| 3D mammogram (tomosynthesis) |
$37 |
$96 |
$120 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,090 |
$2,794 |
$1,150 |
$284 | |
| Abdominal ultrasound |
$338 |
$866 |
$147 |
$100 | |
| Abdominal ultrasound (complete) |
$461 |
$1,183 |
$147 |
$114 | |
| Abdominal ultrasound (limited) |
$338 |
$866 |
$147 |
$86 | |
| Abscess drainage (complex or multiple) |
$724 |
$1,857 |
$520 |
$220 | |
| Abscess drainage (simple) |
$389 |
$998 |
$252 |
$129 | |
| Abscess incision and drainage |
$557 |
$1,428 |
$520 |
$174 | |
| Adenoid removal (adenoidectomy) |
$3,770 |
$9,668 |
$3,964 |
$204 | |
| Albumin blood test |
$34 |
$86 |
$8 |
$5 | |
| Aldosterone test |
$106 |
$271 |
$64 |
$41 | |
| Alkaline phosphatase test |
$36 |
$91 |
$8 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$135 |
$347 |
$26 |
$17 | |
| ALT liver enzyme test |
$37 |
$94 |
$8 |
$5 | |
| Ammonia blood test |
$101 |
$259 |
$23 |
$15 | |
| Amniocentesis |
$597 |
$1,532 |
$980 |
$120 | |
| Amylase test |
$82 |
$209 |
$10 |
$6 | |
| Ankle fracture repair |
$8,296 |
$21,272 |
$9,216 |
$608 | |
| Antinuclear antibody (ANA) test |
$70 |
$179 |
$19 |
$12 | |
| Arterial blood gas (ABG) |
$173 |
$443 |
$41 |
$26 | |
| AST liver enzyme test |
$36 |
$91 |
$8 |
$5 | |
| Barium swallow study |
$245 |
$627 |
$240 |
$107 | |
| Bartholin cyst removal |
$237 |
$608 |
$248 |
$182 | |
| Basic metabolic panel |
$221 |
$567 |
$13 |
$8 | |
| Benign skin lesion removal |
$178 |
$456 |
$904 |
$171 | |
| Bilirubin blood test |
$34 |
$87 |
$8 |
$5 | |
| Blood clotting test (PT/INR) |
$36 |
$92 |
$7 |
$4 | |
| Blood crossmatch |
$199 |
$511 |
$222 |
— | |
| Blood glucose test |
$33 |
$85 |
$7 |
$5 | |
| Blood transfusion |
$609 |
$1,561 |
$568 |
$47 | |
| Blood type and screen |
$99 |
$255 |
$71 |
$10 | |
| Blood type test |
$98 |
$252 |
$106 |
$3 | |
| Blood type test (ABO group) |
$150 |
$384 |
$164 |
$3 | |
| Blood type test (Rh/D antigen) |
$47 |
$120 |
$48 |
$3 | |
| BNP (heart failure) test |
$142 |
$364 |
$61 |
$39 | |
| Bone density scan (DEXA) |
$161 |
$413 |
$147 |
$39 | |
| Bone marrow biopsy |
$1,934 |
$4,959 |
$2,089 |
$172 | |
| Bone scan (nuclear) |
$886 |
$2,273 |
$484 |
$259 | |
| Botox for migraine |
$233 |
$597 |
$379 |
$157 | |
| Breast biopsy |
$1,621 |
$4,156 |
$2,089 |
$478 | |
| Breast MRI |
$621 |
$1,593 |
$307 |
$216 | |
| Breast MRI without contrast |
$621 |
$1,593 |
$307 |
$216 | |
| Breast ultrasound |
$181 |
$465 |
$126 |
$92 | |
| Breast ultrasound (complete) |
$206 |
$529 |
$147 |
$100 | |
| Breast ultrasound (limited) |
$157 |
$401 |
$105 |
$84 | |
| Breathing tube insertion (intubation) |
$373 |
$957 |
$290 |
$133 | |
| Bronchoscopy |
$2,016 |
$5,168 |
$2,227 |
$303 | |
| Burn dressing and debridement (medium) |
$233 |
$597 |
$252 |
$166 | |
| Burn dressing and debridement (small) |
$233 |
$597 |
$252 |
$93 | |
| Burn treatment |
$233 |
$597 |
$252 |
$129 | |
| C-reactive protein (CRP) |
$28 |
$73 |
$8 |
$5 | |
| CA 19-9 tumor marker test |
