| 3D mammogram (tomosynthesis) |
$79 |
$213 |
$43 |
$51 | |
| Abdominal fluid drain (paracentesis) |
— |
— |
$960 |
$284 | |
| Abdominal ultrasound |
$886 |
$2,396 |
$165 |
$100 | |
| Abdominal ultrasound (complete) |
$897 |
$2,425 |
$152 |
$114 | |
| Abdominal ultrasound (limited) |
$876 |
$2,367 |
$165 |
$86 | |
| Abscess drainage (complex or multiple) |
— |
— |
$409 |
$220 | |
| Abscess drainage (simple) |
— |
— |
$203 |
$129 | |
| Abscess incision and drainage |
— |
— |
$401 |
$174 | |
| ACL knee reconstruction |
— |
— |
$27,040 |
$889 | |
| Acupuncture |
— |
— |
$25 |
$38 | |
| Acupuncture (each additional) |
— |
— |
$64 |
$28 | |
| Albumin blood test |
$7 |
$20 |
$6 |
$5 | |
| Alkaline phosphatase test |
$8 |
$21 |
$6 |
$5 | |
| Allergy patch testing |
— |
— |
$12 |
$5 | |
| Allergy shots |
— |
— |
$47 |
$11 | |
| Allergy testing |
— |
— |
$9 |
$4 | |
| Alpha-fetoprotein (AFP) test |
$27 |
$74 |
$17 |
$17 | |
| ALT liver enzyme test |
$10 |
$28 |
$8 |
$5 | |
| Ammonia blood test |
$75 |
$203 |
$20 |
$15 | |
| Amniocentesis |
— |
— |
$892 |
$120 | |
| Amylase test |
$58 |
$157 |
$10 |
$6 | |
| Annual physical (established patient) |
— |
— |
$290 |
— | |
| Annual physical (new patient) |
— |
— |
$335 |
— | |
| Anoscopy |
— |
— |
$133 |
$129 | |
| Antinuclear antibody (ANA) test |
$116 |
$314 |
$12 |
$12 | |
| Arterial blood gas (ABG) |
$112 |
$304 |
$46 |
$26 | |
| AST liver enzyme test |
$10 |
$28 |
$7 |
$5 | |
| Barium swallow study |
$318 |
$860 |
$217 |
$107 | |
| Bartholin cyst removal |
— |
— |
$206 |
$182 | |
| Basic metabolic panel |
$72 |
$193 |
$12 |
$8 | |
| Benign skin lesion removal |
— |
— |
$713 |
$171 | |
| Bilirubin blood test |
$50 |
$135 |
$9 |
$5 | |
| Bladder function test (urodynamics) |
— |
— |
$683 |
$345 | |
| Bladder scope (cystoscopy) |
— |
— |
$690 |
$216 | |
| Bladder tumor removal (TURBT) |
— |
— |
$8,385 |
$236 | |
| Blood clotting test (PT/INR) |
$21 |
$58 |
$7 |
$4 | |
| Blood crossmatch |
$82 |
$222 |
$172 |
— | |
| Blood glucose test |
$18 |
$49 |
$6 |
$5 | |
| Blood transfusion |
$310 |
$838 |
$452 |
$47 | |
| Blood type and screen |
$33 |
$89 |
$33 |
$10 | |
| Blood type test |
$38 |
$101 |
$51 |
$3 | |
| Blood type test (ABO group) |
$36 |
$99 |
$129 |
$3 | |
| Blood type test (Rh/D antigen) |
$39 |
$104 |
$39 |
$3 | |
| BNP (heart failure) test |
$48 |
$130 |
$40 |
$39 | |
| Bone density scan (DEXA) |
$250 |
$677 |
$134 |
$39 | |
| Bone scan (nuclear) |
$1,666 |
$4,502 |
$545 |
$259 | |
| Botox for migraine |
— |
— |
$302 |
$157 | |
| Breast MRI |
$618 |
$1,671 |
$340 |
$216 | |
| Breast MRI without contrast |
$566 |
$1,530 |
$317 |
$216 | |
| Breast ultrasound |
$355 |
$960 |
$175 |
$92 | |
| Breast ultrasound (complete) |
$377 |
$1,020 |
$203 |
$100 | |
| Breast ultrasound (limited) |
$333 |
$900 |
$156 |
$84 | |
| Breathing tube insertion (intubation) |
$561 |
$1,515 |
$240 |
$133 | |
| Bronchoscopy |
— |
— |
$8,385 |
$303 | |
| Burn dressing and debridement (medium) |
— |
— |
$203 |
$166 | |
| Burn dressing and debridement (small) |
— |
— |
$203 |
$93 | |
| Burn treatment |
— |
— |
$203 |
$129 | |
| C-reactive protein (CRP) |
$39 |
$105 |
$7 |
$5 | |
| CA 19-9 tumor marker test |
