| 3D mammogram (tomosynthesis) |
$21 |
$593 |
$22 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$894 |
$2,567 |
$895 |
$284 | |
| Abdominal ultrasound |
$103 |
$1,035 |
$103 |
$100 | |
| Abdominal ultrasound (complete) |
$103 |
$1,398 |
$103 |
$114 | |
| Abdominal ultrasound (limited) |
$103 |
$672 |
$103 |
$86 | |
| Abscess drainage (complex or multiple) |
$401 |
$698 |
$401 |
$220 | |
| Abscess drainage (simple) |
$197 |
$698 |
$198 |
$129 | |
| Abscess incision and drainage |
$299 |
$698 |
$401 |
$174 | |
| Albumin blood test |
$4 |
$45 |
$5 |
$5 | |
| Aldosterone test |
$40 |
$581 |
$41 |
$41 | |
| Alkaline phosphatase test |
$5 |
$83 |
$5 |
$5 | |
| Allergy shots |
$46 |
$99 |
$46 |
$11 | |
| Alpha-fetoprotein (AFP) test |
$16 |
$275 |
$17 |
$17 | |
| ALT liver enzyme test |
$5 |
$90 |
$5 |
$5 | |
| Ammonia blood test |
$14 |
$306 |
$15 |
$15 | |
| Anoscopy |
$131 |
$333 |
$131 |
$129 | |
| Antinuclear antibody (ANA) test |
$12 |
$191 |
$12 |
$12 | |
| Aortic aneurysm repair (AAA) |
— |
$14,700 |
$14,700 |
$1,345 | |
| Aortic valve replacement |
— |
$19,629 |
$19,629 |
$1,603 | |
| Arterial blood gas (ABG) |
$26 |
$373 |
$26 |
$26 | |
| AST liver enzyme test |
$5 |
$67 |
$5 |
$5 | |
| Barium swallow study |
$173 |
$1,145 |
$173 |
$107 | |
| Bartholin cyst removal |
$199 |
$683 |
$199 |
$182 | |
| Benign skin lesion removal |
$698 |
$4,365 |
$699 |
$171 | |
| Bilirubin blood test |
$5 |
$167 |
$5 |
$5 | |
| Bladder scope (cystoscopy) |
$688 |
$1,337 |
$688 |
$216 | |
| Blood clotting test (PT/INR) |
$4 |
$100 |
$4 |
$4 | |
| Blood glucose test |
$4 |
$83 |
$5 |
$5 | |
| Blood transfusion |
$435 |
$1,606 |
$435 |
$47 | |
| Blood type and screen |
$51 |
$208 |
$51 |
$10 | |
| Blood type test (Rh/D antigen) |
$36 |
$58 |
$37 |
$3 | |
| BNP (heart failure) test |
$39 |
$668 |
$39 |
$39 | |
| Bone density scan (DEXA) |
$103 |
$828 |
$103 |
$39 | |
| Bone marrow biopsy |
$2,248 |
$3,527 |
$1,101 |
$172 | |
| Bone scan (nuclear) |
$394 |
$1,462 |
$394 |
$259 | |
| Breast biopsy |
$1,629 |
$5,091 |
$1,630 |
$478 | |
| Breast MRI |
$235 |
$1,235 |
$235 |
$216 | |
| Breast MRI without contrast |
$235 |
$1,235 |
$235 |
$216 | |
| Breast ultrasound |
$94 |
$612 |
$103 |
$92 | |
| Breast ultrasound (complete) |
$103 |
$612 |
$103 |
$100 | |
| Breast ultrasound (limited) |
$85 |
$612 |
$86 |
$84 | |
| Breathing tube insertion (intubation) |
$233 |
$838 |
$234 |
$133 | |
| Bronchoscopy |
$1,756 |
$4,785 |
$1,756 |
$303 | |
| Burn dressing and debridement (medium) |
$197 |
$883 |
$198 |
$166 | |
| Burn dressing and debridement (small) |
$197 |
$331 |
$198 |
$93 | |
| Burn treatment |
$197 |
$607 |
$198 |
$129 | |
| CA 19-9 tumor marker test |
$20 |
$139 |
$21 |
$21 | |
| CA-125 ovarian marker test |
$20 |
$293 |
$21 |
$21 | |
| Calcium blood test |
$5 |
$36 |
$5 |
$5 | |
| Capsule endoscopy |
$894 |
$8,483 |
$895 |
$802 | |
