| Abdominal ultrasound (complete) |
$162 |
$881 |
$116 |
$114 | |
| Abscess drainage (complex or multiple) |
$273 |
$582 |
$196 |
$220 | |
| Abscess drainage (simple) |
$236 |
$246 |
$114 |
$129 | |
| Abscess incision and drainage |
$255 |
$445 |
$191 |
$174 | |
| Albumin blood test |
$45 |
$55 |
$7 |
$5 | |
| Aldosterone test |
$40 |
$327 |
$59 |
$41 | |
| Alkaline phosphatase test |
$18 |
$61 |
$8 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$39 |
$167 |
$24 |
$17 | |
| Ammonia blood test |
$43 |
$143 |
$16 |
$15 | |
| Annual physical (established patient) |
$110 |
$177 |
— |
— | |
| Annual physical (new patient) |
$127 |
$205 |
— |
— | |
| Anoscopy |
$111 |
$111 |
$103 |
$129 | |
| Arterial blood gas (ABG) |
$51 |
$183 |
$30 |
$26 | |
| AST liver enzyme test |
$19 |
$63 |
$8 |
$5 | |
| Barium swallow study |
$287 |
$545 |
$125 |
$107 | |
| Benign skin lesion removal |
$171 |
$276 |
— |
$171 | |
| Bilirubin blood test |
$21 |
$56 |
$7 |
$5 | |
| Bladder scope (cystoscopy) |
$201 |
$323 |
— |
$216 | |
| Blood clotting test (PT/INR) |
$64 |
$65 |
$6 |
$4 | |
| Blood transfusion |
$166 |
$712 |
$48 |
$47 | |
| Blood type and screen |
$34 |
$116 |
$29 |
$10 | |
| Bone density scan (DEXA) |
$422 |
$399 |
$44 |
$39 | |
| Bone marrow biopsy |
$1,054 |
$2,035 |
$83 |
$172 | |
| Breast biopsy |
$274 |
$1,656 |
$164 |
$478 | |
| Breast ultrasound (complete) |
$560 |
$614 |
$109 |
$100 | |
| Breathing tube insertion (intubation) |
$328 |
$385 |
$147 |
$133 | |
| Burn dressing and debridement (medium) |
$136 |
$265 |
$118 |
$166 | |
| Burn dressing and debridement (small) |
$193 |
$190 |
$63 |
$93 | |
| Burn treatment |
$181 |
$190 |
$111 |
$129 | |
| Cardiac stress test |
$166 |
$166 |
$43 |
$39 | |
| Cardioversion |
$584 |
$553 |
$119 |
$155 | |
| CEA tumor marker test |
$36 |
$177 |
$28 |
$19 | |
| Cervical LEEP procedure |
$714 |
$714 |
$292 |
$325 | |
| Chest fluid drain (thoracentesis) |
$364 |
$1,643 |
$113 |
$311 | |
| Chest tube insertion |
$311 |
$1,325 |
$162 |
$143 | |
| Chest X-ray |
$223 |
$298 |
$45 |
$37 | |
| Chest X-ray (2 views) |
$181 |
$293 |
$36 |
$33 | |
| Circumcision |
$224 |
$308 |
$101 |
$167 | |
| Colposcopy |
$180 |
$290 |
— |
$161 | |
| Complex wound repair |
$210 |
$635 |
$260 |
$390 | |
| Contraceptive implant (Nexplanon) |
$184 |
$297 |
— |
$115 | |
| Copper blood test |
$118 |
$140 |
$18 |
$12 | |
| Coronary CT angiography |
$676 |
$2,140 |
$349 |
$326 | |
| Cortisol test |
$73 |
$141 |
$23 |
$16 | |
| COVID-19 PCR test |
$385 |
$324 |
$52 |
$51 | |
| CPAP titration study |
$912 |
$749 |
$39 |
$69 | |
| CT angiography of the chest |
$192 |
$3,184 |
$301 |
$281 | |
| CT angiography of the head |
$269 |
$3,158 |
$291 |
$274 | |
| CT scan of the abdomen |
$725 |
$2,552 |
$253 |
$230 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,683 |
$4,169 |
$367 |
$338 | |
| CT scan of the abdomen and pelvis without contrast |
$225 |
$3,222 |
$196 |
$183 | |
| CT scan of the abdomen with and without contrast |
$971 |
$3,020 |
$285 |
$259 | |
| CT scan of the abdomen with contrast |
$1,893 |
$2,390 |
$253 |
$230 | |
| CT scan of the abdomen without contrast |
$478 |
$1,770 |
$148 |
$136 | |
| CT scan of the chest without contrast |
$237 |
$1,707 |
$142 |
$133 | |
| CT scan of the head |
