| 3D mammogram (tomosynthesis) |
$262 |
$349 |
$333 |
$51 | |
| Abdominal ultrasound |
$623 |
$830 |
$765 |
$100 | |
| Abdominal ultrasound (complete) |
$695 |
$927 |
$881 |
$114 | |
| Abdominal ultrasound (limited) |
$550 |
$733 |
$696 |
$86 | |
| Abscess drainage (complex or multiple) |
$407 |
$543 |
$489 |
$220 | |
| Abscess drainage (simple) |
$284 |
$378 |
$340 |
$129 | |
| Abscess incision and drainage |
$346 |
$461 |
$369 |
$174 | |
| Albumin blood test |
$41 |
$55 |
$52 |
$5 | |
| Aldosterone test |
$248 |
$330 |
$314 |
$41 | |
| Alkaline phosphatase test |
$38 |
$50 |
$48 |
$5 | |
| Allergy patch testing |
$8 |
$11 |
$10 |
$5 | |
| Allergy shots |
$15 |
$20 |
$19 |
$11 | |
| Allergy testing |
$6 |
$8 |
$8 |
$4 | |
| Alpha-fetoprotein (AFP) test |
$98 |
$131 |
$124 |
$17 | |
| ALT liver enzyme test |
$39 |
$52 |
$49 |
$5 | |
| Ammonia blood test |
$112 |
$149 |
$142 |
$15 | |
| Amylase test |
$78 |
$104 |
$99 |
$6 | |
| Annual physical (established patient) |
$161 |
$215 |
$193 |
— | |
| Annual physical (new patient) |
$187 |
$248 |
$215 |
— | |
| Antinuclear antibody (ANA) test |
$81 |
$108 |
$103 |
$12 | |
| Arterial blood gas (ABG) |
$188 |
$250 |
$238 |
$26 | |
| AST liver enzyme test |
$55 |
$73 |
$69 |
$5 | |
| Barium swallow study |
$522 |
$696 |
$661 |
$107 | |
| Bartholin cyst removal |
$353 |
$470 |
$447 |
$182 | |
| Basic metabolic panel |
$119 |
$159 |
$151 |
$8 | |
| Benign skin lesion removal |
$326 |
$435 |
$392 |
$171 | |
| Bilirubin blood test |
$50 |
$66 |
$63 |
$5 | |
| Blood clotting test (PT/INR) |
$48 |
$64 |
$61 |
$4 | |
| Blood crossmatch |
$158 |
$210 |
$200 |
— | |
| Blood glucose test |
$44 |
$59 |
$56 |
$5 | |
| Blood transfusion |
$833 |
$1,110 |
$1,055 |
$47 | |
| Blood type and screen |
$83 |
$110 |
$105 |
$10 | |
| Blood type test |
$54 |
$72 |
$67 |
$3 | |
| Blood type test (ABO group) |
$55 |
$73 |
$69 |
$3 | |
| Blood type test (Rh/D antigen) |
$53 |
$71 |
$67 |
$3 | |
| BNP (heart failure) test |
$223 |
$297 |
$282 |
$39 | |
| Bone density scan (DEXA) |
$365 |
$486 |
$462 |
$39 | |
| Bone scan (nuclear) |
$1,525 |
$2,033 |
$1,931 |
$259 | |
| Breast ultrasound |
$367 |
$490 |
$517 |
$92 | |
| Breast ultrasound (complete) |
$419 |
$559 |
$531 |
$100 | |
| Breast ultrasound (limited) |
$315 |
$420 |
$399 |
$84 | |
| Breathing tube insertion (intubation) |
$351 |
$468 |
$445 |
$133 | |
| Burn dressing and debridement (small) |
$162 |
$216 |
$205 |
$93 | |
| Burn treatment |
$162 |
$216 |
$205 |
$129 | |
| C-reactive protein (CRP) |
$86 |
$115 |
$109 |
$5 | |
| CA 19-9 tumor marker test |
$136 |
$181 |
$172 |
$21 | |
| CA-125 ovarian marker test |
$116 |
$154 |
$146 |
$21 | |
| Calcium blood test |
$43 |
$57 |
$54 |
$5 | |
| Cardiac rehabilitation |
$188 |
$250 |
$238 |
$26 | |
| Cardiac stress test |
$877 |
$1,169 |
$1,111 |
$39 | |
| Cardioversion |
$1,332 |
$1,776 |
$1,687 |
$155 | |
| Carotid artery ultrasound |
$935 |
$1,246 |
$1,161 |
$156 | |
| Cataract surgery |
$1,233 |
$1,643 |
$1,038 |
$547 | |
| CEA tumor marker test |
