| 3D mammogram (tomosynthesis) |
$34 |
$67 |
$58 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,530 |
$3,059 |
$864 |
$284 | |
| Abdominal ultrasound |
$377 |
$753 |
$106 |
$100 | |
| Abdominal ultrasound (complete) |
$408 |
$815 |
$106 |
$114 | |
| Abdominal ultrasound (limited) |
$346 |
$691 |
$105 |
$86 | |
| Abscess drainage (complex or multiple) |
$479 |
$957 |
$380 |
$220 | |
| Abscess drainage (simple) |
$280 |
$559 |
$191 |
$129 | |
| Abscess incision and drainage |
$379 |
$758 |
$191 |
$174 | |
| Achilles tendon repair |
$5,034 |
$10,069 |
$6,816 |
$624 | |
| ACL knee reconstruction |
$13,445 |
$26,890 |
$6,816 |
$889 | |
| Adenoid removal (adenoidectomy) |
$6,191 |
$12,382 |
$3,068 |
$204 | |
| Albumin blood test |
$28 |
$57 |
$33 |
$5 | |
| Aldosterone test |
$141 |
$281 |
$157 |
$41 | |
| Alkaline phosphatase test |
$54 |
$109 |
$37 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$96 |
$192 |
$112 |
$17 | |
| ALT liver enzyme test |
$57 |
$113 |
$12 |
$5 | |
| Ammonia blood test |
$120 |
$240 |
$97 |
$15 | |
| Amniocentesis |
$1,165 |
$2,329 |
$766 |
$120 | |
| Amylase test |
$152 |
$304 |
$47 |
$6 | |
| Ankle fracture repair |
$11,301 |
$22,601 |
$6,816 |
$608 | |
| Annual physical (established patient) |
$118 |
$235 |
$116 |
— | |
| Anoscopy |
$193 |
$386 |
$122 |
$129 | |
| Antinuclear antibody (ANA) test |
$101 |
$203 |
$72 |
$12 | |
| Aortic aneurysm repair (AAA) |
$3,974 |
$7,947 |
$1,949 |
$1,345 | |
| Arterial blood gas (ABG) |
$206 |
$411 |
$153 |
$26 | |
| AST liver enzyme test |
$57 |
$113 |
$35 |
$5 | |
| Barium swallow study |
$320 |
$639 |
$175 |
$107 | |
| Bartholin cyst removal |
$2,174 |
$4,347 |
$190 |
$182 | |
| Basic metabolic panel |
$123 |
$246 |
$61 |
$8 | |
| Benign skin lesion removal |
$2,887 |
$5,774 |
$380 |
$171 | |
| Bilirubin blood test |
$47 |
$94 |
$35 |
$5 | |
| Bladder scope (cystoscopy) |
$4,299 |
$8,597 |
$651 |
$216 | |
| Bladder tumor removal (TURBT) |
$6,095 |
$12,190 |
$3,322 |
$236 | |
| Blood clotting test (PT/INR) |
$46 |
$92 |
$28 |
$4 | |
| Blood crossmatch |
$147 |
$294 |
$221 |
— | |
| Blood glucose test |
$57 |
$113 |
$28 |
$5 | |
| Blood transfusion |
$992 |
$1,984 |
$414 |
$47 | |
| Blood type and screen |
$198 |
$396 |
$102 |
$10 | |
| Blood type test |
$115 |
$230 |
$122 |
$3 | |
| Blood type test (ABO group) |
$169 |
$338 |
$254 |
$3 | |
| Blood type test (Rh/D antigen) |
$61 |
$122 |
$55 |
$3 | |
| BNP (heart failure) test |
$137 |
$273 |
$150 |
$39 | |
| Bone density scan (DEXA) |
$377 |
$754 |
$104 |
$39 | |
| Bone marrow biopsy |
$2,099 |
$4,198 |
$1,545 |
$172 | |
| Bone scan (nuclear) |
$997 |
$1,993 |
$393 |
$259 | |
| Breast biopsy |
$3,467 |
$6,933 |
$1,545 |
$478 | |
| Breast MRI |
$3,313 |
$6,625 |
$322 |
$216 | |
| Breast MRI without contrast |
$3,313 |
$6,625 |
$233 |
$216 | |
| Breast ultrasound |
$281 |
$562 |
$105 |
$92 | |
| Breast ultrasound (complete) |
$281 |
$562 |
$105 |
$100 | |
| Breast ultrasound (limited) |
$281 |
$562 |
$87 |
$84 | |
| Breathing tube insertion (intubation) |
$307 |
$614 |
$233 |
$133 | |
| Bronchoscopy |
$2,828 |
$5,656 |
$1,617 |
$303 | |
| Bunion surgery (bunionectomy) |
$13,245 |
$26,490 |
$5,399 |
$883 | |
| Burn dressing and debridement (medium) |
$270 |
$539 |
$191 |
$166 | |
| Burn dressing and debridement (small) |
