| 3D mammogram (tomosynthesis) |
$110 |
$193 |
$87 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$2,324 |
$4,077 |
$1,247 |
$284 | |
| Abdominal ultrasound |
$615 |
$1,079 |
$352 |
$100 | |
| Abdominal ultrasound (complete) |
$413 |
$724 |
$181 |
$114 | |
| Abdominal ultrasound (limited) |
$817 |
$1,434 |
$352 |
$86 | |
| Abscess drainage (complex or multiple) |
$480 |
$842 |
$270 |
$220 | |
| Abscess drainage (simple) |
$242 |
$424 |
$270 |
$129 | |
| Abscess incision and drainage |
$332 |
$582 |
$270 |
$174 | |
| Albumin blood test |
$74 |
$129 |
$33 |
$5 | |
| Aldosterone test |
$226 |
$397 |
$97 |
$41 | |
| Alkaline phosphatase test |
$195 |
$342 |
$93 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$120 |
$211 |
$55 |
$17 | |
| ALT liver enzyme test |
$82 |
$144 |
$37 |
$5 | |
| Ammonia blood test |
$125 |
$220 |
$54 |
$15 | |
| Amylase test |
$105 |
$184 |
$18 |
$6 | |
| Anoscopy |
$562 |
$986 |
$319 |
$129 | |
| Antinuclear antibody (ANA) test |
$111 |
$195 |
$44 |
$12 | |
| Arterial blood gas (ABG) |
$201 |
$353 |
$60 |
$26 | |
| AST liver enzyme test |
$79 |
$138 |
$38 |
$5 | |
| Barium swallow study |
$653 |
$1,146 |
$287 |
$107 | |
| Bartholin cyst removal |
$813 |
$1,427 |
$357 |
$182 | |
| Basic metabolic panel |
$190 |
$334 |
$82 |
$8 | |
| Benign skin lesion removal |
$261 |
$458 |
$116 |
$171 | |
| Bilirubin blood test |
$79 |
$138 |
$35 |
$5 | |
| Bladder scope (cystoscopy) |
$215 |
$377 |
$95 |
$216 | |
| Blood clotting test (PT/INR) |
$84 |
$148 |
$11 |
$4 | |
| Blood crossmatch |
$113 |
$198 |
$50 |
— | |
| Blood glucose test |
$79 |
$138 |
$35 |
$5 | |
| Blood transfusion |
$902 |
$1,583 |
$396 |
$47 | |
| Blood type and screen |
$113 |
$198 |
$50 |
$10 | |
| Blood type test |
$67 |
$117 |
$30 |
$3 | |
| Blood type test (ABO group) |
$134 |
$235 |
$65 |
$3 | |
| Blood type test (Rh/D antigen) |
$60 |
$105 |
$29 |
$3 | |
| BNP (heart failure) test |
$271 |
$475 |
$116 |
$39 | |
| Bone density scan (DEXA) |
$456 |
$800 |
$204 |
$39 | |
| Bone marrow biopsy |
$1,066 |
$1,870 |
$702 |
$172 | |
| Bone scan (nuclear) |
$165 |
$290 |
$73 |
$259 | |
| Botox for migraine |
$456 |
$800 |
$248 |
$157 | |
| Breast biopsy |
$1,819 |
$3,192 |
$1,058 |
$478 | |
| Breast MRI |
$1,114 |
$1,955 |
$851 |
$216 | |
| Breast MRI without contrast |
$1,420 |
$2,491 |
$617 |
$216 | |
| Breast ultrasound |
$579 |
$1,015 |
$360 |
$92 | |
| Breast ultrasound (complete) |
$579 |
$1,015 |
$356 |
$100 | |
| Breast ultrasound (limited) |
$418 |
$734 |
$360 |
$84 | |
| Breathing tube insertion (intubation) |
$1,440 |
$2,527 |
$626 |
$133 | |
| Burn dressing and debridement (medium) |
$402 |
$705 |
$188 |
$166 | |
| Burn dressing and debridement (small) |
$238 |
$417 |
$156 |
$93 | |
| Burn treatment |
$363 |
$637 |
$188 |
$129 | |
| C-reactive protein (CRP) |
$118 |
$207 |
$52 |
$5 | |
| CA 19-9 tumor marker test |
$132 |
