| Abdominal fluid drain (paracentesis) |
— |
— |
$1,357 |
$284 | |
| Abdominal ultrasound |
$1,250 |
$1,389 |
$1,142 |
$100 | |
| Abdominal ultrasound (complete) |
$1,976 |
$2,195 |
$1,662 |
$114 | |
| Abdominal ultrasound (limited) |
$1,250 |
$1,389 |
$1,052 |
$86 | |
| Abscess drainage (complex or multiple) |
$1,130 |
$1,255 |
$322 |
$220 | |
| Abscess drainage (simple) |
$717 |
$797 |
$336 |
$129 | |
| Abscess incision and drainage |
$717 |
$797 |
$322 |
$174 | |
| Achilles tendon repair |
— |
— |
$5,914 |
$624 | |
| ACL knee reconstruction |
— |
— |
$10,145 |
$889 | |
| Adenoid removal (adenoidectomy) |
— |
— |
$3,979 |
$204 | |
| Albumin blood test |
$42 |
$47 |
$36 |
$5 | |
| Aldosterone test |
$190 |
$211 |
$156 |
$41 | |
| Alkaline phosphatase test |
$42 |
$47 |
$31 |
$5 | |
| Allergy testing |
— |
— |
$70 |
$4 | |
| Alpha-fetoprotein (AFP) test |
$192 |
$213 |
$157 |
$17 | |
| ALT liver enzyme test |
$60 |
$66 |
$47 |
$5 | |
| Ammonia blood test |
$141 |
$157 |
$119 |
$15 | |
| Amylase test |
$165 |
$183 |
$139 |
$6 | |
| Anal fistula repair |
— |
— |
$4,240 |
$541 | |
| Ankle fracture repair |
— |
— |
$10,022 |
$608 | |
| Annual physical (established patient) |
$21 |
$23 |
$148 |
— | |
| Annual physical (new patient) |
$21 |
$23 |
$148 |
— | |
| Anoscopy |
— |
— |
$585 |
$129 | |
| Antinuclear antibody (ANA) test |
$167 |
$186 |
$132 |
$12 | |
| Arterial blood gas (ABG) |
$200 |
$222 |
$168 |
$26 | |
| AST liver enzyme test |
$60 |
$66 |
$47 |
$5 | |
| Barium swallow study |
$772 |
$858 |
$686 |
$107 | |
| Bartholin cyst removal |
$3,215 |
$3,573 |
$2,501 |
$182 | |
| Basic metabolic panel |
$431 |
$479 |
$363 |
$8 | |
| Bilirubin blood test |
$88 |
$97 |
$41 |
$5 | |
| Bladder function test (urodynamics) |
$995 |
$1,105 |
$847 |
$345 | |
| Bladder scope (cystoscopy) |
— |
— |
$2,396 |
$216 | |
| Bladder tumor removal (TURBT) |
— |
— |
$2,898 |
$236 | |
| Blood clotting test (PT/INR) |
$70 |
$78 |
$56 |
$4 | |
| Blood crossmatch |
$201 |
$223 |
$190 |
— | |
| Blood glucose test |
$69 |
$77 |
$46 |
$5 | |
| Blood transfusion |
$3,052 |
$3,391 |
$2,567 |
$47 | |
| Blood type and screen |
$62 |
$69 |
$54 |
$10 | |
| Blood type test |
$62 |
$68 |
$56 |
$3 | |
| Blood type test (ABO group) |
$62 |
$68 |
$53 |
$3 | |
| Blood type test (Rh/D antigen) |
$80 |
$89 |
$70 |
$3 | |
| BNP (heart failure) test |
$278 |
$308 |
$239 |
$39 | |
| Bone density scan (DEXA) |
$1,109 |
$1,233 |
$933 |
$39 | |
| Bone marrow biopsy |
$729 |
$810 |
$871 |
$172 | |
| Bone scan (nuclear) |
$3,292 |
$3,658 |
$2,642 |
$259 | |
| Brain shunt (VP shunt) |
— |
— |
$10,389 |
$1,023 | |
| Breast reconstruction |
— |
— |
$13,429 |
$1,227 | |
| Breast ultrasound |
$891 |
$990 |
$680 |
$92 | |
| Breast ultrasound (complete) |
$1,038 |
$1,153 |
$873 |
$100 | |
| Breast ultrasound (limited) |
$744 |
$827 |
$626 |
$84 | |
| Breathing tube insertion (intubation) |
$857 |
$953 |
$814 |
$133 | |
| Bronchoscopy |
— |
— |
$3,376 |
$303 | |
| Bunion surgery (bunionectomy) |
— |
— |
$10,427 |
$883 | |
| Burn dressing and debridement (medium) |
$549 |
$611 |
$405 |
$166 | |
| Burn dressing and debridement (small) |
$472 |
$524 |
$350 |
$93 | |
| Burn treatment |
$472 |
$524 |
$350 |
$129 | |
| C-reactive protein (CRP) |
$163 |
$181 |
$130 |
$5 | |
| CA 19-9 tumor marker test |
$23 |
$26 |
$22 |
$21 | |
| CA-125 ovarian marker test |
$68 |
$76 |
$57 |
