| 3D mammogram (tomosynthesis) |
$397 |
$397 |
$40 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$2,706 |
$2,706 |
$1,337 |
$284 | |
| Abdominal ultrasound |
$717 |
$717 |
$154 |
$100 | |
| Abdominal ultrasound (complete) |
$441 |
$441 |
$154 |
$114 | |
| Abdominal ultrasound (limited) |
$717 |
$717 |
$154 |
$86 | |
| Abscess drainage (complex or multiple) |
$818 |
$818 |
$599 |
$220 | |
| Abscess drainage (simple) |
$670 |
$670 |
$296 |
$129 | |
| Abscess incision and drainage |
$725 |
$725 |
$413 |
$174 | |
| Achilles tendon repair |
$14,468 |
$14,468 |
$10,697 |
$624 | |
| ACL knee reconstruction |
$34,548 |
$34,548 |
$10,697 |
$889 | |
| Adenoid removal (adenoidectomy) |
$8,860 |
$8,860 |
$4,887 |
$204 | |
| Albumin blood test |
$33 |
$33 |
$7 |
$5 | |
| Aldosterone test |
$286 |
$286 |
$59 |
$41 | |
| Alkaline phosphatase test |
$46 |
$46 |
$8 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$119 |
$119 |
$24 |
$17 | |
| ALT liver enzyme test |
$39 |
$39 |
$8 |
$5 | |
| Ammonia blood test |
$61 |
$61 |
$21 |
$15 | |
| Amylase test |
$48 |
$48 |
$9 |
$6 | |
| Ankle fracture repair |
$21,860 |
$21,860 |
$10,697 |
$608 | |
| Antinuclear antibody (ANA) test |
$53 |
$53 |
$18 |
$12 | |
| Arterial blood gas (ABG) |
$322 |
$322 |
$38 |
$26 | |
| AST liver enzyme test |
$53 |
$53 |
$8 |
$5 | |
| Barium swallow study |
$600 |
$600 |
$259 |
$107 | |
| Bartholin cyst removal |
$556 |
$556 |
$298 |
$182 | |
| Basic metabolic panel |
$101 |
$101 |
$12 |
$8 | |
| Bilirubin blood test |
$25 |
$25 |
$7 |
$5 | |
| Bladder tumor removal (TURBT) |
$14,969 |
$14,969 |
$5,196 |
$236 | |
| Blood clotting test (PT/INR) |
$39 |
$39 |
$6 |
$4 | |
| Blood crossmatch |
$555 |
$555 |
$251 |
— | |
| Blood glucose test |
$19 |
$19 |
$6 |
$5 | |
| Blood transfusion |
$1,974 |
$1,974 |
$650 |
$47 | |
| Blood type and screen |
$225 |
$225 |
$77 |
$10 | |
| Blood type test |
$34 |
$34 |
$110 |
$3 | |
| Blood type test (ABO group) |
$213 |
$213 |
$196 |
$3 | |
| Blood type test (Rh/D antigen) |
$34 |
$34 |
$55 |
$3 | |
| BNP (heart failure) test |
$286 |
$286 |
$57 |
$39 | |
| Bone density scan (DEXA) |
$209 |
$209 |
$154 |
$39 | |
| Bone marrow biopsy |
$3,802 |
$3,802 |
$4,282 |
$172 | |
| Bone scan (nuclear) |
$1,766 |
$1,766 |
$589 |
$259 | |
| Breast biopsy |
$3,280 |
$3,280 |
$3,072 |
$478 | |
| Breast ultrasound |
$478 |
$478 |
$128 |
$92 | |
| Breast ultrasound (limited) |
$478 |
$478 |
$128 |
$84 | |
| Breathing tube insertion (intubation) |
$626 |
$626 |
— |
$133 | |
| Bronchoscopy |
$4,434 |
$4,434 |
$3,790 |
$303 | |
| Bunion surgery (bunionectomy) |
$22,020 |
$22,020 |
$10,269 |
$883 | |
| Burn dressing and debridement (small) |
$702 |
$702 |
$296 |
$93 | |
| Burn treatment |
$702 |
$702 |
$296 |
$129 | |
| C-reactive protein (CRP) |
