| 3D mammogram (tomosynthesis) |
$148 |
$151 |
$151 |
$51 | |
| Abdominal ultrasound |
$380 |
$388 |
$388 |
$100 | |
| Abdominal ultrasound (complete) |
$485 |
$495 |
$495 |
$114 | |
| Abdominal ultrasound (limited) |
$380 |
$388 |
$388 |
$86 | |
| Abscess drainage (complex or multiple) |
$895 |
$913 |
$913 |
$220 | |
| Abscess drainage (simple) |
$762 |
$777 |
$777 |
$129 | |
| Abscess incision and drainage |
$829 |
$845 |
$845 |
$174 | |
| Albumin blood test |
$4 |
$4 |
$4 |
$5 | |
| Aldosterone test |
$53 |
$55 |
$55 |
$41 | |
| Alkaline phosphatase test |
$4 |
$4 |
$4 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$32 |
$33 |
$33 |
$17 | |
| ALT liver enzyme test |
$4 |
$4 |
$4 |
$5 | |
| Ammonia blood test |
$43 |
$44 |
$44 |
$15 | |
| Amniocentesis |
$461 |
$470 |
$470 |
$120 | |
| Amylase test |
$13 |
$13 |
$13 |
$6 | |
| Antinuclear antibody (ANA) test |
$32 |
$33 |
$33 |
$12 | |
| Arterial blood gas (ABG) |
$66 |
$68 |
$68 |
$26 | |
| AST liver enzyme test |
$4 |
$4 |
$4 |
$5 | |
| Barium swallow study |
$485 |
$495 |
$495 |
$107 | |
| Basic metabolic panel |
$24 |
$24 |
$24 |
$8 | |
| Bilirubin blood test |
$13 |
$13 |
$13 |
$5 | |
| Bladder scope (cystoscopy) |
$1,228 |
$1,253 |
$1,253 |
$216 | |
| Blood clotting test (PT/INR) |
$17 |
$17 |
$17 |
$4 | |
| Blood crossmatch |
$17 |
$17 |
$17 |
— | |
| Blood glucose test |
$9 |
$9 |
$9 |
$5 | |
| Blood transfusion |
$1,597 |
$1,629 |
$1,629 |
$47 | |
| Blood type and screen |
$26 |
$26 |
$26 |
$10 | |
| Blood type test |
$9 |
$9 |
$9 |
$3 | |
| Blood type test (ABO group) |
$9 |
$9 |
$9 |
$3 | |
| Blood type test (Rh/D antigen) |
$9 |
$9 |
$9 |
$3 | |
| BNP (heart failure) test |
$64 |
$65 |
$65 |
$39 | |
| Bone density scan (DEXA) |
$190 |
$194 |
$194 |
$39 | |
| Bone scan (nuclear) |
$474 |
$484 |
$484 |
$259 | |
| Breast MRI |
$281 |
$287 |
$287 |
$216 | |
| Breast MRI without contrast |
$275 |
$281 |
$281 |
$216 | |
| Breast ultrasound |
$633 |
$646 |
$646 |
$92 | |
| Breast ultrasound (complete) |
$844 |
$861 |
$861 |
$100 | |
| Breast ultrasound (limited) |
$633 |
$646 |
$646 |
$84 | |
| Breathing tube insertion (intubation) |
$95 |
$97 |
$97 |
$133 | |
| Burn dressing and debridement (medium) |
$857 |
$875 |
$875 |
$166 | |
| Burn dressing and debridement (small) |
$571 |
$583 |
$583 |
$93 | |
| Burn treatment |
$714 |
$729 |
$729 |
$129 | |
| C-reactive protein (CRP) |
$32 |
$33 |
$33 |
$5 | |
| CA 19-9 tumor marker test |
$71 |
$72 |
$72 |
$21 | |
| CA-125 ovarian marker test |
$71 |
$72 |
$72 |
$21 | |
| Calcium blood test |
$4 |
$4 |
$4 |
$5 | |
| Cardiac MRI |
$393 |
$402 |
$402 |
$322 | |
| Cardiac MRI without contrast |
$320 |
$327 |
$327 |
$280 | |
| Cardiac rehabilitation |
$238 |
$243 |
$243 |
$26 | |
| Carotid artery ultrasound |
$791 |
$808 |
$808 |
