| 3D mammogram (tomosynthesis) |
$79 |
$105 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$240 |
$325 |
— |
$284 | |
| Abdominal ultrasound |
$68 |
$525 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$90 |
$680 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$68 |
$510 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$401 |
$460 |
— |
$220 | |
| Abscess drainage (simple) |
$229 |
$440 |
— |
$129 | |
| Abscess incision and drainage |
$341 |
$460 |
— |
$174 | |
| Achilles tendon repair |
$1,451 |
$10,648 |
— |
$624 | |
| ACL knee reconstruction |
$2,216 |
$11,158 |
— |
$889 | |
| Adenoid removal (adenoidectomy) |
$482 |
$3,300 |
— |
$204 | |
| Albumin blood test |
— |
$113 |
— |
$5 | |
| Aldosterone test |
— |
$175 |
— |
$41 | |
| Alkaline phosphatase test |
— |
$103 |
— |
$5 | |
| Allergy patch testing |
$15 |
$338 |
— |
$5 | |
| Allergy shots |
— |
$110 |
— |
$11 | |
| Allergy testing |
$16 |
$341 |
— |
$4 | |
| Alpha-fetoprotein (AFP) test |
— |
$175 |
— |
$17 | |
| ALT liver enzyme test |
— |
$145 |
— |
$5 | |
| Ammonia blood test |
— |
$365 |
— |
$15 | |
| Amylase test |
— |
$133 |
— |
$6 | |
| Anal fistula repair |
$911 |
$3,408 |
— |
$541 | |
| Ankle fracture repair |
$1,451 |
$10,213 |
— |
$608 | |
| Anoscopy |
— |
$120 |
— |
$129 | |
| Antinuclear antibody (ANA) test |
— |
$113 |
— |
$12 | |
| Arterial blood gas (ABG) |
— |
$298 |
— |
$26 | |
| AST liver enzyme test |
— |
$50 |
— |
$5 | |
| Barium swallow study |
$68 |
$408 |
— |
$107 | |
| Bartholin cyst removal |
$240 |
$320 |
— |
$182 | |
| Basic metabolic panel |
— |
$165 |
— |
$8 | |
| Benign skin lesion removal |
$249 |
$960 |
— |
$171 | |
| Bilirubin blood test |
— |
$103 |
— |
$5 | |
| Bladder function test (urodynamics) |
$221 |
$810 |
— |
$345 | |
| Bladder scope (cystoscopy) |
$219 |
$845 |
— |
$216 | |
| Bladder tumor removal (TURBT) |
$521 |
$3,543 |
— |
$236 | |
| Blood clotting test (PT/INR) |
— |
$74 |
— |
$4 | |
| Blood crossmatch |
— |
$220 |
— |
— | |
| Blood glucose test |
— |
$50 |
— |
$5 | |
| Blood transfusion |
— |
$1,215 |
— |
$47 | |
| Blood type and screen |
— |
$310 |
— |
$10 | |
| Blood type test |
— |
$85 |
— |
$3 | |
| Blood type test (ABO group) |
— |
$85 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
— |
$85 |
— |
$3 | |
| BNP (heart failure) test |
— |
$365 |
— |
$39 | |
| Botox for migraine |
$274 |
$605 |
— |
$157 | |
| Breast biopsy |
$349 |
$3,375 |
— |
$478 | |
| Breast ultrasound |
$81 |
$620 |
— |
$92 | |
| Breast ultrasound (complete) |
$83 |
$570 |
— |
$100 | |
| Breast ultrasound (limited) |
$79 |
$620 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$323 |
$530 |
— |
$133 | |
| Bronchoscopy |
— |
$495 |
— |
$303 | |
| Bunion surgery (bunionectomy) |
$1,472 |
$4,333 |
— |
$883 | |
| Burn dressing and debridement (medium) |
$248 |
$330 |
— |
$166 | |
| Burn dressing and debridement (small) |
$118 |
$158 |
— |
$93 | |
| Burn treatment |
$182 |
$330 |
— |
$129 | |
| C-reactive protein (CRP) |
— |
$140 |
— |
$5 | |
| CA 19-9 tumor marker test |
— |
$150 |
— |
$21 | |
| CA-125 ovarian marker test |
— |
$185 |
— |
$21 | |
| Calcium blood test |
— |
