| 3D mammogram (tomosynthesis) |
$146 |
$224 |
$81 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$983 |
$1,512 |
$1,425 |
$284 | |
| Abdominal ultrasound |
$1,186 |
$1,825 |
$567 |
$100 | |
| Abdominal ultrasound (complete) |
$1,326 |
$2,040 |
$567 |
$114 | |
| Abdominal ultrasound (limited) |
$1,047 |
$1,610 |
$567 |
$86 | |
| Abscess drainage (complex or multiple) |
$929 |
$1,429 |
$568 |
$220 | |
| Abscess drainage (simple) |
$811 |
$1,248 |
$537 |
$129 | |
| Abscess incision and drainage |
$870 |
$1,339 |
$537 |
$174 | |
| Acupuncture |
$79 |
$122 |
$80 |
$38 | |
| Albumin blood test |
$15 |
$23 |
$16 |
$5 | |
| Aldosterone test |
$27 |
$41 |
$42 |
$41 | |
| Alkaline phosphatase test |
$219 |
$337 |
$26 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$51 |
$79 |
$27 |
$17 | |
| ALT liver enzyme test |
$46 |
$70 |
$18 |
$5 | |
| Ammonia blood test |
$139 |
$214 |
$62 |
$15 | |
| Amniocentesis |
$1,203 |
$1,851 |
$954 |
$120 | |
| Amylase test |
$111 |
$170 |
$34 |
$6 | |
| Ankle fracture repair |
$13,759 |
$21,168 |
$8,767 |
$608 | |
| Anoscopy |
$343 |
$527 |
$476 |
$129 | |
| Antinuclear antibody (ANA) test |
$40 |
$62 |
$19 |
$12 | |
| Aortic valve replacement |
$53,078 |
$81,658 |
$11,571 |
$1,603 | |
| Arterial blood gas (ABG) |
$59 |
$91 |
$91 |
$26 | |
| AST liver enzyme test |
$49 |
$75 |
$44 |
$5 | |
| Barium swallow study |
$762 |
$1,173 |
$436 |
$107 | |
| Bartholin cyst removal |
$467 |
$719 |
$476 |
$182 | |
| Basic metabolic panel |
$311 |
$478 |
$25 |
$8 | |
| Benign skin lesion removal |
$974 |
$1,498 |
$802 |
$171 | |
| Bilirubin blood test |
$20 |
$30 |
$23 |
$5 | |
| Bladder scope (cystoscopy) |
$1,810 |
$2,784 |
$1,002 |
$216 | |
| Blood clotting test (PT/INR) |
$20 |
$30 |
$13 |
$4 | |
| Blood crossmatch |
$281 |
$433 |
$181 |
— | |
| Blood glucose test |
$50 |
$78 |
$14 |
$5 | |
| Blood transfusion |
$756 |
$1,163 |
$476 |
$47 | |
| Blood type and screen |
$75 |
$116 |
$69 |
$10 | |
| Blood type test |
$112 |
$173 |
$85 |
$3 | |
| Blood type test (ABO group) |
$170 |
$261 |
$100 |
$3 | |
| Blood type test (Rh/D antigen) |
$55 |
$85 |
$40 |
$3 | |
| BNP (heart failure) test |
$197 |
$303 |
$114 |
$39 | |
| Bone density scan (DEXA) |
$489 |
$752 |
$271 |
$39 | |
| Bone marrow biopsy |
$3,814 |
$5,867 |
$3,619 |
$172 | |
| Bone scan (nuclear) |
$2,259 |
$3,475 |
$1,251 |
$259 | |
| Breast biopsy |
$4,025 |
$6,192 |
$4,043 |
$478 | |
| Breast MRI |
$2,391 |
$3,678 |
$1,236 |
$216 | |
| Breast MRI without contrast |
$3,209 |
$4,937 |
$1,285 |
$216 | |
| Breast ultrasound |
$417 |
$642 |
$178 |
$92 | |
| Breast ultrasound (complete) |
$321 |
$494 |
$178 |
$100 | |
| Breast ultrasound (limited) |
$514 |
$790 |
$155 |
$84 | |
| Breathing tube insertion (intubation) |
$844 |
$1,299 |
$538 |
$133 | |
| Burn dressing and debridement (medium) |
$538 |
$827 |
$537 |
$166 | |
| Burn dressing and debridement (small) |
$623 |
$958 |
