| 3D mammogram (tomosynthesis) |
— |
$272 |
$197 |
$51 | |
| Abdominal fluid drain (paracentesis) |
— |
$1,225 |
$1,041 |
$284 | |
| Abdominal ultrasound |
— |
$2,152 |
$218 |
$100 | |
| Abdominal ultrasound (complete) |
— |
$2,475 |
$218 |
$114 | |
| Abdominal ultrasound (limited) |
— |
$1,828 |
$193 |
$86 | |
| Abscess drainage (complex or multiple) |
— |
$932 |
$502 |
$220 | |
| Abscess drainage (simple) |
— |
$682 |
$331 |
$129 | |
| Abscess incision and drainage |
— |
$807 |
$423 |
$174 | |
| Adenoid removal (adenoidectomy) |
— |
— |
$2,783 |
$204 | |
| Albumin blood test |
— |
$25 |
$8 |
$5 | |
| Aldosterone test |
— |
$202 |
$64 |
$41 | |
| Alkaline phosphatase test |
— |
$26 |
$8 |
$5 | |
| Alpha-fetoprotein (AFP) test |
— |
$83 |
$26 |
$17 | |
| ALT liver enzyme test |
— |
$26 |
$8 |
$5 | |
| Ammonia blood test |
— |
$72 |
$23 |
$15 | |
| Amniocentesis |
— |
$2,317 |
$1,158 |
$120 | |
| Amylase test |
— |
$32 |
$10 |
$6 | |
| Anoscopy |
— |
$716 |
$571 |
$129 | |
| Antinuclear antibody (ANA) test |
— |
$60 |
$19 |
$12 | |
| Aortic valve replacement |
— |
$55,579 |
$40,156 |
$1,603 | |
| Arterial blood gas (ABG) |
— |
$340 |
$41 |
$26 | |
| AST liver enzyme test |
— |
$26 |
$8 |
$5 | |
| Barium swallow study |
— |
$1,586 |
$319 |
$107 | |
| Bartholin cyst removal |
— |
$2,463 |
$383 |
$182 | |
| Basic metabolic panel |
— |
$42 |
$13 |
$8 | |
| Benign skin lesion removal |
— |
— |
$2,783 |
$171 | |
| Bilirubin blood test |
— |
$25 |
$8 |
$5 | |
| Blood clotting test (PT/INR) |
— |
$88 |
$7 |
$4 | |
| Blood crossmatch |
— |
$84 |
$71 |
— | |
| Blood glucose test |
— |
$41 |
$7 |
$5 | |
| Blood transfusion |
— |
$690 |
$499 |
$47 | |
| Blood type and screen |
— |
$49 |
$19 |
$10 | |
| Blood type test |
— |
$15 |
$5 |
$3 | |
| Blood type test (ABO group) |
— |
$15 |
$5 |
$3 | |
| Blood type test (Rh/D antigen) |
— |
$15 |
$5 |
$3 | |
| BNP (heart failure) test |
— |
$195 |
$61 |
$39 | |
| Bone density scan (DEXA) |
— |
$1,307 |
$193 |
$39 | |
| Bone marrow biopsy |
— |
$3,460 |
$2,453 |
$172 | |
| Bone scan (nuclear) |
— |
$5,891 |
$1,532 |
$259 | |
| Breast biopsy |
— |
$8,854 |
$2,077 |
$478 | |
| Breast MRI |
— |
$7,715 |
$437 |
$216 | |
| Breast MRI without contrast |
— |
$10,286 |
$437 |
$216 | |
| Breast ultrasound |
— |
$1,333 |
$722 |
$92 | |
| Breast ultrasound (complete) |
— |
$1,462 |
$877 |
$100 | |
| Breast ultrasound (limited) |
— |
$1,203 |
$722 |
$84 | |
| Breathing tube insertion (intubation) |
— |
$767 |
$381 |
$133 | |
| Bronchoscopy |
— |
$6,903 |
$3,297 |
$303 | |
| Burn dressing and debridement (medium) |
— |
$908 |
$382 |
$166 | |
| Burn dressing and debridement (small) |
— |
$558 |
$332 |
$93 | |
| Burn treatment |
— |
$733 |
$343 |
$129 | |
| C-reactive protein (CRP) |
— |
$26 |
$8 |
$5 | |