$216 |
$1,958 |
$161 |
$148 | |
| CT scan of the head with and without contrast |
$1,084 |
$2,607 |
$188 |
$173 | |
| CT scan of the head with contrast |
$216 |
$2,069 |
$161 |
$148 | |
| CT scan of the head without contrast |
$126 |
$1,763 |
$113 |
$107 | |
| CT scan of the lower back (lumbar spine) with contrast |
$247 |
$2,483 |
$183 |
$169 | |
| CT scan of the neck |
$181 |
$2,279 |
$198 |
$183 | |
| CT scan of the neck with and without contrast |
$496 |
$2,703 |
$230 |
$220 | |
| CT scan of the neck without contrast |
$181 |
$1,708 |
$160 |
$150 | |
| CT scan of the pelvis |
$342 |
$2,346 |
$249 |
$226 | |
| CT scan of the pelvis with and without contrast |
$188 |
$2,809 |
$271 |
$251 | |
| CT scan of the pelvis with contrast |
$697 |
$2,346 |
$249 |
$226 | |
| CT scan of the pelvis without contrast |
$342 |
$1,796 |
$142 |
$133 | |
| CT scan of the sinuses |
$216 |
$2,049 |
$170 |
$152 | |
| CT scan of the sinuses with and without contrast |
$216 |
$2,431 |
$197 |
$184 | |
| CT scan of the sinuses with contrast |
$210 |
$2,188 |
$165 |
$152 | |
| CT scan of the sinuses without contrast |
$416 |
$1,737 |
$139 |
$128 | |
| D-dimer test |
$39 |
$201 |
$15 |
$10 | |
| Diagnostic mammogram |
$126 |
$365 |
$158 |
$140 | |
| Drug screen (urine) |
$57 |
$129 |
$20 |
$17 | |
| Electrocardiogram (EKG) |
$18 |
$18 |
$8 |
$8 | |
| Electrolyte panel |
$58 |
$103 |
$10 |
$7 | |
| Emergency department visit |
$214 |
$463 |
$73 |
$69 | |
| Emergency department visit (level 1) |
$161 |
$210 |
$12 |
$11 | |
| Emergency department visit (level 2) |
$93 |
$463 |
$44 |
$40 | |
| Emergency department visit (level 3) |
$305 |
$520 |
$74 |
$69 | |
| Emergency department visit (level 4) |
$303 |
$904 |
$127 |
$118 | |
| Emergency department visit (level 5) |
$588 |
$1,303 |
$183 |
$171 | |
| Endometrial biopsy |
$132 |
$213 |
— |
$98 | |
| Estradiol (estrogen) test |
$131 |
$280 |
$41 |
$28 | |
| Fallopian tube X-ray (HSG) |
$152 |
$526 |
$65 |
$164 | |
| Fecal occult blood (stool) test |
$31 |
$39 |
$12 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$31 |
$38 |
$5 |
$4 | |
| Ferritin (iron) test |
$34 |
$127 |
$20 |
$14 | |
| Fibrinogen test |
$13 |
$103 |
$12 |
$10 | |
| Flu vaccine |
$35 |
$56 |
— |
— | |
| Folate (folic acid) test |
$34 |
$130 |
$21 |
$15 | |
| Foreign body removal (skin) |
$204 |
$961 |
$113 |
$157 | |
| Free T4 thyroid test |
$15 |
$94 |
$13 |
$9 | |
| FSH hormone test |
$130 |
$221 |
$27 |
$19 | |
| H. pylori test |
$93 |
$270 |
$52 |
$67 | |
| Hearing test (audiometry) |
$44 |
$70 |
— |
$36 | |
| Hepatitis B test |
$17 |
$95 |
$15 |
$10 | |
| Hepatitis B vaccine |
$51 |
$82 |
— |
— | |
| HIV test (antibody) |
$142 |
$119 |
$20 |
$14 | |
| Holter heart monitor |
$165 |
$169 |
$37 |
$26 | |
| Hydrocele repair |
$464 |
$749 |
— |
$315 | |
| Hysterectomy |
$1,968 |
$1,968 |
$903 |
$933 | |
| Hysteroscopy |
$714 |
$714 |
$1,153 |
$1,270 | |
| IUD insertion |
$247 |
$277 |
$101 |
— | |
| IUD removal |
$963 |
$963 |
$70 |
$112 | |
| Joint aspiration (small/intermediate) |
$157 |
$157 |
$41 |
$57 | |
| Joint aspiration or injection (small joint) |
$117 |
$145 |
$40 |
$56 | |
| Kidney stone shock-wave (lithotripsy) |
$952 |
$1,536 |
— |
$760 | |
| Kidney ultrasound |
$358 |
$708 |
