| 3D mammogram (tomosynthesis) |
$20 |
$101 |
$67 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$659 |
$3,296 |
$1,541 |
$284 | |
| Abdominal ultrasound |
$187 |
$936 |
$175 |
$100 | |
| Abdominal ultrasound (complete) |
$242 |
$1,212 |
$175 |
$114 | |
| Abdominal ultrasound (limited) |
$132 |
$659 |
$175 |
$86 | |
| Abscess drainage (complex or multiple) |
$216 |
$1,078 |
$657 |
$220 | |
| Abscess drainage (simple) |
$55 |
$277 |
$327 |
$129 | |
| Abscess incision and drainage |
$136 |
$678 |
$383 |
$174 | |
| Achilles tendon repair |
— |
— |
$11,742 |
$624 | |
| ACL knee reconstruction |
— |
— |
$11,742 |
$889 | |
| Albumin blood test |
$33 |
$166 |
$9 |
$5 | |
| Aldosterone test |
$146 |
$728 |
$73 |
$41 | |
| Alkaline phosphatase test |
$33 |
$166 |
$9 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$16 |
$81 |
$30 |
$17 | |
| ALT liver enzyme test |
$33 |
$166 |
$10 |
$5 | |
| Ammonia blood test |
$93 |
$465 |
$26 |
$15 | |
| Amylase test |
$41 |
$204 |
$12 |
$6 | |
| Anal fistula repair |
— |
— |
$4,507 |
$541 | |
| Ankle fracture repair |
— |
— |
$11,742 |
$608 | |
| Antinuclear antibody (ANA) test |
$8 |
$40 |
$22 |
$12 | |
| Aortic aneurysm repair (AAA) |
— |
— |
$2,730 |
$1,345 | |
| Arterial blood gas (ABG) |
$99 |
$494 |
$47 |
$26 | |
| AST liver enzyme test |
$33 |
$166 |
$9 |
$5 | |
| Barium swallow study |
$133 |
$667 |
$293 |
$107 | |
| Bartholin cyst removal |
$50 |
$251 |
$331 |
$182 | |
| Basic metabolic panel |
$105 |
$523 |
$15 |
$8 | |
| Benign skin lesion removal |
$203 |
$1,015 |
$1,060 |
$171 | |
| Bilirubin blood test |
$33 |
$166 |
$9 |
$5 | |
| Bladder scope (cystoscopy) |
$173 |
$865 |
$1,097 |
$216 | |
| Bladder tumor removal (TURBT) |
— |
— |
$5,669 |
$236 | |
| Blood clotting test (PT/INR) |
$25 |
$126 |
$8 |
$4 | |
| Blood crossmatch |
$68 |
$340 |
$258 |
— | |
| Blood glucose test |
$33 |
$166 |
$7 |
$5 | |
| Blood transfusion |
$234 |
$1,169 |
$719 |
$47 | |
| Blood type and screen |
$36 |
$178 |
$88 |
$10 | |
| Blood type test |
$31 |
$155 |
$99 |
$3 | |
| Blood type test (ABO group) |
$31 |
$153 |
$194 |
$3 | |
| Blood type test (Rh/D antigen) |
$31 |
$156 |
$65 |
$3 | |
| BNP (heart failure) test |
$58 |
$290 |
$71 |
$39 | |
| Bone density scan (DEXA) |
$96 |
$480 |
$175 |
$39 | |
| Bone marrow biopsy |
$447 |
$2,236 |
$2,663 |
$172 | |
| Bone scan (nuclear) |
$466 |
$2,330 |
$660 |
$259 | |
| Breast biopsy |
$1,066 |
$5,331 |
$2,663 |
$478 | |
| Breast MRI |
$779 |
$3,896 |
$397 |
$216 | |
| Breast MRI without contrast |
$847 |
$4,235 |
$397 |
$216 | |
| Breast ultrasound |
$140 |
$700 |
$165 |
$92 | |
| Breast ultrasound (complete) |
$158 |
$792 |
$175 |
$100 | |
| Breast ultrasound (limited) |
$121 |
$607 |
$145 |
$84 | |
| Breathing tube insertion (intubation) |
$235 |
$1,173 |
$382 |
$133 | |
| Bunion surgery (bunionectomy) |
— |
— |
$10,763 |
$883 | |
| Burn dressing and debridement (medium) |
$74 |
$372 |
$327 |
$166 | |
| Burn dressing and debridement (small) |
$151 |
$755 |
$327 |
$93 | |
| Burn treatment |
$113 |
