| 3D mammogram (tomosynthesis) |
$104 |
$115 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,813 |
$2,015 |
— |
$284 | |
| Abdominal ultrasound |
$759 |
$843 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$887 |
$986 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$625 |
$694 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$877 |
$974 |
— |
$220 | |
| Abscess drainage (simple) |
$481 |
$535 |
— |
$129 | |
| Abscess incision and drainage |
$575 |
$639 |
— |
$174 | |
| Achilles tendon repair |
$6,174 |
$6,860 |
— |
$624 | |
| ACL knee reconstruction |
$10,978 |
$12,198 |
— |
$889 | |
| Adenoid removal (adenoidectomy) |
$1,768 |
$1,964 |
— |
$204 | |
| Albumin blood test |
$33 |
$37 |
— |
$5 | |
| Aldosterone test |
$261 |
$290 |
— |
$41 | |
| Alkaline phosphatase test |
$39 |
$43 |
— |
$5 | |
| Allergy patch testing |
$51 |
$57 |
— |
$5 | |
| Allergy shots |
$60 |
$67 |
— |
$11 | |
| Allergy testing |
$36 |
$40 |
— |
$4 | |
| Alpha-fetoprotein (AFP) test |
$117 |
$130 |
— |
$17 | |
| ALT liver enzyme test |
$53 |
$59 |
— |
$5 | |
| Ammonia blood test |
$92 |
$102 |
— |
$15 | |
| Amylase test |
$53 |
$59 |
— |
$6 | |
| Anal fistula repair |
$3,407 |
$3,785 |
— |
$541 | |
| Ankle fracture repair |
$5,470 |
$6,078 |
— |
$608 | |
| Annual physical (established patient) |
$381 |
$423 |
— |
— | |
| Annual physical (new patient) |
$401 |
$445 |
— |
— | |
| Anoscopy |
$329 |
$366 |
— |
$129 | |
| Antinuclear antibody (ANA) test |
$142 |
$158 |
— |
$12 | |
| Arterial blood gas (ABG) |
$146 |
$162 |
— |
$26 | |
| AST liver enzyme test |
$57 |
$63 |
— |
$5 | |
| Barium swallow study |
$423 |
$470 |
— |
$107 | |
| Bartholin cyst removal |
$802 |
$891 |
— |
$182 | |
| Basic metabolic panel |
$172 |
$191 |
— |
$8 | |
| Benign skin lesion removal |
$1,160 |
$1,289 |
— |
$171 | |
| Bilirubin blood test |
$35 |
$39 |
— |
$5 | |
| Bladder function test (urodynamics) |
$1,833 |
$2,037 |
— |
$345 | |
| Bladder scope (cystoscopy) |
$1,027 |
$1,141 |
— |
$216 | |
| Bladder tumor removal (TURBT) |
$3,379 |
$3,755 |
— |
$236 | |
| Blood clotting test (PT/INR) |
$45 |
$50 |
— |
$4 | |
| Blood crossmatch |
$216 |
$240 |
— |
— | |
| Blood glucose test |
$64 |
$71 |
— |
$5 | |
| Blood transfusion |
$446 |
$496 |
— |
$47 | |
| Blood type and screen |
$104 |
$116 |
— |
$10 | |
| Blood type test |
$44 |
$49 |
— |
$3 | |
| Blood type test (ABO group) |
$43 |
$48 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$44 |
$49 |
— |
$3 | |
| BNP (heart failure) test |
$293 |
$326 |
— |
$39 | |
| Bone density scan (DEXA) |
$107 |
$119 |
— |
$39 | |
| Bone marrow biopsy |
$1,726 |
$1,918 |
— |
$172 | |
| Bone scan (nuclear) |
$332 |
$369 |
— |
$259 | |
| Botox for migraine |
$1,287 |
$1,430 |
— |
$157 | |
| Breast biopsy |
$3,093 |
$3,437 |
— |
$478 | |
| Breast MRI |
$3,723 |
$4,137 |
— |
$216 | |
| Breast MRI without contrast |
$3,723 |
$4,137 |
— |
$216 | |
| Breast reconstruction |
$15,183 |
$16,871 |
— |
$1,227 | |
| Breast reduction |
$11,258 |
$12,509 |
— |
$980 | |
| Breast ultrasound |
$278 |
$309 |
— |
$92 | |
| Breast ultrasound (complete) |
$256 |
$284 |
— |
$100 | |
| Breast ultrasound (limited) |
$300 |
$333 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$923 |
$1,025 |
— |
$133 | |
| Bronchoscopy |
$2,376 |
$2,640 |
— |
$303 | |
| Bunion surgery (bunionectomy) |
$5,807 |
$6,452 |
— |
$883 | |
| Burn dressing and debridement (medium) |
$611 |
$679 |
— |
