| 3D mammogram (tomosynthesis) |
$66 |
$102 |
$61 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$499 |
$767 |
$652 |
$284 | |
| Abdominal ultrasound |
$564 |
$868 |
$312 |
$100 | |
| Abdominal ultrasound (complete) |
$678 |
$1,043 |
$448 |
$114 | |
| Abdominal ultrasound (limited) |
$450 |
$693 |
$298 |
$86 | |
| Abscess drainage (complex or multiple) |
$463 |
$712 |
$232 |
$220 | |
| Abscess drainage (simple) |
$305 |
$469 |
$210 |
$129 | |
| Abscess incision and drainage |
$384 |
$591 |
$221 |
$174 | |
| Acupuncture |
$27 |
$42 |
$31 |
$38 | |
| Acupuncture (each additional) |
$27 |
$42 |
$31 |
$28 | |
| Albumin blood test |
$30 |
$46 |
$20 |
$5 | |
| Aldosterone test |
$228 |
$351 |
$162 |
$41 | |
| Alkaline phosphatase test |
$36 |
$55 |
$24 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$99 |
$152 |
$68 |
$17 | |
| ALT liver enzyme test |
$32 |
$49 |
$21 |
$5 | |
| Ammonia blood test |
$83 |
$127 |
$53 |
$15 | |
| Amniocentesis |
$613 |
$943 |
$613 |
$120 | |
| Amylase test |
$94 |
$144 |
$45 |
$6 | |
| Anal fistula repair |
$878 |
$1,351 |
$1,081 |
$541 | |
| Anoscopy |
$154 |
$237 |
$154 |
$129 | |
| Antinuclear antibody (ANA) test |
$57 |
$87 |
$45 |
$12 | |
| AST liver enzyme test |
$32 |
$49 |
$21 |
$5 | |
| Barium swallow study |
$326 |
$502 |
$244 |
$107 | |
| Bartholin cyst removal |
$397 |
$611 |
$337 |
$182 | |
| Basic metabolic panel |
$62 |
$95 |
$41 |
$8 | |
| Benign skin lesion removal |
$343 |
$528 |
$257 |
$171 | |
| Bilirubin blood test |
$73 |
$112 |
$48 |
$5 | |
| Bladder function test (urodynamics) |
$740 |
$1,139 |
$740 |
$345 | |
| Blood clotting test (PT/INR) |
$34 |
$53 |
$23 |
$4 | |
| Blood crossmatch |
$70 |
$108 |
$79 |
— | |
| Blood glucose test |
$46 |
$71 |
$28 |
$5 | |
| Blood transfusion |
$436 |
$670 |
$498 |
$47 | |
| Blood type and screen |
$70 |
$108 |
$50 |
$10 | |
| Blood type test |
$45 |
$69 |
$37 |
$3 | |
| Blood type test (ABO group) |
$45 |
$69 |
$38 |
$3 | |
| Blood type test (Rh/D antigen) |
$45 |
$69 |
$37 |
$3 | |
| BNP (heart failure) test |
$135 |
$207 |
$111 |
$39 | |
| Bone density scan (DEXA) |
$255 |
$393 |
$169 |
$39 | |
| Bone marrow biopsy |
$993 |
$1,527 |
$993 |
$172 | |
| Bone scan (nuclear) |
$1,571 |
$2,417 |
$618 |
$259 | |
| Botox for migraine |
$371 |
$570 |
$392 |
$157 | |
| Breast biopsy |
$1,779 |
$2,737 |
$1,779 |
$478 | |
| Breast ultrasound |
$299 |
$460 |
$183 |
$92 | |
| Breast ultrasound (complete) |
$140 |
$215 |
$129 |
$100 | |
| Breast ultrasound (limited) |
$458 |
$705 |
$209 |
$84 | |
| Breathing tube insertion (intubation) |
$509 |
$783 |
$502 |
$133 | |
| Bronchoscopy |
$1,401 |
$2,156 |
$1,294 |
$303 | |
| Burn dressing and debridement (medium) |
$283 |
$435 |
$278 |
$166 | |
| Burn dressing and debridement (small) |
$220 |
$339 |
$186 |
$93 | |
| Burn treatment |
$252 |
$387 |
$197 |
