| 3D mammogram (tomosynthesis) |
$448 |
$560 |
$87 |
$51 | |
| Abdominal fluid drain (paracentesis) |
— |
— |
$1,513 |
$284 | |
| Abdominal ultrasound |
$645 |
$807 |
$244 |
$100 | |
| Abdominal ultrasound (complete) |
$714 |
$893 |
$244 |
$114 | |
| Abdominal ultrasound (limited) |
$576 |
$720 |
$244 |
$86 | |
| Abscess drainage (complex or multiple) |
$870 |
$1,088 |
$645 |
$220 | |
| Abscess drainage (simple) |
$592 |
$740 |
$321 |
$129 | |
| Abscess incision and drainage |
$764 |
$955 |
$421 |
$174 | |
| Achilles tendon repair |
— |
— |
$11,523 |
$624 | |
| ACL knee reconstruction |
— |
— |
$11,523 |
$889 | |
| Adenoid removal (adenoidectomy) |
— |
— |
$5,232 |
$204 | |
| Albumin blood test |
$44 |
$55 |
$10 |
$5 | |
| Aldosterone test |
$144 |
$180 |
$71 |
$41 | |
| Alkaline phosphatase test |
$41 |
$51 |
$10 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$113 |
$141 |
$29 |
$17 | |
| ALT liver enzyme test |
$49 |
$61 |
$10 |
$5 | |
| Ammonia blood test |
$147 |
$184 |
$26 |
$15 | |
| Amniocentesis |
— |
— |
$1,405 |
$120 | |
| Amylase test |
$50 |
$62 |
$11 |
$6 | |
| Anal fistula repair |
— |
— |
$4,424 |
$541 | |
| Ankle fracture repair |
— |
— |
$11,523 |
$608 | |
| Ankle replacement |
— |
— |
$29,662 |
$885 | |
| Anoscopy |
— |
— |
$208 |
$129 | |
| Antinuclear antibody (ANA) test |
$81 |
$101 |
$23 |
$12 | |
| Arterial blood gas (ABG) |
$135 |
$169 |
$45 |
$26 | |
| AST liver enzyme test |
$46 |
$57 |
$10 |
$5 | |
| Barium swallow study |
$616 |
$770 |
$407 |
$107 | |
| Bartholin cyst removal |
— |
— |
$325 |
$182 | |
| Basic metabolic panel |
$87 |
$109 |
$16 |
$8 | |
| Benign skin lesion removal |
— |
— |
$797 |
$171 | |
| Bilirubin blood test |
$47 |
$59 |
$10 |
$5 | |
| Bladder function test (urodynamics) |
— |
— |
$1,077 |
$345 | |
| Bladder scope (cystoscopy) |
— |
— |
$1,077 |
$216 | |
| Bladder tumor removal (TURBT) |
— |
— |
$5,563 |
$236 | |
| Blood clotting test (PT/INR) |
$49 |
$61 |
$8 |
$4 | |
| Blood crossmatch |
$46 |
$57 |
$299 |
— | |
| Blood glucose test |
$26 |
$33 |
$8 |
$5 | |
| Blood transfusion |
$1,755 |
$2,194 |
$706 |
$47 | |
| Blood type and screen |
$94 |
$118 |
$92 |
$10 | |
| Blood type test |
$99 |
$124 |
$129 |
$3 | |
| Blood type test (ABO group) |
$203 |
$254 |
$225 |
$3 | |
| Blood type test (Rh/D antigen) |
$91 |
$114 |
$68 |
$3 | |
| BNP (heart failure) test |
$297 |
$371 |
$68 |
$39 | |
| Bone density scan (DEXA) |
$368 |
$460 |
$244 |
$39 | |
| Bone marrow biopsy |
— |
— |
$3,235 |
$172 | |
| Bone scan (nuclear) |
$1,382 |
$1,728 |
$921 |
$259 | |
| Botox for migraine |
— |
— |
$477 |
$157 | |
| Breast biopsy |
$3,440 |
$4,300 |
$2,614 |
$478 | |
| Breast MRI |
$1,920 |
$2,400 |
$592 |
$216 | |
| Breast MRI without contrast |
$1,920 |
$2,400 |
$554 |
$216 | |
| Breast reconstruction |
— |
— |
$28,063 |
$1,227 | |
| Breast reduction |
— |
— |
$10,519 |
$980 | |
| Breast ultrasound |
$518 |
$648 |
$211 |
$92 | |
| Breast ultrasound (complete) |
$654 |
$818 |
$244 |
$100 | |
| Breast ultrasound (limited) |
$382 |
$478 |
$202 |
$84 | |
| Breathing tube insertion (intubation) |
$534 |
$667 |
$375 |
$133 | |
| Bronchoscopy |
— |
— |
$3,763 |
$303 | |
| Bunion surgery (bunionectomy) |
— |
— |
$10,045 |
$883 | |
| Burn dressing and debridement (medium) |
— |
— |
$321 |
$166 | |
| Burn dressing and debridement (small) |
— |
— |
$321 |
$93 | |
| Burn treatment |
