| 3D mammogram (tomosynthesis) |
$104 |
$207 |
$153 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$3,549 |
$7,097 |
$877 |
$284 | |
| Abdominal ultrasound |
$403 |
$805 |
$202 |
$100 | |
| Abdominal ultrasound (complete) |
$403 |
$805 |
$403 |
$114 | |
| Abdominal ultrasound (limited) |
$403 |
$805 |
$202 |
$86 | |
| Abscess drainage (complex or multiple) |
$1,512 |
$3,024 |
$393 |
$220 | |
| Abscess drainage (simple) |
$752 |
$1,504 |
$194 |
$129 | |
| Abscess incision and drainage |
$752 |
$1,504 |
$393 |
$174 | |
| Achilles tendon repair |
$691 |
$1,382 |
$1,341 |
$624 | |
| Albumin blood test |
$15 |
$29 |
$23 |
$5 | |
| Alkaline phosphatase test |
$15 |
$31 |
$24 |
$5 | |
| Allergy shots |
$11 |
$22 |
$11 |
$11 | |
| Alpha-fetoprotein (AFP) test |
$50 |
$100 |
$77 |
$17 | |
| ALT liver enzyme test |
$16 |
$31 |
$22 |
$5 | |
| Ammonia blood test |
$33 |
$67 |
$42 |
$15 | |
| Amylase test |
$19 |
$38 |
$13 |
$6 | |
| Anal fistula repair |
$5,442 |
$10,883 |
$2,685 |
$541 | |
| Ankle fracture repair |
$682 |
$1,364 |
$1,238 |
$608 | |
| Anoscopy |
$488 |
$976 |
$129 |
$129 | |
| Antinuclear antibody (ANA) test |
$36 |
$72 |
$50 |
$12 | |
| Aortic aneurysm repair (AAA) |
$12,028 |
$24,056 |
$23,334 |
$1,345 | |
| Aortic valve replacement |
$38,923 |
$77,845 |
$70,061 |
$1,603 | |
| Arterial blood gas (ABG) |
$77 |
$155 |
$120 |
$26 | |
| AST liver enzyme test |
$15 |
$31 |
$24 |
$5 | |
| Barium swallow study |
$674 |
$1,348 |
$674 |
$107 | |
| Bartholin cyst removal |
$438 |
$877 |
$196 |
$182 | |
| Basic metabolic panel |
$25 |
$50 |
$35 |
$8 | |
| Benign skin lesion removal |
$2,142 |
$4,284 |
$685 |
$171 | |
| Bilirubin blood test |
$15 |
$30 |
$23 |
$5 | |
| Bladder function test (urodynamics) |
$132 |
$264 |
$575 |
$345 | |
| Bladder scope (cystoscopy) |
$1,167 |
$2,333 |
$574 |
$216 | |
| Blood clotting test (PT/INR) |
$13 |
$25 |
$18 |
$4 | |
| Blood crossmatch |
$424 |
$849 |
$626 |
— | |
| Blood glucose test |
$12 |
$23 |
$18 |
$5 | |
| Blood transfusion |
$1,655 |
$3,309 |
$999 |
$47 | |
| Blood type and screen |
$135 |
$271 |
$189 |
$10 | |
| Blood type test |
$46 |
$92 |
$86 |
$3 | |
| Blood type test (ABO group) |
$46 |
$92 |
$90 |
$3 | |
| Blood type test (Rh/D antigen) |
$12 |
$23 |
$22 |
$3 | |
| BNP (heart failure) test |
$117 |
$233 |
$163 |
$39 | |
| Bone density scan (DEXA) |
$403 |
$805 |
$403 |
$39 | |
| Bone marrow biopsy |
$6,133 |
$12,265 |
$3,002 |
$172 | |
| Bone scan (nuclear) |
$1,521 |
$3,042 |
$1,512 |
$259 | |
| Botox for migraine |
$1,117 |
$2,235 |
$1,376 |
$157 | |
| Breast biopsy |
$6,133 |
$12,265 |
$7,531 |
$478 | |
| Breast MRI |
$915 |
$1,830 |
$899 |
$216 | |
| Breast MRI without contrast |
$915 |
$1,830 |
$899 |
$216 | |
| Breast ultrasound |
$333 |
$667 |
$178 |
$92 | |
| Breast ultrasound (complete) |
$403 |
$805 |
$116 |
$100 | |
| Breast ultrasound (limited) |
$333 |
$667 |
$209 |
$84 | |
| Breathing tube insertion (intubation) |
$879 |
$1,758 |
$229 |
$133 | |
| Bunion surgery (bunionectomy) |
$585 |
$1,170 |
$1,226 |
$883 | |
| Burn dressing and debridement (medium) |
$752 |
$1,504 |
$194 |
$166 | |
| Burn dressing and debridement (small) |
$752 |
$1,504 |
$194 |
$93 | |
| Burn treatment |
$752 |
$1,504 |
$194 |
$129 | |
| C-reactive protein (CRP) |
$15 |
$31 |
$22 |
$5 | |
| CA 19-9 tumor marker test |
$62 |
$124 |
$95 |