$129 | |
| C-reactive protein (CRP) |
$46 |
$71 |
$31 |
$5 | |
| CA 19-9 tumor marker test |
$146 |
$224 |
$96 |
$21 | |
| CA-125 ovarian marker test |
$79 |
$121 |
$63 |
$21 | |
| Calcium blood test |
$55 |
$84 |
$36 |
$5 | |
| Cardiac rehabilitation |
$207 |
$319 |
$165 |
$26 | |
| Cardiac stress test |
$345 |
$531 |
$121 |
$39 | |
| Cardioversion |
$1,193 |
$1,835 |
$583 |
$155 | |
| Carotid artery ultrasound |
$525 |
$808 |
$479 |
$156 | |
| Carpal tunnel release |
$5,118 |
$7,874 |
$1,867 |
$483 | |
| CEA tumor marker test |
$70 |
$108 |
$68 |
$19 | |
| Celiac disease test |
$98 |
$150 |
$65 |
$12 | |
| Central line placement |
$493 |
$758 |
$548 |
$238 | |
| Cervical LEEP procedure |
$6,304 |
$9,699 |
$1,609 |
$325 | |
| Chemotherapy infusion |
$419 |
$645 |
$409 |
$81 | |
| Chemotherapy infusion (each additional) |
$409 |
$629 |
$396 |
$28 | |
| Chemotherapy infusion (first hour) |
$430 |
$661 |
$430 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,113 |
$1,713 |
$1,113 |
$311 | |
| Chest tube insertion |
$905 |
$1,393 |
$680 |
$143 | |
| Chest X-ray |
$238 |
$366 |
$131 |
$37 | |
| Chest X-ray (1 view) |
$138 |
$213 |
$98 |
$25 | |
| Chest X-ray (2 views) |
$185 |
$284 |
$122 |
$33 | |
| Circumcision |
$216 |
$332 |
$216 |
$167 | |
| CK-MB heart enzyme test |
$99 |
$152 |
$53 |
$12 | |
| Clotting time test (PTT) |
$39 |
$60 |
$25 |
$6 | |
| Colon resection (colectomy) |
$2,704 |
$4,160 |
$2,704 |
$1,238 | |
| Colonoscopy |
$2,179 |
$3,352 |
$780 |
$480 | |
| Complete blood count (CBC) |
$68 |
$105 |
$42 |
$7 | |
| Complete blood count (CBC) (complete) |
$73 |
$112 |
$48 |
$8 | |
| Complex wound repair |
$1,679 |
$2,583 |
$537 |
$390 | |
| Comprehensive metabolic panel |
$77 |
$119 |
$51 |
$11 | |
| Contraceptive implant (Nexplanon) |
$302 |
$464 |
$132 |
$115 | |
| Copper blood test |
$113 |
$174 |
$55 |
$12 | |
| Cortisol test |
$117 |
$180 |
$71 |
$16 | |
| COVID-19 PCR test |
$120 |
$185 |
$102 |
$51 | |
| CPAP titration study |
$629 |
$968 |
$441 |
$69 | |
| Creatine kinase (CK) test |
$81 |
$124 |
$48 |
$7 | |
| CT angiography of the chest |
$2,058 |
$3,166 |
$1,361 |
$281 | |
| CT angiography of the head |
$1,360 |
$2,092 |
$997 |
$274 | |
| CT scan of the abdomen |
$1,782 |
$2,741 |
$1,075 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,200 |
$3,384 |
$1,333 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,674 |
$4,114 |
$1,769 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,200 |
$3,384 |
$1,455 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,926 |
$2,963 |
$1,274 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,010 |
$3,092 |
$1,330 |
$259 | |
| CT scan of the abdomen with contrast |
$1,782 |
$2,741 |
$1,179 |
$230 | |
| CT scan of the abdomen without contrast |
$1,553 |
$2,389 |
$1,031 |
$136 | |
| CT scan of the arm |
$1,448 |
$2,228 |
