| 3D mammogram (tomosynthesis) |
$48 |
$83 |
$71 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$632 |
$1,605 |
$1,355 |
$284 | |
| Abdominal ultrasound |
$267 |
$380 |
$275 |
$100 | |
| Abdominal ultrasound (complete) |
$291 |
$413 |
$277 |
$114 | |
| Abdominal ultrasound (limited) |
$244 |
$346 |
$273 |
$86 | |
| Abscess drainage (complex or multiple) |
$309 |
$785 |
$663 |
$220 | |
| Abscess drainage (simple) |
$183 |
$464 |
$357 |
$129 | |
| Abscess incision and drainage |
$183 |
$464 |
$414 |
$174 | |
| Achilles tendon repair |
— |
— |
$17,518 |
$624 | |
| ACL knee reconstruction |
— |
— |
$21,510 |
$889 | |
| Adenoid removal (adenoidectomy) |
— |
— |
$18,758 |
$204 | |
| Albumin blood test |
$3 |
$15 |
$12 |
$5 | |
| Aldosterone test |
$61 |
$270 |
$95 |
$41 | |
| Alpha-fetoprotein (AFP) test |
$12 |
$51 |
$34 |
$17 | |
| Ammonia blood test |
$10 |
$44 |
$34 |
$15 | |
| Amniocentesis |
$471 |
$1,195 |
$1,009 |
$120 | |
| Ankle fracture repair |
— |
— |
$30,634 |
$608 | |
| Ankle replacement |
— |
— |
$26,086 |
$885 | |
| Anoscopy |
— |
— |
$6,279 |
$129 | |
| Antinuclear antibody (ANA) test |
$10 |
$53 |
$29 |
$12 | |
| Arterial blood gas (ABG) |
$18 |
$79 |
$52 |
$26 | |
| Barium swallow study |
$189 |
$362 |
$215 |
$107 | |
| Bladder scope (cystoscopy) |
— |
— |
$6,279 |
$216 | |
| Blood clotting test (PT/INR) |
$5 |
$51 |
$9 |
$4 | |
| Blood crossmatch |
$133 |
$344 |
$256 |
— | |
| Blood transfusion |
$286 |
$662 |
$563 |
$47 | |
| Blood type and screen |
$42 |
$108 |
$46 |
$10 | |
| Blood type test |
$65 |
$170 |
$32 |
$3 | |
| Blood type test (ABO group) |
$100 |
$260 |
$107 |
$3 | |
| Blood type test (Rh/D antigen) |
$30 |
$79 |
$32 |
$3 | |
| BNP (heart failure) test |
$27 |
$118 |
$79 |
$39 | |
| Bone density scan (DEXA) |
$150 |
$287 |
$168 |
$39 | |
| Bone marrow biopsy |
$736 |
$1,869 |
$1,628 |
$172 | |
| Bone scan (nuclear) |
$1,513 |
$2,777 |
$1,340 |
$259 | |
| Breast biopsy |
$928 |
$2,356 |
$2,003 |
$478 | |
| Breast MRI |
$596 |
$1,576 |
$955 |
$216 | |
| Breast MRI without contrast |
$596 |
$1,576 |
$867 |
$216 | |
| Breast reconstruction |
— |
— |
$31,664 |
$1,227 | |
| Breast reduction |
— |
— |
$30,733 |
$980 | |
| Breast ultrasound |
$337 |
$479 |
$305 |
$92 | |
| Breast ultrasound (complete) |
$379 |
$539 |
$323 |
$100 | |
| Breast ultrasound (limited) |
$295 |
$419 |
$264 |
$84 | |
| Bunion surgery (bunionectomy) |
— |
— |
$22,491 |
$883 | |
| CA 19-9 tumor marker test |
$12 |
$63 |
$42 |
$21 | |
| CA-125 ovarian marker test |
$12 |
$63 |
$42 |
$21 | |
| Cardiac ablation |
$10,282 |
$34,619 |
$27,579 |
$759 | |
| Cardiac catheterization |
$9,075 |
$14,180 |
$9,926 |
$1,049 | |
| Cardiac MRI |
$667 |
$1,764 |
$884 |
$322 | |
| Cardiac MRI without contrast |
$533 |
$1,411 |
$867 |
$280 | |
| Cardiac stress test |
$475 |
$741 |
$583 |
$39 | |
| Cardioversion |
$493 |
$1,661 |
$1,175 |
$155 | |
| Carotid artery ultrasound |
$403 |
$1,174 |
$639 |
$156 | |
| Carpal tunnel release |
— |
— |
$10,954 |
$483 | |
| CEA tumor marker test |
$13 |
$57 |
$42 |
$19 | |
| Celiac disease test |
$6 |
$35 |
$25 |
$12 | |
| Central line placement |
$1,247 |
$3,164 |
$3,163 |
$238 | |
| Cervical LEEP procedure |
— |
— |
$10,954 |
$325 | |
