| 3D mammogram (tomosynthesis) |
$126 |
$158 |
$117 |
$51 | |
| Abdominal ultrasound |
$875 |
$1,094 |
$794 |
$100 | |
| Abdominal ultrasound (complete) |
$1,000 |
$1,250 |
$928 |
$114 | |
| Abdominal ultrasound (limited) |
$750 |
$938 |
$696 |
$86 | |
| Abscess drainage (complex or multiple) |
$668 |
$835 |
$620 |
$220 | |
| Abscess drainage (simple) |
$430 |
$538 |
$399 |
$129 | |
| Abscess incision and drainage |
$549 |
$687 |
$468 |
$174 | |
| Albumin blood test |
$67 |
$84 |
$69 |
$5 | |
| Aldosterone test |
$386 |
$483 |
$302 |
$41 | |
| Alkaline phosphatase test |
$64 |
$80 |
$32 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$134 |
$167 |
$124 |
$17 | |
| ALT liver enzyme test |
$69 |
$86 |
$64 |
$5 | |
| Ammonia blood test |
$222 |
$278 |
$206 |
$15 | |
| Amylase test |
$81 |
$101 |
$75 |
$6 | |
| Antinuclear antibody (ANA) test |
$65 |
$81 |
$60 |
$12 | |
| Arterial blood gas (ABG) |
$216 |
$270 |
$200 |
$26 | |
| AST liver enzyme test |
$58 |
$73 |
$54 |
$5 | |
| Barium swallow study |
$698 |
$873 |
$648 |
$107 | |
| Basic metabolic panel |
$121 |
$151 |
$112 |
$8 | |
| Bilirubin blood test |
$43 |
$54 |
$40 |
$5 | |
| Blood clotting test (PT/INR) |
$59 |
$74 |
$33 |
$4 | |
| Blood crossmatch |
$118 |
$147 |
$109 |
— | |
| Blood glucose test |
$62 |
$78 |
$57 |
$5 | |
| Blood transfusion |
$987 |
$1,234 |
$916 |
$47 | |
| Blood type and screen |
$72 |
$90 |
$67 |
$10 | |
| Blood type test |
$96 |
$120 |
$89 |
$3 | |
| Blood type test (ABO group) |
$98 |
$123 |
$91 |
$3 | |
| Blood type test (Rh/D antigen) |
$93 |
$116 |
$86 |
$3 | |
| BNP (heart failure) test |
$202 |
$253 |
$104 |
$39 | |
| Bone density scan (DEXA) |
$538 |
$673 |
$500 |
$39 | |
| Bone scan (nuclear) |
$2,012 |
$2,515 |
$1,867 |
$259 | |
| Breathing tube insertion (intubation) |
$553 |
$691 |
$513 |
$133 | |
| Burn dressing and debridement (medium) |
$380 |
$475 |
$353 |
$166 | |
| Burn dressing and debridement (small) |
$327 |
$409 |
$304 |
$93 | |
| Burn treatment |
$354 |
$442 |
$325 |
$129 | |
| C-reactive protein (CRP) |
$54 |
$67 |
$50 |
$5 | |
| CA 19-9 tumor marker test |
$102 |
$127 |
$94 |
$21 | |
| CA-125 ovarian marker test |
$102 |
$127 |
$94 |
$21 | |
| Calcium blood test |
$58 |
$73 |
$54 |
$5 | |
| Cardiac rehabilitation |
$254 |
$318 |
$236 |
$26 | |
| Cardiac stress test |
$1,078 |
$1,348 |
$1,001 |
$39 | |
| Cardioversion |
$1,888 |
$2,360 |
$1,752 |
$155 | |
| Carotid artery ultrasound |
$911 |
$1,139 |
$782 |
$156 | |
| CEA tumor marker test |
$100 |
$125 |
$93 |
$19 | |
| Celiac disease test |
$53 |
$66 |
$49 |
$12 | |
| Central line placement |
$1,734 |
$2,168 |
$1,610 |
$238 | |
| Chemotherapy infusion |
$650 |
$812 |
$349 |
$81 | |
| Chemotherapy infusion (each additional) |
$310 |
$388 |
$285 |
$28 | |
| Chemotherapy infusion (first hour) |
$989 |
$1,236 |
$908 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,149 |
$1,436 |
$1,066 |
$311 | |
| Chest tube insertion |
$1,140 |
$1,425 |
$1,058 |
$143 | |
| Chest X-ray |
$381 |
$476 |
$322 |
$37 | |
| Chest X-ray (1 view) |
$276 |
$345 |
$256 |
$25 | |
| Chest X-ray (2 views) |
$350 |
$438 |
$325 |
$33 | |
| CK-MB heart enzyme test |
$151 |
$189 |
$140 |
$12 | |
| Clotting time test (PTT) |
$86 |
$107 |
$79 |
