| 3D mammogram (tomosynthesis) |
$120 |
$184 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,307 |
$2,011 |
— |
$284 | |
| Abdominal ultrasound |
$339 |
$522 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$339 |
$522 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$342 |
$526 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$774 |
$1,191 |
— |
$220 | |
| Abscess drainage (simple) |
$346 |
$533 |
— |
$129 | |
| Abscess incision and drainage |
$470 |
$723 |
— |
$174 | |
| Achilles tendon repair |
$3,182 |
$4,895 |
— |
$624 | |
| ACL knee reconstruction |
$4,648 |
$7,151 |
— |
$889 | |
| Albumin blood test |
$40 |
$62 |
— |
$5 | |
| Aldosterone test |
$237 |
$365 |
— |
$41 | |
| Alkaline phosphatase test |
$47 |
$73 |
— |
$5 | |
| Allergy shots |
$89 |
$137 |
— |
$11 | |
| Alpha-fetoprotein (AFP) test |
$124 |
$190 |
— |
$17 | |
| ALT liver enzyme test |
$41 |
$63 |
— |
$5 | |
| Ammonia blood test |
$88 |
$135 |
— |
$15 | |
| Amylase test |
$60 |
$92 |
— |
$6 | |
| Anal fistula repair |
$2,199 |
$3,383 |
— |
$541 | |
| Ankle fracture repair |
$3,649 |
$5,614 |
— |
$608 | |
| Annual physical (established patient) |
$200 |
$307 |
— |
— | |
| Annual physical (new patient) |
$320 |
$492 |
— |
— | |
| Anoscopy |
$457 |
$704 |
— |
$129 | |
| Antinuclear antibody (ANA) test |
$68 |
$104 |
— |
$12 | |
| Aortic aneurysm repair (AAA) |
$2,898 |
$4,459 |
— |
$1,345 | |
| Aortic valve replacement |
$19,098 |
$29,382 |
— |
$1,603 | |
| Arterial blood gas (ABG) |
$148 |
$228 |
— |
$26 | |
| AST liver enzyme test |
$46 |
$71 |
— |
$5 | |
| Barium swallow study |
$354 |
$544 |
— |
$107 | |
| Bartholin cyst removal |
$544 |
$837 |
— |
$182 | |
| Basic metabolic panel |
$90 |
$138 |
— |
$8 | |
| Benign skin lesion removal |
$466 |
$717 |
— |
$171 | |
| Bilirubin blood test |
$46 |
$70 |
— |
$5 | |
| Bladder scope (cystoscopy) |
$951 |
$1,464 |
— |
$216 | |
| Bladder tumor removal (TURBT) |
$1,295 |
$1,993 |
— |
$236 | |
| Blood clotting test (PT/INR) |
$45 |
$69 |
— |
$4 | |
| Blood crossmatch |
$198 |
$304 |
— |
— | |
| Blood glucose test |
$42 |
$65 |
— |
$5 | |
| Blood transfusion |
$551 |
$847 |
— |
$47 | |
| Blood type and screen |
$92 |
$141 |
— |
$10 | |
| Blood type test |
$38 |
$59 |
— |
$3 | |
| Blood type test (ABO group) |
$38 |
$59 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$38 |
$59 |
— |
$3 | |
| BNP (heart failure) test |
$196 |
$302 |
— |
$39 | |
| Bone density scan (DEXA) |
$508 |
$782 |
— |
$39 | |
| Bone marrow biopsy |
$876 |
$1,348 |
— |
$172 | |
| Bone scan (nuclear) |
$999 |
$1,537 |
— |
$259 | |
| Botox for migraine |
$777 |
$1,196 |
— |
$157 | |
| Breast biopsy |
$3,702 |
$5,695 |
— |
$478 | |
| Breast MRI |
$3,113 |
$4,789 |
— |
$216 | |
| Breast MRI without contrast |
$1,843 |
$2,836 |
— |
$216 | |
| Breast ultrasound |
$419 |
$645 |
— |
$92 | |
| Breast ultrasound (complete) |
$493 |
$759 |
— |
$100 | |
| Breast ultrasound (limited) |
$309 |
$475 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$530 |
$816 |
— |
$133 | |
| Bronchoscopy |
$2,149 |
$3,306 |
— |
$303 | |
| Bunion surgery (bunionectomy) |
$4,204 |
$6,468 |
— |
$883 | |
| Burn dressing and debridement (medium) |
$452 |
$695 |
— |
$166 | |
| Burn dressing and debridement (small) |
$258 |
$398 |
— |
$93 | |
| Burn treatment |
$331 |
$509 |
— |
$129 | |
