| 3D mammogram (tomosynthesis) |
$83 |
$309 |
$141 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$646 |
$2,391 |
$633 |
$284 | |
| Abdominal ultrasound |
$163 |
$606 |
$148 |
$100 | |
| Abdominal ultrasound (complete) |
$238 |
$880 |
$153 |
$114 | |
| Abdominal ultrasound (limited) |
$157 |
$583 |
$115 |
$86 | |
| Abscess drainage (complex or multiple) |
$98 |
$364 |
$129 |
$220 | |
| Abscess drainage (simple) |
$65 |
$242 |
$86 |
$129 | |
| Abscess incision and drainage |
$78 |
$289 |
$124 |
$174 | |
| ACL knee reconstruction |
$1,188 |
$4,400 |
$1,601 |
$889 | |
| Acupuncture |
$15 |
$55 |
$22 |
$38 | |
| Acupuncture (each additional) |
$13 |
$47 |
$17 |
$28 | |
| Albumin blood test |
$10 |
$37 |
$16 |
$5 | |
| Aldosterone test |
$89 |
$330 |
$118 |
$41 | |
| Alkaline phosphatase test |
$13 |
$47 |
$19 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$50 |
$184 |
$66 |
$17 | |
| ALT liver enzyme test |
$25 |
$93 |
$33 |
$5 | |
| Ammonia blood test |
$50 |
$186 |
$67 |
$15 | |
| Amniocentesis |
$135 |
$500 |
$182 |
$120 | |
| Amylase test |
$30 |
$112 |
$40 |
$6 | |
| Ankle replacement |
$954 |
$3,535 |
$1,286 |
$885 | |
| Annual physical (established patient) |
$53 |
$195 |
$76 |
— | |
| Annual physical (new patient) |
$33 |
$123 |
$48 |
— | |
| Anoscopy |
$27 |
$99 |
$56 |
$129 | |
| Antinuclear antibody (ANA) test |
$41 |
$153 |
$53 |
$12 | |
| Aortic aneurysm repair (AAA) |
$921 |
$3,412 |
$1,556 |
$1,345 | |
| Arterial blood gas (ABG) |
$66 |
$244 |
$86 |
$26 | |
| AST liver enzyme test |
$25 |
$93 |
$33 |
$5 | |
| Barium swallow study |
$48 |
$179 |
$71 |
$107 | |
| Bartholin cyst removal |
$65 |
$240 |
$105 |
$182 | |
| Basic metabolic panel |
$62 |
$230 |
$82 |
$8 | |
| Benign skin lesion removal |
$79 |
$292 |
$123 |
$171 | |
| Bilirubin blood test |
$15 |
$55 |
$19 |
$5 | |
| Bladder function test (urodynamics) |
$179 |
$662 |
$241 |
$345 | |
| Blood clotting test (PT/INR) |
$24 |
$90 |
$31 |
$4 | |
| Blood crossmatch |
$22 |
$80 |
$35 |
— | |
| Blood glucose test |
$27 |
$98 |
$36 |
$5 | |
| Blood transfusion |
$313 |
$1,161 |
$395 |
$47 | |
| Blood type and screen |
$24 |
$89 |
$36 |
$10 | |
| Blood type test |
$24 |
$89 |
$29 |
$3 | |
| Blood type test (ABO group) |
$36 |
$132 |
$45 |
$3 | |
| Blood type test (Rh/D antigen) |
$15 |
$56 |
$17 |
$3 | |
| BNP (heart failure) test |
$58 |
$213 |
$77 |
$39 | |
| Bone density scan (DEXA) |
$110 |
$408 |
$146 |
$39 | |
| Bone scan (nuclear) |
$228 |
$846 |
$346 |
$259 | |
| Botox for migraine |
$70 |
$260 |
$95 |
$157 | |
| Brain shunt (VP shunt) |
$891 |
$3,300 |
$1,201 |
$1,023 | |
| Breast reconstruction |
$983 |
$3,642 |
$1,587 |
$1,227 | |
| Breast reduction |
$810 |
$3,000 |
$1,091 |
$980 | |
| Breast ultrasound |
$123 |
$457 |
$131 |
$92 | |
| Breast ultrasound (complete) |
$159 |
$591 |
$135 |
$100 | |
| Breast ultrasound (limited) |
$120 |
$443 |
$112 |
$84 | |
| Breathing tube insertion (intubation) |
$87 |
$324 |
$188 |
$133 | |
| Burn dressing and debridement (medium) |
$67 |
$246 |
$90 |
$166 | |
| Burn dressing and debridement (small) |
$53 |
$196 |
$89 |
$93 | |
| Burn treatment |
$67 |
$246 |
$90 |
$129 | |
| C-reactive protein (CRP) |
$26 |
