| 3D mammogram (tomosynthesis) |
$93 |
$186 |
$126 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,641 |
$3,281 |
$2,573 |
$284 | |
| Abdominal ultrasound |
$409 |
$818 |
$642 |
$100 | |
| Abdominal ultrasound (complete) |
$409 |
$818 |
$642 |
$114 | |
| Abdominal ultrasound (limited) |
$409 |
$818 |
$642 |
$86 | |
| Abscess drainage (complex or multiple) |
$699 |
$1,398 |
$1,096 |
$220 | |
| Abscess drainage (simple) |
$348 |
$695 |
$545 |
$129 | |
| Abscess incision and drainage |
$523 |
$1,047 |
$659 |
$174 | |
| Albumin blood test |
$12 |
$24 |
$19 |
$5 | |
| Aldosterone test |
$97 |
$194 |
$155 |
$41 | |
| Alkaline phosphatase test |
$12 |
$25 |
$20 |
$5 | |
| Allergy shots |
$81 |
$161 |
$127 |
$11 | |
| Alpha-fetoprotein (AFP) test |
$40 |
$80 |
$64 |
$17 | |
| ALT liver enzyme test |
$13 |
$25 |
$20 |
$5 | |
| Ammonia blood test |
$35 |
$69 |
$55 |
$15 | |
| Amniocentesis |
$551 |
$1,101 |
$863 |
$120 | |
| Amylase test |
$15 |
$31 |
$25 |
$6 | |
| Anoscopy |
$226 |
$451 |
$354 |
$129 | |
| Antinuclear antibody (ANA) test |
$29 |
$58 |
$46 |
$12 | |
| Aortic aneurysm repair (AAA) |
$23,066 |
$46,132 |
$36,167 |
$1,345 | |
| Aortic valve replacement |
$24,578 |
$49,157 |
$38,539 |
$1,603 | |
| Arterial blood gas (ABG) |
$72 |
$144 |
$115 |
$26 | |
| AST liver enzyme test |
$12 |
$25 |
$20 |
$5 | |
| Barium swallow study |
$287 |
$574 |
$446 |
$107 | |
| Bartholin cyst removal |
$552 |
$1,104 |
$866 |
$182 | |
| Basic metabolic panel |
$20 |
$40 |
$32 |
$8 | |
| Benign skin lesion removal |
$1,231 |
$2,463 |
$1,931 |
$171 | |
| Bilirubin blood test |
$10 |
$19 |
$15 |
$5 | |
| Bladder scope (cystoscopy) |
$1,168 |
$2,336 |
$1,832 |
$216 | |
| Blood clotting test (PT/INR) |
$11 |
$22 |
$17 |
$4 | |
| Blood crossmatch |
$300 |
$600 |
$465 |
— | |
| Blood glucose test |
$10 |
$19 |
$16 |
$5 | |
| Blood transfusion |
$765 |
$1,530 |
$1,200 |
$47 | |
| Blood type and screen |
$25 |
$51 |
$41 |
$10 | |
| Blood type test |
$147 |
$294 |
$130 |
$3 | |
| Blood type test (ABO group) |
$226 |
$451 |
$350 |
$3 | |
| Blood type test (Rh/D antigen) |
$69 |
$137 |
$107 |
$3 | |
| BNP (heart failure) test |
$81 |
$162 |
$129 |
$39 | |
| Bone density scan (DEXA) |
$292 |
$584 |
$458 |
$39 | |
| Bone marrow biopsy |
$3,922 |
$7,844 |
$5,376 |
$172 | |
| Bone scan (nuclear) |
$1,324 |
$2,649 |
$2,077 |
$259 | |
| Breast biopsy |
$3,738 |
$7,476 |
$5,796 |
$478 | |
| Breast MRI |
$547 |
$1,094 |
$740 |
$216 | |
| Breast MRI without contrast |
$547 |
$1,094 |
$871 |
$216 | |
| Breast ultrasound |
$479 |
$958 |
$605 |
$92 | |
| Breast ultrasound (complete) |
$639 |
$1,278 |
$1,002 |
$100 | |
| Breast ultrasound (limited) |
$319 |
$638 |
$500 |
$84 | |
| Breathing tube insertion (intubation) |
$406 |
$813 |
$637 |
$133 | |
| Bronchoscopy |
$3,810 |
$7,620 |
$6,553 |
$303 | |
| Burn dressing and debridement (medium) |
$798 |
$1,597 |
$1,252 |
$166 | |
| Burn dressing and debridement (small) |
$476 |
$952 |
$746 |
$93 | |
| Burn treatment |
$637 |
$1,274 |
$902 |
$129 | |
| C-reactive protein (CRP) |
$12 |
$25 |
$20 |
$5 | |
