| 3D mammogram (tomosynthesis) |
$165 |
$165 |
$41 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$606 |
$1,657 |
$119 |
$284 | |
| Abdominal ultrasound |
$151 |
$276 |
$73 |
$100 | |
| Abdominal ultrasound (limited) |
$266 |
$266 |
$62 |
$86 | |
| Abscess drainage (complex or multiple) |
$708 |
$708 |
$206 |
$220 | |
| Abscess drainage (simple) |
$368 |
$368 |
$112 |
$129 | |
| Abscess incision and drainage |
$538 |
$538 |
$177 |
$174 | |
| Achilles tendon repair |
$8,094 |
$8,094 |
$635 |
$624 | |
| ACL knee reconstruction |
$3,781 |
$3,781 |
$934 |
$889 | |
| Acupuncture |
$61 |
$61 |
$27 |
$38 | |
| Acupuncture (each additional) |
$52 |
$52 |
$26 |
$28 | |
| Adenoid removal (adenoidectomy) |
$521 |
$521 |
$207 |
$204 | |
| Albumin blood test |
$12 |
$12 |
$5 |
$5 | |
| Aldosterone test |
$99 |
$99 |
$42 |
$41 | |
| Alkaline phosphatase test |
$13 |
$13 |
$5 |
$5 | |
| Allergy shots |
$16 |
$16 |
$11 |
$11 | |
| Alpha-fetoprotein (AFP) test |
$40 |
$40 |
$17 |
$17 | |
| ALT liver enzyme test |
$5 |
$13 |
$5 |
$5 | |
| Ammonia blood test |
$35 |
$35 |
$15 |
$15 | |
| Amniocentesis |
$1,298 |
$1,298 |
$76 |
$120 | |
| Amylase test |
$16 |
$16 |
$6 |
$6 | |
| Anal fistula repair |
$1,006 |
$1,006 |
$427 |
$541 | |
| Ankle fracture repair |
$1,652 |
$1,652 |
$643 |
$608 | |
| Ankle replacement |
$3,211 |
$3,211 |
$923 |
$885 | |
| Annual physical (established patient) |
$235 |
$235 |
$102 |
— | |
| Annual physical (new patient) |
$202 |
$189 |
$117 |
— | |
| Anoscopy |
$231 |
$231 |
$39 |
$129 | |
| Aortic aneurysm repair (AAA) |
$2,868 |
$2,868 |
$1,301 |
$1,345 | |
| Aortic valve replacement |
$3,350 |
$3,350 |
$1,481 |
$1,603 | |
| Arterial blood gas (ABG) |
$47 |
$47 |
$26 |
$26 | |
| AST liver enzyme test |
$5 |
$12 |
$5 |
$5 | |
| Bartholin cyst removal |
$349 |
$349 |
$162 |
$182 | |
| Benign skin lesion removal |
$708 |
$708 |
$157 |
$171 | |
| Bilirubin blood test |
$12 |
$12 |
$5 |
$5 | |
| Bladder function test (urodynamics) |
$1,178 |
$1,178 |
$219 |
$345 | |
| Bladder scope (cystoscopy) |
$1,178 |
$1,178 |
$76 |
$216 | |
| Bladder tumor removal (TURBT) |
$577 |
$577 |
$233 |
$236 | |
| Blood clotting test (PT/INR) |
$4 |
$10 |
$4 |
$4 | |
| Blood crossmatch |
$305 |
$305 |
$131 |
— | |
| Blood glucose test |
$11 |
$11 |
$5 |
$5 | |
| Blood transfusion |
$556 |
$813 |
$10 |
$47 | |
| Blood type test |
$117 |
$150 |
$4 |
$3 | |
| Blood type test (ABO group) |
$231 |
$231 |
$4 |
$3 | |
| BNP (heart failure) test |
$34 |
$77 |
$39 |
$39 | |
| Bone density scan (DEXA) |
$60 |
$233 |
$32 |
$39 | |
| Bone marrow biopsy |
$3,868 |
$3,868 |
$76 |
$172 | |
| Bone scan (nuclear) |
$818 |
$818 |
$214 |
$259 | |
| Botox for migraine |
$803 |
$803 |
$145 |
$157 | |
| Brain shunt (VP shunt) |
$2,610 |
$2,610 |
$885 |
$1,023 | |
| Breast biopsy |
$2,881 |
$2,881 |
$155 |
$478 | |
| Breast MRI |
$705 |
$705 |
$337 |
$216 | |
| Breast MRI without contrast |
$705 |
$705 |
$467 |
$216 | |
| Breast reconstruction |
$2,127 |
$2,127 |
$1,108 |
$1,227 | |
| Breast reduction |
$2,127 |
$2,127 |
$1,043 |
$980 | |
| Breast ultrasound |
$278 |
$278 |
$88 |
$92 | |
| Breast ultrasound (complete) |
$278 |
$278 |
$98 |
$100 | |
| Breast ultrasound (limited) |
