| 3D mammogram (tomosynthesis) |
$81 |
$366 |
$21 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$572 |
$2,599 |
$859 |
$284 | |
| Abdominal ultrasound |
$274 |
$1,247 |
$97 |
$100 | |
| Abdominal ultrasound (complete) |
$281 |
$1,277 |
$97 |
$114 | |
| Abdominal ultrasound (limited) |
$268 |
$1,217 |
$97 |
$86 | |
| Abscess drainage (complex or multiple) |
$2,312 |
$10,510 |
$366 |
$220 | |
| Abscess drainage (simple) |
$2,113 |
$9,604 |
$182 |
$129 | |
| Abscess incision and drainage |
$2,113 |
$9,604 |
$366 |
$174 | |
| Achilles tendon repair |
$6,370 |
$28,954 |
$6,542 |
$624 | |
| ACL knee reconstruction |
$12,452 |
$56,598 |
$6,542 |
$889 | |
| Adenoid removal (adenoidectomy) |
$4,050 |
$18,408 |
$2,970 |
$204 | |
| Albumin blood test |
$15 |
$69 |
$5 |
$5 | |
| Aldosterone test |
$55 |
$252 |
$41 |
$41 | |
| Alkaline phosphatase test |
$16 |
$72 |
$5 |
$5 | |
| Allergy shots |
$29 |
$133 |
$42 |
$11 | |
| Alpha-fetoprotein (AFP) test |
$51 |
$232 |
$17 |
$17 | |
| ALT liver enzyme test |
$16 |
$73 |
$5 |
$5 | |
| Ammonia blood test |
$44 |
$201 |
$15 |
$15 | |
| Amniocentesis |
$483 |
$2,195 |
$797 |
$120 | |
| Amylase test |
$20 |
$91 |
$6 |
$6 | |
| Anal fistula repair |
$3,422 |
$15,556 |
$2,511 |
$541 | |
| Ankle fracture repair |
$13,168 |
$59,854 |
$6,542 |
$608 | |
| Ankle replacement |
$23,432 |
$106,509 |
$16,840 |
$885 | |
| Annual physical (established patient) |
$98 |
$447 |
$125 |
— | |
| Annual physical (new patient) |
$141 |
$640 |
$156 |
— | |
| Anoscopy |
$86 |
$393 |
$118 |
$129 | |
| Antinuclear antibody (ANA) test |
$37 |
$168 |
$12 |
$12 | |
| Aortic valve replacement |
$7,564 |
$34,383 |
$1,769 |
$1,603 | |
| Arterial blood gas (ABG) |
$59 |
$269 |
$26 |
$26 | |
| AST liver enzyme test |
$16 |
$73 |
$5 |
$5 | |
| Barium swallow study |
$259 |
$1,176 |
$163 |
$107 | |
| Bartholin cyst removal |
$128 |
$583 |
$184 |
$182 | |
| Basic metabolic panel |
$21 |
$95 |
$8 |
$8 | |
| Benign skin lesion removal |
$2,145 |
$9,752 |
$644 |
$171 | |
| Bilirubin blood test |
$16 |
$71 |
$5 |
$5 | |
| Bladder function test (urodynamics) |
$2,821 |
$12,823 |
$611 |
$345 | |
| Bladder scope (cystoscopy) |
$4,162 |
$18,917 |
$1,165 |
$216 | |
| Bladder tumor removal (TURBT) |
$3,690 |
$16,773 |
$3,158 |
$236 | |
| Blood crossmatch |
$87 |
$394 |
$157 |
— | |
| Blood glucose test |
$10 |
$44 |
$4 |
$5 | |
| Blood transfusion |
$693 |
$3,151 |
$400 |
$47 | |
| Blood type and screen |
$31 |
$139 |
$49 |
$10 | |
| Blood type test |
$21 |
$94 |
$36 |
$3 | |
| Blood type test (ABO group) |
$11 |
$48 |
$118 |
$3 | |
| Blood type test (Rh/D antigen) |
$31 |
$139 |
$36 |
$3 | |
| BNP (heart failure) test |
$68 |
$307 |
$39 |
$39 | |
| Bone density scan (DEXA) |
$254 |
$1,156 |
$97 |
$39 | |
| Bone marrow biopsy |
$1,347 |
$6,123 |
$2,105 |
$172 | |
| Bone scan (nuclear) |
$625 |
$2,841 |
$368 |
$259 | |
| Botox for migraine |
$182 |
$826 |
$270 |
$157 | |
| Brain shunt (VP shunt) |
$12,639 |
$57,448 |
$905 |
$1,023 | |
| Breast biopsy |
$998 |
$4,536 |
$1,484 |
$478 | |
| Breast MRI |
$1,612 |
$7,326 |
$327 |
$216 | |
| Breast MRI without contrast |
$1,364 |
$6,202 |
$221 |
$216 | |
| Breast reconstruction |
$13,710 |
$62,319 |
$15,932 |
$1,227 | |
| Breast reduction |
$11,246 |
$51,120 |
$5,972 |
$980 | |
| Breast ultrasound |
$163 |
$743 |
$81 |
$92 | |
| Breast ultrasound (complete) |
$163 |
$743 |
$97 |
$100 | |
| Breast ultrasound (limited) |
$163 |
$743 |
$81 |
$84 | |
| Breathing tube insertion (intubation) |
$794 |
$3,609 |
$213 |
$133 | |
| Bronchoscopy |
$2,427 |
$11,032 |
$2,383 |
$303 | |
| Bunion surgery (bunionectomy) |
$13,636 |
