| Abdominal fluid drain (paracentesis) |
$4,131 |
$4,131 |
$2,479 |
$284 | |
| Abdominal ultrasound |
$2,983 |
$2,983 |
$998 |
$100 | |
| Abdominal ultrasound (complete) |
$2,983 |
$2,983 |
$998 |
$114 | |
| Abdominal ultrasound (limited) |
$2,983 |
$2,983 |
$998 |
$86 | |
| Abscess drainage (complex or multiple) |
$567 |
$567 |
$276 |
$220 | |
| Abscess drainage (simple) |
$567 |
$567 |
$259 |
$129 | |
| Abscess incision and drainage |
$567 |
$567 |
$268 |
$174 | |
| Albumin blood test |
$62 |
$62 |
$81 |
$5 | |
| Aldosterone test |
$1,053 |
$1,053 |
$443 |
$41 | |
| Alkaline phosphatase test |
$46 |
$46 |
$34 |
$5 | |
| Ammonia blood test |
$278 |
$278 |
$117 |
$15 | |
| Amniocentesis |
$3,197 |
$3,197 |
$1,918 |
$120 | |
| Antinuclear antibody (ANA) test |
$487 |
$487 |
$205 |
$12 | |
| Arterial blood gas (ABG) |
$415 |
$415 |
$174 |
$26 | |
| Barium swallow study |
$1,797 |
$1,797 |
$754 |
$107 | |
| Basic metabolic panel |
$343 |
$343 |
$144 |
$8 | |
| Bilirubin blood test |
$70 |
$70 |
$35 |
$5 | |
| Blood clotting test (PT/INR) |
$363 |
$363 |
$153 |
$4 | |
| Blood crossmatch |
$660 |
$660 |
$277 |
— | |
| Blood transfusion |
$2,987 |
$2,987 |
$1,584 |
$47 | |
| Blood type and screen |
$591 |
$591 |
$237 |
$10 | |
| Blood type test (ABO group) |
$676 |
$676 |
$266 |
$3 | |
| BNP (heart failure) test |
$723 |
$723 |
$297 |
$39 | |
| Bone density scan (DEXA) |
$751 |
$751 |
$316 |
$39 | |
| Bone marrow biopsy |
$1,281 |
$1,281 |
$990 |
$172 | |
| Bone scan (nuclear) |
$4,393 |
$4,393 |
$1,846 |
$259 | |
| Breast ultrasound |
$1,783 |
$1,783 |
$682 |
$92 | |
| Breast ultrasound (complete) |
$2,038 |
$2,038 |
$768 |
$100 | |
| Breast ultrasound (limited) |
$1,529 |
$1,529 |
$576 |
$84 | |
| Breathing tube insertion (intubation) |
$567 |
$567 |
$259 |
$133 | |
| Bronchoscopy |
$5,155 |
$5,155 |
$2,508 |
$303 | |
| Burn dressing and debridement (medium) |
$524 |
$524 |
$239 |
$166 | |
| Burn dressing and debridement (small) |
$524 |
$524 |
$239 |
$93 | |
| Burn treatment |
$524 |
$524 |
$239 |
$129 | |
| C-reactive protein (CRP) |
$494 |
$494 |
$208 |
$5 | |
| CA 19-9 tumor marker test |
$207 |
$207 |
$87 |
$21 | |
| CA-125 ovarian marker test |
$718 |
$718 |
$302 |
$21 | |
| Capsule endoscopy |
$17,779 |
$17,779 |
$7,473 |
$802 | |
| Cardiac ablation |
$58,374 |
$58,374 |
$21,456 |
$759 | |
| Cardiac catheterization |
$16,046 |
$16,046 |
$6,744 |
$1,049 | |
| Cardiac MRI |
$8,752 |
$8,752 |
$3,043 |
$322 | |
| Cardiac MRI without contrast |
$7,187 |
$7,187 |
$2,708 |
$280 | |
| Cardiac rehabilitation |
$562 |
$562 |
$236 |
$26 | |
| Cardiac stress test |
$2,787 |
$2,787 |
$1,171 |
$39 | |
| Cardioversion |
$5,910 |
$5,910 |
$2,698 |
$155 | |
| Carotid artery ultrasound |
$5,315 |
$5,315 |
$2,056 |
$156 | |
| CEA tumor marker test |
$758 |
$758 |
$319 |
$19 | |
| Celiac disease test |
$85 |
$85 |
$73 |
$12 | |
| Central line placement |
$3,300 |
$3,300 |
$1,980 |
$238 | |
| Chemotherapy infusion |
$1,655 |
$1,655 |
$580 |
$81 | |
| Chemotherapy infusion (each additional) |
