| Abdominal fluid drain (paracentesis) |
$2,174 |
$3,344 |
$3,624 |
$284 | |
| Abdominal ultrasound |
$1,280 |
$1,969 |
$132 |
$100 | |
| Abdominal ultrasound (complete) |
$1,363 |
$2,097 |
$132 |
$114 | |
| Abdominal ultrasound (limited) |
$1,210 |
$1,862 |
$132 |
$86 | |
| Abscess drainage (complex or multiple) |
$2,274 |
$3,499 |
$2,786 |
$220 | |
| Abscess drainage (simple) |
$2,174 |
$3,344 |
$1,119 |
$129 | |
| Abscess incision and drainage |
$2,219 |
$3,414 |
$1,228 |
$174 | |
| Achilles tendon repair |
— |
— |
$6,586 |
$624 | |
| ACL knee reconstruction |
— |
— |
$6,586 |
$889 | |
| Adenoid removal (adenoidectomy) |
$2,101 |
$3,233 |
$8,640 |
$204 | |
| Albumin blood test |
$10 |
$15 |
$26 |
$5 | |
| Aldosterone test |
$18 |
$28 |
$213 |
$41 | |
| Alkaline phosphatase test |
$95 |
$147 |
$27 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$123 |
$190 |
$245 |
$17 | |
| ALT liver enzyme test |
$95 |
$147 |
$77 |
$5 | |
| Ammonia blood test |
$199 |
$307 |
$213 |
$15 | |
| Amniocentesis |
$1,981 |
$3,048 |
$3,167 |
$120 | |
| Amylase test |
$181 |
$279 |
$34 |
$6 | |
| Anal fistula repair |
$2,571 |
$3,956 |
$7,308 |
$541 | |
| Ankle fracture repair |
$2,472 |
$3,803 |
$7,308 |
$608 | |
| Ankle replacement |
$2,472 |
$3,803 |
$4,850 |
$885 | |
| Anoscopy |
$459 |
$706 |
$1,119 |
$129 | |
| Antinuclear antibody (ANA) test |
$489 |
$752 |
$63 |
$12 | |
| Aortic aneurysm repair (AAA) |
$8,794 |
$13,529 |
$3,167 |
$1,345 | |
| Aortic valve replacement |
$2,671 |
$4,109 |
$4,261 |
$1,603 | |
| Arterial blood gas (ABG) |
$50 |
$77 |
$283 |
$26 | |
| AST liver enzyme test |
$95 |
$147 |
$76 |
$5 | |
| Barium swallow study |
$1,075 |
$1,654 |
$245 |
$107 | |
| Bartholin cyst removal |
$819 |
$1,260 |
$2,786 |
$182 | |
| Basic metabolic panel |
$422 |
$649 |
$44 |
$8 | |
| Benign skin lesion removal |
$3,380 |
$5,200 |
$3,167 |
$171 | |
| Bilirubin blood test |
$50 |
$77 |
$26 |
$5 | |
| Bladder function test (urodynamics) |
— |
— |
$2,786 |
$345 | |
| Bladder scope (cystoscopy) |
$2,671 |
$4,109 |
$3,346 |
$216 | |
| Bladder tumor removal (TURBT) |
— |
— |
$5,543 |
$236 | |
| Blood clotting test (PT/INR) |
$67 |
$103 |
$21 |
$4 | |
| Blood glucose test |
$95 |
$146 |
$25 |
$5 | |
| Blood transfusion |
$1,740 |
$2,678 |
$1,119 |
$47 | |
| Blood type and screen |
$88 |
$135 |
$67 |
$10 | |
| Blood type test |
$80 |
$124 |
$98 |
$3 | |
| Blood type test (ABO group) |
$80 |
$123 |
$161 |
$3 | |
| Blood type test (Rh/D antigen) |
$81 |
$125 |
$49 |
$3 | |
| BNP (heart failure) test |
$306 |
$471 |
$177 |
$39 | |
| Bone density scan (DEXA) |
$2,597 |
$3,996 |
$119 |
$39 | |
| Bone marrow biopsy |
$5,655 |
$8,701 |
$2,686 |
$172 | |
| Bone scan (nuclear) |
$2,785 |
$4,284 |
$682 |
$259 | |
| Botox for migraine |
$1,030 |
$1,584 |
$1,448 |
$157 | |
| Brain shunt (VP shunt) |
$2,671 |
$4,109 |
$3,167 |
$1,023 | |
| Breast biopsy |
$2,472 |
$3,803 |
$4,850 |
$478 | |
| Breast MRI |
— |
— |
$681 |
$216 | |
| Breast MRI without contrast |
— |
— |
$681 |
$216 | |
| Breast reconstruction |
$2,671 |
$4,109 |
$5,989 |
$1,227 | |
| Breast reduction |
— |
— |
$8,640 |
$980 | |
| Breast ultrasound |
$684 |
$1,052 |
$139 |
$92 | |
| Breast ultrasound (complete) |
$509 |
$783 |
$154 |
$100 | |
| Breast ultrasound (limited) |
$893 |
$1,374 |
$128 |
$84 | |
| Breathing tube insertion (intubation) |
$2,174 |
$3,344 |
$1,448 |
$133 | |
| Bronchoscopy |
$3,550 |
$5,462 |
$4,294 |
$303 | |
| Bunion surgery (bunionectomy) |
$2,472 |
$3,803 |
$6,586 |
$883 | |
| Burn dressing and debridement (medium) |
$1,976 |
$3,040 |
$3,728 |
$166 | |
| Burn dressing and debridement (small) |
$1,976 |
$3,040 |
$1,119 |
$93 | |
| Burn treatment |
$1,976 |
$3,040 |
$1,228 |
$129 | |
| C-reactive protein (CRP) |