$21 | |
| CA-125 ovarian marker test |
$62 |
$124 |
$95 |
$21 | |
| Calcium blood test |
$15 |
$31 |
$24 |
$5 | |
| Capsule endoscopy |
$3,252 |
$6,504 |
$4,174 |
$802 | |
| Cardiac ablation |
$92,854 |
$185,708 |
$50,566 |
$759 | |
| Cardiac catheterization |
$12,174 |
$24,348 |
$3,136 |
$1,049 | |
| Cardiac event monitor |
$255 |
$509 |
$332 |
$170 | |
| Cardiac MRI |
$915 |
$1,830 |
$899 |
$322 | |
| Cardiac MRI without contrast |
$915 |
$1,830 |
$899 |
$280 | |
| Cardiac rehabilitation |
$484 |
$967 |
$677 |
$26 | |
| Cardiac stress test |
$1,179 |
$2,357 |
$418 |
$39 | |
| Cardioversion |
$2,477 |
$4,954 |
$959 |
$155 | |
| Carotid artery surgery |
$1,227 |
$2,454 |
$2,380 |
$1,026 | |
| Carotid artery ultrasound |
$915 |
$1,830 |
$564 |
$156 | |
| Cataract surgery |
$8,907 |
$17,813 |
$10,824 |
$547 | |
| CEA tumor marker test |
$56 |
$113 |
$87 |
$19 | |
| Celiac disease test |
$34 |
$68 |
$55 |
$12 | |
| Cervical LEEP procedure |
$12,133 |
$24,266 |
$14,522 |
$325 | |
| Chalazion (eyelid cyst) removal |
$1,131 |
$2,263 |
$461 |
$131 | |
| Chemotherapy infusion |
$297 |
$593 |
$320 |
$81 | |
| Chemotherapy infusion (each additional) |
$269 |
$539 |
$104 |
$28 | |
| Chemotherapy infusion (first hour) |
$1,255 |
$2,511 |
$480 |
$133 | |
| Chest fluid drain (thoracentesis) |
$2,340 |
$4,680 |
$2,918 |
$311 | |
| Chest tube insertion |
$167 |
$334 |
$150 |
$143 | |
| Chest X-ray |
$333 |
$667 |
$333 |
$37 | |
| Chest X-ray (1 view) |
$333 |
$667 |
$333 |
$25 | |
| Chest X-ray (2 views) |
$333 |
$667 |
$333 |
$33 | |
| Chickenpox (varicella) vaccine |
$216 |
$432 |
$388 |
— | |
| Circumcision |
$7,754 |
$15,507 |
$2,022 |
$167 | |
| CK-MB heart enzyme test |
$34 |
$69 |
$53 |
$12 | |
| Clotting time test (PTT) |
$18 |
$36 |
$25 |
$6 | |
| Colon resection (colectomy) |
$1,444 |
$2,888 |
$2,246 |
$1,238 | |
| Colonoscopy |
$265 |
$531 |
$505 |
$480 | |
| Colostomy |
$1,295 |
$2,589 |
$1,144 |
$1,122 | |
| Colposcopy |
$1,206 |
$2,412 |
$1,490 |
$161 | |
| Complete blood count (CBC) |
$21 |
$42 |
$26 |
$7 | |
| Complete blood count (CBC) (complete) |
$23 |
$46 |
$32 |
$8 | |
| Complex wound repair |
$2,317 |
$4,634 |
$715 |
$390 | |
| Comprehensive eye exam |
$488 |
$976 |
$614 |
$138 | |
| Comprehensive metabolic panel |
$31 |
$63 |
$27 |
$11 | |
| Continuous glucose monitor setup |
$36 |
$72 |
$34 |
$35 | |
| Contraceptive implant (Nexplanon) |
$1,510 |
$3,021 |
$878 |
$115 | |
| Copper blood test |
$37 |
$74 |
$57 |
$12 | |
| Coronary CT angiography |
$1,352 |
$2,703 |
$675 |
$326 | |
| Cortisol test |
$46 |
$92 |
$70 |
$16 | |
| COVID-19 PCR test |
$136 |
$272 |
$218 |
$51 | |
| CPAP titration study |
$789 |
$1,579 |
$1,105 |
$69 | |
| Creatine kinase (CK) test |
$19 |
$39 |
$30 |
$7 | |
| CT angiography of the chest |
$674 |
$1,348 |
$674 |
$281 | |
| CT angiography of the head |
$674 |
$1,348 |
$674 |
$274 | |
| CT scan of the abdomen |
$674 |
$1,348 |
$511 |
$230 | |
| CT scan of the abdomen and pelvis |
$1,352 |
$2,703 |
$1,138 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$1,352 |
$2,703 |
$1,410 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$1,352 |
$2,703 |
$1,410 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$915 |
$1,830 |
$899 |
$183 | |
| CT scan of the abdomen with and without contrast |
$674 |
$1,348 |
$674 |
$259 | |
| CT scan of the abdomen with contrast |
