| Abdominal ultrasound |
$254 |
$764 |
$139 |
$100 | |
| Abdominal ultrasound (complete) |
$341 |
$869 |
$139 |
$114 | |
| Abdominal ultrasound (limited) |
$168 |
$658 |
$139 |
$86 | |
| Achilles tendon repair |
— |
— |
$4,542 |
$624 | |
| ACL knee reconstruction |
— |
— |
$4,542 |
$889 | |
| Albumin blood test |
$25 |
$125 |
$7 |
$5 | |
| Aldosterone test |
$53 |
$270 |
$55 |
$41 | |
| Alkaline phosphatase test |
$27 |
$139 |
$7 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$10 |
$51 |
$18 |
$17 | |
| ALT liver enzyme test |
$25 |
$130 |
$7 |
$5 | |
| Ammonia blood test |
$42 |
$213 |
$20 |
$15 | |
| Amniocentesis |
$538 |
$1,194 |
$928 |
$120 | |
| Ankle fracture repair |
— |
— |
$4,542 |
$608 | |
| Ankle replacement |
— |
— |
$11,504 |
$885 | |
| Antinuclear antibody (ANA) test |
$18 |
$53 |
$17 |
$12 | |
| AST liver enzyme test |
$25 |
$129 |
$7 |
$5 | |
| Barium swallow study |
$179 |
$577 |
$213 |
$107 | |
| Basic metabolic panel |
$87 |
$446 |
$12 |
$8 | |
| Benign skin lesion removal |
— |
— |
$2,440 |
$171 | |
| Bilirubin blood test |
$25 |
$129 |
$7 |
$5 | |
| Bladder scope (cystoscopy) |
— |
— |
$1,261 |
$216 | |
| Bladder tumor removal (TURBT) |
— |
— |
$3,741 |
$236 | |
| Blood clotting test (PT/INR) |
$35 |
$126 |
$6 |
$4 | |
| Blood crossmatch |
$123 |
$365 |
$183 |
— | |
| Blood transfusion |
$252 |
$1,247 |
$489 |
$47 | |
| Blood type and screen |
$59 |
$174 |
$14 |
$10 | |
| Blood type test |
$63 |
$186 |
$4 |
$3 | |
| Blood type test (ABO group) |
$93 |
$275 |
$4 |
$3 | |
| Blood type test (Rh/D antigen) |
$32 |
$96 |
$4 |
$3 | |
| BNP (heart failure) test |
$75 |
$381 |
$53 |
$39 | |
| Bone marrow biopsy |
$843 |
$1,869 |
$2,429 |
$172 | |
| Bone scan (nuclear) |
$1,160 |
$3,625 |
$600 |
$259 | |
| Breast MRI |
$636 |
$2,916 |
$988 |
$216 | |
| Breast MRI without contrast |
$636 |
$2,916 |
$361 |
$216 | |
| Breast ultrasound |
$219 |
$558 |
$213 |
$92 | |
| Breast ultrasound (complete) |
$247 |
$630 |
$227 |
$100 | |
| Breast ultrasound (limited) |
$190 |
$485 |
$174 |
$84 | |
| Breathing tube insertion (intubation) |
$235 |
$909 |
$318 |
$133 | |
| Bronchoscopy |
— |
— |
$2,603 |
$303 | |
| Bunion surgery (bunionectomy) |
— |
— |
$4,542 |
$883 | |
| C-reactive protein (CRP) |
$40 |
$114 |
$7 |
$5 | |
| CA 19-9 tumor marker test |
$22 |
$63 |
$23 |
$21 | |
| CA-125 ovarian marker test |
$22 |
$63 |
$23 |
$21 | |
| Calcium blood test |
$26 |
$132 |
$7 |
$5 | |
| Cardiac catheterization |
$3,773 |
$18,866 |
$4,799 |
$1,049 | |
| Cardiac stress test |
$485 |
$1,304 |
$349 |
$39 | |
| Cardioversion |
$704 |
$1,733 |
$774 |
$155 | |
| Carotid artery ultrasound |
$389 |
$1,485 |
$271 |
$156 | |
| Carpal tunnel release |
— |
— |
$3,268 |
$483 | |
| Celiac disease test |
$12 |
$35 |
$16 |
$12 | |
| Central line placement |
$1,776 |
$3,938 |
$3,355 |
$238 | |