$537 |
$93 | |
| Burn treatment |
$580 |
$893 |
$537 |
$129 | |
| C-reactive protein (CRP) |
$24 |
$37 |
$25 |
$5 | |
| CA 19-9 tumor marker test |
$66 |
$101 |
$33 |
$21 | |
| CA-125 ovarian marker test |
$124 |
$190 |
$34 |
$21 | |
| Calcium blood test |
$47 |
$72 |
$8 |
$5 | |
| Capsule endoscopy |
$2,228 |
$3,428 |
$967 |
$802 | |
| Cardiac ablation |
$34,196 |
$52,609 |
$16,078 |
$759 | |
| Cardiac catheterization |
$17,498 |
$26,921 |
$11,233 |
$1,049 | |
| Cardiac MRI |
$1,580 |
$2,432 |
$1,236 |
$322 | |
| Cardiac MRI without contrast |
$1,249 |
$1,922 |
$1,236 |
$280 | |
| Cardiac rehabilitation |
$297 |
$457 |
$205 |
$26 | |
| Cardiac stress test |
$1,659 |
$2,552 |
$919 |
$39 | |
| Cardioversion |
$1,861 |
$2,863 |
$862 |
$155 | |
| Carotid artery ultrasound |
$1,436 |
$2,209 |
$552 |
$156 | |
| CEA tumor marker test |
$29 |
$44 |
$30 |
$19 | |
| Celiac disease test |
$38 |
$59 |
$29 |
$12 | |
| Central line placement |
$2,302 |
$3,542 |
$1,275 |
$238 | |
| Chemotherapy infusion |
$557 |
$858 |
$430 |
$81 | |
| Chemotherapy infusion (each additional) |
$268 |
$412 |
$157 |
$28 | |
| Chemotherapy infusion (first hour) |
$847 |
$1,303 |
$483 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,665 |
$2,561 |
$1,672 |
$311 | |
| Chest tube insertion |
$1,542 |
$2,372 |
$1,236 |
$143 | |
| Chest X-ray |
$529 |
$814 |
$375 |
$37 | |
| Chest X-ray (1 view) |
$375 |
$577 |
$208 |
$25 | |
| Chest X-ray (2 views) |
$446 |
$686 |
$247 |
$33 | |
| Circumcision |
$1,617 |
$2,487 |
$749 |
$167 | |
| CK-MB heart enzyme test |
$24 |
$37 |
$31 |
$12 | |
| Clotting time test (PTT) |
$40 |
$61 |
$14 |
$6 | |
| Complete blood count (CBC) |
$74 |
$115 |
$13 |
$7 | |
| Complete blood count (CBC) (complete) |
$23 |
$35 |
$12 |
$8 | |
| Complex wound repair |
$1,414 |
$2,175 |
$783 |
$390 | |
| Comprehensive metabolic panel |
$364 |
$560 |
$54 |
$11 | |
| Copper blood test |
$49 |
$75 |
$26 |
$12 | |
| Coronary CT angiography |
$1,682 |
$2,587 |
$1,158 |
$326 | |
| Cortisol test |
$21 |
$33 |
$26 |
$16 | |
| COVID-19 PCR test |
$111 |
$170 |
$111 |
$51 | |
| CPAP titration study |
$1,199 |
$1,844 |
$476 |
$69 | |
| Creatine kinase (CK) test |
$21 |
$32 |
$21 |
$7 | |
| CT angiography of the chest |
$2,905 |
$4,469 |
$1,158 |
$281 | |
| CT angiography of the head |
$2,330 |
$3,585 |
$1,158 |
$274 | |
| CT colonography (virtual colonoscopy) |
$903 |
$1,389 |
$907 |
$835 | |
| CT scan of the abdomen |
$2,508 |
$3,858 |
$1,158 |
$230 | |
| CT scan of the abdomen and pelvis |
$3,688 |
$5,674 |
$1,158 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$4,280 |
$6,585 |
$1,158 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$3,688 |
$5,674 |
$1,158 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$3,325 |
$5,116 |
$1,158 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,905 |
$4,469 |
$1,158 |
$259 | |
| CT scan of the abdomen with contrast |
$2,508 |