$674 |
$1,348 |
$674 |
$230 | |
| CT scan of the abdomen without contrast |
$403 |
$805 |
$403 |
$136 | |
| CT scan of the arm |
$674 |
$1,348 |
$644 |
$199 | |
| CT scan of the arm with contrast |
$1,352 |
$2,703 |
$781 |
$199 | |
| CT scan of the arm without contrast |
$403 |
$805 |
$403 |
$161 | |
| CT scan of the chest |
$674 |
$1,348 |
$511 |
$167 | |
| CT scan of the chest with and without contrast |
$674 |
$1,348 |
$674 |
$196 | |
| CT scan of the chest with contrast |
$674 |
$1,348 |
$674 |
$167 | |
| CT scan of the chest without contrast |
$403 |
$805 |
$403 |
$133 | |
| CT scan of the head |
$674 |
$1,348 |
$511 |
$148 | |
| CT scan of the head with and without contrast |
$674 |
$1,348 |
$674 |
$173 | |
| CT scan of the head with contrast |
$674 |
$1,348 |
$674 |
$148 | |
| CT scan of the head without contrast |
$403 |
$805 |
$403 |
$107 | |
| CT scan of the leg |
$674 |
$1,348 |
$511 |
$166 | |
| CT scan of the leg with contrast |
$674 |
$1,348 |
$674 |
$166 | |
| CT scan of the leg without contrast |
$403 |
$805 |
$403 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$674 |
$1,348 |
$644 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$674 |
$1,348 |
$674 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,352 |
$2,703 |
$1,410 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$403 |
$805 |
$403 |
$130 | |
| CT scan of the neck |
$674 |
$1,348 |
$511 |
$183 | |
| CT scan of the neck (cervical spine) |
$674 |
$1,348 |
$644 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$674 |
$1,348 |
$674 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,352 |
$2,703 |
$1,410 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$403 |
$805 |
$403 |
$131 | |
| CT scan of the neck with and without contrast |
$674 |
$1,348 |
$674 |
$220 | |
| CT scan of the neck with contrast |
$674 |
$1,348 |
$674 |
$183 | |
| CT scan of the neck without contrast |
$403 |
$805 |
$403 |
$150 | |
| CT scan of the pelvis |
$674 |
$1,348 |
$511 |
$226 | |
| CT scan of the pelvis with and without contrast |
$674 |
$1,348 |
$674 |
$251 | |
| CT scan of the pelvis with contrast |
$674 |
$1,348 |
$674 |
$226 | |
| CT scan of the pelvis without contrast |
$403 |
$805 |
$403 |
$133 | |
| CT scan of the sinuses |
$674 |
$1,348 |
$511 |
$152 | |
| CT scan of the sinuses with and without contrast |
$674 |
$1,348 |
$674 |
$184 | |
| CT scan of the sinuses with contrast |
$674 |
$1,348 |
$674 |
$152 | |
| CT scan of the sinuses without contrast |
$403 |
$805 |
$403 |
$128 | |
| D-dimer test |
$30 |
$60 |
$47 |
$10 | |
| Defibrillator (ICD) implant |
$121,352 |
$242,704 |
$152,816 |
$798 | |
| Developmental screening (child) |
$237 |
$475 |
$427 |
— | |
| DHEA-sulfate test |
$66 |
$132 |
$102 |
$22 | |
| Diagnostic mammogram |
$494 |
$987 |
$371 |
$140 | |
| Dilation and curettage (D&C) |
$12,158 |
$24,317 |
$17,022 |
$298 | |
| Droopy eyelid repair (ptosis) |
$602 |
$1,204 |
$520 |
$745 | |
| Drug screen (urine) |
$184 |
$369 |
$252 |
$17 | |
| Echocardiogram |
$941 |
$1,881 |
$1,057 |
$138 | |
| Echocardiogram with and without contrast |
$915 |
$1,830 |
$462 |
$101 | |
| Echocardiogram without contrast |
$937 |
$1,874 |
$1,138 |
$138 | |
| EKG / ECG (tracing only) |
$225 |
$450 |
$284 |
$7 | |
| Elbow replacement |
$705 |
$1,409 |
$1,367 |
$1,301 | |
| Electrocardiogram (EKG) |
