| 3D mammogram (tomosynthesis) |
$223 |
$223 |
$173 |
$51 | |
| Abdominal ultrasound |
$516 |
$516 |
$83 |
$100 | |
| Abdominal ultrasound (complete) |
$579 |
$579 |
$83 |
$114 | |
| Abdominal ultrasound (limited) |
$453 |
$453 |
$61 |
$86 | |
| Abscess drainage (complex or multiple) |
$407 |
$407 |
$65 |
$220 | |
| Abscess incision and drainage |
$407 |
$407 |
$239 |
$174 | |
| Achilles tendon repair |
$10,536 |
— |
$8,873 |
$624 | |
| ACL knee reconstruction |
$15,531 |
— |
$8,873 |
$889 | |
| Adenoid removal (adenoidectomy) |
$14,797 |
— |
$7,239 |
$204 | |
| Albumin blood test |
$6 |
$6 |
$6 |
$5 | |
| Aldosterone test |
$73 |
$73 |
$72 |
$41 | |
| Alkaline phosphatase test |
$6 |
$6 |
$6 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$44 |
$44 |
$43 |
$17 | |
| ALT liver enzyme test |
$6 |
$6 |
$6 |
$5 | |
| Ammonia blood test |
$59 |
$59 |
$58 |
$15 | |
| Amniocentesis |
$3,423 |
— |
$1,126 |
$120 | |
| Amylase test |
$18 |
$18 |
$17 |
$6 | |
| Anal fistula repair |
$4,734 |
— |
$3,394 |
$541 | |
| Ankle fracture repair |
$16,113 |
— |
$8,873 |
$608 | |
| Annual physical (established patient) |
$190 |
$190 |
$182 |
— | |
| Annual physical (new patient) |
$220 |
$220 |
$199 |
— | |
| Antinuclear antibody (ANA) test |
$44 |
$44 |
$43 |
$12 | |
| Aortic aneurysm repair (AAA) |
$26,180 |
— |
$1,207 |
$1,345 | |
| AST liver enzyme test |
$6 |
$6 |
$6 |
$5 | |
| Barium swallow study |
$579 |
$579 |
$63 |
$107 | |
| Bilirubin blood test |
$18 |
$18 |
$17 |
$5 | |
| Bladder function test (urodynamics) |
$406 |
$406 |
$397 |
$345 | |
| Bladder tumor removal (TURBT) |
$8,424 |
— |
$4,310 |
$236 | |
| Blood clotting test (PT/INR) |
$23 |
$23 |
$23 |
$4 | |
| Blood crossmatch |
$23 |
$23 |
$23 |
— | |
| Blood glucose test |
$12 |
$12 |
$12 |
$5 | |
| Blood transfusion |
$2,250 |
$2,104 |
$1,215 |
$47 | |
| Blood type test |
$12 |
$12 |
$12 |
$3 | |
| Blood type test (ABO group) |
$12 |
$12 |
$12 |
$3 | |
| Blood type test (Rh/D antigen) |
$12 |
$12 |
$12 |
$3 | |
| BNP (heart failure) test |
$88 |
$88 |
$86 |
$39 | |
| Bone density scan (DEXA) |
$226 |
$226 |
$20 |
$39 | |
| Bone scan (nuclear) |
$2,308 |
$2,308 |
$87 |
$259 | |
| Brain shunt (VP shunt) |
$369 |
$369 |
$369 |
$1,023 | |
| Breast MRI |
$814 |
$814 |
$237 |
$216 | |
| Breast MRI without contrast |
$1,391 |
$1,391 |
$1,321 |
$216 | |
| Breast reconstruction |
$26,923 |
— |
$16,851 |
$1,227 | |
| Breast reduction |
$2,412 |
$2,412 |
$772 |
$980 | |
| Breast ultrasound |
$692 |
$692 |
$142 |
$92 | |
| Breast ultrasound (complete) |
$1,006 |
$1,006 |
$152 |
$100 | |
| Breast ultrasound (limited) |
$377 |
$377 |
$142 |
$84 | |
| Breathing tube insertion (intubation) |
$299 |
$299 |
$299 |
$133 | |
| C-reactive protein (CRP) |
$44 |
$44 |
$43 |
$5 | |
| CA 19-9 tumor marker test |
$97 |
$97 |
$95 |
$21 | |
| CA-125 ovarian marker test |
$97 |
$97 |
$95 |
$21 | |
| Calcium blood test |
$6 |
$6 |
$6 |
$5 | |
| Cardiac stress test |
$113 |
$113 |