$1,080 |
$1,080 |
$493 |
$28 | |
| Chemotherapy infusion (first hour) |
$2,231 |
$2,231 |
$938 |
$133 | |
| Chest fluid drain (thoracentesis) |
$4,319 |
$4,319 |
$2,477 |
$311 | |
| Chest tube insertion |
$6,130 |
$6,130 |
$3,065 |
$143 | |
| Chest X-ray |
$1,355 |
$1,355 |
$498 |
$37 | |
| Chest X-ray (1 view) |
$773 |
$773 |
$325 |
$25 | |
| Chest X-ray (2 views) |
$1,315 |
$1,315 |
$553 |
$33 | |
| CK-MB heart enzyme test |
$40 |
$40 |
$29 |
$12 | |
| Clotting time test (PTT) |
$512 |
$512 |
$215 |
$6 | |
| Complete blood count (CBC) |
$353 |
$353 |
$155 |
$7 | |
| Complete blood count (CBC) (complete) |
$353 |
$353 |
$164 |
$8 | |
| Comprehensive metabolic panel |
$480 |
$480 |
$166 |
$11 | |
| Copper blood test |
$431 |
$431 |
$188 |
$12 | |
| Coronary CT angiography |
$10,298 |
$10,298 |
$3,446 |
$326 | |
| Cortisol test |
$70 |
$70 |
$128 |
$16 | |
| COVID-19 PCR test |
$219 |
$219 |
$100 |
$51 | |
| Creatine kinase (CK) test |
$46 |
$46 |
$22 |
$7 | |
| CT angiography of the chest |
$9,407 |
$9,407 |
$3,148 |
$281 | |
| CT angiography of the head |
$12,569 |
$12,569 |
$4,206 |
$274 | |
| CT scan of the abdomen |
$6,245 |
$6,245 |
$1,816 |
$230 | |
| CT scan of the abdomen and pelvis |
$7,445 |
$7,445 |
$2,202 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$8,936 |
$8,936 |
$2,990 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$7,445 |
$7,445 |
$2,491 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$4,403 |
$4,403 |
$1,659 |
$183 | |
| CT scan of the abdomen with and without contrast |
$7,466 |
$7,466 |
$2,498 |
$259 | |
| CT scan of the abdomen with contrast |
$6,245 |
$6,245 |
$2,089 |
$230 | |
| CT scan of the abdomen without contrast |
$3,633 |
$3,633 |
$1,377 |
$136 | |
| CT scan of the arm |
$6,054 |
$6,054 |
$2,356 |
$199 | |
| CT scan of the arm with contrast |
$6,054 |
$6,054 |
$2,545 |
$199 | |
| CT scan of the arm without contrast |
$4,843 |
$4,843 |
$1,756 |
$161 | |
| CT scan of the chest |
$6,114 |
$6,114 |
$2,117 |
$167 | |
| CT scan of the chest with and without contrast |
$7,606 |
$7,606 |
$2,545 |
$196 | |
| CT scan of the chest with contrast |
$6,114 |
$6,114 |
$2,046 |
$167 | |
| CT scan of the chest without contrast |
$4,864 |
$4,864 |
$1,759 |
$133 | |
| CT scan of the head |
$4,753 |
$4,753 |
$1,704 |
$148 | |
| CT scan of the head with and without contrast |
$4,753 |
$4,753 |
$1,740 |
$173 | |
| CT scan of the head with contrast |
$4,904 |
$4,904 |
$1,766 |
$148 | |
| CT scan of the head without contrast |
$3,753 |
$3,753 |
$1,414 |
$107 | |
| CT scan of the leg |
$6,164 |
$6,164 |
$2,366 |
$166 | |
| CT scan of the leg with contrast |
$6,164 |
$6,164 |
$2,591 |
$166 | |
| CT scan of the leg without contrast |
$4,864 |
$4,864 |
$1,759 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$6,273 |
$6,273 |
$2,424 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$7,626 |
$7,626 |
$3,205 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$6,273 |
$6,273 |
$2,636 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$4,874 |
