| 3D mammogram (tomosynthesis) |
$108 |
$292 |
$67 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$680 |
$1,833 |
$1,191 |
$284 | |
| Abdominal ultrasound |
$640 |
$1,725 |
$189 |
$100 | |
| Abdominal ultrasound (complete) |
$876 |
$2,361 |
$206 |
$114 | |
| Abdominal ultrasound (limited) |
$404 |
$1,088 |
$179 |
$86 | |
| Abscess drainage (complex or multiple) |
$463 |
$1,249 |
$558 |
$220 | |
| Abscess drainage (simple) |
$248 |
$668 |
$278 |
$129 | |
| Abscess incision and drainage |
$356 |
$959 |
$508 |
$174 | |
| Achilles tendon repair |
— |
— |
$5,736 |
$624 | |
| ACL knee reconstruction |
— |
— |
$5,803 |
$889 | |
| Adenoid removal (adenoidectomy) |
— |
— |
$2,408 |
$204 | |
| Albumin blood test |
$4 |
$10 |
$6 |
$5 | |
| Alkaline phosphatase test |
$10 |
$27 |
$6 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$24 |
$64 |
$22 |
$17 | |
| ALT liver enzyme test |
$14 |
$37 |
$7 |
$5 | |
| Ammonia blood test |
$133 |
$359 |
$18 |
$15 | |
| Amniocentesis |
$500 |
$1,347 |
$1,051 |
$120 | |
| Amylase test |
$26 |
$71 |
$8 |
$6 | |
| Anal fistula repair |
— |
— |
$2,889 |
$541 | |
| Ankle fracture repair |
— |
— |
$5,736 |
$608 | |
| Ankle replacement |
— |
— |
$6,182 |
$885 | |
| Anoscopy |
— |
— |
$164 |
$129 | |
| Antinuclear antibody (ANA) test |
$11 |
$29 |
$15 |
$12 | |
| Aortic aneurysm repair (AAA) |
$5,579 |
$15,037 |
$3,358 |
$1,345 | |
| Aortic valve replacement |
— |
— |
$2,222 |
$1,603 | |
| Appendix removal (appendectomy) |
— |
— |
$16,519 |
$592 | |
| Arterial blood gas (ABG) |
$176 |
$475 |
$31 |
$26 | |
| AST liver enzyme test |
$14 |
$37 |
$6 |
$5 | |
| Barium swallow study |
$224 |
$604 |
$226 |
$107 | |
| Bartholin cyst removal |
— |
— |
$256 |
$182 | |
| Basic metabolic panel |
$272 |
$733 |
$10 |
$8 | |
| Benign skin lesion removal |
— |
— |
$508 |
$171 | |
| Bilirubin blood test |
$9 |
$23 |
$6 |
$5 | |
| Bladder function test (urodynamics) |
— |
— |
$848 |
$345 | |
| Bladder scope (cystoscopy) |
— |
— |
$848 |
$216 | |
| Bladder tumor removal (TURBT) |
— |
— |
$4,382 |
$236 | |
| Blood clotting test (PT/INR) |
$5 |
$13 |
$5 |
$4 | |
| Blood crossmatch |
$88 |
$237 |
$181 |
— | |
| Blood glucose test |
$90 |
$242 |
$6 |
$5 | |
| Blood transfusion |
$819 |
$2,207 |
$1,545 |
$47 | |
| Blood type and screen |
$35 |
$95 |
$49 |
$10 | |
| Blood type test |
$57 |
$154 |
$16 |
$3 | |
| Blood type test (ABO group) |
$37 |
$100 |
$16 |
$3 | |
| Blood type test (Rh/D antigen) |
$64 |
$172 |
$16 |
$3 | |
| BNP (heart failure) test |
$40 |
$108 |
$35 |
$39 | |
| Bone density scan (DEXA) |
$136 |
$367 |
$135 |
$39 | |
| Bone marrow biopsy |
$1,089 |
$2,936 |
$1,824 |
$172 | |
| Bone scan (nuclear) |
$732 |
$1,973 |
$536 |
$259 | |
| Botox for migraine |
— |
— |
$375 |
$157 | |
| Brain shunt (VP shunt) |
— |
— |
$1,111 |
$1,023 | |
| Breast biopsy |
$1,113 |
$2,999 |
$2,059 |
$478 | |
| Breast reconstruction |
— |
— |
$3,716 |
$1,227 | |
| Breast reduction |
— |
— |
$6,922 |
$980 | |
| Breathing tube insertion (intubation) |
$530 |
$1,428 |
$661 |
$133 | |
| Bronchoscopy |
