| 3D mammogram (tomosynthesis) |
$108 |
$166 |
$46 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,292 |
$1,987 |
$1,093 |
$284 | |
| Abdominal ultrasound |
$624 |
$960 |
$189 |
$100 | |
| Abdominal ultrasound (complete) |
$673 |
$1,036 |
$189 |
$114 | |
| Abdominal ultrasound (limited) |
$574 |
$883 |
$189 |
$86 | |
| Abscess drainage (complex or multiple) |
$1,405 |
$2,162 |
$1,297 |
$220 | |
| Abscess drainage (simple) |
$1,084 |
$1,668 |
$1,001 |
$129 | |
| Abscess incision and drainage |
$1,245 |
$1,915 |
$1,168 |
$174 | |
| ACL knee reconstruction |
$24,505 |
$37,700 |
$12,859 |
$889 | |
| Albumin blood test |
$18 |
$27 |
$7 |
$5 | |
| Aldosterone test |
$109 |
$168 |
$55 |
$41 | |
| Alkaline phosphatase test |
$14 |
$21 |
$7 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$53 |
$82 |
$23 |
$17 | |
| ALT liver enzyme test |
$14 |
$22 |
$7 |
$5 | |
| Ammonia blood test |
$39 |
$60 |
$20 |
$15 | |
| Amylase test |
$65 |
$100 |
$9 |
$6 | |
| Antinuclear antibody (ANA) test |
$43 |
$66 |
$16 |
$12 | |
| Arterial blood gas (ABG) |
$287 |
$442 |
$35 |
$26 | |
| AST liver enzyme test |
$14 |
$21 |
$7 |
$5 | |
| Barium swallow study |
$325 |
$501 |
$245 |
$107 | |
| Basic metabolic panel |
$19 |
$29 |
$11 |
$8 | |
| Bilirubin blood test |
$18 |
$28 |
$7 |
$5 | |
| Bladder scope (cystoscopy) |
$659 |
$1,014 |
$667 |
$216 | |
| Bladder tumor removal (TURBT) |
$12,612 |
$19,403 |
$3,447 |
$236 | |
| Blood clotting test (PT/INR) |
$47 |
$73 |
$6 |
$4 | |
| Blood crossmatch |
$45 |
$69 |
$171 |
— | |
| Blood glucose test |
$14 |
$22 |
$5 |
$5 | |
| Blood transfusion |
$2,543 |
$3,912 |
$437 |
$47 | |
| Blood type and screen |
$150 |
$230 |
$53 |
$10 | |
| Blood type test |
$10 |
$16 |
$14 |
$3 | |
| Blood type test (ABO group) |
$10 |
$16 |
$14 |
$3 | |
| Blood type test (Rh/D antigen) |
$10 |
$16 |
$14 |
$3 | |
| BNP (heart failure) test |
$83 |
$127 |
$53 |
$39 | |
| Bone density scan (DEXA) |
$335 |
$516 |
$189 |
$39 | |
| Bone marrow biopsy |
$5,688 |
$8,751 |
$1,832 |
$172 | |
| Bone scan (nuclear) |
$1,188 |
$1,827 |
$402 |
$259 | |
| Botox for migraine |
$339 |
$522 |
$313 |
$157 | |
| Breast biopsy |
$1,393 |
$2,144 |
$1,300 |
$478 | |
| Breast ultrasound |
$613 |
$944 |
$146 |
$92 | |
| Breast ultrasound (complete) |
$1,034 |
$1,590 |
$189 |
$100 | |
| Breast ultrasound (limited) |
$193 |
$297 |
$138 |
$84 | |
| Breathing tube insertion (intubation) |
$423 |
$651 |
$391 |
$133 | |
| Bronchoscopy |
$8,234 |
$12,668 |
$1,723 |
$303 | |
| Burn dressing and debridement (medium) |
$374 |
$575 |
$345 |
$166 | |
| Burn dressing and debridement (small) |
$259 |
$398 |
$239 |
$93 | |
| Burn treatment |
$316 |
$487 |
$279 |
$129 | |
| C-reactive protein (CRP) |
$25 |
$38 |
$7 |
$5 | |
| CA 19-9 tumor marker test |
$35 |
$54 |
$28 |
$21 | |
| CA-125 ovarian marker test |
$35 |
$54 |
$28 |
$21 | |
| Calcium blood test |
$14 |
$21 |
$7 |
$5 | |