$564 |
$327 |
$129 | |
| C-reactive protein (CRP) |
$71 |
$353 |
$9 |
$5 | |
| CA 19-9 tumor marker test |
$81 |
$407 |
$37 |
$21 | |
| CA-125 ovarian marker test |
$86 |
$431 |
$37 |
$21 | |
| Calcium blood test |
$33 |
$166 |
$9 |
$5 | |
| Cardiac catheterization |
$3,409 |
$17,043 |
$5,287 |
$1,049 | |
| Cardiac rehabilitation |
$54 |
$270 |
$203 |
$26 | |
| Cardiac stress test |
$151 |
$755 |
$512 |
$39 | |
| Cardioversion |
$146 |
$732 |
$1,027 |
$155 | |
| Carotid artery ultrasound |
$318 |
$1,589 |
$397 |
$156 | |
| Carpal tunnel release |
— |
— |
$3,210 |
$483 | |
| Cataract surgery |
— |
— |
$3,749 |
$547 | |
| CEA tumor marker test |
$57 |
$283 |
$34 |
$19 | |
| Celiac disease test |
$7 |
$37 |
$21 |
$12 | |
| Central line placement |
$583 |
$2,916 |
$4,742 |
$238 | |
| Cervical LEEP procedure |
— |
— |
$5,226 |
$325 | |
| Cesarean section (C-section) |
— |
— |
$11,036 |
$7,552 | |
| Chemotherapy infusion |
$117 |
$586 |
$305 |
$81 | |
| Chemotherapy infusion (each additional) |
$74 |
$372 |
$117 |
$28 | |
| Chemotherapy infusion (first hour) |
$160 |
$799 |
$545 |
$133 | |
| Chest fluid drain (thoracentesis) |
$436 |
$2,182 |
$1,016 |
$311 | |
| Chest tube insertion |
$378 |
$1,892 |
$2,340 |
$143 | |
| Chest X-ray |
$83 |
$413 |
$145 |
$37 | |
| Chest X-ray (1 view) |
$77 |
$385 |
$145 |
$25 | |
| Chest X-ray (2 views) |
$82 |
$409 |
$145 |
$33 | |
| CK-MB heart enzyme test |
$57 |
$285 |
$21 |
$12 | |
| Clotting time test (PTT) |
$25 |
$124 |
$11 |
$6 | |
| Colonoscopy |
— |
— |
$1,776 |
$480 | |
| Complete blood count (CBC) |
$31 |
$153 |
$14 |
$7 | |
| Complete blood count (CBC) (complete) |
$33 |
$164 |
$14 |
$8 | |
| Complex wound repair |
— |
— |
$1,006 |
$390 | |
| Comprehensive metabolic panel |
$122 |
$612 |
$19 |
$11 | |
| Contraceptive implant (Nexplanon) |
$65 |
$324 |
$317 |
$115 | |
| Copper blood test |
$64 |
$320 |
$22 |
$12 | |
| Coronary artery bypass (CABG) |
— |
— |
$46,888 |
$36,593 | |
| Coronary CT angiography |
$951 |
$4,756 |
$587 |
$326 | |
| Cortisol test |
$47 |
$234 |
$29 |
$16 | |
| COVID-19 PCR test |
$36 |
$179 |
$92 |
$51 | |
| CPAP titration study |
$111 |
$556 |
$334 |
$69 | |
| Creatine kinase (CK) test |
$33 |
$166 |
$12 |
$7 | |
| CT angiography of the chest |
$824 |
$4,118 |
$293 |
$281 | |
| CT angiography of the head |
$663 |
$3,317 |
$293 |
$274 | |
| CT scan of the abdomen |
$739 |
$3,693 |
$293 |
$230 | |
| CT scan of the abdomen and pelvis |
$1,478 |
$7,391 |
$587 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$1,710 |
$8,549 |
$587 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$1,478 |
$7,391 |
$587 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,259 |
$6,296 |
$397 |
$183 | |
| CT scan of the abdomen with and without contrast |
$855 |
$4,275 |
$293 |
$259 | |
| CT scan of the abdomen with contrast |
$739 |
$3,693 |
$293 |
$230 | |
| CT scan of the abdomen without contrast |
$630 |
$3,152 |
$175 |
$136 | |
| CT scan of the arm |
$634 |
$3,172 |
$551 |
$199 | |
| CT scan of the arm with contrast |