$23 |
$23 |
$8 |
$5 | |
| CA 19-9 tumor marker test |
$92 |
$92 |
$30 |
$21 | |
| CA-125 ovarian marker test |
$90 |
$90 |
$30 |
$21 | |
| Calcium blood test |
$44 |
$44 |
$7 |
$5 | |
| Cardiac ablation |
$49,065 |
$49,065 |
$38,531 |
$759 | |
| Cardiac catheterization |
$14,797 |
$14,797 |
$4,779 |
$1,049 | |
| Cardiac stress test |
$808 |
$808 |
$318 |
$39 | |
| Cardioversion |
$1,738 |
$1,738 |
$974 |
$155 | |
| Carotid artery ultrasound |
$1,434 |
$1,434 |
$352 |
$156 | |
| Carpal tunnel release |
$10,560 |
$10,560 |
$2,879 |
$483 | |
| Cataract surgery |
$7,297 |
$7,297 |
$3,402 |
$547 | |
| CEA tumor marker test |
$90 |
$90 |
$27 |
$19 | |
| Central line placement |
$4,720 |
$4,720 |
$4,655 |
$238 | |
| Cervical LEEP procedure |
$7,297 |
$7,297 |
$4,772 |
$325 | |
| Cesarean section (C-section) |
— |
— |
$13,098 |
$7,552 | |
| Chemotherapy infusion |
$910 |
$910 |
$250 |
$81 | |
| Chemotherapy infusion (each additional) |
$492 |
$492 |
$106 |
$28 | |
| Chemotherapy infusion (first hour) |
$1,327 |
$1,327 |
$487 |
$133 | |
| Chest fluid drain (thoracentesis) |
$2,143 |
$2,143 |
$1,084 |
$311 | |
| Chest X-ray |
$287 |
$287 |
$128 |
$37 | |
| Chest X-ray (1 view) |
$287 |
$287 |
$128 |
$25 | |
| Chest X-ray (2 views) |
$309 |
$309 |
$128 |
$33 | |
| CK-MB heart enzyme test |
$53 |
$53 |
$17 |
$12 | |
| Clotting time test (PTT) |
$92 |
$92 |
$9 |
$6 | |
| Colonoscopy |
$3,357 |
$3,357 |
$1,506 |
$480 | |
| Complete blood count (CBC) |
$85 |
$85 |
$10 |
$7 | |
| Complete blood count (CBC) (complete) |
$101 |
$101 |
$11 |
$8 | |
| Comprehensive metabolic panel |
$146 |
$146 |
$15 |
$11 | |
| Copper blood test |
$57 |
$57 |
$18 |
$12 | |
| Corneal transplant |
$41,700 |
$41,700 |
$6,093 |
$1,066 | |
| Coronary artery bypass (CABG) |
— |
— |
$50,699 |
$36,593 | |
| Coronary CT angiography |
$3,655 |
$3,655 |
$514 |
$326 | |
| Cortisol test |
$76 |
$76 |
$24 |
$16 | |
| COVID-19 PCR test |
$158 |
$158 |
$74 |
$51 | |
| CPAP titration study |
$944 |
$944 |
— |
$69 | |
| Creatine kinase (CK) test |
$60 |
$60 |
$9 |
$7 | |
| CT angiography of the chest |
$2,867 |
$2,867 |
$259 |
$281 | |
| CT angiography of the head |
$1,333 |
$1,333 |
$259 |
$274 | |
| CT scan of the abdomen |
$1,033 |
$1,033 |
$190 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,426 |
$2,426 |
$408 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,859 |
$3,859 |
$514 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$3,429 |
$3,429 |
$514 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,426 |
$2,426 |
$352 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,364 |
$1,364 |
$259 |
$259 | |
| CT scan of the abdomen with contrast |
$1,190 |
$1,190 |
$259 |
$230 | |
| CT scan of the abdomen without contrast |
$1,019 |
$1,019 |
$154 |
$136 | |
