| Abdominal fluid drain (paracentesis) |
$6,891 |
$6,891 |
$2,756 |
$284 | |
| Abdominal ultrasound |
$1,684 |
$1,684 |
$533 |
$100 | |
| Abdominal ultrasound (complete) |
$1,819 |
$1,819 |
$549 |
$114 | |
| Abdominal ultrasound (limited) |
$1,514 |
$1,514 |
$519 |
$86 | |
| Abscess drainage (complex or multiple) |
$3,691 |
$3,691 |
$627 |
$220 | |
| Abscess drainage (simple) |
$957 |
$957 |
$217 |
$129 | |
| Abscess incision and drainage |
$1,716 |
$1,716 |
$438 |
$174 | |
| Achilles tendon repair |
$11,729 |
$11,729 |
$7,627 |
$624 | |
| Albumin blood test |
$170 |
$170 |
$31 |
$5 | |
| Aldosterone test |
$32 |
$32 |
$32 |
$41 | |
| Alkaline phosphatase test |
$170 |
$170 |
$31 |
$5 | |
| Allergy patch testing |
$63 |
$63 |
$50 |
$5 | |
| Allergy shots |
$40 |
$40 |
$34 |
$11 | |
| Allergy testing |
$134 |
$134 |
$107 |
$4 | |
| Alpha-fetoprotein (AFP) test |
$790 |
$790 |
$174 |
$17 | |
| ALT liver enzyme test |
$170 |
$170 |
$32 |
$5 | |
| Ammonia blood test |
$457 |
$457 |
$101 |
$15 | |
| Amniocentesis |
$1,512 |
$1,512 |
$968 |
$120 | |
| Amylase test |
$258 |
$258 |
$57 |
$6 | |
| Annual physical (established patient) |
$209 |
$209 |
$136 |
— | |
| Anoscopy |
$548 |
$548 |
$150 |
$129 | |
| Antinuclear antibody (ANA) test |
$479 |
$479 |
$105 |
$12 | |
| Arterial blood gas (ABG) |
$609 |
$609 |
$92 |
$26 | |
| AST liver enzyme test |
$170 |
$170 |
$31 |
$5 | |
| Barium swallow study |
$1,124 |
$1,124 |
$396 |
$107 | |
| Bartholin cyst removal |
$1,622 |
$1,622 |
$219 |
$182 | |
| Basic metabolic panel |
$263 |
$263 |
$58 |
$8 | |
| Benign skin lesion removal |
$722 |
$722 |
$471 |
$171 | |
| Bilirubin blood test |
$170 |
$170 |
$29 |
$5 | |
| Bladder function test (urodynamics) |
$485 |
$485 |
$485 |
$345 | |
| Bladder scope (cystoscopy) |
$1,506 |
$1,506 |
$748 |
$216 | |
| Blood clotting test (PT/INR) |
$84 |
$84 |
$10 |
$4 | |
| Blood crossmatch |
$460 |
$460 |
$206 |
— | |
| Blood glucose test |
$111 |
$111 |
$10 |
$5 | |
| Blood transfusion |
$2,288 |
$2,288 |
$924 |
$47 | |
| Blood type and screen |
$662 |
$662 |
$152 |
$10 | |
| Blood type test |
$251 |
$251 |
$114 |
$3 | |
| Blood type test (ABO group) |
$618 |
$618 |
$238 |
$3 | |
| Blood type test (Rh/D antigen) |
$213 |
$213 |
$70 |
$3 | |
| Bone density scan (DEXA) |
$2,171 |
$2,171 |
$499 |
$39 | |
| Bone marrow biopsy |
$6,215 |
$6,215 |
$2,500 |
$172 | |
| Bone scan (nuclear) |
$3,866 |
$3,866 |
$1,411 |
$259 | |
| Botox for migraine |
$415 |
$415 |
$323 |
$157 | |
| Breast biopsy |
$4,198 |
$4,198 |
$1,840 |
$478 | |
| Breast ultrasound |
$954 |
$954 |
$165 |
$92 | |
| Breast ultrasound (complete) |
$1,154 |
$1,154 |
$439 |
$100 | |
| Breast ultrasound (limited) |
$567 |
$567 |
$144 |
$84 | |
| Breathing tube insertion (intubation) |
$3,615 |
$3,615 |
$1,446 |
$133 | |
| Bronchoscopy |
$6,447 |
$6,447 |
$2,843 |
$303 | |
| Burn dressing and debridement (medium) |
$1,326 |
$1,326 |
$536 |
$166 | |
| Burn dressing and debridement (small) |
$1,092 |
$1,092 |
$443 |
$93 | |
| Burn treatment |
$1,209 |
$1,209 |
$526 |
$129 | |
| C-reactive protein (CRP) |
$493 |
$493 |
$108 |
$5 | |
| CA 19-9 tumor marker test |
$249 |
$249 |
$86 |
$21 | |
| CA-125 ovarian marker test |
$622 |
$622 |
$137 |
$21 | |
| Calcium blood test |
$170 |
$170 |
$31 |
$5 | |
| Capsule endoscopy |
$4,433 |
$4,433 |
$1,615 |
$802 | |