$52 |
$140 |
$28 |
$21 | |
| CA-125 ovarian marker test |
$40 |
$107 |
$32 |
$21 | |
| Calcium blood test |
$8 |
$22 |
$7 |
$5 | |
| Capsule endoscopy |
— |
— |
$969 |
$802 | |
| Cardiac ablation |
— |
— |
$26,737 |
$759 | |
| Cardiac catheterization |
— |
— |
$2,337 |
$1,049 | |
| Cardiac event monitor |
— |
— |
$388 |
$170 | |
| Cardiac MRI |
$575 |
$1,554 |
$366 |
$322 | |
| Cardiac MRI without contrast |
$389 |
$1,050 |
$303 |
$280 | |
| Cardiac rehabilitation |
— |
— |
$129 |
$26 | |
| Cardiac stress test |
$1,383 |
$3,737 |
$316 |
$39 | |
| Cardioversion |
$1,115 |
$3,014 |
$670 |
$155 | |
| Carotid artery ultrasound |
$931 |
$2,517 |
$247 |
$156 | |
| CEA tumor marker test |
$42 |
$113 |
$29 |
$19 | |
| Celiac disease test |
$17 |
$46 |
$16 |
$12 | |
| Central line placement |
$5,124 |
$13,849 |
$22,158 |
$238 | |
| Cesarean section (C-section) |
— |
— |
$10,055 |
$7,552 | |
| Chalazion (eyelid cyst) removal |
— |
— |
$306 |
$131 | |
| Chemotherapy infusion |
— |
— |
$223 |
$81 | |
| Chemotherapy infusion (each additional) |
— |
— |
$73 |
$28 | |
| Chemotherapy infusion (first hour) |
— |
— |
$340 |
$133 | |
| Chest fluid drain (thoracentesis) |
— |
— |
$633 |
$311 | |
| Chest X-ray |
$149 |
$403 |
$109 |
$37 | |
| Chest X-ray (1 view) |
$131 |
$354 |
$91 |
$25 | |
| Chest X-ray (2 views) |
$142 |
$384 |
$91 |
$33 | |
| Chickenpox (varicella) vaccine |
— |
— |
$307 |
— | |
| Chiropractic adjustment |
— |
— |
$26 |
$38 | |
| CK-MB heart enzyme test |
$27 |
$73 |
$15 |
$12 | |
| Clotting time test (PTT) |
$49 |
$131 |
$11 |
$6 | |
| Colonoscopy |
— |
— |
$1,144 |
$480 | |
| Colposcopy |
— |
— |
$315 |
$161 | |
| Complete blood count (CBC) |
$49 |
$132 |
$10 |
$7 | |
| Complete blood count (CBC) (complete) |
$51 |
$139 |
$11 |
$8 | |
| Complex wound repair |
— |
— |
$627 |
$390 | |
| Comprehensive eye exam |
— |
— |
$133 |
$138 | |
| Comprehensive metabolic panel |
$122 |
$331 |
$15 |
$11 | |
| Contact lens fitting |
— |
— |
$233 |
— | |
| Continuous glucose monitor setup |
— |
— |
$83 |
$35 | |
| Contraceptive implant (Nexplanon) |
— |
— |
$401 |
$115 | |
| Copper blood test |
$24 |
$66 |
$13 |
$12 | |
| Coronary artery bypass (CABG) |
— |
— |
$25,290 |
$36,593 | |
| Coronary CT angiography |
$647 |
$1,750 |
$382 |
$326 | |
| Cortisol test |
$68 |
$183 |
$20 |
$16 | |
| COVID-19 PCR test |
$20 |
$55 |
$51 |
$51 | |
| COVID-19 vaccine |
— |
— |
$0 |
— | |
| CPAP titration study |
$340 |
$920 |
$208 |
$69 | |
| Creatine kinase (CK) test |
$54 |
$145 |
$8 |
$7 | |
| CT angiography of the chest |
$647 |
$1,750 |
$255 |
$281 | |
| CT angiography of the head |
$647 |
$1,750 |
$277 |
$274 | |
| CT colonography (virtual colonoscopy) |
— |
— |
$250 |
$835 | |
| CT scan of the abdomen |
$647 |
$1,750 |
$192 |
$230 | |
| CT scan of the abdomen and pelvis |
$693 |
$1,873 |
$376 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$739 |
$1,997 |
$466 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$693 |
$1,873 |
$466 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$647 |
$1,750 |
$345 |
$183 | |
| CT scan of the abdomen with and without contrast |
$693 |
$1,873 |
$255 |
$259 | |
| CT scan of the abdomen with contrast |