| Cardiac catheterization |
$11,637 |
$17,903 |
$6,293 |
$1,049 | |
| Cardiac rehabilitation |
$343 |
$527 |
$199 |
$26 | |
| Cardiac stress test |
$1,134 |
$1,744 |
$690 |
$39 | |
| Cardioversion |
$1,517 |
$2,334 |
$1,120 |
$155 | |
| Carotid artery ultrasound |
$814 |
$1,253 |
$526 |
$156 | |
| Carpal tunnel release |
$6,701 |
$10,310 |
$1,952 |
$483 | |
| CEA tumor marker test |
$163 |
$251 |
$26 |
$19 | |
| Celiac disease test |
$41 |
$63 |
$16 |
$12 | |
| Central line placement |
$1,073 |
$1,651 |
$991 |
$238 | |
| Cervical LEEP procedure |
$7,990 |
$12,292 |
$3,178 |
$325 | |
| Chemotherapy infusion |
$544 |
$837 |
$367 |
$81 | |
| Chemotherapy infusion (each additional) |
$433 |
$666 |
$160 |
$28 | |
| Chemotherapy infusion (first hour) |
$655 |
$1,007 |
$456 |
$133 | |
| Chest fluid drain (thoracentesis) |
$675 |
$1,038 |
$623 |
$311 | |
| Chest tube insertion |
$1,048 |
$1,613 |
$968 |
$143 | |
| Chest X-ray |
$411 |
$633 |
$144 |
$37 | |
| Chest X-ray (1 view) |
$237 |
$364 |
$140 |
$25 | |
| Chest X-ray (2 views) |
$359 |
$553 |
$140 |
$33 | |
| Circumcision |
$2,855 |
$4,392 |
$751 |
$167 | |
| CK-MB heart enzyme test |
$111 |
$170 |
$16 |
$12 | |
| Clotting time test (PTT) |
$80 |
$123 |
$8 |
$6 | |
| Colonoscopy |
$3,169 |
$4,876 |
$1,178 |
$480 | |
| Complete blood count (CBC) |
$16 |
$25 |
$10 |
$7 | |
| Complete blood count (CBC) (complete) |
$18 |
$27 |
$10 |
$8 | |
| Comprehensive metabolic panel |
$23 |
$36 |
$14 |
$11 | |
| Contraceptive implant (Nexplanon) |
$2,956 |
$4,548 |
$2,729 |
$115 | |
| Copper blood test |
$64 |
$99 |
$17 |
$12 | |
| Coronary CT angiography |
$2,135 |
$3,284 |
$465 |
$326 | |
| Cortisol test |
$112 |
$172 |
$22 |
$16 | |
| COVID-19 PCR test |
$154 |
$237 |
$69 |
$51 | |
| CPAP titration study |
$397 |
$610 |
$207 |
$69 | |
| Creatine kinase (CK) test |
$23 |
$36 |
$9 |
$7 | |
| CT angiography of the chest |
$1,128 |
$1,736 |
$310 |
$281 | |
| CT angiography of the head |
$1,009 |
$1,553 |
$310 |
$274 | |
| CT scan of the abdomen |
$2,039 |
$3,137 |
$306 |
$230 | |
| CT scan of the abdomen and pelvis |
$3,546 |
$5,455 |
$491 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$5,225 |
$8,039 |
$639 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$3,546 |
$5,455 |
$639 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$3,292 |
$5,065 |
$400 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,328 |
$3,581 |
$310 |
$259 | |
| CT scan of the abdomen with contrast |
$2,039 |
$3,137 |
$310 |
$230 | |
| CT scan of the abdomen without contrast |
$1,741 |
$2,679 |
$189 |
$136 | |
| CT scan of the arm |
$1,341 |
$2,063 |
$364 |
$199 | |
| CT scan of the arm with contrast |
$1,341 |
$2,063 |
$639 |
$199 | |
| CT scan of the arm without contrast |
$1,106 |
$1,701 |
$189 |
$161 | |
| CT scan of the chest |
$1,795 |
$2,762 |
$292 |
$167 | |
| CT scan of the chest with and without contrast |
$2,763 |
