| 3D mammogram (tomosynthesis) |
$140 |
$270 |
$97 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,836 |
$3,530 |
$1,139 |
$284 | |
| Abdominal ultrasound |
$1,043 |
$2,005 |
$117 |
$100 | |
| Abdominal ultrasound (complete) |
$1,191 |
$2,290 |
$117 |
$114 | |
| Abdominal ultrasound (limited) |
$894 |
$1,720 |
$117 |
$86 | |
| Abscess drainage (complex or multiple) |
$1,004 |
$1,930 |
$486 |
$220 | |
| Abscess drainage (simple) |
$468 |
$900 |
$241 |
$129 | |
| Abscess incision and drainage |
$736 |
$1,415 |
$441 |
$174 | |
| Achilles tendon repair |
$4,914 |
$9,450 |
$8,681 |
$624 | |
| ACL knee reconstruction |
$9,001 |
$17,310 |
$8,681 |
$889 | |
| Acupuncture |
$65 |
$125 |
— |
$38 | |
| Acupuncture (each additional) |
$56 |
$108 |
— |
$28 | |
| Adenoid removal (adenoidectomy) |
$2,252 |
$4,330 |
$3,941 |
$204 | |
| Albumin blood test |
$25 |
$48 |
$4 |
$5 | |
| Aldosterone test |
$211 |
$406 |
$35 |
$41 | |
| Alkaline phosphatase test |
$47 |
$90 |
$4 |
$5 | |
| Allergy patch testing |
$264 |
$507 |
— |
$5 | |
| Allergy shots |
$74 |
$142 |
— |
$11 | |
| Alpha-fetoprotein (AFP) test |
$26 |
$50 |
$14 |
$17 | |
| ALT liver enzyme test |
$21 |
$41 |
$4 |
$5 | |
| Ammonia blood test |
$181 |
$348 |
$12 |
$15 | |
| Amniocentesis |
$1,482 |
$2,850 |
$1,058 |
$120 | |
| Amylase test |
$83 |
$159 |
$6 |
$6 | |
| Anal fistula repair |
$2,766 |
$5,320 |
$3,333 |
$541 | |
| Ankle fracture repair |
$3,255 |
$6,260 |
$8,681 |
$608 | |
| Ankle replacement |
— |
— |
$22,347 |
$885 | |
| Anoscopy |
$312 |
$600 |
$156 |
$129 | |
| Antinuclear antibody (ANA) test |
$32 |
$62 |
$10 |
$12 | |
| Aortic aneurysm repair (AAA) |
$3,229 |
$6,210 |
— |
$1,345 | |
| Aortic valve replacement |
$15,454 |
$29,720 |
— |
$1,603 | |
| Arterial blood gas (ABG) |
$284 |
$547 |
$23 |
$26 | |
| AST liver enzyme test |
$21 |
$41 |
$4 |
$5 | |
| Barium swallow study |
$512 |
$985 |
$198 |
$107 | |
| Bartholin cyst removal |
$494 |
$950 |
$245 |
$182 | |
| Basic metabolic panel |
$248 |
$477 |
$6 |
$8 | |
| Benign skin lesion removal |
$2,044 |
$3,930 |
$855 |
$171 | |
| Bilirubin blood test |
$45 |
$87 |
$4 |
$5 | |
| Bladder function test (urodynamics) |
$1,196 |
$2,300 |
$811 |
$345 | |
| Bladder scope (cystoscopy) |
$1,617 |
$3,110 |
$811 |
$216 | |
| Bladder tumor removal (TURBT) |
$5,650 |
$10,865 |
$4,191 |
$236 | |
| Blood clotting test (PT/INR) |
$95 |
$183 |
$4 |
$4 | |
| Blood crossmatch |
$359 |
$690 |
$237 |
— | |
| Blood glucose test |
$40 |
$77 |
$4 |
$5 | |
| Blood transfusion |
$874 |
$1,680 |
$531 |
$47 | |
| Blood type and screen |
$280 |
$538 |
$74 |
$10 | |
| Blood type test |
$170 |
$327 |
$138 |
$3 | |
| Blood type test (ABO group) |
$268 |
$516 |
$177 |
$3 | |
| Blood type test (Rh/D antigen) |
$71 |
$137 |
$54 |
$3 | |
| BNP (heart failure) test |
$230 |
$443 |
$33 |
$39 | |
| Bone density scan (DEXA) |
$473 |
$910 |
$117 |
$39 | |
| Bone marrow biopsy |
$1,669 |
$3,210 |
$3,159 |
$172 | |
| Bone scan (nuclear) |
$2,122 |
$4,080 |
$447 |
$259 | |
| Botox for migraine |
$541 |
$1,040 |
$359 |
$157 | |
| Breast biopsy |
$3,687 |
$7,090 |
$1,969 |
$478 | |
| Breast MRI |
$1,196 |
$2,300 |
$335 |
$216 | |
| Breast MRI without contrast |
$1,196 |
$2,300 |
$270 |
$216 | |
| Breast reconstruction |
$11,721 |
$22,540 |
$21,142 |
$1,227 | |
| Breast reduction |
$2,954 |
$5,680 |
$7,925 |
$980 | |
| Breast ultrasound |
$442 |
$850 |
$108 |
$92 | |
| Breast ultrasound (complete) |
$556 |
$1,070 |
$117 |
$100 | |
| Breast ultrasound (limited) |
$328 |
$630 |
$99 |
$84 | |
| Breathing tube insertion (intubation) |
$1,050 |
$2,020 |
$282 |
$133 | |
| Bronchoscopy |
$3,219 |
$6,190 |
$3,658 |
$303 | |
| Bunion surgery (bunionectomy) |
$3,255 |
$6,260 |
$9,573 |