$18 |
$28 |
$27 |
$5 | |
| CA-125 ovarian marker test |
$197 |
$304 |
$109 |
$21 | |
| Calcium blood test |
$93 |
$144 |
$75 |
$5 | |
| Capsule endoscopy |
$2,917 |
$4,488 |
$4,294 |
$802 | |
| Cardiac ablation |
$24,836 |
$38,210 |
$19,466 |
$759 | |
| Cardiac catheterization |
$16,389 |
$25,214 |
$10,820 |
$1,049 | |
| Cardiac MRI |
$6,403 |
$9,851 |
$634 |
$322 | |
| Cardiac MRI without contrast |
$5,122 |
$7,881 |
$681 |
$280 | |
| Cardiac rehabilitation |
$474 |
$730 |
$157 |
$26 | |
| Cardiac stress test |
$2,900 |
$4,461 |
$388 |
$39 | |
| Cardioversion |
$3,461 |
$5,324 |
$2,686 |
$155 | |
| Carotid artery surgery |
$2,472 |
$3,803 |
$6,882 |
$1,026 | |
| Carotid artery ultrasound |
$1,536 |
$2,362 |
$301 |
$156 | |
| Carpal tunnel release |
$2,671 |
$4,109 |
$4,850 |
$483 | |
| Cataract surgery |
$2,671 |
$4,109 |
$10,543 |
$547 | |
| CEA tumor marker test |
$167 |
$258 |
$99 |
$19 | |
| Celiac disease test |
$8 |
$12 |
$198 |
$12 | |
| Central line placement |
$4,337 |
$6,672 |
$3,624 |
$238 | |
| Cervical cerclage |
$4,490 |
$6,908 |
$3,710 |
$137 | |
| Cervical LEEP procedure |
— |
— |
$5,543 |
$325 | |
| Cesarean section (C-section) |
— |
— |
$15,443 |
$7,552 | |
| Chalazion (eyelid cyst) removal |
$864 |
$1,329 |
$1,228 |
$131 | |
| Chest fluid drain (thoracentesis) |
$2,218 |
$3,412 |
$3,167 |
$311 | |
| Chest tube insertion |
$2,174 |
$3,344 |
$3,167 |
$143 | |
| Chest X-ray |
$918 |
$1,412 |
$110 |
$37 | |
| Chest X-ray (1 view) |
$638 |
$982 |
$110 |
$25 | |
| Chest X-ray (2 views) |
$794 |
$1,221 |
$110 |
$33 | |
| Chickenpox (varicella) vaccine |
$1,695 |
$2,608 |
— |
— | |
| Circumcision |
$2,220 |
$3,416 |
$4,850 |
$167 | |
| CK-MB heart enzyme test |
$10 |
$15 |
$169 |
$12 | |
| Clotting time test (PTT) |
$14 |
$21 |
$31 |
$6 | |
| Colon resection (colectomy) |
$2,671 |
$4,109 |
$3,167 |
$1,238 | |
| Colonoscopy |
— |
— |
$4,850 |
$480 | |
| Colostomy |
— |
— |
$3,167 |
$1,122 | |
| Colposcopy |
$2,101 |
$3,233 |
$1,448 |
$161 | |
| Complete blood count (CBC) |
$154 |
$237 |
$41 |
$7 | |
| Complete blood count (CBC) (complete) |
$220 |
$338 |
$41 |
$8 | |
| Complex wound repair |
$4,390 |
$6,753 |
$4,261 |
$390 | |
| Comprehensive eye exam |
$284 |
$437 |
— |
$138 | |
| Comprehensive metabolic panel |
$440 |
$676 |
$55 |
$11 | |
| Contraceptive implant (Nexplanon) |
$1,730 |
$2,662 |
$1,228 |
$115 | |
| Copper blood test |
$7 |
$11 |
$65 |
$12 | |
| Corneal transplant |
$2,671 |
$4,109 |
$13,071 |
$1,066 | |
| Coronary angioplasty / stent (PCI) |
— |
— |
$28,804 |
$426 | |
| Coronary artery bypass (CABG) |
— |
— |
$58,088 |
$36,593 | |
| Coronary CT angiography |
$6,187 |
$9,518 |
$456 |
$326 | |
| Cortisol test |
$51 |
$78 |
$85 |
$16 | |
| COVID-19 PCR test |
$125 |
$192 |
$224 |
$51 | |
| CPAP titration study |
$3,925 |
$6,038 |
$253 |
$69 | |
| Craniotomy (brain surgery) |
$2,472 |
$3,803 |
$4,261 |
$2,161 | |
| Creatine kinase (CK) test |
$69 |
$107 |
$34 |
$7 | |
| CT angiography of the chest |
$5,355 |
$8,238 |
$316 |
$281 | |
| CT angiography of the head |
$5,572 |
$8,573 |
$258 |
$274 | |
| CT colonography (virtual colonoscopy) |
— |
— |
$456 |
$835 | |
| CT scan of the abdomen |
$5,539 |
$8,521 |
$222 |
$230 | |
| CT scan of the abdomen and pelvis |
$8,999 |
$13,845 |
$445 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$10,053 |
$15,467 |
$456 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$9,744 |
$14,991 |
$450 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$7,812 |
$12,019 |
$306 |
$183 | |
| CT scan of the abdomen with and without contrast |
$5,539 |
$8,521 |
$456 |
$259 | |
| CT scan of the abdomen with contrast |
$5,266 |
$8,101 |
$456 |
$230 | |
| CT scan of the abdomen without contrast |
