| 3D mammogram (tomosynthesis) |
$269 |
$598 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$746 |
$1,658 |
— |
$284 | |
| Abdominal ultrasound |
$1,416 |
$3,146 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$1,499 |
$3,331 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$1,332 |
$2,961 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$553 |
$1,229 |
— |
$220 | |
| Abscess drainage (simple) |
$580 |
$1,288 |
— |
$129 | |
| Abscess incision and drainage |
$566 |
$1,259 |
— |
$174 | |
| Albumin blood test |
$23 |
$50 |
— |
$5 | |
| Aldosterone test |
$184 |
$408 |
— |
$41 | |
| Alkaline phosphatase test |
$23 |
$52 |
— |
$5 | |
| Alpha-fetoprotein (AFP) test |
$84 |
$186 |
— |
$17 | |
| ALT liver enzyme test |
$91 |
$202 |
— |
$5 | |
| Ammonia blood test |
$59 |
$132 |
— |
$15 | |
| Amylase test |
$143 |
$318 |
— |
$6 | |
| Annual physical (new patient) |
$545 |
$1,211 |
— |
— | |
| Anoscopy |
$211 |
$468 |
— |
$129 | |
| Antinuclear antibody (ANA) test |
$99 |
$219 |
— |
$12 | |
| Arterial blood gas (ABG) |
$261 |
$579 |
— |
$26 | |
| AST liver enzyme test |
$102 |
$226 |
— |
$5 | |
| Barium swallow study |
$907 |
$2,016 |
— |
$107 | |
| Bartholin cyst removal |
$507 |
$1,127 |
— |
$182 | |
| Basic metabolic panel |
$184 |
$408 |
— |
$8 | |
| Benign skin lesion removal |
$645 |
$1,433 |
— |
$171 | |
| Bilirubin blood test |
$53 |
$118 |
— |
$5 | |
| Blood clotting test (PT/INR) |
$117 |
$260 |
— |
$4 | |
| Blood crossmatch |
$107 |
$238 |
— |
— | |
| Blood glucose test |
$64 |
$142 |
— |
$5 | |
| Blood transfusion |
$177 |
$394 |
— |
$47 | |
| Blood type and screen |
$129 |
$287 |
— |
$10 | |
| Blood type test |
$40 |
$90 |
— |
$3 | |
| Blood type test (ABO group) |
$22 |
$49 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$59 |
$130 |
— |
$3 | |
| BNP (heart failure) test |
$219 |
$486 |
— |
$39 | |
| Bone density scan (DEXA) |
$194 |
$430 |
— |
$39 | |
| Bone scan (nuclear) |
$1,679 |
$3,731 |
— |
$259 | |
| Botox for migraine |
$636 |
$1,414 |
— |
$157 | |
| Breast biopsy |
$880 |
$1,956 |
— |
$478 | |
| Breast MRI |
$550 |
$2,593 |
— |
$216 | |
| Breast MRI without contrast |
$550 |
$2,593 |
— |
$216 | |
| Breast ultrasound |
$884 |
$1,964 |
— |
$92 | |
| Breast ultrasound (complete) |
$952 |
$2,115 |
— |
$100 | |
| Breast ultrasound (limited) |
$815 |
$1,812 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$389 |
$865 |
— |
$133 | |
| Bunion surgery (bunionectomy) |
$2,660 |
$5,910 |
— |
$883 | |
| Burn dressing and debridement (medium) |
$225 |
$501 |
— |
$166 | |
| Burn dressing and debridement (small) |
$184 |
$408 |
— |
$93 | |
| Burn treatment |
$205 |
$455 |
— |
$129 | |
| C-reactive protein (CRP) |
$59 |
$130 |
— |
$5 | |
| CA 19-9 tumor marker test |
$133 |
$296 |
— |
$21 | |
| CA-125 ovarian marker test |
$133 |
$296 |
— |
$21 | |
| Calcium blood test |
$60 |
$134 |
— |
$5 | |
| Cardiac stress test |
$201 |
$447 |
— |
$39 | |
| Cardioversion |
$742 |
$1,649 |
— |
$155 | |
| Carotid artery ultrasound |
$892 |
$1,982 |
— |
$156 | |
| Cataract surgery |
$2,747 |
$6,105 |
— |
$547 | |