$4,250 |
$310 |
$196 | |
| CT scan of the chest with contrast |
$1,795 |
$2,762 |
$310 |
$167 | |
| CT scan of the chest without contrast |
$1,040 |
$1,600 |
$189 |
$133 | |
| CT scan of the head |
$1,689 |
$2,598 |
$292 |
$148 | |
| CT scan of the head with and without contrast |
$1,967 |
$3,026 |
$310 |
$173 | |
| CT scan of the head with contrast |
$1,689 |
$2,598 |
$310 |
$148 | |
| CT scan of the head without contrast |
$1,210 |
$1,861 |
$189 |
$107 | |
| CT scan of the leg |
$2,404 |
$3,698 |
$245 |
$166 | |
| CT scan of the leg with contrast |
$1,608 |
$2,474 |
$310 |
$166 | |
| CT scan of the leg without contrast |
$2,581 |
$3,970 |
$189 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,036 |
$3,133 |
$364 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,670 |
$4,108 |
$310 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,036 |
$3,133 |
$639 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,851 |
$2,848 |
$189 |
$130 | |
| CT scan of the neck |
$1,275 |
$1,962 |
$245 |
$183 | |
| CT scan of the neck (cervical spine) |
$2,505 |
$3,854 |
$364 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,777 |
$4,273 |
$310 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$2,505 |
$3,854 |
$639 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,676 |
$2,579 |
$189 |
$131 | |
| CT scan of the neck with and without contrast |
$1,662 |
$2,557 |
$310 |
$220 | |
| CT scan of the neck with contrast |
$1,275 |
$1,962 |
$310 |
$183 | |
| CT scan of the neck without contrast |
$1,006 |
$1,548 |
$189 |
$150 | |
| CT scan of the pelvis |
$1,904 |
$2,929 |
$292 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,032 |
$3,126 |
$310 |
$251 | |
| CT scan of the pelvis with contrast |
$1,904 |
$2,929 |
$310 |
$226 | |
| CT scan of the pelvis without contrast |
$1,671 |
$2,570 |
$189 |
$133 | |
| CT scan of the sinuses |
$1,308 |
$2,012 |
$245 |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,148 |
$3,304 |
$310 |
$184 | |
| CT scan of the sinuses with contrast |
$1,275 |
$1,962 |
$310 |
$152 | |
| CT scan of the sinuses without contrast |
$1,308 |
$2,012 |
$189 |
$128 | |
| D-dimer test |
$36 |
$56 |
$14 |
$10 | |
| Defibrillator (ICD) implant |
$39,516 |
$60,794 |
$33,022 |
$798 | |
| Developmental screening (child) |
$122 |
$188 |
$142 |
— | |
| DHEA-sulfate test |
$79 |
$122 |
$30 |
$22 | |
| Diagnostic mammogram |
$177 |
$273 |
$137 |
$140 | |
| Drug screen (urine) |
$119 |
$183 |
$84 |
$17 | |
| Ear tubes (myringotomy) |
$4,932 |
$7,587 |
$1,480 |
$174 | |
| Echocardiogram |
$1,587 |
$2,441 |
$572 |
$138 | |
| Echocardiogram with and without contrast |
$803 |
$1,236 |
$501 |
$101 | |
| Echocardiogram without contrast |
$1,587 |
$2,441 |
$544 |
$138 | |
| EEG (awake and asleep) |
$1,458 |
$2,243 |
$700 |
$482 | |
| EKG / ECG (tracing only) |
$209 |
$322 |
$134 |
$7 | |
| Electrocardiogram (EKG) |
$209 |
$322 |
$134 |
$8 | |