$98 |
$35 |
$5 | |
| CA 19-9 tumor marker test |
$34 |
$127 |
$55 |
$21 | |
| CA-125 ovarian marker test |
$41 |
$152 |
$54 |
$21 | |
| Calcium blood test |
$18 |
$65 |
$23 |
$5 | |
| Capsule endoscopy |
$317 |
$1,173 |
$427 |
$802 | |
| Cardiac stress test |
$338 |
$1,250 |
$455 |
$39 | |
| Cardioversion |
$363 |
$1,346 |
$555 |
$155 | |
| Carotid artery surgery |
$891 |
$3,300 |
$1,201 |
$1,026 | |
| Carotid artery ultrasound |
$89 |
$329 |
$136 |
$156 | |
| Carpal tunnel release |
$324 |
$1,200 |
$437 |
$483 | |
| Cataract surgery |
$668 |
$2,476 |
$1,061 |
$547 | |
| CEA tumor marker test |
$65 |
$241 |
$84 |
$19 | |
| Celiac disease test |
$39 |
$144 |
$49 |
$12 | |
| Chalazion (eyelid cyst) removal |
$67 |
$249 |
$91 |
$131 | |
| Chest fluid drain (thoracentesis) |
$311 |
$1,150 |
$418 |
$311 | |
| Chest tube insertion |
$183 |
$679 |
$251 |
$143 | |
| Chest X-ray |
$53 |
$196 |
$54 |
$37 | |
| Chest X-ray (1 view) |
$53 |
$195 |
$34 |
$25 | |
| Chest X-ray (2 views) |
$64 |
$239 |
$44 |
$33 | |
| Chickenpox (varicella) vaccine |
$90 |
$333 |
$121 |
— | |
| Circumcision |
$128 |
$476 |
$175 |
$167 | |
| CK-MB heart enzyme test |
$32 |
$118 |
$42 |
$12 | |
| Clotting time test (PTT) |
$30 |
$110 |
$40 |
$6 | |
| Colon resection (colectomy) |
$787 |
$2,914 |
$1,069 |
$1,238 | |
| Colonoscopy |
$251 |
$931 |
$380 |
$480 | |
| Colostomy |
$594 |
$2,200 |
$800 |
$1,122 | |
| Colposcopy |
$65 |
$241 |
$89 |
$161 | |
| Complete blood count (CBC) |
$35 |
$129 |
$52 |
$7 | |
| Complete blood count (CBC) (complete) |
$41 |
$154 |
$55 |
$8 | |
| Complex wound repair |
$180 |
$666 |
$242 |
$390 | |
| Comprehensive eye exam |
$49 |
$180 |
$78 |
$138 | |
| Comprehensive metabolic panel |
$97 |
$359 |
$129 |
$11 | |
| Contact lens fitting |
$18 |
$68 |
$32 |
— | |
| Continuous glucose monitor setup |
$16 |
$61 |
$22 |
$35 | |
| Contraceptive implant (Nexplanon) |
$62 |
$231 |
$119 |
$115 | |
| Copper blood test |
$18 |
$68 |
$25 |
$12 | |
| Corneal transplant |
$889 |
$3,293 |
$1,238 |
$1,066 | |
| Coronary CT angiography |
$142 |
$524 |
$191 |
$326 | |
| Cortisol test |
$51 |
$188 |
$64 |
$16 | |
| COVID-19 PCR test |
$50 |
$183 |
$69 |
$51 | |
| CPAP titration study |
$68 |
$250 |
$141 |
$69 | |
| Craniotomy (brain surgery) |
$1,499 |
$5,553 |
$2,020 |
$2,161 | |
| Creatine kinase (CK) test |
$25 |
$92 |
$33 |
$7 | |
| CT angiography of the chest |
$535 |
$1,981 |
$380 |
$281 | |
| CT angiography of the head |
$459 |
$1,701 |
$439 |
$274 | |
| CT scan of the abdomen |
$397 |
$1,472 |
$357 |
$230 | |
| CT scan of the abdomen and pelvis |
$647 |
$2,397 |
$462 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$863 |
$3,197 |
$489 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$787 |
$2,915 |
$437 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$635 |
$2,350 |
$413 |
$183 | |
| CT scan of the abdomen with and without contrast |
$511 |
$1,891 |
$472 |
$259 | |
| CT scan of the abdomen with contrast |
$470 |
$1,742 |
$361 |
$230 | |
| CT scan of the abdomen without contrast |
$372 |
$1,379 |
$264 |
$136 | |
| CT scan of the arm with contrast |
$365 |
$1,351 |
$342 |
$199 | |
| CT scan of the arm without contrast |
$375 |
$1,388 |
