| 3D mammogram (tomosynthesis) |
$180 |
$225 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$2,499 |
$3,124 |
— |
$284 | |
| Abdominal ultrasound |
$930 |
$1,162 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$1,067 |
$1,334 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$793 |
$991 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$982 |
$1,228 |
— |
$220 | |
| Abscess drainage (simple) |
$515 |
$644 |
— |
$129 | |
| Abscess incision and drainage |
$749 |
$936 |
— |
$174 | |
| Achilles tendon repair |
$10,798 |
$13,498 |
— |
$624 | |
| ACL knee reconstruction |
$13,909 |
$17,387 |
— |
$889 | |
| Adenoid removal (adenoidectomy) |
$3,490 |
$4,363 |
— |
$204 | |
| Aldosterone test |
$335 |
$419 |
— |
$41 | |
| Alkaline phosphatase test |
$130 |
$162 |
— |
$5 | |
| Alpha-fetoprotein (AFP) test |
$322 |
$402 |
— |
$17 | |
| ALT liver enzyme test |
$128 |
$160 |
— |
$5 | |
| Ammonia blood test |
$289 |
$362 |
— |
$15 | |
| Amylase test |
$134 |
$167 |
— |
$6 | |
| Anal fistula repair |
$4,619 |
$5,774 |
— |
$541 | |
| Ankle fracture repair |
$12,164 |
$15,205 |
— |
$608 | |
| Anoscopy |
$450 |
$562 |
— |
$129 | |
| Antinuclear antibody (ANA) test |
$196 |
$246 |
— |
$12 | |
| AST liver enzyme test |
$128 |
$160 |
— |
$5 | |
| Barium swallow study |
$699 |
$874 |
— |
$107 | |
| Bartholin cyst removal |
$480 |
$600 |
— |
$182 | |
| Basic metabolic panel |
$315 |
$394 |
— |
$8 | |
| Benign skin lesion removal |
$2,827 |
$3,533 |
— |
$171 | |
| Bilirubin blood test |
$134 |
$167 |
— |
$5 | |
| Bladder scope (cystoscopy) |
$5,607 |
$7,009 |
— |
$216 | |
| Blood clotting test (PT/INR) |
$175 |
$218 |
— |
$4 | |
| Blood crossmatch |
$152 |
$190 |
— |
— | |
| Blood glucose test |
$66 |
$83 |
— |
$5 | |
| Blood transfusion |
$1,292 |
$1,615 |
— |
$47 | |
| Blood type and screen |
$231 |
$289 |
— |
$10 | |
| Blood type test |
$80 |
$100 |
— |
$3 | |
| Blood type test (ABO group) |
$91 |
$114 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$69 |
$86 |
— |
$3 | |
| BNP (heart failure) test |
$595 |
$744 |
— |
$39 | |
| Bone density scan (DEXA) |
$733 |
$916 |
— |
$39 | |
| Bone marrow biopsy |
$1,073 |
$1,341 |
— |
$172 | |
| Bone scan (nuclear) |
$2,080 |
$2,600 |
— |
$259 | |
| Breast biopsy |
$4,438 |
$5,548 |
— |
$478 | |
| Breast ultrasound |
$622 |
$778 |
— |
$92 | |
| Breast ultrasound (complete) |
$621 |
$777 |
— |
$100 | |
| Breast ultrasound (limited) |
$623 |
$779 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$879 |
$1,098 |
— |
$133 | |
| Bronchoscopy |
$2,482 |
$3,103 |
— |
$303 | |
| Bunion surgery (bunionectomy) |
$10,155 |
$12,694 |
— |
$883 | |
| Burn dressing and debridement (medium) |
$263 |
$328 |
— |
$166 | |
| Burn dressing and debridement (small) |
$625 |
$781 |
— |
$93 | |
| Burn treatment |
$444 |
$555 |
— |
$129 | |
| C-reactive protein (CRP) |
$99 |
$123 |
— |
$5 | |
| CA 19-9 tumor marker test |
$176 |
$219 |
— |
$21 | |
| CA-125 ovarian marker test |
$210 |
$262 |
— |
$21 | |
| Calcium blood test |
$118 |
$147 |
— |
$5 | |
| Cardiac stress test |
$1,315 |
$1,644 |
— |
$39 | |
| Cardioversion |
$1,392 |
$1,741 |
— |
$155 | |
| Carotid artery ultrasound |
$1,234 |
$1,543 |