$225 |
$450 |
$315 |
$8 | |
| Electrolyte panel |
$21 |
$42 |
$32 |
$7 | |
| Electromyography (EMG) |
$488 |
$976 |
$593 |
$141 | |
| Emergency department visit |
$599 |
$1,199 |
$264 |
$69 | |
| Emergency department visit (level 1) |
$333 |
$667 |
$82 |
$11 | |
| Emergency department visit (level 2) |
$599 |
$1,199 |
$149 |
$40 | |
| Emergency department visit (level 3) |
$1,048 |
$2,096 |
$264 |
$69 | |
| Emergency department visit (level 4) |
$1,612 |
$3,223 |
$404 |
$118 | |
| Emergency department visit (level 5) |
$2,321 |
$4,641 |
$576 |
$171 | |
| Endometrial biopsy |
$761 |
$1,523 |
$196 |
$98 | |
| ERCP (bile duct endoscopy) |
$372 |
$744 |
$737 |
$311 | |
| Esophageal dilation |
$3,549 |
$7,097 |
$877 |
$522 | |
| Estradiol (estrogen) test |
$83 |
$166 |
$116 |
$28 | |
| Facet joint injection (spine) |
$3,370 |
$6,739 |
$4,718 |
$99 | |
| Fallopian tube X-ray (HSG) |
$915 |
$1,830 |
$231 |
$164 | |
| Fecal occult blood (stool) test |
$54 |
$107 |
$23 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$13 |
$26 |
$20 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$54 |
$107 |
$75 |
$16 | |
| Feeding tube (PEG) placement |
$211 |
$423 |
$381 |
$178 | |
| Femoral hernia repair |
$627 |
$1,254 |
$619 |
$584 | |
| Ferritin (iron) test |
$40 |
$81 |
$57 |
$14 | |
| Fibrinogen test |
$29 |
$58 |
$45 |
$10 | |
| Fibroid removal (myomectomy) |
$1,116 |
$2,231 |
$1,978 |
$914 | |
| Flu test |
$49 |
$98 |
$76 |
$17 | |
| Flu vaccine |
$89 |
$178 |
$160 |
— | |
| Folate (folic acid) test |
$26 |
$51 |
$15 |
$15 | |
| Foreign body removal (skin) |
$810 |
$1,620 |
$334 |
$157 | |
| Free T4 thyroid test |
$26 |
$52 |
$37 |
$9 | |
| FSH hormone test |
$51 |
$102 |
$76 |
$19 | |
| Gallbladder removal (laparoscopic) |
$749 |
$1,498 |
$1,304 |
$658 | |
| Gallbladder scan (HIDA) |
$1,779 |
$3,558 |
$1,714 |
$334 | |
| GGT liver test |
$21 |
$43 |
$33 |
$7 | |
| Glucose tolerance test |
$25 |
$50 |
$20 |
$8 | |
| Hammertoe repair |
$403 |
$806 |
$782 |
$548 | |
| HDL cholesterol test |
$24 |
$49 |
$38 |
$8 | |
| Hematocrit test |
$7 |
$14 |
$11 |
$2 | |
| Hemodialysis |
$2,686 |
$5,371 |
$3,760 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$12 |
$24 |
$14 |
$10 | |
| Hemorrhoid removal |
$3,451 |
$6,902 |
$900 |
$338 | |
| Hepatitis A vaccine |
$103 |
$207 |
$186 |
— | |
| Hepatitis B test |
$31 |
$61 |
$47 |
$10 | |
| Hepatitis B vaccine |
$198 |
$396 |
$168 |
— | |
| Hepatitis C test |
$42 |
$85 |
$65 |
$14 | |
| Hip fracture repair |
$1,304 |
$2,608 |
$2,530 |
$1,120 | |
| Hip replacement |
$1,369 |
$2,738 |
$2,656 |
$1,162 | |
| HIV test |
$71 |
$143 |
$73 |
$19 | |
| HIV test (antibody) |
$41 |
$81 |
$57 |
$14 | |
| HIV test (antigen/antibody combo) |
$71 |
$143 |
$110 |
$24 | |
| Holter heart monitor |
$497 |
$993 |
$593 |
$26 | |
| Home sleep apnea test |
$225 |
$450 |
$209 |
$123 | |
| HPV vaccine |
$363 |
$725 |
$671 |
— | |
| Hysterectomy |
$1,031 |
$2,061 |
$1,960 |
$933 | |
| Hysteroscopy |
$12,034 |
$24,069 |
$3,131 |
$1,270 | |
| Inguinal hernia repair |
$602 |
$1,204 |
$576 |
$538 | |
| Iron blood test |
$19 |
$38 |
$27 |
$6 | |
| IUD insertion |
$1,128 |
$2,256 |
$2,031 |
— | |
| IUD removal |
$1,151 |
$2,303 |
$295 |
$112 | |
| IV infusion therapy |
$797 |
$1,595 |
$314 |
$44 | |
| IV infusion therapy (each additional) |
$175 |
$349 |
$221 |
$21 | |
