| 3D mammogram (tomosynthesis) |
$352 |
$352 |
$137 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$4,139 |
$4,139 |
$968 |
$284 | |
| Abdominal ultrasound |
$967 |
$967 |
$260 |
$100 | |
| Abdominal ultrasound (complete) |
$1,117 |
$1,117 |
$216 |
$114 | |
| Abdominal ultrasound (limited) |
$967 |
$967 |
$260 |
$86 | |
| Abscess drainage (complex or multiple) |
$2,230 |
$2,230 |
$412 |
$220 | |
| Abscess drainage (simple) |
$634 |
$634 |
$205 |
$129 | |
| Abscess incision and drainage |
$1,040 |
$1,040 |
$212 |
$174 | |
| Achilles tendon repair |
$11,620 |
$11,620 |
$6,127 |
$624 | |
| ACL knee reconstruction |
$15,431 |
$15,431 |
$7,165 |
$889 | |
| Acupuncture |
$437 |
$437 |
$40 |
$38 | |
| Acupuncture (each additional) |
$125 |
$125 |
$36 |
$28 | |
| Adenoid removal (adenoidectomy) |
$8,660 |
$8,660 |
$3,348 |
$204 | |
| Albumin blood test |
$114 |
$114 |
$6 |
$5 | |
| Aldosterone test |
$750 |
$750 |
$47 |
$41 | |
| Alkaline phosphatase test |
$142 |
$142 |
$6 |
$5 | |
| Allergy shots |
$234 |
$234 |
$55 |
$11 | |
| Alpha-fetoprotein (AFP) test |
$309 |
$309 |
$19 |
$17 | |
| ALT liver enzyme test |
$122 |
$122 |
$6 |
$5 | |
| Ammonia blood test |
$268 |
$268 |
$17 |
$15 | |
| Amniocentesis |
$1,188 |
$1,188 |
$789 |
$120 | |
| Amylase test |
$149 |
$149 |
$7 |
$6 | |
| Anal fistula repair |
$6,619 |
$6,619 |
$2,831 |
$541 | |
| Ankle fracture repair |
$11,620 |
$11,620 |
$7,165 |
$608 | |
| Ankle replacement |
$17,255 |
$17,255 |
$12,923 |
$885 | |
| Annual physical (established patient) |
$806 |
$806 |
$307 |
— | |
| Annual physical (new patient) |
$888 |
$888 |
$299 |
— | |
| Antinuclear antibody (ANA) test |
$250 |
$250 |
$13 |
$12 | |
| Aortic aneurysm repair (AAA) |
$8,273 |
$8,273 |
$2,007 |
$1,345 | |
| Aortic valve replacement |
$24,190 |
$24,190 |
$2,803 |
$1,603 | |
| Arterial blood gas (ABG) |
$504 |
$504 |
$30 |
$26 | |
| AST liver enzyme test |
$119 |
$119 |
$6 |
$5 | |
| Barium swallow study |
$1,439 |
$1,439 |
$394 |
$107 | |
| Basic metabolic panel |
$195 |
$195 |
$10 |
$8 | |
| Benign skin lesion removal |
$1,907 |
$1,907 |
$466 |
$171 | |
| Bilirubin blood test |
$92 |
$92 |
$6 |
$5 | |
| Bladder function test (urodynamics) |
$2,000 |
$2,000 |
$689 |
$345 | |
| Bladder scope (cystoscopy) |
$7,788 |
$7,788 |
$689 |
$216 | |
| Bladder tumor removal (TURBT) |
$10,697 |
$10,697 |
$3,561 |
$236 | |
| Blood clotting test (PT/INR) |
$99 |
$99 |
$5 |
$4 | |
| Blood glucose test |
$95 |
$95 |
$5 |
$5 | |
| Blood transfusion |
$1,480 |
$1,480 |
$451 |
$47 | |
| BNP (heart failure) test |
$722 |
$722 |
$45 |
$39 | |
| Bone density scan (DEXA) |
$725 |
$725 |
$131 |
$39 | |
| Bone marrow biopsy |
$2,522 |
$2,522 |
$1,356 |
$172 | |
| Bone scan (nuclear) |
$2,474 |
$2,474 |
$628 |
$259 | |
| Botox for migraine |
$852 |
$852 |
$305 |
$157 | |
| Brain shunt (VP shunt) |
$9,063 |
$9,063 |
$1,660 |
$1,023 | |
| Breast biopsy |
$3,536 |
$3,536 |
$1,593 |
$478 | |
| Breast MRI |
$1,121 |
$1,121 |
$345 |
$216 | |
| Breast MRI without contrast |
$1,121 |
$1,121 |
$345 |
$216 | |
| Breast reconstruction |
$17,565 |
$17,565 |
$4,974 |
$1,227 | |
| Breast reduction |
$15,296 |
$15,296 |
$6,541 |
$980 | |
| Breast ultrasound |
$1,370 |
$1,370 |
$185 |
$92 | |
| Breast ultrasound (complete) |
$1,390 |
$1,390 |
$260 |
$100 | |
| Breast ultrasound (limited) |
$1,106 |
$1,106 |
$161 |
$84 | |
| Breathing tube insertion (intubation) |
$3,994 |
$3,994 |
$245 |
$133 | |
| Bronchoscopy |
$4,241 |
$4,241 |
$1,780 |
$303 | |
| Bunion surgery (bunionectomy) |
$11,620 |
$11,620 |
$3,988 |
$883 | |
| C-reactive protein (CRP) |
$119 |
$119 |
$6 |
$5 | |
| CA 19-9 tumor marker test |
$383 |
$383 |
$24 |
$21 | |
| CA-125 ovarian marker test |
$402 |
$402 |
$24 |
$21 | |
| Calcium blood test |
$119 |
$119 |
$6 |
$5 | |
| Capsule endoscopy |
$6,126 |
$6,126 |
$1,152 |
$802 | |
| Cardiac ablation |
