| 3D mammogram (tomosynthesis) |
$336 |
$600 |
$131 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$2,559 |
$4,570 |
$1,190 |
$284 | |
| Abdominal ultrasound |
$910 |
$1,625 |
$149 |
$100 | |
| Abdominal ultrasound (complete) |
$991 |
$1,770 |
$149 |
$114 | |
| Abdominal ultrasound (limited) |
$829 |
$1,480 |
$149 |
$86 | |
| Abscess drainage (complex or multiple) |
$1,109 |
$1,980 |
$507 |
$220 | |
| Abscess drainage (simple) |
$997 |
$1,780 |
$252 |
$129 | |
| Abscess incision and drainage |
$1,053 |
$1,880 |
$495 |
$174 | |
| Achilles tendon repair |
$10,713 |
$19,130 |
$9,070 |
$624 | |
| ACL knee reconstruction |
$18,200 |
$32,500 |
$9,070 |
$889 | |
| Acupuncture |
$52 |
$93 |
— |
$38 | |
| Acupuncture (each additional) |
$28 |
$50 |
— |
$28 | |
| Adenoid removal (adenoidectomy) |
$9,349 |
$16,695 |
$4,118 |
$204 | |
| Albumin blood test |
$45 |
$81 |
$5 |
$5 | |
| Aldosterone test |
$71 |
$126 |
$40 |
$41 | |
| Alkaline phosphatase test |
$37 |
$66 |
$5 |
$5 | |
| Allergy patch testing |
$627 |
$1,120 |
— |
$5 | |
| Allergy shots |
$112 |
$200 |
— |
$11 | |
| Alpha-fetoprotein (AFP) test |
$117 |
$209 |
$17 |
$17 | |
| ALT liver enzyme test |
$43 |
$77 |
$5 |
$5 | |
| Ammonia blood test |
$223 |
$398 |
$13 |
$15 | |
| Amniocentesis |
$2,150 |
$3,840 |
$1,106 |
$120 | |
| Amylase test |
$149 |
$266 |
$7 |
$6 | |
| Anal fistula repair |
$9,430 |
$16,840 |
$3,482 |
$541 | |
| Ankle fracture repair |
$14,482 |
$25,860 |
$9,070 |
$608 | |
| Ankle replacement |
— |
— |
$23,348 |
$885 | |
| Anoscopy |
$806 |
$1,440 |
$164 |
$129 | |
| Antinuclear antibody (ANA) test |
$53 |
$95 |
$12 |
$12 | |
| Aortic aneurysm repair (AAA) |
$5,230 |
$9,340 |
— |
$1,345 | |
| Aortic valve replacement |
$5,746 |
$10,260 |
— |
$1,603 | |
| Arterial blood gas (ABG) |
$566 |
$1,010 |
$25 |
$26 | |
| AST liver enzyme test |
$45 |
$81 |
$5 |
$5 | |
| Barium swallow study |
$1,109 |
$1,980 |
$250 |
$107 | |
| Bartholin cyst removal |
$1,142 |
$2,040 |
$255 |
$182 | |
| Basic metabolic panel |
$193 |
$345 |
$8 |
$8 | |
| Benign skin lesion removal |
$2,386 |
$4,260 |
$893 |
$171 | |
| Bilirubin blood test |
$63 |
$113 |
$5 |
$5 | |
| Bladder function test (urodynamics) |
$1,820 |
$3,250 |
$847 |
$345 | |
| Bladder scope (cystoscopy) |
$2,884 |
$5,150 |
$847 |
$216 | |
| Bladder tumor removal (TURBT) |
$11,642 |
$20,790 |
$4,379 |
$236 | |
| Blood clotting test (PT/INR) |
$90 |
$160 |
$3 |
$4 | |
| Blood crossmatch |
$403 |
$720 |
$193 |
— | |
| Blood glucose test |
$32 |
$57 |
$5 |
$5 | |
| Blood transfusion |
$1,450 |
$2,590 |
$555 |
$47 | |
| Blood type and screen |
$146 |
$261 |
$60 |
$10 | |
| Blood type test |
$176 |
$314 |
$134 |
$3 | |
| Blood type test (ABO group) |
$262 |
$467 |
$144 |
$3 | |
| Blood type test (Rh/D antigen) |
$90 |
$160 |
$44 |
$3 | |
| BNP (heart failure) test |
$302 |
$540 |
$39 |
$39 | |
| Bone density scan (DEXA) |
$504 |
$900 |
$149 |
$39 | |
| Bone marrow biopsy |
$2,475 |
$4,420 |
$3,546 |
$172 | |
| Bone scan (nuclear) |
$2,593 |
$4,630 |
$564 |
$259 | |
| Botox for migraine |
$918 |
$1,640 |
$375 |
$157 | |
| Breast biopsy |
$4,458 |
$7,960 |
$2,057 |
$478 | |
| Breast MRI |
$4,161 |
$7,430 |
$511 |
$216 | |
| Breast MRI without contrast |
$3,298 |
$5,890 |
$339 |
$216 | |
| Breast reconstruction |
$11,973 |
$21,380 |
$22,089 |
$1,227 | |
| Breast reduction |
$11,654 |
$20,810 |
$8,280 |
$980 | |
| Breast ultrasound |
$862 |
$1,540 |
$146 |
$92 | |
| Breast ultrasound (complete) |
$1,165 |
$2,080 |
$149 |
$100 | |
| Breast ultrasound (limited) |
$560 |
$1,000 |
$124 |
$84 | |
| Breathing tube insertion (intubation) |
$924 |
$1,650 |
$295 |
$133 | |
| Bronchoscopy |
$4,878 |
$8,710 |
$4,455 |
$303 | |
| Bunion surgery (bunionectomy) |
$11,094 |
$19,810 |
$12,278 |
$883 | |
| Burn dressing and debridement (medium) |
$650 |