| Cardiac ablation |
$25,790 |
$60,117 |
$25,790 |
$759 | |
| Cardiac catheterization |
$3,198 |
$16,182 |
$3,199 |
$1,049 | |
| Cardiac MRI |
$290 |
$1,523 |
$344 |
$322 | |
| Cardiac MRI without contrast |
$235 |
$978 |
$235 |
$280 | |
| Cardiac rehabilitation |
$127 |
$160 |
$127 |
$26 | |
| Cardioversion |
$652 |
$1,348 |
$652 |
$155 | |
| Carotid artery surgery |
— |
$12,131 |
$12,131 |
$1,026 | |
| Carotid artery ultrasound |
$169 |
$1,395 |
$235 |
$156 | |
| CEA tumor marker test |
$18 |
$296 |
$19 |
$19 | |
| Central line placement |
$3,115 |
$3,467 |
$3,115 |
$238 | |
| Cesarean section (C-section) |
$8,941 |
— |
$13,086 |
$7,552 | |
| Chemotherapy infusion |
$198 |
$880 |
$318 |
$81 | |
| Chemotherapy infusion (each additional) |
$71 |
$311 |
$71 |
$28 | |
| Chemotherapy infusion (first hour) |
$325 |
$1,449 |
$326 |
$133 | |
| Chest fluid drain (thoracentesis) |
$618 |
$2,691 |
$619 |
$311 | |
| Chest tube insertion |
$1,553 |
$1,890 |
$1,553 |
$143 | |
| Chest X-ray |
$85 |
$319 |
$94 |
$37 | |
| Chest X-ray (1 view) |
$85 |
$319 |
$86 |
$25 | |
| Chest X-ray (2 views) |
$85 |
$319 |
$86 |
$33 | |
| CK-MB heart enzyme test |
$11 |
$263 |
$12 |
$12 | |
| Clotting time test (PTT) |
$6 |
$146 |
$6 |
$6 | |
| Complete blood count (CBC) |
$7 |
$110 |
$8 |
$7 | |
| Complete blood count (CBC) (complete) |
$7 |
$118 |
$8 |
$8 | |
| Complex wound repair |
$729 |
$2,363 |
$729 |
$390 | |
| Contraceptive implant (Nexplanon) |
$440 |
$1,146 |
$441 |
$115 | |
| Copper blood test |
$12 |
$136 |
$12 |
$12 | |
| Coronary artery bypass (CABG) |
$39,293 |
— |
$43,876 |
$36,593 | |
| Coronary CT angiography |
$344 |
$1,814 |
$344 |
$326 | |
| Cortisol test |
$16 |
$223 |
$16 |
$16 | |
| COVID-19 PCR test |
$51 |
$183 |
$51 |
$51 | |
| CPAP titration study |
$216 |
$685 |
$216 |
$69 | |
| Creatine kinase (CK) test |
$6 |
$168 |
$7 |
$7 | |
| CT scan of the abdomen |
$173 |
$3,447 |
$173 |
$230 | |
| CT scan of the abdomen and pelvis |
$344 |
$3,459 |
$344 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$344 |
$3,903 |
$344 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$344 |
$3,459 |
$344 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$235 |
$2,416 |
$235 |
$183 | |
| CT scan of the abdomen with contrast |
$173 |
$3,447 |
$173 |
$230 | |
| CT scan of the arm |
$173 |
$2,008 |
$344 |
$199 | |
| CT scan of the arm with contrast |
$344 |
$2,008 |
$344 |
$199 | |
| CT scan of the chest |
$173 |
$3,165 |
$173 |
$167 | |
| CT scan of the chest with contrast |
$173 |
$3,165 |
$173 |
$167 | |
| CT scan of the head |
$173 |
$2,340 |
$173 |
$148 | |
| CT scan of the head with and without contrast |
$173 |
$2,818 |
$173 |
$173 | |
| CT scan of the head with contrast |
$173 |
$2,340 |
$173 |
$148 | |
| CT scan of the leg |
$173 |
$2,169 |
$173 |
$166 | |
| CT scan of the leg with contrast |
$173 |
$2,169 |
$173 |