$125 |
$166 |
$158 |
$19 | |
| Celiac disease test |
$97 |
$129 |
$123 |
$12 | |
| Central line placement |
$563 |
$750 |
$675 |
$238 | |
| Chemotherapy infusion |
$304 |
$405 |
$373 |
$81 | |
| Chemotherapy infusion (each additional) |
$248 |
$330 |
$314 |
$28 | |
| Chemotherapy infusion (first hour) |
$360 |
$480 |
$456 |
$133 | |
| Chest tube insertion |
$380 |
$506 |
$481 |
$143 | |
| Chest X-ray |
$230 |
$306 |
$292 |
$37 | |
| Chest X-ray (1 view) |
$215 |
$287 |
$273 |
$25 | |
| Chest X-ray (2 views) |
$236 |
$314 |
$298 |
$33 | |
| Chickenpox (varicella) vaccine |
$110 |
$147 |
$120 |
— | |
| Clotting time test (PTT) |
$85 |
$113 |
$107 |
$6 | |
| Colonoscopy |
$1,317 |
$1,756 |
$1,116 |
$480 | |
| Complete blood count (CBC) |
$74 |
$98 |
$91 |
$7 | |
| Complete blood count (CBC) (complete) |
$82 |
$109 |
$104 |
$8 | |
| Comprehensive metabolic panel |
$131 |
$175 |
$166 |
$11 | |
| Contraceptive implant (Nexplanon) |
$208 |
$277 |
$263 |
$115 | |
| Copper blood test |
$111 |
$148 |
$141 |
$12 | |
| Cortisol test |
$118 |
$157 |
$149 |
$16 | |
| COVID-19 PCR test |
$163 |
$217 |
$206 |
$51 | |
| Creatine kinase (CK) test |
$78 |
$104 |
$99 |
$7 | |
| CT angiography of the chest |
$2,604 |
$3,472 |
$3,298 |
$281 | |
| CT angiography of the head |
$2,497 |
$3,329 |
$3,163 |
$274 | |
| CT scan of the abdomen |
$2,036 |
$2,715 |
$2,715 |
$230 | |
| CT scan of the abdomen and pelvis |
$3,517 |
$4,689 |
$4,689 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$4,103 |
$5,471 |
$5,197 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$3,517 |
$4,689 |
$4,455 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,930 |
$3,907 |
$3,712 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,375 |
$3,167 |
$3,009 |
$259 | |
| CT scan of the abdomen with contrast |
$2,036 |
$2,715 |
$2,579 |
$230 | |
| CT scan of the abdomen without contrast |
$1,856 |
$2,474 |
$2,350 |
$136 | |
| CT scan of the arm |
$1,637 |
$2,183 |
$2,074 |
$199 | |
| CT scan of the arm without contrast |
$1,637 |
$2,183 |
$2,074 |
$161 | |
| CT scan of the chest |
$2,126 |
$2,834 |
$2,692 |
$167 | |
| CT scan of the chest with and without contrast |
$2,280 |
$3,040 |
$2,888 |
$196 | |
| CT scan of the chest with contrast |
$2,126 |
$2,834 |
$2,692 |
$167 | |
| CT scan of the chest without contrast |
$1,965 |
$2,620 |
$2,489 |
$133 | |
| CT scan of the head |
$1,880 |
$2,507 |
$2,434 |
$148 | |
| CT scan of the head with and without contrast |
$2,028 |
$2,704 |
$2,569 |
$173 | |
| CT scan of the head with contrast |
$1,880 |
$2,507 |
$2,382 |
$148 | |
| CT scan of the head without contrast |
$1,720 |
$2,293 |
$2,178 |
$107 | |
| CT scan of the leg |
$1,851 |
$2,468 |
$2,457 |
$166 | |
| CT scan of the leg with contrast |
$1,851 |
$2,468 |
$2,345 |
$166 | |
| CT scan of the leg without contrast |
$1,628 |
$2,171 |
$2,062 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,004 |
$2,672 |
$2,551 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,126 |
$2,834 |
