| 3D mammogram (tomosynthesis) |
$113 |
$161 |
$125 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$2,883 |
$4,119 |
$2,070 |
$284 | |
| Abdominal ultrasound |
$1,688 |
$2,412 |
$1,772 |
$100 | |
| Abdominal ultrasound (complete) |
$1,772 |
$2,532 |
$1,772 |
$114 | |
| Abdominal ultrasound (limited) |
$1,604 |
$2,292 |
$1,604 |
$86 | |
| Abscess drainage (complex or multiple) |
$1,133 |
$1,618 |
$1,133 |
$220 | |
| Abscess drainage (simple) |
$954 |
$1,363 |
$954 |
$129 | |
| Abscess incision and drainage |
$1,043 |
$1,491 |
$1,090 |
$174 | |
| Achilles tendon repair |
$10,879 |
$15,542 |
$6,578 |
$624 | |
| ACL knee reconstruction |
$67,157 |
$95,938 |
$8,823 |
$889 | |
| Adenoid removal (adenoidectomy) |
$10,953 |
$15,647 |
$2,919 |
$204 | |
| Albumin blood test |
$54 |
$77 |
$55 |
$5 | |
| Aldosterone test |
$165 |
$236 |
$191 |
$41 | |
| Alkaline phosphatase test |
$140 |
$200 |
$58 |
$5 | |
| Allergy shots |
$46 |
$66 |
$53 |
$11 | |
| Alpha-fetoprotein (AFP) test |
$175 |
$250 |
$193 |
$17 | |
| ALT liver enzyme test |
$48 |
$69 |
$48 |
$5 | |
| Ammonia blood test |
$128 |
$183 |
$89 |
$15 | |
| Amniocentesis |
$426 |
$609 |
$888 |
$120 | |
| Amylase test |
$89 |
$127 |
$117 |
$6 | |
| Anal fistula repair |
$9,270 |
$13,242 |
$7,119 |
$541 | |
| Ankle fracture repair |
$9,533 |
$13,618 |
$6,470 |
$608 | |
| Ankle replacement |
$46,354 |
$66,220 |
$36,421 |
$885 | |
| Antinuclear antibody (ANA) test |
$93 |
$133 |
$95 |
$12 | |
| Aortic valve replacement |
$19,648 |
$28,069 |
$24,194 |
$1,603 | |
| Arterial blood gas (ABG) |
$223 |
$319 |
$229 |
$26 | |
| AST liver enzyme test |
$50 |
$72 |
$48 |
$5 | |
| Barium swallow study |
$747 |
$1,068 |
$828 |
$107 | |
| Bartholin cyst removal |
$907 |
$1,295 |
$615 |
$182 | |
| Basic metabolic panel |
$220 |
$314 |
$236 |
$8 | |
| Benign skin lesion removal |
$3,022 |
$4,317 |
$2,858 |
$171 | |
| Bilirubin blood test |
$56 |
$80 |
$41 |
$5 | |
| Bladder scope (cystoscopy) |
$1,571 |
$2,244 |
$1,122 |
$216 | |
| Bladder tumor removal (TURBT) |
$9,775 |
$13,964 |
$3,375 |
$236 | |
| Blood clotting test (PT/INR) |
$51 |
$73 |
$56 |
$4 | |
| Blood crossmatch |
$125 |
$179 |
$179 |
— | |
| Blood glucose test |
$43 |
$61 |
$44 |
$5 | |
| Blood transfusion |
$4,200 |
$6,000 |
$1,242 |
$47 | |
| Blood type and screen |
$165 |
$236 |
$127 |
$10 | |
| Blood type test |
$78 |
$111 |
$63 |
$3 | |
| Blood type test (ABO group) |
$99 |
$141 |
$78 |
$3 | |
| Blood type test (Rh/D antigen) |
$66 |
$94 |
$55 |
$3 | |
| BNP (heart failure) test |
$237 |
$339 |
$253 |
$39 | |
| Bone density scan (DEXA) |
$637 |
$910 |
$637 |
$39 | |
| Bone marrow biopsy |
$2,321 |
$3,316 |
$2,177 |
$172 | |
| Bone scan (nuclear) |
$2,663 |
$3,804 |
$3,043 |
$259 | |
| Brain shunt (VP shunt) |
$4,313 |
$6,161 |
$4,313 |
$1,023 | |
| Breast biopsy |
$2,353 |
$3,362 |
$3,984 |
$478 | |
| Breast MRI |
$3,885 |
$5,550 |
$4,099 |
$216 | |
| Breast MRI without contrast |
$3,492 |
$4,988 |
$3,741 |
$216 | |
| Breast reduction |
$8,073 |
$11,533 |
$6,343 |
$980 | |
| Breast ultrasound |
$485 |
$694 |
$532 |
$92 | |
| Breast ultrasound (complete) |
$532 |
$760 |
$532 |
$100 | |
| Breast ultrasound (limited) |
$439 |
$627 |
$439 |
$84 | |
| Breathing tube insertion (intubation) |
$923 |
$1,319 |
$583 |
$133 | |
| Bronchoscopy |
$2,724 |
$3,891 |
$1,620 |
$303 | |
| Bunion surgery (bunionectomy) |
$6,246 |
$8,923 |
$4,908 |
$883 | |
| Burn dressing and debridement (medium) |
$646 |
$923 |
$699 |
$166 | |
| Burn dressing and debridement (small) |
$597 |
$853 |
$379 |
$93 | |
| Burn treatment |
$604 |
$864 |
$431 |
$129 | |
| C-reactive protein (CRP) |
$92 |
$132 |
$114 |
$5 | |
| CA 19-9 tumor marker test |
$225 |
$322 |
$195 |
$21 | |
| CA-125 ovarian marker test |