$166 | |
| Burn dressing and debridement (small) |
$429 |
$477 |
— |
$93 | |
| Burn treatment |
$486 |
$540 |
— |
$129 | |
| C-reactive protein (CRP) |
$103 |
$114 |
— |
$5 | |
| CA 19-9 tumor marker test |
$209 |
$232 |
— |
$21 | |
| CA-125 ovarian marker test |
$212 |
$235 |
— |
$21 | |
| Calcium blood test |
$56 |
$62 |
— |
$5 | |
| Capsule endoscopy |
$4,356 |
$4,840 |
— |
$802 | |
| Cardiac ablation |
$20,197 |
$22,441 |
— |
$759 | |
| Cardiac catheterization |
$9,126 |
$10,140 |
— |
$1,049 | |
| Cardiac event monitor |
$2,667 |
$2,963 |
— |
$170 | |
| Cardiac MRI |
$4,661 |
$5,179 |
— |
$322 | |
| Cardiac MRI without contrast |
$4,415 |
$4,906 |
— |
$280 | |
| Cardiac rehabilitation |
$347 |
$385 |
— |
$26 | |
| Cardiac stress test |
$458 |
$509 |
— |
$39 | |
| Cardioversion |
$1,618 |
$1,798 |
— |
$155 | |
| Carotid artery surgery |
$8,629 |
$9,588 |
— |
$1,026 | |
| Carotid artery ultrasound |
$1,463 |
$1,625 |
— |
$156 | |
| Carpal tunnel release |
$4,230 |
$4,700 |
— |
$483 | |
| Cataract surgery |
$6,444 |
$7,161 |
— |
$547 | |
| CEA tumor marker test |
$240 |
$267 |
— |
$19 | |
| Celiac disease test |
$117 |
$130 |
— |
$12 | |
| Central line placement |
$1,818 |
$2,021 |
— |
$238 | |
| Cervical LEEP procedure |
$2,869 |
$3,188 |
— |
$325 | |
| Chalazion (eyelid cyst) removal |
$809 |
$899 |
— |
$131 | |
| Chemotherapy infusion |
$521 |
$579 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$203 |
$225 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$839 |
$932 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$2,149 |
$2,388 |
— |
$311 | |
| Chest tube insertion |
$1,958 |
$2,175 |
— |
$143 | |
| Chest X-ray |
$266 |
$295 |
— |
$37 | |
| Chest X-ray (1 view) |
$215 |
$239 |
— |
$25 | |
| Chest X-ray (2 views) |
$316 |
$351 |
— |
$33 | |
| Chickenpox (varicella) vaccine |
$235 |
$261 |
— |
— | |
| Circumcision |
$1,150 |
$1,278 |
— |
$167 | |
| Clotting time test (PTT) |
$79 |
$88 |
— |
$6 | |
| Colon resection (colectomy) |
$10,450 |
$11,612 |
— |
$1,238 | |
| Colonoscopy |
$2,874 |
$3,193 |
— |
$480 | |
| Colostomy |
$7,390 |
$8,211 |
— |
$1,122 | |
| Colposcopy |
$819 |
$910 |
— |
$161 | |
| Complete blood count (CBC) |
$86 |
$96 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$103 |
$114 |
— |
$8 | |
| Complex wound repair |
$1,763 |
$1,959 |
— |
$390 | |
| Comprehensive eye exam |
$239 |
$266 |
— |
$138 | |
| Comprehensive metabolic panel |
$205 |
$228 |
— |
$11 | |
| Contact lens fitting |
$88 |
$98 |
— |
— | |
| Continuous glucose monitor setup |
$285 |
$317 |
— |
$35 | |
| Contraceptive implant (Nexplanon) |
$689 |
$766 |
— |
$115 | |
| Copper blood test |
$108 |
$120 |
— |
$12 | |
| Coronary CT angiography |
$1,276 |
$1,418 |
— |
$326 | |
| Cortisol test |
$199 |
$221 |
— |
$16 | |
| COVID-19 PCR test |
$115 |
$128 |
— |
$51 | |
| CPAP titration study |
$914 |
$1,016 |
— |
$69 | |
| Creatine kinase (CK) test |
$84 |
$93 |
— |
$7 | |
| CT angiography of the chest |
$4,059 |
$4,510 |
— |
$281 | |
| CT angiography of the head |
$4,394 |
$4,882 |
— |
$274 | |
| CT scan of the abdomen |
$3,711 |
$4,123 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$4,271 |
$4,745 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$5,270 |
$5,856 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$4,271 |
$4,745 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$3,580 |
$3,978 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$4,123 |