$273 |
$273 |
$81 |
$84 | |
| Breathing tube insertion (intubation) |
$433 |
$433 |
$134 |
$133 | |
| Bronchoscopy |
$598 |
$598 |
$150 |
$303 | |
| Bunion surgery (bunionectomy) |
$1,496 |
$1,496 |
$582 |
$883 | |
| Burn dressing and debridement (medium) |
$368 |
$368 |
$106 |
$166 | |
| Burn dressing and debridement (small) |
$368 |
$368 |
$53 |
$93 | |
| Burn treatment |
$368 |
$368 |
$64 |
$129 | |
| CA 19-9 tumor marker test |
$51 |
$51 |
$21 |
$21 | |
| CA-125 ovarian marker test |
$51 |
$51 |
$21 |
$21 | |
| Calcium blood test |
$5 |
$12 |
$5 |
$5 | |
| Capsule endoscopy |
$2,736 |
$2,736 |
$808 |
$802 | |
| Cardiac ablation |
$43,940 |
$43,940 |
$876 |
$759 | |
| Cardiac catheterization |
$3,765 |
$5,938 |
$509 |
$1,049 | |
| Cardiac MRI |
$1,054 |
$1,054 |
$392 |
$322 | |
| Cardiac MRI without contrast |
$870 |
$870 |
$671 |
$280 | |
| Cardiac rehabilitation |
$238 |
$238 |
$9 |
$26 | |
| Cardiac stress test |
$356 |
$356 |
$40 |
$39 | |
| Cardioversion |
$746 |
$1,150 |
$147 |
$155 | |
| Carotid artery surgery |
$2,588 |
$2,588 |
$850 |
$1,026 | |
| Carotid artery ultrasound |
$527 |
$527 |
$130 |
$156 | |
| Carpal tunnel release |
$889 |
$889 |
$431 |
$483 | |
| CEA tumor marker test |
$19 |
$46 |
$20 |
$19 | |
| Celiac disease test |
$19 |
$19 |
$12 |
$12 | |
| Central line placement |
$5,862 |
$5,862 |
$80 |
$238 | |
| Cervical cerclage |
$5,372 |
$5,372 |
$143 |
$137 | |
| Cervical LEEP procedure |
$672 |
$672 |
$207 |
$325 | |
| Cesarean section (C-section) |
$32,720 |
$32,020 |
$6,459 |
$7,552 | |
| Chemotherapy infusion |
$173 |
$390 |
$36 |
$81 | |
| Chemotherapy infusion (each additional) |
$127 |
$127 |
$26 |
$28 | |
| Chemotherapy infusion (first hour) |
$219 |
$653 |
$129 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,107 |
$1,107 |
$109 |
$311 | |
| Chest tube insertion |
$2,879 |
$2,879 |
$146 |
$143 | |
| Chest X-ray |
$181 |
$181 |
$35 |
$37 | |
| Chest X-ray (1 view) |
$175 |
$175 |
$24 |
$25 | |
| Chest X-ray (2 views) |
$94 |
$179 |
$34 |
$33 | |
| Chickenpox (varicella) vaccine |
$110 |
$110 |
$192 |
— | |
| Circumcision |
$3,666 |
$3,666 |
$155 |
$167 | |
| CK-MB heart enzyme test |
$19 |
$19 |
$12 |
$12 | |
| Clotting time test (PTT) |
$6 |
$15 |
$6 |
$6 | |
| Colon resection (colectomy) |
$2,608 |
$2,608 |
$1,057 |
$1,238 | |
| Colonoscopy |
$922 |
$900 |
$315 |
$480 | |
| Colostomy |
$2,115 |
$2,115 |
$923 |
$1,122 | |
| Colposcopy |
$578 |
$578 |
$119 |
$161 | |
| Complete blood count (CBC) |
$10 |
$19 |
$6 |
$7 | |
| Complex wound repair |
$1,158 |
$1,158 |
$235 |
$390 | |
| Continuous glucose monitor setup |
$71 |
$71 |
$33 |
$35 | |
| Contraceptive implant (Nexplanon) |
$318 |
$318 |
$93 |
$115 | |
| Copper blood test |
$30 |
$30 |
$13 |
$12 | |
| Coronary artery bypass (CABG) |
$125,780 |
$129,161 |
$30,130 |
$36,593 | |
| Coronary CT angiography |
$787 |
$787 |
$329 |
$326 | |
| Cortisol test |
$40 |
$40 |
$17 |
$16 | |
| COVID-19 PCR test |
$86 |
$86 |
$51 |
$51 | |
| CPAP titration study |
$385 |
$385 |
$173 |
$69 | |
| Craniotomy (brain surgery) |
$4,351 |
$4,351 |
$2,080 |
$2,161 | |
| CT angiography of the head |
$844 |
$844 |
$200 |
$274 | |
| CT scan of the arm |
$828 |
$828 |
$163 |
$199 | |
