| 3D mammogram (tomosynthesis) |
$70 |
$88 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$2,123 |
$2,654 |
— |
$284 | |
| Abdominal ultrasound |
$971 |
$1,214 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$1,086 |
$1,357 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$857 |
$1,071 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$1,110 |
$1,387 |
— |
$220 | |
| Abscess drainage (simple) |
$554 |
$692 |
— |
$129 | |
| Abscess incision and drainage |
$832 |
$1,040 |
— |
$174 | |
| Achilles tendon repair |
$6,038 |
$7,548 |
— |
$624 | |
| Adenoid removal (adenoidectomy) |
$1,579 |
$1,974 |
— |
$204 | |
| Albumin blood test |
$79 |
$99 |
— |
$5 | |
| Aldosterone test |
$230 |
$287 |
— |
$41 | |
| Alkaline phosphatase test |
$82 |
$103 |
— |
$5 | |
| Allergy shots |
$33 |
$41 |
— |
$11 | |
| Alpha-fetoprotein (AFP) test |
$69 |
$86 |
— |
$17 | |
| ALT liver enzyme test |
$83 |
$104 |
— |
$5 | |
| Ammonia blood test |
$231 |
$289 |
— |
$15 | |
| Amylase test |
$104 |
$130 |
— |
$6 | |
| Anal fistula repair |
$2,188 |
$2,735 |
— |
$541 | |
| Ankle fracture repair |
$4,749 |
$5,937 |
— |
$608 | |
| Anoscopy |
$136 |
$170 |
— |
$129 | |
| Antinuclear antibody (ANA) test |
$68 |
$85 |
— |
$12 | |
| Arterial blood gas (ABG) |
$232 |
$290 |
— |
$26 | |
| AST liver enzyme test |
$82 |
$103 |
— |
$5 | |
| Barium swallow study |
$1,659 |
$2,074 |
— |
$107 | |
| Bartholin cyst removal |
$286 |
$358 |
— |
$182 | |
| Basic metabolic panel |
$134 |
$167 |
— |
$8 | |
| Benign skin lesion removal |
$806 |
$1,008 |
— |
$171 | |
| Bilirubin blood test |
$35 |
$44 |
— |
$5 | |
| Bladder function test (urodynamics) |
$1,152 |
$1,440 |
— |
$345 | |
| Bladder scope (cystoscopy) |
$844 |
$1,055 |
— |
$216 | |
| Bladder tumor removal (TURBT) |
$1,718 |
$2,148 |
— |
$236 | |
| Blood clotting test (PT/INR) |
$62 |
$77 |
— |
$4 | |
| Blood crossmatch |
$274 |
$343 |
— |
— | |
| Blood glucose test |
$33 |
$42 |
— |
$5 | |
| Blood transfusion |
$372 |
$465 |
— |
$47 | |
| Blood type and screen |
$83 |
$104 |
— |
$10 | |
| Blood type test |
$102 |
$127 |
— |
$3 | |
| Blood type test (ABO group) |
$102 |
$127 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$102 |
$127 |
— |
$3 | |
| BNP (heart failure) test |
$541 |
$676 |
— |
$39 | |
| Bone density scan (DEXA) |
$566 |
$708 |
— |
$39 | |
| Bone marrow biopsy |
$564 |
$705 |
— |
$172 | |
| Bone scan (nuclear) |
$2,118 |
$2,648 |
— |
$259 | |
| Breast biopsy |
$1,880 |
$2,350 |
— |
$478 | |
| Breast reduction |
$12,628 |
$15,785 |
— |
$980 | |
| Breast ultrasound |
$582 |
$728 |
— |
$92 | |
| Breast ultrasound (complete) |
$776 |
$970 |
— |
$100 | |
| Breast ultrasound (limited) |
$388 |
$485 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$316 |
$395 |
— |
$133 | |
| Bunion surgery (bunionectomy) |
$5,066 |
$6,333 |
— |
$883 | |
| Burn dressing and debridement (medium) |
$345 |
$431 |
— |
$166 | |
| Burn dressing and debridement (small) |
$170 |
$212 |
— |
$93 | |
| Burn treatment |
$257 |
$322 |
— |
$129 | |
| C-reactive protein (CRP) |
$43 |
$54 |
— |
$5 | |
| CA 19-9 tumor marker test |
$68 |
$85 |
— |
$21 | |
| CA-125 ovarian marker test |
$62 |
$78 |
— |
$21 | |
| Calcium blood test |
$75 |
$94 |
— |
$5 | |