| CEA tumor marker test |
$121 |
$269 |
— |
$19 | |
| Celiac disease test |
$52 |
$115 |
— |
$12 | |
| Central line placement |
$598 |
$1,329 |
— |
$238 | |
| Chemotherapy infusion |
$433 |
$962 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$154 |
$343 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$711 |
$1,580 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$578 |
$1,285 |
— |
$311 | |
| Chest tube insertion |
$1,534 |
$3,409 |
— |
$143 | |
| Chest X-ray |
$401 |
$891 |
— |
$37 | |
| Chest X-ray (1 view) |
$351 |
$780 |
— |
$25 | |
| Chest X-ray (2 views) |
$539 |
$1,198 |
— |
$33 | |
| Chiropractic adjustment |
$146 |
$324 |
— |
$38 | |
| CK-MB heart enzyme test |
$179 |
$398 |
— |
$12 | |
| Clotting time test (PTT) |
$110 |
$245 |
— |
$6 | |
| Colonoscopy |
$306 |
$679 |
— |
$480 | |
| Complete blood count (CBC) |
$120 |
$267 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$139 |
$309 |
— |
$8 | |
| Complex wound repair |
$742 |
$1,648 |
— |
$390 | |
| Comprehensive metabolic panel |
$371 |
$824 |
— |
$11 | |
| Contraceptive implant (Nexplanon) |
$311 |
$692 |
— |
$115 | |
| Copper blood test |
$60 |
$133 |
— |
$12 | |
| Cortisol test |
$104 |
$231 |
— |
$16 | |
| COVID-19 PCR test |
$450 |
$450 |
— |
$51 | |
| CPAP titration study |
$342 |
$760 |
— |
$69 | |
| Creatine kinase (CK) test |
$119 |
$265 |
— |
$7 | |
| CT angiography of the chest |
$3,545 |
$7,877 |
— |
$281 | |
| CT angiography of the head |
$2,570 |
$5,711 |
— |
$274 | |
| CT colonography (virtual colonoscopy) |
$3,485 |
$7,744 |
— |
$835 | |
| CT scan of the abdomen |
$4,517 |
$10,038 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$5,327 |
$11,837 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$6,266 |
$13,925 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$5,327 |
$11,837 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$3,632 |
$8,071 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$3,911 |
$8,691 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$5,311 |
$11,802 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$4,517 |
$10,038 |
— |
$136 | |
| CT scan of the arm |
$1,824 |
$4,054 |
— |
$199 | |
| CT scan of the arm with contrast |
$1,824 |
$4,054 |
— |
$199 | |
| CT scan of the arm without contrast |
$3,034 |
$6,742 |
— |
$161 | |
| CT scan of the chest |
$3,747 |
$8,326 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$3,747 |
$8,326 |
— |
$196 | |
| CT scan of the chest with contrast |
$3,595 |
$7,988 |
— |
$167 | |
| CT scan of the chest without contrast |
$4,389 |
$9,753 |
— |
$133 | |
| CT scan of the head |
$4,109 |
$9,131 |
— |
$148 | |
| CT scan of the head with and without contrast |
$3,522 |
$7,827 |
— |
$173 | |
| CT scan of the head with contrast |
$4,109 |
$9,131 |
— |
$148 | |
| CT scan of the head without contrast |
$4,237 |
$9,416 |
— |
$107 | |
| CT scan of the leg |
$3,169 |
$7,043 |
— |
$166 | |
| CT scan of the leg with contrast |
$5,238 |
$11,639 |
— |
$166 | |
| CT scan of the leg without contrast |
$3,169 |
$7,043 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$4,471 |
