| 3D mammogram (tomosynthesis) |
$190 |
$244 |
$227 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,391 |
$1,783 |
$118 |
$284 | |
| Abdominal ultrasound |
$485 |
$622 |
$31 |
$100 | |
| Abdominal ultrasound (complete) |
$534 |
$685 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$436 |
$559 |
$31 |
$86 | |
| Abscess drainage (complex or multiple) |
$607 |
$779 |
$213 |
$220 | |
| Abscess drainage (simple) |
$348 |
$446 |
$124 |
$129 | |
| Abscess incision and drainage |
$478 |
$612 |
$125 |
$174 | |
| Adenoid removal (adenoidectomy) |
$515 |
$661 |
$249 |
$204 | |
| Albumin blood test |
$33 |
$42 |
— |
$5 | |
| Aldosterone test |
$73 |
$93 |
— |
$41 | |
| Alkaline phosphatase test |
$33 |
$42 |
— |
$5 | |
| Allergy shots |
$30 |
$38 |
$15 |
$11 | |
| Alpha-fetoprotein (AFP) test |
$45 |
$58 |
— |
$17 | |
| ALT liver enzyme test |
$33 |
$42 |
— |
$5 | |
| Ammonia blood test |
$34 |
$43 |
— |
$15 | |
| Amylase test |
$64 |
$82 |
— |
$6 | |
| Anal fistula repair |
$1,560 |
$2,000 |
$458 |
$541 | |
| Annual physical (established patient) |
$322 |
$413 |
$134 |
— | |
| Annual physical (new patient) |
$373 |
$478 |
$166 |
— | |
| Anoscopy |
$312 |
$400 |
$47 |
$129 | |
| Antinuclear antibody (ANA) test |
$41 |
$52 |
— |
$12 | |
| Arterial blood gas (ABG) |
$53 |
$68 |
— |
$26 | |
| AST liver enzyme test |
$33 |
$42 |
— |
$5 | |
| Barium swallow study |
$432 |
$554 |
— |
$107 | |
| Bartholin cyst removal |
$462 |
$593 |
$126 |
$182 | |
| Basic metabolic panel |
$85 |
$109 |
$159 |
$8 | |
| Benign skin lesion removal |
$224 |
$288 |
$172 |
$171 | |
| Bilirubin blood test |
$33 |
$42 |
— |
$5 | |
| Bladder scope (cystoscopy) |
$667 |
$855 |
— |
$216 | |
| Blood clotting test (PT/INR) |
$26 |
$33 |
— |
$4 | |
| Blood crossmatch |
$88 |
$112 |
— |
— | |
| Blood glucose test |
$33 |
$42 |
— |
$5 | |
| Blood transfusion |
$842 |
$1,079 |
— |
$47 | |
| Blood type and screen |
$82 |
$105 |
— |
$10 | |
| Blood type test |
$45 |
$58 |
— |
$3 | |
| Blood type test (ABO group) |
$50 |
$64 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$40 |
$52 |
— |
$3 | |
| BNP (heart failure) test |
$119 |
$152 |
— |
$39 | |
| Bone density scan (DEXA) |
$300 |
$385 |
— |
$39 | |
| Bone marrow biopsy |
$957 |
$1,227 |
$80 |
$172 | |
| Bone scan (nuclear) |
$1,078 |
$1,382 |
— |
$259 | |
| Breast ultrasound |
$349 |
$448 |
— |
$92 | |
| Breast ultrasound (complete) |
$379 |
$486 |
— |
$100 | |
| Breast ultrasound (limited) |
$319 |
$409 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$1,078 |
$1,382 |
$149 |
$133 | |
| Burn dressing and debridement (medium) |
$444 |
$569 |
$121 |
$166 | |
| Burn dressing and debridement (small) |
$241 |
$309 |
$63 |
$93 | |
| Burn treatment |
$342 |
$439 |
$82 |
$129 | |
| C-reactive protein (CRP) |
$56 |
$71 |
— |
$5 | |
| CA 19-9 tumor marker test |
$53 |
$68 |
— |
$21 | |
| CA-125 ovarian marker test |
$53 |
$68 |
— |
$21 | |
| Calcium blood test |
$33 |
$42 |
— |
$5 | |
| Cardiac rehabilitation |
$296 |
$379 |
$401 |
$26 | |
| Cardiac stress test |
$733 |
$940 |
— |
$39 | |
| Cardioversion |
$1,293 |