| Cardiac rehabilitation |
$473 |
$591 |
— |
$26 | |
| Cardiac stress test |
$809 |
$1,011 |
— |
$39 | |
| Cardioversion |
$413 |
$517 |
— |
$155 | |
| Carotid artery ultrasound |
$1,831 |
$2,289 |
— |
$156 | |
| Carpal tunnel release |
$3,050 |
$3,813 |
— |
$483 | |
| Cataract surgery |
$4,487 |
$5,609 |
— |
$547 | |
| CEA tumor marker test |
$67 |
$84 |
— |
$19 | |
| Celiac disease test |
$89 |
$111 |
— |
$12 | |
| Central line placement |
$420 |
$525 |
— |
$238 | |
| Cervical cerclage |
$1,144 |
$1,430 |
— |
$137 | |
| Cervical LEEP procedure |
$3,455 |
$4,319 |
— |
$325 | |
| Chemotherapy infusion |
$312 |
$391 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$110 |
$138 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$514 |
$643 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$346 |
$433 |
— |
$311 | |
| Chest tube insertion |
$686 |
$857 |
— |
$143 | |
| Chest X-ray |
$296 |
$370 |
— |
$37 | |
| Chest X-ray (1 view) |
$192 |
$240 |
— |
$25 | |
| Chest X-ray (2 views) |
$261 |
$326 |
— |
$33 | |
| Circumcision |
$1,106 |
$1,383 |
— |
$167 | |
| Clotting time test (PTT) |
$75 |
$94 |
— |
$6 | |
| Colon resection (colectomy) |
$8,532 |
$10,665 |
— |
$1,238 | |
| Colonoscopy |
$4,450 |
$5,563 |
— |
$480 | |
| Complete blood count (CBC) |
$121 |
$152 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$128 |
$160 |
— |
$8 | |
| Complex wound repair |
$469 |
$586 |
— |
$390 | |
| Comprehensive metabolic panel |
$171 |
$214 |
— |
$11 | |
| Contraceptive implant (Nexplanon) |
$594 |
$742 |
— |
$115 | |
| Copper blood test |
$69 |
$86 |
— |
$12 | |
| Cortisol test |
$48 |
$60 |
— |
$16 | |
| COVID-19 PCR test |
$157 |
$196 |
— |
$51 | |
| CPAP titration study |
$151 |
$189 |
— |
$69 | |
| Creatine kinase (CK) test |
$104 |
$130 |
— |
$7 | |
| CT angiography of the chest |
$4,090 |
$5,113 |
— |
$281 | |
| CT angiography of the head |
$5,474 |
$6,843 |
— |
$274 | |
| CT scan of the abdomen |
$2,857 |
$3,571 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$3,383 |
$4,229 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$4,032 |
$5,040 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$3,383 |
$4,229 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,913 |
$2,391 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$3,327 |
$4,159 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$2,857 |
$3,571 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$1,578 |
$1,973 |
— |
$136 | |
| CT scan of the arm |
$2,638 |
$3,298 |
— |
$199 | |
| CT scan of the arm with contrast |
$2,638 |
$3,298 |
— |
$199 | |
| CT scan of the arm without contrast |
$2,106 |
$2,633 |
— |
$161 | |
| CT scan of the chest |
$2,659 |
$3,324 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$3,311 |
$4,139 |
— |
$196 | |
| CT scan of the chest with contrast |
$2,659 |
$3,324 |
— |
$167 | |
| CT scan of the chest without contrast |
$2,114 |
$2,642 |
— |
$133 | |
| CT scan of the head |
$2,073 |
$2,591 |
— |
$148 | |
| CT scan of the head with and without contrast |
$2,073 |
$2,591 |
— |
$173 | |
| CT scan of the head with contrast |
$2,134 |
$2,667 |
— |
$148 | |
| CT scan of the head without contrast |
$1,635 |
$2,044 |
— |
$107 | |
| CT scan of the leg |
$2,682 |
$3,352 |
— |
$166 | |
