| Abdominal fluid drain (paracentesis) |
$1,231 |
$1,710 |
$999 |
$284 | |
| Abdominal ultrasound |
$208 |
$764 |
$125 |
$100 | |
| Abdominal ultrasound (complete) |
$237 |
$869 |
$139 |
$114 | |
| Abdominal ultrasound (limited) |
$180 |
$658 |
$125 |
$86 | |
| Abscess drainage (complex or multiple) |
$357 |
$793 |
$426 |
$220 | |
| Abscess drainage (simple) |
$247 |
$549 |
$233 |
$129 | |
| Abscess incision and drainage |
$302 |
$671 |
$318 |
$174 | |
| Achilles tendon repair |
— |
— |
$2,921 |
$624 | |
| ACL knee reconstruction |
— |
— |
$2,921 |
$889 | |
| Albumin blood test |
$14 |
$125 |
$7 |
$5 | |
| Aldosterone test |
$31 |
$270 |
$55 |
$41 | |
| Alkaline phosphatase test |
$16 |
$139 |
$7 |
$5 | |
| ALT liver enzyme test |
$15 |
$130 |
$7 |
$5 | |
| Ammonia blood test |
$24 |
$213 |
$20 |
$15 | |
| Amniocentesis |
$331 |
$1,194 |
$928 |
$120 | |
| Anal fistula repair |
— |
— |
$2,191 |
$541 | |
| Ankle fracture repair |
— |
— |
$2,921 |
$608 | |
| Antinuclear antibody (ANA) test |
$9 |
$53 |
$16 |
$12 | |
| AST liver enzyme test |
$15 |
$129 |
$7 |
$5 | |
| Barium swallow study |
$124 |
$577 |
$209 |
$107 | |
| Basic metabolic panel |
$50 |
$446 |
$12 |
$8 | |
| Benign skin lesion removal |
— |
— |
$1,429 |
$171 | |
| Bilirubin blood test |
$15 |
$129 |
$7 |
$5 | |
| Bladder scope (cystoscopy) |
— |
— |
$738 |
$216 | |
| Bladder tumor removal (TURBT) |
— |
— |
$2,230 |
$236 | |
| Blood clotting test (PT/INR) |
$27 |
$126 |
$6 |
$4 | |
| Blood crossmatch |
$105 |
$365 |
$183 |
— | |
| Blood transfusion |
$402 |
$1,247 |
$513 |
$47 | |
| Blood type and screen |
$50 |
$174 |
$13 |
$10 | |
| Blood type test |
$53 |
$186 |
$4 |
$3 | |
| Blood type test (ABO group) |
$79 |
$275 |
$4 |
$3 | |
| Blood type test (Rh/D antigen) |
$28 |
$96 |
$4 |
$3 | |
| BNP (heart failure) test |
$43 |
$381 |
$53 |
$39 | |
| Bone marrow biopsy |
$518 |
$1,869 |
$1,718 |
$172 | |
| Bone scan (nuclear) |
$714 |
$3,625 |
$578 |
$259 | |
| Breast biopsy |
$834 |
$3,011 |
$1,626 |
$478 | |
| Breast ultrasound |
$152 |
$558 |
$171 |
$92 | |
| Breast ultrasound (complete) |
$172 |
$630 |
$210 |
$100 | |
| Breast ultrasound (limited) |
$132 |
$485 |
$161 |
$84 | |
| Breathing tube insertion (intubation) |
$252 |
$909 |
$334 |
$133 | |
| Bronchoscopy |
— |
— |
$2,246 |
$303 | |
| Bunion surgery (bunionectomy) |
— |
— |
$2,921 |
$883 | |
| Burn dressing and debridement (medium) |
$285 |
$634 |
$242 |
$166 | |
| Burn dressing and debridement (small) |
$188 |
$417 |
$212 |
$93 | |
| Burn treatment |
$236 |
$526 |
$216 |
$129 | |
| C-reactive protein (CRP) |
$19 |
$114 |
$7 |
$5 | |
| CA 19-9 tumor marker test |
$11 |
$63 |
$28 |
$21 | |
| Calcium blood test |
$15 |
$132 |
$7 |
$5 | |
| Cardiac catheterization |
$2,660 |
$18,866 |
$4,662 |
$1,049 | |
| Cardiac stress test |
$181 |
$1,304 |
$332 |
$39 | |
| Cardioversion |
$508 |
$1,733 |
$767 |
$155 | |
| Carotid artery ultrasound |
$304 |
$1,485 |
$267 |
$156 | |
| Carpal tunnel release |
— |
— |
$1,914 |
$483 | |
| Celiac disease test |
$6 |
$35 |
$16 |
$12 | |
| Central line placement |
$1,091 |
$3,938 |
$3,355 |
$238 | |
| Cervical LEEP procedure |
— |
— |
$1,914 |
$325 | |
| Cesarean section (C-section) |