| Cesarean section (C-section) |
$10,892 |
— |
$10,261 |
$7,552 | |
| Chemotherapy infusion |
$170 |
$383 |
$291 |
$81 | |
| Chemotherapy infusion (each additional) |
$60 |
$135 |
$112 |
$28 | |
| Chemotherapy infusion (first hour) |
$281 |
$630 |
$520 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,568 |
$3,980 |
$2,321 |
$311 | |
| Chest X-ray |
$121 |
$216 |
$152 |
$37 | |
| Chest X-ray (1 view) |
$106 |
$188 |
$139 |
$25 | |
| Chest X-ray (2 views) |
$107 |
$191 |
$150 |
$33 | |
| Circumcision |
$219 |
$492 |
$1,997 |
$167 | |
| Colonoscopy |
— |
— |
$10,954 |
$480 | |
| Complex wound repair |
— |
— |
$13,241 |
$390 | |
| Contraceptive implant (Nexplanon) |
— |
— |
$6,279 |
$115 | |
| Copper blood test |
$14 |
$63 |
$33 |
$12 | |
| Coronary artery bypass (CABG) |
$56,373 |
— |
$45,522 |
$36,593 | |
| Coronary CT angiography |
$898 |
$1,316 |
$700 |
$326 | |
| Cortisol test |
$13 |
$58 |
$40 |
$16 | |
| COVID-19 PCR test |
$22 |
$154 |
$103 |
$51 | |
| CPAP titration study |
$219 |
$813 |
$488 |
$69 | |
| CT angiography of the chest |
$562 |
$1,446 |
$605 |
$281 | |
| CT angiography of the head |
$593 |
$1,774 |
$690 |
$274 | |
| CT scan of the abdomen |
$363 |
$933 |
$605 |
$230 | |
| CT scan of the abdomen and pelvis |
$526 |
$1,352 |
$690 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$631 |
$1,622 |
$700 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$526 |
$1,352 |
$700 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$421 |
$1,081 |
$619 |
$183 | |
| CT scan of the abdomen with and without contrast |
$435 |
$1,119 |
$605 |
$259 | |
| CT scan of the abdomen with contrast |
$363 |
$933 |
$605 |
$230 | |
| CT scan of the abdomen without contrast |
$290 |
$746 |
$522 |
$136 | |
| CT scan of the arm |
$445 |
$1,145 |
$843 |
$199 | |
| CT scan of the arm with contrast |
$445 |
$1,145 |
$956 |
$199 | |
| CT scan of the arm without contrast |
$356 |
$916 |
$773 |
$161 | |
| CT scan of the chest |
$447 |
$1,148 |
$605 |
$167 | |
| CT scan of the chest with and without contrast |
$536 |
$1,377 |
$605 |
$196 | |
| CT scan of the chest with contrast |
$447 |
$1,148 |
$605 |
$167 | |
| CT scan of the chest without contrast |
$357 |
$918 |
$605 |
$133 | |
| CT scan of the head |
$470 |
$1,408 |
$605 |
$148 | |
| CT scan of the head with and without contrast |
$564 |
$1,689 |
$690 |
$173 | |
| CT scan of the head with contrast |
$470 |
$1,408 |
$605 |
$148 | |
| CT scan of the head without contrast |
$376 |
$1,126 |
$605 |
$107 | |
| CT scan of the leg |
$431 |
$1,108 |
$815 |
$166 | |
| CT scan of the leg with contrast |
$431 |
$1,108 |
$929 |
$166 | |
| CT scan of the leg without contrast |
$345 |
$886 |
$748 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$445 |
$1,145 |
$641 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$534 |
$1,374 |
$605 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$445 |
$1,145 |
$700 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$356 |
$916 |
$605 |
$130 | |
| CT scan of the neck |
$392 |
$1,175 |
$605 |
$183 | |
| CT scan of the neck (cervical spine) |
$557 |
$1,432 |
$690 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$668 |
$1,718 |
$690 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$557 |
$1,432 |
