| 3D mammogram (tomosynthesis) |
$65 |
$108 |
$48 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,237 |
$2,062 |
$986 |
$284 | |
| Abdominal ultrasound |
$675 |
$1,125 |
$322 |
$100 | |
| Abdominal ultrasound (complete) |
$715 |
$1,192 |
$322 |
$114 | |
| Abdominal ultrasound (limited) |
$634 |
$1,057 |
$322 |
$86 | |
| Achilles tendon repair |
$13,989 |
$23,315 |
$7,511 |
$624 | |
| ACL knee reconstruction |
$34,512 |
$57,520 |
$7,511 |
$889 | |
| Adenoid removal (adenoidectomy) |
$13,689 |
$22,815 |
$3,410 |
$204 | |
| Albumin blood test |
$5 |
$9 |
$6 |
$5 | |
| Aldosterone test |
$46 |
$76 |
$49 |
$41 | |
| Alkaline phosphatase test |
$6 |
$10 |
$6 |
$5 | |
| Allergy shots |
$9 |
$15 |
$49 |
$11 | |
| Alpha-fetoprotein (AFP) test |
$19 |
$31 |
$20 |
$17 | |
| ALT liver enzyme test |
$6 |
$10 |
$6 |
$5 | |
| Ammonia blood test |
$16 |
$27 |
$17 |
$15 | |
| Amniocentesis |
$1,009 |
$1,682 |
$916 |
$120 | |
| Amylase test |
$7 |
$12 |
$8 |
$6 | |
| Anal fistula repair |
$394 |
$656 |
$2,883 |
$541 | |
| Ankle fracture repair |
$595 |
$991 |
$7,511 |
$608 | |
| Annual physical (established patient) |
$83 |
$139 |
— |
— | |
| Annual physical (new patient) |
$98 |
$163 |
— |
— | |
| Anoscopy |
$92 |
$154 |
$136 |
$129 | |
| Antinuclear antibody (ANA) test |
$14 |
$23 |
$15 |
$12 | |
| Arterial blood gas (ABG) |
$29 |
$49 |
$31 |
$26 | |
| AST liver enzyme test |
$6 |
$10 |
$6 |
$5 | |
| Barium swallow study |
$275 |
$458 |
$187 |
$107 | |
| Basic metabolic panel |
$10 |
$16 |
$10 |
$8 | |
| Bilirubin blood test |
$5 |
$9 |
$6 |
$5 | |
| Bladder function test (urodynamics) |
$290 |
$484 |
$702 |
$345 | |
| Bladder tumor removal (TURBT) |
$16,280 |
$27,134 |
$3,626 |
$236 | |
| Blood clotting test (PT/INR) |
$5 |
$8 |
$5 |
$4 | |
| Blood crossmatch |
$215 |
$359 |
$180 |
— | |
| Blood glucose test |
$5 |
$8 |
$5 |
$5 | |
| Blood transfusion |
$579 |
$965 |
$460 |
$47 | |
| Blood type and screen |
$67 |
$112 |
$56 |
$10 | |
| BNP (heart failure) test |
$44 |
$73 |
$47 |
$39 | |
| Bone density scan (DEXA) |
$281 |
$468 |
$112 |
$39 | |
| Bone marrow biopsy |
$17,535 |
$29,224 |
$2,782 |
$172 | |
| Bone scan (nuclear) |
$1,930 |
$3,216 |
$422 |
$259 | |
| Breast biopsy |
$4,235 |
$7,058 |
$1,704 |
$478 | |
| Breast MRI |
$716 |
$1,193 |
$568 |
$216 | |
| Breast MRI without contrast |
$716 |
$1,193 |
$568 |
$216 | |
| Breast ultrasound |
$691 |
$1,151 |
$112 |
$92 | |
| Breast ultrasound (complete) |
$755 |
$1,259 |
$112 |
$100 | |
| Breast ultrasound (limited) |
$626 |
$1,043 |
$93 |
$84 | |
| Breathing tube insertion (intubation) |
$423 |
$705 |
$244 |
$133 | |
| Bronchoscopy |
$13,053 |
$21,755 |
$1,813 |
$303 | |
| Bunion surgery (bunionectomy) |
$26,785 |
$44,642 |
$6,314 |
$883 | |
| Burn dressing and debridement (medium) |
$197 |
$329 |
$209 |
$166 | |
| Burn dressing and debridement (small) |
$355 |
$591 |
$209 |
$93 | |
| Burn treatment |
$276 |
$460 |
$209 |
$129 | |
| C-reactive protein (CRP) |
$6 |
$10 |
$6 |
$5 | |
| CA 19-9 tumor marker test |
$23 |
$39 |
$25 |
$21 | |
| CA-125 ovarian marker test |
$23 |
$39 |
$25 |
$21 | |
| Calcium blood test |
$6 |
$10 |
$6 |
$5 | |
| Cardiac ablation |
$28,358 |
$47,263 |
$25,793 |
$759 | |
