— | |
| CK-MB heart enzyme test |
$161 |
$247 |
$216 |
$12 | |
| Colon resection (colectomy) |
$2,873 |
$2,873 |
$468 |
$1,238 | |
| Colposcopy |
$234 |
$234 |
$53 |
$161 | |
| Complete blood count (CBC) |
$71 |
$102 |
$58 |
$7 | |
| Copper blood test |
$49 |
$75 |
$26 |
$12 | |
| Cortisol test |
$182 |
$280 |
$245 |
$16 | |
| COVID-19 PCR test |
$149 |
$229 |
$200 |
$51 | |
| CPAP titration study |
$268 |
$412 |
$224 |
$69 | |
| Creatine kinase (CK) test |
$65 |
$100 |
$88 |
$7 | |
| CT angiography of the chest |
$2,776 |
$4,101 |
$179 |
$281 | |
| CT angiography of the head |
$3,886 |
$3,812 |
$439 |
$274 | |
| CT scan of the abdomen |
$2,053 |
$3,158 |
$179 |
$230 | |
| CT scan of the abdomen and pelvis |
$3,352 |
$5,157 |
$356 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$4,070 |
$6,262 |
$356 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$3,538 |
$5,157 |
$356 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$3,090 |
$4,754 |
$244 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,190 |
$3,369 |
$179 |
$259 | |
| CT scan of the abdomen with contrast |
$2,053 |
$3,158 |
$179 |
$230 | |
| CT scan of the abdomen without contrast |
$2,001 |
$3,079 |
$107 |
$136 | |
| CT scan of the arm |
$1,249 |
$1,921 |
$356 |
$199 | |
| CT scan of the arm with contrast |
$1,268 |
$1,950 |
$356 |
$199 | |
| CT scan of the arm without contrast |
$1,230 |
$1,892 |
$107 |
$161 | |
| CT scan of the chest |
$2,161 |
$3,324 |
$179 |
$167 | |
| CT scan of the chest with and without contrast |
$2,531 |
$3,894 |
$179 |
$196 | |
| CT scan of the chest with contrast |
$2,161 |
$3,324 |
$179 |
$167 | |
| CT scan of the chest without contrast |
$1,877 |
$2,888 |
$107 |
$133 | |
| CT scan of the head |
$1,849 |
$3,175 |
$179 |
$148 | |
| CT scan of the head with and without contrast |
$2,090 |
$3,215 |
$179 |
$173 | |
| CT scan of the head with contrast |
$2,064 |
$3,175 |
$179 |
$148 | |
| CT scan of the head without contrast |
$1,633 |
$2,513 |
$107 |
$107 | |
| CT scan of the leg |
$1,697 |
$2,473 |
$183 |
$166 | |
| CT scan of the leg with contrast |
$2,199 |
$2,610 |
$439 |
$166 | |
| CT scan of the leg without contrast |
$1,518 |
$2,335 |
$107 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,064 |
$3,176 |
$356 |
$169 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,072 |
$3,187 |
$356 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$2,057 |
$3,165 |
$107 |
$130 | |
| CT scan of the neck |
$1,903 |
$2,927 |
$179 |
$183 | |
| CT scan of the neck (cervical spine) |
$2,124 |
$3,268 |
$356 |
$168 | |
| CT scan of the neck (cervical spine) with contrast |
$2,213 |
$3,405 |
$356 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$2,035 |
$3,130 |
$107 |
$131 | |
| CT scan of the neck with and without contrast |
$2,519 |
$3,875 |
$179 |
$220 | |
| CT scan of the neck with contrast |
$1,903 |
$2,927 |
$179 |
$183 | |
| CT scan of the neck without contrast |
$1,198 |
$1,843 |
$107 |
$150 | |
| CT scan of the pelvis |
$1,792 |
$2,758 |
$179 |
$226 | |
| CT scan of the pelvis with contrast |
$1,805 |
$2,777 |
$179 |
$226 | |
| CT scan of the pelvis without contrast |
$1,780 |
$2,738 |
$107 |
$133 | |
| CT scan of the sinuses |
$1,655 |
$2,546 |
$179 |
$152 | |
| CT scan of the sinuses with contrast |
