| 3D mammogram (tomosynthesis) |
$108 |
$166 |
$79 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,137 |
$1,749 |
$1,049 |
$284 | |
| Abdominal ultrasound |
$829 |
$1,276 |
$222 |
$100 | |
| Abdominal ultrasound (complete) |
$757 |
$1,164 |
$222 |
$114 | |
| Abdominal ultrasound (limited) |
$902 |
$1,387 |
$222 |
$86 | |
| Abscess drainage (complex or multiple) |
$3,328 |
$5,120 |
$3,072 |
$220 | |
| Abscess drainage (simple) |
$415 |
$638 |
$383 |
$129 | |
| Abscess incision and drainage |
$1,871 |
$2,879 |
$638 |
$174 | |
| ACL knee reconstruction |
$18,777 |
$28,887 |
$6,666 |
$889 | |
| Adenoid removal (adenoidectomy) |
$5,379 |
$8,275 |
$3,026 |
$204 | |
| Albumin blood test |
$18 |
$27 |
$8 |
$5 | |
| Aldosterone test |
$198 |
$305 |
$62 |
$41 | |
| Alkaline phosphatase test |
$85 |
$131 |
$8 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$60 |
$92 |
$26 |
$17 | |
| ALT liver enzyme test |
$14 |
$22 |
$8 |
$5 | |
| Ammonia blood test |
$104 |
$160 |
$23 |
$15 | |
| Amniocentesis |
$756 |
$1,163 |
$698 |
$120 | |
| Amylase test |
$208 |
$320 |
$10 |
$6 | |
| Anal fistula repair |
$5,554 |
$8,544 |
$2,559 |
$541 | |
| Antinuclear antibody (ANA) test |
$95 |
$146 |
$18 |
$12 | |
| Arterial blood gas (ABG) |
$166 |
$255 |
$38 |
$26 | |
| AST liver enzyme test |
$14 |
$21 |
$8 |
$5 | |
| Barium swallow study |
$575 |
$885 |
$356 |
$107 | |
| Basic metabolic panel |
$19 |
$29 |
$13 |
$8 | |
| Benign skin lesion removal |
$1,225 |
$1,885 |
$1,131 |
$171 | |
| Bilirubin blood test |
$18 |
$28 |
$8 |
$5 | |
| Bladder function test (urodynamics) |
$1,590 |
$2,446 |
$623 |
$345 | |
| Bladder scope (cystoscopy) |
$3,768 |
$5,796 |
$1,029 |
$216 | |
| Bladder tumor removal (TURBT) |
$7,142 |
$10,988 |
$3,218 |
$236 | |
| Blood clotting test (PT/INR) |
$36 |
$56 |
$6 |
$4 | |
| Blood crossmatch |
$45 |
$69 |
$50 |
— | |
| Blood glucose test |
$31 |
$47 |
$7 |
$5 | |
| Blood transfusion |
$2,670 |
$4,107 |
$561 |
$47 | |
| Blood type and screen |
$294 |
$453 |
$50 |
$10 | |
| Blood type test |
$10 |
$16 |
$11 |
$3 | |
| Blood type test (ABO group) |
$10 |
$16 |
$11 |
$3 | |
| Blood type test (Rh/D antigen) |
$10 |
$16 |
$11 |
$3 | |
| BNP (heart failure) test |
$143 |
$220 |
$57 |
$39 | |
| Bone density scan (DEXA) |
$367 |
$564 |
$220 |
$39 | |
| Bone marrow biopsy |
$3,116 |
$4,794 |
$1,098 |
$172 | |
| Bone scan (nuclear) |
$1,550 |
$2,385 |
$402 |
$259 | |
| Botox for migraine |
$81 |
$124 |
$237 |
$157 | |
| Breast biopsy |
$2,432 |
$3,741 |
$2,322 |
$478 | |
| Breast MRI |
$2,078 |
$3,198 |
$1,293 |
$216 | |
| Breast MRI without contrast |
$2,178 |
$3,350 |
$514 |
$216 | |
| Breast ultrasound |
$404 |
$621 |
$213 |
$92 | |
| Breast ultrasound (complete) |
$355 |
$546 |
$222 |
$100 | |
| Breast ultrasound (limited) |
$452 |
$696 |
$176 |
$84 | |
| Breathing tube insertion (intubation) |
$1,626 |
$2,502 |
$1,501 |
$133 | |
| Bronchoscopy |
$2,550 |
$3,923 |
$1,693 |
$303 | |
| Burn dressing and debridement (medium) |
$937 |
$1,441 |
$865 |
$166 | |
| Burn dressing and debridement (small) |
$213 |
$327 |
$196 |
$93 | |
| Burn treatment |
$575 |
$884 |
$297 |
$129 | |
| C-reactive protein (CRP) |
$95 |
$146 |
$8 |
$5 | |
| CA 19-9 tumor marker test |
$127 |
