| 3D mammogram (tomosynthesis) |
$32 |
$100 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,945 |
$6,078 |
— |
$284 | |
| Abdominal ultrasound |
$1,001 |
$3,128 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$1,178 |
$3,680 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$824 |
$2,577 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$574 |
$1,795 |
— |
$220 | |
| Abscess drainage (simple) |
$739 |
$2,310 |
— |
$129 | |
| Abscess incision and drainage |
$657 |
$2,052 |
— |
$174 | |
| Albumin blood test |
$18 |
$57 |
— |
$5 | |
| Aldosterone test |
$176 |
$551 |
— |
$41 | |
| Alkaline phosphatase test |
$137 |
$428 |
— |
$5 | |
| Alpha-fetoprotein (AFP) test |
$51 |
$159 |
— |
$17 | |
| ALT liver enzyme test |
$174 |
$543 |
— |
$5 | |
| Ammonia blood test |
$37 |
$115 |
— |
$15 | |
| Amniocentesis |
$572 |
$1,788 |
— |
$120 | |
| Amylase test |
$114 |
$356 |
— |
$6 | |
| Anoscopy |
$116 |
$364 |
— |
$129 | |
| Antinuclear antibody (ANA) test |
$161 |
$503 |
— |
$12 | |
| Aortic aneurysm repair (AAA) |
$3,705 |
$11,578 |
— |
$1,345 | |
| Aortic valve replacement |
$4,620 |
$14,438 |
— |
$1,603 | |
| Arterial blood gas (ABG) |
$114 |
$355 |
— |
$26 | |
| AST liver enzyme test |
$154 |
$483 |
— |
$5 | |
| Barium swallow study |
$525 |
$1,639 |
— |
$107 | |
| Bartholin cyst removal |
$1,028 |
$3,212 |
— |
$182 | |
| Basic metabolic panel |
$214 |
$670 |
— |
$8 | |
| Bilirubin blood test |
$90 |
$281 |
— |
$5 | |
| Bladder function test (urodynamics) |
$531 |
$1,660 |
— |
$345 | |
| Bladder scope (cystoscopy) |
$513 |
$1,602 |
— |
$216 | |
| Blood clotting test (PT/INR) |
$35 |
$109 |
— |
$4 | |
| Blood crossmatch |
$119 |
$373 |
— |
— | |
| Blood glucose test |
$73 |
$227 |
— |
$5 | |
| Blood transfusion |
$565 |
$1,767 |
— |
$47 | |
| Blood type and screen |
$143 |
$447 |
— |
$10 | |
| Blood type test |
$83 |
$260 |
— |
$3 | |
| Blood type test (ABO group) |
$86 |
$270 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$80 |
$250 |
— |
$3 | |
| BNP (heart failure) test |
$103 |
$321 |
— |
$39 | |
| Bone density scan (DEXA) |
$362 |
$1,133 |
— |
$39 | |
| Bone marrow biopsy |
$977 |
$3,053 |
— |
$172 | |
| Bone scan (nuclear) |
$1,367 |
$4,272 |
— |
$259 | |
| Botox for migraine |
$2,058 |
$6,430 |
— |
$157 | |
| Breast biopsy |
$2,650 |
$8,282 |
— |
$478 | |
| Breast MRI |
$1,960 |
$6,126 |
— |
$216 | |
| Breast MRI without contrast |
$1,769 |
$5,528 |
— |
$216 | |
| Breast ultrasound |
$726 |
$2,269 |
— |
$92 | |
| Breast ultrasound (complete) |
$737 |
$2,304 |
— |
$100 | |
| Breast ultrasound (limited) |
$715 |
$2,235 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$326 |
$1,019 |
— |
$133 | |
| Bronchoscopy |
$2,518 |
$7,869 |
— |
$303 | |
| Burn dressing and debridement (medium) |
$919 |
$2,872 |
— |
$166 | |
| Burn dressing and debridement (small) |
$764 |
$2,387 |
— |
$93 | |
| Burn treatment |
$841 |
$2,629 |
— |
$129 | |
| C-reactive protein (CRP) |
$75 |
$234 |
— |
$5 | |
| CA 19-9 tumor marker test |
$132 |
$412 |
— |
$21 | |
| CA-125 ovarian marker test |
$160 |
$502 |
— |
$21 | |
| Calcium blood test |
$32 |
$100 |
— |
$5 | |
| Capsule endoscopy |
$2,304 |
$7,200 |
— |
$802 | |
| Cardiac ablation |
$27,406 |
$85,644 |
— |
$759 | |
| Cardiac catheterization |
$4,439 |
$13,871 |
— |
$1,049 | |
| Cardiac MRI |
$1,311 |
$4,098 |
