| 3D mammogram (tomosynthesis) |
$107 |
$164 |
$47 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$3,840 |
$5,907 |
$1,161 |
$284 | |
| Abdominal ultrasound |
$455 |
$700 |
$119 |
$100 | |
| Abdominal ultrasound (complete) |
$748 |
$1,150 |
$176 |
$114 | |
| Abdominal ultrasound (limited) |
$163 |
$250 |
$110 |
$86 | |
| Abscess drainage (complex or multiple) |
$887 |
$1,364 |
$378 |
$220 | |
| Abscess drainage (simple) |
$452 |
$695 |
$190 |
$129 | |
| Abscess incision and drainage |
$669 |
$1,030 |
$371 |
$174 | |
| ACL knee reconstruction |
$23,351 |
$35,924 |
$6,638 |
$889 | |
| Acupuncture |
$66 |
$102 |
$29 |
$38 | |
| Acupuncture (each additional) |
$64 |
$99 |
$22 |
$28 | |
| Adenoid removal (adenoidectomy) |
$5,770 |
$8,877 |
$3,234 |
$204 | |
| Albumin blood test |
$18 |
$27 |
$7 |
$5 | |
| Aldosterone test |
$187 |
$287 |
$54 |
$41 | |
| Alkaline phosphatase test |
$53 |
$82 |
$7 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$154 |
$237 |
$22 |
$17 | |
| ALT liver enzyme test |
$14 |
$22 |
$7 |
$5 | |
| Ammonia blood test |
$118 |
$181 |
$19 |
$15 | |
| Amniocentesis |
$846 |
$1,301 |
$781 |
$120 | |
| Amylase test |
$23 |
$36 |
$9 |
$6 | |
| Anal fistula repair |
$5,647 |
$8,688 |
$2,818 |
$541 | |
| Annual physical (established patient) |
$198 |
$305 |
$147 |
— | |
| Annual physical (new patient) |
$221 |
$341 |
$160 |
— | |
| Anoscopy |
$267 |
$410 |
$154 |
$129 | |
| Antinuclear antibody (ANA) test |
$43 |
$66 |
$16 |
$12 | |
| Aortic valve replacement |
$12,440 |
$19,138 |
$8,229 |
$1,603 | |
| Arterial blood gas (ABG) |
$189 |
$291 |
$26 |
$26 | |
| AST liver enzyme test |
$14 |
$21 |
$7 |
$5 | |
| Barium swallow study |
$421 |
$647 |
$211 |
$107 | |
| Bartholin cyst removal |
$312 |
$480 |
$288 |
$182 | |
| Basic metabolic panel |
$19 |
$29 |
$11 |
$8 | |
| Benign skin lesion removal |
$119 |
$183 |
$593 |
$171 | |
| Bilirubin blood test |
$18 |
$28 |
$7 |
$5 | |
| Bladder function test (urodynamics) |
$795 |
$1,223 |
$669 |
$345 | |
| Bladder scope (cystoscopy) |
$5,068 |
$7,797 |
$633 |
$216 | |
| Bladder tumor removal (TURBT) |
$8,778 |
$13,505 |
$3,234 |
$236 | |
| Blood clotting test (PT/INR) |
$48 |
$74 |
$5 |
$4 | |
| Blood crossmatch |
$45 |
$69 |
$45 |
— | |
| Blood glucose test |
$16 |
$25 |
$5 |
$5 | |
| Blood transfusion |
$3,472 |
$5,342 |
$419 |
$47 | |
| Blood type and screen |
$28 |
$43 |
$26 |
$10 | |
| Blood type test |
$10 |
$16 |
$10 |
$3 | |
| Blood type test (ABO group) |
$10 |
$16 |
$10 |
$3 | |
| Blood type test (Rh/D antigen) |
$10 |
$16 |
$10 |
$3 | |
| BNP (heart failure) test |
$83 |
$127 |
$39 |
$39 | |
| Bone density scan (DEXA) |
$281 |
$432 |
$136 |
$39 | |
| Bone marrow biopsy |
$9,267 |
$14,256 |
$1,511 |
$172 | |
| Bone scan (nuclear) |
$1,118 |
$1,720 |
$414 |
$259 | |
| Botox for migraine |
$84 |
$129 |
$274 |
$157 | |
| Breast biopsy |
$2,201 |
$3,386 |
$1,478 |
$478 | |
| Breast MRI |
$2,552 |
$3,926 |
$444 |
$216 | |
| Breast MRI without contrast |
$3,062 |
$4,711 |
$446 |
$216 | |
| Breast ultrasound |
$563 |
$866 |
$137 |
$92 | |
| Breast ultrasound (complete) |
$472 |
$726 |
$141 |
$100 | |
| Breast ultrasound (limited) |
$653 |
$1,005 |
$117 |
$84 | |
| Breathing tube insertion (intubation) |
$857 |
$1,319 |
$567 |
$133 | |
| Bronchoscopy |
$15,577 |
$23,964 |
$1,711 |
$303 | |
| Burn dressing and debridement (medium) |
$419 |
$644 |
$235 |
$166 | |
| Burn dressing and debridement (small) |
$350 |
$539 |
$188 |
$93 | |
| Burn treatment |
$384 |
$592 |
$201 |