$5,095 |
$7,839 |
$189 |
$136 | |
| CT scan of the arm |
$5,606 |
$8,625 |
$397 |
$199 | |
| CT scan of the arm with contrast |
$5,479 |
$8,430 |
$456 |
$199 | |
| CT scan of the arm without contrast |
$5,139 |
$7,906 |
$154 |
$161 | |
| CT scan of the chest |
$5,783 |
$8,897 |
$222 |
$167 | |
| CT scan of the chest with and without contrast |
$6,187 |
$9,518 |
$316 |
$196 | |
| CT scan of the chest with contrast |
$5,568 |
$8,567 |
$249 |
$167 | |
| CT scan of the chest without contrast |
$5,447 |
$8,380 |
$154 |
$133 | |
| CT scan of the head |
$3,965 |
$6,100 |
$222 |
$148 | |
| CT scan of the head with and without contrast |
$6,156 |
$9,470 |
$288 |
$173 | |
| CT scan of the head with contrast |
$3,789 |
$5,830 |
$288 |
$148 | |
| CT scan of the head without contrast |
$3,480 |
$5,354 |
$152 |
$107 | |
| CT scan of the leg |
$5,766 |
$8,870 |
$228 |
$166 | |
| CT scan of the leg with contrast |
$5,766 |
$8,870 |
$288 |
$166 | |
| CT scan of the leg without contrast |
$4,805 |
$7,392 |
$189 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$4,947 |
$7,610 |
$445 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$5,617 |
$8,641 |
$456 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$4,681 |
$7,201 |
$456 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$4,388 |
$6,751 |
$189 |
$130 | |
| CT scan of the neck |
$5,676 |
$8,733 |
$225 |
$183 | |
| CT scan of the neck (cervical spine) |
$4,494 |
$6,914 |
$397 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$4,494 |
$6,914 |
$456 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$4,681 |
$7,201 |
$456 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$4,632 |
$7,126 |
$154 |
$131 | |
| CT scan of the neck with and without contrast |
$6,187 |
$9,518 |
$456 |
$220 | |
| CT scan of the neck with contrast |
$5,479 |
$8,430 |
$288 |
$183 | |
| CT scan of the neck without contrast |
$5,251 |
$8,078 |
$189 |
$150 | |
| CT scan of the pelvis |
$5,624 |
$8,653 |
$225 |
$226 | |
| CT scan of the pelvis with and without contrast |
$5,624 |
$8,653 |
$456 |
$251 | |
| CT scan of the pelvis with contrast |
$5,479 |
$8,430 |
$288 |
$226 | |
| CT scan of the pelvis without contrast |
$5,251 |
$8,078 |
$189 |
$133 | |
| CT scan of the sinuses |
$5,676 |
$8,733 |
$222 |
$152 | |
| CT scan of the sinuses with and without contrast |
$6,187 |
$9,518 |
$316 |
$184 | |
| CT scan of the sinuses with contrast |
$5,479 |
$8,430 |
$288 |
$152 | |
| CT scan of the sinuses without contrast |
$5,251 |
$8,078 |
$154 |
$128 | |
| D-dimer test |
$189 |
$291 |
$53 |
$10 | |
| Defibrillator (ICD) implant |
$31,988 |
$49,213 |
$26,054 |
$798 | |
| Developmental screening (child) |
$159 |
$245 |
— |
— | |
| Dialysis fistula creation |
— |
— |
$6,586 |
$601 | |
| Dilation and curettage (D&C) |
— |
— |
$4,850 |
$298 | |
| Droopy eyelid repair (ptosis) |
$2,472 |
$3,803 |
$8,640 |
$745 | |
| Drug screen (urine) |
$439 |
$676 |
$257 |
$17 | |
| Ear tubes (myringotomy) |
$2,200 |
$3,385 |
$3,985 |
$174 | |
| Eardrum repair (tympanoplasty) |
$1,730 |
$2,662 |
$9,285 |
$799 | |
| Echocardiogram |
$3,010 |
$4,631 |
$683 |
$138 | |
| Echocardiogram with and without contrast |
$2,100 |
$3,231 |
$301 |
$101 | |
| EKG / ECG (tracing only) |
$614 |
$945 |
$74 |
$7 | |
| Elbow replacement |
$2,472 |
$3,803 |
$10,820 |
$1,301 | |
| Electrocardiogram (EKG) |
$614 |
$945 |
$74 |
$8 | |
| Electroencephalogram (EEG) |
$1,032 |
$1,588 |
$388 |
$448 | |
| Electrolyte panel |
$132 |
$202 |
$169 |
$7 | |
| Electromyography (EMG) |
$262 |
$403 |
$161 |
$141 | |
| Emergency department visit |
$1,493 |
$2,297 |
$763 |
$69 | |
| Emergency department visit (level 1) |
$663 |
$1,021 |
$794 |
$11 | |
| Emergency department visit (level 2) |
$995 |
