| 3D mammogram (tomosynthesis) |
$36 |
$144 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$698 |
$2,793 |
— |
$284 | |
| Abdominal ultrasound |
$909 |
$3,637 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$1,036 |
$4,142 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$783 |
$3,132 |
— |
$86 | |
| Albumin blood test |
$12 |
$46 |
— |
$5 | |
| Alkaline phosphatase test |
$8 |
$31 |
— |
$5 | |
| Alpha-fetoprotein (AFP) test |
$15 |
$61 |
— |
$17 | |
| ALT liver enzyme test |
$31 |
$123 |
— |
$5 | |
| Ammonia blood test |
$62 |
$248 |
— |
$15 | |
| Amniocentesis |
$638 |
$2,550 |
— |
$120 | |
| Arterial blood gas (ABG) |
$468 |
$1,871 |
— |
$26 | |
| AST liver enzyme test |
$46 |
$183 |
— |
$5 | |
| Barium swallow study |
$467 |
$1,869 |
— |
$107 | |
| Basic metabolic panel |
$287 |
$1,149 |
— |
$8 | |
| Bilirubin blood test |
$28 |
$110 |
— |
$5 | |
| Blood clotting test (PT/INR) |
$21 |
$83 |
— |
$4 | |
| Blood crossmatch |
$131 |
$525 |
— |
— | |
| Blood glucose test |
$114 |
$456 |
— |
$5 | |
| Blood transfusion |
$321 |
$1,283 |
— |
$47 | |
| Blood type and screen |
$69 |
$276 |
— |
$10 | |
| Blood type test |
$8 |
$32 |
— |
$3 | |
| Blood type test (ABO group) |
$8 |
$33 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$6 |
$22 |
— |
$3 | |
| Bone density scan (DEXA) |
$248 |
$993 |
— |
$39 | |
| Bone marrow biopsy |
$1,616 |
$6,464 |
— |
$172 | |
| Bone scan (nuclear) |
$2,574 |
$10,294 |
— |
$259 | |
| Breast biopsy |
$2,084 |
$8,335 |
— |
$478 | |
| Breast MRI |
$1,176 |
$4,703 |
— |
$216 | |
| Breast MRI without contrast |
$1,176 |
$4,703 |
— |
$216 | |
| Breast ultrasound |
$544 |
$2,175 |
— |
$92 | |
| Breast ultrasound (complete) |
$621 |
$2,485 |
— |
$100 | |
| Breast ultrasound (limited) |
$500 |
$1,998 |
— |
$84 | |
| C-reactive protein (CRP) |
$42 |
$167 |
— |
$5 | |
| CA 19-9 tumor marker test |
$13 |
$53 |
— |
$21 | |
| CA-125 ovarian marker test |
$20 |
$79 |
— |
$21 | |
| Calcium blood test |
$109 |
$435 |
— |
$5 | |
| Capsule endoscopy |
$1,209 |
$4,837 |
— |
$802 | |
| Cardiac ablation |
$33,325 |
$133,301 |
— |
$759 | |
| Cardiac catheterization |
$14,555 |
$58,218 |
— |
$1,049 | |
| Cardiac MRI |
$2,531 |
$10,125 |
— |
$322 | |
| Cardiac MRI without contrast |
$1,582 |
$6,328 |
— |
$280 | |
| Cardiac rehabilitation |
$193 |
$772 |
— |
$26 | |
| Cardiac stress test |
$717 |
$2,867 |
— |
$39 | |
| Cardioversion |
$925 |
$3,699 |
— |
$155 | |
| Carotid artery ultrasound |
$500 |
$2,002 |
— |
$156 | |
| CEA tumor marker test |
$38 |
$150 |
— |
$19 | |
| Central line placement |
$1,919 |
$7,675 |
— |
$238 | |
| Chemotherapy infusion |
$525 |
$2,099 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$332 |
$1,327 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$718 |
$2,871 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,149 |
$4,595 |
— |
$311 | |
| Chest tube insertion |
$939 |
$3,756 |
— |
$143 | |
| Chest X-ray |
$309 |
$1,238 |
— |
$37 | |
| Chest X-ray (1 view) |
$212 |
$847 |
— |
$25 | |
| Chest X-ray (2 views) |
$299 |
$1,195 |
— |
$33 | |
| CK-MB heart enzyme test |
$73 |
$290 |
— |
$12 | |
| Clotting time test (PTT) |
$8 |
$30 |
— |
$6 | |
| Complete blood count (CBC) |
$57 |
$228 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$62 |
$246 |
— |
$8 | |
| Complex wound repair |
$472 |
$1,889 |
— |
$390 | |
