| 3D mammogram (tomosynthesis) |
$236 |
$333 |
$138 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$2,007 |
$2,827 |
$2,514 |
$284 | |
| Abdominal ultrasound |
$1,112 |
$1,566 |
$198 |
$100 | |
| Abdominal ultrasound (complete) |
$1,286 |
$1,811 |
$200 |
$114 | |
| Abdominal ultrasound (limited) |
$937 |
$1,320 |
$144 |
$86 | |
| Abscess drainage (complex or multiple) |
$644 |
$907 |
$1,521 |
$220 | |
| Abscess drainage (simple) |
$479 |
$674 |
$1,521 |
$129 | |
| Abscess incision and drainage |
$561 |
$791 |
$1,521 |
$174 | |
| Achilles tendon repair |
— |
— |
$14,603 |
$624 | |
| ACL knee reconstruction |
— |
— |
$14,603 |
$889 | |
| Adenoid removal (adenoidectomy) |
— |
— |
$20,079 |
$204 | |
| Albumin blood test |
$40 |
$57 |
$21 |
$5 | |
| Aldosterone test |
$381 |
$536 |
$99 |
$41 | |
| Alkaline phosphatase test |
$48 |
$68 |
$21 |
$5 | |
| Allergy shots |
$121 |
$170 |
$45 |
$11 | |
| Alpha-fetoprotein (AFP) test |
$117 |
$165 |
$45 |
$17 | |
| ALT liver enzyme test |
$79 |
$111 |
$22 |
$5 | |
| Ammonia blood test |
$104 |
$147 |
$56 |
$15 | |
| Amniocentesis |
$1,097 |
$1,545 |
$243 |
$120 | |
| Amylase test |
$94 |
$133 |
$28 |
$6 | |
| Anal fistula repair |
— |
— |
$17,341 |
$541 | |
| Ankle fracture repair |
— |
— |
$14,603 |
$608 | |
| Annual physical (established patient) |
$110 |
$155 |
$122 |
— | |
| Annual physical (new patient) |
$108 |
$152 |
$120 |
— | |
| Anoscopy |
$376 |
$530 |
$551 |
$129 | |
| Antinuclear antibody (ANA) test |
$104 |
$147 |
$52 |
$12 | |
| Aortic valve replacement |
$43,664 |
$61,499 |
$32,550 |
$1,603 | |
| Arterial blood gas (ABG) |
$207 |
$292 |
$62 |
$26 | |
| AST liver enzyme test |
$77 |
$108 |
$22 |
$5 | |
| Barium swallow study |
$524 |
$738 |
$143 |
$107 | |
| Bartholin cyst removal |
$523 |
$736 |
$1,544 |
$182 | |
| Basic metabolic panel |
$222 |
$313 |
$36 |
$8 | |
| Benign skin lesion removal |
$2,098 |
$2,955 |
$1,597 |
$171 | |
| Bilirubin blood test |
$74 |
$104 |
$21 |
$5 | |
| Bladder function test (urodynamics) |
$715 |
$1,007 |
$570 |
$345 | |
| Bladder scope (cystoscopy) |
— |
— |
$10,110 |
$216 | |
| Bladder tumor removal (TURBT) |
— |
— |
$13,098 |
$236 | |
| Blood clotting test (PT/INR) |
$70 |
$99 |
$10 |
$4 | |
| Blood crossmatch |
$153 |
$216 |
$162 |
— | |
| Blood glucose test |
$48 |
$67 |
$10 |
$5 | |
| Blood transfusion |
$1,016 |
$1,431 |
$1,181 |
$47 | |
| Blood type and screen |
$83 |
$117 |
$52 |
$10 | |
| Blood type test |
$58 |
$82 |
$38 |
$3 | |
| Blood type test (ABO group) |
$61 |
$86 |
$117 |
$3 | |
| Blood type test (Rh/D antigen) |
$55 |
$77 |
$37 |
$3 | |
| BNP (heart failure) test |
$184 |
$259 |
$85 |
$39 | |
| Bone density scan (DEXA) |
$618 |
$871 |
$239 |
$39 | |
| Bone marrow biopsy |
$1,142 |
$1,609 |
$570 |
$172 | |
| Bone scan (nuclear) |
$1,448 |
$2,040 |
$434 |
$259 | |
| Botox for migraine |
$731 |
$1,030 |
$570 |
$157 | |
| Breast biopsy |
$4,773 |
$6,722 |
$1,333 |
$478 | |
| Breast MRI |
$2,665 |
$3,753 |
$401 |
$216 | |
| Breast MRI without contrast |
$2,665 |
$3,753 |
$245 |
$216 | |
| Breast reconstruction |
— |
— |
$23,229 |
$1,227 | |
| Breast reduction |
— |
— |
$20,079 |
$980 | |
| Breast ultrasound |
$510 |
$718 |
$397 |
$92 | |
| Breast ultrasound (complete) |
$510 |
$718 |
$420 |
$100 | |
| Breast ultrasound (limited) |
$632 |
$890 |
$129 |
$84 | |
| Breathing tube insertion (intubation) |
$559 |
$787 |
$649 |
$133 | |
| Bronchoscopy |
$4,143 |
$5,835 |
$3,019 |
$303 | |
| Bunion surgery (bunionectomy) |
— |
— |
$14,603 |
$883 | |
| Burn dressing and debridement (medium) |
$746 |
$1,051 |
$1,544 |
$166 | |
