| 3D mammogram (tomosynthesis) |
$106 |
$163 |
$59 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,385 |
$2,131 |
$925 |
$284 | |
| Abdominal ultrasound |
$386 |
$594 |
$116 |
$100 | |
| Abdominal ultrasound (complete) |
$749 |
$1,152 |
$153 |
$114 | |
| Abdominal ultrasound (limited) |
$386 |
$594 |
$113 |
$86 | |
| Abscess drainage (complex or multiple) |
$356 |
$547 |
$407 |
$220 | |
| Abscess drainage (simple) |
$244 |
$375 |
$204 |
$129 | |
| Abscess incision and drainage |
$335 |
$515 |
$245 |
$174 | |
| Achilles tendon repair |
$1,750 |
$2,692 |
$2,894 |
$624 | |
| ACL knee reconstruction |
$3,104 |
$4,776 |
$5,189 |
$889 | |
| Adenoid removal (adenoidectomy) |
$338 |
$520 |
$1,854 |
$204 | |
| Albumin blood test |
$88 |
$136 |
$5 |
$5 | |
| Aldosterone test |
$63 |
$97 |
$41 |
$41 | |
| Alkaline phosphatase test |
$119 |
$184 |
$5 |
$5 | |
| Allergy shots |
$21 |
$33 |
$36 |
$11 | |
| Allergy testing |
$14 |
$21 |
$21 |
$4 | |
| Alpha-fetoprotein (AFP) test |
$260 |
$401 |
$17 |
$17 | |
| ALT liver enzyme test |
$76 |
$117 |
$5 |
$5 | |
| Ammonia blood test |
$174 |
$268 |
$15 |
$15 | |
| Amniocentesis |
$367 |
$564 |
$604 |
$120 | |
| Amylase test |
$21 |
$32 |
$6 |
$6 | |
| Anal fistula repair |
$836 |
$1,287 |
$2,085 |
$541 | |
| Ankle fracture repair |
$1,553 |
$2,389 |
$4,930 |
$608 | |
| Annual physical (established patient) |
$168 |
$258 |
$214 |
— | |
| Annual physical (new patient) |
$190 |
$292 |
$241 |
— | |
| Anoscopy |
$255 |
$392 |
$146 |
$129 | |
| Antinuclear antibody (ANA) test |
$46 |
$70 |
$12 |
$12 | |
| Aortic aneurysm repair (AAA) |
$3,229 |
$4,968 |
$4,968 |
$1,345 | |
| Aortic valve replacement |
$4,896 |
$7,532 |
$7,532 |
$1,603 | |
| Arterial blood gas (ABG) |
$281 |
$433 |
$29 |
$26 | |
| AST liver enzyme test |
$77 |
$119 |
$5 |
$5 | |
| Barium swallow study |
$879 |
$1,353 |
$187 |
$107 | |
| Bartholin cyst removal |
$429 |
$660 |
$203 |
$182 | |
| Basic metabolic panel |
$142 |
$218 |
$8 |
$8 | |
| Benign skin lesion removal |
$265 |
$408 |
$408 |
$171 | |
| Bilirubin blood test |
$47 |
$72 |
$5 |
$5 | |
| Bladder scope (cystoscopy) |
$344 |
$529 |
$697 |
$216 | |
| Bladder tumor removal (TURBT) |
$1,262 |
$1,941 |
$1,941 |
$236 | |
| Blood clotting test (PT/INR) |
$33 |
$52 |
$4 |
$4 | |
| Blood crossmatch |
$332 |
$510 |
$174 |
— | |
| Blood glucose test |
$64 |
$99 |
$5 |
$5 | |
| Blood transfusion |
$1,188 |
$1,828 |
$443 |
$47 | |
| Blood type and screen |
$213 |
$327 |
$55 |
$10 | |
| Blood type test |
$213 |
$327 |
$130 |
$3 | |
| Blood type test (ABO group) |
$213 |
$327 |
$130 |
$3 | |
| Blood type test (Rh/D antigen) |
$213 |
$327 |
$41 |
$3 | |
| BNP (heart failure) test |
$111 |
$170 |
$39 |
$39 | |
| Bone density scan (DEXA) |
$449 |
$691 |
$112 |
$39 | |
| Bone marrow biopsy |
$979 |
$1,507 |
$1,459 |
$172 | |
| Bone scan (nuclear) |
$2,085 |
$3,207 |
$421 |
$259 | |
| Botox for migraine |
$270 |
$416 |
$324 |
$157 | |
| Brain shunt (VP shunt) |
$4,188 |
$6,443 |
$6,443 |
$1,023 | |
| Breast biopsy |
$2,138 |
$3,289 |
$1,654 |
$478 | |
| Breast MRI |
$996 |
$1,533 |
$402 |
$216 | |
| Breast MRI without contrast |
$1,121 |
$1,724 |
$250 |
$216 | |
| Breast reconstruction |
$2,172 |
$3,342 |
$3,395 |
$1,227 | |
| Breast reduction |
$5,513 |
$8,482 |
$6,651 |
$980 | |
| Breast ultrasound |
$467 |
$718 |
$112 |
$92 | |
| Breast ultrasound (complete) |
$467 |
$718 |
$113 |
$100 | |
| Breast ultrasound (limited) |
$467 |
$718 |
$101 |
$84 | |
| Breathing tube insertion (intubation) |
$745 |
$1,146 |
$507 |
$133 | |
| Bronchoscopy |
$657 |