$4,874 |
$1,761 |
$130 | |
| CT scan of the neck |
$6,074 |
$6,074 |
$2,102 |
$183 | |
| CT scan of the neck (cervical spine) |
$6,263 |
$6,263 |
$2,370 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$7,762 |
$7,762 |
$3,262 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$6,263 |
$6,263 |
$2,095 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$4,934 |
$4,934 |
$1,772 |
$131 | |
| CT scan of the neck with and without contrast |
$7,545 |
$7,545 |
$2,525 |
$220 | |
| CT scan of the neck with contrast |
$6,074 |
$6,074 |
$2,033 |
$183 | |
| CT scan of the neck without contrast |
$4,843 |
$4,843 |
$1,756 |
$150 | |
| CT scan of the pelvis |
$6,265 |
$6,265 |
$1,841 |
$226 | |
| CT scan of the pelvis with and without contrast |
$7,476 |
$7,476 |
$2,502 |
$251 | |
| CT scan of the pelvis with contrast |
$6,265 |
$6,265 |
$2,096 |
$226 | |
| CT scan of the pelvis without contrast |
$3,683 |
$3,683 |
$1,388 |
$133 | |
| CT scan of the sinuses |
$6,405 |
$6,405 |
$2,232 |
$152 | |
| CT scan of the sinuses with and without contrast |
$8,068 |
$8,068 |
$2,700 |
$184 | |
| CT scan of the sinuses with contrast |
$6,405 |
$6,405 |
$2,143 |
$152 | |
| CT scan of the sinuses without contrast |
$5,224 |
$5,224 |
$1,823 |
$128 | |
| D-dimer test |
$816 |
$816 |
$343 |
$10 | |
| Defibrillator (ICD) implant |
$50,476 |
$50,476 |
$19,020 |
$798 | |
| DHEA-sulfate test |
$577 |
$577 |
$243 |
$22 | |
| Drug screen (urine) |
$1,034 |
$1,034 |
$96 |
$17 | |
| Ear pressure test (tympanometry) |
$320 |
$320 |
$134 |
$16 | |
| Echocardiogram |
$3,779 |
$3,779 |
$1,155 |
$138 | |
| Echocardiogram with and without contrast |
$1,380 |
$1,380 |
$690 |
$101 | |
| EEG (awake and asleep) |
$1,265 |
$1,265 |
$392 |
$482 | |
| EKG / ECG (tracing only) |
$251 |
$251 |
$156 |
$7 | |
| Electrocardiogram (EKG) |
$251 |
$251 |
$156 |
$8 | |
| Electroencephalogram (EEG) |
$1,194 |
$1,194 |
$388 |
$448 | |
| Electrolyte panel |
$353 |
$353 |
$148 |
$7 | |
| Emergency department visit |
$1,463 |
$1,463 |
$664 |
$69 | |
| Emergency department visit (level 1) |
$359 |
$359 |
$253 |
$11 | |
| Emergency department visit (level 2) |
$772 |
$772 |
$437 |
$40 | |
| Emergency department visit (level 3) |
$1,463 |
$1,463 |
$733 |
$69 | |
| Emergency department visit (level 4) |
$2,545 |
$2,545 |
$1,119 |
$118 | |
| Emergency department visit (level 5) |
$6,180 |
$6,180 |
$1,821 |
$171 | |
| Epidural steroid injection |
$3,877 |
$3,877 |
$2,326 |
$275 | |
| ERCP (bile duct endoscopy) |
$6,843 |
$6,843 |
$3,329 |
$311 | |
| Esophageal dilation |
$3,069 |
$3,069 |
$1,493 |
$522 | |
| Estradiol (estrogen) test |
$758 |
$758 |
$319 |
$28 | |
| Family therapy session |
$104 |
$104 |
$48 |
$110 | |
| Ferritin (iron) test |
$582 |
$582 |
$245 |
$14 | |
| Fibrinogen test |
$708 |
$708 |
$298 |
$10 | |
| Folate (folic acid) test |
$70 |
$70 |
$35 |
$15 | |
| Foreign body removal (skin) |
$976 |
$976 |
$446 |
$157 | |
| Free T4 thyroid test |
$572 |
$572 |
$240 |
$9 | |
| FSH hormone test |
$620 |
$620 |
$216 |
$19 | |
