| 3D mammogram (tomosynthesis) |
$90 |
$90 |
$54 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,930 |
$1,930 |
$1,337 |
$284 | |
| Abdominal ultrasound |
$1,540 |
$1,540 |
$986 |
$100 | |
| Abdominal ultrasound (complete) |
$1,947 |
$1,947 |
$1,168 |
$114 | |
| Abdominal ultrasound (limited) |
$1,540 |
$1,540 |
$924 |
$86 | |
| Abscess drainage (complex or multiple) |
$834 |
$834 |
$456 |
$220 | |
| Abscess drainage (simple) |
$544 |
$544 |
$354 |
$129 | |
| Abscess incision and drainage |
$584 |
$584 |
$358 |
$174 | |
| Achilles tendon repair |
$11,161 |
$11,161 |
$6,697 |
$624 | |
| Albumin blood test |
$118 |
$118 |
$71 |
$5 | |
| Aldosterone test |
$198 |
$198 |
$135 |
$41 | |
| Alkaline phosphatase test |
$103 |
$103 |
$62 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$352 |
$352 |
$211 |
$17 | |
| ALT liver enzyme test |
$182 |
$182 |
$109 |
$5 | |
| Ammonia blood test |
$164 |
$164 |
$98 |
$15 | |
| Amniocentesis |
$1,407 |
$1,407 |
$750 |
$120 | |
| Amylase test |
$220 |
$220 |
$132 |
$6 | |
| Anoscopy |
$279 |
$279 |
$167 |
$129 | |
| Antinuclear antibody (ANA) test |
$275 |
$275 |
$165 |
$12 | |
| Aortic aneurysm repair (AAA) |
$20,030 |
$20,030 |
$12,018 |
$1,345 | |
| Aortic valve replacement |
$53,879 |
$53,879 |
$32,852 |
$1,603 | |
| Arterial blood gas (ABG) |
$391 |
$391 |
$235 |
$26 | |
| AST liver enzyme test |
$175 |
$175 |
$105 |
$5 | |
| Barium swallow study |
$1,054 |
$1,054 |
$539 |
$107 | |
| Bartholin cyst removal |
$909 |
$909 |
$545 |
$182 | |
| Basic metabolic panel |
$272 |
$272 |
$163 |
$8 | |
| Benign skin lesion removal |
$1,114 |
$1,114 |
$507 |
$171 | |
| Bilirubin blood test |
$135 |
$135 |
$81 |
$5 | |
| Bladder scope (cystoscopy) |
$1,390 |
$1,390 |
$904 |
$216 | |
| Blood clotting test (PT/INR) |
$147 |
$147 |
$55 |
$4 | |
| Blood crossmatch |
$320 |
$320 |
$218 |
— | |
| Blood glucose test |
$144 |
$144 |
$96 |
$5 | |
| Blood transfusion |
$980 |
$980 |
$666 |
$47 | |
| Blood type and screen |
$146 |
$146 |
$101 |
$10 | |
| Blood type test |
$213 |
$213 |
$128 |
$3 | |
| Blood type test (ABO group) |
$213 |
$213 |
$128 |
$3 | |
| BNP (heart failure) test |
$318 |
$318 |
$191 |
$39 | |
| Bone density scan (DEXA) |
$969 |
$969 |
$581 |
$39 | |
| Bone marrow biopsy |
$5,856 |
$5,856 |
$3,264 |
$172 | |
| Bone scan (nuclear) |
$3,293 |
$3,293 |
$1,976 |
$259 | |
| Brain shunt (VP shunt) |
$12,538 |
$12,538 |
$7,523 |
$1,023 | |
| Breast biopsy |
$6,869 |
$6,869 |
$3,977 |
$478 | |
| Breast MRI |
$3,596 |
$3,596 |
$2,011 |
$216 | |
| Breast MRI without contrast |
$4,315 |
$4,315 |
$2,589 |
$216 | |
| Breast ultrasound |
$2,394 |
$2,394 |
$832 |
$92 | |
| Breast ultrasound (complete) |
$2,394 |
$2,394 |
$1,659 |
$100 | |
| Breast ultrasound (limited) |
$956 |
$956 |
$544 |
$84 | |
| Breathing tube insertion (intubation) |
$721 |
$721 |
$500 |
$133 | |
| Bronchoscopy |
$3,572 |
$3,572 |
$2,247 |
$303 | |
| Burn dressing and debridement (medium) |
$696 |
$696 |
$418 |
$166 | |
| Burn dressing and debridement (small) |
$429 |
$429 |
$300 |
$93 | |
| Burn treatment |