$131 |
$336 |
$33 |
$21 | |
| CA-125 ovarian marker test |
$111 |
$285 |
$33 |
$21 | |
| Calcium blood test |
$36 |
$91 |
$8 |
$5 | |
| Capsule endoscopy |
$1,233 |
$3,161 |
$1,074 |
$802 | |
| Cardiac catheterization |
$6,575 |
$16,859 |
$4,122 |
$1,049 | |
| Cardiac rehabilitation |
$149 |
$382 |
$156 |
$26 | |
| Cardiac stress test |
$251 |
$644 |
$364 |
$39 | |
| Cardioversion |
$761 |
$1,952 |
$819 |
$155 | |
| Carotid artery ultrasound |
$558 |
$1,430 |
$304 |
$156 | |
| Carpal tunnel release |
$2,277 |
$5,839 |
$2,505 |
$483 | |
| CEA tumor marker test |
$160 |
$410 |
$30 |
$19 | |
| Central line placement |
$3,689 |
$9,460 |
$4,151 |
$238 | |
| Chemotherapy infusion |
$237 |
$608 |
$260 |
$81 | |
| Chemotherapy infusion (each additional) |
$186 |
$476 |
$88 |
$28 | |
| Chemotherapy infusion (first hour) |
$288 |
$739 |
$433 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,167 |
$2,992 |
$806 |
$311 | |
| Chest tube insertion |
$1,792 |
$4,595 |
$2,073 |
$143 | |
| Chest X-ray |
$181 |
$465 |
$105 |
$37 | |
| Chest X-ray (1 view) |
$177 |
$453 |
$105 |
$25 | |
| Chest X-ray (2 views) |
$181 |
$465 |
$105 |
$33 | |
| Circumcision |
$1,859 |
$4,768 |
$2,584 |
$167 | |
| CK-MB heart enzyme test |
$120 |
$307 |
$18 |
$12 | |
| Clotting time test (PTT) |
$22 |
$57 |
$9 |
$6 | |
| Colonoscopy |
$1,944 |
$4,984 |
$1,158 |
$480 | |
| Complete blood count (CBC) |
$57 |
$147 |
$11 |
$7 | |
| Complete blood count (CBC) (complete) |
$63 |
$161 |
$12 |
$8 | |
| Complex wound repair |
$740 |
$1,898 |
$809 |
$390 | |
| Comprehensive metabolic panel |
$394 |
$1,010 |
$16 |
$11 | |
| Contraceptive implant (Nexplanon) |
$244 |
$625 |
$526 |
$115 | |
| Copper blood test |
$85 |
$217 |
$19 |
$12 | |
| Coronary CT angiography |
$462 |
$1,184 |
$240 |
$326 | |
| Cortisol test |
$63 |
$161 |
$25 |
$16 | |
| COVID-19 PCR test |
$261 |
$670 |
$70 |
$51 | |
| CPAP titration study |
$234 |
$600 |
$249 |
$69 | |
| Creatine kinase (CK) test |
$78 |
$199 |
$10 |
$7 | |
| CT angiography of the chest |
$1,025 |
$2,629 |
$240 |
$281 | |
| CT angiography of the head |
$948 |
$2,431 |
$240 |
$274 | |
| CT scan of the abdomen |
$1,101 |
$2,824 |
$240 |
$230 | |
| CT scan of the abdomen and pelvis |
$1,491 |
$3,822 |
$502 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$1,857 |
$4,763 |
$502 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$1,491 |
$3,822 |
$502 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,403 |
$3,598 |
$307 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,320 |
$3,384 |
$240 |
$259 | |
| CT scan of the abdomen with contrast |
$1,101 |
$2,824 |
$240 |
$230 | |
| CT scan of the abdomen without contrast |
$909 |
$2,331 |
$147 |
$136 | |
| CT scan of the arm |
$704 |
$1,806 |
$240 |
$199 | |
| CT scan of the arm with contrast |
$726 |
$1,860 |
$502 |
$199 | |
| CT scan of the arm without contrast |
$704 |
$1,806 |
$147 |
$161 | |
| CT scan of the chest |
$1,025 |
$2,629 |
$240 |
$167 | |