$3,858 |
$1,158 |
$230 | |
| CT scan of the abdomen without contrast |
$2,261 |
$3,479 |
$1,158 |
$136 | |
| CT scan of the arm |
$2,140 |
$3,293 |
$1,158 |
$199 | |
| CT scan of the arm with contrast |
$2,223 |
$3,420 |
$1,158 |
$199 | |
| CT scan of the arm without contrast |
$2,140 |
$3,293 |
$1,158 |
$161 | |
| CT scan of the chest |
$3,273 |
$5,035 |
$1,158 |
$167 | |
| CT scan of the chest with and without contrast |
$3,442 |
$5,295 |
$1,158 |
$196 | |
| CT scan of the chest with contrast |
$3,273 |
$5,035 |
$1,158 |
$167 | |
| CT scan of the chest without contrast |
$2,051 |
$3,156 |
$1,136 |
$133 | |
| CT scan of the head |
$3,117 |
$4,796 |
$1,158 |
$148 | |
| CT scan of the head with and without contrast |
$3,944 |
$6,067 |
$1,158 |
$173 | |
| CT scan of the head with contrast |
$3,117 |
$4,796 |
$1,158 |
$148 | |
| CT scan of the head without contrast |
$2,731 |
$4,202 |
$1,158 |
$107 | |
| CT scan of the leg |
$2,187 |
$3,364 |
$1,158 |
$166 | |
| CT scan of the leg with contrast |
$2,187 |
$3,364 |
$1,158 |
$166 | |
| CT scan of the leg without contrast |
$2,102 |
$3,234 |
$1,158 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$3,297 |
$5,072 |
$1,158 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$3,880 |
$5,969 |
$1,158 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$3,297 |
$5,072 |
$1,158 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$2,985 |
$4,592 |
$1,158 |
$130 | |
| CT scan of the neck |
$3,259 |
$5,014 |
$1,158 |
$183 | |
| CT scan of the neck (cervical spine) |
$2,951 |
$4,540 |
$1,158 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$3,783 |
$5,820 |
$1,158 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$2,951 |
$4,540 |
$1,158 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$2,192 |
$3,373 |
$1,158 |
$131 | |
| CT scan of the neck with and without contrast |
$3,491 |
$5,371 |
$1,158 |
$220 | |
| CT scan of the neck with contrast |
$3,259 |
$5,014 |
$1,158 |
$183 | |
| CT scan of the neck without contrast |
$2,841 |
$4,370 |
$1,158 |
$150 | |
| CT scan of the pelvis |
$3,075 |
$4,730 |
$1,158 |
$226 | |
| CT scan of the pelvis with and without contrast |
$3,362 |
$5,172 |
$1,158 |
$251 | |
| CT scan of the pelvis with contrast |
$3,075 |
$4,730 |
$1,158 |
$226 | |
| CT scan of the pelvis without contrast |
$2,769 |
$4,260 |
$1,158 |
$133 | |
| CT scan of the sinuses |
$3,202 |
$4,926 |
$1,158 |
$152 | |
| CT scan of the sinuses with and without contrast |
$3,354 |
$5,160 |
$1,158 |
$184 | |
| CT scan of the sinuses with contrast |
$3,202 |
$4,926 |
$1,158 |
$152 | |
| CT scan of the sinuses without contrast |
$2,714 |
$4,176 |
$1,158 |
$128 | |
| D-dimer test |
$181 |
$278 |
$40 |
$10 | |
| Defibrillator (ICD) implant |
$66,652 |
$102,541 |
$12,106 |
$798 | |
| DHEA-sulfate test |
$33 |
$50 |
$35 |
$22 | |
| Diagnostic mammogram |
$445 |
$684 |
$255 |
$140 | |
| Drug screen (urine) |
$362 |
