| Abdominal fluid drain (paracentesis) |
$2,413 |
$3,713 |
— |
$284 | |
| Abscess drainage (complex or multiple) |
$1,273 |
$1,958 |
— |
$220 | |
| Abscess drainage (simple) |
$660 |
$1,015 |
— |
$129 | |
| Abscess incision and drainage |
$966 |
$1,487 |
— |
$174 | |
| Alkaline phosphatase test |
$60 |
$93 |
$12 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$154 |
$237 |
$40 |
$17 | |
| ALT liver enzyme test |
$61 |
$94 |
$13 |
$5 | |
| Ammonia blood test |
$150 |
$230 |
$35 |
$15 | |
| Amylase test |
$74 |
$114 |
$15 |
$6 | |
| Antinuclear antibody (ANA) test |
$185 |
$284 |
$29 |
$12 | |
| Arterial blood gas (ABG) |
$207 |
$319 |
$46 |
$26 | |
| AST liver enzyme test |
$60 |
$93 |
$12 |
$5 | |
| Bartholin cyst removal |
$651 |
$1,001 |
— |
$182 | |
| Basic metabolic panel |
$92 |
$142 |
$20 |
$8 | |
| Bilirubin blood test |
$47 |
$72 |
$12 |
$5 | |
| Blood clotting test (PT/INR) |
$36 |
$56 |
$9 |
$4 | |
| Blood glucose test |
$36 |
$56 |
$9 |
$5 | |
| Blood transfusion |
$994 |
$1,529 |
$33 |
$47 | |
| BNP (heart failure) test |
$311 |
$478 |
$81 |
$39 | |
| Breathing tube insertion (intubation) |
$943 |
$1,451 |
— |
$133 | |
| Burn dressing and debridement (medium) |
$465 |
$715 |
— |
$166 | |
| Burn dressing and debridement (small) |
$660 |
$1,015 |
— |
$93 | |
| Burn treatment |
$562 |
$865 |
— |
$129 | |
| C-reactive protein (CRP) |
$54 |
$83 |
$12 |
$5 | |
| Cardioversion |
$1,719 |
$2,645 |
— |
$155 | |
| Celiac disease test |
$141 |
$217 |
$16 |
$12 | |
| Central line placement |
$4,355 |
$6,700 |
— |
$238 | |
| Cesarean section (C-section) |
— |
— |
$17,151 |
$7,552 | |
| Chest fluid drain (thoracentesis) |
$1,692 |
$2,603 |
— |
$311 | |
| Chest tube insertion |
$2,538 |
$3,904 |
— |
$143 | |
| Chest X-ray |
$351 |
$540 |
$23 |
$37 | |
| Chest X-ray (1 view) |
$293 |
$450 |
$17 |
$25 | |
| Chest X-ray (2 views) |
$351 |
$540 |
$23 |
$33 | |
| Clotting time test (PTT) |
$55 |
$85 |
$14 |
$6 | |
| Colonoscopy |
$1,412 |
$2,173 |
— |
$480 | |
| Complete blood count (CBC) |
$78 |
$121 |
$16 |
$7 | |
| Complete blood count (CBC) (complete) |
$89 |
$137 |
$18 |
$8 | |
| Comprehensive metabolic panel |
$114 |
$176 |
$25 |
$11 | |
| Coronary artery bypass (CABG) |
— |
— |
$89,274 |
$36,593 | |
| Cortisol test |
$199 |
$306 |
$39 |
$16 | |
| COVID-19 PCR test |
$207 |
$318 |
$73 |
$51 | |
| CPAP titration study |
$534 |
$821 |
$67 |
$69 | |
| Creatine kinase (CK) test |
$74 |
$114 |
$15 |
$7 | |
| D-dimer test |
$116 |
$179 |
$24 |
$10 | |
| Drug screen (urine) |
$163 |
$252 |
$59 |
$17 | |
| EKG / ECG (tracing only) |
$217 |
$334 |
$32 |
$7 | |
| Electrocardiogram (EKG) |
$217 |
$334 |
$32 |
$8 | |
| Electrolyte panel |
$64 |
$98 |
$17 |
$7 | |
| Emergency department visit |
$1,199 |
$1,845 |
$703 |
$69 | |
| Emergency department visit (level 1) |
$471 |
$724 |
$703 |
$11 | |
| Emergency department visit (level 2) |
$837 |
$1,288 |
$703 |
$40 | |
| Emergency department visit (level 3) |
$1,199 |
$1,845 |
$703 |
$69 | |
| Emergency department visit (level 4) |
$2,079 |
$3,199 |
$703 |
$118 | |
| Emergency department visit (level 5) |
