| 3D mammogram (tomosynthesis) |
$85 |
$338 |
$78 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$691 |
$2,764 |
$907 |
$284 | |
| Abdominal ultrasound |
$219 |
$877 |
$105 |
$100 | |
| Abdominal ultrasound (complete) |
$377 |
$1,507 |
$105 |
$114 | |
| Abdominal ultrasound (limited) |
$62 |
$246 |
$105 |
$86 | |
| Abscess drainage (complex or multiple) |
$1,551 |
$6,204 |
$498 |
$220 | |
| Abscess drainage (simple) |
$291 |
$1,164 |
$306 |
$129 | |
| Abscess incision and drainage |
$921 |
$3,684 |
$350 |
$174 | |
| Achilles tendon repair |
$2,484 |
$9,938 |
$7,004 |
$624 | |
| ACL knee reconstruction |
$2,943 |
$11,773 |
$7,088 |
$889 | |
| Adenoid removal (adenoidectomy) |
$1,669 |
$6,675 |
$3,338 |
$204 | |
| Albumin blood test |
$11 |
$43 |
$6 |
$5 | |
| Aldosterone test |
$37 |
$147 |
$52 |
$41 | |
| Alkaline phosphatase test |
$9 |
$35 |
$7 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$87 |
$349 |
$21 |
$17 | |
| ALT liver enzyme test |
$4 |
$18 |
$7 |
$5 | |
| Ammonia blood test |
$25 |
$101 |
$15 |
$15 | |
| Anal fistula repair |
$3,418 |
$13,670 |
$3,068 |
$541 | |
| Ankle fracture repair |
$4,008 |
$16,032 |
$7,088 |
$608 | |
| Ankle replacement |
$2,828 |
$11,313 |
$26,187 |
$885 | |
| Antinuclear antibody (ANA) test |
$11 |
$46 |
$15 |
$12 | |
| AST liver enzyme test |
$4 |
$17 |
$7 |
$5 | |
| Barium swallow study |
$107 |
$428 |
$175 |
$107 | |
| Bartholin cyst removal |
$659 |
$2,636 |
$307 |
$182 | |
| Basic metabolic panel |
$25 |
$101 |
$11 |
$8 | |
| Benign skin lesion removal |
$2,595 |
$10,380 |
$683 |
$171 | |
| Bilirubin blood test |
$30 |
$121 |
$6 |
$5 | |
| Bladder scope (cystoscopy) |
$1,871 |
$7,485 |
$843 |
$216 | |
| Bladder tumor removal (TURBT) |
$2,149 |
$8,595 |
$3,443 |
$236 | |
| Blood crossmatch |
$60 |
$238 |
$166 |
— | |
| Blood glucose test |
$9 |
$36 |
$6 |
$5 | |
| Blood transfusion |
$470 |
$1,881 |
$543 |
$47 | |
| Blood type and screen |
$23 |
$92 |
$51 |
$10 | |
| Blood type test |
$37 |
$150 |
$43 |
$3 | |
| Blood type test (ABO group) |
$52 |
$207 |
$129 |
$3 | |
| Blood type test (Rh/D antigen) |
$23 |
$93 |
$39 |
$3 | |
| BNP (heart failure) test |
$31 |
$124 |
$50 |
$39 | |
| Bone density scan (DEXA) |
$104 |
$415 |
$139 |
$39 | |
| Bone marrow biopsy |
$881 |
$3,524 |
$2,433 |
$172 | |
| Bone scan (nuclear) |
$652 |
$2,608 |
$391 |
$259 | |
| Botox for migraine |
$168 |
$671 |
$399 |
$157 | |
| Brain shunt (VP shunt) |
$7,017 |
$28,070 |
$3,874 |
$1,023 | |
| Breast biopsy |
$2,632 |
$10,529 |
$1,652 |
$478 | |
| Breast MRI |
$706 |
$2,824 |
$271 |
$216 | |
| Breast MRI without contrast |
$584 |
$2,335 |
$236 |
$216 | |
| Breast reconstruction |
$2,591 |
$10,362 |
$13,300 |
$1,227 | |
| Breast reduction |
$5,701 |
$22,803 |
$6,581 |
$980 | |
| Breast ultrasound |
$73 |
$293 |
$100 |
$92 | |
| Breast ultrasound (complete) |
$85 |
$340 |
$105 |
$100 | |
| Breast ultrasound (limited) |
$61 |
$245 |
$85 |
$84 | |
| Breathing tube insertion (intubation) |
$607 |
$2,427 |
$361 |
$133 | |
| Bronchoscopy |
$1,063 |
$4,250 |
$2,526 |
$303 | |
| Bunion surgery (bunionectomy) |
$3,562 |
$14,249 |
$5,417 |
$883 | |
| Burn dressing and debridement (small) |
$863 |
