| 3D mammogram (tomosynthesis) |
$190 |
$190 |
$162 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,210 |
$1,477 |
$1,256 |
$284 | |
| Abdominal ultrasound |
$103 |
$1,088 |
$804 |
$100 | |
| Abdominal ultrasound (complete) |
$137 |
$1,230 |
$1,046 |
$114 | |
| Abdominal ultrasound (limited) |
$69 |
$946 |
$804 |
$86 | |
| Abscess drainage (complex or multiple) |
$515 |
$1,222 |
$1,039 |
$220 | |
| Abscess drainage (simple) |
$256 |
$840 |
$714 |
$129 | |
| Abscess incision and drainage |
$386 |
$1,031 |
$714 |
$174 | |
| Albumin blood test |
$6 |
$135 |
$115 |
$5 | |
| Aldosterone test |
$47 |
$717 |
$610 |
$41 | |
| Alkaline phosphatase test |
$6 |
$130 |
$111 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$19 |
$289 |
$245 |
$17 | |
| ALT liver enzyme test |
$6 |
$131 |
$112 |
$5 | |
| Ammonia blood test |
$17 |
$240 |
$204 |
$15 | |
| Amniocentesis |
$1,123 |
$2,053 |
$1,745 |
$120 | |
| Amylase test |
$7 |
$148 |
$126 |
$6 | |
| Antinuclear antibody (ANA) test |
$14 |
$290 |
$246 |
$12 | |
| Arterial blood gas (ABG) |
$30 |
$354 |
$301 |
$26 | |
| AST liver enzyme test |
$6 |
$119 |
$101 |
$5 | |
| Barium swallow study |
$230 |
$689 |
$568 |
$107 | |
| Bartholin cyst removal |
$260 |
$811 |
$689 |
$182 | |
| Basic metabolic panel |
$10 |
$142 |
$121 |
$8 | |
| Bilirubin blood test |
$6 |
$165 |
$140 |
$5 | |
| Bladder scope (cystoscopy) |
$861 |
$2,003 |
$1,703 |
$216 | |
| Blood clotting test (PT/INR) |
$5 |
$96 |
$82 |
$4 | |
| Blood crossmatch |
$171 |
$171 |
$146 |
— | |
| Blood glucose test |
$5 |
$187 |
$70 |
$5 | |
| Blood transfusion |
$564 |
$1,114 |
$947 |
$47 | |
| Blood type and screen |
$69 |
$210 |
$179 |
$10 | |
| Blood type test |
$108 |
$355 |
$213 |
$3 | |
| Blood type test (ABO group) |
$166 |
$459 |
$390 |
$3 | |
| Blood type test (Rh/D antigen) |
$51 |
$251 |
$213 |
$3 | |
| BNP (heart failure) test |
$45 |
$264 |
$224 |
$39 | |
| Bone density scan (DEXA) |
$137 |
$523 |
$445 |
$39 | |
| Bone marrow biopsy |
$2,892 |
$6,379 |
$3,940 |
$172 | |
| Bone scan (nuclear) |
$518 |
$3,317 |
$2,819 |
$259 | |
| Breast biopsy |
$2,090 |
$4,810 |
$4,072 |
$478 | |
| Breast MRI |
$312 |
$2,014 |
$1,144 |
$216 | |
| Breast MRI without contrast |
$312 |
$1,237 |
$1,051 |
$216 | |
| Breast ultrasound |
$125 |
$801 |
$467 |
$92 | |
| Breast ultrasound (complete) |
$137 |
$1,052 |
$596 |
$100 | |
| Breast ultrasound (limited) |
$114 |
$550 |
$467 |
$84 | |
| Breathing tube insertion (intubation) |
$300 |
$909 |
$773 |
$133 | |
| Bronchoscopy |
$2,225 |
$4,785 |
$3,589 |
$303 | |
| Burn dressing and debridement (medium) |
$256 |
$837 |
$711 |
$166 | |
| Burn dressing and debridement (small) |
$256 |
$761 |
$647 |
$93 | |
| Burn treatment |
$256 |
$799 |
$647 |
$129 | |
| C-reactive protein (CRP) |
$6 |
$129 |
$110 |
$5 | |
| CA 19-9 tumor marker test |
$24 |
$308 |
$262 |
$21 | |
| CA-125 ovarian marker test |