$700 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$445 |
$1,145 |
$605 |
$131 | |
| CT scan of the neck with and without contrast |
$471 |
$1,410 |
$605 |
$220 | |
| CT scan of the neck with contrast |
$392 |
$1,175 |
$605 |
$183 | |
| CT scan of the neck without contrast |
$314 |
$940 |
$605 |
$150 | |
| CT scan of the pelvis |
$496 |
$1,275 |
$605 |
$226 | |
| CT scan of the pelvis with and without contrast |
$595 |
$1,530 |
$627 |
$251 | |
| CT scan of the pelvis with contrast |
$496 |
$1,275 |
$605 |
$226 | |
| CT scan of the pelvis without contrast |
$397 |
$1,020 |
$605 |
$133 | |
| CT scan of the sinuses |
$382 |
$1,145 |
$605 |
$152 | |
| CT scan of the sinuses with and without contrast |
$459 |
$1,374 |
$605 |
$184 | |
| CT scan of the sinuses with contrast |
$382 |
$1,145 |
$605 |
$152 | |
| CT scan of the sinuses without contrast |
$306 |
$916 |
$605 |
$128 | |
| Defibrillator (ICD) implant |
$11,620 |
$29,493 |
$32,221 |
$798 | |
| DHEA-sulfate test |
$15 |
$67 |
$44 |
$22 | |
| Diagnostic mammogram |
$293 |
$507 |
$291 |
$140 | |
| Dilation and curettage (D&C) |
— |
— |
$10,954 |
$298 | |
| Drug screen (urine) |
$12 |
$52 |
$97 |
$17 | |
| Ear tubes (myringotomy) |
— |
— |
$15,238 |
$174 | |
| Echocardiogram |
$526 |
$1,328 |
$625 |
$138 | |
| Echocardiogram with and without contrast |
$291 |
$735 |
$583 |
$101 | |
| EEG (awake and asleep) |
$992 |
$1,758 |
$798 |
$482 | |
| EKG / ECG (tracing only) |
$86 |
$288 |
$152 |
$7 | |
| Electrocardiogram (EKG) |
$86 |
$288 |
$152 |
$8 | |
| Electroencephalogram (EEG) |
$917 |
$1,626 |
$798 |
$448 | |
| Electromyography (EMG) |
$280 |
$629 |
$338 |
$141 | |
| Emergency department visit |
$1,074 |
$1,669 |
$635 |
$69 | |
| Emergency department visit (level 1) |
$353 |
$616 |
$325 |
$11 | |
| Emergency department visit (level 2) |
$525 |
$1,163 |
$588 |
$40 | |
| Emergency department visit (level 3) |
$1,074 |
$1,669 |
$1,168 |
$69 | |
| Emergency department visit (level 4) |
$2,127 |
$2,175 |
$1,523 |
$118 | |
| Emergency department visit (level 5) |
$2,245 |
$2,675 |
$2,228 |
$171 | |
| Endometrial biopsy |
— |
— |
$6,279 |
$98 | |
| Epidural steroid injection |
$1,012 |
$2,568 |
$1,670 |
$275 | |
| Estradiol (estrogen) test |
$19 |
$84 |
$56 |
$28 | |
| Facet joint injection (spine) |
$601 |
$1,526 |
$1,068 |
$99 | |
| Fallopian tube X-ray (HSG) |
$410 |
$852 |
$453 |
$164 | |
| Fecal occult blood (stool) test |
$9 |
$38 |
$16 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$3 |
$14 |
$9 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$14 |
$62 |
$37 |
$16 | |
| Feeding tube (PEG) placement |
— |
— |
$10,954 |
$178 | |
| Ferritin (iron) test |
$14 |
$60 |
$35 |
$14 | |
| Fibroid removal (myomectomy) |
— |
— |
$30,009 |
$914 | |
| Flexible sigmoidoscopy |
— |
— |
$6,279 |
$323 | |
| Flu test |
$7 |
$50 |
$33 |
$17 | |
| Folate (folic acid) test |
$10 |
$45 |
$29 |
$15 | |
| FSH hormone test |
$13 |
$56 |
$37 |
$19 | |
| Gallbladder removal (laparoscopic) |
— |
— |
$27,672 |
$658 | |
| Gallbladder scan (HIDA) |
$1,780 |
$3,266 |
$1,459 |
$334 | |
| Ganglion cyst removal |
— |
— |
$15,238 |
$321 | |
| GGT liver test |
$5 |
$22 |
$17 |
$7 | |
| H. pylori test |
$46 |
$203 |
$135 |
$67 | |
| Hammertoe repair |
