| Abdominal fluid drain (paracentesis) |
$445 |
$684 |
$436 |
$284 | |
| Abdominal ultrasound |
$656 |
$1,009 |
$472 |
$100 | |
| Abdominal ultrasound (complete) |
$801 |
$1,232 |
$591 |
$114 | |
| Abdominal ultrasound (limited) |
$511 |
$786 |
$385 |
$86 | |
| Abscess drainage (complex or multiple) |
$464 |
$714 |
$361 |
$220 | |
| Abscess drainage (simple) |
$190 |
$293 |
$176 |
$129 | |
| Abscess incision and drainage |
$327 |
$504 |
$207 |
$174 | |
| Achilles tendon repair |
$1,493 |
$2,297 |
$1,378 |
$624 | |
| ACL knee reconstruction |
$2,915 |
$4,484 |
$2,632 |
$889 | |
| Albumin blood test |
$32 |
$49 |
$22 |
$5 | |
| Aldosterone test |
$156 |
$240 |
$110 |
$41 | |
| Alkaline phosphatase test |
$33 |
$51 |
$23 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$77 |
$118 |
$54 |
$17 | |
| ALT liver enzyme test |
$33 |
$50 |
$23 |
$5 | |
| Ammonia blood test |
$99 |
$153 |
$70 |
$15 | |
| Amylase test |
$77 |
$118 |
$52 |
$6 | |
| Ankle fracture repair |
$1,490 |
$2,292 |
$1,375 |
$608 | |
| Antinuclear antibody (ANA) test |
$92 |
$141 |
$65 |
$12 | |
| Arterial blood gas (ABG) |
$161 |
$247 |
$114 |
$26 | |
| AST liver enzyme test |
$33 |
$50 |
$23 |
$5 | |
| Barium swallow study |
$533 |
$821 |
$403 |
$107 | |
| Bartholin cyst removal |
$343 |
$528 |
$311 |
$182 | |
| Basic metabolic panel |
$96 |
$148 |
$68 |
$8 | |
| Bilirubin blood test |
$70 |
$107 |
$42 |
$5 | |
| Bladder function test (urodynamics) |
$728 |
$1,121 |
$542 |
$345 | |
| Blood clotting test (PT/INR) |
$44 |
$68 |
$34 |
$4 | |
| Blood crossmatch |
$119 |
$183 |
$84 |
— | |
| Blood glucose test |
$35 |
$54 |
$23 |
$5 | |
| Blood transfusion |
$458 |
$705 |
$423 |
$47 | |
| Blood type and screen |
$109 |
$168 |
$84 |
$10 | |
| Blood type test |
$76 |
$117 |
$52 |
$3 | |
| Blood type test (ABO group) |
$85 |
$131 |
$60 |
$3 | |
| Blood type test (Rh/D antigen) |
$67 |
$103 |
$52 |
$3 | |
| BNP (heart failure) test |
$138 |
$212 |
$98 |
$39 | |
| Bone density scan (DEXA) |
$98 |
$151 |
$132 |
$39 | |
| Bone marrow biopsy |
$323 |
$497 |
$392 |
$172 | |
| Bone scan (nuclear) |
$1,573 |
$2,420 |
$1,162 |
$259 | |
| Breast ultrasound |
$333 |
$513 |
$251 |
$92 | |
| Breast ultrasound (limited) |
$333 |
$513 |
$251 |
$84 | |
| Breathing tube insertion (intubation) |
$675 |
$1,038 |
$398 |
$133 | |
| Bronchoscopy |
$672 |
$1,034 |
$620 |
$303 | |
| Burn dressing and debridement (medium) |
$255 |
$393 |
$227 |
$166 | |
| Burn dressing and debridement (small) |
$248 |
$382 |
$148 |
$93 | |
| Burn treatment |
$252 |
$388 |
$160 |
$129 | |
| C-reactive protein (CRP) |
$62 |
$96 |
$44 |
$5 | |
| CA 19-9 tumor marker test |
$138 |
$212 |
$98 |
$21 | |
| CA-125 ovarian marker test |
$138 |
$212 |
$98 |
$21 | |
| Calcium blood test |
$36 |
$56 |
$24 |
$5 | |
| Cardioversion |
$437 |
$673 |
$583 |
$155 | |
| Carotid artery ultrasound |
$864 |
$1,330 |
$541 |
$156 | |
| Carpal tunnel release |
$1,191 |
$1,832 |
$1,099 |
$483 | |
| CEA tumor marker test |
$125 |
$193 |
$89 |
$19 | |
| Celiac disease test |
$96 |
$148 |
$68 |
$12 | |
| Central line placement |