$4,581 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$3,711 |
$4,123 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$3,340 |
$3,711 |
— |
$136 | |
| CT scan of the arm |
$590 |
$655 |
— |
$199 | |
| CT scan of the arm with contrast |
$572 |
$636 |
— |
$199 | |
| CT scan of the arm without contrast |
$2,083 |
$2,314 |
— |
$161 | |
| CT scan of the chest |
$2,433 |
$2,703 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$770 |
$855 |
— |
$196 | |
| CT scan of the chest with contrast |
$3,024 |
$3,360 |
— |
$167 | |
| CT scan of the chest without contrast |
$2,433 |
$2,703 |
— |
$133 | |
| CT scan of the head |
$2,144 |
$2,382 |
— |
$148 | |
| CT scan of the head with and without contrast |
$3,184 |
$3,538 |
— |
$173 | |
| CT scan of the head with contrast |
$637 |
$708 |
— |
$148 | |
| CT scan of the head without contrast |
$2,144 |
$2,382 |
— |
$107 | |
| CT scan of the leg |
$2,272 |
$2,524 |
— |
$166 | |
| CT scan of the leg with contrast |
$2,915 |
$3,239 |
— |
$166 | |
| CT scan of the leg without contrast |
$2,272 |
$2,524 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,651 |
$2,945 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$714 |
$793 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$3,739 |
$4,154 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$2,651 |
$2,945 |
— |
$130 | |
| CT scan of the neck |
$807 |
$897 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$3,082 |
$3,424 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$675 |
$750 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$3,871 |
$4,301 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$3,082 |
$3,424 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$807 |
$897 |
— |
$220 | |
| CT scan of the neck with contrast |
$3,457 |
$3,841 |
— |
$183 | |
| CT scan of the neck without contrast |
$654 |
$727 |
— |
$150 | |
| CT scan of the pelvis |
$2,896 |
$3,218 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$625 |
$694 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$3,227 |
$3,586 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$2,896 |
$3,218 |
— |
$133 | |
| CT scan of the sinuses |
$2,799 |
$3,110 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$3,802 |
$4,224 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$2,799 |
$3,110 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$2,399 |
$2,665 |
— |
$128 | |
| D-dimer test |
$162 |
$180 |
— |
$10 | |
| Defibrillator (ICD) implant |
$25,385 |
$28,206 |
— |
$798 | |
| Developmental screening (child) |
$122 |
$136 |
— |
— | |
| DHEA-sulfate test |
$176 |
$196 |
— |
$22 | |
| Diagnostic mammogram |
$349 |
$388 |
— |
$140 | |
| Dilation and curettage (D&C) |
$2,181 |
$2,423 |
— |
$298 | |
| Droopy eyelid repair (ptosis) |
$8,467 |
$9,408 |
— |
$745 | |
| Drug screen (urine) |
$208 |
$231 |
— |
$17 | |
| Ear pressure test (tympanometry) |
$117 |
$130 |
— |
$16 | |
| Ear tubes (myringotomy) |
$2,030 |
$2,256 |
— |
$174 | |
| Eardrum repair (tympanoplasty) |
$9,419 |
$10,466 |
— |
$799 | |
| Echocardiogram |
$2,297 |
$2,553 |
— |
$138 | |
| Echocardiogram with and without contrast |
$1,256 |
$1,396 |
— |
$101 | |
| EEG (awake and asleep) |
$413 |
$459 |
— |
$482 | |
| EKG / ECG (tracing only) |
$169 |
$188 |
— |
$7 | |
| Electrocardiogram (EKG) |
$169 |
$188 |
— |
$8 | |
| Electroencephalogram (EEG) |
$403 |
$448 |
— |
$448 | |
| Electrolyte panel |
$91 |
$101 |
— |
