| 3D mammogram (tomosynthesis) |
$121 |
$403 |
$125 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,566 |
$5,221 |
$3,394 |
$284 | |
| Abdominal ultrasound |
$588 |
$1,958 |
$324 |
$100 | |
| Abdominal ultrasound (complete) |
$715 |
$2,382 |
$341 |
$114 | |
| Abdominal ultrasound (limited) |
$460 |
$1,535 |
$261 |
$86 | |
| Abscess drainage (complex or multiple) |
$1,362 |
$4,541 |
$2,646 |
$220 | |
| Abscess drainage (simple) |
$836 |
$2,787 |
$1,895 |
$129 | |
| Abscess incision and drainage |
$1,099 |
$3,664 |
$2,063 |
$174 | |
| Albumin blood test |
$36 |
$120 |
$8 |
$5 | |
| Aldosterone test |
$162 |
$542 |
$64 |
$41 | |
| Alkaline phosphatase test |
$34 |
$115 |
$8 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$88 |
$293 |
$26 |
$17 | |
| ALT liver enzyme test |
$32 |
$107 |
$8 |
$5 | |
| Ammonia blood test |
$88 |
$294 |
$23 |
$15 | |
| Amniocentesis |
$512 |
$1,706 |
$1,245 |
$120 | |
| Amylase test |
$77 |
$256 |
$10 |
$6 | |
| Anoscopy |
$360 |
$1,201 |
$1,201 |
$129 | |
| Antinuclear antibody (ANA) test |
$92 |
$306 |
$19 |
$12 | |
| Aortic valve replacement |
$19,673 |
$65,575 |
$7,725 |
$1,603 | |
| Arterial blood gas (ABG) |
$100 |
$332 |
$57 |
$26 | |
| AST liver enzyme test |
$31 |
$104 |
$8 |
$5 | |
| Barium swallow study |
$489 |
$1,631 |
$331 |
$107 | |
| Bartholin cyst removal |
$354 |
$1,181 |
$1,181 |
$182 | |
| Basic metabolic panel |
$131 |
$438 |
$13 |
$8 | |
| Benign skin lesion removal |
$1,612 |
$5,374 |
$3,493 |
$171 | |
| Bilirubin blood test |
$42 |
$142 |
$17 |
$5 | |
| Bladder scope (cystoscopy) |
$1,668 |
$5,559 |
$2,646 |
$216 | |
| Blood clotting test (PT/INR) |
$39 |
$130 |
$14 |
$4 | |
| Blood crossmatch |
$132 |
$442 |
$110 |
— | |
| Blood glucose test |
$37 |
$124 |
$13 |
$5 | |
| Blood transfusion |
$910 |
$3,033 |
$2,062 |
$47 | |
| Blood type and screen |
$111 |
$372 |
$15 |
$10 | |
| Blood type test |
$51 |
$170 |
$5 |
$3 | |
| Blood type test (ABO group) |
$55 |
$185 |
$5 |
$3 | |
| Blood type test (Rh/D antigen) |
$47 |
$156 |
$5 |
$3 | |
| BNP (heart failure) test |
$121 |
$404 |
$60 |
$39 | |
| Bone density scan (DEXA) |
$385 |
$1,285 |
$151 |
$39 | |
| Bone marrow biopsy |
$1,773 |
$5,909 |
$2,646 |
$172 | |
| Bone scan (nuclear) |
$1,727 |
$5,757 |
$982 |
$259 | |
| Botox for migraine |
$1,128 |
$3,761 |
$2,557 |
$157 | |
| Breast biopsy |
$1,898 |
$6,325 |
$3,792 |
$478 | |
| Breast MRI |
$1,826 |
$6,086 |
$1,754 |
$216 | |
| Breast MRI without contrast |
$1,826 |
$6,086 |
$1,754 |
$216 | |
| Breast ultrasound |
$498 |
$1,660 |
$279 |
$92 | |
| Breast ultrasound (complete) |
$580 |
$1,935 |
$285 |
$100 | |
| Breast ultrasound (limited) |
$415 |
$1,385 |
$244 |
$84 | |
| Breathing tube insertion (intubation) |
$586 |
$1,954 |
$1,718 |
$133 | |
| Bronchoscopy |
$2,230 |
$7,434 |
$3,307 |
$303 | |
| Burn dressing and debridement (medium) |
$744 |
$2,481 |
$1,737 |
$166 | |
| Burn dressing and debridement (small) |
$670 |
$2,235 |
$1,631 |
$93 | |
| Burn treatment |
$707 |
$2,358 |
$1,676 |
$129 | |
| C-reactive protein (CRP) |
$88 |
$293 |
$8 |
$5 | |
| CA 19-9 tumor marker test |
$96 |
$320 |
$33 |
$21 | |
| CA-125 ovarian marker test |
$153 |
