| 3D mammogram (tomosynthesis) |
$229 |
$257 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,500 |
$1,686 |
— |
$284 | |
| Abdominal ultrasound |
$530 |
$596 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$591 |
$664 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$523 |
$588 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$820 |
$921 |
— |
$220 | |
| Abscess drainage (simple) |
$495 |
$557 |
— |
$129 | |
| Abscess incision and drainage |
$626 |
$704 |
— |
$174 | |
| Achilles tendon repair |
$4,640 |
$5,213 |
— |
$624 | |
| ACL knee reconstruction |
$6,818 |
$7,661 |
— |
$889 | |
| Acupuncture |
$98 |
$111 |
— |
$38 | |
| Acupuncture (each additional) |
$85 |
$96 |
— |
$28 | |
| Adenoid removal (adenoidectomy) |
$1,408 |
$1,582 |
— |
$204 | |
| Albumin blood test |
$35 |
$39 |
— |
$5 | |
| Aldosterone test |
$256 |
$288 |
— |
$41 | |
| Alkaline phosphatase test |
$37 |
$42 |
— |
$5 | |
| Allergy patch testing |
$46 |
$52 |
— |
$5 | |
| Allergy shots |
$48 |
$54 |
— |
$11 | |
| Allergy testing |
$26 |
$29 |
— |
$4 | |
| Alpha-fetoprotein (AFP) test |
$123 |
$138 |
— |
$17 | |
| ALT liver enzyme test |
$34 |
$38 |
— |
$5 | |
| Ammonia blood test |
$105 |
$118 |
— |
$15 | |
| Amniocentesis |
$793 |
$891 |
— |
$120 | |
| Amylase test |
$56 |
$63 |
— |
$6 | |
| Anal fistula repair |
$2,512 |
$2,823 |
— |
$541 | |
| Ankle fracture repair |
$3,652 |
$4,103 |
— |
$608 | |
| Ankle replacement |
$7,310 |
$8,213 |
— |
$885 | |
| Annual physical (established patient) |
$318 |
$357 |
— |
— | |
| Annual physical (new patient) |
$396 |
$445 |
— |
— | |
| Anoscopy |
$463 |
$521 |
— |
$129 | |
| Antinuclear antibody (ANA) test |
$102 |
$115 |
— |
$12 | |
| Aortic aneurysm repair (AAA) |
$8,823 |
$9,914 |
— |
$1,345 | |
| Aortic valve replacement |
$15,395 |
$17,298 |
— |
$1,603 | |
| Arterial blood gas (ABG) |
$93 |
$105 |
— |
$26 | |
| AST liver enzyme test |
$43 |
$48 |
— |
$5 | |
| Barium swallow study |
$434 |
$488 |
— |
$107 | |
| Bartholin cyst removal |
$715 |
$804 |
— |
$182 | |
| Basic metabolic panel |
$88 |
$99 |
— |
$8 | |
| Benign skin lesion removal |
$979 |
$1,101 |
— |
$171 | |
| Bilirubin blood test |
$38 |
$43 |
— |
$5 | |
| Bladder function test (urodynamics) |
$1,719 |
$1,932 |
— |
$345 | |
| Bladder scope (cystoscopy) |
$1,078 |
$1,211 |
— |
$216 | |
| Bladder tumor removal (TURBT) |
$2,228 |
$2,503 |
— |
$236 | |
| Blood clotting test (PT/INR) |
$34 |
$38 |
— |
$4 | |
| Blood crossmatch |
$213 |
$239 |
— |
— | |
| Blood glucose test |
$29 |
$33 |
— |
$5 | |
| Blood transfusion |
$743 |
$835 |
— |
$47 | |
| Blood type and screen |
$76 |
$85 |
— |
$10 | |
| Blood type test |
$28 |
$32 |
— |
$3 | |
| Blood type test (ABO group) |
$30 |
$34 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$27 |
$30 |
— |
$3 | |
| BNP (heart failure) test |
$190 |
$214 |
— |
$39 | |
| Bone density scan (DEXA) |
$474 |
$533 |
— |
$39 | |
| Bone marrow biopsy |
$1,555 |
$1,747 |
— |
$172 | |
| Bone scan (nuclear) |
$1,127 |
$1,266 |
— |
$259 | |
| Botox for migraine |
$950 |
$1,067 |
— |
$157 | |
| Brain shunt (VP shunt) |
$9,931 |
$11,158 |
— |
$1,023 | |
| Breast biopsy |
$3,713 |
$4,172 |
— |
$478 | |
| Breast MRI |
$2,749 |
$3,089 |
— |
$216 | |
| Breast MRI without contrast |
$2,749 |
$3,089 |
— |
$216 | |
| Breast reconstruction |
$12,874 |
$14,466 |
— |
$1,227 | |
| Breast reduction |
$9,007 |
$10,120 |
— |
$980 | |
| Breast ultrasound |
$444 |
$499 |
— |
$92 | |
| Breast ultrasound (complete) |
$462 |
$519 |
— |
$100 | |
| Breast ultrasound (limited) |
$425 |
$478 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$741 |
$833 |
— |
$133 | |
| Bronchoscopy |
