| 3D mammogram (tomosynthesis) |
$73 |
$183 |
$185 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,450 |
$3,624 |
— |
$284 | |
| Abdominal ultrasound |
$928 |
$2,321 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$1,467 |
$3,668 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$928 |
$2,321 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$311 |
$778 |
— |
$220 | |
| Abscess drainage (simple) |
$303 |
$757 |
— |
$129 | |
| Abscess incision and drainage |
$307 |
$767 |
— |
$174 | |
| Achilles tendon repair |
$4,992 |
$12,479 |
— |
$624 | |
| ACL knee reconstruction |
$25,818 |
$64,545 |
— |
$889 | |
| Adenoid removal (adenoidectomy) |
$6,027 |
$15,068 |
$10,149 |
$204 | |
| Albumin blood test |
$124 |
$311 |
$4 |
$5 | |
| Aldosterone test |
$423 |
$1,059 |
$35 |
$41 | |
| Alkaline phosphatase test |
$100 |
$249 |
$4 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$365 |
$912 |
$14 |
$17 | |
| ALT liver enzyme test |
$133 |
$332 |
$5 |
$5 | |
| Ammonia blood test |
$92 |
$231 |
$12 |
$15 | |
| Amylase test |
$111 |
$278 |
$6 |
$6 | |
| Anal fistula repair |
$7,626 |
$19,064 |
— |
$541 | |
| Ankle fracture repair |
$17,662 |
$44,154 |
— |
$608 | |
| Antinuclear antibody (ANA) test |
$83 |
$208 |
$10 |
$12 | |
| Arterial blood gas (ABG) |
$394 |
$984 |
$13 |
$26 | |
| AST liver enzyme test |
$133 |
$332 |
$4 |
$5 | |
| Barium swallow study |
$660 |
$1,649 |
— |
$107 | |
| Bartholin cyst removal |
$303 |
$757 |
— |
$182 | |
| Basic metabolic panel |
$263 |
$657 |
$6 |
$8 | |
| Benign skin lesion removal |
$3,025 |
$7,562 |
— |
$171 | |
| Bilirubin blood test |
$120 |
$301 |
$4 |
$5 | |
| Bladder scope (cystoscopy) |
$4,837 |
$12,092 |
$12,132 |
$216 | |
| Bladder tumor removal (TURBT) |
$7,521 |
$18,803 |
$12,132 |
$236 | |
| Blood clotting test (PT/INR) |
$124 |
$311 |
$3 |
$4 | |
| Blood crossmatch |
$177 |
$443 |
$15 |
— | |
| Blood glucose test |
$121 |
$303 |
$4 |
$5 | |
| Blood transfusion |
$856 |
$2,140 |
— |
$47 | |
| Blood type and screen |
$177 |
$443 |
$7 |
$10 | |
| Blood type test |
$112 |
$281 |
$3 |
$3 | |
| Blood type test (ABO group) |
$132 |
$329 |
$3 |
$3 | |
| Blood type test (Rh/D antigen) |
$93 |
$233 |
$3 |
$3 | |
| BNP (heart failure) test |
$376 |
$939 |
$29 |
$39 | |
| Bone density scan (DEXA) |
$648 |
$1,620 |
— |
$39 | |
| Bone marrow biopsy |
$2,378 |
$5,946 |
— |
$172 | |
| Bone scan (nuclear) |
$2,230 |
$5,575 |
— |
$259 | |
| Breast biopsy |
$3,913 |
$9,784 |
— |
$478 | |
| Breast MRI |
$1,779 |
$4,446 |
$565 |
$216 | |
| Breast MRI without contrast |
$1,779 |
$4,446 |
$565 |
$216 | |
| Breast ultrasound |
$766 |
$1,914 |
— |
$92 | |
| Breast ultrasound (complete) |
$766 |
$1,914 |
— |
$100 | |
| Breast ultrasound (limited) |
$766 |
$1,914 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$1,586 |
$3,965 |
— |
$133 | |
| Bronchoscopy |
$4,379 |
$10,948 |
— |
$303 | |
| Bunion surgery (bunionectomy) |
$11,563 |
$28,908 |
— |
$883 | |
| Burn dressing and debridement (small) |
$63 |
$157 |
— |
$93 | |
| Burn treatment |
$63 |
$157 |
— |
$129 | |
| C-reactive protein (CRP) |
$127 |
$317 |
$3 |
$5 | |
| CA 19-9 tumor marker test |
