| 3D mammogram (tomosynthesis) |
$105 |
$172 |
$278 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$2,285 |
$3,727 |
$2,697 |
$284 | |
| Abdominal ultrasound |
$517 |
$843 |
$299 |
$100 | |
| Abdominal ultrasound (complete) |
$663 |
$1,081 |
$299 |
$114 | |
| Abdominal ultrasound (limited) |
$517 |
$843 |
$299 |
$86 | |
| Abscess drainage (complex or multiple) |
$1,138 |
$1,856 |
$1,757 |
$220 | |
| Abscess drainage (simple) |
$598 |
$975 |
$707 |
$129 | |
| Abscess incision and drainage |
$868 |
$1,416 |
$1,301 |
$174 | |
| Achilles tendon repair |
$9,241 |
$15,075 |
$6,598 |
$624 | |
| ACL knee reconstruction |
$16,341 |
$26,658 |
$6,744 |
$889 | |
| Albumin blood test |
$21 |
$35 |
$14 |
$5 | |
| Aldosterone test |
$129 |
$210 |
$117 |
$41 | |
| Alkaline phosphatase test |
$33 |
$54 |
$15 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$59 |
$97 |
$48 |
$17 | |
| ALT liver enzyme test |
$35 |
$57 |
$15 |
$5 | |
| Ammonia blood test |
$71 |
$115 |
$42 |
$15 | |
| Amylase test |
$34 |
$56 |
$19 |
$6 | |
| Anal fistula repair |
$4,133 |
$6,742 |
$4,880 |
$541 | |
| Ankle fracture repair |
$10,442 |
$17,035 |
$6,744 |
$608 | |
| Ankle replacement |
$5,313 |
$8,667 |
$3,849 |
$885 | |
| Antinuclear antibody (ANA) test |
$62 |
$101 |
$35 |
$12 | |
| Aortic valve replacement |
$6,063 |
$9,891 |
$5,998 |
$1,603 | |
| Arterial blood gas (ABG) |
$89 |
$145 |
$75 |
$26 | |
| AST liver enzyme test |
$24 |
$39 |
$15 |
$5 | |
| Barium swallow study |
$424 |
$692 |
$303 |
$107 | |
| Bartholin cyst removal |
$145 |
$237 |
$2,018 |
$182 | |
| Basic metabolic panel |
$84 |
$137 |
$24 |
$8 | |
| Benign skin lesion removal |
$6,224 |
$10,154 |
$1,864 |
$171 | |
| Bilirubin blood test |
$36 |
$58 |
$14 |
$5 | |
| Bladder scope (cystoscopy) |
$4,967 |
$8,102 |
$1,864 |
$216 | |
| Bladder tumor removal (TURBT) |
$7,702 |
$12,564 |
$4,880 |
$236 | |
| Blood clotting test (PT/INR) |
$36 |
$58 |
$12 |
$4 | |
| Blood crossmatch |
$99 |
$161 |
$115 |
— | |
| Blood glucose test |
$30 |
$49 |
$11 |
$5 | |
| Blood transfusion |
$1,207 |
$1,969 |
$1,757 |
$47 | |
| Blood type and screen |
$82 |
$133 |
$28 |
$10 | |
| Blood type test |
$58 |
$94 |
$9 |
$3 | |
| Blood type test (ABO group) |
$69 |
$112 |
$9 |
$3 | |
| Blood type test (Rh/D antigen) |
$47 |
$76 |
$9 |
$3 | |
| BNP (heart failure) test |
$97 |
$159 |
$113 |
$39 | |
| Bone density scan (DEXA) |
$346 |
$564 |
$303 |
$39 | |
| Bone marrow biopsy |
$1,451 |
$2,367 |
$1,984 |
$172 | |
| Bone scan (nuclear) |
$1,277 |
$2,083 |
$1,977 |
$259 | |
| Breast biopsy |
$3,638 |
$5,934 |
$4,848 |
$478 | |
| Breast MRI |
$2,144 |
$3,497 |
$1,313 |
$216 | |
| Breast MRI without contrast |
$1,949 |
$3,180 |
$1,313 |
$216 | |
| Breast reduction |
$12,763 |
$20,821 |
$5,599 |
$980 | |
| Breast ultrasound |
$352 |
$574 |
$299 |
$92 | |
| Breast ultrasound (complete) |
$401 |
$654 |
$299 |
$100 | |
| Breast ultrasound (limited) |
$302 |
$493 |
$299 |
$84 | |
| Breathing tube insertion (intubation) |
$1,073 |
$1,750 |
$1,757 |
$133 | |
| Bronchoscopy |
$3,883 |
$6,334 |
$2,806 |
$303 | |
| Bunion surgery (bunionectomy) |
$10,538 |
$17,192 |
$6,359 |
$883 | |
| Burn dressing and debridement (medium) |
$377 |
$615 |
$1,671 |
$166 | |
| Burn dressing and debridement (small) |
$303 |
$495 |
$1,528 |
$93 | |
| Burn treatment |
$340 |
$555 |
$1,528 |
$129 | |
| C-reactive protein (CRP) |
$51 |
$83 |
$15 |
$5 | |
| CA 19-9 tumor marker test |
$85 |
