| 3D mammogram (tomosynthesis) |
$227 |
$372 |
$32 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$813 |
$1,332 |
$1,334 |
$284 | |
| Abdominal ultrasound |
$417 |
$684 |
$133 |
$100 | |
| Abdominal ultrasound (complete) |
$451 |
$739 |
$141 |
$114 | |
| Abdominal ultrasound (limited) |
$384 |
$629 |
$125 |
$86 | |
| Abscess drainage (complex or multiple) |
$348 |
$571 |
$470 |
$220 | |
| Abscess drainage (simple) |
$679 |
$1,113 |
$360 |
$129 | |
| Abscess incision and drainage |
$514 |
$842 |
$365 |
$174 | |
| Achilles tendon repair |
$2,427 |
$3,978 |
$7,784 |
$624 | |
| ACL knee reconstruction |
$1,753 |
$2,873 |
$7,784 |
$889 | |
| Acupuncture |
$79 |
$130 |
$37 |
$38 | |
| Acupuncture (each additional) |
$69 |
$113 |
$31 |
$28 | |
| Adenoid removal (adenoidectomy) |
$623 |
$1,021 |
$3,756 |
$204 | |
| Albumin blood test |
$46 |
$76 |
$5 |
$5 | |
| Aldosterone test |
$98 |
$161 |
$41 |
$41 | |
| Alkaline phosphatase test |
$40 |
$66 |
$5 |
$5 | |
| Allergy patch testing |
$33 |
$54 |
$877 |
$5 | |
| Allergy shots |
$33 |
$55 |
$56 |
$11 | |
| Alpha-fetoprotein (AFP) test |
$62 |
$102 |
$17 |
$17 | |
| ALT liver enzyme test |
$38 |
$63 |
$5 |
$5 | |
| Ammonia blood test |
$37 |
$61 |
$15 |
$15 | |
| Amniocentesis |
$1,146 |
$1,878 |
$1,068 |
$120 | |
| Amylase test |
$42 |
$69 |
$6 |
$6 | |
| Anal fistula repair |
$795 |
$1,303 |
$3,145 |
$541 | |
| Ankle fracture repair |
$2,468 |
$4,046 |
$7,784 |
$608 | |
| Ankle replacement |
$2,106 |
$3,452 |
$27,722 |
$885 | |
| Annual physical (established patient) |
$112 |
$183 |
$153 |
— | |
| Annual physical (new patient) |
$127 |
$208 |
$168 |
— | |
| Anoscopy |
$71 |
$117 |
$234 |
$129 | |
| Antinuclear antibody (ANA) test |
$46 |
$76 |
$12 |
$12 | |
| Aortic aneurysm repair (AAA) |
$4,263 |
$6,989 |
$1,800 |
$1,345 | |
| Aortic valve replacement |
$5,559 |
$9,113 |
$1,978 |
$1,603 | |
| Arterial blood gas (ABG) |
$169 |
$277 |
$26 |
$26 | |
| AST liver enzyme test |
$38 |
$63 |
$5 |
$5 | |
| Barium swallow study |
$479 |
$786 |
$209 |
$107 | |
| Bartholin cyst removal |
$370 |
$606 |
$364 |
$182 | |
| Basic metabolic panel |
$76 |
$124 |
$8 |
$8 | |
| Benign skin lesion removal |
$269 |
$441 |
$786 |
$171 | |
| Bilirubin blood test |
$43 |
$70 |
$5 |
$5 | |
| Bladder function test (urodynamics) |
$1,035 |
$1,696 |
$936 |
$345 | |
| Bladder scope (cystoscopy) |
$872 |
$1,430 |
$936 |
$216 | |
| Bladder tumor removal (TURBT) |
$2,896 |
$4,747 |
$3,781 |
$236 | |
| Blood clotting test (PT/INR) |
$51 |
$83 |
$4 |
$4 | |
| Blood crossmatch |
$118 |
$194 |
$203 |
— | |
| Blood glucose test |
$33 |
$54 |
$5 |
$5 | |
| Blood transfusion |
$670 |
$1,098 |
$500 |
$47 | |
| Blood type and screen |
$74 |
$121 |
$62 |
$10 | |
| Blood type test |
$42 |
$69 |
$54 |
$3 | |
| Blood type test (ABO group) |
$51 |
$84 |
$136 |
$3 | |
| Blood type test (Rh/D antigen) |
$33 |
$54 |
$45 |
$3 | |
| BNP (heart failure) test |
$144 |
$236 |
$39 |
$39 | |
| Bone density scan (DEXA) |
$346 |
$568 |
$125 |
$39 | |
| Bone marrow biopsy |
$1,165 |
$1,911 |
$2,000 |
$172 | |
| Bone scan (nuclear) |
$901 |
$1,477 |
$477 |
$259 | |
| Botox for migraine |
$425 |
$697 |
$411 |
$157 | |
| Brain shunt (VP shunt) |
$6,660 |
$10,918 |
$1,368 |
$1,023 | |
| Breast biopsy |
$2,195 |
$3,598 |
$1,971 |
$478 | |
| Breast MRI |
$708 |
$1,160 |
$285 |
$216 | |
| Breast MRI without contrast |
$703 |
$1,153 |
$285 |
$216 | |
| Breast reconstruction |
$4,101 |
$6,723 |
$8,500 |
$1,227 | |
| Breast reduction |
$3,418 |
$5,603 |
$7,123 |
$980 | |
| Breast ultrasound |
$251 |
$412 |
$132 |
$92 | |
| Breast ultrasound (complete) |
$251 |
$412 |
$146 |
$100 | |
| Breast ultrasound (limited) |
$251 |
$412 |
$122 |
$84 | |
| Breathing tube insertion (intubation) |
$359 |
$588 |
$372 |
$133 | |
| Bronchoscopy |
$307 |
$503 |
$2,253 |
$303 | |
| Bunion surgery (bunionectomy) |
$925 |
$1,517 |
$5,879 |
$883 | |
| Burn dressing and debridement (medium) |
$209 |
$343 |
$360 |
$166 | |
