| 3D mammogram (tomosynthesis) |
$60 |
$241 |
$75 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$938 |
$3,750 |
$1,988 |
$284 | |
| Abdominal ultrasound |
$341 |
$1,362 |
$194 |
$100 | |
| Abdominal ultrasound (complete) |
$395 |
$1,580 |
$258 |
$114 | |
| Abdominal ultrasound (limited) |
$341 |
$1,362 |
$194 |
$86 | |
| Abscess drainage (complex or multiple) |
$254 |
$1,016 |
$533 |
$220 | |
| Abscess drainage (simple) |
$139 |
$556 |
$295 |
$129 | |
| Abscess incision and drainage |
$197 |
$786 |
$375 |
$174 | |
| Albumin blood test |
$24 |
$95 |
$6 |
$5 | |
| Aldosterone test |
$154 |
$616 |
$68 |
$41 | |
| Alkaline phosphatase test |
$28 |
$112 |
$11 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$76 |
$304 |
$38 |
$17 | |
| ALT liver enzyme test |
$23 |
$93 |
$12 |
$5 | |
| Ammonia blood test |
$49 |
$194 |
$24 |
$15 | |
| Amylase test |
$44 |
$177 |
$12 |
$6 | |
| Anoscopy |
$87 |
$347 |
$184 |
$129 | |
| Antinuclear antibody (ANA) test |
$78 |
$310 |
$28 |
$12 | |
| Aortic aneurysm repair (AAA) |
$4,793 |
$19,171 |
$16,913 |
$1,345 | |
| Appendix removal (appendectomy) |
— |
— |
$15,156 |
$592 | |
| Arterial blood gas (ABG) |
$54 |
$217 |
$51 |
$26 | |
| AST liver enzyme test |
$24 |
$94 |
$11 |
$5 | |
| Barium swallow study |
$263 |
$1,050 |
$223 |
$107 | |
| Bartholin cyst removal |
$118 |
$470 |
$249 |
$182 | |
| Basic metabolic panel |
$57 |
$226 |
$18 |
$8 | |
| Benign skin lesion removal |
$485 |
$1,940 |
$533 |
$171 | |
| Bilirubin blood test |
$25 |
$101 |
$13 |
$5 | |
| Bladder function test (urodynamics) |
$501 |
$2,003 |
$547 |
$345 | |
| Blood clotting test (PT/INR) |
$21 |
$84 |
$8 |
$4 | |
| Blood crossmatch |
$66 |
$265 |
$63 |
— | |
| Blood glucose test |
$16 |
$63 |
$8 |
$5 | |
| Blood transfusion |
$450 |
$1,798 |
$429 |
$47 | |
| Blood type and screen |
$23 |
$90 |
$17 |
$10 | |
| Blood type test |
$42 |
$169 |
$8 |
$3 | |
| Blood type test (ABO group) |
$42 |
$169 |
$8 |
$3 | |
| Blood type test (Rh/D antigen) |
$30 |
$120 |
$8 |
$3 | |
| BNP (heart failure) test |
$115 |
$460 |
$73 |
$39 | |
| Bone density scan (DEXA) |
$172 |
$687 |
$174 |
$39 | |
| Bone marrow biopsy |
$1,092 |
$4,366 |
$116 |
$172 | |
| Bone scan (nuclear) |
$881 |
$3,524 |
$640 |
$259 | |
| Breast biopsy |
$1,341 |
$5,362 |
$2,773 |
$478 | |
| Breast MRI |
$600 |
$2,400 |
$843 |
$216 | |
| Breast MRI without contrast |
$600 |
$2,400 |
$682 |
$216 | |
| Breast ultrasound |
$196 |
$782 |
$215 |
$92 | |
| Breast ultrasound (complete) |
$244 |
$974 |
$215 |
$100 | |
| Breast ultrasound (limited) |
$196 |
$782 |
$193 |
$84 | |
| Breathing tube insertion (intubation) |
$298 |
$1,193 |
$533 |
$133 | |
| Bronchoscopy |
$603 |
$2,413 |
$533 |
$303 | |
| Burn dressing and debridement (medium) |
$165 |
$661 |
$350 |
$166 | |
| Burn dressing and debridement (small) |
$165 |
$661 |
$368 |
$93 | |
| Burn treatment |
$165 |
$661 |
$350 |
$129 | |
