| 3D mammogram (tomosynthesis) |
$21 |
$112 |
$48 |
$51 | |
| Abscess drainage (complex or multiple) |
$123 |
$648 |
$237 |
$220 | |
| Abscess drainage (simple) |
$73 |
$382 |
$131 |
$129 | |
| Abscess incision and drainage |
$98 |
$515 |
$186 |
$174 | |
| Acupuncture |
$15 |
$77 |
$30 |
$38 | |
| ALT liver enzyme test |
$5 |
$24 |
$8 |
$5 | |
| Amniocentesis |
$228 |
$1,200 |
$556 |
$120 | |
| Ankle replacement |
$633 |
$3,332 |
$884 |
$885 | |
| Annual physical (established patient) |
$35 |
$186 |
$131 |
— | |
| Annual physical (new patient) |
$38 |
$199 |
$153 |
— | |
| Anoscopy |
$28 |
$145 |
$41 |
$129 | |
| Aortic aneurysm repair (AAA) |
$1,040 |
$5,476 |
$1,619 |
$1,345 | |
| Appendix removal (appendectomy) |
$8,591 |
$45,217 |
$16,466 |
$592 | |
| Arterial blood gas (ABG) |
$65 |
$342 |
$38 |
$26 | |
| Bartholin cyst removal |
$73 |
$383 |
$132 |
$182 | |
| Benign skin lesion removal |
$78 |
$411 |
$116 |
$171 | |
| Blood crossmatch |
$68 |
$359 |
$244 |
— | |
| Blood glucose test |
$23 |
$119 |
$6 |
$5 | |
| Blood transfusion |
$414 |
$2,177 |
$1,021 |
$47 | |
| Blood type and screen |
$41 |
$215 |
$13 |
$10 | |
| Blood type test |
$9 |
$48 |
$4 |
$3 | |
| Blood type test (ABO group) |
$18 |
$94 |
$4 |
$3 | |
| Bone marrow biopsy |
$661 |
$3,479 |
$181 |
$172 | |
| Botox for migraine |
$77 |
$405 |
$109 |
$157 | |
| Breast reduction |
$1,077 |
$5,667 |
$994 |
$980 | |
| Breast ultrasound (limited) |
$36 |
$191 |
$112 |
$84 | |
| Breathing tube insertion (intubation) |
$89 |
$468 |
$129 |
$133 | |
| Burn dressing and debridement (medium) |
$72 |
$380 |
$120 |
$166 | |
| Burn dressing and debridement (small) |
$37 |
$195 |
$56 |
$93 | |
| Burn treatment |
$55 |
$288 |
$97 |
$129 | |
| Cardiac ablation |
$17,976 |
$94,608 |
$21,768 |
$759 | |
| Cardiac catheterization |
$5,943 |
$31,282 |
$4,170 |
$1,049 | |
| Cardiac event monitor |
$130 |
$682 |
$184 |
$170 | |
| Carotid artery ultrasound |
$179 |
$942 |
$166 |
$156 | |
| Cataract surgery |
$427 |
$2,246 |
$686 |
$547 | |
| Chalazion (eyelid cyst) removal |
$68 |
$359 |
$127 |
$131 | |
| Chemotherapy infusion |
$147 |
$776 |
$425 |
$81 | |
| Chemotherapy infusion (each additional) |
$60 |
$316 |
$134 |
$28 | |
| Chemotherapy infusion (first hour) |
$235 |
$1,236 |
$476 |
$133 | |
| Chest X-ray (2 views) |
$134 |
$706 |
$42 |
$33 | |
| CK-MB heart enzyme test |
$51 |
$266 |
$17 |
$12 | |
| Colposcopy |
$70 |
$366 |
$113 |
$161 | |
| Complex wound repair |
$163 |
$858 |
$235 |
$390 | |
| Comprehensive eye exam |
$40 |
$209 |
$80 |
$138 | |
| Continuous glucose monitor setup |
$16 |
$85 |
$36 |
$35 | |
| Contraceptive implant (Nexplanon) |
$66 |
$346 |
$100 |
$115 | |
| COVID-19 PCR test |
$39 |
$205 |
$81 |
$51 | |
| CPAP titration study |
$128 |
$672 |
$282 |
$69 | |
| Creatine kinase (CK) test |
$28 |
$146 |
$10 |
$7 | |
