| Abdominal fluid drain (paracentesis) |
$1,860 |
$1,860 |
$1,860 |
$284 | |
| Abdominal ultrasound |
$735 |
$735 |
$735 |
$100 | |
| Abdominal ultrasound (complete) |
$806 |
$806 |
$806 |
$114 | |
| Abdominal ultrasound (limited) |
$663 |
$663 |
$663 |
$86 | |
| Abscess drainage (complex or multiple) |
$591 |
$591 |
$591 |
$220 | |
| Abscess drainage (simple) |
$321 |
$321 |
$321 |
$129 | |
| Abscess incision and drainage |
$591 |
$591 |
$591 |
$174 | |
| Albumin blood test |
$72 |
$72 |
$72 |
$5 | |
| Aldosterone test |
$434 |
$434 |
$434 |
$41 | |
| Alkaline phosphatase test |
$70 |
$70 |
$70 |
$5 | |
| Allergy shots |
$43 |
$43 |
$43 |
$11 | |
| Alpha-fetoprotein (AFP) test |
$178 |
$178 |
$178 |
$17 | |
| ALT liver enzyme test |
$62 |
$62 |
$62 |
$5 | |
| Ammonia blood test |
$148 |
$148 |
$148 |
$15 | |
| Amylase test |
$120 |
$120 |
$120 |
$6 | |
| Ankle replacement |
$26,250 |
$26,250 |
$26,250 |
$885 | |
| Annual physical (established patient) |
$414 |
$414 |
$414 |
— | |
| Annual physical (new patient) |
$465 |
$465 |
$465 |
— | |
| Anoscopy |
$256 |
$256 |
$256 |
$129 | |
| Antinuclear antibody (ANA) test |
$155 |
$155 |
$155 |
$12 | |
| Arterial blood gas (ABG) |
$277 |
$277 |
$277 |
$26 | |
| AST liver enzyme test |
$62 |
$62 |
$62 |
$5 | |
| Bartholin cyst removal |
$362 |
$362 |
$362 |
$182 | |
| Basic metabolic panel |
$144 |
$144 |
$144 |
$8 | |
| Benign skin lesion removal |
$486 |
$486 |
$486 |
$171 | |
| Bilirubin blood test |
$70 |
$70 |
$70 |
$5 | |
| Blood clotting test (PT/INR) |
$35 |
$35 |
$35 |
$4 | |
| Blood crossmatch |
$305 |
$305 |
$305 |
— | |
| Blood glucose test |
$35 |
$35 |
$35 |
$5 | |
| Blood transfusion |
$1,604 |
$1,604 |
$1,604 |
$47 | |
| Blood type and screen |
$171 |
$171 |
$171 |
$10 | |
| Blood type test |
$72 |
$72 |
$72 |
$3 | |
| Blood type test (ABO group) |
$70 |
$70 |
$70 |
$3 | |
| Blood type test (Rh/D antigen) |
$73 |
$73 |
$73 |
$3 | |
| BNP (heart failure) test |
$302 |
$302 |
$302 |
$39 | |
| Bone density scan (DEXA) |
$368 |
$368 |
$368 |
$39 | |
| Breast ultrasound |
$420 |
$420 |
$420 |
$92 | |
| Breast ultrasound (complete) |
$476 |
$476 |
$476 |
$100 | |
| Breast ultrasound (limited) |
$364 |
$364 |
$364 |
$84 | |
| Breathing tube insertion (intubation) |
$466 |
$466 |
$466 |
$133 | |
| Bunion surgery (bunionectomy) |
$13,954 |
$13,954 |
$13,954 |
$883 | |
| Burn dressing and debridement (small) |
$404 |
$404 |
$404 |
$93 | |
| Burn treatment |
$404 |
$404 |
$404 |
$129 | |
| C-reactive protein (CRP) |
$107 |
$107 |
$107 |
$5 | |
| CA 19-9 tumor marker test |
$206 |
$206 |
$206 |
$21 | |
| CA-125 ovarian marker test |
$281 |
$281 |
$281 |
$21 | |
| Calcium blood test |
$80 |
$80 |
$80 |
$5 | |
| Cardiac rehabilitation |
$227 |
$227 |
$227 |
$26 | |
| Carotid artery ultrasound |
$1,135 |
$1,135 |
$1,135 |
$156 | |
| Carpal tunnel release |
$4,470 |
$4,470 |
$4,470 |
$483 | |
| CEA tumor marker test |
$216 |
$216 |
$216 |
