| 3D mammogram (tomosynthesis) |
$428 |
$475 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$4,500 |
$5,000 |
— |
$284 | |
| Abdominal ultrasound |
$900 |
$1,000 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$1,260 |
$1,400 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$900 |
$1,000 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$1,098 |
$1,220 |
— |
$220 | |
| Abscess drainage (simple) |
$743 |
$825 |
— |
$129 | |
| Abscess incision and drainage |
$743 |
$825 |
— |
$174 | |
| Acupuncture |
$124 |
$138 |
— |
$38 | |
| Acupuncture (each additional) |
$113 |
$125 |
— |
$28 | |
| Albumin blood test |
$45 |
$50 |
— |
$5 | |
| Aldosterone test |
$144 |
$160 |
— |
$41 | |
| Alkaline phosphatase test |
$54 |
$60 |
— |
$5 | |
| Allergy patch testing |
$257 |
$285 |
— |
$5 | |
| Allergy shots |
$164 |
$183 |
— |
$11 | |
| Allergy testing |
$243 |
$270 |
— |
$4 | |
| Alpha-fetoprotein (AFP) test |
$227 |
$253 |
— |
$17 | |
| ALT liver enzyme test |
$63 |
$70 |
— |
$5 | |
| Ammonia blood test |
$52 |
$58 |
— |
$15 | |
| Amniocentesis |
$2,358 |
$2,620 |
— |
$120 | |
| Amylase test |
$72 |
$80 |
— |
$6 | |
| Anal fistula repair |
$5,225 |
$5,805 |
— |
$541 | |
| Annual physical (established patient) |
$365 |
$405 |
— |
— | |
| Annual physical (new patient) |
$392 |
$435 |
— |
— | |
| Anoscopy |
$1,260 |
$1,400 |
— |
$129 | |
| Antinuclear antibody (ANA) test |
$36 |
$40 |
— |
$12 | |
| Aortic aneurysm repair (AAA) |
$16,200 |
$18,000 |
— |
$1,345 | |
| Aortic valve replacement |
$27,900 |
$31,000 |
— |
$1,603 | |
| Arterial blood gas (ABG) |
$207 |
$230 |
— |
$26 | |
| AST liver enzyme test |
$63 |
$70 |
— |
$5 | |
| Barium swallow study |
$826 |
$918 |
— |
$107 | |
| Bartholin cyst removal |
$509 |
$565 |
— |
$182 | |
| Basic metabolic panel |
$119 |
$133 |
— |
$8 | |
| Benign skin lesion removal |
$1,710 |
$1,900 |
— |
$171 | |
| Bilirubin blood test |
$72 |
$80 |
— |
$5 | |
| Bladder function test (urodynamics) |
$2,430 |
$2,700 |
— |
$345 | |
| Bladder scope (cystoscopy) |
$3,240 |
$3,600 |
— |
$216 | |
| Bladder tumor removal (TURBT) |
$5,594 |
$6,215 |
— |
$236 | |
| Blood clotting test (PT/INR) |
$77 |
$85 |
— |
$4 | |
| Blood crossmatch |
$306 |
$340 |
— |
— | |
| Blood glucose test |
$23 |
$25 |
— |
$5 | |
| Blood transfusion |
$3,645 |
$4,050 |
— |
$47 | |
| Blood type and screen |
$252 |
$280 |
— |
$10 | |
| Blood type test |
$198 |
$220 |
— |
$3 | |
| Blood type test (ABO group) |
$216 |
$240 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$198 |
$220 |
— |
$3 | |
| BNP (heart failure) test |
$158 |
$175 |
— |
$39 | |
| Bone density scan (DEXA) |
$923 |
$1,025 |
— |
$39 | |
| Bone marrow biopsy |
$5,078 |
$5,643 |
— |
$172 | |
| Bone scan (nuclear) |
$2,520 |
$2,800 |
— |
$259 | |
| Botox for migraine |
$2,610 |
$2,900 |
— |
$157 | |
| Brain shunt (VP shunt) |
$6,300 |
$7,000 |
— |
$1,023 | |
| Breast biopsy |
$4,581 |
$5,090 |
— |
$478 | |
| Breast MRI |
$3,060 |
$3,400 |
— |
$216 | |
| Breast MRI without contrast |
$3,240 |
$3,600 |
— |
$216 | |
| Breast ultrasound |
$558 |
$620 |
— |
$92 | |
| Breast ultrasound (complete) |
$666 |
$740 |
— |
$100 | |
| Breast ultrasound (limited) |
$450 |