$61,510 |
$61,510 |
$25,328 |
$759 | |
| Cardiac catheterization |
$18,681 |
$18,681 |
$4,032 |
$1,049 | |
| Cardiac MRI |
$4,746 |
$4,746 |
$676 |
$322 | |
| Cardiac MRI without contrast |
$3,681 |
$3,681 |
$541 |
$280 | |
| Cardiac rehabilitation |
$592 |
$592 |
$148 |
$26 | |
| Cardiac stress test |
$800 |
$800 |
$322 |
$39 | |
| Cardioversion |
$2,540 |
$2,540 |
$804 |
$155 | |
| Carotid artery surgery |
$9,788 |
$9,788 |
$1,660 |
$1,026 | |
| Carotid artery ultrasound |
$997 |
$997 |
$297 |
$156 | |
| Carpal tunnel release |
$5,464 |
$5,464 |
$2,016 |
$483 | |
| Cataract surgery |
$4,992 |
$4,992 |
$2,321 |
$547 | |
| CEA tumor marker test |
$349 |
$349 |
$22 |
$19 | |
| Central line placement |
$9,620 |
$9,620 |
$3,250 |
$238 | |
| Cervical cerclage |
$9,143 |
$9,143 |
$3,200 |
$137 | |
| Cervical LEEP procedure |
$7,943 |
$7,943 |
$3,189 |
$325 | |
| Cesarean section (C-section) |
$6,856 |
$6,856 |
$8,676 |
$7,552 | |
| Chalazion (eyelid cyst) removal |
$1,947 |
$1,947 |
$309 |
$131 | |
| Chemotherapy infusion |
$1,178 |
$1,178 |
$275 |
$81 | |
| Chemotherapy infusion (each additional) |
$401 |
$401 |
$87 |
$28 | |
| Chemotherapy infusion (first hour) |
$1,231 |
$1,231 |
$408 |
$133 | |
| Chest fluid drain (thoracentesis) |
$4,549 |
$4,549 |
$638 |
$311 | |
| Chest tube insertion |
$3,389 |
$3,389 |
$1,601 |
$143 | |
| Chest X-ray |
$291 |
$291 |
$108 |
$37 | |
| Chest X-ray (1 view) |
$291 |
$291 |
$108 |
$25 | |
| Chest X-ray (2 views) |
$291 |
$291 |
$108 |
$33 | |
| Chickenpox (varicella) vaccine |
$811 |
$811 |
$303 |
— | |
| Circumcision |
$3,586 |
$3,586 |
$2,055 |
$167 | |
| CK-MB heart enzyme test |
$223 |
$223 |
$13 |
$12 | |
| Clotting time test (PTT) |
$272 |
$272 |
$7 |
$6 | |
| Colon resection (colectomy) |
$8,220 |
$8,220 |
$1,591 |
$1,238 | |
| Colonoscopy |
$5,176 |
$5,176 |
$1,217 |
$480 | |
| Colostomy |
$8,275 |
$8,275 |
$1,435 |
$1,122 | |
| Colposcopy |
$3,261 |
$3,261 |
$314 |
$161 | |
| Complete blood count (CBC) |
$156 |
$156 |
$8 |
$7 | |
| Complete blood count (CBC) (complete) |
$179 |
$179 |
$9 |
$8 | |
| Complex wound repair |
$3,626 |
$3,626 |
$632 |
$390 | |
| Comprehensive eye exam |
$377 |
$377 |
$133 |
$138 | |
| Comprehensive metabolic panel |
$210 |
$210 |
$12 |
$11 | |
| Contraceptive implant (Nexplanon) |
$1,167 |
$1,167 |
$392 |
$115 | |
| Copper blood test |
$228 |
$228 |
$14 |
$12 | |
| Corneal transplant |
$13,419 |
$13,419 |
$4,153 |
$1,066 | |
| Coronary artery bypass (CABG) |
$33,222 |
$33,222 |
$40,710 |
$36,593 | |
| Coronary CT angiography |
$5,194 |
$5,194 |
$468 |
$326 | |
| Cortisol test |
$300 |
$300 |
$19 |
$16 | |
| COVID-19 PCR test |
$944 |
$944 |
$128 |
$51 | |
| CPAP titration study |
$991 |
$991 |
$250 |
$69 | |
| Craniotomy (brain surgery) |
$21,035 |
$21,035 |
$4,270 |
$2,161 | |
| Creatine kinase (CK) test |
$150 |
$150 |
$7 |
$7 | |
| CT angiography of the chest |
$6,027 |
$6,027 |
$541 |
$281 | |
| CT angiography of the head |
$3,449 |
$3,449 |
$541 |
$274 | |
| CT scan of the abdomen |
$3,099 |
$3,099 |
$499 |
$230 | |
| CT scan of the abdomen and pelvis |
$5,670 |
$5,670 |
$620 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$6,714 |
$6,714 |
$620 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$5,670 |
$5,670 |
$620 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$4,625 |
$4,625 |
$620 |
$183 | |
| CT scan of the abdomen with and without contrast |
$3,445 |
$3,445 |
$541 |
$259 | |
| CT scan of the abdomen with contrast |
$3,099 |
$3,099 |
$541 |
$230 | |
| CT scan of the abdomen without contrast |
$2,327 |
$2,327 |
$333 |
$136 | |
| CT scan of the arm |
$2,341 |
$2,341 |
$499 |
$199 | |
| CT scan of the arm with contrast |
$2,341 |
$2,341 |
$620 |
$199 | |
| CT scan of the arm without contrast |
$2,018 |
$2,018 |
$333 |
$161 | |
| CT scan of the chest |
$3,099 |
$3,099 |
$499 |
$167 | |