$647 |
$1,750 |
$255 |
$230 | |
| CT scan of the abdomen without contrast |
$601 |
$1,626 |
$152 |
$136 | |
| CT scan of the arm |
$647 |
$1,750 |
$350 |
$199 | |
| CT scan of the arm with contrast |
$647 |
$1,750 |
$511 |
$199 | |
| CT scan of the arm without contrast |
$601 |
$1,626 |
$168 |
$161 | |
| CT scan of the chest |
$693 |
$1,873 |
$192 |
$167 | |
| CT scan of the chest with and without contrast |
$739 |
$1,997 |
$255 |
$196 | |
| CT scan of the chest with contrast |
$693 |
$1,873 |
$255 |
$167 | |
| CT scan of the chest without contrast |
$647 |
$1,750 |
$152 |
$133 | |
| CT scan of the head |
$722 |
$1,953 |
$192 |
$148 | |
| CT scan of the head with and without contrast |
$768 |
$2,077 |
$255 |
$173 | |
| CT scan of the head with contrast |
$722 |
$1,953 |
$255 |
$148 | |
| CT scan of the head without contrast |
$677 |
$1,829 |
$152 |
$107 | |
| CT scan of the leg |
$647 |
$1,750 |
$236 |
$166 | |
| CT scan of the leg with contrast |
$601 |
$1,626 |
$281 |
$166 | |
| CT scan of the leg without contrast |
$833 |
$2,252 |
$192 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$647 |
$1,750 |
$325 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$693 |
$1,873 |
$255 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$647 |
$1,750 |
$466 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$601 |
$1,626 |
$165 |
$130 | |
| CT scan of the neck |
$647 |
$1,750 |
$192 |
$183 | |
| CT scan of the neck (cervical spine) |
$693 |
$1,873 |
$331 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$786 |
$2,124 |
$255 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$693 |
$1,873 |
$466 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$647 |
$1,750 |
$165 |
$131 | |
| CT scan of the neck with and without contrast |
$693 |
$1,873 |
$255 |
$220 | |
| CT scan of the neck with contrast |
$647 |
$1,750 |
$255 |
$183 | |
| CT scan of the neck without contrast |
$601 |
$1,626 |
$152 |
$150 | |
| CT scan of the pelvis |
$670 |
$1,811 |
$192 |
$226 | |
| CT scan of the pelvis with and without contrast |
$716 |
$1,935 |
$255 |
$251 | |
| CT scan of the pelvis with contrast |
$670 |
$1,811 |
$255 |
$226 | |
| CT scan of the pelvis without contrast |
$624 |
$1,687 |
$152 |
$133 | |
| CT scan of the sinuses |
$647 |
$1,750 |
$192 |
$152 | |
| CT scan of the sinuses with and without contrast |
$693 |
$1,873 |
$255 |
$184 | |
| CT scan of the sinuses with contrast |
$647 |
$1,750 |
$255 |
$152 | |
| CT scan of the sinuses without contrast |
$601 |
$1,626 |
$152 |
$128 | |
| D-dimer test |
$27 |
$74 |
$15 |
$10 | |
| Defibrillator (ICD) implant |
— |
— |
$70,611 |
$798 | |
| Developmental screening (child) |
— |
— |
$27 |
— | |
| DHEA-sulfate test |
$58 |
$158 |
$31 |
$22 | |
| Diagnostic mammogram |
$303 |
$818 |
$139 |
$140 | |
| Drug screen (urine) |
$35 |
$95 |
$60 |
$17 | |
| Ear pressure test (tympanometry) |
— |
— |
$40 |
$16 | |
| Ear tubes (myringotomy) |
— |
— |
$521 |
$174 | |
| Echocardiogram |
$1,194 |
$3,228 |
$376 |
$138 | |
| Echocardiogram with and without contrast |
$473 |
$1,278 |
$245 |
$101 | |
| Echocardiogram without contrast |
$1,194 |
$3,228 |
$250 |
$138 | |
| EEG (awake and asleep) |
$560 |