| Cervical LEEP procedure |
— |
— |
$3,268 |
$325 | |
| Cesarean section (C-section) |
$10,804 |
— |
$8,795 |
$7,552 | |
| Chemotherapy infusion |
$135 |
$446 |
$249 |
$81 | |
| Chemotherapy infusion (each additional) |
$50 |
$166 |
$80 |
$28 | |
| Chemotherapy infusion (first hour) |
$219 |
$725 |
$371 |
$133 | |
| Chest fluid drain (thoracentesis) |
$946 |
$3,383 |
$1,691 |
$311 | |
| Chest X-ray |
$87 |
$347 |
$113 |
$37 | |
| Chest X-ray (1 view) |
$69 |
$272 |
$94 |
$25 | |
| Chest X-ray (2 views) |
$83 |
$328 |
$103 |
$33 | |
| Circumcision |
$171 |
$564 |
$2,183 |
$167 | |
| CK-MB heart enzyme test |
$13 |
$66 |
$16 |
$12 | |
| Clotting time test (PTT) |
$42 |
$151 |
$8 |
$6 | |
| Colonoscopy |
— |
— |
$1,077 |
$480 | |
| Colposcopy |
— |
— |
$3,268 |
$161 | |
| Complete blood count (CBC) |
$46 |
$165 |
$10 |
$7 | |
| Complete blood count (CBC) (complete) |
$52 |
$189 |
$11 |
$8 | |
| Comprehensive metabolic panel |
$155 |
$789 |
$15 |
$11 | |
| Contraceptive implant (Nexplanon) |
$312 |
$691 |
$373 |
$115 | |
| Copper blood test |
$12 |
$63 |
$17 |
$12 | |
| Coronary artery bypass (CABG) |
$55,919 |
— |
$45,978 |
$36,593 | |
| Coronary CT angiography |
$359 |
$2,509 |
$518 |
$326 | |
| Cortisol test |
$11 |
$58 |
$22 |
$16 | |
| COVID-19 PCR test |
$52 |
$154 |
$56 |
$51 | |
| CPAP titration study |
$376 |
$1,451 |
$238 |
$69 | |
| Creatine kinase (CK) test |
$41 |
$210 |
$9 |
$7 | |
| CT angiography of the chest |
$980 |
$3,698 |
$266 |
$281 | |
| CT angiography of the head |
$494 |
$2,561 |
$266 |
$274 | |
| CT scan of the abdomen |
$590 |
$2,225 |
$209 |
$230 | |
| CT scan of the abdomen and pelvis |
$839 |
$3,167 |
$588 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$1,007 |
$3,800 |
$518 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$839 |
$3,167 |
$990 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$671 |
$2,533 |
$350 |
$183 | |
| CT scan of the abdomen with and without contrast |
$708 |
$2,670 |
$266 |
$259 | |
| CT scan of the abdomen with contrast |
$590 |
$2,225 |
$266 |
$230 | |
| CT scan of the abdomen without contrast |
$472 |
$1,780 |
$159 |
$136 | |
| CT scan of the arm |
$571 |
$2,153 |
$930 |
$199 | |
| CT scan of the arm with contrast |
$571 |
$2,153 |
$1,077 |
$199 | |
| CT scan of the arm without contrast |
$456 |
$1,722 |
$796 |
$161 | |
| CT scan of the chest |
$778 |
$2,934 |
$209 |
$167 | |
| CT scan of the chest with and without contrast |
$933 |
$3,521 |
$266 |
$196 | |
| CT scan of the chest with contrast |
$778 |
$2,934 |
$266 |
$167 | |
| CT scan of the chest without contrast |
$622 |
$2,347 |
$159 |
$133 | |
| CT scan of the head |
$392 |
$2,033 |
$209 |
$148 | |
| CT scan of the head with and without contrast |
$471 |
$2,439 |
$266 |
$173 | |
| CT scan of the head with contrast |
$392 |
$2,033 |
$266 |
$148 | |
