| 3D mammogram (tomosynthesis) |
$87 |
$145 |
$35 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,279 |
$2,131 |
$877 |
$284 | |
| Abdominal ultrasound |
$743 |
$1,239 |
$255 |
$100 | |
| Abdominal ultrasound (complete) |
$851 |
$1,419 |
$336 |
$114 | |
| Abdominal ultrasound (limited) |
$635 |
$1,059 |
$251 |
$86 | |
| Abscess drainage (complex or multiple) |
$314 |
$523 |
$374 |
$220 | |
| Abscess drainage (simple) |
$251 |
$419 |
$186 |
$129 | |
| Abscess incision and drainage |
$283 |
$471 |
$233 |
$174 | |
| Albumin blood test |
$29 |
$49 |
$9 |
$5 | |
| Aldosterone test |
$92 |
$153 |
$57 |
$41 | |
| Alkaline phosphatase test |
$20 |
$34 |
$10 |
$5 | |
| Allergy shots |
$32 |
$54 |
$42 |
$11 | |
| Alpha-fetoprotein (AFP) test |
$71 |
$119 |
$31 |
$17 | |
| ALT liver enzyme test |
$35 |
$59 |
$10 |
$5 | |
| Ammonia blood test |
$63 |
$106 |
$27 |
$15 | |
| Amniocentesis |
$536 |
$894 |
$665 |
$120 | |
| Amylase test |
$45 |
$75 |
$12 |
$6 | |
| Antinuclear antibody (ANA) test |
$77 |
$129 |
$22 |
$12 | |
| Arterial blood gas (ABG) |
$128 |
$213 |
$36 |
$26 | |
| AST liver enzyme test |
$35 |
$59 |
$10 |
$5 | |
| Barium swallow study |
$332 |
$554 |
$167 |
$107 | |
| Basic metabolic panel |
$89 |
$149 |
$15 |
$8 | |
| Benign skin lesion removal |
$601 |
$1,001 |
$658 |
$171 | |
| Bilirubin blood test |
$17 |
$29 |
$8 |
$5 | |
| Bladder function test (urodynamics) |
$491 |
$818 |
$625 |
$345 | |
| Bladder scope (cystoscopy) |
$491 |
$818 |
$625 |
$216 | |
| Bladder tumor removal (TURBT) |
$2,622 |
$4,370 |
$3,227 |
$236 | |
| Blood clotting test (PT/INR) |
$32 |
$53 |
$7 |
$4 | |
| Blood crossmatch |
$103 |
$171 |
$166 |
— | |
| Blood glucose test |
$17 |
$29 |
$7 |
$5 | |
| Blood transfusion |
$826 |
$1,376 |
$409 |
$47 | |
| Blood type and screen |
$88 |
$147 |
$50 |
$10 | |
| Blood type test |
$77 |
$129 |
$71 |
$3 | |
| Blood type test (ABO group) |
$77 |
$129 |
$121 |
$3 | |
| Blood type test (Rh/D antigen) |
$52 |
$86 |
$37 |
$3 | |
| BNP (heart failure) test |
$131 |
$219 |
$63 |
$39 | |
| Bone density scan (DEXA) |
$401 |
$669 |
$158 |
$39 | |
| Bone marrow biopsy |
$1,890 |
$3,150 |
$1,575 |
$172 | |
| Bone scan (nuclear) |
$1,530 |
$2,550 |
$613 |
$259 | |
| Botox for migraine |
$324 |
$540 |
$276 |
$157 | |
| Breast biopsy |
$2,605 |
$4,342 |
$1,516 |
$478 | |
| Breast MRI |
$1,483 |
$2,471 |
$598 |
$216 | |
| Breast MRI without contrast |
$1,883 |
$3,139 |
$755 |
$216 | |
| Breast ultrasound |
$327 |
$545 |
$128 |
$92 | |
| Breast ultrasound (complete) |
$334 |
$556 |
$132 |
$100 | |
| Breast ultrasound (limited) |
$320 |
$534 |
$127 |
$84 | |
| Breathing tube insertion (intubation) |
$362 |
$603 |
$275 |
$133 | |
| Burn dressing and debridement (small) |
$304 |
$506 |
$186 |
$93 | |
| Burn treatment |
$304 |
$506 |
$186 |
$129 | |
| C-reactive protein (CRP) |
$54 |
$90 |
$10 |
$5 | |
| CA 19-9 tumor marker test |
$110 |
$183 |
$38 |
$21 | |
| CA-125 ovarian marker test |