$557 |
$65 |
$17 | |
| Ear pressure test (tympanometry) |
$191 |
$294 |
$192 |
$16 | |
| Echocardiogram |
$1,741 |
$2,679 |
$1,033 |
$138 | |
| Echocardiogram with and without contrast |
$762 |
$1,173 |
$433 |
$101 | |
| EEG (awake and asleep) |
$738 |
$1,135 |
$409 |
$482 | |
| EKG / ECG (tracing only) |
$366 |
$563 |
$217 |
$7 | |
| Electrocardiogram (EKG) |
$366 |
$563 |
$217 |
$8 | |
| Electroencephalogram (EEG) |
$930 |
$1,431 |
$520 |
$448 | |
| Electrolyte panel |
$187 |
$288 |
$142 |
$7 | |
| Emergency department visit |
$1,009 |
$1,552 |
$908 |
$69 | |
| Emergency department visit (level 1) |
$437 |
$673 |
$349 |
$11 | |
| Emergency department visit (level 2) |
$599 |
$921 |
$908 |
$40 | |
| Emergency department visit (level 3) |
$1,009 |
$1,552 |
$1,013 |
$69 | |
| Emergency department visit (level 4) |
$1,359 |
$2,091 |
$1,365 |
$118 | |
| Emergency department visit (level 5) |
$1,619 |
$2,491 |
$1,627 |
$171 | |
| Endometrial biopsy |
$377 |
$580 |
$379 |
$98 | |
| Epidural steroid injection |
$2,572 |
$3,958 |
$2,584 |
$275 | |
| Estradiol (estrogen) test |
$116 |
$179 |
$44 |
$28 | |
| Facet joint injection (spine) |
$920 |
$1,415 |
$1,415 |
$99 | |
| Fallopian tube X-ray (HSG) |
$877 |
$1,349 |
$563 |
$164 | |
| Fecal occult blood (stool) test |
$124 |
$190 |
$61 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$74 |
$114 |
$58 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$173 |
$266 |
$61 |
$16 | |
| Ferritin (iron) test |
$135 |
$208 |
$61 |
$14 | |
| Fibrinogen test |
$29 |
$44 |
$27 |
$10 | |
| Fibroid removal (myomectomy) |
$5,032 |
$7,741 |
$6,982 |
$914 | |
| Flu test |
$44 |
$67 |
$34 |
$17 | |
| Folate (folic acid) test |
$129 |
$198 |
$25 |
$15 | |
| Foreign body removal (skin) |
$773 |
$1,189 |
$537 |
$157 | |
| Free T4 thyroid test |
$31 |
$48 |
$31 |
$9 | |
| FSH hormone test |
$59 |
$90 |
$46 |
$19 | |
| Gallbladder scan (HIDA) |
$1,814 |
$2,790 |
$1,004 |
$334 | |
| GGT liver test |
$51 |
$78 |
$34 |
$7 | |
| Glucose tolerance test |
$72 |
$111 |
$41 |
$8 | |
| Group therapy session |
$224 |
$344 |
$174 |
$30 | |
| H. pylori test |
$114 |
$175 |
$115 |
$67 | |
| HDL cholesterol test |
$20 |
$31 |
$31 |
$8 | |
| Hematocrit test |
$35 |
$54 |
$10 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$170 |
$261 |
$35 |
$10 | |
| Hepatitis A vaccine |
$198 |
$305 |
$305 |
— | |
| Hepatitis B test |
$16 |
$25 |
$16 |
$10 | |
| Hepatitis C test |
$73 |
$112 |
$23 |
$14 | |
| HIV test |
$37 |
$57 |
$38 |
$19 | |
| HIV test (antigen/antibody combo) |
$73 |
$113 |
$44 |
$24 | |
| Holter heart monitor |
$1,268 |
$1,950 |
$468 |
$26 | |
| Inguinal hernia repair |
$5,870 |
$9,031 |
$5,897 |
$538 | |
| Iron blood test |
$114 |
$175 |
$21 |
$6 | |
| IUD removal |
$598 |
$920 |
$537 |
$112 | |
| IV infusion therapy |
$287 |
$441 |
$267 |
$44 | |
| IV infusion therapy (each additional) |
$174 |
$267 |
$117 |
$21 | |