| CA 19-9 tumor marker test |
— |
$103 |
$33 |
$21 | |
| CA-125 ovarian marker test |
— |
$103 |
$33 |
$21 | |
| Calcium blood test |
— |
$26 |
$8 |
$5 | |
| Capsule endoscopy |
— |
$4,001 |
$2,750 |
$802 | |
| Cardiac ablation |
— |
$38,362 |
$24,625 |
$759 | |
| Cardiac catheterization |
— |
$45,273 |
$14,517 |
$1,049 | |
| Cardiac MRI |
— |
$5,144 |
$498 |
$322 | |
| Cardiac MRI without contrast |
— |
$5,144 |
$498 |
$280 | |
| Cardiac rehabilitation |
— |
$48 |
$158 |
$26 | |
| Cardiac stress test |
— |
$479 |
$287 |
$39 | |
| Cardioversion |
— |
$984 |
$714 |
$155 | |
| Carotid artery ultrasound |
— |
$1,201 |
$522 |
$156 | |
| CEA tumor marker test |
— |
$94 |
$30 |
$19 | |
| Celiac disease test |
— |
$70 |
$18 |
$12 | |
| Central line placement |
— |
$4,134 |
$3,016 |
$238 | |
| Cesarean section (C-section) |
— |
— |
$8,036 |
$7,552 | |
| Chemotherapy infusion |
— |
$492 |
$129 |
$81 | |
| Chemotherapy infusion (each additional) |
— |
$169 |
$106 |
$28 | |
| Chemotherapy infusion (first hour) |
— |
$814 |
$501 |
$133 | |
| Chest fluid drain (thoracentesis) |
— |
$3,662 |
$1,501 |
$311 | |
| Chest tube insertion |
— |
$3,797 |
$2,291 |
$143 | |
| Chest X-ray |
— |
$981 |
$162 |
$37 | |
| Chest X-ray (1 view) |
— |
$735 |
$151 |
$25 | |
| Chest X-ray (2 views) |
— |
$901 |
$151 |
$33 | |
| Chickenpox (varicella) vaccine |
— |
$793 |
$573 |
— | |
| CK-MB heart enzyme test |
— |
$57 |
$18 |
$12 | |
| Clotting time test (PTT) |
— |
$30 |
$9 |
$6 | |
| Colonoscopy |
— |
$6,120 |
$4,244 |
$480 | |
| Complete blood count (CBC) |
— |
$36 |
$11 |
$7 | |
| Complete blood count (CBC) (complete) |
— |
$39 |
$12 |
$8 | |
| Comprehensive metabolic panel |
— |
$52 |
$17 |
$11 | |
| Copper blood test |
— |
$62 |
$19 |
$12 | |
| Coronary artery bypass (CABG) |
— |
— |
$39,690 |
$36,593 | |
| Coronary CT angiography |
— |
$3,763 |
$750 |
$326 | |
| Cortisol test |
— |
$81 |
$25 |
$16 | |
| CPAP titration study |
— |
$540 |
$300 |
$69 | |
| Creatine kinase (CK) test |
— |
$32 |
$10 |
$7 | |
| CT angiography of the chest |
— |
$983 |
$445 |
$281 | |
| CT angiography of the head |
— |
$3,763 |
$439 |
$274 | |
| CT colonography (virtual colonoscopy) |
— |
$1,253 |
$751 |
$835 | |
| CT scan of the abdomen |
— |
$3,763 |
$357 |
$230 | |
| CT scan of the abdomen and pelvis |
— |
$7,199 |
$605 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
— |
$7,199 |
$689 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
— |
$7,199 |
$653 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
— |
$4,301 |
$421 |
$183 | |
| CT scan of the abdomen with and without contrast |
— |
$3,763 |
$424 |
$259 | |
| CT scan of the abdomen with contrast |
— |
$3,763 |
$397 |
$230 | |
| CT scan of the abdomen without contrast |
— |
$2,099 |
$240 |
$136 | |
| CT scan of the arm |
