| 3D mammogram (tomosynthesis) |
$98 |
$98 |
$73 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,948 |
$1,948 |
$933 |
$284 | |
| Abdominal ultrasound |
$428 |
$428 |
$108 |
$100 | |
| Abdominal ultrasound (complete) |
$586 |
$586 |
$108 |
$114 | |
| Abdominal ultrasound (limited) |
$428 |
$428 |
$108 |
$86 | |
| Abscess drainage (complex or multiple) |
$488 |
$488 |
$418 |
$220 | |
| Abscess drainage (simple) |
$198 |
$198 |
$206 |
$129 | |
| Abscess incision and drainage |
$198 |
$198 |
$206 |
$174 | |
| Achilles tendon repair |
$25,159 |
$25,159 |
$7,463 |
$624 | |
| ACL knee reconstruction |
$13,859 |
$13,859 |
$7,463 |
$889 | |
| Adenoid removal (adenoidectomy) |
$3,891 |
$3,891 |
$3,410 |
$204 | |
| Albumin blood test |
$83 |
$83 |
$5 |
$5 | |
| Alkaline phosphatase test |
$44 |
$44 |
$5 |
$5 | |
| ALT liver enzyme test |
$88 |
$88 |
$5 |
$5 | |
| Ammonia blood test |
$104 |
$104 |
$15 |
$15 | |
| Amniocentesis |
$960 |
$960 |
$947 |
$120 | |
| Amylase test |
$114 |
$114 |
$6 |
$6 | |
| Anal fistula repair |
$6,708 |
$6,708 |
$2,855 |
$541 | |
| Ankle fracture repair |
$13,127 |
$13,127 |
$7,463 |
$608 | |
| Ankle replacement |
$43,389 |
$43,389 |
$27,907 |
$885 | |
| Annual physical (new patient) |
$308 |
$308 |
$192 |
— | |
| Anoscopy |
$206 |
$206 |
$137 |
$129 | |
| Antinuclear antibody (ANA) test |
$195 |
$195 |
$12 |
$12 | |
| Arterial blood gas (ABG) |
$351 |
$351 |
$26 |
$26 | |
| AST liver enzyme test |
$62 |
$62 |
$5 |
$5 | |
| Barium swallow study |
$326 |
$326 |
$180 |
$107 | |
| Bartholin cyst removal |
$287 |
$287 |
$208 |
$182 | |
| Basic metabolic panel |
$135 |
$135 |
$8 |
$8 | |
| Benign skin lesion removal |
$3,297 |
$3,297 |
$728 |
$171 | |
| Bilirubin blood test |
$89 |
$89 |
$5 |
$5 | |
| Bladder scope (cystoscopy) |
$1,091 |
$1,091 |
$717 |
$216 | |
| Bladder tumor removal (TURBT) |
$7,266 |
$7,266 |
$3,625 |
$236 | |
| Blood clotting test (PT/INR) |
$17 |
$17 |
$4 |
$4 | |
| Blood glucose test |
$38 |
$38 |
$5 |
$5 | |
| Blood transfusion |
$4,525 |
$4,525 |
$454 |
$47 | |
| Blood type and screen |
$224 |
$224 |
$54 |
$10 | |
| BNP (heart failure) test |
$264 |
$264 |
$39 |
$39 | |
| Bone density scan (DEXA) |
$423 |
$423 |
$108 |
$39 | |
| Bone marrow biopsy |
$3,252 |
$3,252 |
$1,699 |
$172 | |
| Botox for migraine |
$2,220 |
$2,220 |
$316 |
$157 | |
| Breast biopsy |
$3,000 |
$3,000 |
$1,699 |
$478 | |
| Breast MRI |
$2,600 |
$2,600 |
$245 |
$216 | |
| Breast MRI without contrast |
$2,665 |
$2,665 |
$245 |
$216 | |
| Breast ultrasound |
$255 |
$255 |
$108 |
$92 | |
| Breast ultrasound (complete) |
$340 |
$340 |
$108 |
$100 | |
| Breast ultrasound (limited) |
$255 |
$255 |
$90 |
$84 | |
| Breathing tube insertion (intubation) |
$681 |
$681 |
$244 |
$133 | |
| Bronchoscopy |
$2,564 |
$2,564 |
$1,831 |
$303 | |
| Bunion surgery (bunionectomy) |
$7,944 |
$7,944 |
$3,365 |
$883 | |