$3,453 |
$201 |
$93 | |
| Burn treatment |
$863 |
$3,453 |
$201 |
$129 | |
| CA 19-9 tumor marker test |
$28 |
$111 |
$27 |
$21 | |
| CA-125 ovarian marker test |
$29 |
$116 |
$27 |
$21 | |
| Calcium blood test |
$6 |
$22 |
$7 |
$5 | |
| Capsule endoscopy |
$445 |
$1,780 |
$891 |
$802 | |
| Cardiac ablation |
$11,770 |
$47,082 |
$25,401 |
$759 | |
| Cardiac catheterization |
$4,091 |
$16,363 |
$3,213 |
$1,049 | |
| Cardiac MRI |
$584 |
$2,335 |
$471 |
$322 | |
| Cardiac rehabilitation |
$361 |
$1,445 |
$162 |
$26 | |
| Cardiac stress test |
$177 |
$707 |
$212 |
$39 | |
| Cardioversion |
$380 |
$1,519 |
$655 |
$155 | |
| Carotid artery ultrasound |
$227 |
$907 |
$159 |
$156 | |
| Carpal tunnel release |
$3,395 |
$13,580 |
$2,069 |
$483 | |
| Cataract surgery |
$2,462 |
$9,849 |
$2,834 |
$547 | |
| CEA tumor marker test |
$25 |
$101 |
$24 |
$19 | |
| Celiac disease test |
$8 |
$31 |
$14 |
$12 | |
| Central line placement |
$1,415 |
$5,659 |
$3,084 |
$238 | |
| Cervical cerclage |
$2,805 |
$11,221 |
$3,208 |
$137 | |
| Cervical LEEP procedure |
$2,153 |
$8,611 |
$3,208 |
$325 | |
| Chalazion (eyelid cyst) removal |
$2,297 |
$9,189 |
$318 |
$131 | |
| Chemotherapy infusion |
$189 |
$757 |
$228 |
$81 | |
| Chemotherapy infusion (each additional) |
$59 |
$234 |
$91 |
$28 | |
| Chemotherapy infusion (first hour) |
$320 |
$1,280 |
$449 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,090 |
$4,360 |
$771 |
$311 | |
| Chest tube insertion |
$2,690 |
$10,760 |
$1,560 |
$143 | |
| Chest X-ray |
$45 |
$179 |
$85 |
$37 | |
| Chest X-ray (1 view) |
$45 |
$179 |
$85 |
$25 | |
| Chest X-ray (2 views) |
$45 |
$181 |
$85 |
$33 | |
| Circumcision |
$3,251 |
$13,004 |
$2,138 |
$167 | |
| Clotting time test (PTT) |
$6 |
$23 |
$8 |
$6 | |
| Colon resection (colectomy) |
$8,571 |
$34,285 |
$3,874 |
$1,238 | |
| Colonoscopy |
$766 |
$3,066 |
$1,197 |
$480 | |
| Colposcopy |
$2,148 |
$8,592 |
$384 |
$161 | |
| Complete blood count (CBC) |
$8 |
$32 |
$10 |
$7 | |
| Complete blood count (CBC) (complete) |
$8 |
$32 |
$10 |
$8 | |
| Complex wound repair |
$1,555 |
$6,220 |
$733 |
$390 | |
| Comprehensive metabolic panel |
$43 |
$171 |
$14 |
$11 | |
| Contraceptive implant (Nexplanon) |
$1,833 |
$7,331 |
$310 |
$115 | |
| Copper blood test |
$20 |
$78 |
$16 |
$12 | |
| Corneal transplant |
$4,303 |
$17,212 |
$4,853 |
$1,066 | |
| Coronary CT angiography |
$384 |
$1,537 |
$343 |
$326 | |
| Cortisol test |
$59 |
$236 |
$21 |
$16 | |
| COVID-19 PCR test |
$65 |
$260 |
$58 |
$51 | |
| CPAP titration study |
$87 |
$346 |
$258 |
$69 | |
| Creatine kinase (CK) test |
$9 |
$36 |
$8 |
$7 | |
| CT angiography of the chest |
$384 |
$1,537 |
$213 |
$281 | |
| CT angiography of the head |
$384 |
$1,537 |
$213 |
$274 | |
| CT scan of the abdomen |
$384 |
$1,537 |
$194 |
$230 | |
| CT scan of the abdomen and pelvis |
$384 |
$1,537 |
$338 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$384 |
$1,537 |
$343 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$384 |
$1,537 |
$343 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$384 |
$1,537 |
$236 |
$183 | |
| CT scan of the abdomen with and without contrast |
$384 |
$1,537 |
$213 |
$259 | |