| Gallbladder scan (HIDA) |
$8,363 |
$8,363 |
$3,376 |
$334 | |
| GGT liver test |
$242 |
$242 |
$102 |
$7 | |
| Glucose tolerance test |
$467 |
$467 |
$196 |
$8 | |
| Group therapy session |
$418 |
$418 |
$74 |
$30 | |
| HDL cholesterol test |
$400 |
$400 |
$168 |
$8 | |
| Hearing test (audiometry) |
$970 |
$970 |
$408 |
$36 | |
| Hematocrit test |
$156 |
$156 |
$66 |
$2 | |
| Hemodialysis |
$5,594 |
$5,594 |
$2,255 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$277 |
$277 |
$87 |
$10 | |
| Hepatitis C test |
$653 |
$653 |
$122 |
$14 | |
| HIV test |
$398 |
$398 |
$109 |
$19 | |
| HIV test (antibody) |
$199 |
$199 |
$84 |
$14 | |
| HIV test (antigen/antibody combo) |
$598 |
$598 |
$251 |
$24 | |
| Holter heart monitor |
$172 |
$172 |
$67 |
$26 | |
| IV infusion therapy |
$1,615 |
$1,615 |
$576 |
$44 | |
| IV infusion therapy (each additional) |
$1,080 |
$1,080 |
$454 |
$21 | |
| IV infusion therapy (initial) |
$2,150 |
$2,150 |
$904 |
$67 | |
| IVC filter placement |
$7,967 |
$7,967 |
$3,983 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$1,289 |
$1,289 |
$772 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$1,313 |
$1,313 |
$788 |
$57 | |
| Joint aspiration or injection (small joint) |
$1,264 |
$1,264 |
$759 |
$56 | |
| Kidney biopsy |
$4,950 |
$4,950 |
$2,722 |
$492 | |
| Kidney scan (nuclear) |
$2,397 |
$2,397 |
$1,008 |
$172 | |
| Kidney ultrasound |
$2,888 |
$2,888 |
$1,083 |
$84 | |
| Kidney ultrasound (limited) |
$2,283 |
$2,283 |
$837 |
$61 | |
| Knee joint injection |
$1,797 |
$1,797 |
$899 |
$69 | |
| Lactate test |
$423 |
$423 |
$113 |
$12 | |
| Laryngoscopy |
$194 |
$194 |
$95 |
$189 | |
| LDH test |
$258 |
$258 |
$81 |
$6 | |
| Leg artery angiogram |
$2,784 |
$2,784 |
$1,204 |
$149 | |
| Leg artery angioplasty |
$16,670 |
$16,670 |
$7,091 |
— | |
| Leg vein ultrasound (Doppler) |
$5,233 |
$5,233 |
$1,773 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$4,128 |
$4,128 |
$1,457 |
$116 | |
| LH hormone test |
$572 |
$572 |
$212 |
$19 | |
| Lipase test |
$278 |
$278 |
$124 |
$7 | |
| Lipid (cholesterol) panel |
$83 |
$83 |
$56 |
$13 | |
| Liver biopsy |
$3,434 |
$3,434 |
$2,060 |
$288 | |
| Liver function panel |
$480 |
$480 |
$154 |
$8 | |
| Lung function test (PFT) |
$1,425 |
$1,425 |
$559 |
$37 | |
| Lung scan (V/Q) |
$6,790 |
$6,790 |
$2,854 |
$291 | |
| Magnesium blood test |
$258 |
$258 |
$121 |
$7 | |
| MRA of the brain |
$11,411 |
$11,411 |
$4,009 |
$226 | |
| MRA of the brain with contrast |
$11,302 |
$11,302 |
$3,781 |
$226 | |
| MRA of the brain without contrast |
$17,286 |
$17,286 |
$5,412 |
$328 | |
| MRA of the neck |
$12,207 |
$12,207 |
$4,645 |
$245 | |
| MRA of the neck with contrast |
$12,207 |
$12,207 |
$5,130 |
$245 | |
| MRA of the neck without contrast |
$17,296 |
$17,296 |
$5,415 |
$343 | |
| MRI of the abdomen |
$12,415 |
$12,415 |
$3,957 |
$300 | |
| MRI of the abdomen with contrast |
$12,415 |
$12,415 |
$3,957 |
$300 | |
| MRI of the abdomen without contrast |
$8,708 |
$8,708 |
$2,980 |
$194 | |
| MRI of the ankle |