| Burn dressing and debridement (small) |
$100 |
$164 |
$360 |
$93 | |
| Burn treatment |
$155 |
$254 |
$360 |
$129 | |
| C-reactive protein (CRP) |
$72 |
$118 |
$5 |
$5 | |
| CA 19-9 tumor marker test |
$89 |
$146 |
$21 |
$21 | |
| CA-125 ovarian marker test |
$132 |
$216 |
$21 |
$21 | |
| Calcium blood test |
$14 |
$23 |
$5 |
$5 | |
| Capsule endoscopy |
$1,874 |
$3,072 |
$1,216 |
$802 | |
| Cardiac ablation |
$24,868 |
$40,768 |
$27,372 |
$759 | |
| Cardiac catheterization |
$10,296 |
$16,878 |
$3,673 |
$1,049 | |
| Cardiac event monitor |
$636 |
$1,043 |
$307 |
$170 | |
| Cardiac MRI |
$1,015 |
$1,664 |
$399 |
$322 | |
| Cardiac MRI without contrast |
$897 |
$1,470 |
$314 |
$280 | |
| Cardiac rehabilitation |
$173 |
$284 |
$154 |
$26 | |
| Cardiac stress test |
$270 |
$442 |
$117 |
$39 | |
| Cardioversion |
$1,197 |
$1,963 |
$834 |
$155 | |
| Carotid artery surgery |
$3,977 |
$6,519 |
$1,768 |
$1,026 | |
| Carotid artery ultrasound |
$480 |
$787 |
$192 |
$156 | |
| Carpal tunnel release |
$3,220 |
$5,279 |
$2,330 |
$483 | |
| Cataract surgery |
$3,497 |
$5,732 |
$2,753 |
$547 | |
| CEA tumor marker test |
$124 |
$203 |
$19 |
$19 | |
| Celiac disease test |
$47 |
$77 |
$12 |
$12 | |
| Central line placement |
$1,063 |
$1,743 |
$2,613 |
$238 | |
| Cervical cerclage |
$4,565 |
$7,484 |
$3,390 |
$137 | |
| Cervical LEEP procedure |
$4,257 |
$6,979 |
$3,473 |
$325 | |
| Cesarean section (C-section) |
— |
— |
$8,812 |
$7,552 | |
| Chalazion (eyelid cyst) removal |
$437 |
$717 |
$417 |
$131 | |
| Chemotherapy infusion |
$348 |
$571 |
$131 |
$81 | |
| Chemotherapy infusion (each additional) |
$81 |
$133 |
$86 |
$28 | |
| Chemotherapy infusion (first hour) |
$615 |
$1,009 |
$394 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,817 |
$2,979 |
$1,005 |
$311 | |
| Chest tube insertion |
$522 |
$855 |
$1,836 |
$143 | |
| Chest X-ray |
$196 |
$322 |
$109 |
$37 | |
| Chest X-ray (1 view) |
$144 |
$236 |
$104 |
$25 | |
| Chest X-ray (2 views) |
$191 |
$313 |
$104 |
$33 | |
| Chickenpox (varicella) vaccine |
$166 |
$273 |
$185 |
— | |
| Chiropractic adjustment |
$51 |
$83 |
$37 |
$38 | |
| Circumcision |
$1,741 |
$2,854 |
$2,242 |
$167 | |
| CK-MB heart enzyme test |
$89 |
$146 |
$12 |
$12 | |
| Clotting time test (PTT) |
$67 |
$110 |
$6 |
$6 | |
| Colon resection (colectomy) |
$4,199 |
$6,884 |
$1,628 |
$1,238 | |
| Colonoscopy |
$446 |
$731 |
$1,459 |
$480 | |
| Colostomy |
$3,171 |
$5,198 |
$1,610 |
$1,122 | |
| Colposcopy |
$666 |
$1,092 |
$410 |
$161 | |
| Complete blood count (CBC) |
$74 |
$121 |
$8 |
$7 | |
| Complete blood count (CBC) (complete) |
$88 |
$145 |
$8 |
$8 | |
| Complex wound repair |
$666 |
$1,092 |
$837 |
$390 | |
| Comprehensive eye exam |
$110 |
$180 |
$159 |
$138 | |
| Comprehensive metabolic panel |
$93 |
$152 |
$11 |
$11 | |
| Contact lens fitting |
$27 |
$44 |
$78 |
— | |
| Continuous glucose monitor setup |
$130 |
$213 |
$60 |
$35 | |
| Contraceptive implant (Nexplanon) |
$234 |
$383 |
$365 |
$115 | |
| Copper blood test |
$43 |
$71 |
$12 |
$12 | |
| Corneal transplant |
$5,643 |
$9,251 |
$4,932 |
$1,066 | |
| Coronary artery bypass (CABG) |
— |
— |
$46,304 |
$36,593 | |
| Coronary CT angiography |
$1,192 |
$1,954 |
$416 |
$326 | |
| Cortisol test |
$69 |
$113 |
$16 |
$16 | |
| COVID-19 PCR test |
$110 |
$180 |
$51 |
$51 | |
| CPAP titration study |
$354 |
$581 |
$261 |
$69 | |
| Craniotomy (brain surgery) |
$6,018 |
$9,866 |
$1,626 |
$2,161 | |
| Creatine kinase (CK) test |
$56 |
$91 |
$7 |
$7 | |
| CT angiography of the chest |
$1,710 |
$2,804 |
$281 |
$281 | |
| CT angiography of the head |
$1,582 |
$2,593 |
$281 |
$274 | |
| CT colonography (virtual colonoscopy) |
— |
— |
$430 |
$835 | |
| CT scan of the abdomen |
$1,435 |
$2,353 |
$193 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,738 |
$4,489 |
$416 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,997 |
$4,913 |
$456 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,738 |
$4,489 |
