| 3D mammogram (tomosynthesis) |
$83 |
$183 |
$93 |
$51 | |
| Abdominal ultrasound |
$195 |
$2,089 |
$547 |
$100 | |
| Abdominal ultrasound (complete) |
$1,142 |
$2,089 |
$673 |
$114 | |
| Abdominal ultrasound (limited) |
$195 |
$2,089 |
$547 |
$86 | |
| Abscess drainage (complex or multiple) |
$732 |
$2,113 |
$4,386 |
$220 | |
| Abscess drainage (simple) |
$364 |
$2,253 |
$4,386 |
$129 | |
| Abscess incision and drainage |
$364 |
$2,253 |
$4,386 |
$174 | |
| Albumin blood test |
$7 |
$79 |
$38 |
$5 | |
| Aldosterone test |
$61 |
$648 |
$314 |
$41 | |
| Alkaline phosphatase test |
$83 |
$83 |
$40 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$25 |
$268 |
$129 |
$17 | |
| ALT liver enzyme test |
$8 |
$85 |
$41 |
$5 | |
| Ammonia blood test |
$233 |
$233 |
$112 |
$15 | |
| Amylase test |
$10 |
$103 |
$50 |
$6 | |
| Antinuclear antibody (ANA) test |
$192 |
$192 |
$93 |
$12 | |
| Arterial blood gas (ABG) |
$415 |
$415 |
$149 |
$26 | |
| AST liver enzyme test |
$8 |
$83 |
$40 |
$5 | |
| Barium swallow study |
$326 |
$3,300 |
$459 |
$107 | |
| Basic metabolic panel |
$135 |
$135 |
$49 |
$8 | |
| Bilirubin blood test |
$80 |
$80 |
$39 |
$5 | |
| Blood clotting test (PT/INR) |
$68 |
$68 |
$30 |
$4 | |
| Blood glucose test |
$6 |
$63 |
$30 |
$5 | |
| Blood transfusion |
$3,312 |
$3,312 |
$4,386 |
$47 | |
| BNP (heart failure) test |
$625 |
$625 |
$262 |
$39 | |
| Bone density scan (DEXA) |
$1,142 |
$2,089 |
$608 |
$39 | |
| Bone scan (nuclear) |
$736 |
$6,860 |
$1,478 |
$259 | |
| Breast MRI |
— |
$7,306 |
$473 |
$216 | |
| Breast ultrasound |
$178 |
$1,789 |
$183 |
$92 | |
| Breast ultrasound (complete) |
$195 |
$2,089 |
$213 |
$100 | |
| Breast ultrasound (limited) |
$161 |
$1,488 |
$164 |
$84 | |
| Breathing tube insertion (intubation) |
$426 |
$2,420 |
$4,386 |
$133 | |
| Burn dressing and debridement (small) |
$364 |
$689 |
$4,386 |
$93 | |
| Burn treatment |
$364 |
$689 |
$4,386 |
$129 | |
| C-reactive protein (CRP) |
$45 |
$83 |
$40 |
$5 | |
| CA 19-9 tumor marker test |
$31 |
$331 |
$161 |
$21 | |
| CA-125 ovarian marker test |
$31 |
$331 |
$161 |
$21 | |
| Calcium blood test |
$8 |
$82 |
$40 |
$5 | |
| Cardiac stress test |
$571 |
$2,001 |
$378 |
$39 | |
| Cardioversion |
$1,199 |
$6,489 |
$1,593 |
$155 | |
| Carotid artery ultrasound |
$2,873 |
$5,303 |
$1,073 |
$156 | |
| CEA tumor marker test |
$28 |
$302 |
$146 |
$19 | |
| Celiac disease test |
$17 |
$184 |
$12 |
$12 | |
| Cesarean section (C-section) |
$14,427 |
$92,192 |
$14,637 |
$7,552 | |
| Chemotherapy infusion |
$369 |
$1,271 |
$2,353 |
$81 | |
| Chemotherapy infusion (each additional) |
$130 |
$824 |
$2,353 |
$28 | |
| Chemotherapy infusion (first hour) |
$608 |
$1,718 |
$2,353 |
$133 | |
| Chest X-ray |
$825 |
$1,488 |
$61 |
$37 | |
| Chest X-ray (1 view) |
$825 |
$1,488 |
$54 |
$25 | |
| Chest X-ray (2 views) |
$825 |
$1,488 |
$72 |
$33 | |
| Circumcision |
$3,754 |
$5,575 |
$5,780 |