$19 | |
| Central line placement |
$359 |
$359 |
$359 |
$238 | |
| Chest tube insertion |
$534 |
$534 |
$534 |
$143 | |
| Chest X-ray |
$246 |
$246 |
$246 |
$37 | |
| Chest X-ray (1 view) |
$218 |
$218 |
$218 |
$25 | |
| Chest X-ray (2 views) |
$274 |
$274 |
$274 |
$33 | |
| CK-MB heart enzyme test |
$156 |
$156 |
$156 |
$12 | |
| Clotting time test (PTT) |
$105 |
$105 |
$105 |
$6 | |
| Colonoscopy |
$2,279 |
$2,279 |
$2,279 |
$480 | |
| Complete blood count (CBC) |
$99 |
$99 |
$99 |
$7 | |
| Complete blood count (CBC) (complete) |
$99 |
$99 |
$99 |
$8 | |
| Complex wound repair |
$1,233 |
$1,233 |
$1,233 |
$390 | |
| Comprehensive metabolic panel |
$154 |
$154 |
$154 |
$11 | |
| Contraceptive implant (Nexplanon) |
$601 |
$601 |
$601 |
$115 | |
| Copper blood test |
$131 |
$131 |
$131 |
$12 | |
| Cortisol test |
$195 |
$195 |
$195 |
$16 | |
| COVID-19 PCR test |
$190 |
$190 |
$190 |
$51 | |
| Creatine kinase (CK) test |
$80 |
$80 |
$80 |
$7 | |
| CT angiography of the chest |
$3,529 |
$3,529 |
$3,529 |
$281 | |
| CT angiography of the head |
$2,313 |
$2,313 |
$2,313 |
$274 | |
| CT scan of the abdomen |
$2,431 |
$2,431 |
$2,431 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,860 |
$2,860 |
$2,860 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,876 |
$3,876 |
$3,876 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,860 |
$2,860 |
$2,860 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,100 |
$2,100 |
$2,100 |
$183 | |
| CT scan of the abdomen with and without contrast |
$3,010 |
$3,010 |
$3,010 |
$259 | |
| CT scan of the abdomen with contrast |
$2,431 |
$2,431 |
$2,431 |
$230 | |
| CT scan of the abdomen without contrast |
$2,011 |
$2,011 |
$2,011 |
$136 | |
| CT scan of the arm |
$2,100 |
$2,100 |
$2,100 |
$199 | |
| CT scan of the arm with contrast |
$2,100 |
$2,100 |
$2,100 |
$199 | |
| CT scan of the arm without contrast |
$1,762 |
$1,762 |
$1,762 |
$161 | |
| CT scan of the chest |
$2,507 |
$2,507 |
$2,507 |
$167 | |
| CT scan of the chest with and without contrast |
$3,137 |
$3,137 |
$3,137 |
$196 | |
| CT scan of the chest with contrast |
$2,507 |
$2,507 |
$2,507 |
$167 | |
| CT scan of the chest without contrast |
$2,100 |
$2,100 |
$2,100 |
$133 | |
| CT scan of the head |
$2,011 |
$2,011 |
$2,011 |
$148 | |
| CT scan of the head with and without contrast |
$2,507 |
$2,507 |
$2,507 |
$173 | |
| CT scan of the head with contrast |
$2,011 |
$2,011 |
$2,011 |
$148 | |
| CT scan of the head without contrast |
$1,681 |
$1,681 |
$1,681 |
$107 | |
| CT scan of the leg |
$2,100 |
$2,100 |
$2,100 |
$166 | |
| CT scan of the leg with contrast |
$2,100 |
$2,100 |
$2,100 |
$166 | |
| CT scan of the leg without contrast |
$1,762 |
$1,762 |
$1,762 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,507 |
$2,507 |
$2,507 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$3,137 |
$3,137 |
$3,137 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,507 |
$2,507 |