$1,658 |
$121 |
$155 | |
| Carotid artery ultrasound |
$601 |
$771 |
— |
$156 | |
| CEA tumor marker test |
$57 |
$73 |
— |
$19 | |
| Celiac disease test |
$49 |
$62 |
— |
$12 | |
| Central line placement |
$2,523 |
$3,235 |
$92 |
$238 | |
| Chemotherapy infusion |
$418 |
$537 |
$309 |
$81 | |
| Chemotherapy infusion (each additional) |
$269 |
$345 |
$163 |
$28 | |
| Chemotherapy infusion (first hour) |
$568 |
$728 |
$455 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,252 |
$1,605 |
$117 |
$311 | |
| Chest tube insertion |
$839 |
$1,075 |
$166 |
$143 | |
| Chest X-ray |
$229 |
$294 |
$325 |
$37 | |
| Chest X-ray (1 view) |
$220 |
$282 |
— |
$25 | |
| Chest X-ray (2 views) |
$225 |
$289 |
$325 |
$33 | |
| Chickenpox (varicella) vaccine |
$178 |
$228 |
$71 |
— | |
| Circumcision |
$194 |
$249 |
$155 |
$167 | |
| CK-MB heart enzyme test |
$35 |
$45 |
— |
$12 | |
| Clotting time test (PTT) |
$51 |
$65 |
— |
$6 | |
| Colonoscopy |
$1,214 |
$1,556 |
$326 |
$480 | |
| Colposcopy |
$491 |
$629 |
$196 |
$161 | |
| Complete blood count (CBC) |
$118 |
$151 |
$114 |
$7 | |
| Complete blood count (CBC) (complete) |
$130 |
$166 |
$114 |
$8 | |
| Comprehensive metabolic panel |
$132 |
$169 |
$204 |
$11 | |
| Continuous glucose monitor setup |
$107 |
$137 |
$43 |
$35 | |
| Contraceptive implant (Nexplanon) |
$440 |
$565 |
$100 |
$115 | |
| Copper blood test |
$53 |
$68 |
— |
$12 | |
| Cortisol test |
$76 |
$97 |
— |
$16 | |
| COVID-19 PCR test |
$82 |
$106 |
$56 |
$51 | |
| CPAP titration study |
$519 |
$665 |
— |
$69 | |
| Creatine kinase (CK) test |
$33 |
$42 |
— |
$7 | |
| CT angiography of the chest |
$1,261 |
$1,617 |
$1,229 |
$281 | |
| CT angiography of the head |
$1,466 |
$1,880 |
$1,229 |
$274 | |
| CT scan of the abdomen |
$1,164 |
$1,492 |
$1,098 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,260 |
$2,897 |
$1,631 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,372 |
$3,041 |
$1,672 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,260 |
$2,897 |
$1,672 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,140 |
$2,744 |
$1,591 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,317 |
$1,688 |
$1,229 |
$259 | |
| CT scan of the abdomen with contrast |
$1,164 |
$1,492 |
$1,229 |
$230 | |
| CT scan of the abdomen without contrast |
$1,012 |
$1,298 |
$970 |
$136 | |
| CT scan of the arm |
$1,045 |
$1,340 |
$979 |
$199 | |
| CT scan of the arm with contrast |
$1,118 |
$1,433 |
$1,672 |
$199 | |
| CT scan of the arm without contrast |
$972 |
$1,246 |
$970 |
$161 | |
| CT scan of the chest |
$1,373 |
$1,760 |
$979 |
$167 | |
| CT scan of the chest with and without contrast |
$1,551 |
$1,989 |
$1,229 |
$196 | |
| CT scan of the chest with contrast |
$1,373 |
$1,760 |
$1,229 |
$167 | |
| CT scan of the chest without contrast |
$1,193 |
$1,530 |
$970 |
$133 | |
| CT scan of the head |
$1,163 |
$1,491 |
$1,240 |
$148 | |
| CT scan of the head with and without contrast |
$1,314 |
$1,685 |
$1,229 |
$173 | |
| CT scan of the head with contrast |
$1,163 |
$1,491 |
$1,229 |
$148 | |
| CT scan of the head without contrast |