$500 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$1,620 |
$1,800 |
— |
$133 | |
| Bronchoscopy |
$2,700 |
$3,000 |
— |
$303 | |
| Burn dressing and debridement (medium) |
$630 |
$700 |
— |
$166 | |
| Burn dressing and debridement (small) |
$450 |
$500 |
— |
$93 | |
| Burn treatment |
$540 |
$600 |
— |
$129 | |
| C-reactive protein (CRP) |
$153 |
$170 |
— |
$5 | |
| CA 19-9 tumor marker test |
$207 |
$230 |
— |
$21 | |
| CA-125 ovarian marker test |
$297 |
$330 |
— |
$21 | |
| Calcium blood test |
$41 |
$45 |
— |
$5 | |
| Capsule endoscopy |
$5,850 |
$6,500 |
— |
$802 | |
| Cardiac ablation |
$28,800 |
$32,000 |
— |
$759 | |
| Cardiac catheterization |
$9,900 |
$11,000 |
— |
$1,049 | |
| Cardiac MRI |
$5,670 |
$6,300 |
— |
$322 | |
| Cardiac MRI without contrast |
$4,194 |
$4,660 |
— |
$280 | |
| Cardiac rehabilitation |
$709 |
$788 |
— |
$26 | |
| Cardiac stress test |
$1,530 |
$1,700 |
— |
$39 | |
| Cardioversion |
$3,420 |
$3,800 |
— |
$155 | |
| Carotid artery ultrasound |
$1,944 |
$2,160 |
— |
$156 | |
| CEA tumor marker test |
$191 |
$213 |
— |
$19 | |
| Celiac disease test |
$55 |
$61 |
— |
$12 | |
| Central line placement |
$3,870 |
$4,300 |
— |
$238 | |
| Cervical cerclage |
$4,982 |
$5,535 |
— |
$137 | |
| Cervical LEEP procedure |
$5,042 |
$5,603 |
— |
$325 | |
| Chalazion (eyelid cyst) removal |
$990 |
$1,100 |
— |
$131 | |
| Chemotherapy infusion |
$2,183 |
$2,425 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$1,575 |
$1,750 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$2,790 |
$3,100 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,980 |
$2,200 |
— |
$311 | |
| Chest tube insertion |
$2,160 |
$2,400 |
— |
$143 | |
| Chest X-ray |
$477 |
$530 |
— |
$37 | |
| Chest X-ray (1 view) |
$383 |
$425 |
— |
$25 | |
| Chest X-ray (2 views) |
$477 |
$530 |
— |
$33 | |
| Chickenpox (varicella) vaccine |
$177 |
$197 |
— |
— | |
| Circumcision |
$2,610 |
$2,900 |
— |
$167 | |
| CK-MB heart enzyme test |
$63 |
$70 |
— |
$12 | |
| Clotting time test (PTT) |
$104 |
$115 |
— |
$6 | |
| Colonoscopy |
$3,060 |
$3,400 |
— |
$480 | |
| Colposcopy |
$1,080 |
$1,200 |
— |
$161 | |
| Complete blood count (CBC) |
$84 |
$93 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$84 |
$93 |
— |
$8 | |
| Complex wound repair |
$1,580 |
$1,755 |
— |
$390 | |
| Comprehensive eye exam |
$630 |
$700 |
— |
$138 | |
| Comprehensive metabolic panel |
$180 |
$200 |
— |
$11 | |
| Contact lens fitting |
$185 |
$205 |
— |
— | |
| Contraceptive implant (Nexplanon) |
$720 |
$800 |
— |
$115 | |
| Copper blood test |
$68 |
$75 |
— |
$12 | |
| Coronary CT angiography |
$2,309 |
$2,565 |
— |
$326 | |
| Cortisol test |
$77 |
$85 |
— |
$16 | |
| COVID-19 PCR test |
$171 |
$190 |
— |
$51 | |
| COVID-19 vaccine |
$0 |
$0 |
— |
— | |
| CPAP titration study |
$630 |
$700 |
— |
$69 | |
| Creatine kinase (CK) test |
$63 |
$70 |
— |
$7 | |
| CT angiography of the chest |
$3,330 |
$3,700 |
— |
$281 | |
| CT angiography of the head |
$3,555 |
$3,950 |
— |
$274 | |
| CT colonography (virtual colonoscopy) |
$1,458 |
$1,620 |
— |
$835 | |
| CT scan of the abdomen |
$1,890 |
$2,100 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$3,465 |
$3,850 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$5,040 |