| CT scan of the arm |
$1,764 |
$1,764 |
$237 |
$199 | |
| CT scan of the arm with contrast |
$1,073 |
$1,073 |
$514 |
$199 | |
| CT scan of the arm without contrast |
$1,764 |
$1,764 |
$154 |
$161 | |
| CT scan of the chest |
$1,985 |
$1,985 |
$190 |
$167 | |
| CT scan of the chest with and without contrast |
$2,426 |
$2,426 |
$259 |
$196 | |
| CT scan of the chest with contrast |
$2,315 |
$2,315 |
$259 |
$167 | |
| CT scan of the chest without contrast |
$1,985 |
$1,985 |
$154 |
$133 | |
| CT scan of the head |
$1,723 |
$1,723 |
$190 |
$148 | |
| CT scan of the head with and without contrast |
$2,315 |
$2,315 |
$259 |
$173 | |
| CT scan of the head with contrast |
$2,002 |
$2,002 |
$259 |
$148 | |
| CT scan of the head without contrast |
$1,723 |
$1,723 |
$154 |
$107 | |
| CT scan of the leg |
$1,874 |
$1,874 |
$202 |
$166 | |
| CT scan of the leg with contrast |
$2,095 |
$2,095 |
$259 |
$166 | |
| CT scan of the leg without contrast |
$1,874 |
$1,874 |
$202 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,040 |
$2,040 |
$234 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,315 |
$2,315 |
$259 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,095 |
$2,095 |
$514 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,061 |
$1,061 |
$154 |
$130 | |
| CT scan of the neck |
$972 |
$972 |
$190 |
$183 | |
| CT scan of the neck (cervical spine) |
$2,095 |
$2,095 |
$218 |
$168 | |
| CT scan of the neck (cervical spine) with contrast |
$2,171 |
$2,171 |
$514 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$2,095 |
$2,095 |
$154 |
$131 | |
| CT scan of the neck with and without contrast |
$1,268 |
$1,268 |
$259 |
$220 | |
| CT scan of the neck with contrast |
$1,143 |
$1,143 |
$259 |
$183 | |
| CT scan of the neck without contrast |
$949 |
$949 |
$154 |
$150 | |
| CT scan of the pelvis |
$1,874 |
$1,874 |
$190 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,620 |
$2,620 |
$259 |
$251 | |
| CT scan of the pelvis with contrast |
$1,126 |
$1,126 |
$259 |
$226 | |
| CT scan of the pelvis without contrast |
$1,012 |
$1,012 |
$154 |
$133 | |
| CT scan of the sinuses |
$1,722 |
$1,722 |
$190 |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,315 |
$2,315 |
$259 |
$184 | |
| CT scan of the sinuses with contrast |
$1,125 |
$1,125 |
$259 |
$152 | |
| CT scan of the sinuses without contrast |
$920 |
$920 |
$154 |
$128 | |
| D-dimer test |
$45 |
$45 |
$15 |
$10 | |
| Defibrillator (ICD) implant |
$149,093 |
$149,093 |
$46,272 |
$798 | |
| DHEA-sulfate test |
$84 |
$84 |
$32 |
$22 | |
| Diagnostic mammogram |
$662 |
$662 |
$59 |
$140 | |
| Drug screen (urine) |
$65 |
$65 |
$62 |
$17 | |
| Ear tubes (myringotomy) |
$10,018 |
$10,018 |
$2,287 |
$174 | |
| Echocardiogram |
$1,729 |
$1,729 |
$556 |
$138 | |