$1,011 |
$1,296 |
$1,294 |
$107 | |
| CT scan of the leg |
$1,150 |
$1,475 |
$1,098 |
$166 | |
| CT scan of the leg with contrast |
$1,150 |
$1,475 |
$1,229 |
$166 | |
| CT scan of the leg without contrast |
$1,000 |
$1,282 |
$970 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,234 |
$1,582 |
$1,098 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,395 |
$1,788 |
$1,229 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,234 |
$1,582 |
$1,672 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,234 |
$1,582 |
$970 |
$130 | |
| CT scan of the neck |
$1,040 |
$1,333 |
$1,098 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,395 |
$1,788 |
$1,098 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,395 |
$1,788 |
$1,229 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,466 |
$1,879 |
$1,672 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,331 |
$1,707 |
$970 |
$131 | |
| CT scan of the neck with and without contrast |
$1,175 |
$1,507 |
$1,229 |
$220 | |
| CT scan of the neck with contrast |
$1,040 |
$1,333 |
$1,229 |
$183 | |
| CT scan of the neck without contrast |
$904 |
$1,159 |
$970 |
$150 | |
| CT scan of the pelvis |
$1,099 |
$1,409 |
$1,098 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,243 |
$1,593 |
$1,229 |
$251 | |
| CT scan of the pelvis with contrast |
$1,099 |
$1,409 |
$1,229 |
$226 | |
| CT scan of the pelvis without contrast |
$956 |
$1,225 |
$970 |
$133 | |
| CT scan of the sinuses |
$1,168 |
$1,497 |
$979 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,321 |
$1,693 |
$1,229 |
$184 | |
| CT scan of the sinuses with contrast |
$1,168 |
$1,497 |
$1,229 |
$152 | |
| CT scan of the sinuses without contrast |
$1,016 |
$1,302 |
$970 |
$128 | |
| D-dimer test |
$96 |
$123 |
— |
$10 | |
| Developmental screening (child) |
$49 |
$62 |
$18 |
— | |
| DHEA-sulfate test |
$54 |
$69 |
— |
$22 | |
| Dialysis fistula creation |
$2,614 |
$3,352 |
$683 |
$601 | |
| Drug screen (urine) |
$93 |
$119 |
— |
$17 | |
| Ear pressure test (tympanometry) |
$48 |
$62 |
$16 |
$16 | |
| Ear tubes (myringotomy) |
$728 |
$933 |
$184 |
$174 | |
| Echocardiogram |
$1,001 |
$1,284 |
$786 |
$138 | |
| Echocardiogram with and without contrast |
$624 |
$801 |
$28 |
$101 | |
| EKG / ECG (tracing only) |
$173 |
$222 |
$219 |
$7 | |
| Electrocardiogram (EKG) |
$99 |
$127 |
$9 |
$8 | |
| Electrolyte panel |
$35 |
$44 |
— |
$7 | |
| Emergency department visit |
$593 |
$760 |
$113 |
$69 | |
| Emergency department visit (level 1) |
$217 |
$278 |
— |
$11 | |
| Emergency department visit (level 2) |
$350 |
$449 |
$46 |
$40 | |
| Emergency department visit (level 3) |
$593 |
$760 |
$78 |
$69 | |
| Emergency department visit (level 4) |
$948 |
$1,216 |
$134 |
$118 | |
| Emergency department visit (level 5) |
$1,321 |
$1,694 |
$193 |
$171 | |
| Endometrial biopsy |
$274 |
$352 |
$133 |
$98 | |
| Epidural steroid injection |
$830 |
$1,064 |
$113 |
$275 | |
| Estradiol (estrogen) test |
$49 |
$63 |
— |
$28 | |
| Facet joint injection (spine) |
$622 |
$797 |
$106 |
$99 | |
| Fecal occult blood (stool) test |
$36 |