— |
$3,763 |
$452 |
$199 | |
| CT scan of the arm with contrast |
— |
$4,350 |
$647 |
$199 | |
| CT scan of the arm without contrast |
— |
$2,099 |
$261 |
$161 | |
| CT scan of the chest |
— |
$3,763 |
$299 |
$167 | |
| CT scan of the chest with and without contrast |
— |
$3,763 |
$365 |
$196 | |
| CT scan of the chest with contrast |
— |
$3,763 |
$337 |
$167 | |
| CT scan of the chest without contrast |
— |
$2,099 |
$236 |
$133 | |
| CT scan of the head |
— |
$3,763 |
$306 |
$148 | |
| CT scan of the head with and without contrast |
— |
$3,763 |
$344 |
$173 | |
| CT scan of the head with contrast |
— |
$3,763 |
$320 |
$148 | |
| CT scan of the head without contrast |
— |
$2,099 |
$212 |
$107 | |
| CT scan of the leg |
— |
$3,763 |
$316 |
$166 | |
| CT scan of the leg with contrast |
— |
$3,763 |
$337 |
$166 | |
| CT scan of the leg without contrast |
— |
$2,099 |
$233 |
$130 | |
| CT scan of the lower back (lumbar spine) |
— |
$3,763 |
$439 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
— |
$3,763 |
$366 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
— |
$4,647 |
$647 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
— |
$2,099 |
$233 |
$130 | |
| CT scan of the neck |
— |
$3,763 |
$354 |
$183 | |
| CT scan of the neck (cervical spine) |
— |
$3,763 |
$439 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
— |
$3,763 |
$365 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
— |
$4,960 |
$647 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
— |
$2,099 |
$234 |
$131 | |
| CT scan of the neck with and without contrast |
— |
$3,763 |
$388 |
$220 | |
| CT scan of the neck with contrast |
— |
$3,763 |
$354 |
$183 | |
| CT scan of the neck without contrast |
— |
$2,099 |
$252 |
$150 | |
| CT scan of the pelvis |
— |
$3,763 |
$357 |
$226 | |
| CT scan of the pelvis with and without contrast |
— |
$3,763 |
$415 |
$251 | |
| CT scan of the pelvis with contrast |
— |
$3,763 |
$392 |
$226 | |
| CT scan of the pelvis without contrast |
— |
$2,099 |
$236 |
$133 | |
| CT scan of the sinuses |
— |
$3,763 |
$285 |
$152 | |
| CT scan of the sinuses with and without contrast |
— |
$3,763 |
$354 |
$184 | |
| CT scan of the sinuses with contrast |
— |
$3,763 |
$323 |
$152 | |
| CT scan of the sinuses without contrast |
— |
$2,099 |
$231 |
$128 | |
| D-dimer test |
— |
$51 |
$16 |
$10 | |
| Defibrillator (ICD) implant |
— |
$146,950 |
$61,860 |
$798 | |
| DHEA-sulfate test |
— |
$110 |
$35 |
$22 | |
| Diagnostic mammogram |
— |
$1,251 |
$667 |
$140 | |
| Drug screen (urine) |
— |
$186 |
$75 |
$17 | |
| Echocardiogram |
— |
$1,680 |
$762 |
$138 | |
| Echocardiogram with and without contrast |
— |
$1,606 |
$653 |
$101 | |
| Echocardiogram without contrast |
— |
$1,680 |
$789 |
$138 | |
| EEG (awake and asleep) |
— |