$21 | |
| Calcium blood test |
$42 |
$47 |
$36 |
$5 | |
| Capsule endoscopy |
$4,179 |
$4,643 |
$3,183 |
$802 | |
| Cardiac ablation |
$31,205 |
$34,672 |
$25,480 |
$759 | |
| Cardiac catheterization |
$34,563 |
$38,404 |
$29,072 |
$1,049 | |
| Cardiac MRI |
$2,955 |
$3,283 |
$1,732 |
$322 | |
| Cardiac MRI without contrast |
$1,864 |
$2,072 |
$1,568 |
$280 | |
| Cardiac stress test |
$1,086 |
$1,207 |
$914 |
$39 | |
| Cardioversion |
$1,462 |
$1,624 |
$1,317 |
$155 | |
| Carotid artery ultrasound |
$1,070 |
$1,189 |
$918 |
$156 | |
| Carpal tunnel release |
— |
— |
$2,509 |
$483 | |
| Cataract surgery |
— |
— |
$3,185 |
$547 | |
| CEA tumor marker test |
$141 |
$157 |
$116 |
$19 | |
| Central line placement |
$4,249 |
$4,721 |
$3,777 |
$238 | |
| Cervical cerclage |
— |
— |
$3,278 |
$137 | |
| Cervical LEEP procedure |
— |
— |
$4,270 |
$325 | |
| Cesarean section (C-section) |
— |
— |
$5,650 |
$7,552 | |
| Chalazion (eyelid cyst) removal |
$871 |
$968 |
$732 |
$131 | |
| Chemotherapy infusion |
$1,239 |
$1,376 |
$523 |
$81 | |
| Chemotherapy infusion (each additional) |
$457 |
$508 |
$417 |
$28 | |
| Chemotherapy infusion (first hour) |
$2,021 |
$2,245 |
$1,700 |
$133 | |
| Chest fluid drain (thoracentesis) |
— |
— |
$1,862 |
$311 | |
| Chest tube insertion |
$1,724 |
$1,916 |
$1,575 |
$143 | |
| Chest X-ray |
$495 |
$550 |
$365 |
$37 | |
| Chest X-ray (1 view) |
$352 |
$391 |
$299 |
$25 | |
| Chest X-ray (2 views) |
$495 |
$550 |
$416 |
$33 | |
| CK-MB heart enzyme test |
$212 |
$236 |
$169 |
$12 | |
| Clotting time test (PTT) |
$61 |
$68 |
$47 |
$6 | |
| Colonoscopy |
— |
— |
$1,840 |
$480 | |
| Colostomy |
— |
— |
$7,466 |
$1,122 | |
| Colposcopy |
— |
— |
$964 |
$161 | |
| Complete blood count (CBC) |
$125 |
$138 |
$96 |
$7 | |
| Complete blood count (CBC) (complete) |
$123 |
$137 |
$94 |
$8 | |
| Complex wound repair |
$1,306 |
$1,451 |
$964 |
$390 | |
| Comprehensive metabolic panel |
$365 |
$405 |
$307 |
$11 | |
| Continuous glucose monitor setup |
$225 |
$249 |
$189 |
$35 | |
| Contraceptive implant (Nexplanon) |
$43 |
$48 |
$261 |
$115 | |
| Copper blood test |
$138 |
$154 |
$116 |
$12 | |
| Corneal transplant |
— |
— |
$6,036 |
$1,066 | |
| Coronary artery bypass (CABG) |
— |
— |
$23,006 |
$36,593 | |
| Coronary CT angiography |
$2,580 |
$2,867 |
$2,170 |
$326 | |
| Cortisol test |
$160 |
$178 |
$118 |
$16 | |
| COVID-19 PCR test |
$174 |
$193 |
$146 |
$51 | |
| CPAP titration study |
$816 |
$907 |
$725 |
$69 | |
| Creatine kinase (CK) test |
$116 |
$129 |
$98 |
$7 | |
| CT angiography of the chest |
$4,195 |
$4,661 |
$3,528 |
$281 | |
| CT angiography of the head |
$4,122 |
$4,580 |
$3,467 |
$274 | |
| CT scan of the abdomen |
$2,850 |
$3,167 |
$2,217 |
$230 | |
| CT scan of the abdomen and pelvis |
$5,769 |
$6,410 |
$4,654 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$7,006 |
$7,784 |
$5,892 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$5,769 |
$6,410 |
$4,487 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$5,096 |
$5,662 |
$4,286 |
$183 | |
| CT scan of the abdomen with and without contrast |
$3,193 |
$3,548 |
$2,686 |
$259 | |
| CT scan of the abdomen with contrast |
$2,850 |
$3,167 |
$2,397 |
$230 | |
| CT scan of the abdomen without contrast |
$2,245 |
$2,495 |
$1,888 |
$136 | |
| CT scan of the arm |
$3,053 |
$3,392 |
$2,586 |
$199 | |
| CT scan of the arm with contrast |