$46 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$34 |
$43 |
— |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$38 |
$48 |
— |
$16 | |
| Ferritin (iron) test |
$71 |
$91 |
— |
$14 | |
| Fibrinogen test |
$55 |
$70 |
— |
$10 | |
| Flexible sigmoidoscopy |
$685 |
$878 |
$105 |
$323 | |
| Flu test |
$45 |
$57 |
— |
$17 | |
| Folate (folic acid) test |
$41 |
$53 |
— |
$15 | |
| Foreign body removal (skin) |
$446 |
$572 |
$188 |
$157 | |
| Free T4 thyroid test |
$38 |
$48 |
— |
$9 | |
| FSH hormone test |
$38 |
$48 |
— |
$19 | |
| Gallbladder removal (laparoscopic) |
$3,044 |
$3,903 |
$616 |
$658 | |
| Gallbladder scan (HIDA) |
$1,335 |
$1,712 |
— |
$334 | |
| GGT liver test |
$33 |
$42 |
— |
$7 | |
| Glucose tolerance test |
$40 |
$51 |
— |
$8 | |
| H. pylori test |
$108 |
$139 |
— |
$67 | |
| Hammertoe repair |
$1,549 |
$1,987 |
$452 |
$548 | |
| HDL cholesterol test |
$33 |
$42 |
— |
$8 | |
| Hematocrit test |
$37 |
$47 |
— |
$2 | |
| Hemoglobin A1c (diabetes test) |
$123 |
$158 |
$106 |
$10 | |
| Hemorrhoid removal |
$495 |
$634 |
$220 |
$338 | |
| Hepatitis A vaccine |
$81 |
$104 |
$72 |
— | |
| Hepatitis B test |
$36 |
$46 |
— |
$10 | |
| Hepatitis B vaccine |
$79 |
$102 |
$74 |
— | |
| Hepatitis C test |
$48 |
$62 |
— |
$14 | |
| HIV test |
$99 |
$127 |
— |
$19 | |
| HIV test (antigen/antibody combo) |
$99 |
$127 |
— |
$24 | |
| Holter heart monitor |
$402 |
$516 |
— |
$26 | |
| HPV vaccine |
$302 |
$387 |
$155 |
— | |
| Inguinal hernia repair |
$1,996 |
$2,559 |
$580 |
$538 | |
| Iron blood test |
$34 |
$43 |
— |
$6 | |
| IUD insertion |
$275 |
$353 |
$106 |
— | |
| IUD removal |
$285 |
$366 |
$73 |
$112 | |
| IV infusion therapy |
$322 |
$413 |
$305 |
$44 | |
| IV infusion therapy (each additional) |
$188 |
$242 |
$121 |
$21 | |
| IV infusion therapy (initial) |
$457 |
$585 |
$305 |
$67 | |
| Joint aspiration (small/intermediate) |
$400 |
$513 |
$41 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$420 |
$538 |
$42 |
$57 | |
| Joint aspiration or injection (small joint) |
$380 |
$487 |
$40 |
$56 | |
| Kidney scan (nuclear) |
$1,314 |
$1,684 |
— |
$172 | |
| Kidney ultrasound |
$392 |
$502 |
$30 |
$84 | |
| Kidney ultrasound (limited) |
$354 |
$454 |
$30 |
$61 | |
| Knee joint injection |
$572 |
$733 |
$74 |
$69 | |
| Lactate test |
$78 |
$100 |
— |
$12 | |
| Laryngoscopy |
$393 |
$504 |
— |
$189 | |
| LDH test |
$33 |
$43 |
— |
$6 | |
| LDL cholesterol test |
$42 |
$53 |
— |
$11 | |
| Leg vein ultrasound (Doppler) |
$656 |
$842 |
$23 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$500 |
$641 |
$23 |
$116 | |
| LH hormone test |
$49 |
$63 |
— |
$19 | |
| Lipase test |
$34 |
$44 |
— |
$7 | |
| Lipid (cholesterol) panel |
$90 |
$115 |
$129 |
$13 | |
| Liver function panel |
$40 |
$52 |
— |
$8 | |
| Lumpectomy (breast) |
$1,840 |
$2,359 |
$717 |
$750 | |
| Lung function test (PFT) |
$269 |
$346 |
$9 |
$37 | |
| Lung scan (V/Q) |
$1,324 |
$1,697 |
— |
$291 | |
| Magnesium blood test |
$41 |
$52 |
— |
$7 | |
| MMR vaccine |
$101 |
$130 |
$41 |
— | |
| MRA of the brain |
$1,926 |
$2,469 |
$1,605 |
$226 | |