$1,513 |
$422 |
$482 | |
| EKG / ECG (tracing only) |
$109 |
$296 |
$60 |
$7 | |
| Electrocardiogram (EKG) |
$109 |
$296 |
$60 |
$8 | |
| Electroencephalogram (EEG) |
$548 |
$1,481 |
$422 |
$448 | |
| Electrolyte panel |
$38 |
$104 |
$11 |
$7 | |
| Electromyography (EMG) |
— |
— |
$133 |
$141 | |
| Emergency department visit |
$1,319 |
$3,565 |
$444 |
$69 | |
| Emergency department visit (level 1) |
$212 |
$572 |
$148 |
$11 | |
| Emergency department visit (level 2) |
$491 |
$1,328 |
$266 |
$40 | |
| Emergency department visit (level 3) |
$1,319 |
$3,565 |
$431 |
$69 | |
| Emergency department visit (level 4) |
$1,328 |
$3,588 |
$716 |
$118 | |
| Emergency department visit (level 5) |
$1,395 |
$3,772 |
$1,031 |
$171 | |
| Endometrial biopsy |
— |
— |
$206 |
$98 | |
| Epidural steroid injection |
— |
— |
$709 |
$275 | |
| ERCP (bile duct endoscopy) |
— |
— |
$8,385 |
$311 | |
| Esophageal dilation |
— |
— |
$960 |
$522 | |
| Esophageal variceal banding |
— |
— |
$8,385 |
$126 | |
| Estradiol (estrogen) test |
$21 |
$56 |
$39 |
$28 | |
| Eye refraction (glasses prescription) |
— |
— |
$46 |
— | |
| Facet joint injection (spine) |
— |
— |
$912 |
$99 | |
| Fallopian tube X-ray (HSG) |
$592 |
$1,599 |
$312 |
$164 | |
| Family therapy session |
— |
— |
$166 |
$110 | |
| Fecal occult blood (stool) test |
$28 |
$75 |
$15 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$15 |
$40 |
$7 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$40 |
$109 |
$22 |
$16 | |
| Feeding tube (PEG) placement |
— |
— |
$8,385 |
$178 | |
| Ferritin (iron) test |
$82 |
$223 |
$19 |
$14 | |
| Fibrinogen test |
$38 |
$103 |
$12 |
$10 | |
| Flexible sigmoidoscopy |
— |
— |
$943 |
$323 | |
| Flu test |
— |
— |
$17 |
$17 | |
| Flu vaccine |
$48 |
$130 |
$56 |
— | |
| Folate (folic acid) test |
$38 |
$104 |
$21 |
$15 | |
| Foreign body removal (skin) |
— |
— |
$409 |
$157 | |
| Free T4 thyroid test |
$129 |
$349 |
$13 |
$9 | |
| FSH hormone test |
$56 |
$150 |
$26 |
$19 | |
| Gallbladder scan (HIDA) |
$1,551 |
$4,192 |
$575 |
$334 | |
| GGT liver test |
$51 |
$138 |
$11 |
$7 | |
| Glucose tolerance test |
$45 |
$122 |
$13 |
$8 | |
| Group therapy session |
— |
— |
$95 |
$30 | |
| H. pylori test |
$26 |
$70 |
$69 |
$67 | |
| HDL cholesterol test |
$46 |
$124 |
$11 |
$8 | |
| Hearing test (audiometry) |
— |
— |
$160 |
$36 | |
| Hematocrit test |
$19 |
$50 |
$4 |
$2 | |
| Hemodialysis |
$182 |
$491 |
$709 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$11 |
$31 |
$10 |
$10 | |
| Hemorrhoid removal |
— |
— |
$933 |
$338 | |
| Hepatitis A vaccine |
— |
— |
$137 |
— | |
| Hepatitis B test |
$32 |
$88 |
$15 |
$10 | |
| Hepatitis B vaccine |
— |
— |
$116 |
— | |
| Hepatitis C test |
$47 |
$126 |
$15 |
$14 | |
| Hip arthroscopy |
— |
— |
$13,544 |
$931 | |
| Hip replacement |
— |
— |
$32,093 |
$1,162 | |
| HIV test |
$46 |
$124 |
$24 |
$19 | |
| HIV test (antibody) |
$51 |
$138 |
$19 |
$14 | |
| HIV test (antigen/antibody combo) |
$41 |
$110 |
$30 |
$24 | |
| Holter heart monitor |
$258 |
$697 |
$110 |
$26 | |
| Home sleep apnea test |
— |
— |
$157 |
$123 | |
| HPV vaccine |
— |
— |
$517 |
— | |
| Iron blood test |
$43 |
$118 |
$10 |
$6 | |
| IUD removal |