| CT scan of the arm with contrast |
$828 |
$828 |
$167 |
$199 | |
| CT scan of the arm without contrast |
$580 |
$580 |
$126 |
$161 | |
| CT scan of the leg |
$869 |
$1,038 |
$148 |
$166 | |
| CT scan of the leg without contrast |
$1,307 |
$1,307 |
$130 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$833 |
$833 |
$133 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,036 |
$1,036 |
$165 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$833 |
$833 |
$140 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$692 |
$692 |
$103 |
$130 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,036 |
$1,036 |
$165 |
$196 | |
| CT scan of the neck with and without contrast |
$828 |
$828 |
$165 |
$220 | |
| CT scan of the sinuses with and without contrast |
$828 |
$828 |
$190 |
$184 | |
| D-dimer test |
$25 |
$25 |
$10 |
$10 | |
| Developmental screening (child) |
$48 |
$48 |
$12 |
— | |
| DHEA-sulfate test |
$54 |
$54 |
$23 |
$22 | |
| Diagnostic mammogram |
$58 |
$258 |
$129 |
$140 | |
| Dialysis fistula creation |
$1,236 |
$1,236 |
$550 |
$601 | |
| Dilation and curettage (D&C) |
$768 |
$768 |
$225 |
$298 | |
| Drug screen (urine) |
$63 |
$63 |
$62 |
$17 | |
| Ear pressure test (tympanometry) |
$69 |
$69 |
$11 |
$16 | |
| Ear tubes (myringotomy) |
$893 |
$893 |
$185 |
$174 | |
| Eardrum repair (tympanoplasty) |
$2,150 |
$2,150 |
$856 |
$799 | |
| Echocardiogram |
$818 |
$818 |
$94 |
$138 | |
| Echocardiogram with and without contrast |
$500 |
$500 |
$82 |
$101 | |
| Echocardiogram without contrast |
$818 |
$818 |
$105 |
$138 | |
| EEG (awake and asleep) |
$626 |
$626 |
$277 |
$482 | |
| EKG / ECG (tracing only) |
$114 |
$114 |
$8 |
$7 | |
| Electrocardiogram (EKG) |
$114 |
$114 |
$9 |
$8 | |
| Electroencephalogram (EEG) |
$626 |
$626 |
$235 |
$448 | |
| Electrolyte panel |
$16 |
$16 |
$7 |
$7 | |
| Electromyography (EMG) |
— |
$165 |
$42 |
$141 | |
| Emergency department visit |
$951 |
$951 |
$68 |
$69 | |
| Emergency department visit (level 1) |
$400 |
$400 |
$12 |
$11 | |
| Emergency department visit (level 2) |
$600 |
$600 |
$40 |
$40 | |
| Emergency department visit (level 3) |
$951 |
$951 |
$68 |
$69 | |
| Emergency department visit (level 4) |
$1,482 |
$1,482 |
$116 |
$118 | |
| Emergency department visit (level 5) |
$1,900 |
$1,900 |
$168 |
$171 | |
| Endometrial biopsy |
$349 |
$349 |
$87 |
$98 | |
| Epidural steroid injection |
$1,300 |
$1,300 |
$100 |
$275 | |
| ERCP (bile duct endoscopy) |
$1,440 |
$1,440 |
$338 |
$311 | |
| Esophageal dilation |
$1,026 |
$1,026 |
$76 |
$522 | |
| Esophageal variceal banding |
$819 |
$819 |
$134 |
$126 | |
| Estradiol (estrogen) test |
$68 |
$68 |
$29 |
$28 | |
| Eyelid surgery (blepharoplasty) |
$851 |
$851 |
$529 |
$552 | |
| Facet joint injection (spine) |
$565 |
$1,136 |
$50 |
$99 | |
| Fallopian tube X-ray (HSG) |
$253 |
$722 |
$72 |
$164 | |
| Family therapy session |
$324 |
$324 |
$101 |
$110 | |
| Fecal occult blood (stool) test |
$42 |
$42 |
$4 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$8 |
$8 |
$4 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$75 |
$75 |
$16 |
$16 | |
| Feeding tube (PEG) placement |
$1,093 |
$1,093 |
$240 |
$178 | |
| Femoral hernia repair |
$1,205 |