$11,151 |
— |
$9,839 |
$7,552 | |
| Chemotherapy infusion |
$78 |
$446 |
$175 |
$81 | |
| Chemotherapy infusion (each additional) |
$29 |
$166 |
$76 |
$28 | |
| Chemotherapy infusion (first hour) |
$127 |
$725 |
$354 |
$133 | |
| Chest fluid drain (thoracentesis) |
$625 |
$2,255 |
$1,218 |
$311 | |
| Chest tube insertion |
$577 |
$2,084 |
$1,019 |
$143 | |
| Chest X-ray |
$71 |
$347 |
$113 |
$37 | |
| Chest X-ray (1 view) |
$56 |
$272 |
$94 |
$25 | |
| Chest X-ray (2 views) |
$67 |
$328 |
$94 |
$33 | |
| Circumcision |
$139 |
$564 |
$2,183 |
$167 | |
| Clotting time test (PTT) |
$32 |
$151 |
$8 |
$6 | |
| Colonoscopy |
— |
— |
$1,914 |
$480 | |
| Complete blood count (CBC) |
$35 |
$165 |
$10 |
$7 | |
| Complete blood count (CBC) (complete) |
$40 |
$189 |
$11 |
$8 | |
| Complex wound repair |
— |
— |
$2,191 |
$390 | |
| Comprehensive metabolic panel |
$89 |
$789 |
$14 |
$11 | |
| Contraceptive implant (Nexplanon) |
$191 |
$691 |
$425 |
$115 | |
| Copper blood test |
$7 |
$63 |
$17 |
$12 | |
| Coronary artery bypass (CABG) |
$57,714 |
— |
$53,196 |
$36,593 | |
| Coronary CT angiography |
$374 |
$2,509 |
$514 |
$326 | |
| COVID-19 PCR test |
$32 |
$154 |
$69 |
$51 | |
| CPAP titration study |
$267 |
$1,451 |
$228 |
$69 | |
| Creatine kinase (CK) test |
$24 |
$210 |
$9 |
$7 | |
| CT angiography of the chest |
$610 |
$3,698 |
$258 |
$281 | |
| CT angiography of the head |
$351 |
$2,561 |
$258 |
$274 | |
| CT colonography (virtual colonoscopy) |
$558 |
$3,746 |
$386 |
$835 | |
| CT scan of the abdomen |
$367 |
$2,225 |
$209 |
$230 | |
| CT scan of the abdomen and pelvis |
$523 |
$3,167 |
$419 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$627 |
$3,800 |
$514 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$523 |
$3,167 |
$514 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$418 |
$2,533 |
$332 |
$183 | |
| CT scan of the abdomen with and without contrast |
$441 |
$2,670 |
$258 |
$259 | |
| CT scan of the abdomen with contrast |
$367 |
$2,225 |
$258 |
$230 | |
| CT scan of the abdomen without contrast |
$294 |
$1,780 |
$154 |
$136 | |
| CT scan of the arm |
$355 |
$2,153 |
$835 |
$199 | |
| CT scan of the arm with contrast |
$355 |
$2,153 |
$969 |
$199 | |
| CT scan of the arm without contrast |
$284 |
$1,722 |
$689 |
$161 | |
| CT scan of the chest |
$484 |
$2,934 |
$209 |
$167 | |
| CT scan of the chest with and without contrast |
$581 |
$3,521 |
$258 |
$196 | |
| CT scan of the chest with contrast |
$484 |
$2,934 |
$256 |
$167 | |
| CT scan of the chest without contrast |
$387 |
$2,347 |
$154 |
$133 | |
| CT scan of the head |
$279 |
$2,033 |
$209 |
$148 | |
| CT scan of the head with and without contrast |
$334 |
$2,439 |
$256 |
$173 | |
| CT scan of the head with contrast |
$279 |
$2,033 |
$256 |
$148 | |
| CT scan of the head without contrast |
$223 |
$1,626 |
$153 |
$107 | |
| CT scan of the leg |
$337 |
$2,040 |
$754 |
$166 | |
| CT scan of the leg with contrast |
$337 |
$2,040 |
$865 |
$166 | |
| CT scan of the leg without contrast |
$269 |
$1,632 |
$653 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$535 |
$3,242 |
$381 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$642 |
$3,890 |