| MRA of the brain without contrast |
$2,177 |
$2,791 |
$1,672 |
$328 | |
| MRA of the neck |
$1,789 |
$2,294 |
$1,605 |
$245 | |
| MRA of the neck without contrast |
$2,023 |
$2,593 |
$1,672 |
$343 | |
| MRI of the abdomen |
$2,084 |
$2,672 |
$1,605 |
$300 | |
| MRI of the abdomen without contrast |
$1,812 |
$2,323 |
$1,591 |
$194 | |
| MRI of the ankle |
$1,928 |
$2,472 |
$1,605 |
$261 | |
| MRI of the ankle without contrast |
$1,676 |
$2,149 |
$1,591 |
$222 | |
| MRI of the brain |
$1,981 |
$2,540 |
$1,605 |
$269 | |
| MRI of the brain with contrast |
$1,981 |
$2,540 |
$1,672 |
$269 | |
| MRI of the brain without contrast |
$1,892 |
$2,425 |
$1,591 |
$195 | |
| MRI of the chest |
$1,748 |
$2,242 |
$1,605 |
$371 | |
| MRI of the chest without contrast |
$1,977 |
$2,534 |
$1,672 |
$466 | |
| MRI of the knee |
$2,112 |
$2,708 |
$1,605 |
$315 | |
| MRI of the knee without contrast |
$1,892 |
$2,425 |
$1,591 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,042 |
$2,618 |
$1,605 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,042 |
$2,618 |
$1,672 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,775 |
$2,276 |
$1,591 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,042 |
$2,618 |
$1,631 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,308 |
$2,959 |
$1,672 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,042 |
$2,618 |
$1,672 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,892 |
$2,425 |
$1,591 |
$190 | |
| MRI of the neck (cervical spine) |
$2,117 |
$2,715 |
$1,605 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,308 |
$2,959 |
$1,672 |
$318 | |
| MRI of the neck (cervical spine) without contrast |
$1,927 |
$2,470 |
$1,591 |
$191 | |
| MRI of the pelvis |
$2,047 |
$2,624 |
$1,605 |
$268 | |
| MRI of the pelvis without contrast |
$1,780 |
$2,282 |
$1,591 |
$227 | |
| MRI of the shoulder |
$2,118 |
$2,716 |
$1,605 |
$313 | |
| MRI of the shoulder without contrast |
$1,892 |
$2,425 |
$1,591 |
$205 | |
| MRI of the wrist |
$1,902 |
$2,439 |
$1,605 |
$330 | |
| MRI of the wrist without contrast |
$1,654 |
$2,121 |
$1,591 |
$303 | |
| Nebulizer breathing treatment |
$145 |
$186 |
$12 |
$9 | |
| Nuclear cardiac stress test |
$2,755 |
$3,532 |
$4,283 |
$428 | |
| Occupational therapy evaluation |
$268 |
$344 |
$115 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$315 |
$404 |
$114 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$233 |
$299 |
$134 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$268 |
$344 |
— |
$101 | |
| Office visit (established patient) |
$274 |
$351 |
$110 |
$115 | |
| Office visit (new patient) |
$415 |
$532 |
$151 |
$177 | |
| Office visit, established patient (level 3) |
$226 |
$290 |
$81 |
$95 | |
| Office visit, established patient (level 4) |
$321 |
$412 |
$120 |
$136 | |
| Office visit, new patient (level 3) |
$280 |
$359 |
$92 |
$118 | |
| Office visit, new patient (level 4) |
$415 |
$532 |
$154 |
$177 | |
| Office visit, new patient (level 5) |
$547 |
$702 |
$204 |
$237 | |
| Pap smear (cervical screening) |
$78 |
$101 |
— |
$20 | |
| Parathyroid hormone (PTH) test |