| Cardiac catheterization |
$20,680 |
$34,466 |
$3,382 |
$1,049 | |
| Cardiac event monitor |
$179 |
$298 |
— |
$170 | |
| Cardiac rehabilitation |
$221 |
$368 |
$132 |
$26 | |
| Cardiac stress test |
$388 |
$646 |
$327 |
$39 | |
| Cardioversion |
$803 |
$1,339 |
$688 |
$155 | |
| Carotid artery ultrasound |
$674 |
$1,124 |
$211 |
$156 | |
| Carpal tunnel release |
$9,985 |
$16,641 |
$2,053 |
$483 | |
| CEA tumor marker test |
$21 |
$35 |
$23 |
$19 | |
| Central line placement |
$19,420 |
$32,366 |
$3,309 |
$238 | |
| Cervical cerclage |
$8,680 |
$14,466 |
$3,343 |
$137 | |
| Cesarean section (C-section) |
$41,986 |
$69,977 |
$12,576 |
$7,552 | |
| Chemotherapy infusion |
$417 |
$695 |
$230 |
$81 | |
| Chemotherapy infusion (each additional) |
$142 |
$236 |
$75 |
$28 | |
| Chemotherapy infusion (first hour) |
$692 |
$1,153 |
$349 |
$133 | |
| Chest fluid drain (thoracentesis) |
$5,571 |
$9,285 |
$650 |
$311 | |
| Chest tube insertion |
$2,779 |
$4,631 |
$1,633 |
$143 | |
| Chest X-ray |
$177 |
$295 |
$170 |
$37 | |
| Chest X-ray (1 view) |
$177 |
$295 |
$886 |
$25 | |
| Chest X-ray (2 views) |
$177 |
$295 |
$886 |
$33 | |
| Chickenpox (varicella) vaccine |
$110 |
$183 |
$462 |
— | |
| Circumcision |
$163 |
$271 |
$2,154 |
$167 | |
| Clotting time test (PTT) |
$7 |
$11 |
$7 |
$6 | |
| Colon resection (colectomy) |
$1,068 |
$1,780 |
— |
$1,238 | |
| Colonoscopy |
$3,735 |
$6,224 |
$1,240 |
$480 | |
| Colostomy |
$959 |
$1,598 |
— |
$1,122 | |
| Colposcopy |
$136 |
$227 |
$320 |
$161 | |
| Complete blood count (CBC) |
$8 |
$13 |
$9 |
$7 | |
| Complete blood count (CBC) (complete) |
$8 |
$14 |
$9 |
$8 | |
| Comprehensive eye exam |
$113 |
$188 |
$135 |
$138 | |
| Contraceptive implant (Nexplanon) |
$167 |
$278 |
$420 |
$115 | |
| Copper blood test |
$14 |
$23 |
$15 |
$12 | |
| Coronary CT angiography |
$769 |
$1,281 |
$375 |
$326 | |
| Cortisol test |
$18 |
$30 |
$20 |
$16 | |
| COVID-19 PCR test |
$58 |
$96 |
$51 |
$51 | |
| CPAP titration study |
$74 |
$123 |
$214 |
$69 | |
| Creatine kinase (CK) test |
$7 |
$12 |
$8 |
$7 | |
| CT angiography of the chest |
$1,297 |
$2,162 |
$457 |
$281 | |
| CT angiography of the head |
$1,150 |
$1,916 |
$457 |
$274 | |
| CT colonography (virtual colonoscopy) |
$581 |
$969 |
$254 |
$835 | |
| CT scan of the abdomen |
$973 |
$1,621 |
$457 |
$230 | |
| CT scan of the abdomen and pelvis |
$1,490 |
$2,484 |
$457 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,011 |
$3,351 |
$457 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$1,490 |
$2,484 |
$457 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,377 |
$2,295 |
$236 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,032 |
$1,720 |
$457 |
$259 | |
| CT scan of the abdomen with contrast |
$973 |
$1,621 |
$457 |
$230 | |
| CT scan of the abdomen without contrast |
$810 |
$1,350 |
$236 |
$136 | |
| CT scan of the arm |
$1,331 |
$2,219 |
$457 |
$199 | |
| CT scan of the arm with contrast |
$1,331 |
$2,219 |
$457 |
$199 | |
| CT scan of the arm without contrast |
$1,004 |
$1,673 |
$236 |
$161 | |
| CT scan of the chest |
$1,061 |
$1,769 |
$457 |
$167 | |
| CT scan of the chest with and without contrast |
$1,150 |
$1,916 |
$457 |
$196 | |
| CT scan of the chest with contrast |