| CA 19-9 tumor marker test |
$35 |
$71 |
$56 |
$21 | |
| CA-125 ovarian marker test |
$36 |
$73 |
$58 |
$21 | |
| Calcium blood test |
$12 |
$25 |
$20 |
$5 | |
| Capsule endoscopy |
$2,927 |
$5,855 |
$4,590 |
$802 | |
| Cardiac ablation |
$18,990 |
$37,979 |
$29,776 |
$759 | |
| Cardiac catheterization |
$12,446 |
$24,892 |
$19,540 |
$1,049 | |
| Cardiac MRI |
$1,498 |
$2,996 |
$2,316 |
$322 | |
| Cardiac MRI without contrast |
$1,512 |
$3,023 |
$2,346 |
$280 | |
| Cardiac rehabilitation |
$220 |
$441 |
$346 |
$26 | |
| Cardiac stress test |
$811 |
$1,621 |
$1,271 |
$39 | |
| Cardioversion |
$1,742 |
$3,484 |
$2,732 |
$155 | |
| Carotid artery ultrasound |
$562 |
$1,124 |
$882 |
$156 | |
| CEA tumor marker test |
$45 |
$90 |
$72 |
$19 | |
| Celiac disease test |
$28 |
$55 |
$44 |
$12 | |
| Central line placement |
$5,508 |
$11,016 |
$8,637 |
$238 | |
| Chemotherapy infusion |
$364 |
$727 |
$279 |
$81 | |
| Chemotherapy infusion (each additional) |
$147 |
$294 |
$231 |
$28 | |
| Chemotherapy infusion (first hour) |
$580 |
$1,161 |
$910 |
$133 | |
| Chest fluid drain (thoracentesis) |
$2,291 |
$4,582 |
$3,592 |
$311 | |
| Chest tube insertion |
$2,719 |
$5,437 |
$4,263 |
$143 | |
| Chest X-ray |
$173 |
$347 |
$272 |
$37 | |
| Chest X-ray (1 view) |
$173 |
$347 |
$272 |
$25 | |
| Chest X-ray (2 views) |
$173 |
$347 |
$272 |
$33 | |
| Chickenpox (varicella) vaccine |
$823 |
$1,646 |
$1,240 |
— | |
| Circumcision |
$3,585 |
$7,170 |
$5,621 |
$167 | |
| CK-MB heart enzyme test |
$22 |
$43 |
$35 |
$12 | |
| Clotting time test (PTT) |
$16 |
$33 |
$26 |
$6 | |
| Colonoscopy |
$3,067 |
$6,133 |
$4,789 |
$480 | |
| Complete blood count (CBC) |
$20 |
$39 |
$32 |
$7 | |
| Complete blood count (CBC) (complete) |
$21 |
$43 |
$34 |
$8 | |
| Comprehensive metabolic panel |
$29 |
$58 |
$46 |
$11 | |
| Contraceptive implant (Nexplanon) |
$1,437 |
$2,874 |
$1,513 |
$115 | |
| Copper blood test |
$30 |
$59 |
$47 |
$12 | |
| Coronary CT angiography |
$1,969 |
$3,939 |
$3,056 |
$326 | |
| Cortisol test |
$39 |
$78 |
$62 |
$16 | |
| COVID-19 PCR test |
$122 |
$243 |
$189 |
$51 | |
| COVID-19 vaccine |
— |
— |
$0 |
— | |
| CPAP titration study |
$356 |
$712 |
$558 |
$69 | |
| Creatine kinase (CK) test |
$16 |
$31 |
$25 |
$7 | |
| CT angiography of the chest |
$2,554 |
$5,108 |
$2,273 |
$281 | |
| CT angiography of the head |
$1,199 |
$2,398 |
$1,861 |
$274 | |
| CT scan of the abdomen |
$1,008 |
$2,016 |
$1,449 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,016 |
$4,032 |
$2,895 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,390 |
$4,781 |
$3,710 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,016 |
$4,032 |
$3,129 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,527 |
$3,054 |
$2,370 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,195 |
$2,390 |
$1,855 |
$259 | |
| CT scan of the abdomen with contrast |
$1,008 |
$2,016 |
$1,565 |
$230 | |
| CT scan of the abdomen without contrast |
$764 |
$1,529 |
$1,217 |
$136 | |
| CT scan of the arm |
$1,530 |
$3,059 |
$1,912 |
$199 | |
| CT scan of the arm with contrast |