$6 | |
| Complete blood count (CBC) |
$100 |
$125 |
$93 |
$7 | |
| Complete blood count (CBC) (complete) |
$102 |
$127 |
$94 |
$8 | |
| Comprehensive metabolic panel |
$142 |
$178 |
$132 |
$11 | |
| Copper blood test |
$112 |
$140 |
$49 |
$12 | |
| Cortisol test |
$227 |
$284 |
$70 |
$16 | |
| COVID-19 PCR test |
$125 |
$156 |
$116 |
$51 | |
| CPAP titration study |
$372 |
$465 |
$345 |
$69 | |
| Creatine kinase (CK) test |
$48 |
$60 |
$45 |
$7 | |
| CT angiography of the chest |
$2,992 |
$3,740 |
$2,777 |
$281 | |
| CT angiography of the head |
$2,937 |
$3,671 |
$2,726 |
$274 | |
| CT scan of the abdomen |
$2,656 |
$3,320 |
$2,339 |
$230 | |
| CT scan of the abdomen and pelvis |
$4,458 |
$5,573 |
$4,084 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$5,310 |
$6,638 |
$4,929 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$4,458 |
$5,573 |
$4,138 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$3,744 |
$4,680 |
$3,475 |
$183 | |
| CT scan of the abdomen with and without contrast |
$3,037 |
$3,796 |
$2,819 |
$259 | |
| CT scan of the abdomen with contrast |
$2,656 |
$3,320 |
$2,465 |
$230 | |
| CT scan of the abdomen without contrast |
$2,140 |
$2,675 |
$1,986 |
$136 | |
| CT scan of the arm |
$2,286 |
$2,857 |
$2,092 |
$199 | |
| CT scan of the arm with contrast |
$2,286 |
$2,857 |
$2,121 |
$199 | |
| CT scan of the arm without contrast |
$1,955 |
$2,444 |
$1,815 |
$161 | |
| CT scan of the chest |
$2,691 |
$3,364 |
$2,290 |
$167 | |
| CT scan of the chest with and without contrast |
$3,224 |
$4,030 |
$2,992 |
$196 | |
| CT scan of the chest with contrast |
$2,691 |
$3,364 |
$2,498 |
$167 | |
| CT scan of the chest without contrast |
$2,095 |
$2,619 |
$1,945 |
$133 | |
| CT scan of the head |
$2,447 |
$3,059 |
$2,119 |
$148 | |
| CT scan of the head with and without contrast |
$2,621 |
$3,276 |
$2,432 |
$173 | |
| CT scan of the head with contrast |
$2,447 |
$3,059 |
$2,271 |
$148 | |
| CT scan of the head without contrast |
$1,978 |
$2,472 |
$1,835 |
$107 | |
| CT scan of the leg |
$2,538 |
$3,173 |
$2,209 |
$166 | |
| CT scan of the leg with contrast |
$2,538 |
$3,173 |
$2,356 |
$166 | |
| CT scan of the leg without contrast |
$2,030 |
$2,537 |
$1,884 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,680 |
$3,350 |
$2,456 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,968 |
$3,710 |
$2,755 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,680 |
$3,350 |
$2,487 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$2,376 |
$2,970 |
$2,205 |
$130 | |
| CT scan of the neck |
$2,502 |
$3,127 |
$2,257 |
$183 | |
| CT scan of the neck (cervical spine) |
$2,709 |
$3,386 |
$2,448 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$3,067 |
$3,834 |
$2,847 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$2,709 |
$3,386 |
$2,514 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$2,254 |
$2,817 |
$2,092 |
$131 | |
| CT scan of the neck with and without contrast |
$2,993 |
$3,741 |
$2,778 |
$220 | |
| CT scan of the neck with contrast |
$2,502 |
$3,127 |
$2,322 |
$183 | |
| CT scan of the neck without contrast |
$2,065 |
$2,581 |
$1,916 |
$150 | |
| CT scan of the pelvis |
$2,429 |
$3,036 |
$2,105 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,810 |