$270 |
$539 |
$191 |
$93 | |
| Burn treatment |
$270 |
$539 |
$191 |
$129 | |
| C-reactive protein (CRP) |
$135 |
$270 |
$37 |
$5 | |
| CA 19-9 tumor marker test |
$73 |
$145 |
$109 |
$21 | |
| CA-125 ovarian marker test |
$73 |
$145 |
$109 |
$21 | |
| Calcium blood test |
$55 |
$110 |
$32 |
$5 | |
| Capsule endoscopy |
$2,216 |
$4,431 |
$864 |
$802 | |
| Cardiac catheterization |
$6,498 |
$12,995 |
$3,105 |
$1,049 | |
| Cardiac rehabilitation |
$208 |
$416 |
$126 |
$26 | |
| Cardiac stress test |
$580 |
$1,160 |
$299 |
$39 | |
| Cardioversion |
$2,123 |
$4,245 |
$620 |
$155 | |
| Carotid artery surgery |
$12,655 |
$25,310 |
$1,799 |
$1,026 | |
| Carotid artery ultrasound |
$796 |
$1,592 |
$171 |
$156 | |
| Carpal tunnel release |
$4,202 |
$8,405 |
$1,840 |
$483 | |
| Cataract surgery |
$4,614 |
$9,229 |
$2,220 |
$547 | |
| CEA tumor marker test |
$71 |
$141 |
$106 |
$19 | |
| Celiac disease test |
$53 |
$107 |
$30 |
$12 | |
| Central line placement |
$3,475 |
$6,950 |
$1,533 |
$238 | |
| Cervical cerclage |
$4,114 |
$8,227 |
$2,979 |
$137 | |
| Cervical LEEP procedure |
$5,935 |
$11,871 |
$2,979 |
$325 | |
| Chalazion (eyelid cyst) removal |
$477 |
$953 |
$278 |
$131 | |
| Chemotherapy infusion |
$744 |
$1,487 |
$222 |
$81 | |
| Chemotherapy infusion (each additional) |
$744 |
$1,487 |
$67 |
$28 | |
| Chemotherapy infusion (first hour) |
$744 |
$1,487 |
$323 |
$133 | |
| Chest fluid drain (thoracentesis) |
$966 |
$1,931 |
$599 |
$311 | |
| Chest tube insertion |
$788 |
$1,575 |
$1,418 |
$143 | |
| Chest X-ray |
$162 |
$323 |
$87 |
$37 | |
| Chest X-ray (1 view) |
$162 |
$323 |
$87 |
$25 | |
| Chest X-ray (2 views) |
$162 |
$323 |
$87 |
$33 | |
| Circumcision |
$3,163 |
$6,327 |
$1,941 |
$167 | |
| CK-MB heart enzyme test |
$194 |
$387 |
$83 |
$12 | |
| Clotting time test (PTT) |
$39 |
$77 |
$40 |
$6 | |
| Colon resection (colectomy) |
$18,200 |
$36,400 |
$8,847 |
$1,238 | |
| Colonoscopy |
$2,261 |
$4,522 |
$1,051 |
$480 | |
| Complete blood count (CBC) |
$49 |
$98 |
$47 |
$7 | |
| Complete blood count (CBC) (complete) |
$49 |
$98 |
$53 |
$8 | |
| Complex wound repair |
$609 |
$1,217 |
$598 |
$390 | |
| Comprehensive metabolic panel |
$141 |
$281 |
$76 |
$11 | |
| Contraceptive implant (Nexplanon) |
$470 |
$939 |
$380 |
$115 | |
| Copper blood test |
$51 |
$101 |
$45 |
$12 | |
| Coronary CT angiography |
$1,826 |
$3,652 |
$302 |
$326 | |
| Cortisol test |
$82 |
$163 |
$109 |
$16 | |
| COVID-19 PCR test |
$108 |
$215 |
$51 |
$51 | |
| CPAP titration study |
$268 |
$536 |
$203 |
$69 | |
| Creatine kinase (CK) test |
$57 |
$113 |
$46 |
$7 | |
| CT angiography of the chest |
$1,460 |
$2,919 |
$263 |
$281 | |
| CT angiography of the head |
$1,460 |
$2,919 |
$258 |
$274 | |
| CT scan of the abdomen |
$1,257 |
$2,513 |
$245 |
$230 | |
| CT scan of the abdomen and pelvis |
$1,673 |
$3,345 |
$366 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$1,990 |
$3,980 |
$366 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$1,673 |
$3,345 |
$366 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,235 |
$2,469 |
$233 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,494 |
$2,988 |
$245 |
$259 | |
| CT scan of the abdomen with contrast |
$1,257 |
$2,513 |
$218 |
$230 | |
| CT scan of the abdomen without contrast |
$926 |
$1,852 |
$129 |
$136 | |