| IV infusion therapy (initial) |
$797 |
$1,595 |
$996 |
$67 | |
| IVC filter placement |
$20,460 |
$40,921 |
$20,152 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$1,117 |
$2,235 |
$297 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$1,117 |
$2,235 |
$297 |
$57 | |
| Joint aspiration or injection (small joint) |
$1,117 |
$2,235 |
$297 |
$56 | |
| Kidney biopsy |
$6,133 |
$12,265 |
$1,598 |
$492 | |
| Kidney removal (nephrectomy) |
$1,384 |
$2,768 |
$1,198 |
$1,164 | |
| Kidney scan (nuclear) |
$2,066 |
$4,133 |
$1,982 |
$172 | |
| Kidney ultrasound |
$403 |
$805 |
$253 |
$84 | |
| Kidney ultrasound (limited) |
$403 |
$805 |
$253 |
$61 | |
| Knee joint injection |
$1,142 |
$2,283 |
$1,086 |
$69 | |
| Lactate test |
$34 |
$69 |
$53 |
$12 | |
| Laminectomy (spine) |
$1,313 |
$2,626 |
$1,281 |
$1,157 | |
| Laryngoscopy |
$735 |
$1,470 |
$193 |
$189 | |
| LDH test |
$18 |
$36 |
$25 |
$6 | |
| LDL cholesterol test |
$31 |
$62 |
$48 |
$11 | |
| Leg artery angiogram |
$11,913 |
$23,826 |
$11,689 |
$149 | |
| Leg artery angioplasty |
$32,468 |
$64,935 |
$41,865 |
— | |
| Leg vein ultrasound (Doppler) |
$425 |
$849 |
$563 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$403 |
$805 |
$511 |
$116 | |
| LH hormone test |
$55 |
$110 |
$85 |
$19 | |
| Lipase test |
$20 |
$41 |
$32 |
$7 | |
| Lipid (cholesterol) panel |
$40 |
$79 |
$15 |
$13 | |
| Liver biopsy |
$3,112 |
$6,224 |
$1,389 |
$288 | |
| Liver function panel |
$24 |
$49 |
$34 |
$8 | |
| Lumpectomy (breast) |
$882 |
$1,765 |
$888 |
$750 | |
| Lung function test (PFT) |
$596 |
$1,193 |
$722 |
$37 | |
| Lung scan (V/Q) |
$2,037 |
$4,075 |
$588 |
$291 | |
| Magnesium blood test |
$20 |
$40 |
$28 |
$7 | |
| MMR vaccine |
$262 |
$524 |
$234 |
— | |
| MRA of the brain |
$1,352 |
$2,703 |
$1,210 |
$226 | |
| MRA of the brain with contrast |
$1,352 |
$2,703 |
$1,410 |
$226 | |
| MRA of the brain without contrast |
$1,352 |
$2,703 |
$1,410 |
$328 | |
| MRA of the neck |
$1,352 |
$2,703 |
$1,138 |
$245 | |
| MRA of the neck with contrast |
$1,352 |
$2,703 |
$1,410 |
$245 | |
| MRA of the neck without contrast |
$1,352 |
$2,703 |
$1,410 |
$343 | |
| MRI of the abdomen |
$1,352 |
$2,703 |
$1,210 |
$300 | |
| MRI of the abdomen with contrast |
$1,352 |
$2,703 |
$1,410 |
$300 | |
| MRI of the abdomen without contrast |
$915 |
$1,830 |
$899 |
$194 | |
| MRI of the ankle |
$1,352 |
$2,703 |
$1,138 |
$261 | |
| MRI of the ankle with contrast |
$1,352 |
$2,703 |
$1,410 |
$261 | |
| MRI of the ankle without contrast |
$915 |
$1,830 |
$899 |
$222 | |
| MRI of the brain |
$1,352 |
$2,703 |
$1,138 |
$269 | |
| MRI of the brain with contrast |
$1,352 |
$2,703 |
$1,410 |
$269 | |
| MRI of the brain without contrast |
$915 |
$1,830 |
$899 |
$195 | |
| MRI of the chest |
$1,352 |
$2,703 |
$1,410 |
$371 | |
| MRI of the chest with contrast |
$2,990 |
$5,981 |
$2,936 |
$371 | |
| MRI of the chest without contrast |
$1,352 |
$2,703 |
$1,410 |
$466 | |
| MRI of the knee |
$1,352 |
$2,703 |
$1,410 |
$315 | |
| MRI of the knee with contrast |
$2,990 |
$5,981 |
$2,936 |
$315 | |
| MRI of the knee without contrast |
$915 |
$1,830 |
$899 |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,352 |
$2,703 |
$1,138 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,352 |
$2,703 |
$1,410 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$915 |
$1,830 |