$272 |
$161 | |
| CT scan of the chest |
$371 |
$1,374 |
$313 |
$167 | |
| CT scan of the chest with and without contrast |
$371 |
$1,374 |
$443 |
$196 | |
| CT scan of the chest with contrast |
$437 |
$1,619 |
$316 |
$167 | |
| CT scan of the chest without contrast |
$378 |
$1,398 |
$264 |
$133 | |
| CT scan of the head |
$365 |
$1,350 |
$268 |
$148 | |
| CT scan of the head with and without contrast |
$581 |
$2,153 |
$378 |
$173 | |
| CT scan of the head with contrast |
$453 |
$1,678 |
$274 |
$148 | |
| CT scan of the head without contrast |
$349 |
$1,292 |
$214 |
$107 | |
| CT scan of the leg |
$363 |
$1,344 |
$287 |
$166 | |
| CT scan of the leg with contrast |
$403 |
$1,493 |
$336 |
$166 | |
| CT scan of the leg without contrast |
$347 |
$1,287 |
$254 |
$130 | |
| CT scan of the lower back (lumbar spine) with contrast |
$404 |
$1,496 |
$249 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$384 |
$1,423 |
$264 |
$130 | |
| CT scan of the neck |
$380 |
$1,407 |
$323 |
$183 | |
| CT scan of the neck (cervical spine) with contrast |
$391 |
$1,446 |
$248 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$357 |
$1,323 |
$264 |
$131 | |
| CT scan of the neck with and without contrast |
$430 |
$1,592 |
$452 |
$220 | |
| CT scan of the neck with contrast |
$407 |
$1,507 |
$329 |
$183 | |
| CT scan of the neck without contrast |
$363 |
$1,345 |
$270 |
$150 | |
| CT scan of the pelvis |
$344 |
$1,274 |
$334 |
$226 | |
| CT scan of the pelvis with and without contrast |
$344 |
$1,274 |
$355 |
$251 | |
| CT scan of the pelvis with contrast |
$423 |
$1,568 |
$329 |
$226 | |
| CT scan of the pelvis without contrast |
$386 |
$1,430 |
$264 |
$133 | |
| CT scan of the sinuses |
$373 |
$1,380 |
$286 |
$152 | |
| CT scan of the sinuses with and without contrast |
$396 |
$1,468 |
$389 |
$184 | |
| CT scan of the sinuses with contrast |
$392 |
$1,452 |
$308 |
$152 | |
| CT scan of the sinuses without contrast |
$373 |
$1,380 |
$279 |
$128 | |
| D-dimer test |
$37 |
$136 |
$48 |
$10 | |
| Developmental screening (child) |
$31 |
$116 |
$42 |
— | |
| DHEA-sulfate test |
$70 |
$258 |
$92 |
$22 | |
| Diagnostic mammogram |
$108 |
$400 |
$187 |
$140 | |
| Droopy eyelid repair (ptosis) |
$480 |
$1,779 |
$647 |
$745 | |
| Drug screen (urine) |
$92 |
$340 |
$119 |
$17 | |
| Ear pressure test (tympanometry) |
$9 |
$33 |
$12 |
$16 | |
| Eardrum repair (tympanoplasty) |
$748 |
$2,772 |
$1,008 |
$799 | |
| Echocardiogram with and without contrast |
$81 |
$300 |
$124 |
$101 | |
| EEG (awake and asleep) |
$188 |
$696 |
$253 |
$482 | |
| EKG / ECG (tracing only) |
$72 |
$267 |
$96 |
$7 | |
| Elbow replacement |
$1,134 |
$4,200 |
$1,528 |
$1,301 | |
| Electrocardiogram (EKG) |
$41 |
$154 |
$33 |
$8 | |
| Electroencephalogram (EEG) |
$175 |
$648 |
$246 |
$448 | |
| Electrolyte panel |
$31 |
$114 |
$41 |
$7 | |
| Electromyography (EMG) |
$58 |
$216 |
$90 |
$141 | |
| Emergency department visit |
$88 |
$327 |
$151 |
$69 | |
| Emergency department visit (level 1) |
$49 |
$183 |
$68 |
$11 | |
| Emergency department visit (level 2) |
$83 |
$306 |
$119 |
$40 | |
| Emergency department visit (level 3) |
$113 |
$417 |
$164 |
$69 | |
| Emergency department visit (level 4) |
