| 3D mammogram (tomosynthesis) |
$85 |
$214 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,561 |
$3,902 |
$2,328 |
$284 | |
| Abdominal ultrasound |
$444 |
$1,109 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$466 |
$1,164 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$444 |
$1,109 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$415 |
$1,036 |
$776 |
$220 | |
| Abscess drainage (simple) |
$366 |
$915 |
$776 |
$129 | |
| Abscess incision and drainage |
$373 |
$933 |
$776 |
$174 | |
| Achilles tendon repair |
$10,627 |
$26,567 |
$16,924 |
$624 | |
| ACL knee reconstruction |
$11,095 |
$27,737 |
$20,221 |
$889 | |
| Adenoid removal (adenoidectomy) |
$4,776 |
$11,940 |
$9,229 |
$204 | |
| Albumin blood test |
$27 |
$67 |
$7 |
$5 | |
| Aldosterone test |
$116 |
$289 |
$57 |
$41 | |
| Alkaline phosphatase test |
$28 |
$69 |
$7 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$90 |
$225 |
$23 |
$17 | |
| ALT liver enzyme test |
$29 |
$71 |
$7 |
$5 | |
| Ammonia blood test |
$78 |
$195 |
$20 |
$15 | |
| Amniocentesis |
$1,337 |
$3,343 |
$2,328 |
$120 | |
| Amylase test |
$35 |
$87 |
$9 |
$6 | |
| Anal fistula repair |
$7,542 |
$18,856 |
$9,229 |
$541 | |
| Ankle fracture repair |
$11,121 |
$27,802 |
$20,221 |
$608 | |
| Anoscopy |
$285 |
$713 |
$776 |
$129 | |
| Antinuclear antibody (ANA) test |
$47 |
$117 |
$17 |
$12 | |
| AST liver enzyme test |
$28 |
$69 |
$7 |
$5 | |
| Barium swallow study |
$398 |
$995 |
— |
$107 | |
| Bartholin cyst removal |
$370 |
$924 |
$776 |
$182 | |
| Basic metabolic panel |
$43 |
$106 |
$12 |
$8 | |
| Benign skin lesion removal |
$1,634 |
$4,084 |
$2,328 |
$171 | |
| Bilirubin blood test |
$27 |
$68 |
$7 |
$5 | |
| Bladder function test (urodynamics) |
$347 |
$868 |
$2,328 |
$345 | |
| Bladder scope (cystoscopy) |
$434 |
$1,086 |
$2,328 |
$216 | |
| Bladder tumor removal (TURBT) |
$10,441 |
$26,103 |
$9,229 |
$236 | |
| Blood clotting test (PT/INR) |
$21 |
$53 |
$5 |
$4 | |
| Blood crossmatch |
$53 |
$132 |
$21 |
— | |
| Blood glucose test |
$21 |
$53 |
$7 |
$5 | |
| Blood transfusion |
$954 |
$2,384 |
$776 |
$47 | |
| Blood type and screen |
$53 |
$132 |
$14 |
$10 | |
| Blood type test |
$53 |
$133 |
$4 |
$3 | |
| Blood type test (ABO group) |
$56 |
$141 |
$4 |
$3 | |
| Blood type test (Rh/D antigen) |
$50 |
$125 |
$4 |
$3 | |
| BNP (heart failure) test |
$182 |
$454 |
$47 |
$39 | |
| Bone density scan (DEXA) |
$333 |
$833 |
— |
$39 | |
| Bone marrow biopsy |
$3,336 |
$8,341 |
$2,328 |
$172 | |
| Bone scan (nuclear) |
$1,091 |
$2,729 |
— |
$259 | |
| Botox for migraine |
$650 |
$1,625 |
$776 |
$157 | |
| Breast biopsy |
$5,539 |
$13,848 |
$4,329 |
$478 | |
| Breast MRI |
$1,724 |
$4,309 |
$820 |
$216 | |
| Breast MRI without contrast |
$3,305 |
$8,262 |
$820 |
$216 | |
| Breast reduction |
$16,115 |
$40,288 |
$16,924 |
$980 | |
| Breast ultrasound |
$336 |
$840 |
— |
$92 | |
| Breast ultrasound (complete) |
$336 |
$840 |
— |
$100 | |
| Breast ultrasound (limited) |
$282 |
$706 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$536 |
$1,341 |
$776 |
$133 | |
| Bronchoscopy |
$2,439 |
$6,097 |
$4,329 |
$303 | |
| Bunion surgery (bunionectomy) |
$6,307 |
$15,768 |
$12,950 |
$883 | |
| Burn dressing and debridement (medium) |
$430 |
