| 3D mammogram (tomosynthesis) |
$23 |
$317 |
$27 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$986 |
$4,886 |
$987 |
$284 | |
| Abdominal ultrasound |
$113 |
$1,586 |
$114 |
$100 | |
| Abdominal ultrasound (complete) |
$113 |
$1,911 |
$114 |
$114 | |
| Abdominal ultrasound (limited) |
$113 |
$1,261 |
$114 |
$86 | |
| Abscess drainage (complex or multiple) |
$442 |
$6,439 |
$619 |
$220 | |
| Abscess drainage (simple) |
$218 |
$1,035 |
$306 |
$129 | |
| Abscess incision and drainage |
$442 |
$1,141 |
$442 |
$174 | |
| Albumin blood test |
$4 |
$177 |
$5 |
$5 | |
| Aldosterone test |
$40 |
$372 |
$41 |
$41 | |
| Alkaline phosphatase test |
$5 |
$266 |
$5 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$16 |
$497 |
$17 |
$17 | |
| ALT liver enzyme test |
$5 |
$266 |
$5 |
$5 | |
| Ammonia blood test |
$14 |
$198 |
$15 |
$15 | |
| Amniocentesis |
$1,001 |
$907 |
$907 |
$120 | |
| Anal fistula repair |
$3,019 |
$27,500 |
$3,019 |
$541 | |
| Ankle fracture repair |
$7,892 |
$99,667 |
$7,893 |
$608 | |
| Anoscopy |
$144 |
$401 |
$217 |
$129 | |
| Antinuclear antibody (ANA) test |
$12 |
$681 |
$12 |
$12 | |
| Aortic aneurysm repair (AAA) |
— |
$8,217 |
$1,870 |
$1,345 | |
| Arterial blood gas (ABG) |
$26 |
$115 |
$26 |
$26 | |
| AST liver enzyme test |
$5 |
$266 |
$5 |
$5 | |
| Barium swallow study |
$190 |
$1,087 |
$191 |
$107 | |
| Bartholin cyst removal |
$219 |
$661 |
$308 |
$182 | |
| Benign skin lesion removal |
$770 |
$11,737 |
$778 |
$171 | |
| Bilirubin blood test |
$5 |
$177 |
$5 |
$5 | |
| Blood clotting test (PT/INR) |
$4 |
$176 |
$4 |
$4 | |
| Blood crossmatch |
$185 |
$199 |
$185 |
— | |
| Blood glucose test |
$4 |
$87 |
$5 |
$5 | |
| Blood transfusion |
$479 |
$2,278 |
$480 |
$47 | |
| Blood type and screen |
$56 |
$310 |
$57 |
$10 | |
| Blood type test |
$92 |
$330 |
$64 |
$3 | |
| Blood type test (ABO group) |
$144 |
$330 |
$145 |
$3 | |
| Blood type test (Rh/D antigen) |
$40 |
$266 |
$41 |
$3 | |
| BNP (heart failure) test |
$39 |
$600 |
$39 |
$39 | |
| Bone density scan (DEXA) |
$113 |
$1,204 |
$114 |
$39 | |
| Bone marrow biopsy |
$2,478 |
$4,214 |
$1,689 |
$172 | |
| Bone scan (nuclear) |
$434 |
$3,994 |
$435 |
$259 | |
| Breast biopsy |
$1,796 |
$1,689 |
$1,689 |
$478 | |
| Breast ultrasound |
$104 |
$970 |
$114 |
$92 | |
| Breast ultrasound (complete) |
$113 |
$977 |
$114 |
$100 | |
| Breast ultrasound (limited) |
$94 |
$963 |
$95 |
$84 | |
| Breathing tube insertion (intubation) |
$257 |
$1,210 |
$361 |
$133 | |
| Bronchoscopy |
$1,936 |
$5,392 |
$1,936 |
$303 | |
| Bunion surgery (bunionectomy) |
$7,892 |
$17,898 |
$5,339 |
$883 | |
| Burn dressing and debridement (medium) |
$218 |
$536 |
$306 |
$166 | |
| Burn dressing and debridement (small) |
$218 |
$1,035 |
$327 |
$93 | |
| Burn treatment |
$218 |
$786 |
$316 |
$129 | |
| CA 19-9 tumor marker test |
$20 |
$246 |
$21 |
$21 | |
| CA-125 ovarian marker test |
$20 |
$592 |
$21 |
$21 | |
| Calcium blood test |
$5 |
$150 |
$5 |
$5 | |
| Cardiac ablation |
