| 3D mammogram (tomosynthesis) |
$120 |
$172 |
$104 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,793 |
$2,562 |
$1,672 |
$284 | |
| Abdominal ultrasound |
$513 |
$733 |
$508 |
$100 | |
| Abdominal ultrasound (complete) |
$778 |
$1,111 |
$727 |
$114 | |
| Abdominal ultrasound (limited) |
$513 |
$733 |
$479 |
$86 | |
| Abscess drainage (complex or multiple) |
$608 |
$869 |
$568 |
$220 | |
| Abscess drainage (simple) |
$425 |
$607 |
$397 |
$129 | |
| Abscess incision and drainage |
$516 |
$738 |
$424 |
$174 | |
| Albumin blood test |
$28 |
$40 |
$26 |
$5 | |
| Aldosterone test |
$88 |
$125 |
$82 |
$41 | |
| Alkaline phosphatase test |
$32 |
$46 |
$30 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$39 |
$56 |
$37 |
$17 | |
| ALT liver enzyme test |
$32 |
$46 |
$30 |
$5 | |
| Ammonia blood test |
$54 |
$77 |
$50 |
$15 | |
| Amniocentesis |
$1,706 |
$2,437 |
$1,594 |
$120 | |
| Amylase test |
$28 |
$40 |
$26 |
$6 | |
| Annual physical (established patient) |
$298 |
$425 |
$278 |
— | |
| Annual physical (new patient) |
$305 |
$435 |
$284 |
— | |
| Anoscopy |
$273 |
$390 |
$255 |
$129 | |
| Antinuclear antibody (ANA) test |
$81 |
$115 |
$75 |
$12 | |
| Aortic aneurysm repair (AAA) |
$5,684 |
$8,120 |
$5,310 |
$1,345 | |
| Aortic valve replacement |
$26,349 |
$37,641 |
$24,617 |
$1,603 | |
| Arterial blood gas (ABG) |
$181 |
$258 |
$102 |
$26 | |
| AST liver enzyme test |
$32 |
$46 |
$30 |
$5 | |
| Barium swallow study |
$458 |
$654 |
$427 |
$107 | |
| Bartholin cyst removal |
$625 |
$894 |
$584 |
$182 | |
| Basic metabolic panel |
$42 |
$60 |
$39 |
$8 | |
| Benign skin lesion removal |
$1,083 |
$1,547 |
$781 |
$171 | |
| Bilirubin blood test |
$25 |
$35 |
$23 |
$5 | |
| Blood clotting test (PT/INR) |
$32 |
$45 |
$29 |
$4 | |
| Blood crossmatch |
$175 |
$250 |
$164 |
— | |
| Blood glucose test |
$25 |
$35 |
$19 |
$5 | |
| Blood transfusion |
$386 |
$551 |
$361 |
$47 | |
| Blood type and screen |
$75 |
$107 |
$70 |
$10 | |
| Blood type test |
$65 |
$93 |
$35 |
$3 | |
| Blood type test (ABO group) |
$105 |
$150 |
$98 |
$3 | |
| Blood type test (Rh/D antigen) |
$25 |
$35 |
$23 |
$3 | |
| BNP (heart failure) test |
$119 |
$170 |
$111 |
$39 | |
| Bone density scan (DEXA) |
$418 |
$597 |
$391 |
$39 | |
| Bone marrow biopsy |
$4,970 |
$7,100 |
$3,302 |
$172 | |
| Bone scan (nuclear) |
$1,399 |
$1,998 |
$1,307 |
$259 | |
| Botox for migraine |
$619 |
$885 |
$579 |
$157 | |
| Breast biopsy |
$4,400 |
$6,286 |
$3,306 |
$478 | |
| Breast MRI |
$770 |
$1,100 |
$410 |
$216 | |
| Breast MRI without contrast |
$770 |
$1,100 |
$719 |
$216 | |
| Breast ultrasound |
$378 |
$541 |
$336 |
$92 | |
| Breast ultrasound (complete) |
$581 |
$831 |
$387 |
$100 | |
| Breast ultrasound (limited) |
$277 |
$396 |
$184 |
$84 | |
| Breathing tube insertion (intubation) |
$601 |
$858 |
$561 |
$133 | |
| Burn dressing and debridement (medium) |
$430 |
$615 |
$402 |
$166 | |
| Burn dressing and debridement (small) |
$337 |
$482 |
$315 |
$93 | |
| Burn treatment |
$387 |
$553 |
$336 |
$129 | |
