| 3D mammogram (tomosynthesis) |
$41 |
$152 |
$23 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$570 |
$2,111 |
$883 |
$284 | |
| Abdominal ultrasound |
$94 |
$349 |
$102 |
$100 | |
| Abdominal ultrasound (complete) |
$110 |
$406 |
$98 |
$114 | |
| Abdominal ultrasound (limited) |
$79 |
$292 |
$102 |
$86 | |
| Abscess drainage (complex or multiple) |
$255 |
$943 |
$395 |
$220 | |
| Abscess drainage (simple) |
$141 |
$521 |
$195 |
$129 | |
| Abscess incision and drainage |
$198 |
$732 |
$195 |
$174 | |
| Albumin blood test |
$9 |
$33 |
$5 |
$5 | |
| Aldosterone test |
$63 |
$234 |
$41 |
$41 | |
| Alkaline phosphatase test |
$7 |
$27 |
$6 |
$5 | |
| Allergy shots |
$28 |
$103 |
$46 |
$11 | |
| Alpha-fetoprotein (AFP) test |
$26 |
$97 |
$24 |
$17 | |
| ALT liver enzyme test |
$9 |
$35 |
$6 |
$5 | |
| Ammonia blood test |
$23 |
$84 |
$15 |
$15 | |
| Amniocentesis |
$546 |
$2,021 |
$897 |
$120 | |
| Amylase test |
$11 |
$42 |
$6 |
$6 | |
| Annual physical (established patient) |
$38 |
$143 |
$78 |
— | |
| Annual physical (new patient) |
$78 |
$290 |
$156 |
— | |
| Antinuclear antibody (ANA) test |
$19 |
$70 |
$14 |
$12 | |
| Aortic aneurysm repair (AAA) |
$2,220 |
$8,222 |
$2,188 |
$1,345 | |
| Aortic valve replacement |
$3,784 |
$14,014 |
$1,577 |
$1,603 | |
| Arterial blood gas (ABG) |
$41 |
$151 |
$28 |
$26 | |
| AST liver enzyme test |
$7 |
$27 |
$6 |
$5 | |
| Barium swallow study |
$107 |
$397 |
$161 |
$107 | |
| Bartholin cyst removal |
$189 |
$700 |
$197 |
$182 | |
| Basic metabolic panel |
$14 |
$52 |
$9 |
$8 | |
| Benign skin lesion removal |
$375 |
$1,390 |
$607 |
$171 | |
| Bilirubin blood test |
$12 |
$45 |
$6 |
$5 | |
| Blood clotting test (PT/INR) |
$5 |
$18 |
$5 |
$4 | |
| Blood crossmatch |
$103 |
$380 |
$157 |
— | |
| Blood glucose test |
$8 |
$28 |
$5 |
$5 | |
| Blood transfusion |
$261 |
$968 |
$430 |
$47 | |
| Blood type and screen |
$39 |
$144 |
$48 |
$10 | |
| Blood type test |
$57 |
$212 |
$36 |
$3 | |
| Blood type test (ABO group) |
$88 |
$325 |
$123 |
$3 | |
| Blood type test (Rh/D antigen) |
$27 |
$99 |
$36 |
$3 | |
| BNP (heart failure) test |
$47 |
$174 |
$44 |
$39 | |
| Bone density scan (DEXA) |
$80 |
$298 |
$102 |
$39 | |
| Bone marrow biopsy |
$1,721 |
$6,374 |
$2,678 |
$172 | |
| Bone scan (nuclear) |
$237 |
$877 |
$389 |
$259 | |
| Breast biopsy |
$978 |
$3,624 |
$1,523 |
$478 | |
| Breast MRI |
$347 |
$1,285 |
$232 |
$216 | |
| Breast MRI without contrast |
$347 |
$1,285 |
$232 |
$216 | |
| Breast ultrasound |
$90 |
$334 |
$90 |
$92 | |
| Breast ultrasound (complete) |
$116 |
$431 |
$102 |
$100 | |
| Breast ultrasound (limited) |
$64 |
$237 |
$85 |
$84 | |
| Breathing tube insertion (intubation) |
$223 |
$827 |
$231 |
$133 | |
| Bronchoscopy |
$1,055 |
$3,906 |
$1,728 |
$303 | |
| Burn dressing and debridement (medium) |
$141 |
$521 |
$195 |
$166 | |
| Burn dressing and debridement (small) |