| CT scan of the chest with and without contrast |
$3,445 |
$3,445 |
$541 |
$196 | |
| CT scan of the chest with contrast |
$3,099 |
$3,099 |
$541 |
$167 | |
| CT scan of the chest without contrast |
$2,691 |
$2,691 |
$333 |
$133 | |
| CT scan of the head |
$2,670 |
$2,670 |
$499 |
$148 | |
| CT scan of the head with and without contrast |
$3,065 |
$3,065 |
$541 |
$173 | |
| CT scan of the head with contrast |
$2,670 |
$2,670 |
$541 |
$148 | |
| CT scan of the head without contrast |
$2,355 |
$2,355 |
$333 |
$107 | |
| CT scan of the leg |
$2,336 |
$2,336 |
$499 |
$166 | |
| CT scan of the leg with contrast |
$2,336 |
$2,336 |
$541 |
$166 | |
| CT scan of the leg without contrast |
$2,018 |
$2,018 |
$333 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$3,012 |
$3,012 |
$499 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$3,344 |
$3,344 |
$541 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$3,012 |
$3,012 |
$620 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$2,691 |
$2,691 |
$333 |
$130 | |
| CT scan of the neck |
$2,747 |
$2,747 |
$499 |
$183 | |
| CT scan of the neck (cervical spine) |
$4,771 |
$4,771 |
$499 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$5,249 |
$5,249 |
$541 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$4,771 |
$4,771 |
$620 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$4,361 |
$4,361 |
$333 |
$131 | |
| CT scan of the neck with and without contrast |
$3,065 |
$3,065 |
$541 |
$220 | |
| CT scan of the neck with contrast |
$2,747 |
$2,747 |
$541 |
$183 | |
| CT scan of the neck without contrast |
$2,301 |
$2,301 |
$333 |
$150 | |
| CT scan of the pelvis |
$3,586 |
$3,586 |
$499 |
$226 | |
| CT scan of the pelvis with and without contrast |
$4,514 |
$4,514 |
$541 |
$251 | |
| CT scan of the pelvis with contrast |
$3,586 |
$3,586 |
$541 |
$226 | |
| CT scan of the pelvis without contrast |
$3,142 |
$3,142 |
$333 |
$133 | |
| CT scan of the sinuses |
$3,049 |
$3,049 |
$499 |
$152 | |
| CT scan of the sinuses with and without contrast |
$3,049 |
$3,049 |
$541 |
$184 | |
| CT scan of the sinuses with contrast |
$3,115 |
$3,115 |
$541 |
$152 | |
| CT scan of the sinuses without contrast |
$2,355 |
$2,355 |
$333 |
$128 | |
| D-dimer test |
$200 |
$200 |
$12 |
$10 | |
| Defibrillator (ICD) implant |
$62,709 |
$62,709 |
$31,238 |
$798 | |
| Developmental screening (child) |
$94 |
$94 |
$29 |
— | |
| DHEA-sulfate test |
$409 |
$409 |
$26 |
$22 | |
| Diagnostic mammogram |
$601 |
$601 |
$184 |
$140 | |
| Dialysis fistula creation |
$6,308 |
$6,308 |
$3,203 |
$601 | |
| Dilation and curettage (D&C) |
$5,880 |
$5,880 |
$3,120 |
$298 | |
| Droopy eyelid repair (ptosis) |
$4,160 |
$4,160 |
$2,340 |
$745 | |
| Drug screen (urine) |
$729 |
$729 |
$55 |
$17 | |
| Ear pressure test (tympanometry) |
$312 |
$312 |
$51 |
$16 | |
| Ear tubes (myringotomy) |
$4,137 |
$4,137 |
$626 |
$174 | |
| Eardrum repair (tympanoplasty) |
$9,422 |
$9,422 |
$5,933 |
$799 | |
| Echocardiogram |
$1,370 |
$1,370 |
$447 |
$138 | |
| Echocardiogram with and without contrast |
$1,217 |
$1,217 |
$297 |
$101 | |
| Echocardiogram without contrast |
$1,926 |
$1,926 |
$297 |
$138 | |
| EEG (awake and asleep) |
$1,919 |
$1,919 |
$519 |
$482 | |
| EKG / ECG (tracing only) |
$248 |
$248 |
$73 |
$7 | |
| Elbow replacement |
$30,975 |
$30,975 |
$18,082 |
$1,301 | |
| Electrocardiogram (EKG) |
$248 |
$248 |
$73 |
$8 | |
| Electroencephalogram (EEG) |
$1,919 |
$1,919 |
$490 |
$448 | |
| Electrolyte panel |
$169 |
$169 |
$8 |
$7 | |
| Electromyography (EMG) |
$780 |
$780 |
$155 |
$141 | |
| Emergency department visit |
$2,136 |
$2,136 |
$440 |
$69 | |
| Emergency department visit (level 1) |
$279 |
$279 |
$101 |
$11 | |
| Emergency department visit (level 2) |
$1,666 |
$1,666 |
$314 |
$40 | |
| Emergency department visit (level 3) |
$2,168 |
$2,168 |
$486 |
$69 | |
| Emergency department visit (level 4) |
