| 3D mammogram (tomosynthesis) |
$137 |
$228 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$2,183 |
$3,638 |
— |
$284 | |
| Abdominal ultrasound |
$1,130 |
$1,884 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$1,643 |
$2,738 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$1,130 |
$1,884 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$444 |
$739 |
— |
$220 | |
| Abscess drainage (simple) |
$406 |
$677 |
— |
$129 | |
| Abscess incision and drainage |
$425 |
$708 |
— |
$174 | |
| Achilles tendon repair |
$16,429 |
$27,382 |
— |
$624 | |
| ACL knee reconstruction |
$17,155 |
$28,591 |
— |
$889 | |
| Adenoid removal (adenoidectomy) |
$8,343 |
$13,904 |
— |
$204 | |
| Albumin blood test |
$280 |
$467 |
— |
$5 | |
| Aldosterone test |
$426 |
$710 |
— |
$41 | |
| Alkaline phosphatase test |
$221 |
$369 |
— |
$5 | |
| Allergy shots |
$57 |
$95 |
— |
$11 | |
| Alpha-fetoprotein (AFP) test |
$324 |
$540 |
— |
$17 | |
| ALT liver enzyme test |
$231 |
$386 |
— |
$5 | |
| Ammonia blood test |
$391 |
$651 |
— |
$15 | |
| Amylase test |
$307 |
$511 |
— |
$6 | |
| Anal fistula repair |
$12,686 |
$21,144 |
— |
$541 | |
| Ankle fracture repair |
$22,700 |
$37,833 |
— |
$608 | |
| Antinuclear antibody (ANA) test |
$324 |
$540 |
— |
$12 | |
| Arterial blood gas (ABG) |
$906 |
$1,511 |
— |
$26 | |
| AST liver enzyme test |
$220 |
$367 |
— |
$5 | |
| Barium swallow study |
$1,379 |
$2,299 |
— |
$107 | |
| Bartholin cyst removal |
$949 |
$1,582 |
— |
$182 | |
| Basic metabolic panel |
$472 |
$787 |
— |
$8 | |
| Benign skin lesion removal |
$5,106 |
$8,511 |
— |
$171 | |
| Bilirubin blood test |
$262 |
$436 |
— |
$5 | |
| Bladder tumor removal (TURBT) |
$30,193 |
$50,321 |
— |
$236 | |
| Blood clotting test (PT/INR) |
$166 |
$277 |
— |
$4 | |
| Blood crossmatch |
$360 |
$601 |
— |
— | |
| Blood glucose test |
$267 |
$446 |
— |
$5 | |
| Blood transfusion |
$1,567 |
$2,612 |
— |
$47 | |
| Blood type and screen |
$220 |
$367 |
— |
$10 | |
| Blood type test |
$174 |
$290 |
— |
$3 | |
| Blood type test (ABO group) |
$247 |
$411 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$102 |
$169 |
— |
$3 | |
| BNP (heart failure) test |
$243 |
$404 |
— |
$39 | |
| Bone density scan (DEXA) |
$680 |
$1,133 |
— |
$39 | |
| Bone marrow biopsy |
$4,361 |
$7,269 |
— |
$172 | |
| Bone scan (nuclear) |
$3,603 |
$6,005 |
— |
$259 | |
| Breast biopsy |
$4,847 |
$8,078 |
— |
$478 | |
| Breast MRI |
$1,524 |
$2,540 |
— |
$216 | |
| Breast MRI without contrast |
$1,524 |
$2,540 |
— |
$216 | |
| Breast reconstruction |
$16,599 |
$27,665 |
— |
$1,227 | |
| Breast ultrasound |
$1,014 |
$1,690 |
— |
$92 | |
| Breast ultrasound (complete) |
$1,052 |
$1,753 |
— |
$100 | |
| Breast ultrasound (limited) |
$818 |
$1,364 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$2,690 |
$4,483 |
— |
$133 | |
| Bronchoscopy |
$5,624 |
$9,374 |
— |
$303 | |
| Bunion surgery (bunionectomy) |
$29,721 |
$49,535 |
— |
$883 | |
| Burn dressing and debridement (medium) |
$685 |
$1,141 |
— |