— |
— |
$321 |
$129 | |
| C-reactive protein (CRP) |
$58 |
$73 |
$10 |
$5 | |
| CA 19-9 tumor marker test |
$142 |
$177 |
$36 |
$21 | |
| CA-125 ovarian marker test |
$169 |
$211 |
$36 |
$21 | |
| Calcium blood test |
$46 |
$58 |
$10 |
$5 | |
| Capsule endoscopy |
$2,750 |
$3,438 |
$1,513 |
$802 | |
| Cardiac ablation |
$35,454 |
$44,318 |
— |
$759 | |
| Cardiac catheterization |
$14,812 |
$18,515 |
$5,188 |
$1,049 | |
| Cardiac MRI |
— |
— |
$612 |
$322 | |
| Cardiac MRI without contrast |
— |
— |
$554 |
$280 | |
| Cardiac stress test |
$911 |
$1,139 |
— |
$39 | |
| Cardioversion |
— |
— |
$1,056 |
$155 | |
| Carotid artery ultrasound |
$784 |
$980 |
— |
$156 | |
| Carpal tunnel release |
— |
— |
$3,150 |
$483 | |
| Cataract surgery |
— |
— |
$3,679 |
$547 | |
| CEA tumor marker test |
$195 |
$244 |
$33 |
$19 | |
| Celiac disease test |
$50 |
$63 |
$20 |
$12 | |
| Central line placement |
$2,639 |
$3,299 |
$5,077 |
$238 | |
| Cervical cerclage |
— |
— |
$5,129 |
$137 | |
| Cervical LEEP procedure |
— |
— |
$5,129 |
$325 | |
| Cesarean section (C-section) |
— |
— |
$1,655 |
$7,552 | |
| Chalazion (eyelid cyst) removal |
— |
— |
$482 |
$131 | |
| Chest fluid drain (thoracentesis) |
$2,240 |
$2,800 |
$998 |
$311 | |
| Chest tube insertion |
$3,496 |
$4,370 |
$2,506 |
$143 | |
| Chest X-ray |
$304 |
$380 |
$211 |
$37 | |
| Chest X-ray (1 view) |
$304 |
$380 |
$202 |
$25 | |
| Chest X-ray (2 views) |
$304 |
$380 |
$202 |
$33 | |
| Circumcision |
— |
— |
$3,305 |
$167 | |
| CK-MB heart enzyme test |
$138 |
$173 |
$20 |
$12 | |
| Clotting time test (PTT) |
$52 |
$65 |
$10 |
$6 | |
| Colonoscopy |
— |
— |
$1,605 |
$480 | |
| Colposcopy |
— |
— |
$491 |
$161 | |
| Complete blood count (CBC) |
$74 |
$93 |
$12 |
$7 | |
| Complete blood count (CBC) (complete) |
$89 |
$111 |
$14 |
$8 | |
| Complex wound repair |
— |
— |
$988 |
$390 | |
| Comprehensive metabolic panel |
$105 |
$131 |
$19 |
$11 | |
| Contraceptive implant (Nexplanon) |
— |
— |
$400 |
$115 | |
| Copper blood test |
$90 |
$113 |
$23 |
$12 | |
| Corneal transplant |
— |
— |
$6,489 |
$1,066 | |
| Coronary artery bypass (CABG) |
— |
— |
$8,032 |
$36,593 | |
| Coronary CT angiography |
$1,280 |
$1,600 |
$819 |
$326 | |
| Cortisol test |
$138 |
$172 |
$29 |
$16 | |
| COVID-19 PCR test |
— |
— |
$90 |
$51 | |
| Creatine kinase (CK) test |
$65 |
$81 |
$13 |
$7 | |
| CT angiography of the chest |
$2,720 |
$3,400 |
$528 |
$281 | |
| CT angiography of the head |
$2,560 |
$3,200 |
$528 |
$274 | |
| CT colonography (virtual colonoscopy) |
— |
— |
$716 |
$835 | |
| CT scan of the abdomen |
$1,520 |
$1,900 |
$287 |
$230 | |
| CT scan of the abdomen and pelvis |
$3,600 |
$4,500 |
$612 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$4,000 |
$5,000 |
$819 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$3,600 |
$4,500 |
$819 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$3,200 |
$4,000 |
$554 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,920 |
$2,400 |
$528 |
$259 | |
| CT scan of the abdomen with contrast |
$1,520 |
$1,900 |
$506 |
$230 | |
| CT scan of the abdomen without contrast |
$1,120 |
$1,400 |
$251 |
$136 | |
| CT scan of the arm |
$1,760 |
$2,200 |
$441 |
$199 | |
| CT scan of the arm with contrast |
$1,760 |
$2,200 |
$819 |
$199 | |
| CT scan of the arm without contrast |
$1,440 |
$1,800 |
$316 |
$161 | |
| CT scan of the chest |