$1,898 |
$3,795 |
$2,945 |
$199 | |
| CT scan of the arm without contrast |
$1,530 |
$3,059 |
$2,374 |
$161 | |
| CT scan of the chest |
$1,008 |
$2,016 |
$1,449 |
$167 | |
| CT scan of the chest with and without contrast |
$1,195 |
$2,390 |
$1,855 |
$196 | |
| CT scan of the chest with contrast |
$1,008 |
$2,016 |
$1,565 |
$167 | |
| CT scan of the chest without contrast |
$764 |
$1,529 |
$1,217 |
$133 | |
| CT scan of the head |
$1,008 |
$2,016 |
$1,449 |
$148 | |
| CT scan of the head with and without contrast |
$1,195 |
$2,390 |
$1,855 |
$173 | |
| CT scan of the head with contrast |
$1,008 |
$2,016 |
$1,565 |
$148 | |
| CT scan of the head without contrast |
$764 |
$1,529 |
$1,217 |
$107 | |
| CT scan of the leg |
$1,529 |
$3,057 |
$2,266 |
$166 | |
| CT scan of the leg with contrast |
$2,016 |
$4,032 |
$3,129 |
$166 | |
| CT scan of the leg without contrast |
$1,529 |
$3,057 |
$2,372 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,179 |
$2,358 |
$1,452 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,452 |
$2,905 |
$2,254 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,179 |
$2,358 |
$1,829 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$764 |
$1,529 |
$1,217 |
$130 | |
| CT scan of the neck |
$1,008 |
$2,016 |
$1,449 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,211 |
$2,423 |
$1,452 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,464 |
$2,929 |
$2,273 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,211 |
$2,423 |
$1,880 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$764 |
$1,529 |
$1,217 |
$131 | |
| CT scan of the neck with and without contrast |
$1,195 |
$2,390 |
$1,855 |
$220 | |
| CT scan of the neck with contrast |
$1,008 |
$2,016 |
$1,565 |
$183 | |
| CT scan of the neck without contrast |
$764 |
$1,529 |
$1,217 |
$150 | |
| CT scan of the pelvis |
$1,008 |
$2,016 |
$1,449 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,195 |
$2,390 |
$1,855 |
$251 | |
| CT scan of the pelvis with contrast |
$1,008 |
$2,016 |
$1,565 |
$226 | |
| CT scan of the pelvis without contrast |
$764 |
$1,529 |
$1,217 |
$133 | |
| CT scan of the sinuses |
$1,150 |
$2,300 |
$1,453 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,265 |
$2,530 |
$1,963 |
$184 | |
| CT scan of the sinuses with contrast |
$1,150 |
$2,300 |
$1,785 |
$152 | |
| CT scan of the sinuses without contrast |
$765 |
$1,530 |
$1,217 |
$128 | |
| D-dimer test |
$28 |
$56 |
$44 |
$10 | |
| Defibrillator (ICD) implant |
$23,391 |
$46,783 |
$36,678 |
$798 | |
| DHEA-sulfate test |
$53 |
$106 |
$84 |
$22 | |
| Diagnostic mammogram |
$350 |
$701 |
$555 |
$140 | |
| Dialysis fistula creation |
$5,508 |
$11,016 |
$8,637 |
$601 | |
| Drug screen (urine) |
$69 |
$138 |
$124 |
$17 | |
| Ear pressure test (tympanometry) |
$101 |
$201 |
$158 |
$16 | |
| Ear tubes (myringotomy) |
$1,782 |
$3,565 |
$2,795 |
$174 | |
| Echocardiogram |
$1,210 |
$2,421 |
$1,694 |
$138 | |
| Echocardiogram with and without contrast |
$1,210 |
$2,421 |
$845 |
$101 | |
| Echocardiogram without contrast |
$391 |
$782 |
$613 |