$416 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,408 |
$3,948 |
$285 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,720 |
$2,819 |
$281 |
$259 | |
| CT scan of the abdomen with contrast |
$1,435 |
$2,353 |
$281 |
$230 | |
| CT scan of the abdomen without contrast |
$1,247 |
$2,044 |
$152 |
$136 | |
| CT scan of the arm |
$1,139 |
$1,868 |
$209 |
$199 | |
| CT scan of the arm with contrast |
$1,139 |
$1,868 |
$416 |
$199 | |
| CT scan of the arm without contrast |
$996 |
$1,633 |
$167 |
$161 | |
| CT scan of the chest |
$1,401 |
$2,297 |
$192 |
$167 | |
| CT scan of the chest with and without contrast |
$1,616 |
$2,649 |
$257 |
$196 | |
| CT scan of the chest with contrast |
$1,401 |
$2,297 |
$210 |
$167 | |
| CT scan of the chest without contrast |
$1,220 |
$2,000 |
$155 |
$133 | |
| CT scan of the head |
$1,205 |
$1,975 |
$188 |
$148 | |
| CT scan of the head with and without contrast |
$1,581 |
$2,591 |
$213 |
$173 | |
| CT scan of the head with contrast |
$1,205 |
$1,975 |
$209 |
$148 | |
| CT scan of the head without contrast |
$1,147 |
$1,880 |
$125 |
$107 | |
| CT scan of the leg |
$1,156 |
$1,895 |
$192 |
$166 | |
| CT scan of the leg with contrast |
$1,156 |
$1,895 |
$210 |
$166 | |
| CT scan of the leg without contrast |
$1,028 |
$1,685 |
$156 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,345 |
$2,205 |
$193 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,921 |
$3,149 |
$257 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,345 |
$2,205 |
$416 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,310 |
$2,147 |
$155 |
$130 | |
| CT scan of the neck |
$1,435 |
$2,353 |
$192 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,501 |
$2,461 |
$193 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,721 |
$2,822 |
$257 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,501 |
$2,461 |
$416 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,501 |
$2,461 |
$157 |
$131 | |
| CT scan of the neck with and without contrast |
$1,738 |
$2,849 |
$272 |
$220 | |
| CT scan of the neck with contrast |
$1,435 |
$2,353 |
$224 |
$183 | |
| CT scan of the neck without contrast |
$1,242 |
$2,036 |
$167 |
$150 | |
| CT scan of the pelvis |
$1,304 |
$2,137 |
$193 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,383 |
$2,267 |
$281 |
$251 | |
| CT scan of the pelvis with contrast |
$1,304 |
$2,137 |
$281 |
$226 | |
| CT scan of the pelvis without contrast |
$1,164 |
$1,909 |
$154 |
$133 | |
| CT scan of the sinuses |
$1,224 |
$2,006 |
$188 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,402 |
$2,298 |
$233 |
$184 | |
| CT scan of the sinuses with contrast |
$1,224 |
$2,006 |
$209 |
$152 | |
| CT scan of the sinuses without contrast |
$1,072 |
$1,758 |
$165 |
$128 | |
| D-dimer test |
$45 |
$74 |
$10 |
$10 | |
| Developmental screening (child) |
$107 |
$175 |
$13 |
— | |
| DHEA-sulfate test |
$69 |
$113 |
$22 |
$22 | |
| Diagnostic mammogram |
$261 |
$429 |
$143 |
$140 | |
| Dialysis fistula creation |
$1,155 |
$1,893 |
$3,577 |
$601 | |
| Dilation and curettage (D&C) |
$4,565 |
$7,484 |
$3,390 |
$298 | |
| Droopy eyelid repair (ptosis) |
$2,494 |
$4,088 |
$2,837 |
$745 | |
| Drug screen (urine) |
$141 |
$231 |
$22 |
$17 | |
| Ear pressure test (tympanometry) |
$68 |
$111 |
$45 |
$16 | |
| Ear tubes (myringotomy) |
$1,854 |
$3,039 |
$1,035 |
$174 | |
| Eardrum repair (tympanoplasty) |
$6,571 |
$10,772 |
$7,063 |
$799 | |
| Echocardiogram |
$559 |
$917 |
$382 |
$138 | |
| Echocardiogram with and without contrast |
$251 |
$412 |
$285 |
$101 | |
| Echocardiogram without contrast |
$559 |
$917 |
$285 |
$138 | |
| EEG (awake and asleep) |
$645 |
$1,057 |
$389 |
$482 | |
| EKG / ECG (tracing only) |
$148 |
$242 |
$70 |
$7 | |
| Elbow replacement |
$2,598 |
$4,259 |
$18,809 |
$1,301 | |
| Electrocardiogram (EKG) |
$148 |
$242 |
$22 |
$8 | |
| Electroencephalogram (EEG) |
$614 |
$1,007 |
$381 |
$448 | |
| Electrolyte panel |
$54 |
$89 |
$7 |
$7 | |
| Electromyography (EMG) |
$240 |