| Burn dressing and debridement (medium) |
$401 |
$401 |
$206 |
$166 | |
| Burn dressing and debridement (small) |
$152 |
$152 |
$206 |
$93 | |
| Burn treatment |
$185 |
$185 |
$206 |
$129 | |
| C-reactive protein (CRP) |
$61 |
$61 |
$5 |
$5 | |
| CA-125 ovarian marker test |
$46 |
$46 |
$21 |
$21 | |
| Calcium blood test |
$88 |
$88 |
$5 |
$5 | |
| Carotid artery ultrasound |
$642 |
$642 |
$245 |
$156 | |
| Carpal tunnel release |
$3,772 |
$3,772 |
$2,008 |
$483 | |
| CEA tumor marker test |
$121 |
$121 |
$19 |
$19 | |
| Central line placement |
$3,526 |
$3,526 |
$3,247 |
$238 | |
| Cervical LEEP procedure |
$4,640 |
$4,640 |
$3,329 |
$325 | |
| Cesarean section (C-section) |
— |
— |
$7,649 |
$7,552 | |
| Chest fluid drain (thoracentesis) |
$3,000 |
$3,000 |
$645 |
$311 | |
| Chest X-ray |
$161 |
$161 |
$90 |
$37 | |
| Chest X-ray (1 view) |
$161 |
$161 |
$90 |
$25 | |
| Chest X-ray (2 views) |
$159 |
$159 |
$90 |
$33 | |
| Chickenpox (varicella) vaccine |
$69 |
$69 |
$116 |
— | |
| Circumcision |
$7,362 |
$7,362 |
$2,150 |
$167 | |
| CK-MB heart enzyme test |
$191 |
$191 |
$12 |
$12 | |
| Clotting time test (PTT) |
$92 |
$92 |
$6 |
$6 | |
| Colonoscopy |
$3,500 |
$3,500 |
$1,231 |
$480 | |
| Colposcopy |
$334 |
$334 |
$313 |
$161 | |
| Complete blood count (CBC) |
$106 |
$106 |
$8 |
$7 | |
| Complete blood count (CBC) (complete) |
$108 |
$108 |
$8 |
$8 | |
| Complex wound repair |
$3,117 |
$3,117 |
$760 |
$390 | |
| Comprehensive metabolic panel |
$161 |
$161 |
$11 |
$11 | |
| Coronary artery bypass (CABG) |
— |
— |
$37,046 |
$36,593 | |
| Coronary CT angiography |
$1,908 |
$1,908 |
$359 |
$326 | |
| Cortisol test |
$66 |
$66 |
$16 |
$16 | |
| CPAP titration study |
$294 |
$294 |
— |
$69 | |
| Creatine kinase (CK) test |
$111 |
$111 |
$7 |
$7 | |
| CT angiography of the chest |
$1,346 |
$1,346 |
$180 |
$281 | |
| CT angiography of the head |
$1,346 |
$1,346 |
$180 |
$274 | |
| CT colonography (virtual colonoscopy) |
$2,022 |
$2,022 |
$245 |
$835 | |
| CT scan of the abdomen |
$1,086 |
$1,086 |
$180 |
$230 | |
| CT scan of the abdomen and pelvis |
$1,407 |
$1,407 |
$359 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$1,710 |
$1,710 |
$359 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$1,606 |
$1,606 |
$359 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,150 |
$1,150 |
$245 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,187 |
$1,187 |
$180 |
$259 | |
| CT scan of the abdomen with contrast |
$1,086 |
$1,086 |
$180 |
$230 | |
| CT scan of the abdomen without contrast |
$713 |
$713 |
$108 |
$136 | |
| CT scan of the arm |
$965 |
$965 |
$359 |
$199 | |
| CT scan of the arm with contrast |
$965 |
$965 |
$359 |
$199 | |
| CT scan of the arm without contrast |
$687 |
$687 |
$151 |
$161 | |
| CT scan of the chest |
$1,004 |
$1,004 |
$180 |
$167 | |
| CT scan of the chest with and without contrast |
$1,056 |
$1,056 |
$180 |
$196 | |
