| Abdominal fluid drain (paracentesis) |
$1,849 |
$2,642 |
$885 |
$284 | |
| Abdominal ultrasound |
$984 |
$1,406 |
$102 |
$100 | |
| Abdominal ultrasound (complete) |
$1,207 |
$1,724 |
$102 |
$114 | |
| Abdominal ultrasound (limited) |
$885 |
$1,265 |
$102 |
$86 | |
| Abscess drainage (complex or multiple) |
$578 |
$826 |
$396 |
$220 | |
| Abscess drainage (simple) |
$453 |
$647 |
$196 |
$129 | |
| Abscess incision and drainage |
$453 |
$647 |
$196 |
$174 | |
| ACL knee reconstruction |
$9,824 |
$14,035 |
$7,077 |
$889 | |
| Adenoid removal (adenoidectomy) |
$1,518 |
$2,169 |
$3,233 |
$204 | |
| Albumin blood test |
$25 |
$36 |
$5 |
$5 | |
| Aldosterone test |
$71 |
$101 |
$41 |
$41 | |
| Alkaline phosphatase test |
$23 |
$33 |
$5 |
$5 | |
| Allergy patch testing |
$62 |
$89 |
$837 |
$5 | |
| Allergy shots |
$54 |
$77 |
$46 |
$11 | |
| Allergy testing |
$280 |
$399 |
$837 |
$4 | |
| Alpha-fetoprotein (AFP) test |
$40 |
$57 |
$17 |
$17 | |
| ALT liver enzyme test |
$23 |
$33 |
$5 |
$5 | |
| Ammonia blood test |
$40 |
$57 |
$15 |
$15 | |
| Amylase test |
$24 |
$35 |
$6 |
$6 | |
| Ankle fracture repair |
$5,191 |
$7,416 |
$7,077 |
$608 | |
| Annual physical (established patient) |
$181 |
$258 |
— |
— | |
| Annual physical (new patient) |
$71 |
$102 |
— |
— | |
| Antinuclear antibody (ANA) test |
$173 |
$247 |
$12 |
$12 | |
| Arterial blood gas (ABG) |
$154 |
$221 |
$26 |
$26 | |
| AST liver enzyme test |
$23 |
$33 |
$5 |
$5 | |
| Barium swallow study |
$619 |
$884 |
$171 |
$107 | |
| Basic metabolic panel |
$52 |
$74 |
$8 |
$8 | |
| Benign skin lesion removal |
$663 |
$948 |
$691 |
$171 | |
| Bilirubin blood test |
$23 |
$33 |
$5 |
$5 | |
| Bladder function test (urodynamics) |
$769 |
$1,099 |
$680 |
$345 | |
| Blood clotting test (PT/INR) |
$21 |
$30 |
$4 |
$4 | |
| Blood crossmatch |
$80 |
$115 |
$166 |
— | |
| Blood glucose test |
$23 |
$33 |
$4 |
$5 | |
| Blood transfusion |
$919 |
$1,312 |
$430 |
$47 | |
| Blood type and screen |
$50 |
$72 |
$51 |
$10 | |
| Blood type test |
$33 |
$47 |
$92 |
$3 | |
| Blood type test (ABO group) |
$50 |
$72 |
$130 |
$3 | |
| Blood type test (Rh/D antigen) |
$17 |
$24 |
$36 |
$3 | |
| BNP (heart failure) test |
$56 |
$80 |
$39 |
$39 | |
| Bone density scan (DEXA) |
$721 |
$1,029 |
$102 |
$39 | |
| Bone marrow biopsy |
$928 |
$1,325 |
$2,416 |
$172 | |
| Bone scan (nuclear) |
$1,567 |
$2,238 |
$390 |
$259 | |
| Botox for migraine |
$870 |
$1,243 |
$299 |
$157 | |
| Breast reduction |
$14,595 |
$20,849 |
$6,476 |
$980 | |
| Breast ultrasound |
$335 |
$479 |
$102 |
$92 | |
| Breast ultrasound (complete) |
$1,188 |
$1,697 |
$102 |
$100 | |
| Breast ultrasound (limited) |
$331 |
$472 |
$85 |
$84 | |
| Breathing tube insertion (intubation) |
$994 |
$1,420 |
$231 |
$133 | |
| Bronchoscopy |
$2,243 |
$3,205 |
$1,736 |
$303 | |
| Burn dressing and debridement (medium) |
$356 |
$508 |
$196 |
$166 | |
| Burn dressing and debridement (small) |
$208 |
$297 |
$196 |
$93 | |
| Burn treatment |
$356 |
$508 |
$196 |
$129 | |
