| 3D mammogram (tomosynthesis) |
$23 |
$179 |
$37 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$967 |
$4,688 |
$967 |
$284 | |
| Abdominal ultrasound |
$111 |
$2,249 |
$113 |
$100 | |
| Abdominal ultrasound (complete) |
$111 |
$2,820 |
$117 |
$114 | |
| Abdominal ultrasound (limited) |
$111 |
$1,678 |
$111 |
$86 | |
| Abscess drainage (complex or multiple) |
$433 |
$5,305 |
$433 |
$220 | |
| Abscess drainage (simple) |
$213 |
$4,638 |
$214 |
$129 | |
| Abscess incision and drainage |
$323 |
$5,161 |
$356 |
$174 | |
| Achilles tendon repair |
$7,737 |
$18,877 |
$7,738 |
$624 | |
| ACL knee reconstruction |
$7,737 |
$33,366 |
$7,738 |
$889 | |
| Adenoid removal (adenoidectomy) |
$3,535 |
$7,344 |
$3,535 |
$204 | |
| Albumin blood test |
$4 |
$42 |
$5 |
$5 | |
| Aldosterone test |
$40 |
$236 |
$41 |
$41 | |
| Alkaline phosphatase test |
$5 |
$43 |
$5 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$16 |
$366 |
$17 |
$17 | |
| ALT liver enzyme test |
$5 |
$45 |
$5 |
$5 | |
| Ammonia blood test |
$14 |
$130 |
$15 |
$15 | |
| Anal fistula repair |
$2,959 |
$7,798 |
$2,960 |
$541 | |
| Ankle fracture repair |
$7,737 |
$18,971 |
$7,738 |
$608 | |
| Anoscopy |
$141 |
$672 |
$149 |
$129 | |
| Antinuclear antibody (ANA) test |
$12 |
$88 |
$12 |
$12 | |
| Aortic valve replacement |
— |
$47,373 |
$12,511 |
$1,603 | |
| Arterial blood gas (ABG) |
$26 |
$130 |
$26 |
$26 | |
| AST liver enzyme test |
$5 |
$43 |
$5 |
$5 | |
| Barium swallow study |
$187 |
$997 |
$187 |
$107 | |
| Bartholin cyst removal |
$215 |
$4,517 |
$216 |
$182 | |
| Benign skin lesion removal |
$755 |
$3,667 |
$755 |
$171 | |
| Bilirubin blood test |
$5 |
$42 |
$5 |
$5 | |
| Bladder scope (cystoscopy) |
$743 |
$5,448 |
$781 |
$216 | |
| Bladder tumor removal (TURBT) |
$3,758 |
$12,237 |
$3,759 |
$236 | |
| Blood clotting test (PT/INR) |
$4 |
$60 |
$4 |
$4 | |
| Blood crossmatch |
$181 |
$514 |
$182 |
— | |
| Blood glucose test |
$4 |
$46 |
$5 |
$5 | |
| Blood transfusion |
$470 |
$2,279 |
$470 |
$47 | |
| Blood type and screen |
$55 |
$267 |
$56 |
$10 | |
| Blood type test |
$90 |
$420 |
$46 |
$3 | |
| Blood type test (ABO group) |
$141 |
$645 |
$142 |
$3 | |
| Blood type test (Rh/D antigen) |
$39 |
$196 |
$40 |
$3 | |
| BNP (heart failure) test |
$39 |
$199 |
$39 |
$39 | |
| Bone density scan (DEXA) |
$111 |
$1,269 |
$111 |
$39 | |
| Bone marrow biopsy |
$2,429 |
$11,681 |
$1,849 |
$172 | |
| Bone scan (nuclear) |
$426 |
$2,009 |
$426 |
$259 | |
| Botox for migraine |
$327 |
$1,025 |
$344 |
$157 | |
| Breast biopsy |
$1,761 |
$5,907 |
$1,761 |
$478 | |
| Breast MRI |
$254 |
$4,909 |
$262 |
$216 | |
| Breast MRI without contrast |
$254 |
$4,676 |
$254 |
$216 | |
| Breast reconstruction |
$14,695 |
$33,152 |
$14,696 |
$1,227 | |
| Breast reduction |
$7,080 |
$36,497 |
$7,081 |
$980 | |
| Breast ultrasound |
$102 |
$987 |
$109 |
$92 | |
| Breast ultrasound (complete) |
$111 |
$1,034 |
$111 |
$100 | |
| Breast ultrasound (limited) |
$92 |
$940 |
$95 |
$84 | |
| Breathing tube insertion (intubation) |
$252 |
$1,161 |
$265 |
$133 | |
| Bronchoscopy |
$1,898 |
$8,988 |
$1,898 |
$303 | |
| Bunion surgery (bunionectomy) |
$10,714 |
$11,944 |
$7,535 |
$883 | |