— |
$322 | |
| Cardiac MRI without contrast |
$1,252 |
$3,911 |
— |
$280 | |
| Cardiac rehabilitation |
$285 |
$889 |
— |
$26 | |
| Cardiac stress test |
$1,537 |
$4,804 |
— |
$39 | |
| Cardioversion |
$1,332 |
$4,161 |
— |
$155 | |
| Carotid artery ultrasound |
$671 |
$2,096 |
— |
$156 | |
| CEA tumor marker test |
$54 |
$168 |
— |
$19 | |
| Celiac disease test |
$218 |
$683 |
— |
$12 | |
| Central line placement |
$3,134 |
$9,793 |
— |
$238 | |
| Cesarean section (C-section) |
— |
— |
$20,963 |
$7,552 | |
| Chemotherapy infusion |
$418 |
$1,306 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$295 |
$922 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$541 |
$1,689 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,424 |
$4,449 |
— |
$311 | |
| Chest tube insertion |
$1,335 |
$4,173 |
— |
$143 | |
| Chest X-ray |
$420 |
$1,313 |
— |
$37 | |
| Chest X-ray (1 view) |
$324 |
$1,012 |
— |
$25 | |
| Chest X-ray (2 views) |
$389 |
$1,217 |
— |
$33 | |
| Circumcision |
$514 |
$1,608 |
— |
$167 | |
| CK-MB heart enzyme test |
$263 |
$821 |
— |
$12 | |
| Clotting time test (PTT) |
$27 |
$84 |
— |
$6 | |
| Colon resection (colectomy) |
$2,864 |
$8,951 |
— |
$1,238 | |
| Colonoscopy |
$1,541 |
$4,817 |
— |
$480 | |
| Colposcopy |
$247 |
$772 |
— |
$161 | |
| Complete blood count (CBC) |
$76 |
$238 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$101 |
$317 |
— |
$8 | |
| Complex wound repair |
$3,133 |
$9,790 |
— |
$390 | |
| Comprehensive metabolic panel |
$288 |
$901 |
— |
$11 | |
| Contraceptive implant (Nexplanon) |
$424 |
$1,326 |
— |
$115 | |
| Copper blood test |
$184 |
$574 |
— |
$12 | |
| Coronary artery bypass (CABG) |
— |
— |
$59,432 |
$36,593 | |
| Coronary CT angiography |
$1,668 |
$5,212 |
— |
$326 | |
| Cortisol test |
$35 |
$109 |
— |
$16 | |
| COVID-19 PCR test |
$148 |
$462 |
— |
$51 | |
| CPAP titration study |
$366 |
$1,145 |
— |
$69 | |
| Creatine kinase (CK) test |
$119 |
$372 |
— |
$7 | |
| CT angiography of the chest |
$1,602 |
$5,006 |
— |
$281 | |
| CT angiography of the head |
$1,451 |
$4,534 |
— |
$274 | |
| CT colonography (virtual colonoscopy) |
$1,171 |
$3,660 |
— |
$835 | |
| CT scan of the abdomen |
$2,668 |
$8,339 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$3,196 |
$9,987 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,788 |
$11,838 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$3,196 |
$9,987 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,725 |
$8,515 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,882 |
$9,008 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$2,668 |
$8,339 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$2,016 |
$6,300 |
— |
$136 | |
| CT scan of the arm |
$2,212 |
$6,911 |
— |
$199 | |
| CT scan of the arm with contrast |
$2,212 |
$6,911 |
— |
$199 | |
| CT scan of the arm without contrast |
$1,652 |
$5,163 |
— |
$161 | |
| CT scan of the chest |
$1,659 |
$5,185 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$2,165 |
$6,767 |
— |
$196 | |
| CT scan of the chest with contrast |
$1,659 |
$5,185 |
— |
$167 | |
| CT scan of the chest without contrast |
$1,347 |
$4,209 |
— |
$133 | |
| CT scan of the head |
$1,283 |
$4,009 |
— |
$148 | |
| CT scan of the head with and without contrast |
$1,444 |
$4,511 |
— |
$173 | |
| CT scan of the head with contrast |