| C-reactive protein (CRP) |
$53 |
$82 |
— |
$5 | |
| CA 19-9 tumor marker test |
$144 |
$222 |
— |
$21 | |
| CA-125 ovarian marker test |
$154 |
$237 |
— |
$21 | |
| Calcium blood test |
$52 |
$80 |
— |
$5 | |
| Capsule endoscopy |
$3,037 |
$4,672 |
— |
$802 | |
| Cardiac ablation |
$15,048 |
$23,152 |
— |
$759 | |
| Cardiac catheterization |
$9,691 |
$14,910 |
— |
$1,049 | |
| Cardiac MRI |
$3,954 |
$6,083 |
— |
$322 | |
| Cardiac MRI without contrast |
$3,311 |
$5,094 |
— |
$280 | |
| Cardiac rehabilitation |
$202 |
$311 |
— |
$26 | |
| Cardiac stress test |
$454 |
$698 |
— |
$39 | |
| Cardioversion |
$853 |
$1,313 |
— |
$155 | |
| Carotid artery surgery |
$3,368 |
$5,181 |
— |
$1,026 | |
| Carotid artery ultrasound |
$276 |
$424 |
— |
$156 | |
| Carpal tunnel release |
$1,804 |
$2,776 |
— |
$483 | |
| Cataract surgery |
$4,446 |
$6,841 |
— |
$547 | |
| CEA tumor marker test |
$132 |
$203 |
— |
$19 | |
| Celiac disease test |
$88 |
$136 |
— |
$12 | |
| Central line placement |
$1,245 |
$1,916 |
— |
$238 | |
| Chalazion (eyelid cyst) removal |
$525 |
$808 |
— |
$131 | |
| Chemotherapy infusion |
$335 |
$516 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$108 |
$166 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$562 |
$865 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$2,373 |
$3,651 |
— |
$311 | |
| Chest tube insertion |
$1,202 |
$1,849 |
— |
$143 | |
| Chest X-ray |
$107 |
$164 |
— |
$37 | |
| Chest X-ray (1 view) |
$78 |
$120 |
— |
$25 | |
| Chest X-ray (2 views) |
$96 |
$147 |
— |
$33 | |
| Chickenpox (varicella) vaccine |
$164 |
$252 |
— |
— | |
| Circumcision |
$556 |
$855 |
— |
$167 | |
| CK-MB heart enzyme test |
$86 |
$132 |
— |
$12 | |
| Clotting time test (PTT) |
$63 |
$97 |
— |
$6 | |
| Colon resection (colectomy) |
$9,298 |
$14,305 |
— |
$1,238 | |
| Colonoscopy |
$2,030 |
$3,123 |
— |
$480 | |
| Colposcopy |
$453 |
$697 |
— |
$161 | |
| Complete blood count (CBC) |
$68 |
$105 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$77 |
$119 |
— |
$8 | |
| Complex wound repair |
$829 |
$1,276 |
— |
$390 | |
| Comprehensive eye exam |
$220 |
$338 |
— |
$138 | |
| Comprehensive metabolic panel |
$111 |
$170 |
— |
$11 | |
| Contraceptive implant (Nexplanon) |
$393 |
$605 |
— |
$115 | |
| Copper blood test |
$81 |
$124 |
— |
$12 | |
| Coronary CT angiography |
$3,506 |
$5,394 |
— |
$326 | |
| Cortisol test |
$131 |
$202 |
— |
$16 | |
| COVID-19 PCR test |
$175 |
$269 |
— |
$51 | |
| CPAP titration study |
$534 |
$822 |
— |
$69 | |
| Creatine kinase (CK) test |
$62 |
$95 |
— |
$7 | |
| CT angiography of the chest |
$1,401 |
$2,155 |
— |
$281 | |
| CT angiography of the head |
$1,691 |
$2,602 |
— |
$274 | |
| CT colonography (virtual colonoscopy) |
$8,276 |
$12,732 |
— |
$835 | |
| CT scan of the abdomen |
$852 |
$1,311 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$1,528 |
$2,352 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,086 |
$3,210 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$1,835 |
$2,824 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,487 |
$2,288 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,544 |
$2,375 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$1,384 |
$2,130 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$837 |
$1,288 |
— |
$136 | |
| CT scan of the arm |
$879 |
$1,353 |