$167 | |
| Clotting time test (PTT) |
$96 |
$96 |
$46 |
$6 | |
| Complete blood count (CBC) |
$114 |
$114 |
$45 |
$7 | |
| Complete blood count (CBC) (complete) |
$125 |
$125 |
$1,088 |
$8 | |
| Comprehensive metabolic panel |
$168 |
$168 |
$1,478 |
$11 | |
| Copper blood test |
$198 |
$198 |
$96 |
$12 | |
| Cortisol test |
$24 |
$260 |
$126 |
$16 | |
| COVID-19 PCR test |
$77 |
$159 |
$62 |
$51 | |
| CPAP titration study |
$373 |
$1,558 |
$264 |
$69 | |
| Creatine kinase (CK) test |
$104 |
$104 |
$50 |
$7 | |
| CT angiography of the chest |
$1,913 |
$3,500 |
$2,370 |
$281 | |
| CT angiography of the head |
$1,915 |
$3,503 |
$2,373 |
$274 | |
| CT scan of the abdomen |
$326 |
$3,396 |
$1,321 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,498 |
$7,115 |
$1,107 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,885 |
$7,115 |
$2,327 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$3,885 |
$7,115 |
$1,761 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,393 |
$4,342 |
$923 |
$183 | |
| CT scan of the abdomen with and without contrast |
$326 |
$3,457 |
$2,342 |
$259 | |
| CT scan of the abdomen with contrast |
$326 |
$3,396 |
$1,904 |
$230 | |
| CT scan of the abdomen without contrast |
$195 |
$2,089 |
$1,321 |
$136 | |
| CT scan of the arm |
$490 |
$4,815 |
$1,359 |
$199 | |
| CT scan of the arm with contrast |
$655 |
$7,115 |
$1,699 |
$199 | |
| CT scan of the arm without contrast |
$195 |
$2,089 |
$1,359 |
$161 | |
| CT scan of the chest |
$326 |
$3,396 |
$1,359 |
$167 | |
| CT scan of the chest with and without contrast |
$326 |
$3,396 |
$2,204 |
$196 | |
| CT scan of the chest with contrast |
$326 |
$3,396 |
$1,751 |
$167 | |
| CT scan of the chest without contrast |
$1,142 |
$2,089 |
$1,359 |
$133 | |
| CT scan of the head |
$326 |
$3,396 |
$1,088 |
$148 | |
| CT scan of the head with and without contrast |
$326 |
$3,396 |
$1,735 |
$173 | |
| CT scan of the head with contrast |
$326 |
$3,396 |
$1,409 |
$148 | |
| CT scan of the head without contrast |
$1,142 |
$2,089 |
$1,088 |
$107 | |
| CT scan of the leg |
$326 |
$3,396 |
$1,359 |
$166 | |
| CT scan of the leg with contrast |
$326 |
$3,396 |
$1,718 |
$166 | |
| CT scan of the leg without contrast |
$195 |
$2,089 |
$1,359 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$490 |
$3,396 |
$1,359 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$326 |
$3,396 |
$2,201 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$655 |
$7,115 |
$1,754 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,142 |
$2,089 |
$1,359 |
$130 | |
| CT scan of the neck |
$326 |
$3,396 |
$1,359 |
$183 | |
| CT scan of the neck (cervical spine) |
$655 |
$4,602 |
$1,359 |
$168 | |
| CT scan of the neck (cervical spine) with contrast |
$655 |
$7,115 |
$1,756 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,142 |
$2,089 |
$1,359 |
$131 | |
| CT scan of the neck with and without contrast |
$326 |