$899 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,352 |
$2,703 |
$1,138 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$1,352 |
$2,703 |
$1,410 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,352 |
$2,703 |
$1,410 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$915 |
$1,830 |
$899 |
$190 | |
| MRI of the neck (cervical spine) |
$1,352 |
$2,703 |
$1,138 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$1,352 |
$2,703 |
$1,410 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,352 |
$2,703 |
$1,410 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$915 |
$1,830 |
$899 |
$191 | |
| MRI of the pelvis |
$1,352 |
$2,703 |
$1,210 |
$268 | |
| MRI of the pelvis with contrast |
$1,352 |
$2,703 |
$1,410 |
$268 | |
| MRI of the pelvis without contrast |
$915 |
$1,830 |
$899 |
$227 | |
| MRI of the shoulder |
$1,352 |
$2,703 |
$1,410 |
$313 | |
| MRI of the shoulder with contrast |
$2,990 |
$5,981 |
$2,936 |
$313 | |
| MRI of the shoulder without contrast |
$915 |
$1,830 |
$899 |
$205 | |
| MRI of the wrist |
$1,352 |
$2,703 |
$1,138 |
$330 | |
| MRI of the wrist with contrast |
$1,352 |
$2,703 |
$1,410 |
$330 | |
| MRI of the wrist without contrast |
$915 |
$1,830 |
$899 |
$303 | |
| Nebulizer breathing treatment |
$770 |
$1,540 |
$1,078 |
$9 | |
| Neck (cervical) spinal fusion |
$1,870 |
$3,739 |
$3,365 |
$1,410 | |
| Nerve conduction study |
$1,179 |
$2,357 |
$948 |
$118 | |
| Nuchal translucency ultrasound |
$230 |
$461 |
$104 |
$116 | |
| Nuclear cardiac stress test |
$5,020 |
$10,039 |
$5,207 |
$428 | |
| Occupational therapy evaluation |
$212 |
$424 |
$189 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$317 |
$633 |
$130 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$212 |
$424 |
$297 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$188 |
$376 |
$130 |
$101 | |
| Office visit (established patient) |
$152 |
$304 |
$274 |
$115 | |
| Office visit (new patient) |
$152 |
$304 |
$274 |
$177 | |
| Office visit, established patient (level 3) |
$152 |
$304 |
$274 |
$95 | |
| Office visit, established patient (level 4) |
$152 |
$304 |
$274 |
$136 | |
| Office visit, new patient (level 3) |
$152 |
$304 |
$274 |
$118 | |
| Office visit, new patient (level 4) |
$152 |
$304 |
$274 |
$177 | |
| Office visit, new patient (level 5) |
$152 |
$304 |
$274 |
$237 | |
| Orthopedic hardware removal |
$443 |
$887 |
$860 |
$632 | |
| Ovarian cyst removal |
$823 |
$1,645 |
$705 |
$698 | |
| Ovary removal (oophorectomy) |
$936 |
$1,872 |
$1,488 |
$822 | |
| Pap smear (cervical screening) |
$60 |
$120 |
$93 |
$20 | |
| Parathyroid hormone (PTH) test |
$123 |
$245 |
$172 |
$41 | |
| Parathyroid removal |
$1,045 |
$2,090 |
$2,027 |
$891 | |
| Pelvic ultrasound |
$403 |
$805 |
$403 |
$78 | |
| Pelvic ultrasound (complete) |
$403 |
$805 |
$403 |
$105 | |
| Pelvic ultrasound (limited) |
$403 |
$805 |
$403 |
$51 | |
| PET scan |
$5,521 |
$11,041 |
$5,737 |
— | |
| Phosphorus blood test |
$14 |
$28 |
$22 |
$5 | |
| Physical therapy evaluation |
$266 |
$531 |
$388 |
$98 | |
| Physical therapy evaluation (high complexity) |
$266 |
$531 |
$430 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$235 |
$471 |
$405 |
$98 | |
| Pilonidal cyst removal |
$10,833 |
$21,666 |
$4,215 |
$541 | |
| Platelet count |
$13 |
$27 |
$21 |
$4 | |
| Pneumonia vaccine |
$342 |
$685 |