$196 |
$33 |
$21 | |
| CA-125 ovarian marker test |
$143 |
$220 |
$33 |
$21 | |
| Calcium blood test |
$14 |
$21 |
$8 |
$5 | |
| Capsule endoscopy |
$2,959 |
$4,553 |
$1,969 |
$802 | |
| Cardiac ablation |
$33,793 |
$51,989 |
$30,461 |
$759 | |
| Cardiac catheterization |
$15,186 |
$23,364 |
$6,962 |
$1,049 | |
| Cardiac rehabilitation |
$353 |
$543 |
$212 |
$26 | |
| Cardiac stress test |
$1,436 |
$2,209 |
$654 |
$39 | |
| Cardioversion |
$1,569 |
$2,414 |
$1,178 |
$155 | |
| Carotid artery ultrasound |
$785 |
$1,207 |
$436 |
$156 | |
| Carpal tunnel release |
$5,792 |
$8,911 |
$1,822 |
$483 | |
| CEA tumor marker test |
$228 |
$350 |
$30 |
$19 | |
| Celiac disease test |
$86 |
$132 |
$25 |
$12 | |
| Central line placement |
$1,391 |
$2,140 |
$1,284 |
$238 | |
| Cervical cerclage |
$1,676 |
$2,578 |
$1,701 |
$137 | |
| Cervical LEEP procedure |
$5,547 |
$8,534 |
$2,967 |
$325 | |
| Chemotherapy infusion |
$293 |
$450 |
$270 |
$81 | |
| Chemotherapy infusion (each additional) |
$293 |
$450 |
$155 |
$28 | |
| Chemotherapy infusion (first hour) |
$293 |
$450 |
$310 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,144 |
$1,760 |
$907 |
$311 | |
| Chest tube insertion |
$2,188 |
$3,366 |
$2,020 |
$143 | |
| Chest X-ray |
$377 |
$580 |
$195 |
$37 | |
| Chest X-ray (1 view) |
$326 |
$501 |
$180 |
$25 | |
| Chest X-ray (2 views) |
$411 |
$633 |
$185 |
$33 | |
| Circumcision |
$4,954 |
$7,622 |
$703 |
$167 | |
| CK-MB heart enzyme test |
$165 |
$254 |
$18 |
$12 | |
| Clotting time test (PTT) |
$86 |
$132 |
$9 |
$6 | |
| Colonoscopy |
$3,312 |
$5,095 |
$1,100 |
$480 | |
| Complete blood count (CBC) |
$38 |
$58 |
$11 |
$7 | |
| Complete blood count (CBC) (complete) |
$18 |
$27 |
$12 |
$8 | |
| Comprehensive metabolic panel |
$23 |
$36 |
$15 |
$11 | |
| Contraceptive implant (Nexplanon) |
$3,400 |
$5,230 |
$3,138 |
$115 | |
| Copper blood test |
$70 |
$108 |
$20 |
$12 | |
| Cortisol test |
$248 |
$381 |
$26 |
$16 | |
| COVID-19 PCR test |
$130 |
$200 |
$85 |
$51 | |
| CPAP titration study |
$939 |
$1,444 |
$559 |
$69 | |
| Craniotomy (brain surgery) |
$23,905 |
$36,777 |
$1,982 |
$2,161 | |
| Creatine kinase (CK) test |
$64 |
$99 |
$10 |
$7 | |
| CT angiography of the chest |
$2,016 |
$3,101 |
$365 |
$281 | |
| CT angiography of the head |
$1,784 |
$2,745 |
$365 |
$274 | |
| CT scan of the abdomen |
$1,871 |
$2,879 |
$365 |
$230 | |
| CT scan of the abdomen and pelvis |
$3,116 |
$4,794 |
$510 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,590 |
$5,523 |
$750 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$3,116 |
$4,794 |
$750 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,638 |
$4,059 |
$470 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,189 |
$3,367 |
$365 |
$259 | |
| CT scan of the abdomen with contrast |
$1,871 |
$2,879 |
$365 |
$230 | |
| CT scan of the abdomen without contrast |
$1,576 |
$2,424 |
$222 |
$136 | |
| CT scan of the arm |
$2,712 |
$4,172 |
$459 |
$199 | |
| CT scan of the arm with contrast |
$2,712 |
$4,172 |
$641 |
$199 | |
| CT scan of the arm without contrast |
$1,297 |
$1,996 |
$222 |
$161 | |
| CT scan of the chest |
$1,768 |
$2,720 |
$365 |
$167 | |
| CT scan of the chest with and without contrast |
$3,024 |