$511 |
$33 |
$21 | |
| Calcium blood test |
$30 |
$99 |
$8 |
$5 | |
| Capsule endoscopy |
$2,926 |
$9,754 |
$6,487 |
$802 | |
| Cardiac ablation |
$11,332 |
$37,774 |
$22,489 |
$759 | |
| Cardiac catheterization |
$7,723 |
$25,744 |
$12,547 |
$1,049 | |
| Cardiac MRI |
$1,811 |
$6,038 |
$1,754 |
$322 | |
| Cardiac MRI without contrast |
$1,873 |
$6,243 |
$1,754 |
$280 | |
| Cardiac rehabilitation |
$147 |
$489 |
$333 |
$26 | |
| Cardiac stress test |
$1,087 |
$3,622 |
$2,409 |
$39 | |
| Cardioversion |
$1,483 |
$4,942 |
$3,287 |
$155 | |
| Carotid artery surgery |
$5,760 |
$19,199 |
$7,330 |
$1,026 | |
| Carotid artery ultrasound |
$795 |
$2,650 |
$1,571 |
$156 | |
| CEA tumor marker test |
$99 |
$331 |
$30 |
$19 | |
| Celiac disease test |
$91 |
$304 |
$18 |
$12 | |
| Central line placement |
$3,102 |
$10,341 |
$2,646 |
$238 | |
| Cesarean section (C-section) |
$13,761 |
$45,869 |
$10,530 |
$7,552 | |
| Chemotherapy infusion |
$283 |
$942 |
$550 |
$81 | |
| Chemotherapy infusion (each additional) |
$181 |
$603 |
$440 |
$28 | |
| Chemotherapy infusion (first hour) |
$384 |
$1,281 |
$833 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,410 |
$4,701 |
$2,646 |
$311 | |
| Chest tube insertion |
$1,672 |
$5,574 |
$3,127 |
$143 | |
| Chest X-ray |
$160 |
$535 |
$99 |
$37 | |
| Chest X-ray (1 view) |
$124 |
$413 |
$65 |
$25 | |
| Chest X-ray (2 views) |
$155 |
$516 |
$86 |
$33 | |
| Circumcision |
$1,515 |
$5,051 |
$3,283 |
$167 | |
| CK-MB heart enzyme test |
$71 |
$236 |
$18 |
$12 | |
| Clotting time test (PTT) |
$58 |
$192 |
$20 |
$6 | |
| Colonoscopy |
$1,460 |
$4,868 |
$3,267 |
$480 | |
| Colposcopy |
$568 |
$1,893 |
$1,694 |
$161 | |
| Complete blood count (CBC) |
$59 |
$197 |
$22 |
$7 | |
| Complete blood count (CBC) (complete) |
$62 |
$206 |
$26 |
$8 | |
| Comprehensive eye exam |
$269 |
$895 |
$618 |
$138 | |
| Comprehensive metabolic panel |
$147 |
$489 |
$17 |
$11 | |
| Contraceptive implant (Nexplanon) |
$1,282 |
$4,273 |
$1,902 |
$115 | |
| Copper blood test |
$71 |
$237 |
$20 |
$12 | |
| Coronary artery bypass (CABG) |
$81,541 |
$271,802 |
$45,480 |
$36,593 | |
| Coronary CT angiography |
$591 |
$1,969 |
$1,011 |
$326 | |
| Cortisol test |
$103 |
$342 |
$26 |
$16 | |
| COVID-19 PCR test |
$76 |
$252 |
$66 |
$51 | |
| CPAP titration study |
$578 |
$1,925 |
$872 |
$69 | |
| Creatine kinase (CK) test |
$51 |
$171 |
$10 |
$7 | |
| CT angiography of the chest |
$2,871 |
$9,569 |
$1,688 |
$281 | |
| CT angiography of the head |
$2,835 |
$9,450 |
$1,679 |
$274 | |
| CT scan of the abdomen |
$2,216 |
$7,386 |
$1,606 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,443 |
$8,143 |
$1,703 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,930 |
$9,767 |
$1,703 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,443 |
$8,143 |
$1,581 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,077 |
$6,923 |
$1,489 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,544 |
$8,481 |
$1,606 |
$259 | |
| CT scan of the abdomen with contrast |
$2,216 |
$7,386 |
$1,524 |
$230 | |
| CT scan of the abdomen without contrast |
$1,908 |
$6,359 |
$1,447 |
$136 | |
| CT scan of the arm |
$1,817 |
$6,058 |
$1,499 |