$203 |
$509 |
$18 |
$21 | |
| CA-125 ovarian marker test |
$244 |
$610 |
$18 |
$21 | |
| Calcium blood test |
$129 |
$323 |
$4 |
$5 | |
| Cardiac ablation |
$40,521 |
$101,303 |
— |
$759 | |
| Cardiac catheterization |
$13,678 |
$34,194 |
— |
$1,049 | |
| Cardiac rehabilitation |
$278 |
$695 |
— |
$26 | |
| Cardiac stress test |
$2,033 |
$5,081 |
— |
$39 | |
| Cardioversion |
$1,134 |
$2,834 |
— |
$155 | |
| Carotid artery ultrasound |
$1,180 |
$2,951 |
— |
$156 | |
| Carpal tunnel release |
$4,793 |
$11,982 |
$7,575 |
$483 | |
| CEA tumor marker test |
$365 |
$912 |
$16 |
$19 | |
| Celiac disease test |
$145 |
$362 |
$5 |
$12 | |
| Central line placement |
$2,558 |
$6,396 |
— |
$238 | |
| Cervical cerclage |
$8,839 |
$22,098 |
— |
$137 | |
| Cervical LEEP procedure |
$9,380 |
$23,451 |
— |
$325 | |
| Cesarean section (C-section) |
$14,110 |
$35,274 |
$7,913 |
$7,552 | |
| Chemotherapy infusion |
$464 |
$1,161 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$162 |
$404 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$767 |
$1,917 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$5,796 |
$14,490 |
— |
$311 | |
| Chest tube insertion |
$738 |
$1,845 |
— |
$143 | |
| Chest X-ray |
$466 |
$1,165 |
— |
$37 | |
| Chest X-ray (1 view) |
$407 |
$1,016 |
— |
$25 | |
| Chest X-ray (2 views) |
$466 |
$1,165 |
— |
$33 | |
| Circumcision |
$8,578 |
$21,446 |
— |
$167 | |
| CK-MB heart enzyme test |
$63 |
$157 |
$6 |
$12 | |
| Clotting time test (PTT) |
$152 |
$381 |
$5 |
$6 | |
| Colon resection (colectomy) |
$29,531 |
$73,827 |
— |
$1,238 | |
| Colonoscopy |
$4,360 |
$10,900 |
$5,563 |
$480 | |
| Complete blood count (CBC) |
$119 |
$297 |
$7 |
$7 | |
| Complete blood count (CBC) (complete) |
$146 |
$365 |
$7 |
$8 | |
| Complex wound repair |
$2,913 |
$7,282 |
— |
$390 | |
| Comprehensive metabolic panel |
$400 |
$1,001 |
$7 |
$11 | |
| Copper blood test |
$69 |
$172 |
$11 |
$12 | |
| Coronary CT angiography |
$1,135 |
$2,837 |
$375 |
$326 | |
| Cortisol test |
$166 |
$416 |
$14 |
$16 | |
| COVID-19 PCR test |
$102 |
$254 |
$21 |
$51 | |
| CPAP titration study |
$619 |
$1,548 |
— |
$69 | |
| Creatine kinase (CK) test |
$150 |
$375 |
$5 |
$7 | |
| CT angiography of the chest |
$2,333 |
$5,832 |
$375 |
$281 | |
| CT angiography of the head |
$2,749 |
$6,873 |
$375 |
$274 | |
| CT scan of the abdomen |
$2,285 |
$5,713 |
$375 |
$230 | |
| CT scan of the abdomen and pelvis |
$4,662 |
$11,655 |
$375 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$6,058 |
$15,144 |
$375 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$4,662 |
$11,655 |
$375 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$3,996 |
$9,991 |
$375 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,966 |
$7,415 |
$375 |
$259 | |
| CT scan of the abdomen with contrast |
$2,285 |
$5,713 |
$375 |
$230 | |
| CT scan of the abdomen without contrast |
$1,952 |
$4,880 |
$375 |
$136 | |
| CT scan of the arm |
$1,909 |
$4,773 |
$375 |
$199 | |
| CT scan of the arm with contrast |
$1,909 |
$4,773 |
$375 |
$199 | |
| CT scan of the arm without contrast |
$1,579 |
$3,947 |
$375 |
$161 | |