$258 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$535 |
$3,242 |
$419 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$428 |
$2,593 |
$154 |
$130 | |
| CT scan of the neck |
$254 |
$1,857 |
$209 |
$183 | |
| CT scan of the neck (cervical spine) |
$545 |
$3,303 |
$381 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$654 |
$3,963 |
$258 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$545 |
$3,303 |
$419 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$436 |
$2,642 |
$154 |
$131 | |
| CT scan of the neck with and without contrast |
$305 |
$2,228 |
$258 |
$220 | |
| CT scan of the neck with contrast |
$254 |
$1,857 |
$258 |
$183 | |
| CT scan of the neck without contrast |
$203 |
$1,485 |
$154 |
$150 | |
| CT scan of the pelvis |
$404 |
$2,447 |
$209 |
$226 | |
| CT scan of the pelvis with and without contrast |
$484 |
$2,936 |
$258 |
$251 | |
| CT scan of the pelvis with contrast |
$404 |
$2,447 |
$258 |
$226 | |
| CT scan of the pelvis without contrast |
$323 |
$1,957 |
$154 |
$133 | |
| CT scan of the sinuses |
$261 |
$1,904 |
$209 |
$152 | |
| CT scan of the sinuses with and without contrast |
$313 |
$2,285 |
$258 |
$184 | |
| CT scan of the sinuses with contrast |
$261 |
$1,904 |
$256 |
$152 | |
| CT scan of the sinuses without contrast |
$209 |
$1,523 |
$154 |
$128 | |
| D-dimer test |
$68 |
$320 |
$14 |
$10 | |
| Defibrillator (ICD) implant |
$6,092 |
$21,991 |
$34,172 |
$798 | |
| Dilation and curettage (D&C) |
— |
— |
$1,914 |
$298 | |
| Drug screen (urine) |
$14 |
$126 |
$68 |
$17 | |
| Echocardiogram |
$244 |
$1,384 |
$417 |
$138 | |
| Echocardiogram with and without contrast |
$182 |
$1,033 |
$283 |
$101 | |
| Echocardiogram without contrast |
$244 |
$1,384 |
$292 |
$138 | |
| EKG / ECG (tracing only) |
$90 |
$459 |
$63 |
$7 | |
| Electrocardiogram (EKG) |
$90 |
$459 |
$63 |
$8 | |
| Electroencephalogram (EEG) |
$225 |
$1,230 |
$538 |
$448 | |
| Electrolyte panel |
$25 |
$223 |
$10 |
$7 | |
| Electromyography (EMG) |
$152 |
$619 |
$150 |
$141 | |
| Emergency department visit |
$731 |
$1,669 |
$454 |
$69 | |
| Emergency department visit (level 1) |
$398 |
$657 |
$103 |
$11 | |
| Emergency department visit (level 2) |
$471 |
$1,163 |
$186 |
$40 | |
| Emergency department visit (level 3) |
$731 |
$1,669 |
$325 |
$69 | |
| Emergency department visit (level 4) |
$1,134 |
$2,175 |
$499 |
$118 | |
| Emergency department visit (level 5) |
$1,421 |
$2,675 |
$719 |
$171 | |
| Endometrial biopsy |
— |
— |
$260 |
$98 | |
| Facet joint injection (spine) |
$615 |
$2,222 |
$1,170 |
$99 | |
| Fallopian tube X-ray (HSG) |
$125 |
$530 |
$258 |
$164 | |
| Fecal occult blood (stool) test |
$4 |
$38 |
$16 |
$10 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$7 |
$62 |
$22 |
$16 | |
| Feeding tube (PEG) placement |
— |
— |
$1,914 |
$178 | |
| Ferritin (iron) test |
$25 |
$222 |
$19 |
$14 | |
| Fibrinogen test |
$45 |
$214 |
$13 |
$10 | |
| Flexible sigmoidoscopy |
— |
— |
$1,429 |
$323 | |
| Flu test |
$10 |
$50 |
$22 |
$17 | |
| Foreign body removal (skin) |
$267 |
$593 |
$426 |
$157 | |
| Free T4 thyroid test |
$24 |
$212 |
$12 |
$9 | |
| Gallbladder removal (laparoscopic) |
— |
— |
$5,939 |
$658 | |
| Gallbladder scan (HIDA) |