$883 | |
| Burn dressing and debridement (medium) |
$406 |
$780 |
$241 |
$166 | |
| Burn dressing and debridement (small) |
$369 |
$710 |
$241 |
$93 | |
| Burn treatment |
$387 |
$745 |
$241 |
$129 | |
| C-reactive protein (CRP) |
$47 |
$90 |
$4 |
$5 | |
| CA 19-9 tumor marker test |
$32 |
$62 |
$19 |
$21 | |
| CA-125 ovarian marker test |
$138 |
$265 |
$19 |
$21 | |
| Calcium blood test |
$62 |
$119 |
$4 |
$5 | |
| Capsule endoscopy |
$1,664 |
$3,200 |
$1,139 |
$802 | |
| Cardiac ablation |
$17,519 |
$33,690 |
— |
$759 | |
| Cardiac catheterization |
$14,765 |
$28,395 |
$3,908 |
$1,049 | |
| Cardiac MRI |
$2,626 |
$5,050 |
$382 |
$322 | |
| Cardiac MRI without contrast |
$2,444 |
$4,700 |
$294 |
$280 | |
| Cardiac rehabilitation |
$297 |
$571 |
— |
$26 | |
| Cardiac stress test |
$842 |
$1,620 |
— |
$39 | |
| Cardioversion |
$1,789 |
$3,440 |
$795 |
$155 | |
| Carotid artery ultrasound |
$912 |
$1,754 |
— |
$156 | |
| Carpal tunnel release |
$3,609 |
$6,940 |
$2,373 |
$483 | |
| Cataract surgery |
$3,102 |
$5,965 |
$2,771 |
$547 | |
| CEA tumor marker test |
$120 |
$231 |
$16 |
$19 | |
| Celiac disease test |
$60 |
$116 |
$10 |
$12 | |
| Central line placement |
$2,194 |
$4,220 |
$3,825 |
$238 | |
| Cervical cerclage |
$5,226 |
$10,050 |
$3,863 |
$137 | |
| Cervical LEEP procedure |
$4,948 |
$9,515 |
$3,863 |
$325 | |
| Cesarean section (C-section) |
— |
— |
$3,842 |
$7,552 | |
| Chalazion (eyelid cyst) removal |
$879 |
$1,690 |
$363 |
$131 | |
| Chemotherapy infusion |
$595 |
$1,145 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$317 |
$610 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$874 |
$1,680 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$2,033 |
$3,910 |
$751 |
$311 | |
| Chest tube insertion |
$1,778 |
$3,420 |
$1,888 |
$143 | |
| Chest X-ray |
$395 |
$760 |
$99 |
$37 | |
| Chest X-ray (1 view) |
$364 |
$700 |
$99 |
$25 | |
| Chest X-ray (2 views) |
$385 |
$740 |
$99 |
$33 | |
| Chickenpox (varicella) vaccine |
$313 |
$602 |
— |
— | |
| Chiropractic adjustment |
$120 |
$231 |
— |
$38 | |
| Circumcision |
$2,275 |
$4,375 |
$2,489 |
$167 | |
| CK-MB heart enzyme test |
$154 |
$296 |
$10 |
$12 | |
| Clotting time test (PTT) |
$111 |
$214 |
$4 |
$6 | |
| Colonoscopy |
$2,080 |
$4,000 |
$1,433 |
$480 | |
| Colposcopy |
$946 |
$1,820 |
$370 |
$161 | |
| Complete blood count (CBC) |
$93 |
$180 |
$6 |
$7 | |
| Complete blood count (CBC) (complete) |
$111 |
$213 |
$6 |
$8 | |
| Complex wound repair |
$1,295 |
$2,490 |
$744 |
$390 | |
| Comprehensive eye exam |
$292 |
$562 |
— |
$138 | |
| Comprehensive metabolic panel |
$269 |
$517 |
$8 |
$11 | |
| Contraceptive implant (Nexplanon) |
$530 |
$1,020 |
$396 |
$115 | |
| Copper blood test |
$96 |
$185 |
$10 |
$12 | |
| Corneal transplant |
$3,975 |
$7,645 |
$4,888 |
$1,066 | |
| Coronary artery bypass (CABG) |
— |
— |
$16,319 |
$36,593 | |
| Coronary CT angiography |
$2,704 |
$5,200 |
$397 |
$326 | |
| Cortisol test |
$99 |
$190 |
$14 |
$16 | |
| COVID-19 PCR test |
$96 |
$184 |
$43 |
$51 | |
| CPAP titration study |
$1,585 |
$3,049 |
— |
$69 | |
| Creatine kinase (CK) test |
$87 |
$168 |
$6 |
$7 | |
| CT angiography of the chest |
$3,120 |
$6,000 |
$315 |
$281 | |
| CT angiography of the head |
$2,964 |
$5,700 |
$315 |
$274 | |
| CT colonography (virtual colonoscopy) |
$2,184 |
$4,200 |
$428 |
$835 | |
| CT scan of the abdomen |
$2,236 |
$4,300 |
$301 |
$230 | |
| CT scan of the abdomen and pelvis |
$4,004 |
$7,700 |
$397 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$4,472 |
$8,600 |
$428 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$4,004 |
$7,700 |
$397 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,808 |
$5,400 |
$270 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,496 |