$1,031 |
$199 | |
| CT scan of the arm with contrast |
$1,448 |
$2,228 |
$1,025 |
$199 | |
| CT scan of the arm without contrast |
$1,292 |
$1,987 |
$914 |
$161 | |
| CT scan of the chest |
$1,264 |
$1,944 |
$1,031 |
$167 | |
| CT scan of the chest with and without contrast |
$1,847 |
$2,841 |
$1,222 |
$196 | |
| CT scan of the chest with contrast |
$1,251 |
$1,924 |
$885 |
$167 | |
| CT scan of the chest without contrast |
$1,264 |
$1,944 |
$894 |
$133 | |
| CT scan of the head |
$1,438 |
$2,212 |
$859 |
$148 | |
| CT scan of the head with and without contrast |
$1,464 |
$2,253 |
$1,031 |
$173 | |
| CT scan of the head with contrast |
$1,438 |
$2,212 |
$1,024 |
$148 | |
| CT scan of the head without contrast |
$859 |
$1,321 |
$608 |
$107 | |
| CT scan of the leg |
$1,568 |
$2,413 |
$1,075 |
$166 | |
| CT scan of the leg with contrast |
$2,543 |
$3,913 |
$1,164 |
$166 | |
| CT scan of the leg without contrast |
$880 |
$1,354 |
$743 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,572 |
$2,419 |
$1,031 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,141 |
$3,294 |
$1,416 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,572 |
$2,419 |
$1,040 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,086 |
$1,671 |
$769 |
$130 | |
| CT scan of the neck |
$2,008 |
$3,089 |
$1,031 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,641 |
$2,525 |
$1,031 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,255 |
$3,469 |
$1,492 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,641 |
$2,525 |
$1,086 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,327 |
$2,041 |
$939 |
$131 | |
| CT scan of the neck with and without contrast |
$2,060 |
$3,169 |
$1,363 |
$220 | |
| CT scan of the neck with contrast |
$2,008 |
$3,089 |
$1,328 |
$183 | |
| CT scan of the neck without contrast |
$1,390 |
$2,138 |
$1,007 |
$150 | |
| CT scan of the pelvis |
$1,965 |
$3,023 |
$1,170 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,965 |
$3,023 |
$1,179 |
$251 | |
| CT scan of the pelvis with contrast |
$2,055 |
$3,161 |
$1,359 |
$226 | |
| CT scan of the pelvis without contrast |
$1,769 |
$2,722 |
$1,170 |
$133 | |
| CT scan of the sinuses |
$1,284 |
$1,976 |
$795 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,476 |
$2,270 |
$1,031 |
$184 | |
| CT scan of the sinuses with contrast |
$1,191 |
$1,833 |
$843 |
$152 | |
| CT scan of the sinuses without contrast |
$1,284 |
$1,976 |
$595 |
$128 | |
| D-dimer test |
$96 |
$148 |
$52 |
$10 | |
| Developmental screening (child) |
$108 |
$166 |
$149 |
— | |
| DHEA-sulfate test |
$170 |
$261 |
$91 |
$22 | |
| Diagnostic mammogram |
$137 |
$211 |
$134 |
$140 | |
| Drug screen (urine) |
$99 |
$153 |
$99 |
$17 | |
| Echocardiogram |
$1,392 |
$2,142 |
$720 |
$138 | |
| Echocardiogram with and without contrast |
$705 |
$1,085 |
$684 |
$101 | |