— |
$199 | |
| CT scan of the arm with contrast |
$1,344 |
$2,068 |
— |
$199 | |
| CT scan of the arm without contrast |
$992 |
$1,526 |
— |
$161 | |
| CT scan of the chest |
$943 |
$1,452 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$1,357 |
$2,088 |
— |
$196 | |
| CT scan of the chest with contrast |
$1,103 |
$1,697 |
— |
$167 | |
| CT scan of the chest without contrast |
$896 |
$1,378 |
— |
$133 | |
| CT scan of the head |
$879 |
$1,352 |
— |
$148 | |
| CT scan of the head with and without contrast |
$1,129 |
$1,737 |
— |
$173 | |
| CT scan of the head with contrast |
$939 |
$1,445 |
— |
$148 | |
| CT scan of the head without contrast |
$756 |
$1,163 |
— |
$107 | |
| CT scan of the leg |
$1,155 |
$1,777 |
— |
$166 | |
| CT scan of the leg with contrast |
$1,314 |
$2,022 |
— |
$166 | |
| CT scan of the leg without contrast |
$1,007 |
$1,549 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,123 |
$1,728 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,614 |
$2,483 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,319 |
$2,029 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,038 |
$1,597 |
— |
$130 | |
| CT scan of the neck |
$1,014 |
$1,560 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$1,520 |
$2,339 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,723 |
$4,189 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,342 |
$2,064 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$966 |
$1,486 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$1,506 |
$2,318 |
— |
$220 | |
| CT scan of the neck with contrast |
$1,187 |
$1,826 |
— |
$183 | |
| CT scan of the neck without contrast |
$946 |
$1,456 |
— |
$150 | |
| CT scan of the pelvis |
$899 |
$1,384 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,601 |
$2,463 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$1,368 |
$2,105 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$753 |
$1,159 |
— |
$133 | |
| CT scan of the sinuses |
$915 |
$1,407 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,190 |
$1,831 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$998 |
$1,535 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$833 |
$1,281 |
— |
$128 | |
| D-dimer test |
$131 |
$202 |
— |
$10 | |
| Defibrillator (ICD) implant |
$5,298 |
$8,150 |
— |
$798 | |
| DHEA-sulfate test |
$144 |
$222 |
— |
$22 | |
| Diagnostic mammogram |
$286 |
$440 |
— |
$140 | |
| Dialysis fistula creation |
$7,177 |
$11,042 |
— |
$601 | |
| Dilation and curettage (D&C) |
$1,258 |
$1,936 |
— |
$298 | |
| Droopy eyelid repair (ptosis) |
$5,643 |
$8,681 |
— |
$745 | |
| Drug screen (urine) |
$185 |
$285 |
— |
$17 | |
| Ear tubes (myringotomy) |
$744 |
$1,145 |
— |
$174 | |
| Echocardiogram |
$584 |
$899 |
— |
$138 | |
| Echocardiogram with and without contrast |
$385 |
$593 |
— |
$101 | |
| Echocardiogram without contrast |
$201 |
$309 |
— |
$138 | |
| EEG (awake and asleep) |
$688 |
$1,059 |
— |
$482 | |
| EKG / ECG (tracing only) |
$124 |
$190 |
— |
$7 | |
| Electrocardiogram (EKG) |
$69 |
$106 |
— |
$8 | |
| Electroencephalogram (EEG) |
$637 |
$980 |
— |
$448 | |
| Electrolyte panel |
$101 |
$155 |
— |
$7 | |
| Electromyography (EMG) |
$618 |
$951 |
— |
$141 | |
| Emergency department visit |
$606 |
$933 |
— |
$69 | |
| Emergency department visit (level 1) |
$107 |
$165 |
— |