$61,984 |
$11,782 |
$883 | |
| Burn dressing and debridement (medium) |
$1,485 |
$6,749 |
$182 |
$166 | |
| Burn dressing and debridement (small) |
$1,104 |
$5,019 |
$380 |
$93 | |
| Burn treatment |
$1,155 |
$5,250 |
$184 |
$129 | |
| C-reactive protein (CRP) |
$16 |
$72 |
$5 |
$5 | |
| CA 19-9 tumor marker test |
$64 |
$289 |
$21 |
$21 | |
| CA-125 ovarian marker test |
$64 |
$289 |
$21 |
$21 | |
| Calcium blood test |
$16 |
$71 |
$5 |
$5 | |
| Capsule endoscopy |
$759 |
$3,451 |
$859 |
$802 | |
| Cardiac ablation |
$28,149 |
$127,952 |
$22,464 |
$759 | |
| Cardiac catheterization |
$8,088 |
$36,762 |
$2,945 |
$1,049 | |
| Cardiac MRI |
$1,241 |
$5,640 |
$327 |
$322 | |
| Cardiac MRI without contrast |
$981 |
$4,460 |
$221 |
$280 | |
| Cardiac rehabilitation |
$290 |
$1,319 |
$115 |
$26 | |
| Cardiac stress test |
$193 |
$875 |
$285 |
$39 | |
| Cardioversion |
$794 |
$3,609 |
$599 |
$155 | |
| Carotid artery ultrasound |
$288 |
$1,311 |
$182 |
$156 | |
| Carpal tunnel release |
$2,912 |
$13,237 |
$1,788 |
$483 | |
| Cataract surgery |
$3,985 |
$18,112 |
$2,192 |
$547 | |
| CEA tumor marker test |
$58 |
$262 |
$19 |
$19 | |
| Celiac disease test |
$18 |
$81 |
$12 |
$12 | |
| Central line placement |
$3,381 |
$15,368 |
$2,882 |
$238 | |
| Cervical cerclage |
$3,009 |
$13,679 |
$2,912 |
$137 | |
| Cervical LEEP procedure |
$3,245 |
$14,749 |
$2,912 |
$325 | |
| Cesarean section (C-section) |
$6,946 |
$31,573 |
$9,519 |
$7,552 | |
| Chalazion (eyelid cyst) removal |
$2,409 |
$10,949 |
$274 |
$131 | |
| Chemotherapy infusion |
$142 |
$645 |
$280 |
$81 | |
| Chemotherapy infusion (each additional) |
$44 |
$199 |
$65 |
$28 | |
| Chemotherapy infusion (first hour) |
$240 |
$1,090 |
$304 |
$133 | |
| Chest fluid drain (thoracentesis) |
$496 |
$2,254 |
$566 |
$311 | |
| Chest tube insertion |
$6,926 |
$31,482 |
$1,422 |
$143 | |
| Chest X-ray |
$96 |
$438 |
$81 |
$37 | |
| Chest X-ray (1 view) |
$96 |
$438 |
$81 |
$25 | |
| Chest X-ray (2 views) |
$96 |
$438 |
$81 |
$33 | |
| Chickenpox (varicella) vaccine |
$58 |
$263 |
$118 |
— | |
| Circumcision |
$3,655 |
$16,612 |
$1,876 |
$167 | |
| CK-MB heart enzyme test |
$35 |
$161 |
$12 |
$12 | |
| Colonoscopy |
$1,341 |
$6,096 |
$1,068 |
$480 | |
| Complete blood count (CBC) |
$22 |
$100 |
$7 |
$7 | |
| Complete blood count (CBC) (complete) |
$24 |
$108 |
$8 |
$8 | |
| Complex wound repair |
$8,305 |
$37,751 |
$5,972 |
$390 | |
| Comprehensive eye exam |
$79 |
$360 |
$118 |
$138 | |
| Comprehensive metabolic panel |
$26 |
$120 |
$11 |
$11 | |
| Continuous glucose monitor setup |
$29 |
$130 |
$32 |
$35 | |
| Copper blood test |
$38 |
$173 |
$12 |
$12 | |
| Corneal transplant |
$8,605 |
$39,112 |
$3,684 |
$1,066 | |
| Coronary artery bypass (CABG) |
$35,487 |
$161,305 |
$43,274 |
$36,593 | |
| Coronary CT angiography |
$977 |
$4,442 |
$327 |
$326 | |
| Cortisol test |
$50 |
$225 |
$16 |
$16 | |
| COVID-19 PCR test |
$33 |
$150 |
$51 |
$51 | |
| CPAP titration study |
$789 |
$3,585 |
$186 |
$69 | |
| Craniotomy (brain surgery) |
$28,188 |
$128,125 |
$1,914 |
$2,161 | |
| Creatine kinase (CK) test |
$20 |
$92 |
$7 |
$7 | |
| CT angiography of the chest |
$1,135 |
$5,158 |
$164 |
$281 | |
| CT angiography of the head |
$1,135 |
$5,158 |
$164 |
$274 | |
| CT scan of the abdomen |
$975 |
$4,432 |
$163 |
$230 | |
| CT scan of the abdomen and pelvis |
$1,949 |
$8,861 |
$327 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,269 |
$10,312 |
$327 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$1,949 |
$8,861 |
$327 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,408 |
$6,402 |
$221 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,135 |