| EEG (awake and asleep) |
$742 |
$1,142 |
$439 |
$482 | |
| EKG / ECG (tracing only) |
$157 |
$241 |
$152 |
$7 | |
| Electrocardiogram (EKG) |
$97 |
$150 |
$41 |
$8 | |
| Electroencephalogram (EEG) |
$788 |
$1,213 |
$384 |
$448 | |
| Electrolyte panel |
$49 |
$76 |
$33 |
$7 | |
| Electromyography (EMG) |
$247 |
$380 |
$219 |
$141 | |
| Emergency department visit |
$235 |
$361 |
$258 |
$69 | |
| Emergency department visit (level 1) |
$235 |
$361 |
$128 |
$11 | |
| Emergency department visit (level 2) |
$159 |
$244 |
$197 |
$40 | |
| Emergency department visit (level 3) |
$229 |
$353 |
$293 |
$69 | |
| Emergency department visit (level 4) |
$378 |
$581 |
$430 |
$118 | |
| Emergency department visit (level 5) |
$527 |
$811 |
$673 |
$171 | |
| Epidural steroid injection |
$2,820 |
$4,339 |
$879 |
$275 | |
| Estradiol (estrogen) test |
$115 |
$177 |
$92 |
$28 | |
| Facet joint injection (spine) |
$612 |
$941 |
$567 |
$99 | |
| Fallopian tube X-ray (HSG) |
$496 |
$763 |
$396 |
$164 | |
| Fecal occult blood (stool) test |
$53 |
$81 |
$33 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$46 |
$71 |
$31 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$59 |
$91 |
$48 |
$16 | |
| Feeding tube (PEG) placement |
$750 |
$1,154 |
$923 |
$178 | |
| Femoral hernia repair |
$1,432 |
$2,203 |
$1,273 |
$584 | |
| Ferritin (iron) test |
$117 |
$180 |
$77 |
$14 | |
| Fibrinogen test |
$43 |
$66 |
$34 |
$10 | |
| Flexible sigmoidoscopy |
$2,256 |
$3,471 |
$509 |
$323 | |
| Flu test |
$60 |
$92 |
$48 |
$17 | |
| Folate (folic acid) test |
$114 |
$176 |
$69 |
$15 | |
| Foreign body removal (skin) |
$504 |
$775 |
$298 |
$157 | |
| Free T4 thyroid test |
$74 |
$114 |
$44 |
$9 | |
| FSH hormone test |
$76 |
$117 |
$61 |
$19 | |
| Gallbladder removal (laparoscopic) |
$11,157 |
$17,164 |
$1,791 |
$658 | |
| Gallbladder scan (HIDA) |
$1,715 |
$2,638 |
$809 |
$334 | |
| GGT liver test |
$54 |
$83 |
$36 |
$7 | |
| Glucose tolerance test |
$61 |
$95 |
$39 |
$8 | |
| H. pylori test |
$112 |
$173 |
$95 |
$67 | |
| HDL cholesterol test |
$75 |
$116 |
$45 |
$8 | |
| Hematocrit test |
$18 |
$27 |
$12 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$91 |
$140 |
$55 |
$10 | |
| Hemorrhoid removal |
$448 |
$689 |
$531 |
$338 | |
| Hepatitis B test |
$66 |
$101 |
$43 |
$10 | |
| Hepatitis C test |
$118 |
$181 |
$78 |
$14 | |
| HIV test |
$91 |
$141 |
$66 |
$19 | |
| HIV test (antibody) |
$96 |
$147 |
$63 |
$14 | |
| HIV test (antigen/antibody combo) |
$87 |
$134 |
$73 |
$24 | |
| Holter heart monitor |
$415 |
$639 |
$204 |
$26 | |
| Home sleep apnea test |
$582 |
$895 |
$582 |
$123 | |
| Hydrocele repair |
$1,102 |
$1,696 |
$1,357 |
$315 | |
| Hysteroscopy |
$4,792 |
$7,373 |
$1,811 |
$1,270 | |
| Inguinal hernia repair |
$4,958 |
$7,628 |
$963 |
$538 | |
| Iron blood test |
$67 |
$103 |
$44 |
$6 | |
| IUD removal |