$1,160 |
$252 |
$166 | |
| Burn dressing and debridement (small) |
$627 |
$1,120 |
$252 |
$93 | |
| Burn treatment |
$638 |
$1,140 |
$252 |
$129 | |
| C-reactive protein (CRP) |
$116 |
$208 |
$5 |
$5 | |
| CA 19-9 tumor marker test |
$174 |
$310 |
$20 |
$21 | |
| CA-125 ovarian marker test |
$172 |
$308 |
$20 |
$21 | |
| Calcium blood test |
$65 |
$116 |
$5 |
$5 | |
| Capsule endoscopy |
$5,018 |
$8,960 |
$1,190 |
$802 | |
| Cardiac ablation |
$36,260 |
$64,750 |
— |
$759 | |
| Cardiac catheterization |
$19,488 |
$34,800 |
$4,084 |
$1,049 | |
| Cardiac MRI |
$6,930 |
$12,375 |
$539 |
$322 | |
| Cardiac MRI without contrast |
$7,773 |
$13,880 |
$386 |
$280 | |
| Cardiac rehabilitation |
$314 |
$560 |
— |
$26 | |
| Cardiac stress test |
$1,551 |
$2,770 |
— |
$39 | |
| Cardioversion |
$3,310 |
$5,910 |
$831 |
$155 | |
| Carotid artery surgery |
$9,699 |
$17,320 |
— |
$1,026 | |
| Carotid artery ultrasound |
$1,282 |
$2,290 |
— |
$156 | |
| Carpal tunnel release |
$5,309 |
$9,480 |
$2,479 |
$483 | |
| Cataract surgery |
$9,682 |
$17,290 |
$2,896 |
$547 | |
| CEA tumor marker test |
$192 |
$343 |
$18 |
$19 | |
| Celiac disease test |
$29 |
$52 |
$12 |
$12 | |
| Central line placement |
$4,026 |
$7,190 |
$3,996 |
$238 | |
| Cervical cerclage |
$9,794 |
$17,490 |
$4,037 |
$137 | |
| Cervical LEEP procedure |
$9,302 |
$16,610 |
$4,037 |
$325 | |
| Cesarean section (C-section) |
— |
— |
$5,447 |
$7,552 | |
| Chalazion (eyelid cyst) removal |
$1,030 |
$1,840 |
$380 |
$131 | |
| Chemotherapy infusion |
$753 |
$1,345 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$403 |
$720 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$1,103 |
$1,970 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$2,346 |
$4,190 |
$785 |
$311 | |
| Chest tube insertion |
$3,662 |
$6,540 |
$1,972 |
$143 | |
| Chest X-ray |
$543 |
$970 |
$133 |
$37 | |
| Chest X-ray (1 view) |
$476 |
$850 |
$124 |
$25 | |
| Chest X-ray (2 views) |
$504 |
$900 |
$124 |
$33 | |
| Chickenpox (varicella) vaccine |
$255 |
$456 |
— |
— | |
| Chiropractic adjustment |
$117 |
$209 |
— |
$38 | |
| Circumcision |
$7,160 |
$12,785 |
$2,601 |
$167 | |
| CK-MB heart enzyme test |
$291 |
$520 |
$12 |
$12 | |
| Clotting time test (PTT) |
$142 |
$253 |
$5 |
$6 | |
| Colonoscopy |
$3,550 |
$6,340 |
$1,497 |
$480 | |
| Colposcopy |
$1,702 |
$3,040 |
$386 |
$161 | |
| Complete blood count (CBC) |
$106 |
$190 |
$8 |
$7 | |
| Complete blood count (CBC) (complete) |
$123 |
$220 |
$8 |
$8 | |
| Complex wound repair |
$3,018 |
$5,390 |
$777 |
$390 | |
| Comprehensive eye exam |
$226 |
$404 |
— |
$138 | |
| Comprehensive metabolic panel |
$255 |
$456 |
$10 |
$11 | |
| Contraceptive implant (Nexplanon) |
$594 |
$1,060 |
$488 |
$115 | |
| Copper blood test |
$22 |
$39 |
$12 |
$12 | |
| Corneal transplant |
$15,476 |
$27,635 |
$5,107 |
$1,066 | |
| Coronary artery bypass (CABG) |
— |
— |
$22,635 |
$36,593 | |
| Coronary CT angiography |
$4,222 |
$7,540 |
$500 |
$326 | |
| Cortisol test |
$302 |
$540 |
$15 |
$16 | |
| COVID-19 PCR test |
$113 |
$202 |
$50 |
$51 | |
| CPAP titration study |
$1,590 |
$2,840 |
— |
$69 | |
| Creatine kinase (CK) test |
$138 |
$246 |
$7 |
$7 | |
| CT angiography of the chest |
$4,872 |
$8,700 |
$414 |
$281 | |
| CT angiography of the head |
$4,990 |
$8,910 |
$413 |
$274 | |
| CT colonography (virtual colonoscopy) |
$3,590 |
$6,410 |
$562 |
$835 | |
| CT scan of the abdomen |
$2,520 |
$4,500 |
$393 |
$230 | |
| CT scan of the abdomen and pelvis |
$4,754 |
$8,490 |
$533 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$6,602 |
$11,790 |
$560 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$4,754 |
$8,490 |
$500 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$4,351 |
$7,770 |
$339 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,834 |
$5,060 |
$413 |
$259 | |