$5,158 |
$164 |
$259 | |
| CT scan of the abdomen with contrast |
$975 |
$4,432 |
$163 |
$230 | |
| CT scan of the abdomen without contrast |
$704 |
$3,202 |
$97 |
$136 | |
| CT scan of the arm |
$975 |
$4,432 |
$179 |
$199 | |
| CT scan of the arm with contrast |
$975 |
$4,432 |
$327 |
$199 | |
| CT scan of the arm without contrast |
$704 |
$3,202 |
$97 |
$161 | |
| CT scan of the chest |
$1,055 |
$4,795 |
$163 |
$167 | |
| CT scan of the chest with and without contrast |
$1,135 |
$5,158 |
$163 |
$196 | |
| CT scan of the chest with contrast |
$1,795 |
$8,159 |
$163 |
$167 | |
| CT scan of the chest without contrast |
$704 |
$3,202 |
$97 |
$133 | |
| CT scan of the head |
$840 |
$3,817 |
$163 |
$148 | |
| CT scan of the head with and without contrast |
$1,135 |
$5,158 |
$163 |
$173 | |
| CT scan of the head with contrast |
$975 |
$4,432 |
$163 |
$148 | |
| CT scan of the head without contrast |
$704 |
$3,202 |
$97 |
$107 | |
| CT scan of the leg |
$975 |
$4,432 |
$163 |
$166 | |
| CT scan of the leg with contrast |
$975 |
$4,432 |
$163 |
$166 | |
| CT scan of the leg without contrast |
$704 |
$3,202 |
$97 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$975 |
$4,432 |
$179 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,135 |
$5,158 |
$164 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$975 |
$4,432 |
$327 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$704 |
$3,202 |
$97 |
$130 | |
| CT scan of the neck |
$975 |
$4,432 |
$163 |
$183 | |
| CT scan of the neck (cervical spine) |
$975 |
$4,432 |
$179 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,135 |
$5,158 |
$164 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$975 |
$4,432 |
$327 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$704 |
$3,202 |
$97 |
$131 | |
| CT scan of the neck with and without contrast |
$1,135 |
$5,158 |
$163 |
$220 | |
| CT scan of the neck with contrast |
$975 |
$4,432 |
$163 |
$183 | |
| CT scan of the neck without contrast |
$704 |
$3,202 |
$97 |
$150 | |
| CT scan of the pelvis |
$975 |
$4,432 |
$163 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,135 |
$5,158 |
$164 |
$251 | |
| CT scan of the pelvis with contrast |
$975 |
$4,432 |
$163 |
$226 | |
| CT scan of the pelvis without contrast |
$704 |
$3,202 |
$97 |
$133 | |
| CT scan of the sinuses |
$975 |
$4,432 |
$163 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,135 |
$5,158 |
$163 |
$184 | |
| CT scan of the sinuses with contrast |
$975 |
$4,432 |
$163 |
$152 | |
| CT scan of the sinuses without contrast |
$704 |
$3,202 |
$97 |
$128 | |
| D-dimer test |
$31 |
$141 |
$10 |
$10 | |
| Defibrillator (ICD) implant |
$30,830 |
$140,136 |
$29,359 |
$798 | |
| Developmental screening (child) |
$132 |
$599 |
$208 |
— | |
| DHEA-sulfate test |
$68 |
$307 |
$22 |
$22 | |
| Diagnostic mammogram |
$254 |
$1,156 |
$82 |
$140 | |
| Dialysis fistula creation |
$7,113 |
$32,333 |
$2,882 |
$601 | |
| Dilation and curettage (D&C) |
$2,841 |
$12,916 |
$2,912 |
$298 | |
| Droopy eyelid repair (ptosis) |
$2,918 |
$13,264 |
$2,136 |
$745 | |
| Drug screen (urine) |
$226 |
$1,029 |
$62 |
$17 | |
| Ear pressure test (tympanometry) |
$45 |
$204 |
$36 |
$16 | |
| Ear tubes (myringotomy) |
$381 |
$1,730 |
$635 |
$174 | |
| Eardrum repair (tympanoplasty) |
$8,451 |
$38,411 |
$5,417 |
$799 | |
| Echocardiogram |
$939 |
$4,269 |
$221 |
$138 | |
| Echocardiogram with and without contrast |
$271 |
$1,230 |
$221 |
$101 | |
| EEG (awake and asleep) |
$288 |
$1,308 |
$285 |
$482 | |
| EKG / ECG (tracing only) |
$78 |
$356 |
$54 |
$7 | |
| Electrocardiogram (EKG) |
$78 |