$11 | |
| Emergency department visit (level 2) |
$166 |
$255 |
— |
$40 | |
| Emergency department visit (level 3) |
$433 |
$666 |
— |
$69 | |
| Emergency department visit (level 4) |
$715 |
$1,100 |
— |
$118 | |
| Emergency department visit (level 5) |
$3,409 |
$5,245 |
— |
$171 | |
| Endometrial biopsy |
$355 |
$546 |
— |
$98 | |
| Epidural steroid injection |
$912 |
$1,403 |
— |
$275 | |
| ERCP (bile duct endoscopy) |
$3,270 |
$5,030 |
— |
$311 | |
| Esophageal dilation |
$908 |
$1,397 |
— |
$522 | |
| Esophageal variceal banding |
$1,417 |
$2,180 |
— |
$126 | |
| Estradiol (estrogen) test |
$168 |
$258 |
— |
$28 | |
| Eye refraction (glasses prescription) |
$42 |
$64 |
— |
— | |
| Eyelid surgery (blepharoplasty) |
$1,559 |
$2,399 |
— |
$552 | |
| Facet joint injection (spine) |
$817 |
$1,257 |
— |
$99 | |
| Fallopian tube X-ray (HSG) |
$406 |
$625 |
— |
$164 | |
| Family therapy session |
$243 |
$374 |
— |
$110 | |
| Fecal occult blood (stool) test |
$61 |
$94 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$26 |
$40 |
— |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$96 |
$147 |
— |
$16 | |
| Feeding tube (PEG) placement |
$2,040 |
$3,139 |
— |
$178 | |
| Femoral hernia repair |
$2,843 |
$4,374 |
— |
$584 | |
| Ferritin (iron) test |
$88 |
$135 |
— |
$14 | |
| Fibrinogen test |
$77 |
$118 |
— |
$10 | |
| Flexible sigmoidoscopy |
$880 |
$1,355 |
— |
$323 | |
| Flu test |
$74 |
$114 |
— |
$17 | |
| Flu vaccine |
$26 |
$40 |
— |
— | |
| Folate (folic acid) test |
$96 |
$148 |
— |
$15 | |
| Foreign body removal (skin) |
$389 |
$599 |
— |
$157 | |
| Free T4 thyroid test |
$69 |
$106 |
— |
$9 | |
| FSH hormone test |
$112 |
$173 |
— |
$19 | |
| Gallbladder removal (laparoscopic) |
$4,960 |
$7,631 |
— |
$658 | |
| Gallbladder scan (HIDA) |
$1,190 |
$1,832 |
— |
$334 | |
| Ganglion cyst removal |
$1,571 |
$2,417 |
— |
$321 | |
| GGT liver test |
$52 |
$80 |
— |
$7 | |
| Glucose tolerance test |
$58 |
$90 |
— |
$8 | |
| Group therapy session |
$29 |
$45 |
— |
$30 | |
| H. pylori test |
$271 |
$417 |
— |
$67 | |
| Hammertoe repair |
$2,360 |
$3,631 |
— |
$548 | |
| HDL cholesterol test |
$57 |
$87 |
— |
$8 | |
| Hematocrit test |
$38 |
$59 |
— |
$2 | |
| Hemodialysis |
$1,061 |
$1,633 |
— |
$75 | |
| Hemoglobin A1c (diabetes test) |
$67 |
$103 |
— |
$10 | |
| Hemorrhoid removal |
$1,847 |
$2,842 |
— |
$338 | |
| Hepatitis A vaccine |
$138 |
$213 |
— |
— | |
| Hepatitis B test |
$63 |
$97 |
— |
$10 | |
| Hepatitis B vaccine |
$213 |
$328 |
— |
— | |
| Hepatitis C test |
$112 |
$173 |
— |
$14 | |
| Hip fracture repair |
$5,810 |
$8,938 |
— |
$1,120 | |
| Hip replacement |
$7,485 |
$11,515 |
— |
$1,162 | |
| HIV test |
$112 |
$173 |
— |
$19 | |
| HIV test (antibody) |
$80 |
$123 |
— |
$14 | |
| HIV test (antigen/antibody combo) |
$144 |
$222 |
— |
$24 | |
| Holter heart monitor |
$470 |
$723 |
— |
$26 | |
| Home sleep apnea test |
$1,040 |
$1,600 |
— |
$123 | |
| HPV vaccine |
$142 |
$218 |
— |
— | |
| Hydrocele repair |
$2,148 |
$3,304 |
— |
$315 | |
| Hysterectomy |
$4,137 |
$6,364 |
— |
$933 | |
| Hysteroscopy |
$1,843 |
$2,835 |
— |
$1,270 | |
| Inguinal hernia repair |
$3,917 |
$6,026 |
— |
$538 | |
| Iron blood test |
$52 |
$80 |
— |
$6 | |
| IUD insertion |
$319 |
$491 |
— |
— | |
| IUD removal |
$290 |
$446 |
— |
$112 | |
| IV infusion therapy |
