| Abdominal fluid drain (paracentesis) |
$6,776 |
— |
$1,268 |
$284 | |
| Abdominal ultrasound |
$5,013 |
— |
$421 |
$100 | |
| Abdominal ultrasound (complete) |
$6,198 |
— |
$785 |
$114 | |
| Abdominal ultrasound (limited) |
$3,827 |
— |
$224 |
$86 | |
| Abscess drainage (complex or multiple) |
$4,374 |
— |
$596 |
$220 | |
| Abscess drainage (simple) |
$1,487 |
— |
$570 |
$129 | |
| Abscess incision and drainage |
$2,931 |
— |
$591 |
$174 | |
| Achilles tendon repair |
$6,855 |
— |
$5,829 |
$624 | |
| ACL knee reconstruction |
$8,734 |
— |
$8,031 |
$889 | |
| Albumin blood test |
$62 |
— |
$34 |
$5 | |
| Aldosterone test |
$16 |
— |
$48 |
$41 | |
| Alkaline phosphatase test |
$90 |
— |
$34 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$392 |
— |
$41 |
$17 | |
| ALT liver enzyme test |
$57 |
— |
$34 |
$5 | |
| Ammonia blood test |
$170 |
— |
$40 |
$15 | |
| Amniocentesis |
$1,393 |
— |
$1,124 |
$120 | |
| Amylase test |
$122 |
— |
$34 |
$6 | |
| Anal fistula repair |
$4,999 |
— |
$3,383 |
$541 | |
| Antinuclear antibody (ANA) test |
$406 |
— |
$41 |
$12 | |
| Arterial blood gas (ABG) |
$721 |
— |
$73 |
$26 | |
| AST liver enzyme test |
$69 |
— |
$34 |
$5 | |
| Barium swallow study |
$1,787 |
— |
$263 |
$107 | |
| Bartholin cyst removal |
$1,727 |
— |
$341 |
$182 | |
| Basic metabolic panel |
$130 |
— |
$60 |
$8 | |
| Bilirubin blood test |
$170 |
— |
$35 |
$5 | |
| Bladder tumor removal (TURBT) |
$5,246 |
— |
$4,092 |
$236 | |
| Blood clotting test (PT/INR) |
$78 |
— |
$5 |
$4 | |
| Blood crossmatch |
$223 |
— |
$176 |
— | |
| Blood glucose test |
$74 |
— |
$34 |
$5 | |
| Blood transfusion |
$4,669 |
— |
$757 |
$47 | |
| Blood type and screen |
$42 |
— |
$74 |
$10 | |
| Blood type test |
$35 |
— |
$81 |
$3 | |
| Blood type test (ABO group) |
$35 |
— |
$122 |
$3 | |
| Blood type test (Rh/D antigen) |
$35 |
— |
$55 |
$3 | |
| BNP (heart failure) test |
$595 |
— |
$73 |
$39 | |
| Bone density scan (DEXA) |
$1,960 |
— |
$228 |
$39 | |
| Bone marrow biopsy |
$6,588 |
— |
$2,061 |
$172 | |
| Bone scan (nuclear) |
$2,906 |
— |
$511 |
$259 | |
| Breast biopsy |
$6,814 |
— |
$2,397 |
$478 | |
| Breast MRI |
$7,711 |
— |
$898 |
$216 | |
| Breast MRI without contrast |
$7,711 |
— |
$615 |
$216 | |
| Breast reduction |
$11,104 |
— |
$7,717 |
$980 | |
| Breast ultrasound |
$926 |
— |
$214 |
$92 | |
| Breast ultrasound (complete) |
$1,120 |
— |
$218 |
$100 | |
| Breast ultrasound (limited) |
$731 |
— |
$214 |
$84 | |
| Bunion surgery (bunionectomy) |
$9,264 |
— |
$7,054 |
$883 | |
| Burn dressing and debridement (small) |
$1,437 |
— |
$741 |
$93 | |
| Burn treatment |
$1,437 |
— |
$741 |
$129 | |
| C-reactive protein (CRP) |
$155 |
— |
$39 |
$5 | |
| CA 19-9 tumor marker test |
$364 |
— |
$41 |
$21 | |
| CA-125 ovarian marker test |
$348 |
— |
$41 |
$21 | |
| Calcium blood test |
$119 |
— |
$34 |
$5 | |
| Capsule endoscopy |
$2,812 |
— |
$1,165 |
$802 | |
| Cardiac catheterization |
$24,878 |
— |
$3,996 |
$1,049 | |
| Cardiac MRI |
$4,731 |
— |
$807 |
$322 | |
| Cardiac MRI without contrast |
$3,819 |
— |
$593 |
$280 | |
| Cardiac rehabilitation |
$419 |
— |
$153 |
$26 | |
| Cardiac stress test |
$1,511 |
— |
$380 |
$39 | |
| Cardioversion |
$9,289 |
— |