| C-reactive protein (CRP) |
$63 |
$89 |
$5 |
$5 | |
| CA 19-9 tumor marker test |
$46 |
$66 |
$21 |
$21 | |
| CA-125 ovarian marker test |
$46 |
$66 |
$21 |
$21 | |
| Calcium blood test |
$23 |
$33 |
$5 |
$5 | |
| Capsule endoscopy |
$3,011 |
$4,302 |
$885 |
$802 | |
| Cardiac event monitor |
$322 |
$460 |
— |
$170 | |
| Cardiac MRI |
$2,612 |
$3,732 |
$340 |
$322 | |
| Cardiac MRI without contrast |
$2,362 |
$3,374 |
$233 |
$280 | |
| Cardiac stress test |
$999 |
$1,427 |
$211 |
$39 | |
| Cardioversion |
$142 |
$203 |
$645 |
$155 | |
| Carotid artery ultrasound |
$920 |
$1,314 |
$193 |
$156 | |
| CEA tumor marker test |
$41 |
$59 |
$19 |
$19 | |
| Celiac disease test |
$74 |
$105 |
$12 |
$12 | |
| Central line placement |
$3,008 |
$4,297 |
$3,079 |
$238 | |
| Chalazion (eyelid cyst) removal |
$1,488 |
$2,126 |
$310 |
$131 | |
| Chemotherapy infusion |
$551 |
$788 |
$214 |
$81 | |
| Chemotherapy infusion (each additional) |
$1,182 |
$1,688 |
$70 |
$28 | |
| Chemotherapy infusion (first hour) |
$548 |
$782 |
$322 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,134 |
$1,620 |
$612 |
$311 | |
| Chest tube insertion |
$1,832 |
$2,617 |
$1,535 |
$143 | |
| Chest X-ray |
$256 |
$365 |
$85 |
$37 | |
| Chest X-ray (1 view) |
$160 |
$228 |
$85 |
$25 | |
| Chest X-ray (2 views) |
$248 |
$355 |
$85 |
$33 | |
| Chickenpox (varicella) vaccine |
$475 |
$679 |
$505 |
— | |
| Circumcision |
$2,380 |
$3,400 |
$2,039 |
$167 | |
| CK-MB heart enzyme test |
$41 |
$59 |
$12 |
$12 | |
| Clotting time test (PTT) |
$21 |
$30 |
$6 |
$6 | |
| Colonoscopy |
$1,586 |
$2,266 |
$1,167 |
$480 | |
| Colposcopy |
$158 |
$226 |
$297 |
$161 | |
| Complete blood count (CBC) |
$21 |
$29 |
$8 |
$7 | |
| Complete blood count (CBC) (complete) |
$22 |
$31 |
$8 |
$8 | |
| Complex wound repair |
$511 |
$730 |
$721 |
$390 | |
| Comprehensive eye exam |
$255 |
$365 |
$130 |
$138 | |
| Comprehensive metabolic panel |
$52 |
$74 |
$11 |
$11 | |
| Contact lens fitting |
$224 |
$320 |
— |
— | |
| Contraceptive implant (Nexplanon) |
$1,063 |
$1,518 |
$436 |
$115 | |
| Copper blood test |
$43 |
$62 |
$12 |
$12 | |
| Coronary CT angiography |
$577 |
$824 |
$340 |
$326 | |
| Cortisol test |
$58 |
$82 |
$16 |
$16 | |
| COVID-19 PCR test |
$101 |
$144 |
$51 |
$51 | |
| CPAP titration study |
$890 |
$1,271 |
— |
$69 | |
| Creatine kinase (CK) test |
$23 |
$33 |
$7 |
$7 | |
| CT angiography of the chest |
$2,875 |
$4,107 |
$171 |
$281 | |
| CT angiography of the head |
$3,036 |
$4,337 |
$171 |
$274 | |
| CT scan of the abdomen |
$2,203 |
$3,148 |
$171 |
$230 | |
| CT scan of the abdomen and pelvis |
$4,018 |
$5,740 |
$340 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$4,742 |
$6,774 |
$340 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$4,603 |
$6,576 |
$340 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$3,138 |
$4,482 |
$233 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,485 |
$3,550 |
$171 |
$259 | |
| CT scan of the abdomen with contrast |
$2,212 |
$3,160 |
$171 |
$230 | |