$166 | |
| Burn dressing and debridement (small) |
$587 |
$979 |
— |
$93 | |
| Burn treatment |
$636 |
$1,060 |
— |
$129 | |
| C-reactive protein (CRP) |
$194 |
$323 |
— |
$5 | |
| CA 19-9 tumor marker test |
$217 |
$362 |
— |
$21 | |
| CA-125 ovarian marker test |
$340 |
$567 |
— |
$21 | |
| Calcium blood test |
$240 |
$399 |
— |
$5 | |
| Cardiac ablation |
$26,514 |
$44,190 |
— |
$759 | |
| Cardiac catheterization |
$35,634 |
$59,390 |
— |
$1,049 | |
| Cardiac MRI |
$4,020 |
$6,701 |
— |
$322 | |
| Cardiac MRI without contrast |
$4,001 |
$6,669 |
— |
$280 | |
| Cardiac rehabilitation |
$304 |
$507 |
— |
$26 | |
| Cardiac stress test |
$1,649 |
$2,749 |
— |
$39 | |
| Cardioversion |
$2,196 |
$3,661 |
— |
$155 | |
| Carotid artery ultrasound |
$3,734 |
$6,224 |
— |
$156 | |
| Carpal tunnel release |
$11,188 |
$18,647 |
— |
$483 | |
| CEA tumor marker test |
$501 |
$836 |
— |
$19 | |
| Celiac disease test |
$413 |
$688 |
— |
$12 | |
| Central line placement |
$4,346 |
$7,243 |
— |
$238 | |
| Cervical LEEP procedure |
$8,635 |
$14,392 |
— |
$325 | |
| Cesarean section (C-section) |
$34,923 |
$58,206 |
$7,637 |
$7,552 | |
| Chemotherapy infusion |
$666 |
$1,111 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$360 |
$601 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$972 |
$1,620 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,476 |
$2,459 |
— |
$311 | |
| Chest X-ray |
$611 |
$1,018 |
— |
$37 | |
| Chest X-ray (1 view) |
$469 |
$781 |
— |
$25 | |
| Chest X-ray (2 views) |
$596 |
$993 |
— |
$33 | |
| CK-MB heart enzyme test |
$379 |
$631 |
— |
$12 | |
| Clotting time test (PTT) |
$228 |
$381 |
— |
$6 | |
| Colonoscopy |
$6,315 |
$10,525 |
— |
$480 | |
| Complete blood count (CBC) |
$218 |
$363 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$244 |
$406 |
— |
$8 | |
| Complex wound repair |
$4,430 |
$7,384 |
— |
$390 | |
| Comprehensive metabolic panel |
$776 |
$1,294 |
— |
$11 | |
| Copper blood test |
$188 |
$313 |
— |
$12 | |
| Coronary artery bypass (CABG) |
$245,878 |
$409,797 |
$45,369 |
$36,593 | |
| Coronary CT angiography |
$3,433 |
$5,721 |
— |
$326 | |
| Cortisol test |
$404 |
$673 |
— |
$16 | |
| COVID-19 PCR test |
$73 |
$121 |
— |
$51 | |
| CPAP titration study |
$1,169 |
$1,949 |
— |
$69 | |
| Creatine kinase (CK) test |
$260 |
$433 |
— |
$7 | |
| CT angiography of the chest |
$4,176 |
$6,961 |
— |
$281 | |
| CT angiography of the head |
$3,860 |
$6,434 |
— |
$274 | |
| CT scan of the abdomen |
$4,142 |
$6,903 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$7,816 |
$13,026 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$9,119 |
$15,198 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$8,016 |
$13,360 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$7,304 |
$12,174 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$4,826 |
$8,043 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$4,287 |
$7,145 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$3,724 |
$6,206 |
— |
$136 | |