$138 | |
| EEG (awake and asleep) |
$545 |
$1,090 |
$854 |
$482 | |
| EKG / ECG (tracing only) |
$154 |
$308 |
$241 |
$7 | |
| Electrocardiogram (EKG) |
$154 |
$308 |
$241 |
$8 | |
| Electroencephalogram (EEG) |
$657 |
$1,313 |
$1,033 |
$448 | |
| Electrolyte panel |
$13 |
$25 |
$20 |
$7 | |
| Emergency department visit |
$544 |
$1,087 |
$527 |
$69 | |
| Emergency department visit (level 1) |
$170 |
$340 |
$266 |
$11 | |
| Emergency department visit (level 2) |
$277 |
$554 |
$435 |
$40 | |
| Emergency department visit (level 3) |
$544 |
$1,087 |
$852 |
$69 | |
| Emergency department visit (level 4) |
$886 |
$1,773 |
$1,390 |
$118 | |
| Emergency department visit (level 5) |
$1,073 |
$2,146 |
$1,682 |
$171 | |
| Epidural steroid injection |
$2,537 |
$5,073 |
$3,988 |
$275 | |
| ERCP (bile duct endoscopy) |
$6,658 |
$13,316 |
$8,462 |
$311 | |
| Esophageal dilation |
$1,968 |
$3,935 |
$1,808 |
$522 | |
| Esophageal variceal banding |
$3,275 |
$6,549 |
$5,135 |
$126 | |
| Estradiol (estrogen) test |
$67 |
$133 |
$106 |
$28 | |
| Facet joint injection (spine) |
$2,722 |
$5,443 |
$3,685 |
$99 | |
| Fallopian tube X-ray (HSG) |
$572 |
$1,144 |
$907 |
$164 | |
| Family therapy session |
$281 |
$562 |
$441 |
$110 | |
| Fecal occult blood (stool) test |
$38 |
$76 |
$59 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
— |
— |
$32 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$38 |
$76 |
$60 |
$16 | |
| Feeding tube (PEG) placement |
$3,567 |
$7,133 |
$5,593 |
$178 | |
| Ferritin (iron) test |
$33 |
$65 |
$52 |
$14 | |
| Fibrinogen test |
$23 |
$47 |
$37 |
$10 | |
| Flexible sigmoidoscopy |
$2,455 |
$4,911 |
$3,767 |
$323 | |
| Flu test |
$33 |
$65 |
$52 |
$17 | |
| Flu vaccine |
— |
— |
$23 |
— | |
| Folate (folic acid) test |
$35 |
$70 |
$56 |
$15 | |
| Free T4 thyroid test |
$21 |
$43 |
$34 |
$9 | |
| FSH hormone test |
$44 |
$89 |
$71 |
$19 | |
| Gallbladder scan (HIDA) |
$1,225 |
$2,449 |
$1,838 |
$334 | |
| GGT liver test |
$17 |
$34 |
$27 |
$7 | |
| Glucose tolerance test |
$16 |
$32 |
$17 |
$8 | |
| Group therapy session |
$191 |
$381 |
$299 |
$30 | |
| H. pylori test |
$161 |
$321 |
$256 |
$67 | |
| HDL cholesterol test |
$20 |
$39 |
$31 |
$8 | |
| Hearing test (audiometry) |
$281 |
$562 |
$441 |
$36 | |
| Hematocrit test |
$7 |
$13 |
$10 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$23 |
$46 |
$37 |
$10 | |
| Hepatitis A vaccine |
$387 |
$774 |
$551 |
— | |
| Hepatitis B test |
$25 |
$51 |
$40 |
$10 | |
| Hepatitis B vaccine |
$325 |
$649 |
$454 |
— | |
| Hepatitis C test |
$31 |
$63 |
$50 |
$14 | |
| HIV test |
$49 |
$98 |
$87 |
$19 | |
| HIV test (antibody) |
$33 |
$65 |
$52 |
$14 | |
| HIV test (antigen/antibody combo) |
$66 |
$131 |
$104 |
$24 | |
| Holter heart monitor |
$329 |
$658 |
$516 |
$26 | |
| HPV vaccine |
$1,384 |
$2,767 |
$2,085 |
— | |
| Iron blood test |
$15 |
$31 |
$25 |
$6 | |
| IUD removal |
$532 |
$1,065 |
$835 |
$112 | |
| IV infusion therapy |
$248 |
$496 |
$186 |
$44 | |
| IV infusion therapy (each additional) |
$95 |
$189 |
$148 |
$21 | |
| IV infusion therapy (initial) |