$3,605 |
$4,050 |
— |
$303 | |
| Bunion surgery (bunionectomy) |
$4,177 |
$4,693 |
— |
$883 | |
| Burn dressing and debridement (medium) |
$572 |
$643 |
— |
$166 | |
| Burn dressing and debridement (small) |
$423 |
$475 |
— |
$93 | |
| Burn treatment |
$502 |
$564 |
— |
$129 | |
| C-reactive protein (CRP) |
$73 |
$82 |
— |
$5 | |
| CA 19-9 tumor marker test |
$205 |
$230 |
— |
$21 | |
| CA-125 ovarian marker test |
$207 |
$233 |
— |
$21 | |
| Calcium blood test |
$37 |
$42 |
— |
$5 | |
| Capsule endoscopy |
$2,255 |
$2,534 |
— |
$802 | |
| Cardiac ablation |
$20,604 |
$23,150 |
— |
$759 | |
| Cardiac catheterization |
$9,750 |
$10,956 |
— |
$1,049 | |
| Cardiac event monitor |
$2,290 |
$2,573 |
— |
$170 | |
| Cardiac MRI |
$4,017 |
$4,514 |
— |
$322 | |
| Cardiac MRI without contrast |
$3,582 |
$4,025 |
— |
$280 | |
| Cardiac rehabilitation |
$305 |
$343 |
— |
$26 | |
| Cardiac stress test |
$384 |
$432 |
— |
$39 | |
| Cardioversion |
$1,394 |
$1,567 |
— |
$155 | |
| Carotid artery surgery |
$6,983 |
$7,846 |
— |
$1,026 | |
| Carotid artery ultrasound |
$885 |
$994 |
— |
$156 | |
| Carpal tunnel release |
$4,624 |
$5,195 |
— |
$483 | |
| Cataract surgery |
$4,253 |
$4,779 |
— |
$547 | |
| CEA tumor marker test |
$166 |
$186 |
— |
$19 | |
| Celiac disease test |
$116 |
$130 |
— |
$12 | |
| Central line placement |
$2,803 |
$3,149 |
— |
$238 | |
| Cervical cerclage |
$1,649 |
$1,853 |
— |
$137 | |
| Cervical LEEP procedure |
$1,805 |
$2,028 |
— |
$325 | |
| Chalazion (eyelid cyst) removal |
$462 |
$519 |
— |
$131 | |
| Chemotherapy infusion |
$507 |
$570 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$211 |
$237 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$804 |
$903 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$2,414 |
$2,712 |
— |
$311 | |
| Chest tube insertion |
$1,603 |
$1,802 |
— |
$143 | |
| Chest X-ray |
$224 |
$252 |
— |
$37 | |
| Chest X-ray (1 view) |
$158 |
$177 |
— |
$25 | |
| Chest X-ray (2 views) |
$189 |
$212 |
— |
$33 | |
| Chickenpox (varicella) vaccine |
$232 |
$261 |
— |
— | |
| Chiropractic adjustment |
$76 |
$85 |
— |
$38 | |
| Circumcision |
$763 |
$857 |
— |
$167 | |
| Clotting time test (PTT) |
$57 |
$64 |
— |
$6 | |
| Colon resection (colectomy) |
$7,597 |
$8,536 |
— |
$1,238 | |
| Colonoscopy |
$2,994 |
$3,364 |
— |
$480 | |
| Colostomy |
$5,905 |
$6,635 |
— |
$1,122 | |
| Colposcopy |
$694 |
$780 |
— |
$161 | |
| Complete blood count (CBC) |
$57 |
$64 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$68 |
$76 |
— |
$8 | |
| Complex wound repair |
$1,506 |
$1,693 |
— |
$390 | |
| Comprehensive eye exam |
$341 |
$384 |
— |
$138 | |
| Comprehensive metabolic panel |
$101 |
$114 |
— |
$11 | |
| Contact lens fitting |
$120 |
$135 |
— |
— | |
| Continuous glucose monitor setup |
$192 |
$216 |
— |
$35 | |
| Contraceptive implant (Nexplanon) |
$613 |
$689 |
— |
$115 | |
| Copper blood test |
$101 |
$114 |
— |
$12 | |
| Corneal transplant |
$6,756 |
$7,591 |
— |
$1,066 | |
| Coronary CT angiography |
$2,892 |
$3,249 |
— |
$326 | |
| Cortisol test |
$129 |
$145 |
— |
$16 | |
| COVID-19 PCR test |
$121 |
$136 |
— |
$51 | |
| CPAP titration study |
$628 |
$706 |
— |
$69 | |
| Craniotomy (brain surgery) |
$18,054 |
$20,285 |
— |
$2,161 | |
| Creatine kinase (CK) test |
$51 |
$57 |
— |
$7 | |
| CT angiography of the chest |
$2,322 |
$2,609 |
— |
$281 | |
| CT angiography of the head |
$2,590 |
$2,910 |
— |
$274 | |
| CT colonography (virtual colonoscopy) |
$2,188 |
$2,458 |
— |
$835 | |
| CT scan of the abdomen |
$1,684 |
$1,892 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$2,228 |
$2,503 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,854 |