$382 |
$587 |
$352 |
$238 | |
| Chemotherapy infusion |
$338 |
$520 |
$280 |
$81 | |
| Chemotherapy infusion (each additional) |
$338 |
$520 |
$239 |
$28 | |
| Chemotherapy infusion (first hour) |
$338 |
$520 |
$295 |
$133 | |
| Chest fluid drain (thoracentesis) |
$411 |
$632 |
$435 |
$311 | |
| Chest tube insertion |
$955 |
$1,469 |
$514 |
$143 | |
| Chest X-ray |
$252 |
$388 |
$170 |
$37 | |
| Chest X-ray (1 view) |
$185 |
$284 |
$142 |
$25 | |
| Chest X-ray (2 views) |
$216 |
$333 |
$167 |
$33 | |
| CK-MB heart enzyme test |
$106 |
$163 |
$54 |
$12 | |
| Clotting time test (PTT) |
$83 |
$128 |
$55 |
$6 | |
| Colonoscopy |
$1,533 |
$2,359 |
$1,224 |
$480 | |
| Complete blood count (CBC) |
$63 |
$97 |
$44 |
$7 | |
| Complete blood count (CBC) (complete) |
$68 |
$104 |
$48 |
$8 | |
| Comprehensive metabolic panel |
$134 |
$206 |
$95 |
$11 | |
| Copper blood test |
$86 |
$132 |
$61 |
$12 | |
| Cortisol test |
$113 |
$174 |
$63 |
$16 | |
| COVID-19 PCR test |
$144 |
$221 |
$102 |
$51 | |
| CPAP titration study |
$821 |
$1,263 |
$458 |
$69 | |
| Creatine kinase (CK) test |
$57 |
$87 |
$34 |
$7 | |
| CT angiography of the chest |
$1,899 |
$2,922 |
$1,403 |
$281 | |
| CT angiography of the head |
$2,060 |
$3,169 |
$1,521 |
$274 | |
| CT scan of the abdomen |
$1,933 |
$2,974 |
$1,472 |
$230 | |
| CT scan of the abdomen and pelvis |
$1,862 |
$2,865 |
$1,433 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,139 |
$3,290 |
$1,579 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$1,862 |
$2,865 |
$1,375 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,599 |
$2,460 |
$1,181 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,188 |
$3,366 |
$1,616 |
$259 | |
| CT scan of the abdomen with contrast |
$1,933 |
$2,974 |
$1,428 |
$230 | |
| CT scan of the abdomen without contrast |
$1,676 |
$2,578 |
$1,237 |
$136 | |
| CT scan of the arm |
$1,621 |
$2,494 |
$1,277 |
$199 | |
| CT scan of the arm with contrast |
$1,620 |
$2,492 |
$1,196 |
$199 | |
| CT scan of the arm without contrast |
$1,621 |
$2,494 |
$1,197 |
$161 | |
| CT scan of the chest |
$2,009 |
$3,090 |
$1,525 |
$167 | |
| CT scan of the chest with and without contrast |
$2,462 |
$3,788 |
$1,818 |
$196 | |
| CT scan of the chest with contrast |
$2,009 |
$3,090 |
$1,483 |
$167 | |
| CT scan of the chest without contrast |
$1,695 |
$2,608 |
$1,252 |
$133 | |
| CT scan of the head |
$1,880 |
$2,893 |
$1,223 |
$148 | |
| CT scan of the head with and without contrast |
$2,321 |
$3,570 |
$1,714 |
$173 | |
| CT scan of the head with contrast |
$1,880 |
$2,893 |
$1,389 |
$148 | |
| CT scan of the head without contrast |
$1,325 |
$2,039 |
$979 |
$107 | |
| CT scan of the leg |
$2,263 |
$3,481 |
$1,351 |
$166 | |
| CT scan of the leg with contrast |
$2,263 |
$3,481 |
$1,468 |
$166 | |
| CT scan of the leg without contrast |
$2,399 |
$3,690 |
$1,312 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,113 |
$3,251 |
$1,560 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,507 |
$3,857 |
$1,851 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,113 |