$231 |
$57 |
$21 | |
| CA-125 ovarian marker test |
$85 |
$149 |
$37 |
$21 | |
| Calcium blood test |
$83 |
$145 |
$39 |
$5 | |
| Cardiac ablation |
$34,440 |
$60,421 |
$15,344 |
$759 | |
| Cardiac catheterization |
$25,496 |
$44,729 |
$11,189 |
$1,049 | |
| Cardiac stress test |
$620 |
$1,088 |
$365 |
$39 | |
| Cardioversion |
$1,089 |
$1,910 |
$553 |
$155 | |
| Carotid artery ultrasound |
$1,071 |
$1,879 |
$570 |
$156 | |
| CEA tumor marker test |
$107 |
$188 |
$46 |
$19 | |
| Celiac disease test |
$267 |
$468 |
$58 |
$12 | |
| Central line placement |
$1,108 |
$1,944 |
$646 |
$238 | |
| Chemotherapy infusion |
$386 |
$678 |
$219 |
$81 | |
| Chemotherapy infusion (each additional) |
$185 |
$325 |
$114 |
$28 | |
| Chemotherapy infusion (first hour) |
$882 |
$1,547 |
$540 |
$133 | |
| Chest fluid drain (thoracentesis) |
$2,898 |
$5,084 |
$1,259 |
$311 | |
| Chest tube insertion |
$1,005 |
$1,763 |
$519 |
$143 | |
| Chest X-ray |
$364 |
$639 |
$253 |
$37 | |
| Chest X-ray (1 view) |
$265 |
$465 |
$125 |
$25 | |
| Chest X-ray (2 views) |
$465 |
$816 |
$243 |
$33 | |
| Chickenpox (varicella) vaccine |
$109 |
$191 |
$48 |
— | |
| CK-MB heart enzyme test |
$184 |
$322 |
$79 |
$12 | |
| Clotting time test (PTT) |
$78 |
$137 |
$28 |
$6 | |
| Colonoscopy |
$2,243 |
$3,935 |
$975 |
$480 | |
| Complete blood count (CBC) |
$93 |
$163 |
$41 |
$7 | |
| Complete blood count (CBC) (complete) |
$93 |
$163 |
$46 |
$8 | |
| Complex wound repair |
$805 |
$1,413 |
$502 |
$390 | |
| Comprehensive metabolic panel |
$149 |
$261 |
$64 |
$11 | |
| Contraceptive implant (Nexplanon) |
$640 |
$1,122 |
$278 |
$115 | |
| Copper blood test |
$102 |
$179 |
$44 |
$12 | |
| Coronary CT angiography |
$2,711 |
$4,756 |
$1,607 |
$326 | |
| Cortisol test |
$130 |
$228 |
$56 |
$16 | |
| COVID-19 PCR test |
$108 |
$190 |
$55 |
$51 | |
| CPAP titration study |
$328 |
$576 |
$284 |
$69 | |
| Creatine kinase (CK) test |
$85 |
$149 |
$40 |
$7 | |
| CT angiography of the chest |
$3,951 |
$6,931 |
$1,734 |
$281 | |
| CT angiography of the head |
$3,067 |
$5,381 |
$1,346 |
$274 | |
| CT scan of the abdomen |
$2,613 |
$4,584 |
$1,405 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,839 |
$4,981 |
$1,724 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,754 |
$6,586 |
$1,733 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,839 |
$4,981 |
$1,310 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,072 |
$3,635 |
$956 |
$183 | |
| CT scan of the abdomen with and without contrast |
$3,264 |
$5,727 |
$1,561 |
$259 | |
| CT scan of the abdomen with contrast |
$2,613 |
$4,584 |
$1,173 |
$230 | |
| CT scan of the abdomen without contrast |
$1,990 |
$3,492 |
$907 |
$136 | |
| CT scan of the arm |
$4,317 |
$7,574 |
$1,894 |
$199 | |
| CT scan of the arm with contrast |
$4,317 |
$7,574 |
$1,895 |
$199 | |
| CT scan of the arm without contrast |
$3,427 |
$6,013 |