$111 |
$39 | |
| Carotid artery surgery |
$378 |
$378 |
$378 |
$1,026 | |
| Carotid artery ultrasound |
$943 |
$943 |
$82 |
$156 | |
| Carpal tunnel release |
$995 |
$995 |
$995 |
$483 | |
| CEA tumor marker test |
$73 |
$73 |
$72 |
$19 | |
| Celiac disease test |
$12 |
$12 |
$12 |
$12 | |
| Cervical LEEP procedure |
$608 |
$586 |
$563 |
$325 | |
| Cesarean section (C-section) |
$13,531 |
— |
$10,378 |
$7,552 | |
| Chemotherapy infusion |
$643 |
$643 |
$318 |
$81 | |
| Chemotherapy infusion (each additional) |
$234 |
$234 |
$229 |
$28 | |
| Chemotherapy infusion (first hour) |
$1,052 |
$1,052 |
$1,031 |
$133 | |
| Chest X-ray |
$126 |
$126 |
$23 |
$37 | |
| Chickenpox (varicella) vaccine |
$814 |
$814 |
$242 |
— | |
| CK-MB heart enzyme test |
$44 |
$44 |
$43 |
$12 | |
| Clotting time test (PTT) |
$23 |
$23 |
$23 |
$6 | |
| Colon resection (colectomy) |
$529 |
$529 |
$529 |
$1,238 | |
| Colonoscopy |
$4,558 |
— |
$1,463 |
$480 | |
| Colostomy |
$417 |
$417 |
$417 |
$1,122 | |
| Colposcopy |
$608 |
$608 |
$289 |
$161 | |
| Copper blood test |
$73 |
$73 |
$72 |
$12 | |
| Cortisol test |
$44 |
$44 |
$43 |
$16 | |
| COVID-19 PCR test |
$352 |
$352 |
$345 |
$51 | |
| CPAP titration study |
$401 |
$401 |
$393 |
$69 | |
| Creatine kinase (CK) test |
$18 |
$18 |
$17 |
$7 | |
| CT angiography of the head |
$369 |
$369 |
$181 |
$274 | |
| CT scan of the abdomen |
$229 |
$299 |
$207 |
$230 | |
| CT scan of the abdomen and pelvis |
$299 |
$394 |
$188 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$452 |
$452 |
$206 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$394 |
$394 |
$188 |
$300 | |
| CT scan of the abdomen with and without contrast |
$344 |
$344 |
$228 |
$259 | |
| CT scan of the abdomen with contrast |
$299 |
$299 |
$207 |
$230 | |
| CT scan of the abdomen without contrast |
$159 |
$159 |
$194 |
$136 | |
| CT scan of the arm |
$293 |
$293 |
$204 |
$199 | |
| CT scan of the arm with contrast |
$293 |
$293 |
$240 |
$199 | |
| CT scan of the arm without contrast |
$229 |
$229 |
$204 |
$161 | |
| CT scan of the chest |
$299 |
$299 |
$191 |
$167 | |
| CT scan of the chest with and without contrast |
$369 |
$369 |
$203 |
$196 | |
| CT scan of the chest with contrast |
$299 |
$299 |
$191 |
$167 | |
| CT scan of the chest without contrast |
$229 |
$229 |
$177 |
$133 | |
| CT scan of the head |
$191 |
$191 |
$117 |
$148 | |
| CT scan of the head with and without contrast |
$229 |
$229 |
$131 |
$173 | |
| CT scan of the head with contrast |
$191 |
$191 |
$117 |
$148 | |
| CT scan of the head without contrast |
$134 |
$134 |
$88 |
$107 | |
| CT scan of the leg |
$299 |
$299 |
$125 |
$166 | |
| CT scan of the leg with contrast |
$299 |
$299 |
$240 |
$166 | |
| CT scan of the leg without contrast |
$229 |
$229 |
$204 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$299 |
$299 |
$102 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$369 |
$369 |
$362 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$299 |
