| 3D mammogram (tomosynthesis) |
$40 |
$62 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$865 |
$1,332 |
— |
$284 | |
| Abdominal ultrasound |
$302 |
$464 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$430 |
$661 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$302 |
$464 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$430 |
$662 |
— |
$220 | |
| Abscess drainage (simple) |
$213 |
$327 |
— |
$129 | |
| Abscess incision and drainage |
$213 |
$327 |
— |
$174 | |
| Achilles tendon repair |
$5,218 |
$8,027 |
— |
$624 | |
| Albumin blood test |
$16 |
$24 |
— |
$5 | |
| Aldosterone test |
$105 |
$162 |
— |
$41 | |
| Alkaline phosphatase test |
$17 |
$27 |
— |
$5 | |
| Alpha-fetoprotein (AFP) test |
$51 |
$79 |
— |
$17 | |
| ALT liver enzyme test |
$40 |
$62 |
— |
$5 | |
| Ammonia blood test |
$111 |
$171 |
— |
$15 | |
| Amylase test |
$48 |
$74 |
— |
$6 | |
| Anal fistula repair |
$4,222 |
$6,496 |
— |
$541 | |
| Ankle fracture repair |
$5,157 |
$7,934 |
— |
$608 | |
| Anoscopy |
$254 |
$390 |
— |
$129 | |
| Antinuclear antibody (ANA) test |
$53 |
$81 |
— |
$12 | |
| Arterial blood gas (ABG) |
$345 |
$530 |
— |
$26 | |
| AST liver enzyme test |
$40 |
$62 |
— |
$5 | |
| Barium swallow study |
$249 |
$383 |
— |
$107 | |
| Bartholin cyst removal |
$492 |
$757 |
— |
$182 | |
| Basic metabolic panel |
$127 |
$195 |
— |
$8 | |
| Benign skin lesion removal |
$861 |
$1,325 |
— |
$171 | |
| Bilirubin blood test |
$42 |
$64 |
— |
$5 | |
| Blood clotting test (PT/INR) |
$21 |
$33 |
— |
$4 | |
| Blood crossmatch |
$197 |
$303 |
— |
— | |
| Blood glucose test |
$29 |
$44 |
— |
$5 | |
| Blood transfusion |
$433 |
$666 |
— |
$47 | |
| Blood type and screen |
$68 |
$105 |
— |
$10 | |
| Blood type test |
$33 |
$52 |
— |
$3 | |
| Blood type test (ABO group) |
$34 |
$52 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$33 |
$51 |
— |
$3 | |
| BNP (heart failure) test |
$291 |
$448 |
— |
$39 | |
| Bone density scan (DEXA) |
$166 |
$255 |
— |
$39 | |
| Bone scan (nuclear) |
$718 |
$1,104 |
— |
$259 | |
| Breast biopsy |
$3,242 |
$4,988 |
— |
$478 | |
| Breast ultrasound |
$183 |
$282 |
— |
$92 | |
| Breast ultrasound (complete) |
$281 |
$432 |
— |
$100 | |
| Breast ultrasound (limited) |
$122 |
$188 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$250 |
$385 |
— |
$133 | |
| Bronchoscopy |
$2,058 |
$3,166 |
— |
$303 | |
| Bunion surgery (bunionectomy) |
$1,757 |
$2,703 |
— |
$883 | |
| Burn dressing and debridement (medium) |
$410 |
$631 |
— |
$166 | |
| Burn dressing and debridement (small) |
$260 |
$400 |
— |
$93 | |
| Burn treatment |
$349 |
$537 |
— |
$129 | |
| C-reactive protein (CRP) |
$38 |
$58 |
— |
$5 | |
| CA 19-9 tumor marker test |
$59 |
$91 |
— |
$21 | |
| CA-125 ovarian marker test |
$89 |
$137 |
— |
$21 | |
| Calcium blood test |
$19 |
$29 |
— |
$5 | |
| Cardiac rehabilitation |
$128 |
$197 |
— |
$26 | |
| Cardiac stress test |
$410 |
$631 |
— |
$39 | |
| Cardioversion |
$1,867 |
$2,873 |
— |
$155 | |
| Carotid artery ultrasound |
$1,019 |
$1,567 |
— |
$156 | |
| Carpal tunnel release |
$3,872 |
$5,957 |
— |
$483 | |
| Cataract surgery |
$1,650 |
$2,539 |
— |
$547 | |
| CEA tumor marker test |
$41 |
$63 |
— |
$19 | |
| Celiac disease test |
$24 |
$38 |
— |
$12 | |
| Central line placement |
$1,431 |
$2,202 |
— |
$238 | |
| Cervical LEEP procedure |
$1,995 |
$3,069 |
— |
$325 | |
| Chemotherapy infusion |
$120 |
$185 |
$180 |
$81 | |
| Chemotherapy infusion (each additional) |
$47 |
$72 |
$180 |
$28 | |