$24 |
$490 |
$417 |
$21 | |
| Calcium blood test |
$6 |
$85 |
$72 |
$5 | |
| Capsule endoscopy |
$1,210 |
$3,752 |
$3,189 |
$802 | |
| Cardiac catheterization |
$3,112 |
$28,390 |
$23,508 |
$1,049 | |
| Cardiac MRI |
$386 |
$2,629 |
$1,686 |
$322 | |
| Cardiac MRI without contrast |
$312 |
$1,984 |
$1,686 |
$280 | |
| Cardiac rehabilitation |
$162 |
$550 |
$468 |
$26 | |
| Cardiac stress test |
$402 |
$1,497 |
$1,273 |
$39 | |
| Cardioversion |
$844 |
$1,797 |
$1,527 |
$155 | |
| Carotid artery ultrasound |
$225 |
$1,297 |
$822 |
$156 | |
| CEA tumor marker test |
$22 |
$311 |
$264 |
$19 | |
| Celiac disease test |
$13 |
$60 |
$51 |
$12 | |
| Central line placement |
$4,061 |
$10,254 |
$8,716 |
$238 | |
| Chemotherapy infusion |
$260 |
$1,548 |
$684 |
$81 | |
| Chemotherapy infusion (each additional) |
$92 |
$736 |
$626 |
$28 | |
| Chemotherapy infusion (first hour) |
$428 |
$2,359 |
$2,005 |
$133 | |
| Chest fluid drain (thoracentesis) |
$798 |
$2,809 |
$2,387 |
$311 | |
| Chest tube insertion |
$2,004 |
$5,692 |
$4,838 |
$143 | |
| Chest X-ray |
$114 |
$450 |
$247 |
$37 | |
| Chest X-ray (1 view) |
$114 |
$265 |
$225 |
$25 | |
| Chest X-ray (2 views) |
$114 |
$390 |
$332 |
$33 | |
| Chickenpox (varicella) vaccine |
$948 |
$948 |
$469 |
— | |
| Circumcision |
$2,643 |
$6,880 |
$5,848 |
$167 | |
| CK-MB heart enzyme test |
$13 |
$117 |
$99 |
$12 | |
| Clotting time test (PTT) |
$7 |
$103 |
$88 |
$6 | |
| Colonoscopy |
$1,521 |
$3,000 |
$2,338 |
$480 | |
| Complete blood count (CBC) |
$8 |
$102 |
$74 |
$7 | |
| Complete blood count (CBC) (complete) |
$9 |
$117 |
$99 |
$8 | |
| Complex wound repair |
$790 |
$2,266 |
$1,926 |
$390 | |
| Copper blood test |
$14 |
$151 |
$129 |
$12 | |
| Coronary CT angiography |
$461 |
$1,578 |
$1,341 |
$326 | |
| Cortisol test |
$19 |
$380 |
$323 |
$16 | |
| CPAP titration study |
$262 |
$643 |
$547 |
$69 | |
| Creatine kinase (CK) test |
$7 |
$144 |
$122 |
$7 | |
| CT angiography of the chest |
$230 |
$3,110 |
$2,644 |
$281 | |
| CT angiography of the head |
$230 |
$2,174 |
$1,848 |
$274 | |
| CT scan of the abdomen |
$230 |
$3,541 |
$2,378 |
$230 | |
| CT scan of the abdomen and pelvis |
$461 |
$3,145 |
$2,673 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$461 |
$7,247 |
$6,160 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$461 |
$3,145 |
$2,673 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$312 |
$2,975 |
$2,529 |
$183 | |
| CT scan of the abdomen with and without contrast |
$230 |
$3,875 |
$3,294 |
$259 | |
| CT scan of the abdomen with contrast |
$230 |
$3,541 |
$3,010 |
$230 | |
| CT scan of the abdomen without contrast |
$137 |
$2,797 |
$2,378 |
$136 | |
| CT scan of the arm |
$230 |
$2,910 |
$2,051 |
$199 | |
| CT scan of the arm with contrast |
$461 |
$3,471 |
$2,951 |
$199 | |
| CT scan of the arm without contrast |
$137 |
$2,413 |
$2,051 |
