| 3D mammogram (tomosynthesis) |
$90 |
$150 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$907 |
$1,512 |
— |
$284 | |
| Abdominal ultrasound |
$517 |
$862 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$854 |
$1,423 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$517 |
$862 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$465 |
$775 |
— |
$220 | |
| Abscess drainage (simple) |
$335 |
$558 |
— |
$129 | |
| Abscess incision and drainage |
$397 |
$661 |
— |
$174 | |
| Achilles tendon repair |
$937 |
$1,561 |
— |
$624 | |
| Albumin blood test |
$12 |
$20 |
— |
$5 | |
| Aldosterone test |
$77 |
$128 |
— |
$41 | |
| Alkaline phosphatase test |
$18 |
$30 |
— |
$5 | |
| Alpha-fetoprotein (AFP) test |
$61 |
$101 |
— |
$17 | |
| ALT liver enzyme test |
$18 |
$29 |
— |
$5 | |
| Ammonia blood test |
$46 |
$76 |
— |
$15 | |
| Amniocentesis |
$1,144 |
$1,906 |
— |
$120 | |
| Amylase test |
$48 |
$80 |
— |
$6 | |
| Anal fistula repair |
$744 |
$1,240 |
— |
$541 | |
| Ankle fracture repair |
$900 |
$1,500 |
— |
$608 | |
| Annual physical (established patient) |
$127 |
$212 |
— |
— | |
| Annual physical (new patient) |
$148 |
$246 |
— |
— | |
| Anoscopy |
$162 |
$270 |
— |
$129 | |
| Antinuclear antibody (ANA) test |
$42 |
$70 |
— |
$12 | |
| Aortic aneurysm repair (AAA) |
$2,251 |
$3,751 |
— |
$1,345 | |
| Aortic valve replacement |
$3,241 |
$5,401 |
— |
$1,603 | |
| Appendix removal (appendectomy) |
— |
— |
$18,518 |
$592 | |
| Arterial blood gas (ABG) |
$79 |
$132 |
— |
$26 | |
| AST liver enzyme test |
$17 |
$28 |
— |
$5 | |
| Barium swallow study |
$329 |
$548 |
— |
$107 | |
| Basic metabolic panel |
$83 |
$139 |
— |
$8 | |
| Benign skin lesion removal |
$226 |
$377 |
— |
$171 | |
| Bilirubin blood test |
$19 |
$32 |
— |
$5 | |
| Bladder scope (cystoscopy) |
$964 |
$1,607 |
— |
$216 | |
| Blood clotting test (PT/INR) |
$16 |
$27 |
— |
$4 | |
| Blood crossmatch |
$260 |
$433 |
— |
— | |
| Blood glucose test |
$17 |
$28 |
— |
$5 | |
| Blood transfusion |
$732 |
$1,220 |
— |
$47 | |
| Blood type and screen |
$62 |
$103 |
— |
$10 | |
| Blood type test |
$94 |
$156 |
— |
$3 | |
| Blood type test (ABO group) |
$148 |
$247 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$39 |
$65 |
— |
$3 | |
| BNP (heart failure) test |
$91 |
$152 |
— |
$39 | |
| Bone density scan (DEXA) |
$234 |
$390 |
— |
$39 | |
| Bone marrow biopsy |
$3,541 |
$5,902 |
— |
$172 | |
| Bone scan (nuclear) |
$906 |
$1,510 |
— |
$259 | |
| Botox for migraine |
$344 |
$574 |
— |
$157 | |
| Brain shunt (VP shunt) |
$1,536 |
$2,560 |
— |
$1,023 | |
| Breast biopsy |
$3,230 |
$5,384 |
— |
$478 | |
| Breast MRI |
$701 |
$1,169 |
— |
$216 | |
| Breast MRI without contrast |
$1,477 |
$2,462 |
— |
$216 | |
| Breast reconstruction |
$1,732 |
$2,886 |
— |
$1,227 | |
| Breast reduction |
$5,903 |
$9,839 |
— |
$980 | |
| Breast ultrasound |
$314 |
$523 |
— |
$92 | |
| Breast ultrasound (complete) |
$314 |
$523 |
— |
$100 | |
| Breast ultrasound (limited) |
$268 |
$446 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$292 |
$487 |
— |
$133 | |
| Bronchoscopy |
$707 |
$1,178 |
— |
$303 | |
| Bunion surgery (bunionectomy) |