$891 |
$155 | |
| Carotid artery ultrasound |
$2,142 |
— |
$838 |
$156 | |
| Carpal tunnel release |
$5,524 |
— |
$2,594 |
$483 | |
| Cataract surgery |
$4,454 |
— |
$3,043 |
$547 | |
| CEA tumor marker test |
$333 |
— |
$41 |
$19 | |
| Celiac disease test |
$16 |
— |
$14 |
$12 | |
| Central line placement |
$13,102 |
— |
$3,684 |
$238 | |
| Cervical LEEP procedure |
$5,249 |
— |
$3,875 |
$325 | |
| Cesarean section (C-section) |
— |
— |
$10,201 |
$7,552 | |
| Chemotherapy infusion |
$2,799 |
— |
$718 |
$81 | |
| Chemotherapy infusion (each additional) |
$1,224 |
— |
$875 |
$28 | |
| Chemotherapy infusion (first hour) |
$4,373 |
— |
$461 |
$133 | |
| Chest fluid drain (thoracentesis) |
$6,588 |
— |
$992 |
$311 | |
| Chest tube insertion |
$3,662 |
— |
$1,898 |
$143 | |
| Chest X-ray |
$1,086 |
— |
$120 |
$37 | |
| Chest X-ray (1 view) |
$460 |
— |
$109 |
$25 | |
| Chest X-ray (2 views) |
$1,086 |
— |
$109 |
$33 | |
| Chickenpox (varicella) vaccine |
$580 |
— |
$118 |
— | |
| Circumcision |
$6,253 |
— |
$2,545 |
$167 | |
| CK-MB heart enzyme test |
$115 |
— |
$40 |
$12 | |
| Clotting time test (PTT) |
$126 |
— |
$43 |
$6 | |
| Colonoscopy |
$4,587 |
— |
$1,500 |
$480 | |
| Complete blood count (CBC) |
$100 |
— |
$40 |
$7 | |
| Complete blood count (CBC) (complete) |
$113 |
— |
$40 |
$8 | |
| Comprehensive metabolic panel |
$129 |
— |
$60 |
$11 | |
| Copper blood test |
$15 |
— |
$15 |
$12 | |
| Coronary CT angiography |
$2,674 |
— |
$528 |
$326 | |
| Cortisol test |
$426 |
— |
$61 |
$16 | |
| COVID-19 PCR test |
$589 |
— |
$82 |
$51 | |
| COVID-19 vaccine |
$0 |
— |
$0 |
— | |
| Creatine kinase (CK) test |
$116 |
— |
$34 |
$7 | |
| CT angiography of the chest |
$3,479 |
— |
$517 |
$281 | |
| CT angiography of the head |
$3,479 |
— |
$517 |
$274 | |
| CT colonography (virtual colonoscopy) |
$2,035 |
— |
$358 |
$835 | |
| CT scan of the abdomen |
$3,835 |
— |
$463 |
$230 | |
| CT scan of the abdomen and pelvis |
$7,672 |
— |
$513 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$9,203 |
— |
$515 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$7,672 |
— |
$515 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$6,675 |
— |
$482 |
$183 | |
| CT scan of the abdomen with and without contrast |
$4,601 |
— |
$489 |
$259 | |
| CT scan of the abdomen with contrast |
$3,835 |
— |
$489 |
$230 | |
| CT scan of the abdomen without contrast |
$3,337 |
— |
$405 |
$136 | |
| CT scan of the arm |
$4,220 |
— |
$482 |
$199 | |
| CT scan of the arm with contrast |
$4,220 |
— |
$515 |
$199 | |
| CT scan of the arm without contrast |
$3,358 |
— |
$414 |
$161 | |
| CT scan of the chest |
$3,728 |
— |
$478 |
$167 | |
| CT scan of the chest with and without contrast |
$4,797 |
— |
$505 |
$196 | |
| CT scan of the chest with contrast |
$3,728 |
— |
$489 |
$167 | |
| CT scan of the chest without contrast |
$3,358 |
— |
$405 |
$133 | |
| CT scan of the head |
$2,629 |
— |
$479 |
$148 | |
| CT scan of the head with and without contrast |
$5,026 |
— |
$489 |
$173 | |
| CT scan of the head with contrast |
$2,629 |
— |
$479 |
$148 | |
| CT scan of the head without contrast |
$2,406 |
— |
$477 |
$107 | |
| CT scan of the leg |
$4,221 |
— |
$463 |
$166 | |
