| 3D mammogram (tomosynthesis) |
$26 |
$98 |
$66 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$709 |
$2,627 |
$540 |
$284 | |
| Abdominal ultrasound |
$306 |
$1,132 |
$345 |
$100 | |
| Abdominal ultrasound (complete) |
$353 |
$1,308 |
$345 |
$114 | |
| Abdominal ultrasound (limited) |
$258 |
$956 |
$345 |
$86 | |
| Abscess drainage (complex or multiple) |
$153 |
$567 |
$383 |
$220 | |
| Abscess drainage (simple) |
$268 |
$994 |
$112 |
$129 | |
| Abscess incision and drainage |
$211 |
$781 |
$193 |
$174 | |
| Acupuncture |
$19 |
$72 |
$33 |
$38 | |
| Acupuncture (each additional) |
$19 |
$72 |
$0 |
$28 | |
| Albumin blood test |
$42 |
$155 |
$5 |
$5 | |
| Aldosterone test |
$161 |
$597 |
$45 |
$41 | |
| Alkaline phosphatase test |
$64 |
$238 |
$6 |
$5 | |
| Allergy patch testing |
$683 |
$2,530 |
$173 |
$5 | |
| Allergy shots |
$43 |
$161 |
$287 |
$11 | |
| Alpha-fetoprotein (AFP) test |
$128 |
$473 |
$18 |
$17 | |
| ALT liver enzyme test |
$65 |
$241 |
$6 |
$5 | |
| Ammonia blood test |
$76 |
$281 |
$16 |
$15 | |
| Amniocentesis |
$274 |
$1,013 |
$87 |
$120 | |
| Amylase test |
$69 |
$254 |
$7 |
$6 | |
| Anal fistula repair |
— |
$6,889 |
$2,041 |
$541 | |
| Annual physical (established patient) |
$126 |
$465 |
$119 |
— | |
| Anoscopy |
$104 |
$384 |
$68 |
$129 | |
| Antinuclear antibody (ANA) test |
$73 |
$270 |
$13 |
$12 | |
| Arterial blood gas (ABG) |
$155 |
$574 |
$21 |
$26 | |
| AST liver enzyme test |
$69 |
$256 |
$6 |
$5 | |
| Barium swallow study |
$317 |
$1,173 |
$261 |
$107 | |
| Bartholin cyst removal |
$120 |
$443 |
$116 |
$182 | |
| Basic metabolic panel |
$93 |
$343 |
$9 |
$8 | |
| Benign skin lesion removal |
$373 |
$1,383 |
$159 |
$171 | |
| Bilirubin blood test |
$55 |
$203 |
$6 |
$5 | |
| Bladder function test (urodynamics) |
$484 |
$1,794 |
$236 |
$345 | |
| Bladder scope (cystoscopy) |
$816 |
$3,024 |
$84 |
$216 | |
| Bladder tumor removal (TURBT) |
$2,284 |
$8,460 |
$302 |
$236 | |
| Blood clotting test (PT/INR) |
$50 |
$185 |
$4 |
$4 | |
| Blood crossmatch |
$56 |
$208 |
$51 |
— | |
| Blood glucose test |
$16 |
$58 |
$4 |
$5 | |
| Blood transfusion |
$963 |
$3,567 |
$361 |
$47 | |
| Blood type and screen |
$30 |
$111 |
$7 |
$10 | |
| Blood type test |
$9 |
$34 |
$3 |
$3 | |
| Blood type test (Rh/D antigen) |
$14 |
$51 |
$3 |
$3 | |
| BNP (heart failure) test |
$55 |
$205 |
$39 |
$39 | |
| Bone density scan (DEXA) |
$203 |
$750 |
$231 |
$39 | |
| Bone marrow biopsy |
$869 |
$3,217 |
$78 |
$172 | |
| Bone scan (nuclear) |
$956 |
$3,541 |
$829 |
$259 | |
| Botox for migraine |
$257 |
$952 |
$133 |
$157 | |
| Breast biopsy |
$686 |
$2,542 |
$187 |
$478 | |
| Breast MRI |
$1,041 |
$3,856 |
$1,262 |
$216 | |
| Breast ultrasound |
$225 |
$834 |
$235 |
$92 | |
| Breast ultrasound (complete) |
$205 |
$761 |
$235 |
$100 | |
| Breast ultrasound (limited) |
$245 |
$906 |
$235 |
$84 | |
| Breathing tube insertion (intubation) |
$233 |
$862 |
$151 |
$133 | |
| Bronchoscopy |
$1,397 |
$2,294 |
$794 |
$303 | |
| Burn dressing and debridement (medium) |
$257 |
$951 |
$117 |
$166 | |
| Burn dressing and debridement (small) |
$226 |
$837 |
$59 |
$93 | |
| Burn treatment |
$241 |
$894 |
$117 |
$129 | |
| C-reactive protein (CRP) |
$68 |
$251 |
$6 |
$5 | |
| CA 19-9 tumor marker test |
$22 |
$80 |
$23 |
$21 | |
| CA-125 ovarian marker test |
$83 |
$306 |
$23 |