— |
$156 | |
| Carpal tunnel release |
$6,208 |
$7,760 |
— |
$483 | |
| Cataract surgery |
$5,059 |
$6,324 |
— |
$547 | |
| CEA tumor marker test |
$274 |
$343 |
— |
$19 | |
| Central line placement |
$2,429 |
$3,037 |
— |
$238 | |
| Cervical cerclage |
$8,774 |
$10,967 |
— |
$137 | |
| Cervical LEEP procedure |
$5,650 |
$7,063 |
— |
$325 | |
| Chalazion (eyelid cyst) removal |
$1,033 |
$1,291 |
— |
$131 | |
| Chemotherapy infusion |
$712 |
$890 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$457 |
$571 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$968 |
$1,210 |
— |
$133 | |
| Chest tube insertion |
$2,097 |
$2,622 |
— |
$143 | |
| Chest X-ray |
$400 |
$501 |
— |
$37 | |
| Chest X-ray (1 view) |
$501 |
$626 |
— |
$25 | |
| Chest X-ray (2 views) |
$278 |
$348 |
— |
$33 | |
| Circumcision |
$3,166 |
$3,957 |
— |
$167 | |
| CK-MB heart enzyme test |
$262 |
$327 |
— |
$12 | |
| Clotting time test (PTT) |
$192 |
$240 |
— |
$6 | |
| Colon resection (colectomy) |
$8,261 |
$10,326 |
— |
$1,238 | |
| Colonoscopy |
$2,418 |
$3,022 |
— |
$480 | |
| Colposcopy |
$960 |
$1,200 |
— |
$161 | |
| Complete blood count (CBC) |
$118 |
$148 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$118 |
$148 |
— |
$8 | |
| Complex wound repair |
$3,160 |
$3,950 |
— |
$390 | |
| Comprehensive metabolic panel |
$654 |
$817 |
— |
$11 | |
| Copper blood test |
$150 |
$187 |
— |
$12 | |
| Coronary CT angiography |
$3,511 |
$4,389 |
— |
$326 | |
| Cortisol test |
$222 |
$277 |
— |
$16 | |
| COVID-19 PCR test |
$220 |
$275 |
— |
$51 | |
| CPAP titration study |
$804 |
$1,005 |
— |
$69 | |
| Creatine kinase (CK) test |
$222 |
$278 |
— |
$7 | |
| CT angiography of the chest |
$2,625 |
$3,282 |
— |
$281 | |
| CT angiography of the head |
$2,763 |
$3,454 |
— |
$274 | |
| CT scan of the abdomen |
$2,825 |
$3,531 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$4,730 |
$5,912 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$5,285 |
$6,606 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$4,730 |
$5,912 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,807 |
$3,509 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$3,177 |
$3,971 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$2,825 |
$3,531 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$2,715 |
$3,394 |
— |
$136 | |
| CT scan of the arm |
$1,951 |
$2,439 |
— |
$199 | |
| CT scan of the arm with contrast |
$1,940 |
$2,424 |
— |
$199 | |
| CT scan of the arm without contrast |
$2,138 |
$2,673 |
— |
$161 | |
| CT scan of the chest |
$2,877 |
$3,596 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$3,016 |
$3,770 |
— |
$196 | |
| CT scan of the chest with contrast |
$2,877 |
$3,596 |
— |
$167 | |
| CT scan of the chest without contrast |
$2,715 |
$3,394 |
— |
$133 | |
| CT scan of the head |
$2,260 |
$2,825 |
— |
$148 | |
| CT scan of the head with and without contrast |
$2,436 |
$3,045 |
— |
$173 | |
| CT scan of the head with contrast |
$2,260 |
$2,825 |
— |
$148 | |
| CT scan of the head without contrast |
$2,138 |
$2,673 |
— |
$107 | |
| CT scan of the leg |
$2,433 |
$3,041 |
— |
$166 | |
| CT scan of the leg with contrast |
$2,433 |
$3,041 |
— |