$402 |
$803 |
$630 |
$67 | |
| IVC filter placement |
$9,460 |
$18,920 |
$14,833 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$1,328 |
$2,657 |
$2,079 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$1,389 |
$2,777 |
$2,177 |
$57 | |
| Joint aspiration or injection (small joint) |
$1,268 |
$2,536 |
$1,988 |
$56 | |
| Kidney biopsy |
$2,835 |
$5,671 |
$4,446 |
$492 | |
| Kidney scan (nuclear) |
$1,366 |
$2,732 |
$2,142 |
$172 | |
| Kidney ultrasound |
$360 |
$719 |
$564 |
$84 | |
| Kidney ultrasound (limited) |
$347 |
$695 |
$545 |
$61 | |
| Knee joint injection |
$1,449 |
$2,898 |
$2,272 |
$69 | |
| Lactate test |
$25 |
$51 |
$41 |
$12 | |
| Laryngoscopy |
$367 |
$734 |
$575 |
$189 | |
| LDH test |
$14 |
$29 |
$23 |
$6 | |
| LDL cholesterol test |
$23 |
$46 |
$36 |
$11 | |
| Leg artery angiogram |
$5,508 |
$11,016 |
$6,226 |
$149 | |
| Leg artery angioplasty |
$20,925 |
$41,851 |
$18,958 |
— | |
| Leg vein ultrasound (Doppler) |
$840 |
$1,680 |
$1,236 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$652 |
$1,304 |
$1,022 |
$116 | |
| LH hormone test |
$44 |
$88 |
$70 |
$19 | |
| Lipase test |
$16 |
$33 |
$26 |
$7 | |
| Lipid (cholesterol) panel |
$35 |
$70 |
$56 |
$13 | |
| Liver biopsy |
$2,835 |
$5,671 |
$4,446 |
$288 | |
| Liver function panel |
$17 |
$35 |
$28 |
$8 | |
| Lung function test (PFT) |
$446 |
$893 |
$660 |
$37 | |
| Lung scan (V/Q) |
$2,133 |
$4,267 |
$3,345 |
$291 | |
| Magnesium blood test |
$14 |
$28 |
$22 |
$7 | |
| MMR vaccine |
$427 |
$853 |
$643 |
— | |
| MRA of the brain |
$1,250 |
$2,500 |
$2,000 |
$226 | |
| MRA of the brain with contrast |
$1,250 |
$2,500 |
$1,990 |
$226 | |
| MRA of the brain without contrast |
$1,461 |
$2,921 |
$2,267 |
$328 | |
| MRA of the neck |
$1,117 |
$2,234 |
$1,811 |
$245 | |
| MRA of the neck with contrast |
$1,117 |
$2,234 |
$1,778 |
$245 | |
| MRA of the neck without contrast |
$1,294 |
$2,588 |
$2,008 |
$343 | |
| MRI of the abdomen |
$1,530 |
$3,059 |
$2,197 |
$300 | |
| MRI of the abdomen with contrast |
$1,530 |
$3,059 |
$2,374 |
$300 | |
| MRI of the abdomen without contrast |
$1,159 |
$2,317 |
$1,845 |
$194 | |
| MRI of the ankle |
$2,266 |
$4,531 |
$2,868 |
$261 | |
| MRI of the ankle with contrast |
$1,509 |
$3,019 |
$2,343 |
$261 | |
| MRI of the ankle without contrast |
$2,266 |
$4,531 |
$3,516 |
$222 | |
| MRI of the brain |
$1,259 |
$2,517 |
$2,004 |
$269 | |
| MRI of the brain with contrast |
$1,259 |
$2,517 |
$2,000 |
$269 | |
| MRI of the brain without contrast |
$1,160 |
$2,320 |
$1,846 |
$195 | |
| MRI of the chest |
$1,462 |
$2,925 |
$1,980 |
$371 | |
| MRI of the chest with contrast |
$1,462 |
$2,925 |
$2,269 |
$371 | |
| MRI of the chest without contrast |
$1,604 |
$3,207 |
$2,489 |
$466 | |
| MRI of the knee |
$2,116 |
$4,232 |
$2,627 |
$315 | |
| MRI of the knee with contrast |
$1,383 |
$2,765 |
$2,146 |
$315 | |
| MRI of the knee without contrast |
$2,116 |
$4,232 |
$3,284 |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,294 |
$2,588 |
$2,008 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,294 |