$657 |
$657 |
$365 |
$129 | |
| C-reactive protein (CRP) |
$172 |
$172 |
$103 |
$5 | |
| CA 19-9 tumor marker test |
$213 |
$213 |
$128 |
$21 | |
| CA-125 ovarian marker test |
$460 |
$460 |
$276 |
$21 | |
| Calcium blood test |
$150 |
$150 |
$90 |
$5 | |
| Capsule endoscopy |
$2,230 |
$2,230 |
$714 |
$802 | |
| Cardiac ablation |
$68,879 |
$68,879 |
$37,883 |
$759 | |
| Cardiac catheterization |
$14,630 |
$14,630 |
$9,006 |
$1,049 | |
| Cardiac MRI |
$4,310 |
$4,310 |
$1,597 |
$322 | |
| Cardiac MRI without contrast |
$1,936 |
$1,936 |
$1,162 |
$280 | |
| Cardiac stress test |
$1,960 |
$1,960 |
$1,176 |
$39 | |
| Cardioversion |
$2,541 |
$2,541 |
$1,525 |
$155 | |
| Carotid artery surgery |
$16,096 |
$16,096 |
$9,658 |
$1,026 | |
| CEA tumor marker test |
$327 |
$327 |
$196 |
$19 | |
| Celiac disease test |
$128 |
$128 |
$77 |
$12 | |
| Central line placement |
$5,456 |
$5,456 |
$2,974 |
$238 | |
| Cesarean section (C-section) |
— |
— |
$3,360 |
$7,552 | |
| Chemotherapy infusion |
$866 |
$866 |
$399 |
$81 | |
| Chemotherapy infusion (each additional) |
$532 |
$532 |
$229 |
$28 | |
| Chemotherapy infusion (first hour) |
$1,666 |
$1,666 |
$842 |
$133 | |
| Chest fluid drain (thoracentesis) |
$3,657 |
$3,657 |
$1,946 |
$311 | |
| Chest tube insertion |
$2,670 |
$2,670 |
$1,469 |
$143 | |
| Chest X-ray |
$636 |
$636 |
$266 |
$37 | |
| Chest X-ray (1 view) |
$370 |
$370 |
$222 |
$25 | |
| Chest X-ray (2 views) |
$676 |
$676 |
$352 |
$33 | |
| Chickenpox (varicella) vaccine |
$696 |
$696 |
$473 |
— | |
| CK-MB heart enzyme test |
$247 |
$247 |
$148 |
$12 | |
| Clotting time test (PTT) |
$205 |
$205 |
$123 |
$6 | |
| Complete blood count (CBC) |
$163 |
$163 |
$98 |
$7 | |
| Complete blood count (CBC) (complete) |
$163 |
$163 |
$98 |
$8 | |
| Complex wound repair |
$1,299 |
$1,299 |
$779 |
$390 | |
| Comprehensive metabolic panel |
$380 |
$380 |
$228 |
$11 | |
| Contraceptive implant (Nexplanon) |
$270 |
$270 |
$187 |
$115 | |
| Copper blood test |
$154 |
$154 |
$92 |
$12 | |
| Coronary artery bypass (CABG) |
— |
— |
$3,444 |
$36,593 | |
| Coronary CT angiography |
$5,110 |
$5,110 |
$3,066 |
$326 | |
| Cortisol test |
$363 |
$363 |
$218 |
$16 | |
| COVID-19 PCR test |
$170 |
$170 |
$116 |
$51 | |
| CPAP titration study |
$1,326 |
$1,326 |
$796 |
$69 | |
| Creatine kinase (CK) test |
$203 |
$203 |
$122 |
$7 | |
| CT angiography of the chest |
$5,680 |
$5,680 |
$2,672 |
$281 | |
| CT angiography of the head |
$3,556 |
$3,556 |
$2,134 |
$274 | |
| CT colonography (virtual colonoscopy) |
$1,445 |
$1,445 |
$867 |
$835 | |
| CT scan of the abdomen |
$5,529 |
$5,529 |
$2,874 |
$230 | |
| CT scan of the abdomen and pelvis |
$8,066 |
$8,066 |
$4,555 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$8,657 |
$8,657 |
$5,194 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$7,344 |
$7,344 |
$4,406 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$6,573 |
$6,573 |
$3,944 |
$183 | |
| CT scan of the abdomen with and without contrast |
$5,529 |
$5,529 |
$3,317 |
$259 | |
| CT scan of the abdomen with contrast |