| CT scan of the leg with contrast |
$2,682 |
$3,352 |
— |
$166 | |
| CT scan of the leg without contrast |
$2,114 |
$2,642 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,678 |
$3,347 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$3,322 |
$4,152 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,678 |
$3,347 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$2,125 |
$2,656 |
— |
$130 | |
| CT scan of the neck |
$2,646 |
$3,307 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$2,674 |
$3,342 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$3,318 |
$4,148 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$2,674 |
$3,342 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$2,146 |
$2,682 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$3,291 |
$4,114 |
— |
$220 | |
| CT scan of the neck with contrast |
$2,646 |
$3,307 |
— |
$183 | |
| CT scan of the neck without contrast |
$2,110 |
$2,637 |
— |
$150 | |
| CT scan of the pelvis |
$2,867 |
$3,584 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$3,265 |
$4,081 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$2,867 |
$3,584 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$1,602 |
$2,002 |
— |
$133 | |
| CT scan of the sinuses |
$2,530 |
$3,163 |
— |
$152 | |
| CT scan of the sinuses with contrast |
$2,787 |
$3,484 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$2,274 |
$2,842 |
— |
$128 | |
| D-dimer test |
$238 |
$297 |
— |
$10 | |
| DHEA-sulfate test |
$48 |
$60 |
— |
$22 | |
| Diagnostic mammogram |
$306 |
$383 |
— |
$140 | |
| Dilation and curettage (D&C) |
$1,614 |
$2,017 |
— |
$298 | |
| Drug screen (urine) |
$238 |
$297 |
— |
$17 | |
| Ear tubes (myringotomy) |
$960 |
$1,200 |
— |
$174 | |
| Echocardiogram |
$1,501 |
$1,876 |
— |
$138 | |
| Echocardiogram with and without contrast |
$1,208 |
$1,510 |
— |
$101 | |
| Echocardiogram without contrast |
$1,501 |
$1,876 |
— |
$138 | |
| EEG (awake and asleep) |
$590 |
$738 |
— |
$482 | |
| EKG / ECG (tracing only) |
$244 |
$305 |
— |
$7 | |
| Electrocardiogram (EKG) |
$193 |
$241 |
— |
$8 | |
| Electroencephalogram (EEG) |
$552 |
$691 |
— |
$448 | |
| Electrolyte panel |
$43 |
$54 |
— |
$7 | |
| Electromyography (EMG) |
$149 |
$186 |
— |
$141 | |
| Emergency department visit |
$1,129 |
$1,411 |
— |
$69 | |
| Emergency department visit (level 1) |
$353 |
$441 |
— |
$11 | |
| Emergency department visit (level 2) |
$670 |
$837 |
— |
$40 | |
| Emergency department visit (level 3) |
$1,129 |
$1,411 |
— |
$69 | |
| Emergency department visit (level 4) |
$1,499 |
$1,874 |
— |
$118 | |
| Emergency department visit (level 5) |
$1,854 |
$2,317 |
— |
$171 | |
| Endometrial biopsy |
$273 |
$341 |
— |
$98 | |
| Estradiol (estrogen) test |
$147 |
$184 |
— |
$28 | |
| Fallopian tube X-ray (HSG) |
$902 |
$1,128 |
— |
$164 | |
| Fecal occult blood (stool) test |
$48 |
$61 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$40 |
$50 |
— |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$57 |
$71 |
— |
$16 | |
| Feeding tube (PEG) placement |
$1,693 |
$2,116 |
— |
$178 | |
| Femoral hernia repair |
$4,192 |
$5,240 |
— |
$584 | |
| Ferritin (iron) test |
$177 |
$221 |
— |
$14 | |
| Fibrinogen test |
$67 |
$84 |
— |
$10 | |
| Fibroid removal (myomectomy) |
