| 3D mammogram (tomosynthesis) |
— |
$259 |
$198 |
$51 | |
| Abdominal fluid drain (paracentesis) |
— |
$3,996 |
$2,865 |
$284 | |
| Abdominal ultrasound |
— |
$1,447 |
$955 |
$100 | |
| Abdominal ultrasound (complete) |
— |
$1,645 |
$1,102 |
$114 | |
| Abdominal ultrasound (limited) |
— |
$1,248 |
$836 |
$86 | |
| Abscess drainage (complex or multiple) |
— |
$433 |
$346 |
$220 | |
| Abscess drainage (simple) |
— |
$334 |
$260 |
$129 | |
| Abscess incision and drainage |
— |
$383 |
$284 |
$174 | |
| Achilles tendon repair |
— |
$59,012 |
$28,555 |
$624 | |
| ACL knee reconstruction |
— |
$99,892 |
$40,956 |
$889 | |
| Adenoid removal (adenoidectomy) |
— |
$25,925 |
$13,222 |
$204 | |
| Albumin blood test |
— |
$100 |
$67 |
$5 | |
| Aldosterone test |
— |
$36 |
$31 |
$41 | |
| Alkaline phosphatase test |
— |
$134 |
$5 |
$5 | |
| Alpha-fetoprotein (AFP) test |
— |
$147 |
$113 |
$17 | |
| ALT liver enzyme test |
— |
$92 |
$38 |
$5 | |
| Ammonia blood test |
— |
$285 |
$191 |
$15 | |
| Amniocentesis |
— |
$2,620 |
$2,002 |
$120 | |
| Amylase test |
— |
$153 |
$103 |
$6 | |
| Anal fistula repair |
— |
$21,799 |
$14,605 |
$541 | |
| Ankle fracture repair |
— |
$46,955 |
$21,575 |
$608 | |
| Ankle replacement |
— |
$389,734 |
$152,640 |
$885 | |
| Antinuclear antibody (ANA) test |
— |
$85 |
$12 |
$12 | |
| Appendix removal (appendectomy) |
— |
$120,343 |
$77,607 |
$592 | |
| Arterial blood gas (ABG) |
— |
$636 |
$426 |
$26 | |
| AST liver enzyme test |
— |
$105 |
$21 |
$5 | |
| Barium swallow study |
— |
$931 |
$667 |
$107 | |
| Basic metabolic panel |
— |
$375 |
$251 |
$8 | |
| Benign skin lesion removal |
— |
$20,619 |
$10,516 |
$171 | |
| Bilirubin blood test |
— |
$199 |
$134 |
$5 | |
| Bladder scope (cystoscopy) |
— |
$15,857 |
$8,087 |
$216 | |
| Bladder tumor removal (TURBT) |
— |
$20,415 |
$12,063 |
$236 | |
| Blood clotting test (PT/INR) |
— |
$177 |
$5 |
$4 | |
| Blood crossmatch |
— |
$638 |
$488 |
— | |
| Blood glucose test |
— |
$58 |
$35 |
$5 | |
| Blood transfusion |
— |
$3,238 |
$2,551 |
$47 | |
| Blood type and screen |
— |
$354 |
$91 |
$10 | |
| Blood type test |
— |
$252 |
$28 |
$3 | |
| Blood type test (ABO group) |
— |
$241 |
$28 |
$3 | |
| Blood type test (Rh/D antigen) |
— |
$264 |
$19 |
$3 | |
| BNP (heart failure) test |
— |
$83 |
$37 |
$39 | |
| Bone density scan (DEXA) |
— |
$705 |
$506 |
$39 | |
| Bone scan (nuclear) |
— |
$3,132 |
$2,246 |
$259 | |
| Breast biopsy |
— |
$5,675 |
$3,634 |
$478 | |
| Breast MRI |
— |
$4,551 |
$3,123 |
$216 | |
| Breast MRI without contrast |
— |
$3,942 |
$2,641 |
$216 | |
| Breast ultrasound |
— |
$634 |
$454 |
$92 | |
| Breast ultrasound (complete) |
— |
$631 |
$452 |
$100 | |
| Breast ultrasound (limited) |
— |
$636 |
$456 |
$84 | |
| Bronchoscopy |
— |
$11,821 |
$7,661 |
$303 | |
| Bunion surgery (bunionectomy) |
— |