| Cardiac ablation |
$61,717 |
$61,717 |
$30,083 |
$759 | |
| Cardiac catheterization |
$59,812 |
$59,812 |
$15,674 |
$1,049 | |
| Cardiac MRI |
$10,417 |
$10,417 |
$2,080 |
$322 | |
| Cardiac MRI without contrast |
$7,769 |
$7,769 |
$1,787 |
$280 | |
| Cardiac stress test |
$4,596 |
$4,596 |
$994 |
$39 | |
| Cardioversion |
$3,902 |
$3,902 |
$1,756 |
$155 | |
| Carotid artery ultrasound |
$2,988 |
$2,988 |
$534 |
$156 | |
| CEA tumor marker test |
$878 |
$878 |
$193 |
$19 | |
| Celiac disease test |
$194 |
$194 |
$57 |
$12 | |
| Central line placement |
$3,978 |
$3,978 |
$3,182 |
$238 | |
| Cervical cerclage |
$12,468 |
$12,468 |
$5,612 |
$137 | |
| Cervical LEEP procedure |
$1,892 |
$1,892 |
$1,514 |
$325 | |
| Cesarean section (C-section) |
— |
— |
$14,372 |
$7,552 | |
| Chalazion (eyelid cyst) removal |
$372 |
$372 |
$298 |
$131 | |
| Chemotherapy infusion |
$1,621 |
$1,621 |
$368 |
$81 | |
| Chemotherapy infusion (each additional) |
$1,161 |
$1,161 |
$280 |
$28 | |
| Chemotherapy infusion (first hour) |
$2,064 |
$2,064 |
$431 |
$133 | |
| Chest fluid drain (thoracentesis) |
$7,216 |
$7,216 |
$993 |
$311 | |
| Chest tube insertion |
$5,076 |
$5,076 |
$2,589 |
$143 | |
| Chest X-ray |
$615 |
$615 |
$189 |
$37 | |
| Chest X-ray (1 view) |
$374 |
$374 |
$152 |
$25 | |
| Chest X-ray (2 views) |
$654 |
$654 |
$198 |
$33 | |
| Chickenpox (varicella) vaccine |
$692 |
$692 |
$215 |
— | |
| CK-MB heart enzyme test |
$754 |
$754 |
$160 |
$12 | |
| Clotting time test (PTT) |
$219 |
$219 |
$48 |
$6 | |
| Colonoscopy |
$4,663 |
$4,663 |
$1,560 |
$480 | |
| Colposcopy |
$281 |
$281 |
$225 |
$161 | |
| Complete blood count (CBC) |
$259 |
$259 |
$54 |
$7 | |
| Complete blood count (CBC) (complete) |
$273 |
$273 |
$60 |
$8 | |
| Complex wound repair |
$3,233 |
$3,233 |
$826 |
$390 | |
| Comprehensive eye exam |
$116 |
$116 |
$93 |
$138 | |
| Comprehensive metabolic panel |
$368 |
$368 |
$81 |
$11 | |
| Contact lens fitting |
$192 |
$192 |
$125 |
— | |
| Contraceptive implant (Nexplanon) |
$270 |
$270 |
$235 |
$115 | |
| Coronary artery bypass (CABG) |
— |
— |
$51,314 |
$36,593 | |
| Coronary CT angiography |
$6,796 |
$6,796 |
$1,698 |
$326 | |
| Cortisol test |
$613 |
$613 |
$135 |
$16 | |
| COVID-19 PCR test |
$590 |
$590 |
$207 |
$51 | |
| CPAP titration study |
$1,129 |
$1,129 |
$509 |
$69 | |
| Creatine kinase (CK) test |
$205 |
$205 |
$39 |
$7 | |
| CT angiography of the chest |
$9,914 |
$9,914 |
$2,181 |
$281 | |
| CT angiography of the head |
$10,059 |
$10,059 |
$2,263 |
$274 | |
| CT colonography (virtual colonoscopy) |
$1,326 |
$1,326 |
$1,061 |
$835 | |
| CT scan of the abdomen |
$6,048 |
$6,048 |
$1,331 |
$230 | |
| CT scan of the abdomen and pelvis |
$7,194 |
$7,194 |
$1,547 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$9,516 |
$9,516 |
$2,141 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$7,194 |
$7,194 |
$1,744 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$3,778 |
$3,778 |
$1,236 |
$183 | |
| CT scan of the abdomen with and without contrast |
$7,739 |
$7,739 |
$1,741 |
$259 | |
| CT scan of the abdomen with contrast |
$6,048 |
$6,048 |
$1,331 |
$230 | |
| CT scan of the abdomen without contrast |
$4,765 |
$4,765 |
$1,072 |
$136 | |
| CT scan of the arm |
$5,274 |
$5,274 |
$1,219 |
$199 | |
| CT scan of the arm with contrast |
$5,274 |
$5,274 |
$1,219 |
