|
Abdominal CT scan (with and without contrast)
|
$2,131.00 |
$2,131.00 |
$2,131.00 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$1,786.00 |
$1,786.00 |
$1,786.00 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$1,151.00 |
$1,151.00 |
$1,151.00 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$3,520.00 |
$3,520.00 |
$3,520.00 |
$3,061.80
|
|
Abdominal MRI (without contrast)
|
$1,902.00 |
$1,902.00 |
$1,902.00 |
$1,902.00
|
|
Abdominal Ultrasound (complete)
|
$1,567.00 |
$1,567.00 |
$1,567.00 |
$755.00
|
|
Abdominal Ultrasound (limited)
|
$849.00 |
$849.00 |
$849.00 |
$629.42
|
|
Ankle X-ray
|
$986.00 |
$986.00 |
$986.00 |
$311.92
|
|
Annual Physical, Established Patient (age 18-39)
|
$271.00 |
$271.00 |
$271.00 |
$203.45
|
|
Annual Physical, Established Patient (age 40-64)
|
$271.00 |
$271.00 |
$271.00 |
$198.00
|
|
Annual Physical, New Patient (age 18-39)
|
$311.00 |
$311.00 |
$311.00 |
$218.00
|
|
Annual Physical, New Patient (age 40-64)
|
$311.00 |
$311.00 |
$311.00 |
$229.20
|
|
Blood Clotting (PT/INR) Test
|
$34.00 |
$34.00 |
$34.00 |
$45.00
|
|
Blood Clotting (PTT) Test
|
$34.00 |
$34.00 |
$34.00 |
$64.35
|
|
Blood Count (CBC) Test
|
$41.00 |
$41.00 |
$41.00 |
$66.75
|
|
Blood Count (CBC) Test (without differential)
|
$32.00 |
$32.00 |
$32.00 |
$56.55
|
|
Blood Culture Test
|
$68.00 |
$68.00 |
$68.00 |
$112.20
|
|
Bone Density Scan (DEXA)
|
$371.00 |
$371.00 |
$371.00 |
$398.56
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$3,520.00 |
$3,520.00 |
$3,520.00 |
$2,604.00
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,949.00 |
$2,949.00 |
$2,949.00 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,902.00 |
$1,902.00 |
$1,902.00 |
$1,790.00
|
|
Brain MRI (with and without contrast)
|
$3,520.00 |
$3,520.00 |
$3,520.00 |
$2,884.20
|
|
Brain MRI (with contrast)
|
$2,949.00 |
$2,949.00 |
$2,949.00 |
$2,224.96
|
|
Brain MRI (without contrast)
|
$1,902.00 |
$1,902.00 |
$1,902.00 |
$1,825.59
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$2,275.00 |
$2,275.00 |
$2,275.00 |
$3,069.25
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,289.00 |
$4,289.00 |
$4,289.00 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,080.00 |
$2,080.00 |
$2,080.00 |
$2,094.23
|
|
CT Angiogram of the Head
|
$2,080.00 |
$2,080.00 |
$2,080.00 |
$2,094.23
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$4,497.00 |
$4,497.00 |
$4,497.00 |
$3,630.00
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,767.00 |
$3,767.00 |
$3,767.00 |
$3,180.75
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,431.00 |
$2,431.00 |
$2,431.00 |
$2,418.75
|
|
Carotid Artery Ultrasound (Duplex)
|
$719.00 |
$719.00 |
$719.00 |
$1,059.82
|
|
Chest CT scan (with and without contrast)
|
$2,131.00 |
$2,131.00 |
$2,131.00 |
$2,105.40
|
|
Chest CT scan (with contrast)
|
$1,786.00 |
$1,786.00 |
$1,786.00 |
$1,697.25
|
|
Chest CT scan (without contrast)
|
$1,151.00 |
$1,151.00 |
$1,151.00 |
$1,350.03
|
|
Chest X-ray
|
$362.00 |
$362.00 |
$362.00 |
$303.24
|
|
Chest X-ray (single view)
|
$313.00 |
$313.00 |
$313.00 |
$225.00
|
|
Cholesterol (Lipid) Test
|
$48.00 |
$48.00 |
$48.00 |
$100.00
|
|
Circumcision (newborn)
|
$1,865.00 |
$1,865.00 |
$1,865.00 |
$1,549.50
|
|
Colonoscopy (diagnostic)
|
$872.59 |
$872.59 |
