| 3D mammogram (tomosynthesis) |
$72 |
$90 |
$54 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$459 |
$574 |
$501 |
$284 | |
| Abdominal ultrasound |
$742 |
$928 |
$502 |
$100 | |
| Abdominal ultrasound (complete) |
$802 |
$1,003 |
$585 |
$114 | |
| Abdominal ultrasound (limited) |
$682 |
$852 |
$469 |
$86 | |
| Abscess drainage (complex or multiple) |
$310 |
$388 |
$213 |
$220 | |
| Abscess drainage (simple) |
$182 |
$228 |
$128 |
$129 | |
| Abscess incision and drainage |
$182 |
$228 |
$183 |
$174 | |
| Achilles tendon repair |
$987 |
$1,234 |
$659 |
$624 | |
| ACL knee reconstruction |
$2,179 |
$2,724 |
$1,171 |
$889 | |
| Albumin blood test |
$35 |
$44 |
$26 |
$5 | |
| Aldosterone test |
$212 |
$265 |
$161 |
$41 | |
| Alkaline phosphatase test |
$42 |
$53 |
$31 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$94 |
$118 |
$71 |
$17 | |
| ALT liver enzyme test |
$39 |
$49 |
$29 |
$5 | |
| Ammonia blood test |
$113 |
$141 |
$86 |
$15 | |
| Amylase test |
$48 |
$60 |
$36 |
$6 | |
| Anal fistula repair |
$774 |
$967 |
$532 |
$541 | |
| Ankle fracture repair |
$1,581 |
$1,976 |
$854 |
$608 | |
| Ankle replacement |
$1,782 |
$2,228 |
$980 |
$885 | |
| Annual physical (established patient) |
$171 |
$214 |
$99 |
— | |
| Annual physical (new patient) |
$192 |
$240 |
$114 |
— | |
| Anoscopy |
$186 |
$233 |
$109 |
$129 | |
| Antinuclear antibody (ANA) test |
$108 |
$135 |
$82 |
$12 | |
| AST liver enzyme test |
$42 |
$53 |
$31 |
$5 | |
| Barium swallow study |
$1,226 |
$1,533 |
$931 |
$107 | |
| Bartholin cyst removal |
$261 |
$326 |
$179 |
$182 | |
| Basic metabolic panel |
$80 |
$100 |
$54 |
$8 | |
| Benign skin lesion removal |
$264 |
$330 |
$187 |
$171 | |
| Bilirubin blood test |
$42 |
$53 |
$31 |
$5 | |
| Bladder scope (cystoscopy) |
$338 |
$422 |
$209 |
$216 | |
| Blood clotting test (PT/INR) |
$38 |
$48 |
$28 |
$4 | |
| Blood crossmatch |
$302 |
$377 |
$163 |
— | |
| Blood glucose test |
$27 |
$34 |
$21 |
$5 | |
| Blood transfusion |
$739 |
$924 |
$561 |
$47 | |
| Blood type and screen |
$146 |
$182 |
$87 |
$10 | |
| Blood type test |
$82 |
$102 |
$52 |
$3 | |
| Blood type test (ABO group) |
$98 |
$122 |
$53 |
$3 | |
| Blood type test (Rh/D antigen) |
$66 |
$82 |
$35 |
$3 | |
| BNP (heart failure) test |
$263 |
$329 |
$200 |
$39 | |
| Bone density scan (DEXA) |
$682 |
$852 |
$409 |
$39 | |
| Bone marrow biopsy |
$254 |
$317 |
$166 |
$172 | |
| Bone scan (nuclear) |
$1,812 |
$2,265 |
$1,375 |
$259 | |
| Botox for migraine |
$218 |
$272 |
$145 |
$157 | |
| Breast biopsy |
$1,293 |
$1,616 |
$966 |
$478 | |
| Breast reduction |
$1,707 |
$2,134 |
$1,074 |
$980 | |
| Breast ultrasound |
$448 |
$560 |
$388 |
$92 | |
| Breast ultrasound (complete) |
$682 |
$852 |
$517 |
$100 | |
| Breast ultrasound (limited) |
$448 |
$560 |
$324 |
$84 | |
| Breathing tube insertion (intubation) |
$209 |
$261 |
$136 |
$133 | |
| Bunion surgery (bunionectomy) |
$1,578 |
$1,972 |
$957 |