$139 |
$60 |
$21 | |
| CA-125 ovarian marker test |
$94 |
$153 |
$60 |
$21 | |
| Calcium blood test |
$34 |
$56 |
$15 |
$5 | |
| Cardiac ablation |
$19,666 |
$32,081 |
$10,074 |
$759 | |
| Cardiac catheterization |
$11,023 |
$17,983 |
$7,624 |
$1,049 | |
| Cardiac MRI |
$1,847 |
$3,013 |
$1,313 |
$322 | |
| Cardiac MRI without contrast |
$1,559 |
$2,543 |
$1,313 |
$280 | |
| Cardiac rehabilitation |
$149 |
$243 |
$512 |
$26 | |
| Cardiac stress test |
$756 |
$1,233 |
$5,989 |
$39 | |
| Cardioversion |
$887 |
$1,447 |
$6,622 |
$155 | |
| Carotid artery surgery |
$25,070 |
$40,898 |
$4,468 |
$1,026 | |
| Carotid artery ultrasound |
$819 |
$1,336 |
$5,963 |
$156 | |
| Carpal tunnel release |
$3,343 |
$5,454 |
$3,575 |
$483 | |
| CEA tumor marker test |
$80 |
$130 |
$55 |
$19 | |
| Celiac disease test |
$64 |
$104 |
$33 |
$12 | |
| Central line placement |
$1,073 |
$1,750 |
$1,864 |
$238 | |
| Cervical cerclage |
$5,134 |
$8,375 |
$3,888 |
$137 | |
| Cervical LEEP procedure |
$4,807 |
$7,842 |
$3,575 |
$325 | |
| Cesarean section (C-section) |
$13,610 |
$22,201 |
$7,082 |
$7,552 | |
| Chemotherapy infusion |
$356 |
$581 |
$6,070 |
$81 | |
| Chemotherapy infusion (each additional) |
$181 |
$296 |
$6,070 |
$28 | |
| Chemotherapy infusion (first hour) |
$531 |
$866 |
$6,070 |
$133 | |
| Chest fluid drain (thoracentesis) |
$2,047 |
$3,340 |
$1,864 |
$311 | |
| Chest tube insertion |
$1,468 |
$2,394 |
$2,018 |
$143 | |
| Chest X-ray |
$237 |
$386 |
$303 |
$37 | |
| Chest X-ray (1 view) |
$203 |
$331 |
$303 |
$25 | |
| Chest X-ray (2 views) |
$237 |
$386 |
$303 |
$33 | |
| Circumcision |
$4,045 |
$6,599 |
$3,575 |
$167 | |
| CK-MB heart enzyme test |
$56 |
$92 |
$33 |
$12 | |
| Clotting time test (PTT) |
$56 |
$91 |
$17 |
$6 | |
| Colon resection (colectomy) |
$27,785 |
$45,327 |
$5,599 |
$1,238 | |
| Colonoscopy |
$2,305 |
$3,761 |
$2,806 |
$480 | |
| Complete blood count (CBC) |
$53 |
$87 |
$20 |
$7 | |
| Complete blood count (CBC) (complete) |
$58 |
$94 |
$22 |
$8 | |
| Complex wound repair |
$415 |
$677 |
$4,349 |
$390 | |
| Comprehensive metabolic panel |
$64 |
$105 |
$30 |
$11 | |
| Contraceptive implant (Nexplanon) |
$1,500 |
$2,448 |
$707 |
$115 | |
| Copper blood test |
$53 |
$86 |
$36 |
$12 | |
| Coronary artery bypass (CABG) |
$67,873 |
$110,723 |
$39,054 |
$36,593 | |
| Coronary CT angiography |
$1,449 |
$2,364 |
$906 |
$326 | |
| Cortisol test |
$63 |
$103 |
$47 |
$16 | |
| COVID-19 PCR test |
$76 |
$124 |
$148 |
$51 | |
| CPAP titration study |
$272 |
$443 |
$5,856 |
$69 | |
| Creatine kinase (CK) test |
$31 |
$50 |
$19 |
$7 | |
| CT angiography of the chest |
$1,873 |
$3,056 |
$906 |
$281 | |
| CT angiography of the head |
$1,808 |
$2,950 |
$906 |
$274 | |
| CT scan of the abdomen |
$1,569 |
$2,560 |
$906 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,695 |
$4,397 |
$906 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,004 |
$4,900 |
$906 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,695 |
$4,397 |
$906 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,131 |
$3,476 |
$906 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,850 |
$3,018 |
$906 |
$259 | |
| CT scan of the abdomen with contrast |
$1,569 |
$2,560 |
$906 |
$230 | |
| CT scan of the abdomen without contrast |
$1,274 |
$2,078 |
$906 |
$136 | |
| CT scan of the arm |
$1,197 |
$1,953 |
$906 |
$199 | |
| CT scan of the arm with contrast |
$1,392 |
$2,270 |
$906 |
$199 | |