$199 | |
| CT scan of the arm without contrast |
$4,365 |
$4,365 |
$1,004 |
$161 | |
| CT scan of the chest |
$5,518 |
$5,518 |
$435 |
$167 | |
| CT scan of the chest with and without contrast |
$7,583 |
$7,583 |
$1,668 |
$196 | |
| CT scan of the chest with contrast |
$6,041 |
$6,041 |
$1,329 |
$167 | |
| CT scan of the chest without contrast |
$2,749 |
$2,749 |
$304 |
$133 | |
| CT scan of the head |
$4,855 |
$4,855 |
$1,117 |
$148 | |
| CT scan of the head with and without contrast |
$6,026 |
$6,026 |
$1,326 |
$173 | |
| CT scan of the head with contrast |
$4,855 |
$4,855 |
$1,092 |
$148 | |
| CT scan of the head without contrast |
$3,957 |
$3,957 |
$910 |
$107 | |
| CT scan of the leg |
$5,285 |
$5,285 |
$1,219 |
$166 | |
| CT scan of the leg with contrast |
$5,285 |
$5,285 |
$1,216 |
$166 | |
| CT scan of the leg without contrast |
$4,365 |
$4,365 |
$1,004 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$5,904 |
$5,904 |
$1,333 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$7,594 |
$7,594 |
$1,671 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$5,904 |
$5,904 |
$1,361 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$4,995 |
$4,995 |
$1,124 |
$130 | |
| CT scan of the neck |
$5,123 |
$5,123 |
$1,178 |
$183 | |
| CT scan of the neck (cervical spine) |
$5,754 |
$5,754 |
$1,323 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$7,562 |
$7,562 |
$1,664 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$5,898 |
$5,898 |
$1,359 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$4,764 |
$4,764 |
$1,071 |
$131 | |
| CT scan of the neck with and without contrast |
$6,424 |
$6,424 |
$1,441 |
$220 | |
| CT scan of the neck with contrast |
$5,123 |
$5,123 |
$1,172 |
$183 | |
| CT scan of the neck without contrast |
$4,230 |
$4,230 |
$973 |
$150 | |
| CT scan of the pelvis |
$5,816 |
$5,816 |
$1,231 |
$226 | |
| CT scan of the pelvis with and without contrast |
$7,357 |
$7,357 |
$1,619 |
$251 | |
| CT scan of the pelvis with contrast |
$5,816 |
$5,816 |
$1,280 |
$226 | |
| CT scan of the pelvis without contrast |
$4,918 |
$4,918 |
$1,107 |
$133 | |
| CT scan of the sinuses |
$4,745 |
$4,745 |
$291 |
$152 | |
| CT scan of the sinuses with and without contrast |
$6,493 |
$6,493 |
$1,461 |
$184 | |
| CT scan of the sinuses with contrast |
$5,200 |
$5,200 |
$1,196 |
$152 | |
| CT scan of the sinuses without contrast |
$2,248 |
$2,248 |
$179 |
$128 | |
| D-dimer test |
$366 |
$366 |
$81 |
$10 | |
| Defibrillator (ICD) implant |
$61,748 |
$61,748 |
$33,982 |
$798 | |
| Diagnostic mammogram |
$2,240 |
$2,240 |
$563 |
$140 | |
| Dilation and curettage (D&C) |
$3,116 |
$3,116 |
$2,493 |
$298 | |
| Droopy eyelid repair (ptosis) |
$1,638 |
$1,638 |
$1,310 |
$745 | |
| Drug screen (urine) |
$593 |
$593 |
$131 |
$17 | |
| Ear pressure test (tympanometry) |
$75 |
$75 |
$42 |
$16 | |
| Ear tubes (myringotomy) |
$446 |
$446 |
$357 |
$174 | |
| Echocardiogram |
$3,270 |
$3,270 |
$534 |
$138 | |
| Echocardiogram with and without contrast |
$3,270 |
$3,270 |
$426 |
$101 | |
| EEG (awake and asleep) |
$3,980 |
$3,980 |
$1,550 |
$482 | |
| EKG / ECG (tracing only) |
$317 |
$317 |
$108 |
$7 | |
| Electrocardiogram (EKG) |
$317 |
$317 |
$108 |
$8 | |
| Electroencephalogram (EEG) |
$3,653 |
$3,653 |
$1,318 |
$448 | |
| Electrolyte panel |
$218 |
$218 |
$48 |
$7 | |