$105,365 |
$40,457 |
$883 | |
| Burn dressing and debridement (medium) |
— |
$396 |
$284 |
$166 | |
| Burn dressing and debridement (small) |
— |
$396 |
$284 |
$93 | |
| Burn treatment |
— |
$396 |
$284 |
$129 | |
| C-reactive protein (CRP) |
— |
$179 |
$120 |
$5 | |
| CA 19-9 tumor marker test |
— |
$199 |
$133 |
$21 | |
| CA-125 ovarian marker test |
— |
$173 |
$116 |
$21 | |
| Calcium blood test |
— |
$58 |
$40 |
$5 | |
| Cardiac catheterization |
— |
$41,655 |
$17,079 |
$1,049 | |
| Cardiac rehabilitation |
— |
$305 |
$219 |
$26 | |
| Cardiac stress test |
— |
$1,702 |
$1,220 |
$39 | |
| Cardioversion |
— |
$10,455 |
$6,421 |
$155 | |
| Carotid artery ultrasound |
— |
$2,020 |
$1,397 |
$156 | |
| Carpal tunnel release |
— |
$14,216 |
$9,524 |
$483 | |
| CEA tumor marker test |
— |
$133 |
$89 |
$19 | |
| Celiac disease test |
— |
$12 |
$10 |
$12 | |
| Cervical LEEP procedure |
— |
$22,012 |
$11,675 |
$325 | |
| Cesarean section (C-section) |
— |
$139,240 |
$81,538 |
$7,552 | |
| Chemotherapy infusion |
— |
$807 |
$632 |
$81 | |
| Chemotherapy infusion (each additional) |
— |
$807 |
$541 |
$28 | |
| Chemotherapy infusion (first hour) |
— |
$1,076 |
$822 |
$133 | |
| Chest fluid drain (thoracentesis) |
— |
$4,245 |
$3,044 |
$311 | |
| Chest X-ray |
— |
$1,010 |
$677 |
$37 | |
| Chest X-ray (1 view) |
— |
$1,010 |
$677 |
$25 | |
| Chickenpox (varicella) vaccine |
— |
$5,899 |
$3,943 |
— | |
| Circumcision |
— |
$27,157 |
$11,709 |
$167 | |
| CK-MB heart enzyme test |
— |
$519 |
$348 |
$12 | |
| Clotting time test (PTT) |
— |
$224 |
$6 |
$6 | |
| Colonoscopy |
— |
$10,644 |
$6,323 |
$480 | |
| Complete blood count (CBC) |
— |
$220 |
$143 |
$7 | |
| Complete blood count (CBC) (complete) |
— |
$188 |
$126 |
$8 | |
| Comprehensive metabolic panel |
— |
$392 |
$263 |
$11 | |
| Copper blood test |
— |
$11 |
$10 |
$12 | |
| Cortisol test |
— |
$302 |
$202 |
$16 | |
| COVID-19 PCR test |
— |
$83 |
$57 |
$51 | |
| CPAP titration study |
— |
$2,064 |
$1,383 |
$69 | |
| Creatine kinase (CK) test |
— |
$291 |
$195 |
$7 | |
| CT angiography of the chest |
— |
$6,652 |
$4,447 |
$281 | |
| CT angiography of the head |
— |
$5,237 |
$3,501 |
$274 | |
| CT scan of the abdomen |
— |
$4,774 |
$3,174 |
$230 | |
| CT scan of the abdomen and pelvis |
— |
$10,581 |
$6,416 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
— |
$8,949 |
$5,982 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
— |
$11,398 |
$7,620 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
— |
$10,581 |
$7,074 |
$183 | |
| CT scan of the abdomen with and without contrast |
— |
$4,774 |
$3,192 |
$259 | |
| CT scan of the abdomen with contrast |
— |
$4,854 |
$3,245 |
$230 | |
| CT scan of the abdomen without contrast |
— |
$4,722 |
$3,156 |
$136 | |
| CT scan of the arm |
— |
$5,697 |
$3,477 |
$199 | |
| CT scan of the arm with contrast |