| CT scan of the abdomen with contrast |
$2,520 |
$4,500 |
$393 |
$230 | |
| CT scan of the abdomen without contrast |
$2,206 |
$3,940 |
$186 |
$136 | |
| CT scan of the arm |
$2,873 |
$5,130 |
$476 |
$199 | |
| CT scan of the arm with contrast |
$2,873 |
$5,130 |
$500 |
$199 | |
| CT scan of the arm without contrast |
$2,514 |
$4,490 |
$248 |
$161 | |
| CT scan of the chest |
$3,763 |
$6,720 |
$300 |
$167 | |
| CT scan of the chest with and without contrast |
$4,379 |
$7,820 |
$315 |
$196 | |
| CT scan of the chest with contrast |
$3,763 |
$6,720 |
$257 |
$167 | |
| CT scan of the chest without contrast |
$2,845 |
$5,080 |
$190 |
$133 | |
| CT scan of the head |
$2,946 |
$5,260 |
$250 |
$148 | |
| CT scan of the head with and without contrast |
$3,550 |
$6,340 |
$262 |
$173 | |
| CT scan of the head with contrast |
$2,946 |
$5,260 |
$250 |
$148 | |
| CT scan of the head without contrast |
$2,682 |
$4,790 |
$153 |
$107 | |
| CT scan of the leg |
$3,248 |
$5,800 |
$303 |
$166 | |
| CT scan of the leg with contrast |
$3,248 |
$5,800 |
$258 |
$166 | |
| CT scan of the leg without contrast |
$2,867 |
$5,120 |
$193 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$3,948 |
$7,050 |
$476 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$4,665 |
$8,330 |
$315 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$3,948 |
$7,050 |
$500 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$3,231 |
$5,770 |
$191 |
$130 | |
| CT scan of the neck |
$3,265 |
$5,830 |
$319 |
$183 | |
| CT scan of the neck (cervical spine) |
$3,948 |
$7,050 |
$476 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$4,665 |
$8,330 |
$315 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$3,948 |
$7,050 |
$500 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$3,231 |
$5,770 |
$193 |
$131 | |
| CT scan of the neck with and without contrast |
$4,788 |
$8,550 |
$336 |
$220 | |
| CT scan of the neck with contrast |
$3,265 |
$5,830 |
$275 |
$183 | |
| CT scan of the neck without contrast |
$2,425 |
$4,330 |
$208 |
$150 | |
| CT scan of the pelvis |
$4,760 |
$8,500 |
$396 |
$226 | |
| CT scan of the pelvis with and without contrast |
$5,023 |
$8,970 |
$414 |
$251 | |
| CT scan of the pelvis with contrast |
$4,760 |
$8,500 |
$396 |
$226 | |
| CT scan of the pelvis without contrast |
$3,590 |
$6,410 |
$190 |
$133 | |
| CT scan of the sinuses |
$3,282 |
$5,860 |
$273 |
$152 | |
| CT scan of the sinuses with and without contrast |
$3,573 |
$6,380 |
$287 |
$184 | |
| CT scan of the sinuses with contrast |
$3,282 |
$5,860 |
$250 |
$152 | |
| CT scan of the sinuses without contrast |
$2,934 |
$5,240 |
$203 |
$128 | |
| D-dimer test |
$200 |
$357 |
$10 |
$10 | |
| Defibrillator (ICD) implant |
$34,821 |
$62,180 |
$40,706 |
$798 | |
| Developmental screening (child) |
$358 |
$640 |
— |
— | |
| DHEA-sulfate test |
$133 |
$237 |
$22 |
$22 | |
| Diagnostic mammogram |
$440 |
$785 |
$164 |
$140 | |
| Dialysis fistula creation |
$13,507 |
$24,120 |
$3,996 |
$601 | |
| Dilation and curettage (D&C) |
$8,904 |
$15,900 |
$4,037 |
$298 | |
| Droopy eyelid repair (ptosis) |
$5,712 |
$10,200 |
$2,962 |
$745 | |
| Drug screen (urine) |
$482 |
$860 |
$35 |
$17 | |
| Ear pressure test (tympanometry) |
$233 |
$416 |
$50 |
$16 | |
| Ear tubes (myringotomy) |
$4,222 |
$7,540 |
$1,836 |
$174 | |
| Eardrum repair (tympanoplasty) |
$18,010 |
$32,160 |
$7,511 |
$799 | |
| Echocardiogram |
$1,910 |
$3,410 |
— |
$138 | |
| Echocardiogram with and without contrast |
$1,910 |
$3,410 |
— |
$101 | |
| Echocardiogram without contrast |
$1,288 |
$2,300 |
— |
$138 | |
| EEG (awake and asleep) |
$1,674 |
$2,990 |
$395 |
$482 | |
| EKG / ECG (tracing only) |
$381 |
$680 |
— |
$7 | |
| Elbow replacement |
$34,412 |
$61,450 |
$23,348 |
$1,301 | |
| Electrocardiogram (EKG) |
$90 |
$160 |
— |
$8 | |
| Electroencephalogram (EEG) |