$1,283 |
$4,009 |
— |
$148 | |
| CT scan of the head without contrast |
$1,027 |
$3,209 |
— |
$107 | |
| CT scan of the leg |
$2,104 |
$6,574 |
— |
$166 | |
| CT scan of the leg with contrast |
$2,104 |
$6,574 |
— |
$166 | |
| CT scan of the leg without contrast |
$1,508 |
$4,713 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,156 |
$6,739 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$3,005 |
$9,391 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,156 |
$6,739 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,640 |
$5,124 |
— |
$130 | |
| CT scan of the neck |
$1,591 |
$4,971 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$1,899 |
$5,934 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,469 |
$7,717 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,899 |
$5,934 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,390 |
$4,345 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$1,791 |
$5,596 |
— |
$220 | |
| CT scan of the neck with contrast |
$1,591 |
$4,971 |
— |
$183 | |
| CT scan of the neck without contrast |
$1,197 |
$3,741 |
— |
$150 | |
| CT scan of the pelvis |
$1,987 |
$6,209 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,037 |
$6,366 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$1,987 |
$6,209 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$1,623 |
$5,072 |
— |
$133 | |
| CT scan of the sinuses |
$1,918 |
$5,992 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,060 |
$6,439 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$1,918 |
$5,992 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$1,434 |
$4,482 |
— |
$128 | |
| D-dimer test |
$210 |
$656 |
— |
$10 | |
| DHEA-sulfate test |
$192 |
$602 |
— |
$22 | |
| Diagnostic mammogram |
$150 |
$467 |
— |
$140 | |
| Drug screen (urine) |
$108 |
$339 |
— |
$17 | |
| Ear pressure test (tympanometry) |
$68 |
$212 |
— |
$16 | |
| Echocardiogram |
$1,719 |
$5,372 |
— |
$138 | |
| Echocardiogram with and without contrast |
$408 |
$1,274 |
— |
$101 | |
| Echocardiogram without contrast |
$1,719 |
$5,372 |
— |
$138 | |
| EEG (awake and asleep) |
$489 |
$1,527 |
— |
$482 | |
| EKG / ECG (tracing only) |
$332 |
$1,039 |
— |
$7 | |
| Electrocardiogram (EKG) |
$332 |
$1,039 |
— |
$8 | |
| Electroencephalogram (EEG) |
$505 |
$1,578 |
— |
$448 | |
| Electrolyte panel |
$244 |
$764 |
— |
$7 | |
| Emergency department visit |
$824 |
$2,574 |
— |
$69 | |
| Emergency department visit (level 1) |
$233 |
$729 |
— |
$11 | |
| Emergency department visit (level 2) |
$413 |
$1,292 |
— |
$40 | |
| Emergency department visit (level 3) |
$824 |
$2,574 |
— |
$69 | |
| Emergency department visit (level 4) |
$1,362 |
$4,257 |
— |
$118 | |
| Emergency department visit (level 5) |
$1,763 |
$5,510 |
— |
$171 | |
| Endometrial biopsy |
$566 |
$1,770 |
— |
$98 | |
| Epidural steroid injection |
$3,108 |
$9,711 |
— |
$275 | |
| ERCP (bile duct endoscopy) |
$2,592 |
$8,101 |
— |
$311 | |
| Esophageal dilation |
$3,446 |
$10,770 |
— |
$522 | |
| Esophageal variceal banding |
$915 |
$2,859 |
— |
$126 | |
| Estradiol (estrogen) test |
$210 |
$657 |
— |
$28 | |
| Facet joint injection (spine) |
$1,329 |
$4,152 |
— |
$99 | |
| Fallopian tube X-ray (HSG) |
$602 |
$1,880 |
— |
$164 | |
| Family therapy session |
$282 |
$881 |
— |
$110 | |
| Fecal occult blood (stool) test |
$15 |
