| Abdominal fluid drain (paracentesis) |
$357 |
$595 |
$1,733 |
$284 | |
| Abdominal ultrasound |
$253 |
$421 |
$307 |
$100 | |
| Abdominal ultrasound (complete) |
$253 |
$421 |
$318 |
$114 | |
| Abdominal ultrasound (limited) |
$253 |
$421 |
$294 |
$86 | |
| Abscess drainage (complex or multiple) |
$864 |
$1,440 |
$1,210 |
$220 | |
| Abscess drainage (simple) |
$470 |
$784 |
$659 |
$129 | |
| Abscess incision and drainage |
$667 |
$1,112 |
$877 |
$174 | |
| Albumin blood test |
$12 |
$21 |
$16 |
$5 | |
| Aldosterone test |
$102 |
$170 |
$129 |
$41 | |
| Alkaline phosphatase test |
$13 |
$21 |
$16 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$42 |
$70 |
$53 |
$17 | |
| ALT liver enzyme test |
$13 |
$22 |
$17 |
$5 | |
| Ammonia blood test |
$37 |
$61 |
$46 |
$15 | |
| Amniocentesis |
$2,399 |
$3,999 |
$3,359 |
$120 | |
| Amylase test |
$16 |
$27 |
$20 |
$6 | |
| Anoscopy |
$158 |
$264 |
$222 |
$129 | |
| Antinuclear antibody (ANA) test |
$30 |
$50 |
$37 |
$12 | |
| Arterial blood gas (ABG) |
$52 |
$87 |
$66 |
$26 | |
| AST liver enzyme test |
$13 |
$21 |
$16 |
$5 | |
| Barium swallow study |
$404 |
$674 |
$354 |
$107 | |
| Bartholin cyst removal |
$536 |
$894 |
$752 |
$182 | |
| Basic metabolic panel |
$21 |
$35 |
$27 |
$8 | |
| Benign skin lesion removal |
$1,042 |
$1,737 |
$1,461 |
$171 | |
| Bilirubin blood test |
$12 |
$21 |
$16 |
$5 | |
| Bladder function test (urodynamics) |
$1,748 |
$2,913 |
$2,335 |
$345 | |
| Blood clotting test (PT/INR) |
$26 |
$43 |
$14 |
$4 | |
| Blood glucose test |
$10 |
$16 |
$12 |
$5 | |
| Blood transfusion |
$983 |
$1,639 |
$1,312 |
$47 | |
| Blood type and screen |
$99 |
$165 |
$88 |
$10 | |
| Blood type test |
$151 |
$251 |
$85 |
$3 | |
| Blood type test (ABO group) |
$232 |
$386 |
$205 |
$3 | |
| Blood type test (Rh/D antigen) |
$70 |
$116 |
$62 |
$3 | |
| BNP (heart failure) test |
$58 |
$96 |
$73 |
$39 | |
| Bone density scan (DEXA) |
$253 |
$421 |
$307 |
$39 | |
| Bone marrow biopsy |
$3,749 |
$6,249 |
$5,255 |
$172 | |
| Bone scan (nuclear) |
$1,529 |
$2,549 |
$1,375 |
$259 | |
| Botox for migraine |
$290 |
$484 |
$407 |
$157 | |
| Breast MRI |
$496 |
$826 |
$624 |
$216 | |
| Breast MRI without contrast |
$496 |
$826 |
$694 |
$216 | |
| Breast ultrasound |
$316 |
$527 |
$318 |
$92 | |
| Breast ultrasound (complete) |
$253 |
$421 |
$318 |
$100 | |
| Breast ultrasound (limited) |
$380 |
$633 |
$342 |
$84 | |
| Breathing tube insertion (intubation) |
$469 |
$781 |
$590 |
$133 | |
| Bronchoscopy |
$3,472 |
$5,787 |
$4,372 |
$303 | |
| Burn dressing and debridement (medium) |
$284 |
$474 |
$399 |
$166 | |
| Burn dressing and debridement (small) |
$470 |
$784 |
$659 |
$93 | |
| Burn treatment |
$377 |
$629 |
$625 |
$129 | |
| C-reactive protein (CRP) |
$13 |
$21 |
$16 |
$5 | |
| CA 19-9 tumor marker test |
$47 |
$78 |
$59 |
$21 | |
| CA-125 ovarian marker test |
$51 |
$85 |
$64 |
$21 | |
| Calcium blood test |
$13 |
$21 |
$16 |
$5 | |
| Capsule endoscopy |
$2,182 |
$3,636 |
$3,058 |
$802 | |
| Cardiac MRI |
$1,819 |
$3,031 |
$2,120 |
$322 | |
| Cardiac MRI without contrast |
$1,513 |
$2,521 |
$1,908 |
$280 | |
| Cardiac stress test |
$653 |
$1,089 |