$1,599 |
$2,855 |
$395 |
$448 | |
| Electrolyte panel |
$72 |
$128 |
$7 |
$7 | |
| Electromyography (EMG) |
$353 |
$630 |
$164 |
$141 | |
| Emergency department visit |
$1,622 |
$2,896 |
$2,055 |
$69 | |
| Emergency department visit (level 1) |
$472 |
$843 |
$655 |
$11 | |
| Emergency department visit (level 2) |
$872 |
$1,558 |
$1,175 |
$40 | |
| Emergency department visit (level 3) |
$1,622 |
$2,896 |
$2,055 |
$69 | |
| Emergency department visit (level 4) |
$2,713 |
$4,844 |
$3,165 |
$118 | |
| Emergency department visit (level 5) |
$4,220 |
$7,536 |
$4,555 |
$171 | |
| Endometrial biopsy |
$549 |
$980 |
$255 |
$98 | |
| Epidural steroid injection |
$4,371 |
$7,805 |
$879 |
$275 | |
| ERCP (bile duct endoscopy) |
$7,767 |
$13,870 |
$4,830 |
$311 | |
| Esophageal dilation |
$4,021 |
$7,180 |
$2,351 |
$522 | |
| Esophageal variceal banding |
$4,900 |
$8,750 |
$2,409 |
$126 | |
| Estradiol (estrogen) test |
$179 |
$320 |
$27 |
$28 | |
| Eyelid surgery (blepharoplasty) |
$5,748 |
$10,265 |
$2,322 |
$552 | |
| Facet joint injection (spine) |
$1,618 |
$2,890 |
$1,130 |
$99 | |
| Fallopian tube X-ray (HSG) |
$1,330 |
$2,375 |
$339 |
$164 | |
| Family therapy session |
$594 |
$1,060 |
— |
$110 | |
| Fecal occult blood (stool) test |
$61 |
$110 |
$15 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$52 |
$93 |
$5 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$71 |
$126 |
$15 |
$16 | |
| Feeding tube (PEG) placement |
$7,168 |
$12,800 |
$2,409 |
$178 | |
| Femoral hernia repair |
$13,535 |
$24,170 |
$4,481 |
$584 | |
| Ferritin (iron) test |
$128 |
$228 |
$13 |
$14 | |
| Fibrinogen test |
$175 |
$312 |
$10 |
$10 | |
| Flexible sigmoidoscopy |
$3,030 |
$5,410 |
$1,158 |
$323 | |
| Flu test |
$170 |
$304 |
$17 |
$17 | |
| Flu vaccine |
$21 |
$37 |
— |
— | |
| Folate (folic acid) test |
$109 |
$195 |
$15 |
$15 | |
| Foreign body removal (skin) |
$2,223 |
$3,970 |
$507 |
$157 | |
| Free T4 thyroid test |
$102 |
$183 |
$8 |
$9 | |
| FSH hormone test |
$138 |
$247 |
$18 |
$19 | |
| Gallbladder removal (laparoscopic) |
$17,517 |
$31,280 |
$7,407 |
$658 | |
| Gallbladder scan (HIDA) |
$1,966 |
$3,510 |
$737 |
$334 | |
| Ganglion cyst removal |
$6,507 |
$11,620 |
$2,032 |
$321 | |
| GGT liver test |
$99 |
$176 |
$7 |
$7 | |
| Glaucoma surgery |
$10,245 |
$18,295 |
$2,896 |
$984 | |
| Glucose tolerance test |
$95 |
$170 |
$11 |
$8 | |
| Group therapy session |
$532 |
$950 |
— |
$30 | |
| H. pylori test |
$117 |
$209 |
$65 |
$67 | |
| Hammertoe repair |
$5,348 |
$9,550 |
$4,120 |
$548 | |
| HDL cholesterol test |
$39 |
$69 |
$8 |
$8 | |
| Hearing test (audiometry) |
$549 |
$980 |
— |
$36 | |
| Hematocrit test |
$74 |
$133 |
$2 |
$2 | |
| Hemodialysis |
$1,831 |
$3,270 |
— |
$75 | |
| Hemoglobin A1c (diabetes test) |
$80 |
$142 |
$10 |
$10 | |
| Hemorrhoid removal |
$3,592 |
$6,415 |
$3,382 |
$338 | |
| Hepatitis A vaccine |
$151 |
$270 |
— |
— | |
| Hepatitis B test |
$81 |
$145 |
$10 |
$10 | |
| Hepatitis B vaccine |
$84 |
$151 |
— |
— | |
| Hepatitis C test |
$111 |
$199 |
$13 |
$14 | |
| Hip arthroscopy |
$10,562 |
$18,860 |
$9,070 |
$931 | |
| Hip replacement |
$9,162 |
$16,360 |
$16,336 |
$1,162 | |
| HIV test |
$100 |
$179 |
$23 |
$19 | |
| HIV test (antibody) |
$31 |
$55 |
$13 |
$14 | |
| HIV test (antigen/antibody combo) |
$170 |
$303 |
$23 |
$24 | |
| Holter heart monitor |
$748 |
$1,335 |
— |
$26 | |
| Home sleep apnea test |
$644 |
$1,150 |
— |
$123 | |
| HPV vaccine |
$576 |
$1,029 |
— |
— | |
| Hydrocele repair |
$15,663 |
$27,970 |
$4,481 |
$315 | |
| Hysterectomy |
$18,483 |
$33,005 |
$13,218 |
$933 | |
| Hysteroscopy |
$12,253 |
$21,880 |
$4,037 |
$1,270 | |
| Inguinal hernia repair |
$12,986 |
$23,190 |
$4,481 |
$538 | |
| Iron blood test |
$80 |
$143 |
$7 |
$6 | |
| IUD insertion |
$1,814 |
$3,240 |
— |
— | |
| IUD removal |
