| 3D mammogram (tomosynthesis) |
$208 |
$277 |
— |
$51 | |
| Abdominal ultrasound |
$2,291 |
$3,055 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$2,633 |
$3,510 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$1,949 |
$2,599 |
— |
$86 | |
| Albumin blood test |
$138 |
$184 |
— |
$5 | |
| Aldosterone test |
$852 |
$1,136 |
— |
$41 | |
| Alkaline phosphatase test |
$252 |
$336 |
— |
$5 | |
| Alpha-fetoprotein (AFP) test |
$432 |
$576 |
— |
$17 | |
| ALT liver enzyme test |
$210 |
$280 |
— |
$5 | |
| Ammonia blood test |
$369 |
$492 |
— |
$15 | |
| Amylase test |
$393 |
$525 |
— |
$6 | |
| Antinuclear antibody (ANA) test |
$252 |
$336 |
— |
$12 | |
| Arterial blood gas (ABG) |
$512 |
$682 |
— |
$26 | |
| AST liver enzyme test |
$210 |
$281 |
— |
$5 | |
| Barium swallow study |
$1,371 |
$1,828 |
— |
$107 | |
| Basic metabolic panel |
$687 |
$916 |
— |
$8 | |
| Bilirubin blood test |
$324 |
$432 |
— |
$5 | |
| Blood clotting test (PT/INR) |
$220 |
$293 |
— |
$4 | |
| Blood crossmatch |
$327 |
$436 |
— |
— | |
| Blood glucose test |
$118 |
$157 |
— |
$5 | |
| Blood transfusion |
$1,733 |
$2,310 |
— |
$47 | |
| Blood type and screen |
$342 |
$456 |
— |
$10 | |
| Blood type test |
$191 |
$255 |
— |
$3 | |
| Blood type test (ABO group) |
$191 |
$255 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$191 |
$255 |
— |
$3 | |
| BNP (heart failure) test |
$566 |
$754 |
— |
$39 | |
| Bone density scan (DEXA) |
$966 |
$1,288 |
— |
$39 | |
| Bone scan (nuclear) |
$4,371 |
$5,828 |
— |
$259 | |
| Breast MRI |
$6,715 |
$8,953 |
— |
$216 | |
| Breast MRI without contrast |
$6,715 |
$8,953 |
— |
$216 | |
| Breast ultrasound |
$1,160 |
$1,547 |
— |
$92 | |
| Breast ultrasound (complete) |
$1,026 |
$1,368 |
— |
$100 | |
| Breast ultrasound (limited) |
$1,294 |
$1,725 |
— |
$84 | |
| C-reactive protein (CRP) |
$237 |
$316 |
— |
$5 | |
| CA 19-9 tumor marker test |
$392 |
$522 |
— |
$21 | |
| CA-125 ovarian marker test |
$499 |
$665 |
— |
$21 | |
| Calcium blood test |
$335 |
$447 |
— |
$5 | |
| Capsule endoscopy |
$6,990 |
$9,320 |
— |
$802 | |
| Cardiac ablation |
$63,640 |
$84,853 |
— |
$759 | |
| Cardiac catheterization |
$28,805 |
$38,407 |
— |
$1,049 | |
| Cardiac rehabilitation |
$358 |
$477 |
— |
$26 | |
| Cardiac stress test |
$3,035 |
$4,046 |
— |
$39 | |
| Cardioversion |
$2,670 |
$3,560 |
— |
$155 | |
| Carotid artery ultrasound |
$2,519 |
$3,359 |
— |
$156 | |
| CEA tumor marker test |
$365 |
$487 |
— |
$19 | |
| Celiac disease test |
$339 |
$452 |
— |
$12 | |
| Chemotherapy infusion |
$1,511 |
$2,015 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$365 |
$487 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$2,657 |
$3,543 |
— |
$133 | |
| Chest X-ray |
$1,117 |
$1,489 |
— |
$37 | |
| Chest X-ray (1 view) |
$835 |
$1,113 |
— |
$25 | |
| Chest X-ray (2 views) |
$1,283 |
$1,711 |
— |
$33 | |
| Chickenpox (varicella) vaccine |
$835 |
$1,113 |
— |
— | |
| CK-MB heart enzyme test |
$564 |
$752 |
— |
$12 | |
| Clotting time test (PTT) |
$355 |
$473 |
— |
$6 | |
| Complete blood count (CBC) |
$400 |
$533 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$510 |