$3,396 |
$2,125 |
$220 | |
| CT scan of the neck with contrast |
$326 |
$3,396 |
$1,697 |
$183 | |
| CT scan of the neck without contrast |
$195 |
$2,089 |
$1,359 |
$150 | |
| CT scan of the pelvis |
$326 |
$3,396 |
$1,330 |
$226 | |
| CT scan of the pelvis with and without contrast |
$326 |
$4,139 |
$2,225 |
$251 | |
| CT scan of the pelvis with contrast |
$326 |
$3,396 |
$1,663 |
$226 | |
| CT scan of the pelvis without contrast |
$1,142 |
$2,089 |
$1,330 |
$133 | |
| CT scan of the sinuses |
$326 |
$2,743 |
$1,359 |
$152 | |
| CT scan of the sinuses with contrast |
$326 |
$3,396 |
$1,768 |
$152 | |
| CT scan of the sinuses without contrast |
$1,142 |
$2,089 |
$1,359 |
$128 | |
| D-dimer test |
$163 |
$163 |
$63 |
$10 | |
| DHEA-sulfate test |
$353 |
$353 |
$171 |
$22 | |
| Diagnostic mammogram |
$200 |
$727 |
$298 |
$140 | |
| Drug screen (urine) |
$988 |
$988 |
$32 |
$17 | |
| Echocardiogram |
$1,005 |
$8,296 |
$1,458 |
$138 | |
| EKG / ECG (tracing only) |
$109 |
$774 |
$76 |
$7 | |
| Electrocardiogram (EKG) |
$109 |
$774 |
$76 |
$8 | |
| Electrolyte panel |
$11 |
$112 |
$41 |
$7 | |
| Emergency department visit |
$5,008 |
$5,842 |
$2,267 |
$69 | |
| Emergency department visit (level 1) |
$1,750 |
$3,338 |
$1,680 |
$11 | |
| Emergency department visit (level 3) |
$5,842 |
$5,842 |
$2,267 |
$69 | |
| Emergency department visit (level 4) |
$3,896 |
$7,011 |
$2,348 |
$118 | |
| Emergency department visit (level 5) |
$10,709 |
$10,709 |
$2,348 |
$171 | |
| Estradiol (estrogen) test |
$42 |
$445 |
$215 |
$28 | |
| Ferritin (iron) test |
$217 |
$217 |
$105 |
$14 | |
| Fibrinogen test |
$155 |
$155 |
$65 |
$10 | |
| Flu test |
$263 |
$263 |
$67 |
$17 | |
| Folate (folic acid) test |
$235 |
$235 |
$113 |
$15 | |
| Foreign body removal (skin) |
$732 |
$2,260 |
$4,386 |
$157 | |
| Free T4 thyroid test |
$144 |
$144 |
$70 |
$9 | |
| FSH hormone test |
$296 |
$296 |
$143 |
$19 | |
| Gallbladder scan (HIDA) |
$861 |
$7,579 |
$944 |
$334 | |
| GGT liver test |
$115 |
$115 |
$56 |
$7 | |
| HDL cholesterol test |
$12 |
$131 |
$63 |
$8 | |
| Hematocrit test |
$21 |
$39 |
$18 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$15 |
$155 |
$75 |
$10 | |
| Hepatitis B test |
$16 |
$165 |
$80 |
$10 | |
| Hepatitis C test |
$227 |
$227 |
$110 |
$14 | |
| HIV test |
$301 |
$301 |
$106 |
$19 | |
| HIV test (antibody) |
$219 |
$219 |
$106 |
$14 | |
| HIV test (antigen/antibody combo) |
$383 |
$383 |
$14 |
$24 | |
| Holter heart monitor |
$109 |
$752 |
$1,395 |
$26 | |
| Iron blood test |
$103 |
$103 |
$50 |
$6 | |
| IV infusion therapy |
$235 |
$1,266 |
$856 |
$44 | |
| IV infusion therapy (each additional) |
$85 |
$488 |
$888 |
$21 | |
| IV infusion therapy (initial) |
$386 |
$2,044 |
$777 |
$67 | |
| Joint aspiration (small/intermediate) |
$541 |
$1,425 |
$4,386 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$541 |
$1,425 |
$4,386 |
$57 | |
| Kidney scan (nuclear) |