| CT scan of the chest |
$1,838 |
$4,595 |
$375 |
$167 | |
| CT scan of the chest with and without contrast |
$2,335 |
$5,837 |
$375 |
$196 | |
| CT scan of the chest with contrast |
$1,838 |
$4,595 |
$375 |
$167 | |
| CT scan of the chest without contrast |
$1,504 |
$3,760 |
$375 |
$133 | |
| CT scan of the head |
$2,891 |
$7,229 |
$375 |
$148 | |
| CT scan of the head with and without contrast |
$3,781 |
$9,453 |
$375 |
$173 | |
| CT scan of the head with contrast |
$2,891 |
$7,229 |
$375 |
$148 | |
| CT scan of the head without contrast |
$2,515 |
$6,286 |
$375 |
$107 | |
| CT scan of the leg |
$2,349 |
$5,872 |
$375 |
$166 | |
| CT scan of the leg with contrast |
$2,349 |
$5,872 |
$375 |
$166 | |
| CT scan of the leg without contrast |
$2,017 |
$5,042 |
$375 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,395 |
$5,989 |
$375 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,383 |
$5,957 |
$375 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,228 |
$5,569 |
$375 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$2,395 |
$5,989 |
$375 |
$130 | |
| CT scan of the neck |
$3,001 |
$7,502 |
$375 |
$183 | |
| CT scan of the neck (cervical spine) |
$2,702 |
$6,755 |
$375 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,661 |
$6,652 |
$375 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$2,626 |
$6,564 |
$375 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$2,702 |
$6,755 |
$375 |
$131 | |
| CT scan of the neck with and without contrast |
$3,899 |
$9,748 |
$375 |
$220 | |
| CT scan of the neck with contrast |
$3,001 |
$7,502 |
$375 |
$183 | |
| CT scan of the neck without contrast |
$2,628 |
$6,570 |
$375 |
$150 | |
| CT scan of the pelvis |
$2,180 |
$5,451 |
$375 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,304 |
$5,761 |
$375 |
$251 | |
| CT scan of the pelvis with contrast |
$2,376 |
$5,941 |
$375 |
$226 | |
| CT scan of the pelvis without contrast |
$2,046 |
$5,115 |
$375 |
$133 | |
| CT scan of the sinuses |
$2,331 |
$5,827 |
$375 |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,492 |
$6,230 |
$375 |
$184 | |
| CT scan of the sinuses with contrast |
$2,486 |
$6,214 |
$375 |
$152 | |
| CT scan of the sinuses without contrast |
$2,110 |
$5,274 |
$375 |
$128 | |
| D-dimer test |
$311 |
$779 |
$9 |
$10 | |
| Defibrillator (ICD) implant |
$84,234 |
$210,585 |
— |
$798 | |
| DHEA-sulfate test |
$289 |
$723 |
$19 |
$22 | |
| Diagnostic mammogram |
$437 |
$1,092 |
$185 |
$140 | |
| Dialysis fistula creation |
$10,657 |
$26,642 |
— |
$601 | |
| Dilation and curettage (D&C) |
$7,957 |
$19,893 |
— |
$298 | |
| Drug screen (urine) |
$402 |
$1,005 |
$23 |
$17 | |
| Ear tubes (myringotomy) |
$4,348 |
$10,871 |
$4,741 |
$174 | |
| Echocardiogram |
$1,234 |
$3,086 |
— |
$138 | |
| Echocardiogram with and without contrast |
$746 |
$1,864 |
— |
$101 | |
| Echocardiogram without contrast |
$1,234 |
$3,086 |
— |
$138 | |
| EKG / ECG (tracing only) |
$409 |
$1,023 |
— |
$7 | |
| Electrocardiogram (EKG) |
$409 |
$1,023 |
— |
$8 | |
| Electroencephalogram (EEG) |
$1,171 |
$2,929 |
— |
$448 | |
| Electrolyte panel |
$207 |
$517 |
$5 |
$7 | |
| Emergency department visit |