$1,504 |
$161 | |
| CT scan of the chest |
$2,633 |
$4,620 |
$1,296 |
$167 | |
| CT scan of the chest with and without contrast |
$2,797 |
$4,907 |
$1,561 |
$196 | |
| CT scan of the chest with contrast |
$2,633 |
$4,620 |
$1,296 |
$167 | |
| CT scan of the chest without contrast |
$1,842 |
$3,231 |
$907 |
$133 | |
| CT scan of the head |
$1,762 |
$3,091 |
$850 |
$148 | |
| CT scan of the head with and without contrast |
$1,975 |
$3,465 |
$867 |
$173 | |
| CT scan of the head with contrast |
$1,762 |
$3,091 |
$773 |
$148 | |
| CT scan of the head without contrast |
$1,675 |
$2,938 |
$735 |
$107 | |
| CT scan of the leg |
$3,427 |
$6,013 |
$1,858 |
$166 | |
| CT scan of the leg with contrast |
$3,703 |
$6,496 |
$1,858 |
$166 | |
| CT scan of the leg without contrast |
$3,427 |
$6,013 |
$1,489 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,309 |
$4,051 |
$1,324 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$3,077 |
$5,398 |
$1,350 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,309 |
$4,051 |
$1,013 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$2,020 |
$3,544 |
$887 |
$130 | |
| CT scan of the neck |
$2,020 |
$3,544 |
$995 |
$183 | |
| CT scan of the neck (cervical spine) |
$2,077 |
$3,643 |
$1,089 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,530 |
$4,439 |
$1,110 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$2,077 |
$3,643 |
$911 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,675 |
$2,938 |
$735 |
$131 | |
| CT scan of the neck with and without contrast |
$2,022 |
$3,548 |
$996 |
$220 | |
| CT scan of the neck with contrast |
$2,020 |
$3,544 |
$995 |
$183 | |
| CT scan of the neck without contrast |
$1,614 |
$2,831 |
$795 |
$150 | |
| CT scan of the pelvis |
$2,356 |
$4,133 |
$1,239 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,839 |
$4,981 |
$1,246 |
$251 | |
| CT scan of the pelvis with contrast |
$2,356 |
$4,133 |
$1,034 |
$226 | |
| CT scan of the pelvis without contrast |
$1,817 |
$3,187 |
$820 |
$133 | |
| CT scan of the sinuses |
$1,940 |
$3,404 |
$1,181 |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,697 |
$4,732 |
$1,270 |
$184 | |
| CT scan of the sinuses with contrast |
$2,522 |
$4,424 |
$1,164 |
$152 | |
| CT scan of the sinuses without contrast |
$1,528 |
$2,681 |
$664 |
$128 | |
| D-dimer test |
$185 |
$325 |
$80 |
$10 | |
| Defibrillator (ICD) implant |
$64,460 |
$113,088 |
$28,012 |
$798 | |
| DHEA-sulfate test |
$165 |
$290 |
$71 |
$22 | |
| Diagnostic mammogram |
$641 |
$1,124 |
$345 |
$140 | |
| Drug screen (urine) |
$270 |
$474 |
$65 |
$17 | |
| Ear pressure test (tympanometry) |
$149 |
$261 |
$65 |
$16 | |
| Echocardiogram |
$959 |
$1,683 |
$632 |
$138 | |
| Echocardiogram with and without contrast |
$406 |
$713 |
$194 |
$101 | |
| EKG / ECG (tracing only) |
$222 |
$389 |
$148 |
$7 | |
| Electrocardiogram (EKG) |
$222 |
$389 |
$148 |
