| 3D mammogram (tomosynthesis) |
$113 |
$189 |
$183 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$3,706 |
$6,176 |
$7,361 |
$284 | |
| Abdominal ultrasound |
$1,456 |
$2,427 |
$848 |
$100 | |
| Abdominal ultrasound (complete) |
$1,456 |
$2,427 |
$848 |
$114 | |
| Abdominal ultrasound (limited) |
$1,197 |
$1,995 |
$848 |
$86 | |
| Abscess drainage (complex or multiple) |
$1,313 |
$2,189 |
$3,615 |
$220 | |
| Abscess drainage (simple) |
$1,306 |
$2,176 |
$1,784 |
$129 | |
| Abscess incision and drainage |
$1,313 |
$2,189 |
$1,866 |
$174 | |
| Achilles tendon repair |
$27,035 |
$45,058 |
$22,758 |
$624 | |
| ACL knee reconstruction |
$33,620 |
$56,034 |
$33,052 |
$889 | |
| Acupuncture |
$96 |
$160 |
$143 |
$38 | |
| Acupuncture (each additional) |
$8 |
$14 |
$134 |
$28 | |
| Adenoid removal (adenoidectomy) |
$13,182 |
$21,970 |
$16,574 |
$204 | |
| Albumin blood test |
$6 |
$10 |
$7 |
$5 | |
| Alkaline phosphatase test |
$65 |
$109 |
$8 |
$5 | |
| ALT liver enzyme test |
$126 |
$210 |
$8 |
$5 | |
| Ammonia blood test |
$290 |
$483 |
$23 |
$15 | |
| Amylase test |
$224 |
$373 |
$10 |
$6 | |
| Anal fistula repair |
$9,086 |
$15,144 |
$15,623 |
$541 | |
| Ankle fracture repair |
$17,555 |
$29,258 |
$33,052 |
$608 | |
| Aortic valve replacement |
$56,798 |
$94,663 |
$6,631 |
$1,603 | |
| Appendix removal (appendectomy) |
— |
— |
$3,070 |
$592 | |
| Arterial blood gas (ABG) |
$496 |
$826 |
$42 |
$26 | |
| AST liver enzyme test |
$141 |
$235 |
$8 |
$5 | |
| Barium swallow study |
$1,160 |
$1,934 |
$309 |
$107 | |
| Bartholin cyst removal |
$736 |
$1,227 |
$1,798 |
$182 | |
| Basic metabolic panel |
$283 |
$472 |
$13 |
$8 | |
| Bilirubin blood test |
$110 |
$184 |
$8 |
$5 | |
| Bladder scope (cystoscopy) |
$4,275 |
$7,125 |
$5,659 |
$216 | |
| Bladder tumor removal (TURBT) |
$16,239 |
$27,065 |
$17,999 |
$236 | |
| Blood clotting test (PT/INR) |
$126 |
$210 |
$13 |
$4 | |
| Blood crossmatch |
$368 |
$613 |
$510 |
— | |
| Blood glucose test |
$82 |
$137 |
$6 |
$5 | |
| Blood transfusion |
$2,365 |
$3,941 |
$3,923 |
$47 | |
| Blood type and screen |
$207 |
$345 |
$154 |
$10 | |
| Blood type test |
$112 |
$187 |
$250 |
$3 | |
| Blood type test (ABO group) |
$187 |
$312 |
$488 |
$3 | |
| Blood type test (Rh/D antigen) |
$109 |
$182 |
$137 |
$3 | |
| BNP (heart failure) test |
$356 |
$593 |
$63 |
$39 | |
| Bone density scan (DEXA) |
$599 |
$998 |
$184 |
$39 | |
| Bone marrow biopsy |
$7,642 |
$12,736 |
$8,430 |
$172 | |
| Bone scan (nuclear) |
$3,790 |
$6,317 |
$2,330 |
$259 | |
| Breast biopsy |
$5,400 |
$9,000 |
$9,492 |
$478 | |
| Breast MRI |
$3,967 |
$6,612 |
$800 |
$216 | |
| Breast MRI without contrast |
$3,721 |
$6,201 |
$1,936 |
$216 | |
| Breast reconstruction |
$8,971 |
$14,951 |
$43,079 |
$1,227 | |
| Breast reduction |
$12,383 |
$20,638 |
$27,584 |
$980 | |
| Breast ultrasound |
$1,088 |
$1,814 |
$706 |
$92 | |
| Breast ultrasound (limited) |
$1,088 |
$1,814 |
$706 |
$84 | |
| Breathing tube insertion (intubation) |
$1,081 |
$1,802 |
$2,203 |
$133 | |
| Bronchoscopy |
$5,644 |
$9,407 |
$8,796 |
$303 | |
| Bunion surgery (bunionectomy) |
$28,211 |
$47,018 |
$17,999 |
$883 | |
| Burn dressing and debridement (medium) |
$635 |
$1,059 |
$1,680 |
$166 | |
| Burn dressing and debridement (small) |
$845 |
$1,408 |
$1,866 |
$93 | |
| Burn treatment |
$845 |