| Burn dressing and debridement (small) |
$213 |
$994 |
$214 |
$93 | |
| Burn treatment |
$213 |
$994 |
$214 |
$129 | |
| CA 19-9 tumor marker test |
$20 |
$104 |
$21 |
$21 | |
| CA-125 ovarian marker test |
$20 |
$540 |
$21 |
$21 | |
| Calcium blood test |
$5 |
$43 |
$5 |
$5 | |
| Capsule endoscopy |
$967 |
$4,887 |
$967 |
$802 | |
| Cardiac ablation |
$27,872 |
$73,597 |
$27,873 |
$759 | |
| Cardiac catheterization |
$3,457 |
$26,255 |
$3,457 |
$1,049 | |
| Cardiac rehabilitation |
$137 |
$463 |
$137 |
$26 | |
| Cardiac stress test |
$230 |
$2,277 |
$230 |
$39 | |
| Cardioversion |
$704 |
$3,272 |
$705 |
$155 | |
| Carotid artery ultrasound |
$183 |
$1,012 |
$155 |
$156 | |
| Carpal tunnel release |
$2,082 |
$6,552 |
$2,082 |
$483 | |
| CEA tumor marker test |
$18 |
$355 |
$19 |
$19 | |
| Celiac disease test |
$11 |
$58 |
$12 |
$12 | |
| Central line placement |
$3,367 |
$9,250 |
$3,367 |
$238 | |
| Cervical cerclage |
$3,451 |
$11,097 |
$3,452 |
$137 | |
| Cervical LEEP procedure |
$3,451 |
$10,526 |
$3,452 |
$325 | |
| Cesarean section (C-section) |
$9,669 |
— |
$10,151 |
$7,552 | |
| Chemotherapy infusion |
$214 |
$1,301 |
$262 |
$81 | |
| Chemotherapy infusion (each additional) |
$76 |
$873 |
$80 |
$28 | |
| Chemotherapy infusion (first hour) |
$352 |
$1,729 |
$352 |
$133 | |
| Chest fluid drain (thoracentesis) |
$668 |
$3,091 |
$696 |
$311 | |
| Chest tube insertion |
$1,678 |
$8,096 |
$1,679 |
$143 | |
| Chest X-ray |
$92 |
$613 |
$96 |
$37 | |
| Chest X-ray (1 view) |
$92 |
$530 |
$93 |
$25 | |
| Chest X-ray (2 views) |
$92 |
$583 |
$93 |
$33 | |
| Circumcision |
$2,229 |
$8,528 |
$2,229 |
$167 | |
| CK-MB heart enzyme test |
$11 |
$58 |
$12 |
$12 | |
| Clotting time test (PTT) |
$6 |
$88 |
$6 |
$6 | |
| Colon resection (colectomy) |
— |
$14,925 |
$1,787 |
$1,238 | |
| Colonoscopy |
$1,134 |
$5,449 |
$1,276 |
$480 | |
| Colposcopy |
$324 |
$5,549 |
$341 |
$161 | |
| Complete blood count (CBC) |
$7 |
$172 |
$8 |
$7 | |
| Complete blood count (CBC) (complete) |
$7 |
$293 |
$8 |
$8 | |
| Contraceptive implant (Nexplanon) |
$476 |
$25,094 |
$476 |
$115 | |
| Copper blood test |
$12 |
$123 |
$12 |
$12 | |
| Coronary artery bypass (CABG) |
$45,117 |
— |
$46,621 |
$36,593 | |
| Coronary CT angiography |
$372 |
$2,572 |
$372 |
$326 | |
| Cortisol test |
$16 |
$155 |
$16 |
$16 | |
| COVID-19 PCR test |
$51 |
$257 |
$51 |
$51 | |
| CPAP titration study |
$233 |
$1,017 |
$234 |
$69 | |
| Creatine kinase (CK) test |
$6 |
$83 |
$7 |
$7 | |
| CT angiography of the chest |
$187 |
$2,907 |
$199 |
$281 | |
| CT angiography of the head |
$187 |
$2,027 |
$196 |
$274 | |
| CT scan of the abdomen |
$187 |
$5,451 |
$187 |
$230 | |
| CT scan of the abdomen and pelvis |
$372 |
$6,154 |
$372 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$372 |
$6,772 |
$372 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$372 |
$6,154 |
$372 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$254 |
$3,763 |
$264 |
$183 | |
| CT scan of the abdomen with contrast |
$187 |
$5,451 |
$196 |
$230 | |
| CT scan of the arm |
$187 |
$2,532 |
$224 |
$199 | |
| CT scan of the arm with contrast |
$372 |
$2,532 |
$372 |
$199 | |
| CT scan of the chest |