| CT scan of the leg with contrast |
$4,221 |
— |
$489 |
$166 | |
| CT scan of the leg without contrast |
$3,359 |
— |
$405 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$3,911 |
— |
$480 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$5,855 |
— |
$489 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$3,911 |
— |
$515 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$3,358 |
— |
$405 |
$130 | |
| CT scan of the neck |
$3,455 |
— |
$463 |
$183 | |
| CT scan of the neck (cervical spine) |
$3,174 |
— |
$480 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$5,855 |
— |
$489 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$3,174 |
— |
$515 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$2,649 |
— |
$405 |
$131 | |
| CT scan of the neck with and without contrast |
$6,136 |
— |
$489 |
$220 | |
| CT scan of the neck with contrast |
$3,455 |
— |
$489 |
$183 | |
| CT scan of the neck without contrast |
$2,690 |
— |
$414 |
$150 | |
| CT scan of the pelvis |
$3,835 |
— |
$463 |
$226 | |
| CT scan of the pelvis with and without contrast |
$4,601 |
— |
$489 |
$251 | |
| CT scan of the pelvis with contrast |
$3,835 |
— |
$489 |
$226 | |
| CT scan of the pelvis without contrast |
$3,337 |
— |
$405 |
$133 | |
| CT scan of the sinuses |
$3,341 |
— |
$459 |
$152 | |
| CT scan of the sinuses with and without contrast |
$6,228 |
— |
$489 |
$184 | |
| CT scan of the sinuses with contrast |
$3,341 |
— |
$479 |
$152 | |
| CT scan of the sinuses without contrast |
$2,896 |
— |
$411 |
$128 | |
| D-dimer test |
$318 |
— |
$45 |
$10 | |
| Defibrillator (ICD) implant |
$44,592 |
— |
$36,042 |
$798 | |
| Diagnostic mammogram |
$1,193 |
— |
$190 |
$140 | |
| Dialysis fistula creation |
$6,420 |
— |
$3,920 |
$601 | |
| Drug screen (urine) |
$204 |
— |
$64 |
$17 | |
| Echocardiogram |
$4,161 |
— |
$649 |
$138 | |
| Echocardiogram with and without contrast |
$2,302 |
— |
$447 |
$101 | |
| EEG (awake and asleep) |
$1,067 |
— |
$387 |
$482 | |
| EKG / ECG (tracing only) |
$537 |
— |
$85 |
$7 | |
| Electrocardiogram (EKG) |
$537 |
— |
$85 |
$8 | |
| Electroencephalogram (EEG) |
$1,315 |
— |
$387 |
$448 | |
| Electrolyte panel |
$164 |
— |
$60 |
$7 | |
| Emergency department visit |
$2,599 |
— |
$747 |
$69 | |
| Emergency department visit (level 1) |
$2,059 |
— |
$130 |
$11 | |
| Emergency department visit (level 2) |
$2,113 |
— |
$234 |
$40 | |
| Emergency department visit (level 3) |
$2,599 |
— |
$410 |
$69 | |
| Emergency department visit (level 4) |
$2,924 |
— |
$630 |
$118 | |
| Emergency department visit (level 5) |
$3,547 |
— |
$907 |
$171 | |
| Epidural steroid injection |
$4,246 |
— |
$938 |
$275 | |
| ERCP (bile duct endoscopy) |
$4,607 |
— |
$4,190 |
$311 | |
| Estradiol (estrogen) test |
$551 |
— |
$61 |
$28 | |
| Facet joint injection (spine) |
$4,246 |
— |
$1,132 |
$99 | |
| Fallopian tube X-ray (HSG) |
$2,398 |
— |
$358 |
$164 | |
| Fecal occult blood (stool) test |
$78 |
— |
$37 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$79 |
— |
$34 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$77 |
— |
$40 |
$16 | |
| Ferritin (iron) test |
$272 |
— |
$41 |
$14 | |
| Fibrinogen test |
$111 |
— |
$43 |
$10 | |
| Flexible sigmoidoscopy |
$4,371 |