| CT scan of the arm without contrast |
$1,197 |
$1,953 |
$906 |
$161 | |
| CT scan of the chest |
$1,572 |
$2,564 |
$906 |
$167 | |
| CT scan of the chest with and without contrast |
$1,857 |
$3,029 |
$906 |
$196 | |
| CT scan of the chest with contrast |
$1,572 |
$2,564 |
$906 |
$167 | |
| CT scan of the chest without contrast |
$1,244 |
$2,029 |
$906 |
$133 | |
| CT scan of the head |
$1,337 |
$2,181 |
$906 |
$148 | |
| CT scan of the head with and without contrast |
$1,626 |
$2,653 |
$906 |
$173 | |
| CT scan of the head with contrast |
$1,337 |
$2,181 |
$906 |
$148 | |
| CT scan of the head without contrast |
$1,217 |
$1,986 |
$906 |
$107 | |
| CT scan of the leg |
$1,207 |
$1,969 |
$906 |
$166 | |
| CT scan of the leg with contrast |
$1,426 |
$2,327 |
$906 |
$166 | |
| CT scan of the leg without contrast |
$1,207 |
$1,969 |
$906 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,605 |
$2,618 |
$906 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,951 |
$3,183 |
$906 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,605 |
$2,618 |
$906 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,382 |
$2,255 |
$906 |
$130 | |
| CT scan of the neck |
$1,494 |
$2,437 |
$906 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,533 |
$2,500 |
$906 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,900 |
$3,099 |
$906 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,533 |
$2,500 |
$906 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,395 |
$2,275 |
$906 |
$131 | |
| CT scan of the neck with and without contrast |
$1,660 |
$2,708 |
$906 |
$220 | |
| CT scan of the neck with contrast |
$1,494 |
$2,437 |
$906 |
$183 | |
| CT scan of the neck without contrast |
$1,198 |
$1,955 |
$906 |
$150 | |
| CT scan of the pelvis |
$1,477 |
$2,409 |
$906 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,745 |
$2,846 |
$906 |
$251 | |
| CT scan of the pelvis with contrast |
$1,477 |
$2,409 |
$906 |
$226 | |
| CT scan of the pelvis without contrast |
$1,262 |
$2,059 |
$906 |
$133 | |
| CT scan of the sinuses |
$1,470 |
$2,398 |
$906 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,679 |
$2,739 |
$906 |
$184 | |
| CT scan of the sinuses with contrast |
$1,470 |
$2,398 |
$906 |
$152 | |
| CT scan of the sinuses without contrast |
$1,190 |
$1,942 |
$906 |
$128 | |
| D-dimer test |
$98 |
$160 |
$29 |
$10 | |
| Defibrillator (ICD) implant |
$3,629 |
$5,920 |
$12,089 |
$798 | |
| Developmental screening (child) |
$56 |
$91 |
$11,500 |
— | |
| DHEA-sulfate test |
$88 |
$144 |
$64 |
$22 | |
| Diagnostic mammogram |
$262 |
$427 |
$278 |
$140 | |
| Dialysis fistula creation |
$9,983 |
$16,286 |
$6,359 |
$601 | |
| Dilation and curettage (D&C) |
$6,975 |
$11,378 |
$3,575 |
$298 | |
| Drug screen (urine) |
$96 |
$157 |
$120 |
$17 | |
| Ear tubes (myringotomy) |
$3,624 |
$5,912 |
$4,848 |
$174 | |
| Echocardiogram |
$1,153 |
$1,881 |
$6,329 |
$138 | |
| Echocardiogram with and without contrast |
$777 |
$1,267 |
$6,329 |
$101 | |
| EEG (awake and asleep) |
$367 |
$599 |
$5,780 |
$482 | |
| EKG / ECG (tracing only) |
$138 |
$225 |
$5,842 |
$7 | |
| Electrocardiogram (EKG) |
$74 |
$121 |
$11,500 |
$8 | |
| Electroencephalogram (EEG) |
$339 |
$554 |
$5,780 |
$448 | |
| Electrolyte panel |
$59 |
$96 |
$20 |
$7 | |
| Emergency department visit |
$638 |
$1,040 |
$1,378 |
$69 | |
| Emergency department visit (level 1) |
$337 |
$550 |
$414 |
$11 | |
| Emergency department visit (level 2) |