$2,000 |
$2,500 |
$291 |
$167 | |
| CT scan of the chest with and without contrast |
$2,400 |
$3,000 |
$425 |
$196 | |
| CT scan of the chest with contrast |
$2,000 |
$2,500 |
$407 |
$167 | |
| CT scan of the chest without contrast |
$1,600 |
$2,000 |
$255 |
$133 | |
| CT scan of the head |
$1,760 |
$2,200 |
$280 |
$148 | |
| CT scan of the head with and without contrast |
$1,920 |
$2,400 |
$407 |
$173 | |
| CT scan of the head with contrast |
$1,760 |
$2,200 |
$407 |
$148 | |
| CT scan of the head without contrast |
$1,600 |
$2,000 |
$244 |
$107 | |
| CT scan of the leg |
$1,440 |
$1,800 |
$293 |
$166 | |
| CT scan of the leg with contrast |
$1,920 |
$2,400 |
$407 |
$166 | |
| CT scan of the leg without contrast |
$1,440 |
$1,800 |
$257 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,920 |
$2,400 |
$381 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,240 |
$2,800 |
$425 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,920 |
$2,400 |
$819 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,600 |
$2,000 |
$256 |
$130 | |
| CT scan of the neck |
$1,800 |
$2,250 |
$310 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,600 |
$2,000 |
$383 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$960 |
$1,200 |
$424 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,600 |
$2,000 |
$819 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,840 |
$2,300 |
$258 |
$131 | |
| CT scan of the neck with and without contrast |
$2,080 |
$2,600 |
$444 |
$220 | |
| CT scan of the neck with contrast |
$1,440 |
$1,800 |
$407 |
$183 | |
| CT scan of the neck without contrast |
$1,680 |
$2,100 |
$274 |
$150 | |
| CT scan of the pelvis |
$1,920 |
$2,400 |
$290 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,240 |
$2,800 |
$528 |
$251 | |
| CT scan of the pelvis with contrast |
$1,920 |
$2,400 |
$509 |
$226 | |
| CT scan of the pelvis without contrast |
$1,600 |
$2,000 |
$254 |
$133 | |
| CT scan of the sinuses |
$1,760 |
$2,200 |
$304 |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,080 |
$2,600 |
$407 |
$184 | |
| CT scan of the sinuses with contrast |
$1,760 |
$2,200 |
$407 |
$152 | |
| CT scan of the sinuses without contrast |
$1,440 |
$1,800 |
$268 |
$128 | |
| D-dimer test |
$154 |
$193 |
$18 |
$10 | |
| Defibrillator (ICD) implant |
$24,661 |
$30,826 |
$51,713 |
$798 | |
| DHEA-sulfate test |
$104 |
$130 |
$39 |
$22 | |
| Diagnostic mammogram |
$420 |
$525 |
$211 |
$140 | |
| Dialysis fistula creation |
$6,326 |
$7,907 |
$5,077 |
$601 | |
| Dilation and curettage (D&C) |
— |
— |
$5,129 |
$298 | |
| Droopy eyelid repair (ptosis) |
— |
— |
$3,763 |
$745 | |
| Drug screen (urine) |
— |
— |
$41 |
$17 | |
| Ear pressure test (tympanometry) |
— |
— |
$64 |
$16 | |
| Ear tubes (myringotomy) |
— |
— |
$1,308 |
$174 | |
| Eardrum repair (tympanoplasty) |
— |
— |
$9,542 |
$799 | |
| Echocardiogram |
$910 |
$1,137 |
— |
$138 | |
| Echocardiogram with and without contrast |
$954 |
$1,192 |
— |
$101 | |
| Echocardiogram without contrast |
$866 |
$1,082 |
— |
$138 | |
| EEG (awake and asleep) |
$1,468 |
$1,835 |
$503 |
$482 | |
| EKG / ECG (tracing only) |
$270 |
$337 |
— |
$7 | |
| Elbow replacement |
— |
— |
$29,662 |
$1,301 | |
| Electrocardiogram (EKG) |
$166 |
$207 |
— |
$8 | |
| Electroencephalogram (EEG) |
$1,365 |
$1,707 |
$503 |
$448 | |
| Electrolyte panel |
$120 |
$150 |
$13 |
$7 | |