$4,652 |
$365 |
$196 | |
| CT scan of the chest with contrast |
$1,768 |
$2,720 |
$365 |
$167 | |
| CT scan of the chest without contrast |
$1,416 |
$2,179 |
$222 |
$133 | |
| CT scan of the head |
$1,529 |
$2,352 |
$365 |
$148 | |
| CT scan of the head with and without contrast |
$3,150 |
$4,846 |
$365 |
$173 | |
| CT scan of the head with contrast |
$1,529 |
$2,352 |
$365 |
$148 | |
| CT scan of the head without contrast |
$1,494 |
$2,298 |
$222 |
$107 | |
| CT scan of the leg |
$2,022 |
$3,110 |
$365 |
$166 | |
| CT scan of the leg with contrast |
$3,489 |
$5,367 |
$365 |
$166 | |
| CT scan of the leg without contrast |
$2,022 |
$3,110 |
$222 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,815 |
$2,793 |
$459 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,972 |
$3,034 |
$365 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,815 |
$2,793 |
$641 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,595 |
$2,454 |
$222 |
$130 | |
| CT scan of the neck |
$2,284 |
$3,514 |
$365 |
$183 | |
| CT scan of the neck (cervical spine) |
$2,155 |
$3,316 |
$459 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,425 |
$3,731 |
$365 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$2,155 |
$3,316 |
$641 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$2,094 |
$3,221 |
$222 |
$131 | |
| CT scan of the neck with and without contrast |
$2,933 |
$4,513 |
$365 |
$220 | |
| CT scan of the neck with contrast |
$2,284 |
$3,514 |
$365 |
$183 | |
| CT scan of the neck without contrast |
$1,966 |
$3,024 |
$222 |
$150 | |
| CT scan of the pelvis |
$1,617 |
$2,488 |
$365 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,676 |
$2,579 |
$365 |
$251 | |
| CT scan of the pelvis with contrast |
$1,617 |
$2,488 |
$365 |
$226 | |
| CT scan of the pelvis without contrast |
$1,448 |
$2,227 |
$223 |
$133 | |
| CT scan of the sinuses |
$1,845 |
$2,839 |
$336 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,845 |
$2,839 |
$365 |
$184 | |
| CT scan of the sinuses with contrast |
$2,836 |
$4,363 |
$365 |
$152 | |
| CT scan of the sinuses without contrast |
$1,433 |
$2,205 |
$222 |
$128 | |
| D-dimer test |
$348 |
$536 |
$16 |
$10 | |
| Defibrillator (ICD) implant |
$42,216 |
$64,947 |
$38,968 |
$798 | |
| Developmental screening (child) |
$142 |
$218 |
$154 |
— | |
| DHEA-sulfate test |
$104 |
$160 |
$34 |
$22 | |
| Diagnostic mammogram |
$306 |
$471 |
$187 |
$140 | |
| Dialysis fistula creation |
$6,807 |
$10,472 |
$2,937 |
$601 | |
| Dilation and curettage (D&C) |
$12,309 |
$18,937 |
$4,606 |
$298 | |
| Droopy eyelid repair (ptosis) |
$10,008 |
$15,397 |
$2,177 |
$745 | |
| Drug screen (urine) |
$120 |
$185 |
$84 |
$17 | |
| Ear tubes (myringotomy) |
$3,491 |
$5,371 |
$1,382 |
$174 | |
| Eardrum repair (tympanoplasty) |
$14,052 |
$21,618 |
$5,520 |
$799 | |
| Echocardiogram |
$1,281 |
$1,970 |
$788 |
$138 | |
| Echocardiogram with and without contrast |
$853 |
$1,313 |
$591 |
$101 | |
| Echocardiogram without contrast |
$1,281 |
$1,970 |
$798 |
$138 | |
| EEG (awake and asleep) |
$1,456 |
$2,240 |
$599 |
$482 | |
| EKG / ECG (tracing only) |
$246 |
$379 |
$125 |
$7 | |
| Electrocardiogram (EKG) |
$246 |
$379 |
$125 |
$8 | |
| Electroencephalogram (EEG) |
$1,130 |