$3,512 |
$2,608 |
$251 | |
| CT scan of the pelvis with contrast |
$2,429 |
$3,036 |
$2,254 |
$226 | |
| CT scan of the pelvis without contrast |
$1,926 |
$2,408 |
$1,788 |
$133 | |
| CT scan of the sinuses |
$2,598 |
$3,248 |
$2,223 |
$152 | |
| CT scan of the sinuses with and without contrast |
$3,063 |
$3,829 |
$2,843 |
$184 | |
| CT scan of the sinuses with contrast |
$2,598 |
$3,248 |
$2,412 |
$152 | |
| CT scan of the sinuses without contrast |
$2,034 |
$2,543 |
$1,888 |
$128 | |
| D-dimer test |
$123 |
$154 |
$114 |
$10 | |
| Developmental screening (child) |
$251 |
$314 |
$233 |
— | |
| DHEA-sulfate test |
$146 |
$182 |
$135 |
$22 | |
| Drug screen (urine) |
$151 |
$189 |
$156 |
$17 | |
| Echocardiogram |
$1,613 |
$2,016 |
$1,184 |
$138 | |
| Echocardiogram with and without contrast |
$926 |
$1,158 |
$860 |
$101 | |
| Echocardiogram without contrast |
$1,613 |
$2,016 |
$1,497 |
$138 | |
| EEG (awake and asleep) |
$1,336 |
$1,670 |
$1,240 |
$482 | |
| EKG / ECG (tracing only) |
$254 |
$317 |
$235 |
$7 | |
| Electrocardiogram (EKG) |
$254 |
$317 |
$235 |
$8 | |
| Electroencephalogram (EEG) |
$1,336 |
$1,670 |
$1,240 |
$448 | |
| Electrolyte panel |
$82 |
$102 |
$76 |
$7 | |
| Emergency department visit |
$717 |
$896 |
$555 |
$69 | |
| Emergency department visit (level 1) |
$300 |
$375 |
$278 |
$11 | |
| Emergency department visit (level 2) |
$489 |
$611 |
$454 |
$40 | |
| Emergency department visit (level 3) |
$717 |
$896 |
$665 |
$69 | |
| Emergency department visit (level 4) |
$1,078 |
$1,348 |
$1,001 |
$118 | |
| Emergency department visit (level 5) |
$1,442 |
$1,802 |
$1,338 |
$171 | |
| Estradiol (estrogen) test |
$258 |
$323 |
$90 |
$28 | |
| Fecal occult blood (stool) test |
$47 |
$59 |
$47 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$36 |
$45 |
$33 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$58 |
$72 |
$59 |
$16 | |
| Ferritin (iron) test |
$107 |
$134 |
$100 |
$14 | |
| Fibrinogen test |
$48 |
$60 |
$45 |
$10 | |
| Flu test |
$50 |
$62 |
$46 |
$17 | |
| Folate (folic acid) test |
$105 |
$131 |
$97 |
$15 | |
| Foreign body removal (skin) |
$614 |
$767 |
$570 |
$157 | |
| Free T4 thyroid test |
$102 |
$127 |
$94 |
$9 | |
| FSH hormone test |
$140 |
$175 |
$130 |
$19 | |
| Gallbladder scan (HIDA) |
$2,130 |
$2,663 |
$1,962 |
$334 | |
| GGT liver test |
$72 |
$90 |
$67 |
$7 | |
| Glucose tolerance test |
$77 |
$97 |
$54 |
$8 | |
| H. pylori test |
$273 |
$341 |
$253 |
$67 | |
| HDL cholesterol test |
$79 |
$99 |
$74 |
$8 | |
| Hematocrit test |
$48 |
$60 |
$45 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$79 |
$99 |
$74 |
$10 | |
| Hepatitis B test |
$100 |
$125 |
$93 |
$10 | |
| Hepatitis B vaccine |
$85 |
$107 |
$79 |
— | |
| Hepatitis C test |
$125 |
$156 |
$116 |
$14 | |
| HIV test |
$106 |
$133 |
$98 |
$19 | |
| HIV test (antibody) |
$114 |
$142 |
$105 |
$14 | |
| HIV test (antigen/antibody combo) |
$98 |
$123 |
$91 |
$24 | |
| Holter heart monitor |
$472 |
$590 |
$438 |
$26 | |
| Iron blood test |
$66 |
$82 |
$61 |
$6 | |
| IUD removal |
$541 |
$676 |
$502 |
$112 | |
| IV infusion therapy |
$343 |
$429 |
$215 |
$44 | |
| IV infusion therapy (each additional) |
$181 |
$226 |
$166 |
$21 | |
| IV infusion therapy (initial) |
