| 3D mammogram (tomosynthesis) |
$24 |
$493 |
$25 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,014 |
$2,414 |
$1,015 |
$284 | |
| Abdominal ultrasound |
$116 |
$1,035 |
$117 |
$100 | |
| Abdominal ultrasound (complete) |
$116 |
$1,192 |
$117 |
$114 | |
| Abdominal ultrasound (limited) |
$116 |
$877 |
$117 |
$86 | |
| Abscess drainage (complex or multiple) |
$454 |
$1,217 |
$455 |
$220 | |
| Abscess drainage (simple) |
$224 |
$3,950 |
$224 |
$129 | |
| Abscess incision and drainage |
$224 |
$1,217 |
$230 |
$174 | |
| Achilles tendon repair |
$8,118 |
$8,106 |
$8,106 |
$624 | |
| Albumin blood test |
$4 |
$56 |
$5 |
$5 | |
| Aldosterone test |
$40 |
$235 |
$41 |
$41 | |
| Alkaline phosphatase test |
$5 |
$62 |
$5 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$16 |
$111 |
$17 |
$17 | |
| ALT liver enzyme test |
$5 |
$78 |
$5 |
$5 | |
| Ammonia blood test |
$14 |
$185 |
$15 |
$15 | |
| Amniocentesis |
$1,030 |
$3,184 |
$1,031 |
$120 | |
| Anal fistula repair |
$3,105 |
$7,681 |
$3,105 |
$541 | |
| Ankle fracture repair |
$8,118 |
$9,145 |
$8,118 |
$608 | |
| Anoscopy |
$148 |
$456 |
$149 |
$129 | |
| Antinuclear antibody (ANA) test |
$12 |
$134 |
$12 |
$12 | |
| Arterial blood gas (ABG) |
$26 |
$296 |
$26 |
$26 | |
| AST liver enzyme test |
$5 |
$78 |
$5 |
$5 | |
| Barium swallow study |
$196 |
$811 |
$196 |
$107 | |
| Bartholin cyst removal |
$226 |
$703 |
$226 |
$182 | |
| Benign skin lesion removal |
$792 |
$6,563 |
$792 |
$171 | |
| Bilirubin blood test |
$5 |
$27 |
$5 |
$5 | |
| Bladder scope (cystoscopy) |
$780 |
$5,155 |
$780 |
$216 | |
| Bladder tumor removal (TURBT) |
$3,943 |
$10,874 |
$3,944 |
$236 | |
| Blood clotting test (PT/INR) |
$4 |
$62 |
$4 |
$4 | |
| Blood glucose test |
$4 |
$71 |
$5 |
$5 | |
| Blood transfusion |
$493 |
$2,279 |
$494 |
$47 | |
| Blood type and screen |
$58 |
$184 |
$58 |
$10 | |
| Blood type test |
$95 |
$126 |
$43 |
$3 | |
| Blood type test (ABO group) |
$148 |
$224 |
$68 |
$3 | |
| Blood type test (Rh/D antigen) |
$41 |
$125 |
$42 |
$3 | |
| BNP (heart failure) test |
$39 |
$350 |
$39 |
$39 | |
| Bone density scan (DEXA) |
$116 |
$593 |
$117 |
$39 | |
| Bone marrow biopsy |
$2,548 |
$4,077 |
$1,414 |
$172 | |
| Bone scan (nuclear) |
$447 |
$1,954 |
$447 |
$259 | |
| Breast biopsy |
$1,847 |
$7,071 |
$1,848 |
$478 | |
| Breast MRI |
$266 |
$2,721 |
$267 |
$216 | |
| Breast MRI without contrast |
$266 |
$2,721 |
$267 |
$216 | |
| Breast ultrasound |
$107 |
$1,076 |
$117 |
$92 | |
| Breast ultrasound (complete) |
$116 |
$1,076 |
$117 |
$100 | |
| Breast ultrasound (limited) |
$97 |
$1,076 |
$97 |
$84 | |
| Breathing tube insertion (intubation) |
$264 |
$963 |
$265 |
$133 | |
| Bronchoscopy |
$1,991 |
$5,188 |
$1,991 |
$303 | |
| Bunion surgery (bunionectomy) |
$8,118 |
$8,678 |
$3,661 |
$883 | |
| Burn dressing and debridement (medium) |
$224 |
$637 |
$224 |
$166 | |
| Burn dressing and debridement (small) |
$224 |
$1,920 |
$224 |
$93 | |
| Burn treatment |
$224 |
$1,279 |
$224 |
$129 | |
| CA 19-9 tumor marker test |
$20 |
$102 |
$21 |
$21 | |
| CA-125 ovarian marker test |
$20 |
$124 |
$21 |
$21 | |
| Calcium blood test |
$5 |
$62 |
$5 |
$5 | |
