| 3D mammogram (tomosynthesis) |
$184 |
$284 |
$20 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$2,400 |
$3,693 |
$841 |
$284 | |
| Abdominal ultrasound |
$690 |
$1,062 |
$102 |
$100 | |
| Abdominal ultrasound (complete) |
$754 |
$1,160 |
$102 |
$114 | |
| Abdominal ultrasound (limited) |
$690 |
$1,062 |
$102 |
$86 | |
| Abscess drainage (complex or multiple) |
$763 |
$1,174 |
$370 |
$220 | |
| Abscess drainage (simple) |
$175 |
$269 |
$182 |
$129 | |
| Abscess incision and drainage |
$175 |
$269 |
$186 |
$174 | |
| Achilles tendon repair |
$1,848 |
$2,843 |
$6,503 |
$624 | |
| Albumin blood test |
$90 |
$138 |
$5 |
$5 | |
| Aldosterone test |
$557 |
$856 |
$41 |
$41 | |
| Alkaline phosphatase test |
$169 |
$261 |
$5 |
$5 | |
| Allergy shots |
$9 |
$14 |
$43 |
$11 | |
| Alpha-fetoprotein (AFP) test |
$303 |
$466 |
$17 |
$17 | |
| ALT liver enzyme test |
$52 |
$80 |
$5 |
$5 | |
| Ammonia blood test |
$219 |
$337 |
$15 |
$15 | |
| Amniocentesis |
$691 |
$1,064 |
$731 |
$120 | |
| Amylase test |
$151 |
$233 |
$6 |
$6 | |
| Anoscopy |
$212 |
$326 |
$118 |
$129 | |
| Antinuclear antibody (ANA) test |
$79 |
$122 |
$12 |
$12 | |
| Aortic aneurysm repair (AAA) |
$34,061 |
$52,401 |
$19,257 |
$1,345 | |
| Arterial blood gas (ABG) |
$249 |
$383 |
$26 |
$26 | |
| AST liver enzyme test |
$52 |
$79 |
$5 |
$5 | |
| Barium swallow study |
$1,339 |
$2,060 |
$170 |
$107 | |
| Basic metabolic panel |
$269 |
$413 |
$8 |
$8 | |
| Benign skin lesion removal |
$223 |
$342 |
$427 |
$171 | |
| Bilirubin blood test |
$40 |
$62 |
$5 |
$5 | |
| Bladder function test (urodynamics) |
$446 |
$687 |
$621 |
$345 | |
| Bladder scope (cystoscopy) |
$446 |
$687 |
$621 |
$216 | |
| Blood clotting test (PT/INR) |
$67 |
$103 |
$4 |
$4 | |
| Blood crossmatch |
$330 |
$508 |
$158 |
— | |
| Blood glucose test |
$27 |
$41 |
$4 |
$5 | |
| Blood transfusion |
$696 |
$1,071 |
$403 |
$47 | |
| Blood type and screen |
$155 |
$239 |
$50 |
$10 | |
| Blood type test |
$75 |
$115 |
$37 |
$3 | |
| Blood type test (ABO group) |
$75 |
$115 |
$116 |
$3 | |
| Blood type test (Rh/D antigen) |
$75 |
$116 |
$37 |
$3 | |
| BNP (heart failure) test |
$240 |
$369 |
$39 |
$39 | |
| Bone density scan (DEXA) |
$310 |
$477 |
$102 |
$39 | |
| Bone marrow biopsy |
$887 |
$1,365 |
$1,504 |
$172 | |
| Bone scan (nuclear) |
$1,272 |
$1,957 |
$383 |
$259 | |
| Botox for migraine |
$202 |
$311 |
$269 |
$157 | |
| Breast biopsy |
$2,387 |
$3,672 |
$1,504 |
$478 | |
| Breast MRI |
$1,086 |
$1,671 |
$227 |
$216 | |
| Breast MRI without contrast |
$1,086 |
$1,671 |
$227 |
$216 | |
| Breast ultrasound |
$452 |
$696 |
$100 |
$92 | |
| Breast ultrasound (complete) |
$452 |
$696 |
$102 |
$100 | |
| Breast ultrasound (limited) |
$452 |
$696 |
$84 |
$84 | |
| Breathing tube insertion (intubation) |
$789 |
$1,214 |
$227 |
$133 | |
| Bronchoscopy |
$1,946 |
$2,994 |
$1,574 |
$303 | |
| Burn dressing and debridement (medium) |
$390 |
$601 |
$186 |
$166 | |
| Burn dressing and debridement (small) |
$97 |
$149 |
$182 |
$93 | |
| Burn treatment |
$149 |
$229 |
$186 |
$129 | |
