| 3D mammogram (tomosynthesis) |
$193 |
$275 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,093 |
$1,561 |
— |
$284 | |
| Abdominal ultrasound |
$726 |
$1,037 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$1,020 |
$1,457 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$726 |
$1,037 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$958 |
$1,369 |
— |
$220 | |
| Abscess drainage (simple) |
$337 |
$482 |
— |
$129 | |
| Abscess incision and drainage |
$875 |
$1,250 |
— |
$174 | |
| Albumin blood test |
$37 |
$53 |
— |
$5 | |
| Aldosterone test |
$25 |
$35 |
— |
$41 | |
| Alkaline phosphatase test |
$38 |
$54 |
— |
$5 | |
| Alpha-fetoprotein (AFP) test |
$115 |
$164 |
— |
$17 | |
| ALT liver enzyme test |
$37 |
$53 |
— |
$5 | |
| Ammonia blood test |
$80 |
$114 |
— |
$15 | |
| Amylase test |
$63 |
$91 |
— |
$6 | |
| Anal fistula repair |
$3,094 |
$4,420 |
— |
$541 | |
| Anoscopy |
$312 |
$445 |
— |
$129 | |
| Antinuclear antibody (ANA) test |
$60 |
$85 |
— |
$12 | |
| AST liver enzyme test |
$37 |
$53 |
— |
$5 | |
| Barium swallow study |
$445 |
$635 |
— |
$107 | |
| Bartholin cyst removal |
$331 |
$473 |
— |
$182 | |
| Basic metabolic panel |
$253 |
$361 |
— |
$8 | |
| Benign skin lesion removal |
$485 |
$694 |
— |
$171 | |
| Bilirubin blood test |
$35 |
$50 |
— |
$5 | |
| Blood clotting test (PT/INR) |
$42 |
$61 |
— |
$4 | |
| Blood crossmatch |
$144 |
$206 |
— |
— | |
| Blood glucose test |
$36 |
$51 |
— |
$5 | |
| Blood transfusion |
$459 |
$655 |
— |
$47 | |
| Blood type and screen |
$66 |
$94 |
— |
$10 | |
| Blood type test |
$66 |
$94 |
— |
$3 | |
| Blood type test (ABO group) |
$94 |
$135 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$66 |
$94 |
— |
$3 | |
| BNP (heart failure) test |
$140 |
$200 |
— |
$39 | |
| Bone scan (nuclear) |
$2,204 |
$3,148 |
— |
$259 | |
| Botox for migraine |
$310 |
$443 |
— |
$157 | |
| Breast ultrasound |
$193 |
$275 |
— |
$92 | |
| Breast ultrasound (complete) |
$501 |
$716 |
— |
$100 | |
| Breast ultrasound (limited) |
$193 |
$275 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$743 |
$1,061 |
— |
$133 | |
| Burn dressing and debridement (small) |
$354 |
$506 |
— |
$93 | |
| Burn treatment |
$354 |
$506 |
— |
$129 | |
| C-reactive protein (CRP) |
$60 |
$86 |
— |
$5 | |
| CA 19-9 tumor marker test |
$90 |
$129 |
— |
$21 | |
| CA-125 ovarian marker test |
$102 |
$145 |
— |
$21 | |
| Calcium blood test |
$35 |
$50 |
— |
$5 | |
| Cardiac rehabilitation |
$166 |
$237 |
— |
$26 | |
| Cardiac stress test |
$320 |
$457 |
— |
$39 | |
| Cardioversion |
$741 |
$1,058 |
— |
$155 | |
| Carotid artery ultrasound |
$959 |
$1,371 |
— |
$156 | |
| CEA tumor marker test |
$94 |
$134 |
— |
$19 | |
| Celiac disease test |
$64 |
$91 |
— |
$12 | |
| Central line placement |
$1,705 |
$2,436 |
— |
$238 | |
| Cesarean section (C-section) |
— |
— |
$353 |
$7,552 | |
| Chest fluid drain (thoracentesis) |
$1,210 |
$1,729 |
— |
$311 | |
| Chest tube insertion |
$1,198 |
$1,712 |
— |
$143 | |
| Chest X-ray |
$228 |
$325 |
— |
$37 | |
| Chest X-ray (1 view) |
$221 |
$315 |
— |
$25 | |
| Chest X-ray (2 views) |
$307 |
$439 |
— |
$33 | |
| Circumcision |
$4,083 |
$5,833 |
— |
$167 | |
| CK-MB heart enzyme test |
$81 |
$116 |
— |
$12 | |
| Clotting time test (PTT) |