| Burn dressing and debridement (small) |
$325 |
$458 |
$1,544 |
$93 | |
| Burn treatment |
$536 |
$755 |
$1,544 |
$129 | |
| C-reactive protein (CRP) |
$81 |
$114 |
$22 |
$5 | |
| CA 19-9 tumor marker test |
$145 |
$204 |
$64 |
$21 | |
| CA-125 ovarian marker test |
$167 |
$235 |
$64 |
$21 | |
| Calcium blood test |
$48 |
$68 |
$22 |
$5 | |
| Cardiac ablation |
$36,530 |
$51,451 |
$2,601 |
$759 | |
| Cardiac catheterization |
$14,493 |
$20,413 |
$5,704 |
$1,049 | |
| Cardiac MRI |
$3,858 |
$5,434 |
$1,138 |
$322 | |
| Cardiac MRI without contrast |
$3,719 |
$5,238 |
$1,138 |
$280 | |
| Cardiac rehabilitation |
$286 |
$403 |
$71 |
$26 | |
| Cardiac stress test |
$1,300 |
$1,831 |
$161 |
$39 | |
| Cardioversion |
$1,602 |
$2,256 |
$1,805 |
$155 | |
| Carotid artery ultrasound |
$583 |
$821 |
$657 |
$156 | |
| Carpal tunnel release |
— |
— |
$11,592 |
$483 | |
| Cataract surgery |
— |
— |
$31,618 |
$547 | |
| CEA tumor marker test |
$230 |
$324 |
$61 |
$19 | |
| Celiac disease test |
$120 |
$169 |
$17 |
$12 | |
| Central line placement |
$5,370 |
$7,563 |
$2,054 |
$238 | |
| Cervical cerclage |
— |
— |
$10,110 |
$137 | |
| Cervical LEEP procedure |
— |
— |
$11,592 |
$325 | |
| Cesarean section (C-section) |
— |
— |
$14,017 |
$7,552 | |
| Chalazion (eyelid cyst) removal |
— |
— |
$10,110 |
$131 | |
| Chemotherapy infusion |
$586 |
$826 |
$380 |
$81 | |
| Chemotherapy infusion (each additional) |
$327 |
$460 |
$359 |
$28 | |
| Chemotherapy infusion (first hour) |
$846 |
$1,191 |
$953 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,001 |
$1,410 |
$2,514 |
$311 | |
| Chest tube insertion |
$870 |
$1,225 |
$2,514 |
$143 | |
| Chest X-ray |
$270 |
$381 |
$56 |
$37 | |
| Chest X-ray (1 view) |
$209 |
$294 |
$46 |
$25 | |
| Chest X-ray (2 views) |
$253 |
$357 |
$52 |
$33 | |
| Chickenpox (varicella) vaccine |
$557 |
$785 |
$333 |
— | |
| Circumcision |
$890 |
$1,253 |
$1,567 |
$167 | |
| CK-MB heart enzyme test |
$135 |
$190 |
$49 |
$12 | |
| Clotting time test (PTT) |
$77 |
$109 |
$25 |
$6 | |
| Colonoscopy |
— |
— |
$11,592 |
$480 | |
| Colposcopy |
$1,639 |
$2,309 |
$1,521 |
$161 | |
| Complete blood count (CBC) |
$104 |
$147 |
$16 |
$7 | |
| Complete blood count (CBC) (complete) |
$121 |
$171 |
$16 |
$8 | |
| Complex wound repair |
$2,571 |
$3,621 |
$2,576 |
$390 | |
| Comprehensive metabolic panel |
$260 |
$366 |
$44 |
$11 | |
| Contraceptive implant (Nexplanon) |
$325 |
$458 |
$1,521 |
$115 | |
| Copper blood test |
$117 |
$165 |
$53 |
$12 | |
| Corneal transplant |
— |
— |
$29,053 |
$1,066 | |
| Coronary artery bypass (CABG) |
— |
— |
$53,234 |
$36,593 | |
| Coronary CT angiography |
$2,633 |
$3,708 |
$294 |
$326 | |
| Cortisol test |
$165 |
$232 |
$58 |
$16 | |
| COVID-19 PCR test |
$188 |
$265 |
$78 |
$51 | |
| CPAP titration study |
$677 |
$954 |
$744 |
$69 | |
| Creatine kinase (CK) test |
$74 |
$104 |
$27 |
$7 | |
| CT angiography of the chest |
$3,126 |
$4,403 |
$1,247 |
$281 | |
| CT angiography of the head |
$2,850 |
$4,014 |
$1,141 |
$274 | |
| CT colonography (virtual colonoscopy) |
$1,870 |
$2,634 |
$2,107 |
$835 | |
| CT scan of the abdomen |
$2,822 |
$3,975 |
$833 |
$230 | |
| CT scan of the abdomen and pelvis |
$4,836 |
$6,811 |
$833 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$5,875 |
$8,275 |
$861 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$4,836 |
$6,811 |
$695 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$4,095 |
$5,767 |
$575 |
$183 | |
| CT scan of the abdomen with and without contrast |
$3,432 |
$4,834 |
$861 |
$259 | |
| CT scan of the abdomen with contrast |
$2,822 |
$3,975 |
$695 |