| CT angiography of the head |
$945 |
$4,976 |
$266 |
$274 | |
| CT scan of the abdomen with contrast |
$910 |
$4,787 |
$226 |
$230 | |
| CT scan of the lower back (lumbar spine) |
$1,119 |
$5,891 |
$192 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,362 |
$7,168 |
$226 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,119 |
$5,891 |
$356 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$743 |
$3,908 |
$134 |
$130 | |
| CT scan of the neck |
$835 |
$4,393 |
$215 |
$183 | |
| CT scan of the neck with and without contrast |
$988 |
$5,201 |
$226 |
$220 | |
| CT scan of the neck with contrast |
$835 |
$4,393 |
$226 |
$183 | |
| CT scan of the neck without contrast |
$656 |
$3,455 |
$144 |
$150 | |
| CT scan of the sinuses without contrast |
$601 |
$3,164 |
$134 |
$128 | |
| Developmental screening (child) |
$51 |
$268 |
$107 |
— | |
| Drug screen (urine) |
$33 |
$172 |
$90 |
$17 | |
| Eardrum repair (tympanoplasty) |
$592 |
$3,115 |
$823 |
$799 | |
| Echocardiogram with and without contrast |
$234 |
$1,231 |
$307 |
$101 | |
| EEG (awake and asleep) |
$291 |
$1,529 |
$103 |
$482 | |
| EKG / ECG (tracing only) |
$93 |
$488 |
$85 |
$7 | |
| Elbow replacement |
$947 |
$4,982 |
$1,291 |
$1,301 | |
| Electroencephalogram (EEG) |
$292 |
$1,536 |
$122 |
$448 | |
| Emergency department visit |
$150 |
$789 |
$178 |
$69 | |
| Emergency department visit (level 1) |
$98 |
$516 |
$108 |
$11 | |
| Emergency department visit (level 2) |
$184 |
$968 |
$60 |
$40 | |
| Emergency department visit (level 3) |
$325 |
$1,711 |
$102 |
$69 | |
| Emergency department visit (level 4) |
$483 |
$2,541 |
$179 |
$118 | |
| Emergency department visit (level 5) |
$696 |
$3,662 |
$254 |
$171 | |
| Endometrial biopsy |
$40 |
$211 |
$59 |
$98 | |
| Eye refraction (glasses prescription) |
$13 |
$66 |
$53 |
— | |
| Eyelid surgery (blepharoplasty) |
$410 |
$2,160 |
$500 |
$552 | |
| Fallopian tube X-ray (HSG) |
$71 |
$374 |
$139 |
$164 | |
| Fecal occult blood (stool) test |
$9 |
$50 |
$20 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$16 |
$85 |
$6 |
$4 | |
| Femoral hernia repair |
$390 |
$2,054 |
$595 |
$584 | |
| Ferritin (iron) test |
$13 |
$68 |
$18 |
$14 | |
| Fibroid removal (myomectomy) |
$418 |
$2,202 |
$880 |
$914 | |
| Flu test |
$16 |
$86 |
$24 |
$17 | |
| Flu vaccine |
$8 |
$41 |
$33 |
— | |
| Foreign body removal (skin) |
$71 |
$376 |
$117 |
$157 | |
| Ganglion cyst removal |
$225 |
$1,186 |
$330 |
$321 | |
| GGT liver test |
$6 |
$33 |
$9 |
$7 | |
| Glucose tolerance test |
$29 |
$153 |
$10 |
$8 | |
| Hematocrit test |
$12 |
$63 |
$4 |
$2 | |
| Hemodialysis |
$236 |
$1,242 |
$883 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$38 |
$202 |
$14 |
$10 | |
| Hemorrhoid removal |
$181 |
$951 |
$253 |
$338 | |
| Hepatitis B test |
$34 |
$179 |
$15 |
$10 | |
| Hip arthroscopy |
$667 |
$3,511 |