$3,257 |
$5,010 |
$703 |
$171 | |
| Fecal occult blood (stool) test |
$85 |
$130 |
$11 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$31 |
$47 |
$8 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$138 |
$213 |
$31 |
$16 | |
| Ferritin (iron) test |
$131 |
$202 |
$27 |
$14 | |
| Fibrinogen test |
$99 |
$152 |
$20 |
$10 | |
| Flu test |
$111 |
$170 |
$28 |
$17 | |
| Folate (folic acid) test |
$134 |
$206 |
$35 |
$15 | |
| Foreign body removal (skin) |
$1,273 |
$1,958 |
— |
$157 | |
| Free T4 thyroid test |
$93 |
$143 |
$21 |
$9 | |
| H. pylori test |
$512 |
$788 |
$160 |
$67 | |
| Hematocrit test |
$23 |
$35 |
$6 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$99 |
$153 |
$23 |
$10 | |
| Hepatitis C test |
$131 |
$201 |
$34 |
$14 | |
| Iron blood test |
$67 |
$103 |
$15 |
$6 | |
| IUD insertion |
$116 |
$179 |
— |
— | |
| IUD removal |
$996 |
$1,533 |
— |
$112 | |
| IV infusion therapy |
$304 |
$468 |
$43 |
$44 | |
| IV infusion therapy (each additional) |
$391 |
$601 |
$27 |
$21 | |
| IV infusion therapy (initial) |
$218 |
$335 |
$92 |
$67 | |
| Joint aspiration (small/intermediate) |
$927 |
$1,426 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$927 |
$1,426 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$927 |
$1,426 |
— |
$56 | |
| Knee joint injection |
$927 |
$1,426 |
— |
$69 | |
| Knee replacement |
— |
— |
$32,729 |
$18,054 | |
| Lactate test |
$99 |
$152 |
$25 |
$12 | |
| Laryngoscopy |
$2,726 |
$4,194 |
— |
$189 | |
| LDH test |
$70 |
$107 |
$14 |
$6 | |
| Leg vein ultrasound (Doppler) |
$255 |
$393 |
$110 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$255 |
$393 |
$110 |
$116 | |
| Lipase test |
$79 |
$122 |
$16 |
$7 | |
| Lipid (cholesterol) panel |
$122 |
$188 |
$32 |
$13 | |
| Lower back (lumbar) spinal fusion |
— |
— |
$77,830 |
$1,511 | |
| Magnesium blood test |
$77 |
$119 |
$16 |
$7 | |
| Nebulizer breathing treatment |
$661 |
$1,017 |
$31 |
$9 | |
| Occupational therapy evaluation |
$384 |
$590 |
$79 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$384 |
$590 |
$79 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$384 |
$590 |
$79 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$384 |
$590 |
$79 |
$101 | |
| Pacemaker insertion |
— |
— |
$50,943 |
$15,506 | |
| Pap smear (cervical screening) |
$254 |
$391 |
$44 |
$20 | |
| Parathyroid hormone (PTH) test |
$377 |
$580 |
$98 |
$41 | |
| Pelvic ultrasound |
$469 |
$722 |
$126 |
$78 | |
| Pelvic ultrasound (complete) |
$469 |
$722 |
$126 |
$105 | |
| Phosphorus blood test |
$44 |
$68 |
$11 |
$5 | |
| Physical therapy evaluation |
$384 |
$590 |
$77 |
$98 | |
| Physical therapy evaluation (high complexity) |
$384 |
$590 |
$77 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$384 |
$590 |
$77 |
$98 | |
| Pilonidal cyst removal |
$3,777 |
$5,810 |
— |
$541 | |
| Pregnancy blood test (hCG) |
$87 |
$134 |
$18 |
$8 | |
| Procalcitonin test |
$257 |
$395 |
$37 |
$27 | |
| Prostate test (PSA) |
$169 |
$260 |
$44 |
$18 | |
| Sedimentation rate (ESR) test |
$42 |
$64 |
$8 |
$3 | |
| Simple laceration repair (small, up to 2.5 cm) |