| CT scan of the arm |
$1,257 |
$2,513 |
$232 |
$199 | |
| CT scan of the arm with contrast |
$1,257 |
$2,513 |
$366 |
$199 | |
| CT scan of the arm without contrast |
$926 |
$1,852 |
$151 |
$161 | |
| CT scan of the chest |
$1,257 |
$2,513 |
$175 |
$167 | |
| CT scan of the chest with and without contrast |
$1,494 |
$2,988 |
$184 |
$196 | |
| CT scan of the chest with contrast |
$1,257 |
$2,513 |
$175 |
$167 | |
| CT scan of the chest without contrast |
$926 |
$1,852 |
$125 |
$133 | |
| CT scan of the head |
$1,257 |
$2,513 |
$175 |
$148 | |
| CT scan of the head with and without contrast |
$1,494 |
$2,988 |
$175 |
$173 | |
| CT scan of the head with contrast |
$1,257 |
$2,513 |
$175 |
$148 | |
| CT scan of the head without contrast |
$926 |
$1,852 |
$105 |
$107 | |
| CT scan of the leg |
$1,257 |
$2,513 |
$180 |
$166 | |
| CT scan of the leg with contrast |
$1,257 |
$2,513 |
$175 |
$166 | |
| CT scan of the leg without contrast |
$926 |
$1,852 |
$122 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,257 |
$2,513 |
$189 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,494 |
$2,988 |
$185 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,257 |
$2,513 |
$366 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$926 |
$1,852 |
$121 |
$130 | |
| CT scan of the neck |
$1,257 |
$2,513 |
$208 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,257 |
$2,513 |
$189 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,494 |
$2,988 |
$185 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,257 |
$2,513 |
$366 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$926 |
$1,852 |
$122 |
$131 | |
| CT scan of the neck with and without contrast |
$1,494 |
$2,988 |
$208 |
$220 | |
| CT scan of the neck with contrast |
$1,257 |
$2,513 |
$175 |
$183 | |
| CT scan of the neck without contrast |
$926 |
$1,852 |
$141 |
$150 | |
| CT scan of the pelvis |
$1,257 |
$2,513 |
$214 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,494 |
$2,988 |
$236 |
$251 | |
| CT scan of the pelvis with contrast |
$1,257 |
$2,513 |
$214 |
$226 | |
| CT scan of the pelvis without contrast |
$926 |
$1,852 |
$125 |
$133 | |
| CT scan of the sinuses |
$1,257 |
$2,513 |
$175 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,494 |
$2,988 |
$175 |
$184 | |
| CT scan of the sinuses with contrast |
$1,257 |
$2,513 |
$175 |
$152 | |
| CT scan of the sinuses without contrast |
$926 |
$1,852 |
$120 |
$128 | |
| D-dimer test |
$102 |
$203 |
$73 |
$10 | |
| Defibrillator (ICD) implant |
$58,102 |
$116,204 |
$31,346 |
$798 | |
| DHEA-sulfate test |
$101 |
$202 |
$148 |
$22 | |
| Diagnostic mammogram |
$220 |
$440 |
$195 |
$140 | |
| Dialysis fistula creation |
$3,740 |
$7,479 |
$3,037 |
$601 | |
| Dilation and curettage (D&C) |
$4,132 |
$8,264 |
$2,979 |
$298 | |
| Droopy eyelid repair (ptosis) |
$2,720 |
$5,439 |
$2,226 |
$745 | |
| Drug screen (urine) |
$300 |
$599 |
$126 |
$17 | |
| Ear tubes (myringotomy) |
$3,543 |
$7,086 |
$1,453 |
$174 | |
| Eardrum repair (tympanoplasty) |
$5,693 |
$11,385 |
$5,580 |
$799 | |
| Echocardiogram |
$1,013 |
$2,026 |
$526 |
$138 | |
| Echocardiogram with and without contrast |
$371 |
$742 |
$233 |
$101 | |
| EEG (awake and asleep) |
$1,120 |
$2,240 |
$410 |
$482 | |
| EKG / ECG (tracing only) |
$168 |
$336 |
$58 |
$7 | |