| CT scan of the abdomen without contrast |
$1,830 |
$2,615 |
$102 |
$136 | |
| CT scan of the arm |
$2,260 |
$3,229 |
$257 |
$199 | |
| CT scan of the arm with contrast |
$2,329 |
$3,326 |
$340 |
$199 | |
| CT scan of the arm without contrast |
$1,722 |
$2,460 |
$102 |
$161 | |
| CT scan of the chest |
$2,351 |
$3,359 |
$171 |
$167 | |
| CT scan of the chest with and without contrast |
$2,389 |
$3,414 |
$171 |
$196 | |
| CT scan of the chest with contrast |
$2,849 |
$4,070 |
$171 |
$167 | |
| CT scan of the chest without contrast |
$2,316 |
$3,309 |
$102 |
$133 | |
| CT scan of the head |
$1,399 |
$1,999 |
$171 |
$148 | |
| CT scan of the head with and without contrast |
$2,319 |
$3,313 |
$171 |
$173 | |
| CT scan of the head with contrast |
$2,043 |
$2,919 |
$171 |
$148 | |
| CT scan of the head without contrast |
$1,113 |
$1,590 |
$102 |
$107 | |
| CT scan of the leg |
$1,992 |
$2,846 |
$171 |
$166 | |
| CT scan of the leg with contrast |
$1,979 |
$2,828 |
$171 |
$166 | |
| CT scan of the leg without contrast |
$2,093 |
$2,990 |
$102 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,597 |
$3,711 |
$171 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,723 |
$3,890 |
$171 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,093 |
$2,991 |
$340 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$2,597 |
$3,711 |
$102 |
$130 | |
| CT scan of the neck |
$2,343 |
$3,347 |
$171 |
$183 | |
| CT scan of the neck (cervical spine) |
$2,078 |
$2,968 |
$171 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,613 |
$3,733 |
$171 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,947 |
$2,782 |
$340 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,762 |
$2,517 |
$102 |
$131 | |
| CT scan of the neck with and without contrast |
$2,232 |
$3,189 |
$171 |
$220 | |
| CT scan of the neck with contrast |
$2,761 |
$3,945 |
$171 |
$183 | |
| CT scan of the neck without contrast |
$1,693 |
$2,419 |
$102 |
$150 | |
| CT scan of the pelvis |
$2,146 |
$3,065 |
$171 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,559 |
$3,656 |
$171 |
$251 | |
| CT scan of the pelvis with contrast |
$1,990 |
$2,843 |
$171 |
$226 | |
| CT scan of the pelvis without contrast |
$2,146 |
$3,065 |
$102 |
$133 | |
| CT scan of the sinuses |
$1,956 |
$2,795 |
$171 |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,331 |
$3,330 |
$171 |
$184 | |
| CT scan of the sinuses with contrast |
$2,488 |
$3,555 |
$171 |
$152 | |
| CT scan of the sinuses without contrast |
$1,927 |
$2,754 |
$102 |
$128 | |
| D-dimer test |
$133 |
$190 |
$10 |
$10 | |
| Developmental screening (child) |
$64 |
$92 |
— |
— | |
| DHEA-sulfate test |
$58 |
$82 |
$22 |
$22 | |
| Drug screen (urine) |
$97 |
$139 |
$62 |
$17 | |
| Ear pressure test (tympanometry) |
$70 |
$101 |
$36 |
$16 | |
| Ear tubes (myringotomy) |
$991 |
$1,416 |
$1,513 |
$174 | |
| Eardrum repair (tympanoplasty) |
$3,085 |
$4,407 |
$5,773 |
$799 | |
| Echocardiogram |
$1,096 |
$1,566 |
$349 |
$138 | |
| Echocardiogram with and without contrast |
$595 |
$850 |