$1,408 |
$1,825 |
$129 | |
| C-reactive protein (CRP) |
$106 |
$176 |
$14 |
$5 | |
| CA 19-9 tumor marker test |
$142 |
$236 |
$57 |
$21 | |
| CA-125 ovarian marker test |
$175 |
$292 |
$99 |
$21 | |
| Calcium blood test |
$116 |
$193 |
$8 |
$5 | |
| Capsule endoscopy |
$1,755 |
$2,925 |
$1,600 |
$802 | |
| Cardiac ablation |
$22,532 |
$37,554 |
$50,684 |
$759 | |
| Cardiac catheterization |
$35,376 |
$58,960 |
$22,758 |
$1,049 | |
| Cardiac MRI |
$2,452 |
$4,087 |
$2,198 |
$322 | |
| Cardiac MRI without contrast |
$1,696 |
$2,827 |
$1,936 |
$280 | |
| Cardiac stress test |
$2,212 |
$3,686 |
$1,752 |
$39 | |
| Cardioversion |
$7,277 |
$12,128 |
$4,898 |
$155 | |
| Carotid artery ultrasound |
$2,043 |
$3,405 |
$972 |
$156 | |
| Carpal tunnel release |
$18,076 |
$30,126 |
$9,492 |
$483 | |
| CEA tumor marker test |
$229 |
$382 |
$24 |
$19 | |
| Celiac disease test |
$4 |
$7 |
$18 |
$12 | |
| Central line placement |
$7,628 |
$12,714 |
$9,492 |
$238 | |
| Cervical LEEP procedure |
$13,301 |
$22,168 |
$15,538 |
$325 | |
| Cesarean section (C-section) |
— |
— |
$28,423 |
$7,552 | |
| Chalazion (eyelid cyst) removal |
$767 |
$1,278 |
$2,576 |
$131 | |
| Chemotherapy infusion |
$1,098 |
$1,830 |
$474 |
$81 | |
| Chemotherapy infusion (each additional) |
$1,284 |
$2,140 |
$145 |
$28 | |
| Chemotherapy infusion (first hour) |
$1,098 |
$1,830 |
$746 |
$133 | |
| Chest fluid drain (thoracentesis) |
$7,178 |
$11,964 |
$5,251 |
$311 | |
| Chest tube insertion |
$3,126 |
$5,210 |
$7,820 |
$143 | |
| Chest X-ray |
$502 |
$836 |
$154 |
$37 | |
| Chest X-ray (1 view) |
$404 |
$673 |
$154 |
$25 | |
| Chest X-ray (2 views) |
$502 |
$836 |
$154 |
$33 | |
| Chickenpox (varicella) vaccine |
$368 |
$614 |
$614 |
— | |
| Circumcision |
$10,744 |
$17,907 |
$8,796 |
$167 | |
| CK-MB heart enzyme test |
$230 |
$383 |
$18 |
$12 | |
| Clotting time test (PTT) |
$38 |
$64 |
$17 |
$6 | |
| Colonoscopy |
$3,960 |
$6,600 |
$7,507 |
$480 | |
| Complete blood count (CBC) |
$86 |
$144 |
$37 |
$7 | |
| Complete blood count (CBC) (complete) |
$236 |
$394 |
$37 |
$8 | |
| Comprehensive metabolic panel |
$318 |
$530 |
$17 |
$11 | |
| Copper blood test |
$6 |
$10 |
$16 |
$12 | |
| Coronary angioplasty / stent (PCI) |
— |
— |
$3,070 |
$426 | |
| Coronary artery bypass (CABG) |
— |
— |
$118,231 |
$36,593 | |
| Coronary CT angiography |
$3,036 |
$5,060 |
$2,339 |
$326 | |
| Cortisol test |
$175 |
$291 |
$24 |
$16 | |
| COVID-19 PCR test |
$85 |
$141 |
$141 |
$51 | |
| Creatine kinase (CK) test |
$202 |
$336 |
$10 |
$7 | |
| CT angiography of the chest |
$5,626 |
$9,377 |
$1,424 |
$281 | |
| CT angiography of the head |
$5,973 |
$9,955 |
$1,424 |
$274 | |
| CT scan of the abdomen |
$3,669 |
$6,115 |
$978 |
$230 | |
| CT scan of the abdomen and pelvis |
$5,488 |
$9,147 |
$2,219 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$6,059 |
$10,098 |
$2,705 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$5,488 |
$9,147 |
$2,585 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$5,324 |
$8,874 |
$1,936 |
$183 | |
| CT scan of the abdomen with and without contrast |
$4,486 |
$7,476 |
$1,424 |
$259 | |
| CT scan of the abdomen with contrast |
$3,669 |
$6,115 |
$1,424 |
$230 | |
| CT scan of the abdomen without contrast |
$3,219 |
$5,365 |
$848 |
$136 | |
| CT scan of the arm |
$3,316 |
$5,526 |
$972 |