$1,205 |
$496 |
$584 | |
| Ferritin (iron) test |
$14 |
$33 |
$14 |
$14 | |
| Fibrinogen test |
$21 |
$21 |
$10 |
$10 | |
| Fibroid removal (myomectomy) |
$1,568 |
$1,568 |
$929 |
$914 | |
| Flexible sigmoidoscopy |
$576 |
$576 |
$72 |
$323 | |
| Flu test |
$32 |
$32 |
$15 |
$17 | |
| Flu vaccine |
$32 |
$32 |
$22 |
— | |
| Folate (folic acid) test |
$13 |
$33 |
$15 |
$15 | |
| Foreign body removal (skin) |
$708 |
$708 |
$112 |
$157 | |
| Free T4 thyroid test |
$9 |
$22 |
$9 |
$9 | |
| FSH hormone test |
$19 |
$45 |
$19 |
$19 | |
| Gallbladder removal (laparoscopic) |
$1,925 |
$1,925 |
$614 |
$658 | |
| Gallbladder scan (HIDA) |
$447 |
$927 |
$338 |
$334 | |
| Ganglion cyst removal |
$734 |
$734 |
$318 |
$321 | |
| GGT liver test |
$17 |
$17 |
$7 |
$7 | |
| Glucose tolerance test |
$19 |
$19 |
$6 |
$8 | |
| Group therapy session |
$51 |
$51 |
$25 |
$30 | |
| H. pylori test |
$164 |
$164 |
$69 |
$67 | |
| Hammertoe repair |
$823 |
$823 |
$376 |
$548 | |
| HDL cholesterol test |
$20 |
$20 |
$8 |
$8 | |
| Hematocrit test |
$6 |
$6 |
$2 |
$2 | |
| Hemodialysis |
$967 |
$967 |
$68 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$10 |
$24 |
$10 |
$10 | |
| Hemorrhoid removal |
$511 |
$511 |
$185 |
$338 | |
| Hepatitis A vaccine |
$53 |
$53 |
$77 |
— | |
| Hepatitis B test |
$10 |
$28 |
$11 |
$10 | |
| Hepatitis B vaccine |
$53 |
$53 |
$70 |
— | |
| Hepatitis C test |
$10 |
$35 |
$14 |
$14 | |
| Hip arthroscopy |
$2,201 |
$2,201 |
$975 |
$931 | |
| Hip fracture repair |
$2,731 |
$2,731 |
$1,173 |
$1,120 | |
| Hip replacement |
$5,463 |
$5,463 |
$1,224 |
$1,162 | |
| HIV test |
$21 |
$37 |
$20 |
$19 | |
| HIV test (antibody) |
$23 |
$23 |
$14 |
$14 | |
| HIV test (antigen/antibody combo) |
$18 |
$51 |
$24 |
$24 | |
| Holter heart monitor |
$231 |
$231 |
$41 |
$26 | |
| HPV vaccine |
$423 |
$423 |
$316 |
— | |
| Hydrocele repair |
$797 |
$797 |
$294 |
$315 | |
| Hysterectomy |
$1,793 |
$1,793 |
$878 |
$933 | |
| Hysteroscopy |
$1,678 |
$1,678 |
$257 |
$1,270 | |
| Ileostomy |
$1,863 |
$1,863 |
$800 |
$968 | |
| Incisional hernia repair |
$1,602 |
$1,602 |
$1,420 |
— | |
| Inguinal hernia repair |
$1,577 |
$1,577 |
$524 |
$538 | |
| IUD removal |
$578 |
$578 |
$90 |
$112 | |
| IV infusion therapy |
$334 |
$334 |
$37 |
$44 | |
| IV infusion therapy (each additional) |
$106 |
$106 |
$20 |
$21 | |
| IV infusion therapy (initial) |
$538 |
$538 |
$61 |
$67 | |
| IVC filter placement |
$9,765 |
$9,765 |
$247 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$535 |
$535 |
$54 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$535 |
$535 |
$56 |
$57 | |
| Joint aspiration or injection (small joint) |
$535 |
$535 |
$52 |
$56 | |
| Kidney biopsy |
$2,881 |
$2,881 |
$126 |
$492 | |
| Kidney removal (nephrectomy) |
$2,847 |
$2,847 |
$1,271 |
$1,164 | |
| Kidney scan (nuclear) |
$502 |
$502 |
$119 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$6,296 |
$6,296 |
$550 |
$760 | |
| Knee arthroscopy |
$2,082 |
$2,082 |
$543 |
$524 | |
| Knee joint injection |
$669 |
$669 |
$62 |
$69 | |
| Knee replacement |
$56,563 |
$57,226 |
$14,030 |
$18,054 | |
| Lactate test |
$26 |
$26 |
$12 |
$12 | |
| Laminectomy (spine) |
$3,625 |
$3,625 |
$1,052 |
$1,157 | |