$483 |
$1,302 |
$981 |
$303 | |
| Bunion surgery (bunionectomy) |
— |
— |
$4,123 |
$883 | |
| Burn dressing and debridement (medium) |
— |
— |
$252 |
$166 | |
| Burn dressing and debridement (small) |
— |
— |
$252 |
$93 | |
| Burn treatment |
— |
— |
$252 |
$129 | |
| C-reactive protein (CRP) |
$33 |
$88 |
$7 |
$5 | |
| CA 19-9 tumor marker test |
$10 |
$27 |
$19 |
$21 | |
| CA-125 ovarian marker test |
$24 |
$66 |
$21 |
$21 | |
| Calcium blood test |
$11 |
$30 |
$6 |
$5 | |
| Capsule endoscopy |
$2,203 |
$5,938 |
$1,433 |
$802 | |
| Cardiac MRI |
$358 |
$964 |
$508 |
$322 | |
| Cardiac MRI without contrast |
$248 |
$668 |
$508 |
$280 | |
| Cardiac stress test |
$946 |
$2,549 |
$396 |
$39 | |
| Cardioversion |
$861 |
$2,320 |
$831 |
$155 | |
| Carotid artery surgery |
— |
— |
$1,602 |
$1,026 | |
| Carotid artery ultrasound |
$1,031 |
$2,779 |
$400 |
$156 | |
| Carpal tunnel release |
— |
— |
$2,481 |
$483 | |
| Cataract surgery |
— |
— |
$2,898 |
$547 | |
| Central line placement |
$1,322 |
$3,563 |
$2,779 |
$238 | |
| Cervical cerclage |
— |
— |
$3,573 |
$137 | |
| Cervical LEEP procedure |
— |
— |
$4,040 |
$325 | |
| Cesarean section (C-section) |
— |
— |
$11,088 |
$7,552 | |
| Chalazion (eyelid cyst) removal |
— |
— |
$380 |
$131 | |
| Chemotherapy infusion |
$224 |
$603 |
$131 |
$81 | |
| Chemotherapy infusion (each additional) |
$64 |
$172 |
$90 |
$28 | |
| Chemotherapy infusion (first hour) |
$384 |
$1,034 |
$443 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,099 |
$2,963 |
$864 |
$311 | |
| Chest tube insertion |
$1,669 |
$4,499 |
$2,171 |
$143 | |
| Chest X-ray |
$344 |
$928 |
$123 |
$37 | |
| Chest X-ray (1 view) |
$246 |
$663 |
$112 |
$25 | |
| Chest X-ray (2 views) |
$320 |
$862 |
$112 |
$33 | |
| Circumcision |
$853 |
$2,298 |
$2,298 |
$167 | |
| CK-MB heart enzyme test |
$57 |
$154 |
$14 |
$12 | |
| Colon resection (colectomy) |
— |
— |
$1,412 |
$1,238 | |
| Colonoscopy |
— |
— |
$1,498 |
$480 | |
| Colostomy |
— |
— |
$581 |
$1,122 | |
| Colposcopy |
— |
— |
$387 |
$161 | |
| Complete blood count (CBC) |
$140 |
$378 |
$10 |
$7 | |
| Complete blood count (CBC) (complete) |
$140 |
$378 |
$10 |
$8 | |
| Complex wound repair |
— |
— |
$778 |
$390 | |
| Comprehensive metabolic panel |
$319 |
$859 |
$13 |
$11 | |
| Contraceptive implant (Nexplanon) |
$459 |
$1,236 |
$385 |
$115 | |
| Corneal transplant |
— |
— |
$5,111 |
$1,066 | |
| Coronary angioplasty / stent (PCI) |
— |
— |
$16,519 |
$426 | |
| Coronary artery bypass (CABG) |
— |
— |
$40,796 |
$36,593 | |
| Coronary CT angiography |
$291 |
$783 |
$454 |
$326 | |
| Cortisol test |
$24 |
$66 |
$21 |
$16 | |
| COVID-19 PCR test |
$32 |
$87 |
$52 |
$51 | |
| CPAP titration study |
$3,299 |
$8,892 |
$258 |
$69 | |
| Craniotomy (brain surgery) |
— |
— |
$1,645 |
$2,161 | |
| Creatine kinase (CK) test |
$87 |
$234 |
$8 |
$7 | |
| CT angiography of the chest |
$1,924 |
$5,187 |
$391 |
$281 | |
| CT angiography of the head |
$2,226 |
$5,999 |
$388 |
$274 | |
| CT scan of the abdomen |
$2,071 |
$5,583 |
$341 |
$230 | |