$1,739 |
$532 |
$448 | |
| Electrolyte panel |
$111 |
$170 |
$11 |
$7 | |
| Electromyography (EMG) |
$319 |
$491 |
$236 |
$141 | |
| Emergency department visit |
$1,784 |
$2,744 |
$494 |
$69 | |
| Emergency department visit (level 1) |
$535 |
$823 |
$88 |
$11 | |
| Emergency department visit (level 2) |
$887 |
$1,365 |
$158 |
$40 | |
| Emergency department visit (level 3) |
$1,784 |
$2,744 |
$277 |
$69 | |
| Emergency department visit (level 4) |
$3,882 |
$5,973 |
$426 |
$118 | |
| Emergency department visit (level 5) |
$7,087 |
$10,903 |
$613 |
$171 | |
| Epidural steroid injection |
$1,739 |
$2,676 |
$954 |
$275 | |
| ERCP (bile duct endoscopy) |
$7,433 |
$11,435 |
$3,550 |
$311 | |
| Esophageal dilation |
$4,757 |
$7,319 |
$3,074 |
$522 | |
| Estradiol (estrogen) test |
$75 |
$115 |
$44 |
$28 | |
| Facet joint injection (spine) |
$939 |
$1,444 |
$866 |
$99 | |
| Fallopian tube X-ray (HSG) |
$1,347 |
$2,072 |
$419 |
$164 | |
| Fecal occult blood (stool) test |
$58 |
$89 |
$21 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$54 |
$83 |
$6 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$61 |
$94 |
$24 |
$16 | |
| Feeding tube (PEG) placement |
$2,775 |
$4,269 |
$4,771 |
$178 | |
| Femoral hernia repair |
$13,776 |
$21,194 |
$3,293 |
$584 | |
| Ferritin (iron) test |
$49 |
$75 |
$21 |
$14 | |
| Fibrinogen test |
$88 |
$136 |
$14 |
$10 | |
| Fibroid removal (myomectomy) |
$11,371 |
$17,493 |
$1,043 |
$914 | |
| Flexible sigmoidoscopy |
$2,686 |
$4,132 |
$911 |
$323 | |
| Flu test |
$202 |
$310 |
$23 |
$17 | |
| Folate (folic acid) test |
$86 |
$132 |
$23 |
$15 | |
| Foreign body removal (skin) |
$849 |
$1,306 |
$784 |
$157 | |
| Free T4 thyroid test |
$48 |
$74 |
$14 |
$9 | |
| FSH hormone test |
$148 |
$227 |
$28 |
$19 | |
| Gallbladder removal (laparoscopic) |
$9,020 |
$13,878 |
$5,444 |
$658 | |
| Gallbladder scan (HIDA) |
$2,326 |
$3,578 |
$516 |
$334 | |
| GGT liver test |
$20 |
$30 |
$11 |
$7 | |
| Glucose tolerance test |
$66 |
$102 |
$17 |
$8 | |
| H. pylori test |
$334 |
$514 |
$101 |
$67 | |
| HDL cholesterol test |
$56 |
$86 |
$12 |
$8 | |
| Hematocrit test |
$94 |
$144 |
$4 |
$2 | |
| Hemodialysis |
$1,330 |
$2,046 |
$1,046 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$34 |
$53 |
$14 |
$10 | |
| Hemorrhoid removal |
$1,483 |
$2,282 |
$1,369 |
$338 | |
| Hepatitis B test |
$81 |
$124 |
$16 |
$10 | |
| Hepatitis C test |
$75 |
$115 |
$22 |
$14 | |
| Hip arthroscopy |
$21,107 |
$32,473 |
$6,666 |
$931 | |
| HIV test |
$130 |
$200 |
$33 |
$19 | |
| HIV test (antibody) |
$188 |
$289 |
$21 |
$14 | |
| HIV test (antigen/antibody combo) |
$72 |
$110 |
$38 |
$24 | |
| Home sleep apnea test |
$528 |
$812 |
$276 |
$123 | |
| Hydrocele repair |
$6,827 |
$10,503 |
$3,293 |
$315 | |
| Hysterectomy |
$14,415 |
$22,177 |
$1,687 |
$933 | |
| Hysteroscopy |
$7,214 |
$11,098 |
$2,967 |
$1,270 | |
| Inguinal hernia repair |
$7,654 |
$11,776 |
$3,293 |
$538 | |
| Iron blood test |
$59 |
$91 |
$9 |
$6 | |
| IV infusion therapy |
$341 |
$525 |
$189 |
$44 | |
| IV infusion therapy (each additional) |
$170 |
$261 |
$114 |
$21 | |
| IV infusion therapy (initial) |
$513 |
$789 |
$308 |
$67 | |
| IVC filter placement |
$4,956 |
$7,624 |
