| Abdominal fluid drain (paracentesis) |
$1,993 |
$1,993 |
$1,167 |
$284 | |
| Abdominal ultrasound |
$1,570 |
$1,570 |
$159 |
$100 | |
| Abdominal ultrasound (complete) |
$1,830 |
$1,830 |
$167 |
$114 | |
| Abdominal ultrasound (limited) |
$1,328 |
$1,328 |
$158 |
$86 | |
| Abscess drainage (complex or multiple) |
$660 |
$660 |
$528 |
$220 | |
| Abscess drainage (simple) |
$660 |
$660 |
$342 |
$129 | |
| Abscess incision and drainage |
$660 |
$660 |
$520 |
$174 | |
| Achilles tendon repair |
— |
— |
$9,287 |
$624 | |
| ACL knee reconstruction |
— |
— |
$9,287 |
$889 | |
| Albumin blood test |
$9 |
$9 |
$5 |
$5 | |
| Aldosterone test |
$164 |
$164 |
$41 |
$41 | |
| Alkaline phosphatase test |
$66 |
$66 |
$5 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$171 |
$171 |
$17 |
$17 | |
| ALT liver enzyme test |
$121 |
$121 |
$6 |
$5 | |
| Ammonia blood test |
$301 |
$301 |
$17 |
$15 | |
| Amniocentesis |
$2,177 |
$2,177 |
$1,190 |
$120 | |
| Amylase test |
$241 |
$241 |
$8 |
$6 | |
| Anal fistula repair |
— |
— |
$3,552 |
$541 | |
| Ankle fracture repair |
— |
— |
$9,287 |
$608 | |
| Anoscopy |
$635 |
$635 |
$196 |
$129 | |
| Antinuclear antibody (ANA) test |
$18 |
$18 |
$12 |
$12 | |
| Arterial blood gas (ABG) |
$279 |
$279 |
$31 |
$26 | |
| AST liver enzyme test |
$121 |
$121 |
$6 |
$5 | |
| Barium swallow study |
$566 |
$566 |
$258 |
$107 | |
| Bartholin cyst removal |
$533 |
$533 |
$356 |
$182 | |
| Basic metabolic panel |
$103 |
$103 |
$10 |
$8 | |
| Benign skin lesion removal |
— |
— |
$3,713 |
$171 | |
| Bilirubin blood test |
$109 |
$109 |
$6 |
$5 | |
| Bladder scope (cystoscopy) |
— |
— |
$3,712 |
$216 | |
| Bladder tumor removal (TURBT) |
— |
— |
$4,512 |
$236 | |
| Blood clotting test (PT/INR) |
$161 |
$161 |
$5 |
$4 | |
| Blood crossmatch |
$328 |
$328 |
$219 |
— | |
| Blood glucose test |
$121 |
$121 |
$5 |
$5 | |
| Blood transfusion |
$1,965 |
$1,965 |
$706 |
$47 | |
| Blood type and screen |
$130 |
$130 |
$67 |
$10 | |
| Blood type test |
$68 |
$68 |
$64 |
$3 | |
| Blood type test (ABO group) |
$80 |
$80 |
$139 |
$3 | |
| Blood type test (Rh/D antigen) |
$47 |
$47 |
$48 |
$3 | |
| BNP (heart failure) test |
$217 |
$217 |
$45 |
$39 | |
| Bone marrow biopsy |
$4,766 |
$4,766 |
$2,114 |
$172 | |
| Bone scan (nuclear) |
$2,086 |
$2,086 |
$580 |
$259 | |
| Breast ultrasound |
$622 |
$622 |
$139 |
$92 | |
| Breast ultrasound (complete) |
$622 |
$622 |
$156 |
$100 | |
| Breast ultrasound (limited) |
$622 |
$622 |
$127 |
$84 | |
| Breathing tube insertion (intubation) |
$899 |
$899 |
$365 |
$133 | |
| Bronchoscopy |
$6,032 |
$6,032 |
$2,620 |
$303 | |
| Burn dressing and debridement (medium) |
$595 |
$595 |
$359 |
$166 | |
| Burn dressing and debridement (small) |
$595 |
$595 |
$359 |
$93 | |
| Burn treatment |
$595 |
$595 |
$359 |
$129 | |
| C-reactive protein (CRP) |
$79 |
$79 |
$6 |
$5 | |
| CA 19-9 tumor marker test |
$48 |
$48 |
$19 |
$21 | |
| CA-125 ovarian marker test |
$103 |
$103 |
$19 |
$21 | |
| Calcium blood test |
$89 |
$89 |
$6 |
$5 | |
| Cardiac ablation |
$44,008 |
$44,008 |
$33,453 |
$759 | |
| Cardiac catheterization |
$25,910 |
$25,910 |
$4,772 |
$1,049 | |
