| 3D mammogram (tomosynthesis) |
$80 |
$159 |
$102 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,239 |
$2,477 |
$2,227 |
$284 | |
| Abdominal ultrasound |
$380 |
$760 |
$617 |
$100 | |
| Abdominal ultrasound (complete) |
$433 |
$866 |
$810 |
$114 | |
| Abdominal ultrasound (limited) |
$321 |
$641 |
$597 |
$86 | |
| Abscess drainage (complex or multiple) |
$498 |
$995 |
$923 |
$220 | |
| Abscess drainage (simple) |
$228 |
$455 |
$392 |
$129 | |
| Abscess incision and drainage |
$277 |
$554 |
$478 |
$174 | |
| Albumin blood test |
$42 |
$84 |
$79 |
$5 | |
| Aldosterone test |
$96 |
$192 |
$173 |
$41 | |
| Alkaline phosphatase test |
$30 |
$59 |
$55 |
$5 | |
| Allergy shots |
$53 |
$106 |
$83 |
$11 | |
| Alpha-fetoprotein (AFP) test |
$23 |
$45 |
$42 |
$17 | |
| ALT liver enzyme test |
$48 |
$95 |
$89 |
$5 | |
| Ammonia blood test |
$68 |
$135 |
$46 |
$15 | |
| Amniocentesis |
$646 |
$1,291 |
$1,207 |
$120 | |
| Amylase test |
$36 |
$71 |
$32 |
$6 | |
| Anoscopy |
$105 |
$209 |
$195 |
$129 | |
| Antinuclear antibody (ANA) test |
$48 |
$95 |
$89 |
$12 | |
| Arterial blood gas (ABG) |
$106 |
$210 |
$163 |
$26 | |
| AST liver enzyme test |
$45 |
$89 |
$83 |
$5 | |
| Barium swallow study |
$317 |
$634 |
$549 |
$107 | |
| Bartholin cyst removal |
$312 |
$624 |
$579 |
$182 | |
| Basic metabolic panel |
$37 |
$73 |
$68 |
$8 | |
| Benign skin lesion removal |
$407 |
$814 |
$761 |
$171 | |
| Bilirubin blood test |
$42 |
$84 |
$79 |
$5 | |
| Blood clotting test (PT/INR) |
$21 |
$41 |
$38 |
$4 | |
| Blood crossmatch |
$149 |
$298 |
$279 |
— | |
| Blood glucose test |
$34 |
$67 |
$63 |
$5 | |
| Blood transfusion |
$882 |
$1,764 |
$1,649 |
$47 | |
| Blood type and screen |
$62 |
$123 |
$115 |
$10 | |
| Blood type test |
$87 |
$174 |
$68 |
$3 | |
| Blood type test (ABO group) |
$147 |
$294 |
$275 |
$3 | |
| Blood type test (Rh/D antigen) |
$27 |
$53 |
$50 |
$3 | |
| BNP (heart failure) test |
$157 |
$314 |
$294 |
$39 | |
| Bone density scan (DEXA) |
$382 |
$764 |
$714 |
$39 | |
| Bone scan (nuclear) |
$788 |
$1,576 |
$1,474 |
$259 | |
| Breast biopsy |
$1,513 |
$3,025 |
$2,874 |
$478 | |
| Breast ultrasound |
$285 |
$568 |
$533 |
$92 | |
| Breast ultrasound (complete) |
$285 |
$568 |
$533 |
$100 | |
| Breathing tube insertion (intubation) |
$340 |
$679 |
$635 |
$133 | |
| Burn dressing and debridement (medium) |
$204 |
$407 |
$373 |
$166 | |
| Burn dressing and debridement (small) |
$137 |
$272 |
$217 |
$93 | |
| Burn treatment |
$178 |
$355 |
$300 |
$129 | |
| C-reactive protein (CRP) |
$45 |
$90 |
$84 |
$5 | |
| CA 19-9 tumor marker test |
$77 |
$154 |
$144 |
$21 | |
| CA-125 ovarian marker test |
$77 |
$154 |
$144 |
$21 | |
| Calcium blood test |
$45 |
$88 |
$83 |
$5 | |
| Cardiac rehabilitation |
$131 |
$262 |
$245 |
$26 | |
| Cardiac stress test |
$561 |
$1,122 |
$1,049 |
$39 | |
| Cardioversion |
$1,023 |
$2,045 |
$1,897 |
$155 | |
| Carotid artery ultrasound |
$453 |
$906 |
$852 |
$156 | |
| Cataract surgery |
$2,597 |
$5,194 |
$4,856 |
$547 | |
| CEA tumor marker test |
$72 |
$144 |
$135 |
$19 | |
| Celiac disease test |
$37 |
$73 |
$68 |
$12 | |