$3,256 |
$3,618 |
$2,739 |
$199 | |
| CT scan of the arm without contrast |
$2,840 |
$3,156 |
$2,397 |
$161 | |
| CT scan of the chest |
$3,104 |
$3,448 |
$2,416 |
$167 | |
| CT scan of the chest with and without contrast |
$3,406 |
$3,785 |
$2,865 |
$196 | |
| CT scan of the chest with contrast |
$3,104 |
$3,448 |
$2,352 |
$167 | |
| CT scan of the chest without contrast |
$2,873 |
$3,192 |
$2,177 |
$133 | |
| CT scan of the head |
$2,964 |
$3,293 |
$2,204 |
$148 | |
| CT scan of the head with and without contrast |
$3,586 |
$3,984 |
$3,016 |
$173 | |
| CT scan of the head with contrast |
$2,964 |
$3,293 |
$2,305 |
$148 | |
| CT scan of the head without contrast |
$2,413 |
$2,681 |
$1,877 |
$107 | |
| CT scan of the leg |
$3,138 |
$3,486 |
$2,586 |
$166 | |
| CT scan of the leg with contrast |
$3,201 |
$3,557 |
$2,532 |
$166 | |
| CT scan of the leg without contrast |
$2,831 |
$3,146 |
$2,381 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,873 |
$3,193 |
$2,514 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$3,520 |
$3,911 |
$2,961 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,752 |
$3,058 |
$2,315 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$2,873 |
$3,193 |
$2,417 |
$130 | |
| CT scan of the neck |
$2,694 |
$2,993 |
$2,095 |
$183 | |
| CT scan of the neck (cervical spine) |
$3,789 |
$4,210 |
$2,204 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$3,811 |
$4,235 |
$3,206 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$3,789 |
$4,210 |
$3,187 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$2,156 |
$2,396 |
$1,814 |
$131 | |
| CT scan of the neck with and without contrast |
$2,933 |
$3,258 |
$2,467 |
$220 | |
| CT scan of the neck with contrast |
$2,694 |
$2,993 |
$2,266 |
$183 | |
| CT scan of the neck without contrast |
$2,126 |
$2,362 |
$1,788 |
$150 | |
| CT scan of the pelvis |
$3,166 |
$3,518 |
$2,606 |
$226 | |
| CT scan of the pelvis with and without contrast |
$3,658 |
$4,064 |
$3,076 |
$251 | |
| CT scan of the pelvis with contrast |
$3,166 |
$3,518 |
$2,663 |
$226 | |
| CT scan of the pelvis without contrast |
$2,759 |
$3,066 |
$2,321 |
$133 | |
| CT scan of the sinuses |
$2,648 |
$2,943 |
$2,354 |
$152 | |
| CT scan of the sinuses with and without contrast |
$3,951 |
$4,390 |
$3,323 |
$184 | |
| CT scan of the sinuses with contrast |
$3,335 |
$3,706 |
$2,805 |
$152 | |
| CT scan of the sinuses without contrast |
$2,648 |
$2,943 |
$2,228 |
$128 | |
| D-dimer test |
$159 |
$176 |
$133 |
$10 | |
| Defibrillator (ICD) implant |
$78,995 |
$87,772 |
$70,218 |
$798 | |
| Developmental screening (child) |
$20 |
$22 |
$21 |
— | |
| DHEA-sulfate test |
$182 |
$203 |
$153 |
$22 | |
| Dialysis fistula creation |
— |
— |
$6,477 |
$601 | |
| Dilation and curettage (D&C) |
— |
— |
$4,270 |
$298 | |
| Droopy eyelid repair (ptosis) |
— |
— |
$3,186 |
$745 | |
| Drug screen (urine) |
$123 |
$137 |
$97 |
$17 | |
| Ear pressure test (tympanometry) |
$217 |
$241 |
$57 |
$16 | |
| Ear tubes (myringotomy) |
— |
— |
$2,131 |
$174 | |
| Eardrum repair (tympanoplasty) |
— |
— |
$6,246 |
$799 | |
| Echocardiogram |
$1,884 |
$2,093 |
$865 |
$138 | |
| Echocardiogram with and without contrast |
$814 |
$905 |
$756 |
$101 | |
| Echocardiogram without contrast |
$1,884 |
$2,093 |
$1,584 |
$138 | |
| EEG (awake and asleep) |
$1,733 |
$1,925 |
$1,457 |
$482 | |
| EKG / ECG (tracing only) |
