| 3D mammogram (tomosynthesis) |
$47 |
$79 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$5,221 |
$8,701 |
— |
$284 | |
| Abdominal ultrasound |
$640 |
$1,067 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$689 |
$1,148 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$592 |
$986 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$1,315 |
$2,191 |
— |
$220 | |
| Abscess drainage (simple) |
$1,228 |
$2,046 |
— |
$129 | |
| Abscess incision and drainage |
$1,228 |
$2,046 |
— |
$174 | |
| Achilles tendon repair |
$28,709 |
$47,849 |
$7,357 |
$624 | |
| ACL knee reconstruction |
$24,469 |
$40,781 |
$7,357 |
$889 | |
| Adenoid removal (adenoidectomy) |
$6,799 |
$11,332 |
$3,329 |
$204 | |
| Albumin blood test |
$79 |
$131 |
— |
$5 | |
| Aldosterone test |
$151 |
$252 |
— |
$41 | |
| Alkaline phosphatase test |
$24 |
$40 |
— |
$5 | |
| Alpha-fetoprotein (AFP) test |
$194 |
$323 |
— |
$17 | |
| ALT liver enzyme test |
$114 |
$190 |
— |
$5 | |
| Ammonia blood test |
$107 |
$179 |
— |
$15 | |
| Amniocentesis |
$653 |
$1,088 |
— |
$120 | |
| Amylase test |
$125 |
$208 |
— |
$6 | |
| Anal fistula repair |
$9,116 |
$15,193 |
$2,759 |
$541 | |
| Ankle fracture repair |
$19,044 |
$31,740 |
$7,357 |
$608 | |
| Anoscopy |
$174 |
$290 |
— |
$129 | |
| Antinuclear antibody (ANA) test |
$185 |
$309 |
— |
$12 | |
| Aortic valve replacement |
$11,397 |
$18,995 |
— |
$1,603 | |
| Arterial blood gas (ABG) |
$74 |
$124 |
— |
$26 | |
| AST liver enzyme test |
$98 |
$163 |
— |
$5 | |
| Barium swallow study |
$871 |
$1,452 |
— |
$107 | |
| Bartholin cyst removal |
$977 |
$1,628 |
— |
$182 | |
| Basic metabolic panel |
$90 |
$150 |
— |
$8 | |
| Bilirubin blood test |
$100 |
$166 |
— |
$5 | |
| Bladder scope (cystoscopy) |
$1,075 |
$1,791 |
— |
$216 | |
| Bladder tumor removal (TURBT) |
$18,905 |
$31,509 |
$3,574 |
$236 | |
| Blood clotting test (PT/INR) |
$40 |
$67 |
— |
$4 | |
| Blood crossmatch |
$176 |
$294 |
— |
— | |
| Blood glucose test |
$80 |
$134 |
— |
$5 | |
| Blood transfusion |
$1,458 |
$2,430 |
— |
$47 | |
| Blood type and screen |
$74 |
$123 |
— |
$10 | |
| Blood type test |
$80 |
$133 |
— |
$3 | |
| Blood type test (ABO group) |
$87 |
$145 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$73 |
$122 |
— |
$3 | |
| BNP (heart failure) test |
$213 |
$355 |
— |
$39 | |
| Bone density scan (DEXA) |
$367 |
$612 |
— |
$39 | |
| Bone marrow biopsy |
$3,972 |
$6,620 |
$2,945 |
$172 | |
| Bone scan (nuclear) |
$1,088 |
$1,814 |
— |
$259 | |
| Botox for migraine |
$524 |
$874 |
— |
$157 | |
| Breast biopsy |
$6,612 |
$11,020 |
— |
$478 | |
| Breast MRI |
$1,691 |
$2,819 |
— |
$216 | |
| Breast MRI without contrast |
$1,691 |
$2,819 |
— |
$216 | |
| Breast reconstruction |
$21,336 |
$35,559 |
$13,973 |
$1,227 | |
| Breast reduction |
$31,623 |
$52,704 |
$6,601 |
$980 | |
| Breast ultrasound |
$739 |
$1,231 |
— |
$92 | |
| Breast ultrasound (complete) |
$739 |
$1,231 |
— |
$100 | |
| Breast ultrasound (limited) |
$697 |
$1,162 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$909 |
$1,515 |
— |
$133 | |
| Bronchoscopy |
$19,654 |
$32,757 |
$3,780 |
$303 | |
| Burn dressing and debridement (medium) |