| Electrocardiogram (EKG) |
$149 |
$297 |
$58 |
$8 | |
| Electroencephalogram (EEG) |
$1,120 |
$2,240 |
$410 |
$448 | |
| Electrolyte panel |
$123 |
$246 |
$51 |
$7 | |
| Emergency department visit |
$543 |
$1,086 |
$167 |
$69 | |
| Emergency department visit (level 1) |
$191 |
$383 |
$85 |
$11 | |
| Emergency department visit (level 2) |
$387 |
$773 |
$156 |
$40 | |
| Emergency department visit (level 3) |
$733 |
$1,465 |
$272 |
$69 | |
| Emergency department visit (level 4) |
$1,698 |
$3,396 |
$422 |
$118 | |
| Emergency department visit (level 5) |
$2,143 |
$4,286 |
$612 |
$171 | |
| Epidural steroid injection |
$1,032 |
$2,063 |
$659 |
$275 | |
| ERCP (bile duct endoscopy) |
$4,298 |
$8,595 |
$3,649 |
$311 | |
| Estradiol (estrogen) test |
$112 |
$224 |
$122 |
$28 | |
| Eyelid surgery (blepharoplasty) |
$2,754 |
$5,508 |
$1,738 |
$552 | |
| Facet joint injection (spine) |
$379 |
$758 |
$682 |
$99 | |
| Fallopian tube X-ray (HSG) |
$567 |
$1,134 |
$233 |
$164 | |
| Fecal occult blood (stool) test |
$45 |
$90 |
$26 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$49 |
$98 |
$26 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$40 |
$79 |
$59 |
$16 | |
| Feeding tube (PEG) placement |
$2,501 |
$5,003 |
$1,813 |
$178 | |
| Ferritin (iron) test |
$61 |
$121 |
$91 |
$14 | |
| Fibrinogen test |
$125 |
$249 |
$61 |
$10 | |
| Flexible sigmoidoscopy |
$1,747 |
$3,493 |
$871 |
$323 | |
| Flu test |
$42 |
$84 |
$63 |
$17 | |
| Folate (folic acid) test |
$52 |
$104 |
$78 |
$15 | |
| Foreign body removal (skin) |
$4,469 |
$8,938 |
$257 |
$157 | |
| Free T4 thyroid test |
$83 |
$165 |
$65 |
$9 | |
| FSH hormone test |
$68 |
$136 |
$104 |
$19 | |
| Gallbladder removal (laparoscopic) |
$8,039 |
$16,079 |
$5,498 |
$658 | |
| Gallbladder scan (HIDA) |
$1,083 |
$2,166 |
$393 |
$334 | |
| Ganglion cyst removal |
$4,412 |
$8,823 |
$1,531 |
$321 | |
| GGT liver test |
$67 |
$133 |
$52 |
$7 | |
| Glaucoma surgery |
$3,058 |
$6,116 |
$2,220 |
$984 | |
| Glucose tolerance test |
$138 |
$276 |
$91 |
$8 | |
| Group therapy session |
$251 |
$501 |
$85 |
$30 | |
| H. pylori test |
$90 |
$179 |
$134 |
$67 | |
| Hammertoe repair |
$9,374 |
$18,749 |
$3,084 |
$548 | |
| HDL cholesterol test |
$65 |
$130 |
$55 |
$8 | |
| Hematocrit test |
$34 |
$68 |
$16 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$64 |
$127 |
$67 |
$10 | |
| Hepatitis B test |
$37 |
$73 |
$56 |
$10 | |
| Hepatitis C test |
$54 |
$108 |
$89 |
$14 | |
| Hip replacement |
$17,800 |
$35,600 |
$12,540 |
$1,162 | |
| HIV test |
$87 |
$173 |
$99 |
$19 | |
| HIV test (antibody) |
$80 |
$159 |
$94 |
$14 | |
| HIV test (antigen/antibody combo) |
$94 |
$187 |
$140 |
$24 | |
| Home sleep apnea test |
$362 |
$723 |
$149 |
$123 | |
| Hydrocele repair |
$4,400 |
$8,801 |
$3,296 |
$315 | |
| Hysterectomy |
$10,093 |
$20,186 |
$9,808 |
$933 | |
| Hysteroscopy |
$4,503 |
$9,005 |
$2,979 |
$1,270 | |
| Inguinal hernia repair |
$7,088 |
$14,176 |
$3,296 |
$538 | |
| Iron blood test |
$11 |
$22 |
$17 |
$6 | |
| IV infusion therapy |
$451 |
$902 |
$204 |
$44 | |
| IV infusion therapy (each additional) |
$304 |
$607 |
$45 |
$21 | |
| IV infusion therapy (initial) |
$598 |
$1,196 |
$204 |
$67 | |
| IVC filter placement |
$6,711 |
$13,423 |
$5,236 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$316 |
$631 |