$233 |
$101 | |
| Echocardiogram without contrast |
$607 |
$868 |
$233 |
$138 | |
| EEG (awake and asleep) |
$827 |
$1,181 |
$211 |
$482 | |
| EKG / ECG (tracing only) |
$45 |
$64 |
$58 |
$7 | |
| Electrocardiogram (EKG) |
$48 |
$68 |
$58 |
$8 | |
| Electroencephalogram (EEG) |
$827 |
$1,181 |
$211 |
$448 | |
| Electrolyte panel |
$55 |
$79 |
$7 |
$7 | |
| Electromyography (EMG) |
$742 |
$1,060 |
$130 |
$141 | |
| Emergency department visit |
$455 |
$651 |
$407 |
$69 | |
| Emergency department visit (level 1) |
$135 |
$193 |
$82 |
$11 | |
| Emergency department visit (level 2) |
$253 |
$362 |
$150 |
$40 | |
| Emergency department visit (level 3) |
$430 |
$615 |
$266 |
$69 | |
| Emergency department visit (level 4) |
$645 |
$921 |
$407 |
$118 | |
| Emergency department visit (level 5) |
$976 |
$1,394 |
$581 |
$171 | |
| Epidural steroid injection |
$1,196 |
$1,708 |
$688 |
$275 | |
| Estradiol (estrogen) test |
$58 |
$82 |
$28 |
$28 | |
| Eyelid surgery (blepharoplasty) |
$5,436 |
$7,766 |
$2,012 |
$552 | |
| Family therapy session |
$140 |
$200 |
$173 |
$110 | |
| Fecal occult blood (stool) test |
$24 |
$35 |
$4 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$24 |
$35 |
$4 |
$4 | |
| Ferritin (iron) test |
$38 |
$55 |
$14 |
$14 | |
| Fibrinogen test |
$21 |
$30 |
$10 |
$10 | |
| Flu test |
$46 |
$66 |
$17 |
$17 | |
| Folate (folic acid) test |
$40 |
$57 |
$15 |
$15 | |
| Foreign body removal (skin) |
$1,807 |
$2,582 |
$396 |
$157 | |
| Free T4 thyroid test |
$56 |
$80 |
$9 |
$9 | |
| FSH hormone test |
$58 |
$82 |
$19 |
$19 | |
| Gallbladder scan (HIDA) |
$2,092 |
$2,989 |
$530 |
$334 | |
| Ganglion cyst removal |
$4,440 |
$6,343 |
$1,568 |
$321 | |
| GGT liver test |
$24 |
$35 |
$7 |
$7 | |
| Glucose tolerance test |
$33 |
$48 |
$9 |
$8 | |
| Group therapy session |
$220 |
$314 |
$99 |
$30 | |
| HDL cholesterol test |
$31 |
$44 |
$8 |
$8 | |
| Hearing test (audiometry) |
$269 |
$384 |
$125 |
$36 | |
| Hematocrit test |
$21 |
$29 |
$2 |
$2 | |
| Hemodialysis |
$580 |
$829 |
— |
$75 | |
| Hemoglobin A1c (diabetes test) |
$38 |
$55 |
$10 |
$10 | |
| Hepatitis B test |
$43 |
$62 |
$10 |
$10 | |
| Hepatitis B vaccine |
$200 |
$285 |
$116 |
— | |
| Hepatitis C test |
$63 |
$89 |
$14 |
$14 | |
| HIV test |
$48 |
$69 |
$22 |
$19 | |
| HIV test (antibody) |
$67 |
$96 |
$14 |
$14 | |
| HIV test (antigen/antibody combo) |
$29 |
$42 |
$24 |
$24 | |
| Holter heart monitor |
$741 |
$1,058 |
$130 |
$26 | |
| Home sleep apnea test |
$2,027 |
$2,895 |
$211 |
$123 | |
| HPV vaccine |
$796 |
$1,137 |
$849 |
— | |
| Inguinal hernia repair |
$3,109 |
$4,442 |
$3,492 |
$538 | |
| Iron blood test |
$23 |
$33 |
$6 |
$6 | |
| IUD insertion |
$326 |
$465 |
— |
— | |
| IUD removal |
$125 |
$179 |
$297 |
$112 | |
| IV infusion therapy |
$377 |
$539 |
$138 |
$44 | |
| IV infusion therapy (each additional) |
$350 |
$500 |
$46 |
$21 | |
| IV infusion therapy (initial) |
$435 |
$621 |
$207 |
$67 | |
| IVC filter placement |
$4,858 |
$6,940 |
$5,427 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$660 |