$322 |
$1,636 |
$615 |
$334 | |
| Ganglion cyst removal |
— |
— |
$2,191 |
$321 | |
| H. pylori test |
$23 |
$203 |
$91 |
$67 | |
| Hammertoe repair |
— |
— |
$2,191 |
$548 | |
| HDL cholesterol test |
$14 |
$123 |
$11 |
$8 | |
| Hemodialysis |
$450 |
$2,215 |
$746 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$20 |
$177 |
$13 |
$10 | |
| Hepatitis B test |
$28 |
$134 |
$14 |
$10 | |
| Hepatitis C test |
$31 |
$185 |
$19 |
$14 | |
| Hip replacement |
— |
— |
$12,170 |
$1,162 | |
| HIV test |
$13 |
$65 |
$24 |
$19 | |
| HIV test (antigen/antibody combo) |
$18 |
$87 |
$33 |
$24 | |
| Holter heart monitor |
$104 |
$425 |
$144 |
$26 | |
| Hydrocele repair |
— |
— |
$2,308 |
$315 | |
| Hysterectomy |
— |
— |
$3,305 |
$933 | |
| Hysteroscopy |
— |
— |
$2,191 |
$1,270 | |
| Inguinal hernia repair |
— |
— |
$2,706 |
$538 | |
| IUD insertion |
— |
— |
$1,753 |
— | |
| IUD removal |
$103 |
$476 |
$324 |
$112 | |
| IV infusion therapy |
$119 |
$443 |
$174 |
$44 | |
| IV infusion therapy (each additional) |
$63 |
$232 |
$67 |
$21 | |
| IV infusion therapy (initial) |
$176 |
$653 |
$247 |
$67 | |
| IVC filter placement |
$1,909 |
$6,893 |
$5,762 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$208 |
$751 |
$344 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$212 |
$765 |
$357 |
$57 | |
| Joint aspiration or injection (small joint) |
$204 |
$737 |
$344 |
$56 | |
| Kidney biopsy |
$964 |
$3,480 |
$1,429 |
$492 | |
| Kidney scan (nuclear) |
$344 |
$1,745 |
$574 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
— |
— |
$7,196 |
$760 | |
| Kidney ultrasound |
$152 |
$559 |
$120 |
$84 | |
| Kidney ultrasound (limited) |
$120 |
$438 |
$113 |
$61 | |
| Knee arthroscopy |
— |
— |
$2,706 |
$524 | |
| Knee joint injection |
$614 |
$933 |
$435 |
$69 | |
| Knee replacement |
$30,317 |
— |
$29,551 |
$18,054 | |
| Lactate test |
$17 |
$153 |
$16 |
$12 | |
| Laryngoscopy |
$128 |
$463 |
$219 |
$189 | |
| LDH test |
$19 |
$167 |
$8 |
$6 | |
| Leg artery angiogram |
$1,705 |
$8,119 |
$3,654 |
$149 | |
| Leg artery angioplasty |
$6,249 |
$22,559 |
$7,281 |
— | |
| Leg vein ultrasound (Doppler) |
$345 |
$1,685 |
$264 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$264 |
$1,290 |
$154 |
$116 | |
| Lipase test |
$28 |
$249 |
$9 |
$7 | |
| Lipid (cholesterol) panel |
$35 |
$309 |
$18 |
$13 | |
| Liver biopsy |
$644 |
$2,325 |
$1,727 |
$288 | |
| Liver function panel |
$32 |
$287 |
$11 |
$8 | |
| Lumpectomy (breast) |
— |
— |
$3,467 |
$750 | |
| Lung function test (PFT) |
$68 |
$575 |
$245 |
$37 | |
| Lung scan (V/Q) |
$365 |
$1,855 |
$649 |
$291 | |
| Magnesium blood test |
$15 |
$132 |
$9 |
$7 | |
| Mastectomy |
— |
— |
$4,012 |
$1,021 | |
| Meniscus repair (knee) |
— |
— |
$2,191 |
$714 | |
| MRA of the brain |
$312 |
$2,715 |
$419 |
$226 | |
| MRA of the brain with contrast |
$312 |
$2,715 |
$514 |
$226 | |
| MRA of the brain without contrast |
$375 |
$3,258 |
$514 |
$328 | |
| MRA of the neck |
$257 |
$2,239 |
$419 |
$245 | |
| MRA of the neck with contrast |
$257 |
$2,239 |
$514 |
$245 | |
| MRA of the neck without contrast |
$309 |
$2,687 |
$514 |
$343 | |
| MRI of the abdomen |
$522 |
$2,638 |
$419 |
$300 | |