$2,692 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,004 |
$2,672 |
$2,538 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,880 |
$2,507 |
$2,382 |
$130 | |
| CT scan of the neck |
$1,880 |
$2,507 |
$2,382 |
$183 | |
| CT scan of the neck (cervical spine) |
$2,004 |
$2,672 |
$2,551 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,126 |
$2,834 |
$2,692 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$2,004 |
$2,672 |
$2,538 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,880 |
$2,507 |
$2,382 |
$131 | |
| CT scan of the neck with and without contrast |
$2,004 |
$2,672 |
$2,538 |
$220 | |
| CT scan of the neck with contrast |
$1,880 |
$2,507 |
$2,382 |
$183 | |
| CT scan of the neck without contrast |
$1,759 |
$2,345 |
$2,228 |
$150 | |
| CT scan of the pelvis |
$2,037 |
$2,716 |
$2,580 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,126 |
$2,834 |
$2,692 |
$251 | |
| CT scan of the pelvis with contrast |
$2,037 |
$2,716 |
$2,580 |
$226 | |
| CT scan of the pelvis without contrast |
$1,870 |
$2,493 |
$2,368 |
$133 | |
| CT scan of the sinuses |
$1,711 |
$2,281 |
$2,167 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,759 |
$2,345 |
$2,228 |
$184 | |
| CT scan of the sinuses with contrast |
$1,711 |
$2,281 |
$2,167 |
$152 | |
| CT scan of the sinuses without contrast |
$1,516 |
$2,021 |
$1,920 |
$128 | |
| D-dimer test |
$139 |
$185 |
$176 |
$10 | |
| Developmental screening (child) |
$19 |
$25 |
$24 |
— | |
| DHEA-sulfate test |
$131 |
$174 |
$165 |
$22 | |
| Diagnostic mammogram |
$290 |
$387 |
$372 |
$140 | |
| Drug screen (urine) |
$200 |
$267 |
$251 |
$17 | |
| Ear pressure test (tympanometry) |
$25 |
$33 |
$30 |
$16 | |
| Echocardiogram |
$1,212 |
$1,616 |
$1,454 |
$138 | |
| Echocardiogram with and without contrast |
$705 |
$940 |
$893 |
$101 | |
| Echocardiogram without contrast |
$1,212 |
$1,616 |
$1,535 |
$138 | |
| EKG / ECG (tracing only) |
$135 |
$180 |
$23 |
$7 | |
| Electrocardiogram (EKG) |
$48 |
$64 |
$38 |
$8 | |
| Electrolyte panel |
$122 |
$162 |
$154 |
$7 | |
| Emergency department visit |
$443 |
$590 |
$531 |
$69 | |
| Emergency department visit (level 1) |
$158 |
$210 |
$200 |
$11 | |
| Emergency department visit (level 2) |
$270 |
$360 |
$342 |
$40 | |
| Emergency department visit (level 3) |
$443 |
$590 |
$561 |
$69 | |
| Emergency department visit (level 4) |
$668 |
$890 |
$846 |
$118 | |
| Emergency department visit (level 5) |
$1,073 |
$1,430 |
$1,359 |
$171 | |
| Epidural steroid injection |
$1,069 |
$1,425 |
$749 |
$275 | |
| Estradiol (estrogen) test |
$98 |
$131 |
$124 |
$28 | |
| Facet joint injection (spine) |
$713 |
$950 |
$903 |
$99 | |
| Fecal occult blood (stool) test |
$30 |
$40 |
$38 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$30 |
$40 |
$38 |
$4 | |
| Ferritin (iron) test |
$102 |
$136 |
$129 |
$14 | |
| Fibrinogen test |
$83 |
$110 |
$105 |
$10 | |
| Flu test |
$93 |
$124 |
$112 |
$17 | |
| Flu vaccine |
$29 |
$38 |
$36 |
— | |
| Folate (folic acid) test |
$114 |
$152 |
$144 |
$15 | |