— |
$1,303 |
$323 | |
| Flu vaccine |
$136 |
— |
$39 |
— | |
| Folate (folic acid) test |
$337 |
— |
$41 |
$15 | |
| Foreign body removal (skin) |
$948 |
— |
$581 |
$157 | |
| Free T4 thyroid test |
$353 |
— |
$61 |
$9 | |
| FSH hormone test |
$360 |
— |
$61 |
$19 | |
| Gallbladder removal (laparoscopic) |
$7,063 |
— |
$6,755 |
$658 | |
| Gallbladder scan (HIDA) |
$7,351 |
— |
$656 |
$334 | |
| GGT liver test |
$206 |
— |
$35 |
$7 | |
| Glucose tolerance test |
$112 |
— |
$38 |
$8 | |
| H. pylori test |
$388 |
— |
$89 |
$67 | |
| HDL cholesterol test |
$181 |
— |
$35 |
$8 | |
| Hematocrit test |
$43 |
— |
$34 |
$2 | |
| Hemodialysis |
$10,204 |
— |
$853 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$327 |
— |
$35 |
$10 | |
| Hepatitis A vaccine |
$269 |
— |
$57 |
— | |
| Hepatitis B test |
$239 |
— |
$39 |
$10 | |
| Hepatitis B vaccine |
$241 |
— |
$69 |
— | |
| Hepatitis C test |
$359 |
— |
$41 |
$14 | |
| Hip arthroscopy |
$9,565 |
— |
$8,362 |
$931 | |
| Hip replacement |
$8,773 |
— |
$12,782 |
$1,162 | |
| HIV test |
$325 |
— |
$40 |
$19 | |
| HIV test (antibody) |
$299 |
— |
$41 |
$14 | |
| HIV test (antigen/antibody combo) |
$350 |
— |
$39 |
$24 | |
| Home sleep apnea test |
$504 |
— |
$204 |
$123 | |
| HPV vaccine |
$1,449 |
— |
$118 |
— | |
| Hydrocele repair |
$6,002 |
— |
$4,139 |
$315 | |
| Hysterectomy |
$9,264 |
— |
$7,054 |
$933 | |
| Hysteroscopy |
$5,097 |
— |
$3,875 |
$1,270 | |
| Inguinal hernia repair |
$7,257 |
— |
$4,312 |
$538 | |
| Iron blood test |
$118 |
— |
$34 |
$6 | |
| Kidney biopsy |
$7,208 |
— |
$2,180 |
$492 | |
| Kidney scan (nuclear) |
$2,784 |
— |
$658 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$5,200 |
— |
$4,081 |
$760 | |
| Kidney ultrasound |
$4,866 |
— |
$390 |
$84 | |
| Kidney ultrasound (limited) |
$3,827 |
— |
$216 |
$61 | |
| Knee arthroscopy |
$5,481 |
— |
$4,003 |
$524 | |
| Knee replacement |
— |
— |
$17,346 |
$18,054 | |
| Lactate test |
$431 |
— |
$41 |
$12 | |
| Laminectomy (spine) |
$8,762 |
— |
$8,031 |
$1,157 | |
| Laryngoscopy |
$1,565 |
— |
$322 |
$189 | |
| LDH test |
$162 |
— |
$34 |
$6 | |
| LDL cholesterol test |
$154 |
— |
$34 |
$11 | |
| Leg artery angiogram |
$8,727 |
— |
$1,819 |
$149 | |
| Leg vein ultrasound (Doppler) |
$5,963 |
— |
$582 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$3,976 |
— |
$226 |
$116 | |
| LH hormone test |
$342 |
— |
$61 |
$19 | |
| Lipase test |
$107 |
— |
$34 |
$7 | |
| Lipid (cholesterol) panel |
$239 |
— |
$60 |
$13 | |
| Liver biopsy |
$6,811 |
— |
$1,980 |
$288 | |
| Liver function panel |
$162 |
— |
$60 |
$8 | |
| Lumbar discectomy |
$8,149 |
— |
$8,031 |
$898 | |
| Lumpectomy (breast) |
$7,928 |
— |
$4,678 |
$750 | |
| Lung function test (PFT) |
$3,062 |
— |
$370 |
$37 | |
| Lung scan (V/Q) |
$4,934 |
— |
$994 |
$291 | |
| Magnesium blood test |
$226 |
— |
$35 |
$7 | |
| Mastectomy |
$8,511 |
— |
$7,113 |
$1,021 | |
| Meniscus repair (knee) |
$7,316 |
— |
$4,031 |
$714 | |
| MMR vaccine |
$288 |
— |
$57 |
— | |
| MRA of the brain |
$7,595 |
— |
$746 |
$226 | |
| MRA of the brain with contrast |
$7,595 |
— |
$752 |
$226 | |
| MRA of the brain without contrast |
$10,546 |
— |
$752 |
$328 | |
| MRA of the neck |
$7,595 |
— |
$747 |