$161 | |
| CT scan of the chest |
$230 |
$2,982 |
$2,207 |
$167 | |
| CT scan of the chest with and without contrast |
$230 |
$4,530 |
$3,850 |
$196 | |
| CT scan of the chest with contrast |
$230 |
$2,982 |
$2,535 |
$167 | |
| CT scan of the chest without contrast |
$137 |
$2,597 |
$2,207 |
$133 | |
| CT scan of the head |
$230 |
$3,486 |
$2,673 |
$148 | |
| CT scan of the head with and without contrast |
$230 |
$4,259 |
$3,620 |
$173 | |
| CT scan of the head with contrast |
$230 |
$3,486 |
$2,963 |
$148 | |
| CT scan of the head without contrast |
$137 |
$3,145 |
$2,673 |
$107 | |
| CT scan of the leg |
$561 |
$2,853 |
$1,617 |
$166 | |
| CT scan of the leg with contrast |
$561 |
$4,623 |
$2,619 |
$166 | |
| CT scan of the leg without contrast |
$290 |
$2,853 |
$1,617 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$230 |
$4,442 |
$2,576 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$230 |
$4,442 |
$3,775 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$461 |
$6,284 |
$5,341 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$137 |
$2,781 |
$2,364 |
$130 | |
| CT scan of the neck |
$230 |
$3,568 |
$2,383 |
$183 | |
| CT scan of the neck (cervical spine) |
$230 |
$4,286 |
$2,025 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$230 |
$4,938 |
$4,197 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$461 |
$4,286 |
$3,643 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$137 |
$1,473 |
$1,252 |
$131 | |
| CT scan of the neck with and without contrast |
$230 |
$4,355 |
$3,702 |
$220 | |
| CT scan of the neck with contrast |
$230 |
$3,568 |
$3,033 |
$183 | |
| CT scan of the neck without contrast |
$137 |
$2,803 |
$2,383 |
$150 | |
| CT scan of the pelvis |
$230 |
$3,400 |
$2,100 |
$226 | |
| CT scan of the pelvis with and without contrast |
$230 |
$3,967 |
$3,372 |
$251 | |
| CT scan of the pelvis with contrast |
$230 |
$3,400 |
$2,890 |
$226 | |
| CT scan of the pelvis without contrast |
$137 |
$2,471 |
$2,100 |
$133 | |
| CT scan of the sinuses |
$230 |
$4,056 |
$2,340 |
$152 | |
| CT scan of the sinuses with and without contrast |
$230 |
$4,067 |
$3,457 |
$184 | |
| CT scan of the sinuses with contrast |
$230 |
$4,056 |
$3,448 |
$152 | |
| CT scan of the sinuses without contrast |
$137 |
$2,753 |
$2,340 |
$128 | |
| D-dimer test |
$12 |
$79 |
$67 |
$10 | |
| DHEA-sulfate test |
$26 |
$286 |
$243 |
$22 | |
| Diagnostic mammogram |
$130 |
$702 |
$514 |
$140 | |
| Drug screen (urine) |
$71 |
$204 |
$173 |
$17 | |
| Echocardiogram |
$312 |
$1,865 |
$934 |
$138 | |
| Echocardiogram with and without contrast |
$312 |
$1,005 |
$854 |
$101 | |
| Echocardiogram without contrast |
$312 |
$1,865 |
$1,585 |
$138 | |
| EEG (awake and asleep) |
$402 |
$2,159 |
$1,835 |
$482 | |
| EKG / ECG (tracing only) |
$77 |
$307 |
$261 |
$7 | |
| Electrocardiogram (EKG) |
$77 |
$307 |
$261 |
$8 | |