$199 | |
| CT scan of the arm with contrast |
$1,817 |
$6,058 |
$1,429 |
$199 | |
| CT scan of the arm without contrast |
$1,487 |
$4,956 |
$1,342 |
$161 | |
| CT scan of the chest |
$2,066 |
$6,886 |
$1,534 |
$167 | |
| CT scan of the chest with and without contrast |
$2,255 |
$7,518 |
$1,534 |
$196 | |
| CT scan of the chest with contrast |
$2,066 |
$6,886 |
$1,487 |
$167 | |
| CT scan of the chest without contrast |
$1,845 |
$6,152 |
$1,432 |
$133 | |
| CT scan of the head |
$2,072 |
$6,907 |
$1,574 |
$148 | |
| CT scan of the head with and without contrast |
$2,417 |
$8,057 |
$1,574 |
$173 | |
| CT scan of the head with contrast |
$2,072 |
$6,907 |
$1,488 |
$148 | |
| CT scan of the head without contrast |
$1,680 |
$5,602 |
$1,390 |
$107 | |
| CT scan of the leg |
$1,825 |
$6,082 |
$1,498 |
$166 | |
| CT scan of the leg with contrast |
$1,825 |
$6,082 |
$1,426 |
$166 | |
| CT scan of the leg without contrast |
$1,494 |
$4,980 |
$1,344 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,736 |
$5,786 |
$1,439 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,875 |
$6,250 |
$1,439 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,736 |
$5,786 |
$1,429 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,622 |
$5,407 |
$1,376 |
$130 | |
| CT scan of the neck |
$1,896 |
$6,322 |
$1,445 |
$183 | |
| CT scan of the neck (cervical spine) |
$2,110 |
$7,034 |
$1,499 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,110 |
$7,034 |
$1,498 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$2,116 |
$7,054 |
$1,499 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,621 |
$5,402 |
$1,375 |
$131 | |
| CT scan of the neck with and without contrast |
$1,896 |
$6,322 |
$1,444 |
$220 | |
| CT scan of the neck with contrast |
$1,898 |
$6,328 |
$1,445 |
$183 | |
| CT scan of the neck without contrast |
$1,764 |
$5,880 |
$1,411 |
$150 | |
| CT scan of the pelvis |
$2,202 |
$7,340 |
$1,668 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,792 |
$9,306 |
$1,668 |
$251 | |
| CT scan of the pelvis with contrast |
$2,202 |
$7,340 |
$1,521 |
$226 | |
| CT scan of the pelvis without contrast |
$1,885 |
$6,283 |
$1,441 |
$133 | |
| CT scan of the sinuses |
$1,905 |
$6,350 |
$1,525 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,905 |
$6,350 |
$1,446 |
$184 | |
| CT scan of the sinuses with contrast |
$1,825 |
$6,082 |
$1,426 |
$152 | |
| CT scan of the sinuses without contrast |
$2,220 |
$7,400 |
$1,525 |
$128 | |
| D-dimer test |
$97 |
$322 |
$16 |
$10 | |
| Defibrillator (ICD) implant |
$7,977 |
$26,589 |
$18,612 |
$798 | |
| DHEA-sulfate test |
$73 |
$244 |
$35 |
$22 | |
| Diagnostic mammogram |
$293 |
$977 |
$267 |
$140 | |
| Drug screen (urine) |
$72 |
$240 |
$33 |
$17 | |
| Echocardiogram |
$1,553 |
$5,177 |
$1,086 |
$138 | |
| Echocardiogram with and without contrast |
$395 |
$1,317 |
$856 |
$101 | |
| Echocardiogram without contrast |
$1,645 |
$5,484 |
$2,038 |
$138 | |
| EEG (awake and asleep) |
$623 |
$2,077 |
$1,413 |
$482 | |
| EKG / ECG (tracing only) |
$190 |
$634 |
$431 |
$7 | |
| Electrocardiogram (EKG) |
$190 |
$634 |
$431 |
$8 | |
| Electroencephalogram (EEG) |
$598 |
$1,992 |
$1,350 |
