| 3D mammogram (tomosynthesis) |
$60 |
$241 |
$165 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$938 |
$3,750 |
$2,766 |
$284 | |
| Abdominal ultrasound |
$298 |
$1,190 |
$338 |
$100 | |
| Abdominal ultrasound (complete) |
$471 |
$1,883 |
$361 |
$114 | |
| Abdominal ultrasound (limited) |
$298 |
$1,190 |
$314 |
$86 | |
| Abscess drainage (complex or multiple) |
$254 |
$1,016 |
$629 |
$220 | |
| Abscess drainage (simple) |
$139 |
$556 |
$417 |
$129 | |
| Abscess incision and drainage |
$139 |
$556 |
$417 |
$174 | |
| Albumin blood test |
$29 |
$116 |
$7 |
$5 | |
| Aldosterone test |
$132 |
$527 |
$155 |
$41 | |
| Alkaline phosphatase test |
$22 |
$87 |
$12 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$82 |
$329 |
$65 |
$17 | |
| ALT liver enzyme test |
$22 |
$89 |
$13 |
$5 | |
| Ammonia blood test |
$70 |
$280 |
$58 |
$15 | |
| Amylase test |
$37 |
$148 |
$26 |
$6 | |
| Anoscopy |
$87 |
$347 |
$260 |
$129 | |
| Antinuclear antibody (ANA) test |
$59 |
$234 |
$48 |
$12 | |
| Aortic aneurysm repair (AAA) |
$4,793 |
$19,171 |
$14,378 |
$1,345 | |
| Appendix removal (appendectomy) |
— |
— |
$17,983 |
$592 | |
| Arterial blood gas (ABG) |
$116 |
$466 |
$78 |
$26 | |
| AST liver enzyme test |
$22 |
$88 |
$13 |
$5 | |
| Barium swallow study |
$245 |
$981 |
$351 |
$107 | |
| Bartholin cyst removal |
$118 |
$470 |
$353 |
$182 | |
| Basic metabolic panel |
$77 |
$307 |
$31 |
$8 | |
| Benign skin lesion removal |
$476 |
$1,905 |
$662 |
$171 | |
| Bilirubin blood test |
$24 |
$97 |
$18 |
$5 | |
| Bladder function test (urodynamics) |
$501 |
$2,003 |
$662 |
$345 | |
| Blood clotting test (PT/INR) |
$28 |
$112 |
$15 |
$4 | |
| Blood crossmatch |
$89 |
$357 |
$114 |
— | |
| Blood glucose test |
$25 |
$102 |
$10 |
$5 | |
| Blood transfusion |
$450 |
$1,798 |
$429 |
$47 | |
| Blood type and screen |
$50 |
$201 |
$25 |
$10 | |
| Blood type test |
$57 |
$228 |
$12 |
$3 | |
| Blood type test (ABO group) |
$57 |
$228 |
$12 |
$3 | |
| Blood type test (Rh/D antigen) |
$39 |
$155 |
$13 |
$3 | |
| BNP (heart failure) test |
$130 |
$521 |
$133 |
$39 | |
| Bone density scan (DEXA) |
$202 |
$807 |
$289 |
$39 | |
| Bone marrow biopsy |
$1,092 |
$4,366 |
$662 |
$172 | |
| Bone scan (nuclear) |
$664 |
$2,654 |
$949 |
$259 | |
| Breast biopsy |
$1,130 |
$4,519 |
$3,026 |
$478 | |
| Breast MRI |
$1,215 |
$4,859 |
$1,699 |
$216 | |
| Breast MRI without contrast |
$1,215 |
$4,859 |
$1,996 |
$216 | |
| Breast ultrasound |
$196 |
$782 |
$260 |
$92 | |
| Breast ultrasound (complete) |
$244 |
$974 |
$314 |
$100 | |
| Breast ultrasound (limited) |
$196 |
$782 |
$260 |
$84 | |
| Breathing tube insertion (intubation) |
$298 |
$1,193 |
$629 |
$133 | |
| Bronchoscopy |
$603 |
$2,413 |
$662 |
$303 | |
| Burn dressing and debridement (medium) |
$137 |
$549 |
$132 |
$166 | |
| Burn dressing and debridement (small) |
$165 |
$661 |
$446 |
$93 | |
| Burn treatment |
$165 |
$661 |
$132 |
$129 | |
| C-reactive protein (CRP) |
$39 |
$156 |
$21 |
$5 | |
| CA 19-9 tumor marker test |
$53 |
$210 |
$69 |
$21 | |
