| Abdominal ultrasound |
$639 |
$652 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$717 |
$731 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$561 |
$572 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$2,644 |
$2,698 |
— |
$220 | |
| Abscess drainage (simple) |
$1,586 |
$1,619 |
— |
$129 | |
| Abscess incision and drainage |
$2,115 |
$2,158 |
— |
$174 | |
| Albumin blood test |
$7 |
$7 |
— |
$5 | |
| Aldosterone test |
$82 |
$83 |
— |
$41 | |
| Alkaline phosphatase test |
$7 |
$7 |
— |
$5 | |
| Alpha-fetoprotein (AFP) test |
$49 |
$50 |
— |
$17 | |
| ALT liver enzyme test |
$7 |
$7 |
— |
$5 | |
| Ammonia blood test |
$65 |
$67 |
— |
$15 | |
| Amylase test |
$20 |
$20 |
— |
$6 | |
| Antinuclear antibody (ANA) test |
$49 |
$50 |
— |
$12 | |
| Arterial blood gas (ABG) |
$101 |
$103 |
— |
$26 | |
| AST liver enzyme test |
$7 |
$7 |
— |
$5 | |
| Barium swallow study |
$717 |
$731 |
— |
$107 | |
| Basic metabolic panel |
$36 |
$37 |
— |
$8 | |
| Benign skin lesion removal |
$1,234 |
$1,259 |
— |
$171 | |
| Bilirubin blood test |
$20 |
$20 |
— |
$5 | |
| Bladder scope (cystoscopy) |
$1,586 |
$1,619 |
— |
$216 | |
| Blood clotting test (PT/INR) |
$26 |
$27 |
— |
$4 | |
| Blood crossmatch |
$26 |
$27 |
— |
— | |
| Blood glucose test |
$13 |
$13 |
— |
$5 | |
| Blood transfusion |
$1,414 |
$1,443 |
— |
$47 | |
| Blood type and screen |
$39 |
$40 |
— |
$10 | |
| Blood type test |
$13 |
$13 |
— |
$3 | |
| Blood type test (ABO group) |
$13 |
$13 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$13 |
$13 |
— |
$3 | |
| BNP (heart failure) test |
$98 |
$100 |
— |
$39 | |
| Bone scan (nuclear) |
$1,248 |
$1,273 |
— |
$259 | |
| Breast ultrasound |
$545 |
$556 |
— |
$92 | |
| Breast ultrasound (complete) |
$623 |
$636 |
— |
$100 | |
| Breast ultrasound (limited) |
$467 |
$477 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$62 |
$63 |
— |
$133 | |
| Burn dressing and debridement (medium) |
$1,058 |
$1,079 |
— |
$166 | |
| Burn dressing and debridement (small) |
$529 |
$540 |
— |
$93 | |
| Burn treatment |
$793 |
$809 |
— |
$129 | |
| C-reactive protein (CRP) |
$49 |
$50 |
— |
$5 | |
| CA 19-9 tumor marker test |
$108 |
$110 |
— |
$21 | |
| CA-125 ovarian marker test |
$108 |
$110 |
— |
$21 | |
| Calcium blood test |
$7 |
$7 |
— |
$5 | |
| Cardiac MRI |
$865 |
$883 |
— |
$322 | |
| Cardiac MRI without contrast |
$704 |
$719 |
— |
$280 | |
| Cardiac rehabilitation |
$123 |
$125 |
— |
$26 | |
| Cardiac stress test |
$84 |
$85 |
— |
$39 | |
| Carotid artery ultrasound |
$1,168 |
$1,192 |
— |
$156 | |
| CEA tumor marker test |
$82 |
$83 |
— |
$19 | |
| Celiac disease test |
$72 |
$73 |
— |
$12 | |
| Central line placement |
$776 |
$791 |
— |
$238 | |
| Chemotherapy infusion |
$578 |
$590 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$386 |
$393 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$771 |
$787 |
— |
$133 | |
| Chest X-ray |
$171 |
$175 |
— |
$37 | |
| Chest X-ray (1 view) |
$125 |
$127 |
— |
$25 | |
| Chest X-ray (2 views) |
$156 |
$159 |
— |
$33 | |
| CK-MB heart enzyme test |
$49 |
$50 |
— |
$12 | |
| Clotting time test (PTT) |
$26 |
$27 |
— |
$6 | |