| Cardiac ablation |
$29,243 |
$77,806 |
$29,244 |
$759 | |
| Cardiac catheterization |
$3,627 |
$15,601 |
$3,627 |
$1,049 | |
| Cardiac MRI |
$328 |
$1,820 |
$390 |
$322 | |
| Cardiac MRI without contrast |
$266 |
$1,368 |
$270 |
$280 | |
| Cardiac rehabilitation |
$144 |
$624 |
$144 |
$26 | |
| Cardiac stress test |
$241 |
$1,473 |
$242 |
$39 | |
| Cardioversion |
$739 |
$1,680 |
$739 |
$155 | |
| Carotid artery ultrasound |
$191 |
$1,151 |
$209 |
$156 | |
| CEA tumor marker test |
$18 |
$236 |
$19 |
$19 | |
| Celiac disease test |
$11 |
$58 |
$12 |
$12 | |
| Central line placement |
$3,532 |
$5,124 |
$3,533 |
$238 | |
| Cervical cerclage |
$3,621 |
$5,200 |
$3,622 |
$137 | |
| Cervical LEEP procedure |
$3,621 |
$6,615 |
$3,622 |
$325 | |
| Cesarean section (C-section) |
$9,950 |
— |
$9,662 |
$7,552 | |
| Chemotherapy infusion |
$225 |
$1,148 |
$190 |
$81 | |
| Chemotherapy infusion (each additional) |
$80 |
$489 |
$81 |
$28 | |
| Chemotherapy infusion (first hour) |
$369 |
$1,807 |
$370 |
$133 | |
| Chest fluid drain (thoracentesis) |
$701 |
$3,100 |
$702 |
$311 | |
| Chest tube insertion |
$1,761 |
$2,926 |
$1,761 |
$143 | |
| Chest X-ray |
$97 |
$470 |
$97 |
$37 | |
| Chest X-ray (1 view) |
$97 |
$376 |
$97 |
$25 | |
| Chest X-ray (2 views) |
$97 |
$470 |
$97 |
$33 | |
| Circumcision |
$2,338 |
$8,858 |
$2,339 |
$167 | |
| CK-MB heart enzyme test |
$11 |
$203 |
$12 |
$12 | |
| Clotting time test (PTT) |
$6 |
$87 |
$6 |
$6 | |
| Colonoscopy |
$1,189 |
$3,764 |
$1,183 |
$480 | |
| Complete blood count (CBC) |
$7 |
$125 |
$8 |
$7 | |
| Complete blood count (CBC) (complete) |
$7 |
$131 |
$8 |
$8 | |
| Complex wound repair |
$826 |
$2,470 |
$827 |
$390 | |
| Contraceptive implant (Nexplanon) |
$499 |
$2,013 |
$500 |
$115 | |
| Copper blood test |
$12 |
$66 |
$12 |
$12 | |
| Coronary artery bypass (CABG) |
$46,496 |
— |
$48,871 |
$36,593 | |
| Coronary CT angiography |
$390 |
$1,184 |
$390 |
$326 | |
| Cortisol test |
$16 |
$101 |
$16 |
$16 | |
| COVID-19 PCR test |
$51 |
$51 |
$51 |
$51 | |
| CPAP titration study |
$244 |
$1,036 |
$245 |
$69 | |
| Creatine kinase (CK) test |
$6 |
$96 |
$7 |
$7 | |
| CT angiography of the chest |
$196 |
$3,397 |
$198 |
$281 | |
| CT angiography of the head |
$196 |
$3,207 |
$198 |
$274 | |
| CT colonography (virtual colonoscopy) |
$266 |
$1,040 |
$267 |
$835 | |
| CT scan of the abdomen |
$196 |
$3,039 |
$196 |
$230 | |
| CT scan of the abdomen and pelvis |
$390 |
$3,223 |
$390 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$390 |
$3,306 |
$390 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$390 |
$3,223 |
$390 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$266 |
$2,096 |
$267 |
$183 | |
| CT scan of the abdomen with and without contrast |
$196 |
$3,515 |
$198 |
$259 | |
| CT scan of the abdomen with contrast |
$196 |
$3,039 |
$198 |
$230 | |
| CT scan of the arm |
$196 |
$2,515 |
$203 |
$199 | |
| CT scan of the arm with contrast |
$390 |
$2,515 |
$390 |
$199 | |
| CT scan of the chest |
$196 |
$2,851 |
$196 |
$167 | |
| CT scan of the chest with and without contrast |
$196 |
$3,357 |
$198 |
$196 | |
| CT scan of the chest with contrast |
$196 |
$2,851 |