$130 |
— |
$5 | |
| Cardiac rehabilitation |
— |
$340 |
— |
$26 | |
| Cardiac stress test |
— |
$620 |
— |
$39 | |
| Cardioversion |
$244 |
$325 |
— |
$155 | |
| Carotid artery ultrasound |
$90 |
$730 |
— |
$156 | |
| Carpal tunnel release |
$821 |
$3,455 |
— |
$483 | |
| CEA tumor marker test |
— |
$300 |
— |
$19 | |
| Celiac disease test |
— |
$46 |
— |
$12 | |
| Chemotherapy infusion |
— |
$588 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
— |
$195 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
— |
$980 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$248 |
$335 |
— |
$311 | |
| Chest tube insertion |
$349 |
$490 |
— |
$143 | |
| Chest X-ray |
$27 |
$143 |
— |
$37 | |
| Chest X-ray (1 view) |
$23 |
$193 |
— |
$25 | |
| Chest X-ray (2 views) |
$27 |
$226 |
— |
$33 | |
| Circumcision |
$308 |
$2,303 |
— |
$167 | |
| CK-MB heart enzyme test |
— |
$208 |
— |
$12 | |
| Clotting time test (PTT) |
— |
$114 |
— |
$6 | |
| Colon resection (colectomy) |
$3,218 |
$4,290 |
— |
$1,238 | |
| Colonoscopy |
$589 |
$1,423 |
— |
$480 | |
| Colposcopy |
— |
$260 |
— |
$161 | |
| Complete blood count (CBC) |
— |
$103 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
— |
$103 |
— |
$8 | |
| Complex wound repair |
$544 |
$725 |
— |
$390 | |
| Comprehensive metabolic panel |
— |
$365 |
— |
$11 | |
| Contraceptive implant (Nexplanon) |
$195 |
$225 |
— |
$115 | |
| Copper blood test |
— |
$75 |
— |
$12 | |
| Cortisol test |
— |
$100 |
— |
$16 | |
| COVID-19 PCR test |
— |
$260 |
— |
$51 | |
| CPAP titration study |
— |
$570 |
— |
$69 | |
| Creatine kinase (CK) test |
— |
$130 |
— |
$7 | |
| CT angiography of the chest |
$199 |
$1,730 |
— |
$281 | |
| CT angiography of the head |
$191 |
$1,828 |
— |
$274 | |
| CT scan of the abdomen without contrast |
$135 |
$2,165 |
— |
$136 | |
| CT scan of the neck |
$154 |
$1,150 |
— |
$183 | |
| CT scan of the neck with and without contrast |
$180 |
$1,513 |
— |
$220 | |
| CT scan of the neck with contrast |
$154 |
$1,443 |
— |
$183 | |
| CT scan of the neck without contrast |
$143 |
$1,125 |
— |
$150 | |
| D-dimer test |
— |
$260 |
— |
$10 | |
| Diagnostic mammogram |
$90 |
$258 |
— |
$140 | |
| Drug screen (urine) |
— |
$175 |
— |
$17 | |
| Ear tubes (myringotomy) |
$321 |
$930 |
— |
$174 | |
| Echocardiogram |
— |
$2,060 |
— |
$138 | |
| Echocardiogram with and without contrast |
— |
$1,135 |
— |
$101 | |
| EKG / ECG (tracing only) |
— |
$335 |
— |
$7 | |
| Electrocardiogram (EKG) |
— |
$335 |
— |
$8 | |
| Electroencephalogram (EEG) |
$596 |
$633 |
— |
$448 | |
| Electrolyte panel |
— |
$145 |
— |
$7 | |
| Electromyography (EMG) |
$255 |
$308 |
— |
$141 | |
| Emergency department visit |
$195 |
$465 |
— |
$69 | |
| Emergency department visit (level 1) |
$60 |
$260 |
— |
$11 | |
| Emergency department visit (level 2) |
$116 |
$465 |
— |
$40 | |
| Emergency department visit (level 3) |
$195 |
$775 |
— |
$69 | |
| Emergency department visit (level 4) |
$311 |
$1,185 |
— |
$118 | |
| Emergency department visit (level 5) |
$428 |
$1,650 |
— |
$171 | |
| Endometrial biopsy |
— |
$155 |
— |
$98 | |
| Epidural steroid injection |
$233 |