$883 | |
| Burn dressing and debridement (medium) |
$216 |
$270 |
$154 |
$166 | |
| Burn dressing and debridement (small) |
$126 |
$157 |
$85 |
$93 | |
| Burn treatment |
$126 |
$157 |
$116 |
$129 | |
| C-reactive protein (CRP) |
$62 |
$78 |
$47 |
$5 | |
| CA 19-9 tumor marker test |
$110 |
$137 |
$83 |
$21 | |
| CA-125 ovarian marker test |
$96 |
$120 |
$72 |
$21 | |
| Calcium blood test |
$34 |
$42 |
$25 |
$5 | |
| Cardiac rehabilitation |
$150 |
$188 |
$114 |
$26 | |
| Cardioversion |
$672 |
$840 |
$612 |
$155 | |
| Carotid artery ultrasound |
$975 |
$1,219 |
$656 |
$156 | |
| Carpal tunnel release |
$1,506 |
$1,882 |
$809 |
$483 | |
| CEA tumor marker test |
$70 |
$87 |
$53 |
$19 | |
| Central line placement |
$659 |
$824 |
$354 |
$238 | |
| Cervical LEEP procedure |
$559 |
$699 |
$324 |
$325 | |
| Chemotherapy infusion |
$498 |
$623 |
$338 |
$81 | |
| Chemotherapy infusion (each additional) |
$197 |
$246 |
$149 |
$28 | |
| Chemotherapy infusion (first hour) |
$800 |
$1,000 |
$607 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,129 |
$1,411 |
$669 |
$311 | |
| Chest tube insertion |
$278 |
$348 |
$153 |
$143 | |
| Chest X-ray |
$365 |
$456 |
$357 |
$37 | |
| Chest X-ray (1 view) |
$365 |
$456 |
$217 |
$25 | |
| Chest X-ray (2 views) |
$365 |
$456 |
$269 |
$33 | |
| Circumcision |
$2,425 |
$3,031 |
$1,840 |
$167 | |
| CK-MB heart enzyme test |
$58 |
$72 |
$44 |
$12 | |
| Clotting time test (PTT) |
$50 |
$62 |
$37 |
$6 | |
| Colon resection (colectomy) |
$2,487 |
$3,109 |
$1,401 |
$1,238 | |
| Colonoscopy |
$1,023 |
$1,279 |
$550 |
$480 | |
| Colostomy |
$1,546 |
$1,932 |
$1,152 |
$1,122 | |
| Colposcopy |
$222 |
$278 |
$157 |
$161 | |
| Complete blood count (CBC) |
$55 |
$69 |
$40 |
$7 | |
| Complete blood count (CBC) (complete) |
$57 |
$71 |
$43 |
$8 | |
| Complex wound repair |
$557 |
$696 |
$392 |
$390 | |
| Comprehensive metabolic panel |
$107 |
$134 |
$81 |
$11 | |
| Contraceptive implant (Nexplanon) |
$182 |
$228 |
$132 |
$115 | |
| Copper blood test |
$131 |
$164 |
$99 |
$12 | |
| Cortisol test |
$66 |
$83 |
$50 |
$16 | |
| COVID-19 PCR test |
$105 |
$131 |
$112 |
$51 | |
| CPAP titration study |
$482 |
$603 |
$357 |
$69 | |
| Creatine kinase (CK) test |
$55 |
$69 |
$40 |
$7 | |
| CT angiography of the chest |
$1,864 |
$2,330 |
$1,358 |
$281 | |
| CT angiography of the head |
$1,226 |
$1,533 |
$931 |
$274 | |
| CT scan of the abdomen |
$1,226 |
$1,533 |
$808 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,133 |
$2,666 |
$1,296 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,133 |
$2,666 |
$1,619 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,133 |
$2,666 |
$1,450 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,544 |
$1,930 |
$1,136 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,226 |
$1,533 |
$931 |
$259 | |
| CT scan of the abdomen with contrast |
$1,527 |
$1,909 |
$1,112 |
$230 | |
| CT scan of the abdomen without contrast |
