| Abdominal fluid drain (paracentesis) |
$862 |
$862 |
$2,515 |
$284 | |
| Abdominal ultrasound |
$720 |
$720 |
$803 |
$100 | |
| Abdominal ultrasound (complete) |
$1,050 |
$1,050 |
$1,050 |
$114 | |
| Abdominal ultrasound (limited) |
$389 |
$389 |
$763 |
$86 | |
| Abscess drainage (complex or multiple) |
$738 |
$738 |
$399 |
$220 | |
| Abscess drainage (simple) |
$464 |
$464 |
$285 |
$129 | |
| Abscess incision and drainage |
$601 |
$601 |
$285 |
$174 | |
| Adenoid removal (adenoidectomy) |
$1,360 |
$1,360 |
$1,360 |
$204 | |
| Albumin blood test |
$86 |
$86 |
$38 |
$5 | |
| Aldosterone test |
$423 |
$423 |
$423 |
$41 | |
| Alkaline phosphatase test |
$85 |
$85 |
$38 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$262 |
$262 |
$262 |
$17 | |
| ALT liver enzyme test |
$86 |
$86 |
$86 |
$5 | |
| Ammonia blood test |
$234 |
$234 |
$234 |
$15 | |
| Amniocentesis |
$506 |
$506 |
$506 |
$120 | |
| Amylase test |
$112 |
$112 |
$112 |
$6 | |
| Anal fistula repair |
$2,324 |
$2,324 |
$2,324 |
$541 | |
| Anoscopy |
$327 |
$327 |
$327 |
$129 | |
| Antinuclear antibody (ANA) test |
$190 |
$190 |
$190 |
$12 | |
| Arterial blood gas (ABG) |
$379 |
$379 |
$379 |
$26 | |
| AST liver enzyme test |
$85 |
$85 |
$85 |
$5 | |
| Barium swallow study |
$1,401 |
$1,401 |
$858 |
$107 | |
| Bartholin cyst removal |
$645 |
$645 |
$645 |
$182 | |
| Basic metabolic panel |
$205 |
$205 |
$205 |
$8 | |
| Benign skin lesion removal |
$630 |
$630 |
$590 |
$171 | |
| Bilirubin blood test |
$83 |
$83 |
$83 |
$5 | |
| Blood clotting test (PT/INR) |
$80 |
$80 |
$35 |
$4 | |
| Blood crossmatch |
$190 |
$190 |
$190 |
— | |
| Blood glucose test |
$87 |
$87 |
$72 |
$5 | |
| Blood transfusion |
$1,336 |
$1,336 |
$721 |
$47 | |
| Blood type and screen |
$272 |
$272 |
$272 |
$10 | |
| Blood type test |
$63 |
$63 |
$63 |
$3 | |
| Blood type test (ABO group) |
$63 |
$63 |
$63 |
$3 | |
| Blood type test (Rh/D antigen) |
$63 |
$63 |
$63 |
$3 | |
| BNP (heart failure) test |
$294 |
$294 |
$294 |
$39 | |
| Bone density scan (DEXA) |
$628 |
$628 |
$628 |
$39 | |
| Bone marrow biopsy |
$762 |
$762 |
$762 |
$172 | |
| Bone scan (nuclear) |
$1,863 |
$1,863 |
$1,863 |
$259 | |
| Botox for migraine |
$865 |
$865 |
$865 |
$157 | |
| Breast biopsy |
$1,631 |
$1,631 |
$1,486 |
$478 | |
| Breast MRI |
$3,312 |
$3,312 |
$3,279 |
$216 | |
| Breast MRI without contrast |
$3,312 |
$3,312 |
$3,312 |
$216 | |
| Breast ultrasound |
$73 |
$73 |
$436 |
$92 | |
| Breast ultrasound (complete) |
$73 |
$73 |
$474 |
$100 | |
| Breast ultrasound (limited) |
$72 |
$72 |
$414 |
$84 | |
| Breathing tube insertion (intubation) |
$828 |
$828 |
$828 |
$133 | |
| Burn dressing and debridement (medium) |
$395 |
$395 |
$317 |
$166 | |
| Burn dressing and debridement (small) |
$241 |
$241 |
$197 |
$93 | |
| Burn treatment |
$318 |
$318 |
$241 |
$129 | |
| C-reactive protein (CRP) |
$111 |
$111 |
$111 |
$5 | |
| CA 19-9 tumor marker test |
$179 |
$179 |
$179 |
$21 | |
| CA-125 ovarian marker test |