$680 |
— |
$8 | |
| Comprehensive eye exam |
$386 |
$514 |
— |
$138 | |
| Comprehensive metabolic panel |
$932 |
$1,243 |
— |
$11 | |
| Copper blood test |
$170 |
$226 |
— |
$12 | |
| Coronary CT angiography |
$3,743 |
$4,990 |
— |
$326 | |
| Cortisol test |
$451 |
$602 |
— |
$16 | |
| COVID-19 PCR test |
$172 |
$229 |
— |
$51 | |
| CPAP titration study |
$2,433 |
$3,244 |
— |
$69 | |
| Creatine kinase (CK) test |
$305 |
$407 |
— |
$7 | |
| CT angiography of the chest |
$6,678 |
$8,905 |
— |
$281 | |
| CT angiography of the head |
$6,930 |
$9,241 |
— |
$274 | |
| CT colonography (virtual colonoscopy) |
$6,191 |
$8,255 |
— |
$835 | |
| CT scan of the abdomen |
$6,346 |
$8,461 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$12,696 |
$16,928 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$12,696 |
$16,928 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$14,768 |
$19,691 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$12,136 |
$16,181 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$7,002 |
$9,336 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$6,346 |
$8,461 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$5,350 |
$7,133 |
— |
$136 | |
| CT scan of the arm |
$4,197 |
$5,596 |
— |
$199 | |
| CT scan of the arm with contrast |
$4,197 |
$5,596 |
— |
$199 | |
| CT scan of the arm without contrast |
$4,160 |
$5,546 |
— |
$161 | |
| CT scan of the chest |
$5,254 |
$7,005 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$5,685 |
$7,580 |
— |
$196 | |
| CT scan of the chest with contrast |
$5,254 |
$7,005 |
— |
$167 | |
| CT scan of the chest without contrast |
$4,678 |
$6,237 |
— |
$133 | |
| CT scan of the head |
$5,786 |
$7,714 |
— |
$148 | |
| CT scan of the head with and without contrast |
$6,506 |
$8,674 |
— |
$173 | |
| CT scan of the head with contrast |
$5,123 |
$6,831 |
— |
$148 | |
| CT scan of the head without contrast |
$5,786 |
$7,714 |
— |
$107 | |
| CT scan of the leg |
$3,362 |
$4,482 |
— |
$166 | |
| CT scan of the leg with contrast |
$3,242 |
$4,323 |
— |
$166 | |
| CT scan of the leg without contrast |
$3,362 |
$4,482 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$5,560 |
$7,413 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$5,560 |
$7,413 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$5,032 |
$6,709 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$5,569 |
$7,425 |
— |
$130 | |
| CT scan of the neck |
$5,696 |
$7,594 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$7,004 |
$9,338 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$7,469 |
$9,959 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$5,795 |
$7,727 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$7,004 |
$9,338 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$6,382 |
$8,509 |
— |
$220 | |
| CT scan of the neck with contrast |
$5,696 |
$7,594 |
— |
$183 | |
| CT scan of the neck without contrast |
$4,868 |
$6,491 |
— |
$150 | |
| CT scan of the pelvis |
$6,815 |
$9,086 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$6,815 |
$9,086 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$6,903 |