$266 |
$380 |
$230 |
$21 | |
| Calcium blood test |
$85 |
$122 |
$60 |
$5 | |
| Capsule endoscopy |
$3,002 |
$4,288 |
$2,920 |
$802 | |
| Cardiac ablation |
$26,019 |
$37,170 |
$26,424 |
$759 | |
| Cardiac catheterization |
$21,571 |
$30,816 |
$12,830 |
$1,049 | |
| Cardiac MRI |
$4,088 |
$5,841 |
$4,362 |
$322 | |
| Cardiac MRI without contrast |
$3,835 |
$5,478 |
$4,109 |
$280 | |
| Cardiac rehabilitation |
$370 |
$528 |
$254 |
$26 | |
| Cardiac stress test |
$630 |
$900 |
$616 |
$39 | |
| Cardioversion |
$1,737 |
$2,482 |
$2,298 |
$155 | |
| Carotid artery ultrasound |
$1,698 |
$2,425 |
$1,512 |
$156 | |
| Carpal tunnel release |
$5,827 |
$8,324 |
$3,272 |
$483 | |
| Cataract surgery |
$9,096 |
$12,994 |
$4,026 |
$547 | |
| CEA tumor marker test |
$331 |
$473 |
$202 |
$19 | |
| Celiac disease test |
$26 |
$37 |
$37 |
$12 | |
| Central line placement |
$3,473 |
$4,961 |
$2,603 |
$238 | |
| Cervical cerclage |
$11,965 |
$17,092 |
$6,950 |
$137 | |
| Cervical LEEP procedure |
$5,312 |
$7,589 |
$3,505 |
$325 | |
| Cesarean section (C-section) |
$46,728 |
$66,754 |
— |
$7,552 | |
| Chalazion (eyelid cyst) removal |
$1,122 |
$1,603 |
$1,122 |
$131 | |
| Chemotherapy infusion |
$750 |
$1,072 |
$642 |
$81 | |
| Chemotherapy infusion (each additional) |
$449 |
$642 |
$460 |
$28 | |
| Chemotherapy infusion (first hour) |
$1,051 |
$1,502 |
$1,254 |
$133 | |
| Chest fluid drain (thoracentesis) |
$2,419 |
$3,456 |
$2,693 |
$311 | |
| Chest tube insertion |
$2,333 |
$3,333 |
$1,759 |
$143 | |
| Chest X-ray |
$787 |
$1,125 |
$768 |
$37 | |
| Chest X-ray (1 view) |
$538 |
$768 |
$538 |
$25 | |
| Chest X-ray (2 views) |
$674 |
$963 |
$674 |
$33 | |
| Circumcision |
$7,013 |
$10,018 |
$1,364 |
$167 | |
| CK-MB heart enzyme test |
$188 |
$269 |
$170 |
$12 | |
| Clotting time test (PTT) |
$77 |
$110 |
$84 |
$6 | |
| Colonoscopy |
$4,215 |
$6,022 |
$3,392 |
$480 | |
| Complete blood count (CBC) |
$81 |
$116 |
$93 |
$7 | |
| Complete blood count (CBC) (complete) |
$84 |
$120 |
$112 |
$8 | |
| Complex wound repair |
$1,581 |
$2,259 |
$1,581 |
$390 | |
| Comprehensive metabolic panel |
$307 |
$438 |
$307 |
$11 | |
| Contraceptive implant (Nexplanon) |
$3,356 |
$4,794 |
$2,366 |
$115 | |
| Copper blood test |
$78 |
$112 |
$101 |
$12 | |
| Corneal transplant |
$24,241 |
$34,630 |
$6,935 |
$1,066 | |
| Coronary artery bypass (CABG) |
$218,404 |
$312,005 |
— |
$36,593 | |
| Coronary CT angiography |
$3,641 |
$5,202 |
$3,641 |
$326 | |
| Cortisol test |
$198 |
$283 |
$150 |
$16 | |
| COVID-19 PCR test |
$116 |
$165 |
$116 |
$51 | |
| CPAP titration study |
$340 |
$486 |
$284 |
$69 | |
| Creatine kinase (CK) test |
$185 |
$264 |
$82 |
$7 | |
| CT angiography of the chest |
$3,503 |
$5,004 |
$3,753 |
$281 | |
| CT angiography of the head |
$3,656 |
$5,223 |
$3,917 |
$274 | |
| CT scan of the abdomen |
$3,201 |
$4,573 |
$3,659 |
$230 | |
| CT scan of the abdomen and pelvis |
$6,049 |
$8,642 |
$6,860 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$7,106 |
$10,151 |
$7,613 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$6,049 |
$8,642 |
$6,482 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$4,802 |
$6,860 |
$5,145 |
$183 | |
| CT scan of the abdomen with and without contrast |
$3,659 |
$5,227 |
$3,920 |
$259 | |
| CT scan of the abdomen with contrast |
$3,201 |
$4,573 |
$3,430 |
$230 | |
| CT scan of the abdomen without contrast |
$2,576 |
$3,680 |
$2,760 |
$136 | |
| CT scan of the arm |
$2,813 |
$4,018 |
$3,355 |
$199 | |
| CT scan of the arm with contrast |
$2,813 |
$4,018 |
$3,014 |
$199 | |
| CT scan of the arm without contrast |
$2,563 |
$3,662 |
$2,747 |
$161 | |
| CT scan of the chest |
$3,174 |
$4,534 |
$3,416 |
$167 | |
| CT scan of the chest with and without contrast |