| CT scan of the arm |
$3,795 |
$6,325 |
— |
$199 | |
| CT scan of the arm with contrast |
$4,060 |
$6,767 |
— |
$199 | |
| CT scan of the arm without contrast |
$3,383 |
$5,638 |
— |
$161 | |
| CT scan of the chest |
$4,293 |
$7,155 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$4,993 |
$8,321 |
— |
$196 | |
| CT scan of the chest with contrast |
$4,443 |
$7,406 |
— |
$167 | |
| CT scan of the chest without contrast |
$3,544 |
$5,907 |
— |
$133 | |
| CT scan of the head |
$3,550 |
$5,917 |
— |
$148 | |
| CT scan of the head with and without contrast |
$4,096 |
$6,826 |
— |
$173 | |
| CT scan of the head with contrast |
$3,674 |
$6,124 |
— |
$148 | |
| CT scan of the head without contrast |
$3,121 |
$5,201 |
— |
$107 | |
| CT scan of the leg |
$3,792 |
$6,320 |
— |
$166 | |
| CT scan of the leg with contrast |
$3,882 |
$6,471 |
— |
$166 | |
| CT scan of the leg without contrast |
$3,544 |
$5,907 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$4,569 |
$7,615 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$5,975 |
$9,958 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$4,729 |
$7,882 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$4,000 |
$6,666 |
— |
$130 | |
| CT scan of the neck |
$3,767 |
$6,279 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$4,852 |
$8,087 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$5,524 |
$9,207 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$5,022 |
$8,370 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$3,802 |
$6,337 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$4,269 |
$7,115 |
— |
$220 | |
| CT scan of the neck with contrast |
$3,899 |
$6,499 |
— |
$183 | |
| CT scan of the neck without contrast |
$3,380 |
$5,633 |
— |
$150 | |
| CT scan of the pelvis |
$4,295 |
$7,159 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$4,777 |
$7,962 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$4,445 |
$7,409 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$3,682 |
$6,137 |
— |
$133 | |
| CT scan of the sinuses |
$3,700 |
$6,167 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$4,391 |
$7,318 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$3,830 |
$6,383 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$2,864 |
$4,774 |
— |
$128 | |
| D-dimer test |
$410 |
$683 |
— |
$10 | |
| Defibrillator (ICD) implant |
$9,154 |
$15,256 |
— |
$798 | |
| DHEA-sulfate test |
$268 |
$447 |
— |
$22 | |
| Diagnostic mammogram |
$713 |
$1,189 |
— |
$140 | |
| Dilation and curettage (D&C) |
$18,729 |
$31,216 |
— |
$298 | |
| Drug screen (urine) |
$674 |
$1,123 |
— |
$17 | |
| Ear tubes (myringotomy) |
$4,379 |
$7,299 |
— |
$174 | |
| Eardrum repair (tympanoplasty) |
$14,568 |
$24,280 |
— |
$799 | |
| Echocardiogram |
$2,777 |
$4,629 |
— |
$138 | |
| Echocardiogram with and without contrast |
$1,440 |
$2,400 |
— |
$101 | |
| Echocardiogram without contrast |
$2,777 |
$4,629 |
— |
$138 | |
| EEG (awake and asleep) |
$1,299 |
$2,166 |
— |
$482 | |
| EKG / ECG (tracing only) |