$7 | |
| Electromyography (EMG) |
$492 |
$547 |
— |
$141 | |
| Emergency department visit |
$504 |
$561 |
— |
$69 | |
| Emergency department visit (level 1) |
$233 |
$259 |
— |
$11 | |
| Emergency department visit (level 2) |
$304 |
$338 |
— |
$40 | |
| Emergency department visit (level 3) |
$504 |
$561 |
— |
$69 | |
| Emergency department visit (level 4) |
$786 |
$874 |
— |
$118 | |
| Emergency department visit (level 5) |
$1,333 |
$1,481 |
— |
$171 | |
| Endometrial biopsy |
$636 |
$707 |
— |
$98 | |
| Epidural steroid injection |
$1,686 |
$1,874 |
— |
$275 | |
| ERCP (bile duct endoscopy) |
$5,580 |
$6,200 |
— |
$311 | |
| Estradiol (estrogen) test |
$167 |
$185 |
— |
$28 | |
| Eye refraction (glasses prescription) |
$39 |
$43 |
— |
— | |
| Eyelid surgery (blepharoplasty) |
$4,685 |
$5,206 |
— |
$552 | |
| Facet joint injection (spine) |
$874 |
$972 |
— |
$99 | |
| Fallopian tube X-ray (HSG) |
$515 |
$572 |
— |
$164 | |
| Family therapy session |
$402 |
$447 |
— |
$110 | |
| Fecal occult blood (stool) test |
$84 |
$93 |
— |
$10 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$84 |
$93 |
— |
$16 | |
| Feeding tube (PEG) placement |
$3,245 |
$3,605 |
— |
$178 | |
| Femoral hernia repair |
$4,744 |
$5,272 |
— |
$584 | |
| Ferritin (iron) test |
$147 |
$163 |
— |
$14 | |
| Fibrinogen test |
$78 |
$87 |
— |
$10 | |
| Flexible sigmoidoscopy |
$1,592 |
$1,769 |
— |
$323 | |
| Flu vaccine |
$28 |
$31 |
— |
— | |
| Folate (folic acid) test |
$171 |
$190 |
— |
$15 | |
| Foreign body removal (skin) |
$589 |
$654 |
— |
$157 | |
| Free T4 thyroid test |
$147 |
$163 |
— |
$9 | |
| FSH hormone test |
$216 |
$240 |
— |
$19 | |
| Gallbladder removal (laparoscopic) |
$5,887 |
$6,541 |
— |
$658 | |
| Gallbladder scan (HIDA) |
$281 |
$313 |
— |
$334 | |
| Ganglion cyst removal |
$3,409 |
$3,788 |
— |
$321 | |
| GGT liver test |
$45 |
$50 |
— |
$7 | |
| Glaucoma surgery |
$6,149 |
$6,832 |
— |
$984 | |
| Glucose tolerance test |
$64 |
$71 |
— |
$8 | |
| Group therapy session |
$195 |
$217 |
— |
$30 | |
| H. pylori test |
$266 |
$295 |
— |
$67 | |
| Hammertoe repair |
$3,584 |
$3,982 |
— |
$548 | |
| HDL cholesterol test |
$50 |
$56 |
— |
$8 | |
| Hearing test (audiometry) |
$265 |
$294 |
— |
$36 | |
| Hematocrit test |
$31 |
$34 |
— |
$2 | |
| Hemodialysis |
$1,109 |
$1,232 |
— |
$75 | |
| Hemoglobin A1c (diabetes test) |
$66 |
$73 |
— |
$10 | |
| Hemorrhoid removal |
$1,044 |
$1,160 |
— |
$338 | |
| Hepatitis A vaccine |
$104 |
$115 |
— |
— | |
| Hepatitis B test |
$106 |
$118 |
— |
$10 | |
| Hepatitis B vaccine |
$56 |
$62 |
— |
— | |
| Hepatitis C test |
$203 |
$225 |
— |
$14 | |
| Hip arthroscopy |
$10,515 |
$11,684 |
— |
$931 | |
| Hip fracture repair |
$9,447 |
$10,497 |
— |
$1,120 | |
| Hip replacement |
$16,358 |
$18,176 |
— |
$1,162 | |
| HIV test |
$130 |
$145 |
— |
$19 | |
| HIV test (antigen/antibody combo) |
$130 |
$145 |
— |
$24 | |
| Holter heart monitor |
$664 |
$738 |
— |
$26 | |
| Home sleep apnea test |
$833 |
$926 |
— |
$123 | |
| HPV vaccine |
$382 |
$424 |
— |
— | |
| Hydrocele repair |
$3,668 |
$4,075 |
— |
$315 | |
| Hysterectomy |
$8,348 |
$9,276 |
— |
$933 | |
| Hysteroscopy |
$2,925 |
$3,250 |
— |
$1,270 | |
| Ileostomy |
$8,179 |
$9,088 |
— |
$968 | |
| Inguinal hernia repair |
$4,330 |
$4,811 |
— |
$538 | |
| Iron blood test |
$74 |
$82 |
— |
$6 | |
| IUD insertion |
$608 |
$676 |
— |
— | |
| IUD removal |
$611 |
$679 |
— |
$112 | |