$28,430 |
$30,110 |
$25,567 |
$759 | |
| Cardiac catheterization |
$3,526 |
$16,823 |
$3,526 |
$1,049 | |
| Cardiac MRI |
$259 |
$3,218 |
$260 |
$322 | |
| Cardiac MRI without contrast |
$259 |
$3,218 |
$260 |
$280 | |
| Cardiac rehabilitation |
$140 |
$245 |
$210 |
$26 | |
| Cardiac stress test |
$234 |
$2,340 |
$235 |
$39 | |
| Cardioversion |
$718 |
$3,410 |
$726 |
$155 | |
| Carotid artery ultrasound |
$186 |
$1,162 |
$217 |
$156 | |
| CEA tumor marker test |
$18 |
$95 |
$19 |
$19 | |
| Celiac disease test |
$11 |
$34 |
$12 |
$12 | |
| Central line placement |
$3,434 |
$9,841 |
$3,434 |
$238 | |
| Cesarean section (C-section) |
$9,977 |
— |
$13,978 |
$7,552 | |
| Chemotherapy infusion |
$219 |
$649 |
$149 |
$81 | |
| Chemotherapy infusion (each additional) |
$78 |
$458 |
$79 |
$28 | |
| Chemotherapy infusion (first hour) |
$359 |
$841 |
$363 |
$133 | |
| Chest fluid drain (thoracentesis) |
$682 |
$3,222 |
$848 |
$311 | |
| Chest tube insertion |
$1,712 |
$4,857 |
$1,712 |
$143 | |
| Chest X-ray |
$94 |
$602 |
$95 |
$37 | |
| Chest X-ray (1 view) |
$94 |
$555 |
$95 |
$25 | |
| Chest X-ray (2 views) |
$94 |
$998 |
$95 |
$33 | |
| CK-MB heart enzyme test |
$11 |
$79 |
$12 |
$12 | |
| Clotting time test (PTT) |
$6 |
$218 |
$6 |
$6 | |
| Colonoscopy |
$1,011 |
$3,686 |
$1,302 |
$480 | |
| Complete blood count (CBC) |
$7 |
$195 |
$8 |
$7 | |
| Complete blood count (CBC) (complete) |
$7 |
$250 |
$8 |
$8 | |
| Complex wound repair |
$803 |
$1,747 |
$1,048 |
$390 | |
| Copper blood test |
$12 |
$161 |
$12 |
$12 | |
| Coronary artery bypass (CABG) |
$42,844 |
— |
$50,571 |
$36,593 | |
| Coronary CT angiography |
$379 |
$3,398 |
$379 |
$326 | |
| Cortisol test |
$16 |
$222 |
$16 |
$16 | |
| COVID-19 PCR test |
$51 |
$257 |
$51 |
$51 | |
| CPAP titration study |
$238 |
$3,478 |
$241 |
$69 | |
| Creatine kinase (CK) test |
$6 |
$271 |
$7 |
$7 | |
| CT angiography of the chest |
$190 |
$11,592 |
$286 |
$281 | |
| CT angiography of the head |
$190 |
$6,896 |
$286 |
$274 | |
| CT colonography (virtual colonoscopy) |
$259 |
$2,043 |
$389 |
$835 | |
| CT scan of the abdomen |
$190 |
$3,383 |
$191 |
$230 | |
| CT scan of the abdomen and pelvis |
$379 |
$12,736 |
$379 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$379 |
$15,515 |
$379 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$379 |
$12,736 |
$379 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$259 |
$11,441 |
$260 |
$183 | |
| CT scan of the abdomen with and without contrast |
$190 |
$5,776 |
$220 |
$259 | |
| CT scan of the abdomen with contrast |
$190 |
$3,383 |
$191 |
$230 | |
| CT scan of the arm |
$190 |
$3,212 |
$227 |
$199 | |
| CT scan of the arm with contrast |
$379 |
$2,729 |
$379 |
$199 | |
| CT scan of the chest |
$190 |
$6,109 |
$191 |
$167 | |
| CT scan of the chest with and without contrast |
$190 |
$6,109 |
$234 |
$196 | |
| CT scan of the chest with contrast |
$190 |
$6,276 |
$191 |
$167 | |
| CT scan of the head |
$190 |
$3,878 |
$191 |
$148 | |