$166 | |
| CT scan of the leg without contrast |
$2,138 |
$2,673 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,715 |
$3,394 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$2,715 |
$3,394 |
— |
$130 | |
| CT scan of the neck |
$2,484 |
$3,105 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$2,715 |
$3,394 |
— |
$168 | |
| CT scan of the neck (cervical spine) with contrast |
$2,715 |
$3,394 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$2,715 |
$3,394 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$2,484 |
$3,105 |
— |
$220 | |
| CT scan of the neck with contrast |
$2,514 |
$3,142 |
— |
$183 | |
| CT scan of the neck without contrast |
$2,138 |
$2,673 |
— |
$150 | |
| CT scan of the pelvis |
$2,878 |
$3,597 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$3,560 |
$4,450 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$2,878 |
$3,597 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$2,715 |
$3,394 |
— |
$133 | |
| CT scan of the sinuses |
$2,825 |
$3,531 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$3,016 |
$3,770 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$2,825 |
$3,531 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$2,715 |
$3,394 |
— |
$128 | |
| D-dimer test |
$265 |
$331 |
— |
$10 | |
| DHEA-sulfate test |
$250 |
$312 |
— |
$22 | |
| Diagnostic mammogram |
$605 |
$757 |
— |
$140 | |
| Dialysis fistula creation |
$14,360 |
$17,950 |
— |
$601 | |
| Dilation and curettage (D&C) |
$8,699 |
$10,873 |
— |
$298 | |
| Drug screen (urine) |
$203 |
$254 |
— |
$17 | |
| Ear tubes (myringotomy) |
$6,623 |
$8,279 |
— |
$174 | |
| Echocardiogram |
$1,361 |
$1,701 |
— |
$138 | |
| Echocardiogram with and without contrast |
$1,361 |
$1,701 |
— |
$101 | |
| Echocardiogram without contrast |
$1,104 |
$1,380 |
— |
$138 | |
| EEG (awake and asleep) |
$1,281 |
$1,601 |
— |
$482 | |
| EKG / ECG (tracing only) |
$280 |
$350 |
— |
$7 | |
| Electrocardiogram (EKG) |
$280 |
$350 |
— |
$8 | |
| Electroencephalogram (EEG) |
$1,177 |
$1,472 |
— |
$448 | |
| Electrolyte panel |
$301 |
$376 |
— |
$7 | |
| Emergency department visit |
$784 |
$980 |
— |
$69 | |
| Emergency department visit (level 1) |
$301 |
$376 |
— |
$11 | |
| Emergency department visit (level 2) |
$532 |
$665 |
— |
$40 | |
| Emergency department visit (level 3) |
$784 |
$980 |
— |
$69 | |
| Emergency department visit (level 4) |
$1,425 |
$1,781 |
— |
$118 | |
| Emergency department visit (level 5) |
$2,064 |
$2,580 |
— |
$171 | |
| Endometrial biopsy |
$575 |
$718 |
— |
$98 | |
| Epidural steroid injection |
$1,848 |
$2,310 |
— |
$275 | |
| Estradiol (estrogen) test |
$329 |
$412 |
— |
$28 | |
| Fallopian tube X-ray (HSG) |
$1,138 |
$1,423 |
— |
$164 | |
| Fecal occult blood (stool) test |
$89 |
$111 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$63 |
$78 |
— |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$115 |
$144 |
— |
$16 | |
| Feeding tube (PEG) placement |
$2,571 |
$3,214 |
— |
$178 | |
| Ferritin (iron) test |
$243 |
$304 |
— |
$14 | |
| Fibrinogen test |
$118 |
$147 |
— |
$10 | |
| Flexible sigmoidoscopy |
$2,010 |
$2,512 |
— |
$323 | |
| Folate (folic acid) test |
$259 |
$324 |