$117 |
$435 |
$195 |
$93 | |
| Burn treatment |
$129 |
$478 |
$195 |
$129 | |
| C-reactive protein (CRP) |
$9 |
$35 |
$5 |
$5 | |
| CA 19-9 tumor marker test |
$32 |
$118 |
$23 |
$21 | |
| CA-125 ovarian marker test |
$30 |
$111 |
$28 |
$21 | |
| Calcium blood test |
$7 |
$27 |
$6 |
$5 | |
| Cardiac ablation |
$15,486 |
$57,355 |
$25,369 |
$759 | |
| Cardiac catheterization |
$1,921 |
$7,114 |
$3,158 |
$1,049 | |
| Cardiac MRI |
$760 |
$2,817 |
$339 |
$322 | |
| Cardiac MRI without contrast |
$565 |
$2,092 |
$248 |
$280 | |
| Cardiac rehabilitation |
$76 |
$283 |
$119 |
$26 | |
| Cardiac stress test |
$167 |
$620 |
$210 |
$39 | |
| Cardioversion |
$392 |
$1,450 |
$644 |
$155 | |
| Carotid artery ultrasound |
$126 |
$468 |
$190 |
$156 | |
| CEA tumor marker test |
$30 |
$111 |
$22 |
$19 | |
| Celiac disease test |
$18 |
$65 |
$12 |
$12 | |
| Central line placement |
$1,871 |
$6,929 |
$3,065 |
$238 | |
| Chemotherapy infusion |
$142 |
$525 |
$270 |
$81 | |
| Chemotherapy infusion (each additional) |
$49 |
$182 |
$70 |
$28 | |
| Chemotherapy infusion (first hour) |
$234 |
$867 |
$321 |
$133 | |
| Chest fluid drain (thoracentesis) |
$372 |
$1,377 |
$611 |
$311 | |
| Chest tube insertion |
$933 |
$3,454 |
$1,533 |
$143 | |
| Chest X-ray |
$66 |
$243 |
$85 |
$37 | |
| Chest X-ray (1 view) |
$52 |
$191 |
$85 |
$25 | |
| Chest X-ray (2 views) |
$55 |
$203 |
$85 |
$33 | |
| CK-MB heart enzyme test |
$17 |
$62 |
$12 |
$12 | |
| Clotting time test (PTT) |
$9 |
$34 |
$8 |
$6 | |
| Colposcopy |
$181 |
$669 |
$297 |
$161 | |
| Complete blood count (CBC) |
$12 |
$44 |
$8 |
$7 | |
| Complete blood count (CBC) (complete) |
$14 |
$51 |
$8 |
$8 | |
| Comprehensive metabolic panel |
$19 |
$70 |
$12 |
$11 | |
| Continuous glucose monitor setup |
$18 |
$65 |
$35 |
$35 | |
| Contraceptive implant (Nexplanon) |
$307 |
$1,136 |
$435 |
$115 | |
| Copper blood test |
$30 |
$110 |
$14 |
$12 | |
| Coronary CT angiography |
$412 |
$1,525 |
$322 |
$326 | |
| Cortisol test |
$26 |
$97 |
$16 |
$16 | |
| COVID-19 PCR test |
$40 |
$148 |
$51 |
$51 | |
| CPAP titration study |
$139 |
$515 |
$213 |
$69 | |
| Creatine kinase (CK) test |
$11 |
$42 |
$7 |
$7 | |
| CT angiography of the chest |
$316 |
$1,170 |
$190 |
$281 | |
| CT angiography of the head |
$362 |
$1,341 |
$190 |
$274 | |
| CT scan of the abdomen |
$310 |
$1,147 |
$156 |
$230 | |
| CT scan of the abdomen and pelvis |
$1,040 |
$3,852 |
$320 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$1,057 |
$3,915 |
$340 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$1,040 |
$3,852 |
$340 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$706 |
$2,614 |
$232 |
$183 | |
| CT scan of the abdomen with and without contrast |
$374 |
$1,384 |
$171 |
$259 | |
| CT scan of the abdomen with contrast |
$310 |
$1,147 |
$171 |
$230 | |
| CT scan of the abdomen without contrast |
$259 |
$959 |