$398 |
$650 |
$602 |
$40 | |
| Emergency department visit (level 3) |
$638 |
$1,040 |
$937 |
$69 | |
| Emergency department visit (level 4) |
$1,018 |
$1,660 |
$1,634 |
$118 | |
| Emergency department visit (level 5) |
$1,471 |
$2,400 |
$1,999 |
$171 | |
| Endometrial biopsy |
$533 |
$869 |
$707 |
$98 | |
| Epidural steroid injection |
$1,869 |
$3,048 |
$2,018 |
$275 | |
| ERCP (bile duct endoscopy) |
$5,440 |
$8,874 |
$3,575 |
$311 | |
| Esophageal dilation |
$2,039 |
$3,326 |
$2,663 |
$522 | |
| Estradiol (estrogen) test |
$82 |
$133 |
$80 |
$28 | |
| Facet joint injection (spine) |
$1,001 |
$1,633 |
$1,864 |
$99 | |
| Fallopian tube X-ray (HSG) |
$598 |
$976 |
$1,301 |
$164 | |
| Fecal occult blood (stool) test |
$44 |
$72 |
$31 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$25 |
$41 |
$13 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$63 |
$103 |
$46 |
$16 | |
| Feeding tube (PEG) placement |
$2,421 |
$3,949 |
$2,806 |
$178 | |
| Femoral hernia repair |
$8,412 |
$13,723 |
$6,813 |
$584 | |
| Ferritin (iron) test |
$59 |
$97 |
$39 |
$14 | |
| Fibrinogen test |
$68 |
$111 |
$28 |
$10 | |
| Flexible sigmoidoscopy |
$1,879 |
$3,066 |
$1,864 |
$323 | |
| Flu vaccine |
$15 |
$25 |
$11,500 |
— | |
| Folate (folic acid) test |
$55 |
$90 |
$42 |
$15 | |
| Foreign body removal (skin) |
$788 |
$1,286 |
$1,301 |
$157 | |
| Free T4 thyroid test |
$67 |
$109 |
$26 |
$9 | |
| FSH hormone test |
$55 |
$89 |
$54 |
$19 | |
| Gallbladder removal (laparoscopic) |
$10,520 |
$17,162 |
$7,198 |
$658 | |
| Gallbladder scan (HIDA) |
$1,197 |
$1,953 |
$1,977 |
$334 | |
| Ganglion cyst removal |
$5,659 |
$9,231 |
$5,617 |
$321 | |
| GGT liver test |
$44 |
$72 |
$21 |
$7 | |
| Glucose tolerance test |
$54 |
$88 |
$25 |
$8 | |
| H. pylori test |
$150 |
$244 |
$194 |
$67 | |
| Hammertoe repair |
$3,042 |
$4,962 |
$5,617 |
$548 | |
| HDL cholesterol test |
$41 |
$67 |
$24 |
$8 | |
| Hematocrit test |
$29 |
$48 |
$7 |
$2 | |
| Hemodialysis |
$1,182 |
$1,929 |
$5,780 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$59 |
$97 |
$28 |
$10 | |
| Hemorrhoid removal |
$330 |
$539 |
$2,165 |
$338 | |
| Hepatitis B test |
$58 |
$94 |
$30 |
$10 | |
| Hepatitis C test |
$58 |
$95 |
$41 |
$14 | |
| Hip replacement |
$16,614 |
$27,103 |
$7,928 |
$1,162 | |
| HIV test |
$64 |
$105 |
$54 |
$19 | |
| HIV test (antibody) |
$64 |
$105 |
$39 |
$14 | |
| HIV test (antigen/antibody combo) |
$64 |
$104 |
$69 |
$24 | |
| Holter heart monitor |
$404 |
$659 |
$6,291 |
$26 | |
| Hydrocele repair |
$8,097 |
$13,209 |
$6,359 |
$315 | |
| Hysterectomy |
$17,514 |
$28,571 |
$7,198 |
$933 | |
| Hysteroscopy |
$6,117 |
$9,979 |
$5,617 |
$1,270 | |
| Inguinal hernia repair |
$6,936 |
$11,315 |
$6,365 |
$538 | |
| Iron blood test |
$45 |
$73 |
$19 |
$6 | |
| IUD insertion |
$3,424 |
$5,586 |
$707 |
— | |
| IUD removal |
$996 |
$1,624 |
$1,528 |
$112 | |
| IV infusion therapy |
$245 |
$399 |
$5,977 |
$44 | |
| IV infusion therapy (each additional) |
$128 |
$209 |
$5,977 |
$21 | |
| IV infusion therapy (initial) |
$361 |
$589 |
$5,977 |
$67 | |
| IVC filter placement |
$3,421 |
$5,581 |
$5,745 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$572 |
$934 |
$1,528 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$965 |
$1,575 |
$1,528 |
$57 | |
| Joint aspiration or injection (small joint) |
$179 |
$292 |
$1,528 |
$56 | |
| Kidney biopsy |
$2,317 |
$3,780 |
$2,663 |
$492 | |
| Kidney scan (nuclear) |