$1,960 |
— |
$275 | |
| Esophageal dilation |
$173 |
$1,043 |
— |
$522 | |
| Estradiol (estrogen) test |
— |
$180 |
— |
$28 | |
| Facet joint injection (spine) |
$116 |
$155 |
— |
$99 | |
| Family therapy session |
— |
$850 |
— |
$110 | |
| Fecal occult blood (stool) test |
— |
$49 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
— |
$30 |
— |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
— |
$67 |
— |
$16 | |
| Feeding tube (PEG) placement |
$409 |
$2,740 |
— |
$178 | |
| Femoral hernia repair |
$1,298 |
$5,785 |
— |
$584 | |
| Ferritin (iron) test |
— |
$170 |
— |
$14 | |
| Fibrinogen test |
— |
$93 |
— |
$10 | |
| Flexible sigmoidoscopy |
$137 |
$758 |
— |
$323 | |
| Flu test |
— |
$77 |
— |
$17 | |
| Flu vaccine |
— |
$42 |
— |
— | |
| Folate (folic acid) test |
— |
$96 |
— |
$15 | |
| Foreign body removal (skin) |
$120 |
$300 |
— |
$157 | |
| Free T4 thyroid test |
— |
$91 |
— |
$9 | |
| FSH hormone test |
— |
$110 |
— |
$19 | |
| Gallbladder removal (laparoscopic) |
$1,508 |
$8,473 |
— |
$658 | |
| Ganglion cyst removal |
$713 |
$2,318 |
— |
$321 | |
| GGT liver test |
— |
$38 |
— |
$7 | |
| Glucose tolerance test |
— |
$45 |
— |
$8 | |
| Group therapy session |
— |
$725 |
— |
$30 | |
| H. pylori test |
— |
$185 |
— |
$67 | |
| Hammertoe repair |
$752 |
$2,060 |
— |
$548 | |
| HDL cholesterol test |
— |
$50 |
— |
$8 | |
| Hematocrit test |
— |
$60 |
— |
$2 | |
| Hemoglobin A1c (diabetes test) |
— |
$135 |
— |
$10 | |
| Hepatitis B test |
— |
$100 |
— |
$10 | |
| Hepatitis C test |
— |
$345 |
— |
$14 | |
| Hip replacement |
$3,109 |
$21,643 |
— |
$1,162 | |
| HIV test |
— |
$112 |
— |
$19 | |
| HIV test (antibody) |
— |
$155 |
— |
$14 | |
| HIV test (antigen/antibody combo) |
— |
$68 |
— |
$24 | |
| Holter heart monitor |
— |
$415 |
— |
$26 | |
| Hydrocele repair |
$754 |
$5,423 |
— |
$315 | |
| Hysterectomy |
$1,946 |
$2,585 |
— |
$933 | |
| Ileostomy |
$2,318 |
$3,090 |
— |
$968 | |
| Incisional hernia repair |
$1,721 |
$4,755 |
— |
— | |
| Inguinal hernia repair |
$1,146 |
$4,328 |
— |
$538 | |
| Iron blood test |
— |
$78 |
— |
$6 | |
| IUD insertion |
— |
$130 |
— |
— | |
| IUD removal |
$154 |
$670 |
— |
$112 | |
| IV infusion therapy |
— |
$378 |
— |
$44 | |
| IV infusion therapy (each additional) |
— |
$125 |
— |
$21 | |
| IV infusion therapy (initial) |
— |
$630 |
— |
$67 | |
| Joint aspiration (small/intermediate) |
$79 |
$458 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$79 |
$458 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$79 |
$458 |
— |
$56 | |
| Kidney scan (nuclear) |
$135 |
$1,120 |
— |
$172 | |
| Kidney ultrasound |
$75 |
$418 |
— |
$84 | |
| Kidney ultrasound (limited) |
$68 |
$408 |
— |
$61 | |
| Knee arthroscopy |
$1,384 |
$5,250 |
— |
$524 | |
| Knee joint injection |
$98 |
$470 |
— |
$69 | |
| Knee replacement |
— |
— |
$20,000 |
$18,054 | |
| Lactate test |
— |
$210 |
— |
$12 | |
| Laryngoscopy |
$148 |
$365 |
— |
$189 | |
| LDH test |
— |
$82 |
— |
$6 | |
| LH hormone test |
— |
$105 |
— |
$19 | |
| Lipase test |
— |
$205 |
— |
$7 | |
| Lipid (cholesterol) panel |
— |
$205 |
— |
$13 | |
| Liver function panel |
— |
