| 3D mammogram (tomosynthesis) |
$47 |
$72 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,886 |
$2,901 |
— |
$284 | |
| Abdominal ultrasound |
$315 |
$484 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$476 |
$732 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$315 |
$484 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$803 |
$1,236 |
— |
$220 | |
| Abscess drainage (simple) |
$524 |
$806 |
— |
$129 | |
| Abscess incision and drainage |
$691 |
$1,063 |
— |
$174 | |
| Albumin blood test |
$5 |
$8 |
— |
$5 | |
| Aldosterone test |
$28 |
$42 |
— |
$41 | |
| Alkaline phosphatase test |
$5 |
$8 |
— |
$5 | |
| Alpha-fetoprotein (AFP) test |
$13 |
$21 |
— |
$17 | |
| ALT liver enzyme test |
$16 |
$25 |
— |
$5 | |
| Ammonia blood test |
$107 |
$165 |
— |
$15 | |
| Amniocentesis |
$993 |
$1,528 |
— |
$120 | |
| Amylase test |
$11 |
$17 |
— |
$6 | |
| Anoscopy |
$284 |
$438 |
— |
$129 | |
| Antinuclear antibody (ANA) test |
$22 |
$34 |
— |
$12 | |
| Aortic aneurysm repair (AAA) |
$6,280 |
$9,662 |
— |
$1,345 | |
| Aortic valve replacement |
$22,573 |
$34,727 |
— |
$1,603 | |
| Arterial blood gas (ABG) |
$44 |
$68 |
— |
$26 | |
| AST liver enzyme test |
$16 |
$25 |
— |
$5 | |
| Barium swallow study |
$420 |
$647 |
— |
$107 | |
| Bartholin cyst removal |
$754 |
$1,160 |
— |
$182 | |
| Basic metabolic panel |
$44 |
$68 |
— |
$8 | |
| Benign skin lesion removal |
$778 |
$1,197 |
— |
$171 | |
| Bilirubin blood test |
$39 |
$61 |
— |
$5 | |
| Bladder scope (cystoscopy) |
$418 |
$643 |
— |
$216 | |
| Blood clotting test (PT/INR) |
$25 |
$39 |
— |
$4 | |
| Blood crossmatch |
$97 |
$149 |
— |
— | |
| Blood glucose test |
$16 |
$25 |
— |
$5 | |
| Blood transfusion |
$1,115 |
$1,716 |
— |
$47 | |
| Blood type and screen |
$52 |
$80 |
— |
$10 | |
| BNP (heart failure) test |
$41 |
$64 |
— |
$39 | |
| Bone density scan (DEXA) |
$397 |
$610 |
— |
$39 | |
| Bone marrow biopsy |
$2,735 |
$4,207 |
— |
$172 | |
| Bone scan (nuclear) |
$918 |
$1,412 |
— |
$259 | |
| Botox for migraine |
$350 |
$538 |
— |
$157 | |
| Brain shunt (VP shunt) |
$6,579 |
$10,122 |
— |
$1,023 | |
| Breast biopsy |
$4,606 |
$7,086 |
— |
$478 | |
| Breast MRI |
$2,131 |
$3,278 |
— |
$216 | |
| Breast MRI without contrast |
$2,131 |
$3,278 |
— |
$216 | |
| Breast ultrasound |
$398 |
$613 |
— |
$92 | |
| Breast ultrasound (complete) |
$398 |
$613 |
— |
$100 | |
| Breast ultrasound (limited) |
$398 |
$613 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$881 |
$1,356 |
— |
$133 | |
| Bronchoscopy |
$2,425 |
$3,731 |
— |
$303 | |
| Burn dressing and debridement (medium) |
$623 |
$959 |
— |
$166 | |
| Burn dressing and debridement (small) |
$400 |
$616 |
— |
$93 | |
| Burn treatment |
$400 |
$616 |
— |
$129 | |
| C-reactive protein (CRP) |
$11 |
$17 |
— |
$5 | |
| CA 19-9 tumor marker test |
$26 |
$40 |
— |
$21 | |
| CA-125 ovarian marker test |
$17 |
$26 |
— |
$21 | |
| Calcium blood test |
$22 |
$33 |
— |
$5 | |
| Cardiac ablation |
$21,447 |
$32,996 |
— |
$759 | |
| Cardiac catheterization |
$10,018 |
$15,413 |
— |
$1,049 | |
| Cardiac MRI |
$1,150 |
$1,769 |
— |
$322 | |
| Cardiac MRI without contrast |
$952 |
$1,465 |
— |
$280 | |
| Cardiac rehabilitation |
$155 |
$239 |
— |
$26 | |
| Cardiac stress test |
$583 |
$897 |
— |
$39 | |