$2,507 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$2,100 |
$2,100 |
$2,100 |
$130 | |
| CT scan of the neck |
$2,011 |
$2,011 |
$2,011 |
$183 | |
| CT scan of the neck (cervical spine) |
$2,507 |
$2,507 |
$2,507 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$3,137 |
$3,137 |
$3,137 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$2,507 |
$2,507 |
$2,507 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$2,100 |
$2,100 |
$2,100 |
$131 | |
| CT scan of the neck with and without contrast |
$2,507 |
$2,507 |
$2,507 |
$220 | |
| CT scan of the neck with contrast |
$2,011 |
$2,011 |
$2,011 |
$183 | |
| CT scan of the neck without contrast |
$1,681 |
$1,681 |
$1,681 |
$150 | |
| CT scan of the pelvis |
$2,431 |
$2,431 |
$2,431 |
$226 | |
| CT scan of the pelvis with and without contrast |
$3,010 |
$3,010 |
$3,010 |
$251 | |
| CT scan of the pelvis with contrast |
$2,431 |
$2,431 |
$2,431 |
$226 | |
| CT scan of the pelvis without contrast |
$2,100 |
$2,100 |
$2,100 |
$133 | |
| CT scan of the sinuses |
$2,011 |
$2,011 |
$2,011 |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,507 |
$2,507 |
$2,507 |
$184 | |
| CT scan of the sinuses with contrast |
$2,011 |
$2,011 |
$2,011 |
$152 | |
| CT scan of the sinuses without contrast |
$1,681 |
$1,681 |
$1,681 |
$128 | |
| D-dimer test |
$167 |
$167 |
$167 |
$10 | |
| Developmental screening (child) |
$45 |
$45 |
$45 |
— | |
| DHEA-sulfate test |
$188 |
$188 |
$188 |
$22 | |
| Drug screen (urine) |
$138 |
$138 |
$138 |
$17 | |
| Ear pressure test (tympanometry) |
$75 |
$75 |
$75 |
$16 | |
| Echocardiogram |
$1,022 |
$1,022 |
$1,022 |
$138 | |
| Echocardiogram with and without contrast |
$487 |
$487 |
$487 |
$101 | |
| Echocardiogram without contrast |
$1,022 |
$1,022 |
$1,022 |
$138 | |
| EKG / ECG (tracing only) |
$128 |
$128 |
$128 |
$7 | |
| Electrocardiogram (EKG) |
$39 |
$39 |
$39 |
$8 | |
| Electrolyte panel |
$116 |
$116 |
$116 |
$7 | |
| Emergency department visit |
$335 |
$335 |
$335 |
$69 | |
| Emergency department visit (level 1) |
$87 |
$87 |
$87 |
$11 | |
| Emergency department visit (level 2) |
$147 |
$147 |
$147 |
$40 | |
| Emergency department visit (level 3) |
$234 |
$234 |
$234 |
$69 | |
| Emergency department visit (level 4) |
$398 |
$398 |
$398 |
$118 | |
| Emergency department visit (level 5) |
$558 |
$558 |
$558 |
$171 | |
| Estradiol (estrogen) test |
$298 |
$298 |
$298 |
$28 | |
| Fecal occult blood (stool) test |
$52 |
$52 |
$52 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$51 |
$51 |
$51 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$141 |
$141 |
$141 |
$16 | |
| Ferritin (iron) test |
$148 |
$148 |
$148 |
$14 | |
| Fibrinogen test |
$107 |
$107 |
$107 |
$10 | |
| Flexible sigmoidoscopy |
$1,108 |
$1,108 |
$1,108 |
$323 | |
| Flu test |
$125 |
$125 |
$125 |
$17 | |
| Flu vaccine |
$29 |
$29 |
$29 |
— | |
| Folate (folic acid) test |
$157 |
$157 |
$157 |
$15 | |
| Foreign body removal (skin) |