$175 |
$175 |
$175 |
$21 | |
| Calcium blood test |
$88 |
$88 |
$40 |
$5 | |
| Cardiac rehabilitation |
$391 |
$391 |
$391 |
$26 | |
| Cardiac stress test |
$480 |
$480 |
$381 |
$39 | |
| Cardioversion |
$2,188 |
$2,188 |
$1,924 |
$155 | |
| Carotid artery ultrasound |
$395 |
$395 |
$255 |
$156 | |
| Cataract surgery |
$1,407 |
$1,407 |
$2,393 |
$547 | |
| CEA tumor marker test |
$112 |
$112 |
$112 |
$19 | |
| Central line placement |
$1,117 |
$1,117 |
$762 |
$238 | |
| Chemotherapy infusion |
$785 |
$785 |
$471 |
$81 | |
| Chemotherapy infusion (each additional) |
$320 |
$320 |
$320 |
$28 | |
| Chemotherapy infusion (first hour) |
$1,250 |
$1,250 |
$1,250 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,021 |
$1,021 |
$2,054 |
$311 | |
| Chest tube insertion |
$1,294 |
$1,294 |
$1,145 |
$143 | |
| Chest X-ray |
$382 |
$382 |
$366 |
$37 | |
| Chest X-ray (1 view) |
$309 |
$309 |
$309 |
$25 | |
| Chest X-ray (2 views) |
$385 |
$385 |
$380 |
$33 | |
| Circumcision |
$519 |
$519 |
$519 |
$167 | |
| CK-MB heart enzyme test |
$182 |
$182 |
$182 |
$12 | |
| Clotting time test (PTT) |
$105 |
$105 |
$60 |
$6 | |
| Colon resection (colectomy) |
$7,046 |
$7,046 |
$7,046 |
$1,238 | |
| Colonoscopy |
$2,112 |
$2,112 |
$2,112 |
$480 | |
| Complete blood count (CBC) |
$103 |
$103 |
$87 |
$7 | |
| Complete blood count (CBC) (complete) |
$119 |
$119 |
$119 |
$8 | |
| Complex wound repair |
$746 |
$746 |
$632 |
$390 | |
| Comprehensive metabolic panel |
$253 |
$253 |
$253 |
$11 | |
| Continuous glucose monitor setup |
$183 |
$183 |
$183 |
$35 | |
| Copper blood test |
$170 |
$170 |
$170 |
$12 | |
| Coronary CT angiography |
$2,229 |
$2,229 |
$2,229 |
$326 | |
| Cortisol test |
$251 |
$251 |
$251 |
$16 | |
| COVID-19 PCR test |
$244 |
$244 |
$232 |
$51 | |
| CPAP titration study |
$489 |
$489 |
$489 |
$69 | |
| Creatine kinase (CK) test |
$50 |
$50 |
$57 |
$7 | |
| CT angiography of the chest |
$2,798 |
$2,798 |
$2,798 |
$281 | |
| CT angiography of the head |
$3,398 |
$3,398 |
$3,398 |
$274 | |
| CT scan of the abdomen |
$2,661 |
$2,661 |
$2,661 |
$230 | |
| CT scan of the abdomen and pelvis |
$5,258 |
$5,258 |
$5,258 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$5,718 |
$5,718 |
$5,718 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$5,258 |
$5,258 |
$5,258 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$3,788 |
$3,788 |
$3,788 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,995 |
$2,995 |
$2,995 |
$259 | |
| CT scan of the abdomen with contrast |
$2,661 |
$2,661 |
$2,661 |
$230 | |
| CT scan of the abdomen without contrast |
$1,958 |
$1,958 |
$1,958 |
$136 | |
| CT scan of the arm |
$2,209 |
$2,209 |
$2,209 |
$199 | |
| CT scan of the arm with contrast |
$2,209 |
$2,209 |
$2,209 |
$199 | |
| CT scan of the arm without contrast |
$1,730 |
$1,730 |
$1,730 |
$161 | |
| CT scan of the chest |
$2,927 |
$2,927 |
$2,924 |
$167 | |
| CT scan of the chest with and without contrast |
$3,078 |