— |
$6,891 |
$4,607 |
$199 | |
| CT scan of the arm without contrast |
— |
$4,503 |
$3,010 |
$161 | |
| CT scan of the chest |
— |
$4,347 |
$2,913 |
$167 | |
| CT scan of the chest with and without contrast |
— |
$4,347 |
$2,913 |
$196 | |
| CT scan of the chest with contrast |
— |
$4,640 |
$3,102 |
$167 | |
| CT scan of the chest without contrast |
— |
$4,062 |
$2,721 |
$133 | |
| CT scan of the head |
— |
$4,243 |
$2,843 |
$148 | |
| CT scan of the head with and without contrast |
— |
$4,045 |
$2,710 |
$173 | |
| CT scan of the head with contrast |
— |
$4,243 |
$2,843 |
$148 | |
| CT scan of the head without contrast |
— |
$4,525 |
$3,025 |
$107 | |
| CT scan of the leg |
— |
$5,546 |
$3,361 |
$166 | |
| CT scan of the leg with contrast |
— |
$6,591 |
$4,406 |
$166 | |
| CT scan of the leg without contrast |
— |
$4,501 |
$3,009 |
$130 | |
| CT scan of the lower back (lumbar spine) |
— |
$5,253 |
$3,319 |
$169 | |
| CT scan of the lower back (lumbar spine) with contrast |
— |
$5,552 |
$3,712 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
— |
$4,953 |
$3,311 |
$130 | |
| CT scan of the neck |
— |
$4,863 |
$3,254 |
$183 | |
| CT scan of the neck (cervical spine) |
— |
$4,552 |
$3,043 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
— |
$4,552 |
$3,043 |
$131 | |
| CT scan of the neck with and without contrast |
— |
$5,457 |
$3,648 |
$220 | |
| CT scan of the neck with contrast |
— |
$4,857 |
$3,247 |
$183 | |
| CT scan of the neck without contrast |
— |
$4,863 |
$3,251 |
$150 | |
| CT scan of the pelvis |
— |
$5,288 |
$3,442 |
$226 | |
| CT scan of the pelvis with and without contrast |
— |
$5,544 |
$3,706 |
$251 | |
| CT scan of the pelvis with contrast |
— |
$5,011 |
$3,350 |
$226 | |
| CT scan of the pelvis without contrast |
— |
$5,288 |
$3,535 |
$133 | |
| CT scan of the sinuses |
— |
$4,837 |
$3,234 |
$152 | |
| CT scan of the sinuses with contrast |
— |
$4,843 |
$3,238 |
$152 | |
| CT scan of the sinuses without contrast |
— |
$4,831 |
$3,230 |
$128 | |
| D-dimer test |
— |
$649 |
$435 |
$10 | |
| Defibrillator (ICD) implant |
— |
$291,361 |
$146,611 |
$798 | |
| DHEA-sulfate test |
— |
$269 |
$22 |
$22 | |
| Diagnostic mammogram |
— |
$687 |
$374 |
$140 | |
| Drug screen (urine) |
— |
$894 |
$52 |
$17 | |
| Ear tubes (myringotomy) |
— |
$19,522 |
$9,956 |
$174 | |
| Echocardiogram |
— |
$3,795 |
$1,659 |
$138 | |
| Echocardiogram with and without contrast |
— |
$2,966 |
$1,204 |
$101 | |
| EEG (awake and asleep) |
— |
$2,289 |
$1,642 |
$482 | |
| EKG / ECG (tracing only) |
— |
$590 |
$395 |
$7 | |
| Electrocardiogram (EKG) |
— |
$590 |
$395 |
$8 | |
| Electroencephalogram (EEG) |
— |
$2,289 |
$1,642 |
$448 | |
| Electrolyte panel |
— |
$79 |
$53 |
$7 | |
| Emergency department visit |
— |
$2,137 |
$1,087 |
$69 | |
| Emergency department visit (level 1) |