$394 |
$159 |
$141 | |
| Emergency department visit |
$442 |
$725 |
$246 |
$69 | |
| Emergency department visit (level 1) |
$170 |
$278 |
$101 |
$11 | |
| Emergency department visit (level 2) |
$298 |
$488 |
$183 |
$40 | |
| Emergency department visit (level 3) |
$442 |
$725 |
$326 |
$69 | |
| Emergency department visit (level 4) |
$789 |
$1,293 |
$498 |
$118 | |
| Emergency department visit (level 5) |
$1,235 |
$2,025 |
$711 |
$171 | |
| Endometrial biopsy |
$420 |
$689 |
$364 |
$98 | |
| Epidural steroid injection |
$1,126 |
$1,846 |
$940 |
$275 | |
| ERCP (bile duct endoscopy) |
$999 |
$1,637 |
$4,037 |
$311 | |
| Esophageal dilation |
$2,185 |
$3,582 |
$1,572 |
$522 | |
| Esophageal variceal banding |
$647 |
$1,061 |
$2,029 |
$126 | |
| Estradiol (estrogen) test |
$112 |
$184 |
$28 |
$28 | |
| Eye refraction (glasses prescription) |
$26 |
$43 |
$25 |
— | |
| Eyelid surgery (blepharoplasty) |
$849 |
$1,392 |
$2,382 |
$552 | |
| Facet joint injection (spine) |
$397 |
$651 |
$365 |
$99 | |
| Fallopian tube X-ray (HSG) |
$284 |
$465 |
$256 |
$164 | |
| Family therapy session |
$203 |
$333 |
$212 |
$110 | |
| Fecal occult blood (stool) test |
$48 |
$78 |
$9 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$29 |
$48 |
$5 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$66 |
$108 |
$16 |
$16 | |
| Feeding tube (PEG) placement |
$725 |
$1,189 |
$2,174 |
$178 | |
| Femoral hernia repair |
$4,928 |
$8,079 |
$4,272 |
$584 | |
| Ferritin (iron) test |
$99 |
$162 |
$14 |
$14 | |
| Fibrinogen test |
$87 |
$142 |
$10 |
$10 | |
| Fibroid removal (myomectomy) |
$3,099 |
$5,080 |
$1,849 |
$914 | |
| Flexible sigmoidoscopy |
$197 |
$323 |
$1,073 |
$323 | |
| Flu test |
$82 |
$135 |
$17 |
$17 | |
| Folate (folic acid) test |
$91 |
$149 |
$15 |
$15 | |
| Foreign body removal (skin) |
$195 |
$319 |
$470 |
$157 | |
| Free T4 thyroid test |
$79 |
$130 |
$9 |
$9 | |
| FSH hormone test |
$109 |
$179 |
$19 |
$19 | |
| Gallbladder removal (laparoscopic) |
$1,776 |
$2,912 |
$6,849 |
$658 | |
| Gallbladder scan (HIDA) |
$1,162 |
$1,905 |
$639 |
$334 | |
| Ganglion cyst removal |
$598 |
$980 |
$1,918 |
$321 | |
| GGT liver test |
$45 |
$73 |
$7 |
$7 | |
| Glaucoma surgery |
$3,105 |
$5,090 |
$2,753 |
$984 | |
| Glucose tolerance test |
$52 |
$85 |
$8 |
$8 | |
| Group therapy session |
$162 |
$265 |
$121 |
$30 | |
| H. pylori test |
$203 |
$333 |
$67 |
$67 | |
| Hammertoe repair |
$994 |
$1,630 |
$3,904 |
$548 | |
| HDL cholesterol test |
$46 |
$76 |
$8 |
$8 | |
| Hearing test (audiometry) |
$141 |
$231 |
$154 |
$36 | |
| Hematocrit test |
$33 |
$54 |
$2 |
$2 | |
| Hemodialysis |
$717 |
$1,176 |
$719 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$60 |
$99 |
$10 |
$10 | |
| Hemorrhoid removal |
$479 |
$785 |
$1,652 |
$338 | |
| Hepatitis A vaccine |
$94 |
$154 |
$72 |
— | |
| Hepatitis B test |
$16 |
$27 |
$10 |
$10 | |
| Hepatitis B vaccine |
$45 |
$74 |
$70 |
— | |
| Hepatitis C test |
$60 |
$98 |
$14 |
$14 | |
| Hip arthroscopy |
$1,831 |
$3,001 |
$7,784 |
$931 | |
| Hip fracture repair |
$3,890 |
$6,378 |
$4,350 |
$1,120 | |
| Hip replacement |
$4,250 |
$6,967 |
$13,773 |
$1,162 | |
| HIV test |
$71 |
$117 |
$24 |
$19 | |
| HIV test (antibody) |
$77 |
$126 |
$14 |
$14 | |
| HIV test (antigen/antibody combo) |
$66 |
$108 |
$24 |
$24 | |
| Holter heart monitor |
$219 |
$359 |
$74 |
$26 | |
| Home sleep apnea test |
$186 |
$305 |
$108 |
$123 | |
| HPV vaccine |
$346 |
$567 |
$314 |
— | |
| Hydrocele repair |
$4,765 |
$7,812 |
$4,056 |
$315 | |
| Hysterectomy |
$7,335 |
$12,025 |
$8,945 |
$933 | |
| Hysteroscopy |
$4,565 |
$7,484 |
$3,667 |
$1,270 | |
| Ileostomy |
$2,835 |
$4,648 |
$903 |
$968 | |
| Incisional hernia repair |
— |
— |
$6,395 |
— | |
| Inguinal hernia repair |
$4,928 |
$8,079 |
$4,272 |
$538 | |
| Iron blood test |
$75 |
$123 |
$6 |
$6 | |
| IUD insertion |
$178 |
$291 |
$107 |
— | |
| IUD removal |
$407 |
$668 |
$410 |
$112 | |
| IV infusion therapy |
$239 |
$392 |
$84 |
$44 | |