| Electroencephalogram (EEG) |
$402 |
$2,159 |
$1,835 |
$448 | |
| Electrolyte panel |
$8 |
$132 |
$112 |
$7 | |
| Electromyography (EMG) |
$166 |
$818 |
$695 |
$141 | |
| Emergency department visit |
$2,494 |
$2,869 |
$1,711 |
$69 | |
| Emergency department visit (level 1) |
$2,013 |
$2,013 |
$1,711 |
$11 | |
| Emergency department visit (level 2) |
$2,494 |
$2,494 |
$2,120 |
$40 | |
| Emergency department visit (level 3) |
$2,869 |
$2,869 |
$2,439 |
$69 | |
| Emergency department visit (level 4) |
$549 |
$3,119 |
$2,651 |
$118 | |
| Emergency department visit (level 5) |
$3,938 |
$3,938 |
$3,347 |
$171 | |
| Epidural steroid injection |
$894 |
$3,121 |
$2,495 |
$275 | |
| ERCP (bile duct endoscopy) |
$4,909 |
$9,522 |
$8,094 |
$311 | |
| Esophageal dilation |
$1,210 |
$2,285 |
$1,942 |
$522 | |
| Estradiol (estrogen) test |
$32 |
$350 |
$297 |
$28 | |
| Facet joint injection (spine) |
$2,352 |
$5,579 |
$2,611 |
$99 | |
| Fallopian tube X-ray (HSG) |
$1,281 |
$2,366 |
$1,913 |
$164 | |
| Family therapy session |
$207 |
$801 |
$681 |
$110 | |
| Fecal occult blood (stool) test |
$12 |
$156 |
$76 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$5 |
$80 |
$68 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$18 |
$233 |
$198 |
$16 | |
| Feeding tube (PEG) placement |
$2,448 |
$6,161 |
$5,237 |
$178 | |
| Ferritin (iron) test |
$16 |
$195 |
$166 |
$14 | |
| Fibrinogen test |
$11 |
$213 |
$181 |
$10 | |
| Flexible sigmoidoscopy |
$1,176 |
$2,603 |
$1,899 |
$323 | |
| Flu test |
$19 |
$137 |
$116 |
$17 | |
| Folate (folic acid) test |
$17 |
$208 |
$177 |
$15 | |
| Foreign body removal (skin) |
$515 |
$822 |
$699 |
$157 | |
| Free T4 thyroid test |
$10 |
$375 |
$319 |
$9 | |
| FSH hormone test |
$21 |
$313 |
$266 |
$19 | |
| Gallbladder scan (HIDA) |
$606 |
$3,103 |
$2,637 |
$334 | |
| GGT liver test |
$8 |
$143 |
$121 |
$7 | |
| Glucose tolerance test |
$10 |
$142 |
$45 |
$8 | |
| Group therapy session |
$119 |
$1,142 |
$971 |
$30 | |
| H. pylori test |
$77 |
$380 |
$323 |
$67 | |
| HDL cholesterol test |
$9 |
$71 |
$61 |
$8 | |
| Hearing test (audiometry) |
$202 |
$736 |
$626 |
$36 | |
| Hematocrit test |
$3 |
$15 |
$13 |
$2 | |
| Hemodialysis |
$1,923 |
$1,923 |
$1,275 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$11 |
$161 |
$137 |
$10 | |
| Hepatitis A vaccine |
$374 |
$374 |
$185 |
— | |
| Hepatitis B test |
$12 |
$167 |
$142 |
$10 | |
| Hepatitis B vaccine |
$249 |
$249 |
$123 |
— | |
| Hepatitis C test |
$16 |
$315 |
$268 |
$14 | |
| HIV test |
$22 |
$365 |
$38 |
$19 | |
| HIV test (antibody) |
$16 |
$691 |
$587 |
$14 | |
| HIV test (antigen/antibody combo) |
$28 |
$39 |
$33 |
$24 | |
| Holter heart monitor |
$121 |
$1,285 |
$1,003 |
$26 | |
| Home sleep apnea test |
$139 |
$311 |
$183 |
$123 | |
| HPV vaccine |
$1,468 |
$1,468 |
$727 |
— | |
| Iron blood test |
$7 |
$127 |
$108 |
$6 | |
| IUD removal |