| IV infusion therapy (initial) |
$400 |
$615 |
$402 |
$67 | |
| IVC filter placement |
$13,168 |
$20,259 |
$8,767 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$898 |
$1,382 |
$580 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$1,047 |
$1,611 |
$622 |
$57 | |
| Joint aspiration or injection (small joint) |
$749 |
$1,153 |
$537 |
$56 | |
| Kidney biopsy |
$2,785 |
$4,284 |
$2,797 |
$492 | |
| Kidney scan (nuclear) |
$1,988 |
$3,058 |
$1,101 |
$172 | |
| Kidney ultrasound |
$1,107 |
$1,703 |
$567 |
$84 | |
| Kidney ultrasound (limited) |
$1,045 |
$1,608 |
$567 |
$61 | |
| Knee joint injection |
$952 |
$1,464 |
$591 |
$69 | |
| Lactate test |
$29 |
$45 |
$31 |
$12 | |
| Laryngoscopy |
$1,316 |
$2,024 |
$729 |
$189 | |
| LDH test |
$20 |
$31 |
$22 |
$6 | |
| LDL cholesterol test |
$21 |
$33 |
$18 |
$11 | |
| Leg artery angiogram |
$5,883 |
$9,051 |
$3,258 |
$149 | |
| Leg artery angioplasty |
$18,406 |
$28,318 |
$9,549 |
— | |
| Leg vein ultrasound (Doppler) |
$892 |
$1,373 |
$552 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$766 |
$1,179 |
$552 |
$116 | |
| LH hormone test |
$59 |
$90 |
$46 |
$19 | |
| Lipase test |
$21 |
$32 |
$32 |
$7 | |
| Lipid (cholesterol) panel |
$32 |
$49 |
$38 |
$13 | |
| Liver biopsy |
$2,464 |
$3,791 |
$2,476 |
$288 | |
| Liver function panel |
$277 |
$426 |
$167 |
$8 | |
| Lung function test (PFT) |
$488 |
$750 |
$343 |
$37 | |
| Lung scan (V/Q) |
$3,413 |
$5,250 |
$1,462 |
$291 | |
| Magnesium blood test |
$152 |
$234 |
$21 |
$7 | |
| MRA of the brain |
$3,044 |
$4,683 |
$1,285 |
$226 | |
| MRA of the brain with contrast |
$3,044 |
$4,683 |
$1,285 |
$226 | |
| MRA of the brain without contrast |
$3,806 |
$5,856 |
$1,285 |
$328 | |
| MRA of the neck |
$1,984 |
$3,052 |
$1,236 |
$245 | |
| MRA of the neck with contrast |
$1,984 |
$3,052 |
$1,236 |
$245 | |
| MRA of the neck without contrast |
$2,480 |
$3,815 |
$1,285 |
$343 | |
| MRI of the abdomen |
$3,599 |
$5,537 |
$1,285 |
$300 | |
| MRI of the abdomen with contrast |
$3,599 |
$5,537 |
$1,285 |
$300 | |
| MRI of the abdomen without contrast |
$3,271 |
$5,032 |
$1,285 |
$194 | |
| MRI of the ankle |
$2,653 |
$4,081 |
$1,285 |
$261 | |
| MRI of the ankle with contrast |
$2,089 |
$3,214 |
$1,236 |
$261 | |
| MRI of the ankle without contrast |
$2,653 |
$4,081 |
$1,285 |
$222 | |
| MRI of the brain |
$3,497 |
$5,380 |
$1,285 |
$269 | |
| MRI of the brain with contrast |
$3,497 |
$5,380 |
$1,285 |
$269 | |
| MRI of the brain without contrast |
$3,020 |
$4,646 |
$1,285 |
$195 | |
| MRI of the chest |
$3,279 |
$5,044 |
$1,285 |
$371 | |
| MRI of the chest with contrast |
$3,279 |
$5,044 |
$1,285 |
$371 | |
| MRI of the chest without contrast |
$4,081 |
$6,278 |
$1,285 |
$466 | |
| MRI of the knee |
$3,971 |
$6,109 |
$1,285 |
$315 | |
| MRI of the knee with contrast |
$3,971 |
$6,109 |
$1,285 |
$315 | |
| MRI of the knee without contrast |
$3,220 |
$4,954 |
$1,285 |