$1,562 |
$2,790 |
$386 |
$112 | |
| IV infusion therapy |
$706 |
$1,260 |
$267 |
$44 | |
| IV infusion therapy (each additional) |
$301 |
$538 |
— |
$21 | |
| IV infusion therapy (initial) |
$706 |
$1,260 |
$267 |
$67 | |
| IVC filter placement |
$14,756 |
$26,350 |
$6,863 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$941 |
$1,680 |
$375 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$1,025 |
$1,830 |
$375 |
$57 | |
| Joint aspiration or injection (small joint) |
$857 |
$1,530 |
$375 |
$56 | |
| Kidney biopsy |
$2,341 |
$4,180 |
$2,057 |
$492 | |
| Kidney scan (nuclear) |
$3,046 |
$5,440 |
$755 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$14,426 |
$25,760 |
$4,379 |
$760 | |
| Kidney ultrasound |
$848 |
$1,515 |
$149 |
$84 | |
| Kidney ultrasound (limited) |
$795 |
$1,420 |
$149 |
$61 | |
| Knee arthroscopy |
$8,660 |
$15,465 |
$4,120 |
$524 | |
| Knee joint injection |
$1,271 |
$2,270 |
$375 |
$69 | |
| Knee replacement |
— |
— |
$18,430 |
$18,054 | |
| Lactate test |
$206 |
$367 |
$12 |
$12 | |
| Laminectomy (spine) |
$19,676 |
$35,135 |
$9,070 |
$1,157 | |
| Laryngoscopy |
$3,427 |
$6,120 |
$1,410 |
$189 | |
| LDH test |
$87 |
$156 |
$7 |
$6 | |
| LDL cholesterol test |
$62 |
$110 |
$10 |
$11 | |
| Leg artery angiogram |
$8,854 |
$15,810 |
$4,413 |
$149 | |
| Leg vein ultrasound (Doppler) |
$1,478 |
$2,640 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,154 |
$2,060 |
— |
$116 | |
| LH hormone test |
$182 |
$325 |
$18 |
$19 | |
| Lipase test |
$185 |
$331 |
$7 |
$7 | |
| Lipid (cholesterol) panel |
$156 |
$279 |
$13 |
$13 | |
| Liver biopsy |
$3,478 |
$6,210 |
$2,057 |
$288 | |
| Liver function panel |
$134 |
$239 |
$8 |
$8 | |
| Lumbar discectomy |
$19,471 |
$34,770 |
$9,070 |
$898 | |
| Lumpectomy (breast) |
$12,754 |
$22,775 |
$8,080 |
$750 | |
| Lung function test (PFT) |
$801 |
$1,430 |
— |
$37 | |
| Lung scan (V/Q) |
$2,750 |
$4,910 |
$755 |
$291 | |
| Magnesium blood test |
$120 |
$215 |
$7 |
$7 | |
| Mastectomy |
$10,357 |
$18,495 |
$8,280 |
$1,021 | |
| Mastoidectomy |
$14,319 |
$25,570 |
$7,511 |
$840 | |
| Meniscus repair (knee) |
$5,572 |
$9,950 |
$4,120 |
$714 | |
| MMR vaccine |
$165 |
$295 |
— |
— | |
| Mohs skin cancer surgery |
$1,352 |
$2,415 |
$777 |
$535 | |
| MRA of the brain |
$6,238 |
$11,140 |
$568 |
$226 | |
| MRA of the brain with contrast |
$6,238 |
$11,140 |
$500 |
$226 | |
| MRA of the brain without contrast |
$7,073 |
$12,630 |
$597 |
$328 | |
| MRA of the neck |
$4,004 |
$7,150 |
$572 |
$245 | |
| MRA of the neck with contrast |
$3,091 |
$5,520 |
$500 |
$245 | |
| MRA of the neck without contrast |
$4,732 |
$8,450 |
$601 |
$343 | |
| MRI of the abdomen |
$4,390 |
$7,840 |
$513 |
$300 | |
| MRI of the abdomen with contrast |
$4,390 |
$7,840 |
$508 |
$300 | |
| MRI of the abdomen without contrast |
$3,450 |
$6,160 |
$339 |
$194 | |
| MRI of the ankle |
$4,575 |
$8,170 |
$514 |
$261 | |
| MRI of the ankle with contrast |
$4,575 |
$8,170 |
$500 |
$261 | |
| MRI of the ankle without contrast |
$3,590 |
$6,410 |
$366 |
$222 | |
| MRI of the brain |
$5,057 |
$9,030 |
$500 |
$269 | |
| MRI of the brain with contrast |
$5,057 |
$9,030 |
$500 |
$269 | |
| MRI of the brain without contrast |
$3,629 |
$6,480 |
$339 |
$195 | |
| MRI of the chest |
$5,824 |
$10,400 |
$1,054 |
$371 | |
| MRI of the chest with contrast |
$5,824 |
$10,400 |
$1,107 |
$371 | |
| MRI of the chest without contrast |
$8,137 |
$14,530 |
$830 |
$466 | |
| MRI of the knee |
$4,161 |
$7,430 |
$1,010 |
$315 | |
| MRI of the knee with contrast |
$4,161 |
$7,430 |
$1,107 |
$315 | |
| MRI of the knee without contrast |
$3,438 |
$6,140 |
$339 |
$204 | |
| MRI of the lower back (lumbar spine) |
$4,995 |
$8,920 |
$500 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$4,995 |
$8,920 |
$500 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$3,282 |