$3,416 |
$4,880 |
$3,660 |
$196 | |
| CT scan of the chest with contrast |
$3,174 |
$4,534 |
$3,401 |
$167 | |
| CT scan of the chest without contrast |
$2,611 |
$3,730 |
$2,798 |
$133 | |
| CT scan of the head |
$2,922 |
$4,174 |
$3,456 |
$148 | |
| CT scan of the head with and without contrast |
$3,757 |
$5,367 |
$4,025 |
$173 | |
| CT scan of the head with contrast |
$2,922 |
$4,174 |
$3,131 |
$148 | |
| CT scan of the head without contrast |
$2,475 |
$3,535 |
$2,651 |
$107 | |
| CT scan of the leg |
$2,976 |
$4,251 |
$3,379 |
$166 | |
| CT scan of the leg with contrast |
$2,976 |
$4,251 |
$3,188 |
$166 | |
| CT scan of the leg without contrast |
$2,623 |
$3,747 |
$2,810 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$3,506 |
$5,009 |
$3,717 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$3,717 |
$5,310 |
$3,983 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$3,506 |
$5,009 |
$3,757 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$3,084 |
$4,405 |
$3,304 |
$130 | |
| CT scan of the neck |
$3,251 |
$4,644 |
$3,666 |
$183 | |
| CT scan of the neck (cervical spine) |
$3,497 |
$4,996 |
$4,046 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$4,096 |
$5,851 |
$4,388 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$3,497 |
$4,996 |
$3,747 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$3,168 |
$4,526 |
$3,395 |
$131 | |
| CT scan of the neck with and without contrast |
$3,704 |
$5,292 |
$3,969 |
$220 | |
| CT scan of the neck with contrast |
$3,251 |
$4,644 |
$3,483 |
$183 | |
| CT scan of the neck without contrast |
$2,566 |
$3,666 |
$2,750 |
$150 | |
| CT scan of the pelvis |
$2,908 |
$4,154 |
$3,081 |
$226 | |
| CT scan of the pelvis with and without contrast |
$3,318 |
$4,740 |
$3,555 |
$251 | |
| CT scan of the pelvis with contrast |
$2,908 |
$4,154 |
$3,116 |
$226 | |
| CT scan of the pelvis without contrast |
$2,157 |
$3,081 |
$2,311 |
$133 | |
| CT scan of the sinuses |
$3,161 |
$4,516 |
$3,634 |
$152 | |
| CT scan of the sinuses with and without contrast |
$3,656 |
$5,223 |
$3,917 |
$184 | |
| CT scan of the sinuses with contrast |
$3,161 |
$4,516 |
$3,387 |
$152 | |
| CT scan of the sinuses without contrast |
$2,606 |
$3,723 |
$2,792 |
$128 | |
| D-dimer test |
$135 |
$194 |
$134 |
$10 | |
| Defibrillator (ICD) implant |
$121,679 |
$173,827 |
$37,595 |
$798 | |
| DHEA-sulfate test |
$140 |
$200 |
$117 |
$22 | |
| Diagnostic mammogram |
$489 |
$699 |
$514 |
$140 | |
| Dialysis fistula creation |
$24,492 |
$34,989 |
$6,274 |
$601 | |
| Dilation and curettage (D&C) |
$15,385 |
$21,979 |
$4,250 |
$298 | |
| Droopy eyelid repair (ptosis) |
$11,765 |
$16,807 |
$2,465 |
$745 | |
| Drug screen (urine) |
$261 |
$373 |
$276 |
$17 | |
| Ear pressure test (tympanometry) |
$151 |
$216 |
$151 |
$16 | |
| Ear tubes (myringotomy) |
$10,652 |
$15,218 |
$1,566 |
$174 | |
| Eardrum repair (tympanoplasty) |
$36,505 |
$52,150 |
$7,320 |
$799 | |
| Echocardiogram |
$1,997 |
$2,853 |
$1,865 |
$138 | |
| Echocardiogram with and without contrast |
$1,306 |
$1,865 |
$1,306 |
$101 | |
| Echocardiogram without contrast |
$1,997 |
$2,853 |
$1,997 |
$138 | |
| EEG (awake and asleep) |
$1,092 |
$1,560 |
$1,092 |
$482 | |
| EKG / ECG (tracing only) |
$238 |
$340 |
$249 |
$7 | |
| Electrocardiogram (EKG) |
$238 |
$340 |
$249 |
$8 | |
| Electroencephalogram (EEG) |
$989 |
$1,413 |
$1,013 |
$448 | |
| Electrolyte panel |
$75 |
$108 |
$105 |
$7 | |
| Electromyography (EMG) |
$482 |
$689 |
$818 |
$141 | |
| Emergency department visit |
$1,549 |
$2,213 |
$1,082 |
$69 | |
| Emergency department visit (level 1) |
$390 |
$558 |
$400 |
$11 | |
| Emergency department visit (level 2) |
$757 |
$1,082 |
$757 |
$40 | |
| Emergency department visit (level 3) |