— |
$15 | |
| Foreign body removal (skin) |
$1,765 |
$2,206 |
— |
$157 | |
| Free T4 thyroid test |
$161 |
$201 |
— |
$9 | |
| FSH hormone test |
$240 |
$300 |
— |
$19 | |
| Gallbladder removal (laparoscopic) |
$14,281 |
$17,851 |
— |
$658 | |
| Gallbladder scan (HIDA) |
$1,664 |
$2,080 |
— |
$334 | |
| Ganglion cyst removal |
$8,582 |
$10,728 |
— |
$321 | |
| GGT liver test |
$110 |
$137 |
— |
$7 | |
| Glucose tolerance test |
$123 |
$154 |
— |
$8 | |
| Group therapy session |
$279 |
$349 |
— |
$30 | |
| H. pylori test |
$499 |
$624 |
— |
$67 | |
| Hammertoe repair |
$4,378 |
$5,473 |
— |
$548 | |
| HDL cholesterol test |
$107 |
$134 |
— |
$8 | |
| Hematocrit test |
$58 |
$72 |
— |
$2 | |
| Hemodialysis |
$1,724 |
$2,155 |
— |
$75 | |
| Hemoglobin A1c (diabetes test) |
$120 |
$150 |
— |
$10 | |
| Hemorrhoid removal |
$2,058 |
$2,572 |
— |
$338 | |
| Hepatitis B test |
$161 |
$202 |
— |
$10 | |
| Hepatitis C test |
$180 |
$225 |
— |
$14 | |
| Hip fracture repair |
$8,299 |
$10,374 |
— |
$1,120 | |
| Hip replacement |
$6,716 |
$8,396 |
— |
$1,162 | |
| HIV test |
$125 |
$156 |
— |
$19 | |
| HIV test (antibody) |
$133 |
$166 |
— |
$14 | |
| HIV test (antigen/antibody combo) |
$117 |
$146 |
— |
$24 | |
| Holter heart monitor |
$623 |
$779 |
— |
$26 | |
| Hysterectomy |
$5,908 |
$7,385 |
— |
$933 | |
| Incisional hernia repair |
$8,558 |
$10,698 |
— |
— | |
| Inguinal hernia repair |
$7,554 |
$9,442 |
— |
$538 | |
| Iron blood test |
$231 |
$288 |
— |
$6 | |
| IUD insertion |
$2,159 |
$2,699 |
— |
— | |
| IV infusion therapy |
$353 |
$442 |
— |
$44 | |
| IV infusion therapy (each additional) |
$293 |
$366 |
— |
$21 | |
| IV infusion therapy (initial) |
$414 |
$518 |
— |
$67 | |
| IVC filter placement |
$10,307 |
$12,883 |
— |
$1,885 | |
| Joint aspiration (small/intermediate) |
$688 |
$860 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$861 |
$1,077 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$515 |
$644 |
— |
$56 | |
| Kidney scan (nuclear) |
$2,339 |
$2,924 |
— |
$172 | |
| Kidney ultrasound |
$915 |
$1,143 |
— |
$84 | |
| Kidney ultrasound (limited) |
$679 |
$849 |
— |
$61 | |
| Knee arthroscopy |
$7,825 |
$9,781 |
— |
$524 | |
| Knee joint injection |
$1,162 |
$1,452 |
— |
$69 | |
| Lactate test |
$140 |
$176 |
— |
$12 | |
| Laryngoscopy |
$4,950 |
$6,188 |
— |
$189 | |
| LDH test |
$128 |
$160 |
— |
$6 | |
| Leg artery angiogram |
$5,354 |
$6,693 |
— |
$149 | |
| Leg artery angioplasty |
$14,905 |
$18,632 |
— |
— | |
| Leg vein ultrasound (Doppler) |
$1,319 |
$1,649 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,019 |
$1,274 |
— |
$116 | |
| LH hormone test |
$203 |
$254 |
— |
$19 | |
| Lipase test |
$128 |
$160 |
— |
$7 | |
| Lipid (cholesterol) panel |
$343 |
$428 |
— |
$13 | |
| Liver biopsy |
$2,336 |
$2,920 |
— |
$288 | |
| Liver function panel |
$266 |
$332 |
— |
$8 | |
| Lumpectomy (breast) |
$8,881 |
$11,101 |
— |
$750 | |
| Lung function test (PFT) |
$653 |
$816 |
— |
$37 | |
| Magnesium blood test |
$157 |
$196 |
— |
$7 | |
| Mastectomy |
$15,735 |
$19,669 |
— |
$1,021 | |
| Meniscus repair (knee) |
$6,320 |
$7,900 |
— |
$714 | |
| MRA of the brain |
$2,749 |
$3,436 |
— |
$226 | |