| CT scan of the chest with contrast |
$1,029 |
$1,029 |
$180 |
$167 | |
| CT scan of the chest without contrast |
$670 |
$670 |
$108 |
$133 | |
| CT scan of the head |
$642 |
$642 |
$160 |
$148 | |
| CT scan of the head with and without contrast |
$1,082 |
$1,082 |
$180 |
$173 | |
| CT scan of the head with contrast |
$901 |
$901 |
$180 |
$148 | |
| CT scan of the head without contrast |
$626 |
$626 |
$108 |
$107 | |
| CT scan of the leg |
$914 |
$914 |
$180 |
$166 | |
| CT scan of the leg with contrast |
$914 |
$914 |
$180 |
$166 | |
| CT scan of the leg without contrast |
$709 |
$709 |
$136 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$953 |
$953 |
$233 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,031 |
$1,031 |
$180 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$953 |
$953 |
$359 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$714 |
$714 |
$108 |
$130 | |
| CT scan of the neck |
$914 |
$914 |
$180 |
$183 | |
| CT scan of the neck (cervical spine) |
$942 |
$942 |
$244 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,056 |
$1,056 |
$180 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$966 |
$966 |
$359 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$731 |
$731 |
$108 |
$131 | |
| CT scan of the neck with and without contrast |
$914 |
$914 |
$180 |
$220 | |
| CT scan of the neck with contrast |
$1,023 |
$1,023 |
$180 |
$183 | |
| CT scan of the neck without contrast |
$549 |
$549 |
$108 |
$150 | |
| CT scan of the pelvis |
$940 |
$940 |
$180 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,071 |
$1,071 |
$180 |
$251 | |
| CT scan of the pelvis with contrast |
$964 |
$964 |
$180 |
$226 | |
| CT scan of the pelvis without contrast |
$731 |
$731 |
$108 |
$133 | |
| CT scan of the sinuses |
$914 |
$914 |
$180 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,151 |
$1,151 |
$180 |
$184 | |
| CT scan of the sinuses with contrast |
$914 |
$914 |
$180 |
$152 | |
| CT scan of the sinuses without contrast |
$679 |
$679 |
$108 |
$128 | |
| D-dimer test |
$152 |
$152 |
$10 |
$10 | |
| Developmental screening (child) |
$31 |
$31 |
$13 |
— | |
| Diagnostic mammogram |
$315 |
$315 |
$44 |
$140 | |
| Drug screen (urine) |
$44 |
$44 |
$13 |
$17 | |
| Ear tubes (myringotomy) |
$1,331 |
$1,331 |
$1,596 |
$174 | |
| EKG / ECG (tracing only) |
$120 |
$120 |
$61 |
$7 | |
| Electrocardiogram (EKG) |
$120 |
$120 |
$61 |
$8 | |
| Electrolyte panel |
$125 |
$125 |
$7 |
$7 | |
| Endometrial biopsy |
$149 |
$149 |
$208 |
$98 | |
| Epidural steroid injection |
$3,027 |
$3,027 |
$726 |
$275 | |
| ERCP (bile duct endoscopy) |
$5,805 |
$5,805 |
$3,965 |
$311 | |
| Estradiol (estrogen) test |
$196 |
$196 |
$28 |
$28 | |
| Facet joint injection (spine) |
$1,500 |
$1,500 |
$910 |
$99 | |
| Fallopian tube X-ray (HSG) |
$561 |
$561 |
$245 |
$164 | |
| Fecal occult blood (stool) test |
$69 |
$69 |