| Cardioversion |
$1,357 |
$2,088 |
— |
$155 | |
| Carotid artery ultrasound |
$729 |
$1,121 |
— |
$156 | |
| CEA tumor marker test |
$74 |
$114 |
— |
$19 | |
| Celiac disease test |
$12 |
$18 |
— |
$12 | |
| Central line placement |
$3,499 |
$5,383 |
— |
$238 | |
| Cervical cerclage |
$3,026 |
$4,655 |
— |
$137 | |
| Cesarean section (C-section) |
— |
— |
$17,217 |
$7,552 | |
| Chalazion (eyelid cyst) removal |
$372 |
$572 |
— |
$131 | |
| Chemotherapy infusion |
$519 |
$799 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$274 |
$422 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$764 |
$1,175 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$2,239 |
$3,445 |
— |
$311 | |
| Chest tube insertion |
$1,721 |
$2,647 |
— |
$143 | |
| Chest X-ray |
$254 |
$391 |
— |
$37 | |
| Chest X-ray (1 view) |
$197 |
$303 |
— |
$25 | |
| Chest X-ray (2 views) |
$158 |
$243 |
— |
$33 | |
| Circumcision |
$483 |
$743 |
— |
$167 | |
| CK-MB heart enzyme test |
$82 |
$126 |
— |
$12 | |
| Clotting time test (PTT) |
$65 |
$100 |
— |
$6 | |
| Colposcopy |
$601 |
$924 |
— |
$161 | |
| Complete blood count (CBC) |
$36 |
$55 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$47 |
$72 |
— |
$8 | |
| Complex wound repair |
$1,749 |
$2,691 |
— |
$390 | |
| Comprehensive metabolic panel |
$53 |
$81 |
— |
$11 | |
| Contraceptive implant (Nexplanon) |
$526 |
$809 |
— |
$115 | |
| Copper blood test |
$9 |
$13 |
— |
$12 | |
| Coronary artery bypass (CABG) |
— |
— |
$60,984 |
$36,593 | |
| Coronary CT angiography |
$1,003 |
$1,543 |
— |
$326 | |
| Cortisol test |
$42 |
$65 |
— |
$16 | |
| COVID-19 PCR test |
$43 |
$66 |
— |
$51 | |
| CPAP titration study |
$984 |
$1,514 |
— |
$69 | |
| Creatine kinase (CK) test |
$33 |
$50 |
— |
$7 | |
| CT angiography of the chest |
$993 |
$1,528 |
— |
$281 | |
| CT angiography of the head |
$1,416 |
$2,179 |
— |
$274 | |
| CT colonography (virtual colonoscopy) |
$590 |
$908 |
— |
$835 | |
| CT scan of the abdomen |
$727 |
$1,119 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$1,777 |
$2,734 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,282 |
$3,511 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$1,777 |
$2,734 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,674 |
$2,576 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,122 |
$1,726 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$763 |
$1,174 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$512 |
$788 |
— |
$136 | |
| CT scan of the arm |
$1,050 |
$1,615 |
— |
$199 | |
| CT scan of the arm with contrast |
$1,050 |
$1,615 |
— |
$199 | |
| CT scan of the arm without contrast |
$811 |
$1,247 |
— |
$161 | |
| CT scan of the chest |
$914 |
$1,406 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$1,261 |
$1,940 |
— |
$196 | |
| CT scan of the chest with contrast |
$767 |
$1,180 |
— |
$167 | |
| CT scan of the chest without contrast |
$724 |
$1,114 |
— |
$133 | |
| CT scan of the head |
$644 |
$990 |
— |
$148 | |
| CT scan of the head with and without contrast |
$1,074 |
$1,652 |
— |
$173 | |
| CT scan of the head with contrast |
$707 |
$1,088 |
— |
$148 | |
| CT scan of the head without contrast |
$590 |
$907 |
— |
$107 | |
| CT scan of the leg |
$912 |
$1,403 |
— |
$166 | |
| CT scan of the leg with contrast |