$191 |
$318 |
$39 |
$21 | |
| Calcium blood test |
$23 |
$38 |
$10 |
$5 | |
| Cardiac catheterization |
$12,706 |
$21,176 |
$5,078 |
$1,049 | |
| Cardiac rehabilitation |
$234 |
$390 |
$118 |
$26 | |
| Cardiac stress test |
$1,124 |
$1,874 |
$451 |
$39 | |
| Cardioversion |
$1,069 |
$1,782 |
$612 |
$155 | |
| Carotid artery surgery |
$6,652 |
$11,087 |
$4,398 |
$1,026 | |
| Carotid artery ultrasound |
$637 |
$1,062 |
$232 |
$156 | |
| CEA tumor marker test |
$114 |
$190 |
$35 |
$19 | |
| Celiac disease test |
$26 |
$43 |
$16 |
$12 | |
| Central line placement |
$995 |
$1,659 |
$1,659 |
$238 | |
| Cesarean section (C-section) |
$19,250 |
$32,084 |
$11,700 |
$7,552 | |
| Chemotherapy infusion |
$482 |
$803 |
$274 |
$81 | |
| Chemotherapy infusion (each additional) |
$280 |
$467 |
$112 |
$28 | |
| Chemotherapy infusion (first hour) |
$683 |
$1,138 |
$310 |
$133 | |
| Chest fluid drain (thoracentesis) |
$784 |
$1,306 |
$578 |
$311 | |
| Chest X-ray |
$495 |
$825 |
$174 |
$37 | |
| Chest X-ray (1 view) |
$282 |
$470 |
$111 |
$25 | |
| Chest X-ray (2 views) |
$434 |
$724 |
$173 |
$33 | |
| Chickenpox (varicella) vaccine |
$79 |
$132 |
$132 |
— | |
| Circumcision |
$143 |
$239 |
$239 |
$167 | |
| CK-MB heart enzyme test |
$61 |
$101 |
$21 |
$12 | |
| Clotting time test (PTT) |
$41 |
$69 |
$11 |
$6 | |
| Complete blood count (CBC) |
$49 |
$82 |
$12 |
$7 | |
| Complete blood count (CBC) (complete) |
$49 |
$82 |
$12 |
$8 | |
| Comprehensive metabolic panel |
$162 |
$270 |
$16 |
$11 | |
| Contraceptive implant (Nexplanon) |
$90 |
$150 |
$121 |
$115 | |
| Copper blood test |
$28 |
$47 |
$17 |
$12 | |
| Coronary CT angiography |
$1,210 |
$2,016 |
$485 |
$326 | |
| Cortisol test |
$37 |
$61 |
$30 |
$16 | |
| COVID-19 PCR test |
$60 |
$100 |
$76 |
$51 | |
| CPAP titration study |
$255 |
$426 |
$190 |
$69 | |
| Creatine kinase (CK) test |
$65 |
$109 |
$12 |
$7 | |
| CT angiography of the chest |
$2,495 |
$4,159 |
$1,876 |
$281 | |
| CT angiography of the head |
$1,799 |
$2,999 |
$721 |
$274 | |
| CT colonography (virtual colonoscopy) |
$431 |
$718 |
$311 |
$835 | |
| CT scan of the abdomen |
$2,365 |
$3,941 |
$1,447 |
$230 | |
| CT scan of the abdomen and pelvis |
$4,669 |
$7,781 |
$2,054 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$5,089 |
$8,481 |
$2,398 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$4,669 |
$7,781 |
$2,398 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$3,035 |
$5,058 |
$1,596 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,687 |
$4,478 |
$2,398 |
$259 | |
| CT scan of the abdomen with contrast |
$2,365 |
$3,941 |
$2,168 |
$230 | |
| CT scan of the abdomen without contrast |
$1,558 |
$2,597 |
$1,267 |
$136 | |
| CT scan of the arm |
$1,224 |
$2,040 |
$492 |
$199 | |
| CT scan of the arm with contrast |
$1,224 |
$2,040 |
$491 |
$199 | |
| CT scan of the arm without contrast |
$987 |
$1,645 |
$396 |
$161 | |
| CT scan of the chest |
$1,682 |
$2,803 |
$1,148 |