$574 |
$957 |
— |
$7 | |
| Electrocardiogram (EKG) |
$574 |
$957 |
— |
$8 | |
| Electroencephalogram (EEG) |
$1,373 |
$2,288 |
— |
$448 | |
| Electrolyte panel |
$491 |
$819 |
— |
$7 | |
| Electromyography (EMG) |
$813 |
$1,355 |
— |
$141 | |
| Emergency department visit |
$1,072 |
$1,786 |
— |
$69 | |
| Emergency department visit (level 1) |
$419 |
$699 |
— |
$11 | |
| Emergency department visit (level 2) |
$687 |
$1,145 |
— |
$40 | |
| Emergency department visit (level 3) |
$1,072 |
$1,786 |
— |
$69 | |
| Emergency department visit (level 4) |
$1,494 |
$2,490 |
— |
$118 | |
| Emergency department visit (level 5) |
$2,234 |
$3,723 |
— |
$171 | |
| Epidural steroid injection |
$2,081 |
$3,468 |
— |
$275 | |
| ERCP (bile duct endoscopy) |
$11,139 |
$18,565 |
— |
$311 | |
| Estradiol (estrogen) test |
$243 |
$404 |
— |
$28 | |
| Facet joint injection (spine) |
$1,297 |
$2,161 |
— |
$99 | |
| Fallopian tube X-ray (HSG) |
$1,815 |
$3,025 |
— |
$164 | |
| Feeding tube (PEG) placement |
$9,441 |
$15,735 |
— |
$178 | |
| Ferritin (iron) test |
$338 |
$563 |
— |
$14 | |
| Fibrinogen test |
$377 |
$628 |
— |
$10 | |
| Flexible sigmoidoscopy |
$6,559 |
$10,931 |
— |
$323 | |
| Flu test |
$165 |
$276 |
— |
$17 | |
| Folate (folic acid) test |
$461 |
$768 |
— |
$15 | |
| Foreign body removal (skin) |
$1,015 |
$1,692 |
— |
$157 | |
| Free T4 thyroid test |
$296 |
$494 |
— |
$9 | |
| FSH hormone test |
$403 |
$672 |
— |
$19 | |
| Gallbladder removal (laparoscopic) |
$32,487 |
$54,145 |
— |
$658 | |
| Gallbladder scan (HIDA) |
$4,307 |
$7,178 |
— |
$334 | |
| GGT liver test |
$244 |
$406 |
— |
$7 | |
| Glucose tolerance test |
$371 |
$618 |
— |
$8 | |
| Hammertoe repair |
$16,254 |
$27,091 |
— |
$548 | |
| HDL cholesterol test |
$240 |
$399 |
— |
$8 | |
| Hematocrit test |
$130 |
$217 |
— |
$2 | |
| Hemodialysis |
$2,145 |
$3,574 |
— |
$75 | |
| Hemoglobin A1c (diabetes test) |
$209 |
$348 |
— |
$10 | |
| Hemorrhoid removal |
$3,492 |
$5,820 |
— |
$338 | |
| Hepatitis B test |
$288 |
$480 |
— |
$10 | |
| Hepatitis C test |
$254 |
$423 |
— |
$14 | |
| HIV test |
$58 |
$96 |
— |
$19 | |
| HIV test (antibody) |
$38 |
$64 |
— |
$14 | |
| HIV test (antigen/antibody combo) |
$77 |
$129 |
— |
$24 | |
| Hydrocele repair |
$29,103 |
$48,505 |
— |
$315 | |
| Hysteroscopy |
$14,323 |
$23,871 |
— |
$1,270 | |
| Inguinal hernia repair |
$25,260 |
$42,099 |
— |
$538 | |
| Iron blood test |
$234 |
$391 |
— |
$6 | |
| IV infusion therapy |
$600 |
$1,000 |
— |
$44 | |
| IV infusion therapy (each additional) |
$377 |
$628 |
— |
$21 | |
| IV infusion therapy (initial) |
$823 |
$1,372 |
— |
$67 | |
| IVC filter placement |
$13,254 |
$22,090 |
— |
$1,885 | |
| Joint aspiration (small/intermediate) |
$3,165 |
$5,275 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$863 |
$1,439 |
— |
$57 | |
| Kidney biopsy |
$8,931 |
$14,886 |
— |
$492 | |
| Kidney scan (nuclear) |
$2,871 |
$4,785 |
— |
$172 | |
| Kidney ultrasound |
$1,363 |
$2,272 |
— |
$84 | |
| Kidney ultrasound (limited) |