| CT scan of the chest with and without contrast |
$1,192 |
$3,056 |
$240 |
$196 | |
| CT scan of the chest with contrast |
$1,025 |
$2,629 |
$240 |
$167 | |
| CT scan of the chest without contrast |
$895 |
$2,294 |
$147 |
$133 | |
| CT scan of the head |
$1,104 |
$2,831 |
$240 |
$148 | |
| CT scan of the head with and without contrast |
$1,502 |
$3,851 |
$240 |
$173 | |
| CT scan of the head with contrast |
$1,104 |
$2,831 |
$240 |
$148 | |
| CT scan of the head without contrast |
$1,088 |
$2,789 |
$147 |
$107 | |
| CT scan of the leg |
$517 |
$1,327 |
$147 |
$166 | |
| CT scan of the leg with contrast |
$635 |
$1,627 |
$240 |
$166 | |
| CT scan of the leg without contrast |
$517 |
$1,327 |
$147 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$874 |
$2,241 |
$240 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$874 |
$2,241 |
$240 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,006 |
$2,580 |
$502 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$847 |
$2,173 |
$147 |
$130 | |
| CT scan of the neck |
$851 |
$2,183 |
$240 |
$183 | |
| CT scan of the neck (cervical spine) |
$847 |
$2,173 |
$240 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,038 |
$2,661 |
$240 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$821 |
$2,106 |
$502 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$847 |
$2,173 |
$147 |
$131 | |
| CT scan of the neck with and without contrast |
$913 |
$2,342 |
$240 |
$220 | |
| CT scan of the neck with contrast |
$851 |
$2,183 |
$240 |
$183 | |
| CT scan of the neck without contrast |
$733 |
$1,879 |
$147 |
$150 | |
| CT scan of the pelvis |
$845 |
$2,167 |
$240 |
$226 | |
| CT scan of the pelvis with and without contrast |
$845 |
$2,167 |
$240 |
$251 | |
| CT scan of the pelvis with contrast |
$874 |
$2,241 |
$240 |
$226 | |
| CT scan of the pelvis without contrast |
$820 |
$2,102 |
$147 |
$133 | |
| CT scan of the sinuses |
$1,287 |
$3,299 |
$240 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,287 |
$3,299 |
$240 |
$184 | |
| CT scan of the sinuses with contrast |
$1,447 |
$3,711 |
$240 |
$152 | |
| CT scan of the sinuses without contrast |
$1,218 |
$3,124 |
$147 |
$128 | |
| D-dimer test |
$78 |
$201 |
$16 |
$10 | |
| Defibrillator (ICD) implant |
$32,190 |
$82,538 |
$44,693 |
$798 | |
| DHEA-sulfate test |
$81 |
$207 |
$35 |
$22 | |
| Diagnostic mammogram |
$173 |
$444 |
$120 |
$140 | |
| Dialysis fistula creation |
$5,979 |
$15,331 |
$4,151 |
$601 | |
| Drug screen (urine) |
$168 |
$431 |
$20 |
$17 | |
| Echocardiogram |
$1,021 |
$2,617 |
$654 |
$138 | |
| Echocardiogram with and without contrast |
$398 |
$1,021 |
$304 |
$101 | |
| EEG (awake and asleep) |
$536 |
$1,373 |
$364 |
$482 | |
| EKG / ECG (tracing only) |
$92 |
$237 |
$75 |
$7 | |
| Electrocardiogram (EKG) |
$53 |
$136 |
$75 |
$8 | |
| Electroencephalogram (EEG) |
$536 |
$1,373 |
$364 |
$448 | |
| Electrolyte panel |
$108 |
$276 |
$11 |
$7 | |
| Electromyography (EMG) |
$101 |
$259 |
$151 |
$141 | |