| C-reactive protein (CRP) |
$26 |
$37 |
$24 |
$5 | |
| CA 19-9 tumor marker test |
$70 |
$100 |
$65 |
$21 | |
| CA-125 ovarian marker test |
$70 |
$100 |
$65 |
$21 | |
| Calcium blood test |
$25 |
$35 |
$23 |
$5 | |
| Cardiac ablation |
$50,415 |
$72,021 |
$47,102 |
$759 | |
| Cardiac catheterization |
$10,759 |
$15,370 |
$9,061 |
$1,049 | |
| Cardiac MRI |
$466 |
$666 |
$358 |
$322 | |
| Cardiac MRI without contrast |
$359 |
$512 |
$335 |
$280 | |
| Cardiac rehabilitation |
$191 |
$273 |
$178 |
$26 | |
| Cardiac stress test |
$1,200 |
$1,714 |
$1,121 |
$39 | |
| Cardioversion |
$1,598 |
$2,283 |
$1,493 |
$155 | |
| Carotid artery ultrasound |
$651 |
$930 |
$378 |
$156 | |
| CEA tumor marker test |
$93 |
$133 |
$87 |
$19 | |
| Celiac disease test |
$27 |
$38 |
$25 |
$12 | |
| Central line placement |
$2,293 |
$3,276 |
$2,143 |
$238 | |
| Cervical LEEP procedure |
$6,677 |
$9,539 |
$6,238 |
$325 | |
| Chemotherapy infusion |
$712 |
$1,017 |
$664 |
$81 | |
| Chemotherapy infusion (each additional) |
$686 |
$980 |
$641 |
$28 | |
| Chemotherapy infusion (first hour) |
$737 |
$1,053 |
$689 |
$133 | |
| Chest fluid drain (thoracentesis) |
$2,736 |
$3,909 |
$1,820 |
$311 | |
| Chest tube insertion |
$1,911 |
$2,730 |
$1,271 |
$143 | |
| Chest X-ray |
$277 |
$395 |
$235 |
$37 | |
| Chest X-ray (1 view) |
$224 |
$320 |
$209 |
$25 | |
| Chest X-ray (2 views) |
$273 |
$390 |
$255 |
$33 | |
| Chickenpox (varicella) vaccine |
$510 |
$729 |
$477 |
— | |
| Circumcision |
$4,353 |
$6,219 |
$4,067 |
$167 | |
| CK-MB heart enzyme test |
$28 |
$40 |
$26 |
$12 | |
| Clotting time test (PTT) |
$46 |
$65 |
$43 |
$6 | |
| Colonoscopy |
$2,505 |
$3,579 |
$1,969 |
$480 | |
| Colposcopy |
$639 |
$913 |
$597 |
$161 | |
| Complete blood count (CBC) |
$42 |
$60 |
$39 |
$7 | |
| Complete blood count (CBC) (complete) |
$42 |
$60 |
$39 |
$8 | |
| Complex wound repair |
$1,517 |
$2,167 |
$1,417 |
$390 | |
| Comprehensive metabolic panel |
$56 |
$80 |
$52 |
$11 | |
| Contraceptive implant (Nexplanon) |
$838 |
$1,197 |
$395 |
$115 | |
| Copper blood test |
$46 |
$66 |
$43 |
$12 | |
| Coronary CT angiography |
$735 |
$1,050 |
$687 |
$326 | |
| Cortisol test |
$79 |
$113 |
$74 |
$16 | |
| COVID-19 PCR test |
$63 |
$90 |
$59 |
$51 | |
| CPAP titration study |
$529 |
$756 |
$494 |
$69 | |
| Creatine kinase (CK) test |
$28 |
$40 |
$26 |
$7 | |
| CT angiography of the chest |
$1,400 |
$2,000 |
$1,308 |
$281 | |
| CT angiography of the head |
$1,260 |
$1,800 |
$1,177 |
$274 | |
| CT scan of the abdomen |
$1,190 |
$1,700 |
$925 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,380 |
$3,400 |
$2,091 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,380 |
$3,400 |
$2,224 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,380 |
$3,400 |
$2,224 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,100 |
$3,000 |
$1,962 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,400 |
$2,000 |
$1,308 |
$259 | |
| CT scan of the abdomen with contrast |
$1,190 |
$1,700 |
$1,112 |
$230 | |
| CT scan of the abdomen without contrast |