$670 |
$838 |
$509 |
$136 | |
| CT scan of the arm |
$1,692 |
$2,115 |
$1,152 |
$199 | |
| CT scan of the arm with contrast |
$2,133 |
$2,666 |
$1,619 |
$199 | |
| CT scan of the arm without contrast |
$1,251 |
$1,564 |
$912 |
$161 | |
| CT scan of the chest |
$1,309 |
$1,636 |
$999 |
$167 | |
| CT scan of the chest with and without contrast |
$1,199 |
$1,499 |
$910 |
$196 | |
| CT scan of the chest with contrast |
$1,527 |
$1,909 |
$1,112 |
$167 | |
| CT scan of the chest without contrast |
$1,309 |
$1,636 |
$951 |
$133 | |
| CT scan of the head |
$1,251 |
$1,564 |
$992 |
$148 | |
| CT scan of the head with and without contrast |
$1,545 |
$1,931 |
$1,125 |
$173 | |
| CT scan of the head with contrast |
$1,206 |
$1,508 |
$916 |
$148 | |
| CT scan of the head without contrast |
$1,251 |
$1,564 |
$912 |
$107 | |
| CT scan of the leg |
$1,226 |
$1,533 |
$912 |
$166 | |
| CT scan of the leg with contrast |
$1,226 |
$1,533 |
$931 |
$166 | |
| CT scan of the leg without contrast |
$1,251 |
$1,564 |
$912 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,407 |
$1,759 |
$978 |
$169 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,133 |
$2,666 |
$1,619 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$682 |
$852 |
$517 |
$130 | |
| CT scan of the neck |
$1,225 |
$1,531 |
$815 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,670 |
$2,088 |
$1,139 |
$168 | |
| CT scan of the neck (cervical spine) with contrast |
$2,089 |
$2,611 |
$1,585 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,251 |
$1,564 |
$912 |
$131 | |
| CT scan of the neck with and without contrast |
$1,225 |
$1,531 |
$930 |
$220 | |
| CT scan of the neck with contrast |
$1,527 |
$1,909 |
$1,112 |
$183 | |
| CT scan of the neck without contrast |
$682 |
$852 |
$517 |
$150 | |
| CT scan of the pelvis |
$1,226 |
$1,533 |
$802 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,491 |
$1,864 |
$1,132 |
$251 | |
| CT scan of the pelvis with contrast |
$1,226 |
$1,533 |
$931 |
$226 | |
| CT scan of the pelvis without contrast |
$682 |
$852 |
$517 |
$133 | |
| CT scan of the sinuses |
$1,226 |
$1,533 |
$912 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,205 |
$1,506 |
$914 |
$184 | |
| CT scan of the sinuses with contrast |
$1,226 |
$1,533 |
$931 |
$152 | |
| CT scan of the sinuses without contrast |
$1,251 |
$1,564 |
$912 |
$128 | |
| D-dimer test |
$107 |
$134 |
$80 |
$10 | |
| DHEA-sulfate test |
$107 |
$134 |
$81 |
$22 | |
| Diagnostic mammogram |
$613 |
$766 |
$425 |
$140 | |
| Dilation and curettage (D&C) |
$523 |
$654 |
$295 |
$298 | |
| Drug screen (urine) |
$160 |
$201 |
$114 |
$17 | |
| Echocardiogram |
$138 |
$173 |
$146 |
$138 | |
| Echocardiogram with and without contrast |
$71 |
$89 |
$83 |
$101 | |
| EKG / ECG (tracing only) |
$126 |
$158 |
$94 |
$7 | |
| Electrocardiogram (EKG) |
$68 |
$86 |
$63 |
$8 | |
| Electroencephalogram (EEG) |
$84 |
$105 |
$332 |
$448 | |
| Electrolyte panel |