$634 |
$3,172 |
$587 |
$199 | |
| CT scan of the arm without contrast |
$630 |
$3,152 |
$175 |
$161 | |
| CT scan of the chest |
$739 |
$3,693 |
$293 |
$167 | |
| CT scan of the chest with and without contrast |
$855 |
$4,275 |
$293 |
$196 | |
| CT scan of the chest with contrast |
$739 |
$3,693 |
$293 |
$167 | |
| CT scan of the chest without contrast |
$630 |
$3,152 |
$175 |
$133 | |
| CT scan of the head |
$739 |
$3,693 |
$293 |
$148 | |
| CT scan of the head with and without contrast |
$855 |
$4,275 |
$293 |
$173 | |
| CT scan of the head with contrast |
$739 |
$3,693 |
$293 |
$148 | |
| CT scan of the head without contrast |
$630 |
$3,152 |
$175 |
$107 | |
| CT scan of the leg |
$855 |
$4,275 |
$293 |
$166 | |
| CT scan of the leg with contrast |
$855 |
$4,276 |
$293 |
$166 | |
| CT scan of the leg without contrast |
$630 |
$3,152 |
$175 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$692 |
$3,458 |
$329 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$890 |
$4,451 |
$293 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$692 |
$3,458 |
$587 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$662 |
$3,308 |
$175 |
$130 | |
| CT scan of the neck |
$739 |
$3,693 |
$293 |
$183 | |
| CT scan of the neck (cervical spine) |
$692 |
$3,458 |
$329 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$721 |
$3,603 |
$293 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$692 |
$3,458 |
$587 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$645 |
$3,226 |
$175 |
$131 | |
| CT scan of the neck with and without contrast |
$861 |
$4,306 |
$293 |
$220 | |
| CT scan of the neck with contrast |
$739 |
$3,693 |
$293 |
$183 | |
| CT scan of the neck without contrast |
$630 |
$3,152 |
$175 |
$150 | |
| CT scan of the pelvis |
$739 |
$3,693 |
$293 |
$226 | |
| CT scan of the pelvis with and without contrast |
$855 |
$4,275 |
$293 |
$251 | |
| CT scan of the pelvis with contrast |
$739 |
$3,693 |
$293 |
$226 | |
| CT scan of the pelvis without contrast |
$630 |
$3,152 |
$175 |
$133 | |
| CT scan of the sinuses |
$469 |
$2,343 |
$293 |
$152 | |
| CT scan of the sinuses with and without contrast |
$741 |
$3,703 |
$293 |
$184 | |
| CT scan of the sinuses with contrast |
$469 |
$2,343 |
$293 |
$152 | |
| CT scan of the sinuses without contrast |
$444 |
$2,219 |
$175 |
$128 | |
| D-dimer test |
$45 |
$226 |
$18 |
$10 | |
| Defibrillator (ICD) implant |
$16,402 |
$82,012 |
$52,697 |
$798 | |
| Developmental screening (child) |
$82 |
$408 |
$240 |
— | |
| DHEA-sulfate test |
$83 |
$417 |
$40 |
$22 | |
| Diagnostic mammogram |
$143 |
$714 |
$397 |
$140 | |
| Dialysis fistula creation |
— |
— |
$5,173 |
$601 | |
| Drug screen (urine) |
$14 |
$70 |
$31 |
$17 | |
| Echocardiogram |
$348 |
$1,739 |
$516 |
$138 | |
| Echocardiogram with and without contrast |
$221 |
$1,104 |
$397 |
$101 | |
| Echocardiogram without contrast |
$348 |
$1,739 |
$397 |
$138 | |
| EEG (awake and asleep) |
$237 |
$1,184 |
$512 |
$482 | |
| EKG / ECG (tracing only) |
$67 |
$334 |
$98 |
$7 | |
| Electrocardiogram (EKG) |