| C-reactive protein (CRP) |
$101 |
$155 |
$5 |
$5 | |
| CA 19-9 tumor marker test |
$311 |
$478 |
$21 |
$21 | |
| CA-125 ovarian marker test |
$456 |
$701 |
$21 |
$21 | |
| Calcium blood test |
$46 |
$71 |
$5 |
$5 | |
| Capsule endoscopy |
$1,869 |
$2,876 |
$841 |
$802 | |
| Cardiac catheterization |
$12,440 |
$19,138 |
$3,022 |
$1,049 | |
| Cardiac MRI |
$2,452 |
$3,773 |
$353 |
$322 | |
| Cardiac MRI without contrast |
$1,360 |
$2,092 |
$227 |
$280 | |
| Cardiac rehabilitation |
$237 |
$364 |
$123 |
$26 | |
| Cardiac stress test |
$280 |
$430 |
$285 |
$39 | |
| Cardioversion |
$1,175 |
$1,808 |
$604 |
$155 | |
| Carotid artery ultrasound |
$439 |
$675 |
$223 |
$156 | |
| CEA tumor marker test |
$325 |
$499 |
$19 |
$19 | |
| Central line placement |
$1,897 |
$2,919 |
$2,897 |
$238 | |
| Cesarean section (C-section) |
— |
— |
$5,784 |
$7,552 | |
| Chemotherapy infusion |
$279 |
$429 |
$85 |
$81 | |
| Chemotherapy infusion (each additional) |
$159 |
$245 |
$65 |
$28 | |
| Chemotherapy infusion (first hour) |
$399 |
$613 |
$308 |
$133 | |
| Chest fluid drain (thoracentesis) |
$2,423 |
$3,728 |
$583 |
$311 | |
| Chest tube insertion |
$1,692 |
$2,604 |
$1,456 |
$143 | |
| Chest X-ray |
$304 |
$468 |
$84 |
$37 | |
| Chest X-ray (1 view) |
$215 |
$331 |
$84 |
$25 | |
| Chest X-ray (2 views) |
$617 |
$949 |
$84 |
$33 | |
| Circumcision |
$2,747 |
$4,226 |
$1,889 |
$167 | |
| CK-MB heart enzyme test |
$167 |
$257 |
$12 |
$12 | |
| Clotting time test (PTT) |
$191 |
$293 |
$6 |
$6 | |
| Colonoscopy |
$2,356 |
$3,624 |
$1,073 |
$480 | |
| Complete blood count (CBC) |
$142 |
$219 |
$8 |
$7 | |
| Complete blood count (CBC) (complete) |
$117 |
$180 |
$8 |
$8 | |
| Complex wound repair |
$956 |
$1,470 |
$583 |
$390 | |
| Comprehensive metabolic panel |
$479 |
$737 |
$11 |
$11 | |
| Contraceptive implant (Nexplanon) |
$214 |
$330 |
$158 |
$115 | |
| Copper blood test |
$442 |
$680 |
$12 |
$12 | |
| Coronary artery bypass (CABG) |
— |
— |
$27,895 |
$36,593 | |
| Cortisol test |
$132 |
$203 |
$16 |
$16 | |
| COVID-19 PCR test |
$189 |
$290 |
$51 |
$51 | |
| CPAP titration study |
$326 |
$502 |
$198 |
$69 | |
| Creatine kinase (CK) test |
$117 |
$180 |
$7 |
$7 | |
| CT angiography of the chest |
$1,673 |
$2,573 |
$170 |
$281 | |
| CT angiography of the head |
$1,716 |
$2,640 |
$170 |
$274 | |
| CT scan of the abdomen |
$1,905 |
$2,930 |
$167 |
$230 | |
| CT scan of the abdomen and pelvis |
$4,673 |
$7,189 |
$357 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$5,669 |
$8,721 |
$357 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$5,110 |
$7,861 |
$357 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$4,236 |
$6,518 |
$227 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,655 |
$4,085 |
$170 |
$259 | |
| CT scan of the abdomen with contrast |
$2,522 |
$3,880 |
$170 |
$230 | |
| CT scan of the abdomen without contrast |
$1,905 |
$2,930 |
$102 |
$136 | |
| CT scan of the arm |
$2,343 |
$3,605 |
$350 |
$199 | |
| CT scan of the arm with contrast |
$2,343 |
$3,605 |
$357 |
$199 | |
| CT scan of the arm without contrast |