$198 |
$304 |
$217 |
$112 | |
| IV infusion therapy |
$223 |
$343 |
$223 |
$44 | |
| IV infusion therapy (each additional) |
$223 |
$343 |
$216 |
$21 | |
| IV infusion therapy (initial) |
$223 |
$343 |
$223 |
$67 | |
| Joint aspiration (small/intermediate) |
$116 |
$179 |
$162 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$112 |
$172 |
$161 |
$57 | |
| Joint aspiration or injection (small joint) |
$120 |
$185 |
$165 |
$56 | |
| Kidney scan (nuclear) |
$1,605 |
$2,469 |
$678 |
$172 | |
| Kidney ultrasound |
$434 |
$668 |
$281 |
$84 | |
| Kidney ultrasound (limited) |
$424 |
$653 |
$281 |
$61 | |
| Knee arthroscopy |
$5,980 |
$9,200 |
$2,910 |
$524 | |
| Knee joint injection |
$203 |
$312 |
$239 |
$69 | |
| Lactate test |
$178 |
$274 |
$97 |
$12 | |
| LDH test |
$36 |
$56 |
$28 |
$6 | |
| LDL cholesterol test |
$34 |
$52 |
$29 |
$11 | |
| Leg vein ultrasound (Doppler) |
$634 |
$975 |
$494 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$465 |
$716 |
$451 |
$116 | |
| LH hormone test |
$76 |
$117 |
$69 |
$19 | |
| Lipase test |
$55 |
$85 |
$35 |
$7 | |
| Lipid (cholesterol) panel |
$88 |
$136 |
$53 |
$13 | |
| Liver biopsy |
$1,295 |
$1,993 |
$1,295 |
$288 | |
| Liver function panel |
$64 |
$98 |
$42 |
$8 | |
| Lung function test (PFT) |
$339 |
$522 |
$296 |
$37 | |
| Lung scan (V/Q) |
$1,314 |
$2,021 |
$896 |
$291 | |
| Magnesium blood test |
$88 |
$135 |
$45 |
$7 | |
| Mastectomy |
$2,365 |
$3,638 |
$2,910 |
$1,021 | |
| MRA of the brain |
$1,832 |
$2,818 |
$1,458 |
$226 | |
| MRA of the brain with contrast |
$2,209 |
$3,399 |
$1,719 |
$226 | |
| MRA of the neck |
$1,872 |
$2,880 |
$1,591 |
$245 | |
| MRA of the neck without contrast |
$2,153 |
$3,312 |
$1,772 |
$343 | |
| MRI of the abdomen |
$2,175 |
$3,346 |
$1,522 |
$300 | |
| MRI of the abdomen with contrast |
$2,175 |
$3,346 |
$1,743 |
$300 | |
| MRI of the abdomen without contrast |
$1,177 |
$1,811 |
$1,040 |
$194 | |
| MRI of the ankle |
$3,318 |
$5,104 |
$1,719 |
$261 | |
| MRI of the ankle with contrast |
$2,220 |
$3,415 |
$1,719 |
$261 | |
| MRI of the ankle without contrast |
$3,443 |
$5,297 |
$1,719 |
$222 | |
| MRI of the brain |
$2,265 |
$3,484 |
$1,719 |
$269 | |
| MRI of the brain with contrast |
$2,265 |
$3,484 |
$1,611 |
$269 | |
| MRI of the brain without contrast |
$1,879 |
$2,890 |
$1,329 |
$195 | |
| MRI of the chest |
$2,270 |
$3,493 |
$1,719 |
$371 | |
| MRI of the chest without contrast |
$2,906 |
$4,471 |
$2,329 |
$466 | |
| MRI of the knee |
$2,305 |
$3,546 |
$1,677 |
$315 | |
| MRI of the knee with contrast |
$2,267 |
$3,488 |
$1,719 |
$315 | |
| MRI of the knee without contrast |
$2,305 |
$3,546 |
$1,299 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,542 |
$3,910 |
$1,719 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,542 |
$3,910 |
$1,719 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,863 |