$67 |
$334 |
$98 |
$8 | |
| Electroencephalogram (EEG) |
$226 |
$1,129 |
$512 |
$448 | |
| Electrolyte panel |
$87 |
$437 |
$13 |
$7 | |
| Emergency department visit |
$207 |
$1,035 |
$455 |
$69 | |
| Emergency department visit (level 1) |
$97 |
$487 |
$145 |
$11 | |
| Emergency department visit (level 2) |
$126 |
$630 |
$260 |
$40 | |
| Emergency department visit (level 3) |
$207 |
$1,035 |
$455 |
$69 | |
| Emergency department visit (level 4) |
$578 |
$2,889 |
$700 |
$118 | |
| Emergency department visit (level 5) |
$904 |
$4,522 |
$1,008 |
$171 | |
| Endometrial biopsy |
$64 |
$318 |
$331 |
$98 | |
| Epidural steroid injection |
$364 |
$1,818 |
$1,138 |
$275 | |
| Esophageal dilation |
— |
— |
$1,541 |
$522 | |
| Estradiol (estrogen) test |
$81 |
$407 |
$50 |
$28 | |
| Facet joint injection (spine) |
$341 |
$1,704 |
$1,421 |
$99 | |
| Fallopian tube X-ray (HSG) |
$547 |
$2,735 |
$397 |
$164 | |
| Fecal occult blood (stool) test |
$46 |
$232 |
$8 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$46 |
$232 |
$8 |
$4 | |
| Feeding tube (PEG) placement |
— |
— |
$3,118 |
$178 | |
| Femoral hernia repair |
— |
— |
$5,800 |
$584 | |
| Ferritin (iron) test |
$45 |
$225 |
$25 |
$14 | |
| Fibrinogen test |
$63 |
$317 |
$18 |
$10 | |
| Flexible sigmoidoscopy |
— |
— |
$1,499 |
$323 | |
| Flu test |
$31 |
$156 |
$30 |
$17 | |
| Flu vaccine |
$4 |
$18 |
$12 |
— | |
| Folate (folic acid) test |
$62 |
$309 |
$26 |
$15 | |
| Foreign body removal (skin) |
$80 |
$399 |
$620 |
$157 | |
| Free T4 thyroid test |
$40 |
$200 |
$16 |
$9 | |
| FSH hormone test |
$59 |
$294 |
$33 |
$19 | |
| Gallbladder removal (laparoscopic) |
— |
— |
$9,589 |
$658 | |
| Gallbladder scan (HIDA) |
$349 |
$1,743 |
$811 |
$334 | |
| Ganglion cyst removal |
— |
— |
$2,630 |
$321 | |
| GGT liver test |
$33 |
$166 |
$13 |
$7 | |
| Glucose tolerance test |
$29 |
$147 |
$21 |
$8 | |
| Group therapy session |
$56 |
$279 |
$152 |
$30 | |
| Hammertoe repair |
— |
— |
$5,333 |
$548 | |
| HDL cholesterol test |
$30 |
$152 |
$15 |
$8 | |
| Hematocrit test |
$19 |
$93 |
$4 |
$2 | |
| Hemodialysis |
$258 |
$1,292 |
$1,054 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$36 |
$180 |
$17 |
$10 | |
| Hepatitis B test |
$40 |
$200 |
$19 |
$10 | |
| Hepatitis C test |
$31 |
$157 |
$26 |
$14 | |
| Hip fracture repair |
— |
— |
$2,685 |
$1,120 | |
| Hip replacement |
— |
— |
$21,148 |
$1,162 | |
| HIV test |
$32 |
$158 |
$25 |
$19 | |
| HIV test (antibody) |
$43 |
$216 |
$25 |
$14 | |
| HIV test (antigen/antibody combo) |
$20 |
$100 |
$43 |
$24 | |
| Holter heart monitor |
$169 |
$843 |
$212 |
$26 | |
| Hysterectomy |
— |
— |
$15,868 |
$933 | |
| Hysteroscopy |
— |
— |
$5,226 |
$1,270 | |
| Inguinal hernia repair |
— |
— |
$5,800 |
$538 | |
| Iron blood test |
$43 |
$213 |
$12 |
$6 | |
| IUD insertion |
— |
— |
$1,957 |
— | |
| IUD removal |
$64 |
$318 |
$500 |
$112 | |
| IV infusion therapy |
$104 |
$518 |
$176 |
$44 | |
| IV infusion therapy (each additional) |
$53 |
$266 |
$76 |
$21 | |
| IV infusion therapy (initial) |