| CT scan of the head without contrast |
$314 |
$1,626 |
$159 |
$107 | |
| CT scan of the leg |
$541 |
$2,040 |
$835 |
$166 | |
| CT scan of the leg with contrast |
$541 |
$2,040 |
$904 |
$166 | |
| CT scan of the leg without contrast |
$432 |
$1,632 |
$612 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$859 |
$3,242 |
$381 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,031 |
$3,890 |
$266 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$859 |
$3,242 |
$518 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$687 |
$2,593 |
$159 |
$130 | |
| CT scan of the neck |
$358 |
$1,857 |
$209 |
$183 | |
| CT scan of the neck (cervical spine) |
$875 |
$3,303 |
$381 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,050 |
$3,963 |
$266 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$875 |
$3,303 |
$518 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$700 |
$2,642 |
$159 |
$131 | |
| CT scan of the neck with and without contrast |
$430 |
$2,228 |
$266 |
$220 | |
| CT scan of the neck with contrast |
$358 |
$1,857 |
$266 |
$183 | |
| CT scan of the neck without contrast |
$287 |
$1,485 |
$159 |
$150 | |
| CT scan of the pelvis |
$648 |
$2,447 |
$209 |
$226 | |
| CT scan of the pelvis with and without contrast |
$778 |
$2,936 |
$266 |
$251 | |
| CT scan of the pelvis with contrast |
$648 |
$2,447 |
$266 |
$226 | |
| CT scan of the pelvis without contrast |
$519 |
$1,957 |
$159 |
$133 | |
| CT scan of the sinuses |
$367 |
$1,904 |
$209 |
$152 | |
| CT scan of the sinuses with and without contrast |
$441 |
$2,285 |
$266 |
$184 | |
| CT scan of the sinuses with contrast |
$367 |
$1,904 |
$266 |
$152 | |
| CT scan of the sinuses without contrast |
$294 |
$1,523 |
$159 |
$128 | |
| D-dimer test |
$89 |
$320 |
$14 |
$10 | |
| Defibrillator (ICD) implant |
$9,918 |
$21,991 |
$34,172 |
$798 | |
| Developmental screening (child) |
$96 |
$407 |
$188 |
— | |
| DHEA-sulfate test |
$13 |
$67 |
$24 |
$22 | |
| Dilation and curettage (D&C) |
— |
— |
$3,268 |
$298 | |
| Drug screen (urine) |
$25 |
$126 |
$65 |
$17 | |
| Echocardiogram |
$340 |
$1,384 |
$558 |
$138 | |
| Echocardiogram with and without contrast |
$254 |
$1,033 |
$283 |
$101 | |
| Echocardiogram without contrast |
$340 |
$1,384 |
$361 |
$138 | |
| EEG (awake and asleep) |
$443 |
$1,464 |
$659 |
$482 | |
| EKG / ECG (tracing only) |
$113 |
$459 |
$66 |
$7 | |
| Electrocardiogram (EKG) |
$113 |
$459 |
$66 |
$8 | |
| Electroencephalogram (EEG) |
$407 |
$1,347 |
$586 |
$448 | |
| Electrolyte panel |
$44 |
$223 |
$10 |
$7 | |
| Emergency department visit |
$1,087 |
$1,669 |
$457 |
$69 | |
| Emergency department visit (level 1) |
$421 |
$657 |
$101 |
$11 | |
| Emergency department visit (level 2) |
$678 |
$1,163 |
$181 |
$40 | |
| Emergency department visit (level 3) |
$1,087 |
$1,669 |
$317 |
$69 | |
| Emergency department visit (level 4) |