— |
$760 |
$515 |
$11 | |
| Emergency department visit (level 2) |
— |
$1,204 |
$864 |
$40 | |
| Emergency department visit (level 3) |
— |
$2,137 |
$1,532 |
$69 | |
| Emergency department visit (level 4) |
— |
$5,260 |
$2,548 |
$118 | |
| Emergency department visit (level 5) |
— |
$4,198 |
$3,010 |
$171 | |
| Endometrial biopsy |
— |
$19,833 |
$10,115 |
$98 | |
| Epidural steroid injection |
— |
$22,505 |
$11,478 |
$275 | |
| ERCP (bile duct endoscopy) |
— |
$35,607 |
$18,009 |
$311 | |
| Estradiol (estrogen) test |
— |
$256 |
$171 |
$28 | |
| Fallopian tube X-ray (HSG) |
— |
$1,546 |
$1,108 |
$164 | |
| Fecal occult blood (stool) test |
— |
$89 |
$62 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
— |
$81 |
$55 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
— |
$96 |
$64 |
$16 | |
| Feeding tube (PEG) placement |
— |
$14,487 |
$9,706 |
$178 | |
| Ferritin (iron) test |
— |
$161 |
$108 |
$14 | |
| Fibrinogen test |
— |
$369 |
$247 |
$10 | |
| Flexible sigmoidoscopy |
— |
$8,689 |
$5,592 |
$323 | |
| Flu test |
— |
$260 |
$174 |
$17 | |
| Flu vaccine |
— |
$739 |
$379 |
— | |
| Folate (folic acid) test |
— |
$185 |
$124 |
$15 | |
| Foreign body removal (skin) |
— |
$11,340 |
$876 |
$157 | |
| Free T4 thyroid test |
— |
$131 |
$88 |
$9 | |
| FSH hormone test |
— |
$190 |
$127 |
$19 | |
| Gallbladder removal (laparoscopic) |
— |
$55,041 |
$22,021 |
$658 | |
| Gallbladder scan (HIDA) |
— |
$2,878 |
$2,057 |
$334 | |
| Ganglion cyst removal |
— |
$24,589 |
$12,541 |
$321 | |
| GGT liver test |
— |
$105 |
$38 |
$7 | |
| Glucose tolerance test |
— |
$47 |
$46 |
$8 | |
| H. pylori test |
— |
$160 |
$115 |
$67 | |
| Hammertoe repair |
— |
$89,023 |
$32,775 |
$548 | |
| HDL cholesterol test |
— |
$72 |
$48 |
$8 | |
| Hemoglobin A1c (diabetes test) |
— |
$115 |
$10 |
$10 | |
| Hemorrhoid removal |
— |
$43,696 |
$17,916 |
$338 | |
| Hepatitis B test |
— |
$116 |
$77 |
$10 | |
| Hepatitis C test |
— |
$105 |
$70 |
$14 | |
| Hip arthroscopy |
— |
$70,990 |
$36,205 |
$931 | |
| Hip replacement |
— |
$153,049 |
$62,750 |
$1,162 | |
| HIV test |
— |
$71 |
$18 |
$19 | |
| HIV test (antibody) |
— |
$20 |
$16 |
$14 | |
| HIV test (antigen/antibody combo) |
— |
$121 |
$24 |
$24 | |
| Holter heart monitor |
— |
$467 |
$349 |
$26 | |
| Hydrocele repair |
— |
$31,124 |
$15,873 |
$315 | |
| Hysterectomy |
— |
$74,129 |
$30,393 |
$933 | |
| Hysteroscopy |
— |
$33,665 |
$17,158 |
$1,270 | |
| Incisional hernia repair |
— |
$28,012 |
$14,286 |
— | |
| Inguinal hernia repair |
— |
$62,912 |
$25,794 |
$538 | |
| Iron blood test |
— |
$79 |
$53 |
$6 | |
| IV infusion therapy |
— |
$517 |
$396 |
$44 | |
| IV infusion therapy (each additional) |
— |
$517 |
$346 |
$21 | |
| IV infusion therapy (initial) |
— |
$689 |
$494 |
$67 | |
| Joint aspiration (small/intermediate) |
— |
$1,297 |