| CT scan of the head with and without contrast |
$190 |
$6,314 |
$191 |
$173 | |
| CT scan of the head with contrast |
$190 |
$2,594 |
$191 |
$148 | |
| CT scan of the leg |
$190 |
$2,757 |
$191 |
$166 | |
| CT scan of the leg with contrast |
$190 |
$2,757 |
$191 |
$166 | |
| CT scan of the lower back (lumbar spine) |
$190 |
$8,490 |
$227 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$190 |
$11,123 |
$236 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$379 |
$7,728 |
$379 |
$169 | |
| CT scan of the neck |
$190 |
$7,019 |
$191 |
$183 | |
| CT scan of the neck (cervical spine) |
$190 |
$8,941 |
$227 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$190 |
$9,314 |
$235 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$379 |
$8,941 |
$379 |
$168 | |
| CT scan of the neck with and without contrast |
$190 |
$7,274 |
$233 |
$220 | |
| CT scan of the neck with contrast |
$190 |
$7,019 |
$191 |
$183 | |
| CT scan of the pelvis |
$190 |
$3,567 |
$191 |
$226 | |
| CT scan of the pelvis with and without contrast |
$190 |
$3,567 |
$228 |
$251 | |
| CT scan of the pelvis with contrast |
$190 |
$5,775 |
$191 |
$226 | |
| CT scan of the sinuses |
$190 |
$6,382 |
$191 |
$152 | |
| CT scan of the sinuses with and without contrast |
$190 |
$7,318 |
$243 |
$184 | |
| CT scan of the sinuses with contrast |
$190 |
$6,208 |
$197 |
$152 | |
| D-dimer test |
$10 |
$203 |
$10 |
$10 | |
| Defibrillator (ICD) implant |
$34,142 |
$44,534 |
$34,142 |
$798 | |
| Developmental screening (child) |
— |
$329 |
$7 |
— | |
| DHEA-sulfate test |
$22 |
$262 |
$22 |
$22 | |
| Diagnostic mammogram |
$98 |
$825 |
$111 |
$140 | |
| Dialysis fistula creation |
$3,434 |
$26,000 |
$3,434 |
$601 | |
| Drug screen (urine) |
$37 |
$227 |
$32 |
$17 | |
| Ear pressure test (tympanometry) |
$40 |
$141 |
$41 |
$16 | |
| Ear tubes (myringotomy) |
$1,687 |
$11,737 |
$1,721 |
$174 | |
| Echocardiogram |
$259 |
$1,501 |
$402 |
$138 | |
| Echocardiogram with and without contrast |
$259 |
$1,162 |
$260 |
$101 | |
| Echocardiogram without contrast |
$259 |
$1,501 |
$260 |
$138 | |
| EEG (awake and asleep) |
$234 |
$1,623 |
$314 |
$482 | |
| EKG / ECG (tracing only) |
$64 |
$648 |
$64 |
$7 | |
| Electrocardiogram (EKG) |
$64 |
$648 |
$64 |
$8 | |
| Electroencephalogram (EEG) |
$234 |
$1,723 |
$317 |
$448 | |
| Electrolyte panel |
$7 |
$240 |
$7 |
$7 | |
| Electromyography (EMG) |
$144 |
$652 |
$149 |
$141 | |
| Emergency department visit |
$296 |
$2,219 |
$303 |
$69 | |
| Emergency department visit (level 1) |
$91 |
$825 |
$128 |
$11 | |
| Emergency department visit (level 2) |
$167 |
$1,443 |
$234 |
$40 | |
| Emergency department visit (level 3) |
$296 |
$2,219 |
$303 |
$69 | |
| Emergency department visit (level 4) |
$453 |
$3,195 |
$454 |
$118 | |
| Emergency department visit (level 5) |
$647 |
$4,391 |
$648 |
$171 | |
| Epidural steroid injection |
$767 |
$2,535 |
$802 |
$275 | |
| ERCP (bile duct endoscopy) |
$4,193 |
$11,895 |
$4,194 |
$311 | |
| Esophageal dilation |