$1,207 |
$2,011 |
— |
$61 | |
| Knee arthroscopy |
$18,334 |
$30,556 |
— |
$524 | |
| Knee joint injection |
$874 |
$1,457 |
— |
$69 | |
| Knee replacement |
$41,999 |
$69,999 |
$22,368 |
$18,054 | |
| Lactate test |
$274 |
$457 |
— |
$12 | |
| Laminectomy (spine) |
$47,891 |
$79,818 |
— |
$1,157 | |
| LDH test |
$215 |
$359 |
— |
$6 | |
| LDL cholesterol test |
$270 |
$450 |
— |
$11 | |
| Leg artery angiogram |
$6,658 |
$11,097 |
— |
$149 | |
| Leg artery angioplasty |
$26,734 |
$44,556 |
— |
— | |
| Leg vein ultrasound (Doppler) |
$2,607 |
$4,346 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$2,607 |
$4,346 |
— |
$116 | |
| LH hormone test |
$331 |
$551 |
— |
$19 | |
| Lipase test |
$289 |
$482 |
— |
$7 | |
| Lipid (cholesterol) panel |
$406 |
$677 |
— |
$13 | |
| Liver biopsy |
$4,874 |
$8,123 |
— |
$288 | |
| Liver function panel |
$495 |
$825 |
— |
$8 | |
| Lower back (lumbar) spinal fusion |
$111,233 |
$185,388 |
$32,772 |
$1,511 | |
| Lumbar discectomy |
$46,213 |
$77,021 |
— |
$898 | |
| Lumpectomy (breast) |
$14,861 |
$24,768 |
— |
$750 | |
| Lung function test (PFT) |
$1,500 |
$2,500 |
— |
$37 | |
| Lung scan (V/Q) |
$4,084 |
$6,807 |
— |
$291 | |
| Magnesium blood test |
$256 |
$426 |
— |
$7 | |
| Mastectomy |
$27,575 |
$45,958 |
— |
$1,021 | |
| Meniscus repair (knee) |
$15,258 |
$25,430 |
— |
$714 | |
| MRA of the brain |
$4,398 |
$7,330 |
— |
$226 | |
| MRA of the brain with contrast |
$4,525 |
$7,542 |
— |
$226 | |
| MRA of the brain without contrast |
$5,179 |
$8,632 |
— |
$328 | |
| MRA of the neck |
$2,830 |
$4,716 |
— |
$245 | |
| MRA of the neck with contrast |
$2,795 |
$4,659 |
— |
$245 | |
| MRA of the neck without contrast |
$4,108 |
$6,847 |
— |
$343 | |
| MRI of the abdomen |
$4,801 |
$8,001 |
— |
$300 | |
| MRI of the abdomen with contrast |
$4,985 |
$8,309 |
— |
$300 | |
| MRI of the abdomen without contrast |
$4,785 |
$7,975 |
— |
$194 | |
| MRI of the ankle |
$4,878 |
$8,130 |
— |
$261 | |
| MRI of the ankle with contrast |
$4,878 |
$8,130 |
— |
$261 | |
| MRI of the ankle without contrast |
$4,119 |
$6,865 |
— |
$222 | |
| MRI of the brain |
$4,990 |
$8,317 |
— |
$269 | |
| MRI of the brain with contrast |
$4,990 |
$8,317 |
— |
$269 | |
| MRI of the brain without contrast |
$4,941 |
$8,235 |
— |
$195 | |
| MRI of the chest |
$4,510 |
$7,517 |
— |
$371 | |
| MRI of the chest with contrast |
$4,668 |
$7,780 |
— |
$371 | |
| MRI of the chest without contrast |
$6,273 |
$10,454 |
— |
$466 | |
| MRI of the knee |
$4,242 |
$7,070 |
— |
$315 | |
| MRI of the knee with contrast |
$4,498 |
$7,497 |
— |
$315 | |
| MRI of the knee without contrast |
$4,242 |
$7,070 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$5,418 |
$9,030 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$5,418 |
$9,030 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$5,386 |
$8,977 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$5,560 |
$9,267 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$6,130 |