$198 |
$167 | |
| CT scan of the head |
$196 |
$2,622 |
$196 |
$148 | |
| CT scan of the head with and without contrast |
$196 |
$3,069 |
$198 |
$173 | |
| CT scan of the head with contrast |
$196 |
$2,622 |
$198 |
$148 | |
| CT scan of the head without contrast |
$116 |
$2,235 |
$118 |
$107 | |
| CT scan of the leg |
$196 |
$2,625 |
$196 |
$166 | |
| CT scan of the leg with contrast |
$196 |
$2,625 |
$198 |
$166 | |
| CT scan of the lower back (lumbar spine) |
$196 |
$3,113 |
$203 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$196 |
$3,489 |
$198 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$390 |
$3,113 |
$390 |
$169 | |
| CT scan of the neck |
$196 |
$2,706 |
$196 |
$183 | |
| CT scan of the neck (cervical spine) |
$196 |
$3,011 |
$203 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$196 |
$3,515 |
$198 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$390 |
$3,011 |
$390 |
$168 | |
| CT scan of the neck with and without contrast |
$196 |
$3,103 |
$198 |
$220 | |
| CT scan of the neck with contrast |
$196 |
$2,706 |
$198 |
$183 | |
| CT scan of the neck without contrast |
$116 |
$2,298 |
$118 |
$150 | |
| CT scan of the pelvis |
$196 |
$2,835 |
$196 |
$226 | |
| CT scan of the pelvis with and without contrast |
$196 |
$3,302 |
$198 |
$251 | |
| CT scan of the pelvis with contrast |
$196 |
$2,835 |
$198 |
$226 | |
| CT scan of the sinuses |
$196 |
$2,625 |
$196 |
$152 | |
| CT scan of the sinuses with and without contrast |
$196 |
$3,000 |
$198 |
$184 | |
| CT scan of the sinuses with contrast |
$196 |
$2,625 |
$198 |
$152 | |
| CT scan of the sinuses without contrast |
$116 |
$2,203 |
$118 |
$128 | |
| D-dimer test |
$10 |
$110 |
$10 |
$10 | |
| Defibrillator (ICD) implant |
$35,118 |
$152,449 |
$35,119 |
$798 | |
| Developmental screening (child) |
— |
$251 |
$98 |
— | |
| DHEA-sulfate test |
$22 |
$232 |
$22 |
$22 | |
| Diagnostic mammogram |
$101 |
$425 |
$114 |
$140 | |
| Dilation and curettage (D&C) |
$3,621 |
$5,200 |
$3,622 |
$298 | |
| Drug screen (urine) |
$37 |
$177 |
$34 |
$17 | |
| Ear pressure test (tympanometry) |
$41 |
$153 |
$42 |
$16 | |
| Echocardiogram |
$266 |
$1,787 |
$284 |
$138 | |
| Echocardiogram with and without contrast |
$266 |
$1,499 |
$267 |
$101 | |
| Echocardiogram without contrast |
$266 |
$1,787 |
$267 |
$138 | |
| EEG (awake and asleep) |
$241 |
$1,181 |
$242 |
$482 | |
| EKG / ECG (tracing only) |
$66 |
$308 |
$66 |
$7 | |
| Electrocardiogram (EKG) |
$66 |
$308 |
$66 |
$8 | |
| Electroencephalogram (EEG) |
$241 |
$1,141 |
$242 |
$448 | |
| Electrolyte panel |
$7 |
$210 |
$7 |
$7 | |
| Electromyography (EMG) |
$148 |
$537 |
$149 |
$141 | |
| Emergency department visit |
$305 |
$1,553 |
$312 |
$69 | |
| Emergency department visit (level 1) |
$94 |
$586 |
$94 |
$11 | |
| Emergency department visit (level 2) |
$171 |
$940 |
$172 |
$40 | |
| Emergency department visit (level 3) |
$305 |
$1,553 |
$305 |
$69 | |
| Emergency department visit (level 4) |
$466 |
$2,618 |
$467 |
$118 | |
| Emergency department visit (level 5) |
$666 |
$3,747 |
$666 |
$171 | |
| Epidural steroid injection |
$789 |
$2,535 |
$790 |
$275 | |
| ERCP (bile duct endoscopy) |