$916 |
$39 | |
| Cardioversion |
$962 |
$1,603 |
$1,331 |
$155 | |
| Carotid artery ultrasound |
$610 |
$1,017 |
$855 |
$156 | |
| CEA tumor marker test |
$47 |
$78 |
$59 |
$19 | |
| Celiac disease test |
$25 |
$42 |
$31 |
$12 | |
| Central line placement |
$2,733 |
$4,555 |
$3,831 |
$238 | |
| Chemotherapy infusion |
$352 |
$587 |
$478 |
$81 | |
| Chemotherapy infusion (each additional) |
$320 |
$533 |
$185 |
$28 | |
| Chemotherapy infusion (first hour) |
$384 |
$640 |
$825 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,217 |
$2,029 |
$1,494 |
$311 | |
| Chest tube insertion |
$610 |
$1,016 |
$864 |
$143 | |
| Chest X-ray |
$195 |
$325 |
$192 |
$37 | |
| Chest X-ray (1 view) |
$137 |
$228 |
$139 |
$25 | |
| Chest X-ray (2 views) |
$195 |
$325 |
$175 |
$33 | |
| Circumcision |
$2,357 |
$3,929 |
$3,225 |
$167 | |
| CK-MB heart enzyme test |
$29 |
$48 |
$36 |
$12 | |
| Clotting time test (PTT) |
$15 |
$25 |
$20 |
$6 | |
| Colonoscopy |
$2,975 |
$4,958 |
$3,753 |
$480 | |
| Complete blood count (CBC) |
$18 |
$29 |
$21 |
$7 | |
| Complete blood count (CBC) (complete) |
$19 |
$32 |
$24 |
$8 | |
| Complex wound repair |
$1,184 |
$1,973 |
$1,638 |
$390 | |
| Comprehensive metabolic panel |
$26 |
$43 |
$33 |
$11 | |
| Continuous glucose monitor setup |
$85 |
$142 |
$119 |
$35 | |
| Contraceptive implant (Nexplanon) |
$690 |
$1,151 |
$484 |
$115 | |
| Copper blood test |
$31 |
$51 |
$41 |
$12 | |
| Coronary CT angiography |
$724 |
$1,206 |
$911 |
$326 | |
| Cortisol test |
$41 |
$68 |
$51 |
$16 | |
| COVID-19 PCR test |
$106 |
$177 |
$116 |
$51 | |
| CPAP titration study |
$383 |
$639 |
$543 |
$69 | |
| Creatine kinase (CK) test |
$16 |
$27 |
$20 |
$7 | |
| CT angiography of the chest |
$723 |
$1,205 |
$910 |
$281 | |
| CT angiography of the head |
$722 |
$1,204 |
$910 |
$274 | |
| CT scan of the abdomen |
$612 |
$1,020 |
$674 |
$230 | |
| CT scan of the abdomen and pelvis |
$697 |
$1,161 |
$912 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$697 |
$1,161 |
$975 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,417 |
$4,029 |
$935 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$651 |
$1,085 |
$792 |
$183 | |
| CT scan of the abdomen with and without contrast |
$700 |
$1,166 |
$881 |
$259 | |
| CT scan of the abdomen with contrast |
$612 |
$1,020 |
$771 |
$230 | |
| CT scan of the abdomen without contrast |
$398 |
$664 |
$502 |
$136 | |
| CT scan of the arm |
$398 |
$664 |
$564 |
$199 | |
| CT scan of the arm with contrast |
$556 |
$927 |
$588 |
$199 | |
| CT scan of the arm without contrast |
$398 |
$664 |
$503 |
$161 | |
| CT scan of the chest |
$572 |
$953 |
$570 |
$167 | |
| CT scan of the chest with and without contrast |
$699 |
$1,165 |
$880 |
$196 | |
| CT scan of the chest with contrast |
$572 |
$953 |
$720 |
$167 | |
| CT scan of the chest without contrast |
$403 |
$671 |
$508 |
$133 | |
| CT scan of the head |
$556 |
$927 |
$501 |
$148 | |
| CT scan of the head with and without contrast |
$569 |
$948 |
$716 |
$173 | |
| CT scan of the head with contrast |
$556 |
$927 |
$624 |
$148 | |
| CT scan of the head without contrast |
$358 |
$596 |
$428 |
$107 | |