| IV infusion therapy (each additional) |
$100 |
$164 |
$56 |
$21 | |
| IV infusion therapy (initial) |
$378 |
$620 |
$254 |
$67 | |
| Joint aspiration (small/intermediate) |
$408 |
$669 |
$455 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$146 |
$240 |
$455 |
$57 | |
| Joint aspiration or injection (small joint) |
$670 |
$1,098 |
$455 |
$56 | |
| Kidney biopsy |
$2,331 |
$3,822 |
$1,971 |
$492 | |
| Kidney removal (nephrectomy) |
$10,288 |
$16,866 |
$1,365 |
$1,164 | |
| Kidney scan (nuclear) |
$1,161 |
$1,904 |
$648 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$9,493 |
$15,562 |
$4,206 |
$760 | |
| Kidney ultrasound |
$356 |
$584 |
$129 |
$84 | |
| Kidney ultrasound (limited) |
$323 |
$530 |
$125 |
$61 | |
| Knee arthroscopy |
$1,001 |
$1,642 |
$3,904 |
$524 | |
| Knee joint injection |
$691 |
$1,133 |
$455 |
$69 | |
| Knee replacement |
— |
— |
$23,932 |
$18,054 | |
| Lactate test |
$109 |
$179 |
$12 |
$12 | |
| Laminectomy (spine) |
$6,030 |
$9,885 |
$8,142 |
$1,157 | |
| Laryngoscopy |
$171 |
$280 |
$404 |
$189 | |
| LDH test |
$41 |
$67 |
$6 |
$6 | |
| LDL cholesterol test |
$32 |
$53 |
$11 |
$11 | |
| Leg artery angiogram |
$3,210 |
$5,263 |
$3,767 |
$149 | |
| Leg vein ultrasound (Doppler) |
$651 |
$1,067 |
$192 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$584 |
$957 |
$167 |
$116 | |
| LH hormone test |
$104 |
$171 |
$19 |
$19 | |
| Lipase test |
$87 |
$142 |
$7 |
$7 | |
| Lipid (cholesterol) panel |
$16 |
$27 |
$13 |
$13 | |
| Liver function panel |
$73 |
$119 |
$8 |
$8 | |
| Lumbar discectomy |
$8,682 |
$14,232 |
$8,500 |
$898 | |
| Lumpectomy (breast) |
$1,437 |
$2,356 |
$5,723 |
$750 | |
| Lung function test (PFT) |
$177 |
$291 |
$315 |
$37 | |
| Lung scan (V/Q) |
$1,269 |
$2,081 |
$648 |
$291 | |
| Magnesium blood test |
$18 |
$29 |
$7 |
$7 | |
| Mastectomy |
$1,919 |
$3,146 |
$7,123 |
$1,021 | |
| Mastoidectomy |
$5,866 |
$9,616 |
$6,350 |
$840 | |
| Meniscus repair (knee) |
$1,890 |
$3,098 |
$3,904 |
$714 | |
| MMR vaccine |
$74 |
$122 |
$96 |
— | |
| Mohs skin cancer surgery |
$713 |
$1,169 |
$455 |
$535 | |
| MRA of the brain |
$1,942 |
$3,183 |
$416 |
$226 | |
| MRA of the brain with contrast |
$1,942 |
$3,183 |
$416 |
$226 | |
| MRA of the brain without contrast |
$2,303 |
$3,775 |
$487 |
$328 | |
| MRA of the neck |
$1,655 |
$2,713 |
$416 |
$245 | |
| MRA of the neck with contrast |
$1,655 |
$2,713 |
$416 |
$245 | |
| MRA of the neck without contrast |
$2,327 |
$3,815 |
$488 |
$343 | |
| MRI of the abdomen |
$2,843 |
$4,661 |
$416 |
$300 | |
| MRI of the abdomen with contrast |
$2,843 |
$4,661 |
$416 |
$300 | |
| MRI of the abdomen without contrast |
$2,474 |
$4,055 |
$285 |
$194 | |
| MRI of the ankle |
$1,939 |
$3,179 |
$416 |
$261 | |
| MRI of the ankle with contrast |
$1,939 |
$3,179 |
$416 |
$261 | |
| MRI of the ankle without contrast |
$1,668 |
$2,735 |
$298 |
$222 | |
| MRI of the brain |
$2,168 |
$3,554 |
$396 |
$269 | |
| MRI of the brain with contrast |
$2,168 |
$3,554 |
$416 |
$269 | |
| MRI of the brain without contrast |
$1,902 |
$3,118 |
$285 |
$195 | |
| MRI of the chest |
$1,622 |
$2,659 |
$439 |
$371 | |
| MRI of the chest with contrast |
$1,417 |
$2,323 |
$935 |
$371 | |
| MRI of the chest without contrast |
$2,254 |
$3,695 |
$559 |
$466 | |
| MRI of the knee |
$1,871 |
$3,067 |
$438 |
$315 | |
| MRI of the knee with contrast |
$1,871 |
$3,067 |
$935 |
$315 | |
| MRI of the knee without contrast |
$1,743 |
$2,858 |
$285 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,533 |
$4,152 |
$396 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,533 |
$4,152 |
$416 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,205 |
$3,614 |
$285 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,668 |
$4,373 |
$398 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$3,170 |
$5,197 |
$416 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,668 |
$4,373 |
$416 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,319 |
$3,802 |
$285 |