$1,549 |
$2,213 |
$1,347 |
$69 | |
| Emergency department visit (level 4) |
$3,287 |
$4,696 |
$2,525 |
$118 | |
| Emergency department visit (level 5) |
$6,808 |
$9,725 |
$3,534 |
$171 | |
| Endometrial biopsy |
$646 |
$923 |
$537 |
$98 | |
| Epidural steroid injection |
$1,777 |
$2,539 |
$1,878 |
$275 | |
| ERCP (bile duct endoscopy) |
$19,302 |
$27,575 |
$3,715 |
$311 | |
| Esophageal dilation |
$5,705 |
$8,150 |
$2,790 |
$522 | |
| Esophageal variceal banding |
$5,581 |
$7,972 |
$3,001 |
$126 | |
| Estradiol (estrogen) test |
$144 |
$205 |
$122 |
$28 | |
| Eyelid surgery (blepharoplasty) |
$2,970 |
$4,244 |
$2,334 |
$552 | |
| Facet joint injection (spine) |
$2,435 |
$3,478 |
$2,042 |
$99 | |
| Fallopian tube X-ray (HSG) |
$762 |
$1,088 |
$811 |
$164 | |
| Family therapy session |
$240 |
$343 |
$229 |
$110 | |
| Fecal occult blood (stool) test |
$71 |
$102 |
$53 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$58 |
$83 |
$53 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$77 |
$110 |
$63 |
$16 | |
| Feeding tube (PEG) placement |
$7,598 |
$10,854 |
$2,907 |
$178 | |
| Femoral hernia repair |
$14,180 |
$20,258 |
$8,916 |
$584 | |
| Ferritin (iron) test |
$144 |
$206 |
$155 |
$14 | |
| Fibrinogen test |
$102 |
$145 |
$116 |
$10 | |
| Flexible sigmoidoscopy |
$3,272 |
$4,674 |
$1,925 |
$323 | |
| Flu vaccine |
$31 |
$44 |
$28 |
— | |
| Folate (folic acid) test |
$131 |
$187 |
$135 |
$15 | |
| Foreign body removal (skin) |
$1,439 |
$2,055 |
$1,217 |
$157 | |
| Free T4 thyroid test |
$121 |
$173 |
$130 |
$9 | |
| FSH hormone test |
$124 |
$178 |
$145 |
$19 | |
| Gallbladder removal (laparoscopic) |
$23,047 |
$32,924 |
$14,162 |
$658 | |
| Gallbladder scan (HIDA) |
$3,023 |
$4,319 |
$2,630 |
$334 | |
| Ganglion cyst removal |
$7,624 |
$10,892 |
$2,549 |
$321 | |
| GGT liver test |
$62 |
$89 |
$50 |
$7 | |
| Glaucoma surgery |
$15,224 |
$21,748 |
$4,026 |
$984 | |
| Glucose tolerance test |
$237 |
$339 |
$83 |
$8 | |
| Group therapy session |
$674 |
$963 |
$221 |
$30 | |
| H. pylori test |
$313 |
$447 |
$325 |
$67 | |
| Hammertoe repair |
$4,122 |
$5,889 |
$3,239 |
$548 | |
| HDL cholesterol test |
$68 |
$97 |
$80 |
$8 | |
| Hearing test (audiometry) |
$257 |
$367 |
$257 |
$36 | |
| Hematocrit test |
$44 |
$63 |
$41 |
$2 | |
| Hemodialysis |
$2,696 |
$3,852 |
$1,571 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$117 |
$167 |
$117 |
$10 | |
| Hemorrhoid removal |
$4,685 |
$6,693 |
$1,485 |
$338 | |
| Hepatitis A vaccine |
$107 |
$153 |
$107 |
— | |
| Hepatitis B test |
$109 |
$155 |
$133 |
$10 | |
| Hepatitis B vaccine |
$84 |
$120 |
$84 |
— | |
| Hepatitis C test |
$117 |
$167 |
$160 |
$14 | |
| Hip replacement |
$34,606 |
$49,437 |
$19,379 |
$1,162 | |
| HIV test |
$112 |
$160 |
$135 |
$19 | |
| HIV test (antibody) |
$122 |
$174 |
$137 |
$14 | |
| HIV test (antigen/antibody combo) |
$109 |
$156 |
$135 |
$24 | |
| Holter heart monitor |
$788 |
$1,126 |
$335 |
$26 | |
| Home sleep apnea test |
$1,086 |
$1,552 |
$1,242 |
$123 | |
| HPV vaccine |
$424 |
$605 |
$424 |
— | |
| Hydrocele repair |
$9,296 |
$13,280 |
$4,087 |
$315 | |
| Hysterectomy |
$52,934 |
$75,620 |
$7,273 |
$933 | |
| Hysteroscopy |
$11,333 |
$16,189 |
$3,666 |
$1,270 | |
| Inguinal hernia repair |
$19,605 |
$28,007 |
$5,944 |
$538 | |
| Iron blood test |
$79 |
$113 |
$85 |
$6 | |
| IUD insertion |
$2,376 |
$3,394 |
$2,376 |
— | |
| IUD removal |
$652 |
$931 |
$1,184 |
$112 | |
| IV infusion therapy |
$309 |
$442 |
$297 |
$44 | |
| IV infusion therapy (each additional) |
$289 |
$413 |
$212 |
$21 | |
| IV infusion therapy (initial) |
$329 |
$470 |
$446 |
$67 | |
| IVC filter placement |
$9,680 |
$13,828 |
$6,914 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$919 |
$1,313 |