$102 |
$136 | |
| CT scan of the arm |
$313 |
$1,159 |
$151 |
$199 | |
| CT scan of the arm with contrast |
$313 |
$1,159 |
$322 |
$199 | |
| CT scan of the arm without contrast |
$235 |
$871 |
$102 |
$161 | |
| CT scan of the chest |
$308 |
$1,140 |
$149 |
$167 | |
| CT scan of the chest with and without contrast |
$315 |
$1,165 |
$171 |
$196 | |
| CT scan of the chest with contrast |
$308 |
$1,140 |
$171 |
$167 | |
| CT scan of the chest without contrast |
$271 |
$1,005 |
$102 |
$133 | |
| CT scan of the head |
$270 |
$1,000 |
$120 |
$148 | |
| CT scan of the head with and without contrast |
$331 |
$1,226 |
$171 |
$173 | |
| CT scan of the head with contrast |
$270 |
$1,000 |
$171 |
$148 | |
| CT scan of the head without contrast |
$235 |
$871 |
$102 |
$107 | |
| CT scan of the leg |
$280 |
$1,036 |
$153 |
$166 | |
| CT scan of the leg with contrast |
$280 |
$1,036 |
$171 |
$166 | |
| CT scan of the leg without contrast |
$235 |
$871 |
$102 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$315 |
$1,166 |
$190 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$379 |
$1,405 |
$171 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$315 |
$1,166 |
$340 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$271 |
$1,003 |
$104 |
$130 | |
| CT scan of the neck |
$282 |
$1,045 |
$135 |
$183 | |
| CT scan of the neck (cervical spine) |
$315 |
$1,165 |
$163 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$375 |
$1,390 |
$171 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$315 |
$1,165 |
$339 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$271 |
$1,003 |
$102 |
$131 | |
| CT scan of the neck with and without contrast |
$331 |
$1,226 |
$171 |
$220 | |
| CT scan of the neck with contrast |
$282 |
$1,045 |
$171 |
$183 | |
| CT scan of the neck without contrast |
$235 |
$871 |
$102 |
$150 | |
| CT scan of the pelvis |
$304 |
$1,125 |
$161 |
$226 | |
| CT scan of the pelvis with and without contrast |
$311 |
$1,150 |
$171 |
$251 | |
| CT scan of the pelvis with contrast |
$304 |
$1,125 |
$171 |
$226 | |
| CT scan of the pelvis without contrast |
$267 |
$989 |
$102 |
$133 | |
| CT scan of the sinuses |
$281 |
$1,040 |
$129 |
$152 | |
| CT scan of the sinuses with and without contrast |
$331 |
$1,226 |
$162 |
$184 | |
| CT scan of the sinuses with contrast |
$281 |
$1,040 |
$171 |
$152 | |
| CT scan of the sinuses without contrast |
$235 |
$871 |
$102 |
$128 | |
| D-dimer test |
$17 |
$62 |
$11 |
$10 | |
| Defibrillator (ICD) implant |
$18,817 |
$69,693 |
$28,943 |
$798 | |
| DHEA-sulfate test |
$34 |
$127 |
$25 |
$22 | |
| Diagnostic mammogram |
$137 |
$507 |
$102 |
$140 | |
| Drug screen (urine) |
$59 |
$218 |
$69 |
$17 | |
| Ear pressure test (tympanometry) |
$22 |
$82 |
$36 |
$16 | |
| Echocardiogram |
$259 |
$959 |
$232 |
$138 | |
| Echocardiogram with and without contrast |
$141 |
$524 |
$203 |
$101 | |