$448 | |
| Electrolyte panel |
$89 |
$298 |
$11 |
$7 | |
| Electromyography (EMG) |
$557 |
$1,857 |
$1,130 |
$141 | |
| Emergency department visit |
$630 |
$2,100 |
$1,470 |
$69 | |
| Emergency department visit (level 1) |
$300 |
$1,000 |
$1,000 |
$11 | |
| Emergency department visit (level 2) |
$465 |
$1,550 |
$1,377 |
$40 | |
| Emergency department visit (level 3) |
$630 |
$2,100 |
$1,575 |
$69 | |
| Emergency department visit (level 4) |
$829 |
$2,762 |
$1,795 |
$118 | |
| Emergency department visit (level 5) |
$1,161 |
$3,869 |
$1,862 |
$171 | |
| Endometrial biopsy |
$221 |
$736 |
$736 |
$98 | |
| Epidural steroid injection |
$1,419 |
$4,730 |
$3,089 |
$275 | |
| ERCP (bile duct endoscopy) |
$1,935 |
$6,450 |
$3,962 |
$311 | |
| Esophageal dilation |
$3,554 |
$11,848 |
$3,619 |
$522 | |
| Esophageal variceal banding |
$809 |
$2,695 |
$2,354 |
$126 | |
| Estradiol (estrogen) test |
$120 |
$400 |
$44 |
$28 | |
| Facet joint injection (spine) |
$1,424 |
$4,748 |
$2,856 |
$99 | |
| Fallopian tube X-ray (HSG) |
$674 |
$2,246 |
$1,356 |
$164 | |
| Fecal occult blood (stool) test |
$56 |
$187 |
$17 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$76 |
$253 |
$13 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$36 |
$120 |
$20 |
$16 | |
| Feeding tube (PEG) placement |
$3,109 |
$10,362 |
$3,792 |
$178 | |
| Ferritin (iron) test |
$67 |
$225 |
$21 |
$14 | |
| Fibrinogen test |
$76 |
$254 |
$30 |
$10 | |
| Flexible sigmoidoscopy |
$1,204 |
$4,013 |
$2,360 |
$323 | |
| Flu test |
$80 |
$265 |
$40 |
$17 | |
| Folate (folic acid) test |
$87 |
$289 |
$23 |
$15 | |
| Foreign body removal (skin) |
$1,522 |
$5,075 |
$3,299 |
$157 | |
| Free T4 thyroid test |
$60 |
$200 |
$14 |
$9 | |
| FSH hormone test |
$126 |
$421 |
$29 |
$19 | |
| Gallbladder scan (HIDA) |
$1,280 |
$4,268 |
$1,177 |
$334 | |
| GGT liver test |
$43 |
$142 |
$11 |
$7 | |
| Glucose tolerance test |
$51 |
$171 |
$15 |
$8 | |
| H. pylori test |
$121 |
$404 |
$86 |
$67 | |
| Hammertoe repair |
$2,171 |
$7,237 |
$4,740 |
$548 | |
| HDL cholesterol test |
$45 |
$151 |
$13 |
$8 | |
| Hematocrit test |
$23 |
$76 |
$8 |
$2 | |
| Hemodialysis |
$1,027 |
$3,423 |
$2,285 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$54 |
$180 |
$15 |
$10 | |
| Hemorrhoid removal |
$3,024 |
$10,081 |
$3,225 |
$338 | |
| Hepatitis B test |
$65 |
$217 |
$16 |
$10 | |
| Hepatitis C test |
$121 |
$402 |
$22 |
$14 | |
| HIV test |
$114 |
$381 |
$42 |
$19 | |
| HIV test (antibody) |
$110 |
$366 |
$46 |
$14 | |
| HIV test (antigen/antibody combo) |
$119 |
$396 |
$38 |
$24 | |
| Holter heart monitor |
$310 |
$1,034 |
$563 |
$26 | |
| Home sleep apnea test |
$810 |
$2,700 |
$1,836 |
$123 | |
| Iron blood test |
$51 |
$169 |
$10 |
$6 | |
| IUD insertion |
$359 |
$1,195 |
$1,195 |
— | |
| IUD removal |
$118 |
$392 |
$392 |
$112 | |
| IV infusion therapy |
$140 |
$465 |
$286 |
$44 | |
| IV infusion therapy (each additional) |
$114 |
$381 |
$261 |
$21 | |
| IV infusion therapy (initial) |
$165 |
$550 |
$377 |
$67 | |
| IVC filter placement |
$3,638 |
$12,127 |
$7,513 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$726 |
$2,421 |
$1,838 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$901 |
