| 3D mammogram (tomosynthesis) |
— |
— |
$28 |
$51 | |
| Achilles tendon repair |
— |
— |
$7,312 |
$624 | |
| ACL knee reconstruction |
— |
— |
$7,312 |
$889 | |
| Adenoid removal (adenoidectomy) |
— |
— |
$8,526 |
$204 | |
| Aldosterone test |
— |
— |
$42 |
$41 | |
| Alkaline phosphatase test |
$287 |
$287 |
$70 |
$5 | |
| Alpha-fetoprotein (AFP) test |
— |
— |
$17 |
$17 | |
| ALT liver enzyme test |
$200 |
$200 |
$50 |
$5 | |
| Ammonia blood test |
$516 |
$516 |
$129 |
$15 | |
| Amylase test |
$570 |
$570 |
$138 |
$6 | |
| Anal fistula repair |
— |
— |
$7,919 |
$541 | |
| Ankle fracture repair |
— |
— |
$7,312 |
$608 | |
| Ankle replacement |
— |
— |
$18,748 |
$885 | |
| Annual physical (established patient) |
— |
— |
$79 |
— | |
| Annual physical (new patient) |
— |
— |
$92 |
— | |
| Antinuclear antibody (ANA) test |
$468 |
$468 |
$117 |
$12 | |
| Arterial blood gas (ABG) |
— |
— |
$27 |
$26 | |
| AST liver enzyme test |
$281 |
$281 |
$69 |
$5 | |
| Basic metabolic panel |
$550 |
$550 |
$134 |
$8 | |
| Bilirubin blood test |
— |
— |
$5 |
$5 | |
| Bladder scope (cystoscopy) |
— |
— |
$3,755 |
$216 | |
| Bladder tumor removal (TURBT) |
— |
— |
$6,218 |
$236 | |
| Blood clotting test (PT/INR) |
$98 |
$98 |
$26 |
$4 | |
| Blood glucose test |
$119 |
$119 |
$5 |
$5 | |
| Blood type and screen |
— |
— |
$10 |
$10 | |
| Blood type test |
— |
— |
$3 |
$3 | |
| Blood type test (ABO group) |
— |
— |
$3 |
$3 | |
| Blood type test (Rh/D antigen) |
— |
— |
$3 |
$3 | |
| BNP (heart failure) test |
— |
— |
$41 |
$39 | |
| Breast reconstruction |
— |
— |
$9,220 |
$1,227 | |
| Breast reduction |
— |
— |
$8,526 |
$980 | |
| Bronchoscopy |
— |
— |
$5,124 |
$303 | |
| Bunion surgery (bunionectomy) |
— |
— |
$7,312 |
$883 | |
| Burn dressing and debridement (medium) |
— |
— |
$5,124 |
$166 | |
| Burn treatment |
— |
— |
$5,124 |
$129 | |
| C-reactive protein (CRP) |
$246 |
$246 |
$61 |
$5 | |
| CA 19-9 tumor marker test |
— |
— |
$22 |
$21 | |
| CA-125 ovarian marker test |
— |
— |
$22 |
$21 | |
| Calcium blood test |
$356 |
$356 |
$87 |
$5 | |
| Cardiac catheterization |
— |
— |
$11,181 |
$1,049 | |
| Cardiac event monitor |
— |
— |
$164 |
$170 | |
| Carpal tunnel release |
— |
— |
$5,124 |
$483 | |
| Cataract surgery |
— |
— |
$10,583 |
$547 | |
| CEA tumor marker test |
— |
— |
$20 |
$19 | |
| Celiac disease test |
— |
— |
$12 |
$12 | |
| Central line placement |
— |
— |
$3,755 |
$238 | |
| Cervical cerclage |
— |
— |
$3,755 |
$137 | |
| Cervical LEEP procedure |
— |
— |
$5,124 |
$325 | |
| Cesarean section (C-section) |
— |
— |
$12,263 |
$7,552 | |
| Chickenpox (varicella) vaccine |
— |
— |
$194 |
— | |
| Circumcision |
— |
— |
$4,440 |
$167 | |
| CK-MB heart enzyme test |
— |
— |
$12 |
$12 | |
| Clotting time test (PTT) |
$73 |
$73 |
$21 |
$6 | |
| Colonoscopy |
— |
— |
$5,124 |
$480 | |
| Complete blood count (CBC) |
$278 |
$278 |
$8 |
$7 | |
| Complete blood count (CBC) (complete) |
— |
— |
$8 |
$8 | |
| Complex wound repair |
— |
— |
$7,312 |
$390 | |
| Contact lens fitting |