$108 |
$84 | |
| Lactate test |
$73 |
$124 |
$16 |
$12 | |
| Laryngoscopy |
$232 |
$259 |
$77 |
$189 | |
| LDH test |
$72 |
$79 |
$9 |
$6 | |
| LDL cholesterol test |
$17 |
$75 |
$14 |
$11 | |
| LH hormone test |
$203 |
$173 |
$27 |
$19 | |
| Lipid (cholesterol) panel |
$21 |
$130 |
$19 |
$13 | |
| Liver function panel |
$89 |
$150 |
$12 |
$8 | |
| Magnesium blood test |
$21 |
$77 |
$10 |
$7 | |
| MRA of the neck without contrast |
$255 |
$3,702 |
$371 |
$343 | |
| MRI of the abdomen |
$462 |
$3,540 |
$307 |
$300 | |
| MRI of the abdomen without contrast |
$2,878 |
$3,088 |
$213 |
$194 | |
| MRI of the ankle |
$2,899 |
$3,100 |
$357 |
$261 | |
| MRI of the brain |
$238 |
$3,975 |
$337 |
$269 | |
| MRI of the brain without contrast |
$238 |
$2,955 |
$213 |
$195 | |
| MRI of the chest |
$348 |
$3,170 |
$449 |
$371 | |
| MRI of the chest without contrast |
$325 |
$3,829 |
$506 |
$466 | |
| MRI of the knee |
$2,808 |
$2,913 |
$332 |
$315 | |
| MRI of the knee with contrast |
$1,944 |
$2,913 |
$386 |
$315 | |
| MRI of the knee without contrast |
$2,808 |
$2,666 |
$222 |
$204 | |
| MRI of the mid-back (thoracic spine) with contrast |
$289 |
$3,444 |
$297 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$206 |
$2,833 |
$207 |
$190 | |
| MRI of the neck (cervical spine) without contrast |
$312 |
$2,998 |
$207 |
$191 | |
| MRI of the pelvis |
$342 |
$3,455 |
$346 |
$268 | |
| MRI of the shoulder |
$307 |
$2,913 |
$341 |
$313 | |
| MRI of the shoulder with contrast |
$307 |
$2,913 |
$341 |
$313 | |
| MRI of the shoulder without contrast |
$543 |
$2,704 |
$221 |
$205 | |
| Newborn hospital care |
$87 |
$87 |
$110 |
$58 | |
| Nuchal translucency ultrasound |
$243 |
$699 |
$116 |
$116 | |
| Occupational therapy evaluation (high complexity) |
$435 |
$419 |
$107 |
$101 | |
| Office visit (new patient) |
$407 |
$385 |
$140 |
$177 | |
| Office visit, established patient (level 4) |
$281 |
$302 |
$102 |
$136 | |
| Office visit, new patient (level 3) |
$58 |
$299 |
$84 |
$118 | |
| Office visit, new patient (level 4) |
$417 |
$395 |
$140 |
$177 | |
| Ovary removal (oophorectomy) |
$636 |
$1,025 |
— |
$822 | |
| Pap smear (cervical screening) |
$71 |
$102 |
$24 |
$20 | |
| Pelvic ultrasound |
$286 |
$667 |
$105 |
$78 | |
| Pelvic ultrasound (complete) |
$520 |
$667 |
$112 |
$105 | |
| Pelvic ultrasound (limited) |
$73 |
$592 |
$51 |
$51 | |
| Phosphorus blood test |
$73 |
$69 |
$7 |
$5 | |
| Pregnancy ultrasound |
$105 |
$583 |
$124 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$105 |
$583 |
$117 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$105 |
$677 |
$135 |
$136 | |
| Procalcitonin test |
$21 |
$216 |
$33 |
$27 | |
| Prolactin test |
$22 |
$216 |
$28 |
$19 | |
| Prostate biopsy |
$227 |
$366 |
— |
— | |
| Prostate removal (prostatectomy) |
$2,176 |
$3,510 |
— |
$1,063 | |
| Prostate surgery (TURP) |
$1,054 |
$1,701 |
— |
$526 | |
| Prostate test (PSA) |
$60 |
$138 |
$27 |
$18 | |
| Psychiatric evaluation |
$364 |
$364 |
$169 |
$188 | |
| Sacroiliac joint injection |
$166 |
$267 |
— |
$176 | |
| Scoliosis spine X-ray |
$186 |
$384 |
$70 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$252 |
$304 |
$45 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$120 |
$463 |
$72 |
$72 | |