$872.59 |
$1,500.00
|
|
Colonoscopy (with biopsy)
|
$1,137.06 |
$1,137.06 |
$1,137.06 |
$1,846.40
|
|
Colonoscopy (with polyp removal)
|
$1,137.06 |
$1,137.06 |
$1,137.06 |
$1,875.00
|
|
Cystoscopy (Bladder Scope)
|
$1,636.00 |
$1,636.00 |
$1,636.00 |
$1,636.00
|
|
Diabetes (HbA1c) Test
|
$26.00 |
$26.00 |
$26.00 |
$69.55
|
|
Diagnostic Mammogram (both breasts)
|
$644.00 |
$644.00 |
$644.00 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$559.00 |
$559.00 |
$559.00 |
$297.05
|
|
ER Visit (level 1, minor)
|
$332.00 |
$332.00 |
$332.00 |
$286.51
|
|
ER Visit (level 2)
|
$851.00 |
$851.00 |
$851.00 |
$469.39
|
|
ER Visit (level 3)
|
$1,122.00 |
$1,122.00 |
$1,122.00 |
$827.20
|
|
ER Visit (level 4)
|
$2,185.00 |
$2,185.00 |
$2,185.00 |
$1,330.00
|
|
ER Visit (level 5, high severity)
|
$2,977.00 |
$2,977.00 |
$2,977.00 |
$1,892.80
|
|
Echocardiogram (Heart Ultrasound)
|
$2,039.00 |
$2,039.00 |
$2,039.00 |
$2,021.12
|
|
Established Patient Office Visit (level 3)
|
$114.33 |
$114.33 |
$114.33 |
$183.60
|
|
Established Patient Office Visit (level 4)
|
$231.00 |
$231.00 |
$231.00 |
$228.60
|
|
Foot X-ray
|
$611.00 |
$611.00 |
$611.00 |
$339.50
|
|
Hand X-ray
|
$642.00 |
$642.00 |
$642.00 |
$313.04
|
|
Head CT scan (with and without contrast)
|
$2,131.00 |
$2,131.00 |
$2,131.00 |
$1,881.36
|
|
Head CT scan (with contrast)
|
$1,786.00 |
$1,786.00 |
$1,786.00 |
$1,587.69
|
|
Head CT scan (without contrast)
|
$1,151.00 |
$1,151.00 |
$1,151.00 |
$1,268.90
|
|
Hip X-ray
|
$350.00 |
$350.00 |
$350.00 |
$290.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$892.00 |
$892.00 |
$892.00 |
$683.50
|
|
Knee MRI (with and without contrast)
|
$4,525.00 |
$4,525.00 |
$4,525.00 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$3,935.00 |
$3,935.00 |
$3,935.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$7,604.00 |
$7,604.00 |
$7,604.00 |
$2,205.00
|
|
Knee X-ray
|
$994.00 |
$994.00 |
$994.00 |
$387.20
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,266.00 |
$1,266.00 |
$1,266.00 |
$1,090.23
|
|
Liver Function Test
|
$26.00 |
$26.00 |
$26.00 |
$92.85
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,131.00 |
$2,131.00 |
$2,131.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,786.00 |
$1,786.00 |
$1,786.00 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,151.00 |
$1,151.00 |
$1,151.00 |
$1,517.10
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,520.00 |
$3,520.00 |
$3,520.00 |
$2,713.80
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,949.00 |
$2,949.00 |
$2,949.00 |
$2,415.68
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,902.00 |
$1,902.00 |
$1,902.00 |
$2,013.08
|
|
Lower Back (Lumbar Spine) X-ray
|
$476.00 |
$476.00 |
$476.00 |
$341.64
|
|
Lung Function Test (Spirometry)
|
$292.00 |
$292.00 |
$292.00 |
$296.91
|
|
Metabolic Blood Panel (Basic)
|
$56.00 |
$56.00 |
$56.00 |
$97.20
|
|
Metabolic Blood Panel (Comprehensive)
|
$66.00 |
$66.00 |
$66.00 |
$130.97
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$2,131.00 |
$2,131.00 |
$2,131.00 |
$1,992.00
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$1,786.00 |
$1,786.00 |
$1,786.00 |
$1,708.20
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$1,151.00 |
$1,151.00 |
$1,151.00 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$3,520.00 |