$9,204 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$5,359 |
$7,145 |
— |
$133 | |
| CT scan of the sinuses |
$5,945 |
$7,927 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$7,766 |
$10,354 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$5,758 |
$7,678 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$5,754 |
$7,672 |
— |
$128 | |
| D-dimer test |
$389 |
$519 |
— |
$10 | |
| DHEA-sulfate test |
$647 |
$863 |
— |
$22 | |
| Diagnostic mammogram |
$713 |
$950 |
— |
$140 | |
| Drug screen (urine) |
$220 |
$293 |
— |
$17 | |
| Echocardiogram |
$2,486 |
$3,315 |
— |
$138 | |
| Echocardiogram with and without contrast |
$1,658 |
$2,210 |
— |
$101 | |
| Echocardiogram without contrast |
$2,486 |
$3,315 |
— |
$138 | |
| EEG (awake and asleep) |
$3,188 |
$4,250 |
— |
$482 | |
| EKG / ECG (tracing only) |
$796 |
$1,061 |
— |
$7 | |
| Electrocardiogram (EKG) |
$796 |
$1,061 |
— |
$8 | |
| Electroencephalogram (EEG) |
$2,681 |
$3,575 |
— |
$448 | |
| Electrolyte panel |
$491 |
$654 |
— |
$7 | |
| Emergency department visit |
$2,034 |
$2,712 |
— |
$69 | |
| Emergency department visit (level 1) |
$728 |
$971 |
— |
$11 | |
| Emergency department visit (level 2) |
$1,379 |
$1,839 |
— |
$40 | |
| Emergency department visit (level 3) |
$2,118 |
$2,824 |
— |
$69 | |
| Emergency department visit (level 4) |
$3,904 |
$5,206 |
— |
$118 | |
| Emergency department visit (level 5) |
$5,192 |
$6,923 |
— |
$171 | |
| Estradiol (estrogen) test |
$624 |
$832 |
— |
$28 | |
| Fallopian tube X-ray (HSG) |
$1,928 |
$2,571 |
— |
$164 | |
| Fecal occult blood (stool) test |
$156 |
$208 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$120 |
$160 |
— |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$156 |
$208 |
— |
$16 | |
| Ferritin (iron) test |
$337 |
$450 |
— |
$14 | |
| Fibrinogen test |
$384 |
$512 |
— |
$10 | |
| Flu test |
$376 |
$502 |
— |
$17 | |
| Flu vaccine |
$142 |
$189 |
— |
— | |
| Folate (folic acid) test |
$344 |
$458 |
— |
$15 | |
| Free T4 thyroid test |
$295 |
$393 |
— |
$9 | |
| FSH hormone test |
$751 |
$1,001 |
— |
$19 | |
| Gallbladder scan (HIDA) |
$3,946 |
$5,262 |
— |
$334 | |
| GGT liver test |
$293 |
$391 |
— |
$7 | |
| Glucose tolerance test |
$461 |
$615 |
— |
$8 | |
| H. pylori test |
$656 |
$875 |
— |
$67 | |
| HDL cholesterol test |
$339 |
$452 |
— |
$8 | |
| Hematocrit test |
$131 |
$174 |
— |
$2 | |
| Hemodialysis |
$5,765 |
$7,686 |
— |
$75 | |
| Hemoglobin A1c (diabetes test) |
$267 |
$356 |
— |
$10 | |
| Hepatitis B test |
$154 |
$205 |
— |
$10 | |
| Hepatitis B vaccine |
$347 |
$463 |
— |
— | |
| Hepatitis C test |
$410 |
$547 |
— |
$14 | |
| HIV test |
$311 |
$415 |
— |
$19 | |
| HIV test (antibody) |
$346 |
$461 |
— |
$14 | |
| HIV test (antigen/antibody combo) |
$200 |
$267 |
— |
$24 | |
| Holter heart monitor |
$1,290 |
$1,720 |
— |
$26 | |
| Iron blood test |
$248 |
$331 |
— |
$6 | |
| IV infusion therapy |
$1,050 |
$1,400 |
— |
$44 | |
| IV infusion therapy (each additional) |
$363 |
$485 |
— |
$21 | |
| IV infusion therapy (initial) |
$1,207 |
$1,609 |
— |
$67 | |
| Kidney scan (nuclear) |
$3,991 |
$5,321 |
— |
$172 | |