$245 | |
| MRA of the neck with contrast |
$7,595 |
— |
$752 |
$245 | |
| MRA of the neck without contrast |
$10,546 |
— |
$752 |
$343 | |
| MRI of the abdomen |
$7,597 |
— |
$811 |
$300 | |
| MRI of the abdomen with contrast |
$7,597 |
— |
$880 |
$300 | |
| MRI of the abdomen without contrast |
$6,747 |
— |
$593 |
$194 | |
| MRI of the ankle |
$2,084 |
— |
$807 |
$261 | |
| MRI of the ankle without contrast |
$2,269 |
— |
$593 |
$222 | |
| MRI of the brain |
$6,277 |
— |
$811 |
$269 | |
| MRI of the brain with contrast |
$6,277 |
— |
$879 |
$269 | |
| MRI of the brain without contrast |
$5,577 |
— |
$592 |
$195 | |
| MRI of the chest |
$7,597 |
— |
$935 |
$371 | |
| MRI of the chest with contrast |
$7,597 |
— |
$1,005 |
$371 | |
| MRI of the chest without contrast |
$10,547 |
— |
$880 |
$466 | |
| MRI of the knee |
$1,899 |
— |
$902 |
$315 | |
| MRI of the knee with contrast |
$3,403 |
— |
$1,005 |
$315 | |
| MRI of the knee without contrast |
$1,134 |
— |
$580 |
$204 | |
| MRI of the lower back (lumbar spine) |
$7,597 |
— |
$811 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$7,597 |
— |
$877 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$6,747 |
— |
$580 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$7,597 |
— |
$811 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$10,547 |
— |
$880 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$7,597 |
— |
$880 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$6,747 |
— |
$580 |
$190 | |
| MRI of the neck (cervical spine) |
$9,337 |
— |
$811 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$10,547 |
— |
$880 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$9,337 |
— |
$880 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$7,597 |
— |
$580 |
$191 | |
| MRI of the pelvis |
$7,388 |
— |
$811 |
$268 | |
| MRI of the pelvis with contrast |
$7,597 |
— |
$879 |
$268 | |
| MRI of the pelvis without contrast |
$6,747 |
— |
$593 |
$227 | |
| MRI of the shoulder |
$1,899 |
— |
$898 |
$313 | |
| MRI of the shoulder with contrast |
$1,899 |
— |
$982 |
$313 | |
| MRI of the shoulder without contrast |
$1,134 |
— |
$580 |
$205 | |
| MRI of the wrist |
$1,297 |
— |
$733 |
$330 | |
| MRI of the wrist without contrast |
$971 |
— |
$580 |
$303 | |
| Nebulizer breathing treatment |
$1,676 |
— |
$251 |
$9 | |
| Neck (cervical) spinal fusion |
$10,937 |
— |
$11,129 |
$1,410 | |
| Nuchal translucency ultrasound |
$2,765 |
— |
$193 |
$116 | |
| Nuclear cardiac stress test |
$12,024 |
— |
$1,622 |
$428 | |
| Occupational therapy evaluation |
$359 |
— |
$199 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$383 |
— |
$199 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$347 |
— |
$199 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$359 |
— |
$199 |
$101 | |
| Office visit (established patient) |
$795 |
— |
$627 |
$115 | |
| Office visit (new patient) |
$1,341 |
— |
$1,046 |
$177 | |
| Office visit, established patient (level 3) |
$623 |
— |
$486 |
$95 | |
| Office visit, established patient (level 4) |
$967 |
— |
$754 |
$136 | |
| Office visit, new patient (level 5) |
$1,341 |
— |
$1,046 |
$237 | |
| Orthopedic hardware removal |
$5,895 |
— |
$3,556 |
$632 | |