$2,866 |
$1,318 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,189 |
$3,367 |
$1,682 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,583 |
$3,974 |
$1,788 |
$319 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,794 |
$2,760 |
$1,270 |
$190 | |
| MRI of the neck (cervical spine) |
$2,409 |
$3,706 |
$1,685 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,547 |
$3,919 |
$1,764 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,409 |
$3,706 |
$1,705 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,794 |
$2,760 |
$1,270 |
$191 | |
| MRI of the pelvis |
$2,239 |
$3,445 |
$1,719 |
$268 | |
| MRI of the pelvis with contrast |
$2,239 |
$3,445 |
$1,719 |
$268 | |
| MRI of the pelvis without contrast |
$1,930 |
$2,969 |
$1,598 |
$227 | |
| MRI of the shoulder |
$2,215 |
$3,407 |
$1,637 |
$313 | |
| MRI of the shoulder with contrast |
$2,215 |
$3,407 |
$1,719 |
$313 | |
| MRI of the shoulder without contrast |
$2,118 |
$3,258 |
$1,219 |
$205 | |
| MRI of the wrist |
$1,970 |
$3,031 |
$1,687 |
$330 | |
| MRI of the wrist without contrast |
$1,687 |
$2,596 |
$1,425 |
$303 | |
| Nebulizer breathing treatment |
$70 |
$108 |
$75 |
$9 | |
| Nerve conduction study |
$271 |
$417 |
$269 |
$118 | |
| Nuchal translucency ultrasound |
$413 |
$636 |
$273 |
$116 | |
| Nuclear cardiac stress test |
$3,394 |
$5,222 |
$1,250 |
$428 | |
| Occupational therapy evaluation |
$275 |
$423 |
$195 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$131 |
$202 |
$205 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$275 |
$423 |
$184 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$275 |
$423 |
$196 |
$101 | |
| Office visit (established patient) |
$104 |
$160 |
$113 |
$115 | |
| Office visit (new patient) |
$207 |
$319 |
$198 |
$177 | |
| Office visit, established patient (level 3) |
$83 |
$128 |
$104 |
$95 | |
| Office visit, established patient (level 4) |
$125 |
$192 |
$142 |
$136 | |
| Office visit, new patient (level 3) |
$156 |
$240 |
$154 |
$118 | |
| Office visit, new patient (level 4) |
$207 |
$319 |
$194 |
$177 | |
| Office visit, new patient (level 5) |
$290 |
$446 |
$226 |
$237 | |
| Ovary removal (oophorectomy) |
$1,306 |
$2,009 |
$1,306 |
$822 | |
| Pap smear (cervical screening) |
$93 |
$143 |
$73 |
$20 | |
| Parathyroid hormone (PTH) test |
$148 |
$227 |
$125 |
$41 | |
| Pelvic ultrasound |
$392 |
$603 |
$251 |
$78 | |
| Pelvic ultrasound (complete) |
$424 |
$653 |
$281 |
$105 | |
| Pelvic ultrasound (limited) |
$359 |
$553 |
$238 |
$51 | |
| Phosphorus blood test |
$38 |
$58 |
$25 |
$5 | |
| Physical therapy evaluation |
$275 |
$423 |
$157 |
$98 | |
| Physical therapy evaluation (high complexity) |
$298 |
$459 |
$180 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$275 |
$423 |
$157 |
$98 | |
| Pilonidal cyst removal |
$716 |
$1,102 |
$535 |