$51 |
$73 |
— |
$6 | |
| Colonoscopy |
$2,219 |
$3,170 |
— |
$480 | |
| Complete blood count (CBC) |
$43 |
$62 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$43 |
$62 |
— |
$8 | |
| Complex wound repair |
$1,038 |
$1,483 |
— |
$390 | |
| Comprehensive metabolic panel |
$61 |
$87 |
— |
$11 | |
| Copper blood test |
$65 |
$93 |
— |
$12 | |
| Coronary artery bypass (CABG) |
— |
— |
$353 |
$36,593 | |
| Cortisol test |
$81 |
$115 |
— |
$16 | |
| COVID-19 PCR test |
$37 |
$53 |
— |
$51 | |
| CPAP titration study |
$311 |
$444 |
— |
$69 | |
| Creatine kinase (CK) test |
$129 |
$184 |
— |
$7 | |
| CT angiography of the chest |
$2,939 |
$4,198 |
— |
$281 | |
| CT angiography of the head |
$2,573 |
$3,675 |
— |
$274 | |
| CT scan of the abdomen |
$1,478 |
$2,112 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$2,627 |
$3,753 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,258 |
$4,654 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,906 |
$4,151 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,585 |
$3,694 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,006 |
$2,865 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$1,719 |
$2,456 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$1,478 |
$2,112 |
— |
$136 | |
| CT scan of the arm |
$1,419 |
$2,027 |
— |
$199 | |
| CT scan of the arm with contrast |
$1,644 |
$2,349 |
— |
$199 | |
| CT scan of the arm without contrast |
$1,419 |
$2,027 |
— |
$161 | |
| CT scan of the chest |
$1,394 |
$1,991 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$1,989 |
$2,841 |
— |
$196 | |
| CT scan of the chest with contrast |
$1,747 |
$2,496 |
— |
$167 | |
| CT scan of the chest without contrast |
$1,394 |
$1,991 |
— |
$133 | |
| CT scan of the head |
$1,341 |
$1,915 |
— |
$148 | |
| CT scan of the head with and without contrast |
$1,947 |
$2,781 |
— |
$173 | |
| CT scan of the head with contrast |
$1,630 |
$2,328 |
— |
$148 | |
| CT scan of the head without contrast |
$1,341 |
$1,915 |
— |
$107 | |
| CT scan of the leg |
$1,433 |
$2,048 |
— |
$166 | |
| CT scan of the leg with contrast |
$1,527 |
$2,182 |
— |
$166 | |
| CT scan of the leg without contrast |
$1,296 |
$1,852 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,728 |
$2,469 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,027 |
$2,895 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,864 |
$2,663 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,593 |
$2,275 |
— |
$130 | |
| CT scan of the neck |
$1,462 |
$2,088 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$1,662 |
$2,374 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,220 |
$3,172 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,743 |
$2,490 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,636 |
$2,337 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$1,908 |
$2,726 |
— |
$220 | |
| CT scan of the neck with contrast |
$1,595 |
$2,279 |
— |
$183 | |
| CT scan of the neck without contrast |
$1,462 |
$2,088 |
— |
$150 | |
| CT scan of the pelvis |
$1,404 |
$2,006 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,971 |
$2,815 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$1,695 |
$2,421 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$1,404 |
$2,006 |
— |
$133 | |