$3,078 |
$3,078 |
$196 | |
| CT scan of the chest with contrast |
$2,927 |
$2,927 |
$2,927 |
$167 | |
| CT scan of the chest without contrast |
$1,834 |
$1,834 |
$1,834 |
$133 | |
| CT scan of the head |
$3,477 |
$3,477 |
$3,436 |
$148 | |
| CT scan of the head with and without contrast |
$3,477 |
$3,477 |
$3,477 |
$173 | |
| CT scan of the head with contrast |
$3,617 |
$3,617 |
$3,617 |
$148 | |
| CT scan of the head without contrast |
$2,252 |
$2,252 |
$2,252 |
$107 | |
| CT scan of the leg |
$2,209 |
$2,209 |
$1,730 |
$166 | |
| CT scan of the leg with contrast |
$2,209 |
$2,209 |
$2,209 |
$166 | |
| CT scan of the leg without contrast |
$1,730 |
$1,730 |
$1,730 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,976 |
$1,976 |
$1,976 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,266 |
$2,266 |
$2,266 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,976 |
$1,976 |
$1,976 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,029 |
$1,029 |
$1,029 |
$130 | |
| CT scan of the neck |
$2,875 |
$2,875 |
$2,875 |
$183 | |
| CT scan of the neck (cervical spine) |
$2,116 |
$2,116 |
$1,976 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,221 |
$2,221 |
$2,221 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$2,116 |
$2,116 |
$2,116 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,029 |
$1,029 |
$1,029 |
$131 | |
| CT scan of the neck with and without contrast |
$2,890 |
$2,890 |
$2,890 |
$220 | |
| CT scan of the neck with contrast |
$2,875 |
$2,875 |
$2,875 |
$183 | |
| CT scan of the neck without contrast |
$2,875 |
$2,875 |
$2,875 |
$150 | |
| CT scan of the pelvis |
$2,602 |
$2,602 |
$2,602 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,921 |
$2,921 |
$2,921 |
$251 | |
| CT scan of the pelvis with contrast |
$2,602 |
$2,602 |
$2,602 |
$226 | |
| CT scan of the pelvis without contrast |
$1,834 |
$1,834 |
$1,834 |
$133 | |
| CT scan of the sinuses |
$3,070 |
$3,070 |
$2,210 |
$152 | |
| CT scan of the sinuses with and without contrast |
$3,573 |
$3,573 |
$3,573 |
$184 | |
| CT scan of the sinuses with contrast |
$3,070 |
$3,070 |
$3,070 |
$152 | |
| CT scan of the sinuses without contrast |
$1,106 |
$1,106 |
$1,106 |
$128 | |
| D-dimer test |
$152 |
$152 |
$73 |
$10 | |
| DHEA-sulfate test |
$185 |
$185 |
$185 |
$22 | |
| Diagnostic mammogram |
$79 |
$79 |
$428 |
$140 | |
| Droopy eyelid repair (ptosis) |
$2,482 |
$2,482 |
$2,482 |
$745 | |
| Drug screen (urine) |
$361 |
$361 |
$331 |
$17 | |
| Ear pressure test (tympanometry) |
$83 |
$83 |
$83 |
$16 | |
| Ear tubes (myringotomy) |
$969 |
$969 |
$969 |
$174 | |
| Echocardiogram |
$781 |
$781 |
$588 |
$138 | |
| Echocardiogram with and without contrast |
$409 |
$409 |
$409 |
$101 | |
| EEG (awake and asleep) |
$843 |
$843 |
$843 |
$482 | |
| EKG / ECG (tracing only) |
$312 |
$312 |
$312 |
$7 | |
| Electrocardiogram (EKG) |
$236 |
$236 |
$164 |
$8 | |
| Electroencephalogram (EEG) |
$827 |
$827 |
$810 |
$448 | |
| Electrolyte panel |