$1,847 |
$2,842 |
$179 |
$152 | |
| CT scan of the sinuses without contrast |
$1,462 |
$2,249 |
$107 |
$128 | |
| D-dimer test |
$212 |
$326 |
$160 |
$10 | |
| DHEA-sulfate test |
$564 |
$868 |
$760 |
$22 | |
| Diagnostic mammogram |
$398 |
$613 |
$490 |
$140 | |
| Eardrum repair (tympanoplasty) |
$2,901 |
$3,189 |
$360 |
$799 | |
| Echocardiogram |
$1,293 |
$1,989 |
$558 |
$138 | |
| Echocardiogram with and without contrast |
$589 |
$906 |
$244 |
$101 | |
| EEG (awake and asleep) |
$931 |
$1,433 |
$221 |
$482 | |
| EKG / ECG (tracing only) |
$327 |
$294 |
$89 |
$7 | |
| Electroencephalogram (EEG) |
$993 |
$1,433 |
$119 |
$448 | |
| Electrolyte panel |
$164 |
$253 |
$221 |
$7 | |
| Emergency department visit |
$605 |
$502 |
$91 |
$69 | |
| Emergency department visit (level 1) |
$248 |
$420 |
$86 |
$11 | |
| Emergency department visit (level 2) |
$379 |
$344 |
$37 |
$40 | |
| Emergency department visit (level 3) |
$605 |
$544 |
$63 |
$69 | |
| Emergency department visit (level 4) |
$1,013 |
$921 |
$108 |
$118 | |
| Endometrial biopsy |
$135 |
$135 |
$25 |
$98 | |
| Epidural steroid injection |
$1,994 |
$2,076 |
$721 |
$275 | |
| Estradiol (estrogen) test |
$195 |
$300 |
$156 |
$28 | |
| Facet joint injection (spine) |
$2,694 |
$2,237 |
$904 |
$99 | |
| Fallopian tube X-ray (HSG) |
$822 |
$1,264 |
$244 |
$164 | |
| Fecal occult blood (stool) test |
$45 |
$70 |
$55 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$41 |
$63 |
$55 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$49 |
$76 |
$67 |
$16 | |
| Femoral hernia repair |
$1,393 |
$1,393 |
$226 |
$584 | |
| Fibrinogen test |
$124 |
$190 |
$106 |
$10 | |
| Flu vaccine |
$46 |
$70 |
$20 |
— | |
| Folate (folic acid) test |
$108 |
$166 |
$145 |
$15 | |
| FSH hormone test |
$173 |
$266 |
$233 |
$19 | |
| Gallbladder scan (HIDA) |
$1,732 |
$2,665 |
$555 |
$334 | |
| Ganglion cyst removal |
$752 |
$752 |
$143 |
$321 | |
| GGT liver test |
$69 |
$106 |
$93 |
$7 | |
| Glucose tolerance test |
$62 |
$96 |
$41 |
$8 | |
| HDL cholesterol test |
$94 |
$145 |
$127 |
$8 | |
| Hemodialysis |
$2,448 |
$3,766 |
$701 |
$75 | |
| Hemorrhoid removal |
$707 |
$2,074 |
$89 |
$338 | |
| Hepatitis A vaccine |
$142 |
$219 |
$73 |
— | |
| Hepatitis B test |
$95 |
$146 |
$128 |
$10 | |
| Hepatitis C test |
$191 |
$294 |
$257 |
$14 | |
| Hip fracture repair |
$2,708 |
$2,708 |
$433 |
$1,120 | |
| Hip replacement |
$42,088 |
— |
$13,117 |
$1,162 | |
| HPV vaccine |
$257 |
$396 |
$308 |
— | |
| Hydrocele repair |
$18,841 |
— |
$3,658 |
$315 | |
| Hysteroscopy |
$819 |
$659 |
$35 |
$1,270 | |
| Ileostomy |
$360 |
$360 |
$359 |
$968 | |
| IUD removal |
$197 |
$169 |
$28 |
$112 | |
| Joint aspiration (small/intermediate) |
$274 |
$255 |
$40 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$274 |
$255 |
$40 |
$57 | |
| Kidney scan (nuclear) |
$1,163 |
$1,789 |
$555 |
$172 | |
| Kidney ultrasound |
$980 |
$1,073 |
$107 |
$84 | |
| Kidney ultrasound (limited) |
$414 |
$637 |
$107 |
$61 | |
| Knee arthroscopy |
$1,220 |
$1,220 |
$244 |
$524 | |
| Knee joint injection |
$369 |
$383 |
$38 |
$69 | |
| Knee replacement |
$38,331 |
— |
$16,806 |
$18,054 | |
| Laryngoscopy |
$112 |
$172 |
$31 |
$189 | |
| LDH test |
$55 |
$85 |
$78 |
$6 | |