| Chemotherapy infusion (first hour) |
$194 |
$298 |
$180 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,489 |
$2,291 |
— |
$311 | |
| Chest tube insertion |
$1,380 |
$2,123 |
— |
$143 | |
| Chest X-ray |
$146 |
$224 |
— |
$37 | |
| Chest X-ray (1 view) |
$111 |
$170 |
— |
$25 | |
| Chest X-ray (2 views) |
$146 |
$224 |
— |
$33 | |
| CK-MB heart enzyme test |
$110 |
$169 |
— |
$12 | |
| Clotting time test (PTT) |
$55 |
$85 |
— |
$6 | |
| Colon resection (colectomy) |
$9,788 |
$15,058 |
— |
$1,238 | |
| Colonoscopy |
$490 |
$754 |
— |
$480 | |
| Colposcopy |
$1,641 |
$2,525 |
— |
$161 | |
| Complete blood count (CBC) |
$51 |
$79 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$51 |
$79 |
— |
$8 | |
| Complex wound repair |
$1,333 |
$2,051 |
— |
$390 | |
| Comprehensive metabolic panel |
$55 |
$85 |
— |
$11 | |
| Copper blood test |
$59 |
$90 |
— |
$12 | |
| Coronary CT angiography |
$1,266 |
$1,948 |
— |
$326 | |
| Cortisol test |
$84 |
$129 |
— |
$16 | |
| COVID-19 PCR test |
$74 |
$114 |
— |
$51 | |
| CPAP titration study |
$713 |
$1,097 |
$5,580 |
$69 | |
| Creatine kinase (CK) test |
$58 |
$89 |
— |
$7 | |
| CT angiography of the chest |
$2,444 |
$3,760 |
— |
$281 | |
| CT angiography of the head |
$2,142 |
$3,295 |
— |
$274 | |
| CT scan of the abdomen |
$1,160 |
$1,784 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$2,308 |
$3,550 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,308 |
$3,550 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,057 |
$3,165 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,361 |
$3,632 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,284 |
$1,975 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$1,036 |
$1,594 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$1,160 |
$1,784 |
— |
$136 | |
| CT scan of the arm |
$845 |
$1,300 |
— |
$199 | |
| CT scan of the arm with contrast |
$1,204 |
$1,853 |
— |
$199 | |
| CT scan of the arm without contrast |
$845 |
$1,300 |
— |
$161 | |
| CT scan of the chest |
$1,201 |
$1,847 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$1,240 |
$1,908 |
— |
$196 | |
| CT scan of the chest with contrast |
$1,149 |
$1,768 |
— |
$167 | |
| CT scan of the chest without contrast |
$1,201 |
$1,847 |
— |
$133 | |
| CT scan of the head |
$770 |
$1,184 |
— |
$148 | |
| CT scan of the head with and without contrast |
$1,234 |
$1,898 |
— |
$173 | |
| CT scan of the head with contrast |
$956 |
$1,470 |
— |
$148 | |
| CT scan of the head without contrast |
$770 |
$1,184 |
— |
$107 | |
| CT scan of the leg |
$1,126 |
$1,733 |
— |
$166 | |
| CT scan of the leg with contrast |
$1,204 |
$1,853 |
— |
$166 | |
| CT scan of the leg without contrast |
$1,017 |
$1,565 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,204 |
$1,853 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,622 |
$2,496 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,204 |
$1,853 |
— |
$130 | |
| CT scan of the neck |
$1,063 |
$1,636 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$1,204 |
$1,853 |
— |
$168 | |
| CT scan of the neck (cervical spine) with contrast |
$1,388 |
$2,136 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,204 |
$1,853 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$1,264 |
$1,945 |
— |
$220 | |
| CT scan of the neck with contrast |
$1,063 |
$1,636 |
— |
$183 | |
| CT scan of the neck without contrast |
$904 |
$1,391 |
— |
$150 | |
| CT scan of the pelvis |
$1,201 |
$1,848 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,269 |