$166 | |
| CT scan of the lower back (lumbar spine) |
$173 |
$2,536 |
$344 |
$169 | |
| CT scan of the lower back (lumbar spine) with contrast |
$344 |
$2,607 |
$344 |
$169 | |
| CT scan of the neck |
$173 |
$2,634 |
$173 |
$183 | |
| CT scan of the neck (cervical spine) |
$173 |
$2,132 |
$344 |
$168 | |
| CT scan of the neck (cervical spine) with contrast |
$344 |
$3,258 |
$344 |
$168 | |
| CT scan of the neck with and without contrast |
$173 |
$3,603 |
$173 |
$220 | |
| CT scan of the neck with contrast |
$173 |
$2,634 |
$173 |
$183 | |
| CT scan of the pelvis |
$173 |
$2,424 |
$173 |
$226 | |
| CT scan of the pelvis with and without contrast |
$173 |
$3,336 |
$173 |
$251 | |
| CT scan of the pelvis with contrast |
$173 |
$2,424 |
$173 |
$226 | |
| CT scan of the sinuses |
$173 |
$1,978 |
$173 |
$152 | |
| CT scan of the sinuses with and without contrast |
$173 |
$2,499 |
$173 |
$184 | |
| CT scan of the sinuses with contrast |
$173 |
$1,978 |
$173 |
$152 | |
| Defibrillator (ICD) implant |
$30,971 |
$135,898 |
$30,971 |
$798 | |
| Developmental screening (child) |
— |
$449 |
$95 |
— | |
| DHEA-sulfate test |
$22 |
$376 |
$22 |
$22 | |
| Diagnostic mammogram |
$90 |
$628 |
$102 |
$140 | |
| Drug screen (urine) |
$17 |
$200 |
$17 |
$17 | |
| Echocardiogram |
$387 |
$2,520 |
$539 |
$138 | |
| Echocardiogram with and without contrast |
$235 |
$1,871 |
$235 |
$101 | |
| EEG (awake and asleep) |
$213 |
$2,220 |
$213 |
$482 | |
| Electroencephalogram (EEG) |
$213 |
$1,579 |
$213 |
$448 | |
| Electrolyte panel |
$7 |
$118 |
$7 |
$7 | |
| Emergency department visit |
$269 |
$1,074 |
$315 |
$69 | |
| Emergency department visit (level 1) |
$83 |
$315 |
$83 |
$11 | |
| Emergency department visit (level 2) |
$151 |
$523 |
$151 |
$40 | |
| Emergency department visit (level 3) |
$269 |
$1,074 |
$269 |
$69 | |
| Emergency department visit (level 4) |
$411 |
$1,962 |
$412 |
$118 | |
| Emergency department visit (level 5) |
$587 |
$3,182 |
$588 |
$171 | |
| Endometrial biopsy |
$199 |
$725 |
$199 |
$98 | |
| Epidural steroid injection |
$696 |
$3,507 |
$696 |
$275 | |
| ERCP (bile duct endoscopy) |
$3,804 |
$7,152 |
$3,804 |
$311 | |
| Estradiol (estrogen) test |
$27 |
$351 |
$28 |
$28 | |
| Facet joint injection (spine) |
$872 |
$2,792 |
$873 |
$99 | |
| Fallopian tube X-ray (HSG) |
$235 |
$752 |
$235 |
$164 | |
| Fecal occult blood (stool) test |
$10 |
$96 |
$16 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$4 |
$76 |
$4 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$15 |
$116 |
$16 |
$16 | |
| Ferritin (iron) test |
$13 |
$211 |
$14 |
$14 | |
| Fibrinogen test |
$9 |
$165 |
$10 |
$10 | |
| Flu vaccine |
— |
— |
$24 |
— | |
| Folate (folic acid) test |
$14 |
$183 |
$15 |
$15 | |
| Foreign body removal (skin) |
$401 |
$375 |
$375 |
$157 | |
| Free T4 thyroid test |
$9 |
$253 |
$9 |
$9 | |
| FSH hormone test |
$18 |
$267 |