| Leg vein ultrasound (Doppler) |
$756 |
$1,164 |
$112 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$650 |
$1,000 |
$107 |
$116 | |
| LH hormone test |
$177 |
$272 |
$238 |
$19 | |
| Lipase test |
$145 |
$223 |
$195 |
$7 | |
| Liver biopsy |
$2,150 |
$3,307 |
$1,687 |
$288 | |
| Liver function panel |
$255 |
$393 |
$344 |
$8 | |
| Lumpectomy (breast) |
$466 |
$468 |
$276 |
$750 | |
| MMR vaccine |
$83 |
$128 |
$95 |
— | |
| MRA of the brain |
$3,608 |
$4,671 |
$325 |
$226 | |
| MRA of the brain without contrast |
$3,608 |
$5,550 |
$356 |
$328 | |
| MRA of the neck |
$1,839 |
$2,830 |
$356 |
$245 | |
| MRA of the neck without contrast |
$2,679 |
$4,122 |
$356 |
$343 | |
| MRI of the abdomen |
$1,543 |
$2,375 |
$356 |
$300 | |
| MRI of the abdomen without contrast |
$1,286 |
$1,979 |
$244 |
$194 | |
| MRI of the ankle |
$1,262 |
$1,942 |
$356 |
$261 | |
| MRI of the ankle without contrast |
$1,043 |
$1,604 |
$244 |
$222 | |
| MRI of the brain |
$3,771 |
$5,802 |
$356 |
$269 | |
| MRI of the brain with contrast |
$3,771 |
$5,802 |
$356 |
$269 | |
| MRI of the brain without contrast |
$1,944 |
$2,991 |
$244 |
$195 | |
| MRI of the knee |
$2,261 |
$3,478 |
$538 |
$315 | |
| MRI of the knee with contrast |
$2,261 |
$3,478 |
$801 |
$315 | |
| MRI of the knee without contrast |
$2,237 |
$3,442 |
$538 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,599 |
$3,998 |
$356 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,448 |
$3,766 |
$356 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,599 |
$3,998 |
$244 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$3,156 |
$4,856 |
$356 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$3,595 |
$5,531 |
$356 |
$319 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,718 |
$4,181 |
$244 |
$190 | |
| MRI of the neck (cervical spine) |
$3,139 |
$4,829 |
$356 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$3,545 |
$5,454 |
$356 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,352 |
$3,619 |
$356 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$3,139 |
$4,829 |
$244 |
$191 | |
| MRI of the pelvis |
$2,263 |
$3,482 |
$356 |
$268 | |
| MRI of the pelvis without contrast |
$1,777 |
$2,734 |
$244 |
$227 | |
| MRI of the shoulder |
$2,084 |
$3,206 |
$801 |
$313 | |
| MRI of the shoulder with contrast |
$2,084 |
$3,206 |
$801 |
$313 | |
| MRI of the shoulder without contrast |
$1,491 |
$2,294 |
$244 |
$205 | |
| MRI of the wrist |
$1,203 |
$1,850 |
$356 |
$330 | |
| MRI of the wrist without contrast |
$1,052 |
$1,618 |
$244 |
$303 | |
| Nebulizer breathing treatment |
$366 |
$563 |
$224 |
$9 | |
| Newborn hospital care |
$148 |
$148 |
$69 |
$58 | |
| Nuclear cardiac stress test |
$3,800 |
$5,846 |
$1,323 |
$428 | |
| Occupational therapy evaluation |
$194 |
$295 |
$256 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$192 |
$295 |
$258 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$190 |
$292 |
$256 |
$101 | |
| Office visit (established patient) |
$175 |
$175 |
$60 |
$115 | |
| Office visit (new patient) |
$307 |
$307 |
$120 |
$177 | |
| Office visit, established patient (level 3) |
$141 |
$141 |
$54 |
$95 | |
| Office visit, established patient (level 4) |
$209 |
$209 |
$79 |
$136 | |
| Office visit, new patient (level 3) |