$930 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
— |
$1,297 |
$930 |
$57 | |
| Joint aspiration or injection (small joint) |
— |
$1,297 |
$930 |
$56 | |
| Kidney scan (nuclear) |
— |
$2,658 |
$1,906 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
— |
$56,762 |
$20,106 |
$760 | |
| Kidney ultrasound |
— |
$1,787 |
$1,198 |
$84 | |
| Knee arthroscopy |
— |
$36,369 |
$18,013 |
$524 | |
| Knee joint injection |
— |
$1,303 |
$934 |
$69 | |
| Knee replacement |
— |
$207,093 |
$121,874 |
$18,054 | |
| Lactate test |
— |
$337 |
$226 |
$12 | |
| LDH test |
— |
$181 |
$121 |
$6 | |
| LDL cholesterol test |
— |
$73 |
$49 |
$11 | |
| Leg artery angiogram |
— |
$2,978 |
$2,383 |
$149 | |
| Leg vein ultrasound (Doppler) |
— |
$1,825 |
$1,206 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
— |
$1,541 |
$1,032 |
$116 | |
| LH hormone test |
— |
$161 |
$108 |
$19 | |
| Lipase test |
— |
$338 |
$226 |
$7 | |
| Lipid (cholesterol) panel |
— |
$154 |
$103 |
$13 | |
| Liver function panel |
— |
$162 |
$108 |
$8 | |
| Lower back (lumbar) spinal fusion |
— |
$444,129 |
$326,435 |
$1,511 | |
| Lumbar discectomy |
— |
$73,685 |
$30,211 |
$898 | |
| Lumpectomy (breast) |
— |
$38,945 |
$17,724 |
$750 | |
| Lung function test (PFT) |
— |
$489 |
$314 |
$37 | |
| Lung scan (V/Q) |
— |
$5,556 |
$3,714 |
$291 | |
| Magnesium blood test |
— |
$277 |
$7 |
$7 | |
| Meniscus repair (knee) |
— |
$81,645 |
$18,750 |
$714 | |
| MMR vaccine |
— |
$3,178 |
$2,125 |
— | |
| MRA of the brain |
— |
$3,800 |
$2,843 |
$226 | |
| MRA of the brain with contrast |
— |
$3,800 |
$2,546 |
$226 | |
| MRA of the brain without contrast |
— |
$6,162 |
$4,119 |
$328 | |
| MRA of the neck |
— |
$4,678 |
$3,040 |
$245 | |
| MRA of the neck with contrast |
— |
$4,678 |
$3,127 |
$245 | |
| MRA of the neck without contrast |
— |
$6,902 |
$4,614 |
$343 | |
| MRI of the abdomen |
— |
$5,318 |
$3,242 |
$300 | |
| MRI of the abdomen with contrast |
— |
$5,487 |
$3,668 |
$300 | |
| MRI of the abdomen without contrast |
— |
$5,318 |
$3,555 |
$194 | |
| MRI of the ankle |
— |
$5,406 |
$3,494 |
$261 | |
| MRI of the ankle with contrast |
— |
$6,629 |
$4,432 |
$261 | |
| MRI of the ankle without contrast |
— |
$4,721 |
$3,156 |
$222 | |
| MRI of the brain |
— |
$5,378 |
$3,508 |
$269 | |
| MRI of the brain with contrast |
— |
$5,378 |
$3,595 |
$269 | |
| MRI of the brain without contrast |
— |
$4,948 |
$3,308 |
$195 | |
| MRI of the chest |
— |
$3,936 |
$2,646 |
$371 | |
| MRI of the chest with contrast |
— |
$3,458 |
$2,480 |
$371 | |
| MRI of the chest without contrast |
— |
$4,352 |
$2,916 |
$466 | |
| MRI of the knee |
— |
$4,680 |
$3,128 |
$315 | |
| MRI of the knee with contrast |
— |
$4,680 |
$3,135 |
$315 | |
| MRI of the knee without contrast |
— |
$4,624 |
$3,091 |
$204 | |
| MRI of the lower back (lumbar spine) |