$199 | |
| CT scan of the arm with contrast |
$3,541 |
$5,901 |
$2,831 |
$199 | |
| CT scan of the arm without contrast |
$3,219 |
$5,365 |
$875 |
$161 | |
| CT scan of the chest |
$3,823 |
$6,371 |
$951 |
$167 | |
| CT scan of the chest with and without contrast |
$4,192 |
$6,987 |
$1,424 |
$196 | |
| CT scan of the chest with contrast |
$4,097 |
$6,829 |
$1,424 |
$167 | |
| CT scan of the chest without contrast |
$3,347 |
$5,579 |
$848 |
$133 | |
| CT scan of the head |
$3,978 |
$6,630 |
$930 |
$148 | |
| CT scan of the head with and without contrast |
$4,253 |
$7,089 |
$1,424 |
$173 | |
| CT scan of the head with contrast |
$4,039 |
$6,732 |
$1,424 |
$148 | |
| CT scan of the head without contrast |
$3,978 |
$6,630 |
$848 |
$107 | |
| CT scan of the leg |
$4,864 |
$8,107 |
$972 |
$166 | |
| CT scan of the leg with contrast |
$4,864 |
$8,107 |
$1,424 |
$166 | |
| CT scan of the leg without contrast |
$3,271 |
$5,451 |
$875 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$3,803 |
$6,339 |
$978 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$483 |
$805 |
$1,300 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$4,490 |
$7,484 |
$2,339 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$3,803 |
$6,339 |
$848 |
$130 | |
| CT scan of the neck |
$3,550 |
$5,916 |
$984 |
$183 | |
| CT scan of the neck (cervical spine) |
$4,364 |
$7,273 |
$972 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$4,603 |
$7,672 |
$1,424 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$4,449 |
$7,415 |
$2,339 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$4,278 |
$7,130 |
$848 |
$131 | |
| CT scan of the neck with and without contrast |
$3,550 |
$5,916 |
$1,424 |
$220 | |
| CT scan of the neck with contrast |
$3,618 |
$6,030 |
$1,424 |
$183 | |
| CT scan of the neck without contrast |
$3,347 |
$5,579 |
$848 |
$150 | |
| CT scan of the pelvis |
$3,697 |
$6,162 |
$972 |
$226 | |
| CT scan of the pelvis with and without contrast |
$3,550 |
$5,916 |
$1,424 |
$251 | |
| CT scan of the pelvis with contrast |
$3,567 |
$5,945 |
$1,424 |
$226 | |
| CT scan of the pelvis without contrast |
$3,748 |
$6,246 |
$848 |
$133 | |
| CT scan of the sinuses |
$3,379 |
$5,632 |
$902 |
$152 | |
| CT scan of the sinuses with and without contrast |
$3,734 |
$6,223 |
$1,424 |
$184 | |
| CT scan of the sinuses with contrast |
$3,719 |
$6,198 |
$1,424 |
$152 | |
| CT scan of the sinuses without contrast |
$3,188 |
$5,313 |
$848 |
$128 | |
| D-dimer test |
$224 |
$374 |
$48 |
$10 | |
| Defibrillator (ICD) implant |
$40,234 |
$67,056 |
$70,886 |
$798 | |
| Diagnostic mammogram |
$551 |
$919 |
$249 |
$140 | |
| Dialysis fistula creation |
$22,133 |
$36,888 |
$17,999 |
$601 | |
| Dilation and curettage (D&C) |
$6,001 |
$10,001 |
$9,492 |
$298 | |
| Drug screen (urine) |
$87 |
$145 |
$72 |
$17 | |
| Ear pressure test (tympanometry) |
$261 |
$435 |
$303 |
$16 | |
| Ear tubes (myringotomy) |
$9,570 |
$15,950 |
$12,592 |
$174 | |
| Eardrum repair (tympanoplasty) |
$17,104 |
$28,507 |
$25,868 |
$799 | |
| Echocardiogram |
$3,785 |
$6,309 |
$1,997 |
$138 | |
| Echocardiogram with and without contrast |
$2,047 |
$3,411 |
$1,936 |
$101 | |
| Echocardiogram without contrast |
$3,883 |
$6,471 |
$1,600 |
$138 | |
| EEG (awake and asleep) |
$2,836 |
$4,727 |
$1,600 |
$482 | |
| EKG / ECG (tracing only) |