| Cardiac stress test |
$1,681 |
$1,681 |
$332 |
$39 | |
| Cardioversion |
$2,599 |
$2,599 |
$1,012 |
$155 | |
| Carotid artery ultrasound |
$2,180 |
$2,180 |
$346 |
$156 | |
| Carpal tunnel release |
— |
— |
$2,499 |
$483 | |
| CEA tumor marker test |
$152 |
$152 |
$23 |
$19 | |
| Central line placement |
$3,434 |
$3,434 |
$4,041 |
$238 | |
| Cervical LEEP procedure |
— |
— |
$4,143 |
$325 | |
| Cesarean section (C-section) |
— |
— |
$11,702 |
$7,552 | |
| Chemotherapy infusion |
$1,161 |
$1,161 |
$423 |
$81 | |
| Chemotherapy infusion (each additional) |
$218 |
$218 |
$106 |
$28 | |
| Chemotherapy infusion (first hour) |
$1,161 |
$1,161 |
$484 |
$133 | |
| Chest fluid drain (thoracentesis) |
$2,491 |
$2,491 |
$1,204 |
$311 | |
| Chest tube insertion |
$2,989 |
$2,989 |
$2,015 |
$143 | |
| Chest X-ray |
$565 |
$565 |
$134 |
$37 | |
| Chest X-ray (1 view) |
$361 |
$361 |
$125 |
$25 | |
| Chest X-ray (2 views) |
$578 |
$578 |
$126 |
$33 | |
| Circumcision |
— |
— |
$2,675 |
$167 | |
| CK-MB heart enzyme test |
$362 |
$362 |
$14 |
$12 | |
| Clotting time test (PTT) |
$92 |
$92 |
$6 |
$6 | |
| Colonoscopy |
$5,364 |
$5,364 |
$1,532 |
$480 | |
| Complete blood count (CBC) |
$152 |
$152 |
$9 |
$7 | |
| Complete blood count (CBC) (complete) |
$193 |
$193 |
$9 |
$8 | |
| Complex wound repair |
$1,751 |
$1,751 |
$951 |
$390 | |
| Comprehensive metabolic panel |
$126 |
$126 |
$13 |
$11 | |
| Contraceptive implant (Nexplanon) |
$1,419 |
$1,419 |
$993 |
$115 | |
| Copper blood test |
$33 |
$33 |
$12 |
$12 | |
| Coronary artery bypass (CABG) |
— |
— |
$59,319 |
$36,593 | |
| Cortisol test |
$72 |
$72 |
$16 |
$16 | |
| COVID-19 PCR test |
$77 |
$77 |
$55 |
$51 | |
| CPAP titration study |
$937 |
$937 |
$319 |
$69 | |
| Creatine kinase (CK) test |
$6 |
$6 |
$6 |
$7 | |
| CT angiography of the chest |
$3,622 |
$3,622 |
$297 |
$281 | |
| CT angiography of the head |
$3,241 |
$3,241 |
$297 |
$274 | |
| CT scan of the abdomen |
$2,462 |
$2,462 |
$314 |
$230 | |
| CT scan of the abdomen and pelvis |
$4,475 |
$4,475 |
$449 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$4,504 |
$4,504 |
$537 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$4,504 |
$4,504 |
$525 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$3,143 |
$3,143 |
$347 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,592 |
$2,592 |
$350 |
$259 | |
| CT scan of the abdomen with contrast |
$2,331 |
$2,331 |
$342 |
$230 | |
| CT scan of the abdomen without contrast |
$1,489 |
$1,489 |
$194 |
$136 | |
| CT scan of the arm |
$2,183 |
$2,183 |
$447 |
$199 | |
| CT scan of the arm with contrast |
$2,331 |
$2,331 |
$536 |
$199 | |
| CT scan of the arm without contrast |
$1,489 |
$1,489 |
$216 |
$161 | |
| CT scan of the chest |
$3,913 |
$3,913 |
$302 |
$167 | |
| CT scan of the chest with and without contrast |
$4,118 |
$4,118 |
$314 |
$196 | |
| CT scan of the chest with contrast |
$3,913 |
$3,913 |
$314 |
$167 | |
| CT scan of the chest without contrast |
$3,238 |
$3,238 |
$193 |
$133 | |
| CT scan of the head |
$3,323 |
$3,323 |
$288 |
$148 | |
| CT scan of the head with and without contrast |
$3,323 |
$3,323 |
$314 |
$173 | |