$1,250 |
$2,039 |
$1,977 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$9,033 |
$14,736 |
$10,315 |
$760 | |
| Kidney ultrasound |
$444 |
$724 |
$299 |
$84 | |
| Kidney ultrasound (limited) |
$444 |
$724 |
$299 |
$61 | |
| Knee arthroscopy |
$5,839 |
$9,525 |
$5,360 |
$524 | |
| Knee joint injection |
$1,303 |
$2,125 |
$1,528 |
$69 | |
| Knee replacement |
$35,186 |
$57,400 |
$21,694 |
$18,054 | |
| Lactate test |
$47 |
$77 |
$33 |
$12 | |
| Laminectomy (spine) |
$10,416 |
$16,991 |
$7,198 |
$1,157 | |
| Laryngoscopy |
$1,106 |
$1,805 |
$1,562 |
$189 | |
| LDH test |
$26 |
$42 |
$17 |
$6 | |
| LDL cholesterol test |
$32 |
$53 |
$30 |
$11 | |
| Leg artery angiogram |
$4,659 |
$7,600 |
$303 |
$149 | |
| Leg artery angioplasty |
$7,376 |
$12,032 |
$5,858 |
— | |
| Leg vein ultrasound (Doppler) |
$616 |
$1,005 |
$5,963 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$616 |
$1,005 |
$5,963 |
$116 | |
| LH hormone test |
$89 |
$145 |
$53 |
$19 | |
| Lipase test |
$69 |
$112 |
$20 |
$7 | |
| Lipid (cholesterol) panel |
$89 |
$145 |
$39 |
$13 | |
| Liver biopsy |
$2,648 |
$4,320 |
$2,663 |
$288 | |
| Liver function panel |
$85 |
$138 |
$24 |
$8 | |
| Lower back (lumbar) spinal fusion |
$44,050 |
$71,860 |
$11,500 |
$1,511 | |
| Lumbar discectomy |
$10,502 |
$17,132 |
$7,198 |
$898 | |
| Lumpectomy (breast) |
$6,459 |
$10,538 |
$6,178 |
$750 | |
| Lung function test (PFT) |
$178 |
$291 |
$6,109 |
$37 | |
| Lung scan (V/Q) |
$1,335 |
$2,178 |
$1,977 |
$291 | |
| Magnesium blood test |
$53 |
$87 |
$19 |
$7 | |
| Mastectomy |
$8,455 |
$13,793 |
$6,604 |
$1,021 | |
| Meniscus repair (knee) |
$9,758 |
$15,918 |
$6,359 |
$714 | |
| MMR vaccine |
$23 |
$37 |
$11,500 |
— | |
| MRA of the brain |
$1,991 |
$3,248 |
$1,313 |
$226 | |
| MRA of the brain with contrast |
$1,991 |
$3,248 |
$1,313 |
$226 | |
| MRA of the brain without contrast |
$2,440 |
$3,980 |
$1,313 |
$328 | |
| MRA of the neck |
$1,900 |
$3,100 |
$1,313 |
$245 | |
| MRA of the neck with contrast |
$1,900 |
$3,100 |
$1,313 |
$245 | |
| MRA of the neck without contrast |
$2,377 |
$3,877 |
$1,313 |
$343 | |
| MRI of the abdomen |
$2,256 |
$3,681 |
$1,313 |
$300 | |
| MRI of the abdomen with contrast |
$2,256 |
$3,681 |
$1,313 |
$300 | |
| MRI of the abdomen without contrast |
$1,863 |
$3,039 |
$1,313 |
$194 | |
| MRI of the ankle |
$2,122 |
$3,461 |
$1,313 |
$261 | |
| MRI of the ankle with contrast |
$2,122 |
$3,461 |
$1,313 |
$261 | |
| MRI of the ankle without contrast |
$1,774 |
$2,894 |
$1,313 |
$222 | |
| MRI of the brain |
$2,131 |
$3,476 |
$1,313 |
$269 | |
| MRI of the brain with contrast |
$2,131 |
$3,476 |
$1,313 |
$269 | |
| MRI of the brain without contrast |
$1,889 |
$3,082 |
$1,313 |
$195 | |
| MRI of the chest |
$1,696 |
$2,766 |
$1,313 |
$371 | |
| MRI of the chest with contrast |
$1,463 |
$2,386 |
$1,313 |
$371 | |
| MRI of the chest without contrast |
$2,543 |
$4,149 |
$1,313 |
$466 | |
| MRI of the knee |
$1,955 |
$3,189 |
$1,313 |
$315 | |
| MRI of the knee with contrast |
$1,955 |
$3,189 |
$1,313 |
$315 | |
| MRI of the knee without contrast |
$1,849 |
$3,016 |
$1,313 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,092 |
$3,412 |
$1,313 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,092 |
$3,412 |
$1,313 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,917 |
$3,127 |
$1,313 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,252 |
$3,674 |
