| 3D mammogram (tomosynthesis) |
$44 |
$87 |
$29 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,505 |
$3,009 |
$912 |
$284 | |
| Abdominal ultrasound |
$403 |
$807 |
$106 |
$100 | |
| Abdominal ultrasound (complete) |
$404 |
$807 |
$105 |
$114 | |
| Abdominal ultrasound (limited) |
$403 |
$806 |
$106 |
$86 | |
| Abscess drainage (complex or multiple) |
$516 |
$1,032 |
$403 |
$220 | |
| Abscess drainage (simple) |
$282 |
$563 |
$203 |
$129 | |
| Abscess incision and drainage |
$392 |
$783 |
$203 |
$174 | |
| Achilles tendon repair |
$5,001 |
$10,001 |
$7,333 |
$624 | |
| ACL knee reconstruction |
$7,439 |
$14,878 |
$7,333 |
$889 | |
| Acupuncture |
$38 |
$77 |
$23 |
$38 | |
| Acupuncture (each additional) |
$38 |
$75 |
$22 |
$28 | |
| Adenoid removal (adenoidectomy) |
$2,628 |
$5,256 |
$3,334 |
$204 | |
| Albumin blood test |
$8 |
$15 |
$5 |
$5 | |
| Aldosterone test |
$26 |
$52 |
$43 |
$41 | |
| Alkaline phosphatase test |
$18 |
$36 |
$5 |
$5 | |
| Allergy patch testing |
$379 |
$759 |
$864 |
$5 | |
| Allergy shots |
$58 |
$116 |
$47 |
$11 | |
| Alpha-fetoprotein (AFP) test |
$52 |
$103 |
$18 |
$17 | |
| ALT liver enzyme test |
$47 |
$94 |
$6 |
$5 | |
| Ammonia blood test |
$31 |
$63 |
$15 |
$15 | |
| Amylase test |
$50 |
$99 |
$7 |
$6 | |
| Anal fistula repair |
$497 |
$995 |
$2,792 |
$541 | |
| Ankle fracture repair |
$5,003 |
$10,007 |
$7,333 |
$608 | |
| Ankle replacement |
$24,056 |
$48,112 |
$27,420 |
$885 | |
| Annual physical (established patient) |
$61 |
$121 |
$68 |
— | |
| Annual physical (new patient) |
$76 |
$152 |
$79 |
— | |
| Anoscopy |
$153 |
$306 |
$134 |
$129 | |
| Antinuclear antibody (ANA) test |
$62 |
$124 |
$13 |
$12 | |
| Arterial blood gas (ABG) |
$106 |
$212 |
$27 |
$26 | |
| AST liver enzyme test |
$53 |
$106 |
$5 |
$5 | |
| Barium swallow study |
$386 |
$771 |
$177 |
$107 | |
| Bartholin cyst removal |
$239 |
$478 |
$203 |
$182 | |
| Basic metabolic panel |
$39 |
$78 |
$9 |
$8 | |
| Benign skin lesion removal |
$1,046 |
$2,093 |
$682 |
$171 | |
| Bilirubin blood test |
$26 |
$52 |
$5 |
$5 | |
| Bladder scope (cystoscopy) |
$1,382 |
$2,765 |
$705 |
$216 | |
| Bladder tumor removal (TURBT) |
$2,774 |
$5,548 |
$3,562 |
$236 | |
| Blood clotting test (PT/INR) |
$40 |
$80 |
$5 |
$4 | |
| Blood crossmatch |
$125 |
$249 |
$164 |
— | |
| Blood glucose test |
$20 |
$39 |
$4 |
$5 | |
| Blood transfusion |
$663 |
$1,326 |
$446 |
$47 | |
| Blood type and screen |
$85 |
$171 |
$52 |
$10 | |
| Blood type test |
$31 |
$62 |
$38 |
$3 | |
| Blood type test (ABO group) |
$27 |
$54 |
$133 |
$3 | |
| Blood type test (Rh/D antigen) |
$51 |
$103 |
$37 |
$3 | |
| BNP (heart failure) test |
$84 |
$168 |
$41 |
$39 | |
| Bone density scan (DEXA) |
$334 |
$668 |
$106 |
$39 | |
| Bone marrow biopsy |
$2,356 |
$4,711 |
$2,838 |
$172 | |
| Bone scan (nuclear) |
$696 |
$1,392 |
$404 |
$259 | |
| Botox for migraine |
$483 |
$966 |
$304 |
$157 | |
| Breast biopsy |
$1,814 |
$3,627 |
$1,669 |
$478 | |
| Breast MRI |
$1,628 |
$3,255 |
$112 |
$216 | |
| Breast MRI without contrast |
$1,628 |
$3,255 |
$241 |
$216 | |
| Breast reduction |
$12,021 |
$24,042 |
$6,710 |
$980 | |
| Breast ultrasound |
$249 |
$498 |
$88 |
$92 | |
| Breast ultrasound (complete) |
$249 |
$498 |
$105 |
$100 | |
| Breast ultrasound (limited) |
$249 |
$498 |
$85 |
$84 | |
| Breathing tube insertion (intubation) |
$286 |
$571 |
$239 |
$133 | |
| Bronchoscopy |
$1,998 |
$3,996 |
$1,799 |
$303 | |
| Bunion surgery (bunionectomy) |
$7,411 |
$14,822 |
