| Annual physical (established patient) |
— |
— |
$140 |
— | |
| Annual physical (new patient) |
— |
— |
$163 |
— | |
| Bilirubin blood test |
$37 |
$54 |
$96 |
$5 | |
| Blood glucose test |
$32 |
$47 |
$42 |
$5 | |
| Breast ultrasound |
$193 |
$279 |
$263 |
$92 | |
| Breast ultrasound (complete) |
$223 |
$323 |
$273 |
$100 | |
| Breast ultrasound (limited) |
$163 |
$236 |
$212 |
$84 | |
| CEA tumor marker test |
$134 |
$194 |
$175 |
$19 | |
| Central line placement |
$1,167 |
$1,691 |
$1,522 |
$238 | |
| Chest fluid drain (thoracentesis) |
$1,057 |
$1,531 |
$1,378 |
$311 | |
| Circumcision |
— |
— |
$224 |
$167 | |
| CK-MB heart enzyme test |
$95 |
$138 |
$124 |
$12 | |
| Colonoscopy |
$2,139 |
$3,100 |
$2,790 |
$480 | |
| Contraceptive implant (Nexplanon) |
— |
— |
$160 |
$115 | |
| Copper blood test |
$97 |
$141 |
$127 |
$12 | |
| Cortisol test |
$116 |
$169 |
$152 |
$16 | |
| COVID-19 PCR test |
$85 |
$123 |
$143 |
$51 | |
| CT angiography of the chest |
$2,111 |
$3,059 |
$2,390 |
$281 | |
| CT scan of the abdomen and pelvis |
$1,687 |
$2,445 |
$2,201 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$1,784 |
$2,585 |
$2,327 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$1,687 |
$2,445 |
$2,176 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,617 |
$2,343 |
$2,109 |
$183 | |
| CT scan of the lower back (lumbar spine) |
$1,488 |
$2,157 |
$1,964 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,556 |
$2,255 |
$2,029 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,488 |
$2,157 |
$1,941 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,426 |
$2,067 |
$1,860 |
$130 | |
| CT scan of the neck (cervical spine) |
$1,488 |
$2,157 |
$1,964 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,556 |
$2,255 |
$2,029 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,488 |
$2,157 |
$1,941 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,426 |
$2,067 |
$1,860 |
$131 | |
| CT scan of the pelvis |
$1,487 |
$2,155 |
$1,951 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,556 |
$2,255 |
$2,029 |
$251 | |
| CT scan of the pelvis with contrast |
$1,487 |
$2,155 |
$1,939 |
$226 | |
| CT scan of the pelvis without contrast |
$1,417 |
$2,053 |
$1,848 |
$133 | |
| D-dimer test |
$71 |
$103 |
$107 |
$10 | |
| DHEA-sulfate test |
$274 |
$397 |
$358 |
$22 | |
| Dilation and curettage (D&C) |
— |
— |
$406 |
$298 | |
| EEG (awake and asleep) |
$619 |
$897 |
$807 |
$482 | |
| Electroencephalogram (EEG) |
$619 |
$897 |
$807 |
$448 | |
| Emergency department visit |
$279 |
$404 |
$364 |
$69 | |
| Emergency department visit (level 1) |
$127 |
$184 |
$165 |
$11 | |
| Emergency department visit (level 2) |
$181 |
$263 |
$236 |
$40 | |
| Emergency department visit (level 3) |
$279 |
$404 |
$364 |
$69 | |
| Emergency department visit (level 4) |
$449 |
$650 |
$585 |
$118 | |
| Emergency department visit (level 5) |
$690 |
$1,000 |
$900 |
$171 | |
| Ferritin (iron) test |
$108 |
$156 |
$141 |
$14 | |
| Fibrinogen test |
$106 |
$154 |
$139 |
$10 | |
| Folate (folic acid) test |
$114 |
$166 |
$149 |
$15 | |
| Free T4 thyroid test |
$75 |
$109 |
$98 |
$9 | |
| Ganglion cyst removal |
— |
— |
$477 |
$321 | |
| GGT liver test |
$70 |
$101 |
$91 |
$7 | |
| Glucose tolerance test |
$54 |
$78 |
$135 |
$8 | |
| HDL cholesterol test |
$70 |
$101 |
$91 |
$8 | |
| Holter heart monitor |
$427 |
$618 |
$748 |
$26 | |
| Hysterectomy |
— |
— |
$1,465 |
$933 | |
| IUD insertion |
— |
— |
$151 |
— | |
| IUD removal |
— |
— |
$153 |
$112 | |
| IV infusion therapy |
$99 |
$144 |
$131 |
$44 | |
| IV infusion therapy (each additional) |
$84 |
$122 |
$110 |
$21 | |
| IV infusion therapy (initial) |
$114 |
$166 |
$149 |
$67 | |
| Joint aspiration (small/intermediate) |
— |
— |
$76 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
— |
— |
$80 |
$57 | |
| Joint aspiration or injection (small joint) |
— |
— |
$75 |
$56 | |
| Kidney ultrasound |
$238 |
$345 |
$310 |
$84 | |
| Kidney ultrasound (limited) |
$238 |
$345 |
$310 |
$61 | |
| Knee arthroscopy |
— |
— |
$799 |
$524 | |
| Knee joint injection |
— |
— |
$97 |
$69 | |
| LDH test |
$59 |
$85 |
$77 |
$6 | |
| LDL cholesterol test |
$67 |
$97 |
$87 |
$11 | |
| Leg vein ultrasound (Doppler) |
$312 |
$453 |
$407 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$312 |
$453 |
$407 |
$116 | |
| Magnesium blood test |
$62 |
$90 |
$81 |
$7 | |
| MRI of the abdomen |