$154 |
$769 |
$346 |
$67 | |
| IVC filter placement |
$1,970 |
$9,849 |
$8,144 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$162 |
$812 |
$485 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$232 |
$1,161 |
$485 |
$57 | |
| Joint aspiration or injection (small joint) |
$93 |
$463 |
$485 |
$56 | |
| Kidney biopsy |
$584 |
$2,921 |
$2,483 |
$492 | |
| Kidney removal (nephrectomy) |
— |
— |
$2,860 |
$1,164 | |
| Kidney scan (nuclear) |
$521 |
$2,603 |
$885 |
$172 | |
| Kidney ultrasound |
$194 |
$969 |
$175 |
$84 | |
| Kidney ultrasound (limited) |
$153 |
$764 |
$175 |
$61 | |
| Knee arthroscopy |
— |
— |
$5,333 |
$524 | |
| Knee joint injection |
$244 |
$1,219 |
$485 |
$69 | |
| Knee replacement |
— |
— |
$23,841 |
$18,054 | |
| Lactate test |
$40 |
$199 |
$21 |
$12 | |
| Laryngoscopy |
$97 |
$486 |
$319 |
$189 | |
| LDH test |
$33 |
$166 |
$11 |
$6 | |
| LDL cholesterol test |
$33 |
$166 |
$19 |
$11 | |
| Leg artery angiogram |
$1,095 |
$5,474 |
$4,742 |
$149 | |
| Leg artery angioplasty |
$7,210 |
$36,050 |
$10,355 |
— | |
| Leg vein ultrasound (Doppler) |
$234 |
$1,171 |
$397 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$119 |
$597 |
$175 |
$116 | |
| LH hormone test |
$56 |
$279 |
$33 |
$19 | |
| Lipid (cholesterol) panel |
$96 |
$482 |
$24 |
$13 | |
| Liver biopsy |
$510 |
$2,548 |
$2,441 |
$288 | |
| Liver function panel |
$89 |
$447 |
$15 |
$8 | |
| Lumpectomy (breast) |
— |
— |
$6,294 |
$750 | |
| Lung function test (PFT) |
$105 |
$524 |
$288 |
$37 | |
| Lung scan (V/Q) |
$615 |
$3,076 |
$885 |
$291 | |
| Mastectomy |
— |
— |
$10,719 |
$1,021 | |
| MRA of the brain |
$1,011 |
$5,053 |
$587 |
$226 | |
| MRA of the brain without contrast |
$1,219 |
$6,093 |
$587 |
$328 | |
| MRA of the neck |
$924 |
$4,620 |
$587 |
$245 | |
| MRA of the neck with contrast |
$924 |
$4,620 |
$587 |
$245 | |
| MRA of the neck without contrast |
$1,237 |
$6,187 |
$587 |
$343 | |
| MRI of the abdomen |
$825 |
$4,127 |
$587 |
$300 | |
| MRI of the abdomen with contrast |
$825 |
$4,127 |
$587 |
$300 | |
| MRI of the abdomen without contrast |
$802 |
$4,012 |
$397 |
$194 | |
| MRI of the ankle |
$858 |
$4,292 |
$587 |
$261 | |
| MRI of the ankle with contrast |
$858 |
$4,292 |
$587 |
$261 | |
| MRI of the ankle without contrast |
$802 |
$4,012 |
$397 |
$222 | |
| MRI of the brain |
$825 |
$4,127 |
$587 |
$269 | |
| MRI of the brain with contrast |
$825 |
$4,127 |
$587 |
$269 | |
| MRI of the brain without contrast |
$802 |
$4,012 |
$397 |
$195 | |
| MRI of the chest |
$1,020 |
$5,100 |
$587 |
$371 | |
| MRI of the chest without contrast |
$1,237 |
$6,187 |
$587 |
$466 | |
| MRI of the knee |
$948 |
$4,740 |
$721 |
$315 | |
| MRI of the knee with contrast |
$948 |
$4,740 |
$1,299 |
$315 | |
| MRI of the knee without contrast |
$802 |
$4,012 |
$397 |
$204 | |
| MRI of the lower back (lumbar spine) |
$948 |
$4,740 |
$552 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$948 |
$4,740 |
$587 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$802 |
$4,012 |