| Electromyography (EMG) |
$301 |
$377 |
$208 |
$141 | |
| Emergency department visit |
$1,181 |
$1,476 |
$665 |
$69 | |
| Emergency department visit (level 1) |
$367 |
$459 |
$232 |
$11 | |
| Emergency department visit (level 2) |
$604 |
$755 |
$378 |
$40 | |
| Emergency department visit (level 3) |
$1,181 |
$1,476 |
$728 |
$69 | |
| Emergency department visit (level 4) |
$1,889 |
$2,361 |
$1,307 |
$118 | |
| Emergency department visit (level 5) |
$2,623 |
$3,279 |
$2,257 |
$171 | |
| Endometrial biopsy |
— |
— |
$325 |
$98 | |
| Epidural steroid injection |
— |
— |
$1,117 |
$275 | |
| ERCP (bile duct endoscopy) |
— |
— |
$6,137 |
$311 | |
| Esophageal dilation |
— |
— |
$1,992 |
$522 | |
| Esophageal variceal banding |
— |
— |
$3,060 |
$126 | |
| Estradiol (estrogen) test |
$166 |
$207 |
$48 |
$28 | |
| Eyelid surgery (blepharoplasty) |
— |
— |
$2,951 |
$552 | |
| Facet joint injection (spine) |
— |
— |
$1,437 |
$99 | |
| Fallopian tube X-ray (HSG) |
$880 |
$1,100 |
$554 |
$164 | |
| Fecal occult blood (stool) test |
$64 |
$81 |
$13 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$44 |
$55 |
$8 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$85 |
$106 |
$29 |
$16 | |
| Feeding tube (PEG) placement |
— |
— |
$3,060 |
$178 | |
| Femoral hernia repair |
— |
— |
$5,693 |
$584 | |
| Ferritin (iron) test |
$119 |
$149 |
$24 |
$14 | |
| Fibrinogen test |
$87 |
$109 |
$17 |
$10 | |
| Flexible sigmoidoscopy |
— |
— |
$1,471 |
$323 | |
| Flu test |
— |
— |
$29 |
$17 | |
| Flu vaccine |
$24 |
$30 |
— |
— | |
| Folate (folic acid) test |
$117 |
$146 |
$26 |
$15 | |
| Foreign body removal (skin) |
$870 |
$1,088 |
$645 |
$157 | |
| Free T4 thyroid test |
$92 |
$115 |
$16 |
$9 | |
| FSH hormone test |
$121 |
$151 |
$32 |
$19 | |
| Gallbladder removal (laparoscopic) |
$13,360 |
$16,700 |
$9,411 |
$658 | |
| Gallbladder scan (HIDA) |
$1,615 |
$2,019 |
$990 |
$334 | |
| Ganglion cyst removal |
$3,634 |
$4,543 |
$2,582 |
$321 | |
| GGT liver test |
$62 |
$77 |
$13 |
$7 | |
| Glaucoma surgery |
— |
— |
$3,679 |
$984 | |
| Glucose tolerance test |
$38 |
$47 |
$11 |
$8 | |
| H. pylori test |
$314 |
$392 |
$117 |
$67 | |
| Hammertoe repair |
$6,757 |
$8,446 |
$5,234 |
$548 | |
| HDL cholesterol test |
$56 |
$70 |
$14 |
$8 | |
| Hematocrit test |
$35 |
$44 |
$4 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$78 |
$97 |
$17 |
$10 | |
| Hemorrhoid removal |
— |
— |
$2,386 |
$338 | |
| Hepatitis A vaccine |
$113 |
$142 |
— |
— | |
| Hepatitis B test |
$62 |
$78 |
$19 |
$10 | |
| Hepatitis C test |
$68 |
$85 |
$26 |
$14 | |
| Hip arthroscopy |
— |
— |
$11,523 |
$931 | |
| Hip replacement |
$30,320 |
$37,900 |
$20,753 |
$1,162 | |
| HIV test |
$94 |
$118 |
$28 |
$19 | |
| HIV test (antibody) |
$39 |
$49 |
$24 |
$14 | |
| HIV test (antigen/antibody combo) |
$150 |
$187 |
$42 |
$24 | |
| Home sleep apnea test |
$745 |
$931 |
— |
$123 | |
| Hydrocele repair |
— |
— |
$5,693 |
$315 | |
| Hysterectomy |
$23,760 |
$29,700 |
$16,793 |
$933 | |
| Hysteroscopy |
— |
— |
$5,129 |
$1,270 | |
| Inguinal hernia repair |
— |
— |
$5,693 |
$538 | |
| Iron blood test |
$41 |
$51 |
$11 |
$6 | |
| IUD removal |
— |
— |
$491 |
$112 | |
| IV infusion therapy |
$60 |
$75 |
$340 |
$44 | |
| IV infusion therapy (initial) |
$60 |
$75 |
$340 |
$67 | |
| IVC filter placement |
— |
— |
$8,719 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$560 |