$1,074 |
$776 |
$166 | |
| Burn dressing and debridement (small) |
$331 |
$828 |
$776 |
$93 | |
| Burn treatment |
$363 |
$907 |
$776 |
$129 | |
| C-reactive protein (CRP) |
$38 |
$94 |
$7 |
$5 | |
| CA 19-9 tumor marker test |
$62 |
$154 |
$29 |
$21 | |
| CA-125 ovarian marker test |
$62 |
$154 |
$29 |
$21 | |
| Calcium blood test |
$28 |
$69 |
$7 |
$5 | |
| Capsule endoscopy |
$679 |
$1,698 |
$4,329 |
$802 | |
| Cardiac catheterization |
$8,869 |
$22,173 |
$16,924 |
$1,049 | |
| Cardiac MRI |
$1,884 |
$4,710 |
$820 |
$322 | |
| Cardiac rehabilitation |
$174 |
$434 |
— |
$26 | |
| Cardiac stress test |
$598 |
$1,496 |
— |
$39 | |
| Cardioversion |
$1,424 |
$3,560 |
$2,328 |
$155 | |
| Carotid artery ultrasound |
$543 |
$1,358 |
— |
$156 | |
| Carpal tunnel release |
$4,071 |
$10,178 |
$9,229 |
$483 | |
| Cataract surgery |
$4,769 |
$11,924 |
$9,229 |
$547 | |
| CEA tumor marker test |
$73 |
$184 |
$27 |
$19 | |
| Celiac disease test |
$18 |
$46 |
$12 |
$12 | |
| Central line placement |
$2,304 |
$5,761 |
$4,329 |
$238 | |
| Cesarean section (C-section) |
$16,078 |
$40,196 |
$7,195 |
$7,552 | |
| Chemotherapy infusion |
$471 |
$1,178 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$143 |
$358 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$799 |
$1,998 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,824 |
$4,559 |
$2,328 |
$311 | |
| Chest tube insertion |
$1,628 |
$4,070 |
$2,328 |
$143 | |
| Chest X-ray |
$215 |
$537 |
— |
$37 | |
| Chest X-ray (1 view) |
$215 |
$537 |
— |
$25 | |
| Chest X-ray (2 views) |
$215 |
$537 |
— |
$33 | |
| Circumcision |
$10,557 |
$26,391 |
$9,229 |
$167 | |
| CK-MB heart enzyme test |
$62 |
$155 |
$16 |
$12 | |
| Clotting time test (PTT) |
$32 |
$81 |
$8 |
$6 | |
| Colon resection (colectomy) |
$13,002 |
$32,505 |
$16,924 |
$1,238 | |
| Colonoscopy |
$2,455 |
$6,138 |
$4,329 |
$480 | |
| Complete blood count (CBC) |
$38 |
$96 |
$11 |
$7 | |
| Complete blood count (CBC) (complete) |
$42 |
$105 |
$11 |
$8 | |
| Complex wound repair |
$2,423 |
$6,057 |
$2,328 |
$390 | |
| Comprehensive eye exam |
$91 |
$228 |
— |
$138 | |
| Comprehensive metabolic panel |
$43 |
$108 |
$15 |
$11 | |
| Copper blood test |
$67 |
$167 |
$17 |
$12 | |
| Coronary CT angiography |
$913 |
$2,282 |
$382 |
$326 | |
| Cortisol test |
$87 |
$218 |
$23 |
$16 | |
| COVID-19 PCR test |
$130 |
$326 |
$51 |
$51 | |
| CPAP titration study |
$436 |
$1,089 |
— |
$69 | |
| Creatine kinase (CK) test |
$35 |
$88 |
$9 |
$7 | |
| CT angiography of the chest |
$1,417 |
$3,543 |
$382 |
$281 | |
| CT angiography of the head |
$1,007 |
$2,518 |
$382 |
$274 | |
| CT colonography (virtual colonoscopy) |
$378 |
$945 |
$382 |
$835 | |
| CT scan of the abdomen |
$1,127 |
$2,816 |
$382 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,253 |
$5,632 |
$382 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,643 |
$6,608 |
$382 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,354 |
$5,885 |
$382 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,613 |
$4,032 |
$382 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,228 |
$3,070 |
$382 |
$259 | |
| CT scan of the abdomen with contrast |
$1,228 |
$3,070 |
$382 |
$230 | |
| CT scan of the abdomen without contrast |
$807 |
$2,016 |