$397 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$948 |
$4,740 |
$587 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$1,018 |
$5,089 |
$587 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$948 |
$4,740 |
$587 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$822 |
$4,112 |
$397 |
$190 | |
| MRI of the neck (cervical spine) |
$948 |
$4,740 |
$587 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$1,018 |
$5,089 |
$587 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$948 |
$4,740 |
$587 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$802 |
$4,012 |
$397 |
$191 | |
| MRI of the pelvis |
$825 |
$4,127 |
$587 |
$268 | |
| MRI of the pelvis with contrast |
$825 |
$4,127 |
$587 |
$268 | |
| MRI of the pelvis without contrast |
$802 |
$4,012 |
$397 |
$227 | |
| MRI of the shoulder |
$948 |
$4,740 |
$721 |
$313 | |
| MRI of the shoulder with contrast |
$948 |
$4,740 |
$1,299 |
$313 | |
| MRI of the shoulder without contrast |
$802 |
$4,012 |
$397 |
$205 | |
| MRI of the wrist |
$1,020 |
$5,100 |
$587 |
$330 | |
| MRI of the wrist without contrast |
$802 |
$4,012 |
$397 |
$303 | |
| Nebulizer breathing treatment |
$48 |
$241 |
$306 |
$9 | |
| Nuclear cardiac stress test |
$1,343 |
$6,717 |
$2,146 |
$428 | |
| Occupational therapy evaluation |
$169 |
$844 |
$497 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$169 |
$844 |
$497 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$169 |
$844 |
$497 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$169 |
$844 |
$497 |
$101 | |
| Office visit (established patient) |
$213 |
$1,064 |
$320 |
$115 | |
| Office visit (new patient) |
$90 |
$449 |
$281 |
$177 | |
| Office visit, established patient (level 3) |
$178 |
$891 |
$313 |
$95 | |
| Office visit, established patient (level 4) |
$247 |
$1,236 |
$328 |
$136 | |
| Office visit, new patient (level 3) |
$75 |
$375 |
$230 |
$118 | |
| Office visit, new patient (level 4) |
$90 |
$449 |
$275 |
$177 | |
| Office visit, new patient (level 5) |
$135 |
$673 |
$413 |
$237 | |
| Orthopedic hardware removal |
— |
— |
$4,704 |
$632 | |
| Ovarian cyst removal |
— |
— |
$8,114 |
$698 | |
| Pacemaker insertion |
— |
— |
$25,406 |
$15,506 | |
| Pap smear (cervical screening) |
$22 |
$112 |
$44 |
$20 | |
| Parathyroid hormone (PTH) test |
$144 |
$719 |
$74 |
$41 | |
| Pelvic ultrasound |
$182 |
$909 |
$175 |
$78 | |
| Pelvic ultrasound (complete) |
$241 |
$1,205 |
$175 |
$105 | |
| Pelvic ultrasound (limited) |
$123 |
$613 |
$175 |
$51 | |
| PET scan |
$2,496 |
$12,478 |
$2,397 |
— | |
| Phosphorus blood test |
$33 |
$166 |
$9 |
$5 | |
| Physical therapy evaluation |
$173 |
$866 |
$510 |
$98 | |
| Physical therapy evaluation (high complexity) |
$173 |
$866 |
$510 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$173 |
$866 |
$510 |
$98 | |
| Pilonidal cyst removal |
— |
— |
$4,704 |
$541 | |
| Platelet count |
$18 |
$89 |
$8 |
$4 | |
| Pregnancy blood test (hCG) |
$40 |
$200 |
$14 |
$8 | |
| Pregnancy ultrasound |
$237 |
$1,185 |