$156 | |
| CEA tumor marker test |
$53 |
$55 |
$55 |
$19 | |
| Celiac disease test |
$53 |
$55 |
$55 |
$12 | |
| Cervical cerclage |
$1,535 |
$1,567 |
$1,567 |
$137 | |
| Chemotherapy infusion |
$524 |
$535 |
$535 |
$81 | |
| Chemotherapy infusion (each additional) |
$191 |
$195 |
$195 |
$28 | |
| Chemotherapy infusion (first hour) |
$858 |
$875 |
$875 |
$133 | |
| Chest X-ray |
$106 |
$108 |
$108 |
$37 | |
| Chest X-ray (1 view) |
$63 |
$65 |
$65 |
$25 | |
| Chest X-ray (2 views) |
$106 |
$108 |
$108 |
$33 | |
| Chickenpox (varicella) vaccine |
$211 |
$215 |
$215 |
— | |
| Circumcision |
$461 |
$470 |
$470 |
$167 | |
| CK-MB heart enzyme test |
$32 |
$33 |
$33 |
$12 | |
| Clotting time test (PTT) |
$17 |
$17 |
$17 |
$6 | |
| Complete blood count (CBC) |
$19 |
$20 |
$20 |
$7 | |
| Complete blood count (CBC) (complete) |
$21 |
$22 |
$22 |
$8 | |
| Comprehensive metabolic panel |
$32 |
$33 |
$33 |
$11 | |
| Copper blood test |
$53 |
$55 |
$55 |
$12 | |
| Coronary CT angiography |
$243 |
$248 |
$248 |
$326 | |
| Cortisol test |
$32 |
$33 |
$33 |
$16 | |
| COVID-19 PCR test |
$257 |
$262 |
$262 |
$51 | |
| CPAP titration study |
$454 |
$464 |
$464 |
$69 | |
| Creatine kinase (CK) test |
$13 |
$13 |
$13 |
$7 | |
| CT colonography (virtual colonoscopy) |
$514 |
$525 |
$525 |
$835 | |
| CT scan of the arm |
$153 |
$156 |
$156 |
$199 | |
| CT scan of the arm with contrast |
$197 |
$201 |
$201 |
$199 | |
| CT scan of the leg |
$171 |
$175 |
$175 |
$166 | |
| CT scan of the leg without contrast |
$154 |
$157 |
$157 |
$130 | |
| CT scan of the neck with and without contrast |
$166 |
$169 |
$169 |
$220 | |
| D-dimer test |
$32 |
$33 |
$33 |
$10 | |
| DHEA-sulfate test |
$32 |
$33 |
$33 |
$22 | |
| Diagnostic mammogram |
$549 |
$560 |
$560 |
$140 | |
| Drug screen (urine) |
$120 |
$122 |
$122 |
$17 | |
| EEG (awake and asleep) |
$1,913 |
$1,952 |
$1,952 |
$482 | |
| EKG / ECG (tracing only) |
$23 |
$24 |
$24 |
$7 | |
| Electrocardiogram (EKG) |
$23 |
$24 |
$24 |
$8 | |
| Electroencephalogram (EEG) |
$1,762 |
$1,798 |
$1,798 |
$448 | |
| Electrolyte panel |
$17 |
$17 |
$17 |
$7 | |
| Emergency department visit |
$151 |
$154 |
$154 |
$69 | |
| Emergency department visit (level 1) |
$149 |
$152 |
$152 |
$11 | |
| Emergency department visit (level 2) |
$149 |
$152 |
$152 |
$40 | |
| Emergency department visit (level 3) |
$297 |
$303 |
$303 |
$69 | |
| Emergency department visit (level 4) |
$595 |
$607 |
$607 |
$118 | |
| Emergency department visit (level 5) |
$595 |
$607 |
$607 |
$171 | |
| Estradiol (estrogen) test |
$32 |
$33 |
$33 |
$28 | |
| Fallopian tube X-ray (HSG) |
$65 |
$66 |
$66 |
$164 | |
| Fecal occult blood (stool) test |
$11 |
$11 |
$11 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$11 |
$11 |
$11 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$53 |