$167 | |
| CT scan of the chest with and without contrast |
$2,506 |
$4,176 |
$2,297 |
$196 | |
| CT scan of the chest with contrast |
$1,682 |
$2,803 |
$674 |
$167 | |
| CT scan of the chest without contrast |
$1,396 |
$2,326 |
$1,279 |
$133 | |
| CT scan of the head |
$1,515 |
$2,525 |
$1,032 |
$148 | |
| CT scan of the head with and without contrast |
$2,119 |
$3,531 |
$1,801 |
$173 | |
| CT scan of the head with contrast |
$1,515 |
$2,525 |
$607 |
$148 | |
| CT scan of the head without contrast |
$1,284 |
$2,140 |
$1,032 |
$107 | |
| CT scan of the leg |
$1,634 |
$2,723 |
$789 |
$166 | |
| CT scan of the leg with contrast |
$1,634 |
$2,723 |
$655 |
$166 | |
| CT scan of the leg without contrast |
$1,297 |
$2,161 |
$1,417 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,036 |
$1,727 |
$416 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,224 |
$2,040 |
$491 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,036 |
$1,727 |
$415 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$816 |
$1,360 |
$327 |
$130 | |
| CT scan of the neck |
$1,973 |
$3,288 |
$1,215 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,291 |
$2,151 |
$608 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,528 |
$2,547 |
$612 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,291 |
$2,151 |
$517 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,253 |
$2,088 |
$1,397 |
$131 | |
| CT scan of the neck with and without contrast |
$2,387 |
$3,978 |
$2,246 |
$220 | |
| CT scan of the neck with contrast |
$1,973 |
$3,288 |
$785 |
$183 | |
| CT scan of the neck without contrast |
$1,637 |
$2,729 |
$1,461 |
$150 | |
| CT scan of the pelvis |
$1,176 |
$1,960 |
$472 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,583 |
$2,638 |
$634 |
$251 | |
| CT scan of the pelvis with contrast |
$1,176 |
$1,960 |
$471 |
$226 | |
| CT scan of the pelvis without contrast |
$884 |
$1,474 |
$354 |
$133 | |
| CT scan of the sinuses |
$1,826 |
$3,044 |
$757 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,918 |
$3,196 |
$768 |
$184 | |
| CT scan of the sinuses with contrast |
$1,826 |
$3,044 |
$732 |
$152 | |
| CT scan of the sinuses without contrast |
$1,304 |
$2,174 |
$1,196 |
$128 | |
| D-dimer test |
$73 |
$121 |
$17 |
$10 | |
| DHEA-sulfate test |
$50 |
$83 |
$30 |
$22 | |
| Diagnostic mammogram |
$472 |
$787 |
$152 |
$140 | |
| Drug screen (urine) |
$140 |
$233 |
$108 |
$17 | |
| Echocardiogram |
$661 |
$1,102 |
$519 |
$138 | |
| Echocardiogram with and without contrast |
$421 |
$702 |
$313 |
$101 | |
| Echocardiogram without contrast |
$661 |
$1,102 |
$491 |
$138 | |
| EEG (awake and asleep) |
$820 |
$1,367 |
$329 |
$482 | |
| EKG / ECG (tracing only) |
$159 |
$265 |
$64 |
$7 | |
| Electrocardiogram (EKG) |
$159 |
$265 |
$64 |
$8 | |
| Electroencephalogram (EEG) |
$820 |
$1,367 |
$329 |
$448 | |
| Electrolyte panel |
$40 |
$67 |
$13 |
$7 | |
| Electromyography (EMG) |
$107 |
$179 |
$121 |
$141 | |