$1,993 |
$3,067 |
$102 |
$161 | |
| CT scan of the chest |
$1,645 |
$2,531 |
$169 |
$167 | |
| CT scan of the chest with and without contrast |
$1,952 |
$3,003 |
$170 |
$196 | |
| CT scan of the chest with contrast |
$1,746 |
$2,686 |
$170 |
$167 | |
| CT scan of the chest without contrast |
$1,169 |
$1,799 |
$102 |
$133 | |
| CT scan of the head |
$1,742 |
$2,680 |
$167 |
$148 | |
| CT scan of the head with and without contrast |
$2,037 |
$3,135 |
$170 |
$173 | |
| CT scan of the head with contrast |
$1,896 |
$2,918 |
$170 |
$148 | |
| CT scan of the head without contrast |
$1,551 |
$2,385 |
$102 |
$107 | |
| CT scan of the leg |
$2,254 |
$3,467 |
$170 |
$166 | |
| CT scan of the leg with contrast |
$2,343 |
$3,605 |
$170 |
$166 | |
| CT scan of the leg without contrast |
$1,993 |
$3,067 |
$102 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,824 |
$4,345 |
$170 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$3,206 |
$4,933 |
$170 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$3,068 |
$4,720 |
$357 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$2,561 |
$3,940 |
$102 |
$130 | |
| CT scan of the neck |
$1,653 |
$2,543 |
$170 |
$183 | |
| CT scan of the neck (cervical spine) |
$4,091 |
$6,294 |
$350 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$4,091 |
$6,294 |
$170 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$4,221 |
$6,494 |
$357 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$3,074 |
$4,729 |
$102 |
$131 | |
| CT scan of the neck with and without contrast |
$1,765 |
$2,715 |
$170 |
$220 | |
| CT scan of the neck with contrast |
$1,653 |
$2,543 |
$170 |
$183 | |
| CT scan of the neck without contrast |
$1,198 |
$1,843 |
$102 |
$150 | |
| CT scan of the pelvis |
$1,944 |
$2,990 |
$170 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,547 |
$3,919 |
$170 |
$251 | |
| CT scan of the pelvis with contrast |
$2,541 |
$3,910 |
$170 |
$226 | |
| CT scan of the pelvis without contrast |
$1,944 |
$2,990 |
$102 |
$133 | |
| CT scan of the sinuses |
$1,848 |
$2,843 |
$170 |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,211 |
$3,401 |
$170 |
$184 | |
| CT scan of the sinuses with contrast |
$1,448 |
$2,228 |
$170 |
$152 | |
| CT scan of the sinuses without contrast |
$1,848 |
$2,843 |
$102 |
$128 | |
| D-dimer test |
$132 |
$203 |
$10 |
$10 | |
| Defibrillator (ICD) implant |
$49,415 |
$76,024 |
$30,514 |
$798 | |
| DHEA-sulfate test |
$353 |
$544 |
$22 |
$22 | |
| Diagnostic mammogram |
$349 |
$537 |
$74 |
$140 | |
| Drug screen (urine) |
$116 |
$178 |
$61 |
$17 | |
| Ear tubes (myringotomy) |
$1,848 |
$2,844 |
$1,057 |
$174 | |
| Echocardiogram |
$365 |
$562 |
$227 |
$138 | |
| Echocardiogram with and without contrast |
$815 |
$1,253 |
$227 |
$101 | |
| Echocardiogram without contrast |
$365 |
$562 |
$227 |
$138 | |
| EEG (awake and asleep) |
$401 |
$617 |
$291 |
$482 | |
| EKG / ECG (tracing only) |
$408 |
$628 |
$57 |
$7 | |
| Electrocardiogram (EKG) |
$324 |
$499 |
$57 |
$8 | |
| Electroencephalogram (EEG) |
$309 |
$475 |
$291 |
$448 | |