$910 |
$1,300 |
$850 |
$136 | |
| CT scan of the arm |
$1,645 |
$2,350 |
$1,100 |
$199 | |
| CT scan of the arm with contrast |
$1,575 |
$2,250 |
$1,048 |
$199 | |
| CT scan of the arm without contrast |
$1,740 |
$2,486 |
$976 |
$161 | |
| CT scan of the chest |
$770 |
$1,100 |
$630 |
$167 | |
| CT scan of the chest with and without contrast |
$1,400 |
$2,000 |
$1,308 |
$196 | |
| CT scan of the chest with contrast |
$770 |
$1,100 |
$719 |
$167 | |
| CT scan of the chest without contrast |
$560 |
$800 |
$523 |
$133 | |
| CT scan of the head |
$1,120 |
$1,600 |
$783 |
$148 | |
| CT scan of the head with and without contrast |
$1,260 |
$1,800 |
$1,177 |
$173 | |
| CT scan of the head with contrast |
$1,120 |
$1,600 |
$1,046 |
$148 | |
| CT scan of the head without contrast |
$770 |
$1,100 |
$719 |
$107 | |
| CT scan of the leg |
$1,365 |
$1,950 |
$977 |
$166 | |
| CT scan of the leg with contrast |
$1,365 |
$1,950 |
$908 |
$166 | |
| CT scan of the leg without contrast |
$1,155 |
$1,650 |
$768 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,260 |
$1,800 |
$1,118 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,400 |
$2,000 |
$1,308 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,260 |
$1,800 |
$1,177 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,120 |
$1,600 |
$1,046 |
$130 | |
| CT scan of the neck |
$1,120 |
$1,600 |
$783 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,190 |
$1,700 |
$1,118 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,400 |
$2,000 |
$1,308 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,190 |
$1,700 |
$1,112 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,120 |
$1,600 |
$1,046 |
$131 | |
| CT scan of the neck with and without contrast |
$1,260 |
$1,800 |
$1,177 |
$220 | |
| CT scan of the neck with contrast |
$1,120 |
$1,600 |
$1,046 |
$183 | |
| CT scan of the neck without contrast |
$770 |
$1,100 |
$719 |
$150 | |
| CT scan of the pelvis |
$1,190 |
$1,700 |
$783 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,400 |
$2,000 |
$1,308 |
$251 | |
| CT scan of the pelvis with contrast |
$1,190 |
$1,700 |
$1,112 |
$226 | |
| CT scan of the pelvis without contrast |
$770 |
$1,100 |
$719 |
$133 | |
| CT scan of the sinuses |
$1,120 |
$1,600 |
$569 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,190 |
$1,700 |
$1,112 |
$184 | |
| CT scan of the sinuses with contrast |
$1,120 |
$1,600 |
$1,046 |
$152 | |
| CT scan of the sinuses without contrast |
$560 |
$800 |
$523 |
$128 | |
| D-dimer test |
$56 |
$80 |
$52 |
$10 | |
| Defibrillator (ICD) implant |
$37,618 |
$53,741 |
$35,146 |
$798 | |
| Developmental screening (child) |
$22 |
$31 |
$20 |
— | |
| DHEA-sulfate test |
$91 |
$130 |
$85 |
$22 | |
| Diagnostic mammogram |
$146 |
$208 |
$144 |
$140 | |
| Dilation and curettage (D&C) |
$4,591 |
$6,558 |
$4,289 |
$298 | |
| Drug screen (urine) |
$84 |
$120 |
$45 |
$17 | |
| Ear pressure test (tympanometry) |
$82 |
$118 |
$77 |
$16 | |
| Ear tubes (myringotomy) |
$1,069 |
$1,528 |
$999 |
$174 | |
| Echocardiogram |