$1,011 |
$1,524 |
$303 | |
| Bunion surgery (bunionectomy) |
$1,799 |
$2,767 |
$4,712 |
$883 | |
| Burn dressing and debridement (medium) |
$331 |
$509 |
$204 |
$166 | |
| Burn dressing and debridement (small) |
$239 |
$367 |
$204 |
$93 | |
| Burn treatment |
$256 |
$395 |
$204 |
$129 | |
| C-reactive protein (CRP) |
$25 |
$38 |
$9 |
$5 | |
| CA 19-9 tumor marker test |
$277 |
$426 |
$21 |
$21 | |
| CA-125 ovarian marker test |
$403 |
$620 |
$21 |
$21 | |
| Calcium blood test |
$61 |
$94 |
$5 |
$5 | |
| Cardiac ablation |
$17,839 |
$27,445 |
$24,225 |
$759 | |
| Cardiac catheterization |
$13,167 |
$20,258 |
$3,324 |
$1,049 | |
| Cardiac event monitor |
$458 |
$705 |
$486 |
$170 | |
| Cardiac rehabilitation |
$227 |
$350 |
$135 |
$26 | |
| Cardiac stress test |
$631 |
$970 |
$320 |
$39 | |
| Cardioversion |
$1,511 |
$2,324 |
$664 |
$155 | |
| Carotid artery surgery |
$3,158 |
$4,859 |
$4,859 |
$1,026 | |
| Carotid artery ultrasound |
$610 |
$939 |
$250 |
$156 | |
| Carpal tunnel release |
$970 |
$1,492 |
$1,492 |
$483 | |
| CEA tumor marker test |
$184 |
$283 |
$19 |
$19 | |
| Celiac disease test |
$129 |
$199 |
$12 |
$12 | |
| Central line placement |
$2,872 |
$4,419 |
$3,251 |
$238 | |
| Cervical cerclage |
$940 |
$1,446 |
$1,760 |
$137 | |
| Cervical LEEP procedure |
$720 |
$1,107 |
$2,108 |
$325 | |
| Chemotherapy infusion |
$306 |
$471 |
$309 |
$81 | |
| Chemotherapy infusion (each additional) |
$149 |
$229 |
$126 |
$28 | |
| Chemotherapy infusion (first hour) |
$796 |
$1,224 |
$345 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,294 |
$1,991 |
$675 |
$311 | |
| Chest tube insertion |
$807 |
$1,242 |
$1,634 |
$143 | |
| Chest X-ray |
$806 |
$1,240 |
$94 |
$37 | |
| Chest X-ray (1 view) |
$806 |
$1,240 |
$93 |
$25 | |
| Chest X-ray (2 views) |
$672 |
$1,034 |
$93 |
$33 | |
| Chickenpox (varicella) vaccine |
$124 |
$191 |
$101 |
— | |
| Circumcision |
$481 |
$741 |
$1,822 |
$167 | |
| CK-MB heart enzyme test |
$135 |
$207 |
$12 |
$12 | |
| Clotting time test (PTT) |
$69 |
$106 |
$6 |
$6 | |
| Colon resection (colectomy) |
$2,703 |
$4,159 |
$3,724 |
$1,238 | |
| Colonoscopy |
$1,373 |
$2,113 |
$1,137 |
$480 | |
| Colostomy |
$1,988 |
$3,058 |
$3,058 |
$1,122 | |
| Colposcopy |
$209 |
$322 |
$327 |
$161 | |
| Complete blood count (CBC) |
$109 |
$168 |
$8 |
$7 | |
| Complete blood count (CBC) (complete) |
$119 |
$183 |
$8 |
$8 | |
| Complex wound repair |
$676 |
$1,040 |
$641 |
$390 | |
| Comprehensive eye exam |
$120 |
$185 |
$135 |
$138 | |
| Comprehensive metabolic panel |
$235 |
$361 |
$11 |
$11 | |
| Continuous glucose monitor setup |
$50 |
$77 |
$63 |
$35 | |
| Contraceptive implant (Nexplanon) |
$412 |
$634 |
$406 |
$115 | |
| Copper blood test |
$213 |
$328 |
$12 |
$12 | |
| Coronary CT angiography |
$1,386 |
$2,132 |
$349 |
$326 | |
| Cortisol test |
$150 |
$231 |
$16 |
$16 | |
| COVID-19 PCR test |
$157 |
$242 |
$51 |
$51 | |
| CPAP titration study |
$568 |
$874 |
$218 |
$69 | |
| Craniotomy (brain surgery) |
$6,222 |
$9,572 |
$9,572 |
$2,161 | |
| Creatine kinase (CK) test |
$88 |
$136 |
$7 |
$7 | |
| CT angiography of the chest |
$5,667 |
$8,718 |
$349 |
$281 | |
| CT angiography of the head |
$3,383 |
$5,204 |
$349 |
$274 | |
| CT scan of the abdomen |
$3,150 |
$4,846 |
$285 |
$230 | |
| CT scan of the abdomen and pelvis |
$5,584 |
$8,590 |
$392 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$5,980 |
$9,200 |
$392 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$5,584 |
$8,590 |
$392 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$3,869 |
$5,953 |
$288 |
$183 | |