$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 |
$57 |
$87 |
$7 |
$5 | |
| Capsule endoscopy |
$2,504 |
$3,853 |
$871 |
$802 | |
| Cardiac ablation |
$19,248 |
$29,613 |
$21,082 |
$759 | |
| Cardiac catheterization |
$9,636 |
$14,824 |
$5,531 |
$1,049 | |
| Cardiac MRI |
$1,896 |
$2,917 |
$386 |
$322 | |
| Cardiac MRI without contrast |
$1,557 |
$2,395 |
$386 |
$280 | |
| Cardiac rehabilitation |
$245 |
$377 |
$162 |
$26 | |
| Cardiac stress test |
$1,341 |
$2,063 |
$557 |
$39 | |
| Cardioversion |
$1,371 |
$2,109 |
$691 |
$155 | |
| Carotid artery ultrasound |
$1,020 |
$1,570 |
$364 |
$156 | |
| Carpal tunnel release |
$2,975 |
$4,577 |
$2,164 |
$483 | |
| Cataract surgery |
$5,898 |
$9,073 |
$2,528 |
$547 | |
| CEA tumor marker test |
$139 |
$214 |
$25 |
$19 | |
| Celiac disease test |
$131 |
$201 |
$14 |
$12 | |
| Central line placement |
$1,692 |
$2,603 |
$1,711 |
$238 | |
| Cervical cerclage |
$4,170 |
$6,416 |
$2,954 |
$137 | |
| Cervical LEEP procedure |
$5,433 |
$8,358 |
$2,954 |
$325 | |
| Chemotherapy infusion |
$432 |
$664 |
$286 |
$81 | |
| Chemotherapy infusion (each additional) |
$432 |
$664 |
$189 |
$28 | |
| Chemotherapy infusion (first hour) |
$432 |
$664 |
$308 |
$133 | |
| Chest fluid drain (thoracentesis) |
$2,870 |
$4,415 |
$906 |
$311 | |
| Chest tube insertion |
$1,145 |
$1,762 |
$1,241 |
$143 | |
| Chest X-ray |
$304 |
$467 |
$120 |
$37 | |
| Chest X-ray (1 view) |
$241 |
$370 |
$104 |
$25 | |
| Chest X-ray (2 views) |
$302 |
$464 |
$117 |
$33 | |
| Chiropractic adjustment |
$39 |
$60 |
$26 |
$38 | |
| Circumcision |
$3,731 |
$5,740 |
$708 |
$167 | |
| CK-MB heart enzyme test |
$96 |
$147 |
$15 |
$12 | |
| Clotting time test (PTT) |
$21 |
$33 |
$8 |
$6 | |
| Colonoscopy |
$4,360 |
$6,708 |
$1,096 |
$480 | |
| Colposcopy |
$759 |
$1,168 |
$600 |
$161 | |
| Complete blood count (CBC) |
$16 |
$25 |
$9 |
$7 | |
| Complete blood count (CBC) (complete) |
$18 |
$27 |
$10 |
$8 | |
| Complex wound repair |
$694 |
$1,068 |
$801 |
$390 | |
| Comprehensive metabolic panel |
$23 |
$36 |
$14 |
$11 | |
| Continuous glucose monitor setup |
$51 |
$79 |
$36 |
$35 | |
| Contraceptive implant (Nexplanon) |
$540 |
$830 |
$387 |
$115 | |
| Copper blood test |
$44 |
$68 |
$17 |
$12 | |
| Corneal transplant |
$17,967 |
$27,642 |
$3,738 |
$1,066 | |
| Coronary CT angiography |
$1,270 |
$1,954 |
$401 |
$326 | |
| Cortisol test |
$113 |
$174 |
$22 |
$16 | |
| COVID-19 PCR test |
$130 |
$200 |
$55 |
$51 | |
| CPAP titration study |
$998 |
$1,535 |
$206 |
$69 | |
| Creatine kinase (CK) test |
$70 |
$107 |
$9 |
$7 | |
| CT angiography of the chest |
$1,839 |
$2,829 |
$365 |
$281 | |
| CT angiography of the head |
$2,135 |
$3,284 |
$365 |
$274 | |
| CT scan of the abdomen |
$1,671 |
$2,571 |
$228 |
$230 | |
| CT scan of the abdomen and pelvis |
$3,182 |
$4,895 |
$367 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,667 |
$5,641 |
$430 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$3,182 |
$4,895 |
$367 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,725 |
$4,192 |
$245 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,994 |
$3,068 |
$341 |
$259 | |
| CT scan of the abdomen with contrast |
$1,671 |
$2,571 |
$297 |
$230 | |
| CT scan of the abdomen without contrast |
$1,333 |
$2,051 |
$176 |
$136 | |
| CT scan of the arm |
$1,794 |
$2,760 |
$273 |
$199 | |
| CT scan of the arm with contrast |
$2,138 |
$3,289 |
$332 |
$199 | |
| CT scan of the arm without contrast |
$1,794 |
$2,760 |
$217 |
$161 | |
| CT scan of the chest |