$4,574 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$583 |
$898 |
$410 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$381 |
$586 |
$352 |
$57 | |
| Joint aspiration or injection (small joint) |
$786 |
$1,209 |
$725 |
$56 | |
| Kidney biopsy |
$8,644 |
$13,299 |
$2,427 |
$492 | |
| Kidney removal (nephrectomy) |
$14,908 |
$22,936 |
$1,206 |
$1,164 | |
| Kidney scan (nuclear) |
$2,764 |
$4,253 |
$538 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$11,351 |
$17,463 |
$3,218 |
$760 | |
| Kidney ultrasound |
$734 |
$1,129 |
$222 |
$84 | |
| Kidney ultrasound (limited) |
$482 |
$742 |
$222 |
$61 | |
| Knee arthroscopy |
$6,793 |
$10,450 |
$3,028 |
$524 | |
| Knee joint injection |
$1,489 |
$2,290 |
$853 |
$69 | |
| Lactate test |
$421 |
$647 |
$17 |
$12 | |
| Laminectomy (spine) |
$17,385 |
$26,747 |
$6,666 |
$1,157 | |
| Laryngoscopy |
$2,997 |
$4,611 |
$397 |
$189 | |
| LDH test |
$21 |
$33 |
$10 |
$6 | |
| LDL cholesterol test |
$77 |
$118 |
$16 |
$11 | |
| Leg artery angiogram |
$2,483 |
$3,820 |
$2,775 |
$149 | |
| Leg vein ultrasound (Doppler) |
$1,285 |
$1,978 |
$436 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,038 |
$1,597 |
$436 |
$116 | |
| LH hormone test |
$66 |
$102 |
$29 |
$19 | |
| Lipase test |
$185 |
$284 |
$11 |
$7 | |
| Lipid (cholesterol) panel |
$48 |
$74 |
$21 |
$13 | |
| Liver biopsy |
$5,204 |
$8,006 |
$1,309 |
$288 | |
| Liver function panel |
$99 |
$153 |
$13 |
$8 | |
| Lumbar discectomy |
$15,146 |
$23,302 |
$6,666 |
$898 | |
| Lung function test (PFT) |
$682 |
$1,050 |
$400 |
$37 | |
| Lung scan (V/Q) |
$1,247 |
$1,919 |
$538 |
$291 | |
| Magnesium blood test |
$216 |
$332 |
$11 |
$7 | |
| Meniscus repair (knee) |
$16,827 |
$25,888 |
$5,840 |
$714 | |
| MRA of the brain |
$1,902 |
$2,926 |
$749 |
$226 | |
| MRA of the brain with contrast |
$1,902 |
$2,926 |
$750 |
$226 | |
| MRA of the brain without contrast |
$2,254 |
$3,467 |
$752 |
$328 | |
| MRA of the neck |
$2,051 |
$3,156 |
$749 |
$245 | |
| MRA of the neck with contrast |
$2,051 |
$3,156 |
$750 |
$245 | |
| MRA of the neck without contrast |
$2,165 |
$3,331 |
$752 |
$343 | |
| MRI of the abdomen |
$2,923 |
$4,497 |
$749 |
$300 | |
| MRI of the abdomen with contrast |
$2,960 |
$4,554 |
$750 |
$300 | |
| MRI of the abdomen without contrast |
$2,074 |
$3,190 |
$483 |
$194 | |
| MRI of the ankle |
$2,855 |
$4,392 |
$749 |
$261 | |
| MRI of the ankle with contrast |
$2,800 |
$4,307 |
$750 |
$261 | |
| MRI of the ankle without contrast |
$2,855 |
$4,392 |
$483 |
$222 | |
| MRI of the brain |
$1,997 |
$3,072 |
$750 |
$269 | |
| MRI of the brain with contrast |
$1,889 |
$2,906 |
$752 |
$269 | |
| MRI of the brain without contrast |
$1,997 |
$3,072 |
$508 |
$195 | |
| MRI of the chest |
$1,921 |
$2,956 |
$732 |
$371 | |
| MRI of the chest without contrast |
$2,166 |
$3,332 |
$752 |
$466 | |
| MRI of the knee |
$3,058 |
$4,704 |
$790 |
$315 | |
| MRI of the knee with contrast |
$1,960 |
$3,015 |
$1,266 |
$315 | |
| MRI of the knee without contrast |
$3,058 |
$4,704 |
$483 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,148 |
$3,304 |
$749 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,951 |
$3,001 |
$752 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,148 |
$3,304 |