$1,321 |
$3,302 |
— |
$69 | |
| Emergency department visit (level 1) |
$330 |
$826 |
— |
$11 | |
| Emergency department visit (level 2) |
$798 |
$1,996 |
— |
$40 | |
| Emergency department visit (level 3) |
$1,321 |
$3,302 |
— |
$69 | |
| Emergency department visit (level 4) |
$2,465 |
$6,163 |
— |
$118 | |
| Emergency department visit (level 5) |
$6,415 |
$16,038 |
— |
$171 | |
| Epidural steroid injection |
$2,370 |
$5,925 |
— |
$275 | |
| ERCP (bile duct endoscopy) |
$10,454 |
$26,135 |
— |
$311 | |
| Estradiol (estrogen) test |
$736 |
$1,839 |
$24 |
$28 | |
| Facet joint injection (spine) |
$1,116 |
$2,790 |
— |
$99 | |
| Fallopian tube X-ray (HSG) |
$933 |
$2,333 |
— |
$164 | |
| Feeding tube (PEG) placement |
$4,693 |
$11,733 |
$5,968 |
$178 | |
| Ferritin (iron) test |
$248 |
$620 |
$12 |
$14 | |
| Fibrinogen test |
$223 |
$558 |
$7 |
$10 | |
| Flexible sigmoidoscopy |
$4,159 |
$10,396 |
— |
$323 | |
| Flu test |
$54 |
$136 |
$10 |
$17 | |
| Folate (folic acid) test |
$440 |
$1,100 |
$12 |
$15 | |
| Foreign body removal (skin) |
$520 |
$1,299 |
— |
$157 | |
| Free T4 thyroid test |
$245 |
$612 |
$8 |
$9 | |
| FSH hormone test |
$60 |
$150 |
$16 |
$19 | |
| Gallbladder removal (laparoscopic) |
$16,452 |
$41,131 |
$17,516 |
$658 | |
| Gallbladder scan (HIDA) |
$1,921 |
$4,802 |
— |
$334 | |
| Ganglion cyst removal |
$7,747 |
$19,369 |
— |
$321 | |
| GGT liver test |
$138 |
$346 |
$6 |
$7 | |
| Glucose tolerance test |
$376 |
$940 |
$11 |
$8 | |
| H. pylori test |
$338 |
$844 |
$57 |
$67 | |
| Hammertoe repair |
$3,115 |
$7,788 |
— |
$548 | |
| HDL cholesterol test |
$158 |
$395 |
$7 |
$8 | |
| Hematocrit test |
$69 |
$173 |
$2 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$113 |
$282 |
$8 |
$10 | |
| Hemorrhoid removal |
$7,581 |
$18,952 |
— |
$338 | |
| Hepatitis B test |
$286 |
$715 |
$9 |
$10 | |
| Hepatitis C test |
$190 |
$476 |
$12 |
$14 | |
| Hip replacement |
$30,656 |
$76,641 |
— |
$1,162 | |
| HIV test |
$92 |
$229 |
$17 |
$19 | |
| HIV test (antibody) |
$146 |
$365 |
$12 |
$14 | |
| HIV test (antigen/antibody combo) |
$37 |
$93 |
$20 |
$24 | |
| Holter heart monitor |
$1,399 |
$3,497 |
— |
$26 | |
| Hydrocele repair |
$10,512 |
$26,279 |
— |
$315 | |
| Hysterectomy |
$22,613 |
$56,533 |
— |
$933 | |
| Hysteroscopy |
$8,525 |
$21,312 |
$9,407 |
$1,270 | |
| Inguinal hernia repair |
$10,906 |
$27,266 |
$14,534 |
$538 | |
| Iron blood test |
$113 |
$282 |
$6 |
$6 | |
| IV infusion therapy |
$360 |
$901 |
— |
$44 | |
| IV infusion therapy (each additional) |
$133 |
$332 |
— |
$21 | |
| IV infusion therapy (initial) |
$588 |
$1,470 |
— |
$67 | |
| IVC filter placement |
$9,479 |
$23,698 |
— |
$1,885 | |
| Joint aspiration (small/intermediate) |
$1,028 |
$2,570 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$455 |
$1,137 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$1,601 |
$4,003 |
— |
$56 | |
| Kidney biopsy |
$2,022 |
$5,054 |
— |
$492 | |
| Kidney stone shock-wave (lithotripsy) |
$21,601 |
$54,004 |
$6,861 |
$760 | |
| Kidney ultrasound |
$898 |
$2,246 |
— |
$84 | |
| Kidney ultrasound (limited) |
$898 |
$2,246 |
— |
$61 | |
