| 3D mammogram (tomosynthesis) |
$118 |
$169 |
$42 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$426 |
$608 |
$186 |
$284 | |
| Abdominal ultrasound |
$708 |
$1,011 |
$162 |
$100 | |
| Abdominal ultrasound (complete) |
$951 |
$1,359 |
$199 |
$114 | |
| Abdominal ultrasound (limited) |
$708 |
$1,011 |
$149 |
$86 | |
| Abscess drainage (complex or multiple) |
$573 |
$819 |
$203 |
$220 | |
| Abscess drainage (simple) |
$292 |
$418 |
$116 |
$129 | |
| Abscess incision and drainage |
$318 |
$454 |
$154 |
$174 | |
| Achilles tendon repair |
$1,779 |
$2,541 |
$661 |
$624 | |
| ACL knee reconstruction |
$2,184 |
$3,121 |
$529 |
$889 | |
| Acupuncture |
$69 |
$98 |
$38 |
$38 | |
| Albumin blood test |
$22 |
$31 |
$5 |
$5 | |
| Aldosterone test |
$100 |
$142 |
$35 |
$41 | |
| Alkaline phosphatase test |
$35 |
$50 |
$8 |
$5 | |
| Allergy shots |
$23 |
$34 |
$9 |
$11 | |
| Alpha-fetoprotein (AFP) test |
$64 |
$92 |
$18 |
$17 | |
| ALT liver enzyme test |
$35 |
$50 |
$8 |
$5 | |
| Ammonia blood test |
$59 |
$84 |
$16 |
$15 | |
| Amylase test |
$148 |
$211 |
$13 |
$6 | |
| Anal fistula repair |
$1,159 |
$1,656 |
$510 |
$541 | |
| Ankle fracture repair |
$1,758 |
$2,512 |
$648 |
$608 | |
| Annual physical (established patient) |
$166 |
$237 |
$51 |
— | |
| Annual physical (new patient) |
$194 |
$277 |
$60 |
— | |
| Anoscopy |
$213 |
$304 |
$82 |
$129 | |
| Antinuclear antibody (ANA) test |
$82 |
$117 |
$19 |
$12 | |
| Aortic aneurysm repair (AAA) |
$2,822 |
$4,032 |
$994 |
$1,345 | |
| Arterial blood gas (ABG) |
$216 |
$309 |
$40 |
$26 | |
| AST liver enzyme test |
$35 |
$50 |
$8 |
$5 | |
| Barium swallow study |
$487 |
$695 |
$118 |
$107 | |
| Bartholin cyst removal |
$412 |
$588 |
$158 |
$182 | |
| Basic metabolic panel |
$92 |
$132 |
$18 |
$8 | |
| Benign skin lesion removal |
$323 |
$462 |
$156 |
$171 | |
| Bilirubin blood test |
$35 |
$50 |
$8 |
$5 | |
| Bladder scope (cystoscopy) |
$491 |
$701 |
$142 |
$216 | |
| Bladder tumor removal (TURBT) |
$899 |
$1,285 |
$255 |
$236 | |
| Blood clotting test (PT/INR) |
$40 |
$57 |
$8 |
$4 | |
| Blood crossmatch |
$269 |
$384 |
$83 |
— | |
| Blood glucose test |
$27 |
$39 |
$6 |
$5 | |
| Blood transfusion |
$964 |
$1,377 |
$170 |
$47 | |
| Blood type and screen |
$132 |
$189 |
$25 |
$10 | |
| Blood type test |
$109 |
$156 |
$13 |
$3 | |
| Blood type test (ABO group) |
$143 |
$204 |
$23 |
$3 | |
| Blood type test (Rh/D antigen) |
$76 |
$108 |
$13 |
$3 | |
| BNP (heart failure) test |
$236 |
$337 |
$56 |
$39 | |
| Bone density scan (DEXA) |
$161 |
$229 |
$23 |
$39 | |
| Bone marrow biopsy |
$399 |
$570 |
$114 |
$172 | |
| Bone scan (nuclear) |
$979 |
$1,399 |
$269 |
$259 | |
| Botox for migraine |
$401 |
$573 |
$146 |
$157 | |
| Brain shunt (VP shunt) |
$2,357 |
$3,368 |
$629 |
$1,023 | |
| Breast biopsy |
$1,803 |
$2,575 |
$441 |
$478 | |
| Breast ultrasound |
$668 |
$954 |
$128 |
$92 | |
| Breast ultrasound (complete) |
$708 |
$1,011 |
$172 |
$100 | |
| Breast ultrasound (limited) |
$634 |
$906 |
$97 |
$84 | |
| Breathing tube insertion (intubation) |
$689 |
$985 |
$141 |
$133 | |
| Bronchoscopy |
$605 |
$864 |
$224 |
$303 | |
| Burn dressing and debridement (medium) |
$308 |
$440 |
$138 |
$166 | |
| Burn dressing and debridement (small) |