$392 |
$1,009 |
$858 |
$112 | |
| IV infusion therapy |
$166 |
$429 |
$126 |
$44 | |
| IV infusion therapy (each additional) |
$60 |
$130 |
$111 |
$21 | |
| IV infusion therapy (initial) |
$272 |
$727 |
$618 |
$67 | |
| IVC filter placement |
$6,974 |
$8,782 |
$7,465 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$381 |
$739 |
$521 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$381 |
$865 |
$735 |
$57 | |
| Joint aspiration or injection (small joint) |
$381 |
$613 |
$521 |
$56 | |
| Kidney biopsy |
$2,090 |
$3,168 |
$2,693 |
$492 | |
| Kidney scan (nuclear) |
$694 |
$3,252 |
$2,764 |
$172 | |
| Kidney ultrasound |
$137 |
$954 |
$792 |
$84 | |
| Kidney ultrasound (limited) |
$137 |
$931 |
$792 |
$61 | |
| Knee joint injection |
$381 |
$1,421 |
$1,208 |
$69 | |
| Lactate test |
$13 |
$195 |
$166 |
$12 | |
| Laryngoscopy |
$250 |
$664 |
$564 |
$189 | |
| LDH test |
$7 |
$120 |
$102 |
$6 | |
| LDL cholesterol test |
$12 |
$119 |
$101 |
$11 | |
| Leg artery angiogram |
$4,061 |
$6,977 |
$5,930 |
$149 | |
| Leg artery angioplasty |
$10,994 |
$26,584 |
$22,588 |
— | |
| Leg vein ultrasound (Doppler) |
$225 |
$1,453 |
$1,151 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$137 |
$1,354 |
$1,151 |
$116 | |
| LH hormone test |
$21 |
$355 |
$302 |
$19 | |
| Lipase test |
$8 |
$125 |
$106 |
$7 | |
| Lipid (cholesterol) panel |
$15 |
$324 |
$275 |
$13 | |
| Liver biopsy |
$2,090 |
$4,390 |
$3,732 |
$288 | |
| Liver function panel |
$9 |
$187 |
$159 |
$8 | |
| Lung function test (PFT) |
$302 |
$636 |
$318 |
$37 | |
| Lung scan (V/Q) |
$694 |
$3,713 |
$3,156 |
$291 | |
| Magnesium blood test |
$8 |
$114 |
$97 |
$7 | |
| MMR vaccine |
$496 |
$496 |
$247 |
— | |
| MRA of the brain |
$386 |
$3,724 |
$2,652 |
$226 | |
| MRA of the brain without contrast |
$461 |
$4,327 |
$3,678 |
$328 | |
| MRA of the neck |
$461 |
$4,165 |
$2,970 |
$245 | |
| MRA of the neck with contrast |
$461 |
$4,165 |
$3,541 |
$245 | |
| MRA of the neck without contrast |
$461 |
$4,791 |
$4,072 |
$343 | |
| MRI of the abdomen |
$461 |
$3,607 |
$2,272 |
$300 | |
| MRI of the abdomen with contrast |
$461 |
$3,693 |
$3,139 |
$300 | |
| MRI of the abdomen without contrast |
$312 |
$2,673 |
$2,272 |
$194 | |
| MRI of the ankle |
$461 |
$3,304 |
$2,553 |
$261 | |
| MRI of the ankle with contrast |
$461 |
$3,304 |
$2,808 |
$261 | |
| MRI of the ankle without contrast |
$312 |
$3,003 |
$2,553 |
$222 | |
| MRI of the brain |
$461 |
$5,057 |
$3,256 |
$269 | |
| MRI of the brain with contrast |
$461 |
$5,057 |
$4,298 |
$269 | |
| MRI of the brain without contrast |
$312 |
$3,831 |
$3,256 |
$195 | |
| MRI of the chest |
$461 |
$3,524 |
$1,445 |
$371 | |
| MRI of the chest with contrast |
$1,019 |
$3,524 |
$2,995 |
$371 | |
| MRI of the chest without contrast |
$461 |
$3,524 |
$2,995 |
$466 | |
| MRI of the knee |
$461 |
$4,019 |
$2,996 |
$315 | |
