| 3D mammogram (tomosynthesis) |
$33 |
$33 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$2,616 |
$2,616 |
— |
$284 | |
| Abdominal ultrasound |
$1,243 |
$1,243 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$1,496 |
$1,496 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$990 |
$990 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$676 |
$676 |
— |
$220 | |
| Abscess drainage (simple) |
$532 |
$532 |
— |
$129 | |
| Abscess incision and drainage |
$604 |
$604 |
— |
$174 | |
| Albumin blood test |
$5 |
$5 |
— |
$5 | |
| Aldosterone test |
$298 |
$298 |
— |
$41 | |
| Alkaline phosphatase test |
$38 |
$38 |
— |
$5 | |
| Alpha-fetoprotein (AFP) test |
$167 |
$167 |
— |
$17 | |
| ALT liver enzyme test |
$53 |
$53 |
— |
$5 | |
| Ammonia blood test |
$107 |
$107 |
— |
$15 | |
| Amniocentesis |
$1,001 |
$1,001 |
— |
$120 | |
| Amylase test |
$6 |
$6 |
— |
$6 | |
| Annual physical (established patient) |
$76 |
$76 |
— |
— | |
| Antinuclear antibody (ANA) test |
$93 |
$93 |
— |
$12 | |
| Aortic aneurysm repair (AAA) |
$7,097 |
$7,097 |
— |
$1,345 | |
| Arterial blood gas (ABG) |
$259 |
$259 |
— |
$26 | |
| AST liver enzyme test |
$5 |
$5 |
— |
$5 | |
| Barium swallow study |
$567 |
$567 |
— |
$107 | |
| Bilirubin blood test |
$50 |
$50 |
— |
$5 | |
| Bladder scope (cystoscopy) |
$2,691 |
$2,691 |
— |
$216 | |
| Blood clotting test (PT/INR) |
$4 |
$4 |
— |
$4 | |
| Blood crossmatch |
$218 |
$218 |
— |
— | |
| Blood glucose test |
$29 |
$29 |
— |
$5 | |
| Blood transfusion |
$682 |
$682 |
— |
$47 | |
| Blood type and screen |
$196 |
$196 |
— |
$10 | |
| Blood type test |
$89 |
$89 |
— |
$3 | |
| Blood type test (ABO group) |
$108 |
$108 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$70 |
$70 |
— |
$3 | |
| BNP (heart failure) test |
$39 |
$39 |
— |
$39 | |
| Bone density scan (DEXA) |
$424 |
$424 |
— |
$39 | |
| Bone marrow biopsy |
$2,910 |
$2,910 |
— |
$172 | |
| Bone scan (nuclear) |
$1,786 |
$1,786 |
— |
$259 | |
| Breast biopsy |
$5,726 |
$5,726 |
— |
$478 | |
| Breast MRI |
$1,979 |
$1,979 |
— |
$216 | |
| Breast MRI without contrast |
$1,598 |
$1,598 |
— |
$216 | |
| Breast ultrasound |
$634 |
$634 |
— |
$92 | |
| Breast ultrasound (complete) |
$648 |
$648 |
— |
$100 | |
| Breast ultrasound (limited) |
$619 |
$619 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$769 |
$769 |
— |
$133 | |
| Bronchoscopy |
$3,140 |
$3,140 |
— |
$303 | |
| Burn dressing and debridement (medium) |
$199 |
$199 |
— |
$166 | |
| Burn dressing and debridement (small) |
$96 |
$96 |
— |
$93 | |
| Burn treatment |
$148 |
$148 |
— |
$129 | |
| CA 19-9 tumor marker test |
$21 |
$21 |
— |
$21 | |
| CA-125 ovarian marker test |
$16 |
$16 |
— |
$21 | |
| Capsule endoscopy |
$2,173 |
$2,173 |
— |
$802 | |
| Cardiac catheterization |
$10,793 |
$10,793 |
— |
$1,049 | |
| Cardiac rehabilitation |
$182 |
$182 |
— |
$26 | |
| Cardiac stress test |
$714 |
$714 |
— |
$39 | |
| Cardioversion |
$1,047 |
$1,047 |
— |
$155 | |
| Carotid artery ultrasound |
$238 |
$238 |
— |
$156 | |
| CEA tumor marker test |
$188 |
$188 |
— |
$19 | |
| Celiac disease test |
$12 |
$12 |
— |
$12 | |
| Central line placement |
$4,032 |
$4,032 |
— |
$238 | |
| Cesarean section (C-section) |
— |
— |
$7,991 |
$7,552 | |
| Chemotherapy infusion |
$440 |
$440 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$125 |
$125 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$754 |
$754 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$2,212 |