$4,800 |
$315 |
$259 | |
| CT scan of the abdomen with contrast |
$2,236 |
$4,300 |
$301 |
$230 | |
| CT scan of the abdomen without contrast |
$1,872 |
$3,600 |
$142 |
$136 | |
| CT scan of the arm |
$2,912 |
$5,600 |
$324 |
$199 | |
| CT scan of the arm with contrast |
$2,912 |
$5,600 |
$397 |
$199 | |
| CT scan of the arm without contrast |
$2,184 |
$4,200 |
$189 |
$161 | |
| CT scan of the chest |
$2,340 |
$4,500 |
$198 |
$167 | |
| CT scan of the chest with and without contrast |
$2,964 |
$5,700 |
$241 |
$196 | |
| CT scan of the chest with contrast |
$2,340 |
$4,500 |
$198 |
$167 | |
| CT scan of the chest without contrast |
$1,820 |
$3,500 |
$146 |
$133 | |
| CT scan of the head |
$2,704 |
$5,200 |
$198 |
$148 | |
| CT scan of the head with and without contrast |
$2,808 |
$5,400 |
$200 |
$173 | |
| CT scan of the head with contrast |
$2,704 |
$5,200 |
$198 |
$148 | |
| CT scan of the head without contrast |
$2,288 |
$4,400 |
$117 |
$107 | |
| CT scan of the leg |
$2,340 |
$4,500 |
$198 |
$166 | |
| CT scan of the leg with contrast |
$2,340 |
$4,500 |
$198 |
$166 | |
| CT scan of the leg without contrast |
$2,132 |
$4,100 |
$146 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,912 |
$5,600 |
$324 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$3,120 |
$6,000 |
$241 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,912 |
$5,600 |
$397 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$2,860 |
$5,500 |
$146 |
$130 | |
| CT scan of the neck |
$2,184 |
$4,200 |
$210 |
$183 | |
| CT scan of the neck (cervical spine) |
$3,068 |
$5,900 |
$324 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$3,224 |
$6,200 |
$241 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$3,068 |
$5,900 |
$397 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$2,912 |
$5,600 |
$148 |
$131 | |
| CT scan of the neck with and without contrast |
$2,808 |
$5,400 |
$255 |
$220 | |
| CT scan of the neck with contrast |
$2,184 |
$4,200 |
$210 |
$183 | |
| CT scan of the neck without contrast |
$1,872 |
$3,600 |
$159 |
$150 | |
| CT scan of the pelvis |
$2,548 |
$4,900 |
$303 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,860 |
$5,500 |
$315 |
$251 | |
| CT scan of the pelvis with contrast |
$2,548 |
$4,900 |
$303 |
$226 | |
| CT scan of the pelvis without contrast |
$1,664 |
$3,200 |
$144 |
$133 | |
| CT scan of the sinuses |
$2,444 |
$4,700 |
$198 |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,652 |
$5,100 |
$218 |
$184 | |
| CT scan of the sinuses with contrast |
$2,444 |
$4,700 |
$198 |
$152 | |
| CT scan of the sinuses without contrast |
$2,184 |
$4,200 |
$152 |
$128 | |
| D-dimer test |
$144 |
$276 |
$8 |
$10 | |
| Defibrillator (ICD) implant |
$22,412 |
$43,100 |
$38,960 |
$798 | |
| Developmental screening (child) |
$250 |
$481 |
— |
— | |
| DHEA-sulfate test |
$140 |
$270 |
$19 |
$22 | |
| Diagnostic mammogram |
$387 |
$745 |
$110 |
$140 | |
| Dialysis fistula creation |
$8,674 |
$16,680 |
$3,825 |
$601 | |
| Dilation and curettage (D&C) |
$4,233 |
$8,140 |
$3,863 |
$298 | |
| Droopy eyelid repair (ptosis) |
$1,056 |
$2,030 |
$2,835 |
$745 | |
| Drug screen (urine) |
$113 |
$217 |
$25 |
$17 | |
| Ear pressure test (tympanometry) |
$109 |
$210 |
$48 |
$16 | |
| Ear tubes (myringotomy) |
$2,044 |
$3,930 |
$1,487 |
$174 | |
| Eardrum repair (tympanoplasty) |
$2,652 |
$5,100 |
$7,189 |
$799 | |
| Echocardiogram |
$1,498 |
$2,880 |
— |
$138 | |
| Echocardiogram with and without contrast |
$884 |
$1,700 |
— |
$101 | |
| Echocardiogram without contrast |
$1,498 |
$2,880 |
— |
$138 | |
| EEG (awake and asleep) |
$1,633 |
$3,140 |
$378 |
$482 | |
| EKG / ECG (tracing only) |
$338 |
$650 |
— |
$7 | |