| MRI of the knee with contrast |
$1,019 |
$3,525 |
$2,996 |
$315 | |
| MRI of the knee without contrast |
$312 |
$4,019 |
$3,416 |
$204 | |
| MRI of the lower back (lumbar spine) |
$461 |
$5,824 |
$3,657 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$461 |
$5,950 |
$5,058 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$312 |
$4,302 |
$3,657 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$461 |
$5,560 |
$3,431 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$461 |
$6,391 |
$5,433 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$461 |
$5,560 |
$4,726 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$312 |
$4,037 |
$3,431 |
$190 | |
| MRI of the neck (cervical spine) |
$461 |
$5,717 |
$3,599 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$461 |
$6,574 |
$5,588 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$461 |
$5,717 |
$4,860 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$312 |
$4,234 |
$3,599 |
$191 | |
| MRI of the pelvis |
$461 |
$4,351 |
$3,254 |
$268 | |
| MRI of the pelvis with contrast |
$461 |
$4,351 |
$3,699 |
$268 | |
| MRI of the pelvis without contrast |
$312 |
$3,828 |
$3,254 |
$227 | |
| MRI of the shoulder |
$697 |
$4,794 |
$2,717 |
$313 | |
| MRI of the shoulder with contrast |
$1,019 |
$6,474 |
$5,503 |
$313 | |
| MRI of the shoulder without contrast |
$697 |
$4,794 |
$2,717 |
$205 | |
| MRI of the wrist |
$461 |
$3,765 |
$2,372 |
$330 | |
| MRI of the wrist with contrast |
$461 |
$3,177 |
$2,701 |
$330 | |
| MRI of the wrist without contrast |
$697 |
$4,186 |
$2,372 |
$303 | |
| Nebulizer breathing treatment |
$262 |
$425 |
$361 |
$9 | |
| Nerve conduction study |
$402 |
$415 |
$353 |
$118 | |
| Nuchal translucency ultrasound |
$137 |
$293 |
$249 |
$116 | |
| Nuclear cardiac stress test |
$1,684 |
$9,908 |
$8,422 |
$428 | |
| Occupational therapy evaluation |
$119 |
$462 |
$220 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$119 |
$517 |
$439 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$119 |
$259 |
$220 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$119 |
$462 |
$393 |
$101 | |
| Pap smear (cervical screening) |
$27 |
$160 |
$84 |
$20 | |
| Parathyroid hormone (PTH) test |
$47 |
$1,832 |
$1,557 |
$41 | |
| Pelvic ultrasound |
$137 |
$899 |
$553 |
$78 | |
| Pelvic ultrasound (complete) |
$137 |
$1,147 |
$975 |
$105 | |
| Pelvic ultrasound (limited) |
$137 |
$651 |
$553 |
$51 | |
| PET scan |
$1,882 |
$10,250 |
$8,298 |
— | |
| Phosphorus blood test |
$5 |
$80 |
$68 |
$5 | |
| Physical therapy evaluation |
$110 |
$542 |
$387 |
$98 | |
| Physical therapy evaluation (high complexity) |
$110 |
$542 |
$461 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$110 |
$862 |
$733 |
$98 | |
| Platelet count |
$5 |
$91 |
$78 |
$4 | |
| Pneumonia vaccine |
$698 |
$698 |
$346 |
— | |
| Pregnancy blood test (hCG) |
$9 |
$212 |
$180 |
$8 | |