$929 |
$931 | |
| HIV test |
$17 |
$88 |
$25 |
$19 | |
| HIV test (antibody) |
$30 |
$156 |
$20 |
$14 | |
| Holter heart monitor |
$90 |
$474 |
$99 |
$26 | |
| IUD insertion |
$42 |
$223 |
$156 |
— | |
| IUD removal |
$42 |
$221 |
$60 |
$112 | |
| IV infusion therapy |
$120 |
$632 |
$239 |
$44 | |
| IV infusion therapy (each additional) |
$68 |
$358 |
$87 |
$21 | |
| IV infusion therapy (initial) |
$172 |
$906 |
$356 |
$67 | |
| Kidney biopsy |
$1,028 |
$5,413 |
$169 |
$492 | |
| Kidney removal (nephrectomy) |
$841 |
$4,425 |
$1,243 |
$1,164 | |
| Kidney ultrasound |
$146 |
$770 |
$81 |
$84 | |
| Knee replacement |
$15,824 |
$83,285 |
$24,654 |
$18,054 | |
| Lactate test |
$27 |
$144 |
$17 |
$12 | |
| Laryngoscopy |
$75 |
$395 |
$137 |
$189 | |
| Leg vein ultrasound (Doppler) |
$216 |
$1,139 |
$134 |
$150 | |
| Lipase test |
$26 |
$139 |
$10 |
$7 | |
| Liver biopsy |
$1,087 |
$5,721 |
$341 |
$288 | |
| Lower back (lumbar) spinal fusion |
$42,033 |
$221,228 |
$46,753 |
$1,511 | |
| MRA of the neck |
$1,142 |
$6,008 |
$449 |
$245 | |
| MRA of the neck with contrast |
$1,274 |
$6,706 |
$449 |
$245 | |
| MRI of the ankle |
$1,142 |
$6,008 |
$391 |
$261 | |
| MRI of the ankle without contrast |
$1,142 |
$6,008 |
$307 |
$222 | |
| MRI of the brain with contrast |
$1,480 |
$7,789 |
$449 |
$269 | |
| MRI of the lower back (lumbar spine) |
$1,522 |
$8,009 |
$335 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,522 |
$8,009 |
$398 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,185 |
$6,236 |
$307 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,342 |
$7,063 |
$335 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$1,984 |
$10,441 |
$449 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,342 |
$7,063 |
$402 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,185 |
$6,236 |
$307 |
$190 | |
| Nebulizer breathing treatment |
$128 |
$672 |
$311 |
$9 | |
| Newborn hospital care |
$31 |
$161 |
$62 |
$58 | |
| Nuchal translucency ultrasound |
$42 |
$221 |
$72 |
$116 | |
| Occupational therapy evaluation |
$105 |
$550 |
$236 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$124 |
$650 |
$198 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$95 |
$498 |
$256 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$105 |
$550 |
$259 |
$101 | |
| Office visit (established patient) |
$30 |
$160 |
$69 |
$115 | |
| Office visit (new patient) |
$50 |
$261 |
$122 |
$177 | |
| Office visit, established patient (level 3) |
$25 |
$129 |
$64 |
$95 | |
| Office visit, established patient (level 4) |
$36 |
$190 |
$95 |
$136 | |
| Office visit, new patient (level 3) |
$30 |
$160 |
$84 |
$118 | |
| Office visit, new patient (level 4) |
$50 |
$261 |
$137 |
$177 | |
| Office visit, new patient (level 5) |
$67 |
$354 |
$188 |
$237 | |
| Pacemaker insertion |
$18,797 |
$98,930 |
$29,749 |