| Electroencephalogram (EEG) |
$1,458 |
$2,243 |
$700 |
$448 | |
| Electrolyte panel |
$17 |
$26 |
$9 |
$7 | |
| Emergency department visit |
$781 |
$1,202 |
$379 |
$69 | |
| Emergency department visit (level 1) |
$210 |
$323 |
$88 |
$11 | |
| Emergency department visit (level 2) |
$339 |
$522 |
$158 |
$40 | |
| Emergency department visit (level 3) |
$781 |
$1,202 |
$277 |
$69 | |
| Emergency department visit (level 4) |
$1,910 |
$2,938 |
$426 |
$118 | |
| Emergency department visit (level 5) |
$1,694 |
$2,606 |
$613 |
$171 | |
| Epidural steroid injection |
$2,762 |
$4,249 |
$2,611 |
$275 | |
| Esophageal dilation |
$3,610 |
$5,554 |
$1,253 |
$522 | |
| Estradiol (estrogen) test |
$75 |
$115 |
$38 |
$28 | |
| Facet joint injection (spine) |
$1,002 |
$1,541 |
$941 |
$99 | |
| Fallopian tube X-ray (HSG) |
$722 |
$1,110 |
$340 |
$164 | |
| Family therapy session |
$317 |
$487 |
$292 |
$110 | |
| Fecal occult blood (stool) test |
$40 |
$61 |
$20 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$40 |
$62 |
$6 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$39 |
$60 |
$21 |
$16 | |
| Feeding tube (PEG) placement |
$5,915 |
$9,100 |
$2,609 |
$178 | |
| Ferritin (iron) test |
$49 |
$75 |
$18 |
$14 | |
| Fibrinogen test |
$23 |
$35 |
$13 |
$10 | |
| Flexible sigmoidoscopy |
$3,090 |
$4,753 |
$912 |
$323 | |
| Flu test |
$106 |
$163 |
$22 |
$17 | |
| Folate (folic acid) test |
$53 |
$81 |
$20 |
$15 | |
| Foreign body removal (skin) |
$1,294 |
$1,990 |
$1,194 |
$157 | |
| Free T4 thyroid test |
$48 |
$74 |
$12 |
$9 | |
| FSH hormone test |
$66 |
$102 |
$25 |
$19 | |
| Gallbladder removal (laparoscopic) |
$13,671 |
$21,032 |
$5,831 |
$658 | |
| Gallbladder scan (HIDA) |
$1,777 |
$2,734 |
$538 |
$334 | |
| GGT liver test |
$20 |
$30 |
$10 |
$7 | |
| Glucose tolerance test |
$79 |
$122 |
$17 |
$8 | |
| Group therapy session |
$553 |
$850 |
$510 |
$30 | |
| H. pylori test |
$197 |
$303 |
$91 |
$67 | |
| HDL cholesterol test |
$66 |
$101 |
$11 |
$8 | |
| Hematocrit test |
$10 |
$16 |
$3 |
$2 | |
| Hemodialysis |
$1,225 |
$1,885 |
$947 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$34 |
$53 |
$13 |
$10 | |
| Hemorrhoid removal |
$3,546 |
$5,455 |
$927 |
$338 | |
| Hepatitis B test |
$37 |
$57 |
$14 |
$10 | |
| Hepatitis C test |
$51 |
$78 |
$19 |
$14 | |
| HIV test |
$49 |
$75 |
$31 |
$19 | |
| HIV test (antibody) |
$49 |
$75 |
$19 |
$14 | |
| HIV test (antigen/antibody combo) |
$49 |
$75 |
$33 |
$24 | |
| Home sleep apnea test |
$1,349 |
$2,076 |
$352 |
$123 | |
| Hysterectomy |
$26,473 |
$40,727 |
$10,405 |
$933 | |
| Hysteroscopy |
$8,784 |
$13,513 |
$3,178 |
$1,270 | |
| Inguinal hernia repair |
$11,268 |
$17,336 |
$3,527 |
$538 | |
| Iron blood test |
$18 |
$27 |
$9 |
$6 | |
| IV infusion therapy |
$195 |
$301 |
$190 |
$44 | |
| IV infusion therapy (each additional) |
$214 |
$329 |
$104 |
$21 | |
| IV infusion therapy (initial) |
$177 |
$272 |