$58 |
$72 |
$42 |
$7 | |
| Electromyography (EMG) |
$170 |
$212 |
$132 |
$141 | |
| Emergency department visit |
$175 |
$219 |
$142 |
$69 | |
| Emergency department visit (level 1) |
$32 |
$40 |
$37 |
$11 | |
| Emergency department visit (level 2) |
$62 |
$77 |
$70 |
$40 | |
| Emergency department visit (level 3) |
$103 |
$129 |
$118 |
$69 | |
| Emergency department visit (level 4) |
$175 |
$219 |
$200 |
$118 | |
| Emergency department visit (level 5) |
$255 |
$319 |
$292 |
$171 | |
| Endometrial biopsy |
$176 |
$220 |
$99 |
$98 | |
| Epidural steroid injection |
$360 |
$450 |
$247 |
$275 | |
| Estradiol (estrogen) test |
$111 |
$139 |
$84 |
$28 | |
| Facet joint injection (spine) |
$287 |
$359 |
$169 |
$99 | |
| Fallopian tube X-ray (HSG) |
$572 |
$716 |
$428 |
$164 | |
| Fecal occult blood (stool) test |
$50 |
$63 |
$34 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$21 |
$26 |
$16 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$79 |
$99 |
$60 |
$16 | |
| Feeding tube (PEG) placement |
$363 |
$454 |
$199 |
$178 | |
| Femoral hernia repair |
$1,116 |
$1,395 |
$622 |
$584 | |
| Ferritin (iron) test |
$70 |
$87 |
$53 |
$14 | |
| Fibrinogen test |
$47 |
$59 |
$36 |
$10 | |
| Flexible sigmoidoscopy |
$334 |
$418 |
$219 |
$323 | |
| Flu vaccine |
$55 |
$69 |
$33 |
— | |
| Folate (folic acid) test |
$75 |
$94 |
$56 |
$15 | |
| Foreign body removal (skin) |
$227 |
$284 |
$151 |
$157 | |
| Free T4 thyroid test |
$106 |
$132 |
$63 |
$9 | |
| FSH hormone test |
$78 |
$97 |
$58 |
$19 | |
| Gallbladder removal (laparoscopic) |
$1,552 |
$1,940 |
$863 |
$658 | |
| Gallbladder scan (HIDA) |
$2,018 |
$2,522 |
$1,487 |
$334 | |
| Ganglion cyst removal |
$794 |
$992 |
$427 |
$321 | |
| GGT liver test |
$60 |
$75 |
$44 |
$7 | |
| Glucose tolerance test |
$64 |
$80 |
$43 |
$8 | |
| H. pylori test |
$346 |
$433 |
$263 |
$67 | |
| Hammertoe repair |
$862 |
$1,077 |
$539 |
$548 | |
| HDL cholesterol test |
$43 |
$54 |
$33 |
$8 | |
| Hematocrit test |
$23 |
$29 |
$15 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$78 |
$98 |
$59 |
$10 | |
| Hemorrhoid removal |
$497 |
$621 |
$313 |
$338 | |
| Hepatitis B test |
$94 |
$118 |
$71 |
$10 | |
| Hepatitis B vaccine |
$158 |
$198 |
$123 |
— | |
| Hepatitis C test |
$100 |
$125 |
$76 |
$14 | |
| Hip fracture repair |
$1,817 |
$2,272 |
$1,202 |
$1,120 | |
| Hip replacement |
$3,904 |
$4,880 |
$2,098 |
$1,162 | |
| HIV test |
$101 |
$127 |
$74 |
$19 | |
| HIV test (antibody) |
$90 |
$113 |
$69 |
$14 | |
| HIV test (antigen/antibody combo) |
$112 |
$140 |
$85 |
$24 | |
| Holter heart monitor |
$248 |
$311 |
$241 |
$26 | |
| Hysterectomy |
$1,495 |
$1,869 |
$966 |
$933 | |
| Hysteroscopy |
$1,902 |
$2,377 |
$1,189 |
$1,270 | |
| Incisional hernia repair |
$1,635 |
$2,044 |
$1,225 |
— | |
| Inguinal hernia repair |
$1,065 |
$1,332 |
$577 |
$538 | |
| Iron blood test |
$55 |
$69 |
$40 |
$6 | |
| IUD insertion |
$140 |
$175 |
$83 |
— | |