$571 |
$952 |
— |
$166 | |
| Burn dressing and debridement (small) |
$569 |
$949 |
— |
$93 | |
| Burn treatment |
$570 |
$951 |
— |
$129 | |
| C-reactive protein (CRP) |
$25 |
$41 |
— |
$5 | |
| CA 19-9 tumor marker test |
$143 |
$238 |
— |
$21 | |
| CA-125 ovarian marker test |
$122 |
$203 |
— |
$21 | |
| Calcium blood test |
$100 |
$167 |
— |
$5 | |
| Cardiac ablation |
$28,323 |
$47,205 |
— |
$759 | |
| Cardiac catheterization |
$8,982 |
$14,970 |
— |
$1,049 | |
| Cardiac MRI |
$794 |
$1,323 |
— |
$322 | |
| Cardiac MRI without contrast |
$769 |
$1,282 |
— |
$280 | |
| Cardiac rehabilitation |
$312 |
$520 |
— |
$26 | |
| Cardiac stress test |
$1,658 |
$2,763 |
— |
$39 | |
| Cardioversion |
$1,683 |
$2,805 |
— |
$155 | |
| Carotid artery ultrasound |
$609 |
$1,015 |
— |
$156 | |
| Carpal tunnel release |
$7,361 |
$12,268 |
$1,941 |
$483 | |
| CEA tumor marker test |
$140 |
$234 |
— |
$19 | |
| Celiac disease test |
$31 |
$52 |
— |
$12 | |
| Central line placement |
$4,048 |
$6,746 |
— |
$238 | |
| Cervical LEEP procedure |
$8,879 |
$14,799 |
$3,218 |
$325 | |
| Cesarean section (C-section) |
— |
— |
$8,381 |
$7,552 | |
| Chemotherapy infusion |
$808 |
$1,347 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$200 |
$334 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$1,416 |
$2,360 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$4,217 |
$7,029 |
$624 |
$311 | |
| Chest tube insertion |
$2,005 |
$3,341 |
— |
$143 | |
| Chest X-ray |
$554 |
$924 |
— |
$37 | |
| Chest X-ray (1 view) |
$437 |
$728 |
— |
$25 | |
| Chest X-ray (2 views) |
$551 |
$918 |
— |
$33 | |
| Circumcision |
$6,700 |
$11,166 |
$2,078 |
$167 | |
| CK-MB heart enzyme test |
$39 |
$65 |
— |
$12 | |
| Clotting time test (PTT) |
$61 |
$102 |
— |
$6 | |
| Colonoscopy |
$3,913 |
$6,522 |
$1,190 |
$480 | |
| Complete blood count (CBC) |
$60 |
$101 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$71 |
$118 |
— |
$8 | |
| Comprehensive metabolic panel |
$93 |
$155 |
— |
$11 | |
| Copper blood test |
$120 |
$200 |
— |
$12 | |
| Coronary artery bypass (CABG) |
— |
— |
$42,288 |
$36,593 | |
| Coronary CT angiography |
$1,562 |
$2,604 |
— |
$326 | |
| Cortisol test |
$62 |
$103 |
— |
$16 | |
| COVID-19 PCR test |
$122 |
$204 |
— |
$51 | |
| CPAP titration study |
$328 |
$546 |
— |
$69 | |
| Creatine kinase (CK) test |
$79 |
$132 |
— |
$7 | |
| CT angiography of the chest |
$1,430 |
$2,384 |
— |
$281 | |
| CT angiography of the head |
$1,789 |
$2,982 |
— |
$274 | |
| CT scan of the abdomen |
$1,637 |
$2,728 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$2,225 |
$3,709 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,021 |
$5,036 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$1,964 |
$3,274 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,942 |
$3,236 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,877 |
$3,128 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$1,355 |
$2,259 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$1,442 |
$2,404 |
— |
$136 | |
| CT scan of the arm |
$1,637 |
$2,728 |
— |
$199 | |
| CT scan of the arm with contrast |
$1,652 |
$2,753 |
— |
$199 | |