— |
— |
$17,518 |
$548 | |
| HDL cholesterol test |
$6 |
$25 |
$16 |
$8 | |
| Hemodialysis |
$987 |
$2,215 |
$1,293 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$7 |
$30 |
$19 |
$10 | |
| Hip arthroscopy |
— |
— |
$34,154 |
$931 | |
| Hip replacement |
— |
— |
$47,186 |
$1,162 | |
| HIV test |
$10 |
$65 |
$35 |
$19 | |
| HIV test (antigen/antibody combo) |
$13 |
$87 |
$52 |
$24 | |
| Holter heart monitor |
$226 |
$505 |
$198 |
$26 | |
| Hysterectomy |
— |
— |
$41,483 |
$933 | |
| Hysteroscopy |
— |
— |
$15,238 |
$1,270 | |
| Inguinal hernia repair |
— |
— |
$21,038 |
$538 | |
| IUD insertion |
— |
— |
$6,279 |
— | |
| IUD removal |
$285 |
$553 |
$467 |
$112 | |
| IV infusion therapy |
$193 |
$313 |
$205 |
$44 | |
| IV infusion therapy (each additional) |
$79 |
$127 |
$89 |
$21 | |
| IV infusion therapy (initial) |
$308 |
$498 |
$370 |
$67 | |
| IVC filter placement |
$2,946 |
$7,476 |
$6,313 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$360 |
$913 |
$540 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$365 |
$926 |
$555 |
$57 | |
| Joint aspiration or injection (small joint) |
$355 |
$900 |
$540 |
$56 | |
| Kidney biopsy |
$1,392 |
$3,534 |
$2,120 |
$492 | |
| Kidney scan (nuclear) |
$821 |
$1,506 |
$967 |
$172 | |
| Kidney ultrasound |
$209 |
$297 |
$181 |
$84 | |
| Kidney ultrasound (limited) |
$146 |
$207 |
$175 |
$61 | |
| Knee arthroscopy |
— |
— |
$25,030 |
$524 | |
| Knee joint injection |
$451 |
$1,145 |
$687 |
$69 | |
| Knee replacement |
$29,612 |
— |
$26,229 |
$18,054 | |
| Laminectomy (spine) |
— |
— |
$35,085 |
$1,157 | |
| Laryngoscopy |
$182 |
$463 |
$349 |
$189 | |
| LDL cholesterol test |
$7 |
$32 |
$24 |
$11 | |
| Leg artery angiogram |
$2,020 |
$4,534 |
$3,803 |
$149 | |
| Leg artery angioplasty |
$9,943 |
$25,235 |
$14,669 |
— | |
| Leg vein ultrasound (Doppler) |
$327 |
$953 |
$572 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$323 |
$943 |
$507 |
$116 | |
| LH hormone test |
$13 |
$58 |
$37 |
$19 | |
| Lipid (cholesterol) panel |
$12 |
$54 |
$32 |
$13 | |
| Liver biopsy |
$928 |
$2,356 |
$1,989 |
$288 | |
| Lumbar discectomy |
— |
— |
$35,085 |
$898 | |
| Lumpectomy (breast) |
— |
— |
$17,518 |
$750 | |
| Lung function test (PFT) |
$151 |
$504 |
$351 |
$37 | |
| Lung scan (V/Q) |
$1,685 |
$3,091 |
$1,503 |
$291 | |
| Mastectomy |
— |
— |
$31,664 |
$1,021 | |
| Meniscus repair (knee) |
— |
— |
$21,510 |
$714 | |
| MRA of the brain |
$416 |
$1,448 |
$867 |
$226 | |
| MRA of the brain with contrast |
$416 |
$1,448 |
$900 |
$226 | |
| MRA of the brain without contrast |
$499 |
$1,737 |
$900 |
$328 | |
| MRA of the neck |
$628 |
$2,187 |
$900 |
$245 | |
| MRA of the neck with contrast |
$628 |
$2,187 |
$900 |
$245 | |
| MRA of the neck without contrast |
$753 |
$2,624 |
$915 |
$343 | |
| MRI of the abdomen |
$491 |
$1,299 |
$867 |
$300 | |
| MRI of the abdomen with contrast |
$491 |
$1,299 |
$900 |
$300 | |
| MRI of the abdomen without contrast |
$393 |
$1,039 |
$727 |
$194 | |
| MRI of the ankle |
$547 |
$1,448 |
$1,110 |
$261 | |
| MRI of the ankle with contrast |
$547 |
$1,448 |
$1,223 |
$261 | |
| MRI of the ankle without contrast |
$438 |
$1,158 |
$984 |
$222 | |
| MRI of the brain |
$591 |
$1,907 |
$900 |
$269 | |