$195 |
$300 |
— |
$44 | |
| IV infusion therapy (each additional) |
$90 |
$139 |
— |
$21 | |
| IV infusion therapy (initial) |
$299 |
$460 |
— |
$67 | |
| IVC filter placement |
$13,348 |
$20,535 |
— |
$1,885 | |
| Joint aspiration (small/intermediate) |
$368 |
$566 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$345 |
$531 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$368 |
$566 |
— |
$56 | |
| Kidney biopsy |
$1,951 |
$3,002 |
— |
$492 | |
| Kidney scan (nuclear) |
$600 |
$923 |
— |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$9,105 |
$14,008 |
— |
$760 | |
| Kidney ultrasound |
$272 |
$419 |
— |
$84 | |
| Kidney ultrasound (limited) |
$243 |
$374 |
— |
$61 | |
| Knee arthroscopy |
$2,816 |
$4,333 |
— |
$524 | |
| Knee joint injection |
$439 |
$675 |
— |
$69 | |
| Lactate test |
$91 |
$140 |
— |
$12 | |
| Laminectomy (spine) |
$12,813 |
$19,713 |
— |
$1,157 | |
| Laryngoscopy |
$590 |
$908 |
— |
$189 | |
| LDH test |
$51 |
$78 |
— |
$6 | |
| LDL cholesterol test |
$98 |
$151 |
— |
$11 | |
| Leg artery angiogram |
$814 |
$1,252 |
— |
$149 | |
| Leg artery angioplasty |
$14,881 |
$22,894 |
— |
— | |
| Leg vein ultrasound (Doppler) |
$444 |
$683 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$444 |
$683 |
— |
$116 | |
| LH hormone test |
$112 |
$172 |
— |
$19 | |
| Lipase test |
$66 |
$101 |
— |
$7 | |
| Lipid (cholesterol) panel |
$104 |
$160 |
— |
$13 | |
| Liver biopsy |
$883 |
$1,358 |
— |
$288 | |
| Liver function panel |
$99 |
$152 |
— |
$8 | |
| Lumbar discectomy |
$6,638 |
$10,213 |
— |
$898 | |
| Lumpectomy (breast) |
$2,544 |
$3,914 |
— |
$750 | |
| Lung function test (PFT) |
$263 |
$405 |
— |
$37 | |
| Lung scan (V/Q) |
$1,099 |
$1,690 |
— |
$291 | |
| Magnesium blood test |
$52 |
$80 |
— |
$7 | |
| Mastectomy |
$4,299 |
$6,614 |
— |
$1,021 | |
| Meniscus repair (knee) |
$3,444 |
$5,298 |
— |
$714 | |
| MMR vaccine |
$268 |
$412 |
— |
— | |
| Mohs skin cancer surgery |
$996 |
$1,532 |
— |
$535 | |
| MRA of the brain |
$2,114 |
$3,253 |
— |
$226 | |
| MRA of the brain without contrast |
$2,787 |
$4,288 |
— |
$328 | |
| MRA of the neck |
$2,134 |
$3,283 |
— |
$245 | |
| MRA of the neck with contrast |
$2,123 |
$3,267 |
— |
$245 | |
| MRA of the neck without contrast |
$3,101 |
$4,770 |
— |
$343 | |
| MRI of the abdomen |
$1,928 |
$2,967 |
— |
$300 | |
| MRI of the abdomen with contrast |
$2,503 |
$3,850 |
— |
$300 | |
| MRI of the abdomen without contrast |
$1,795 |
$2,762 |
— |
$194 | |
| MRI of the ankle |
$1,878 |
$2,889 |
— |
$261 | |
| MRI of the ankle with contrast |
$2,256 |
$3,470 |
— |
$261 | |
| MRI of the ankle without contrast |
$1,738 |
$2,674 |
— |
$222 | |
| MRI of the brain |
$1,873 |
$2,882 |
— |
$269 | |
| MRI of the brain with contrast |
$2,678 |
$4,121 |
— |
$269 | |
| MRI of the brain without contrast |
$1,709 |
$2,629 |
— |
$195 | |
| MRI of the chest |
$3,048 |
$4,690 |
— |
$371 | |
| MRI of the chest without contrast |
$3,946 |
$6,071 |
— |
$466 | |
| MRI of the knee |
$1,645 |
$2,530 |
— |
$315 | |
| MRI of the knee with contrast |
$2,568 |
$3,950 |
— |
$315 | |
| MRI of the knee without contrast |
$1,537 |
$2,365 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,895 |
$2,915 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,246 |
$3,456 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,731 |