$166 |
$615 |
$249 |
$118 | |
| Emergency department visit (level 5) |
$245 |
$907 |
$370 |
$171 | |
| Endometrial biopsy |
$57 |
$212 |
$77 |
$98 | |
| Epidural steroid injection |
$151 |
$559 |
$205 |
$275 | |
| Esophageal dilation |
$212 |
$785 |
$323 |
$522 | |
| Esophageal variceal banding |
$203 |
$750 |
$273 |
$126 | |
| Estradiol (estrogen) test |
$13 |
$48 |
$28 |
$28 | |
| Eye refraction (glasses prescription) |
$6 |
$24 |
$9 |
— | |
| Eyelid surgery (blepharoplasty) |
$369 |
$1,367 |
$500 |
$552 | |
| Fallopian tube X-ray (HSG) |
$123 |
$454 |
$182 |
$164 | |
| Family therapy session |
$49 |
$180 |
$65 |
$110 | |
| Fecal occult blood (stool) test |
$19 |
$69 |
$30 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$24 |
$90 |
$32 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$13 |
$47 |
$17 |
$16 | |
| Femoral hernia repair |
$338 |
$1,250 |
$460 |
$584 | |
| Ferritin (iron) test |
$56 |
$206 |
$74 |
$14 | |
| Fibrinogen test |
$57 |
$210 |
$95 |
$10 | |
| Fibroid removal (myomectomy) |
$541 |
$2,003 |
$778 |
$914 | |
| Flexible sigmoidoscopy |
$122 |
$453 |
$177 |
$323 | |
| Flu test |
$22 |
$83 |
$30 |
$17 | |
| Flu vaccine |
$8 |
$28 |
$10 |
— | |
| Folate (folic acid) test |
$30 |
$111 |
$26 |
$15 | |
| Foreign body removal (skin) |
$242 |
$895 |
$240 |
$157 | |
| Free T4 thyroid test |
$63 |
$234 |
$84 |
$9 | |
| FSH hormone test |
$79 |
$293 |
$105 |
$19 | |
| Gallbladder removal (laparoscopic) |
$594 |
$2,200 |
$919 |
$658 | |
| Gallbladder scan (HIDA) |
$150 |
$557 |
$226 |
$334 | |
| Ganglion cyst removal |
$200 |
$742 |
$270 |
$321 | |
| GGT liver test |
$13 |
$49 |
$12 |
$7 | |
| Glaucoma surgery |
$515 |
$1,908 |
$694 |
$984 | |
| Glucose tolerance test |
$49 |
$180 |
$76 |
$8 | |
| Group therapy session |
$16 |
$60 |
$22 |
$30 | |
| HDL cholesterol test |
$24 |
$88 |
$13 |
$8 | |
| Hematocrit test |
$14 |
$53 |
$19 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$30 |
$112 |
$40 |
$10 | |
| Hemorrhoid removal |
$133 |
$493 |
$190 |
$338 | |
| Hepatitis A vaccine |
$41 |
$151 |
$55 |
— | |
| Hepatitis B test |
$25 |
$94 |
$25 |
$10 | |
| Hepatitis B vaccine |
$31 |
$115 |
$54 |
— | |
| Hepatitis C test |
$60 |
$221 |
$79 |
$14 | |
| Hip arthroscopy |
$646 |
$2,392 |
$866 |
$931 | |
| Hip fracture repair |
$867 |
$3,210 |
$1,205 |
$1,120 | |
| Hip replacement |
$1,485 |
$5,500 |
$2,001 |
$1,162 | |
| HIV test |
$29 |
$106 |
$39 |
$19 | |
| HIV test (antibody) |
$42 |
$154 |
$55 |
$14 | |
| HIV test (antigen/antibody combo) |
$29 |
$106 |
$38 |
$24 | |
| Holter heart monitor |
$154 |
$570 |
$207 |
$26 | |
| Home sleep apnea test |
$54 |
$201 |
$83 |
$123 | |
| HPV vaccine |
$143 |
$529 |
$192 |
— | |
| Hysterectomy |
$588 |
$2,177 |
$932 |
$933 | |
| Ileostomy |
$567 |
$2,100 |
$764 |
$968 | |
| Incisional hernia repair |
$471 |
$1,746 |
$651 |
— | |
| Iron blood test |
$30 |
$112 |
$39 |
$6 | |
| IUD removal |
$47 |
$175 |
$64 |
$112 | |
| IV infusion therapy |
$83 |
$307 |
$160 |
$44 | |
| IV infusion therapy (each additional) |
$83 |
$307 |
$112 |
$21 | |
| IV infusion therapy (initial) |
$127 |
$471 |
$165 |
$67 | |
| Kidney biopsy |
$309 |
$1,145 |
$417 |
$492 | |