| CT scan of the arm without contrast |
$1,442 |
$2,404 |
— |
$161 | |
| CT scan of the chest |
$1,510 |
$2,517 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$1,877 |
$3,128 |
— |
$196 | |
| CT scan of the chest with contrast |
$1,326 |
$2,210 |
— |
$167 | |
| CT scan of the chest without contrast |
$1,226 |
$2,044 |
— |
$133 | |
| CT scan of the head |
$1,606 |
$2,676 |
— |
$148 | |
| CT scan of the head with and without contrast |
$1,995 |
$3,326 |
— |
$173 | |
| CT scan of the head with contrast |
$1,756 |
$2,927 |
— |
$148 | |
| CT scan of the head without contrast |
$1,304 |
$2,174 |
— |
$107 | |
| CT scan of the leg |
$1,637 |
$2,728 |
— |
$166 | |
| CT scan of the leg with contrast |
$1,652 |
$2,753 |
— |
$166 | |
| CT scan of the leg without contrast |
$1,442 |
$2,404 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,637 |
$2,728 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,877 |
$3,128 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,652 |
$2,753 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,442 |
$2,404 |
— |
$130 | |
| CT scan of the neck |
$1,740 |
$2,900 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$1,606 |
$2,676 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,995 |
$3,326 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,756 |
$2,927 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,304 |
$2,174 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$1,995 |
$3,326 |
— |
$220 | |
| CT scan of the neck with contrast |
$1,756 |
$2,927 |
— |
$183 | |
| CT scan of the neck without contrast |
$1,534 |
$2,557 |
— |
$150 | |
| CT scan of the pelvis |
$1,637 |
$2,728 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,877 |
$3,128 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$1,652 |
$2,753 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$1,442 |
$2,404 |
— |
$133 | |
| CT scan of the sinuses |
$1,740 |
$2,900 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,995 |
$3,326 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$1,756 |
$2,927 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$1,534 |
$2,557 |
— |
$128 | |
| D-dimer test |
$61 |
$101 |
— |
$10 | |
| Defibrillator (ICD) implant |
$22,439 |
$37,399 |
— |
$798 | |
| DHEA-sulfate test |
$130 |
$216 |
— |
$22 | |
| Diagnostic mammogram |
$335 |
$559 |
— |
$140 | |
| Dialysis fistula creation |
$19,053 |
$31,755 |
$3,139 |
$601 | |
| Drug screen (urine) |
$183 |
$305 |
— |
$17 | |
| Ear tubes (myringotomy) |
$11,288 |
$18,814 |
$5,885 |
$174 | |
| Echocardiogram |
$2,010 |
$3,350 |
— |
$138 | |
| Echocardiogram without contrast |
$1,697 |
$2,828 |
— |
$138 | |
| EEG (awake and asleep) |
$935 |
$1,559 |
— |
$482 | |
| EKG / ECG (tracing only) |
$315 |
$525 |
— |
$7 | |
| Electrocardiogram (EKG) |
$315 |
$525 |
— |
$8 | |
| Electroencephalogram (EEG) |
$935 |
$1,559 |
— |
$448 | |
| Electrolyte panel |
$74 |
$123 |
— |
$7 | |
| Electromyography (EMG) |
$244 |
$406 |
— |
$141 | |
| Emergency department visit |
$1,058 |
$1,764 |
— |
$69 | |
| Emergency department visit (level 1) |
$316 |
$527 |
— |
$11 | |
| Emergency department visit (level 2) |
$662 |
$1,103 |
— |
$40 | |