| Kidney ultrasound |
$1,752 |
$2,336 |
— |
$84 | |
| Kidney ultrasound (limited) |
$1,829 |
$2,438 |
— |
$61 | |
| Lactate test |
$275 |
$367 |
— |
$12 | |
| LDH test |
$227 |
$303 |
— |
$6 | |
| LDL cholesterol test |
$191 |
$255 |
— |
$11 | |
| Leg artery angiogram |
$8,136 |
$10,848 |
— |
$149 | |
| Leg vein ultrasound (Doppler) |
$2,214 |
$2,953 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,802 |
$2,402 |
— |
$116 | |
| LH hormone test |
$484 |
$646 |
— |
$19 | |
| Lipase test |
$329 |
$439 |
— |
$7 | |
| Lipid (cholesterol) panel |
$713 |
$951 |
— |
$13 | |
| Lung function test (PFT) |
$931 |
$1,242 |
— |
$37 | |
| Lung scan (V/Q) |
$4,140 |
$5,520 |
— |
$291 | |
| Magnesium blood test |
$334 |
$445 |
— |
$7 | |
| MMR vaccine |
$311 |
$414 |
— |
— | |
| MRA of the brain |
$7,354 |
$9,806 |
— |
$226 | |
| MRA of the brain without contrast |
$6,727 |
$8,969 |
— |
$328 | |
| MRA of the neck |
$7,982 |
$10,642 |
— |
$245 | |
| MRA of the neck with contrast |
$5,676 |
$7,568 |
— |
$245 | |
| MRA of the neck without contrast |
$12,641 |
$16,854 |
— |
$343 | |
| MRI of the abdomen |
$7,290 |
$9,720 |
— |
$300 | |
| MRI of the abdomen with contrast |
$7,290 |
$9,720 |
— |
$300 | |
| MRI of the abdomen without contrast |
$5,584 |
$7,445 |
— |
$194 | |
| MRI of the ankle |
$6,470 |
$8,626 |
— |
$261 | |
| MRI of the ankle with contrast |
$6,470 |
$8,626 |
— |
$261 | |
| MRI of the ankle without contrast |
$5,630 |
$7,506 |
— |
$222 | |
| MRI of the brain |
$7,841 |
$10,454 |
— |
$269 | |
| MRI of the brain with contrast |
$7,841 |
$10,454 |
— |
$269 | |
| MRI of the brain without contrast |
$7,349 |
$9,799 |
— |
$195 | |
| MRI of the chest |
$4,568 |
$6,091 |
— |
$371 | |
| MRI of the chest with contrast |
$4,568 |
$6,091 |
— |
$371 | |
| MRI of the chest without contrast |
$5,186 |
$6,914 |
— |
$466 | |
| MRI of the knee |
$6,377 |
$8,502 |
— |
$315 | |
| MRI of the knee with contrast |
$5,902 |
$7,869 |
— |
$315 | |
| MRI of the knee without contrast |
$6,377 |
$8,502 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$7,130 |
$9,507 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$7,130 |
$9,507 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$6,251 |
$8,335 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$7,774 |
$10,365 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$8,520 |
$11,360 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$7,774 |
$10,365 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$5,677 |
$7,569 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$10,769 |
$14,359 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$13,681 |
$18,241 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$10,769 |
$14,359 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$8,569 |
$11,425 |
— |
$191 | |
| MRI of the pelvis |
$6,461 |
$8,615 |
— |
$268 | |
| MRI of the pelvis with contrast |
$6,461 |
$8,615 |
— |
$268 | |
| MRI of the pelvis without contrast |
$4,754 |
$6,339 |
— |
$227 | |
| MRI of the shoulder |
$5,507 |
$7,342 |
— |
$313 | |
| MRI of the shoulder with contrast |
$5,359 |
$7,145 |
— |
$313 | |