$180 |
$180 |
$66 |
$118 | |
| Office visit, new patient (level 4) |
$307 |
$307 |
$92 |
$177 | |
| Office visit, new patient (level 5) |
$402 |
$402 |
$147 |
$237 | |
| Ovary removal (oophorectomy) |
$1,221 |
$1,221 |
$224 |
$822 | |
| Pacemaker insertion |
$30,631 |
— |
$13,787 |
$15,506 | |
| Pap smear (cervical screening) |
$71 |
$109 |
$95 |
$20 | |
| Parathyroid hormone (PTH) test |
$290 |
$446 |
$390 |
$41 | |
| Pelvic ultrasound |
$577 |
$887 |
$107 |
$78 | |
| Pelvic ultrasound (complete) |
$796 |
$1,224 |
$107 |
$105 | |
| Pelvic ultrasound (limited) |
$358 |
$550 |
$107 |
$51 | |
| PET scan |
$6,608 |
$10,166 |
$1,461 |
— | |
| Physical therapy evaluation |
$189 |
$287 |
$240 |
$98 | |
| Physical therapy evaluation (high complexity) |
$190 |
$293 |
$256 |
$98 | |
| Pilonidal cyst removal |
$1,460 |
$1,460 |
$194 |
$541 | |
| Platelet count |
$34 |
$53 |
$46 |
$4 | |
| Pneumonia vaccine |
$272 |
$418 |
$133 |
— | |
| Pregnancy blood test (hCG) |
$94 |
$145 |
$127 |
$8 | |
| Pregnancy ultrasound |
$777 |
$1,196 |
$69 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$735 |
$1,131 |
$69 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$819 |
$1,260 |
$107 |
$136 | |
| Procalcitonin test |
$182 |
$280 |
$245 |
$27 | |
| Prolactin test |
$175 |
$269 |
$235 |
$19 | |
| Prostate biopsy |
$1,119 |
$1,094 |
$186 |
— | |
| Radiofrequency nerve ablation |
$4,712 |
$4,205 |
$1,995 |
$462 | |
| Rheumatoid factor test |
$26 |
$40 |
$35 |
$6 | |
| RSV vaccine |
$264 |
$406 |
$307 |
— | |
| Scoliosis spine X-ray |
$231 |
$356 |
$107 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$178 |
$274 |
$89 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$285 |
$438 |
$107 |
$72 | |
| Screening colonoscopy |
$705 |
$870 |
$137 |
$378 | |
| Screening mammogram |
$335 |
$515 |
$451 |
$126 | |
| Scrotal ultrasound |
$857 |
$1,319 |
$107 |
$99 | |
| Sedimentation rate (ESR) test |
$44 |
$68 |
$60 |
$3 | |
| Semen analysis |
$42 |
$64 |
$56 |
$12 | |
| Sex hormone binding globulin test |
$112 |
$172 |
$151 |
$22 | |
| Shingles vaccine |
$177 |
$273 |
$216 |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
$179 |
$179 |
$27 |
$114 | |
| Simple wound stitches |
$179 |
$179 |
$27 |
$127 | |
| Skin biopsy |
$274 |
$333 |
$17 |
$121 | |
| Skin biopsy (punch) |
$218 |
$329 |
$17 |
$121 | |
| Skin graft |
$2,334 |
$1,975 |
$293 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$110 |
$170 |
$205 |
$36 | |
| Skin tag removal |
$188 |
$225 |
$31 |
$92 | |
| Sleep study (polysomnography) |
$1,535 |
$3,518 |
$544 |
$691 | |
| Small bowel resection |
$1,673 |
$1,673 |
$420 |
$1,136 | |
| Soft tissue ultrasound |
$434 |
$667 |
$107 |
$64 | |
| Speech therapy |
$140 |
$216 |
$189 |
$76 | |
| Spinal tap (lumbar puncture) |
$1,847 |
$2,842 |
$721 |
$165 | |
| Spleen removal (splenectomy) |
$409 |
$2,556 |
$369 |
$1,036 | |
| Swallow study |
$182 |
$280 |
$245 |
$85 | |
| T3 thyroid test |
$24 |
$37 |
$32 |
$14 | |
| Tdap (tetanus) vaccine |
$53 |
$82 |
$46 |
— | |
| Testicle removal (orchiectomy) |
$720 |
$720 |
$204 |
$306 | |
| Testosterone test |
$140 |
$216 |
$189 |
$26 | |
| Thyroid ultrasound |
$587 |
$903 |
$107 |
$109 | |
| Thyroid uptake scan |
$1,015 |
$1,561 |
$408 |
$145 | |
| Tilt table test |