| Echocardiogram with and without contrast |
$638 |
$638 |
$352 |
$101 | |
| EKG / ECG (tracing only) |
$214 |
$214 |
$87 |
$7 | |
| Electrocardiogram (EKG) |
$214 |
$214 |
$60 |
$8 | |
| Electrolyte panel |
$8 |
$8 |
$10 |
$7 | |
| Emergency department visit |
$761 |
$761 |
$388 |
$69 | |
| Emergency department visit (level 1) |
$250 |
$250 |
$124 |
$11 | |
| Emergency department visit (level 2) |
$421 |
$421 |
$226 |
$40 | |
| Emergency department visit (level 3) |
$761 |
$761 |
$402 |
$69 | |
| Emergency department visit (level 4) |
$1,260 |
$1,260 |
$615 |
$118 | |
| Emergency department visit (level 5) |
$1,851 |
$1,851 |
$878 |
$171 | |
| Epidural steroid injection |
$4,710 |
$4,710 |
$1,041 |
$275 | |
| Estradiol (estrogen) test |
$100 |
$100 |
$41 |
$28 | |
| Facet joint injection (spine) |
$2,553 |
$2,553 |
$96 |
$99 | |
| Fecal occult blood (stool) test |
$58 |
$58 |
$13 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$58 |
$58 |
$6 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$58 |
$58 |
$23 |
$16 | |
| Ferritin (iron) test |
$120 |
$120 |
$20 |
$14 | |
| Fibrinogen test |
$10 |
$10 |
$14 |
$10 | |
| Flexible sigmoidoscopy |
$2,261 |
$2,261 |
$1,371 |
$323 | |
| Folate (folic acid) test |
$112 |
$112 |
$21 |
$15 | |
| Foreign body removal (skin) |
$1,068 |
$1,068 |
$599 |
$157 | |
| Free T4 thyroid test |
$84 |
$84 |
$13 |
$9 | |
| FSH hormone test |
$121 |
$121 |
$27 |
$19 | |
| Gallbladder removal (laparoscopic) |
$25,156 |
$25,156 |
$8,912 |
$658 | |
| Gallbladder scan (HIDA) |
$1,578 |
$1,578 |
$662 |
$334 | |
| Ganglion cyst removal |
$7,434 |
$7,434 |
$2,370 |
$321 | |
| GGT liver test |
$58 |
$58 |
$10 |
$7 | |
| Glucose tolerance test |
$22 |
$22 |
$11 |
$8 | |
| Hammertoe repair |
$14,396 |
$14,396 |
$4,823 |
$548 | |
| HDL cholesterol test |
$9 |
$9 |
$12 |
$8 | |
| Hematocrit test |
$21 |
$21 |
$3 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$83 |
$83 |
$14 |
$10 | |
| Hepatitis B test |
$45 |
$45 |
$15 |
$10 | |
| Hepatitis C test |
$115 |
$115 |
$21 |
$14 | |
| Hip arthroscopy |
$25,691 |
$25,691 |
$10,697 |
$931 | |
| Hip replacement |
$41,017 |
$41,017 |
$18,926 |
$1,162 | |
| HIV test |
$27 |
$27 |
$25 |
$19 | |
| HIV test (antibody) |
$64 |
$64 |
$20 |
$14 | |
| HIV test (antigen/antibody combo) |
$27 |
$27 |
$35 |
$24 | |
| Hydrocele repair |
$15,751 |
$15,751 |
$5,278 |
$315 | |
| Hysterectomy |
$25,528 |
$25,528 |
$15,670 |
$933 | |
| Hysteroscopy |
$17,287 |
$17,287 |
$4,772 |
$1,270 | |
| Inguinal hernia repair |
$17,430 |
$17,430 |
$5,278 |
$538 | |
| Iron blood test |
$69 |
$69 |
$9 |
$6 | |
| IV infusion therapy |
$447 |
$447 |
$162 |
$44 | |
| IV infusion therapy (each additional) |
$157 |
$157 |
$69 |
$21 | |
| IV infusion therapy (initial) |
$737 |
$737 |
$314 |
$67 | |