$10,895 |
$10,895 |
$3,917 |
$261 | |
| MRI of the ankle with contrast |
$10,895 |
$10,895 |
$3,645 |
$261 | |
| MRI of the ankle without contrast |
$10,079 |
$10,079 |
$3,373 |
$222 | |
| MRI of the brain |
$11,193 |
$11,193 |
$3,687 |
$269 | |
| MRI of the brain with contrast |
$11,193 |
$11,193 |
$3,745 |
$269 | |
| MRI of the brain without contrast |
$8,107 |
$8,107 |
$2,874 |
$195 | |
| MRI of the chest |
$12,813 |
$12,813 |
$4,093 |
$371 | |
| MRI of the chest with contrast |
$12,813 |
$12,813 |
$4,020 |
$371 | |
| MRI of the chest without contrast |
$15,706 |
$15,706 |
$4,917 |
$466 | |
| MRI of the knee |
$10,407 |
$10,407 |
$3,754 |
$315 | |
| MRI of the knee with contrast |
$10,407 |
$10,407 |
$3,482 |
$315 | |
| MRI of the knee without contrast |
$9,801 |
$9,801 |
$3,279 |
$204 | |
| MRI of the lower back (lumbar spine) |
$11,073 |
$11,073 |
$3,672 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$11,073 |
$11,073 |
$3,705 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$8,658 |
$8,658 |
$2,972 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$9,702 |
$9,702 |
$3,453 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$11,352 |
$11,352 |
$3,789 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$9,702 |
$9,702 |
$3,246 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$8,688 |
$8,688 |
$2,977 |
$190 | |
| MRI of the neck (cervical spine) |
$11,233 |
$11,233 |
$3,706 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$12,455 |
$12,455 |
$3,964 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$11,233 |
$11,233 |
$3,758 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$8,668 |
$8,668 |
$2,973 |
$191 | |
| MRI of the pelvis |
$11,054 |
$11,054 |
$3,945 |
$268 | |
| MRI of the pelvis with contrast |
$11,054 |
$11,054 |
$3,699 |
$268 | |
| MRI of the pelvis without contrast |
$10,070 |
$10,070 |
$3,369 |
$227 | |
| MRI of the shoulder |
$10,089 |
$10,089 |
$3,692 |
$313 | |
| MRI of the shoulder with contrast |
$10,089 |
$10,089 |
$3,376 |
$313 | |
| MRI of the shoulder without contrast |
$9,543 |
$9,543 |
$3,193 |
$205 | |
| MRI of the wrist |
$10,765 |
$10,765 |
$3,895 |
$330 | |
| MRI of the wrist with contrast |
$10,765 |
$10,765 |
$3,602 |
$330 | |
| MRI of the wrist without contrast |
$10,348 |
$10,348 |
$3,462 |
$303 | |
| Nebulizer breathing treatment |
$253 |
$253 |
$106 |
$9 | |
| Nuclear cardiac stress test |
$8,527 |
$8,527 |
$3,584 |
$428 | |
| Occupational therapy evaluation |
$894 |
$894 |
$326 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$1,193 |
$1,193 |
$501 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$596 |
$596 |
$251 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$894 |
$894 |
$376 |
$101 | |
| Office visit (established patient) |
$815 |
$815 |
$326 |
$115 | |
| Office visit (new patient) |
$1,330 |
$1,330 |
$532 |
$177 | |
| Office visit, established patient (level 3) |
$653 |
$653 |
$287 |
$95 | |
| Office visit, established patient (level 4) |
$978 |
$978 |
$430 |
$136 | |
