| Abdominal fluid drain (paracentesis) |
$901 |
$4,507 |
$7,946 |
$284 | |
| Abdominal ultrasound |
$351 |
$1,754 |
$1,085 |
$100 | |
| Abdominal ultrasound (complete) |
$452 |
$2,262 |
$1,085 |
$114 | |
| Abdominal ultrasound (limited) |
$351 |
$1,754 |
$1,085 |
$86 | |
| Abscess drainage (complex or multiple) |
$88 |
$439 |
$6,531 |
$220 | |
| Abscess drainage (simple) |
$88 |
$439 |
$6,798 |
$129 | |
| Abscess incision and drainage |
$88 |
$439 |
$6,798 |
$174 | |
| Albumin blood test |
$28 |
$142 |
$635 |
$5 | |
| Aldosterone test |
$53 |
$266 |
$635 |
$41 | |
| Alkaline phosphatase test |
$19 |
$93 |
$635 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$13 |
$64 |
$635 |
$17 | |
| ALT liver enzyme test |
$36 |
$178 |
$635 |
$5 | |
| Ammonia blood test |
$49 |
$246 |
$635 |
$15 | |
| Amylase test |
$69 |
$345 |
$635 |
$6 | |
| Antinuclear antibody (ANA) test |
$11 |
$55 |
$635 |
$12 | |
| Arterial blood gas (ABG) |
$27 |
$135 |
$594 |
$26 | |
| AST liver enzyme test |
$28 |
$142 |
$635 |
$5 | |
| Barium swallow study |
$281 |
$1,404 |
$1,076 |
$107 | |
| Bartholin cyst removal |
$37 |
$187 |
$6,798 |
$182 | |
| Basic metabolic panel |
$102 |
$512 |
$635 |
$8 | |
| Bilirubin blood test |
$31 |
$155 |
$635 |
$5 | |
| Bladder scope (cystoscopy) |
$126 |
$631 |
$7,284 |
$216 | |
| Blood clotting test (PT/INR) |
$35 |
$177 |
$635 |
$4 | |
| Blood crossmatch |
$32 |
$161 |
$635 |
— | |
| Blood glucose test |
$30 |
$148 |
$594 |
$5 | |
| Blood transfusion |
$279 |
$1,397 |
$7,108 |
$47 | |
| Blood type and screen |
$24 |
$118 |
$635 |
$10 | |
| Blood type test |
$35 |
$175 |
$594 |
$3 | |
| Blood type test (ABO group) |
$35 |
$175 |
$594 |
$3 | |
| Blood type test (Rh/D antigen) |
$35 |
$175 |
$635 |
$3 | |
| BNP (heart failure) test |
$57 |
$287 |
$635 |
$39 | |
| Bone marrow biopsy |
$1,592 |
$7,962 |
$6,798 |
$172 | |
| Bone scan (nuclear) |
$763 |
$3,816 |
$3,618 |
$259 | |
| Breast ultrasound |
$181 |
$903 |
$1,085 |
$92 | |
| Breast ultrasound (complete) |
$194 |
$968 |
$1,085 |
$100 | |
| Breast ultrasound (limited) |
$168 |
$838 |
$1,085 |
$84 | |
| Breathing tube insertion (intubation) |
$107 |
$535 |
$6,798 |
$133 | |
| Bronchoscopy |
$764 |
$3,821 |
$7,946 |
$303 | |
| Burn dressing and debridement (medium) |
$97 |
$485 |
$6,798 |
$166 | |
| Burn dressing and debridement (small) |
$94 |
$468 |
$6,798 |
$93 | |
| Burn treatment |
$94 |
$468 |
$6,798 |
$129 | |
| CA-125 ovarian marker test |
$22 |
$108 |
$594 |
$21 | |
| Calcium blood test |
$39 |
$193 |
$635 |
$5 | |
| Cardiac ablation |
$9,326 |
$46,630 |
$23,203 |
$759 | |
| Cardiac catheterization |
$6,266 |
$31,327 |
$19,833 |
$1,049 | |
| Cardiac MRI |
$1,509 |
$7,547 |
$4,247 |
$322 | |
| Cardiac rehabilitation |
$107 |
$535 |
$1,019 |
$26 | |
| Cardiac stress test |
$467 |
$2,334 |
$2,739 |
$39 | |
| Cardioversion |
$464 |
$2,319 |
$2,739 |
$155 | |
| Carotid artery ultrasound |
$460 |
$2,298 |
$1,085 |
$156 | |
| CEA tumor marker test |
$81 |
$407 |
$635 |
$19 | |