$299 |
$293 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$229 |
$229 |
$102 |
$130 | |
| CT scan of the neck |
$299 |
$299 |
$143 |
$183 | |
| CT scan of the neck (cervical spine) |
$299 |
$299 |
$131 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$369 |
$369 |
$131 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$299 |
$299 |
$293 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$235 |
$235 |
$102 |
$131 | |
| CT scan of the neck with and without contrast |
$369 |
$369 |
$166 |
$220 | |
| CT scan of the neck with contrast |
$299 |
$299 |
$143 |
$183 | |
| CT scan of the neck without contrast |
$229 |
$229 |
$133 |
$150 | |
| CT scan of the pelvis |
$299 |
$299 |
$120 |
$226 | |
| CT scan of the pelvis with and without contrast |
$356 |
$356 |
$199 |
$251 | |
| CT scan of the pelvis with contrast |
$299 |
$299 |
$120 |
$226 | |
| CT scan of the pelvis without contrast |
$165 |
$165 |
$112 |
$133 | |
| CT scan of the sinuses |
$197 |
$197 |
$117 |
$152 | |
| CT scan of the sinuses with and without contrast |
$254 |
$254 |
$131 |
$184 | |
| CT scan of the sinuses with contrast |
$197 |
$197 |
$117 |
$152 | |
| CT scan of the sinuses without contrast |
$172 |
$172 |
$88 |
$128 | |
| D-dimer test |
$44 |
$44 |
$43 |
$10 | |
| Defibrillator (ICD) implant |
$36,105 |
— |
$38,382 |
$798 | |
| DHEA-sulfate test |
$44 |
$44 |
$43 |
$22 | |
| Diagnostic mammogram |
$755 |
$755 |
$102 |
$140 | |
| Drug screen (urine) |
$23 |
$23 |
$23 |
$17 | |
| Ear tubes (myringotomy) |
$7,263 |
— |
$5,646 |
$174 | |
| Echocardiogram |
$170 |
$170 |
$236 |
$138 | |
| Echocardiogram with and without contrast |
$76 |
$76 |
$74 |
$101 | |
| Echocardiogram without contrast |
$170 |
$170 |
$167 |
$138 | |
| EEG (awake and asleep) |
$871 |
$871 |
$854 |
$482 | |
| Electroencephalogram (EEG) |
$802 |
$802 |
$726 |
$448 | |
| Electrolyte panel |
$23 |
$23 |
$23 |
$7 | |
| Electromyography (EMG) |
$224 |
$198 |
$184 |
$141 | |
| Epidural steroid injection |
$542 |
— |
$260 |
$275 | |
| ERCP (bile duct endoscopy) |
$9,156 |
— |
$4,714 |
$311 | |
| Esophageal dilation |
$7,693 |
— |
$4,054 |
$522 | |
| Estradiol (estrogen) test |
$44 |
$44 |
$43 |
$28 | |
| Facet joint injection (spine) |
$557 |
— |
$1,082 |
$99 | |
| Fallopian tube X-ray (HSG) |
$127 |
$127 |
$127 |
$164 | |
| Fecal occult blood (stool) test |
$44 |
$44 |
$72 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$15 |
$15 |
$14 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$73 |
$73 |
$72 |
$16 | |
| Feeding tube (PEG) placement |
$426 |
$426 |
$426 |
$178 | |
| Femoral hernia repair |
$7,876 |
— |
$4,378 |
$584 | |
| Ferritin (iron) test |
$44 |
$44 |
$43 |
$14 | |
| Fibrinogen test |
$26 |
$26 |
$26 |
$10 | |
| Fibroid removal (myomectomy) |
$1,197 |
$1,197 |
$399 |
$914 | |
| Flu test |
$73 |
$73 |
$72 |
$17 | |
| Flu vaccine |
$70 |
$70 |
$69 |
— | |
| Folate (folic acid) test |
$44 |
$44 |
$43 |
$15 | |
| Free T4 thyroid test |