| Pregnancy ultrasound |
$137 |
$2,294 |
$1,204 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$137 |
$1,354 |
$1,151 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$137 |
$3,234 |
$2,749 |
$136 | |
| Procalcitonin test |
$31 |
$737 |
$626 |
$27 | |
| Prolactin test |
$22 |
$369 |
$313 |
$19 | |
| Prostate biopsy |
$2,643 |
$4,247 |
$3,610 |
— | |
| Prostate test (PSA) |
$21 |
$520 |
$442 |
$18 | |
| Psychiatric evaluation |
$207 |
$1,421 |
$1,030 |
$188 | |
| Psychotherapy session |
$207 |
$532 |
$414 |
$140 | |
| Pulmonary rehabilitation |
$77 |
$288 |
$245 |
$87 | |
| Radiofrequency nerve ablation |
$2,519 |
$6,274 |
$4,100 |
$462 | |
| Rheumatoid factor test |
$7 |
$172 |
$146 |
$6 | |
| Scoliosis spine X-ray |
$125 |
$449 |
$250 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$114 |
$294 |
$250 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$137 |
$604 |
$513 |
$72 | |
| Screening mammogram |
$121 |
$950 |
$808 |
$126 | |
| Scrotal ultrasound |
$137 |
$898 |
$763 |
$99 | |
| Sedimentation rate (ESR) test |
$4 |
$71 |
$42 |
$3 | |
| Semen analysis |
$14 |
$268 |
$228 |
$12 | |
| Sex hormone binding globulin test |
$25 |
$89 |
$76 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$256 |
$844 |
$718 |
$114 | |
| Simple wound stitches |
$256 |
$886 |
$718 |
$127 | |
| Skin biopsy |
$653 |
$857 |
$524 |
$121 | |
| Skin biopsy (punch) |
$515 |
$617 |
$524 |
$121 | |
| Sleep study (polysomnography) |
$1,313 |
$6,770 |
$5,593 |
$691 | |
| Soft tissue ultrasound |
$137 |
$926 |
$787 |
$64 | |
| Speech therapy |
$101 |
$424 |
$360 |
$76 | |
| Spinal cord stimulator |
$8,468 |
$17,875 |
$15,194 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$894 |
$9,961 |
$8,467 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$9,217 |
$22,736 |
$19,326 |
$5,803 | |
| Spirometry (lung function test) |
$202 |
$327 |
$278 |
$30 | |
| Spirometry with bronchodilator |
$402 |
$945 |
$803 |
$43 | |
| Strep throat test |
$19 |
$228 |
$194 |
$17 | |
| Stress echocardiogram |
$707 |
$2,266 |
$1,926 |
$209 | |
| Swallow study |
$87 |
$494 |
$419 |
$85 | |
| T3 thyroid test |
$16 |
$299 |
$254 |
$14 | |
| Testosterone test |
$30 |
$402 |
$342 |
$26 | |
| Thyroid test (TSH) |
$19 |
$232 |
$197 |
$17 | |
| Thyroid ultrasound |
$137 |
$770 |
$655 |
$109 | |
| Thyroid uptake scan |
$518 |
$2,260 |
$1,921 |
$145 | |
| Tilt table test |
$685 |
$3,516 |
$2,989 |
$168 | |
| Total IgE allergy test |
$19 |
$163 |
$138 |
$16 | |
| Total protein test |
$4 |
$129 |
$110 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$707 |
$3,057 |
$2,598 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$707 |
$3,057 |
$2,598 |
$239 | |
| Transvaginal ultrasound |
$137 |
$1,065 |
$905 |
$118 | |
| Trigger point injection |
$381 |
$722 |
$408 |
$56 | |
| Trigger point injection (1-2 muscles) |
$381 |
$965 |
$820 |
$52 | |
| Triglycerides test |