$1,953 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$1,111 |
$1,709 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$1,201 |
$1,848 |
— |
$133 | |
| CT scan of the sinuses |
$1,000 |
$1,539 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,025 |
$1,577 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$1,169 |
$1,799 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$975 |
$1,500 |
— |
$128 | |
| D-dimer test |
$177 |
$273 |
— |
$10 | |
| DHEA-sulfate test |
$90 |
$138 |
— |
$22 | |
| Diagnostic mammogram |
$233 |
$358 |
— |
$140 | |
| Dilation and curettage (D&C) |
$3,662 |
$5,634 |
— |
$298 | |
| Drug screen (urine) |
$75 |
$116 |
— |
$17 | |
| Ear tubes (myringotomy) |
$4,873 |
$7,497 |
— |
$174 | |
| Echocardiogram |
$1,524 |
$2,345 |
— |
$138 | |
| Echocardiogram with and without contrast |
$808 |
$1,243 |
— |
$101 | |
| EKG / ECG (tracing only) |
$185 |
$284 |
— |
$7 | |
| Electrocardiogram (EKG) |
$185 |
$284 |
— |
$8 | |
| Electrolyte panel |
$53 |
$81 |
— |
$7 | |
| Emergency department visit |
$235 |
$362 |
— |
$69 | |
| Emergency department visit (level 1) |
$137 |
$211 |
— |
$11 | |
| Emergency department visit (level 2) |
$220 |
$339 |
— |
$40 | |
| Emergency department visit (level 3) |
$397 |
$611 |
— |
$69 | |
| Emergency department visit (level 4) |
$235 |
$362 |
— |
$118 | |
| Emergency department visit (level 5) |
$1,323 |
$2,035 |
— |
$171 | |
| Estradiol (estrogen) test |
$113 |
$174 |
— |
$28 | |
| Fallopian tube X-ray (HSG) |
$380 |
$585 |
— |
$164 | |
| Fecal occult blood (stool) test |
$34 |
$53 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$26 |
$40 |
— |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$42 |
$65 |
— |
$16 | |
| Feeding tube (PEG) placement |
$1,219 |
$1,876 |
— |
$178 | |
| Femoral hernia repair |
$4,998 |
$7,690 |
— |
$584 | |
| Ferritin (iron) test |
$52 |
$80 |
— |
$14 | |
| Fibrinogen test |
$72 |
$110 |
— |
$10 | |
| Flexible sigmoidoscopy |
$935 |
$1,439 |
— |
$323 | |
| Folate (folic acid) test |
$94 |
$145 |
— |
$15 | |
| Foreign body removal (skin) |
$351 |
$540 |
— |
$157 | |
| Free T4 thyroid test |
$45 |
$69 |
— |
$9 | |
| FSH hormone test |
$46 |
$71 |
— |
$19 | |
| Gallbladder removal (laparoscopic) |
$7,610 |
$11,708 |
— |
$658 | |
| Gallbladder scan (HIDA) |
$2,202 |
$3,387 |
— |
$334 | |
| GGT liver test |
$44 |
$67 |
— |
$7 | |
| H. pylori test |
$119 |
$183 |
— |
$67 | |
| Hammertoe repair |
$1,580 |
$2,431 |
— |
$548 | |
| HDL cholesterol test |
$42 |
$64 |
— |
$8 | |
| Hematocrit test |
$25 |
$39 |
— |
$2 | |
| Hemoglobin A1c (diabetes test) |
$36 |
$55 |
— |
$10 | |
| Hemorrhoid removal |
$583 |
$897 |
— |
$338 | |
| Hepatitis A vaccine |
$103 |
$159 |
— |
— | |
| Hepatitis B test |
$41 |
$63 |
— |
$10 | |
| Hepatitis B vaccine |
$71 |
$110 |
— |
— | |
| Hepatitis C test |
$59 |
$91 |
— |
$14 | |
| Hip replacement |
$2,499 |
$3,845 |
— |
$1,162 | |
| HIV test |
$85 |
$131 |
— |
$19 | |
| HIV test (antibody) |
$85 |
$131 |
— |
$14 | |
| HIV test (antigen/antibody combo) |
$34 |
$53 |
— |
$24 | |
| Holter heart monitor |
$612 |
$941 |
— |
$26 | |
| Hysteroscopy |
$1,919 |
$2,952 |
— |
$1,270 | |
| Inguinal hernia repair |
$2,686 |
$4,133 |
— |
$538 | |
| Iron blood test |
$46 |
$71 |
— |
$6 | |
| IUD insertion |
$1,694 |
$2,607 |
— |
— | |
| IUD removal |
$795 |
$1,224 |
— |
$112 | |
| IV infusion therapy |
$183 |
$282 |
$180 |
$44 | |
| IV infusion therapy (each additional) |
$183 |
$282 |
$180 |
$21 | |
| IV infusion therapy (initial) |
$332 |
$510 |
$180 |
$67 | |