— |
$5,520 |
$3,315 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
— |
$5,520 |
$3,690 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
— |
$4,334 |
$2,904 |
$192 | |
| MRI of the mid-back (thoracic spine) |
— |
$5,067 |
$3,264 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
— |
$6,094 |
$4,074 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
— |
$5,067 |
$3,388 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
— |
$4,698 |
$3,141 |
$190 | |
| MRI of the neck (cervical spine) |
— |
$5,985 |
$3,395 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
— |
$5,985 |
$4,001 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
— |
$7,675 |
$5,131 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
— |
$4,244 |
$2,844 |
$191 | |
| MRI of the pelvis |
— |
$4,233 |
$2,801 |
$268 | |
| MRI of the pelvis with contrast |
— |
$4,233 |
$2,836 |
$268 | |
| MRI of the pelvis without contrast |
— |
$3,626 |
$2,429 |
$227 | |
| MRI of the shoulder |
— |
$4,599 |
$3,075 |
$313 | |
| MRI of the shoulder with contrast |
— |
$4,582 |
$3,070 |
$313 | |
| MRI of the shoulder without contrast |
— |
$4,599 |
$3,074 |
$205 | |
| MRI of the wrist |
— |
$4,949 |
$3,316 |
$330 | |
| MRI of the wrist with contrast |
— |
$6,629 |
$4,432 |
$330 | |
| MRI of the wrist without contrast |
— |
$4,694 |
$3,138 |
$303 | |
| Nebulizer breathing treatment |
— |
$409 |
$263 |
$9 | |
| Nuclear cardiac stress test |
— |
$9,010 |
$6,036 |
$428 | |
| Occupational therapy evaluation |
— |
$415 |
$249 |
$101 | |
| Occupational therapy evaluation (high complexity) |
— |
$553 |
$423 |
$101 | |
| Occupational therapy evaluation (low complexity) |
— |
$277 |
$212 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
— |
$415 |
$318 |
$101 | |
| Office visit (established patient) |
— |
$180 |
$148 |
$115 | |
| Office visit, established patient (level 3) |
— |
$155 |
$131 |
$95 | |
| Office visit, established patient (level 4) |
— |
$206 |
$175 |
$136 | |
| Orthopedic hardware removal |
— |
$55,358 |
$18,750 |
$632 | |
| Pacemaker insertion |
— |
$167,465 |
$104,011 |
$15,506 | |
| Parathyroid hormone (PTH) test |
— |
$537 |
$360 |
$41 | |
| Pelvic ultrasound |
— |
$1,116 |
$772 |
$78 | |
| Pelvic ultrasound (complete) |
— |
$1,223 |
$819 |
$105 | |
| Pelvic ultrasound (limited) |
— |
$1,010 |
$676 |
$51 | |
| PET scan |
— |
$6,759 |
$4,846 |
— | |
| Phosphorus blood test |
— |
$171 |
$114 |
$5 | |
| Physical therapy evaluation |
— |
$308 |
$213 |
$98 | |
| Physical therapy evaluation (high complexity) |
— |
$463 |
$354 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
— |
$308 |
$236 |
$98 | |
| Pilonidal cyst removal |
— |
$28,591 |
$14,582 |
$541 | |
| Pneumonia vaccine |
— |
$4,337 |
$2,212 |
— | |
| Pregnancy blood test (hCG) |
— |
$223 |
$149 |
$8 | |
| Pregnancy ultrasound |
— |
$1,281 |