| MRI of the shoulder without contrast |
$5,507 |
$7,342 |
— |
$205 | |
| MRI of the wrist |
$5,821 |
$7,761 |
— |
$330 | |
| MRI of the wrist with contrast |
$6,828 |
$9,104 |
— |
$330 | |
| MRI of the wrist without contrast |
$4,809 |
$6,412 |
— |
$303 | |
| Nebulizer breathing treatment |
$776 |
$1,035 |
— |
$9 | |
| Nuchal translucency ultrasound |
$2,383 |
$3,177 |
— |
$116 | |
| Nuclear cardiac stress test |
$9,756 |
$13,008 |
— |
$428 | |
| Occupational therapy evaluation |
$588 |
$784 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$588 |
$784 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$588 |
$784 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$588 |
$784 |
— |
$101 | |
| Office visit (established patient) |
$750 |
$1,000 |
— |
$115 | |
| Office visit (new patient) |
$1,271 |
$1,695 |
— |
$177 | |
| Office visit, established patient (level 3) |
$750 |
$1,000 |
— |
$95 | |
| Office visit, new patient (level 3) |
$1,271 |
$1,695 |
— |
$118 | |
| Pap smear (cervical screening) |
$197 |
$263 |
— |
$20 | |
| Parathyroid hormone (PTH) test |
$296 |
$395 |
— |
$41 | |
| Pelvic ultrasound |
$1,754 |
$2,338 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$2,555 |
$3,406 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$953 |
$1,270 |
— |
$51 | |
| PET scan |
$10,458 |
$13,944 |
— |
— | |
| Phosphorus blood test |
$209 |
$278 |
— |
$5 | |
| Physical therapy evaluation |
$588 |
$784 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$626 |
$835 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$588 |
$784 |
— |
$98 | |
| Platelet count |
$275 |
$367 |
— |
$4 | |
| Pneumonia vaccine |
$483 |
$644 |
— |
— | |
| Pregnancy blood test (hCG) |
$392 |
$523 |
— |
$8 | |
| Pregnancy ultrasound |
$1,684 |
$2,246 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$1,669 |
$2,225 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$1,700 |
$2,266 |
— |
$136 | |
| Procalcitonin test |
$263 |
$351 |
— |
$27 | |
| Prolactin test |
$690 |
$920 |
— |
$19 | |
| Prostate test (PSA) |
$444 |
$592 |
— |
$18 | |
| Rheumatoid factor test |
$246 |
$328 |
— |
$6 | |
| Scoliosis spine X-ray |
$852 |
$1,136 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$1,085 |
$1,446 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$619 |
$825 |
— |
$72 | |
| Screening mammogram |
$872 |
$1,163 |
— |
$126 | |
| Scrotal ultrasound |
$1,956 |
$2,608 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$307 |
$410 |
— |
$3 | |
| Semen analysis |
$107 |
$143 |
— |
$12 | |
| Sex hormone binding globulin test |
$160 |
$213 |
— |
$22 | |
| Sleep study (polysomnography) |
$5,092 |
$6,789 |
— |
$691 | |
| Soft tissue ultrasound |
$736 |
$981 |
— |
$64 | |
| Speech therapy |
$389 |
$518 |
— |
$76 | |
| Spirometry (lung function test) |
$752 |
$1,003 |
— |
$30 | |
| Spirometry with bronchodilator |
$1,110 |
$1,480 |
— |
$43 | |
| Strep throat test |
$253 |
$337 |
— |
$17 | |
| Stress echocardiogram |
$4,439 |
$5,919 |
— |
$209 | |
| Swallow study |
$748 |
$997 |
— |
$85 | |
| T3 thyroid test |
$401 |
$535 |
— |
$14 | |
| Tdap (tetanus) vaccine |
$612 |
$816 |
— |
— | |
| Testosterone test |