$4,936 |
$4,936 |
$2,962 |
$230 | |
| CT scan of the abdomen without contrast |
$3,992 |
$3,992 |
$2,395 |
$136 | |
| CT scan of the arm |
$3,721 |
$3,721 |
$2,251 |
$199 | |
| CT scan of the arm with contrast |
$4,582 |
$4,582 |
$2,749 |
$199 | |
| CT scan of the arm without contrast |
$3,585 |
$3,585 |
$1,972 |
$161 | |
| CT scan of the chest |
$4,580 |
$4,580 |
$2,298 |
$167 | |
| CT scan of the chest with and without contrast |
$5,325 |
$5,325 |
$3,195 |
$196 | |
| CT scan of the chest with contrast |
$4,580 |
$4,580 |
$2,748 |
$167 | |
| CT scan of the chest without contrast |
$3,064 |
$3,064 |
$1,838 |
$133 | |
| CT scan of the head |
$3,778 |
$3,778 |
$2,209 |
$148 | |
| CT scan of the head with and without contrast |
$4,688 |
$4,688 |
$2,813 |
$173 | |
| CT scan of the head with contrast |
$3,848 |
$3,848 |
$2,309 |
$148 | |
| CT scan of the head without contrast |
$3,423 |
$3,423 |
$1,883 |
$107 | |
| CT scan of the leg |
$2,814 |
$2,814 |
$1,645 |
$166 | |
| CT scan of the leg with contrast |
$2,814 |
$2,814 |
$1,688 |
$166 | |
| CT scan of the leg without contrast |
$2,354 |
$2,354 |
$1,496 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$4,658 |
$4,658 |
$2,689 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$5,166 |
$5,166 |
$3,100 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$4,658 |
$4,658 |
$2,795 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$3,847 |
$3,847 |
$2,308 |
$130 | |
| CT scan of the neck |
$4,206 |
$4,206 |
$1,751 |
$183 | |
| CT scan of the neck (cervical spine) |
$4,923 |
$4,923 |
$2,954 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$5,396 |
$5,396 |
$3,238 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$4,923 |
$4,923 |
$2,954 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$4,514 |
$4,514 |
$2,708 |
$131 | |
| CT scan of the neck with and without contrast |
$4,462 |
$4,462 |
$2,677 |
$220 | |
| CT scan of the neck with contrast |
$4,309 |
$4,309 |
$2,585 |
$183 | |
| CT scan of the neck without contrast |
$2,189 |
$2,189 |
$1,313 |
$150 | |
| CT scan of the pelvis |
$4,652 |
$4,652 |
$1,843 |
$226 | |
| CT scan of the pelvis with and without contrast |
$5,413 |
$5,413 |
$3,248 |
$251 | |
| CT scan of the pelvis with contrast |
$4,783 |
$4,783 |
$2,870 |
$226 | |
| CT scan of the pelvis without contrast |
$2,637 |
$2,637 |
$1,582 |
$133 | |
| CT scan of the sinuses |
$4,262 |
$4,262 |
$2,480 |
$152 | |
| CT scan of the sinuses with and without contrast |
$5,182 |
$5,182 |
$3,109 |
$184 | |
| CT scan of the sinuses with contrast |
$4,347 |
$4,347 |
$2,608 |
$152 | |
| CT scan of the sinuses without contrast |
$3,678 |
$3,678 |
$2,168 |
$128 | |
| Defibrillator (ICD) implant |
$41,098 |
$41,098 |
$24,659 |
$798 | |
| DHEA-sulfate test |
$431 |
$431 |
$259 |
$22 | |
| Diagnostic mammogram |
$546 |
$546 |
$361 |
$140 | |
| Drug screen (urine) |
$282 |
$282 |
$169 |
$17 | |
| Echocardiogram |
$1,579 |
$1,579 |
$1,094 |
$138 | |
| Echocardiogram with and without contrast |
$1,440 |
$1,440 |
$902 |
$101 | |
| EEG (awake and asleep) |