$4,313 |
$9,902 |
$4,314 |
$311 | |
| Esophageal dilation |
$1,014 |
$4,044 |
$1,015 |
$522 | |
| Esophageal variceal banding |
$2,146 |
$5,440 |
$2,147 |
$126 | |
| Estradiol (estrogen) test |
$27 |
$324 |
$28 |
$28 | |
| Facet joint injection (spine) |
$989 |
$4,111 |
$990 |
$99 | |
| Fallopian tube X-ray (HSG) |
$266 |
$1,608 |
$267 |
$164 | |
| Family therapy session |
$198 |
$625 |
$199 |
$110 | |
| Fecal occult blood (stool) test |
$10 |
$127 |
$6 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$4 |
$60 |
$4 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$15 |
$195 |
$16 |
$16 | |
| Feeding tube (PEG) placement |
$2,146 |
$6,001 |
$2,147 |
$178 | |
| Ferritin (iron) test |
$13 |
$179 |
$14 |
$14 | |
| Fibrinogen test |
$9 |
$145 |
$10 |
$10 | |
| Flexible sigmoidoscopy |
$1,040 |
$2,462 |
$1,040 |
$323 | |
| Flu test |
$16 |
$137 |
$17 |
$17 | |
| Folate (folic acid) test |
$14 |
$223 |
$15 |
$15 | |
| Foreign body removal (skin) |
$454 |
$4,110 |
$455 |
$157 | |
| Free T4 thyroid test |
$9 |
$189 |
$9 |
$9 | |
| FSH hormone test |
$18 |
$244 |
$19 |
$19 | |
| Gallbladder removal (laparoscopic) |
$6,763 |
$12,938 |
$6,764 |
$658 | |
| Gallbladder scan (HIDA) |
$527 |
$2,247 |
$508 |
$334 | |
| Ganglion cyst removal |
$1,799 |
$7,276 |
$1,799 |
$321 | |
| GGT liver test |
$7 |
$118 |
$7 |
$7 | |
| Glucose tolerance test |
$8 |
$137 |
$10 |
$8 | |
| Group therapy session |
$113 |
$348 |
$114 |
$30 | |
| H. pylori test |
$67 |
$290 |
$67 |
$67 | |
| Hammertoe repair |
$3,660 |
$7,688 |
$3,661 |
$548 | |
| HDL cholesterol test |
$8 |
$148 |
$8 |
$8 | |
| Hearing test (audiometry) |
$143 |
$649 |
$144 |
$36 | |
| Hemodialysis |
$767 |
$5,520 |
$768 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$9 |
$215 |
$10 |
$10 | |
| Hemorrhoid removal |
$2,073 |
$5,385 |
$1,499 |
$338 | |
| Hepatitis B test |
$10 |
$155 |
$10 |
$10 | |
| Hepatitis C test |
$14 |
$200 |
$14 |
$14 | |
| HIV test |
$24 |
$262 |
$24 |
$19 | |
| HIV test (antibody) |
$13 |
$98 |
$14 |
$14 | |
| HIV test (antigen/antibody combo) |
$24 |
$262 |
$24 |
$24 | |
| Holter heart monitor |
$107 |
$737 |
$132 |
$26 | |
| Home sleep apnea test |
$154 |
$649 |
$192 |
$123 | |
| Hydrocele repair |
$4,005 |
$7,671 |
$4,006 |
$315 | |
| Hysterectomy |
$11,892 |
$11,026 |
$10,573 |
$933 | |
| Hysteroscopy |
$3,621 |
$6,607 |
$3,622 |
$1,270 | |
| Inguinal hernia repair |
$4,005 |
$6,791 |
$4,006 |
$538 | |
| Iron blood test |
$6 |
$118 |
$6 |
$6 | |
| IUD insertion |
— |
$4,103 |
$205 |
— | |
| IUD removal |
$340 |
$3,909 |
$341 |
$112 | |
| IV infusion therapy |
$145 |
$609 |
$121 |
$44 | |
| IV infusion therapy (each additional) |
$52 |
$179 |
$52 |
$21 | |
| IV infusion therapy (initial) |
$237 |
$1,038 |
$238 |
$67 | |
| IVC filter placement |
$6,225 |
$17,166 |
$6,226 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$343 |
$1,220 |
$343 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$343 |
$1,220 |
$343 |
$57 | |
| Joint aspiration or injection (small joint) |
$343 |
$1,220 |
$343 |
$56 | |
| Kidney biopsy |
$1,847 |
$7,071 |
$1,848 |
$492 | |
| Kidney scan (nuclear) |
$607 |
$2,515 |