$700 |
$477 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$560 |
$700 |
$477 |
$57 | |
| Joint aspiration or injection (small joint) |
$535 |
$669 |
$477 |
$56 | |
| Kidney biopsy |
— |
— |
$2,614 |
$492 | |
| Kidney scan (nuclear) |
$1,848 |
$2,310 |
$1,232 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
— |
— |
$5,563 |
$760 | |
| Kidney ultrasound |
$574 |
$718 |
$244 |
$84 | |
| Kidney ultrasound (limited) |
$422 |
$528 |
$244 |
$61 | |
| Knee arthroscopy |
— |
— |
$5,234 |
$524 | |
| Knee joint injection |
$535 |
$669 |
$477 |
$69 | |
| Knee replacement |
— |
— |
$6,035 |
$18,054 | |
| Lactate test |
$145 |
$181 |
$20 |
$12 | |
| Laminectomy (spine) |
— |
— |
$11,523 |
$1,157 | |
| Laryngoscopy |
$473 |
$592 |
$432 |
$189 | |
| LDH test |
$80 |
$100 |
$10 |
$6 | |
| LDL cholesterol test |
$72 |
$90 |
$19 |
$11 | |
| Leg artery angiogram |
$10,880 |
$13,600 |
$7,204 |
$149 | |
| Leg vein ultrasound (Doppler) |
$906 |
$1,132 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$906 |
$1,132 |
— |
$116 | |
| LH hormone test |
$118 |
$148 |
$32 |
$19 | |
| Lipase test |
$93 |
$116 |
$13 |
$7 | |
| Lipid (cholesterol) panel |
$101 |
$126 |
$23 |
$13 | |
| Liver biopsy |
— |
— |
$2,614 |
$288 | |
| Liver function panel |
$93 |
$116 |
$14 |
$8 | |
| Lumbar discectomy |
— |
— |
$11,523 |
$898 | |
| Lumpectomy (breast) |
$8,800 |
$11,000 |
$7,523 |
$750 | |
| Lung function test (PFT) |
$574 |
$718 |
— |
$37 | |
| Lung scan (V/Q) |
$1,848 |
$2,310 |
$1,232 |
$291 | |
| Magnesium blood test |
$76 |
$95 |
$13 |
$7 | |
| Mastectomy |
— |
— |
$10,519 |
$1,021 | |
| Mastoidectomy |
— |
— |
$9,542 |
$840 | |
| Meniscus repair (knee) |
— |
— |
$5,234 |
$714 | |
| Mohs skin cancer surgery |
— |
— |
$988 |
$535 | |
| MRA of the brain |
$2,000 |
$2,500 |
$612 |
$226 | |
| MRA of the brain with contrast |
$2,000 |
$2,500 |
$819 |
$226 | |
| MRA of the brain without contrast |
$2,320 |
$2,900 |
$819 |
$328 | |
| MRA of the neck |
$2,000 |
$2,500 |
$612 |
$245 | |
| MRA of the neck with contrast |
$2,000 |
$2,500 |
$819 |
$245 | |
| MRA of the neck without contrast |
$2,400 |
$3,000 |
$819 |
$343 | |
| MRI of the abdomen |
$2,720 |
$3,400 |
$612 |
$300 | |
| MRI of the abdomen with contrast |
$2,720 |
$3,400 |
$819 |
$300 | |
| MRI of the abdomen without contrast |
$2,160 |
$2,700 |
$554 |
$194 | |
| MRI of the ankle |
$2,400 |
$3,000 |
$612 |
$261 | |
| MRI of the ankle with contrast |
$2,400 |
$3,000 |
$819 |
$261 | |
| MRI of the ankle without contrast |
$1,600 |
$2,000 |
$554 |
$222 | |
| MRI of the brain |
$2,320 |
$2,900 |
$612 |
$269 | |
| MRI of the brain with contrast |
$2,320 |
$2,900 |
$819 |
$269 | |
| MRI of the brain without contrast |
$1,840 |
$2,300 |
$554 |
$195 | |
| MRI of the chest |
$2,560 |
$3,200 |
$991 |
$371 | |
| MRI of the chest with contrast |
$2,400 |
$3,000 |
$1,808 |
$371 | |
| MRI of the chest without contrast |
$2,800 |
$3,500 |
$1,058 |
$466 | |
| MRI of the knee |
$2,756 |
$3,445 |
$828 |
$315 | |
| MRI of the knee with contrast |
$2,756 |
$3,445 |
$1,808 |
$315 | |
| MRI of the knee without contrast |
$1,760 |
$2,200 |
$554 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,240 |
$2,800 |
$612 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,240 |
$2,800 |
$819 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,080 |
$2,600 |