| Comprehensive metabolic panel |
$345 |
$1,381 |
— |
$11 | |
| Coronary CT angiography |
$1,845 |
$7,379 |
— |
$326 | |
| Cortisol test |
$91 |
$365 |
— |
$16 | |
| COVID-19 PCR test |
$68 |
$273 |
— |
$51 | |
| CPAP titration study |
$1,572 |
$6,289 |
— |
$69 | |
| Creatine kinase (CK) test |
$28 |
$112 |
— |
$7 | |
| CT angiography of the chest |
$4,438 |
$17,751 |
— |
$281 | |
| CT angiography of the head |
$4,423 |
$17,692 |
— |
$274 | |
| CT scan of the abdomen |
$1,962 |
$7,846 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$4,633 |
$18,531 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$5,229 |
$20,914 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$4,633 |
$18,531 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$4,103 |
$16,410 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$3,550 |
$14,199 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$1,962 |
$7,846 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$1,494 |
$5,975 |
— |
$136 | |
| CT scan of the arm |
$1,997 |
$7,990 |
— |
$199 | |
| CT scan of the arm with contrast |
$1,736 |
$6,944 |
— |
$199 | |
| CT scan of the arm without contrast |
$2,212 |
$8,848 |
— |
$161 | |
| CT scan of the chest |
$2,932 |
$11,726 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$3,205 |
$12,818 |
— |
$196 | |
| CT scan of the chest with contrast |
$2,932 |
$11,726 |
— |
$167 | |
| CT scan of the chest without contrast |
$1,111 |
$4,442 |
— |
$133 | |
| CT scan of the head |
$1,735 |
$6,940 |
— |
$148 | |
| CT scan of the head with and without contrast |
$2,074 |
$8,295 |
— |
$173 | |
| CT scan of the head with contrast |
$1,735 |
$6,940 |
— |
$148 | |
| CT scan of the head without contrast |
$1,209 |
$4,837 |
— |
$107 | |
| CT scan of the leg |
$1,726 |
$6,904 |
— |
$166 | |
| CT scan of the leg with contrast |
$1,594 |
$6,378 |
— |
$166 | |
| CT scan of the leg without contrast |
$1,356 |
$5,425 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,183 |
$4,730 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,301 |
$5,204 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,183 |
$4,730 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$990 |
$3,960 |
— |
$130 | |
| CT scan of the neck |
$2,945 |
$11,778 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$2,323 |
$9,293 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,381 |
$9,523 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$2,323 |
$9,293 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$2,228 |
$8,913 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$3,580 |
$14,320 |
— |
$220 | |
| CT scan of the neck with contrast |
$2,945 |
$11,778 |
— |
$183 | |
| CT scan of the neck without contrast |
$2,221 |
$8,882 |
— |
$150 | |
| CT scan of the pelvis |
$2,571 |
$10,283 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,883 |
$11,532 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$2,571 |
$10,283 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$1,229 |
$4,917 |
— |
$133 | |
| CT scan of the sinuses |
$2,559 |
$10,234 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,851 |
$11,403 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$2,559 |
$10,234 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$2,264 |
$9,056 |
— |
$128 | |
| D-dimer test |
$250 |
$1,001 |
— |
$10 | |
| Developmental screening (child) |