$789 |
$1,127 |
$559 |
$138 | |
| Echocardiogram with and without contrast |
$550 |
$786 |
$514 |
$101 | |
| Echocardiogram without contrast |
$1,027 |
$1,468 |
$960 |
$138 | |
| EEG (awake and asleep) |
$308 |
$440 |
$288 |
$482 | |
| EKG / ECG (tracing only) |
$285 |
$408 |
$267 |
$7 | |
| Electrocardiogram (EKG) |
$285 |
$408 |
$267 |
$8 | |
| Electroencephalogram (EEG) |
$319 |
$455 |
$297 |
$448 | |
| Electrolyte panel |
$39 |
$55 |
$36 |
$7 | |
| Electromyography (EMG) |
$400 |
$572 |
$373 |
$141 | |
| Emergency department visit |
$459 |
$656 |
$384 |
$69 | |
| Emergency department visit (level 1) |
$133 |
$190 |
$124 |
$11 | |
| Emergency department visit (level 2) |
$247 |
$353 |
$231 |
$40 | |
| Emergency department visit (level 3) |
$459 |
$656 |
$429 |
$69 | |
| Emergency department visit (level 4) |
$854 |
$1,220 |
$798 |
$118 | |
| Emergency department visit (level 5) |
$1,588 |
$2,269 |
$1,484 |
$171 | |
| Endometrial biopsy |
$372 |
$531 |
$347 |
$98 | |
| Epidural steroid injection |
$1,629 |
$2,326 |
$1,518 |
$275 | |
| Estradiol (estrogen) test |
$88 |
$125 |
$82 |
$28 | |
| Eyelid surgery (blepharoplasty) |
$3,841 |
$5,488 |
$3,589 |
$552 | |
| Facet joint injection (spine) |
$1,515 |
$2,165 |
$1,159 |
$99 | |
| Fallopian tube X-ray (HSG) |
$505 |
$721 |
$383 |
$164 | |
| Family therapy session |
$337 |
$482 |
$315 |
$110 | |
| Fecal occult blood (stool) test |
$30 |
$43 |
$28 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$29 |
$42 |
$27 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$32 |
$45 |
$29 |
$16 | |
| Ferritin (iron) test |
$49 |
$70 |
$46 |
$14 | |
| Fibrinogen test |
$112 |
$160 |
$104 |
$10 | |
| Flexible sigmoidoscopy |
$1,944 |
$2,777 |
$1,812 |
$323 | |
| Flu test |
$49 |
$70 |
$46 |
$17 | |
| Flu vaccine |
$218 |
$312 |
$204 |
— | |
| Folate (folic acid) test |
$63 |
$90 |
$59 |
$15 | |
| Foreign body removal (skin) |
$512 |
$732 |
$478 |
$157 | |
| Free T4 thyroid test |
$49 |
$70 |
$46 |
$9 | |
| FSH hormone test |
$69 |
$98 |
$64 |
$19 | |
| Gallbladder scan (HIDA) |
$1,308 |
$1,868 |
$1,219 |
$334 | |
| GGT liver test |
$28 |
$40 |
$26 |
$7 | |
| Glucose tolerance test |
$32 |
$45 |
$21 |
$8 | |
| H. pylori test |
$161 |
$230 |
$150 |
$67 | |
| HDL cholesterol test |
$32 |
$45 |
$29 |
$8 | |
| Hearing test (audiometry) |
$329 |
$469 |
$307 |
$36 | |
| Hematocrit test |
$33 |
$46 |
$30 |
$2 | |
| Hemodialysis |
$1,223 |
$1,747 |
$961 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$36 |
$51 |
$34 |
$10 | |
| Hemorrhoid removal |
$1,937 |
$2,767 |
$1,809 |
$338 | |
| Hepatitis A vaccine |
$441 |
$630 |
$399 |
— | |
| Hepatitis B test |
$56 |
$80 |
$52 |
$10 | |
| Hepatitis B vaccine |
$411 |
$588 |
$384 |
— | |
| Hepatitis C test |
$56 |
$80 |
$52 |
$14 | |
| HIV test |
$82 |
$118 |
$77 |
$19 | |
| HIV test (antibody) |
$81 |
$115 |
$75 |
$14 | |
| HIV test (antigen/antibody combo) |
$84 |
$120 |
$78 |
$24 | |
| Holter heart monitor |
$444 |
$635 |
$249 |
$26 | |
| HPV vaccine |
$859 |
$1,227 |
$803 |
— | |
| Iron blood test |