$260 |
— |
$8 | |
| Lumpectomy (breast) |
$1,603 |
$6,038 |
— |
$750 | |
| Magnesium blood test |
— |
$134 |
— |
$7 | |
| Mastectomy |
$2,408 |
$9,840 |
— |
$1,021 | |
| Meniscus repair (knee) |
$1,556 |
$5,268 |
— |
$714 | |
| Mohs skin cancer surgery |
— |
$1,545 |
— |
$535 | |
| Nebulizer breathing treatment |
— |
$570 |
— |
$9 | |
| Nerve conduction study |
$210 |
$333 |
— |
$118 | |
| Nuclear cardiac stress test |
— |
$5,665 |
— |
$428 | |
| Occupational therapy evaluation |
— |
$295 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
— |
$295 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
— |
$295 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
— |
$295 |
— |
$101 | |
| Office visit (established patient) |
$156 |
$210 |
— |
$115 | |
| Office visit (new patient) |
$302 |
$260 |
— |
$177 | |
| Office visit, established patient (level 3) |
$116 |
$155 |
— |
$95 | |
| Office visit, established patient (level 4) |
$195 |
$260 |
— |
$136 | |
| Office visit, new patient (level 3) |
$176 |
$260 |
— |
$118 | |
| Office visit, new patient (level 4) |
$274 |
$260 |
— |
$177 | |
| Orthopedic hardware removal |
$960 |
$3,810 |
— |
$632 | |
| Parathyroid hormone (PTH) test |
— |
$170 |
— |
$41 | |
| Pelvic ultrasound |
$68 |
$310 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$79 |
$568 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$56 |
$295 |
— |
$51 | |
| Phosphorus blood test |
— |
$155 |
— |
$5 | |
| Physical therapy evaluation |
— |
$295 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
— |
$295 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
— |
$295 |
— |
$98 | |
| Pilonidal cyst removal |
$699 |
$4,320 |
— |
$541 | |
| Platelet count |
— |
$77 |
— |
$4 | |
| Pregnancy blood test (hCG) |
— |
$83 |
— |
$8 | |
| Pregnancy ultrasound |
$109 |
$323 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$109 |
$485 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$109 |
$323 |
— |
$136 | |
| Procalcitonin test |
— |
$333 |
— |
$27 | |
| Prolactin test |
— |
$137 |
— |
$19 | |
| Prostate biopsy |
$266 |
$1,820 |
— |
— | |
| Prostate surgery (TURP) |
$1,639 |
$5,425 |
— |
$526 | |
| Prostate test (PSA) |
— |
$172 |
— |
$18 | |
| Psychiatric evaluation |
$293 |
$390 |
— |
$188 | |
| Psychotherapy session |
— |
$698 |
— |
$140 | |
| Pulmonary rehabilitation |
— |
$185 |
— |
$87 | |
| Radiofrequency nerve ablation |
$469 |
$2,053 |
— |
$462 | |
| Rotator cuff repair |
$2,156 |
$10,853 |
— |
$792 | |
| Sacroiliac joint injection |
$188 |
$250 |
— |
$176 | |
| Scoliosis spine X-ray |
$38 |
$283 |
— |
$58 | |
| Scoliosis spine X-ray (3 views) |
$38 |
$283 |
— |
$72 | |
| Screening colonoscopy |
$589 |
$1,423 |
— |
$378 | |
| Screening mammogram |
$86 |
$115 |
— |
$126 | |
| Scrotal ultrasound |
$75 |
$515 |
— |
$99 | |
| Sedimentation rate (ESR) test |
— |
$66 |
— |
$3 | |
| Semen analysis |
— |
$103 |
— |
$12 | |
| Septoplasty (deviated septum) |
$1,185 |
$3,495 |
— |
$613 | |
| Sex hormone binding globulin test |
— |
$122 |
— |
$22 | |
| Shoulder arthroscopy |
$2,349 |
$9,220 |
— |
$962 | |
| Shoulder replacement |
$3,323 |
$4,430 |