$10,217 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$5,560 |
$9,267 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$4,824 |
$8,040 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$5,657 |
$9,428 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$6,319 |
$10,532 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$5,657 |
$9,428 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$5,465 |
$9,108 |
— |
$191 | |
| MRI of the pelvis |
$5,064 |
$8,440 |
— |
$268 | |
| MRI of the pelvis with contrast |
$5,064 |
$8,440 |
— |
$268 | |
| MRI of the pelvis without contrast |
$4,146 |
$6,910 |
— |
$227 | |
| MRI of the shoulder |
$3,688 |
$6,147 |
— |
$313 | |
| MRI of the shoulder with contrast |
$2,332 |
$3,887 |
— |
$313 | |
| MRI of the shoulder without contrast |
$3,688 |
$6,147 |
— |
$205 | |
| MRI of the wrist |
$3,909 |
$6,516 |
— |
$330 | |
| MRI of the wrist with contrast |
$3,909 |
$6,516 |
— |
$330 | |
| MRI of the wrist without contrast |
$3,685 |
$6,141 |
— |
$303 | |
| Nebulizer breathing treatment |
$228 |
$380 |
— |
$9 | |
| Neck (cervical) spinal fusion |
$20,493 |
$34,155 |
— |
$1,410 | |
| Nerve conduction study |
$174 |
$291 |
— |
$118 | |
| Nuclear cardiac stress test |
$7,831 |
$13,052 |
— |
$428 | |
| Occupational therapy evaluation |
$417 |
$696 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$496 |
$827 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$335 |
$558 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$417 |
$696 |
— |
$101 | |
| Office visit (established patient) |
$720 |
$1,199 |
— |
$115 | |
| Office visit (new patient) |
$810 |
$1,350 |
— |
$177 | |
| Office visit, established patient (level 3) |
$629 |
$1,049 |
— |
$95 | |
| Office visit, established patient (level 4) |
$810 |
$1,350 |
— |
$136 | |
| Office visit, new patient (level 3) |
$629 |
$1,049 |
— |
$118 | |
| Office visit, new patient (level 4) |
$810 |
$1,350 |
— |
$177 | |
| Office visit, new patient (level 5) |
$1,065 |
$1,774 |
— |
$237 | |
| Orthopedic hardware removal |
$20,409 |
$34,015 |
— |
$632 | |
| Pacemaker insertion |
$78,711 |
$131,185 |
$17,891 |
$15,506 | |
| Parathyroid hormone (PTH) test |
$527 |
$878 |
— |
$41 | |
| Parathyroid removal |
$6,727 |
$11,212 |
— |
$891 | |
| Pelvic ultrasound |
$1,063 |
$1,772 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$1,385 |
$2,307 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$763 |
$1,271 |
— |
$51 | |
| PET scan |
$8,357 |
$13,929 |
— |
— | |
| Phosphorus blood test |
$217 |
$362 |
— |
$5 | |
| Physical therapy evaluation |
$394 |
$657 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$454 |
$756 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$394 |
$657 |
— |
$98 | |
| Pilonidal cyst removal |
$9,746 |
$16,243 |
— |
$541 | |
| Platelet count |
$163 |
$272 |
— |
$4 | |
| Pregnancy blood test (hCG) |
$242 |
$403 |
— |
$8 | |
| Pregnancy ultrasound |
$1,744 |
$2,906 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$1,011 |
$1,684 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$1,866 |