$340 |
$340 |
$340 |
$157 | |
| Free T4 thyroid test |
$102 |
$102 |
$102 |
$9 | |
| FSH hormone test |
$199 |
$199 |
$199 |
$19 | |
| Gallbladder removal (laparoscopic) |
$11,049 |
$11,630 |
$11,630 |
$658 | |
| GGT liver test |
$91 |
$91 |
$91 |
$7 | |
| Glucose tolerance test |
$91 |
$91 |
$91 |
$8 | |
| Hammertoe repair |
$6,425 |
$6,425 |
$6,425 |
$548 | |
| HDL cholesterol test |
$70 |
$70 |
$70 |
$8 | |
| Hearing test (audiometry) |
$187 |
$187 |
$187 |
$36 | |
| Hematocrit test |
$81 |
$81 |
$81 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$92 |
$92 |
$92 |
$10 | |
| Hepatitis B test |
$127 |
$127 |
$127 |
$10 | |
| Hepatitis C test |
$142 |
$142 |
$142 |
$14 | |
| HIV test |
$143 |
$143 |
$143 |
$19 | |
| HIV test (antibody) |
$104 |
$104 |
$104 |
$14 | |
| HIV test (antigen/antibody combo) |
$181 |
$181 |
$181 |
$24 | |
| Holter heart monitor |
$516 |
$516 |
$516 |
$26 | |
| HPV vaccine |
$348 |
$348 |
$348 |
— | |
| Inguinal hernia repair |
$7,342 |
$7,462 |
$7,462 |
$538 | |
| Iron blood test |
$91 |
$91 |
$91 |
$6 | |
| IUD insertion |
$248 |
$248 |
$248 |
— | |
| IUD removal |
$321 |
$321 |
$321 |
$112 | |
| IV infusion therapy |
$239 |
$239 |
$239 |
$44 | |
| IV infusion therapy (each additional) |
$124 |
$124 |
$124 |
$21 | |
| IV infusion therapy (initial) |
$409 |
$409 |
$409 |
$67 | |
| Joint aspiration (small/intermediate) |
$175 |
$175 |
$175 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$140 |
$140 |
$140 |
$57 | |
| Joint aspiration or injection (small joint) |
$388 |
$388 |
$388 |
$56 | |
| Kidney ultrasound |
$654 |
$654 |
$654 |
$84 | |
| Kidney ultrasound (limited) |
$552 |
$552 |
$552 |
$61 | |
| Knee arthroscopy |
$6,151 |
$6,425 |
$6,425 |
$524 | |
| Knee joint injection |
$151 |
$151 |
$151 |
$69 | |
| Lactate test |
$171 |
$171 |
$171 |
$12 | |
| LDH test |
$90 |
$90 |
$90 |
$6 | |
| Leg vein ultrasound (Doppler) |
$1,332 |
$1,332 |
$1,332 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,091 |
$1,091 |
$1,091 |
$116 | |
| LH hormone test |
$204 |
$204 |
$204 |
$19 | |
| Lipase test |
$102 |
$102 |
$102 |
$7 | |
| Lipid (cholesterol) panel |
$146 |
$146 |
$146 |
$13 | |
| Liver function panel |
$127 |
$127 |
$127 |
$8 | |
| Lung function test (PFT) |
$127 |
$127 |
$127 |
$37 | |
| Magnesium blood test |
$68 |
$68 |
$68 |
$7 | |
| Meniscus repair (knee) |
$6,425 |
$6,425 |
$6,425 |
$714 | |
| MRA of the brain |
$3,406 |
$3,406 |
$3,406 |
$226 | |
| MRA of the brain with contrast |
$3,358 |
$3,358 |
$3,358 |
$226 | |
| MRA of the brain without contrast |
$5,222 |
$5,222 |
$5,222 |
$328 | |
| MRA of the neck |
$3,621 |
$3,621 |
$3,621 |
$245 | |
| MRA of the neck with contrast |
$3,621 |
$3,621 |
$3,621 |
$245 | |
| MRA of the neck without contrast |
$5,256 |
$5,256 |
$5,256 |
$343 | |
| MRI of the abdomen |
$3,770 |
$3,770 |
$3,770 |
$300 | |
| MRI of the abdomen with contrast |
$3,770 |
$3,770 |
$3,770 |
$300 | |