$1,216 |
$2,027 |
— |
$883 | |
| Burn dressing and debridement (medium) |
$381 |
$635 |
— |
$166 | |
| Burn dressing and debridement (small) |
$308 |
$513 |
— |
$93 | |
| Burn treatment |
$358 |
$597 |
— |
$129 | |
| C-reactive protein (CRP) |
$35 |
$58 |
— |
$5 | |
| CA 19-9 tumor marker test |
$76 |
$127 |
— |
$21 | |
| CA-125 ovarian marker test |
$73 |
$121 |
— |
$21 | |
| Calcium blood test |
$22 |
$37 |
— |
$5 | |
| Cardiac ablation |
$34,791 |
$57,986 |
— |
$759 | |
| Cardiac catheterization |
$8,978 |
$14,964 |
— |
$1,049 | |
| Cardiac rehabilitation |
$186 |
$310 |
— |
$26 | |
| Cardiac stress test |
$774 |
$1,290 |
— |
$39 | |
| Cardioversion |
$1,036 |
$1,726 |
— |
$155 | |
| Carotid artery surgery |
$1,650 |
$2,750 |
— |
$1,026 | |
| Carotid artery ultrasound |
$581 |
$969 |
— |
$156 | |
| Carpal tunnel release |
$627 |
$1,045 |
— |
$483 | |
| CEA tumor marker test |
$62 |
$104 |
— |
$19 | |
| Celiac disease test |
$22 |
$36 |
— |
$12 | |
| Central line placement |
$2,783 |
$4,639 |
— |
$238 | |
| Cervical LEEP procedure |
$338 |
$564 |
— |
$325 | |
| Cesarean section (C-section) |
— |
— |
$10,750 |
$7,552 | |
| Chemotherapy infusion |
$411 |
$685 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$295 |
$491 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$527 |
$879 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,637 |
$2,729 |
— |
$311 | |
| Chest tube insertion |
$646 |
$1,077 |
— |
$143 | |
| Chest X-ray |
$250 |
$416 |
— |
$37 | |
| Chest X-ray (1 view) |
$235 |
$392 |
— |
$25 | |
| Chest X-ray (2 views) |
$246 |
$410 |
— |
$33 | |
| Chickenpox (varicella) vaccine |
$247 |
$412 |
— |
— | |
| Circumcision |
$2,872 |
$4,786 |
— |
$167 | |
| CK-MB heart enzyme test |
$48 |
$79 |
— |
$12 | |
| Clotting time test (PTT) |
$30 |
$50 |
— |
$6 | |
| Colon resection (colectomy) |
$1,961 |
$3,268 |
— |
$1,238 | |
| Colonoscopy |
$900 |
$1,500 |
— |
$480 | |
| Colostomy |
$2,105 |
$3,509 |
— |
$1,122 | |
| Complete blood count (CBC) |
$31 |
$52 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$36 |
$60 |
— |
$8 | |
| Complex wound repair |
$550 |
$916 |
— |
$390 | |
| Comprehensive metabolic panel |
$110 |
$183 |
— |
$11 | |
| Contraceptive implant (Nexplanon) |
$180 |
$300 |
— |
$115 | |
| Copper blood test |
$43 |
$71 |
— |
$12 | |
| Coronary angioplasty / stent (PCI) |
— |
— |
$26,183 |
$426 | |
| Coronary artery bypass (CABG) |
— |
— |
$44,608 |
$36,593 | |
| Coronary CT angiography |
$1,395 |
$2,325 |
— |
$326 | |
| Cortisol test |
$61 |
$101 |
— |
$16 | |
| COVID-19 PCR test |
$97 |
$162 |
— |
$51 | |
| CPAP titration study |
$503 |
$838 |
— |
$69 | |
| Craniotomy (brain surgery) |
$3,118 |
$5,196 |
— |
$2,161 | |
| Creatine kinase (CK) test |
$30 |
$50 |
— |
$7 | |
| CT angiography of the chest |
$1,314 |
$2,190 |
— |
$281 | |
| CT angiography of the head |
$1,395 |
$2,325 |
— |
$274 | |
| CT colonography (virtual colonoscopy) |
$311 |
$518 |
— |
$835 | |
| CT scan of the abdomen |
$1,044 |
$1,740 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$1,241 |
$2,068 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$1,560 |