$400 |
$444 |
$311 |
$7 | |
| Elbow replacement |
— |
— |
$16,981 |
$1,301 | |
| Electrocardiogram (EKG) |
$400 |
$444 |
$303 |
$8 | |
| Electroencephalogram (EEG) |
$1,516 |
$1,684 |
$1,348 |
$448 | |
| Electrolyte panel |
$153 |
$170 |
$129 |
$7 | |
| Electromyography (EMG) |
$690 |
$766 |
$540 |
$141 | |
| Emergency department visit |
$1,516 |
$1,685 |
$774 |
$69 | |
| Emergency department visit (level 1) |
$490 |
$544 |
$412 |
$11 | |
| Emergency department visit (level 2) |
$758 |
$842 |
$637 |
$40 | |
| Emergency department visit (level 3) |
$1,516 |
$1,685 |
$1,275 |
$69 | |
| Emergency department visit (level 4) |
$2,374 |
$2,637 |
$1,921 |
$118 | |
| Emergency department visit (level 5) |
$3,607 |
$4,008 |
$3,034 |
$171 | |
| Endometrial biopsy |
— |
— |
$853 |
$98 | |
| Epidural steroid injection |
$2,681 |
$2,979 |
$2,383 |
$275 | |
| ERCP (bile duct endoscopy) |
— |
— |
$4,850 |
$311 | |
| Esophageal dilation |
— |
— |
$661 |
$522 | |
| Estradiol (estrogen) test |
$253 |
$281 |
$208 |
$28 | |
| Eye refraction (glasses prescription) |
— |
— |
$29,250 |
— | |
| Eyelid surgery (blepharoplasty) |
— |
— |
$3,315 |
$552 | |
| Family therapy session |
$307 |
$342 |
$239 |
$110 | |
| Fecal occult blood (stool) test |
— |
— |
$8 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
— |
— |
$8 |
$4 | |
| Feeding tube (PEG) placement |
— |
— |
$1,809 |
$178 | |
| Femoral hernia repair |
— |
— |
$6,593 |
$584 | |
| Ferritin (iron) test |
$153 |
$170 |
$118 |
$14 | |
| Fibrinogen test |
$115 |
$128 |
$92 |
$10 | |
| Fibroid removal (myomectomy) |
— |
— |
$10,539 |
$914 | |
| Flexible sigmoidoscopy |
— |
— |
$1,840 |
$323 | |
| Flu test |
$95 |
$105 |
$43 |
$17 | |
| Folate (folic acid) test |
$122 |
$136 |
$103 |
$15 | |
| Foreign body removal (skin) |
$52 |
$57 |
$307 |
$157 | |
| Free T4 thyroid test |
$131 |
$146 |
$104 |
$9 | |
| FSH hormone test |
$129 |
$144 |
$34 |
$19 | |
| Gallbladder removal (laparoscopic) |
— |
— |
$6,702 |
$658 | |
| Gallbladder scan (HIDA) |
$3,608 |
$4,009 |
$2,835 |
$334 | |
| Ganglion cyst removal |
— |
— |
$2,457 |
$321 | |
| GGT liver test |
$84 |
$93 |
$43 |
$7 | |
| Glaucoma surgery |
— |
— |
$6,122 |
$984 | |
| Group therapy session |
$83 |
$92 |
$73 |
$30 | |
| H. pylori test |
$753 |
$837 |
$634 |
$67 | |
| Hammertoe repair |
— |
— |
$3,934 |
$548 | |
| HDL cholesterol test |
$80 |
$89 |
$64 |
$8 | |
| Hematocrit test |
$44 |
$49 |
$37 |
$2 | |
| Hemodialysis |
$2,082 |
$2,313 |
$1,850 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$112 |
$124 |
$94 |
$10 | |
| Hemorrhoid removal |
— |
— |
$2,712 |
$338 | |
| Hepatitis A vaccine |
$341 |
$379 |
$104 |
— | |
| Hepatitis B test |
$28 |
$31 |
$24 |
$10 | |
| Hepatitis C test |
$25 |
$28 |
$23 |
$14 | |
| Hip arthroscopy |
— |
— |
$10,385 |
$931 | |
| Hip fracture repair |
— |
— |
$7,112 |
$1,120 | |
| HIV test |
$124 |
$138 |
$92 |
$19 | |
| HIV test (antigen/antibody combo) |
$124 |
$138 |
$92 |
$24 | |
| Holter heart monitor |
$1,021 |
$1,134 |
$866 |
$26 | |
| Home sleep apnea test |
$1,292 |
$1,435 |
$1,086 |
$123 | |
| Hydrocele repair |
— |
— |
$3,639 |
$315 | |
| Hysteroscopy |
— |
— |
$4,371 |
$1,270 | |
| Incisional hernia repair |
— |
— |
$29,250 |
— | |
| Inguinal hernia repair |
— |
— |
$6,593 |
$538 | |
| Iron blood test |
$88 |
$98 |
$74 |
$6 | |
| IUD insertion |
$42 |
$46 |
$328 |
— | |
| IUD removal |