| CT scan of the sinuses |
$1,493 |
$2,133 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,765 |
$2,521 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$1,591 |
$2,273 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$1,351 |
$1,930 |
— |
$128 | |
| D-dimer test |
$81 |
$116 |
— |
$10 | |
| DHEA-sulfate test |
$109 |
$156 |
— |
$22 | |
| Diagnostic mammogram |
$191 |
$273 |
— |
$140 | |
| Drug screen (urine) |
$160 |
$229 |
— |
$17 | |
| Echocardiogram |
$753 |
$1,075 |
— |
$138 | |
| Echocardiogram with and without contrast |
$753 |
$1,075 |
— |
$101 | |
| EKG / ECG (tracing only) |
$104 |
$149 |
— |
$7 | |
| Electrocardiogram (EKG) |
$104 |
$149 |
— |
$8 | |
| Electrolyte panel |
$42 |
$60 |
— |
$7 | |
| Emergency department visit |
$526 |
$751 |
— |
$69 | |
| Emergency department visit (level 1) |
$157 |
$224 |
— |
$11 | |
| Emergency department visit (level 2) |
$270 |
$386 |
— |
$40 | |
| Emergency department visit (level 3) |
$482 |
$689 |
— |
$69 | |
| Emergency department visit (level 4) |
$875 |
$1,250 |
— |
$118 | |
| Emergency department visit (level 5) |
$1,175 |
$1,678 |
— |
$171 | |
| Epidural steroid injection |
$2,009 |
$2,870 |
— |
$275 | |
| Estradiol (estrogen) test |
$91 |
$130 |
— |
$28 | |
| Facet joint injection (spine) |
$2,133 |
$3,047 |
— |
$99 | |
| Fecal occult blood (stool) test |
$47 |
$67 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$28 |
$39 |
— |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$68 |
$96 |
— |
$16 | |
| Ferritin (iron) test |
$64 |
$91 |
— |
$14 | |
| Fibrinogen test |
$44 |
$63 |
— |
$10 | |
| Flexible sigmoidoscopy |
$1,758 |
$2,511 |
— |
$323 | |
| Flu test |
$17 |
$24 |
— |
$17 | |
| Folate (folic acid) test |
$26 |
$37 |
— |
$15 | |
| Foreign body removal (skin) |
$896 |
$1,280 |
— |
$157 | |
| Free T4 thyroid test |
$59 |
$84 |
— |
$9 | |
| FSH hormone test |
$67 |
$96 |
— |
$19 | |
| Gallbladder removal (laparoscopic) |
$4,641 |
$6,630 |
— |
$658 | |
| Gallbladder scan (HIDA) |
$1,987 |
$2,838 |
— |
$334 | |
| GGT liver test |
$40 |
$57 |
— |
$7 | |
| Glucose tolerance test |
$67 |
$96 |
— |
$8 | |
| H. pylori test |
$211 |
$301 |
— |
$67 | |
| HDL cholesterol test |
$30 |
$43 |
— |
$8 | |
| Hematocrit test |
$27 |
$39 |
— |
$2 | |
| Hemoglobin A1c (diabetes test) |
$73 |
$105 |
— |
$10 | |
| Hemorrhoid removal |
$1,032 |
$1,474 |
— |
$338 | |
| Hepatitis B test |
$29 |
$42 |
— |
$10 | |
| Hepatitis C test |
$73 |
$104 |
— |
$14 | |
| HIV test |
$130 |
$186 |
— |
$19 | |
| HIV test (antigen/antibody combo) |
$130 |
$186 |
— |
$24 | |
| Holter heart monitor |
$135 |
$193 |
— |
$26 | |
| Inguinal hernia repair |
$8,509 |
$12,155 |
— |
$538 | |
| Iron blood test |
$34 |
$49 |
— |
$6 | |
| IUD removal |
$459 |
$656 |
— |
$112 | |
| IV infusion therapy |
$473 |
$676 |
— |
$44 | |
| IV infusion therapy (each additional) |
$458 |
$654 |
— |
$21 | |
| IV infusion therapy (initial) |
$473 |
$676 |
— |
$67 | |
| Joint aspiration (small/intermediate) |
$279 |
$399 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$279 |
$399 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$280 |
$401 |
— |
$56 | |
| Kidney scan (nuclear) |
$2,318 |
$3,311 |
— |
$172 | |
| Kidney ultrasound |
$511 |
$730 |
— |
$84 | |
| Kidney ultrasound (limited) |