$230 | |
| CT scan of the abdomen without contrast |
$2,455 |
$3,458 |
$575 |
$136 | |
| CT scan of the arm |
$2,175 |
$3,063 |
$729 |
$199 | |
| CT scan of the arm with contrast |
$2,175 |
$3,063 |
$600 |
$199 | |
| CT scan of the arm without contrast |
$1,965 |
$2,767 |
$504 |
$161 | |
| CT scan of the chest |
$2,771 |
$3,903 |
$868 |
$167 | |
| CT scan of the chest with and without contrast |
$3,182 |
$4,482 |
$898 |
$196 | |
| CT scan of the chest with contrast |
$2,771 |
$3,903 |
$718 |
$167 | |
| CT scan of the chest without contrast |
$2,311 |
$3,255 |
$600 |
$133 | |
| CT scan of the head |
$2,264 |
$3,189 |
$694 |
$148 | |
| CT scan of the head with and without contrast |
$2,492 |
$3,510 |
$718 |
$173 | |
| CT scan of the head with contrast |
$2,264 |
$3,189 |
$575 |
$148 | |
| CT scan of the head without contrast |
$1,936 |
$2,727 |
$480 |
$107 | |
| CT scan of the leg |
$1,481 |
$2,086 |
$729 |
$166 | |
| CT scan of the leg with contrast |
$1,747 |
$2,461 |
$600 |
$166 | |
| CT scan of the leg without contrast |
$1,481 |
$2,086 |
$504 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,726 |
$3,840 |
$868 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$3,145 |
$4,430 |
$898 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,726 |
$3,840 |
$718 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$2,262 |
$3,186 |
$600 |
$130 | |
| CT scan of the neck |
$2,396 |
$3,375 |
$694 |
$183 | |
| CT scan of the neck (cervical spine) |
$2,633 |
$3,709 |
$868 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,698 |
$3,800 |
$898 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$2,633 |
$3,709 |
$718 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$2,330 |
$3,282 |
$600 |
$131 | |
| CT scan of the neck with and without contrast |
$2,760 |
$3,887 |
$718 |
$220 | |
| CT scan of the neck with contrast |
$2,396 |
$3,375 |
$575 |
$183 | |
| CT scan of the neck without contrast |
$2,004 |
$2,822 |
$480 |
$150 | |
| CT scan of the pelvis |
$2,506 |
$3,530 |
$833 |
$226 | |
| CT scan of the pelvis with and without contrast |
$3,078 |
$4,335 |
$861 |
$251 | |
| CT scan of the pelvis with contrast |
$2,506 |
$3,530 |
$695 |
$226 | |
| CT scan of the pelvis without contrast |
$2,125 |
$2,993 |
$600 |
$133 | |
| CT scan of the sinuses |
$2,521 |
$3,550 |
$684 |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,851 |
$4,016 |
$718 |
$184 | |
| CT scan of the sinuses with contrast |
$2,521 |
$3,550 |
$575 |
$152 | |
| CT scan of the sinuses without contrast |
$2,078 |
$2,927 |
$480 |
$128 | |
| D-dimer test |
$187 |
$264 |
$43 |
$10 | |
| Defibrillator (ICD) implant |
$35,318 |
$49,744 |
$3,080 |
$798 | |
| DHEA-sulfate test |
$180 |
$253 |
$65 |
$22 | |
| Diagnostic mammogram |
$375 |
$529 |
$77 |
$140 | |
| Dialysis fistula creation |
— |
— |
$14,603 |
$601 | |
| Dilation and curettage (D&C) |
— |
— |
$11,592 |
$298 | |
| Droopy eyelid repair (ptosis) |
— |
— |
$20,079 |
$745 | |
| Drug screen (urine) |
$320 |
$451 |
$123 |
$17 | |
| Ear pressure test (tympanometry) |
$145 |
$204 |
$163 |
$16 | |
| Ear tubes (myringotomy) |
— |
— |
$12,357 |
$174 | |
| Eardrum repair (tympanoplasty) |
— |
— |
$23,229 |
$799 | |
| Echocardiogram |
$999 |
$1,407 |
$1,097 |
$138 | |
| Echocardiogram with and without contrast |
$599 |
$844 |
$675 |
$101 | |
| Echocardiogram without contrast |
$999 |
$1,407 |
$1,126 |
$138 | |
| EEG (awake and asleep) |
$719 |
$1,013 |
$810 |
$482 | |
| EKG / ECG (tracing only) |
$354 |
$498 |
$58 |
$7 | |
| Electrocardiogram (EKG) |
$354 |
$498 |
$58 |
$8 | |
| Electroencephalogram (EEG) |
$719 |