$44 |
$44 |
$43 |
$9 | |
| FSH hormone test |
$44 |
$44 |
$43 |
$19 | |
| Gallbladder removal (laparoscopic) |
$852 |
$1,451 |
$252 |
$658 | |
| Gallbladder scan (HIDA) |
$3,859 |
$3,859 |
$91 |
$334 | |
| GGT liver test |
$6 |
$6 |
$6 |
$7 | |
| Glucose tolerance test |
$28 |
$28 |
$40 |
$8 | |
| H. pylori test |
$59 |
$59 |
$56 |
$67 | |
| Hammertoe repair |
$21,593 |
— |
$8,873 |
$548 | |
| HDL cholesterol test |
$44 |
$44 |
$43 |
$8 | |
| Hemodialysis |
$1,501 |
$1,501 |
$1,471 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$59 |
$59 |
$58 |
$10 | |
| Hemorrhoid removal |
$6,092 |
— |
$3,394 |
$338 | |
| Hepatitis B test |
$73 |
$73 |
$72 |
$10 | |
| Hepatitis B vaccine |
$372 |
$372 |
$365 |
— | |
| Hepatitis C test |
$73 |
$73 |
$72 |
$14 | |
| Hip fracture repair |
$433 |
$433 |
$433 |
$1,120 | |
| HIV test |
$73 |
$73 |
$72 |
$19 | |
| HIV test (antibody) |
$73 |
$73 |
$72 |
$14 | |
| HIV test (antigen/antibody combo) |
$73 |
$73 |
$72 |
$24 | |
| HPV vaccine |
$1,665 |
$1,665 |
$1,632 |
— | |
| Hydrocele repair |
$6,819 |
— |
$4,378 |
$315 | |
| Hysteroscopy |
$498 |
$498 |
$80 |
$1,270 | |
| Ileostomy |
$360 |
$360 |
$360 |
$968 | |
| Inguinal hernia repair |
$1,297 |
$1,297 |
$415 |
$538 | |
| IV infusion therapy (each additional) |
$234 |
$234 |
$229 |
$21 | |
| Kidney scan (nuclear) |
$1,286 |
$1,286 |
$120 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$5,912 |
— |
$4,310 |
$760 | |
| Knee arthroscopy |
$1,264 |
$1,242 |
$1,220 |
$524 | |
| Knee replacement |
$36,358 |
— |
$23,768 |
$18,054 | |
| Lactate test |
$59 |
$59 |
$58 |
$12 | |
| LDH test |
$12 |
$12 |
$12 |
$6 | |
| LDL cholesterol test |
$44 |
$44 |
$43 |
$11 | |
| Leg artery angioplasty |
$28,957 |
— |
$482 |
— | |
| Leg vein ultrasound (Doppler) |
$931 |
$931 |
$71 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$704 |
$704 |
$46 |
$116 | |
| LH hormone test |
$73 |
$73 |
$72 |
$19 | |
| Lipase test |
$23 |
$23 |
$23 |
$7 | |
| Lipid (cholesterol) panel |
$56 |
$56 |
$55 |
$13 | |
| Liver function panel |
$32 |
$32 |
$32 |
$8 | |
| Lung function test (PFT) |
$703 |
$703 |
$562 |
$37 | |
| Lung scan (V/Q) |
$3,102 |
$3,102 |
$107 |
$291 | |
| Mastectomy |
$2,105 |
$2,105 |
$674 |
$1,021 | |
| MMR vaccine |
$438 |
$438 |
$156 |
— | |
| MRA of the brain with contrast |
$1,000 |
$1,000 |
$123 |
$226 | |
| MRA of the brain without contrast |
$1,554 |
$1,554 |
$152 |
$328 | |
| MRA of the neck |
$1,076 |
$1,076 |
$155 |
$245 | |
| MRA of the neck with contrast |
$1,076 |
$1,076 |
$155 |
$245 | |
| MRA of the neck without contrast |
$1,565 |
$1,565 |
$1,533 |
$343 | |
| MRI of the abdomen |
$1,119 |
$1,119 |
$237 |
$300 | |
| MRI of the abdomen with contrast |
$1,119 |
$1,119 |
$179 |
$300 | |
| MRI of the abdomen without contrast |
$793 |
$793 |
$237 |
$194 | |
| MRI of the ankle |
$989 |
$989 |
$222 |
$261 | |
| MRI of the ankle with contrast |
$989 |
$989 |
$167 |
$261 | |
| MRI of the ankle without contrast |
$902 |