$1,013 |
$1,559 |
— |
$166 | |
| CT scan of the leg without contrast |
$745 |
$1,146 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$991 |
$1,525 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,026 |
$1,579 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$991 |
$1,525 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$956 |
$1,471 |
— |
$130 | |
| CT scan of the neck |
$954 |
$1,467 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$849 |
$1,306 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,026 |
$1,579 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$849 |
$1,306 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$771 |
$1,186 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$1,087 |
$1,672 |
— |
$220 | |
| CT scan of the neck with contrast |
$954 |
$1,467 |
— |
$183 | |
| CT scan of the neck without contrast |
$881 |
$1,356 |
— |
$150 | |
| CT scan of the pelvis |
$857 |
$1,319 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,276 |
$1,963 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$891 |
$1,370 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$857 |
$1,319 |
— |
$133 | |
| CT scan of the sinuses |
$863 |
$1,328 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,074 |
$1,652 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$868 |
$1,336 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$750 |
$1,155 |
— |
$128 | |
| D-dimer test |
$171 |
$263 |
— |
$10 | |
| Defibrillator (ICD) implant |
$37,086 |
$57,056 |
— |
$798 | |
| Developmental screening (child) |
$225 |
$346 |
— |
— | |
| DHEA-sulfate test |
$21 |
$33 |
— |
$22 | |
| Diagnostic mammogram |
$353 |
$544 |
— |
$140 | |
| Drug screen (urine) |
$43 |
$66 |
— |
$17 | |
| Ear pressure test (tympanometry) |
$131 |
$201 |
— |
$16 | |
| Echocardiogram |
$848 |
$1,305 |
— |
$138 | |
| Echocardiogram with and without contrast |
$537 |
$826 |
— |
$101 | |
| EEG (awake and asleep) |
$615 |
$946 |
— |
$482 | |
| EKG / ECG (tracing only) |
$279 |
$429 |
— |
$7 | |
| Electrocardiogram (EKG) |
$160 |
$247 |
— |
$8 | |
| Electroencephalogram (EEG) |
$615 |
$946 |
— |
$448 | |
| Electrolyte panel |
$35 |
$54 |
— |
$7 | |
| Electromyography (EMG) |
$251 |
$387 |
— |
$141 | |
| Emergency department visit |
$621 |
$955 |
— |
$69 | |
| Emergency department visit (level 1) |
$204 |
$315 |
— |
$11 | |
| Emergency department visit (level 2) |
$354 |
$545 |
— |
$40 | |
| Emergency department visit (level 3) |
$894 |
$1,375 |
— |
$69 | |
| Emergency department visit (level 4) |
$1,084 |
$1,668 |
— |
$118 | |
| Emergency department visit (level 5) |
$1,630 |
$2,507 |
— |
$171 | |
| Endometrial biopsy |
$533 |
$820 |
— |
$98 | |
| Epidural steroid injection |
$2,057 |
$3,164 |
— |
$275 | |
| Estradiol (estrogen) test |
$26 |
$40 |
— |
$28 | |
| Eyelid surgery (blepharoplasty) |
$8,508 |
$13,089 |
— |
$552 | |
| Facet joint injection (spine) |
$1,548 |
$2,382 |
— |
$99 | |
| Fallopian tube X-ray (HSG) |
$347 |
$535 |
— |
$164 | |
| Family therapy session |
$233 |
$359 |
— |
$110 | |
| Fecal occult blood (stool) test |
$89 |
$137 |
— |
$10 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$89 |
$137 |
— |
$16 | |
| Ferritin (iron) test |
$35 |
$53 |
— |
$14 | |
| Fibrinogen test |
$66 |
$102 |
— |
$10 | |