| Emergency department visit (level 3) |
$1,058 |
$1,764 |
— |
$69 | |
| Emergency department visit (level 4) |
$1,257 |
$2,095 |
— |
$118 | |
| Emergency department visit (level 5) |
$1,389 |
$2,315 |
— |
$171 | |
| Epidural steroid injection |
$1,692 |
$2,820 |
— |
$275 | |
| ERCP (bile duct endoscopy) |
$16,657 |
$27,761 |
$3,909 |
$311 | |
| Esophageal dilation |
$6,956 |
$11,594 |
$902 |
$522 | |
| Estradiol (estrogen) test |
$109 |
$181 |
— |
$28 | |
| Facet joint injection (spine) |
$2,478 |
$4,130 |
— |
$99 | |
| Fallopian tube X-ray (HSG) |
$619 |
$1,031 |
— |
$164 | |
| Family therapy session |
$735 |
$1,225 |
— |
$110 | |
| Fecal occult blood (stool) test |
$46 |
$77 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$39 |
$65 |
— |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$47 |
$79 |
— |
$16 | |
| Feeding tube (PEG) placement |
$3,689 |
$6,148 |
$1,927 |
$178 | |
| Ferritin (iron) test |
$135 |
$225 |
— |
$14 | |
| Fibrinogen test |
$32 |
$53 |
— |
$10 | |
| Flexible sigmoidoscopy |
$5,159 |
$8,598 |
$924 |
$323 | |
| Flu test |
$66 |
$110 |
— |
$17 | |
| Folate (folic acid) test |
$184 |
$307 |
— |
$15 | |
| Free T4 thyroid test |
$113 |
$188 |
— |
$9 | |
| FSH hormone test |
$88 |
$147 |
— |
$19 | |
| Gallbladder removal (laparoscopic) |
$19,970 |
$33,283 |
$6,010 |
$658 | |
| Gallbladder scan (HIDA) |
$2,734 |
$4,557 |
— |
$334 | |
| GGT liver test |
$61 |
$101 |
— |
$7 | |
| Glucose tolerance test |
$38 |
$63 |
— |
$8 | |
| Group therapy session |
$332 |
$554 |
— |
$30 | |
| H. pylori test |
$124 |
$207 |
— |
$67 | |
| HDL cholesterol test |
$24 |
$40 |
— |
$8 | |
| Hematocrit test |
$24 |
$41 |
— |
$2 | |
| Hemodialysis |
$1,227 |
$2,045 |
— |
$75 | |
| Hemoglobin A1c (diabetes test) |
$45 |
$75 |
— |
$10 | |
| Hemorrhoid removal |
$6,938 |
$11,563 |
$924 |
$338 | |
| Hepatitis B test |
$74 |
$123 |
— |
$10 | |
| Hepatitis C test |
$211 |
$351 |
— |
$14 | |
| Hip replacement |
$41,200 |
$68,667 |
$12,763 |
$1,162 | |
| HIV test |
$116 |
$193 |
— |
$19 | |
| HIV test (antibody) |
$184 |
$306 |
— |
$14 | |
| HIV test (antigen/antibody combo) |
$70 |
$116 |
— |
$24 | |
| Holter heart monitor |
$996 |
$1,660 |
— |
$26 | |
| Hydrocele repair |
$14,527 |
$24,212 |
$3,559 |
$315 | |
| Hysterectomy |
$31,303 |
$52,172 |
$10,567 |
$933 | |
| Hysteroscopy |
$10,347 |
$17,245 |
$3,218 |
$1,270 | |
| Inguinal hernia repair |
$23,113 |
$38,522 |
$3,630 |
$538 | |
| Iron blood test |
$55 |
$91 |
— |
$6 | |
| IUD insertion |
$3,365 |
$5,609 |
— |
— | |
| IV infusion therapy |
$640 |
$1,067 |
— |
$44 | |
| IV infusion therapy (each additional) |
$448 |
$747 |
— |
$21 | |
| IV infusion therapy (initial) |
$832 |
$1,387 |
— |
$67 | |
| IVC filter placement |
$8,013 |
$13,355 |
— |
$1,885 | |
| Joint aspiration (small/intermediate) |
$977 |
$1,629 |
$305 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$1,001 |
$1,668 |
$305 |
$57 | |
| Joint aspiration or injection (small joint) |
$953 |
$1,589 |
— |
$56 | |
| Kidney biopsy |
$3,460 |
$5,767 |
— |
$492 | |
| Kidney scan (nuclear) |
$2,089 |
$3,482 |
— |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$51,916 |
$86,526 |
$3,504 |