$902 |
$278 |
$222 | |
| MRI of the brain |
$804 |
$706 |
$185 |
$269 | |
| MRI of the brain without contrast |
$478 |
$478 |
$153 |
$195 | |
| MRI of the chest |
$1,233 |
$1,233 |
$233 |
$371 | |
| MRI of the chest without contrast |
$1,423 |
$1,423 |
$233 |
$466 | |
| MRI of the knee |
$913 |
$913 |
$280 |
$315 | |
| MRI of the knee with contrast |
$913 |
$913 |
$894 |
$315 | |
| MRI of the knee without contrast |
$511 |
$511 |
$280 |
$204 | |
| MRI of the lower back (lumbar spine) |
$706 |
$706 |
$185 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$706 |
$706 |
$185 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$456 |
$456 |
$153 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$717 |
$717 |
$236 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$815 |
$815 |
$236 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$717 |
$717 |
$703 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$456 |
$456 |
$153 |
$190 | |
| MRI of the neck (cervical spine) |
$717 |
$717 |
$185 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$804 |
$804 |
$236 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$717 |
$717 |
$185 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$456 |
$456 |
$153 |
$191 | |
| MRI of the pelvis |
$989 |
$989 |
$226 |
$268 | |
| MRI of the pelvis with contrast |
$989 |
$989 |
$969 |
$268 | |
| MRI of the pelvis without contrast |
$924 |
$924 |
$151 |
$227 | |
| MRI of the shoulder |
$902 |
$902 |
$282 |
$313 | |
| MRI of the shoulder with contrast |
$902 |
$902 |
$884 |
$313 | |
| MRI of the shoulder without contrast |
$511 |
$511 |
$282 |
$205 | |
| MRI of the wrist |
$1,054 |
$1,054 |
$222 |
$330 | |
| MRI of the wrist without contrast |
$913 |
$913 |
$140 |
$303 | |
| Nerve conduction study |
$104 |
$104 |
$101 |
$118 | |
| Newborn hospital care |
$139 |
$139 |
$84 |
$58 | |
| Nuchal translucency ultrasound |
$428 |
$428 |
$419 |
$116 | |
| Nuclear cardiac stress test |
$4,350 |
$4,350 |
$4,263 |
$428 | |
| Occupational therapy evaluation |
$440 |
$440 |
$431 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$440 |
$440 |
$431 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$440 |
$440 |
$435 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$586 |
$586 |
$435 |
$101 | |
| Office visit (established patient) |
$207 |
$207 |
$140 |
$115 | |
| Office visit (new patient) |
$285 |
$285 |
$285 |
$177 | |
| Office visit, established patient (level 3) |
$140 |
$140 |
$140 |
$95 | |
| Office visit, established patient (level 4) |
$207 |
$207 |
$207 |
$136 | |
| Office visit, new patient (level 3) |
$175 |
$175 |
$175 |
$118 | |
| Office visit, new patient (level 4) |
$285 |
$285 |
$285 |
$177 | |
| Office visit, new patient (level 5) |
$388 |
$388 |
$388 |
$237 | |
| Ovarian cyst removal |
$1,877 |
$1,778 |
$300 |
$698 | |
| Pacemaker insertion |
$27,511 |
— |
$20,520 |
$15,506 | |
| Pap smear (cervical screening) |
$117 |
$117 |
$115 |
$20 | |
