| 3D mammogram (tomosynthesis) |
$51 |
$60 |
$42 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$694 |
$816 |
$301 |
$284 | |
| Abdominal ultrasound |
$481 |
$566 |
$270 |
$100 | |
| Abdominal ultrasound (complete) |
$494 |
$581 |
$199 |
$114 | |
| Abdominal ultrasound (limited) |
$468 |
$551 |
$274 |
$86 | |
| Abscess drainage (complex or multiple) |
$576 |
$678 |
$293 |
$220 | |
| Abscess drainage (simple) |
$243 |
$286 |
$160 |
$129 | |
| Abscess incision and drainage |
$312 |
$368 |
$212 |
$174 | |
| Adenoid removal (adenoidectomy) |
$869 |
$1,023 |
$387 |
$204 | |
| Albumin blood test |
$43 |
$50 |
$30 |
$5 | |
| Aldosterone test |
$113 |
$133 |
$80 |
$41 | |
| Alkaline phosphatase test |
$60 |
$71 |
$59 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$105 |
$123 |
$74 |
$17 | |
| ALT liver enzyme test |
$51 |
$60 |
$36 |
$5 | |
| Ammonia blood test |
$138 |
$162 |
$97 |
$15 | |
| Amylase test |
$79 |
$93 |
$75 |
$6 | |
| Antinuclear antibody (ANA) test |
$110 |
$129 |
$105 |
$12 | |
| Arterial blood gas (ABG) |
$208 |
$245 |
$147 |
$26 | |
| AST liver enzyme test |
$51 |
$60 |
$36 |
$5 | |
| Barium swallow study |
$364 |
$428 |
$131 |
$107 | |
| Basic metabolic panel |
$152 |
$179 |
$96 |
$8 | |
| Benign skin lesion removal |
$179 |
$210 |
$185 |
$171 | |
| Bilirubin blood test |
$67 |
$79 |
$47 |
$5 | |
| Bladder scope (cystoscopy) |
$456 |
$536 |
$271 |
$216 | |
| Bladder tumor removal (TURBT) |
$1,502 |
$1,767 |
$449 |
$236 | |
| Blood clotting test (PT/INR) |
$51 |
$60 |
$36 |
$4 | |
| Blood crossmatch |
$102 |
$120 |
$72 |
— | |
| Blood glucose test |
$56 |
$66 |
$41 |
$5 | |
| Blood transfusion |
$694 |
$816 |
$490 |
$47 | |
| Blood type and screen |
$82 |
$97 |
$58 |
$10 | |
| Blood type test |
$58 |
$69 |
$45 |
$3 | |
| Blood type test (ABO group) |
$77 |
$91 |
$55 |
$3 | |
| Blood type test (Rh/D antigen) |
$39 |
$46 |
$28 |
$3 | |
| BNP (heart failure) test |
$156 |
$184 |
$110 |
$39 | |
| Bone density scan (DEXA) |
$446 |
$525 |
$285 |
$39 | |
| Bone marrow biopsy |
$1,387 |
$1,632 |
$624 |
$172 | |
| Bone scan (nuclear) |
$1,301 |
$1,530 |
$292 |
$259 | |
| Botox for migraine |
$217 |
$255 |
$206 |
$157 | |
| Breast biopsy |
$1,014 |
$1,193 |
$594 |
$478 | |
| Breast ultrasound |
$393 |
$462 |
$223 |
$92 | |
| Breast ultrasound (complete) |
$380 |
$447 |
$223 |
$100 | |
| Breast ultrasound (limited) |
$405 |
$477 |
$225 |
$84 | |
| Breathing tube insertion (intubation) |
$152 |
$179 |
$155 |
$133 | |
| C-reactive protein (CRP) |
$88 |
$104 |
$62 |
$5 | |
| CA 19-9 tumor marker test |
$60 |
$71 |
$43 |
$21 | |
| CA-125 ovarian marker test |
$69 |
$81 |
$49 |
$21 | |
| Calcium blood test |
$55 |
$65 |
$39 |
$5 | |
| Cardiac rehabilitation |
$208 |
$245 |
$147 |
$26 | |
| Cardiac stress test |
$694 |
$816 |
$206 |
$39 | |
| Cardioversion |
$728 |
$857 |
$428 |
$155 | |
| Carotid artery ultrasound |
$595 |
$700 |
$300 |
$156 | |
| Carpal tunnel release |
$1,899 |
$2,234 |
$776 |
$483 | |
| Cataract surgery |
$3,003 |
$3,533 |
$1,070 |
$547 | |
| CEA tumor marker test |
$133 |
$157 |
$94 |
$19 | |
| Celiac disease test |
$136 |
$160 |
$130 |
$12 | |
| Chalazion (eyelid cyst) removal |
$208 |
$245 |
$181 |