$93 |
$119 |
— |
$41 | |
| Pelvic ultrasound |
$381 |
$489 |
$26 |
$78 | |
| Pelvic ultrasound (complete) |
$445 |
$570 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$317 |
$407 |
$26 |
$51 | |
| Phosphorus blood test |
$34 |
$44 |
— |
$5 | |
| Physical therapy evaluation |
$268 |
$344 |
$132 |
$98 | |
| Physical therapy evaluation (high complexity) |
$315 |
$404 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$268 |
$344 |
$112 |
$98 | |
| Pilonidal cyst removal |
$1,730 |
$2,219 |
$504 |
$541 | |
| Platelet count |
$37 |
$47 |
— |
$4 | |
| Pneumonia vaccine |
$150 |
$193 |
$220 |
— | |
| Pregnancy blood test (hCG) |
$36 |
$47 |
— |
$8 | |
| Pregnancy ultrasound |
$449 |
$576 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$403 |
$517 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$495 |
$634 |
— |
$136 | |
| Procalcitonin test |
$83 |
$107 |
— |
$27 | |
| Prolactin test |
$38 |
$49 |
— |
$19 | |
| Prostate test (PSA) |
$42 |
$53 |
— |
$18 | |
| Psychiatric evaluation |
$483 |
$619 |
$255 |
$188 | |
| Psychotherapy session |
$325 |
$416 |
$170 |
$140 | |
| Radiofrequency nerve ablation |
$3,093 |
$3,966 |
$401 |
$462 | |
| RSV vaccine |
$320 |
$411 |
— |
— | |
| Sacroiliac joint injection |
$1,289 |
$1,652 |
$94 |
$176 | |
| Scoliosis spine X-ray |
$255 |
$327 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$227 |
$291 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$282 |
$362 |
— |
$72 | |
| Screening colonoscopy |
$921 |
$1,181 |
$207 |
$378 | |
| Scrotal ultrasound |
$428 |
$549 |
$34 |
$99 | |
| Sedimentation rate (ESR) test |
$35 |
$44 |
— |
$3 | |
| Semen analysis |
$145 |
$185 |
— |
$12 | |
| Sex hormone binding globulin test |
$59 |
$75 |
— |
$22 | |
| Shingles vaccine |
$184 |
$236 |
— |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
$262 |
$336 |
$71 |
$114 | |
| Simple wound stitches |
$290 |
$372 |
$71 |
$127 | |
| Skin biopsy |
$334 |
$428 |
$67 |
$121 | |
| Skin biopsy (punch) |
$334 |
$428 |
$79 |
$121 | |
| Skin cancer lesion removal |
$719 |
$922 |
$287 |
$240 | |
| Skin lesion freezing (cryotherapy) |
$108 |
$138 |
$2 |
$36 | |
| Skin tag removal |
$260 |
$333 |
$112 |
$92 | |
| Sleep study (polysomnography) |
$3,280 |
$4,205 |
— |
$691 | |
| Soft tissue ultrasound |
$355 |
$455 |
$37 |
$64 | |
| Speech therapy |
$142 |
$182 |
$462 |
$76 | |
| Spinal tap (lumbar puncture) |
$951 |
$1,219 |
$66 |
$165 | |
| Spirometry (lung function test) |
$198 |
$254 |
$9 |
$30 | |
| Spirometry with bronchodilator |
$341 |
$437 |
$11 |
$43 | |
| Strep throat test |
$59 |
$75 |
— |
$17 | |
| Stress echocardiogram |
$1,136 |
$1,456 |
— |
$209 | |
| Swallow study |
$230 |
$295 |
— |
$85 | |
| T3 thyroid test |
$47 |
$60 |
— |
$14 | |
| Tdap (tetanus) vaccine |
$48 |
$61 |
$39 |
— | |
| Testosterone test |
$128 |
$164 |
— |
$26 | |
| Thyroid test (TSH) |
$64 |
$81 |
$136 |
$17 | |
| Thyroid ultrasound |
$389 |
$499 |
$30 |
$109 | |
| Thyroid uptake scan |
$967 |
$1,240 |
— |
$145 | |
| Tonsillectomy |
$1,029 |
$1,319 |
$336 |
$252 | |
| Total IgE allergy test |
$47 |
$61 |
— |