| C-reactive protein (CRP) |
$36 |
$144 |
$8 |
$5 | |
| CA 19-9 tumor marker test |
$50 |
$199 |
$44 |
$21 | |
| CA-125 ovarian marker test |
$93 |
$374 |
$44 |
$21 | |
| Calcium blood test |
$22 |
$88 |
$11 |
$5 | |
| Cardiac ablation |
$13,589 |
$54,355 |
$44,522 |
$759 | |
| Cardiac catheterization |
$5,519 |
$22,075 |
$17,788 |
$1,049 | |
| Cardiac MRI |
$1,105 |
$4,419 |
$857 |
$322 | |
| Cardiac MRI without contrast |
$948 |
$3,790 |
$724 |
$280 | |
| Cardiac rehabilitation |
$104 |
$417 |
$358 |
$26 | |
| Cardiac stress test |
$477 |
$1,907 |
$1,047 |
$39 | |
| Cardioversion |
$447 |
$1,787 |
$925 |
$155 | |
| Carotid artery ultrasound |
$502 |
$2,009 |
$776 |
$156 | |
| CEA tumor marker test |
$61 |
$245 |
$36 |
$19 | |
| Celiac disease test |
$58 |
$232 |
$42 |
$12 | |
| Central line placement |
$1,297 |
$5,188 |
$1,280 |
$238 | |
| Cesarean section (C-section) |
— |
— |
$8,957 |
$7,552 | |
| Chemotherapy infusion |
$180 |
$719 |
$215 |
$81 | |
| Chemotherapy infusion (each additional) |
$103 |
$412 |
$73 |
$28 | |
| Chemotherapy infusion (first hour) |
$257 |
$1,026 |
$250 |
$133 | |
| Chest fluid drain (thoracentesis) |
$958 |
$3,830 |
$3,137 |
$311 | |
| Chest tube insertion |
$737 |
$2,946 |
$2,470 |
$143 | |
| Chest X-ray |
$133 |
$534 |
$96 |
$37 | |
| Chest X-ray (1 view) |
$102 |
$408 |
$54 |
$25 | |
| Chest X-ray (2 views) |
$123 |
$493 |
$86 |
$33 | |
| Chickenpox (varicella) vaccine |
$155 |
$619 |
$204 |
— | |
| Circumcision |
$249 |
$996 |
$528 |
$167 | |
| CK-MB heart enzyme test |
$35 |
$138 |
$22 |
$12 | |
| Clotting time test (PTT) |
$36 |
$144 |
$14 |
$6 | |
| Colposcopy |
$230 |
$920 |
$129 |
$161 | |
| Complete blood count (CBC) |
$32 |
$127 |
$14 |
$7 | |
| Complete blood count (CBC) (complete) |
$35 |
$141 |
$14 |
$8 | |
| Complex wound repair |
$332 |
$1,326 |
$1,246 |
$390 | |
| Comprehensive metabolic panel |
$112 |
$449 |
$22 |
$11 | |
| Contraceptive implant (Nexplanon) |
$92 |
$368 |
$195 |
$115 | |
| Copper blood test |
$68 |
$271 |
$25 |
$12 | |
| Coronary angioplasty / stent (PCI) |
— |
— |
$37,585 |
$426 | |
| Coronary artery bypass (CABG) |
— |
— |
$43,936 |
$36,593 | |
| Coronary CT angiography |
$1,050 |
$4,201 |
$1,267 |
$326 | |
| Cortisol test |
$88 |
$352 |
$29 |
$16 | |
| COVID-19 PCR test |
$53 |
$210 |
$64 |
$51 | |
| CPAP titration study |
$554 |
$2,216 |
$1,905 |
$69 | |
| Creatine kinase (CK) test |
$13 |
$53 |
$13 |
$7 | |
| CT angiography of the chest |
$1,158 |
$4,630 |
$538 |
$281 | |
| CT angiography of the head |
$999 |
$3,995 |
$522 |
$274 | |
| CT scan of the abdomen |
$961 |
$3,844 |
$329 |
$230 | |
| CT scan of the abdomen and pelvis |
$1,421 |
$5,684 |
$483 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$1,604 |
$6,415 |
$740 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$1,421 |
$5,684 |
$629 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,091 |
$4,362 |