| CT scan of the abdomen and pelvis |
$3,234 |
$8,716 |
$499 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,783 |
$10,198 |
$634 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$3,234 |
$8,716 |
$589 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,167 |
$5,840 |
$379 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,403 |
$6,476 |
$402 |
$259 | |
| CT scan of the abdomen with contrast |
$2,071 |
$5,583 |
$402 |
$230 | |
| CT scan of the abdomen without contrast |
$1,346 |
$3,629 |
$245 |
$136 | |
| CT scan of the chest |
$1,495 |
$4,029 |
$289 |
$167 | |
| CT scan of the chest with and without contrast |
$1,689 |
$4,553 |
$394 |
$196 | |
| CT scan of the chest with contrast |
$1,495 |
$4,029 |
$363 |
$167 | |
| CT scan of the chest without contrast |
$762 |
$2,055 |
$245 |
$133 | |
| CT scan of the head |
$2,183 |
$5,885 |
$268 |
$148 | |
| CT scan of the head with and without contrast |
$2,613 |
$7,044 |
$370 |
$173 | |
| CT scan of the head with contrast |
$2,183 |
$5,885 |
$345 |
$148 | |
| CT scan of the head without contrast |
$1,594 |
$4,296 |
$225 |
$107 | |
| CT scan of the lower back (lumbar spine) |
$3,537 |
$9,533 |
$402 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$3,986 |
$10,743 |
$394 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$3,537 |
$9,533 |
$531 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,795 |
$4,839 |
$245 |
$130 | |
| CT scan of the neck |
$1,653 |
$4,456 |
$308 |
$183 | |
| CT scan of the neck (cervical spine) |
$3,537 |
$9,533 |
$402 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$3,986 |
$10,743 |
$395 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$3,537 |
$9,533 |
$531 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,795 |
$4,839 |
$245 |
$131 | |
| CT scan of the neck with and without contrast |
$1,967 |
$5,303 |
$402 |
$220 | |
| CT scan of the neck with contrast |
$1,653 |
$4,456 |
$381 |
$183 | |
| CT scan of the neck without contrast |
$1,372 |
$3,699 |
$245 |
$150 | |
| CT scan of the pelvis |
$2,386 |
$6,432 |
$339 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,689 |
$7,248 |
$402 |
$251 | |
| CT scan of the pelvis with contrast |
$2,386 |
$6,432 |
$402 |
$226 | |
| CT scan of the pelvis without contrast |
$1,211 |
$3,265 |
$245 |
$133 | |
| CT scan of the sinuses |
$1,669 |
$4,499 |
$277 |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,000 |
$5,391 |
$382 |
$184 | |
| CT scan of the sinuses with contrast |
$1,669 |
$4,499 |
$349 |
$152 | |
| CT scan of the sinuses without contrast |
$1,379 |
$3,718 |
$245 |
$128 | |
| D-dimer test |
$110 |
$297 |
$13 |
$10 | |
| Defibrillator (ICD) implant |
$42,654 |
$114,971 |
$21,174 |
$798 | |
| Diagnostic mammogram |
$199 |
$536 |
$208 |
$140 | |
| Dialysis fistula creation |
— |
— |
$3,281 |
$601 | |
| Dilation and curettage (D&C) |
— |
— |
$4,040 |
$298 | |
| Droopy eyelid repair (ptosis) |
— |
— |
$2,964 |
$745 | |
| Drug screen (urine) |
$45 |
$121 |
$44 |
$17 | |
| Ear tubes (myringotomy) |
— |
— |
$647 |
$174 | |
| Eardrum repair (tympanoplasty) |
— |