$437 |
$728 |
$479 |
$7 | |
| Electrocardiogram (EKG) |
$437 |
$728 |
$479 |
$8 | |
| Electroencephalogram (EEG) |
$2,224 |
$3,706 |
$1,752 |
$448 | |
| Electrolyte panel |
$181 |
$302 |
$15 |
$7 | |
| Emergency department visit |
$2,075 |
$3,458 |
$1,506 |
$69 | |
| Emergency department visit (level 1) |
$543 |
$904 |
$784 |
$11 | |
| Emergency department visit (level 2) |
$1,081 |
$1,802 |
$1,246 |
$40 | |
| Emergency department visit (level 3) |
$2,014 |
$3,357 |
$2,330 |
$69 | |
| Emergency department visit (level 4) |
$3,376 |
$5,627 |
$3,493 |
$118 | |
| Emergency department visit (level 5) |
$5,407 |
$9,011 |
$4,833 |
$171 | |
| Endometrial biopsy |
$541 |
$902 |
$1,641 |
$98 | |
| Epidural steroid injection |
$4,005 |
$6,675 |
$5,729 |
$275 | |
| ERCP (bile duct endoscopy) |
$5,782 |
$9,637 |
$14,149 |
$311 | |
| Estradiol (estrogen) test |
$41 |
$69 |
$45 |
$28 | |
| Eyelid surgery (blepharoplasty) |
$14,444 |
$24,073 |
$15,623 |
$552 | |
| Facet joint injection (spine) |
$3,212 |
$5,354 |
$1,873 |
$99 | |
| Fallopian tube X-ray (HSG) |
$1,442 |
$2,403 |
$394 |
$164 | |
| Family therapy session |
$540 |
$900 |
$1,441 |
$110 | |
| Fecal occult blood (stool) test |
$79 |
$131 |
$37 |
$10 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$79 |
$131 |
$37 |
$16 | |
| Femoral hernia repair |
$20,281 |
$33,801 |
$22,758 |
$584 | |
| Ferritin (iron) test |
$180 |
$300 |
$20 |
$14 | |
| Fibrinogen test |
$205 |
$341 |
$27 |
$10 | |
| Fibroid removal (myomectomy) |
$17,152 |
$28,587 |
$5,311 |
$914 | |
| Flexible sigmoidoscopy |
$7,231 |
$12,051 |
$5,304 |
$323 | |
| Folate (folic acid) test |
$181 |
$302 |
$24 |
$15 | |
| Foreign body removal (skin) |
$1,537 |
$2,561 |
$3,403 |
$157 | |
| Free T4 thyroid test |
$184 |
$306 |
$11 |
$9 | |
| FSH hormone test |
$10 |
$17 |
$23 |
$19 | |
| Gallbladder removal (laparoscopic) |
$33,584 |
$55,974 |
$29,587 |
$658 | |
| Gallbladder scan (HIDA) |
$3,122 |
$5,204 |
$2,330 |
$334 | |
| Ganglion cyst removal |
$11,851 |
$19,752 |
$13,050 |
$321 | |
| GGT liver test |
$128 |
$213 |
$12 |
$7 | |
| Group therapy session |
$1,217 |
$2,028 |
$824 |
$30 | |
| Hammertoe repair |
$18,107 |
$30,178 |
$17,999 |
$548 | |
| Hearing test (audiometry) |
$512 |
$853 |
$1,044 |
$36 | |
| Hematocrit test |
$62 |
$104 |
$7 |
$2 | |
| Hemodialysis |
$3,251 |
$5,418 |
$3,836 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$172 |
$286 |
$16 |
$10 | |
| Hepatitis B test |
$145 |
$241 |
$17 |
$10 | |
| Hepatitis B vaccine |
$153 |
$254 |
$254 |
— | |
| Hepatitis C test |
$142 |
$237 |
$37 |
$14 | |
| Hip replacement |
$37,663 |
$62,772 |
$41,789 |
$1,162 | |
| HIV test |
$114 |
$191 |
$64 |
$19 | |
| HIV test (antigen/antibody combo) |
$114 |
$191 |
$64 |
$24 | |
| Hydrocele repair |
$11,707 |
$19,512 |
$17,999 |
$315 | |
| Hysterectomy |
$31,181 |
$51,968 |
$20,733 |
$933 | |
| Hysteroscopy |
$19,104 |
$31,840 |
$13,466 |
$1,270 | |
| Inguinal hernia repair |
$20,545 |
$34,242 |
$22,569 |
$538 | |
| Iron blood test |
$115 |
$191 |
$10 |
$6 | |
| IUD removal |
$2,215 |
$3,691 |
$2,551 |
$112 | |
| IV infusion therapy |
$1,435 |
$2,391 |
$436 |
$44 | |
| IV infusion therapy (initial) |
$1,435 |
$2,391 |
$1,726 |
$67 | |
| IVC filter placement |
$18,556 |
$30,927 |
$20,420 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$1,259 |