$131 | |
| Chest fluid drain (thoracentesis) |
$910 |
$1,071 |
$427 |
$311 | |
| Chest tube insertion |
$1,127 |
$1,326 |
$796 |
$143 | |
| Chest X-ray |
$224 |
$263 |
$102 |
$37 | |
| Chest X-ray (1 view) |
$173 |
$204 |
$102 |
$25 | |
| Chest X-ray (2 views) |
$224 |
$263 |
$75 |
$33 | |
| Circumcision |
$567 |
$667 |
$168 |
$167 | |
| CK-MB heart enzyme test |
$89 |
$105 |
$63 |
$12 | |
| Clotting time test (PTT) |
$59 |
$69 |
$61 |
$6 | |
| Colon resection (colectomy) |
$3,620 |
$4,259 |
$2,121 |
$1,238 | |
| Colonoscopy |
$653 |
$768 |
$347 |
$480 | |
| Colposcopy |
$255 |
$300 |
$180 |
$161 | |
| Complete blood count (CBC) |
$100 |
$118 |
$69 |
$7 | |
| Complete blood count (CBC) (complete) |
$115 |
$135 |
$69 |
$8 | |
| Comprehensive eye exam |
$130 |
$153 |
$108 |
$138 | |
| Comprehensive metabolic panel |
$225 |
$265 |
$136 |
$11 | |
| Contraceptive implant (Nexplanon) |
$385 |
$453 |
$128 |
$115 | |
| Copper blood test |
$61 |
$72 |
$43 |
$12 | |
| Cortisol test |
$45 |
$53 |
$49 |
$16 | |
| COVID-19 PCR test |
$146 |
$172 |
$103 |
$51 | |
| Creatine kinase (CK) test |
$43 |
$51 |
$46 |
$7 | |
| CT angiography of the chest |
$1,994 |
$2,346 |
$1,150 |
$281 | |
| CT angiography of the head |
$1,717 |
$2,020 |
$645 |
$274 | |
| CT scan of the abdomen |
$1,378 |
$1,621 |
$467 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,861 |
$3,366 |
$688 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,208 |
$3,774 |
$703 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,861 |
$3,366 |
$537 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,428 |
$2,856 |
$636 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,765 |
$2,076 |
$444 |
$259 | |
| CT scan of the abdomen with contrast |
$1,378 |
$1,621 |
$402 |
$230 | |
| CT scan of the abdomen without contrast |
$1,206 |
$1,419 |
$477 |
$136 | |
| CT scan of the arm |
$1,344 |
$1,581 |
$355 |
$199 | |
| CT scan of the arm with contrast |
$1,344 |
$1,581 |
$458 |
$199 | |
| CT scan of the arm without contrast |
$1,214 |
$1,428 |
$341 |
$161 | |
| CT scan of the chest |
$1,481 |
$1,742 |
$776 |
$167 | |
| CT scan of the chest with and without contrast |
$1,810 |
$2,129 |
$541 |
$196 | |
| CT scan of the chest with contrast |
$1,481 |
$1,742 |
$407 |
$167 | |
| CT scan of the chest without contrast |
$1,346 |
$1,584 |
$776 |
$133 | |
| CT scan of the head |
$1,387 |
$1,632 |
$497 |
$148 | |
| CT scan of the head with and without contrast |
$1,561 |
$1,836 |
$508 |
$173 | |
| CT scan of the head with contrast |
$1,387 |
$1,632 |
$409 |
$148 | |
| CT scan of the head without contrast |
$1,257 |
$1,479 |
$400 |
$107 | |
| CT scan of the leg |
$1,214 |
$1,428 |
$474 |
$166 | |
| CT scan of the leg with contrast |
$1,344 |
$1,581 |
$386 |
$166 | |
| CT scan of the leg without contrast |
$1,214 |
$1,428 |
$390 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,641 |
$1,930 |
$524 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,765 |
$2,076 |
$478 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,641 |
$1,930 |
$545 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,447 |
$1,702 |
$440 |
$130 | |
| CT scan of the neck |
$1,301 |
$1,530 |