$46 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$15 |
$46 |
— |
$4 | |
| Feeding tube (PEG) placement |
$1,541 |
$4,817 |
— |
$178 | |
| Ferritin (iron) test |
$133 |
$415 |
— |
$14 | |
| Fibrinogen test |
$102 |
$318 |
— |
$10 | |
| Flexible sigmoidoscopy |
$557 |
$1,740 |
— |
$323 | |
| Folate (folic acid) test |
$29 |
$92 |
— |
$15 | |
| Foreign body removal (skin) |
$638 |
$1,994 |
— |
$157 | |
| Free T4 thyroid test |
$56 |
$175 |
— |
$9 | |
| FSH hormone test |
$230 |
$719 |
— |
$19 | |
| Gallbladder scan (HIDA) |
$1,369 |
$4,278 |
— |
$334 | |
| GGT liver test |
$102 |
$318 |
— |
$7 | |
| Glucose tolerance test |
$196 |
$613 |
— |
$8 | |
| Group therapy session |
$274 |
$857 |
— |
$30 | |
| H. pylori test |
$278 |
$868 |
— |
$67 | |
| HDL cholesterol test |
$169 |
$529 |
— |
$8 | |
| Hematocrit test |
$34 |
$106 |
— |
$2 | |
| Hemodialysis |
$987 |
$3,084 |
— |
$75 | |
| Hemoglobin A1c (diabetes test) |
$57 |
$179 |
— |
$10 | |
| Hemorrhoid removal |
$1,896 |
$5,924 |
— |
$338 | |
| Hepatitis B test |
$65 |
$203 |
— |
$10 | |
| Hepatitis C test |
$75 |
$235 |
— |
$14 | |
| HIV test |
$52 |
$164 |
— |
$19 | |
| HIV test (antibody) |
$28 |
$88 |
— |
$14 | |
| HIV test (antigen/antibody combo) |
$77 |
$240 |
— |
$24 | |
| Holter heart monitor |
$855 |
$2,673 |
— |
$26 | |
| Home sleep apnea test |
$384 |
$1,200 |
— |
$123 | |
| Iron blood test |
$40 |
$126 |
— |
$6 | |
| IUD removal |
$470 |
$1,468 |
— |
$112 | |
| IV infusion therapy |
$376 |
$1,174 |
— |
$44 | |
| IV infusion therapy (each additional) |
$275 |
$860 |
— |
$21 | |
| IV infusion therapy (initial) |
$476 |
$1,488 |
— |
$67 | |
| IVC filter placement |
$5,726 |
$17,895 |
— |
$1,885 | |
| Joint aspiration (small/intermediate) |
$1,015 |
$3,171 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$839 |
$2,622 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$1,191 |
$3,721 |
— |
$56 | |
| Kidney biopsy |
$5,281 |
$16,503 |
— |
$492 | |
| Kidney scan (nuclear) |
$1,543 |
$4,821 |
— |
$172 | |
| Kidney ultrasound |
$913 |
$2,853 |
— |
$84 | |
| Kidney ultrasound (limited) |
$1,003 |
$3,135 |
— |
$61 | |
| Knee joint injection |
$1,140 |
$3,561 |
— |
$69 | |
| Knee replacement |
— |
— |
$33,579 |
$18,054 | |
| Lactate test |
$115 |
$359 |
— |
$12 | |
| Laryngoscopy |
$338 |
$1,057 |
— |
$189 | |
| LDH test |
$35 |
$111 |
— |
$6 | |
| LDL cholesterol test |
$89 |
$278 |
— |
$11 | |
| Leg artery angiogram |
$1,355 |
$4,236 |
— |
$149 | |
| Leg artery angioplasty |
$4,568 |
$14,274 |
— |
— | |
| Leg vein ultrasound (Doppler) |
$1,128 |
$3,526 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,034 |
$3,232 |
— |
$116 | |
| LH hormone test |
$250 |
$782 |
— |
$19 | |
| Lipase test |
$227 |
$711 |
— |
$7 | |
| Lipid (cholesterol) panel |
$306 |
$955 |
— |
$13 | |
| Liver biopsy |
$1,912 |
$5,977 |
— |
$288 | |
| Liver function panel |
$129 |
$403 |
— |
$8 | |
| Lung function test (PFT) |
$504 |
$1,576 |
— |
$37 | |
| Lung scan (V/Q) |
$1,163 |
$3,636 |
— |
$291 | |
| Magnesium blood test |
$24 |
$75 |
— |
$7 | |
| MRA of the brain |
$1,879 |
$5,871 |
— |
$226 | |
| MRA of the brain with contrast |
$1,879 |
$5,871 |
— |
$226 | |
| MRA of the brain without contrast |
$2,320 |
$7,250 |
— |
$328 | |
| MRA of the neck |
$2,336 |
$7,300 |
— |
$245 | |
| MRA of the neck with contrast |
$2,336 |