| IV infusion therapy |
$249 |
$277 |
— |
$44 | |
| IV infusion therapy (each additional) |
$133 |
$148 |
— |
$21 | |
| IV infusion therapy (initial) |
$365 |
$406 |
— |
$67 | |
| IVC filter placement |
$9,037 |
$10,042 |
— |
$1,885 | |
| Joint aspiration (small/intermediate) |
$452 |
$502 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$487 |
$541 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$435 |
$484 |
— |
$56 | |
| Kidney biopsy |
$2,459 |
$2,732 |
— |
$492 | |
| Kidney removal (nephrectomy) |
$14,144 |
$15,715 |
— |
$1,164 | |
| Kidney scan (nuclear) |
$631 |
$701 |
— |
$172 | |
| Kidney ultrasound |
$826 |
$918 |
— |
$84 | |
| Kidney ultrasound (limited) |
$667 |
$741 |
— |
$61 | |
| Knee arthroscopy |
$6,855 |
$7,617 |
— |
$524 | |
| Knee joint injection |
$527 |
$585 |
— |
$69 | |
| Lactate test |
$111 |
$124 |
— |
$12 | |
| Laminectomy (spine) |
$15,919 |
$17,688 |
— |
$1,157 | |
| Laryngoscopy |
$749 |
$832 |
— |
$189 | |
| LDH test |
$47 |
$52 |
— |
$6 | |
| Leg artery angiogram |
$2,178 |
$2,421 |
— |
$149 | |
| Leg vein ultrasound (Doppler) |
$1,299 |
$1,443 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,043 |
$1,159 |
— |
$116 | |
| LH hormone test |
$183 |
$203 |
— |
$19 | |
| Lipase test |
$92 |
$102 |
— |
$7 | |
| Lipid (cholesterol) panel |
$177 |
$197 |
— |
$13 | |
| Liver biopsy |
$3,611 |
$4,012 |
— |
$288 | |
| Liver function panel |
$191 |
$212 |
— |
$8 | |
| Lumbar discectomy |
$11,324 |
$12,582 |
— |
$898 | |
| Lumpectomy (breast) |
$4,400 |
$4,889 |
— |
$750 | |
| Lung function test (PFT) |
$344 |
$382 |
— |
$37 | |
| Lung scan (V/Q) |
$592 |
$658 |
— |
$291 | |
| Magnesium blood test |
$106 |
$118 |
— |
$7 | |
| Mastectomy |
$6,034 |
$6,704 |
— |
$1,021 | |
| Meniscus repair (knee) |
$8,895 |
$9,883 |
— |
$714 | |
| MMR vaccine |
$132 |
$147 |
— |
— | |
| Mohs skin cancer surgery |
$3,060 |
$3,400 |
— |
$535 | |
| MRA of the brain |
$7,981 |
$8,868 |
— |
$226 | |
| MRA of the brain with contrast |
$7,981 |
$8,868 |
— |
$226 | |
| MRA of the brain without contrast |
$8,868 |
$9,853 |
— |
$328 | |
| MRA of the neck |
$3,564 |
$3,960 |
— |
$245 | |
| MRA of the neck without contrast |
$5,972 |
$6,636 |
— |
$343 | |
| MRI of the abdomen |
$5,913 |
$6,571 |
— |
$300 | |
| MRI of the abdomen without contrast |
$5,601 |
$6,223 |
— |
$194 | |
| MRI of the ankle |
$5,613 |
$6,237 |
— |
$261 | |
| MRI of the ankle without contrast |
$4,240 |
$4,711 |
— |
$222 | |
| MRI of the brain |
$5,684 |
$6,316 |
— |
$269 | |
| MRI of the brain with contrast |
$5,684 |
$6,316 |
— |
$269 | |
| MRI of the brain without contrast |
$5,181 |
$5,757 |
— |
$195 | |
| MRI of the chest |
$6,521 |
$7,246 |
— |
$371 | |
| MRI of the chest without contrast |
$7,735 |
$8,594 |
— |
$466 | |
| MRI of the knee |
$4,313 |
$4,792 |
— |
$315 | |
| MRI of the knee with contrast |
$797 |
$886 |
— |
$315 | |
| MRI of the knee without contrast |
$4,313 |
$4,792 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$4,227 |
$4,697 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,401 |
$1,557 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$4,227 |
$4,697 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$4,904 |
$5,449 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$6,975 |
$7,750 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$858 |
$953 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$4,904 |
$5,449 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$3,918 |