| Electromyography (EMG) |
$1,110 |
$1,110 |
$176 |
$141 | |
| Emergency department visit |
$2,126 |
$2,126 |
$886 |
$69 | |
| Emergency department visit (level 1) |
$1,314 |
$1,314 |
$526 |
$11 | |
| Emergency department visit (level 2) |
$1,473 |
$1,473 |
$626 |
$40 | |
| Emergency department visit (level 3) |
$2,126 |
$2,126 |
$885 |
$69 | |
| Emergency department visit (level 4) |
$3,489 |
$3,489 |
$1,381 |
$118 | |
| Emergency department visit (level 5) |
$6,331 |
$6,331 |
$2,066 |
$171 | |
| Endometrial biopsy |
$673 |
$673 |
$228 |
$98 | |
| Epidural steroid injection |
$880 |
$880 |
$757 |
$275 | |
| ERCP (bile duct endoscopy) |
$5,799 |
$5,799 |
$4,133 |
$311 | |
| Esophageal dilation |
$1,926 |
$1,926 |
$972 |
$522 | |
| Estradiol (estrogen) test |
$455 |
$455 |
$69 |
$28 | |
| Eyelid surgery (blepharoplasty) |
$1,502 |
$1,502 |
$1,202 |
$552 | |
| Facet joint injection (spine) |
$1,115 |
$1,115 |
$721 |
$99 | |
| Fallopian tube X-ray (HSG) |
$965 |
$965 |
$451 |
$164 | |
| Family therapy session |
$139 |
$139 |
$111 |
$110 | |
| Fecal occult blood (stool) test |
$159 |
$159 |
$27 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$159 |
$159 |
$18 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$143 |
$143 |
$50 |
$16 | |
| Feeding tube (PEG) placement |
$5,355 |
$5,355 |
$2,765 |
$178 | |
| Ferritin (iron) test |
$479 |
$479 |
$105 |
$14 | |
| Fibrinogen test |
$144 |
$144 |
$39 |
$10 | |
| Fibroid removal (myomectomy) |
$10,318 |
$10,318 |
$6,722 |
$914 | |
| Flexible sigmoidoscopy |
$3,163 |
$3,163 |
$1,204 |
$323 | |
| Flu vaccine |
$66 |
$66 |
$27 |
— | |
| Folate (folic acid) test |
$666 |
$666 |
$147 |
$15 | |
| Foreign body removal (skin) |
$1,433 |
$1,433 |
$438 |
$157 | |
| Free T4 thyroid test |
$388 |
$388 |
$85 |
$9 | |
| FSH hormone test |
$407 |
$407 |
$48 |
$19 | |
| GGT liver test |
$127 |
$127 |
$32 |
$7 | |
| Glucose tolerance test |
$306 |
$306 |
$53 |
$8 | |
| Group therapy session |
$115 |
$115 |
$92 |
$30 | |
| H. pylori test |
$646 |
$646 |
$150 |
$67 | |
| HDL cholesterol test |
$249 |
$249 |
$55 |
$8 | |
| Hearing test (audiometry) |
$190 |
$190 |
$138 |
$36 | |
| Hematocrit test |
$143 |
$143 |
$31 |
$2 | |
| Hemodialysis |
$3,114 |
$3,114 |
$1,221 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$108 |
$108 |
$23 |
$10 | |
| Hemorrhoid removal |
$2,058 |
$2,058 |
$977 |
$338 | |
| Hepatitis A vaccine |
$306 |
$306 |
$122 |
— | |
| Hepatitis B vaccine |
$191 |
$191 |
$77 |
— | |
| Hepatitis C test |
$479 |
$479 |
$105 |
$14 | |
| HIV test |
$371 |
$371 |
$92 |
$19 | |
| HIV test (antibody) |
$501 |
$501 |
$110 |
$14 | |
| HIV test (antigen/antibody combo) |
$240 |
$240 |
$84 |
$24 | |
| Holter heart monitor |
$1,106 |
$1,106 |
$159 |
$26 | |
| Home sleep apnea test |
$2,591 |
$2,591 |
$688 |
$123 | |
| HPV vaccine |
$1,110 |
$1,110 |
$533 |
— | |
| Incisional hernia repair |
$12,502 |
$12,502 |
$7,771 |
— | |
| Inguinal hernia repair |
$13,591 |
$13,591 |
$6,334 |
$538 | |
| Iron blood test |
$170 |
$170 |
$39 |
$6 | |
| IUD insertion |
$398 |
$398 |
$211 |
— | |
| IUD removal |
$1,860 |
$1,860 |
$334 |
$112 | |
| IV infusion therapy |
$1,343 |
$1,343 |
$369 |
$44 | |
| IV infusion therapy (each additional) |
$574 |
$574 |
$216 |
$21 | |
| IV infusion therapy (initial) |
$1,860 |
$1,860 |
$663 |
$67 | |
| IVC filter placement |
$15,413 |