$3,109 |
— |
$136 | |
| Procalcitonin test |
$253 |
$421 |
— |
$27 | |
| Prolactin test |
$403 |
$672 |
— |
$19 | |
| Prostate biopsy |
$17,722 |
$29,537 |
— |
— | |
| Prostate surgery (TURP) |
$26,258 |
$43,763 |
— |
$526 | |
| Prostate test (PSA) |
$356 |
$594 |
— |
$18 | |
| Pulmonary rehabilitation |
$103 |
$171 |
— |
$87 | |
| Radiofrequency nerve ablation |
$4,856 |
$8,093 |
— |
$462 | |
| Rheumatoid factor test |
$236 |
$394 |
— |
$6 | |
| Rotator cuff repair |
$7,323 |
$12,205 |
— |
$792 | |
| Scoliosis spine X-ray |
$999 |
$1,664 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$114 |
$190 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$1,609 |
$2,681 |
— |
$72 | |
| Screening mammogram |
$508 |
$847 |
— |
$126 | |
| Scrotal ultrasound |
$1,350 |
$2,250 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$75 |
$124 |
— |
$3 | |
| Semen analysis |
$168 |
$281 |
— |
$12 | |
| Septoplasty (deviated septum) |
$10,688 |
$17,814 |
— |
$613 | |
| Sex hormone binding globulin test |
$68 |
$113 |
— |
$22 | |
| Shoulder arthroscopy |
$18,590 |
$30,983 |
— |
$962 | |
| Simple laceration repair (small, up to 2.5 cm) |
$495 |
$825 |
— |
$114 | |
| Simple wound stitches |
$515 |
$858 |
— |
$127 | |
| Sinus surgery (endoscopic) |
$11,947 |
$19,912 |
— |
$224 | |
| Skin biopsy (punch) |
$2,880 |
$4,801 |
— |
$121 | |
| Skin cancer lesion removal |
$6,047 |
$10,079 |
— |
$240 | |
| Skin graft |
$5,359 |
$8,931 |
— |
$898 | |
| Sleep study (polysomnography) |
$3,172 |
$5,287 |
— |
$691 | |
| Soft tissue ultrasound |
$697 |
$1,162 |
— |
$64 | |
| Speech therapy |
$481 |
$802 |
— |
$76 | |
| Spinal tap (lumbar puncture) |
$1,188 |
$1,980 |
— |
$165 | |
| Spirometry with bronchodilator |
$1,500 |
$2,500 |
— |
$43 | |
| Stress echocardiogram |
$2,255 |
$3,758 |
— |
$209 | |
| Stress echocardiogram (complete) |
$1,594 |
$2,656 |
— |
$233 | |
| Swallow study |
$691 |
$1,152 |
— |
$85 | |
| T3 thyroid test |
$353 |
$589 |
— |
$14 | |
| Testosterone test |
$355 |
$592 |
— |
$26 | |
| Thyroid removal (thyroidectomy) |
$17,274 |
$28,790 |
— |
$1,004 | |
| Thyroid test (TSH) |
$463 |
$771 |
— |
$17 | |
| Thyroid ultrasound |
$1,105 |
$1,842 |
— |
$109 | |
| Thyroid uptake scan |
$2,069 |
$3,449 |
— |
$145 | |
| Tilt table test |
$2,205 |
$3,675 |
— |
$168 | |
| Tonsillectomy |
$11,136 |
$18,560 |
— |
$252 | |
| Total IgE allergy test |
$229 |
$382 |
— |
$16 | |
| Total protein test |
$214 |
$357 |
— |
$4 | |
| Transesophageal echocardiogram (TEE) |
$983 |
$1,638 |
— |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$983 |
$1,638 |
— |
$239 | |
| Transvaginal ultrasound |
$1,017 |
$1,695 |
— |
$118 | |
| Trigger finger release |
$9,246 |
$15,411 |
— |
$630 | |
| Trigger point injection |
$1,845 |
$3,075 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$1,845 |
$3,075 |
— |
$52 | |
| Triglycerides test |
$263 |
$438 |
— |
$6 | |
| Troponin (heart) test |
$355 |
$592 |
— |
$12 | |
| Turbinate reduction |
$12,335 |
$20,558 |