$986 |
$1,802 |
$1,006 |
$522 | |
| Esophageal variceal banding |
$2,087 |
$2,486 |
$2,087 |
$126 | |
| Estradiol (estrogen) test |
$27 |
$358 |
$28 |
$28 | |
| Facet joint injection (spine) |
$962 |
$3,054 |
$981 |
$99 | |
| Fallopian tube X-ray (HSG) |
$259 |
$2,044 |
$260 |
$164 | |
| Family therapy session |
$193 |
$167 |
$167 |
$110 | |
| Fecal occult blood (stool) test |
$10 |
$45 |
$10 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$4 |
$24 |
$4 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$15 |
$65 |
$16 |
$16 | |
| Feeding tube (PEG) placement |
$2,087 |
$9,885 |
$2,087 |
$178 | |
| Ferritin (iron) test |
$13 |
$824 |
$14 |
$14 | |
| Fibrinogen test |
$9 |
$170 |
$10 |
$10 | |
| Flexible sigmoidoscopy |
$1,011 |
$1,981 |
$1,022 |
$323 | |
| Flu test |
$16 |
$149 |
$17 |
$17 | |
| Folate (folic acid) test |
$14 |
$319 |
$15 |
$15 | |
| Foreign body removal (skin) |
$442 |
$619 |
$619 |
$157 | |
| Free T4 thyroid test |
$9 |
$300 |
$9 |
$9 | |
| FSH hormone test |
$18 |
$616 |
$19 |
$19 | |
| Gallbladder removal (laparoscopic) |
$6,575 |
$21,793 |
$6,576 |
$658 | |
| Gallbladder scan (HIDA) |
$512 |
$5,317 |
$591 |
$334 | |
| Ganglion cyst removal |
$1,749 |
$8,304 |
$1,749 |
$321 | |
| GGT liver test |
$7 |
$295 |
$7 |
$7 | |
| Glucose tolerance test |
$8 |
$356 |
$7 |
$8 | |
| Group therapy session |
$110 |
$96 |
$96 |
$30 | |
| H. pylori test |
$67 |
$735 |
$67 |
$67 | |
| Hammertoe repair |
$3,559 |
$13,687 |
$3,559 |
$548 | |
| HDL cholesterol test |
$8 |
$124 |
$8 |
$8 | |
| Hearing test (audiometry) |
$139 |
$368 |
$141 |
$36 | |
| Hemodialysis |
$746 |
$3,646 |
$1,045 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$9 |
$315 |
$10 |
$10 | |
| Hemorrhoid removal |
$2,015 |
$2,166 |
$1,474 |
$338 | |
| Hepatitis B test |
$10 |
$180 |
$10 |
$10 | |
| Hepatitis C test |
$14 |
$217 |
$14 |
$14 | |
| HIV test |
$24 |
$203 |
$24 |
$19 | |
| HIV test (antibody) |
$13 |
$203 |
$14 |
$14 | |
| HIV test (antigen/antibody combo) |
$24 |
$228 |
$24 |
$24 | |
| Holter heart monitor |
$104 |
$596 |
$115 |
$26 | |
| Home sleep apnea test |
$64 |
$389 |
$65 |
$123 | |
| Hydrocele repair |
$3,894 |
$13,451 |
$3,894 |
$315 | |
| Inguinal hernia repair |
$3,894 |
$25,644 |
$3,894 |
$538 | |
| Iron blood test |
$6 |
$735 |
$6 |
$6 | |
| IUD removal |
$331 |
$491 |
$464 |
$112 | |
| IV infusion therapy |
$141 |
$669 |
$93 |
$44 | |
| IV infusion therapy (each additional) |
$50 |
$240 |
$51 |
$21 | |
| IV infusion therapy (initial) |
$231 |
$1,098 |
$231 |
$67 | |
| IVC filter placement |
$6,052 |
$28,169 |
$6,053 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$333 |
$872 |
$341 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$333 |
$1,119 |
$341 |
$57 | |
| Joint aspiration or injection (small joint) |
$333 |
$625 |
$341 |
$56 | |
| Kidney biopsy |
$1,796 |
$7,071 |
$1,796 |
$492 | |
| Kidney scan (nuclear) |
$590 |
$2,729 |
$591 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$3,834 |