$15,506 | |
| PET scan |
$1,062 |
$5,590 |
$443 |
— | |
| Physical therapy evaluation |
$101 |
$534 |
$253 |
$98 | |
| Physical therapy evaluation (high complexity) |
$114 |
$599 |
$214 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$101 |
$534 |
$256 |
$98 | |
| Pregnancy ultrasound |
$262 |
$1,379 |
$134 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$259 |
$1,362 |
$134 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$265 |
$1,395 |
$134 |
$136 | |
| Procalcitonin test |
$47 |
$247 |
$41 |
$27 | |
| Prostate test (PSA) |
$52 |
$276 |
$27 |
$18 | |
| Psychiatric evaluation |
$74 |
$388 |
$163 |
$188 | |
| Psychotherapy session |
$54 |
$286 |
$119 |
$140 | |
| Rheumatoid factor test |
$22 |
$115 |
$9 |
$6 | |
| Routine eye exam |
$22 |
$118 |
$43 |
$88 | |
| Sedimentation rate (ESR) test |
$8 |
$40 |
$5 |
$3 | |
| Semen analysis |
$37 |
$193 |
$22 |
$12 | |
| Septoplasty (deviated septum) |
$452 |
$2,377 |
$635 |
$613 | |
| Simple wound stitches |
$33 |
$172 |
$74 |
$127 | |
| Skin cancer lesion removal |
$108 |
$567 |
$154 |
$240 | |
| Skin graft |
$463 |
$2,436 |
$668 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$19 |
$102 |
$8 |
$36 | |
| Skin tag removal |
$52 |
$276 |
$72 |
$92 | |
| Sleep study (polysomnography) |
$1,011 |
$5,321 |
$1,104 |
$691 | |
| Speech therapy |
$97 |
$509 |
$106 |
$76 | |
| Spinal tap (lumbar puncture) |
$413 |
$2,172 |
$107 |
$165 | |
| Spleen removal (splenectomy) |
$418 |
$2,200 |
$1,068 |
$1,036 | |
| Stomach removal (gastrectomy) |
$918 |
$4,832 |
$1,308 |
$1,595 | |
| Strabismus (eye muscle) surgery |
$439 |
$2,312 |
$586 |
$475 | |
| Strep throat test |
$23 |
$120 |
$24 |
$17 | |
| Swallow study |
$168 |
$886 |
$92 |
$85 | |
| Tdap (tetanus) vaccine |
$49 |
$260 |
$163 |
— | |
| Thyroid test (TSH) |
$38 |
$202 |
$24 |
$17 | |
| Transesophageal echocardiogram (TEE) |
$659 |
$3,470 |
$703 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$638 |
$3,357 |
$305 |
$239 | |
| Troponin (heart) test |
$40 |
$211 |
$18 |
$12 | |
| Upper GI series (barium) |
$136 |
$718 |
$178 |
$128 | |
| Urine microalbumin test |
$5 |
$28 |
$8 |
$5 | |
| Vaccine administration |
$22 |
$114 |
$82 |
$19 | |
| Vaccine administration (each additional) |
$19 |
$101 |
$22 |
$16 | |
| Wart removal |
$52 |
$275 |
$87 |
$121 | |
| Well-child visit |
$22 |
$117 |
$99 |
— | |
| X-ray of the abdomen |
$119 |
$627 |
$46 |
$36 | |
| X-ray of the knee (3 views) |
$194 |
$1,019 |
$37 |
$42 | |
| X-ray of the lower back (lumbar spine) |
$77 |
$407 |
$43 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$145 |
$764 |
$43 |
$40 | |
| X-ray of the neck (cervical spine) |
$112 |
$587 |
$30 |
$47 | |
| X-ray of the pelvis |
$70 |
$367 |
$32 |
$36 | |
| X-ray of the shoulder |
$186 |
$980 |
$41 |
$36 | |
| YAG laser capsulotomy (eye) |
$209 |
$1,098 |
$288 |
$335 | |