| CA-125 ovarian marker test |
$73 |
$291 |
$83 |
$21 | |
| Calcium blood test |
$26 |
$102 |
$13 |
$5 | |
| Cardiac catheterization |
$5,519 |
$22,075 |
$17,788 |
$1,049 | |
| Cardiac MRI |
$384 |
$1,536 |
$1,152 |
$322 | |
| Cardiac rehabilitation |
$104 |
$417 |
$322 |
$26 | |
| Cardiac stress test |
$477 |
$1,907 |
$1,249 |
$39 | |
| Cardioversion |
$447 |
$1,787 |
$1,175 |
$155 | |
| Carotid artery ultrasound |
$543 |
$2,174 |
$978 |
$156 | |
| CEA tumor marker test |
$101 |
$404 |
$75 |
$19 | |
| Celiac disease test |
$58 |
$232 |
$83 |
$12 | |
| Central line placement |
$1,297 |
$5,188 |
$1,588 |
$238 | |
| Cesarean section (C-section) |
— |
— |
$9,558 |
$7,552 | |
| Chemotherapy infusion |
$238 |
$952 |
$231 |
$81 | |
| Chemotherapy infusion (each additional) |
$107 |
$429 |
$106 |
$28 | |
| Chemotherapy infusion (first hour) |
$369 |
$1,475 |
$388 |
$133 | |
| Chest fluid drain (thoracentesis) |
$958 |
$3,830 |
$2,912 |
$311 | |
| Chest tube insertion |
$737 |
$2,946 |
$2,651 |
$143 | |
| Chest X-ray |
$177 |
$709 |
$144 |
$37 | |
| Chest X-ray (1 view) |
$119 |
$474 |
$108 |
$25 | |
| Chest X-ray (2 views) |
$172 |
$689 |
$115 |
$33 | |
| Chickenpox (varicella) vaccine |
$155 |
$619 |
$207 |
— | |
| Circumcision |
$249 |
$996 |
$629 |
$167 | |
| CK-MB heart enzyme test |
$91 |
$364 |
$32 |
$12 | |
| Clotting time test (PTT) |
$28 |
$111 |
$24 |
$6 | |
| Colonoscopy |
$634 |
$2,537 |
$1,903 |
$480 | |
| Complete blood count (CBC) |
$33 |
$131 |
$27 |
$7 | |
| Complete blood count (CBC) (complete) |
$36 |
$145 |
$29 |
$8 | |
| Complex wound repair |
$332 |
$1,326 |
$1,193 |
$390 | |
| Comprehensive eye exam |
$1,541 |
$6,164 |
$3,695 |
$138 | |
| Comprehensive metabolic panel |
$145 |
$578 |
$39 |
$11 | |
| Copper blood test |
$56 |
$222 |
$49 |
$12 | |
| Coronary angioplasty / stent (PCI) |
— |
— |
$33,906 |
$426 | |
| Coronary artery bypass (CABG) |
— |
— |
$44,270 |
$36,593 | |
| Cortisol test |
$73 |
$293 |
$64 |
$16 | |
| COVID-19 PCR test |
$53 |
$210 |
$65 |
$51 | |
| CPAP titration study |
$386 |
$1,543 |
$1,192 |
$69 | |
| Creatine kinase (CK) test |
$42 |
$167 |
$13 |
$7 | |
| CT angiography of the chest |
$1,354 |
$5,417 |
$1,595 |
$281 | |
| CT angiography of the head |
$1,252 |
$5,007 |
$1,457 |
$274 | |
| CT scan of the abdomen |
$1,161 |
$4,643 |
$1,216 |
$230 | |
| CT scan of the abdomen and pelvis |
$1,544 |
$6,175 |
$1,216 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$1,721 |
$6,885 |
$1,593 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$1,544 |
$6,175 |
$1,247 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,150 |
$4,598 |
$852 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,321 |
$5,282 |
$1,552 |
$259 | |
| CT scan of the abdomen with contrast |
$1,161 |
$4,643 |
$1,332 |
$230 | |
| CT scan of the abdomen without contrast |
$932 |
$3,729 |
$987 |
$136 | |
| CT scan of the arm |
$940 |
$3,761 |
$1,116 |
$199 | |
| CT scan of the arm with contrast |
$940 |
$3,761 |
$1,111 |
$199 | |
| CT scan of the arm without contrast |
$797 |