| CT scan of the abdomen with and without contrast |
$3,740 |
$5,754 |
$288 |
$259 | |
| CT scan of the abdomen with contrast |
$3,150 |
$4,846 |
$288 |
$230 | |
| CT scan of the abdomen without contrast |
$2,194 |
$3,375 |
$113 |
$136 | |
| CT scan of the arm |
$3,233 |
$4,974 |
$381 |
$199 | |
| CT scan of the arm with contrast |
$3,233 |
$4,974 |
$392 |
$199 | |
| CT scan of the arm without contrast |
$2,720 |
$4,185 |
$113 |
$161 | |
| CT scan of the chest |
$3,227 |
$4,964 |
$285 |
$167 | |
| CT scan of the chest with and without contrast |
$4,087 |
$6,287 |
$288 |
$196 | |
| CT scan of the chest with contrast |
$3,227 |
$4,964 |
$288 |
$167 | |
| CT scan of the chest without contrast |
$2,306 |
$3,547 |
$113 |
$133 | |
| CT scan of the head |
$2,482 |
$3,819 |
$285 |
$148 | |
| CT scan of the head with and without contrast |
$2,840 |
$4,369 |
$288 |
$173 | |
| CT scan of the head with contrast |
$2,482 |
$3,819 |
$288 |
$148 | |
| CT scan of the head without contrast |
$1,832 |
$2,818 |
$285 |
$107 | |
| CT scan of the leg |
$3,356 |
$5,163 |
$285 |
$166 | |
| CT scan of the leg with contrast |
$3,934 |
$6,052 |
$288 |
$166 | |
| CT scan of the leg without contrast |
$2,338 |
$3,597 |
$113 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,779 |
$4,276 |
$381 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,779 |
$4,276 |
$288 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$3,341 |
$5,140 |
$392 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$2,339 |
$3,599 |
$113 |
$130 | |
| CT scan of the neck |
$2,739 |
$4,214 |
$285 |
$183 | |
| CT scan of the neck (cervical spine) |
$2,639 |
$4,060 |
$381 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,675 |
$4,116 |
$288 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$2,639 |
$4,060 |
$392 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$2,066 |
$3,178 |
$113 |
$131 | |
| CT scan of the neck with and without contrast |
$2,919 |
$4,490 |
$288 |
$220 | |
| CT scan of the neck with contrast |
$2,739 |
$4,214 |
$288 |
$183 | |
| CT scan of the neck without contrast |
$2,109 |
$3,245 |
$113 |
$150 | |
| CT scan of the pelvis |
$2,789 |
$4,291 |
$285 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,789 |
$4,291 |
$288 |
$251 | |
| CT scan of the pelvis with contrast |
$3,097 |
$4,765 |
$288 |
$226 | |
| CT scan of the pelvis without contrast |
$2,205 |
$3,393 |
$113 |
$133 | |
| CT scan of the sinuses |
$1,775 |
$2,731 |
$285 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,884 |
$2,898 |
$288 |
$184 | |
| CT scan of the sinuses with contrast |
$1,775 |
$2,731 |
$288 |
$152 | |
| CT scan of the sinuses without contrast |
$739 |
$1,137 |
$113 |
$128 | |
| D-dimer test |
$99 |
$153 |
$10 |
$10 | |
| Developmental screening (child) |
$13 |
$20 |
$20 |
— | |
| DHEA-sulfate test |
$296 |
$455 |
$22 |
$22 | |
| Diagnostic mammogram |
$409 |
$629 |
$116 |
$140 | |
| Dialysis fistula creation |
$1,301 |
$2,001 |
$3,242 |
$601 | |
| Dilation and curettage (D&C) |
$810 |
$1,246 |
$2,108 |
$298 | |
| Droopy eyelid repair (ptosis) |
$835 |
$1,284 |
$1,536 |
$745 | |
| Drug screen (urine) |
$220 |
$338 |
$62 |
$17 | |
| Ear pressure test (tympanometry) |
$45 |
$69 |
$41 |
$16 | |
| Ear tubes (myringotomy) |
$256 |
$395 |
$561 |
$174 | |
| Eardrum repair (tympanoplasty) |
$1,262 |
$1,942 |
$3,237 |
$799 | |
| Echocardiogram |
$516 |
$794 |
$431 |
$138 | |
| Echocardiogram with and without contrast |
$321 |
$494 |
$250 |
$101 | |
| EEG (awake and asleep) |
$424 |
$653 |
$320 |
$482 | |
| EKG / ECG (tracing only) |
$331 |