| MRI of the brain with contrast |
$591 |
$1,907 |
$900 |
$269 | |
| MRI of the brain without contrast |
$473 |
$1,525 |
$867 |
$195 | |
| MRI of the chest |
$978 |
$2,588 |
$987 |
$371 | |
| MRI of the chest with contrast |
$978 |
$2,588 |
$1,234 |
$371 | |
| MRI of the chest without contrast |
$1,174 |
$3,105 |
$915 |
$466 | |
| MRI of the knee |
$504 |
$1,334 |
$1,062 |
$315 | |
| MRI of the knee with contrast |
$504 |
$1,334 |
$1,126 |
$315 | |
| MRI of the knee without contrast |
$403 |
$1,067 |
$907 |
$204 | |
| MRI of the lower back (lumbar spine) |
$420 |
$1,334 |
$867 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$420 |
$1,334 |
$900 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$336 |
$1,067 |
$747 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$409 |
$1,298 |
$867 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$490 |
$1,557 |
$900 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$409 |
$1,298 |
$900 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$327 |
$1,038 |
$727 |
$190 | |
| MRI of the neck (cervical spine) |
$420 |
$1,334 |
$867 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$504 |
$1,601 |
$900 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$420 |
$1,334 |
$900 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$336 |
$1,067 |
$747 |
$191 | |
| MRI of the pelvis |
$504 |
$1,334 |
$867 |
$268 | |
| MRI of the pelvis with contrast |
$504 |
$1,334 |
$900 |
$268 | |
| MRI of the pelvis without contrast |
$403 |
$1,067 |
$747 |
$227 | |
| MRI of the shoulder |
$504 |
$1,334 |
$1,062 |
$313 | |
| MRI of the shoulder with contrast |
$504 |
$1,334 |
$1,126 |
$313 | |
| MRI of the shoulder without contrast |
$403 |
$1,067 |
$907 |
$205 | |
| MRI of the wrist |
$618 |
$1,634 |
$1,202 |
$330 | |
| MRI of the wrist with contrast |
$618 |
$1,634 |
$1,366 |
$330 | |
| MRI of the wrist without contrast |
$494 |
$1,307 |
$1,107 |
$303 | |
| Neck (cervical) spinal fusion |
— |
— |
$54,029 |
$1,410 | |
| Nuchal translucency ultrasound |
$281 |
$399 |
$277 |
$116 | |
| Nuclear cardiac stress test |
$871 |
$1,598 |
$1,351 |
$428 | |
| Occupational therapy evaluation |
$140 |
$392 |
$321 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$175 |
$492 |
$404 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$125 |
$351 |
$297 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$140 |
$392 |
$331 |
$101 | |
| Office visit (established patient) |
$86 |
$193 |
$310 |
$115 | |
| Office visit (new patient) |
$187 |
$420 |
$513 |
$177 | |
| Office visit, established patient (level 3) |
$76 |
$170 |
$282 |
$95 | |
| Office visit, established patient (level 4) |
$96 |
$215 |
$435 |
$136 | |
| Office visit, new patient (level 3) |
$136 |
$305 |
$409 |
$118 | |
| Office visit, new patient (level 4) |
$187 |
$420 |
$509 |
$177 | |
| Office visit, new patient (level 5) |
$254 |
$570 |
$680 |
$237 | |
| Orthopedic hardware removal |
— |
— |
$17,518 |
$632 | |
| Ovarian cyst removal |
— |
— |
$24,821 |
$698 | |
| Pacemaker insertion |
$25,885 |
— |
$27,139 |
$15,506 | |
| Pap smear (cervical screening) |
$55 |
$112 |
$50 |
$20 | |
| Parathyroid hormone (PTH) test |
$28 |
$124 |
$83 |
$41 | |
| Pelvic ultrasound |
$264 |
$376 |
$275 |
$78 | |