| EKG / ECG (tracing only) |
$39 |
$146 |
$54 |
$7 | |
| Electrocardiogram (EKG) |
$39 |
$146 |
$49 |
$8 | |
| Electroencephalogram (EEG) |
$180 |
$666 |
$210 |
$448 | |
| Electrolyte panel |
$15 |
$57 |
$8 |
$7 | |
| Electromyography (EMG) |
$90 |
$333 |
$130 |
$141 | |
| Emergency department visit |
$237 |
$877 |
$283 |
$69 | |
| Emergency department visit (level 1) |
$122 |
$451 |
$82 |
$11 | |
| Emergency department visit (level 2) |
$171 |
$632 |
$150 |
$40 | |
| Emergency department visit (level 3) |
$237 |
$877 |
$266 |
$69 | |
| Emergency department visit (level 4) |
$372 |
$1,376 |
$406 |
$118 | |
| Emergency department visit (level 5) |
$539 |
$1,995 |
$580 |
$171 | |
| Endometrial biopsy |
$159 |
$590 |
$197 |
$98 | |
| Epidural steroid injection |
$495 |
$1,832 |
$688 |
$275 | |
| Estradiol (estrogen) test |
$43 |
$161 |
$28 |
$28 | |
| Facet joint injection (spine) |
$344 |
$1,275 |
$752 |
$99 | |
| Fallopian tube X-ray (HSG) |
$143 |
$529 |
$219 |
$164 | |
| Family therapy session |
$86 |
$318 |
$164 |
$110 | |
| Fecal occult blood (stool) test |
$21 |
$80 |
$5 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$3 |
$12 |
$4 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$40 |
$147 |
$16 |
$16 | |
| Feeding tube (PEG) placement |
$1,137 |
$4,211 |
$1,862 |
$178 | |
| Ferritin (iron) test |
$21 |
$79 |
$15 |
$14 | |
| Fibrinogen test |
$15 |
$56 |
$11 |
$10 | |
| Flu vaccine |
$13 |
$49 |
$14 |
— | |
| Folate (folic acid) test |
$23 |
$87 |
$16 |
$15 | |
| Foreign body removal (skin) |
$241 |
$892 |
$396 |
$157 | |
| Free T4 thyroid test |
$15 |
$57 |
$10 |
$9 | |
| FSH hormone test |
$29 |
$108 |
$21 |
$19 | |
| Gallbladder scan (HIDA) |
$279 |
$1,034 |
$470 |
$334 | |
| GGT liver test |
$11 |
$42 |
$11 |
$7 | |
| Glucose tolerance test |
$14 |
$53 |
$12 |
$8 | |
| Group therapy session |
$90 |
$332 |
$61 |
$30 | |
| HDL cholesterol test |
$14 |
$52 |
$8 |
$8 | |
| Hematocrit test |
$13 |
$49 |
$3 |
$2 | |
| Hemodialysis |
$513 |
$1,901 |
$668 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$18 |
$67 |
$10 |
$10 | |
| Hepatitis A vaccine |
$58 |
$213 |
$14 |
— | |
| Hepatitis B test |
$18 |
$66 |
$12 |
$10 | |
| Hepatitis C test |
$26 |
$95 |
$17 |
$14 | |
| HIV test |
$33 |
$124 |
$24 |
$19 | |
| HIV test (antibody) |
$31 |
$116 |
$16 |
$14 | |
| HIV test (antigen/antibody combo) |
$35 |
$131 |
$27 |
$24 | |
| Holter heart monitor |
$79 |
$292 |
$129 |
$26 | |
| HPV vaccine |
$199 |
$738 |
$14 |
— | |
| Iron blood test |
$61 |
$225 |
$8 |
$6 | |
| IUD insertion |
$79 |
$294 |
$24 |
— | |
| IUD removal |
$193 |
$715 |
$297 |
$112 | |
| IV infusion therapy |
$82 |
$304 |
$108 |
$44 | |
| IV infusion therapy (each additional) |
$36 |
$133 |
$46 |
$21 | |
| IV infusion therapy (initial) |
$128 |
$475 |
$207 |
$67 | |
| IVC filter placement |
$3,348 |
$12,401 |
$5,131 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$182 |