— |
— |
$311 |
$112 | |
| IV infusion therapy |
$437 |
$1,182 |
$139 |
$44 | |
| IV infusion therapy (each additional) |
$120 |
$324 |
$47 |
$21 | |
| IV infusion therapy (initial) |
$755 |
$2,040 |
$215 |
$67 | |
| Joint aspiration (small/intermediate) |
— |
— |
$302 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
— |
— |
$302 |
$57 | |
| Joint aspiration or injection (small joint) |
— |
— |
$302 |
$56 | |
| Kidney scan (nuclear) |
$1,551 |
$4,192 |
$675 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
— |
— |
$13,601 |
$760 | |
| Kidney ultrasound |
$505 |
$1,365 |
$149 |
$84 | |
| Kidney ultrasound (limited) |
$445 |
$1,202 |
$139 |
$61 | |
| Knee arthroscopy |
— |
— |
$27,040 |
$524 | |
| Knee joint injection |
— |
— |
$302 |
$69 | |
| Knee replacement |
— |
— |
$18,128 |
$18,054 | |
| Lactate test |
$56 |
$152 |
$17 |
$12 | |
| Laryngoscopy |
— |
— |
$201 |
$189 | |
| LDH test |
$62 |
$167 |
$8 |
$6 | |
| LDL cholesterol test |
$21 |
$58 |
$13 |
$11 | |
| Leg artery angiogram |
$3,194 |
$8,632 |
$1,729 |
$149 | |
| Leg vein ultrasound (Doppler) |
$890 |
$2,405 |
$273 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$691 |
$1,868 |
$219 |
$116 | |
| LH hormone test |
$49 |
$133 |
$26 |
$19 | |
| Lipase test |
$67 |
$181 |
$11 |
$7 | |
| Lipid (cholesterol) panel |
$157 |
$424 |
$19 |
$13 | |
| Liver function panel |
$50 |
$136 |
$11 |
$8 | |
| Lung function test (PFT) |
$370 |
$1,001 |
$291 |
$37 | |
| Lung scan (V/Q) |
$1,551 |
$4,192 |
$729 |
$291 | |
| Magnesium blood test |
$40 |
$108 |
$8 |
$7 | |
| Meniscus repair (knee) |
— |
— |
$27,040 |
$714 | |
| MMR vaccine |
$52 |
$141 |
$155 |
— | |
| Mohs skin cancer surgery |
— |
— |
$627 |
$535 | |
| MRA of the brain |
$606 |
$1,638 |
$369 |
$226 | |
| MRA of the brain with contrast |
$606 |
$1,638 |
$448 |
$226 | |
| MRA of the brain without contrast |
$638 |
$1,725 |
$466 |
$328 | |
| MRA of the neck |
$590 |
$1,595 |
$369 |
$245 | |
| MRA of the neck with contrast |
$590 |
$1,595 |
$448 |
$245 | |
| MRA of the neck without contrast |
$622 |
$1,682 |
$466 |
$343 | |
| MRI of the abdomen |
$590 |
$1,595 |
$369 |
$300 | |
| MRI of the abdomen with contrast |
$590 |
$1,595 |
$448 |
$300 | |
| MRI of the abdomen without contrast |
$558 |
$1,508 |
$315 |
$194 | |
| MRI of the ankle |
$654 |
$1,769 |
$425 |
$261 | |
| MRI of the ankle with contrast |
$803 |
$2,170 |
$448 |
$261 | |
| MRI of the ankle without contrast |
$590 |
$1,595 |
$346 |
$222 | |
| MRI of the brain |
$622 |
$1,682 |
$388 |
$269 | |
| MRI of the brain with contrast |
$590 |
$1,595 |
$470 |
$269 | |
| MRI of the brain without contrast |
$1,127 |
$3,046 |
$346 |
$195 | |
| MRI of the chest |
$622 |
$1,682 |
$525 |
$371 | |
| MRI of the chest with contrast |
— |
— |
$817 |
$371 | |
| MRI of the chest without contrast |
$654 |
$1,769 |
$466 |
$466 | |
| MRI of the knee |
$622 |
$1,682 |
$556 |
$315 | |
| MRI of the knee with contrast |
$622 |
$1,682 |
$805 |
$315 | |
| MRI of the knee without contrast |
$590 |
$1,595 |
$346 |
$204 | |
| MRI of the lower back (lumbar spine) |
$654 |
$1,769 |
$376 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$622 |
$1,682 |