| Pelvic ultrasound (complete) |
$279 |
$397 |
$277 |
$105 | |
| Pelvic ultrasound (limited) |
$249 |
$354 |
$273 |
$51 | |
| Physical therapy evaluation |
$147 |
$392 |
$321 |
$98 | |
| Physical therapy evaluation (high complexity) |
$185 |
$492 |
$404 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$147 |
$392 |
$331 |
$98 | |
| Pregnancy ultrasound |
$386 |
$548 |
$277 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$375 |
$533 |
$277 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$396 |
$563 |
$277 |
$136 | |
| Procalcitonin test |
$32 |
$141 |
$69 |
$27 | |
| Prolactin test |
$13 |
$59 |
$39 |
$19 | |
| Prostate biopsy |
$1,254 |
$3,182 |
$2,687 |
— | |
| Prostate test (PSA) |
$13 |
$56 |
$37 |
$18 | |
| Rotator cuff repair |
— |
— |
$38,776 |
$792 | |
| Sacroiliac joint injection |
$1,072 |
$2,720 |
$1,632 |
$176 | |
| Scoliosis spine X-ray |
$115 |
$220 |
$153 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$100 |
$191 |
$150 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$130 |
$249 |
$168 |
$72 | |
| Screening mammogram |
$154 |
$269 |
$253 |
$126 | |
| Scrotal ultrasound |
$260 |
$370 |
$273 |
$99 | |
| Semen analysis |
$14 |
$37 |
$24 |
$12 | |
| Septoplasty (deviated septum) |
— |
— |
$18,758 |
$613 | |
| Sex hormone binding globulin test |
$15 |
$66 |
$43 |
$22 | |
| Shoulder arthroscopy |
— |
— |
$30,634 |
$962 | |
| Shoulder replacement |
— |
— |
$38,507 |
$1,300 | |
| Simple wound stitches |
— |
— |
$6,931 |
$127 | |
| Sinus surgery (endoscopic) |
— |
— |
$22,491 |
$224 | |
| Skin biopsy |
$170 |
$431 |
$402 |
$121 | |
| Skin biopsy (punch) |
$170 |
$431 |
$402 |
$121 | |
| Skin graft |
— |
— |
$13,234 |
$898 | |
| Skin tag removal |
— |
— |
$6,279 |
$92 | |
| Soft tissue ultrasound |
$181 |
$257 |
$217 |
$64 | |
| Speech therapy |
$91 |
$287 |
$247 |
$76 | |
| Spinal cord stimulator |
$2,356 |
$5,980 |
$6,596 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$413 |
$1,047 |
$884 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$3,928 |
$9,969 |
$8,266 |
$5,803 | |
| Spirometry (lung function test) |
$130 |
$432 |
$281 |
$30 | |
| Spirometry with bronchodilator |
$173 |
$576 |
$428 |
$43 | |
| Strep throat test |
$7 |
$50 |
$33 |
$17 | |
| Stress echocardiogram |
$490 |
$1,238 |
$864 |
$209 | |
| Stress echocardiogram (complete) |
$591 |
$1,493 |
$1,206 |
$233 | |
| Swallow study |
$187 |
$345 |
$292 |
$85 | |
| T3 thyroid test |
$10 |
$43 |
$28 |
$14 | |
| Testosterone test |
$18 |
$78 |
$52 |
$26 | |
| Thyroid removal (thyroidectomy) |
— |
— |
$32,860 |
$1,004 | |
| Thyroid test (TSH) |
$12 |
$54 |
$34 |
$17 | |
| Thyroid ultrasound |
$311 |
$442 |
$277 |
$109 | |
| Thyroid uptake scan |
$838 |
$1,539 |
$564 |
$145 | |
| Tilt table test |
$358 |
$1,205 |
$1,004 |
$168 | |
| Tonsillectomy |
— |
— |
$20,370 |
$252 | |
| Total IgE allergy test |
$13 |
$58 |
$35 |
$16 | |
| Total protein test |
$13 |
$56 |
$23 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$539 |
$1,360 |
$1,133 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$539 |
$1,360 |
$1,133 |
$239 | |
| Transvaginal ultrasound |
$322 |
$457 |
$277 |
$118 | |
| Trigger finger release |
— |
— |
$10,954 |
$630 | |
| Trigger point injection |
$224 |
$568 |