$674 |
$299 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$182 |
$674 |
$283 |
$57 | |
| Joint aspiration or injection (small joint) |
$182 |
$674 |
$299 |
$56 | |
| Kidney biopsy |
$978 |
$3,624 |
$1,603 |
$492 | |
| Kidney scan (nuclear) |
$322 |
$1,191 |
$529 |
$172 | |
| Kidney ultrasound |
$97 |
$358 |
$102 |
$84 | |
| Kidney ultrasound (limited) |
$83 |
$307 |
$102 |
$61 | |
| Knee joint injection |
$199 |
$736 |
$299 |
$69 | |
| Lactate test |
$24 |
$88 |
$12 |
$12 | |
| Laryngoscopy |
$129 |
$477 |
$194 |
$189 | |
| LDH test |
$9 |
$34 |
$7 |
$6 | |
| LDL cholesterol test |
$15 |
$55 |
$12 |
$11 | |
| Leg artery angiogram |
$1,871 |
$6,929 |
$3,075 |
$149 | |
| Leg artery angioplasty |
$4,682 |
$17,341 |
$1,086 |
— | |
| Leg vein ultrasound (Doppler) |
$115 |
$426 |
$160 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$88 |
$327 |
$102 |
$116 | |
| LH hormone test |
$29 |
$108 |
$20 |
$19 | |
| Lipase test |
$12 |
$44 |
$7 |
$7 | |
| Lipid (cholesterol) panel |
$19 |
$69 |
$16 |
$13 | |
| Liver biopsy |
$978 |
$3,624 |
$1,603 |
$288 | |
| Liver function panel |
$15 |
$54 |
$9 |
$8 | |
| Lung function test (PFT) |
$131 |
$486 |
$210 |
$37 | |
| Lung scan (V/Q) |
$322 |
$1,191 |
$529 |
$291 | |
| Magnesium blood test |
$10 |
$36 |
$7 |
$7 | |
| MRA of the brain |
$684 |
$2,535 |
$322 |
$226 | |
| MRA of the brain with contrast |
$684 |
$2,535 |
$340 |
$226 | |
| MRA of the brain without contrast |
$696 |
$2,579 |
$378 |
$328 | |
| MRA of the neck |
$759 |
$2,810 |
$340 |
$245 | |
| MRA of the neck with contrast |
$759 |
$2,810 |
$340 |
$245 | |
| MRA of the neck without contrast |
$767 |
$2,842 |
$378 |
$343 | |
| MRI of the abdomen |
$569 |
$2,107 |
$340 |
$300 | |
| MRI of the abdomen with contrast |
$762 |
$2,824 |
$351 |
$300 | |
| MRI of the abdomen without contrast |
$481 |
$1,780 |
$259 |
$194 | |
| MRI of the ankle |
$516 |
$1,912 |
$339 |
$261 | |
| MRI of the ankle with contrast |
$516 |
$1,912 |
$351 |
$261 | |
| MRI of the ankle without contrast |
$416 |
$1,542 |
$259 |
$222 | |
| MRI of the brain |
$564 |
$2,090 |
$323 |
$269 | |
| MRI of the brain with contrast |
$564 |
$2,090 |
$340 |
$269 | |
| MRI of the brain without contrast |
$474 |
$1,756 |
$259 |
$195 | |
| MRI of the chest |
$643 |
$2,380 |
$355 |
$371 | |
| MRI of the chest with contrast |
$1,724 |
$6,387 |
$729 |
$371 | |
| MRI of the chest without contrast |
$643 |
$2,380 |
$378 |
$466 | |
| MRI of the knee |
$525 |
$1,946 |
$369 |
$315 | |
| MRI of the knee with contrast |
$525 |
$1,946 |
$761 |
$315 | |
| MRI of the knee without contrast |
$442 |
$1,638 |
$264 |
$204 | |
| MRI of the lower back (lumbar spine) |
$569 |
$2,107 |
$323 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$569 |
$2,107 |
$340 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$513 |
$1,900 |