$282 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$347 |
$694 |
$282 |
$57 | |
| Joint aspiration or injection (small joint) |
$291 |
$582 |
$282 |
$56 | |
| Kidney biopsy |
$2,952 |
$5,904 |
$1,545 |
$492 | |
| Kidney scan (nuclear) |
$914 |
$1,827 |
$403 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$7,061 |
$14,122 |
$3,322 |
$760 | |
| Kidney ultrasound |
$374 |
$749 |
$105 |
$84 | |
| Kidney ultrasound (limited) |
$346 |
$691 |
$105 |
$61 | |
| Knee arthroscopy |
$5,552 |
$11,105 |
$3,084 |
$524 | |
| Knee joint injection |
$301 |
$601 |
$139 |
$69 | |
| Lactate test |
$50 |
$100 |
$73 |
$12 | |
| Laryngoscopy |
$1,071 |
$2,143 |
$1,617 |
$189 | |
| LDH test |
$57 |
$113 |
$40 |
$6 | |
| LDL cholesterol test |
$42 |
$84 |
$63 |
$11 | |
| Leg artery angiogram |
$8,284 |
$16,568 |
$3,037 |
$149 | |
| Leg artery angioplasty |
$8,191 |
$16,383 |
$7,729 |
— | |
| Leg vein ultrasound (Doppler) |
$578 |
$1,155 |
$168 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$416 |
$831 |
$107 |
$116 | |
| LH hormone test |
$73 |
$145 |
$99 |
$19 | |
| Lipase test |
$34 |
$67 |
$47 |
$7 | |
| Lipid (cholesterol) panel |
$174 |
$347 |
$43 |
$13 | |
| Liver biopsy |
$1,697 |
$3,394 |
$1,545 |
$288 | |
| Liver function panel |
$153 |
$306 |
$17 |
$8 | |
| Lumpectomy (breast) |
$11,605 |
$23,209 |
$3,632 |
$750 | |
| Lung function test (PFT) |
$356 |
$712 |
$233 |
$37 | |
| Lung scan (V/Q) |
$1,349 |
$2,697 |
$515 |
$291 | |
| Magnesium blood test |
$83 |
$165 |
$45 |
$7 | |
| Meniscus repair (knee) |
$5,139 |
$10,278 |
$3,084 |
$714 | |
| MRA of the brain |
$1,977 |
$3,953 |
$314 |
$226 | |
| MRA of the brain with contrast |
$1,702 |
$3,403 |
$366 |
$226 | |
| MRA of the brain without contrast |
$2,252 |
$4,503 |
$366 |
$328 | |
| MRA of the neck |
$1,707 |
$3,414 |
$323 |
$245 | |
| MRA of the neck with contrast |
$1,707 |
$3,414 |
$366 |
$245 | |
| MRA of the neck without contrast |
$2,252 |
$4,503 |
$366 |
$343 | |
| MRI of the abdomen |
$1,737 |
$3,475 |
$366 |
$300 | |
| MRI of the abdomen with contrast |
$1,707 |
$3,414 |
$366 |
$300 | |
| MRI of the abdomen without contrast |
$1,622 |
$3,243 |
$233 |
$194 | |
| MRI of the ankle |
$1,707 |
$3,414 |
$366 |
$261 | |
| MRI of the ankle with contrast |
$1,707 |
$3,414 |
$366 |
$261 | |
| MRI of the ankle without contrast |
$1,476 |
$2,951 |
$233 |
$222 | |
| MRI of the brain |
$1,707 |
$3,414 |
$366 |
$269 | |
| MRI of the brain with contrast |
$1,707 |
$3,414 |
$366 |
$269 | |
| MRI of the brain without contrast |
$1,476 |
$2,951 |
$233 |
$195 | |
| MRI of the chest |
$1,707 |
$3,414 |
$440 |
$371 | |
| MRI of the chest with contrast |
$1,707 |
$3,414 |
$763 |
$371 | |
| MRI of the chest without contrast |
$2,252 |
$4,503 |
$440 |
$466 | |
| MRI of the knee |
$1,707 |
$3,414 |
$366 |
$315 | |
| MRI of the knee with contrast |
$1,707 |
$3,414 |
$763 |
$315 | |
| MRI of the knee without contrast |
$1,476 |
$2,951 |
$233 |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,707 |
$3,414 |
$366 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,707 |
$3,414 |
$366 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,476 |
$2,951 |
$233 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,707 |
$3,414 |
$366 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,252 |
$4,503 |