$1,061 |
$1,769 |
$457 |
$167 | |
| CT scan of the chest without contrast |
$669 |
$1,115 |
$236 |
$133 | |
| CT scan of the head |
$826 |
$1,376 |
$457 |
$148 | |
| CT scan of the head with and without contrast |
$943 |
$1,572 |
$457 |
$173 | |
| CT scan of the head with contrast |
$826 |
$1,376 |
$457 |
$148 | |
| CT scan of the head without contrast |
$775 |
$1,291 |
$236 |
$107 | |
| CT scan of the leg |
$1,238 |
$2,064 |
$457 |
$166 | |
| CT scan of the leg with contrast |
$1,238 |
$2,064 |
$457 |
$166 | |
| CT scan of the leg without contrast |
$1,004 |
$1,673 |
$236 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$592 |
$986 |
$457 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$590 |
$983 |
$457 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$592 |
$986 |
$457 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$775 |
$1,291 |
$236 |
$130 | |
| CT scan of the neck |
$914 |
$1,523 |
$457 |
$183 | |
| CT scan of the neck (cervical spine) |
$532 |
$887 |
$457 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$295 |
$491 |
$457 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$532 |
$887 |
$457 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,057 |
$1,761 |
$236 |
$131 | |
| CT scan of the neck with and without contrast |
$1,032 |
$1,720 |
$457 |
$220 | |
| CT scan of the neck with contrast |
$914 |
$1,523 |
$457 |
$183 | |
| CT scan of the neck without contrast |
$669 |
$1,115 |
$236 |
$150 | |
| CT scan of the pelvis |
$1,032 |
$1,720 |
$457 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,061 |
$1,769 |
$457 |
$251 | |
| CT scan of the pelvis with contrast |
$1,032 |
$1,720 |
$457 |
$226 | |
| CT scan of the pelvis without contrast |
$810 |
$1,350 |
$236 |
$133 | |
| CT scan of the sinuses |
$884 |
$1,474 |
$457 |
$152 | |
| CT scan of the sinuses with and without contrast |
$973 |
$1,621 |
$457 |
$184 | |
| CT scan of the sinuses with contrast |
$884 |
$1,474 |
$457 |
$152 | |
| CT scan of the sinuses without contrast |
$775 |
$1,291 |
$236 |
$128 | |
| D-dimer test |
$11 |
$19 |
$12 |
$10 | |
| Defibrillator (ICD) implant |
$51,891 |
$86,486 |
$33,710 |
$798 | |
| Developmental screening (child) |
$14 |
$23 |
— |
— | |
| DHEA-sulfate test |
$25 |
$41 |
$27 |
$22 | |
| Diagnostic mammogram |
$306 |
$510 |
$143 |
$140 | |
| Ear pressure test (tympanometry) |
$13 |
$22 |
$41 |
$16 | |
| Eardrum repair (tympanoplasty) |
$25,894 |
$43,156 |
$6,220 |
$799 | |
| Echocardiogram |
$680 |
$1,134 |
$254 |
$138 | |
| Echocardiogram with and without contrast |
$680 |
$1,134 |
$254 |
$101 | |
| Echocardiogram without contrast |
$680 |
$1,134 |
$254 |
$138 | |
| EEG (awake and asleep) |
$623 |
$1,039 |
$327 |
$482 | |
| EKG / ECG (tracing only) |
$191 |
$319 |
$62 |
$7 | |
| Electroencephalogram (EEG) |
$623 |
$1,039 |
$327 |
$448 | |
| Electrolyte panel |
$8 |
$13 |
$8 |
$7 | |
| Electromyography (EMG) |
$109 |
$181 |
$136 |
$141 | |
| Emergency department visit |
$347 |
$579 |
$291 |
$69 | |
| Emergency department visit (level 1) |
$230 |
$384 |
$93 |
$11 | |
| Emergency department visit (level 2) |
$464 |
$774 |
$167 |
$40 | |
| Emergency department visit (level 3) |
$818 |
$1,363 |
$291 |
$69 | |