| Emergency department visit |
$373 |
$955 |
$279 |
$69 | |
| Emergency department visit (level 1) |
$163 |
$419 |
$203 |
$11 | |
| Emergency department visit (level 2) |
$234 |
$600 |
$232 |
$40 | |
| Emergency department visit (level 3) |
$373 |
$955 |
$279 |
$69 | |
| Emergency department visit (level 4) |
$605 |
$1,551 |
$340 |
$118 | |
| Emergency department visit (level 5) |
$772 |
$1,980 |
$439 |
$171 | |
| Epidural steroid injection |
$766 |
$1,965 |
$898 |
$275 | |
| Estradiol (estrogen) test |
$88 |
$226 |
$44 |
$28 | |
| Facet joint injection (spine) |
$564 |
$1,447 |
$1,450 |
$99 | |
| Fallopian tube X-ray (HSG) |
$281 |
$721 |
$307 |
$164 | |
| Family therapy session |
$362 |
$928 |
$189 |
$110 | |
| Fecal occult blood (stool) test |
$46 |
$117 |
$16 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$16 |
$42 |
$7 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$75 |
$192 |
$25 |
$16 | |
| Feeding tube (PEG) placement |
$2,204 |
$5,652 |
$2,427 |
$178 | |
| Ferritin (iron) test |
$110 |
$283 |
$21 |
$14 | |
| Fibrinogen test |
$43 |
$110 |
$15 |
$10 | |
| Flexible sigmoidoscopy |
$760 |
$1,948 |
$1,158 |
$323 | |
| Flu test |
$67 |
$172 |
$26 |
$17 | |
| Flu vaccine |
$31 |
$80 |
$21 |
— | |
| Folate (folic acid) test |
$110 |
$281 |
$23 |
$15 | |
| Foreign body removal (skin) |
$472 |
$1,209 |
$520 |
$157 | |
| Free T4 thyroid test |
$52 |
$134 |
$14 |
$9 | |
| FSH hormone test |
$78 |
$199 |
$29 |
$19 | |
| Gallbladder scan (HIDA) |
$550 |
$1,410 |
$552 |
$334 | |
| GGT liver test |
$74 |
$190 |
$11 |
$7 | |
| Glucose tolerance test |
$72 |
$185 |
$20 |
$8 | |
| Group therapy session |
$105 |
$270 |
$99 |
$30 | |
| H. pylori test |
$90 |
$231 |
$105 |
$67 | |
| HDL cholesterol test |
$56 |
$143 |
$13 |
$8 | |
| Hematocrit test |
$19 |
$49 |
$4 |
$2 | |
| Hemodialysis |
$967 |
$2,480 |
— |
$75 | |
| Hemoglobin A1c (diabetes test) |
$100 |
$256 |
$15 |
$10 | |
| Hepatitis A vaccine |
$25 |
$65 |
$69 |
— | |
| Hepatitis B test |
$152 |
$391 |
$16 |
$10 | |
| Hepatitis B vaccine |
$82 |
$211 |
$66 |
— | |
| Hepatitis C test |
$169 |
$432 |
$22 |
$14 | |
| Hip fracture repair |
$6,568 |
$16,840 |
$1,087 |
$1,120 | |
| Hip replacement |
$14,924 |
$38,267 |
$18,180 |
$1,162 | |
| HIV test |
$63 |
$162 |
$30 |
$19 | |
| HIV test (antibody) |
$82 |
$210 |
$21 |
$14 | |
| HIV test (antigen/antibody combo) |
$44 |
$114 |
$38 |
$24 | |
| Holter heart monitor |
$181 |
$463 |
$151 |
$26 | |
| Home sleep apnea test |
$241 |
$619 |
— |
$123 | |
| Iron blood test |
$71 |
$181 |
$10 |
$6 | |
| IV infusion therapy |
$205 |
$526 |
$162 |
$44 | |
| IV infusion therapy (each additional) |
$165 |
$424 |
$55 |
$21 | |
| IV infusion therapy (initial) |
$245 |
$629 |
$269 |
$67 | |
| IVC filter placement |
$4,677 |
$11,991 |
$7,161 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$353 |
$905 |
$379 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$353 |
$905 |
$379 |
$57 | |
| Joint aspiration or injection (small joint) |