$523 |
$581 |
$440 |
$112 | |
| IV infusion therapy |
$781 |
$868 |
$423 |
$44 | |
| IV infusion therapy (each additional) |
$362 |
$402 |
$330 |
$21 | |
| IV infusion therapy (initial) |
$781 |
$868 |
$695 |
$67 | |
| Joint aspiration (small/intermediate) |
$735 |
$817 |
$660 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$894 |
$993 |
$795 |
$57 | |
| Joint aspiration or injection (small joint) |
$735 |
$817 |
$572 |
$56 | |
| Kidney biopsy |
$4,577 |
$5,086 |
$4,069 |
$492 | |
| Kidney removal (nephrectomy) |
— |
— |
$12,856 |
$1,164 | |
| Kidney scan (nuclear) |
$3,523 |
$3,915 |
$2,964 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
— |
— |
$5,397 |
$760 | |
| Kidney ultrasound |
$1,027 |
$1,141 |
$870 |
$84 | |
| Kidney ultrasound (limited) |
$1,027 |
$1,141 |
$864 |
$61 | |
| Knee arthroscopy |
— |
— |
$4,002 |
$524 | |
| Knee joint injection |
$3,215 |
$3,573 |
$1,055 |
$69 | |
| Knee replacement |
— |
— |
$11,164 |
$18,054 | |
| Lactate test |
$145 |
$161 |
$101 |
$12 | |
| Laryngoscopy |
$3,215 |
$3,573 |
$2,372 |
$189 | |
| LDH test |
$94 |
$105 |
$57 |
$6 | |
| LDL cholesterol test |
$38 |
$42 |
$32 |
$11 | |
| Leg artery angiogram |
$8,478 |
$9,420 |
$7,536 |
$149 | |
| Leg vein ultrasound (Doppler) |
$1,317 |
$1,463 |
$1,170 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,317 |
$1,463 |
$1,108 |
$116 | |
| LH hormone test |
$114 |
$127 |
$37 |
$19 | |
| Lipase test |
$148 |
$164 |
$124 |
$7 | |
| Lipid (cholesterol) panel |
$176 |
$195 |
$148 |
$13 | |
| Liver biopsy |
$4,577 |
$5,086 |
$4,069 |
$288 | |
| Liver function panel |
$264 |
$293 |
$222 |
$8 | |
| Lower back (lumbar) spinal fusion |
— |
— |
$79,729 |
$1,511 | |
| Lumbar discectomy |
— |
— |
$9,023 |
$898 | |
| Lumpectomy (breast) |
— |
— |
$6,076 |
$750 | |
| Lung function test (PFT) |
$270 |
$300 |
$199 |
$37 | |
| Magnesium blood test |
$111 |
$124 |
$82 |
$7 | |
| Mastectomy |
— |
— |
$6,076 |
$1,021 | |
| Mastoidectomy |
— |
— |
$8,030 |
$840 | |
| Meniscus repair (knee) |
— |
— |
$4,002 |
$714 | |
| MRA of the brain |
$4,875 |
$5,417 |
$4,100 |
$226 | |
| MRA of the brain with contrast |
$4,963 |
$5,515 |
$4,249 |
$226 | |
| MRA of the brain without contrast |
$5,703 |
$6,336 |
$4,762 |
$328 | |
| MRA of the neck |
$4,546 |
$5,051 |
$4,066 |
$245 | |
| MRA of the neck with contrast |
$4,546 |
$5,051 |
$3,824 |
$245 | |
| MRA of the neck without contrast |
$5,794 |
$6,437 |
$4,873 |
$343 | |
| MRI of the abdomen |
$4,353 |
$4,837 |
$3,200 |
$300 | |
| MRI of the abdomen with contrast |
$5,363 |
$5,959 |
$4,511 |
$300 | |
| MRI of the abdomen without contrast |
$3,419 |
$3,799 |
$3,039 |
$194 | |
| MRI of the ankle |
$3,319 |
$3,688 |
$2,951 |
$261 | |
| MRI of the ankle with contrast |
$6,380 |
$7,089 |
$4,707 |
$261 | |
| MRI of the ankle without contrast |
$3,043 |
$3,382 |
$2,667 |
$222 | |
| MRI of the brain |
$4,875 |
$5,417 |
$3,953 |
$269 | |
| MRI of the brain with contrast |
$4,875 |
$5,417 |
$4,100 |
$269 | |
| MRI of the brain without contrast |
$4,700 |
$5,222 |
$3,561 |
$195 | |
| MRI of the chest |
$5,799 |
$6,444 |
$4,550 |
$371 | |
| MRI of the chest with contrast |
$7,205 |
$8,005 |
$6,060 |
$371 | |
| MRI of the chest without contrast |
$6,617 |
$7,353 |
$5,566 |
$466 | |
| MRI of the knee |
$3,171 |
$3,523 |
$2,838 |
$315 | |
| MRI of the knee with contrast |
$3,108 |
$3,453 |
$2,762 |
$315 | |