$16 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$16 |
$16 |
$4 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$71 |
$71 |
$16 |
$16 | |
| Feeding tube (PEG) placement |
$3,500 |
$3,500 |
$1,974 |
$178 | |
| Femoral hernia repair |
$14,942 |
$14,942 |
$3,682 |
$584 | |
| Ferritin (iron) test |
$153 |
$153 |
$14 |
$14 | |
| Fibrinogen test |
$239 |
$239 |
$10 |
$10 | |
| Flexible sigmoidoscopy |
$3,169 |
$3,169 |
$956 |
$323 | |
| Flu test |
$37 |
$37 |
$17 |
$17 | |
| Flu vaccine |
$34 |
$34 |
$23 |
— | |
| Folate (folic acid) test |
$165 |
$165 |
$15 |
$15 | |
| Foreign body removal (skin) |
$234 |
$234 |
$418 |
$157 | |
| Free T4 thyroid test |
$117 |
$117 |
$9 |
$9 | |
| FSH hormone test |
$298 |
$298 |
$19 |
$19 | |
| Gallbladder removal (laparoscopic) |
$9,728 |
$9,728 |
$6,218 |
$658 | |
| Ganglion cyst removal |
$7,192 |
$7,192 |
$1,654 |
$321 | |
| GGT liver test |
$125 |
$125 |
$7 |
$7 | |
| Glucose tolerance test |
$136 |
$136 |
$10 |
$8 | |
| Hammertoe repair |
$2,903 |
$2,903 |
$3,365 |
$548 | |
| HDL cholesterol test |
$31 |
$31 |
$8 |
$8 | |
| Hematocrit test |
$54 |
$54 |
$2 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$25 |
$25 |
$10 |
$10 | |
| Hemorrhoid removal |
$1,779 |
$1,779 |
$956 |
$338 | |
| Hepatitis A vaccine |
$97 |
$97 |
$61 |
— | |
| Hepatitis B test |
$32 |
$32 |
$10 |
$10 | |
| Hepatitis B vaccine |
$84 |
$84 |
$76 |
— | |
| Hepatitis C test |
$26 |
$26 |
$14 |
$14 | |
| Hip arthroscopy |
$7,446 |
$7,446 |
$7,463 |
$931 | |
| Hip replacement |
$32,000 |
$32,000 |
$13,204 |
$1,162 | |
| HIV test |
$146 |
$146 |
$14 |
$19 | |
| HIV test (antibody) |
$146 |
$146 |
$14 |
$14 | |
| Home sleep apnea test |
$114 |
$114 |
$159 |
$123 | |
| HPV vaccine |
$250 |
$250 |
— |
— | |
| Hydrocele repair |
$9,577 |
$9,577 |
$3,682 |
$315 | |
| Hysterectomy |
$30,875 |
$30,875 |
$10,933 |
$933 | |
| Hysteroscopy |
$4,971 |
$4,971 |
$3,329 |
$1,270 | |
| Inguinal hernia repair |
$10,203 |
$10,203 |
$3,682 |
$538 | |
| Iron blood test |
$75 |
$75 |
$6 |
$6 | |
| IUD insertion |
$1,750 |
$1,750 |
$789 |
— | |
| IUD removal |
$2,014 |
$2,014 |
$313 |
$112 | |
| IV infusion therapy |
$414 |
$414 |
$219 |
$44 | |
| IV infusion therapy (each additional) |
$74 |
$74 |
$48 |
$21 | |
| IV infusion therapy (initial) |
$424 |
$424 |
$219 |
$67 | |
| Joint aspiration (small/intermediate) |
$1,500 |
$1,500 |
$316 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$1,538 |
$1,538 |
$316 |
$57 | |
| Joint aspiration or injection (small joint) |
$1,500 |
$1,500 |
$316 |
$56 | |
| Kidney biopsy |
$3,468 |
$3,468 |
$1,699 |
$492 | |
| Kidney stone shock-wave (lithotripsy) |
$7,764 |
$7,764 |
$3,625 |
$760 | |
| Kidney ultrasound |
$445 |
$445 |
$108 |
$84 | |
| Kidney ultrasound (limited) |
$423 |
$423 |
$108 |
$61 | |
| Knee arthroscopy |
$9,105 |
$9,105 |
$3,365 |
$524 | |
| Knee joint injection |
$466 |
$466 |
$316 |
$69 | |
| Knee replacement |