$8 | |
| Electrolyte panel |
$157 |
$275 |
$67 |
$7 | |
| Emergency department visit |
$544 |
$954 |
$452 |
$69 | |
| Emergency department visit (level 1) |
$295 |
$518 |
$128 |
$11 | |
| Emergency department visit (level 2) |
$409 |
$718 |
$178 |
$40 | |
| Emergency department visit (level 3) |
$544 |
$954 |
$236 |
$69 | |
| Emergency department visit (level 4) |
$1,052 |
$1,845 |
$457 |
$118 | |
| Emergency department visit (level 5) |
$1,323 |
$2,321 |
$575 |
$171 | |
| Epidural steroid injection |
$359 |
$629 |
$492 |
$275 | |
| ERCP (bile duct endoscopy) |
$7,181 |
$12,599 |
$3,152 |
$311 | |
| Esophageal variceal banding |
$3,798 |
$6,664 |
$1,667 |
$126 | |
| Estradiol (estrogen) test |
$347 |
$609 |
$121 |
$28 | |
| Facet joint injection (spine) |
$394 |
$692 |
$180 |
$99 | |
| Fallopian tube X-ray (HSG) |
$367 |
$644 |
$214 |
$164 | |
| Family therapy session |
$54 |
$95 |
$24 |
$110 | |
| Fecal occult blood (stool) test |
$116 |
$204 |
$50 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$116 |
$204 |
$42 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$182 |
$320 |
$78 |
$16 | |
| Feeding tube (PEG) placement |
$3,798 |
$6,664 |
$1,667 |
$178 | |
| Ferritin (iron) test |
$13 |
$23 |
$14 |
$14 | |
| Fibrinogen test |
$104 |
$183 |
$45 |
$10 | |
| Flexible sigmoidoscopy |
$444 |
$779 |
$662 |
$323 | |
| Flu test |
$69 |
$121 |
$30 |
$17 | |
| Flu vaccine |
$47 |
$82 |
$21 |
— | |
| Folate (folic acid) test |
$58 |
$102 |
$17 |
$15 | |
| Foreign body removal (skin) |
$628 |
$1,102 |
$338 |
$157 | |
| Free T4 thyroid test |
$149 |
$261 |
$32 |
$9 | |
| FSH hormone test |
$166 |
$292 |
$73 |
$19 | |
| Gallbladder scan (HIDA) |
$3,059 |
$5,366 |
$1,342 |
$334 | |
| Ganglion cyst removal |
$406 |
$713 |
$180 |
$321 | |
| GGT liver test |
$81 |
$142 |
$35 |
$7 | |
| Glucose tolerance test |
$138 |
$242 |
$59 |
$8 | |
| H. pylori test |
$569 |
$998 |
$245 |
$67 | |
| HDL cholesterol test |
$79 |
$138 |
$34 |
$8 | |
| Hearing test (audiometry) |
$223 |
$391 |
$98 |
$36 | |
| Hematocrit test |
$39 |
$69 |
$5 |
$2 | |
| Hemodialysis |
$3,259 |
$5,717 |
$1,430 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$119 |
$209 |
$52 |
$10 | |
| Hemorrhoid removal |
$421 |
$739 |
$187 |
$338 | |
| Hepatitis A vaccine |
$44 |
$78 |
$20 |
— | |
| Hepatitis B test |
$107 |
$188 |
$47 |
$10 | |
| Hepatitis B vaccine |
$55 |
$97 |
$25 |
— | |
| Hepatitis C test |
$99 |
$174 |
$46 |
$14 | |
| HIV test |
$63 |
$111 |
$36 |
$19 | |
| HIV test (antibody) |
$88 |
$155 |
$38 |
$14 | |
| HIV test (antigen/antibody combo) |
$37 |
$65 |
$24 |
$24 | |
| Holter heart monitor |
$1,176 |
$2,064 |
$516 |
$26 | |
| HPV vaccine |
$235 |
$412 |
$104 |
— | |
| Iron blood test |
$91 |
$160 |
$20 |
$6 | |
| IV infusion therapy |
$187 |
$329 |
$119 |
$44 | |
| IV infusion therapy (each additional) |
$75 |
$132 |
$68 |
$21 | |