| Parathyroid hormone (PTH) test |
$44 |
$44 |
$43 |
$41 | |
| Pelvic ultrasound (limited) |
$176 |
$176 |
$51 |
$51 | |
| PET scan |
$17,591 |
$17,591 |
$16,291 |
— | |
| Phosphorus blood test |
$6 |
$6 |
$6 |
$5 | |
| Physical therapy evaluation |
$1,164 |
$1,164 |
$913 |
$98 | |
| Physical therapy evaluation (high complexity) |
$1,164 |
$1,164 |
$913 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$1,863 |
$1,863 |
$922 |
$98 | |
| Pilonidal cyst removal |
$7,720 |
— |
$3,552 |
$541 | |
| Pneumonia vaccine |
$598 |
$598 |
$586 |
— | |
| Pregnancy blood test (hCG) |
$29 |
$29 |
$29 |
$8 | |
| Pregnancy ultrasound |
$591 |
$591 |
$102 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$528 |
$528 |
$102 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$654 |
$654 |
$641 |
$136 | |
| Procalcitonin test |
$441 |
$441 |
$432 |
$27 | |
| Prolactin test |
$59 |
$59 |
$58 |
$19 | |
| Prostate biopsy |
$9,425 |
— |
$208 |
— | |
| Prostate surgery (TURP) |
$9,033 |
— |
$6,556 |
$526 | |
| Prostate test (PSA) |
$59 |
$59 |
$58 |
$18 | |
| Psychiatric evaluation |
$307 |
$307 |
$307 |
$188 | |
| Radiofrequency nerve ablation |
$3,804 |
— |
$2,388 |
$462 | |
| Rotator cuff repair |
$1,103 |
$1,126 |
$304 |
$792 | |
| Sacroiliac joint injection |
$671 |
— |
$79 |
$176 | |
| Screening mammogram |
$704 |
$704 |
$79 |
$126 | |
| Scrotal ultrasound |
$252 |
$252 |
$66 |
$99 | |
| Sedimentation rate (ESR) test |
$16 |
$16 |
$17 |
$3 | |
| Septoplasty (deviated septum) |
$11,909 |
— |
$4,054 |
$613 | |
| Sex hormone binding globulin test |
$73 |
$73 |
$72 |
$22 | |
| Shingles vaccine |
$1,161 |
$1,161 |
$1,138 |
— | |
| Shoulder replacement |
$3,173 |
$3,173 |
$508 |
$1,300 | |
| Sinus surgery (endoscopic) |
$16,015 |
— |
$8,630 |
$224 | |
| Skin graft |
$11,346 |
— |
$3,428 |
$898 | |
| Sleep study (polysomnography) |
$1,242 |
$1,242 |
$1,184 |
$691 | |
| Small bowel resection |
$424 |
$424 |
$424 |
$1,136 | |
| Soft tissue ultrasound |
$75 |
$75 |
$68 |
$64 | |
| Speech therapy |
$209 |
$209 |
$205 |
$76 | |
| Spinal cord stimulator |
$49,474 |
— |
$22,763 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$138 |
$138 |
$138 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$12,811 |
— |
$8,873 |
$5,803 | |
| Spirometry (lung function test) |
$567 |
$567 |
$556 |
$30 | |
| Spirometry with bronchodilator |
$840 |
$840 |
$823 |
$43 | |
| Spleen removal (splenectomy) |
$1,361 |
$2,314 |
$452 |
$1,036 | |
| Stomach removal (gastrectomy) |
$514 |
$514 |
$514 |
$1,595 | |
| Strabismus (eye muscle) surgery |
$8,095 |
— |
$2,907 |
$475 | |
| Strep throat test |
$73 |
$73 |
$72 |
$17 | |
| Stress echocardiogram |
$227 |
$227 |
$222 |
$209 | |
| Swallow study |
$278 |
$278 |
$273 |
$85 | |
| T3 thyroid test |
$44 |
$44 |
$43 |
$14 | |
| Tdap (tetanus) vaccine |
$216 |
$216 |
$75 |
— | |
| Testosterone test |
$44 |
$44 |
$43 |
$26 | |
| Thyroid test (TSH) |
$44 |
$44 |
$43 |
$17 | |
| Thyroid ultrasound |
$629 |
$629 |
$59 |