$2,790 |
$1,334 |
$482 | |
| EKG / ECG (tracing only) |
— |
$432 |
$259 |
$7 | |
| Electrocardiogram (EKG) |
— |
$432 |
$259 |
$8 | |
| Electroencephalogram (EEG) |
— |
$2,790 |
$1,334 |
$448 | |
| Electrolyte panel |
— |
$35 |
$11 |
$7 | |
| Electromyography (EMG) |
— |
$172 |
$123 |
$141 | |
| Emergency department visit |
— |
$1,532 |
$813 |
$69 | |
| Emergency department visit (level 1) |
— |
$442 |
$338 |
$11 | |
| Emergency department visit (level 2) |
— |
$1,016 |
$734 |
$40 | |
| Emergency department visit (level 3) |
— |
$1,532 |
$1,107 |
$69 | |
| Emergency department visit (level 4) |
— |
$2,336 |
$1,623 |
$118 | |
| Emergency department visit (level 5) |
— |
$2,692 |
$1,623 |
$171 | |
| Epidural steroid injection |
— |
$1,884 |
$1,021 |
$275 | |
| ERCP (bile duct endoscopy) |
— |
$7,628 |
$4,817 |
$311 | |
| Esophageal dilation |
— |
$2,381 |
$1,697 |
$522 | |
| Esophageal variceal banding |
— |
$2,590 |
$1,871 |
$126 | |
| Estradiol (estrogen) test |
— |
$139 |
$44 |
$28 | |
| Eye refraction (glasses prescription) |
— |
$495 |
$368 |
— | |
| Facet joint injection (spine) |
— |
$143 |
$841 |
$99 | |
| Fallopian tube X-ray (HSG) |
— |
$2,367 |
$421 |
$164 | |
| Fecal occult blood (stool) test |
— |
$49 |
$16 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
— |
$18 |
$7 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
— |
$79 |
$25 |
$16 | |
| Feeding tube (PEG) placement |
— |
$5,760 |
$3,958 |
$178 | |
| Ferritin (iron) test |
— |
$68 |
$21 |
$14 | |
| Fibrinogen test |
— |
$48 |
$15 |
$10 | |
| Flexible sigmoidoscopy |
— |
$3,705 |
$2,161 |
$323 | |
| Folate (folic acid) test |
— |
$73 |
$23 |
$15 | |
| Free T4 thyroid test |
— |
$45 |
$14 |
$9 | |
| FSH hormone test |
— |
$92 |
$29 |
$19 | |
| Gallbladder scan (HIDA) |
— |
$13,315 |
$2,705 |
$334 | |
| GGT liver test |
— |
$36 |
$11 |
$7 | |
| Glucose tolerance test |
— |
$42 |
$16 |
$8 | |
| H. pylori test |
— |
$335 |
$105 |
$67 | |
| HDL cholesterol test |
— |
$41 |
$13 |
$8 | |
| Hematocrit test |
— |
$54 |
$4 |
$2 | |
| Hemodialysis |
— |
$1,165 |
$716 |
$75 | |
| Hemoglobin A1c (diabetes test) |
— |
$48 |
$15 |
$10 | |
| Hemorrhoid removal |
— |
$1,832 |
$1,313 |
$338 | |
| Hepatitis B test |
— |
$51 |
$16 |
$10 | |
| Hepatitis C test |
— |
$71 |
$22 |
$14 | |
| Hip replacement |
— |
— |
$12,986 |
$1,162 | |
| HIV test |
— |
$94 |
$33 |
$19 | |
| HIV test (antibody) |
— |
$68 |
$21 |
$14 | |
| HIV test (antigen/antibody combo) |
— |
$120 |
$38 |
$24 | |
| Holter heart monitor |
— |
$1,728 |
$765 |
$26 | |
| Home sleep apnea test |
— |
$876 |
$424 |
$123 | |
| Iron blood test |
— |
$32 |
$10 |
$6 | |
| IUD removal |
— |
$420 |
$298 |
$112 | |
| IV infusion therapy |
— |
$532 |
$193 |
$44 | |
| IV infusion therapy (each additional) |
— |
$227 |
$114 |