$509 |
$62 |
$7 | |
| Elbow replacement |
$4,430 |
$6,816 |
$8,568 |
$1,301 | |
| Electrocardiogram (EKG) |
$331 |
$509 |
$62 |
$8 | |
| Electroencephalogram (EEG) |
$647 |
$995 |
$320 |
$448 | |
| Electrolyte panel |
$61 |
$94 |
$8 |
$7 | |
| Electromyography (EMG) |
$226 |
$347 |
$130 |
$141 | |
| Emergency department visit |
$554 |
$852 |
$321 |
$69 | |
| Emergency department visit (level 1) |
$185 |
$284 |
$91 |
$11 | |
| Emergency department visit (level 2) |
$315 |
$484 |
$167 |
$40 | |
| Emergency department visit (level 3) |
$554 |
$852 |
$291 |
$69 | |
| Emergency department visit (level 4) |
$955 |
$1,469 |
$452 |
$118 | |
| Emergency department visit (level 5) |
$2,547 |
$3,918 |
$658 |
$171 | |
| Endometrial biopsy |
$211 |
$325 |
$254 |
$98 | |
| Epidural steroid injection |
$332 |
$511 |
$705 |
$275 | |
| ERCP (bile duct endoscopy) |
$721 |
$1,109 |
$3,906 |
$311 | |
| Esophageal dilation |
$163 |
$251 |
$624 |
$522 | |
| Esophageal variceal banding |
$2,147 |
$3,303 |
$1,941 |
$126 | |
| Estradiol (estrogen) test |
$391 |
$602 |
$28 |
$28 | |
| Eyelid surgery (blepharoplasty) |
$742 |
$1,141 |
$1,641 |
$552 | |
| Facet joint injection (spine) |
$277 |
$426 |
$571 |
$99 | |
| Fallopian tube X-ray (HSG) |
$418 |
$644 |
$273 |
$164 | |
| Family therapy session |
$148 |
$228 |
$163 |
$110 | |
| Fecal occult blood (stool) test |
$34 |
$52 |
$8 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$34 |
$52 |
$4 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$70 |
$107 |
$16 |
$16 | |
| Feeding tube (PEG) placement |
$2,205 |
$3,393 |
$1,941 |
$178 | |
| Femoral hernia repair |
$1,208 |
$1,859 |
$3,250 |
$584 | |
| Ferritin (iron) test |
$15 |
$23 |
$14 |
$14 | |
| Fibrinogen test |
$102 |
$157 |
$10 |
$10 | |
| Fibroid removal (myomectomy) |
$2,725 |
$4,193 |
$4,193 |
$914 | |
| Flexible sigmoidoscopy |
$429 |
$660 |
$932 |
$323 | |
| Flu test |
$69 |
$106 |
$17 |
$17 | |
| Folate (folic acid) test |
$97 |
$149 |
$15 |
$15 | |
| Foreign body removal (skin) |
$475 |
$731 |
$407 |
$157 | |
| Free T4 thyroid test |
$88 |
$136 |
$11 |
$9 | |
| FSH hormone test |
$234 |
$361 |
$19 |
$19 | |
| Gallbladder removal (laparoscopic) |
$2,405 |
$3,700 |
$3,792 |
$658 | |
| Gallbladder scan (HIDA) |
$3,593 |
$5,528 |
$551 |
$334 | |
| Ganglion cyst removal |
$801 |
$1,233 |
$1,233 |
$321 | |
| GGT liver test |
$82 |
$126 |
$7 |
$7 | |
| Glucose tolerance test |
$164 |
$253 |
$13 |
$8 | |
| H. pylori test |
$294 |
$452 |
$99 |
$67 | |
| Hammertoe repair |
$950 |
$1,461 |
$2,002 |
$548 | |
| HDL cholesterol test |
$103 |
$158 |
$8 |
$8 | |
| Hearing test (audiometry) |
$121 |
$186 |
$159 |
$36 | |
| Hematocrit test |
$23 |
$35 |
$5 |
$2 | |
| Hemodialysis |
$144 |
$221 |
$710 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$142 |
$218 |
$10 |
$10 | |
| Hemorrhoid removal |
$330 |
$508 |
$932 |
$338 | |
| Hepatitis A vaccine |
$46 |
$71 |
$32 |
— | |
| Hepatitis B test |
$110 |
$169 |
$10 |
$10 | |
| Hepatitis B vaccine |
$57 |
$88 |
$33 |
— | |
| Hepatitis C test |
$114 |
$175 |
$14 |
$14 | |
| Hip fracture repair |
$3,161 |
$4,864 |
$4,529 |
$1,120 | |
| Hip replacement |
$4,544 |
$6,991 |
$8,568 |
$1,162 | |
| HIV test |
$72 |
$111 |
$24 |
$19 | |
| HIV test (antibody) |
$104 |
$160 |
$14 |
$14 | |
| HIV test (antigen/antibody combo) |
$40 |
$61 |
$24 |
$24 | |
| Holter heart monitor |
$84 |
$129 |
$87 |
$26 | |
| HPV vaccine |
$257 |
$396 |
$149 |
— | |
| Hydrocele repair |
$588 |
$904 |
$1,822 |
$315 | |
| Hysterectomy |
$2,226 |
$3,425 |
$5,381 |
$933 | |
| Hysteroscopy |
$512 |