$203 |
$291 |
$88 |
$93 | |
| Burn treatment |
$256 |
$365 |
$88 |
$129 | |
| C-reactive protein (CRP) |
$82 |
$117 |
$15 |
$5 | |
| CA 19-9 tumor marker test |
$113 |
$161 |
$28 |
$21 | |
| CA-125 ovarian marker test |
$121 |
$173 |
$29 |
$21 | |
| Calcium blood test |
$35 |
$50 |
$8 |
$5 | |
| Capsule endoscopy |
$1,168 |
$1,669 |
$381 |
$802 | |
| Cardiac catheterization |
$7,210 |
$10,300 |
$1,619 |
$1,049 | |
| Cardiac rehabilitation |
$264 |
$378 |
$53 |
$26 | |
| Cardiac stress test |
$1,131 |
$1,616 |
$52 |
$39 | |
| Cardioversion |
$1,215 |
$1,735 |
$147 |
$155 | |
| Carotid artery surgery |
$1,799 |
$2,570 |
$646 |
$1,026 | |
| Carotid artery ultrasound |
$772 |
$1,103 |
$114 |
$156 | |
| Carpal tunnel release |
$1,331 |
$1,902 |
$471 |
$483 | |
| CEA tumor marker test |
$128 |
$183 |
$29 |
$19 | |
| Central line placement |
$586 |
$837 |
$157 |
$238 | |
| Chalazion (eyelid cyst) removal |
$237 |
$338 |
$110 |
$131 | |
| Chest fluid drain (thoracentesis) |
$871 |
$1,244 |
$289 |
$311 | |
| Chest tube insertion |
$545 |
$779 |
$159 |
$143 | |
| Chest X-ray |
$180 |
$257 |
$44 |
$37 | |
| Chest X-ray (1 view) |
$180 |
$257 |
$39 |
$25 | |
| Chest X-ray (2 views) |
$156 |
$223 |
$39 |
$33 | |
| Chickenpox (varicella) vaccine |
$159 |
$227 |
$49 |
— | |
| Circumcision |
$506 |
$723 |
$194 |
$167 | |
| CK-MB heart enzyme test |
$94 |
$134 |
$18 |
$12 | |
| Clotting time test (PTT) |
$62 |
$88 |
$12 |
$6 | |
| Colon resection (colectomy) |
$2,004 |
$2,863 |
$733 |
$1,238 | |
| Colonoscopy |
$939 |
$1,341 |
$307 |
$480 | |
| Colostomy |
$1,803 |
$2,576 |
$684 |
$1,122 | |
| Colposcopy |
$342 |
$489 |
$126 |
$161 | |
| Complete blood count (CBC) |
$91 |
$130 |
$10 |
$7 | |
| Complete blood count (CBC) (complete) |
$91 |
$130 |
$18 |
$8 | |
| Complex wound repair |
$697 |
$996 |
$302 |
$390 | |
| Comprehensive metabolic panel |
$175 |
$250 |
$32 |
$11 | |
| Contraceptive implant (Nexplanon) |
$322 |
$460 |
$89 |
$115 | |
| Copper blood test |
$76 |
$109 |
$14 |
$12 | |
| Coronary CT angiography |
$2,580 |
$3,685 |
$548 |
$326 | |
| Cortisol test |
$103 |
$147 |
$18 |
$16 | |
| COVID-19 PCR test |
$149 |
$213 |
$50 |
$51 | |
| CPAP titration study |
$651 |
$931 |
$133 |
$69 | |
| Creatine kinase (CK) test |
$60 |
$86 |
$12 |
$7 | |
| CT angiography of the chest |
$2,569 |
$3,670 |
$525 |
$281 | |
| CT angiography of the head |
$2,156 |
$3,080 |
$458 |
$274 | |
| CT scan of the abdomen |
$2,023 |
$2,889 |
$395 |
$230 | |
| CT scan of the abdomen and pelvis |
$3,065 |
$4,378 |
$565 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,313 |
$4,732 |
$666 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$3,065 |
$4,378 |
$610 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,657 |
$3,796 |
$495 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,321 |
$3,316 |
$476 |
$259 | |
| CT scan of the abdomen with contrast |
$2,023 |
$2,889 |
$417 |
$230 | |
| CT scan of the abdomen without contrast |
$1,795 |
$2,564 |
$340 |
$136 | |
| CT scan of the arm |
$1,940 |
$2,772 |
$289 |
$199 | |
| CT scan of the arm with contrast |
$1,968 |
$2,812 |
$391 |
$199 | |
| CT scan of the arm without contrast |
$1,828 |
$2,611 |
$338 |
$161 | |
| CT scan of the chest |