| Electrolyte panel |
$161 |
$248 |
$7 |
$7 | |
| Electromyography (EMG) |
$86 |
$133 |
$116 |
$141 | |
| Emergency department visit |
$304 |
$468 |
$243 |
$69 | |
| Emergency department visit (level 1) |
$161 |
$248 |
$82 |
$11 | |
| Emergency department visit (level 2) |
$304 |
$468 |
$152 |
$40 | |
| Emergency department visit (level 3) |
$481 |
$740 |
$265 |
$69 | |
| Emergency department visit (level 4) |
$706 |
$1,086 |
$411 |
$118 | |
| Emergency department visit (level 5) |
$1,013 |
$1,559 |
$596 |
$171 | |
| Epidural steroid injection |
$488 |
$750 |
$629 |
$275 | |
| ERCP (bile duct endoscopy) |
$3,792 |
$5,834 |
$3,481 |
$311 | |
| Esophageal dilation |
$1,365 |
$2,100 |
$880 |
$522 | |
| Esophageal variceal banding |
$1,451 |
$2,232 |
$1,730 |
$126 | |
| Estradiol (estrogen) test |
$440 |
$676 |
$28 |
$28 | |
| Facet joint injection (spine) |
$634 |
$975 |
$468 |
$99 | |
| Fallopian tube X-ray (HSG) |
$466 |
$717 |
$227 |
$164 | |
| Family therapy session |
$315 |
$484 |
$148 |
$110 | |
| Fecal occult blood (stool) test |
$54 |
$83 |
$4 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$59 |
$91 |
$4 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$49 |
$75 |
$16 |
$16 | |
| Feeding tube (PEG) placement |
$2,510 |
$3,862 |
$1,765 |
$178 | |
| Ferritin (iron) test |
$120 |
$184 |
$14 |
$14 | |
| Fibrinogen test |
$71 |
$109 |
$10 |
$10 | |
| Flexible sigmoidoscopy |
$1,421 |
$2,186 |
$848 |
$323 | |
| Flu vaccine |
$109 |
$168 |
$59 |
— | |
| Folate (folic acid) test |
$206 |
$318 |
$15 |
$15 | |
| Foreign body removal (skin) |
$271 |
$417 |
$362 |
$157 | |
| Free T4 thyroid test |
$60 |
$92 |
$9 |
$9 | |
| FSH hormone test |
$308 |
$473 |
$19 |
$19 | |
| Gallbladder scan (HIDA) |
$2,233 |
$3,436 |
$491 |
$334 | |
| GGT liver test |
$137 |
$211 |
$7 |
$7 | |
| Glucose tolerance test |
$63 |
$97 |
$13 |
$8 | |
| Group therapy session |
$41 |
$63 |
$81 |
$30 | |
| H. pylori test |
$261 |
$402 |
$67 |
$67 | |
| HDL cholesterol test |
$123 |
$189 |
$8 |
$8 | |
| Hematocrit test |
$27 |
$42 |
$2 |
$2 | |
| Hemodialysis |
— |
$2,815 |
$2,530 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$133 |
$204 |
$10 |
$10 | |
| Hemorrhoid removal |
$3,117 |
$4,795 |
$1,854 |
$338 | |
| Hepatitis A vaccine |
$198 |
$305 |
$224 |
— | |
| Hepatitis B test |
$191 |
$294 |
$10 |
$10 | |
| Hepatitis C test |
$85 |
$131 |
$14 |
$14 | |
| HIV test |
$105 |
$162 |
$14 |
$19 | |
| HIV test (antibody) |
$105 |
$162 |
$14 |
$14 | |
| Holter heart monitor |
$441 |
$678 |
$66 |
$26 | |
| Home sleep apnea test |
$453 |
$697 |
$142 |
$123 | |
| Iron blood test |
$84 |
$130 |
$6 |
$6 | |
| IV infusion therapy |
$250 |
$385 |
$169 |
$44 | |
| IV infusion therapy (each additional) |
$78 |
$120 |
$44 |
$21 | |
| IV infusion therapy (initial) |
$250 |
$385 |
$195 |
$67 | |
| IVC filter placement |
$5,901 |
$9,078 |
$4,995 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$290 |
$446 |
$275 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$391 |
$601 |
$275 |
$57 | |
| Joint aspiration or injection (small joint) |