| Complete blood count (CBC) |
$29 |
$30 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$33 |
$33 |
— |
$8 | |
| Comprehensive metabolic panel |
$49 |
$50 |
— |
$11 | |
| Copper blood test |
$82 |
$83 |
— |
$12 | |
| Coronary CT angiography |
$251 |
$256 |
— |
$326 | |
| Cortisol test |
$49 |
$50 |
— |
$16 | |
| COVID-19 PCR test |
$52 |
$53 |
— |
$51 | |
| CPAP titration study |
$295 |
$301 |
— |
$69 | |
| Creatine kinase (CK) test |
$20 |
$20 |
— |
$7 | |
| CT scan of the neck with and without contrast |
$171 |
$175 |
— |
$220 | |
| D-dimer test |
$49 |
$50 |
— |
$10 | |
| DHEA-sulfate test |
$49 |
$50 |
— |
$22 | |
| Drug screen (urine) |
$82 |
$83 |
— |
$17 | |
| Echocardiogram |
$125 |
$128 |
— |
$138 | |
| Echocardiogram without contrast |
$125 |
$128 |
— |
$138 | |
| EEG (awake and asleep) |
$927 |
$946 |
— |
$482 | |
| EKG / ECG (tracing only) |
$33 |
$34 |
— |
$7 | |
| Electrocardiogram (EKG) |
$33 |
$34 |
— |
$8 | |
| Electroencephalogram (EEG) |
$854 |
$871 |
— |
$448 | |
| Electrolyte panel |
$26 |
$27 |
— |
$7 | |
| Electromyography (EMG) |
$239 |
$244 |
— |
$141 | |
| Emergency department visit |
$238 |
$243 |
— |
$69 | |
| Emergency department visit (level 1) |
$119 |
$121 |
— |
$11 | |
| Emergency department visit (level 2) |
$119 |
$121 |
— |
$40 | |
| Emergency department visit (level 3) |
$238 |
$243 |
— |
$69 | |
| Emergency department visit (level 4) |
$476 |
$485 |
— |
$118 | |
| Emergency department visit (level 5) |
$833 |
$850 |
— |
$171 | |
| Estradiol (estrogen) test |
$49 |
$50 |
— |
$28 | |
| Family therapy session |
$245 |
$250 |
— |
$110 | |
| Fecal occult blood (stool) test |
$49 |
$50 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$16 |
$17 |
— |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$82 |
$83 |
— |
$16 | |
| Ferritin (iron) test |
$49 |
$50 |
— |
$14 | |
| Fibrinogen test |
$29 |
$30 |
— |
$10 | |
| Flu test |
$82 |
$83 |
— |
$17 | |
| Folate (folic acid) test |
$49 |
$50 |
— |
$15 | |
| Foreign body removal (skin) |
$529 |
$540 |
— |
$157 | |
| Free T4 thyroid test |
$49 |
$50 |
— |
$9 | |
| FSH hormone test |
$49 |
$50 |
— |
$19 | |
| Gallbladder scan (HIDA) |
$2,086 |
$2,129 |
— |
$334 | |
| GGT liver test |
$7 |
$7 |
— |
$7 | |
| Glucose tolerance test |
$31 |
$32 |
— |
$8 | |
| Group therapy session |
$212 |
$216 |
— |
$30 | |
| HDL cholesterol test |
$49 |
$50 |
— |
$8 | |
| Hematocrit test |
$13 |
$13 |
— |
$2 | |
| Hemoglobin A1c (diabetes test) |
$65 |
$67 |
— |
$10 | |
| Hemorrhoid removal |
$846 |
$863 |
— |
$338 | |
| Hepatitis B test |
$82 |
$83 |
— |
$10 | |
| Hepatitis C test |
$82 |
$83 |
— |
$14 | |
| HIV test |
$82 |
$83 |
— |
$19 | |
| HIV test (antibody) |
$82 |
$83 |
— |
$14 | |
| HIV test (antigen/antibody combo) |
$82 |
$83 |
— |
$24 | |
| Iron blood test |
$20 |
$20 |
— |
$6 | |
| IV infusion therapy |
$386 |
$393 |
— |
$44 | |
| IV infusion therapy (each additional) |
$257 |
$262 |
— |
$21 | |
| IV infusion therapy (initial) |
$514 |
$525 |
— |
$67 | |
| Joint aspiration (small/intermediate) |
$529 |
$540 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$529 |
$540 |
— |
$57 | |
| Kidney scan (nuclear) |
$695 |
$710 |