| MRI of the abdomen without contrast |
$2,670 |
$2,670 |
$2,670 |
$194 | |
| MRI of the ankle |
$3,316 |
$3,316 |
$3,316 |
$261 | |
| MRI of the ankle with contrast |
$3,316 |
$3,316 |
$3,316 |
$261 | |
| MRI of the ankle without contrast |
$3,046 |
$3,046 |
$3,046 |
$222 | |
| MRI of the brain |
$3,212 |
$3,212 |
$3,212 |
$269 | |
| MRI of the brain with contrast |
$3,212 |
$3,212 |
$3,212 |
$269 | |
| MRI of the brain without contrast |
$1,689 |
$1,689 |
$1,689 |
$195 | |
| MRI of the chest |
$5,374 |
$5,374 |
$5,374 |
$371 | |
| MRI of the chest without contrast |
$5,374 |
$5,374 |
$5,374 |
$466 | |
| MRI of the knee |
$3,245 |
$3,245 |
$3,245 |
$315 | |
| MRI of the knee with contrast |
$3,245 |
$3,245 |
$3,245 |
$315 | |
| MRI of the knee without contrast |
$2,780 |
$2,780 |
$2,780 |
$204 | |
| MRI of the lower back (lumbar spine) |
$3,204 |
$3,204 |
$3,204 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$3,204 |
$3,204 |
$3,204 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,753 |
$2,753 |
$2,753 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,980 |
$2,980 |
$2,980 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$4,794 |
$4,794 |
$4,794 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,980 |
$2,980 |
$2,980 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,753 |
$2,753 |
$2,753 |
$190 | |
| MRI of the neck (cervical spine) |
$3,205 |
$3,205 |
$3,205 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$5,086 |
$5,086 |
$5,086 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$3,205 |
$3,205 |
$3,205 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,589 |
$2,589 |
$2,589 |
$191 | |
| MRI of the pelvis |
$3,330 |
$3,330 |
$3,330 |
$268 | |
| MRI of the pelvis with contrast |
$3,330 |
$3,330 |
$3,330 |
$268 | |
| MRI of the pelvis without contrast |
$3,094 |
$3,094 |
$3,094 |
$227 | |
| MRI of the shoulder |
$3,223 |
$3,223 |
$3,223 |
$313 | |
| MRI of the shoulder with contrast |
$3,223 |
$3,223 |
$3,223 |
$313 | |
| MRI of the shoulder without contrast |
$2,725 |
$2,725 |
$2,725 |
$205 | |
| MRI of the wrist |
$3,480 |
$3,480 |
$3,480 |
$330 | |
| MRI of the wrist with contrast |
$3,480 |
$3,480 |
$3,480 |
$330 | |
| MRI of the wrist without contrast |
$3,240 |
$3,240 |
$3,240 |
$303 | |
| Nebulizer breathing treatment |
$65 |
$65 |
$65 |
$9 | |
| Newborn hospital care |
$310 |
$310 |
$310 |
$58 | |
| Occupational therapy evaluation |
$477 |
$477 |
$477 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$586 |
$586 |
$586 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$449 |
$449 |
$449 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$477 |
$477 |
$477 |
$101 | |
| Office visit (established patient) |
$246 |
$246 |
$246 |
$115 | |
| Office visit (new patient) |
$529 |
$529 |
$529 |
$177 | |
| Office visit, established patient (level 3) |
$202 |
$202 |
$202 |
$95 | |
| Office visit, established patient (level 4) |
$302 |
$302 |