| Flexible sigmoidoscopy |
$876 |
$1,348 |
— |
$323 | |
| Flu test |
$110 |
$169 |
— |
$17 | |
| Folate (folic acid) test |
$97 |
$149 |
— |
$15 | |
| Foreign body removal (skin) |
$502 |
$773 |
— |
$157 | |
| Free T4 thyroid test |
$21 |
$33 |
— |
$9 | |
| FSH hormone test |
$18 |
$27 |
— |
$19 | |
| Gallbladder scan (HIDA) |
$859 |
$1,322 |
— |
$334 | |
| GGT liver test |
$13 |
$20 |
— |
$7 | |
| Glucose tolerance test |
$61 |
$93 |
— |
$8 | |
| Group therapy session |
$132 |
$203 |
— |
$30 | |
| H. pylori test |
$46 |
$70 |
— |
$67 | |
| HDL cholesterol test |
$34 |
$52 |
— |
$8 | |
| Hearing test (audiometry) |
$410 |
$632 |
— |
$36 | |
| Hematocrit test |
$10 |
$16 |
— |
$2 | |
| Hemodialysis |
$2,471 |
$3,802 |
— |
$75 | |
| Hemoglobin A1c (diabetes test) |
$14 |
$21 |
— |
$10 | |
| Hepatitis B test |
$13 |
$21 |
— |
$10 | |
| Hepatitis C test |
$21 |
$33 |
— |
$14 | |
| HIV test |
$20 |
$30 |
— |
$19 | |
| HIV test (antibody) |
$53 |
$82 |
— |
$14 | |
| HIV test (antigen/antibody combo) |
$17 |
$25 |
— |
$24 | |
| Holter heart monitor |
$299 |
$460 |
— |
$26 | |
| Home sleep apnea test |
$411 |
$633 |
— |
$123 | |
| Iron blood test |
$63 |
$97 |
— |
$6 | |
| IUD insertion |
$332 |
$511 |
— |
— | |
| IUD removal |
$517 |
$796 |
— |
$112 | |
| IV infusion therapy |
$382 |
$587 |
— |
$44 | |
| IV infusion therapy (each additional) |
$145 |
$223 |
— |
$21 | |
| IV infusion therapy (initial) |
$441 |
$678 |
— |
$67 | |
| IVC filter placement |
$11,443 |
$17,604 |
— |
$1,885 | |
| Joint aspiration (small/intermediate) |
$367 |
$565 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$364 |
$561 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$371 |
$571 |
— |
$56 | |
| Kidney biopsy |
$1,706 |
$2,625 |
— |
$492 | |
| Kidney removal (nephrectomy) |
$2,633 |
$4,050 |
— |
$1,164 | |
| Kidney scan (nuclear) |
$768 |
$1,182 |
— |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$1,130 |
$1,739 |
— |
$760 | |
| Kidney ultrasound |
$340 |
$523 |
— |
$84 | |
| Kidney ultrasound (limited) |
$340 |
$523 |
— |
$61 | |
| Knee joint injection |
$372 |
$573 |
— |
$69 | |
| Knee replacement |
— |
— |
$32,245 |
$18,054 | |
| Lactate test |
$92 |
$142 |
— |
$12 | |
| Laryngoscopy |
$261 |
$401 |
— |
$189 | |
| LDH test |
$27 |
$41 |
— |
$6 | |
| LDL cholesterol test |
$22 |
$34 |
— |
$11 | |
| Leg artery angiogram |
$4,961 |
$7,633 |
— |
$149 | |
| Leg vein ultrasound (Doppler) |
$590 |
$908 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$590 |
$908 |
— |
$116 | |
| Lipase test |
$82 |
$126 |
— |
$7 | |
| Lipid (cholesterol) panel |
$11 |
$17 |
— |
$13 | |
| Liver biopsy |
$1,939 |
$2,983 |
— |
$288 | |
| Liver function panel |
$36 |
$55 |
— |
$8 | |
| Lung function test (PFT) |
$191 |
$295 |
— |
$37 | |
| Lung scan (V/Q) |
$1,044 |
$1,606 |
— |
$291 | |
| Magnesium blood test |
$12 |
$19 |
— |
$7 | |
| MRA of the brain |
$1,234 |
$1,899 |
— |
$226 | |
| MRA of the brain with contrast |
$1,234 |
$1,899 |
— |
$226 | |
| MRA of the brain without contrast |
$2,344 |
$3,606 |
— |
$328 | |
| MRA of the neck |
$1,234 |
$1,899 |
— |
$245 | |
| MRA of the neck with contrast |
$1,234 |
$1,899 |
— |
$245 | |
| MRA of the neck without contrast |
$2,344 |
$3,606 |
— |
$343 | |
| MRI of the abdomen |
$1,444 |
$2,222 |
— |
$300 | |