| MRI of the abdomen with contrast |
$522 |
$2,638 |
$514 |
$300 | |
| MRI of the abdomen without contrast |
$418 |
$2,110 |
$348 |
$194 | |
| MRI of the ankle |
$517 |
$2,609 |
$1,041 |
$261 | |
| MRI of the ankle with contrast |
$517 |
$2,609 |
$1,174 |
$261 | |
| MRI of the ankle without contrast |
$413 |
$2,087 |
$939 |
$222 | |
| MRI of the brain |
$433 |
$3,030 |
$419 |
$269 | |
| MRI of the brain with contrast |
$433 |
$3,030 |
$514 |
$269 | |
| MRI of the brain without contrast |
$347 |
$2,424 |
$348 |
$195 | |
| MRI of the chest |
$423 |
$2,135 |
$842 |
$371 | |
| MRI of the chest with contrast |
$423 |
$2,135 |
$926 |
$371 | |
| MRI of the chest without contrast |
$507 |
$2,562 |
$518 |
$466 | |
| MRI of the knee |
$589 |
$2,974 |
$1,165 |
$315 | |
| MRI of the knee with contrast |
$589 |
$2,974 |
$1,093 |
$315 | |
| MRI of the knee without contrast |
$471 |
$2,379 |
$1,071 |
$204 | |
| MRI of the lower back (lumbar spine) |
$399 |
$3,022 |
$419 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$399 |
$3,022 |
$514 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$319 |
$2,417 |
$348 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$397 |
$3,005 |
$419 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$476 |
$3,606 |
$514 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$397 |
$3,005 |
$514 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$317 |
$2,404 |
$348 |
$190 | |
| MRI of the neck (cervical spine) |
$398 |
$3,013 |
$419 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$477 |
$3,615 |
$514 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$398 |
$3,013 |
$514 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$318 |
$2,410 |
$348 |
$191 | |
| MRI of the pelvis |
$492 |
$2,483 |
$419 |
$268 | |
| MRI of the pelvis with contrast |
$492 |
$2,483 |
$514 |
$268 | |
| MRI of the pelvis without contrast |
$393 |
$1,986 |
$348 |
$227 | |
| MRI of the shoulder |
$603 |
$3,045 |
$1,096 |
$313 | |
| MRI of the shoulder with contrast |
$603 |
$3,045 |
$1,370 |
$313 | |
| MRI of the shoulder without contrast |
$482 |
$2,436 |
$948 |
$205 | |
| MRI of the wrist |
$409 |
$2,068 |
$948 |
$330 | |
| MRI of the wrist with contrast |
$409 |
$2,068 |
$955 |
$330 | |
| MRI of the wrist without contrast |
$327 |
$1,654 |
$825 |
$303 | |
| Nerve conduction study |
$115 |
$467 |
$233 |
$118 | |
| Nuclear cardiac stress test |
$845 |
$4,291 |
$1,476 |
$428 | |
| Occupational therapy evaluation |
$101 |
$417 |
$221 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$127 |
$522 |
$241 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$76 |
$314 |
$157 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$101 |
$417 |
$209 |
$101 | |
| Office visit (established patient) |
$1,016 |
$1,875 |
$158 |
$115 | |
| Office visit (new patient) |
$1,442 |
$2,660 |
$198 |
$177 | |
| Office visit, established patient (level 3) |
$799 |
$1,475 |
$144 |
$95 | |
| Office visit, established patient (level 4) |
$1,233 |
$2,275 |
$194 |
$136 | |
| Office visit, new patient (level 3) |
$1,198 |
$2,210 |
$169 |
$118 | |
| Office visit, new patient (level 4) |
$1,442 |
$2,660 |
$216 |
$177 | |
| Office visit, new patient (level 5) |