$3,251 |
$1,560 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,826 |
$2,809 |
$1,348 |
$130 | |
| CT scan of the neck |
$1,756 |
$2,702 |
$1,226 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,868 |
$2,874 |
$1,430 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,202 |
$3,388 |
$1,626 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,868 |
$2,874 |
$1,380 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,808 |
$2,781 |
$1,335 |
$131 | |
| CT scan of the neck with and without contrast |
$2,167 |
$3,334 |
$1,600 |
$220 | |
| CT scan of the neck with contrast |
$1,756 |
$2,702 |
$1,297 |
$183 | |
| CT scan of the neck without contrast |
$1,328 |
$2,043 |
$981 |
$150 | |
| CT scan of the pelvis |
$2,035 |
$3,131 |
$1,520 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,183 |
$3,358 |
$1,612 |
$251 | |
| CT scan of the pelvis with contrast |
$2,035 |
$3,131 |
$1,503 |
$226 | |
| CT scan of the pelvis without contrast |
$1,823 |
$2,804 |
$1,346 |
$133 | |
| CT scan of the sinuses |
$1,966 |
$3,024 |
$1,000 |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,115 |
$3,254 |
$1,562 |
$184 | |
| CT scan of the sinuses with contrast |
$1,966 |
$3,024 |
$1,452 |
$152 | |
| CT scan of the sinuses without contrast |
$1,305 |
$2,007 |
$963 |
$128 | |
| D-dimer test |
$126 |
$194 |
$76 |
$10 | |
| Developmental screening (child) |
$208 |
$320 |
$133 |
— | |
| DHEA-sulfate test |
$99 |
$153 |
$50 |
$22 | |
| Diagnostic mammogram |
$267 |
$411 |
$218 |
$140 | |
| Drug screen (urine) |
$80 |
$123 |
$89 |
$17 | |
| Echocardiogram |
$1,319 |
$2,029 |
$510 |
$138 | |
| Echocardiogram with and without contrast |
$899 |
$1,383 |
$215 |
$101 | |
| Echocardiogram without contrast |
$1,319 |
$2,029 |
$872 |
$138 | |
| EEG (awake and asleep) |
$906 |
$1,394 |
$718 |
$482 | |
| EKG / ECG (tracing only) |
$168 |
$259 |
$137 |
$7 | |
| Electrocardiogram (EKG) |
$104 |
$161 |
$35 |
$8 | |
| Electroencephalogram (EEG) |
$906 |
$1,394 |
$718 |
$448 | |
| Electrolyte panel |
$85 |
$131 |
$60 |
$7 | |
| Emergency department visit |
$201 |
$309 |
$163 |
$69 | |
| Emergency department visit (level 1) |
$159 |
$244 |
$78 |
$11 | |
| Emergency department visit (level 2) |
$119 |
$183 |
$128 |
$40 | |
| Emergency department visit (level 3) |
$201 |
$309 |
$192 |
$69 | |
| Emergency department visit (level 4) |
$295 |
$454 |
$272 |
$118 | |
| Emergency department visit (level 5) |
$502 |
$772 |
$494 |
$171 | |
| Esophageal dilation |
$1,349 |
$2,075 |
$1,077 |
$522 | |
| Estradiol (estrogen) test |
$124 |
$191 |
$88 |
$28 | |
| Facet joint injection (spine) |
$535 |
$823 |
$424 |
$99 | |
| Family therapy session |
$223 |
$343 |
$182 |
$110 | |
| Fecal occult blood (stool) test |
$45 |
$70 |
$30 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$36 |
$56 |
$26 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$54 |
$83 |
$38 |
$16 | |
| Ferritin (iron) test |
$86 |
$133 |
$61 |
$14 | |
| Fibrinogen test |
$85 |
$130 |
$54 |
$10 | |
| Flexible sigmoidoscopy |
$1,308 |
$2,012 |
$1,044 |
$323 | |
| Flu test |