| MRI of the abdomen with contrast |
$1,444 |
$2,222 |
— |
$300 | |
| MRI of the abdomen without contrast |
$1,229 |
$1,890 |
— |
$194 | |
| MRI of the ankle |
$1,425 |
$2,193 |
— |
$261 | |
| MRI of the ankle with contrast |
$1,425 |
$2,193 |
— |
$261 | |
| MRI of the ankle without contrast |
$998 |
$1,535 |
— |
$222 | |
| MRI of the brain |
$1,268 |
$1,950 |
— |
$269 | |
| MRI of the brain with contrast |
$1,268 |
$1,950 |
— |
$269 | |
| MRI of the brain without contrast |
$1,183 |
$1,820 |
— |
$195 | |
| MRI of the chest |
$1,948 |
$2,997 |
— |
$371 | |
| MRI of the chest without contrast |
$2,564 |
$3,944 |
— |
$466 | |
| MRI of the knee |
$1,425 |
$2,193 |
— |
$315 | |
| MRI of the knee with contrast |
$1,425 |
$2,193 |
— |
$315 | |
| MRI of the knee without contrast |
$1,086 |
$1,670 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,214 |
$1,868 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,295 |
$1,992 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$753 |
$1,159 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,275 |
$1,962 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,409 |
$3,706 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,275 |
$1,962 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,260 |
$1,938 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$1,574 |
$2,421 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,409 |
$3,706 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,853 |
$2,850 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$834 |
$1,283 |
— |
$191 | |
| MRI of the pelvis |
$2,076 |
$3,194 |
— |
$268 | |
| MRI of the pelvis with contrast |
$2,076 |
$3,194 |
— |
$268 | |
| MRI of the pelvis without contrast |
$1,349 |
$2,075 |
— |
$227 | |
| MRI of the shoulder |
$1,425 |
$2,193 |
— |
$313 | |
| MRI of the shoulder with contrast |
$1,425 |
$2,193 |
— |
$313 | |
| MRI of the shoulder without contrast |
$1,017 |
$1,565 |
— |
$205 | |
| MRI of the wrist |
$1,699 |
$2,615 |
— |
$330 | |
| MRI of the wrist with contrast |
$1,315 |
$2,023 |
— |
$330 | |
| MRI of the wrist without contrast |
$1,052 |
$1,618 |
— |
$303 | |
| Nebulizer breathing treatment |
$231 |
$356 |
— |
$9 | |
| Nuchal translucency ultrasound |
$239 |
$367 |
— |
$116 | |
| Nuclear cardiac stress test |
$2,605 |
$4,007 |
— |
$428 | |
| Occupational therapy evaluation |
$407 |
$626 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$553 |
$850 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$258 |
$397 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$393 |
$604 |
— |
$101 | |
| Office visit (established patient) |
$341 |
$524 |
— |
$115 | |
| Office visit (new patient) |
$665 |
$1,023 |
— |
$177 | |
| Office visit, established patient (level 3) |
$230 |
$354 |
— |
$95 | |
| Office visit, established patient (level 4) |
$341 |
$524 |
— |
$136 | |
| Office visit, new patient (level 3) |
$487 |
$749 |
— |
$118 | |
| Office visit, new patient (level 4) |
$665 |
$1,023 |
— |
$177 | |
| Office visit, new patient (level 5) |
$779 |
$1,199 |
— |
$237 | |
| Pacemaker insertion |
— |
— |
$32,620 |
$15,506 | |
| Pap smear (cervical screening) |
$18 |
$28 |
$23 |
$20 | |
| Parathyroid hormone (PTH) test |
$148 |
$228 |
— |
$41 | |
| Pelvic ultrasound |
$263 |