$3,015 |
$3,015 |
$733 |
$118 | |
| Emergency department visit (level 5) |
$3,570 |
$3,570 |
$963 |
$171 | |
| Epidural steroid injection |
$1,509 |
$1,509 |
$715 |
$275 | |
| ERCP (bile duct endoscopy) |
$8,059 |
$8,059 |
$3,689 |
$311 | |
| Esophageal dilation |
$4,721 |
$4,721 |
$1,152 |
$522 | |
| Esophageal variceal banding |
$7,068 |
$7,068 |
$1,959 |
$126 | |
| Estradiol (estrogen) test |
$514 |
$514 |
$32 |
$28 | |
| Eye refraction (glasses prescription) |
$355 |
$355 |
$142 |
— | |
| Eyelid surgery (blepharoplasty) |
$4,158 |
$4,158 |
$1,889 |
$552 | |
| Facet joint injection (spine) |
$1,577 |
$1,577 |
$502 |
$99 | |
| Fallopian tube X-ray (HSG) |
$4,831 |
$4,831 |
$715 |
$164 | |
| Family therapy session |
$728 |
$728 |
$197 |
$110 | |
| Fecal occult blood (stool) test |
$106 |
$106 |
$5 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$106 |
$106 |
$5 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$293 |
$293 |
$18 |
$16 | |
| Feeding tube (PEG) placement |
$10,569 |
$10,569 |
$1,959 |
$178 | |
| Femoral hernia repair |
$7,495 |
$7,495 |
$3,643 |
$584 | |
| Ferritin (iron) test |
$251 |
$251 |
$16 |
$14 | |
| Fibrinogen test |
$200 |
$200 |
$11 |
$10 | |
| Fibroid removal (myomectomy) |
$8,155 |
$8,155 |
$1,456 |
$914 | |
| Flexible sigmoidoscopy |
$8,347 |
$8,347 |
$941 |
$323 | |
| Flu test |
$320 |
$320 |
$19 |
$17 | |
| Flu vaccine |
$144 |
$144 |
$52 |
— | |
| Folate (folic acid) test |
$284 |
$284 |
$17 |
$15 | |
| Foreign body removal (skin) |
$1,035 |
$1,035 |
$412 |
$157 | |
| Free T4 thyroid test |
$200 |
$200 |
$10 |
$9 | |
| FSH hormone test |
$342 |
$342 |
$21 |
$19 | |
| Gallbladder removal (laparoscopic) |
$13,971 |
$13,971 |
$5,851 |
$658 | |
| Gallbladder scan (HIDA) |
$2,293 |
$2,293 |
$739 |
$334 | |
| Ganglion cyst removal |
$4,150 |
$4,150 |
$1,652 |
$321 | |
| GGT liver test |
$166 |
$166 |
$8 |
$7 | |
| Glaucoma surgery |
$5,454 |
$5,454 |
$2,355 |
$984 | |
| Glucose tolerance test |
$237 |
$237 |
$14 |
$8 | |
| Group therapy session |
$346 |
$346 |
$114 |
$30 | |
| H. pylori test |
$1,200 |
$1,200 |
$77 |
$67 | |
| Hammertoe repair |
$6,860 |
$6,860 |
$3,350 |
$548 | |
| HDL cholesterol test |
$188 |
$188 |
$9 |
$8 | |
| Hearing test (audiometry) |
$625 |
$625 |
$196 |
$36 | |
| Hematocrit test |
$57 |
$57 |
$3 |
$2 | |
| Hemodialysis |
$2,483 |
$2,483 |
$793 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$210 |
$210 |
$11 |
$10 | |
| Hemorrhoid removal |
$3,083 |
$3,083 |
$1,038 |
$338 | |
| Hepatitis A vaccine |
$409 |
$409 |
$155 |
— | |
| Hepatitis B test |
$200 |
$200 |
$12 |
$10 | |
| Hepatitis B vaccine |
$405 |
$405 |
$142 |
— | |
| Hepatitis C test |
$270 |
$270 |
$16 |
$14 | |
| Hip fracture repair |
$13,666 |
$13,666 |
$2,430 |
$1,120 | |
| Hip replacement |
$29,469 |
$29,469 |
$13,284 |
$1,162 | |
| HIV test |
$252 |
$252 |
$16 |
$19 | |
| HIV test (antibody) |
$252 |
$252 |
$16 |
$14 | |
| Holter heart monitor |
$345 |
$345 |
$133 |
$26 | |
| Home sleep apnea test |
$243 |
$243 |
$97 |
$123 | |
| HPV vaccine |
$1,312 |
$1,312 |
$496 |
— | |
| Hydrocele repair |
$7,364 |
$7,364 |
$3,555 |
$315 | |
| Hysterectomy |
$18,493 |
$18,493 |
$7,354 |
$933 | |
| Hysteroscopy |
$6,819 |
$6,819 |
$3,283 |
$1,270 | |
| Ileostomy |
$4,273 |
$4,273 |
$1,069 |
$968 | |
| Inguinal hernia repair |
$7,130 |
$7,130 |
$3,643 |
$538 | |
| IUD insertion |
$2,447 |
$2,447 |
$243 |
— | |
| IUD removal |
$2,766 |
$2,766 |
$305 |
$112 | |
| IV infusion therapy |
$620 |
$620 |
$158 |
$44 | |
| IV infusion therapy (each additional) |
$362 |
$362 |
$57 |
$21 | |
| IV infusion therapy (initial) |
$724 |
$724 |
$218 |
$67 | |
| IVC filter placement |
$13,818 |
$13,818 |
$5,581 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$984 |
$984 |
$305 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$1,021 |
$1,021 |
$305 |
$57 | |