$382 |
$136 | |
| CT scan of the arm |
$1,228 |
$3,070 |
$382 |
$199 | |
| CT scan of the arm with contrast |
$1,228 |
$3,070 |
$382 |
$199 | |
| CT scan of the arm without contrast |
$807 |
$2,016 |
$382 |
$161 | |
| CT scan of the chest |
$1,183 |
$2,957 |
$382 |
$167 | |
| CT scan of the chest with and without contrast |
$1,388 |
$3,470 |
$382 |
$196 | |
| CT scan of the chest with contrast |
$1,236 |
$3,090 |
$382 |
$167 | |
| CT scan of the chest without contrast |
$847 |
$2,118 |
$382 |
$133 | |
| CT scan of the head |
$964 |
$2,409 |
$382 |
$148 | |
| CT scan of the head with and without contrast |
$1,007 |
$2,518 |
$382 |
$173 | |
| CT scan of the head with contrast |
$1,007 |
$2,518 |
$382 |
$148 | |
| CT scan of the head without contrast |
$655 |
$1,639 |
$382 |
$107 | |
| CT scan of the leg |
$1,228 |
$3,070 |
$382 |
$166 | |
| CT scan of the leg with contrast |
$1,228 |
$3,070 |
$382 |
$166 | |
| CT scan of the leg without contrast |
$807 |
$2,016 |
$382 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,177 |
$2,943 |
$382 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,322 |
$3,304 |
$382 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,177 |
$2,943 |
$382 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$662 |
$1,654 |
$382 |
$130 | |
| CT scan of the neck |
$964 |
$2,409 |
$382 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,112 |
$2,781 |
$382 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,322 |
$3,304 |
$382 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,112 |
$2,781 |
$382 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$662 |
$1,654 |
$382 |
$131 | |
| CT scan of the neck with and without contrast |
$1,007 |
$2,518 |
$382 |
$220 | |
| CT scan of the neck with contrast |
$1,007 |
$2,518 |
$382 |
$183 | |
| CT scan of the neck without contrast |
$655 |
$1,639 |
$382 |
$150 | |
| CT scan of the pelvis |
$1,127 |
$2,816 |
$382 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,322 |
$3,304 |
$382 |
$251 | |
| CT scan of the pelvis with contrast |
$1,177 |
$2,943 |
$382 |
$226 | |
| CT scan of the pelvis without contrast |
$806 |
$2,016 |
$382 |
$133 | |
| CT scan of the sinuses |
$964 |
$2,409 |
$382 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,007 |
$2,518 |
$382 |
$184 | |
| CT scan of the sinuses with contrast |
$1,007 |
$2,518 |
$382 |
$152 | |
| CT scan of the sinuses without contrast |
$655 |
$1,639 |
$382 |
$128 | |
| D-dimer test |
$49 |
$123 |
$14 |
$10 | |
| Defibrillator (ICD) implant |
$17,123 |
$42,807 |
$64,591 |
$798 | |
| DHEA-sulfate test |
$119 |
$298 |
$31 |
$22 | |
| Diagnostic mammogram |
$472 |
$1,180 |
— |
$140 | |
| Dilation and curettage (D&C) |
$5,651 |
$14,129 |
$9,229 |
$298 | |
| Droopy eyelid repair (ptosis) |
$3,476 |
$8,691 |
$9,229 |
$745 | |
| Drug screen (urine) |
$319 |
$798 |
$56 |
$17 | |
| Ear tubes (myringotomy) |
$6,091 |
$15,227 |
$4,329 |
$174 | |
| Echocardiogram |
$862 |
$2,155 |
— |
$138 | |
| Echocardiogram with and without contrast |
$825 |
$2,062 |
— |
$101 | |
| EEG (awake and asleep) |
$657 |
$1,642 |
— |
$482 | |
| EKG / ECG (tracing only) |
$47 |
$118 |
— |
$7 | |
| Electrocardiogram (EKG) |
$47 |
$118 |
— |
$8 | |
| Electroencephalogram (EEG) |
$685 |
$1,711 |