| Elbow replacement |
— |
— |
$22,347 |
$1,301 | |
| Electrocardiogram (EKG) |
$338 |
$650 |
— |
$8 | |
| Electroencephalogram (EEG) |
$1,261 |
$2,425 |
$378 |
$448 | |
| Electrolyte panel |
$84 |
$162 |
$6 |
$7 | |
| Electromyography (EMG) |
$382 |
$734 |
$156 |
$141 | |
| Emergency department visit |
$1,208 |
$2,323 |
$657 |
$69 | |
| Emergency department visit (level 1) |
$421 |
$809 |
$229 |
$11 | |
| Emergency department visit (level 2) |
$747 |
$1,437 |
$412 |
$40 | |
| Emergency department visit (level 3) |
$1,208 |
$2,323 |
$723 |
$69 | |
| Emergency department visit (level 4) |
$1,953 |
$3,756 |
$1,110 |
$118 | |
| Emergency department visit (level 5) |
$3,284 |
$6,316 |
$1,598 |
$171 | |
| Endometrial biopsy |
$546 |
$1,050 |
$245 |
$98 | |
| Epidural steroid injection |
$2,070 |
$3,980 |
$841 |
$275 | |
| ERCP (bile duct endoscopy) |
$3,588 |
$6,900 |
$4,623 |
$311 | |
| Esophageal dilation |
$2,288 |
$4,400 |
$2,094 |
$522 | |
| Esophageal variceal banding |
$2,392 |
$4,600 |
$2,305 |
$126 | |
| Estradiol (estrogen) test |
$166 |
$320 |
$23 |
$28 | |
| Eyelid surgery (blepharoplasty) |
$4,074 |
$7,835 |
$2,223 |
$552 | |
| Facet joint injection (spine) |
$978 |
$1,880 |
$1,082 |
$99 | |
| Fallopian tube X-ray (HSG) |
$679 |
$1,305 |
$270 |
$164 | |
| Family therapy session |
$342 |
$658 |
— |
$110 | |
| Fecal occult blood (stool) test |
$37 |
$72 |
$11 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$39 |
$75 |
$4 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$36 |
$69 |
$14 |
$16 | |
| Feeding tube (PEG) placement |
$2,340 |
$4,500 |
$2,305 |
$178 | |
| Femoral hernia repair |
$5,476 |
$10,530 |
$4,288 |
$584 | |
| Ferritin (iron) test |
$77 |
$149 |
$12 |
$14 | |
| Fibrinogen test |
$144 |
$277 |
$8 |
$10 | |
| Flexible sigmoidoscopy |
$2,132 |
$4,100 |
$1,108 |
$323 | |
| Flu test |
$75 |
$145 |
$14 |
$17 | |
| Flu vaccine |
$16 |
$30 |
— |
— | |
| Folate (folic acid) test |
$47 |
$91 |
$12 |
$15 | |
| Foreign body removal (skin) |
$1,071 |
$2,060 |
$486 |
$157 | |
| Free T4 thyroid test |
$68 |
$131 |
$8 |
$9 | |
| FSH hormone test |
$117 |
$225 |
$16 |
$19 | |
| Gallbladder removal (laparoscopic) |
$10,777 |
$20,725 |
$7,090 |
$658 | |
| Gallbladder scan (HIDA) |
$1,573 |
$3,025 |
$544 |
$334 | |
| Ganglion cyst removal |
$3,297 |
$6,340 |
$1,945 |
$321 | |
| GGT liver test |
$39 |
$75 |
$6 |
$7 | |
| Glaucoma surgery |
$1,797 |
$3,455 |
$2,771 |
$984 | |
| Glucose tolerance test |
$88 |
$170 |
$9 |
$8 | |
| Group therapy session |
$272 |
$523 |
— |
$30 | |
| H. pylori test |
$397 |
$764 |
$58 |
$67 | |
| Hammertoe repair |
$3,406 |
$6,550 |
$3,942 |
$548 | |
| HDL cholesterol test |
$63 |
$122 |
$6 |
$8 | |
| Hematocrit test |
$51 |
$99 |
$2 |
$2 | |
| Hemodialysis |
$2,340 |
$4,500 |
— |
$75 | |
| Hemoglobin A1c (diabetes test) |
$64 |
$124 |
$8 |
$10 | |
| Hemorrhoid removal |
$2,808 |
$5,400 |
$2,706 |
$338 | |
| Hepatitis A vaccine |
$141 |
$271 |
— |
— | |
| Hepatitis B test |
$72 |
$138 |
$8 |
$10 | |
| Hepatitis B vaccine |
$78 |
$151 |
— |
— | |
| Hepatitis C test |
$42 |
$81 |
$12 |
$14 | |
| Hip arthroscopy |
$3,255 |
$6,260 |
$8,681 |
$931 | |
| Hip replacement |
— |
— |
$15,635 |
$1,162 | |
| HIV test |
$99 |
$191 |
$19 |
$19 | |
| HIV test (antibody) |
$111 |
$213 |
$12 |
$14 | |
| HIV test (antigen/antibody combo) |
$87 |
$168 |
$21 |
$24 | |
| Holter heart monitor |
$564 |
$1,085 |
— |
$26 | |
| HPV vaccine |
$535 |
$1,029 |
— |
— | |
| Hydrocele repair |
$1,706 |
$3,280 |
$4,288 |
$315 | |
| Hysterectomy |
$4,547 |
$8,745 |
$12,651 |
$933 | |
| Hysteroscopy |
$7,088 |
$13,630 |
$3,863 |
$1,270 | |
| Inguinal hernia repair |
$4,547 |
$8,745 |
$4,288 |
$538 | |
| Iron blood test |
$44 |
$85 |
$6 |
$6 | |