$55 |
$55 |
$16 | |
| Ferritin (iron) test |
$32 |
$33 |
$33 |
$14 | |
| Fibrinogen test |
$19 |
$20 |
$20 |
$10 | |
| Flu test |
$53 |
$55 |
$55 |
$17 | |
| Folate (folic acid) test |
$32 |
$33 |
$33 |
$15 | |
| Foreign body removal (skin) |
$190 |
$194 |
$194 |
$157 | |
| Free T4 thyroid test |
$32 |
$33 |
$33 |
$9 | |
| FSH hormone test |
$32 |
$33 |
$33 |
$19 | |
| Gallbladder scan (HIDA) |
$793 |
$809 |
$809 |
$334 | |
| Glucose tolerance test |
$20 |
$21 |
$21 |
$8 | |
| H. pylori test |
$43 |
$44 |
$44 |
$67 | |
| HDL cholesterol test |
$32 |
$33 |
$33 |
$8 | |
| Hematocrit test |
$9 |
$9 |
$9 |
$2 | |
| Hemodialysis |
$2,534 |
$2,586 |
$2,586 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$43 |
$44 |
$44 |
$10 | |
| Hepatitis A vaccine |
$95 |
$97 |
$97 |
— | |
| Hepatitis B test |
$53 |
$55 |
$55 |
$10 | |
| Hepatitis B vaccine |
$72 |
$74 |
$74 |
— | |
| Hepatitis C test |
$53 |
$55 |
$55 |
$14 | |
| HIV test |
$53 |
$55 |
$55 |
$19 | |
| HIV test (antibody) |
$53 |
$55 |
$55 |
$14 | |
| HIV test (antigen/antibody combo) |
$53 |
$55 |
$55 |
$24 | |
| HPV vaccine |
$346 |
$353 |
$353 |
— | |
| Iron blood test |
$13 |
$13 |
$13 |
$6 | |
| IV infusion therapy |
$524 |
$535 |
$535 |
$44 | |
| IV infusion therapy (each additional) |
$191 |
$195 |
$195 |
$21 | |
| IV infusion therapy (initial) |
$858 |
$875 |
$875 |
$67 | |
| Kidney scan (nuclear) |
$264 |
$270 |
$270 |
$172 | |
| Kidney ultrasound |
$317 |
$323 |
$323 |
$84 | |
| Kidney ultrasound (limited) |
$169 |
$172 |
$172 |
$61 | |
| Lactate test |
$43 |
$44 |
$44 |
$12 | |
| LDH test |
$9 |
$9 |
$9 |
$6 | |
| LDL cholesterol test |
$32 |
$33 |
$33 |
$11 | |
| Leg vein ultrasound (Doppler) |
$781 |
$797 |
$797 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$591 |
$603 |
$603 |
$116 | |
| LH hormone test |
$53 |
$55 |
$55 |
$19 | |
| Lipase test |
$17 |
$17 |
$17 |
$7 | |
| Lipid (cholesterol) panel |
$41 |
$41 |
$41 |
$13 | |
| Liver function panel |
$24 |
$24 |
$24 |
$8 | |
| Lung function test (PFT) |
$593 |
$605 |
$605 |
$37 | |
| Lung scan (V/Q) |
$637 |
$650 |
$650 |
$291 | |
| Magnesium blood test |
$13 |
$13 |
$13 |
$7 | |
| MMR vaccine |
$115 |
$117 |
$117 |
— | |
| MRA of the brain |
$523 |
$533 |
$533 |
$226 | |
| MRA of the brain with contrast |
$517 |
$528 |
$528 |
$226 | |
| MRA of the brain without contrast |
$804 |
$820 |
$820 |
$328 | |
| MRA of the neck |
$556 |
$568 |
$568 |
$245 | |
| MRA of the neck with contrast |
$556 |
$568 |
$568 |
$245 | |
| MRA of the neck without contrast |
$809 |
$826 |
$826 |
$343 | |
| MRI of the abdomen |
$495 |
$505 |
$505 |
$300 | |
| MRI of the abdomen with contrast |
$579 |
$591 |
$591 |
$300 | |
| MRI of the abdomen without contrast |
$329 |
$336 |
$336 |
$194 | |
| MRI of the ankle |
$568 |