| Central line placement |
$1,777 |
$8,886 |
$7,946 |
$238 | |
| Cesarean section (C-section) |
— |
$38,953 |
$16,383 |
$7,552 | |
| Chemotherapy infusion |
$230 |
$1,151 |
— |
$81 | |
| Chemotherapy infusion (first hour) |
$230 |
$1,151 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$233 |
$1,167 |
$6,531 |
$311 | |
| Chest tube insertion |
$286 |
$1,432 |
$6,798 |
$143 | |
| Chest X-ray |
$146 |
$731 |
$1,070 |
$37 | |
| Chest X-ray (1 view) |
$138 |
$691 |
$1,070 |
$25 | |
| Chest X-ray (2 views) |
$150 |
$750 |
$1,070 |
$33 | |
| Clotting time test (PTT) |
$45 |
$224 |
$635 |
$6 | |
| Complete blood count (CBC) |
$71 |
$354 |
$635 |
$7 | |
| Complete blood count (CBC) (complete) |
$71 |
$354 |
$635 |
$8 | |
| Complex wound repair |
$91 |
$453 |
$7,108 |
$390 | |
| Comprehensive metabolic panel |
$179 |
$895 |
$635 |
$11 | |
| Copper blood test |
$13 |
$64 |
$635 |
$12 | |
| Coronary artery bypass (CABG) |
— |
$169,984 |
$17,194 |
$36,593 | |
| Coronary CT angiography |
$311 |
$1,554 |
$5,202 |
$326 | |
| Cortisol test |
$18 |
$88 |
$635 |
$16 | |
| COVID-19 PCR test |
$108 |
$541 |
$594 |
$51 | |
| CPAP titration study |
$80 |
$398 |
$1,019 |
$69 | |
| Creatine kinase (CK) test |
$40 |
$201 |
$635 |
$7 | |
| CT angiography of the chest |
$1,294 |
$6,470 |
$5,202 |
$281 | |
| CT angiography of the head |
$1,252 |
$6,259 |
$5,202 |
$274 | |
| CT scan of the abdomen |
$1,207 |
$6,036 |
$5,202 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,335 |
$11,677 |
$5,202 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,778 |
$13,892 |
$5,202 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,335 |
$11,677 |
$5,202 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,008 |
$10,039 |
$5,202 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,227 |
$11,134 |
$5,202 |
$259 | |
| CT scan of the abdomen with contrast |
$1,207 |
$6,036 |
$5,202 |
$230 | |
| CT scan of the abdomen without contrast |
$1,019 |
$5,096 |
$5,202 |
$136 | |
| CT scan of the arm |
$1,156 |
$5,780 |
$5,202 |
$199 | |
| CT scan of the arm with contrast |
$1,156 |
$5,780 |
$5,202 |
$199 | |
| CT scan of the arm without contrast |
$832 |
$4,158 |
$5,202 |
$161 | |
| CT scan of the chest |
$1,059 |
$5,293 |
$5,624 |
$167 | |
| CT scan of the chest with and without contrast |
$2,475 |
$12,374 |
$5,202 |
$196 | |
| CT scan of the chest with contrast |
$1,167 |
$5,835 |
$5,202 |
$167 | |
| CT scan of the chest without contrast |
$950 |
$4,751 |
$5,624 |
$133 | |
| CT scan of the head |
$935 |
$4,674 |
$5,202 |
$148 | |
| CT scan of the head with and without contrast |
$1,822 |
$9,109 |
$5,202 |
$173 | |
| CT scan of the head with contrast |
$887 |
$4,437 |
$5,202 |
$148 | |
| CT scan of the head without contrast |
$935 |
$4,674 |
$5,202 |
$107 | |
| CT scan of the leg |
$804 |
$4,019 |
$5,202 |
$166 | |
| CT scan of the leg with contrast |
$791 |
$3,956 |
$5,202 |
$166 | |
| CT scan of the leg without contrast |
$804 |
$4,019 |
$5,202 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,008 |