$1,531 |
$592 |
$40 | |
| Emergency department visit (level 3) |
$1,493 |
$2,297 |
$561 |
$69 | |
| Emergency department visit (level 4) |
$2,239 |
$3,445 |
$928 |
$118 | |
| Emergency department visit (level 5) |
$4,478 |
$6,890 |
$992 |
$171 | |
| Endometrial biopsy |
$1,730 |
$2,662 |
$1,119 |
$98 | |
| Epidural steroid injection |
$2,901 |
$4,463 |
$3,167 |
$275 | |
| ERCP (bile duct endoscopy) |
$2,671 |
$4,109 |
$4,850 |
$311 | |
| Esophageal dilation |
$1,730 |
$2,662 |
$3,624 |
$522 | |
| Esophageal variceal banding |
$1,730 |
$2,662 |
$3,624 |
$126 | |
| Estradiol (estrogen) test |
$16 |
$24 |
$146 |
$28 | |
| Eyelid surgery (blepharoplasty) |
— |
— |
$5,543 |
$552 | |
| Facet joint injection (spine) |
$2,835 |
$4,362 |
$2,786 |
$99 | |
| Fallopian tube X-ray (HSG) |
$801 |
$1,233 |
$1,228 |
$164 | |
| Family therapy session |
— |
— |
$667 |
$110 | |
| Fecal occult blood (stool) test |
$74 |
$114 |
$81 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
— |
— |
$78 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$74 |
$114 |
$83 |
$16 | |
| Feeding tube (PEG) placement |
$1,976 |
$3,040 |
$4,850 |
$178 | |
| Femoral hernia repair |
$2,571 |
$3,956 |
$12,083 |
$584 | |
| Ferritin (iron) test |
$189 |
$291 |
$71 |
$14 | |
| Fibrinogen test |
$139 |
$215 |
$124 |
$10 | |
| Fibroid removal (myomectomy) |
$2,472 |
$3,803 |
$7,793 |
$914 | |
| Flexible sigmoidoscopy |
$1,730 |
$2,662 |
$3,167 |
$323 | |
| Flu test |
— |
— |
$223 |
$17 | |
| Folate (folic acid) test |
$200 |
$308 |
$77 |
$15 | |
| Foreign body removal (skin) |
$2,068 |
$3,181 |
$1,119 |
$157 | |
| Free T4 thyroid test |
$79 |
$121 |
$47 |
$9 | |
| Gallbladder removal (laparoscopic) |
— |
— |
$11,683 |
$658 | |
| Gallbladder scan (HIDA) |
$3,136 |
$4,825 |
$702 |
$334 | |
| Ganglion cyst removal |
— |
— |
$6,586 |
$321 | |
| GGT liver test |
$95 |
$147 |
$38 |
$7 | |
| Glaucoma surgery |
$2,571 |
$3,956 |
$8,640 |
$984 | |
| Glucose tolerance test |
$189 |
$291 |
$81 |
$8 | |
| Group therapy session |
$299 |
$459 |
$173 |
$30 | |
| H. pylori test |
$344 |
$530 |
$1,618 |
$67 | |
| Hammertoe repair |
$2,472 |
$3,803 |
$6,586 |
$548 | |
| HDL cholesterol test |
$118 |
$181 |
$43 |
$8 | |
| Hematocrit test |
$66 |
$101 |
$12 |
$2 | |
| Hemodialysis |
$4,657 |
$7,164 |
$871 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$132 |
$203 |
$51 |
$10 | |
| Hemorrhoid removal |
$2,224 |
$3,422 |
$3,624 |
$338 | |
| Hepatitis B test |
$237 |
$364 |
$54 |
$10 | |
| Hepatitis B vaccine |
$417 |
$641 |
$106 |
— | |
| Hepatitis C test |
$123 |
$189 |
$75 |
$14 | |
| Hip arthroscopy |
$2,671 |
$4,109 |
$15,074 |
$931 | |
| Hip fracture repair |
$8,794 |
$13,529 |
$5,543 |
$1,120 | |
| Hip replacement |
— |
— |
$17,274 |
$1,162 | |
| HIV test |
$116 |
$178 |
$81 |
$19 | |
| HIV test (antibody) |
$216 |
$332 |
$72 |
$14 | |
| HIV test (antigen/antibody combo) |
$16 |
$25 |
$127 |
$24 | |
| Home sleep apnea test |
$1,620 |
$2,492 |
$2,876 |
$123 | |
| Hydrocele repair |
— |
— |
$6,586 |
$315 | |
| Hysterectomy |
$2,472 |
$3,803 |
$12,083 |
$933 | |
| Hysteroscopy |
$2,472 |
$3,803 |
$6,586 |
$1,270 | |
| Ileostomy |
$2,472 |
$3,803 |
$3,167 |
$968 | |
| Incisional hernia repair |
$8,794 |
$13,529 |
$9,023 |
— | |
| Inguinal hernia repair |
$3,684 |
$5,667 |
$12,083 |
$538 | |
| Iron blood test |
$107 |
$165 |
$95 |
$6 | |
| IUD insertion |
— |
— |
$1,119 |
— | |
| IUD removal |
$1,547 |
$2,381 |
$1,228 |
$112 | |
| IV infusion therapy |
$347 |
$533 |
$262 |
$44 | |
| IV infusion therapy (each additional) |
$264 |
$406 |
$57 |
$21 | |
| IV infusion therapy (initial) |
$446 |
$685 |
$262 |
$67 | |
| IVC filter placement |
$16,222 |
$24,957 |
$6,731 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$1,469 |