$2,099 |
$2,729 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$1,259 |
$2,099 |
$2,729 |
$57 | |
| Joint aspiration or injection (small joint) |
$2,283 |
$3,805 |
$2,855 |
$56 | |
| Kidney biopsy |
$4,751 |
$7,919 |
$8,430 |
$492 | |
| Kidney removal (nephrectomy) |
$31,152 |
$51,920 |
$7,539 |
$1,164 | |
| Kidney scan (nuclear) |
$2,935 |
$4,891 |
$2,330 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$13,791 |
$22,985 |
$21,428 |
$760 | |
| Kidney ultrasound |
$1,411 |
$2,352 |
$848 |
$84 | |
| Kidney ultrasound (limited) |
$812 |
$1,353 |
$642 |
$61 | |
| Knee arthroscopy |
$26,302 |
$43,836 |
$22,569 |
$524 | |
| Knee joint injection |
$3,130 |
$5,216 |
$2,855 |
$69 | |
| Knee replacement |
— |
— |
$55,036 |
$18,054 | |
| Lactate test |
$203 |
$338 |
$19 |
$12 | |
| Laminectomy (spine) |
$34,091 |
$56,818 |
$41,789 |
$1,157 | |
| LDH test |
$143 |
$239 |
$9 |
$6 | |
| LDL cholesterol test |
$82 |
$137 |
$13 |
$11 | |
| Leg artery angiogram |
$6,113 |
$10,189 |
$7,131 |
$149 | |
| Leg artery angioplasty |
$19,083 |
$31,805 |
$27,584 |
— | |
| Leg vein ultrasound (Doppler) |
$1,378 |
$2,296 |
$848 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,378 |
$2,296 |
$848 |
$116 | |
| LH hormone test |
$12 |
$20 |
$23 |
$19 | |
| Lipase test |
$169 |
$281 |
$18 |
$7 | |
| Lipid (cholesterol) panel |
$310 |
$516 |
$21 |
$13 | |
| Liver biopsy |
$4,824 |
$8,040 |
$8,430 |
$288 | |
| Liver function panel |
$238 |
$396 |
$13 |
$8 | |
| Lumbar discectomy |
$38,912 |
$64,854 |
$41,789 |
$898 | |
| Lumpectomy (breast) |
$13,814 |
$23,024 |
$22,758 |
$750 | |
| Lung function test (PFT) |
$833 |
$1,389 |
$1,780 |
$37 | |
| Lung scan (V/Q) |
$2,983 |
$4,971 |
$2,330 |
$291 | |
| Magnesium blood test |
$151 |
$252 |
$10 |
$7 | |
| Mastectomy |
$17,135 |
$28,559 |
$27,584 |
$1,021 | |
| Meniscus repair (knee) |
$26,846 |
$44,744 |
$17,999 |
$714 | |
| MMR vaccine |
$196 |
$327 |
$327 |
— | |
| MRA of the brain |
$5,039 |
$8,399 |
$2,178 |
$226 | |
| MRA of the brain with contrast |
$1,012 |
$1,687 |
$2,335 |
$226 | |
| MRA of the brain without contrast |
$5,119 |
$8,531 |
$2,339 |
$328 | |
| MRA of the neck |
$5,025 |
$8,375 |
$2,150 |
$245 | |
| MRA of the neck without contrast |
$5,591 |
$9,318 |
$2,339 |
$343 | |
| MRI of the abdomen |
$4,396 |
$7,327 |
$2,178 |
$300 | |
| MRI of the abdomen with contrast |
$4,922 |
$8,204 |
$2,335 |
$300 | |
| MRI of the abdomen without contrast |
$3,869 |
$6,449 |
$1,936 |
$194 | |
| MRI of the ankle |
$4,464 |
$7,441 |
$2,178 |
$261 | |
| MRI of the ankle with contrast |
$5,141 |
$8,569 |
$2,335 |
$261 | |
| MRI of the ankle without contrast |
$4,092 |
$6,820 |
$1,936 |
$222 | |
| MRI of the brain |
$4,960 |
$8,267 |
$2,178 |
$269 | |
| MRI of the brain with contrast |
$4,921 |
$8,202 |
$2,335 |
$269 | |
| MRI of the brain without contrast |
$4,960 |
$8,267 |
$1,936 |
$195 | |
| MRI of the chest |
$4,042 |
$6,736 |
$2,178 |
$371 | |
| MRI of the chest with contrast |
$4,362 |
$7,271 |
$3,735 |
$371 | |
| MRI of the chest without contrast |
$6,080 |
$10,133 |
$2,339 |
$466 | |
| MRI of the knee |
$4,463 |
$7,439 |
$2,219 |
$315 | |
| MRI of the knee with contrast |
$4,463 |
$7,439 |
$4,593 |
$315 | |
| MRI of the knee without contrast |
$4,092 |
$6,820 |
$1,936 |
$204 | |
| MRI of the lower back (lumbar spine) |