$511 |
$730 |
— |
$61 | |
| Knee joint injection |
$277 |
$396 |
— |
$69 | |
| Knee replacement |
— |
— |
$353 |
$18,054 | |
| Lactate test |
$78 |
$112 |
— |
$12 | |
| LDH test |
$34 |
$49 |
— |
$6 | |
| LDL cholesterol test |
$66 |
$95 |
— |
$11 | |
| Leg vein ultrasound (Doppler) |
$962 |
$1,374 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$962 |
$1,374 |
— |
$116 | |
| LH hormone test |
$42 |
$59 |
— |
$19 | |
| Lipase test |
$72 |
$103 |
— |
$7 | |
| Lipid (cholesterol) panel |
$71 |
$101 |
— |
$13 | |
| Liver function panel |
$57 |
$81 |
— |
$8 | |
| Lumpectomy (breast) |
$5,415 |
$7,735 |
— |
$750 | |
| Lung function test (PFT) |
$161 |
$230 |
— |
$37 | |
| Lung scan (V/Q) |
$1,432 |
$2,046 |
— |
$291 | |
| Magnesium blood test |
$38 |
$54 |
— |
$7 | |
| MRA of the brain |
$1,953 |
$2,790 |
— |
$226 | |
| MRA of the brain with contrast |
$1,665 |
$2,378 |
— |
$226 | |
| MRA of the brain without contrast |
$2,570 |
$3,672 |
— |
$328 | |
| MRA of the neck |
$1,936 |
$2,766 |
— |
$245 | |
| MRA of the neck with contrast |
$2,503 |
$3,576 |
— |
$245 | |
| MRA of the neck without contrast |
$2,680 |
$3,828 |
— |
$343 | |
| MRI of the abdomen |
$2,055 |
$2,935 |
— |
$300 | |
| MRI of the abdomen with contrast |
$2,545 |
$3,635 |
— |
$300 | |
| MRI of the abdomen without contrast |
$2,034 |
$2,905 |
— |
$194 | |
| MRI of the ankle |
$1,985 |
$2,836 |
— |
$261 | |
| MRI of the ankle with contrast |
$2,043 |
$2,919 |
— |
$261 | |
| MRI of the ankle without contrast |
$1,985 |
$2,836 |
— |
$222 | |
| MRI of the brain |
$2,091 |
$2,987 |
— |
$269 | |
| MRI of the brain with contrast |
$2,365 |
$3,379 |
— |
$269 | |
| MRI of the brain without contrast |
$2,024 |
$2,892 |
— |
$195 | |
| MRI of the chest |
$2,211 |
$3,159 |
— |
$371 | |
| MRI of the chest with contrast |
$2,491 |
$3,558 |
— |
$371 | |
| MRI of the chest without contrast |
$2,965 |
$4,235 |
— |
$466 | |
| MRI of the knee |
$1,929 |
$2,755 |
— |
$315 | |
| MRI of the knee with contrast |
$2,314 |
$3,306 |
— |
$315 | |
| MRI of the knee without contrast |
$1,929 |
$2,755 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,131 |
$3,044 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,431 |
$3,473 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,064 |
$2,948 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,048 |
$2,926 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$3,043 |
$4,347 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,880 |
$2,686 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,048 |
$2,926 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$2,100 |
$3,001 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,975 |
$4,250 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,982 |
$2,831 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,066 |
$2,952 |
— |
$191 | |
| MRI of the pelvis |
$1,950 |
$2,786 |
— |
$268 | |
| MRI of the pelvis with contrast |
$2,424 |
$3,463 |
— |
$268 | |
| MRI of the pelvis without contrast |
$1,950 |
$2,786 |
— |
$227 | |
| MRI of the shoulder |
$1,958 |
$2,797 |
— |
$313 | |
| MRI of the shoulder with contrast |
$2,097 |
$2,995 |
— |
$313 | |
| MRI of the shoulder without contrast |
$1,958 |
$2,797 |
— |
$205 | |
| MRI of the wrist |
$2,006 |
$2,866 |
— |