$2,212 |
— |
$311 | |
| Chest tube insertion |
$2,016 |
$2,016 |
— |
$143 | |
| Chest X-ray |
$165 |
$165 |
— |
$37 | |
| Chest X-ray (1 view) |
$79 |
$79 |
— |
$25 | |
| Chest X-ray (2 views) |
$250 |
$250 |
— |
$33 | |
| Circumcision |
$2,670 |
$2,670 |
— |
$167 | |
| CK-MB heart enzyme test |
$9 |
$9 |
— |
$12 | |
| Clotting time test (PTT) |
$46 |
$46 |
— |
$6 | |
| Complete blood count (CBC) |
$73 |
$73 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$78 |
$78 |
— |
$8 | |
| Contraceptive implant (Nexplanon) |
$1,157 |
$1,157 |
— |
$115 | |
| Copper blood test |
$9 |
$9 |
— |
$12 | |
| Coronary artery bypass (CABG) |
— |
— |
$36,433 |
$36,593 | |
| Coronary CT angiography |
$3,113 |
$3,113 |
— |
$326 | |
| Cortisol test |
$16 |
$16 |
— |
$16 | |
| COVID-19 PCR test |
$312 |
$312 |
— |
$51 | |
| CPAP titration study |
$519 |
$519 |
— |
$69 | |
| Creatine kinase (CK) test |
$65 |
$65 |
— |
$7 | |
| CT angiography of the chest |
$2,372 |
$2,372 |
— |
$281 | |
| CT angiography of the head |
$2,094 |
$2,094 |
— |
$274 | |
| CT scan of the abdomen |
$1,836 |
$1,836 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$3,052 |
$3,052 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,968 |
$3,968 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$3,052 |
$3,052 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,825 |
$2,825 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,981 |
$1,981 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$1,526 |
$1,526 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$1,836 |
$1,836 |
— |
$136 | |
| CT scan of the arm |
$1,640 |
$1,640 |
— |
$199 | |
| CT scan of the arm with contrast |
$1,640 |
$1,640 |
— |
$199 | |
| CT scan of the arm without contrast |
$1,168 |
$1,168 |
— |
$161 | |
| CT scan of the chest |
$1,526 |
$1,526 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$1,981 |
$1,981 |
— |
$196 | |
| CT scan of the chest with contrast |
$1,526 |
$1,526 |
— |
$167 | |
| CT scan of the chest without contrast |
$1,412 |
$1,412 |
— |
$133 | |
| CT scan of the head |
$1,433 |
$1,433 |
— |
$148 | |
| CT scan of the head with and without contrast |
$1,863 |
$1,863 |
— |
$173 | |
| CT scan of the head with contrast |
$1,433 |
$1,433 |
— |
$148 | |
| CT scan of the head without contrast |
$1,021 |
$1,021 |
— |
$107 | |
| CT scan of the leg |
$1,639 |
$1,639 |
— |
$166 | |
| CT scan of the leg with contrast |
$1,640 |
$1,640 |
— |
$166 | |
| CT scan of the leg without contrast |
$1,168 |
$1,168 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,526 |
$1,526 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,981 |
$1,981 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,526 |
$1,526 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,410 |
$1,410 |
— |
$130 | |
| CT scan of the neck |
$1,448 |
$1,448 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$1,748 |
$1,748 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,748 |
$1,748 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,748 |
$1,748 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,245 |
$1,245 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$1,947 |
$1,947 |
— |
$220 | |
| CT scan of the neck with contrast |
$1,448 |
$1,448 |
— |
$183 | |
| CT scan of the neck without contrast |
$1,344 |
$1,344 |
— |
$150 | |
| CT scan of the pelvis |
$1,836 |
$1,836 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,982 |
$1,982 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$1,527 |