$760 | |
| Kidney ultrasound |
$1,271 |
$2,118 |
— |
$84 | |
| Kidney ultrasound (limited) |
$991 |
$1,652 |
— |
$61 | |
| Knee arthroscopy |
$16,037 |
$26,728 |
$3,318 |
$524 | |
| Knee joint injection |
$1,105 |
$1,842 |
$305 |
$69 | |
| Knee replacement |
— |
— |
$22,034 |
$18,054 | |
| Lactate test |
$79 |
$132 |
— |
$12 | |
| Laminectomy (spine) |
$22,381 |
$37,301 |
$7,213 |
$1,157 | |
| Laryngoscopy |
$1,615 |
$2,691 |
— |
$189 | |
| LDH test |
$71 |
$118 |
— |
$6 | |
| LDL cholesterol test |
$44 |
$74 |
— |
$11 | |
| Leg artery angiogram |
$3,703 |
$6,172 |
— |
$149 | |
| Leg artery angioplasty |
$32,307 |
$53,844 |
$3,139 |
— | |
| Leg vein ultrasound (Doppler) |
$1,936 |
$3,227 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,776 |
$2,960 |
— |
$116 | |
| LH hormone test |
$201 |
$335 |
— |
$19 | |
| Lipase test |
$130 |
$217 |
— |
$7 | |
| Lipid (cholesterol) panel |
$175 |
$291 |
— |
$13 | |
| Liver biopsy |
$3,659 |
$6,098 |
— |
$288 | |
| Liver function panel |
$132 |
$220 |
— |
$8 | |
| Lumbar discectomy |
$19,507 |
$32,512 |
$7,213 |
$898 | |
| Lumpectomy (breast) |
$28,566 |
$47,611 |
$6,601 |
$750 | |
| Lung function test (PFT) |
$379 |
$632 |
— |
$37 | |
| Lung scan (V/Q) |
$2,527 |
$4,211 |
— |
$291 | |
| Magnesium blood test |
$86 |
$144 |
— |
$7 | |
| Mastectomy |
$37,320 |
$62,200 |
$6,733 |
$1,021 | |
| Meniscus repair (knee) |
$17,452 |
$29,086 |
$3,253 |
$714 | |
| MRA of the brain |
$1,748 |
$2,914 |
— |
$226 | |
| MRA of the brain with contrast |
$1,833 |
$3,055 |
— |
$226 | |
| MRA of the brain without contrast |
$2,121 |
$3,535 |
— |
$328 | |
| MRA of the neck |
$1,748 |
$2,914 |
— |
$245 | |
| MRA of the neck with contrast |
$1,833 |
$3,055 |
— |
$245 | |
| MRA of the neck without contrast |
$2,121 |
$3,535 |
— |
$343 | |
| MRI of the abdomen |
$2,203 |
$3,672 |
— |
$300 | |
| MRI of the abdomen with contrast |
$2,393 |
$3,988 |
— |
$300 | |
| MRI of the abdomen without contrast |
$1,982 |
$3,304 |
— |
$194 | |
| MRI of the ankle |
$2,254 |
$3,757 |
— |
$261 | |
| MRI of the ankle with contrast |
$2,393 |
$3,988 |
— |
$261 | |
| MRI of the ankle without contrast |
$1,982 |
$3,304 |
— |
$222 | |
| MRI of the brain |
$1,760 |
$2,934 |
— |
$269 | |
| MRI of the brain with contrast |
$1,833 |
$3,055 |
— |
$269 | |
| MRI of the brain without contrast |
$1,523 |
$2,539 |
— |
$195 | |
| MRI of the chest |
$2,254 |
$3,757 |
— |
$371 | |
| MRI of the chest with contrast |
$2,393 |
$3,988 |
— |
$371 | |
| MRI of the chest without contrast |
$2,768 |
$4,614 |
— |
$466 | |
| MRI of the knee |
$2,254 |
$3,757 |
— |
$315 | |
| MRI of the knee with contrast |
$2,393 |
$3,988 |
— |
$315 | |
| MRI of the knee without contrast |
$1,692 |
$2,820 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,254 |
$3,757 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,393 |
$3,988 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,796 |
$2,994 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,254 |
$3,757 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,768 |
$4,614 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,393 |
$3,988 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,982 |