$5,042 |
$5,202 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,287 |
$11,433 |
$5,202 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,278 |
$6,392 |
$5,202 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,008 |
$5,042 |
$5,202 |
$130 | |
| CT scan of the neck |
$1,122 |
$5,607 |
$5,202 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,154 |
$5,768 |
$5,202 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,376 |
$11,880 |
$5,202 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,223 |
$6,113 |
$5,202 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,154 |
$5,768 |
$5,202 |
$131 | |
| CT scan of the neck with and without contrast |
$1,075 |
$5,374 |
$5,202 |
$220 | |
| CT scan of the neck with contrast |
$1,168 |
$5,840 |
$5,202 |
$183 | |
| CT scan of the neck without contrast |
$836 |
$4,181 |
$5,202 |
$150 | |
| CT scan of the pelvis |
$1,115 |
$5,576 |
$5,202 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,230 |
$11,150 |
$5,202 |
$251 | |
| CT scan of the pelvis with contrast |
$1,243 |
$6,214 |
$5,202 |
$226 | |
| CT scan of the pelvis without contrast |
$987 |
$4,937 |
$5,202 |
$133 | |
| CT scan of the sinuses |
$977 |
$4,885 |
$5,624 |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,104 |
$10,520 |
$5,624 |
$184 | |
| CT scan of the sinuses with contrast |
$1,183 |
$5,914 |
$5,202 |
$152 | |
| CT scan of the sinuses without contrast |
$921 |
$4,606 |
$5,202 |
$128 | |
| D-dimer test |
$10 |
$52 |
$594 |
$10 | |
| Defibrillator (ICD) implant |
$19,063 |
$95,316 |
$23,203 |
$798 | |
| DHEA-sulfate test |
$13 |
$67 |
$635 |
$22 | |
| Drug screen (urine) |
$463 |
$2,313 |
$594 |
$17 | |
| Echocardiogram |
$1,145 |
$5,722 |
$2,960 |
$138 | |
| Echocardiogram with and without contrast |
$297 |
$1,487 |
$2,739 |
$101 | |
| Echocardiogram without contrast |
$800 |
$4,001 |
$2,739 |
$138 | |
| EEG (awake and asleep) |
$345 |
$1,725 |
$1,341 |
$482 | |
| EKG / ECG (tracing only) |
$124 |
$618 |
$1,070 |
$7 | |
| Electrocardiogram (EKG) |
$124 |
$618 |
$1,070 |
$8 | |
| Electroencephalogram (EEG) |
$357 |
$1,782 |
$1,341 |
$448 | |
| Electrolyte panel |
$63 |
$316 |
$594 |
$7 | |
| Emergency department visit |
$486 |
$2,429 |
$2,733 |
$69 | |
| Emergency department visit (level 1) |
$182 |
$911 |
$789 |
$11 | |
| Emergency department visit (level 2) |
$364 |
$1,822 |
$2,135 |
$40 | |
| Emergency department visit (level 3) |
$486 |
$2,429 |
$2,600 |
$69 | |
| Emergency department visit (level 4) |
$607 |
$3,037 |
$4,162 |
$118 | |
| Emergency department visit (level 5) |
$729 |
$3,645 |
$4,311 |
$171 | |
| Epidural steroid injection |
$682 |
$3,412 |
$7,284 |
$275 | |
| Estradiol (estrogen) test |
$36 |
$182 |
$635 |
$28 | |
| Fallopian tube X-ray (HSG) |
$353 |
$1,765 |
$1,603 |
$164 | |
| Fecal occult blood (stool) test |
$16 |
$79 |
$594 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$5 |
$23 |
$594 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$27 |
$135 |
$635 |