— |
— |
$51 |
— | |
| Copper blood test |
$133 |
$133 |
$38 |
$12 | |
| Corneal transplant |
— |
— |
$12,746 |
$1,066 | |
| Coronary artery bypass (CABG) |
— |
— |
$76,801 |
$36,593 | |
| Cortisol test |
$260 |
$260 |
$70 |
$16 | |
| COVID-19 PCR test |
$83 |
$83 |
$54 |
$51 | |
| Creatine kinase (CK) test |
$337 |
$337 |
$83 |
$7 | |
| D-dimer test |
— |
— |
$11 |
$10 | |
| DHEA-sulfate test |
— |
— |
$23 |
$22 | |
| Diagnostic mammogram |
— |
— |
$107 |
$140 | |
| Dialysis fistula creation |
— |
— |
$7,312 |
$601 | |
| Dilation and curettage (D&C) |
— |
— |
$5,124 |
$298 | |
| Droopy eyelid repair (ptosis) |
— |
— |
$8,526 |
$745 | |
| Ear tubes (myringotomy) |
— |
— |
$7,312 |
$174 | |
| Eardrum repair (tympanoplasty) |
— |
— |
$9,220 |
$799 | |
| EKG / ECG (tracing only) |
$381 |
$381 |
$270 |
$7 | |
| Elbow replacement |
— |
— |
$12,746 |
$1,301 | |
| Electrocardiogram (EKG) |
$381 |
$381 |
$229 |
$8 | |
| Electrolyte panel |
— |
— |
$7 |
$7 | |
| Emergency department visit |
— |
— |
$1,262 |
$69 | |
| Emergency department visit (level 1) |
— |
— |
$737 |
$11 | |
| Emergency department visit (level 2) |
— |
— |
$1,262 |
$40 | |
| Emergency department visit (level 3) |
— |
— |
$2,435 |
$69 | |
| Emergency department visit (level 4) |
— |
— |
$3,326 |
$118 | |
| Emergency department visit (level 5) |
— |
— |
$5,530 |
$171 | |
| ERCP (bile duct endoscopy) |
— |
— |
$5,124 |
$311 | |
| Esophageal dilation |
— |
— |
$3,755 |
$522 | |
| Esophageal variceal banding |
— |
— |
$3,755 |
$126 | |
| Estradiol (estrogen) test |
$637 |
$637 |
$165 |
$28 | |
| Eyelid surgery (blepharoplasty) |
— |
— |
$8,266 |
$552 | |
| Family therapy session |
— |
— |
$90 |
$110 | |
| Fecal occult blood (stool) test |
$48 |
$48 |
$17 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$48 |
$48 |
$14 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
— |
— |
$17 |
$16 | |
| Feeding tube (PEG) placement |
— |
— |
$5,124 |
$178 | |
| Femoral hernia repair |
— |
— |
$9,902 |
$584 | |
| Ferritin (iron) test |
$355 |
$355 |
$91 |
$14 | |
| Fibrinogen test |
— |
— |
$10 |
$10 | |
| Flexible sigmoidoscopy |
— |
— |
$3,755 |
$323 | |
| Flu test |
— |
— |
$17 |
$17 | |
| Folate (folic acid) test |
$285 |
$285 |
$75 |
$15 | |
| Free T4 thyroid test |
$466 |
$466 |
$114 |
$9 | |
| Gallbladder removal (laparoscopic) |
— |
— |
$12,893 |
$658 | |
| Ganglion cyst removal |
— |
— |
$7,312 |
$321 | |
| GGT liver test |
$260 |
$260 |
$65 |
$7 | |
| Glaucoma surgery |
— |
— |
$8,526 |
$984 | |
| Glucose tolerance test |
— |
— |
$9 |
$8 | |
| Group therapy session |
$486 |
$486 |
$345 |
$30 | |
| H. pylori test |
— |
— |
$70 |
$67 | |
| Hammertoe repair |
— |
— |
$7,312 |
$548 | |
| HDL cholesterol test |
— |
— |
$9 |
$8 | |
| Hematocrit test |
— |
— |
$2 |
$2 | |
| Hemodialysis |
— |
— |
$92 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$628 |
$628 |
$153 |
$10 | |
| Hepatitis A vaccine |
— |
— |
$72 |
— | |
| Hepatitis B test |
$346 |
$346 |
$87 |
$10 | |
| Hepatitis B vaccine |
— |
— |