$216 |
$216 |
$216 |
$7 | |
| Emergency department visit |
$1,199 |
$1,199 |
$963 |
$69 | |
| Emergency department visit (level 1) |
$681 |
$681 |
$297 |
$11 | |
| Emergency department visit (level 2) |
$963 |
$963 |
$466 |
$40 | |
| Emergency department visit (level 3) |
$1,199 |
$1,199 |
$836 |
$69 | |
| Emergency department visit (level 4) |
$2,040 |
$2,040 |
$1,246 |
$118 | |
| Emergency department visit (level 5) |
$2,527 |
$2,527 |
$1,824 |
$171 | |
| Epidural steroid injection |
$1,731 |
$1,731 |
$1,728 |
$275 | |
| Estradiol (estrogen) test |
$174 |
$174 |
$174 |
$28 | |
| Eyelid surgery (blepharoplasty) |
$2,678 |
$2,678 |
$2,487 |
$552 | |
| Facet joint injection (spine) |
$1,557 |
$1,557 |
$1,557 |
$99 | |
| Fallopian tube X-ray (HSG) |
$1,514 |
$1,514 |
$1,514 |
$164 | |
| Fecal occult blood (stool) test |
$137 |
$137 |
$63 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$57 |
$57 |
$57 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$216 |
$216 |
$216 |
$16 | |
| Feeding tube (PEG) placement |
$1,607 |
$1,607 |
$1,607 |
$178 | |
| Ferritin (iron) test |
$211 |
$211 |
$211 |
$14 | |
| Fibrinogen test |
$151 |
$151 |
$71 |
$10 | |
| Flexible sigmoidoscopy |
$710 |
$710 |
$710 |
$323 | |
| Flu test |
$172 |
$172 |
$172 |
$17 | |
| Folate (folic acid) test |
$235 |
$235 |
$235 |
$15 | |
| Foreign body removal (skin) |
$600 |
$600 |
$324 |
$157 | |
| Free T4 thyroid test |
$141 |
$141 |
$141 |
$9 | |
| FSH hormone test |
$282 |
$282 |
$282 |
$19 | |
| Gallbladder removal (laparoscopic) |
$4,653 |
$4,653 |
$4,462 |
$658 | |
| Gallbladder scan (HIDA) |
$1,947 |
$1,947 |
$1,642 |
$334 | |
| GGT liver test |
$123 |
$123 |
$123 |
$7 | |
| Glucose tolerance test |
$91 |
$91 |
$66 |
$8 | |
| H. pylori test |
$300 |
$300 |
$300 |
$67 | |
| HDL cholesterol test |
$140 |
$140 |
$63 |
$8 | |
| Hematocrit test |
$43 |
$43 |
$43 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$152 |
$152 |
$152 |
$10 | |
| Hemorrhoid removal |
$1,199 |
$1,199 |
$1,199 |
$338 | |
| Hepatitis B test |
$153 |
$153 |
$69 |
$10 | |
| Hepatitis C test |
$139 |
$139 |
$124 |
$14 | |
| HIV test |
$177 |
$177 |
$177 |
$19 | |
| HIV test (antibody) |
$177 |
$177 |
$177 |
$14 | |
| Holter heart monitor |
$175 |
$175 |
$175 |
$26 | |
| Inguinal hernia repair |
$3,229 |
$3,229 |
$3,023 |
$538 | |
| Iron blood test |
$80 |
$80 |
$80 |
$6 | |
| IUD removal |
$253 |
$253 |
$287 |
$112 | |
| IV infusion therapy |
$413 |
$413 |
$408 |
$44 | |
| IV infusion therapy (each additional) |
$279 |
$279 |
$279 |
$21 | |
| IV infusion therapy (initial) |
$547 |
$547 |
$547 |
$67 | |
| Joint aspiration (small/intermediate) |
$361 |
$361 |
$335 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$387 |
$387 |
$387 |
$57 | |
| Joint aspiration or injection (small joint) |
$335 |
$335 |
$335 |
$56 | |
| Kidney biopsy |
$2,040 |
$2,040 |
$2,040 |
$492 | |
| Kidney scan (nuclear) |
$1,607 |
$1,607 |
$1,607 |
$172 | |
| Kidney ultrasound |
$907 |