$3,385 |
$883 | |
| Burn dressing and debridement (medium) |
$299 |
$598 |
$204 |
$166 | |
| Burn dressing and debridement (small) |
$319 |
$638 |
$202 |
$93 | |
| Burn treatment |
$309 |
$618 |
$203 |
$129 | |
| C-reactive protein (CRP) |
$40 |
$80 |
$5 |
$5 | |
| CA 19-9 tumor marker test |
$89 |
$178 |
$22 |
$21 | |
| CA-125 ovarian marker test |
$89 |
$178 |
$22 |
$21 | |
| Calcium blood test |
$34 |
$68 |
$5 |
$5 | |
| Capsule endoscopy |
$1,043 |
$2,085 |
$912 |
$802 | |
| Cardiac ablation |
$13,698 |
$27,395 |
$26,288 |
$759 | |
| Cardiac catheterization |
$7,604 |
$15,208 |
$3,276 |
$1,049 | |
| Cardiac rehabilitation |
$99 |
$198 |
$130 |
$26 | |
| Cardiac stress test |
$640 |
$1,280 |
$218 |
$39 | |
| Cardioversion |
$1,193 |
$2,387 |
$668 |
$155 | |
| Carotid artery ultrasound |
$610 |
$1,220 |
$190 |
$156 | |
| Carpal tunnel release |
$2,482 |
$4,964 |
$1,973 |
$483 | |
| CEA tumor marker test |
$144 |
$288 |
$20 |
$19 | |
| Celiac disease test |
$35 |
$70 |
$12 |
$12 | |
| Central line placement |
$2,309 |
$4,617 |
$3,191 |
$238 | |
| Cervical LEEP procedure |
$3,721 |
$7,442 |
$3,256 |
$325 | |
| Cesarean section (C-section) |
— |
— |
$7,709 |
$7,552 | |
| Chemotherapy infusion |
$724 |
$1,447 |
$329 |
$81 | |
| Chemotherapy infusion (each additional) |
$216 |
$431 |
$72 |
$28 | |
| Chemotherapy infusion (first hour) |
$724 |
$1,447 |
$334 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,787 |
$3,574 |
$634 |
$311 | |
| Chest tube insertion |
$2,051 |
$4,102 |
$1,591 |
$143 | |
| Chest X-ray |
$159 |
$317 |
$88 |
$37 | |
| Chest X-ray (1 view) |
$159 |
$317 |
$88 |
$25 | |
| Chest X-ray (2 views) |
$159 |
$317 |
$88 |
$33 | |
| Chickenpox (varicella) vaccine |
$174 |
$348 |
$345 |
— | |
| Circumcision |
$2,690 |
$5,379 |
$2,102 |
$167 | |
| CK-MB heart enzyme test |
$17 |
$33 |
$12 |
$12 | |
| Clotting time test (PTT) |
$52 |
$104 |
$6 |
$6 | |
| Colonoscopy |
$353 |
$705 |
$1,209 |
$480 | |
| Colposcopy |
$365 |
$730 |
$306 |
$161 | |
| Complete blood count (CBC) |
$55 |
$110 |
$7 |
$7 | |
| Complete blood count (CBC) (complete) |
$47 |
$93 |
$8 |
$8 | |
| Complex wound repair |
$1,033 |
$2,066 |
$747 |
$390 | |
| Comprehensive metabolic panel |
$49 |
$98 |
$11 |
$11 | |
| Contraceptive implant (Nexplanon) |
$514 |
$1,027 |
$430 |
$115 | |
| Copper blood test |
$19 |
$37 |
$13 |
$12 | |
| Coronary artery bypass (CABG) |
— |
— |
$37,902 |
$36,593 | |
| Coronary CT angiography |
$1,302 |
$2,604 |
$353 |
$326 | |
| Cortisol test |
$78 |
$155 |
$17 |
$16 | |
| COVID-19 PCR test |
$108 |
$215 |
$54 |
$51 | |
| CPAP titration study |
$165 |
$331 |
$318 |
$69 | |
| Creatine kinase (CK) test |
$57 |
$114 |
$7 |
$7 | |
| CT angiography of the chest |
$1,419 |
$2,837 |
$177 |
$281 | |
| CT angiography of the head |
$1,260 |
$2,520 |
$177 |
$274 | |
| CT scan of the abdomen |
$1,049 |
$2,098 |
$175 |
$230 | |
| CT scan of the abdomen and pelvis |
$1,993 |
$3,985 |
$345 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,321 |
$4,641 |
$353 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$1,993 |
$3,985 |
$353 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,442 |
$2,883 |
$241 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,221 |
$2,442 |
$177 |
$259 | |
| CT scan of the abdomen with contrast |
$1,049 |
$2,098 |
$177 |
$230 | |
| CT scan of the abdomen without contrast |
$758 |
$1,516 |
$106 |
$136 | |
| CT scan of the arm |
$773 |
$1,546 |
$108 |
$199 | |
| CT scan of the arm with contrast |