| Joint aspiration or injection (small joint) |
$946 |
$946 |
$305 |
$56 | |
| Kidney biopsy |
$4,897 |
$4,897 |
$1,673 |
$492 | |
| Kidney removal (nephrectomy) |
$12,408 |
$12,408 |
$2,541 |
$1,164 | |
| Kidney scan (nuclear) |
$2,009 |
$2,009 |
$662 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$31,535 |
$31,535 |
$3,637 |
$760 | |
| Kidney ultrasound |
$782 |
$782 |
$257 |
$84 | |
| Kidney ultrasound (limited) |
$782 |
$782 |
$226 |
$61 | |
| Knee arthroscopy |
$7,052 |
$7,052 |
$3,350 |
$524 | |
| Knee replacement |
$16,391 |
$16,391 |
$20,740 |
$18,054 | |
| Lactate test |
$224 |
$224 |
$13 |
$12 | |
| Laminectomy (spine) |
$11,620 |
$11,620 |
$6,127 |
$1,157 | |
| LDH test |
$139 |
$139 |
$7 |
$6 | |
| LDL cholesterol test |
$200 |
$200 |
$12 |
$11 | |
| Leg artery angiogram |
$10,115 |
$10,115 |
$3,869 |
$149 | |
| Leg artery angioplasty |
$19,247 |
$19,247 |
$7,008 |
— | |
| Leg vein ultrasound (Doppler) |
$1,209 |
$1,209 |
$292 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,209 |
$1,209 |
$192 |
$116 | |
| LH hormone test |
$341 |
$341 |
$21 |
$19 | |
| Lipase test |
$158 |
$158 |
$8 |
$7 | |
| Lipid (cholesterol) panel |
$259 |
$259 |
$15 |
$13 | |
| Liver biopsy |
$5,879 |
$5,879 |
$1,673 |
$288 | |
| Liver function panel |
$197 |
$197 |
$9 |
$8 | |
| Lumbar discectomy |
$19,454 |
$19,454 |
$7,358 |
$898 | |
| Lumpectomy (breast) |
$8,724 |
$8,724 |
$3,940 |
$750 | |
| Lung function test (PFT) |
$437 |
$437 |
$192 |
$37 | |
| Lung scan (V/Q) |
$1,496 |
$1,496 |
$598 |
$291 | |
| Magnesium blood test |
$154 |
$154 |
$8 |
$7 | |
| Mastectomy |
$11,084 |
$11,084 |
$6,541 |
$1,021 | |
| Mastoidectomy |
$12,224 |
$12,224 |
$5,966 |
$840 | |
| Meniscus repair (knee) |
$6,866 |
$6,866 |
$3,350 |
$714 | |
| MMR vaccine |
$364 |
$364 |
$146 |
— | |
| MRA of the brain |
$6,321 |
$6,321 |
$1,037 |
$226 | |
| MRA of the brain with contrast |
$6,321 |
$6,321 |
$1,134 |
$226 | |
| MRA of the brain without contrast |
$6,953 |
$6,953 |
$1,134 |
$328 | |
| MRA of the neck |
$4,561 |
$4,561 |
$1,037 |
$245 | |
| MRA of the neck with contrast |
$4,561 |
$4,561 |
$1,134 |
$245 | |
| MRA of the neck without contrast |
$4,989 |
$4,989 |
$1,134 |
$343 | |
| MRI of the abdomen |
$4,131 |
$4,131 |
$692 |
$300 | |
| MRI of the abdomen with contrast |
$4,472 |
$4,472 |
$1,134 |
$300 | |
| MRI of the abdomen without contrast |
$4,131 |
$4,131 |
$692 |
$194 | |
| MRI of the ankle |
$6,222 |
$6,222 |
$1,037 |
$261 | |
| MRI of the ankle with contrast |
$6,222 |
$6,222 |
$1,134 |
$261 | |
| MRI of the ankle without contrast |
$5,800 |
$5,800 |
$692 |
$222 | |
| MRI of the brain |
$4,534 |
$4,534 |
$1,037 |
$269 | |
| MRI of the brain with contrast |
$4,534 |
$4,534 |
$1,134 |
$269 | |
| MRI of the brain without contrast |
$4,204 |
$4,204 |
$692 |
$195 | |
| MRI of the chest |
$4,113 |
$4,113 |
$1,037 |
$371 | |
| MRI of the chest with contrast |
$4,113 |
$4,113 |
$1,398 |
$371 | |
| MRI of the chest without contrast |
$4,833 |
$4,833 |
$1,134 |
$466 | |
| MRI of the knee |
$6,085 |
$6,085 |
$1,037 |
$315 | |
| MRI of the knee with contrast |
$6,264 |
$6,264 |
$2,022 |
$315 | |
| MRI of the knee without contrast |
$5,985 |
$5,985 |
$692 |
$204 | |
| MRI of the lower back (lumbar spine) |
$4,917 |
$4,917 |
$1,037 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$4,968 |
$4,968 |
$1,134 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$4,204 |
$4,204 |
$692 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$5,547 |
$5,547 |
$1,037 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$5,714 |
$5,714 |
$1,134 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$5,639 |
$5,639 |
$1,134 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$5,152 |
$5,152 |
$692 |
$190 | |
| MRI of the neck (cervical spine) |
$7,727 |
$7,727 |
$1,086 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$8,241 |
$8,241 |