$21 | |
| Calcium blood test |
$54 |
$201 |
$6 |
$5 | |
| Capsule endoscopy |
— |
$3,078 |
$585 |
$802 | |
| Cardiac ablation |
$11,638 |
$43,104 |
$991 |
$759 | |
| Cardiac catheterization |
$3,367 |
$12,469 |
$743 |
$1,049 | |
| Cardiac event monitor |
$232 |
$860 |
$608 |
$170 | |
| Cardiac MRI |
$2,180 |
$7,623 |
$755 |
$322 | |
| Cardiac MRI without contrast |
$2,180 |
$8,074 |
$755 |
$280 | |
| Cardiac rehabilitation |
$47 |
$174 |
$110 |
$26 | |
| Cardiac stress test |
$442 |
$1,637 |
$497 |
$39 | |
| Cardioversion |
$305 |
$1,129 |
$1,767 |
$155 | |
| Carotid artery ultrasound |
$399 |
$1,476 |
$520 |
$156 | |
| Cataract surgery |
$1,544 |
$5,718 |
$558 |
$547 | |
| CEA tumor marker test |
$92 |
$342 |
$21 |
$19 | |
| Celiac disease test |
$9 |
$32 |
$9 |
$12 | |
| Central line placement |
$2,125 |
$7,870 |
$660 |
$238 | |
| Cervical LEEP procedure |
$1,574 |
$5,830 |
$270 |
$325 | |
| Chalazion (eyelid cyst) removal |
$313 |
$1,160 |
$106 |
$131 | |
| Chemotherapy infusion |
$316 |
$1,170 |
$260 |
$81 | |
| Chemotherapy infusion (each additional) |
$145 |
$536 |
$260 |
$28 | |
| Chemotherapy infusion (first hour) |
$487 |
$1,804 |
$260 |
$133 | |
| Chest fluid drain (thoracentesis) |
$639 |
$2,366 |
$114 |
$311 | |
| Chest tube insertion |
$1,489 |
$5,516 |
$499 |
$143 | |
| Chest X-ray |
$138 |
$512 |
$159 |
$37 | |
| Chest X-ray (1 view) |
$80 |
$296 |
$159 |
$25 | |
| Chest X-ray (2 views) |
$118 |
$437 |
$159 |
$33 | |
| Chickenpox (varicella) vaccine |
$142 |
$526 |
$182 |
— | |
| Circumcision |
$1,652 |
$6,118 |
$209 |
$167 | |
| CK-MB heart enzyme test |
$136 |
$504 |
$13 |
$12 | |
| Clotting time test (PTT) |
$59 |
$219 |
$7 |
$6 | |
| Colonoscopy |
$1,016 |
$3,764 |
$210 |
$480 | |
| Colposcopy |
$262 |
$969 |
$142 |
$161 | |
| Complete blood count (CBC) |
$70 |
$260 |
$8 |
$7 | |
| Complete blood count (CBC) (complete) |
$82 |
$305 |
$9 |
$8 | |
| Complex wound repair |
$277 |
$1,025 |
$258 |
$390 | |
| Comprehensive eye exam |
$104 |
$384 |
$217 |
$138 | |
| Comprehensive metabolic panel |
$114 |
$424 |
$12 |
$11 | |
| Contact lens fitting |
$117 |
$433 |
$0 |
— | |
| Contraceptive implant (Nexplanon) |
$366 |
$1,356 |
$110 |
$115 | |
| Copper blood test |
$69 |
$255 |
$14 |
$12 | |
| Coronary CT angiography |
$266 |
$985 |
$568 |
$326 | |
| Cortisol test |
$117 |
$432 |
$18 |
$16 | |
| COVID-19 PCR test |
$43 |
$159 |
$51 |
$51 | |
| COVID-19 vaccine |
— |
$0 |
— |
— | |
| CPAP titration study |
$197 |
$731 |
$291 |
$69 | |
| Creatine kinase (CK) test |
$58 |
$213 |
$7 |
$7 | |
| CT angiography of the chest |
$940 |
$3,482 |
$747 |
$281 | |
| CT angiography of the head |
$951 |
$3,522 |
$747 |
$274 | |
| CT colonography (virtual colonoscopy) |
$132 |
$489 |
$1,637 |
$835 | |
| CT scan of the abdomen |
$231 |
$857 |
$341 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,110 |
$7,813 |
$715 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,904 |
$10,757 |
$999 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,110 |
$7,813 |
$999 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,698 |
$6,289 |
$619 |
$183 | |
| CT scan of the abdomen with and without contrast |
$231 |
$857 |
$718 |
$259 | |
| CT scan of the abdomen with contrast |
$266 |
$985 |
$637 |
$230 | |
| CT scan of the arm |
$767 |
$2,842 |
$620 |
$199 | |