$1,273 |
$1,273 |
$764 |
$482 | |
| EKG / ECG (tracing only) |
$500 |
$500 |
$300 |
$7 | |
| Electrocardiogram (EKG) |
$500 |
$500 |
$300 |
$8 | |
| Electroencephalogram (EEG) |
$1,127 |
$1,127 |
$682 |
$448 | |
| Electrolyte panel |
$223 |
$223 |
$134 |
$7 | |
| Emergency department visit |
$1,337 |
$1,337 |
$564 |
$69 | |
| Emergency department visit (level 1) |
$454 |
$454 |
$275 |
$11 | |
| Emergency department visit (level 2) |
$768 |
$768 |
$475 |
$40 | |
| Emergency department visit (level 3) |
$1,337 |
$1,337 |
$824 |
$69 | |
| Emergency department visit (level 4) |
$1,811 |
$1,811 |
$1,142 |
$118 | |
| Emergency department visit (level 5) |
$3,092 |
$3,092 |
$1,748 |
$171 | |
| Endometrial biopsy |
$437 |
$437 |
$272 |
$98 | |
| Epidural steroid injection |
$2,450 |
$2,450 |
$1,496 |
$275 | |
| Estradiol (estrogen) test |
$363 |
$363 |
$218 |
$28 | |
| Facet joint injection (spine) |
$2,269 |
$2,269 |
$781 |
$99 | |
| Fallopian tube X-ray (HSG) |
$1,176 |
$1,176 |
$706 |
$164 | |
| Fecal occult blood (stool) test |
$100 |
$100 |
$31 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$39 |
$39 |
$23 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$160 |
$160 |
$96 |
$16 | |
| Ferritin (iron) test |
$331 |
$331 |
$199 |
$14 | |
| Fibrinogen test |
$157 |
$157 |
$94 |
$10 | |
| Flu vaccine |
$190 |
$190 |
$114 |
— | |
| Folate (folic acid) test |
$295 |
$295 |
$177 |
$15 | |
| Foreign body removal (skin) |
$851 |
$851 |
$511 |
$157 | |
| Free T4 thyroid test |
$281 |
$281 |
$169 |
$9 | |
| FSH hormone test |
$455 |
$455 |
$273 |
$19 | |
| Gallbladder scan (HIDA) |
$3,170 |
$3,170 |
$2,156 |
$334 | |
| GGT liver test |
$183 |
$183 |
$110 |
$7 | |
| Glucose tolerance test |
$133 |
$133 |
$92 |
$8 | |
| HDL cholesterol test |
$151 |
$151 |
$91 |
$8 | |
| Hematocrit test |
$48 |
$48 |
$26 |
$2 | |
| Hemodialysis |
$2,304 |
$2,304 |
$1,382 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$239 |
$239 |
$143 |
$10 | |
| Hemorrhoid removal |
$1,899 |
$1,899 |
$1,139 |
$338 | |
| Hepatitis B test |
$223 |
$223 |
$134 |
$10 | |
| Hepatitis B vaccine |
$435 |
$435 |
$261 |
— | |
| Hepatitis C test |
$303 |
$303 |
$182 |
$14 | |
| Hip fracture repair |
$6,194 |
$6,194 |
$3,716 |
$1,120 | |
| HIV test |
$325 |
$325 |
$170 |
$19 | |
| HIV test (antibody) |
$280 |
$280 |
$168 |
$14 | |
| HIV test (antigen/antibody combo) |
$369 |
$369 |
$186 |
$24 | |
| Holter heart monitor |
$1,298 |
$1,298 |
$779 |
$26 | |
| Iron blood test |
$188 |
$188 |
$113 |
$6 | |
| IUD insertion |
$443 |
$443 |
$307 |
— | |
| IUD removal |
$708 |
$708 |
$433 |
$112 | |
| IV infusion therapy |
$853 |
$853 |
$354 |
$44 | |
| IV infusion therapy (each additional) |
$373 |
$373 |
$258 |
$21 | |
| IV infusion therapy (initial) |
$926 |
$926 |
$556 |
$67 | |
| IVC filter placement |
$9,439 |
$9,439 |
$5,663 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$614 |
$614 |
$380 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$623 |
$623 |
$424 |
$57 | |
| Joint aspiration or injection (small joint) |
$612 |
$612 |
$355 |