$175 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$232 |
$1,158 |
$175 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$242 |
$1,212 |
$175 |
$136 | |
| Procalcitonin test |
$139 |
$696 |
$49 |
$27 | |
| Prolactin test |
$67 |
$335 |
$35 |
$19 | |
| Prostate biopsy |
$510 |
$2,548 |
$3,086 |
— | |
| Prostate surgery (TURP) |
— |
— |
$8,356 |
$526 | |
| Prostate test (PSA) |
$75 |
$373 |
$33 |
$18 | |
| Pulmonary rehabilitation |
$26 |
$128 |
$96 |
$87 | |
| Rheumatoid factor test |
$24 |
$119 |
$11 |
$6 | |
| Rotator cuff repair |
— |
— |
$11,742 |
$792 | |
| Scoliosis spine X-ray |
$81 |
$403 |
$160 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$76 |
$382 |
$145 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$85 |
$423 |
$175 |
$72 | |
| Screening mammogram |
$109 |
$546 |
$328 |
$126 | |
| Scrotal ultrasound |
$268 |
$1,340 |
$175 |
$99 | |
| Sedimentation rate (ESR) test |
$16 |
$81 |
$8 |
$3 | |
| Semen analysis |
$34 |
$171 |
$22 |
$12 | |
| Sex hormone binding globulin test |
$21 |
$105 |
$39 |
$22 | |
| Shoulder replacement |
— |
— |
$30,226 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$46 |
$231 |
$327 |
$114 | |
| Simple wound stitches |
$46 |
$231 |
$327 |
$127 | |
| Skin biopsy |
$74 |
$368 |
$620 |
$121 | |
| Skin biopsy (punch) |
$74 |
$368 |
$620 |
$121 | |
| Skin tag removal |
$49 |
$245 |
$327 |
$92 | |
| Sleep study (polysomnography) |
$1,107 |
$5,534 |
$1,672 |
$691 | |
| Soft tissue ultrasound |
$94 |
$468 |
$175 |
$64 | |
| Speech therapy |
$151 |
$757 |
$446 |
$76 | |
| Spinal cord stimulator |
— |
— |
$10,787 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$257 |
$1,285 |
$1,055 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$4,439 |
$22,194 |
$11,742 |
$5,803 | |
| Spirometry (lung function test) |
$83 |
$417 |
$257 |
$30 | |
| Spirometry with bronchodilator |
$126 |
$630 |
$471 |
$43 | |
| Strep throat test |
$39 |
$194 |
$30 |
$17 | |
| Stress echocardiogram |
$430 |
$2,148 |
$901 |
$209 | |
| Swallow study |
$110 |
$550 |
$324 |
$85 | |
| T3 thyroid test |
$47 |
$234 |
$26 |
$14 | |
| Testosterone test |
$101 |
$505 |
$46 |
$26 | |
| Thyroid removal (thyroidectomy) |
— |
— |
$9,589 |
$1,004 | |
| Thyroid test (TSH) |
$48 |
$240 |
$30 |
$17 | |
| Thyroid ultrasound |
$197 |
$983 |
$175 |
$109 | |
| Thyroid uptake scan |
$218 |
$1,088 |
$660 |
$145 | |
| Total IgE allergy test |
$59 |
$294 |
$30 |
$16 | |
| Total protein test |
$33 |
$166 |
$7 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$546 |
$2,730 |
$901 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$546 |
$2,730 |
$901 |
$239 | |
| Transvaginal ultrasound |
$232 |
$1,162 |
$175 |
$118 | |
| Trigger finger release |
— |
— |
$2,630 |
$630 | |
| Trigger point injection |
$109 |
$544 |
$485 |
$56 | |
| Trigger point injection (1-2 muscles) |
$59 |
$297 |
$485 |
$52 | |
| Triglycerides test |
$12 |
$62 |
$10 |
$6 | |
| Troponin (heart) test |
$91 |
$456 |
$22 |
$12 | |
| Tubal ligation |
— |
— |
$9,589 |
$333 | |
| Turning a breech baby (version) |
$913 |
$4,564 |
$4,790 |