$109 | |
| Thyroid uptake scan |
$1,589 |
$1,589 |
$50 |
$145 | |
| Tilt table test |
$235 |
$227 |
$307 |
$168 | |
| Tonsillectomy |
$9,455 |
— |
$4,054 |
$252 | |
| Total IgE allergy test |
$44 |
$44 |
$43 |
$16 | |
| Total protein test |
$6 |
$6 |
$6 |
$4 | |
| Tracheostomy |
$670 |
$670 |
$670 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$227 |
$227 |
$222 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$227 |
$227 |
$222 |
$239 | |
| Trigger finger release |
$6,004 |
— |
$1,966 |
$630 | |
| Trigger point injection |
$458 |
— |
$375 |
$56 | |
| Trigger point injection (1-2 muscles) |
$462 |
— |
$375 |
$52 | |
| Triglycerides test |
$6 |
$6 |
$6 |
$6 | |
| Troponin (heart) test |
$73 |
$73 |
$72 |
$12 | |
| Turbinate reduction |
$11,100 |
— |
$5,646 |
$294 | |
| Upper GI series (barium) |
$604 |
$604 |
$92 |
$128 | |
| Ureteral stent placement |
$7,996 |
— |
$4,310 |
$373 | |
| Ureteroscopy (stone removal) |
$8,220 |
— |
$6,556 |
$365 | |
| Uric acid (gout) test |
$6 |
$6 |
$6 |
$5 | |
| Urine microalbumin test |
$37 |
$37 |
$29 |
$5 | |
| Urine pregnancy test |
$29 |
$29 |
$29 |
$9 | |
| Vaginal delivery |
$13,054 |
— |
$7,745 |
$5,487 | |
| Vitamin B12 test |
$44 |
$44 |
$43 |
$15 | |
| Vitamin D test |
$44 |
$44 |
$43 |
$30 | |
| Weight-loss (bariatric) surgery |
$24,371 |
— |
$15,171 |
$11,645 | |
| Whipple procedure (pancreas) |
$1,077 |
$1,077 |
$1,077 |
$2,871 | |
| X-ray of the abdomen |
$176 |
$176 |
$24 |
$36 | |
| X-ray of the collarbone |
$252 |
$252 |
$36 |
$33 | |
| X-ray of the elbow |
$151 |
$151 |
$36 |
$33 | |
| X-ray of the facial bones |
$164 |
$164 |
$27 |
$39 | |
| X-ray of the forearm |
$264 |
$252 |
$34 |
$29 | |
| X-ray of the hand |
$226 |
$302 |
$36 |
$38 | |
| X-ray of the hip |
$201 |
$201 |
$23 |
$49 | |
| X-ray of the hip (1 view) |
$151 |
$151 |
$20 |
$34 | |
| X-ray of the hip (3 views) |
$201 |
$201 |
$23 |
$49 | |
| X-ray of the hip (4 views) |
$252 |
$252 |
$247 |
$63 | |
| X-ray of the knee (4+ views) |
$201 |
$201 |
$48 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$201 |
$201 |
$27 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$176 |
$176 |
$23 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$226 |
$226 |
$27 |
$53 | |
| X-ray of the mid-back (thoracic spine) |
$164 |
$164 |
$23 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$151 |
$151 |
$21 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$176 |
$176 |
$23 |
$39 | |
| X-ray of the neck (cervical spine) |
$176 |
$176 |
$23 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$151 |
$151 |
$23 |
$40 | |
| X-ray of the pelvis |
$201 |
$176 |
$18 |
$36 | |
| X-ray of the ribs |
$151 |
$151 |
$28 |
$42 | |
| X-ray of the ribs (2 views) |
$151 |
$151 |
$23 |
$36 | |
| X-ray of the ribs (3 views) |
$151 |
$151 |
$28 |
$42 | |
| X-ray of the skull |
$189 |
$189 |
$19 |
$40 | |
| X-ray of the upper arm |
$151 |
$151 |
$36 |
$32 | |
| Zinc blood test |
$73 |
$73 |
$72 |
$11 | |