$303 |
— | |
| Pregnancy blood test (hCG) |
$22 |
$45 |
$34 |
$8 | |
| Pregnancy ultrasound |
$403 |
$805 |
$403 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$403 |
$805 |
$403 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$403 |
$805 |
$403 |
$136 | |
| Procalcitonin test |
$81 |
$162 |
$125 |
$27 | |
| Prolactin test |
$58 |
$115 |
$89 |
$19 | |
| Prostate removal (prostatectomy) |
$1,522 |
$3,043 |
$3,201 |
$1,063 | |
| Prostate surgery (TURP) |
$770 |
$1,539 |
$674 |
$526 | |
| Prostate test (PSA) |
$55 |
$109 |
$76 |
$18 | |
| Pulmonary rehabilitation |
$244 |
$489 |
$367 |
$87 | |
| Rheumatoid factor test |
$18 |
$36 |
$28 |
$6 | |
| Rotator cuff repair |
$887 |
$1,774 |
$1,565 |
$792 | |
| RSV vaccine |
$885 |
$1,770 |
$1,593 |
— | |
| Sacroiliac joint injection |
$87 |
$173 |
$156 |
$176 | |
| Scoliosis spine X-ray |
$340 |
$680 |
$333 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$340 |
$680 |
$333 |
$44 | |
| Screening colonoscopy |
$193 |
$387 |
$171 |
$378 | |
| Screening mammogram |
$501 |
$1,001 |
$364 |
$126 | |
| Scrotal ultrasound |
$403 |
$805 |
$202 |
$99 | |
| Sedimentation rate (ESR) test |
$9 |
$19 |
$13 |
$3 | |
| Semen analysis |
$36 |
$72 |
$57 |
$12 | |
| Sex hormone binding globulin test |
$65 |
$129 |
$100 |
$22 | |
| Shingles vaccine |
$232 |
$463 |
$417 |
— | |
| Shoulder replacement |
$1,537 |
$3,074 |
$2,982 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$752 |
$1,504 |
$194 |
$114 | |
| Simple wound stitches |
$752 |
$1,504 |
$194 |
$127 | |
| Skin biopsy |
$1,512 |
$3,024 |
$1,266 |
$121 | |
| Skin biopsy (punch) |
$1,537 |
$3,074 |
$1,852 |
$121 | |
| Skin cancer lesion removal |
$2,663 |
$5,326 |
$1,370 |
$240 | |
| Skin graft |
$7,304 |
$14,609 |
$3,428 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$752 |
$1,504 |
$688 |
$36 | |
| Skin tag removal |
$752 |
$1,504 |
$194 |
$92 | |
| Sleep study (polysomnography) |
$3,851 |
$7,702 |
$4,857 |
$691 | |
| Small bowel resection |
$1,329 |
$2,658 |
$2,392 |
$1,136 | |
| Soft tissue ultrasound |
$403 |
$805 |
$202 |
$64 | |
| Speech therapy |
$213 |
$426 |
$330 |
$76 | |
| Spinal tap (lumbar puncture) |
$2,621 |
$5,242 |
$683 |
$165 | |
| Spirometry (lung function test) |
$592 |
$1,184 |
$726 |
$30 | |
| Spirometry with bronchodilator |
$1,179 |
$2,357 |
$722 |
$43 | |
| Spleen removal (splenectomy) |
$1,200 |
$2,399 |
$2,092 |
$1,036 | |
| Stomach removal (gastrectomy) |
$1,579 |
$3,158 |
$2,689 |
$1,595 | |
| Strep throat test |
$49 |
$98 |
$76 |
$17 | |
| Stress echocardiogram |
$2,075 |
$4,151 |
$2,563 |
$209 | |
| Stress echocardiogram (complete) |
$2,075 |
$4,151 |
$2,905 |
$233 | |
| Swallow study |
$230 |
$460 |
$320 |
$85 | |
| T3 thyroid test |
$42 |
$84 |
$65 |
$14 | |
| Tdap (tetanus) vaccine |
$151 |
$301 |
$271 |
— | |
| Testicle removal (orchiectomy) |
$347 |
$693 |
$302 |
$306 | |
| Testosterone test |
$77 |
$153 |
$107 |
$26 | |
| Thyroid test (TSH) |
$50 |
$100 |
$26 |
$17 | |
| Thyroid ultrasound |
$403 |
$805 |
$202 |
$109 | |
| Thyroid uptake scan |
$1,521 |
$3,042 |
$1,512 |
$145 | |
| Tilt table test |
$2,055 |
$4,110 |
$2,877 |
$168 | |
| Total IgE allergy test |
$49 |
$98 |
$75 |
$16 | |
| Total protein test |
$11 |
$22 |
$17 |
$4 | |
| Tracheostomy |
$328 |
$657 |
$291 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$2,075 |
$4,151 |