| IV infusion therapy (initial) |
$482 |
$846 |
$258 |
$67 | |
| IVC filter placement |
$8,775 |
$15,395 |
$3,851 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$97 |
$171 |
$127 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$97 |
$171 |
$101 |
$57 | |
| Joint aspiration or injection (small joint) |
$443 |
$777 |
$192 |
$56 | |
| Kidney biopsy |
$939 |
$1,648 |
$660 |
$492 | |
| Kidney scan (nuclear) |
$1,583 |
$2,778 |
$695 |
$172 | |
| Kidney ultrasound |
$687 |
$1,206 |
$441 |
$84 | |
| Kidney ultrasound (limited) |
$350 |
$614 |
$154 |
$61 | |
| Knee joint injection |
$190 |
$333 |
$129 |
$69 | |
| Lactate test |
$117 |
$205 |
$27 |
$12 | |
| Laryngoscopy |
$400 |
$702 |
$176 |
$189 | |
| LDH test |
$79 |
$138 |
$15 |
$6 | |
| LDL cholesterol test |
$88 |
$154 |
$42 |
$11 | |
| Leg vein ultrasound (Doppler) |
$725 |
$1,272 |
$437 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$725 |
$1,272 |
$318 |
$116 | |
| LH hormone test |
$184 |
$322 |
$81 |
$19 | |
| Lipase test |
$107 |
$188 |
$46 |
$7 | |
| Lipid (cholesterol) panel |
$184 |
$322 |
$79 |
$13 | |
| Liver biopsy |
$1,533 |
$2,690 |
$660 |
$288 | |
| Liver function panel |
$168 |
$294 |
$72 |
$8 | |
| Lung function test (PFT) |
$248 |
$435 |
$139 |
$37 | |
| Lung scan (V/Q) |
$2,929 |
$5,139 |
$1,286 |
$291 | |
| Magnesium blood test |
$93 |
$163 |
$40 |
$7 | |
| MMR vaccine |
$180 |
$315 |
$80 |
— | |
| MRA of the brain |
$2,901 |
$5,090 |
$1,261 |
$226 | |
| MRA of the brain with contrast |
$2,901 |
$5,090 |
$1,273 |
$226 | |
| MRA of the brain without contrast |
$2,901 |
$5,090 |
$1,273 |
$328 | |
| MRA of the neck |
$2,901 |
$5,090 |
$1,273 |
$245 | |
| MRA of the neck with contrast |
$2,901 |
$5,090 |
$1,273 |
$245 | |
| MRA of the neck without contrast |
$2,901 |
$5,090 |
$1,273 |
$343 | |
| MRI of the abdomen |
$1,684 |
$2,955 |
$739 |
$300 | |
| MRI of the abdomen with contrast |
$1,684 |
$2,955 |
$739 |
$300 | |
| MRI of the abdomen without contrast |
$1,684 |
$2,955 |
$739 |
$194 | |
| MRI of the ankle |
$1,560 |
$2,738 |
$725 |
$261 | |
| MRI of the ankle with contrast |
$1,589 |
$2,788 |
$725 |
$261 | |
| MRI of the ankle without contrast |
$1,532 |
$2,687 |
$725 |
$222 | |
| MRI of the brain |
$1,437 |
$2,521 |
$746 |
$269 | |
| MRI of the brain with contrast |
$1,608 |
$2,821 |
$728 |
$269 | |
| MRI of the brain without contrast |
$1,734 |
$3,042 |
$761 |
$195 | |
| MRI of the chest |
$1,589 |
$2,788 |
$725 |
$371 | |
| MRI of the chest without contrast |
$1,048 |
$1,838 |
$464 |
$466 | |
| MRI of the knee |
$1,684 |
$2,955 |
$746 |
$315 | |
| MRI of the knee with contrast |
$1,684 |
$2,955 |
$739 |
$315 | |
| MRI of the knee without contrast |
$1,684 |
$2,955 |
$1,029 |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,734 |
$3,042 |
$979 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,684 |
$2,955 |
$739 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,734 |