$508 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,177 |
$3,349 |
$749 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$3,027 |
$4,657 |
$750 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,177 |
$3,349 |
$750 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,038 |
$3,135 |
$483 |
$190 | |
| MRI of the neck (cervical spine) |
$3,003 |
$4,620 |
$749 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$3,003 |
$4,620 |
$750 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$5,954 |
$9,160 |
$751 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,096 |
$3,225 |
$508 |
$191 | |
| MRI of the pelvis |
$2,737 |
$4,210 |
$749 |
$268 | |
| MRI of the pelvis with contrast |
$2,737 |
$4,210 |
$750 |
$268 | |
| MRI of the pelvis without contrast |
$2,049 |
$3,153 |
$483 |
$227 | |
| MRI of the shoulder |
$2,993 |
$4,605 |
$808 |
$313 | |
| MRI of the shoulder with contrast |
$4,456 |
$6,855 |
$1,335 |
$313 | |
| MRI of the shoulder without contrast |
$2,993 |
$4,605 |
$483 |
$205 | |
| MRI of the wrist |
$4,169 |
$6,414 |
$750 |
$330 | |
| MRI of the wrist with contrast |
$4,189 |
$6,445 |
$1,065 |
$330 | |
| MRI of the wrist without contrast |
$2,522 |
$3,880 |
$483 |
$303 | |
| Nebulizer breathing treatment |
$480 |
$739 |
$290 |
$9 | |
| Nerve conduction study |
$454 |
$699 |
$291 |
$118 | |
| Nuchal translucency ultrasound |
$399 |
$614 |
$222 |
$116 | |
| Nuclear cardiac stress test |
$4,839 |
$7,444 |
$2,258 |
$428 | |
| Occupational therapy evaluation |
$397 |
$610 |
$152 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$397 |
$610 |
$162 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$447 |
$687 |
$161 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$380 |
$585 |
$145 |
$101 | |
| Office visit (established patient) |
$305 |
$470 |
$91 |
$115 | |
| Office visit (new patient) |
$89 |
$137 |
$121 |
$177 | |
| Office visit, established patient (level 3) |
$236 |
$363 |
$83 |
$95 | |
| Office visit, established patient (level 4) |
$374 |
$576 |
$92 |
$136 | |
| Office visit, new patient (level 3) |
$55 |
$84 |
$74 |
$118 | |
| Office visit, new patient (level 4) |
$89 |
$137 |
$121 |
$177 | |
| Office visit, new patient (level 5) |
$497 |
$765 |
$165 |
$237 | |
| Ovarian cyst removal |
$12,688 |
$19,521 |
$4,606 |
$698 | |
| Pap smear (cervical screening) |
$149 |
$229 |
$40 |
$20 | |
| Parathyroid hormone (PTH) test |
$111 |
$170 |
$65 |
$41 | |
| Parathyroid removal |
$10,595 |
$16,301 |
$5,520 |
$891 | |
| Pelvic ultrasound |
$701 |
$1,078 |
$218 |
$78 | |
| Pelvic ultrasound (complete) |
$991 |
$1,524 |
$222 |
$105 | |
| Pelvic ultrasound (limited) |
$411 |
$632 |
$213 |
$51 | |
| PET scan |
$5,793 |
$8,913 |
$1,459 |
— | |
| Phosphorus blood test |
$74 |
$114 |
$7 |
$5 | |
| Physical therapy evaluation |
$385 |
$593 |
$144 |
$98 | |
| Physical therapy evaluation (high complexity) |
$385 |
$593 |
$148 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$135 |
$208 |
$144 |
$98 | |
| Platelet count |
$16 |
$25 |
$7 |
$4 | |
| Pregnancy blood test (hCG) |
$291 |
$448 |
$12 |
$8 | |
| Pregnancy ultrasound |
$766 |
$1,179 |
$222 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$744 |
$1,145 |