$211 |
$67 | |
| IVC filter placement |
$4,499 |
$6,921 |
$4,153 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$373 |
$574 |
$408 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$371 |
$571 |
$418 |
$57 | |
| Joint aspiration or injection (small joint) |
$375 |
$577 |
$404 |
$56 | |
| Kidney biopsy |
$7,958 |
$12,243 |
$1,426 |
$492 | |
| Kidney scan (nuclear) |
$2,005 |
$3,084 |
$850 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$9,798 |
$15,074 |
$3,447 |
$760 | |
| Kidney ultrasound |
$845 |
$1,301 |
$189 |
$84 | |
| Kidney ultrasound (limited) |
$517 |
$795 |
$189 |
$61 | |
| Knee arthroscopy |
$16,455 |
$25,315 |
$3,243 |
$524 | |
| Knee joint injection |
$2,976 |
$4,579 |
$2,671 |
$69 | |
| Lactate test |
$135 |
$207 |
$16 |
$12 | |
| Laryngoscopy |
$294 |
$453 |
$272 |
$189 | |
| LDH test |
$21 |
$33 |
$8 |
$6 | |
| LDL cholesterol test |
$21 |
$33 |
$14 |
$11 | |
| Leg artery angiogram |
$3,923 |
$6,036 |
$3,622 |
$149 | |
| Leg vein ultrasound (Doppler) |
$1,108 |
$1,704 |
$544 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,087 |
$1,672 |
$239 |
$116 | |
| LH hormone test |
$66 |
$102 |
$25 |
$19 | |
| Lipase test |
$17 |
$26 |
$9 |
$7 | |
| Lipid (cholesterol) panel |
$48 |
$74 |
$18 |
$13 | |
| Liver biopsy |
$2,794 |
$4,298 |
$1,483 |
$288 | |
| Liver function panel |
$22 |
$34 |
$11 |
$8 | |
| Lung function test (PFT) |
$474 |
$729 |
$323 |
$37 | |
| Lung scan (V/Q) |
$1,134 |
$1,745 |
$763 |
$291 | |
| Magnesium blood test |
$95 |
$146 |
$9 |
$7 | |
| Meniscus repair (knee) |
$24,505 |
$37,700 |
$12,859 |
$714 | |
| MRA of the brain |
$2,902 |
$4,464 |
$544 |
$226 | |
| MRA of the brain with contrast |
$2,902 |
$4,464 |
$639 |
$226 | |
| MRA of the brain without contrast |
$3,288 |
$5,059 |
$639 |
$328 | |
| MRA of the neck |
$2,835 |
$4,361 |
$544 |
$245 | |
| MRA of the neck with contrast |
$2,191 |
$3,370 |
$639 |
$245 | |
| MRA of the neck without contrast |
$3,351 |
$5,155 |
$639 |
$343 | |
| MRI of the abdomen |
$2,862 |
$4,404 |
$517 |
$300 | |
| MRI of the abdomen without contrast |
$2,028 |
$3,120 |
$400 |
$194 | |
| MRI of the ankle |
$1,465 |
$2,254 |
$517 |
$261 | |
| MRI of the ankle without contrast |
$1,359 |
$2,090 |
$400 |
$222 | |
| MRI of the brain |
$2,268 |
$3,489 |
$591 |
$269 | |
| MRI of the brain with contrast |
$2,268 |
$3,489 |
$639 |
$269 | |
| MRI of the brain without contrast |
$2,113 |
$3,251 |
$400 |
$195 | |
| MRI of the chest |
$1,561 |
$2,402 |
$400 |
$371 | |
| MRI of the knee |
$2,121 |
$3,263 |
$790 |
$315 | |
| MRI of the knee with contrast |
$2,121 |
$3,263 |
$1,242 |
$315 | |
| MRI of the knee without contrast |
$1,685 |
$2,593 |
$400 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,943 |
$4,528 |
$591 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,943 |
$4,528 |
$639 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,640 |
$4,061 |