$3,304 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$2,049 |
$3,416 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,517 |
$4,195 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,175 |
$3,625 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,733 |
$2,889 |
— |
$191 | |
| MRI of the pelvis |
$2,254 |
$3,757 |
— |
$268 | |
| MRI of the pelvis with contrast |
$2,393 |
$3,988 |
— |
$268 | |
| MRI of the pelvis without contrast |
$1,982 |
$3,304 |
— |
$227 | |
| MRI of the shoulder |
$2,254 |
$3,757 |
— |
$313 | |
| MRI of the shoulder with contrast |
$2,393 |
$3,988 |
— |
$313 | |
| MRI of the shoulder without contrast |
$1,701 |
$2,836 |
— |
$205 | |
| MRI of the wrist |
$2,254 |
$3,757 |
— |
$330 | |
| MRI of the wrist with contrast |
$2,393 |
$3,988 |
— |
$330 | |
| MRI of the wrist without contrast |
$1,982 |
$3,304 |
— |
$303 | |
| Nebulizer breathing treatment |
$200 |
$334 |
— |
$9 | |
| Neck (cervical) spinal fusion |
$40,165 |
$66,941 |
$12,890 |
$1,410 | |
| Nerve conduction study |
$855 |
$1,425 |
— |
$118 | |
| Nuclear cardiac stress test |
$6,665 |
$11,108 |
— |
$428 | |
| Occupational therapy evaluation |
$329 |
$548 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$378 |
$630 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$280 |
$467 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$329 |
$548 |
— |
$101 | |
| Office visit (established patient) |
$597 |
$995 |
$132 |
$115 | |
| Office visit (new patient) |
$715 |
$1,191 |
— |
$177 | |
| Office visit, established patient (level 4) |
$597 |
$995 |
— |
$136 | |
| Office visit, new patient (level 3) |
$556 |
$927 |
— |
$118 | |
| Office visit, new patient (level 4) |
$715 |
$1,191 |
— |
$177 | |
| Office visit, new patient (level 5) |
$940 |
$1,567 |
— |
$237 | |
| Orthopedic hardware removal |
$15,683 |
$26,138 |
$2,888 |
$632 | |
| Pacemaker insertion |
— |
— |
$23,174 |
$15,506 | |
| Pap smear (cervical screening) |
$44 |
$73 |
— |
$20 | |
| Parathyroid hormone (PTH) test |
$274 |
$457 |
— |
$41 | |
| Pelvic ultrasound |
$507 |
$846 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$634 |
$1,057 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$321 |
$535 |
— |
$51 | |
| PET scan |
$4,691 |
$7,819 |
— |
— | |
| Phosphorus blood test |
$62 |
$103 |
— |
$5 | |
| Physical therapy evaluation |
$294 |
$490 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$331 |
$552 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$287 |
$479 |
— |
$98 | |
| Pilonidal cyst removal |
$11,552 |
$19,254 |
$2,916 |
$541 | |
| Platelet count |
$50 |
$83 |
— |
$4 | |
| Pregnancy blood test (hCG) |
$100 |
$167 |
— |
$8 | |
| Pregnancy ultrasound |
$1,263 |
$2,105 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$1,007 |
$1,679 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$1,519 |
$2,531 |
— |
$136 | |
| Procalcitonin test |
$452 |
$754 |
— |
$27 | |
| Prolactin test |
$238 |
$397 |
— |
$19 | |
| Prostate biopsy |
$9,514 |
$15,857 |
$120 |
— | |
| Prostate surgery (TURP) |
$20,721 |
$34,535 |
$5,330 |
$526 | |
| Prostate test (PSA) |
$146 |
$244 |
— |
$18 | |
| Psychiatric evaluation |