$70 |
— | |
| Hepatitis C test |
$539 |
$539 |
$135 |
$14 | |
| Hip replacement |
— |
— |
$17,204 |
$1,162 | |
| HIV test |
$259 |
$259 |
$25 |
$19 | |
| HIV test (antibody) |
— |
— |
$14 |
$14 | |
| HIV test (antigen/antibody combo) |
$259 |
$259 |
$74 |
$24 | |
| Holter heart monitor |
— |
— |
$41 |
$26 | |
| HPV vaccine |
— |
— |
$326 |
— | |
| Hydrocele repair |
— |
— |
$7,312 |
$315 | |
| Hysteroscopy |
— |
— |
$7,312 |
$1,270 | |
| Incisional hernia repair |
— |
— |
$9,555 |
— | |
| Inguinal hernia repair |
— |
— |
$9,555 |
$538 | |
| Iron blood test |
$96 |
$96 |
$26 |
$6 | |
| IUD insertion |
— |
— |
$46 |
— | |
| Kidney biopsy |
— |
— |
$3,755 |
$492 | |
| Kidney stone shock-wave (lithotripsy) |
— |
— |
$10,583 |
$760 | |
| Knee arthroscopy |
— |
— |
$8,526 |
$524 | |
| Knee replacement |
— |
— |
$31,395 |
$18,054 | |
| Lactate test |
— |
— |
$12 |
$12 | |
| Laminectomy (spine) |
— |
— |
$12,900 |
$1,157 | |
| Laryngoscopy |
— |
— |
$3,755 |
$189 | |
| LDH test |
$379 |
$379 |
$92 |
$6 | |
| LDL cholesterol test |
— |
— |
$11 |
$11 | |
| LH hormone test |
— |
— |
$19 |
$19 | |
| Lipase test |
$507 |
$507 |
$123 |
$7 | |
| Lipid (cholesterol) panel |
$281 |
$281 |
$73 |
$13 | |
| Liver biopsy |
— |
— |
$3,755 |
$288 | |
| Liver function panel |
$450 |
$450 |
$110 |
$8 | |
| Lumbar discectomy |
— |
— |
$12,900 |
$898 | |
| Lumpectomy (breast) |
— |
— |
$10,029 |
$750 | |
| Magnesium blood test |
$152 |
$152 |
$39 |
$7 | |
| Mastectomy |
— |
— |
$8,526 |
$1,021 | |
| Mastoidectomy |
— |
— |
$12,746 |
$840 | |
| Meniscus repair (knee) |
— |
— |
$7,312 |
$714 | |
| MMR vaccine |
— |
— |
$101 |
— | |
| Occupational therapy evaluation |
— |
— |
$101 |
$101 | |
| Occupational therapy evaluation (high complexity) |
— |
— |
$101 |
$101 | |
| Occupational therapy evaluation (low complexity) |
— |
— |
$101 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
— |
— |
$101 |
$101 | |
| Office visit (established patient) |
— |
— |
$90 |
$115 | |
| Office visit (new patient) |
$810 |
$810 |
$391 |
$177 | |
| Office visit, established patient (level 3) |
— |
— |
$73 |
$95 | |
| Office visit, established patient (level 4) |
— |
— |
$108 |
$136 | |
| Office visit, new patient (level 3) |
$1,146 |
$1,146 |
$813 |
$118 | |
| Office visit, new patient (level 4) |
$474 |
$474 |
$336 |
$177 | |
| Office visit, new patient (level 5) |
— |
— |
$204 |
$237 | |
| Orthopedic hardware removal |
— |
— |
$7,312 |
$632 | |
| Pacemaker insertion |
— |
— |
$42,673 |
$15,506 | |
| Pap smear (cervical screening) |
— |
— |
$22 |
$20 | |
| Parathyroid hormone (PTH) test |
— |
— |
$43 |
$41 | |
| Physical therapy evaluation |
— |
— |
$99 |
$98 | |
| Physical therapy evaluation (high complexity) |
— |
— |
$99 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
— |
— |
$99 |
$98 | |
| Pilonidal cyst removal |
— |
— |
$7,312 |
$541 | |
| Pneumonia vaccine |
— |
— |
$133 |
— | |
| Pregnancy blood test (hCG) |
$393 |
$393 |
$97 |
$8 | |
| Procalcitonin test |
— |
— |
$28 |
$27 | |
| Prostate biopsy |