$3,004 |
$2,253 |
$57 | |
| Joint aspiration or injection (small joint) |
$551 |
$1,838 |
$1,694 |
$56 | |
| Kidney biopsy |
$2,466 |
$8,221 |
$2,795 |
$492 | |
| Kidney scan (nuclear) |
$1,834 |
$6,113 |
$720 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$12,207 |
$40,690 |
$14,849 |
$760 | |
| Kidney ultrasound |
$553 |
$1,842 |
$290 |
$84 | |
| Kidney ultrasound (limited) |
$558 |
$1,860 |
$278 |
$61 | |
| Knee joint injection |
$1,031 |
$3,437 |
$2,444 |
$69 | |
| Knee replacement |
$52,245 |
$174,151 |
$28,416 |
$18,054 | |
| Lactate test |
$99 |
$329 |
$18 |
$12 | |
| Laryngoscopy |
$1,005 |
$3,350 |
$2,047 |
$189 | |
| LDH test |
$44 |
$147 |
$10 |
$6 | |
| LDL cholesterol test |
$32 |
$108 |
$16 |
$11 | |
| Leg artery angiogram |
$2,608 |
$8,692 |
$1,024 |
$149 | |
| Leg artery angioplasty |
$5,846 |
$19,485 |
$9,849 |
— | |
| Leg vein ultrasound (Doppler) |
$622 |
$2,073 |
$1,230 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$553 |
$1,843 |
$1,198 |
$116 | |
| LH hormone test |
$71 |
$235 |
$29 |
$19 | |
| Lipase test |
$77 |
$256 |
$11 |
$7 | |
| Lipid (cholesterol) panel |
$98 |
$328 |
$21 |
$13 | |
| Liver biopsy |
$1,670 |
$5,567 |
$3,618 |
$288 | |
| Liver function panel |
$106 |
$354 |
$13 |
$8 | |
| Lung function test (PFT) |
$322 |
$1,074 |
$597 |
$37 | |
| Lung scan (V/Q) |
$1,097 |
$3,656 |
$1,129 |
$291 | |
| Magnesium blood test |
$45 |
$150 |
$11 |
$7 | |
| MMR vaccine |
$39 |
$129 |
$97 |
— | |
| MRA of the brain |
$2,404 |
$8,015 |
$1,759 |
$226 | |
| MRA of the brain with contrast |
$2,517 |
$8,390 |
$1,759 |
$226 | |
| MRA of the brain without contrast |
$1,902 |
$6,340 |
$1,754 |
$328 | |
| MRA of the neck |
$2,526 |
$8,421 |
$1,851 |
$245 | |
| MRA of the neck with contrast |
$2,526 |
$8,421 |
$1,761 |
$245 | |
| MRA of the neck without contrast |
$2,885 |
$9,617 |
$1,851 |
$343 | |
| MRI of the abdomen |
$2,474 |
$8,246 |
$1,824 |
$300 | |
| MRI of the abdomen with contrast |
$1,770 |
$5,902 |
$1,754 |
$300 | |
| MRI of the abdomen without contrast |
$2,474 |
$8,246 |
$1,754 |
$194 | |
| MRI of the ankle |
$2,491 |
$8,303 |
$1,760 |
$261 | |
| MRI of the ankle with contrast |
$2,521 |
$8,404 |
$1,760 |
$261 | |
| MRI of the ankle without contrast |
$2,260 |
$7,532 |
$1,754 |
$222 | |
| MRI of the brain |
$2,311 |
$7,702 |
$1,771 |
$269 | |
| MRI of the brain with contrast |
$2,311 |
$7,702 |
$1,754 |
$269 | |
| MRI of the brain without contrast |
$1,912 |
$6,373 |
$1,754 |
$195 | |
| MRI of the chest |
$1,931 |
$6,437 |
$2,084 |
$371 | |
| MRI of the chest with contrast |
$1,839 |
$6,130 |
$2,084 |
$371 | |
| MRI of the chest without contrast |
$2,325 |
$7,751 |
$1,754 |
$466 | |
| MRI of the knee |
$1,928 |
$6,427 |
$2,084 |
$315 | |
| MRI of the knee with contrast |
$1,708 |
$5,694 |
$2,084 |
$315 | |
| MRI of the knee without contrast |
$1,928 |
$6,427 |
$1,754 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,635 |
$8,784 |
$1,844 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,635 |
$8,784 |
$1,788 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,919 |
$6,396 |
$1,754 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,482 |