$1,527 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$1,836 |
$1,836 |
— |
$133 | |
| CT scan of the sinuses |
$1,433 |
$1,433 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,863 |
$1,863 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$1,433 |
$1,433 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$1,325 |
$1,325 |
— |
$128 | |
| Developmental screening (child) |
$461 |
$461 |
— |
— | |
| DHEA-sulfate test |
$17 |
$17 |
— |
$22 | |
| Diagnostic mammogram |
$92 |
$92 |
— |
$140 | |
| Drug screen (urine) |
$118 |
$118 |
— |
$17 | |
| Echocardiogram |
$837 |
$837 |
— |
$138 | |
| Echocardiogram with and without contrast |
$457 |
$457 |
— |
$101 | |
| Echocardiogram without contrast |
$837 |
$837 |
— |
$138 | |
| EEG (awake and asleep) |
$891 |
$891 |
— |
$482 | |
| EKG / ECG (tracing only) |
$178 |
$178 |
— |
$7 | |
| Electrocardiogram (EKG) |
$142 |
$142 |
— |
$8 | |
| Electroencephalogram (EEG) |
$891 |
$891 |
— |
$448 | |
| Electromyography (EMG) |
$266 |
$266 |
— |
$141 | |
| Emergency department visit |
$345 |
$345 |
— |
$69 | |
| Emergency department visit (level 1) |
$155 |
$155 |
— |
$11 | |
| Emergency department visit (level 2) |
$206 |
$206 |
— |
$40 | |
| Emergency department visit (level 3) |
$345 |
$345 |
— |
$69 | |
| Emergency department visit (level 4) |
$649 |
$649 |
— |
$118 | |
| Emergency department visit (level 5) |
$906 |
$906 |
— |
$171 | |
| Estradiol (estrogen) test |
$21 |
$21 |
— |
$28 | |
| Fallopian tube X-ray (HSG) |
$1,264 |
$1,264 |
— |
$164 | |
| Fecal occult blood (stool) test |
$8 |
$8 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$4 |
$4 |
— |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$12 |
$12 |
— |
$16 | |
| Feeding tube (PEG) placement |
$2,551 |
$2,551 |
— |
$178 | |
| Ferritin (iron) test |
$135 |
$135 |
— |
$14 | |
| Fibrinogen test |
$102 |
$102 |
— |
$10 | |
| Flexible sigmoidoscopy |
$1,735 |
$1,735 |
— |
$323 | |
| Flu test |
$173 |
$173 |
— |
$17 | |
| Flu vaccine |
$45 |
$45 |
— |
— | |
| Folate (folic acid) test |
$107 |
$107 |
— |
$15 | |
| Foreign body removal (skin) |
$973 |
$973 |
— |
$157 | |
| Free T4 thyroid test |
$9 |
$9 |
— |
$9 | |
| FSH hormone test |
$14 |
$14 |
— |
$19 | |
| Gallbladder scan (HIDA) |
$1,827 |
$1,827 |
— |
$334 | |
| GGT liver test |
$53 |
$53 |
— |
$7 | |
| Glucose tolerance test |
$49 |
$49 |
— |
$8 | |
| Group therapy session |
$74 |
$74 |
— |
$30 | |
| H. pylori test |
$503 |
$503 |
— |
$67 | |
| HDL cholesterol test |
$8 |
$8 |
— |
$8 | |
| Hemodialysis |
$799 |
$799 |
— |
$75 | |
| Hemoglobin A1c (diabetes test) |
$10 |
$10 |
— |
$10 | |
| Hepatitis A vaccine |
$349 |
$349 |
— |
— | |
| Hepatitis B test |
$80 |
$80 |
— |
$10 | |
| Hepatitis B vaccine |
$129 |
$129 |
— |
— | |
| Hepatitis C test |
$149 |
$149 |
— |
$14 | |
| HIV test |
$252 |
$252 |
— |
$19 | |
| HIV test (antigen/antibody combo) |
$252 |
$252 |
— |
$24 | |
| Holter heart monitor |
$838 |
$838 |
— |
$26 | |
| HPV vaccine |
$434 |
$434 |
— |
— | |
| Iron blood test |
$64 |
$64 |
— |
$6 | |
| IV infusion therapy |
$265 |
$265 |
— |
$44 | |
| IV infusion therapy (each additional) |
$100 |
$100 |
— |
$21 | |
| IV infusion therapy (initial) |
$429 |
$429 |
— |
$67 | |
| IVC filter placement |
$3,125 |
$3,125 |
— |
$1,885 | |
| Joint aspiration (small/intermediate) |
$775 |
$775 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$775 |
$775 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$775 |