$1,013 |
$810 |
$448 | |
| Electrolyte panel |
$104 |
$146 |
$30 |
$7 | |
| Electromyography (EMG) |
$669 |
$943 |
$600 |
$141 | |
| Emergency department visit |
$1,016 |
$1,431 |
$1,145 |
$69 | |
| Emergency department visit (level 1) |
$431 |
$607 |
$486 |
$11 | |
| Emergency department visit (level 2) |
$474 |
$667 |
$558 |
$40 | |
| Emergency department visit (level 3) |
$1,016 |
$1,431 |
$1,145 |
$69 | |
| Emergency department visit (level 4) |
$1,504 |
$2,119 |
$1,695 |
$118 | |
| Emergency department visit (level 5) |
$2,337 |
$3,292 |
$2,634 |
$171 | |
| Endometrial biopsy |
$738 |
$1,040 |
$1,521 |
$98 | |
| Epidural steroid injection |
$3,465 |
$4,880 |
$1,052 |
$275 | |
| ERCP (bile duct endoscopy) |
— |
— |
$11,592 |
$311 | |
| Esophageal dilation |
$2,209 |
$3,111 |
$1,597 |
$522 | |
| Esophageal variceal banding |
— |
— |
$10,110 |
$126 | |
| Estradiol (estrogen) test |
$321 |
$452 |
$72 |
$28 | |
| Eyelid surgery (blepharoplasty) |
— |
— |
$18,916 |
$552 | |
| Facet joint injection (spine) |
$852 |
$1,200 |
$960 |
$99 | |
| Fallopian tube X-ray (HSG) |
$719 |
$1,013 |
$648 |
$164 | |
| Fecal occult blood (stool) test |
$28 |
$39 |
$8 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$28 |
$39 |
$8 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$93 |
$131 |
$97 |
$16 | |
| Feeding tube (PEG) placement |
— |
— |
$11,592 |
$178 | |
| Femoral hernia repair |
— |
— |
$28,674 |
$584 | |
| Ferritin (iron) test |
$114 |
$161 |
$55 |
$14 | |
| Fibrinogen test |
$173 |
$243 |
$33 |
$10 | |
| Flexible sigmoidoscopy |
— |
— |
$10,110 |
$323 | |
| Flu test |
$84 |
$118 |
$29 |
$17 | |
| Flu vaccine |
$27 |
$38 |
$36 |
— | |
| Folate (folic acid) test |
$119 |
$167 |
$56 |
$15 | |
| Foreign body removal (skin) |
$1,352 |
$1,904 |
$1,521 |
$157 | |
| Free T4 thyroid test |
$107 |
$151 |
$35 |
$9 | |
| FSH hormone test |
$230 |
$324 |
$61 |
$19 | |
| Gallbladder removal (laparoscopic) |
— |
— |
$25,000 |
$658 | |
| Gallbladder scan (HIDA) |
$2,236 |
$3,149 |
$372 |
$334 | |
| Ganglion cyst removal |
— |
— |
$14,603 |
$321 | |
| GGT liver test |
$104 |
$147 |
$31 |
$7 | |
| Glaucoma surgery |
— |
— |
$20,079 |
$984 | |
| Glucose tolerance test |
$50 |
$71 |
$24 |
$8 | |
| H. pylori test |
$259 |
$365 |
$109 |
$67 | |
| Hammertoe repair |
— |
— |
$14,603 |
$548 | |
| HDL cholesterol test |
$72 |
$101 |
$35 |
$8 | |
| Hematocrit test |
$51 |
$72 |
$6 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$87 |
$122 |
$21 |
$10 | |
| Hemorrhoid removal |
$1,692 |
$2,383 |
$1,597 |
$338 | |
| Hepatitis A vaccine |
$112 |
$158 |
$134 |
— | |
| Hepatitis B test |
$96 |
$135 |
$44 |
$10 | |
| Hepatitis B vaccine |
$371 |
$522 |
$112 |
— | |
| Hepatitis C test |
$131 |
$184 |
$55 |
$14 | |
| Hip arthroscopy |
— |
— |
$34,118 |
$931 | |
| HIV test |
$190 |
$267 |
$44 |
$19 | |
| HIV test (antibody) |
$178 |
$251 |
$55 |
$14 | |
| HIV test (antigen/antibody combo) |
$190 |
$267 |
$44 |
$24 | |
| Holter heart monitor |
$698 |
$983 |
$694 |
$26 | |
| Home sleep apnea test |
$1,182 |
$1,665 |
$179 |
$123 | |
| HPV vaccine |
$343 |
$483 |
$297 |
— | |
| Hydrocele repair |
— |
— |
$14,603 |
$315 | |
| Hysterectomy |
— |
— |
$34,118 |
$933 | |
| Hysteroscopy |
— |
— |
$14,603 |
$1,270 | |
| Inguinal hernia repair |
— |
— |
$27,099 |
$538 | |
| Iron blood test |
$62 |
$87 |
$28 |
$6 | |
| IUD insertion |
$124 |
$174 |
$560 |
— | |
| IUD removal |
$738 |
$1,040 |
$570 |
$112 | |
| IV infusion therapy |
$395 |
$557 |
$154 |
$44 | |
| IV infusion therapy (each additional) |
$219 |
$308 |
$144 |
$21 | |
| IV infusion therapy (initial) |
$572 |