$8,273 |
$1,838 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,833 |
$9,444 |
$1,838 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,482 |
$8,273 |
$1,754 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,886 |
$6,286 |
$1,754 |
$190 | |
| MRI of the neck (cervical spine) |
$2,526 |
$8,420 |
$1,787 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,628 |
$8,761 |
$1,787 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,526 |
$8,420 |
$1,761 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,748 |
$5,826 |
$1,754 |
$191 | |
| MRI of the pelvis |
$2,189 |
$7,296 |
$1,844 |
$268 | |
| MRI of the pelvis with contrast |
$2,189 |
$7,296 |
$1,754 |
$268 | |
| MRI of the pelvis without contrast |
$1,958 |
$6,527 |
$1,754 |
$227 | |
| MRI of the shoulder |
$2,265 |
$7,550 |
$2,084 |
$313 | |
| MRI of the shoulder with contrast |
$2,932 |
$9,775 |
$2,084 |
$313 | |
| MRI of the shoulder without contrast |
$2,061 |
$6,871 |
$1,754 |
$205 | |
| MRI of the wrist |
$2,445 |
$8,150 |
$1,754 |
$330 | |
| MRI of the wrist with contrast |
$2,488 |
$8,294 |
$1,754 |
$330 | |
| MRI of the wrist without contrast |
$2,190 |
$7,300 |
$1,754 |
$303 | |
| Nebulizer breathing treatment |
$116 |
$387 |
$262 |
$9 | |
| Nerve conduction study |
$977 |
$3,255 |
$1,849 |
$118 | |
| Nuchal translucency ultrasound |
$108 |
$361 |
$240 |
$116 | |
| Nuclear cardiac stress test |
$4,457 |
$14,858 |
$1,750 |
$428 | |
| Occupational therapy evaluation |
$192 |
$642 |
$383 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$207 |
$690 |
$412 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$175 |
$583 |
$379 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$192 |
$642 |
$412 |
$101 | |
| Office visit (established patient) |
$159 |
$530 |
$353 |
$115 | |
| Office visit (new patient) |
$200 |
$665 |
$452 |
$177 | |
| Office visit, established patient (level 3) |
$145 |
$483 |
$335 |
$95 | |
| Office visit, established patient (level 4) |
$173 |
$576 |
$377 |
$136 | |
| Office visit, new patient (level 3) |
$157 |
$523 |
$356 |
$118 | |
| Office visit, new patient (level 4) |
$200 |
$665 |
$436 |
$177 | |
| Office visit, new patient (level 5) |
$492 |
$1,640 |
$524 |
$237 | |
| Pacemaker insertion |
$29,917 |
$99,724 |
$31,015 |
$15,506 | |
| Pap smear (cervical screening) |
$35 |
$118 |
$45 |
$20 | |
| Parathyroid hormone (PTH) test |
$146 |
$488 |
$65 |
$41 | |
| Pelvic ultrasound |
$494 |
$1,646 |
$297 |
$78 | |
| Pelvic ultrasound (complete) |
$655 |
$2,183 |
$312 |
$105 | |
| Pelvic ultrasound (limited) |
$332 |
$1,108 |
$222 |
$51 | |
| PET scan |
$5,082 |
$16,942 |
$6,917 |
— | |
| Phosphorus blood test |
$35 |
$117 |
$7 |
$5 | |
| Physical therapy evaluation |
$177 |
$589 |
$383 |
$98 | |
| Physical therapy evaluation (high complexity) |
$208 |
$695 |
$412 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$177 |
$589 |
$383 |
$98 | |
| Platelet count |
$37 |
$124 |
$15 |
$4 | |
| Pregnancy blood test (hCG) |
$98 |
$327 |
$25 |
$8 | |
| Pregnancy ultrasound |
$626 |
$2,086 |
$344 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$588 |
$1,961 |
$290 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$663 |