$2,663 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,029 |
$3,121 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,696 |
$4,147 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,252 |
$3,465 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,888 |
$2,904 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$2,159 |
$3,322 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,579 |
$3,967 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,558 |
$3,936 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,792 |
$2,758 |
— |
$191 | |
| MRI of the pelvis |
$1,944 |
$2,991 |
— |
$268 | |
| MRI of the pelvis with contrast |
$2,296 |
$3,533 |
— |
$268 | |
| MRI of the pelvis without contrast |
$1,768 |
$2,720 |
— |
$227 | |
| MRI of the shoulder |
$1,645 |
$2,532 |
— |
$313 | |
| MRI of the shoulder with contrast |
$2,531 |
$3,895 |
— |
$313 | |
| MRI of the shoulder without contrast |
$1,539 |
$2,367 |
— |
$205 | |
| MRI of the wrist |
$3,085 |
$4,746 |
— |
$330 | |
| MRI of the wrist with contrast |
$2,864 |
$4,406 |
— |
$330 | |
| MRI of the wrist without contrast |
$3,085 |
$4,746 |
— |
$303 | |
| Nebulizer breathing treatment |
$73 |
$113 |
— |
$9 | |
| Neck (cervical) spinal fusion |
$7,678 |
$11,813 |
— |
$1,410 | |
| Nerve conduction study |
$654 |
$1,006 |
— |
$118 | |
| Nuchal translucency ultrasound |
$279 |
$429 |
— |
$116 | |
| Nuclear cardiac stress test |
$1,801 |
$2,772 |
— |
$428 | |
| Occupational therapy evaluation |
$245 |
$377 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$280 |
$430 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$185 |
$284 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$245 |
$377 |
— |
$101 | |
| Office visit (established patient) |
$189 |
$292 |
— |
$115 | |
| Office visit (new patient) |
$334 |
$515 |
— |
$177 | |
| Office visit, established patient (level 3) |
$155 |
$238 |
— |
$95 | |
| Office visit, established patient (level 4) |
$230 |
$354 |
— |
$136 | |
| Office visit, new patient (level 3) |
$220 |
$339 |
— |
$118 | |
| Office visit, new patient (level 4) |
$334 |
$515 |
— |
$177 | |
| Office visit, new patient (level 5) |
$450 |
$693 |
— |
$237 | |
| Orthopedic hardware removal |
$3,452 |
$5,310 |
— |
$632 | |
| Ovary removal (oophorectomy) |
$2,582 |
$3,972 |
— |
$822 | |
| Pap smear (cervical screening) |
$148 |
$228 |
— |
$20 | |
| Parathyroid hormone (PTH) test |
$248 |
$381 |
— |
$41 | |
| Pelvic ultrasound |
$213 |
$328 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$213 |
$328 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$124 |
$190 |
— |
$51 | |
| PET scan |
$3,242 |
$4,987 |
— |
— | |
| Phosphorus blood test |
$40 |
$62 |
— |
$5 | |
| Physical therapy evaluation |
$220 |
$339 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$269 |
$414 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$220 |
$339 |
— |
$98 | |
| Pilonidal cyst removal |
$1,775 |
$2,731 |
— |
$541 | |
| Platelet count |
$33 |
$51 |
— |
$4 | |
| Pneumonia vaccine |
$172 |
$265 |
— |
— | |
| Pregnancy blood test (hCG) |
$78 |
$120 |
— |
$8 | |
| Pregnancy ultrasound |
$276 |
$425 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$280 |
$431 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$272 |
$419 |
— |
$136 | |
| Procalcitonin test |
$157 |
$242 |
— |
$27 | |