— |
$7,152 |
$799 | |
| Echocardiogram |
$517 |
$1,394 |
$601 |
$138 | |
| Echocardiogram with and without contrast |
$485 |
$1,306 |
$307 |
$101 | |
| Echocardiogram without contrast |
$529 |
$1,425 |
$338 |
$138 | |
| EEG (awake and asleep) |
$369 |
$994 |
$396 |
$482 | |
| EKG / ECG (tracing only) |
$295 |
$795 |
$75 |
$7 | |
| Elbow replacement |
— |
— |
$20,963 |
$1,301 | |
| Electrocardiogram (EKG) |
$295 |
$795 |
$75 |
$8 | |
| Electroencephalogram (EEG) |
$346 |
$933 |
$396 |
$448 | |
| Electrolyte panel |
$212 |
$572 |
$9 |
$7 | |
| Electromyography (EMG) |
$114 |
$308 |
$194 |
$141 | |
| Emergency department visit |
$643 |
$1,733 |
$357 |
$69 | |
| Emergency department visit (level 1) |
$164 |
$442 |
$244 |
$11 | |
| Emergency department visit (level 2) |
$555 |
$1,495 |
$636 |
$40 | |
| Emergency department visit (level 3) |
$731 |
$1,971 |
$936 |
$69 | |
| Emergency department visit (level 4) |
$1,185 |
$3,194 |
$1,484 |
$118 | |
| Emergency department visit (level 5) |
$2,522 |
$6,797 |
$2,219 |
$171 | |
| Endometrial biopsy |
— |
— |
$256 |
$98 | |
| Epidural steroid injection |
$1,020 |
$2,749 |
$968 |
$275 | |
| ERCP (bile duct endoscopy) |
$3,264 |
$8,798 |
$4,647 |
$311 | |
| Esophageal dilation |
— |
— |
$1,191 |
$522 | |
| Esophageal variceal banding |
— |
— |
$2,410 |
$126 | |
| Estradiol (estrogen) test |
$14 |
$37 |
$30 |
$28 | |
| Eyelid surgery (blepharoplasty) |
— |
— |
$2,324 |
$552 | |
| Facet joint injection (spine) |
$1,267 |
$3,414 |
$1,278 |
$99 | |
| Fallopian tube X-ray (HSG) |
$364 |
$981 |
$205 |
$164 | |
| Fecal occult blood (stool) test |
$43 |
$117 |
$14 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$63 |
$169 |
$5 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$17 |
$47 |
$19 |
$16 | |
| Feeding tube (PEG) placement |
$1,736 |
$4,678 |
$2,573 |
$178 | |
| Femoral hernia repair |
— |
— |
$3,412 |
$584 | |
| Fibrinogen test |
$75 |
$202 |
$12 |
$10 | |
| Fibroid removal (myomectomy) |
— |
— |
$1,018 |
$914 | |
| Flexible sigmoidoscopy |
— |
— |
$1,158 |
$323 | |
| Flu test |
$27 |
$73 |
$20 |
$17 | |
| Folate (folic acid) test |
$34 |
$92 |
$18 |
$15 | |
| Foreign body removal (skin) |
$420 |
$1,133 |
$558 |
$157 | |
| Free T4 thyroid test |
$78 |
$211 |
$11 |
$9 | |
| Gallbladder removal (laparoscopic) |
— |
— |
$7,413 |
$658 | |
| Gallbladder scan (HIDA) |
$537 |
$1,448 |
$693 |
$334 | |
| Ganglion cyst removal |
— |
— |
$2,033 |
$321 | |
| GGT liver test |
$7 |
$18 |
$9 |
$7 | |
| Glaucoma surgery |
— |
— |
$2,898 |
$984 | |
| Glucose tolerance test |
$41 |
$112 |
$15 |
$8 | |
| Hammertoe repair |
— |
— |
$2,658 |
$548 | |
| HDL cholesterol test |
$42 |
$113 |
$10 |
$8 | |
| Hematocrit test |
$41 |
$110 |
$3 |
$2 | |
| Hemodialysis |
$913 |
$2,461 |
$889 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$19 |
$51 |
$12 |
$10 | |
| Hemorrhoid removal |
— |
— |
$1,158 |
$338 | |
| Hepatitis A vaccine |
$104 |
$279 |
$112 |
— | |
| Hepatitis B vaccine |
$104 |
$279 |
$75 |
— | |
| Hip arthroscopy |
— |
— |
$6,922 |
$931 | |
| Hip fracture repair |