$68 |
$105 |
$275 |
$56 | |
| Kidney biopsy |
$2,286 |
$3,517 |
$1,504 |
$492 | |
| Kidney scan (nuclear) |
$785 |
$1,208 |
$491 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$15,600 |
$24,000 |
$3,233 |
$760 | |
| Kidney ultrasound |
$366 |
$564 |
$102 |
$84 | |
| Kidney ultrasound (limited) |
$596 |
$917 |
$102 |
$61 | |
| Knee joint injection |
$1,043 |
$1,604 |
$275 |
$69 | |
| Knee replacement |
— |
— |
$18,421 |
$18,054 | |
| Lactate test |
$149 |
$229 |
$12 |
$12 | |
| Laryngoscopy |
$795 |
$1,223 |
$401 |
$189 | |
| LDH test |
$60 |
$93 |
$6 |
$6 | |
| LDL cholesterol test |
$19 |
$29 |
$10 |
$11 | |
| Leg artery angiogram |
$3,999 |
$6,152 |
$2,897 |
$149 | |
| Leg artery angioplasty |
$13,736 |
$21,133 |
$7,766 |
— | |
| Leg vein ultrasound (Doppler) |
$579 |
$891 |
$223 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$579 |
$891 |
$102 |
$116 | |
| LH hormone test |
$308 |
$473 |
$19 |
$19 | |
| Lipase test |
$80 |
$123 |
$7 |
$7 | |
| Lipid (cholesterol) panel |
$81 |
$125 |
$13 |
$13 | |
| Liver biopsy |
$2,777 |
$4,273 |
$1,504 |
$288 | |
| Liver function panel |
$309 |
$476 |
$8 |
$8 | |
| Lower back (lumbar) spinal fusion |
— |
— |
$25,249 |
$1,511 | |
| Lung function test (PFT) |
$175 |
$268 |
$145 |
$37 | |
| Lung scan (V/Q) |
$1,317 |
$2,027 |
$501 |
$291 | |
| Magnesium blood test |
$110 |
$169 |
$7 |
$7 | |
| MRA of the brain |
$3,725 |
$5,731 |
$357 |
$226 | |
| MRA of the brain with contrast |
$3,725 |
$5,731 |
$357 |
$226 | |
| MRA of the brain without contrast |
$5,766 |
$8,870 |
$357 |
$328 | |
| MRA of the neck |
$3,259 |
$5,014 |
$357 |
$245 | |
| MRA of the neck with contrast |
$3,259 |
$5,014 |
$357 |
$245 | |
| MRA of the neck without contrast |
$6,223 |
$9,573 |
$357 |
$343 | |
| MRI of the abdomen |
$3,560 |
$5,477 |
$357 |
$300 | |
| MRI of the abdomen with contrast |
$3,560 |
$5,477 |
$357 |
$300 | |
| MRI of the abdomen without contrast |
$3,257 |
$5,011 |
$227 |
$194 | |
| MRI of the ankle |
$2,260 |
$3,477 |
$357 |
$261 | |
| MRI of the ankle with contrast |
$2,260 |
$3,477 |
$357 |
$261 | |
| MRI of the ankle without contrast |
$2,199 |
$3,383 |
$227 |
$222 | |
| MRI of the brain |
$4,947 |
$7,610 |
$357 |
$269 | |
| MRI of the brain with contrast |
$4,729 |
$7,276 |
$357 |
$269 | |
| MRI of the brain without contrast |
$3,721 |
$5,724 |
$227 |
$195 | |
| MRI of the chest |
$3,585 |
$5,515 |
$353 |
$371 | |
| MRI of the chest without contrast |
$3,623 |
$5,575 |
$357 |
$466 | |
| MRI of the knee |
$3,878 |
$5,966 |
$556 |
$315 | |
| MRI of the knee with contrast |
$3,508 |
$5,398 |
$743 |
$315 | |
| MRI of the knee without contrast |
$3,296 |
$5,070 |
$227 |
$204 | |
| MRI of the lower back (lumbar spine) |
$4,766 |
$7,332 |
$357 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$4,380 |
$6,738 |
$357 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$4,130 |
$6,353 |
$227 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$4,380 |
$6,738 |
$357 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$6,586 |
$10,132 |