$15,413 |
$7,094 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$896 |
$896 |
$332 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$960 |
$960 |
$332 |
$57 | |
| Joint aspiration or injection (small joint) |
$895 |
$895 |
$332 |
$56 | |
| Kidney biopsy |
$7,628 |
$7,628 |
$3,237 |
$492 | |
| Kidney scan (nuclear) |
$5,827 |
$5,827 |
$1,661 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$4,850 |
$4,850 |
$3,816 |
$760 | |
| Kidney ultrasound |
$1,743 |
$1,743 |
$549 |
$84 | |
| Kidney ultrasound (limited) |
$1,684 |
$1,684 |
$549 |
$61 | |
| Knee joint injection |
$1,232 |
$1,232 |
$332 |
$69 | |
| Knee replacement |
— |
— |
$27,234 |
$18,054 | |
| Lactate test |
$419 |
$419 |
$92 |
$12 | |
| Laryngoscopy |
$4,709 |
$4,709 |
$1,983 |
$189 | |
| LDH test |
$170 |
$170 |
$36 |
$6 | |
| LDL cholesterol test |
$249 |
$249 |
$57 |
$11 | |
| Leg artery angiogram |
$8,712 |
$8,712 |
$3,920 |
$149 | |
| Leg artery angioplasty |
$95,422 |
$95,422 |
$31,713 |
— | |
| Leg vein ultrasound (Doppler) |
$3,084 |
$3,084 |
$409 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$3,084 |
$3,084 |
$357 |
$116 | |
| LH hormone test |
$417 |
$417 |
$51 |
$19 | |
| Lipase test |
$289 |
$289 |
$64 |
$7 | |
| Lipid (cholesterol) panel |
$480 |
$480 |
$106 |
$13 | |
| Liver biopsy |
$2,780 |
$2,780 |
$1,788 |
$288 | |
| Liver function panel |
$254 |
$254 |
$56 |
$8 | |
| Lower back (lumbar) spinal fusion |
— |
— |
$57,023 |
$1,511 | |
| Lung function test (PFT) |
$937 |
$937 |
$262 |
$37 | |
| Magnesium blood test |
$184 |
$184 |
$40 |
$7 | |
| MMR vaccine |
$352 |
$352 |
$120 |
— | |
| Mohs skin cancer surgery |
$1,231 |
$1,231 |
$517 |
$535 | |
| MRA of the brain |
$10,779 |
$10,779 |
$2,371 |
$226 | |
| MRA of the brain with contrast |
$10,779 |
$10,779 |
$2,371 |
$226 | |
| MRA of the brain without contrast |
$18,488 |
$18,488 |
$4,067 |
$328 | |
| MRA of the neck |
$11,141 |
$11,141 |
$2,451 |
$245 | |
| MRA of the neck with contrast |
$11,141 |
$11,141 |
$2,451 |
$245 | |
| MRA of the neck without contrast |
$18,474 |
$18,474 |
$4,064 |
$343 | |
| MRI of the abdomen |
$11,768 |
$11,768 |
$2,380 |
$300 | |
| MRI of the abdomen with contrast |
$11,768 |
$11,768 |
$2,589 |
$300 | |
| MRI of the abdomen without contrast |
$9,437 |
$9,437 |
$2,078 |
$194 | |
| MRI of the ankle |
$11,346 |
$11,346 |
$2,496 |
$261 | |
| MRI of the ankle with contrast |
$11,346 |
$11,346 |
$2,496 |
$261 | |
| MRI of the ankle without contrast |
$9,280 |
$9,280 |
$2,080 |
$222 | |
| MRI of the brain |
$11,605 |
$11,605 |
$2,337 |
$269 | |
| MRI of the brain with contrast |
$11,605 |
$11,605 |
$2,469 |
$269 | |
| MRI of the brain without contrast |
$9,957 |
$9,957 |
$2,177 |
$195 | |
| MRI of the chest |
$11,872 |
$11,872 |
$2,641 |
$371 | |
| MRI of the chest with contrast |
$11,872 |
$11,872 |
$2,700 |
$371 | |
| MRI of the chest without contrast |
$19,727 |
$19,727 |
$3,983 |
$466 | |
| MRI of the knee |
$10,472 |
$10,472 |
$2,355 |
$315 | |
| MRI of the knee with contrast |
$11,199 |
$11,199 |
$2,576 |
$315 | |
| MRI of the knee without contrast |
$9,710 |
$9,710 |
$2,129 |
$204 | |
| MRI of the lower back (lumbar spine) |
$11,605 |
$11,605 |
$2,385 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$11,605 |
$11,605 |
$2,465 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$10,369 |