| IUD insertion |
$588 |
$1,130 |
— |
— | |
| IUD removal |
$1,134 |
$2,180 |
$370 |
$112 | |
| IV infusion therapy |
$478 |
$920 |
$256 |
$44 | |
| IV infusion therapy (each additional) |
$192 |
$370 |
— |
$21 | |
| IV infusion therapy (initial) |
$478 |
$920 |
$256 |
$67 | |
| IVC filter placement |
$6,500 |
$12,500 |
$6,569 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$668 |
$1,285 |
$359 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$608 |
$1,170 |
$359 |
$57 | |
| Joint aspiration or injection (small joint) |
$728 |
$1,400 |
$359 |
$56 | |
| Kidney biopsy |
$2,746 |
$5,280 |
$1,969 |
$492 | |
| Kidney scan (nuclear) |
$1,747 |
$3,360 |
$599 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$6,510 |
$12,520 |
$4,191 |
$760 | |
| Kidney ultrasound |
$767 |
$1,475 |
$117 |
$84 | |
| Kidney ultrasound (limited) |
$686 |
$1,320 |
$117 |
$61 | |
| Knee arthroscopy |
$3,310 |
$6,365 |
$3,942 |
$524 | |
| Knee joint injection |
$952 |
$1,830 |
$359 |
$69 | |
| Knee replacement |
— |
— |
$13,284 |
$18,054 | |
| Lactate test |
$176 |
$338 |
$10 |
$12 | |
| Laminectomy (spine) |
$3,663 |
$7,045 |
$8,681 |
$1,157 | |
| Laryngoscopy |
$1,877 |
$3,610 |
$1,142 |
$189 | |
| LDH test |
$61 |
$118 |
$4 |
$6 | |
| LDL cholesterol test |
$84 |
$161 |
$8 |
$11 | |
| Leg artery angiogram |
$7,056 |
$13,570 |
$3,499 |
$149 | |
| Leg vein ultrasound (Doppler) |
$1,113 |
$2,140 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$844 |
$1,623 |
— |
$116 | |
| LH hormone test |
$142 |
$273 |
$16 |
$19 | |
| Lipase test |
$148 |
$284 |
$6 |
$7 | |
| Lipid (cholesterol) panel |
$101 |
$195 |
$10 |
$13 | |
| Liver biopsy |
$1,669 |
$3,210 |
$1,969 |
$288 | |
| Liver function panel |
$151 |
$291 |
$6 |
$8 | |
| Lumbar discectomy |
$3,255 |
$6,260 |
$8,681 |
$898 | |
| Lumpectomy (breast) |
$7,119 |
$13,690 |
$7,197 |
$750 | |
| Lung function test (PFT) |
$561 |
$1,079 |
— |
$37 | |
| Lung scan (V/Q) |
$2,200 |
$4,230 |
$599 |
$291 | |
| Magnesium blood test |
$106 |
$204 |
$6 |
$7 | |
| Mastectomy |
$7,842 |
$15,080 |
$7,925 |
$1,021 | |
| Mastoidectomy |
— |
— |
$7,189 |
$840 | |
| Meniscus repair (knee) |
$1,472 |
$2,830 |
$3,942 |
$714 | |
| MMR vaccine |
$153 |
$295 |
— |
— | |
| Mohs skin cancer surgery |
— |
— |
$744 |
$535 | |
| MRA of the brain |
$2,964 |
$5,700 |
$397 |
$226 | |
| MRA of the brain with contrast |
$2,964 |
$5,700 |
$397 |
$226 | |
| MRA of the brain without contrast |
$3,328 |
$6,400 |
$455 |
$328 | |
| MRA of the neck |
$2,964 |
$5,700 |
$397 |
$245 | |
| MRA of the neck with contrast |
$2,964 |
$5,700 |
$397 |
$245 | |
| MRA of the neck without contrast |
$3,120 |
$6,000 |
$457 |
$343 | |
| MRI of the abdomen |
$3,276 |
$6,300 |
$397 |
$300 | |
| MRI of the abdomen with contrast |
$3,276 |
$6,300 |
$397 |
$300 | |
| MRI of the abdomen without contrast |
$2,652 |
$5,100 |
$270 |
$194 | |
| MRI of the ankle |
$3,224 |
$6,200 |
$397 |
$261 | |
| MRI of the ankle with contrast |
$3,224 |
$6,200 |
$397 |
$261 | |
| MRI of the ankle without contrast |
$2,340 |
$4,500 |
$278 |
$222 | |
| MRI of the brain |
$2,912 |
$5,600 |
$397 |
$269 | |
| MRI of the brain with contrast |
$2,912 |
$5,600 |
$397 |
$269 | |
| MRI of the brain without contrast |
$2,600 |
$5,000 |
$270 |
$195 | |
| MRI of the chest |
$2,340 |
$4,500 |
$718 |
$371 | |
| MRI of the chest with contrast |
$2,340 |
$4,500 |
$879 |
$371 | |
| MRI of the chest without contrast |
$2,756 |
$5,300 |
$632 |
$466 | |
| MRI of the knee |
$2,912 |
$5,600 |
$655 |
$315 | |
| MRI of the knee with contrast |
$2,912 |
$5,600 |
$879 |
$315 | |
| MRI of the knee without contrast |
$2,392 |
$4,600 |
$270 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,704 |
$5,200 |