$3,207 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,228 |
$2,503 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,512 |
$1,699 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,936 |
$2,175 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$1,684 |
$1,892 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$1,162 |
$1,306 |
— |
$136 | |
| CT scan of the arm |
$1,435 |
$1,612 |
— |
$199 | |
| CT scan of the arm with contrast |
$1,435 |
$1,612 |
— |
$199 | |
| CT scan of the arm without contrast |
$1,227 |
$1,379 |
— |
$161 | |
| CT scan of the chest |
$1,630 |
$1,832 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$2,095 |
$2,354 |
— |
$196 | |
| CT scan of the chest with contrast |
$1,630 |
$1,832 |
— |
$167 | |
| CT scan of the chest without contrast |
$1,257 |
$1,412 |
— |
$133 | |
| CT scan of the head |
$1,394 |
$1,566 |
— |
$148 | |
| CT scan of the head with and without contrast |
$1,793 |
$2,015 |
— |
$173 | |
| CT scan of the head with contrast |
$1,394 |
$1,566 |
— |
$148 | |
| CT scan of the head without contrast |
$951 |
$1,068 |
— |
$107 | |
| CT scan of the leg |
$1,379 |
$1,549 |
— |
$166 | |
| CT scan of the leg with contrast |
$1,379 |
$1,549 |
— |
$166 | |
| CT scan of the leg without contrast |
$1,226 |
$1,378 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,014 |
$2,263 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,052 |
$2,306 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,014 |
$2,263 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,610 |
$1,809 |
— |
$130 | |
| CT scan of the neck |
$1,532 |
$1,721 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$2,114 |
$2,375 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,167 |
$2,435 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$2,114 |
$2,375 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,487 |
$1,671 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$1,874 |
$2,106 |
— |
$220 | |
| CT scan of the neck with contrast |
$1,532 |
$1,721 |
— |
$183 | |
| CT scan of the neck without contrast |
$1,303 |
$1,464 |
— |
$150 | |
| CT scan of the pelvis |
$1,590 |
$1,787 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,994 |
$2,241 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$1,590 |
$1,787 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$1,233 |
$1,385 |
— |
$133 | |
| CT scan of the sinuses |
$1,652 |
$1,856 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,909 |
$2,145 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$1,652 |
$1,856 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$1,108 |
$1,245 |
— |
$128 | |
| D-dimer test |
$93 |
$104 |
— |
$10 | |
| Defibrillator (ICD) implant |
$23,767 |
$26,705 |
— |
$798 | |
| Developmental screening (child) |
$69 |
$78 |
— |
— | |
| DHEA-sulfate test |
$191 |
$215 |
— |
$22 | |
| Diagnostic mammogram |
$666 |
$749 |
— |
$140 | |
| Dialysis fistula creation |
$3,486 |
$3,917 |
— |
$601 | |
| Dilation and curettage (D&C) |
$3,600 |
$4,045 |
— |
$298 | |
| Droopy eyelid repair (ptosis) |
$5,113 |
$5,745 |
— |
$745 | |
| Drug screen (urine) |
$198 |
$223 |
— |
$17 | |
| Ear pressure test (tympanometry) |
$77 |
$86 |
— |
$16 | |
| Ear tubes (myringotomy) |
$1,048 |
$1,178 |
— |
$174 | |
| Eardrum repair (tympanoplasty) |
$5,991 |
$6,732 |
— |
$799 | |
| Echocardiogram |
$3,286 |
$3,692 |
— |
$138 | |
| Echocardiogram with and without contrast |
$1,900 |
$2,135 |
— |
$101 | |
| EEG (awake and asleep) |
$1,330 |
$1,494 |
— |
$482 | |
| EKG / ECG (tracing only) |
$183 |
$206 |
— |
$7 | |
| Elbow replacement |
$11,600 |
$13,034 |
— |
$1,301 | |
| Electrocardiogram (EKG) |