$7,300 |
— |
$245 | |
| MRA of the neck without contrast |
$2,401 |
$7,503 |
— |
$343 | |
| MRI of the abdomen |
$1,933 |
$6,041 |
— |
$300 | |
| MRI of the abdomen with contrast |
$1,933 |
$6,041 |
— |
$300 | |
| MRI of the abdomen without contrast |
$1,578 |
$4,933 |
— |
$194 | |
| MRI of the ankle |
$2,160 |
$6,750 |
— |
$261 | |
| MRI of the ankle with contrast |
$2,160 |
$6,750 |
— |
$261 | |
| MRI of the ankle without contrast |
$1,526 |
$4,770 |
— |
$222 | |
| MRI of the brain |
$2,036 |
$6,361 |
— |
$269 | |
| MRI of the brain with contrast |
$2,036 |
$6,361 |
— |
$269 | |
| MRI of the brain without contrast |
$1,667 |
$5,211 |
— |
$195 | |
| MRI of the chest |
$1,944 |
$6,076 |
— |
$371 | |
| MRI of the chest with contrast |
$1,966 |
$6,143 |
— |
$371 | |
| MRI of the chest without contrast |
$1,944 |
$6,076 |
— |
$466 | |
| MRI of the knee |
$1,810 |
$5,658 |
— |
$315 | |
| MRI of the knee with contrast |
$1,810 |
$5,658 |
— |
$315 | |
| MRI of the knee without contrast |
$1,610 |
$5,032 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,269 |
$7,092 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,269 |
$7,092 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,930 |
$6,031 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,016 |
$6,301 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,348 |
$7,336 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,016 |
$6,301 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,999 |
$6,248 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$2,471 |
$7,722 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$3,010 |
$9,408 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,471 |
$7,722 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,078 |
$6,495 |
— |
$191 | |
| MRI of the pelvis |
$1,978 |
$6,183 |
— |
$268 | |
| MRI of the pelvis with contrast |
$1,978 |
$6,183 |
— |
$268 | |
| MRI of the pelvis without contrast |
$1,641 |
$5,129 |
— |
$227 | |
| MRI of the shoulder |
$1,616 |
$5,051 |
— |
$313 | |
| MRI of the shoulder with contrast |
$1,464 |
$4,574 |
— |
$313 | |
| MRI of the shoulder without contrast |
$1,616 |
$5,051 |
— |
$205 | |
| MRI of the wrist |
$2,869 |
$8,967 |
— |
$330 | |
| MRI of the wrist with contrast |
$2,869 |
$8,967 |
— |
$330 | |
| MRI of the wrist without contrast |
$1,434 |
$4,483 |
— |
$303 | |
| Nebulizer breathing treatment |
$37 |
$116 |
— |
$9 | |
| Nerve conduction study |
$780 |
$2,438 |
— |
$118 | |
| Nuclear cardiac stress test |
$4,006 |
$12,518 |
— |
$428 | |
| Occupational therapy evaluation |
$329 |
$1,028 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$351 |
$1,096 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$286 |
$895 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$329 |
$1,028 |
— |
$101 | |
| Office visit (established patient) |
$120 |
$374 |
— |
$115 | |
| Office visit (new patient) |
$51 |
$160 |
— |
$177 | |
| Office visit, established patient (level 3) |
$110 |
$344 |
— |
$95 | |
| Office visit, established patient (level 4) |
$129 |
$404 |
— |
$136 | |
| Office visit, new patient (level 3) |
$48 |
$150 |
— |
$118 | |
| Office visit, new patient (level 4) |
$51 |
$160 |
— |
$177 | |
| Office visit, new patient (level 5) |
$54 |
$170 |
— |
$237 | |
| Pacemaker insertion |
— |
— |
$35,034 |
$15,506 | |