$204 | |
| MRI of the lower back (lumbar spine) |
$3,613 |
$5,558 |
$1,285 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$3,613 |
$5,558 |
$1,285 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$3,385 |
$5,208 |
$1,285 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$3,697 |
$5,688 |
$1,285 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$4,332 |
$6,665 |
$1,285 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$3,697 |
$5,688 |
$1,285 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$3,385 |
$5,208 |
$1,285 |
$190 | |
| MRI of the neck (cervical spine) |
$3,543 |
$5,450 |
$1,285 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$4,285 |
$6,592 |
$1,285 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$3,543 |
$5,450 |
$1,285 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$3,418 |
$5,258 |
$1,285 |
$191 | |
| MRI of the pelvis |
$3,071 |
$4,724 |
$1,285 |
$268 | |
| MRI of the pelvis with contrast |
$3,071 |
$4,724 |
$1,285 |
$268 | |
| MRI of the pelvis without contrast |
$2,913 |
$4,482 |
$1,285 |
$227 | |
| MRI of the shoulder |
$3,445 |
$5,300 |
$1,285 |
$313 | |
| MRI of the shoulder with contrast |
$3,445 |
$5,300 |
$1,285 |
$313 | |
| MRI of the shoulder without contrast |
$2,964 |
$4,560 |
$1,285 |
$205 | |
| MRI of the wrist |
$2,503 |
$3,851 |
$1,285 |
$330 | |
| MRI of the wrist with contrast |
$2,503 |
$3,851 |
$1,285 |
$330 | |
| MRI of the wrist without contrast |
$2,488 |
$3,827 |
$1,285 |
$303 | |
| Nebulizer breathing treatment |
$174 |
$267 |
$267 |
$9 | |
| Nuclear cardiac stress test |
$5,848 |
$8,997 |
$1,743 |
$428 | |
| Occupational therapy evaluation |
$338 |
$520 |
$213 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$507 |
$780 |
$213 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$226 |
$347 |
$213 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$338 |
$520 |
$213 |
$101 | |
| Office visit (established patient) |
$430 |
$661 |
$476 |
$115 | |
| Office visit (new patient) |
$612 |
$942 |
$476 |
$177 | |
| Office visit, established patient (level 3) |
$481 |
$740 |
$476 |
$95 | |
| Office visit, established patient (level 4) |
$378 |
$582 |
$476 |
$136 | |
| Office visit, new patient (level 3) |
$441 |
$678 |
$476 |
$118 | |
| Office visit, new patient (level 4) |
$612 |
$942 |
$476 |
$177 | |
| Office visit, new patient (level 5) |
$675 |
$1,038 |
$476 |
$237 | |
| Pap smear (cervical screening) |
$83 |
$127 |
$55 |
$20 | |
| Parathyroid hormone (PTH) test |
$36 |
$56 |
$54 |
$41 | |
| Pelvic ultrasound |
$1,071 |
$1,648 |
$558 |
$78 | |
| Pelvic ultrasound (complete) |
$1,134 |
$1,745 |
$567 |
$105 | |
| Pelvic ultrasound (limited) |
$1,008 |
$1,550 |
$558 |
$51 | |
| PET scan |
$5,266 |
$8,102 |
$2,170 |
— | |
| Phosphorus blood test |
$115 |
$177 |
$22 |
$5 | |
| Physical therapy evaluation |
$338 |
$520 |
$213 |
$98 | |
| Physical therapy evaluation (high complexity) |