$190 | |
| MRI of the neck (cervical spine) |
$2,214 |
$3,629 |
$397 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,627 |
$4,307 |
$416 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,214 |
$3,629 |
$416 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,927 |
$3,159 |
$285 |
$191 | |
| MRI of the pelvis |
$2,210 |
$3,623 |
$416 |
$268 | |
| MRI of the pelvis with contrast |
$2,210 |
$3,623 |
$416 |
$268 | |
| MRI of the pelvis without contrast |
$2,176 |
$3,567 |
$298 |
$227 | |
| MRI of the shoulder |
$1,822 |
$2,987 |
$438 |
$313 | |
| MRI of the shoulder with contrast |
$1,822 |
$2,987 |
$935 |
$313 | |
| MRI of the shoulder without contrast |
$1,822 |
$2,987 |
$285 |
$205 | |
| MRI of the wrist |
$1,846 |
$3,026 |
$430 |
$330 | |
| MRI of the wrist with contrast |
$1,846 |
$3,026 |
$474 |
$330 | |
| MRI of the wrist without contrast |
$1,712 |
$2,807 |
$382 |
$303 | |
| Nebulizer breathing treatment |
$267 |
$438 |
$261 |
$9 | |
| Neck (cervical) spinal fusion |
$2,914 |
$4,777 |
$12,556 |
$1,410 | |
| Nerve conduction study |
$93 |
$152 |
$258 |
$118 | |
| Newborn hospital care |
$144 |
$236 |
$117 |
$58 | |
| Nuchal translucency ultrasound |
$196 |
$322 |
$125 |
$116 | |
| Nuclear cardiac stress test |
$2,846 |
$4,665 |
$1,545 |
$428 | |
| Occupational therapy evaluation |
$200 |
$328 |
$137 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$216 |
$354 |
$137 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$188 |
$309 |
$137 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$200 |
$328 |
$137 |
$101 | |
| Office visit (established patient) |
$615 |
$1,009 |
$118 |
$115 | |
| Office visit (new patient) |
$237 |
$388 |
$151 |
$177 | |
| Office visit, established patient (level 3) |
$442 |
$725 |
$115 |
$95 | |
| Office visit, established patient (level 4) |
$789 |
$1,293 |
$169 |
$136 | |
| Office visit, new patient (level 3) |
$210 |
$345 |
$141 |
$118 | |
| Office visit, new patient (level 4) |
$237 |
$388 |
$230 |
$177 | |
| Office visit, new patient (level 5) |
$397 |
$651 |
$313 |
$237 | |
| Orthopedic hardware removal |
$2,944 |
$4,827 |
$3,291 |
$632 | |
| Ovarian cyst removal |
$4,915 |
$8,057 |
$5,646 |
$698 | |
| Ovary removal (oophorectomy) |
$4,522 |
$7,413 |
$1,829 |
$822 | |
| Pacemaker insertion |
— |
— |
$22,652 |
$15,506 | |
| Pap smear (cervical screening) |
$81 |
$133 |
$24 |
$20 | |
| Parathyroid hormone (PTH) test |
$137 |
$225 |
$41 |
$41 | |
| Parathyroid removal |
$4,544 |
$7,449 |
$6,707 |
$891 | |
| Pelvic ultrasound |
$292 |
$478 |
$128 |
$78 | |
| Pelvic ultrasound (complete) |
$330 |
$541 |
$132 |
$105 | |
| Pelvic ultrasound (limited) |
$253 |
$415 |
$125 |
$51 | |
| PET scan |
$4,094 |
$6,712 |
$1,706 |
— | |
| Phosphorus blood test |
$45 |
$73 |
$5 |
$5 | |
| Physical therapy evaluation |
$200 |
$328 |
$134 |
$98 | |
| Physical therapy evaluation (high complexity) |
$216 |
$354 |
$134 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$200 |
$328 |
$134 |
$98 | |
| Pilonidal cyst removal |
$905 |
$1,483 |
$3,291 |
$541 | |
| Platelet count |
$41 |
$67 |
$5 |
$4 | |
| Pneumonia vaccine |
$134 |
$219 |
$126 |
— | |
| Pregnancy blood test (hCG) |
$66 |
$108 |
$8 |
$8 | |
| Pregnancy ultrasound |
$315 |
$516 |
$144 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$234 |
$383 |
$128 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$396 |
$649 |
$159 |
$136 | |
| Procalcitonin test |
$82 |
$134 |
$27 |
$27 | |
| Prolactin test |
$105 |
$172 |
$19 |
$19 | |
| Prostate biopsy |
$2,745 |
$4,500 |
$1,216 |
— | |
| Prostate removal (prostatectomy) |
$6,983 |
$11,448 |
$3,772 |
$1,063 | |
| Prostate surgery (TURP) |
$3,585 |
$5,877 |
$6,074 |
$526 | |
| Prostate test (PSA) |
$160 |
$263 |
$18 |
$18 | |
| Psychiatric evaluation |
$192 |
$314 |
$273 |
$188 | |
| Psychotherapy session |
$235 |
$385 |
$229 |
$140 | |
| Pterygium removal (eye) |
$2,494 |
$4,088 |
$2,550 |
$540 | |
| Pulmonary rehabilitation |
$76 |
$125 |
$70 |
$87 | |