| MRI of the knee without contrast |
$3,043 |
$3,382 |
$2,667 |
$204 | |
| MRI of the lower back (lumbar spine) |
$5,311 |
$5,901 |
$4,130 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$5,311 |
$5,901 |
$4,024 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$4,850 |
$5,388 |
$3,675 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$5,299 |
$5,888 |
$4,420 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$6,606 |
$7,340 |
$5,556 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$5,299 |
$5,888 |
$4,016 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$4,839 |
$5,377 |
$4,070 |
$190 | |
| MRI of the neck (cervical spine) |
$5,001 |
$5,557 |
$4,207 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$6,234 |
$6,927 |
$5,244 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$5,001 |
$5,557 |
$3,790 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$4,707 |
$5,230 |
$3,959 |
$191 | |
| MRI of the pelvis |
$4,739 |
$5,266 |
$3,680 |
$268 | |
| MRI of the pelvis with contrast |
$4,739 |
$5,266 |
$3,986 |
$268 | |
| MRI of the pelvis without contrast |
$4,029 |
$4,476 |
$3,053 |
$227 | |
| MRI of the shoulder |
$3,499 |
$3,888 |
$3,110 |
$313 | |
| MRI of the shoulder with contrast |
$3,429 |
$3,810 |
$3,005 |
$313 | |
| MRI of the shoulder without contrast |
$3,358 |
$3,731 |
$2,943 |
$205 | |
| MRI of the wrist |
$3,499 |
$3,888 |
$3,023 |
$330 | |
| MRI of the wrist with contrast |
$3,310 |
$3,678 |
$2,969 |
$330 | |
| MRI of the wrist without contrast |
$3,499 |
$3,888 |
$2,943 |
$303 | |
| Nebulizer breathing treatment |
$256 |
$285 |
$216 |
$9 | |
| Neck (cervical) spinal fusion |
— |
— |
$18,122 |
$1,410 | |
| Nerve conduction study |
$869 |
$965 |
$641 |
$118 | |
| Nuclear cardiac stress test |
$6,482 |
$7,202 |
$5,452 |
$428 | |
| Occupational therapy evaluation |
$339 |
$377 |
$311 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$489 |
$543 |
$447 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$305 |
$338 |
$278 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$339 |
$377 |
$310 |
$101 | |
| Office visit (established patient) |
$21 |
$23 |
$71 |
$115 | |
| Office visit, established patient (level 3) |
$21 |
$23 |
$58 |
$95 | |
| Office visit, established patient (level 4) |
$21 |
$23 |
$83 |
$136 | |
| Office visit, new patient (level 3) |
$21 |
$23 |
$91 |
$118 | |
| Ovarian cyst removal |
— |
— |
$7,863 |
$698 | |
| Ovary removal (oophorectomy) |
— |
— |
$4,371 |
$822 | |
| Pacemaker insertion |
— |
— |
$12,712 |
$15,506 | |
| Pap smear (cervical screening) |
$45 |
$50 |
$40 |
$20 | |
| Parathyroid hormone (PTH) test |
$289 |
$321 |
$225 |
$41 | |
| Pelvic ultrasound |
$928 |
$1,031 |
$781 |
$78 | |
| Pelvic ultrasound (complete) |
$928 |
$1,031 |
$781 |
$105 | |
| PET scan |
$10,536 |
$11,707 |
$9,050 |
— | |
| Phosphorus blood test |
$56 |
$62 |
$47 |
$5 | |
| Physical therapy evaluation |
$474 |
$527 |
$348 |
$98 | |
| Physical therapy evaluation (high complexity) |
$549 |
$610 |
$462 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$474 |
$527 |
$369 |
$98 | |
| Pilonidal cyst removal |
— |
— |
$3,239 |
$541 | |
| Platelet count |
$101 |
$112 |
$85 |
$4 | |
| Pregnancy blood test (hCG) |
$220 |
$245 |
$185 |
$8 | |
| Pregnancy ultrasound |
$625 |
$694 |
$525 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$625 |
$694 |
$525 |
$117 | |
| Procalcitonin test |
