| 3D mammogram (tomosynthesis) |
$135 |
$270 |
$54 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,673 |
$3,345 |
$2,509 |
$284 | |
| Abdominal ultrasound |
$645 |
$1,290 |
$170 |
$100 | |
| Abdominal ultrasound (complete) |
$783 |
$1,566 |
$170 |
$114 | |
| Abdominal ultrasound (limited) |
$507 |
$1,013 |
$170 |
$86 | |
| Abscess drainage (complex or multiple) |
$584 |
$1,167 |
$700 |
$220 | |
| Abscess drainage (simple) |
$208 |
$416 |
$250 |
$129 | |
| Abscess incision and drainage |
$396 |
$792 |
$281 |
$174 | |
| Acupuncture |
$48 |
$97 |
$52 |
$38 | |
| Acupuncture (each additional) |
$43 |
$86 |
$59 |
$28 | |
| Albumin blood test |
$5 |
$10 |
$8 |
$5 | |
| Aldosterone test |
$28 |
$56 |
$65 |
$41 | |
| Alkaline phosphatase test |
$38 |
$75 |
$8 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$12 |
$23 |
$27 |
$17 | |
| ALT liver enzyme test |
$170 |
$339 |
$9 |
$5 | |
| Ammonia blood test |
$188 |
$376 |
$23 |
$15 | |
| Amniocentesis |
$842 |
$1,683 |
$1,010 |
$120 | |
| Amylase test |
$127 |
$254 |
$10 |
$6 | |
| Anoscopy |
$36 |
$71 |
$43 |
$129 | |
| Antinuclear antibody (ANA) test |
$12 |
$24 |
$19 |
$12 | |
| Aortic aneurysm repair (AAA) |
$14,323 |
$28,645 |
$17,187 |
$1,345 | |
| Aortic valve replacement |
$20,895 |
$41,789 |
$25,073 |
$1,603 | |
| Arterial blood gas (ABG) |
$571 |
$1,141 |
$43 |
$26 | |
| AST liver enzyme test |
$176 |
$352 |
$8 |
$5 | |
| Barium swallow study |
$484 |
$967 |
$285 |
$107 | |
| Bartholin cyst removal |
$230 |
$460 |
$276 |
$182 | |
| Basic metabolic panel |
$350 |
$699 |
$14 |
$8 | |
| Benign skin lesion removal |
$666 |
$1,331 |
$666 |
$171 | |
| Bilirubin blood test |
$135 |
$269 |
$8 |
$5 | |
| Bladder function test (urodynamics) |
$763 |
$1,525 |
$876 |
$345 | |
| Blood clotting test (PT/INR) |
$117 |
$234 |
$7 |
$4 | |
| Blood crossmatch |
$36 |
$71 |
$181 |
— | |
| Blood glucose test |
$128 |
$257 |
$6 |
$5 | |
| Blood transfusion |
$1,275 |
$2,550 |
$718 |
$47 | |
| Blood type and screen |
$45 |
$90 |
$55 |
$10 | |
| Blood type test |
$80 |
$159 |
$75 |
$3 | |
| Blood type test (ABO group) |
$94 |
$187 |
$142 |
$3 | |
| Blood type test (Rh/D antigen) |
$66 |
$131 |
$40 |
$3 | |
| BNP (heart failure) test |
$45 |
$90 |
$63 |
$39 | |
| Bone density scan (DEXA) |
$757 |
$1,514 |
$116 |
$39 | |
| Bone marrow biopsy |
$1,427 |
$2,853 |
$1,674 |
$172 | |
| Bone scan (nuclear) |
$1,213 |
$2,426 |
$651 |
$259 | |
| Breast biopsy |
$4,473 |
$8,945 |
$4,473 |
$478 | |
| Breast MRI |
$1,880 |
$3,760 |
$410 |
$216 | |
| Breast MRI without contrast |
$1,880 |
$3,760 |
$388 |
$216 | |
| Breast ultrasound |
$229 |
$458 |
$148 |
$92 | |
| Breast ultrasound (complete) |
$278 |
$555 |
$170 |
$100 | |
| Breast ultrasound (limited) |
$180 |
$360 |
$142 |
$84 | |
| Breathing tube insertion (intubation) |
$325 |
$650 |
$338 |
$133 | |
| Burn dressing and debridement (medium) |
$301 |
$601 |
$361 |
$166 | |
| Burn dressing and debridement (small) |
$226 |
$451 |
$271 |
$93 | |
| Burn treatment |
$263 |
$526 |
$304 |
$129 | |
| C-reactive protein (CRP) |