| MRA of the brain with contrast |
$2,749 |
$3,436 |
— |
$226 | |
| MRA of the brain without contrast |
$3,774 |
$4,717 |
— |
$328 | |
| MRA of the neck |
$3,559 |
$4,449 |
— |
$245 | |
| MRA of the neck with contrast |
$3,833 |
$4,791 |
— |
$245 | |
| MRA of the neck without contrast |
$3,559 |
$4,449 |
— |
$343 | |
| MRI of the abdomen |
$3,263 |
$4,079 |
— |
$300 | |
| MRI of the abdomen with contrast |
$3,263 |
$4,079 |
— |
$300 | |
| MRI of the abdomen without contrast |
$2,912 |
$3,639 |
— |
$194 | |
| MRI of the ankle |
$3,308 |
$4,135 |
— |
$261 | |
| MRI of the ankle with contrast |
$3,308 |
$4,135 |
— |
$261 | |
| MRI of the ankle without contrast |
$2,764 |
$3,454 |
— |
$222 | |
| MRI of the brain |
$3,185 |
$3,981 |
— |
$269 | |
| MRI of the brain with contrast |
$3,185 |
$3,981 |
— |
$269 | |
| MRI of the brain without contrast |
$2,803 |
$3,504 |
— |
$195 | |
| MRI of the chest |
$3,160 |
$3,950 |
— |
$371 | |
| MRI of the chest with contrast |
$3,160 |
$3,950 |
— |
$371 | |
| MRI of the chest without contrast |
$3,887 |
$4,859 |
— |
$466 | |
| MRI of the knee |
$3,670 |
$4,588 |
— |
$315 | |
| MRI of the knee with contrast |
$3,670 |
$4,588 |
— |
$315 | |
| MRI of the knee without contrast |
$2,777 |
$3,471 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$3,554 |
$4,443 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$3,554 |
$4,443 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$3,091 |
$3,863 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$3,554 |
$4,443 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$4,693 |
$5,866 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$3,554 |
$4,443 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$3,125 |
$3,906 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$3,223 |
$4,028 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$4,022 |
$5,028 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$3,223 |
$4,028 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$3,122 |
$3,903 |
— |
$191 | |
| MRI of the pelvis |
$3,679 |
$4,598 |
— |
$268 | |
| MRI of the pelvis with contrast |
$3,679 |
$4,598 |
— |
$268 | |
| MRI of the pelvis without contrast |
$2,791 |
$3,489 |
— |
$227 | |
| MRI of the shoulder |
$3,995 |
$4,993 |
— |
$313 | |
| MRI of the shoulder with contrast |
$3,995 |
$4,993 |
— |
$313 | |
| MRI of the shoulder without contrast |
$2,874 |
$3,593 |
— |
$205 | |
| MRI of the wrist |
$3,183 |
$3,979 |
— |
$330 | |
| MRI of the wrist with contrast |
$2,981 |
$3,726 |
— |
$330 | |
| MRI of the wrist without contrast |
$3,183 |
$3,979 |
— |
$303 | |
| Nebulizer breathing treatment |
$208 |
$260 |
— |
$9 | |
| Occupational therapy evaluation |
$314 |
$392 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$360 |
$450 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$268 |
$334 |
— |
$101 | |
| Office visit (established patient) |
$260 |
$325 |
— |
$115 | |
| Office visit (new patient) |
$358 |
$447 |
— |
$177 | |
| Office visit, established patient (level 3) |
$227 |
$284 |
— |
$95 | |
| Office visit, established patient (level 4) |
$293 |
$366 |
— |
$136 | |
| Office visit, new patient (level 3) |
$285 |
$356 |
— |