$16 | |
| Ferritin (iron) test |
$76 |
$379 |
$635 |
$14 | |
| Fibrinogen test |
$50 |
$251 |
$635 |
$10 | |
| Flu test |
$22 |
$112 |
$635 |
$17 | |
| Folate (folic acid) test |
$77 |
$383 |
$635 |
$15 | |
| Foreign body removal (skin) |
$120 |
$602 |
$6,531 |
$157 | |
| Free T4 thyroid test |
$55 |
$275 |
$635 |
$9 | |
| FSH hormone test |
$17 |
$82 |
$594 |
$19 | |
| Gallbladder scan (HIDA) |
$1,119 |
$5,594 |
$3,618 |
$334 | |
| GGT liver test |
$47 |
$235 |
$635 |
$7 | |
| Group therapy session |
$241 |
$1,206 |
$383 |
$30 | |
| H. pylori test |
$59 |
$296 |
$635 |
$67 | |
| HDL cholesterol test |
$48 |
$241 |
$635 |
$8 | |
| Hematocrit test |
$21 |
$105 |
$635 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$86 |
$430 |
$635 |
$10 | |
| Hepatitis B test |
$51 |
$253 |
$635 |
$10 | |
| Hepatitis C test |
$77 |
$383 |
$594 |
$14 | |
| HIV test |
$26 |
$130 |
$594 |
$19 | |
| HIV test (antigen/antibody combo) |
$26 |
$130 |
$594 |
$24 | |
| Iron blood test |
$36 |
$180 |
$635 |
$6 | |
| IUD removal |
$312 |
$1,561 |
$6,798 |
$112 | |
| IV infusion therapy |
$102 |
$510 |
$1,781 |
$44 | |
| IV infusion therapy (each additional) |
$28 |
$138 |
$1,781 |
$21 | |
| IV infusion therapy (initial) |
$102 |
$510 |
$1,781 |
$67 | |
| IVC filter placement |
$1,447 |
$7,236 |
$7,999 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$130 |
$648 |
$7,946 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$108 |
$539 |
$6,798 |
$57 | |
| Joint aspiration or injection (small joint) |
$151 |
$756 |
$7,973 |
$56 | |
| Kidney biopsy |
$1,592 |
$7,962 |
$7,946 |
$492 | |
| Kidney scan (nuclear) |
$1,073 |
$5,365 |
$3,618 |
$172 | |
| Kidney ultrasound |
$317 |
$1,586 |
$1,085 |
$84 | |
| Kidney ultrasound (limited) |
$147 |
$736 |
$1,085 |
$61 | |
| Knee joint injection |
$108 |
$539 |
$6,798 |
$69 | |
| Knee replacement |
— |
$105,709 |
$17,194 |
$18,054 | |
| Lactate test |
$50 |
$250 |
$594 |
$12 | |
| LDH test |
$16 |
$79 |
$594 |
$6 | |
| LDL cholesterol test |
$15 |
$75 |
$635 |
$11 | |
| Leg artery angiogram |
$1,476 |
$7,378 |
$2,739 |
$149 | |
| Leg artery angioplasty |
$4,346 |
$21,729 |
$18,561 |
— | |
| Leg vein ultrasound (Doppler) |
$318 |
$1,588 |
$1,085 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$305 |
$1,527 |
$1,085 |
$116 | |
| LH hormone test |
$12 |
$58 |
$635 |
$19 | |
| Lipase test |
$67 |
$335 |
$635 |
$7 | |
| Lipid (cholesterol) panel |
$118 |
$590 |
$635 |
$13 | |
| Liver biopsy |
$1,592 |
$7,962 |
$7,946 |
$288 | |
| Liver function panel |
$106 |
$531 |
$635 |
$8 | |
| Lung function test (PFT) |
$47 |
$236 |
$1,070 |
$37 | |
| Lung scan (V/Q) |
$655 |
$3,274 |
$3,618 |
$291 | |
| Magnesium blood test |
$42 |
$212 |
$635 |
$7 | |
| MRA of the brain |
$1,209 |
$6,044 |
$4,592 |
$226 | |
| MRA of the brain without contrast |
$2,035 |
$10,176 |
$4,592 |
$328 | |
| MRA of the neck |
$898 |
$4,489 |
$4,247 |
$245 | |
| MRA of the neck without contrast |
$1,810 |
$9,050 |
$4,247 |
$343 | |
| MRI of the abdomen |