$579 |
$579 |
$261 | |
| MRI of the ankle with contrast |
$512 |
$522 |
$522 |
$261 | |
| MRI of the ankle without contrast |
$467 |
$476 |
$476 |
$222 | |
| MRI of the brain |
$365 |
$373 |
$373 |
$269 | |
| MRI of the brain with contrast |
$365 |
$373 |
$373 |
$269 | |
| MRI of the brain without contrast |
$247 |
$252 |
$252 |
$195 | |
| MRI of the chest |
$565 |
$576 |
$576 |
$371 | |
| MRI of the chest with contrast |
$590 |
$602 |
$602 |
$371 | |
| MRI of the chest without contrast |
$736 |
$751 |
$751 |
$466 | |
| MRI of the knee |
$368 |
$376 |
$376 |
$315 | |
| MRI of the knee with contrast |
$472 |
$482 |
$482 |
$315 | |
| MRI of the lower back (lumbar spine) |
$365 |
$373 |
$373 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$365 |
$373 |
$373 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$236 |
$241 |
$241 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$371 |
$379 |
$379 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$422 |
$430 |
$430 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$371 |
$379 |
$379 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$236 |
$241 |
$241 |
$190 | |
| MRI of the neck (cervical spine) |
$371 |
$379 |
$379 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$416 |
$424 |
$424 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$371 |
$379 |
$379 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$236 |
$241 |
$241 |
$191 | |
| MRI of the pelvis |
$512 |
$522 |
$522 |
$268 | |
| MRI of the pelvis with contrast |
$512 |
$522 |
$522 |
$268 | |
| MRI of the pelvis without contrast |
$478 |
$488 |
$488 |
$227 | |
| MRI of the shoulder |
$497 |
$508 |
$508 |
$313 | |
| MRI of the shoulder with contrast |
$467 |
$476 |
$476 |
$313 | |
| MRI of the shoulder without contrast |
$264 |
$270 |
$270 |
$205 | |
| MRI of the wrist |
$562 |
$574 |
$574 |
$330 | |
| MRI of the wrist with contrast |
$506 |
$516 |
$516 |
$330 | |
| MRI of the wrist without contrast |
$472 |
$482 |
$482 |
$303 | |
| Nebulizer breathing treatment |
$985 |
$1,005 |
$1,005 |
$9 | |
| Nuchal translucency ultrasound |
$359 |
$366 |
$366 |
$116 | |
| Nuclear cardiac stress test |
$894 |
$912 |
$912 |
$428 | |
| Occupational therapy evaluation |
$631 |
$644 |
$644 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$631 |
$644 |
$644 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$631 |
$644 |
$644 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$631 |
$644 |
$644 |
$101 | |
| Office visit (established patient) |
$214 |
$219 |
$219 |
$115 | |
| Office visit (new patient) |
$238 |
$243 |
$243 |
$177 | |
| Office visit, established patient (level 3) |
$191 |
$195 |
$195 |
$95 | |
| Office visit, established patient (level 4) |
$238 |
$243 |
$243 |
$136 | |
| Office visit, new patient (level 3) |