$541 | |
| Platelet count |
$27 |
$41 |
$18 |
$4 | |
| Pregnancy blood test (hCG) |
$53 |
$81 |
$28 |
$8 | |
| Pregnancy ultrasound |
$407 |
$626 |
$261 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$447 |
$687 |
$295 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$367 |
$565 |
$261 |
$136 | |
| Procalcitonin test |
$216 |
$332 |
$143 |
$27 | |
| Prolactin test |
$73 |
$112 |
$59 |
$19 | |
| Prostate test (PSA) |
$144 |
$221 |
$86 |
$18 | |
| Radiofrequency nerve ablation |
$5,148 |
$7,919 |
$1,483 |
$462 | |
| Rotator cuff repair |
$10,705 |
$16,469 |
$5,058 |
$792 | |
| Sacroiliac joint injection |
$739 |
$1,137 |
$554 |
$176 | |
| Scoliosis spine X-ray |
$280 |
$432 |
$171 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$241 |
$371 |
$160 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$320 |
$492 |
$212 |
$72 | |
| Screening colonoscopy |
$589 |
$906 |
$399 |
$378 | |
| Screening mammogram |
$79 |
$122 |
$102 |
$126 | |
| Scrotal ultrasound |
$481 |
$740 |
$318 |
$99 | |
| Sedimentation rate (ESR) test |
$35 |
$55 |
$19 |
$3 | |
| Semen analysis |
$115 |
$177 |
$80 |
$12 | |
| Sex hormone binding globulin test |
$119 |
$183 |
$82 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$272 |
$419 |
$272 |
$114 | |
| Simple wound stitches |
$296 |
$456 |
$295 |
$127 | |
| Skin biopsy |
$328 |
$504 |
$198 |
$121 | |
| Skin biopsy (punch) |
$262 |
$403 |
$111 |
$121 | |
| Skin cancer lesion removal |
$434 |
$667 |
$333 |
$240 | |
| Skin graft |
$1,738 |
$2,675 |
$1,848 |
$898 | |
| Skin tag removal |
$140 |
$216 |
$92 |
$92 | |
| Sleep study (polysomnography) |
$2,883 |
$4,436 |
$2,522 |
$691 | |
| Small bowel resection |
$2,442 |
$3,757 |
$2,442 |
$1,136 | |
| Soft tissue ultrasound |
$322 |
$496 |
$223 |
$64 | |
| Speech therapy |
$296 |
$455 |
$177 |
$76 | |
| Spinal cord stimulator |
$1,944 |
$2,990 |
$2,542 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$339 |
$521 |
$385 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$2,357 |
$3,626 |
$2,901 |
$5,803 | |
| Spirometry (lung function test) |
$233 |
$358 |
$226 |
$30 | |
| Spirometry with bronchodilator |
$445 |
$685 |
$432 |
$43 | |
| Strep throat test |
$49 |
$75 |
$41 |
$17 | |
| Swallow study |
$248 |
$382 |
$191 |
$85 | |
| T3 thyroid test |
$65 |
$100 |
$52 |
$14 | |
| Testosterone test |
$150 |
$230 |
$103 |
$26 | |
| Thyroid test (TSH) |
$75 |
$115 |
$23 |
$17 | |
| Thyroid ultrasound |
$476 |
$732 |
$315 |
$109 | |
| Thyroid uptake scan |
$738 |
$1,136 |
$480 |
$145 | |
| Total IgE allergy test |
$57 |
$87 |
$48 |
$16 | |
| Total protein test |
$37 |
$57 |
$25 |
$4 | |
| Transvaginal ultrasound |
$367 |
$565 |
$254 |
$118 | |
| Trigger point injection |
$141 |
$218 |
$150 |
$56 | |
| Trigger point injection (1-2 muscles) |
$109 |
$167 |
$139 |
$52 | |
| Triglycerides test |
$48 |
$74 |
$37 |