$356 |
$45 |
$8 | |
| Electroencephalogram (EEG) |
$281 |
$1,278 |
$285 |
$448 | |
| Electrolyte panel |
$18 |
$80 |
$7 |
$7 | |
| Emergency department visit |
$406 |
$1,848 |
$476 |
$69 | |
| Emergency department visit (level 1) |
$178 |
$807 |
$81 |
$11 | |
| Emergency department visit (level 2) |
$208 |
$944 |
$145 |
$40 | |
| Emergency department visit (level 3) |
$309 |
$1,406 |
$254 |
$69 | |
| Emergency department visit (level 4) |
$504 |
$2,289 |
$390 |
$118 | |
| Emergency department visit (level 5) |
$3,474 |
$15,789 |
$561 |
$171 | |
| Epidural steroid injection |
$492 |
$2,236 |
$634 |
$275 | |
| ERCP (bile duct endoscopy) |
$1,996 |
$9,071 |
$3,484 |
$311 | |
| Esophageal dilation |
$737 |
$3,350 |
$1,410 |
$522 | |
| Esophageal variceal banding |
$1,143 |
$5,195 |
$1,737 |
$126 | |
| Estradiol (estrogen) test |
$85 |
$387 |
$28 |
$28 | |
| Facet joint injection (spine) |
$700 |
$3,181 |
$815 |
$99 | |
| Fallopian tube X-ray (HSG) |
$409 |
$1,858 |
$221 |
$164 | |
| Family therapy session |
$121 |
$551 |
$118 |
$110 | |
| Fecal occult blood (stool) test |
$10 |
$45 |
$4 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$10 |
$45 |
$4 |
$4 | |
| Feeding tube (PEG) placement |
$1,332 |
$6,052 |
$1,737 |
$178 | |
| Ferritin (iron) test |
$42 |
$190 |
$14 |
$14 | |
| Fibrinogen test |
$26 |
$119 |
$10 |
$10 | |
| Fibroid removal (myomectomy) |
$5,888 |
$26,764 |
$1,035 |
$914 | |
| Flexible sigmoidoscopy |
$744 |
$3,384 |
$835 |
$323 | |
| Flu test |
$24 |
$109 |
$17 |
$17 | |
| Flu vaccine |
$14 |
$65 |
$22 |
— | |
| Folate (folic acid) test |
$45 |
$203 |
$15 |
$15 | |
| Foreign body removal (skin) |
$1,263 |
$5,743 |
$366 |
$157 | |
| Free T4 thyroid test |
$28 |
$125 |
$9 |
$9 | |
| FSH hormone test |
$57 |
$258 |
$19 |
$19 | |
| Gallbladder removal (laparoscopic) |
$5,343 |
$24,289 |
$5,343 |
$658 | |
| Gallbladder scan (HIDA) |
$635 |
$2,888 |
$493 |
$334 | |
| Ganglion cyst removal |
$5,440 |
$24,726 |
$1,466 |
$321 | |
| GGT liver test |
$22 |
$101 |
$7 |
$7 | |
| Glaucoma surgery |
$1,870 |
$8,499 |
$2,088 |
$984 | |
| Glucose tolerance test |
$19 |
$89 |
$4 |
$8 | |
| H. pylori test |
$140 |
$635 |
$67 |
$67 | |
| Hammertoe repair |
$10,501 |
$47,732 |
$11,782 |
$548 | |
| HDL cholesterol test |
$13 |
$57 |
$8 |
$8 | |
| Hearing test (audiometry) |
$114 |
$518 |
$143 |
$36 | |
| Hematocrit test |
$7 |
$32 |
$2 |
$2 | |
| Hemodialysis |
$879 |
$3,997 |
$641 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$104 |
$473 |
$10 |
$10 | |
| Hemorrhoid removal |
$2,926 |
$13,301 |
$1,337 |
$338 | |
| Hepatitis A vaccine |
$59 |
$266 |
$117 |
— | |
| Hepatitis B vaccine |
$56 |
$254 |
$53 |
— | |
| Hepatitis C test |
$44 |
$200 |
$14 |
$14 | |
| Hip arthroscopy |
$17,046 |
$77,481 |
$6,542 |
$931 | |
| Hip replacement |
$12,655 |
$57,522 |
$11,782 |
$1,162 | |
| HIV test |
$818 |
$3,719 |
$24 |
$19 | |
| HIV test (antigen/antibody combo) |
$818 |
$3,719 |
$24 |
$24 | |
| Holter heart monitor |
$193 |
$875 |
$93 |
$26 | |
| HPV vaccine |
$170 |
$771 |
$228 |
— | |
| Hydrocele repair |
$5,530 |
$25,138 |
$3,232 |
$315 | |
| Hysterectomy |
$8,958 |
$40,717 |
$2,833 |
$933 | |
| Hysteroscopy |
$3,653 |
$16,604 |
$2,912 |
$1,270 | |
| Inguinal hernia repair |
$6,638 |
$30,171 |
$3,232 |
$538 | |
| Iron blood test |
$20 |
$91 |
$6 |
$6 | |
| IV infusion therapy |
$96 |
$436 |
$159 |
$44 | |
| IV infusion therapy (each additional) |
$32 |
$147 |
$42 |
$21 | |
| IV infusion therapy (initial) |
$159 |
$724 |
$193 |
$67 | |
| IVC filter placement |
$7,608 |
$34,584 |
$4,950 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$293 |
$1,330 |