| CT scan of the arm with contrast |
$843 |
$3,122 |
$637 |
$199 | |
| CT scan of the arm without contrast |
$767 |
$2,842 |
$324 |
$161 | |
| CT scan of the chest |
$383 |
$1,420 |
$341 |
$167 | |
| CT scan of the chest with and without contrast |
$383 |
$1,420 |
$718 |
$196 | |
| CT scan of the chest with contrast |
$484 |
$1,793 |
$637 |
$167 | |
| CT scan of the chest without contrast |
$254 |
$942 |
$324 |
$133 | |
| CT scan of the head |
$906 |
$3,354 |
$341 |
$148 | |
| CT scan of the head with and without contrast |
$948 |
$3,510 |
$718 |
$173 | |
| CT scan of the head with contrast |
$906 |
$3,354 |
$637 |
$148 | |
| CT scan of the head without contrast |
$862 |
$3,191 |
$324 |
$107 | |
| CT scan of the leg |
$439 |
$1,626 |
$341 |
$166 | |
| CT scan of the leg with contrast |
$430 |
$1,594 |
$637 |
$166 | |
| CT scan of the leg without contrast |
$439 |
$1,626 |
$324 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$647 |
$2,397 |
$620 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$647 |
$2,397 |
$718 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$670 |
$2,482 |
$637 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$516 |
$1,911 |
$324 |
$130 | |
| CT scan of the neck |
$242 |
$897 |
$341 |
$183 | |
| CT scan of the neck (cervical spine) |
$711 |
$2,635 |
$620 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$211 |
$780 |
$718 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$752 |
$2,786 |
$637 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$711 |
$2,635 |
$324 |
$131 | |
| CT scan of the neck with and without contrast |
$242 |
$897 |
$718 |
$220 | |
| CT scan of the neck with contrast |
$683 |
$2,528 |
$637 |
$183 | |
| CT scan of the neck without contrast |
$120 |
$446 |
$324 |
$150 | |
| CT scan of the pelvis |
$231 |
$857 |
$341 |
$226 | |
| CT scan of the pelvis with and without contrast |
$231 |
$857 |
$718 |
$251 | |
| CT scan of the pelvis with contrast |
$664 |
$2,459 |
$637 |
$226 | |
| CT scan of the sinuses |
$696 |
$2,577 |
$341 |
$152 | |
| CT scan of the sinuses with and without contrast |
$696 |
$2,577 |
$718 |
$184 | |
| CT scan of the sinuses with contrast |
$741 |
$2,743 |
$637 |
$152 | |
| CT scan of the sinuses without contrast |
$667 |
$2,470 |
$324 |
$128 | |
| D-dimer test |
$102 |
$376 |
$11 |
$10 | |
| Defibrillator (ICD) implant |
$29,743 |
$110,159 |
$17,861 |
$798 | |
| Developmental screening (child) |
$159 |
$590 |
$155 |
— | |
| DHEA-sulfate test |
$90 |
$334 |
$24 |
$22 | |
| Diagnostic mammogram |
$114 |
$421 |
$241 |
$140 | |
| Dilation and curettage (D&C) |
$1,948 |
$7,214 |
$248 |
$298 | |
| Drug screen (urine) |
$29 |
$108 |
$62 |
$17 | |
| Ear pressure test (tympanometry) |
$98 |
$363 |
$519 |
$16 | |
| Ear tubes (myringotomy) |
$690 |
$2,555 |
$168 |
$174 | |
| Echocardiogram |
$238 |
$1,020 |
$982 |
$138 | |
| Echocardiogram with and without contrast |
$275 |
$1,020 |
$982 |
$101 | |
| Echocardiogram without contrast |
$201 |
$744 |
$982 |
$138 | |
| EEG (awake and asleep) |
$334 |
$1,238 |
$868 |
$482 | |
| EKG / ECG (tracing only) |
$76 |
$280 |
$608 |
$7 | |
| Electrocardiogram (EKG) |
$95 |
$350 |
$608 |
$8 | |
| Electroencephalogram (EEG) |
$329 |
$1,219 |
$868 |
$448 | |
| Electrolyte panel |
$113 |
$419 |
$8 |
$7 | |
| Electromyography (EMG) |
$335 |
$1,240 |
$1,170 |
$141 | |