$466 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,136 |
$3,071 |
$346 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$590 |
$1,595 |
$373 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$622 |
$1,682 |
$466 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$590 |
$1,595 |
$466 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$558 |
$1,508 |
$315 |
$190 | |
| MRI of the neck (cervical spine) |
$574 |
$1,552 |
$376 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$606 |
$1,638 |
$466 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$574 |
$1,552 |
$466 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$558 |
$1,508 |
$315 |
$191 | |
| MRI of the pelvis |
$590 |
$1,595 |
$376 |
$268 | |
| MRI of the pelvis with contrast |
$720 |
$1,946 |
$466 |
$268 | |
| MRI of the pelvis without contrast |
$526 |
$1,421 |
$315 |
$227 | |
| MRI of the shoulder |
$654 |
$1,769 |
$614 |
$313 | |
| MRI of the shoulder with contrast |
$622 |
$1,682 |
$805 |
$313 | |
| MRI of the shoulder without contrast |
$1,136 |
$3,071 |
$382 |
$205 | |
| MRI of the wrist |
$622 |
$1,682 |
$437 |
$330 | |
| MRI of the wrist with contrast |
$1,360 |
$3,675 |
$502 |
$330 | |
| MRI of the wrist without contrast |
$558 |
$1,508 |
$346 |
$303 | |
| Nebulizer breathing treatment |
$61 |
$165 |
$206 |
$9 | |
| Nerve conduction study |
$1,259 |
$3,403 |
$313 |
$118 | |
| Newborn hospital care |
— |
— |
$132 |
$58 | |
| Nuchal translucency ultrasound |
$196 |
$530 |
$139 |
$116 | |
| Nuclear cardiac stress test |
$1,608 |
$4,347 |
$1,158 |
$428 | |
| Occupational therapy evaluation |
— |
— |
$101 |
$101 | |
| Occupational therapy evaluation (high complexity) |
— |
— |
$101 |
$101 | |
| Occupational therapy evaluation (low complexity) |
— |
— |
$101 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
— |
— |
$101 |
$101 | |
| Office visit (established patient) |
$154 |
$415 |
$310 |
$115 | |
| Office visit (new patient) |
$186 |
$503 |
$458 |
$177 | |
| Office visit, established patient (level 3) |
$154 |
$415 |
$220 |
$95 | |
| Office visit, established patient (level 4) |
$126 |
$342 |
$310 |
$136 | |
| Office visit, new patient (level 3) |
$136 |
$367 |
$271 |
$118 | |
| Office visit, new patient (level 4) |
$186 |
$503 |
$407 |
$177 | |
| Office visit, new patient (level 5) |
$314 |
$848 |
$538 |
$237 | |
| Pacemaker insertion |
— |
— |
$16,378 |
$15,506 | |
| Pap smear (cervical screening) |
$24 |
$64 |
$27 |
$20 | |
| Parathyroid hormone (PTH) test |
$105 |
$284 |
$57 |
$41 | |
| Pelvic ultrasound |
$596 |
$1,611 |
$149 |
$78 | |
| Pelvic ultrasound (complete) |
$763 |
$2,062 |
$152 |
$105 | |
| Pelvic ultrasound (limited) |
$430 |
$1,161 |
$149 |
$51 | |
| PET scan |
— |
— |
$4,189 |
— | |
| Phosphorus blood test |
$42 |
$115 |
$7 |
$5 | |
| Physical therapy evaluation |
$101 |
$273 |
$134 |
$98 | |
| Physical therapy evaluation (high complexity) |
$101 |
$273 |
$134 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$101 |
$273 |
$134 |
$98 | |
| Platelet count |
$30 |
$82 |
$6 |
$4 | |
| Pneumonia vaccine |
$63 |
$170 |
$197 |
— | |
| Pregnancy blood test (hCG) |
$60 |
$162 |
$12 |
$8 | |
| Pregnancy ultrasound |
$442 |
$1,194 |