$65 |
$100 |
$46 |
$17 | |
| Folate (folic acid) test |
$84 |
$129 |
$59 |
$15 | |
| Foreign body removal (skin) |
$246 |
$378 |
$222 |
$157 | |
| Free T4 thyroid test |
$96 |
$148 |
$68 |
$9 | |
| FSH hormone test |
$101 |
$156 |
$72 |
$19 | |
| Gallbladder scan (HIDA) |
$1,509 |
$2,322 |
$1,190 |
$334 | |
| GGT liver test |
$62 |
$95 |
$37 |
$7 | |
| Glucose tolerance test |
$86 |
$132 |
$45 |
$8 | |
| Group therapy session |
$275 |
$423 |
$224 |
$30 | |
| H. pylori test |
$219 |
$337 |
$155 |
$67 | |
| HDL cholesterol test |
$49 |
$75 |
$35 |
$8 | |
| Hematocrit test |
$31 |
$48 |
$22 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$70 |
$107 |
$49 |
$10 | |
| Hepatitis B test |
$80 |
$123 |
$57 |
$10 | |
| Hepatitis C test |
$111 |
$170 |
$78 |
$14 | |
| Hip arthroscopy |
$2,364 |
$3,637 |
$2,086 |
$931 | |
| Hip fracture repair |
$2,571 |
$3,955 |
$2,096 |
$1,120 | |
| Hip replacement |
$3,416 |
$5,255 |
$2,785 |
$1,162 | |
| HIV test |
$80 |
$123 |
$50 |
$19 | |
| HIV test (antibody) |
$90 |
$138 |
$63 |
$14 | |
| HIV test (antigen/antibody combo) |
$70 |
$107 |
$35 |
$24 | |
| Holter heart monitor |
$360 |
$554 |
$122 |
$26 | |
| Home sleep apnea test |
$506 |
$778 |
$412 |
$123 | |
| Iron blood test |
$60 |
$93 |
$43 |
$6 | |
| IUD removal |
$174 |
$268 |
$134 |
$112 | |
| IV infusion therapy |
$170 |
$261 |
$146 |
$44 | |
| IV infusion therapy (each additional) |
$158 |
$243 |
$125 |
$21 | |
| IV infusion therapy (initial) |
$181 |
$279 |
$167 |
$67 | |
| Joint aspiration (small/intermediate) |
$212 |
$326 |
$153 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$147 |
$226 |
$154 |
$57 | |
| Joint aspiration or injection (small joint) |
$276 |
$425 |
$152 |
$56 | |
| Kidney biopsy |
$1,321 |
$2,032 |
$1,055 |
$492 | |
| Kidney scan (nuclear) |
$1,586 |
$2,440 |
$1,216 |
$172 | |
| Kidney ultrasound |
$581 |
$895 |
$461 |
$84 | |
| Kidney ultrasound (limited) |
$499 |
$768 |
$376 |
$61 | |
| Knee arthroscopy |
$1,920 |
$2,954 |
$1,672 |
$524 | |
| Knee joint injection |
$181 |
$279 |
$167 |
$69 | |
| Lactate test |
$177 |
$273 |
$70 |
$12 | |
| Laryngoscopy |
$673 |
$1,035 |
$503 |
$189 | |
| LDH test |
$46 |
$71 |
$28 |
$6 | |
| LDL cholesterol test |
$49 |
$75 |
$35 |
$11 | |
| Leg vein ultrasound (Doppler) |
$795 |
$1,224 |
$552 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$623 |
$959 |
$507 |
$116 | |
| LH hormone test |
$99 |
$153 |
$69 |
$19 | |
| Lipase test |
$86 |
$132 |
$61 |
$7 | |
| Lipid (cholesterol) panel |
$101 |
$155 |
$71 |
$13 | |
| Liver biopsy |
$1,273 |
$1,959 |
$1,017 |
$288 | |
| Liver function panel |
$96 |
$147 |
$68 |
$8 | |
| Lung function test (PFT) |
$313 |
$482 |
$71 |
$37 | |
| Lung scan (V/Q) |
$1,312 |
$2,018 |
$1,009 |
$291 | |
| Magnesium blood test |
$68 |
$105 |
$40 |
$7 | |
| MRA of the brain |
$2,252 |
$3,465 |
$1,805 |
$226 | |
| MRA of the brain with contrast |
$2,497 |
$3,841 |
$1,882 |
$226 | |
| MRA of the brain without contrast |
$2,113 |
$3,251 |
$1,593 |
$328 | |
| MRA of the neck |
$2,477 |
$3,810 |
$2,061 |
$245 | |
| MRA of the neck with contrast |