$2,600 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$1,241 |
$2,068 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$908 |
$1,514 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,380 |
$2,300 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$1,044 |
$1,740 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$824 |
$1,373 |
— |
$136 | |
| CT scan of the arm |
$766 |
$1,277 |
— |
$199 | |
| CT scan of the arm with contrast |
$766 |
$1,277 |
— |
$199 | |
| CT scan of the arm without contrast |
$682 |
$1,136 |
— |
$161 | |
| CT scan of the chest |
$868 |
$1,446 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$1,156 |
$1,927 |
— |
$196 | |
| CT scan of the chest with contrast |
$960 |
$1,600 |
— |
$167 | |
| CT scan of the chest without contrast |
$775 |
$1,292 |
— |
$133 | |
| CT scan of the head |
$921 |
$1,535 |
— |
$148 | |
| CT scan of the head with and without contrast |
$1,152 |
$1,920 |
— |
$173 | |
| CT scan of the head with contrast |
$921 |
$1,535 |
— |
$148 | |
| CT scan of the head without contrast |
$830 |
$1,384 |
— |
$107 | |
| CT scan of the leg |
$1,141 |
$1,901 |
— |
$166 | |
| CT scan of the leg with contrast |
$898 |
$1,496 |
— |
$166 | |
| CT scan of the leg without contrast |
$638 |
$1,063 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,228 |
$2,047 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,375 |
$2,292 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,228 |
$2,047 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$948 |
$1,580 |
— |
$130 | |
| CT scan of the neck |
$1,065 |
$1,775 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$1,228 |
$2,047 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,368 |
$2,280 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,228 |
$2,047 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$866 |
$1,444 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$1,395 |
$2,325 |
— |
$220 | |
| CT scan of the neck with contrast |
$1,065 |
$1,775 |
— |
$183 | |
| CT scan of the neck without contrast |
$810 |
$1,350 |
— |
$150 | |
| CT scan of the pelvis |
$1,140 |
$1,900 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,228 |
$2,047 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$1,140 |
$1,900 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$837 |
$1,395 |
— |
$133 | |
| CT scan of the sinuses |
$1,001 |
$1,669 |
— |
$152 | |
| CT scan of the sinuses with contrast |
$1,222 |
$2,037 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$781 |
$1,301 |
— |
$128 | |
| D-dimer test |
$74 |
$124 |
— |
$10 | |
| Defibrillator (ICD) implant |
$25,850 |
$43,083 |
— |
$798 | |
| Developmental screening (child) |
$160 |
$266 |
— |
— | |
| DHEA-sulfate test |
$67 |
$112 |
— |
$22 | |
| Diagnostic mammogram |
$166 |
$276 |
— |
$140 | |
| Dialysis fistula creation |
$882 |
$1,471 |
— |
$601 | |
| Drug screen (urine) |
$75 |
$126 |
— |
$17 | |
| Ear pressure test (tympanometry) |
$52 |
$87 |
— |
$16 | |
| Echocardiogram |
$982 |
$1,637 |
— |
$138 | |
| Echocardiogram with and without contrast |
$740 |
$1,233 |
— |
$101 | |
| Echocardiogram without contrast |
$982 |
$1,637 |
— |
$138 | |