$907 |
$810 |
$84 | |
| Kidney ultrasound (limited) |
$810 |
$810 |
$810 |
$61 | |
| Knee joint injection |
$523 |
$523 |
$411 |
$69 | |
| Lactate test |
$179 |
$179 |
$179 |
$12 | |
| Laryngoscopy |
$901 |
$901 |
$615 |
$189 | |
| LDH test |
$103 |
$103 |
$103 |
$6 | |
| LDL cholesterol test |
$147 |
$147 |
$147 |
$11 | |
| Leg vein ultrasound (Doppler) |
$1,677 |
$1,677 |
$1,172 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,172 |
$1,172 |
$1,172 |
$116 | |
| LH hormone test |
$282 |
$282 |
$282 |
$19 | |
| Lipase test |
$124 |
$124 |
$124 |
$7 | |
| Lipid (cholesterol) panel |
$244 |
$244 |
$169 |
$13 | |
| Liver biopsy |
$1,966 |
$1,966 |
$1,966 |
$288 | |
| Liver function panel |
$156 |
$156 |
$156 |
$8 | |
| Lumbar discectomy |
$8,334 |
$8,334 |
$8,334 |
$898 | |
| Lumpectomy (breast) |
$4,248 |
$4,248 |
$3,496 |
$750 | |
| Lung function test (PFT) |
$80 |
$80 |
$138 |
$37 | |
| Lung scan (V/Q) |
$2,530 |
$2,530 |
$2,530 |
$291 | |
| Magnesium blood test |
$115 |
$115 |
$115 |
$7 | |
| Mastectomy |
$5,332 |
$5,332 |
$5,332 |
$1,021 | |
| MRA of the brain |
$4,041 |
$4,041 |
$3,964 |
$226 | |
| MRA of the brain with contrast |
$4,041 |
$4,041 |
$4,041 |
$226 | |
| MRA of the brain without contrast |
$4,173 |
$4,173 |
$4,173 |
$328 | |
| MRA of the neck |
$4,188 |
$4,188 |
$4,164 |
$245 | |
| MRA of the neck with contrast |
$4,188 |
$4,188 |
$4,188 |
$245 | |
| MRA of the neck without contrast |
$4,383 |
$4,383 |
$4,383 |
$343 | |
| MRI of the abdomen |
$4,696 |
$4,696 |
$4,461 |
$300 | |
| MRI of the abdomen with contrast |
$4,696 |
$4,696 |
$4,696 |
$300 | |
| MRI of the abdomen without contrast |
$3,453 |
$3,453 |
$3,453 |
$194 | |
| MRI of the ankle |
$4,272 |
$4,272 |
$4,272 |
$261 | |
| MRI of the ankle with contrast |
$4,272 |
$4,272 |
$4,272 |
$261 | |
| MRI of the ankle without contrast |
$4,065 |
$4,065 |
$4,065 |
$222 | |
| MRI of the brain |
$3,963 |
$3,963 |
$3,963 |
$269 | |
| MRI of the brain with contrast |
$3,963 |
$3,963 |
$3,963 |
$269 | |
| MRI of the brain without contrast |
$3,886 |
$3,886 |
$3,886 |
$195 | |
| MRI of the chest |
$4,442 |
$4,442 |
$4,442 |
$371 | |
| MRI of the chest with contrast |
$4,442 |
$4,442 |
$4,442 |
$371 | |
| MRI of the chest without contrast |
$4,968 |
$4,968 |
$4,968 |
$466 | |
| MRI of the knee |
$4,516 |
$4,516 |
$4,516 |
$315 | |
| MRI of the knee with contrast |
$4,516 |
$4,516 |
$4,516 |
$315 | |
| MRI of the knee without contrast |
$3,759 |
$3,759 |
$3,759 |
$204 | |
| MRI of the lower back (lumbar spine) |
$4,110 |
$4,110 |
$3,942 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$4,149 |
$4,149 |
$4,149 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$3,537 |
$3,537 |
$3,537 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$4,025 |
$4,025 |
$3,905 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$4,110 |
$4,110 |
$4,110 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$4,025 |
$4,025 |