$6 | |
| Troponin (heart) test |
$70 |
$108 |
$46 |
$12 | |
| Ulnar nerve surgery (elbow) |
$6,850 |
$10,538 |
$1,867 |
$575 | |
| Upper GI endoscopy (EGD) |
$2,044 |
$3,145 |
$778 |
$371 | |
| Upper GI series (barium) |
$488 |
$752 |
$325 |
$128 | |
| Uric acid (gout) test |
$42 |
$64 |
$28 |
$5 | |
| Urinalysis |
$45 |
$69 |
$23 |
$3 | |
| Urine microalbumin test |
$73 |
$112 |
$43 |
$5 | |
| Urine pregnancy test |
$103 |
$159 |
$68 |
$9 | |
| Vaccine administration |
$45 |
$69 |
$48 |
$19 | |
| Vaccine administration (each additional) |
$45 |
$69 |
$45 |
$16 | |
| Vitamin B12 test |
$53 |
$81 |
$44 |
$15 | |
| Vitamin D test |
$110 |
$169 |
$89 |
$30 | |
| Wart removal |
$186 |
$286 |
$205 |
$121 | |
| Wound debridement |
$223 |
$343 |
$285 |
$186 | |
| X-ray of the abdomen |
$175 |
$269 |
$143 |
$36 | |
| X-ray of the ankle |
$252 |
$388 |
$172 |
$37 | |
| X-ray of the collarbone |
$244 |
$375 |
$166 |
$33 | |
| X-ray of the elbow |
$252 |
$388 |
$173 |
$33 | |
| X-ray of the facial bones |
$259 |
$399 |
$146 |
$39 | |
| X-ray of the foot |
$365 |
$562 |
$166 |
$34 | |
| X-ray of the forearm |
$202 |
$310 |
$159 |
$29 | |
| X-ray of the hand |
$350 |
$539 |
$159 |
$38 | |
| X-ray of the hip |
$214 |
$329 |
$138 |
$49 | |
| X-ray of the hip (1 view) |
$150 |
$230 |
$105 |
$34 | |
| X-ray of the hip (3 views) |
$214 |
$329 |
$141 |
$49 | |
| X-ray of the hip (4 views) |
$307 |
$472 |
$203 |
$63 | |
| X-ray of the knee |
$397 |
$611 |
$228 |
$42 | |
| X-ray of the knee (2 views) |
$397 |
$611 |
$181 |
$34 | |
| X-ray of the knee (3 views) |
$406 |
$624 |
$185 |
$42 | |
| X-ray of the knee (4+ views) |
$349 |
$537 |
$247 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$327 |
$503 |
$179 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$250 |
$384 |
$165 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$404 |
$621 |
$267 |
$53 | |
| X-ray of the lower leg |
$240 |
$369 |
$159 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$195 |
$300 |
$123 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$140 |
$216 |
$100 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$250 |
$384 |
$165 |
$39 | |
| X-ray of the neck (cervical spine) |
$343 |
$528 |
$190 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$275 |
$423 |
$182 |
$40 | |
| X-ray of the pelvis |
$237 |
$364 |
$139 |
$36 | |
| X-ray of the pelvis (1 view) |
$166 |
$255 |
$117 |
$28 | |
| X-ray of the ribs |
$275 |
$423 |
$139 |
$42 | |
| X-ray of the ribs (2 views) |
$194 |
$299 |
$129 |
$36 | |
| X-ray of the ribs (3 views) |
$275 |
$423 |
$165 |
$42 | |
| X-ray of the shoulder |
$312 |
$480 |
$142 |
$36 | |
| X-ray of the skull |
$307 |
$473 |
$184 |
$40 | |
| X-ray of the upper arm |
$256 |
$394 |
$169 |
$32 | |
| X-ray of the wrist |
$359 |
$553 |
$164 |
$43 | |
| Zinc blood test |
$69 |
$106 |
$45 |
$11 | |