$19 |
$19 | |
| Gallbladder scan (HIDA) |
$465 |
$1,631 |
$536 |
$334 | |
| GGT liver test |
$7 |
$151 |
$7 |
$7 | |
| Glucose tolerance test |
$8 |
$139 |
$13 |
$8 | |
| HDL cholesterol test |
$8 |
$177 |
$8 |
$8 | |
| Hemodialysis |
$677 |
$3,369 |
$677 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$9 |
$177 |
$10 |
$10 | |
| Hepatitis A vaccine |
— |
— |
$155 |
— | |
| Hepatitis B test |
$10 |
$137 |
$10 |
$10 | |
| Hepatitis B vaccine |
— |
— |
$85 |
— | |
| Hepatitis C test |
$14 |
$264 |
$14 |
$14 | |
| HIV test |
$13 |
$114 |
$14 |
$19 | |
| HIV test (antibody) |
$13 |
$114 |
$14 |
$14 | |
| Home sleep apnea test |
$213 |
$642 |
$213 |
$123 | |
| Inguinal hernia repair |
$3,532 |
$13,837 |
$3,533 |
$538 | |
| Iron blood test |
$6 |
$97 |
$6 |
$6 | |
| IUD removal |
$300 |
$756 |
$301 |
$112 | |
| IV infusion therapy |
$128 |
$712 |
$210 |
$44 | |
| IV infusion therapy (each additional) |
$46 |
$405 |
$46 |
$21 | |
| IV infusion therapy (initial) |
$209 |
$1,019 |
$210 |
$67 | |
| IVC filter placement |
$5,490 |
$14,945 |
$5,490 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$302 |
$811 |
$303 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$302 |
$443 |
$303 |
$57 | |
| Joint aspiration or injection (small joint) |
$302 |
$1,179 |
$303 |
$56 | |
| Kidney biopsy |
$1,629 |
$2,355 |
$1,630 |
$492 | |
| Kidney scan (nuclear) |
$535 |
$1,485 |
$536 |
$172 | |
| Kidney ultrasound |
$103 |
$932 |
$103 |
$84 | |
| Kidney ultrasound (limited) |
$103 |
$678 |
$103 |
$61 | |
| Knee joint injection |
$302 |
$1,179 |
$303 |
$69 | |
| Knee replacement |
$19,917 |
— |
$23,184 |
$18,054 | |
| Lactate test |
$11 |
$174 |
$12 |
$12 | |
| Laryngoscopy |
$976 |
$881 |
$881 |
$189 | |
| LDH test |
$6 |
$128 |
$6 |
$6 | |
| LDL cholesterol test |
$10 |
$129 |
$11 |
$11 | |
| Leg artery angiogram |
$3,115 |
$10,260 |
$3,115 |
$149 | |
| Leg vein ultrasound (Doppler) |
$169 |
$1,956 |
$235 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$103 |
$1,617 |
$103 |
$116 | |
| LH hormone test |
$18 |
$289 |
$19 |
$19 | |
| Lipid (cholesterol) panel |
$13 |
$248 |
$13 |
$13 | |
| Liver biopsy |
$1,629 |
$4,096 |
$1,630 |
$288 | |
| Lung function test (PFT) |
$291 |
$500 |
$368 |
$37 | |
| Lung scan (V/Q) |
$535 |
$1,827 |
$536 |
$291 | |
| Magnesium blood test |
$6 |
$108 |
$7 |
$7 | |
| MMR vaccine |
— |
— |
$208 |
— | |
| MRA of the brain |
$344 |
$2,434 |
$344 |
$226 | |
| MRA of the brain with contrast |
$344 |
$2,434 |
$344 |
$226 | |
| MRA of the brain without contrast |
$344 |
$3,686 |
$344 |
$328 | |
| MRA of the neck |
$344 |
$2,181 |
$344 |
$245 | |
| MRA of the neck with contrast |
$344 |
$2,181 |
$344 |
$245 | |
| MRA of the neck without contrast |
$344 |
$3,073 |
$344 |
$343 | |
| MRI of the abdomen |
$344 |
$2,699 |
$344 |
$300 | |
| MRI of the abdomen with contrast |
$344 |
$2,699 |
$344 |
$300 | |