$5,600 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$3,960 |
$4,400 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,970 |
$3,300 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,160 |
$2,400 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$1,890 |
$2,100 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$1,620 |
$1,800 |
— |
$136 | |
| CT scan of the arm |
$1,710 |
$1,900 |
— |
$199 | |
| CT scan of the arm with contrast |
$1,710 |
$1,900 |
— |
$199 | |
| CT scan of the arm without contrast |
$1,440 |
$1,600 |
— |
$161 | |
| CT scan of the chest |
$2,597 |
$2,885 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$2,903 |
$3,225 |
— |
$196 | |
| CT scan of the chest with contrast |
$2,597 |
$2,885 |
— |
$167 | |
| CT scan of the chest without contrast |
$1,800 |
$2,000 |
— |
$133 | |
| CT scan of the head |
$1,710 |
$1,900 |
— |
$148 | |
| CT scan of the head with and without contrast |
$1,980 |
$2,200 |
— |
$173 | |
| CT scan of the head with contrast |
$1,800 |
$2,000 |
— |
$148 | |
| CT scan of the head without contrast |
$1,620 |
$1,800 |
— |
$107 | |
| CT scan of the leg |
$1,791 |
$1,990 |
— |
$166 | |
| CT scan of the leg with contrast |
$1,791 |
$1,990 |
— |
$166 | |
| CT scan of the leg without contrast |
$1,301 |
$1,445 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,949 |
$2,165 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,340 |
$2,600 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,949 |
$2,165 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,530 |
$1,700 |
— |
$130 | |
| CT scan of the neck |
$2,070 |
$2,300 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$1,800 |
$2,000 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,070 |
$2,300 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,800 |
$2,000 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,530 |
$1,700 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$2,520 |
$2,800 |
— |
$220 | |
| CT scan of the neck with contrast |
$2,070 |
$2,300 |
— |
$183 | |
| CT scan of the neck without contrast |
$1,620 |
$1,800 |
— |
$150 | |
| CT scan of the pelvis |
$2,070 |
$2,300 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,520 |
$2,800 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$2,340 |
$2,600 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$1,800 |
$2,000 |
— |
$133 | |
| CT scan of the sinuses |
$2,079 |
$2,310 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,520 |
$2,800 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$2,250 |
$2,500 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$1,908 |
$2,120 |
— |
$128 | |
| D-dimer test |
$18 |
$20 |
— |
$10 | |
| Defibrillator (ICD) implant |
$40,500 |
$45,000 |
— |
$798 | |
| Developmental screening (child) |
$531 |
$590 |
— |
— | |
| DHEA-sulfate test |
$144 |
$160 |
— |
$22 | |
| Diagnostic mammogram |
$754 |
$838 |
— |
$140 | |
| Dilation and curettage (D&C) |
$5,310 |
$5,900 |
— |
$298 | |
| Droopy eyelid repair (ptosis) |
$4,050 |
$4,500 |
— |
$745 | |
| Drug screen (urine) |
$261 |
$290 |
— |
$17 | |
| Ear pressure test (tympanometry) |
$185 |
$205 |
— |
$16 | |
| Ear tubes (myringotomy) |
$1,080 |
$1,200 |
— |
$174 | |
| Echocardiogram |