$270 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$1,120 |
$5,090 |
$270 |
$57 | |
| Joint aspiration or injection (small joint) |
$293 |
$1,330 |
$270 |
$56 | |
| Kidney biopsy |
$2,318 |
$10,539 |
$1,484 |
$492 | |
| Kidney removal (nephrectomy) |
$8,416 |
$38,254 |
$1,204 |
$1,164 | |
| Kidney scan (nuclear) |
$729 |
$3,313 |
$493 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$2,641 |
$12,006 |
$3,158 |
$760 | |
| Kidney ultrasound |
$268 |
$1,217 |
$97 |
$84 | |
| Kidney ultrasound (limited) |
$268 |
$1,217 |
$97 |
$61 | |
| Knee arthroscopy |
$7,236 |
$32,889 |
$2,971 |
$524 | |
| Knee joint injection |
$481 |
$2,187 |
$270 |
$69 | |
| Knee replacement |
$18,127 |
$82,395 |
$23,457 |
$18,054 | |
| Lactate test |
$33 |
$149 |
$12 |
$12 | |
| Laminectomy (spine) |
$14,666 |
$66,662 |
$6,626 |
$1,157 | |
| Laryngoscopy |
$238 |
$1,082 |
$183 |
$189 | |
| LDH test |
$18 |
$84 |
$6 |
$6 | |
| LDL cholesterol test |
$22 |
$102 |
$11 |
$11 | |
| Leg artery angiogram |
$2,357 |
$10,713 |
$2,882 |
$149 | |
| Leg artery angioplasty |
$19,001 |
$86,368 |
$10,385 |
— | |
| Leg vein ultrasound (Doppler) |
$303 |
$1,377 |
$221 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$303 |
$1,377 |
$97 |
$116 | |
| LH hormone test |
$57 |
$258 |
$19 |
$19 | |
| Lipase test |
$21 |
$95 |
$7 |
$7 | |
| Lipid (cholesterol) panel |
$40 |
$184 |
$13 |
$13 | |
| Liver biopsy |
$1,530 |
$6,953 |
$1,484 |
$288 | |
| Liver function panel |
$21 |
$95 |
$8 |
$8 | |
| Lumbar discectomy |
$10,551 |
$47,961 |
$6,542 |
$898 | |
| Lumpectomy (breast) |
$13,762 |
$62,556 |
$3,506 |
$750 | |
| Lung function test (PFT) |
$282 |
$1,284 |
$143 |
$37 | |
| Lung scan (V/Q) |
$689 |
$3,133 |
$493 |
$291 | |
| Magnesium blood test |
$21 |
$94 |
$7 |
$7 | |
| Mastectomy |
$12,027 |
$54,668 |
$5,972 |
$1,021 | |
| Mastoidectomy |
$8,262 |
$37,553 |
$5,417 |
$840 | |
| Meniscus repair (knee) |
$9,798 |
$44,538 |
$2,971 |
$714 | |
| MMR vaccine |
$59 |
$269 |
$118 |
— | |
| MRA of the brain |
$1,551 |
$7,052 |
$327 |
$226 | |
| MRA of the brain with contrast |
$1,551 |
$7,052 |
$327 |
$226 | |
| MRA of the brain without contrast |
$1,859 |
$8,449 |
$327 |
$328 | |
| MRA of the neck |
$1,551 |
$7,052 |
$327 |
$245 | |
| MRA of the neck with contrast |
$1,551 |
$7,052 |
$327 |
$245 | |
| MRA of the neck without contrast |
$1,859 |
$8,449 |
$327 |
$343 | |
| MRI of the abdomen |
$1,551 |
$7,052 |
$327 |
$300 | |
| MRI of the abdomen with contrast |
$1,551 |
$7,052 |
$327 |
$300 | |
| MRI of the abdomen without contrast |
$1,364 |
$6,202 |
$221 |
$194 | |
| MRI of the ankle |
$1,552 |
$7,054 |
$327 |
$261 | |
| MRI of the ankle with contrast |
$1,552 |
$7,054 |
$327 |
$261 | |
| MRI of the ankle without contrast |
$1,364 |
$6,201 |
$221 |
$222 | |
| MRI of the brain |
$1,551 |
$7,052 |
$327 |
$269 | |
| MRI of the brain with contrast |
$1,551 |
$7,052 |
$327 |
$269 | |
| MRI of the brain without contrast |
$1,364 |
$6,202 |
$221 |
$195 | |
| MRI of the chest |
$1,551 |
$7,052 |
$373 |
$371 | |
| MRI of the chest with contrast |
$1,551 |
$7,052 |
$723 |
$371 | |
| MRI of the chest without contrast |
$1,859 |
$8,449 |
$327 |
$466 | |
| MRI of the knee |
$1,552 |
$7,054 |
$344 |
$315 | |
| MRI of the knee with contrast |
$1,552 |
$7,054 |
$723 |
$315 | |
| MRI of the knee without contrast |
$1,364 |
$6,202 |
$221 |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,551 |
$7,052 |
$327 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,551 |
$7,052 |
$327 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,364 |
$6,202 |
$221 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,551 |