| EEG (awake and asleep) |
$645 |
$1,075 |
— |
$482 | |
| EKG / ECG (tracing only) |
$194 |
$324 |
— |
$7 | |
| Electrocardiogram (EKG) |
$194 |
$324 |
— |
$8 | |
| Electroencephalogram (EEG) |
$583 |
$971 |
— |
$448 | |
| Electrolyte panel |
$25 |
$41 |
— |
$7 | |
| Electromyography (EMG) |
$272 |
$453 |
— |
$141 | |
| Emergency department visit |
$395 |
$658 |
— |
$69 | |
| Emergency department visit (level 1) |
$281 |
$468 |
— |
$11 | |
| Emergency department visit (level 2) |
$297 |
$496 |
— |
$40 | |
| Emergency department visit (level 3) |
$699 |
$1,164 |
— |
$69 | |
| Emergency department visit (level 4) |
$861 |
$1,435 |
— |
$118 | |
| Emergency department visit (level 5) |
$2,362 |
$3,936 |
— |
$171 | |
| Epidural steroid injection |
$770 |
$1,284 |
— |
$275 | |
| ERCP (bile duct endoscopy) |
$900 |
$1,500 |
— |
$311 | |
| Esophageal dilation |
$1,342 |
$2,236 |
— |
$522 | |
| Estradiol (estrogen) test |
$51 |
$85 |
— |
$28 | |
| Facet joint injection (spine) |
$1,839 |
$3,066 |
— |
$99 | |
| Fallopian tube X-ray (HSG) |
$331 |
$552 |
— |
$164 | |
| Fecal occult blood (stool) test |
$33 |
$54 |
— |
$10 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$33 |
$54 |
— |
$16 | |
| Feeding tube (PEG) placement |
$900 |
$1,500 |
— |
$178 | |
| Femoral hernia repair |
$938 |
$1,563 |
— |
$584 | |
| Ferritin (iron) test |
$54 |
$90 |
— |
$14 | |
| Fibrinogen test |
$34 |
$56 |
— |
$10 | |
| Flexible sigmoidoscopy |
$1,217 |
$2,029 |
— |
$323 | |
| Flu test |
$37 |
$61 |
— |
$17 | |
| Folate (folic acid) test |
$41 |
$68 |
— |
$15 | |
| Foreign body removal (skin) |
$464 |
$774 |
— |
$157 | |
| Free T4 thyroid test |
$35 |
$59 |
— |
$9 | |
| FSH hormone test |
$43 |
$72 |
— |
$19 | |
| Gallbladder removal (laparoscopic) |
$1,443 |
$2,405 |
— |
$658 | |
| Gallbladder scan (HIDA) |
$815 |
$1,359 |
— |
$334 | |
| GGT liver test |
$28 |
$46 |
— |
$7 | |
| Glucose tolerance test |
$26 |
$43 |
— |
$8 | |
| H. pylori test |
$233 |
$389 |
— |
$67 | |
| Hammertoe repair |
$743 |
$1,239 |
— |
$548 | |
| HDL cholesterol test |
$19 |
$32 |
— |
$8 | |
| Hearing test (audiometry) |
$224 |
$374 |
— |
$36 | |
| Hematocrit test |
$11 |
$19 |
— |
$2 | |
| Hemodialysis |
$976 |
$1,627 |
— |
$75 | |
| Hemoglobin A1c (diabetes test) |
$44 |
$74 |
— |
$10 | |
| Hemorrhoid removal |
$433 |
$722 |
— |
$338 | |
| Hepatitis A vaccine |
$65 |
$109 |
— |
— | |
| Hepatitis B test |
$48 |
$80 |
— |
$10 | |
| Hepatitis B vaccine |
$120 |
$201 |
— |
— | |
| Hepatitis C test |
$55 |
$91 |
— |
$14 | |
| HIV test |
$73 |
$121 |
— |
$19 | |
| HIV test (antigen/antibody combo) |
$73 |
$121 |
— |
$24 | |
| Holter heart monitor |
$349 |
$582 |
— |
$26 | |
| Home sleep apnea test |
$555 |
$925 |
— |
$123 | |
| Hysterectomy |
$1,280 |
$2,134 |
— |
$933 | |
| Hysteroscopy |
$1,451 |
$2,418 |
— |
$1,270 | |
| Ileostomy |
$1,795 |
$2,992 |
— |
$968 | |
| Inguinal hernia repair |
$896 |
$1,494 |
— |
$538 | |
| Iron blood test |
$26 |
$44 |
— |
$6 | |
| IUD removal |
$131 |
$219 |
— |
$112 | |
| IV infusion therapy |
$159 |
$265 |
— |
$44 | |
| IV infusion therapy (each additional) |
$159 |
$265 |
— |
$21 | |
| IV infusion therapy (initial) |