$78 |
$87 |
$66 |
$27 | |
| Prolactin test |
$243 |
$270 |
$193 |
$19 | |
| Prostate biopsy |
— |
— |
$29,250 |
— | |
| Prostate surgery (TURP) |
— |
— |
$8,145 |
$526 | |
| Prostate test (PSA) |
$26 |
$29 |
$24 |
$18 | |
| Psychiatric evaluation |
$542 |
$602 |
$421 |
$188 | |
| Psychotherapy session |
$309 |
$344 |
$241 |
$140 | |
| Pterygium removal (eye) |
— |
— |
$1,060 |
$540 | |
| Retina scan (OCT) |
— |
— |
$107 |
$33 | |
| Retinal (fundus) photography |
$332 |
$369 |
$295 |
$37 | |
| Retinal detachment repair |
— |
— |
$5,959 |
$966 | |
| Rheumatoid factor test |
$136 |
$152 |
$115 |
$6 | |
| Rotator cuff repair |
— |
— |
$8,687 |
$792 | |
| Routine eye exam |
— |
— |
$337 |
$88 | |
| Sacroiliac joint injection |
— |
— |
$784 |
$176 | |
| Scoliosis spine X-ray |
$621 |
$690 |
$459 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$502 |
$558 |
$423 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$740 |
$823 |
$623 |
$72 | |
| Scrotal ultrasound |
$979 |
$1,087 |
$841 |
$99 | |
| Sedimentation rate (ESR) test |
$82 |
$91 |
$63 |
$3 | |
| Septoplasty (deviated septum) |
— |
— |
$4,885 |
$613 | |
| Sex hormone binding globulin test |
$198 |
$221 |
$167 |
$22 | |
| Shoulder arthroscopy |
— |
— |
$10,385 |
$962 | |
| Simple wound stitches |
$54 |
$60 |
$689 |
$127 | |
| Sinus surgery (endoscopic) |
— |
— |
$4,070 |
$224 | |
| Skin biopsy |
$99 |
$110 |
$301 |
$121 | |
| Skin biopsy (punch) |
$82 |
$91 |
$358 |
$121 | |
| Skin cancer lesion removal |
$89 |
$99 |
$648 |
$240 | |
| Skin graft |
— |
— |
$3,489 |
$898 | |
| Sleep study (polysomnography) |
$6,717 |
$7,463 |
$5,000 |
$691 | |
| Small bowel resection |
— |
— |
$7,466 |
$1,136 | |
| Soft tissue ultrasound |
$703 |
$781 |
$591 |
$64 | |
| Speech therapy |
$293 |
$326 |
$268 |
$76 | |
| Spinal cord stimulator |
— |
— |
$11,226 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$1,727 |
$1,919 |
$1,406 |
$165 | |
| Spirometry (lung function test) |
$206 |
$229 |
$138 |
$30 | |
| Spirometry with bronchodilator |
$270 |
$300 |
$247 |
$43 | |
| Spleen removal (splenectomy) |
— |
— |
$6,947 |
$1,036 | |
| Strabismus (eye muscle) surgery |
— |
— |
$4,039 |
$475 | |
| Strep throat test |
$154 |
$171 |
$130 |
$17 | |
| Stress echocardiogram |
$3,298 |
$3,664 |
$2,433 |
$209 | |
| Stress echocardiogram (complete) |
$3,298 |
$3,664 |
$2,774 |
$233 | |
| Swallow study |
$651 |
$723 |
$547 |
$85 | |
| T3 thyroid test |
$154 |
$171 |
$129 |
$14 | |
| Testicle removal (orchiectomy) |
— |
— |
$5,181 |
$306 | |
| Testosterone test |
$214 |
$238 |
$52 |
$26 | |
| Thyroid removal (thyroidectomy) |
— |
— |
$8,090 |
$1,004 | |
| Thyroid test (TSH) |
$160 |
$178 |
$143 |
$17 | |
| Thyroid ultrasound |
$1,075 |
$1,195 |
$904 |
$109 | |
| Tonsillectomy |
— |
— |
$3,979 |
$252 | |
| Total IgE allergy test |
$167 |
$185 |
$118 |
$16 | |
| Total protein test |
$22 |
$24 |
$19 |
$4 | |
| Tracheostomy |
— |
— |
$4,020 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$1,670 |
$1,855 |
$870 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$856 |
$951 |
$825 |
$239 | |
| Transvaginal ultrasound |
$1,220 |
$1,356 |
$1,026 |
$118 | |
| Trigger finger release |
— |
— |
$2,457 |
$630 | |
| Trigger point injection |
$892 |
$991 |
$755 |
$56 | |
| Trigger point injection (1-2 muscles) |
$892 |
$991 |
$755 |
$52 | |
| Triglycerides test |
$47 |
$52 |
$40 |
$6 | |