$1,313 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,667 |
$4,350 |
$1,313 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,252 |
$3,674 |
$1,313 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,910 |
$3,115 |
$1,313 |
$190 | |
| MRI of the neck (cervical spine) |
$2,190 |
$3,572 |
$1,313 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,713 |
$4,426 |
$1,313 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,190 |
$3,572 |
$1,313 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,921 |
$3,134 |
$1,313 |
$191 | |
| MRI of the pelvis |
$2,114 |
$3,449 |
$1,313 |
$268 | |
| MRI of the pelvis with contrast |
$2,114 |
$3,449 |
$1,313 |
$268 | |
| MRI of the pelvis without contrast |
$1,784 |
$2,911 |
$1,313 |
$227 | |
| MRI of the shoulder |
$2,093 |
$3,414 |
$1,313 |
$313 | |
| MRI of the shoulder with contrast |
$2,093 |
$3,414 |
$1,313 |
$313 | |
| MRI of the shoulder without contrast |
$1,851 |
$3,020 |
$1,313 |
$205 | |
| MRI of the wrist |
$1,967 |
$3,209 |
$1,313 |
$330 | |
| MRI of the wrist with contrast |
$1,967 |
$3,209 |
$1,313 |
$330 | |
| MRI of the wrist without contrast |
$1,774 |
$2,894 |
$1,313 |
$303 | |
| Nebulizer breathing treatment |
$46 |
$75 |
$5,856 |
$9 | |
| Neck (cervical) spinal fusion |
$15,207 |
$24,808 |
$6,731 |
$1,410 | |
| Nuclear cardiac stress test |
$2,720 |
$4,438 |
$4,069 |
$428 | |
| Occupational therapy evaluation |
$225 |
$367 |
$5,887 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$260 |
$424 |
$5,887 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$193 |
$315 |
$5,887 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$225 |
$367 |
$5,887 |
$101 | |
| Office visit (established patient) |
$127 |
$208 |
$11,500 |
$115 | |
| Office visit (new patient) |
$196 |
$320 |
$11,500 |
$177 | |
| Office visit, established patient (level 3) |
$121 |
$197 |
$11,500 |
$95 | |
| Office visit, established patient (level 4) |
$134 |
$218 |
$11,500 |
$136 | |
| Office visit, new patient (level 3) |
$146 |
$238 |
$11,500 |
$118 | |
| Office visit, new patient (level 4) |
$196 |
$320 |
$11,500 |
$177 | |
| Office visit, new patient (level 5) |
$213 |
$347 |
$11,500 |
$237 | |
| Orthopedic hardware removal |
$5,133 |
$8,373 |
$5,617 |
$632 | |
| Ovarian cyst removal |
$6,217 |
$10,142 |
$5,360 |
$698 | |
| Pacemaker insertion |
$19,971 |
$32,579 |
$14,952 |
$15,506 | |
| Pap smear (cervical screening) |
$68 |
$112 |
$67 |
$20 | |
| Parathyroid hormone (PTH) test |
$146 |
$238 |
$119 |
$41 | |
| Parathyroid removal |
$14,807 |
$24,155 |
$5,599 |
$891 | |
| Pelvic ultrasound |
$466 |
$760 |
$299 |
$78 | |
| Pelvic ultrasound (complete) |
$571 |
$932 |
$299 |
$105 | |
| Pelvic ultrasound (limited) |
$360 |
$588 |
$299 |
$51 | |
| PET scan |
$4,322 |
$7,050 |
$4,069 |
— | |
| Phosphorus blood test |
$35 |
$57 |
$14 |
$5 | |
| Physical therapy evaluation |
$214 |
$349 |
$5,887 |
$98 | |
| Physical therapy evaluation (high complexity) |
$242 |
$394 |
$5,887 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$214 |
$349 |
$5,887 |
$98 | |
| Pilonidal cyst removal |
$6,045 |
$9,862 |
$5,617 |
$541 | |
| Platelet count |
$34 |
$56 |
$13 |
$4 | |
| Pregnancy blood test (hCG) |
$59 |
$97 |
$22 |
$8 | |
| Pregnancy ultrasound |
$490 |
$800 |
$299 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$466 |
$760 |
$299 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$514 |
$839 |
$299 |
$136 | |
| Procalcitonin test |
$85 |
$139 |
$78 |