$397 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,704 |
$5,200 |
$397 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,496 |
$4,800 |
$270 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,860 |
$5,500 |
$397 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$3,224 |
$6,200 |
$397 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,860 |
$5,500 |
$397 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,392 |
$4,600 |
$270 |
$190 | |
| MRI of the neck (cervical spine) |
$2,496 |
$4,800 |
$397 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,756 |
$5,300 |
$397 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,496 |
$4,800 |
$397 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,444 |
$4,700 |
$270 |
$191 | |
| MRI of the pelvis |
$2,496 |
$4,800 |
$397 |
$268 | |
| MRI of the pelvis with contrast |
$2,496 |
$4,800 |
$397 |
$268 | |
| MRI of the pelvis without contrast |
$2,132 |
$4,100 |
$280 |
$227 | |
| MRI of the shoulder |
$2,964 |
$5,700 |
$655 |
$313 | |
| MRI of the shoulder with contrast |
$2,964 |
$5,700 |
$879 |
$313 | |
| MRI of the shoulder without contrast |
$2,444 |
$4,700 |
$270 |
$205 | |
| MRI of the wrist |
$3,068 |
$5,900 |
$443 |
$330 | |
| MRI of the wrist with contrast |
$3,068 |
$5,900 |
$443 |
$330 | |
| MRI of the wrist without contrast |
$2,704 |
$5,200 |
$416 |
$303 | |
| Nebulizer breathing treatment |
$309 |
$594 |
— |
$9 | |
| Neck (cervical) spinal fusion |
$14,331 |
$27,560 |
$15,635 |
$1,410 | |
| Nerve conduction study |
$617 |
$1,187 |
— |
$118 | |
| Nuchal translucency ultrasound |
$432 |
$830 |
$117 |
$116 | |
| Nuclear cardiac stress test |
$3,676 |
$7,070 |
$1,452 |
$428 | |
| Occupational therapy evaluation |
$343 |
$659 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$476 |
$916 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$260 |
$500 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$343 |
$659 |
— |
$101 | |
| Orthopedic hardware removal |
$5,288 |
$10,170 |
$3,478 |
$632 | |
| Ovarian cyst removal |
— |
— |
$5,998 |
$698 | |
| Pacemaker insertion |
— |
— |
$11,750 |
$15,506 | |
| Pap smear (cervical screening) |
$93 |
$179 |
$25 |
$20 | |
| Parathyroid hormone (PTH) test |
$103 |
$199 |
$35 |
$41 | |
| Parathyroid removal |
— |
— |
$7,189 |
$891 | |
| Pelvic ultrasound |
$780 |
$1,500 |
$117 |
$78 | |
| Pelvic ultrasound (complete) |
$1,040 |
$2,000 |
$117 |
$105 | |
| Pelvic ultrasound (limited) |
$520 |
$1,000 |
$117 |
$51 | |
| PET scan |
$4,514 |
$8,680 |
$1,623 |
— | |
| Phosphorus blood test |
$80 |
$154 |
$4 |
$5 | |
| Physical therapy evaluation |
$357 |
$686 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$490 |
$943 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$357 |
$686 |
— |
$98 | |
| Pilonidal cyst removal |
$1,284 |
$2,470 |
$3,478 |
$541 | |
| Platelet count |
$94 |
$180 |
$4 |
$4 | |
| Pneumonia vaccine |
$193 |
$370 |
— |
— | |
| Pregnancy blood test (hCG) |
$180 |
$347 |
$6 |
$8 | |
| Pregnancy ultrasound |
$712 |
$1,370 |
$119 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$697 |
$1,340 |
$117 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$728 |
$1,400 |
$121 |
$136 | |
| Procalcitonin test |
$158 |
$303 |
$23 |
$27 | |
| Prolactin test |
$107 |
$206 |
$16 |
$19 | |
| Prostate removal (prostatectomy) |
— |
— |
$12,651 |
$1,063 | |
| Prostate surgery (TURP) |
$10,644 |
$20,470 |
$6,178 |
$526 | |
| Prostate test (PSA) |
$47 |
$90 |
$16 |
$18 | |
| Psychiatric evaluation |
$318 |
$612 |
— |
$188 | |
| Psychotherapy session |
$330 |
$635 |
— |
$140 | |
| Pterygium removal (eye) |
— |
— |
$2,835 |
$540 | |
| Radiofrequency nerve ablation |
$2,961 |
$5,695 |
$2,373 |
$462 | |
| Retina scan (OCT) |
$187 |
$360 |
— |