$943 |
$299 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$672 |
$961 |
$299 |
$57 | |
| Joint aspiration or injection (small joint) |
$620 |
$886 |
$299 |
$56 | |
| Kidney biopsy |
$1,308 |
$1,869 |
$1,611 |
$492 | |
| Kidney scan (nuclear) |
$2,373 |
$3,390 |
$530 |
$172 | |
| Kidney ultrasound |
$975 |
$1,393 |
$102 |
$84 | |
| Kidney ultrasound (limited) |
$708 |
$1,011 |
$102 |
$61 | |
| Knee arthroscopy |
$8,698 |
$12,426 |
$3,191 |
$524 | |
| Knee joint injection |
$433 |
$619 |
$299 |
$69 | |
| Lactate test |
$40 |
$57 |
$12 |
$12 | |
| Laryngoscopy |
$379 |
$542 |
$195 |
$189 | |
| LDH test |
$23 |
$33 |
$6 |
$6 | |
| LDL cholesterol test |
$40 |
$57 |
$11 |
$11 | |
| Leg artery angiogram |
$5,055 |
$7,221 |
$3,079 |
$149 | |
| Leg vein ultrasound (Doppler) |
$1,095 |
$1,564 |
$153 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,199 |
$1,714 |
$102 |
$116 | |
| LH hormone test |
$58 |
$82 |
$19 |
$19 | |
| Lipase test |
$23 |
$33 |
$7 |
$7 | |
| Lipid (cholesterol) panel |
$52 |
$74 |
$13 |
$13 | |
| Liver biopsy |
$2,786 |
$3,980 |
$1,611 |
$288 | |
| Liver function panel |
$54 |
$77 |
$8 |
$8 | |
| Lung function test (PFT) |
$389 |
$555 |
$340 |
$37 | |
| Lung scan (V/Q) |
$1,586 |
$2,266 |
$530 |
$291 | |
| Magnesium blood test |
$23 |
$33 |
$7 |
$7 | |
| Meniscus repair (knee) |
$9,824 |
$14,035 |
$3,191 |
$714 | |
| MMR vaccine |
$249 |
$355 |
$262 |
— | |
| MRA of the brain |
$2,709 |
$3,870 |
$340 |
$226 | |
| MRA of the brain with contrast |
$2,680 |
$3,829 |
$340 |
$226 | |
| MRA of the brain without contrast |
$3,803 |
$5,432 |
$340 |
$328 | |
| MRA of the neck |
$2,630 |
$3,757 |
$340 |
$245 | |
| MRA of the neck with contrast |
$2,539 |
$3,628 |
$340 |
$245 | |
| MRA of the neck without contrast |
$3,454 |
$4,935 |
$340 |
$343 | |
| MRI of the abdomen |
$3,248 |
$4,639 |
$340 |
$300 | |
| MRI of the abdomen with contrast |
$2,948 |
$4,212 |
$340 |
$300 | |
| MRI of the abdomen without contrast |
$3,199 |
$4,571 |
$233 |
$194 | |
| MRI of the ankle |
$2,430 |
$3,471 |
$340 |
$261 | |
| MRI of the ankle with contrast |
$2,360 |
$3,372 |
$340 |
$261 | |
| MRI of the ankle without contrast |
$2,231 |
$3,188 |
$233 |
$222 | |
| MRI of the brain |
$3,052 |
$4,360 |
$340 |
$269 | |
| MRI of the brain with contrast |
$2,949 |
$4,213 |
$340 |
$269 | |
| MRI of the brain without contrast |
$2,473 |
$3,532 |
$233 |
$195 | |
| MRI of the chest |
$2,984 |
$4,263 |
$349 |
$371 | |
| MRI of the chest with contrast |
$2,689 |
$3,842 |
$765 |
$371 | |
| MRI of the chest without contrast |
$3,555 |
$5,078 |
$340 |
$466 | |
| MRI of the knee |
$2,496 |
$3,565 |
$349 |
$315 | |
| MRI of the knee with contrast |
$2,430 |
$3,471 |
$765 |
$315 | |
| MRI of the knee without contrast |
$2,411 |
$3,444 |
$233 |
$204 | |
| MRI of the lower back (lumbar spine) |
$3,114 |
$4,448 |
$340 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$3,163 |
$4,519 |
$340 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$3,068 |
$4,383 |