$56 | |
| Kidney biopsy |
$3,966 |
$3,966 |
$2,380 |
$492 | |
| Kidney scan (nuclear) |
$2,962 |
$2,962 |
$1,777 |
$172 | |
| Kidney ultrasound |
$1,565 |
$1,565 |
$672 |
$84 | |
| Kidney ultrasound (limited) |
$1,565 |
$1,565 |
$593 |
$61 | |
| Knee joint injection |
$1,436 |
$1,436 |
$862 |
$69 | |
| Knee replacement |
— |
— |
$3,444 |
$18,054 | |
| Lactate test |
$261 |
$261 |
$161 |
$12 | |
| Laryngoscopy |
$1,252 |
$1,252 |
$562 |
$189 | |
| LDH test |
$165 |
$165 |
$99 |
$6 | |
| LDL cholesterol test |
$172 |
$172 |
$103 |
$11 | |
| Leg artery angiogram |
$5,456 |
$5,456 |
$3,274 |
$149 | |
| Leg artery angioplasty |
$16,692 |
$16,692 |
$10,049 |
— | |
| LH hormone test |
$457 |
$457 |
$274 |
$19 | |
| Lipase test |
$287 |
$287 |
$172 |
$7 | |
| Lipid (cholesterol) panel |
$315 |
$315 |
$189 |
$13 | |
| Liver biopsy |
$2,556 |
$2,556 |
$1,534 |
$288 | |
| Liver function panel |
$332 |
$332 |
$199 |
$8 | |
| Lower back (lumbar) spinal fusion |
— |
— |
$3,360 |
$1,511 | |
| Lung function test (PFT) |
$1,097 |
$1,097 |
$233 |
$37 | |
| Lung scan (V/Q) |
$3,542 |
$3,542 |
$2,125 |
$291 | |
| Magnesium blood test |
$207 |
$207 |
$124 |
$7 | |
| MRA of the brain |
$4,696 |
$4,696 |
$2,583 |
$226 | |
| MRA of the brain with contrast |
$5,766 |
$5,766 |
$3,460 |
$226 | |
| MRA of the brain without contrast |
$4,696 |
$4,696 |
$2,818 |
$328 | |
| MRA of the neck |
$4,533 |
$4,533 |
$2,423 |
$245 | |
| MRA of the neck with contrast |
$4,533 |
$4,533 |
$2,720 |
$245 | |
| MRA of the neck without contrast |
$4,588 |
$4,588 |
$2,753 |
$343 | |
| MRI of the abdomen |
$5,599 |
$5,599 |
$2,806 |
$300 | |
| MRI of the abdomen with contrast |
$5,599 |
$5,599 |
$3,359 |
$300 | |
| MRI of the abdomen without contrast |
$3,897 |
$3,897 |
$2,338 |
$194 | |
| MRI of the ankle |
$5,496 |
$5,496 |
$3,298 |
$261 | |
| MRI of the ankle with contrast |
$7,421 |
$7,421 |
$4,453 |
$261 | |
| MRI of the ankle without contrast |
$4,937 |
$4,937 |
$2,962 |
$222 | |
| MRI of the brain |
$6,416 |
$6,416 |
$3,472 |
$269 | |
| MRI of the brain with contrast |
$6,416 |
$6,416 |
$3,850 |
$269 | |
| MRI of the brain without contrast |
$5,786 |
$5,786 |
$2,949 |
$195 | |
| MRI of the chest |
$4,440 |
$4,440 |
$2,664 |
$371 | |
| MRI of the chest with contrast |
$4,440 |
$4,440 |
$2,664 |
$371 | |
| MRI of the chest without contrast |
$4,879 |
$4,879 |
$2,927 |
$466 | |
| MRI of the knee |
$5,554 |
$5,554 |
$3,332 |
$315 | |
| MRI of the knee with contrast |
$5,554 |
$5,554 |
$3,332 |
$315 | |
| MRI of the knee without contrast |
$4,800 |
$4,800 |
$2,880 |
$204 | |
| MRI of the lower back (lumbar spine) |
$5,540 |
$5,540 |
$3,324 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$6,094 |
$6,094 |
$3,656 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$5,540 |
$5,540 |
$3,324 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$5,186 |
$5,186 |
$2,386 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$8,858 |
$8,858 |
$3,505 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$3,384 |
$3,384 |
$2,030 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$5,186 |