$607 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$3,943 |
$11,766 |
$3,944 |
$760 | |
| Kidney ultrasound |
$116 |
$887 |
$117 |
$84 | |
| Kidney ultrasound (limited) |
$116 |
$812 |
$117 |
$61 | |
| Knee joint injection |
$343 |
$1,220 |
$343 |
$69 | |
| Knee replacement |
$23,166 |
— |
$25,475 |
$18,054 | |
| Lactate test |
$11 |
$145 |
$12 |
$12 | |
| Laminectomy (spine) |
$8,118 |
$11,026 |
$8,118 |
$1,157 | |
| Laryngoscopy |
$1,107 |
$2,947 |
$707 |
$189 | |
| LDH test |
$6 |
$78 |
$6 |
$6 | |
| LDL cholesterol test |
$10 |
$177 |
$11 |
$11 | |
| Leg artery angiogram |
$3,532 |
$15,537 |
$3,533 |
$149 | |
| Leg artery angioplasty |
$9,331 |
$38,301 |
$6,659 |
— | |
| Leg vein ultrasound (Doppler) |
$191 |
$1,087 |
$195 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$116 |
$1,023 |
$117 |
$116 | |
| LH hormone test |
$18 |
$263 |
$19 |
$19 | |
| Lipid (cholesterol) panel |
$13 |
$356 |
$13 |
$13 | |
| Liver biopsy |
$1,847 |
$4,710 |
$1,848 |
$288 | |
| Lumpectomy (breast) |
$4,380 |
$9,595 |
$4,381 |
$750 | |
| Lung function test (PFT) |
$329 |
$516 |
$258 |
$37 | |
| Lung scan (V/Q) |
$607 |
$2,599 |
$607 |
$291 | |
| Magnesium blood test |
$6 |
$112 |
$7 |
$7 | |
| Mastectomy |
$7,429 |
$12,139 |
$7,429 |
$1,021 | |
| MRA of the brain |
$390 |
$3,499 |
$390 |
$226 | |
| MRA of the brain with contrast |
$390 |
$3,499 |
$390 |
$226 | |
| MRA of the brain without contrast |
$390 |
$4,382 |
$390 |
$328 | |
| MRA of the neck |
$390 |
$3,469 |
$390 |
$245 | |
| MRA of the neck with contrast |
$390 |
$3,469 |
$390 |
$245 | |
| MRA of the neck without contrast |
$390 |
$4,325 |
$390 |
$343 | |
| MRI of the abdomen |
$390 |
$3,802 |
$390 |
$300 | |
| MRI of the abdomen with contrast |
$390 |
$3,802 |
$390 |
$300 | |
| MRI of the abdomen without contrast |
$266 |
$3,344 |
$270 |
$194 | |
| MRI of the ankle |
$390 |
$3,699 |
$390 |
$261 | |
| MRI of the ankle with contrast |
$390 |
$3,699 |
$390 |
$261 | |
| MRI of the ankle without contrast |
$266 |
$3,216 |
$270 |
$222 | |
| MRI of the brain |
$390 |
$3,966 |
$390 |
$269 | |
| MRI of the brain with contrast |
$390 |
$3,966 |
$390 |
$269 | |
| MRI of the brain without contrast |
$266 |
$3,404 |
$270 |
$195 | |
| MRI of the chest |
$390 |
$4,028 |
$398 |
$371 | |
| MRI of the chest with contrast |
$877 |
$4,028 |
$877 |
$371 | |
| MRI of the chest without contrast |
$390 |
$4,659 |
$394 |
$466 | |
| MRI of the knee |
$390 |
$3,634 |
$398 |
$315 | |
| MRI of the knee with contrast |
$877 |
$3,634 |
$877 |
$315 | |
| MRI of the knee without contrast |
$266 |
$3,298 |
$270 |
$204 | |
| MRI of the lower back (lumbar spine) |
$390 |
$3,889 |
$390 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$390 |
$3,889 |
$390 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$266 |
$3,481 |
$270 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$390 |
$3,781 |
$390 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$390 |
$4,885 |
$394 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$390 |
$3,781 |
$390 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$266 |
$3,458 |
$270 |
$190 | |
| MRI of the neck (cervical spine) |
$390 |
$3,809 |