| Central line placement |
$1,378 |
$2,755 |
$2,576 |
$238 | |
| Chemotherapy infusion |
$371 |
$741 |
$314 |
$81 | |
| Chemotherapy infusion (each additional) |
$148 |
$295 |
$276 |
$28 | |
| Chemotherapy infusion (first hour) |
$594 |
$1,187 |
$1,110 |
$133 | |
| Chest fluid drain (thoracentesis) |
$763 |
$1,526 |
$928 |
$311 | |
| Chest tube insertion |
$1,160 |
$2,319 |
$919 |
$143 | |
| Chest X-ray |
$195 |
$389 |
$285 |
$37 | |
| Chest X-ray (1 view) |
$84 |
$168 |
$157 |
$25 | |
| Chest X-ray (2 views) |
$118 |
$236 |
$221 |
$33 | |
| Chickenpox (varicella) vaccine |
$33 |
$65 |
$22 |
— | |
| CK-MB heart enzyme test |
$99 |
$197 |
$184 |
$12 | |
| Clotting time test (PTT) |
$14 |
$27 |
$25 |
$6 | |
| Colonoscopy |
$2,129 |
$4,258 |
$3,913 |
$480 | |
| Colostomy |
$2,592 |
$5,184 |
$4,847 |
$1,122 | |
| Complete blood count (CBC) |
$28 |
$54 |
$47 |
$7 | |
| Complete blood count (CBC) (complete) |
$30 |
$59 |
$55 |
$8 | |
| Complex wound repair |
$687 |
$1,372 |
$1,276 |
$390 | |
| Comprehensive metabolic panel |
$46 |
$91 |
$85 |
$11 | |
| Contraceptive implant (Nexplanon) |
$153 |
$305 |
$285 |
$115 | |
| Copper blood test |
$39 |
$77 |
$72 |
$12 | |
| Coronary CT angiography |
$1,400 |
$2,799 |
$2,617 |
$326 | |
| Cortisol test |
$51 |
$101 |
$75 |
$16 | |
| COVID-19 PCR test |
$37 |
$73 |
$59 |
$51 | |
| CPAP titration study |
$331 |
$661 |
$618 |
$69 | |
| Creatine kinase (CK) test |
$44 |
$86 |
$36 |
$7 | |
| CT angiography of the chest |
$1,178 |
$2,356 |
$2,183 |
$281 | |
| CT angiography of the head |
$1,762 |
$3,524 |
$3,295 |
$274 | |
| CT scan of the abdomen |
$1,191 |
$2,381 |
$2,209 |
$230 | |
| CT scan of the abdomen and pelvis |
$1,750 |
$3,500 |
$3,247 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,117 |
$4,234 |
$3,959 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$1,750 |
$3,500 |
$3,273 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,407 |
$2,814 |
$2,631 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,448 |
$2,896 |
$2,708 |
$259 | |
| CT scan of the abdomen with contrast |
$1,191 |
$2,381 |
$2,226 |
$230 | |
| CT scan of the abdomen without contrast |
$928 |
$1,855 |
$1,734 |
$136 | |
| CT scan of the arm |
$886 |
$1,771 |
$1,656 |
$199 | |
| CT scan of the arm with contrast |
$886 |
$1,771 |
$1,656 |
$199 | |
| CT scan of the arm without contrast |
$872 |
$1,743 |
$1,630 |
$161 | |
| CT scan of the chest |
$1,207 |
$2,413 |
$2,194 |
$167 | |
| CT scan of the chest with and without contrast |
$1,232 |
$2,464 |
$2,304 |
$196 | |
| CT scan of the chest with contrast |
$1,207 |
$2,413 |
$2,256 |
$167 | |
| CT scan of the chest without contrast |
$827 |
$1,653 |
$1,546 |
$133 | |
| CT scan of the head |
$1,083 |
$2,165 |
$2,008 |
$148 | |
| CT scan of the head with and without contrast |
$1,261 |
$2,521 |
$2,357 |
$173 | |
| CT scan of the head with contrast |
$1,083 |
$2,165 |
$2,024 |
$148 | |
| CT scan of the head without contrast |
$805 |
$1,610 |
$1,505 |
$107 | |
| CT scan of the leg |
$875 |
$1,750 |
$1,623 |
$166 | |
| CT scan of the leg with contrast |
$875 |
$1,750 |
$1,636 |
$166 | |