$7,068 |
$8,835 |
— |
$914 | |
| Flexible sigmoidoscopy |
$1,086 |
$1,358 |
— |
$323 | |
| Flu test |
$126 |
$157 |
— |
$17 | |
| Flu vaccine |
$24 |
$30 |
— |
— | |
| Folate (folic acid) test |
$40 |
$50 |
— |
$15 | |
| Foreign body removal (skin) |
$617 |
$771 |
— |
$157 | |
| Free T4 thyroid test |
$48 |
$60 |
— |
$9 | |
| FSH hormone test |
$43 |
$54 |
— |
$19 | |
| Gallbladder removal (laparoscopic) |
$5,564 |
$6,955 |
— |
$658 | |
| Gallbladder scan (HIDA) |
$3,557 |
$4,447 |
— |
$334 | |
| Ganglion cyst removal |
$3,038 |
$3,797 |
— |
$321 | |
| GGT liver test |
$114 |
$143 |
— |
$7 | |
| Glucose tolerance test |
$112 |
$141 |
— |
$8 | |
| H. pylori test |
$918 |
$1,147 |
— |
$67 | |
| Hammertoe repair |
$3,507 |
$4,384 |
— |
$548 | |
| HDL cholesterol test |
$131 |
$164 |
— |
$8 | |
| Hematocrit test |
$38 |
$47 |
— |
$2 | |
| Hemoglobin A1c (diabetes test) |
$107 |
$134 |
— |
$10 | |
| Hemorrhoid removal |
$1,176 |
$1,470 |
— |
$338 | |
| Hepatitis A vaccine |
$96 |
$120 |
— |
— | |
| Hepatitis B test |
$46 |
$58 |
— |
$10 | |
| Hepatitis C test |
$62 |
$78 |
— |
$14 | |
| Hip replacement |
$10,586 |
$13,233 |
— |
$1,162 | |
| HIV test |
$78 |
$98 |
— |
$19 | |
| HIV test (antibody) |
$40 |
$50 |
— |
$14 | |
| HIV test (antigen/antibody combo) |
$117 |
$146 |
— |
$24 | |
| Holter heart monitor |
$335 |
$419 |
— |
$26 | |
| Hydrocele repair |
$2,310 |
$2,887 |
— |
$315 | |
| Hysterectomy |
$8,058 |
$10,073 |
— |
$933 | |
| Hysteroscopy |
$838 |
$1,048 |
— |
$1,270 | |
| Inguinal hernia repair |
$2,620 |
$3,276 |
— |
$538 | |
| Iron blood test |
$62 |
$78 |
— |
$6 | |
| IUD removal |
$210 |
$262 |
— |
$112 | |
| IV infusion therapy |
$109 |
$136 |
— |
$44 | |
| IV infusion therapy (each additional) |
$52 |
$65 |
— |
$21 | |
| IV infusion therapy (initial) |
$169 |
$212 |
— |
$67 | |
| Joint aspiration (small/intermediate) |
$253 |
$316 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$257 |
$321 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$249 |
$311 |
— |
$56 | |
| Kidney scan (nuclear) |
$1,156 |
$1,445 |
— |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$5,034 |
$6,292 |
— |
$760 | |
| Kidney ultrasound |
$952 |
$1,191 |
— |
$84 | |
| Kidney ultrasound (limited) |
$867 |
$1,084 |
— |
$61 | |
| Knee arthroscopy |
$4,790 |
$5,988 |
— |
$524 | |
| Knee joint injection |
$336 |
$420 |
— |
$69 | |
| Lactate test |
$137 |
$171 |
— |
$12 | |
| Laryngoscopy |
$750 |
$937 |
— |
$189 | |
| LDH test |
$39 |
$49 |
— |
$6 | |
| LDL cholesterol test |
$55 |
$69 |
— |
$11 | |
| Leg vein ultrasound (Doppler) |
$1,394 |
$1,743 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,394 |
$1,743 |
— |
$116 | |
| LH hormone test |
$55 |
$69 |
— |
$19 | |
| Lipase test |
$107 |
$134 |
— |
$7 | |
| Lipid (cholesterol) panel |
$203 |
$254 |
— |
$13 | |
| Liver function panel |
$174 |
$217 |
— |
$8 | |
| Lumpectomy (breast) |
$3,513 |
$4,391 |
— |
$750 | |
| Lung function test (PFT) |
$291 |
$364 |
— |
$37 | |
| Lung scan (V/Q) |
$2,121 |
$2,651 |
— |
$291 | |
| Magnesium blood test |
$106 |
$133 |
— |
$7 | |
| Mastectomy |
$7,572 |
$9,465 |
— |
$1,021 | |
| Meniscus repair (knee) |
$3,953 |
$4,941 |
— |
$714 | |
| MRA of the brain |
$3,412 |
$4,265 |
— |