— |
$448 | |
| Electrolyte panel |
$37 |
$92 |
$10 |
$7 | |
| Emergency department visit |
$542 |
$1,356 |
$1,189 |
$69 | |
| Emergency department visit (level 1) |
$193 |
$483 |
$395 |
$11 | |
| Emergency department visit (level 2) |
$301 |
$752 |
$794 |
$40 | |
| Emergency department visit (level 3) |
$542 |
$1,356 |
$1,189 |
$69 | |
| Emergency department visit (level 4) |
$765 |
$1,912 |
$1,983 |
$118 | |
| Emergency department visit (level 5) |
$1,256 |
$3,139 |
$3,968 |
$171 | |
| Epidural steroid injection |
$2,370 |
$5,925 |
— |
$275 | |
| ERCP (bile duct endoscopy) |
$5,710 |
$14,275 |
$9,229 |
$311 | |
| Estradiol (estrogen) test |
$93 |
$231 |
$39 |
$28 | |
| Eyelid surgery (blepharoplasty) |
$6,357 |
$15,894 |
$4,329 |
$552 | |
| Facet joint injection (spine) |
$1,178 |
$2,945 |
$874 |
$99 | |
| Fallopian tube X-ray (HSG) |
$914 |
$2,286 |
$776 |
$164 | |
| Fecal occult blood (stool) test |
$85 |
$213 |
$22 |
$10 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$85 |
$213 |
$22 |
$16 | |
| Feeding tube (PEG) placement |
$4,605 |
$11,512 |
$4,329 |
$178 | |
| Ferritin (iron) test |
$73 |
$183 |
$19 |
$14 | |
| Fibrinogen test |
$46 |
$114 |
$12 |
$10 | |
| Flexible sigmoidoscopy |
$1,767 |
$4,417 |
$2,328 |
$323 | |
| Flu test |
$45 |
$113 |
$17 |
$17 | |
| Folate (folic acid) test |
$79 |
$197 |
$21 |
$15 | |
| Foreign body removal (skin) |
$704 |
$1,761 |
$776 |
$157 | |
| Free T4 thyroid test |
$48 |
$121 |
$13 |
$9 | |
| FSH hormone test |
$100 |
$249 |
$26 |
$19 | |
| Gallbladder removal (laparoscopic) |
$10,727 |
$26,818 |
$20,221 |
$658 | |
| Gallbladder scan (HIDA) |
$1,283 |
$3,206 |
— |
$334 | |
| Ganglion cyst removal |
$9,478 |
$23,695 |
$9,229 |
$321 | |
| GGT liver test |
$39 |
$97 |
$10 |
$7 | |
| Glaucoma surgery |
$7,660 |
$19,150 |
$9,229 |
$984 | |
| Glucose tolerance test |
$45 |
$113 |
$17 |
$8 | |
| H. pylori test |
$223 |
$558 |
$94 |
$67 | |
| Hammertoe repair |
$8,722 |
$21,806 |
$9,229 |
$548 | |
| HDL cholesterol test |
$44 |
$110 |
$11 |
$8 | |
| Hematocrit test |
$13 |
$32 |
$3 |
$2 | |
| Hemodialysis |
$1,214 |
$3,036 |
$435 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$52 |
$130 |
$14 |
$10 | |
| Hepatitis B test |
$94 |
$235 |
$14 |
$10 | |
| Hepatitis C test |
$103 |
$258 |
$20 |
$14 | |
| Hip replacement |
$15,610 |
$39,024 |
$21,532 |
$1,162 | |
| HIV test |
$108 |
$270 |
$34 |
$19 | |
| HIV test (antibody) |
$64 |
$161 |
$19 |
$14 | |
| HIV test (antigen/antibody combo) |
$152 |
$380 |
$34 |
$24 | |
| Holter heart monitor |
$88 |
$219 |
— |
$26 | |
| Hydrocele repair |
$8,617 |
$21,542 |
$12,950 |
$315 | |
| Hysterectomy |
$17,563 |
$43,906 |
$20,221 |
$933 | |
| Hysteroscopy |
$8,615 |
$21,536 |
$9,229 |
$1,270 | |
| Inguinal hernia repair |
$7,990 |
$19,975 |
$12,950 |
$538 | |
| Iron blood test |
$35 |
$87 |
$9 |
$6 | |
| IUD removal |
$339 |
$847 |
$776 |
$112 | |
| IV infusion therapy |
$297 |
$743 |
— |
$44 | |
| IV infusion therapy (each additional) |
$108 |
$269 |
— |
$21 | |
| IV infusion therapy (initial) |
$531 |
$1,327 |
— |
$67 | |
| IVC filter placement |
$1,298 |
$3,246 |
$12,950 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$714 |
$1,785 |
$776 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$714 |