$660 |
$1,015 |
— |
$114 | |
| Simple wound stitches |
$660 |
$1,015 |
— |
$127 | |
| Skin tag removal |
$751 |
$1,156 |
— |
$92 | |
| Speech therapy |
$299 |
$460 |
$36 |
$76 | |
| Spinal tap (lumbar puncture) |
$1,884 |
$2,899 |
— |
$165 | |
| Strep throat test |
$124 |
$190 |
$28 |
$17 | |
| Swallow study |
$426 |
$656 |
$119 |
$85 | |
| Thyroid test (TSH) |
$192 |
$295 |
$40 |
$17 | |
| Trigger point injection |
$927 |
$1,426 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$927 |
$1,426 |
— |
$52 | |
| Troponin (heart) test |
$102 |
$157 |
$23 |
$12 | |
| Upper GI endoscopy (EGD) |
$2,413 |
$3,713 |
— |
$371 | |
| Upper GI series (barium) |
$711 |
$1,094 |
$129 |
$128 | |
| Uric acid (gout) test |
$52 |
$80 |
$11 |
$5 | |
| Urinalysis |
$32 |
$49 |
$5 |
$3 | |
| Urine microalbumin test |
$51 |
$79 |
$13 |
$5 | |
| Vaccine administration |
$112 |
$172 |
$5 |
$19 | |
| Vaccine administration (each additional) |
$84 |
$129 |
$5 |
$16 | |
| Vaginal delivery |
— |
— |
$9,639 |
$5,487 | |
| Vitamin B12 test |
$138 |
$213 |
$36 |
$15 | |
| Vitamin D test |
$225 |
$346 |
$70 |
$30 | |
| Weight-loss (bariatric) surgery |
— |
— |
$49,231 |
$11,645 | |
| Wound debridement |
$1,486 |
$2,286 |
— |
$186 | |
| X-ray of the abdomen |
$326 |
$502 |
$21 |
$36 | |
| X-ray of the ankle |
$324 |
$498 |
$39 |
$37 | |
| X-ray of the collarbone |
$351 |
$540 |
$38 |
$33 | |
| X-ray of the elbow |
$352 |
$541 |
$43 |
$33 | |
| X-ray of the facial bones |
$463 |
$713 |
$57 |
$39 | |
| X-ray of the foot |
$293 |
$451 |
$39 |
$34 | |
| X-ray of the forearm |
$293 |
$451 |
$38 |
$29 | |
| X-ray of the hand |
$352 |
$541 |
$39 |
$38 | |
| X-ray of the hip |
$272 |
$418 |
$43 |
$49 | |
| X-ray of the hip (3 views) |
$272 |
$418 |
$43 |
$49 | |
| X-ray of the knee |
$352 |
$541 |
$40 |
$42 | |
| X-ray of the knee (2 views) |
$293 |
$451 |
$38 |
$34 | |
| X-ray of the knee (3 views) |
$352 |
$541 |
$42 |
$42 | |
| X-ray of the knee (4+ views) |
$367 |
$564 |
$48 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$410 |
$632 |
$49 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$352 |
$541 |
$49 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$469 |
$722 |
$67 |
$53 | |
| X-ray of the lower leg |
$289 |
$445 |
$38 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$352 |
$541 |
$48 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$352 |
$541 |
$48 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$352 |
$541 |
$55 |
$39 | |
| X-ray of the neck (cervical spine) |
$410 |
$632 |
$44 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$352 |
$541 |
$44 |
$40 | |
| X-ray of the pelvis |
$307 |
$472 |
$39 |
$36 | |
| X-ray of the pelvis (1 view) |
$279 |
$429 |
$38 |
$28 | |
| X-ray of the ribs |
$345 |
$530 |
$44 |
$42 | |
| X-ray of the ribs (2 views) |
$337 |
$519 |
$42 |
$36 | |
| X-ray of the ribs (3 views) |
$352 |
$541 |
$49 |
$42 | |
| X-ray of the shoulder |
$352 |
$541 |
$42 |
$36 | |
| X-ray of the skull |
$428 |
$659 |
$49 |
$40 | |
| X-ray of the upper arm |
$293 |
$451 |
$42 |
$32 | |
| X-ray of the wrist |
$352 |
$541 |
$44 |
$43 | |