— |
— |
$1,072 |
$1,120 | |
| Hip replacement |
— |
— |
$8,588 |
$1,162 | |
| HIV test |
$40 |
$107 |
$24 |
$19 | |
| HIV test (antibody) |
$81 |
$219 |
$17 |
$14 | |
| HIV test (antigen/antibody combo) |
$12 |
$31 |
$24 |
$24 | |
| Holter heart monitor |
$291 |
$783 |
$164 |
$26 | |
| Hydrocele repair |
— |
— |
$4,484 |
$315 | |
| Hysterectomy |
— |
— |
$2,803 |
$933 | |
| Hysteroscopy |
— |
— |
$4,040 |
$1,270 | |
| Ileostomy |
— |
— |
$702 |
$968 | |
| Incisional hernia repair |
— |
— |
$634 |
— | |
| Inguinal hernia repair |
— |
— |
$3,465 |
$538 | |
| Iron blood test |
$89 |
$240 |
$8 |
$6 | |
| IUD insertion |
— |
— |
$193 |
— | |
| IUD removal |
— |
— |
$387 |
$112 | |
| IV infusion therapy |
$390 |
$1,051 |
$268 |
$44 | |
| IV infusion therapy (each additional) |
$173 |
$465 |
$80 |
$21 | |
| IV infusion therapy (initial) |
$639 |
$1,723 |
$294 |
$67 | |
| IVC filter placement |
$3,810 |
$10,269 |
$6,060 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$314 |
$845 |
$375 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$314 |
$845 |
$413 |
$57 | |
| Joint aspiration or injection (small joint) |
— |
— |
$375 |
$56 | |
| Kidney biopsy |
$1,320 |
$3,559 |
$1,884 |
$492 | |
| Kidney removal (nephrectomy) |
— |
— |
$1,294 |
$1,164 | |
| Kidney scan (nuclear) |
$585 |
$1,576 |
$684 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
— |
— |
$4,167 |
$760 | |
| Kidney ultrasound |
$398 |
$1,074 |
$170 |
$84 | |
| Kidney ultrasound (limited) |
$317 |
$854 |
$163 |
$61 | |
| Knee arthroscopy |
— |
— |
$3,350 |
$524 | |
| Knee joint injection |
$345 |
$931 |
$413 |
$69 | |
| Knee replacement |
— |
— |
$19,579 |
$18,054 | |
| Lactate test |
$64 |
$173 |
$14 |
$12 | |
| Laminectomy (spine) |
— |
— |
$8,571 |
$1,157 | |
| Laryngoscopy |
— |
— |
$382 |
$189 | |
| LDH test |
$6 |
$16 |
$8 |
$6 | |
| LDL cholesterol test |
$9 |
$24 |
$12 |
$11 | |
| Leg artery angioplasty |
$21,532 |
$58,039 |
$7,261 |
— | |
| Leg vein ultrasound (Doppler) |
$685 |
$1,847 |
$430 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$519 |
$1,399 |
$303 |
$116 | |
| Lipase test |
$24 |
$64 |
$8 |
$7 | |
| Liver biopsy |
$1,941 |
$5,233 |
$2,265 |
$288 | |
| Liver function panel |
$265 |
$714 |
$10 |
$8 | |
| Lower back (lumbar) spinal fusion |
— |
— |
$17,145 |
$1,511 | |
| Lumbar discectomy |
— |
— |
$8,571 |
$898 | |
| Lumpectomy (breast) |
— |
— |
$4,865 |
$750 | |
| Lung function test (PFT) |
$280 |
$756 |
$209 |
$37 | |
| Lung scan (V/Q) |
$562 |
$1,515 |
$727 |
$291 | |
| Magnesium blood test |
$6 |
$17 |
$9 |
$7 | |
| Mastectomy |
— |
— |
$7,206 |
$1,021 | |
| Mastoidectomy |
— |
— |
$7,516 |
$840 | |
| Meniscus repair (knee) |
— |
— |
$3,781 |
$714 | |
| MMR vaccine |
$146 |
$393 |
$161 |
— | |
| Mohs skin cancer surgery |
— |
— |
$778 |
$535 | |
| MRA of the brain |
$2,556 |
$6,890 |
$504 |
$226 | |
| MRA of the brain with contrast |
$2,556 |
$6,890 |
$518 |
$226 | |
| MRA of the brain without contrast |
$2,944 |
$7,935 |
$640 |
$328 | |
| MRA of the neck |
$2,820 |
$7,602 |
$505 |
$245 | |