$9,936 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$4,471 |
$9,936 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$4,720 |
$10,488 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$3,790 |
$8,423 |
— |
$130 | |
| CT scan of the neck |
$2,446 |
$5,435 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$3,182 |
$7,072 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$6,228 |
$13,841 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$2,465 |
$5,478 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$3,182 |
$7,072 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$2,446 |
$5,435 |
— |
$220 | |
| CT scan of the neck with contrast |
$4,844 |
$10,764 |
— |
$183 | |
| CT scan of the neck without contrast |
$2,088 |
$4,641 |
— |
$150 | |
| CT scan of the pelvis |
$5,238 |
$11,639 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$5,238 |
$11,639 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$3,803 |
$8,452 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$5,765 |
$12,811 |
— |
$133 | |
| CT scan of the sinuses |
$3,390 |
$7,533 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,014 |
$4,475 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$3,390 |
$7,533 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$3,985 |
$8,855 |
— |
$128 | |
| D-dimer test |
$215 |
$478 |
— |
$10 | |
| DHEA-sulfate test |
$165 |
$366 |
— |
$22 | |
| Diagnostic mammogram |
$866 |
$1,925 |
— |
$140 | |
| Drug screen (urine) |
$236 |
$524 |
— |
$17 | |
| Echocardiogram |
$1,101 |
$2,447 |
— |
$138 | |
| Echocardiogram with and without contrast |
$1,101 |
$2,447 |
— |
$101 | |
| Echocardiogram without contrast |
$1,101 |
$2,447 |
— |
$138 | |
| EEG (awake and asleep) |
$2,166 |
$4,814 |
— |
$482 | |
| EKG / ECG (tracing only) |
$272 |
$604 |
— |
$7 | |
| Electrocardiogram (EKG) |
$220 |
$490 |
— |
$8 | |
| Electroencephalogram (EEG) |
$2,004 |
$4,454 |
— |
$448 | |
| Electrolyte panel |
$189 |
$421 |
— |
$7 | |
| Emergency department visit |
$1,583 |
$2,873 |
— |
$69 | |
| Emergency department visit (level 1) |
$400 |
$962 |
— |
$11 | |
| Emergency department visit (level 2) |
$1,725 |
$1,581 |
— |
$40 | |
| Emergency department visit (level 3) |
$1,293 |
$2,873 |
— |
$69 | |
| Emergency department visit (level 4) |
$1,583 |
$3,518 |
— |
$118 | |
| Emergency department visit (level 5) |
$2,650 |
$4,594 |
— |
$171 | |
| Epidural steroid injection |
$3,375 |
$7,500 |
— |
$275 | |
| Estradiol (estrogen) test |
$99 |
$220 |
— |
$28 | |
| Facet joint injection (spine) |
$1,575 |
$3,500 |
— |
$99 | |
| Family therapy session |
$533 |
$1,185 |
— |
$110 | |
| Fecal occult blood (stool) test |
$79 |
$175 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$104 |
$230 |
— |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$54 |
$119 |
— |
$16 | |
| Ferritin (iron) test |
$101 |
$224 |
— |
$14 | |
| Fibrinogen test |
$63 |
$140 |
— |
$10 | |
| Flu test |
$59 |
$132 |
— |
$17 | |
| Folate (folic acid) test |
$109 |
$242 |
— |
$15 | |
| Foreign body removal (skin) |
$319 |
$709 |
— |
$157 | |
| Free T4 thyroid test |