| Kidney removal (nephrectomy) |
$812 |
$3,009 |
$1,186 |
$1,164 | |
| Kidney ultrasound |
$149 |
$552 |
$138 |
$84 | |
| Kidney ultrasound (limited) |
$138 |
$512 |
$108 |
$61 | |
| Knee arthroscopy |
$697 |
$2,583 |
$953 |
$524 | |
| Knee joint injection |
$118 |
$438 |
$125 |
$69 | |
| Lactate test |
$22 |
$82 |
$32 |
$12 | |
| Laminectomy (spine) |
$1,130 |
$4,185 |
$1,598 |
$1,157 | |
| Laryngoscopy |
$105 |
$390 |
$170 |
$189 | |
| LDH test |
$21 |
$76 |
$27 |
$6 | |
| LDL cholesterol test |
$18 |
$67 |
$29 |
$11 | |
| Leg vein ultrasound (Doppler) |
$199 |
$736 |
$241 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$184 |
$682 |
$186 |
$116 | |
| LH hormone test |
$77 |
$286 |
$102 |
$19 | |
| Lipase test |
$28 |
$104 |
$37 |
$7 | |
| Lipid (cholesterol) panel |
$90 |
$334 |
$120 |
$13 | |
| Liver function panel |
$55 |
$204 |
$73 |
$8 | |
| Lumbar discectomy |
$891 |
$3,300 |
$1,201 |
$898 | |
| Lumpectomy (breast) |
$495 |
$1,832 |
$840 |
$750 | |
| Lung function test (PFT) |
$64 |
$236 |
$123 |
$37 | |
| Magnesium blood test |
$22 |
$80 |
$29 |
$7 | |
| Mastectomy |
$615 |
$2,279 |
$972 |
$1,021 | |
| Mastoidectomy |
$756 |
$2,800 |
$1,019 |
$840 | |
| Meniscus repair (knee) |
$751 |
$2,783 |
$1,031 |
$714 | |
| MMR vaccine |
$48 |
$179 |
$65 |
— | |
| Mohs skin cancer surgery |
$243 |
$902 |
$394 |
$535 | |
| MRA of the brain |
$342 |
$1,267 |
$606 |
$226 | |
| MRA of the brain with contrast |
$320 |
$1,184 |
$318 |
$226 | |
| MRA of the brain without contrast |
$549 |
$2,035 |
$850 |
$328 | |
| MRA of the neck |
$397 |
$1,469 |
$606 |
$245 | |
| MRA of the neck with contrast |
$375 |
$1,388 |
$344 |
$245 | |
| MRA of the neck without contrast |
$665 |
$2,461 |
$871 |
$343 | |
| MRI of the abdomen |
$535 |
$1,980 |
$606 |
$300 | |
| MRI of the abdomen with contrast |
$527 |
$1,950 |
$425 |
$300 | |
| MRI of the abdomen without contrast |
$563 |
$2,084 |
$871 |
$194 | |
| MRI of the ankle |
$390 |
$1,444 |
$606 |
$261 | |
| MRI of the ankle with contrast |
$373 |
$1,382 |
$368 |
$261 | |
| MRI of the ankle without contrast |
$518 |
$1,917 |
$840 |
$222 | |
| MRI of the brain |
$528 |
$1,954 |
$606 |
$269 | |
| MRI of the brain with contrast |
$535 |
$1,983 |
$379 |
$269 | |
| MRI of the brain without contrast |
$502 |
$1,859 |
$827 |
$195 | |
| MRI of the chest |
$211 |
$781 |
$461 |
$371 | |
| MRI of the chest without contrast |
$693 |
$2,568 |
$664 |
$466 | |
| MRI of the knee |
$346 |
$1,282 |
$606 |
$315 | |
| MRI of the knee with contrast |
$330 |
$1,222 |
$440 |
$315 | |
| MRI of the knee without contrast |
$542 |
$2,009 |
$871 |
$204 | |
| MRI of the lower back (lumbar spine) |
$531 |
$1,966 |
$831 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$546 |
$2,023 |
$861 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$505 |
$1,871 |
$831 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$457 |
$1,692 |
$606 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$693 |
$2,568 |
$871 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$446 |
$1,652 |
$383 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$484 |
$1,793 |
$807 |
$190 | |
| MRI of the neck (cervical spine) |
$493 |
$1,825 |