$1,642 |
$2,175 |
$488 |
$118 | |
| Emergency department visit (level 5) |
$1,752 |
$2,675 |
$702 |
$171 | |
| Epidural steroid injection |
$1,295 |
$2,872 |
$1,004 |
$275 | |
| ERCP (bile duct endoscopy) |
— |
— |
$3,268 |
$311 | |
| Estradiol (estrogen) test |
$16 |
$84 |
$31 |
$28 | |
| Fallopian tube X-ray (HSG) |
$190 |
$530 |
$265 |
$164 | |
| Fecal occult blood (stool) test |
$7 |
$38 |
$16 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$3 |
$14 |
$5 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$12 |
$62 |
$22 |
$16 | |
| Ferritin (iron) test |
$44 |
$222 |
$19 |
$14 | |
| Fibrinogen test |
$59 |
$214 |
$13 |
$10 | |
| Flexible sigmoidoscopy |
— |
— |
$933 |
$323 | |
| Flu test |
$17 |
$50 |
$18 |
$17 | |
| Folate (folic acid) test |
$9 |
$45 |
$16 |
$15 | |
| Free T4 thyroid test |
$42 |
$212 |
$13 |
$9 | |
| FSH hormone test |
$11 |
$56 |
$20 |
$19 | |
| Gallbladder removal (laparoscopic) |
— |
— |
$10,468 |
$658 | |
| Gallbladder scan (HIDA) |
$523 |
$1,636 |
$604 |
$334 | |
| H. pylori test |
$40 |
$203 |
$74 |
$67 | |
| Hammertoe repair |
— |
— |
$3,741 |
$548 | |
| HDL cholesterol test |
$24 |
$123 |
$11 |
$8 | |
| Hemodialysis |
$501 |
$2,215 |
$783 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$35 |
$177 |
$14 |
$10 | |
| Hepatitis B test |
$45 |
$134 |
$14 |
$10 | |
| Hepatitis C test |
$64 |
$185 |
$20 |
$14 | |
| Hip arthroscopy |
— |
— |
$4,621 |
$931 | |
| HIV test |
$22 |
$65 |
$24 |
$19 | |
| HIV test (antibody) |
$15 |
$42 |
$15 |
$14 | |
| HIV test (antigen/antibody combo) |
$29 |
$87 |
$30 |
$24 | |
| Holter heart monitor |
$152 |
$504 |
$137 |
$26 | |
| Hydrocele repair |
— |
— |
$3,741 |
$315 | |
| Hysterectomy |
— |
— |
$6,458 |
$933 | |
| Hysteroscopy |
— |
— |
$3,741 |
$1,270 | |
| Inguinal hernia repair |
— |
— |
$4,775 |
$538 | |
| IUD insertion |
— |
— |
$2,994 |
— | |
| IUD removal |
$149 |
$476 |
$324 |
$112 | |
| IV infusion therapy |
$153 |
$443 |
$219 |
$44 | |
| IV infusion therapy (each additional) |
$80 |
$232 |
$69 |
$21 | |
| IV infusion therapy (initial) |
$225 |
$653 |
$270 |
$67 | |
| IVC filter placement |
$3,109 |
$6,893 |
$5,762 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$339 |
$751 |
$383 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$345 |
$765 |
$383 |
$57 | |
| Joint aspiration or injection (small joint) |
$332 |
$737 |
$369 |
$56 | |
| Kidney biopsy |
$1,569 |
$3,480 |
$1,740 |
$492 | |
| Kidney scan (nuclear) |
$558 |
$1,745 |
$631 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
— |
— |
$6,100 |
$760 | |
| Kidney ultrasound |
$219 |
$559 |
$128 |
$84 | |
| Kidney ultrasound (limited) |
$172 |
$438 |
$128 |
$61 | |
| Knee arthroscopy |
— |
— |
$4,621 |
$524 | |
| Knee joint injection |
$421 |
$933 |
$467 |
$69 | |
| Knee replacement |
$29,374 |
— |
$25,679 |
$18,054 | |