| Laryngoscopy |
$388 |
$388 |
$137 |
$189 | |
| LDH test |
$15 |
$15 |
$6 |
$6 | |
| LDL cholesterol test |
$22 |
$22 |
$11 |
$11 | |
| Leg artery angiogram |
$5,862 |
$5,862 |
$89 |
$149 | |
| Leg artery angioplasty |
$15,359 |
$15,359 |
$387 |
— | |
| Leg vein ultrasound (Doppler) |
$234 |
$498 |
$122 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$404 |
$404 |
$95 |
$116 | |
| LH hormone test |
$19 |
$45 |
$19 |
$19 | |
| Liver biopsy |
$2,881 |
$2,881 |
$255 |
$288 | |
| Lower back (lumbar) spinal fusion |
$67,834 |
$69,485 |
$27,272 |
$1,511 | |
| Lumbar discectomy |
$2,958 |
$2,958 |
$785 |
$898 | |
| Lumpectomy (breast) |
$1,017 |
$1,017 |
$671 |
$750 | |
| Lung function test (PFT) |
$417 |
$417 |
$26 |
$37 | |
| Lung scan (V/Q) |
$1,059 |
$1,059 |
$299 |
$291 | |
| Mastectomy |
$1,620 |
$1,620 |
$911 |
$1,021 | |
| Mastoidectomy |
$1,852 |
$1,852 |
$908 |
$840 | |
| Meniscus repair (knee) |
$2,705 |
$2,705 |
$739 |
$714 | |
| MMR vaccine |
$53 |
$53 |
$97 |
— | |
| MRA of the brain |
$300 |
$1,313 |
$230 |
$226 | |
| MRA of the brain with contrast |
$300 |
$1,313 |
$631 |
$226 | |
| MRA of the brain without contrast |
$458 |
$1,597 |
$281 |
$328 | |
| MRA of the neck |
$704 |
$704 |
$218 |
$245 | |
| MRA of the neck with contrast |
$828 |
$828 |
$205 |
$245 | |
| MRI of the abdomen |
$300 |
$1,301 |
$209 |
$300 | |
| MRI of the abdomen with contrast |
$300 |
$1,559 |
$904 |
$300 | |
| MRI of the abdomen without contrast |
$300 |
$1,301 |
$159 |
$194 | |
| MRI of the ankle |
$996 |
$996 |
$241 |
$261 | |
| MRI of the ankle without contrast |
$837 |
$837 |
$197 |
$222 | |
| MRI of the brain |
$812 |
$990 |
$209 |
$269 | |
| MRI of the brain with contrast |
$990 |
$990 |
$221 |
$269 | |
| MRI of the brain without contrast |
$812 |
$812 |
$155 |
$195 | |
| MRI of the chest |
$2,083 |
$2,083 |
$300 |
$371 | |
| MRI of the chest without contrast |
$2,865 |
$2,865 |
$391 |
$466 | |
| MRI of the knee |
$1,127 |
$1,127 |
$270 |
$315 | |
| MRI of the knee with contrast |
$1,556 |
$1,556 |
$262 |
$315 | |
| MRI of the knee without contrast |
$816 |
$816 |
$174 |
$204 | |
| MRI of the lower back (lumbar spine) |
$300 |
$1,573 |
$200 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$300 |
$1,573 |
$200 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$847 |
$847 |
$160 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$936 |
$1,213 |
$205 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$1,213 |
$1,213 |
$261 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$640 |
$1,277 |
$224 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$595 |
$1,174 |
$159 |
$190 | |
| MRI of the neck (cervical spine) |
$1,011 |
$1,179 |
$203 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$1,179 |
$1,179 |
$260 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,011 |
$1,011 |
$205 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$300 |
$1,313 |
$156 |
$191 | |
| MRI of the pelvis |
$300 |
$1,559 |
$231 |
$268 | |
| MRI of the pelvis with contrast |
$300 |
$1,559 |
$904 |
$268 | |
| MRI of the pelvis without contrast |
$835 |
$835 |
$190 |
$227 | |
| MRI of the shoulder |
$1,426 |
$1,426 |
$266 |
$313 | |
| MRI of the shoulder with contrast |