| CT scan of the abdomen with contrast |
$384 |
$1,537 |
$213 |
$230 | |
| CT scan of the abdomen without contrast |
$384 |
$1,537 |
$130 |
$136 | |
| CT scan of the arm |
$384 |
$1,537 |
$201 |
$199 | |
| CT scan of the arm with contrast |
$384 |
$1,537 |
$343 |
$199 | |
| CT scan of the arm without contrast |
$384 |
$1,537 |
$130 |
$161 | |
| CT scan of the chest |
$384 |
$1,537 |
$194 |
$167 | |
| CT scan of the chest with and without contrast |
$384 |
$1,537 |
$213 |
$196 | |
| CT scan of the chest with contrast |
$384 |
$1,537 |
$213 |
$167 | |
| CT scan of the chest without contrast |
$384 |
$1,537 |
$130 |
$133 | |
| CT scan of the head |
$384 |
$1,537 |
$194 |
$148 | |
| CT scan of the head with and without contrast |
$384 |
$1,537 |
$213 |
$173 | |
| CT scan of the head with contrast |
$384 |
$1,537 |
$213 |
$148 | |
| CT scan of the head without contrast |
$384 |
$1,537 |
$130 |
$107 | |
| CT scan of the leg |
$384 |
$1,537 |
$174 |
$166 | |
| CT scan of the leg with contrast |
$384 |
$1,537 |
$174 |
$166 | |
| CT scan of the leg without contrast |
$384 |
$1,537 |
$130 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$384 |
$1,537 |
$266 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$384 |
$1,537 |
$213 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$384 |
$1,537 |
$343 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$384 |
$1,537 |
$130 |
$130 | |
| CT scan of the neck |
$384 |
$1,537 |
$176 |
$183 | |
| CT scan of the neck (cervical spine) |
$384 |
$1,537 |
$266 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$384 |
$1,537 |
$213 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$384 |
$1,537 |
$343 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$384 |
$1,537 |
$130 |
$131 | |
| CT scan of the neck with and without contrast |
$384 |
$1,537 |
$176 |
$220 | |
| CT scan of the neck with contrast |
$384 |
$1,537 |
$213 |
$183 | |
| CT scan of the neck without contrast |
$384 |
$1,537 |
$130 |
$150 | |
| CT scan of the pelvis |
$384 |
$1,537 |
$194 |
$226 | |
| CT scan of the pelvis with and without contrast |
$384 |
$1,537 |
$213 |
$251 | |
| CT scan of the pelvis with contrast |
$384 |
$1,537 |
$213 |
$226 | |
| CT scan of the pelvis without contrast |
$384 |
$1,537 |
$130 |
$133 | |
| CT scan of the sinuses |
$384 |
$1,537 |
$194 |
$152 | |
| CT scan of the sinuses with and without contrast |
$384 |
$1,537 |
$213 |
$184 | |
| CT scan of the sinuses with contrast |
$384 |
$1,537 |
$213 |
$152 | |
| CT scan of the sinuses without contrast |
$384 |
$1,537 |
$130 |
$128 | |
| D-dimer test |
$26 |
$105 |
$13 |
$10 | |
| Defibrillator (ICD) implant |
$17,388 |
$69,551 |
$30,504 |
$798 | |
| DHEA-sulfate test |
$30 |
$120 |
$28 |
$22 | |
| Diagnostic mammogram |
$221 |
$884 |
$141 |
$140 | |
| Dialysis fistula creation |
$4,865 |
$19,459 |
$3,271 |
$601 | |
| Dilation and curettage (D&C) |
$2,450 |
$9,800 |
$3,208 |
$298 | |
| Droopy eyelid repair (ptosis) |
$2,724 |
$10,896 |
$2,860 |
$745 | |
| Drug screen (urine) |
$49 |
$198 |
$79 |
$17 | |
| Ear tubes (myringotomy) |
$1,964 |
$7,857 |
$1,552 |
$174 | |
| Eardrum repair (tympanoplasty) |
$5,296 |
$21,182 |
$6,089 |
$799 | |