| Emergency department visit (level 4) |
$1,541 |
$2,568 |
$448 |
$118 | |
| Endometrial biopsy |
$89 |
$148 |
$212 |
$98 | |
| Epidural steroid injection |
$1,606 |
$2,676 |
$728 |
$275 | |
| ERCP (bile duct endoscopy) |
$31,990 |
$53,317 |
$4,000 |
$311 | |
| Esophageal dilation |
$13,016 |
$21,693 |
$986 |
$522 | |
| Estradiol (estrogen) test |
$31 |
$52 |
$34 |
$28 | |
| Eyelid surgery (blepharoplasty) |
$22,339 |
$37,231 |
$1,923 |
$552 | |
| Fallopian tube X-ray (HSG) |
$892 |
$1,486 |
$254 |
$164 | |
| Family therapy session |
$91 |
$151 |
$430 |
$110 | |
| Fecal occult blood (stool) test |
$5 |
$8 |
$4 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$5 |
$8 |
$4 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$18 |
$30 |
$19 |
$16 | |
| Feeding tube (PEG) placement |
$9,059 |
$15,098 |
$1,995 |
$178 | |
| Femoral hernia repair |
$508 |
$846 |
$3,710 |
$584 | |
| Ferritin (iron) test |
$15 |
$25 |
$16 |
$14 | |
| Fibrinogen test |
$11 |
$18 |
$12 |
$10 | |
| Fibroid removal (myomectomy) |
$934 |
$1,556 |
— |
$914 | |
| Flexible sigmoidoscopy |
$259 |
$431 |
$959 |
$323 | |
| Flu test |
$19 |
$31 |
$20 |
$17 | |
| Folate (folic acid) test |
$16 |
$27 |
$18 |
$15 | |
| Free T4 thyroid test |
$10 |
$17 |
$11 |
$9 | |
| FSH hormone test |
$21 |
$35 |
$22 |
$19 | |
| Gallbladder removal (laparoscopic) |
$34,942 |
$58,236 |
$6,134 |
$658 | |
| Gallbladder scan (HIDA) |
$1,757 |
$2,928 |
$566 |
$334 | |
| Ganglion cyst removal |
$10,596 |
$17,660 |
$1,683 |
$321 | |
| GGT liver test |
$8 |
$13 |
$9 |
$7 | |
| Glucose tolerance test |
$9 |
$16 |
$13 |
$8 | |
| H. pylori test |
$75 |
$125 |
$81 |
$67 | |
| Hammertoe repair |
$10,113 |
$16,854 |
$3,411 |
$548 | |
| HDL cholesterol test |
$9 |
$15 |
$10 |
$8 | |
| Hemoglobin A1c (diabetes test) |
$11 |
$18 |
$12 |
$10 | |
| Hemorrhoid removal |
$256 |
$427 |
$2,161 |
$338 | |
| Hepatitis A vaccine |
$50 |
$84 |
$187 |
— | |
| Hepatitis B test |
$11 |
$19 |
$12 |
$10 | |
| Hepatitis B vaccine |
$139 |
$232 |
$187 |
— | |
| Hepatitis C test |
$16 |
$27 |
$17 |
$14 | |
| Hip fracture repair |
$1,082 |
$1,803 |
— |
$1,120 | |
| Hip replacement |
$70,888 |
$118,146 |
$13,528 |
$1,162 | |
| HIV test |
$21 |
$36 |
$23 |
$19 | |
| HIV test (antibody) |
$16 |
$26 |
$16 |
$14 | |
| HIV test (antigen/antibody combo) |
$27 |
$45 |
$29 |
$24 | |
| Holter heart monitor |
$75 |
$125 |
$115 |
$26 | |
| HPV vaccine |
$274 |
$457 |
$762 |
— | |
| Hydrocele repair |
$13,457 |
$22,428 |
$3,710 |
$315 | |
| Hysterectomy |
$22,942 |
$38,237 |
$10,946 |
$933 | |
| Hysteroscopy |
$19,452 |
$32,421 |
$3,343 |
$1,270 | |
| Ileostomy |
$831 |
$1,385 |
— |
$968 | |
| Inguinal hernia repair |
$37,609 |
$62,682 |
$3,710 |
$538 | |
| Iron blood test |
$7 |
$12 |
$8 |
$6 | |
| IUD insertion |
$75 |
$125 |
— |
— | |
| IV infusion therapy |
$83 |
$138 |
$147 |
$44 | |
| IV infusion therapy (each additional) |
$83 |
$138 |
$49 |
$21 | |
| IV infusion therapy (initial) |
$523 |
$872 |
$222 |
$67 | |
| IVC filter placement |
$8,573 |
$14,288 |
$5,684 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$648 |
$1,080 |
$310 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$709 |
$1,182 |
$310 |
$57 | |