$805 |
$628 |
$67 | |
| IVC filter placement |
$13,065 |
$18,402 |
$1,597 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$1,233 |
$1,737 |
$570 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$1,233 |
$1,737 |
$570 |
$57 | |
| Joint aspiration or injection (small joint) |
$1,233 |
$1,737 |
$570 |
$56 | |
| Kidney biopsy |
$2,032 |
$2,862 |
$1,597 |
$492 | |
| Kidney scan (nuclear) |
$1,393 |
$1,962 |
$683 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
— |
— |
$34,118 |
$760 | |
| Kidney ultrasound |
$592 |
$834 |
$198 |
$84 | |
| Kidney ultrasound (limited) |
$622 |
$876 |
$144 |
$61 | |
| Knee arthroscopy |
— |
— |
$20,079 |
$524 | |
| Knee joint injection |
$1,233 |
$1,737 |
$570 |
$69 | |
| Knee replacement |
— |
— |
$27,514 |
$18,054 | |
| Lactate test |
$108 |
$152 |
$48 |
$12 | |
| Laminectomy (spine) |
— |
— |
$40,782 |
$1,157 | |
| Laryngoscopy |
$886 |
$1,248 |
$1,521 |
$189 | |
| LDH test |
$59 |
$83 |
$25 |
$6 | |
| LDL cholesterol test |
$47 |
$66 |
$37 |
$11 | |
| Leg artery angiogram |
$9,606 |
$13,530 |
$1,089 |
$149 | |
| Leg artery angioplasty |
$11,939 |
$16,816 |
$1,597 |
— | |
| Leg vein ultrasound (Doppler) |
$1,083 |
$1,525 |
$785 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,083 |
$1,525 |
$618 |
$116 | |
| LH hormone test |
$219 |
$309 |
$61 |
$19 | |
| Lipase test |
$151 |
$212 |
$29 |
$7 | |
| Lipid (cholesterol) panel |
$117 |
$165 |
$24 |
$13 | |
| Liver biopsy |
$2,043 |
$2,878 |
$2,576 |
$288 | |
| Liver function panel |
$202 |
$285 |
$35 |
$8 | |
| Lumbar discectomy |
— |
— |
$40,782 |
$898 | |
| Lumpectomy (breast) |
— |
— |
$21,828 |
$750 | |
| Lung function test (PFT) |
$334 |
$471 |
$152 |
$37 | |
| Lung scan (V/Q) |
$1,435 |
$2,021 |
$541 |
$291 | |
| Magnesium blood test |
$70 |
$98 |
$28 |
$7 | |
| Mastectomy |
— |
— |
$27,099 |
$1,021 | |
| Mastoidectomy |
— |
— |
$29,053 |
$840 | |
| Meniscus repair (knee) |
— |
— |
$14,603 |
$714 | |
| MMR vaccine |
$521 |
$734 |
$173 |
— | |
| Mohs skin cancer surgery |
— |
— |
$10,110 |
$535 | |
| MRA of the brain |
$2,940 |
$4,141 |
$2,739 |
$226 | |
| MRA of the brain with contrast |
$2,940 |
$4,141 |
$1,523 |
$226 | |
| MRA of the brain without contrast |
$4,560 |
$6,422 |
$2,923 |
$328 | |
| MRA of the neck |
$2,989 |
$4,210 |
$2,739 |
$245 | |
| MRA of the neck with contrast |
$3,074 |
$4,329 |
$1,523 |
$245 | |
| MRA of the neck without contrast |
$2,989 |
$4,210 |
$2,923 |
$343 | |
| MRI of the abdomen |
$3,837 |
$5,404 |
$2,872 |
$300 | |
| MRI of the abdomen with contrast |
$3,837 |
$5,404 |
$1,795 |
$300 | |
| MRI of the abdomen without contrast |
$3,476 |
$4,896 |
$1,138 |
$194 | |
| MRI of the ankle |
$3,765 |
$5,303 |
$1,755 |
$261 | |
| MRI of the ankle with contrast |
$3,765 |
$5,303 |
$1,772 |
$261 | |
| MRI of the ankle without contrast |
$3,531 |
$4,973 |
$1,478 |
$222 | |
| MRI of the brain |
$3,483 |
$4,905 |
$2,407 |
$269 | |
| MRI of the brain with contrast |
$3,483 |
$4,905 |
$1,365 |
$269 | |
| MRI of the brain without contrast |
$3,177 |
$4,475 |
$1,138 |
$195 | |
| MRI of the chest |
$2,883 |
$4,060 |
$3,044 |
$371 | |
| MRI of the chest without contrast |
$3,215 |
$4,528 |
$3,196 |
$466 | |
| MRI of the knee |
$3,756 |
$5,290 |
$2,861 |
$315 | |
| MRI of the knee with contrast |
$3,756 |
$5,290 |
$1,772 |
$315 | |
| MRI of the knee without contrast |
$3,551 |
$5,002 |
$1,138 |
$204 | |
| MRI of the lower back (lumbar spine) |
$4,012 |
$5,651 |
$2,407 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$4,012 |
$5,651 |
$1,365 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$3,363 |
$4,737 |