| Kidney stone shock-wave (lithotripsy) |
$17,827 |
$17,827 |
$5,196 |
$760 | |
| Kidney ultrasound |
$607 |
$607 |
$154 |
$84 | |
| Kidney ultrasound (limited) |
$607 |
$607 |
$154 |
$61 | |
| Knee arthroscopy |
$16,955 |
$16,955 |
$4,823 |
$524 | |
| Knee joint injection |
$4,062 |
$4,062 |
$531 |
$69 | |
| Knee replacement |
— |
— |
$24,819 |
$18,054 | |
| Lactate test |
$135 |
$135 |
$17 |
$12 | |
| Laminectomy (spine) |
$22,373 |
$22,373 |
$10,697 |
$1,157 | |
| LDH test |
$27 |
$27 |
$9 |
$6 | |
| LDL cholesterol test |
$74 |
$74 |
$15 |
$11 | |
| Leg artery angiogram |
$9,404 |
$9,404 |
$4,655 |
$149 | |
| Leg artery angioplasty |
$24,517 |
$24,517 |
— |
— | |
| Leg vein ultrasound (Doppler) |
$767 |
$767 |
$234 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$767 |
$767 |
$154 |
$116 | |
| LH hormone test |
$120 |
$120 |
$27 |
$19 | |
| Lipase test |
$54 |
$54 |
$10 |
$7 | |
| Lipid (cholesterol) panel |
$197 |
$197 |
$19 |
$13 | |
| Liver biopsy |
$3,569 |
$3,569 |
$2,435 |
$288 | |
| Liver function panel |
$61 |
$61 |
$12 |
$8 | |
| Lumbar discectomy |
$25,458 |
$25,458 |
$10,697 |
$898 | |
| Lung scan (V/Q) |
$2,315 |
$2,315 |
$800 |
$291 | |
| Magnesium blood test |
$74 |
$74 |
$10 |
$7 | |
| Mastectomy |
$28,935 |
$28,935 |
$9,789 |
$1,021 | |
| Meniscus repair (knee) |
$16,486 |
$16,486 |
$4,823 |
$714 | |
| MRA of the brain |
$2,536 |
$2,536 |
$352 |
$226 | |
| MRA of the neck |
$2,426 |
$2,426 |
$408 |
$245 | |
| MRA of the neck without contrast |
$2,053 |
$2,053 |
$514 |
$343 | |
| MRI of the abdomen |
$1,309 |
$1,309 |
$408 |
$300 | |
| MRI of the abdomen without contrast |
$1,258 |
$1,258 |
$352 |
$194 | |
| MRI of the ankle |
$2,315 |
$2,315 |
$408 |
$261 | |
| MRI of the ankle without contrast |
$2,315 |
$2,315 |
$352 |
$222 | |
| MRI of the brain |
$1,481 |
$1,481 |
$408 |
$269 | |
| MRI of the brain without contrast |
$1,425 |
$1,425 |
$352 |
$195 | |
| MRI of the chest |
$3,087 |
$3,087 |
$408 |
$371 | |
| MRI of the chest without contrast |
$3,638 |
$3,638 |
$514 |
$466 | |
| MRI of the knee |
$3,087 |
$3,087 |
$535 |
$315 | |
| MRI of the knee with contrast |
$3,087 |
$3,087 |
$1,156 |
$315 | |
| MRI of the knee without contrast |
$3,087 |
$3,087 |
$534 |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,371 |
$1,371 |
$408 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,316 |
$1,316 |
$352 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,371 |
$1,371 |
$408 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$1,757 |
$1,757 |
$514 |
$319 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,315 |
$1,315 |
$352 |
$190 | |
| MRI of the neck (cervical spine) |
$2,426 |
$2,426 |
$408 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$1,936 |
$1,936 |
$514 |
$318 | |