$298 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,131 |
$4,523 |
$495 |
$259 | |
| CT scan of the abdomen with contrast |
$961 |
$3,844 |
$472 |
$230 | |
| CT scan of the abdomen without contrast |
$644 |
$2,576 |
$237 |
$136 | |
| CT scan of the arm |
$913 |
$3,653 |
$570 |
$199 | |
| CT scan of the arm with contrast |
$913 |
$3,653 |
$570 |
$199 | |
| CT scan of the arm without contrast |
$543 |
$2,170 |
$392 |
$161 | |
| CT scan of the chest |
$851 |
$3,405 |
$308 |
$167 | |
| CT scan of the chest with and without contrast |
$1,044 |
$4,175 |
$417 |
$196 | |
| CT scan of the chest with contrast |
$851 |
$3,405 |
$337 |
$167 | |
| CT scan of the chest without contrast |
$622 |
$2,487 |
$252 |
$133 | |
| CT scan of the head |
$1,093 |
$4,373 |
$242 |
$148 | |
| CT scan of the head with and without contrast |
$1,328 |
$5,313 |
$336 |
$173 | |
| CT scan of the head with contrast |
$1,093 |
$4,373 |
$279 |
$148 | |
| CT scan of the head without contrast |
$665 |
$2,659 |
$204 |
$107 | |
| CT scan of the leg |
$708 |
$2,830 |
$433 |
$166 | |
| CT scan of the leg with contrast |
$708 |
$2,830 |
$433 |
$166 | |
| CT scan of the leg without contrast |
$635 |
$2,539 |
$317 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$814 |
$3,254 |
$344 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,009 |
$4,035 |
$452 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$814 |
$3,254 |
$366 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$666 |
$2,665 |
$264 |
$130 | |
| CT scan of the neck |
$1,092 |
$4,369 |
$321 |
$183 | |
| CT scan of the neck (cervical spine) |
$809 |
$3,234 |
$346 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,150 |
$4,598 |
$454 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$809 |
$3,234 |
$366 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$658 |
$2,631 |
$265 |
$131 | |
| CT scan of the neck with and without contrast |
$1,271 |
$5,083 |
$431 |
$220 | |
| CT scan of the neck with contrast |
$1,092 |
$4,369 |
$353 |
$183 | |
| CT scan of the neck without contrast |
$611 |
$2,445 |
$267 |
$150 | |
| CT scan of the pelvis |
$880 |
$3,518 |
$337 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,193 |
$4,773 |
$501 |
$251 | |
| CT scan of the pelvis with contrast |
$880 |
$3,518 |
$472 |
$226 | |
| CT scan of the pelvis without contrast |
$707 |
$2,828 |
$240 |
$133 | |
| CT scan of the sinuses |
$915 |
$3,658 |
$295 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,370 |
$5,481 |
$370 |
$184 | |
| CT scan of the sinuses with contrast |
$915 |
$3,658 |
$292 |
$152 | |
| CT scan of the sinuses without contrast |
$859 |
$3,437 |
$255 |
$128 | |
| D-dimer test |
$53 |
$210 |
$21 |
$10 | |
| Defibrillator (ICD) implant |
$21,023 |
$84,091 |
$72,280 |
$798 | |
| DHEA-sulfate test |
$108 |
$430 |
$44 |
$22 | |
| Diagnostic mammogram |
$171 |
$683 |
$207 |
$140 | |
| Drug screen (urine) |
$49 |
$197 |
$111 |
$17 | |
| Echocardiogram |