$505 |
$631 |
$464 |
$67 | |
| Joint aspiration (small/intermediate) |
$485 |
$606 |
$450 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$485 |
$606 |
$450 |
$57 | |
| Kidney scan (nuclear) |
$2,226 |
$2,783 |
$2,066 |
$172 | |
| Kidney ultrasound |
$765 |
$957 |
$703 |
$84 | |
| Kidney ultrasound (limited) |
$700 |
$875 |
$650 |
$61 | |
| Knee joint injection |
$727 |
$909 |
$675 |
$69 | |
| Lactate test |
$66 |
$82 |
$61 |
$12 | |
| LDH test |
$58 |
$73 |
$54 |
$6 | |
| LDL cholesterol test |
$58 |
$72 |
$53 |
$11 | |
| Leg vein ultrasound (Doppler) |
$1,008 |
$1,261 |
$913 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$848 |
$1,060 |
$787 |
$116 | |
| LH hormone test |
$146 |
$183 |
$136 |
$19 | |
| Lipase test |
$88 |
$110 |
$82 |
$7 | |
| Lipid (cholesterol) panel |
$90 |
$113 |
$84 |
$13 | |
| Liver function panel |
$108 |
$135 |
$100 |
$8 | |
| Lung function test (PFT) |
$450 |
$563 |
$407 |
$37 | |
| Magnesium blood test |
$79 |
$99 |
$74 |
$7 | |
| MRA of the brain |
$3,430 |
$4,288 |
$3,099 |
$226 | |
| MRA of the brain with contrast |
$3,430 |
$4,288 |
$3,184 |
$226 | |
| MRA of the brain without contrast |
$4,209 |
$5,261 |
$3,906 |
$328 | |
| MRA of the neck |
$3,220 |
$4,025 |
$2,994 |
$245 | |
| MRA of the neck with contrast |
$3,220 |
$4,025 |
$2,989 |
$245 | |
| MRA of the neck without contrast |
$4,025 |
$5,031 |
$3,736 |
$343 | |
| MRI of the abdomen |
$3,489 |
$4,361 |
$3,271 |
$300 | |
| MRI of the abdomen with contrast |
$3,489 |
$4,361 |
$3,238 |
$300 | |
| MRI of the abdomen without contrast |
$3,030 |
$3,788 |
$2,813 |
$194 | |
| MRI of the ankle |
$3,621 |
$4,526 |
$3,050 |
$261 | |
| MRI of the ankle with contrast |
$3,621 |
$4,526 |
$3,361 |
$261 | |
| MRI of the ankle without contrast |
$2,830 |
$3,538 |
$2,627 |
$222 | |
| MRI of the brain |
$3,430 |
$4,288 |
$3,224 |
$269 | |
| MRI of the brain with contrast |
$3,430 |
$4,288 |
$3,184 |
$269 | |
| MRI of the brain without contrast |
$3,007 |
$3,759 |
$2,791 |
$195 | |
| MRI of the chest |
$3,504 |
$4,380 |
$3,060 |
$371 | |
| MRI of the chest with contrast |
$3,504 |
$4,380 |
$3,252 |
$371 | |
| MRI of the chest without contrast |
$4,277 |
$5,346 |
$3,969 |
$466 | |
| MRI of the knee |
$3,373 |
$4,216 |
$3,162 |
$315 | |
| MRI of the knee with contrast |
$3,373 |
$4,216 |
$3,130 |
$315 | |
| MRI of the knee without contrast |
$2,919 |
$3,649 |
$2,709 |
$204 | |
| MRI of the lower back (lumbar spine) |
$3,616 |
$4,520 |
$3,382 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$3,616 |
$4,520 |
$3,356 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$3,181 |
$3,976 |
$2,952 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$3,603 |
$4,504 |
$3,378 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$4,325 |
$5,406 |
$4,014 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$3,603 |
$4,504 |
$3,344 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$3,200 |
$4,000 |
$2,970 |
$190 | |
| MRI of the neck (cervical spine) |
$3,586 |
$4,482 |
$3,443 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$4,566 |
$5,708 |
$4,238 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$3,586 |
$4,482 |
$3,328 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$3,250 |