$1,134 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$7,452 |
$7,452 |
$1,134 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$6,810 |
$6,810 |
$692 |
$191 | |
| MRI of the pelvis |
$5,458 |
$5,458 |
$1,037 |
$268 | |
| MRI of the pelvis with contrast |
$5,458 |
$5,458 |
$1,134 |
$268 | |
| MRI of the pelvis without contrast |
$4,593 |
$4,593 |
$692 |
$227 | |
| MRI of the shoulder |
$5,774 |
$5,774 |
$1,037 |
$313 | |
| MRI of the shoulder with contrast |
$5,774 |
$5,774 |
$1,962 |
$313 | |
| MRI of the shoulder without contrast |
$5,358 |
$5,358 |
$692 |
$205 | |
| MRI of the wrist |
$7,897 |
$7,897 |
$1,037 |
$330 | |
| MRI of the wrist with contrast |
$7,897 |
$7,897 |
$1,134 |
$330 | |
| MRI of the wrist without contrast |
$7,323 |
$7,323 |
$692 |
$303 | |
| Nebulizer breathing treatment |
$581 |
$581 |
$216 |
$9 | |
| Neck (cervical) spinal fusion |
$29,991 |
$29,991 |
$13,284 |
$1,410 | |
| Nerve conduction study |
$852 |
$852 |
$306 |
$118 | |
| Nuchal translucency ultrasound |
$730 |
$730 |
$256 |
$116 | |
| Nuclear cardiac stress test |
$3,431 |
$3,431 |
$1,348 |
$428 | |
| Occupational therapy evaluation |
$470 |
$470 |
$123 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$587 |
$587 |
$150 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$353 |
$353 |
$123 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$470 |
$470 |
$139 |
$101 | |
| Office visit (established patient) |
$336 |
$336 |
$97 |
$115 | |
| Office visit (new patient) |
$582 |
$582 |
$133 |
$177 | |
| Office visit, established patient (level 3) |
$327 |
$327 |
$78 |
$95 | |
| Office visit, established patient (level 4) |
$440 |
$440 |
$97 |
$136 | |
| Office visit, new patient (level 3) |
$440 |
$440 |
$82 |
$118 | |
| Office visit, new patient (level 4) |
$582 |
$582 |
$133 |
$177 | |
| Office visit, new patient (level 5) |
$724 |
$724 |
$181 |
$237 | |
| Orthopedic hardware removal |
$7,171 |
$7,171 |
$2,928 |
$632 | |
| Ovarian cyst removal |
$10,838 |
$10,838 |
$5,097 |
$698 | |
| Ovary removal (oophorectomy) |
$8,793 |
$8,793 |
$1,199 |
$822 | |
| Pacemaker insertion |
$14,078 |
$14,078 |
$20,036 |
$15,506 | |
| Pap smear (cervical screening) |
$391 |
$391 |
$28 |
$20 | |
| Parathyroid hormone (PTH) test |
$760 |
$760 |
$47 |
$41 | |
| Parathyroid removal |
$12,248 |
$12,248 |
$5,966 |
$891 | |
| Pelvic ultrasound |
$1,388 |
$1,388 |
$260 |
$78 | |
| Pelvic ultrasound (complete) |
$1,733 |
$1,733 |
$260 |
$105 | |
| Pelvic ultrasound (limited) |
$912 |
$912 |
$260 |
$51 | |
| PET scan |
$12,368 |
$12,368 |
$1,793 |
— | |
| Phosphorus blood test |
$109 |
$109 |
$5 |
$5 | |
| Physical therapy evaluation |
$470 |
$470 |
$121 |
$98 | |
| Physical therapy evaluation (high complexity) |
$587 |
$587 |
$143 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$470 |
$470 |
$138 |
$98 | |
| Pilonidal cyst removal |
$7,023 |
$7,023 |
$2,918 |
$541 | |
| Platelet count |
$103 |
$103 |
$5 |
$4 | |
| Pneumonia vaccine |
$415 |
$415 |
$166 |
— | |
| Pregnancy blood test (hCG) |
$120 |
$120 |
$9 |
$8 | |
| Pregnancy ultrasound |
$1,018 |
$1,018 |
$191 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$998 |
$998 |
$171 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$1,029 |
$1,029 |
$212 |
$136 | |
| Procalcitonin test |
$501 |
$501 |
$31 |
$27 | |
| Prolactin test |
$357 |
$357 |
$22 |
$19 | |
| Prostate biopsy |
$6,250 |
$6,250 |
$2,115 |
— | |
| Prostate removal (prostatectomy) |
$16,342 |
$16,342 |
$9,676 |
$1,063 | |
| Prostate surgery (TURP) |
$8,270 |
$8,270 |
$5,009 |
$526 | |
| Prostate test (PSA) |
$355 |
$355 |
$21 |
$18 | |
| Psychiatric evaluation |
$629 |
$629 |
$175 |
$188 | |
| Psychotherapy session |
$626 |
$626 |
$250 |
$140 | |
| Pterygium removal (eye) |
$5,022 |
$5,022 |
$2,380 |
$540 | |
| Radiofrequency nerve ablation |
$3,340 |
$3,340 |
$1,958 |
$462 | |
| Retina scan (OCT) |