| CT scan of the head with contrast |
$3,323 |
$3,323 |
$314 |
$148 | |
| CT scan of the head without contrast |
$2,368 |
$2,368 |
$187 |
$107 | |
| CT scan of the leg |
$2,331 |
$2,331 |
$294 |
$166 | |
| CT scan of the leg with contrast |
$2,331 |
$2,331 |
$314 |
$166 | |
| CT scan of the leg without contrast |
$1,489 |
$1,489 |
$191 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$4,118 |
$4,118 |
$447 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$4,273 |
$4,273 |
$314 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$4,118 |
$4,118 |
$537 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$4,046 |
$4,046 |
$191 |
$130 | |
| CT scan of the neck |
$2,924 |
$2,924 |
$304 |
$183 | |
| CT scan of the neck (cervical spine) |
$4,422 |
$4,422 |
$447 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$4,502 |
$4,502 |
$314 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$4,422 |
$4,422 |
$537 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$4,155 |
$4,155 |
$192 |
$131 | |
| CT scan of the neck with and without contrast |
$3,554 |
$3,554 |
$324 |
$220 | |
| CT scan of the neck with contrast |
$2,924 |
$2,924 |
$314 |
$183 | |
| CT scan of the neck without contrast |
$2,787 |
$2,787 |
$198 |
$150 | |
| CT scan of the pelvis |
$2,462 |
$2,462 |
$314 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,592 |
$2,592 |
$346 |
$251 | |
| CT scan of the pelvis with contrast |
$2,331 |
$2,331 |
$339 |
$226 | |
| CT scan of the pelvis without contrast |
$1,588 |
$1,588 |
$193 |
$133 | |
| CT scan of the sinuses |
$2,184 |
$2,184 |
$299 |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,474 |
$2,474 |
$314 |
$184 | |
| CT scan of the sinuses with contrast |
$2,205 |
$2,205 |
$314 |
$152 | |
| CT scan of the sinuses without contrast |
$1,941 |
$1,941 |
$191 |
$128 | |
| D-dimer test |
$251 |
$251 |
$12 |
$10 | |
| Defibrillator (ICD) implant |
$170,827 |
$170,827 |
$40,174 |
$798 | |
| DHEA-sulfate test |
$96 |
$96 |
$27 |
$22 | |
| Dialysis fistula creation |
— |
— |
$4,041 |
$601 | |
| Dilation and curettage (D&C) |
— |
— |
$4,143 |
$298 | |
| Drug screen (urine) |
$119 |
$119 |
$62 |
$17 | |
| Ear tubes (myringotomy) |
— |
— |
$1,986 |
$174 | |
| Echocardiogram |
$2,251 |
$2,251 |
$699 |
$138 | |
| Echocardiogram with and without contrast |
$2,498 |
$2,498 |
$342 |
$101 | |
| Echocardiogram without contrast |
$1,719 |
$1,719 |
$342 |
$138 | |
| EKG / ECG (tracing only) |
$431 |
$431 |
$87 |
$7 | |
| Electrocardiogram (EKG) |
$431 |
$431 |
$87 |
$8 | |
| Electroencephalogram (EEG) |
$1,085 |
$1,085 |
$317 |
$448 | |
| Electrolyte panel |
$509 |
$509 |
$8 |
$7 | |
| Emergency department visit |
$1,669 |
$1,669 |
$534 |
$69 | |
| Emergency department visit (level 1) |
$390 |
$390 |
$130 |
$11 | |
| Emergency department visit (level 2) |
$1,022 |
$1,022 |
$231 |
$40 | |
| Emergency department visit (level 3) |
$1,669 |
$1,669 |
$411 |
$69 | |
| Emergency department visit (level 4) |
$2,925 |
$2,925 |
$628 |
$118 | |
| Emergency department visit (level 5) |
$3,552 |
$3,552 |
$897 |
$171 | |
| ERCP (bile duct endoscopy) |
$13,401 |
$13,401 |
$4,934 |
$311 | |
| Estradiol (estrogen) test |
$24 |