$366 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,707 |
$3,414 |
$366 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,476 |
$2,951 |
$233 |
$190 | |
| MRI of the neck (cervical spine) |
$1,707 |
$3,414 |
$366 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,252 |
$4,503 |
$366 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,707 |
$3,414 |
$366 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,476 |
$2,951 |
$233 |
$191 | |
| MRI of the pelvis |
$1,707 |
$3,414 |
$366 |
$268 | |
| MRI of the pelvis with contrast |
$1,707 |
$3,414 |
$366 |
$268 | |
| MRI of the pelvis without contrast |
$1,476 |
$2,951 |
$233 |
$227 | |
| MRI of the shoulder |
$1,707 |
$3,414 |
$366 |
$313 | |
| MRI of the shoulder with contrast |
$1,707 |
$3,414 |
$763 |
$313 | |
| MRI of the shoulder without contrast |
$1,476 |
$2,951 |
$233 |
$205 | |
| MRI of the wrist |
$1,707 |
$3,414 |
$366 |
$330 | |
| MRI of the wrist with contrast |
$1,707 |
$3,414 |
$366 |
$330 | |
| MRI of the wrist without contrast |
$1,476 |
$2,951 |
$283 |
$303 | |
| Nebulizer breathing treatment |
$305 |
$609 |
$203 |
$9 | |
| Newborn hospital care |
$114 |
$228 |
$126 |
$58 | |
| Nuchal translucency ultrasound |
$267 |
$533 |
$108 |
$116 | |
| Nuclear cardiac stress test |
$2,657 |
$5,314 |
$1,353 |
$428 | |
| Occupational therapy evaluation |
$219 |
$437 |
$135 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$226 |
$451 |
$135 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$212 |
$423 |
$135 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$219 |
$437 |
$135 |
$101 | |
| Office visit (established patient) |
$191 |
$382 |
$175 |
$115 | |
| Office visit (new patient) |
$198 |
$397 |
$204 |
$177 | |
| Office visit, established patient (level 3) |
$156 |
$313 |
$169 |
$95 | |
| Office visit, established patient (level 4) |
$195 |
$389 |
$182 |
$136 | |
| Office visit, new patient (level 3) |
$188 |
$375 |
$180 |
$118 | |
| Office visit, new patient (level 4) |
$203 |
$406 |
$292 |
$177 | |
| Office visit, new patient (level 5) |
$239 |
$477 |
$303 |
$237 | |
| Orthopedic hardware removal |
$5,896 |
$11,793 |
$2,707 |
$632 | |
| Ovary removal (oophorectomy) |
$13,388 |
$26,777 |
$820 |
$822 | |
| Pap smear (cervical screening) |
$46 |
$92 |
$69 |
$20 | |
| Parathyroid hormone (PTH) test |
$137 |
$274 |
$188 |
$41 | |
| Pelvic ultrasound |
$311 |
$621 |
$105 |
$78 | |
| Pelvic ultrasound (complete) |
$355 |
$709 |
$105 |
$105 | |
| Pelvic ultrasound (limited) |
$267 |
$533 |
$105 |
$51 | |
| PET scan |
$2,147 |
$4,294 |
$1,491 |
— | |
| Phosphorus blood test |
$55 |
$110 |
$34 |
$5 | |
| Physical therapy evaluation |
$219 |
$437 |
$133 |
$98 | |
| Physical therapy evaluation (high complexity) |
$226 |
$451 |
$133 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$219 |
$437 |
$133 |
$98 | |
| Pilonidal cyst removal |
$5,034 |
$10,067 |
$2,707 |
$541 | |
| Platelet count |
$57 |
$113 |
$30 |
$4 | |
| Pregnancy blood test (hCG) |
$97 |
$193 |
$54 |
$8 | |
| Pregnancy ultrasound |
$403 |
$806 |
$124 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$389 |
$777 |
$108 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$417 |
$834 |
$124 |
$136 | |
| Procalcitonin test |
$156 |
$311 |
$184 |
$27 | |
| Prolactin test |
$101 |
$202 |
$120 |
$19 | |
| Prostate biopsy |