$775 |
— |
$56 | |
| Kidney scan (nuclear) |
$3,063 |
$3,063 |
— |
$172 | |
| Kidney ultrasound |
$809 |
$809 |
— |
$84 | |
| Kidney ultrasound (limited) |
$809 |
$809 |
— |
$61 | |
| Knee joint injection |
$775 |
$775 |
— |
$69 | |
| Knee replacement |
— |
— |
$18,277 |
$18,054 | |
| Lactate test |
$115 |
$115 |
— |
$12 | |
| Laryngoscopy |
$606 |
$606 |
— |
$189 | |
| LDH test |
$5 |
$5 |
— |
$6 | |
| LDL cholesterol test |
$11 |
$11 |
— |
$11 | |
| Leg artery angiogram |
$5,977 |
$5,977 |
— |
$149 | |
| Leg vein ultrasound (Doppler) |
$415 |
$415 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$285 |
$285 |
— |
$116 | |
| LH hormone test |
$19 |
$19 |
— |
$19 | |
| Lipase test |
$7 |
$7 |
— |
$7 | |
| Lipid (cholesterol) panel |
$10 |
$10 |
— |
$13 | |
| Lung function test (PFT) |
$541 |
$541 |
— |
$37 | |
| Lung scan (V/Q) |
$1,786 |
$1,786 |
— |
$291 | |
| Magnesium blood test |
$7 |
$7 |
— |
$7 | |
| MMR vaccine |
$377 |
$377 |
— |
— | |
| MRA of the brain |
$3,106 |
$3,106 |
— |
$226 | |
| MRA of the brain with contrast |
$3,106 |
$3,106 |
— |
$226 | |
| MRA of the brain without contrast |
$3,106 |
$3,106 |
— |
$328 | |
| MRA of the neck |
$2,390 |
$2,390 |
— |
$245 | |
| MRA of the neck with contrast |
$2,390 |
$2,390 |
— |
$245 | |
| MRA of the neck without contrast |
$3,106 |
$3,106 |
— |
$343 | |
| MRI of the abdomen |
$3,896 |
$3,896 |
— |
$300 | |
| MRI of the abdomen with contrast |
$3,896 |
$3,896 |
— |
$300 | |
| MRI of the abdomen without contrast |
$3,606 |
$3,606 |
— |
$194 | |
| MRI of the ankle |
$4,787 |
$4,787 |
— |
$261 | |
| MRI of the ankle with contrast |
$5,521 |
$5,521 |
— |
$261 | |
| MRI of the ankle without contrast |
$3,408 |
$3,408 |
— |
$222 | |
| MRI of the brain |
$2,770 |
$2,770 |
— |
$269 | |
| MRI of the brain with contrast |
$2,770 |
$2,770 |
— |
$269 | |
| MRI of the brain without contrast |
$2,565 |
$2,565 |
— |
$195 | |
| MRI of the chest |
$3,185 |
$3,185 |
— |
$371 | |
| MRI of the chest with contrast |
$3,185 |
$3,185 |
— |
$371 | |
| MRI of the chest without contrast |
$4,139 |
$4,139 |
— |
$466 | |
| MRI of the knee |
$4,248 |
$4,248 |
— |
$315 | |
| MRI of the knee with contrast |
$4,248 |
$4,248 |
— |
$315 | |
| MRI of the knee without contrast |
$3,408 |
$3,408 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$3,988 |
$3,988 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$3,313 |
$3,313 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$3,988 |
$3,988 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$3,988 |
$3,988 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$5,597 |
$5,597 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$3,313 |
$3,313 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$3,988 |
$3,988 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$4,283 |
$4,283 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$5,566 |
$5,566 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$4,283 |
$4,283 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$3,965 |
$3,965 |
— |
$191 | |
| MRI of the pelvis |
$3,606 |
$3,606 |
— |
$268 | |
| MRI of the pelvis with contrast |
$2,998 |
$2,998 |
— |
$268 | |
| MRI of the pelvis without contrast |
$3,606 |
$3,606 |
— |
$227 | |
| MRI of the shoulder |
$5,521 |
$5,521 |
— |
$313 | |
| MRI of the shoulder with contrast |
$5,521 |
$5,521 |
— |
$313 | |
| MRI of the shoulder without contrast |
$3,408 |
$3,408 |
— |
$205 | |
| MRI of the wrist |
$4,248 |