$1,706 |
$2,624 |
$224 |
$167 | |
| CT scan of the chest with and without contrast |
$1,851 |
$2,848 |
$298 |
$196 | |
| CT scan of the chest with contrast |
$1,706 |
$2,624 |
$278 |
$167 | |
| CT scan of the chest without contrast |
$1,295 |
$1,993 |
$178 |
$133 | |
| CT scan of the head |
$1,528 |
$2,350 |
$184 |
$148 | |
| CT scan of the head with and without contrast |
$1,927 |
$2,965 |
$233 |
$173 | |
| CT scan of the head with contrast |
$1,528 |
$2,350 |
$230 |
$148 | |
| CT scan of the head without contrast |
$1,415 |
$2,177 |
$176 |
$107 | |
| CT scan of the leg |
$1,983 |
$3,050 |
$223 |
$166 | |
| CT scan of the leg with contrast |
$2,200 |
$3,385 |
$277 |
$166 | |
| CT scan of the leg without contrast |
$1,983 |
$3,050 |
$198 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,622 |
$2,495 |
$280 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,912 |
$2,941 |
$299 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,622 |
$2,495 |
$332 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,380 |
$2,123 |
$178 |
$130 | |
| CT scan of the neck |
$1,425 |
$2,192 |
$237 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,964 |
$3,022 |
$279 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,253 |
$3,466 |
$297 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,964 |
$3,022 |
$332 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,717 |
$2,642 |
$180 |
$131 | |
| CT scan of the neck with and without contrast |
$1,720 |
$2,646 |
$317 |
$220 | |
| CT scan of the neck with contrast |
$1,425 |
$2,192 |
$278 |
$183 | |
| CT scan of the neck without contrast |
$1,173 |
$1,805 |
$195 |
$150 | |
| CT scan of the pelvis |
$1,827 |
$2,811 |
$198 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,975 |
$3,039 |
$327 |
$251 | |
| CT scan of the pelvis with contrast |
$1,827 |
$2,811 |
$291 |
$226 | |
| CT scan of the pelvis without contrast |
$1,474 |
$2,267 |
$178 |
$133 | |
| CT scan of the sinuses |
$1,656 |
$2,548 |
$232 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,990 |
$3,061 |
$278 |
$184 | |
| CT scan of the sinuses with contrast |
$1,656 |
$2,548 |
$264 |
$152 | |
| CT scan of the sinuses without contrast |
$1,517 |
$2,334 |
$190 |
$128 | |
| D-dimer test |
$135 |
$207 |
$14 |
$10 | |
| Defibrillator (ICD) implant |
$62,554 |
$96,237 |
$19,252 |
$798 | |
| DHEA-sulfate test |
$153 |
$236 |
$30 |
$22 | |
| Diagnostic mammogram |
$310 |
$478 |
$164 |
$140 | |
| Dialysis fistula creation |
$8,701 |
$13,385 |
$3,234 |
$601 | |
| Dilation and curettage (D&C) |
$7,270 |
$11,185 |
$3,234 |
$298 | |
| Drug screen (urine) |
$66 |
$102 |
$61 |
$17 | |
| Ear pressure test (tympanometry) |
$102 |
$157 |
$45 |
$16 | |
| Ear tubes (myringotomy) |
$3,920 |
$6,031 |
$1,403 |
$174 | |
| Eardrum repair (tympanoplasty) |
$12,965 |
$19,946 |
$5,497 |
$799 | |
| Echocardiogram |
$1,252 |
$1,926 |
$509 |
$138 | |
| Echocardiogram with and without contrast |
$1,019 |
$1,568 |
$225 |
$101 | |
| Echocardiogram without contrast |
$1,252 |
$1,926 |
$780 |
$138 | |
| EEG (awake and asleep) |
$1,439 |
$2,214 |
$767 |
$482 | |
| EKG / ECG (tracing only) |
$322 |
$496 |
$127 |
$7 | |
| Electrocardiogram (EKG) |
$322 |
$496 |
$127 |
$8 | |
| Electroencephalogram (EEG) |
$1,279 |
$1,968 |
$674 |
$448 | |
| Electrolyte panel |
$114 |
$175 |
$9 |
$7 | |
| Electromyography (EMG) |
$423 |
$651 |
$249 |
$141 | |
| Emergency department visit |
$250 |
$384 |
$273 |
$69 | |
| Emergency department visit (level 1) |
$250 |
$384 |
$88 |
$11 | |