$21 | |
| IV infusion therapy (initial) |
— |
$837 |
$395 |
$67 | |
| IVC filter placement |
— |
$4,673 |
$3,932 |
$1,885 | |
| Joint aspiration (small/intermediate) |
— |
$1,172 |
$494 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
— |
$1,390 |
$570 |
$57 | |
| Joint aspiration or injection (small joint) |
— |
$954 |
$477 |
$56 | |
| Kidney biopsy |
— |
$5,812 |
$1,586 |
$492 | |
| Kidney scan (nuclear) |
— |
$4,201 |
$1,313 |
$172 | |
| Kidney ultrasound |
— |
$1,858 |
$210 |
$84 | |
| Kidney ultrasound (limited) |
— |
$1,623 |
$193 |
$61 | |
| Knee joint injection |
— |
$1,629 |
$631 |
$69 | |
| Knee replacement |
— |
— |
$21,101 |
$18,054 | |
| Lactate test |
— |
$57 |
$18 |
$12 | |
| Laryngoscopy |
— |
$242 |
$192 |
$189 | |
| LDH test |
— |
$30 |
$9 |
$6 | |
| Leg artery angiogram |
— |
$7,547 |
$5,453 |
$149 | |
| Leg artery angioplasty |
— |
$32,159 |
$18,132 |
— | |
| Leg vein ultrasound (Doppler) |
— |
$1,897 |
$676 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
— |
$1,265 |
$594 |
$116 | |
| LH hormone test |
— |
$112 |
$29 |
$19 | |
| Lipase test |
— |
$42 |
$11 |
$7 | |
| Lipid (cholesterol) panel |
— |
$67 |
$21 |
$13 | |
| Liver biopsy |
— |
$5,793 |
$1,586 |
$288 | |
| Liver function panel |
— |
$41 |
$13 |
$8 | |
| Lung function test (PFT) |
— |
$285 |
$207 |
$37 | |
| Lung scan (V/Q) |
— |
$11,423 |
$2,728 |
$291 | |
| Magnesium blood test |
— |
$33 |
$10 |
$7 | |
| MMR vaccine |
— |
$538 |
$388 |
— | |
| MRA of the brain |
— |
$7,463 |
$558 |
$226 | |
| MRA of the brain with contrast |
— |
$7,463 |
$647 |
$226 | |
| MRA of the brain without contrast |
— |
$8,610 |
$677 |
$328 | |
| MRA of the neck |
— |
$6,855 |
$512 |
$245 | |
| MRA of the neck with contrast |
— |
$6,855 |
$647 |
$245 | |
| MRA of the neck without contrast |
— |
$8,200 |
$693 |
$343 | |
| MRI of the abdomen |
— |
$6,786 |
$509 |
$300 | |
| MRI of the abdomen without contrast |
— |
$5,144 |
$421 |
$194 | |
| MRI of the ankle |
— |
$7,130 |
$598 |
$261 | |
| MRI of the ankle with contrast |
— |
$7,130 |
$647 |
$261 | |
| MRI of the ankle without contrast |
— |
$5,144 |
$441 |
$222 | |
| MRI of the brain |
— |
$7,687 |
$581 |
$269 | |
| MRI of the brain with contrast |
— |
$7,687 |
$647 |
$269 | |
| MRI of the brain without contrast |
— |
$5,144 |
$421 |
$195 | |
| MRI of the chest |
— |
$8,610 |
$913 |
$371 | |
| MRI of the chest with contrast |
— |
$9,423 |
$1,120 |
$371 | |
| MRI of the chest without contrast |
— |
$8,610 |
$808 |
$466 | |
| MRI of the knee |
— |
$7,581 |
$968 |
$315 | |
| MRI of the knee with contrast |
— |
$7,581 |
$1,120 |
$315 | |
| MRI of the knee without contrast |
— |
$5,144 |
$425 |
$204 | |
| MRI of the lower back (lumbar spine) |
— |
$8,133 |
$583 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