$62 |
$247 |
— |
— | |
| Diagnostic mammogram |
$269 |
$1,078 |
— |
$140 | |
| Dialysis fistula creation |
$1,919 |
$7,675 |
— |
$601 | |
| Echocardiogram |
$2,319 |
$9,277 |
— |
$138 | |
| Echocardiogram with and without contrast |
$1,392 |
$5,567 |
— |
$101 | |
| EEG (awake and asleep) |
$1,182 |
$4,729 |
— |
$482 | |
| EKG / ECG (tracing only) |
$500 |
$1,998 |
— |
$7 | |
| Electrocardiogram (EKG) |
$500 |
$1,998 |
— |
$8 | |
| Electroencephalogram (EEG) |
$855 |
$3,420 |
— |
$448 | |
| Electrolyte panel |
$128 |
$511 |
— |
$7 | |
| Electromyography (EMG) |
$136 |
$543 |
— |
$141 | |
| Emergency department visit |
$1,210 |
$4,841 |
— |
$69 | |
| Emergency department visit (level 1) |
$389 |
$1,556 |
— |
$11 | |
| Emergency department visit (level 2) |
$701 |
$2,803 |
— |
$40 | |
| Emergency department visit (level 3) |
$1,210 |
$4,841 |
— |
$69 | |
| Emergency department visit (level 4) |
$1,985 |
$7,938 |
— |
$118 | |
| Emergency department visit (level 5) |
$2,863 |
$11,450 |
— |
$171 | |
| Epidural steroid injection |
$1,014 |
$4,057 |
— |
$275 | |
| ERCP (bile duct endoscopy) |
$4,567 |
$18,267 |
— |
$311 | |
| Estradiol (estrogen) test |
$88 |
$352 |
— |
$28 | |
| Facet joint injection (spine) |
$627 |
$2,510 |
— |
$99 | |
| Fallopian tube X-ray (HSG) |
$542 |
$2,169 |
— |
$164 | |
| Family therapy session |
$138 |
$553 |
— |
$110 | |
| Fecal occult blood (stool) test |
$20 |
$78 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$20 |
$78 |
— |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$8 |
$30 |
— |
$16 | |
| Ferritin (iron) test |
$52 |
$207 |
— |
$14 | |
| Fibrinogen test |
$56 |
$224 |
— |
$10 | |
| Folate (folic acid) test |
$46 |
$183 |
— |
$15 | |
| Free T4 thyroid test |
$22 |
$89 |
— |
$9 | |
| FSH hormone test |
$88 |
$353 |
— |
$19 | |
| Gallbladder scan (HIDA) |
$1,442 |
$5,770 |
— |
$334 | |
| GGT liver test |
$85 |
$338 |
— |
$7 | |
| Glucose tolerance test |
$33 |
$130 |
— |
$8 | |
| Group therapy session |
$71 |
$282 |
— |
$30 | |
| HDL cholesterol test |
$31 |
$123 |
— |
$8 | |
| Hematocrit test |
$91 |
$365 |
— |
$2 | |
| Hemoglobin A1c (diabetes test) |
$43 |
$172 |
— |
$10 | |
| Hepatitis A vaccine |
$130 |
$520 |
— |
— | |
| Hepatitis B test |
$44 |
$176 |
— |
$10 | |
| Hepatitis B vaccine |
$68 |
$270 |
— |
— | |
| Hepatitis C test |
$104 |
$417 |
— |
$14 | |
| HIV test |
$68 |
$270 |
— |
$19 | |
| HIV test (antibody) |
$60 |
$239 |
— |
$14 | |
| HIV test (antigen/antibody combo) |
$68 |
$270 |
— |
$24 | |
| Holter heart monitor |
$215 |
$860 |
— |
$26 | |
| Home sleep apnea test |
$778 |
$3,113 |
— |
$123 | |
| Iron blood test |
$34 |
$136 |
— |
$6 | |
| IV infusion therapy |
$326 |
$1,306 |
— |
$44 | |
| IV infusion therapy (each additional) |
$177 |
$707 |
— |
$21 | |
| IV infusion therapy (initial) |
$476 |
$1,904 |
— |
$67 | |
| IVC filter placement |
$3,913 |
$15,651 |
— |
$1,885 | |
| Kidney biopsy |
$1,812 |
$7,248 |
— |
$492 | |
| Kidney scan (nuclear) |
$1,908 |
$7,630 |
— |
$172 | |
| Kidney ultrasound |
$550 |
$2,199 |
— |
$84 | |
| Kidney ultrasound (limited) |
$452 |
$1,806 |
— |
$61 | |
| Knee joint injection |
$695 |
$2,781 |
— |
$69 | |
| Lactate test |
$176 |
$705 |
— |
$12 | |
| LDH test |
$26 |
$105 |
— |
$6 | |
| LDL cholesterol test |
$13 |
$51 |
— |
$11 | |
| Leg artery angiogram |
$2,074 |
$8,297 |
— |
$149 | |