$1,795 |
$2,564 |
$367 |
$167 | |
| CT scan of the chest with and without contrast |
$2,321 |
$3,316 |
$448 |
$196 | |
| CT scan of the chest with contrast |
$2,073 |
$2,962 |
$396 |
$167 | |
| CT scan of the chest without contrast |
$1,795 |
$2,564 |
$338 |
$133 | |
| CT scan of the head |
$1,915 |
$2,735 |
$333 |
$148 | |
| CT scan of the head with and without contrast |
$2,156 |
$3,081 |
$412 |
$173 | |
| CT scan of the head with contrast |
$1,915 |
$2,735 |
$364 |
$148 | |
| CT scan of the head without contrast |
$1,640 |
$2,343 |
$302 |
$107 | |
| CT scan of the leg |
$1,996 |
$2,852 |
$344 |
$166 | |
| CT scan of the leg with contrast |
$1,996 |
$2,852 |
$318 |
$166 | |
| CT scan of the leg without contrast |
$1,716 |
$2,451 |
$385 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,795 |
$2,564 |
$231 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,904 |
$2,719 |
$384 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$911 |
$1,301 |
$218 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,795 |
$2,564 |
$337 |
$130 | |
| CT scan of the neck |
$1,968 |
$2,811 |
$361 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,904 |
$2,719 |
$371 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,904 |
$2,719 |
$384 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,904 |
$2,719 |
$371 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,820 |
$2,600 |
$341 |
$131 | |
| CT scan of the neck with and without contrast |
$2,216 |
$3,166 |
$443 |
$220 | |
| CT scan of the neck with contrast |
$1,968 |
$2,811 |
$388 |
$183 | |
| CT scan of the neck without contrast |
$1,687 |
$2,410 |
$329 |
$150 | |
| CT scan of the pelvis |
$2,023 |
$2,889 |
$391 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,322 |
$3,317 |
$472 |
$251 | |
| CT scan of the pelvis with contrast |
$2,023 |
$2,889 |
$415 |
$226 | |
| CT scan of the pelvis without contrast |
$1,795 |
$2,564 |
$338 |
$133 | |
| CT scan of the sinuses |
$1,959 |
$2,799 |
$223 |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,207 |
$3,153 |
$425 |
$184 | |
| CT scan of the sinuses with contrast |
$1,959 |
$2,799 |
$372 |
$152 | |
| CT scan of the sinuses without contrast |
$895 |
$1,278 |
$197 |
$128 | |
| D-dimer test |
$116 |
$166 |
$23 |
$10 | |
| Developmental screening (child) |
$42 |
$60 |
$13 |
— | |
| DHEA-sulfate test |
$84 |
$120 |
$24 |
$22 | |
| Diagnostic mammogram |
$366 |
$523 |
$114 |
$140 | |
| Dialysis fistula creation |
$1,079 |
$1,542 |
$375 |
$601 | |
| Dilation and curettage (D&C) |
$698 |
$997 |
$267 |
$298 | |
| Drug screen (urine) |
$73 |
$104 |
$29 |
$17 | |
| Echocardiogram |
$839 |
$1,199 |
$154 |
$138 | |
| Echocardiogram with and without contrast |
$839 |
$1,199 |
$176 |
$101 | |
| Echocardiogram without contrast |
$385 |
$550 |
$88 |
$138 | |
| EKG / ECG (tracing only) |
$243 |
$347 |
$9 |
$7 | |
| Electrocardiogram (EKG) |
$55 |
$78 |
$11 |
$8 | |
| Electrolyte panel |
$58 |
$83 |
$12 |
$7 | |
| Emergency department visit |
$584 |
$835 |
$97 |
$69 | |
| Emergency department visit (level 1) |
$188 |
$268 |
$12 |
$11 | |
| Emergency department visit (level 2) |
$315 |
$450 |
$44 |
$40 | |
| Emergency department visit (level 3) |
$584 |
$835 |
$76 |
$69 | |