$178 |
$200 |
— |
$8 | |
| Electroencephalogram (EEG) |
$1,330 |
$1,494 |
— |
$448 | |
| Electrolyte panel |
$54 |
$61 |
— |
$7 | |
| Electromyography (EMG) |
$793 |
$891 |
— |
$141 | |
| Emergency department visit |
$554 |
$623 |
— |
$69 | |
| Emergency department visit (level 1) |
$190 |
$214 |
— |
$11 | |
| Emergency department visit (level 2) |
$330 |
$371 |
— |
$40 | |
| Emergency department visit (level 3) |
$661 |
$743 |
— |
$69 | |
| Emergency department visit (level 4) |
$1,072 |
$1,205 |
— |
$118 | |
| Emergency department visit (level 5) |
$1,577 |
$1,772 |
— |
$171 | |
| Endometrial biopsy |
$449 |
$504 |
— |
$98 | |
| Epidural steroid injection |
$1,710 |
$1,921 |
— |
$275 | |
| ERCP (bile duct endoscopy) |
$5,052 |
$5,676 |
— |
$311 | |
| Esophageal dilation |
$1,674 |
$1,881 |
— |
$522 | |
| Esophageal variceal banding |
$4,215 |
$4,736 |
— |
$126 | |
| Estradiol (estrogen) test |
$152 |
$171 |
— |
$28 | |
| Eye refraction (glasses prescription) |
$75 |
$84 |
— |
— | |
| Eyelid surgery (blepharoplasty) |
$3,906 |
$4,389 |
— |
$552 | |
| Facet joint injection (spine) |
$1,550 |
$1,742 |
— |
$99 | |
| Fallopian tube X-ray (HSG) |
$582 |
$654 |
— |
$164 | |
| Family therapy session |
$332 |
$373 |
— |
$110 | |
| Fecal occult blood (stool) test |
$79 |
$89 |
— |
$10 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$79 |
$89 |
— |
$16 | |
| Feeding tube (PEG) placement |
$4,021 |
$4,519 |
— |
$178 | |
| Femoral hernia repair |
$3,287 |
$3,693 |
— |
$584 | |
| Ferritin (iron) test |
$98 |
$110 |
— |
$14 | |
| Fibrinogen test |
$77 |
$86 |
— |
$10 | |
| Fibroid removal (myomectomy) |
$5,675 |
$6,377 |
— |
$914 | |
| Flexible sigmoidoscopy |
$2,054 |
$2,308 |
— |
$323 | |
| Folate (folic acid) test |
$108 |
$121 |
— |
$15 | |
| Foreign body removal (skin) |
$620 |
$697 |
— |
$157 | |
| Free T4 thyroid test |
$84 |
$94 |
— |
$9 | |
| FSH hormone test |
$137 |
$154 |
— |
$19 | |
| Gallbladder removal (laparoscopic) |
$4,758 |
$5,346 |
— |
$658 | |
| Gallbladder scan (HIDA) |
$1,548 |
$1,740 |
— |
$334 | |
| Ganglion cyst removal |
$2,288 |
$2,571 |
— |
$321 | |
| GGT liver test |
$51 |
$57 |
— |
$7 | |
| Glaucoma surgery |
$5,028 |
$5,650 |
— |
$984 | |
| Glucose tolerance test |
$64 |
$72 |
— |
$8 | |
| Group therapy session |
$328 |
$369 |
— |
$30 | |
| H. pylori test |
$287 |
$322 |
— |
$67 | |
| Hammertoe repair |
$2,251 |
$2,529 |
— |
$548 | |
| HDL cholesterol test |
$50 |
$56 |
— |
$8 | |
| Hearing test (audiometry) |
$184 |
$207 |
— |
$36 | |
| Hematocrit test |
$27 |
$30 |
— |
$2 | |
| Hemodialysis |
$506 |
$569 |
— |
$75 | |
| Hemoglobin A1c (diabetes test) |
$71 |
$80 |
— |
$10 | |
| Hemorrhoid removal |
$1,247 |
$1,401 |
— |
$338 | |
| Hepatitis A vaccine |
$102 |
$115 |
— |
— | |
| Hepatitis B test |
$71 |
$80 |
— |
$10 | |
| Hepatitis B vaccine |
$55 |
$62 |
— |
— | |
| Hepatitis C test |
$111 |
$125 |
— |
$14 | |
| Hip arthroscopy |
$6,602 |
$7,418 |
— |
$931 | |
| Hip fracture repair |
$7,797 |
$8,761 |
— |
$1,120 | |
| Hip replacement |
$13,511 |
$15,181 |
— |
$1,162 | |
| HIV test |
$109 |
$123 |
— |
$19 | |
| HIV test (antibody) |
$106 |
$119 |
— |
$14 | |
| HIV test (antigen/antibody combo) |
$112 |
$126 |
— |
$24 | |
| Holter heart monitor |
$556 |
$625 |
— |
$26 | |
| Home sleep apnea test |
$817 |
$919 |
— |
$123 | |
| HPV vaccine |
$377 |
$424 |
— |
— | |
| Hydrocele repair |
$2,210 |
$2,483 |
— |
$315 | |
| Hysterectomy |
$5,351 |
$6,013 |
— |
$933 | |
| Hysteroscopy |
$6,010 |
$6,753 |
— |
$1,270 | |
| Ileostomy |
$5,278 |
$5,930 |
— |
$968 | |
| Inguinal hernia repair |
$3,341 |
$3,754 |
— |
$538 | |
| Iron blood test |
$41 |
$46 |
— |