$863 |
$126 | |
| Pregnancy ultrasound (first trimester) |
— |
$1,291 |
$865 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
— |
$1,270 |
$851 |
$136 | |
| Procalcitonin test |
— |
$433 |
$290 |
$27 | |
| Prolactin test |
— |
$239 |
$160 |
$19 | |
| Prostate biopsy |
— |
$16,023 |
$10,735 |
— | |
| Prostate surgery (TURP) |
— |
$47,661 |
$19,541 |
$526 | |
| Prostate test (PSA) |
— |
$140 |
$94 |
$18 | |
| Rotator cuff repair |
— |
$83,410 |
$36,447 |
$792 | |
| Scoliosis spine X-ray |
— |
$914 |
$474 |
$58 | |
| Scoliosis spine X-ray (1 view) |
— |
$557 |
$400 |
$44 | |
| Scoliosis spine X-ray (3 views) |
— |
$1,270 |
$851 |
$72 | |
| Screening mammogram |
— |
$618 |
$414 |
$126 | |
| Scrotal ultrasound |
— |
$1,769 |
$1,185 |
$99 | |
| Sedimentation rate (ESR) test |
— |
$106 |
$65 |
$3 | |
| Semen analysis |
— |
$93 |
$71 |
$12 | |
| Septoplasty (deviated septum) |
— |
$39,101 |
$17,814 |
$613 | |
| Sex hormone binding globulin test |
— |
$6 |
$14 |
$22 | |
| Shingles vaccine |
— |
$6,545 |
$4,375 |
— | |
| Shoulder arthroscopy |
— |
$105,276 |
$40,961 |
$962 | |
| Shoulder replacement |
— |
$211,578 |
$86,747 |
$1,300 | |
| Sinus surgery (endoscopic) |
— |
$36,632 |
$18,682 |
$224 | |
| Skin biopsy |
— |
$366 |
$287 |
$121 | |
| Skin biopsy (punch) |
— |
$366 |
$293 |
$121 | |
| Soft tissue ultrasound |
— |
$987 |
$661 |
$64 | |
| Speech therapy |
— |
$312 |
$224 |
$76 | |
| Spinal tap (lumbar puncture) |
— |
$3,160 |
$2,266 |
$165 | |
| Spirometry (lung function test) |
— |
$369 |
$265 |
$30 | |
| Spirometry with bronchodilator |
— |
$609 |
$437 |
$43 | |
| Strep throat test |
— |
$482 |
$323 |
$17 | |
| Stress echocardiogram |
— |
$1,825 |
$1,443 |
$209 | |
| Swallow study |
— |
$508 |
$362 |
$85 | |
| T3 thyroid test |
— |
$73 |
$49 |
$14 | |
| Tdap (tetanus) vaccine |
— |
$185 |
$97 |
— | |
| Testosterone test |
— |
$253 |
$21 |
$26 | |
| Thyroid test (TSH) |
— |
$170 |
$17 |
$17 | |
| Thyroid ultrasound |
— |
$1,289 |
$864 |
$109 | |
| Thyroid uptake scan |
— |
$1,210 |
$925 |
$145 | |
| Tilt table test |
— |
$1,852 |
$1,419 |
$168 | |
| Tonsillectomy |
— |
$27,773 |
$14,164 |
$252 | |
| Total IgE allergy test |
— |
$15 |
$12 |
$16 | |
| Total protein test |
— |
$191 |
$4 |
$4 | |
| Transesophageal echocardiogram (TEE) |
— |
$4,000 |
$2,727 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
— |
$4,000 |
$2,727 |
$239 | |
| Transvaginal ultrasound |
— |
$1,645 |
$1,102 |
$118 | |
| Trigger finger release |
— |
$12,083 |
$8,096 |
$630 | |
| Triglycerides test |
— |
$300 |
$201 |
$6 | |
| Troponin (heart) test |
— |
$528 |
$354 |
$12 | |
| Tubal ligation |
— |
$32,113 |
$16,378 |
$333 | |
| Ulnar nerve surgery (elbow) |
— |
$20,525 |
$11,483 |
$575 | |
| Umbilical hernia repair |
— |
$30,146 |
$15,374 |
— | |
| Upper GI endoscopy (EGD) |
— |
$11,733 |
$5,984 |