$21 |
$41 |
$8 |
$5 | |
| CA 19-9 tumor marker test |
$263 |
$526 |
$34 |
$21 | |
| CA-125 ovarian marker test |
$174 |
$347 |
$34 |
$21 | |
| Calcium blood test |
$117 |
$234 |
$8 |
$5 | |
| Capsule endoscopy |
$2,989 |
$5,978 |
$1,139 |
$802 | |
| Cardiac ablation |
$24,375 |
$48,750 |
$27,832 |
$759 | |
| Cardiac catheterization |
$10,942 |
$21,885 |
$5,276 |
$1,049 | |
| Cardiac MRI |
$2,282 |
$4,563 |
$441 |
$322 | |
| Cardiac MRI without contrast |
$1,880 |
$3,760 |
$388 |
$280 | |
| Cardiac rehabilitation |
$432 |
$863 |
$162 |
$26 | |
| Cardiac stress test |
$1,439 |
$2,878 |
$230 |
$39 | |
| Cardioversion |
$1,250 |
$2,499 |
$1,029 |
$155 | |
| Carotid artery ultrasound |
$1,164 |
$2,328 |
$254 |
$156 | |
| Carpal tunnel release |
$2,036 |
$4,071 |
$2,443 |
$483 | |
| CEA tumor marker test |
$199 |
$398 |
$31 |
$19 | |
| Celiac disease test |
$11 |
$21 |
$19 |
$12 | |
| Central line placement |
$3,501 |
$7,001 |
$4,201 |
$238 | |
| Cesarean section (C-section) |
$17,125 |
$34,249 |
$18,758 |
$7,552 | |
| Chemotherapy infusion |
$411 |
$822 |
$195 |
$81 | |
| Chemotherapy infusion (each additional) |
$211 |
$422 |
$82 |
$28 | |
| Chemotherapy infusion (first hour) |
$611 |
$1,222 |
$366 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,927 |
$3,853 |
$2,890 |
$311 | |
| Chest X-ray |
$337 |
$673 |
$122 |
$37 | |
| Chest X-ray (1 view) |
$301 |
$601 |
$94 |
$25 | |
| Chest X-ray (2 views) |
$325 |
$649 |
$105 |
$33 | |
| Chickenpox (varicella) vaccine |
$339 |
$678 |
$458 |
— | |
| CK-MB heart enzyme test |
$151 |
$302 |
$19 |
$12 | |
| Clotting time test (PTT) |
$9 |
$17 |
$10 |
$6 | |
| Complete blood count (CBC) |
$157 |
$313 |
$13 |
$7 | |
| Complete blood count (CBC) (complete) |
$157 |
$313 |
$13 |
$8 | |
| Complex wound repair |
$695 |
$1,389 |
$833 |
$390 | |
| Comprehensive metabolic panel |
$405 |
$810 |
$17 |
$11 | |
| Contraceptive implant (Nexplanon) |
$489 |
$978 |
$587 |
$115 | |
| Copper blood test |
$10 |
$20 |
$20 |
$12 | |
| Coronary artery bypass (CABG) |
$93,314 |
$186,627 |
$53,326 |
$36,593 | |
| Coronary CT angiography |
$1,130 |
$2,260 |
$561 |
$326 | |
| Cortisol test |
$103 |
$206 |
$26 |
$16 | |
| COVID-19 PCR test |
$75 |
$150 |
$83 |
$51 | |
| CPAP titration study |
$947 |
$1,894 |
$275 |
$69 | |
| CT angiography of the chest |
$2,836 |
$5,671 |
$285 |
$281 | |
| CT angiography of the head |
$2,825 |
$5,649 |
$285 |
$274 | |
| CT scan of the abdomen |
$2,273 |
$4,546 |
$220 |
$230 | |
| CT scan of the abdomen and pelvis |
$4,335 |
$8,670 |
$479 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$5,006 |
$10,012 |
$568 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$4,335 |
$8,670 |
$568 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$3,770 |
$7,539 |
$388 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,569 |
$5,138 |
$285 |
$259 | |
| CT scan of the abdomen with contrast |
$2,273 |
$4,546 |
$285 |
$230 | |
| CT scan of the abdomen without contrast |
$1,977 |
$3,954 |
$170 |
$136 | |
| CT scan of the arm |
$1,926 |
$3,851 |
$352 |