$94 | |
| Ulnar nerve surgery (elbow) |
— |
— |
$3,210 |
$575 | |
| Upper GI endoscopy (EGD) |
— |
— |
$1,541 |
$371 | |
| Upper GI series (barium) |
$245 |
$1,223 |
$293 |
$128 | |
| Ureteral stent placement |
— |
— |
$5,669 |
$373 | |
| Ureteroscopy (stone removal) |
— |
— |
$8,356 |
$365 | |
| Uric acid (gout) test |
$33 |
$166 |
$8 |
$5 | |
| Urinalysis |
$21 |
$107 |
$5 |
$3 | |
| Urine microalbumin test |
$30 |
$151 |
$9 |
$5 | |
| Urine pregnancy test |
$40 |
$200 |
$16 |
$9 | |
| Vaccine administration |
$18 |
$90 |
$91 |
$19 | |
| Vaccine administration (each additional) |
$12 |
$58 |
$50 |
$16 | |
| Vaginal delivery |
— |
— |
$8,061 |
$5,487 | |
| Vitamin B12 test |
$57 |
$285 |
$27 |
$15 | |
| Vitamin D test |
$157 |
$786 |
$53 |
$30 | |
| Wart removal |
$39 |
$194 |
$327 |
$121 | |
| Weight-loss (bariatric) surgery |
— |
— |
$18,784 |
$11,645 | |
| Wound debridement |
$153 |
$765 |
$657 |
$186 | |
| Wrist fracture repair |
— |
— |
$11,742 |
$735 | |
| X-ray of the abdomen |
$90 |
$448 |
$175 |
$36 | |
| X-ray of the ankle |
$84 |
$422 |
$145 |
$37 | |
| X-ray of the collarbone |
$84 |
$422 |
$145 |
$33 | |
| X-ray of the elbow |
$89 |
$445 |
$145 |
$33 | |
| X-ray of the facial bones |
$118 |
$589 |
$160 |
$39 | |
| X-ray of the foot |
$83 |
$417 |
$145 |
$34 | |
| X-ray of the forearm |
$75 |
$375 |
$145 |
$29 | |
| X-ray of the hand |
$81 |
$407 |
$145 |
$38 | |
| X-ray of the hip |
$99 |
$494 |
$145 |
$49 | |
| X-ray of the hip (1 view) |
$51 |
$253 |
$145 |
$34 | |
| X-ray of the hip (3 views) |
$99 |
$494 |
$145 |
$49 | |
| X-ray of the hip (4 views) |
$109 |
$547 |
$175 |
$63 | |
| X-ray of the knee |
$94 |
$469 |
$145 |
$42 | |
| X-ray of the knee (2 views) |
$83 |
$416 |
$145 |
$34 | |
| X-ray of the knee (3 views) |
$94 |
$469 |
$145 |
$42 | |
| X-ray of the knee (4+ views) |
$101 |
$506 |
$175 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$130 |
$652 |
$175 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$115 |
$577 |
$175 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$145 |
$726 |
$175 |
$53 | |
| X-ray of the lower leg |
$83 |
$417 |
$145 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$111 |
$557 |
$175 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$107 |
$537 |
$175 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$115 |
$577 |
$175 |
$39 | |
| X-ray of the neck (cervical spine) |
$104 |
$521 |
$160 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$94 |
$470 |
$145 |
$40 | |
| X-ray of the pelvis |
$92 |
$461 |
$175 |
$36 | |
| X-ray of the pelvis (1 view) |
$77 |
$387 |
$175 |
$28 | |
| X-ray of the ribs |
$118 |
$592 |
$175 |
$42 | |
| X-ray of the ribs (2 views) |
$96 |
$482 |
$145 |
$36 | |
| X-ray of the ribs (3 views) |
$145 |
$726 |
$175 |
$42 | |
| X-ray of the shoulder |
$94 |
$470 |
$145 |
$36 | |
| X-ray of the skull |
$109 |
$545 |
$175 |
$40 | |
| X-ray of the upper arm |
$48 |
$241 |
$145 |
$32 | |
| X-ray of the wrist |
$84 |
$418 |
$145 |
$43 | |
| Zinc blood test |
$39 |
$196 |
$21 |
$11 | |