$353 |
$905 |
$379 |
$56 | |
| Kidney biopsy |
$1,594 |
$4,088 |
$2,089 |
$492 | |
| Kidney scan (nuclear) |
$651 |
$1,670 |
$621 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$4,856 |
$12,451 |
$4,466 |
$760 | |
| Kidney ultrasound |
$380 |
$974 |
$147 |
$84 | |
| Kidney ultrasound (limited) |
$380 |
$974 |
$147 |
$61 | |
| Knee arthroscopy |
$3,779 |
$9,691 |
$4,147 |
$524 | |
| Knee joint injection |
$353 |
$905 |
$379 |
$69 | |
| Lactate test |
$95 |
$243 |
$18 |
$12 | |
| Laryngoscopy |
$794 |
$2,035 |
$1,138 |
$189 | |
| LDH test |
$62 |
$160 |
$9 |
$6 | |
| LDL cholesterol test |
$69 |
$176 |
$16 |
$11 | |
| Leg artery angiogram |
$3,689 |
$9,460 |
$3,645 |
$149 | |
| Leg artery angioplasty |
$7,393 |
$18,955 |
$7,267 |
— | |
| Leg vein ultrasound (Doppler) |
$417 |
$1,070 |
$221 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$322 |
$826 |
$139 |
$116 | |
| LH hormone test |
$83 |
$213 |
$29 |
$19 | |
| Lipase test |
$82 |
$209 |
$11 |
$7 | |
| Lipid (cholesterol) panel |
$171 |
$439 |
$21 |
$13 | |
| Liver biopsy |
$1,471 |
$3,771 |
$2,089 |
$288 | |
| Liver function panel |
$193 |
$496 |
$13 |
$8 | |
| Lung function test (PFT) |
$273 |
$699 |
$277 |
$37 | |
| Lung scan (V/Q) |
$737 |
$1,891 |
$621 |
$291 | |
| Magnesium blood test |
$71 |
$181 |
$10 |
$7 | |
| MMR vaccine |
$165 |
$424 |
$95 |
— | |
| MRA of the brain |
$1,061 |
$2,721 |
$404 |
$226 | |
| MRA of the brain without contrast |
$1,185 |
$3,039 |
$502 |
$328 | |
| MRA of the neck |
$1,018 |
$2,610 |
$404 |
$245 | |
| MRA of the neck without contrast |
$1,185 |
$3,039 |
$502 |
$343 | |
| MRI of the abdomen |
$1,475 |
$3,783 |
$502 |
$300 | |
| MRI of the abdomen with contrast |
$1,486 |
$3,811 |
$502 |
$300 | |
| MRI of the abdomen without contrast |
$1,189 |
$3,049 |
$307 |
$194 | |
| MRI of the ankle |
$1,099 |
$2,818 |
$307 |
$261 | |
| MRI of the ankle without contrast |
$1,099 |
$2,818 |
$307 |
$222 | |
| MRI of the brain |
$1,517 |
$3,890 |
$502 |
$269 | |
| MRI of the brain with contrast |
$1,517 |
$3,890 |
$502 |
$269 | |
| MRI of the brain without contrast |
$1,373 |
$3,522 |
$307 |
$195 | |
| MRI of the chest |
$1,095 |
$2,809 |
$404 |
$371 | |
| MRI of the chest without contrast |
$1,099 |
$2,817 |
$502 |
$466 | |
| MRI of the knee |
$1,166 |
$2,991 |
$502 |
$315 | |
| MRI of the knee with contrast |
$1,107 |
$2,838 |
$895 |
$315 | |
| MRI of the knee without contrast |
$1,166 |
$2,991 |
$307 |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,425 |
$3,655 |
$502 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,425 |
$3,655 |
$502 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,382 |
$3,543 |
$307 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,508 |
$3,866 |
$502 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,184 |
$5,601 |
$502 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,508 |
$3,866 |
$502 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,219 |
$3,126 |
$307 |
$190 | |