| Joint aspiration (small/intermediate) |
$1,166 |
$1,793 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$449 |
$691 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$2,471 |
$3,801 |
— |
$56 | |
| Kidney scan (nuclear) |
$1,154 |
$1,776 |
— |
$172 | |
| Kidney ultrasound |
$423 |
$650 |
— |
$84 | |
| Kidney ultrasound (limited) |
$277 |
$426 |
— |
$61 | |
| Knee arthroscopy |
$3,348 |
$5,152 |
— |
$524 | |
| Knee joint injection |
$80 |
$123 |
— |
$69 | |
| Lactate test |
$111 |
$171 |
— |
$12 | |
| LDH test |
$40 |
$62 |
— |
$6 | |
| LDL cholesterol test |
$46 |
$71 |
— |
$11 | |
| Leg vein ultrasound (Doppler) |
$822 |
$1,265 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$667 |
$1,026 |
— |
$116 | |
| LH hormone test |
$52 |
$80 |
— |
$19 | |
| Lipase test |
$38 |
$59 |
— |
$7 | |
| Lipid (cholesterol) panel |
$85 |
$130 |
— |
$13 | |
| Liver function panel |
$42 |
$64 |
— |
$8 | |
| Lung function test (PFT) |
$442 |
$680 |
— |
$37 | |
| Lung scan (V/Q) |
$1,499 |
$2,306 |
— |
$291 | |
| Magnesium blood test |
$64 |
$99 |
— |
$7 | |
| Mastectomy |
$2,672 |
$4,111 |
— |
$1,021 | |
| MMR vaccine |
$193 |
$297 |
— |
— | |
| MRA of the brain |
$2,512 |
$3,865 |
— |
$226 | |
| MRA of the brain without contrast |
$2,761 |
$4,248 |
— |
$328 | |
| MRA of the neck |
$4,168 |
$6,413 |
— |
$245 | |
| MRA of the neck without contrast |
$4,168 |
$6,413 |
— |
$343 | |
| MRI of the abdomen |
$2,456 |
$3,779 |
— |
$300 | |
| MRI of the abdomen without contrast |
$2,254 |
$3,468 |
— |
$194 | |
| MRI of the ankle |
$1,812 |
$2,788 |
— |
$261 | |
| MRI of the ankle with contrast |
$1,812 |
$2,788 |
— |
$261 | |
| MRI of the ankle without contrast |
$1,333 |
$2,050 |
— |
$222 | |
| MRI of the brain |
$1,838 |
$2,828 |
— |
$269 | |
| MRI of the brain with contrast |
$1,591 |
$2,447 |
— |
$269 | |
| MRI of the brain without contrast |
$1,838 |
$2,828 |
— |
$195 | |
| MRI of the chest |
$2,114 |
$3,252 |
— |
$371 | |
| MRI of the chest without contrast |
$2,114 |
$3,252 |
— |
$466 | |
| MRI of the knee |
$1,800 |
$2,769 |
— |
$315 | |
| MRI of the knee with contrast |
$1,978 |
$3,043 |
— |
$315 | |
| MRI of the knee without contrast |
$1,800 |
$2,769 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,032 |
$3,126 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,853 |
$2,851 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,032 |
$3,126 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,667 |
$2,565 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,513 |
$3,866 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,667 |
$2,565 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,284 |
$1,975 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$1,649 |
$2,538 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,513 |
$3,866 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,015 |
$3,100 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,284 |
$1,975 |
— |
$191 | |
| MRI of the pelvis |
$1,958 |
$3,013 |
— |
$268 | |
| MRI of the pelvis without contrast |
$1,258 |
$1,936 |
— |
$227 | |
| MRI of the shoulder |
$1,458 |
$2,244 |
— |
$313 | |
| MRI of the shoulder with contrast |
$1,649 |
$2,537 |
— |
$313 | |
| MRI of the shoulder without contrast |
$1,268 |
$1,950 |
— |
$205 | |
| MRI of the wrist |
$1,873 |
$2,881 |
— |
$330 | |
| MRI of the wrist without contrast |
$1,873 |
$2,881 |
— |
$303 | |
| Nebulizer breathing treatment |
$249 |
$383 |
$5,580 |
$9 | |
| Nuclear cardiac stress test |
$2,496 |
$3,840 |
— |
$428 | |