$788 |
$2,108 |
$1,270 | |
| Inguinal hernia repair |
$1,249 |
$1,921 |
$3,250 |
$538 | |
| Iron blood test |
$88 |
$136 |
$6 |
$6 | |
| IUD insertion |
$205 |
$315 |
$197 |
— | |
| IUD removal |
$132 |
$203 |
$203 |
$112 | |
| IV infusion therapy |
$114 |
$176 |
$219 |
$44 | |
| IV infusion therapy (each additional) |
$103 |
$158 |
$72 |
$21 | |
| IV infusion therapy (initial) |
$610 |
$939 |
$273 |
$67 | |
| IVC filter placement |
$4,749 |
$7,306 |
$5,605 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$681 |
$1,048 |
$302 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$681 |
$1,048 |
$302 |
$57 | |
| Joint aspiration or injection (small joint) |
$412 |
$634 |
$302 |
$56 | |
| Kidney biopsy |
$1,611 |
$2,478 |
$1,654 |
$492 | |
| Kidney scan (nuclear) |
$2,485 |
$3,823 |
$551 |
$172 | |
| Kidney ultrasound |
$738 |
$1,136 |
$151 |
$84 | |
| Kidney ultrasound (limited) |
$587 |
$903 |
$113 |
$61 | |
| Knee arthroscopy |
$1,662 |
$2,557 |
$2,608 |
$524 | |
| Knee joint injection |
$331 |
$509 |
$302 |
$69 | |
| Lactate test |
$129 |
$198 |
$12 |
$12 | |
| Laminectomy (spine) |
$4,739 |
$7,291 |
$7,005 |
$1,157 | |
| Laryngoscopy |
$255 |
$393 |
$203 |
$189 | |
| LDH test |
$72 |
$111 |
$6 |
$6 | |
| LDL cholesterol test |
$127 |
$196 |
$11 |
$11 | |
| Leg artery angiogram |
$7,139 |
$10,983 |
$3,251 |
$149 | |
| Leg vein ultrasound (Doppler) |
$950 |
$1,461 |
$250 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$950 |
$1,461 |
$112 |
$116 | |
| LH hormone test |
$247 |
$380 |
$19 |
$19 | |
| Lipase test |
$92 |
$142 |
$7 |
$7 | |
| Lipid (cholesterol) panel |
$223 |
$343 |
$13 |
$13 | |
| Liver biopsy |
$2,588 |
$3,982 |
$1,654 |
$288 | |
| Liver function panel |
$77 |
$119 |
$8 |
$8 | |
| Lumbar discectomy |
$4,010 |
$6,169 |
$6,169 |
$898 | |
| Lumpectomy (breast) |
$1,566 |
$2,409 |
$3,401 |
$750 | |
| Lung function test (PFT) |
$487 |
$750 |
$180 |
$37 | |
| Lung scan (V/Q) |
$3,441 |
$5,294 |
$869 |
$291 | |
| Magnesium blood test |
$33 |
$50 |
$7 |
$7 | |
| Mastectomy |
$2,074 |
$3,191 |
$6,136 |
$1,021 | |
| Meniscus repair (knee) |
$1,960 |
$3,016 |
$2,979 |
$714 | |
| MMR vaccine |
$69 |
$106 |
$38 |
— | |
| MRA of the brain |
$2,241 |
$3,447 |
$450 |
$226 | |
| MRA of the brain with contrast |
$2,458 |
$3,782 |
$454 |
$226 | |
| MRA of the brain without contrast |
$2,458 |
$3,782 |
$454 |
$328 | |
| MRA of the neck |
$2,458 |
$3,782 |
$450 |
$245 | |
| MRA of the neck with contrast |
$2,458 |
$3,782 |
$454 |
$245 | |
| MRA of the neck without contrast |
$2,812 |
$4,326 |
$454 |
$343 | |
| MRI of the abdomen |
$1,022 |
$1,573 |
$402 |
$300 | |
| MRI of the abdomen with contrast |
$1,022 |
$1,573 |
$406 |
$300 | |
| MRI of the abdomen without contrast |
$705 |
$1,084 |
$250 |
$194 | |
| MRI of the ankle |
$733 |
$1,127 |
$402 |
$261 | |
| MRI of the ankle with contrast |
$761 |
$1,171 |
$402 |
$261 | |
| MRI of the ankle without contrast |
$572 |
$880 |
$250 |
$222 | |
| MRI of the brain |
$898 |
$1,382 |
$402 |
$269 | |
| MRI of the brain with contrast |
$558 |
$859 |
$402 |
$269 | |
| MRI of the brain without contrast |
$733 |
$1,127 |
$250 |
$195 | |
| MRI of the chest |
$697 |
$1,072 |
$392 |
$371 | |
| MRI of the chest without contrast |
$1,064 |
$1,637 |
$406 |
$466 | |
| MRI of the knee |
$831 |
$1,279 |
$493 |
$315 | |
| MRI of the knee with contrast |
$831 |
$1,279 |
$817 |
$315 | |
| MRI of the knee without contrast |
$686 |
$1,056 |
$250 |
$204 | |
| MRI of the lower back (lumbar spine) |
$938 |
$1,443 |
$402 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$876 |