$4,353 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$6,603 |
$7,337 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$815 |
$906 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$3,918 |
$4,353 |
— |
$191 | |
| MRI of the pelvis |
$6,440 |
$7,156 |
— |
$268 | |
| MRI of the pelvis without contrast |
$5,796 |
$6,440 |
— |
$227 | |
| MRI of the shoulder |
$6,651 |
$7,390 |
— |
$313 | |
| MRI of the shoulder with contrast |
$6,651 |
$7,390 |
— |
$313 | |
| MRI of the shoulder without contrast |
$5,982 |
$6,647 |
— |
$205 | |
| MRI of the wrist |
$4,915 |
$5,461 |
— |
$330 | |
| MRI of the wrist without contrast |
$4,596 |
$5,107 |
— |
$303 | |
| Nebulizer breathing treatment |
$188 |
$209 |
— |
$9 | |
| Neck (cervical) spinal fusion |
$15,435 |
$17,150 |
— |
$1,410 | |
| Nerve conduction study |
$1,670 |
$1,855 |
— |
$118 | |
| Newborn hospital care |
$371 |
$412 |
— |
$58 | |
| Nuclear cardiac stress test |
$1,185 |
$1,317 |
— |
$428 | |
| Occupational therapy evaluation |
$349 |
$388 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$371 |
$412 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$334 |
$371 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$349 |
$388 |
— |
$101 | |
| Office visit (established patient) |
$463 |
$515 |
— |
$115 | |
| Office visit (new patient) |
$489 |
$543 |
— |
$177 | |
| Office visit, established patient (level 3) |
$406 |
$452 |
— |
$95 | |
| Office visit, established patient (level 4) |
$490 |
$545 |
— |
$136 | |
| Office visit, new patient (level 3) |
$321 |
$357 |
— |
$118 | |
| Office visit, new patient (level 4) |
$489 |
$543 |
— |
$177 | |
| Office visit, new patient (level 5) |
$617 |
$686 |
— |
$237 | |
| Orthopedic hardware removal |
$3,194 |
$3,549 |
— |
$632 | |
| Ovarian cyst removal |
$5,180 |
$5,755 |
— |
$698 | |
| Pap smear (cervical screening) |
$113 |
$126 |
— |
$20 | |
| Parathyroid hormone (PTH) test |
$463 |
$514 |
— |
$41 | |
| Parathyroid removal |
$10,182 |
$11,313 |
— |
$891 | |
| Pelvic ultrasound |
$773 |
$859 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$842 |
$936 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$704 |
$782 |
— |
$51 | |
| PET scan |
$943 |
$1,048 |
— |
— | |
| Phosphorus blood test |
$51 |
$57 |
— |
$5 | |
| Physical therapy evaluation |
$349 |
$388 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$371 |
$412 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$349 |
$388 |
— |
$98 | |
| Pilonidal cyst removal |
$2,807 |
$3,119 |
— |
$541 | |
| Platelet count |
$31 |
$34 |
— |
$4 | |
| Pneumonia vaccine |
$154 |
$171 |
— |
— | |
| Pregnancy ultrasound |
$933 |
$1,037 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$945 |
$1,050 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$921 |
$1,023 |
— |
$136 | |
| Procalcitonin test |
$175 |
$194 |
— |
$27 | |
| Prolactin test |
$189 |
$210 |
— |
$19 | |
| Prostate removal (prostatectomy) |
$15,359 |
$17,066 |
— |
$1,063 | |
| Prostate surgery (TURP) |
$7,580 |
$8,422 |
— |
$526 | |
| Prostate test (PSA) |
$215 |
$239 |
— |
$18 | |
| Psychiatric evaluation |
$483 |
$537 |
— |
$188 | |
| Psychotherapy session |
$356 |
$395 |
— |
$140 | |
| Pterygium removal (eye) |
$3,264 |
$3,627 |
— |
$540 | |
| Pulmonary rehabilitation |
$327 |
$363 |
— |
$87 | |
| Radiofrequency nerve ablation |
$4,382 |
$4,869 |
— |
$462 | |
| Retina scan (OCT) |
$125 |
$139 |
— |
$33 | |