$400 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,804 |
$4,314 |
$517 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$3,216 |
$4,948 |
$639 |
$319 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,391 |
$3,679 |
$400 |
$190 | |
| MRI of the neck (cervical spine) |
$3,022 |
$4,649 |
$591 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$3,967 |
$6,103 |
$639 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$3,022 |
$4,649 |
$639 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,692 |
$4,142 |
$400 |
$191 | |
| MRI of the pelvis |
$2,558 |
$3,936 |
$517 |
$268 | |
| MRI of the pelvis without contrast |
$2,494 |
$3,837 |
$400 |
$227 | |
| MRI of the shoulder |
$2,356 |
$3,625 |
$790 |
$313 | |
| MRI of the shoulder with contrast |
$2,356 |
$3,625 |
$1,242 |
$313 | |
| MRI of the shoulder without contrast |
$2,288 |
$3,520 |
$400 |
$205 | |
| MRI of the wrist |
$2,514 |
$3,867 |
$517 |
$330 | |
| MRI of the wrist without contrast |
$2,330 |
$3,585 |
$400 |
$303 | |
| Nebulizer breathing treatment |
$113 |
$174 |
$148 |
$9 | |
| Nuclear cardiac stress test |
$6,302 |
$9,696 |
$1,305 |
$428 | |
| Occupational therapy evaluation |
$300 |
$462 |
$145 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$328 |
$504 |
$170 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$253 |
$389 |
$129 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$300 |
$462 |
$152 |
$101 | |
| Office visit (established patient) |
$1,009 |
$1,553 |
$129 |
$115 | |
| Office visit (new patient) |
$293 |
$451 |
$204 |
$177 | |
| Office visit, established patient (level 4) |
$163 |
$251 |
$151 |
$136 | |
| Office visit, new patient (level 3) |
$221 |
$340 |
$163 |
$118 | |
| Office visit, new patient (level 4) |
$293 |
$451 |
$218 |
$177 | |
| Office visit, new patient (level 5) |
$518 |
$797 |
$325 |
$237 | |
| Pap smear (cervical screening) |
$92 |
$142 |
$36 |
$20 | |
| Parathyroid hormone (PTH) test |
$111 |
$170 |
$56 |
$41 | |
| Pelvic ultrasound |
$473 |
$728 |
$189 |
$78 | |
| Pelvic ultrasound (complete) |
$611 |
$940 |
$189 |
$105 | |
| Pelvic ultrasound (limited) |
$335 |
$516 |
$189 |
$51 | |
| PET scan |
$5,363 |
$8,251 |
$1,472 |
— | |
| Phosphorus blood test |
$62 |
$95 |
$6 |
$5 | |
| Physical therapy evaluation |
$253 |
$389 |
$139 |
$98 | |
| Physical therapy evaluation (high complexity) |
$307 |
$473 |
$159 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$157 |
$242 |
$145 |
$98 | |
| Platelet count |
$16 |
$25 |
$6 |
$4 | |
| Pregnancy blood test (hCG) |
$116 |
$178 |
$10 |
$8 | |
| Pregnancy ultrasound |
$327 |
$504 |
$189 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$310 |
$477 |
$189 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$345 |
$530 |
$189 |
$136 | |
| Procalcitonin test |
$117 |
$180 |
$37 |
$27 | |
| Prolactin test |
$70 |
$107 |
$26 |
$19 | |
| Prostate biopsy |
$11,314 |
$17,406 |
$3,447 |
— | |
| Prostate surgery (TURP) |