$606 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$710 |
$2,631 |
$871 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$483 |
$1,788 |
$386 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$510 |
$1,890 |
$837 |
$191 | |
| MRI of the pelvis |
$513 |
$1,901 |
$606 |
$268 | |
| MRI of the pelvis with contrast |
$532 |
$1,972 |
$377 |
$268 | |
| MRI of the pelvis without contrast |
$489 |
$1,811 |
$806 |
$227 | |
| MRI of the shoulder without contrast |
$491 |
$1,818 |
$815 |
$205 | |
| MRI of the wrist |
$449 |
$1,664 |
$606 |
$330 | |
| MRI of the wrist with contrast |
$432 |
$1,599 |
$466 |
$330 | |
| MRI of the wrist without contrast |
$562 |
$2,082 |
$871 |
$303 | |
| Nebulizer breathing treatment |
$86 |
$317 |
$130 |
$9 | |
| Neck (cervical) spinal fusion |
$1,350 |
$5,000 |
$2,122 |
$1,410 | |
| Nerve conduction study |
$48 |
$176 |
$73 |
$118 | |
| Nuchal translucency ultrasound |
$50 |
$187 |
$68 |
$116 | |
| Occupational therapy evaluation |
$85 |
$315 |
$115 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$88 |
$326 |
$119 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$68 |
$252 |
$92 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$85 |
$315 |
$115 |
$101 | |
| Office visit (established patient) |
$29 |
$106 |
$43 |
$115 | |
| Office visit (new patient) |
$73 |
$272 |
$116 |
$177 | |
| Office visit, established patient (level 3) |
$25 |
$93 |
$48 |
$95 | |
| Office visit, established patient (level 4) |
$32 |
$119 |
$43 |
$136 | |
| Office visit, new patient (level 3) |
$49 |
$180 |
$65 |
$118 | |
| Office visit, new patient (level 4) |
$73 |
$272 |
$99 |
$177 | |
| Office visit, new patient (level 5) |
$92 |
$342 |
$124 |
$237 | |
| Ovarian cyst removal |
$486 |
$1,800 |
$655 |
$698 | |
| Ovary removal (oophorectomy) |
$635 |
$2,350 |
$1,024 |
$822 | |
| Pap smear (cervical screening) |
$52 |
$191 |
$81 |
$20 | |
| Parathyroid hormone (PTH) test |
$59 |
$219 |
$79 |
$41 | |
| Parathyroid removal |
$783 |
$2,900 |
$1,055 |
$891 | |
| Pelvic ultrasound |
$144 |
$533 |
$134 |
$78 | |
| Pelvic ultrasound (complete) |
$174 |
$643 |
$138 |
$105 | |
| Pelvic ultrasound (limited) |
$132 |
$488 |
$78 |
$51 | |
| PET scan |
$587 |
$2,173 |
$791 |
— | |
| Phosphorus blood test |
$19 |
$69 |
$25 |
$5 | |
| Physical therapy evaluation |
$76 |
$282 |
$105 |
$98 | |
| Physical therapy evaluation (high complexity) |
$82 |
$304 |
$111 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$76 |
$282 |
$102 |
$98 | |
| Platelet count |
$33 |
$124 |
$44 |
$4 | |
| Pneumonia vaccine |
$65 |
$242 |
$111 |
— | |
| Pregnancy blood test (hCG) |
$33 |
$121 |
$44 |
$8 | |
| Pregnancy ultrasound |
$134 |
$495 |
$172 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$130 |
$481 |
$155 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$140 |
$520 |
$178 |
$136 | |
| Procalcitonin test |
$26 |
$95 |
$42 |
$27 | |
| Prolactin test |
$66 |
$243 |
$87 |
$19 | |
| Prostate removal (prostatectomy) |
$971 |
$3,595 |
$1,326 |
$1,063 | |
| Prostate test (PSA) |
$50 |
$184 |
$66 |
$18 | |
| Psychiatric evaluation |
$66 |
$244 |
$89 |
$188 | |
| Psychotherapy session |
$51 |
$189 |
$80 |
$140 | |
| Pulmonary rehabilitation |
$38 |
$141 |
$61 |