$2,210 |
$356 |
$136 | |
| Procalcitonin test |
$133 |
$445 |
$56 |
$27 | |
| Prolactin test |
$118 |
$394 |
$30 |
$19 | |
| Prostate test (PSA) |
$101 |
$336 |
$29 |
$18 | |
| Pulmonary rehabilitation |
$130 |
$434 |
$299 |
$87 | |
| Radiofrequency nerve ablation |
$1,935 |
$6,451 |
$3,718 |
$462 | |
| Rheumatoid factor test |
$71 |
$236 |
$20 |
$6 | |
| Sacroiliac joint injection |
$2,108 |
$7,027 |
$3,785 |
$176 | |
| Scoliosis spine X-ray |
$239 |
$796 |
$180 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$182 |
$607 |
$111 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$296 |
$986 |
$202 |
$72 | |
| Screening colonoscopy |
$1,525 |
$5,084 |
$3,207 |
$378 | |
| Screening mammogram |
$281 |
$937 |
$252 |
$126 | |
| Scrotal ultrasound |
$610 |
$2,032 |
$297 |
$99 | |
| Sedimentation rate (ESR) test |
$33 |
$110 |
$9 |
$3 | |
| Semen analysis |
$105 |
$350 |
$40 |
$12 | |
| Sex hormone binding globulin test |
$41 |
$137 |
$28 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$288 |
$959 |
$959 |
$114 | |
| Simple wound stitches |
$343 |
$1,145 |
$959 |
$127 | |
| Skin biopsy |
$845 |
$2,816 |
$1,915 |
$121 | |
| Skin biopsy (punch) |
$845 |
$2,816 |
$1,915 |
$121 | |
| Skin lesion freezing (cryotherapy) |
$129 |
$431 |
$246 |
$36 | |
| Skin tag removal |
$317 |
$1,056 |
$1,056 |
$92 | |
| Sleep study (polysomnography) |
$2,870 |
$9,566 |
$2,654 |
$691 | |
| Soft tissue ultrasound |
$558 |
$1,859 |
$278 |
$64 | |
| Speech therapy |
$135 |
$450 |
$331 |
$76 | |
| Spinal cord stimulator |
$2,467 |
$8,222 |
$5,872 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$1,267 |
$4,224 |
$2,646 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$6,065 |
$20,217 |
$9,576 |
$5,803 | |
| Spirometry (lung function test) |
$245 |
$818 |
$546 |
$30 | |
| Spirometry with bronchodilator |
$399 |
$1,329 |
$887 |
$43 | |
| Strep throat test |
$76 |
$253 |
$38 |
$17 | |
| Stress echocardiogram |
$1,138 |
$3,792 |
$2,645 |
$209 | |
| Stress echocardiogram (complete) |
$1,217 |
$4,058 |
$3,003 |
$233 | |
| Swallow study |
$231 |
$769 |
$412 |
$85 | |
| T3 thyroid test |
$84 |
$279 |
$22 |
$14 | |
| Tdap (tetanus) vaccine |
$71 |
$238 |
$107 |
— | |
| Testosterone test |
$131 |
$438 |
$41 |
$26 | |
| Thyroid test (TSH) |
$66 |
$218 |
$26 |
$17 | |
| Thyroid ultrasound |
$649 |
$2,164 |
$346 |
$109 | |
| Thyroid uptake scan |
$947 |
$3,156 |
$653 |
$145 | |
| Tilt table test |
$995 |
$3,318 |
$2,206 |
$168 | |
| Total IgE allergy test |
$51 |
$170 |
$26 |
$16 | |
| Total protein test |
$45 |
$150 |
$6 |
$4 | |
| Tracheostomy |
$1,767 |
$5,890 |
$3,829 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$1,391 |
$4,638 |
$3,096 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,391 |
$4,638 |
$3,096 |
$239 | |
| Transvaginal ultrasound |
$588 |
$1,958 |
$349 |
$118 | |
| Trigger point injection |
$1,405 |
$4,683 |
$2,945 |
$56 | |
| Trigger point injection (1-2 muscles) |
$1,281 |
$4,269 |
$2,775 |
$52 | |
| Triglycerides test |
$40 |
$133 |
$9 |
$6 | |
| Troponin (heart) test |
$126 |
$419 |
$20 |
$12 | |
| Turning a breech baby (version) |
$1,364 |
$4,547 |
$3,183 |
$94 | |