$109 |
$242 |
— |
$9 | |
| FSH hormone test |
$138 |
$306 |
— |
$19 | |
| Gallbladder removal (laparoscopic) |
$1,022 |
$2,272 |
— |
$658 | |
| Gallbladder scan (HIDA) |
$1,802 |
$4,006 |
— |
$334 | |
| Ganglion cyst removal |
$936 |
$2,079 |
— |
$321 | |
| GGT liver test |
$53 |
$117 |
— |
$7 | |
| Glucose tolerance test |
$95 |
$212 |
— |
$8 | |
| Group therapy session |
$126 |
$280 |
— |
$30 | |
| H. pylori test |
$337 |
$748 |
— |
$67 | |
| Hammertoe repair |
$1,957 |
$4,349 |
— |
$548 | |
| HDL cholesterol test |
$52 |
$116 |
— |
$8 | |
| Hematocrit test |
$69 |
$154 |
— |
$2 | |
| Hemoglobin A1c (diabetes test) |
$44 |
$97 |
— |
$10 | |
| Hepatitis B test |
$77 |
$170 |
— |
$10 | |
| Hepatitis B vaccine |
$54 |
$120 |
— |
— | |
| Hepatitis C test |
$106 |
$235 |
— |
$14 | |
| HIV test |
$101 |
$226 |
— |
$19 | |
| HIV test (antibody) |
$101 |
$225 |
— |
$14 | |
| HIV test (antigen/antibody combo) |
$102 |
$226 |
— |
$24 | |
| Holter heart monitor |
$234 |
$519 |
— |
$26 | |
| Home sleep apnea test |
$660 |
$1,468 |
— |
$123 | |
| Inguinal hernia repair |
$810 |
$1,801 |
— |
$538 | |
| Iron blood test |
$48 |
$107 |
— |
$6 | |
| IUD removal |
$342 |
$761 |
— |
$112 | |
| IV infusion therapy |
$205 |
$455 |
— |
$44 | |
| IV infusion therapy (each additional) |
$158 |
$352 |
— |
$21 | |
| IV infusion therapy (initial) |
$251 |
$557 |
— |
$67 | |
| IVC filter placement |
$1,162 |
$2,582 |
— |
$1,885 | |
| Joint aspiration (small/intermediate) |
$372 |
$828 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$315 |
$700 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$430 |
$955 |
— |
$56 | |
| Kidney biopsy |
$666 |
$1,479 |
— |
$492 | |
| Kidney scan (nuclear) |
$883 |
$1,963 |
— |
$172 | |
| Kidney ultrasound |
$1,026 |
$2,281 |
— |
$84 | |
| Kidney ultrasound (limited) |
$972 |
$2,161 |
— |
$61 | |
| Knee arthroscopy |
$838 |
$1,863 |
— |
$524 | |
| Knee joint injection |
$360 |
$800 |
— |
$69 | |
| Lactate test |
$45 |
$101 |
— |
$12 | |
| Laminectomy (spine) |
$6,169 |
$13,709 |
— |
$1,157 | |
| Laryngoscopy |
$996 |
$2,213 |
— |
$189 | |
| LDH test |
$81 |
$179 |
— |
$6 | |
| LDL cholesterol test |
$61 |
$135 |
— |
$11 | |
| Leg artery angiogram |
$847 |
$1,883 |
— |
$149 | |
| Leg vein ultrasound (Doppler) |
$941 |
$2,090 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$729 |
$1,621 |
— |
$116 | |
| LH hormone test |
$137 |
$305 |
— |
$19 | |
| Lipase test |
$99 |
$221 |
— |
$7 | |
| Lipid (cholesterol) panel |
$189 |
$420 |
— |
$13 | |
| Liver biopsy |
$463 |
$1,029 |
— |
$288 | |
| Liver function panel |
$194 |
$430 |
— |
$8 | |
| Lumbar discectomy |
$5,020 |
$11,155 |
— |
$898 | |
| Lung function test (PFT) |
$179 |
$398 |
— |
$37 | |
| Magnesium blood test |
$108 |
$239 |
— |
$7 | |
| MMR vaccine |
$130 |
$288 |
— |
— | |
| MRA of the brain |
$1,369 |
$3,042 |
— |
$226 | |
| MRA of the brain with contrast |
$1,206 |
$2,679 |
— |
$226 | |
| MRA of the brain without contrast |
$2,096 |
$4,657 |
— |
$328 | |
| MRA of the neck |
$1,371 |
$3,046 |
— |
$245 | |
| MRA of the neck with contrast |
$1,121 |