$1,785 |
$776 |
$57 | |
| Joint aspiration or injection (small joint) |
$714 |
$1,785 |
$776 |
$56 | |
| Kidney biopsy |
$2,601 |
$6,502 |
$4,329 |
$492 | |
| Kidney scan (nuclear) |
$1,428 |
$3,570 |
— |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$9,788 |
$24,471 |
$20,221 |
$760 | |
| Kidney ultrasound |
$444 |
$1,109 |
— |
$84 | |
| Kidney ultrasound (limited) |
$444 |
$1,109 |
— |
$61 | |
| Knee arthroscopy |
$7,932 |
$19,831 |
$12,950 |
$524 | |
| Knee joint injection |
$714 |
$1,785 |
$776 |
$69 | |
| Knee replacement |
$20,453 |
$51,133 |
$21,608 |
$18,054 | |
| Lactate test |
$57 |
$143 |
$15 |
$12 | |
| Laminectomy (spine) |
$15,003 |
$37,507 |
$20,221 |
$1,157 | |
| LDH test |
$32 |
$81 |
$8 |
$6 | |
| LDL cholesterol test |
$40 |
$101 |
$13 |
$11 | |
| Leg artery angiogram |
$6,672 |
$16,679 |
— |
$149 | |
| Leg artery angioplasty |
$16,186 |
$40,465 |
$20,793 |
— | |
| Leg vein ultrasound (Doppler) |
$423 |
$1,058 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$396 |
$991 |
— |
$116 | |
| LH hormone test |
$99 |
$248 |
$26 |
$19 | |
| Lipase test |
$37 |
$93 |
$10 |
$7 | |
| Lipid (cholesterol) panel |
$72 |
$179 |
$19 |
$13 | |
| Liver biopsy |
$2,477 |
$6,192 |
$4,329 |
$288 | |
| Liver function panel |
$43 |
$107 |
$11 |
$8 | |
| Lower back (lumbar) spinal fusion |
$75,328 |
$188,320 |
— |
$1,511 | |
| Lumbar discectomy |
$13,464 |
$33,660 |
$20,221 |
$898 | |
| Lumpectomy (breast) |
$7,844 |
$19,611 |
$9,229 |
$750 | |
| Lung function test (PFT) |
$262 |
$656 |
— |
$37 | |
| Lung scan (V/Q) |
$1,428 |
$3,570 |
— |
$291 | |
| Magnesium blood test |
$36 |
$90 |
$9 |
$7 | |
| Mastectomy |
$7,494 |
$18,735 |
$12,950 |
$1,021 | |
| MRA of the brain |
$1,926 |
$4,816 |
$820 |
$226 | |
| MRA of the brain with contrast |
$1,926 |
$4,816 |
$820 |
$226 | |
| MRA of the brain without contrast |
$2,432 |
$6,081 |
$820 |
$328 | |
| MRA of the neck |
$1,926 |
$4,816 |
$820 |
$245 | |
| MRA of the neck with contrast |
$1,926 |
$4,816 |
$820 |
$245 | |
| MRA of the neck without contrast |
$2,432 |
$6,081 |
$820 |
$343 | |
| MRI of the abdomen |
$1,926 |
$4,816 |
$820 |
$300 | |
| MRI of the abdomen with contrast |
$1,926 |
$4,816 |
$820 |
$300 | |
| MRI of the abdomen without contrast |
$1,603 |
$4,008 |
$820 |
$194 | |
| MRI of the ankle |
$2,321 |
$5,803 |
$820 |
$261 | |
| MRI of the ankle with contrast |
$2,162 |
$5,405 |
$820 |
$261 | |
| MRI of the ankle without contrast |
$1,657 |
$4,142 |
$820 |
$222 | |
| MRI of the brain |
$1,926 |
$4,816 |
$820 |
$269 | |
| MRI of the brain with contrast |
$1,926 |
$4,816 |
$820 |
$269 | |
| MRI of the brain without contrast |
$1,588 |
$3,971 |
$820 |
$195 | |
| MRI of the chest |
$2,973 |
$7,433 |
$820 |
$371 | |
| MRI of the chest with contrast |
$2,973 |
$7,433 |
$820 |
$371 | |
| MRI of the chest without contrast |
$3,257 |
$8,141 |
$820 |
$466 | |
| MRI of the knee |
$2,508 |
$6,271 |
$820 |
$315 | |
| MRI of the knee with contrast |
$2,009 |
$5,023 |
$820 |
$315 | |
| MRI of the knee without contrast |
$2,508 |
$6,271 |
$820 |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,981 |
$4,953 |
$820 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,981 |
$4,953 |
$820 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,588 |