| MRI of the neck (cervical spine) |
$1,440 |
$3,692 |
$404 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$1,783 |
$4,571 |
$502 |
$318 | |
| MRI of the neck (cervical spine) without contrast |
$1,097 |
$2,813 |
$307 |
$191 | |
| MRI of the pelvis |
$1,468 |
$3,765 |
$502 |
$268 | |
| MRI of the pelvis with contrast |
$1,480 |
$3,794 |
$502 |
$268 | |
| MRI of the pelvis without contrast |
$1,114 |
$2,856 |
$307 |
$227 | |
| MRI of the shoulder |
$1,280 |
$3,282 |
$502 |
$313 | |
| MRI of the shoulder with contrast |
$1,294 |
$3,318 |
$895 |
$313 | |
| MRI of the shoulder without contrast |
$1,280 |
$3,282 |
$307 |
$205 | |
| MRI of the wrist |
$1,316 |
$3,374 |
$404 |
$330 | |
| MRI of the wrist without contrast |
$1,308 |
$3,353 |
$307 |
$303 | |
| Nebulizer breathing treatment |
$234 |
$600 |
$249 |
$9 | |
| Nerve conduction study |
$122 |
$313 |
$364 |
$118 | |
| Nuclear cardiac stress test |
$1,071 |
$2,745 |
$1,673 |
$428 | |
| Occupational therapy evaluation |
$104 |
$266 |
$142 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$98 |
$252 |
$142 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$109 |
$279 |
$142 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$104 |
$266 |
$142 |
$101 | |
| Office visit (established patient) |
$198 |
$507 |
$125 |
$115 | |
| Office visit (new patient) |
$119 |
$306 |
$172 |
$177 | |
| Office visit, established patient (level 3) |
$159 |
$408 |
$102 |
$95 | |
| Office visit, established patient (level 4) |
$236 |
$606 |
$148 |
$136 | |
| Office visit, new patient (level 3) |
$88 |
$225 |
$101 |
$118 | |
| Office visit, new patient (level 4) |
$119 |
$306 |
$172 |
$177 | |
| Office visit, new patient (level 5) |
$143 |
$366 |
$225 |
$237 | |
| Orthopedic hardware removal |
$3,305 |
$8,473 |
$3,599 |
$632 | |
| Pap smear (cervical screening) |
$76 |
$195 |
$37 |
$20 | |
| Parathyroid hormone (PTH) test |
$170 |
$435 |
$64 |
$41 | |
| Pelvic ultrasound |
$379 |
$971 |
$147 |
$78 | |
| Pelvic ultrasound (complete) |
$379 |
$971 |
$147 |
$105 | |
| Pelvic ultrasound (limited) |
$82 |
$210 |
$147 |
$51 | |
| PET scan |
$1,775 |
$4,551 |
$1,898 |
— | |
| Phosphorus blood test |
$45 |
$114 |
$7 |
$5 | |
| Physical therapy evaluation |
$106 |
$272 |
$142 |
$98 | |
| Physical therapy evaluation (high complexity) |
$128 |
$327 |
$142 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$104 |
$266 |
$142 |
$98 | |
| Platelet count |
$37 |
$94 |
$7 |
$4 | |
| Pneumonia vaccine |
$123 |
$316 |
$126 |
— | |
| Pregnancy blood test (hCG) |
$86 |
$219 |
$12 |
$8 | |
| Pregnancy ultrasound |
$124 |
$319 |
$147 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$124 |
$319 |
$147 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$124 |
$319 |
$147 |
$136 | |
| Procalcitonin test |
$104 |
$266 |
— |
$27 | |
| Prolactin test |
$167 |
$427 |
$30 |
$19 | |
| Prostate test (PSA) |
$72 |
$185 |
$29 |
$18 | |
| Psychiatric evaluation |
$181 |
$463 |
$189 |
$188 | |
| Psychotherapy session |