$5,186 |
$2,215 |
$190 | |
| MRI of the neck (cervical spine) |
$5,460 |
$5,460 |
$3,133 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$7,438 |
$7,438 |
$4,463 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$5,720 |
$5,720 |
$3,432 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$5,199 |
$5,199 |
$3,119 |
$191 | |
| MRI of the pelvis |
$5,820 |
$5,820 |
$2,889 |
$268 | |
| MRI of the pelvis with contrast |
$4,448 |
$4,448 |
$2,669 |
$268 | |
| MRI of the pelvis without contrast |
$4,917 |
$4,917 |
$2,703 |
$227 | |
| MRI of the shoulder |
$5,054 |
$5,054 |
$3,032 |
$313 | |
| MRI of the shoulder with contrast |
$5,054 |
$5,054 |
$3,032 |
$313 | |
| MRI of the shoulder without contrast |
$4,409 |
$4,409 |
$2,645 |
$205 | |
| MRI of the wrist |
$4,043 |
$4,043 |
$2,426 |
$330 | |
| MRI of the wrist with contrast |
$6,811 |
$6,811 |
$4,087 |
$330 | |
| MRI of the wrist without contrast |
$3,386 |
$3,386 |
$2,032 |
$303 | |
| Nebulizer breathing treatment |
$545 |
$545 |
$361 |
$9 | |
| Nuchal translucency ultrasound |
$668 |
$668 |
$401 |
$116 | |
| Nuclear cardiac stress test |
$7,987 |
$7,987 |
$4,995 |
$428 | |
| Occupational therapy evaluation |
$630 |
$630 |
$392 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$663 |
$663 |
$407 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$586 |
$586 |
$352 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$605 |
$605 |
$374 |
$101 | |
| Office visit (established patient) |
$457 |
$457 |
$274 |
$115 | |
| Office visit (new patient) |
$473 |
$473 |
$305 |
$177 | |
| Office visit, established patient (level 3) |
$457 |
$457 |
$265 |
$95 | |
| Office visit, established patient (level 4) |
$624 |
$624 |
$315 |
$136 | |
| Office visit, new patient (level 3) |
$473 |
$473 |
$284 |
$118 | |
| Office visit, new patient (level 4) |
$661 |
$661 |
$338 |
$177 | |
| Office visit, new patient (level 5) |
$832 |
$832 |
$346 |
$237 | |
| Orthopedic hardware removal |
$5,838 |
$5,838 |
$3,503 |
$632 | |
| Pacemaker insertion |
— |
— |
$3,444 |
$15,506 | |
| Pap smear (cervical screening) |
$236 |
$236 |
$146 |
$20 | |
| Parathyroid hormone (PTH) test |
$657 |
$657 |
$394 |
$41 | |
| Pelvic ultrasound |
$1,326 |
$1,326 |
$792 |
$78 | |
| Pelvic ultrasound (complete) |
$1,684 |
$1,684 |
$1,036 |
$105 | |
| Pelvic ultrasound (limited) |
$1,143 |
$1,143 |
$686 |
$51 | |
| PET scan |
$11,466 |
$11,466 |
$7,011 |
— | |
| Phosphorus blood test |
$122 |
$122 |
$73 |
$5 | |
| Physical therapy evaluation |
$641 |
$641 |
$371 |
$98 | |
| Physical therapy evaluation (high complexity) |
$709 |
$709 |
$450 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$595 |
$595 |
$371 |
$98 | |
| Pilonidal cyst removal |
$5,838 |
$5,838 |
$3,503 |
$541 | |
| Platelet count |
$124 |
$124 |
$74 |
$4 | |
| Pneumonia vaccine |
$413 |
$413 |
$248 |
— | |
| Pregnancy blood test (hCG) |
$245 |
$245 |
$147 |
$8 | |
| Pregnancy ultrasound |
$1,249 |
$1,249 |
$771 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$1,285 |
$1,285 |