| Prolactin test |
$118 |
$181 |
— |
$19 | |
| Prostate biopsy |
$963 |
$1,482 |
— |
— | |
| Prostate surgery (TURP) |
$3,828 |
$5,889 |
— |
$526 | |
| Prostate test (PSA) |
$115 |
$177 |
— |
$18 | |
| Psychiatric evaluation |
$215 |
$330 |
— |
$188 | |
| Psychotherapy session |
$192 |
$295 |
— |
$140 | |
| Pulmonary rehabilitation |
$183 |
$282 |
— |
$87 | |
| Radiofrequency nerve ablation |
$2,002 |
$3,080 |
— |
$462 | |
| Retina scan (OCT) |
$46 |
$70 |
— |
$33 | |
| Retinal (fundus) photography |
$168 |
$259 |
— |
$37 | |
| Rheumatoid factor test |
$38 |
$58 |
— |
$6 | |
| Rotator cuff repair |
$4,061 |
$6,248 |
— |
$792 | |
| Routine eye exam |
$141 |
$217 |
— |
$88 | |
| RSV vaccine |
$567 |
$872 |
— |
— | |
| Sacroiliac joint injection |
$903 |
$1,389 |
— |
$176 | |
| Scoliosis spine X-ray |
$164 |
$253 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$164 |
$253 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$257 |
$396 |
— |
$72 | |
| Screening colonoscopy |
$1,670 |
$2,569 |
— |
$378 | |
| Screening mammogram |
$119 |
$183 |
— |
$126 | |
| Scrotal ultrasound |
$289 |
$444 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$40 |
$62 |
— |
$3 | |
| Semen analysis |
$137 |
$212 |
— |
$12 | |
| Sex hormone binding globulin test |
$137 |
$210 |
— |
$22 | |
| Shingles vaccine |
$506 |
$778 |
— |
— | |
| Shoulder arthroscopy |
$4,979 |
$7,660 |
— |
$962 | |
| Shoulder replacement |
$6,849 |
$10,537 |
— |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$389 |
$598 |
— |
$114 | |
| Simple wound stitches |
$389 |
$598 |
— |
$127 | |
| Skin biopsy |
$182 |
$280 |
— |
$121 | |
| Skin biopsy (punch) |
$249 |
$383 |
— |
$121 | |
| Skin cancer lesion removal |
$701 |
$1,079 |
— |
$240 | |
| Skin graft |
$3,248 |
$4,997 |
— |
$898 | |
| Skin lesion freezing (cryotherapy) |
$137 |
$212 |
— |
$36 | |
| Skin tag removal |
$170 |
$262 |
— |
$92 | |
| Sleep study (polysomnography) |
$3,729 |
$5,738 |
— |
$691 | |
| Small bowel resection |
$8,165 |
$12,562 |
— |
$1,136 | |
| Soft tissue ultrasound |
$194 |
$298 |
— |
$64 | |
| Speech therapy |
$248 |
$382 |
— |
$76 | |
| Spinal cord stimulator |
$4,092 |
$6,296 |
— |
$2,388 | |
| Spinal tap (lumbar puncture) |
$708 |
$1,089 |
— |
$165 | |
| Spine fracture repair (kyphoplasty) |
$11,700 |
$18,000 |
— |
$5,803 | |
| Spirometry (lung function test) |
$156 |
$240 |
— |
$30 | |
| Spirometry with bronchodilator |
$263 |
$405 |
— |
$43 | |
| Strep throat test |
$75 |
$115 |
— |
$17 | |
| Stress echocardiogram |
$1,490 |
$2,292 |
— |
$209 | |
| Swallow study |
$414 |
$637 |
— |
$85 | |
| T3 thyroid test |
$104 |
$160 |
— |
$14 | |
| Tdap (tetanus) vaccine |
$136 |
$209 |
— |
— | |
| Testicle removal (orchiectomy) |
$1,879 |
$2,890 |
— |
$306 | |
| Testosterone test |
$151 |
$232 |
— |
$26 | |
| Thyroid test (TSH) |
$109 |
$168 |
— |
$17 | |
| Thyroid ultrasound |
$246 |
$378 |
— |
$109 | |
| Thyroid uptake scan |
$334 |
$514 |
— |
$145 | |
| Tilt table test |
$783 |
$1,205 |
— |
$168 | |
| Total IgE allergy test |
$99 |
$152 |
— |
$16 | |
| Total protein test |
$60 |
$92 |
— |
$4 | |
| Transesophageal echocardiogram (TEE) |
$1,703 |
$2,620 |
— |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,703 |
$2,620 |
— |
$239 | |
| Transvaginal ultrasound |
$227 |
$349 |
— |
$118 | |
| Trigger finger release |
$2,526 |