$554 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,240 |
$2,800 |
$612 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$3,120 |
$3,900 |
$819 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,240 |
$2,800 |
$819 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,080 |
$2,600 |
$554 |
$190 | |
| MRI of the neck (cervical spine) |
$1,920 |
$2,400 |
$612 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,800 |
$3,500 |
$819 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,920 |
$2,400 |
$819 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,760 |
$2,200 |
$554 |
$191 | |
| MRI of the pelvis |
$2,000 |
$2,500 |
$612 |
$268 | |
| MRI of the pelvis with contrast |
$1,600 |
$2,000 |
$819 |
$268 | |
| MRI of the pelvis without contrast |
$2,000 |
$2,500 |
$554 |
$227 | |
| MRI of the shoulder |
$2,400 |
$3,000 |
$828 |
$313 | |
| MRI of the shoulder with contrast |
$2,756 |
$3,445 |
$1,808 |
$313 | |
| MRI of the shoulder without contrast |
$1,920 |
$2,400 |
$554 |
$205 | |
| MRI of the wrist |
$1,840 |
$2,300 |
$756 |
$330 | |
| MRI of the wrist with contrast |
$1,840 |
$2,300 |
$819 |
$330 | |
| MRI of the wrist without contrast |
$1,600 |
$2,000 |
$698 |
$303 | |
| Neck (cervical) spinal fusion |
— |
— |
$20,753 |
$1,410 | |
| Nerve conduction study |
$455 |
$569 |
— |
$118 | |
| Nuchal translucency ultrasound |
— |
— |
$244 |
$116 | |
| Nuclear cardiac stress test |
$4,483 |
$5,604 |
$2,988 |
$428 | |
| Occupational therapy evaluation |
$313 |
$391 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$396 |
$495 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$280 |
$350 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$313 |
$391 |
— |
$101 | |
| Orthopedic hardware removal |
$7,253 |
$9,067 |
$4,617 |
$632 | |
| Ovarian cyst removal |
— |
— |
$7,963 |
$698 | |
| Pacemaker insertion |
— |
— |
$6,017 |
$15,506 | |
| Pap smear (cervical screening) |
$114 |
$142 |
$58 |
$20 | |
| Parathyroid hormone (PTH) test |
$255 |
$319 |
$71 |
$41 | |
| Parathyroid removal |
— |
— |
$9,542 |
$891 | |
| Pelvic ultrasound |
$548 |
$685 |
$244 |
$78 | |
| Pelvic ultrasound (complete) |
$617 |
$771 |
$244 |
$105 | |
| Pelvic ultrasound (limited) |
$478 |
$598 |
$244 |
$51 | |
| PET scan |
$6,800 |
$8,500 |
$3,340 |
— | |
| Phosphorus blood test |
$57 |
$71 |
$10 |
$5 | |
| Physical therapy evaluation |
$312 |
$390 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$345 |
$431 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$312 |
$390 |
— |
$98 | |
| Pilonidal cyst removal |
— |
— |
$4,617 |
$541 | |
| Platelet count |
$46 |
$57 |
$8 |
$4 | |
| Pregnancy blood test (hCG) |
$91 |
$114 |
$13 |
$8 | |
| Pregnancy ultrasound |
$370 |
$463 |
$244 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$329 |
$411 |
$244 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$411 |
$514 |
$244 |
$136 | |
| Procalcitonin test |
— |
— |
$48 |
$27 | |
| Prolactin test |
$149 |
$186 |
$34 |
$19 | |
| Prostate removal (prostatectomy) |
$23,760 |
$29,700 |
$16,793 |
$1,063 | |
| Prostate surgery (TURP) |
— |
— |
$8,200 |
$526 | |
| Prostate test (PSA) |
$125 |
$156 |
$32 |
$18 | |
| Psychiatric evaluation |
$190 |
$238 |
— |
$188 | |
| Psychotherapy session |
$175 |
$219 |
— |
$140 | |
| Pterygium removal (eye) |
— |
— |
$3,763 |
$540 | |
| Radiofrequency nerve ablation |
— |
— |
$3,150 |
$462 | |
| Retina scan (OCT) |