$508 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,641 |
$1,930 |
$539 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,765 |
$2,076 |
$521 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,641 |
$1,930 |
$552 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,447 |
$1,702 |
$405 |
$131 | |
| CT scan of the neck with and without contrast |
$1,431 |
$1,683 |
$551 |
$220 | |
| CT scan of the neck with contrast |
$1,301 |
$1,530 |
$460 |
$183 | |
| CT scan of the neck without contrast |
$1,193 |
$1,403 |
$430 |
$150 | |
| CT scan of the pelvis |
$1,332 |
$1,567 |
$460 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,505 |
$1,770 |
$426 |
$251 | |
| CT scan of the pelvis with contrast |
$1,332 |
$1,567 |
$375 |
$226 | |
| CT scan of the pelvis without contrast |
$1,212 |
$1,426 |
$470 |
$133 | |
| CT scan of the sinuses |
$1,332 |
$1,567 |
$682 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,505 |
$1,770 |
$492 |
$184 | |
| CT scan of the sinuses with contrast |
$1,332 |
$1,567 |
$480 |
$152 | |
| CT scan of the sinuses without contrast |
$1,182 |
$1,391 |
$682 |
$128 | |
| D-dimer test |
$143 |
$168 |
$101 |
$10 | |
| DHEA-sulfate test |
$130 |
$153 |
$92 |
$22 | |
| Diagnostic mammogram |
$394 |
$464 |
$283 |
$140 | |
| Dilation and curettage (D&C) |
$1,108 |
$1,303 |
$414 |
$298 | |
| Drug screen (urine) |
$165 |
$194 |
$125 |
$17 | |
| Ear pressure test (tympanometry) |
$55 |
$65 |
$19 |
$16 | |
| Ear tubes (myringotomy) |
$607 |
$714 |
$255 |
$174 | |
| Echocardiogram |
$1,095 |
$1,288 |
$879 |
$138 | |
| Echocardiogram with and without contrast |
$747 |
$879 |
$527 |
$101 | |
| EKG / ECG (tracing only) |
$173 |
$204 |
$122 |
$7 | |
| Electrocardiogram (EKG) |
$173 |
$204 |
$62 |
$8 | |
| Electrolyte panel |
$88 |
$103 |
$62 |
$7 | |
| Emergency department visit |
$303 |
$357 |
$297 |
$69 | |
| Emergency department visit (level 1) |
$282 |
$332 |
$193 |
$11 | |
| Emergency department visit (level 2) |
$217 |
$255 |
$217 |
$40 | |
| Emergency department visit (level 3) |
$303 |
$357 |
$261 |
$69 | |
| Emergency department visit (level 4) |
$572 |
$673 |
$470 |
$118 | |
| Emergency department visit (level 5) |
$906 |
$1,066 |
$813 |
$171 | |
| Endometrial biopsy |
$191 |
$225 |
$122 |
$98 | |
| Epidural steroid injection |
$2,040 |
$2,400 |
$1,440 |
$275 | |
| Esophageal dilation |
$390 |
$459 |
$140 |
$522 | |
| Estradiol (estrogen) test |
$138 |
$162 |
$97 |
$28 | |
| Eyelid surgery (blepharoplasty) |
$520 |
$612 |
$548 |
$552 | |
| Fecal occult blood (stool) test |
$41 |
$49 |
$26 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$22 |
$26 |
$16 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$60 |
$71 |
$43 |
$16 | |
| Feeding tube (PEG) placement |
$1,296 |
$1,525 |
$347 |
$178 | |
| Ferritin (iron) test |
$107 |
$126 |
$76 |
$14 | |
| Fibrinogen test |
$71 |
$84 |
$50 |
$10 | |
| Flu test |
$77 |
$91 |
$55 |
$17 | |
| Flu vaccine |
$88 |
$103 |
$62 |
— | |
| Folate (folic acid) test |
$67 |
$79 |
$47 |
$15 | |
| Foreign body removal (skin) |
$356 |
$419 |
$173 |
$157 | |
| Free T4 thyroid test |
$77 |
$90 |
$54 |
$9 | |
| FSH hormone test |
$110 |
$129 |
$77 |
$19 | |
| Gallbladder removal (laparoscopic) |