| Lactate test |
$30 |
$153 |
$16 |
$12 | |
| Laryngoscopy |
$209 |
$463 |
$217 |
$189 | |
| LDH test |
$33 |
$167 |
$8 |
$6 | |
| LDL cholesterol test |
$6 |
$32 |
$14 |
$11 | |
| Leg artery angiogram |
$4,465 |
$8,119 |
$3,751 |
$149 | |
| Leg artery angioplasty |
$10,174 |
$22,559 |
$7,838 |
— | |
| Leg vein ultrasound (Doppler) |
$441 |
$1,685 |
$271 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$338 |
$1,290 |
$159 |
$116 | |
| LH hormone test |
$11 |
$58 |
$20 |
$19 | |
| Lipase test |
$49 |
$249 |
$10 |
$7 | |
| Lipid (cholesterol) panel |
$61 |
$309 |
$18 |
$13 | |
| Liver biopsy |
$1,049 |
$2,325 |
$1,727 |
$288 | |
| Liver function panel |
$56 |
$287 |
$11 |
$8 | |
| Lung scan (V/Q) |
$594 |
$1,855 |
$649 |
$291 | |
| Magnesium blood test |
$26 |
$132 |
$9 |
$7 | |
| Meniscus repair (knee) |
— |
— |
$3,741 |
$714 | |
| MRA of the brain |
$578 |
$2,715 |
$425 |
$226 | |
| MRA of the brain with contrast |
$578 |
$2,715 |
$533 |
$226 | |
| MRA of the brain without contrast |
$694 |
$3,258 |
$533 |
$328 | |
| MRA of the neck |
$477 |
$2,239 |
$425 |
$245 | |
| MRA of the neck with contrast |
$477 |
$2,239 |
$533 |
$245 | |
| MRA of the neck without contrast |
$572 |
$2,687 |
$533 |
$343 | |
| MRI of the abdomen |
$575 |
$2,638 |
$425 |
$300 | |
| MRI of the abdomen with contrast |
$575 |
$2,638 |
$518 |
$300 | |
| MRI of the abdomen without contrast |
$460 |
$2,110 |
$361 |
$194 | |
| MRI of the ankle |
$569 |
$2,609 |
$1,186 |
$261 | |
| MRI of the ankle with contrast |
$569 |
$2,609 |
$1,305 |
$261 | |
| MRI of the ankle without contrast |
$455 |
$2,087 |
$1,044 |
$222 | |
| MRI of the brain |
$542 |
$3,030 |
$425 |
$269 | |
| MRI of the brain with contrast |
$542 |
$3,030 |
$518 |
$269 | |
| MRI of the brain without contrast |
$434 |
$2,424 |
$361 |
$195 | |
| MRI of the chest |
$465 |
$2,135 |
$842 |
$371 | |
| MRI of the chest with contrast |
$465 |
$2,135 |
$926 |
$371 | |
| MRI of the chest without contrast |
$559 |
$2,562 |
$533 |
$466 | |
| MRI of the knee |
$648 |
$2,974 |
$1,338 |
$315 | |
| MRI of the knee with contrast |
$648 |
$2,974 |
$1,474 |
$315 | |
| MRI of the knee without contrast |
$519 |
$2,379 |
$1,071 |
$204 | |
| MRI of the lower back (lumbar spine) |
$432 |
$3,022 |
$425 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$432 |
$3,022 |
$518 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$346 |
$2,417 |
$361 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$430 |
$3,005 |
$425 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$516 |
$3,606 |
$518 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$430 |
$3,005 |
$518 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$344 |
$2,404 |
$361 |
$190 | |
| MRI of the neck (cervical spine) |
$431 |
$3,013 |
$425 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$517 |
$3,615 |