$33 | |
| Retinal (fundus) photography |
$295 |
$567 |
$156 |
$37 | |
| Retinal detachment repair |
$6,991 |
$13,445 |
$4,888 |
$966 | |
| Rheumatoid factor test |
$78 |
$150 |
$6 |
$6 | |
| Rotator cuff repair |
$9,745 |
$18,740 |
$8,681 |
$792 | |
| Routine eye exam |
$292 |
$562 |
$156 |
$88 | |
| RSV vaccine |
$375 |
$721 |
— |
— | |
| Sacroiliac joint injection |
$520 |
$1,000 |
— |
$176 | |
| Scoliosis spine X-ray |
$338 |
$650 |
$108 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$286 |
$550 |
$99 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$390 |
$750 |
$117 |
$72 | |
| Screening colonoscopy |
$1,737 |
$3,340 |
$1,108 |
$378 | |
| Screening mammogram |
$380 |
$731 |
$103 |
$126 | |
| Scrotal ultrasound |
$894 |
$1,720 |
$117 |
$99 | |
| Sedimentation rate (ESR) test |
$56 |
$107 |
$4 |
$3 | |
| Semen analysis |
$107 |
$206 |
$10 |
$12 | |
| Septoplasty (deviated septum) |
$4,924 |
$9,470 |
$3,941 |
$613 | |
| Sex hormone binding globulin test |
$101 |
$195 |
$19 |
$22 | |
| Shingles vaccine |
$263 |
$507 |
— |
— | |
| Shoulder arthroscopy |
$3,255 |
$6,260 |
$8,681 |
$962 | |
| Shoulder replacement |
— |
— |
$22,347 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$551 |
$1,060 |
$241 |
$114 | |
| Simple wound stitches |
$650 |
$1,250 |
$241 |
$127 | |
| Sinus surgery (endoscopic) |
$3,099 |
$5,960 |
$8,412 |
$224 | |
| Skin biopsy |
$723 |
$1,390 |
$586 |
$121 | |
| Skin biopsy (punch) |
$723 |
$1,390 |
$486 |
$121 | |
| Skin cancer lesion removal |
$1,082 |
$2,080 |
$855 |
$240 | |
| Skin graft |
$5,450 |
$10,480 |
$4,041 |
$898 | |
| Skin lesion freezing (cryotherapy) |
— |
— |
$241 |
$36 | |
| Skin tag removal |
$395 |
$760 |
$241 |
$92 | |
| Soft tissue ultrasound |
$296 |
$570 |
$117 |
$64 | |
| Speech therapy |
$313 |
$602 |
— |
$76 | |
| Spinal cord stimulator |
$5,590 |
$10,750 |
$7,975 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$1,321 |
$2,540 |
$841 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$8,141 |
$15,655 |
$8,681 |
$5,803 | |
| Spirometry (lung function test) |
$322 |
$619 |
— |
$30 | |
| Spirometry with bronchodilator |
$800 |
$1,539 |
— |
$43 | |
| Spleen removal (splenectomy) |
$10,488 |
$20,170 |
$12,651 |
$1,036 | |
| Strabismus (eye muscle) surgery |
$1,404 |
$2,700 |
$4,162 |
$475 | |
| Strep throat test |
$111 |
$213 |
$14 |
$17 | |
| Stress echocardiogram |
$1,724 |
$3,315 |
— |
$209 | |
| Stress echocardiogram (complete) |
$1,763 |
$3,390 |
— |
$233 | |
| Swallow study |
$405 |
$778 |
— |
$85 | |
| T3 thyroid test |
$53 |
$102 |
$12 |
$14 | |
| Tdap (tetanus) vaccine |
$48 |
$92 |
— |
— | |
| Testicle removal (orchiectomy) |
— |
— |
$4,191 |
$306 | |
| Testosterone test |
$40 |
$77 |
$23 |
$26 | |
| Thyroid removal (thyroidectomy) |
— |
— |
$7,140 |
$1,004 | |
| Thyroid test (TSH) |
$109 |
$209 |
$14 |
$17 | |
| Thyroid ultrasound |
$827 |
$1,590 |
$117 |
$109 | |
| Thyroid uptake scan |
$1,204 |
$2,315 |
$447 |
$145 | |
| Tilt table test |
$1,622 |
$3,120 |
— |
$168 | |
| Tonsillectomy |
$2,054 |
$3,950 |
$6,529 |
$252 | |
| Total IgE allergy test |
$64 |
$123 |
$14 |
$16 | |
| Total protein test |
$6 |
$11 |
$3 |
$4 | |
| Tracheostomy |
$4,633 |
$8,910 |
$3,941 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$1,547 |
$2,975 |
$666 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,914 |
$3,680 |
$666 |
$239 | |
| Transvaginal ultrasound |
$515 |
$990 |
$117 |
$118 | |
| Trigger finger release |
$3,073 |
$5,910 |
$1,945 |
$630 | |
| Trigger point injection |
$606 |
$1,165 |
$359 |
$56 | |
| Trigger point injection (1-2 muscles) |
$624 |
$1,200 |
$359 |
$52 | |
| Triglycerides test |
$41 |
$79 |
$4 |
$6 | |
| Troponin (heart) test |
$190 |
$365 |
$10 |
$12 | |