| Emergency department visit |
$583 |
$971 |
$389 |
$69 | |
| Emergency department visit (level 1) |
$194 |
$324 |
$130 |
$11 | |
| Emergency department visit (level 2) |
$265 |
$441 |
$148 |
$40 | |
| Emergency department visit (level 3) |
$583 |
$971 |
$268 |
$69 | |
| Emergency department visit (level 4) |
$971 |
$1,618 |
$398 |
$118 | |
| Emergency department visit (level 5) |
$1,765 |
$2,941 |
$707 |
$171 | |
| Epidural steroid injection |
$2,135 |
$3,559 |
$856 |
$275 | |
| Estradiol (estrogen) test |
$63 |
$105 |
$39 |
$28 | |
| Facet joint injection (spine) |
$495 |
$825 |
$496 |
$99 | |
| Fallopian tube X-ray (HSG) |
$483 |
$805 |
$226 |
$164 | |
| Fecal occult blood (stool) test |
$33 |
$55 |
$6 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$26 |
$43 |
$6 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$33 |
$55 |
$19 |
$16 | |
| Ferritin (iron) test |
$74 |
$123 |
$22 |
$14 | |
| Fibrinogen test |
$67 |
$112 |
$16 |
$10 | |
| Flu test |
$44 |
$73 |
$21 |
$17 | |
| Flu vaccine |
$16 |
$26 |
$6 |
— | |
| Folate (folic acid) test |
$83 |
$138 |
$27 |
$15 | |
| Foreign body removal (skin) |
$322 |
$537 |
$374 |
$157 | |
| Free T4 thyroid test |
$71 |
$118 |
$17 |
$9 | |
| FSH hormone test |
$42 |
$70 |
$34 |
$19 | |
| Gallbladder scan (HIDA) |
$1,637 |
$2,728 |
$690 |
$334 | |
| Ganglion cyst removal |
$1,188 |
$1,980 |
$1,497 |
$321 | |
| GGT liver test |
$46 |
$77 |
$13 |
$7 | |
| Glucose tolerance test |
$33 |
$56 |
$13 |
$8 | |
| Group therapy session |
$72 |
$120 |
$87 |
$30 | |
| H. pylori test |
$22 |
$37 |
$71 |
$67 | |
| HDL cholesterol test |
$45 |
$75 |
$15 |
$8 | |
| Hematocrit test |
$19 |
$32 |
$4 |
$2 | |
| Hemodialysis |
$617 |
$1,028 |
$655 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$62 |
$104 |
$16 |
$10 | |
| Hemorrhoid removal |
$1,380 |
$2,301 |
$853 |
$338 | |
| Hepatitis A vaccine |
$46 |
$77 |
$18 |
— | |
| Hepatitis B test |
$64 |
$107 |
$17 |
$10 | |
| Hepatitis B vaccine |
$40 |
$67 |
$35 |
— | |
| Hepatitis C test |
$96 |
$160 |
$46 |
$14 | |
| HIV test |
$42 |
$71 |
$24 |
$19 | |
| HIV test (antibody) |
$57 |
$95 |
$22 |
$14 | |
| HIV test (antigen/antibody combo) |
$32 |
$54 |
$33 |
$24 | |
| Holter heart monitor |
$106 |
$176 |
$56 |
$26 | |
| HPV vaccine |
$129 |
$215 |
$215 |
— | |
| Iron blood test |
$40 |
$67 |
$12 |
$6 | |
| IUD removal |
$432 |
$720 |
$285 |
$112 | |
| IV infusion therapy |
$260 |
$433 |
$162 |
$44 | |
| IV infusion therapy (each additional) |
$116 |
$193 |
$46 |
$21 | |
| IV infusion therapy (initial) |
$403 |
$672 |
$197 |
$67 | |
| IVC filter placement |
$3,013 |
$5,021 |
$3,959 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$447 |
$745 |
$276 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$469 |
$781 |
$276 |
$57 | |
| Joint aspiration or injection (small joint) |
$425 |
$709 |
$276 |
$56 | |
| Kidney biopsy |
$982 |
$1,636 |
$1,516 |
$492 | |
| Kidney scan (nuclear) |
$1,208 |
$2,014 |
$504 |