$4,025 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$3,537 |
$3,537 |
$3,537 |
$190 | |
| MRI of the neck (cervical spine) |
$4,000 |
$4,000 |
$3,905 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$4,110 |
$4,110 |
$4,110 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$4,000 |
$4,000 |
$4,000 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$3,386 |
$3,386 |
$3,386 |
$191 | |
| MRI of the pelvis |
$4,075 |
$4,075 |
$4,065 |
$268 | |
| MRI of the pelvis with contrast |
$4,075 |
$4,075 |
$4,075 |
$268 | |
| MRI of the pelvis without contrast |
$4,065 |
$4,065 |
$4,065 |
$227 | |
| MRI of the shoulder |
$4,516 |
$4,516 |
$4,516 |
$313 | |
| MRI of the shoulder with contrast |
$4,516 |
$4,516 |
$4,516 |
$313 | |
| MRI of the shoulder without contrast |
$4,122 |
$4,122 |
$4,122 |
$205 | |
| MRI of the wrist |
$4,271 |
$4,271 |
$4,271 |
$330 | |
| MRI of the wrist with contrast |
$4,271 |
$4,271 |
$4,271 |
$330 | |
| MRI of the wrist without contrast |
$4,065 |
$4,065 |
$4,064 |
$303 | |
| Nebulizer breathing treatment |
$188 |
$188 |
$188 |
$9 | |
| Newborn hospital care |
$496 |
$496 |
$350 |
$58 | |
| Nuclear cardiac stress test |
$761 |
$761 |
$1,455 |
$428 | |
| Occupational therapy evaluation |
$315 |
$315 |
$314 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$319 |
$319 |
$319 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$314 |
$314 |
$314 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$315 |
$315 |
$315 |
$101 | |
| Office visit (established patient) |
$456 |
$456 |
$370 |
$115 | |
| Office visit (new patient) |
$863 |
$863 |
$863 |
$177 | |
| Office visit, established patient (level 3) |
$335 |
$335 |
$354 |
$95 | |
| Office visit, established patient (level 4) |
$576 |
$576 |
$576 |
$136 | |
| Office visit, new patient (level 3) |
$603 |
$603 |
$603 |
$118 | |
| Office visit, new patient (level 4) |
$863 |
$863 |
$863 |
$177 | |
| Office visit, new patient (level 5) |
$1,103 |
$1,103 |
$1,103 |
$237 | |
| Parathyroid hormone (PTH) test |
$379 |
$379 |
$379 |
$41 | |
| Parathyroid removal |
$5,576 |
$5,576 |
$5,576 |
$891 | |
| Pelvic ultrasound |
$760 |
$760 |
$612 |
$78 | |
| Pelvic ultrasound (complete) |
$907 |
$907 |
$907 |
$105 | |
| Pelvic ultrasound (limited) |
$612 |
$612 |
$612 |
$51 | |
| Phosphorus blood test |
$82 |
$82 |
$82 |
$5 | |
| Physical therapy evaluation |
$315 |
$315 |
$306 |
$98 | |
| Physical therapy evaluation (high complexity) |
$321 |
$321 |
$321 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$315 |
$315 |
$315 |
$98 | |
| Pilonidal cyst removal |
$1,279 |
$1,279 |
$1,279 |
$541 | |
| Platelet count |
$82 |
$82 |
$82 |
$4 | |
| Pregnancy blood test (hCG) |
$115 |
$115 |
$115 |
$8 | |
| Pregnancy ultrasound |
$1,173 |
$1,173 |
$1,154 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$1,154 |
$1,154 |
$1,154 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$1,192 |
$1,192 |
$1,192 |
$136 | |
| Procalcitonin test |
$355 |
$355 |
$181 |
$27 | |
| Prolactin test |