$5,483 |
$9,138 |
$2,178 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$5,483 |
$9,138 |
$2,339 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$4,901 |
$8,168 |
$1,936 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$5,272 |
$8,787 |
$2,198 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$5,644 |
$9,406 |
$2,585 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$5,272 |
$8,787 |
$2,339 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$4,901 |
$8,168 |
$1,936 |
$190 | |
| MRI of the neck (cervical spine) |
$5,458 |
$9,097 |
$2,178 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$5,644 |
$9,406 |
$2,339 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$5,478 |
$9,130 |
$2,339 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$4,901 |
$8,168 |
$1,936 |
$191 | |
| MRI of the pelvis |
$4,884 |
$8,140 |
$2,178 |
$268 | |
| MRI of the pelvis with contrast |
$4,884 |
$8,140 |
$2,335 |
$268 | |
| MRI of the pelvis without contrast |
$3,721 |
$6,201 |
$1,936 |
$227 | |
| MRI of the shoulder |
$4,613 |
$7,688 |
$2,219 |
$313 | |
| MRI of the shoulder with contrast |
$4,613 |
$7,688 |
$4,593 |
$313 | |
| MRI of the shoulder without contrast |
$4,316 |
$7,193 |
$1,936 |
$205 | |
| MRI of the wrist |
$4,837 |
$8,061 |
$2,178 |
$330 | |
| MRI of the wrist with contrast |
$5,759 |
$9,598 |
$2,335 |
$330 | |
| MRI of the wrist without contrast |
$4,092 |
$6,820 |
$1,936 |
$303 | |
| Nebulizer breathing treatment |
$785 |
$1,309 |
$3,070 |
$9 | |
| Neck (cervical) spinal fusion |
$23,255 |
$38,759 |
$43,079 |
$1,410 | |
| Nuclear cardiac stress test |
$7,384 |
$12,306 |
$4,751 |
$428 | |
| Occupational therapy evaluation |
$526 |
$876 |
$662 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$651 |
$1,084 |
$662 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$460 |
$766 |
$662 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$526 |
$876 |
$662 |
$101 | |
| Office visit (established patient) |
$483 |
$805 |
$382 |
$115 | |
| Office visit, established patient (level 3) |
$483 |
$805 |
$370 |
$95 | |
| Office visit, established patient (level 4) |
$571 |
$952 |
$542 |
$136 | |
| Orthopedic hardware removal |
$18,614 |
$31,023 |
$17,999 |
$632 | |
| Pacemaker insertion |
— |
— |
$53,363 |
$15,506 | |
| Parathyroid hormone (PTH) test |
$314 |
$524 |
$66 |
$41 | |
| Pelvic ultrasound |
$1,225 |
$2,041 |
$848 |
$78 | |
| Pelvic ultrasound (complete) |
$1,225 |
$2,041 |
$848 |
$105 | |
| Pelvic ultrasound (limited) |
$760 |
$1,267 |
$848 |
$51 | |
| PET scan |
$8,020 |
$13,366 |
$6,895 |
— | |
| Phosphorus blood test |
$116 |
$194 |
$8 |
$5 | |
| Physical therapy evaluation |
$324 |
$540 |
$662 |
$98 | |
| Physical therapy evaluation (high complexity) |
$324 |
$540 |
$662 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$401 |
$669 |
$662 |
$98 | |
| Pilonidal cyst removal |
$12,291 |
$20,485 |
$17,999 |
$541 | |
| Platelet count |
$107 |
$179 |
$21 |
$4 | |
| Pneumonia vaccine |
$235 |
$391 |
$391 |
— | |
| Pregnancy blood test (hCG) |
$226 |
$376 |
$20 |
$8 | |
| Pregnancy ultrasound |
$1,152 |
$1,920 |
$701 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$1,324 |
$2,207 |
$701 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$979 |
$1,632 |
$745 |
$136 | |
| Procalcitonin test |
$223 |
$372 |
$44 |
$27 | |