$4,063 |
$3,017 |
$191 | |
| MRI of the pelvis |
$3,974 |
$4,968 |
$3,337 |
$268 | |
| MRI of the pelvis with contrast |
$3,974 |
$4,968 |
$3,689 |
$268 | |
| MRI of the pelvis without contrast |
$3,054 |
$3,817 |
$2,834 |
$227 | |
| MRI of the shoulder |
$3,516 |
$4,395 |
$3,163 |
$313 | |
| MRI of the shoulder with contrast |
$3,516 |
$4,395 |
$3,263 |
$313 | |
| MRI of the shoulder without contrast |
$2,931 |
$3,664 |
$2,721 |
$205 | |
| MRI of the wrist |
$3,563 |
$4,454 |
$3,067 |
$330 | |
| MRI of the wrist with contrast |
$3,563 |
$4,454 |
$3,307 |
$330 | |
| MRI of the wrist without contrast |
$2,815 |
$3,519 |
$2,613 |
$303 | |
| Nebulizer breathing treatment |
$218 |
$272 |
$204 |
$9 | |
| Nuclear cardiac stress test |
$4,810 |
$6,013 |
$4,465 |
$428 | |
| Occupational therapy evaluation |
$295 |
$369 |
$274 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$327 |
$409 |
$304 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$268 |
$335 |
$249 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$295 |
$369 |
$274 |
$101 | |
| Pap smear (cervical screening) |
$91 |
$114 |
$85 |
$20 | |
| Parathyroid hormone (PTH) test |
$154 |
$192 |
$143 |
$41 | |
| Pelvic ultrasound |
$634 |
$793 |
$576 |
$78 | |
| Pelvic ultrasound (complete) |
$720 |
$900 |
$668 |
$105 | |
| Pelvic ultrasound (limited) |
$549 |
$686 |
$509 |
$51 | |
| Phosphorus blood test |
$58 |
$73 |
$54 |
$5 | |
| Physical therapy evaluation |
$290 |
$362 |
$278 |
$98 | |
| Physical therapy evaluation (high complexity) |
$361 |
$451 |
$335 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$290 |
$362 |
$269 |
$98 | |
| Platelet count |
$48 |
$60 |
$45 |
$4 | |
| Pregnancy blood test (hCG) |
$66 |
$83 |
$62 |
$8 | |
| Pregnancy ultrasound |
$858 |
$1,072 |
$788 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$783 |
$979 |
$727 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$932 |
$1,165 |
$865 |
$136 | |
| Procalcitonin test |
$205 |
$256 |
$190 |
$27 | |
| Prolactin test |
$178 |
$222 |
$165 |
$19 | |
| Prostate test (PSA) |
$90 |
$112 |
$83 |
$18 | |
| Pulmonary rehabilitation |
$188 |
$235 |
$174 |
$87 | |
| Rheumatoid factor test |
$98 |
$122 |
$91 |
$6 | |
| RSV vaccine |
$493 |
$617 |
$458 |
— | |
| Screening mammogram |
$434 |
$543 |
$328 |
$126 | |
| Scrotal ultrasound |
$694 |
$867 |
$644 |
$99 | |
| Sedimentation rate (ESR) test |
$59 |
$74 |
$55 |
$3 | |
| Semen analysis |
$82 |
$102 |
$76 |
$12 | |
| Sex hormone binding globulin test |
$170 |
$212 |
$62 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$321 |
$401 |
$298 |
$114 | |
| Simple wound stitches |
$330 |
$413 |
$306 |
$127 | |
| Sleep study (polysomnography) |
$4,630 |
$5,788 |
$4,492 |
$691 | |
| Soft tissue ultrasound |
$506 |
$632 |
$469 |
$64 | |
| Speech therapy |
$311 |
$389 |
$289 |
$76 | |
| Spinal tap (lumbar puncture) |
$888 |
$1,110 |
$824 |
$165 | |
| Spirometry (lung function test) |
$379 |
$474 |
$352 |
$30 | |
| Spirometry with bronchodilator |
$521 |
$651 |
$483 |
$43 | |
| Strep throat test |
$72 |
$90 |
$67 |
$17 | |
| Stress echocardiogram |
$1,928 |
$2,410 |
$1,789 |
$209 | |
| Swallow study |
$394 |
$492 |
$365 |
$85 | |
| T3 thyroid test |
$122 |
$152 |
$113 |
$14 | |