$1,049 |
$2,097 |
$353 |
$199 | |
| CT scan of the arm without contrast |
$758 |
$1,516 |
$106 |
$161 | |
| CT scan of the chest |
$1,049 |
$2,097 |
$169 |
$167 | |
| CT scan of the chest with and without contrast |
$1,221 |
$2,442 |
$177 |
$196 | |
| CT scan of the chest with contrast |
$1,049 |
$2,097 |
$177 |
$167 | |
| CT scan of the chest without contrast |
$758 |
$1,516 |
$106 |
$133 | |
| CT scan of the head |
$784 |
$1,567 |
$106 |
$148 | |
| CT scan of the head with and without contrast |
$1,260 |
$2,520 |
$177 |
$173 | |
| CT scan of the head with contrast |
$1,082 |
$2,163 |
$176 |
$148 | |
| CT scan of the head without contrast |
$784 |
$1,567 |
$106 |
$107 | |
| CT scan of the leg |
$1,049 |
$2,097 |
$174 |
$166 | |
| CT scan of the leg with contrast |
$1,049 |
$2,097 |
$177 |
$166 | |
| CT scan of the leg without contrast |
$758 |
$1,516 |
$106 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,049 |
$2,097 |
$169 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,221 |
$2,442 |
$177 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,049 |
$2,097 |
$353 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$758 |
$1,516 |
$106 |
$130 | |
| CT scan of the neck |
$1,082 |
$2,163 |
$169 |
$183 | |
| CT scan of the neck (cervical spine) |
$965 |
$1,930 |
$107 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,260 |
$2,520 |
$176 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,082 |
$2,163 |
$353 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$782 |
$1,563 |
$106 |
$131 | |
| CT scan of the neck with and without contrast |
$1,260 |
$2,520 |
$177 |
$220 | |
| CT scan of the neck with contrast |
$1,082 |
$2,163 |
$177 |
$183 | |
| CT scan of the neck without contrast |
$782 |
$1,563 |
$106 |
$150 | |
| CT scan of the pelvis |
$1,049 |
$2,097 |
$169 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,221 |
$2,442 |
$177 |
$251 | |
| CT scan of the pelvis with contrast |
$1,049 |
$2,097 |
$177 |
$226 | |
| CT scan of the pelvis without contrast |
$758 |
$1,516 |
$106 |
$133 | |
| CT scan of the sinuses |
$1,082 |
$2,163 |
$169 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,314 |
$2,628 |
$176 |
$184 | |
| CT scan of the sinuses with contrast |
$1,082 |
$2,163 |
$177 |
$152 | |
| CT scan of the sinuses without contrast |
$782 |
$1,563 |
$106 |
$128 | |
| D-dimer test |
$68 |
$136 |
$11 |
$10 | |
| Defibrillator (ICD) implant |
$10,728 |
$21,456 |
$31,720 |
$798 | |
| Developmental screening (child) |
$13 |
$25 |
$8 |
— | |
| DHEA-sulfate test |
$62 |
$124 |
$23 |
$22 | |
| Diagnostic mammogram |
$198 |
$395 |
$39 |
$140 | |
| Dialysis fistula creation |
$9,193 |
$18,386 |
$3,191 |
$601 | |
| Dilation and curettage (D&C) |
$3,721 |
$7,442 |
$3,256 |
$298 | |
| Drug screen (urine) |
$84 |
$169 |
$65 |
$17 | |
| Ear pressure test (tympanometry) |
$49 |
$98 |
$21 |
$16 | |
| Ear tubes (myringotomy) |
$944 |
$1,889 |
$566 |
$174 | |
| Eardrum repair (tympanoplasty) |
$11,401 |
$22,803 |
$5,982 |
$799 | |
| Echocardiogram |
$653 |
$1,306 |
$250 |
$138 | |
| Echocardiogram with and without contrast |
$314 |
$628 |
$241 |
$101 | |
| EEG (awake and asleep) |
$518 |
$1,036 |
$218 |
$482 | |
| EKG / ECG (tracing only) |
$153 |
$306 |
$59 |
$7 | |
| Electrocardiogram (EKG) |
$153 |
$306 |
$59 |
$8 | |
| Electroencephalogram (EEG) |
$518 |
$1,036 |
$218 |
$448 | |
| Electrolyte panel |
$85 |
$170 |
$7 |
$7 | |
| Electromyography (EMG) |
$563 |
$1,126 |
$134 |
$141 | |