$302 |
$136 | |
| Office visit, new patient (level 3) |
$349 |
$349 |
$349 |
$118 | |
| Office visit, new patient (level 4) |
$529 |
$529 |
$529 |
$177 | |
| Office visit, new patient (level 5) |
$666 |
$666 |
$666 |
$237 | |
| Orthopedic hardware removal |
$5,824 |
$5,824 |
$5,824 |
$632 | |
| Pap smear (cervical screening) |
$165 |
$165 |
$165 |
$20 | |
| Parathyroid hormone (PTH) test |
$439 |
$439 |
$439 |
$41 | |
| Pelvic ultrasound |
$531 |
$531 |
$531 |
$78 | |
| Pelvic ultrasound (complete) |
$591 |
$591 |
$591 |
$105 | |
| Pelvic ultrasound (limited) |
$470 |
$470 |
$470 |
$51 | |
| Phosphorus blood test |
$86 |
$86 |
$86 |
$5 | |
| Physical therapy evaluation |
$477 |
$477 |
$477 |
$98 | |
| Physical therapy evaluation (high complexity) |
$586 |
$586 |
$586 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$477 |
$477 |
$477 |
$98 | |
| Platelet count |
$75 |
$75 |
$75 |
$4 | |
| Pneumonia vaccine |
$226 |
$226 |
$226 |
— | |
| Pregnancy blood test (hCG) |
$104 |
$104 |
$104 |
$8 | |
| Pregnancy ultrasound |
$801 |
$801 |
$801 |
$126 | |
| Pregnancy ultrasound (second or third trimester) |
$801 |
$801 |
$801 |
$136 | |
| Procalcitonin test |
$208 |
$208 |
$208 |
$27 | |
| Prolactin test |
$218 |
$218 |
$218 |
$19 | |
| Prostate test (PSA) |
$197 |
$197 |
$197 |
$18 | |
| Rheumatoid factor test |
$116 |
$116 |
$116 |
$6 | |
| Scoliosis spine X-ray |
$315 |
$315 |
$315 |
$58 | |
| Scoliosis spine X-ray (3 views) |
$315 |
$315 |
$315 |
$72 | |
| Screening colonoscopy |
$1,098 |
$1,098 |
$1,098 |
$378 | |
| Scrotal ultrasound |
$591 |
$591 |
$591 |
$99 | |
| Sedimentation rate (ESR) test |
$60 |
$60 |
$60 |
$3 | |
| Sex hormone binding globulin test |
$204 |
$204 |
$204 |
$22 | |
| Shingles vaccine |
$324 |
$324 |
$324 |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
$254 |
$254 |
$254 |
$114 | |
| Simple wound stitches |
$298 |
$298 |
$298 |
$127 | |
| Skin biopsy |
$200 |
$200 |
$200 |
$121 | |
| Skin biopsy (punch) |
$404 |
$404 |
$404 |
$121 | |
| Skin cancer lesion removal |
$539 |
$539 |
$539 |
$240 | |
| Skin lesion freezing (cryotherapy) |
$156 |
$156 |
$156 |
$36 | |
| Skin tag removal |
$241 |
$241 |
$241 |
$92 | |
| Sleep study (polysomnography) |
$3,666 |
$3,666 |
$3,666 |
$691 | |
| Soft tissue ultrasound |
$196 |
$196 |
$196 |
$64 | |
| Speech therapy |
$393 |
$393 |
$393 |
$76 | |
| Spirometry (lung function test) |
$127 |
$127 |
$127 |
$30 | |
| Strep throat test |
$116 |
$116 |
$116 |
$17 | |
| Swallow study |
$719 |
$719 |
$719 |
$85 | |
| T3 thyroid test |
$117 |
$117 |
$117 |
$14 | |
| Tdap (tetanus) vaccine |
$77 |
$77 |
$77 |
— | |
| Testosterone test |
$287 |
$287 |
$287 |
$26 | |
| Thyroid test (TSH) |
$178 |
$178 |
$178 |
$17 | |
| Thyroid ultrasound |
$591 |
$591 |
$591 |
$109 | |
| Total IgE allergy test |
$176 |
$176 |
$176 |
$16 | |
| Total protein test |
$87 |
$87 |
$87 |
$4 | |
| Transvaginal ultrasound |
$686 |
$686 |
$686 |
$118 | |