$3,081 |
$3,625 |
$1,177 |
$658 | |
| Gallbladder scan (HIDA) |
$1,301 |
$1,530 |
$274 |
$334 | |
| Ganglion cyst removal |
$1,084 |
$1,275 |
$583 |
$321 | |
| GGT liver test |
$67 |
$79 |
$47 |
$7 | |
| Glucose tolerance test |
$91 |
$107 |
$38 |
$8 | |
| H. pylori test |
$264 |
$310 |
$186 |
$67 | |
| HDL cholesterol test |
$54 |
$63 |
$38 |
$8 | |
| Hearing test (audiometry) |
$133 |
$157 |
$55 |
$36 | |
| Hematocrit test |
$38 |
$45 |
$27 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$86 |
$101 |
$61 |
$10 | |
| Hepatitis B test |
$38 |
$45 |
$42 |
$10 | |
| Hepatitis C test |
$71 |
$83 |
$50 |
$14 | |
| HIV test |
$152 |
$179 |
$107 |
$19 | |
| HIV test (antigen/antibody combo) |
$152 |
$179 |
$107 |
$24 | |
| Holter heart monitor |
$323 |
$380 |
$228 |
$26 | |
| Hydrocele repair |
$1,387 |
$1,632 |
$598 |
$315 | |
| Inguinal hernia repair |
$2,013 |
$2,369 |
$937 |
$538 | |
| Iron blood test |
$61 |
$72 |
$43 |
$6 | |
| IV infusion therapy |
$196 |
$231 |
$101 |
$44 | |
| IV infusion therapy (each additional) |
$82 |
$97 |
$58 |
$21 | |
| IV infusion therapy (initial) |
$309 |
$364 |
$218 |
$67 | |
| Joint aspiration (small/intermediate) |
$143 |
$169 |
$92 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$128 |
$150 |
$76 |
$57 | |
| Joint aspiration or injection (small joint) |
$159 |
$187 |
$94 |
$56 | |
| Kidney scan (nuclear) |
$1,301 |
$1,530 |
$399 |
$172 | |
| Kidney ultrasound |
$427 |
$502 |
$246 |
$84 | |
| Kidney ultrasound (limited) |
$385 |
$453 |
$226 |
$61 | |
| Knee arthroscopy |
$3,358 |
$3,950 |
$974 |
$524 | |
| Knee joint injection |
$191 |
$225 |
$113 |
$69 | |
| Knee replacement |
$9,105 |
$10,712 |
$10,232 |
$18,054 | |
| Lactate test |
$78 |
$92 |
$55 |
$12 | |
| Laryngoscopy |
$247 |
$291 |
$176 |
$189 | |
| LDH test |
$56 |
$66 |
$40 |
$6 | |
| LDL cholesterol test |
$35 |
$41 |
$25 |
$11 | |
| Leg vein ultrasound (Doppler) |
$662 |
$779 |
$464 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$532 |
$626 |
$322 |
$116 | |
| LH hormone test |
$110 |
$129 |
$77 |
$19 | |
| Lipase test |
$110 |
$129 |
$77 |
$7 | |
| Lipid (cholesterol) panel |
$113 |
$133 |
$76 |
$13 | |
| Liver function panel |
$139 |
$163 |
$98 |
$8 | |
| Lung function test (PFT) |
$186 |
$219 |
$144 |
$37 | |
| Lung scan (V/Q) |
$1,214 |
$1,428 |
$357 |
$291 | |
| Magnesium blood test |
$77 |
$90 |
$54 |
$7 | |
| MMR vaccine |
$349 |
$411 |
$247 |
— | |
| MRA of the brain |
$1,907 |
$2,244 |
$756 |
$226 | |
| MRA of the brain with contrast |
$1,907 |
$2,244 |
$608 |
$226 | |
| MRA of the brain without contrast |
$2,168 |
$2,550 |
$817 |
$328 | |
| MRA of the neck |
$1,994 |
$2,346 |
$782 |
$245 | |
| MRA of the neck with contrast |
$1,994 |
$2,346 |
$668 |
$245 | |
| MRA of the neck without contrast |
$2,168 |
$2,550 |
$848 |
$343 | |
| MRI of the abdomen |
$2,029 |
$2,387 |
$1,105 |
$300 | |
| MRI of the abdomen with contrast |
$2,029 |
$2,387 |
$1,170 |
$300 | |
| MRI of the abdomen without contrast |
$1,821 |
$2,142 |
$743 |
$194 | |
| MRI of the ankle |
$2,255 |
$2,653 |
$1,300 |
$261 | |
| MRI of the ankle with contrast |
$2,255 |
$2,653 |
$1,321 |
$261 | |
| MRI of the ankle without contrast |
$1,988 |