$1,247 |
$1,247 |
$307 |
$313 | |
| MRI of the shoulder without contrast |
$1,296 |
$1,296 |
$175 |
$205 | |
| MRI of the wrist |
$1,150 |
$1,150 |
$300 |
$330 | |
| MRI of the wrist with contrast |
$837 |
$837 |
$275 |
$330 | |
| MRI of the wrist without contrast |
$1,296 |
$1,296 |
$267 |
$303 | |
| Nebulizer breathing treatment |
$385 |
$385 |
$8 |
$9 | |
| Neck (cervical) spinal fusion |
$4,060 |
$4,060 |
$1,179 |
$1,410 | |
| Nerve conduction study |
$642 |
$642 |
$87 |
$118 | |
| Newborn hospital care |
$134 |
$134 |
$50 |
$58 | |
| Nuchal translucency ultrasound |
$320 |
$320 |
$78 |
$116 | |
| Nuclear cardiac stress test |
$555 |
$1,713 |
$309 |
$428 | |
| Occupational therapy evaluation |
$105 |
$105 |
$80 |
$101 | |
| Occupational therapy evaluation (high complexity) |
— |
$105 |
$98 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$105 |
$105 |
$80 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
— |
$105 |
$80 |
$101 | |
| Office visit (established patient) |
$160 |
$160 |
$100 |
$115 | |
| Office visit (new patient) |
$331 |
$331 |
$161 |
$177 | |
| Office visit, established patient (level 3) |
$127 |
$127 |
$76 |
$95 | |
| Office visit, established patient (level 4) |
$192 |
$192 |
$117 |
$136 | |
| Office visit, new patient (level 3) |
$153 |
$229 |
$107 |
$118 | |
| Office visit, new patient (level 4) |
$331 |
$331 |
$161 |
$177 | |
| Office visit, new patient (level 5) |
$416 |
$416 |
$213 |
$237 | |
| Orthopedic hardware removal |
$1,192 |
$1,192 |
$510 |
$632 | |
| Ovarian cyst removal |
$1,295 |
$1,295 |
$736 |
$698 | |
| Ovary removal (oophorectomy) |
$1,295 |
$1,295 |
$480 |
$822 | |
| Pacemaker insertion |
$84,448 |
$73,296 |
$16,981 |
$15,506 | |
| Pap smear (cervical screening) |
$71 |
$71 |
$27 |
$20 | |
| Parathyroid hormone (PTH) test |
$41 |
$100 |
$43 |
$41 | |
| Parathyroid removal |
$1,152 |
$1,152 |
$899 |
$891 | |
| Pelvic ultrasound |
$146 |
$267 |
$51 |
$78 | |
| Pelvic ultrasound (limited) |
$259 |
$259 |
$29 |
$51 | |
| Phosphorus blood test |
$5 |
$12 |
$5 |
$5 | |
| Physical therapy evaluation |
$105 |
$105 |
$84 |
$98 | |
| Physical therapy evaluation (high complexity) |
— |
$105 |
$80 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$105 |
$105 |
$80 |
$98 | |
| Pilonidal cyst removal |
$668 |
$668 |
$215 |
$541 | |
| Platelet count |
$11 |
$11 |
$4 |
$4 | |
| Pneumonia vaccine |
$80 |
$80 |
$133 |
— | |
| Pregnancy blood test (hCG) |
$18 |
$18 |
$8 |
$8 | |
| Procalcitonin test |
$93 |
$93 |
$28 |
$27 | |
| Prolactin test |
$19 |
$47 |
$20 |
$19 | |
| Prostate biopsy |
$3,666 |
$3,666 |
$124 |
— | |
| Prostate removal (prostatectomy) |
$2,665 |
$2,665 |
$1,141 |
$1,063 | |
| Prostate surgery (TURP) |
$9,034 |
$9,034 |
$697 |
$526 | |
| Prostate test (PSA) |
$18 |
$45 |
$19 |
$18 | |
| Psychiatric evaluation |
$270 |
$270 |
$160 |
$188 | |
| Psychotherapy session |
$274 |
$274 |
$106 |
$140 | |
| Pulmonary rehabilitation |
$114 |
$114 |
$4 |
$87 | |
| Radiofrequency nerve ablation |
$3,596 |
$3,596 |
$185 |
$462 | |
| Retinal (fundus) photography |
$26 |
$26 |
$23 |
$37 | |
| Retinal detachment repair |
$3,266 |
$3,266 |
$1,131 |
$966 | |
| Rotator cuff repair |
$2,205 |
$2,205 |
$921 |
$792 | |