$270 |
$270 |
$270 |
$19 | |
| Prostate test (PSA) |
$267 |
$267 |
$267 |
$18 | |
| Psychiatric evaluation |
$603 |
$603 |
$603 |
$188 | |
| Pulmonary rehabilitation |
$394 |
$394 |
$394 |
$87 | |
| Radiofrequency nerve ablation |
$4,798 |
$4,798 |
$4,798 |
$462 | |
| Rheumatoid factor test |
$89 |
$89 |
$89 |
$6 | |
| Sacroiliac joint injection |
$2,590 |
$2,590 |
$2,577 |
$176 | |
| Scoliosis spine X-ray |
$563 |
$563 |
$569 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$569 |
$569 |
$569 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$557 |
$557 |
$557 |
$72 | |
| Screening mammogram |
$85 |
$85 |
$182 |
$126 | |
| Scrotal ultrasound |
$822 |
$822 |
$822 |
$99 | |
| Sedimentation rate (ESR) test |
$64 |
$64 |
$64 |
$3 | |
| Semen analysis |
$142 |
$142 |
$115 |
$12 | |
| Septoplasty (deviated septum) |
$3,979 |
$3,979 |
$3,979 |
$613 | |
| Sex hormone binding globulin test |
$339 |
$339 |
$339 |
$22 | |
| Shingles vaccine |
$827 |
$827 |
$827 |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
$632 |
$632 |
$341 |
$114 | |
| Simple wound stitches |
$747 |
$747 |
$341 |
$127 | |
| Sinus surgery (endoscopic) |
$2,416 |
$2,416 |
$1,835 |
$224 | |
| Skin biopsy |
$539 |
$539 |
$539 |
$121 | |
| Skin biopsy (punch) |
$644 |
$644 |
$644 |
$121 | |
| Skin cancer lesion removal |
$889 |
$889 |
$889 |
$240 | |
| Skin tag removal |
$291 |
$291 |
$291 |
$92 | |
| Sleep study (polysomnography) |
$3,484 |
$3,484 |
$3,193 |
$691 | |
| Small bowel resection |
$6,580 |
$6,580 |
$6,580 |
$1,136 | |
| Soft tissue ultrasound |
$613 |
$613 |
$613 |
$64 | |
| Speech therapy |
$328 |
$328 |
$328 |
$76 | |
| Spinal cord stimulator |
$6,634 |
$6,634 |
$6,634 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$982 |
$982 |
$1,817 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$3,373 |
$3,373 |
$3,256 |
$5,803 | |
| Spirometry (lung function test) |
$37 |
$37 |
$138 |
$30 | |
| Spirometry with bronchodilator |
$123 |
$123 |
$299 |
$43 | |
| Spleen removal (splenectomy) |
$6,574 |
$6,574 |
$6,574 |
$1,036 | |
| Strep throat test |
$186 |
$186 |
$186 |
$17 | |
| Swallow study |
$420 |
$420 |
$420 |
$85 | |
| T3 thyroid test |
$229 |
$229 |
$229 |
$14 | |
| Tdap (tetanus) vaccine |
$229 |
$229 |
$215 |
— | |
| Testosterone test |
$383 |
$383 |
$383 |
$26 | |
| Thyroid removal (thyroidectomy) |
$6,961 |
$6,961 |
$5,574 |
$1,004 | |
| Thyroid test (TSH) |
$43 |
$43 |
$91 |
$17 | |
| Thyroid ultrasound |
$803 |
$803 |
$803 |
$109 | |
| Thyroid uptake scan |
$1,463 |
$1,463 |
$1,386 |
$145 | |
| Tonsillectomy |
$1,564 |
$1,564 |
$1,562 |
$252 | |
| Total IgE allergy test |
$250 |
$250 |
$250 |
$16 | |
| Total protein test |
$61 |
$61 |
$61 |
$4 | |
| Tracheostomy |
$2,166 |
$2,166 |
$2,166 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$1,018 |
$1,018 |
$2,236 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,018 |
$1,018 |
$2,236 |
$239 | |
| Transvaginal ultrasound |
$1,028 |
$1,028 |
$1,028 |
$118 | |