| CT scan of the leg |
$556 |
$927 |
$651 |
$166 | |
| CT scan of the leg with contrast |
$556 |
$927 |
$702 |
$166 | |
| CT scan of the leg without contrast |
$398 |
$664 |
$503 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,005 |
$1,675 |
$651 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,345 |
$2,242 |
$1,210 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,005 |
$1,675 |
$974 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$403 |
$671 |
$508 |
$130 | |
| CT scan of the neck |
$556 |
$927 |
$585 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,166 |
$1,944 |
$651 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,345 |
$2,242 |
$1,210 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,166 |
$1,944 |
$1,049 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$403 |
$671 |
$508 |
$131 | |
| CT scan of the neck with and without contrast |
$680 |
$1,134 |
$858 |
$220 | |
| CT scan of the neck with contrast |
$556 |
$927 |
$702 |
$183 | |
| CT scan of the neck without contrast |
$398 |
$664 |
$503 |
$150 | |
| CT scan of the pelvis |
$700 |
$1,166 |
$675 |
$226 | |
| CT scan of the pelvis with and without contrast |
$700 |
$1,166 |
$881 |
$251 | |
| CT scan of the pelvis with contrast |
$1,228 |
$2,046 |
$1,104 |
$226 | |
| CT scan of the pelvis without contrast |
$403 |
$671 |
$507 |
$133 | |
| CT scan of the sinuses |
$559 |
$932 |
$559 |
$152 | |
| CT scan of the sinuses with and without contrast |
$700 |
$1,166 |
$820 |
$184 | |
| CT scan of the sinuses with contrast |
$559 |
$932 |
$649 |
$152 | |
| CT scan of the sinuses without contrast |
$399 |
$665 |
$502 |
$128 | |
| D-dimer test |
$23 |
$39 |
$29 |
$10 | |
| DHEA-sulfate test |
$55 |
$91 |
$69 |
$22 | |
| Dilation and curettage (D&C) |
$4,234 |
$7,056 |
$5,859 |
$298 | |
| Drug screen (urine) |
$50 |
$83 |
$82 |
$17 | |
| Ear pressure test (tympanometry) |
$70 |
$117 |
$98 |
$16 | |
| Echocardiogram |
$610 |
$1,017 |
$842 |
$138 | |
| Echocardiogram with and without contrast |
$610 |
$1,017 |
$855 |
$101 | |
| Echocardiogram without contrast |
$576 |
$960 |
$807 |
$138 | |
| EEG (awake and asleep) |
$1,441 |
$2,402 |
$1,531 |
$482 | |
| EKG / ECG (tracing only) |
$123 |
$205 |
$172 |
$7 | |
| Electrocardiogram (EKG) |
$123 |
$205 |
$172 |
$8 | |
| Electroencephalogram (EEG) |
$995 |
$1,659 |
$1,151 |
$448 | |
| Electrolyte panel |
$44 |
$73 |
$39 |
$7 | |
| Electromyography (EMG) |
$240 |
$401 |
$312 |
$141 | |
| Emergency department visit |
$836 |
$1,394 |
$1,055 |
$69 | |
| Emergency department visit (level 1) |
$206 |
$344 |
$309 |
$11 | |
| Emergency department visit (level 2) |
$396 |
$660 |
$637 |
$40 | |
| Emergency department visit (level 3) |
$836 |
$1,394 |
$1,172 |
$69 | |
| Emergency department visit (level 4) |
$1,085 |
$1,808 |
$1,521 |
$118 | |
| Emergency department visit (level 5) |
$1,733 |
$2,888 |
$2,429 |
$171 | |
| Epidural steroid injection |
$1,510 |
$2,517 |
$2,117 |
$275 | |
| ERCP (bile duct endoscopy) |
$7,627 |
$12,712 |
$9,482 |
$311 | |
| Estradiol (estrogen) test |
$69 |
$115 |
$87 |
$28 | |
| Facet joint injection (spine) |
$333 |
$555 |
$467 |
$99 | |