| CT scan of the leg without contrast |
$714 |
$1,428 |
$1,335 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$962 |
$1,923 |
$1,798 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,219 |
$2,437 |
$2,279 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$962 |
$1,923 |
$1,798 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$945 |
$1,889 |
$1,766 |
$130 | |
| CT scan of the neck |
$1,088 |
$2,175 |
$2,000 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,143 |
$2,286 |
$2,120 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,220 |
$2,440 |
$2,281 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,143 |
$2,286 |
$2,137 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,012 |
$2,023 |
$1,892 |
$131 | |
| CT scan of the neck with and without contrast |
$1,136 |
$2,272 |
$2,124 |
$220 | |
| CT scan of the neck with contrast |
$1,088 |
$2,175 |
$2,034 |
$183 | |
| CT scan of the neck without contrast |
$745 |
$1,489 |
$1,392 |
$150 | |
| CT scan of the pelvis |
$1,095 |
$2,190 |
$2,007 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,136 |
$2,272 |
$2,124 |
$251 | |
| CT scan of the pelvis with contrast |
$1,095 |
$2,190 |
$2,048 |
$226 | |
| CT scan of the pelvis without contrast |
$928 |
$1,855 |
$1,734 |
$133 | |
| CT scan of the sinuses |
$935 |
$1,870 |
$1,748 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,152 |
$2,304 |
$2,154 |
$184 | |
| CT scan of the sinuses with contrast |
$918 |
$1,835 |
$1,716 |
$152 | |
| CT scan of the sinuses without contrast |
$935 |
$1,870 |
$1,748 |
$128 | |
| D-dimer test |
$70 |
$139 |
$130 |
$10 | |
| Developmental screening (child) |
$16 |
$32 |
$30 |
— | |
| DHEA-sulfate test |
$84 |
$167 |
$156 |
$22 | |
| Diagnostic mammogram |
$135 |
$269 |
$255 |
$140 | |
| Drug screen (urine) |
$76 |
$152 |
$107 |
$17 | |
| Echocardiogram |
$477 |
$953 |
$896 |
$138 | |
| Echocardiogram with and without contrast |
$477 |
$953 |
$891 |
$101 | |
| EKG / ECG (tracing only) |
$157 |
$314 |
$118 |
$7 | |
| Electrocardiogram (EKG) |
$157 |
$314 |
$118 |
$8 | |
| Electrolyte panel |
$60 |
$119 |
$111 |
$7 | |
| Emergency department visit |
$214 |
$427 |
$334 |
$69 | |
| Emergency department visit (level 1) |
$174 |
$348 |
$320 |
$11 | |
| Emergency department visit (level 2) |
$131 |
$262 |
$246 |
$40 | |
| Emergency department visit (level 3) |
$339 |
$677 |
$376 |
$69 | |
| Emergency department visit (level 4) |
$516 |
$1,031 |
$566 |
$118 | |
| Emergency department visit (level 5) |
$845 |
$1,689 |
$841 |
$171 | |
| Estradiol (estrogen) test |
$56 |
$111 |
$100 |
$28 | |
| Fallopian tube X-ray (HSG) |
$224 |
$448 |
$304 |
$164 | |
| Fecal occult blood (stool) test |
$27 |
$53 |
$50 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$26 |
$52 |
$48 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$66 |
$131 |
$122 |
$16 | |
| Femoral hernia repair |
$863 |
$1,726 |
$1,614 |
$584 | |
| Ferritin (iron) test |
$53 |
$105 |
$98 |
$14 | |
| Fibrinogen test |
$73 |
$146 |
$137 |
$10 | |
| Flexible sigmoidoscopy |
$171 |
$342 |
$320 |
$323 | |
| Flu test |
$21 |
$42 |
$39 |
$17 | |
| Flu vaccine |
$20 |
$39 |