— |
$8,133 |
$647 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
— |
$5,144 |
$421 |
$192 | |
| MRI of the mid-back (thoracic spine) |
— |
$8,243 |
$583 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
— |
$8,610 |
$672 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
— |
$8,243 |
$647 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
— |
$5,144 |
$421 |
$190 | |
| MRI of the neck (cervical spine) |
— |
$8,277 |
$582 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
— |
$8,610 |
$671 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
— |
$8,277 |
$647 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
— |
$5,144 |
$421 |
$191 | |
| MRI of the pelvis |
— |
$8,030 |
$597 |
$268 | |
| MRI of the pelvis with contrast |
— |
$8,030 |
$647 |
$268 | |
| MRI of the pelvis without contrast |
— |
$5,144 |
$446 |
$227 | |
| MRI of the shoulder |
— |
$7,476 |
$968 |
$313 | |
| MRI of the shoulder with contrast |
— |
$7,476 |
$1,120 |
$313 | |
| MRI of the shoulder without contrast |
— |
$5,144 |
$425 |
$205 | |
| MRI of the wrist |
— |
$8,073 |
$680 |
$330 | |
| MRI of the wrist with contrast |
— |
$8,073 |
$680 |
$330 | |
| MRI of the wrist without contrast |
— |
$5,144 |
$516 |
$303 | |
| Nebulizer breathing treatment |
— |
$233 |
$189 |
$9 | |
| Nerve conduction study |
— |
$1,290 |
$628 |
$118 | |
| Nuclear cardiac stress test |
— |
$11,049 |
$3,472 |
$428 | |
| Occupational therapy evaluation |
— |
$324 |
$234 |
$101 | |
| Occupational therapy evaluation (high complexity) |
— |
$324 |
$248 |
$101 | |
| Occupational therapy evaluation (low complexity) |
— |
$324 |
$209 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
— |
$324 |
$234 |
$101 | |
| Office visit (established patient) |
— |
$902 |
$596 |
$115 | |
| Office visit (new patient) |
— |
$1,397 |
$947 |
$177 | |
| Office visit, established patient (level 3) |
— |
$711 |
$538 |
$95 | |
| Office visit, established patient (level 4) |
— |
$1,092 |
$828 |
$136 | |
| Office visit, new patient (level 3) |
— |
$1,060 |
$805 |
$118 | |
| Office visit, new patient (level 4) |
— |
$1,397 |
$1,060 |
$177 | |
| Office visit, new patient (level 5) |
— |
$2,085 |
$1,582 |
$237 | |
| Pacemaker insertion |
— |
— |
$19,742 |
$15,506 | |
| Pap smear (cervical screening) |
— |
$132 |
$42 |
$20 | |
| Parathyroid hormone (PTH) test |
— |
$205 |
$65 |
$41 | |
| Pelvic ultrasound |
— |
$1,906 |
$209 |
$78 | |
| Pelvic ultrasound (complete) |
— |
$2,197 |
$209 |
$105 | |
| Pelvic ultrasound (limited) |
— |
$1,614 |
$193 |
$51 | |
| Phosphorus blood test |
— |
$24 |
$7 |
$5 | |
| Physical therapy evaluation |
— |
$371 |
$250 |
$98 | |
| Physical therapy evaluation (high complexity) |
— |
$371 |
$268 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
— |
$371 |
$250 |