| Pap smear (cervical screening) |
$199 |
— |
$64 |
$20 | |
| Parathyroid hormone (PTH) test |
$49 |
— |
$49 |
$41 | |
| Pelvic ultrasound |
$1,095 |
— |
$316 |
$78 | |
| Pelvic ultrasound (complete) |
$1,095 |
— |
$785 |
$105 | |
| Pelvic ultrasound (limited) |
$1,095 |
— |
$207 |
$51 | |
| PET scan |
$15,817 |
— |
$2,105 |
— | |
| Phosphorus blood test |
$170 |
— |
$35 |
$5 | |
| Physical therapy evaluation |
$359 |
— |
$189 |
$98 | |
| Physical therapy evaluation (high complexity) |
$383 |
— |
$189 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$359 |
— |
$189 |
$98 | |
| Pilonidal cyst removal |
$5,563 |
— |
$3,556 |
$541 | |
| Platelet count |
$65 |
— |
$40 |
$4 | |
| Pneumonia vaccine |
$741 |
— |
$212 |
— | |
| Pregnancy blood test (hCG) |
$322 |
— |
$35 |
$8 | |
| Pregnancy ultrasound |
$1,177 |
— |
$200 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$1,244 |
— |
$200 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$1,110 |
— |
$200 |
$136 | |
| Procalcitonin test |
$726 |
— |
$61 |
$27 | |
| Prolactin test |
$378 |
— |
$61 |
$19 | |
| Prostate surgery (TURP) |
$6,941 |
— |
$6,015 |
$526 | |
| Prostate test (PSA) |
$392 |
— |
$41 |
$18 | |
| Pulmonary rehabilitation |
$228 |
— |
$70 |
$87 | |
| Rheumatoid factor test |
$150 |
— |
$39 |
$6 | |
| Rotator cuff repair |
$11,326 |
— |
$8,271 |
$792 | |
| RSV vaccine |
$850 |
— |
$57 |
— | |
| Sacroiliac joint injection |
$482 |
— |
$906 |
$176 | |
| Scoliosis spine X-ray |
$1,778 |
— |
$130 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$1,778 |
— |
$109 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$1,778 |
— |
$132 |
$72 | |
| Screening colonoscopy |
$4,362 |
— |
$1,303 |
$378 | |
| Screening mammogram |
$1,188 |
— |
$193 |
$126 | |
| Scrotal ultrasound |
$1,948 |
— |
$224 |
$99 | |
| Sedimentation rate (ESR) test |
$117 |
— |
$40 |
$3 | |
| Semen analysis |
$320 |
— |
$76 |
$12 | |
| Sex hormone binding globulin test |
$8 |
— |
$26 |
$22 | |
| Shingles vaccine |
$647 |
— |
$118 |
— | |
| Shoulder arthroscopy |
$7,544 |
— |
$8,031 |
$962 | |
| Shoulder replacement |
$9,144 |
— |
$12,782 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$1,005 |
— |
$717 |
$114 | |
| Simple wound stitches |
$1,005 |
— |
$717 |
$127 | |
| Skin biopsy |
$467 |
— |
$911 |
$121 | |
| Skin cancer lesion removal |
$6,323 |
— |
$1,044 |
$240 | |
| Skin tag removal |
$311 |
— |
$522 |
$92 | |
| Sleep study (polysomnography) |
$6,631 |
— |
$1,415 |
$691 | |
| Soft tissue ultrasound |
$539 |
— |
$200 |
$64 | |
| Speech therapy |
$563 |
— |
$191 |
$76 | |
| Spine fracture repair (kyphoplasty) |
$5,556 |
— |
$8,031 |
$5,803 | |
| Spirometry with bronchodilator |
$3,673 |
— |
$402 |
$43 | |
| Strep throat test |
$131 |
— |
$38 |
$17 | |
| Swallow study |
$1,064 |
— |
$191 |
$85 | |
| T3 thyroid test |
$294 |
— |
$61 |
$14 | |
| Tdap (tetanus) vaccine |
$308 |
— |
$48 |
— | |
| Testosterone test |
$515 |
— |
$61 |
$26 | |
| Thyroid test (TSH) |
$359 |
— |
$61 |
$17 | |
| Thyroid ultrasound |
$1,948 |
— |
$224 |
$109 | |
| Thyroid uptake scan |
$2,265 |
— |
$498 |
$145 | |
| Total IgE allergy test |
$288 |
— |
$41 |
$16 | |
| Total protein test |
$164 |
— |
$34 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$3,488 |