$191 |
$195 |
$195 |
$118 | |
| Office visit, new patient (level 4) |
$238 |
$243 |
$243 |
$177 | |
| Office visit, new patient (level 5) |
$286 |
$292 |
$292 |
$237 | |
| Pap smear (cervical screening) |
$86 |
$87 |
$87 |
$20 | |
| Parathyroid hormone (PTH) test |
$32 |
$33 |
$33 |
$41 | |
| Pelvic ultrasound |
$443 |
$452 |
$452 |
$78 | |
| Pelvic ultrasound (complete) |
$443 |
$452 |
$452 |
$105 | |
| Pelvic ultrasound (limited) |
$148 |
$151 |
$151 |
$51 | |
| PET scan |
$3,614 |
$3,688 |
$3,688 |
— | |
| Phosphorus blood test |
$4 |
$4 |
$4 |
$5 | |
| Physical therapy evaluation |
$1,011 |
$1,031 |
$1,031 |
$98 | |
| Physical therapy evaluation (high complexity) |
$1,011 |
$1,031 |
$1,031 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$1,011 |
$1,031 |
$1,031 |
$98 | |
| Platelet count |
$9 |
$9 |
$9 |
$4 | |
| Pneumonia vaccine |
$157 |
$160 |
$160 |
— | |
| Pregnancy blood test (hCG) |
$21 |
$22 |
$22 |
$8 | |
| Pregnancy ultrasound |
$496 |
$506 |
$506 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$443 |
$452 |
$452 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$549 |
$560 |
$560 |
$136 | |
| Procalcitonin test |
$321 |
$327 |
$327 |
$27 | |
| Prolactin test |
$43 |
$44 |
$44 |
$19 | |
| Prostate test (PSA) |
$43 |
$44 |
$44 |
$18 | |
| Pulmonary rehabilitation |
$715 |
$729 |
$729 |
$87 | |
| RSV vaccine |
$406 |
$414 |
$414 |
— | |
| Scoliosis spine X-ray |
$211 |
$215 |
$215 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$148 |
$151 |
$151 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$274 |
$280 |
$280 |
$72 | |
| Screening mammogram |
$475 |
$485 |
$485 |
$126 | |
| Scrotal ultrasound |
$211 |
$215 |
$215 |
$99 | |
| Sedimentation rate (ESR) test |
$12 |
$12 |
$12 |
$3 | |
| Semen analysis |
$62 |
$63 |
$63 |
$12 | |
| Sex hormone binding globulin test |
$53 |
$55 |
$55 |
$22 | |
| Shingles vaccine |
$284 |
$289 |
$289 |
— | |
| Skin biopsy |
$571 |
$583 |
$583 |
$121 | |
| Skin biopsy (punch) |
$838 |
$855 |
$855 |
$121 | |
| Sleep study (polysomnography) |
$2,728 |
$2,783 |
$2,783 |
$691 | |
| Soft tissue ultrasound |
$63 |
$65 |
$65 |
$64 | |
| Speech therapy |
$179 |
$183 |
$183 |
$76 | |
| Spirometry (lung function test) |
$478 |
$488 |
$488 |
$30 | |
| Spirometry with bronchodilator |
$707 |
$722 |
$722 |
$43 | |
| Strep throat test |
$53 |
$55 |
$55 |
$17 | |
| Swallow study |
$239 |
$244 |
$244 |
$85 | |
| T3 thyroid test |
$32 |
$33 |
$33 |
$14 | |
| Tdap (tetanus) vaccine |
$78 |
$80 |
$80 |
— | |
| Testosterone test |
$32 |
$33 |
$33 |
$26 | |
| Thyroid test (TSH) |
$32 |
$33 |
$33 |
$17 | |
| Thyroid ultrasound |
$528 |
$538 |
$538 |
$109 | |
| Thyroid uptake scan |
$326 |
$333 |
$333 |
$145 | |
| Total IgE allergy test |
$32 |
$33 |
$33 |
$16 | |
| Total protein test |
$4 |