| Emergency department visit |
$396 |
$792 |
$278 |
$69 | |
| Emergency department visit (level 1) |
$146 |
$292 |
$85 |
$11 | |
| Emergency department visit (level 2) |
$180 |
$359 |
$155 |
$40 | |
| Emergency department visit (level 3) |
$243 |
$486 |
$276 |
$69 | |
| Emergency department visit (level 4) |
$396 |
$792 |
$422 |
$118 | |
| Emergency department visit (level 5) |
$643 |
$1,285 |
$602 |
$171 | |
| Endometrial biopsy |
$246 |
$491 |
$204 |
$98 | |
| Epidural steroid injection |
$538 |
$1,075 |
$710 |
$275 | |
| ERCP (bile duct endoscopy) |
$2,592 |
$5,183 |
$3,896 |
$311 | |
| Estradiol (estrogen) test |
$99 |
$198 |
$29 |
$28 | |
| Eyelid surgery (blepharoplasty) |
$3,601 |
$7,203 |
$3,128 |
$552 | |
| Facet joint injection (spine) |
$542 |
$1,085 |
$210 |
$99 | |
| Fallopian tube X-ray (HSG) |
$958 |
$1,916 |
$142 |
$164 | |
| Family therapy session |
$179 |
$357 |
$179 |
$110 | |
| Fecal occult blood (stool) test |
$15 |
$30 |
$5 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$15 |
$29 |
$5 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$36 |
$71 |
$17 |
$16 | |
| Feeding tube (PEG) placement |
$2,143 |
$4,286 |
$1,930 |
$178 | |
| Femoral hernia repair |
$5,475 |
$10,950 |
$3,601 |
$584 | |
| Ferritin (iron) test |
$109 |
$218 |
$14 |
$14 | |
| Fibrinogen test |
$55 |
$110 |
$10 |
$10 | |
| Flexible sigmoidoscopy |
$545 |
$1,090 |
$940 |
$323 | |
| Flu test |
$229 |
$457 |
$17 |
$17 | |
| Folate (folic acid) test |
$96 |
$191 |
$15 |
$15 | |
| Foreign body removal (skin) |
$537 |
$1,073 |
$411 |
$157 | |
| Free T4 thyroid test |
$116 |
$231 |
$9 |
$9 | |
| FSH hormone test |
$84 |
$167 |
$19 |
$19 | |
| Gallbladder removal (laparoscopic) |
$12,466 |
$24,932 |
$6,080 |
$658 | |
| Gallbladder scan (HIDA) |
$864 |
$1,728 |
$408 |
$334 | |
| Ganglion cyst removal |
$2,564 |
$5,128 |
$1,625 |
$321 | |
| GGT liver test |
$23 |
$46 |
$8 |
$7 | |
| Glucose tolerance test |
$85 |
$170 |
$13 |
$8 | |
| Group therapy session |
$111 |
$222 |
$102 |
$30 | |
| H. pylori test |
$60 |
$120 |
$70 |
$67 | |
| Hammertoe repair |
$2,192 |
$4,383 |
$3,307 |
$548 | |
| HDL cholesterol test |
$37 |
$74 |
$9 |
$8 | |
| Hearing test (audiometry) |
$210 |
$419 |
$128 |
$36 | |
| Hematocrit test |
$5 |
$10 |
$2 |
$2 | |
| Hemodialysis |
$445 |
$889 |
$690 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$52 |
$104 |
$10 |
$10 | |
| Hemorrhoid removal |
$997 |
$1,994 |
$935 |
$338 | |
| Hepatitis A vaccine |
$66 |
$132 |
$116 |
— | |
| Hepatitis B test |
$47 |
$94 |
$11 |
$10 | |
| Hepatitis B vaccine |
$45 |
$89 |
$89 |
— | |
| Hepatitis C test |
$85 |
$170 |
$15 |
$14 | |
| Hip arthroscopy |
$5,864 |
$11,729 |
$7,333 |
$931 | |
| Hip fracture repair |
$7,753 |
$15,506 |
$7,333 |
$1,120 | |
| Hip replacement |
$16,988 |
$33,975 |
$12,789 |
$1,162 | |
| HIV test |
$60 |
$119 |
$25 |
$19 | |
| HIV test (antibody) |
$13 |
$26 |
$14 |
$14 | |
| HIV test (antigen/antibody combo) |
$60 |
$119 |
$25 |
$24 | |
| Home sleep apnea test |
$212 |
$424 |
$208 |
$123 | |
| HPV vaccine |
$275 |
$549 |
$549 |
— | |
| Hydrocele repair |
$4,526 |
$9,052 |
$3,618 |
$315 | |
| Hysterectomy |
$14,854 |
$29,709 |
$1,001 |
$933 | |
| Hysteroscopy |
$3,759 |
$7,517 |
$3,271 |
$1,270 | |
| Inguinal hernia repair |
$8,468 |
$16,936 |
$3,618 |
$538 | |
| Iron blood test |
$57 |
$114 |
$7 |
$6 | |
| IUD insertion |
$373 |
$746 |
$106 |
— | |
| IUD removal |
$222 |
$443 |
$293 |
$112 | |
| IV infusion therapy |
$213 |
$426 |
$68 |
$44 | |