$223 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$788 |
$1,212 |
$222 |
$136 | |
| Procalcitonin test |
$183 |
$282 |
$42 |
$27 | |
| Prolactin test |
$136 |
$209 |
$29 |
$19 | |
| Prostate biopsy |
$6,442 |
$9,911 |
$1,912 |
— | |
| Prostate removal (prostatectomy) |
$20,767 |
$31,949 |
$9,715 |
$1,063 | |
| Prostate surgery (TURP) |
$9,176 |
$14,117 |
$4,744 |
$526 | |
| Prostate test (PSA) |
$66 |
$101 |
$29 |
$18 | |
| Pulmonary rehabilitation |
$244 |
$376 |
$152 |
$87 | |
| Radiofrequency nerve ablation |
$5,174 |
$7,960 |
$1,997 |
$462 | |
| Rheumatoid factor test |
$73 |
$113 |
$9 |
$6 | |
| Rotator cuff repair |
$13,992 |
$21,526 |
$6,666 |
$792 | |
| Scoliosis spine X-ray |
$339 |
$521 |
$202 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$302 |
$464 |
$176 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$376 |
$578 |
$222 |
$72 | |
| Screening mammogram |
$397 |
$610 |
$216 |
$126 | |
| Scrotal ultrasound |
$955 |
$1,469 |
$222 |
$99 | |
| Sedimentation rate (ESR) test |
$37 |
$57 |
$6 |
$3 | |
| Semen analysis |
$281 |
$432 |
$27 |
$12 | |
| Septoplasty (deviated septum) |
$8,404 |
$12,929 |
$3,026 |
$613 | |
| Sex hormone binding globulin test |
$140 |
$215 |
$33 |
$22 | |
| Sinus surgery (endoscopic) |
$13,503 |
$20,773 |
$6,460 |
$224 | |
| Skin biopsy |
$896 |
$1,379 |
$417 |
$121 | |
| Skin biopsy (punch) |
$355 |
$546 |
$328 |
$121 | |
| Sleep study (polysomnography) |
$3,696 |
$5,686 |
$2,136 |
$691 | |
| Soft tissue ultrasound |
$376 |
$579 |
$222 |
$64 | |
| Speech therapy |
$407 |
$626 |
$135 |
$76 | |
| Spinal cord stimulator |
$6,889 |
$10,599 |
$6,124 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$7,025 |
$10,807 |
$3,792 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$5,761 |
$8,863 |
$5,332 |
$5,803 | |
| Spirometry (lung function test) |
$477 |
$734 |
$274 |
$30 | |
| Spirometry with bronchodilator |
$887 |
$1,365 |
$532 |
$43 | |
| Spleen removal (splenectomy) |
$17,683 |
$27,205 |
$9,715 |
$1,036 | |
| Strep throat test |
$241 |
$371 |
$23 |
$17 | |
| Swallow study |
$382 |
$588 |
$186 |
$85 | |
| T3 thyroid test |
$44 |
$67 |
$22 |
$14 | |
| Testicle removal (orchiectomy) |
$8,610 |
$13,247 |
$3,218 |
$306 | |
| Testosterone test |
$92 |
$142 |
$41 |
$26 | |
| Thyroid removal (thyroidectomy) |
$12,652 |
$19,465 |
$5,520 |
$1,004 | |
| Thyroid test (TSH) |
$60 |
$92 |
$16 |
$17 | |
| Thyroid ultrasound |
$513 |
$789 |
$222 |
$109 | |
| Thyroid uptake scan |
$1,381 |
$2,125 |
$516 |
$145 | |
| Tilt table test |
$3,208 |
$4,935 |
$1,593 |
$168 | |
| Tonsillectomy |
$4,596 |
$7,071 |
$5,268 |
$252 | |
| Total IgE allergy test |
$81 |
$124 |
$26 |
$16 | |
| Total protein test |
$13 |
$20 |
$6 |
$4 | |
| Tracheostomy |
$8,362 |
$12,865 |
$7,719 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$3,849 |
$5,922 |
$1,498 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$3,849 |
$5,922 |
$1,498 |
$239 | |
| Transvaginal ultrasound |
$879 |
$1,353 |
$222 |
$118 | |
| Trigger finger release |
$7,101 |
$10,925 |
$6,555 |
$630 | |
| Trigger point injection |
$375 |
$577 |
$273 |
$56 | |
| Trigger point injection (1-2 muscles) |
$296 |
$455 |
$237 |
$52 | |
| Triglycerides test |
$83 |
$128 |
$9 |
$6 | |
| Troponin (heart) test |