$13,970 |
$3,834 |
$760 | |
| Kidney ultrasound |
$113 |
$1,194 |
$114 |
$84 | |
| Kidney ultrasound (limited) |
$113 |
$1,355 |
$114 |
$61 | |
| Knee arthroscopy |
$3,559 |
$32,500 |
$3,559 |
$524 | |
| Knee joint injection |
$333 |
$619 |
$467 |
$69 | |
| Knee replacement |
$21,863 |
— |
$26,411 |
$18,054 | |
| Lactate test |
$11 |
$177 |
$12 |
$12 | |
| Laminectomy (spine) |
$7,892 |
$25,323 |
$7,893 |
$1,157 | |
| Laryngoscopy |
$1,077 |
$2,021 |
$640 |
$189 | |
| LDH test |
$6 |
$344 |
$6 |
$6 | |
| LDL cholesterol test |
$10 |
$110 |
$11 |
$11 | |
| Leg artery angiogram |
$3,434 |
$4,381 |
$3,434 |
$149 | |
| Leg artery angioplasty |
$9,072 |
$44,402 |
$6,478 |
— | |
| Leg vein ultrasound (Doppler) |
$186 |
$1,339 |
$217 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$113 |
$1,108 |
$116 |
$116 | |
| LH hormone test |
$18 |
$395 |
$19 |
$19 | |
| Lipid (cholesterol) panel |
$13 |
$590 |
$13 |
$13 | |
| Liver biopsy |
$1,796 |
$5,066 |
$1,796 |
$288 | |
| Lumbar discectomy |
$7,892 |
$35,746 |
$7,893 |
$898 | |
| Lumpectomy (breast) |
$4,258 |
$22,000 |
$4,259 |
$750 | |
| Lung function test (PFT) |
$320 |
$1,570 |
$389 |
$37 | |
| Lung scan (V/Q) |
$590 |
$2,805 |
$591 |
$291 | |
| Magnesium blood test |
$6 |
$177 |
$7 |
$7 | |
| MRA of the brain |
$379 |
$6,569 |
$379 |
$226 | |
| MRA of the brain with contrast |
$379 |
$3,348 |
$379 |
$226 | |
| MRA of the brain without contrast |
$379 |
$10,901 |
$552 |
$328 | |
| MRA of the neck |
$379 |
$6,472 |
$389 |
$245 | |
| MRA of the neck with contrast |
$379 |
$3,305 |
$390 |
$245 | |
| MRA of the neck without contrast |
$379 |
$10,824 |
$556 |
$343 | |
| MRI of the abdomen |
$379 |
$8,830 |
$389 |
$300 | |
| MRI of the abdomen with contrast |
$379 |
$1,013 |
$402 |
$300 | |
| MRI of the abdomen without contrast |
$259 |
$8,830 |
$281 |
$194 | |
| MRI of the ankle |
$379 |
$3,995 |
$379 |
$261 | |
| MRI of the ankle with contrast |
$379 |
$3,995 |
$379 |
$261 | |
| MRI of the ankle without contrast |
$259 |
$3,309 |
$319 |
$222 | |
| MRI of the brain |
$379 |
$8,947 |
$379 |
$269 | |
| MRI of the brain with contrast |
$379 |
$8,947 |
$379 |
$269 | |
| MRI of the brain without contrast |
$259 |
$6,637 |
$260 |
$195 | |
| MRI of the chest |
$379 |
$4,380 |
$505 |
$371 | |
| MRI of the chest with contrast |
$852 |
$4,042 |
$853 |
$371 | |
| MRI of the chest without contrast |
$379 |
$4,380 |
$510 |
$466 | |
| MRI of the knee |
$379 |
$14,563 |
$464 |
$315 | |
| MRI of the knee with contrast |
$852 |
$19,092 |
$853 |
$315 | |
| MRI of the knee without contrast |
$259 |
$14,563 |
$260 |
$204 | |
| MRI of the lower back (lumbar spine) |
$379 |
$11,370 |
$379 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$379 |
$4,278 |
$379 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$259 |
$11,370 |
$260 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$379 |
$10,470 |
$379 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$379 |
$12,780 |