| Knee arthroscopy |
$13,546 |
$33,864 |
$12,299 |
$524 | |
| Knee joint injection |
$546 |
$1,364 |
— |
$69 | |
| Knee replacement |
$29,249 |
$73,123 |
$22,984 |
$18,054 | |
| Lactate test |
$179 |
$447 |
$9 |
$12 | |
| Laminectomy (spine) |
$19,222 |
$48,054 |
— |
$1,157 | |
| LDH test |
$147 |
$369 |
$5 |
$6 | |
| LDL cholesterol test |
$176 |
$441 |
$8 |
$11 | |
| Leg artery angiogram |
$2,343 |
$5,858 |
— |
$149 | |
| Leg artery angioplasty |
$14,518 |
$36,295 |
— |
— | |
| Leg vein ultrasound (Doppler) |
$1,325 |
$3,312 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,325 |
$3,312 |
— |
$116 | |
| LH hormone test |
$60 |
$150 |
$16 |
$19 | |
| Lipase test |
$156 |
$389 |
$6 |
$7 | |
| Lipid (cholesterol) panel |
$278 |
$696 |
$10 |
$13 | |
| Liver biopsy |
$2,456 |
$6,141 |
— |
$288 | |
| Liver function panel |
$344 |
$859 |
$6 |
$8 | |
| Lower back (lumbar) spinal fusion |
$74,155 |
$185,388 |
$19,261 |
$1,511 | |
| Lumbar discectomy |
$18,767 |
$46,918 |
— |
$898 | |
| Lumpectomy (breast) |
$12,147 |
$30,368 |
— |
$750 | |
| Lung function test (PFT) |
$1,208 |
$3,021 |
— |
$37 | |
| Lung scan (V/Q) |
$3,136 |
$7,840 |
— |
$291 | |
| Magnesium blood test |
$115 |
$288 |
$6 |
$7 | |
| Mastectomy |
$21,897 |
$54,743 |
— |
$1,021 | |
| Meniscus repair (knee) |
$13,101 |
$32,753 |
$12,299 |
$714 | |
| MRA of the brain |
$2,494 |
$6,236 |
$565 |
$226 | |
| MRA of the brain with contrast |
$2,590 |
$6,475 |
$565 |
$226 | |
| MRA of the brain without contrast |
$2,686 |
$6,714 |
$565 |
$328 | |
| MRA of the neck |
$2,494 |
$6,236 |
$565 |
$245 | |
| MRA of the neck with contrast |
$2,590 |
$6,475 |
$565 |
$245 | |
| MRA of the neck without contrast |
$2,686 |
$6,714 |
$565 |
$343 | |
| MRI of the abdomen |
$3,159 |
$7,898 |
$565 |
$300 | |
| MRI of the abdomen with contrast |
$3,251 |
$8,127 |
$565 |
$300 | |
| MRI of the abdomen without contrast |
$3,159 |
$7,898 |
$565 |
$194 | |
| MRI of the ankle |
$3,242 |
$8,104 |
$565 |
$261 | |
| MRI of the ankle with contrast |
$3,242 |
$8,104 |
$565 |
$261 | |
| MRI of the ankle without contrast |
$3,163 |
$7,908 |
$565 |
$222 | |
| MRI of the brain |
$3,130 |
$7,824 |
$565 |
$269 | |
| MRI of the brain with contrast |
$3,130 |
$7,824 |
$565 |
$269 | |
| MRI of the brain without contrast |
$3,035 |
$7,587 |
$565 |
$195 | |
| MRI of the chest |
$1,786 |
$4,464 |
$565 |
$371 | |
| MRI of the chest with contrast |
$1,868 |
$4,669 |
$565 |
$371 | |
| MRI of the chest without contrast |
$1,962 |
$4,906 |
$565 |
$466 | |
| MRI of the knee |
$3,191 |
$7,977 |
$565 |
$315 | |
| MRI of the knee with contrast |
$3,191 |
$7,977 |
$565 |
$315 | |
| MRI of the knee without contrast |
$3,163 |
$7,908 |
$565 |
$204 | |
| MRI of the lower back (lumbar spine) |
$3,017 |
$7,544 |
$565 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$3,065 |
$7,663 |
$565 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,970 |
$7,424 |
$565 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$3,017 |
$7,544 |
$565 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$3,159 |
$7,898 |
$565 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$3,065 |