$7,052 |
$327 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$1,859 |
$8,449 |
$327 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,551 |
$7,052 |
$327 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,364 |
$6,202 |
$221 |
$190 | |
| MRI of the neck (cervical spine) |
$1,551 |
$7,052 |
$327 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$1,859 |
$8,449 |
$327 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,551 |
$7,052 |
$327 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,364 |
$6,202 |
$221 |
$191 | |
| MRI of the pelvis |
$1,551 |
$7,052 |
$327 |
$268 | |
| MRI of the pelvis with contrast |
$1,551 |
$7,052 |
$327 |
$268 | |
| MRI of the pelvis without contrast |
$1,364 |
$6,202 |
$221 |
$227 | |
| MRI of the shoulder |
$1,552 |
$7,054 |
$373 |
$313 | |
| MRI of the shoulder with contrast |
$1,552 |
$7,054 |
$723 |
$313 | |
| MRI of the shoulder without contrast |
$1,364 |
$6,201 |
$221 |
$205 | |
| MRI of the wrist |
$1,552 |
$7,054 |
$327 |
$330 | |
| MRI of the wrist with contrast |
$1,552 |
$7,054 |
$327 |
$330 | |
| MRI of the wrist without contrast |
$1,364 |
$6,201 |
$221 |
$303 | |
| Neck (cervical) spinal fusion |
$14,334 |
$65,152 |
$11,782 |
$1,410 | |
| Nerve conduction study |
$138 |
$627 |
$228 |
$118 | |
| Nuclear cardiac stress test |
$1,934 |
$8,790 |
$1,195 |
$428 | |
| Occupational therapy evaluation |
$78 |
$356 |
$95 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$78 |
$356 |
$95 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$78 |
$356 |
$95 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$78 |
$356 |
$95 |
$101 | |
| Office visit (established patient) |
$68 |
$310 |
$81 |
$115 | |
| Office visit (new patient) |
$75 |
$339 |
$122 |
$177 | |
| Office visit, established patient (level 3) |
$62 |
$281 |
$60 |
$95 | |
| Office visit, established patient (level 4) |
$75 |
$339 |
$89 |
$136 | |
| Office visit, new patient (level 3) |
$62 |
$281 |
$75 |
$118 | |
| Office visit, new patient (level 4) |
$75 |
$339 |
$122 |
$177 | |
| Office visit, new patient (level 5) |
$90 |
$409 |
$165 |
$237 | |
| Orthopedic hardware removal |
$9,320 |
$42,363 |
$6,542 |
$632 | |
| Ovarian cyst removal |
$8,017 |
$36,440 |
$4,520 |
$698 | |
| Ovary removal (oophorectomy) |
$6,568 |
$29,856 |
$793 |
$822 | |
| Pacemaker insertion |
$29,509 |
$134,131 |
$23,716 |
$15,506 | |
| Pap smear (cervical screening) |
$115 |
$524 |
$20 |
$20 | |
| Parathyroid hormone (PTH) test |
$126 |
$573 |
$41 |
$41 | |
| Parathyroid removal |
$7,722 |
$35,098 |
$5,417 |
$891 | |
| Pelvic ultrasound |
$216 |
$980 |
$97 |
$78 | |
| Pelvic ultrasound (complete) |
$268 |
$1,217 |
$97 |
$105 | |
| Pelvic ultrasound (limited) |
$163 |
$743 |
$97 |
$51 | |
| PET scan |
$1,151 |
$5,231 |
$1,336 |
— | |
| Phosphorus blood test |
$13 |
$60 |
$5 |
$5 | |
| Physical therapy evaluation |
$81 |
$367 |
$93 |
$98 | |
| Physical therapy evaluation (high complexity) |
$81 |
$367 |
$93 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$81 |
$367 |
$93 |
$98 | |
| Pilonidal cyst removal |
$4,600 |
$20,910 |
$2,621 |
$541 | |
| Platelet count |
$13 |
$61 |
$4 |
$4 | |
| Pneumonia vaccine |
$141 |
$640 |
$125 |
— | |
| Pregnancy blood test (hCG) |
$23 |
$105 |
$8 |
$8 | |
| Pregnancy ultrasound |
$220 |
$1,000 |
$97 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$172 |
$783 |
$97 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$268 |
$1,217 |
$97 |
$136 | |
| Procalcitonin test |
$36 |
$165 |
$27 |
$27 | |
| Prolactin test |
$59 |
$269 |
$19 |
$19 | |
| Prostate biopsy |
$630 |
$2,864 |
$1,876 |
— | |
| Prostate removal (prostatectomy) |