| Emergency department visit |
$424 |
$1,572 |
$659 |
$69 | |
| Emergency department visit (level 1) |
$212 |
$786 |
$515 |
$11 | |
| Emergency department visit (level 2) |
$319 |
$1,180 |
$515 |
$40 | |
| Emergency department visit (level 3) |
$424 |
$1,572 |
$515 |
$69 | |
| Emergency department visit (level 4) |
$559 |
$2,072 |
$659 |
$118 | |
| Emergency department visit (level 5) |
$748 |
$2,771 |
$944 |
$171 | |
| Endometrial biopsy |
$93 |
$344 |
$67 |
$98 | |
| Epidural steroid injection |
$772 |
$2,861 |
$113 |
$275 | |
| ERCP (bile duct endoscopy) |
$2,400 |
$8,889 |
$379 |
$311 | |
| Esophageal dilation |
$796 |
$2,947 |
$83 |
$522 | |
| Esophageal variceal banding |
$1,240 |
$4,592 |
$147 |
$126 | |
| Estradiol (estrogen) test |
$146 |
$539 |
$31 |
$28 | |
| Eyelid surgery (blepharoplasty) |
$801 |
$3,339 |
$1,645 |
$552 | |
| Facet joint injection (spine) |
$516 |
$1,910 |
$96 |
$99 | |
| Fallopian tube X-ray (HSG) |
$174 |
$646 |
$814 |
$164 | |
| Family therapy session |
$132 |
$489 |
$246 |
$110 | |
| Fecal occult blood (stool) test |
$36 |
$135 |
$4 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$36 |
$135 |
$4 |
$4 | |
| Feeding tube (PEG) placement |
$2,914 |
$10,793 |
$708 |
$178 | |
| Ferritin (iron) test |
$77 |
$284 |
$15 |
$14 | |
| Fibrinogen test |
$72 |
$266 |
$10 |
$10 | |
| Flexible sigmoidoscopy |
$505 |
$1,870 |
$76 |
$323 | |
| Flu test |
$39 |
$144 |
$16 |
$17 | |
| Flu vaccine |
$16 |
$60 |
$22 |
— | |
| Folate (folic acid) test |
$68 |
$251 |
$16 |
$15 | |
| Foreign body removal (skin) |
$226 |
$837 |
$110 |
$157 | |
| FSH hormone test |
$110 |
$409 |
$20 |
$19 | |
| Gallbladder removal (laparoscopic) |
$2,779 |
$9,860 |
$3,606 |
$658 | |
| Gallbladder scan (HIDA) |
$646 |
$2,394 |
$954 |
$334 | |
| Ganglion cyst removal |
— |
$3,912 |
$1,345 |
$321 | |
| GGT liver test |
$59 |
$219 |
$8 |
$7 | |
| Glucose tolerance test |
$64 |
$236 |
$13 |
$8 | |
| Group therapy session |
$62 |
$231 |
$147 |
$30 | |
| H. pylori test |
$158 |
$585 |
$74 |
$67 | |
| HDL cholesterol test |
$32 |
$117 |
$9 |
$8 | |
| Hearing test (audiometry) |
$177 |
$657 |
$519 |
$36 | |
| Hematocrit test |
$116 |
$430 |
$3 |
$2 | |
| Hemodialysis |
$644 |
$2,384 |
$865 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$65 |
$239 |
$11 |
$10 | |
| Hemorrhoid removal |
$374 |
$4,475 |
$359 |
$338 | |
| Hepatitis A vaccine |
$64 |
$237 |
$65 |
— | |
| Hepatitis B test |
$48 |
$176 |
$11 |
$10 | |
| Hepatitis B vaccine |
$51 |
$190 |
$70 |
— | |
| Hepatitis C test |
$75 |
$279 |
$16 |
$14 | |
| HIV test |
$48 |
$178 |
$15 |
$19 | |
| HIV test (antibody) |
$70 |
$259 |
$15 |
$14 | |
| HIV test (antigen/antibody combo) |
$26 |
$97 |
$15 |
$24 | |
| Holter heart monitor |
$133 |
$492 |
$351 |
$26 | |
| Home sleep apnea test |
$104 |
$384 |
$868 |
$123 | |
| HPV vaccine |
$238 |
$883 |
$306 |
— | |
| Hydrocele repair |
— |
$8,693 |
$360 |
$315 | |
| Hysterectomy |
$6,754 |
$25,016 |
$965 |
$933 | |
| Hysteroscopy |
$1,889 |
$6,997 |
$246 |
$1,270 | |
| Iron blood test |
$59 |
$220 |
$7 |
$6 | |
| IUD insertion |
$193 |
$714 |
$103 |
— | |
| IUD removal |
$133 |
$494 |
$70 |
$112 | |
| IV infusion therapy |
$138 |
$512 |
$71 |
$44 | |
| IV infusion therapy (each additional) |
$98 |
$362 |
$71 |
$21 | |
| IV infusion therapy (initial) |
$179 |
$662 |
$314 |
$67 | |
| IVC filter placement |