$2,477 |
$3,810 |
$1,829 |
$245 | |
| MRA of the neck without contrast |
$2,932 |
$4,511 |
$2,210 |
$343 | |
| MRI of the abdomen |
$2,645 |
$4,069 |
$2,112 |
$300 | |
| MRI of the abdomen with contrast |
$2,645 |
$4,069 |
$1,953 |
$300 | |
| MRI of the abdomen without contrast |
$2,452 |
$3,772 |
$1,811 |
$194 | |
| MRI of the ankle |
$3,235 |
$4,977 |
$1,870 |
$261 | |
| MRI of the ankle with contrast |
$1,996 |
$3,071 |
$1,474 |
$261 | |
| MRI of the ankle without contrast |
$3,235 |
$4,977 |
$1,807 |
$222 | |
| MRI of the brain |
$2,420 |
$3,723 |
$1,818 |
$269 | |
| MRI of the brain with contrast |
$2,420 |
$3,723 |
$1,787 |
$269 | |
| MRI of the brain without contrast |
$2,163 |
$3,327 |
$1,597 |
$195 | |
| MRI of the chest |
$2,460 |
$3,784 |
$1,972 |
$371 | |
| MRI of the chest without contrast |
$2,776 |
$4,270 |
$2,050 |
$466 | |
| MRI of the knee |
$3,938 |
$6,059 |
$2,061 |
$315 | |
| MRI of the knee without contrast |
$3,462 |
$5,326 |
$1,848 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,540 |
$3,907 |
$1,973 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,540 |
$3,907 |
$1,875 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,408 |
$3,705 |
$1,778 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,646 |
$4,070 |
$2,035 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$3,431 |
$5,278 |
$2,533 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,646 |
$4,070 |
$1,954 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,399 |
$3,690 |
$1,771 |
$190 | |
| MRI of the neck (cervical spine) |
$2,531 |
$3,894 |
$1,947 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$3,479 |
$5,353 |
$2,569 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,531 |
$3,894 |
$1,869 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,379 |
$3,660 |
$1,757 |
$191 | |
| MRI of the pelvis |
$2,879 |
$4,430 |
$2,204 |
$268 | |
| MRI of the pelvis without contrast |
$2,414 |
$3,714 |
$1,783 |
$227 | |
| MRI of the shoulder |
$2,420 |
$3,723 |
$2,084 |
$313 | |
| MRI of the shoulder with contrast |
$2,420 |
$3,723 |
$1,787 |
$313 | |
| MRI of the shoulder without contrast |
$2,283 |
$3,512 |
$1,815 |
$205 | |
| MRI of the wrist |
$3,090 |
$4,754 |
$1,870 |
$330 | |
| MRI of the wrist without contrast |
$3,444 |
$5,299 |
$1,690 |
$303 | |
| Nebulizer breathing treatment |
$138 |
$212 |
$105 |
$9 | |
| Occupational therapy evaluation |
$312 |
$480 |
$213 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$369 |
$568 |
$235 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$312 |
$480 |
$201 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$309 |
$475 |
$211 |
$101 | |
| Office visit (established patient) |
$154 |
$237 |
$131 |
$115 | |
| Office visit (new patient) |
$255 |
$392 |
$184 |
$177 | |
| Office visit, established patient (level 3) |
$138 |
$212 |
$125 |
$95 | |
| Office visit, established patient (level 4) |
$170 |
$261 |
$142 |
$136 | |
| Office visit, new patient (level 3) |
$187 |
$288 |
$153 |
$118 | |
| Office visit, new patient (level 4) |
$255 |
$392 |
$206 |