$3,520.00 |
$3,520.00 |
$2,750.00
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$2,949.00 |
$2,949.00 |
$2,949.00 |
$2,231.16
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$1,902.00 |
$1,902.00 |
$1,902.00 |
$1,914.00
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$3,520.00 |
$3,520.00 |
$3,520.00 |
$2,733.00
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$1,902.00 |
$1,902.00 |
$1,902.00 |
$1,790.58
|
|
Nuclear Stress Test (Heart)
|
$4,086.00 |
$4,086.00 |
$4,086.00 |
$3,799.90
|
|
PSA (Prostate) Test
|
$74.00 |
$74.00 |
$74.00 |
$103.85
|
|
Pelvic CT scan (with and without contrast)
|
$2,131.00 |
$2,131.00 |
$2,131.00 |
$1,992.00
|
|
Pelvic CT scan (with contrast)
|
$1,786.00 |
$1,786.00 |
$1,786.00 |
$1,680.60
|
|
Pelvic CT scan (without contrast)
|
$1,151.00 |
$1,151.00 |
$1,151.00 |
$1,313.40
|
|
Pelvic MRI (with and without contrast)
|
$3,520.00 |
$3,520.00 |
$3,520.00 |
$2,713.80
|
|
Pelvic MRI (without contrast)
|
$1,902.00 |
$1,902.00 |
$1,902.00 |
$1,810.38
|
|
Pelvic Ultrasound (complete)
|
$899.00 |
$899.00 |
$899.00 |
$647.87
|
|
Pelvic Ultrasound (limited)
|
$603.00 |
$603.00 |
$603.00 |
$476.50
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$916.00 |
$916.00 |
$916.00 |
$607.12
|
|
Pregnancy Ultrasound (first trimester)
|
$910.00 |
$910.00 |
$910.00 |
$580.03
|
|
Rapid Strep Test
|
$66.00 |
$66.00 |
$66.00 |
$72.00
|
|
Screening Colonoscopy (average risk)
|
$872.59 |
$872.59 |
$872.59 |
$1,440.00
|
|
Screening Colonoscopy (high risk)
|
$872.59 |
$872.59 |
$872.59 |
$1,864.80
|
|
Screening Mammogram
|
$507.00 |
$507.00 |
$507.00 |
$331.50
|
|
Shoulder MRI (with and without contrast)
|
$4,525.00 |
$4,525.00 |
$4,525.00 |
$2,650.10
|
|
Shoulder MRI (with contrast)
|
$3,935.00 |
$3,935.00 |
$3,935.00 |
$2,769.75
|
|
Shoulder MRI (without contrast)
|
$7,604.00 |
$7,604.00 |
$7,604.00 |
$1,938.28
|
|
Shoulder X-ray
|
$976.00 |
$976.00 |
$976.00 |
$306.88
|
|
Sinus CT scan (with and without contrast)
|
$2,131.00 |
$2,131.00 |
$2,131.00 |
$1,871.00
|
|
Sinus CT scan (with contrast)
|
$1,786.00 |
$1,786.00 |
$1,786.00 |
$1,566.40
|
|
Sinus CT scan (without contrast)
|
$1,151.00 |
$1,151.00 |
$1,151.00 |
$1,275.30
|
|
Skin Biopsy
|
$593.00 |
$593.00 |
$593.00 |
$378.65
|
|
Sleep Study (Polysomnography)
|
$5,683.00 |
$5,683.00 |
$5,683.00 |
$4,141.16
|
|
Thyroid (TSH) Test
|
$76.00 |
$76.00 |
$76.00 |
$110.00
|
|
Thyroid Ultrasound
|
$878.00 |
$878.00 |
$878.00 |
$603.90
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$3,520.00 |
$3,520.00 |
$3,520.00 |
$2,713.80
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$2,949.00 |
$2,949.00 |
$2,949.00 |
$2,039.85
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$1,902.00 |
$1,902.00 |
$1,902.00 |
$2,013.08
|
|
Upper Endoscopy (EGD, diagnostic)
|
$866.79 |
$866.79 |
$866.79 |
$1,751.66
|
|
Upper Endoscopy (EGD, with biopsy)
|
$866.79 |
$866.79 |
$866.79 |
$1,675.80
|
|
Urinalysis (with microscopy)
|
$22.00 |
$22.00 |
$22.00 |
$36.52
|
|
Urinalysis (without microscopy)
|
$15.00 |
$15.00 |
$15.00 |
$32.50
|
|
Urine Culture Test
|
$55.00 |
$55.00 |
$55.00 |
$65.15
|
|
Vitamin D Test
|
$120.00 |
$120.00 |
$120.00 |
$142.35
|
|
Wrist X-ray
|
$611.00 |
$611.00 |
$611.00 |
$311.17
|
healthcosts.net