$2,339 |
$1,165 |
$222 | |
| MRI of the brain |
$1,821 |
$2,142 |
$1,010 |
$269 | |
| MRI of the brain with contrast |
$1,907 |
$2,244 |
$755 |
$269 | |
| MRI of the brain without contrast |
$1,821 |
$2,142 |
$781 |
$195 | |
| MRI of the chest |
$2,168 |
$2,550 |
$747 |
$371 | |
| MRI of the chest with contrast |
$2,168 |
$2,550 |
$514 |
$371 | |
| MRI of the chest without contrast |
$2,509 |
$2,952 |
$791 |
$466 | |
| MRI of the knee |
$2,255 |
$2,653 |
$1,300 |
$315 | |
| MRI of the knee with contrast |
$2,255 |
$2,653 |
$1,321 |
$315 | |
| MRI of the knee without contrast |
$2,080 |
$2,447 |
$1,219 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,255 |
$2,653 |
$1,010 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,255 |
$2,653 |
$783 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,098 |
$2,468 |
$682 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,255 |
$2,653 |
$998 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,652 |
$3,120 |
$1,105 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,255 |
$2,653 |
$762 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,098 |
$2,468 |
$844 |
$190 | |
| MRI of the neck (cervical spine) |
$2,255 |
$2,653 |
$994 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,652 |
$3,120 |
$1,102 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,255 |
$2,653 |
$778 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,098 |
$2,468 |
$826 |
$191 | |
| MRI of the pelvis |
$2,098 |
$2,468 |
$974 |
$268 | |
| MRI of the pelvis with contrast |
$2,098 |
$2,468 |
$745 |
$268 | |
| MRI of the pelvis without contrast |
$1,984 |
$2,334 |
$640 |
$227 | |
| MRI of the shoulder |
$1,988 |
$2,339 |
$1,300 |
$313 | |
| MRI of the shoulder with contrast |
$2,255 |
$2,653 |
$1,300 |
$313 | |
| MRI of the shoulder without contrast |
$1,988 |
$2,339 |
$1,165 |
$205 | |
| MRI of the wrist |
$2,479 |
$2,917 |
$1,429 |
$330 | |
| MRI of the wrist with contrast |
$2,479 |
$2,917 |
$1,453 |
$330 | |
| MRI of the wrist without contrast |
$1,988 |
$2,339 |
$1,165 |
$303 | |
| Nuclear cardiac stress test |
$2,774 |
$3,264 |
$1,958 |
$428 | |
| Occupational therapy evaluation |
$173 |
$204 |
$117 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$173 |
$204 |
$122 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$122 |
$143 |
$86 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$173 |
$204 |
$122 |
$101 | |
| Office visit (established patient) |
$217 |
$255 |
$109 |
$115 | |
| Office visit (new patient) |
$106 |
$125 |
$129 |
$177 | |
| Office visit, established patient (level 3) |
$179 |
$210 |
$79 |
$95 | |
| Office visit, established patient (level 4) |
$255 |
$300 |
$115 |
$136 | |
| Office visit, new patient (level 3) |
$85 |
$100 |
$92 |
$118 | |
| Office visit, new patient (level 4) |
$106 |
$125 |
$129 |
$177 | |
| Office visit, new patient (level 5) |
$446 |
$525 |
$286 |
$237 | |
| Orthopedic hardware removal |
$1,474 |
$1,734 |
$737 |
$632 | |
| Ovary removal (oophorectomy) |
$2,030 |
$2,388 |
$982 |
$822 | |
| Pap smear (cervical screening) |
$69 |
$81 |
$49 |
$20 | |
| Parathyroid hormone (PTH) test |
$90 |
$106 |
$64 |
$41 | |
| Pelvic ultrasound |
$404 |
$476 |
$199 |