$98 | |
| Platelet count |
— |
$22 |
$7 |
$4 | |
| Pneumonia vaccine |
— |
$1,042 |
$753 |
— | |
| Pregnancy ultrasound |
— |
$2,051 |
$221 |
$126 | |
| Pregnancy ultrasound (first trimester) |
— |
$1,736 |
$221 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
— |
$2,365 |
$239 |
$136 | |
| Procalcitonin test |
— |
$135 |
$43 |
$27 | |
| Prolactin test |
— |
$117 |
$30 |
$19 | |
| Prostate biopsy |
— |
$38,813 |
$28,867 |
— | |
| Prostate test (PSA) |
— |
$91 |
$29 |
$18 | |
| Pulmonary rehabilitation |
— |
$275 |
$151 |
$87 | |
| Rheumatoid factor test |
— |
$31 |
$10 |
$6 | |
| Sacroiliac joint injection |
— |
$445 |
$322 |
$176 | |
| Scoliosis spine X-ray |
— |
$1,180 |
$165 |
$58 | |
| Scoliosis spine X-ray (1 view) |
— |
$996 |
$151 |
$44 | |
| Scoliosis spine X-ray (3 views) |
— |
$1,363 |
$193 |
$72 | |
| Screening colonoscopy |
— |
$6,644 |
$3,986 |
$378 | |
| Screening mammogram |
— |
$863 |
$624 |
$126 | |
| Scrotal ultrasound |
— |
$1,775 |
$203 |
$99 | |
| Sedimentation rate (ESR) test |
— |
$13 |
$4 |
$3 | |
| Semen analysis |
— |
$61 |
$19 |
$12 | |
| Sex hormone binding globulin test |
— |
$108 |
$34 |
$22 | |
| Skin biopsy |
— |
$801 |
$503 |
$121 | |
| Skin biopsy (punch) |
— |
$801 |
$503 |
$121 | |
| Skin cancer lesion removal |
— |
— |
$2,783 |
$240 | |
| Skin graft |
— |
$11,723 |
$5,585 |
$898 | |
| Skin tag removal |
— |
$263 |
$193 |
$92 | |
| Sleep study (polysomnography) |
— |
$6,065 |
$2,758 |
$691 | |
| Soft tissue ultrasound |
— |
$1,261 |
$193 |
$64 | |
| Speech therapy |
— |
$327 |
$250 |
$76 | |
| Spinal tap (lumbar puncture) |
— |
$2,226 |
$872 |
$165 | |
| Spine fracture repair (kyphoplasty) |
— |
$30,888 |
$15,444 |
$5,803 | |
| Spirometry (lung function test) |
— |
$212 |
$179 |
$30 | |
| Spirometry with bronchodilator |
— |
$358 |
$294 |
$43 | |
| Strep throat test |
— |
$82 |
$26 |
$17 | |
| Stress echocardiogram |
— |
$3,709 |
$1,673 |
$209 | |
| Swallow study |
— |
$281 |
$215 |
$85 | |
| T3 thyroid test |
— |
$70 |
$22 |
$14 | |
| Tdap (tetanus) vaccine |
— |
$508 |
$367 |
— | |
| Testosterone test |
— |
$128 |
$40 |
$26 | |
| Thyroid test (TSH) |
— |
$83 |
$26 |
$17 | |
| Thyroid ultrasound |
— |
$1,742 |
$212 |
$109 | |
| Thyroid uptake scan |
— |
$5,632 |
$1,481 |
$145 | |
| Tilt table test |
— |
$6,555 |
$2,956 |
$168 | |
| Tonsillectomy |
— |
— |
$2,783 |
$252 | |
| Total IgE allergy test |
— |
$82 |
$26 |
$16 | |
| Total protein test |
— |
$18 |
$6 |
$4 | |
| Transesophageal echocardiogram (TEE) |
— |
$3,757 |
$1,770 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
— |
$3,757 |
$1,770 |
$239 | |
| Transvaginal ultrasound |
— |
$1,636 |
$220 |
$118 | |
| Trigger point injection |
— |
$711 |
$406 |
$56 | |
| Trigger point injection (1-2 muscles) |
— |
$711 |
$406 |
$52 | |