| Occupational therapy evaluation |
$211 |
$325 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$246 |
$378 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$202 |
$311 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$211 |
$325 |
— |
$101 | |
| Office visit (established patient) |
$130 |
$200 |
$5,580 |
$115 | |
| Office visit (new patient) |
$206 |
$317 |
— |
$177 | |
| Office visit, established patient (level 3) |
$88 |
$135 |
$5,580 |
$95 | |
| Office visit, established patient (level 4) |
$130 |
$200 |
— |
$136 | |
| Office visit, new patient (level 3) |
$108 |
$166 |
— |
$118 | |
| Office visit, new patient (level 4) |
$176 |
$270 |
— |
$177 | |
| Office visit, new patient (level 5) |
$292 |
$449 |
— |
$237 | |
| Orthopedic hardware removal |
$3,989 |
$6,137 |
— |
$632 | |
| Pap smear (cervical screening) |
$46 |
$70 |
— |
$20 | |
| Parathyroid hormone (PTH) test |
$139 |
$214 |
— |
$41 | |
| Pelvic ultrasound |
$336 |
$517 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$336 |
$517 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$163 |
$251 |
— |
$51 | |
| Phosphorus blood test |
$41 |
$63 |
— |
$5 | |
| Physical therapy evaluation |
$207 |
$318 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$218 |
$336 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$207 |
$318 |
— |
$98 | |
| Platelet count |
$39 |
$60 |
— |
$4 | |
| Pneumonia vaccine |
$114 |
$176 |
— |
— | |
| Pregnancy blood test (hCG) |
$81 |
$124 |
— |
$8 | |
| Pregnancy ultrasound |
$349 |
$537 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$467 |
$718 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$231 |
$356 |
— |
$136 | |
| Procalcitonin test |
$170 |
$261 |
— |
$27 | |
| Prolactin test |
$62 |
$96 |
— |
$19 | |
| Prostate test (PSA) |
$68 |
$105 |
— |
$18 | |
| Psychiatric evaluation |
$281 |
$433 |
— |
$188 | |
| Psychotherapy session |
$115 |
$177 |
— |
$140 | |
| Pulmonary rehabilitation |
$174 |
$268 |
— |
$87 | |
| Rheumatoid factor test |
$43 |
$66 |
— |
$6 | |
| Rotator cuff repair |
$5,306 |
$8,163 |
— |
$792 | |
| Sacroiliac joint injection |
$510 |
$784 |
— |
$176 | |
| Scoliosis spine X-ray |
$89 |
$138 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$105 |
$161 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$74 |
$114 |
— |
$72 | |
| Screening colonoscopy |
$1,103 |
$1,697 |
— |
$378 | |
| Screening mammogram |
$298 |
$459 |
— |
$126 | |
| Scrotal ultrasound |
$333 |
$513 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$23 |
$36 |
— |
$3 | |
| Septoplasty (deviated septum) |
$3,816 |
$5,871 |
— |
$613 | |
| Sex hormone binding globulin test |
$59 |
$90 |
— |
$22 | |
| Shingles vaccine |
$287 |
$442 |
— |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
$787 |
$1,211 |
— |
$114 | |
| Simple wound stitches |
$787 |
$1,211 |
— |
$127 | |
| Sinus surgery (endoscopic) |
$1,934 |
$2,975 |
— |
$224 | |
| Skin biopsy |
$155 |
$239 |
— |
$121 | |
| Skin biopsy (punch) |
$188 |
$290 |
— |
$121 | |
| Skin cancer lesion removal |
$2,848 |
$4,382 |
— |
$240 | |
| Skin lesion freezing (cryotherapy) |
$41 |
$63 |
— |
$36 | |
| Skin tag removal |
$1,678 |
$2,581 |
— |
$92 | |
| Soft tissue ultrasound |
$106 |
$163 |
— |
$64 | |
| Speech therapy |
$151 |
$232 |
— |
$76 | |
| Spinal tap (lumbar puncture) |
$1,232 |
$1,895 |
— |
$165 | |
| Spirometry (lung function test) |
$229 |
$353 |
— |
$30 | |
| Spirometry with bronchodilator |
$654 |
$1,006 |
— |
$43 | |
| Strep throat test |
$27 |
$42 |
— |
$17 | |