| IV infusion therapy (each additional) |
$207 |
$413 |
$47 |
$21 | |
| IV infusion therapy (initial) |
$221 |
$441 |
$215 |
$67 | |
| IVC filter placement |
$3,677 |
$7,354 |
$5,596 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$610 |
$1,220 |
$310 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$529 |
$1,058 |
$310 |
$57 | |
| Joint aspiration or injection (small joint) |
$742 |
$1,485 |
$310 |
$56 | |
| Kidney biopsy |
$2,429 |
$4,857 |
$1,669 |
$492 | |
| Kidney scan (nuclear) |
$930 |
$1,859 |
$549 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$7,777 |
$15,553 |
$3,562 |
$760 | |
| Kidney ultrasound |
$404 |
$807 |
$106 |
$84 | |
| Kidney ultrasound (limited) |
$404 |
$807 |
$106 |
$61 | |
| Knee arthroscopy |
$4,599 |
$9,198 |
$3,307 |
$524 | |
| Knee joint injection |
$583 |
$1,166 |
$310 |
$69 | |
| Knee replacement |
— |
— |
$16,565 |
$18,054 | |
| Lactate test |
$81 |
$162 |
$12 |
$12 | |
| Laminectomy (spine) |
$12,557 |
$25,113 |
$7,333 |
$1,157 | |
| Laryngoscopy |
$230 |
$459 |
$200 |
$189 | |
| LDH test |
$21 |
$42 |
$6 |
$6 | |
| LDL cholesterol test |
$21 |
$41 |
$11 |
$11 | |
| Leg artery angiogram |
$3,132 |
$6,264 |
$3,191 |
$149 | |
| Leg artery angioplasty |
$14,585 |
$29,170 |
— |
— | |
| Leg vein ultrasound (Doppler) |
$586 |
$1,173 |
$106 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$600 |
$1,199 |
$105 |
$116 | |
| LH hormone test |
$71 |
$142 |
$19 |
$19 | |
| Lipase test |
$27 |
$54 |
$7 |
$7 | |
| Lipid (cholesterol) panel |
$63 |
$125 |
$14 |
$13 | |
| Liver biopsy |
$1,905 |
$3,810 |
$1,661 |
$288 | |
| Liver function panel |
$38 |
$76 |
$9 |
$8 | |
| Lumbar discectomy |
$8,024 |
$16,048 |
$7,333 |
$898 | |
| Lumpectomy (breast) |
$3,863 |
$7,726 |
$3,957 |
$750 | |
| Lung function test (PFT) |
$231 |
$461 |
$218 |
$37 | |
| Lung scan (V/Q) |
$1,743 |
$3,485 |
$549 |
$291 | |
| Magnesium blood test |
$23 |
$46 |
$7 |
$7 | |
| Mastectomy |
$11,680 |
$23,360 |
$6,710 |
$1,021 | |
| Meniscus repair (knee) |
$7,782 |
$15,564 |
$3,307 |
$714 | |
| MMR vaccine |
$84 |
$167 |
$167 |
— | |
| MRA of the brain |
$1,265 |
$2,529 |
$243 |
$226 | |
| MRA of the brain without contrast |
$1,794 |
$3,587 |
$353 |
$328 | |
| MRA of the neck |
$1,529 |
$3,058 |
$243 |
$245 | |
| MRA of the neck without contrast |
$1,794 |
$3,587 |
$353 |
$343 | |
| MRI of the abdomen |
$1,354 |
$2,707 |
$250 |
$300 | |
| MRI of the abdomen with contrast |
$1,354 |
$2,707 |
$351 |
$300 | |
| MRI of the abdomen without contrast |
$1,114 |
$2,227 |
$241 |
$194 | |
| MRI of the ankle |
$1,161 |
$2,322 |
$243 |
$261 | |
| MRI of the ankle without contrast |
$1,114 |
$2,227 |
$241 |
$222 | |
| MRI of the brain |
$1,265 |
$2,529 |
$243 |
$269 | |
| MRI of the brain with contrast |
$1,417 |
$2,834 |
$351 |
$269 | |
| MRI of the brain without contrast |
$1,165 |
$2,330 |
$241 |
$195 | |
| MRI of the chest |
$1,713 |
$3,426 |
$336 |
$371 | |
| MRI of the chest without contrast |
$1,786 |
$3,572 |
$351 |
$466 | |
| MRI of the knee |
$1,533 |
$3,067 |
$344 |
$315 | |
| MRI of the knee with contrast |
$1,354 |
$2,707 |
$788 |
$315 | |
| MRI of the knee without contrast |
$1,115 |
$2,230 |
$241 |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,534 |
$3,067 |
$336 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,354 |
$2,707 |
$351 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,114 |
$2,227 |
$241 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,354 |
$2,707 |