$187 |
$2,375 |
$187 |
$167 | |
| CT scan of the chest with and without contrast |
$187 |
$2,926 |
$196 |
$196 | |
| CT scan of the chest with contrast |
$187 |
$2,375 |
$196 |
$167 | |
| CT scan of the head |
$187 |
$4,322 |
$193 |
$148 | |
| CT scan of the head with and without contrast |
$187 |
$4,754 |
$196 |
$173 | |
| CT scan of the head with contrast |
$187 |
$4,322 |
$196 |
$148 | |
| CT scan of the leg |
$187 |
$1,781 |
$187 |
$166 | |
| CT scan of the leg with contrast |
$187 |
$1,781 |
$196 |
$166 | |
| CT scan of the lower back (lumbar spine) |
$187 |
$2,220 |
$240 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$187 |
$2,260 |
$196 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$372 |
$2,220 |
$372 |
$169 | |
| CT scan of the neck |
$187 |
$1,952 |
$187 |
$183 | |
| CT scan of the neck (cervical spine) |
$187 |
$1,896 |
$240 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$187 |
$2,787 |
$196 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$372 |
$1,896 |
$372 |
$168 | |
| CT scan of the neck with and without contrast |
$187 |
$2,412 |
$196 |
$220 | |
| CT scan of the neck with contrast |
$187 |
$1,952 |
$196 |
$183 | |
| CT scan of the pelvis |
$187 |
$2,118 |
$187 |
$226 | |
| CT scan of the pelvis with and without contrast |
$187 |
$2,196 |
$196 |
$251 | |
| CT scan of the pelvis with contrast |
$187 |
$2,118 |
$196 |
$226 | |
| CT scan of the sinuses |
$187 |
$2,230 |
$187 |
$152 | |
| CT scan of the sinuses with and without contrast |
$187 |
$2,832 |
$196 |
$184 | |
| CT scan of the sinuses with contrast |
$187 |
$2,230 |
$196 |
$152 | |
| D-dimer test |
$10 |
$283 |
$10 |
$10 | |
| Defibrillator (ICD) implant |
$33,472 |
$57,428 |
$18,671 |
$798 | |
| Developmental screening (child) |
— |
$213 |
$213 |
— | |
| DHEA-sulfate test |
$22 |
$210 |
$22 |
$22 | |
| Diagnostic mammogram |
$99 |
$734 |
$112 |
$140 | |
| Dialysis fistula creation |
$3,367 |
$20,001 |
$3,367 |
$601 | |
| Dilation and curettage (D&C) |
$3,451 |
$9,678 |
$3,452 |
$298 | |
| Drug screen (urine) |
$62 |
$311 |
$62 |
$17 | |
| Ear pressure test (tympanometry) |
$39 |
$265 |
$40 |
$16 | |
| Ear tubes (myringotomy) |
$1,654 |
$6,064 |
$1,655 |
$174 | |
| Echocardiogram |
$254 |
$1,558 |
$318 |
$138 | |
| Echocardiogram with and without contrast |
$254 |
$1,497 |
$254 |
$101 | |
| Echocardiogram without contrast |
$254 |
$1,270 |
$254 |
$138 | |
| EEG (awake and asleep) |
$230 |
$1,557 |
$242 |
$482 | |
| EKG / ECG (tracing only) |
$62 |
$577 |
$63 |
$7 | |
| Elbow replacement |
$18,697 |
$40,502 |
$18,697 |
$1,301 | |
| Electrocardiogram (EKG) |
$62 |
$577 |
$63 |
$8 | |
| Electroencephalogram (EEG) |
$230 |
$1,557 |
$242 |
$448 | |
| Electrolyte panel |
$7 |
$107 |
$7 |
$7 | |
| Electromyography (EMG) |
$141 |
$645 |
$142 |
$141 | |
| Emergency department visit |
$291 |
$1,384 |
$308 |
$69 | |
| Emergency department visit (level 1) |
$89 |
$456 |
$93 |
$11 | |
| Emergency department visit (level 2) |
$163 |
$890 |
$169 |
$40 | |
| Emergency department visit (level 3) |
$291 |
$1,384 |
$300 |
$69 | |
| Emergency department visit (level 4) |
$444 |
$2,504 |
$445 |
$118 | |
| Emergency department visit (level 5) |