| Prostate biopsy |
$5,990 |
$9,983 |
$9,144 |
— | |
| Prostate removal (prostatectomy) |
$25,155 |
$41,926 |
$43,079 |
$1,063 | |
| Prostate surgery (TURP) |
$10,841 |
$18,069 |
$22,569 |
$526 | |
| Prostate test (PSA) |
$307 |
$512 |
$23 |
$18 | |
| Psychiatric evaluation |
$1,292 |
$2,153 |
$1,441 |
$188 | |
| Psychotherapy session |
$1,054 |
$1,757 |
$1,315 |
$140 | |
| Radiofrequency nerve ablation |
$7,575 |
$12,625 |
$9,492 |
$462 | |
| Rotator cuff repair |
$7,426 |
$12,376 |
$33,052 |
$792 | |
| Sacroiliac joint injection |
$6,296 |
$10,493 |
$556 |
$176 | |
| Scoliosis spine X-ray |
$872 |
$1,454 |
$184 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$655 |
$1,091 |
$154 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$872 |
$1,454 |
$184 |
$72 | |
| Screening colonoscopy |
$2,591 |
$4,318 |
$5,304 |
$378 | |
| Screening mammogram |
$614 |
$1,023 |
$232 |
$126 | |
| Scrotal ultrasound |
$1,213 |
$2,022 |
$716 |
$99 | |
| Sedimentation rate (ESR) test |
$157 |
$262 |
$12 |
$3 | |
| Semen analysis |
$216 |
$360 |
$33 |
$12 | |
| Septoplasty (deviated septum) |
$12,333 |
$20,555 |
$16,574 |
$613 | |
| Sex hormone binding globulin test |
$11 |
$18 |
$27 |
$22 | |
| Shoulder arthroscopy |
$14,568 |
$24,279 |
$33,052 |
$962 | |
| Shoulder replacement |
$34,679 |
$57,798 |
$41,789 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$744 |
$1,240 |
$1,732 |
$114 | |
| Simple wound stitches |
$753 |
$1,255 |
$1,680 |
$127 | |
| Sinus surgery (endoscopic) |
$8,332 |
$13,886 |
$24,996 |
$224 | |
| Skin graft |
$11,421 |
$19,034 |
$15,538 |
$898 | |
| Soft tissue ultrasound |
$672 |
$1,120 |
$848 |
$64 | |
| Speech therapy |
$583 |
$971 |
$537 |
$76 | |
| Spinal cord stimulator |
$30,187 |
$50,311 |
$34,071 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$1,808 |
$3,014 |
$5,729 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$25,611 |
$42,685 |
$41,789 |
$5,803 | |
| Spirometry (lung function test) |
$646 |
$1,077 |
$1,752 |
$30 | |
| Spirometry with bronchodilator |
$833 |
$1,389 |
$2,502 |
$43 | |
| Strep throat test |
$236 |
$393 |
$79 |
$17 | |
| Stress echocardiogram |
$3,311 |
$5,519 |
$3,663 |
$209 | |
| Stress echocardiogram (complete) |
$3,541 |
$5,901 |
$2,997 |
$233 | |
| Swallow study |
$791 |
$1,318 |
$607 |
$85 | |
| Tdap (tetanus) vaccine |
$108 |
$179 |
$135 |
— | |
| Testicle removal (orchiectomy) |
$6,337 |
$10,562 |
$13,466 |
$306 | |
| Thyroid removal (thyroidectomy) |
$43,734 |
$72,890 |
$33,674 |
$1,004 | |
| Thyroid test (TSH) |
$281 |
$469 |
$25 |
$17 | |
| Thyroid ultrasound |
$1,297 |
$2,162 |
$705 |
$109 | |
| Thyroid uptake scan |
$1,675 |
$2,791 |
$2,044 |
$145 | |
| Tonsillectomy |
$13,697 |
$22,828 |
$21,724 |
$252 | |
| Tracheostomy |
$9,826 |
$16,377 |
$8,796 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$7,730 |
$12,884 |
$2,330 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$7,730 |
$12,884 |
$2,330 |
$239 | |
| Transvaginal ultrasound |
$986 |
$1,644 |
$708 |
$118 | |
| Trigger finger release |
$7,319 |
$12,198 |
$9,492 |
$630 | |
| Trigger point injection |
$1,057 |
$1,762 |
$2,650 |
$56 | |
| Trigger point injection (1-2 muscles) |
$1,009 |
$1,682 |
$2,729 |
$52 | |
| Triglycerides test |
$5 |
$8 |
$9 |
$6 | |
| Troponin (heart) test |
$359 |
$598 |
$20 |
$12 | |
| Turbinate reduction |