$4,616 |
$9,232 |
$1,941 |
— | |
| Prostate removal (prostatectomy) |
$11,363 |
$22,726 |
$9,808 |
$1,063 | |
| Prostate surgery (TURP) |
$6,049 |
$12,098 |
$4,930 |
$526 | |
| Prostate test (PSA) |
$106 |
$211 |
$80 |
$18 | |
| Psychiatric evaluation |
$324 |
$647 |
$152 |
$188 | |
| Psychotherapy session |
$309 |
$617 |
$149 |
$140 | |
| Pterygium removal (eye) |
$2,921 |
$5,841 |
$2,226 |
$540 | |
| Pulmonary rehabilitation |
$260 |
$520 |
$67 |
$87 | |
| Radiofrequency nerve ablation |
$2,055 |
$4,110 |
$1,840 |
$462 | |
| Rotator cuff repair |
$9,186 |
$18,371 |
$6,816 |
$792 | |
| RSV vaccine |
$443 |
$885 |
$752 |
— | |
| Sacroiliac joint injection |
$1,152 |
$2,303 |
$150 |
$176 | |
| Scoliosis spine X-ray |
$113 |
$226 |
$105 |
$58 | |
| Scoliosis spine X-ray (3 views) |
$113 |
$226 |
$105 |
$72 | |
| Screening colonoscopy |
$1,821 |
$3,642 |
$871 |
$378 | |
| Screening mammogram |
$181 |
$361 |
$200 |
$126 | |
| Scrotal ultrasound |
$357 |
$713 |
$105 |
$99 | |
| Sedimentation rate (ESR) test |
$55 |
$110 |
$26 |
$3 | |
| Septoplasty (deviated septum) |
$11,042 |
$22,083 |
$3,068 |
$613 | |
| Sex hormone binding globulin test |
$45 |
$90 |
$53 |
$22 | |
| Shoulder arthroscopy |
$8,500 |
$17,000 |
$6,816 |
$962 | |
| Shoulder replacement |
$21,437 |
$42,875 |
$17,756 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$226 |
$451 |
$191 |
$114 | |
| Simple wound stitches |
$231 |
$462 |
$191 |
$127 | |
| Sinus surgery (endoscopic) |
$14,525 |
$29,050 |
$6,521 |
$224 | |
| Skin biopsy |
$457 |
$914 |
$149 |
$121 | |
| Skin biopsy (punch) |
$270 |
$539 |
$142 |
$121 | |
| Sleep study (polysomnography) |
$1,686 |
$3,372 |
$996 |
$691 | |
| Soft tissue ultrasound |
$135 |
$269 |
$105 |
$64 | |
| Speech therapy |
$252 |
$504 |
$98 |
$76 | |
| Spinal cord stimulator |
$8,456 |
$16,911 |
$6,516 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$575 |
$1,149 |
$659 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$13,278 |
$26,555 |
$6,816 |
$5,803 | |
| Spirometry (lung function test) |
$311 |
$622 |
$149 |
$30 | |
| Spirometry with bronchodilator |
$401 |
$802 |
$299 |
$43 | |
| Strep throat test |
$109 |
$219 |
$95 |
$17 | |
| Stress echocardiogram |
$883 |
$1,765 |
$526 |
$209 | |
| Swallow study |
$290 |
$579 |
$87 |
$85 | |
| T3 thyroid test |
$63 |
$127 |
$95 |
$14 | |
| Tdap (tetanus) vaccine |
$73 |
$146 |
$124 |
— | |
| Testosterone test |
$134 |
$267 |
$139 |
$26 | |
| Thyroid test (TSH) |
$70 |
$139 |
$41 |
$17 | |
| Thyroid ultrasound |
$346 |
$691 |
$105 |
$109 | |
| Thyroid uptake scan |
$713 |
$1,425 |
$393 |
$145 | |
| Tilt table test |
$629 |
$1,257 |
$511 |
$168 | |
| Tonsillectomy |
$4,756 |
$9,511 |
$3,835 |
$252 | |
| Total IgE allergy test |
$35 |
$70 |
$41 |
$16 | |
| Total protein test |
$57 |
$113 |
$27 |
$4 | |
| Tracheostomy |
$3,222 |
$6,443 |
$3,068 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$918 |
$1,836 |
$526 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$918 |
$1,836 |
$526 |
$239 | |
| Transvaginal ultrasound |
$354 |
$707 |
$109 |
$118 | |
| Trigger finger release |
$4,592 |
$9,184 |
$1,531 |
$630 | |
| Trigger point injection |
$342 |
$684 |
$282 |
$56 | |
| Trigger point injection (1-2 muscles) |
$301 |
$601 |
$282 |
$52 | |
| Triglycerides test |
$67 |
$133 |
$38 |
$6 | |