$24 |
$24 |
$28 | |
| Eyelid surgery (blepharoplasty) |
— |
— |
$3,961 |
$552 | |
| Fallopian tube X-ray (HSG) |
$1,082 |
$1,082 |
$347 |
$164 | |
| Feeding tube (PEG) placement |
$7,190 |
$7,190 |
$2,468 |
$178 | |
| Femoral hernia repair |
— |
— |
$4,582 |
$584 | |
| Ferritin (iron) test |
$220 |
$220 |
$16 |
$14 | |
| Fibrinogen test |
$10 |
$10 |
$10 |
$10 | |
| Flexible sigmoidoscopy |
$3,261 |
$3,261 |
$1,407 |
$323 | |
| Flu test |
$41 |
$41 |
$19 |
$17 | |
| Folate (folic acid) test |
$125 |
$125 |
$18 |
$15 | |
| Foreign body removal (skin) |
$1,441 |
$1,441 |
$692 |
$157 | |
| Gallbladder removal (laparoscopic) |
— |
— |
$7,737 |
$658 | |
| Gallbladder scan (HIDA) |
$2,991 |
$2,991 |
$695 |
$334 | |
| Ganglion cyst removal |
— |
— |
$2,058 |
$321 | |
| GGT liver test |
$159 |
$159 |
$9 |
$7 | |
| Glucose tolerance test |
$520 |
$520 |
$15 |
$8 | |
| Group therapy session |
$383 |
$383 |
$169 |
$30 | |
| H. pylori test |
$77 |
$77 |
$67 |
$67 | |
| HDL cholesterol test |
$137 |
$137 |
$10 |
$8 | |
| Hematocrit test |
$44 |
$44 |
$3 |
$2 | |
| Hemodialysis |
$2,498 |
$2,498 |
$878 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$62 |
$62 |
$12 |
$10 | |
| Hepatitis B test |
$56 |
$56 |
$10 |
$10 | |
| Hepatitis C test |
$122 |
$122 |
$17 |
$14 | |
| Hip fracture repair |
— |
— |
$9,287 |
$1,120 | |
| Hip replacement |
— |
— |
$16,432 |
$1,162 | |
| HIV test |
$23 |
$23 |
$16 |
$19 | |
| HIV test (antibody) |
$215 |
$215 |
$16 |
$14 | |
| HIV test (antigen/antibody combo) |
$16 |
$16 |
$14 |
$24 | |
| Hydrocele repair |
— |
— |
$4,582 |
$315 | |
| Hysterectomy |
— |
— |
$13,605 |
$933 | |
| Hysteroscopy |
— |
— |
$4,143 |
$1,270 | |
| Inguinal hernia repair |
— |
— |
$5,865 |
$538 | |
| IUD removal |
— |
— |
$3,649 |
$112 | |
| IV infusion therapy |
$670 |
$670 |
$272 |
$44 | |
| IV infusion therapy (each additional) |
$478 |
$478 |
$69 |
$21 | |
| IV infusion therapy (initial) |
$689 |
$689 |
$312 |
$67 | |
| IVC filter placement |
$15,283 |
$15,283 |
$7,157 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$860 |
$860 |
$491 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$860 |
$860 |
$491 |
$57 | |
| Joint aspiration or injection (small joint) |
$860 |
$860 |
$491 |
$56 | |
| Kidney biopsy |
$11,146 |
$11,146 |
$2,124 |
$492 | |
| Kidney scan (nuclear) |
$2,112 |
$2,112 |
$781 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
— |
— |
$4,512 |
$760 | |
| Kidney ultrasound |
$1,298 |
$1,298 |
$161 |
$84 | |
| Kidney ultrasound (limited) |
$1,017 |
$1,017 |
$156 |
$61 | |
| Knee arthroscopy |
— |
— |
$4,188 |
$524 | |
| Knee joint injection |
$860 |
$860 |
$484 |
$69 | |
| Knee replacement |
— |
— |
$28,605 |
$18,054 | |
| Lactate test |
$229 |
$229 |
$14 |
$12 | |
| Laminectomy (spine) |
— |
— |
$9,287 |
$1,157 | |
| Laryngoscopy |
$614 |
$614 |
$286 |
$189 | |
| LDH test |
$91 |
$91 |
$6 |
$6 | |
| Leg artery angiogram |
$16,189 |
$16,189 |
$4,526 |
$149 | |
| Leg artery angioplasty |
$27,959 |
$27,959 |
$13,424 |
— | |
| Leg vein ultrasound (Doppler) |
$747 |
$747 |
$201 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$747 |
$747 |
$169 |
$116 | |
| LH hormone test |