$5,860 |
$339 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$4,995 |
$8,920 |
$500 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$6,838 |
$12,210 |
$500 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$4,995 |
$8,920 |
$500 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$3,646 |
$6,510 |
$339 |
$190 | |
| MRI of the neck (cervical spine) |
$4,995 |
$8,920 |
$500 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$5,930 |
$10,590 |
$500 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$4,995 |
$8,920 |
$500 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$3,735 |
$6,670 |
$339 |
$191 | |
| MRI of the pelvis |
$4,995 |
$8,920 |
$509 |
$268 | |
| MRI of the pelvis with contrast |
$4,995 |
$8,920 |
$500 |
$268 | |
| MRI of the pelvis without contrast |
$3,612 |
$6,450 |
$367 |
$227 | |
| MRI of the shoulder |
$4,161 |
$7,430 |
$1,010 |
$313 | |
| MRI of the shoulder with contrast |
$4,161 |
$7,430 |
$1,107 |
$313 | |
| MRI of the shoulder without contrast |
$3,304 |
$5,900 |
$339 |
$205 | |
| MRI of the wrist |
$4,670 |
$8,340 |
$671 |
$330 | |
| MRI of the wrist with contrast |
$4,670 |
$8,340 |
$582 |
$330 | |
| MRI of the wrist without contrast |
$3,153 |
$5,630 |
$544 |
$303 | |
| Nebulizer breathing treatment |
$465 |
$830 |
— |
$9 | |
| Neck (cervical) spinal fusion |
$13,250 |
$23,660 |
$16,336 |
$1,410 | |
| Nerve conduction study |
$846 |
$1,510 |
— |
$118 | |
| Newborn hospital care |
$442 |
$790 |
— |
$58 | |
| Nuchal translucency ultrasound |
$762 |
$1,360 |
$149 |
$116 | |
| Nuclear cardiac stress test |
$5,146 |
$9,190 |
$1,830 |
$428 | |
| Occupational therapy evaluation |
$571 |
$1,020 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$700 |
$1,250 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$414 |
$740 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$571 |
$1,020 |
— |
$101 | |
| Orthopedic hardware removal |
$12,130 |
$21,660 |
$3,634 |
$632 | |
| Ovarian cyst removal |
$13,311 |
$23,770 |
$6,267 |
$698 | |
| Pacemaker insertion |
— |
— |
$16,309 |
$15,506 | |
| Pap smear (cervical screening) |
$105 |
$188 |
$28 |
$20 | |
| Parathyroid hormone (PTH) test |
$241 |
$430 |
$40 |
$41 | |
| Parathyroid removal |
$26,286 |
$46,940 |
$7,511 |
$891 | |
| Pelvic ultrasound |
$778 |
$1,390 |
$149 |
$78 | |
| Pelvic ultrasound (complete) |
$941 |
$1,680 |
$149 |
$105 | |
| Pelvic ultrasound (limited) |
$616 |
$1,100 |
$149 |
$51 | |
| PET scan |
$8,257 |
$14,745 |
$2,045 |
— | |
| Phosphorus blood test |
$76 |
$135 |
$5 |
$5 | |
| Physical therapy evaluation |
$381 |
$680 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$454 |
$810 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$381 |
$680 |
— |
$98 | |
| Pilonidal cyst removal |
$8,560 |
$15,285 |
$3,634 |
$541 | |
| Platelet count |
$123 |
$219 |
$5 |
$4 | |
| Pneumonia vaccine |
$207 |
$370 |
— |
— | |
| Pregnancy blood test (hCG) |
$174 |
$311 |
$7 |
$8 | |
| Pregnancy ultrasound |
$1,123 |
$2,005 |
$149 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$1,299 |
$2,320 |
$149 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$946 |
$1,690 |
$149 |
$136 | |
| Procalcitonin test |
$202 |
$360 |
$27 |
$27 | |
| Prolactin test |
$133 |
$238 |
$18 |
$19 | |
| Prostate removal (prostatectomy) |
$38,338 |
$68,460 |
$13,218 |
$1,063 | |
| Prostate surgery (TURP) |
$16,822 |
$30,040 |
$6,454 |
$526 | |
| Prostate test (PSA) |
$130 |
$233 |
$18 |
$18 | |
| Psychiatric evaluation |
$1,419 |
$2,534 |
— |
$188 | |
| Psychotherapy session |
$493 |
$880 |
— |
$140 | |
| Pterygium removal (eye) |
$7,118 |
$12,710 |
$2,962 |
$540 | |
| Pulmonary rehabilitation |
$251 |
$449 |
— |
$87 | |
| Radiofrequency nerve ablation |
$4,925 |
$8,795 |
$2,479 |
$462 | |
| Retina scan (OCT) |
$186 |
$332 |
— |
$33 | |