$2,314 |
$3,354 |
$2,985 |
$300 | |
| MRI of the abdomen with contrast |
$2,314 |
$3,354 |
$3,019 |
$300 | |
| MRI of the abdomen without contrast |
$1,861 |
$2,697 |
$2,427 |
$194 | |
| MRI of the ankle |
$1,381 |
$2,001 |
$2,020 |
$261 | |
| MRI of the ankle with contrast |
$1,566 |
$2,270 |
$2,111 |
$261 | |
| MRI of the ankle without contrast |
$1,195 |
$1,732 |
$1,610 |
$222 | |
| MRI of the chest |
$2,330 |
$3,376 |
$3,025 |
$371 | |
| MRI of the chest with contrast |
$2,314 |
$3,354 |
$3,019 |
$371 | |
| MRI of the chest without contrast |
$2,345 |
$3,399 |
$3,059 |
$466 | |
| MRI of the knee |
$1,542 |
$2,235 |
$2,248 |
$315 | |
| MRI of the knee with contrast |
$1,542 |
$2,235 |
$2,079 |
$315 | |
| MRI of the knee without contrast |
$1,186 |
$1,719 |
$1,598 |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,611 |
$2,335 |
$2,102 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,611 |
$2,335 |
$2,102 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,313 |
$1,903 |
$1,713 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,478 |
$2,142 |
$1,928 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,563 |
$3,715 |
$3,344 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,478 |
$2,142 |
$1,928 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,313 |
$1,903 |
$1,713 |
$190 | |
| MRI of the neck (cervical spine) |
$1,638 |
$2,374 |
$2,137 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,565 |
$3,717 |
$3,346 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,638 |
$2,374 |
$2,137 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,213 |
$1,758 |
$1,582 |
$191 | |
| MRI of the pelvis |
$2,314 |
$3,354 |
$3,019 |
$268 | |
| MRI of the pelvis with contrast |
$2,314 |
$3,354 |
$3,019 |
$268 | |
| MRI of the pelvis without contrast |
$1,861 |
$2,697 |
$2,427 |
$227 | |
| MRI of the shoulder |
$1,532 |
$2,220 |
$1,998 |
$313 | |
| MRI of the shoulder with contrast |
$1,532 |
$2,220 |
$1,998 |
$313 | |
| MRI of the shoulder without contrast |
$1,179 |
$1,708 |
$1,537 |
$205 | |
| MRI of the wrist |
$1,552 |
$2,249 |
$2,054 |
$330 | |
| MRI of the wrist with contrast |
$1,626 |
$2,357 |
$2,121 |
$330 | |
| MRI of the wrist without contrast |
$1,478 |
$2,142 |
$1,928 |
$303 | |
| Occupational therapy evaluation |
$92 |
$134 |
$122 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$95 |
$137 |
$123 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$90 |
$130 |
$117 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$92 |
$134 |
$121 |
$101 | |
| Office visit (established patient) |
— |
— |
$111 |
$115 | |
| Office visit (new patient) |
— |
— |
$189 |
$177 | |
| Office visit, established patient (level 3) |
— |
— |
$96 |
$95 | |
| Office visit, established patient (level 4) |
— |
— |
$137 |
$136 | |
| Office visit, new patient (level 3) |
— |
— |
$115 |
$118 | |
| Office visit, new patient (level 4) |
— |
— |
$189 |
$177 | |
| Office visit, new patient (level 5) |
— |
— |
$244 |
$237 | |
| Pelvic ultrasound |
$281 |
$407 |
$302 |
$78 | |
| Pelvic ultrasound (complete) |
$342 |
$495 |
$446 |
$105 | |
| Pelvic ultrasound (limited) |
$219 |
$318 |
$301 |
$51 | |
| Physical therapy evaluation |
$89 |
$129 |
$120 |
$98 | |
| Physical therapy evaluation (high complexity) |
$93 |
$135 |
$122 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$89 |
$129 |
$116 |
$98 | |
| Prolactin test |
$152 |
$220 |
$198 |
$19 | |
| Prostate test (PSA) |
$146 |
$211 |
$190 |
$18 | |
| Sedimentation rate (ESR) test |
$36 |
$52 |
$47 |
$3 | |
| Shoulder replacement |
— |
— |
$2,126 |
$1,300 | |
| Sleep study (polysomnography) |
$2,461 |
$3,567 |
$3,389 |
$691 | |
| Soft tissue ultrasound |
$283 |
$411 |
$369 |
$64 | |
| Thyroid test (TSH) |
$124 |
$179 |
$161 |
$17 | |
| Thyroid ultrasound |
$283 |
$411 |
$422 |
$109 | |
| Total protein test |
$37 |
$54 |
$49 |
$4 | |
| Trigger finger release |
— |
— |
$872 |
$630 | |
| Triglycerides test |
$68 |
$98 |
$88 |
$6 | |
| Troponin (heart) test |
$56 |
$81 |
$99 |
$12 | |
| Upper GI endoscopy (EGD) |
$695 |
$1,007 |
$906 |
$371 | |
| Upper GI series (barium) |
$390 |
$565 |
$578 |
$128 | |
| Vasectomy |
— |
— |
$519 |
$347 | |
| Well-child visit |
— |
— |
$117 |
— | |
| X-ray of the knee |
$177 |
$256 |
$245 |
$42 | |
| X-ray of the knee (3 views) |
$164 |
$237 |
$213 |
$42 | |
| X-ray of the knee (4+ views) |
$190 |
$276 |
$248 |
$49 | |