$616 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$586 |
$838 |
$553 |
$57 | |
| Joint aspiration or injection (small joint) |
$919 |
$1,313 |
$673 |
$56 | |
| Kidney biopsy |
$2,545 |
$3,636 |
$2,300 |
$492 | |
| Kidney scan (nuclear) |
$2,494 |
$3,563 |
$2,850 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$8,960 |
$12,800 |
$5,155 |
$760 | |
| Kidney ultrasound |
$1,394 |
$1,991 |
$1,474 |
$84 | |
| Kidney ultrasound (limited) |
$1,313 |
$1,876 |
$1,313 |
$61 | |
| Knee arthroscopy |
$15,004 |
$21,434 |
$5,905 |
$524 | |
| Knee joint injection |
$613 |
$876 |
$665 |
$69 | |
| Knee replacement |
$91,232 |
$130,331 |
— |
$18,054 | |
| Lactate test |
$191 |
$273 |
$205 |
$12 | |
| Laminectomy (spine) |
$42,218 |
$60,311 |
$7,941 |
$1,157 | |
| Laryngoscopy |
$3,366 |
$4,808 |
$1,298 |
$189 | |
| LDH test |
$81 |
$116 |
$81 |
$6 | |
| LDL cholesterol test |
$95 |
$136 |
$64 |
$11 | |
| Leg artery angiogram |
$6,423 |
$9,175 |
$6,423 |
$149 | |
| Leg artery angioplasty |
$12,543 |
$17,918 |
$11,135 |
— | |
| Leg vein ultrasound (Doppler) |
$2,150 |
$3,071 |
$2,289 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,673 |
$2,390 |
$1,673 |
$116 | |
| LH hormone test |
$121 |
$173 |
$121 |
$19 | |
| Lipase test |
$101 |
$145 |
$116 |
$7 | |
| Lipid (cholesterol) panel |
$184 |
$263 |
$184 |
$13 | |
| Liver biopsy |
$3,477 |
$4,967 |
$2,705 |
$288 | |
| Liver function panel |
$139 |
$199 |
$172 |
$8 | |
| Lumbar discectomy |
$29,780 |
$42,542 |
$7,782 |
$898 | |
| Lumpectomy (breast) |
$7,651 |
$10,931 |
$4,176 |
$750 | |
| Lung function test (PFT) |
$405 |
$579 |
$505 |
$37 | |
| Lung scan (V/Q) |
$2,198 |
$3,140 |
$3,140 |
$291 | |
| Magnesium blood test |
$81 |
$116 |
$87 |
$7 | |
| Mastectomy |
$7,795 |
$11,136 |
$4,365 |
$1,021 | |
| Meniscus repair (knee) |
$28,538 |
$40,768 |
$3,827 |
$714 | |
| MMR vaccine |
$243 |
$347 |
$243 |
— | |
| MRA of the brain |
$4,890 |
$6,985 |
$5,613 |
$226 | |
| MRA of the brain with contrast |
$4,890 |
$6,985 |
$5,239 |
$226 | |
| MRA of the brain without contrast |
$5,711 |
$8,158 |
$6,119 |
$328 | |
| MRA of the neck |
$3,843 |
$5,490 |
$4,370 |
$245 | |
| MRA of the neck with contrast |
$3,843 |
$5,490 |
$4,118 |
$245 | |
| MRA of the neck without contrast |
$4,370 |
$6,243 |
$4,682 |
$343 | |
| MRI of the abdomen |
$3,770 |
$5,386 |
$4,386 |
$300 | |
| MRI of the abdomen with contrast |
$3,770 |
$5,386 |
$4,040 |
$300 | |
| MRI of the abdomen without contrast |
$3,700 |
$5,286 |
$3,965 |
$194 | |
| MRI of the ankle |
$3,679 |
$5,255 |
$4,053 |
$261 | |
| MRI of the ankle with contrast |
$3,679 |
$5,255 |
$3,941 |
$261 | |
| MRI of the ankle without contrast |
$3,433 |
$4,904 |
$3,678 |
$222 | |
| MRI of the brain |
$4,291 |
$6,130 |
$5,014 |
$269 | |
| MRI of the brain with contrast |
$4,291 |
$6,130 |
$4,598 |
$269 | |
| MRI of the brain without contrast |
$3,887 |
$5,553 |
$4,165 |
$195 | |
| MRI of the chest |
$3,718 |
$5,311 |
$4,192 |
$371 | |
| MRI of the chest with contrast |
$3,718 |
$5,311 |
$3,983 |
$371 | |
| MRI of the chest without contrast |
$4,372 |
$6,246 |
$4,685 |
$466 | |
| MRI of the knee |
$4,038 |
$5,769 |
$4,429 |
$315 | |
| MRI of the knee with contrast |
$4,038 |
$5,769 |
$4,327 |
$315 | |
| MRI of the knee without contrast |
$3,835 |
$5,479 |
$4,109 |
$204 | |
| MRI of the lower back (lumbar spine) |
$4,173 |
$5,961 |
$4,707 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$4,173 |
$5,961 |
$4,471 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$3,837 |
$5,482 |
$4,112 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$4,101 |
$5,859 |
$4,692 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$4,696 |
$6,709 |
$5,032 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$4,101 |