$5,535 |
$9,225 |
$12,167 |
$294 | |
| Turning a breech baby (version) |
$8,924 |
$14,873 |
$9,492 |
$94 | |
| Ulnar nerve surgery (elbow) |
$11,354 |
$18,923 |
$9,492 |
$575 | |
| Upper GI endoscopy (EGD) |
$4,922 |
$8,204 |
$5,304 |
$371 | |
| Upper GI series (barium) |
$1,337 |
$2,228 |
$309 |
$128 | |
| Ureteral stent placement |
$12,647 |
$21,079 |
$17,999 |
$373 | |
| Ureteroscopy (stone removal) |
$19,575 |
$32,625 |
$22,569 |
$365 | |
| Uric acid (gout) test |
$118 |
$197 |
$7 |
$5 | |
| Urinalysis |
$125 |
$208 |
$13 |
$3 | |
| Urine microalbumin test |
$9 |
$14 |
$8 |
$5 | |
| Urine pregnancy test |
$95 |
$159 |
$24 |
$9 | |
| Vaccine administration |
$133 |
$221 |
$163 |
$19 | |
| Vaccine administration (each additional) |
$121 |
$201 |
$2,330 |
$16 | |
| Vaginal delivery |
— |
— |
$22,578 |
$5,487 | |
| Varicocele repair |
$25,237 |
$42,062 |
$22,569 |
$327 | |
| Varicose vein ablation |
$10,699 |
$17,831 |
$19,495 |
$1,018 | |
| Vitamin B12 test |
$175 |
$291 |
$22 |
$15 | |
| Vitamin D test |
$159 |
$265 |
$44 |
$30 | |
| Weight-loss (bariatric) surgery |
— |
— |
$44,222 |
$11,645 | |
| Wrist fracture repair |
$30,445 |
$50,742 |
$33,052 |
$735 | |
| X-ray of the abdomen |
$504 |
$840 |
$184 |
$36 | |
| X-ray of the ankle |
$636 |
$1,060 |
$154 |
$37 | |
| X-ray of the collarbone |
$575 |
$959 |
$154 |
$33 | |
| X-ray of the elbow |
$658 |
$1,097 |
$154 |
$33 | |
| X-ray of the facial bones |
$1,106 |
$1,844 |
$184 |
$39 | |
| X-ray of the foot |
$609 |
$1,015 |
$154 |
$34 | |
| X-ray of the forearm |
$637 |
$1,061 |
$154 |
$29 | |
| X-ray of the hand |
$639 |
$1,065 |
$154 |
$38 | |
| X-ray of the hip |
$1,296 |
$2,160 |
$184 |
$49 | |
| X-ray of the hip (1 view) |
$1,279 |
$2,131 |
$154 |
$34 | |
| X-ray of the hip (3 views) |
$1,296 |
$2,160 |
$154 |
$49 | |
| X-ray of the hip (4 views) |
$1,592 |
$2,653 |
$184 |
$63 | |
| X-ray of the knee |
$763 |
$1,272 |
$184 |
$42 | |
| X-ray of the knee (2 views) |
$577 |
$961 |
$154 |
$34 | |
| X-ray of the knee (3 views) |
$647 |
$1,079 |
$154 |
$42 | |
| X-ray of the knee (4+ views) |
$763 |
$1,272 |
$184 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$933 |
$1,555 |
$184 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$739 |
$1,231 |
$184 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$1,084 |
$1,806 |
$184 |
$53 | |
| X-ray of the lower leg |
$603 |
$1,005 |
$154 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$715 |
$1,192 |
$184 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$715 |
$1,192 |
$184 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$841 |
$1,402 |
$184 |
$39 | |
| X-ray of the neck (cervical spine) |
$804 |
$1,340 |
$184 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$711 |
$1,185 |
$154 |
$40 | |
| X-ray of the pelvis |
$584 |
$973 |
$184 |
$36 | |
| X-ray of the pelvis (1 view) |
$809 |
$1,348 |
$184 |
$28 | |
| X-ray of the ribs |
$816 |
$1,360 |
$184 |
$42 | |
| X-ray of the ribs (2 views) |
$667 |
$1,111 |
$154 |
$36 | |
| X-ray of the ribs (3 views) |
$835 |
$1,391 |
$184 |
$42 | |
| X-ray of the shoulder |
$677 |
$1,129 |
$154 |
$36 | |
| X-ray of the skull |
$607 |
$1,012 |
$184 |
$40 | |
| X-ray of the upper arm |
$652 |
$1,087 |
$154 |
$32 | |
| X-ray of the wrist |
$675 |
$1,125 |
$154 |
$43 | |
| Zinc blood test |
$6 |
$10 |
$14 |
$11 | |