|
Abdominal CT scan (with and without contrast)
|
$3,154.20 |
$3,154.20 |
$3,154.20 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$2,836.20 |
$2,836.20 |
$2,836.20 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$1,810.20 |
$1,810.20 |
$1,810.20 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$6,049.20 |
$6,049.20 |
$6,049.20 |
$3,061.80
|
|
Abdominal MRI (with contrast)
|
$4,936.20 |
$4,936.20 |
$4,936.20 |
$2,096.25
|
|
Abdominal MRI (without contrast)
|
$3,834.60 |
$3,834.60 |
$3,834.60 |
$1,902.00
|
|
Abdominal Ultrasound (complete)
|
$949.20 |
$949.20 |
$949.20 |
$755.00
|
|
Abdominal Ultrasound (limited)
|
$1,597.80 |
$1,597.80 |
$1,597.80 |
$629.42
|
|
Ankle X-ray
|
$424.20 |
$424.20 |
$424.20 |
$312.74
|
|
Blood Clotting (PT/INR) Test
|
$146.40 |
$146.40 |
$146.40 |
$45.00
|
|
Blood Clotting (PTT) Test
|
$238.80 |
$238.80 |
$238.80 |
$64.35
|
|
Blood Count (CBC) Test
|
$63.00 |
$63.00 |
$63.00 |
$66.75
|
|
Blood Count (CBC) Test (without differential)
|
$70.80 |
$70.80 |
$70.80 |
$57.50
|
|
Blood Culture Test
|
$225.00 |
$225.00 |
$225.00 |
$112.20
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$4,936.20 |
$4,936.20 |
$4,936.20 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$3,834.60 |
$3,834.60 |
$3,834.60 |
$1,802.40
|
|
Brain MRI (with and without contrast)
|
$6,049.20 |
$6,049.20 |
$6,049.20 |
$2,919.75
|
|
Brain MRI (with contrast)
|
$4,936.20 |
$4,936.20 |
$4,936.20 |
$2,224.96
|
|
Brain MRI (without contrast)
|
$3,834.60 |
$3,834.60 |
$3,834.60 |
$1,830.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$5,479.20 |
$5,479.20 |
$5,479.20 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,193.20 |
$3,193.20 |
$3,193.20 |
$2,094.23
|
|
CT Angiogram of the Head
|
$3,193.20 |
$3,193.20 |
$3,193.20 |
$2,094.23
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$5,479.20 |
$5,479.20 |
$5,479.20 |
$3,669.25
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$5,479.20 |
$5,479.20 |
$5,479.20 |
$3,217.18
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$3,824.40 |
$3,824.40 |
$3,824.40 |
$2,418.75
|
|
Carotid Artery Ultrasound (Duplex)
|
$880.20 |
$880.20 |
$880.20 |
$1,059.82
|
|
Chest CT scan (with and without contrast)
|
$3,154.20 |
$3,154.20 |
$3,154.20 |
$2,105.40
|
|
Chest CT scan (with contrast)
|
$2,836.20 |
$2,836.20 |
$2,836.20 |
$1,697.25
|
|
Chest CT scan (without contrast)
|
$1,810.20 |
$1,810.20 |
$1,810.20 |
$1,350.03
|
|
Chest X-ray
|
$424.20 |
$424.20 |
$424.20 |
$303.24
|
|
Chest X-ray (single view)
|
$424.20 |
$424.20 |
$424.20 |
$225.00
|
|
Cholesterol (Lipid) Test
|
$496.80 |
$496.80 |
$496.80 |
$100.00
|
|
Colonoscopy (diagnostic)
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$1,500.00
|
|
Colonoscopy (with biopsy)
|
$3,033.60 |
$3,033.60 |
$3,033.60 |
$1,846.40
|
|
Colonoscopy (with polyp removal)
|
$5,461.80 |
$5,461.80 |
$5,461.80 |
$1,875.00
|
|
Cystoscopy (Bladder Scope)
|
$2,685.00 |
$2,685.00 |
$2,685.00 |
$1,636.00
|
|
Diabetes (HbA1c) Test
|
$154.80 |
$154.80 |
$154.80 |
$70.00
|
|
ER Visit (level 1, minor)
|
$260.40 |
$260.40 |
$260.40 |
$286.51
|
|
ER Visit (level 2)
|
$384.00 |
$384.00 |
$384.00 |
$469.39
|
|
ER Visit (level 3)
|
$535.80 |
$535.80 |
$535.80 |
$827.20
|
|
ER Visit (level 4)
|
$705.60 |
$705.60 |
$705.60 |