| IUD removal |
$158 |
$198 |
$105 |
$112 | |
| IV infusion therapy |
$226 |
$283 |
$161 |
$44 | |
| IV infusion therapy (each additional) |
$155 |
$194 |
$118 |
$21 | |
| IV infusion therapy (initial) |
$298 |
$372 |
$226 |
$67 | |
| Joint aspiration (small/intermediate) |
$78 |
$98 |
$59 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$87 |
$109 |
$65 |
$57 | |
| Joint aspiration or injection (small joint) |
$78 |
$98 |
$54 |
$56 | |
| Kidney scan (nuclear) |
$2,188 |
$2,735 |
$1,661 |
$172 | |
| Kidney ultrasound |
$682 |
$852 |
$452 |
$84 | |
| Kidney ultrasound (limited) |
$682 |
$852 |
$452 |
$61 | |
| Knee arthroscopy |
$1,394 |
$1,743 |
$928 |
$524 | |
| Knee joint injection |
$114 |
$143 |
$80 |
$69 | |
| Lactate test |
$86 |
$108 |
$65 |
$12 | |
| LDH test |
$48 |
$60 |
$35 |
$6 | |
| LDL cholesterol test |
$53 |
$66 |
$40 |
$11 | |
| Leg vein ultrasound (Doppler) |
$1,193 |
$1,492 |
$830 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$842 |
$1,053 |
$612 |
$116 | |
| LH hormone test |
$75 |
$94 |
$56 |
$19 | |
| Lipase test |
$42 |
$52 |
$29 |
$7 | |
| Lipid (cholesterol) panel |
$98 |
$122 |
$69 |
$13 | |
| Liver function panel |
$66 |
$83 |
$50 |
$8 | |
| Lumpectomy (breast) |
$1,216 |
$1,520 |
$832 |
$750 | |
| Lung scan (V/Q) |
$2,176 |
$2,720 |
$1,651 |
$291 | |
| Magnesium blood test |
$58 |
$72 |
$42 |
$7 | |
| Mastectomy |
$1,382 |
$1,727 |
$1,082 |
$1,021 | |
| Meniscus repair (knee) |
$1,441 |
$1,802 |
$882 |
$714 | |
| MMR vaccine |
$310 |
$387 |
$235 |
— | |
| MRA of the brain |
$1,544 |
$1,930 |
$1,172 |
$226 | |
| MRA of the neck |
$3,130 |
$3,912 |
$1,864 |
$245 | |
| MRA of the neck with contrast |
$3,130 |
$3,912 |
$2,375 |
$245 | |
| MRA of the neck without contrast |
$3,130 |
$3,912 |
$2,375 |
$343 | |
| MRI of the abdomen |
$1,838 |
$2,298 |
$1,332 |
$300 | |
| MRI of the abdomen without contrast |
$1,544 |
$1,930 |
$1,172 |
$194 | |
| MRI of the ankle |
$2,176 |
$2,720 |
$1,617 |
$261 | |
| MRI of the ankle without contrast |
$2,218 |
$2,773 |
$1,617 |
$222 | |
| MRI of the brain |
$2,218 |
$2,773 |
$2,249 |
$269 | |
| MRI of the brain with contrast |
$2,122 |
$2,653 |
$1,611 |
$269 | |
| MRI of the brain without contrast |
$2,218 |
$2,773 |
$1,617 |
$195 | |
| MRI of the chest |
$1,804 |
$2,256 |
$1,306 |
$371 | |
| MRI of the chest without contrast |
$2,097 |
$2,621 |
$1,591 |
$466 | |
| MRI of the knee |
$2,218 |
$2,773 |
$1,905 |
$315 | |
| MRI of the knee with contrast |
$3,280 |
$4,100 |
$2,489 |
$315 | |
| MRI of the knee without contrast |
$2,218 |
$2,773 |
$1,617 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,133 |
$2,666 |
$1,690 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,097 |
$2,621 |
$1,591 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,460 |
$3,075 |
$1,793 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,678 |
$2,098 |
$1,332 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,133 |