$1,348 |
$406 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$938 |
$1,443 |
$250 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$976 |
$1,501 |
$402 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$1,124 |
$1,729 |
$406 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$971 |
$1,494 |
$406 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$976 |
$1,501 |
$250 |
$190 | |
| MRI of the neck (cervical spine) |
$1,114 |
$1,714 |
$402 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$1,224 |
$1,883 |
$406 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,114 |
$1,714 |
$406 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,064 |
$1,637 |
$250 |
$191 | |
| MRI of the pelvis |
$766 |
$1,179 |
$402 |
$268 | |
| MRI of the pelvis with contrast |
$766 |
$1,179 |
$402 |
$268 | |
| MRI of the pelvis without contrast |
$733 |
$1,127 |
$250 |
$227 | |
| MRI of the shoulder |
$873 |
$1,343 |
$514 |
$313 | |
| MRI of the shoulder with contrast |
$873 |
$1,343 |
$817 |
$313 | |
| MRI of the shoulder without contrast |
$720 |
$1,107 |
$250 |
$205 | |
| MRI of the wrist |
$761 |
$1,171 |
$402 |
$330 | |
| MRI of the wrist with contrast |
$761 |
$1,171 |
$402 |
$330 | |
| MRI of the wrist without contrast |
$572 |
$880 |
$250 |
$303 | |
| Nebulizer breathing treatment |
$437 |
$672 |
$218 |
$9 | |
| Neck (cervical) spinal fusion |
$4,340 |
$6,677 |
$9,421 |
$1,410 | |
| Nerve conduction study |
$224 |
$344 |
$280 |
$118 | |
| Nuchal translucency ultrasound |
$634 |
$976 |
$113 |
$116 | |
| Nuclear cardiac stress test |
$3,866 |
$5,947 |
$1,448 |
$428 | |
| Occupational therapy evaluation |
$262 |
$403 |
$103 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$262 |
$403 |
$103 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$262 |
$403 |
$103 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$262 |
$403 |
$103 |
$101 | |
| Office visit (established patient) |
$239 |
$368 |
$171 |
$115 | |
| Office visit (new patient) |
$198 |
$304 |
$161 |
$177 | |
| Office visit, established patient (level 3) |
$233 |
$359 |
$171 |
$95 | |
| Office visit, established patient (level 4) |
$245 |
$377 |
$171 |
$136 | |
| Office visit, new patient (level 3) |
$157 |
$242 |
$136 |
$118 | |
| Office visit, new patient (level 4) |
$187 |
$288 |
$209 |
$177 | |
| Office visit, new patient (level 5) |
$222 |
$341 |
$171 |
$237 | |
| Orthopedic hardware removal |
$850 |
$1,307 |
$2,234 |
$632 | |
| Ovarian cyst removal |
$1,728 |
$2,658 |
$3,920 |
$698 | |
| Ovary removal (oophorectomy) |
$1,694 |
$2,606 |
$2,414 |
$822 | |
| Pap smear (cervical screening) |
$70 |
$107 |
$27 |
$20 | |
| Parathyroid hormone (PTH) test |
$157 |
$241 |
$41 |
$41 | |
| Pelvic ultrasound |
$514 |
$792 |
$151 |
$78 | |
| Pelvic ultrasound (complete) |
$696 |
$1,071 |
$153 |
$105 | |
| Pelvic ultrasound (limited) |
$333 |
$512 |
$113 |
$51 | |
| PET scan |
$5,717 |
$8,795 |
$1,596 |
— | |
| Phosphorus blood test |
$72 |
$111 |
$5 |
$5 | |
| Physical therapy evaluation |
$278 |
$427 |
$102 |
$98 | |
| Physical therapy evaluation (high complexity) |
$278 |
$427 |
$102 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$278 |
$427 |
$102 |
$98 | |
| Pilonidal cyst removal |
$712 |
$1,096 |
$1,593 |
$541 | |
| Platelet count |
$18 |
$28 |
$5 |
$4 | |
| Pneumonia vaccine |
$138 |
$212 |
$76 |
— | |
| Pregnancy blood test (hCG) |
$89 |
$137 |
$8 |
$8 | |
| Pregnancy ultrasound |
$522 |
$804 |
$113 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$358 |
$551 |
$113 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$686 |