$37 |
$54 |
$35 |
$6 | |
| IUD insertion |
$1,082 |
$1,545 |
$1,010 |
— | |
| IUD removal |
$631 |
$902 |
$590 |
$112 | |
| IV infusion therapy |
$342 |
$488 |
$284 |
$44 | |
| IV infusion therapy (each additional) |
$284 |
$406 |
$266 |
$21 | |
| IV infusion therapy (initial) |
$400 |
$571 |
$373 |
$67 | |
| IVC filter placement |
$5,071 |
$7,244 |
$4,738 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$840 |
$1,200 |
$613 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$1,010 |
$1,443 |
$672 |
$57 | |
| Joint aspiration or injection (small joint) |
$765 |
$1,093 |
$511 |
$56 | |
| Kidney biopsy |
$3,441 |
$4,916 |
$3,215 |
$492 | |
| Kidney scan (nuclear) |
$1,302 |
$1,861 |
$1,217 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$14,312 |
$20,446 |
$9,521 |
$760 | |
| Kidney ultrasound |
$464 |
$663 |
$407 |
$84 | |
| Kidney ultrasound (limited) |
$521 |
$745 |
$487 |
$61 | |
| Knee joint injection |
$1,147 |
$1,639 |
$767 |
$69 | |
| Lactate test |
$91 |
$131 |
$85 |
$12 | |
| Laryngoscopy |
$450 |
$643 |
$420 |
$189 | |
| LDH test |
$32 |
$46 |
$30 |
$6 | |
| LDL cholesterol test |
$23 |
$33 |
$22 |
$11 | |
| Leg artery angiogram |
$6,766 |
$9,666 |
$6,321 |
$149 | |
| Leg vein ultrasound (Doppler) |
$684 |
$977 |
$677 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$684 |
$977 |
$639 |
$116 | |
| LH hormone test |
$69 |
$98 |
$64 |
$19 | |
| Lipase test |
$41 |
$59 |
$38 |
$7 | |
| Lipid (cholesterol) panel |
$60 |
$85 |
$56 |
$13 | |
| Liver biopsy |
$2,344 |
$3,349 |
$2,190 |
$288 | |
| Liver function panel |
$39 |
$55 |
$36 |
$8 | |
| Lung function test (PFT) |
$387 |
$553 |
$266 |
$37 | |
| Lung scan (V/Q) |
$1,365 |
$1,950 |
$1,275 |
$291 | |
| Magnesium blood test |
$37 |
$54 |
$35 |
$7 | |
| MMR vaccine |
$556 |
$795 |
$520 |
— | |
| MRA of the brain |
$1,400 |
$2,000 |
$1,327 |
$226 | |
| MRA of the brain with contrast |
$1,400 |
$2,000 |
$1,308 |
$226 | |
| MRA of the brain without contrast |
$1,610 |
$2,300 |
$1,504 |
$328 | |
| MRA of the neck |
$1,994 |
$2,849 |
$1,277 |
$245 | |
| MRA of the neck without contrast |
$2,729 |
$3,898 |
$2,549 |
$343 | |
| MRI of the abdomen |
$1,540 |
$2,200 |
$1,397 |
$300 | |
| MRI of the abdomen without contrast |
$1,400 |
$2,000 |
$1,308 |
$194 | |
| MRI of the ankle |
$2,030 |
$2,900 |
$1,439 |
$261 | |
| MRI of the ankle with contrast |
$2,100 |
$3,000 |
$1,397 |
$261 | |
| MRI of the ankle without contrast |
$1,785 |
$2,550 |
$1,187 |
$222 | |
| MRI of the brain |
$1,610 |
$2,300 |
$1,210 |
$269 | |
| MRI of the brain with contrast |
$1,610 |
$2,300 |
$1,504 |
$269 | |
| MRI of the brain without contrast |
$1,190 |
$1,700 |
$1,112 |
$195 | |
| MRI of the chest |
$1,400 |
$2,000 |
$756 |
$371 | |
| MRI of the chest with contrast |
$573 |
$819 |
$535 |
$371 | |
| MRI of the chest without contrast |
$1,680 |
$2,400 |
$1,570 |
$466 | |
| MRI of the knee |
$2,240 |
$3,200 |
$1,439 |
$315 | |
| MRI of the knee with contrast |
$2,100 |
$3,000 |
$1,397 |
$315 | |
| MRI of the knee without contrast |
$2,100 |