$4 |
$4 |
$4 | |
| Transvaginal ultrasound |
$528 |
$538 |
$538 |
$118 | |
| Troponin (heart) test |
$53 |
$55 |
$55 |
$12 | |
| Turning a breech baby (version) |
$1,535 |
$1,567 |
$1,567 |
$94 | |
| Upper GI series (barium) |
$506 |
$517 |
$517 |
$128 | |
| Uric acid (gout) test |
$4 |
$4 |
$4 |
$5 | |
| Urinalysis |
$9 |
$9 |
$9 |
$3 | |
| Urine microalbumin test |
$27 |
$27 |
$27 |
$5 | |
| Urine pregnancy test |
$21 |
$22 |
$22 |
$9 | |
| Vaccine administration |
$95 |
$97 |
$97 |
$19 | |
| Vaccine administration (each additional) |
$95 |
$97 |
$97 |
$16 | |
| Vitamin B12 test |
$32 |
$33 |
$33 |
$15 | |
| Vitamin D test |
$32 |
$33 |
$33 |
$30 | |
| Wound debridement |
$867 |
$884 |
$884 |
$186 | |
| X-ray of the abdomen |
$116 |
$118 |
$118 |
$36 | |
| X-ray of the ankle |
$127 |
$129 |
$129 |
$37 | |
| X-ray of the collarbone |
$158 |
$162 |
$162 |
$33 | |
| X-ray of the elbow |
$190 |
$194 |
$194 |
$33 | |
| X-ray of the facial bones |
$137 |
$140 |
$140 |
$39 | |
| X-ray of the foot |
$127 |
$129 |
$129 |
$34 | |
| X-ray of the forearm |
$158 |
$162 |
$162 |
$29 | |
| X-ray of the hand |
$127 |
$129 |
$129 |
$38 | |
| X-ray of the hip |
$169 |
$172 |
$172 |
$49 | |
| X-ray of the hip (1 view) |
$127 |
$129 |
$129 |
$34 | |
| X-ray of the hip (3 views) |
$169 |
$172 |
$172 |
$49 | |
| X-ray of the hip (4 views) |
$211 |
$215 |
$215 |
$63 | |
| X-ray of the knee |
$158 |
$162 |
$162 |
$42 | |
| X-ray of the knee (2 views) |
$127 |
$129 |
$129 |
$34 | |
| X-ray of the knee (3 views) |
$222 |
$226 |
$226 |
$42 | |
| X-ray of the knee (4+ views) |
$253 |
$258 |
$258 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$169 |
$172 |
$172 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$148 |
$151 |
$151 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$190 |
$194 |
$194 |
$53 | |
| X-ray of the lower leg |
$127 |
$129 |
$129 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$127 |
$129 |
$129 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$127 |
$129 |
$129 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$148 |
$151 |
$151 |
$39 | |
| X-ray of the neck (cervical spine) |
$127 |
$129 |
$129 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$127 |
$129 |
$129 |
$40 | |
| X-ray of the pelvis |
$148 |
$151 |
$151 |
$36 | |
| X-ray of the pelvis (1 view) |
$127 |
$129 |
$129 |
$28 | |
| X-ray of the ribs |
$127 |
$129 |
$129 |
$42 | |
| X-ray of the ribs (2 views) |
$127 |
$129 |
$129 |
$36 | |
| X-ray of the ribs (3 views) |
$127 |
$129 |
$129 |
$42 | |
| X-ray of the shoulder |
$158 |
$162 |
$162 |
$36 | |
| X-ray of the skull |
$148 |
$151 |
$151 |
$40 | |
| X-ray of the upper arm |
$127 |
$129 |
$129 |
$32 | |
| X-ray of the wrist |
$148 |
$151 |
$151 |
$43 | |
| Zinc blood test |
$53 |
$55 |
$55 |
$11 | |