| RSV vaccine |
$372 |
$372 |
$325 |
— | |
| Sacroiliac joint injection |
$1,256 |
$1,256 |
$84 |
$176 | |
| Scoliosis spine X-ray |
$213 |
$213 |
$51 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$183 |
$183 |
$41 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$243 |
$243 |
$67 |
$72 | |
| Screening colonoscopy |
$489 |
$489 |
$160 |
$378 | |
| Screening mammogram |
$58 |
$265 |
$122 |
$126 | |
| Septoplasty (deviated septum) |
$1,493 |
$1,493 |
$650 |
$613 | |
| Sex hormone binding globulin test |
$53 |
$53 |
$22 |
$22 | |
| Shingles vaccine |
$260 |
$260 |
$218 |
— | |
| Shoulder arthroscopy |
$2,295 |
$2,295 |
$1,015 |
$962 | |
| Shoulder replacement |
$4,202 |
$4,202 |
$1,378 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$368 |
$368 |
$48 |
$114 | |
| Simple wound stitches |
$368 |
$368 |
$54 |
$127 | |
| Sinus surgery (endoscopic) |
$1,674 |
$1,674 |
$256 |
$224 | |
| Skin biopsy |
$368 |
$368 |
$84 |
$121 | |
| Skin biopsy (punch) |
$708 |
$708 |
$119 |
$121 | |
| Skin cancer lesion removal |
$457 |
$457 |
$166 |
$240 | |
| Skin graft |
$3,507 |
$3,507 |
$682 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$201 |
$201 |
$26 |
$36 | |
| Skin tag removal |
$368 |
$368 |
$78 |
$92 | |
| Sleep study (polysomnography) |
$2,173 |
$2,173 |
$336 |
$691 | |
| Small bowel resection |
$2,284 |
$2,284 |
$938 |
$1,136 | |
| Speech therapy |
$116 |
$116 |
$11 |
$76 | |
| Spinal cord stimulator |
$12,496 |
$12,622 |
$399 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$1,300 |
$1,300 |
$60 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$12,826 |
$12,826 |
$443 |
$5,803 | |
| Spirometry (lung function test) |
$291 |
$291 |
$21 |
$30 | |
| Spirometry with bronchodilator |
$542 |
$542 |
$33 |
$43 | |
| Spleen removal (splenectomy) |
$2,994 |
$2,994 |
$885 |
$1,036 | |
| Stomach removal (gastrectomy) |
$2,484 |
$2,484 |
$1,234 |
$1,595 | |
| Strep throat test |
$32 |
$32 |
$15 |
$17 | |
| Stress echocardiogram |
$873 |
$873 |
$159 |
$209 | |
| Stress echocardiogram (complete) |
$664 |
$664 |
$195 |
$233 | |
| Swallow study |
$149 |
$149 |
$74 |
$85 | |
| Tdap (tetanus) vaccine |
$53 |
$53 |
$42 |
— | |
| Testicle removal (orchiectomy) |
$698 |
$698 |
$316 |
$306 | |
| Testosterone test |
$26 |
$63 |
$27 |
$26 | |
| Thyroid removal (thyroidectomy) |
$2,190 |
$2,190 |
$875 |
$1,004 | |
| Thyroid test (TSH) |
$9 |
$68 |
$17 |
$17 | |
| Thyroid uptake scan |
$411 |
$780 |
$215 |
$145 | |
| Tilt table test |
$1,131 |
$1,131 |
$120 |
$168 | |
| Tonsillectomy |
$727 |
$727 |
$277 |
$252 | |
| Total IgE allergy test |
$40 |
$40 |
$16 |
$16 | |
| Total protein test |
$9 |
$9 |
$4 |
$4 | |
| Tracheostomy |
$698 |
$698 |
$288 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$1,167 |
$1,167 |
$151 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,149 |
$1,149 |
$185 |
$239 | |
| Trigger finger release |
$794 |
$794 |
$492 |
$630 | |
| Triglycerides test |
$14 |
$14 |
$6 |
$6 | |
| Troponin (heart) test |
$40 |
$40 |
$12 |
$12 | |
| Tubal ligation |
$895 |
$895 |
$358 |
$333 | |
| Turbinate reduction |
$732 |
$732 |
$271 |
$294 | |
| Turning a breech baby (version) |
$5,372 |
$5,372 |
$102 |
$94 | |
| Ulnar nerve surgery (elbow) |