$177 | |
| Office visit, new patient (level 5) |
$298 |
$458 |
$246 |
$237 | |
| Orthopedic hardware removal |
$1,267 |
$1,949 |
$1,169 |
$632 | |
| Pap smear (cervical screening) |
$71 |
$109 |
$54 |
$20 | |
| Parathyroid hormone (PTH) test |
$202 |
$310 |
$116 |
$41 | |
| Pelvic ultrasound |
$516 |
$795 |
$404 |
$78 | |
| Pelvic ultrasound (complete) |
$595 |
$915 |
$448 |
$105 | |
| Pelvic ultrasound (limited) |
$438 |
$674 |
$324 |
$51 | |
| Phosphorus blood test |
$45 |
$69 |
$30 |
$5 | |
| Physical therapy evaluation |
$168 |
$259 |
$167 |
$98 | |
| Physical therapy evaluation (high complexity) |
$168 |
$259 |
$190 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$137 |
$210 |
$165 |
$98 | |
| Platelet count |
$58 |
$89 |
$41 |
$4 | |
| Pregnancy blood test (hCG) |
$73 |
$112 |
$52 |
$8 | |
| Pregnancy ultrasound |
$531 |
$817 |
$422 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$490 |
$754 |
$369 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$571 |
$879 |
$431 |
$136 | |
| Procalcitonin test |
$159 |
$245 |
$113 |
$27 | |
| Prolactin test |
$117 |
$180 |
$59 |
$19 | |
| Prostate test (PSA) |
$105 |
$162 |
$75 |
$18 | |
| Psychiatric evaluation |
$374 |
$576 |
$210 |
$188 | |
| Psychotherapy session |
$229 |
$353 |
$188 |
$140 | |
| Radiofrequency nerve ablation |
$3,153 |
$4,850 |
$1,763 |
$462 | |
| Rotator cuff repair |
$2,155 |
$3,315 |
$1,989 |
$792 | |
| Sacroiliac joint injection |
$791 |
$1,217 |
$429 |
$176 | |
| Scoliosis spine X-ray |
$375 |
$577 |
$284 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$307 |
$473 |
$232 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$442 |
$680 |
$333 |
$72 | |
| Screening mammogram |
$220 |
$339 |
$186 |
$126 | |
| Scrotal ultrasound |
$596 |
$917 |
$440 |
$99 | |
| Sedimentation rate (ESR) test |
$46 |
$70 |
$28 |
$3 | |
| Semen analysis |
$121 |
$186 |
$97 |
$12 | |
| Sex hormone binding globulin test |
$92 |
$141 |
$65 |
$22 | |
| Shoulder arthroscopy |
$3,065 |
$4,715 |
$2,829 |
$962 | |
| Shoulder replacement |
$3,210 |
$4,938 |
$2,963 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$319 |
$491 |
$246 |
$114 | |
| Simple wound stitches |
$356 |
$548 |
$251 |
$127 | |
| Skin biopsy |
$354 |
$544 |
$168 |
$121 | |
| Skin biopsy (punch) |
$354 |
$544 |
$139 |
$121 | |
| Sleep study (polysomnography) |
$3,945 |
$6,070 |
$3,160 |
$691 | |
| Soft tissue ultrasound |
$445 |
$685 |
$372 |
$64 | |
| Speech therapy |
$653 |
$1,004 |
$245 |
$76 | |
| Spinal tap (lumbar puncture) |
$701 |
$1,078 |
$322 |
$165 | |
| Spirometry (lung function test) |
$53 |
$81 |
$57 |
$30 | |
| Spirometry with bronchodilator |
$574 |
$883 |
$137 |
$43 | |
| Strep throat test |
$59 |
$90 |
$42 |
$17 | |
| Swallow study |
$179 |
$276 |
$196 |
$85 | |
| T3 thyroid test |
$95 |
$146 |
$48 |
$14 | |
| Testosterone test |
$107 |
$164 |
$75 |
$26 | |
| Thyroid test (TSH) |
$16 |
$24 |
$21 |
$17 | |
| Thyroid ultrasound |
$533 |
$820 |
$394 |
$109 | |
| Thyroid uptake scan |
$1,037 |
$1,596 |
$798 |
$145 | |
| Total IgE allergy test |
$95 |
$146 |
$67 |
$16 | |