$2,066 |
$2,295 |
— |
$138 | |
| Echocardiogram with and without contrast |
$1,710 |
$1,900 |
— |
$101 | |
| Echocardiogram without contrast |
$2,066 |
$2,295 |
— |
$138 | |
| EEG (awake and asleep) |
$3,038 |
$3,375 |
— |
$482 | |
| EKG / ECG (tracing only) |
$356 |
$395 |
— |
$7 | |
| Electrocardiogram (EKG) |
$356 |
$395 |
— |
$8 | |
| Electroencephalogram (EEG) |
$3,038 |
$3,375 |
— |
$448 | |
| Electrolyte panel |
$81 |
$90 |
— |
$7 | |
| Electromyography (EMG) |
$630 |
$700 |
— |
$141 | |
| Emergency department visit |
$1,935 |
$2,150 |
— |
$69 | |
| Emergency department visit (level 1) |
$1,395 |
$1,550 |
— |
$11 | |
| Emergency department visit (level 2) |
$1,620 |
$1,800 |
— |
$40 | |
| Emergency department visit (level 3) |
$1,935 |
$2,150 |
— |
$69 | |
| Emergency department visit (level 4) |
$4,293 |
$4,770 |
— |
$118 | |
| Emergency department visit (level 5) |
$4,478 |
$4,975 |
— |
$171 | |
| Endometrial biopsy |
$1,944 |
$2,160 |
— |
$98 | |
| Epidural steroid injection |
$2,700 |
$3,000 |
— |
$275 | |
| ERCP (bile duct endoscopy) |
$4,680 |
$5,200 |
— |
$311 | |
| Esophageal dilation |
$2,617 |
$2,908 |
— |
$522 | |
| Estradiol (estrogen) test |
$428 |
$475 |
— |
$28 | |
| Eye refraction (glasses prescription) |
$180 |
$200 |
— |
— | |
| Eyelid surgery (blepharoplasty) |
$3,600 |
$4,000 |
— |
$552 | |
| Facet joint injection (spine) |
$1,260 |
$1,400 |
— |
$99 | |
| Fallopian tube X-ray (HSG) |
$752 |
$835 |
— |
$164 | |
| Family therapy session |
$518 |
$575 |
— |
$110 | |
| Fecal occult blood (stool) test |
$32 |
$35 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$32 |
$35 |
— |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$41 |
$45 |
— |
$16 | |
| Feeding tube (PEG) placement |
$3,402 |
$3,780 |
— |
$178 | |
| Ferritin (iron) test |
$185 |
$205 |
— |
$14 | |
| Fibrinogen test |
$117 |
$130 |
— |
$10 | |
| Flexible sigmoidoscopy |
$3,240 |
$3,600 |
— |
$323 | |
| Flu test |
$140 |
$155 |
— |
$17 | |
| Flu vaccine |
$37 |
$41 |
— |
— | |
| Folate (folic acid) test |
$108 |
$120 |
— |
$15 | |
| Foreign body removal (skin) |
$810 |
$900 |
— |
$157 | |
| Free T4 thyroid test |
$72 |
$80 |
— |
$9 | |
| FSH hormone test |
$182 |
$203 |
— |
$19 | |
| Gallbladder scan (HIDA) |
$2,081 |
$2,313 |
— |
$334 | |
| Ganglion cyst removal |
$4,059 |
$4,510 |
— |
$321 | |
| GGT liver test |
$81 |
$90 |
— |
$7 | |
| Glucose tolerance test |
$81 |
$90 |
— |
$8 | |
| Group therapy session |
$270 |
$300 |
— |
$30 | |
| H. pylori test |
$169 |
$188 |
— |
$67 | |
| HDL cholesterol test |
$32 |
$35 |
— |
$8 | |
| Hearing test (audiometry) |
$581 |
$645 |
— |
$36 | |
| Hematocrit test |
$37 |
$42 |
— |
$2 | |
| Hemodialysis |
$2,250 |
$2,500 |
— |
$75 | |
| Hemoglobin A1c (diabetes test) |
$171 |
$190 |
— |
$10 | |
| Hemorrhoid removal |
$2,070 |
$2,300 |
— |
$338 | |
| Hepatitis A vaccine |
$233 |
$259 |
— |
— | |
| Hepatitis B test |
$108 |
$120 |
— |
$10 | |
| Hepatitis B vaccine |
$155 |
$172 |
— |
— | |
| Hepatitis C test |
$90 |
$100 |
— |
$14 | |
| HIV test |
$162 |
$180 |
— |
$19 | |
| HIV test (antibody) |
$162 |
$180 |
— |
$14 | |
| HIV test (antigen/antibody combo) |
$68 |
$75 |
— |
$24 | |
| Holter heart monitor |
$698 |
$775 |