$8,239 |
$37,449 |
$9,534 |
$1,063 | |
| Prostate surgery (TURP) |
$5,050 |
$22,955 |
$4,655 |
$526 | |
| Prostate test (PSA) |
$56 |
$256 |
$18 |
$18 | |
| Psychiatric evaluation |
$109 |
$498 |
$218 |
$188 | |
| Psychotherapy session |
$101 |
$457 |
$118 |
$140 | |
| Pterygium removal (eye) |
$2,103 |
$9,560 |
$2,136 |
$540 | |
| Radiofrequency nerve ablation |
$9,071 |
$41,232 |
$1,788 |
$462 | |
| Retinal detachment repair |
$6,744 |
$30,657 |
$3,684 |
$966 | |
| Rotator cuff repair |
$9,037 |
$41,079 |
$6,542 |
$792 | |
| Sacroiliac joint injection |
$322 |
$1,464 |
$83 |
$176 | |
| Scoliosis spine X-ray |
$137 |
$624 |
$97 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$103 |
$470 |
$81 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$171 |
$778 |
$97 |
$72 | |
| Screening mammogram |
$115 |
$524 |
$80 |
$126 | |
| Scrotal ultrasound |
$268 |
$1,217 |
$97 |
$99 | |
| Sedimentation rate (ESR) test |
$8 |
$37 |
$3 |
$3 | |
| Septoplasty (deviated septum) |
$5,820 |
$26,455 |
$3,376 |
$613 | |
| Sex hormone binding globulin test |
$66 |
$301 |
$22 |
$22 | |
| Shoulder arthroscopy |
$8,893 |
$40,424 |
$6,542 |
$962 | |
| Shoulder replacement |
$15,655 |
$71,161 |
$16,840 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$1,435 |
$6,521 |
$182 |
$114 | |
| Simple wound stitches |
$344 |
$1,566 |
$182 |
$127 | |
| Sinus surgery (endoscopic) |
$8,848 |
$40,217 |
$6,339 |
$224 | |
| Skin biopsy |
$266 |
$1,209 |
$465 |
$121 | |
| Skin biopsy (punch) |
$338 |
$1,534 |
$366 |
$121 | |
| Skin cancer lesion removal |
$532 |
$2,420 |
$644 |
$240 | |
| Skin graft |
$5,835 |
$26,522 |
$2,228 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$62 |
$282 |
$182 |
$36 | |
| Skin tag removal |
$2,251 |
$10,230 |
$564 |
$92 | |
| Soft tissue ultrasound |
$155 |
$706 |
$97 |
$64 | |
| Speech therapy |
$176 |
$802 |
$71 |
$76 | |
| Spinal tap (lumbar puncture) |
$1,959 |
$8,904 |
$634 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$6,926 |
$31,483 |
$6,542 |
$5,803 | |
| Spirometry (lung function test) |
$181 |
$823 |
$143 |
$30 | |
| Spirometry with bronchodilator |
$384 |
$1,744 |
$285 |
$43 | |
| Strabismus (eye muscle) surgery |
$4,795 |
$21,793 |
$2,673 |
$475 | |
| Strep throat test |
$35 |
$158 |
$17 |
$17 | |
| Stress echocardiogram |
$515 |
$2,341 |
$502 |
$209 | |
| Stress echocardiogram (complete) |
$502 |
$2,283 |
$502 |
$233 | |
| Swallow study |
$301 |
$1,368 |
$66 |
$85 | |
| T3 thyroid test |
$43 |
$196 |
$14 |
$14 | |
| Tdap (tetanus) vaccine |
$77 |
$350 |
$154 |
— | |
| Testicle removal (orchiectomy) |
$7,078 |
$32,171 |
$5,343 |
$306 | |
| Testosterone test |
$79 |
$358 |
$26 |
$26 | |
| Thyroid removal (thyroidectomy) |
$8,698 |
$39,535 |
$5,343 |
$1,004 | |
| Thyroid test (TSH) |
$51 |
$232 |
$17 |
$17 | |
| Thyroid ultrasound |
$268 |
$1,217 |
$97 |
$109 | |
| Thyroid uptake scan |
$209 |
$951 |
$368 |
$145 | |
| Tilt table test |
$488 |
$2,216 |
$486 |
$168 | |
| Tonsillectomy |
$4,597 |
$20,897 |
$2,970 |
$252 | |
| Total IgE allergy test |
$50 |
$229 |
$16 |
$16 | |
| Total protein test |
$11 |
$51 |
$4 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$693 |
$3,151 |
$502 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$693 |
$3,151 |
$502 |
$239 | |
| Transvaginal ultrasound |
$268 |
$1,217 |
$97 |
$118 | |
| Trigger finger release |
$3,075 |
$13,976 |
$1,466 |
$630 | |
| Trigger point injection |
$252 |
$1,146 |
$270 |
$56 | |
| Trigger point injection (1-2 muscles) |
$350 |
$1,593 |
$270 |
$52 | |
| Triglycerides test |
$18 |
$80 |
$6 |
$6 | |
| Troponin (heart) test |
$30 |
$136 |
$12 |
$12 | |