$168 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$542 |
$1,466 |
$168 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$341 |
$922 |
$168 |
$136 | |
| Procalcitonin test |
$79 |
$213 |
$38 |
$27 | |
| Prolactin test |
$64 |
$172 |
$27 |
$19 | |
| Prostate test (PSA) |
$13 |
$34 |
$19 |
$18 | |
| Psychiatric evaluation |
— |
— |
$166 |
$188 | |
| Psychotherapy session |
— |
— |
$166 |
$140 | |
| Pulmonary rehabilitation |
— |
— |
$61 |
$87 | |
| Retina scan (OCT) |
— |
— |
$61 |
$33 | |
| Retinal (fundus) photography |
— |
— |
$132 |
$37 | |
| Rheumatoid factor test |
— |
— |
$6 |
$6 | |
| Rotator cuff repair |
— |
— |
$27,040 |
$792 | |
| Routine eye exam |
— |
— |
$133 |
$88 | |
| RSV vaccine |
— |
— |
$496 |
— | |
| Scoliosis spine X-ray |
$159 |
$429 |
$110 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$131 |
$354 |
$91 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$187 |
$504 |
$133 |
$72 | |
| Screening mammogram |
$287 |
$776 |
$137 |
$126 | |
| Scrotal ultrasound |
$633 |
$1,710 |
$152 |
$99 | |
| Sedimentation rate (ESR) test |
$42 |
$114 |
$4 |
$3 | |
| Semen analysis |
$43 |
$115 |
$17 |
$12 | |
| Sex hormone binding globulin test |
$20 |
$54 |
$22 |
$22 | |
| Shingles vaccine |
— |
— |
$332 |
— | |
| Shoulder arthroscopy |
— |
— |
$27,040 |
$962 | |
| Simple laceration repair (small, up to 2.5 cm) |
— |
— |
$203 |
$114 | |
| Simple wound stitches |
— |
— |
$203 |
$127 | |
| Sinus surgery (endoscopic) |
— |
— |
$8,385 |
$224 | |
| Skin biopsy |
— |
— |
$413 |
$121 | |
| Skin biopsy (punch) |
— |
— |
$409 |
$121 | |
| Skin cancer lesion removal |
— |
— |
$713 |
$240 | |
| Skin lesion freezing (cryotherapy) |
— |
— |
$203 |
$36 | |
| Skin tag removal |
— |
— |
$203 |
$92 | |
| Sleep study (polysomnography) |
$5,152 |
$13,924 |
$1,521 |
$691 | |
| Soft tissue ultrasound |
$684 |
$1,849 |
$189 |
$64 | |
| Speech therapy |
$66 |
$178 |
$84 |
$76 | |
| Spinal tap (lumbar puncture) |
— |
— |
$709 |
$165 | |
| Spirometry (lung function test) |
$234 |
$631 |
$160 |
$30 | |
| Spirometry with bronchodilator |
$507 |
$1,370 |
$319 |
$43 | |
| Strep throat test |
— |
— |
$17 |
$17 | |
| Stress echocardiogram |
$3,220 |
$8,703 |
$561 |
$209 | |
| Stress echocardiogram (complete) |
$3,220 |
$8,703 |
$561 |
$233 | |
| Swallow study |
$115 |
$310 |
$106 |
$85 | |
| T3 thyroid test |
$146 |
$394 |
$20 |
$14 | |
| Tdap (tetanus) vaccine |
$48 |
$130 |
$80 |
— | |
| Testosterone test |
$75 |
$204 |
$27 |
$26 | |
| Thyroid test (TSH) |
$36 |
$98 |
$21 |
$17 | |
| Thyroid ultrasound |
$656 |
$1,773 |
$152 |
$109 | |
| Thyroid uptake scan |
$1,551 |
$4,192 |
$504 |
$145 | |
| Tilt table test |
— |
— |
$543 |
$168 | |
| Total IgE allergy test |
$24 |
$64 |
$17 |
$16 | |
| Total protein test |
$8 |
$22 |
$5 |
$4 | |
| Tracheostomy |
$2,052 |
$5,546 |
$8,874 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$3,201 |
$8,651 |
$567 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$3,201 |
$8,651 |
$561 |
$239 | |
| Transvaginal ultrasound |
$710 |
$1,920 |
$152 |
$118 | |
| Trigger point injection |
— |
— |
$302 |
$56 | |
| Trigger point injection (1-2 muscles) |
— |
— |
$302 |
$52 | |
| Triglycerides test |
$68 |
$184 |
$8 |