— |
$14,760 |
$230 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$244 |
$904 |
$189 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$259 |
$958 |
$189 |
$57 | |
| Joint aspiration or injection (small joint) |
$229 |
$849 |
$188 |
$56 | |
| Kidney biopsy |
$751 |
$2,782 |
$132 |
$492 | |
| Kidney scan (nuclear) |
$593 |
$2,196 |
$1,068 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$2,241 |
$8,299 |
$606 |
$760 | |
| Kidney ultrasound |
$283 |
$1,049 |
$345 |
$84 | |
| Kidney ultrasound (limited) |
$311 |
$1,152 |
$345 |
$61 | |
| Knee joint injection |
$149 |
$550 |
$48 |
$69 | |
| Lactate test |
$92 |
$340 |
$12 |
$12 | |
| Laryngoscopy |
$895 |
$3,313 |
$169 |
$189 | |
| LDH test |
$72 |
$266 |
$7 |
$6 | |
| LDL cholesterol test |
$35 |
$130 |
$11 |
$11 | |
| Leg artery angiogram |
— |
$5,491 |
$6,596 |
$149 | |
| Leg artery angioplasty |
$6,005 |
$22,241 |
$518 |
— | |
| Leg vein ultrasound (Doppler) |
$444 |
$1,644 |
$520 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$419 |
$1,553 |
$520 |
$116 | |
| LH hormone test |
$95 |
$352 |
$20 |
$19 | |
| Lipase test |
$75 |
$278 |
$8 |
$7 | |
| Lipid (cholesterol) panel |
$84 |
$311 |
$15 |
$13 | |
| Liver biopsy |
$765 |
$2,832 |
$91 |
$288 | |
| Liver function panel |
$177 |
$657 |
$9 |
$8 | |
| Lumbar discectomy |
$3,419 |
$12,664 |
$992 |
$898 | |
| Lung function test (PFT) |
$269 |
$995 |
$780 |
$37 | |
| Lung scan (V/Q) |
$912 |
$3,377 |
$1,103 |
$291 | |
| Magnesium blood test |
$43 |
$158 |
$7 |
$7 | |
| Meniscus repair (knee) |
$2,102 |
$7,784 |
$2,548 |
$714 | |
| MMR vaccine |
$82 |
$305 |
$99 |
— | |
| Mohs skin cancer surgery |
$411 |
$1,522 |
$476 |
$535 | |
| MRA of the brain |
$231 |
$1,543 |
$755 |
$226 | |
| MRA of the brain with contrast |
$231 |
$857 |
$1,092 |
$226 | |
| MRA of the brain without contrast |
— |
$1,543 |
$1,262 |
$328 | |
| MRA of the neck |
$231 |
$857 |
$755 |
$245 | |
| MRA of the neck with contrast |
$231 |
$857 |
$1,092 |
$245 | |
| MRA of the neck without contrast |
$417 |
$1,543 |
$1,262 |
$343 | |
| MRI of the abdomen |
$913 |
$3,381 |
$755 |
$300 | |
| MRI of the abdomen with contrast |
$873 |
$3,234 |
$1,092 |
$300 | |
| MRI of the abdomen without contrast |
$913 |
$3,381 |
$755 |
$194 | |
| MRI of the ankle |
$524 |
$1,939 |
$755 |
$261 | |
| MRI of the ankle with contrast |
$231 |
$857 |
$1,092 |
$261 | |
| MRI of the ankle without contrast |
$524 |
$1,939 |
$755 |
$222 | |
| MRI of the brain |
$917 |
$3,398 |
$755 |
$269 | |
| MRI of the brain with contrast |
$231 |
$857 |
$1,092 |
$269 | |
| MRI of the brain without contrast |
$917 |
$3,398 |
$755 |
$195 | |
| MRI of the chest |
$747 |
$4,750 |
$1,058 |
$371 | |
| MRI of the chest with contrast |
— |
$7,244 |
$1,092 |
$371 | |
| MRI of the chest without contrast |
$1,283 |
$4,750 |
$1,262 |
$466 | |
| MRI of the knee |
$924 |
$3,421 |
$1,058 |
$315 | |
| MRI of the knee with contrast |
$924 |
$3,421 |
$1,092 |
$315 | |
| MRI of the knee without contrast |
$851 |
$3,153 |
$755 |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,050 |
$3,888 |
$755 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,050 |
$3,888 |
$1,092 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,018 |
$3,769 |
$755 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$902 |
$3,340 |