— |
— |
$17,951 |
$18,054 | |
| Lactate test |
$126 |
$126 |
$12 |
$12 | |
| Laminectomy (spine) |
$17,649 |
$17,649 |
$7,463 |
$1,157 | |
| Laryngoscopy |
$179 |
$179 |
$287 |
$189 | |
| LDH test |
$20 |
$20 |
$6 |
$6 | |
| LDL cholesterol test |
$26 |
$26 |
$11 |
$11 | |
| Leg vein ultrasound (Doppler) |
$745 |
$745 |
$138 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$745 |
$745 |
$108 |
$116 | |
| LH hormone test |
$297 |
$297 |
$19 |
$19 | |
| Lipase test |
$55 |
$55 |
$7 |
$7 | |
| Lipid (cholesterol) panel |
$154 |
$154 |
$13 |
$13 | |
| Liver biopsy |
$3,288 |
$3,288 |
$1,699 |
$288 | |
| Liver function panel |
$97 |
$97 |
$8 |
$8 | |
| Lumbar discectomy |
$20,933 |
$20,933 |
$7,463 |
$898 | |
| Lumpectomy (breast) |
$14,418 |
$14,418 |
$5,638 |
$750 | |
| Lung function test (PFT) |
$436 |
$436 |
$222 |
$37 | |
| Magnesium blood test |
$110 |
$110 |
$7 |
$7 | |
| Mastectomy |
$17,825 |
$17,825 |
$6,829 |
$1,021 | |
| Meniscus repair (knee) |
$14,882 |
$14,882 |
$3,365 |
$714 | |
| MMR vaccine |
$73 |
$73 |
$69 |
— | |
| MRA of the brain |
$1,860 |
$1,860 |
$359 |
$226 | |
| MRA of the brain with contrast |
$1,838 |
$1,838 |
$359 |
$226 | |
| MRA of the brain without contrast |
$1,882 |
$1,882 |
$359 |
$328 | |
| MRA of the neck |
$1,882 |
$1,882 |
$359 |
$245 | |
| MRA of the neck with contrast |
$1,794 |
$1,794 |
$359 |
$245 | |
| MRA of the neck without contrast |
$1,926 |
$1,926 |
$359 |
$343 | |
| MRI of the abdomen |
$1,660 |
$1,660 |
$359 |
$300 | |
| MRI of the abdomen with contrast |
$1,660 |
$1,660 |
$359 |
$300 | |
| MRI of the abdomen without contrast |
$1,497 |
$1,497 |
$245 |
$194 | |
| MRI of the ankle |
$1,914 |
$1,914 |
$359 |
$261 | |
| MRI of the ankle with contrast |
$1,695 |
$1,695 |
$502 |
$261 | |
| MRI of the ankle without contrast |
$1,689 |
$1,689 |
$288 |
$222 | |
| MRI of the brain |
$1,651 |
$1,651 |
$344 |
$269 | |
| MRI of the brain with contrast |
$1,743 |
$1,743 |
$359 |
$269 | |
| MRI of the brain without contrast |
$1,572 |
$1,572 |
$245 |
$195 | |
| MRI of the chest |
$1,878 |
$1,878 |
$359 |
$371 | |
| MRI of the chest with contrast |
$1,838 |
$1,838 |
$806 |
$371 | |
| MRI of the chest without contrast |
$1,917 |
$1,917 |
$359 |
$466 | |
| MRI of the knee |
$1,869 |
$1,869 |
$460 |
$315 | |
| MRI of the knee with contrast |
$1,825 |
$1,825 |
$806 |
$315 | |
| MRI of the knee without contrast |
$1,647 |
$1,647 |
$344 |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,619 |
$1,619 |
$359 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,660 |
$1,660 |
$359 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,497 |
$1,497 |
$245 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,676 |
$1,676 |
$359 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$1,872 |
$1,872 |
$359 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,660 |
$1,660 |