$232 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$576 |
$2,134 |
$320 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$1,009 |
$3,736 |
$340 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$576 |
$2,134 |
$340 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$519 |
$1,924 |
$232 |
$190 | |
| MRI of the neck (cervical spine) |
$572 |
$2,118 |
$323 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$1,009 |
$3,736 |
$340 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$572 |
$2,118 |
$340 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$480 |
$1,779 |
$248 |
$191 | |
| MRI of the pelvis |
$483 |
$1,790 |
$320 |
$268 | |
| MRI of the pelvis with contrast |
$483 |
$1,790 |
$339 |
$268 | |
| MRI of the pelvis without contrast |
$416 |
$1,542 |
$253 |
$227 | |
| MRI of the shoulder |
$525 |
$1,946 |
$369 |
$313 | |
| MRI of the shoulder with contrast |
$525 |
$1,946 |
$761 |
$313 | |
| MRI of the shoulder without contrast |
$447 |
$1,655 |
$264 |
$205 | |
| MRI of the wrist |
$498 |
$1,844 |
$340 |
$330 | |
| MRI of the wrist with contrast |
$498 |
$1,844 |
$351 |
$330 | |
| MRI of the wrist without contrast |
$416 |
$1,542 |
$257 |
$303 | |
| Nebulizer breathing treatment |
$130 |
$481 |
$213 |
$9 | |
| Nerve conduction study |
$151 |
$561 |
$210 |
$118 | |
| Newborn hospital care |
$51 |
$189 |
$130 |
$58 | |
| Nuclear cardiac stress test |
$767 |
$2,841 |
$1,261 |
$428 | |
| Occupational therapy evaluation |
$83 |
$309 |
$97 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$85 |
$315 |
$97 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$75 |
$277 |
$97 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$83 |
$309 |
$97 |
$101 | |
| Office visit (established patient) |
$69 |
$257 |
$83 |
$115 | |
| Office visit (new patient) |
$134 |
$495 |
$117 |
$177 | |
| Office visit, established patient (level 3) |
$65 |
$239 |
$73 |
$95 | |
| Office visit, established patient (level 4) |
$74 |
$275 |
$86 |
$136 | |
| Office visit, new patient (level 3) |
$104 |
$386 |
$76 |
$118 | |
| Office visit, new patient (level 4) |
$134 |
$495 |
$127 |
$177 | |
| Office visit, new patient (level 5) |
$163 |
$605 |
$165 |
$237 | |
| Pap smear (cervical screening) |
$31 |
$114 |
$24 |
$20 | |
| Parathyroid hormone (PTH) test |
$65 |
$239 |
$46 |
$41 | |
| Pelvic ultrasound |
$75 |
$279 |
$102 |
$78 | |
| Pelvic ultrasound (complete) |
$88 |
$326 |
$102 |
$105 | |
| Pelvic ultrasound (limited) |
$62 |
$231 |
$101 |
$51 | |
| PET scan |
$905 |
$3,353 |
$1,393 |
— | |
| Phosphorus blood test |
$6 |
$22 |
$6 |
$5 | |
| Physical therapy evaluation |
$76 |
$282 |
$94 |
$98 | |
| Physical therapy evaluation (high complexity) |
$80 |
$298 |
$94 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$76 |
$282 |
$94 |
$98 | |
| Platelet count |
$11 |
$39 |
$4 |
$4 | |
| Pneumonia vaccine |
$68 |
$253 |
$83 |
— | |
| Pregnancy blood test (hCG) |