| MRI of the neck (cervical spine) without contrast |
$2,426 |
$2,426 |
$352 |
$191 | |
| MRI of the pelvis |
$1,419 |
$1,419 |
$408 |
$268 | |
| MRI of the pelvis without contrast |
$1,371 |
$1,371 |
$352 |
$227 | |
| MRI of the shoulder |
$2,095 |
$2,095 |
$610 |
$313 | |
| MRI of the shoulder with contrast |
$1,499 |
$1,499 |
$1,156 |
$313 | |
| MRI of the shoulder without contrast |
$2,095 |
$2,095 |
$534 |
$205 | |
| MRI of the wrist |
$2,315 |
$2,315 |
$408 |
$330 | |
| MRI of the wrist without contrast |
$2,315 |
$2,315 |
$352 |
$303 | |
| Nebulizer breathing treatment |
$762 |
$762 |
— |
$9 | |
| Neck (cervical) spinal fusion |
$8,448 |
$8,448 |
$18,926 |
$1,410 | |
| Nuclear cardiac stress test |
$4,630 |
$4,630 |
$1,909 |
$428 | |
| Occupational therapy evaluation |
$246 |
$246 |
$146 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$246 |
$246 |
$146 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$308 |
$308 |
$146 |
$101 | |
| Orthopedic hardware removal |
$16,170 |
$16,170 |
$4,282 |
$632 | |
| Pacemaker insertion |
— |
— |
$24,561 |
$15,506 | |
| Pap smear (cervical screening) |
$29 |
$29 |
$39 |
$20 | |
| Parathyroid hormone (PTH) test |
$184 |
$184 |
$60 |
$41 | |
| Parathyroid removal |
$46,399 |
$46,399 |
$8,727 |
$891 | |
| Pelvic ultrasound |
$378 |
$378 |
$154 |
$78 | |
| Pelvic ultrasound (complete) |
$406 |
$406 |
$154 |
$105 | |
| Pelvic ultrasound (limited) |
$365 |
$365 |
$154 |
$51 | |
| Phosphorus blood test |
$46 |
$46 |
$7 |
$5 | |
| Physical therapy evaluation |
$286 |
$286 |
$142 |
$98 | |
| Physical therapy evaluation (high complexity) |
$308 |
$308 |
$142 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$296 |
$296 |
$142 |
$98 | |
| Pilonidal cyst removal |
$14,636 |
$14,636 |
$4,282 |
$541 | |
| Pregnancy blood test (hCG) |
$35 |
$35 |
$11 |
$8 | |
| Pregnancy ultrasound |
$400 |
$400 |
$154 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$399 |
$399 |
$154 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$400 |
$400 |
$154 |
$136 | |
| Procalcitonin test |
$124 |
$124 |
$39 |
$27 | |
| Prolactin test |
$84 |
$84 |
$28 |
$19 | |
| Prostate biopsy |
$4,090 |
$4,090 |
— |
— | |
| Prostate removal (prostatectomy) |
$69,292 |
$69,292 |
$15,670 |
$1,063 | |
| Prostate surgery (TURP) |
$21,397 |
$21,397 |
$7,904 |
$526 | |
| Prostate test (PSA) |
$141 |
$141 |
$27 |
$18 | |
| Radiofrequency nerve ablation |
$4,965 |
$4,965 |
$2,879 |
$462 | |
| Retinal detachment repair |
$23,509 |
$23,509 |
$6,093 |
$966 | |
| Rotator cuff repair |
$14,833 |
$14,833 |
$10,697 |
$792 | |
| Sacroiliac joint injection |
$4,062 |
$4,062 |
$107 |
$176 | |
| Scoliosis spine X-ray |
$188 |
$188 |
$154 |
$58 | |
| Scoliosis spine X-ray (3 views) |
$188 |
$188 |
$154 |
$72 | |
| Screening colonoscopy |
$2,481 |
$2,481 |