$3,188 |
$937 |
$161 | |
| CT scan of the chest |
$1,152 |
$4,609 |
$1,254 |
$167 | |
| CT scan of the chest with and without contrast |
$1,350 |
$5,400 |
$1,592 |
$196 | |
| CT scan of the chest with contrast |
$1,152 |
$4,609 |
$1,317 |
$167 | |
| CT scan of the chest without contrast |
$909 |
$3,634 |
$1,000 |
$133 | |
| CT scan of the head |
$938 |
$3,752 |
$1,032 |
$148 | |
| CT scan of the head with and without contrast |
$1,066 |
$4,263 |
$1,278 |
$173 | |
| CT scan of the head with contrast |
$938 |
$3,752 |
$1,069 |
$148 | |
| CT scan of the head without contrast |
$755 |
$3,018 |
$855 |
$107 | |
| CT scan of the leg |
$894 |
$3,576 |
$1,111 |
$166 | |
| CT scan of the leg with contrast |
$894 |
$3,576 |
$1,078 |
$166 | |
| CT scan of the leg without contrast |
$735 |
$2,938 |
$902 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$995 |
$3,980 |
$1,203 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,345 |
$5,379 |
$1,579 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$995 |
$3,980 |
$1,223 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$819 |
$3,274 |
$1,000 |
$130 | |
| CT scan of the neck |
$1,050 |
$4,201 |
$1,091 |
$183 | |
| CT scan of the neck (cervical spine) |
$920 |
$3,681 |
$1,207 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,450 |
$5,800 |
$1,630 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$920 |
$3,681 |
$1,169 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$761 |
$3,042 |
$982 |
$131 | |
| CT scan of the neck with and without contrast |
$1,178 |
$4,710 |
$1,372 |
$220 | |
| CT scan of the neck with contrast |
$1,050 |
$4,201 |
$1,194 |
$183 | |
| CT scan of the neck without contrast |
$915 |
$3,658 |
$942 |
$150 | |
| CT scan of the pelvis |
$1,104 |
$4,414 |
$1,184 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,325 |
$5,301 |
$1,540 |
$251 | |
| CT scan of the pelvis with contrast |
$1,104 |
$4,414 |
$1,258 |
$226 | |
| CT scan of the pelvis without contrast |
$901 |
$3,603 |
$992 |
$133 | |
| CT scan of the sinuses |
$1,048 |
$4,190 |
$1,089 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,218 |
$4,873 |
$1,400 |
$184 | |
| CT scan of the sinuses with contrast |
$1,048 |
$4,190 |
$1,186 |
$152 | |
| CT scan of the sinuses without contrast |
$865 |
$3,461 |
$929 |
$128 | |
| D-dimer test |
$55 |
$218 |
$32 |
$10 | |
| Defibrillator (ICD) implant |
$25,411 |
$101,644 |
$78,550 |
$798 | |
| DHEA-sulfate test |
$85 |
$339 |
$83 |
$22 | |
| Diagnostic mammogram |
$98 |
$392 |
$250 |
$140 | |
| Drug screen (urine) |
$172 |
$688 |
$118 |
$17 | |
| Echocardiogram |
$310 |
$1,240 |
$706 |
$138 | |
| Echocardiogram with and without contrast |
$232 |
$926 |
$611 |
$101 | |
| Echocardiogram without contrast |
$310 |
$1,240 |
$818 |
$138 | |
| EEG (awake and asleep) |
$489 |
$1,954 |
$607 |
$482 | |
| EKG / ECG (tracing only) |
$115 |
$460 |
$279 |
$7 | |
| Electrocardiogram (EKG) |
$109 |
$436 |
$25 |
$8 | |
| Electroencephalogram (EEG) |
$398 |
$1,591 |
$508 |
$448 | |
| Electrolyte panel |
$57 |
$226 |
$26 |