$233 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$3,309 |
$4,727 |
$340 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$4,587 |
$6,553 |
$340 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$3,006 |
$4,295 |
$340 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$3,260 |
$4,657 |
$233 |
$190 | |
| MRI of the neck (cervical spine) |
$3,172 |
$4,532 |
$340 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$4,355 |
$6,221 |
$340 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$3,126 |
$4,466 |
$340 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$3,125 |
$4,465 |
$233 |
$191 | |
| MRI of the pelvis |
$2,920 |
$4,171 |
$340 |
$268 | |
| MRI of the pelvis with contrast |
$2,850 |
$4,071 |
$340 |
$268 | |
| MRI of the pelvis without contrast |
$2,449 |
$3,498 |
$233 |
$227 | |
| MRI of the shoulder |
$2,430 |
$3,471 |
$349 |
$313 | |
| MRI of the shoulder with contrast |
$2,057 |
$2,939 |
$765 |
$313 | |
| MRI of the shoulder without contrast |
$2,423 |
$3,461 |
$233 |
$205 | |
| MRI of the wrist |
$2,353 |
$3,361 |
$340 |
$330 | |
| MRI of the wrist with contrast |
$2,353 |
$3,361 |
$340 |
$330 | |
| MRI of the wrist without contrast |
$1,837 |
$2,624 |
$233 |
$303 | |
| Nebulizer breathing treatment |
$182 |
$259 |
$214 |
$9 | |
| Nerve conduction study |
$764 |
$1,091 |
$211 |
$118 | |
| Nuclear cardiac stress test |
$3,787 |
$5,410 |
$1,263 |
$428 | |
| Occupational therapy evaluation |
$238 |
$340 |
$96 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$345 |
$494 |
$96 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$185 |
$264 |
$96 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$269 |
$384 |
$96 |
$101 | |
| Office visit (established patient) |
$152 |
$217 |
$83 |
$115 | |
| Office visit (new patient) |
$382 |
$546 |
$136 |
$177 | |
| Office visit, established patient (level 3) |
$133 |
$190 |
$57 |
$95 | |
| Office visit, established patient (level 4) |
$200 |
$286 |
$83 |
$136 | |
| Office visit, new patient (level 3) |
$111 |
$158 |
$70 |
$118 | |
| Office visit, new patient (level 4) |
$330 |
$472 |
$115 |
$177 | |
| Office visit, new patient (level 5) |
$442 |
$632 |
$158 |
$237 | |
| Orthopedic hardware removal |
$5,241 |
$7,487 |
$2,833 |
$632 | |
| Pap smear (cervical screening) |
$92 |
$132 |
$27 |
$20 | |
| Parathyroid hormone (PTH) test |
$71 |
$101 |
$41 |
$41 | |
| Pelvic ultrasound |
$721 |
$1,030 |
$102 |
$78 | |
| Pelvic ultrasound (complete) |
$1,051 |
$1,501 |
$102 |
$105 | |
| Pelvic ultrasound (limited) |
$394 |
$563 |
$102 |
$51 | |
| PET scan |
$2,132 |
$3,046 |
$1,395 |
— | |
| Phosphorus blood test |
$23 |
$33 |
$5 |
$5 | |
| Physical therapy evaluation |
$269 |
$384 |
$94 |
$98 | |
| Physical therapy evaluation (high complexity) |
$334 |
$477 |
$94 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$278 |
$397 |
$94 |
$98 | |
| Pilonidal cyst removal |
$5,142 |
$7,346 |
$2,833 |
$541 | |
| Platelet count |
$21 |
$29 |
$4 |
$4 | |
| Pneumonia vaccine |
$304 |
$435 |
$220 |
— | |