$78 | |
| Pelvic ultrasound (complete) |
$473 |
$556 |
$164 |
$105 | |
| Pelvic ultrasound (limited) |
$336 |
$395 |
$199 |
$51 | |
| Phosphorus blood test |
$57 |
$67 |
$40 |
$5 | |
| Physical therapy evaluation |
$217 |
$255 |
$161 |
$98 | |
| Physical therapy evaluation (high complexity) |
$243 |
$286 |
$172 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$217 |
$255 |
$153 |
$98 | |
| Platelet count |
$42 |
$49 |
$29 |
$4 | |
| Pneumonia vaccine |
$466 |
$548 |
$329 |
— | |
| Pregnancy blood test (hCG) |
$77 |
$90 |
$54 |
$8 | |
| Pregnancy ultrasound |
$528 |
$622 |
$207 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$486 |
$572 |
$156 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$570 |
$671 |
$208 |
$136 | |
| Procalcitonin test |
$80 |
$94 |
$56 |
$27 | |
| Prolactin test |
$127 |
$149 |
$90 |
$19 | |
| Prostate biopsy |
$590 |
$694 |
$225 |
— | |
| Prostate surgery (TURP) |
$2,601 |
$3,060 |
$1,274 |
$526 | |
| Prostate test (PSA) |
$124 |
$146 |
$88 |
$18 | |
| Retina scan (OCT) |
$91 |
$107 |
$54 |
$33 | |
| Retinal (fundus) photography |
$109 |
$128 |
$36 |
$37 | |
| Routine eye exam |
$82 |
$97 |
$59 |
$88 | |
| Scoliosis spine X-ray |
$261 |
$307 |
$90 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$239 |
$281 |
$78 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$282 |
$332 |
$93 |
$72 | |
| Screening colonoscopy |
$650 |
$765 |
$202 |
$378 | |
| Screening mammogram |
$417 |
$490 |
$252 |
$126 | |
| Scrotal ultrasound |
$474 |
$558 |
$163 |
$99 | |
| Sedimentation rate (ESR) test |
$56 |
$66 |
$44 |
$3 | |
| Semen analysis |
$194 |
$228 |
$133 |
$12 | |
| Septoplasty (deviated septum) |
$2,320 |
$2,729 |
$1,239 |
$613 | |
| Simple laceration repair (small, up to 2.5 cm) |
$389 |
$458 |
$76 |
$114 | |
| Simple wound stitches |
$423 |
$498 |
$85 |
$127 | |
| Skin biopsy |
$97 |
$114 |
$72 |
$121 | |
| Skin biopsy (punch) |
$106 |
$125 |
$73 |
$121 | |
| Skin cancer lesion removal |
$234 |
$275 |
$257 |
$240 | |
| Skin graft |
$3,159 |
$3,717 |
$1,271 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$48 |
$57 |
$25 |
$36 | |
| Skin tag removal |
$95 |
$112 |
$99 |
$92 | |
| Sleep study (polysomnography) |
$4,248 |
$4,998 |
$3,026 |
$691 | |
| Soft tissue ultrasound |
$382 |
$449 |
$208 |
$64 | |
| Speech therapy |
$143 |
$168 |
$101 |
$76 | |
| Spinal tap (lumbar puncture) |
$780 |
$918 |
$551 |
$165 | |
| Spirometry (lung function test) |
$143 |
$168 |
$101 |
$30 | |
| Spirometry with bronchodilator |
$230 |
$270 |
$162 |
$43 | |
| Stress echocardiogram |
$723 |
$851 |
$511 |
$209 | |
| Swallow study |
$225 |
$265 |
$159 |
$85 | |
| T3 thyroid test |
$59 |
$69 |
$41 |
$14 | |
| Tdap (tetanus) vaccine |
$215 |
$253 |
$152 |
— | |
| Testosterone test |
$71 |
$84 |
$79 |
$26 | |
| Thyroid removal (thyroidectomy) |
$3,260 |
$3,835 |
$1,591 |
$1,004 | |
| Thyroid test (TSH) |
$115 |
$135 |
$40 |
$17 | |
| Thyroid ultrasound |
$473 |
$556 |
$277 |
$109 | |
| Thyroid uptake scan |
$1,127 |
$1,326 |
$251 |
$145 | |
| Tonsillectomy |
$935 |
$1,100 |
$488 |
$252 | |
| Total IgE allergy test |
$54 |
$63 |
$38 |
$16 | |
| Total protein test |
$51 |
$60 |
$53 |
$4 | |
| Transvaginal ultrasound |