| Echocardiogram |
$397 |
$1,587 |
$341 |
$138 | |
| Echocardiogram with and without contrast |
$316 |
$1,264 |
$234 |
$101 | |
| EEG (awake and asleep) |
$335 |
$1,338 |
$212 |
$482 | |
| EKG / ECG (tracing only) |
$33 |
$130 |
$58 |
$7 | |
| Electrocardiogram (EKG) |
$33 |
$130 |
$58 |
$8 | |
| Electroencephalogram (EEG) |
$331 |
$1,322 |
$212 |
$448 | |
| Electrolyte panel |
$15 |
$61 |
$9 |
$7 | |
| Electromyography (EMG) |
$112 |
$446 |
$131 |
$141 | |
| Emergency department visit |
$786 |
$3,146 |
$582 |
$69 | |
| Emergency department visit (level 1) |
$455 |
$1,820 |
$132 |
$11 | |
| Emergency department visit (level 2) |
$657 |
$2,626 |
$274 |
$40 | |
| Emergency department visit (level 3) |
$786 |
$3,146 |
$487 |
$69 | |
| Emergency department visit (level 4) |
$864 |
$3,458 |
$653 |
$118 | |
| Emergency department visit (level 5) |
$1,053 |
$4,211 |
$932 |
$171 | |
| Epidural steroid injection |
$605 |
$2,421 |
$862 |
$275 | |
| ERCP (bile duct endoscopy) |
$1,568 |
$6,273 |
$3,721 |
$311 | |
| Esophageal dilation |
$1,110 |
$4,440 |
$1,420 |
$522 | |
| Eyelid surgery (blepharoplasty) |
$3,170 |
$12,681 |
$2,800 |
$552 | |
| Facet joint injection (spine) |
$519 |
$2,075 |
$1,330 |
$99 | |
| Fallopian tube X-ray (HSG) |
$265 |
$1,061 |
$359 |
$164 | |
| Fecal occult blood (stool) test |
$11 |
$46 |
$13 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$9 |
$36 |
$6 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$14 |
$55 |
$20 |
$16 | |
| Feeding tube (PEG) placement |
$1,046 |
$4,184 |
$1,920 |
$178 | |
| Femoral hernia repair |
$5,330 |
$21,321 |
$4,482 |
$584 | |
| Fibrinogen test |
$11 |
$44 |
$12 |
$10 | |
| Fibroid removal (myomectomy) |
$3,541 |
$14,164 |
$6,256 |
$914 | |
| Flexible sigmoidoscopy |
$543 |
$2,171 |
$1,122 |
$323 | |
| Flu test |
$28 |
$111 |
$17 |
$17 | |
| Foreign body removal (skin) |
$214 |
$855 |
$498 |
$157 | |
| Gallbladder removal (laparoscopic) |
$5,365 |
$21,462 |
$5,992 |
$658 | |
| Gallbladder scan (HIDA) |
$521 |
$2,082 |
$513 |
$334 | |
| Ganglion cyst removal |
$4,672 |
$18,690 |
$1,938 |
$321 | |
| Glaucoma surgery |
$2,390 |
$9,562 |
$2,834 |
$984 | |
| Glucose tolerance test |
$10 |
$38 |
$11 |
$8 | |
| Group therapy session |
$105 |
$419 |
$102 |
$30 | |
| H. pylori test |
$83 |
$333 |
$70 |
$67 | |
| Hammertoe repair |
$2,271 |
$9,085 |
$3,317 |
$548 | |
| Hematocrit test |
$6 |
$23 |
$3 |
$2 | |
| Hemodialysis |
$302 |
$1,206 |
$680 |
$75 | |
| Hemorrhoid removal |
$355 |
$1,419 |
$1,122 |
$338 | |
| Hepatitis A vaccine |
$34 |
$134 |
$78 |
— | |
| Hepatitis B vaccine |
$29 |
$116 |
$75 |
— | |
| Hip replacement |
$8,539 |
$34,155 |
$12,390 |
$1,162 | |
| Hydrocele repair |
$3,182 |
$12,727 |
$3,549 |
$315 | |
| Hysterectomy |
$6,826 |
$27,305 |
$10,330 |
$933 | |
| Hysteroscopy |
$2,560 |
$10,240 |
$3,299 |
$1,270 | |
| Inguinal hernia repair |
$4,753 |
$19,014 |
$4,482 |
$538 | |
| IUD insertion |
$1,272 |
$5,090 |
$50 |
— | |
| IUD removal |
$2,146 |
$8,583 |
$381 |
$112 | |
| IV infusion therapy |
$90 |
$359 |
$112 |
$44 | |
| IV infusion therapy (each additional) |
$45 |
$179 |
$57 |
$21 | |
| IV infusion therapy (initial) |
$135 |
$539 |
$209 |