| Tubal ligation |
— |
— |
$7,090 |
$333 | |
| Turbinate reduction |
$2,870 |
$5,520 |
$3,941 |
$294 | |
| Turning a breech baby (version) |
$4,446 |
$8,550 |
$3,863 |
$94 | |
| Ulnar nerve surgery (elbow) |
$957 |
$1,840 |
$2,373 |
$575 | |
| Upper GI endoscopy (EGD) |
$1,820 |
$3,500 |
$1,139 |
$371 | |
| Upper GI series (barium) |
$632 |
$1,215 |
$198 |
$128 | |
| Ureteral stent placement |
$5,741 |
$11,040 |
$4,191 |
$373 | |
| Ureteroscopy (stone removal) |
$12,106 |
$23,280 |
$6,178 |
$365 | |
| Uric acid (gout) test |
$29 |
$56 |
$4 |
$5 | |
| Urinalysis |
$76 |
$147 |
$2 |
$3 | |
| Urine microalbumin test |
$22 |
$43 |
$4 |
$5 | |
| Urine pregnancy test |
$117 |
$225 |
$8 |
$9 | |
| UV light therapy (skin) |
$200 |
$385 |
— |
$106 | |
| Vaccine administration |
$78 |
$150 |
— |
$19 | |
| Vaccine administration (each additional) |
$52 |
$100 |
— |
$16 | |
| Vaginal delivery |
— |
— |
$2,869 |
$5,487 | |
| Varicocele repair |
$5,049 |
$9,710 |
$4,191 |
$327 | |
| Varicose vein ablation |
$5,325 |
$10,240 |
$3,825 |
$1,018 | |
| Vasectomy |
$3,864 |
$7,430 |
$2,489 |
$347 | |
| Visual field test |
$277 |
$532 |
— |
$64 | |
| Vitamin B12 test |
$43 |
$83 |
$12 |
$15 | |
| Vitamin D test |
$64 |
$123 |
$25 |
$30 | |
| Vitrectomy (eye) |
$6,492 |
$12,485 |
$4,888 |
$814 | |
| Vocal cord injection |
$4,540 |
$8,730 |
$4,480 |
$211 | |
| Wart removal |
$374 |
$720 |
$241 |
$121 | |
| Weight-loss (bariatric) surgery |
— |
— |
$11,959 |
$11,645 | |
| Wound debridement |
$863 |
$1,660 |
$676 |
$186 | |
| Wrist fracture repair |
$8,590 |
$16,520 |
$8,681 |
$735 | |
| X-ray of the abdomen |
$328 |
$630 |
$117 |
$36 | |
| X-ray of the ankle |
$406 |
$780 |
$99 |
$37 | |
| X-ray of the collarbone |
$348 |
$670 |
$99 |
$33 | |
| X-ray of the elbow |
$432 |
$830 |
$99 |
$33 | |
| X-ray of the facial bones |
$408 |
$785 |
$108 |
$39 | |
| X-ray of the foot |
$395 |
$760 |
$99 |
$34 | |
| X-ray of the forearm |
$354 |
$680 |
$99 |
$29 | |
| X-ray of the hand |
$421 |
$810 |
$99 |
$38 | |
| X-ray of the hip |
$421 |
$810 |
$99 |
$49 | |
| X-ray of the hip (1 view) |
$359 |
$690 |
$99 |
$34 | |
| X-ray of the hip (3 views) |
$421 |
$810 |
$99 |
$49 | |
| X-ray of the hip (4 views) |
$546 |
$1,050 |
$117 |
$63 | |
| X-ray of the knee |
$406 |
$780 |
$99 |
$42 | |
| X-ray of the knee (2 views) |
$338 |
$650 |
$99 |
$34 | |
| X-ray of the knee (3 views) |
$406 |
$780 |
$99 |
$42 | |
| X-ray of the knee (4+ views) |
$442 |
$850 |
$117 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$569 |
$1,095 |
$117 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$458 |
$880 |
$117 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$681 |
$1,310 |
$117 |
$53 | |
| X-ray of the lower leg |
$369 |
$710 |
$99 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$385 |
$740 |
$117 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$317 |
$610 |
$117 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$452 |
$870 |
$117 |
$39 | |
| X-ray of the neck (cervical spine) |
$515 |
$990 |
$108 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$432 |
$830 |
$99 |
$40 | |
| X-ray of the pelvis |
$429 |
$825 |
$117 |
$36 | |
| X-ray of the pelvis (1 view) |
$364 |
$700 |
$117 |
$28 | |
| X-ray of the ribs |
$525 |
$1,010 |
$117 |
$42 | |
| X-ray of the ribs (2 views) |
$463 |
$890 |
$99 |
$36 | |
| X-ray of the ribs (3 views) |
$525 |
$1,010 |
$117 |
$42 | |
| X-ray of the shoulder |
$510 |
$980 |
$99 |
$36 | |
| X-ray of the skull |
$437 |
$840 |
$117 |
$40 | |
| X-ray of the upper arm |
$369 |
$710 |
$99 |
$32 | |
| X-ray of the wrist |
$432 |
$830 |
$99 |
$43 | |
| YAG laser capsulotomy (eye) |
$1,570 |
$3,020 |
$667 |
$335 | |
| Zinc blood test |
$81 |
$156 |
$10 |
$11 | |