$5,859 |
$4,394 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$3,809 |
$5,442 |
$4,082 |
$190 | |
| MRI of the neck (cervical spine) |
$4,535 |
$6,478 |
$5,143 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$5,143 |
$7,347 |
$5,510 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$4,535 |
$6,478 |
$4,859 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$4,171 |
$5,959 |
$4,469 |
$191 | |
| MRI of the pelvis |
$3,948 |
$5,640 |
$4,568 |
$268 | |
| MRI of the pelvis with contrast |
$3,948 |
$5,640 |
$4,230 |
$268 | |
| MRI of the pelvis without contrast |
$3,616 |
$5,165 |
$3,874 |
$227 | |
| MRI of the shoulder |
$3,828 |
$5,468 |
$4,324 |
$313 | |
| MRI of the shoulder with contrast |
$3,828 |
$5,468 |
$4,101 |
$313 | |
| MRI of the shoulder without contrast |
$3,592 |
$5,131 |
$3,848 |
$205 | |
| MRI of the wrist |
$3,628 |
$5,183 |
$4,088 |
$330 | |
| MRI of the wrist with contrast |
$3,628 |
$5,183 |
$3,887 |
$330 | |
| MRI of the wrist without contrast |
$3,502 |
$5,003 |
$3,752 |
$303 | |
| Nebulizer breathing treatment |
$186 |
$265 |
$208 |
$9 | |
| Nerve conduction study |
$953 |
$1,361 |
$781 |
$118 | |
| Nuchal translucency ultrasound |
$941 |
$1,344 |
$941 |
$116 | |
| Nuclear cardiac stress test |
$5,433 |
$7,761 |
$4,632 |
$428 | |
| Occupational therapy evaluation |
$382 |
$545 |
$457 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$550 |
$786 |
$550 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$349 |
$498 |
$349 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$382 |
$545 |
$425 |
$101 | |
| Office visit (established patient) |
$228 |
$326 |
$216 |
$115 | |
| Office visit (new patient) |
$438 |
$626 |
$531 |
$177 | |
| Office visit, established patient (level 3) |
$221 |
$316 |
$216 |
$95 | |
| Office visit, established patient (level 4) |
$281 |
$402 |
$235 |
$136 | |
| Office visit, new patient (level 3) |
$380 |
$543 |
$380 |
$118 | |
| Office visit, new patient (level 4) |
$438 |
$626 |
$438 |
$177 | |
| Office visit, new patient (level 5) |
$641 |
$915 |
$641 |
$237 | |
| Orthopedic hardware removal |
$6,757 |
$9,653 |
$2,916 |
$632 | |
| Pacemaker insertion |
$81,521 |
$116,459 |
— |
$15,506 | |
| Pap smear (cervical screening) |
$128 |
$183 |
$119 |
$20 | |
| Parathyroid hormone (PTH) test |
$372 |
$531 |
$252 |
$41 | |
| Pelvic ultrasound |
$1,186 |
$1,695 |
$1,232 |
$78 | |
| Pelvic ultrasound (complete) |
$1,510 |
$2,157 |
$1,510 |
$105 | |
| Pelvic ultrasound (limited) |
$862 |
$1,232 |
$862 |
$51 | |
| PET scan |
$6,501 |
$9,287 |
$8,225 |
— | |
| Phosphorus blood test |
$70 |
$100 |
$75 |
$5 | |
| Physical therapy evaluation |
$352 |
$503 |
$402 |
$98 | |
| Physical therapy evaluation (high complexity) |
$447 |
$638 |
$447 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$352 |
$503 |
$352 |
$98 | |
| Pilonidal cyst removal |
$3,979 |
$5,684 |
$2,135 |
$541 | |
| Platelet count |
$69 |
$98 |
$72 |
$4 | |
| Pneumonia vaccine |
$165 |
$235 |
$235 |
— | |
| Pregnancy blood test (hCG) |
$102 |
$145 |
$111 |
$8 | |
| Pregnancy ultrasound |
$1,073 |
$1,534 |
$1,206 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$941 |
$1,344 |
$941 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$1,206 |
$1,723 |
$1,206 |
$136 | |
| Procalcitonin test |
$248 |
$355 |
$254 |
$27 | |
| Prolactin test |
$131 |
$187 |
$168 |
$19 | |
| Prostate biopsy |
$5,029 |
$7,184 |
$5,029 |
— | |
| Prostate removal (prostatectomy) |
$84,658 |
$120,939 |
$11,640 |
$1,063 | |
| Prostate surgery (TURP) |
$25,003 |
$35,719 |
$7,500 |
$526 | |
| Prostate test (PSA) |
$146 |
$209 |
$123 |
$18 | |
| Psychiatric evaluation |
$343 |
$490 |
$245 |
$188 | |
| Psychotherapy session |
$144 |
$205 |
$196 |
$140 | |
| Pterygium removal (eye) |