$67 | |
| IVC filter placement |
$2,743 |
$10,971 |
$5,567 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$877 |
$3,508 |
$370 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$1,253 |
$5,012 |
$370 |
$57 | |
| Joint aspiration or injection (small joint) |
$501 |
$2,003 |
$370 |
$56 | |
| Kidney biopsy |
$617 |
$2,467 |
$1,652 |
$492 | |
| Kidney removal (nephrectomy) |
$7,939 |
$31,755 |
$6,256 |
$1,164 | |
| Kidney scan (nuclear) |
$251 |
$1,006 |
$518 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$3,080 |
$12,319 |
$4,296 |
$760 | |
| Kidney ultrasound |
$52 |
$209 |
$105 |
$84 | |
| Kidney ultrasound (limited) |
$52 |
$209 |
$105 |
$61 | |
| Knee arthroscopy |
$3,965 |
$15,862 |
$3,989 |
$524 | |
| Knee joint injection |
$515 |
$2,059 |
$370 |
$69 | |
| Lactate test |
$24 |
$97 |
$15 |
$12 | |
| Laminectomy (spine) |
$4,499 |
$17,996 |
$7,259 |
$1,157 | |
| Laryngoscopy |
$1,238 |
$4,953 |
$1,781 |
$189 | |
| LDH test |
$7 |
$27 |
$8 |
$6 | |
| Leg artery angiogram |
$1,318 |
$5,271 |
$3,100 |
$149 | |
| Leg artery angioplasty |
$4,254 |
$17,015 |
$450 |
— | |
| Leg vein ultrasound (Doppler) |
$183 |
$732 |
$159 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$210 |
$838 |
$104 |
$116 | |
| LH hormone test |
$29 |
$115 |
$24 |
$19 | |
| Lipase test |
$16 |
$63 |
$9 |
$7 | |
| Liver biopsy |
$651 |
$2,604 |
$1,652 |
$288 | |
| Liver function panel |
$13 |
$51 |
$10 |
$8 | |
| Lumbar discectomy |
$5,560 |
$22,240 |
$7,893 |
$898 | |
| Lumpectomy (breast) |
$3,669 |
$14,674 |
$5,577 |
$750 | |
| Lung function test (PFT) |
$156 |
$622 |
$270 |
$37 | |
| Lung scan (V/Q) |
$547 |
$2,188 |
$518 |
$291 | |
| Magnesium blood test |
$6 |
$22 |
$9 |
$7 | |
| Mastectomy |
$3,279 |
$13,116 |
$6,520 |
$1,021 | |
| Mastoidectomy |
$11,938 |
$47,751 |
$5,783 |
$840 | |
| Meniscus repair (knee) |
$2,466 |
$9,863 |
$3,329 |
$714 | |
| MRA of the brain |
$584 |
$2,335 |
$378 |
$226 | |
| MRA of the brain without contrast |
$584 |
$2,335 |
$471 |
$328 | |
| MRA of the neck |
$584 |
$2,335 |
$378 |
$245 | |
| MRA of the neck without contrast |
$584 |
$2,335 |
$471 |
$343 | |
| MRI of the abdomen |
$584 |
$2,335 |
$378 |
$300 | |
| MRI of the abdomen without contrast |
$584 |
$2,335 |
$273 |
$194 | |
| MRI of the ankle |
$584 |
$2,335 |
$378 |
$261 | |
| MRI of the ankle without contrast |
$584 |
$2,335 |
$273 |
$222 | |
| MRI of the brain |
$584 |
$2,335 |
$412 |
$269 | |
| MRI of the brain with contrast |
$584 |
$2,335 |
$471 |
$269 | |
| MRI of the brain without contrast |
$584 |
$2,335 |
$273 |
$195 | |
| MRI of the chest |
$584 |
$2,335 |
$378 |
$371 | |
| MRI of the chest without contrast |
$584 |
$2,335 |
$471 |
$466 | |
| MRI of the knee |
$584 |
$2,335 |
$482 |
$315 | |
| MRI of the knee with contrast |
$584 |
$2,335 |
$748 |
$315 | |
| MRI of the knee without contrast |
$584 |
$2,335 |
$273 |
$204 | |
| MRI of the lower back (lumbar spine) |
$584 |
$2,335 |
$412 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$584 |
$2,335 |
$471 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$584 |
$2,335 |
$273 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$584 |
$2,335 |