$518 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$431 |
$3,013 |
$533 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$345 |
$2,410 |
$361 |
$191 | |
| MRI of the pelvis |
$541 |
$2,483 |
$425 |
$268 | |
| MRI of the pelvis with contrast |
$541 |
$2,483 |
$533 |
$268 | |
| MRI of the pelvis without contrast |
$433 |
$1,986 |
$361 |
$227 | |
| MRI of the shoulder |
$664 |
$3,045 |
$1,315 |
$313 | |
| MRI of the shoulder with contrast |
$664 |
$3,045 |
$1,496 |
$313 | |
| MRI of the shoulder without contrast |
$531 |
$2,436 |
$1,052 |
$205 | |
| MRI of the wrist |
$451 |
$2,068 |
$1,116 |
$330 | |
| MRI of the wrist with contrast |
$451 |
$2,068 |
$1,090 |
$330 | |
| MRI of the wrist without contrast |
$361 |
$1,654 |
$872 |
$303 | |
| Nuchal translucency ultrasound |
$174 |
$445 |
$137 |
$116 | |
| Nuclear cardiac stress test |
$1,373 |
$4,291 |
$1,531 |
$428 | |
| Occupational therapy evaluation |
$86 |
$417 |
$225 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$108 |
$522 |
$261 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$65 |
$314 |
$170 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$86 |
$417 |
$220 |
$101 | |
| Office visit (established patient) |
$1,459 |
$1,875 |
$797 |
$115 | |
| Office visit (new patient) |
$2,069 |
$2,660 |
$1,196 |
$177 | |
| Office visit, established patient (level 3) |
$1,148 |
$1,475 |
$738 |
$95 | |
| Office visit, established patient (level 4) |
$1,770 |
$2,275 |
$1,138 |
$136 | |
| Office visit, new patient (level 3) |
$1,719 |
$2,210 |
$1,105 |
$118 | |
| Office visit, new patient (level 4) |
$2,069 |
$2,660 |
$1,236 |
$177 | |
| Office visit, new patient (level 5) |
$2,770 |
$3,560 |
$1,645 |
$237 | |
| Orthopedic hardware removal |
— |
— |
$3,741 |
$632 | |
| Ovary removal (oophorectomy) |
— |
— |
$10,991 |
$822 | |
| Pacemaker insertion |
$25,677 |
— |
$26,636 |
$15,506 | |
| Pap smear (cervical screening) |
$28 |
$135 |
$30 |
$20 | |
| Parathyroid hormone (PTH) test |
$24 |
$124 |
$45 |
$41 | |
| Parathyroid removal |
— |
— |
$7,293 |
$891 | |
| Pelvic ultrasound |
$280 |
$714 |
$119 |
$78 | |
| Pelvic ultrasound (complete) |
$303 |
$774 |
$139 |
$105 | |
| Pelvic ultrasound (limited) |
$256 |
$654 |
$119 |
$51 | |
| Phosphorus blood test |
$24 |
$121 |
$7 |
$5 | |
| Physical therapy evaluation |
$98 |
$417 |
$225 |
$98 | |
| Physical therapy evaluation (high complexity) |
$122 |
$522 |
$261 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$98 |
$417 |
$220 |
$98 | |
| Pilonidal cyst removal |
— |
— |
$3,741 |
$541 | |
| Platelet count |
$4 |
$14 |
$5 |
$4 | |
| Pregnancy blood test (hCG) |
$49 |
$250 |
$11 |
$8 | |
| Pregnancy ultrasound |
$246 |
$627 |
$139 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$210 |
$535 |
$139 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$281 |
$718 |
$139 |