$139 |
$214 |
$18 |
$12 | |
| Turbinate reduction |
$8,024 |
$12,344 |
$6,460 |
$294 | |
| Turning a breech baby (version) |
$3,543 |
$5,451 |
$2,967 |
$94 | |
| Ulnar nerve surgery (elbow) |
$6,458 |
$9,935 |
$1,822 |
$575 | |
| Umbilical hernia repair |
$6,355 |
$9,778 |
$13 |
— | |
| Upper GI endoscopy (EGD) |
$3,105 |
$4,776 |
$938 |
$371 | |
| Upper GI series (barium) |
$1,312 |
$2,019 |
$365 |
$128 | |
| Ureteral stent placement |
$7,917 |
$12,180 |
$3,218 |
$373 | |
| Ureteroscopy (stone removal) |
$16,190 |
$24,908 |
$4,744 |
$365 | |
| Uric acid (gout) test |
$16 |
$25 |
$7 |
$5 | |
| Urinalysis |
$48 |
$75 |
$4 |
$3 | |
| Urine microalbumin test |
$46 |
$71 |
$9 |
$5 | |
| Urine pregnancy test |
$205 |
$316 |
$12 |
$9 | |
| Vaccine administration |
$133 |
$205 |
$91 |
$19 | |
| Vaccine administration (each additional) |
$87 |
$134 |
$80 |
$16 | |
| Varicocele repair |
$8,452 |
$13,003 |
$3,218 |
$327 | |
| Vitamin B12 test |
$54 |
$83 |
$24 |
$15 | |
| Vitamin D test |
$106 |
$163 |
$47 |
$30 | |
| Vocal cord injection |
$5,479 |
$8,430 |
$3,440 |
$211 | |
| Wound debridement |
$2,355 |
$3,624 |
$928 |
$186 | |
| X-ray of the abdomen |
$518 |
$797 |
$222 |
$36 | |
| X-ray of the ankle |
$653 |
$1,004 |
$165 |
$37 | |
| X-ray of the collarbone |
$420 |
$646 |
$165 |
$33 | |
| X-ray of the elbow |
$410 |
$631 |
$165 |
$33 | |
| X-ray of the facial bones |
$393 |
$605 |
$165 |
$39 | |
| X-ray of the foot |
$436 |
$671 |
$165 |
$34 | |
| X-ray of the forearm |
$488 |
$750 |
$165 |
$29 | |
| X-ray of the hand |
$257 |
$395 |
$165 |
$38 | |
| X-ray of the hip |
$244 |
$376 |
$148 |
$49 | |
| X-ray of the hip (1 view) |
$160 |
$246 |
$148 |
$34 | |
| X-ray of the hip (3 views) |
$244 |
$376 |
$165 |
$49 | |
| X-ray of the hip (4 views) |
$292 |
$449 |
$222 |
$63 | |
| X-ray of the knee |
$473 |
$727 |
$165 |
$42 | |
| X-ray of the knee (2 views) |
$376 |
$578 |
$162 |
$34 | |
| X-ray of the knee (3 views) |
$473 |
$727 |
$165 |
$42 | |
| X-ray of the knee (4+ views) |
$846 |
$1,301 |
$213 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$389 |
$598 |
$209 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$317 |
$488 |
$190 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$460 |
$708 |
$222 |
$53 | |
| X-ray of the lower leg |
$428 |
$659 |
$165 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$431 |
$664 |
$192 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$287 |
$441 |
$183 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$576 |
$886 |
$222 |
$39 | |
| X-ray of the neck (cervical spine) |
$505 |
$778 |
$171 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$425 |
$654 |
$165 |
$40 | |
| X-ray of the pelvis |
$294 |
$453 |
$180 |
$36 | |
| X-ray of the pelvis (1 view) |
$259 |
$399 |
$168 |
$28 | |
| X-ray of the ribs |
$450 |
$693 |
$176 |
$42 | |
| X-ray of the ribs (2 views) |
$450 |
$693 |
$165 |
$36 | |
| X-ray of the ribs (3 views) |
$320 |
$493 |
$192 |
$42 | |
| X-ray of the shoulder |
$698 |
$1,074 |
$165 |
$36 | |
| X-ray of the skull |
$314 |
$483 |
$183 |
$40 | |
| X-ray of the upper arm |
$417 |
$641 |
$165 |
$32 | |
| X-ray of the wrist |
$416 |
$640 |
$165 |
$43 | |
| Zinc blood test |
$78 |
$120 |
$17 |
$11 | |