$310 |
$1,240 |
$556 |
$138 | |
| Echocardiogram with and without contrast |
$232 |
$926 |
$509 |
$101 | |
| Echocardiogram without contrast |
$310 |
$1,240 |
$682 |
$138 | |
| EEG (awake and asleep) |
$489 |
$1,954 |
$1,036 |
$482 | |
| EKG / ECG (tracing only) |
$121 |
$484 |
$222 |
$7 | |
| Electrocardiogram (EKG) |
$121 |
$484 |
$222 |
$8 | |
| Electroencephalogram (EEG) |
$398 |
$1,591 |
$759 |
$448 | |
| Electrolyte panel |
$17 |
$67 |
$14 |
$7 | |
| Electromyography (EMG) |
$229 |
$914 |
$484 |
$141 | |
| Emergency department visit |
$242 |
$969 |
$126 |
$69 | |
| Emergency department visit (level 1) |
$66 |
$264 |
$40 |
$11 | |
| Emergency department visit (level 2) |
$149 |
$598 |
$51 |
$40 | |
| Emergency department visit (level 3) |
$380 |
$1,521 |
$96 |
$69 | |
| Emergency department visit (level 4) |
$395 |
$1,581 |
$146 |
$118 | |
| Emergency department visit (level 5) |
$497 |
$1,986 |
$215 |
$171 | |
| Endometrial biopsy |
$136 |
$545 |
$81 |
$98 | |
| Epidural steroid injection |
$985 |
$3,939 |
$1,314 |
$275 | |
| Estradiol (estrogen) test |
$110 |
$441 |
$50 |
$28 | |
| Fallopian tube X-ray (HSG) |
$603 |
$2,414 |
$280 |
$164 | |
| Fecal occult blood (stool) test |
$23 |
$92 |
$8 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$9 |
$34 |
$7 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$37 |
$149 |
$26 |
$16 | |
| Ferritin (iron) test |
$60 |
$239 |
$26 |
$14 | |
| Fibrinogen test |
$57 |
$228 |
$19 |
$10 | |
| Flexible sigmoidoscopy |
$608 |
$2,430 |
$1,280 |
$323 | |
| Flu test |
$12 |
$49 |
$25 |
$17 | |
| Folate (folic acid) test |
$54 |
$215 |
$27 |
$15 | |
| Foreign body removal (skin) |
$254 |
$1,016 |
$538 |
$157 | |
| Free T4 thyroid test |
$65 |
$258 |
$17 |
$9 | |
| FSH hormone test |
$93 |
$373 |
$36 |
$19 | |
| Gallbladder scan (HIDA) |
$626 |
$2,503 |
$564 |
$334 | |
| GGT liver test |
$21 |
$85 |
$13 |
$7 | |
| Glucose tolerance test |
$43 |
$172 |
$16 |
$8 | |
| H. pylori test |
$138 |
$552 |
$129 |
$67 | |
| HDL cholesterol test |
$26 |
$103 |
$15 |
$8 | |
| Hematocrit test |
$9 |
$36 |
$6 |
$2 | |
| Hemodialysis |
$613 |
$2,452 |
$2,035 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$59 |
$235 |
$17 |
$10 | |
| Hepatitis A vaccine |
$60 |
$240 |
$76 |
— | |
| Hepatitis B test |
$52 |
$207 |
$26 |
$10 | |
| Hepatitis B vaccine |
$39 |
$157 |
$77 |
— | |
| Hepatitis C test |
$68 |
$270 |
$35 |
$14 | |
| HIV test |
$68 |
$270 |
$52 |
$19 | |
| HIV test (antigen/antibody combo) |
$68 |
$270 |
$52 |
$24 | |
| Holter heart monitor |
$321 |
$1,283 |
$442 |
$26 | |
| Iron blood test |
$9 |
$34 |
$16 |
$6 | |
| IUD insertion |
$56 |
$224 |
$119 |
— | |
| IUD removal |
$78 |
$313 |
$166 |
$112 | |
| IV infusion therapy |
$56 |
$223 |
$118 |
$44 | |
| IV infusion therapy (each additional) |
$56 |
$223 |
$118 |
$21 | |
| IV infusion therapy (initial) |
$198 |
$793 |
$420 |
$67 | |
| IVC filter placement |