$27 | |
| Prolactin test |
$73 |
$119 |
$56 |
$19 | |
| Prostate biopsy |
$2,412 |
$3,934 |
$2,806 |
— | |
| Prostate removal (prostatectomy) |
$30,244 |
$49,338 |
$6,083 |
$1,063 | |
| Prostate surgery (TURP) |
$8,961 |
$14,618 |
$5,599 |
$526 | |
| Prostate test (PSA) |
$69 |
$112 |
$53 |
$18 | |
| Pulmonary rehabilitation |
$147 |
$240 |
$6,006 |
$87 | |
| Radiofrequency nerve ablation |
$1,643 |
$2,680 |
$4,880 |
$462 | |
| Rotator cuff repair |
$7,317 |
$11,937 |
$6,423 |
$792 | |
| Scoliosis spine X-ray |
$299 |
$488 |
$303 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$200 |
$327 |
$303 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$299 |
$488 |
$303 |
$72 | |
| Screening mammogram |
$266 |
$434 |
$278 |
$126 | |
| Scrotal ultrasound |
$531 |
$867 |
$299 |
$99 | |
| Sedimentation rate (ESR) test |
$34 |
$55 |
$8 |
$3 | |
| Semen analysis |
$90 |
$147 |
$35 |
$12 | |
| Septoplasty (deviated septum) |
$5,210 |
$8,500 |
$4,618 |
$613 | |
| Sex hormone binding globulin test |
$34 |
$55 |
$63 |
$22 | |
| Shoulder arthroscopy |
$12,424 |
$20,267 |
$6,744 |
$962 | |
| Shoulder replacement |
$17,731 |
$28,925 |
$5,971 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$193 |
$315 |
$707 |
$114 | |
| Simple wound stitches |
$169 |
$276 |
$707 |
$127 | |
| Sinus surgery (endoscopic) |
$5,265 |
$8,589 |
$6,353 |
$224 | |
| Skin biopsy |
$217 |
$354 |
$1,072 |
$121 | |
| Skin biopsy (punch) |
$217 |
$354 |
$707 |
$121 | |
| Skin graft |
$6,442 |
$10,510 |
$2,806 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$74 |
$120 |
$707 |
$36 | |
| Sleep study (polysomnography) |
$1,684 |
$2,747 |
$6,781 |
$691 | |
| Small bowel resection |
$9,526 |
$15,540 |
$4,468 |
$1,136 | |
| Soft tissue ultrasound |
$315 |
$514 |
$299 |
$64 | |
| Speech therapy |
$194 |
$316 |
$5,887 |
$76 | |
| Spinal cord stimulator |
$19,852 |
$32,386 |
$7,198 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$1,059 |
$1,727 |
$1,864 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$11,351 |
$18,517 |
$5,745 |
$5,803 | |
| Spirometry (lung function test) |
$141 |
$230 |
$6,109 |
$30 | |
| Spirometry with bronchodilator |
$215 |
$351 |
$6,109 |
$43 | |
| Strep throat test |
$31 |
$51 |
$48 |
$17 | |
| Stress echocardiogram |
$1,463 |
$2,387 |
$6,329 |
$209 | |
| Stress echocardiogram (complete) |
$1,463 |
$2,387 |
$6,329 |
$233 | |
| Swallow study |
$259 |
$423 |
$11,500 |
$85 | |
| T3 thyroid test |
$71 |
$115 |
$41 |
$14 | |
| Tdap (tetanus) vaccine |
$87 |
$142 |
$11,500 |
— | |
| Testicle removal (orchiectomy) |
$8,139 |
$13,277 |
$6,359 |
$306 | |
| Testosterone test |
$76 |
$124 |
$74 |
$26 | |
| Thyroid removal (thyroidectomy) |
$17,681 |
$28,843 |
$5,745 |
$1,004 | |
| Thyroid test (TSH) |
$59 |
$96 |
$48 |
$17 | |
| Thyroid ultrasound |
$501 |
$818 |
$299 |
$109 | |
| Thyroid uptake scan |
$901 |
$1,470 |
$1,977 |
$145 | |
| Tonsillectomy |
$5,763 |
$9,402 |
$4,880 |
$252 | |
| Total IgE allergy test |
$68 |
$111 |
$47 |
$16 | |
| Total protein test |
$29 |
$47 |
$11 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$1,238 |
$2,019 |
$6,329 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,238 |
$2,019 |
$6,329 |
$239 | |
| Transvaginal ultrasound |
$495 |
$808 |
$299 |
$118 | |
| Trigger finger release |
$3,990 |
$6,509 |
$2,806 |
$630 | |
| Trigger point injection |
$179 |
$292 |
$1,528 |
$56 | |
| Trigger point injection (1-2 muscles) |
$179 |
$292 |
$1,528 |
$52 | |