$160 |
$200 |
— |
$33 | |
| Retinal (fundus) photography |
— |
— |
$208 |
$37 | |
| Retinal detachment repair |
— |
— |
$6,489 |
$966 | |
| Rheumatoid factor test |
$59 |
$74 |
$11 |
$6 | |
| Rotator cuff repair |
— |
— |
$11,523 |
$792 | |
| Routine eye exam |
— |
— |
$208 |
$88 | |
| Scoliosis spine X-ray |
$336 |
$420 |
$211 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$304 |
$380 |
$202 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$368 |
$460 |
$244 |
$72 | |
| Screening colonoscopy |
— |
— |
$1,471 |
$378 | |
| Screening mammogram |
$300 |
$375 |
$211 |
$126 | |
| Scrotal ultrasound |
$614 |
$768 |
$244 |
$99 | |
| Sedimentation rate (ESR) test |
$43 |
$54 |
$5 |
$3 | |
| Semen analysis |
$55 |
$69 |
$23 |
$12 | |
| Septoplasty (deviated septum) |
— |
— |
$5,232 |
$613 | |
| Sex hormone binding globulin test |
$134 |
$168 |
$39 |
$22 | |
| Shoulder arthroscopy |
— |
— |
$11,523 |
$962 | |
| Shoulder replacement |
— |
— |
$29,662 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
— |
— |
$321 |
$114 | |
| Simple wound stitches |
— |
— |
$321 |
$127 | |
| Sinus surgery (endoscopic) |
— |
— |
$7,565 |
$224 | |
| Skin biopsy |
— |
— |
$528 |
$121 | |
| Skin biopsy (punch) |
— |
— |
$645 |
$121 | |
| Skin cancer lesion removal |
— |
— |
$797 |
$240 | |
| Skin graft |
— |
— |
$3,867 |
$898 | |
| Skin lesion freezing (cryotherapy) |
— |
— |
$321 |
$36 | |
| Skin tag removal |
— |
— |
$321 |
$92 | |
| Sleep study (polysomnography) |
$5,522 |
$6,903 |
— |
$691 | |
| Soft tissue ultrasound |
$334 |
$418 |
$244 |
$64 | |
| Spinal cord stimulator |
— |
— |
$10,586 |
$2,388 | |
| Spinal tap (lumbar puncture) |
— |
— |
$1,117 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$16,000 |
$20,000 |
$11,523 |
$5,803 | |
| Spirometry (lung function test) |
$449 |
$561 |
— |
$30 | |
| Spirometry with bronchodilator |
$699 |
$874 |
— |
$43 | |
| Spleen removal (splenectomy) |
— |
— |
$16,793 |
$1,036 | |
| Strabismus (eye muscle) surgery |
— |
— |
$4,482 |
$475 | |
| Strep throat test |
$67 |
$84 |
$29 |
$17 | |
| Stress echocardiogram |
$1,600 |
$2,000 |
— |
$209 | |
| Stress echocardiogram (complete) |
$1,600 |
$2,000 |
— |
$233 | |
| Swallow study |
$354 |
$442 |
— |
$85 | |
| T3 thyroid test |
$82 |
$103 |
$26 |
$14 | |
| Testicle removal (orchiectomy) |
$8,080 |
$10,100 |
$5,563 |
$306 | |
| Testosterone test |
$161 |
$201 |
$45 |
$26 | |
| Thyroid removal (thyroidectomy) |
— |
— |
$9,451 |
$1,004 | |
| Thyroid test (TSH) |
$125 |
$156 |
$29 |
$17 | |
| Thyroid ultrasound |
$558 |
$698 |
$244 |
$109 | |
| Thyroid uptake scan |
$1,382 |
$1,728 |
$921 |
$145 | |
| Tonsillectomy |
— |
— |
$6,568 |
$252 | |
| Total IgE allergy test |
$103 |
$129 |
$29 |
$16 | |
| Total protein test |
$35 |
$44 |
$7 |
$4 | |
| Tracheostomy |
— |
— |
$5,232 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$2,069 |
$2,586 |
$885 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$2,069 |
$2,586 |
$885 |
$239 | |
| Transvaginal ultrasound |
$511 |
$639 |
$244 |
$118 | |
| Trigger finger release |
$3,324 |
$4,156 |
$2,582 |
$630 | |
| Trigger point injection |
$413 |
$517 |
$477 |
$56 | |
| Trigger point injection (1-2 muscles) |
$396 |
$496 |
$477 |
$52 | |
| Triglycerides test |
$54 |
$67 |
$10 |
$6 | |
| Troponin (heart) test |
$168 |
$210 |
$23 |
$12 | |
| Tubal ligation |
— |
— |
$9,411 |
$333 | |
| Turbinate reduction |