$1,270 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,190 |
$3,084 |
$2,407 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$3,236 |
$4,558 |
$2,527 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,190 |
$3,084 |
$1,365 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,162 |
$3,045 |
$1,270 |
$190 | |
| MRI of the neck (cervical spine) |
$3,864 |
$5,442 |
$2,407 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$4,721 |
$6,649 |
$2,527 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$3,864 |
$5,442 |
$1,365 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$3,307 |
$4,658 |
$1,138 |
$191 | |
| MRI of the pelvis |
$3,358 |
$4,730 |
$2,872 |
$268 | |
| MRI of the pelvis with contrast |
$3,358 |
$4,730 |
$1,138 |
$268 | |
| MRI of the pelvis without contrast |
$3,272 |
$4,608 |
$1,500 |
$227 | |
| MRI of the shoulder |
$3,696 |
$5,206 |
$2,861 |
$313 | |
| MRI of the shoulder with contrast |
$3,696 |
$5,206 |
$1,772 |
$313 | |
| MRI of the shoulder without contrast |
$3,630 |
$5,113 |
$1,138 |
$205 | |
| MRI of the wrist |
$3,584 |
$5,048 |
$1,712 |
$330 | |
| MRI of the wrist with contrast |
$3,439 |
$4,844 |
$1,772 |
$330 | |
| MRI of the wrist without contrast |
$3,584 |
$5,048 |
$1,478 |
$303 | |
| Nebulizer breathing treatment |
$200 |
$281 |
$176 |
$9 | |
| Nerve conduction study |
$694 |
$978 |
$269 |
$118 | |
| Nuclear cardiac stress test |
$5,038 |
$7,096 |
$793 |
$428 | |
| Occupational therapy evaluation |
$279 |
$393 |
$314 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$370 |
$521 |
$249 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$187 |
$263 |
$403 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$279 |
$393 |
$204 |
$101 | |
| Office visit (established patient) |
$302 |
$426 |
$332 |
$115 | |
| Office visit (new patient) |
$709 |
$999 |
$580 |
$177 | |
| Office visit, established patient (level 3) |
$302 |
$426 |
$267 |
$95 | |
| Office visit, established patient (level 4) |
$392 |
$552 |
$389 |
$136 | |
| Office visit, new patient (level 3) |
$392 |
$552 |
$389 |
$118 | |
| Office visit, new patient (level 4) |
$495 |
$697 |
$492 |
$177 | |
| Office visit, new patient (level 5) |
$709 |
$999 |
$703 |
$237 | |
| Orthopedic hardware removal |
— |
— |
$14,603 |
$632 | |
| Pacemaker insertion |
— |
— |
$28,555 |
$15,506 | |
| Pap smear (cervical screening) |
$160 |
$226 |
$75 |
$20 | |
| Parathyroid hormone (PTH) test |
$214 |
$302 |
$103 |
$41 | |
| Pelvic ultrasound |
$768 |
$1,081 |
$153 |
$78 | |
| Pelvic ultrasound (complete) |
$884 |
$1,245 |
$155 |
$105 | |
| Pelvic ultrasound (limited) |
$651 |
$917 |
$107 |
$51 | |
| PET scan |
$5,423 |
$7,638 |
$3,455 |
— | |
| Phosphorus blood test |
$48 |
$68 |
$20 |
$5 | |
| Physical therapy evaluation |
$187 |
$263 |
$101 |
$98 | |
| Physical therapy evaluation (high complexity) |
$279 |
$393 |
$205 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$187 |
$263 |
$153 |
$98 | |
| Pilonidal cyst removal |
— |
— |
$14,603 |
$541 | |
| Platelet count |
$53 |
$74 |
$19 |
$4 | |
| Pneumonia vaccine |
$158 |
$223 |
$196 |
— | |
| Pregnancy blood test (hCG) |
$155 |
$219 |
$32 |
$8 | |
| Pregnancy ultrasound |
$919 |
$1,294 |
$211 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$772 |
$1,088 |
$113 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$1,065 |
$1,500 |
$213 |
$136 | |
| Procalcitonin test |
$232 |
$327 |
$49 |
$27 | |
| Prolactin test |
$217 |
$306 |
$62 |
$19 | |
| Prostate biopsy |
— |
— |
$11,592 |
— | |
| Prostate surgery (TURP) |
— |
— |
$20,079 |
$526 | |
| Prostate test (PSA) |
$123 |
$173 |
$61 |