$635 |
$3,878 |
$635 |
$171 | |
| Epidural steroid injection |
$752 |
$3,767 |
$753 |
$275 | |
| ERCP (bile duct endoscopy) |
$4,111 |
$19,829 |
$4,111 |
$311 | |
| Esophageal dilation |
$967 |
$4,887 |
$967 |
$522 | |
| Esophageal variceal banding |
$2,046 |
$9,887 |
$2,046 |
$126 | |
| Estradiol (estrogen) test |
$27 |
$372 |
$28 |
$28 | |
| Facet joint injection (spine) |
$943 |
$2,161 |
$943 |
$99 | |
| Fallopian tube X-ray (HSG) |
$254 |
$1,636 |
$254 |
$164 | |
| Fecal occult blood (stool) test |
$10 |
$56 |
$8 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$4 |
$27 |
$4 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$15 |
$86 |
$16 |
$16 | |
| Feeding tube (PEG) placement |
$2,046 |
$9,887 |
$2,046 |
$178 | |
| Femoral hernia repair |
$3,818 |
$16,261 |
$3,818 |
$584 | |
| Ferritin (iron) test |
$13 |
$127 |
$14 |
$14 | |
| Fibrinogen test |
$9 |
$70 |
$10 |
$10 | |
| Flexible sigmoidoscopy |
$991 |
$4,752 |
$992 |
$323 | |
| Flu test |
$16 |
$83 |
$17 |
$17 | |
| Folate (folic acid) test |
$14 |
$121 |
$15 |
$15 | |
| Foreign body removal (skin) |
$433 |
$1,007 |
$433 |
$157 | |
| Free T4 thyroid test |
$9 |
$102 |
$9 |
$9 | |
| FSH hormone test |
$18 |
$563 |
$19 |
$19 | |
| Gallbladder removal (laparoscopic) |
$6,446 |
$22,507 |
$6,447 |
$658 | |
| Gallbladder scan (HIDA) |
$503 |
$3,058 |
$522 |
$334 | |
| Ganglion cyst removal |
$1,714 |
$11,279 |
$1,715 |
$321 | |
| GGT liver test |
$7 |
$163 |
$7 |
$7 | |
| Glucose tolerance test |
$8 |
$238 |
$9 |
$8 | |
| H. pylori test |
$67 |
$337 |
$67 |
$67 | |
| Hammertoe repair |
$3,489 |
$12,504 |
$3,489 |
$548 | |
| HDL cholesterol test |
$8 |
$69 |
$8 |
$8 | |
| Hearing test (audiometry) |
$137 |
$782 |
$137 |
$36 | |
| Hemodialysis |
$731 |
$4,623 |
$732 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$9 |
$114 |
$10 |
$10 | |
| Hemorrhoid removal |
$1,975 |
$9,523 |
$1,339 |
$338 | |
| Hepatitis B test |
$10 |
$78 |
$10 |
$10 | |
| Hepatitis C test |
$14 |
$92 |
$15 |
$14 | |
| Hip arthroscopy |
$7,737 |
$23,486 |
$7,738 |
$931 | |
| Hip replacement |
$13,690 |
$31,996 |
$13,691 |
$1,162 | |
| HIV test |
$24 |
$120 |
$24 |
$19 | |
| HIV test (antibody) |
$13 |
$285 |
$14 |
$14 | |
| HIV test (antigen/antibody combo) |
$24 |
$120 |
$24 |
$24 | |
| Holter heart monitor |
$102 |
$2,232 |
$74 |
$26 | |
| Hydrocele repair |
$3,818 |
$11,608 |
$3,818 |
$315 | |
| Hysterectomy |
$11,335 |
$28,587 |
$11,335 |
$933 | |
| Hysteroscopy |
$3,451 |
$10,080 |
$3,452 |
$1,270 | |
| Inguinal hernia repair |
$3,818 |
$14,958 |
$3,818 |
$538 | |
| Iron blood test |
$6 |
$76 |
$6 |
$6 | |
| IUD insertion |
— |
$6,136 |
$183 |
— | |
| IUD removal |
$324 |
$11,097 |
$325 |
$112 | |
| IV infusion therapy |
$138 |
$702 |
$227 |
$44 | |
| IV infusion therapy (each additional) |
$49 |
$299 |
$51 |
$21 | |
| IV infusion therapy (initial) |
$226 |
$1,104 |
$234 |
$67 | |
| IVC filter placement |
$5,933 |
$16,217 |
$5,934 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$327 |
$4,403 |
$327 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$327 |
$1,106 |
$327 |
$57 | |
| Joint aspiration or injection (small joint) |
$327 |
$7,699 |
$327 |
$56 | |
| Kidney biopsy |