| Office visit, new patient (level 3) |
$1,020 |
$1,020 |
$449 |
$118 | |
| Office visit, new patient (level 4) |
$1,330 |
$1,330 |
$585 |
$177 | |
| Office visit, new patient (level 5) |
$1,587 |
$1,587 |
$698 |
$237 | |
| Pap smear (cervical screening) |
$354 |
$354 |
$149 |
$20 | |
| Parathyroid hormone (PTH) test |
$416 |
$416 |
$196 |
$41 | |
| Pelvic ultrasound |
$2,953 |
$2,953 |
$988 |
$78 | |
| Pelvic ultrasound (complete) |
$2,953 |
$2,953 |
$988 |
$105 | |
| Pelvic ultrasound (limited) |
$2,953 |
$2,953 |
$988 |
$51 | |
| PET scan |
$15,564 |
$15,564 |
$6,540 |
— | |
| Phosphorus blood test |
$258 |
$258 |
$108 |
$5 | |
| Physical therapy evaluation |
$845 |
$845 |
$325 |
$98 | |
| Physical therapy evaluation (high complexity) |
$1,280 |
$1,280 |
$538 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$845 |
$845 |
$355 |
$98 | |
| Pregnancy blood test (hCG) |
$362 |
$362 |
$108 |
$8 | |
| Pregnancy ultrasound |
$3,399 |
$3,399 |
$1,473 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$3,720 |
$3,720 |
$1,563 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$3,078 |
$3,078 |
$1,294 |
$136 | |
| Procalcitonin test |
$822 |
$822 |
$346 |
$27 | |
| Prolactin test |
$675 |
$675 |
$313 |
$19 | |
| Psychotherapy session |
$499 |
$499 |
$228 |
$140 | |
| Rheumatoid factor test |
$437 |
$437 |
$184 |
$6 | |
| Sacroiliac joint injection |
$2,922 |
$2,922 |
$1,753 |
$176 | |
| Scoliosis spine X-ray |
$1,272 |
$1,272 |
$531 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$1,163 |
$1,163 |
$489 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$1,381 |
$1,381 |
$580 |
$72 | |
| Scrotal ultrasound |
$3,391 |
$3,391 |
$1,072 |
$99 | |
| Sedimentation rate (ESR) test |
$365 |
$365 |
$153 |
$3 | |
| Sex hormone binding globulin test |
$306 |
$306 |
$140 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$297 |
$297 |
$136 |
$114 | |
| Simple wound stitches |
$297 |
$297 |
$136 |
$127 | |
| Skin biopsy |
$1,577 |
$1,577 |
$767 |
$121 | |
| Skin biopsy (punch) |
$1,577 |
$1,577 |
$767 |
$121 | |
| Sleep study (polysomnography) |
$11,170 |
$11,170 |
$4,678 |
$691 | |
| Soft tissue ultrasound |
$1,301 |
$1,301 |
$490 |
$64 | |
| Speech therapy |
$673 |
$673 |
$283 |
$76 | |
| Spinal tap (lumbar puncture) |
$5,034 |
$5,034 |
$2,517 |
$165 | |
| Spirometry (lung function test) |
$1,257 |
$1,257 |
$528 |
$30 | |
| Spirometry with bronchodilator |
$1,592 |
$1,592 |
$669 |
$43 | |
| Stress echocardiogram |
$2,767 |
$2,767 |
$1,382 |
$209 | |
| Swallow study |
$617 |
$617 |
$259 |
$85 | |
| T3 thyroid test |
$469 |
$469 |
$197 |
$14 | |
| Testosterone test |
$306 |
$306 |
$170 |
$26 | |
| Thyroid test (TSH) |
$500 |
$500 |
$210 |
$17 | |
| Thyroid ultrasound |
$3,501 |
$3,501 |
$1,171 |
$109 | |
| Thyroid uptake scan |
$4,406 |
$4,406 |
$1,852 |
$145 | |
| Total IgE allergy test |
$675 |
$675 |
$284 |
$16 | |
| Total protein test |
$46 |
$46 |
$38 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$2,303 |
$2,303 |
$990 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$3,227 |