$2,490 |
— |
$245 | |
| MRA of the neck without contrast |
$2,198 |
$4,884 |
— |
$343 | |
| MRI of the abdomen |
$2,500 |
$5,555 |
— |
$300 | |
| MRI of the abdomen with contrast |
$675 |
$3,585 |
— |
$300 | |
| MRI of the abdomen without contrast |
$2,500 |
$5,555 |
— |
$194 | |
| MRI of the ankle |
$2,853 |
$6,339 |
— |
$261 | |
| MRI of the ankle with contrast |
$675 |
$3,101 |
— |
$261 | |
| MRI of the ankle without contrast |
$2,853 |
$6,339 |
— |
$222 | |
| MRI of the brain |
$3,449 |
$7,665 |
— |
$269 | |
| MRI of the brain with contrast |
$3,449 |
$7,665 |
— |
$269 | |
| MRI of the brain without contrast |
$2,492 |
$5,537 |
— |
$195 | |
| MRI of the chest |
$4,786 |
$10,635 |
— |
$371 | |
| MRI of the chest with contrast |
$4,786 |
$10,635 |
— |
$371 | |
| MRI of the chest without contrast |
$6,044 |
$13,430 |
— |
$466 | |
| MRI of the knee |
$4,007 |
$8,905 |
— |
$315 | |
| MRI of the knee with contrast |
$4,007 |
$8,905 |
— |
$315 | |
| MRI of the knee without contrast |
$2,572 |
$5,716 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,431 |
$5,402 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$675 |
$3,193 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,431 |
$5,402 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,423 |
$5,384 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$4,090 |
$9,088 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$675 |
$3,223 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,423 |
$5,384 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$2,423 |
$5,384 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$4,082 |
$9,070 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$675 |
$3,249 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,423 |
$5,384 |
— |
$191 | |
| MRI of the pelvis |
$3,432 |
$7,626 |
— |
$268 | |
| MRI of the pelvis with contrast |
$3,432 |
$7,626 |
— |
$268 | |
| MRI of the pelvis without contrast |
$2,922 |
$6,494 |
— |
$227 | |
| MRI of the shoulder |
$4,003 |
$8,896 |
— |
$313 | |
| MRI of the shoulder with contrast |
$4,003 |
$8,896 |
— |
$313 | |
| MRI of the shoulder without contrast |
$2,576 |
$5,725 |
— |
$205 | |
| MRI of the wrist |
$3,889 |
$8,643 |
— |
$330 | |
| MRI of the wrist with contrast |
$675 |
$3,934 |
— |
$330 | |
| MRI of the wrist without contrast |
$3,889 |
$8,643 |
— |
$303 | |
| Nebulizer breathing treatment |
$258 |
$573 |
— |
$9 | |
| Neck (cervical) spinal fusion |
$8,832 |
$19,626 |
— |
$1,410 | |
| Nuchal translucency ultrasound |
$1,122 |
$2,494 |
— |
$116 | |
| Nuclear cardiac stress test |
$2,224 |
$4,942 |
— |
$428 | |
| Office visit (established patient) |
$329 |
$731 |
— |
$115 | |
| Office visit (new patient) |
$653 |
$1,452 |
— |
$177 | |
| Office visit, established patient (level 3) |
$259 |
$575 |
— |
$95 | |
| Office visit, established patient (level 4) |
$399 |
$886 |
— |
$136 | |
| Office visit, new patient (level 3) |
$386 |
$857 |
— |
$118 | |
| Office visit, new patient (level 4) |
$653 |
$1,452 |
— |
$177 | |
| Office visit, new patient (level 5) |
$853 |
$1,895 |
— |
$237 | |