$10,005 |
$14,293 |
— |
$540 | |
| Pulmonary rehabilitation |
$70 |
$100 |
$139 |
$87 | |
| Radiofrequency nerve ablation |
$2,523 |
$3,605 |
$2,335 |
$462 | |
| Retinal detachment repair |
$18,614 |
$26,591 |
$5,152 |
$966 | |
| Rotator cuff repair |
$10,879 |
$15,542 |
$7,599 |
$792 | |
| RSV vaccine |
$365 |
$521 |
$417 |
— | |
| Sacroiliac joint injection |
$1,924 |
$2,749 |
$2,069 |
$176 | |
| Scoliosis spine X-ray |
$680 |
$972 |
$747 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$613 |
$876 |
$613 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$747 |
$1,067 |
$804 |
$72 | |
| Screening colonoscopy |
$2,794 |
$3,992 |
$2,645 |
$378 | |
| Screening mammogram |
$524 |
$748 |
$524 |
$126 | |
| Scrotal ultrasound |
$1,377 |
$1,967 |
$1,377 |
$99 | |
| Sedimentation rate (ESR) test |
$45 |
$64 |
$64 |
$3 | |
| Semen analysis |
$125 |
$179 |
$95 |
$12 | |
| Septoplasty (deviated septum) |
$18,479 |
$26,399 |
$3,983 |
$613 | |
| Sex hormone binding globulin test |
$165 |
$236 |
$113 |
$22 | |
| Shingles vaccine |
$186 |
$266 |
$186 |
— | |
| Shoulder arthroscopy |
$10,879 |
$15,542 |
$7,149 |
$962 | |
| Shoulder replacement |
$34,606 |
$49,437 |
$21,095 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$710 |
$1,014 |
$507 |
$114 | |
| Simple wound stitches |
$699 |
$999 |
$519 |
$127 | |
| Sinus surgery (endoscopic) |
$15,798 |
$22,569 |
$5,088 |
$224 | |
| Skin biopsy |
$816 |
$1,166 |
$749 |
$121 | |
| Skin biopsy (punch) |
$1,092 |
$1,560 |
$591 |
$121 | |
| Skin cancer lesion removal |
$2,607 |
$3,724 |
$3,430 |
$240 | |
| Skin graft |
$5,211 |
$7,444 |
$3,367 |
$898 | |
| Skin tag removal |
$509 |
$727 |
$354 |
$92 | |
| Sleep study (polysomnography) |
$4,485 |
$6,407 |
$5,014 |
$691 | |
| Soft tissue ultrasound |
$775 |
$1,107 |
$775 |
$64 | |
| Speech therapy |
$356 |
$508 |
$356 |
$76 | |
| Spinal cord stimulator |
$34,788 |
$49,697 |
$8,112 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$1,194 |
$1,706 |
$1,199 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$7,742 |
$11,061 |
$8,487 |
$5,803 | |
| Spirometry (lung function test) |
$382 |
$546 |
$410 |
$30 | |
| Spirometry with bronchodilator |
$620 |
$886 |
$711 |
$43 | |
| Strabismus (eye muscle) surgery |
$9,889 |
$14,127 |
$3,747 |
$475 | |
| Strep throat test |
$133 |
$190 |
$111 |
$17 | |
| Stress echocardiogram |
$4,491 |
$6,415 |
$3,721 |
$209 | |
| Stress echocardiogram (complete) |
$4,491 |
$6,415 |
$4,491 |
$233 | |
| Swallow study |
$709 |
$1,013 |
$709 |
$85 | |
| T3 thyroid test |
$161 |
$230 |
$113 |
$14 | |
| Tdap (tetanus) vaccine |
$78 |
$111 |
$78 |
— | |
| Testicle removal (orchiectomy) |
$13,922 |
$19,889 |
$9,411 |
$306 | |
| Testosterone test |
$137 |
$195 |
$173 |
$26 | |
| Thyroid removal (thyroidectomy) |
$55,264 |
$78,948 |
$7,320 |
$1,004 | |
| Thyroid test (TSH) |
$162 |
$232 |
$162 |
$17 | |
| Thyroid ultrasound |
$1,343 |
$1,919 |
$1,343 |
$109 | |
| Thyroid uptake scan |
$2,568 |
$3,669 |
$1,468 |
$145 | |
| Tilt table test |
$2,380 |
$3,400 |
$1,822 |
$168 | |
| Tonsillectomy |
$9,144 |
$13,063 |
$3,160 |
$252 | |
| Total IgE allergy test |
$92 |
$132 |
$93 |
$16 | |
| Total protein test |
$39 |
$56 |
$53 |
$4 | |
| Tracheostomy |
$2,367 |
$3,381 |
$3,381 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$2,573 |
$3,675 |
$2,573 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$2,573 |
$3,675 |
$2,573 |
$239 | |
| Transvaginal ultrasound |
$1,079 |
$1,542 |
$1,079 |
$118 | |
| Trigger finger release |
$2,626 |
$3,752 |
$3,088 |
$630 | |
| Trigger point injection |
$673 |
$962 |
$704 |
$56 | |
| Trigger point injection (1-2 muscles) |
$424 |
$605 |
$605 |
$52 | |
| Triglycerides test |
$57 |
$82 |
$42 |
$6 | |
| Troponin (heart) test |