$1,237 |
$6,184 |
$4,592 |
$300 | |
| MRI of the abdomen with contrast |
$1,048 |
$5,238 |
$4,247 |
$300 | |
| MRI of the abdomen without contrast |
$1,237 |
$6,184 |
$4,247 |
$194 | |
| MRI of the ankle |
$1,701 |
$8,506 |
$4,247 |
$261 | |
| MRI of the ankle without contrast |
$1,375 |
$6,875 |
$4,247 |
$222 | |
| MRI of the brain |
$1,283 |
$6,416 |
$4,592 |
$269 | |
| MRI of the brain with contrast |
$1,609 |
$8,045 |
$4,247 |
$269 | |
| MRI of the brain without contrast |
$1,283 |
$6,416 |
$4,592 |
$195 | |
| MRI of the chest |
$1,810 |
$9,050 |
$4,592 |
$371 | |
| MRI of the chest without contrast |
$1,810 |
$9,050 |
$4,592 |
$466 | |
| MRI of the knee |
$1,311 |
$6,554 |
$4,247 |
$315 | |
| MRI of the knee with contrast |
$1,431 |
$7,155 |
$4,247 |
$315 | |
| MRI of the knee without contrast |
$1,311 |
$6,554 |
$4,247 |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,507 |
$7,536 |
$4,592 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,507 |
$7,536 |
$4,247 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,282 |
$6,411 |
$4,592 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,300 |
$6,501 |
$4,592 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$1,986 |
$9,931 |
$4,247 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,452 |
$7,262 |
$4,247 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,148 |
$5,740 |
$4,592 |
$190 | |
| MRI of the neck (cervical spine) |
$1,369 |
$6,843 |
$4,592 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,019 |
$10,097 |
$4,247 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,451 |
$7,255 |
$4,247 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,286 |
$6,431 |
$4,592 |
$191 | |
| MRI of the pelvis |
$1,824 |
$9,118 |
$4,592 |
$268 | |
| MRI of the pelvis with contrast |
$1,263 |
$6,317 |
$4,592 |
$268 | |
| MRI of the pelvis without contrast |
$1,173 |
$5,864 |
$4,247 |
$227 | |
| MRI of the shoulder |
$1,431 |
$7,155 |
$4,592 |
$313 | |
| MRI of the shoulder with contrast |
$1,431 |
$7,155 |
$4,592 |
$313 | |
| MRI of the shoulder without contrast |
$1,311 |
$6,554 |
$4,247 |
$205 | |
| MRI of the wrist |
$2,027 |
$10,136 |
$4,247 |
$330 | |
| MRI of the wrist with contrast |
$1,443 |
$7,217 |
$4,247 |
$330 | |
| MRI of the wrist without contrast |
$1,375 |
$6,875 |
$4,247 |
$303 | |
| Nebulizer breathing treatment |
$29 |
$146 |
$1,019 |
$9 | |
| Nuclear cardiac stress test |
$1,550 |
$7,751 |
$3,618 |
$428 | |
| Occupational therapy evaluation |
$58 |
$288 |
$1,150 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$86 |
$432 |
$1,150 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$39 |
$193 |
$1,150 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$58 |
$288 |
$1,150 |
$101 | |
| Office visit (established patient) |
$22 |
$111 |
$1,019 |
$115 | |
| Office visit (new patient) |
$33 |
$163 |
$1,019 |
$177 | |
| Office visit, established patient (level 3) |
$22 |
$111 |
$1,019 |
$95 | |
| Office visit, established patient (level 4) |
$36 |
$178 |