$2,588 |
$2,008 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,144 |
$2,289 |
$1,822 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,193 |
$2,385 |
$2,000 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$1,482 |
$2,965 |
$2,301 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,193 |
$2,385 |
$1,899 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,156 |
$2,311 |
$1,840 |
$190 | |
| MRI of the neck (cervical spine) |
$1,156 |
$2,312 |
$2,000 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$1,488 |
$2,975 |
$2,309 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,156 |
$2,312 |
$1,840 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,151 |
$2,302 |
$1,832 |
$191 | |
| MRI of the pelvis |
$1,358 |
$2,717 |
$2,063 |
$268 | |
| MRI of the pelvis with contrast |
$1,358 |
$2,717 |
$2,108 |
$268 | |
| MRI of the pelvis without contrast |
$1,143 |
$2,286 |
$1,820 |
$227 | |
| MRI of the shoulder |
$1,383 |
$2,765 |
$2,074 |
$313 | |
| MRI of the shoulder with contrast |
$1,383 |
$2,765 |
$2,146 |
$313 | |
| MRI of the shoulder without contrast |
$1,094 |
$2,188 |
$1,742 |
$205 | |
| MRI of the wrist |
$1,438 |
$2,875 |
$2,010 |
$330 | |
| MRI of the wrist with contrast |
$1,438 |
$2,875 |
$2,231 |
$330 | |
| MRI of the wrist without contrast |
$1,058 |
$2,116 |
$1,684 |
$303 | |
| Nebulizer breathing treatment |
$232 |
$464 |
$205 |
$9 | |
| Nuclear cardiac stress test |
$3,216 |
$6,431 |
$5,042 |
$428 | |
| Occupational therapy evaluation |
$236 |
$473 |
$375 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$249 |
$499 |
$391 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$223 |
$446 |
$350 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$236 |
$473 |
$370 |
$101 | |
| Office visit (established patient) |
$74 |
$148 |
$115 |
$115 | |
| Office visit (new patient) |
$110 |
$219 |
$171 |
$177 | |
| Office visit, established patient (level 3) |
$66 |
$131 |
$103 |
$95 | |
| Office visit, established patient (level 4) |
$82 |
$165 |
$129 |
$136 | |
| Office visit, new patient (level 3) |
$90 |
$181 |
$142 |
$118 | |
| Office visit, new patient (level 4) |
$110 |
$219 |
$172 |
$177 | |
| Office visit, new patient (level 5) |
$123 |
$246 |
$193 |
$237 | |
| Pap smear (cervical screening) |
$49 |
$98 |
$55 |
$20 | |
| Parathyroid hormone (PTH) test |
$98 |
$197 |
$157 |
$41 | |
| Pelvic ultrasound |
$329 |
$659 |
$474 |
$78 | |
| Pelvic ultrasound (complete) |
$409 |
$818 |
$642 |
$105 | |
| Pelvic ultrasound (limited) |
$250 |
$500 |
$392 |
$51 | |
| PET scan |
$3,425 |
$6,850 |
$5,383 |
— | |
| Phosphorus blood test |
$11 |
$23 |
$18 |
$5 | |
| Physical therapy evaluation |
$223 |
$446 |
$353 |
$98 | |
| Physical therapy evaluation (high complexity) |
$249 |
$499 |
$391 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$223 |
$446 |
$350 |
$98 | |
| Platelet count |
$12 |
$25 |
$20 |
$4 | |
| Pneumonia vaccine |
$30 |
$59 |
$48 |
— | |
| Pregnancy blood test (hCG) |
$18 |
$36 |
$29 |
$8 | |
| Pregnancy ultrasound |
$409 |
$818 |
$642 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$409 |