$236 |
$393 |
— |
$67 | |
| IVC filter placement |
$2,770 |
$4,616 |
— |
$1,885 | |
| Joint aspiration (small/intermediate) |
$919 |
$1,532 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$997 |
$1,661 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$520 |
$867 |
— |
$56 | |
| Kidney biopsy |
$2,437 |
$4,062 |
— |
$492 | |
| Kidney scan (nuclear) |
$727 |
$1,211 |
— |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$5,189 |
$8,649 |
— |
$760 | |
| Kidney ultrasound |
$558 |
$930 |
— |
$84 | |
| Kidney ultrasound (limited) |
$485 |
$808 |
— |
$61 | |
| Knee joint injection |
$1,999 |
$3,331 |
— |
$69 | |
| Knee replacement |
— |
— |
$22,472 |
$18,054 | |
| Lactate test |
$43 |
$72 |
— |
$12 | |
| Laminectomy (spine) |
$1,821 |
$3,036 |
— |
$1,157 | |
| Laryngoscopy |
$287 |
$478 |
— |
$189 | |
| LDH test |
$23 |
$38 |
— |
$6 | |
| LDL cholesterol test |
$24 |
$41 |
— |
$11 | |
| Leg artery angiogram |
$4,594 |
$7,656 |
— |
$149 | |
| Leg artery angioplasty |
$7,640 |
$12,734 |
— |
— | |
| Leg vein ultrasound (Doppler) |
$719 |
$1,199 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$719 |
$1,199 |
— |
$116 | |
| LH hormone test |
$36 |
$61 |
— |
$19 | |
| Lipase test |
$44 |
$74 |
— |
$7 | |
| Lipid (cholesterol) panel |
$44 |
$74 |
— |
$13 | |
| Liver biopsy |
$2,593 |
$4,322 |
— |
$288 | |
| Liver function panel |
$32 |
$54 |
— |
$8 | |
| Lower back (lumbar) spinal fusion |
— |
— |
$52,742 |
$1,511 | |
| Lumbar discectomy |
$1,812 |
$3,020 |
— |
$898 | |
| Lumpectomy (breast) |
$1,124 |
$1,873 |
— |
$750 | |
| Lung function test (PFT) |
$536 |
$894 |
— |
$37 | |
| Lung scan (V/Q) |
$739 |
$1,232 |
— |
$291 | |
| Magnesium blood test |
$28 |
$47 |
— |
$7 | |
| Mastectomy |
$1,776 |
$2,961 |
— |
$1,021 | |
| MMR vaccine |
$235 |
$391 |
— |
— | |
| MRA of the brain |
$745 |
$1,242 |
— |
$226 | |
| MRA of the brain with contrast |
$760 |
$1,267 |
— |
$226 | |
| MRA of the brain without contrast |
$1,104 |
$1,840 |
— |
$328 | |
| MRA of the neck |
$624 |
$1,040 |
— |
$245 | |
| MRA of the neck with contrast |
$774 |
$1,290 |
— |
$245 | |
| MRA of the neck without contrast |
$1,123 |
$1,872 |
— |
$343 | |
| MRI of the abdomen |
$1,096 |
$1,827 |
— |
$300 | |
| MRI of the abdomen with contrast |
$1,096 |
$1,827 |
— |
$300 | |
| MRI of the abdomen without contrast |
$689 |
$1,148 |
— |
$194 | |
| MRI of the ankle |
$1,351 |
$2,252 |
— |
$261 | |
| MRI of the ankle with contrast |
$1,233 |
$2,055 |
— |
$261 | |
| MRI of the ankle without contrast |
$1,099 |
$1,832 |
— |
$222 | |
| MRI of the brain |
$677 |
$1,128 |
— |
$269 | |
| MRI of the brain with contrast |
$815 |
$1,358 |
— |
$269 | |
| MRI of the brain without contrast |
$589 |
$982 |
— |
$195 | |
| MRI of the chest |
$869 |
$1,448 |
— |
$371 | |
| MRI of the chest with contrast |
$1,089 |
$1,815 |
— |
$371 | |
| MRI of the chest without contrast |
$1,800 |
$3,000 |
— |
$466 | |
| MRI of the knee |
$1,146 |
$1,910 |
— |
$315 | |
| MRI of the knee with contrast |
$1,089 |
$1,815 |
— |
$315 | |
| MRI of the knee without contrast |
$872 |
$1,454 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,039 |