| Joint aspiration or injection (small joint) |
$587 |
$978 |
$310 |
$56 | |
| Kidney biopsy |
$14,111 |
$23,519 |
$1,704 |
$492 | |
| Kidney scan (nuclear) |
$980 |
$1,634 |
$566 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$9,011 |
$15,019 |
$3,626 |
$760 | |
| Kidney ultrasound |
$495 |
$825 |
$322 |
$84 | |
| Kidney ultrasound (limited) |
$458 |
$763 |
$112 |
$61 | |
| Knee arthroscopy |
$32,170 |
$53,616 |
$3,411 |
$524 | |
| Knee joint injection |
$1,810 |
$3,017 |
$310 |
$69 | |
| Knee replacement |
$56,498 |
$94,164 |
$24,048 |
$18,054 | |
| Lactate test |
$13 |
$22 |
$14 |
$12 | |
| LDH test |
$7 |
$11 |
$7 |
$6 | |
| LDL cholesterol test |
$12 |
$20 |
$13 |
$11 | |
| Leg artery angiogram |
$4,031 |
$6,718 |
$3,309 |
$149 | |
| Leg vein ultrasound (Doppler) |
$881 |
$1,468 |
$168 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$881 |
$1,468 |
$112 |
$116 | |
| LH hormone test |
$20 |
$34 |
$22 |
$19 | |
| Lipase test |
$8 |
$13 |
$8 |
$7 | |
| Lipid (cholesterol) panel |
$15 |
$25 |
$13 |
$13 | |
| Liver biopsy |
$5,148 |
$8,579 |
$1,704 |
$288 | |
| Lumpectomy (breast) |
$17,971 |
$29,952 |
$6,448 |
$750 | |
| Lung function test (PFT) |
$518 |
$864 |
$287 |
$37 | |
| Lung scan (V/Q) |
$1,123 |
$1,872 |
$566 |
$291 | |
| Magnesium blood test |
$7 |
$12 |
$8 |
$7 | |
| Meniscus repair (knee) |
$38,844 |
$64,740 |
$3,411 |
$714 | |
| MMR vaccine |
$259 |
$431 |
$245 |
— | |
| MRA of the brain |
$715 |
$1,192 |
$858 |
$226 | |
| MRA of the brain with contrast |
$715 |
$1,192 |
$899 |
$226 | |
| MRA of the brain without contrast |
$715 |
$1,192 |
$899 |
$328 | |
| MRA of the neck |
$716 |
$1,193 |
$850 |
$245 | |
| MRA of the neck without contrast |
$715 |
$1,192 |
$899 |
$343 | |
| MRI of the abdomen |
$715 |
$1,192 |
$858 |
$300 | |
| MRI of the abdomen with contrast |
$715 |
$1,192 |
$899 |
$300 | |
| MRI of the abdomen without contrast |
$716 |
$1,193 |
$568 |
$194 | |
| MRI of the ankle |
$715 |
$1,192 |
$858 |
$261 | |
| MRI of the ankle with contrast |
$715 |
$1,192 |
$899 |
$261 | |
| MRI of the ankle without contrast |
$716 |
$1,193 |
$568 |
$222 | |
| MRI of the brain |
$715 |
$1,192 |
$858 |
$269 | |
| MRI of the brain with contrast |
$715 |
$1,192 |
$899 |
$269 | |
| MRI of the brain without contrast |
$716 |
$1,193 |
$568 |
$195 | |
| MRI of the chest |
$715 |
$1,192 |
$858 |
$371 | |
| MRI of the chest with contrast |
$715 |
$1,192 |
$899 |
$371 | |
| MRI of the chest without contrast |
$715 |
$1,192 |
$899 |
$466 | |
| MRI of the knee |
$715 |
$1,192 |
$858 |
$315 | |
| MRI of the knee with contrast |
$715 |
$1,192 |
$899 |
$315 | |
| MRI of the knee without contrast |
$716 |
$1,193 |
$568 |
$204 | |
| MRI of the lower back (lumbar spine) |
$715 |
$1,192 |
$858 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$715 |
$1,192 |
$899 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$716 |
$1,193 |
$568 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$715 |
$1,192 |
$858 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$715 |
$1,192 |
$899 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$715 |
$1,192 |
$899 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$716 |
$1,193 |
$568 |
$190 | |
| MRI of the neck (cervical spine) |