$6 | |
| Troponin (heart) test |
$56 |
$151 |
$19 |
$12 | |
| Upper GI endoscopy (EGD) |
— |
— |
$969 |
$371 | |
| Upper GI series (barium) |
$581 |
$1,571 |
$223 |
$128 | |
| Ureteral stent placement |
— |
— |
$8,385 |
$373 | |
| Uric acid (gout) test |
$50 |
$136 |
$6 |
$5 | |
| Urinalysis |
$16 |
$44 |
$4 |
$3 | |
| Urine microalbumin test |
$31 |
$85 |
$8 |
$5 | |
| Urine pregnancy test |
$76 |
$205 |
$12 |
$9 | |
| UV light therapy (skin) |
— |
— |
$61 |
$106 | |
| Vaccine administration |
$53 |
$143 |
$71 |
$19 | |
| Vaccine administration (each additional) |
$53 |
$142 |
$35 |
$16 | |
| Vaginal delivery |
— |
— |
$8,635 |
$5,487 | |
| Varicose vein ablation |
$2,960 |
$8,000 |
$12,800 |
$1,018 | |
| Visual field test |
— |
— |
$132 |
$64 | |
| Vitamin B12 test |
$56 |
$151 |
$21 |
$15 | |
| Vitamin D test |
$71 |
$192 |
$30 |
$30 | |
| Vocal cord injection |
— |
— |
$8,385 |
$211 | |
| Wart removal |
— |
— |
$203 |
$121 | |
| Weight-loss (bariatric) surgery |
— |
— |
$14,888 |
$11,645 | |
| Well-child visit |
— |
— |
$249 |
— | |
| Wound debridement |
— |
— |
$621 |
$186 | |
| X-ray of the abdomen |
$174 |
$472 |
$110 |
$36 | |
| X-ray of the ankle |
$207 |
$559 |
$112 |
$37 | |
| X-ray of the collarbone |
$180 |
$486 |
$104 |
$33 | |
| X-ray of the elbow |
$146 |
$393 |
$101 |
$33 | |
| X-ray of the facial bones |
$163 |
$441 |
$109 |
$39 | |
| X-ray of the foot |
$197 |
$533 |
$108 |
$34 | |
| X-ray of the forearm |
$185 |
$501 |
$105 |
$29 | |
| X-ray of the hand |
$199 |
$538 |
$109 |
$38 | |
| X-ray of the hip |
$175 |
$474 |
$119 |
$49 | |
| X-ray of the hip (1 view) |
$159 |
$431 |
$101 |
$34 | |
| X-ray of the hip (3 views) |
$175 |
$474 |
$104 |
$49 | |
| X-ray of the hip (4 views) |
$191 |
$518 |
$128 |
$63 | |
| X-ray of the knee |
$236 |
$637 |
$126 |
$42 | |
| X-ray of the knee (2 views) |
$211 |
$569 |
$114 |
$34 | |
| X-ray of the knee (3 views) |
$236 |
$637 |
$126 |
$42 | |
| X-ray of the knee (4+ views) |
$276 |
$745 |
$149 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$316 |
$855 |
$137 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$262 |
$708 |
$137 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$371 |
$1,003 |
$139 |
$53 | |
| X-ray of the lower leg |
$216 |
$583 |
$117 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$134 |
$362 |
$110 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$125 |
$337 |
$110 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$144 |
$388 |
$110 |
$39 | |
| X-ray of the neck (cervical spine) |
$294 |
$793 |
$124 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$235 |
$635 |
$115 |
$40 | |
| X-ray of the pelvis |
$149 |
$404 |
$110 |
$36 | |
| X-ray of the pelvis (1 view) |
$151 |
$407 |
$110 |
$28 | |
| X-ray of the ribs |
$267 |
$722 |
$133 |
$42 | |
| X-ray of the ribs (2 views) |
$267 |
$722 |
$126 |
$36 | |
| X-ray of the ribs (3 views) |
$272 |
$735 |
$147 |
$42 | |
| X-ray of the shoulder |
$211 |
$570 |
$114 |
$36 | |
| X-ray of the skull |
$214 |
$578 |
$110 |
$40 | |
| X-ray of the upper arm |
$158 |
$426 |
$101 |
$32 | |
| X-ray of the wrist |
$220 |
$595 |
$119 |
$43 | |
| YAG laser capsulotomy (eye) |
— |
— |
$562 |
$335 | |