| Emergency department visit (level 2) |
$181 |
$278 |
$147 |
$40 | |
| Emergency department visit (level 3) |
$248 |
$382 |
$257 |
$69 | |
| Emergency department visit (level 4) |
$412 |
$634 |
$396 |
$118 | |
| Emergency department visit (level 5) |
$612 |
$941 |
$570 |
$171 | |
| Epidural steroid injection |
$2,057 |
$3,165 |
$934 |
$275 | |
| ERCP (bile duct endoscopy) |
$7,463 |
$11,482 |
$3,234 |
$311 | |
| Esophageal dilation |
$503 |
$774 |
$1,223 |
$522 | |
| Esophageal variceal banding |
$933 |
$1,436 |
$1,711 |
$126 | |
| Estradiol (estrogen) test |
$75 |
$115 |
$37 |
$28 | |
| Facet joint injection (spine) |
$3,102 |
$4,772 |
$1,199 |
$99 | |
| Fallopian tube X-ray (HSG) |
$955 |
$1,469 |
$335 |
$164 | |
| Family therapy session |
$234 |
$360 |
$137 |
$110 | |
| Fecal occult blood (stool) test |
$33 |
$51 |
$5 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$10 |
$16 |
$4 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$56 |
$86 |
$21 |
$16 | |
| Feeding tube (PEG) placement |
$3,645 |
$5,607 |
$1,711 |
$178 | |
| Femoral hernia repair |
$8,085 |
$12,439 |
$3,279 |
$584 | |
| Ferritin (iron) test |
$49 |
$75 |
$18 |
$14 | |
| Fibrinogen test |
$23 |
$35 |
$11 |
$10 | |
| Fibroid removal (myomectomy) |
$15,353 |
$23,619 |
$1,427 |
$914 | |
| Flexible sigmoidoscopy |
$1,711 |
$2,633 |
$847 |
$323 | |
| Flu test |
$113 |
$174 |
$16 |
$17 | |
| Flu vaccine |
$14 |
$21 |
$9 |
— | |
| Folate (folic acid) test |
$53 |
$81 |
$20 |
$15 | |
| Foreign body removal (skin) |
$879 |
$1,352 |
$371 |
$157 | |
| Free T4 thyroid test |
$48 |
$74 |
$12 |
$9 | |
| FSH hormone test |
$66 |
$102 |
$25 |
$19 | |
| Gallbladder removal (laparoscopic) |
$13,177 |
$20,272 |
$5,421 |
$658 | |
| Gallbladder scan (HIDA) |
$1,362 |
$2,096 |
$534 |
$334 | |
| GGT liver test |
$79 |
$121 |
$10 |
$7 | |
| Glucose tolerance test |
$69 |
$106 |
$13 |
$8 | |
| Group therapy session |
$211 |
$325 |
$426 |
$30 | |
| H. pylori test |
$176 |
$271 |
$90 |
$67 | |
| HDL cholesterol test |
$57 |
$87 |
$11 |
$8 | |
| Hearing test (audiometry) |
$261 |
$402 |
$160 |
$36 | |
| Hematocrit test |
$10 |
$16 |
$3 |
$2 | |
| Hemodialysis |
$1,392 |
$2,141 |
$921 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$34 |
$53 |
$13 |
$10 | |
| Hemorrhoid removal |
$5,306 |
$8,162 |
$1,241 |
$338 | |
| Hepatitis A vaccine |
$174 |
$268 |
$115 |
— | |
| Hepatitis B test |
$120 |
$184 |
$14 |
$10 | |
| Hepatitis B vaccine |
$124 |
$190 |
$82 |
— | |
| Hepatitis C test |
$51 |
$78 |
$19 |
$14 | |
| Hip arthroscopy |
$24,954 |
$38,391 |
$6,638 |
$931 | |
| HIV test |
$85 |
$131 |
$24 |
$19 | |
| HIV test (antibody) |
$121 |
$186 |
$18 |
$14 | |
| HIV test (antigen/antibody combo) |
$49 |
$75 |
$32 |
$24 | |
| Holter heart monitor |
$748 |
$1,151 |
$354 |
$26 | |
| Home sleep apnea test |
$614 |
$945 |
$377 |
$123 | |
| Hydrocele repair |
$6,583 |
$10,128 |
$3,279 |
$315 | |
| Hysterectomy |
$16,970 |
$26,108 |
$9,579 |
$933 | |
| Hysteroscopy |
$7,118 |
$10,951 |
$2,954 |
$1,270 | |
| Incisional hernia repair |
$7,225 |
$11,115 |
$3,234 |
— | |
| Inguinal hernia repair |
$7,670 |
$11,800 |
$3,279 |
$538 | |
| Iron blood test |
$18 |
$27 |
$9 |
$6 | |
| IUD insertion |
$921 |
$1,417 |
$1,199 |
— | |
| IV infusion therapy |
$353 |
$544 |
$212 |
$44 | |
| IV infusion therapy (each additional) |
$321 |
$494 |
$133 |
$21 | |
| IV infusion therapy (initial) |
$385 |
$593 |
$255 |
$67 | |
| IVC filter placement |
$4,583 |
$7,050 |
$3,323 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$331 |