$2,666 |
$1,619 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,678 |
$2,098 |
$1,274 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,544 |
$1,930 |
$1,172 |
$190 | |
| MRI of the neck (cervical spine) |
$2,133 |
$2,666 |
$1,617 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,133 |
$2,666 |
$1,619 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,133 |
$2,666 |
$1,619 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,218 |
$2,773 |
$1,617 |
$191 | |
| MRI of the pelvis |
$2,133 |
$2,666 |
$1,384 |
$268 | |
| MRI of the pelvis with contrast |
$2,371 |
$2,964 |
$1,800 |
$268 | |
| MRI of the pelvis without contrast |
$1,519 |
$1,899 |
$1,153 |
$227 | |
| MRI of the shoulder |
$2,218 |
$2,773 |
$1,924 |
$313 | |
| MRI of the shoulder with contrast |
$3,349 |
$4,186 |
$2,542 |
$313 | |
| MRI of the shoulder without contrast |
$2,218 |
$2,773 |
$1,617 |
$205 | |
| MRI of the wrist |
$1,544 |
$1,930 |
$1,322 |
$330 | |
| MRI of the wrist with contrast |
$1,544 |
$1,930 |
$1,319 |
$330 | |
| MRI of the wrist without contrast |
$1,544 |
$1,930 |
$1,172 |
$303 | |
| Nebulizer breathing treatment |
$270 |
$337 |
$146 |
$9 | |
| Nerve conduction study |
$173 |
$217 |
$150 |
$118 | |
| Newborn hospital care |
$77 |
$96 |
$86 |
$58 | |
| Occupational therapy evaluation |
$338 |
$423 |
$244 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$338 |
$423 |
$257 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$376 |
$470 |
$285 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$290 |
$363 |
$220 |
$101 | |
| Office visit (established patient) |
$109 |
$137 |
$102 |
$115 | |
| Office visit (new patient) |
$157 |
$197 |
$173 |
$177 | |
| Office visit, established patient (level 3) |
$94 |
$118 |
$87 |
$95 | |
| Office visit, established patient (level 4) |
$137 |
$172 |
$122 |
$136 | |
| Office visit, new patient (level 3) |
$116 |
$145 |
$106 |
$118 | |
| Office visit, new patient (level 4) |
$178 |
$222 |
$159 |
$177 | |
| Office visit, new patient (level 5) |
$236 |
$295 |
$210 |
$237 | |
| Orthopedic hardware removal |
$907 |
$1,134 |
$593 |
$632 | |
| Ovarian cyst removal |
$1,008 |
$1,260 |
$748 |
$698 | |
| Pap smear (cervical screening) |
$122 |
$152 |
$92 |
$20 | |
| Parathyroid hormone (PTH) test |
$166 |
$208 |
$126 |
$41 | |
| Pelvic ultrasound |
$546 |
$683 |
$366 |
$78 | |
| Pelvic ultrasound (complete) |
$411 |
$514 |
$366 |
$105 | |
| Pelvic ultrasound (limited) |
$682 |
$852 |
$517 |
$51 | |
| Phosphorus blood test |
$36 |
$45 |
$26 |
$5 | |
| Physical therapy evaluation |
$376 |
$470 |
$268 |
$98 | |
| Physical therapy evaluation (high complexity) |
$333 |
$416 |
$253 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$388 |
$485 |
$294 |
$98 | |
| Pilonidal cyst removal |
$686 |
$858 |
$481 |
$541 | |
| Platelet count |
$26 |
$33 |
$20 |
$4 | |
| Pneumonia vaccine |
$369 |
$461 |
$280 |
— | |
| Pregnancy blood test (hCG) |
$37 |
$46 |