| Screening mammogram |
$169 |
$243 |
$128 |
$126 | |
| Semen analysis |
$37 |
$65 |
$18 |
$12 | |
| Sex hormone binding globulin test |
$69 |
$138 |
$32 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$70 |
$272 |
$47 |
$114 | |
| Simple wound stitches |
$77 |
$271 |
$59 |
$127 | |
| Skin biopsy |
$99 |
$159 |
— |
$121 | |
| Skin biopsy (punch) |
$109 |
$176 |
— |
$121 | |
| Skin cancer lesion removal |
$282 |
$454 |
— |
$240 | |
| Skin lesion freezing (cryotherapy) |
$47 |
$75 |
— |
$36 | |
| Skin tag removal |
$266 |
$255 |
$84 |
$92 | |
| Soft tissue ultrasound |
$201 |
$463 |
$67 |
$64 | |
| Speech therapy |
$92 |
$255 |
$79 |
$76 | |
| Spinal tap (lumbar puncture) |
$245 |
$587 |
$67 |
$165 | |
| Spirometry with bronchodilator |
$497 |
$619 |
$41 |
$43 | |
| Strep throat test |
$33 |
$54 |
— |
$17 | |
| T3 thyroid test |
$41 |
$195 |
$21 |
$14 | |
| Tdap (tetanus) vaccine |
$29 |
$47 |
— |
— | |
| Testicle removal (orchiectomy) |
$407 |
$656 |
— |
$306 | |
| Testosterone test |
$34 |
$177 |
$38 |
$26 | |
| Thyroid test (TSH) |
$26 |
$163 |
$24 |
$17 | |
| Total IgE allergy test |
$47 |
$145 |
$24 |
$16 | |
| Total protein test |
$32 |
$56 |
$5 |
$4 | |
| Transvaginal ultrasound |
$254 |
$700 |
$123 |
$118 | |
| Triglycerides test |
$36 |
$70 |
$8 |
$6 | |
| Tubal ligation |
$724 |
$724 |
$514 |
$333 | |
| Upper GI series (barium) |
$913 |
$796 |
$139 |
$128 | |
| Ureteroscopy (stone removal) |
$703 |
$1,134 |
— |
$365 | |
| Urinalysis |
$39 |
$43 |
$4 |
$3 | |
| Urine pregnancy test |
$10 |
$16 |
— |
$9 | |
| Vaccine administration |
$30 |
$104 |
$21 |
$19 | |
| Vaccine administration (each additional) |
$8 |
$89 |
$15 |
$16 | |
| Vasectomy |
$375 |
$605 |
— |
$347 | |
| Wart removal |
$130 |
$210 |
— |
$121 | |
| Well-child visit |
$100 |
$161 |
— |
— | |
| Wound debridement |
$246 |
$405 |
$152 |
$186 | |
| X-ray of the ankle |
$370 |
$302 |
$39 |
$37 | |
| X-ray of the elbow |
$95 |
$248 |
$35 |
$33 | |
| X-ray of the foot |
$187 |
$314 |
$36 |
$34 | |
| X-ray of the hip |
$147 |
$382 |
$50 |
$49 | |
| X-ray of the hip (1 view) |
$101 |
$347 |
$35 |
$34 | |
| X-ray of the hip (3 views) |
$147 |
$313 |
$50 |
$49 | |
| X-ray of the hip (4 views) |
$126 |
$446 |
$64 |
$63 | |
| X-ray of the knee |
$143 |
$275 |
$47 |
$42 | |
| X-ray of the knee (2 views) |
$141 |
$240 |
$36 |
$34 | |
| X-ray of the knee (3 views) |
$185 |
$305 |
$43 |
$42 | |
| X-ray of the knee (4+ views) |
$143 |
$282 |
$50 |
$49 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$183 |
$320 |
$42 |
$40 | |
| X-ray of the lower leg |
$173 |
$280 |
$34 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$153 |
$308 |
$41 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$153 |
$308 |
$35 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$194 |
$390 |
$42 |
$39 | |
| X-ray of the neck (cervical spine) |
$160 |
$320 |
$56 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$160 |
$320 |
$42 |
$40 | |
| X-ray of the pelvis |
$316 |
$325 |
$44 |
$36 | |
| X-ray of the pelvis (1 view) |
$316 |
$325 |
$30 |
$28 | |
| X-ray of the ribs |
$211 |
$272 |
$46 |
$42 | |
| X-ray of the ribs (2 views) |
$211 |
$272 |
$39 |
$36 | |
| X-ray of the ribs (3 views) |
$47 |
$76 |
— |
$42 | |
| X-ray of the wrist |
$79 |
$223 |
$43 |
$43 | |