$3,000 |
$1,397 |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,610 |
$2,300 |
$1,411 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,610 |
$2,300 |
$1,504 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,400 |
$2,000 |
$1,308 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,540 |
$2,200 |
$1,397 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$1,680 |
$2,400 |
$1,570 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,540 |
$2,200 |
$1,439 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,400 |
$2,000 |
$1,308 |
$190 | |
| MRI of the neck (cervical spine) |
$1,610 |
$2,300 |
$1,411 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,100 |
$3,000 |
$1,962 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,610 |
$2,300 |
$1,504 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,400 |
$2,000 |
$1,308 |
$191 | |
| MRI of the pelvis |
$1,540 |
$2,200 |
$1,397 |
$268 | |
| MRI of the pelvis without contrast |
$1,400 |
$2,000 |
$1,308 |
$227 | |
| MRI of the shoulder |
$2,240 |
$3,200 |
$1,537 |
$313 | |
| MRI of the shoulder with contrast |
$2,310 |
$3,300 |
$1,537 |
$313 | |
| MRI of the shoulder without contrast |
$2,100 |
$3,000 |
$1,397 |
$205 | |
| MRI of the wrist |
$2,030 |
$2,900 |
$1,530 |
$330 | |
| MRI of the wrist without contrast |
$1,785 |
$2,550 |
$1,187 |
$303 | |
| Nebulizer breathing treatment |
$180 |
$257 |
$168 |
$9 | |
| Nerve conduction study |
$437 |
$624 |
$295 |
$118 | |
| Nuclear cardiac stress test |
$2,756 |
$3,937 |
$2,575 |
$428 | |
| Occupational therapy evaluation |
$269 |
$384 |
$243 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$329 |
$470 |
$307 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$243 |
$347 |
$227 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$269 |
$384 |
$251 |
$101 | |
| Office visit (established patient) |
$166 |
$238 |
$155 |
$115 | |
| Office visit (new patient) |
$259 |
$370 |
$239 |
$177 | |
| Office visit, established patient (level 3) |
$160 |
$228 |
$149 |
$95 | |
| Office visit, established patient (level 4) |
$173 |
$247 |
$161 |
$136 | |
| Office visit, new patient (level 3) |
$240 |
$343 |
$224 |
$118 | |
| Office visit, new patient (level 4) |
$259 |
$370 |
$242 |
$177 | |
| Office visit, new patient (level 5) |
$390 |
$557 |
$364 |
$237 | |
| Pap smear (cervical screening) |
$75 |
$107 |
$64 |
$20 | |
| Parathyroid hormone (PTH) test |
$133 |
$190 |
$124 |
$41 | |
| Pelvic ultrasound |
$521 |
$745 |
$394 |
$78 | |
| Pelvic ultrasound (complete) |
$648 |
$926 |
$605 |
$105 | |
| Pelvic ultrasound (limited) |
$395 |
$564 |
$369 |
$51 | |
| PET scan |
$2,520 |
$3,600 |
$2,354 |
— | |
| Phosphorus blood test |
$37 |
$53 |
$34 |
$5 | |
| Physical therapy evaluation |
$263 |
$376 |
$241 |
$98 | |
| Physical therapy evaluation (high complexity) |
$327 |
$467 |
$305 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$263 |
$376 |
$246 |
$98 | |
| Platelet count |
$23 |
$32 |
$21 |
$4 | |
| Pregnancy blood test (hCG) |
$42 |
$60 |
$39 |
$8 | |
| Pregnancy ultrasound |