$10,369 |
$2,181 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$11,201 |
$11,201 |
$2,385 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$19,127 |
$19,127 |
$3,785 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$11,201 |
$11,201 |
$2,292 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$10,369 |
$10,369 |
$2,181 |
$190 | |
| MRI of the neck (cervical spine) |
$11,597 |
$11,597 |
$2,293 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$19,434 |
$19,434 |
$3,846 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$11,597 |
$11,597 |
$2,467 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$9,578 |
$9,578 |
$2,094 |
$191 | |
| MRI of the pelvis |
$11,402 |
$11,402 |
$2,310 |
$268 | |
| MRI of the pelvis with contrast |
$11,402 |
$11,402 |
$2,435 |
$268 | |
| MRI of the pelvis without contrast |
$9,813 |
$9,813 |
$2,158 |
$227 | |
| MRI of the shoulder |
$11,150 |
$11,150 |
$2,565 |
$313 | |
| MRI of the shoulder with contrast |
$11,150 |
$11,150 |
$2,565 |
$313 | |
| MRI of the shoulder without contrast |
$9,618 |
$9,618 |
$2,116 |
$205 | |
| MRI of the wrist |
$11,360 |
$11,360 |
$2,499 |
$330 | |
| MRI of the wrist with contrast |
$11,360 |
$11,360 |
$2,499 |
$330 | |
| MRI of the wrist without contrast |
$9,822 |
$9,822 |
$2,161 |
$303 | |
| Nebulizer breathing treatment |
$491 |
$491 |
$256 |
$9 | |
| Nerve conduction study |
$1,258 |
$1,258 |
$252 |
$118 | |
| Nuchal translucency ultrasound |
$892 |
$892 |
$192 |
$116 | |
| Nuclear cardiac stress test |
$12,187 |
$12,187 |
$3,234 |
$428 | |
| Occupational therapy evaluation |
$496 |
$496 |
$198 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$496 |
$496 |
$198 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$496 |
$496 |
$198 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$496 |
$496 |
$198 |
$101 | |
| Office visit (established patient) |
$442 |
$442 |
$293 |
$115 | |
| Office visit, established patient (level 3) |
$366 |
$366 |
$238 |
$95 | |
| Office visit, established patient (level 4) |
$518 |
$518 |
$337 |
$136 | |
| Orthopedic hardware removal |
$1,995 |
$1,995 |
$1,596 |
$632 | |
| Ovarian cyst removal |
$4,107 |
$4,107 |
$4,025 |
$698 | |
| Pacemaker insertion |
— |
— |
$28,665 |
$15,506 | |
| Pap smear (cervical screening) |
$307 |
$307 |
$96 |
$20 | |
| Parathyroid hormone (PTH) test |
$839 |
$839 |
$145 |
$41 | |
| Pelvic ultrasound |
$929 |
$929 |
$187 |
$78 | |
| Pelvic ultrasound (complete) |
$1,401 |
$1,401 |
$198 |
$105 | |
| Pelvic ultrasound (limited) |
$929 |
$929 |
$183 |
$51 | |
| PET scan |
$25,081 |
$25,081 |
$5,643 |
— | |
| Phosphorus blood test |
$170 |
$170 |
$31 |
$5 | |
| Physical therapy evaluation |
$708 |
$708 |
$281 |
$98 | |
| Physical therapy evaluation (high complexity) |
$708 |
$708 |
$283 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$708 |
$708 |
$283 |
$98 | |
| Platelet count |
$123 |
$123 |
$27 |
$4 | |
| Pneumonia vaccine |
$631 |
$631 |
$187 |
— | |
| Pregnancy blood test (hCG) |
$32 |
$32 |
$14 |
$8 | |
| Pregnancy ultrasound |
$1,069 |
$1,069 |
$204 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$1,060 |
$1,060 |
$198 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$1,680 |
$1,680 |
$217 |
$136 | |
| Procalcitonin test |
$649 |
$649 |
$149 |
$27 | |
| Prolactin test |
$323 |
$323 |
$51 |
$19 | |
| Prostate biopsy |