$18 | |
| Pterygium removal (eye) |
— |
— |
$11,592 |
$540 | |
| Pulmonary rehabilitation |
$209 |
$294 |
$100 |
$87 | |
| Radiofrequency nerve ablation |
$3,921 |
$5,523 |
$2,017 |
$462 | |
| Retinal detachment repair |
— |
— |
$26,141 |
$966 | |
| Rheumatoid factor test |
$71 |
$100 |
$26 |
$6 | |
| Rotator cuff repair |
— |
— |
$23,229 |
$792 | |
| RSV vaccine |
$321 |
$452 |
$559 |
— | |
| Sacroiliac joint injection |
$1,323 |
$1,863 |
$565 |
$176 | |
| Scoliosis spine X-ray |
$429 |
$604 |
$72 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$466 |
$657 |
$65 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$391 |
$551 |
$80 |
$72 | |
| Screening mammogram |
$294 |
$414 |
$165 |
$126 | |
| Scrotal ultrasound |
$668 |
$941 |
$155 |
$99 | |
| Sedimentation rate (ESR) test |
$114 |
$161 |
$8 |
$3 | |
| Semen analysis |
$112 |
$158 |
$101 |
$12 | |
| Septoplasty (deviated septum) |
— |
— |
$20,079 |
$613 | |
| Sex hormone binding globulin test |
$124 |
$175 |
$65 |
$22 | |
| Shingles vaccine |
$191 |
$269 |
$392 |
— | |
| Shoulder arthroscopy |
— |
— |
$14,603 |
$962 | |
| Simple laceration repair (small, up to 2.5 cm) |
$427 |
$602 |
$543 |
$114 | |
| Simple wound stitches |
$451 |
$635 |
$543 |
$127 | |
| Sinus surgery (endoscopic) |
— |
— |
$14,603 |
$224 | |
| Skin biopsy |
$746 |
$1,051 |
$284 |
$121 | |
| Skin biopsy (punch) |
$746 |
$1,051 |
$284 |
$121 | |
| Skin cancer lesion removal |
$1,411 |
$1,987 |
$1,597 |
$240 | |
| Skin graft |
— |
— |
$11,592 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$322 |
$453 |
$362 |
$36 | |
| Skin tag removal |
$429 |
$604 |
$1,521 |
$92 | |
| Sleep study (polysomnography) |
$4,262 |
$6,004 |
$809 |
$691 | |
| Soft tissue ultrasound |
$654 |
$921 |
$107 |
$64 | |
| Speech therapy |
$209 |
$294 |
$279 |
$76 | |
| Spinal cord stimulator |
$31,579 |
$44,477 |
$8,552 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$1,012 |
$1,426 |
$570 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$14,116 |
$19,882 |
$786 |
$5,803 | |
| Spirometry (lung function test) |
$307 |
$432 |
$152 |
$30 | |
| Spirometry with bronchodilator |
$521 |
$734 |
$587 |
$43 | |
| Spleen removal (splenectomy) |
— |
— |
$23,229 |
$1,036 | |
| Strabismus (eye muscle) surgery |
— |
— |
$17,341 |
$475 | |
| Strep throat test |
$70 |
$98 |
$39 |
$17 | |
| Stress echocardiogram |
$1,302 |
$1,834 |
$1,559 |
$209 | |
| Stress echocardiogram (complete) |
$2,719 |
$3,829 |
$3,063 |
$233 | |
| Swallow study |
$288 |
$405 |
$403 |
$85 | |
| T3 thyroid test |
$160 |
$225 |
$55 |
$14 | |
| Tdap (tetanus) vaccine |
$287 |
$404 |
$76 |
— | |
| Testicle removal (orchiectomy) |
— |
— |
$14,603 |
$306 | |
| Testosterone test |
$222 |
$313 |
$70 |
$26 | |
| Thyroid test (TSH) |
$140 |
$197 |
$59 |
$17 | |
| Thyroid ultrasound |
$802 |
$1,129 |
$144 |
$109 | |
| Thyroid uptake scan |
$904 |
$1,273 |
$295 |
$145 | |
| Tilt table test |
$2,297 |
$3,235 |
$2,588 |
$168 | |
| Tonsillectomy |
— |
— |
$20,079 |
$252 | |
| Total IgE allergy test |
$186 |
$262 |
$56 |
$16 | |
| Total protein test |
$55 |
$77 |
$15 |
$4 | |
| Tracheostomy |
— |
— |
$11,592 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$1,699 |
$2,393 |
$1,914 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,699 |
$2,393 |
$1,914 |
$239 | |
| Transvaginal ultrasound |
$774 |
$1,090 |
$155 |
$118 | |
| Trigger finger release |
— |
— |
$11,592 |
$630 | |
| Trigger point injection |
$1,011 |
$1,424 |
$570 |
$56 | |
| Trigger point injection (1-2 muscles) |
$1,233 |
$1,737 |
$570 |
$52 | |
| Triglycerides test |
$48 |
$68 |
$23 |
$6 | |
| Troponin (heart) test |