$1,479 |
$2,275 |
$381 |
$168 | |
| Total IgE allergy test |
$142 |
$218 |
$191 |
$16 | |
| Transesophageal echocardiogram (TEE) |
$1,946 |
$2,994 |
$558 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,946 |
$2,994 |
$558 |
$239 | |
| Transvaginal ultrasound |
$640 |
$985 |
$107 |
$118 | |
| Trigger point injection |
$148 |
$194 |
$20 |
$56 | |
| Trigger point injection (1-2 muscles) |
$129 |
$129 |
$20 |
$52 | |
| Triglycerides test |
$40 |
$62 |
$54 |
$6 | |
| Turning a breech baby (version) |
$5,910 |
$9,093 |
$3,307 |
$94 | |
| Upper GI endoscopy (EGD) |
$503 |
$446 |
$69 |
$371 | |
| Upper GI series (barium) |
$562 |
$865 |
$179 |
$128 | |
| Uric acid (gout) test |
$46 |
$70 |
$61 |
$5 | |
| Urinalysis |
$51 |
$75 |
$48 |
$3 | |
| Urine microalbumin test |
$78 |
$112 |
$60 |
$5 | |
| Urine pregnancy test |
$36 |
$56 |
$49 |
$9 | |
| UV light therapy (skin) |
$199 |
$306 |
$60 |
$106 | |
| Vaccine administration |
$13 |
$20 |
$74 |
$19 | |
| Vaccine administration (each additional) |
$13 |
$20 |
$20 |
$16 | |
| Vaginal delivery |
$6,681 |
— |
$8,023 |
$5,487 | |
| Varicose vein ablation |
$10,637 |
$16,364 |
$3,226 |
$1,018 | |
| Vitamin B12 test |
$109 |
$167 |
$146 |
$15 | |
| Wart removal |
$112 |
$173 |
$34 |
$121 | |
| X-ray of the abdomen |
$321 |
$494 |
$107 |
$36 | |
| X-ray of the ankle |
$401 |
$617 |
$89 |
$37 | |
| X-ray of the collarbone |
$292 |
$449 |
$89 |
$33 | |
| X-ray of the elbow |
$250 |
$384 |
$89 |
$33 | |
| X-ray of the facial bones |
$292 |
$449 |
$107 |
$39 | |
| X-ray of the foot |
$400 |
$412 |
$126 |
$34 | |
| X-ray of the forearm |
$292 |
$449 |
$89 |
$29 | |
| X-ray of the hand |
$316 |
$583 |
$89 |
$38 | |
| X-ray of the hip |
$196 |
$302 |
$89 |
$49 | |
| X-ray of the hip (1 view) |
$168 |
$258 |
$89 |
$34 | |
| X-ray of the hip (3 views) |
$224 |
$345 |
$89 |
$49 | |
| X-ray of the knee |
$322 |
$495 |
$107 |
$42 | |
| X-ray of the knee (2 views) |
$322 |
$495 |
$89 |
$34 | |
| X-ray of the knee (3 views) |
$311 |
$478 |
$89 |
$42 | |
| X-ray of the knee (4+ views) |
$388 |
$597 |
$107 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$502 |
$772 |
$107 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$419 |
$644 |
$107 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$585 |
$900 |
$107 |
$53 | |
| X-ray of the lower leg |
$223 |
$343 |
$89 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$419 |
$568 |
$107 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$597 |
$491 |
$107 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$419 |
$644 |
$107 |
$39 | |
| X-ray of the neck (cervical spine) |
$428 |
$574 |
$95 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$501 |
$488 |
$89 |
$40 | |
| X-ray of the pelvis |
$337 |
$519 |
$107 |
$36 | |
| X-ray of the pelvis (1 view) |
$254 |
$390 |
$107 |
$28 | |
| X-ray of the ribs |
$483 |
$743 |
$107 |
$42 | |
| X-ray of the ribs (2 views) |
$483 |
$743 |
$89 |
$36 | |
| X-ray of the ribs (3 views) |
$669 |
$1,029 |
$107 |
$42 | |
| X-ray of the shoulder |
$512 |
$435 |
$89 |
$36 | |
| X-ray of the skull |
$348 |
$535 |
$107 |
$40 | |
| X-ray of the upper arm |
$269 |
$414 |
$89 |
$32 | |
| X-ray of the wrist |
$253 |
$389 |
$89 |
$43 | |
| Zinc blood test |
$38 |
$58 |
$51 |
$11 | |