| Leg artery angioplasty |
$6,321 |
$25,283 |
— |
— | |
| Leg vein ultrasound (Doppler) |
$1,110 |
$4,439 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,110 |
$4,439 |
— |
$116 | |
| LH hormone test |
$104 |
$414 |
— |
$19 | |
| Lipase test |
$200 |
$800 |
— |
$7 | |
| Lipid (cholesterol) panel |
$34 |
$134 |
— |
$13 | |
| Liver biopsy |
$1,710 |
$6,840 |
— |
$288 | |
| Liver function panel |
$57 |
$227 |
— |
$8 | |
| Lung function test (PFT) |
$436 |
$1,743 |
— |
$37 | |
| Lung scan (V/Q) |
$732 |
$2,927 |
— |
$291 | |
| Magnesium blood test |
$189 |
$756 |
— |
$7 | |
| MMR vaccine |
$156 |
$624 |
— |
— | |
| MRA of the brain |
$4,087 |
$16,349 |
— |
$226 | |
| MRA of the brain with contrast |
$4,087 |
$16,349 |
— |
$226 | |
| MRA of the brain without contrast |
$4,540 |
$18,161 |
— |
$328 | |
| MRA of the neck |
$3,026 |
$12,102 |
— |
$245 | |
| MRA of the neck with contrast |
$3,026 |
$12,102 |
— |
$245 | |
| MRA of the neck without contrast |
$4,485 |
$17,940 |
— |
$343 | |
| MRI of the abdomen |
$1,631 |
$6,523 |
— |
$300 | |
| MRI of the abdomen with contrast |
$1,631 |
$6,523 |
— |
$300 | |
| MRI of the abdomen without contrast |
$1,543 |
$6,170 |
— |
$194 | |
| MRI of the ankle |
$3,479 |
$13,916 |
— |
$261 | |
| MRI of the ankle with contrast |
$2,061 |
$8,242 |
— |
$261 | |
| MRI of the ankle without contrast |
$2,734 |
$10,934 |
— |
$222 | |
| MRI of the brain |
$3,220 |
$12,880 |
— |
$269 | |
| MRI of the brain with contrast |
$2,874 |
$11,496 |
— |
$269 | |
| MRI of the brain without contrast |
$2,608 |
$10,432 |
— |
$195 | |
| MRI of the chest |
$2,761 |
$11,043 |
— |
$371 | |
| MRI of the chest with contrast |
$2,761 |
$11,043 |
— |
$371 | |
| MRI of the chest without contrast |
$3,946 |
$15,783 |
— |
$466 | |
| MRI of the knee |
$2,988 |
$11,953 |
— |
$315 | |
| MRI of the knee with contrast |
$2,806 |
$11,224 |
— |
$315 | |
| MRI of the knee without contrast |
$2,680 |
$10,720 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$4,318 |
$17,270 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$4,318 |
$17,270 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,825 |
$11,301 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,124 |
$8,494 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,392 |
$9,567 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,124 |
$8,494 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,748 |
$6,990 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$3,630 |
$14,519 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$4,262 |
$17,046 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$3,630 |
$14,519 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,978 |
$11,910 |
— |
$191 | |
| MRI of the pelvis |
$1,705 |
$6,819 |
— |
$268 | |
| MRI of the pelvis with contrast |
$1,705 |
$6,819 |
— |
$268 | |
| MRI of the pelvis without contrast |
$1,413 |
$5,651 |
— |
$227 | |
| MRI of the shoulder |
$3,027 |
$12,107 |
— |
$313 | |
| MRI of the shoulder with contrast |
$2,806 |
$11,222 |
— |
$313 | |
| MRI of the shoulder without contrast |
$2,552 |
$10,208 |
— |
$205 | |
| MRI of the wrist |
$1,396 |
$5,583 |
— |
$330 | |
| MRI of the wrist with contrast |
$1,396 |
$5,583 |
— |
$330 | |
| MRI of the wrist without contrast |
$1,349 |
$5,397 |
— |
$303 | |
| Nebulizer breathing treatment |
$182 |
$729 |
— |