$10 |
$10 |
$10 |
$19 | |
| Lipase test |
$208 |
$208 |
$8 |
$7 | |
| Lipid (cholesterol) panel |
$422 |
$422 |
$16 |
$13 | |
| Liver biopsy |
$11,146 |
$11,146 |
$2,124 |
$288 | |
| Liver function panel |
$559 |
$559 |
$10 |
$8 | |
| Lower back (lumbar) spinal fusion |
— |
— |
$65,040 |
$1,511 | |
| Lumbar discectomy |
— |
— |
$9,287 |
$898 | |
| Lung function test (PFT) |
$390 |
$390 |
$292 |
$37 | |
| Lung scan (V/Q) |
$3,466 |
$3,466 |
$781 |
$291 | |
| Magnesium blood test |
$87 |
$87 |
$7 |
$7 | |
| Meniscus repair (knee) |
— |
— |
$4,188 |
$714 | |
| MRA of the brain |
$4,316 |
$4,316 |
$349 |
$226 | |
| MRA of the neck |
$4,316 |
$4,316 |
$350 |
$245 | |
| MRI of the abdomen |
$4,378 |
$4,378 |
$510 |
$300 | |
| MRI of the abdomen without contrast |
$4,432 |
$4,432 |
$428 |
$194 | |
| MRI of the ankle |
$3,833 |
$3,833 |
$509 |
$261 | |
| MRI of the ankle without contrast |
$2,625 |
$2,625 |
$352 |
$222 | |
| MRI of the brain |
$4,432 |
$4,432 |
$603 |
$269 | |
| MRI of the brain with contrast |
$4,432 |
$4,432 |
$625 |
$269 | |
| MRI of the brain without contrast |
$4,432 |
$4,432 |
$428 |
$195 | |
| MRI of the chest |
$4,689 |
$4,689 |
$558 |
$371 | |
| MRI of the chest without contrast |
$5,062 |
$5,062 |
$587 |
$466 | |
| MRI of the knee |
$4,068 |
$4,068 |
$537 |
$315 | |
| MRI of the knee without contrast |
$2,625 |
$2,625 |
$428 |
$204 | |
| MRI of the lower back (lumbar spine) |
$4,320 |
$4,320 |
$589 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$4,316 |
$4,316 |
$428 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$4,320 |
$4,320 |
$589 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$4,323 |
$4,323 |
$625 |
$319 | |
| MRI of the mid-back (thoracic spine) without contrast |
$4,316 |
$4,316 |
$428 |
$190 | |
| MRI of the neck (cervical spine) |
$4,320 |
$4,320 |
$589 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$4,323 |
$4,323 |
$625 |
$318 | |
| MRI of the neck (cervical spine) without contrast |
$4,316 |
$4,316 |
$428 |
$191 | |
| MRI of the pelvis |
$3,806 |
$3,806 |
$449 |
$268 | |
| MRI of the pelvis without contrast |
$3,289 |
$3,289 |
$354 |
$227 | |
| MRI of the shoulder |
$4,068 |
$4,068 |
$537 |
$313 | |
| MRI of the shoulder without contrast |
$2,625 |
$2,625 |
$428 |
$205 | |
| MRI of the wrist |
$3,833 |
$3,833 |
$533 |
$330 | |
| MRI of the wrist without contrast |
$2,625 |
$2,625 |
$382 |
$303 | |
| Nebulizer breathing treatment |
$183 |
$183 |
$183 |
$9 | |
| Neck (cervical) spinal fusion |
— |
— |
$16,432 |
$1,410 | |
| Nuclear cardiac stress test |
$6,097 |
$6,097 |
$1,899 |
$428 | |
| Occupational therapy evaluation |
$251 |
$251 |
$132 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$251 |
$251 |
$133 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$251 |
$251 |
$122 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$251 |
$251 |
$130 |
$101 | |
| Orthopedic hardware removal |
— |
— |
$3,718 |
$632 | |
| Ovary removal (oophorectomy) |
— |
— |
$50,000 |
$822 | |
| Pacemaker insertion |
— |
— |
$25,142 |
$15,506 | |
| Parathyroid hormone (PTH) test |
$110 |
$110 |
$41 |
$41 | |
| Pelvic ultrasound |
$1,267 |
$1,267 |