| Pap smear (cervical screening) |
$51 |
$158 |
$30 |
$20 | |
| Parathyroid hormone (PTH) test |
$86 |
$268 |
— |
$41 | |
| Pelvic ultrasound |
$865 |
$2,704 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$1,009 |
$3,153 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$721 |
$2,254 |
— |
$51 | |
| PET scan |
$4,222 |
$13,193 |
— |
— | |
| Phosphorus blood test |
$20 |
$63 |
— |
$5 | |
| Physical therapy evaluation |
$314 |
$982 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$338 |
$1,055 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$314 |
$982 |
— |
$98 | |
| Platelet count |
$100 |
$311 |
— |
$4 | |
| Pregnancy blood test (hCG) |
$250 |
$782 |
— |
$8 | |
| Pregnancy ultrasound |
$876 |
$2,737 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$834 |
$2,605 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$918 |
$2,868 |
— |
$136 | |
| Procalcitonin test |
$101 |
$315 |
— |
$27 | |
| Prolactin test |
$166 |
$519 |
— |
$19 | |
| Prostate biopsy |
$2,393 |
$7,478 |
— |
— | |
| Prostate test (PSA) |
$74 |
$232 |
— |
$18 | |
| Psychiatric evaluation |
$387 |
$1,211 |
— |
$188 | |
| Psychotherapy session |
$301 |
$942 |
— |
$140 | |
| Pulmonary rehabilitation |
$208 |
$650 |
— |
$87 | |
| Radiofrequency nerve ablation |
$1,755 |
$5,484 |
— |
$462 | |
| Sacroiliac joint injection |
$737 |
$2,303 |
— |
$176 | |
| Scoliosis spine X-ray |
$533 |
$1,666 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$530 |
$1,657 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$536 |
$1,675 |
— |
$72 | |
| Screening colonoscopy |
— |
— |
$1,401 |
$378 | |
| Screening mammogram |
$144 |
$451 |
— |
$126 | |
| Scrotal ultrasound |
$904 |
$2,826 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$107 |
$334 |
— |
$3 | |
| Sex hormone binding globulin test |
$338 |
$1,056 |
— |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$601 |
$1,878 |
— |
$114 | |
| Simple wound stitches |
$625 |
$1,954 |
— |
$127 | |
| Skin biopsy |
$515 |
$1,609 |
— |
$121 | |
| Skin biopsy (punch) |
$515 |
$1,609 |
— |
$121 | |
| Skin lesion freezing (cryotherapy) |
$189 |
$592 |
— |
$36 | |
| Skin tag removal |
$508 |
$1,588 |
— |
$92 | |
| Sleep study (polysomnography) |
$1,964 |
$6,138 |
— |
$691 | |
| Soft tissue ultrasound |
$854 |
$2,669 |
— |
$64 | |
| Speech therapy |
$230 |
$719 |
— |
$76 | |
| Spinal cord stimulator |
$4,434 |
$13,855 |
— |
$2,388 | |
| Spinal tap (lumbar puncture) |
$836 |
$2,613 |
— |
$165 | |
| Spine fracture repair (kyphoplasty) |
$4,223 |
$13,198 |
— |
$5,803 | |
| Spirometry (lung function test) |
$414 |
$1,294 |
— |
$30 | |
| Spirometry with bronchodilator |
$595 |
$1,859 |
— |
$43 | |
| Strep throat test |
$132 |
$414 |
— |
$17 | |
| Stress echocardiogram |
$2,929 |
$9,154 |
— |
$209 | |
| Stress echocardiogram (complete) |
$3,145 |
$9,827 |
— |
$233 | |
| Swallow study |
$169 |
$528 |
— |
$85 | |
| T3 thyroid test |
$55 |
$172 |
— |
$14 | |
| Testosterone test |
$166 |
$520 |
— |
$26 | |
| Thyroid test (TSH) |
$58 |
$182 |
— |
$17 | |
| Thyroid ultrasound |
$706 |
$2,207 |
— |
$109 | |
| Thyroid uptake scan |
$890 |
$2,783 |
— |
$145 | |
| Tilt table test |
$3,106 |
$9,707 |
— |
$168 | |
| Total IgE allergy test |
$170 |
$531 |
— |
$16 | |
| Total protein test |
$71 |
$221 |
— |
$4 | |
| Tracheostomy |
$6,108 |
$19,089 |
— |
$273 | |