$987 |
$8,795 |
$850 |
$172 | |
| Kidney ultrasound |
$1,142 |
$2,089 |
$581 |
$84 | |
| Kidney ultrasound (limited) |
$1,142 |
$2,089 |
$581 |
$61 | |
| Knee joint injection |
$541 |
$1,713 |
$4,386 |
$69 | |
| Knee replacement |
$35,015 |
$147,936 |
$34,602 |
$18,054 | |
| Lactate test |
$185 |
$185 |
$67 |
$12 | |
| LDH test |
$97 |
$97 |
$47 |
$6 | |
| LDL cholesterol test |
$16 |
$168 |
$74 |
$11 | |
| Leg vein ultrasound (Doppler) |
$2,150 |
$4,136 |
$1,073 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$2,025 |
$3,856 |
$676 |
$116 | |
| LH hormone test |
$295 |
$295 |
$143 |
$19 | |
| Lipase test |
$110 |
$110 |
$45 |
$7 | |
| Lipid (cholesterol) panel |
$214 |
$214 |
$103 |
$13 | |
| Liver function panel |
$72 |
$131 |
$49 |
$8 | |
| Lower back (lumbar) spinal fusion |
— |
$432,185 |
$3,750 |
$1,511 | |
| Magnesium blood test |
$108 |
$108 |
$52 |
$7 | |
| MRA of the brain |
$549 |
$5,729 |
$2,403 |
$226 | |
| MRA of the brain without contrast |
$655 |
$7,115 |
$3,738 |
$328 | |
| MRA of the neck |
$549 |
$5,729 |
$2,403 |
$245 | |
| MRA of the neck without contrast |
$655 |
$7,115 |
$3,738 |
$343 | |
| MRI of the abdomen |
$549 |
$5,729 |
$2,401 |
$300 | |
| MRI of the abdomen without contrast |
$443 |
$4,342 |
$2,401 |
$194 | |
| MRI of the ankle |
$655 |
$7,115 |
$2,403 |
$261 | |
| MRI of the ankle without contrast |
$443 |
$4,342 |
$2,403 |
$222 | |
| MRI of the brain |
$655 |
$5,729 |
$2,403 |
$269 | |
| MRI of the brain without contrast |
$2,393 |
$4,342 |
$2,403 |
$195 | |
| MRI of the chest |
$443 |
$4,342 |
$2,403 |
$371 | |
| MRI of the knee |
$655 |
$5,729 |
$2,403 |
$315 | |
| MRI of the knee without contrast |
$443 |
$4,342 |
$2,403 |
$204 | |
| MRI of the lower back (lumbar spine) |
$655 |
$5,729 |
$2,401 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,393 |
$4,342 |
$2,401 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$549 |
$5,729 |
$2,401 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$655 |
$7,115 |
$3,738 |
$319 | |
| MRI of the mid-back (thoracic spine) without contrast |
$443 |
$4,342 |
$2,401 |
$190 | |
| MRI of the neck (cervical spine) |
$549 |
$5,729 |
$2,401 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$655 |
$7,115 |
$3,738 |
$318 | |
| MRI of the neck (cervical spine) without contrast |
$443 |
$4,342 |
$2,401 |
$191 | |
| MRI of the pelvis |
$655 |
$5,729 |
$2,403 |
$268 | |
| MRI of the pelvis without contrast |
$2,393 |
$4,342 |
$2,403 |
$227 | |
| MRI of the shoulder |
$655 |
$4,342 |
$2,403 |
$313 | |
| MRI of the shoulder without contrast |
$443 |
$4,342 |
$2,403 |
$205 | |
| MRI of the wrist |
$549 |
$5,729 |
$2,403 |
$330 | |
| MRI of the wrist without contrast |
$443 |
$4,342 |
$2,403 |
$303 | |
| Nebulizer breathing treatment |
$373 |
$942 |
$224 |
$9 | |
| Nuclear cardiac stress test |
$2,393 |
$24,380 |
$2,801 |
$428 | |
| Occupational therapy evaluation |
$163 |
$1,348 |