$6 | |
| IUD insertion |
$906 |
$1,018 |
— |
— | |
| IUD removal |
$882 |
$992 |
— |
$112 | |
| IV infusion therapy |
$237 |
$266 |
— |
$44 | |
| IV infusion therapy (each additional) |
$128 |
$144 |
— |
$21 | |
| IV infusion therapy (initial) |
$345 |
$388 |
— |
$67 | |
| IVC filter placement |
$7,784 |
$8,746 |
— |
$1,885 | |
| Joint aspiration (small/intermediate) |
$489 |
$550 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$489 |
$550 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$495 |
$556 |
— |
$56 | |
| Kidney biopsy |
$1,832 |
$2,059 |
— |
$492 | |
| Kidney removal (nephrectomy) |
$10,596 |
$11,906 |
— |
$1,164 | |
| Kidney scan (nuclear) |
$1,294 |
$1,454 |
— |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$4,839 |
$5,437 |
— |
$760 | |
| Kidney ultrasound |
$495 |
$557 |
— |
$84 | |
| Kidney ultrasound (limited) |
$400 |
$449 |
— |
$61 | |
| Knee arthroscopy |
$4,213 |
$4,734 |
— |
$524 | |
| Knee joint injection |
$503 |
$565 |
— |
$69 | |
| Lactate test |
$88 |
$99 |
— |
$12 | |
| Laminectomy (spine) |
$15,360 |
$17,259 |
— |
$1,157 | |
| Laryngoscopy |
$1,028 |
$1,155 |
— |
$189 | |
| LDH test |
$39 |
$44 |
— |
$6 | |
| Leg artery angiogram |
$1,432 |
$1,609 |
— |
$149 | |
| Leg vein ultrasound (Doppler) |
$971 |
$1,092 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$820 |
$921 |
— |
$116 | |
| LH hormone test |
$137 |
$154 |
— |
$19 | |
| Lipase test |
$59 |
$66 |
— |
$7 | |
| Lipid (cholesterol) panel |
$119 |
$134 |
— |
$13 | |
| Liver biopsy |
$1,760 |
$1,978 |
— |
$288 | |
| Liver function panel |
$83 |
$93 |
— |
$8 | |
| Lumbar discectomy |
$12,349 |
$13,875 |
— |
$898 | |
| Lumpectomy (breast) |
$4,342 |
$4,879 |
— |
$750 | |
| Lung function test (PFT) |
$435 |
$489 |
— |
$37 | |
| Lung scan (V/Q) |
$1,888 |
$2,121 |
— |
$291 | |
| Magnesium blood test |
$57 |
$64 |
— |
$7 | |
| Mastectomy |
$6,383 |
$7,172 |
— |
$1,021 | |
| Mastoidectomy |
$5,093 |
$5,722 |
— |
$840 | |
| Meniscus repair (knee) |
$5,652 |
$6,350 |
— |
$714 | |
| MMR vaccine |
$131 |
$147 |
— |
— | |
| Mohs skin cancer surgery |
$1,465 |
$1,646 |
— |
$535 | |
| MRA of the brain |
$3,096 |
$3,479 |
— |
$226 | |
| MRA of the brain with contrast |
$3,096 |
$3,479 |
— |
$226 | |
| MRA of the brain without contrast |
$4,802 |
$5,395 |
— |
$328 | |
| MRA of the neck |
$3,224 |
$3,622 |
— |
$245 | |
| MRA of the neck with contrast |
$3,224 |
$3,622 |
— |
$245 | |
| MRA of the neck without contrast |
$4,361 |
$4,900 |
— |
$343 | |
| MRI of the abdomen |
$3,131 |
$3,518 |
— |
$300 | |
| MRI of the abdomen with contrast |
$3,131 |
$3,518 |
— |
$300 | |
| MRI of the abdomen without contrast |
$2,496 |
$2,804 |
— |
$194 | |
| MRI of the ankle |
$3,034 |
$3,409 |
— |
$261 | |
| MRI of the ankle with contrast |
$3,034 |
$3,409 |
— |
$261 | |
| MRI of the ankle without contrast |
$2,329 |
$2,617 |
— |
$222 | |
| MRI of the brain |
$3,119 |
$3,505 |
— |
$269 | |
| MRI of the brain with contrast |
$3,119 |
$3,505 |
— |
$269 | |
| MRI of the brain without contrast |
$2,686 |
$3,018 |
— |
$195 | |
| MRI of the chest |
$3,281 |
$3,686 |
— |
$371 | |
| MRI of the chest with contrast |
$3,281 |
$3,686 |
— |
$371 | |
| MRI of the chest without contrast |
$4,547 |
$5,109 |
— |
$466 | |
| MRI of the knee |
$2,714 |
$3,049 |
— |
$315 | |
| MRI of the knee with contrast |
$2,714 |
$3,049 |
— |
$315 | |
| MRI of the knee without contrast |
$1,833 |
$2,059 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$3,372 |
$3,789 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$3,372 |
$3,789 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,126 |
$2,389 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$3,280 |