$2,261 |
$1,228 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$1,616 |
$2,487 |
$1,119 |
$57 | |
| Joint aspiration or injection (small joint) |
$1,202 |
$1,850 |
$1,228 |
$56 | |
| Kidney biopsy |
$6,221 |
$9,571 |
$3,624 |
$492 | |
| Kidney removal (nephrectomy) |
— |
— |
$3,167 |
$1,164 | |
| Kidney scan (nuclear) |
$4,270 |
$6,569 |
$670 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$1,730 |
$2,662 |
$15,074 |
$760 | |
| Kidney ultrasound |
$1,279 |
$1,968 |
$132 |
$84 | |
| Kidney ultrasound (limited) |
$1,201 |
$1,848 |
$134 |
$61 | |
| Knee arthroscopy |
$1,730 |
$2,662 |
$8,640 |
$524 | |
| Knee joint injection |
$1,956 |
$3,009 |
$1,119 |
$69 | |
| Knee replacement |
— |
— |
$32,461 |
$18,054 | |
| Lactate test |
$165 |
$254 |
$56 |
$12 | |
| Laminectomy (spine) |
$2,472 |
$3,803 |
$10,820 |
$1,157 | |
| Laryngoscopy |
$2,371 |
$3,648 |
$1,448 |
$189 | |
| LDH test |
$95 |
$147 |
$32 |
$6 | |
| LDL cholesterol test |
$7 |
$10 |
$50 |
$11 | |
| Leg artery angiogram |
$4,093 |
$6,297 |
$3,919 |
$149 | |
| Leg artery angioplasty |
$26,298 |
$40,459 |
$12,385 |
— | |
| Leg vein ultrasound (Doppler) |
$1,863 |
$2,867 |
$301 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,635 |
$2,516 |
$136 |
$116 | |
| Lipase test |
$94 |
$145 |
$36 |
$7 | |
| Lipid (cholesterol) panel |
$160 |
$246 |
$70 |
$13 | |
| Liver biopsy |
$6,221 |
$9,571 |
$3,624 |
$288 | |
| Liver function panel |
$267 |
$411 |
$43 |
$8 | |
| Lower back (lumbar) spinal fusion |
— |
— |
$47,328 |
$1,511 | |
| Lumbar discectomy |
$15,116 |
$23,256 |
$10,820 |
$898 | |
| Lumpectomy (breast) |
$2,671 |
$4,109 |
$10,820 |
$750 | |
| Lung function test (PFT) |
$499 |
$768 |
$388 |
$37 | |
| Lung scan (V/Q) |
$3,558 |
$5,474 |
$871 |
$291 | |
| Magnesium blood test |
$89 |
$136 |
$35 |
$7 | |
| Mastectomy |
— |
— |
$12,083 |
$1,021 | |
| Mastoidectomy |
— |
— |
$10,820 |
$840 | |
| Meniscus repair (knee) |
$2,472 |
$3,803 |
$6,586 |
$714 | |
| MMR vaccine |
$824 |
$1,268 |
— |
— | |
| Mohs skin cancer surgery |
$2,101 |
$3,233 |
$2,786 |
$535 | |
| MRA of the brain |
$5,939 |
$9,137 |
$445 |
$226 | |
| MRA of the brain with contrast |
$5,203 |
$8,004 |
$578 |
$226 | |
| MRA of the brain without contrast |
$6,533 |
$10,051 |
$458 |
$328 | |
| MRA of the neck |
$4,996 |
$7,686 |
$451 |
$245 | |
| MRA of the neck with contrast |
$4,951 |
$7,617 |
$578 |
$245 | |
| MRA of the neck without contrast |
$5,967 |
$9,181 |
$578 |
$343 | |
| MRI of the abdomen |
$7,241 |
$11,141 |
$448 |
$300 | |
| MRI of the abdomen with contrast |
$6,816 |
$10,486 |
$681 |
$300 | |
| MRI of the abdomen without contrast |
$7,192 |
$11,065 |
$391 |
$194 | |
| MRI of the ankle |
$6,830 |
$10,508 |
$448 |
$261 | |
| MRI of the ankle with contrast |
$5,895 |
$9,070 |
$681 |
$261 | |
| MRI of the ankle without contrast |
$6,261 |
$9,632 |
$391 |
$222 | |
| MRI of the brain |
$6,312 |
$9,711 |
$445 |
$269 | |
| MRI of the brain with contrast |
$6,049 |
$9,306 |
$578 |
$269 | |
| MRI of the brain without contrast |
$5,523 |
$8,497 |
$323 |
$195 | |
| MRI of the chest |
$5,861 |
$9,016 |
$667 |
$371 | |
| MRI of the chest with contrast |
$3,337 |
$5,134 |
$681 |
$371 | |
| MRI of the chest without contrast |
$7,908 |
$12,166 |
$578 |
$466 | |
| MRI of the knee |
$6,830 |
$10,508 |
$455 |
$315 | |
| MRI of the knee with contrast |
$6,830 |
$10,508 |
$681 |
$315 | |
| MRI of the knee without contrast |
$6,261 |
$9,632 |
$391 |
$204 | |
| MRI of the lower back (lumbar spine) |
$7,030 |
$10,816 |
$448 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$6,663 |
$10,251 |
$681 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$6,485 |
$9,977 |
$391 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$6,230 |