$357 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$4,380 |
$6,738 |
$357 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$3,549 |
$5,459 |
$227 |
$190 | |
| MRI of the neck (cervical spine) |
$4,380 |
$6,738 |
$357 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$6,586 |
$10,132 |
$357 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$4,380 |
$6,738 |
$357 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$3,549 |
$5,459 |
$227 |
$191 | |
| MRI of the pelvis |
$3,135 |
$4,823 |
$357 |
$268 | |
| MRI of the pelvis with contrast |
$3,135 |
$4,823 |
$357 |
$268 | |
| MRI of the pelvis without contrast |
$2,395 |
$3,684 |
$227 |
$227 | |
| MRI of the shoulder |
$4,031 |
$6,201 |
$700 |
$313 | |
| MRI of the shoulder with contrast |
$4,031 |
$6,201 |
$743 |
$313 | |
| MRI of the shoulder without contrast |
$3,725 |
$5,731 |
$227 |
$205 | |
| MRI of the wrist |
$3,009 |
$4,629 |
$357 |
$330 | |
| MRI of the wrist with contrast |
$2,260 |
$3,477 |
$357 |
$330 | |
| MRI of the wrist without contrast |
$2,199 |
$3,383 |
$227 |
$303 | |
| Nebulizer breathing treatment |
$284 |
$437 |
$198 |
$9 | |
| Nerve conduction study |
$189 |
$290 |
$167 |
$118 | |
| Nuchal translucency ultrasound |
$230 |
$353 |
$102 |
$116 | |
| Nuclear cardiac stress test |
$925 |
$1,424 |
$1,317 |
$428 | |
| Occupational therapy evaluation |
$500 |
$769 |
$93 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$534 |
$821 |
$93 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$466 |
$716 |
$93 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$500 |
$769 |
$93 |
$101 | |
| Office visit (established patient) |
$92 |
$142 |
$64 |
$115 | |
| Office visit (new patient) |
$168 |
$259 |
$108 |
$177 | |
| Office visit, established patient (level 3) |
$85 |
$130 |
$50 |
$95 | |
| Office visit, established patient (level 4) |
$94 |
$145 |
$67 |
$136 | |
| Office visit, new patient (level 3) |
$111 |
$170 |
$82 |
$118 | |
| Office visit, new patient (level 4) |
$160 |
$246 |
$118 |
$177 | |
| Office visit, new patient (level 5) |
$239 |
$368 |
$155 |
$237 | |
| Pacemaker insertion |
— |
— |
$12,940 |
$15,506 | |
| Pap smear (cervical screening) |
$174 |
$268 |
$20 |
$20 | |
| Parathyroid hormone (PTH) test |
$232 |
$357 |
$41 |
$41 | |
| Pelvic ultrasound |
$605 |
$931 |
$102 |
$78 | |
| Pelvic ultrasound (complete) |
$842 |
$1,296 |
$102 |
$105 | |
| Pelvic ultrasound (limited) |
$368 |
$567 |
$102 |
$51 | |
| PET scan |
$6,051 |
$9,309 |
$1,451 |
— | |
| Phosphorus blood test |
$62 |
$95 |
$5 |
$5 | |
| Physical therapy evaluation |
$500 |
$769 |
$92 |
$98 | |
| Physical therapy evaluation (high complexity) |
$534 |
$821 |
$92 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$500 |
$769 |
$92 |
$98 | |
| Platelet count |
$65 |
$100 |
$4 |
$4 | |
| Pneumonia vaccine |
$441 |
$679 |
$236 |
— | |
| Pregnancy blood test (hCG) |
$34 |
$52 |
$7 |
$8 | |
| Pregnancy ultrasound |
$428 |
$659 |
$102 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$288 |
$444 |
$102 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$568 |