$326 |
$836 |
$189 |
$140 | |
| Radiofrequency nerve ablation |
$2,144 |
$5,498 |
$2,505 |
$462 | |
| Rotator cuff repair |
$8,296 |
$21,272 |
$9,216 |
$792 | |
| Sacroiliac joint injection |
$829 |
$2,126 |
$898 |
$176 | |
| Scoliosis spine X-ray |
$181 |
$464 |
$147 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$127 |
$325 |
$105 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$181 |
$464 |
$147 |
$72 | |
| Screening mammogram |
$146 |
$374 |
$127 |
$126 | |
| Scrotal ultrasound |
$350 |
$898 |
$147 |
$99 | |
| Sedimentation rate (ESR) test |
$29 |
$76 |
$5 |
$3 | |
| Semen analysis |
$60 |
$153 |
$19 |
$12 | |
| Septoplasty (deviated septum) |
$3,770 |
$9,668 |
$3,964 |
$613 | |
| Sex hormone binding globulin test |
$73 |
$186 |
$34 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$239 |
$614 |
$252 |
$114 | |
| Simple wound stitches |
$253 |
$650 |
$252 |
$127 | |
| Sinus surgery (endoscopic) |
$8,005 |
$20,526 |
$4,645 |
$224 | |
| Skin biopsy |
$549 |
$1,409 |
$809 |
$121 | |
| Skin biopsy (punch) |
$1,730 |
$4,436 |
$520 |
$121 | |
| Skin cancer lesion removal |
$370 |
$950 |
$520 |
$240 | |
| Skin tag removal |
$209 |
$535 |
$1,450 |
$92 | |
| Sleep study (polysomnography) |
$1,701 |
$4,361 |
$1,215 |
$691 | |
| Soft tissue ultrasound |
$255 |
$655 |
$147 |
$64 | |
| Speech therapy |
$139 |
$356 |
$108 |
$76 | |
| Spinal cord stimulator |
$7,672 |
$19,672 |
$9,201 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$1,114 |
$2,855 |
$898 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$8,296 |
$21,272 |
$9,216 |
$5,803 | |
| Spirometry (lung function test) |
$182 |
$466 |
$189 |
$30 | |
| Spirometry with bronchodilator |
$363 |
$932 |
$364 |
$43 | |
| Strep throat test |
$57 |
$147 |
$26 |
$17 | |
| Stress echocardiogram |
$781 |
$2,002 |
$654 |
$209 | |
| Stress echocardiogram (complete) |
$781 |
$2,002 |
$654 |
$233 | |
| Swallow study |
$156 |
$399 |
— |
$85 | |
| T3 thyroid test |
$140 |
$360 |
$22 |
$14 | |
| Tdap (tetanus) vaccine |
$93 |
$239 |
$37 |
— | |
| Testosterone test |
$152 |
$391 |
$40 |
$26 | |
| Thyroid test (TSH) |
$181 |
$464 |
$26 |
$17 | |
| Thyroid ultrasound |
$317 |
$812 |
$147 |
$109 | |
| Thyroid uptake scan |
$538 |
$1,380 |
$484 |
$145 | |
| Tilt table test |
$568 |
$1,455 |
$629 |
$168 | |
| Tonsillectomy |
$3,770 |
$9,668 |
$3,964 |
$252 | |
| Total IgE allergy test |
$95 |
$245 |
$26 |
$16 | |
| Total protein test |
$61 |
$156 |
$6 |
$4 | |
| Tracheostomy |
$3,770 |
$9,668 |
$3,964 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$695 |
$1,781 |
$654 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$947 |
$2,428 |
$654 |
$239 | |
| Transvaginal ultrasound |
$300 |
$769 |
$147 |
$118 | |
| Trigger point injection |
$353 |
$905 |
$379 |
$56 | |
| Trigger point injection (1-2 muscles) |
$353 |
$905 |
$379 |
$52 | |
| Triglycerides test |
$40 |
$101 |
$9 |
$6 | |
| Troponin (heart) test |
$124 |
$318 |
$19 |
$12 | |
| Turbinate reduction |