$36 |
— | |
| Folate (folic acid) test |
$55 |
$110 |
$103 |
$15 | |
| Foreign body removal (skin) |
$219 |
$437 |
$306 |
$157 | |
| Free T4 thyroid test |
$73 |
$146 |
$137 |
$9 | |
| FSH hormone test |
$72 |
$143 |
$134 |
$19 | |
| Gallbladder removal (laparoscopic) |
$1,231 |
$2,461 |
$2,324 |
$658 | |
| Gallbladder scan (HIDA) |
$898 |
$1,796 |
$1,679 |
$334 | |
| GGT liver test |
$61 |
$121 |
$113 |
$7 | |
| Glucose tolerance test |
$39 |
$77 |
$43 |
$8 | |
| H. pylori test |
$105 |
$209 |
$195 |
$67 | |
| HDL cholesterol test |
$70 |
$140 |
$131 |
$8 | |
| Hematocrit test |
$22 |
$44 |
$41 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$65 |
$128 |
$80 |
$10 | |
| Hepatitis A vaccine |
$100 |
$199 |
$186 |
— | |
| Hepatitis B test |
$39 |
$77 |
$72 |
$10 | |
| Hepatitis B vaccine |
$78 |
$155 |
$145 |
— | |
| Hepatitis C test |
$54 |
$107 |
$100 |
$14 | |
| HIV test |
$73 |
$146 |
$116 |
$19 | |
| HIV test (antibody) |
$85 |
$170 |
$159 |
$14 | |
| HIV test (antigen/antibody combo) |
$61 |
$121 |
$113 |
$24 | |
| Holter heart monitor |
$337 |
$673 |
$629 |
$26 | |
| Hysterectomy |
$2,156 |
$4,311 |
$4,031 |
$933 | |
| Inguinal hernia repair |
$4,049 |
$8,097 |
$3,151 |
$538 | |
| Iron blood test |
$56 |
$111 |
$104 |
$6 | |
| IUD removal |
$491 |
$981 |
$917 |
$112 | |
| IV infusion therapy |
$416 |
$831 |
$255 |
$44 | |
| IV infusion therapy (each additional) |
$108 |
$216 |
$201 |
$21 | |
| IV infusion therapy (initial) |
$431 |
$860 |
$793 |
$67 | |
| Joint aspiration (small/intermediate) |
$350 |
$699 |
$654 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$362 |
$724 |
$672 |
$57 | |
| Joint aspiration or injection (small joint) |
$350 |
$699 |
$649 |
$56 | |
| Kidney biopsy |
$999 |
$1,998 |
$1,868 |
$492 | |
| Kidney scan (nuclear) |
$686 |
$1,371 |
$1,282 |
$172 | |
| Kidney ultrasound |
$311 |
$622 |
$588 |
$84 | |
| Kidney ultrasound (limited) |
$311 |
$622 |
$582 |
$61 | |
| Knee arthroscopy |
$8,475 |
$16,949 |
$15,847 |
$524 | |
| Knee joint injection |
$398 |
$796 |
$744 |
$69 | |
| Lactate test |
$12 |
$24 |
$22 |
$12 | |
| Laryngoscopy |
$1,485 |
$2,970 |
$2,755 |
$189 | |
| LDH test |
$53 |
$104 |
$98 |
$6 | |
| LDL cholesterol test |
$28 |
$55 |
$51 |
$11 | |
| Leg vein ultrasound (Doppler) |
$569 |
$1,136 |
$1,063 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$560 |
$1,119 |
$1,052 |
$116 | |
| LH hormone test |
$72 |
$143 |
$134 |
$19 | |
| Lipase test |
$62 |
$123 |
$115 |
$7 | |
| Lipid (cholesterol) panel |
$45 |
$90 |
$63 |
$13 | |
| Liver biopsy |
$1,513 |
$3,026 |
$2,829 |
$288 | |
| Liver function panel |
$54 |
$107 |
$100 |
$8 | |
| Lung function test (PFT) |
$362 |
$724 |
$661 |
$37 | |
| Magnesium blood test |
$22 |
$43 |
$36 |
$7 | |
| MMR vaccine |
$57 |
$114 |
$107 |
— | |
| MRA of the brain |
$2,048 |
$4,095 |
$3,381 |
$226 | |
| MRA of the brain without contrast |
$2,325 |
$4,650 |
$4,348 |
$328 | |
| MRA of the neck |
$1,540 |
$3,080 |
$2,857 |
$245 | |
| MRA of the neck with contrast |
$1,540 |
$3,080 |
$2,880 |
$245 | |
| MRA of the neck without contrast |
$2,455 |
$4,909 |
$4,590 |
$343 | |