| Transesophageal echocardiogram (TEE) |
$2,029 |
$6,340 |
— |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$2,185 |
$6,828 |
— |
$239 | |
| Transvaginal ultrasound |
$757 |
$2,366 |
— |
$118 | |
| Trigger point injection |
$726 |
$2,267 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$577 |
$1,804 |
— |
$52 | |
| Triglycerides test |
$128 |
$399 |
— |
$6 | |
| Troponin (heart) test |
$259 |
$810 |
— |
$12 | |
| Turning a breech baby (version) |
$933 |
$2,915 |
— |
$94 | |
| Upper GI endoscopy (EGD) |
$1,499 |
$4,683 |
— |
$371 | |
| Upper GI series (barium) |
$914 |
$2,856 |
— |
$128 | |
| Ureteral stent placement |
$542 |
$1,694 |
— |
$373 | |
| Uric acid (gout) test |
$111 |
$347 |
— |
$5 | |
| Urinalysis |
$99 |
$310 |
— |
$3 | |
| Urine microalbumin test |
$138 |
$430 |
— |
$5 | |
| Urine pregnancy test |
$164 |
$513 |
— |
$9 | |
| Vaccine administration |
$61 |
$190 |
— |
$19 | |
| Vaccine administration (each additional) |
$47 |
$147 |
— |
$16 | |
| Vaginal delivery |
— |
— |
$15,763 |
$5,487 | |
| Varicose vein ablation |
$4,161 |
$13,002 |
— |
$1,018 | |
| Vitamin B12 test |
$22 |
$70 |
— |
$15 | |
| Vitamin D test |
$63 |
$198 |
— |
$30 | |
| Weight-loss (bariatric) surgery |
— |
— |
$31,482 |
$11,645 | |
| Wound debridement |
$1,362 |
$4,257 |
— |
$186 | |
| X-ray of the abdomen |
$381 |
$1,191 |
— |
$36 | |
| X-ray of the ankle |
$399 |
$1,246 |
— |
$37 | |
| X-ray of the collarbone |
$355 |
$1,109 |
— |
$33 | |
| X-ray of the elbow |
$421 |
$1,316 |
— |
$33 | |
| X-ray of the facial bones |
$462 |
$1,445 |
— |
$39 | |
| X-ray of the foot |
$422 |
$1,319 |
— |
$34 | |
| X-ray of the forearm |
$517 |
$1,615 |
— |
$29 | |
| X-ray of the hand |
$396 |
$1,238 |
— |
$38 | |
| X-ray of the hip |
$368 |
$1,149 |
— |
$49 | |
| X-ray of the hip (1 view) |
$231 |
$723 |
— |
$34 | |
| X-ray of the hip (3 views) |
$368 |
$1,149 |
— |
$49 | |
| X-ray of the hip (4 views) |
$842 |
$2,631 |
— |
$63 | |
| X-ray of the knee |
$527 |
$1,648 |
— |
$42 | |
| X-ray of the knee (2 views) |
$295 |
$921 |
— |
$34 | |
| X-ray of the knee (3 views) |
$735 |
$2,296 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$527 |
$1,648 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$602 |
$1,880 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$450 |
$1,405 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$754 |
$2,356 |
— |
$53 | |
| X-ray of the lower leg |
$692 |
$2,164 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$515 |
$1,609 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$477 |
$1,490 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$553 |
$1,728 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$528 |
$1,650 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$383 |
$1,196 |
— |
$40 | |
| X-ray of the pelvis |
$352 |
$1,101 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$302 |
$943 |
— |
$28 | |
| X-ray of the ribs |
$440 |
$1,376 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$398 |
$1,245 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$440 |
$1,376 |
— |
$42 | |
| X-ray of the shoulder |
$659 |
$2,059 |
— |
$36 | |
| X-ray of the skull |
$490 |
$1,532 |
— |
$40 | |
| X-ray of the upper arm |
$375 |
$1,172 |
— |
$32 | |
| X-ray of the wrist |
$673 |
$2,102 |
— |
$43 | |
| Zinc blood test |
$100 |
$313 |
— |
$11 | |