$755 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$1,206 |
$4,467 |
$1,262 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$902 |
$3,340 |
$1,092 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$871 |
$3,226 |
$755 |
$190 | |
| MRI of the neck (cervical spine) |
$948 |
$3,511 |
$755 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$1,276 |
$4,727 |
$1,262 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$858 |
$3,176 |
$1,092 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$948 |
$3,511 |
$755 |
$191 | |
| MRI of the pelvis |
$822 |
$3,079 |
$755 |
$268 | |
| MRI of the pelvis with contrast |
— |
$3,079 |
$1,092 |
$268 | |
| MRI of the pelvis without contrast |
$822 |
$3,043 |
$755 |
$227 | |
| MRI of the shoulder |
$970 |
$3,593 |
$1,058 |
$313 | |
| MRI of the shoulder with contrast |
$970 |
$3,593 |
$1,092 |
$313 | |
| MRI of the shoulder without contrast |
$212 |
$786 |
$755 |
$205 | |
| MRI of the wrist |
$800 |
$2,962 |
$755 |
$330 | |
| MRI of the wrist with contrast |
$800 |
$2,962 |
$1,092 |
$330 | |
| MRI of the wrist without contrast |
— |
$2,566 |
$755 |
$303 | |
| Nebulizer breathing treatment |
$190 |
$703 |
$291 |
$9 | |
| Nerve conduction study |
$227 |
$842 |
$1,170 |
$118 | |
| Nuchal translucency ultrasound |
$94 |
$349 |
$345 |
$116 | |
| Nuclear cardiac stress test |
$983 |
$3,642 |
$2,953 |
$428 | |
| Occupational therapy evaluation |
$165 |
$610 |
$97 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$207 |
$765 |
$97 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$122 |
$452 |
$97 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$165 |
$610 |
$97 |
$101 | |
| Office visit (established patient) |
$23 |
$85 |
$47 |
$115 | |
| Office visit, established patient (level 3) |
$21 |
$79 |
$38 |
$95 | |
| Office visit, established patient (level 4) |
$24 |
$90 |
$57 |
$136 | |
| Office visit, new patient (level 3) |
$21 |
$79 |
$38 |
$118 | |
| Orthopedic hardware removal |
$1,933 |
$7,159 |
$1,687 |
$632 | |
| Pap smear (cervical screening) |
$38 |
$141 |
$26 |
$20 | |
| Parathyroid hormone (PTH) test |
$145 |
$536 |
$45 |
$41 | |
| Pelvic ultrasound |
$262 |
$972 |
$231 |
$78 | |
| Pelvic ultrasound (complete) |
$248 |
$918 |
$345 |
$105 | |
| Pelvic ultrasound (limited) |
$277 |
$1,025 |
$231 |
$51 | |
| PET scan |
$3,326 |
$12,319 |
$3,355 |
— | |
| Phosphorus blood test |
$53 |
$195 |
$5 |
$5 | |
| Physical therapy evaluation |
$154 |
$571 |
$99 |
$98 | |
| Physical therapy evaluation (high complexity) |
$193 |
$714 |
$99 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$154 |
$571 |
$99 |
$98 | |
| Pilonidal cyst removal |
— |
$7,418 |
$1,562 |
$541 | |
| Platelet count |
$43 |
$161 |
$5 |
$4 | |
| Pneumonia vaccine |
$32 |
$120 |
$147 |
— | |
| Pregnancy blood test (hCG) |
$72 |
$268 |
$8 |
$8 | |
| Pregnancy ultrasound |
$341 |
$1,263 |
$345 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$363 |
$1,346 |
$345 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$318 |
$1,179 |
$345 |
$136 | |
| Procalcitonin test |
$259 |
$958 |
$30 |
$27 | |
| Prolactin test |
$107 |
$397 |
$21 |
$19 | |
| Prostate biopsy |
$1,142 |
$4,228 |
$136 |
— | |
| Prostate removal (prostatectomy) |
$6,994 |
$25,902 |
$1,263 |
$1,063 | |
| Prostate test (PSA) |
$56 |
$208 |
$20 |
$18 | |
| Psychiatric evaluation |
$164 |
$607 |
$351 |
$188 | |