| MRA of the neck with contrast |
$2,820 |
$7,602 |
$539 |
$245 | |
| MRA of the neck without contrast |
$3,248 |
$8,756 |
$658 |
$343 | |
| MRI of the abdomen |
$2,111 |
$5,689 |
$508 |
$300 | |
| MRI of the abdomen with contrast |
$2,111 |
$5,689 |
$610 |
$300 | |
| MRI of the abdomen without contrast |
$1,456 |
$3,924 |
$451 |
$194 | |
| MRI of the brain |
$3,189 |
$8,595 |
$525 |
$269 | |
| MRI of the brain with contrast |
$3,189 |
$8,595 |
$680 |
$269 | |
| MRI of the brain without contrast |
$2,199 |
$5,927 |
$451 |
$195 | |
| MRI of the chest |
$1,431 |
$3,858 |
$828 |
$371 | |
| MRI of the chest with contrast |
$1,201 |
$3,237 |
$1,054 |
$371 | |
| MRI of the chest without contrast |
$1,472 |
$3,968 |
$746 |
$466 | |
| MRI of the lower back (lumbar spine) |
$2,469 |
$6,655 |
$526 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,469 |
$6,655 |
$682 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,703 |
$4,589 |
$446 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,296 |
$6,188 |
$529 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,639 |
$7,113 |
$730 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,296 |
$6,188 |
$684 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,583 |
$4,268 |
$446 |
$190 | |
| MRI of the neck (cervical spine) |
$2,322 |
$6,258 |
$532 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,674 |
$7,208 |
$730 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,322 |
$6,258 |
$687 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,601 |
$4,316 |
$446 |
$191 | |
| MRI of the pelvis |
$1,451 |
$3,912 |
$518 |
$268 | |
| MRI of the pelvis with contrast |
$1,451 |
$3,912 |
$681 |
$268 | |
| MRI of the pelvis without contrast |
$1,001 |
$2,697 |
$428 |
$227 | |
| Nebulizer breathing treatment |
$335 |
$903 |
$258 |
$9 | |
| Neck (cervical) spinal fusion |
— |
— |
$8,499 |
$1,410 | |
| Nuclear cardiac stress test |
$2,969 |
$8,002 |
$1,659 |
$428 | |
| Office visit (established patient) |
$141 |
$379 |
$136 |
$115 | |
| Office visit (new patient) |
$178 |
$480 |
$174 |
$177 | |
| Office visit, established patient (level 4) |
$141 |
$379 |
$136 |
$136 | |
| Office visit, new patient (level 4) |
$178 |
$480 |
$174 |
$177 | |
| Orthopedic hardware removal |
— |
— |
$3,637 |
$632 | |
| Ovarian cyst removal |
— |
— |
$6,272 |
$698 | |
| Ovary removal (oophorectomy) |
— |
— |
$1,284 |
$822 | |
| Pacemaker insertion |
— |
— |
$18,323 |
$15,506 | |
| Parathyroid hormone (PTH) test |
$56 |
$151 |
$50 |
$41 | |
| Parathyroid removal |
— |
— |
$7,516 |
$891 | |
| Pelvic ultrasound |
$450 |
$1,214 |
$149 |
$78 | |
| Pelvic ultrasound (complete) |
$585 |
$1,576 |
$191 |
$105 | |
| Pelvic ultrasound (limited) |
$316 |
$851 |
$147 |
$51 | |
| Phosphorus blood test |
$10 |
$28 |
$6 |
$5 | |
| Pilonidal cyst removal |
— |
— |
$3,637 |
$541 | |
| Platelet count |
$51 |
$137 |
$5 |
$4 | |
| Pneumonia vaccine |
$169 |
$456 |
$138 |
— | |
| Pregnancy blood test (hCG) |
$53 |
$143 |
$9 |
$8 | |
| Pregnancy ultrasound |
$558 |
$1,504 |