| Emergency department visit (level 4) |
$912 |
$1,303 |
$130 |
$118 | |
| Emergency department visit (level 5) |
$1,393 |
$1,990 |
$188 |
$171 | |
| Endometrial biopsy |
$268 |
$383 |
$81 |
$98 | |
| Epidural steroid injection |
$667 |
$953 |
$181 |
$275 | |
| ERCP (bile duct endoscopy) |
$1,121 |
$1,602 |
$320 |
$311 | |
| Esophageal dilation |
$452 |
$645 |
$143 |
$522 | |
| Esophageal variceal banding |
$590 |
$843 |
$134 |
$126 | |
| Estradiol (estrogen) test |
$63 |
$90 |
$23 |
$28 | |
| Facet joint injection (spine) |
$354 |
$506 |
$91 |
$99 | |
| Fecal occult blood (stool) test |
$56 |
$79 |
$16 |
$10 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$56 |
$79 |
$16 |
$16 | |
| Feeding tube (PEG) placement |
$749 |
$1,070 |
$194 |
$178 | |
| Femoral hernia repair |
$1,374 |
$1,963 |
$600 |
$584 | |
| Ferritin (iron) test |
$94 |
$134 |
$21 |
$14 | |
| Fibrinogen test |
$91 |
$130 |
$19 |
$10 | |
| Fibroid removal (myomectomy) |
$2,349 |
$3,355 |
$891 |
$914 | |
| Flexible sigmoidoscopy |
$414 |
$591 |
$148 |
$323 | |
| Flu test |
$59 |
$84 |
$16 |
$17 | |
| Flu vaccine |
$32 |
$45 |
$16 |
— | |
| Folate (folic acid) test |
$62 |
$89 |
$17 |
$15 | |
| Foreign body removal (skin) |
$351 |
$501 |
$147 |
$157 | |
| Free T4 thyroid test |
$79 |
$113 |
$15 |
$9 | |
| FSH hormone test |
$102 |
$145 |
$25 |
$19 | |
| Gallbladder removal (laparoscopic) |
$1,224 |
$1,749 |
$391 |
$658 | |
| Gallbladder scan (HIDA) |
$1,162 |
$1,661 |
$350 |
$334 | |
| Ganglion cyst removal |
$874 |
$1,248 |
$334 |
$321 | |
| GGT liver test |
$36 |
$51 |
$9 |
$7 | |
| Glucose tolerance test |
$15 |
$22 |
$5 |
$8 | |
| H. pylori test |
$104 |
$148 |
$49 |
$67 | |
| HDL cholesterol test |
$40 |
$58 |
$10 |
$8 | |
| Hematocrit test |
$13 |
$18 |
$3 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$89 |
$127 |
$18 |
$10 | |
| Hemorrhoid removal |
$586 |
$837 |
$321 |
$338 | |
| Hepatitis A vaccine |
$101 |
$144 |
$52 |
— | |
| Hepatitis B test |
$30 |
$42 |
$10 |
$10 | |
| Hepatitis B vaccine |
$159 |
$228 |
$69 |
— | |
| Hepatitis C test |
$37 |
$52 |
$14 |
$14 | |
| Hip fracture repair |
$2,073 |
$2,962 |
$669 |
$1,120 | |
| Hip replacement |
$3,029 |
$4,328 |
$699 |
$1,162 | |
| HIV test |
$87 |
$125 |
$21 |
$19 | |
| HIV test (antibody) |
$105 |
$150 |
$23 |
$14 | |
| HIV test (antigen/antibody combo) |
$50 |
$72 |
$21 |
$24 | |
| Holter heart monitor |
$306 |
$437 |
$18 |
$26 | |
| Hydrocele repair |
$891 |
$1,273 |
$335 |
$315 | |
| Hysterectomy |
$1,710 |
$2,443 |
$566 |
$933 | |
| Ileostomy |
$1,656 |
$2,365 |
$590 |
$968 | |
| Inguinal hernia repair |
$835 |
$1,193 |
$314 |
$538 | |
| Iron blood test |
$39 |
$56 |
$9 |
$6 | |
| IV infusion therapy |
$305 |
$435 |
$55 |
$44 | |
| IV infusion therapy (each additional) |
$159 |
$227 |
$34 |
$21 | |
| IV infusion therapy (initial) |
$450 |
$643 |
$100 |
$67 | |
| IVC filter placement |
$6,590 |
$9,414 |
$1,713 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$175 |
$250 |
$55 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$175 |
$250 |
$55 |
$57 | |
| Joint aspiration or injection (small joint) |
$573 |
$819 |
$67 |
$56 | |
| Kidney biopsy |
$748 |
$1,069 |
$289 |
$492 | |
| Kidney removal (nephrectomy) |
$2,259 |