$330 | |
| MRI of the wrist with contrast |
$2,589 |
$3,699 |
— |
$330 | |
| MRI of the wrist without contrast |
$1,943 |
$2,775 |
— |
$303 | |
| Nebulizer breathing treatment |
$360 |
$515 |
— |
$9 | |
| Newborn hospital care |
$311 |
$444 |
— |
$58 | |
| Nuclear cardiac stress test |
$4,025 |
$5,751 |
— |
$428 | |
| Occupational therapy evaluation |
$223 |
$319 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$272 |
$388 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$197 |
$282 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$223 |
$319 |
— |
$101 | |
| Office visit (established patient) |
$76 |
$108 |
— |
$115 | |
| Office visit (new patient) |
$92 |
$132 |
— |
$177 | |
| Office visit, established patient (level 3) |
$76 |
$108 |
— |
$95 | |
| Office visit, established patient (level 4) |
$74 |
$105 |
— |
$136 | |
| Office visit, new patient (level 3) |
$135 |
$193 |
— |
$118 | |
| Office visit, new patient (level 4) |
$85 |
$121 |
— |
$177 | |
| Office visit, new patient (level 5) |
$187 |
$267 |
— |
$237 | |
| Pacemaker insertion |
— |
— |
$353 |
$15,506 | |
| Parathyroid hormone (PTH) test |
$62 |
$88 |
— |
$41 | |
| Pelvic ultrasound |
$565 |
$807 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$726 |
$1,037 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$556 |
$794 |
— |
$51 | |
| Phosphorus blood test |
$36 |
$52 |
— |
$5 | |
| Physical therapy evaluation |
$189 |
$270 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$189 |
$270 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$213 |
$304 |
— |
$98 | |
| Pilonidal cyst removal |
$3,868 |
$5,525 |
— |
$541 | |
| Platelet count |
$18 |
$25 |
— |
$4 | |
| Pneumonia vaccine |
$156 |
$222 |
— |
— | |
| Pregnancy blood test (hCG) |
$74 |
$105 |
— |
$8 | |
| Pregnancy ultrasound |
$653 |
$933 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$720 |
$1,029 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$597 |
$854 |
— |
$136 | |
| Procalcitonin test |
$83 |
$119 |
— |
$27 | |
| Prolactin test |
$67 |
$95 |
— |
$19 | |
| Prostate test (PSA) |
$98 |
$141 |
— |
$18 | |
| Radiofrequency nerve ablation |
$3,608 |
$5,154 |
— |
$462 | |
| Sacroiliac joint injection |
$888 |
$1,269 |
— |
$176 | |
| Scoliosis spine X-ray |
$316 |
$452 |
— |
$58 | |
| Scoliosis spine X-ray (3 views) |
$316 |
$452 |
— |
$72 | |
| Screening colonoscopy |
$2,219 |
$3,170 |
— |
$378 | |
| Screening mammogram |
$214 |
$305 |
— |
$126 | |
| Scrotal ultrasound |
$542 |
$774 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$29 |
$42 |
— |
$3 | |
| Sex hormone binding globulin test |
$92 |
$131 |
— |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$454 |
$649 |
— |
$114 | |
| Simple wound stitches |
$510 |
$728 |
— |
$127 | |
| Skin biopsy |
$258 |
$369 |
— |
$121 | |
| Skin biopsy (punch) |
$230 |
$328 |
— |
$121 | |
| Skin cancer lesion removal |
$611 |
$874 |
— |
$240 | |
| Skin graft |
$4,795 |
$6,850 |
— |
$898 | |
| Skin lesion freezing (cryotherapy) |
$144 |
$205 |
— |
$36 | |
| Skin tag removal |
$217 |
$310 |
— |
$92 | |
| Soft tissue ultrasound |
$202 |
$288 |
— |
$64 | |
| Speech therapy |
$202 |
$289 |
— |
$76 | |
| Spinal tap (lumbar puncture) |
$729 |
$1,042 |
— |
$165 | |
| Spirometry (lung function test) |
$148 |
$211 |