| MRI of the abdomen |
$1,934 |
$3,868 |
$3,588 |
$300 | |
| MRI of the abdomen with contrast |
$1,934 |
$3,868 |
$3,617 |
$300 | |
| MRI of the abdomen without contrast |
$1,427 |
$2,853 |
$2,668 |
$194 | |
| MRI of the ankle |
$1,890 |
$3,779 |
$3,298 |
$261 | |
| MRI of the ankle with contrast |
$1,890 |
$3,779 |
$3,533 |
$261 | |
| MRI of the ankle without contrast |
$1,718 |
$3,435 |
$3,212 |
$222 | |
| MRI of the brain |
$1,854 |
$3,707 |
$3,466 |
$269 | |
| MRI of the brain with contrast |
$1,854 |
$3,707 |
$3,466 |
$269 | |
| MRI of the brain without contrast |
$1,807 |
$3,614 |
$3,379 |
$195 | |
| MRI of the chest |
$1,317 |
$2,633 |
$2,370 |
$371 | |
| MRI of the chest with contrast |
$1,317 |
$2,633 |
$2,462 |
$371 | |
| MRI of the chest without contrast |
$1,317 |
$2,633 |
$2,462 |
$466 | |
| MRI of the knee |
$1,638 |
$3,276 |
$3,079 |
$315 | |
| MRI of the knee with contrast |
$1,638 |
$3,276 |
$3,063 |
$315 | |
| MRI of the lower back (lumbar spine) |
$1,583 |
$3,165 |
$2,936 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,583 |
$3,165 |
$2,959 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,422 |
$2,843 |
$2,658 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,657 |
$3,313 |
$3,073 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,268 |
$4,535 |
$4,240 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,657 |
$3,313 |
$3,098 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,583 |
$3,166 |
$2,960 |
$190 | |
| MRI of the neck (cervical spine) |
$1,600 |
$3,200 |
$2,968 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,161 |
$4,322 |
$4,041 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,600 |
$3,200 |
$2,992 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,518 |
$3,036 |
$2,839 |
$191 | |
| MRI of the pelvis |
$2,124 |
$4,248 |
$3,536 |
$268 | |
| MRI of the pelvis without contrast |
$1,851 |
$3,702 |
$3,461 |
$227 | |
| MRI of the shoulder |
$2,009 |
$4,018 |
$3,727 |
$313 | |
| MRI of the shoulder with contrast |
$2,009 |
$4,018 |
$3,757 |
$313 | |
| MRI of the shoulder without contrast |
$1,467 |
$2,934 |
$2,743 |
$205 | |
| MRI of the wrist |
$1,845 |
$3,689 |
$3,449 |
$330 | |
| MRI of the wrist with contrast |
$1,845 |
$3,689 |
$3,449 |
$330 | |
| MRI of the wrist without contrast |
$1,808 |
$3,615 |
$3,380 |
$303 | |
| Nebulizer breathing treatment |
$302 |
$603 |
$564 |
$9 | |
| Nuchal translucency ultrasound |
$116 |
$231 |
$216 |
$116 | |
| Nuclear cardiac stress test |
$1,735 |
$3,469 |
$3,244 |
$428 | |
| Occupational therapy evaluation |
$104 |
$207 |
$194 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$104 |
$207 |
$194 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$104 |
$207 |
$194 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$104 |
$207 |
$194 |
$101 | |
| Office visit (established patient) |
$87 |
$173 |
$135 |
$115 | |
| Office visit (new patient) |
$199 |
$398 |
$251 |
$177 | |
| Office visit, established patient (level 3) |
$71 |
$141 |
$132 |
$95 | |
| Office visit, established patient (level 4) |
$103 |
$205 |
$192 |
$136 | |
| Office visit, new patient (level 3) |