— |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$4,382 |
$4,472 |
— |
$760 | |
| Kidney ultrasound |
$467 |
$477 |
— |
$84 | |
| Kidney ultrasound (limited) |
$249 |
$254 |
— |
$61 | |
| Knee joint injection |
$1,058 |
$1,079 |
— |
$69 | |
| Lactate test |
$65 |
$67 |
— |
$12 | |
| LDH test |
$13 |
$13 |
— |
$6 | |
| LDL cholesterol test |
$49 |
$50 |
— |
$11 | |
| Leg vein ultrasound (Doppler) |
$1,153 |
$1,176 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$872 |
$890 |
— |
$116 | |
| LH hormone test |
$82 |
$83 |
— |
$19 | |
| Lipase test |
$26 |
$27 |
— |
$7 | |
| Lipid (cholesterol) panel |
$62 |
$63 |
— |
$13 | |
| Liver function panel |
$36 |
$37 |
— |
$8 | |
| Lung function test (PFT) |
$413 |
$421 |
— |
$37 | |
| Lung scan (V/Q) |
$1,677 |
$1,711 |
— |
$291 | |
| Magnesium blood test |
$20 |
$20 |
— |
$7 | |
| MRA of the brain |
$1,149 |
$1,173 |
— |
$226 | |
| MRA of the brain with contrast |
$1,137 |
$1,160 |
— |
$226 | |
| MRA of the brain without contrast |
$1,767 |
$1,803 |
— |
$328 | |
| MRA of the neck |
$1,223 |
$1,248 |
— |
$245 | |
| MRA of the neck with contrast |
$1,223 |
$1,248 |
— |
$245 | |
| MRA of the neck without contrast |
$1,780 |
$1,816 |
— |
$343 | |
| MRI of the abdomen |
$1,273 |
$1,299 |
— |
$300 | |
| MRI of the abdomen with contrast |
$1,273 |
$1,299 |
— |
$300 | |
| MRI of the abdomen without contrast |
$902 |
$921 |
— |
$194 | |
| MRI of the ankle |
$1,125 |
$1,148 |
— |
$261 | |
| MRI of the ankle with contrast |
$1,125 |
$1,148 |
— |
$261 | |
| MRI of the ankle without contrast |
$1,026 |
$1,047 |
— |
$222 | |
| MRI of the brain |
$803 |
$820 |
— |
$269 | |
| MRI of the brain with contrast |
$803 |
$820 |
— |
$269 | |
| MRI of the brain without contrast |
$544 |
$555 |
— |
$195 | |
| MRI of the chest |
$1,298 |
$1,324 |
— |
$371 | |
| MRI of the chest with contrast |
$1,298 |
$1,324 |
— |
$371 | |
| MRI of the chest without contrast |
$1,619 |
$1,652 |
— |
$466 | |
| MRI of the knee |
$1,038 |
$1,059 |
— |
$315 | |
| MRI of the knee with contrast |
$1,038 |
$1,059 |
— |
$315 | |
| MRI of the knee without contrast |
$581 |
$593 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$803 |
$820 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$803 |
$820 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$519 |
$530 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$816 |
$832 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$927 |
$946 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$816 |
$832 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$519 |
$530 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$816 |
$832 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$914 |
$933 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$816 |
$832 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$519 |
$530 |
— |
$191 | |
| MRI of the pelvis |
$1,125 |
$1,148 |
— |
$268 | |
| MRI of the pelvis with contrast |
$1,125 |
$1,148 |
— |
$268 | |
| MRI of the pelvis without contrast |
$1,050 |
$1,072 |
— |
$227 | |
| MRI of the shoulder |
$1,026 |
$1,047 |
— |
$313 | |
| MRI of the shoulder with contrast |
$1,026 |
$1,047 |