$405 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$497 |
$764 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$263 |
$405 |
— |
$51 | |
| PET scan |
$3,588 |
$5,520 |
— |
— | |
| Phosphorus blood test |
$24 |
$36 |
— |
$5 | |
| Physical therapy evaluation |
$300 |
$462 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$300 |
$462 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$361 |
$555 |
— |
$98 | |
| Pilonidal cyst removal |
$3,753 |
$5,774 |
— |
$541 | |
| Platelet count |
$27 |
$41 |
— |
$4 | |
| Pregnancy blood test (hCG) |
$51 |
$79 |
— |
$8 | |
| Pregnancy ultrasound |
$400 |
$616 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$445 |
$685 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$356 |
$547 |
— |
$136 | |
| Procalcitonin test |
$68 |
$105 |
— |
$27 | |
| Prolactin test |
$18 |
$28 |
— |
$19 | |
| Prostate biopsy |
$2,452 |
$3,772 |
— |
— | |
| Prostate surgery (TURP) |
$1,439 |
$2,214 |
— |
$526 | |
| Prostate test (PSA) |
$12 |
$18 |
— |
$18 | |
| Psychiatric evaluation |
$263 |
$405 |
— |
$188 | |
| Psychotherapy session |
$226 |
$348 |
— |
$140 | |
| Pulmonary rehabilitation |
$497 |
$764 |
— |
$87 | |
| Radiofrequency nerve ablation |
$2,857 |
$4,395 |
— |
$462 | |
| Sacroiliac joint injection |
$349 |
$537 |
— |
$176 | |
| Scoliosis spine X-ray |
$302 |
$465 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$220 |
$338 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$384 |
$591 |
— |
$72 | |
| Screening colonoscopy |
$616 |
$948 |
$2,153 |
$378 | |
| Screening mammogram |
$327 |
$504 |
— |
$126 | |
| Scrotal ultrasound |
$422 |
$649 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$22 |
$35 |
— |
$3 | |
| Semen analysis |
$15 |
$23 |
— |
$12 | |
| Sex hormone binding globulin test |
$40 |
$62 |
— |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$549 |
$844 |
— |
$114 | |
| Simple wound stitches |
$580 |
$892 |
— |
$127 | |
| Skin biopsy |
$485 |
$746 |
— |
$121 | |
| Skin biopsy (punch) |
$485 |
$746 |
— |
$121 | |
| Skin graft |
$5,830 |
$8,969 |
— |
$898 | |
| Skin lesion freezing (cryotherapy) |
$250 |
$385 |
— |
$36 | |
| Skin tag removal |
$312 |
$480 |
— |
$92 | |
| Sleep study (polysomnography) |
$3,522 |
$5,419 |
— |
$691 | |
| Soft tissue ultrasound |
$422 |
$649 |
— |
$64 | |
| Speech therapy |
$346 |
$533 |
— |
$76 | |
| Spinal cord stimulator |
$8,834 |
$13,591 |
— |
$2,388 | |
| Spinal tap (lumbar puncture) |
$982 |
$1,511 |
— |
$165 | |
| Spine fracture repair (kyphoplasty) |
$12,611 |
$19,402 |
— |
$5,803 | |
| Spirometry (lung function test) |
$173 |
$267 |
— |
$30 | |
| Spirometry with bronchodilator |
$352 |
$542 |
— |
$43 | |
| Strep throat test |
$64 |
$99 |
— |
$17 | |
| Stress echocardiogram |
$1,270 |
$1,954 |
— |
$209 | |
| Stress echocardiogram (complete) |
$1,444 |
$2,221 |
— |
$233 | |
| Swallow study |
$448 |
$689 |
— |
$85 | |
| T3 thyroid test |
$107 |
$165 |
— |
$14 | |
| Testicle removal (orchiectomy) |
$652 |
$1,003 |
— |
$306 | |
| Testosterone test |
$40 |
$62 |
— |
$26 | |
| Thyroid test (TSH) |
$89 |
$137 |
— |
$17 | |
| Thyroid ultrasound |
$422 |
$649 |
— |
$109 | |
| Thyroid uptake scan |
$451 |
$694 |
— |
$145 | |
| Tilt table test |
$1,212 |
$1,865 |
— |
$168 | |
| Total IgE allergy test |
$23 |
$36 |
— |
$16 | |