$131 |
$261 |
$239 |
$118 | |
| Office visit, new patient (level 4) |
$204 |
$408 |
$378 |
$177 | |
| Office visit, new patient (level 5) |
$222 |
$444 |
$412 |
$237 | |
| Parathyroid hormone (PTH) test |
$102 |
$204 |
$140 |
$41 | |
| Pelvic ultrasound |
$161 |
$321 |
$302 |
$78 | |
| Pelvic ultrasound (complete) |
$339 |
$677 |
$633 |
$105 | |
| Pelvic ultrasound (limited) |
$161 |
$321 |
$300 |
$51 | |
| Phosphorus blood test |
$40 |
$79 |
$74 |
$5 | |
| Physical therapy evaluation |
$93 |
$186 |
$174 |
$98 | |
| Physical therapy evaluation (high complexity) |
$91 |
$182 |
$170 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$93 |
$186 |
$174 |
$98 | |
| Platelet count |
$37 |
$74 |
$69 |
$4 | |
| Pneumonia vaccine |
$87 |
$173 |
$162 |
— | |
| Pregnancy blood test (hCG) |
$61 |
$121 |
$113 |
$8 | |
| Pregnancy ultrasound |
$415 |
$829 |
$757 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$430 |
$860 |
$804 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$399 |
$797 |
$745 |
$136 | |
| Procalcitonin test |
$96 |
$191 |
$102 |
$27 | |
| Prolactin test |
$74 |
$148 |
$138 |
$19 | |
| Prostate test (PSA) |
$42 |
$84 |
$78 |
$18 | |
| Psychiatric evaluation |
$138 |
$276 |
$258 |
$188 | |
| Psychotherapy session |
$138 |
$276 |
$258 |
$140 | |
| Rheumatoid factor test |
$49 |
$98 |
$92 |
$6 | |
| Sacroiliac joint injection |
$1,075 |
$2,149 |
$2,009 |
$176 | |
| Scoliosis spine X-ray |
$81 |
$162 |
$153 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$81 |
$162 |
$151 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$91 |
$181 |
$169 |
$72 | |
| Screening mammogram |
$163 |
$325 |
$302 |
$126 | |
| Scrotal ultrasound |
$370 |
$739 |
$691 |
$99 | |
| Sedimentation rate (ESR) test |
$24 |
$48 |
$45 |
$3 | |
| Semen analysis |
$65 |
$129 |
$54 |
$12 | |
| Sex hormone binding globulin test |
$52 |
$104 |
$97 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$211 |
$421 |
$398 |
$114 | |
| Simple wound stitches |
$266 |
$531 |
$436 |
$127 | |
| Skin biopsy |
$97 |
$193 |
$182 |
$121 | |
| Skin biopsy (punch) |
$300 |
$599 |
$238 |
$121 | |
| Skin tag removal |
$255 |
$510 |
$477 |
$92 | |
| Sleep study (polysomnography) |
$2,447 |
$4,893 |
$4,352 |
$691 | |
| Small bowel resection |
$2,582 |
$5,164 |
$4,828 |
$1,136 | |
| Soft tissue ultrasound |
$161 |
$321 |
$300 |
$64 | |
| Speech therapy |
$98 |
$196 |
$183 |
$76 | |
| Spinal tap (lumbar puncture) |
$849 |
$1,698 |
$1,575 |
$165 | |
| Spirometry (lung function test) |
$171 |
$341 |
$319 |
$30 | |
| Spirometry with bronchodilator |
$368 |
$735 |
$687 |
$43 | |
| Strep throat test |
$44 |
$87 |
$83 |
$17 | |
| Stress echocardiogram |
$1,423 |
$2,846 |
$2,661 |
$209 | |
| Swallow study |
$116 |
$231 |
$216 |
$85 | |
| T3 thyroid test |
$46 |
$92 |
$86 |
$14 | |
| Tdap (tetanus) vaccine |
$55 |
$110 |
$102 |
— | |
| Testosterone test |
$64 |
$128 |
$120 |
$26 | |
| Thyroid test (TSH) |
$30 |
$59 |
$23 |
$17 | |
| Thyroid ultrasound |
$341 |
$681 |
$620 |
$109 | |
| Thyroid uptake scan |
$515 |
$1,029 |
$962 |
$145 | |
| Tilt table test |
$470 |
$939 |
$878 |
$168 | |