| Troponin (heart) test |
$173 |
$346 |
$71 |
$12 | |
| Tubal ligation |
$5,431 |
$10,863 |
$5,498 |
$333 | |
| Turbinate reduction |
$7,636 |
$15,273 |
$3,068 |
$294 | |
| Ulnar nerve surgery (elbow) |
$5,247 |
$10,495 |
$1,840 |
$575 | |
| Upper GI endoscopy (EGD) |
$2,301 |
$4,601 |
$864 |
$371 | |
| Upper GI series (barium) |
$342 |
$684 |
$175 |
$128 | |
| Ureteral stent placement |
$5,523 |
$11,046 |
$3,322 |
$373 | |
| Ureteroscopy (stone removal) |
$6,022 |
$12,045 |
$4,930 |
$365 | |
| Uric acid (gout) test |
$57 |
$113 |
$33 |
$5 | |
| Urinalysis |
$39 |
$77 |
$17 |
$3 | |
| Urine microalbumin test |
$36 |
$72 |
$35 |
$5 | |
| Urine pregnancy test |
$93 |
$185 |
$23 |
$9 | |
| Vaccine administration |
$54 |
$108 |
$67 |
$19 | |
| Vaccine administration (each additional) |
$29 |
$58 |
$44 |
$16 | |
| Vasectomy |
$5,766 |
$11,531 |
$1,941 |
$347 | |
| Vitamin B12 test |
$53 |
$106 |
$80 |
$15 | |
| Vitamin D test |
$95 |
$191 |
$118 |
$30 | |
| Vitrectomy (eye) |
$5,363 |
$10,726 |
$3,874 |
$814 | |
| Vocal cord injection |
$5,425 |
$10,851 |
$3,568 |
$211 | |
| Wart removal |
$245 |
$491 |
$191 |
$121 | |
| Wound debridement |
$611 |
$1,223 |
$380 |
$186 | |
| Wrist fracture repair |
$8,107 |
$16,213 |
$6,816 |
$735 | |
| X-ray of the abdomen |
$162 |
$323 |
$87 |
$36 | |
| X-ray of the ankle |
$162 |
$323 |
$87 |
$37 | |
| X-ray of the collarbone |
$162 |
$323 |
$87 |
$33 | |
| X-ray of the elbow |
$162 |
$323 |
$87 |
$33 | |
| X-ray of the facial bones |
$162 |
$323 |
$105 |
$39 | |
| X-ray of the foot |
$162 |
$323 |
$87 |
$34 | |
| X-ray of the forearm |
$162 |
$323 |
$87 |
$29 | |
| X-ray of the hand |
$162 |
$323 |
$87 |
$38 | |
| X-ray of the hip |
$217 |
$433 |
$87 |
$49 | |
| X-ray of the hip (1 view) |
$272 |
$543 |
$87 |
$34 | |
| X-ray of the hip (3 views) |
$162 |
$323 |
$87 |
$49 | |
| X-ray of the knee |
$162 |
$323 |
$87 |
$42 | |
| X-ray of the knee (2 views) |
$162 |
$323 |
$87 |
$34 | |
| X-ray of the knee (3 views) |
$162 |
$323 |
$87 |
$42 | |
| X-ray of the knee (4+ views) |
$162 |
$323 |
$105 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$217 |
$433 |
$105 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$162 |
$323 |
$105 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$272 |
$543 |
$105 |
$53 | |
| X-ray of the lower leg |
$162 |
$323 |
$87 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$162 |
$323 |
$105 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$162 |
$323 |
$105 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$162 |
$323 |
$105 |
$39 | |
| X-ray of the neck (cervical spine) |
$217 |
$433 |
$87 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$162 |
$323 |
$87 |
$40 | |
| X-ray of the pelvis |
$162 |
$323 |
$105 |
$36 | |
| X-ray of the pelvis (1 view) |
$162 |
$323 |
$105 |
$28 | |
| X-ray of the ribs |
$162 |
$323 |
$87 |
$42 | |
| X-ray of the ribs (2 views) |
$162 |
$323 |
$87 |
$36 | |
| X-ray of the ribs (3 views) |
$162 |
$323 |
$105 |
$42 | |
| X-ray of the shoulder |
$162 |
$323 |
$87 |
$36 | |
| X-ray of the skull |
$217 |
$433 |
$105 |
$40 | |
| X-ray of the upper arm |
$162 |
$323 |
$87 |
$32 | |
| X-ray of the wrist |
$162 |
$323 |
$87 |
$43 | |
| YAG laser capsulotomy (eye) |
$783 |
$1,565 |
$554 |
$335 | |
| Zinc blood test |
$41 |
$82 |
$62 |
$11 | |