| Total protein test |
$4 |
$6 |
— |
$4 | |
| Transesophageal echocardiogram (TEE) |
$1,589 |
$2,444 |
— |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,589 |
$2,444 |
— |
$239 | |
| Transvaginal ultrasound |
$234 |
$360 |
— |
$118 | |
| Trigger point injection |
$392 |
$603 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$371 |
$571 |
— |
$52 | |
| Triglycerides test |
$16 |
$25 |
— |
$6 | |
| Troponin (heart) test |
$25 |
$39 |
— |
$12 | |
| Turning a breech baby (version) |
$3,158 |
$4,858 |
— |
$94 | |
| Upper GI series (barium) |
$517 |
$796 |
— |
$128 | |
| Ureteral stent placement |
$1,836 |
$2,825 |
— |
$373 | |
| Uric acid (gout) test |
$91 |
$141 |
— |
$5 | |
| Urinalysis |
$28 |
$44 |
— |
$3 | |
| Urine microalbumin test |
$5 |
$8 |
— |
$5 | |
| Urine pregnancy test |
$74 |
$114 |
— |
$9 | |
| Vaccine administration |
$38 |
$59 |
— |
$19 | |
| Vaccine administration (each additional) |
$38 |
$59 |
— |
$16 | |
| Vaginal delivery |
— |
— |
$11,983 |
$5,487 | |
| Varicose vein ablation |
$4,093 |
$6,297 |
— |
$1,018 | |
| Vitamin B12 test |
$97 |
$149 |
— |
$15 | |
| Vitamin D test |
$265 |
$407 |
— |
$30 | |
| Wart removal |
$316 |
$486 |
— |
$121 | |
| Weight-loss (bariatric) surgery |
— |
— |
$29,236 |
$11,645 | |
| Wound debridement |
$1,165 |
$1,792 |
— |
$186 | |
| X-ray of the abdomen |
$323 |
$497 |
— |
$36 | |
| X-ray of the ankle |
$206 |
$317 |
— |
$37 | |
| X-ray of the collarbone |
$155 |
$239 |
— |
$33 | |
| X-ray of the elbow |
$198 |
$305 |
— |
$33 | |
| X-ray of the facial bones |
$220 |
$339 |
— |
$39 | |
| X-ray of the foot |
$205 |
$315 |
— |
$34 | |
| X-ray of the forearm |
$218 |
$336 |
— |
$29 | |
| X-ray of the hand |
$173 |
$266 |
— |
$38 | |
| X-ray of the hip |
$562 |
$865 |
— |
$49 | |
| X-ray of the hip (1 view) |
$165 |
$254 |
— |
$34 | |
| X-ray of the hip (3 views) |
$562 |
$865 |
— |
$49 | |
| X-ray of the hip (4 views) |
$942 |
$1,449 |
— |
$63 | |
| X-ray of the knee |
$206 |
$317 |
— |
$42 | |
| X-ray of the knee (2 views) |
$185 |
$284 |
— |
$34 | |
| X-ray of the knee (3 views) |
$206 |
$317 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$248 |
$382 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$280 |
$430 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$268 |
$412 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$291 |
$448 |
— |
$53 | |
| X-ray of the lower leg |
$218 |
$336 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$257 |
$396 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$220 |
$338 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$294 |
$453 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$274 |
$421 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$243 |
$374 |
— |
$40 | |
| X-ray of the pelvis |
$235 |
$362 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$189 |
$290 |
— |
$28 | |
| X-ray of the ribs |
$242 |
$373 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$198 |
$305 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$242 |
$373 |
— |
$42 | |
| X-ray of the shoulder |
$233 |
$358 |
— |
$36 | |
| X-ray of the skull |
$250 |
$384 |
— |
$40 | |
| X-ray of the upper arm |
$209 |
$321 |
— |
$32 | |
| X-ray of the wrist |
$220 |
$338 |
— |
$43 | |
| Zinc blood test |
$24 |
$37 |
— |
$11 | |