$1,761 |
$4,861 |
$1,761 |
$492 | |
| Kidney scan (nuclear) |
$579 |
$2,691 |
$579 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$3,758 |
$11,096 |
$3,759 |
$760 | |
| Kidney ultrasound |
$111 |
$1,645 |
$113 |
$84 | |
| Kidney ultrasound (limited) |
$111 |
$1,567 |
$111 |
$61 | |
| Knee arthroscopy |
$3,489 |
$15,485 |
$3,489 |
$524 | |
| Knee joint injection |
$327 |
$4,159 |
$327 |
$69 | |
| Knee replacement |
$22,488 |
— |
$24,194 |
$18,054 | |
| Lactate test |
$11 |
$79 |
$12 |
$12 | |
| Laminectomy (spine) |
$7,737 |
$33,981 |
$7,738 |
$1,157 | |
| Laryngoscopy |
$1,055 |
$20,083 |
$497 |
$189 | |
| LDH test |
$6 |
$62 |
$6 |
$6 | |
| LDL cholesterol test |
$10 |
$60 |
$11 |
$11 | |
| Leg artery angiogram |
$3,367 |
$3,209 |
$3,209 |
$149 | |
| Leg artery angioplasty |
$8,894 |
$14,097 |
$8,536 |
— | |
| Leg vein ultrasound (Doppler) |
$183 |
$1,945 |
$155 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$111 |
$1,854 |
$111 |
$116 | |
| LH hormone test |
$18 |
$513 |
$19 |
$19 | |
| Lipid (cholesterol) panel |
$13 |
$169 |
$13 |
$13 | |
| Liver biopsy |
$1,761 |
$17,123 |
$1,761 |
$288 | |
| Lumbar discectomy |
$7,737 |
$25,313 |
$7,738 |
$898 | |
| Lumpectomy (breast) |
$5,628 |
$27,397 |
$4,697 |
$750 | |
| Lung function test (PFT) |
$314 |
$1,195 |
$271 |
$37 | |
| Lung scan (V/Q) |
$579 |
$1,506 |
$608 |
$291 | |
| Magnesium blood test |
$6 |
$180 |
$7 |
$7 | |
| Mastectomy |
$7,080 |
$35,536 |
$7,081 |
$1,021 | |
| Meniscus repair (knee) |
$3,489 |
$19,499 |
$3,489 |
$714 | |
| MRA of the brain |
$313 |
$3,479 |
$372 |
$226 | |
| MRA of the brain without contrast |
$372 |
$4,870 |
$391 |
$328 | |
| MRA of the neck |
$372 |
$2,818 |
$383 |
$245 | |
| MRA of the neck with contrast |
$372 |
$2,818 |
$391 |
$245 | |
| MRA of the neck without contrast |
$372 |
$3,235 |
$391 |
$343 | |
| MRI of the abdomen |
$313 |
$4,297 |
$372 |
$300 | |
| MRI of the abdomen without contrast |
$254 |
$2,662 |
$254 |
$194 | |
| MRI of the ankle |
$313 |
$5,687 |
$372 |
$261 | |
| MRI of the ankle without contrast |
$254 |
$5,025 |
$254 |
$222 | |
| MRI of the brain |
$372 |
$3,024 |
$372 |
$269 | |
| MRI of the brain with contrast |
$372 |
$3,024 |
$372 |
$269 | |
| MRI of the brain without contrast |
$254 |
$2,748 |
$254 |
$195 | |
| MRI of the chest |
$313 |
$6,138 |
$368 |
$371 | |
| MRI of the chest without contrast |
$372 |
$7,422 |
$372 |
$466 | |
| MRI of the knee |
$372 |
$6,435 |
$372 |
$315 | |
| MRI of the knee with contrast |
$835 |
$6,435 |
$836 |
$315 | |
| MRI of the knee without contrast |
$254 |
$5,742 |
$254 |
$204 | |
| MRI of the lower back (lumbar spine) |
$372 |
$3,796 |
$372 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$372 |
$3,796 |
$372 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$254 |
$3,451 |
$254 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$313 |
$3,266 |
$372 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$372 |
$3,759 |
$372 |
$319 | |
| MRI of the mid-back (thoracic spine) without contrast |
$254 |
$2,773 |
$254 |
$190 | |
| MRI of the neck (cervical spine) |
$372 |
$3,310 |
$372 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$372 |
$4,338 |