$510 |
$274 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$531 |
$817 |
$274 |
$57 | |
| Joint aspiration or injection (small joint) |
$131 |
$202 |
$274 |
$56 | |
| Kidney biopsy |
$5,432 |
$8,357 |
$1,506 |
$492 | |
| Kidney removal (nephrectomy) |
$27,205 |
$41,853 |
$1,500 |
$1,164 | |
| Kidney scan (nuclear) |
$1,691 |
$2,601 |
$510 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$10,492 |
$16,141 |
$5,108 |
$760 | |
| Kidney ultrasound |
$452 |
$695 |
$109 |
$84 | |
| Kidney ultrasound (limited) |
$109 |
$167 |
$99 |
$61 | |
| Knee arthroscopy |
$7,430 |
$11,431 |
$3,897 |
$524 | |
| Knee joint injection |
$191 |
$294 |
$274 |
$69 | |
| Lactate test |
$444 |
$683 |
$14 |
$12 | |
| Laminectomy (spine) |
$15,847 |
$24,380 |
$6,638 |
$1,157 | |
| Laryngoscopy |
$3,621 |
$5,570 |
$1,092 |
$189 | |
| LDH test |
$21 |
$33 |
$8 |
$6 | |
| LDL cholesterol test |
$65 |
$100 |
$13 |
$11 | |
| Leg artery angiogram |
$2,824 |
$4,344 |
$2,824 |
$149 | |
| Leg artery angioplasty |
$12,860 |
$19,784 |
$5,298 |
— | |
| Leg vein ultrasound (Doppler) |
$1,101 |
$1,695 |
$512 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$796 |
$1,224 |
$385 |
$116 | |
| LH hormone test |
$126 |
$194 |
$25 |
$19 | |
| Lipase test |
$17 |
$26 |
$9 |
$7 | |
| Lipid (cholesterol) panel |
$48 |
$74 |
$18 |
$13 | |
| Liver biopsy |
$3,533 |
$5,435 |
$1,506 |
$288 | |
| Liver function panel |
$22 |
$34 |
$11 |
$8 | |
| Lumbar discectomy |
$14,321 |
$22,032 |
$6,638 |
$898 | |
| Lumpectomy (breast) |
$3,429 |
$5,275 |
$3,234 |
$750 | |
| Lung function test (PFT) |
$464 |
$715 |
$289 |
$37 | |
| Lung scan (V/Q) |
$1,931 |
$2,970 |
$541 |
$291 | |
| Magnesium blood test |
$24 |
$37 |
$9 |
$7 | |
| Mastectomy |
$5,866 |
$9,024 |
$3,234 |
$1,021 | |
| Mastoidectomy |
$18,579 |
$28,583 |
$5,497 |
$840 | |
| Meniscus repair (knee) |
$23,149 |
$35,614 |
$5,379 |
$714 | |
| MRA of the brain |
$2,120 |
$3,262 |
$418 |
$226 | |
| MRA of the brain with contrast |
$2,120 |
$3,262 |
$480 |
$226 | |
| MRA of the brain without contrast |
$2,717 |
$4,180 |
$666 |
$328 | |
| MRA of the neck |
$1,741 |
$2,679 |
$415 |
$245 | |
| MRA of the neck with contrast |
$1,741 |
$2,679 |
$517 |
$245 | |
| MRA of the neck without contrast |
$2,005 |
$3,084 |
$666 |
$343 | |
| MRI of the abdomen |
$2,525 |
$3,884 |
$401 |
$300 | |
| MRI of the abdomen with contrast |
$2,525 |
$3,884 |
$553 |
$300 | |
| MRI of the abdomen without contrast |
$2,111 |
$3,247 |
$401 |
$194 | |
| MRI of the ankle |
$2,858 |
$4,397 |
$423 |
$261 | |
| MRI of the ankle with contrast |
$3,197 |
$4,918 |
$502 |
$261 | |
| MRI of the ankle without contrast |
$2,858 |
$4,397 |
$423 |
$222 | |
| MRI of the brain |
$2,455 |
$3,777 |
$423 |
$269 | |
| MRI of the brain with contrast |
$2,455 |
$3,777 |
$507 |
$269 | |
| MRI of the brain without contrast |
$2,096 |
$3,225 |
$344 |
$195 | |
| MRI of the chest |
$1,886 |
$2,901 |
$476 |
$371 | |
| MRI of the chest with contrast |
$1,886 |
$2,901 |
$734 |
$371 | |
| MRI of the chest without contrast |
$3,108 |
$4,782 |
$466 |
$466 | |
| MRI of the knee |
$2,925 |
$4,500 |
$471 |
$315 | |
| MRI of the knee with contrast |
$2,925 |
$4,500 |
$734 |
$315 | |
| MRI of the knee without contrast |
$2,788 |
$4,289 |
$369 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,496 |
$3,840 |
$401 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,496 |
$3,840 |
$504 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,141 |
$3,294 |