$4,248 |
— |
$330 | |
| MRI of the wrist with contrast |
$4,248 |
$4,248 |
— |
$330 | |
| MRI of the wrist without contrast |
$2,620 |
$2,620 |
— |
$303 | |
| Nebulizer breathing treatment |
$589 |
$589 |
— |
$9 | |
| Nerve conduction study |
$514 |
$514 |
— |
$118 | |
| Nuclear cardiac stress test |
$5,806 |
$5,806 |
— |
$428 | |
| Occupational therapy evaluation |
$96 |
$96 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$96 |
$96 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$401 |
$401 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$96 |
$96 |
— |
$101 | |
| Office visit (established patient) |
$116 |
$116 |
— |
$115 | |
| Office visit (new patient) |
$230 |
$230 |
— |
$177 | |
| Office visit, established patient (level 3) |
$91 |
$91 |
— |
$95 | |
| Office visit, established patient (level 4) |
$140 |
$140 |
— |
$136 | |
| Office visit, new patient (level 3) |
$135 |
$135 |
— |
$118 | |
| Office visit, new patient (level 4) |
$230 |
$230 |
— |
$177 | |
| Office visit, new patient (level 5) |
$297 |
$297 |
— |
$237 | |
| Pacemaker insertion |
— |
— |
$15,781 |
$15,506 | |
| Pap smear (cervical screening) |
— |
— |
$20 |
$20 | |
| Parathyroid hormone (PTH) test |
$410 |
$410 |
— |
$41 | |
| Pelvic ultrasound |
$594 |
$594 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$718 |
$718 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$469 |
$469 |
— |
$51 | |
| PET scan |
$6,498 |
$6,498 |
— |
— | |
| Phosphorus blood test |
$5 |
$5 |
— |
$5 | |
| Physical therapy evaluation |
$297 |
$297 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$302 |
$302 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$297 |
$297 |
— |
$98 | |
| Platelet count |
$35 |
$35 |
— |
$4 | |
| Pneumonia vaccine |
$460 |
$460 |
— |
— | |
| Pregnancy blood test (hCG) |
$75 |
$75 |
— |
$8 | |
| Pregnancy ultrasound |
$927 |
$927 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$1,047 |
$1,047 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$807 |
$807 |
— |
$136 | |
| Procalcitonin test |
$199 |
$199 |
— |
$27 | |
| Prolactin test |
$142 |
$142 |
— |
$19 | |
| Prostate test (PSA) |
$134 |
$134 |
— |
$18 | |
| Psychiatric evaluation |
$378 |
$378 |
— |
$188 | |
| Psychotherapy session |
$269 |
$269 |
— |
$140 | |
| RSV vaccine |
$402 |
$402 |
— |
— | |
| Scoliosis spine X-ray |
$256 |
$256 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$414 |
$414 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$98 |
$98 |
— |
$72 | |
| Screening colonoscopy |
— |
— |
$880 |
$378 | |
| Screening mammogram |
$86 |
$86 |
— |
$126 | |
| Scrotal ultrasound |
$678 |
$678 |
— |
$99 | |
| Semen analysis |
$70 |
$70 |
— |
$12 | |
| Sex hormone binding globulin test |
$16 |
$16 |
— |
$22 | |
| Shingles vaccine |
$942 |
$942 |
— |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
$325 |
$325 |
— |
$114 | |
| Simple wound stitches |
$258 |
$258 |
— |
$127 | |
| Skin biopsy |
$562 |
$562 |
— |
$121 | |
| Skin biopsy (punch) |
$458 |
$458 |
— |
$121 | |
| Skin lesion freezing (cryotherapy) |
$50 |
$50 |
— |
$36 | |
| Skin tag removal |
$531 |
$531 |
— |
$92 | |
| Sleep study (polysomnography) |
$6,355 |
$6,355 |
— |
$691 | |
| Soft tissue ultrasound |
$468 |
$468 |
— |
$64 | |
| Speech therapy |
$72 |
$72 |
— |
$76 | |
| Spinal tap (lumbar puncture) |
$1,275 |
$1,275 |
— |
$165 | |
| Spirometry (lung function test) |
$428 |
$428 |
— |
$30 | |
| Spirometry with bronchodilator |
$653 |
$653 |
— |
$43 | |