| Radiofrequency nerve ablation |
$2,065 |
$3,386 |
$2,095 |
$462 | |
| Retina scan (OCT) |
$54 |
$89 |
$70 |
$33 | |
| Retinal (fundus) photography |
$163 |
$267 |
$159 |
$37 | |
| Retinal detachment repair |
$2,628 |
$4,309 |
$4,932 |
$966 | |
| Rheumatoid factor test |
$51 |
$84 |
$6 |
$6 | |
| Rotator cuff repair |
$2,763 |
$4,530 |
$8,500 |
$792 | |
| Routine eye exam |
$36 |
$59 |
$159 |
$88 | |
| RSV vaccine |
$317 |
$520 |
$313 |
— | |
| Sacroiliac joint injection |
$523 |
$858 |
$365 |
$176 | |
| Scoliosis spine X-ray |
$313 |
$513 |
$118 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$309 |
$507 |
$104 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$317 |
$519 |
$125 |
$72 | |
| Screening colonoscopy |
$1,562 |
$2,560 |
$1,073 |
$378 | |
| Screening mammogram |
$240 |
$394 |
$143 |
$126 | |
| Scrotal ultrasound |
$290 |
$475 |
$127 |
$99 | |
| Sedimentation rate (ESR) test |
$37 |
$60 |
$4 |
$3 | |
| Semen analysis |
$98 |
$160 |
$12 |
$12 | |
| Septoplasty (deviated septum) |
$1,638 |
$2,686 |
$3,756 |
$613 | |
| Sex hormone binding globulin test |
$56 |
$91 |
$22 |
$22 | |
| Shingles vaccine |
$160 |
$263 |
$202 |
— | |
| Shoulder arthroscopy |
$3,832 |
$6,282 |
$7,784 |
$962 | |
| Shoulder replacement |
$3,222 |
$5,282 |
$18,809 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$706 |
$1,157 |
$360 |
$114 | |
| Simple wound stitches |
$558 |
$914 |
$360 |
$127 | |
| Sinus surgery (endoscopic) |
$472 |
$773 |
$5,176 |
$224 | |
| Skin biopsy |
$489 |
$801 |
$651 |
$121 | |
| Skin biopsy (punch) |
$489 |
$801 |
$470 |
$121 | |
| Skin cancer lesion removal |
$288 |
$472 |
$786 |
$240 | |
| Skin graft |
$2,562 |
$4,200 |
$2,481 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$51 |
$84 |
$341 |
$36 | |
| Skin tag removal |
$354 |
$580 |
$360 |
$92 | |
| Sleep study (polysomnography) |
$1,487 |
$2,438 |
$1,025 |
$691 | |
| Small bowel resection |
$3,025 |
$4,959 |
$1,621 |
$1,136 | |
| Soft tissue ultrasound |
$336 |
$550 |
$125 |
$64 | |
| Speech therapy |
$212 |
$347 |
$89 |
$76 | |
| Spinal cord stimulator |
$6,589 |
$10,801 |
$6,674 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$1,190 |
$1,950 |
$940 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$875 |
$1,435 |
$8,142 |
$5,803 | |
| Spirometry (lung function test) |
$138 |
$227 |
$258 |
$30 | |
| Spirometry with bronchodilator |
$216 |
$354 |
$445 |
$43 | |
| Spleen removal (splenectomy) |
$3,360 |
$5,509 |
$3,500 |
$1,036 | |
| Stomach removal (gastrectomy) |
$4,633 |
$7,595 |
$1,282 |
$1,595 | |
| Strabismus (eye muscle) surgery |
$3,928 |
$6,439 |
$4,117 |
$475 | |
| Strep throat test |
$66 |
$108 |
$17 |
$17 | |
| Stress echocardiogram |
$1,870 |
$3,065 |
$652 |
$209 | |
| Stress echocardiogram (complete) |
— |
— |
$652 |
$233 | |
| Swallow study |
$227 |
$372 |
$78 |
$85 | |
| T3 thyroid test |
$53 |
$87 |
$14 |
$14 | |
| Tdap (tetanus) vaccine |
$56 |
$92 |
$39 |
— | |
| Testicle removal (orchiectomy) |
$4,305 |
$7,058 |
$4,206 |
$306 | |
| Testosterone test |
$113 |
$186 |
$26 |
$26 | |
| Thyroid removal (thyroidectomy) |
$4,566 |
$7,486 |
$6,774 |
$1,004 | |
| Thyroid test (TSH) |
$92 |
$151 |
$17 |
$17 | |
| Thyroid ultrasound |
$356 |
$583 |
$151 |
$109 | |
| Thyroid uptake scan |
$519 |
$851 |
$477 |
$145 | |
| Tilt table test |
$964 |
$1,581 |
$445 |
$168 | |
| Tonsillectomy |
$671 |
$1,101 |
$5,176 |
$252 | |
| Total IgE allergy test |
$47 |
$77 |
$17 |
$16 | |
| Total protein test |
$38 |
$62 |
$4 |
$4 | |
| Tracheostomy |
$1,293 |
$2,119 |
$3,472 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$1,103 |
$1,808 |
$652 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,124 |
$1,842 |
$652 |
$239 | |
| Transvaginal ultrasound |
$317 |
$519 |
$156 |
$118 | |
| Trigger finger release |
$535 |
$877 |
$1,822 |
$630 | |
| Trigger point injection |
$70 |
$115 |
$411 |
$56 | |
| Trigger point injection (1-2 muscles) |
$65 |
$107 |
$411 |
$52 | |
| Triglycerides test |
$98 |
$160 |