$7 | |
| Electromyography (EMG) |
$329 |
$1,314 |
$335 |
$141 | |
| Emergency department visit |
$242 |
$969 |
$123 |
$69 | |
| Emergency department visit (level 1) |
$66 |
$264 |
$26 |
$11 | |
| Emergency department visit (level 2) |
$149 |
$598 |
$46 |
$40 | |
| Emergency department visit (level 3) |
$380 |
$1,521 |
$79 |
$69 | |
| Emergency department visit (level 4) |
$395 |
$1,581 |
$133 |
$118 | |
| Emergency department visit (level 5) |
$497 |
$1,986 |
$194 |
$171 | |
| Endometrial biopsy |
$132 |
$528 |
$396 |
$98 | |
| Estradiol (estrogen) test |
$92 |
$367 |
$107 |
$28 | |
| Fallopian tube X-ray (HSG) |
$192 |
$768 |
$431 |
$164 | |
| Family therapy session |
$119 |
$474 |
$366 |
$110 | |
| Fecal occult blood (stool) test |
$29 |
$116 |
$18 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$14 |
$54 |
$8 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$45 |
$178 |
$56 |
$16 | |
| Ferritin (iron) test |
$61 |
$243 |
$54 |
$14 | |
| Fibrinogen test |
$51 |
$204 |
$36 |
$10 | |
| Flexible sigmoidoscopy |
$608 |
$2,430 |
$1,509 |
$323 | |
| Flu test |
$36 |
$145 |
$48 |
$17 | |
| Folate (folic acid) test |
$57 |
$227 |
$58 |
$15 | |
| Foreign body removal (skin) |
$254 |
$1,016 |
$762 |
$157 | |
| Free T4 thyroid test |
$71 |
$283 |
$35 |
$9 | |
| FSH hormone test |
$78 |
$312 |
$74 |
$19 | |
| Gallbladder scan (HIDA) |
$1,022 |
$4,088 |
$1,234 |
$334 | |
| GGT liver test |
$26 |
$105 |
$17 |
$7 | |
| Glucose tolerance test |
$45 |
$180 |
$20 |
$8 | |
| H. pylori test |
$140 |
$558 |
$190 |
$67 | |
| HDL cholesterol test |
$32 |
$128 |
$32 |
$8 | |
| Hematocrit test |
$17 |
$66 |
$8 |
$2 | |
| Hemodialysis |
$399 |
$1,596 |
$1,233 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$44 |
$174 |
$38 |
$10 | |
| Hepatitis A vaccine |
$48 |
$191 |
$77 |
— | |
| Hepatitis B test |
$50 |
$200 |
$38 |
$10 | |
| Hepatitis B vaccine |
$40 |
$158 |
$77 |
— | |
| Hepatitis C test |
$68 |
$270 |
$52 |
$14 | |
| HIV test |
$63 |
$250 |
$74 |
$19 | |
| HIV test (antigen/antibody combo) |
$63 |
$250 |
$74 |
$24 | |
| Holter heart monitor |
$321 |
$1,283 |
$579 |
$26 | |
| Iron blood test |
$37 |
$148 |
$26 |
$6 | |
| IV infusion therapy |
$93 |
$370 |
$233 |
$44 | |
| IV infusion therapy (each additional) |
$93 |
$370 |
$222 |
$21 | |
| IV infusion therapy (initial) |
$272 |
$1,089 |
$653 |
$67 | |
| IVC filter placement |
$3,654 |
$14,615 |
$10,961 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$208 |
$832 |
$624 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$208 |
$832 |
$562 |
$57 | |
| Joint aspiration or injection (small joint) |
$208 |
$832 |
$624 |
$56 | |
| Kidney biopsy |
$1,359 |
$5,435 |
$3,265 |
$492 | |
| Kidney scan (nuclear) |
$640 |
$2,560 |
$773 |
$172 | |
| Kidney ultrasound |
$399 |
$1,598 |
$351 |
$84 | |
| Kidney ultrasound (limited) |
$314 |
$1,255 |
$314 |
$61 | |
| Knee joint injection |
$450 |
$1,800 |
$653 |
$69 | |
| Knee replacement |
— |
— |
$22,897 |
$18,054 | |
| Lactate test |
$49 |
$196 |
$43 |
$12 | |
| Laryngoscopy |
$219 |
$877 |