| Strep throat test |
$173 |
$173 |
— |
$17 | |
| Stress echocardiogram |
$1,394 |
$1,394 |
— |
$209 | |
| Swallow study |
$80 |
$80 |
— |
$85 | |
| T3 thyroid test |
$104 |
$104 |
— |
$14 | |
| Tdap (tetanus) vaccine |
$251 |
$251 |
— |
— | |
| Testosterone test |
$256 |
$256 |
— |
$26 | |
| Thyroid test (TSH) |
$17 |
$17 |
— |
$17 | |
| Thyroid ultrasound |
$678 |
$678 |
— |
$109 | |
| Thyroid uptake scan |
$955 |
$955 |
— |
$145 | |
| Tilt table test |
$1,385 |
$1,385 |
— |
$168 | |
| Total IgE allergy test |
$12 |
$12 |
— |
$16 | |
| Total protein test |
$4 |
$4 |
— |
$4 | |
| Transesophageal echocardiogram (TEE) |
$1,681 |
$1,681 |
— |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,681 |
$1,681 |
— |
$239 | |
| Transvaginal ultrasound |
$807 |
$807 |
— |
$118 | |
| Triglycerides test |
$57 |
$57 |
— |
$6 | |
| Troponin (heart) test |
$124 |
$124 |
— |
$12 | |
| Turning a breech baby (version) |
$9,217 |
$9,217 |
— |
$94 | |
| Upper GI series (barium) |
$1,224 |
$1,224 |
— |
$128 | |
| Uric acid (gout) test |
$5 |
$5 |
— |
$5 | |
| Urinalysis |
$20 |
$20 |
— |
$3 | |
| Urine microalbumin test |
$22 |
$22 |
— |
$5 | |
| Urine pregnancy test |
$6 |
$6 |
— |
$9 | |
| Vaccine administration |
$70 |
$70 |
— |
$19 | |
| Vaccine administration (each additional) |
$61 |
$61 |
— |
$16 | |
| Vaginal delivery |
— |
— |
$5,968 |
$5,487 | |
| Vitamin B12 test |
$110 |
$110 |
— |
$15 | |
| Vitamin D test |
$216 |
$216 |
— |
$30 | |
| Weight-loss (bariatric) surgery |
— |
— |
$12,000 |
$11,645 | |
| Wound debridement |
$1,086 |
$1,086 |
— |
$186 | |
| X-ray of the abdomen |
$184 |
$184 |
— |
$36 | |
| X-ray of the ankle |
$79 |
$79 |
— |
$37 | |
| X-ray of the collarbone |
$286 |
$286 |
— |
$33 | |
| X-ray of the elbow |
$79 |
$79 |
— |
$33 | |
| X-ray of the facial bones |
$218 |
$218 |
— |
$39 | |
| X-ray of the foot |
$393 |
$393 |
— |
$34 | |
| X-ray of the forearm |
$357 |
$357 |
— |
$29 | |
| X-ray of the hand |
$306 |
$306 |
— |
$38 | |
| X-ray of the hip |
$226 |
$226 |
— |
$49 | |
| X-ray of the hip (1 view) |
$373 |
$373 |
— |
$34 | |
| X-ray of the hip (3 views) |
$79 |
$79 |
— |
$49 | |
| X-ray of the knee |
$442 |
$442 |
— |
$42 | |
| X-ray of the knee (2 views) |
$464 |
$464 |
— |
$34 | |
| X-ray of the knee (3 views) |
$393 |
$393 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$442 |
$442 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$557 |
$557 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$357 |
$357 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$756 |
$756 |
— |
$53 | |
| X-ray of the lower leg |
$79 |
$79 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$411 |
$411 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$357 |
$357 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$464 |
$464 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$418 |
$418 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$79 |
$79 |
— |
$40 | |
| X-ray of the pelvis |
$296 |
$296 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$286 |
$286 |
— |
$28 | |
| X-ray of the ribs |
$464 |
$464 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$323 |
$323 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$559 |
$559 |
— |
$42 | |
| X-ray of the shoulder |
$393 |
$393 |
— |
$36 | |
| X-ray of the skull |
$98 |
$98 |
— |
$40 | |
| X-ray of the upper arm |
$373 |
$373 |
— |
$32 | |
| X-ray of the wrist |
$393 |
$393 |
— |
$43 | |
| Zinc blood test |
$11 |
$11 |
— |
$11 | |