$715 |
$1,192 |
$858 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$715 |
$1,192 |
$899 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$715 |
$1,192 |
$899 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$716 |
$1,193 |
$568 |
$191 | |
| MRI of the pelvis |
$715 |
$1,192 |
$858 |
$268 | |
| MRI of the pelvis with contrast |
$715 |
$1,192 |
$899 |
$268 | |
| MRI of the pelvis without contrast |
$716 |
$1,193 |
$568 |
$227 | |
| MRI of the shoulder |
$715 |
$1,192 |
$858 |
$313 | |
| MRI of the shoulder with contrast |
$715 |
$1,192 |
$899 |
$313 | |
| MRI of the shoulder without contrast |
$716 |
$1,193 |
$568 |
$205 | |
| MRI of the wrist |
$715 |
$1,192 |
$858 |
$330 | |
| MRI of the wrist with contrast |
$715 |
$1,192 |
$899 |
$330 | |
| MRI of the wrist without contrast |
$716 |
$1,193 |
$568 |
$303 | |
| Nebulizer breathing treatment |
$202 |
$337 |
$214 |
$9 | |
| Nerve conduction study |
$116 |
$193 |
$327 |
$118 | |
| Newborn hospital care |
$55 |
$92 |
$135 |
$58 | |
| Nuclear cardiac stress test |
$5,318 |
$8,864 |
$1,373 |
$428 | |
| Occupational therapy evaluation |
$224 |
$373 |
$96 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$224 |
$373 |
$96 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$196 |
$326 |
$96 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$224 |
$373 |
$96 |
$101 | |
| Office visit (established patient) |
$93 |
$156 |
— |
$115 | |
| Office visit (new patient) |
$142 |
$236 |
— |
$177 | |
| Office visit, established patient (level 3) |
$77 |
$129 |
— |
$95 | |
| Office visit, established patient (level 4) |
$109 |
$182 |
— |
$136 | |
| Office visit, new patient (level 3) |
$94 |
$157 |
— |
$118 | |
| Office visit, new patient (level 4) |
$142 |
$236 |
— |
$177 | |
| Office visit, new patient (level 5) |
$187 |
$311 |
— |
$237 | |
| Orthopedic hardware removal |
$22,802 |
$38,004 |
$3,009 |
$632 | |
| Ovarian cyst removal |
$622 |
$1,036 |
$5,190 |
$698 | |
| Ovary removal (oophorectomy) |
$450 |
$750 |
— |
$822 | |
| Pacemaker insertion |
$22,300 |
$37,167 |
$24,904 |
$15,506 | |
| Pap smear (cervical screening) |
$26 |
$44 |
$20 |
$20 | |
| Parathyroid hormone (PTH) test |
$46 |
$77 |
$50 |
$41 | |
| Parathyroid removal |
$56,836 |
$94,726 |
$6,220 |
$891 | |
| Pelvic ultrasound |
$462 |
$770 |
$322 |
$78 | |
| Pelvic ultrasound (complete) |
$599 |
$999 |
$322 |
$105 | |
| Pelvic ultrasound (limited) |
$324 |
$540 |
$322 |
$51 | |
| PET scan |
$6,401 |
$10,668 |
$1,534 |
— | |
| Phosphorus blood test |
$5 |
$9 |
$6 |
$5 | |
| Physical therapy evaluation |
$205 |
$341 |
$94 |
$98 | |
| Physical therapy evaluation (high complexity) |
$232 |
$386 |
$94 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$205 |
$341 |
$94 |
$98 | |
| Pilonidal cyst removal |
$23,115 |
$38,526 |
$3,009 |
$541 | |
| Platelet count |
$5 |
$8 |
$5 |
$4 | |
| Pneumonia vaccine |
$106 |
$176 |
$354 |
— | |
| Pregnancy blood test (hCG) |
$8 |
$14 |
$9 |
$8 | |
| Pregnancy ultrasound |
$581 |
$969 |
$112 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$563 |
$939 |
$112 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$599 |
$998 |
$112 |
$136 | |
| Procalcitonin test |
$31 |
$51 |
$33 |
$27 | |