$1,056 |
$113 |
$136 | |
| Procalcitonin test |
$620 |
$954 |
$27 |
$27 | |
| Prolactin test |
$261 |
$402 |
$19 |
$19 | |
| Prostate test (PSA) |
$309 |
$475 |
$18 |
$18 | |
| Psychiatric evaluation |
$183 |
$281 |
$219 |
$188 | |
| Psychotherapy session |
$148 |
$228 |
$163 |
$140 | |
| Radiofrequency nerve ablation |
$752 |
$1,157 |
$1,167 |
$462 | |
| Rotator cuff repair |
$2,111 |
$3,248 |
$4,141 |
$792 | |
| Sacroiliac joint injection |
$640 |
$984 |
$457 |
$176 | |
| Scoliosis spine X-ray |
$824 |
$1,268 |
$112 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$824 |
$1,268 |
$93 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$824 |
$1,268 |
$112 |
$72 | |
| Screening mammogram |
$339 |
$522 |
$96 |
$126 | |
| Scrotal ultrasound |
$668 |
$1,027 |
$113 |
$99 | |
| Sedimentation rate (ESR) test |
$59 |
$90 |
$5 |
$3 | |
| Semen analysis |
$111 |
$170 |
$12 |
$12 | |
| Septoplasty (deviated septum) |
$868 |
$1,336 |
$2,779 |
$613 | |
| Sex hormone binding globulin test |
$70 |
$108 |
$22 |
$22 | |
| Shingles vaccine |
$199 |
$306 |
$115 |
— | |
| Shoulder arthroscopy |
$1,888 |
$2,905 |
$5,189 |
$962 | |
| Shoulder replacement |
$3,764 |
$5,790 |
$8,568 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$436 |
$671 |
$204 |
$114 | |
| Simple wound stitches |
$436 |
$671 |
$204 |
$127 | |
| Sinus surgery (endoscopic) |
$476 |
$732 |
$2,621 |
$224 | |
| Skin biopsy |
$297 |
$457 |
$401 |
$121 | |
| Skin biopsy (punch) |
$341 |
$524 |
$407 |
$121 | |
| Skin cancer lesion removal |
$317 |
$488 |
$413 |
$240 | |
| Skin graft |
$1,799 |
$2,767 |
$1,925 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$77 |
$119 |
$150 |
$36 | |
| Skin tag removal |
$150 |
$231 |
$204 |
$92 | |
| Sleep study (polysomnography) |
$2,741 |
$4,217 |
$1,066 |
$691 | |
| Small bowel resection |
$2,603 |
$4,005 |
$4,005 |
$1,136 | |
| Soft tissue ultrasound |
$289 |
$445 |
$113 |
$64 | |
| Speech therapy |
$306 |
$470 |
$78 |
$76 | |
| Spinal cord stimulator |
$2,101 |
$3,232 |
$5,505 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$1,040 |
$1,600 |
$712 |
$165 | |
| Spirometry (lung function test) |
$428 |
$659 |
$159 |
$30 | |
| Spirometry with bronchodilator |
$797 |
$1,226 |
$320 |
$43 | |
| Spleen removal (splenectomy) |
$2,640 |
$4,061 |
$4,586 |
$1,036 | |
| Stomach removal (gastrectomy) |
$2,712 |
$4,173 |
$4,173 |
$1,595 | |
| Strep throat test |
$39 |
$60 |
$17 |
$17 | |
| Stress echocardiogram |
$696 |
$1,072 |
$563 |
$209 | |
| Stress echocardiogram (complete) |
$166 |
$256 |
$431 |
$233 | |
| Swallow study |
$970 |
$1,492 |
$71 |
$85 | |
| T3 thyroid test |
$153 |
$235 |
$14 |
$14 | |
| Tdap (tetanus) vaccine |
$85 |
$131 |
$47 |
— | |
| Testosterone test |
$313 |
$481 |
$26 |
$26 | |
| Thyroid removal (thyroidectomy) |
$1,706 |
$2,625 |
$3,921 |
$1,004 | |
| Thyroid test (TSH) |
$79 |
$121 |
$17 |
$17 | |
| Thyroid ultrasound |
$391 |
$602 |
$113 |
$109 | |
| Thyroid uptake scan |
$948 |
$1,458 |
$421 |
$145 | |
| Tilt table test |
$727 |
$1,119 |
$547 |
$168 | |
| Tonsillectomy |
$405 |
$623 |
$1,854 |
$252 | |
| Total IgE allergy test |
$296 |
$455 |
$16 |
$16 | |
| Total protein test |
$60 |
$93 |
$4 |
$4 | |
| Tracheostomy |
$956 |
$1,470 |
$1,912 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$1,121 |
$1,724 |
$563 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,574 |
$2,422 |
$563 |
$239 | |
| Transvaginal ultrasound |
$523 |
$805 |
$113 |
$118 | |
| Trigger finger release |
$1,065 |
$1,639 |
$1,639 |
$630 | |
| Trigger point injection |
$171 |
$263 |
$302 |