$771 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$1,212 |
$1,212 |
$727 |
$136 | |
| Procalcitonin test |
$427 |
$427 |
$256 |
$27 | |
| Prolactin test |
$466 |
$466 |
$280 |
$19 | |
| Prostate biopsy |
$4,001 |
$4,001 |
$2,747 |
— | |
| Prostate test (PSA) |
$375 |
$375 |
$225 |
$18 | |
| Radiofrequency nerve ablation |
$4,099 |
$4,099 |
$2,841 |
$462 | |
| Sacroiliac joint injection |
$2,221 |
$2,221 |
$1,146 |
$176 | |
| Scoliosis spine X-ray |
$813 |
$813 |
$351 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$369 |
$369 |
$221 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$813 |
$813 |
$488 |
$72 | |
| Screening mammogram |
$538 |
$538 |
$323 |
$126 | |
| Scrotal ultrasound |
$1,477 |
$1,477 |
$894 |
$99 | |
| Sedimentation rate (ESR) test |
$137 |
$137 |
$82 |
$3 | |
| Sex hormone binding globulin test |
$368 |
$368 |
$221 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$707 |
$707 |
$476 |
$114 | |
| Simple wound stitches |
$786 |
$786 |
$476 |
$127 | |
| Skin biopsy |
$834 |
$834 |
$500 |
$121 | |
| Skin biopsy (punch) |
$834 |
$834 |
$500 |
$121 | |
| Skin graft |
$6,543 |
$6,543 |
$3,863 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$415 |
$415 |
$249 |
$36 | |
| Skin tag removal |
$415 |
$415 |
$249 |
$92 | |
| Sleep study (polysomnography) |
$8,669 |
$8,669 |
$5,551 |
$691 | |
| Soft tissue ultrasound |
$1,325 |
$1,325 |
$795 |
$64 | |
| Speech therapy |
$200 |
$200 |
$140 |
$76 | |
| Spinal cord stimulator |
$9,117 |
$9,117 |
$6,318 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$2,032 |
$2,032 |
$1,082 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$17,392 |
$17,392 |
$11,090 |
$5,803 | |
| Spirometry (lung function test) |
$245 |
$245 |
$147 |
$30 | |
| Spirometry with bronchodilator |
$1,097 |
$1,097 |
$658 |
$43 | |
| Strep throat test |
$54 |
$54 |
$37 |
$17 | |
| Stress echocardiogram |
$3,408 |
$3,408 |
$2,142 |
$209 | |
| Swallow study |
$493 |
$493 |
$340 |
$85 | |
| T3 thyroid test |
$337 |
$337 |
$202 |
$14 | |
| Tdap (tetanus) vaccine |
$352 |
$352 |
$211 |
— | |
| Testosterone test |
$12 |
$12 |
$12 |
$26 | |
| Thyroid test (TSH) |
$324 |
$324 |
$194 |
$17 | |
| Thyroid ultrasound |
$1,378 |
$1,378 |
$827 |
$109 | |
| Thyroid uptake scan |
$1,576 |
$1,576 |
$714 |
$145 | |
| Tilt table test |
$4,224 |
$4,224 |
$2,534 |
$168 | |
| Total IgE allergy test |
$252 |
$252 |
$151 |
$16 | |
| Total protein test |
$102 |
$102 |
$61 |
$4 | |
| Tracheostomy |
$6,655 |
$6,655 |
$4,027 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$3,055 |
$3,055 |
$1,833 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$3,055 |
$3,055 |
$1,833 |
$239 | |
| Transvaginal ultrasound |
$1,320 |
$1,320 |
$792 |
$118 | |
| Trigger finger release |
$5,890 |
$5,890 |
$3,534 |
$630 | |
| Trigger point injection |
$1,030 |
$1,030 |
$670 |
$56 | |
| Trigger point injection (1-2 muscles) |
$1,030 |
$1,030 |
$618 |
$52 | |
| Triglycerides test |
$160 |
$160 |
$96 |
$6 | |
| Troponin (heart) test |
$371 |
$371 |
$223 |
$12 | |
| Turning a breech baby (version) |
$6,449 |
$6,449 |