$7,663 |
$565 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,970 |
$7,424 |
$565 |
$190 | |
| MRI of the neck (cervical spine) |
$3,374 |
$8,434 |
$565 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$3,416 |
$8,541 |
$565 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$3,388 |
$8,470 |
$565 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$3,359 |
$8,398 |
$565 |
$191 | |
| MRI of the pelvis |
$3,203 |
$8,007 |
$565 |
$268 | |
| MRI of the pelvis with contrast |
$3,251 |
$8,127 |
$565 |
$268 | |
| MRI of the pelvis without contrast |
$3,155 |
$7,888 |
$565 |
$227 | |
| MRI of the shoulder |
$3,242 |
$8,104 |
$565 |
$313 | |
| MRI of the shoulder with contrast |
$3,242 |
$8,104 |
$565 |
$313 | |
| MRI of the shoulder without contrast |
$3,163 |
$7,908 |
$565 |
$205 | |
| MRI of the wrist |
$3,192 |
$7,979 |
$565 |
$330 | |
| MRI of the wrist with contrast |
$3,192 |
$7,979 |
$565 |
$330 | |
| MRI of the wrist without contrast |
$3,163 |
$7,908 |
$565 |
$303 | |
| Nebulizer breathing treatment |
$227 |
$568 |
— |
$9 | |
| Neck (cervical) spinal fusion |
$10,704 |
$26,760 |
— |
$1,410 | |
| Nuclear cardiac stress test |
$2,822 |
$7,056 |
— |
$428 | |
| Occupational therapy evaluation |
$451 |
$1,127 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$541 |
$1,353 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$376 |
$940 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$451 |
$1,127 |
— |
$101 | |
| Office visit (established patient) |
$405 |
$1,013 |
— |
$115 | |
| Office visit (new patient) |
$607 |
$1,518 |
— |
$177 | |
| Office visit, established patient (level 3) |
$353 |
$884 |
— |
$95 | |
| Office visit, established patient (level 4) |
$457 |
$1,143 |
— |
$136 | |
| Office visit, new patient (level 3) |
$480 |
$1,199 |
— |
$118 | |
| Office visit, new patient (level 4) |
$607 |
$1,518 |
— |
$177 | |
| Office visit, new patient (level 5) |
$764 |
$1,909 |
— |
$237 | |
| Orthopedic hardware removal |
$8,547 |
$21,367 |
— |
$632 | |
| Pacemaker insertion |
$69,076 |
$172,690 |
$18,295 |
$15,506 | |
| Pap smear (cervical screening) |
$157 |
$392 |
$21 |
$20 | |
| Parathyroid hormone (PTH) test |
$1,434 |
$3,585 |
$35 |
$41 | |
| Parathyroid removal |
$23,181 |
$57,953 |
— |
$891 | |
| Pelvic ultrasound |
$988 |
$2,471 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$1,050 |
$2,626 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$932 |
$2,329 |
— |
$51 | |
| PET scan |
$6,754 |
$16,886 |
— |
— | |
| Phosphorus blood test |
$124 |
$311 |
$4 |
$5 | |
| Physical therapy evaluation |
$467 |
$1,167 |
$104 |
$98 | |
| Physical therapy evaluation (high complexity) |
$560 |
$1,401 |
$104 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$467 |
$1,167 |
$104 |
$98 | |
| Pilonidal cyst removal |
$11,845 |
$29,613 |
— |
$541 | |
| Platelet count |
$72 |
$179 |
$4 |
$4 | |
| Pregnancy blood test (hCG) |
$126 |
$315 |
$6 |
$8 | |
| Pregnancy ultrasound |
$417 |
$1,041 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$382 |
$955 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$1,056 |
$2,641 |
— |
$136 | |
| Procalcitonin test |