$359 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,612 |
$1,612 |
$245 |
$190 | |
| MRI of the neck (cervical spine) |
$1,660 |
$1,660 |
$359 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$1,932 |
$1,932 |
$359 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,660 |
$1,660 |
$359 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,535 |
$1,535 |
$245 |
$191 | |
| MRI of the pelvis |
$1,869 |
$1,869 |
$359 |
$268 | |
| MRI of the pelvis with contrast |
$1,869 |
$1,869 |
$359 |
$268 | |
| MRI of the pelvis without contrast |
$1,689 |
$1,689 |
$245 |
$227 | |
| MRI of the shoulder |
$1,945 |
$1,945 |
$541 |
$313 | |
| MRI of the shoulder with contrast |
$2,043 |
$2,043 |
$806 |
$313 | |
| MRI of the shoulder without contrast |
$1,824 |
$1,824 |
$245 |
$205 | |
| MRI of the wrist |
$2,261 |
$2,261 |
$359 |
$330 | |
| MRI of the wrist with contrast |
$1,838 |
$1,838 |
$502 |
$330 | |
| MRI of the wrist without contrast |
$1,994 |
$1,994 |
$288 |
$303 | |
| Nebulizer breathing treatment |
$233 |
$233 |
$225 |
$9 | |
| Neck (cervical) spinal fusion |
$10,335 |
$10,335 |
$13,204 |
$1,410 | |
| Nuchal translucency ultrasound |
$451 |
$451 |
$108 |
$116 | |
| Office visit (established patient) |
$160 |
$160 |
$81 |
$115 | |
| Office visit (new patient) |
$314 |
$314 |
$111 |
$177 | |
| Office visit, established patient (level 3) |
$133 |
$133 |
$55 |
$95 | |
| Office visit, established patient (level 4) |
$160 |
$160 |
$81 |
$136 | |
| Office visit, new patient (level 3) |
$165 |
$165 |
$68 |
$118 | |
| Office visit, new patient (level 4) |
$330 |
$330 |
$111 |
$177 | |
| Office visit, new patient (level 5) |
$438 |
$438 |
$151 |
$237 | |
| Orthopedic hardware removal |
$14,242 |
$14,242 |
$2,987 |
$632 | |
| Ovary removal (oophorectomy) |
$5,667 |
$5,667 |
$471 |
$822 | |
| Pacemaker insertion |
— |
— |
$15,705 |
$15,506 | |
| Pap smear (cervical screening) |
$69 |
$69 |
$27 |
$20 | |
| Parathyroid hormone (PTH) test |
$87 |
$87 |
$41 |
$41 | |
| Pelvic ultrasound |
$491 |
$491 |
$108 |
$78 | |
| Pelvic ultrasound (complete) |
$491 |
$491 |
$108 |
$105 | |
| Pelvic ultrasound (limited) |
$435 |
$435 |
$108 |
$51 | |
| Phosphorus blood test |
$107 |
$107 |
$5 |
$5 | |
| Physical therapy evaluation |
$226 |
$226 |
$94 |
$98 | |
| Physical therapy evaluation (high complexity) |
$226 |
$226 |
$94 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$226 |
$226 |
$94 |
$98 | |
| Pilonidal cyst removal |
$6,722 |
$6,722 |
$2,987 |
$541 | |
| Platelet count |
$225 |
$225 |
$4 |
$4 | |
| Pneumonia vaccine |
$83 |
$83 |
$105 |
— | |
| Pregnancy blood test (hCG) |
$120 |
$120 |
$8 |
$8 | |
| Pregnancy ultrasound |
$342 |
$342 |
$108 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$336 |
$336 |
$108 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$342 |
$342 |
$108 |
$136 | |
| Prolactin test |
$117 |
$117 |
$19 |
$19 | |
| Prostate test (PSA) |
$163 |