$199 | |
| CT scan of the arm with contrast |
$1,926 |
$3,851 |
$568 |
$199 | |
| CT scan of the arm without contrast |
$1,675 |
$3,350 |
$170 |
$161 | |
| CT scan of the chest |
$2,253 |
$4,505 |
$220 |
$167 | |
| CT scan of the chest with and without contrast |
$2,548 |
$5,095 |
$285 |
$196 | |
| CT scan of the chest with contrast |
$2,253 |
$4,505 |
$285 |
$167 | |
| CT scan of the chest without contrast |
$1,960 |
$3,919 |
$170 |
$133 | |
| CT scan of the head |
$2,058 |
$4,115 |
$220 |
$148 | |
| CT scan of the head with and without contrast |
$2,326 |
$4,651 |
$285 |
$173 | |
| CT scan of the head with contrast |
$2,058 |
$4,115 |
$285 |
$148 | |
| CT scan of the head without contrast |
$1,789 |
$3,578 |
$170 |
$107 | |
| CT scan of the leg |
$2,093 |
$4,185 |
$220 |
$166 | |
| CT scan of the leg with contrast |
$2,093 |
$4,185 |
$285 |
$166 | |
| CT scan of the leg without contrast |
$1,820 |
$3,639 |
$170 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,602 |
$5,204 |
$352 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,943 |
$5,886 |
$285 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,602 |
$5,204 |
$568 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$2,263 |
$4,526 |
$170 |
$130 | |
| CT scan of the neck |
$2,257 |
$4,514 |
$220 |
$183 | |
| CT scan of the neck (cervical spine) |
$2,429 |
$4,858 |
$352 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,746 |
$5,491 |
$285 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$2,429 |
$4,858 |
$568 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$2,113 |
$4,225 |
$170 |
$131 | |
| CT scan of the neck with and without contrast |
$2,552 |
$5,104 |
$285 |
$220 | |
| CT scan of the neck with contrast |
$2,257 |
$4,514 |
$285 |
$183 | |
| CT scan of the neck without contrast |
$1,963 |
$3,925 |
$170 |
$150 | |
| CT scan of the pelvis |
$2,252 |
$4,503 |
$220 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,545 |
$5,090 |
$285 |
$251 | |
| CT scan of the pelvis with contrast |
$2,252 |
$4,503 |
$285 |
$226 | |
| CT scan of the pelvis without contrast |
$1,958 |
$3,916 |
$170 |
$133 | |
| CT scan of the sinuses |
$1,953 |
$3,905 |
$220 |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,208 |
$4,416 |
$285 |
$184 | |
| CT scan of the sinuses with contrast |
$1,953 |
$3,905 |
$285 |
$152 | |
| CT scan of the sinuses without contrast |
$1,699 |
$3,397 |
$170 |
$128 | |
| D-dimer test |
$22 |
$43 |
$16 |
$10 | |
| Defibrillator (ICD) implant |
$28,036 |
$56,072 |
$33,643 |
$798 | |
| Developmental screening (child) |
$412 |
$823 |
$494 |
— | |
| DHEA-sulfate test |
$17 |
$33 |
$35 |
$22 | |
| Diagnostic mammogram |
$525 |
$1,049 |
$182 |
$140 | |
| Drug screen (urine) |
$65 |
$129 |
$90 |
$17 | |
| Ear pressure test (tympanometry) |
$33 |
$66 |
$42 |
$16 | |
| Echocardiogram |
$1,088 |
$2,176 |
$443 |
$138 | |
| Echocardiogram with and without contrast |
$1,088 |
$2,176 |
$288 |
$101 | |
| Echocardiogram without contrast |
$1,088 |
$2,176 |
$401 |
$138 | |
| EEG (awake and asleep) |
$660 |
$1,320 |
$271 |