$351 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,587 |
$3,980 |
$407 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$3,067 |
$4,719 |
$558 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,587 |
$3,980 |
$461 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,986 |
$3,055 |
$351 |
$190 | |
| MRI of the neck (cervical spine) |
$2,547 |
$3,918 |
$406 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$3,200 |
$4,923 |
$594 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,547 |
$3,918 |
$519 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,970 |
$3,031 |
$351 |
$191 | |
| MRI of the pelvis |
$2,465 |
$3,793 |
$429 |
$268 | |
| MRI of the pelvis with contrast |
$2,465 |
$3,793 |
$503 |
$268 | |
| MRI of the pelvis without contrast |
$1,917 |
$2,949 |
$429 |
$227 | |
| MRI of the shoulder |
$3,554 |
$5,467 |
$464 |
$313 | |
| MRI of the shoulder with contrast |
$3,554 |
$5,467 |
$734 |
$313 | |
| MRI of the shoulder without contrast |
$1,791 |
$2,755 |
$369 |
$205 | |
| MRI of the wrist |
$3,451 |
$5,309 |
$423 |
$330 | |
| MRI of the wrist without contrast |
$3,062 |
$4,711 |
$423 |
$303 | |
| Nebulizer breathing treatment |
$260 |
$400 |
$189 |
$9 | |
| Nerve conduction study |
$405 |
$623 |
$185 |
$118 | |
| Nuchal translucency ultrasound |
$381 |
$586 |
$173 |
$116 | |
| Nuclear cardiac stress test |
$2,932 |
$4,510 |
$1,237 |
$428 | |
| Occupational therapy evaluation |
$365 |
$561 |
$172 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$341 |
$524 |
$172 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$447 |
$688 |
$174 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$365 |
$561 |
$172 |
$101 | |
| Office visit (established patient) |
$208 |
$320 |
$91 |
$115 | |
| Office visit (new patient) |
$177 |
$272 |
$138 |
$177 | |
| Office visit, established patient (level 3) |
$178 |
$274 |
$81 |
$95 | |
| Office visit, established patient (level 4) |
$237 |
$365 |
$94 |
$136 | |
| Office visit, new patient (level 3) |
$173 |
$266 |
$89 |
$118 | |
| Office visit, new patient (level 4) |
$177 |
$272 |
$129 |
$177 | |
| Office visit, new patient (level 5) |
$296 |
$455 |
$170 |
$237 | |
| Orthopedic hardware removal |
$3,933 |
$6,050 |
$2,602 |
$632 | |
| Ovarian cyst removal |
$12,467 |
$19,180 |
$4,587 |
$698 | |
| Pap smear (cervical screening) |
$67 |
$104 |
$25 |
$20 | |
| Parathyroid hormone (PTH) test |
$218 |
$336 |
$55 |
$41 | |
| Parathyroid removal |
$13,476 |
$20,732 |
$5,497 |
$891 | |
| Pelvic ultrasound |
$584 |
$898 |
$141 |
$78 | |
| Pelvic ultrasound (complete) |
$722 |
$1,110 |
$173 |
$105 | |
| Pelvic ultrasound (limited) |
$446 |
$686 |
$136 |
$51 | |
| PET scan |
$4,796 |
$7,378 |
$1,863 |
— | |
| Phosphorus blood test |
$17 |
$26 |
$6 |
$5 | |
| Physical therapy evaluation |
$426 |
$655 |
$173 |
$98 | |
| Physical therapy evaluation (high complexity) |
$595 |
$915 |
$174 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$426 |
$655 |
$171 |
$98 | |
| Pilonidal cyst removal |
$963 |
$1,482 |
$903 |
$541 | |
| Platelet count |
$16 |
$25 |
$6 |
$4 | |
| Pregnancy blood test (hCG) |
$99 |
$152 |
$10 |
$8 | |
| Pregnancy ultrasound |
$632 |
$972 |
$176 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$538 |
$827 |
$176 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$726 |
$1,117 |
$176 |
$136 | |
| Procalcitonin test |
$268 |
$413 |
$36 |
$27 | |
| Prolactin test |
$70 |
$107 |
$26 |
$19 | |
| Prostate biopsy |
$13,080 |
$20,123 |
$1,903 |
— | |
| Prostate removal (prostatectomy) |
$26,637 |