$462 |
$616 |
— |
$26 | |
| Thyroid test (TSH) |
$606 |
$808 |
— |
$17 | |
| Thyroid ultrasound |
$1,818 |
$2,424 |
— |
$109 | |
| Thyroid uptake scan |
$1,480 |
$1,973 |
— |
$145 | |
| Tilt table test |
$5,600 |
$7,467 |
— |
$168 | |
| Total IgE allergy test |
$584 |
$779 |
— |
$16 | |
| Total protein test |
$189 |
$252 |
— |
$4 | |
| Transesophageal echocardiogram (TEE) |
$5,921 |
$7,895 |
— |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$5,921 |
$7,895 |
— |
$239 | |
| Transvaginal ultrasound |
$2,043 |
$2,724 |
— |
$118 | |
| Triglycerides test |
$288 |
$385 |
— |
$6 | |
| Troponin (heart) test |
$432 |
$576 |
— |
$12 | |
| Upper GI series (barium) |
$2,038 |
$2,717 |
— |
$128 | |
| Uric acid (gout) test |
$360 |
$480 |
— |
$5 | |
| Urinalysis |
$184 |
$245 |
— |
$3 | |
| Urine microalbumin test |
$387 |
$517 |
— |
$5 | |
| Urine pregnancy test |
$425 |
$567 |
— |
$9 | |
| Vaccine administration |
$207 |
$276 |
— |
$19 | |
| Vaccine administration (each additional) |
$128 |
$171 |
— |
$16 | |
| Vitamin B12 test |
$386 |
$515 |
— |
$15 | |
| Vitamin D test |
$393 |
$525 |
— |
$30 | |
| X-ray of the abdomen |
$1,034 |
$1,379 |
— |
$36 | |
| X-ray of the ankle |
$977 |
$1,303 |
— |
$37 | |
| X-ray of the collarbone |
$881 |
$1,174 |
— |
$33 | |
| X-ray of the elbow |
$806 |
$1,075 |
— |
$33 | |
| X-ray of the facial bones |
$995 |
$1,326 |
— |
$39 | |
| X-ray of the foot |
$1,110 |
$1,480 |
— |
$34 | |
| X-ray of the forearm |
$969 |
$1,292 |
— |
$29 | |
| X-ray of the hand |
$843 |
$1,124 |
— |
$38 | |
| X-ray of the hip |
$692 |
$922 |
— |
$49 | |
| X-ray of the hip (1 view) |
$705 |
$941 |
— |
$34 | |
| X-ray of the hip (3 views) |
$692 |
$922 |
— |
$49 | |
| X-ray of the knee |
$1,001 |
$1,335 |
— |
$42 | |
| X-ray of the knee (2 views) |
$1,010 |
$1,347 |
— |
$34 | |
| X-ray of the knee (3 views) |
$1,001 |
$1,335 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$881 |
$1,174 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$1,256 |
$1,674 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$1,105 |
$1,473 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$1,722 |
$2,296 |
— |
$53 | |
| X-ray of the lower leg |
$980 |
$1,306 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$1,475 |
$1,967 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$1,527 |
$2,036 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$1,424 |
$1,898 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$1,198 |
$1,597 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$1,179 |
$1,573 |
— |
$40 | |
| X-ray of the pelvis |
$917 |
$1,223 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$845 |
$1,127 |
— |
$28 | |
| X-ray of the ribs |
$1,343 |
$1,790 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$1,017 |
$1,356 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$1,343 |
$1,790 |
— |
$42 | |
| X-ray of the shoulder |
$843 |
$1,124 |
— |
$36 | |
| X-ray of the skull |
$1,086 |
$1,449 |
— |
$40 | |
| X-ray of the upper arm |
$881 |
$1,174 |
— |
$32 | |
| X-ray of the wrist |
$1,069 |
$1,425 |
— |
$43 | |
| Zinc blood test |
$336 |
$449 |
— |
$11 | |