— |
$294 | |
| Turning a breech baby (version) |
$5,244 |
$8,740 |
— |
$94 | |
| Ulnar nerve surgery (elbow) |
$7,783 |
$12,972 |
— |
$575 | |
| Upper GI endoscopy (EGD) |
$8,134 |
$13,557 |
— |
$371 | |
| Upper GI series (barium) |
$1,461 |
$2,435 |
— |
$128 | |
| Ureteral stent placement |
$15,381 |
$25,635 |
— |
$373 | |
| Ureteroscopy (stone removal) |
$35,022 |
$58,370 |
— |
$365 | |
| Uric acid (gout) test |
$197 |
$328 |
— |
$5 | |
| Urinalysis |
$153 |
$255 |
— |
$3 | |
| Urine microalbumin test |
$196 |
$326 |
— |
$5 | |
| Urine pregnancy test |
$217 |
$362 |
— |
$9 | |
| Vaccine administration |
$103 |
$172 |
— |
$19 | |
| Vaccine administration (each additional) |
$70 |
$117 |
— |
$16 | |
| Vaginal delivery |
$14,382 |
$23,970 |
$5,579 |
$5,487 | |
| Vitamin B12 test |
$454 |
$756 |
— |
$15 | |
| Vitamin D test |
$529 |
$881 |
— |
$30 | |
| Vocal cord injection |
$10,467 |
$17,446 |
— |
$211 | |
| Wound debridement |
$3,447 |
$5,745 |
— |
$186 | |
| Wrist fracture repair |
$22,581 |
$37,634 |
— |
$735 | |
| X-ray of the abdomen |
$825 |
$1,376 |
— |
$36 | |
| X-ray of the ankle |
$665 |
$1,108 |
— |
$37 | |
| X-ray of the collarbone |
$523 |
$872 |
— |
$33 | |
| X-ray of the elbow |
$630 |
$1,050 |
— |
$33 | |
| X-ray of the facial bones |
$785 |
$1,309 |
— |
$39 | |
| X-ray of the foot |
$622 |
$1,037 |
— |
$34 | |
| X-ray of the forearm |
$559 |
$932 |
— |
$29 | |
| X-ray of the hand |
$603 |
$1,005 |
— |
$38 | |
| X-ray of the hip |
$505 |
$842 |
— |
$49 | |
| X-ray of the hip (1 view) |
$505 |
$842 |
— |
$34 | |
| X-ray of the hip (3 views) |
$719 |
$1,198 |
— |
$49 | |
| X-ray of the knee |
$736 |
$1,227 |
— |
$42 | |
| X-ray of the knee (2 views) |
$588 |
$979 |
— |
$34 | |
| X-ray of the knee (3 views) |
$736 |
$1,227 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$799 |
$1,332 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$1,004 |
$1,673 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$936 |
$1,560 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$1,147 |
$1,911 |
— |
$53 | |
| X-ray of the lower leg |
$585 |
$976 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$1,000 |
$1,666 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$922 |
$1,537 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$1,070 |
$1,783 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$957 |
$1,595 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$804 |
$1,339 |
— |
$40 | |
| X-ray of the pelvis |
$736 |
$1,227 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$736 |
$1,227 |
— |
$28 | |
| X-ray of the ribs |
$953 |
$1,589 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$833 |
$1,388 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$953 |
$1,589 |
— |
$42 | |
| X-ray of the shoulder |
$736 |
$1,227 |
— |
$36 | |
| X-ray of the skull |
$914 |
$1,524 |
— |
$40 | |
| X-ray of the upper arm |
$631 |
$1,052 |
— |
$32 | |
| X-ray of the wrist |
$861 |
$1,435 |
— |
$43 | |
| Zinc blood test |
$134 |
$223 |
— |
$11 | |