| Prolactin test |
$22 |
$36 |
$23 |
$19 | |
| Prostate removal (prostatectomy) |
$46,809 |
$78,016 |
$10,946 |
$1,063 | |
| Prostate surgery (TURP) |
$13,321 |
$22,202 |
$5,345 |
$526 | |
| Prostate test (PSA) |
$20 |
$34 |
$22 |
$18 | |
| Psychiatric evaluation |
$146 |
$243 |
$430 |
$188 | |
| Psychotherapy session |
$113 |
$189 |
$430 |
$140 | |
| Pulmonary rehabilitation |
$177 |
$295 |
$62 |
$87 | |
| Rheumatoid factor test |
$7 |
$11 |
$7 |
$6 | |
| Rotator cuff repair |
$786 |
$1,310 |
$7,511 |
$792 | |
| Sacroiliac joint injection |
$186 |
$310 |
— |
$176 | |
| Scoliosis spine X-ray |
$125 |
$208 |
$93 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$125 |
$208 |
$93 |
$44 | |
| Screening colonoscopy |
$1,886 |
$3,144 |
$959 |
$378 | |
| Screening mammogram |
$284 |
$473 |
$116 |
$126 | |
| Scrotal ultrasound |
$532 |
$886 |
$112 |
$99 | |
| Sedimentation rate (ESR) test |
$4 |
$7 |
$4 |
$3 | |
| Semen analysis |
$13 |
$22 |
$14 |
$12 | |
| Sex hormone binding globulin test |
$24 |
$40 |
$26 |
$22 | |
| Shingles vaccine |
$130 |
$216 |
$524 |
— | |
| Shoulder arthroscopy |
$24,673 |
$41,122 |
$7,511 |
$962 | |
| Shoulder replacement |
$65,937 |
$109,895 |
$19,335 |
$1,300 | |
| Skin biopsy |
$594 |
$991 |
$420 |
$121 | |
| Skin biopsy (punch) |
$794 |
$1,323 |
$420 |
$121 | |
| Skin graft |
$686 |
$1,143 |
$3,849 |
$898 | |
| Sleep study (polysomnography) |
$3,707 |
$6,178 |
$1,070 |
$691 | |
| Small bowel resection |
$971 |
$1,619 |
— |
$1,136 | |
| Soft tissue ultrasound |
$401 |
$669 |
$112 |
$64 | |
| Speech therapy |
$188 |
$314 |
$72 |
$76 | |
| Spinal tap (lumbar puncture) |
$1,461 |
$2,435 |
$728 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$14,895 |
$24,824 |
$7,511 |
$5,803 | |
| Spirometry (lung function test) |
$518 |
$864 |
$165 |
$30 | |
| Spirometry with bronchodilator |
$619 |
$1,031 |
$327 |
$43 | |
| Spleen removal (splenectomy) |
$880 |
$1,467 |
$10,946 |
$1,036 | |
| Stomach removal (gastrectomy) |
$1,154 |
$1,923 |
— |
$1,595 | |
| Strep throat test |
$19 |
$31 |
$20 |
$17 | |
| Stress echocardiogram |
$1,144 |
$1,907 |
$576 |
$209 | |
| Swallow study |
$182 |
$304 |
$66 |
$85 | |
| T3 thyroid test |
$16 |
$26 |
$17 |
$14 | |
| Tdap (tetanus) vaccine |
$113 |
$189 |
$104 |
— | |
| Testicle removal (orchiectomy) |
$12,225 |
$20,375 |
$3,626 |
$306 | |
| Testosterone test |
$29 |
$48 |
$31 |
$26 | |
| Thyroid removal (thyroidectomy) |
$785 |
$1,309 |
$6,134 |
$1,004 | |
| Thyroid test (TSH) |
$19 |
$31 |
$20 |
$17 | |
| Thyroid ultrasound |
$598 |
$997 |
$112 |
$109 | |
| Thyroid uptake scan |
$1,198 |
$1,996 |
$422 |
$145 | |
| Tilt table test |
$787 |
$1,311 |
$558 |
$168 | |
| Tonsillectomy |
$16,573 |
$27,622 |
$3,410 |
$252 | |
| Total IgE allergy test |
$19 |
$31 |
$20 |
$16 | |
| Total protein test |
$4 |
$7 |
$4 |
$4 | |
| Tracheostomy |
$305 |
$508 |
$3,410 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$1,544 |
$2,573 |
$576 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,544 |
$2,573 |
$576 |
$239 | |
| Transvaginal ultrasound |
$592 |
$986 |
$112 |
$118 | |
| Trigger point injection |
$391 |
$652 |
$310 |
$56 | |
| Trigger point injection (1-2 muscles) |
$391 |
$652 |
$310 |
$52 | |