| Foreign body removal (skin) |
$215 |
$286 |
$272 |
$157 | |
| Free T4 thyroid test |
$75 |
$100 |
$95 |
$9 | |
| FSH hormone test |
$97 |
$129 |
$123 |
$19 | |
| Gallbladder removal (laparoscopic) |
$1,253 |
$1,670 |
$1,608 |
$658 | |
| Gallbladder scan (HIDA) |
$1,466 |
$1,954 |
$1,856 |
$334 | |
| GGT liver test |
$56 |
$75 |
$71 |
$7 | |
| Glucose tolerance test |
$100 |
$133 |
$137 |
$8 | |
| H. pylori test |
$206 |
$275 |
$261 |
$67 | |
| Hematocrit test |
$35 |
$46 |
$44 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$21 |
$28 |
$27 |
$10 | |
| Hepatitis A vaccine |
$102 |
$136 |
$129 |
— | |
| Hepatitis B test |
$91 |
$121 |
$115 |
$10 | |
| Hepatitis C test |
$102 |
$136 |
$129 |
$14 | |
| HIV test |
$107 |
$143 |
$136 |
$19 | |
| HIV test (antigen/antibody combo) |
$107 |
$143 |
$136 |
$24 | |
| Holter heart monitor |
$447 |
$596 |
$640 |
$26 | |
| Inguinal hernia repair |
$956 |
$1,274 |
$1,210 |
$538 | |
| Iron blood test |
$48 |
$64 |
$61 |
$6 | |
| IUD insertion |
$210 |
$280 |
$266 |
— | |
| IUD removal |
$208 |
$277 |
$249 |
$112 | |
| IV infusion therapy |
$225 |
$300 |
$211 |
$44 | |
| IV infusion therapy (each additional) |
$135 |
$180 |
$171 |
$21 | |
| IV infusion therapy (initial) |
$315 |
$420 |
$399 |
$67 | |
| Joint aspiration (small/intermediate) |
$104 |
$138 |
$124 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$104 |
$139 |
$125 |
$57 | |
| Joint aspiration or injection (small joint) |
$103 |
$137 |
$123 |
$56 | |
| Kidney scan (nuclear) |
$1,351 |
$1,801 |
$1,711 |
$172 | |
| Kidney ultrasound |
$560 |
$746 |
$705 |
$84 | |
| Kidney ultrasound (limited) |
$506 |
$675 |
$641 |
$61 | |
| Knee arthroscopy |
$3,984 |
$5,312 |
$5,046 |
$524 | |
| Knee joint injection |
$122 |
$163 |
$147 |
$69 | |
| Lactate test |
$104 |
$139 |
$132 |
$12 | |
| Laryngoscopy |
$244 |
$325 |
$293 |
$189 | |
| LDH test |
$57 |
$76 |
$72 |
$6 | |
| Leg vein ultrasound (Doppler) |
$812 |
$1,082 |
$1,050 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$788 |
$1,050 |
$998 |
$116 | |
| LH hormone test |
$91 |
$121 |
$115 |
$19 | |
| Lipase test |
$91 |
$121 |
$115 |
$7 | |
| Lipid (cholesterol) panel |
$98 |
$130 |
$124 |
$13 | |
| Liver function panel |
$113 |
$150 |
$143 |
$8 | |
| Magnesium blood test |
$68 |
$90 |
$86 |
$7 | |
| MMR vaccine |
$67 |
$89 |
$66 |
— | |
| MRA of the brain |
$2,886 |
$3,847 |
$3,722 |
$226 | |
| MRA of the brain with contrast |
$2,939 |
$3,918 |
$3,722 |
$226 | |
| MRA of the neck |
$2,972 |
$3,962 |
$3,764 |
$245 | |
| MRA of the neck with contrast |
$2,972 |
$3,962 |
$3,764 |
$245 | |
| MRA of the neck without contrast |
$3,111 |
$4,148 |
$3,941 |
$343 | |
| MRI of the abdomen |
$3,086 |
$4,114 |
$3,908 |
$300 | |
| MRI of the abdomen with contrast |
$3,086 |
$4,114 |
$3,908 |
$300 | |
| MRI of the abdomen without contrast |
$2,776 |
$3,701 |
$3,516 |
$194 | |
| MRI of the ankle |
$2,443 |
$3,257 |
$3,224 |
$261 | |
| MRI of the ankle with contrast |
$2,564 |
$3,418 |
$3,437 |
$261 | |
| MRI of the ankle without contrast |