| Trigger point injection |
$594 |
$594 |
$683 |
$56 | |
| Trigger point injection (1-2 muscles) |
$315 |
$315 |
$530 |
$52 | |
| Triglycerides test |
$92 |
$92 |
$42 |
$6 | |
| Troponin (heart) test |
$177 |
$177 |
$177 |
$12 | |
| Turbinate reduction |
$2,370 |
$2,370 |
$2,370 |
$294 | |
| Turning a breech baby (version) |
$3,969 |
$3,969 |
$3,969 |
$94 | |
| Upper GI endoscopy (EGD) |
$1,564 |
$1,564 |
$1,481 |
$371 | |
| Upper GI series (barium) |
$1,217 |
$1,217 |
$1,139 |
$128 | |
| Uric acid (gout) test |
$77 |
$77 |
$77 |
$5 | |
| Urinalysis |
$74 |
$74 |
$52 |
$3 | |
| Urine microalbumin test |
$94 |
$94 |
$55 |
$5 | |
| Urine pregnancy test |
$55 |
$55 |
$55 |
$9 | |
| Vaccine administration |
$106 |
$106 |
$106 |
$19 | |
| Vaccine administration (each additional) |
$106 |
$106 |
$106 |
$16 | |
| Vasectomy |
$1,918 |
$1,918 |
$1,918 |
$347 | |
| Vitamin B12 test |
$261 |
$261 |
$261 |
$15 | |
| Vitamin D test |
$214 |
$214 |
$212 |
$30 | |
| Vocal cord injection |
$2,097 |
$2,097 |
$2,097 |
$211 | |
| Wound debridement |
$983 |
$983 |
$542 |
$186 | |
| X-ray of the abdomen |
$615 |
$615 |
$615 |
$36 | |
| X-ray of the ankle |
$451 |
$451 |
$451 |
$37 | |
| X-ray of the collarbone |
$409 |
$409 |
$409 |
$33 | |
| X-ray of the elbow |
$451 |
$451 |
$451 |
$33 | |
| X-ray of the facial bones |
$483 |
$483 |
$379 |
$39 | |
| X-ray of the foot |
$451 |
$451 |
$451 |
$34 | |
| X-ray of the forearm |
$415 |
$415 |
$415 |
$29 | |
| X-ray of the hand |
$445 |
$445 |
$445 |
$38 | |
| X-ray of the hip |
$394 |
$394 |
$394 |
$49 | |
| X-ray of the hip (3 views) |
$394 |
$394 |
$394 |
$49 | |
| X-ray of the knee |
$402 |
$402 |
$394 |
$42 | |
| X-ray of the knee (2 views) |
$394 |
$394 |
$366 |
$34 | |
| X-ray of the knee (3 views) |
$402 |
$402 |
$402 |
$42 | |
| X-ray of the knee (4+ views) |
$519 |
$519 |
$519 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$736 |
$736 |
$573 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$573 |
$573 |
$573 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$899 |
$899 |
$899 |
$53 | |
| X-ray of the lower leg |
$431 |
$431 |
$431 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$584 |
$584 |
$584 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$584 |
$584 |
$584 |
$33 | |
| X-ray of the neck (cervical spine) |
$690 |
$690 |
$493 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$493 |
$493 |
$493 |
$40 | |
| X-ray of the pelvis |
$631 |
$631 |
$525 |
$36 | |
| X-ray of the pelvis (1 view) |
$525 |
$525 |
$525 |
$28 | |
| X-ray of the ribs |
$521 |
$521 |
$495 |
$42 | |
| X-ray of the ribs (2 views) |
$462 |
$462 |
$462 |
$36 | |
| X-ray of the ribs (3 views) |
$521 |
$521 |
$521 |
$42 | |
| X-ray of the shoulder |
$506 |
$506 |
$506 |
$36 | |
| X-ray of the skull |
$590 |
$590 |
$523 |
$40 | |
| X-ray of the upper arm |
$496 |
$496 |
$496 |
$32 | |
| X-ray of the wrist |
$451 |
$451 |
$451 |
$43 | |
| Zinc blood test |
$178 |
$178 |
$178 |
$11 | |