$482 | |
| EKG / ECG (tracing only) |
$316 |
$631 |
$63 |
$7 | |
| Electrocardiogram (EKG) |
$325 |
$650 |
$62 |
$8 | |
| Electroencephalogram (EEG) |
$660 |
$1,320 |
$271 |
$448 | |
| Electrolyte panel |
$247 |
$494 |
$11 |
$7 | |
| Electromyography (EMG) |
$247 |
$495 |
$169 |
$141 | |
| Emergency department visit |
$463 |
$926 |
$507 |
$69 | |
| Emergency department visit (level 1) |
$262 |
$524 |
$136 |
$11 | |
| Emergency department visit (level 2) |
$463 |
$926 |
$247 |
$40 | |
| Emergency department visit (level 3) |
$117 |
$233 |
$439 |
$69 | |
| Emergency department visit (level 4) |
$1,291 |
$2,582 |
$679 |
$118 | |
| Emergency department visit (level 5) |
$1,775 |
$3,549 |
$969 |
$171 | |
| Endometrial biopsy |
$1,059 |
$2,117 |
$1,270 |
$98 | |
| Epidural steroid injection |
$1,108 |
$2,215 |
$1,329 |
$275 | |
| ERCP (bile duct endoscopy) |
$3,730 |
$7,460 |
$4,476 |
$311 | |
| Estradiol (estrogen) test |
$25 |
$50 |
$44 |
$28 | |
| Facet joint injection (spine) |
$1,026 |
$2,052 |
$1,539 |
$99 | |
| Fallopian tube X-ray (HSG) |
$516 |
$1,033 |
$366 |
$164 | |
| Fecal occult blood (stool) test |
$41 |
$83 |
$16 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$19 |
$38 |
$7 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$64 |
$127 |
$26 |
$16 | |
| Ferritin (iron) test |
$182 |
$364 |
$22 |
$14 | |
| Fibrinogen test |
$147 |
$294 |
$16 |
$10 | |
| Flexible sigmoidoscopy |
$882 |
$1,763 |
$1,058 |
$323 | |
| Flu test |
$194 |
$387 |
$27 |
$17 | |
| Folate (folic acid) test |
$208 |
$416 |
$24 |
$15 | |
| Foreign body removal (skin) |
$686 |
$1,371 |
$823 |
$157 | |
| Free T4 thyroid test |
$188 |
$376 |
$14 |
$9 | |
| Gallbladder scan (HIDA) |
$1,163 |
$2,325 |
$697 |
$334 | |
| GGT liver test |
$188 |
$376 |
$12 |
$7 | |
| Glucose tolerance test |
$380 |
$760 |
$21 |
$8 | |
| H. pylori test |
$57 |
$113 |
$107 |
$67 | |
| HDL cholesterol test |
$221 |
$442 |
$13 |
$8 | |
| Hematocrit test |
$47 |
$94 |
$4 |
$2 | |
| Hemodialysis |
$3,027 |
$6,053 |
$738 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$51 |
$102 |
$16 |
$10 | |
| Hepatitis A vaccine |
$148 |
$296 |
$204 |
— | |
| Hepatitis B test |
$203 |
$405 |
$17 |
$10 | |
| Hepatitis B vaccine |
$128 |
$256 |
$173 |
— | |
| HIV test |
$95 |
$190 |
$26 |
$19 | |
| HIV test (antibody) |
$172 |
$344 |
$22 |
$14 | |
| HIV test (antigen/antibody combo) |
$18 |
$36 |
$39 |
$24 | |
| Holter heart monitor |
$622 |
$1,244 |
$134 |
$26 | |
| HPV vaccine |
$571 |
$1,142 |
$771 |
— | |
| Iron blood test |
$176 |
$352 |
$10 |
$6 | |
| IUD insertion |
$2,398 |
$4,796 |
$2,878 |
— | |
| IV infusion therapy |
$303 |
$606 |
$214 |
$44 | |
| IV infusion therapy (each additional) |
$172 |
$343 |
$73 |
$21 | |
| IV infusion therapy (initial) |
$435 |
$869 |
$267 |
$67 | |
| IVC filter placement |
$7,871 |
$15,741 |
$9,445 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$328 |
$657 |
$439 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$332 |
$663 |
$448 |
$57 | |
| Joint aspiration or injection (small joint) |
$325 |
$650 |