$1,731 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,120 |
$1,866 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$657 |
$1,095 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$676 |
$1,127 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$819 |
$1,365 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$822 |
$1,371 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$595 |
$992 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$748 |
$1,247 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$884 |
$1,473 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$733 |
$1,222 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$663 |
$1,105 |
— |
$191 | |
| MRI of the pelvis |
$945 |
$1,575 |
— |
$268 | |
| MRI of the pelvis with contrast |
$945 |
$1,575 |
— |
$268 | |
| MRI of the pelvis without contrast |
$931 |
$1,551 |
— |
$227 | |
| MRI of the shoulder |
$2,008 |
$3,346 |
— |
$313 | |
| MRI of the shoulder with contrast |
$1,767 |
$2,945 |
— |
$313 | |
| MRI of the shoulder without contrast |
$1,004 |
$1,673 |
— |
$205 | |
| MRI of the wrist |
$949 |
$1,582 |
— |
$330 | |
| MRI of the wrist with contrast |
$949 |
$1,582 |
— |
$330 | |
| MRI of the wrist without contrast |
$883 |
$1,472 |
— |
$303 | |
| Nebulizer breathing treatment |
$241 |
$402 |
— |
$9 | |
| Neck (cervical) spinal fusion |
$2,366 |
$3,944 |
— |
$1,410 | |
| Nerve conduction study |
$329 |
$548 |
— |
$118 | |
| Newborn hospital care |
$97 |
$162 |
— |
$58 | |
| Nuchal translucency ultrasound |
$300 |
$500 |
— |
$116 | |
| Nuclear cardiac stress test |
$2,052 |
$3,420 |
— |
$428 | |
| Occupational therapy evaluation |
$181 |
$302 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$190 |
$317 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$145 |
$242 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$181 |
$302 |
— |
$101 | |
| Office visit (established patient) |
$160 |
$266 |
— |
$115 | |
| Office visit (new patient) |
$212 |
$354 |
— |
$177 | |
| Office visit, established patient (level 4) |
$160 |
$266 |
— |
$136 | |
| Office visit, new patient (level 3) |
$141 |
$235 |
— |
$118 | |
| Office visit, new patient (level 4) |
$170 |
$283 |
— |
$177 | |
| Office visit, new patient (level 5) |
$255 |
$425 |
— |
$237 | |
| Orthopedic hardware removal |
$692 |
$1,153 |
— |
$632 | |
| Ovary removal (oophorectomy) |
$988 |
$1,647 |
— |
$822 | |
| Pacemaker insertion |
— |
— |
$23,037 |
$15,506 | |
| Pap smear (cervical screening) |
$63 |
$105 |
$22 |
$20 | |
| Parathyroid hormone (PTH) test |
$91 |
$151 |
— |
$41 | |
| Pelvic ultrasound |
$426 |
$711 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$615 |
$1,025 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$238 |
$396 |
— |
$51 | |
| PET scan |
$2,392 |
$3,987 |
— |
— | |
| Phosphorus blood test |
$21 |
$35 |
— |
$5 | |
| Physical therapy evaluation |
$170 |
$283 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$178 |
$297 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$170 |
$283 |
— |
$98 | |
| Pilonidal cyst removal |
$684 |
$1,140 |
— |
$541 | |
| Platelet count |
$24 |
$40 |
— |
$4 | |
| Pneumonia vaccine |