$118 | |
| Office visit, new patient (level 4) |
$358 |
$447 |
— |
$177 | |
| Office visit, new patient (level 5) |
$450 |
$562 |
— |
$237 | |
| Orthopedic hardware removal |
$5,475 |
$6,844 |
— |
$632 | |
| Pap smear (cervical screening) |
$139 |
$174 |
— |
$20 | |
| Parathyroid hormone (PTH) test |
$742 |
$927 |
— |
$41 | |
| Pelvic ultrasound |
$794 |
$993 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$794 |
$993 |
— |
$105 | |
| Phosphorus blood test |
$102 |
$127 |
— |
$5 | |
| Physical therapy evaluation |
$279 |
$349 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$319 |
$398 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$279 |
$349 |
— |
$98 | |
| Pilonidal cyst removal |
$4,550 |
$5,687 |
— |
$541 | |
| Platelet count |
$80 |
$100 |
— |
$4 | |
| Pregnancy blood test (hCG) |
$157 |
$196 |
— |
$8 | |
| Pregnancy ultrasound |
$754 |
$942 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$715 |
$893 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$793 |
$991 |
— |
$136 | |
| Procalcitonin test |
$317 |
$396 |
— |
$27 | |
| Prolactin test |
$291 |
$364 |
— |
$19 | |
| Prostate surgery (TURP) |
$7,083 |
$8,853 |
— |
$526 | |
| Prostate test (PSA) |
$198 |
$248 |
— |
$18 | |
| Psychiatric evaluation |
$272 |
$340 |
— |
$188 | |
| Psychotherapy session |
$263 |
$329 |
— |
$140 | |
| Rheumatoid factor test |
$112 |
$140 |
— |
$6 | |
| Rotator cuff repair |
$6,731 |
$8,413 |
— |
$792 | |
| RSV vaccine |
$260 |
$325 |
— |
— | |
| Scoliosis spine X-ray |
$454 |
$567 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$303 |
$378 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$605 |
$756 |
— |
$72 | |
| Screening mammogram |
$516 |
$645 |
— |
$126 | |
| Scrotal ultrasound |
$731 |
$913 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$86 |
$108 |
— |
$3 | |
| Semen analysis |
$58 |
$72 |
— |
$12 | |
| Sex hormone binding globulin test |
$122 |
$152 |
— |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$581 |
$727 |
— |
$114 | |
| Simple wound stitches |
$619 |
$774 |
— |
$127 | |
| Skin biopsy |
$643 |
$803 |
— |
$121 | |
| Skin graft |
$8,765 |
$10,956 |
— |
$898 | |
| Skin tag removal |
$1,888 |
$2,360 |
— |
$92 | |
| Small bowel resection |
$3,005 |
$3,757 |
— |
$1,136 | |
| Speech therapy |
$273 |
$341 |
— |
$76 | |
| Spinal tap (lumbar puncture) |
$1,138 |
$1,422 |
— |
$165 | |
| Spine fracture repair (kyphoplasty) |
$14,490 |
$18,113 |
— |
$5,803 | |
| Spirometry (lung function test) |
$427 |
$533 |
— |
$30 | |
| Spirometry with bronchodilator |
$879 |
$1,099 |
— |
$43 | |
| Strep throat test |
$153 |
$191 |
— |
$17 | |
| Stress echocardiogram |
$2,175 |
$2,719 |
— |
$209 | |
| Swallow study |
$386 |
$482 |
— |
$85 | |
| T3 thyroid test |
$297 |
$371 |
— |
$14 | |
| Testicle removal (orchiectomy) |
$4,963 |
$6,203 |
— |
$306 | |
| Testosterone test |
$348 |
$435 |
— |
$26 | |
| Thyroid test (TSH) |
$284 |
$355 |
— |
$17 | |
| Thyroid ultrasound |
$790 |
$987 |
— |
$109 | |
| Thyroid uptake scan |
$951 |
$1,188 |
— |
$145 | |
| Tonsillectomy |
$3,862 |
$4,828 |
— |
$252 | |
| Total IgE allergy test |
$220 |
$275 |
— |
$16 | |
| Total protein test |
$79 |
$99 |
— |
$4 | |