$390 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$390 |
$4,997 |
$394 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$390 |
$3,809 |
$390 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$266 |
$3,510 |
$270 |
$191 | |
| MRI of the pelvis |
$390 |
$3,576 |
$390 |
$268 | |
| MRI of the pelvis with contrast |
$390 |
$3,576 |
$390 |
$268 | |
| MRI of the pelvis without contrast |
$266 |
$3,261 |
$270 |
$227 | |
| MRI of the shoulder |
$390 |
$3,747 |
$398 |
$313 | |
| MRI of the shoulder with contrast |
$877 |
$3,590 |
$877 |
$313 | |
| MRI of the shoulder without contrast |
$266 |
$3,747 |
$270 |
$205 | |
| MRI of the wrist |
$390 |
$3,747 |
$390 |
$330 | |
| MRI of the wrist with contrast |
$390 |
$3,420 |
$390 |
$330 | |
| MRI of the wrist without contrast |
$266 |
$3,747 |
$270 |
$303 | |
| Nebulizer breathing treatment |
$244 |
$1,036 |
$245 |
$9 | |
| Nerve conduction study |
$241 |
$1,308 |
$242 |
$118 | |
| Nuchal translucency ultrasound |
$116 |
$675 |
$117 |
$116 | |
| Nuclear cardiac stress test |
$1,448 |
$6,957 |
$1,448 |
$428 | |
| Occupational therapy evaluation |
$103 |
$573 |
$103 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$103 |
$648 |
$103 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$103 |
$573 |
$103 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$103 |
$573 |
$103 |
$101 | |
| Office visit (established patient) |
— |
$236 |
$99 |
$115 | |
| Office visit (new patient) |
— |
$419 |
$139 |
$177 | |
| Office visit, established patient (level 3) |
— |
$176 |
$83 |
$95 | |
| Office visit, established patient (level 4) |
— |
$296 |
$113 |
$136 | |
| Office visit, new patient (level 3) |
— |
$296 |
$106 |
$118 | |
| Office visit, new patient (level 4) |
— |
$419 |
$149 |
$177 | |
| Office visit, new patient (level 5) |
— |
$476 |
$208 |
$237 | |
| Orthopedic hardware removal |
$3,249 |
$7,987 |
$3,250 |
$632 | |
| Ovary removal (oophorectomy) |
— |
$8,800 |
$4,632 |
$822 | |
| Pacemaker insertion |
$19,960 |
— |
$19,960 |
$15,506 | |
| Pap smear (cervical screening) |
$20 |
$190 |
$22 |
$20 | |
| Parathyroid hormone (PTH) test |
$41 |
$443 |
$41 |
$41 | |
| Pelvic ultrasound |
$116 |
$807 |
$117 |
$78 | |
| Pelvic ultrasound (complete) |
$116 |
$975 |
$117 |
$105 | |
| Pelvic ultrasound (limited) |
$116 |
$638 |
$117 |
$51 | |
| PET scan |
$1,599 |
$6,426 |
$1,600 |
— | |
| Physical therapy evaluation |
$100 |
$573 |
$101 |
$98 | |
| Physical therapy evaluation (high complexity) |
$100 |
$460 |
$101 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$100 |
$573 |
$101 |
$98 | |
| Pilonidal cyst removal |
$3,249 |
$7,071 |
$3,250 |
$541 | |
| Platelet count |
$4 |
$34 |
$4 |
$4 | |
| Pregnancy ultrasound |
$116 |
$906 |
$117 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$116 |
$840 |
$117 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$116 |
$971 |
$117 |
$136 | |
| Procalcitonin test |
$27 |
$248 |
$27 |
$27 | |
| Prolactin test |
$19 |
$276 |
$19 |
$19 | |
| Prostate biopsy |
$2,243 |
$7,532 |
$2,243 |
— | |
| Prostate surgery (TURP) |
$5,998 |
$8,559 |
$5,999 |
$526 | |
| Prostate test (PSA) |
$18 |
$229 |
$18 |
$18 | |
| Psychiatric evaluation |
$198 |
$625 |