$874 |
$102 |
$136 | |
| Procalcitonin test |
$512 |
$787 |
$27 |
$27 | |
| Prolactin test |
$317 |
$487 |
$19 |
$19 | |
| Prostate biopsy |
$1,336 |
$2,056 |
$1,851 |
— | |
| Prostate test (PSA) |
$220 |
$339 |
$18 |
$18 | |
| Psychiatric evaluation |
$255 |
$392 |
$148 |
$188 | |
| Psychotherapy session |
$165 |
$254 |
$148 |
$140 | |
| Pulmonary rehabilitation |
$986 |
$1,517 |
$57 |
$87 | |
| Rheumatoid factor test |
$49 |
$76 |
$6 |
$6 | |
| Sacroiliac joint injection |
$488 |
$750 |
$276 |
$176 | |
| Scoliosis spine X-ray |
$143 |
$221 |
$84 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$143 |
$221 |
$83 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$276 |
$424 |
$102 |
$72 | |
| Screening colonoscopy |
$2,069 |
$3,182 |
$848 |
$378 | |
| Screening mammogram |
$506 |
$778 |
$79 |
$126 | |
| Scrotal ultrasound |
$652 |
$1,004 |
$102 |
$99 | |
| Sedimentation rate (ESR) test |
$86 |
$132 |
$4 |
$3 | |
| Semen analysis |
$145 |
$223 |
$12 |
$12 | |
| Sex hormone binding globulin test |
$157 |
$241 |
$22 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$956 |
$1,470 |
$186 |
$114 | |
| Simple wound stitches |
$956 |
$1,470 |
$186 |
$127 | |
| Skin biopsy |
$195 |
$300 |
$362 |
$121 | |
| Skin biopsy (punch) |
$195 |
$300 |
$362 |
$121 | |
| Skin cancer lesion removal |
$338 |
$520 |
$427 |
$240 | |
| Skin graft |
$8,889 |
$13,676 |
$3,294 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$390 |
$601 |
$186 |
$36 | |
| Skin tag removal |
$122 |
$187 |
$182 |
$92 | |
| Sleep study (polysomnography) |
$4,676 |
$7,194 |
$970 |
$691 | |
| Soft tissue ultrasound |
$189 |
$291 |
$102 |
$64 | |
| Speech therapy |
$179 |
$276 |
$70 |
$76 | |
| Spinal tap (lumbar puncture) |
$1,839 |
$2,829 |
$641 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$13,353 |
$20,543 |
$6,636 |
$5,803 | |
| Spirometry (lung function test) |
$106 |
$163 |
$145 |
$30 | |
| Spirometry with bronchodilator |
$234 |
$360 |
$285 |
$43 | |
| Strep throat test |
$87 |
$134 |
$17 |
$17 | |
| Stress echocardiogram |
$572 |
$880 |
$512 |
$209 | |
| Stress echocardiogram (complete) |
$3,290 |
$5,062 |
$512 |
$233 | |
| Swallow study |
$283 |
$436 |
$65 |
$85 | |
| T3 thyroid test |
$308 |
$473 |
$14 |
$14 | |
| Tdap (tetanus) vaccine |
$51 |
$79 |
$58 |
— | |
| Testosterone test |
$49 |
$75 |
$26 |
$26 | |
| Thyroid test (TSH) |
$127 |
$196 |
$17 |
$17 | |
| Thyroid ultrasound |
$535 |
$823 |
$102 |
$109 | |
| Thyroid uptake scan |
$717 |
$1,103 |
$383 |
$145 | |
| Total IgE allergy test |
$183 |
$281 |
$16 |
$16 | |
| Total protein test |
$89 |
$137 |
$4 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$2,586 |
$3,978 |
$512 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$2,586 |
$3,978 |
$512 |
$239 | |
| Transvaginal ultrasound |
$677 |
$1,041 |
$102 |
$118 | |
| Trigger point injection |
$207 |
$318 |
$269 |
$56 | |
| Trigger point injection (1-2 muscles) |
$210 |
$323 |
$269 |
$52 | |
| Triglycerides test |
$97 |
$149 |
$6 |
$6 | |
| Troponin (heart) test |
$301 |
$463 |
$12 |
$12 | |