$171 |
$244 |
$183 |
$12 | |
| Turbinate reduction |
$12,539 |
$17,914 |
$2,976 |
$294 | |
| Turning a breech baby (version) |
$3,833 |
$5,476 |
$3,833 |
$94 | |
| Ulnar nerve surgery (elbow) |
$7,560 |
$10,800 |
$3,888 |
$575 | |
| Umbilical hernia repair |
$13,522 |
$19,317 |
$3,750 |
— | |
| Upper GI endoscopy (EGD) |
$3,828 |
$5,468 |
$2,743 |
$371 | |
| Upper GI series (barium) |
$936 |
$1,337 |
$1,049 |
$128 | |
| Ureteral stent placement |
$10,092 |
$14,417 |
$2,288 |
$373 | |
| Ureteroscopy (stone removal) |
$17,450 |
$24,928 |
$5,887 |
$365 | |
| Uric acid (gout) test |
$79 |
$113 |
$85 |
$5 | |
| Urinalysis |
$46 |
$65 |
$53 |
$3 | |
| Urine microalbumin test |
$69 |
$99 |
$71 |
$5 | |
| Urine pregnancy test |
$139 |
$199 |
$143 |
$9 | |
| Vaccine administration |
$51 |
$73 |
$56 |
$19 | |
| Vaccine administration (each additional) |
$48 |
$68 |
$54 |
$16 | |
| Vaginal delivery |
$14,231 |
$20,330 |
— |
$5,487 | |
| Varicocele repair |
$12,947 |
$18,496 |
$3,400 |
$327 | |
| Varicose vein ablation |
$4,347 |
$6,210 |
$5,647 |
$1,018 | |
| Vasectomy |
$9,094 |
$12,991 |
$2,156 |
$347 | |
| Vitamin B12 test |
$135 |
$193 |
$135 |
$15 | |
| Vitamin D test |
$191 |
$273 |
$191 |
$30 | |
| Vitrectomy (eye) |
$11,739 |
$16,770 |
$5,267 |
$814 | |
| Vocal cord injection |
$9,708 |
$13,868 |
$2,237 |
$211 | |
| Wart removal |
$155 |
$221 |
$166 |
$121 | |
| Weight-loss (bariatric) surgery |
$91,485 |
$130,693 |
— |
$11,645 | |
| Wound debridement |
$1,607 |
$2,296 |
$1,352 |
$186 | |
| Wrist fracture repair |
$11,934 |
$17,049 |
$7,106 |
$735 | |
| X-ray of the abdomen |
$519 |
$742 |
$533 |
$36 | |
| X-ray of the ankle |
$542 |
$774 |
$542 |
$37 | |
| X-ray of the collarbone |
$547 |
$782 |
$547 |
$33 | |
| X-ray of the elbow |
$578 |
$825 |
$578 |
$33 | |
| X-ray of the facial bones |
$653 |
$933 |
$583 |
$39 | |
| X-ray of the foot |
$594 |
$849 |
$594 |
$34 | |
| X-ray of the forearm |
$516 |
$737 |
$516 |
$29 | |
| X-ray of the hand |
$547 |
$782 |
$547 |
$38 | |
| X-ray of the hip |
$523 |
$747 |
$710 |
$49 | |
| X-ray of the hip (1 view) |
$497 |
$710 |
$497 |
$34 | |
| X-ray of the hip (3 views) |
$523 |
$747 |
$539 |
$49 | |
| X-ray of the hip (4 views) |
$1,071 |
$1,530 |
$1,071 |
$63 | |
| X-ray of the knee |
$599 |
$855 |
$684 |
$42 | |
| X-ray of the knee (2 views) |
$557 |
$795 |
$557 |
$34 | |
| X-ray of the knee (3 views) |
$599 |
$855 |
$599 |
$42 | |
| X-ray of the knee (4+ views) |
$725 |
$1,035 |
$725 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$781 |
$1,115 |
$877 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$652 |
$931 |
$652 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$909 |
$1,299 |
$909 |
$53 | |
| X-ray of the lower leg |
$537 |
$767 |
$537 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$738 |
$1,055 |
$778 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$698 |
$997 |
$707 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$778 |
$1,112 |
$778 |
$39 | |
| X-ray of the neck (cervical spine) |
$805 |
$1,150 |
$910 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$666 |
$951 |
$666 |
$40 | |
| X-ray of the pelvis |
$632 |
$903 |
$687 |
$36 | |
| X-ray of the pelvis (1 view) |
$576 |
$823 |
$576 |
$28 | |
| X-ray of the ribs |
$783 |
$1,118 |
$788 |
$42 | |
| X-ray of the ribs (2 views) |
$659 |
$942 |
$659 |
$36 | |
| X-ray of the ribs (3 views) |
$783 |
$1,118 |
$783 |
$42 | |
| X-ray of the shoulder |
$623 |
$890 |
$623 |
$36 | |
| X-ray of the skull |
$648 |
$926 |
$692 |
$40 | |
| X-ray of the upper arm |
$620 |
$885 |
$620 |
$32 | |
| X-ray of the wrist |
$493 |
$704 |
$493 |
$43 | |
| YAG laser capsulotomy (eye) |
$894 |
$1,277 |
$501 |
$335 | |
| Zinc blood test |
$66 |
$94 |
$85 |
$11 | |