— |
$313 | |
| MRI of the shoulder without contrast |
$581 |
$593 |
— |
$205 | |
| MRI of the wrist |
$1,112 |
$1,135 |
— |
$330 | |
| MRI of the wrist with contrast |
$1,112 |
$1,135 |
— |
$330 | |
| MRI of the wrist without contrast |
$1,038 |
$1,059 |
— |
$303 | |
| Nebulizer breathing treatment |
$640 |
$653 |
— |
$9 | |
| Nerve conduction study |
$147 |
$150 |
— |
$118 | |
| Nuclear cardiac stress test |
$2,352 |
$2,400 |
— |
$428 | |
| Occupational therapy evaluation |
$302 |
$309 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$302 |
$309 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$302 |
$309 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$302 |
$309 |
— |
$101 | |
| Office visit (established patient) |
$193 |
$197 |
— |
$115 | |
| Office visit (new patient) |
$214 |
$219 |
— |
$177 | |
| Office visit, established patient (level 3) |
$171 |
$175 |
— |
$95 | |
| Office visit, established patient (level 4) |
$214 |
$219 |
— |
$136 | |
| Office visit, new patient (level 3) |
$171 |
$175 |
— |
$118 | |
| Office visit, new patient (level 4) |
$214 |
$219 |
— |
$177 | |
| Office visit, new patient (level 5) |
$257 |
$262 |
— |
$237 | |
| Pap smear (cervical screening) |
$131 |
$133 |
— |
$20 | |
| Parathyroid hormone (PTH) test |
$49 |
$50 |
— |
$41 | |
| Pelvic ultrasound |
$436 |
$445 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$654 |
$668 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$218 |
$223 |
— |
$51 | |
| PET scan |
$9,510 |
$9,705 |
— |
— | |
| Phosphorus blood test |
$7 |
$7 |
— |
$5 | |
| Physical therapy evaluation |
$497 |
$507 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$497 |
$507 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$497 |
$507 |
— |
$98 | |
| Platelet count |
$13 |
$13 |
— |
$4 | |
| Pregnancy blood test (hCG) |
$33 |
$33 |
— |
$8 | |
| Pregnancy ultrasound |
$732 |
$747 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$654 |
$668 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$810 |
$827 |
— |
$136 | |
| Procalcitonin test |
$490 |
$500 |
— |
$27 | |
| Prolactin test |
$65 |
$67 |
— |
$19 | |
| Prostate test (PSA) |
$65 |
$67 |
— |
$18 | |
| Psychiatric evaluation |
$294 |
$300 |
— |
$188 | |
| Psychotherapy session |
$306 |
$313 |
— |
$140 | |
| Rheumatoid factor test |
$26 |
$27 |
— |
$6 | |
| Scoliosis spine X-ray |
$312 |
$318 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$218 |
$223 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$405 |
$413 |
— |
$72 | |
| Scrotal ultrasound |
$312 |
$318 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$18 |
$18 |
— |
$3 | |
| Semen analysis |
$60 |
$62 |
— |
$12 | |
| Sex hormone binding globulin test |
$82 |
$83 |
— |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$1,058 |
$1,079 |
— |
$114 | |
| Simple wound stitches |
$1,058 |
$1,079 |
— |
$127 | |
| Skin biopsy |
$1,058 |
$1,079 |
— |
$121 | |
| Skin biopsy (punch) |
$1,058 |
$1,079 |
— |
$121 | |
| Skin cancer lesion removal |
$1,939 |
$1,978 |
— |
$240 | |
| Soft tissue ultrasound |
$93 |
$95 |
— |
$64 | |
| Speech therapy |
$182 |
$186 |
— |
$76 | |
| Spirometry (lung function test) |