$163 |
$18 |
$18 | |
| Radiofrequency nerve ablation |
$1,527 |
$1,527 |
$2,008 |
$462 | |
| Rheumatoid factor test |
$93 |
$93 |
$6 |
$6 | |
| Rotator cuff repair |
$10,542 |
$10,542 |
$7,463 |
$792 | |
| Sacroiliac joint injection |
$3,000 |
$3,000 |
$70 |
$176 | |
| Scoliosis spine X-ray |
$249 |
$249 |
$108 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$311 |
$311 |
$90 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$249 |
$249 |
$108 |
$72 | |
| Screening colonoscopy |
$3,500 |
$3,500 |
$956 |
$378 | |
| Screening mammogram |
$350 |
$350 |
$34 |
$126 | |
| Scrotal ultrasound |
$496 |
$496 |
$108 |
$99 | |
| Sedimentation rate (ESR) test |
$37 |
$37 |
$4 |
$3 | |
| Septoplasty (deviated septum) |
$6,625 |
$6,625 |
$3,410 |
$613 | |
| Shoulder arthroscopy |
$23,899 |
$23,899 |
$7,463 |
$962 | |
| Shoulder replacement |
$38,624 |
$38,624 |
$18,033 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$240 |
$240 |
$206 |
$114 | |
| Simple wound stitches |
$240 |
$240 |
$206 |
$127 | |
| Sinus surgery (endoscopic) |
$3,793 |
$3,793 |
$7,259 |
$224 | |
| Skin biopsy |
$198 |
$198 |
$418 |
$121 | |
| Skin biopsy (punch) |
$193 |
$193 |
$418 |
$121 | |
| Skin cancer lesion removal |
$686 |
$686 |
$676 |
$240 | |
| Skin lesion freezing (cryotherapy) |
$51 |
$51 |
$83 |
$36 | |
| Skin tag removal |
$193 |
$193 |
$206 |
$92 | |
| Sleep study (polysomnography) |
$3,285 |
$3,285 |
$883 |
$691 | |
| Soft tissue ultrasound |
$407 |
$407 |
$108 |
$64 | |
| Spinal cord stimulator |
$18,603 |
$18,603 |
$6,555 |
$2,388 | |
| Spine fracture repair (kyphoplasty) |
$10,955 |
$10,955 |
$7,463 |
$5,803 | |
| Spirometry (lung function test) |
$315 |
$315 |
$222 |
$30 | |
| Spirometry with bronchodilator |
$773 |
$773 |
$384 |
$43 | |
| Strep throat test |
$52 |
$52 |
$17 |
$17 | |
| T3 thyroid test |
$175 |
$175 |
$14 |
$14 | |
| Tdap (tetanus) vaccine |
$62 |
$62 |
$46 |
— | |
| Testosterone test |
$180 |
$180 |
$26 |
$26 | |
| Thyroid removal (thyroidectomy) |
$21,276 |
$21,276 |
$6,218 |
$1,004 | |
| Thyroid test (TSH) |
$186 |
$186 |
$17 |
$17 | |
| Thyroid ultrasound |
$395 |
$395 |
$108 |
$109 | |
| Tonsillectomy |
$6,872 |
$6,872 |
$3,410 |
$252 | |
| Total IgE allergy test |
$263 |
$263 |
$16 |
$16 | |
| Total protein test |
$59 |
$59 |
$4 |
$4 | |
| Transvaginal ultrasound |
$404 |
$404 |
$108 |
$118 | |
| Trigger finger release |
$3,484 |
$3,484 |
$1,654 |
$630 | |
| Trigger point injection |
$952 |
$952 |
$316 |
$56 | |
| Trigger point injection (1-2 muscles) |
$952 |
$952 |
$316 |
$52 | |
| Triglycerides test |
$66 |
$66 |
$6 |
$6 | |
| Troponin (heart) test |
$114 |
$114 |
$12 |
$12 | |
| Turbinate reduction |
$4,613 |
$4,613 |
$3,410 |
$294 | |
| Ulnar nerve surgery (elbow) |
$5,265 |
$5,265 |
$2,008 |
$575 | |
| Upper GI endoscopy (EGD) |
$3,125 |
$3,125 |
$933 |
$371 | |
| Upper GI series (barium) |
$385 |
$385 |
$180 |
$128 | |