| Tubal ligation |
$4,419 |
$20,088 |
$5,343 |
$333 | |
| Turbinate reduction |
$7,730 |
$35,138 |
$2,970 |
$294 | |
| Turning a breech baby (version) |
$664 |
$3,020 |
$2,912 |
$94 | |
| Ulnar nerve surgery (elbow) |
$6,776 |
$30,799 |
$11,782 |
$575 | |
| Upper GI endoscopy (EGD) |
$1,668 |
$7,581 |
$859 |
$371 | |
| Upper GI series (barium) |
$259 |
$1,176 |
$163 |
$128 | |
| Ureteral stent placement |
$5,082 |
$23,100 |
$4,655 |
$373 | |
| Ureteroscopy (stone removal) |
$4,252 |
$19,327 |
$4,655 |
$365 | |
| Uric acid (gout) test |
$14 |
$64 |
$5 |
$5 | |
| Urinalysis |
$8 |
$38 |
$3 |
$3 | |
| Urine microalbumin test |
$16 |
$72 |
$6 |
$5 | |
| Urine pregnancy test |
$10 |
$44 |
$9 |
$9 | |
| Vaccine administration |
$27 |
$121 |
$50 |
$19 | |
| Vaccine administration (each additional) |
$22 |
$99 |
$25 |
$16 | |
| Vaginal delivery |
$5,772 |
$26,235 |
$7,527 |
$5,487 | |
| Varicose vein ablation |
$2,210 |
$10,046 |
$2,882 |
$1,018 | |
| Vasectomy |
$2,577 |
$11,712 |
$1,876 |
$347 | |
| Vitamin B12 test |
$46 |
$209 |
$15 |
$15 | |
| Vitamin D test |
$90 |
$410 |
$30 |
$30 | |
| Vitrectomy (eye) |
$5,196 |
$23,617 |
$3,684 |
$814 | |
| Vocal cord injection |
$4,026 |
$18,299 |
$3,376 |
$211 | |
| Wart removal |
$272 |
$1,235 |
$182 |
$121 | |
| Weight-loss (bariatric) surgery |
$11,416 |
$51,891 |
$19,792 |
$11,645 | |
| Well-child visit |
$53 |
$240 |
$75 |
— | |
| Wound debridement |
$2,297 |
$10,440 |
$746 |
$186 | |
| Wrist fracture repair |
$9,705 |
$44,115 |
$6,542 |
$735 | |
| X-ray of the abdomen |
$177 |
$806 |
$97 |
$36 | |
| X-ray of the ankle |
$121 |
$550 |
$81 |
$37 | |
| X-ray of the collarbone |
$121 |
$550 |
$81 |
$33 | |
| X-ray of the elbow |
$121 |
$550 |
$81 |
$33 | |
| X-ray of the facial bones |
$121 |
$550 |
$91 |
$39 | |
| X-ray of the foot |
$121 |
$550 |
$81 |
$34 | |
| X-ray of the forearm |
$121 |
$550 |
$81 |
$29 | |
| X-ray of the hand |
$121 |
$550 |
$81 |
$38 | |
| X-ray of the hip |
$103 |
$470 |
$81 |
$49 | |
| X-ray of the hip (1 view) |
$103 |
$470 |
$81 |
$34 | |
| X-ray of the hip (3 views) |
$103 |
$470 |
$81 |
$49 | |
| X-ray of the hip (4 views) |
$177 |
$806 |
$97 |
$63 | |
| X-ray of the knee |
$121 |
$550 |
$81 |
$42 | |
| X-ray of the knee (2 views) |
$121 |
$550 |
$81 |
$34 | |
| X-ray of the knee (3 views) |
$121 |
$550 |
$81 |
$42 | |
| X-ray of the knee (4+ views) |
$121 |
$550 |
$97 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$166 |
$755 |
$97 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$121 |
$550 |
$97 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$211 |
$960 |
$97 |
$53 | |
| X-ray of the lower leg |
$121 |
$550 |
$81 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$121 |
$550 |
$97 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$121 |
$550 |
$97 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$121 |
$550 |
$97 |
$39 | |
| X-ray of the neck (cervical spine) |
$166 |
$755 |
$97 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$121 |
$550 |
$81 |
$40 | |
| X-ray of the pelvis |
$121 |
$550 |
$97 |
$36 | |
| X-ray of the pelvis (1 view) |
$121 |
$550 |
$97 |
$28 | |
| X-ray of the ribs |
$121 |
$550 |
$97 |
$42 | |
| X-ray of the ribs (2 views) |
$121 |
$550 |
$81 |
$36 | |
| X-ray of the ribs (3 views) |
$121 |
$550 |
$97 |
$42 | |
| X-ray of the shoulder |
$121 |
$550 |
$81 |
$36 | |
| X-ray of the skull |
$166 |
$755 |
$97 |
$40 | |
| X-ray of the upper arm |
$121 |
$550 |
$81 |
$32 | |
| X-ray of the wrist |
$121 |
$550 |
$81 |
$43 | |
| YAG laser capsulotomy (eye) |
$2,875 |
$13,068 |
$502 |
$335 | |
| Zinc blood test |
$34 |
$156 |
$11 |
$11 | |