$313 |
$783 |
$23 |
$27 | |
| Prolactin test |
$522 |
$1,306 |
$16 |
$19 | |
| Prostate biopsy |
$5,132 |
$12,829 |
— |
— | |
| Prostate surgery (TURP) |
$9,619 |
$24,047 |
— |
$526 | |
| Prostate test (PSA) |
$127 |
$317 |
$16 |
$18 | |
| Radiofrequency nerve ablation |
$1,528 |
$3,820 |
— |
$462 | |
| Rheumatoid factor test |
$104 |
$260 |
$5 |
$6 | |
| Rotator cuff repair |
$10,032 |
$25,080 |
$17,251 |
$792 | |
| Sacroiliac joint injection |
$776 |
$1,941 |
— |
$176 | |
| Scoliosis spine X-ray |
$530 |
$1,325 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$530 |
$1,325 |
— |
$44 | |
| Screening mammogram |
$506 |
$1,265 |
$185 |
$126 | |
| Scrotal ultrasound |
$848 |
$2,120 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$73 |
$183 |
$3 |
$3 | |
| Semen analysis |
$527 |
$1,318 |
$10 |
$12 | |
| Septoplasty (deviated septum) |
$2,952 |
$7,380 |
$11,652 |
$613 | |
| Sex hormone binding globulin test |
$88 |
$220 |
$18 |
$22 | |
| Shoulder arthroscopy |
$8,040 |
$20,101 |
$17,251 |
$962 | |
| Shoulder replacement |
$7,284 |
$18,211 |
— |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$303 |
$757 |
— |
$114 | |
| Simple wound stitches |
$303 |
$757 |
— |
$127 | |
| Sinus surgery (endoscopic) |
$3,072 |
$7,681 |
— |
$224 | |
| Skin cancer lesion removal |
$3,542 |
$8,855 |
— |
$240 | |
| Skin graft |
$11,628 |
$29,070 |
— |
$898 | |
| Sleep study (polysomnography) |
$5,284 |
$13,210 |
— |
$691 | |
| Soft tissue ultrasound |
$393 |
$984 |
— |
$64 | |
| Speech therapy |
$539 |
$1,347 |
— |
$76 | |
| Spinal cord stimulator |
$14,162 |
$35,405 |
— |
$2,388 | |
| Spinal tap (lumbar puncture) |
$1,881 |
$4,703 |
— |
$165 | |
| Spine fracture repair (kyphoplasty) |
$13,095 |
$32,737 |
— |
$5,803 | |
| Spirometry with bronchodilator |
$1,208 |
$3,021 |
— |
$43 | |
| Strep throat test |
$176 |
$441 |
$10 |
$17 | |
| Stress echocardiogram |
$1,448 |
$3,619 |
— |
$209 | |
| Swallow study |
$287 |
$717 |
— |
$85 | |
| T3 thyroid test |
$238 |
$595 |
$12 |
$14 | |
| Testicle removal (orchiectomy) |
$10,538 |
$26,344 |
— |
$306 | |
| Testosterone test |
$257 |
$643 |
$22 |
$26 | |
| Thyroid removal (thyroidectomy) |
$22,832 |
$57,079 |
— |
$1,004 | |
| Thyroid test (TSH) |
$320 |
$799 |
$14 |
$17 | |
| Thyroid ultrasound |
$752 |
$1,879 |
— |
$109 | |
| Thyroid uptake scan |
$1,230 |
$3,074 |
— |
$145 | |
| Tilt table test |
$1,285 |
$3,214 |
— |
$168 | |
| Tonsillectomy |
$7,972 |
$19,929 |
$10,149 |
$252 | |
| Total IgE allergy test |
$190 |
$476 |
$14 |
$16 | |
| Total protein test |
$138 |
$346 |
$3 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$1,892 |
$4,731 |
— |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,892 |
$4,731 |
— |
$239 | |
| Transvaginal ultrasound |
$959 |
$2,397 |
— |
$118 | |
| Trigger finger release |
$7,230 |
$18,075 |
— |
$630 | |
| Trigger point injection |
$2,276 |
$5,690 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$2,276 |
$5,690 |
— |
$52 | |
| Triglycerides test |
$124 |
$311 |
$5 |
$6 | |
| Troponin (heart) test |
$248 |
$620 |
$8 |
$12 | |
| Tubal ligation |
$11,696 |
$29,240 |
— |
$333 | |
| Turbinate reduction |