| Fecal occult blood (stool) test |
$35 |
$58 |
$17 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$7 |
$11 |
$8 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$64 |
$106 |
$56 |
$16 | |
| Feeding tube (PEG) placement |
$4,505 |
$7,508 |
$6,314 |
$178 | |
| Ferritin (iron) test |
$35 |
$59 |
$45 |
$14 | |
| Fibrinogen test |
$21 |
$35 |
$27 |
$10 | |
| Flexible sigmoidoscopy |
$2,264 |
$3,773 |
$3,173 |
$323 | |
| Folate (folic acid) test |
$38 |
$63 |
$48 |
$15 | |
| Foreign body removal (skin) |
$864 |
$1,440 |
$1,210 |
$157 | |
| Free T4 thyroid test |
$22 |
$37 |
$28 |
$9 | |
| FSH hormone test |
$46 |
$77 |
$62 |
$19 | |
| Gallbladder scan (HIDA) |
$884 |
$1,473 |
$1,108 |
$334 | |
| GGT liver test |
$18 |
$30 |
$23 |
$7 | |
| HDL cholesterol test |
$20 |
$34 |
$26 |
$8 | |
| Hearing test (audiometry) |
$248 |
$413 |
$347 |
$36 | |
| Hematocrit test |
$5 |
$8 |
$7 |
$2 | |
| Hemodialysis |
$1,424 |
$2,373 |
$1,996 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$47 |
$79 |
$32 |
$10 | |
| Hemorrhoid removal |
$1,079 |
$1,798 |
$1,493 |
$338 | |
| Hepatitis B test |
$25 |
$42 |
$32 |
$10 | |
| Hepatitis C test |
$36 |
$60 |
$45 |
$14 | |
| HIV test |
$51 |
$86 |
$50 |
$19 | |
| HIV test (antibody) |
$35 |
$59 |
$45 |
$14 | |
| HIV test (antigen/antibody combo) |
$67 |
$112 |
$82 |
$24 | |
| Hydrocele repair |
$4,438 |
$7,396 |
$6,142 |
$315 | |
| Iron blood test |
$160 |
$267 |
$21 |
$6 | |
| IUD removal |
$536 |
$894 |
$752 |
$112 | |
| IV infusion therapy |
$299 |
$499 |
$374 |
$44 | |
| IV infusion therapy (each additional) |
$97 |
$162 |
$136 |
$21 | |
| IV infusion therapy (initial) |
$501 |
$835 |
$702 |
$67 | |
| IVC filter placement |
$5,183 |
$8,638 |
$7,852 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$602 |
$1,004 |
$818 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$524 |
$873 |
$766 |
$57 | |
| Joint aspiration or injection (small joint) |
$680 |
$1,134 |
$954 |
$56 | |
| Kidney biopsy |
$2,884 |
$4,806 |
$4,085 |
$492 | |
| Kidney scan (nuclear) |
$1,512 |
$2,520 |
$1,360 |
$172 | |
| Kidney ultrasound |
$253 |
$421 |
$307 |
$84 | |
| Kidney ultrasound (limited) |
$253 |
$421 |
$227 |
$61 | |
| Knee joint injection |
$539 |
$899 |
$858 |
$69 | |
| Knee replacement |
$89,757 |
$149,595 |
$8,950 |
$18,054 | |
| Lactate test |
$27 |
$44 |
$37 |
$12 | |
| Laryngoscopy |
$2,297 |
$3,829 |
$949 |
$189 | |
| LDH test |
$15 |
$25 |
$19 |
$6 | |
| LDL cholesterol test |
$24 |
$39 |
$30 |
$11 | |
| Leg artery angiogram |
$2,141 |
$3,568 |
$2,695 |
$149 | |
| Leg vein ultrasound (Doppler) |
$673 |
$1,122 |
$855 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$736 |
$1,226 |
$926 |
$116 | |
| LH hormone test |
$79 |
$131 |
$61 |
$19 | |
| Lipase test |
$17 |
$29 |
$22 |
$7 | |
| Liver biopsy |
$2,375 |
$3,958 |
$1,261 |
$288 | |
| Liver function panel |
$20 |
$34 |
$26 |
$8 | |
| Lung function test (PFT) |
$506 |
$843 |
$507 |
$37 | |
| Lung scan (V/Q) |
$453 |
$755 |
$652 |
$291 | |
| Magnesium blood test |
$24 |
$39 |
$21 |
$7 | |
| MRA of the brain |
$1,318 |
$2,196 |
$1,845 |
$226 | |
| MRA of the brain with contrast |
$1,318 |
$2,196 |
$1,662 |
$226 | |