$372 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$372 |
$3,310 |
$372 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$254 |
$3,008 |
$254 |
$191 | |
| MRI of the pelvis |
$372 |
$6,371 |
$372 |
$268 | |
| MRI of the pelvis with contrast |
$372 |
$6,371 |
$372 |
$268 | |
| MRI of the pelvis without contrast |
$254 |
$4,930 |
$254 |
$227 | |
| MRI of the shoulder |
$372 |
$6,508 |
$372 |
$313 | |
| MRI of the shoulder with contrast |
$835 |
$6,508 |
$836 |
$313 | |
| MRI of the shoulder without contrast |
$254 |
$6,096 |
$254 |
$205 | |
| MRI of the wrist |
$313 |
$5,530 |
$372 |
$330 | |
| MRI of the wrist without contrast |
$254 |
$4,752 |
$254 |
$303 | |
| Nebulizer breathing treatment |
$233 |
$1,017 |
$234 |
$9 | |
| Neck (cervical) spinal fusion |
$13,690 |
$35,845 |
$13,691 |
$1,410 | |
| Nerve conduction study |
$230 |
$1,134 |
$230 |
$118 | |
| Nuchal translucency ultrasound |
$111 |
$804 |
$111 |
$116 | |
| Nuclear cardiac stress test |
$1,380 |
$8,357 |
$1,381 |
$428 | |
| Occupational therapy evaluation |
$101 |
$395 |
$107 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$101 |
$434 |
$107 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$101 |
$360 |
$107 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$101 |
$395 |
$107 |
$101 | |
| Office visit (established patient) |
— |
$737 |
$81 |
$115 | |
| Office visit (new patient) |
— |
$821 |
$128 |
$177 | |
| Office visit, established patient (level 3) |
— |
$653 |
$62 |
$95 | |
| Office visit, established patient (level 4) |
— |
$821 |
$91 |
$136 | |
| Office visit, new patient (level 3) |
— |
$653 |
$79 |
$118 | |
| Office visit, new patient (level 4) |
— |
$821 |
$128 |
$177 | |
| Office visit, new patient (level 5) |
— |
$1,066 |
$177 |
$237 | |
| Orthopedic hardware removal |
$3,097 |
$15,203 |
$3,097 |
$632 | |
| Ovarian cyst removal |
$5,334 |
$41,456 |
$5,334 |
$698 | |
| Ovary removal (oophorectomy) |
— |
$16,002 |
$3,674 |
$822 | |
| Pacemaker insertion |
$19,378 |
— |
$23,181 |
$15,506 | |
| Pap smear (cervical screening) |
$26 |
$133 |
$27 |
$20 | |
| Parathyroid hormone (PTH) test |
$41 |
$293 |
$41 |
$41 | |
| Parathyroid removal |
$6,312 |
$32,208 |
$6,313 |
$891 | |
| Pelvic ultrasound |
$111 |
$1,573 |
$113 |
$78 | |
| Pelvic ultrasound (complete) |
$111 |
$1,986 |
$117 |
$105 | |
| Pelvic ultrasound (limited) |
$111 |
$1,160 |
$111 |
$51 | |
| PET scan |
$1,524 |
$15,335 |
$1,525 |
— | |
| Physical therapy evaluation |
$98 |
$387 |
$104 |
$98 | |
| Physical therapy evaluation (high complexity) |
$98 |
$425 |
$104 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$98 |
$387 |
$104 |
$98 | |
| Pilonidal cyst removal |
$3,097 |
$8,848 |
$3,097 |
$541 | |
| Platelet count |
$4 |
$49 |
$4 |
$4 | |
| Pregnancy ultrasound |
$111 |
$1,531 |
$111 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$111 |
$1,388 |
$111 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$111 |
$1,674 |
$111 |
$136 | |
| Procalcitonin test |
$27 |
$164 |
$27 |
$27 | |
| Prolactin test |
$19 |
$163 |
$19 |
$19 | |
| Prostate biopsy |
$2,138 |
$11,832 |
$2,138 |
— | |
| Prostate removal (prostatectomy) |
$11,335 |
$85,129 |
$11,335 |
$1,063 | |