$379 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$379 |
$4,169 |
$379 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$259 |
$10,470 |
$260 |
$190 | |
| MRI of the neck (cervical spine) |
$379 |
$12,112 |
$379 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$379 |
$13,476 |
$379 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$379 |
$10,334 |
$379 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$259 |
$12,112 |
$260 |
$191 | |
| MRI of the pelvis |
$379 |
$4,037 |
$379 |
$268 | |
| MRI of the pelvis with contrast |
$379 |
$4,037 |
$379 |
$268 | |
| MRI of the pelvis without contrast |
$259 |
$3,356 |
$324 |
$227 | |
| MRI of the shoulder |
$379 |
$20,515 |
$464 |
$313 | |
| MRI of the shoulder with contrast |
$852 |
$20,515 |
$853 |
$313 | |
| MRI of the shoulder without contrast |
$259 |
$20,285 |
$260 |
$205 | |
| MRI of the wrist |
$379 |
$3,826 |
$379 |
$330 | |
| MRI of the wrist with contrast |
$379 |
$3,826 |
$379 |
$330 | |
| MRI of the wrist without contrast |
$259 |
$3,324 |
$319 |
$303 | |
| Nebulizer breathing treatment |
$238 |
$700 |
$241 |
$9 | |
| Nuchal translucency ultrasound |
$113 |
$711 |
$114 |
$116 | |
| Nuclear cardiac stress test |
$1,408 |
$12,294 |
$1,408 |
$428 | |
| Occupational therapy evaluation |
$100 |
$300 |
$101 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$100 |
$350 |
$101 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$100 |
$250 |
$101 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$100 |
$300 |
$101 |
$101 | |
| Office visit (established patient) |
— |
$191 |
$60 |
$115 | |
| Office visit (new patient) |
— |
$278 |
$121 |
$177 | |
| Office visit, established patient (level 3) |
— |
$156 |
$47 |
$95 | |
| Office visit, established patient (level 4) |
— |
$225 |
$73 |
$136 | |
| Office visit, new patient (level 3) |
— |
$206 |
$71 |
$118 | |
| Office visit, new patient (level 4) |
— |
$278 |
$121 |
$177 | |
| Office visit, new patient (level 5) |
— |
$380 |
$156 |
$237 | |
| Orthopedic hardware removal |
$3,159 |
$17,987 |
$3,160 |
$632 | |
| Pacemaker insertion |
$18,979 |
— |
$26,744 |
$15,506 | |
| Pap smear (cervical screening) |
$20 |
$153 |
$24 |
$20 | |
| Parathyroid hormone (PTH) test |
$41 |
$360 |
$41 |
$41 | |
| Pelvic ultrasound |
$113 |
$2,505 |
$114 |
$78 | |
| Pelvic ultrasound (complete) |
$113 |
$3,634 |
$114 |
$105 | |
| Pelvic ultrasound (limited) |
$113 |
$1,376 |
$114 |
$51 | |
| PET scan |
$1,555 |
$21,270 |
$1,555 |
— | |
| Physical therapy evaluation |
$97 |
$286 |
$98 |
$98 | |
| Physical therapy evaluation (high complexity) |
$97 |
$360 |
$98 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$97 |
$286 |
$98 |
$98 | |
| Pilonidal cyst removal |
$3,159 |
$11,737 |
$3,160 |
$541 | |
| Platelet count |
$4 |
$98 |
$4 |
$4 | |
| Pregnancy ultrasound |
$113 |
$1,406 |
$114 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$113 |
$851 |
$114 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$113 |
$1,961 |
$114 |
$136 | |
| Procalcitonin test |