| Total IgE allergy test |
$30 |
$60 |
$22 |
$16 | |
| Total protein test |
$9 |
$17 |
$16 |
$4 | |
| Transvaginal ultrasound |
$373 |
$745 |
$680 |
$118 | |
| Trigger point injection |
$187 |
$374 |
$351 |
$56 | |
| Trigger point injection (1-2 muscles) |
$187 |
$374 |
$347 |
$52 | |
| Triglycerides test |
$50 |
$99 |
$93 |
$6 | |
| Troponin (heart) test |
$58 |
$116 |
$108 |
$12 | |
| Turning a breech baby (version) |
$3,704 |
$7,408 |
$6,926 |
$94 | |
| Upper GI endoscopy (EGD) |
$1,390 |
$2,780 |
$1,403 |
$371 | |
| Upper GI series (barium) |
$284 |
$568 |
$537 |
$128 | |
| Uric acid (gout) test |
$39 |
$77 |
$72 |
$5 | |
| Urinalysis |
$22 |
$43 |
$40 |
$3 | |
| Urine microalbumin test |
$13 |
$26 |
$23 |
$5 | |
| Urine pregnancy test |
$44 |
$86 |
$74 |
$9 | |
| Vaccine administration |
$36 |
$72 |
$51 |
$19 | |
| Vaccine administration (each additional) |
$29 |
$58 |
$51 |
$16 | |
| Vitamin B12 test |
$58 |
$116 |
$108 |
$15 | |
| Vitamin D test |
$116 |
$230 |
$120 |
$30 | |
| Wound debridement |
$489 |
$978 |
$907 |
$186 | |
| X-ray of the abdomen |
$120 |
$240 |
$216 |
$36 | |
| X-ray of the ankle |
$90 |
$180 |
$162 |
$37 | |
| X-ray of the collarbone |
$108 |
$216 |
$195 |
$33 | |
| X-ray of the elbow |
$112 |
$224 |
$204 |
$33 | |
| X-ray of the facial bones |
$123 |
$246 |
$199 |
$39 | |
| X-ray of the foot |
$85 |
$169 |
$152 |
$34 | |
| X-ray of the forearm |
$108 |
$216 |
$195 |
$29 | |
| X-ray of the hand |
$124 |
$248 |
$223 |
$38 | |
| X-ray of the hip |
$130 |
$260 |
$239 |
$49 | |
| X-ray of the hip (1 view) |
$84 |
$167 |
$73 |
$34 | |
| X-ray of the hip (3 views) |
$130 |
$260 |
$241 |
$49 | |
| X-ray of the hip (4 views) |
$143 |
$286 |
$258 |
$63 | |
| X-ray of the knee |
$95 |
$189 |
$177 |
$42 | |
| X-ray of the knee (2 views) |
$95 |
$189 |
$170 |
$34 | |
| X-ray of the knee (3 views) |
$130 |
$260 |
$236 |
$42 | |
| X-ray of the knee (4+ views) |
$156 |
$311 |
$280 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$155 |
$309 |
$248 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$130 |
$259 |
$242 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$180 |
$359 |
$336 |
$53 | |
| X-ray of the lower leg |
$112 |
$224 |
$202 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$136 |
$270 |
$246 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$129 |
$257 |
$240 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$142 |
$283 |
$265 |
$39 | |
| X-ray of the neck (cervical spine) |
$166 |
$331 |
$228 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$120 |
$239 |
$223 |
$40 | |
| X-ray of the pelvis |
$110 |
$220 |
$205 |
$36 | |
| X-ray of the pelvis (1 view) |
$108 |
$216 |
$202 |
$28 | |
| X-ray of the ribs |
$131 |
$261 |
$219 |
$42 | |
| X-ray of the ribs (2 views) |
$108 |
$216 |
$202 |
$36 | |
| X-ray of the ribs (3 views) |
$131 |
$261 |
$244 |
$42 | |
| X-ray of the shoulder |
$124 |
$248 |
$223 |
$36 | |
| X-ray of the skull |
$129 |
$258 |
$236 |
$40 | |
| X-ray of the upper arm |
$119 |
$237 |
$214 |
$32 | |
| X-ray of the wrist |
$114 |
$227 |
$212 |
$43 | |
| Zinc blood test |
$37 |
$74 |
$69 |
$11 | |