$3,770 |
$9,668 |
$3,964 |
$294 | |
| Turning a breech baby (version) |
$2,523 |
$6,470 |
$3,940 |
$94 | |
| Ulnar nerve surgery (elbow) |
$2,277 |
$5,839 |
$2,505 |
$575 | |
| Upper GI endoscopy (EGD) |
$1,153 |
$2,957 |
$1,150 |
$371 | |
| Upper GI series (barium) |
$480 |
$1,230 |
$240 |
$128 | |
| Uric acid (gout) test |
$45 |
$115 |
$7 |
$5 | |
| Urinalysis |
$23 |
$58 |
$4 |
$3 | |
| Urine microalbumin test |
$40 |
$102 |
$9 |
$5 | |
| Urine pregnancy test |
$56 |
$143 |
$13 |
$9 | |
| Vaccine administration |
$67 |
$172 |
$88 |
$19 | |
| Vaccine administration (each additional) |
$29 |
$74 |
— |
$16 | |
| Varicose vein ablation |
$3,112 |
$7,980 |
$4,151 |
$1,018 | |
| Vitamin B12 test |
$144 |
$370 |
$24 |
$15 | |
| Vitamin D test |
$144 |
$370 |
$46 |
$30 | |
| Wound debridement |
$526 |
$1,349 |
$809 |
$186 | |
| Wrist fracture repair |
$8,296 |
$21,272 |
$9,216 |
$735 | |
| X-ray of the abdomen |
$146 |
$374 |
$105 |
$36 | |
| X-ray of the ankle |
$177 |
$453 |
$105 |
$37 | |
| X-ray of the collarbone |
$102 |
$263 |
$105 |
$33 | |
| X-ray of the elbow |
$156 |
$401 |
$105 |
$33 | |
| X-ray of the facial bones |
$115 |
$296 |
$126 |
$39 | |
| X-ray of the foot |
$171 |
$440 |
$105 |
$34 | |
| X-ray of the forearm |
$157 |
$402 |
$105 |
$29 | |
| X-ray of the hand |
$159 |
$407 |
$105 |
$38 | |
| X-ray of the hip |
$102 |
$263 |
$105 |
$49 | |
| X-ray of the hip (1 view) |
$102 |
$263 |
$105 |
$34 | |
| X-ray of the hip (3 views) |
$102 |
$263 |
$105 |
$49 | |
| X-ray of the hip (4 views) |
$124 |
$319 |
$147 |
$63 | |
| X-ray of the knee |
$147 |
$377 |
$105 |
$42 | |
| X-ray of the knee (2 views) |
$142 |
$363 |
$105 |
$34 | |
| X-ray of the knee (3 views) |
$147 |
$377 |
$105 |
$42 | |
| X-ray of the knee (4+ views) |
$150 |
$386 |
$147 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$196 |
$502 |
$147 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$178 |
$455 |
$147 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$214 |
$548 |
$147 |
$53 | |
| X-ray of the lower leg |
$164 |
$421 |
$105 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$190 |
$488 |
$147 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$190 |
$488 |
$147 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$191 |
$489 |
$147 |
$39 | |
| X-ray of the neck (cervical spine) |
$172 |
$442 |
$126 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$155 |
$398 |
$105 |
$40 | |
| X-ray of the pelvis |
$124 |
$319 |
$147 |
$36 | |
| X-ray of the pelvis (1 view) |
$124 |
$319 |
$147 |
$28 | |
| X-ray of the ribs |
$165 |
$424 |
$147 |
$42 | |
| X-ray of the ribs (2 views) |
$165 |
$424 |
$105 |
$36 | |
| X-ray of the ribs (3 views) |
$223 |
$571 |
$147 |
$42 | |
| X-ray of the shoulder |
$170 |
$437 |
$105 |
$36 | |
| X-ray of the skull |
$124 |
$319 |
$147 |
$40 | |
| X-ray of the upper arm |
$153 |
$393 |
$105 |
$32 | |
| X-ray of the wrist |
$173 |
$443 |
$105 |
$43 | |
| Zinc blood test |
$45 |
$114 |
$18 |
$11 | |