$3,654 |
$14,615 |
$11,971 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$208 |
$832 |
$441 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$208 |
$832 |
$463 |
$57 | |
| Joint aspiration or injection (small joint) |
$208 |
$832 |
$441 |
$56 | |
| Kidney biopsy |
$1,359 |
$5,435 |
$2,827 |
$492 | |
| Kidney scan (nuclear) |
$984 |
$3,936 |
$380 |
$172 | |
| Kidney ultrasound |
$343 |
$1,371 |
$190 |
$84 | |
| Kidney ultrasound (limited) |
$221 |
$884 |
$98 |
$61 | |
| Knee joint injection |
$450 |
$1,800 |
$547 |
$69 | |
| Knee replacement |
— |
— |
$23,117 |
$18,054 | |
| Lactate test |
$45 |
$181 |
$19 |
$12 | |
| Laryngoscopy |
$196 |
$784 |
$403 |
$189 | |
| LDH test |
$35 |
$139 |
$12 |
$6 | |
| LDL cholesterol test |
$18 |
$73 |
$20 |
$11 | |
| Leg artery angiogram |
$1,707 |
$6,826 |
$189 |
$149 | |
| Leg artery angioplasty |
$5,908 |
$23,631 |
$14,809 |
— | |
| Leg vein ultrasound (Doppler) |
$536 |
$2,142 |
$867 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$442 |
$1,769 |
$796 |
$116 | |
| LH hormone test |
$89 |
$356 |
$36 |
$19 | |
| Lipase test |
$28 |
$113 |
$12 |
$7 | |
| Lipid (cholesterol) panel |
$82 |
$326 |
$28 |
$13 | |
| Liver biopsy |
$910 |
$3,638 |
$1,928 |
$288 | |
| Liver function panel |
$61 |
$244 |
$17 |
$8 | |
| Lower back (lumbar) spinal fusion |
— |
— |
$63,966 |
$1,511 | |
| Lung function test (PFT) |
$393 |
$1,571 |
$379 |
$37 | |
| Lung scan (V/Q) |
$643 |
$2,573 |
$611 |
$291 | |
| Magnesium blood test |
$23 |
$90 |
$14 |
$7 | |
| MMR vaccine |
$76 |
$304 |
$108 |
— | |
| MRA of the brain |
$1,360 |
$5,440 |
$945 |
$226 | |
| MRA of the brain with contrast |
$1,360 |
$5,440 |
$740 |
$226 | |
| MRA of the brain without contrast |
$1,745 |
$6,980 |
$946 |
$328 | |
| MRA of the neck |
$857 |
$3,427 |
$945 |
$245 | |
| MRA of the neck without contrast |
$1,246 |
$4,982 |
$946 |
$343 | |
| MRI of the abdomen |
$1,130 |
$4,521 |
$945 |
$300 | |
| MRI of the abdomen with contrast |
$1,130 |
$4,521 |
$785 |
$300 | |
| MRI of the abdomen without contrast |
$1,048 |
$4,193 |
$741 |
$194 | |
| MRI of the ankle |
$1,161 |
$4,645 |
$945 |
$261 | |
| MRI of the ankle with contrast |
$1,123 |
$4,492 |
$945 |
$261 | |
| MRI of the ankle without contrast |
$1,161 |
$4,645 |
$945 |
$222 | |
| MRI of the brain |
$1,700 |
$6,801 |
$741 |
$269 | |
| MRI of the brain with contrast |
$1,700 |
$6,801 |
$741 |
$269 | |
| MRI of the brain without contrast |
$1,177 |
$4,706 |
$741 |
$195 | |
| MRI of the chest |
$1,011 |
$4,044 |
$945 |
$371 | |
| MRI of the chest with contrast |
$1,011 |
$4,044 |
$807 |
$371 | |
| MRI of the chest without contrast |
$1,995 |
$7,980 |
$945 |
$466 | |
| MRI of the knee |
$1,326 |
$5,303 |
$945 |
$315 | |
| MRI of the knee with contrast |
$1,326 |
$5,303 |
$945 |
$315 | |
| MRI of the knee without contrast |
$1,189 |
$4,754 |
$945 |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,598 |