$27 |
$300 |
$27 |
$27 | |
| Prolactin test |
$19 |
$502 |
$19 |
$19 | |
| Prostate biopsy |
$2,180 |
$2,135 |
$2,135 |
— | |
| Prostate test (PSA) |
$18 |
$201 |
$18 |
$18 | |
| Psychiatric evaluation |
$193 |
$382 |
$290 |
$188 | |
| Psychotherapy session |
$193 |
$355 |
$255 |
$140 | |
| Retinal detachment repair |
$4,495 |
$10,142 |
$4,496 |
$966 | |
| Rheumatoid factor test |
$6 |
$248 |
$6 |
$6 | |
| Rotator cuff repair |
$7,892 |
$28,167 |
$7,893 |
$792 | |
| Sacroiliac joint injection |
— |
$10,950 |
$790 |
$176 | |
| Scoliosis spine X-ray |
$104 |
$565 |
$114 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$94 |
$426 |
$95 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$113 |
$705 |
$114 |
$72 | |
| Screening colonoscopy |
$1,011 |
$2,755 |
$1,514 |
$378 | |
| Screening mammogram |
$91 |
$243 |
$102 |
$126 | |
| Scrotal ultrasound |
$113 |
$2,071 |
$114 |
$99 | |
| Semen analysis |
$12 |
$167 |
$12 |
$12 | |
| Septoplasty (deviated septum) |
$3,606 |
$10,995 |
$3,606 |
$613 | |
| Sex hormone binding globulin test |
$21 |
$237 |
$22 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$218 |
$1,035 |
$327 |
$114 | |
| Simple wound stitches |
$218 |
$1,035 |
$327 |
$127 | |
| Skin biopsy |
$442 |
$888 |
$707 |
$121 | |
| Skin biopsy (punch) |
$442 |
$888 |
$451 |
$121 | |
| Skin graft |
$3,854 |
$4,839 |
$3,855 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$218 |
$184 |
$218 |
$36 | |
| Skin tag removal |
$218 |
$352 |
$327 |
$92 | |
| Sleep study (polysomnography) |
$934 |
$1,060 |
$943 |
$691 | |
| Soft tissue ultrasound |
$113 |
$875 |
$114 |
$64 | |
| Speech therapy |
$76 |
$643 |
$76 |
$76 | |
| Spinal cord stimulator |
$6,932 |
$21,128 |
$6,932 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$767 |
$6,544 |
$911 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$7,892 |
$19,655 |
$7,893 |
$5,803 | |
| Spirometry (lung function test) |
$234 |
$1,517 |
$237 |
$30 | |
| Spirometry with bronchodilator |
$405 |
$1,623 |
$406 |
$43 | |
| Strep throat test |
$16 |
$172 |
$17 |
$17 | |
| Stress echocardiogram |
$594 |
$2,420 |
$594 |
$209 | |
| Stress echocardiogram (complete) |
$594 |
$2,665 |
$594 |
$233 | |
| Swallow study |
$57 |
$468 |
$64 |
$85 | |
| T3 thyroid test |
$14 |
$333 |
$14 |
$14 | |
| Testosterone test |
$25 |
$654 |
$26 |
$26 | |
| Thyroid test (TSH) |
$16 |
$874 |
$17 |
$17 | |
| Thyroid ultrasound |
$113 |
$3,197 |
$114 |
$109 | |
| Thyroid uptake scan |
$434 |
$886 |
$435 |
$145 | |
| Tilt table test |
$405 |
$2,218 |
$410 |
$168 | |
| Total IgE allergy test |
$16 |
$183 |
$16 |
$16 | |
| Tracheostomy |
$3,606 |
$10,140 |
$3,606 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$594 |
$3,064 |
$651 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$594 |
$3,493 |
$696 |
$239 | |
| Transvaginal ultrasound |
$113 |
$810 |
$114 |
$118 | |
| Trigger point injection |
$333 |
$680 |
$341 |
$56 | |
| Trigger point injection (1-2 muscles) |
$333 |
$620 |
$341 |
$52 | |