| Turning a breech baby (version) |
$1,389 |
$2,137 |
$2,842 |
$94 | |
| Upper GI endoscopy (EGD) |
$1,779 |
$2,737 |
$841 |
$371 | |
| Upper GI series (barium) |
$661 |
$1,017 |
$170 |
$128 | |
| Ureteral stent placement |
$2,066 |
$3,178 |
$3,169 |
$373 | |
| Uric acid (gout) test |
$100 |
$154 |
$5 |
$5 | |
| Urinalysis |
$104 |
$161 |
$3 |
$3 | |
| Urine microalbumin test |
$145 |
$223 |
$6 |
$5 | |
| Urine pregnancy test |
$51 |
$78 |
$9 |
$9 | |
| Vaccine administration |
$72 |
$111 |
$64 |
$19 | |
| Vaccine administration (each additional) |
$121 |
$186 |
$68 |
$16 | |
| Vaginal delivery |
— |
— |
$4,426 |
$5,487 | |
| Varicose vein ablation |
$1,918 |
$2,951 |
$2,897 |
$1,018 | |
| Vasectomy |
$1,336 |
$2,056 |
$1,851 |
$347 | |
| Vitamin B12 test |
$209 |
$321 |
$15 |
$15 | |
| Vitamin D test |
$373 |
$573 |
$30 |
$30 | |
| Wart removal |
$412 |
$634 |
$186 |
$121 | |
| Weight-loss (bariatric) surgery |
— |
— |
$10,473 |
$11,645 | |
| Wound debridement |
$1,591 |
$2,448 |
$583 |
$186 | |
| X-ray of the abdomen |
$296 |
$455 |
$97 |
$36 | |
| X-ray of the ankle |
$429 |
$660 |
$84 |
$37 | |
| X-ray of the collarbone |
$282 |
$434 |
$84 |
$33 | |
| X-ray of the elbow |
$429 |
$660 |
$84 |
$33 | |
| X-ray of the facial bones |
$378 |
$581 |
$102 |
$39 | |
| X-ray of the foot |
$378 |
$582 |
$84 |
$34 | |
| X-ray of the forearm |
$300 |
$461 |
$84 |
$29 | |
| X-ray of the hand |
$434 |
$668 |
$84 |
$38 | |
| X-ray of the hip |
$393 |
$605 |
$84 |
$49 | |
| X-ray of the hip (1 view) |
$393 |
$605 |
$84 |
$34 | |
| X-ray of the hip (3 views) |
$488 |
$751 |
$84 |
$49 | |
| X-ray of the hip (4 views) |
$732 |
$1,127 |
$102 |
$63 | |
| X-ray of the knee |
$200 |
$308 |
$84 |
$42 | |
| X-ray of the knee (2 views) |
$260 |
$400 |
$84 |
$34 | |
| X-ray of the knee (3 views) |
$200 |
$308 |
$84 |
$42 | |
| X-ray of the knee (4+ views) |
$200 |
$308 |
$102 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$449 |
$691 |
$102 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$449 |
$691 |
$102 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$817 |
$1,257 |
$102 |
$53 | |
| X-ray of the lower leg |
$341 |
$525 |
$84 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$280 |
$431 |
$102 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$293 |
$451 |
$102 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$267 |
$410 |
$102 |
$39 | |
| X-ray of the neck (cervical spine) |
$773 |
$1,189 |
$100 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$276 |
$424 |
$84 |
$40 | |
| X-ray of the pelvis |
$324 |
$499 |
$102 |
$36 | |
| X-ray of the pelvis (1 view) |
$324 |
$499 |
$102 |
$28 | |
| X-ray of the ribs |
$303 |
$467 |
$102 |
$42 | |
| X-ray of the ribs (2 views) |
$246 |
$378 |
$84 |
$36 | |
| X-ray of the ribs (3 views) |
$303 |
$467 |
$102 |
$42 | |
| X-ray of the shoulder |
$255 |
$392 |
$84 |
$36 | |
| X-ray of the skull |
$222 |
$342 |
$102 |
$40 | |
| X-ray of the upper arm |
$266 |
$409 |
$84 |
$32 | |
| X-ray of the wrist |
$443 |
$681 |
$84 |
$43 | |
| Zinc blood test |
$260 |
$400 |
$11 |
$11 | |