| Retinal (fundus) photography |
$335 |
$372 |
— |
$37 | |
| Rotator cuff repair |
$8,806 |
$9,784 |
— |
$792 | |
| Routine eye exam |
$154 |
$171 |
— |
$88 | |
| RSV vaccine |
$338 |
$376 |
— |
— | |
| Sacroiliac joint injection |
$1,283 |
$1,426 |
— |
$176 | |
| Scoliosis spine X-ray |
$370 |
$411 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$315 |
$350 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$425 |
$472 |
— |
$72 | |
| Screening colonoscopy |
$2,317 |
$2,574 |
— |
$378 | |
| Screening mammogram |
$508 |
$564 |
— |
$126 | |
| Scrotal ultrasound |
$884 |
$982 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$39 |
$43 |
— |
$3 | |
| Semen analysis |
$125 |
$139 |
— |
$12 | |
| Septoplasty (deviated septum) |
$7,073 |
$7,859 |
— |
$613 | |
| Sex hormone binding globulin test |
$132 |
$147 |
— |
$22 | |
| Shingles vaccine |
$203 |
$225 |
— |
— | |
| Shoulder arthroscopy |
$8,871 |
$9,857 |
— |
$962 | |
| Shoulder replacement |
$14,137 |
$15,708 |
— |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$552 |
$613 |
— |
$114 | |
| Simple wound stitches |
$552 |
$613 |
— |
$127 | |
| Sinus surgery (endoscopic) |
$3,963 |
$4,403 |
— |
$224 | |
| Skin biopsy |
$553 |
$614 |
— |
$121 | |
| Skin biopsy (punch) |
$596 |
$662 |
— |
$121 | |
| Skin cancer lesion removal |
$1,181 |
$1,312 |
— |
$240 | |
| Skin graft |
$5,981 |
$6,646 |
— |
$898 | |
| Skin lesion freezing (cryotherapy) |
$196 |
$218 |
— |
$36 | |
| Skin tag removal |
$389 |
$433 |
— |
$92 | |
| Sleep study (polysomnography) |
$5,478 |
$6,087 |
— |
$691 | |
| Small bowel resection |
$9,777 |
$10,863 |
— |
$1,136 | |
| Soft tissue ultrasound |
$295 |
$328 |
— |
$64 | |
| Speech therapy |
$341 |
$379 |
— |
$76 | |
| Spinal cord stimulator |
$8,519 |
$9,466 |
— |
$2,388 | |
| Spinal tap (lumbar puncture) |
$906 |
$1,007 |
— |
$165 | |
| Spine fracture repair (kyphoplasty) |
$14,867 |
$16,519 |
— |
$5,803 | |
| Spirometry (lung function test) |
$296 |
$329 |
— |
$30 | |
| Spirometry with bronchodilator |
$517 |
$574 |
— |
$43 | |
| Spleen removal (splenectomy) |
$9,927 |
$11,031 |
— |
$1,036 | |
| Stress echocardiogram |
$2,239 |
$2,488 |
— |
$209 | |
| Stress echocardiogram (complete) |
$2,239 |
$2,488 |
— |
$233 | |
| Swallow study |
$767 |
$852 |
— |
$85 | |
| T3 thyroid test |
$107 |
$119 |
— |
$14 | |
| Tdap (tetanus) vaccine |
$59 |
$65 |
— |
— | |
| Testicle removal (orchiectomy) |
$3,207 |
$3,563 |
— |
$306 | |
| Testosterone test |
$190 |
$211 |
— |
$26 | |
| Thyroid removal (thyroidectomy) |
$11,808 |
$13,120 |
— |
$1,004 | |
| Thyroid test (TSH) |
$203 |
$225 |
— |
$17 | |
| Thyroid ultrasound |
$748 |
$831 |
— |
$109 | |
| Thyroid uptake scan |
$223 |
$248 |
— |
$145 | |
| Tilt table test |
$926 |
$1,029 |
— |
$168 | |
| Tonsillectomy |
$2,493 |
$2,770 |
— |
$252 | |
| Total IgE allergy test |
$104 |
$115 |
— |
$16 | |
| Total protein test |
$34 |
$38 |
— |
$4 | |
| Tracheostomy |
$3,370 |
$3,744 |
— |
$273 | |
| Transesophageal echocardiogram (TEE) |
$2,293 |
$2,548 |
— |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$2,293 |
$2,548 |
— |
$239 | |
| Transvaginal ultrasound |
$871 |
$968 |
— |
$118 | |
| Trigger finger release |
$4,037 |
$4,486 |
— |
$630 | |
| Trigger point injection |
$410 |
$455 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$410 |
$455 |
— |
$52 | |
| Triglycerides test |
$47 |
$52 |
— |
$6 | |
| Troponin (heart) test |
$257 |
$286 |
— |
$12 | |