$227 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$163 |
$1,348 |
$227 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$755 |
$1,348 |
$227 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$755 |
$1,348 |
$227 |
$101 | |
| Office visit (established patient) |
$505 |
$505 |
$372 |
$115 | |
| Office visit, established patient (level 3) |
$394 |
$394 |
$372 |
$95 | |
| Office visit, established patient (level 4) |
$616 |
$616 |
$372 |
$136 | |
| Parathyroid hormone (PTH) test |
$657 |
$657 |
$318 |
$41 | |
| Pelvic ultrasound |
$1,142 |
$2,089 |
$436 |
$78 | |
| Pelvic ultrasound (complete) |
$1,142 |
$2,089 |
$638 |
$105 | |
| Pelvic ultrasound (limited) |
$1,142 |
$2,089 |
$436 |
$51 | |
| PET scan |
$2,673 |
$8,831 |
$7,298 |
— | |
| Phosphorus blood test |
$76 |
$76 |
$37 |
$5 | |
| Physical therapy evaluation |
$158 |
$1,164 |
$227 |
$98 | |
| Physical therapy evaluation (high complexity) |
$158 |
$1,164 |
$227 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$158 |
$1,164 |
$227 |
$98 | |
| Platelet count |
$7 |
$72 |
$34 |
$4 | |
| Pregnancy blood test (hCG) |
$120 |
$120 |
$58 |
$8 | |
| Pregnancy ultrasound |
$195 |
$2,089 |
$574 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$195 |
$2,089 |
$574 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$1,142 |
$2,089 |
$673 |
$136 | |
| Procalcitonin test |
$41 |
$433 |
$207 |
$27 | |
| Prolactin test |
$29 |
$309 |
$149 |
$19 | |
| Prostate test (PSA) |
$160 |
$293 |
$142 |
$18 | |
| Scoliosis spine X-ray |
$195 |
$2,089 |
$171 |
$58 | |
| Scoliosis spine X-ray (3 views) |
$195 |
$2,089 |
$171 |
$72 | |
| Screening mammogram |
$488 |
$771 |
$286 |
$126 | |
| Scrotal ultrasound |
$195 |
$2,089 |
$647 |
$99 | |
| Sedimentation rate (ESR) test |
$60 |
$80 |
$27 |
$3 | |
| Sex hormone binding globulin test |
$346 |
$346 |
$168 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$364 |
$1,197 |
$4,386 |
$114 | |
| Simple wound stitches |
$364 |
$1,212 |
$4,636 |
$127 | |
| Skin biopsy |
$1,122 |
$2,395 |
$4,386 |
$121 | |
| Soft tissue ultrasound |
$195 |
$2,089 |
$72 |
$64 | |
| Speech therapy |
$590 |
$1,060 |
$309 |
$76 | |
| Spinal tap (lumbar puncture) |
$1,269 |
$4,462 |
$4,363 |
$165 | |
| Strep throat test |
$263 |
$263 |
$67 |
$17 | |
| Stress echocardiogram |
$1,005 |
$7,553 |
$1,760 |
$209 | |
| Stress echocardiogram (complete) |
$1,005 |
$7,553 |
$1,760 |
$233 | |
| Swallow study |
$135 |
$1,191 |
$681 |
$85 | |
| T3 thyroid test |
$226 |
$226 |
$109 |
$14 | |
| Testosterone test |
$411 |
$411 |
$199 |
$26 | |
| Thyroid test (TSH) |
$268 |
$268 |
$2,352 |
$17 | |
| Thyroid ultrasound |
$1,142 |
$2,089 |
$638 |
$109 | |
| Total IgE allergy test |
$262 |
$262 |
$127 |
$16 | |
| Total protein test |
$6 |
$59 |
$28 |
$4 | |
| Transvaginal ultrasound |
$1,142 |
$2,089 |
$640 |
$118 | |
| Trigger point injection |
$541 |
$3,541 |
$4,386 |
$56 | |
| Trigger point injection (1-2 muscles) |