$7,458 |
$18,645 |
$18,641 |
$294 | |
| Turning a breech baby (version) |
$1,638 |
$4,095 |
— |
$94 | |
| Ulnar nerve surgery (elbow) |
$12,599 |
$31,497 |
— |
$575 | |
| Upper GI endoscopy (EGD) |
$4,794 |
$11,984 |
$5,968 |
$371 | |
| Upper GI series (barium) |
$890 |
$2,225 |
— |
$128 | |
| Ureteral stent placement |
$8,656 |
$21,641 |
$12,132 |
$373 | |
| Ureteroscopy (stone removal) |
$11,511 |
$28,776 |
— |
$365 | |
| Uric acid (gout) test |
$140 |
$350 |
$4 |
$5 | |
| Urinalysis |
$220 |
$550 |
$2 |
$3 | |
| Urine microalbumin test |
$161 |
$402 |
$5 |
$5 | |
| Urine pregnancy test |
$164 |
$410 |
$1 |
$9 | |
| Vaccine administration |
$87 |
$217 |
— |
$19 | |
| Vaccine administration (each additional) |
$52 |
$131 |
— |
$16 | |
| Vaginal delivery |
$9,625 |
$24,062 |
$5,678 |
$5,487 | |
| Vitamin B12 test |
$282 |
$704 |
$13 |
$15 | |
| Vitamin D test |
$414 |
$1,036 |
$23 |
$30 | |
| Vocal cord injection |
$5,886 |
$14,715 |
— |
$211 | |
| Weight-loss (bariatric) surgery |
$30,061 |
$75,152 |
$13,505 |
$11,645 | |
| Wound debridement |
$4,635 |
$11,588 |
— |
$186 | |
| Wrist fracture repair |
$16,666 |
$41,665 |
— |
$735 | |
| X-ray of the abdomen |
$544 |
$1,360 |
— |
$36 | |
| X-ray of the ankle |
$592 |
$1,481 |
— |
$37 | |
| X-ray of the collarbone |
$416 |
$1,039 |
— |
$33 | |
| X-ray of the elbow |
$728 |
$1,821 |
— |
$33 | |
| X-ray of the facial bones |
$530 |
$1,325 |
— |
$39 | |
| X-ray of the foot |
$633 |
$1,582 |
— |
$34 | |
| X-ray of the forearm |
$409 |
$1,023 |
— |
$29 | |
| X-ray of the hand |
$599 |
$1,497 |
— |
$38 | |
| X-ray of the hip |
$425 |
$1,063 |
— |
$49 | |
| X-ray of the hip (1 view) |
$425 |
$1,063 |
— |
$34 | |
| X-ray of the hip (3 views) |
$535 |
$1,339 |
— |
$49 | |
| X-ray of the knee |
$607 |
$1,517 |
— |
$42 | |
| X-ray of the knee (2 views) |
$318 |
$795 |
— |
$34 | |
| X-ray of the knee (3 views) |
$680 |
$1,700 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$684 |
$1,711 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$811 |
$2,028 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$645 |
$1,612 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$1,027 |
$2,567 |
— |
$53 | |
| X-ray of the lower leg |
$488 |
$1,221 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$576 |
$1,440 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$544 |
$1,359 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$681 |
$1,703 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$634 |
$1,585 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$566 |
$1,414 |
— |
$40 | |
| X-ray of the pelvis |
$516 |
$1,290 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$539 |
$1,348 |
— |
$28 | |
| X-ray of the ribs |
$740 |
$1,850 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$731 |
$1,828 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$825 |
$2,062 |
— |
$42 | |
| X-ray of the shoulder |
$527 |
$1,317 |
— |
$36 | |
| X-ray of the skull |
$541 |
$1,354 |
— |
$40 | |
| X-ray of the upper arm |
$508 |
$1,269 |
— |
$32 | |
| X-ray of the wrist |
$546 |
$1,365 |
— |
$43 | |
| Zinc blood test |
$165 |
$412 |
$10 |
$11 | |