$172 | |
| Kidney ultrasound |
$529 |
$882 |
$143 |
$84 | |
| Kidney ultrasound (limited) |
$358 |
$596 |
$141 |
$61 | |
| Knee joint injection |
$478 |
$797 |
$276 |
$69 | |
| Knee replacement |
$34,271 |
$57,118 |
$26,223 |
$18,054 | |
| Lactate test |
$67 |
$112 |
$20 |
$12 | |
| Laryngoscopy |
$662 |
$1,103 |
$265 |
$189 | |
| LDH test |
$46 |
$76 |
$11 |
$6 | |
| LDL cholesterol test |
$16 |
$26 |
$14 |
$11 | |
| Leg artery angiogram |
$3,881 |
$6,468 |
$2,945 |
$149 | |
| Leg artery angioplasty |
$9,806 |
$16,343 |
$6,047 |
— | |
| Leg vein ultrasound (Doppler) |
$767 |
$1,279 |
$303 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$756 |
$1,260 |
$299 |
$116 | |
| LH hormone test |
$84 |
$140 |
$34 |
$19 | |
| Lipase test |
$62 |
$104 |
$13 |
$7 | |
| Lipid (cholesterol) panel |
$116 |
$193 |
$22 |
$13 | |
| Liver biopsy |
$1,696 |
$2,827 |
$1,516 |
$288 | |
| Liver function panel |
$114 |
$190 |
$15 |
$8 | |
| Lumpectomy (breast) |
$2,693 |
$4,489 |
$3,583 |
$750 | |
| Lung function test (PFT) |
$180 |
$301 |
$147 |
$37 | |
| Lung scan (V/Q) |
$1,093 |
$1,822 |
$504 |
$291 | |
| Magnesium blood test |
$44 |
$74 |
$13 |
$7 | |
| MMR vaccine |
$48 |
$80 |
$19 |
— | |
| MRA of the brain |
$2,525 |
$4,209 |
$1,014 |
$226 | |
| MRA of the brain with contrast |
$2,525 |
$4,209 |
$1,012 |
$226 | |
| MRA of the brain without contrast |
$2,696 |
$4,494 |
$1,081 |
$328 | |
| MRA of the neck |
$2,522 |
$4,203 |
$1,013 |
$245 | |
| MRA of the neck with contrast |
$2,522 |
$4,203 |
$1,011 |
$245 | |
| MRA of the neck without contrast |
$2,834 |
$4,723 |
$1,136 |
$343 | |
| MRI of the abdomen |
$2,176 |
$3,626 |
$874 |
$300 | |
| MRI of the abdomen with contrast |
$2,176 |
$3,626 |
$872 |
$300 | |
| MRI of the abdomen without contrast |
$1,795 |
$2,991 |
$719 |
$194 | |
| MRI of the ankle |
$2,667 |
$4,445 |
$1,283 |
$261 | |
| MRI of the ankle without contrast |
$2,062 |
$3,436 |
$826 |
$222 | |
| MRI of the brain |
$2,239 |
$3,731 |
$899 |
$269 | |
| MRI of the brain with contrast |
$2,239 |
$3,731 |
$897 |
$269 | |
| MRI of the brain without contrast |
$1,907 |
$3,178 |
$764 |
$195 | |
| MRI of the chest |
$1,552 |
$2,587 |
$734 |
$371 | |
| MRI of the chest without contrast |
$1,872 |
$3,120 |
$750 |
$466 | |
| MRI of the knee |
$2,287 |
$3,812 |
$919 |
$315 | |
| MRI of the knee with contrast |
$2,287 |
$3,812 |
$917 |
$315 | |
| MRI of the knee without contrast |
$2,264 |
$3,774 |
$907 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,143 |
$3,572 |
$861 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,143 |
$3,572 |
$859 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,081 |
$3,468 |
$834 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,416 |
$4,026 |
$970 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,982 |
$4,970 |
$1,195 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,296 |
$3,827 |
$920 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,416 |