$818 |
$642 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$409 |
$818 |
$642 |
$136 | |
| Procalcitonin test |
$64 |
$128 |
$102 |
$27 | |
| Prolactin test |
$46 |
$92 |
$74 |
$19 | |
| Prostate test (PSA) |
$44 |
$88 |
$70 |
$18 | |
| Psychotherapy session |
$281 |
$562 |
$441 |
$140 | |
| Pulmonary rehabilitation |
$104 |
$208 |
$163 |
$87 | |
| Radiofrequency nerve ablation |
$6,835 |
$13,669 |
$10,717 |
$462 | |
| Rheumatoid factor test |
— |
— |
$44 |
$6 | |
| RSV vaccine |
$1,381 |
$2,761 |
$2,081 |
— | |
| Sacroiliac joint injection |
$3,152 |
$6,304 |
$4,943 |
$176 | |
| Scoliosis spine X-ray |
$181 |
$363 |
$285 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$177 |
$354 |
$277 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$186 |
$372 |
$292 |
$72 | |
| Screening colonoscopy |
$2,848 |
$5,696 |
$4,465 |
$378 | |
| Screening mammogram |
$144 |
$288 |
$225 |
$126 | |
| Scrotal ultrasound |
$409 |
$818 |
$642 |
$99 | |
| Sedimentation rate (ESR) test |
$7 |
$15 |
$12 |
$3 | |
| Semen analysis |
$33 |
$66 |
$53 |
$12 | |
| Sex hormone binding globulin test |
$46 |
$91 |
$73 |
$22 | |
| Shingles vaccine |
$970 |
$1,940 |
$1,462 |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
$435 |
$870 |
$682 |
$114 | |
| Simple wound stitches |
$391 |
$783 |
$609 |
$127 | |
| Skin biopsy |
$699 |
$1,398 |
$843 |
$121 | |
| Skin biopsy (punch) |
$699 |
$1,398 |
$1,096 |
$121 | |
| Skin lesion freezing (cryotherapy) |
$334 |
$668 |
$523 |
$36 | |
| Sleep study (polysomnography) |
$2,569 |
$5,139 |
$4,029 |
$691 | |
| Soft tissue ultrasound |
$268 |
$537 |
$421 |
$64 | |
| Speech therapy |
$208 |
$417 |
$327 |
$76 | |
| Spinal cord stimulator |
$11,485 |
$22,970 |
$18,009 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$1,212 |
$2,424 |
$1,900 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$6,271 |
$12,541 |
$9,832 |
$5,803 | |
| Spirometry (lung function test) |
$348 |
$696 |
$546 |
$30 | |
| Spirometry with bronchodilator |
$545 |
$1,090 |
$854 |
$43 | |
| Strep throat test |
$33 |
$65 |
$52 |
$17 | |
| Stress echocardiogram |
$1,073 |
$2,146 |
$1,683 |
$209 | |
| Stress echocardiogram (complete) |
$1,117 |
$2,234 |
$1,751 |
$233 | |
| Swallow study |
$274 |
$548 |
$430 |
$85 | |
| T3 thyroid test |
$34 |
$68 |
$54 |
$14 | |
| Tdap (tetanus) vaccine |
$260 |
$520 |
$392 |
— | |
| Testosterone test |
$49 |
$97 |
$77 |
$26 | |
| Thyroid test (TSH) |
$40 |
$80 |
$64 |
$17 | |
| Thyroid ultrasound |
$409 |
$818 |
$642 |
$109 | |
| Thyroid uptake scan |
$581 |
$1,163 |
$462 |
$145 | |
| Tilt table test |
$1,633 |
$3,267 |
$2,561 |
$168 | |
| Total IgE allergy test |
$39 |
$79 |
$62 |
$16 | |
| Total protein test |
$9 |
$18 |
$14 |
$4 | |
| Tracheostomy |
$5,238 |
$10,476 |
$8,213 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$1,739 |
$3,477 |
$2,295 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,739 |
$3,477 |
$2,295 |
$239 | |
| Transvaginal ultrasound |
$409 |
$818 |
$642 |
$118 | |
| Trigger point injection |
$517 |
$1,033 |
$810 |
$56 | |