| Ureteral stent placement |
$3,789 |
$3,789 |
$3,625 |
$373 | |
| Ureteroscopy (stone removal) |
$9,920 |
$9,920 |
$5,515 |
$365 | |
| Uric acid (gout) test |
$56 |
$56 |
$5 |
$5 | |
| Urinalysis |
$29 |
$29 |
$2 |
$3 | |
| Urine microalbumin test |
$96 |
$96 |
$5 |
$5 | |
| Urine pregnancy test |
$56 |
$56 |
$9 |
$9 | |
| Vaccine administration |
$73 |
$73 |
$44 |
$19 | |
| Vaccine administration (each additional) |
$47 |
$47 |
$23 |
$16 | |
| Vaginal delivery |
— |
— |
$5,557 |
$5,487 | |
| Vitamin B12 test |
$167 |
$167 |
$15 |
$15 | |
| Vitamin D test |
$58 |
$58 |
$30 |
$30 | |
| Vocal cord injection |
$5,500 |
$5,500 |
$3,835 |
$211 | |
| Wart removal |
$180 |
$180 |
$206 |
$121 | |
| Weight-loss (bariatric) surgery |
— |
— |
$11,794 |
$11,645 | |
| Wound debridement |
$4,647 |
$4,647 |
$437 |
$186 | |
| Wrist fracture repair |
$26,072 |
$26,072 |
$7,463 |
$735 | |
| X-ray of the abdomen |
$175 |
$175 |
$108 |
$36 | |
| X-ray of the ankle |
$255 |
$255 |
$90 |
$37 | |
| X-ray of the collarbone |
$173 |
$173 |
$90 |
$33 | |
| X-ray of the elbow |
$163 |
$163 |
$90 |
$33 | |
| X-ray of the facial bones |
$198 |
$198 |
$101 |
$39 | |
| X-ray of the foot |
$177 |
$177 |
$90 |
$34 | |
| X-ray of the forearm |
$172 |
$172 |
$90 |
$29 | |
| X-ray of the hand |
$177 |
$177 |
$90 |
$38 | |
| X-ray of the hip |
$183 |
$183 |
$90 |
$49 | |
| X-ray of the hip (1 view) |
$162 |
$162 |
$90 |
$34 | |
| X-ray of the hip (3 views) |
$183 |
$183 |
$90 |
$49 | |
| X-ray of the hip (4 views) |
$373 |
$373 |
$108 |
$63 | |
| X-ray of the knee |
$191 |
$191 |
$90 |
$42 | |
| X-ray of the knee (2 views) |
$166 |
$166 |
$90 |
$34 | |
| X-ray of the knee (3 views) |
$181 |
$181 |
$90 |
$42 | |
| X-ray of the knee (4+ views) |
$198 |
$198 |
$108 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$308 |
$308 |
$108 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$183 |
$183 |
$108 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$308 |
$308 |
$72 |
$53 | |
| X-ray of the lower leg |
$221 |
$221 |
$90 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$211 |
$211 |
$108 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$189 |
$189 |
$108 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$223 |
$223 |
$108 |
$39 | |
| X-ray of the neck (cervical spine) |
$311 |
$311 |
$90 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$176 |
$176 |
$90 |
$40 | |
| X-ray of the pelvis |
$195 |
$195 |
$108 |
$36 | |
| X-ray of the pelvis (1 view) |
$195 |
$195 |
$108 |
$28 | |
| X-ray of the ribs |
$205 |
$205 |
$90 |
$42 | |
| X-ray of the ribs (2 views) |
$167 |
$167 |
$90 |
$36 | |
| X-ray of the ribs (3 views) |
$205 |
$205 |
$108 |
$42 | |
| X-ray of the shoulder |
$175 |
$175 |
$90 |
$36 | |
| X-ray of the skull |
$172 |
$172 |
$108 |
$40 | |
| X-ray of the upper arm |
$172 |
$172 |
$90 |
$32 | |
| X-ray of the wrist |
$202 |
$202 |
$90 |
$43 | |