$9 | |
| Nerve conduction study |
$212 |
$849 |
— |
$118 | |
| Nuchal translucency ultrasound |
$310 |
$1,238 |
— |
$116 | |
| Nuclear cardiac stress test |
$3,576 |
$14,303 |
— |
$428 | |
| Occupational therapy evaluation |
$183 |
$733 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$205 |
$818 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$136 |
$542 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$183 |
$733 |
— |
$101 | |
| Office visit (established patient) |
$84 |
$337 |
— |
$115 | |
| Office visit (new patient) |
$170 |
$680 |
— |
$177 | |
| Office visit, established patient (level 3) |
$75 |
$300 |
— |
$95 | |
| Office visit, established patient (level 4) |
$93 |
$373 |
— |
$136 | |
| Office visit, new patient (level 3) |
$109 |
$436 |
— |
$118 | |
| Office visit, new patient (level 4) |
$170 |
$680 |
— |
$177 | |
| Office visit, new patient (level 5) |
$199 |
$795 |
— |
$237 | |
| Pap smear (cervical screening) |
$40 |
$159 |
— |
$20 | |
| Parathyroid hormone (PTH) test |
$170 |
$680 |
— |
$41 | |
| Pelvic ultrasound |
$566 |
$2,266 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$786 |
$3,143 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$347 |
$1,388 |
— |
$51 | |
| PET scan |
$2,538 |
$10,154 |
— |
— | |
| Phosphorus blood test |
$103 |
$413 |
— |
$5 | |
| Physical therapy evaluation |
$164 |
$655 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$178 |
$712 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$164 |
$655 |
— |
$98 | |
| Platelet count |
$34 |
$135 |
— |
$4 | |
| Pregnancy blood test (hCG) |
$271 |
$1,084 |
— |
$8 | |
| Pregnancy ultrasound |
$794 |
$3,175 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$636 |
$2,545 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$951 |
$3,804 |
— |
$136 | |
| Procalcitonin test |
$53 |
$213 |
— |
$27 | |
| Prolactin test |
$28 |
$114 |
— |
$19 | |
| Prostate test (PSA) |
$33 |
$133 |
— |
$18 | |
| Psychiatric evaluation |
$210 |
$841 |
— |
$188 | |
| Psychotherapy session |
$227 |
$909 |
— |
$140 | |
| Pulmonary rehabilitation |
$102 |
$408 |
— |
$87 | |
| Retinal (fundus) photography |
$141 |
$563 |
— |
$37 | |
| Sacroiliac joint injection |
$960 |
$3,839 |
— |
$176 | |
| Scoliosis spine X-ray |
$153 |
$612 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$123 |
$491 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$183 |
$733 |
— |
$72 | |
| Screening mammogram |
$220 |
$878 |
— |
$126 | |
| Scrotal ultrasound |
$868 |
$3,471 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$21 |
$82 |
— |
$3 | |
| Sleep study (polysomnography) |
$3,621 |
$14,484 |
— |
$691 | |
| Soft tissue ultrasound |
$506 |
$2,023 |
— |
$64 | |
| Speech therapy |
$157 |
$628 |
— |
$76 | |
| Spinal cord stimulator |
$3,314 |
$13,255 |
— |
$2,388 | |
| Spinal tap (lumbar puncture) |
$1,119 |
$4,475 |
— |
$165 | |
| Spine fracture repair (kyphoplasty) |
$5,406 |
$21,623 |
— |
$5,803 | |
| Spirometry (lung function test) |
$196 |
$782 |
— |
$30 | |
| Spirometry with bronchodilator |
$676 |
$2,704 |
— |
$43 | |
| Strep throat test |
$128 |
$513 |
— |
$17 | |
| Stress echocardiogram |
$2,157 |
$8,627 |
— |
$209 | |
| Stress echocardiogram (complete) |
$2,157 |
$8,627 |
— |
$233 | |
| Swallow study |
$302 |
$1,207 |
— |
$85 | |
| T3 thyroid test |
$45 |
$178 |
— |
$14 | |
| Tdap (tetanus) vaccine |