| MRA of the brain without contrast |
$1,561 |
$2,602 |
$2,164 |
$328 | |
| MRA of the neck |
$1,318 |
$2,196 |
$1,845 |
$245 | |
| MRA of the neck with contrast |
$1,318 |
$2,196 |
$1,662 |
$245 | |
| MRA of the neck without contrast |
$1,496 |
$2,494 |
$2,095 |
$343 | |
| MRI of the abdomen |
$1,318 |
$2,196 |
$1,845 |
$300 | |
| MRI of the abdomen with contrast |
$1,318 |
$2,196 |
$1,662 |
$300 | |
| MRI of the abdomen without contrast |
$1,318 |
$2,196 |
$1,662 |
$194 | |
| MRI of the ankle |
$904 |
$1,506 |
$1,222 |
$261 | |
| MRI of the ankle with contrast |
$904 |
$1,506 |
$1,265 |
$261 | |
| MRI of the ankle without contrast |
$782 |
$1,303 |
$1,095 |
$222 | |
| MRI of the brain |
$1,318 |
$2,196 |
$1,845 |
$269 | |
| MRI of the brain with contrast |
$1,318 |
$2,196 |
$1,662 |
$269 | |
| MRI of the brain without contrast |
$1,318 |
$2,196 |
$1,662 |
$195 | |
| MRI of the chest |
$1,318 |
$2,196 |
$1,845 |
$371 | |
| MRI of the chest with contrast |
$1,318 |
$2,196 |
$1,662 |
$371 | |
| MRI of the chest without contrast |
$1,663 |
$2,771 |
$2,098 |
$466 | |
| MRI of the knee |
$1,501 |
$2,501 |
$1,543 |
$315 | |
| MRI of the knee with contrast |
$1,501 |
$2,501 |
$1,893 |
$315 | |
| MRI of the knee without contrast |
$782 |
$1,303 |
$986 |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,318 |
$2,196 |
$1,845 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,318 |
$2,196 |
$1,662 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,318 |
$2,196 |
$1,662 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,318 |
$2,196 |
$1,845 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$1,698 |
$2,830 |
$2,142 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,318 |
$2,196 |
$1,662 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,318 |
$2,196 |
$1,662 |
$190 | |
| MRI of the neck (cervical spine) |
$1,318 |
$2,196 |
$1,845 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$1,698 |
$2,830 |
$2,142 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,318 |
$2,196 |
$1,662 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,318 |
$2,196 |
$1,662 |
$191 | |
| MRI of the pelvis |
$1,318 |
$2,196 |
$1,845 |
$268 | |
| MRI of the pelvis with contrast |
$1,318 |
$2,196 |
$1,662 |
$268 | |
| MRI of the pelvis without contrast |
$1,318 |
$2,196 |
$1,662 |
$227 | |
| MRI of the shoulder |
$1,501 |
$2,501 |
$1,889 |
$313 | |
| MRI of the shoulder with contrast |
$1,501 |
$2,501 |
$1,893 |
$313 | |
| MRI of the shoulder without contrast |
$782 |
$1,303 |
$986 |
$205 | |
| MRI of the wrist |
$1,005 |
$1,675 |
$1,265 |
$330 | |
| MRI of the wrist with contrast |
$1,172 |
$1,953 |
$1,478 |
$330 | |
| MRI of the wrist without contrast |
$782 |
$1,303 |
$1,095 |
$303 | |
| Nebulizer breathing treatment |
$383 |
$639 |
$537 |
$9 | |
| Nerve conduction study |
$358 |
$596 |
$794 |
$118 | |
| Nuchal translucency ultrasound |
$255 |
$425 |
$233 |
$116 | |
| Nuclear cardiac stress test |
$1,112 |
$1,854 |
$1,557 |
$428 | |
| Occupational therapy evaluation |
$315 |
$525 |
$345 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$315 |
$525 |
$345 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$315 |
