| Name of the Test or Procedure | $ |
|---|---|
| Accucheck – fingerstick glucose level | 10 |
| Amylase | 8.24 |
| BHCG quantitative – Pregnancy term | 19.15 |
| BHCG qualitative – Pregnant or not | 9.57 |
| BMP – Basic Metabolic Panel | 10.75 |
| CBC – Complete Blood Count | 9.88 |
| CD copy of X Ray | 5 |
| Ceftriaxone (antibiotic) injection, 1G | 25 |
| CMP – Complete Metabolic Panel | 13.43 |
| CMP – Complete Metabolic Panel in office, stat | 32 |
| Decadron (steroid) injection 10 mg | 25 |
| DOT Physical | 125 |
| Ear wax removal | 40 |
| ECG – electrocardiogram | 75 |
| Established Patient office visit | 100 |
| Ferritin | 17.33 |
| Flu Vaccination | 25.75 |
| Folate | 18.69 |
| HBA1C | 12.35 |
| Hematocrit | 3.09 |
| Hemoglobin | 3.09 |
| Hep B Surface AB, qualitative (yes or no) | 13.66 |
| Hep B Surface AG | 13.13 |
| Hepatic Function Panel | 10.39 |
| HIV 1 and 2 AB | 30.62 |
| Insulin level | 14.53 |
| Iron and TIBC | 19.30 |
| LH – Luteinizing Hormone | 23.55 |
| Lipase | 9.27 |
| Lipid Panel | 17.03 |
| Lipid Panel in office, stat | 30.00 |
| Magnesium | 8.55 |
| Medical Records | 5 |
| Microalbumin urine | 9.53 |
| Nebulizer Treatment | 25.00 |
| New Patient office visit | 125 |
| Occult Blood in stool | 20.23 |
| PT/INR coagulation panel | 5 |
| Skin Tag removal | 40 |
| Spirometry | 100 |
| Sports Physical | 65 |
| Suture Removal | 25 |
| T4 Free | 11.46 |
| TSH | 21.37 |
| UDS – urine drug screen | 50 |
| Uric Acid | 6.03 |
| Urinalysis | 4.07 |
| Urine Culture | 10.26 |
| Venipuncture | 15 |
| Vitamin B12 level | 17.09 |
| Vitamin B12 injection | 25.75 |
| Vitamin D level | 33.54 |
| Wart Removal | 50 |
| IV Hydration | 100 |
| Abdominal X ray 3 views | 80 |
| Abdominal X ray 1 view | 50 |
| AC Joints X ray | 90 |
| Ankle X ray 3 views | 80 |
| AP Chest X ray | 40 |
| Bone Age Studies X ray | 55 |
| Chest Decubitus X ray | 80 |
| Chest Obliques X ray | 110 |
| Chest X ray PA/Lat | 55 |
| Clavicle X ray | 65 |
| Elbow X ray 3 views | 75 |
| Eyes Foreign Body X ray | 65 |
| Facial Bones Complete X ray | 95 |
| Femur X ray 2 views | 65 |
| Fingers X ray 2 views | 75 |
| Foot X ray 3 views | 70 |
| Forearms X ray 2 views | 65 |
| Hand X ray 3 views | 75 |
| Heel X ray 2 views | 65 |
| Hip X ray bilateral | 90 |
| Hip X ray unilateral 2 views | 60 |
| Humerus X ray 2 views | 65 |
| IVP | 245 |
| Knee X ray 3 views | 85 |
| Mandible X ray 4 views | 90 |
| Nasal Bones X ray 3 views | 75 |
| Orbits X ray 4 views | 95 |
| Osseous Survey mets X ray | 155 |
| Pelvis X ray 2 views | 65 |
| Ribs X ray 1 side 3 views | 85 |
| Ribs X ray 2 sides 3 views | 115 |
| Scrotum Coccyx X ray 2 views | 65 |
| SC Joints X Ray 3 views flexion extension | 85 |
| Scapula X ray | 75 |
| Shoulder X ray 2 views | 70 |
| SacroIliac Joints X ray 3 or more views | 80 |
| Sinus X ray 3 views | 85 |
| Skull X ray 4 views | 105 |
| Soft Tissue Neck X ray | 65 |
| Spine Cervical X ray 2 or 3 views | 80 |
| C-Spine X ray AP/Lat/Obl 3 views | 105 |
| C-Spine X ray AP/Lat/Obl flex ext 6 views | 140 |
| L-Spine X ray AP/Lat | 80 |
| Spine Lumbar Sacral X ray min 4 views | 110 |
| L-Spine X ray Complete Bend 6 views | 140 |
| L-Spine X ray Bend 2 or 3 views | 95 |
| Spine Scoliosis Study X ray | 115 |
| Spine Thoracic X ray 3 views | 85 |
| Sternum X ray | 70 |
| Tib/Fib X ray 2 views | 65 |
| TMJ Joints – Bilateral X ray | 110 |
| Toe(s) X ray 2 views | 70 |
| Wrist X ray 3 views | 85 |
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