— |
$697 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$3,488 |
— |
$697 |
$239 | |
| Transvaginal ultrasound |
$2,186 |
— |
$224 |
$118 | |
| Trigger finger release |
$4,968 |
— |
$2,225 |
$630 | |
| Trigger point injection |
$1,570 |
— |
$530 |
$56 | |
| Trigger point injection (1-2 muscles) |
$1,570 |
— |
$530 |
$52 | |
| Triglycerides test |
$69 |
— |
$34 |
$6 | |
| Troponin (heart) test |
$426 |
— |
$41 |
$12 | |
| Turning a breech baby (version) |
$8,899 |
— |
$3,762 |
$94 | |
| Upper GI endoscopy (EGD) |
$4,246 |
— |
$1,345 |
$371 | |
| Upper GI series (barium) |
$2,150 |
— |
$352 |
$128 | |
| Ureteral stent placement |
$4,700 |
— |
$4,057 |
$373 | |
| Ureteroscopy (stone removal) |
$5,845 |
— |
$5,752 |
$365 | |
| Uric acid (gout) test |
$125 |
— |
$34 |
$5 | |
| Urinalysis |
$100 |
— |
$39 |
$3 | |
| Urine microalbumin test |
$274 |
— |
$39 |
$5 | |
| Urine pregnancy test |
$86 |
— |
$39 |
$9 | |
| Vaccine administration |
$305 |
— |
$87 |
$19 | |
| Vaginal delivery |
— |
— |
$7,232 |
$5,487 | |
| Vasectomy |
$4,915 |
— |
$2,591 |
$347 | |
| Vitamin B12 test |
$252 |
— |
$59 |
$15 | |
| Vitamin D test |
$683 |
— |
$73 |
$30 | |
| Weight-loss (bariatric) surgery |
— |
— |
$13,876 |
$11,645 | |
| Wound debridement |
$1,483 |
— |
$1,064 |
$186 | |
| Wrist fracture repair |
$11,271 |
— |
$8,453 |
$735 | |
| X-ray of the abdomen |
$1,454 |
— |
$130 |
$36 | |
| X-ray of the collarbone |
$1,147 |
— |
$109 |
$33 | |
| X-ray of the elbow |
$891 |
— |
$109 |
$33 | |
| X-ray of the facial bones |
$1,164 |
— |
$130 |
$39 | |
| X-ray of the forearm |
$1,147 |
— |
$109 |
$29 | |
| X-ray of the hand |
$2,623 |
— |
$109 |
$38 | |
| X-ray of the hip |
$1,332 |
— |
$124 |
$49 | |
| X-ray of the hip (1 view) |
$464 |
— |
$109 |
$34 | |
| X-ray of the hip (3 views) |
$1,332 |
— |
$109 |
$49 | |
| X-ray of the hip (4 views) |
$1,332 |
— |
$132 |
$63 | |
| X-ray of the knee |
$2,340 |
— |
$126 |
$42 | |
| X-ray of the knee (2 views) |
$1,874 |
— |
$109 |
$34 | |
| X-ray of the knee (4+ views) |
$2,340 |
— |
$132 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$1,711 |
— |
$132 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$1,098 |
— |
$132 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$2,323 |
— |
$132 |
$53 | |
| X-ray of the lower leg |
$2,271 |
— |
$109 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$1,586 |
— |
$131 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$1,393 |
— |
$131 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$1,778 |
— |
$131 |
$39 | |
| X-ray of the neck (cervical spine) |
$402 |
— |
$130 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$389 |
— |
$109 |
$40 | |
| X-ray of the pelvis |
$594 |
— |
$130 |
$36 | |
| X-ray of the pelvis (1 view) |
$586 |
— |
$130 |
$28 | |
| X-ray of the ribs |
$818 |
— |
$130 |
$42 | |
| X-ray of the ribs (2 views) |
$818 |
— |
$109 |
$36 | |
| X-ray of the ribs (3 views) |
$818 |
— |
$132 |
$42 | |
| X-ray of the shoulder |
$1,147 |
— |
$109 |
$36 | |
| X-ray of the skull |
$937 |
— |
$132 |
$40 | |
| X-ray of the upper arm |
$1,147 |
— |
$109 |
$32 | |
| X-ray of the wrist |
$2,623 |
— |
$109 |
$43 | |
| Zinc blood test |
$17 |
— |
$14 |
$11 | |