$397 |
$662 |
— |
$188 | |
| Psychotherapy session |
$448 |
$746 |
— |
$140 | |
| Pulmonary rehabilitation |
$238 |
$397 |
— |
$87 | |
| Radiofrequency nerve ablation |
$3,548 |
$5,914 |
— |
$462 | |
| Rheumatoid factor test |
$15 |
$25 |
— |
$6 | |
| Rotator cuff repair |
$36,311 |
$60,518 |
$7,285 |
$792 | |
| Sacroiliac joint injection |
$1,960 |
$3,267 |
— |
$176 | |
| Scoliosis spine X-ray |
$510 |
$850 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$326 |
$543 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$694 |
$1,156 |
— |
$72 | |
| Screening mammogram |
$434 |
$723 |
— |
$126 | |
| Scrotal ultrasound |
$513 |
$855 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$64 |
$106 |
— |
$3 | |
| Semen analysis |
$101 |
$169 |
— |
$12 | |
| Septoplasty (deviated septum) |
$10,656 |
$17,760 |
$3,329 |
$613 | |
| Sex hormone binding globulin test |
$86 |
$144 |
— |
$22 | |
| Shoulder arthroscopy |
$25,226 |
$42,043 |
$7,285 |
$962 | |
| Shoulder replacement |
$48,819 |
$81,365 |
$17,430 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$988 |
$1,646 |
— |
$114 | |
| Simple wound stitches |
$995 |
$1,659 |
— |
$127 | |
| Sinus surgery (endoscopic) |
$10,851 |
$18,085 |
$7,016 |
$224 | |
| Skin biopsy |
$873 |
$1,455 |
— |
$121 | |
| Skin biopsy (punch) |
$873 |
$1,455 |
— |
$121 | |
| Skin lesion freezing (cryotherapy) |
$266 |
$444 |
— |
$36 | |
| Skin tag removal |
$369 |
$615 |
— |
$92 | |
| Sleep study (polysomnography) |
$7,272 |
$12,120 |
— |
$691 | |
| Soft tissue ultrasound |
$252 |
$420 |
— |
$64 | |
| Speech therapy |
$295 |
$492 |
— |
$76 | |
| Spinal cord stimulator |
$11,471 |
$19,118 |
$6,335 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$1,252 |
$2,086 |
— |
$165 | |
| Spine fracture repair (kyphoplasty) |
$21,800 |
$36,333 |
$7,213 |
$5,803 | |
| Spirometry (lung function test) |
$358 |
$597 |
— |
$30 | |
| Spirometry with bronchodilator |
$400 |
$666 |
— |
$43 | |
| Strep throat test |
$38 |
$64 |
— |
$17 | |
| Stress echocardiogram |
$1,427 |
$2,378 |
— |
$209 | |
| Stress echocardiogram (complete) |
$1,049 |
$1,749 |
— |
$233 | |
| Swallow study |
$645 |
$1,076 |
— |
$85 | |
| T3 thyroid test |
$91 |
$151 |
— |
$14 | |
| Testicle removal (orchiectomy) |
$12,124 |
$20,206 |
$3,504 |
$306 | |
| Testosterone test |
$116 |
$194 |
— |
$26 | |
| Thyroid test (TSH) |
$209 |
$348 |
— |
$17 | |
| Thyroid ultrasound |
$1,487 |
$2,478 |
— |
$109 | |
| Thyroid uptake scan |
$1,685 |
$2,808 |
— |
$145 | |
| Tilt table test |
$2,447 |
$4,079 |
— |
$168 | |
| Tonsillectomy |
$8,454 |
$14,089 |
$3,362 |
$252 | |
| Total IgE allergy test |
$103 |
$171 |
— |
$16 | |
| Total protein test |
$53 |
$88 |
— |
$4 | |
| Transesophageal echocardiogram (TEE) |
$1,492 |
$2,487 |
— |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$2,059 |
$3,432 |
— |
$239 | |
| Transvaginal ultrasound |
$676 |
$1,127 |
— |
$118 | |
| Trigger finger release |
$4,447 |
$7,412 |
$1,598 |
$630 | |
| Trigger point injection |
$1,040 |
$1,733 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$856 |
$1,427 |
— |
$52 | |
| Triglycerides test |
$72 |
$120 |
— |
$6 | |
| Troponin (heart) test |
$82 |