| Prostate surgery (TURP) |
$5,717 |
$16,828 |
$5,718 |
$526 | |
| Prostate test (PSA) |
$18 |
$153 |
$18 |
$18 | |
| Pulmonary rehabilitation |
$62 |
$297 |
$63 |
$87 | |
| Radiofrequency nerve ablation |
$2,082 |
$9,764 |
$2,082 |
$462 | |
| Rotator cuff repair |
$7,737 |
$30,702 |
$7,738 |
$792 | |
| Sacroiliac joint injection |
— |
$1,219 |
$398 |
$176 | |
| Scoliosis spine X-ray |
$102 |
$624 |
$109 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$92 |
$346 |
$93 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$111 |
$903 |
$111 |
$72 | |
| Screening colonoscopy |
$991 |
$4,752 |
$992 |
$378 | |
| Screening mammogram |
$92 |
$347 |
$92 |
$126 | |
| Scrotal ultrasound |
$111 |
$1,623 |
$111 |
$99 | |
| Septoplasty (deviated septum) |
$3,535 |
$10,021 |
$3,535 |
$613 | |
| Sex hormone binding globulin test |
$21 |
$321 |
$22 |
$22 | |
| Shoulder arthroscopy |
$7,737 |
$26,415 |
$7,738 |
$962 | |
| Shoulder replacement |
$18,697 |
$35,426 |
$18,697 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$213 |
$994 |
$214 |
$114 | |
| Simple wound stitches |
$213 |
$994 |
$214 |
$127 | |
| Sinus surgery (endoscopic) |
$7,525 |
$36,080 |
$6,436 |
$224 | |
| Skin biopsy |
$611 |
$4,531 |
$527 |
$121 | |
| Skin biopsy (punch) |
$433 |
$534 |
$433 |
$121 | |
| Skin cancer lesion removal |
$755 |
$3,667 |
$755 |
$240 | |
| Skin graft |
$2,200 |
$15,111 |
$2,200 |
$898 | |
| Skin tag removal |
$213 |
$994 |
$214 |
$92 | |
| Soft tissue ultrasound |
$111 |
$640 |
$111 |
$64 | |
| Speech therapy |
$77 |
$385 |
$79 |
$76 | |
| Spinal cord stimulator |
$6,795 |
$12,618 |
$6,796 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$752 |
$2,078 |
$753 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$7,737 |
$12,854 |
$7,738 |
$5,803 | |
| Spirometry (lung function test) |
$230 |
$832 |
$230 |
$30 | |
| Spirometry with bronchodilator |
$397 |
$1,557 |
$398 |
$43 | |
| Strep throat test |
$16 |
$83 |
$17 |
$17 | |
| Stress echocardiogram |
$582 |
$2,742 |
$583 |
$209 | |
| Stress echocardiogram (complete) |
$582 |
$2,742 |
$583 |
$233 | |
| Swallow study |
$58 |
$601 |
$60 |
$85 | |
| T3 thyroid test |
$14 |
$95 |
$14 |
$14 | |
| Testicle removal (orchiectomy) |
$3,758 |
$11,430 |
$3,759 |
$306 | |
| Testosterone test |
$25 |
$511 |
$26 |
$26 | |
| Thyroid removal (thyroidectomy) |
$6,312 |
$38,775 |
$6,447 |
$1,004 | |
| Thyroid test (TSH) |
$16 |
$176 |
$17 |
$17 | |
| Thyroid ultrasound |
$111 |
$1,669 |
$111 |
$109 | |
| Thyroid uptake scan |
$426 |
$2,310 |
$426 |
$145 | |
| Tonsillectomy |
$4,924 |
$14,007 |
$4,331 |
$252 | |
| Total IgE allergy test |
$16 |
$91 |
$16 |
$16 | |
| Tracheostomy |
$3,535 |
$16,903 |
$3,535 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$582 |
$2,858 |
$583 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$582 |
$2,858 |
$583 |
$239 | |
| Transvaginal ultrasound |
$111 |
$1,377 |
$111 |
$118 | |
| Trigger finger release |
$1,714 |
$5,668 |
$1,715 |
$630 | |
| Trigger point injection |
$327 |
$1,665 |
$327 |
$56 | |
| Trigger point injection (1-2 muscles) |
$327 |
$1,558 |
$327 |
$52 | |
| Triglycerides test |
$5 |
$66 |
$6 |
$6 | |
| Troponin (heart) test |
$12 |
$397 |