$70 |
$280 |
— |
— | |
| Testosterone test |
$17 |
$67 |
— |
$26 | |
| Thyroid test (TSH) |
$73 |
$290 |
— |
$17 | |
| Thyroid ultrasound |
$889 |
$3,556 |
— |
$109 | |
| Thyroid uptake scan |
$667 |
$2,668 |
— |
$145 | |
| Total protein test |
$5 |
$21 |
— |
$4 | |
| Transesophageal echocardiogram (TEE) |
$1,188 |
$4,751 |
— |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,188 |
$4,751 |
— |
$239 | |
| Transvaginal ultrasound |
$648 |
$2,593 |
— |
$118 | |
| Trigger point injection |
$432 |
$1,728 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$432 |
$1,728 |
— |
$52 | |
| Triglycerides test |
$42 |
$166 |
— |
$6 | |
| Troponin (heart) test |
$261 |
$1,042 |
— |
$12 | |
| Turning a breech baby (version) |
$3,019 |
$12,077 |
— |
$94 | |
| Upper GI series (barium) |
$353 |
$1,412 |
— |
$128 | |
| Ureteral stent placement |
$2,332 |
$9,327 |
— |
$373 | |
| Ureteroscopy (stone removal) |
$4,372 |
$17,487 |
— |
$365 | |
| Uric acid (gout) test |
$29 |
$116 |
— |
$5 | |
| Urinalysis |
$107 |
$428 |
— |
$3 | |
| Vaccine administration |
$60 |
$238 |
— |
$19 | |
| Vaccine administration (each additional) |
$43 |
$170 |
— |
$16 | |
| Varicose vein ablation |
$2,216 |
$8,863 |
— |
$1,018 | |
| Vitamin B12 test |
$47 |
$189 |
— |
$15 | |
| Vitamin D test |
$31 |
$124 |
— |
$30 | |
| Wound debridement |
$719 |
$2,876 |
— |
$186 | |
| X-ray of the abdomen |
$375 |
$1,500 |
— |
$36 | |
| X-ray of the ankle |
$628 |
$2,511 |
— |
$37 | |
| X-ray of the collarbone |
$551 |
$2,206 |
— |
$33 | |
| X-ray of the elbow |
$608 |
$2,431 |
— |
$33 | |
| X-ray of the facial bones |
$265 |
$1,060 |
— |
$39 | |
| X-ray of the foot |
$654 |
$2,617 |
— |
$34 | |
| X-ray of the forearm |
$538 |
$2,151 |
— |
$29 | |
| X-ray of the hand |
$782 |
$3,128 |
— |
$38 | |
| X-ray of the hip |
$148 |
$593 |
— |
$49 | |
| X-ray of the hip (1 view) |
$135 |
$539 |
— |
$34 | |
| X-ray of the hip (3 views) |
$148 |
$593 |
— |
$49 | |
| X-ray of the hip (4 views) |
$415 |
$1,661 |
— |
$63 | |
| X-ray of the knee |
$606 |
$2,422 |
— |
$42 | |
| X-ray of the knee (2 views) |
$488 |
$1,953 |
— |
$34 | |
| X-ray of the knee (3 views) |
$615 |
$2,462 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$811 |
$3,244 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$434 |
$1,736 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$406 |
$1,623 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$462 |
$1,848 |
— |
$53 | |
| X-ray of the lower leg |
$607 |
$2,427 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$392 |
$1,567 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$383 |
$1,530 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$401 |
$1,604 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$579 |
$2,315 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$482 |
$1,927 |
— |
$40 | |
| X-ray of the pelvis |
$314 |
$1,254 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$314 |
$1,254 |
— |
$28 | |
| X-ray of the ribs |
$455 |
$1,820 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$436 |
$1,743 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$455 |
$1,820 |
— |
$42 | |
| X-ray of the shoulder |
$662 |
$2,649 |
— |
$36 | |
| X-ray of the skull |
$256 |
$1,025 |
— |
$40 | |
| X-ray of the upper arm |
$418 |
$1,672 |
— |
$32 | |
| X-ray of the wrist |
$594 |
$2,376 |
— |
$43 | |