$40,980 |
$11,538 |
$1,063 | |
| Prostate surgery (TURP) |
$9,886 |
$15,209 |
$4,724 |
$526 | |
| Prostate test (PSA) |
$66 |
$101 |
$25 |
$18 | |
| Psychiatric evaluation |
$176 |
$271 |
$184 |
$188 | |
| Psychotherapy session |
$375 |
$577 |
$166 |
$140 | |
| Pulmonary rehabilitation |
$278 |
$428 |
$184 |
$87 | |
| Radiofrequency nerve ablation |
$3,462 |
$5,326 |
$1,815 |
$462 | |
| Rotator cuff repair |
$15,834 |
$24,360 |
$6,638 |
$792 | |
| Scoliosis spine X-ray |
$265 |
$408 |
$113 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$246 |
$378 |
$104 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$285 |
$438 |
$128 |
$72 | |
| Screening mammogram |
$183 |
$281 |
$121 |
$126 | |
| Scrotal ultrasound |
$687 |
$1,057 |
$136 |
$99 | |
| Sedimentation rate (ESR) test |
$12 |
$19 |
$4 |
$3 | |
| Semen analysis |
$121 |
$186 |
$16 |
$12 | |
| Septoplasty (deviated septum) |
$11,756 |
$18,086 |
$3,426 |
$613 | |
| Sex hormone binding globulin test |
$69 |
$106 |
$29 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$401 |
$617 |
$205 |
$114 | |
| Simple wound stitches |
$413 |
$636 |
$244 |
$127 | |
| Sinus surgery (endoscopic) |
$17,024 |
$26,191 |
$6,432 |
$224 | |
| Skin biopsy |
$421 |
$648 |
$341 |
$121 | |
| Skin biopsy (punch) |
$421 |
$648 |
$371 |
$121 | |
| Skin cancer lesion removal |
$359 |
$552 |
$443 |
$240 | |
| Skin graft |
$2,041 |
$3,141 |
$2,051 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$67 |
$103 |
$122 |
$36 | |
| Skin tag removal |
$137 |
$210 |
$185 |
$92 | |
| Sleep study (polysomnography) |
$3,927 |
$6,041 |
$1,738 |
$691 | |
| Soft tissue ultrasound |
$306 |
$471 |
$126 |
$64 | |
| Speech therapy |
$235 |
$361 |
$170 |
$76 | |
| Spinal cord stimulator |
$49,410 |
$76,016 |
$9,959 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$3,954 |
$6,083 |
$643 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$4,817 |
$7,412 |
$3,196 |
$5,803 | |
| Spirometry (lung function test) |
$323 |
$497 |
$214 |
$30 | |
| Spirometry with bronchodilator |
$606 |
$932 |
$380 |
$43 | |
| Spleen removal (splenectomy) |
$19,155 |
$29,469 |
$9,275 |
$1,036 | |
| Strabismus (eye muscle) surgery |
$8,131 |
$12,508 |
$3,234 |
$475 | |
| Strep throat test |
$27 |
$41 |
$16 |
$17 | |
| Stress echocardiogram |
$2,241 |
$3,448 |
$1,048 |
$209 | |
| Stress echocardiogram (complete) |
$1,959 |
$3,014 |
$909 |
$233 | |
| Swallow study |
$191 |
$294 |
$170 |
$85 | |
| T3 thyroid test |
$117 |
$180 |
$19 |
$14 | |
| Tdap (tetanus) vaccine |
$14 |
$21 |
$9 |
— | |
| Testicle removal (orchiectomy) |
$8,791 |
$13,525 |
$3,234 |
$306 | |
| Testosterone test |
$92 |
$142 |
$34 |
$26 | |
| Thyroid removal (thyroidectomy) |
$17,032 |
$26,204 |
$5,497 |
$1,004 | |
| Thyroid test (TSH) |
$11 |
$17 |
$20 |
$17 | |
| Thyroid ultrasound |
$83 |
$127 |
$101 |
$109 | |
| Thyroid uptake scan |
$682 |
$1,049 |
$374 |
$145 | |
| Tilt table test |
$1,479 |
$2,276 |
$779 |
$168 | |
| Tonsillectomy |
$6,220 |
$9,570 |
$3,234 |
$252 | |
| Total IgE allergy test |
$127 |
$196 |
$22 |
$16 | |
| Total protein test |
$13 |
$20 |
$5 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$2,588 |
$3,982 |
$745 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$2,588 |
$3,982 |
$745 |
$239 | |
| Transvaginal ultrasound |
$614 |
$944 |
$176 |
$118 | |
| Trigger finger release |
$1,570 |
$2,416 |
$1,691 |
$630 | |
| Trigger point injection |
$452 |
$696 |
$274 |
$56 | |
| Trigger point injection (1-2 muscles) |
$430 |
$661 |
$274 |
$52 | |