$3,971 |
$820 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,992 |
$4,980 |
$820 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,432 |
$6,081 |
$820 |
$319 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,588 |
$3,971 |
$820 |
$190 | |
| MRI of the neck (cervical spine) |
$1,992 |
$4,980 |
$820 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,432 |
$6,081 |
$820 |
$318 | |
| MRI of the neck (cervical spine) without contrast |
$1,588 |
$3,971 |
$820 |
$191 | |
| MRI of the pelvis |
$2,537 |
$6,343 |
$820 |
$268 | |
| MRI of the pelvis with contrast |
$2,432 |
$6,081 |
$820 |
$268 | |
| MRI of the pelvis without contrast |
$1,588 |
$3,971 |
$820 |
$227 | |
| MRI of the shoulder |
$2,508 |
$6,271 |
$820 |
$313 | |
| MRI of the shoulder with contrast |
$2,009 |
$5,023 |
$820 |
$313 | |
| MRI of the shoulder without contrast |
$2,508 |
$6,271 |
$820 |
$205 | |
| MRI of the wrist |
$2,406 |
$6,016 |
$820 |
$330 | |
| MRI of the wrist without contrast |
$1,657 |
$4,142 |
$820 |
$303 | |
| Nebulizer breathing treatment |
$158 |
$394 |
— |
$9 | |
| Neck (cervical) spinal fusion |
$2,924 |
$7,309 |
$20,221 |
$1,410 | |
| Nerve conduction study |
$221 |
$552 |
— |
$118 | |
| Nuclear cardiac stress test |
$3,290 |
$8,225 |
— |
$428 | |
| Occupational therapy evaluation |
$177 |
$441 |
$121 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$235 |
$588 |
$121 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$118 |
$294 |
$121 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$177 |
$441 |
$121 |
$101 | |
| Office visit (established patient) |
$161 |
$403 |
— |
$115 | |
| Office visit (new patient) |
$178 |
$445 |
— |
$177 | |
| Office visit, established patient (level 3) |
$144 |
$361 |
— |
$95 | |
| Office visit, established patient (level 4) |
$178 |
$445 |
— |
$136 | |
| Office visit, new patient (level 3) |
$144 |
$361 |
— |
$118 | |
| Office visit, new patient (level 4) |
$178 |
$445 |
— |
$177 | |
| Office visit, new patient (level 5) |
$211 |
$528 |
— |
$237 | |
| Orthopedic hardware removal |
$8,072 |
$20,180 |
$9,229 |
$632 | |
| Ovarian cyst removal |
$3,929 |
$9,823 |
$12,950 |
$698 | |
| Ovary removal (oophorectomy) |
$3,929 |
$9,823 |
$12,950 |
$822 | |
| Pacemaker insertion |
$37,455 |
$93,637 |
$18,892 |
$15,506 | |
| Pap smear (cervical screening) |
$111 |
$278 |
$37 |
$20 | |
| Parathyroid hormone (PTH) test |
$221 |
$552 |
$58 |
$41 | |
| Pelvic ultrasound |
$360 |
$900 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$442 |
$1,106 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$284 |
$710 |
— |
$51 | |
| PET scan |
$4,730 |
$11,825 |
— |
— | |
| Phosphorus blood test |
$26 |
$64 |
$7 |
$5 | |
| Physical therapy evaluation |
$182 |
$454 |
$121 |
$98 | |
| Physical therapy evaluation (high complexity) |
$243 |
$607 |
$121 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$182 |
$454 |
$121 |
$98 | |
| Pilonidal cyst removal |
$8,008 |
$20,020 |
$9,229 |
$541 | |
| Platelet count |
$24 |
$60 |
$6 |
$4 | |
| Pregnancy blood test (hCG) |
$40 |
$101 |
$10 |
$8 | |
| Pregnancy ultrasound |
$442 |
$1,106 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$442 |
$1,106 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$442 |