$507 |
$780 |
$213 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$338 |
$520 |
$213 |
$98 | |
| Platelet count |
$49 |
$75 |
$38 |
$4 | |
| Pregnancy blood test (hCG) |
$38 |
$59 |
$30 |
$8 | |
| Pregnancy ultrasound |
$702 |
$1,080 |
$371 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$670 |
$1,030 |
$371 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$734 |
$1,129 |
$406 |
$136 | |
| Procalcitonin test |
$85 |
$130 |
$86 |
$27 | |
| Prolactin test |
$81 |
$125 |
$38 |
$19 | |
| Prostate biopsy |
$3,260 |
$5,016 |
$4,862 |
— | |
| Prostate test (PSA) |
$44 |
$67 |
$37 |
$18 | |
| Pulmonary rehabilitation |
$166 |
$255 |
$167 |
$87 | |
| Radiofrequency nerve ablation |
$5,283 |
$8,128 |
$5,053 |
$462 | |
| Sacroiliac joint injection |
$761 |
$1,171 |
$968 |
$176 | |
| Scoliosis spine X-ray |
$312 |
$480 |
$215 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$235 |
$362 |
$130 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$388 |
$597 |
$215 |
$72 | |
| Screening mammogram |
$426 |
$656 |
$236 |
$126 | |
| Scrotal ultrasound |
$779 |
$1,199 |
$325 |
$99 | |
| Sedimentation rate (ESR) test |
$41 |
$63 |
$27 |
$3 | |
| Semen analysis |
$68 |
$105 |
$53 |
$12 | |
| Sex hormone binding globulin test |
$20 |
$31 |
$25 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$516 |
$794 |
$518 |
$114 | |
| Simple wound stitches |
$516 |
$794 |
$518 |
$127 | |
| Skin biopsy |
$597 |
$918 |
$874 |
$121 | |
| Skin biopsy (punch) |
$597 |
$918 |
$591 |
$121 | |
| Skin cancer lesion removal |
$1,349 |
$2,075 |
$1,299 |
$240 | |
| Skin graft |
$5,049 |
$7,768 |
$4,707 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$325 |
$500 |
$327 |
$36 | |
| Skin tag removal |
$516 |
$794 |
$518 |
$92 | |
| Soft tissue ultrasound |
$226 |
$348 |
$157 |
$64 | |
| Speech therapy |
$353 |
$543 |
$213 |
$76 | |
| Spinal cord stimulator |
$11,607 |
$17,857 |
$8,767 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$819 |
$1,260 |
$753 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$15,286 |
$23,517 |
$8,767 |
$5,803 | |
| Spirometry (lung function test) |
$169 |
$260 |
$260 |
$30 | |
| Spirometry with bronchodilator |
$806 |
$1,240 |
$390 |
$43 | |
| Stress echocardiogram |
$2,607 |
$4,012 |
$1,165 |
$209 | |
| Stress echocardiogram (complete) |
$2,543 |
$3,913 |
$1,165 |
$233 | |
| Swallow study |
$506 |
$778 |
$213 |
$85 | |
| T3 thyroid test |
$29 |
$45 |
$23 |
$14 | |
| Testosterone test |
$42 |
$65 |
$41 |
$26 | |
| Thyroid test (TSH) |
$132 |
$203 |
$45 |
$17 | |
| Thyroid ultrasound |
$644 |
$990 |
$356 |
$109 | |
| Thyroid uptake scan |
$1,358 |
$2,090 |
$752 |
$145 | |
| Tilt table test |
$1,928 |
$2,966 |
$1,033 |
$168 | |
| Total IgE allergy test |
$114 |
$175 |
$28 |
$16 | |
| Total protein test |
$14 |
$22 |
$11 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$2,718 |
$4,181 |
$1,165 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$2,718 |