| Swallow study |
$144 |
$221 |
— |
$85 | |
| T3 thyroid test |
$41 |
$63 |
— |
$14 | |
| Tdap (tetanus) vaccine |
$64 |
$98 |
— |
— | |
| Testosterone test |
$65 |
$100 |
— |
$26 | |
| Thyroid test (TSH) |
$73 |
$112 |
— |
$17 | |
| Thyroid ultrasound |
$171 |
$263 |
— |
$109 | |
| Thyroid uptake scan |
$764 |
$1,176 |
— |
$145 | |
| Total IgE allergy test |
$44 |
$67 |
— |
$16 | |
| Total protein test |
$26 |
$40 |
— |
$4 | |
| Transvaginal ultrasound |
$336 |
$517 |
— |
$118 | |
| Trigger finger release |
$1,407 |
$2,165 |
— |
$630 | |
| Trigger point injection |
$72 |
$111 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$59 |
$91 |
— |
$52 | |
| Triglycerides test |
$42 |
$65 |
— |
$6 | |
| Troponin (heart) test |
$221 |
$341 |
— |
$12 | |
| Turbinate reduction |
$5,183 |
$7,974 |
— |
$294 | |
| Turning a breech baby (version) |
$4,144 |
$6,375 |
— |
$94 | |
| Ulnar nerve surgery (elbow) |
$5,312 |
$8,172 |
— |
$575 | |
| Upper GI endoscopy (EGD) |
$318 |
$490 |
— |
$371 | |
| Upper GI series (barium) |
$224 |
$344 |
— |
$128 | |
| Uric acid (gout) test |
$42 |
$64 |
— |
$5 | |
| Urinalysis |
$32 |
$49 |
— |
$3 | |
| Urine microalbumin test |
$40 |
$62 |
— |
$5 | |
| Urine pregnancy test |
$49 |
$75 |
— |
$9 | |
| Vaccine administration |
$134 |
$207 |
— |
$19 | |
| Vaccine administration (each additional) |
$73 |
$113 |
— |
$16 | |
| Vitamin B12 test |
$72 |
$110 |
— |
$15 | |
| Vitamin D test |
$117 |
$180 |
— |
$30 | |
| Wart removal |
$47 |
$73 |
— |
$121 | |
| Wound debridement |
$747 |
$1,150 |
— |
$186 | |
| Wrist fracture repair |
$7,060 |
$10,862 |
— |
$735 | |
| X-ray of the abdomen |
$150 |
$231 |
— |
$36 | |
| X-ray of the ankle |
$109 |
$167 |
— |
$37 | |
| X-ray of the collarbone |
$105 |
$161 |
— |
$33 | |
| X-ray of the elbow |
$119 |
$183 |
— |
$33 | |
| X-ray of the facial bones |
$202 |
$310 |
— |
$39 | |
| X-ray of the foot |
$109 |
$168 |
— |
$34 | |
| X-ray of the forearm |
$105 |
$161 |
— |
$29 | |
| X-ray of the hand |
$112 |
$172 |
— |
$38 | |
| X-ray of the hip |
$126 |
$194 |
— |
$49 | |
| X-ray of the hip (1 view) |
$104 |
$160 |
— |
$34 | |
| X-ray of the hip (3 views) |
$126 |
$194 |
— |
$49 | |
| X-ray of the knee |
$119 |
$183 |
— |
$42 | |
| X-ray of the knee (2 views) |
$107 |
$164 |
— |
$34 | |
| X-ray of the knee (3 views) |
$119 |
$183 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$248 |
$381 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$116 |
$178 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$138 |
$212 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$94 |
$144 |
— |
$53 | |
| X-ray of the lower leg |
$119 |
$183 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$172 |
$265 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$172 |
$265 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$94 |
$144 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$185 |
$285 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$131 |
$202 |
— |
$40 | |
| X-ray of the pelvis |
$217 |
$334 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$163 |
$251 |
— |
$28 | |
| X-ray of the ribs |
$176 |
$271 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$120 |
$185 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$176 |
$271 |
— |
$42 | |
| X-ray of the shoulder |
$122 |
$188 |
— |
$36 | |
| X-ray of the skull |
$215 |
$331 |
— |
$40 | |
| X-ray of the upper arm |
$119 |
$183 |
— |
$32 | |
| X-ray of the wrist |
$112 |
$173 |
— |
$43 | |
| Zinc blood test |
$33 |
$52 |
— |
$11 | |