$3,869 |
$94 | |
| Upper GI endoscopy (EGD) |
$1,900 |
$1,900 |
$1,292 |
$371 | |
| Upper GI series (barium) |
$1,356 |
$1,356 |
$814 |
$128 | |
| Ureteral stent placement |
$6,630 |
$6,630 |
$3,978 |
$373 | |
| Uric acid (gout) test |
$143 |
$143 |
$86 |
$5 | |
| Urinalysis |
$106 |
$106 |
$38 |
$3 | |
| Urine microalbumin test |
$170 |
$170 |
$83 |
$5 | |
| Urine pregnancy test |
$193 |
$193 |
$123 |
$9 | |
| Vaccine administration |
$187 |
$187 |
$112 |
$19 | |
| Vaccine administration (each additional) |
$104 |
$104 |
$64 |
$16 | |
| Vaginal delivery |
— |
— |
$3,360 |
$5,487 | |
| Varicose vein ablation |
$5,456 |
$5,456 |
$4,365 |
$1,018 | |
| Vitamin B12 test |
$320 |
$320 |
$192 |
$15 | |
| Vitamin D test |
$493 |
$493 |
$296 |
$30 | |
| Wart removal |
$301 |
$301 |
$181 |
$121 | |
| Weight-loss (bariatric) surgery |
— |
— |
$3,444 |
$11,645 | |
| Wound debridement |
$1,240 |
$1,240 |
$738 |
$186 | |
| Wrist fracture repair |
$11,161 |
$11,161 |
$6,697 |
$735 | |
| X-ray of the abdomen |
$520 |
$520 |
$322 |
$36 | |
| X-ray of the ankle |
$634 |
$634 |
$393 |
$37 | |
| X-ray of the collarbone |
$606 |
$606 |
$364 |
$33 | |
| X-ray of the elbow |
$705 |
$705 |
$423 |
$33 | |
| X-ray of the facial bones |
$563 |
$563 |
$338 |
$39 | |
| X-ray of the foot |
$611 |
$611 |
$367 |
$34 | |
| X-ray of the forearm |
$674 |
$674 |
$404 |
$29 | |
| X-ray of the hand |
$602 |
$602 |
$361 |
$38 | |
| X-ray of the hip |
$653 |
$653 |
$210 |
$49 | |
| X-ray of the hip (1 view) |
$280 |
$280 |
$168 |
$34 | |
| X-ray of the hip (3 views) |
$653 |
$653 |
$392 |
$49 | |
| X-ray of the hip (4 views) |
$677 |
$677 |
$469 |
$63 | |
| X-ray of the knee |
$801 |
$801 |
$481 |
$42 | |
| X-ray of the knee (2 views) |
$695 |
$695 |
$417 |
$34 | |
| X-ray of the knee (3 views) |
$801 |
$801 |
$481 |
$42 | |
| X-ray of the knee (4+ views) |
$952 |
$952 |
$571 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$838 |
$838 |
$535 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$838 |
$838 |
$503 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$1,163 |
$1,163 |
$698 |
$53 | |
| X-ray of the lower leg |
$732 |
$732 |
$448 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$961 |
$961 |
$557 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$774 |
$774 |
$464 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$961 |
$961 |
$577 |
$39 | |
| X-ray of the neck (cervical spine) |
$782 |
$782 |
$483 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$782 |
$782 |
$469 |
$40 | |
| X-ray of the pelvis |
$781 |
$781 |
$494 |
$36 | |
| X-ray of the pelvis (1 view) |
$737 |
$737 |
$442 |
$28 | |
| X-ray of the ribs |
$437 |
$437 |
$262 |
$42 | |
| X-ray of the ribs (2 views) |
$387 |
$387 |
$232 |
$36 | |
| X-ray of the ribs (3 views) |
$437 |
$437 |
$262 |
$42 | |
| X-ray of the shoulder |
$620 |
$620 |
$372 |
$36 | |
| X-ray of the skull |
$582 |
$582 |
$349 |
$40 | |
| X-ray of the upper arm |
$709 |
$709 |
$425 |
$32 | |
| X-ray of the wrist |
$626 |
$626 |
$376 |
$43 | |
| Zinc blood test |
$85 |
$85 |
$51 |
$11 | |