| Parathyroid hormone (PTH) test |
$264 |
$586 |
— |
$41 | |
| Pelvic ultrasound |
$998 |
$2,218 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$1,088 |
$2,418 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$908 |
$2,018 |
— |
$51 | |
| Phosphorus blood test |
$35 |
$78 |
— |
$5 | |
| Physical therapy evaluation |
$56 |
$125 |
— |
$98 | |
| Platelet count |
$20 |
$45 |
— |
$4 | |
| Pneumonia vaccine |
$126 |
$280 |
— |
— | |
| Pregnancy blood test (hCG) |
$145 |
$322 |
— |
$8 | |
| Pregnancy ultrasound |
$805 |
$1,790 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$753 |
$1,673 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$858 |
$1,906 |
— |
$136 | |
| Procalcitonin test |
$198 |
$441 |
— |
$27 | |
| Prolactin test |
$144 |
$319 |
— |
$19 | |
| Prostate removal (prostatectomy) |
$2,191 |
$4,869 |
— |
$1,063 | |
| Prostate test (PSA) |
$101 |
$225 |
— |
$18 | |
| Psychiatric evaluation |
$765 |
$1,700 |
— |
$188 | |
| Psychotherapy session |
$530 |
$1,177 |
— |
$140 | |
| Radiofrequency nerve ablation |
$2,700 |
$6,000 |
— |
$462 | |
| Rheumatoid factor test |
$50 |
$112 |
— |
$6 | |
| Sacroiliac joint injection |
$1,350 |
$3,000 |
— |
$176 | |
| Scoliosis spine X-ray |
$447 |
$993 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$342 |
$759 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$552 |
$1,226 |
— |
$72 | |
| Screening mammogram |
$1,569 |
$3,486 |
— |
$126 | |
| Scrotal ultrasound |
$989 |
$2,197 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$81 |
$181 |
— |
$3 | |
| Sex hormone binding globulin test |
$109 |
$242 |
— |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$290 |
$644 |
— |
$114 | |
| Simple wound stitches |
$292 |
$648 |
— |
$127 | |
| Skin biopsy |
$256 |
$569 |
— |
$121 | |
| Skin biopsy (punch) |
$256 |
$569 |
— |
$121 | |
| Skin lesion freezing (cryotherapy) |
$328 |
$729 |
— |
$36 | |
| Skin tag removal |
$200 |
$444 |
— |
$92 | |
| Sleep study (polysomnography) |
$3,492 |
$7,759 |
— |
$691 | |
| Soft tissue ultrasound |
$283 |
$628 |
— |
$64 | |
| Spinal cord stimulator |
$2,120 |
$4,712 |
— |
$2,388 | |
| Spinal tap (lumbar puncture) |
$575 |
$1,278 |
— |
$165 | |
| Spine fracture repair (kyphoplasty) |
$2,582 |
$5,739 |
— |
$5,803 | |
| Spirometry (lung function test) |
$179 |
$398 |
— |
$30 | |
| Strep throat test |
$98 |
$217 |
— |
$17 | |
| Stress echocardiogram |
$1,088 |
$2,417 |
— |
$209 | |
| Stress echocardiogram (complete) |
$1,064 |
$2,364 |
— |
$233 | |
| T3 thyroid test |
$108 |
$240 |
— |
$14 | |
| Tdap (tetanus) vaccine |
$100 |
$223 |
— |
— | |
| Testosterone test |
$191 |
$425 |
— |
$26 | |
| Thyroid test (TSH) |
$179 |
$398 |
— |
$17 | |
| Thyroid ultrasound |
$1,035 |
$2,300 |
— |
$109 | |
| Thyroid uptake scan |
$770 |
$1,712 |
— |
$145 | |
| Tilt table test |
$810 |
$1,800 |
— |
$168 | |
| Tonsillectomy |
$449 |
$998 |
— |
$252 | |
| Total IgE allergy test |
$74 |
$165 |
— |
$16 | |
| Total protein test |
$20 |
$44 |
— |
$4 | |
| Tracheostomy |
$2,808 |
$6,241 |
— |
$273 | |
| Transvaginal ultrasound |
$937 |
$2,082 |
— |
$118 | |