$2,190 |
$2,920 |
$2,774 |
$222 | |
| MRI of the brain |
$3,086 |
$4,114 |
$3,908 |
$269 | |
| MRI of the brain with contrast |
$3,086 |
$4,114 |
$3,908 |
$269 | |
| MRI of the brain without contrast |
$2,938 |
$3,917 |
$3,721 |
$195 | |
| MRI of the chest |
$2,639 |
$3,518 |
$3,344 |
$371 | |
| MRI of the chest with contrast |
$2,639 |
$3,518 |
$3,342 |
$371 | |
| MRI of the chest without contrast |
$2,787 |
$3,716 |
$3,530 |
$466 | |
| MRI of the knee |
$2,489 |
$3,318 |
$3,152 |
$315 | |
| MRI of the knee with contrast |
$2,787 |
$3,716 |
$3,530 |
$315 | |
| MRI of the knee without contrast |
$2,091 |
$2,788 |
$2,649 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,787 |
$3,716 |
$3,530 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,644 |
$3,525 |
$3,349 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,787 |
$3,716 |
$3,530 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,938 |
$3,917 |
$3,721 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$3,086 |
$4,114 |
$3,908 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,938 |
$3,917 |
$3,721 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,787 |
$3,716 |
$3,530 |
$190 | |
| MRI of the neck (cervical spine) |
$2,938 |
$3,917 |
$3,721 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$3,086 |
$4,114 |
$3,908 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,938 |
$3,917 |
$3,721 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,787 |
$3,716 |
$3,530 |
$191 | |
| MRI of the pelvis |
$2,787 |
$3,716 |
$3,530 |
$268 | |
| MRI of the pelvis with contrast |
$2,787 |
$3,716 |
$3,530 |
$268 | |
| MRI of the pelvis without contrast |
$2,588 |
$3,451 |
$3,278 |
$227 | |
| MRI of the shoulder |
$2,312 |
$3,083 |
$3,344 |
$313 | |
| MRI of the shoulder with contrast |
$2,312 |
$3,083 |
$2,929 |
$313 | |
| MRI of the shoulder without contrast |
$2,123 |
$2,830 |
$2,689 |
$205 | |
| MRI of the wrist |
$2,340 |
$3,120 |
$2,986 |
$330 | |
| MRI of the wrist with contrast |
$2,340 |
$3,120 |
$2,964 |
$330 | |
| MRI of the wrist without contrast |
$2,091 |
$2,788 |
$2,649 |
$303 | |
| Nebulizer breathing treatment |
$563 |
$750 |
$501 |
$9 | |
| Nuclear cardiac stress test |
$3,446 |
$4,595 |
$4,365 |
$428 | |
| Occupational therapy evaluation |
$170 |
$226 |
$226 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$220 |
$293 |
$278 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$159 |
$212 |
$201 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$170 |
$226 |
$215 |
$101 | |
| Office visit (established patient) |
$164 |
$218 |
$188 |
$115 | |
| Office visit (new patient) |
$248 |
$330 |
$297 |
$177 | |
| Office visit, established patient (level 3) |
$135 |
$180 |
$171 |
$95 | |
| Office visit, established patient (level 4) |
$192 |
$256 |
$230 |
$136 | |
| Office visit, new patient (level 3) |
$166 |
$221 |
$210 |
$118 | |
| Office visit, new patient (level 4) |
$248 |
$330 |
$297 |
$177 | |
| Office visit, new patient (level 5) |
$327 |
$436 |
$392 |
$237 | |