| Upper GI endoscopy (EGD) |
$1,466 |
$4,886 |
$3,184 |
$371 | |
| Upper GI series (barium) |
$560 |
$1,865 |
$345 |
$128 | |
| Ureteral stent placement |
$3,264 |
$10,879 |
$4,991 |
$373 | |
| Ureteroscopy (stone removal) |
$5,326 |
$17,753 |
$12,386 |
$365 | |
| Uric acid (gout) test |
$42 |
$139 |
$15 |
$5 | |
| Urinalysis |
$50 |
$166 |
$6 |
$3 | |
| Urine microalbumin test |
$41 |
$138 |
$9 |
$5 | |
| Urine pregnancy test |
$115 |
$384 |
$25 |
$9 | |
| Vaccine administration |
$41 |
$138 |
$95 |
$19 | |
| Vaccine administration (each additional) |
$39 |
$130 |
$89 |
$16 | |
| Vaginal delivery |
$10,351 |
$34,504 |
$9,753 |
$5,487 | |
| Varicose vein ablation |
$3,163 |
$10,542 |
$5,632 |
$1,018 | |
| Vitamin B12 test |
$81 |
$270 |
$24 |
$15 | |
| Vitamin D test |
$79 |
$263 |
$39 |
$30 | |
| Wart removal |
$1,115 |
$3,717 |
$2,528 |
$121 | |
| Weight-loss (bariatric) surgery |
$30,595 |
$101,984 |
$43,279 |
$11,645 | |
| Wound debridement |
$2,242 |
$7,472 |
$3,785 |
$186 | |
| X-ray of the abdomen |
$369 |
$1,231 |
$145 |
$36 | |
| X-ray of the ankle |
$319 |
$1,062 |
$125 |
$37 | |
| X-ray of the collarbone |
$317 |
$1,057 |
$124 |
$33 | |
| X-ray of the elbow |
$308 |
$1,027 |
$121 |
$33 | |
| X-ray of the facial bones |
$371 |
$1,238 |
$161 |
$39 | |
| X-ray of the foot |
$307 |
$1,022 |
$120 |
$34 | |
| X-ray of the forearm |
$286 |
$954 |
$112 |
$29 | |
| X-ray of the hand |
$303 |
$1,010 |
$119 |
$38 | |
| X-ray of the hip |
$205 |
$683 |
$133 |
$49 | |
| X-ray of the hip (1 view) |
$193 |
$645 |
$87 |
$34 | |
| X-ray of the hip (3 views) |
$205 |
$683 |
$133 |
$49 | |
| X-ray of the hip (4 views) |
$227 |
$756 |
$166 |
$63 | |
| X-ray of the knee |
$311 |
$1,038 |
$143 |
$42 | |
| X-ray of the knee (2 views) |
$285 |
$951 |
$112 |
$34 | |
| X-ray of the knee (3 views) |
$311 |
$1,038 |
$122 |
$42 | |
| X-ray of the knee (4+ views) |
$478 |
$1,594 |
$188 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$499 |
$1,662 |
$217 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$400 |
$1,335 |
$157 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$597 |
$1,989 |
$234 |
$53 | |
| X-ray of the lower leg |
$287 |
$958 |
$113 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$356 |
$1,186 |
$154 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$267 |
$890 |
$105 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$444 |
$1,481 |
$175 |
$39 | |
| X-ray of the neck (cervical spine) |
$443 |
$1,475 |
$194 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$377 |
$1,256 |
$148 |
$40 | |
| X-ray of the pelvis |
$256 |
$854 |
$115 |
$36 | |
| X-ray of the pelvis (1 view) |
$304 |
$1,014 |
$119 |
$28 | |
| X-ray of the ribs |
$476 |
$1,587 |
$187 |
$42 | |
| X-ray of the ribs (2 views) |
$261 |
$869 |
$102 |
$36 | |
| X-ray of the ribs (3 views) |
$476 |
$1,587 |
$187 |
$42 | |
| X-ray of the shoulder |
$289 |
$962 |
$113 |
$36 | |
| X-ray of the skull |
$403 |
$1,343 |
$175 |
$40 | |
| X-ray of the upper arm |
$292 |
$975 |
$115 |
$32 | |
| X-ray of the wrist |
$303 |
$1,011 |
$119 |
$43 | |
| YAG laser capsulotomy (eye) |
$424 |
$1,414 |
$1,061 |
$335 | |
| Zinc blood test |
$46 |
$153 |
$18 |
$11 | |