$371 | |
| Upper GI series (barium) |
— |
$1,982 |
$1,478 |
$128 | |
| Ureteral stent placement |
— |
$29,496 |
$15,043 |
$373 | |
| Ureteroscopy (stone removal) |
— |
$54,129 |
$22,193 |
$365 | |
| Uric acid (gout) test |
— |
$62 |
$41 |
$5 | |
| Urinalysis |
— |
$94 |
$51 |
$3 | |
| Urine microalbumin test |
— |
$84 |
$33 |
$5 | |
| Urine pregnancy test |
— |
$352 |
$206 |
$9 | |
| Vaccine administration |
— |
$234 |
$140 |
$19 | |
| Vaccine administration (each additional) |
— |
$156 |
$119 |
$16 | |
| Vaginal delivery |
— |
$129,096 |
$64,818 |
$5,487 | |
| Vasectomy |
— |
$20,721 |
$11,709 |
$347 | |
| Vitamin B12 test |
— |
$154 |
$103 |
$15 | |
| Vitamin D test |
— |
$273 |
$183 |
$30 | |
| Wart removal |
— |
$330 |
$281 |
$121 | |
| Weight-loss (bariatric) surgery |
— |
$102,571 |
$52,311 |
$11,645 | |
| Wound debridement |
— |
$1,101 |
$805 |
$186 | |
| Wrist fracture repair |
— |
$72,040 |
$33,014 |
$735 | |
| X-ray of the abdomen |
— |
$1,132 |
$626 |
$36 | |
| X-ray of the ankle |
— |
$842 |
$564 |
$37 | |
| X-ray of the collarbone |
— |
$913 |
$612 |
$33 | |
| X-ray of the elbow |
— |
$791 |
$532 |
$33 | |
| X-ray of the facial bones |
— |
$1,174 |
$768 |
$39 | |
| X-ray of the foot |
— |
$791 |
$532 |
$34 | |
| X-ray of the forearm |
— |
$895 |
$599 |
$29 | |
| X-ray of the hand |
— |
$811 |
$543 |
$38 | |
| X-ray of the hip |
— |
$1,138 |
$586 |
$49 | |
| X-ray of the hip (1 view) |
— |
$689 |
$494 |
$34 | |
| X-ray of the hip (3 views) |
— |
$1,586 |
$1,062 |
$49 | |
| X-ray of the knee |
— |
$770 |
$546 |
$42 | |
| X-ray of the knee (2 views) |
— |
$770 |
$525 |
$34 | |
| X-ray of the knee (3 views) |
— |
$683 |
$490 |
$42 | |
| X-ray of the knee (4+ views) |
— |
$1,162 |
$779 |
$49 | |
| X-ray of the lower back (lumbar spine) |
— |
$1,302 |
$916 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
— |
$1,197 |
$802 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
— |
$1,406 |
$942 |
$53 | |
| X-ray of the lower leg |
— |
$679 |
$487 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
— |
$1,398 |
$930 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
— |
$1,215 |
$814 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
— |
$1,580 |
$1,058 |
$39 | |
| X-ray of the neck (cervical spine) |
— |
$1,238 |
$850 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
— |
$1,111 |
$744 |
$40 | |
| X-ray of the pelvis |
— |
$808 |
$547 |
$36 | |
| X-ray of the pelvis (1 view) |
— |
$683 |
$490 |
$28 | |
| X-ray of the ribs |
— |
$1,435 |
$962 |
$42 | |
| X-ray of the ribs (3 views) |
— |
$1,435 |
$962 |
$42 | |
| X-ray of the shoulder |
— |
$1,113 |
$745 |
$36 | |
| X-ray of the skull |
— |
$1,058 |
$715 |
$40 | |
| X-ray of the upper arm |
— |
$853 |
$571 |
$32 | |
| X-ray of the wrist |
— |
$1,301 |
$872 |
$43 | |
| Zinc blood test |
— |
$10 |
$9 |
$11 | |