$4,026 |
$968 |
$190 | |
| MRI of the neck (cervical spine) |
$2,424 |
$4,040 |
$978 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$3,273 |
$5,455 |
$1,312 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,424 |
$4,040 |
$971 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,424 |
$4,040 |
$971 |
$191 | |
| MRI of the pelvis |
$2,693 |
$4,489 |
$1,082 |
$268 | |
| MRI of the pelvis with contrast |
$2,693 |
$4,489 |
$1,079 |
$268 | |
| MRI of the pelvis without contrast |
$2,475 |
$4,125 |
$992 |
$227 | |
| MRI of the shoulder |
$2,615 |
$4,358 |
$1,050 |
$313 | |
| MRI of the shoulder with contrast |
$2,615 |
$4,358 |
$1,048 |
$313 | |
| MRI of the shoulder without contrast |
$2,422 |
$4,036 |
$970 |
$205 | |
| MRI of the wrist |
$2,559 |
$4,265 |
$1,140 |
$330 | |
| MRI of the wrist without contrast |
$2,210 |
$3,683 |
$886 |
$303 | |
| Nebulizer breathing treatment |
$136 |
$227 |
$136 |
$9 | |
| Nerve conduction study |
$193 |
$322 |
$218 |
$118 | |
| Nuchal translucency ultrasound |
$93 |
$155 |
$100 |
$116 | |
| Nuclear cardiac stress test |
$4,349 |
$7,249 |
$1,743 |
$428 | |
| Occupational therapy evaluation |
$184 |
$307 |
$99 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$230 |
$383 |
$99 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$138 |
$230 |
$99 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$184 |
$307 |
$99 |
$101 | |
| Office visit (established patient) |
$128 |
$213 |
$121 |
$115 | |
| Office visit (new patient) |
$179 |
$299 |
$121 |
$177 | |
| Office visit, established patient (level 3) |
$122 |
$204 |
$121 |
$95 | |
| Office visit, established patient (level 4) |
$147 |
$245 |
$121 |
$136 | |
| Office visit, new patient (level 3) |
$148 |
$246 |
$121 |
$118 | |
| Office visit, new patient (level 4) |
$198 |
$330 |
$121 |
$177 | |
| Office visit, new patient (level 5) |
$263 |
$439 |
$121 |
$237 | |
| Pacemaker insertion |
$27,397 |
$45,662 |
$22,752 |
$15,506 | |
| Pap smear (cervical screening) |
$113 |
$188 |
$38 |
$20 | |
| Parathyroid hormone (PTH) test |
$93 |
$155 |
$76 |
$41 | |
| Pelvic ultrasound |
$491 |
$818 |
$129 |
$78 | |
| Pelvic ultrasound (complete) |
$659 |
$1,098 |
$258 |
$105 | |
| Pelvic ultrasound (limited) |
$323 |
$538 |
$127 |
$51 | |
| PET scan |
$5,520 |
$9,200 |
$2,212 |
— | |
| Phosphorus blood test |
$67 |
$112 |
$9 |
$5 | |
| Physical therapy evaluation |
$166 |
$276 |
$97 |
$98 | |
| Physical therapy evaluation (high complexity) |
$207 |
$345 |
$97 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$166 |
$276 |
$96 |
$98 | |
| Pilonidal cyst removal |
$2,180 |
$3,634 |
$2,678 |
$541 | |
| Platelet count |
$44 |
$74 |
$8 |
$4 | |
| Pneumonia vaccine |
$63 |
$105 |
$26 |
— | |
| Pregnancy blood test (hCG) |
$53 |
$89 |
$14 |
$8 | |
| Pregnancy ultrasound |
$671 |
$1,119 |
$231 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$575 |
$959 |
$227 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$767 |