$439 |
$56 | |
| Kidney biopsy |
$1,381 |
$2,762 |
$1,657 |
$492 | |
| Kidney scan (nuclear) |
$1,098 |
$2,196 |
$578 |
$172 | |
| Kidney ultrasound |
$629 |
$1,258 |
$137 |
$84 | |
| Kidney ultrasound (limited) |
$550 |
$1,099 |
$135 |
$61 | |
| Knee joint injection |
$446 |
$891 |
$601 |
$69 | |
| Knee replacement |
$46,225 |
$92,449 |
$30,361 |
$18,054 | |
| Lactate test |
$371 |
$741 |
$19 |
$12 | |
| Laryngoscopy |
$968 |
$1,936 |
$316 |
$189 | |
| LDH test |
$6 |
$11 |
$10 |
$6 | |
| LDL cholesterol test |
$239 |
$478 |
$17 |
$11 | |
| Leg artery angiogram |
$4,887 |
$9,773 |
$3,362 |
$149 | |
| Leg vein ultrasound (Doppler) |
$1,431 |
$2,861 |
$210 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,147 |
$2,294 |
$113 |
$116 | |
| LH hormone test |
$42 |
$83 |
$30 |
$19 | |
| Lipase test |
$9 |
$18 |
$11 |
$7 | |
| Lipid (cholesterol) panel |
$247 |
$494 |
$22 |
$13 | |
| Liver biopsy |
$1,463 |
$2,926 |
$1,756 |
$288 | |
| Liver function panel |
$288 |
$576 |
$13 |
$8 | |
| Lung function test (PFT) |
$351 |
$702 |
$375 |
$37 | |
| Lung scan (V/Q) |
$1,932 |
$3,864 |
$736 |
$291 | |
| Magnesium blood test |
$8 |
$15 |
$11 |
$7 | |
| MMR vaccine |
$173 |
$346 |
$238 |
— | |
| MRA of the brain |
$2,274 |
$4,547 |
$479 |
$226 | |
| MRA of the brain with contrast |
$2,274 |
$4,547 |
$568 |
$226 | |
| MRA of the brain without contrast |
$2,644 |
$5,288 |
$568 |
$328 | |
| MRA of the neck |
$2,339 |
$4,677 |
$479 |
$245 | |
| MRA of the neck with contrast |
$2,339 |
$4,677 |
$568 |
$245 | |
| MRA of the neck without contrast |
$2,644 |
$5,288 |
$568 |
$343 | |
| MRI of the abdomen |
$2,625 |
$5,250 |
$479 |
$300 | |
| MRI of the abdomen with contrast |
$2,625 |
$5,250 |
$568 |
$300 | |
| MRI of the abdomen without contrast |
$2,283 |
$4,565 |
$388 |
$194 | |
| MRI of the ankle |
$2,646 |
$5,291 |
$479 |
$261 | |
| MRI of the ankle with contrast |
$2,646 |
$5,291 |
$568 |
$261 | |
| MRI of the ankle without contrast |
$2,301 |
$4,601 |
$388 |
$222 | |
| MRI of the brain |
$2,673 |
$5,345 |
$479 |
$269 | |
| MRI of the brain with contrast |
$2,673 |
$5,345 |
$568 |
$269 | |
| MRI of the brain without contrast |
$2,324 |
$4,648 |
$388 |
$195 | |
| MRI of the chest |
$2,409 |
$4,817 |
$787 |
$371 | |
| MRI of the chest with contrast |
$2,409 |
$4,817 |
$1,276 |
$371 | |
| MRI of the chest without contrast |
$2,724 |
$5,447 |
$568 |
$466 | |
| MRI of the knee |
$2,806 |
$5,611 |
$787 |
$315 | |
| MRI of the knee with contrast |
$2,806 |
$5,611 |
$1,276 |
$315 | |
| MRI of the knee without contrast |
$2,439 |
$4,878 |
$388 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,824 |
$5,648 |
$479 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,824 |
$5,648 |
$568 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,455 |
$4,910 |
$388 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,653 |
$5,305 |
$479 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,998 |
$5,996 |
$568 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,653 |
$5,305 |
$568 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,307 |