| Triglycerides test |
$7 |
$11 |
$6 |
$6 | |
| Troponin (heart) test |
$14 |
$23 |
$15 |
$12 | |
| Ulnar nerve surgery (elbow) |
$15,428 |
$25,713 |
$2,053 |
$575 | |
| Upper GI endoscopy (EGD) |
$5,235 |
$8,724 |
$986 |
$371 | |
| Upper GI series (barium) |
$522 |
$871 |
$187 |
$128 | |
| Ureteral stent placement |
$26,026 |
$43,376 |
$3,626 |
$373 | |
| Ureteroscopy (stone removal) |
$25,067 |
$41,779 |
$5,345 |
$365 | |
| Uric acid (gout) test |
$5 |
$8 |
$5 |
$5 | |
| Urinalysis |
$4 |
$7 |
$3 |
$3 | |
| Urine microalbumin test |
$6 |
$11 |
$7 |
$5 | |
| Urine pregnancy test |
$10 |
$16 |
$10 |
$9 | |
| Vaccine administration |
$46 |
$76 |
$75 |
$19 | |
| Vaccine administration (each additional) |
$46 |
$76 |
— |
$16 | |
| Vaginal delivery |
$5,408 |
$9,014 |
$8,481 |
$5,487 | |
| Varicose vein ablation |
$15,633 |
$26,055 |
$3,309 |
$1,018 | |
| Vasectomy |
$14,380 |
$23,966 |
$2,154 |
$347 | |
| Vitamin B12 test |
$17 |
$28 |
$18 |
$15 | |
| Vitamin D test |
$33 |
$55 |
$36 |
$30 | |
| Wart removal |
$108 |
$180 |
$209 |
$121 | |
| Well-child visit |
$72 |
$120 |
— |
— | |
| Wound debridement |
$7,094 |
$11,823 |
$637 |
$186 | |
| Wrist fracture repair |
$682 |
$1,136 |
$7,511 |
$735 | |
| X-ray of the abdomen |
$163 |
$272 |
$112 |
$36 | |
| X-ray of the ankle |
$266 |
$443 |
$93 |
$37 | |
| X-ray of the collarbone |
$187 |
$312 |
$93 |
$33 | |
| X-ray of the elbow |
$266 |
$443 |
$93 |
$33 | |
| X-ray of the facial bones |
$167 |
$278 |
$112 |
$39 | |
| X-ray of the foot |
$266 |
$443 |
$93 |
$34 | |
| X-ray of the forearm |
$224 |
$374 |
$93 |
$29 | |
| X-ray of the hand |
$266 |
$443 |
$93 |
$38 | |
| X-ray of the hip |
$177 |
$295 |
$93 |
$49 | |
| X-ray of the hip (1 view) |
$125 |
$208 |
$93 |
$34 | |
| X-ray of the hip (3 views) |
$177 |
$295 |
$93 |
$49 | |
| X-ray of the hip (4 views) |
$233 |
$389 |
$112 |
$63 | |
| X-ray of the knee |
$266 |
$443 |
$102 |
$42 | |
| X-ray of the knee (2 views) |
$224 |
$374 |
$93 |
$34 | |
| X-ray of the knee (3 views) |
$266 |
$443 |
$93 |
$42 | |
| X-ray of the knee (4+ views) |
$350 |
$584 |
$112 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$205 |
$342 |
$112 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$177 |
$295 |
$112 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$233 |
$389 |
$112 |
$53 | |
| X-ray of the lower leg |
$224 |
$374 |
$93 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$177 |
$295 |
$112 |
$36 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$177 |
$295 |
$112 |
$39 | |
| X-ray of the neck (cervical spine) |
$191 |
$319 |
$112 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$149 |
$249 |
$93 |
$40 | |
| X-ray of the pelvis |
$155 |
$258 |
$112 |
$36 | |
| X-ray of the pelvis (1 view) |
$125 |
$208 |
$112 |
$28 | |
| X-ray of the ribs |
$177 |
$295 |
$112 |
$42 | |
| X-ray of the ribs (2 views) |
$125 |
$208 |
$93 |
$36 | |
| X-ray of the ribs (3 views) |
$184 |
$307 |
$112 |
$42 | |
| X-ray of the shoulder |
$224 |
$374 |
$93 |
$36 | |
| X-ray of the skull |
$191 |
$319 |
$112 |
$40 | |
| X-ray of the upper arm |
$149 |
$249 |
$93 |
$32 | |
| X-ray of the wrist |
$266 |
$443 |
$93 |
$43 | |
| Zinc blood test |
$13 |
$21 |
$14 |
$11 | |