$1,106 |
— |
$136 | |
| Procalcitonin test |
$139 |
$347 |
$28 |
$27 | |
| Prolactin test |
$104 |
$259 |
$27 |
$19 | |
| Prostate biopsy |
$1,382 |
$3,456 |
$4,329 |
— | |
| Prostate surgery (TURP) |
$12,607 |
$31,518 |
$12,950 |
$526 | |
| Prostate test (PSA) |
$115 |
$287 |
$26 |
$18 | |
| Pulmonary rehabilitation |
$131 |
$326 |
— |
$87 | |
| Radiofrequency nerve ablation |
$3,265 |
$8,162 |
$9,229 |
$462 | |
| Rheumatoid factor test |
$41 |
$103 |
$8 |
$6 | |
| Rotator cuff repair |
$5,527 |
$13,819 |
$20,221 |
$792 | |
| RSV vaccine |
$169 |
$423 |
— |
— | |
| Scoliosis spine X-ray |
$262 |
$654 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$213 |
$533 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$338 |
$844 |
— |
$72 | |
| Screening mammogram |
$469 |
$1,172 |
— |
$126 | |
| Scrotal ultrasound |
$442 |
$1,106 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$14 |
$35 |
$5 |
$3 | |
| Semen analysis |
$143 |
$358 |
$17 |
$12 | |
| Septoplasty (deviated septum) |
$9,949 |
$24,872 |
$9,229 |
$613 | |
| Sex hormone binding globulin test |
$116 |
$291 |
$30 |
$22 | |
| Shoulder arthroscopy |
$5,733 |
$14,334 |
$20,221 |
$962 | |
| Shoulder replacement |
$14,613 |
$36,532 |
$21,532 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$364 |
$910 |
$776 |
$114 | |
| Simple wound stitches |
$364 |
$910 |
$776 |
$127 | |
| Sinus surgery (endoscopic) |
$4,750 |
$11,875 |
$10,397 |
$224 | |
| Skin biopsy |
$350 |
$875 |
— |
$121 | |
| Skin biopsy (punch) |
$350 |
$875 |
— |
$121 | |
| Skin cancer lesion removal |
$1,418 |
$3,545 |
$2,328 |
$240 | |
| Skin lesion freezing (cryotherapy) |
$149 |
$372 |
$776 |
$36 | |
| Sleep study (polysomnography) |
$2,592 |
$6,480 |
— |
$691 | |
| Soft tissue ultrasound |
$213 |
$533 |
— |
$64 | |
| Speech therapy |
$209 |
$522 |
$105 |
$76 | |
| Spinal cord stimulator |
$3,864 |
$9,659 |
$20,221 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$1,137 |
$2,842 |
$2,328 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$14,766 |
$36,916 |
— |
$5,803 | |
| Spirometry (lung function test) |
$251 |
$629 |
— |
$30 | |
| Spirometry with bronchodilator |
$403 |
$1,007 |
— |
$43 | |
| Strep throat test |
$66 |
$164 |
$17 |
$17 | |
| Stress echocardiogram |
$1,586 |
$3,965 |
— |
$209 | |
| Stress echocardiogram (complete) |
$1,943 |
$4,857 |
— |
$233 | |
| Swallow study |
$252 |
$631 |
— |
$85 | |
| T3 thyroid test |
$76 |
$190 |
$20 |
$14 | |
| Testicle removal (orchiectomy) |
$4,011 |
$10,027 |
$12,950 |
$306 | |
| Testosterone test |
$138 |
$345 |
$36 |
$26 | |
| Thyroid test (TSH) |
$86 |
$216 |
$23 |
$17 | |
| Thyroid ultrasound |
$442 |
$1,106 |
— |
$109 | |
| Thyroid uptake scan |
$986 |
$2,466 |
— |
$145 | |
| Total IgE allergy test |
$67 |
$167 |
$23 |
$16 | |
| Total protein test |
$20 |
$49 |
$5 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$1,925 |
$4,812 |
— |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,925 |
$4,812 |
— |
$239 | |
| Transvaginal ultrasound |
$442 |
$1,106 |
— |
$118 | |
| Trigger finger release |
$3,890 |
$9,724 |
$4,329 |
$630 | |
| Trigger point injection |
$628 |
$1,571 |
$776 |
$56 | |
| Trigger point injection (1-2 muscles) |
$633 |
$1,582 |
$776 |
$52 | |
| Triglycerides test |
$31 |
$77 |