$1,019 |
$136 | |
| Office visit, new patient (level 3) |
$33 |
$163 |
$1,019 |
$118 | |
| Office visit, new patient (level 4) |
$55 |
$276 |
$1,019 |
$177 | |
| Pacemaker insertion |
— |
$112,961 |
$17,194 |
$15,506 | |
| Pap smear (cervical screening) |
$36 |
$179 |
$635 |
$20 | |
| Parathyroid hormone (PTH) test |
$50 |
$248 |
$635 |
$41 | |
| Pelvic ultrasound |
$340 |
$1,700 |
$1,085 |
$78 | |
| Pelvic ultrasound (complete) |
$340 |
$1,701 |
$1,085 |
$105 | |
| Pelvic ultrasound (limited) |
$151 |
$754 |
$1,085 |
$51 | |
| Phosphorus blood test |
$21 |
$104 |
$635 |
$5 | |
| Physical therapy evaluation |
$41 |
$204 |
$1,150 |
$98 | |
| Physical therapy evaluation (high complexity) |
$91 |
$454 |
$1,150 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$61 |
$305 |
$1,150 |
$98 | |
| Platelet count |
$40 |
$199 |
$635 |
$4 | |
| Pregnancy blood test (hCG) |
$63 |
$314 |
$635 |
$8 | |
| Pregnancy ultrasound |
$217 |
$1,083 |
$1,085 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$217 |
$1,083 |
$1,085 |
$117 | |
| Procalcitonin test |
$58 |
$290 |
$635 |
$27 | |
| Prolactin test |
$12 |
$60 |
$635 |
$19 | |
| Prostate test (PSA) |
$66 |
$331 |
$635 |
$18 | |
| Psychotherapy session |
$153 |
$763 |
$783 |
$140 | |
| Scoliosis spine X-ray |
$259 |
$1,296 |
$1,076 |
$58 | |
| Scoliosis spine X-ray (3 views) |
$259 |
$1,296 |
$1,076 |
$72 | |
| Scrotal ultrasound |
$250 |
$1,252 |
$1,085 |
$99 | |
| Sedimentation rate (ESR) test |
$61 |
$306 |
$635 |
$3 | |
| Sex hormone binding globulin test |
$22 |
$111 |
$635 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$115 |
$575 |
$6,798 |
$114 | |
| Simple wound stitches |
$126 |
$629 |
$6,798 |
$127 | |
| Skin biopsy |
$136 |
$680 |
$6,531 |
$121 | |
| Skin biopsy (punch) |
$136 |
$680 |
$6,531 |
$121 | |
| Skin tag removal |
$181 |
$904 |
$6,798 |
$92 | |
| Soft tissue ultrasound |
$121 |
$605 |
$1,085 |
$64 | |
| Speech therapy |
$57 |
$283 |
$1,150 |
$76 | |
| Spinal tap (lumbar puncture) |
$360 |
$1,802 |
$7,284 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$1,811 |
$9,054 |
$7,999 |
$5,803 | |
| Spirometry (lung function test) |
$80 |
$400 |
$1,070 |
$30 | |
| Spirometry with bronchodilator |
$47 |
$236 |
$1,070 |
$43 | |
| Stress echocardiogram |
$829 |
$4,144 |
$2,739 |
$209 | |
| Stress echocardiogram (complete) |
$829 |
$4,144 |
$2,739 |
$233 | |
| Swallow study |
$44 |
$220 |
$1,150 |
$85 | |
| T3 thyroid test |
$12 |
$60 |
$635 |
$14 | |
| Testosterone test |
$12 |
$58 |
$635 |
$26 | |
| Thyroid test (TSH) |
$79 |
$394 |
$635 |
$17 | |
| Thyroid ultrasound |
$269 |
$1,343 |
$1,085 |
$109 | |
| Tilt table test |
$856 |
$4,278 |
$2,739 |
$168 | |
| Total IgE allergy test |
$18 |
$89 |
$594 |
$16 | |
| Total protein test |
$11 |
$57 |
$635 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$763 |
$3,816 |
$2,960 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,005 |
$5,023 |
$2,960 |
$239 | |
| Transvaginal ultrasound |
$337 |
$1,685 |
$1,085 |
$118 | |