| Pregnancy blood test (hCG) |
$23 |
$33 |
$8 |
$8 | |
| Pregnancy ultrasound |
$965 |
$1,379 |
$102 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$659 |
$941 |
$102 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$1,033 |
$1,476 |
$102 |
$136 | |
| Procalcitonin test |
$58 |
$82 |
$27 |
$27 | |
| Prolactin test |
$58 |
$82 |
$19 |
$19 | |
| Prostate biopsy |
$4,933 |
$7,047 |
— |
— | |
| Prostate test (PSA) |
$41 |
$59 |
$18 |
$18 | |
| Psychiatric evaluation |
$590 |
$843 |
$174 |
$188 | |
| Psychotherapy session |
$175 |
$250 |
$212 |
$140 | |
| Retina scan (OCT) |
$217 |
$309 |
$58 |
$33 | |
| Retinal (fundus) photography |
$217 |
$309 |
$130 |
$37 | |
| Rheumatoid factor test |
$63 |
$89 |
$6 |
$6 | |
| Routine eye exam |
$162 |
$231 |
$130 |
$88 | |
| Scoliosis spine X-ray |
$303 |
$432 |
$102 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$298 |
$426 |
$85 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$463 |
$661 |
$102 |
$72 | |
| Scrotal ultrasound |
$901 |
$1,287 |
$102 |
$99 | |
| Sedimentation rate (ESR) test |
$21 |
$29 |
$4 |
$3 | |
| Sex hormone binding globulin test |
$40 |
$57 |
$22 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$456 |
$651 |
$196 |
$114 | |
| Simple wound stitches |
$311 |
$444 |
$196 |
$127 | |
| Skin biopsy |
$1,386 |
$1,980 |
$658 |
$121 | |
| Skin lesion freezing (cryotherapy) |
$442 |
$631 |
$99 |
$36 | |
| Skin tag removal |
$454 |
$649 |
$196 |
$92 | |
| Sleep study (polysomnography) |
$3,763 |
$5,376 |
$837 |
$691 | |
| Soft tissue ultrasound |
$568 |
$811 |
$102 |
$64 | |
| Speech therapy |
$114 |
$163 |
$73 |
$76 | |
| Spinal tap (lumbar puncture) |
$704 |
$1,006 |
$688 |
$165 | |
| Spirometry (lung function test) |
$376 |
$537 |
$211 |
$30 | |
| Spirometry with bronchodilator |
$488 |
$697 |
$364 |
$43 | |
| Strabismus (eye muscle) surgery |
$3,681 |
$5,259 |
$2,319 |
$475 | |
| Stress echocardiogram |
$375 |
$536 |
$533 |
$209 | |
| Stress echocardiogram (complete) |
$375 |
$536 |
$533 |
$233 | |
| Swallow study |
$303 |
$433 |
$81 |
$85 | |
| T3 thyroid test |
$58 |
$82 |
$14 |
$14 | |
| Tdap (tetanus) vaccine |
$135 |
$193 |
$65 |
— | |
| Testicle removal (orchiectomy) |
$3,507 |
$5,010 |
$3,438 |
$306 | |
| Testosterone test |
$58 |
$82 |
$26 |
$26 | |
| Thyroid test (TSH) |
$56 |
$80 |
$17 |
$17 | |
| Thyroid ultrasound |
$879 |
$1,256 |
$102 |
$109 | |
| Thyroid uptake scan |
$806 |
$1,151 |
$390 |
$145 | |
| Tilt table test |
$133 |
$190 |
$364 |
$168 | |
| Tonsillectomy |
$3,036 |
$4,338 |
$5,773 |
$252 | |
| Total IgE allergy test |
$38 |
$55 |
$16 |
$16 | |
| Total protein test |
$23 |
$33 |
$4 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$1,399 |
$1,998 |
$533 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,399 |
$1,998 |
$533 |
$239 | |
| Transvaginal ultrasound |
$1,024 |
$1,463 |
$102 |
$118 | |
| Trigger finger release |
$2,571 |
$3,673 |
$1,568 |
$630 | |
| Trigger point injection |
$383 |
$547 |
$299 |
$56 | |
| Trigger point injection (1-2 muscles) |