$226 | |
| MRA of the brain without contrast |
$3,412 |
$4,265 |
— |
$328 | |
| MRA of the neck |
$3,412 |
$4,265 |
— |
$245 | |
| MRA of the neck with contrast |
$3,412 |
$4,265 |
— |
$245 | |
| MRA of the neck without contrast |
$3,412 |
$4,265 |
— |
$343 | |
| MRI of the abdomen |
$3,412 |
$4,265 |
— |
$300 | |
| MRI of the abdomen with contrast |
$3,412 |
$4,265 |
— |
$300 | |
| MRI of the abdomen without contrast |
$3,412 |
$4,265 |
— |
$194 | |
| MRI of the ankle |
$3,412 |
$4,265 |
— |
$261 | |
| MRI of the ankle with contrast |
$3,412 |
$4,265 |
— |
$261 | |
| MRI of the ankle without contrast |
$3,412 |
$4,265 |
— |
$222 | |
| MRI of the brain |
$3,412 |
$4,265 |
— |
$269 | |
| MRI of the brain with contrast |
$3,412 |
$4,265 |
— |
$269 | |
| MRI of the brain without contrast |
$3,412 |
$4,265 |
— |
$195 | |
| MRI of the chest |
$3,412 |
$4,265 |
— |
$371 | |
| MRI of the chest without contrast |
$3,412 |
$4,265 |
— |
$466 | |
| MRI of the knee |
$3,412 |
$4,265 |
— |
$315 | |
| MRI of the knee with contrast |
$3,412 |
$4,265 |
— |
$315 | |
| MRI of the knee without contrast |
$3,412 |
$4,265 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$3,412 |
$4,265 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$3,412 |
$4,265 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$3,412 |
$4,265 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$3,412 |
$4,265 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$3,412 |
$4,265 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$3,412 |
$4,265 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$3,412 |
$4,265 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$3,412 |
$4,265 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$3,412 |
$4,265 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$3,412 |
$4,265 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$3,412 |
$4,265 |
— |
$191 | |
| MRI of the pelvis |
$3,412 |
$4,265 |
— |
$268 | |
| MRI of the pelvis with contrast |
$3,412 |
$4,265 |
— |
$268 | |
| MRI of the pelvis without contrast |
$3,412 |
$4,265 |
— |
$227 | |
| MRI of the shoulder |
$3,412 |
$4,265 |
— |
$313 | |
| MRI of the shoulder with contrast |
$3,412 |
$4,265 |
— |
$313 | |
| MRI of the shoulder without contrast |
$4,265 |
$5,331 |
— |
$205 | |
| MRI of the wrist |
$3,412 |
$4,265 |
— |
$330 | |
| MRI of the wrist without contrast |
$3,412 |
$4,265 |
— |
$303 | |
| Nebulizer breathing treatment |
$158 |
$198 |
— |
$9 | |
| Nuclear cardiac stress test |
$3,148 |
$3,935 |
— |
$428 | |
| Occupational therapy evaluation |
$230 |
$288 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$251 |
$314 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$210 |
$263 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$230 |
$288 |
— |
$101 | |
| Orthopedic hardware removal |
$2,665 |
$3,331 |
— |
$632 | |
| Ovarian cyst removal |
$4,470 |
$5,588 |
— |
$698 | |
| Ovary removal (oophorectomy) |
$3,050 |
$3,813 |
— |
$822 | |
| Pap smear (cervical screening) |
$123 |
$154 |
— |
$20 | |
| Parathyroid hormone (PTH) test |
$62 |
$78 |
— |
$41 | |
| Pelvic ultrasound |
$890 |
$1,112 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$982 |
$1,227 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$798 |