| Orthopedic hardware removal |
$1,655 |
$2,207 |
$2,097 |
$632 | |
| Pap smear (cervical screening) |
$100 |
$133 |
$126 |
$20 | |
| Parathyroid hormone (PTH) test |
$233 |
$310 |
$295 |
$41 | |
| Pelvic ultrasound |
$472 |
$629 |
$454 |
$78 | |
| Pelvic ultrasound (complete) |
$647 |
$862 |
$819 |
$105 | |
| Pelvic ultrasound (limited) |
$297 |
$396 |
$376 |
$51 | |
| Phosphorus blood test |
$45 |
$60 |
$57 |
$5 | |
| Physical therapy evaluation |
$154 |
$205 |
$214 |
$98 | |
| Physical therapy evaluation (high complexity) |
$206 |
$275 |
$261 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$169 |
$225 |
$214 |
$98 | |
| Platelet count |
$51 |
$68 |
$65 |
$4 | |
| Pneumonia vaccine |
$194 |
$258 |
$245 |
— | |
| Pregnancy blood test (hCG) |
$106 |
$141 |
$134 |
$8 | |
| Pregnancy ultrasound |
$600 |
$800 |
$738 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$545 |
$727 |
$691 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$654 |
$872 |
$828 |
$136 | |
| Procalcitonin test |
$172 |
$229 |
$221 |
$27 | |
| Prolactin test |
$126 |
$168 |
$160 |
$19 | |
| Prostate test (PSA) |
$97 |
$129 |
$123 |
$18 | |
| Sacroiliac joint injection |
$863 |
$1,150 |
$1,093 |
$176 | |
| Scoliosis spine X-ray |
$345 |
$460 |
$398 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$255 |
$340 |
$323 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$435 |
$580 |
$551 |
$72 | |
| Screening mammogram |
$285 |
$380 |
$361 |
$126 | |
| Scrotal ultrasound |
$563 |
$750 |
$713 |
$99 | |
| Sedimentation rate (ESR) test |
$40 |
$53 |
$50 |
$3 | |
| Semen analysis |
$57 |
$76 |
$72 |
$12 | |
| Sex hormone binding globulin test |
$114 |
$152 |
$144 |
$22 | |
| Shingles vaccine |
$211 |
$281 |
$267 |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
$177 |
$236 |
$212 |
$114 | |
| Simple wound stitches |
$196 |
$261 |
$218 |
$127 | |
| Skin biopsy |
$237 |
$316 |
$284 |
$121 | |
| Skin biopsy (punch) |
$237 |
$316 |
$284 |
$121 | |
| Skin cancer lesion removal |
$498 |
$664 |
$628 |
$240 | |
| Skin lesion freezing (cryotherapy) |
$72 |
$95 |
$64 |
$36 | |
| Skin tag removal |
$176 |
$235 |
$212 |
$92 | |
| Sleep study (polysomnography) |
$3,338 |
$4,450 |
$4,113 |
$691 | |
| Soft tissue ultrasound |
$435 |
$580 |
$551 |
$64 | |
| Speech therapy |
$240 |
$320 |
$304 |
$76 | |
| Spinal tap (lumbar puncture) |
$600 |
$800 |
$760 |
$165 | |
| Strep throat test |
$53 |
$70 |
$53 |
$17 | |
| Stress echocardiogram |
$1,350 |
$1,800 |
$1,710 |
$209 | |
| Swallow study |
$263 |
$350 |
$333 |
$85 | |
| T3 thyroid test |
$95 |
$127 |
$121 |
$14 | |
| Tdap (tetanus) vaccine |
$56 |
$74 |
$67 |
— | |
| Testosterone test |
$108 |
$144 |
$137 |
$26 | |
| Thyroid test (TSH) |
$95 |
$127 |
$121 |
$17 | |
| Thyroid ultrasound |
$482 |
$642 |
$610 |
$109 | |
| Tilt table test |
$1,388 |
$1,850 |
$1,758 |
$168 | |
| Tonsillectomy |
$2,555 |
$3,406 |
$846 |
$252 | |
| Total protein test |
$53 |
$71 |
$67 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$2,063 |
$2,750 |