| Transesophageal echocardiogram (TEE) |
$2,347 |
$2,934 |
— |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$2,347 |
$2,934 |
— |
$239 | |
| Transvaginal ultrasound |
$584 |
$730 |
— |
$118 | |
| Trigger finger release |
$4,518 |
$5,648 |
— |
$630 | |
| Trigger point injection |
$884 |
$1,105 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$759 |
$949 |
— |
$52 | |
| Triglycerides test |
$170 |
$212 |
— |
$6 | |
| Troponin (heart) test |
$297 |
$371 |
— |
$12 | |
| Turning a breech baby (version) |
$808 |
$1,009 |
— |
$94 | |
| Umbilical hernia repair |
$7,365 |
$9,207 |
— |
— | |
| Upper GI endoscopy (EGD) |
$2,210 |
$2,762 |
— |
$371 | |
| Upper GI series (barium) |
$644 |
$805 |
— |
$128 | |
| Uric acid (gout) test |
$128 |
$160 |
— |
$5 | |
| Urinalysis |
$76 |
$95 |
— |
$3 | |
| Urine microalbumin test |
$93 |
$117 |
— |
$5 | |
| Urine pregnancy test |
$32 |
$40 |
— |
$9 | |
| Vaccine administration |
$97 |
$121 |
— |
$19 | |
| Vitamin B12 test |
$244 |
$305 |
— |
$15 | |
| Vitamin D test |
$302 |
$377 |
— |
$30 | |
| Wart removal |
$712 |
$890 |
— |
$121 | |
| Wound debridement |
$1,322 |
$1,653 |
— |
$186 | |
| Wrist fracture repair |
$15,026 |
$18,782 |
— |
$735 | |
| X-ray of the abdomen |
$255 |
$319 |
— |
$36 | |
| X-ray of the ankle |
$379 |
$474 |
— |
$37 | |
| X-ray of the collarbone |
$388 |
$485 |
— |
$33 | |
| X-ray of the elbow |
$418 |
$523 |
— |
$33 | |
| X-ray of the facial bones |
$542 |
$677 |
— |
$39 | |
| X-ray of the foot |
$396 |
$495 |
— |
$34 | |
| X-ray of the forearm |
$346 |
$432 |
— |
$29 | |
| X-ray of the hand |
$396 |
$495 |
— |
$38 | |
| X-ray of the hip |
$529 |
$661 |
— |
$49 | |
| X-ray of the hip (1 view) |
$430 |
$538 |
— |
$34 | |
| X-ray of the hip (3 views) |
$529 |
$661 |
— |
$49 | |
| X-ray of the hip (4 views) |
$627 |
$783 |
— |
$63 | |
| X-ray of the knee |
$391 |
$488 |
— |
$42 | |
| X-ray of the knee (2 views) |
$351 |
$438 |
— |
$34 | |
| X-ray of the knee (3 views) |
$391 |
$488 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$698 |
$873 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$517 |
$646 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$508 |
$635 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$525 |
$657 |
— |
$53 | |
| X-ray of the lower leg |
$395 |
$494 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$490 |
$613 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$453 |
$566 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$527 |
$659 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$529 |
$661 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$461 |
$576 |
— |
$40 | |
| X-ray of the pelvis |
$344 |
$431 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$344 |
$431 |
— |
$28 | |
| X-ray of the ribs |
$556 |
$695 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$403 |
$503 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$556 |
$695 |
— |
$42 | |
| X-ray of the shoulder |
$431 |
$539 |
— |
$36 | |
| X-ray of the skull |
$424 |
$530 |
— |
$40 | |
| X-ray of the upper arm |
$427 |
$534 |
— |
$32 | |
| X-ray of the wrist |
$353 |
$441 |
— |
$43 | |
| Zinc blood test |
$125 |
$157 |
— |
$11 | |