$3,042 |
$761 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,684 |
$2,955 |
$979 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,276 |
$3,993 |
$999 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,684 |
$2,955 |
$739 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,684 |
$2,955 |
$739 |
$190 | |
| MRI of the neck (cervical spine) |
$1,734 |
$3,042 |
$979 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,276 |
$3,993 |
$999 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,684 |
$2,955 |
$739 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,734 |
$3,042 |
$761 |
$191 | |
| MRI of the pelvis |
$1,684 |
$2,955 |
$739 |
$268 | |
| MRI of the pelvis with contrast |
$1,684 |
$2,955 |
$739 |
$268 | |
| MRI of the pelvis without contrast |
$1,684 |
$2,955 |
$739 |
$227 | |
| MRI of the shoulder |
$1,684 |
$2,955 |
$739 |
$313 | |
| MRI of the shoulder with contrast |
$1,684 |
$2,955 |
$739 |
$313 | |
| MRI of the shoulder without contrast |
$1,684 |
$2,955 |
$739 |
$205 | |
| MRI of the wrist |
$1,589 |
$2,788 |
$725 |
$330 | |
| MRI of the wrist with contrast |
$1,589 |
$2,788 |
$725 |
$330 | |
| MRI of the wrist without contrast |
$1,589 |
$2,788 |
$725 |
$303 | |
| Nebulizer breathing treatment |
$170 |
$299 |
$74 |
$9 | |
| Nerve conduction study |
$442 |
$776 |
$194 |
$118 | |
| Nuchal translucency ultrasound |
$568 |
$997 |
$249 |
$116 | |
| Nuclear cardiac stress test |
$1,236 |
$2,169 |
$543 |
$428 | |
| Occupational therapy evaluation |
$220 |
$386 |
$106 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$246 |
$431 |
$109 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$194 |
$340 |
$86 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$220 |
$386 |
$98 |
$101 | |
| Office visit (established patient) |
$73 |
$128 |
$81 |
$115 | |
| Office visit (new patient) |
$134 |
$235 |
$120 |
$177 | |
| Office visit, established patient (level 3) |
$70 |
$122 |
$70 |
$95 | |
| Office visit, established patient (level 4) |
$84 |
$148 |
$110 |
$136 | |
| Office visit, new patient (level 3) |
$78 |
$136 |
$93 |
$118 | |
| Office visit, new patient (level 4) |
$119 |
$209 |
$142 |
$177 | |
| Office visit, new patient (level 5) |
$150 |
$263 |
$178 |
$237 | |
| Pap smear (cervical screening) |
$58 |
$101 |
$27 |
$20 | |
| Parathyroid hormone (PTH) test |
$193 |
$338 |
$84 |
$41 | |
| Pelvic ultrasound |
$428 |
$750 |
$199 |
$78 | |
| Pelvic ultrasound (complete) |
$817 |
$1,434 |
$359 |
$105 | |
| Pelvic ultrasound (limited) |
$273 |
$479 |
$184 |
$51 | |
| PET scan |
$2,728 |
$4,786 |
$1,209 |
— | |
| Phosphorus blood test |
$79 |
$138 |
$34 |
$5 | |
| Physical therapy evaluation |
$250 |
$439 |
$140 |
$98 | |
| Physical therapy evaluation (high complexity) |
$325 |
$570 |
$141 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$287 |
$503 |
$125 |
$98 | |