$136 | |
| Procalcitonin test |
$40 |
$206 |
$38 |
$27 | |
| Prolactin test |
$12 |
$59 |
$21 |
$19 | |
| Prostate biopsy |
$727 |
$1,611 |
$2,183 |
— | |
| Prostate surgery (TURP) |
— |
— |
$4,621 |
$526 | |
| Prostate test (PSA) |
$11 |
$56 |
$20 |
$18 | |
| Rheumatoid factor test |
$24 |
$70 |
$9 |
$6 | |
| Rotator cuff repair |
— |
— |
$5,254 |
$792 | |
| Scoliosis spine X-ray |
$147 |
$475 |
$127 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$112 |
$360 |
$122 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$183 |
$590 |
$159 |
$72 | |
| Scrotal ultrasound |
$280 |
$714 |
$139 |
$99 | |
| Sex hormone binding globulin test |
$13 |
$66 |
$24 |
$22 | |
| Shoulder arthroscopy |
— |
— |
$4,542 |
$962 | |
| Shoulder replacement |
— |
— |
$11,273 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
— |
— |
$410 |
$114 | |
| Simple wound stitches |
— |
— |
$410 |
$127 | |
| Skin biopsy |
— |
— |
$267 |
$121 | |
| Skin biopsy (punch) |
— |
— |
$267 |
$121 | |
| Skin graft |
— |
— |
$3,268 |
$898 | |
| Soft tissue ultrasound |
$132 |
$337 |
$119 |
$64 | |
| Speech therapy |
$93 |
$391 |
$196 |
$76 | |
| Spinal tap (lumbar puncture) |
$570 |
$1,263 |
$738 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$4,097 |
$9,085 |
$7,614 |
$5,803 | |
| Spirometry (lung function test) |
$26 |
$508 |
$175 |
$30 | |
| Strep throat test |
$17 |
$50 |
$18 |
$17 | |
| Stress echocardiogram |
$540 |
$2,196 |
$643 |
$209 | |
| Stress echocardiogram (complete) |
$598 |
$2,429 |
$667 |
$233 | |
| Swallow study |
$136 |
$423 |
$223 |
$85 | |
| T3 thyroid test |
$8 |
$43 |
$16 |
$14 | |
| Testicle removal (orchiectomy) |
— |
— |
$3,741 |
$306 | |
| Testosterone test |
$15 |
$78 |
$28 |
$26 | |
| Thyroid removal (thyroidectomy) |
— |
— |
$7,293 |
$1,004 | |
| Thyroid test (TSH) |
$64 |
$328 |
$23 |
$17 | |
| Thyroid ultrasound |
$232 |
$591 |
$139 |
$109 | |
| Thyroid uptake scan |
$363 |
$1,136 |
$428 |
$145 | |
| Tilt table test |
$1,119 |
$2,755 |
$580 |
$168 | |
| Total IgE allergy test |
$11 |
$58 |
$20 |
$16 | |
| Total protein test |
$11 |
$56 |
$5 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$616 |
$2,506 |
$685 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$616 |
$2,506 |
$685 |
$239 | |
| Transvaginal ultrasound |
$267 |
$682 |
$139 |
$118 | |
| Trigger point injection |
$212 |
$470 |
$315 |
$56 | |
| Trigger point injection (1-2 muscles) |
$198 |
$440 |
$315 |
$52 | |
| Triglycerides test |
$28 |
$145 |
$8 |
$6 | |
| Troponin (heart) test |
$65 |
$331 |
$17 |
$12 | |
| Tubal ligation |
— |
— |
$3,741 |
$333 | |
| Turning a breech baby (version) |
$860 |
$1,945 |
$3,254 |
$94 | |
| Ulnar nerve surgery (elbow) |
— |
— |
$3,268 |
$575 | |
| Upper GI endoscopy (EGD) |
— |
— |
$1,011 |
$371 | |
| Upper GI series (barium) |
$189 |
$611 |
$214 |
$128 | |
| Ureteral stent placement |