$1,279 |
$303 |
$136 | |
| Procalcitonin test |
$148 |
$247 |
$37 |
$27 | |
| Prolactin test |
$130 |
$216 |
$36 |
$19 | |
| Prostate biopsy |
$1,527 |
$2,545 |
$1,917 |
— | |
| Prostate test (PSA) |
$56 |
$93 |
$34 |
$18 | |
| Radiofrequency nerve ablation |
$2,776 |
$4,627 |
$1,827 |
$462 | |
| Rheumatoid factor test |
$56 |
$93 |
$11 |
$6 | |
| Sacroiliac joint injection |
$1,236 |
$2,060 |
$648 |
$176 | |
| Scoliosis spine X-ray |
$245 |
$408 |
$100 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$235 |
$391 |
$93 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$255 |
$425 |
$101 |
$72 | |
| Screening mammogram |
$412 |
$687 |
$148 |
$126 | |
| Scrotal ultrasound |
$635 |
$1,059 |
$251 |
$99 | |
| Sedimentation rate (ESR) test |
$29 |
$49 |
$5 |
$3 | |
| Semen analysis |
$113 |
$189 |
$22 |
$12 | |
| Sex hormone binding globulin test |
$32 |
$54 |
$30 |
$22 | |
| Shingles vaccine |
$90 |
$150 |
$150 |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
$210 |
$350 |
$186 |
$114 | |
| Simple wound stitches |
$266 |
$444 |
$186 |
$127 | |
| Skin biopsy |
$359 |
$598 |
$330 |
$121 | |
| Skin biopsy (punch) |
$359 |
$598 |
$340 |
$121 | |
| Skin cancer lesion removal |
$481 |
$802 |
$658 |
$240 | |
| Skin lesion freezing (cryotherapy) |
$73 |
$122 |
$50 |
$36 | |
| Skin tag removal |
$146 |
$244 |
$186 |
$92 | |
| Sleep study (polysomnography) |
$2,179 |
$3,631 |
$954 |
$691 | |
| Soft tissue ultrasound |
$373 |
$622 |
$147 |
$64 | |
| Speech therapy |
$79 |
$132 |
$72 |
$76 | |
| Spinal cord stimulator |
$7,555 |
$12,592 |
$6,141 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$798 |
$1,330 |
$649 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$8,112 |
$13,520 |
$6,684 |
$5,803 | |
| Spirometry (lung function test) |
$126 |
$210 |
$146 |
$30 | |
| Spirometry with bronchodilator |
$235 |
$391 |
$243 |
$43 | |
| Strep throat test |
$85 |
$142 |
$21 |
$17 | |
| Stress echocardiogram |
$2,230 |
$3,716 |
$894 |
$209 | |
| Stress echocardiogram (complete) |
$2,230 |
$3,716 |
$894 |
$233 | |
| Swallow study |
$105 |
$175 |
$68 |
$85 | |
| T3 thyroid test |
$91 |
$152 |
$26 |
$14 | |
| Tdap (tetanus) vaccine |
$29 |
$48 |
$12 |
— | |
| Testosterone test |
$58 |
$97 |
$42 |
$26 | |
| Thyroid test (TSH) |
$85 |
$142 |
$27 |
$17 | |
| Thyroid ultrasound |
$583 |
$972 |
$230 |
$109 | |
| Thyroid uptake scan |
$683 |
$1,138 |
$377 |
$145 | |
| Tilt table test |
$919 |
$1,532 |
$496 |
$168 | |
| Total IgE allergy test |
$109 |
$181 |
$30 |
$16 | |
| Total protein test |
$14 |
$23 |
$7 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$1,480 |
$2,467 |
$739 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,480 |
$2,467 |
$739 |
$239 | |
| Transvaginal ultrasound |
$527 |
$879 |
$208 |
$118 | |
| Trigger point injection |
$368 |
$613 |
$276 |
$56 | |
| Trigger point injection (1-2 muscles) |
$352 |
$587 |
$276 |
$52 | |
| Triglycerides test |
$37 |
$62 |
$11 |
$6 | |