$448 |
$56 | |
| Trigger point injection (1-2 muscles) |
$209 |
$531 |
$448 |
$52 | |
| Tubal ligation |
— |
— |
$23,221 |
$333 | |
| Turbinate reduction |
— |
— |
$10,954 |
$294 | |
| Turning a breech baby (version) |
$286 |
$635 |
$603 |
$94 | |
| Ulnar nerve surgery (elbow) |
— |
— |
$10,954 |
$575 | |
| Upper GI endoscopy (EGD) |
— |
— |
$6,279 |
$371 | |
| Upper GI series (barium) |
$202 |
$388 |
$215 |
$128 | |
| Ureteral stent placement |
— |
— |
$13,234 |
$373 | |
| Ureteroscopy (stone removal) |
— |
— |
$23,890 |
$365 | |
| Urine microalbumin test |
$8 |
$36 |
$13 |
$5 | |
| Urine pregnancy test |
$7 |
$58 |
$20 |
$9 | |
| Vaccine administration |
$13 |
$93 |
$72 |
$19 | |
| Vaccine administration (each additional) |
$9 |
$68 |
$57 |
$16 | |
| Vaginal delivery |
$8,488 |
— |
$7,455 |
$5,487 | |
| Varicose vein ablation |
$3,251 |
$8,252 |
$6,313 |
$1,018 | |
| Vasectomy |
— |
— |
$10,954 |
$347 | |
| Vitamin B12 test |
$12 |
$54 |
$32 |
$15 | |
| Vitamin D test |
$20 |
$89 |
$59 |
$30 | |
| Weight-loss (bariatric) surgery |
$18,431 |
— |
$22,230 |
$11,645 | |
| Wound debridement |
— |
— |
$8,957 |
$186 | |
| Wrist fracture repair |
— |
— |
$35,085 |
$735 | |
| X-ray of the abdomen |
$105 |
$202 |
$128 |
$36 | |
| X-ray of the ankle |
$78 |
$149 |
$126 |
$37 | |
| X-ray of the collarbone |
$80 |
$153 |
$130 |
$33 | |
| X-ray of the elbow |
$98 |
$188 |
$158 |
$33 | |
| X-ray of the facial bones |
$83 |
$159 |
$120 |
$39 | |
| X-ray of the foot |
$72 |
$139 |
$118 |
$34 | |
| X-ray of the forearm |
$87 |
$167 |
$141 |
$29 | |
| X-ray of the hand |
$92 |
$177 |
$150 |
$38 | |
| X-ray of the hip |
$147 |
$283 |
$217 |
$49 | |
| X-ray of the hip (1 view) |
$134 |
$257 |
$197 |
$34 | |
| X-ray of the hip (3 views) |
$147 |
$283 |
$217 |
$49 | |
| X-ray of the hip (4 views) |
$163 |
$312 |
$239 |
$63 | |
| X-ray of the knee |
$88 |
$168 |
$143 |
$42 | |
| X-ray of the knee (2 views) |
$85 |
$164 |
$139 |
$34 | |
| X-ray of the knee (3 views) |
$88 |
$168 |
$142 |
$42 | |
| X-ray of the knee (4+ views) |
$108 |
$208 |
$171 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$96 |
$185 |
$137 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$84 |
$161 |
$136 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$109 |
$209 |
$153 |
$53 | |
| X-ray of the lower leg |
$95 |
$183 |
$154 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$94 |
$180 |
$137 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$84 |
$161 |
$136 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$103 |
$198 |
$153 |
$39 | |
| X-ray of the neck (cervical spine) |
$96 |
$185 |
$130 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$80 |
$153 |
$129 |
$40 | |
| X-ray of the pelvis |
$88 |
$170 |
$136 |
$36 | |
| X-ray of the pelvis (1 view) |
$84 |
$161 |
$136 |
$28 | |
| X-ray of the ribs |
$94 |
$181 |
$125 |
$42 | |
| X-ray of the ribs (2 views) |
$72 |
$139 |
$118 |
$36 | |
| X-ray of the ribs (3 views) |
$102 |
$195 |
$153 |
$42 | |
| X-ray of the shoulder |
$85 |
$164 |
$139 |
$36 | |
| X-ray of the skull |
$105 |
$202 |
$153 |
$40 | |
| X-ray of the upper arm |
$89 |
$170 |
$144 |
$32 | |
| X-ray of the wrist |
$91 |
$174 |
$147 |
$43 | |
| Zinc blood test |
$14 |
$61 |
$26 |
$11 | |