$2,613 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$2,063 |
$2,750 |
$2,613 |
$239 | |
| Transvaginal ultrasound |
$573 |
$764 |
$726 |
$118 | |
| Trigger point injection |
$182 |
$242 |
$86 |
$56 | |
| Trigger point injection (1-2 muscles) |
$100 |
$133 |
$81 |
$52 | |
| Triglycerides test |
$47 |
$63 |
$60 |
$6 | |
| Troponin (heart) test |
$176 |
$234 |
$222 |
$12 | |
| Upper GI endoscopy (EGD) |
$1,452 |
$1,936 |
$1,085 |
$371 | |
| Uric acid (gout) test |
$47 |
$63 |
$60 |
$5 | |
| Urinalysis |
$23 |
$30 |
$9 |
$3 | |
| Urine microalbumin test |
$65 |
$86 |
$82 |
$5 | |
| Urine pregnancy test |
$46 |
$62 |
$28 |
$9 | |
| Vaccine administration |
$30 |
$40 |
$36 |
$19 | |
| Vaccine administration (each additional) |
$22 |
$29 |
$28 |
$16 | |
| Vitamin B12 test |
$116 |
$154 |
$146 |
$15 | |
| Vitamin D test |
$140 |
$186 |
$177 |
$30 | |
| Wart removal |
$236 |
$314 |
$268 |
$121 | |
| Well-child visit |
$140 |
$186 |
$167 |
— | |
| Wound debridement |
$438 |
$584 |
$555 |
$186 | |
| X-ray of the abdomen |
$318 |
$424 |
$403 |
$36 | |
| X-ray of the ankle |
$261 |
$348 |
$331 |
$37 | |
| X-ray of the collarbone |
$230 |
$307 |
$292 |
$33 | |
| X-ray of the elbow |
$270 |
$360 |
$342 |
$33 | |
| X-ray of the facial bones |
$301 |
$401 |
$433 |
$39 | |
| X-ray of the foot |
$277 |
$369 |
$351 |
$34 | |
| X-ray of the forearm |
$236 |
$314 |
$298 |
$29 | |
| X-ray of the hand |
$269 |
$358 |
$340 |
$38 | |
| X-ray of the hip |
$274 |
$365 |
$347 |
$49 | |
| X-ray of the hip (1 view) |
$174 |
$232 |
$220 |
$34 | |
| X-ray of the hip (3 views) |
$274 |
$365 |
$347 |
$49 | |
| X-ray of the hip (4 views) |
$304 |
$405 |
$385 |
$63 | |
| X-ray of the knee |
$301 |
$401 |
$381 |
$42 | |
| X-ray of the knee (2 views) |
$258 |
$344 |
$327 |
$34 | |
| X-ray of the knee (3 views) |
$301 |
$401 |
$381 |
$42 | |
| X-ray of the knee (4+ views) |
$314 |
$419 |
$398 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$384 |
$511 |
$472 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$372 |
$496 |
$471 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$395 |
$526 |
$500 |
$53 | |
| X-ray of the lower leg |
$248 |
$330 |
$314 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$344 |
$459 |
$488 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$293 |
$391 |
$371 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$395 |
$527 |
$501 |
$39 | |
| X-ray of the neck (cervical spine) |
$348 |
$463 |
$427 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$287 |
$382 |
$363 |
$40 | |
| X-ray of the pelvis |
$266 |
$355 |
$366 |
$36 | |
| X-ray of the pelvis (1 view) |
$236 |
$314 |
$298 |
$28 | |
| X-ray of the ribs |
$337 |
$449 |
$427 |
$42 | |
| X-ray of the ribs (2 views) |
$247 |
$329 |
$313 |
$36 | |
| X-ray of the ribs (3 views) |
$337 |
$449 |
$427 |
$42 | |
| X-ray of the shoulder |
$293 |
$390 |
$371 |
$36 | |
| X-ray of the skull |
$302 |
$403 |
$430 |
$40 | |
| X-ray of the upper arm |
$259 |
$345 |
$328 |
$32 | |
| X-ray of the wrist |
$266 |
$354 |
$336 |
$43 | |