$3,228 |
$689 |
$1,164 | |
| Kidney scan (nuclear) |
$1,170 |
$1,672 |
$260 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$1,992 |
$2,846 |
$665 |
$760 | |
| Kidney ultrasound |
$666 |
$952 |
$78 |
$84 | |
| Kidney ultrasound (limited) |
$666 |
$952 |
$57 |
$61 | |
| Knee arthroscopy |
$1,306 |
$1,865 |
$304 |
$524 | |
| Knee joint injection |
$223 |
$319 |
$67 |
$69 | |
| Lactate test |
$78 |
$112 |
$16 |
$12 | |
| Laminectomy (spine) |
$2,866 |
$4,095 |
$651 |
$1,157 | |
| Laryngoscopy |
$412 |
$589 |
$139 |
$189 | |
| LDH test |
$47 |
$67 |
$10 |
$6 | |
| LDL cholesterol test |
$42 |
$60 |
$12 |
$11 | |
| Leg artery angiogram |
$6,840 |
$9,771 |
$144 |
$149 | |
| Leg vein ultrasound (Doppler) |
$860 |
$1,228 |
$169 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$860 |
$1,228 |
$106 |
$116 | |
| LH hormone test |
$159 |
$227 |
$34 |
$19 | |
| Lipase test |
$73 |
$104 |
$15 |
$7 | |
| Lipid (cholesterol) panel |
$129 |
$185 |
$27 |
$13 | |
| Liver biopsy |
$509 |
$727 |
$177 |
$288 | |
| Liver function panel |
$93 |
$133 |
$18 |
$8 | |
| Lumbar discectomy |
$2,301 |
$3,288 |
$544 |
$898 | |
| Lumpectomy (breast) |
$1,048 |
$1,498 |
$406 |
$750 | |
| Lung function test (PFT) |
$194 |
$277 |
$20 |
$37 | |
| Lung scan (V/Q) |
$383 |
$548 |
$192 |
$291 | |
| Magnesium blood test |
$57 |
$82 |
$7 |
$7 | |
| Mastectomy |
$2,660 |
$3,800 |
$1,011 |
$1,021 | |
| Meniscus repair (knee) |
$2,411 |
$3,444 |
$689 |
$714 | |
| MMR vaccine |
$96 |
$137 |
$30 |
— | |
| MRA of the brain |
$2,497 |
$3,567 |
$507 |
$226 | |
| MRA of the brain without contrast |
$2,672 |
$3,818 |
$561 |
$328 | |
| MRA of the neck |
$2,497 |
$3,567 |
$515 |
$245 | |
| MRA of the neck without contrast |
$2,672 |
$3,818 |
$569 |
$343 | |
| MRI of the abdomen |
$2,936 |
$4,194 |
$567 |
$300 | |
| MRI of the abdomen with contrast |
$3,055 |
$4,365 |
$609 |
$300 | |
| MRI of the abdomen without contrast |
$2,675 |
$3,822 |
$502 |
$194 | |
| MRI of the ankle |
$2,854 |
$4,077 |
$541 |
$261 | |
| MRI of the ankle with contrast |
$2,854 |
$4,077 |
$560 |
$261 | |
| MRI of the ankle without contrast |
$2,509 |
$3,585 |
$489 |
$222 | |
| MRI of the brain |
$2,264 |
$3,235 |
$447 |
$269 | |
| MRI of the brain with contrast |
$2,672 |
$3,818 |
$536 |
$269 | |
| MRI of the brain without contrast |
$2,264 |
$3,235 |
$439 |
$195 | |
| MRI of the chest |
$2,607 |
$3,724 |
$512 |
$371 | |
| MRI of the chest with contrast |
$2,487 |
$3,552 |
$553 |
$371 | |
| MRI of the chest without contrast |
$2,607 |
$3,724 |
$615 |
$466 | |
| MRI of the knee |
$2,784 |
$3,977 |
$367 |
$315 | |
| MRI of the knee with contrast |
$2,784 |
$3,977 |
$336 |
$315 | |
| MRI of the knee without contrast |
$2,509 |
$3,585 |
$481 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,837 |
$4,053 |
$531 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,837 |
$4,053 |
$561 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,490 |
$3,557 |
$472 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,756 |
$3,936 |
$531 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$3,000 |
$4,286 |
$609 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,756 |
$3,936 |
$549 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,490 |