$1,330.00
|
|
ER Visit (level 5, high severity)
|
$1,151.40 |
$1,151.40 |
$1,151.40 |
$1,892.80
|
|
Echocardiogram (Heart Ultrasound)
|
$1,890.60 |
$1,890.60 |
$1,890.60 |
$2,021.12
|
|
Established Patient Office Visit (level 1)
|
$134.40 |
$134.40 |
$134.40 |
$115.05
|
|
Established Patient Office Visit (level 2)
|
$162.00 |
$162.00 |
$162.00 |
$127.53
|
|
Established Patient Office Visit (level 3)
|
$183.60 |
$183.60 |
$183.60 |
$183.60
|
|
Established Patient Office Visit (level 4)
|
$242.40 |
$242.40 |
$242.40 |
$228.60
|
|
Established Patient Office Visit (level 5)
|
$413.40 |
$413.40 |
$413.40 |
$306.40
|
|
Flexible Sigmoidoscopy
|
$598.20 |
$598.20 |
$598.20 |
$1,278.72
|
|
Foot X-ray
|
$424.20 |
$424.20 |
$424.20 |
$339.50
|
|
Hand X-ray
|
$424.20 |
$424.20 |
$424.20 |
$315.00
|
|
Head CT scan (with and without contrast)
|
$3,154.20 |
$3,154.20 |
$3,154.20 |
$1,914.25
|
|
Head CT scan (with contrast)
|
$2,836.20 |
$2,836.20 |
$2,836.20 |
$1,587.69
|
|
Head CT scan (without contrast)
|
$1,810.20 |
$1,810.20 |
$1,810.20 |
$1,268.90
|
|
Hip X-ray
|
$424.20 |
$424.20 |
$424.20 |
$290.35
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,363.20 |
$1,363.20 |
$1,363.20 |
$683.50
|
|
Knee MRI (with and without contrast)
|
$6,049.20 |
$6,049.20 |
$6,049.20 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$4,936.20 |
$4,936.20 |
$4,936.20 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$3,834.60 |
$3,834.60 |
$3,834.60 |
$2,209.22
|
|
Knee X-ray
|
$424.20 |
$424.20 |
$424.20 |
$387.20
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$984.60 |
$984.60 |
$984.60 |
$1,090.23
|
|
Liver Function Test
|
$345.60 |
$345.60 |
$345.60 |
$93.60
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,154.20 |
$3,154.20 |
$3,154.20 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,836.20 |
$2,836.20 |
$2,836.20 |
$1,850.88
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,810.20 |
$1,810.20 |
$1,810.20 |
$1,517.10
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$6,049.20 |
$6,049.20 |
$6,049.20 |
$2,750.00
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$4,936.20 |
$4,936.20 |
$4,936.20 |
$2,415.68
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,834.60 |
$3,834.60 |
$3,834.60 |
$2,013.08
|
|
Lower Back (Lumbar Spine) X-ray
|
$424.20 |
$424.20 |
$424.20 |
$341.64
|
|
Lung Function Test (Spirometry)
|
$147.00 |
$147.00 |
$147.00 |
$296.91
|
|
Metabolic Blood Panel (Basic)
|
$225.60 |
$225.60 |
$225.60 |
$97.60
|
|
Metabolic Blood Panel (Comprehensive)
|
$665.40 |
$665.40 |
$665.40 |
$130.97
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$3,154.20 |
$3,154.20 |
$3,154.20 |
$1,992.00
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$2,836.20 |
$2,836.20 |
$2,836.20 |
$1,708.20
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$1,810.20 |
$1,810.20 |
$1,810.20 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$6,049.20 |
$6,049.20 |
$6,049.20 |
$2,750.00
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$4,936.20 |
$4,936.20 |
$4,936.20 |
$2,231.16
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$3,834.60 |
$3,834.60 |
$3,834.60 |
$1,947.58
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$6,049.20 |
$6,049.20 |
$6,049.20 |
$2,750.00
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$4,936.20 |