— |
— |
$2,230 |
$373 | |
| Ureteroscopy (stone removal) |
— |
— |
$3,232 |
$365 | |
| Uric acid (gout) test |
$27 |
$140 |
$6 |
$5 | |
| Urinalysis |
$30 |
$98 |
$3 |
$3 | |
| Urine microalbumin test |
$7 |
$36 |
$7 |
$5 | |
| Urine pregnancy test |
$18 |
$58 |
$12 |
$9 | |
| Vaccine administration |
$13 |
$94 |
$53 |
$19 | |
| Vaccine administration (each additional) |
$9 |
$61 |
$32 |
$16 | |
| Vaginal delivery |
$8,420 |
— |
$6,521 |
$5,487 | |
| Vasectomy |
— |
— |
$3,268 |
$347 | |
| Vitamin B12 test |
$32 |
$164 |
$21 |
$15 | |
| Vitamin D test |
$17 |
$89 |
$33 |
$30 | |
| Weight-loss (bariatric) surgery |
$18,283 |
— |
$21,471 |
$11,645 | |
| Wound debridement |
— |
— |
$853 |
$186 | |
| Wrist fracture repair |
— |
— |
$5,254 |
$735 | |
| X-ray of the abdomen |
$167 |
$539 |
$119 |
$36 | |
| X-ray of the ankle |
$116 |
$373 |
$172 |
$37 | |
| X-ray of the collarbone |
$99 |
$320 |
$148 |
$33 | |
| X-ray of the elbow |
$114 |
$368 |
$170 |
$33 | |
| X-ray of the facial bones |
$104 |
$335 |
$118 |
$39 | |
| X-ray of the foot |
$114 |
$368 |
$170 |
$34 | |
| X-ray of the forearm |
$101 |
$325 |
$150 |
$29 | |
| X-ray of the hand |
$112 |
$360 |
$166 |
$38 | |
| X-ray of the hip |
$98 |
$317 |
$159 |
$49 | |
| X-ray of the hip (1 view) |
$81 |
$261 |
$128 |
$34 | |
| X-ray of the hip (3 views) |
$98 |
$317 |
$159 |
$49 | |
| X-ray of the hip (4 views) |
$122 |
$393 |
$201 |
$63 | |
| X-ray of the knee |
$124 |
$400 |
$180 |
$42 | |
| X-ray of the knee (2 views) |
$105 |
$340 |
$157 |
$34 | |
| X-ray of the knee (3 views) |
$124 |
$400 |
$185 |
$42 | |
| X-ray of the knee (4+ views) |
$139 |
$448 |
$207 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$146 |
$472 |
$140 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$137 |
$441 |
$126 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$156 |
$503 |
$159 |
$53 | |
| X-ray of the lower leg |
$98 |
$316 |
$146 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$109 |
$351 |
$119 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$101 |
$326 |
$117 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$117 |
$376 |
$125 |
$39 | |
| X-ray of the neck (cervical spine) |
$120 |
$386 |
$126 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$115 |
$370 |
$124 |
$40 | |
| X-ray of the pelvis |
$124 |
$399 |
$119 |
$36 | |
| X-ray of the pelvis (1 view) |
$110 |
$356 |
$113 |
$28 | |
| X-ray of the ribs |
$103 |
$331 |
$134 |
$42 | |
| X-ray of the ribs (2 views) |
$90 |
$289 |
$141 |
$36 | |
| X-ray of the ribs (3 views) |
$103 |
$331 |
$119 |
$42 | |
| X-ray of the shoulder |
$120 |
$388 |
$179 |
$36 | |
| X-ray of the skull |
$119 |
$384 |
$124 |
$40 | |
| X-ray of the upper arm |
$109 |
$352 |
$163 |
$32 | |
| X-ray of the wrist |
$110 |
$354 |
$177 |
$43 | |
| Zinc blood test |
$7 |
$35 |
$15 |
$11 | |