$193 |
$193 |
$70 |
$33 | |
| Retinal (fundus) photography |
$410 |
$410 |
$141 |
$37 | |
| Retinal detachment repair |
$7,417 |
$7,417 |
$3,995 |
$966 | |
| Rheumatoid factor test |
$141 |
$141 |
$7 |
$6 | |
| Rotator cuff repair |
$18,530 |
$18,530 |
$7,165 |
$792 | |
| Routine eye exam |
$377 |
$377 |
$144 |
$88 | |
| Sacroiliac joint injection |
$3,878 |
$3,878 |
$169 |
$176 | |
| Scoliosis spine X-ray |
$789 |
$789 |
$185 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$689 |
$689 |
$122 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$789 |
$789 |
$235 |
$72 | |
| Screening colonoscopy |
$8,354 |
$8,354 |
$941 |
$378 | |
| Screening mammogram |
$466 |
$466 |
$155 |
$126 | |
| Scrotal ultrasound |
$896 |
$896 |
$178 |
$99 | |
| Sedimentation rate (ESR) test |
$65 |
$65 |
$3 |
$3 | |
| Semen analysis |
$224 |
$224 |
$30 |
$12 | |
| Septoplasty (deviated septum) |
$6,949 |
$6,949 |
$3,205 |
$613 | |
| Sex hormone binding globulin test |
$400 |
$400 |
$25 |
$22 | |
| Shingles vaccine |
$357 |
$357 |
$152 |
— | |
| Shoulder arthroscopy |
$15,146 |
$15,146 |
$7,165 |
$962 | |
| Shoulder replacement |
$32,412 |
$32,412 |
$18,444 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$1,602 |
$1,602 |
$243 |
$114 | |
| Simple wound stitches |
$1,602 |
$1,602 |
$219 |
$127 | |
| Sinus surgery (endoscopic) |
$10,568 |
$10,568 |
$3,806 |
$224 | |
| Skin biopsy |
$728 |
$728 |
$250 |
$121 | |
| Skin biopsy (punch) |
$693 |
$693 |
$393 |
$121 | |
| Skin cancer lesion removal |
$1,907 |
$1,907 |
$491 |
$240 | |
| Skin graft |
$6,055 |
$6,055 |
$2,277 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$935 |
$935 |
$205 |
$36 | |
| Skin tag removal |
$542 |
$542 |
$217 |
$92 | |
| Small bowel resection |
$9,456 |
$9,456 |
$1,562 |
$1,136 | |
| Soft tissue ultrasound |
$880 |
$880 |
$260 |
$64 | |
| Speech therapy |
$264 |
$264 |
$92 |
$76 | |
| Spinal cord stimulator |
$12,019 |
$12,019 |
$6,453 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$3,643 |
$3,643 |
$715 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$12,399 |
$12,399 |
$7,024 |
$5,803 | |
| Spirometry (lung function test) |
$437 |
$437 |
$168 |
$30 | |
| Spirometry with bronchodilator |
$930 |
$930 |
$322 |
$43 | |
| Spleen removal (splenectomy) |
$16,543 |
$16,543 |
$5,790 |
$1,036 | |
| Stomach removal (gastrectomy) |
$9,348 |
$9,348 |
$1,974 |
$1,595 | |
| Strabismus (eye muscle) surgery |
$6,074 |
$6,074 |
$2,409 |
$475 | |
| Strep throat test |
$319 |
$319 |
$19 |
$17 | |
| Stress echocardiogram |
$1,747 |
$1,747 |
$566 |
$209 | |
| Stress echocardiogram (complete) |
$1,747 |
$1,747 |
$589 |
$233 | |
| Swallow study |
$494 |
$494 |
$113 |
$85 | |
| T3 thyroid test |
$274 |
$274 |
$16 |
$14 | |
| Tdap (tetanus) vaccine |
$292 |
$292 |
$102 |
— | |
| Testicle removal (orchiectomy) |
$14,477 |
$14,477 |
$3,561 |
$306 | |
| Testosterone test |
$475 |
$475 |
$30 |
$26 | |
| Thyroid removal (thyroidectomy) |
$10,725 |
$10,725 |
$5,956 |
$1,004 | |
| Thyroid test (TSH) |
$325 |
$325 |
$19 |
$17 | |
| Thyroid ultrasound |
$1,402 |
$1,402 |
$260 |
$109 | |
| Thyroid uptake scan |
$1,325 |
$1,325 |
$483 |
$145 | |
| Tilt table test |
$1,708 |
$1,708 |
$559 |
$168 | |
| Tonsillectomy |
$9,422 |
$9,422 |
$3,475 |
$252 | |
| Total IgE allergy test |
$303 |
$303 |
$19 |
$16 | |
| Total protein test |
$84 |
$84 |
$4 |
$4 | |
| Tracheostomy |
$9,142 |
$9,142 |
$3,348 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$5,577 |
$5,577 |
$674 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$5,577 |
$5,577 |
$674 |
$239 | |
| Transvaginal ultrasound |
$1,179 |
$1,179 |
$205 |
$118 | |
| Trigger finger release |
$5,660 |
$5,660 |
$1,652 |
$630 | |
| Trigger point injection |
$1,188 |
$1,188 |
$305 |
$56 | |
| Trigger point injection (1-2 muscles) |
$1,188 |
$1,188 |
$296 |
$52 | |
| Triglycerides test |
$173 |
$173 |
$7 |
$6 | |