$8 |
$6 | |
| Troponin (heart) test |
$53 |
$132 |
$14 |
$12 | |
| Turbinate reduction |
$6,154 |
$15,385 |
$9,229 |
$294 | |
| Turning a breech baby (version) |
$5,369 |
$13,423 |
$9,229 |
$94 | |
| Ulnar nerve surgery (elbow) |
$6,662 |
$16,656 |
$9,229 |
$575 | |
| Upper GI endoscopy (EGD) |
$2,427 |
$6,069 |
$4,329 |
$371 | |
| Upper GI series (barium) |
$388 |
$970 |
— |
$128 | |
| Ureteral stent placement |
$5,138 |
$12,845 |
$9,229 |
$373 | |
| Ureteroscopy (stone removal) |
$11,276 |
$28,191 |
$16,924 |
$365 | |
| Uric acid (gout) test |
$24 |
$61 |
$6 |
$5 | |
| Urinalysis |
$9 |
$22 |
$4 |
$3 | |
| Urine microalbumin test |
$29 |
$74 |
$8 |
$5 | |
| Urine pregnancy test |
$23 |
$58 |
$9 |
$9 | |
| Vaccine administration |
$104 |
$259 |
— |
$19 | |
| Vaccine administration (each additional) |
$99 |
$249 |
— |
$16 | |
| Vaginal delivery |
$10,096 |
$25,241 |
$4,831 |
$5,487 | |
| Varicose vein ablation |
$8,715 |
$21,788 |
$12,950 |
$1,018 | |
| Vasectomy |
$8,626 |
$21,566 |
$9,229 |
$347 | |
| Vitamin B12 test |
$81 |
$202 |
$21 |
$15 | |
| Vitamin D test |
$158 |
$396 |
$41 |
$30 | |
| Wart removal |
$125 |
$314 |
$776 |
$121 | |
| Wound debridement |
$744 |
$1,859 |
$776 |
$186 | |
| Wrist fracture repair |
$9,419 |
$23,547 |
$20,221 |
$735 | |
| X-ray of the abdomen |
$254 |
$636 |
— |
$36 | |
| X-ray of the ankle |
$213 |
$533 |
— |
$37 | |
| X-ray of the collarbone |
$204 |
$511 |
— |
$33 | |
| X-ray of the elbow |
$213 |
$533 |
— |
$33 | |
| X-ray of the facial bones |
$213 |
$533 |
— |
$39 | |
| X-ray of the foot |
$204 |
$511 |
— |
$34 | |
| X-ray of the forearm |
$213 |
$533 |
— |
$29 | |
| X-ray of the hand |
$204 |
$511 |
— |
$38 | |
| X-ray of the hip |
$334 |
$836 |
— |
$49 | |
| X-ray of the hip (1 view) |
$391 |
$978 |
— |
$34 | |
| X-ray of the hip (3 views) |
$228 |
$571 |
— |
$49 | |
| X-ray of the hip (4 views) |
$502 |
$1,256 |
— |
$63 | |
| X-ray of the knee |
$213 |
$533 |
— |
$42 | |
| X-ray of the knee (2 views) |
$213 |
$533 |
— |
$34 | |
| X-ray of the knee (3 views) |
$213 |
$533 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$213 |
$533 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$213 |
$533 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$213 |
$533 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$346 |
$866 |
— |
$53 | |
| X-ray of the lower leg |
$213 |
$533 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$204 |
$511 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$204 |
$511 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$204 |
$511 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$213 |
$533 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$204 |
$511 |
— |
$40 | |
| X-ray of the pelvis |
$213 |
$533 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$204 |
$511 |
— |
$28 | |
| X-ray of the ribs |
$213 |
$533 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$213 |
$533 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$213 |
$533 |
— |
$42 | |
| X-ray of the shoulder |
$213 |
$533 |
— |
$36 | |
| X-ray of the skull |
$302 |
$755 |
— |
$40 | |
| X-ray of the upper arm |
$213 |
$533 |
— |
$32 | |
| X-ray of the wrist |
$213 |
$533 |
— |
$43 | |
| Zinc blood test |
$49 |
$123 |
$16 |
$11 | |