$3,685 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$4,478 |
$5,032 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$3,280 |
$3,685 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$3,032 |
$3,407 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$3,265 |
$3,669 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$4,336 |
$4,872 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$3,265 |
$3,669 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,300 |
$2,584 |
— |
$191 | |
| MRI of the pelvis |
$3,086 |
$3,467 |
— |
$268 | |
| MRI of the pelvis with contrast |
$3,086 |
$3,467 |
— |
$268 | |
| MRI of the pelvis without contrast |
$2,900 |
$3,258 |
— |
$227 | |
| MRI of the shoulder |
$2,696 |
$3,029 |
— |
$313 | |
| MRI of the shoulder with contrast |
$2,696 |
$3,029 |
— |
$313 | |
| MRI of the shoulder without contrast |
$2,003 |
$2,250 |
— |
$205 | |
| MRI of the wrist |
$2,732 |
$3,070 |
— |
$330 | |
| MRI of the wrist with contrast |
$2,732 |
$3,070 |
— |
$330 | |
| MRI of the wrist without contrast |
$2,496 |
$2,805 |
— |
$303 | |
| Nebulizer breathing treatment |
$199 |
$224 |
— |
$9 | |
| Neck (cervical) spinal fusion |
$14,859 |
$16,696 |
— |
$1,410 | |
| Nerve conduction study |
$762 |
$856 |
— |
$118 | |
| Newborn hospital care |
$322 |
$362 |
— |
$58 | |
| Nuchal translucency ultrasound |
$620 |
$697 |
— |
$116 | |
| Nuclear cardiac stress test |
$2,525 |
$2,837 |
— |
$428 | |
| Occupational therapy evaluation |
$304 |
$342 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$329 |
$370 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$282 |
$317 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$304 |
$342 |
— |
$101 | |
| Office visit (established patient) |
$144 |
$162 |
— |
$115 | |
| Office visit (new patient) |
$264 |
$297 |
— |
$177 | |
| Office visit, established patient (level 3) |
$108 |
$122 |
— |
$95 | |
| Office visit, established patient (level 4) |
$223 |
$250 |
— |
$136 | |
| Office visit, new patient (level 3) |
$245 |
$276 |
— |
$118 | |
| Office visit, new patient (level 4) |
$332 |
$373 |
— |
$177 | |
| Office visit, new patient (level 5) |
$404 |
$454 |
— |
$237 | |
| Orthopedic hardware removal |
$4,685 |
$5,265 |
— |
$632 | |
| Ovarian cyst removal |
$3,721 |
$4,181 |
— |
$698 | |
| Ovary removal (oophorectomy) |
$3,386 |
$3,804 |
— |
$822 | |
| Pap smear (cervical screening) |
$96 |
$108 |
— |
$20 | |
| Parathyroid hormone (PTH) test |
$262 |
$294 |
— |
$41 | |
| Parathyroid removal |
$6,324 |
$7,106 |
— |
$891 | |
| Pelvic ultrasound |
$397 |
$446 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$497 |
$558 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$296 |
$333 |
— |
$51 | |
| PET scan |
$7,370 |
$8,281 |
— |
— | |
| Phosphorus blood test |
$33 |
$37 |
— |
$5 | |
| Physical therapy evaluation |
$314 |
$353 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$329 |
$370 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$314 |
$353 |
— |
$98 | |
| Pilonidal cyst removal |
$1,911 |
$2,147 |
— |
$541 | |
| Platelet count |
$30 |
$34 |
— |
$4 | |
| Pneumonia vaccine |
$145 |
$163 |
— |
— | |
| Pregnancy ultrasound |
$631 |
$710 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$626 |
$703 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$637 |
$716 |
— |
$136 | |
| Procalcitonin test |
$166 |
$187 |
— |
$27 | |
| Prolactin test |
$151 |
$170 |
— |
$19 | |
| Prostate removal (prostatectomy) |
$8,737 |
$9,817 |
— |
$1,063 | |
| Prostate surgery (TURP) |
$4,367 |
$4,907 |
— |
$526 | |
| Prostate test (PSA) |
$148 |
$166 |
— |
$18 | |
| Psychiatric evaluation |
$449 |