$12 |
$12 | |
| Tubal ligation |
$6,446 |
$11,096 |
$6,447 |
$333 | |
| Turbinate reduction |
$3,535 |
$13,104 |
$3,535 |
$294 | |
| Turning a breech baby (version) |
— |
$4,251 |
$500 |
$94 | |
| Ulnar nerve surgery (elbow) |
$2,082 |
$18,452 |
$2,082 |
$575 | |
| Upper GI endoscopy (EGD) |
$967 |
$4,887 |
$967 |
$371 | |
| Upper GI series (barium) |
$187 |
$1,129 |
$187 |
$128 | |
| Ureteral stent placement |
$3,758 |
$8,299 |
$3,759 |
$373 | |
| Ureteroscopy (stone removal) |
$5,717 |
$16,587 |
$5,718 |
$365 | |
| Urine microalbumin test |
$5 |
$48 |
$6 |
$5 | |
| Urine pregnancy test |
$8 |
$261 |
$9 |
$9 | |
| Vaccine administration |
$76 |
$214 |
$77 |
$19 | |
| Vaginal delivery |
$7,148 |
— |
$7,753 |
$5,487 | |
| Vitamin B12 test |
$15 |
$152 |
$15 |
$15 | |
| Vitamin D test |
$29 |
$182 |
$30 |
$30 | |
| Vitrectomy (eye) |
$4,407 |
$20,967 |
$4,408 |
$814 | |
| Weight-loss (bariatric) surgery |
$14,665 |
— |
$18,368 |
$11,645 | |
| Wound debridement |
$611 |
$5,331 |
$702 |
$186 | |
| Wrist fracture repair |
$7,737 |
$24,736 |
$7,738 |
$735 | |
| X-ray of the abdomen |
$111 |
$532 |
$111 |
$36 | |
| X-ray of the ankle |
$92 |
$768 |
$93 |
$37 | |
| X-ray of the collarbone |
$92 |
$715 |
$93 |
$33 | |
| X-ray of the elbow |
$92 |
$819 |
$93 |
$33 | |
| X-ray of the facial bones |
$102 |
$367 |
$111 |
$39 | |
| X-ray of the foot |
$92 |
$850 |
$93 |
$34 | |
| X-ray of the forearm |
$92 |
$630 |
$93 |
$29 | |
| X-ray of the hand |
$92 |
$790 |
$93 |
$38 | |
| X-ray of the hip |
$92 |
$440 |
$97 |
$49 | |
| X-ray of the hip (1 view) |
$92 |
$440 |
$93 |
$34 | |
| X-ray of the hip (3 views) |
$92 |
$440 |
$93 |
$49 | |
| X-ray of the hip (4 views) |
$111 |
$702 |
$111 |
$63 | |
| X-ray of the knee |
$92 |
$771 |
$97 |
$42 | |
| X-ray of the knee (2 views) |
$92 |
$440 |
$93 |
$34 | |
| X-ray of the knee (3 views) |
$92 |
$771 |
$93 |
$42 | |
| X-ray of the knee (4+ views) |
$111 |
$1,067 |
$111 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$111 |
$863 |
$111 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$111 |
$532 |
$111 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$111 |
$1,193 |
$111 |
$53 | |
| X-ray of the lower leg |
$92 |
$440 |
$93 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$111 |
$532 |
$111 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$111 |
$532 |
$111 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$111 |
$532 |
$111 |
$39 | |
| X-ray of the neck (cervical spine) |
$102 |
$1,051 |
$111 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$92 |
$850 |
$93 |
$40 | |
| X-ray of the pelvis |
$111 |
$736 |
$111 |
$36 | |
| X-ray of the pelvis (1 view) |
$111 |
$532 |
$111 |
$28 | |
| X-ray of the ribs |
$111 |
$532 |
$111 |
$42 | |
| X-ray of the ribs (2 views) |
$92 |
$440 |
$93 |
$36 | |
| X-ray of the ribs (3 views) |
$111 |
$532 |
$111 |
$42 | |
| X-ray of the shoulder |
$92 |
$889 |
$93 |
$36 | |
| X-ray of the skull |
$111 |
$555 |
$111 |
$40 | |
| X-ray of the upper arm |
$92 |
$440 |
$93 |
$32 | |
| X-ray of the wrist |
$92 |
$798 |
$93 |
$43 | |
| YAG laser capsulotomy (eye) |
$586 |
$2,859 |
$586 |
$335 | |
| Zinc blood test |
$11 |
$210 |
$11 |
$11 | |