$280 |
$467 |
— |
— | |
| Pregnancy blood test (hCG) |
$40 |
$67 |
— |
$8 | |
| Pregnancy ultrasound |
$497 |
$829 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$390 |
$650 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$604 |
$1,007 |
— |
$136 | |
| Procalcitonin test |
$127 |
$211 |
— |
$27 | |
| Prolactin test |
$63 |
$105 |
— |
$19 | |
| Prostate biopsy |
$2,365 |
$3,942 |
— |
— | |
| Prostate test (PSA) |
$66 |
$109 |
— |
$18 | |
| Pulmonary rehabilitation |
$89 |
$148 |
— |
$87 | |
| Radiofrequency nerve ablation |
$2,852 |
$4,753 |
— |
$462 | |
| Retinal (fundus) photography |
$445 |
$741 |
— |
$37 | |
| Sacroiliac joint injection |
$1,508 |
$2,514 |
— |
$176 | |
| Scoliosis spine X-ray |
$180 |
$300 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$161 |
$268 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$199 |
$331 |
— |
$72 | |
| Screening colonoscopy |
$471 |
$786 |
$961 |
$378 | |
| Screening mammogram |
$148 |
$247 |
— |
$126 | |
| Scrotal ultrasound |
$611 |
$1,018 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$14 |
$24 |
— |
$3 | |
| Semen analysis |
$69 |
$116 |
— |
$12 | |
| Sex hormone binding globulin test |
$46 |
$76 |
— |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$235 |
$392 |
— |
$114 | |
| Simple wound stitches |
$158 |
$264 |
— |
$127 | |
| Skin biopsy |
$166 |
$277 |
— |
$121 | |
| Skin biopsy (punch) |
$385 |
$642 |
— |
$121 | |
| Skin cancer lesion removal |
$311 |
$519 |
— |
$240 | |
| Skin graft |
$3,921 |
$6,535 |
— |
$898 | |
| Skin lesion freezing (cryotherapy) |
$51 |
$85 |
— |
$36 | |
| Skin tag removal |
$126 |
$210 |
— |
$92 | |
| Sleep study (polysomnography) |
$2,055 |
$3,425 |
— |
$691 | |
| Small bowel resection |
$1,786 |
$2,976 |
— |
$1,136 | |
| Soft tissue ultrasound |
$375 |
$625 |
— |
$64 | |
| Speech therapy |
$154 |
$256 |
— |
$76 | |
| Spinal cord stimulator |
$3,078 |
$5,130 |
— |
$2,388 | |
| Spinal tap (lumbar puncture) |
$1,435 |
$2,392 |
— |
$165 | |
| Spine fracture repair (kyphoplasty) |
$10,200 |
$17,000 |
— |
$5,803 | |
| Spirometry (lung function test) |
$320 |
$533 |
— |
$30 | |
| Spirometry with bronchodilator |
$753 |
$1,255 |
— |
$43 | |
| Spleen removal (splenectomy) |
$1,520 |
$2,533 |
— |
$1,036 | |
| Stomach removal (gastrectomy) |
$2,144 |
$3,574 |
— |
$1,595 | |
| Strep throat test |
$34 |
$57 |
— |
$17 | |
| Stress echocardiogram |
$1,610 |
$2,684 |
— |
$209 | |
| Stress echocardiogram (complete) |
$815 |
$1,358 |
— |
$233 | |
| Swallow study |
$198 |
$330 |
— |
$85 | |
| T3 thyroid test |
$41 |
$69 |
— |
$14 | |
| Testosterone test |
$63 |
$105 |
— |
$26 | |
| Thyroid test (TSH) |
$39 |
$65 |
— |
$17 | |
| Thyroid ultrasound |
$601 |
$1,002 |
— |
$109 | |
| Thyroid uptake scan |
$765 |
$1,275 |
— |
$145 | |
| Tilt table test |
$745 |
$1,242 |
— |
$168 | |
| Total IgE allergy test |
$31 |
$52 |
— |
$16 | |
| Total protein test |
$15 |
$24 |
— |
$4 | |
| Tracheostomy |
$584 |
$974 |
— |
$273 | |
| Transesophageal echocardiogram (TEE) |
$1,899 |
$3,165 |
— |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,899 |
$3,165 |
— |
$239 | |
| Transvaginal ultrasound |
$646 |
$1,076 |