$9,363 |
$14,404 |
$5,081 |
$526 | |
| Prostate test (PSA) |
$66 |
$101 |
$25 |
$18 | |
| Psychotherapy session |
$289 |
$444 |
$255 |
$140 | |
| Pulmonary rehabilitation |
$185 |
$284 |
$129 |
$87 | |
| Radiofrequency nerve ablation |
$2,650 |
$4,077 |
$2,393 |
$462 | |
| Rheumatoid factor test |
$53 |
$82 |
$8 |
$6 | |
| Rotator cuff repair |
$23,730 |
$36,508 |
$7,139 |
$792 | |
| Scoliosis spine X-ray |
$435 |
$670 |
$152 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$402 |
$619 |
$140 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$468 |
$720 |
$189 |
$72 | |
| Screening mammogram |
$191 |
$294 |
$162 |
$126 | |
| Scrotal ultrasound |
$517 |
$795 |
$189 |
$99 | |
| Sedimentation rate (ESR) test |
$38 |
$59 |
$6 |
$3 | |
| Semen analysis |
$107 |
$165 |
$27 |
$12 | |
| Sex hormone binding globulin test |
$62 |
$95 |
$29 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$525 |
$808 |
$485 |
$114 | |
| Simple wound stitches |
$525 |
$808 |
$485 |
$127 | |
| Skin biopsy |
$1,105 |
$1,700 |
$510 |
$121 | |
| Skin biopsy (punch) |
$1,105 |
$1,700 |
$1,020 |
$121 | |
| Sleep study (polysomnography) |
$6,250 |
$9,615 |
$2,288 |
$691 | |
| Soft tissue ultrasound |
$753 |
$1,158 |
$189 |
$64 | |
| Speech therapy |
$625 |
$961 |
$148 |
$76 | |
| Spinal cord stimulator |
$5,777 |
$8,887 |
$5,332 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$2,510 |
$3,861 |
$2,317 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$21,012 |
$32,326 |
$20,795 |
$5,803 | |
| Spirometry (lung function test) |
$350 |
$538 |
$234 |
$30 | |
| Spirometry with bronchodilator |
$598 |
$920 |
$428 |
$43 | |
| Strep throat test |
$93 |
$143 |
$22 |
$17 | |
| Stress echocardiogram |
$1,347 |
$2,072 |
$901 |
$209 | |
| Swallow study |
$369 |
$567 |
$145 |
$85 | |
| T3 thyroid test |
$44 |
$67 |
$19 |
$14 | |
| Testosterone test |
$92 |
$142 |
$35 |
$26 | |
| Thyroid removal (thyroidectomy) |
$15,602 |
$24,003 |
$5,831 |
$1,004 | |
| Thyroid test (TSH) |
$11 |
$17 |
$16 |
$17 | |
| Thyroid ultrasound |
$508 |
$781 |
$189 |
$109 | |
| Thyroid uptake scan |
$1,098 |
$1,689 |
$412 |
$145 | |
| Tonsillectomy |
$6,188 |
$9,521 |
$3,241 |
$252 | |
| Total IgE allergy test |
$107 |
$164 |
$22 |
$16 | |
| Total protein test |
$13 |
$20 |
$5 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$2,641 |
$4,063 |
$1,233 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$2,641 |
$4,063 |
$1,233 |
$239 | |
| Transvaginal ultrasound |
$710 |
$1,092 |
$189 |
$118 | |
| Trigger point injection |
$237 |
$365 |
$204 |
$56 | |
| Trigger point injection (1-2 muscles) |
$303 |
$466 |
$280 |
$52 | |
| Triglycerides test |
$23 |
$36 |
$8 |
$6 | |
| Troponin (heart) test |
$167 |
$257 |
$17 |
$12 | |
| Turbinate reduction |
$7,024 |
$10,806 |
$3,241 |
$294 | |
| Turning a breech baby (version) |
$4,548 |
$6,997 |
$3,180 |
$94 | |
| Ulnar nerve surgery (elbow) |