$997 |
— |
$51 | |
| PET scan |
$2,988 |
$3,735 |
— |
— | |
| Phosphorus blood test |
$30 |
$38 |
— |
$5 | |
| Physical therapy evaluation |
$266 |
$332 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$288 |
$360 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$266 |
$332 |
— |
$98 | |
| Pilonidal cyst removal |
$2,074 |
$2,593 |
— |
$541 | |
| Platelet count |
$69 |
$86 |
— |
$4 | |
| Pregnancy blood test (hCG) |
$121 |
$151 |
— |
$8 | |
| Pregnancy ultrasound |
$809 |
$1,012 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$846 |
$1,057 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$773 |
$966 |
— |
$136 | |
| Procalcitonin test |
$880 |
$1,100 |
— |
$27 | |
| Prolactin test |
$55 |
$69 |
— |
$19 | |
| Prostate biopsy |
$695 |
$869 |
— |
— | |
| Prostate surgery (TURP) |
$5,316 |
$6,645 |
— |
$526 | |
| Prostate test (PSA) |
$297 |
$371 |
— |
$18 | |
| Rheumatoid factor test |
$91 |
$114 |
— |
$6 | |
| Rotator cuff repair |
$7,954 |
$9,942 |
— |
$792 | |
| Scoliosis spine X-ray |
$570 |
$713 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$570 |
$713 |
— |
$44 | |
| Screening colonoscopy |
$3,750 |
$4,688 |
— |
$378 | |
| Screening mammogram |
$340 |
$425 |
— |
$126 | |
| Scrotal ultrasound |
$1,000 |
$1,250 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$61 |
$76 |
— |
$3 | |
| Semen analysis |
$194 |
$243 |
— |
$12 | |
| Septoplasty (deviated septum) |
$4,999 |
$6,249 |
— |
$613 | |
| Sex hormone binding globulin test |
$241 |
$301 |
— |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$110 |
$137 |
— |
$114 | |
| Simple wound stitches |
$122 |
$152 |
— |
$127 | |
| Sinus surgery (endoscopic) |
$1,542 |
$1,927 |
— |
$224 | |
| Skin biopsy |
$254 |
$317 |
— |
$121 | |
| Skin biopsy (punch) |
$254 |
$317 |
— |
$121 | |
| Skin cancer lesion removal |
$995 |
$1,244 |
— |
$240 | |
| Skin graft |
$3,983 |
$4,979 |
— |
$898 | |
| Skin tag removal |
$290 |
$362 |
— |
$92 | |
| Sleep study (polysomnography) |
$2,949 |
$3,687 |
— |
$691 | |
| Small bowel resection |
$6,842 |
$8,553 |
— |
$1,136 | |
| Soft tissue ultrasound |
$647 |
$809 |
— |
$64 | |
| Speech therapy |
$232 |
$290 |
— |
$76 | |
| Spinal tap (lumbar puncture) |
$115 |
$144 |
— |
$165 | |
| Spirometry (lung function test) |
$60 |
$75 |
— |
$30 | |
| Spirometry with bronchodilator |
$522 |
$652 |
— |
$43 | |
| Spleen removal (splenectomy) |
$6,015 |
$7,519 |
— |
$1,036 | |
| Stress echocardiogram |
$1,690 |
$2,113 |
— |
$209 | |
| Stress echocardiogram (complete) |
$1,690 |
$2,113 |
— |
$233 | |
| Swallow study |
$414 |
$517 |
— |
$85 | |
| T3 thyroid test |
$30 |
$38 |
— |
$14 | |
| Tdap (tetanus) vaccine |
$80 |
$100 |
— |
— | |
| Testicle removal (orchiectomy) |
$3,825 |
$4,781 |
— |
$306 | |
| Testosterone test |
$119 |
$149 |
— |
$26 | |
| Thyroid test (TSH) |
$138 |
$172 |
— |
$17 | |
| Thyroid ultrasound |
$1,019 |
$1,274 |
— |
$109 | |
| Thyroid uptake scan |
$2,131 |
$2,664 |
— |
$145 | |
| Tonsillectomy |
$2,292 |
$2,865 |
— |
$252 | |
| Total IgE allergy test |
$48 |
$60 |
— |
$16 | |
| Total protein test |
$69 |
$86 |
— |
$4 | |
| Transvaginal ultrasound |
$522 |
$652 |
— |
$118 | |
| Trigger finger release |
$1,922 |
$2,402 |
— |
$630 | |
| Trigger point injection |