$1,930 |
$3,560 |
$266 |
$237 | |
| Orthopedic hardware removal |
— |
— |
$2,191 |
$632 | |
| Ovarian cyst removal |
— |
— |
$2,921 |
$698 | |
| Pacemaker insertion |
$26,501 |
— |
$30,608 |
$15,506 | |
| Pap smear (cervical screening) |
$24 |
$135 |
$30 |
$20 | |
| Parathyroid removal |
— |
— |
$4,271 |
$891 | |
| Pelvic ultrasound |
$195 |
$714 |
$120 |
$78 | |
| Pelvic ultrasound (complete) |
$211 |
$774 |
$136 |
$105 | |
| Pelvic ultrasound (limited) |
$179 |
$654 |
$113 |
$51 | |
| PET scan |
$1,735 |
$7,060 |
$3,062 |
— | |
| Phosphorus blood test |
$14 |
$121 |
$6 |
$5 | |
| Physical therapy evaluation |
$97 |
$417 |
$221 |
$98 | |
| Physical therapy evaluation (high complexity) |
$122 |
$522 |
$248 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$97 |
$417 |
$209 |
$98 | |
| Pilonidal cyst removal |
— |
— |
$2,191 |
$541 | |
| Pregnancy blood test (hCG) |
$28 |
$250 |
$10 |
$8 | |
| Pregnancy ultrasound |
$171 |
$627 |
$139 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$146 |
$535 |
$139 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$196 |
$718 |
$139 |
$136 | |
| Procalcitonin test |
$23 |
$206 |
$37 |
$27 | |
| Prostate biopsy |
$446 |
$1,611 |
$2,183 |
— | |
| Prostate removal (prostatectomy) |
— |
— |
$6,458 |
$1,063 | |
| Prostate surgery (TURP) |
— |
— |
$3,200 |
$526 | |
| Rheumatoid factor test |
$12 |
$70 |
$8 |
$6 | |
| Rotator cuff repair |
— |
— |
$4,542 |
$792 | |
| Sacroiliac joint injection |
$373 |
$1,346 |
$449 |
$176 | |
| Scoliosis spine X-ray |
$102 |
$475 |
$116 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$77 |
$360 |
$95 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$127 |
$590 |
$130 |
$72 | |
| Scrotal ultrasound |
$195 |
$714 |
$132 |
$99 | |
| Shoulder arthroscopy |
— |
— |
$2,921 |
$962 | |
| Shoulder replacement |
— |
— |
$8,928 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$215 |
$478 |
$215 |
$114 | |
| Simple wound stitches |
$229 |
$510 |
$222 |
$127 | |
| Skin biopsy |
$330 |
$733 |
$362 |
$121 | |
| Skin biopsy (punch) |
$330 |
$733 |
$426 |
$121 | |
| Skin cancer lesion removal |
— |
— |
$1,429 |
$240 | |
| Skin graft |
$1,638 |
$3,640 |
$1,950 |
$898 | |
| Skin lesion freezing (cryotherapy) |
— |
— |
$738 |
$36 | |
| Skin tag removal |
$148 |
$328 |
$212 |
$92 | |
| Soft tissue ultrasound |
$92 |
$337 |
$113 |
$64 | |
| Speech therapy |
$30 |
$391 |
$176 |
$76 | |
| Spinal tap (lumbar puncture) |
$350 |
$1,263 |
$738 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$2,516 |
$9,085 |
$7,614 |
$5,803 | |
| Spirometry (lung function test) |
$60 |
$508 |
$175 |
$30 | |
| Spirometry with bronchodilator |
$76 |
$642 |
$332 |
$43 | |
| Strep throat test |
$10 |
$50 |
$22 |
$17 | |
| Stress echocardiogram |
$345 |
$1,963 |
$584 |
$209 | |
| Swallow study |
$73 |
$423 |
$212 |
$85 | |
| Testicle removal (orchiectomy) |
— |
— |
$2,230 |
$306 | |
| Thyroid removal (thyroidectomy) |
— |
— |
$4,271 |
$1,004 | |
| Thyroid test (TSH) |
$37 |
$328 |
$23 |
$17 | |
| Thyroid ultrasound |
$161 |
$591 |
$139 |
$109 | |
| Thyroid uptake scan |
$327 |
$1,658 |
$578 |
$145 | |
| Tilt table test |
$807 |
$2,755 |
$594 |
$168 | |
| Total protein test |
$6 |
$56 |