$3,886 |
— |
$630 | |
| Trigger point injection |
$374 |
$575 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$350 |
$538 |
— |
$52 | |
| Triglycerides test |
$53 |
$81 |
— |
$6 | |
| Troponin (heart) test |
$96 |
$148 |
— |
$12 | |
| Turning a breech baby (version) |
$1,259 |
$1,937 |
— |
$94 | |
| Ulnar nerve surgery (elbow) |
$2,602 |
$4,003 |
— |
$575 | |
| Upper GI endoscopy (EGD) |
$1,403 |
$2,159 |
— |
$371 | |
| Upper GI series (barium) |
$728 |
$1,120 |
— |
$128 | |
| Ureteral stent placement |
$3,773 |
$5,805 |
— |
$373 | |
| Ureteroscopy (stone removal) |
$2,358 |
$3,628 |
— |
$365 | |
| Uric acid (gout) test |
$49 |
$76 |
— |
$5 | |
| Urinalysis |
$34 |
$53 |
— |
$3 | |
| Urine microalbumin test |
$41 |
$63 |
— |
$5 | |
| Urine pregnancy test |
$63 |
$97 |
— |
$9 | |
| Vaccine administration |
$38 |
$59 |
— |
$19 | |
| Vaccine administration (each additional) |
$31 |
$48 |
— |
$16 | |
| Varicose vein ablation |
$5,901 |
$9,078 |
— |
$1,018 | |
| Vasectomy |
$1,303 |
$2,004 |
— |
$347 | |
| Visual field test |
$127 |
$195 |
— |
$64 | |
| Vitamin B12 test |
$107 |
$165 |
— |
$15 | |
| Vitamin D test |
$173 |
$266 |
— |
$30 | |
| Wart removal |
$275 |
$423 |
— |
$121 | |
| Wound debridement |
$780 |
$1,201 |
— |
$186 | |
| Wrist fracture repair |
$3,750 |
$5,769 |
— |
$735 | |
| X-ray of the abdomen |
$105 |
$162 |
— |
$36 | |
| X-ray of the ankle |
$70 |
$107 |
— |
$37 | |
| X-ray of the collarbone |
$66 |
$101 |
— |
$33 | |
| X-ray of the elbow |
$93 |
$143 |
— |
$33 | |
| X-ray of the facial bones |
$82 |
$126 |
— |
$39 | |
| X-ray of the foot |
$70 |
$107 |
— |
$34 | |
| X-ray of the forearm |
$132 |
$203 |
— |
$29 | |
| X-ray of the hand |
$139 |
$215 |
— |
$38 | |
| X-ray of the hip |
$120 |
$184 |
— |
$49 | |
| X-ray of the hip (1 view) |
$132 |
$203 |
— |
$34 | |
| X-ray of the hip (3 views) |
$90 |
$139 |
— |
$49 | |
| X-ray of the hip (4 views) |
$236 |
$364 |
— |
$63 | |
| X-ray of the knee |
$88 |
$135 |
— |
$42 | |
| X-ray of the knee (2 views) |
$66 |
$101 |
— |
$34 | |
| X-ray of the knee (3 views) |
$73 |
$113 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$88 |
$135 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$107 |
$165 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$90 |
$139 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$211 |
$325 |
— |
$53 | |
| X-ray of the lower leg |
$66 |
$101 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$90 |
$139 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$90 |
$139 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$90 |
$139 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$111 |
$171 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$90 |
$139 |
— |
$40 | |
| X-ray of the pelvis |
$73 |
$113 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$66 |
$102 |
— |
$28 | |
| X-ray of the ribs |
$111 |
$170 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$96 |
$147 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$111 |
$170 |
— |
$42 | |
| X-ray of the shoulder |
$62 |
$95 |
— |
$36 | |
| X-ray of the skull |
$148 |
$227 |
— |
$40 | |
| X-ray of the upper arm |
$90 |
$139 |
— |
$32 | |
| X-ray of the wrist |
$99 |
$153 |
— |
$43 | |
| YAG laser capsulotomy (eye) |
$1,449 |
$2,229 |
— |
$335 | |
| Zinc blood test |
$101 |
$155 |
— |
$11 | |