| Troponin (heart) test |
$241 |
$241 |
$14 |
$12 | |
| Tubal ligation |
$12,333 |
$12,333 |
$5,851 |
$333 | |
| Turbinate reduction |
$5,958 |
$5,958 |
$3,154 |
$294 | |
| Turning a breech baby (version) |
$6,221 |
$6,221 |
$3,126 |
$94 | |
| Ulnar nerve surgery (elbow) |
$5,744 |
$5,744 |
$2,016 |
$575 | |
| Upper GI endoscopy (EGD) |
$6,620 |
$6,620 |
$1,060 |
$371 | |
| Upper GI series (barium) |
$1,057 |
$1,057 |
$233 |
$128 | |
| Ureteral stent placement |
$7,210 |
$7,210 |
$3,459 |
$373 | |
| Ureteroscopy (stone removal) |
$9,790 |
$9,790 |
$5,098 |
$365 | |
| Uric acid (gout) test |
$109 |
$109 |
$5 |
$5 | |
| Urinalysis |
$54 |
$54 |
$3 |
$3 | |
| Urine pregnancy test |
$208 |
$208 |
$10 |
$9 | |
| Vaccine administration |
$191 |
$191 |
$73 |
$19 | |
| Vaccine administration (each additional) |
$190 |
$190 |
$25 |
$16 | |
| Vaginal delivery |
$4,981 |
$4,981 |
$6,227 |
$5,487 | |
| Varicocele repair |
$6,476 |
$6,476 |
$3,425 |
$327 | |
| Varicose vein ablation |
$6,744 |
$6,744 |
$3,250 |
$1,018 | |
| Vasectomy |
$8,446 |
$8,446 |
$2,115 |
$347 | |
| Visual field test |
$354 |
$354 |
$133 |
$64 | |
| Vitamin B12 test |
$284 |
$284 |
$17 |
$15 | |
| Vitamin D test |
$545 |
$545 |
$34 |
$30 | |
| Vitrectomy (eye) |
$7,417 |
$7,417 |
$3,995 |
$814 | |
| Vocal cord injection |
$11,797 |
$11,797 |
$3,806 |
$211 | |
| Wart removal |
$611 |
$611 |
$213 |
$121 | |
| Weight-loss (bariatric) surgery |
$10,572 |
$10,572 |
$16,763 |
$11,645 | |
| Well-child visit |
$693 |
$693 |
$253 |
— | |
| Whipple procedure (pancreas) |
$7,474 |
$7,474 |
$3,097 |
$2,871 | |
| Wound debridement |
$4,217 |
$4,217 |
$468 |
$186 | |
| Wrist fracture repair |
$16,256 |
$16,256 |
$7,165 |
$735 | |
| X-ray of the abdomen |
$291 |
$291 |
$117 |
$36 | |
| X-ray of the ankle |
$428 |
$428 |
$124 |
$37 | |
| X-ray of the collarbone |
$646 |
$646 |
$125 |
$33 | |
| X-ray of the elbow |
$940 |
$940 |
$122 |
$33 | |
| X-ray of the facial bones |
$671 |
$671 |
$181 |
$39 | |
| X-ray of the foot |
$698 |
$698 |
$125 |
$34 | |
| X-ray of the forearm |
$485 |
$485 |
$122 |
$29 | |
| X-ray of the hand |
$694 |
$694 |
$122 |
$38 | |
| X-ray of the hip |
$694 |
$694 |
$131 |
$49 | |
| X-ray of the hip (1 view) |
$480 |
$480 |
$124 |
$34 | |
| X-ray of the hip (3 views) |
$870 |
$870 |
$122 |
$49 | |
| X-ray of the hip (4 views) |
$932 |
$932 |
$184 |
$63 | |
| X-ray of the knee |
$870 |
$870 |
$157 |
$42 | |
| X-ray of the knee (2 views) |
$870 |
$870 |
$138 |
$34 | |
| X-ray of the knee (3 views) |
$872 |
$872 |
$141 |
$42 | |
| X-ray of the knee (4+ views) |
$870 |
$870 |
$190 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$696 |
$696 |
$235 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$696 |
$696 |
$235 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$696 |
$696 |
$235 |
$53 | |
| X-ray of the lower leg |
$485 |
$485 |
$125 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$550 |
$550 |
$183 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$524 |
$524 |
$183 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$704 |
$704 |
$235 |
$39 | |
| X-ray of the neck (cervical spine) |
$1,006 |
$1,006 |
$185 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$1,006 |
$1,006 |
$185 |
$40 | |
| X-ray of the pelvis |
$606 |
$606 |
$202 |
$36 | |
| X-ray of the pelvis (1 view) |
$577 |
$577 |
$202 |
$28 | |
| X-ray of the ribs |
$1,089 |
$1,089 |
$148 |
$42 | |
| X-ray of the ribs (2 views) |
$877 |
$877 |
$122 |
$36 | |
| X-ray of the ribs (3 views) |
$1,122 |
$1,122 |
$235 |
$42 | |
| X-ray of the shoulder |
$873 |
$873 |
$125 |
$36 | |
| X-ray of the skull |
$909 |
$909 |
$235 |
$40 | |
| X-ray of the upper arm |
$510 |
$510 |
$165 |
$32 | |
| X-ray of the wrist |
$861 |
$861 |
$122 |
$43 | |
| YAG laser capsulotomy (eye) |
$2,389 |
$2,389 |
$566 |
$335 | |
| Zinc blood test |
$292 |
$292 |
$13 |
$11 | |