$9,585 |
$448 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$7,733 |
$11,898 |
$578 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$6,072 |
$9,342 |
$681 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$5,711 |
$8,786 |
$391 |
$190 | |
| MRI of the neck (cervical spine) |
$7,075 |
$10,884 |
$448 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$7,953 |
$12,235 |
$578 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$7,055 |
$10,853 |
$681 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$6,485 |
$9,977 |
$391 |
$191 | |
| MRI of the pelvis |
$5,841 |
$8,985 |
$448 |
$268 | |
| MRI of the pelvis with contrast |
$5,841 |
$8,985 |
$681 |
$268 | |
| MRI of the pelvis without contrast |
$5,354 |
$8,237 |
$391 |
$227 | |
| MRI of the shoulder |
$5,870 |
$9,031 |
$681 |
$313 | |
| MRI of the shoulder with contrast |
$5,870 |
$9,031 |
$984 |
$313 | |
| MRI of the shoulder without contrast |
$5,381 |
$8,279 |
$391 |
$205 | |
| MRI of the wrist |
$6,830 |
$10,508 |
$448 |
$330 | |
| MRI of the wrist with contrast |
$6,830 |
$10,508 |
$681 |
$330 | |
| MRI of the wrist without contrast |
$6,261 |
$9,632 |
$391 |
$303 | |
| Nebulizer breathing treatment |
$260 |
$399 |
$253 |
$9 | |
| Neck (cervical) spinal fusion |
$2,571 |
$3,956 |
$7,793 |
$1,410 | |
| Nuclear cardiac stress test |
$5,553 |
$8,544 |
$1,626 |
$428 | |
| Occupational therapy evaluation |
$412 |
$634 |
$165 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$538 |
$828 |
$165 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$278 |
$428 |
$182 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$412 |
$634 |
$165 |
$101 | |
| Office visit (established patient) |
$138 |
$212 |
$53 |
$115 | |
| Office visit (new patient) |
$190 |
$292 |
$105 |
$177 | |
| Office visit, established patient (level 3) |
$138 |
$212 |
$41 |
$95 | |
| Office visit, established patient (level 4) |
$242 |
$372 |
$64 |
$136 | |
| Office visit, new patient (level 3) |
$138 |
$212 |
$62 |
$118 | |
| Office visit, new patient (level 4) |
$242 |
$372 |
$105 |
$177 | |
| Orthopedic hardware removal |
— |
— |
$6,586 |
$632 | |
| Ovarian cyst removal |
$2,472 |
$3,803 |
$7,793 |
$698 | |
| Ovary removal (oophorectomy) |
$15,116 |
$23,256 |
$3,624 |
$822 | |
| Pacemaker insertion |
— |
— |
$33,669 |
$15,506 | |
| Pap smear (cervical screening) |
$97 |
$149 |
$487 |
$20 | |
| Parathyroid hormone (PTH) test |
$355 |
$547 |
$216 |
$41 | |
| Parathyroid removal |
$2,671 |
$4,109 |
$10,820 |
$891 | |
| Pelvic ultrasound |
$1,053 |
$1,620 |
$136 |
$78 | |
| Pelvic ultrasound (complete) |
$1,453 |
$2,236 |
$132 |
$105 | |
| Pelvic ultrasound (limited) |
$720 |
$1,107 |
$154 |
$51 | |
| Phosphorus blood test |
$62 |
$95 |
$25 |
$5 | |
| Physical therapy evaluation |
$425 |
$654 |
$165 |
$98 | |
| Physical therapy evaluation (high complexity) |
$565 |
$869 |
$165 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$425 |
$654 |
$165 |
$98 | |
| Pilonidal cyst removal |
$5,959 |
$9,167 |
$6,586 |
$541 | |
| Platelet count |
$87 |
$135 |
$65 |
$4 | |
| Pneumonia vaccine |
$1,064 |
$1,636 |
$189 |
— | |
| Pregnancy blood test (hCG) |
$180 |
$277 |
$39 |
$8 | |
| Pregnancy ultrasound |
$1,301 |
$2,002 |
$154 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$1,250 |
$1,923 |
$154 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$1,363 |
$2,097 |
$154 |
$136 | |
| Procalcitonin test |
$172 |
$265 |
$140 |
$27 | |
| Prolactin test |
$263 |
$405 |
$283 |
$19 | |
| Prostate biopsy |
— |
— |
$4,850 |
— | |
| Prostate removal (prostatectomy) |
$8,794 |
$13,529 |
$3,624 |
$1,063 | |
| Prostate surgery (TURP) |
$2,472 |
$3,803 |
$8,640 |
$526 | |
| Prostate test (PSA) |
$12 |
$19 |
$96 |
$18 | |