— |
— |
$5,232 |
$294 | |
| Turning a breech baby (version) |
— |
— |
$5,129 |
$94 | |
| Ulnar nerve surgery (elbow) |
— |
— |
$3,150 |
$575 | |
| Upper GI endoscopy (EGD) |
— |
— |
$1,513 |
$371 | |
| Upper GI series (barium) |
$616 |
$770 |
$407 |
$128 | |
| Ureteral stent placement |
— |
— |
$5,563 |
$373 | |
| Ureteroscopy (stone removal) |
— |
— |
$8,200 |
$365 | |
| Uric acid (gout) test |
$50 |
$63 |
$8 |
$5 | |
| Urinalysis |
$39 |
$49 |
$5 |
$3 | |
| Urine microalbumin test |
$52 |
$65 |
$10 |
$5 | |
| Urine pregnancy test |
$65 |
$81 |
$16 |
$9 | |
| Vaccine administration |
$76 |
$95 |
— |
$19 | |
| Vaginal delivery |
— |
— |
$2,246 |
$5,487 | |
| Varicocele repair |
— |
— |
$5,563 |
$327 | |
| Varicose vein ablation |
$7,280 |
$9,100 |
$5,077 |
$1,018 | |
| Vasectomy |
— |
— |
$3,305 |
$347 | |
| Vitamin B12 test |
$114 |
$142 |
$26 |
$15 | |
| Vitamin D test |
$153 |
$191 |
$51 |
$30 | |
| Vitrectomy (eye) |
— |
— |
$6,489 |
$814 | |
| Vocal cord injection |
— |
— |
$5,947 |
$211 | |
| Wart removal |
— |
— |
$321 |
$121 | |
| Weight-loss (bariatric) surgery |
— |
— |
$5,901 |
$11,645 | |
| Wound debridement |
$1,599 |
$1,999 |
$751 |
$186 | |
| Wrist fracture repair |
— |
— |
$11,523 |
$735 | |
| X-ray of the abdomen |
$368 |
$460 |
$211 |
$36 | |
| X-ray of the ankle |
$304 |
$380 |
$202 |
$37 | |
| X-ray of the collarbone |
$304 |
$380 |
$202 |
$33 | |
| X-ray of the elbow |
$304 |
$380 |
$202 |
$33 | |
| X-ray of the facial bones |
$336 |
$420 |
$211 |
$39 | |
| X-ray of the foot |
$304 |
$380 |
$202 |
$34 | |
| X-ray of the forearm |
$304 |
$380 |
$202 |
$29 | |
| X-ray of the hand |
$304 |
$380 |
$202 |
$38 | |
| X-ray of the hip |
$304 |
$380 |
$211 |
$49 | |
| X-ray of the hip (1 view) |
$304 |
$380 |
$202 |
$34 | |
| X-ray of the hip (3 views) |
$304 |
$380 |
$202 |
$49 | |
| X-ray of the hip (4 views) |
$368 |
$460 |
$244 |
$63 | |
| X-ray of the knee |
$304 |
$380 |
$211 |
$42 | |
| X-ray of the knee (2 views) |
$304 |
$380 |
$202 |
$34 | |
| X-ray of the knee (3 views) |
$304 |
$380 |
$202 |
$42 | |
| X-ray of the knee (4+ views) |
$368 |
$460 |
$244 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$368 |
$460 |
$244 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$368 |
$460 |
$244 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$368 |
$460 |
$244 |
$53 | |
| X-ray of the lower leg |
$304 |
$380 |
$202 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$368 |
$460 |
$244 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$368 |
$460 |
$244 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$368 |
$460 |
$244 |
$39 | |
| X-ray of the neck (cervical spine) |
$336 |
$420 |
$211 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$304 |
$380 |
$202 |
$40 | |
| X-ray of the pelvis |
$368 |
$460 |
$244 |
$36 | |
| X-ray of the pelvis (1 view) |
$368 |
$460 |
$244 |
$28 | |
| X-ray of the ribs |
$368 |
$460 |
$211 |
$42 | |
| X-ray of the ribs (2 views) |
$304 |
$380 |
$202 |
$36 | |
| X-ray of the ribs (3 views) |
$368 |
$460 |
$244 |
$42 | |
| X-ray of the shoulder |
$242 |
$303 |
$202 |
$36 | |
| X-ray of the skull |
$368 |
$460 |
$244 |
$40 | |
| X-ray of the upper arm |
$304 |
$380 |
$202 |
$32 | |
| X-ray of the wrist |
$304 |
$380 |
$202 |
$43 | |
| YAG laser capsulotomy (eye) |
— |
— |
$885 |
$335 | |
| Zinc blood test |
$85 |
$106 |
$20 |
$11 | |