$8,193 |
$12,605 |
$1,952 |
$575 | |
| Upper GI endoscopy (EGD) |
$3,614 |
$5,560 |
$938 |
$371 | |
| Upper GI series (barium) |
$778 |
$1,198 |
$310 |
$128 | |
| Ureteral stent placement |
$10,363 |
$15,942 |
$3,447 |
$373 | |
| Ureteroscopy (stone removal) |
$11,223 |
$17,267 |
$5,081 |
$365 | |
| Uric acid (gout) test |
$16 |
$25 |
$6 |
$5 | |
| Urinalysis |
$42 |
$65 |
$4 |
$3 | |
| Urine microalbumin test |
$40 |
$61 |
$8 |
$5 | |
| Urine pregnancy test |
$111 |
$170 |
$12 |
$9 | |
| Vaccine administration |
$86 |
$132 |
$71 |
$19 | |
| Vaccine administration (each additional) |
$49 |
$75 |
$45 |
$16 | |
| Vitamin B12 test |
$54 |
$83 |
$20 |
$15 | |
| Vitamin D test |
$106 |
$163 |
$40 |
$30 | |
| Vocal cord injection |
$7,516 |
$11,563 |
$3,685 |
$211 | |
| Wound debridement |
$1,886 |
$2,901 |
$986 |
$186 | |
| X-ray of the abdomen |
$338 |
$520 |
$183 |
$36 | |
| X-ray of the ankle |
$495 |
$761 |
$140 |
$37 | |
| X-ray of the collarbone |
$211 |
$324 |
$140 |
$33 | |
| X-ray of the elbow |
$287 |
$442 |
$140 |
$33 | |
| X-ray of the facial bones |
$154 |
$237 |
$121 |
$39 | |
| X-ray of the foot |
$192 |
$296 |
$138 |
$34 | |
| X-ray of the forearm |
$154 |
$237 |
$124 |
$29 | |
| X-ray of the hand |
$333 |
$512 |
$140 |
$38 | |
| X-ray of the hip |
$286 |
$440 |
$134 |
$49 | |
| X-ray of the hip (1 view) |
$146 |
$224 |
$121 |
$34 | |
| X-ray of the hip (3 views) |
$286 |
$440 |
$140 |
$49 | |
| X-ray of the hip (4 views) |
$581 |
$894 |
$189 |
$63 | |
| X-ray of the knee |
$397 |
$611 |
$146 |
$42 | |
| X-ray of the knee (2 views) |
$194 |
$298 |
$139 |
$34 | |
| X-ray of the knee (3 views) |
$397 |
$611 |
$140 |
$42 | |
| X-ray of the knee (4+ views) |
$519 |
$799 |
$189 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$432 |
$665 |
$189 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$368 |
$566 |
$189 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$497 |
$764 |
$189 |
$53 | |
| X-ray of the lower leg |
$187 |
$288 |
$140 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$299 |
$460 |
$187 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$267 |
$411 |
$183 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$330 |
$508 |
$189 |
$39 | |
| X-ray of the neck (cervical spine) |
$335 |
$515 |
$159 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$278 |
$427 |
$140 |
$40 | |
| X-ray of the pelvis |
$248 |
$382 |
$127 |
$36 | |
| X-ray of the pelvis (1 view) |
$138 |
$212 |
$127 |
$28 | |
| X-ray of the ribs |
$254 |
$391 |
$152 |
$42 | |
| X-ray of the ribs (2 views) |
$254 |
$391 |
$140 |
$36 | |
| X-ray of the ribs (3 views) |
$238 |
$366 |
$165 |
$42 | |
| X-ray of the shoulder |
$473 |
$728 |
$140 |
$36 | |
| X-ray of the skull |
$257 |
$395 |
$162 |
$40 | |
| X-ray of the upper arm |
$196 |
$301 |
$140 |
$32 | |
| X-ray of the wrist |
$295 |
$454 |
$140 |
$43 | |
| Zinc blood test |
$81 |
$124 |
$15 |
$11 | |