| Troponin (heart) test |
$146 |
$163 |
$130 |
$12 | |
| Turbinate reduction |
— |
— |
$4,772 |
$294 | |
| Ulnar nerve surgery (elbow) |
— |
— |
$2,509 |
$575 | |
| Umbilical hernia repair |
— |
— |
$29,250 |
— | |
| Upper GI endoscopy (EGD) |
— |
— |
$1,852 |
$371 | |
| Upper GI series (barium) |
$1,346 |
$1,495 |
$1,168 |
$128 | |
| Ureteral stent placement |
— |
— |
$2,831 |
$373 | |
| Ureteroscopy (stone removal) |
— |
— |
$7,724 |
$365 | |
| Uric acid (gout) test |
$99 |
$110 |
$83 |
$5 | |
| Urinalysis |
$55 |
$61 |
$46 |
$3 | |
| Urine microalbumin test |
$85 |
$94 |
$57 |
$5 | |
| Urine pregnancy test |
$169 |
$188 |
$143 |
$9 | |
| Vaccine administration |
$30 |
$33 |
$31 |
$19 | |
| Vaccine administration (each additional) |
$30 |
$33 |
$26 |
$16 | |
| Vaginal delivery |
— |
— |
$4,410 |
$5,487 | |
| Varicocele repair |
— |
— |
$3,639 |
$327 | |
| Vasectomy |
— |
— |
$5,181 |
$347 | |
| Vitamin B12 test |
$464 |
$515 |
$390 |
$15 | |
| Vitamin D test |
$209 |
$232 |
$186 |
$30 | |
| Vitrectomy (eye) |
— |
— |
$5,959 |
$814 | |
| Vocal cord injection |
— |
— |
$3,442 |
$211 | |
| Wart removal |
$358 |
$397 |
$320 |
$121 | |
| Weight-loss (bariatric) surgery |
— |
— |
$8,223 |
$11,645 | |
| Well-child visit |
$21 |
$23 |
$107 |
— | |
| Wound debridement |
$924 |
$1,027 |
$722 |
$186 | |
| Wrist fracture repair |
— |
— |
$10,022 |
$735 | |
| X-ray of the abdomen |
$355 |
$395 |
$324 |
$36 | |
| X-ray of the ankle |
$615 |
$684 |
$517 |
$37 | |
| X-ray of the collarbone |
$573 |
$637 |
$482 |
$33 | |
| X-ray of the elbow |
$597 |
$664 |
$502 |
$33 | |
| X-ray of the facial bones |
$605 |
$672 |
$477 |
$39 | |
| X-ray of the foot |
$579 |
$644 |
$487 |
$34 | |
| X-ray of the forearm |
$565 |
$628 |
$476 |
$29 | |
| X-ray of the hand |
$561 |
$623 |
$472 |
$38 | |
| X-ray of the hip |
$645 |
$716 |
$476 |
$49 | |
| X-ray of the hip (1 view) |
$493 |
$547 |
$414 |
$34 | |
| X-ray of the hip (3 views) |
$645 |
$716 |
$542 |
$49 | |
| X-ray of the knee |
$653 |
$725 |
$537 |
$42 | |
| X-ray of the knee (2 views) |
$653 |
$725 |
$549 |
$34 | |
| X-ray of the knee (3 views) |
$588 |
$653 |
$494 |
$42 | |
| X-ray of the knee (4+ views) |
$706 |
$784 |
$594 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$1,054 |
$1,171 |
$650 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$650 |
$722 |
$594 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$1,054 |
$1,171 |
$887 |
$53 | |
| X-ray of the lower leg |
$506 |
$562 |
$425 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$643 |
$714 |
$541 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$643 |
$714 |
$541 |
$33 | |
| X-ray of the neck (cervical spine) |
$690 |
$767 |
$393 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$430 |
$478 |
$362 |
$40 | |
| X-ray of the pelvis |
$480 |
$533 |
$438 |
$36 | |
| X-ray of the pelvis (1 view) |
$480 |
$533 |
$403 |
$28 | |
| X-ray of the ribs |
$677 |
$752 |
$568 |
$42 | |
| X-ray of the ribs (2 views) |
$621 |
$690 |
$523 |
$36 | |
| X-ray of the ribs (3 views) |
$677 |
$752 |
$569 |
$42 | |
| X-ray of the shoulder |
$591 |
$656 |
$497 |
$36 | |
| X-ray of the skull |
$694 |
$771 |
$617 |
$40 | |
| X-ray of the upper arm |
$466 |
$518 |
$392 |
$32 | |
| X-ray of the wrist |
$584 |
$649 |
$491 |
$43 | |
| YAG laser capsulotomy (eye) |
— |
— |
$1,060 |
$335 | |
| Zinc blood test |
$123 |
$136 |
$103 |
$11 | |