$6 |
$6 | |
| Troponin (heart) test |
$107 |
$175 |
$13 |
$12 | |
| Tubal ligation |
$4,206 |
$6,896 |
$6,331 |
$333 | |
| Turbinate reduction |
$1,157 |
$1,897 |
$3,557 |
$294 | |
| Turning a breech baby (version) |
$3,281 |
$5,379 |
$3,667 |
$94 | |
| Ulnar nerve surgery (elbow) |
$3,220 |
$5,279 |
$2,330 |
$575 | |
| Umbilical hernia repair |
— |
— |
$6,395 |
— | |
| Upper GI endoscopy (EGD) |
$855 |
$1,401 |
$1,334 |
$371 | |
| Upper GI series (barium) |
$655 |
$1,073 |
$209 |
$128 | |
| Ureteral stent placement |
$2,896 |
$4,747 |
$3,781 |
$373 | |
| Ureteroscopy (stone removal) |
$5,161 |
$8,460 |
$6,397 |
$365 | |
| Uric acid (gout) test |
$40 |
$66 |
$5 |
$5 | |
| Urinalysis |
$35 |
$57 |
$3 |
$3 | |
| Urine microalbumin test |
$44 |
$73 |
$6 |
$5 | |
| Urine pregnancy test |
$51 |
$84 |
$9 |
$9 | |
| UV light therapy (skin) |
$221 |
$362 |
$106 |
$106 | |
| Vaccine administration |
$19 |
$31 |
$32 |
$19 | |
| Vaccine administration (each additional) |
$13 |
$22 |
$9 |
$16 | |
| Vaginal delivery |
— |
— |
$8,449 |
$5,487 | |
| Varicocele repair |
$3,479 |
$5,704 |
$4,206 |
$327 | |
| Varicose vein ablation |
$786 |
$1,289 |
$3,767 |
$1,018 | |
| Vasectomy |
$2,033 |
$3,332 |
$2,368 |
$347 | |
| Visual field test |
$112 |
$183 |
$159 |
$64 | |
| Vitamin B12 test |
$56 |
$91 |
$15 |
$15 | |
| Vitamin D test |
$141 |
$231 |
$30 |
$30 | |
| Vitrectomy (eye) |
$1,706 |
$2,797 |
$4,932 |
$814 | |
| Vocal cord injection |
$939 |
$1,540 |
$3,904 |
$211 | |
| Wart removal |
$132 |
$216 |
$360 |
$121 | |
| Weight-loss (bariatric) surgery |
— |
— |
$18,903 |
$11,645 | |
| Well-child visit |
$87 |
$142 |
$122 |
— | |
| Whipple procedure (pancreas) |
$8,488 |
$13,915 |
$2,111 |
$2,871 | |
| Wound debridement |
$190 |
$312 |
$688 |
$186 | |
| Wrist fracture repair |
$1,425 |
$2,336 |
$8,500 |
$735 | |
| X-ray of the abdomen |
$254 |
$416 |
$125 |
$36 | |
| X-ray of the ankle |
$154 |
$252 |
$104 |
$37 | |
| X-ray of the collarbone |
$125 |
$205 |
$104 |
$33 | |
| X-ray of the elbow |
$148 |
$243 |
$104 |
$33 | |
| X-ray of the facial bones |
$131 |
$215 |
$118 |
$39 | |
| X-ray of the foot |
$146 |
$240 |
$104 |
$34 | |
| X-ray of the forearm |
$143 |
$234 |
$104 |
$29 | |
| X-ray of the hand |
$154 |
$252 |
$104 |
$38 | |
| X-ray of the hip |
$398 |
$652 |
$112 |
$49 | |
| X-ray of the hip (1 view) |
$375 |
$615 |
$104 |
$34 | |
| X-ray of the hip (3 views) |
$398 |
$652 |
$104 |
$49 | |
| X-ray of the hip (4 views) |
$406 |
$665 |
$125 |
$63 | |
| X-ray of the knee |
$149 |
$245 |
$112 |
$42 | |
| X-ray of the knee (2 views) |
$137 |
$224 |
$104 |
$34 | |
| X-ray of the knee (3 views) |
$149 |
$245 |
$104 |
$42 | |
| X-ray of the knee (4+ views) |
$193 |
$317 |
$125 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$218 |
$357 |
$125 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$206 |
$338 |
$125 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$229 |
$376 |
$125 |
$53 | |
| X-ray of the lower leg |
$170 |
$278 |
$104 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$200 |
$328 |
$125 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$196 |
$322 |
$125 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$203 |
$333 |
$125 |
$39 | |
| X-ray of the neck (cervical spine) |
$163 |
$268 |
$118 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$132 |
$216 |
$104 |
$40 | |
| X-ray of the pelvis |
$162 |
$266 |
$125 |
$36 | |
| X-ray of the pelvis (1 view) |
$132 |
$216 |
$125 |
$28 | |
| X-ray of the ribs |
$167 |
$273 |
$125 |
$42 | |
| X-ray of the ribs (2 views) |
$125 |
$205 |
$104 |
$36 | |
| X-ray of the ribs (3 views) |
$215 |
$353 |
$125 |
$42 | |
| X-ray of the shoulder |
$182 |
$298 |
$104 |
$36 | |
| X-ray of the skull |
$233 |
$382 |
$125 |
$40 | |
| X-ray of the upper arm |
$140 |
$230 |
$104 |
$32 | |
| X-ray of the wrist |
$146 |
$240 |
$104 |
$43 | |
| YAG laser capsulotomy (eye) |
$738 |
$1,210 |
$881 |
$335 | |
| Zinc blood test |
$47 |
$77 |
$11 |
$11 | |