$4,614 |
$388 |
$190 | |
| MRI of the neck (cervical spine) |
$2,783 |
$5,566 |
$479 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$3,146 |
$6,292 |
$568 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,783 |
$5,566 |
$568 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,419 |
$4,838 |
$388 |
$191 | |
| MRI of the pelvis |
$2,338 |
$4,675 |
$479 |
$268 | |
| MRI of the pelvis with contrast |
$2,338 |
$4,675 |
$568 |
$268 | |
| MRI of the pelvis without contrast |
$2,033 |
$4,065 |
$388 |
$227 | |
| MRI of the shoulder |
$2,752 |
$5,503 |
$787 |
$313 | |
| MRI of the shoulder with contrast |
$2,752 |
$5,503 |
$1,276 |
$313 | |
| MRI of the shoulder without contrast |
$2,392 |
$4,784 |
$388 |
$205 | |
| MRI of the wrist |
$2,192 |
$4,384 |
$479 |
$330 | |
| MRI of the wrist with contrast |
$2,192 |
$4,384 |
$568 |
$330 | |
| MRI of the wrist without contrast |
$1,906 |
$3,812 |
$388 |
$303 | |
| Nebulizer breathing treatment |
$151 |
$302 |
$233 |
$9 | |
| Nerve conduction study |
$379 |
$759 |
$261 |
$118 | |
| Nuclear cardiac stress test |
$4,549 |
$9,097 |
$1,578 |
$428 | |
| Occupational therapy evaluation |
$464 |
$927 |
$142 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$482 |
$963 |
$127 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$446 |
$891 |
$127 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$464 |
$927 |
$164 |
$101 | |
| Office visit (established patient) |
$266 |
$532 |
$140 |
$115 | |
| Office visit (new patient) |
$321 |
$642 |
$142 |
$177 | |
| Office visit, established patient (level 3) |
$211 |
$422 |
$134 |
$95 | |
| Office visit, established patient (level 4) |
$321 |
$642 |
$142 |
$136 | |
| Office visit, new patient (level 3) |
$211 |
$422 |
$140 |
$118 | |
| Office visit, new patient (level 4) |
$321 |
$642 |
$146 |
$177 | |
| Office visit, new patient (level 5) |
$368 |
$735 |
$199 |
$237 | |
| Orthopedic hardware removal |
$2,691 |
$5,381 |
$3,229 |
$632 | |
| Pacemaker insertion |
$50,898 |
$101,795 |
$31,316 |
$15,506 | |
| Pap smear (cervical screening) |
$28 |
$56 |
$34 |
$20 | |
| Parathyroid hormone (PTH) test |
$29 |
$57 |
$66 |
$41 | |
| Pelvic ultrasound |
$480 |
$960 |
$126 |
$78 | |
| Pelvic ultrasound (complete) |
$630 |
$1,259 |
$147 |
$105 | |
| Pelvic ultrasound (limited) |
$331 |
$661 |
$113 |
$51 | |
| PET scan |
$7,898 |
$15,796 |
$2,327 |
— | |
| Phosphorus blood test |
$108 |
$216 |
$8 |
$5 | |
| Physical therapy evaluation |
$464 |
$927 |
$125 |
$98 | |
| Physical therapy evaluation (high complexity) |
$482 |
$963 |
$123 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$464 |
$927 |
$125 |
$98 | |
| Platelet count |
$108 |
$216 |
$7 |
$4 | |
| Pneumonia vaccine |
$218 |
$436 |
$294 |
— | |
| Pregnancy blood test (hCG) |
$265 |
$529 |
$12 |
$8 | |
| Pregnancy ultrasound |
$549 |
$1,099 |
$163 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$532 |
$1,063 |
$142 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$567 |
$1,134 |
$170 |
$136 | |
| Procalcitonin test |
$171 |
$341 |