| Platelet count |
$69 |
$121 |
$22 |
$4 | |
| Pneumonia vaccine |
$125 |
$220 |
$56 |
— | |
| Pregnancy blood test (hCG) |
$149 |
$261 |
$64 |
$8 | |
| Pregnancy ultrasound |
$810 |
$1,421 |
$452 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$568 |
$997 |
$249 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$1,052 |
$1,845 |
$462 |
$136 | |
| Procalcitonin test |
$649 |
$1,138 |
$279 |
$27 | |
| Prolactin test |
$189 |
$331 |
$81 |
$19 | |
| Prostate test (PSA) |
$184 |
$322 |
$79 |
$18 | |
| Psychotherapy session |
$54 |
$95 |
$28 |
$140 | |
| Sacroiliac joint injection |
$588 |
$1,032 |
$329 |
$176 | |
| Scoliosis spine X-ray |
$583 |
$1,024 |
$302 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$702 |
$1,232 |
$308 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$465 |
$815 |
$204 |
$72 | |
| Screening mammogram |
$641 |
$1,124 |
$303 |
$126 | |
| Scrotal ultrasound |
$817 |
$1,434 |
$359 |
$99 | |
| Sedimentation rate (ESR) test |
$73 |
$128 |
$31 |
$3 | |
| Semen analysis |
$91 |
$160 |
$39 |
$12 | |
| Sex hormone binding globulin test |
$66 |
$115 |
$32 |
$22 | |
| Shingles vaccine |
$181 |
$318 |
$80 |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
$390 |
$684 |
$329 |
$114 | |
| Simple wound stitches |
$578 |
$1,014 |
$329 |
$127 | |
| Skin biopsy |
$305 |
$535 |
$151 |
$121 | |
| Skin biopsy (punch) |
$305 |
$535 |
$131 |
$121 | |
| Skin cancer lesion removal |
$444 |
$779 |
$193 |
$240 | |
| Skin tag removal |
$257 |
$451 |
$115 |
$92 | |
| Sleep study (polysomnography) |
$8,732 |
$15,319 |
$3,870 |
$691 | |
| Soft tissue ultrasound |
$595 |
$1,043 |
$258 |
$64 | |
| Speech therapy |
$389 |
$682 |
$169 |
$76 | |
| Spinal tap (lumbar puncture) |
$641 |
$1,125 |
$414 |
$165 | |
| Spirometry (lung function test) |
$173 |
$303 |
$76 |
$30 | |
| Spirometry with bronchodilator |
$323 |
$567 |
$142 |
$43 | |
| Strep throat test |
$112 |
$197 |
$48 |
$17 | |
| Stress echocardiogram |
$828 |
$1,453 |
$363 |
$209 | |
| Swallow study |
$568 |
$996 |
$247 |
$85 | |
| T3 thyroid test |
$184 |
$322 |
$79 |
$14 | |
| Tdap (tetanus) vaccine |
$75 |
$131 |
$33 |
— | |
| Testosterone test |
$210 |
$369 |
$92 |
$26 | |
| Thyroid test (TSH) |
$104 |
$183 |
$17 |
$17 | |
| Thyroid ultrasound |
$817 |
$1,434 |
$359 |
$109 | |
| Thyroid uptake scan |
$807 |
$1,416 |
$392 |
$145 | |
| Tilt table test |
$1,268 |
$2,224 |
$556 |
$168 | |
| Total IgE allergy test |
$102 |
$179 |
$44 |
$16 | |
| Total protein test |
$89 |
$157 |
$43 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$1,099 |
$1,928 |
$775 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,451 |
$2,545 |
$775 |
$239 | |
| Transvaginal ultrasound |
$330 |
$579 |
$150 |
$118 | |
| Trigger point injection |
$170 |
$299 |
$172 |
$56 | |
| Trigger point injection (1-2 muscles) |
$388 |
$680 |
$260 |
$52 | |
| Triglycerides test |
$79 |
$138 |