— |
$30 | |
| Spirometry with bronchodilator |
$276 |
$394 |
— |
$43 | |
| Strep throat test |
$43 |
$61 |
— |
$17 | |
| Swallow study |
$284 |
$405 |
— |
$85 | |
| T3 thyroid test |
$76 |
$108 |
— |
$14 | |
| Tdap (tetanus) vaccine |
$188 |
$269 |
— |
— | |
| Testosterone test |
$64 |
$91 |
— |
$26 | |
| Thyroid test (TSH) |
$83 |
$119 |
— |
$17 | |
| Thyroid ultrasound |
$620 |
$886 |
— |
$109 | |
| Thyroid uptake scan |
$714 |
$1,020 |
— |
$145 | |
| Total IgE allergy test |
$72 |
$103 |
— |
$16 | |
| Total protein test |
$77 |
$110 |
— |
$4 | |
| Transvaginal ultrasound |
$673 |
$962 |
— |
$118 | |
| Trigger point injection |
$366 |
$523 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$361 |
$515 |
— |
$52 | |
| Triglycerides test |
$21 |
$31 |
— |
$6 | |
| Troponin (heart) test |
$167 |
$238 |
— |
$12 | |
| Upper GI endoscopy (EGD) |
$4,438 |
$6,340 |
— |
$371 | |
| Uric acid (gout) test |
$36 |
$52 |
— |
$5 | |
| Urinalysis |
$36 |
$51 |
— |
$3 | |
| Urine microalbumin test |
$34 |
$49 |
— |
$5 | |
| Urine pregnancy test |
$42 |
$60 |
— |
$9 | |
| Vaccine administration |
$44 |
$63 |
— |
$19 | |
| Vaccine administration (each additional) |
$44 |
$63 |
— |
$16 | |
| Vaginal delivery |
— |
— |
$353 |
$5,487 | |
| Vitamin B12 test |
$37 |
$53 |
— |
$15 | |
| Vitamin D test |
$86 |
$123 |
— |
$30 | |
| Wart removal |
$204 |
$291 |
— |
$121 | |
| Weight-loss (bariatric) surgery |
— |
— |
$353 |
$11,645 | |
| Wound debridement |
$944 |
$1,348 |
— |
$186 | |
| X-ray of the abdomen |
$225 |
$321 |
— |
$36 | |
| X-ray of the ankle |
$256 |
$366 |
— |
$37 | |
| X-ray of the collarbone |
$241 |
$345 |
— |
$33 | |
| X-ray of the elbow |
$246 |
$352 |
— |
$33 | |
| X-ray of the facial bones |
$304 |
$434 |
— |
$39 | |
| X-ray of the foot |
$255 |
$364 |
— |
$34 | |
| X-ray of the forearm |
$229 |
$327 |
— |
$29 | |
| X-ray of the hand |
$244 |
$349 |
— |
$38 | |
| X-ray of the hip |
$181 |
$259 |
— |
$49 | |
| X-ray of the hip (1 view) |
$181 |
$259 |
— |
$34 | |
| X-ray of the hip (3 views) |
$167 |
$238 |
— |
$49 | |
| X-ray of the knee |
$210 |
$300 |
— |
$42 | |
| X-ray of the knee (2 views) |
$210 |
$300 |
— |
$34 | |
| X-ray of the knee (3 views) |
$286 |
$408 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$358 |
$511 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$391 |
$559 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$385 |
$550 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$456 |
$651 |
— |
$53 | |
| X-ray of the lower leg |
$265 |
$379 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$375 |
$535 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$375 |
$535 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$312 |
$446 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$307 |
$439 |
— |
$40 | |
| X-ray of the pelvis |
$235 |
$336 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$235 |
$336 |
— |
$28 | |
| X-ray of the ribs |
$336 |
$480 |
— |
$42 | |
| X-ray of the ribs (3 views) |
$336 |
$480 |
— |
$42 | |
| X-ray of the shoulder |
$291 |
$416 |
— |
$36 | |
| X-ray of the skull |
$232 |
$331 |
— |
$40 | |
| X-ray of the upper arm |
$247 |
$353 |
— |
$32 | |
| X-ray of the wrist |
$127 |
$181 |
— |
$43 | |
| Zinc blood test |
$74 |
$106 |
— |
$11 | |