$378 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$584 |
$2,335 |
$471 |
$319 | |
| MRI of the mid-back (thoracic spine) without contrast |
$584 |
$2,335 |
$273 |
$190 | |
| MRI of the neck (cervical spine) |
$584 |
$2,335 |
$412 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$584 |
$2,335 |
$471 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$584 |
$2,335 |
$471 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$584 |
$2,335 |
$273 |
$191 | |
| MRI of the pelvis |
$584 |
$2,335 |
$378 |
$268 | |
| MRI of the pelvis without contrast |
$584 |
$2,335 |
$273 |
$227 | |
| MRI of the shoulder |
$584 |
$2,335 |
$482 |
$313 | |
| MRI of the shoulder with contrast |
$584 |
$2,335 |
$748 |
$313 | |
| MRI of the shoulder without contrast |
$584 |
$2,335 |
$273 |
$205 | |
| MRI of the wrist |
$584 |
$2,335 |
$378 |
$330 | |
| MRI of the wrist without contrast |
$584 |
$2,335 |
$273 |
$303 | |
| Nebulizer breathing treatment |
$79 |
$314 |
$215 |
$9 | |
| Neck (cervical) spinal fusion |
$1,757 |
$7,027 |
$12,477 |
$1,410 | |
| Nerve conduction study |
$126 |
$505 |
$210 |
$118 | |
| Nuclear cardiac stress test |
$783 |
$3,131 |
$1,283 |
$428 | |
| Occupational therapy evaluation |
$92 |
$369 |
$147 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$123 |
$492 |
$150 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$61 |
$245 |
$123 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$92 |
$369 |
$150 |
$101 | |
| Office visit (established patient) |
$116 |
$465 |
$131 |
$115 | |
| Office visit (new patient) |
$149 |
$595 |
$107 |
$177 | |
| Office visit, established patient (level 3) |
$99 |
$397 |
$108 |
$95 | |
| Office visit, established patient (level 4) |
$133 |
$532 |
$158 |
$136 | |
| Office visit, new patient (level 3) |
$100 |
$399 |
$107 |
$118 | |
| Office visit, new patient (level 4) |
$149 |
$595 |
$184 |
$177 | |
| Office visit, new patient (level 5) |
$151 |
$604 |
$15 |
$237 | |
| Orthopedic hardware removal |
$3,611 |
$14,444 |
$3,133 |
$632 | |
| Ovarian cyst removal |
$4,134 |
$16,537 |
$5,328 |
$698 | |
| Pap smear (cervical screening) |
$31 |
$124 |
$28 |
$20 | |
| Parathyroid hormone (PTH) test |
$35 |
$138 |
$53 |
$41 | |
| Parathyroid removal |
$4,392 |
$17,569 |
$6,089 |
$891 | |
| Pelvic ultrasound |
$144 |
$575 |
$105 |
$78 | |
| Pelvic ultrasound (complete) |
$169 |
$677 |
$105 |
$105 | |
| Pelvic ultrasound (limited) |
$118 |
$472 |
$105 |
$51 | |
| PET scan |
$1,801 |
$7,203 |
$1,695 |
— | |
| Phosphorus blood test |
$4 |
$17 |
$6 |
$5 | |
| Physical therapy evaluation |
$92 |
$369 |
$146 |
$98 | |
| Physical therapy evaluation (high complexity) |
$123 |
$492 |
$148 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$92 |
$369 |
$148 |
$98 | |
| Pilonidal cyst removal |
$4,652 |
$18,609 |
$3,133 |
$541 | |
| Platelet count |
$11 |
$43 |
$6 |
$4 | |
| Pregnancy blood test (hCG) |
$17 |
$69 |
$10 |
$8 | |
| Pregnancy ultrasound |
$97 |
$388 |
$105 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$97 |
$388 |
$105 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$97 |
$388 |
$105 |
$136 | |
| Procalcitonin test |
$54 |
$215 |
$34 |
$27 | |
| Prostate removal (prostatectomy) |
$5,195 |