$475 |
$559 |
$205 |
$118 | |
| Trigger finger release |
$1,564 |
$1,840 |
$523 |
$630 | |
| Trigger point injection |
$109 |
$128 |
$74 |
$56 | |
| Trigger point injection (1-2 muscles) |
$109 |
$128 |
$74 |
$52 | |
| Triglycerides test |
$45 |
$53 |
$32 |
$6 | |
| Troponin (heart) test |
$137 |
$161 |
$101 |
$12 | |
| Ulnar nerve surgery (elbow) |
$2,354 |
$2,769 |
$1,066 |
$575 | |
| Upper GI endoscopy (EGD) |
$610 |
$718 |
$215 |
$371 | |
| Uric acid (gout) test |
$61 |
$72 |
$43 |
$5 | |
| Urinalysis |
$67 |
$79 |
$46 |
$3 | |
| Urine microalbumin test |
$58 |
$69 |
$43 |
$5 | |
| Urine pregnancy test |
$77 |
$90 |
$54 |
$9 | |
| Vaccine administration |
$23 |
$27 |
$16 |
$19 | |
| Vaccine administration (each additional) |
$24 |
$28 |
$17 |
$16 | |
| Varicose vein ablation |
$2,077 |
$2,443 |
$464 |
$1,018 | |
| Vasectomy |
$544 |
$640 |
$363 |
$347 | |
| Visual field test |
$161 |
$189 |
$103 |
$64 | |
| Vitamin B12 test |
$110 |
$129 |
$77 |
$15 | |
| Vitamin D test |
$119 |
$140 |
$84 |
$30 | |
| Wart removal |
$94 |
$110 |
$97 |
$121 | |
| Wound debridement |
$422 |
$497 |
$185 |
$186 | |
| X-ray of the abdomen |
$217 |
$255 |
$124 |
$36 | |
| X-ray of the ankle |
$238 |
$280 |
$139 |
$37 | |
| X-ray of the collarbone |
$243 |
$286 |
$142 |
$33 | |
| X-ray of the elbow |
$239 |
$281 |
$140 |
$33 | |
| X-ray of the facial bones |
$289 |
$340 |
$72 |
$39 | |
| X-ray of the foot |
$238 |
$280 |
$139 |
$34 | |
| X-ray of the forearm |
$219 |
$258 |
$128 |
$29 | |
| X-ray of the hand |
$239 |
$281 |
$140 |
$38 | |
| X-ray of the hip |
$200 |
$235 |
$121 |
$49 | |
| X-ray of the hip (1 view) |
$200 |
$235 |
$117 |
$34 | |
| X-ray of the hip (3 views) |
$217 |
$255 |
$127 |
$49 | |
| X-ray of the knee |
$219 |
$258 |
$139 |
$42 | |
| X-ray of the knee (2 views) |
$219 |
$258 |
$133 |
$34 | |
| X-ray of the knee (3 views) |
$230 |
$270 |
$136 |
$42 | |
| X-ray of the knee (4+ views) |
$260 |
$306 |
$152 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$314 |
$370 |
$178 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$300 |
$353 |
$79 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$328 |
$386 |
$192 |
$53 | |
| X-ray of the lower leg |
$230 |
$270 |
$134 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$269 |
$317 |
$74 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$259 |
$305 |
$72 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$279 |
$328 |
$77 |
$39 | |
| X-ray of the neck (cervical spine) |
$298 |
$351 |
$79 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$262 |
$308 |
$70 |
$40 | |
| X-ray of the pelvis |
$217 |
$255 |
$62 |
$36 | |
| X-ray of the pelvis (1 view) |
$217 |
$255 |
$62 |
$28 | |
| X-ray of the ribs |
$255 |
$300 |
$134 |
$42 | |
| X-ray of the ribs (2 views) |
$222 |
$261 |
$130 |
$36 | |
| X-ray of the ribs (3 views) |
$320 |
$377 |
$188 |
$42 | |
| X-ray of the shoulder |
$239 |
$281 |
$140 |
$36 | |
| X-ray of the skull |
$296 |
$349 |
$85 |
$40 | |
| X-ray of the upper arm |
$219 |
$258 |
$128 |
$32 | |
| X-ray of the wrist |
$230 |
$270 |
$134 |
$43 | |
| YAG laser capsulotomy (eye) |
$1,040 |
$1,224 |
$559 |
$335 | |
| Zinc blood test |
$77 |
$90 |
$54 |
$11 | |