| Triglycerides test |
$24 |
$39 |
$17 |
$6 | |
| Troponin (heart) test |
$59 |
$97 |
$36 |
$12 | |
| Tubal ligation |
$7,316 |
$11,934 |
$6,744 |
$333 | |
| Turbinate reduction |
$5,969 |
$9,737 |
$3,575 |
$294 | |
| Turning a breech baby (version) |
$1,735 |
$2,830 |
$3,888 |
$94 | |
| Ulnar nerve surgery (elbow) |
$7,854 |
$12,813 |
$3,575 |
$575 | |
| Upper GI endoscopy (EGD) |
$2,798 |
$4,565 |
$2,806 |
$371 | |
| Upper GI series (barium) |
$545 |
$889 |
$303 |
$128 | |
| Ureteral stent placement |
$6,356 |
$10,369 |
$3,575 |
$373 | |
| Ureteroscopy (stone removal) |
$8,770 |
$14,307 |
$7,052 |
$365 | |
| Uric acid (gout) test |
$38 |
$62 |
$13 |
$5 | |
| Urinalysis |
$35 |
$57 |
$8 |
$3 | |
| Urine microalbumin test |
$43 |
$71 |
$16 |
$5 | |
| Vaccine administration |
$121 |
$198 |
$5,763 |
$19 | |
| Vaccine administration (each additional) |
$34 |
$56 |
$5,763 |
$16 | |
| Vaginal delivery |
$13,774 |
$22,470 |
$4,803 |
$5,487 | |
| Varicocele repair |
$12,530 |
$20,441 |
$4,618 |
$327 | |
| Vasectomy |
$3,406 |
$5,556 |
$3,575 |
$347 | |
| Vitamin B12 test |
$68 |
$111 |
$43 |
$15 | |
| Vitamin D test |
$105 |
$171 |
$85 |
$30 | |
| Weight-loss (bariatric) surgery |
$23,196 |
$37,840 |
$11,129 |
$11,645 | |
| Wound debridement |
$765 |
$1,248 |
$2,161 |
$186 | |
| Wrist fracture repair |
$10,351 |
$16,885 |
$6,157 |
$735 | |
| X-ray of the abdomen |
$244 |
$399 |
$303 |
$36 | |
| X-ray of the ankle |
$270 |
$440 |
$303 |
$37 | |
| X-ray of the collarbone |
$230 |
$376 |
$303 |
$33 | |
| X-ray of the elbow |
$267 |
$436 |
$303 |
$33 | |
| X-ray of the facial bones |
$309 |
$504 |
$303 |
$39 | |
| X-ray of the foot |
$268 |
$438 |
$303 |
$34 | |
| X-ray of the forearm |
$243 |
$397 |
$303 |
$29 | |
| X-ray of the hand |
$272 |
$443 |
$303 |
$38 | |
| X-ray of the hip |
$243 |
$396 |
$303 |
$49 | |
| X-ray of the hip (1 view) |
$194 |
$316 |
$303 |
$34 | |
| X-ray of the hip (3 views) |
$243 |
$396 |
$303 |
$49 | |
| X-ray of the hip (4 views) |
$311 |
$507 |
$303 |
$63 | |
| X-ray of the knee |
$284 |
$464 |
$303 |
$42 | |
| X-ray of the knee (2 views) |
$236 |
$385 |
$303 |
$34 | |
| X-ray of the knee (3 views) |
$284 |
$464 |
$303 |
$42 | |
| X-ray of the knee (4+ views) |
$335 |
$547 |
$303 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$300 |
$490 |
$303 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$300 |
$490 |
$303 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$413 |
$673 |
$303 |
$53 | |
| X-ray of the lower leg |
$253 |
$413 |
$303 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$295 |
$481 |
$303 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$273 |
$446 |
$303 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$316 |
$515 |
$303 |
$39 | |
| X-ray of the neck (cervical spine) |
$270 |
$441 |
$303 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$270 |
$441 |
$303 |
$40 | |
| X-ray of the pelvis |
$241 |
$393 |
$303 |
$36 | |
| X-ray of the pelvis (1 view) |
$241 |
$393 |
$303 |
$28 | |
| X-ray of the ribs |
$318 |
$518 |
$303 |
$42 | |
| X-ray of the ribs (2 views) |
$250 |
$408 |
$303 |
$36 | |
| X-ray of the ribs (3 views) |
$318 |
$518 |
$303 |
$42 | |
| X-ray of the shoulder |
$273 |
$445 |
$303 |
$36 | |
| X-ray of the skull |
$306 |
$499 |
$303 |
$40 | |
| X-ray of the upper arm |
$240 |
$392 |
$303 |
$32 | |
| X-ray of the wrist |
$262 |
$427 |
$303 |
$43 | |
| Zinc blood test |
$48 |
$78 |
$33 |
$11 | |