| Total protein test |
$47 |
$72 |
$28 |
$4 | |
| Transvaginal ultrasound |
$538 |
$827 |
$405 |
$118 | |
| Trigger finger release |
$1,186 |
$1,824 |
$1,094 |
$630 | |
| Trigger point injection |
$175 |
$269 |
$164 |
$56 | |
| Trigger point injection (1-2 muscles) |
$155 |
$238 |
$152 |
$52 | |
| Triglycerides test |
$42 |
$64 |
$38 |
$6 | |
| Troponin (heart) test |
$137 |
$211 |
$68 |
$12 | |
| Upper GI endoscopy (EGD) |
$1,528 |
$2,350 |
$1,220 |
$371 | |
| Upper GI series (barium) |
$659 |
$1,014 |
$503 |
$128 | |
| Uric acid (gout) test |
$42 |
$65 |
$25 |
$5 | |
| Urinalysis |
$46 |
$70 |
$26 |
$3 | |
| Urine microalbumin test |
$57 |
$87 |
$40 |
$5 | |
| Urine pregnancy test |
$57 |
$88 |
$40 |
$9 | |
| Vaccine administration |
$70 |
$108 |
$50 |
$19 | |
| Vaccine administration (each additional) |
$54 |
$83 |
$44 |
$16 | |
| Vitamin B12 test |
$96 |
$147 |
$68 |
$15 | |
| Vitamin D test |
$166 |
$255 |
$117 |
$30 | |
| Wound debridement |
$317 |
$488 |
$403 |
$186 | |
| X-ray of the abdomen |
$306 |
$471 |
$225 |
$36 | |
| X-ray of the ankle |
$468 |
$720 |
$253 |
$37 | |
| X-ray of the collarbone |
$322 |
$495 |
$199 |
$33 | |
| X-ray of the elbow |
$265 |
$408 |
$242 |
$33 | |
| X-ray of the facial bones |
$258 |
$398 |
$200 |
$39 | |
| X-ray of the foot |
$500 |
$769 |
$269 |
$34 | |
| X-ray of the forearm |
$230 |
$354 |
$212 |
$29 | |
| X-ray of the hand |
$468 |
$720 |
$250 |
$38 | |
| X-ray of the hip |
$286 |
$440 |
$179 |
$49 | |
| X-ray of the hip (1 view) |
$176 |
$270 |
$135 |
$34 | |
| X-ray of the hip (3 views) |
$286 |
$440 |
$216 |
$49 | |
| X-ray of the hip (4 views) |
$387 |
$596 |
$292 |
$63 | |
| X-ray of the knee |
$476 |
$732 |
$232 |
$42 | |
| X-ray of the knee (2 views) |
$414 |
$637 |
$224 |
$34 | |
| X-ray of the knee (3 views) |
$476 |
$732 |
$259 |
$42 | |
| X-ray of the knee (4+ views) |
$540 |
$830 |
$292 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$418 |
$643 |
$295 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$319 |
$491 |
$242 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$516 |
$794 |
$389 |
$53 | |
| X-ray of the lower leg |
$270 |
$415 |
$244 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$363 |
$559 |
$284 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$341 |
$525 |
$253 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$385 |
$592 |
$290 |
$39 | |
| X-ray of the neck (cervical spine) |
$400 |
$616 |
$321 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$366 |
$563 |
$276 |
$40 | |
| X-ray of the pelvis |
$278 |
$428 |
$218 |
$36 | |
| X-ray of the pelvis (1 view) |
$261 |
$401 |
$201 |
$28 | |
| X-ray of the ribs |
$244 |
$375 |
$192 |
$42 | |
| X-ray of the ribs (2 views) |
$208 |
$320 |
$160 |
$36 | |
| X-ray of the ribs (3 views) |
$244 |
$375 |
$188 |
$42 | |
| X-ray of the shoulder |
$564 |
$868 |
$306 |
$36 | |
| X-ray of the skull |
$338 |
$521 |
$272 |
$40 | |
| X-ray of the upper arm |
$206 |
$317 |
$190 |
$32 | |
| X-ray of the wrist |
$524 |
$806 |
$290 |
$43 | |
| Zinc blood test |
$69 |
$106 |
$49 |
$11 | |