$3,557 |
$472 |
$190 | |
| MRI of the neck (cervical spine) |
$2,837 |
$4,053 |
$526 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$3,082 |
$4,403 |
$622 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,837 |
$4,053 |
$563 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,460 |
$3,514 |
$467 |
$191 | |
| MRI of the pelvis |
$3,010 |
$4,300 |
$566 |
$268 | |
| MRI of the pelvis with contrast |
$3,010 |
$4,300 |
$587 |
$268 | |
| MRI of the pelvis without contrast |
$2,675 |
$3,822 |
$517 |
$227 | |
| MRI of the shoulder |
$2,824 |
$4,034 |
$562 |
$313 | |
| MRI of the shoulder with contrast |
$2,854 |
$4,077 |
$578 |
$313 | |
| MRI of the shoulder without contrast |
$2,529 |
$3,613 |
$481 |
$205 | |
| MRI of the wrist |
$2,854 |
$4,077 |
$563 |
$330 | |
| MRI of the wrist with contrast |
$2,854 |
$4,077 |
$590 |
$330 | |
| MRI of the wrist without contrast |
$2,482 |
$3,546 |
$515 |
$303 | |
| Nebulizer breathing treatment |
$491 |
$701 |
$10 |
$9 | |
| Neck (cervical) spinal fusion |
$1,516 |
$2,166 |
$289 |
$1,410 | |
| Nuclear cardiac stress test |
$3,027 |
$4,324 |
$661 |
$428 | |
| Occupational therapy evaluation |
$310 |
$443 |
$95 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$355 |
$507 |
$102 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$267 |
$382 |
$88 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$310 |
$443 |
$95 |
$101 | |
| Office visit (established patient) |
$127 |
$182 |
$94 |
$115 | |
| Office visit (new patient) |
$231 |
$330 |
$153 |
$177 | |
| Office visit, established patient (level 3) |
$103 |
$147 |
$78 |
$95 | |
| Office visit, established patient (level 4) |
$151 |
$216 |
$113 |
$136 | |
| Office visit, new patient (level 3) |
$149 |
$213 |
$98 |
$118 | |
| Office visit, new patient (level 4) |
$231 |
$330 |
$153 |
$177 | |
| Office visit, new patient (level 5) |
$307 |
$438 |
$207 |
$237 | |
| Orthopedic hardware removal |
$811 |
$1,159 |
$274 |
$632 | |
| Ovarian cyst removal |
$1,796 |
$2,565 |
$764 |
$698 | |
| Ovary removal (oophorectomy) |
$2,242 |
$3,203 |
$878 |
$822 | |
| Pap smear (cervical screening) |
$82 |
$117 |
$25 |
$20 | |
| Parathyroid hormone (PTH) test |
$242 |
$346 |
$58 |
$41 | |
| Parathyroid removal |
$1,667 |
$2,382 |
$541 |
$891 | |
| Pelvic ultrasound |
$598 |
$854 |
$124 |
$78 | |
| Pelvic ultrasound (complete) |
$708 |
$1,011 |
$158 |
$105 | |
| Pelvic ultrasound (limited) |
$488 |
$697 |
$99 |
$51 | |
| Phosphorus blood test |
$35 |
$50 |
$8 |
$5 | |
| Physical therapy evaluation |
$324 |
$463 |
$93 |
$98 | |
| Physical therapy evaluation (high complexity) |
$379 |
$541 |
$104 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$324 |
$463 |
$96 |
$98 | |
| Pilonidal cyst removal |
$842 |
$1,203 |
$439 |
$541 | |
| Platelet count |
$22 |
$31 |
$6 |
$4 | |
| Pneumonia vaccine |
$288 |
$411 |
$129 |
— | |
| Pregnancy blood test (hCG) |
$80 |
$115 |
$16 |
$8 | |
| Procalcitonin test |
$256 |
$365 |
$53 |
$27 | |
| Prolactin test |
$81 |
$116 |
$22 |
$19 | |
| Prostate surgery (TURP) |
$1,957 |
$2,795 |
$565 |
$526 | |
| Prostate test (PSA) |
$106 |
$151 |
$25 |
$18 | |
| Pulmonary rehabilitation |
$137 |
$196 |
$62 |
$87 | |
| Radiofrequency nerve ablation |
$4,464 |
$6,378 |