$28 |
$8 | |
| Pregnancy ultrasound |
$671 |
$839 |
$428 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$682 |
$852 |
$502 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$660 |
$825 |
$428 |
$136 | |
| Procalcitonin test |
$123 |
$154 |
$94 |
$27 | |
| Prolactin test |
$81 |
$101 |
$61 |
$19 | |
| Prostate biopsy |
$4,535 |
$5,669 |
$3,442 |
— | |
| Prostate test (PSA) |
$145 |
$181 |
$110 |
$18 | |
| Pulmonary rehabilitation |
$130 |
$163 |
$99 |
$87 | |
| Rotator cuff repair |
$1,350 |
$1,687 |
$1,121 |
$792 | |
| Sacroiliac joint injection |
$450 |
$563 |
$242 |
$176 | |
| Scoliosis spine X-ray |
$682 |
$852 |
$517 |
$58 | |
| Scoliosis spine X-ray (3 views) |
$682 |
$852 |
$517 |
$72 | |
| Screening colonoscopy |
$718 |
$898 |
$392 |
$378 | |
| Screening mammogram |
$598 |
$748 |
$419 |
$126 | |
| Scrotal ultrasound |
$682 |
$852 |
$435 |
$99 | |
| Sedimentation rate (ESR) test |
$16 |
$20 |
$12 |
$3 | |
| Semen analysis |
$64 |
$80 |
$49 |
$12 | |
| Sex hormone binding globulin test |
$98 |
$123 |
$69 |
$22 | |
| Shingles vaccine |
$401 |
$501 |
$304 |
— | |
| Shoulder arthroscopy |
$1,520 |
$1,900 |
$1,030 |
$962 | |
| Shoulder replacement |
$2,289 |
$2,861 |
$1,410 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$200 |
$250 |
$108 |
$114 | |
| Simple wound stitches |
$200 |
$250 |
$108 |
$127 | |
| Skin biopsy |
$171 |
$214 |
$129 |
$121 | |
| Skin biopsy (punch) |
$239 |
$299 |
$129 |
$121 | |
| Skin cancer lesion removal |
$342 |
$428 |
$236 |
$240 | |
| Skin graft |
$1,216 |
$1,520 |
$813 |
$898 | |
| Skin tag removal |
$132 |
$165 |
$89 |
$92 | |
| Small bowel resection |
$2,254 |
$2,817 |
$1,222 |
$1,136 | |
| Soft tissue ultrasound |
$86 |
$107 |
$98 |
$64 | |
| Speech therapy |
$222 |
$277 |
$168 |
$76 | |
| Spinal tap (lumbar puncture) |
$208 |
$260 |
$137 |
$165 | |
| Spleen removal (splenectomy) |
$1,473 |
$1,841 |
$1,098 |
$1,036 | |
| Swallow study |
$319 |
$399 |
$242 |
$85 | |
| T3 thyroid test |
$68 |
$85 |
$51 |
$14 | |
| Tdap (tetanus) vaccine |
$136 |
$171 |
$99 |
— | |
| Testosterone test |
$116 |
$145 |
$80 |
$26 | |
| Thyroid removal (thyroidectomy) |
$2,245 |
$2,806 |
$1,207 |
$1,004 | |
| Thyroid test (TSH) |
$116 |
$145 |
$88 |
$17 | |
| Thyroid ultrasound |
$682 |
$852 |
$435 |
$109 | |
| Thyroid uptake scan |
$1,624 |
$2,031 |
$1,199 |
$145 | |
| Total IgE allergy test |
$87 |
$109 |
$66 |
$16 | |
| Total protein test |
$34 |
$43 |
$25 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$282 |
$353 |
$324 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$410 |
$513 |
$324 |
$239 | |
| Transvaginal ultrasound |
$162 |
$203 |
$186 |
$118 | |
| Trigger finger release |
$1,439 |
$1,799 |
$774 |
$630 | |
| Trigger point injection |
$79 |
$99 |
$57 |
$56 | |
| Trigger point injection (1-2 muscles) |
$79 |
$99 |
$52 |
$52 | |
| Triglycerides test |
$50 |
$62 |
$37 |
$6 | |
| Troponin (heart) test |
$79 |
$99 |
$59 |
$12 | |