$44 |
$27 | |
| Prolactin test |
$14 |
$27 |
$31 |
$19 | |
| Prostate test (PSA) |
$13 |
$25 |
$29 |
$18 | |
| Psychiatric evaluation |
$225 |
$451 |
$266 |
$188 | |
| Psychotherapy session |
$173 |
$345 |
$220 |
$140 | |
| Pulmonary rehabilitation |
$65 |
$129 |
$64 |
$87 | |
| Radiofrequency nerve ablation |
$2,377 |
$4,754 |
$3,209 |
$462 | |
| Rheumatoid factor test |
$101 |
$202 |
$10 |
$6 | |
| RSV vaccine |
$184 |
$368 |
$249 |
— | |
| Sacroiliac joint injection |
$1,108 |
$2,215 |
$752 |
$176 | |
| Scoliosis spine X-ray |
$359 |
$718 |
$136 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$251 |
$502 |
$133 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$467 |
$934 |
$170 |
$72 | |
| Screening mammogram |
$381 |
$762 |
$204 |
$126 | |
| Scrotal ultrasound |
$574 |
$1,147 |
$170 |
$99 | |
| Sedimentation rate (ESR) test |
$72 |
$144 |
$7 |
$3 | |
| Semen analysis |
$10 |
$20 |
$19 |
$12 | |
| Sex hormone binding globulin test |
$15 |
$30 |
$35 |
$22 | |
| Shingles vaccine |
$341 |
$683 |
$461 |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
$208 |
$416 |
$250 |
$114 | |
| Simple wound stitches |
$208 |
$416 |
$250 |
$127 | |
| Skin biopsy |
$310 |
$619 |
$404 |
$121 | |
| Skin biopsy (punch) |
$310 |
$619 |
$371 |
$121 | |
| Skin cancer lesion removal |
$666 |
$1,331 |
$799 |
$240 | |
| Skin graft |
$5,695 |
$11,389 |
$6,833 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$109 |
$219 |
$45 |
$36 | |
| Skin tag removal |
$195 |
$390 |
$234 |
$92 | |
| Sleep study (polysomnography) |
$3,956 |
$7,913 |
$1,078 |
$691 | |
| Soft tissue ultrasound |
$507 |
$1,013 |
$146 |
$64 | |
| Speech therapy |
$217 |
$433 |
$124 |
$76 | |
| Spinal cord stimulator |
$7,147 |
$14,293 |
$8,576 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$514 |
$1,027 |
$616 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$5,665 |
$11,330 |
$6,798 |
$5,803 | |
| Spirometry (lung function test) |
$176 |
$352 |
$239 |
$30 | |
| Spirometry with bronchodilator |
$526 |
$1,051 |
$397 |
$43 | |
| Strep throat test |
$80 |
$160 |
$27 |
$17 | |
| Stress echocardiogram |
$2,486 |
$4,973 |
$587 |
$209 | |
| Stress echocardiogram (complete) |
$3,014 |
$6,027 |
$582 |
$233 | |
| Swallow study |
$324 |
$648 |
$73 |
$85 | |
| T3 thyroid test |
$208 |
$416 |
$23 |
$14 | |
| Tdap (tetanus) vaccine |
$88 |
$175 |
$120 |
— | |
| Testosterone test |
$27 |
$53 |
$41 |
$26 | |
| Thyroid test (TSH) |
$345 |
$690 |
$27 |
$17 | |
| Thyroid ultrasound |
$497 |
$994 |
$170 |
$109 | |
| Thyroid uptake scan |
$816 |
$1,632 |
$430 |
$145 | |
| Tilt table test |
$2,002 |
$4,003 |
$469 |
$168 | |
| Total IgE allergy test |
$12 |
$23 |
$26 |
$16 | |
| Total protein test |
$106 |
$211 |
$6 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$1,841 |
$3,681 |
$787 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,841 |
$3,681 |
$787 |
$239 | |
| Transvaginal ultrasound |
$662 |
$1,323 |
$147 |
$118 | |
| Trigger finger release |
$2,415 |
$4,829 |
$2,897 |
$630 | |
| Trigger point injection |
$703 |
$1,405 |
$843 |