| Trigger finger release |
$3,186 |
$3,186 |
$3,186 |
$630 | |
| Trigger point injection |
$125 |
$125 |
$125 |
$56 | |
| Trigger point injection (1-2 muscles) |
$125 |
$125 |
$125 |
$52 | |
| Triglycerides test |
$87 |
$87 |
$87 |
$6 | |
| Troponin (heart) test |
$189 |
$189 |
$189 |
$12 | |
| Upper GI endoscopy (EGD) |
$1,254 |
$1,307 |
$1,307 |
$371 | |
| Uric acid (gout) test |
$87 |
$87 |
$87 |
$5 | |
| Urinalysis |
$34 |
$34 |
$34 |
$3 | |
| Urine microalbumin test |
$104 |
$104 |
$104 |
$5 | |
| Urine pregnancy test |
$87 |
$87 |
$87 |
$9 | |
| Vaccine administration |
$64 |
$64 |
$64 |
$19 | |
| Vaccine administration (each additional) |
$54 |
$54 |
$54 |
$16 | |
| Vitamin B12 test |
$160 |
$160 |
$160 |
$15 | |
| Vitamin D test |
$246 |
$246 |
$246 |
$30 | |
| Wart removal |
$396 |
$396 |
$396 |
$121 | |
| Well-child visit |
$344 |
$344 |
$344 |
— | |
| Wound debridement |
$510 |
$510 |
$510 |
$186 | |
| X-ray of the abdomen |
$250 |
$250 |
$250 |
$36 | |
| X-ray of the ankle |
$241 |
$241 |
$241 |
$37 | |
| X-ray of the collarbone |
$241 |
$241 |
$241 |
$33 | |
| X-ray of the elbow |
$269 |
$269 |
$269 |
$33 | |
| X-ray of the facial bones |
$222 |
$222 |
$222 |
$39 | |
| X-ray of the foot |
$243 |
$243 |
$243 |
$34 | |
| X-ray of the forearm |
$241 |
$241 |
$241 |
$29 | |
| X-ray of the hand |
$243 |
$243 |
$243 |
$38 | |
| X-ray of the hip |
$366 |
$366 |
$366 |
$49 | |
| X-ray of the hip (1 view) |
$346 |
$346 |
$346 |
$34 | |
| X-ray of the hip (3 views) |
$385 |
$385 |
$385 |
$49 | |
| X-ray of the knee |
$274 |
$274 |
$274 |
$42 | |
| X-ray of the knee (2 views) |
$230 |
$230 |
$230 |
$34 | |
| X-ray of the knee (3 views) |
$274 |
$274 |
$274 |
$42 | |
| X-ray of the knee (4+ views) |
$297 |
$297 |
$297 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$334 |
$334 |
$334 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$298 |
$298 |
$298 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$370 |
$370 |
$370 |
$53 | |
| X-ray of the lower leg |
$241 |
$241 |
$241 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$304 |
$304 |
$304 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$298 |
$298 |
$298 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$310 |
$310 |
$310 |
$39 | |
| X-ray of the neck (cervical spine) |
$334 |
$334 |
$334 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$298 |
$298 |
$298 |
$40 | |
| X-ray of the pelvis |
$274 |
$274 |
$274 |
$36 | |
| X-ray of the pelvis (1 view) |
$230 |
$230 |
$230 |
$28 | |
| X-ray of the ribs |
$310 |
$310 |
$310 |
$42 | |
| X-ray of the ribs (2 views) |
$218 |
$218 |
$218 |
$36 | |
| X-ray of the ribs (3 views) |
$310 |
$310 |
$310 |
$42 | |
| X-ray of the shoulder |
$258 |
$258 |
$258 |
$36 | |
| X-ray of the skull |
$317 |
$317 |
$317 |
$40 | |
| X-ray of the upper arm |
$274 |
$274 |
$274 |
$32 | |
| X-ray of the wrist |
$243 |
$243 |
$243 |
$43 | |
| Zinc blood test |
$104 |
$104 |
$104 |
$11 | |