| Tubal ligation |
$1,087 |
$1,359 |
$584 |
$333 | |
| Ulnar nerve surgery (elbow) |
$1,156 |
$1,445 |
$631 |
$575 | |
| Umbilical hernia repair |
$815 |
$1,019 |
$619 |
— | |
| Upper GI endoscopy (EGD) |
$664 |
$831 |
$395 |
$371 | |
| Upper GI series (barium) |
$1,204 |
$1,505 |
$913 |
$128 | |
| Uric acid (gout) test |
$38 |
$48 |
$28 |
$5 | |
| Urinalysis |
$48 |
$60 |
$35 |
$3 | |
| Urine microalbumin test |
$54 |
$68 |
$37 |
$5 | |
| Urine pregnancy test |
$36 |
$46 |
$29 |
$9 | |
| Vaccine administration |
$20 |
$25 |
$20 |
$19 | |
| Vaccine administration (each additional) |
$20 |
$25 |
$14 |
$16 | |
| Vasectomy |
$801 |
$1,001 |
$430 |
$347 | |
| Vitamin B12 test |
$70 |
$87 |
$53 |
$15 | |
| Vitamin D test |
$120 |
$150 |
$91 |
$30 | |
| Wart removal |
$166 |
$208 |
$108 |
$121 | |
| Wound debridement |
$193 |
$241 |
$184 |
$186 | |
| Wrist fracture repair |
$1,271 |
$1,589 |
$791 |
$735 | |
| X-ray of the abdomen |
$666 |
$833 |
$366 |
$36 | |
| X-ray of the ankle |
$365 |
$456 |
$253 |
$37 | |
| X-ray of the collarbone |
$365 |
$456 |
$216 |
$33 | |
| X-ray of the elbow |
$365 |
$456 |
$261 |
$33 | |
| X-ray of the facial bones |
$513 |
$641 |
$360 |
$39 | |
| X-ray of the foot |
$365 |
$456 |
$263 |
$34 | |
| X-ray of the forearm |
$365 |
$456 |
$210 |
$29 | |
| X-ray of the hand |
$365 |
$456 |
$222 |
$38 | |
| X-ray of the hip |
$440 |
$551 |
$279 |
$49 | |
| X-ray of the hip (1 view) |
$365 |
$456 |
$215 |
$34 | |
| X-ray of the hip (3 views) |
$516 |
$645 |
$374 |
$49 | |
| X-ray of the knee |
$472 |
$590 |
$366 |
$42 | |
| X-ray of the knee (2 views) |
$365 |
$456 |
$210 |
$34 | |
| X-ray of the knee (3 views) |
$472 |
$590 |
$343 |
$42 | |
| X-ray of the knee (4+ views) |
$682 |
$852 |
$482 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$682 |
$852 |
$399 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$682 |
$852 |
$399 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$682 |
$852 |
$459 |
$53 | |
| X-ray of the lower leg |
$365 |
$456 |
$210 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$682 |
$852 |
$373 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$682 |
$852 |
$373 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$682 |
$852 |
$517 |
$39 | |
| X-ray of the neck (cervical spine) |
$523 |
$654 |
$366 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$365 |
$456 |
$261 |
$40 | |
| X-ray of the pelvis |
$682 |
$852 |
$370 |
$36 | |
| X-ray of the pelvis (1 view) |
$682 |
$852 |
$368 |
$28 | |
| X-ray of the ribs |
$667 |
$834 |
$368 |
$42 | |
| X-ray of the ribs (2 views) |
$365 |
$456 |
$277 |
$36 | |
| X-ray of the ribs (3 views) |
$682 |
$852 |
$476 |
$42 | |
| X-ray of the shoulder |
$365 |
$456 |
$263 |
$36 | |
| X-ray of the skull |
$676 |
$845 |
$511 |
$40 | |
| X-ray of the upper arm |
$365 |
$456 |
$266 |
$32 | |
| X-ray of the wrist |
$365 |
$456 |
$256 |
$43 | |
| Zinc blood test |
$106 |
$132 |
$79 |
$11 | |