$289 |
$414 |
$299 |
$52 | |
| Triglycerides test |
$24 |
$35 |
$6 |
$6 | |
| Troponin (heart) test |
$40 |
$57 |
$12 |
$12 | |
| Turbinate reduction |
$3,036 |
$4,338 |
$3,233 |
$294 | |
| Upper GI endoscopy (EGD) |
$2,861 |
$4,087 |
$885 |
$371 | |
| Upper GI series (barium) |
$397 |
$567 |
$171 |
$128 | |
| Ureteral stent placement |
$5,329 |
$7,612 |
$3,438 |
$373 | |
| Uric acid (gout) test |
$24 |
$35 |
$5 |
$5 | |
| Urinalysis |
$15 |
$22 |
$3 |
$3 | |
| Urine microalbumin test |
$20 |
$29 |
$6 |
$5 | |
| Urine pregnancy test |
$15 |
$22 |
$9 |
$9 | |
| Vaccine administration |
$31 |
$44 |
$70 |
$19 | |
| Vaccine administration (each additional) |
$31 |
$44 |
— |
$16 | |
| Visual field test |
$189 |
$270 |
$130 |
$64 | |
| Vitamin B12 test |
$58 |
$82 |
$15 |
$15 | |
| Vitamin D test |
$56 |
$80 |
$30 |
$30 | |
| Wart removal |
$155 |
$222 |
$196 |
$121 | |
| Well-child visit |
$169 |
$241 |
— |
— | |
| Wound debridement |
$881 |
$1,258 |
$721 |
$186 | |
| Wrist fracture repair |
$8,698 |
$12,426 |
$7,077 |
$735 | |
| X-ray of the abdomen |
$441 |
$629 |
$102 |
$36 | |
| X-ray of the ankle |
$300 |
$429 |
$85 |
$37 | |
| X-ray of the collarbone |
$280 |
$401 |
$85 |
$33 | |
| X-ray of the elbow |
$489 |
$699 |
$85 |
$33 | |
| X-ray of the facial bones |
$266 |
$380 |
$93 |
$39 | |
| X-ray of the foot |
$294 |
$420 |
$85 |
$34 | |
| X-ray of the forearm |
$239 |
$342 |
$85 |
$29 | |
| X-ray of the hand |
$291 |
$415 |
$85 |
$38 | |
| X-ray of the hip |
$278 |
$397 |
$85 |
$49 | |
| X-ray of the hip (1 view) |
$276 |
$394 |
$85 |
$34 | |
| X-ray of the hip (3 views) |
$280 |
$401 |
$85 |
$49 | |
| X-ray of the hip (4 views) |
$276 |
$394 |
$102 |
$63 | |
| X-ray of the knee |
$314 |
$448 |
$102 |
$42 | |
| X-ray of the knee (2 views) |
$277 |
$396 |
$85 |
$34 | |
| X-ray of the knee (3 views) |
$314 |
$448 |
$85 |
$42 | |
| X-ray of the knee (4+ views) |
$404 |
$578 |
$102 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$385 |
$550 |
$102 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$379 |
$542 |
$102 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$469 |
$670 |
$102 |
$53 | |
| X-ray of the lower leg |
$270 |
$386 |
$85 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$353 |
$504 |
$102 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$353 |
$504 |
$102 |
$33 | |
| X-ray of the neck (cervical spine) |
$371 |
$530 |
$102 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$371 |
$530 |
$85 |
$40 | |
| X-ray of the pelvis |
$182 |
$260 |
$102 |
$36 | |
| X-ray of the pelvis (1 view) |
$229 |
$327 |
$102 |
$28 | |
| X-ray of the ribs |
$301 |
$430 |
$102 |
$42 | |
| X-ray of the ribs (2 views) |
$301 |
$430 |
$85 |
$36 | |
| X-ray of the shoulder |
$310 |
$443 |
$85 |
$36 | |
| X-ray of the skull |
$164 |
$235 |
$102 |
$40 | |
| X-ray of the thigh bone |
$152 |
$217 |
— |
— | |
| X-ray of the upper arm |
$290 |
$414 |
$85 |
$32 | |
| X-ray of the wrist |
$289 |
$413 |
$85 |
$43 | |
| Zinc blood test |
$43 |
$62 |
$11 |
$11 | |