$569 |
$813 |
$520 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$521 |
$745 |
$487 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$618 |
$882 |
$577 |
$136 | |
| Procalcitonin test |
$101 |
$144 |
$94 |
$27 | |
| Prolactin test |
$64 |
$91 |
$59 |
$19 | |
| Prostate test (PSA) |
$66 |
$95 |
$62 |
$18 | |
| Psychiatric evaluation |
$337 |
$482 |
$315 |
$188 | |
| Psychotherapy session |
$337 |
$482 |
$315 |
$140 | |
| Pulmonary rehabilitation |
$143 |
$204 |
$133 |
$87 | |
| Radiofrequency nerve ablation |
$4,098 |
$5,854 |
$3,002 |
$462 | |
| Sacroiliac joint injection |
$1,126 |
$1,608 |
$749 |
$176 | |
| Scoliosis spine X-ray |
$350 |
$500 |
$271 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$271 |
$387 |
$253 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$429 |
$612 |
$400 |
$72 | |
| Screening colonoscopy |
$1,937 |
$2,768 |
$1,810 |
$378 | |
| Screening mammogram |
$181 |
$259 |
$169 |
$126 | |
| Scrotal ultrasound |
$578 |
$826 |
$540 |
$99 | |
| Sedimentation rate (ESR) test |
$32 |
$45 |
$29 |
$3 | |
| Septoplasty (deviated septum) |
$6,810 |
$9,729 |
$6,363 |
$613 | |
| Sex hormone binding globulin test |
$56 |
$80 |
$52 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$413 |
$591 |
$386 |
$114 | |
| Simple wound stitches |
$474 |
$677 |
$416 |
$127 | |
| Skin biopsy |
$846 |
$1,208 |
$600 |
$121 | |
| Skin biopsy (punch) |
$846 |
$1,208 |
$790 |
$121 | |
| Skin cancer lesion removal |
$1,478 |
$2,111 |
$853 |
$240 | |
| Skin lesion freezing (cryotherapy) |
$117 |
$166 |
$78 |
$36 | |
| Skin tag removal |
$328 |
$469 |
$306 |
$92 | |
| Sleep study (polysomnography) |
$3,300 |
$4,714 |
$3,080 |
$691 | |
| Soft tissue ultrasound |
$360 |
$515 |
$337 |
$64 | |
| Speech therapy |
$167 |
$238 |
$156 |
$76 | |
| Spinal tap (lumbar puncture) |
$993 |
$1,418 |
$927 |
$165 | |
| Spirometry (lung function test) |
$267 |
$381 |
$249 |
$30 | |
| Spirometry with bronchodilator |
$507 |
$724 |
$474 |
$43 | |
| Strep throat test |
$42 |
$60 |
$39 |
$17 | |
| Stress echocardiogram |
$1,905 |
$2,721 |
$1,776 |
$209 | |
| Stress echocardiogram (complete) |
$1,844 |
$2,635 |
$1,723 |
$233 | |
| Swallow study |
$180 |
$257 |
$168 |
$85 | |
| T3 thyroid test |
$68 |
$97 |
$63 |
$14 | |
| Tdap (tetanus) vaccine |
$261 |
$373 |
$243 |
— | |
| Testosterone test |
$85 |
$121 |
$79 |
$26 | |
| Thyroid test (TSH) |
$63 |
$90 |
$59 |
$17 | |
| Thyroid ultrasound |
$553 |
$790 |
$516 |
$109 | |
| Thyroid uptake scan |
$720 |
$1,028 |
$513 |
$145 | |
| Tilt table test |
$2,526 |
$3,609 |
$2,360 |
$168 | |
| Total IgE allergy test |
$35 |
$50 |
$33 |
$16 | |
| Total protein test |
$30 |
$44 |
$28 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$1,485 |
$2,122 |
$1,383 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,558 |
$2,225 |
$1,455 |
$239 | |
| Transvaginal ultrasound |
$554 |
$792 |
$518 |
$118 | |
| Trigger point injection |
$509 |
$727 |
$468 |
$56 | |
| Trigger point injection (1-2 muscles) |
$474 |
$677 |
$442 |
$52 | |
| Triglycerides test |