$250 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$1,714 |
$3,427 |
$353 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,354 |
$2,707 |
$351 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,114 |
$2,227 |
$241 |
$190 | |
| MRI of the neck (cervical spine) |
$1,417 |
$2,834 |
$250 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$1,794 |
$3,587 |
$353 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,417 |
$2,834 |
$351 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,165 |
$2,330 |
$241 |
$191 | |
| MRI of the pelvis |
$1,441 |
$2,883 |
$243 |
$268 | |
| MRI of the pelvis without contrast |
$1,078 |
$2,155 |
$241 |
$227 | |
| MRI of the shoulder |
$1,354 |
$2,707 |
$336 |
$313 | |
| MRI of the shoulder with contrast |
$1,354 |
$2,707 |
$788 |
$313 | |
| MRI of the shoulder without contrast |
$1,114 |
$2,227 |
$241 |
$205 | |
| MRI of the wrist |
$1,161 |
$2,322 |
$243 |
$330 | |
| MRI of the wrist without contrast |
$1,114 |
$2,227 |
$241 |
$303 | |
| Nebulizer breathing treatment |
$232 |
$464 |
$318 |
$9 | |
| Neck (cervical) spinal fusion |
$5,814 |
$11,628 |
$12,974 |
$1,410 | |
| Nerve conduction study |
$529 |
$1,057 |
$211 |
$118 | |
| Nuchal translucency ultrasound |
$134 |
$267 |
$106 |
$116 | |
| Nuclear cardiac stress test |
$3,149 |
$6,297 |
$1,308 |
$428 | |
| Occupational therapy evaluation |
$208 |
$415 |
$99 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$208 |
$415 |
$99 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$208 |
$415 |
$99 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$208 |
$415 |
$99 |
$101 | |
| Office visit (established patient) |
$94 |
$187 |
$62 |
$115 | |
| Office visit (new patient) |
$86 |
$172 |
$103 |
$177 | |
| Office visit, established patient (level 3) |
$94 |
$187 |
$60 |
$95 | |
| Office visit, established patient (level 4) |
$86 |
$172 |
$89 |
$136 | |
| Office visit, new patient (level 3) |
$71 |
$142 |
$76 |
$118 | |
| Office visit, new patient (level 4) |
$86 |
$172 |
$123 |
$177 | |
| Office visit, new patient (level 5) |
$86 |
$172 |
$169 |
$237 | |
| Orthopedic hardware removal |
$4,874 |
$9,749 |
$2,935 |
$632 | |
| Pacemaker insertion |
— |
— |
$16,336 |
$15,506 | |
| Pap smear (cervical screening) |
$82 |
$164 |
$27 |
$20 | |
| Parathyroid hormone (PTH) test |
$124 |
$247 |
$43 |
$41 | |
| Parathyroid removal |
$16,717 |
$33,434 |
$5,982 |
$891 | |
| Pelvic ultrasound |
$261 |
$522 |
$104 |
$78 | |
| Pelvic ultrasound (complete) |
$404 |
$807 |
$104 |
$105 | |
| Pelvic ultrasound (limited) |
$250 |
$500 |
$102 |
$51 | |
| PET scan |
$3,214 |
$6,427 |
$1,445 |
— | |
| Phosphorus blood test |
$65 |
$130 |
$5 |
$5 | |
| Physical therapy evaluation |
$206 |
$412 |
$97 |
$98 | |
| Physical therapy evaluation (high complexity) |
$206 |
$412 |
$97 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$206 |
$412 |
$97 |
$98 | |
| Pilonidal cyst removal |
$4,234 |
$8,468 |
$2,921 |
$541 | |
| Platelet count |
$50 |
$101 |
$5 |
$4 | |
| Pneumonia vaccine |
$105 |
$209 |
$209 |
— | |
| Pregnancy blood test (hCG) |
$43 |
$87 |
$8 |
$8 | |
| Pregnancy ultrasound |
$445 |
$890 |
$106 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$452 |
$904 |
$106 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$410 |
$820 |
$106 |
$136 | |
| Procalcitonin test |
$165 |
$330 |
$28 |
$27 | |
| Prolactin test |
$69 |
$139 |
$20 |
$19 | |
| Prostate biopsy |
$3,469 |
$6,937 |
$207 |
— | |
| Prostate surgery (TURP) |
$3,504 |
$7,008 |
$5,393 |
$526 | |