$6,392 |
$741 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,598 |
$6,392 |
$741 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,218 |
$4,871 |
$660 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,271 |
$5,083 |
$741 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$1,849 |
$7,396 |
$741 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,271 |
$5,083 |
$741 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,075 |
$4,301 |
$660 |
$190 | |
| MRI of the neck (cervical spine) |
$1,341 |
$5,365 |
$741 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$1,823 |
$7,291 |
$741 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,341 |
$5,365 |
$741 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,184 |
$4,735 |
$741 |
$191 | |
| MRI of the pelvis |
$1,170 |
$4,678 |
$945 |
$268 | |
| MRI of the pelvis with contrast |
$1,170 |
$4,678 |
$708 |
$268 | |
| MRI of the pelvis without contrast |
$1,114 |
$4,454 |
$734 |
$227 | |
| MRI of the shoulder |
$1,484 |
$5,935 |
$945 |
$313 | |
| MRI of the shoulder with contrast |
$1,484 |
$5,935 |
$945 |
$313 | |
| MRI of the shoulder without contrast |
$1,183 |
$4,730 |
$945 |
$205 | |
| MRI of the wrist |
$1,360 |
$5,439 |
$945 |
$330 | |
| MRI of the wrist with contrast |
$1,360 |
$5,439 |
$945 |
$330 | |
| MRI of the wrist without contrast |
$1,265 |
$5,060 |
$945 |
$303 | |
| Nebulizer breathing treatment |
$73 |
$293 |
$252 |
$9 | |
| Nerve conduction study |
$159 |
$637 |
$220 |
$118 | |
| Nuchal translucency ultrasound |
$223 |
$892 |
$201 |
$116 | |
| Nuclear cardiac stress test |
$1,171 |
$4,684 |
$1,205 |
$428 | |
| Occupational therapy evaluation |
$128 |
$510 |
$246 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$154 |
$614 |
$325 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$103 |
$410 |
$230 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$133 |
$531 |
$246 |
$101 | |
| Office visit (established patient) |
$58 |
$233 |
$91 |
$115 | |
| Office visit (new patient) |
$107 |
$429 |
$173 |
$177 | |
| Office visit, established patient (level 3) |
$49 |
$196 |
$68 |
$95 | |
| Office visit, established patient (level 4) |
$60 |
$240 |
$97 |
$136 | |
| Office visit, new patient (level 3) |
$74 |
$297 |
$92 |
$118 | |
| Office visit, new patient (level 4) |
$107 |
$429 |
$150 |
$177 | |
| Office visit, new patient (level 5) |
$137 |
$547 |
$202 |
$237 | |
| Pacemaker insertion |
— |
— |
$21,690 |
$15,506 | |
| Pap smear (cervical screening) |
$57 |
$228 |
$54 |
$20 | |
| Parathyroid hormone (PTH) test |
$63 |
$251 |
$85 |
$41 | |
| Pelvic ultrasound |
$281 |
$1,125 |
$161 |
$78 | |
| Pelvic ultrasound (complete) |
$326 |
$1,305 |
$238 |
$105 | |
| Pelvic ultrasound (limited) |
$236 |
$945 |
$79 |
$51 | |
| PET scan |
$2,800 |
$11,198 |
$2,765 |
— | |
| Phosphorus blood test |
$11 |
$43 |
$10 |
$5 | |
| Physical therapy evaluation |
$136 |
$545 |
$230 |
$98 | |