| Tdap (tetanus) vaccine |
$85 |
$106 |
$79 |
— | |
| Testosterone test |
$61 |
$76 |
$67 |
$26 | |
| Thyroid test (TSH) |
$98 |
$123 |
$91 |
$17 | |
| Thyroid ultrasound |
$783 |
$979 |
$727 |
$109 | |
| Thyroid uptake scan |
$1,170 |
$1,463 |
$965 |
$145 | |
| Total IgE allergy test |
$106 |
$133 |
$99 |
$16 | |
| Total protein test |
$58 |
$73 |
$54 |
$4 | |
| Transvaginal ultrasound |
$694 |
$867 |
$644 |
$118 | |
| Triglycerides test |
$58 |
$73 |
$54 |
$6 | |
| Troponin (heart) test |
$174 |
$218 |
$162 |
$12 | |
| Upper GI endoscopy (EGD) |
$2,482 |
$3,103 |
$2,304 |
$371 | |
| Upper GI series (barium) |
$928 |
$1,160 |
$861 |
$128 | |
| Uric acid (gout) test |
$58 |
$73 |
$54 |
$5 | |
| Urinalysis |
$47 |
$59 |
$43 |
$3 | |
| Urine microalbumin test |
$76 |
$95 |
$58 |
$5 | |
| Urine pregnancy test |
$66 |
$83 |
$62 |
$9 | |
| Vaccine administration |
$42 |
$53 |
$35 |
$19 | |
| Vaccine administration (each additional) |
$42 |
$53 |
$39 |
$16 | |
| Vitamin B12 test |
$108 |
$135 |
$100 |
$15 | |
| Vitamin D test |
$132 |
$165 |
$104 |
$30 | |
| Wart removal |
$170 |
$213 |
$158 |
$121 | |
| Wound debridement |
$1,055 |
$1,319 |
$979 |
$186 | |
| X-ray of the abdomen |
$392 |
$490 |
$337 |
$36 | |
| X-ray of the ankle |
$368 |
$460 |
$342 |
$37 | |
| X-ray of the collarbone |
$309 |
$386 |
$287 |
$33 | |
| X-ray of the elbow |
$407 |
$509 |
$378 |
$33 | |
| X-ray of the facial bones |
$453 |
$566 |
$411 |
$39 | |
| X-ray of the foot |
$362 |
$453 |
$336 |
$34 | |
| X-ray of the forearm |
$309 |
$386 |
$287 |
$29 | |
| X-ray of the hand |
$334 |
$418 |
$310 |
$38 | |
| X-ray of the hip |
$448 |
$560 |
$351 |
$49 | |
| X-ray of the hip (1 view) |
$312 |
$390 |
$290 |
$34 | |
| X-ray of the hip (3 views) |
$448 |
$560 |
$416 |
$49 | |
| X-ray of the hip (4 views) |
$550 |
$688 |
$511 |
$63 | |
| X-ray of the knee |
$407 |
$509 |
$338 |
$42 | |
| X-ray of the knee (2 views) |
$309 |
$386 |
$287 |
$34 | |
| X-ray of the knee (3 views) |
$407 |
$509 |
$378 |
$42 | |
| X-ray of the knee (4+ views) |
$478 |
$597 |
$443 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$530 |
$663 |
$481 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$444 |
$555 |
$412 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$616 |
$770 |
$572 |
$53 | |
| X-ray of the lower leg |
$309 |
$386 |
$287 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$444 |
$556 |
$408 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$401 |
$501 |
$372 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$488 |
$610 |
$453 |
$39 | |
| X-ray of the neck (cervical spine) |
$521 |
$651 |
$472 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$444 |
$555 |
$412 |
$40 | |
| X-ray of the pelvis |
$395 |
$494 |
$363 |
$36 | |
| X-ray of the pelvis (1 view) |
$361 |
$451 |
$335 |
$28 | |
| X-ray of the ribs |
$438 |
$547 |
$375 |
$42 | |
| X-ray of the ribs (2 views) |
$362 |
$452 |
$336 |
$36 | |
| X-ray of the ribs (3 views) |
$444 |
$555 |
$412 |
$42 | |
| X-ray of the shoulder |
$382 |
$478 |
$355 |
$36 | |
| X-ray of the skull |
$518 |
$648 |
$454 |
$40 | |
| X-ray of the upper arm |
$309 |
$386 |
$287 |
$32 | |
| X-ray of the wrist |
$334 |
$418 |
$310 |
$43 | |
| Zinc blood test |
$26 |
$33 |
$29 |
$11 | |