$20,779 |
$10,437 |
$1,063 | |
| Prostate surgery (TURP) |
$2,916 |
$11,662 |
$5,810 |
$526 | |
| Retinal detachment repair |
$4,919 |
$19,674 |
$4,853 |
$966 | |
| Rotator cuff repair |
$2,363 |
$9,452 |
$7,088 |
$792 | |
| Sacroiliac joint injection |
$203 |
$810 |
$752 |
$176 | |
| Scoliosis spine X-ray |
$50 |
$202 |
$100 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$46 |
$185 |
$85 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$55 |
$218 |
$105 |
$72 | |
| Screening colonoscopy |
$648 |
$2,591 |
$1,348 |
$378 | |
| Screening mammogram |
$126 |
$505 |
$122 |
$126 | |
| Scrotal ultrasound |
$175 |
$699 |
$105 |
$99 | |
| Septoplasty (deviated septum) |
$2,186 |
$8,743 |
$3,338 |
$613 | |
| Sex hormone binding globulin test |
$19 |
$77 |
$28 |
$22 | |
| Shoulder arthroscopy |
$2,675 |
$10,701 |
$7,088 |
$962 | |
| Shoulder replacement |
$4,569 |
$18,277 |
$16,922 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$209 |
$834 |
$302 |
$114 | |
| Simple wound stitches |
$212 |
$848 |
$302 |
$127 | |
| Sinus surgery (endoscopic) |
$1,714 |
$6,856 |
$5,628 |
$224 | |
| Skin biopsy |
$1,177 |
$4,709 |
$399 |
$121 | |
| Skin biopsy (punch) |
$1,469 |
$5,875 |
$498 |
$121 | |
| Skin cancer lesion removal |
$1,955 |
$7,820 |
$708 |
$240 | |
| Skin graft |
$4,152 |
$16,609 |
$2,064 |
$898 | |
| Skin tag removal |
$2,162 |
$8,649 |
$310 |
$92 | |
| Sleep study (polysomnography) |
$992 |
$3,968 |
$851 |
$691 | |
| Soft tissue ultrasound |
$105 |
$421 |
$105 |
$64 | |
| Speech therapy |
$106 |
$422 |
$74 |
$76 | |
| Spinal cord stimulator |
$2,818 |
$11,273 |
$6,316 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$516 |
$2,063 |
$862 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$3,298 |
$13,191 |
$7,192 |
$5,803 | |
| Spirometry (lung function test) |
$156 |
$623 |
$205 |
$30 | |
| Spirometry with bronchodilator |
$155 |
$622 |
$366 |
$43 | |
| Spleen removal (splenectomy) |
$5,371 |
$21,485 |
$10,437 |
$1,036 | |
| Strabismus (eye muscle) surgery |
$2,746 |
$10,984 |
$3,626 |
$475 | |
| Strep throat test |
$21 |
$82 |
$17 |
$17 | |
| Stress echocardiogram |
$302 |
$1,206 |
$537 |
$209 | |
| Stress echocardiogram (complete) |
$354 |
$1,415 |
$537 |
$233 | |
| Swallow study |
$87 |
$347 |
$122 |
$85 | |
| Tdap (tetanus) vaccine |
$31 |
$124 |
$41 |
— | |
| Testicle removal (orchiectomy) |
$3,632 |
$14,528 |
$3,494 |
$306 | |
| Testosterone test |
$29 |
$114 |
$33 |
$26 | |
| Thyroid removal (thyroidectomy) |
$6,278 |
$25,111 |
$6,152 |
$1,004 | |
| Thyroid ultrasound |
$174 |
$697 |
$105 |
$109 | |
| Tilt table test |
$244 |
$976 |
$370 |
$168 | |
| Tonsillectomy |
$2,649 |
$10,595 |
$4,877 |
$252 | |
| Total IgE allergy test |
$28 |
$113 |
$21 |
$16 | |
| Total protein test |
$14 |
$54 |
$5 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$647 |
$2,586 |
$537 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$647 |
$2,586 |
$537 |
$239 | |
| Transvaginal ultrasound |
$165 |
$660 |
$105 |
$118 | |
| Trigger finger release |
$2,385 |
$9,540 |
$1,609 |
$630 | |
| Trigger point injection |
$501 |
$2,003 |
$370 |
$56 | |
| Trigger point injection (1-2 muscles) |
$501 |
$2,003 |
$370 |
$52 | |