$504 |
— |
$188 | |
| Psychotherapy session |
$313 |
$352 |
— |
$140 | |
| Pulmonary rehabilitation |
$231 |
$259 |
— |
$87 | |
| Radiofrequency nerve ablation |
$3,687 |
$4,143 |
— |
$462 | |
| Retina scan (OCT) |
$205 |
$230 |
— |
$33 | |
| Retinal (fundus) photography |
$190 |
$214 |
— |
$37 | |
| Retinal detachment repair |
$8,520 |
$9,573 |
— |
$966 | |
| Rotator cuff repair |
$5,930 |
$6,663 |
— |
$792 | |
| Routine eye exam |
$233 |
$262 |
— |
$88 | |
| RSV vaccine |
$335 |
$376 |
— |
— | |
| Sacroiliac joint injection |
$1,348 |
$1,515 |
— |
$176 | |
| Scoliosis spine X-ray |
$262 |
$294 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$217 |
$244 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$306 |
$344 |
— |
$72 | |
| Screening colonoscopy |
$2,448 |
$2,751 |
— |
$378 | |
| Screening mammogram |
$470 |
$528 |
— |
$126 | |
| Scrotal ultrasound |
$565 |
$635 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$36 |
$40 |
— |
$3 | |
| Septoplasty (deviated septum) |
$3,952 |
$4,441 |
— |
$613 | |
| Sex hormone binding globulin test |
$152 |
$171 |
— |
$22 | |
| Shingles vaccine |
$200 |
$225 |
— |
— | |
| Shoulder arthroscopy |
$6,938 |
$7,796 |
— |
$962 | |
| Shoulder replacement |
$11,690 |
$13,135 |
— |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$490 |
$551 |
— |
$114 | |
| Simple wound stitches |
$514 |
$578 |
— |
$127 | |
| Sinus surgery (endoscopic) |
$2,666 |
$2,996 |
— |
$224 | |
| Skin biopsy |
$416 |
$468 |
— |
$121 | |
| Skin biopsy (punch) |
$416 |
$468 |
— |
$121 | |
| Skin cancer lesion removal |
$1,144 |
$1,286 |
— |
$240 | |
| Skin graft |
$4,541 |
$5,102 |
— |
$898 | |
| Skin lesion freezing (cryotherapy) |
$223 |
$251 |
— |
$36 | |
| Skin tag removal |
$375 |
$421 |
— |
$92 | |
| Sleep study (polysomnography) |
$926 |
$1,040 |
— |
$691 | |
| Small bowel resection |
$6,083 |
$6,835 |
— |
$1,136 | |
| Soft tissue ultrasound |
$227 |
$255 |
— |
$64 | |
| Speech therapy |
$263 |
$295 |
— |
$76 | |
| Spinal cord stimulator |
$6,663 |
$7,486 |
— |
$2,388 | |
| Spinal tap (lumbar puncture) |
$1,117 |
$1,256 |
— |
$165 | |
| Spine fracture repair (kyphoplasty) |
$13,170 |
$14,798 |
— |
$5,803 | |
| Spirometry (lung function test) |
$386 |
$434 |
— |
$30 | |
| Spirometry with bronchodilator |
$819 |
$921 |
— |
$43 | |
| Spleen removal (splenectomy) |
$6,987 |
$7,850 |
— |
$1,036 | |
| Stomach removal (gastrectomy) |
$9,731 |
$10,934 |
— |
$1,595 | |
| Strabismus (eye muscle) surgery |
$4,779 |
$5,370 |
— |
$475 | |
| Stress echocardiogram |
$1,952 |
$2,193 |
— |
$209 | |
| Stress echocardiogram (complete) |
$1,952 |
$2,193 |
— |
$233 | |
| Swallow study |
$471 |
$529 |
— |
$85 | |
| T3 thyroid test |
$102 |
$115 |
— |
$14 | |
| Tdap (tetanus) vaccine |
$58 |
$65 |
— |
— | |
| Testicle removal (orchiectomy) |
$2,218 |
$2,492 |
— |
$306 | |
| Testosterone test |
$166 |
$187 |
— |
$26 | |
| Thyroid removal (thyroidectomy) |
$7,847 |
$8,817 |
— |
$1,004 | |
| Thyroid test (TSH) |
$118 |
$133 |
— |
$17 | |
| Thyroid ultrasound |
$481 |
$541 |
— |
$109 | |
| Thyroid uptake scan |
$797 |
$895 |
— |
$145 | |
| Tilt table test |
$1,610 |
$1,809 |
— |
$168 | |
| Tonsillectomy |
$1,519 |
$1,707 |
— |
$252 | |
| Total IgE allergy test |
$112 |
$126 |
— |
$16 | |
| Total protein test |
$36 |
$40 |
— |
$4 | |
| Tracheostomy |
$2,158 |
$2,425 |
— |
$273 | |
| Transesophageal echocardiogram (TEE) |
$976 |
$1,097 |
— |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$823 |
$925 |
— |
$239 | |
| Transvaginal ultrasound |
$550 |
$618 |
— |
$118 | |
| Trigger finger release |
$4,198 |
$4,717 |
— |
$630 | |
| Trigger point injection |
$499 |