$12 |
$44 |
$9 |
$8 | |
| Pregnancy ultrasound |
$129 |
$477 |
$102 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$129 |
$479 |
$102 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$128 |
$475 |
$102 |
$136 | |
| Procalcitonin test |
$24 |
$88 |
$27 |
$27 | |
| Prolactin test |
$31 |
$114 |
$23 |
$19 | |
| Prostate biopsy |
$1,027 |
$3,805 |
$1,009 |
— | |
| Prostate test (PSA) |
$36 |
$132 |
$24 |
$18 | |
| Psychiatric evaluation |
$127 |
$470 |
$172 |
$188 | |
| Psychotherapy session |
$65 |
$243 |
$147 |
$140 | |
| Radiofrequency nerve ablation |
$1,157 |
$4,285 |
$1,902 |
$462 | |
| Retinal (fundus) photography |
$79 |
$292 |
$130 |
$37 | |
| Rheumatoid factor test |
$10 |
$37 |
$7 |
$6 | |
| Sacroiliac joint injection |
$364 |
$1,347 |
$80 |
$176 | |
| Scoliosis spine X-ray |
$77 |
$284 |
$85 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$60 |
$223 |
$74 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$93 |
$344 |
$96 |
$72 | |
| Screening mammogram |
$145 |
$538 |
$90 |
$126 | |
| Scrotal ultrasound |
$85 |
$315 |
$102 |
$99 | |
| Sedimentation rate (ESR) test |
$8 |
$28 |
$4 |
$3 | |
| Semen analysis |
$16 |
$58 |
$12 |
$12 | |
| Sex hormone binding globulin test |
$33 |
$124 |
$25 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$103 |
$381 |
$185 |
$114 | |
| Simple wound stitches |
$114 |
$423 |
$185 |
$127 | |
| Skin biopsy |
$241 |
$892 |
$396 |
$121 | |
| Skin biopsy (punch) |
$241 |
$892 |
$396 |
$121 | |
| Skin graft |
$1,661 |
$6,152 |
$2,099 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$59 |
$218 |
$184 |
$36 | |
| Skin tag removal |
$124 |
$461 |
$195 |
$92 | |
| Sleep study (polysomnography) |
$527 |
$1,952 |
$621 |
$691 | |
| Soft tissue ultrasound |
$83 |
$308 |
$101 |
$64 | |
| Speech therapy |
$68 |
$251 |
$73 |
$76 | |
| Spinal cord stimulator |
$3,776 |
$13,985 |
$6,185 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$405 |
$1,501 |
$688 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$4,299 |
$15,923 |
$7,043 |
$5,803 | |
| Spirometry (lung function test) |
$80 |
$296 |
$199 |
$30 | |
| Spirometry with bronchodilator |
$182 |
$675 |
$362 |
$43 | |
| Strep throat test |
$13 |
$48 |
$17 |
$17 | |
| Stress echocardiogram |
$459 |
$1,701 |
$530 |
$209 | |
| Swallow study |
$73 |
$271 |
$81 |
$85 | |
| T3 thyroid test |
$22 |
$83 |
$14 |
$14 | |
| Testosterone test |
$40 |
$149 |
$29 |
$26 | |
| Thyroid test (TSH) |
$27 |
$99 |
$22 |
$17 | |
| Thyroid ultrasound |
$82 |
$303 |
$102 |
$109 | |
| Thyroid uptake scan |
$488 |
$1,809 |
$389 |
$145 | |
| Tilt table test |
$303 |
$1,122 |
$363 |
$168 | |
| Total IgE allergy test |
$27 |
$99 |
$21 |
$16 | |
| Total protein test |
$7 |
$27 |
$4 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$324 |
$1,199 |
$465 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$324 |
$1,199 |
$465 |
$239 | |