$36 |
$6 | |
| Troponin (heart) test |
$160 |
$281 |
$71 |
$12 | |
| Upper GI endoscopy (EGD) |
$1,892 |
$3,320 |
$831 |
$371 | |
| Upper GI series (barium) |
$1,118 |
$1,961 |
$807 |
$128 | |
| Uric acid (gout) test |
$89 |
$157 |
$43 |
$5 | |
| Urinalysis |
$44 |
$77 |
$10 |
$3 | |
| Urine microalbumin test |
$146 |
$257 |
$64 |
$5 | |
| Urine pregnancy test |
$142 |
$249 |
$61 |
$9 | |
| Vaccine administration |
$52 |
$92 |
$42 |
$19 | |
| Vaccine administration (each additional) |
$43 |
$75 |
$26 |
$16 | |
| Varicose vein ablation |
$850 |
$1,492 |
$370 |
$1,018 | |
| Vitamin B12 test |
$68 |
$119 |
$15 |
$15 | |
| Vitamin D test |
$152 |
$267 |
$65 |
$30 | |
| Wart removal |
$491 |
$862 |
$319 |
$121 | |
| Wound debridement |
$544 |
$955 |
$257 |
$186 | |
| X-ray of the abdomen |
$616 |
$1,080 |
$268 |
$36 | |
| X-ray of the ankle |
$922 |
$1,618 |
$619 |
$37 | |
| X-ray of the collarbone |
$754 |
$1,323 |
$331 |
$33 | |
| X-ray of the elbow |
$922 |
$1,618 |
$619 |
$33 | |
| X-ray of the facial bones |
$473 |
$831 |
$290 |
$39 | |
| X-ray of the foot |
$861 |
$1,511 |
$619 |
$34 | |
| X-ray of the forearm |
$726 |
$1,273 |
$365 |
$29 | |
| X-ray of the hand |
$922 |
$1,618 |
$619 |
$38 | |
| X-ray of the hip |
$504 |
$885 |
$297 |
$49 | |
| X-ray of the hip (1 view) |
$364 |
$638 |
$160 |
$34 | |
| X-ray of the hip (3 views) |
$504 |
$885 |
$221 |
$49 | |
| X-ray of the hip (4 views) |
$962 |
$1,688 |
$422 |
$63 | |
| X-ray of the knee |
$459 |
$805 |
$418 |
$42 | |
| X-ray of the knee (2 views) |
$329 |
$578 |
$281 |
$34 | |
| X-ray of the knee (3 views) |
$434 |
$762 |
$596 |
$42 | |
| X-ray of the knee (4+ views) |
$728 |
$1,277 |
$418 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$609 |
$1,069 |
$294 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$536 |
$941 |
$235 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$682 |
$1,197 |
$299 |
$53 | |
| X-ray of the lower leg |
$754 |
$1,323 |
$619 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$568 |
$997 |
$260 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$536 |
$941 |
$235 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$600 |
$1,053 |
$263 |
$39 | |
| X-ray of the neck (cervical spine) |
$546 |
$958 |
$270 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$465 |
$815 |
$204 |
$40 | |
| X-ray of the pelvis |
$390 |
$684 |
$215 |
$36 | |
| X-ray of the pelvis (1 view) |
$280 |
$492 |
$123 |
$28 | |
| X-ray of the ribs |
$470 |
$824 |
$378 |
$42 | |
| X-ray of the ribs (2 views) |
$583 |
$1,024 |
$311 |
$36 | |
| X-ray of the ribs (3 views) |
$456 |
$801 |
$203 |
$42 | |
| X-ray of the shoulder |
$465 |
$815 |
$204 |
$36 | |
| X-ray of the skull |
$543 |
$953 |
$268 |
$40 | |
| X-ray of the upper arm |
$380 |
$666 |
$167 |
$32 | |
| X-ray of the wrist |
$922 |
$1,618 |
$619 |
$43 | |
| Zinc blood test |
$132 |
$232 |
$57 |
$11 | |