$8,140 |
$8,140 |
$3,955 |
— | |
| Prostate test (PSA) |
$554 |
$554 |
$93 |
$18 | |
| Psychiatric evaluation |
$783 |
$783 |
$317 |
$188 | |
| Psychotherapy session |
$175 |
$175 |
$151 |
$140 | |
| Retina scan (OCT) |
$304 |
$304 |
$74 |
$33 | |
| Retinal (fundus) photography |
$506 |
$506 |
$143 |
$37 | |
| Routine eye exam |
$116 |
$116 |
$93 |
$88 | |
| RSV vaccine |
$537 |
$537 |
$360 |
— | |
| Scoliosis spine X-ray |
$735 |
$735 |
$228 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$569 |
$569 |
$208 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$900 |
$900 |
$345 |
$72 | |
| Screening colonoscopy |
$701 |
$701 |
$701 |
$378 | |
| Screening mammogram |
$2,388 |
$2,388 |
$525 |
$126 | |
| Scrotal ultrasound |
$2,305 |
$2,305 |
$549 |
$99 | |
| Sedimentation rate (ESR) test |
$162 |
$162 |
$32 |
$3 | |
| Semen analysis |
$191 |
$191 |
$55 |
$12 | |
| Septoplasty (deviated septum) |
$2,077 |
$2,077 |
$1,662 |
$613 | |
| Shingles vaccine |
$776 |
$776 |
$380 |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
$1,286 |
$1,286 |
$217 |
$114 | |
| Simple wound stitches |
$1,286 |
$1,286 |
$217 |
$127 | |
| Sinus surgery (endoscopic) |
$2,680 |
$2,680 |
$2,138 |
$224 | |
| Skin biopsy |
$746 |
$746 |
$480 |
$121 | |
| Skin biopsy (punch) |
$1,037 |
$1,037 |
$531 |
$121 | |
| Skin cancer lesion removal |
$464 |
$464 |
$446 |
$240 | |
| Skin graft |
$2,475 |
$2,475 |
$1,980 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$258 |
$258 |
$60 |
$36 | |
| Skin tag removal |
$877 |
$877 |
$215 |
$92 | |
| Sleep study (polysomnography) |
$10,958 |
$10,958 |
$4,224 |
$691 | |
| Small bowel resection |
$22,283 |
$22,283 |
$14,484 |
$1,136 | |
| Soft tissue ultrasound |
$171 |
$171 |
$116 |
$64 | |
| Speech therapy |
$262 |
$262 |
$125 |
$76 | |
| Spinal tap (lumbar puncture) |
$1,174 |
$1,174 |
$742 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$45,002 |
$45,002 |
$16,415 |
$5,803 | |
| Spirometry (lung function test) |
$981 |
$981 |
$228 |
$30 | |
| Spirometry with bronchodilator |
$937 |
$937 |
$283 |
$43 | |
| Strep throat test |
$20 |
$20 |
$17 |
$17 | |
| Stress echocardiogram |
$2,879 |
$2,879 |
$620 |
$209 | |
| Stress echocardiogram (complete) |
$1,761 |
$1,761 |
$609 |
$233 | |
| Swallow study |
$1,025 |
$1,025 |
$297 |
$85 | |
| T3 thyroid test |
$525 |
$525 |
$116 |
$14 | |
| Tdap (tetanus) vaccine |
$175 |
$175 |
$72 |
— | |
| Testosterone test |
$540 |
$540 |
$116 |
$26 | |
| Thyroid test (TSH) |
$335 |
$335 |
$45 |
$17 | |
| Thyroid ultrasound |
$1,512 |
$1,512 |
$153 |
$109 | |
| Thyroid uptake scan |
$3,268 |
$3,268 |
$826 |
$145 | |
| Tonsillectomy |
$2,077 |
$2,077 |
$1,662 |
$252 | |
| Total IgE allergy test |
$355 |
$355 |
$82 |
$16 | |
| Total protein test |
$170 |
$170 |
$31 |
$4 | |
| Tracheostomy |
$2,077 |
$2,077 |
$1,662 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$9,769 |
$9,769 |
$2,872 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$9,769 |
$9,769 |
$2,872 |
$239 | |
| Transvaginal ultrasound |
$1,457 |
$1,457 |
$222 |
$118 | |
| Trigger finger release |
$2,315 |
$2,315 |
$1,690 |
$630 | |
| Trigger point injection |
$870 |
$870 |
$329 |
$56 | |
| Trigger point injection (1-2 muscles) |
$857 |
$857 |
$329 |
$52 | |
| Triglycerides test |
$195 |
$195 |
$36 |
$6 | |
| Troponin (heart) test |
$772 |
$772 |
$168 |
$12 | |