| Transvaginal ultrasound |
$92 |
$342 |
$102 |
$118 | |
| Trigger point injection |
$193 |
$716 |
$299 |
$56 | |
| Trigger point injection (1-2 muscles) |
$188 |
$698 |
$299 |
$52 | |
| Triglycerides test |
$11 |
$40 |
$7 |
$6 | |
| Troponin (heart) test |
$21 |
$77 |
$12 |
$12 | |
| Turning a breech baby (version) |
$1,918 |
$7,103 |
$3,153 |
$94 | |
| Upper GI series (barium) |
$107 |
$398 |
$171 |
$128 | |
| Uric acid (gout) test |
$9 |
$33 |
$5 |
$5 | |
| Urinalysis |
$7 |
$25 |
$3 |
$3 | |
| Urine microalbumin test |
$10 |
$36 |
$6 |
$5 | |
| Vaccine administration |
$30 |
$112 |
$66 |
$19 | |
| Vaccine administration (each additional) |
$18 |
$65 |
$17 |
$16 | |
| Vitamin B12 test |
$23 |
$87 |
$17 |
$15 | |
| Vitamin D test |
$46 |
$171 |
$41 |
$30 | |
| Wart removal |
$127 |
$472 |
$195 |
$121 | |
| Well-child visit |
$33 |
$124 |
$55 |
— | |
| Wound debridement |
$277 |
$1,025 |
$423 |
$186 | |
| X-ray of the abdomen |
$109 |
$405 |
$85 |
$36 | |
| X-ray of the ankle |
$55 |
$204 |
$84 |
$37 | |
| X-ray of the collarbone |
$52 |
$191 |
$85 |
$33 | |
| X-ray of the elbow |
$53 |
$197 |
$84 |
$33 | |
| X-ray of the facial bones |
$57 |
$211 |
$85 |
$39 | |
| X-ray of the foot |
$54 |
$200 |
$85 |
$34 | |
| X-ray of the forearm |
$52 |
$191 |
$84 |
$29 | |
| X-ray of the hand |
$72 |
$267 |
$85 |
$38 | |
| X-ray of the hip |
$58 |
$216 |
$85 |
$49 | |
| X-ray of the hip (1 view) |
$58 |
$214 |
$85 |
$34 | |
| X-ray of the hip (3 views) |
$59 |
$217 |
$85 |
$49 | |
| X-ray of the knee |
$55 |
$204 |
$85 |
$42 | |
| X-ray of the knee (2 views) |
$52 |
$191 |
$85 |
$34 | |
| X-ray of the knee (3 views) |
$55 |
$204 |
$85 |
$42 | |
| X-ray of the knee (4+ views) |
$62 |
$231 |
$101 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$69 |
$257 |
$101 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$62 |
$231 |
$98 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$76 |
$283 |
$102 |
$53 | |
| X-ray of the lower leg |
$52 |
$191 |
$84 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$66 |
$246 |
$102 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$62 |
$231 |
$102 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$70 |
$261 |
$101 |
$39 | |
| X-ray of the neck (cervical spine) |
$57 |
$211 |
$85 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$52 |
$191 |
$84 |
$40 | |
| X-ray of the pelvis |
$62 |
$231 |
$101 |
$36 | |
| X-ray of the pelvis (1 view) |
$62 |
$231 |
$101 |
$28 | |
| X-ray of the ribs |
$62 |
$231 |
$89 |
$42 | |
| X-ray of the ribs (2 views) |
$52 |
$191 |
$84 |
$36 | |
| X-ray of the ribs (3 views) |
$62 |
$231 |
$101 |
$42 | |
| X-ray of the shoulder |
$53 |
$197 |
$84 |
$36 | |
| X-ray of the skull |
$69 |
$257 |
$96 |
$40 | |
| X-ray of the upper arm |
$52 |
$191 |
$80 |
$32 | |
| X-ray of the wrist |
$53 |
$197 |
$84 |
$43 | |
| Zinc blood test |
$19 |
$69 |
$13 |
$11 | |