— |
— |
$5,124 |
— | |
| Prostate removal (prostatectomy) |
— |
— |
$19,674 |
$1,063 | |
| Prostate surgery (TURP) |
— |
— |
$8,526 |
$526 | |
| Prostate test (PSA) |
— |
— |
$19 |
$18 | |
| Psychiatric evaluation |
— |
— |
$110 |
$188 | |
| Psychotherapy session |
— |
— |
$95 |
$140 | |
| Pterygium removal (eye) |
— |
— |
$5,124 |
$540 | |
| Retinal detachment repair |
— |
— |
$10,983 |
$966 | |
| Rheumatoid factor test |
— |
— |
$6 |
$6 | |
| Rotator cuff repair |
— |
— |
$9,220 |
$792 | |
| RSV vaccine |
— |
— |
$313 |
— | |
| Screening colonoscopy |
— |
— |
$5,124 |
$378 | |
| Screening mammogram |
— |
— |
$97 |
$126 | |
| Sedimentation rate (ESR) test |
$177 |
$177 |
$4 |
$3 | |
| Semen analysis |
— |
— |
$13 |
$12 | |
| Septoplasty (deviated septum) |
— |
— |
$8,526 |
$613 | |
| Sex hormone binding globulin test |
— |
— |
$23 |
$22 | |
| Shingles vaccine |
— |
— |
$228 |
— | |
| Shoulder arthroscopy |
— |
— |
$7,312 |
$962 | |
| Shoulder replacement |
— |
— |
$25,804 |
$1,300 | |
| Sinus surgery (endoscopic) |
— |
— |
$7,312 |
$224 | |
| Skin graft |
— |
— |
$5,124 |
$898 | |
| Speech therapy |
— |
— |
$81 |
$76 | |
| Spinal cord stimulator |
— |
— |
$5,124 |
$2,388 | |
| Spinal tap (lumbar puncture) |
— |
— |
$3,755 |
$165 | |
| Strabismus (eye muscle) surgery |
— |
— |
$7,919 |
$475 | |
| Strep throat test |
— |
— |
$17 |
$17 | |
| Swallow study |
— |
— |
$90 |
$85 | |
| T3 thyroid test |
$767 |
$767 |
$188 |
$14 | |
| Tdap (tetanus) vaccine |
$343 |
$343 |
$206 |
— | |
| Testicle removal (orchiectomy) |
— |
— |
$7,312 |
$306 | |
| Tonsillectomy |
— |
— |
$8,526 |
$252 | |
| Total IgE allergy test |
— |
— |
$17 |
$16 | |
| Total protein test |
— |
— |
$4 |
$4 | |
| Trigger finger release |
— |
— |
$5,124 |
$630 | |
| Triglycerides test |
— |
— |
$6 |
$6 | |
| Troponin (heart) test |
— |
— |
$13 |
$12 | |
| Tubal ligation |
— |
— |
$7,312 |
$333 | |
| Turbinate reduction |
— |
— |
$5,124 |
$294 | |
| Ulnar nerve surgery (elbow) |
— |
— |
$5,124 |
$575 | |
| Umbilical hernia repair |
— |
— |
$9,555 |
— | |
| Upper GI endoscopy (EGD) |
— |
— |
$4,440 |
$371 | |
| Ureteral stent placement |
— |
— |
$5,124 |
$373 | |
| Urinalysis |
$129 |
$129 |
$27 |
$3 | |
| Urine microalbumin test |
$353 |
$353 |
$6 |
$5 | |
| Urine pregnancy test |
$337 |
$337 |
$84 |
$9 | |
| Vaginal delivery |
— |
— |
$9,341 |
$5,487 | |
| Varicocele repair |
— |
— |
$8,526 |
$327 | |
| Varicose vein ablation |
— |
— |
$10,583 |
$1,018 | |
| Vasectomy |
— |
— |
$5,124 |
$347 | |
| Vitamin B12 test |
$299 |
$299 |
$79 |
$15 | |
| Vitamin D test |
$825 |
$825 |
$210 |
$30 | |
| Vitrectomy (eye) |
— |
— |
$10,636 |
$814 | |
| Vocal cord injection |
— |
— |
$5,124 |
$211 | |
| Weight-loss (bariatric) surgery |
— |
— |
$26,741 |
$11,645 | |
| Well-child visit |
— |
— |
$65 |
— | |
| Wound debridement |
— |
— |
$5,124 |
$186 | |
| Wrist fracture repair |
— |
— |
$9,220 |
$735 | |
| YAG laser capsulotomy (eye) |
— |
— |
$5,124 |
$335 | |
| Zinc blood test |
$518 |
$518 |
$128 |
$11 | |