$525 |
$345 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$325 |
$541 |
$345 |
$101 | |
| Pacemaker insertion |
$62,255 |
$103,759 |
$9,776 |
$15,506 | |
| Pap smear (cervical screening) |
$75 |
$125 |
$88 |
$20 | |
| Parathyroid hormone (PTH) test |
$103 |
$172 |
$130 |
$41 | |
| Pelvic ultrasound |
$253 |
$421 |
$307 |
$78 | |
| Pelvic ultrasound (complete) |
$253 |
$421 |
$318 |
$105 | |
| Pelvic ultrasound (limited) |
$253 |
$421 |
$227 |
$51 | |
| PET scan |
$4,015 |
$6,691 |
$5,228 |
— | |
| Phosphorus blood test |
$12 |
$20 |
$15 |
$5 | |
| Physical therapy evaluation |
$325 |
$541 |
$282 |
$98 | |
| Physical therapy evaluation (high complexity) |
$325 |
$541 |
$282 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$325 |
$541 |
$282 |
$98 | |
| Pilonidal cyst removal |
$6,872 |
$11,454 |
$9,621 |
$541 | |
| Platelet count |
$11 |
$19 |
$14 |
$4 | |
| Pregnancy blood test (hCG) |
$19 |
$31 |
$23 |
$8 | |
| Pregnancy ultrasound |
$336 |
$560 |
$278 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$414 |
$690 |
$258 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$258 |
$430 |
$322 |
$136 | |
| Procalcitonin test |
$67 |
$111 |
$84 |
$27 | |
| Prolactin test |
$125 |
$208 |
$60 |
$19 | |
| Prostate biopsy |
$331 |
$551 |
$463 |
— | |
| Psychiatric evaluation |
$335 |
$558 |
$474 |
$188 | |
| Retinal (fundus) photography |
$296 |
$493 |
$415 |
$37 | |
| Sacroiliac joint injection |
$154 |
$256 |
$215 |
$176 | |
| Scoliosis spine X-ray |
$195 |
$325 |
$192 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$137 |
$228 |
$139 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$253 |
$421 |
$233 |
$72 | |
| Scrotal ultrasound |
$253 |
$421 |
$318 |
$99 | |
| Sedimentation rate (ESR) test |
$8 |
$13 |
$8 |
$3 | |
| Sex hormone binding globulin test |
$53 |
$88 |
$66 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$470 |
$784 |
$659 |
$114 | |
| Simple wound stitches |
$470 |
$784 |
$659 |
$127 | |
| Skin biopsy |
$419 |
$698 |
$587 |
$121 | |
| Skin biopsy (punch) |
$419 |
$698 |
$587 |
$121 | |
| Skin tag removal |
$284 |
$474 |
$398 |
$92 | |
| Sleep study (polysomnography) |
$1,990 |
$3,316 |
$2,865 |
$691 | |
| Soft tissue ultrasound |
$253 |
$421 |
$227 |
$64 | |
| Speech therapy |
$158 |
$263 |
$278 |
$76 | |
| Spinal tap (lumbar puncture) |
$1,510 |
$2,517 |
$2,117 |
$165 | |
| Spirometry (lung function test) |
$358 |
$596 |
$501 |
$30 | |
| Spirometry with bronchodilator |
$653 |
$1,089 |
$916 |
$43 | |
| Strep throat test |
$34 |
$57 |
$22 |
$17 | |
| Stress echocardiogram |
$1,121 |
$1,868 |
$1,571 |
$209 | |
| Swallow study |
$244 |
$406 |
$395 |
$85 | |
| T3 thyroid test |
$36 |
$60 |
$45 |
$14 | |
| Testosterone test |
$65 |
$108 |
$82 |
$26 | |
| Thyroid test (TSH) |
$42 |
$70 |
$53 |
$17 | |
| Thyroid ultrasound |
$253 |
$421 |
$322 |
$109 | |
| Thyroid uptake scan |
$266 |
$444 |
$377 |
$145 | |
| Total IgE allergy test |
$41 |
$69 |
$52 |
$16 | |
| Total protein test |
$9 |
$15 |
$11 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$1,054 |
$1,756 |
$1,177 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,276 |
$2,127 |