| Psychotherapy session |
$676 |
$1,040 |
$285 |
$140 | |
| Pterygium removal (eye) |
— |
— |
$4,850 |
$540 | |
| Radiofrequency nerve ablation |
$2,472 |
$3,803 |
$5,543 |
$462 | |
| Retinal detachment repair |
$2,671 |
$4,109 |
$10,820 |
$966 | |
| Rheumatoid factor test |
— |
— |
$136 |
$6 | |
| Rotator cuff repair |
$2,200 |
$3,385 |
$10,820 |
$792 | |
| Routine eye exam |
$222 |
$341 |
— |
$88 | |
| Sacroiliac joint injection |
— |
— |
$1,448 |
$176 | |
| Scoliosis spine X-ray |
$639 |
$983 |
$179 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$574 |
$883 |
$462 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$717 |
$1,103 |
$154 |
$72 | |
| Screening colonoscopy |
$1,730 |
$2,662 |
$3,728 |
$378 | |
| Scrotal ultrasound |
$1,527 |
$2,350 |
$154 |
$99 | |
| Sedimentation rate (ESR) test |
$79 |
$121 |
$65 |
$3 | |
| Semen analysis |
— |
— |
$290 |
$12 | |
| Septoplasty (deviated septum) |
— |
— |
$8,640 |
$613 | |
| Shoulder arthroscopy |
— |
— |
$6,586 |
$962 | |
| Shoulder replacement |
$2,472 |
$3,803 |
$5,543 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$2,174 |
$3,344 |
$1,119 |
$114 | |
| Simple wound stitches |
$2,174 |
$3,344 |
$1,119 |
$127 | |
| Sinus surgery (endoscopic) |
$2,200 |
$3,385 |
$6,586 |
$224 | |
| Skin biopsy |
$2,068 |
$3,181 |
$3,167 |
$121 | |
| Skin biopsy (punch) |
$2,068 |
$3,181 |
$1,448 |
$121 | |
| Skin cancer lesion removal |
$2,149 |
$3,306 |
$3,167 |
$240 | |
| Skin graft |
$7,314 |
$11,253 |
$4,850 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$1,192 |
$1,834 |
$1,119 |
$36 | |
| Skin tag removal |
$1,976 |
$3,040 |
$1,119 |
$92 | |
| Sleep study (polysomnography) |
$1,620 |
$2,492 |
$2,876 |
$691 | |
| Small bowel resection |
$2,472 |
$3,803 |
$3,167 |
$1,136 | |
| Soft tissue ultrasound |
$829 |
$1,276 |
$132 |
$64 | |
| Speech therapy |
$367 |
$565 |
$173 |
$76 | |
| Spinal cord stimulator |
$1,730 |
$2,662 |
$15,074 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$3,191 |
$4,909 |
$2,786 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$18,484 |
$28,437 |
$7,793 |
$5,803 | |
| Spirometry (lung function test) |
$382 |
$587 |
$195 |
$30 | |
| Spirometry with bronchodilator |
$617 |
$949 |
$388 |
$43 | |
| Spleen removal (splenectomy) |
$2,671 |
$4,109 |
$8,316 |
$1,036 | |
| Stomach removal (gastrectomy) |
$2,571 |
$3,956 |
$3,167 |
$1,595 | |
| Strabismus (eye muscle) surgery |
$2,671 |
$4,109 |
$7,308 |
$475 | |
| Strep throat test |
$240 |
$369 |
$52 |
$17 | |
| Stress echocardiogram |
$3,338 |
$5,135 |
$683 |
$209 | |
| Swallow study |
$613 |
$944 |
$165 |
$85 | |
| T3 thyroid test |
$167 |
$256 |
$207 |
$14 | |
| Tdap (tetanus) vaccine |
$341 |
$525 |
$38 |
— | |
| Testicle removal (orchiectomy) |
$2,671 |
$4,109 |
$6,586 |
$306 | |
| Testosterone test |
$14 |
$22 |
$620 |
$26 | |
| Thyroid removal (thyroidectomy) |
$8,794 |
$13,529 |
$10,820 |
$1,004 | |
| Thyroid test (TSH) |
$107 |
$164 |
$88 |
$17 | |
| Thyroid ultrasound |
$967 |
$1,488 |
$154 |
$109 | |
| Thyroid uptake scan |
$2,532 |
$3,895 |
$713 |
$145 | |
| Tilt table test |
$5,996 |
$9,224 |
$1,228 |
$168 | |
| Tonsillectomy |
$2,571 |
$3,956 |
$8,640 |
$252 | |
| Total protein test |
$72 |
$111 |
$19 |
$4 | |
| Tracheostomy |
$6,329 |
$9,738 |
$6,855 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$4,405 |
$6,777 |
$683 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$4,405 |
$6,777 |
$683 |
$239 | |
| Transvaginal ultrasound |
$1,391 |
$2,140 |
$132 |
$118 | |
| Trigger finger release |
— |
— |
$4,850 |
$630 | |
| Trigger point injection |
$2,241 |
$3,447 |
$1,228 |
$56 | |
| Trigger point injection (1-2 muscles) |
$2,054 |
$3,160 |
$1,228 |
$52 | |
| Triglycerides test |
$52 |
$80 |
$30 |
$6 | |
| Troponin (heart) test |