$1,269 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$2,075 |
$4,151 |
$1,269 |
$239 | |
| Transvaginal ultrasound |
$403 |
$805 |
$237 |
$118 | |
| Trigger point injection |
$1,117 |
$2,235 |
$297 |
$56 | |
| Trigger point injection (1-2 muscles) |
$1,117 |
$2,235 |
$297 |
$52 | |
| Triglycerides test |
$17 |
$34 |
$26 |
$6 | |
| Troponin (heart) test |
$37 |
$74 |
$57 |
$12 | |
| Tubal ligation |
$22,281 |
$44,563 |
$31,194 |
$333 | |
| Upper GI series (barium) |
$674 |
$1,348 |
$674 |
$128 | |
| Uric acid (gout) test |
$13 |
$27 |
$21 |
$5 | |
| Urinalysis |
$7 |
$13 |
$9 |
$3 | |
| Urine microalbumin test |
$16 |
$33 |
$21 |
$5 | |
| Urine pregnancy test |
$22 |
$45 |
$36 |
$9 | |
| Vaccine administration |
$60 |
$121 |
$82 |
$19 | |
| Vaccine administration (each additional) |
$46 |
$91 |
$82 |
$16 | |
| Varicocele repair |
$13,054 |
$26,108 |
$3,410 |
$327 | |
| Varicose vein ablation |
$11,913 |
$23,826 |
$7,332 |
$1,018 | |
| Vasectomy |
$3,996 |
$7,993 |
$1,775 |
$347 | |
| Vitamin B12 test |
$42 |
$84 |
$15 |
$15 | |
| Vitamin D test |
$49 |
$98 |
$30 |
$30 | |
| Wart removal |
$752 |
$1,504 |
$194 |
$121 | |
| Wound debridement |
$1,512 |
$3,024 |
$393 |
$186 | |
| Wrist fracture repair |
$783 |
$1,566 |
$1,253 |
$735 | |
| X-ray of the abdomen |
$333 |
$667 |
$333 |
$36 | |
| X-ray of the ankle |
$333 |
$667 |
$333 |
$37 | |
| X-ray of the collarbone |
$333 |
$667 |
$333 |
$33 | |
| X-ray of the elbow |
$333 |
$667 |
$333 |
$33 | |
| X-ray of the facial bones |
$409 |
$818 |
$403 |
$39 | |
| X-ray of the foot |
$333 |
$667 |
$333 |
$34 | |
| X-ray of the forearm |
$333 |
$667 |
$333 |
$29 | |
| X-ray of the hand |
$333 |
$667 |
$333 |
$38 | |
| X-ray of the hip |
$333 |
$667 |
$333 |
$49 | |
| X-ray of the hip (1 view) |
$333 |
$667 |
$333 |
$34 | |
| X-ray of the hip (3 views) |
$333 |
$667 |
$333 |
$49 | |
| X-ray of the knee |
$333 |
$667 |
$333 |
$42 | |
| X-ray of the knee (2 views) |
$333 |
$667 |
$333 |
$34 | |
| X-ray of the knee (3 views) |
$333 |
$667 |
$333 |
$42 | |
| X-ray of the knee (4+ views) |
$403 |
$805 |
$403 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$403 |
$805 |
$403 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$403 |
$805 |
$403 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$403 |
$805 |
$403 |
$53 | |
| X-ray of the lower leg |
$333 |
$667 |
$333 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$408 |
$815 |
$403 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$408 |
$815 |
$403 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$408 |
$816 |
$403 |
$39 | |
| X-ray of the neck (cervical spine) |
$403 |
$805 |
$403 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$339 |
$678 |
$333 |
$40 | |
| X-ray of the pelvis |
$403 |
$805 |
$403 |
$36 | |
| X-ray of the pelvis (1 view) |
$403 |
$805 |
$403 |
$28 | |
| X-ray of the ribs |
$403 |
$805 |
$403 |
$42 | |
| X-ray of the ribs (2 views) |
$333 |
$667 |
$333 |
$36 | |
| X-ray of the ribs (3 views) |
$403 |
$805 |
$403 |
$42 | |
| X-ray of the shoulder |
$333 |
$667 |
$333 |
$36 | |
| X-ray of the skull |
$407 |
$814 |
$403 |
$40 | |
| X-ray of the upper arm |
$333 |
$667 |
$333 |
$32 | |
| X-ray of the wrist |
$333 |
$667 |
$333 |
$43 | |
| YAG laser capsulotomy (eye) |
$2,232 |
$4,463 |
$2,700 |
$335 | |
| Zinc blood test |
$34 |
$68 |
$52 |
$11 | |