$333 |
$340 |
— |
$30 | |
| Spirometry with bronchodilator |
$492 |
$502 |
— |
$43 | |
| Strep throat test |
$82 |
$83 |
— |
$17 | |
| Swallow study |
$243 |
$248 |
— |
$85 | |
| T3 thyroid test |
$49 |
$50 |
— |
$14 | |
| Testosterone test |
$49 |
$50 |
— |
$26 | |
| Thyroid test (TSH) |
$49 |
$50 |
— |
$17 | |
| Thyroid ultrasound |
$779 |
$795 |
— |
$109 | |
| Thyroid uptake scan |
$859 |
$877 |
— |
$145 | |
| Total IgE allergy test |
$49 |
$50 |
— |
$16 | |
| Total protein test |
$7 |
$7 |
— |
$4 | |
| Transesophageal echocardiogram (TEE) |
$167 |
$170 |
— |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$167 |
$170 |
— |
$239 | |
| Transvaginal ultrasound |
$779 |
$795 |
— |
$118 | |
| Triglycerides test |
$7 |
$7 |
— |
$6 | |
| Troponin (heart) test |
$82 |
$83 |
— |
$12 | |
| Upper GI series (barium) |
$748 |
$763 |
— |
$128 | |
| Uric acid (gout) test |
$7 |
$7 |
— |
$5 | |
| Urinalysis |
$21 |
$22 |
— |
$3 | |
| Urine microalbumin test |
$41 |
$42 |
— |
$5 | |
| Urine pregnancy test |
$33 |
$33 |
— |
$9 | |
| Vitamin B12 test |
$49 |
$50 |
— |
$15 | |
| Vitamin D test |
$49 |
$50 |
— |
$30 | |
| Wound debridement |
$1,974 |
$2,014 |
— |
$186 | |
| X-ray of the abdomen |
$218 |
$223 |
— |
$36 | |
| X-ray of the ankle |
$187 |
$191 |
— |
$37 | |
| X-ray of the collarbone |
$156 |
$159 |
— |
$33 | |
| X-ray of the elbow |
$187 |
$191 |
— |
$33 | |
| X-ray of the facial bones |
$203 |
$207 |
— |
$39 | |
| X-ray of the foot |
$187 |
$191 |
— |
$34 | |
| X-ray of the forearm |
$156 |
$159 |
— |
$29 | |
| X-ray of the hand |
$187 |
$191 |
— |
$38 | |
| X-ray of the hip |
$249 |
$254 |
— |
$49 | |
| X-ray of the hip (1 view) |
$187 |
$191 |
— |
$34 | |
| X-ray of the hip (3 views) |
$249 |
$254 |
— |
$49 | |
| X-ray of the hip (4 views) |
$312 |
$318 |
— |
$63 | |
| X-ray of the knee |
$218 |
$223 |
— |
$42 | |
| X-ray of the knee (2 views) |
$187 |
$191 |
— |
$34 | |
| X-ray of the knee (3 views) |
$218 |
$223 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$249 |
$254 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$249 |
$254 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$218 |
$223 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$280 |
$286 |
— |
$53 | |
| X-ray of the lower leg |
$187 |
$191 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$203 |
$207 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$187 |
$191 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$218 |
$223 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$218 |
$223 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$187 |
$191 |
— |
$40 | |
| X-ray of the pelvis |
$218 |
$223 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$187 |
$191 |
— |
$28 | |
| X-ray of the ribs |
$187 |
$191 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$187 |
$191 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$187 |
$191 |
— |
$42 | |
| X-ray of the shoulder |
$156 |
$159 |
— |
$36 | |
| X-ray of the skull |
$234 |
$238 |
— |
$40 | |
| X-ray of the upper arm |
$187 |
$191 |
— |
$32 | |
| X-ray of the wrist |
$218 |
$223 |
— |
$43 | |
| Zinc blood test |
$82 |
$83 |
— |
$11 | |