| Psychotherapy session |
$177 |
$656 |
$246 |
$140 | |
| Pterygium removal (eye) |
$1,236 |
$4,578 |
$390 |
$540 | |
| Pulmonary rehabilitation |
$47 |
$173 |
$780 |
$87 | |
| Radiofrequency nerve ablation |
$1,366 |
$5,060 |
$202 |
$462 | |
| Retina scan (OCT) |
$78 |
$290 |
$103 |
$33 | |
| Retinal (fundus) photography |
$81 |
$301 |
$204 |
$37 | |
| Rheumatoid factor test |
$77 |
$287 |
$6 |
$6 | |
| Routine eye exam |
$103 |
$383 |
$217 |
$88 | |
| Sacroiliac joint injection |
$578 |
$2,139 |
$405 |
$176 | |
| Scoliosis spine X-ray |
$184 |
$682 |
$156 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$133 |
$493 |
$156 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$235 |
$870 |
$258 |
$72 | |
| Screening colonoscopy |
$529 |
$1,959 |
$193 |
$378 | |
| Screening mammogram |
$116 |
$428 |
$255 |
$126 | |
| Scrotal ultrasound |
$304 |
$1,126 |
$345 |
$99 | |
| Sedimentation rate (ESR) test |
$39 |
$146 |
$4 |
$3 | |
| Semen analysis |
$26 |
$97 |
$13 |
$12 | |
| Sex hormone binding globulin test |
$68 |
$252 |
$24 |
$22 | |
| Shingles vaccine |
$113 |
$420 |
$172 |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
$226 |
$837 |
$48 |
$114 | |
| Simple wound stitches |
$226 |
$837 |
$63 |
$127 | |
| Sinus surgery (endoscopic) |
$2,394 |
$8,865 |
$192 |
$224 | |
| Skin biopsy |
$186 |
$689 |
$60 |
$121 | |
| Skin biopsy (punch) |
$186 |
$689 |
$49 |
$121 | |
| Skin cancer lesion removal |
$376 |
$1,392 |
$203 |
$240 | |
| Skin graft |
$2,096 |
$7,762 |
$759 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$70 |
$261 |
$57 |
$36 | |
| Skin tag removal |
$138 |
$511 |
$80 |
$92 | |
| Sleep study (polysomnography) |
$2,410 |
$8,928 |
$868 |
$691 | |
| Soft tissue ultrasound |
$219 |
$811 |
$231 |
$64 | |
| Speech therapy |
$81 |
$300 |
$77 |
$76 | |
| Spinal cord stimulator |
$3,457 |
$12,805 |
$438 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$618 |
$2,289 |
$69 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$3,330 |
$12,333 |
$3,509 |
$5,803 | |
| Spirometry (lung function test) |
$190 |
$702 |
$780 |
$30 | |
| Spirometry with bronchodilator |
$347 |
$1,287 |
$780 |
$43 | |
| Strep throat test |
$23 |
$84 |
$16 |
$17 | |
| Stress echocardiogram |
$1,030 |
$3,814 |
$982 |
$209 | |
| Stress echocardiogram (complete) |
$1,236 |
$4,577 |
$982 |
$233 | |
| Swallow study |
$105 |
$388 |
$74 |
$85 | |
| T3 thyroid test |
$62 |
$228 |
$16 |
$14 | |
| Tdap (tetanus) vaccine |
$43 |
$158 |
$36 |
— | |
| Testosterone test |
$131 |
$487 |
$28 |
$26 | |
| Thyroid test (TSH) |
$46 |
$171 |
$18 |
$17 | |
| Thyroid ultrasound |
$287 |
$1,064 |
$345 |
$109 | |
| Thyroid uptake scan |
$448 |
$1,658 |
$597 |
$145 | |
| Tilt table test |
$653 |
$2,419 |
$497 |
$168 | |
| Total IgE allergy test |
$12 |
$46 |
$18 |
$16 | |
| Total protein test |
$53 |
$195 |
$4 |
$4 | |
| Tracheostomy |
$2,512 |
$9,302 |
$1,904 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$801 |
$2,234 |
$982 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$801 |
$2,968 |
$982 |
$239 | |
| Transvaginal ultrasound |
$266 |
$985 |
$345 |
$118 | |
| Trigger point injection |
$293 |
$1,086 |
$191 |
$56 | |
| Trigger point injection (1-2 muscles) |
$241 |
$893 |
$189 |
$52 | |
| Triglycerides test |
$52 |
$194 |
$6 |
$6 | |
| Troponin (heart) test |
$99 |
$368 |
$12 |
$12 | |