$199 |
$188 | |
| Psychotherapy session |
$198 |
$625 |
$199 |
$140 | |
| Pulmonary rehabilitation |
$66 |
$284 |
$66 |
$87 | |
| Radiofrequency nerve ablation |
$2,184 |
$6,963 |
$2,185 |
$462 | |
| Retinal detachment repair |
$4,624 |
$16,904 |
$4,625 |
$966 | |
| Rheumatoid factor test |
$6 |
$115 |
$6 |
$6 | |
| Sacroiliac joint injection |
— |
$1,689 |
$1,276 |
$176 | |
| Scoliosis spine X-ray |
$107 |
$543 |
$115 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$97 |
$347 |
$97 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$116 |
$738 |
$117 |
$72 | |
| Screening colonoscopy |
$1,040 |
$3,764 |
$1,040 |
$378 | |
| Screening mammogram |
$94 |
$415 |
$94 |
$126 | |
| Scrotal ultrasound |
$116 |
$898 |
$117 |
$99 | |
| Semen analysis |
$12 |
$152 |
$12 |
$12 | |
| Septoplasty (deviated septum) |
$3,709 |
$10,995 |
$3,709 |
$613 | |
| Sex hormone binding globulin test |
$21 |
$90 |
$22 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$224 |
$505 |
$224 |
$114 | |
| Simple wound stitches |
$224 |
$525 |
$224 |
$127 | |
| Sinus surgery (endoscopic) |
$7,896 |
$15,332 |
$5,840 |
$224 | |
| Skin biopsy |
$454 |
$882 |
$455 |
$121 | |
| Skin biopsy (punch) |
$454 |
$882 |
$455 |
$121 | |
| Skin cancer lesion removal |
$792 |
$2,403 |
$792 |
$240 | |
| Skin graft |
$3,964 |
$10,688 |
$3,965 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$224 |
$349 |
$224 |
$36 | |
| Skin tag removal |
$224 |
$3,576 |
$224 |
$92 | |
| Sleep study (polysomnography) |
$960 |
$4,764 |
$961 |
$691 | |
| Soft tissue ultrasound |
$116 |
$544 |
$117 |
$64 | |
| Speech therapy |
$78 |
$518 |
$79 |
$76 | |
| Spinal cord stimulator |
$7,130 |
$26,222 |
$7,130 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$789 |
$2,135 |
$790 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$8,118 |
$28,032 |
$8,118 |
$5,803 | |
| Spirometry (lung function test) |
$241 |
$363 |
$242 |
$30 | |
| Spirometry with bronchodilator |
$417 |
$668 |
$417 |
$43 | |
| Strep throat test |
$16 |
$80 |
$17 |
$17 | |
| Stress echocardiogram |
$611 |
$2,438 |
$611 |
$209 | |
| Stress echocardiogram (complete) |
$611 |
$2,688 |
$611 |
$233 | |
| Swallow study |
$59 |
$610 |
$60 |
$85 | |
| T3 thyroid test |
$14 |
$145 |
$14 |
$14 | |
| Testicle removal (orchiectomy) |
$3,943 |
$11,313 |
$3,944 |
$306 | |
| Testosterone test |
$25 |
$246 |
$26 |
$26 | |
| Thyroid test (TSH) |
$16 |
$320 |
$17 |
$17 | |
| Thyroid ultrasound |
$116 |
$812 |
$117 |
$109 | |
| Thyroid uptake scan |
$447 |
$1,289 |
$447 |
$145 | |
| Tilt table test |
$417 |
$1,958 |
$417 |
$168 | |
| Total IgE allergy test |
$16 |
$189 |
$16 |
$16 | |
| Tracheostomy |
$3,709 |
$8,085 |
$3,709 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$611 |
$2,639 |
$611 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$611 |
$2,643 |
$611 |
$239 | |
| Transvaginal ultrasound |
$116 |
$832 |
$117 |
$118 | |
| Trigger point injection |
$343 |
$1,119 |
$343 |
$56 | |
| Trigger point injection (1-2 muscles) |
$343 |
$1,119 |
$343 |
$52 | |
| Triglycerides test |
$5 |
$65 |
$6 |
$6 | |
| Troponin (heart) test |
$12 |
$157 |
$12 |
$12 | |
| Tubal ligation |
$6,763 |
$7,359 |