— |
$26 | |
| HPV vaccine |
$747 |
$830 |
— |
— | |
| Hysteroscopy |
$6,210 |
$6,900 |
— |
$1,270 | |
| Iron blood test |
$72 |
$80 |
— |
$6 | |
| IUD insertion |
$608 |
$675 |
— |
— | |
| IUD removal |
$630 |
$700 |
— |
$112 | |
| IV infusion therapy (each additional) |
$810 |
$900 |
— |
$21 | |
| IV infusion therapy (initial) |
$2,736 |
$3,040 |
— |
$67 | |
| IVC filter placement |
$9,000 |
$10,000 |
— |
$1,885 | |
| Joint aspiration (small/intermediate) |
$997 |
$1,108 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$1,080 |
$1,200 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$914 |
$1,015 |
— |
$56 | |
| Kidney biopsy |
$3,510 |
$3,900 |
— |
$492 | |
| Kidney scan (nuclear) |
$2,552 |
$2,835 |
— |
$172 | |
| Kidney ultrasound |
$1,136 |
$1,263 |
— |
$84 | |
| Kidney ultrasound (limited) |
$1,058 |
$1,175 |
— |
$61 | |
| Knee joint injection |
$1,080 |
$1,200 |
— |
$69 | |
| Lactate test |
$117 |
$130 |
— |
$12 | |
| Laryngoscopy |
$2,250 |
$2,500 |
— |
$189 | |
| LDH test |
$83 |
$93 |
— |
$6 | |
| LDL cholesterol test |
$43 |
$48 |
— |
$11 | |
| Leg artery angiogram |
$4,860 |
$5,400 |
— |
$149 | |
| Leg artery angioplasty |
$11,700 |
$13,000 |
— |
— | |
| Leg vein ultrasound (Doppler) |
$1,350 |
$1,500 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,350 |
$1,500 |
— |
$116 | |
| LH hormone test |
$207 |
$230 |
— |
$19 | |
| Lipase test |
$113 |
$125 |
— |
$7 | |
| Lipid (cholesterol) panel |
$117 |
$130 |
— |
$13 | |
| Liver biopsy |
$4,050 |
$4,500 |
— |
$288 | |
| Liver function panel |
$140 |
$155 |
— |
$8 | |
| Lung function test (PFT) |
$990 |
$1,100 |
— |
$37 | |
| Lung scan (V/Q) |
$1,823 |
$2,025 |
— |
$291 | |
| Magnesium blood test |
$68 |
$75 |
— |
$7 | |
| MMR vaccine |
$23 |
$25 |
— |
— | |
| Mohs skin cancer surgery |
$2,025 |
$2,250 |
— |
$535 | |
| MRA of the brain |
$3,600 |
$4,000 |
— |
$226 | |
| MRA of the brain with contrast |
$3,600 |
$4,000 |
— |
$226 | |
| MRA of the brain without contrast |
$3,870 |
$4,300 |
— |
$328 | |
| MRA of the neck |
$4,230 |
$4,700 |
— |
$245 | |
| MRA of the neck with contrast |
$4,230 |
$4,700 |
— |
$245 | |
| MRA of the neck without contrast |
$4,500 |
$5,000 |
— |
$343 | |
| MRI of the abdomen |
$3,888 |
$4,320 |
— |
$300 | |
| MRI of the abdomen with contrast |
$3,888 |
$4,320 |
— |
$300 | |
| MRI of the abdomen without contrast |
$2,462 |
$2,735 |
— |
$194 | |
| MRI of the ankle |
$3,600 |
$4,000 |
— |
$261 | |
| MRI of the ankle with contrast |
$3,600 |
$4,000 |
— |
$261 | |
| MRI of the ankle without contrast |
$3,159 |
$3,510 |
— |
$222 | |
| MRI of the brain |
$5,220 |
$5,800 |
— |
$269 | |
| MRI of the brain with contrast |
$5,220 |
$5,800 |
— |
$269 | |
| MRI of the brain without contrast |
$4,860 |
$5,400 |
— |
$195 | |
| MRI of the chest |
$3,402 |
$3,780 |
— |
$371 | |
| MRI of the chest with contrast |
$3,402 |
$3,780 |
— |
$371 | |
| MRI of the chest without contrast |
$3,888 |
$4,320 |
— |
$466 | |
| MRI of the knee |
$3,600 |
$4,000 |
— |
$315 | |
| MRI of the knee with contrast |
$3,600 |
$4,000 |
— |
$315 | |
| MRI of the knee without contrast |
$3,159 |
$3,510 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$4,050 |