$4,181 |
$1,165 |
$239 | |
| Transvaginal ultrasound |
$788 |
$1,212 |
$436 |
$118 | |
| Trigger point injection |
$789 |
$1,215 |
$476 |
$56 | |
| Trigger point injection (1-2 muscles) |
$854 |
$1,314 |
$476 |
$52 | |
| Triglycerides test |
$42 |
$64 |
$23 |
$6 | |
| Troponin (heart) test |
$81 |
$125 |
$61 |
$12 | |
| Turning a breech baby (version) |
$4,051 |
$6,232 |
$1,876 |
$94 | |
| Upper GI series (barium) |
$1,100 |
$1,692 |
$468 |
$128 | |
| Uric acid (gout) test |
$18 |
$28 |
$28 |
$5 | |
| Urinalysis |
$74 |
$114 |
$49 |
$3 | |
| Urine microalbumin test |
$5 |
$8 |
$12 |
$5 | |
| Urine pregnancy test |
$108 |
$166 |
$84 |
$9 | |
| Vaccine administration |
$105 |
$161 |
$105 |
$19 | |
| Vaccine administration (each additional) |
$105 |
$161 |
$161 |
$16 | |
| Vitamin B12 test |
$140 |
$215 |
$26 |
$15 | |
| Vitamin D test |
$79 |
$121 |
$45 |
$30 | |
| Wart removal |
$516 |
$794 |
$518 |
$121 | |
| Wound debridement |
$1,386 |
$2,133 |
$786 |
$186 | |
| X-ray of the abdomen |
$575 |
$884 |
$318 |
$36 | |
| X-ray of the ankle |
$538 |
$827 |
$298 |
$37 | |
| X-ray of the collarbone |
$504 |
$776 |
$279 |
$33 | |
| X-ray of the elbow |
$536 |
$825 |
$297 |
$33 | |
| X-ray of the facial bones |
$591 |
$909 |
$327 |
$39 | |
| X-ray of the foot |
$538 |
$828 |
$298 |
$34 | |
| X-ray of the forearm |
$502 |
$773 |
$278 |
$29 | |
| X-ray of the hand |
$520 |
$800 |
$288 |
$38 | |
| X-ray of the hip |
$485 |
$747 |
$206 |
$49 | |
| X-ray of the hip (1 view) |
$372 |
$572 |
$206 |
$34 | |
| X-ray of the hip (3 views) |
$599 |
$921 |
$332 |
$49 | |
| X-ray of the knee |
$505 |
$777 |
$280 |
$42 | |
| X-ray of the knee (2 views) |
$413 |
$636 |
$229 |
$34 | |
| X-ray of the knee (3 views) |
$505 |
$777 |
$280 |
$42 | |
| X-ray of the knee (4+ views) |
$593 |
$913 |
$329 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$812 |
$1,249 |
$406 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$620 |
$954 |
$343 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$1,004 |
$1,544 |
$468 |
$53 | |
| X-ray of the lower leg |
$522 |
$803 |
$289 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$663 |
$1,020 |
$367 |
$36 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$663 |
$1,020 |
$367 |
$39 | |
| X-ray of the neck (cervical spine) |
$691 |
$1,063 |
$329 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$594 |
$914 |
$329 |
$40 | |
| X-ray of the pelvis |
$668 |
$1,028 |
$370 |
$36 | |
| X-ray of the pelvis (1 view) |
$583 |
$897 |
$323 |
$28 | |
| X-ray of the ribs |
$775 |
$1,192 |
$408 |
$42 | |
| X-ray of the ribs (3 views) |
$736 |
$1,133 |
$408 |
$42 | |
| X-ray of the shoulder |
$578 |
$889 |
$320 |
$36 | |
| X-ray of the skull |
$654 |
$1,006 |
$362 |
$40 | |
| X-ray of the upper arm |
$521 |
$801 |
$288 |
$32 | |
| X-ray of the wrist |
$575 |
$884 |
$318 |
$43 | |
| Zinc blood test |
$23 |
$35 |
$24 |
$11 | |