$6,764 |
$333 | |
| Turning a breech baby (version) |
— |
$9,306 |
$2,113 |
$94 | |
| Upper GI endoscopy (EGD) |
$1,014 |
$5,320 |
$1,015 |
$371 | |
| Upper GI series (barium) |
$196 |
$898 |
$196 |
$128 | |
| Ureteral stent placement |
$3,943 |
$7,220 |
$3,944 |
$373 | |
| Ureteroscopy (stone removal) |
$5,998 |
$8,625 |
$5,999 |
$365 | |
| Urine microalbumin test |
$5 |
$109 |
$6 |
$5 | |
| Urine pregnancy test |
$8 |
$141 |
$9 |
$9 | |
| Vaccine administration |
$80 |
$265 |
$81 |
$19 | |
| Vaccine administration (each additional) |
— |
$265 |
$24 |
$16 | |
| Vaginal delivery |
$7,351 |
— |
$6,977 |
$5,487 | |
| Varicose vein ablation |
$3,532 |
$11,237 |
$3,533 |
$1,018 | |
| Vasectomy |
$2,338 |
$7,688 |
$2,339 |
$347 | |
| Vitamin B12 test |
$15 |
$195 |
$15 |
$15 | |
| Vitamin D test |
$29 |
$244 |
$30 |
$30 | |
| Vitrectomy (eye) |
$4,624 |
$16,904 |
$4,625 |
$814 | |
| Wart removal |
$224 |
$6,563 |
$224 |
$121 | |
| Weight-loss (bariatric) surgery |
$15,101 |
— |
$15,101 |
$11,645 | |
| Wound debridement |
$826 |
$2,928 |
$827 |
$186 | |
| X-ray of the abdomen |
$116 |
$556 |
$117 |
$36 | |
| X-ray of the ankle |
$97 |
$448 |
$97 |
$37 | |
| X-ray of the collarbone |
$97 |
$402 |
$97 |
$33 | |
| X-ray of the elbow |
$97 |
$450 |
$97 |
$33 | |
| X-ray of the facial bones |
$107 |
$500 |
$104 |
$39 | |
| X-ray of the foot |
$97 |
$441 |
$97 |
$34 | |
| X-ray of the forearm |
$97 |
$399 |
$97 |
$29 | |
| X-ray of the hand |
$97 |
$447 |
$97 |
$38 | |
| X-ray of the hip |
$97 |
$456 |
$99 |
$49 | |
| X-ray of the hip (1 view) |
$97 |
$304 |
$97 |
$34 | |
| X-ray of the hip (3 views) |
$97 |
$456 |
$97 |
$49 | |
| X-ray of the hip (4 views) |
$116 |
$608 |
$117 |
$63 | |
| X-ray of the knee |
$97 |
$479 |
$98 |
$42 | |
| X-ray of the knee (2 views) |
$97 |
$402 |
$97 |
$34 | |
| X-ray of the knee (3 views) |
$97 |
$479 |
$97 |
$42 | |
| X-ray of the knee (4+ views) |
$116 |
$565 |
$117 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$116 |
$555 |
$117 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$116 |
$563 |
$117 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$116 |
$548 |
$117 |
$53 | |
| X-ray of the lower leg |
$97 |
$424 |
$97 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$116 |
$563 |
$117 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$116 |
$563 |
$117 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$116 |
$563 |
$117 |
$39 | |
| X-ray of the neck (cervical spine) |
$107 |
$515 |
$111 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$97 |
$481 |
$97 |
$40 | |
| X-ray of the pelvis |
$116 |
$541 |
$117 |
$36 | |
| X-ray of the pelvis (1 view) |
$116 |
$563 |
$117 |
$28 | |
| X-ray of the ribs |
$116 |
$560 |
$117 |
$42 | |
| X-ray of the ribs (2 views) |
$97 |
$446 |
$97 |
$36 | |
| X-ray of the ribs (3 views) |
$116 |
$560 |
$117 |
$42 | |
| X-ray of the shoulder |
$97 |
$460 |
$97 |
$36 | |
| X-ray of the skull |
$116 |
$619 |
$117 |
$40 | |
| X-ray of the upper arm |
$97 |
$412 |
$97 |
$32 | |
| X-ray of the wrist |
$97 |
$446 |
$97 |
$43 | |
| YAG laser capsulotomy (eye) |
$615 |
$2,202 |
$615 |
$335 | |
| Zinc blood test |
$11 |
$76 |
$11 |
$11 | |