| Physical therapy evaluation (high complexity) |
$154 |
$614 |
$325 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$136 |
$545 |
$246 |
$98 | |
| Platelet count |
$28 |
$112 |
$8 |
$4 | |
| Pregnancy blood test (hCG) |
$51 |
$203 |
$19 |
$8 | |
| Pregnancy ultrasound |
$278 |
$1,112 |
$258 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$257 |
$1,027 |
$230 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$299 |
$1,196 |
$286 |
$136 | |
| Procalcitonin test |
$64 |
$255 |
$49 |
$27 | |
| Prolactin test |
$120 |
$479 |
$45 |
$19 | |
| Prostate test (PSA) |
$75 |
$301 |
$45 |
$18 | |
| Pulmonary rehabilitation |
$44 |
$174 |
$150 |
$87 | |
| RSV vaccine |
$306 |
$1,224 |
$306 |
— | |
| Scoliosis spine X-ray |
$203 |
$812 |
$90 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$183 |
$733 |
$73 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$223 |
$890 |
$108 |
$72 | |
| Screening mammogram |
$173 |
$693 |
$190 |
$126 | |
| Scrotal ultrasound |
$338 |
$1,351 |
$230 |
$99 | |
| Sedimentation rate (ESR) test |
$27 |
$110 |
$6 |
$3 | |
| Sex hormone binding globulin test |
$73 |
$290 |
$49 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$129 |
$514 |
$272 |
$114 | |
| Simple wound stitches |
$142 |
$567 |
$301 |
$127 | |
| Skin biopsy |
$168 |
$673 |
$357 |
$121 | |
| Skin biopsy (punch) |
$168 |
$673 |
$357 |
$121 | |
| Skin cancer lesion removal |
$294 |
$1,175 |
$156 |
$240 | |
| Skin tag removal |
$139 |
$556 |
$295 |
$92 | |
| Sleep study (polysomnography) |
$908 |
$3,633 |
$1,360 |
$691 | |
| Soft tissue ultrasound |
$165 |
$659 |
$83 |
$64 | |
| Speech therapy |
$121 |
$485 |
$125 |
$76 | |
| Spinal tap (lumbar puncture) |
$583 |
$2,333 |
$533 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$4,188 |
$16,752 |
$13,722 |
$5,803 | |
| Spirometry (lung function test) |
$313 |
$1,250 |
$369 |
$30 | |
| Spirometry with bronchodilator |
$473 |
$1,891 |
$670 |
$43 | |
| Strep throat test |
$12 |
$46 |
$24 |
$17 | |
| Stress echocardiogram |
$919 |
$3,675 |
$1,037 |
$209 | |
| Stress echocardiogram (complete) |
$919 |
$3,675 |
$1,112 |
$233 | |
| Swallow study |
$136 |
$545 |
$62 |
$85 | |
| T3 thyroid test |
$85 |
$338 |
$23 |
$14 | |
| Tdap (tetanus) vaccine |
$34 |
$134 |
$41 |
— | |
| Testosterone test |
$127 |
$507 |
$53 |
$26 | |
| Thyroid test (TSH) |
$88 |
$350 |
$42 |
$17 | |
| Thyroid ultrasound |
$334 |
$1,336 |
$260 |
$109 | |
| Thyroid uptake scan |
$389 |
$1,556 |
$303 |
$145 | |
| Total IgE allergy test |
$64 |
$255 |
$34 |
$16 | |
| Total protein test |
$14 |
$55 |
$8 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$609 |
$2,438 |
$1,340 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$607 |
$2,427 |
$1,335 |
$239 | |
| Transvaginal ultrasound |
$267 |
$1,069 |
$284 |
$118 | |
| Trigger point injection |
$241 |
$962 |
$510 |
$56 | |
| Trigger point injection (1-2 muscles) |
$241 |
$962 |
$510 |
$52 | |