| Trigger point injection |
$315 |
$700 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$293 |
$650 |
— |
$52 | |
| Triglycerides test |
$47 |
$104 |
— |
$6 | |
| Troponin (heart) test |
$179 |
$398 |
— |
$12 | |
| Umbilical hernia repair |
$2,390 |
$5,310 |
— |
— | |
| Upper GI endoscopy (EGD) |
$199 |
$442 |
— |
$371 | |
| Upper GI series (barium) |
$741 |
$1,647 |
— |
$128 | |
| Uric acid (gout) test |
$103 |
$228 |
— |
$5 | |
| Urinalysis |
$70 |
$156 |
— |
$3 | |
| Urine microalbumin test |
$35 |
$78 |
— |
$5 | |
| Urine pregnancy test |
$64 |
$143 |
— |
$9 | |
| Vaccine administration |
$96 |
$214 |
— |
$19 | |
| Vaccine administration (each additional) |
$74 |
$164 |
— |
$16 | |
| Varicose vein ablation |
$1,447 |
$3,216 |
— |
$1,018 | |
| Vitamin B12 test |
$50 |
$111 |
— |
$15 | |
| Vitamin D test |
$111 |
$246 |
— |
$30 | |
| Wart removal |
$202 |
$448 |
— |
$121 | |
| Wound debridement |
$486 |
$1,080 |
— |
$186 | |
| Wrist fracture repair |
$4,314 |
$9,586 |
— |
$735 | |
| X-ray of the abdomen |
$482 |
$1,072 |
— |
$36 | |
| X-ray of the ankle |
$503 |
$1,117 |
— |
$37 | |
| X-ray of the collarbone |
$579 |
$1,287 |
— |
$33 | |
| X-ray of the elbow |
$350 |
$778 |
— |
$33 | |
| X-ray of the facial bones |
$543 |
$1,206 |
— |
$39 | |
| X-ray of the foot |
$557 |
$1,238 |
— |
$34 | |
| X-ray of the forearm |
$363 |
$807 |
— |
$29 | |
| X-ray of the hand |
$431 |
$958 |
— |
$38 | |
| X-ray of the hip |
$482 |
$1,072 |
— |
$49 | |
| X-ray of the hip (1 view) |
$482 |
$1,072 |
— |
$34 | |
| X-ray of the hip (3 views) |
$473 |
$1,050 |
— |
$49 | |
| X-ray of the hip (4 views) |
$590 |
$1,312 |
— |
$63 | |
| X-ray of the knee |
$408 |
$907 |
— |
$42 | |
| X-ray of the knee (2 views) |
$405 |
$901 |
— |
$34 | |
| X-ray of the knee (3 views) |
$540 |
$1,200 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$408 |
$907 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$817 |
$1,816 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$605 |
$1,345 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$1,029 |
$2,287 |
— |
$53 | |
| X-ray of the lower leg |
$493 |
$1,096 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$569 |
$1,264 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$563 |
$1,250 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$575 |
$1,278 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$775 |
$1,722 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$533 |
$1,184 |
— |
$40 | |
| X-ray of the pelvis |
$471 |
$1,047 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$492 |
$1,093 |
— |
$28 | |
| X-ray of the ribs |
$547 |
$1,215 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$547 |
$1,215 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$669 |
$1,486 |
— |
$42 | |
| X-ray of the shoulder |
$506 |
$1,125 |
— |
$36 | |
| X-ray of the skull |
$571 |
$1,268 |
— |
$40 | |
| X-ray of the upper arm |
$477 |
$1,059 |
— |
$32 | |
| X-ray of the wrist |
$476 |
$1,057 |
— |
$43 | |
| YAG laser capsulotomy (eye) |
$1,579 |
$3,509 |
— |
$335 | |
| Zinc blood test |
$57 |
$127 |
— |
$11 | |