| Tubal ligation |
$3,789 |
$4,210 |
— |
$333 | |
| Turbinate reduction |
$3,095 |
$3,439 |
— |
$294 | |
| Turning a breech baby (version) |
$2,278 |
$2,531 |
— |
$94 | |
| Ulnar nerve surgery (elbow) |
$5,396 |
$5,995 |
— |
$575 | |
| Upper GI endoscopy (EGD) |
$2,278 |
$2,531 |
— |
$371 | |
| Upper GI series (barium) |
$318 |
$354 |
— |
$128 | |
| Ureteral stent placement |
$3,184 |
$3,538 |
— |
$373 | |
| Ureteroscopy (stone removal) |
$6,546 |
$7,273 |
— |
$365 | |
| Uric acid (gout) test |
$36 |
$40 |
— |
$5 | |
| Urinalysis |
$36 |
$41 |
— |
$3 | |
| Urine microalbumin test |
$109 |
$122 |
— |
$5 | |
| Urine pregnancy test |
$68 |
$76 |
— |
$9 | |
| UV light therapy (skin) |
$288 |
$321 |
— |
$106 | |
| Vaccine administration |
$46 |
$52 |
— |
$19 | |
| Vaccine administration (each additional) |
$41 |
$46 |
— |
$16 | |
| Varicocele repair |
$4,886 |
$5,429 |
— |
$327 | |
| Varicose vein ablation |
$8,006 |
$8,896 |
— |
$1,018 | |
| Vasectomy |
$2,497 |
$2,774 |
— |
$347 | |
| Visual field test |
$310 |
$344 |
— |
$64 | |
| Vitamin B12 test |
$217 |
$241 |
— |
$15 | |
| Vitamin D test |
$239 |
$266 |
— |
$30 | |
| Vocal cord injection |
$3,435 |
$3,817 |
— |
$211 | |
| Wart removal |
$620 |
$689 |
— |
$121 | |
| Well-child visit |
$283 |
$314 |
— |
— | |
| Wound debridement |
$1,266 |
$1,407 |
— |
$186 | |
| Wrist fracture repair |
$6,061 |
$6,734 |
— |
$735 | |
| X-ray of the abdomen |
$331 |
$368 |
— |
$36 | |
| X-ray of the ankle |
$250 |
$278 |
— |
$37 | |
| X-ray of the collarbone |
$239 |
$266 |
— |
$33 | |
| X-ray of the elbow |
$264 |
$293 |
— |
$33 | |
| X-ray of the facial bones |
$364 |
$405 |
— |
$39 | |
| X-ray of the foot |
$246 |
$273 |
— |
$34 | |
| X-ray of the forearm |
$230 |
$256 |
— |
$29 | |
| X-ray of the hand |
$252 |
$280 |
— |
$38 | |
| X-ray of the hip |
$291 |
$323 |
— |
$49 | |
| X-ray of the hip (1 view) |
$261 |
$290 |
— |
$34 | |
| X-ray of the hip (3 views) |
$291 |
$323 |
— |
$49 | |
| X-ray of the hip (4 views) |
$322 |
$358 |
— |
$63 | |
| X-ray of the knee |
$266 |
$295 |
— |
$42 | |
| X-ray of the knee (2 views) |
$236 |
$262 |
— |
$34 | |
| X-ray of the knee (3 views) |
$266 |
$295 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$319 |
$354 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$353 |
$392 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$315 |
$350 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$391 |
$434 |
— |
$53 | |
| X-ray of the lower leg |
$237 |
$263 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$302 |
$335 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$282 |
$313 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$321 |
$357 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$323 |
$359 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$267 |
$297 |
— |
$40 | |
| X-ray of the pelvis |
$323 |
$359 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$290 |
$322 |
— |
$28 | |
| X-ray of the ribs |
$310 |
$344 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$269 |
$299 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$310 |
$344 |
— |
$42 | |
| X-ray of the shoulder |
$302 |
$336 |
— |
$36 | |
| X-ray of the skull |
$330 |
$367 |
— |
$40 | |
| X-ray of the upper arm |
$272 |
$302 |
— |
$32 | |
| X-ray of the wrist |
$257 |
$285 |
— |
$43 | |
| YAG laser capsulotomy (eye) |
$2,717 |
$3,019 |
— |
$335 | |
| Zinc blood test |
$95 |
$106 |
— |
$11 | |