$1,371 |
$378 | |
| Screening mammogram |
$425 |
$425 |
$51 |
$126 | |
| Scrotal ultrasound |
$392 |
$392 |
$154 |
$99 | |
| Sedimentation rate (ESR) test |
$16 |
$16 |
$6 |
$3 | |
| Semen analysis |
$44 |
$44 |
$18 |
$12 | |
| Septoplasty (deviated septum) |
$11,929 |
$11,929 |
$4,887 |
$613 | |
| Sex hormone binding globulin test |
$79 |
$79 |
$32 |
$22 | |
| Shoulder arthroscopy |
$34,771 |
$34,771 |
$10,697 |
$962 | |
| Shoulder replacement |
$41,017 |
$41,017 |
$25,847 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$567 |
$567 |
$296 |
$114 | |
| Simple wound stitches |
$635 |
$635 |
$296 |
$127 | |
| Sinus surgery (endoscopic) |
$8,470 |
$8,470 |
$7,188 |
$224 | |
| Skin biopsy |
$558 |
$558 |
$599 |
$121 | |
| Skin biopsy (punch) |
$558 |
$558 |
$599 |
$121 | |
| Skin cancer lesion removal |
$3,891 |
$3,891 |
$1,044 |
$240 | |
| Soft tissue ultrasound |
$402 |
$402 |
$154 |
$64 | |
| Speech therapy |
$318 |
$318 |
$110 |
$76 | |
| Spinal cord stimulator |
$10,180 |
$10,180 |
$9,395 |
$2,388 | |
| Spine fracture repair (kyphoplasty) |
$14,216 |
$14,216 |
$10,697 |
$5,803 | |
| Stress echocardiogram |
$1,729 |
$1,729 |
$805 |
$209 | |
| Stress echocardiogram (complete) |
$1,729 |
$1,729 |
$805 |
$233 | |
| Swallow study |
$414 |
$414 |
$123 |
$85 | |
| T3 thyroid test |
$58 |
$58 |
$21 |
$14 | |
| Tdap (tetanus) vaccine |
$190 |
$190 |
— |
— | |
| Testosterone test |
$155 |
$155 |
$37 |
$26 | |
| Thyroid removal (thyroidectomy) |
$58,720 |
$58,720 |
$8,912 |
$1,004 | |
| Thyroid test (TSH) |
$120 |
$120 |
$24 |
$17 | |
| Thyroid ultrasound |
$397 |
$397 |
$154 |
$109 | |
| Tonsillectomy |
$18,602 |
$18,602 |
$6,211 |
$252 | |
| Total IgE allergy test |
$63 |
$63 |
$24 |
$16 | |
| Total protein test |
$37 |
$37 |
$5 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$2,319 |
$2,319 |
$805 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$2,319 |
$2,319 |
$805 |
$239 | |
| Transvaginal ultrasound |
$379 |
$379 |
$154 |
$118 | |
| Trigger finger release |
$9,494 |
$9,494 |
$2,370 |
$630 | |
| Trigger point injection |
$628 |
$628 |
$452 |
$56 | |
| Trigger point injection (1-2 muscles) |
$628 |
$628 |
$452 |
$52 | |
| Triglycerides test |
$61 |
$61 |
$8 |
$6 | |
| Troponin (heart) test |
$122 |
$122 |
$18 |
$12 | |
| Tubal ligation |
$14,889 |
$14,889 |
$8,912 |
$333 | |
| Turbinate reduction |
$11,706 |
$11,706 |
$4,887 |
$294 | |
| Ulnar nerve surgery (elbow) |
$11,350 |
$11,350 |
$2,879 |
$575 | |
| Upper GI endoscopy (EGD) |
$2,559 |
$2,559 |
$922 |
$371 | |
| Ureteral stent placement |
$8,123 |
$8,123 |
$5,196 |
$373 | |
| Ureteroscopy (stone removal) |
$23,249 |
$23,249 |
$7,904 |
$365 | |
| Uric acid (gout) test |
$45 |
$45 |
$7 |
$5 | |
| Urinalysis |
$36 |
$36 |
$4 |
$3 | |
| Urine microalbumin test |