| Prostate test (PSA) |
$111 |
$222 |
$19 |
$18 | |
| Psychiatric evaluation |
$76 |
$152 |
$176 |
$188 | |
| Psychotherapy session |
$84 |
$167 |
$171 |
$140 | |
| Radiofrequency nerve ablation |
$1,946 |
$3,893 |
$1,973 |
$462 | |
| Rotator cuff repair |
$5,250 |
$10,499 |
$7,333 |
$792 | |
| RSV vaccine |
$239 |
$477 |
$477 |
— | |
| Sacroiliac joint injection |
$1,057 |
$2,113 |
$77 |
$176 | |
| Scoliosis spine X-ray |
$193 |
$385 |
$90 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$188 |
$377 |
$88 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$197 |
$395 |
$106 |
$72 | |
| Screening colonoscopy |
$450 |
$900 |
$940 |
$378 | |
| Screening mammogram |
$159 |
$317 |
$36 |
$126 | |
| Scrotal ultrasound |
$404 |
$807 |
$106 |
$99 | |
| Sedimentation rate (ESR) test |
$26 |
$51 |
$3 |
$3 | |
| Semen analysis |
$104 |
$208 |
$13 |
$12 | |
| Septoplasty (deviated septum) |
$4,088 |
$8,176 |
$3,350 |
$613 | |
| Sex hormone binding globulin test |
$14 |
$27 |
$23 |
$22 | |
| Shingles vaccine |
$168 |
$335 |
— |
— | |
| Shoulder arthroscopy |
$6,756 |
$13,512 |
$7,333 |
$962 | |
| Shoulder replacement |
$23,582 |
$47,164 |
$17,719 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$299 |
$597 |
$203 |
$114 | |
| Simple wound stitches |
$299 |
$597 |
$203 |
$127 | |
| Sinus surgery (endoscopic) |
$1,022 |
$2,044 |
$6,792 |
$224 | |
| Skin biopsy |
$410 |
$821 |
$407 |
$121 | |
| Skin biopsy (punch) |
$353 |
$706 |
$407 |
$121 | |
| Skin cancer lesion removal |
$675 |
$1,350 |
$411 |
$240 | |
| Skin lesion freezing (cryotherapy) |
$240 |
$480 |
$83 |
$36 | |
| Skin tag removal |
$249 |
$497 |
$202 |
$92 | |
| Sleep study (polysomnography) |
$2,569 |
$5,138 |
$434 |
$691 | |
| Soft tissue ultrasound |
$298 |
$596 |
$105 |
$64 | |
| Speech therapy |
$167 |
$334 |
$76 |
$76 | |
| Spinal cord stimulator |
$5,816 |
$11,631 |
$6,410 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$1,006 |
$2,011 |
$710 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$6,589 |
$13,177 |
$7,298 |
$5,803 | |
| Spirometry (lung function test) |
$221 |
$442 |
$218 |
$30 | |
| Spirometry with bronchodilator |
$384 |
$768 |
$377 |
$43 | |
| Strep throat test |
$41 |
$81 |
$17 |
$17 | |
| Stress echocardiogram |
$654 |
$1,309 |
$552 |
$209 | |
| Stress echocardiogram (complete) |
$654 |
$1,309 |
$552 |
$233 | |
| Swallow study |
$348 |
$696 |
$84 |
$85 | |
| T3 thyroid test |
$95 |
$190 |
$15 |
$14 | |
| Tdap (tetanus) vaccine |
$45 |
$89 |
$63 |
— | |
| Testicle removal (orchiectomy) |
$5,804 |
$11,607 |
$3,562 |
$306 | |
| Testosterone test |
$51 |
$101 |
$27 |
$26 | |
| Thyroid removal (thyroidectomy) |
$17,666 |
$35,332 |
$6,109 |
$1,004 | |
| Thyroid test (TSH) |
$56 |
$111 |
$18 |
$17 | |
| Thyroid ultrasound |
$404 |
$807 |
$101 |
$109 | |
| Thyroid uptake scan |
$631 |
$1,262 |
$404 |
$145 | |
| Tonsillectomy |
$4,137 |
$8,273 |
$5,697 |
$252 | |
| Total IgE allergy test |
$96 |
$192 |
$17 |
$16 | |
| Total protein test |
$41 |
$82 |
$4 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$798 |
$1,596 |
$552 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$798 |
$1,596 |
$552 |
$239 | |
| Transvaginal ultrasound |
$404 |
$807 |
$101 |
$118 | |
| Trigger finger release |
$1,059 |
$2,117 |
$1,625 |
$630 | |
| Trigger point injection |
$479 |
$958 |
$304 |
$56 | |
| Trigger point injection (1-2 muscles) |
$531 |
$1,063 |
$310 |
$52 | |
| Triglycerides test |
$29 |
$58 |
$6 |
$6 | |
| Troponin (heart) test |
$71 |
$142 |
$13 |