$4,500 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$4,050 |
$4,500 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$3,524 |
$3,915 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$4,050 |
$4,500 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$5,400 |
$6,000 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$4,050 |
$4,500 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$3,506 |
$3,895 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$4,050 |
$4,500 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$5,400 |
$6,000 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$4,050 |
$4,500 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$3,515 |
$3,905 |
— |
$191 | |
| MRI of the pelvis |
$3,731 |
$4,145 |
— |
$268 | |
| MRI of the pelvis with contrast |
$3,731 |
$4,145 |
— |
$268 | |
| MRI of the pelvis without contrast |
$3,402 |
$3,780 |
— |
$227 | |
| MRI of the shoulder |
$3,888 |
$4,320 |
— |
$313 | |
| MRI of the shoulder with contrast |
$3,888 |
$4,320 |
— |
$313 | |
| MRI of the shoulder without contrast |
$3,159 |
$3,510 |
— |
$205 | |
| MRI of the wrist |
$3,105 |
$3,450 |
— |
$330 | |
| MRI of the wrist with contrast |
$3,105 |
$3,450 |
— |
$330 | |
| MRI of the wrist without contrast |
$2,916 |
$3,240 |
— |
$303 | |
| Nebulizer breathing treatment |
$432 |
$480 |
— |
$9 | |
| Nerve conduction study |
$1,080 |
$1,200 |
— |
$118 | |
| Nuchal translucency ultrasound |
$486 |
$540 |
— |
$116 | |
| Nuclear cardiac stress test |
$5,288 |
$5,875 |
— |
$428 | |
| Occupational therapy evaluation |
$630 |
$700 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$891 |
$990 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$558 |
$620 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$630 |
$700 |
— |
$101 | |
| Office visit (established patient) |
$518 |
$575 |
— |
$115 | |
| Office visit (new patient) |
$558 |
$620 |
— |
$177 | |
| Office visit, established patient (level 3) |
$504 |
$560 |
— |
$95 | |
| Office visit, established patient (level 4) |
$531 |
$590 |
— |
$136 | |
| Office visit, new patient (level 3) |
$531 |
$590 |
— |
$118 | |
| Office visit, new patient (level 4) |
$558 |
$620 |
— |
$177 | |
| Office visit, new patient (level 5) |
$585 |
$650 |
— |
$237 | |
| Orthopedic hardware removal |
$3,510 |
$3,900 |
— |
$632 | |
| Pap smear (cervical screening) |
$158 |
$175 |
— |
$20 | |
| Parathyroid hormone (PTH) test |
$257 |
$285 |
— |
$41 | |
| Pelvic ultrasound |
$1,337 |
$1,485 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$1,337 |
$1,485 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$527 |
$585 |
— |
$51 | |
| PET scan |
$7,898 |
$8,775 |
— |
— | |
| Phosphorus blood test |
$50 |
$55 |
— |
$5 | |
| Physical therapy evaluation |
$671 |
$745 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$851 |
$945 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$671 |
$745 |
— |
$98 | |
| Pilonidal cyst removal |
$3,510 |
$3,900 |
— |
$541 | |
| Platelet count |
$45 |
$50 |
— |
$4 | |
| Pneumonia vaccine |
$135 |
$150 |
— |
— | |
| Pregnancy blood test (hCG) |
$90 |
$100 |
— |
$8 | |
| Pregnancy ultrasound |
$704 |
$783 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$720 |
$800 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$689 |