$55 |
$55 |
$8 |
$5 | |
| Urine pregnancy test |
$32 |
$32 |
$12 |
$9 | |
| Vaccine administration |
$115 |
$115 |
$106 |
$19 | |
| Vaccine administration (each additional) |
$35 |
$35 |
— |
$16 | |
| Vaginal delivery |
— |
— |
$9,072 |
$5,487 | |
| Varicocele repair |
$27,562 |
$27,562 |
$5,196 |
$327 | |
| Vasectomy |
$15,403 |
$15,403 |
$3,082 |
$347 | |
| Vitamin B12 test |
$125 |
$125 |
$22 |
$15 | |
| Vitamin D test |
$224 |
$224 |
$43 |
$30 | |
| Vitrectomy (eye) |
$13,551 |
$13,551 |
$6,093 |
$814 | |
| Weight-loss (bariatric) surgery |
— |
— |
$21,389 |
$11,645 | |
| Wound debridement |
$1,475 |
$1,475 |
$768 |
$186 | |
| Wrist fracture repair |
$22,765 |
$22,765 |
$10,697 |
$735 | |
| X-ray of the abdomen |
$276 |
$276 |
$137 |
$36 | |
| X-ray of the ankle |
$296 |
$296 |
$128 |
$37 | |
| X-ray of the collarbone |
$243 |
$243 |
$128 |
$33 | |
| X-ray of the elbow |
$302 |
$302 |
$128 |
$33 | |
| X-ray of the facial bones |
$298 |
$298 |
$137 |
$39 | |
| X-ray of the foot |
$276 |
$276 |
$128 |
$34 | |
| X-ray of the forearm |
$274 |
$274 |
$128 |
$29 | |
| X-ray of the hand |
$254 |
$254 |
$128 |
$38 | |
| X-ray of the hip |
$287 |
$287 |
$137 |
$49 | |
| X-ray of the hip (1 view) |
$230 |
$230 |
$128 |
$34 | |
| X-ray of the hip (3 views) |
$287 |
$287 |
$128 |
$49 | |
| X-ray of the hip (4 views) |
$295 |
$295 |
$154 |
$63 | |
| X-ray of the knee |
$370 |
$370 |
$137 |
$42 | |
| X-ray of the knee (2 views) |
$328 |
$328 |
$128 |
$34 | |
| X-ray of the knee (3 views) |
$370 |
$370 |
$128 |
$42 | |
| X-ray of the knee (4+ views) |
$370 |
$370 |
$154 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$419 |
$419 |
$154 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$364 |
$364 |
$154 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$473 |
$473 |
$154 |
$53 | |
| X-ray of the lower leg |
$287 |
$287 |
$128 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$309 |
$309 |
$154 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$169 |
$169 |
$154 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$414 |
$414 |
$154 |
$39 | |
| X-ray of the neck (cervical spine) |
$179 |
$179 |
$137 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$176 |
$176 |
$128 |
$40 | |
| X-ray of the pelvis |
$286 |
$286 |
$154 |
$36 | |
| X-ray of the pelvis (1 view) |
$286 |
$286 |
$154 |
$28 | |
| X-ray of the ribs |
$386 |
$386 |
$137 |
$42 | |
| X-ray of the ribs (2 views) |
$208 |
$208 |
$128 |
$36 | |
| X-ray of the ribs (3 views) |
$386 |
$386 |
$154 |
$42 | |
| X-ray of the shoulder |
$302 |
$302 |
$128 |
$36 | |
| X-ray of the skull |
$302 |
$302 |
$154 |
$40 | |
| X-ray of the upper arm |
$282 |
$282 |
$128 |
$32 | |
| X-ray of the wrist |
$254 |
$254 |
$128 |
$43 | |
| Zinc blood test |
$53 |
$53 |
$17 |
$11 | |