$5 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$441 |
$2,506 |
$643 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$441 |
$2,506 |
$643 |
$239 | |
| Transvaginal ultrasound |
$186 |
$682 |
$124 |
$118 | |
| Trigger finger release |
— |
— |
$1,914 |
$630 | |
| Triglycerides test |
$16 |
$145 |
$8 |
$6 | |
| Troponin (heart) test |
$37 |
$331 |
$17 |
$12 | |
| Tubal ligation |
— |
— |
$2,921 |
$333 | |
| Turning a breech baby (version) |
$478 |
$1,945 |
$1,906 |
$94 | |
| Ulnar nerve surgery (elbow) |
— |
— |
$1,914 |
$575 | |
| Upper GI endoscopy (EGD) |
— |
— |
$1,477 |
$371 | |
| Upper GI series (barium) |
$131 |
$611 |
$210 |
$128 | |
| Ureteral stent placement |
— |
— |
$2,230 |
$373 | |
| Ureteroscopy (stone removal) |
— |
— |
$3,241 |
$365 | |
| Uric acid (gout) test |
$16 |
$140 |
$6 |
$5 | |
| Urinalysis |
$22 |
$98 |
$3 |
$3 | |
| Urine pregnancy test |
$13 |
$58 |
$12 |
$9 | |
| Vaccine administration |
$7 |
$94 |
$55 |
$19 | |
| Vaccine administration (each additional) |
$4 |
$61 |
$27 |
$16 | |
| Vaginal delivery |
$8,690 |
— |
$6,934 |
$5,487 | |
| Vitamin B12 test |
$19 |
$164 |
$21 |
$15 | |
| Weight-loss (bariatric) surgery |
$18,870 |
— |
$20,299 |
$11,645 | |
| Wound debridement |
$888 |
$1,974 |
$639 |
$186 | |
| Wrist fracture repair |
— |
— |
$4,103 |
$735 | |
| X-ray of the abdomen |
$116 |
$539 |
$113 |
$36 | |
| X-ray of the ankle |
$80 |
$373 |
$168 |
$37 | |
| X-ray of the collarbone |
$69 |
$320 |
$144 |
$33 | |
| X-ray of the elbow |
$79 |
$368 |
$166 |
$33 | |
| X-ray of the facial bones |
$72 |
$335 |
$113 |
$39 | |
| X-ray of the foot |
$79 |
$368 |
$166 |
$34 | |
| X-ray of the forearm |
$70 |
$325 |
$146 |
$29 | |
| X-ray of the hand |
$77 |
$360 |
$162 |
$38 | |
| X-ray of the hip |
$62 |
$289 |
$124 |
$49 | |
| X-ray of the hip (1 view) |
$56 |
$261 |
$117 |
$34 | |
| X-ray of the hip (3 views) |
$68 |
$317 |
$143 |
$49 | |
| X-ray of the knee |
$86 |
$400 |
$170 |
$42 | |
| X-ray of the knee (2 views) |
$73 |
$340 |
$153 |
$34 | |
| X-ray of the knee (3 views) |
$86 |
$400 |
$180 |
$42 | |
| X-ray of the knee (4+ views) |
$96 |
$448 |
$202 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$101 |
$472 |
$120 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$95 |
$441 |
$113 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$108 |
$503 |
$124 |
$53 | |
| X-ray of the lower leg |
$68 |
$316 |
$142 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$81 |
$376 |
$113 |
$36 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$81 |
$376 |
$113 |
$39 | |
| X-ray of the neck (cervical spine) |
$83 |
$386 |
$113 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$80 |
$370 |
$94 |
$40 | |
| X-ray of the pelvis |
$86 |
$399 |
$113 |
$36 | |
| X-ray of the pelvis (1 view) |
$77 |
$356 |
$113 |
$28 | |
| X-ray of the ribs |
$71 |
$331 |
$120 |
$42 | |
| X-ray of the ribs (2 views) |
$62 |
$289 |
$130 |
$36 | |
| X-ray of the ribs (3 views) |
$71 |
$331 |
$113 |
$42 | |
| X-ray of the shoulder |
$83 |
$388 |
$175 |
$36 | |
| X-ray of the skull |
$83 |
$384 |
$113 |
$40 | |
| X-ray of the upper arm |
$76 |
$352 |
$158 |
$32 | |
| X-ray of the wrist |
$76 |
$354 |
$159 |
$43 | |