$765 |
— |
$136 | |
| Procalcitonin test |
$275 |
$305 |
— |
$27 | |
| Prolactin test |
$185 |
$205 |
— |
$19 | |
| Prostate biopsy |
$4,050 |
$4,500 |
— |
— | |
| Prostate test (PSA) |
$167 |
$185 |
— |
$18 | |
| Psychiatric evaluation |
$657 |
$730 |
— |
$188 | |
| Psychotherapy session |
$486 |
$540 |
— |
$140 | |
| Pulmonary rehabilitation |
$270 |
$300 |
— |
$87 | |
| Radiofrequency nerve ablation |
$3,420 |
$3,800 |
— |
$462 | |
| Retina scan (OCT) |
$306 |
$340 |
— |
$33 | |
| Retinal (fundus) photography |
$450 |
$500 |
— |
$37 | |
| Rheumatoid factor test |
$14 |
$15 |
— |
$6 | |
| Routine eye exam |
$563 |
$625 |
— |
$88 | |
| RSV vaccine |
$134 |
$149 |
— |
— | |
| Sacroiliac joint injection |
$2,066 |
$2,295 |
— |
$176 | |
| Scoliosis spine X-ray |
$396 |
$440 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$315 |
$350 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$477 |
$530 |
— |
$72 | |
| Screening mammogram |
$720 |
$800 |
— |
$126 | |
| Scrotal ultrasound |
$1,337 |
$1,485 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$86 |
$95 |
— |
$3 | |
| Semen analysis |
$23 |
$25 |
— |
$12 | |
| Sex hormone binding globulin test |
$185 |
$205 |
— |
$22 | |
| Shingles vaccine |
$144 |
$160 |
— |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
$608 |
$675 |
— |
$114 | |
| Simple wound stitches |
$729 |
$810 |
— |
$127 | |
| Sinus surgery (endoscopic) |
$7,740 |
$8,600 |
— |
$224 | |
| Skin biopsy |
$972 |
$1,080 |
— |
$121 | |
| Skin biopsy (punch) |
$972 |
$1,080 |
— |
$121 | |
| Skin cancer lesion removal |
$2,066 |
$2,295 |
— |
$240 | |
| Skin graft |
$3,600 |
$4,000 |
— |
$898 | |
| Skin lesion freezing (cryotherapy) |
$630 |
$700 |
— |
$36 | |
| Skin tag removal |
$540 |
$600 |
— |
$92 | |
| Sleep study (polysomnography) |
$9,475 |
$10,528 |
— |
$691 | |
| Soft tissue ultrasound |
$486 |
$540 |
— |
$64 | |
| Speech therapy |
$576 |
$640 |
— |
$76 | |
| Spinal cord stimulator |
$11,250 |
$12,500 |
— |
$2,388 | |
| Spinal tap (lumbar puncture) |
$3,330 |
$3,700 |
— |
$165 | |
| Spine fracture repair (kyphoplasty) |
$12,578 |
$13,975 |
— |
$5,803 | |
| Spirometry (lung function test) |
$797 |
$885 |
— |
$30 | |
| Spirometry with bronchodilator |
$990 |
$1,100 |
— |
$43 | |
| Strep throat test |
$86 |
$95 |
— |
$17 | |
| Stress echocardiogram |
$3,375 |
$3,750 |
— |
$209 | |
| Stress echocardiogram (complete) |
$3,375 |
$3,750 |
— |
$233 | |
| Swallow study |
$540 |
$600 |
— |
$85 | |
| T3 thyroid test |
$117 |
$130 |
— |
$14 | |
| Tdap (tetanus) vaccine |
$96 |
$106 |
— |
— | |
| Testosterone test |
$203 |
$225 |
— |
$26 | |
| Thyroid test (TSH) |
$194 |
$215 |
— |
$17 | |
| Thyroid ultrasound |
$1,449 |
$1,610 |
— |
$109 | |
| Thyroid uptake scan |
$2,079 |
$2,310 |
— |
$145 | |
| Tilt table test |
$7,898 |
$8,775 |
— |
$168 | |
| Total IgE allergy test |
$135 |
$150 |
— |
$16 | |
| Total protein test |
$54 |
$60 |
— |
$4 | |
| Tracheostomy |
$4,410 |
$4,900 |
— |
$273 | |
| Transesophageal echocardiogram (TEE) |
$3,465 |
$3,850 |
— |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$3,510 |
$3,900 |
— |
$239 | |
| Transvaginal ultrasound |
$1,337 |
$1,485 |
— |
$118 | |
| Trigger finger release |