$1,789 |
$239 | |
| Transvaginal ultrasound |
$253 |
$421 |
$317 |
$118 | |
| Trigger point injection |
$545 |
$909 |
$764 |
$56 | |
| Trigger point injection (1-2 muscles) |
$545 |
$909 |
$764 |
$52 | |
| Triglycerides test |
$14 |
$24 |
$18 |
$6 | |
| Troponin (heart) test |
$25 |
$42 |
$32 |
$12 | |
| Upper GI endoscopy (EGD) |
$1,775 |
$2,958 |
$1,733 |
$371 | |
| Upper GI series (barium) |
$492 |
$820 |
$500 |
$128 | |
| Uric acid (gout) test |
$11 |
$19 |
$14 |
$5 | |
| Urinalysis |
$7 |
$11 |
$7 |
$3 | |
| Urine microalbumin test |
$21 |
$34 |
$16 |
$5 | |
| Urine pregnancy test |
$17 |
$29 |
$22 |
$9 | |
| Vaccine administration |
$41 |
$69 |
$65 |
$19 | |
| Vaccine administration (each additional) |
$36 |
$60 |
$51 |
$16 | |
| Vitamin B12 test |
$38 |
$64 |
$48 |
$15 | |
| Vitamin D test |
$73 |
$122 |
$92 |
$30 | |
| Wart removal |
$458 |
$763 |
$641 |
$121 | |
| Weight-loss (bariatric) surgery |
$40,745 |
$67,908 |
$8,950 |
$11,645 | |
| Wound debridement |
$786 |
$1,310 |
$1,058 |
$186 | |
| X-ray of the abdomen |
$253 |
$421 |
$172 |
$36 | |
| X-ray of the ankle |
$137 |
$228 |
$139 |
$37 | |
| X-ray of the collarbone |
$137 |
$228 |
$139 |
$33 | |
| X-ray of the elbow |
$137 |
$228 |
$139 |
$33 | |
| X-ray of the facial bones |
$266 |
$444 |
$251 |
$39 | |
| X-ray of the foot |
$137 |
$228 |
$139 |
$34 | |
| X-ray of the forearm |
$137 |
$228 |
$139 |
$29 | |
| X-ray of the hand |
$137 |
$228 |
$139 |
$38 | |
| X-ray of the hip |
$137 |
$228 |
$168 |
$49 | |
| X-ray of the hip (1 view) |
$137 |
$228 |
$102 |
$34 | |
| X-ray of the hip (3 views) |
$137 |
$228 |
$152 |
$49 | |
| X-ray of the hip (4 views) |
$296 |
$493 |
$266 |
$63 | |
| X-ray of the knee |
$137 |
$228 |
$168 |
$42 | |
| X-ray of the knee (2 views) |
$137 |
$228 |
$139 |
$34 | |
| X-ray of the knee (3 views) |
$137 |
$228 |
$139 |
$42 | |
| X-ray of the knee (4+ views) |
$253 |
$421 |
$227 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$253 |
$421 |
$227 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$253 |
$421 |
$227 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$253 |
$421 |
$227 |
$53 | |
| X-ray of the lower leg |
$137 |
$228 |
$139 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$253 |
$421 |
$227 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$253 |
$421 |
$227 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$253 |
$421 |
$227 |
$39 | |
| X-ray of the neck (cervical spine) |
$195 |
$325 |
$168 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$137 |
$228 |
$139 |
$40 | |
| X-ray of the pelvis |
$253 |
$421 |
$227 |
$36 | |
| X-ray of the pelvis (1 view) |
$253 |
$421 |
$227 |
$28 | |
| X-ray of the ribs |
$137 |
$228 |
$126 |
$42 | |
| X-ray of the ribs (2 views) |
$137 |
$228 |
$139 |
$36 | |
| X-ray of the ribs (3 views) |
$253 |
$421 |
$123 |
$42 | |
| X-ray of the shoulder |
$137 |
$228 |
$139 |
$36 | |
| X-ray of the skull |
$253 |
$421 |
$227 |
$40 | |
| X-ray of the thigh bone |
$263 |
$439 |
$369 |
— | |
| X-ray of the upper arm |
$137 |
$228 |
$139 |
$32 | |
| X-ray of the wrist |
$137 |
$228 |
$139 |
$43 | |
| Zinc blood test |
$29 |
$48 |
$36 |
$11 | |