| Trigger point injection (1-2 muscles) |
$517 |
$1,033 |
$810 |
$52 | |
| Triglycerides test |
$14 |
$27 |
$22 |
$6 | |
| Troponin (heart) test |
$23 |
$47 |
$37 |
$12 | |
| Turning a breech baby (version) |
$5,564 |
$11,128 |
$8,725 |
$94 | |
| Upper GI endoscopy (EGD) |
$2,609 |
$5,217 |
$4,139 |
$371 | |
| Upper GI series (barium) |
$312 |
$623 |
$488 |
$128 | |
| Ureteral stent placement |
$12,071 |
$24,143 |
$18,928 |
$373 | |
| Uric acid (gout) test |
$11 |
$22 |
$17 |
$5 | |
| Urinalysis |
$7 |
$15 |
$12 |
$3 | |
| Urine microalbumin test |
$13 |
$26 |
$21 |
$5 | |
| Urine pregnancy test |
$17 |
$35 |
$28 |
$9 | |
| Vaccine administration |
$76 |
$152 |
$56 |
$19 | |
| Vaccine administration (each additional) |
$27 |
$55 |
$43 |
$16 | |
| Varicose vein ablation |
$5,508 |
$11,016 |
$8,637 |
$1,018 | |
| Visual field test |
$226 |
$451 |
$354 |
$64 | |
| Vitamin B12 test |
$36 |
$72 |
$57 |
$15 | |
| Vitamin D test |
$71 |
$141 |
$112 |
$30 | |
| Wart removal |
$348 |
$695 |
$545 |
$121 | |
| Wound debridement |
$1,198 |
$2,395 |
$1,532 |
$186 | |
| X-ray of the abdomen |
$170 |
$340 |
$263 |
$36 | |
| X-ray of the ankle |
$354 |
$707 |
$554 |
$37 | |
| X-ray of the collarbone |
$177 |
$354 |
$277 |
$33 | |
| X-ray of the elbow |
$177 |
$354 |
$277 |
$33 | |
| X-ray of the facial bones |
$181 |
$363 |
$285 |
$39 | |
| X-ray of the foot |
$354 |
$707 |
$554 |
$34 | |
| X-ray of the forearm |
$177 |
$354 |
$277 |
$29 | |
| X-ray of the hand |
$354 |
$707 |
$554 |
$38 | |
| X-ray of the hip |
$165 |
$331 |
$262 |
$49 | |
| X-ray of the hip (1 view) |
$154 |
$308 |
$242 |
$34 | |
| X-ray of the hip (3 views) |
$177 |
$354 |
$277 |
$49 | |
| X-ray of the knee |
$354 |
$707 |
$449 |
$42 | |
| X-ray of the knee (2 views) |
$354 |
$707 |
$554 |
$34 | |
| X-ray of the knee (3 views) |
$354 |
$707 |
$554 |
$42 | |
| X-ray of the knee (4+ views) |
$187 |
$374 |
$293 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$245 |
$490 |
$353 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$186 |
$372 |
$292 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$304 |
$608 |
$477 |
$53 | |
| X-ray of the lower leg |
$177 |
$354 |
$277 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$202 |
$405 |
$317 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$186 |
$372 |
$292 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$219 |
$437 |
$343 |
$39 | |
| X-ray of the neck (cervical spine) |
$240 |
$481 |
$335 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$177 |
$354 |
$277 |
$40 | |
| X-ray of the pelvis |
$201 |
$401 |
$317 |
$36 | |
| X-ray of the pelvis (1 view) |
$186 |
$372 |
$292 |
$28 | |
| X-ray of the ribs |
$186 |
$372 |
$289 |
$42 | |
| X-ray of the ribs (2 views) |
$177 |
$354 |
$277 |
$36 | |
| X-ray of the ribs (3 views) |
$186 |
$372 |
$292 |
$42 | |
| X-ray of the shoulder |
$354 |
$707 |
$554 |
$36 | |
| X-ray of the skull |
$245 |
$490 |
$353 |
$40 | |
| X-ray of the upper arm |
$177 |
$354 |
$277 |
$32 | |
| X-ray of the wrist |
$354 |
$707 |
$554 |
$43 | |
| Zinc blood test |
$27 |
$54 |
$43 |
$11 | |