$137 |
— |
$12 | |
| Turbinate reduction |
$6,737 |
$11,228 |
$3,362 |
$294 | |
| Turning a breech baby (version) |
$3,967 |
$6,612 |
— |
$94 | |
| Ulnar nerve surgery (elbow) |
$10,399 |
$17,331 |
$1,941 |
$575 | |
| Upper GI endoscopy (EGD) |
$5,493 |
$9,155 |
$902 |
$371 | |
| Upper GI series (barium) |
$452 |
$753 |
— |
$128 | |
| Ureteral stent placement |
$14,235 |
$23,725 |
$3,574 |
$373 | |
| Ureteroscopy (stone removal) |
$17,179 |
$28,632 |
$5,330 |
$365 | |
| Uric acid (gout) test |
$98 |
$164 |
— |
$5 | |
| Urinalysis |
$58 |
$96 |
— |
$3 | |
| Urine microalbumin test |
$45 |
$75 |
— |
$5 | |
| Urine pregnancy test |
$28 |
$47 |
— |
$9 | |
| Vaccine administration |
$74 |
$123 |
— |
$19 | |
| Vaccine administration (each additional) |
$74 |
$123 |
— |
$16 | |
| Vaginal delivery |
— |
— |
$5,706 |
$5,487 | |
| Varicose vein ablation |
$5,330 |
$8,884 |
— |
$1,018 | |
| Vitamin B12 test |
$189 |
$315 |
— |
$15 | |
| Vitamin D test |
$128 |
$214 |
— |
$30 | |
| Wart removal |
$303 |
$505 |
— |
$121 | |
| Wound debridement |
$2,452 |
$4,087 |
$404 |
$186 | |
| Wrist fracture repair |
$24,985 |
$41,642 |
$7,285 |
$735 | |
| X-ray of the abdomen |
$732 |
$1,220 |
— |
$36 | |
| X-ray of the ankle |
$662 |
$1,104 |
— |
$37 | |
| X-ray of the collarbone |
$466 |
$776 |
— |
$33 | |
| X-ray of the elbow |
$617 |
$1,028 |
— |
$33 | |
| X-ray of the facial bones |
$721 |
$1,202 |
— |
$39 | |
| X-ray of the foot |
$595 |
$992 |
— |
$34 | |
| X-ray of the forearm |
$616 |
$1,026 |
— |
$29 | |
| X-ray of the hand |
$585 |
$975 |
— |
$38 | |
| X-ray of the hip |
$256 |
$426 |
— |
$49 | |
| X-ray of the hip (1 view) |
$124 |
$207 |
— |
$34 | |
| X-ray of the hip (3 views) |
$387 |
$645 |
— |
$49 | |
| X-ray of the hip (4 views) |
$487 |
$812 |
— |
$63 | |
| X-ray of the knee |
$523 |
$871 |
— |
$42 | |
| X-ray of the knee (2 views) |
$349 |
$581 |
— |
$34 | |
| X-ray of the knee (3 views) |
$409 |
$681 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$637 |
$1,061 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$883 |
$1,472 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$688 |
$1,147 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$1,078 |
$1,796 |
— |
$53 | |
| X-ray of the lower leg |
$1,060 |
$1,766 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$623 |
$1,038 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$533 |
$888 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$706 |
$1,177 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$865 |
$1,442 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$716 |
$1,194 |
— |
$40 | |
| X-ray of the pelvis |
$571 |
$952 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$280 |
$467 |
— |
$28 | |
| X-ray of the ribs |
$376 |
$626 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$529 |
$882 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$535 |
$891 |
— |
$42 | |
| X-ray of the shoulder |
$691 |
$1,152 |
— |
$36 | |
| X-ray of the skull |
$934 |
$1,557 |
— |
$40 | |
| X-ray of the upper arm |
$604 |
$1,006 |
— |
$32 | |
| X-ray of the wrist |
$584 |
$973 |
— |
$43 | |
| Zinc blood test |
$111 |
$185 |
— |
$11 | |