| Triglycerides test |
$5 |
$286 |
$6 |
$6 | |
| Troponin (heart) test |
$12 |
$261 |
$12 |
$12 | |
| Upper GI endoscopy (EGD) |
$986 |
$4,886 |
$1,066 |
$371 | |
| Upper GI series (barium) |
$190 |
$951 |
$191 |
$128 | |
| Urine microalbumin test |
$5 |
$118 |
$6 |
$5 | |
| Urine pregnancy test |
$8 |
$190 |
$9 |
$9 | |
| Vaccine administration |
$78 |
$229 |
$78 |
$19 | |
| Vaccine administration (each additional) |
— |
$88 |
$11 |
$16 | |
| Vaginal delivery |
$7,640 |
— |
$10,318 |
$5,487 | |
| Varicose vein ablation |
$3,434 |
$8,012 |
$3,434 |
$1,018 | |
| Vitamin B12 test |
$15 |
$261 |
$15 |
$15 | |
| Vitamin D test |
$29 |
$876 |
$30 |
$30 | |
| Wart removal |
$218 |
$18,000 |
$327 |
$121 | |
| Weight-loss (bariatric) surgery |
$14,609 |
— |
$21,472 |
$11,645 | |
| Wound debridement |
$442 |
$2,143 |
$796 |
$186 | |
| X-ray of the abdomen |
$104 |
$922 |
$114 |
$36 | |
| X-ray of the ankle |
$94 |
$1,832 |
$95 |
$37 | |
| X-ray of the collarbone |
$94 |
$2,150 |
$95 |
$33 | |
| X-ray of the elbow |
$94 |
$2,250 |
$95 |
$33 | |
| X-ray of the facial bones |
$104 |
$1,313 |
$114 |
$39 | |
| X-ray of the foot |
$94 |
$1,960 |
$95 |
$34 | |
| X-ray of the forearm |
$94 |
$2,603 |
$95 |
$29 | |
| X-ray of the hand |
$94 |
$2,467 |
$95 |
$38 | |
| X-ray of the hip |
$94 |
$459 |
$113 |
$49 | |
| X-ray of the hip (1 view) |
$94 |
$312 |
$95 |
$34 | |
| X-ray of the hip (3 views) |
$94 |
$459 |
$95 |
$49 | |
| X-ray of the hip (4 views) |
$113 |
$705 |
$114 |
$63 | |
| X-ray of the knee |
$94 |
$3,519 |
$113 |
$42 | |
| X-ray of the knee (2 views) |
$94 |
$1,546 |
$95 |
$34 | |
| X-ray of the knee (3 views) |
$94 |
$3,519 |
$95 |
$42 | |
| X-ray of the knee (4+ views) |
$113 |
$3,945 |
$114 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$113 |
$1,688 |
$114 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$113 |
$1,138 |
$114 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$113 |
$2,238 |
$114 |
$53 | |
| X-ray of the lower leg |
$94 |
$2,078 |
$95 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$113 |
$1,622 |
$114 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$113 |
$1,361 |
$114 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$113 |
$1,884 |
$114 |
$39 | |
| X-ray of the neck (cervical spine) |
$104 |
$1,498 |
$114 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$94 |
$1,152 |
$95 |
$40 | |
| X-ray of the pelvis |
$113 |
$819 |
$114 |
$36 | |
| X-ray of the pelvis (1 view) |
$113 |
$734 |
$114 |
$28 | |
| X-ray of the ribs |
$113 |
$650 |
$114 |
$42 | |
| X-ray of the ribs (2 views) |
$94 |
$483 |
$95 |
$36 | |
| X-ray of the ribs (3 views) |
$113 |
$1,633 |
$114 |
$42 | |
| X-ray of the shoulder |
$94 |
$2,666 |
$95 |
$36 | |
| X-ray of the skull |
$113 |
$1,715 |
$114 |
$40 | |
| X-ray of the upper arm |
$94 |
$1,544 |
$95 |
$32 | |
| X-ray of the wrist |
$94 |
$3,073 |
$95 |
$43 | |
| YAG laser capsulotomy (eye) |
$598 |
$2,129 |
$838 |
$335 | |
| Zinc blood test |
$11 |
$140 |
$11 |
$11 | |