$159 |
$78 | |
| Pelvic ultrasound (complete) |
$999 |
$999 |
$159 |
$105 | |
| Pelvic ultrasound (limited) |
$1,267 |
$1,267 |
$156 |
$51 | |
| Phosphorus blood test |
$84 |
$84 |
$6 |
$5 | |
| Physical therapy evaluation |
$260 |
$260 |
$133 |
$98 | |
| Physical therapy evaluation (high complexity) |
$260 |
$260 |
$140 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$260 |
$260 |
$117 |
$98 | |
| Pilonidal cyst removal |
— |
— |
$3,718 |
$541 | |
| Pneumonia vaccine |
$30 |
$30 |
$13 |
— | |
| Pregnancy blood test (hCG) |
$243 |
$243 |
$9 |
$8 | |
| Pregnancy ultrasound |
$1,314 |
$1,314 |
$154 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$1,281 |
$1,281 |
$153 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$1,346 |
$1,346 |
$163 |
$136 | |
| Procalcitonin test |
$130 |
$130 |
$32 |
$27 | |
| Prolactin test |
$88 |
$88 |
$18 |
$19 | |
| Prostate surgery (TURP) |
— |
— |
$6,862 |
$526 | |
| Prostate test (PSA) |
$113 |
$113 |
$18 |
$18 | |
| Rotator cuff repair |
— |
— |
$9,287 |
$792 | |
| Scoliosis spine X-ray |
$780 |
$780 |
$134 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$582 |
$582 |
$126 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$977 |
$977 |
$156 |
$72 | |
| Scrotal ultrasound |
$1,811 |
$1,811 |
$156 |
$99 | |
| Sedimentation rate (ESR) test |
$67 |
$67 |
$5 |
$3 | |
| Shoulder replacement |
— |
— |
$22,441 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$401 |
$401 |
$321 |
$114 | |
| Simple wound stitches |
$401 |
$401 |
$309 |
$127 | |
| Skin cancer lesion removal |
— |
— |
$3,665 |
$240 | |
| Skin tag removal |
— |
— |
$3,632 |
$92 | |
| Soft tissue ultrasound |
$828 |
$828 |
$156 |
$64 | |
| Speech therapy |
$540 |
$540 |
$90 |
$76 | |
| Spinal tap (lumbar puncture) |
$1,911 |
$1,911 |
$1,063 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$19,794 |
$19,794 |
$9,333 |
$5,803 | |
| Spirometry (lung function test) |
$292 |
$292 |
$276 |
$30 | |
| Spirometry with bronchodilator |
$487 |
$487 |
$478 |
$43 | |
| Strep throat test |
$50 |
$50 |
$19 |
$17 | |
| Stress echocardiogram |
$3,952 |
$3,952 |
$783 |
$209 | |
| Stress echocardiogram (complete) |
$4,151 |
$4,151 |
$783 |
$233 | |
| Swallow study |
$806 |
$806 |
$112 |
$85 | |
| T3 thyroid test |
$251 |
$251 |
$17 |
$14 | |
| Tdap (tetanus) vaccine |
$98 |
$98 |
$35 |
— | |
| Testicle removal (orchiectomy) |
— |
— |
$4,512 |
$306 | |
| Testosterone test |
$125 |
$125 |
$31 |
$26 | |
| Thyroid test (TSH) |
$127 |
$127 |
$20 |
$17 | |
| Thyroid ultrasound |
$1,670 |
$1,670 |
$161 |
$109 | |
| Thyroid uptake scan |
$1,185 |
$1,185 |
$573 |
$145 | |
| Tilt table test |
$3,597 |
$3,597 |
$547 |
$168 | |
| Total IgE allergy test |
$40 |
$40 |
$16 |
$16 | |
| Tracheostomy |
$14,212 |
$14,212 |
$4,758 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$5,273 |
$5,273 |
$783 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$5,273 |
$5,273 |
$783 |
$239 | |
| Transvaginal ultrasound |
$1,370 |
$1,370 |
$153 |
$118 | |
| Trigger finger release |
— |
— |
$2,058 |
$630 | |
| Trigger point injection |
$860 |
$860 |
$550 |
$56 | |
| Trigger point injection (1-2 muscles) |
$860 |
$860 |