$190 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$516 |
$1,392 |
$169 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$599 |
$1,615 |
$218 |
$136 | |
| Procalcitonin test |
$44 |
$118 |
$27 |
$27 | |
| Prolactin test |
$50 |
$134 |
$24 |
$19 | |
| Prostate biopsy |
$2,915 |
$7,858 |
$2,863 |
— | |
| Prostate removal (prostatectomy) |
— |
— |
$2,894 |
$1,063 | |
| Prostate surgery (TURP) |
— |
— |
$5,736 |
$526 | |
| Pterygium removal (eye) |
— |
— |
$2,964 |
$540 | |
| Radiofrequency nerve ablation |
$2,032 |
$5,477 |
$2,729 |
$462 | |
| Retina scan (OCT) |
$64 |
$173 |
$89 |
$33 | |
| Retinal detachment repair |
— |
— |
$5,111 |
$966 | |
| Rheumatoid factor test |
$61 |
$164 |
$7 |
$6 | |
| Rotator cuff repair |
— |
— |
$8,571 |
$792 | |
| Sacroiliac joint injection |
— |
— |
$337 |
$176 | |
| Scoliosis spine X-ray |
$486 |
$1,310 |
$135 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$486 |
$1,310 |
$112 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$486 |
$1,310 |
$142 |
$72 | |
| Screening mammogram |
$320 |
$863 |
$217 |
$126 | |
| Scrotal ultrasound |
$667 |
$1,797 |
$178 |
$99 | |
| Sedimentation rate (ESR) test |
$70 |
$189 |
$4 |
$3 | |
| Semen analysis |
$195 |
$527 |
$65 |
$12 | |
| Septoplasty (deviated septum) |
— |
— |
$3,158 |
$613 | |
| Shingles vaccine |
$268 |
$722 |
$309 |
— | |
| Shoulder arthroscopy |
— |
— |
$5,803 |
$962 | |
| Shoulder replacement |
— |
— |
$19,381 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
— |
— |
$252 |
$114 | |
| Simple wound stitches |
— |
— |
$252 |
$127 | |
| Sinus surgery (endoscopic) |
— |
— |
$4,443 |
$224 | |
| Skin biopsy |
$152 |
$409 |
$304 |
$121 | |
| Skin biopsy (punch) |
— |
— |
$508 |
$121 | |
| Skin cancer lesion removal |
— |
— |
$508 |
$240 | |
| Skin graft |
— |
— |
$2,324 |
$898 | |
| Skin lesion freezing (cryotherapy) |
— |
— |
$177 |
$36 | |
| Skin tag removal |
— |
— |
$252 |
$92 | |
| Small bowel resection |
— |
— |
$802 |
$1,136 | |
| Spinal cord stimulator |
— |
— |
$4,460 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$782 |
$2,109 |
$968 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$9,518 |
$25,655 |
$9,077 |
$5,803 | |
| Spirometry (lung function test) |
$131 |
$352 |
$199 |
$30 | |
| Spirometry with bronchodilator |
$430 |
$1,159 |
$396 |
$43 | |
| Spleen removal (splenectomy) |
— |
— |
$2,509 |
$1,036 | |
| Stomach removal (gastrectomy) |
— |
— |
$1,245 |
$1,595 | |
| Strabismus (eye muscle) surgery |
— |
— |
$2,964 |
$475 | |
| Strep throat test |
$67 |
$180 |
$20 |
$17 | |
| Stress echocardiogram |
$660 |
$1,779 |
$697 |
$209 | |
| Stress echocardiogram (complete) |
$558 |
$1,505 |
$697 |
$233 | |
| Tdap (tetanus) vaccine |
$68 |
$183 |
$64 |
— | |
| Testicle removal (orchiectomy) |
— |
— |
$4,382 |
$306 | |
| Thyroid removal (thyroidectomy) |
— |
— |
$7,413 |
$1,004 | |
| Thyroid test (TSH) |
$131 |
$353 |
$21 |
$17 | |
| Thyroid ultrasound |
$443 |
$1,194 |
$178 |
$109 | |
| Thyroid uptake scan |
$252 |
$679 |
$503 |
$145 | |
| Tilt table test |
$679 |
$1,830 |
$1,281 |
$168 | |
| Tonsillectomy |
— |