| Retinal (fundus) photography |
$330 |
$590 |
$164 |
$37 | |
| Retinal detachment repair |
$16,408 |
$29,300 |
$5,107 |
$966 | |
| Rheumatoid factor test |
$68 |
$121 |
$7 |
$6 | |
| Rotator cuff repair |
$15,658 |
$27,960 |
$9,070 |
$792 | |
| Routine eye exam |
$143 |
$256 |
$164 |
$88 | |
| RSV vaccine |
$424 |
$757 |
— |
— | |
| Sacroiliac joint injection |
$414 |
$740 |
— |
$176 | |
| Scoliosis spine X-ray |
$299 |
$535 |
$146 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$257 |
$459 |
$124 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$342 |
$610 |
$149 |
$72 | |
| Screening colonoscopy |
$3,220 |
$5,750 |
$1,158 |
$378 | |
| Screening mammogram |
$375 |
$670 |
$139 |
$126 | |
| Scrotal ultrasound |
$890 |
$1,590 |
$149 |
$99 | |
| Sedimentation rate (ESR) test |
$74 |
$132 |
$3 |
$3 | |
| Semen analysis |
$149 |
$266 |
$12 |
$12 | |
| Septoplasty (deviated septum) |
$9,990 |
$17,840 |
$4,118 |
$613 | |
| Sex hormone binding globulin test |
$54 |
$96 |
$22 |
$22 | |
| Shingles vaccine |
$298 |
$533 |
— |
— | |
| Shoulder arthroscopy |
$13,238 |
$23,640 |
$9,070 |
$962 | |
| Shoulder replacement |
$11,340 |
$20,250 |
$23,348 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$795 |
$1,420 |
$252 |
$114 | |
| Simple wound stitches |
$798 |
$1,425 |
$252 |
$127 | |
| Sinus surgery (endoscopic) |
$9,890 |
$17,660 |
$8,789 |
$224 | |
| Skin biopsy |
$1,092 |
$1,950 |
$740 |
$121 | |
| Skin biopsy (punch) |
$1,092 |
$1,950 |
$507 |
$121 | |
| Skin cancer lesion removal |
$2,358 |
$4,210 |
$893 |
$240 | |
| Skin graft |
$11,068 |
$19,765 |
$4,536 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$257 |
$459 |
$252 |
$36 | |
| Skin tag removal |
$767 |
$1,370 |
$252 |
$92 | |
| Sleep study (polysomnography) |
$4,270 |
$7,625 |
— |
$691 | |
| Soft tissue ultrasound |
$767 |
$1,370 |
$149 |
$64 | |
| Speech therapy |
$278 |
$496 |
— |
$76 | |
| Spinal cord stimulator |
$8,254 |
$14,740 |
$8,332 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$2,066 |
$3,690 |
$879 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$10,968 |
$19,585 |
$9,070 |
$5,803 | |
| Spirometry (lung function test) |
$487 |
$870 |
— |
$30 | |
| Spirometry with bronchodilator |
$1,114 |
$1,990 |
— |
$43 | |
| Spleen removal (splenectomy) |
$16,604 |
$29,650 |
$13,218 |
$1,036 | |
| Strabismus (eye muscle) surgery |
$7,736 |
$13,815 |
$4,673 |
$475 | |
| Strep throat test |
$171 |
$306 |
$17 |
$17 | |
| Stress echocardiogram |
$3,741 |
$6,680 |
— |
$209 | |
| Stress echocardiogram (complete) |
$3,338 |
$5,960 |
— |
$233 | |
| Swallow study |
$348 |
$621 |
— |
$85 | |
| T3 thyroid test |
$94 |
$167 |
$13 |
$14 | |
| Tdap (tetanus) vaccine |
$60 |
$107 |
— |
— | |
| Testicle removal (orchiectomy) |
$11,262 |
$20,110 |
$4,379 |
$306 | |
| Testosterone test |
$98 |
$175 |
$25 |
$26 | |
| Thyroid removal (thyroidectomy) |
$26,057 |
$46,530 |
$7,459 |
$1,004 | |
| Thyroid test (TSH) |
$155 |
$277 |
$17 |
$17 | |
| Thyroid ultrasound |
$907 |
$1,620 |
$149 |
$109 | |
| Thyroid uptake scan |
$1,274 |
$2,275 |
$564 |
$145 | |
| Tilt table test |
$4,659 |
$8,320 |
— |
$168 | |
| Tonsillectomy |
$10,357 |
$18,495 |
$7,330 |
$252 | |
| Total IgE allergy test |
$105 |
$187 |
$17 |
$16 | |
| Total protein test |
$21 |
$37 |
$3 |
$4 | |
| Tracheostomy |
$5,606 |
$10,010 |
$4,118 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$3,060 |
$5,465 |
$696 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$3,802 |
$6,790 |
$696 |
$239 | |
| Transvaginal ultrasound |
$717 |
$1,280 |
$149 |
$118 | |
| Trigger finger release |
$3,097 |
$5,530 |
$2,032 |
$630 | |
| Trigger point injection |
$974 |
$1,740 |
$375 |
$56 | |
| Trigger point injection (1-2 muscles) |
$840 |
$1,500 |
$375 |
$52 | |
| Triglycerides test |
$92 |
$164 |
$5 |
$6 | |
| Troponin (heart) test |
$286 |