| Troponin (heart) test |
$25 |
$101 |
$16 |
$12 | |
| Tubal ligation |
$2,930 |
$11,721 |
$5,905 |
$333 | |
| Turbinate reduction |
$1,917 |
$7,669 |
$3,286 |
$294 | |
| Turning a breech baby (version) |
$1,734 |
$6,938 |
$3,178 |
$94 | |
| Ulnar nerve surgery (elbow) |
$3,148 |
$12,594 |
$2,069 |
$575 | |
| Upper GI endoscopy (EGD) |
$1,021 |
$4,083 |
$907 |
$371 | |
| Upper GI series (barium) |
$128 |
$510 |
$175 |
$128 | |
| Ureteral stent placement |
$2,070 |
$8,279 |
$3,443 |
$373 | |
| Ureteroscopy (stone removal) |
$2,947 |
$11,786 |
$6,160 |
$365 | |
| Urinalysis |
$8 |
$31 |
$4 |
$3 | |
| Urine pregnancy test |
$15 |
$60 |
$11 |
$9 | |
| Vaccine administration |
$23 |
$93 |
$69 |
$19 | |
| Vaccine administration (each additional) |
$22 |
$87 |
$16 |
$16 | |
| Varicose vein ablation |
$2,509 |
$10,035 |
$3,933 |
$1,018 | |
| Vasectomy |
$2,678 |
$10,714 |
$2,138 |
$347 | |
| Vitrectomy (eye) |
$2,751 |
$11,003 |
$4,853 |
$814 | |
| Vocal cord injection |
$1,917 |
$7,669 |
$3,598 |
$211 | |
| Wound debridement |
$2,889 |
$11,555 |
$669 |
$186 | |
| Wrist fracture repair |
$4,951 |
$19,802 |
$7,192 |
$735 | |
| X-ray of the abdomen |
$54 |
$215 |
$100 |
$36 | |
| X-ray of the ankle |
$105 |
$421 |
$85 |
$37 | |
| X-ray of the collarbone |
$72 |
$287 |
$85 |
$33 | |
| X-ray of the elbow |
$76 |
$304 |
$85 |
$33 | |
| X-ray of the facial bones |
$60 |
$241 |
$100 |
$39 | |
| X-ray of the foot |
$124 |
$498 |
$85 |
$34 | |
| X-ray of the forearm |
$74 |
$298 |
$85 |
$29 | |
| X-ray of the hand |
$86 |
$344 |
$85 |
$38 | |
| X-ray of the hip |
$47 |
$188 |
$85 |
$49 | |
| X-ray of the hip (1 view) |
$46 |
$185 |
$85 |
$34 | |
| X-ray of the hip (3 views) |
$48 |
$190 |
$85 |
$49 | |
| X-ray of the knee |
$103 |
$412 |
$87 |
$42 | |
| X-ray of the knee (2 views) |
$91 |
$364 |
$85 |
$34 | |
| X-ray of the knee (3 views) |
$116 |
$466 |
$85 |
$42 | |
| X-ray of the knee (4+ views) |
$103 |
$412 |
$105 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$112 |
$448 |
$105 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$104 |
$415 |
$105 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$120 |
$482 |
$105 |
$53 | |
| X-ray of the lower leg |
$89 |
$355 |
$85 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$83 |
$330 |
$105 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$73 |
$290 |
$105 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$93 |
$370 |
$105 |
$39 | |
| X-ray of the neck (cervical spine) |
$93 |
$370 |
$100 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$90 |
$360 |
$85 |
$40 | |
| X-ray of the pelvis |
$87 |
$347 |
$105 |
$36 | |
| X-ray of the pelvis (1 view) |
$85 |
$339 |
$105 |
$28 | |
| X-ray of the ribs |
$82 |
$328 |
$102 |
$42 | |
| X-ray of the ribs (2 views) |
$77 |
$310 |
$85 |
$36 | |
| X-ray of the ribs (3 views) |
$82 |
$328 |
$105 |
$42 | |
| X-ray of the shoulder |
$81 |
$324 |
$85 |
$36 | |
| X-ray of the skull |
$98 |
$392 |
$105 |
$40 | |
| X-ray of the upper arm |
$72 |
$289 |
$85 |
$32 | |
| X-ray of the wrist |
$66 |
$264 |
$85 |
$43 | |
| YAG laser capsulotomy (eye) |
$1,045 |
$4,179 |
$689 |
$335 | |
| Zinc blood test |
$16 |
$64 |
$15 |
$11 | |