— |
$4,121 |
$252 | |
| Total IgE allergy test |
$8 |
$21 |
$17 |
$16 | |
| Total protein test |
$4 |
$11 |
$4 |
$4 | |
| Tracheostomy |
$3,280 |
$8,842 |
$4,121 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$864 |
$2,328 |
$697 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$864 |
$2,328 |
$697 |
$239 | |
| Transvaginal ultrasound |
$551 |
$1,485 |
$191 |
$118 | |
| Trigger finger release |
— |
— |
$2,033 |
$630 | |
| Trigger point injection |
— |
— |
$375 |
$56 | |
| Trigger point injection (1-2 muscles) |
— |
— |
$375 |
$52 | |
| Triglycerides test |
$10 |
$28 |
$7 |
$6 | |
| Troponin (heart) test |
$80 |
$215 |
$15 |
$12 | |
| Tubal ligation |
— |
— |
$5,736 |
$333 | |
| Turbinate reduction |
— |
— |
$2,640 |
$294 | |
| Turning a breech baby (version) |
$1,700 |
$4,582 |
$4,040 |
$94 | |
| Ulnar nerve surgery (elbow) |
— |
— |
$2,481 |
$575 | |
| Umbilical hernia repair |
— |
— |
$385 |
— | |
| Upper GI endoscopy (EGD) |
— |
— |
$1,191 |
$371 | |
| Upper GI series (barium) |
$246 |
$662 |
$251 |
$128 | |
| Ureteroscopy (stone removal) |
— |
— |
$5,473 |
$365 | |
| Uric acid (gout) test |
$85 |
$228 |
$6 |
$5 | |
| Urinalysis |
$50 |
$136 |
$4 |
$3 | |
| Urine microalbumin test |
$4 |
$12 |
$7 |
$5 | |
| Urine pregnancy test |
$100 |
$271 |
$10 |
$9 | |
| Vaccine administration |
$83 |
$225 |
$113 |
$19 | |
| Vaccine administration (each additional) |
$83 |
$225 |
$173 |
$16 | |
| Vaginal delivery |
— |
— |
$8,930 |
$5,487 | |
| Varicocele repair |
— |
— |
$4,382 |
$327 | |
| Varicose vein ablation |
$3,068 |
$8,270 |
$4,399 |
$1,018 | |
| Vasectomy |
— |
— |
$2,603 |
$347 | |
| Vitamin B12 test |
$36 |
$97 |
$19 |
$15 | |
| Vitamin D test |
$14 |
$39 |
$30 |
$30 | |
| Vitrectomy (eye) |
— |
— |
$5,111 |
$814 | |
| Vocal cord injection |
— |
— |
$2,589 |
$211 | |
| Wart removal |
— |
— |
$252 |
$121 | |
| Weight-loss (bariatric) surgery |
— |
— |
$16,519 |
$11,645 | |
| Whipple procedure (pancreas) |
— |
— |
$1,645 |
$2,871 | |
| Wound debridement |
$537 |
$1,447 |
$784 |
$186 | |
| Wrist fracture repair |
— |
— |
$6,222 |
$735 | |
| X-ray of the abdomen |
$340 |
$917 |
$135 |
$36 | |
| X-ray of the facial bones |
$239 |
$644 |
$135 |
$39 | |
| X-ray of the lower back (lumbar spine) |
$422 |
$1,139 |
$135 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$356 |
$960 |
$135 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$489 |
$1,317 |
$150 |
$53 | |
| X-ray of the mid-back (thoracic spine) |
$257 |
$693 |
$135 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$242 |
$652 |
$135 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$272 |
$734 |
$135 |
$39 | |
| X-ray of the neck (cervical spine) |
$377 |
$1,017 |
$135 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$321 |
$866 |
$113 |
$40 | |
| X-ray of the pelvis |
$201 |
$542 |
$135 |
$36 | |
| X-ray of the pelvis (1 view) |
$161 |
$435 |
$135 |
$28 | |
| X-ray of the ribs |
$347 |
$936 |
$135 |
$42 | |
| X-ray of the skull |
$239 |
$643 |
$135 |
$40 | |
| YAG laser capsulotomy (eye) |
— |
— |
$697 |
$335 | |