$535 |
$462 | |
| Rheumatoid factor test |
$53 |
$76 |
$11 |
$6 | |
| Rotator cuff repair |
$1,649 |
$2,356 |
$487 |
$792 | |
| Sacroiliac joint injection |
$588 |
$840 |
$124 |
$176 | |
| Scoliosis spine X-ray |
$312 |
$446 |
$78 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$290 |
$414 |
$65 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$335 |
$478 |
$84 |
$72 | |
| Screening colonoscopy |
$910 |
$1,300 |
$273 |
$378 | |
| Screening mammogram |
$379 |
$542 |
$99 |
$126 | |
| Scrotal ultrasound |
$273 |
$390 |
$62 |
$99 | |
| Sedimentation rate (ESR) test |
$57 |
$82 |
$10 |
$3 | |
| Semen analysis |
$44 |
$62 |
$13 |
$12 | |
| Sex hormone binding globulin test |
$60 |
$86 |
$20 |
$22 | |
| Shingles vaccine |
$193 |
$276 |
$60 |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
$419 |
$598 |
$108 |
$114 | |
| Simple wound stitches |
$432 |
$617 |
$108 |
$127 | |
| Skin biopsy |
$218 |
$312 |
$71 |
$121 | |
| Skin biopsy (punch) |
$218 |
$312 |
$78 |
$121 | |
| Skin cancer lesion removal |
$386 |
$552 |
$200 |
$240 | |
| Skin graft |
$2,083 |
$2,976 |
$801 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$72 |
$103 |
$29 |
$36 | |
| Skin tag removal |
$146 |
$209 |
$81 |
$92 | |
| Sleep study (polysomnography) |
$2,681 |
$3,830 |
$377 |
$691 | |
| Small bowel resection |
$1,916 |
$2,737 |
$700 |
$1,136 | |
| Soft tissue ultrasound |
$292 |
$417 |
$60 |
$64 | |
| Speech therapy |
$288 |
$412 |
$78 |
$76 | |
| Spinal cord stimulator |
$3,659 |
$5,227 |
$1,301 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$437 |
$624 |
$157 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$1,944 |
$2,777 |
$1,533 |
$5,803 | |
| Spirometry (lung function test) |
$189 |
$270 |
$18 |
$30 | |
| Spirometry with bronchodilator |
$332 |
$475 |
$26 |
$43 | |
| Spleen removal (splenectomy) |
$1,837 |
$2,625 |
$661 |
$1,036 | |
| Stomach removal (gastrectomy) |
$2,290 |
$3,271 |
$883 |
$1,595 | |
| Strep throat test |
$44 |
$63 |
$16 |
$17 | |
| Stress echocardiogram |
$859 |
$1,228 |
$131 |
$209 | |
| Stress echocardiogram (complete) |
$235 |
$336 |
$85 |
$233 | |
| Swallow study |
$588 |
$840 |
$130 |
$85 | |
| T3 thyroid test |
$83 |
$118 |
$20 |
$14 | |
| Tdap (tetanus) vaccine |
$127 |
$181 |
$39 |
— | |
| Testicle removal (orchiectomy) |
$817 |
$1,167 |
$326 |
$306 | |
| Testosterone test |
$164 |
$235 |
$38 |
$26 | |
| Thyroid removal (thyroidectomy) |
$2,615 |
$3,736 |
$912 |
$1,004 | |
| Thyroid test (TSH) |
$135 |
$193 |
$29 |
$17 | |
| Thyroid ultrasound |
$685 |
$979 |
$100 |
$109 | |
| Thyroid uptake scan |
$882 |
$1,260 |
$232 |
$145 | |
| Total IgE allergy test |
$31 |
$44 |
$16 |
$16 | |
| Total protein test |
$50 |
$71 |
$7 |
$4 | |
| Tracheostomy |
$1,010 |
$1,443 |
$304 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$2,264 |
$3,234 |
$460 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$2,264 |
$3,234 |
$460 |
$239 | |
| Transvaginal ultrasound |
$665 |
$950 |
$157 |
$118 | |
| Trigger finger release |
$1,264 |
$1,805 |
$452 |
$630 | |
| Trigger point injection |
$176 |
$252 |
$50 |
$56 | |
| Trigger point injection (1-2 muscles) |
$174 |
$248 |
$50 |
$52 | |
| Triglycerides test |
$42 |
$60 |
$9 |
$6 | |
| Troponin (heart) test |