$4,936.20 |
$4,936.20 |
$2,030.23
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$3,834.60 |
$3,834.60 |
$3,834.60 |
$1,790.58
|
|
New Patient Office Visit (level 2)
|
$301.20 |
$301.20 |
$301.20 |
$178.00
|
|
New Patient Office Visit (level 3)
|
$388.20 |
$388.20 |
$388.20 |
$229.20
|
|
New Patient Office Visit (level 4)
|
$510.00 |
$510.00 |
$510.00 |
$307.00
|
|
New Patient Office Visit (level 5)
|
$621.00 |
$621.00 |
$621.00 |
$401.50
|
|
Nuclear Stress Test (Heart)
|
$5,578.80 |
$5,578.80 |
$5,578.80 |
$3,799.90
|
|
PSA (Prostate) Test
|
$187.20 |
$187.20 |
$187.20 |
$103.85
|
|
Pelvic CT scan (with and without contrast)
|
$3,154.20 |
$3,154.20 |
$3,154.20 |
$1,992.00
|
|
Pelvic CT scan (with contrast)
|
$2,836.20 |
$2,836.20 |
$2,836.20 |
$1,706.25
|
|
Pelvic CT scan (without contrast)
|
$1,810.20 |
$1,810.20 |
$1,810.20 |
$1,366.50
|
|
Pelvic MRI (with and without contrast)
|
$6,049.20 |
$6,049.20 |
$6,049.20 |
$2,713.80
|
|
Pelvic MRI (with contrast)
|
$4,936.20 |
$4,936.20 |
$4,936.20 |
$1,966.42
|
|
Pelvic MRI (without contrast)
|
$3,834.60 |
$3,834.60 |
$3,834.60 |
$1,810.38
|
|
Pelvic Ultrasound (complete)
|
$802.80 |
$802.80 |
$802.80 |
$647.87
|
|
Pelvic Ultrasound (limited)
|
$438.00 |
$438.00 |
$438.00 |
$476.50
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$1,363.20 |
$1,363.20 |
$1,363.20 |
$607.12
|
|
Pregnancy Ultrasound (first trimester)
|
$627.60 |
$627.60 |
$627.60 |
$592.15
|
|
Rapid Strep Test
|
$58.80 |
$58.80 |
$58.80 |
$72.00
|
|
Screening Colonoscopy (average risk)
|
$1,440.00 |
$1,440.00 |
$1,440.00 |
$1,440.00
|
|
Screening Colonoscopy (high risk)
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$1,864.80
|
|
Shoulder MRI (with and without contrast)
|
$6,049.20 |
$6,049.20 |
$6,049.20 |
$2,650.10
|
|
Shoulder MRI (with contrast)
|
$4,936.20 |
$4,936.20 |
$4,936.20 |
$2,822.25
|
|
Shoulder MRI (without contrast)
|
$3,834.60 |
$3,834.60 |
$3,834.60 |
$1,938.28
|
|
Shoulder X-ray
|
$424.20 |
$424.20 |
$424.20 |
$307.20
|
|
Sinus CT scan (with and without contrast)
|
$3,154.20 |
$3,154.20 |
$3,154.20 |
$1,871.00
|
|
Sinus CT scan (with contrast)
|
$2,836.20 |
$2,836.20 |
$2,836.20 |
$1,566.40
|
|
Sinus CT scan (without contrast)
|
$1,810.20 |
$1,810.20 |
$1,810.20 |
$1,275.30
|
|
Skin Biopsy
|
$823.80 |
$823.80 |
$823.80 |
$381.60
|
|
Thyroid (TSH) Test
|
$256.80 |
$256.80 |
$256.80 |
$110.00
|
|
Thyroid Ultrasound
|
$802.80 |
$802.80 |
$802.80 |
$603.90
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$6,049.20 |
$6,049.20 |
$6,049.20 |
$2,713.80
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$4,936.20 |
$4,936.20 |
$4,936.20 |
$2,039.85
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$3,834.60 |
$3,834.60 |
$3,834.60 |
$2,013.08
|
|
Upper Endoscopy (EGD, diagnostic)
|
$2,260.80 |
$2,260.80 |
$2,260.80 |
$1,751.66
|
|
Upper Endoscopy (EGD, with biopsy)
|
$3,033.60 |
$3,033.60 |
$3,033.60 |
$1,675.80
|
|
Urinalysis (with microscopy)
|
$94.80 |
$94.80 |
$94.80 |
$36.52
|
|
Urinalysis (without microscopy)
|
$53.40 |
$53.40 |
$53.40 |
$32.50
|
|
Urine Culture Test
|
$74.40 |
$74.40 |
$74.40 |
$65.25
|
|
Vitamin D Test
|
$265.20 |
$265.20 |
$265.20 |
$145.80
|
|
Wrist X-ray
|
$424.20 |
$424.20 |
$424.20 |
$311.20
|
healthcosts.net