$56 | |
| Trigger point injection (1-2 muscles) |
$703 |
$1,405 |
$843 |
$52 | |
| Triglycerides test |
$239 |
$478 |
$9 |
$6 | |
| Troponin (heart) test |
$26 |
$52 |
$20 |
$12 | |
| Turning a breech baby (version) |
$3,074 |
$6,147 |
$3,688 |
$94 | |
| Upper GI series (barium) |
$708 |
$1,415 |
$285 |
$128 | |
| Uric acid (gout) test |
$108 |
$216 |
$7 |
$5 | |
| Urinalysis |
$60 |
$119 |
$4 |
$3 | |
| Urine microalbumin test |
$78 |
$156 |
$8 |
$5 | |
| Urine pregnancy test |
$56 |
$111 |
$14 |
$9 | |
| Vaccine administration |
$55 |
$110 |
$74 |
$19 | |
| Vaccine administration (each additional) |
$55 |
$110 |
$70 |
$16 | |
| Vaginal delivery |
$11,805 |
$23,610 |
$14,720 |
$5,487 | |
| Vitamin B12 test |
$179 |
$358 |
$24 |
$15 | |
| Vitamin D test |
$30 |
$59 |
$47 |
$30 | |
| Wart removal |
$189 |
$377 |
$226 |
$121 | |
| Weight-loss (bariatric) surgery |
$26,073 |
$52,147 |
$24,813 |
$11,645 | |
| Wound debridement |
$772 |
$1,544 |
$893 |
$186 | |
| X-ray of the abdomen |
$391 |
$782 |
$114 |
$36 | |
| X-ray of the ankle |
$378 |
$755 |
$127 |
$37 | |
| X-ray of the collarbone |
$269 |
$538 |
$106 |
$33 | |
| X-ray of the elbow |
$155 |
$309 |
$107 |
$33 | |
| X-ray of the facial bones |
$398 |
$795 |
$126 |
$39 | |
| X-ray of the foot |
$324 |
$648 |
$114 |
$34 | |
| X-ray of the forearm |
$324 |
$648 |
$95 |
$29 | |
| X-ray of the hand |
$284 |
$567 |
$118 |
$38 | |
| X-ray of the hip |
$418 |
$836 |
$126 |
$49 | |
| X-ray of the hip (1 view) |
$251 |
$501 |
$105 |
$34 | |
| X-ray of the hip (3 views) |
$418 |
$836 |
$122 |
$49 | |
| X-ray of the hip (4 views) |
$574 |
$1,148 |
$170 |
$63 | |
| X-ray of the knee |
$204 |
$408 |
$128 |
$42 | |
| X-ray of the knee (2 views) |
$135 |
$270 |
$114 |
$34 | |
| X-ray of the knee (3 views) |
$204 |
$408 |
$136 |
$42 | |
| X-ray of the knee (4+ views) |
$243 |
$485 |
$157 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$499 |
$998 |
$144 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$467 |
$934 |
$130 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$531 |
$1,062 |
$168 |
$53 | |
| X-ray of the lower leg |
$410 |
$820 |
$105 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$420 |
$840 |
$126 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$373 |
$746 |
$114 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$467 |
$934 |
$127 |
$39 | |
| X-ray of the neck (cervical spine) |
$540 |
$1,079 |
$127 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$373 |
$746 |
$121 |
$40 | |
| X-ray of the pelvis |
$454 |
$908 |
$126 |
$36 | |
| X-ray of the pelvis (1 view) |
$334 |
$668 |
$112 |
$28 | |
| X-ray of the ribs |
$335 |
$669 |
$131 |
$42 | |
| X-ray of the ribs (2 views) |
$335 |
$669 |
$116 |
$36 | |
| X-ray of the ribs (3 views) |
$301 |
$601 |
$131 |
$42 | |
| X-ray of the shoulder |
$340 |
$679 |
$109 |
$36 | |
| X-ray of the skull |
$525 |
$1,049 |
$135 |
$40 | |
| X-ray of the upper arm |
$284 |
$567 |
$106 |
$32 | |
| X-ray of the wrist |
$311 |
$622 |
$137 |
$43 | |
| Zinc blood test |
$16 |
$32 |
$18 |
$11 | |