| Turbinate reduction |
— |
$7,526 |
$1,837 |
$294 | |
| Turning a breech baby (version) |
$1,740 |
$6,445 |
$111 |
$94 | |
| Upper GI endoscopy (EGD) |
$1,016 |
$3,764 |
$144 |
$371 | |
| Upper GI series (barium) |
$326 |
$1,208 |
$387 |
$128 | |
| Ureteral stent placement |
$2,284 |
$8,460 |
$164 |
$373 | |
| Ureteroscopy (stone removal) |
$3,381 |
$12,522 |
$436 |
$365 | |
| Uric acid (gout) test |
$59 |
$220 |
$5 |
$5 | |
| Urinalysis |
$33 |
$123 |
$2 |
$3 | |
| Urine microalbumin test |
$18 |
$66 |
$6 |
$5 | |
| Urine pregnancy test |
$64 |
$236 |
$8 |
$9 | |
| UV light therapy (skin) |
$55 |
$212 |
$287 |
$106 | |
| Vaccine administration |
$17 |
$64 |
$15 |
$19 | |
| Varicocele repair |
— |
$8,460 |
$374 |
$327 | |
| Varicose vein ablation |
$1,527 |
$5,655 |
$293 |
$1,018 | |
| Vasectomy |
$1,311 |
$4,854 |
$243 |
$347 | |
| Visual field test |
$91 |
$338 |
$204 |
$64 | |
| Vitamin B12 test |
$74 |
$273 |
$17 |
$15 | |
| Vitamin D test |
$143 |
$531 |
$33 |
$30 | |
| Vitrectomy (eye) |
$3,000 |
$11,110 |
$1,062 |
$814 | |
| Vocal cord injection |
$2,300 |
$8,520 |
$1,718 |
$211 | |
| Wart removal |
$167 |
$620 |
$88 |
$121 | |
| Wound debridement |
$1,060 |
$3,926 |
$472 |
$186 | |
| X-ray of the abdomen |
$220 |
$815 |
$210 |
$36 | |
| X-ray of the ankle |
$85 |
$313 |
$147 |
$37 | |
| X-ray of the collarbone |
$110 |
$407 |
$147 |
$33 | |
| X-ray of the elbow |
$131 |
$485 |
$147 |
$33 | |
| X-ray of the facial bones |
$197 |
$731 |
$148 |
$39 | |
| X-ray of the foot |
$98 |
$362 |
$147 |
$34 | |
| X-ray of the forearm |
$108 |
$399 |
$147 |
$29 | |
| X-ray of the hand |
$76 |
$283 |
$147 |
$38 | |
| X-ray of the hip |
$145 |
$536 |
$156 |
$49 | |
| X-ray of the hip (1 view) |
$98 |
$362 |
$156 |
$34 | |
| X-ray of the hip (3 views) |
$145 |
$536 |
$156 |
$49 | |
| X-ray of the hip (4 views) |
$150 |
$555 |
$258 |
$63 | |
| X-ray of the knee |
$141 |
$523 |
$147 |
$42 | |
| X-ray of the knee (2 views) |
$98 |
$363 |
$147 |
$34 | |
| X-ray of the knee (3 views) |
$141 |
$523 |
$147 |
$42 | |
| X-ray of the knee (4+ views) |
$149 |
$550 |
$147 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$203 |
$752 |
$182 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$169 |
$626 |
$147 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$237 |
$877 |
$233 |
$53 | |
| X-ray of the lower leg |
$89 |
$329 |
$147 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$209 |
$776 |
$182 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$167 |
$619 |
$147 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$252 |
$932 |
$233 |
$39 | |
| X-ray of the neck (cervical spine) |
$191 |
$706 |
$149 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$162 |
$601 |
$147 |
$40 | |
| X-ray of the pelvis |
$191 |
$709 |
$147 |
$36 | |
| X-ray of the pelvis (1 view) |
$169 |
$626 |
$147 |
$28 | |
| X-ray of the ribs |
$193 |
$715 |
$210 |
$42 | |
| X-ray of the ribs (2 views) |
$95 |
$350 |
$147 |
$36 | |
| X-ray of the ribs (3 views) |
$254 |
$941 |
$233 |
$42 | |
| X-ray of the shoulder |
$124 |
$460 |
$147 |
$36 | |
| X-ray of the skull |
$125 |
$462 |
$182 |
$40 | |
| X-ray of the upper arm |
$98 |
$363 |
$147 |
$32 | |
| X-ray of the wrist |
$98 |
$363 |
$147 |
$43 | |
| YAG laser capsulotomy (eye) |
$555 |
$2,056 |
$317 |
$335 | |
| Zinc blood test |
$52 |
$192 |
$13 |
$11 | |