| Triglycerides test |
$252 |
$387 |
$8 |
$6 | |
| Troponin (heart) test |
$125 |
$193 |
$13 |
$12 | |
| Turbinate reduction |
$11,479 |
$17,660 |
$3,234 |
$294 | |
| Turning a breech baby (version) |
$2,879 |
$4,430 |
$2,954 |
$94 | |
| Ulnar nerve surgery (elbow) |
$8,243 |
$12,682 |
$2,164 |
$575 | |
| Umbilical hernia repair |
$7,112 |
$10,942 |
$3,140 |
— | |
| Upper GI endoscopy (EGD) |
$3,771 |
$5,801 |
$871 |
$371 | |
| Upper GI series (barium) |
$507 |
$781 |
$228 |
$128 | |
| Ureteral stent placement |
$13,926 |
$21,424 |
$5,379 |
$373 | |
| Ureteroscopy (stone removal) |
$16,160 |
$24,862 |
$5,379 |
$365 | |
| Uric acid (gout) test |
$16 |
$25 |
$6 |
$5 | |
| Urinalysis |
$9 |
$15 |
$3 |
$3 | |
| Urine microalbumin test |
$41 |
$64 |
$7 |
$5 | |
| Urine pregnancy test |
$86 |
$133 |
$8 |
$9 | |
| Vaccine administration |
$70 |
$107 |
$54 |
$19 | |
| Vaccine administration (each additional) |
$57 |
$88 |
$23 |
$16 | |
| Varicose vein ablation |
$4,723 |
$7,266 |
$2,925 |
$1,018 | |
| Vitamin B12 test |
$54 |
$83 |
$20 |
$15 | |
| Vitamin D test |
$106 |
$163 |
$39 |
$30 | |
| Vitrectomy (eye) |
$17,819 |
$27,413 |
$3,738 |
$814 | |
| Vocal cord injection |
$7,600 |
$11,692 |
$3,426 |
$211 | |
| Wart removal |
$308 |
$474 |
$189 |
$121 | |
| Well-child visit |
$194 |
$298 |
$132 |
— | |
| Wound debridement |
$936 |
$1,440 |
$467 |
$186 | |
| X-ray of the abdomen |
$302 |
$465 |
$126 |
$36 | |
| X-ray of the ankle |
$474 |
$729 |
$113 |
$37 | |
| X-ray of the collarbone |
$265 |
$408 |
$111 |
$33 | |
| X-ray of the elbow |
$314 |
$483 |
$111 |
$33 | |
| X-ray of the facial bones |
$230 |
$354 |
$113 |
$39 | |
| X-ray of the foot |
$291 |
$448 |
$113 |
$34 | |
| X-ray of the forearm |
$209 |
$322 |
$104 |
$29 | |
| X-ray of the hand |
$216 |
$332 |
$113 |
$38 | |
| X-ray of the hip |
$272 |
$419 |
$113 |
$49 | |
| X-ray of the hip (1 view) |
$212 |
$326 |
$104 |
$34 | |
| X-ray of the hip (3 views) |
$272 |
$419 |
$109 |
$49 | |
| X-ray of the hip (4 views) |
$346 |
$533 |
$136 |
$63 | |
| X-ray of the knee |
$452 |
$695 |
$113 |
$42 | |
| X-ray of the knee (2 views) |
$228 |
$351 |
$113 |
$34 | |
| X-ray of the knee (3 views) |
$452 |
$695 |
$113 |
$42 | |
| X-ray of the knee (4+ views) |
$564 |
$868 |
$136 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$360 |
$554 |
$136 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$350 |
$538 |
$133 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$371 |
$570 |
$136 |
$53 | |
| X-ray of the lower leg |
$324 |
$499 |
$109 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$260 |
$400 |
$128 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$235 |
$361 |
$126 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$285 |
$438 |
$130 |
$39 | |
| X-ray of the neck (cervical spine) |
$364 |
$560 |
$119 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$305 |
$469 |
$113 |
$40 | |
| X-ray of the pelvis |
$285 |
$438 |
$130 |
$36 | |
| X-ray of the pelvis (1 view) |
$241 |
$371 |
$126 |
$28 | |
| X-ray of the ribs |
$261 |
$401 |
$118 |
$42 | |
| X-ray of the ribs (2 views) |
$223 |
$343 |
$113 |
$36 | |
| X-ray of the ribs (3 views) |
$261 |
$401 |
$135 |
$42 | |
| X-ray of the shoulder |
$437 |
$672 |
$113 |
$36 | |
| X-ray of the skull |
$366 |
$563 |
$134 |
$40 | |
| X-ray of the upper arm |
$330 |
$508 |
$111 |
$32 | |
| X-ray of the wrist |
$484 |
$744 |
$113 |
$43 | |
| YAG laser capsulotomy (eye) |
$757 |
$1,164 |
$501 |
$335 | |
| Zinc blood test |
$114 |
$175 |
$15 |
$11 | |