| Turbinate reduction |
$1,712 |
$1,712 |
$1,347 |
$294 | |
| Turning a breech baby (version) |
$2,061 |
$2,061 |
$1,649 |
$94 | |
| Umbilical hernia repair |
$9,887 |
$9,887 |
$6,427 |
— | |
| Upper GI endoscopy (EGD) |
$3,897 |
$3,897 |
$1,011 |
$371 | |
| Upper GI series (barium) |
$1,458 |
$1,458 |
$537 |
$128 | |
| Ureteral stent placement |
$11,957 |
$11,957 |
$5,022 |
$373 | |
| Uric acid (gout) test |
$170 |
$170 |
$31 |
$5 | |
| Urinalysis |
$125 |
$125 |
$11 |
$3 | |
| Urine microalbumin test |
$249 |
$249 |
$49 |
$5 | |
| Urine pregnancy test |
$205 |
$205 |
$21 |
$9 | |
| UV light therapy (skin) |
$255 |
$255 |
$112 |
$106 | |
| Vaccine administration |
$60 |
$60 |
$50 |
$19 | |
| Vaccine administration (each additional) |
$50 |
$50 |
$30 |
$16 | |
| Vaginal delivery |
— |
— |
$9,965 |
$5,487 | |
| Varicose vein ablation |
$4,017 |
$4,017 |
$3,418 |
$1,018 | |
| Visual field test |
$730 |
$730 |
$143 |
$64 | |
| Vitamin B12 test |
$655 |
$655 |
$144 |
$15 | |
| Vitamin D test |
$334 |
$334 |
$117 |
$30 | |
| Wart removal |
$271 |
$271 |
$184 |
$121 | |
| Weight-loss (bariatric) surgery |
— |
— |
$24,881 |
$11,645 | |
| Wound debridement |
$334 |
$334 |
$334 |
$186 | |
| X-ray of the abdomen |
$545 |
$545 |
$198 |
$36 | |
| X-ray of the ankle |
$467 |
$467 |
$187 |
$37 | |
| X-ray of the collarbone |
$428 |
$428 |
$170 |
$33 | |
| X-ray of the elbow |
$525 |
$525 |
$210 |
$33 | |
| X-ray of the facial bones |
$588 |
$588 |
$202 |
$39 | |
| X-ray of the foot |
$454 |
$454 |
$182 |
$34 | |
| X-ray of the forearm |
$428 |
$428 |
$170 |
$29 | |
| X-ray of the hand |
$454 |
$454 |
$182 |
$38 | |
| X-ray of the hip |
$585 |
$585 |
$199 |
$49 | |
| X-ray of the hip (1 view) |
$445 |
$445 |
$178 |
$34 | |
| X-ray of the hip (3 views) |
$585 |
$585 |
$226 |
$49 | |
| X-ray of the hip (4 views) |
$728 |
$728 |
$282 |
$63 | |
| X-ray of the knee |
$511 |
$511 |
$196 |
$42 | |
| X-ray of the knee (2 views) |
$435 |
$435 |
$172 |
$34 | |
| X-ray of the knee (3 views) |
$511 |
$511 |
$204 |
$42 | |
| X-ray of the knee (4+ views) |
$570 |
$570 |
$228 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$696 |
$696 |
$235 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$588 |
$588 |
$233 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$803 |
$803 |
$310 |
$53 | |
| X-ray of the lower leg |
$428 |
$428 |
$170 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$579 |
$579 |
$215 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$537 |
$537 |
$208 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$621 |
$621 |
$234 |
$39 | |
| X-ray of the neck (cervical spine) |
$661 |
$661 |
$215 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$537 |
$537 |
$213 |
$40 | |
| X-ray of the pelvis |
$510 |
$510 |
$191 |
$36 | |
| X-ray of the pelvis (1 view) |
$425 |
$425 |
$171 |
$28 | |
| X-ray of the ribs |
$570 |
$570 |
$203 |
$42 | |
| X-ray of the ribs (2 views) |
$492 |
$492 |
$190 |
$36 | |
| X-ray of the ribs (3 views) |
$570 |
$570 |
$223 |
$42 | |
| X-ray of the shoulder |
$480 |
$480 |
$189 |
$36 | |
| X-ray of the skull |
$642 |
$642 |
$215 |
$40 | |
| X-ray of the upper arm |
$480 |
$480 |
$189 |
$32 | |
| X-ray of the wrist |
$477 |
$477 |
$191 |
$43 | |
| YAG laser capsulotomy (eye) |
$960 |
$960 |
$590 |
$335 | |
| Zinc blood test |
$415 |
$415 |
$71 |
$11 | |