$87 | |
| Retina scan (OCT) |
$19 |
$71 |
$27 |
$33 | |
| Retinal (fundus) photography |
$46 |
$170 |
$81 |
$37 | |
| Retinal detachment repair |
$1,080 |
$4,000 |
$1,751 |
$966 | |
| Rheumatoid factor test |
$11 |
$42 |
$15 |
$6 | |
| Rotator cuff repair |
$567 |
$2,100 |
$863 |
$792 | |
| Routine eye exam |
$33 |
$123 |
$47 |
$88 | |
| Sacroiliac joint injection |
$177 |
$657 |
$239 |
$176 | |
| Scoliosis spine X-ray |
$78 |
$291 |
$89 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$73 |
$269 |
$56 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$107 |
$396 |
$91 |
$72 | |
| Screening mammogram |
$110 |
$408 |
$167 |
$126 | |
| Scrotal ultrasound |
$148 |
$547 |
$132 |
$99 | |
| Sedimentation rate (ESR) test |
$24 |
$89 |
$31 |
$3 | |
| Semen analysis |
$58 |
$215 |
$77 |
$12 | |
| Septoplasty (deviated septum) |
$431 |
$1,595 |
$580 |
$613 | |
| Sex hormone binding globulin test |
$40 |
$147 |
$54 |
$22 | |
| Shoulder replacement |
$1,177 |
$4,360 |
$1,586 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$143 |
$529 |
$180 |
$114 | |
| Simple wound stitches |
$143 |
$529 |
$185 |
$127 | |
| Skin biopsy |
$72 |
$267 |
$134 |
$121 | |
| Skin biopsy (punch) |
$122 |
$454 |
$206 |
$121 | |
| Skin cancer lesion removal |
$109 |
$402 |
$158 |
$240 | |
| Skin graft |
$419 |
$1,553 |
$589 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$21 |
$77 |
$30 |
$36 | |
| Skin tag removal |
$40 |
$147 |
$53 |
$92 | |
| Small bowel resection |
$662 |
$2,450 |
$891 |
$1,136 | |
| Soft tissue ultrasound |
$116 |
$429 |
$78 |
$64 | |
| Speech therapy |
$74 |
$275 |
$100 |
$76 | |
| Spinal cord stimulator |
$979 |
$3,624 |
$1,319 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$107 |
$395 |
$172 |
$165 | |
| Spirometry (lung function test) |
$64 |
$236 |
$123 |
$30 | |
| Spirometry with bronchodilator |
$99 |
$365 |
$140 |
$43 | |
| Spleen removal (splenectomy) |
$543 |
$2,011 |
$743 |
$1,036 | |
| Stomach removal (gastrectomy) |
$962 |
$3,563 |
$1,388 |
$1,595 | |
| Strabismus (eye muscle) surgery |
$468 |
$1,735 |
$672 |
$475 | |
| Strep throat test |
$13 |
$48 |
$17 |
$17 | |
| Stress echocardiogram |
$192 |
$710 |
$300 |
$209 | |
| Stress echocardiogram (complete) |
$192 |
$710 |
$258 |
$233 | |
| Swallow study |
$81 |
$300 |
$129 |
$85 | |
| T3 thyroid test |
$21 |
$79 |
$24 |
$14 | |
| Tdap (tetanus) vaccine |
$26 |
$95 |
$34 |
— | |
| Testicle removal (orchiectomy) |
$278 |
$1,030 |
$375 |
$306 | |
| Testosterone test |
$57 |
$212 |
$76 |
$26 | |
| Thyroid removal (thyroidectomy) |
$739 |
$2,737 |
$1,071 |
$1,004 | |
| Thyroid test (TSH) |
$73 |
$271 |
$97 |
$17 | |
| Thyroid ultrasound |
$145 |
$538 |
$145 |
$109 | |
| Total IgE allergy test |
$44 |
$163 |
$58 |
$16 | |
| Total protein test |
$10 |
$37 |
$17 |
$4 | |
| Transvaginal ultrasound |
$160 |
$591 |
$157 |
$118 | |
| Trigger finger release |
$282 |
$1,043 |
$379 |
$630 | |
| Trigger point injection |
$45 |
$165 |
$70 |
$56 | |
| Trigger point injection (1-2 muscles) |
$62 |
$229 |
$78 |
$52 | |
| Triglycerides test |
$20 |
$75 |
$10 |
$6 | |
| Troponin (heart) test |
$40 |
$147 |
$54 |
$12 | |
| Tubal ligation |
$378 |
$1,400 |
$509 |
$333 | |