$146 |
$206 |
$50 |
$12 | |
| Tubal ligation |
— |
— |
$14,603 |
$333 | |
| Turbinate reduction |
— |
— |
$11,592 |
$294 | |
| Turning a breech baby (version) |
$2,319 |
$3,266 |
$2,547 |
$94 | |
| Ulnar nerve surgery (elbow) |
— |
— |
$11,592 |
$575 | |
| Upper GI endoscopy (EGD) |
— |
— |
$10,851 |
$371 | |
| Upper GI series (barium) |
$908 |
$1,280 |
$166 |
$128 | |
| Ureteral stent placement |
$7,269 |
$10,238 |
$1,597 |
$373 | |
| Ureteroscopy (stone removal) |
— |
— |
$34,118 |
$365 | |
| Uric acid (gout) test |
$62 |
$87 |
$19 |
$5 | |
| Urinalysis |
$92 |
$129 |
$6 |
$3 | |
| Urine microalbumin test |
$68 |
$96 |
$14 |
$5 | |
| Urine pregnancy test |
$115 |
$162 |
$16 |
$9 | |
| Vaccine administration |
$99 |
$140 |
$69 |
$19 | |
| Vaccine administration (each additional) |
$99 |
$140 |
$151 |
$16 | |
| Vaginal delivery |
— |
— |
$9,239 |
$5,487 | |
| Varicocele repair |
— |
— |
$20,079 |
$327 | |
| Varicose vein ablation |
— |
— |
$34,118 |
$1,018 | |
| Vasectomy |
— |
— |
$11,592 |
$347 | |
| Vitamin B12 test |
$109 |
$154 |
$56 |
$15 | |
| Vitamin D test |
$201 |
$283 |
$75 |
$30 | |
| Vitrectomy (eye) |
— |
— |
$24,566 |
$814 | |
| Vocal cord injection |
— |
— |
$11,592 |
$211 | |
| Wart removal |
$436 |
$614 |
$1,521 |
$121 | |
| Weight-loss (bariatric) surgery |
— |
— |
$25,072 |
$11,645 | |
| Well-child visit |
$59 |
$83 |
$66 |
— | |
| Wound debridement |
$1,143 |
$1,611 |
$2,477 |
$186 | |
| Wrist fracture repair |
— |
— |
$23,229 |
$735 | |
| X-ray of the abdomen |
$371 |
$523 |
$58 |
$36 | |
| X-ray of the ankle |
$437 |
$615 |
$65 |
$37 | |
| X-ray of the collarbone |
$342 |
$482 |
$65 |
$33 | |
| X-ray of the elbow |
$438 |
$617 |
$67 |
$33 | |
| X-ray of the facial bones |
$307 |
$433 |
$80 |
$39 | |
| X-ray of the foot |
$436 |
$614 |
$65 |
$34 | |
| X-ray of the forearm |
$378 |
$533 |
$65 |
$29 | |
| X-ray of the hand |
$486 |
$684 |
$65 |
$38 | |
| X-ray of the hip |
$393 |
$554 |
$75 |
$49 | |
| X-ray of the hip (1 view) |
$373 |
$525 |
$62 |
$34 | |
| X-ray of the hip (3 views) |
$393 |
$554 |
$70 |
$49 | |
| X-ray of the hip (4 views) |
$567 |
$799 |
$83 |
$63 | |
| X-ray of the knee |
$477 |
$672 |
$70 |
$42 | |
| X-ray of the knee (2 views) |
$327 |
$460 |
$65 |
$34 | |
| X-ray of the knee (3 views) |
$477 |
$672 |
$67 |
$42 | |
| X-ray of the knee (4+ views) |
$495 |
$697 |
$77 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$596 |
$840 |
$92 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$505 |
$711 |
$80 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$687 |
$968 |
$93 |
$53 | |
| X-ray of the lower leg |
$367 |
$517 |
$65 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$507 |
$714 |
$83 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$476 |
$671 |
$79 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$537 |
$757 |
$83 |
$39 | |
| X-ray of the neck (cervical spine) |
$530 |
$747 |
$91 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$469 |
$661 |
$69 |
$40 | |
| X-ray of the pelvis |
$289 |
$408 |
$80 |
$36 | |
| X-ray of the pelvis (1 view) |
$251 |
$353 |
$73 |
$28 | |
| X-ray of the ribs |
$438 |
$617 |
$80 |
$42 | |
| X-ray of the ribs (2 views) |
$362 |
$510 |
$67 |
$36 | |
| X-ray of the ribs (3 views) |
$438 |
$617 |
$80 |
$42 | |
| X-ray of the shoulder |
$456 |
$642 |
$67 |
$36 | |
| X-ray of the skull |
$524 |
$738 |
$91 |
$40 | |
| X-ray of the upper arm |
$261 |
$368 |
$50 |
$32 | |
| X-ray of the wrist |
$378 |
$533 |
$65 |
$43 | |
| YAG laser capsulotomy (eye) |
— |
— |
$11,592 |
$335 | |
| Zinc blood test |
$154 |
$217 |
$42 |
$11 | |