— |
$118 | |
| Trigger point injection |
$139 |
$232 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$323 |
$539 |
— |
$52 | |
| Triglycerides test |
$18 |
$30 |
— |
$6 | |
| Troponin (heart) test |
$70 |
$116 |
— |
$12 | |
| Turning a breech baby (version) |
$4,241 |
$7,069 |
— |
$94 | |
| Ulnar nerve surgery (elbow) |
$1,172 |
$1,953 |
— |
$575 | |
| Upper GI endoscopy (EGD) |
$900 |
$1,500 |
— |
$371 | |
| Upper GI series (barium) |
$341 |
$569 |
— |
$128 | |
| Uric acid (gout) test |
$22 |
$36 |
— |
$5 | |
| Urinalysis |
$17 |
$29 |
— |
$3 | |
| Urine microalbumin test |
$26 |
$43 |
— |
$5 | |
| Urine pregnancy test |
$39 |
$65 |
— |
$9 | |
| Vaccine administration |
$130 |
$217 |
— |
$19 | |
| Vaccine administration (each additional) |
$68 |
$114 |
— |
$16 | |
| Vaginal delivery |
— |
— |
$7,834 |
$5,487 | |
| Varicose vein ablation |
$1,513 |
$2,522 |
— |
$1,018 | |
| Visual field test |
$179 |
$298 |
— |
$64 | |
| Vitamin B12 test |
$46 |
$77 |
— |
$15 | |
| Vitamin D test |
$60 |
$100 |
— |
$30 | |
| Wart removal |
$168 |
$281 |
— |
$121 | |
| Weight-loss (bariatric) surgery |
— |
— |
$19,486 |
$11,645 | |
| Well-child visit |
$110 |
$184 |
— |
— | |
| Wound debridement |
$224 |
$373 |
— |
$186 | |
| X-ray of the abdomen |
$255 |
$425 |
— |
$36 | |
| X-ray of the ankle |
$203 |
$338 |
— |
$37 | |
| X-ray of the collarbone |
$166 |
$276 |
— |
$33 | |
| X-ray of the elbow |
$190 |
$317 |
— |
$33 | |
| X-ray of the facial bones |
$209 |
$348 |
— |
$39 | |
| X-ray of the foot |
$205 |
$341 |
— |
$34 | |
| X-ray of the forearm |
$191 |
$318 |
— |
$29 | |
| X-ray of the hand |
$227 |
$379 |
— |
$38 | |
| X-ray of the hip |
$161 |
$269 |
— |
$49 | |
| X-ray of the hip (1 view) |
$161 |
$269 |
— |
$34 | |
| X-ray of the hip (3 views) |
$199 |
$332 |
— |
$49 | |
| X-ray of the knee |
$161 |
$269 |
— |
$42 | |
| X-ray of the knee (2 views) |
$161 |
$269 |
— |
$34 | |
| X-ray of the knee (3 views) |
$240 |
$400 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$61 |
$102 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$345 |
$575 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$300 |
$500 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$390 |
$650 |
— |
$53 | |
| X-ray of the lower leg |
$217 |
$361 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$300 |
$500 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$300 |
$500 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$300 |
$500 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$345 |
$575 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$300 |
$500 |
— |
$40 | |
| X-ray of the pelvis |
$267 |
$445 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$234 |
$390 |
— |
$28 | |
| X-ray of the ribs |
$201 |
$335 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$161 |
$269 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$240 |
$400 |
— |
$42 | |
| X-ray of the shoulder |
$217 |
$361 |
— |
$36 | |
| X-ray of the skull |
$241 |
$402 |
— |
$40 | |
| X-ray of the upper arm |
$186 |
$310 |
— |
$32 | |
| X-ray of the wrist |
$192 |
$320 |
— |
$43 | |
| Zinc blood test |
$46 |
$76 |
— |
$11 | |