$304 |
$468 |
$51 |
$12 | |
| Tubal ligation |
$2,571 |
$3,956 |
$6,586 |
$333 | |
| Turbinate reduction |
— |
— |
$4,850 |
$294 | |
| Turning a breech baby (version) |
$7,922 |
$12,187 |
$3,710 |
$94 | |
| Ulnar nerve surgery (elbow) |
$2,671 |
$4,109 |
$4,850 |
$575 | |
| Umbilical hernia repair |
$1,810 |
$2,785 |
$9,023 |
— | |
| Upper GI endoscopy (EGD) |
$1,976 |
$3,040 |
$4,294 |
$371 | |
| Upper GI series (barium) |
$1,135 |
$1,746 |
$258 |
$128 | |
| Ureteral stent placement |
— |
— |
$4,908 |
$373 | |
| Ureteroscopy (stone removal) |
— |
— |
$14,122 |
$365 | |
| Uric acid (gout) test |
$98 |
$151 |
$66 |
$5 | |
| Urinalysis |
$73 |
$112 |
$17 |
$3 | |
| Urine microalbumin test |
$104 |
$160 |
$30 |
$5 | |
| Urine pregnancy test |
$130 |
$199 |
$72 |
$9 | |
| Vaccine administration |
$78 |
$121 |
$89 |
$19 | |
| Vaccine administration (each additional) |
$68 |
$104 |
$10 |
$16 | |
| Vaginal delivery |
— |
— |
$11,000 |
$5,487 | |
| Varicocele repair |
— |
— |
$8,640 |
$327 | |
| Varicose vein ablation |
$2,671 |
$4,109 |
$12,083 |
$1,018 | |
| Vasectomy |
— |
— |
$4,850 |
$347 | |
| Vitamin B12 test |
$109 |
$168 |
$79 |
$15 | |
| Vitamin D test |
$78 |
$119 |
$155 |
$30 | |
| Vitrectomy (eye) |
$2,571 |
$3,956 |
$10,820 |
$814 | |
| Vocal cord injection |
— |
— |
$4,850 |
$211 | |
| Wart removal |
$1,976 |
$3,040 |
$1,119 |
$121 | |
| Weight-loss (bariatric) surgery |
— |
— |
$34,936 |
$11,645 | |
| Whipple procedure (pancreas) |
$2,671 |
$4,109 |
$5,268 |
$2,871 | |
| Wound debridement |
$3,229 |
$4,967 |
$3,728 |
$186 | |
| Wrist fracture repair |
$1,730 |
$2,662 |
$9,285 |
$735 | |
| X-ray of the abdomen |
$540 |
$830 |
$132 |
$36 | |
| X-ray of the ankle |
$461 |
$709 |
$110 |
$37 | |
| X-ray of the collarbone |
$400 |
$616 |
$110 |
$33 | |
| X-ray of the elbow |
$511 |
$787 |
$110 |
$33 | |
| X-ray of the facial bones |
$790 |
$1,216 |
$132 |
$39 | |
| X-ray of the foot |
$463 |
$712 |
$110 |
$34 | |
| X-ray of the forearm |
$426 |
$655 |
$110 |
$29 | |
| X-ray of the hand |
$435 |
$669 |
$110 |
$38 | |
| X-ray of the hip |
$569 |
$876 |
$132 |
$49 | |
| X-ray of the hip (1 view) |
$513 |
$789 |
$110 |
$34 | |
| X-ray of the hip (3 views) |
$531 |
$817 |
$110 |
$49 | |
| X-ray of the hip (4 views) |
$807 |
$1,242 |
$143 |
$63 | |
| X-ray of the knee |
$481 |
$740 |
$132 |
$42 | |
| X-ray of the knee (2 views) |
$366 |
$563 |
$110 |
$34 | |
| X-ray of the knee (3 views) |
$519 |
$799 |
$110 |
$42 | |
| X-ray of the knee (4+ views) |
$539 |
$830 |
$132 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$964 |
$1,483 |
$132 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$609 |
$936 |
$132 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$1,391 |
$2,139 |
$148 |
$53 | |
| X-ray of the lower leg |
$345 |
$531 |
$110 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$958 |
$1,473 |
$132 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$780 |
$1,199 |
$132 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$1,171 |
$1,802 |
$132 |
$39 | |
| X-ray of the neck (cervical spine) |
$923 |
$1,420 |
$132 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$539 |
$830 |
$110 |
$40 | |
| X-ray of the pelvis |
$741 |
$1,141 |
$132 |
$36 | |
| X-ray of the pelvis (1 view) |
$580 |
$893 |
$132 |
$28 | |
| X-ray of the ribs |
$892 |
$1,372 |
$132 |
$42 | |
| X-ray of the ribs (2 views) |
$518 |
$798 |
$110 |
$36 | |
| X-ray of the shoulder |
$507 |
$780 |
$110 |
$36 | |
| X-ray of the skull |
$974 |
$1,498 |
$132 |
$40 | |
| X-ray of the upper arm |
$435 |
$669 |
$110 |
$32 | |
| X-ray of the wrist |
$474 |
$730 |
$111 |
$43 | |
| YAG laser capsulotomy (eye) |
— |
— |
$3,728 |
$335 | |
| Zinc blood test |
$9 |
$13 |
$59 |
$11 | |