| MRI of the abdomen without contrast |
$235 |
$1,937 |
$235 |
$194 | |
| MRI of the ankle |
$344 |
$2,699 |
$344 |
$261 | |
| MRI of the ankle with contrast |
$344 |
$2,699 |
$344 |
$261 | |
| MRI of the ankle without contrast |
$235 |
$2,488 |
$235 |
$222 | |
| MRI of the brain |
$344 |
$2,252 |
$344 |
$269 | |
| MRI of the brain with contrast |
$344 |
$2,252 |
$344 |
$269 | |
| MRI of the brain without contrast |
$235 |
$2,179 |
$235 |
$195 | |
| MRI of the chest |
$344 |
$2,893 |
$773 |
$371 | |
| MRI of the chest with contrast |
$773 |
$2,699 |
$773 |
$371 | |
| MRI of the chest without contrast |
$344 |
$3,751 |
$344 |
$466 | |
| MRI of the knee |
$344 |
$3,322 |
$773 |
$315 | |
| MRI of the knee with contrast |
$773 |
$3,322 |
$773 |
$315 | |
| MRI of the knee without contrast |
$235 |
$2,883 |
$235 |
$204 | |
| MRI of the lower back (lumbar spine) |
$344 |
$2,668 |
$344 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$344 |
$2,658 |
$344 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$235 |
$2,668 |
$235 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$344 |
$2,613 |
$344 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$344 |
$3,196 |
$344 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$344 |
$2,563 |
$344 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$235 |
$2,613 |
$235 |
$190 | |
| MRI of the neck (cervical spine) |
$344 |
$2,788 |
$344 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$344 |
$3,089 |
$344 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$344 |
$2,788 |
$344 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$235 |
$2,407 |
$235 |
$191 | |
| MRI of the pelvis |
$344 |
$2,699 |
$344 |
$268 | |
| MRI of the pelvis with contrast |
$344 |
$2,699 |
$344 |
$268 | |
| MRI of the pelvis without contrast |
$235 |
$2,692 |
$235 |
$227 | |
| MRI of the shoulder |
$344 |
$2,768 |
$773 |
$313 | |
| MRI of the shoulder with contrast |
$773 |
$2,768 |
$773 |
$313 | |
| MRI of the shoulder without contrast |
$235 |
$2,668 |
$235 |
$205 | |
| MRI of the wrist |
$344 |
$2,699 |
$344 |
$330 | |
| MRI of the wrist with contrast |
$344 |
$2,699 |
$344 |
$330 | |
| MRI of the wrist without contrast |
$235 |
$2,336 |
$235 |
$303 | |
| Nuclear cardiac stress test |
$1,277 |
$4,980 |
$1,277 |
$428 | |
| Occupational therapy evaluation |
$96 |
$627 |
$97 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$96 |
$627 |
$97 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$96 |
$627 |
$97 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$96 |
$627 |
$97 |
$101 | |
| Office visit (established patient) |
— |
$292 |
— |
$115 | |
| Office visit, established patient (level 4) |
— |
$292 |
— |
$136 | |
| Pacemaker insertion |
$17,254 |
— |
$23,477 |
$15,506 | |
| Pap smear (cervical screening) |
$20 |
$182 |
$20 |
$20 | |
| Parathyroid hormone (PTH) test |
$41 |
$338 |
$41 |