$16 | |
| Total protein test |
$33 |
$42 |
— |
$4 | |
| Transvaginal ultrasound |
$372 |
$477 |
$37 |
$118 | |
| Trigger point injection |
$169 |
$216 |
$47 |
$56 | |
| Trigger point injection (1-2 muscles) |
$157 |
$201 |
$42 |
$52 | |
| Triglycerides test |
$33 |
$43 |
— |
$6 | |
| Troponin (heart) test |
$93 |
$120 |
— |
$12 | |
| Turning a breech baby (version) |
$2,493 |
$3,196 |
— |
$94 | |
| Upper GI endoscopy (EGD) |
$782 |
$1,002 |
$154 |
$371 | |
| Uric acid (gout) test |
$33 |
$42 |
— |
$5 | |
| Urinalysis |
$32 |
$42 |
— |
$3 | |
| Urine microalbumin test |
$42 |
$54 |
— |
$5 | |
| Urine pregnancy test |
$40 |
$52 |
— |
$9 | |
| Vaccine administration |
$41 |
$53 |
$26 |
$19 | |
| Vaccine administration (each additional) |
$35 |
$45 |
$25 |
$16 | |
| Varicose vein ablation |
$4,211 |
$5,398 |
$289 |
$1,018 | |
| Vasectomy |
$1,140 |
$1,462 |
$268 |
$347 | |
| Vitamin B12 test |
$45 |
$57 |
— |
$15 | |
| Vitamin D test |
$61 |
$78 |
— |
$30 | |
| Wart removal |
$355 |
$456 |
$143 |
$121 | |
| Well-child visit |
$280 |
$359 |
$101 |
— | |
| Wound debridement |
$891 |
$1,142 |
$68 |
$186 | |
| X-ray of the abdomen |
$226 |
$290 |
— |
$36 | |
| X-ray of the ankle |
$223 |
$286 |
— |
$37 | |
| X-ray of the collarbone |
$189 |
$242 |
— |
$33 | |
| X-ray of the elbow |
$222 |
$284 |
— |
$33 | |
| X-ray of the facial bones |
$238 |
$305 |
— |
$39 | |
| X-ray of the foot |
$218 |
$279 |
— |
$34 | |
| X-ray of the forearm |
$199 |
$255 |
— |
$29 | |
| X-ray of the hand |
$208 |
$267 |
— |
$38 | |
| X-ray of the hip |
$231 |
$296 |
— |
$49 | |
| X-ray of the hip (1 view) |
$201 |
$258 |
— |
$34 | |
| X-ray of the hip (3 views) |
$231 |
$296 |
— |
$49 | |
| X-ray of the hip (4 views) |
$261 |
$335 |
— |
$63 | |
| X-ray of the knee |
$257 |
$329 |
— |
$42 | |
| X-ray of the knee (2 views) |
$194 |
$249 |
— |
$34 | |
| X-ray of the knee (3 views) |
$257 |
$329 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$290 |
$372 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$272 |
$349 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$270 |
$346 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$274 |
$351 |
— |
$53 | |
| X-ray of the lower leg |
$226 |
$290 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$244 |
$312 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$227 |
$291 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$261 |
$334 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$257 |
$330 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$222 |
$285 |
— |
$40 | |
| X-ray of the pelvis |
$243 |
$312 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$216 |
$277 |
— |
$28 | |
| X-ray of the ribs |
$284 |
$364 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$198 |
$254 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$284 |
$364 |
— |
$42 | |
| X-ray of the shoulder |
$231 |
$296 |
— |
$36 | |
| X-ray of the skull |
$224 |
$287 |
— |
$40 | |
| X-ray of the upper arm |
$224 |
$287 |
— |
$32 | |
| X-ray of the wrist |
$226 |
$290 |
— |
$43 | |
| Zinc blood test |
$53 |
$68 |
— |
$11 | |