| Ulnar nerve surgery (elbow) |
$416 |
$1,540 |
$560 |
$575 | |
| Umbilical hernia repair |
$336 |
$1,245 |
$527 |
— | |
| Upper GI endoscopy (EGD) |
$188 |
$696 |
$270 |
$371 | |
| Upper GI series (barium) |
$57 |
$210 |
$79 |
$128 | |
| Uric acid (gout) test |
$15 |
$55 |
$20 |
$5 | |
| Urinalysis |
$18 |
$68 |
$25 |
$3 | |
| Urine microalbumin test |
$18 |
$68 |
$23 |
$5 | |
| Urine pregnancy test |
$39 |
$144 |
$49 |
$9 | |
| UV light therapy (skin) |
$42 |
$157 |
$57 |
$106 | |
| Vaccine administration |
$9 |
$32 |
$15 |
$19 | |
| Vaccine administration (each additional) |
$5 |
$19 |
$7 |
$16 | |
| Varicose vein ablation |
$1,077 |
$3,988 |
$1,468 |
$1,018 | |
| Vasectomy |
$239 |
$884 |
$322 |
$347 | |
| Visual field test |
$24 |
$89 |
$35 |
$64 | |
| Vitamin B12 test |
$22 |
$82 |
$24 |
$15 | |
| Vitamin D test |
$65 |
$240 |
$86 |
$30 | |
| Vitrectomy (eye) |
$1,034 |
$3,831 |
$1,414 |
$814 | |
| Wart removal |
$54 |
$200 |
$76 |
$121 | |
| Well-child visit |
$50 |
$185 |
$67 |
— | |
| Whipple procedure (pancreas) |
$1,529 |
$5,664 |
$2,061 |
$2,871 | |
| Wound debridement |
$89 |
$331 |
$156 |
$186 | |
| X-ray of the abdomen |
$66 |
$243 |
$50 |
$36 | |
| X-ray of the ankle |
$74 |
$273 |
$48 |
$37 | |
| X-ray of the collarbone |
$63 |
$232 |
$42 |
$33 | |
| X-ray of the elbow |
$63 |
$235 |
$42 |
$33 | |
| X-ray of the facial bones |
$44 |
$164 |
$59 |
$39 | |
| X-ray of the foot |
$73 |
$271 |
$45 |
$34 | |
| X-ray of the forearm |
$60 |
$224 |
$38 |
$29 | |
| X-ray of the hand |
$64 |
$239 |
$48 |
$38 | |
| X-ray of the hip |
$51 |
$188 |
$66 |
$49 | |
| X-ray of the hip (1 view) |
$45 |
$167 |
$42 |
$34 | |
| X-ray of the hip (3 views) |
$93 |
$344 |
$61 |
$49 | |
| X-ray of the hip (4 views) |
$70 |
$259 |
$75 |
$63 | |
| X-ray of the knee |
$58 |
$215 |
$57 |
$42 | |
| X-ray of the knee (2 views) |
$55 |
$205 |
$45 |
$34 | |
| X-ray of the knee (3 views) |
$73 |
$269 |
$53 |
$42 | |
| X-ray of the knee (4+ views) |
$89 |
$329 |
$61 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$83 |
$309 |
$67 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$81 |
$300 |
$52 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$127 |
$471 |
$69 |
$53 | |
| X-ray of the lower leg |
$61 |
$225 |
$41 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$64 |
$237 |
$51 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$63 |
$232 |
$43 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$85 |
$314 |
$60 |
$39 | |
| X-ray of the neck (cervical spine) |
$76 |
$281 |
$67 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$73 |
$271 |
$52 |
$40 | |
| X-ray of the pelvis |
$74 |
$274 |
$54 |
$36 | |
| X-ray of the pelvis (1 view) |
$71 |
$263 |
$36 |
$28 | |
| X-ray of the ribs |
$80 |
$295 |
$56 |
$42 | |
| X-ray of the ribs (2 views) |
$81 |
$299 |
$48 |
$36 | |
| X-ray of the ribs (3 views) |
$102 |
$379 |
$55 |
$42 | |
| X-ray of the shoulder |
$109 |
$405 |
$45 |
$36 | |
| X-ray of the skull |
$55 |
$203 |
$57 |
$40 | |
| X-ray of the upper arm |
$62 |
$229 |
$42 |
$32 | |
| X-ray of the wrist |
$65 |
$242 |
$53 |
$43 | |
| YAG laser capsulotomy (eye) |
$297 |
$1,100 |
$400 |
$335 | |
| Zinc blood test |
$12 |
$45 |
$19 |
$11 | |