| Triglycerides test |
$21 |
$84 |
$12 |
$6 | |
| Troponin (heart) test |
$32 |
$127 |
$20 |
$12 | |
| Turning a breech baby (version) |
$1,101 |
$4,405 |
$3,786 |
$94 | |
| Upper GI series (barium) |
$154 |
$615 |
$281 |
$128 | |
| Uric acid (gout) test |
$26 |
$104 |
$10 |
$5 | |
| Urinalysis |
$17 |
$66 |
$6 |
$3 | |
| Urine microalbumin test |
$30 |
$120 |
$13 |
$5 | |
| Urine pregnancy test |
$36 |
$145 |
$12 |
$9 | |
| Vaccine administration |
$47 |
$186 |
$164 |
$19 | |
| Vaccine administration (each additional) |
$19 |
$75 |
$67 |
$16 | |
| Vaginal delivery |
— |
— |
$8,090 |
$5,487 | |
| Vitamin B12 test |
$86 |
$342 |
$28 |
$15 | |
| Vitamin D test |
$105 |
$421 |
$74 |
$30 | |
| Wart removal |
$119 |
$476 |
$82 |
$121 | |
| Weight-loss (bariatric) surgery |
— |
— |
$18,637 |
$11,645 | |
| Wound debridement |
$325 |
$1,299 |
$685 |
$186 | |
| X-ray of the abdomen |
$122 |
$488 |
$94 |
$36 | |
| X-ray of the ankle |
$144 |
$576 |
$92 |
$37 | |
| X-ray of the collarbone |
$166 |
$664 |
$89 |
$33 | |
| X-ray of the elbow |
$150 |
$599 |
$95 |
$33 | |
| X-ray of the facial bones |
$158 |
$632 |
$106 |
$39 | |
| X-ray of the foot |
$144 |
$576 |
$92 |
$34 | |
| X-ray of the forearm |
$107 |
$428 |
$91 |
$29 | |
| X-ray of the hand |
$148 |
$591 |
$92 |
$38 | |
| X-ray of the hip |
$89 |
$355 |
$101 |
$49 | |
| X-ray of the hip (1 view) |
$78 |
$311 |
$82 |
$34 | |
| X-ray of the hip (3 views) |
$89 |
$355 |
$101 |
$49 | |
| X-ray of the hip (4 views) |
$224 |
$894 |
$123 |
$63 | |
| X-ray of the knee |
$204 |
$816 |
$98 |
$42 | |
| X-ray of the knee (2 views) |
$84 |
$336 |
$85 |
$34 | |
| X-ray of the knee (3 views) |
$204 |
$816 |
$98 |
$42 | |
| X-ray of the knee (4+ views) |
$204 |
$816 |
$111 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$210 |
$841 |
$117 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$187 |
$747 |
$106 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$234 |
$934 |
$142 |
$53 | |
| X-ray of the lower leg |
$123 |
$492 |
$87 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$131 |
$525 |
$100 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$121 |
$484 |
$92 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$141 |
$565 |
$106 |
$39 | |
| X-ray of the neck (cervical spine) |
$221 |
$883 |
$108 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$173 |
$690 |
$100 |
$40 | |
| X-ray of the pelvis |
$101 |
$403 |
$84 |
$36 | |
| X-ray of the pelvis (1 view) |
$82 |
$327 |
$72 |
$28 | |
| X-ray of the ribs |
$198 |
$792 |
$100 |
$42 | |
| X-ray of the ribs (2 views) |
$168 |
$671 |
$94 |
$36 | |
| X-ray of the ribs (3 views) |
$198 |
$792 |
$110 |
$42 | |
| X-ray of the shoulder |
$128 |
$513 |
$98 |
$36 | |
| X-ray of the skull |
$170 |
$679 |
$109 |
$40 | |
| X-ray of the upper arm |
$107 |
$427 |
$95 |
$32 | |
| X-ray of the wrist |
$128 |
$511 |
$92 |
$43 | |
| Zinc blood test |
$57 |
$228 |
$25 |
$11 | |