$41 | |
| Pelvic ultrasound |
$103 |
$929 |
$103 |
$78 | |
| Pelvic ultrasound (complete) |
$103 |
$1,181 |
$103 |
$105 | |
| Pelvic ultrasound (limited) |
$103 |
$678 |
$103 |
$51 | |
| Physical therapy evaluation |
$94 |
$526 |
$94 |
$98 | |
| Physical therapy evaluation (high complexity) |
$94 |
$526 |
$94 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$94 |
$526 |
$94 |
$98 | |
| Platelet count |
$4 |
$76 |
$4 |
$4 | |
| Pneumonia vaccine |
— |
— |
$162 |
— | |
| Pregnancy ultrasound |
$103 |
$1,045 |
$103 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$103 |
$968 |
$103 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$103 |
$1,122 |
$103 |
$136 | |
| Prolactin test |
$19 |
$243 |
$19 |
$19 | |
| Prostate test (PSA) |
$18 |
$231 |
$18 |
$18 | |
| Psychiatric evaluation |
$175 |
$549 |
$175 |
$188 | |
| Pulmonary rehabilitation |
$58 |
$262 |
$58 |
$87 | |
| Scoliosis spine X-ray |
$94 |
$573 |
$103 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$85 |
$431 |
$86 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$103 |
$714 |
$103 |
$72 | |
| Screening mammogram |
$83 |
$668 |
$84 |
$126 | |
| Scrotal ultrasound |
$103 |
$1,040 |
$103 |
$99 | |
| Sedimentation rate (ESR) test |
$4 |
$103 |
$4 |
$3 | |
| Semen analysis |
$12 |
$98 |
$12 |
$12 | |
| Sex hormone binding globulin test |
$21 |
$138 |
$22 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$197 |
$432 |
$198 |
$114 | |
| Simple wound stitches |
$197 |
$465 |
$198 |
$127 | |
| Skin biopsy |
$401 |
$1,149 |
$678 |
$121 | |
| Skin biopsy (punch) |
$401 |
$1,149 |
$401 |
$121 | |
| Skin tag removal |
$197 |
$233 |
$198 |
$92 | |
| Sleep study (polysomnography) |
$847 |
$5,920 |
$847 |
$691 | |
| Soft tissue ultrasound |
$103 |
$537 |
$103 |
$64 | |
| Speech therapy |
$73 |
$455 |
$73 |
$76 | |
| Spinal tap (lumbar puncture) |
$696 |
$948 |
$696 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$7,159 |
$39,277 |
$7,160 |
$5,803 | |
| Spirometry (lung function test) |
$213 |
$424 |
$213 |
$30 | |
| Spirometry with bronchodilator |
$368 |
$577 |
$368 |
$43 | |
| Strep throat test |
$16 |
$128 |
$17 |
$17 | |
| Stress echocardiogram |
$539 |
$3,016 |
$539 |
$209 | |
| Stress echocardiogram (complete) |
$539 |
$3,016 |
$539 |
$233 | |
| Swallow study |
$56 |
$620 |
$57 |
$85 | |
| T3 thyroid test |
$14 |
$194 |
$14 |
$14 | |
| Tdap (tetanus) vaccine |
— |
— |
$84 |
— | |
| Testosterone test |
$25 |
$347 |
$26 |
$26 | |
| Thyroid test (TSH) |
$16 |
$264 |
$17 |
$17 | |
| Thyroid ultrasound |
$103 |
$1,069 |
$103 |
$109 | |
| Thyroid uptake scan |
$394 |
$946 |
$394 |
$145 | |
| Tilt table test |
$368 |
$1,428 |
$368 |
$168 | |
| Tracheostomy |
$3,271 |
$9,559 |
$3,271 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$539 |
$3,845 |
$539 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$539 |
$3,845 |
$539 |
$239 | |