| Troponin (heart) test |
$55 |
$92 |
$18 |
$12 | |
| Turning a breech baby (version) |
$1,498 |
$2,496 |
$2,166 |
$94 | |
| Upper GI series (barium) |
$644 |
$1,073 |
$243 |
$128 | |
| Uric acid (gout) test |
$29 |
$49 |
$8 |
$5 | |
| Urinalysis |
$32 |
$53 |
$4 |
$3 | |
| Urine microalbumin test |
$43 |
$72 |
$10 |
$5 | |
| Urine pregnancy test |
$62 |
$103 |
$12 |
$9 | |
| Vaccine administration |
$91 |
$152 |
$63 |
$19 | |
| Vaccine administration (each additional) |
$79 |
$132 |
$59 |
$16 | |
| Vaginal delivery |
$7,942 |
$13,236 |
$7,467 |
$5,487 | |
| Vasectomy |
$1,514 |
$2,523 |
$1,917 |
$347 | |
| Vitamin B12 test |
$79 |
$131 |
$28 |
$15 | |
| Vitamin D test |
$156 |
$260 |
$55 |
$30 | |
| Wart removal |
$131 |
$218 |
$186 |
$121 | |
| Weight-loss (bariatric) surgery |
$26,470 |
$44,117 |
$17,792 |
$11,645 | |
| Wound debridement |
$984 |
$1,640 |
$573 |
$186 | |
| X-ray of the abdomen |
$250 |
$417 |
$100 |
$36 | |
| X-ray of the ankle |
$277 |
$461 |
$109 |
$37 | |
| X-ray of the collarbone |
$235 |
$391 |
$93 |
$33 | |
| X-ray of the elbow |
$302 |
$503 |
$119 |
$33 | |
| X-ray of the facial bones |
$222 |
$371 |
$100 |
$39 | |
| X-ray of the foot |
$269 |
$448 |
$106 |
$34 | |
| X-ray of the forearm |
$187 |
$311 |
$82 |
$29 | |
| X-ray of the hand |
$269 |
$448 |
$106 |
$38 | |
| X-ray of the hip |
$334 |
$556 |
$102 |
$49 | |
| X-ray of the hip (1 view) |
$244 |
$406 |
$96 |
$34 | |
| X-ray of the hip (3 views) |
$334 |
$556 |
$132 |
$49 | |
| X-ray of the hip (4 views) |
$417 |
$695 |
$165 |
$63 | |
| X-ray of the knee |
$263 |
$438 |
$100 |
$42 | |
| X-ray of the knee (2 views) |
$232 |
$386 |
$91 |
$34 | |
| X-ray of the knee (3 views) |
$263 |
$438 |
$104 |
$42 | |
| X-ray of the knee (4+ views) |
$350 |
$584 |
$138 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$290 |
$484 |
$100 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$243 |
$405 |
$100 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$337 |
$562 |
$133 |
$53 | |
| X-ray of the lower leg |
$237 |
$395 |
$94 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$279 |
$465 |
$107 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$268 |
$447 |
$106 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$290 |
$483 |
$114 |
$39 | |
| X-ray of the neck (cervical spine) |
$437 |
$729 |
$134 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$335 |
$558 |
$132 |
$40 | |
| X-ray of the pelvis |
$281 |
$469 |
$106 |
$36 | |
| X-ray of the pelvis (1 view) |
$264 |
$440 |
$104 |
$28 | |
| X-ray of the ribs |
$373 |
$622 |
$131 |
$42 | |
| X-ray of the ribs (2 views) |
$325 |
$541 |
$128 |
$36 | |
| X-ray of the ribs (3 views) |
$373 |
$622 |
$147 |
$42 | |
| X-ray of the shoulder |
$299 |
$499 |
$118 |
$36 | |
| X-ray of the skull |
$229 |
$382 |
$100 |
$40 | |
| X-ray of the upper arm |
$235 |
$391 |
$93 |
$32 | |
| X-ray of the wrist |
$322 |
$536 |
$127 |
$43 | |
| Zinc blood test |
$26 |
$43 |
$15 |
$11 | |