$561 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$473 |
$531 |
— |
$52 | |
| Triglycerides test |
$44 |
$49 |
— |
$6 | |
| Troponin (heart) test |
$126 |
$142 |
— |
$12 | |
| Tubal ligation |
$2,862 |
$3,216 |
— |
$333 | |
| Turbinate reduction |
$2,488 |
$2,795 |
— |
$294 | |
| Turning a breech baby (version) |
$2,866 |
$3,220 |
— |
$94 | |
| Ulnar nerve surgery (elbow) |
$4,980 |
$5,595 |
— |
$575 | |
| Upper GI endoscopy (EGD) |
$2,763 |
$3,104 |
— |
$371 | |
| Upper GI series (barium) |
$633 |
$711 |
— |
$128 | |
| Ureteral stent placement |
$2,451 |
$2,754 |
— |
$373 | |
| Ureteroscopy (stone removal) |
$3,895 |
$4,376 |
— |
$365 | |
| Uric acid (gout) test |
$38 |
$43 |
— |
$5 | |
| Urinalysis |
$28 |
$32 |
— |
$3 | |
| Urine microalbumin test |
$65 |
$73 |
— |
$5 | |
| Urine pregnancy test |
$48 |
$54 |
— |
$9 | |
| Vaccine administration |
$44 |
$50 |
— |
$19 | |
| Vaccine administration (each additional) |
$37 |
$42 |
— |
$16 | |
| Varicocele repair |
$2,585 |
$2,904 |
— |
$327 | |
| Varicose vein ablation |
$7,294 |
$8,196 |
— |
$1,018 | |
| Vasectomy |
$1,729 |
$1,943 |
— |
$347 | |
| Visual field test |
$299 |
$336 |
— |
$64 | |
| Vitamin B12 test |
$141 |
$158 |
— |
$15 | |
| Vitamin D test |
$227 |
$255 |
— |
$30 | |
| Vitrectomy (eye) |
$8,248 |
$9,267 |
— |
$814 | |
| Vocal cord injection |
$1,332 |
$1,497 |
— |
$211 | |
| Wart removal |
$320 |
$360 |
— |
$121 | |
| Well-child visit |
$263 |
$296 |
— |
— | |
| Whipple procedure (pancreas) |
$16,162 |
$18,159 |
— |
$2,871 | |
| Wound debridement |
$923 |
$1,037 |
— |
$186 | |
| Wrist fracture repair |
$4,123 |
$4,633 |
— |
$735 | |
| X-ray of the abdomen |
$189 |
$212 |
— |
$36 | |
| X-ray of the ankle |
$179 |
$201 |
— |
$37 | |
| X-ray of the collarbone |
$163 |
$183 |
— |
$33 | |
| X-ray of the elbow |
$179 |
$201 |
— |
$33 | |
| X-ray of the facial bones |
$216 |
$243 |
— |
$39 | |
| X-ray of the foot |
$170 |
$191 |
— |
$34 | |
| X-ray of the forearm |
$166 |
$187 |
— |
$29 | |
| X-ray of the hand |
$150 |
$168 |
— |
$38 | |
| X-ray of the hip |
$214 |
$241 |
— |
$49 | |
| X-ray of the hip (1 view) |
$179 |
$201 |
— |
$34 | |
| X-ray of the hip (3 views) |
$214 |
$241 |
— |
$49 | |
| X-ray of the hip (4 views) |
$296 |
$333 |
— |
$63 | |
| X-ray of the knee |
$179 |
$201 |
— |
$42 | |
| X-ray of the knee (2 views) |
$163 |
$183 |
— |
$34 | |
| X-ray of the knee (3 views) |
$179 |
$201 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$203 |
$228 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$213 |
$239 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$169 |
$190 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$256 |
$288 |
— |
$53 | |
| X-ray of the lower leg |
$150 |
$168 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$183 |
$206 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$146 |
$164 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$221 |
$248 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$209 |
$235 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$161 |
$181 |
— |
$40 | |
| X-ray of the pelvis |
$196 |
$221 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$156 |
$175 |
— |
$28 | |
| X-ray of the ribs |
$232 |
$261 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$185 |
$208 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$232 |
$261 |
— |
$42 | |
| X-ray of the shoulder |
$182 |
$205 |
— |
$36 | |
| X-ray of the skull |
$244 |
$274 |
— |
$40 | |
| X-ray of the upper arm |
$168 |
$189 |
— |
$32 | |
| X-ray of the wrist |
$166 |
$187 |
— |
$43 | |
| YAG laser capsulotomy (eye) |
$1,470 |
$1,652 |
— |
$335 | |
| Zinc blood test |
$100 |
$112 |
— |
$11 | |