$510 |
$12 |
$12 | |
| Tubal ligation |
$4,917 |
$8,780 |
$7,407 |
$333 | |
| Turbinate reduction |
$10,433 |
$18,630 |
$4,118 |
$294 | |
| Turning a breech baby (version) |
$2,453 |
$4,380 |
$4,037 |
$94 | |
| Ulnar nerve surgery (elbow) |
$7,090 |
$12,660 |
$2,479 |
$575 | |
| Upper GI endoscopy (EGD) |
$3,531 |
$6,305 |
$1,190 |
$371 | |
| Upper GI series (barium) |
$678 |
$1,210 |
$250 |
$128 | |
| Ureteral stent placement |
$10,746 |
$19,190 |
$4,379 |
$373 | |
| Ureteroscopy (stone removal) |
$16,828 |
$30,050 |
$6,454 |
$365 | |
| Uric acid (gout) test |
$67 |
$120 |
$5 |
$5 | |
| Urinalysis |
$69 |
$124 |
$3 |
$3 | |
| Urine microalbumin test |
$57 |
$102 |
$5 |
$5 | |
| Urine pregnancy test |
$88 |
$157 |
$8 |
$9 | |
| UV light therapy (skin) |
$286 |
$511 |
— |
$106 | |
| Vaccine administration |
$111 |
$198 |
— |
$19 | |
| Vaccine administration (each additional) |
$99 |
$176 |
— |
$16 | |
| Vaginal delivery |
— |
— |
$3,488 |
$5,487 | |
| Varicocele repair |
$11,043 |
$19,720 |
$4,379 |
$327 | |
| Varicose vein ablation |
$8,716 |
$15,565 |
$3,996 |
$1,018 | |
| Vasectomy |
$8,378 |
$14,960 |
$2,601 |
$347 | |
| Visual field test |
$297 |
$530 |
— |
$64 | |
| Vitamin B12 test |
$121 |
$216 |
$15 |
$15 | |
| Vitamin D test |
$115 |
$205 |
$29 |
$30 | |
| Vitrectomy (eye) |
$14,440 |
$25,785 |
$5,107 |
$814 | |
| Vocal cord injection |
$12,460 |
$22,250 |
$4,681 |
$211 | |
| Wart removal |
$552 |
$985 |
$252 |
$121 | |
| Weight-loss (bariatric) surgery |
— |
— |
$16,609 |
$11,645 | |
| Wound debridement |
$1,593 |
$2,845 |
$759 |
$186 | |
| Wrist fracture repair |
$4,950 |
$8,840 |
$9,070 |
$735 | |
| X-ray of the abdomen |
$504 |
$900 |
$149 |
$36 | |
| X-ray of the ankle |
$605 |
$1,080 |
$124 |
$37 | |
| X-ray of the collarbone |
$610 |
$1,090 |
$124 |
$33 | |
| X-ray of the elbow |
$616 |
$1,100 |
$124 |
$33 | |
| X-ray of the facial bones |
$484 |
$865 |
$146 |
$39 | |
| X-ray of the foot |
$566 |
$1,010 |
$124 |
$34 | |
| X-ray of the forearm |
$588 |
$1,050 |
$124 |
$29 | |
| X-ray of the hand |
$566 |
$1,010 |
$124 |
$38 | |
| X-ray of the hip |
$381 |
$680 |
$142 |
$49 | |
| X-ray of the hip (1 view) |
$353 |
$630 |
$124 |
$34 | |
| X-ray of the hip (3 views) |
$381 |
$680 |
$124 |
$49 | |
| X-ray of the hip (4 views) |
$493 |
$880 |
$149 |
$63 | |
| X-ray of the knee |
$459 |
$820 |
$142 |
$42 | |
| X-ray of the knee (2 views) |
$403 |
$720 |
$124 |
$34 | |
| X-ray of the knee (3 views) |
$459 |
$820 |
$124 |
$42 | |
| X-ray of the knee (4+ views) |
$672 |
$1,200 |
$149 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$571 |
$1,020 |
$149 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$554 |
$990 |
$149 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$588 |
$1,050 |
$149 |
$53 | |
| X-ray of the lower leg |
$577 |
$1,030 |
$124 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$571 |
$1,020 |
$149 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$554 |
$990 |
$149 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$588 |
$1,050 |
$149 |
$39 | |
| X-ray of the neck (cervical spine) |
$608 |
$1,085 |
$146 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$538 |
$960 |
$124 |
$40 | |
| X-ray of the pelvis |
$540 |
$965 |
$149 |
$36 | |
| X-ray of the pelvis (1 view) |
$526 |
$940 |
$149 |
$28 | |
| X-ray of the ribs |
$616 |
$1,100 |
$149 |
$42 | |
| X-ray of the ribs (2 views) |
$431 |
$770 |
$124 |
$36 | |
| X-ray of the ribs (3 views) |
$616 |
$1,100 |
$149 |
$42 | |
| X-ray of the shoulder |
$655 |
$1,170 |
$124 |
$36 | |
| X-ray of the skull |
$843 |
$1,505 |
$149 |
$40 | |
| X-ray of the upper arm |
$605 |
$1,080 |
$124 |
$32 | |
| X-ray of the wrist |
$633 |
$1,130 |
$124 |
$43 | |
| YAG laser capsulotomy (eye) |
$2,705 |
$4,830 |
$697 |
$335 | |
| Zinc blood test |
$21 |
$38 |
$12 |
$11 | |