$2,610 |
$2,900 |
— |
$630 | |
| Trigger point injection |
$792 |
$880 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$792 |
$880 |
— |
$52 | |
| Triglycerides test |
$54 |
$60 |
— |
$6 | |
| Troponin (heart) test |
$124 |
$138 |
— |
$12 | |
| Upper GI endoscopy (EGD) |
$2,187 |
$2,430 |
— |
$371 | |
| Upper GI series (barium) |
$1,420 |
$1,578 |
— |
$128 | |
| Ureteral stent placement |
$4,770 |
$5,300 |
— |
$373 | |
| Uric acid (gout) test |
$63 |
$70 |
— |
$5 | |
| Urinalysis |
$68 |
$75 |
— |
$3 | |
| Urine microalbumin test |
$70 |
$78 |
— |
$5 | |
| Urine pregnancy test |
$81 |
$90 |
— |
$9 | |
| UV light therapy (skin) |
$504 |
$560 |
— |
$106 | |
| Vaccine administration |
$158 |
$175 |
— |
$19 | |
| Vaccine administration (each additional) |
$90 |
$100 |
— |
$16 | |
| Varicose vein ablation |
$5,130 |
$5,700 |
— |
$1,018 | |
| Vasectomy |
$4,320 |
$4,800 |
— |
$347 | |
| Visual field test |
$671 |
$745 |
— |
$64 | |
| Vitamin B12 test |
$108 |
$120 |
— |
$15 | |
| Vitamin D test |
$90 |
$100 |
— |
$30 | |
| Wart removal |
$540 |
$600 |
— |
$121 | |
| Well-child visit |
$365 |
$405 |
— |
— | |
| Wound debridement |
$720 |
$800 |
— |
$186 | |
| X-ray of the abdomen |
$495 |
$550 |
— |
$36 | |
| X-ray of the ankle |
$540 |
$600 |
— |
$37 | |
| X-ray of the collarbone |
$455 |
$505 |
— |
$33 | |
| X-ray of the elbow |
$495 |
$550 |
— |
$33 | |
| X-ray of the facial bones |
$441 |
$490 |
— |
$39 | |
| X-ray of the foot |
$585 |
$650 |
— |
$34 | |
| X-ray of the forearm |
$450 |
$500 |
— |
$29 | |
| X-ray of the hand |
$630 |
$700 |
— |
$38 | |
| X-ray of the hip |
$392 |
$435 |
— |
$49 | |
| X-ray of the hip (1 view) |
$356 |
$395 |
— |
$34 | |
| X-ray of the hip (3 views) |
$392 |
$435 |
— |
$49 | |
| X-ray of the hip (4 views) |
$477 |
$530 |
— |
$63 | |
| X-ray of the knee |
$540 |
$600 |
— |
$42 | |
| X-ray of the knee (2 views) |
$428 |
$475 |
— |
$34 | |
| X-ray of the knee (3 views) |
$540 |
$600 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$972 |
$1,080 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$727 |
$808 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$581 |
$645 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$873 |
$970 |
— |
$53 | |
| X-ray of the lower leg |
$662 |
$735 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$558 |
$620 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$558 |
$620 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$630 |
$700 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$486 |
$540 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$486 |
$540 |
— |
$40 | |
| X-ray of the pelvis |
$524 |
$583 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$477 |
$530 |
— |
$28 | |
| X-ray of the ribs |
$477 |
$530 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$396 |
$440 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$477 |
$530 |
— |
$42 | |
| X-ray of the shoulder |
$576 |
$640 |
— |
$36 | |
| X-ray of the skull |
$581 |
$645 |
— |
$40 | |
| X-ray of the upper arm |
$410 |
$455 |
— |
$32 | |
| X-ray of the wrist |
$585 |
$650 |
— |
$43 | |
| YAG laser capsulotomy (eye) |
$1,386 |
$1,540 |
— |
$335 | |
| Zinc blood test |
$41 |
$45 |
— |
$11 | |