$56 | |
| Trigger point injection (1-2 muscles) |
$171 |
$263 |
$282 |
$52 | |
| Triglycerides test |
$42 |
$64 |
$6 |
$6 | |
| Troponin (heart) test |
$189 |
$291 |
$12 |
$12 | |
| Tubal ligation |
$901 |
$1,387 |
$3,920 |
$333 | |
| Turbinate reduction |
$541 |
$833 |
$2,779 |
$294 | |
| Turning a breech baby (version) |
$2,800 |
$4,308 |
$3,189 |
$94 | |
| Ulnar nerve surgery (elbow) |
$1,277 |
$1,964 |
$1,964 |
$575 | |
| Upper GI endoscopy (EGD) |
$1,994 |
$3,068 |
$925 |
$371 | |
| Upper GI series (barium) |
$2,074 |
$3,191 |
$187 |
$128 | |
| Ureteroscopy (stone removal) |
$1,727 |
$2,657 |
$3,836 |
$365 | |
| Uric acid (gout) test |
$58 |
$89 |
$5 |
$5 | |
| Urinalysis |
$27 |
$42 |
$3 |
$3 | |
| Urine microalbumin test |
$51 |
$78 |
$6 |
$5 | |
| Urine pregnancy test |
$54 |
$84 |
$9 |
$9 | |
| Vaccine administration |
$31 |
$47 |
$72 |
$19 | |
| Vaccine administration (each additional) |
$152 |
$234 |
$35 |
$16 | |
| Varicose vein ablation |
$2,769 |
$4,260 |
$3,251 |
$1,018 | |
| Vasectomy |
$588 |
$904 |
$1,904 |
$347 | |
| Vitamin B12 test |
$100 |
$154 |
$15 |
$15 | |
| Vitamin D test |
$152 |
$234 |
$30 |
$30 | |
| Wart removal |
$311 |
$478 |
$204 |
$121 | |
| Well-child visit |
$121 |
$186 |
$159 |
— | |
| Whipple procedure (pancreas) |
$5,190 |
$7,984 |
$7,984 |
$2,871 | |
| Wound debridement |
$420 |
$647 |
$407 |
$186 | |
| Wrist fracture repair |
$1,570 |
$2,416 |
$4,930 |
$735 | |
| X-ray of the abdomen |
$1,100 |
$1,693 |
$112 |
$36 | |
| X-ray of the ankle |
$762 |
$1,173 |
$93 |
$37 | |
| X-ray of the collarbone |
$656 |
$1,009 |
$93 |
$33 | |
| X-ray of the elbow |
$705 |
$1,084 |
$93 |
$33 | |
| X-ray of the facial bones |
$639 |
$984 |
$112 |
$39 | |
| X-ray of the foot |
$757 |
$1,165 |
$93 |
$34 | |
| X-ray of the forearm |
$466 |
$717 |
$93 |
$29 | |
| X-ray of the hand |
$712 |
$1,096 |
$93 |
$38 | |
| X-ray of the hip |
$753 |
$1,159 |
$93 |
$49 | |
| X-ray of the hip (1 view) |
$508 |
$782 |
$93 |
$34 | |
| X-ray of the hip (3 views) |
$753 |
$1,159 |
$93 |
$49 | |
| X-ray of the hip (4 views) |
$1,130 |
$1,739 |
$112 |
$63 | |
| X-ray of the knee |
$828 |
$1,274 |
$112 |
$42 | |
| X-ray of the knee (2 views) |
$670 |
$1,031 |
$93 |
$34 | |
| X-ray of the knee (3 views) |
$828 |
$1,274 |
$93 |
$42 | |
| X-ray of the knee (4+ views) |
$954 |
$1,467 |
$112 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$1,436 |
$2,209 |
$112 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$1,242 |
$1,911 |
$112 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$1,629 |
$2,506 |
$112 |
$53 | |
| X-ray of the lower leg |
$714 |
$1,099 |
$93 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$922 |
$1,418 |
$112 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$835 |
$1,284 |
$112 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$1,009 |
$1,552 |
$112 |
$39 | |
| X-ray of the neck (cervical spine) |
$1,148 |
$1,766 |
$112 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$956 |
$1,470 |
$93 |
$40 | |
| X-ray of the pelvis |
$641 |
$987 |
$112 |
$36 | |
| X-ray of the pelvis (1 view) |
$553 |
$850 |
$112 |
$28 | |
| X-ray of the ribs |
$1,095 |
$1,684 |
$112 |
$42 | |
| X-ray of the ribs (2 views) |
$972 |
$1,496 |
$93 |
$36 | |
| X-ray of the ribs (3 views) |
$1,095 |
$1,684 |
$112 |
$42 | |
| X-ray of the shoulder |
$831 |
$1,278 |
$93 |
$36 | |
| X-ray of the skull |
$948 |
$1,458 |
$112 |
$40 | |
| X-ray of the upper arm |
$549 |
$845 |
$93 |
$32 | |
| X-ray of the wrist |
$697 |
$1,073 |
$93 |
$43 | |
| Zinc blood test |
$194 |
$298 |
$11 |
$11 | |