$129 |
$161 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$144 |
$180 |
— |
$52 | |
| Triglycerides test |
$92 |
$115 |
— |
$6 | |
| Troponin (heart) test |
$151 |
$189 |
— |
$12 | |
| Tubal ligation |
$3,191 |
$3,989 |
— |
$333 | |
| Turbinate reduction |
$2,391 |
$2,989 |
— |
$294 | |
| Ulnar nerve surgery (elbow) |
$3,525 |
$4,406 |
— |
$575 | |
| Upper GI endoscopy (EGD) |
$2,690 |
$3,363 |
— |
$371 | |
| Upper GI series (barium) |
$2,170 |
$2,712 |
— |
$128 | |
| Ureteral stent placement |
$1,086 |
$1,358 |
— |
$373 | |
| Ureteroscopy (stone removal) |
$2,242 |
$2,802 |
— |
$365 | |
| Uric acid (gout) test |
$70 |
$87 |
— |
$5 | |
| Urinalysis |
$50 |
$63 |
— |
$3 | |
| Urine microalbumin test |
$82 |
$103 |
— |
$5 | |
| Urine pregnancy test |
$33 |
$41 |
— |
$9 | |
| Vaccine administration |
$26 |
$33 |
— |
$19 | |
| Vaccine administration (each additional) |
$26 |
$33 |
— |
$16 | |
| Varicocele repair |
$2,254 |
$2,817 |
— |
$327 | |
| Vasectomy |
$1,862 |
$2,328 |
— |
$347 | |
| Vitamin B12 test |
$39 |
$49 |
— |
$15 | |
| Vitamin D test |
$72 |
$90 |
— |
$30 | |
| Vitrectomy (eye) |
$3,270 |
$4,088 |
— |
$814 | |
| Wart removal |
$384 |
$480 |
— |
$121 | |
| Wound debridement |
$467 |
$584 |
— |
$186 | |
| X-ray of the abdomen |
$677 |
$846 |
— |
$36 | |
| X-ray of the ankle |
$626 |
$782 |
— |
$37 | |
| X-ray of the collarbone |
$517 |
$646 |
— |
$33 | |
| X-ray of the elbow |
$626 |
$782 |
— |
$33 | |
| X-ray of the facial bones |
$622 |
$778 |
— |
$39 | |
| X-ray of the foot |
$584 |
$730 |
— |
$34 | |
| X-ray of the forearm |
$490 |
$613 |
— |
$29 | |
| X-ray of the hand |
$600 |
$750 |
— |
$38 | |
| X-ray of the hip |
$583 |
$729 |
— |
$49 | |
| X-ray of the hip (1 view) |
$481 |
$601 |
— |
$34 | |
| X-ray of the hip (3 views) |
$686 |
$857 |
— |
$49 | |
| X-ray of the knee |
$805 |
$1,006 |
— |
$42 | |
| X-ray of the knee (2 views) |
$541 |
$676 |
— |
$34 | |
| X-ray of the knee (3 views) |
$1,386 |
$1,732 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$805 |
$1,006 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$718 |
$898 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$609 |
$761 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$828 |
$1,035 |
— |
$53 | |
| X-ray of the lower leg |
$947 |
$1,184 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$608 |
$760 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$566 |
$707 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$650 |
$813 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$706 |
$882 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$600 |
$750 |
— |
$40 | |
| X-ray of the pelvis |
$648 |
$810 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$490 |
$613 |
— |
$28 | |
| X-ray of the ribs |
$330 |
$413 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$297 |
$371 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$330 |
$413 |
— |
$42 | |
| X-ray of the shoulder |
$524 |
$655 |
— |
$36 | |
| X-ray of the skull |
$690 |
$863 |
— |
$40 | |
| X-ray of the upper arm |
$507 |
$634 |
— |
$32 | |
| X-ray of the wrist |
$726 |
$907 |
— |
$43 | |
| YAG laser capsulotomy (eye) |
$1,694 |
$2,118 |
— |
$335 | |
| Zinc blood test |
$55 |
$69 |
— |
$11 | |