| Triglycerides test |
— |
$29 |
$9 |
$6 | |
| Troponin (heart) test |
— |
$62 |
$19 |
$12 | |
| Upper GI endoscopy (EGD) |
— |
$5,333 |
$3,427 |
$371 | |
| Upper GI series (barium) |
— |
$1,972 |
$319 |
$128 | |
| Uric acid (gout) test |
— |
$22 |
$7 |
$5 | |
| Urinalysis |
— |
$14 |
$4 |
$3 | |
| Urine microalbumin test |
— |
$28 |
$9 |
$5 | |
| Urine pregnancy test |
— |
$43 |
$15 |
$9 | |
| Vaccine administration |
— |
$88 |
$64 |
$19 | |
| Vaccine administration (each additional) |
— |
$64 |
$46 |
$16 | |
| Vaginal delivery |
— |
— |
$6,344 |
$5,487 | |
| Vitamin B12 test |
— |
$75 |
$24 |
$15 | |
| Vitamin D test |
— |
$147 |
$46 |
$30 | |
| Weight-loss (bariatric) surgery |
— |
— |
$15,269 |
$11,645 | |
| Wound debridement |
— |
$1,166 |
$719 |
$186 | |
| X-ray of the abdomen |
— |
$956 |
$167 |
$36 | |
| X-ray of the ankle |
— |
$970 |
$151 |
$37 | |
| X-ray of the collarbone |
— |
$906 |
$151 |
$33 | |
| X-ray of the elbow |
— |
$990 |
$151 |
$33 | |
| X-ray of the facial bones |
— |
$1,043 |
$165 |
$39 | |
| X-ray of the foot |
— |
$970 |
$151 |
$34 | |
| X-ray of the forearm |
— |
$890 |
$151 |
$29 | |
| X-ray of the hand |
— |
$871 |
$151 |
$38 | |
| X-ray of the hip |
— |
$720 |
$162 |
$49 | |
| X-ray of the hip (1 view) |
— |
$778 |
$151 |
$34 | |
| X-ray of the hip (3 views) |
— |
$577 |
$151 |
$49 | |
| X-ray of the hip (4 views) |
— |
$720 |
$193 |
$63 | |
| X-ray of the knee |
— |
$1,216 |
$426 |
$42 | |
| X-ray of the knee (2 views) |
— |
$1,390 |
$511 |
$34 | |
| X-ray of the knee (3 views) |
— |
$1,011 |
$151 |
$42 | |
| X-ray of the knee (4+ views) |
— |
$1,216 |
$193 |
$49 | |
| X-ray of the lower back (lumbar spine) |
— |
$1,371 |
$193 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
— |
$1,149 |
$193 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
— |
$1,592 |
$193 |
$53 | |
| X-ray of the lower leg |
— |
$1,390 |
$644 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
— |
$1,199 |
$193 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
— |
$1,113 |
$193 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
— |
$1,284 |
$193 |
$39 | |
| X-ray of the neck (cervical spine) |
— |
$1,289 |
$162 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
— |
$1,066 |
$151 |
$40 | |
| X-ray of the pelvis |
— |
$888 |
$193 |
$36 | |
| X-ray of the pelvis (1 view) |
— |
$888 |
$193 |
$28 | |
| X-ray of the ribs |
— |
$1,207 |
$167 |
$42 | |
| X-ray of the ribs (2 views) |
— |
$986 |
$151 |
$36 | |
| X-ray of the ribs (3 views) |
— |
$1,207 |
$193 |
$42 | |
| X-ray of the shoulder |
— |
$996 |
$151 |
$36 | |
| X-ray of the skull |
— |
$1,257 |
$193 |
$40 | |
| X-ray of the upper arm |
— |
$837 |
$151 |
$32 | |
| X-ray of the wrist |
— |
$976 |
$151 |
$43 | |
| Zinc blood test |
— |
$57 |
$18 |
$11 | |