| Transvaginal ultrasound |
$103 |
$718 |
$103 |
$118 | |
| Trigger point injection |
$302 |
$1,171 |
$303 |
$56 | |
| Trigger point injection (1-2 muscles) |
$302 |
$1,200 |
$303 |
$52 | |
| Triglycerides test |
$5 |
$155 |
$6 |
$6 | |
| Troponin (heart) test |
$12 |
$248 |
$12 |
$12 | |
| Upper GI series (barium) |
$173 |
$1,268 |
$173 |
$128 | |
| Urine microalbumin test |
$5 |
$130 |
$6 |
$5 | |
| Urine pregnancy test |
$8 |
$96 |
$9 |
$9 | |
| Vaccine administration (each additional) |
— |
$25 |
— |
$16 | |
| Vaginal delivery |
$6,782 |
— |
$8,924 |
$5,487 | |
| Varicose vein ablation |
$3,115 |
$30,291 |
$3,115 |
$1,018 | |
| Vitamin B12 test |
$15 |
$272 |
$15 |
$15 | |
| Vitamin D test |
$29 |
$140 |
$30 |
$30 | |
| Wart removal |
$197 |
$747 |
$198 |
$121 | |
| Weight-loss (bariatric) surgery |
$13,218 |
— |
$18,871 |
$11,645 | |
| Wound debridement |
$565 |
$647 |
$647 |
$186 | |
| X-ray of the abdomen |
$103 |
$769 |
$103 |
$36 | |
| X-ray of the ankle |
$85 |
$483 |
$86 |
$37 | |
| X-ray of the collarbone |
$85 |
$418 |
$86 |
$33 | |
| X-ray of the elbow |
$85 |
$533 |
$86 |
$33 | |
| X-ray of the facial bones |
$94 |
$478 |
$103 |
$39 | |
| X-ray of the foot |
$85 |
$491 |
$86 |
$34 | |
| X-ray of the forearm |
$85 |
$439 |
$86 |
$29 | |
| X-ray of the hand |
$85 |
$513 |
$86 |
$38 | |
| X-ray of the hip |
$85 |
$435 |
$86 |
$49 | |
| X-ray of the hip (1 view) |
$85 |
$438 |
$86 |
$34 | |
| X-ray of the hip (3 views) |
$85 |
$431 |
$86 |
$49 | |
| X-ray of the knee |
$85 |
$564 |
$103 |
$42 | |
| X-ray of the knee (2 views) |
$85 |
$219 |
$86 |
$34 | |
| X-ray of the knee (3 views) |
$85 |
$564 |
$86 |
$42 | |
| X-ray of the knee (4+ views) |
$103 |
$631 |
$103 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$103 |
$793 |
$103 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$103 |
$706 |
$103 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$103 |
$879 |
$103 |
$53 | |
| X-ray of the lower leg |
$85 |
$493 |
$86 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$103 |
$595 |
$103 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$103 |
$608 |
$103 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$103 |
$581 |
$103 |
$39 | |
| X-ray of the neck (cervical spine) |
$94 |
$685 |
$103 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$85 |
$583 |
$86 |
$40 | |
| X-ray of the pelvis |
$103 |
$671 |
$103 |
$36 | |
| X-ray of the pelvis (1 view) |
$103 |
$725 |
$103 |
$28 | |
| X-ray of the ribs |
$103 |
$689 |
$103 |
$42 | |
| X-ray of the ribs (2 views) |
$85 |
$533 |
$86 |
$36 | |
| X-ray of the ribs (3 views) |
$103 |
$774 |
$103 |
$42 | |
| X-ray of the shoulder |
$85 |
$538 |
$86 |
$36 | |
| X-ray of the skull |
$103 |
$633 |
$103 |
$40 | |
| X-ray of the upper arm |
$85 |
$517 |
$86 |
$32 | |
| X-ray of the wrist |
$85 |
$488 |
$86 |
$43 | |
| Zinc blood test |
$11 |
$114 |
$11 |
$11 | |