$7 |
$91 |
$78 |
$6 | |
| Troponin (heart) test |
$14 |
$200 |
$170 |
$12 | |
| Turning a breech baby (version) |
$4,102 |
$9,400 |
$7,990 |
$94 | |
| Upper GI endoscopy (EGD) |
$1,210 |
$2,752 |
$2,338 |
$371 | |
| Upper GI series (barium) |
$230 |
$727 |
$350 |
$128 | |
| Uric acid (gout) test |
$5 |
$116 |
$98 |
$5 | |
| Urine microalbumin test |
$6 |
$125 |
$102 |
$5 | |
| Urine pregnancy test |
$10 |
$79 |
$67 |
$9 | |
| Vaccine administration |
$122 |
$150 |
$126 |
$19 | |
| Vaccine administration (each additional) |
$152 |
$152 |
$129 |
$16 | |
| Vitamin B12 test |
$17 |
$192 |
$163 |
$15 | |
| Vitamin D test |
$34 |
$382 |
$325 |
$30 | |
| Wound debridement |
$653 |
$1,930 |
$934 |
$186 | |
| X-ray of the abdomen |
$137 |
$575 |
$347 |
$36 | |
| X-ray of the ankle |
$114 |
$414 |
$235 |
$37 | |
| X-ray of the collarbone |
$114 |
$2,217 |
$1,884 |
$33 | |
| X-ray of the elbow |
$114 |
$1,435 |
$813 |
$33 | |
| X-ray of the facial bones |
$125 |
$581 |
$402 |
$39 | |
| X-ray of the foot |
$114 |
$870 |
$740 |
$34 | |
| X-ray of the forearm |
$114 |
$1,572 |
$891 |
$29 | |
| X-ray of the hand |
$114 |
$260 |
$221 |
$38 | |
| X-ray of the hip |
$114 |
$593 |
$322 |
$49 | |
| X-ray of the hip (1 view) |
$114 |
$379 |
$322 |
$34 | |
| X-ray of the hip (3 views) |
$114 |
$593 |
$504 |
$49 | |
| X-ray of the hip (4 views) |
$137 |
$767 |
$652 |
$63 | |
| X-ray of the knee |
$114 |
$785 |
$663 |
$42 | |
| X-ray of the knee (2 views) |
$114 |
$1,469 |
$832 |
$34 | |
| X-ray of the knee (3 views) |
$114 |
$785 |
$667 |
$42 | |
| X-ray of the knee (4+ views) |
$137 |
$780 |
$442 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$137 |
$702 |
$588 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$137 |
$713 |
$606 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$137 |
$692 |
$588 |
$53 | |
| X-ray of the lower leg |
$114 |
$1,775 |
$1,006 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$137 |
$559 |
$334 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$137 |
$726 |
$617 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$137 |
$393 |
$334 |
$39 | |
| X-ray of the neck (cervical spine) |
$125 |
$709 |
$482 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$114 |
$567 |
$482 |
$40 | |
| X-ray of the pelvis |
$137 |
$555 |
$444 |
$36 | |
| X-ray of the pelvis (1 view) |
$137 |
$522 |
$444 |
$28 | |
| X-ray of the ribs |
$137 |
$591 |
$382 |
$42 | |
| X-ray of the ribs (2 views) |
$114 |
$932 |
$793 |
$36 | |
| X-ray of the ribs (3 views) |
$137 |
$591 |
$502 |
$42 | |
| X-ray of the shoulder |
$114 |
$614 |
$522 |
$36 | |
| X-ray of the skull |
$137 |
$637 |
$321 |
$40 | |
| X-ray of the upper arm |
$114 |
$539 |
$458 |
$32 | |
| X-ray of the wrist |
$114 |
$806 |
$685 |
$43 | |
| YAG laser capsulotomy (eye) |
$708 |
$1,734 |
$1,474 |
$335 | |
| Zinc blood test |
$13 |
$351 |
$298 |
$11 | |