$125 |
$179 |
$25 |
$12 | |
| Tubal ligation |
$1,067 |
$1,525 |
$361 |
$333 | |
| Ulnar nerve surgery (elbow) |
$451 |
$644 |
$104 |
$575 | |
| Upper GI endoscopy (EGD) |
$668 |
$955 |
$221 |
$371 | |
| Ureteral stent placement |
$1,091 |
$1,558 |
$255 |
$373 | |
| Ureteroscopy (stone removal) |
$1,232 |
$1,760 |
$398 |
$365 | |
| Uric acid (gout) test |
$42 |
$60 |
$9 |
$5 | |
| Urinalysis |
$30 |
$43 |
$3 |
$3 | |
| Urine microalbumin test |
$43 |
$61 |
$5 |
$5 | |
| Urine pregnancy test |
$52 |
$75 |
$8 |
$9 | |
| Vaccine administration |
$68 |
$97 |
$20 |
$19 | |
| Vaccine administration (each additional) |
$67 |
$96 |
$15 |
$16 | |
| Varicocele repair |
$931 |
$1,330 |
$348 |
$327 | |
| Varicose vein ablation |
$3,744 |
$5,349 |
$641 |
$1,018 | |
| Vasectomy |
$2,716 |
$3,880 |
$329 |
$347 | |
| Vitamin B12 test |
$95 |
$136 |
$22 |
$15 | |
| Vitamin D test |
$139 |
$198 |
$36 |
$30 | |
| Wart removal |
$197 |
$281 |
$92 |
$121 | |
| Well-child visit |
$123 |
$176 |
$38 |
— | |
| Whipple procedure (pancreas) |
$5,310 |
$7,586 |
$1,770 |
$2,871 | |
| Wound debridement |
$460 |
$657 |
$143 |
$186 | |
| Wrist fracture repair |
$1,173 |
$1,676 |
$416 |
$735 | |
| X-ray of the abdomen |
$299 |
$428 |
$58 |
$36 | |
| X-ray of the ankle |
$264 |
$378 |
$75 |
$37 | |
| X-ray of the collarbone |
$231 |
$330 |
$66 |
$33 | |
| X-ray of the elbow |
$289 |
$413 |
$75 |
$33 | |
| X-ray of the facial bones |
$303 |
$432 |
$68 |
$39 | |
| X-ray of the foot |
$213 |
$305 |
$64 |
$34 | |
| X-ray of the forearm |
$218 |
$311 |
$60 |
$29 | |
| X-ray of the hand |
$213 |
$305 |
$44 |
$38 | |
| X-ray of the hip |
$290 |
$414 |
$73 |
$49 | |
| X-ray of the hip (1 view) |
$290 |
$414 |
$60 |
$34 | |
| X-ray of the hip (3 views) |
$290 |
$414 |
$67 |
$49 | |
| X-ray of the hip (4 views) |
$325 |
$465 |
$79 |
$63 | |
| X-ray of the knee |
$275 |
$393 |
$64 |
$42 | |
| X-ray of the knee (2 views) |
$213 |
$305 |
$64 |
$34 | |
| X-ray of the knee (3 views) |
$275 |
$393 |
$62 |
$42 | |
| X-ray of the knee (4+ views) |
$303 |
$432 |
$69 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$343 |
$490 |
$71 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$303 |
$432 |
$65 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$383 |
$547 |
$84 |
$53 | |
| X-ray of the lower leg |
$284 |
$405 |
$73 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$303 |
$432 |
$64 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$303 |
$432 |
$62 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$303 |
$432 |
$64 |
$39 | |
| X-ray of the neck (cervical spine) |
$296 |
$423 |
$67 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$270 |
$386 |
$60 |
$40 | |
| X-ray of the pelvis |
$299 |
$428 |
$59 |
$36 | |
| X-ray of the pelvis (1 view) |
$299 |
$428 |
$59 |
$28 | |
| X-ray of the ribs |
$253 |
$361 |
$51 |
$42 | |
| X-ray of the ribs (2 views) |
$203 |
$290 |
$48 |
$36 | |
| X-ray of the ribs (3 views) |
$303 |
$432 |
$66 |
$42 | |
| X-ray of the shoulder |
$223 |
$318 |
$67 |
$36 | |
| X-ray of the skull |
$290 |
$415 |
$63 |
$40 | |
| X-ray of the upper arm |
$284 |
$405 |
$59 |
$32 | |
| X-ray of the wrist |
$213 |
$305 |
$66 |
$43 | |
| Zinc blood test |
$234 |
$335 |
$13 |
$11 | |