$550 |
$52 | |
| Troponin (heart) test |
$142 |
$142 |
$15 |
$12 | |
| Tubal ligation |
— |
— |
$7,737 |
$333 | |
| Turning a breech baby (version) |
$7,517 |
$7,517 |
$4,153 |
$94 | |
| Upper GI endoscopy (EGD) |
$4,837 |
$4,837 |
$1,167 |
$371 | |
| Upper GI series (barium) |
$952 |
$952 |
$259 |
$128 | |
| Ureteral stent placement |
— |
— |
$2,256 |
$373 | |
| Ureteroscopy (stone removal) |
— |
— |
$6,862 |
$365 | |
| Uric acid (gout) test |
$109 |
$109 |
$5 |
$5 | |
| Urinalysis |
$52 |
$52 |
$3 |
$3 | |
| Urine microalbumin test |
$19 |
$19 |
$6 |
$5 | |
| Urine pregnancy test |
$88 |
$88 |
$10 |
$9 | |
| Vaccine administration |
$154 |
$154 |
$92 |
$19 | |
| Vaccine administration (each additional) |
$51 |
$51 |
$36 |
$16 | |
| Vaginal delivery |
— |
— |
$9,034 |
$5,487 | |
| Vasectomy |
— |
— |
$2,675 |
$347 | |
| Vitamin B12 test |
$125 |
$125 |
$18 |
$15 | |
| Vitamin D test |
$54 |
$54 |
$33 |
$30 | |
| Wart removal |
— |
— |
$3,632 |
$121 | |
| Weight-loss (bariatric) surgery |
— |
— |
$20,079 |
$11,645 | |
| Wound debridement |
$1,153 |
$1,153 |
$946 |
$186 | |
| Wrist fracture repair |
— |
— |
$9,287 |
$735 | |
| X-ray of the abdomen |
$333 |
$333 |
$134 |
$36 | |
| X-ray of the ankle |
$348 |
$348 |
$126 |
$37 | |
| X-ray of the collarbone |
$348 |
$348 |
$126 |
$33 | |
| X-ray of the elbow |
$348 |
$348 |
$126 |
$33 | |
| X-ray of the facial bones |
$560 |
$560 |
$134 |
$39 | |
| X-ray of the foot |
$348 |
$348 |
$126 |
$34 | |
| X-ray of the forearm |
$348 |
$348 |
$126 |
$29 | |
| X-ray of the hand |
$348 |
$348 |
$126 |
$38 | |
| X-ray of the hip |
$582 |
$582 |
$126 |
$49 | |
| X-ray of the hip (1 view) |
$582 |
$582 |
$126 |
$34 | |
| X-ray of the hip (3 views) |
$582 |
$582 |
$126 |
$49 | |
| X-ray of the knee |
$348 |
$348 |
$134 |
$42 | |
| X-ray of the knee (2 views) |
$348 |
$348 |
$126 |
$34 | |
| X-ray of the knee (3 views) |
$348 |
$348 |
$125 |
$42 | |
| X-ray of the knee (4+ views) |
$348 |
$348 |
$155 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$805 |
$805 |
$156 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$648 |
$648 |
$156 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$962 |
$962 |
$156 |
$53 | |
| X-ray of the lower leg |
$348 |
$348 |
$126 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$396 |
$396 |
$154 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$331 |
$331 |
$152 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$461 |
$461 |
$156 |
$39 | |
| X-ray of the neck (cervical spine) |
$495 |
$495 |
$134 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$391 |
$391 |
$126 |
$40 | |
| X-ray of the pelvis |
$392 |
$392 |
$154 |
$36 | |
| X-ray of the pelvis (1 view) |
$323 |
$323 |
$152 |
$28 | |
| X-ray of the ribs |
$424 |
$424 |
$139 |
$42 | |
| X-ray of the ribs (2 views) |
$499 |
$499 |
$126 |
$36 | |
| X-ray of the ribs (3 views) |
$348 |
$348 |
$154 |
$42 | |
| X-ray of the shoulder |
$348 |
$348 |
$126 |
$36 | |
| X-ray of the skull |
$558 |
$558 |
$156 |
$40 | |
| X-ray of the upper arm |
$348 |
$348 |
$126 |
$32 | |
| X-ray of the wrist |
$348 |
$348 |
$126 |
$43 | |
| Zinc blood test |
$21 |
$21 |
$11 |
$11 | |