$3,227 |
$1,562 |
$239 | |
| Transvaginal ultrasound |
$2,670 |
$2,670 |
$906 |
$118 | |
| Trigger point injection |
$1,194 |
$1,194 |
$581 |
$56 | |
| Trigger point injection (1-2 muscles) |
$1,194 |
$1,194 |
$581 |
$52 | |
| Triglycerides test |
$258 |
$258 |
$109 |
$6 | |
| Troponin (heart) test |
$677 |
$677 |
$285 |
$12 | |
| Upper GI series (barium) |
$3,258 |
$3,258 |
$1,411 |
$128 | |
| Uric acid (gout) test |
$70 |
$70 |
$32 |
$5 | |
| Urinalysis |
$143 |
$143 |
$32 |
$3 | |
| Urine microalbumin test |
$315 |
$315 |
$68 |
$5 | |
| Vaccine administration |
$60 |
$60 |
$28 |
$19 | |
| Vaccine administration (each additional) |
$57 |
$57 |
$27 |
$16 | |
| Varicose vein ablation |
$9,925 |
$9,925 |
$4,698 |
$1,018 | |
| Vitamin B12 test |
$457 |
$457 |
$192 |
$15 | |
| Vitamin D test |
$701 |
$701 |
$88 |
$30 | |
| X-ray of the abdomen |
$1,470 |
$1,470 |
$546 |
$36 | |
| X-ray of the ankle |
$1,373 |
$1,373 |
$577 |
$37 | |
| X-ray of the collarbone |
$1,141 |
$1,141 |
$480 |
$33 | |
| X-ray of the elbow |
$1,354 |
$1,354 |
$569 |
$33 | |
| X-ray of the facial bones |
$1,346 |
$1,346 |
$524 |
$39 | |
| X-ray of the foot |
$1,276 |
$1,276 |
$536 |
$34 | |
| X-ray of the forearm |
$1,083 |
$1,083 |
$455 |
$29 | |
| X-ray of the hand |
$1,315 |
$1,315 |
$553 |
$38 | |
| X-ray of the hip |
$1,113 |
$1,113 |
$489 |
$49 | |
| X-ray of the hip (1 view) |
$986 |
$986 |
$414 |
$34 | |
| X-ray of the hip (3 views) |
$1,547 |
$1,547 |
$650 |
$49 | |
| X-ray of the hip (4 views) |
$1,113 |
$1,113 |
$468 |
$63 | |
| X-ray of the knee |
$1,528 |
$1,528 |
$599 |
$42 | |
| X-ray of the knee (2 views) |
$1,199 |
$1,199 |
$504 |
$34 | |
| X-ray of the knee (3 views) |
$1,528 |
$1,528 |
$642 |
$42 | |
| X-ray of the knee (4+ views) |
$1,760 |
$1,760 |
$740 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$1,914 |
$1,914 |
$774 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$1,644 |
$1,644 |
$691 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$2,185 |
$2,185 |
$918 |
$53 | |
| X-ray of the lower leg |
$1,044 |
$1,044 |
$439 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$1,325 |
$1,325 |
$555 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$1,218 |
$1,218 |
$512 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$1,431 |
$1,431 |
$601 |
$39 | |
| X-ray of the neck (cervical spine) |
$1,789 |
$1,789 |
$724 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$1,547 |
$1,547 |
$650 |
$40 | |
| X-ray of the pelvis |
$1,354 |
$1,354 |
$483 |
$36 | |
| X-ray of the pelvis (1 view) |
$967 |
$967 |
$406 |
$28 | |
| X-ray of the ribs |
$1,431 |
$1,431 |
$561 |
$42 | |
| X-ray of the ribs (2 views) |
$1,160 |
$1,160 |
$488 |
$36 | |
| X-ray of the ribs (3 views) |
$1,431 |
$1,431 |
$601 |
$42 | |
| X-ray of the shoulder |
$1,160 |
$1,160 |
$488 |
$36 | |
| X-ray of the skull |
$1,992 |
$1,992 |
$687 |
$40 | |
| X-ray of the upper arm |
$1,122 |
$1,122 |
$471 |
$32 | |
| X-ray of the wrist |
$1,586 |
$1,586 |
$666 |
$43 | |
| Zinc blood test |
$474 |
$474 |
$199 |
$11 | |