| Trigger point injection |
$282 |
$1,411 |
$7,973 |
$56 | |
| Trigger point injection (1-2 muscles) |
$282 |
$1,411 |
$7,973 |
$52 | |
| Triglycerides test |
$22 |
$111 |
$635 |
$6 | |
| Troponin (heart) test |
$13 |
$67 |
$635 |
$12 | |
| Upper GI series (barium) |
$332 |
$1,657 |
$1,076 |
$128 | |
| Uric acid (gout) test |
$40 |
$199 |
$635 |
$5 | |
| Urinalysis |
$59 |
$294 |
$594 |
$3 | |
| Urine microalbumin test |
$59 |
$297 |
$635 |
$5 | |
| Vaccine administration |
$23 |
$114 |
$980 |
$19 | |
| Vaccine administration (each additional) |
$22 |
$106 |
$1,019 |
$16 | |
| Vaginal delivery |
— |
$13,670 |
$16,383 |
$5,487 | |
| Vitamin B12 test |
$41 |
$206 |
$635 |
$15 | |
| Vitamin D test |
$39 |
$196 |
$635 |
$30 | |
| Wart removal |
$35 |
$177 |
$7,973 |
$121 | |
| Weight-loss (bariatric) surgery |
— |
$45,114 |
$17,194 |
$11,645 | |
| Wound debridement |
$274 |
$1,371 |
$6,531 |
$186 | |
| X-ray of the abdomen |
$158 |
$792 |
$1,076 |
$36 | |
| X-ray of the ankle |
$186 |
$930 |
$1,076 |
$37 | |
| X-ray of the collarbone |
$148 |
$742 |
$1,076 |
$33 | |
| X-ray of the elbow |
$167 |
$834 |
$1,076 |
$33 | |
| X-ray of the facial bones |
$137 |
$686 |
$1,076 |
$39 | |
| X-ray of the foot |
$184 |
$918 |
$1,076 |
$34 | |
| X-ray of the forearm |
$171 |
$853 |
$1,076 |
$29 | |
| X-ray of the hand |
$180 |
$898 |
$1,076 |
$38 | |
| X-ray of the hip |
$227 |
$1,136 |
$1,076 |
$49 | |
| X-ray of the hip (1 view) |
$151 |
$756 |
$1,076 |
$34 | |
| X-ray of the hip (3 views) |
$227 |
$1,136 |
$1,076 |
$49 | |
| X-ray of the hip (4 views) |
$303 |
$1,513 |
$1,076 |
$63 | |
| X-ray of the knee |
$183 |
$915 |
$1,076 |
$42 | |
| X-ray of the knee (2 views) |
$186 |
$931 |
$1,076 |
$34 | |
| X-ray of the knee (3 views) |
$180 |
$899 |
$1,076 |
$42 | |
| X-ray of the knee (4+ views) |
$180 |
$899 |
$1,076 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$207 |
$1,034 |
$1,076 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$207 |
$1,034 |
$1,076 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$322 |
$1,608 |
$1,076 |
$53 | |
| X-ray of the lower leg |
$180 |
$899 |
$1,076 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$125 |
$625 |
$1,076 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$115 |
$577 |
$1,076 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$125 |
$625 |
$1,076 |
$39 | |
| X-ray of the neck (cervical spine) |
$215 |
$1,073 |
$1,076 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$215 |
$1,073 |
$1,076 |
$40 | |
| X-ray of the pelvis |
$176 |
$882 |
$1,076 |
$36 | |
| X-ray of the pelvis (1 view) |
$176 |
$882 |
$1,076 |
$28 | |
| X-ray of the ribs |
$222 |
$1,112 |
$1,076 |
$42 | |
| X-ray of the ribs (3 views) |
$222 |
$1,112 |
$1,076 |
$42 | |
| X-ray of the shoulder |
$194 |
$970 |
$1,076 |
$36 | |
| X-ray of the skull |
$163 |
$815 |
$1,076 |
$40 | |
| X-ray of the upper arm |
$182 |
$911 |
$1,076 |
$32 | |
| X-ray of the wrist |
$191 |
$953 |
$1,076 |
$43 | |
| Zinc blood test |
$25 |
$123 |
$635 |
$11 | |