$12 | |
| Tubal ligation |
$5,645 |
$11,289 |
$6,109 |
$333 | |
| Turbinate reduction |
$6,497 |
$12,994 |
$3,350 |
$294 | |
| Turning a breech baby (version) |
$3,988 |
$7,976 |
$3,256 |
$94 | |
| Ulnar nerve surgery (elbow) |
$2,896 |
$5,791 |
$1,973 |
$575 | |
| Upper GI endoscopy (EGD) |
$353 |
$705 |
$917 |
$371 | |
| Upper GI series (barium) |
$351 |
$701 |
$177 |
$128 | |
| Ureteral stent placement |
$3,397 |
$6,795 |
$3,562 |
$373 | |
| Ureteroscopy (stone removal) |
$8,723 |
$17,445 |
$5,418 |
$365 | |
| Uric acid (gout) test |
$46 |
$93 |
$5 |
$5 | |
| Urinalysis |
$18 |
$35 |
$2 |
$3 | |
| Urine microalbumin test |
$23 |
$47 |
$5 |
$5 | |
| Urine pregnancy test |
$39 |
$78 |
$9 |
$9 | |
| Vaccine administration |
$48 |
$96 |
$72 |
$19 | |
| Vaccine administration (each additional) |
$41 |
$83 |
$13 |
$16 | |
| Vaginal delivery |
— |
— |
$6,004 |
$5,487 | |
| Varicose vein ablation |
$4,429 |
$8,857 |
$3,191 |
$1,018 | |
| Vasectomy |
$2,403 |
$4,806 |
$2,102 |
$347 | |
| Vitamin B12 test |
$98 |
$196 |
$16 |
$15 | |
| Vitamin D test |
$72 |
$143 |
$31 |
$30 | |
| Wart removal |
$239 |
$477 |
$203 |
$121 | |
| Weight-loss (bariatric) surgery |
— |
— |
$12,399 |
$11,645 | |
| Well-child visit |
$57 |
$115 |
$55 |
— | |
| Wound debridement |
$440 |
$879 |
$411 |
$186 | |
| Wrist fracture repair |
$7,355 |
$14,709 |
$7,333 |
$735 | |
| X-ray of the abdomen |
$182 |
$364 |
$88 |
$36 | |
| X-ray of the ankle |
$177 |
$354 |
$86 |
$37 | |
| X-ray of the collarbone |
$177 |
$354 |
$84 |
$33 | |
| X-ray of the elbow |
$177 |
$354 |
$86 |
$33 | |
| X-ray of the facial bones |
$185 |
$370 |
$90 |
$39 | |
| X-ray of the foot |
$177 |
$354 |
$86 |
$34 | |
| X-ray of the forearm |
$177 |
$354 |
$88 |
$29 | |
| X-ray of the hand |
$177 |
$354 |
$87 |
$38 | |
| X-ray of the hip |
$191 |
$381 |
$88 |
$49 | |
| X-ray of the hip (1 view) |
$186 |
$372 |
$88 |
$34 | |
| X-ray of the hip (3 views) |
$191 |
$381 |
$87 |
$49 | |
| X-ray of the hip (4 views) |
$195 |
$389 |
$106 |
$63 | |
| X-ray of the knee |
$177 |
$354 |
$88 |
$42 | |
| X-ray of the knee (2 views) |
$177 |
$354 |
$88 |
$34 | |
| X-ray of the knee (3 views) |
$177 |
$354 |
$87 |
$42 | |
| X-ray of the knee (4+ views) |
$177 |
$354 |
$106 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$308 |
$615 |
$101 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$177 |
$354 |
$104 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$308 |
$615 |
$101 |
$53 | |
| X-ray of the lower leg |
$177 |
$354 |
$84 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$177 |
$354 |
$104 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$177 |
$354 |
$105 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$177 |
$354 |
$104 |
$39 | |
| X-ray of the neck (cervical spine) |
$308 |
$615 |
$89 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$177 |
$354 |
$85 |
$40 | |
| X-ray of the pelvis |
$177 |
$354 |
$105 |
$36 | |
| X-ray of the pelvis (1 view) |
$177 |
$354 |
$105 |
$28 | |
| X-ray of the ribs |
$177 |
$354 |
$101 |
$42 | |
| X-ray of the ribs (2 views) |
$177 |
$354 |
$88 |
$36 | |
| X-ray of the ribs (3 views) |
$177 |
$354 |
$104 |
$42 | |
| X-ray of the shoulder |
$177 |
$354 |
$87 |
$36 | |
| X-ray of the skull |
$250 |
$500 |
$106 |
$40 | |
| X-ray of the upper arm |
$177 |
$354 |
$88 |
$32 | |
| X-ray of the wrist |
$177 |
$354 |
$87 |
$43 | |
| YAG laser capsulotomy (eye) |
$752 |
$1,503 |
$553 |
$335 | |
| Zinc blood test |
$8 |
$16 |
$12 |
$11 | |