$1,257 |
$1,257 |
$583 |
$575 | |
| Umbilical hernia repair |
$1,205 |
$1,205 |
$1,065 |
— | |
| Upper GI endoscopy (EGD) |
$773 |
$1,657 |
$247 |
$371 | |
| Upper GI series (barium) |
$427 |
$427 |
$85 |
$128 | |
| Ureteral stent placement |
$6,296 |
$6,296 |
$148 |
$373 | |
| Uric acid (gout) test |
$5 |
$11 |
$5 |
$5 | |
| Urine microalbumin test |
$8 |
$12 |
$6 |
$5 | |
| Urine pregnancy test |
$15 |
$15 |
$8 |
$9 | |
| UV light therapy (skin) |
$189 |
$189 |
$94 |
$106 | |
| Vaccine administration |
$73 |
$73 |
$15 |
$19 | |
| Vaccine administration (each additional) |
$18 |
$18 |
$13 |
$16 | |
| Vaginal delivery |
$16,285 |
$15,008 |
$4,878 |
$5,487 | |
| Varicose vein ablation |
$5,862 |
$5,862 |
$258 |
$1,018 | |
| Vitamin B12 test |
$13 |
$36 |
$15 |
$15 | |
| Vitamin D test |
$30 |
$117 |
$30 |
$30 | |
| Vitrectomy (eye) |
$3,137 |
$3,137 |
$939 |
$814 | |
| Vocal cord injection |
$836 |
$836 |
$237 |
$211 | |
| Wart removal |
$368 |
$368 |
$87 |
$121 | |
| Weight-loss (bariatric) surgery |
$40,780 |
$33,143 |
$11,313 |
$11,645 | |
| Well-child visit |
$140 |
$132 |
$100 |
— | |
| Wound debridement |
$890 |
$890 |
$146 |
$186 | |
| Wrist fracture repair |
$1,347 |
$1,347 |
$788 |
$735 | |
| X-ray of the ankle |
$175 |
$175 |
$28 |
$37 | |
| X-ray of the collarbone |
$219 |
$219 |
$24 |
$33 | |
| X-ray of the elbow |
$175 |
$175 |
$27 |
$33 | |
| X-ray of the facial bones |
$208 |
$208 |
$27 |
$39 | |
| X-ray of the foot |
$175 |
$175 |
$28 |
$34 | |
| X-ray of the forearm |
$174 |
$174 |
$23 |
$29 | |
| X-ray of the hand |
$219 |
$219 |
$28 |
$38 | |
| X-ray of the hip |
$180 |
$180 |
$45 |
$49 | |
| X-ray of the hip (1 view) |
$176 |
$176 |
$32 |
$34 | |
| X-ray of the hip (3 views) |
$180 |
$180 |
$45 |
$49 | |
| X-ray of the hip (4 views) |
$240 |
$240 |
$57 |
$63 | |
| X-ray of the knee |
$177 |
$177 |
$33 |
$42 | |
| X-ray of the knee (2 views) |
$175 |
$175 |
$25 |
$34 | |
| X-ray of the knee (3 views) |
$177 |
$177 |
$31 |
$42 | |
| X-ray of the knee (4+ views) |
$235 |
$235 |
$42 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$237 |
$237 |
$35 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$235 |
$235 |
$30 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$238 |
$238 |
$38 |
$53 | |
| X-ray of the lower leg |
$174 |
$174 |
$24 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$234 |
$234 |
$25 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$233 |
$233 |
$23 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$235 |
$235 |
$27 |
$39 | |
| X-ray of the neck (cervical spine) |
$96 |
$210 |
$34 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$180 |
$180 |
$28 |
$40 | |
| X-ray of the pelvis |
$235 |
$235 |
$25 |
$36 | |
| X-ray of the pelvis (1 view) |
$231 |
$231 |
$22 |
$28 | |
| X-ray of the ribs |
$239 |
$239 |
$28 |
$42 | |
| X-ray of the ribs (2 views) |
$179 |
$179 |
$26 |
$36 | |
| X-ray of the ribs (3 views) |
$239 |
$239 |
$28 |
$42 | |
| X-ray of the shoulder |
$220 |
$220 |
$29 |
$36 | |
| X-ray of the skull |
$236 |
$236 |
$29 |
$40 | |
| X-ray of the upper arm |
$174 |
$174 |
$23 |
$32 | |
| X-ray of the wrist |
$175 |
$175 |
$32 |
$43 | |
| Zinc blood test |
$24 |
$24 |
$11 |
$11 | |