$38 |
$54 |
$35 |
$6 | |
| Troponin (heart) test |
$56 |
$80 |
$52 |
$12 | |
| Turbinate reduction |
$6,810 |
$9,729 |
$6,363 |
$294 | |
| Turning a breech baby (version) |
$6,636 |
$9,480 |
$6,200 |
$94 | |
| Upper GI endoscopy (EGD) |
$2,381 |
$3,401 |
$2,219 |
$371 | |
| Upper GI series (barium) |
$492 |
$703 |
$360 |
$128 | |
| Uric acid (gout) test |
$34 |
$49 |
$32 |
$5 | |
| Urinalysis |
$28 |
$40 |
$21 |
$3 | |
| Urine microalbumin test |
$39 |
$55 |
$33 |
$5 | |
| Urine pregnancy test |
$21 |
$30 |
$20 |
$9 | |
| Vaccine administration |
$53 |
$75 |
$49 |
$19 | |
| Vaccine administration (each additional) |
$52 |
$74 |
$49 |
$16 | |
| Varicose vein ablation |
$10,396 |
$14,852 |
$6,916 |
$1,018 | |
| Vitamin B12 test |
$56 |
$80 |
$52 |
$15 | |
| Vitamin D test |
$110 |
$157 |
$103 |
$30 | |
| Wart removal |
$434 |
$619 |
$404 |
$121 | |
| Well-child visit |
$273 |
$390 |
$255 |
— | |
| Wound debridement |
$726 |
$1,037 |
$594 |
$186 | |
| X-ray of the abdomen |
$287 |
$410 |
$246 |
$36 | |
| X-ray of the ankle |
$434 |
$620 |
$289 |
$37 | |
| X-ray of the collarbone |
$386 |
$551 |
$257 |
$33 | |
| X-ray of the elbow |
$432 |
$618 |
$288 |
$33 | |
| X-ray of the facial bones |
$325 |
$464 |
$278 |
$39 | |
| X-ray of the foot |
$428 |
$612 |
$285 |
$34 | |
| X-ray of the forearm |
$391 |
$559 |
$260 |
$29 | |
| X-ray of the hand |
$431 |
$616 |
$287 |
$38 | |
| X-ray of the hip |
$280 |
$400 |
$213 |
$49 | |
| X-ray of the hip (1 view) |
$209 |
$298 |
$195 |
$34 | |
| X-ray of the hip (3 views) |
$280 |
$400 |
$261 |
$49 | |
| X-ray of the hip (4 views) |
$450 |
$643 |
$421 |
$63 | |
| X-ray of the knee |
$436 |
$623 |
$314 |
$42 | |
| X-ray of the knee (2 views) |
$384 |
$548 |
$255 |
$34 | |
| X-ray of the knee (3 views) |
$465 |
$664 |
$309 |
$42 | |
| X-ray of the knee (4+ views) |
$540 |
$771 |
$359 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$405 |
$578 |
$332 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$333 |
$475 |
$311 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$476 |
$681 |
$445 |
$53 | |
| X-ray of the lower leg |
$413 |
$590 |
$275 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$327 |
$467 |
$293 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$293 |
$419 |
$274 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$361 |
$515 |
$337 |
$39 | |
| X-ray of the neck (cervical spine) |
$374 |
$534 |
$303 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$304 |
$434 |
$284 |
$40 | |
| X-ray of the pelvis |
$277 |
$396 |
$249 |
$36 | |
| X-ray of the pelvis (1 view) |
$250 |
$357 |
$234 |
$28 | |
| X-ray of the ribs |
$351 |
$501 |
$287 |
$42 | |
| X-ray of the ribs (2 views) |
$282 |
$403 |
$264 |
$36 | |
| X-ray of the ribs (3 views) |
$351 |
$501 |
$328 |
$42 | |
| X-ray of the shoulder |
$450 |
$643 |
$299 |
$36 | |
| X-ray of the skull |
$356 |
$509 |
$286 |
$40 | |
| X-ray of the upper arm |
$265 |
$379 |
$248 |
$32 | |
| X-ray of the wrist |
$424 |
$606 |
$282 |
$43 | |
| Zinc blood test |
$20 |
$29 |
$19 |
$11 | |