— |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$101 |
$143 |
— |
$114 | |
| Simple wound stitches |
$118 |
$165 |
— |
$127 | |
| Sinus surgery (endoscopic) |
$611 |
$3,790 |
— |
$224 | |
| Skin biopsy |
$113 |
$545 |
— |
$121 | |
| Skin biopsy (punch) |
$113 |
$545 |
— |
$121 | |
| Skin cancer lesion removal |
$353 |
$1,790 |
— |
$240 | |
| Skin graft |
— |
$4,615 |
— |
$898 | |
| Skin lesion freezing (cryotherapy) |
$68 |
$363 |
— |
$36 | |
| Skin tag removal |
$161 |
$203 |
— |
$92 | |
| Soft tissue ultrasound |
$71 |
$350 |
— |
$64 | |
| Speech therapy |
— |
$390 |
— |
$76 | |
| Spinal cord stimulator |
$773 |
$7,598 |
— |
$2,388 | |
| Spinal tap (lumbar puncture) |
$146 |
$845 |
— |
$165 | |
| Spine fracture repair (kyphoplasty) |
$1,013 |
$7,188 |
— |
$5,803 | |
| Strep throat test |
— |
$103 |
— |
$17 | |
| Stress echocardiogram |
— |
$2,475 |
— |
$209 | |
| Stress echocardiogram (complete) |
— |
$2,475 |
— |
$233 | |
| Swallow study |
— |
$305 |
— |
$85 | |
| T3 thyroid test |
— |
$113 |
— |
$14 | |
| Testicle removal (orchiectomy) |
$716 |
$5,435 |
— |
$306 | |
| Testosterone test |
— |
$122 |
— |
$26 | |
| Thyroid test (TSH) |
— |
$195 |
— |
$17 | |
| Thyroid ultrasound |
$69 |
$513 |
— |
$109 | |
| Tonsillectomy |
$561 |
$2,578 |
— |
$252 | |
| Total IgE allergy test |
— |
$269 |
— |
$16 | |
| Total protein test |
— |
$85 |
— |
$4 | |
| Transvaginal ultrasound |
$79 |
$825 |
— |
$118 | |
| Trigger finger release |
$638 |
$2,520 |
— |
$630 | |
| Trigger point injection |
$75 |
$530 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$75 |
$530 |
— |
$52 | |
| Triglycerides test |
— |
$50 |
— |
$6 | |
| Troponin (heart) test |
— |
$365 |
— |
$12 | |
| Turbinate reduction |
$941 |
$3,595 |
— |
$294 | |
| Ulnar nerve surgery (elbow) |
$1,140 |
$3,890 |
— |
$575 | |
| Umbilical hernia repair |
$1,161 |
$3,968 |
— |
— | |
| Upper GI endoscopy (EGD) |
$349 |
$1,160 |
— |
$371 | |
| Upper GI series (barium) |
$101 |
$533 |
— |
$128 | |
| Ureteroscopy (stone removal) |
$960 |
$7,180 |
— |
$365 | |
| Uric acid (gout) test |
— |
$115 |
— |
$5 | |
| Urinalysis |
— |
$43 |
— |
$3 | |
| Urine microalbumin test |
— |
$72 |
— |
$5 | |
| Urine pregnancy test |
— |
$72 |
— |
$9 | |
| Vaccine administration |
— |
$55 |
— |
$19 | |
| Vaccine administration (each additional) |
— |
$55 |
— |
$16 | |
| Varicocele repair |
$810 |
$4,218 |
— |
$327 | |
| Varicose vein ablation |
$638 |
$4,708 |
— |
$1,018 | |
| Vasectomy |
$443 |
$2,150 |
— |
$347 | |
| Vitamin B12 test |
— |
$120 |
— |
$15 | |
| Vitamin D test |
— |
$310 |
— |
$30 | |
| Vocal cord injection |
$484 |
$3,348 |
— |
$211 | |
| Wart removal |
$161 |
$545 |
— |
$121 | |
| Wound debridement |
$139 |
$465 |
— |
$186 | |
| X-ray of the abdomen |
$27 |
$193 |
— |
$36 | |
| X-ray of the hip |
$27 |
$196 |
— |
$49 | |
| X-ray of the hip (1 view) |
$23 |
$193 |
— |
$34 | |
| X-ray of the hip (3 views) |
$27 |
$196 |
— |
$49 | |
| X-ray of the ribs |
$34 |
$168 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$27 |
$188 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$34 |
$270 |
— |
$42 | |
| Zinc blood test |
— |
$94 |
— |
$11 | |