$541 |
$5,656 |
$4,386 |
$52 | |
| Triglycerides test |
$9 |
$92 |
$44 |
$6 | |
| Troponin (heart) test |
$199 |
$199 |
$47 |
$12 | |
| Upper GI series (barium) |
$326 |
$3,396 |
$545 |
$128 | |
| Uric acid (gout) test |
$73 |
$73 |
$35 |
$5 | |
| Urinalysis |
$44 |
$44 |
$24 |
$3 | |
| Urine microalbumin test |
$88 |
$88 |
$45 |
$5 | |
| Urine pregnancy test |
$137 |
$137 |
$49 |
$9 | |
| Vaccine administration |
$175 |
$162 |
$281 |
$19 | |
| Vaccine administration (each additional) |
— |
$149 |
$281 |
$16 | |
| Vaginal delivery |
$9,244 |
$59,605 |
$7,803 |
$5,487 | |
| Vitamin B12 test |
$240 |
$240 |
$116 |
$15 | |
| Vitamin D test |
$471 |
$471 |
$228 |
$30 | |
| Wound debridement |
$927 |
$2,239 |
$5,378 |
$186 | |
| X-ray of the abdomen |
$195 |
$2,089 |
$77 |
$36 | |
| X-ray of the ankle |
$161 |
$1,488 |
$169 |
$37 | |
| X-ray of the collarbone |
$161 |
$1,488 |
$145 |
$33 | |
| X-ray of the elbow |
$825 |
$1,488 |
$181 |
$33 | |
| X-ray of the facial bones |
$178 |
$1,789 |
$145 |
$39 | |
| X-ray of the foot |
$1,488 |
$1,488 |
$164 |
$34 | |
| X-ray of the forearm |
$161 |
$1,488 |
$141 |
$29 | |
| X-ray of the hand |
$1,488 |
$1,488 |
$167 |
$38 | |
| X-ray of the hip |
$161 |
$1,488 |
$92 |
$49 | |
| X-ray of the hip (1 view) |
$161 |
$1,488 |
$74 |
$34 | |
| X-ray of the hip (3 views) |
$161 |
$1,488 |
$113 |
$49 | |
| X-ray of the hip (4 views) |
$195 |
$2,089 |
$143 |
$63 | |
| X-ray of the knee |
$1,488 |
$1,488 |
$155 |
$42 | |
| X-ray of the knee (2 views) |
$1,488 |
$1,488 |
$150 |
$34 | |
| X-ray of the knee (3 views) |
$1,488 |
$1,488 |
$188 |
$42 | |
| X-ray of the knee (4+ views) |
$2,089 |
$2,089 |
$214 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$1,142 |
$2,089 |
$205 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$1,142 |
$2,089 |
$205 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$1,142 |
$2,089 |
$281 |
$53 | |
| X-ray of the lower leg |
$161 |
$1,488 |
$136 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$1,142 |
$2,089 |
$162 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$1,142 |
$2,089 |
$162 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$1,142 |
$2,089 |
$190 |
$39 | |
| X-ray of the neck (cervical spine) |
$195 |
$1,789 |
$193 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$825 |
$1,488 |
$193 |
$40 | |
| X-ray of the pelvis |
$195 |
$2,089 |
$126 |
$36 | |
| X-ray of the pelvis (1 view) |
$195 |
$2,089 |
$126 |
$28 | |
| X-ray of the ribs |
$841 |
$1,789 |
$152 |
$42 | |
| X-ray of the ribs (2 views) |
$825 |
$1,488 |
$152 |
$36 | |
| X-ray of the ribs (3 views) |
$1,142 |
$2,089 |
$186 |
$42 | |
| X-ray of the shoulder |
$1,488 |
$1,488 |
$148 |
$36 | |
| X-ray of the skull |
$195 |
$2,089 |
$176 |
$40 | |
| X-ray of the upper arm |
$161 |
$1,488 |
$145 |
$32 | |
| X-ray of the wrist |
$161 |
$1,488 |
$195 |
$43 | |
| Zinc blood test |
$17 |
$182 |
$57 |
$11 | |