$533 |
$189 | |
| LDH test |
$26 |
$102 |
$13 |
$6 | |
| LDL cholesterol test |
$18 |
$71 |
$19 |
$11 | |
| Leg artery angiogram |
$1,537 |
$6,149 |
$2,198 |
$149 | |
| Leg artery angioplasty |
$5,908 |
$23,631 |
$15,439 |
— | |
| Leg vein ultrasound (Doppler) |
$558 |
$2,232 |
$1,101 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$431 |
$1,723 |
$775 |
$116 | |
| LH hormone test |
$74 |
$297 |
$74 |
$19 | |
| Lipase test |
$40 |
$161 |
$27 |
$7 | |
| Lipid (cholesterol) panel |
$70 |
$279 |
$50 |
$13 | |
| Liver biopsy |
$910 |
$3,638 |
$2,729 |
$288 | |
| Liver function panel |
$104 |
$414 |
$30 |
$8 | |
| Lower back (lumbar) spinal fusion |
— |
— |
$73,023 |
$1,511 | |
| Lung function test (PFT) |
$299 |
$1,194 |
$374 |
$37 | |
| Lung scan (V/Q) |
$922 |
$3,688 |
$1,318 |
$291 | |
| Magnesium blood test |
$40 |
$158 |
$27 |
$7 | |
| MMR vaccine |
$76 |
$304 |
$108 |
— | |
| MRA of the brain |
$1,505 |
$6,020 |
$2,152 |
$226 | |
| MRA of the brain without contrast |
$1,499 |
$5,997 |
$2,438 |
$328 | |
| MRA of the neck |
$1,912 |
$7,649 |
$2,292 |
$245 | |
| MRA of the neck with contrast |
$1,912 |
$7,649 |
$2,102 |
$245 | |
| MRA of the neck without contrast |
$2,266 |
$9,065 |
$2,766 |
$343 | |
| MRI of the abdomen |
$1,566 |
$6,263 |
$2,122 |
$300 | |
| MRI of the abdomen with contrast |
$1,566 |
$6,263 |
$1,990 |
$300 | |
| MRI of the abdomen without contrast |
$1,402 |
$5,608 |
$1,754 |
$194 | |
| MRI of the ankle |
$1,401 |
$5,605 |
$2,003 |
$261 | |
| MRI of the ankle with contrast |
$1,401 |
$5,605 |
$1,873 |
$261 | |
| MRI of the ankle without contrast |
$1,258 |
$5,031 |
$1,651 |
$222 | |
| MRI of the brain |
$1,775 |
$7,101 |
$2,223 |
$269 | |
| MRI of the brain with contrast |
$1,775 |
$7,101 |
$2,103 |
$269 | |
| MRI of the brain without contrast |
$1,384 |
$5,537 |
$1,742 |
$195 | |
| MRI of the chest |
$998 |
$3,992 |
$1,872 |
$371 | |
| MRI of the chest with contrast |
$998 |
$3,992 |
$1,741 |
$371 | |
| MRI of the chest without contrast |
$1,500 |
$6,001 |
$2,438 |
$466 | |
| MRI of the knee |
$1,389 |
$5,555 |
$1,994 |
$315 | |
| MRI of the knee with contrast |
$1,389 |
$5,555 |
$1,864 |
$315 | |
| MRI of the knee without contrast |
$1,375 |
$5,500 |
$1,735 |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,857 |
$7,426 |
$2,335 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,857 |
$7,426 |
$2,103 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,561 |
$6,244 |
$1,757 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,785 |
$7,141 |
$2,272 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,114 |
$8,456 |
$2,731 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,785 |
$7,141 |
$2,104 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,473 |
$5,893 |
$1,757 |
$190 | |
| MRI of the neck (cervical spine) |
$1,806 |
$7,222 |
$2,231 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,144 |
$8,575 |
$2,752 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,806 |
$7,222 |
$2,103 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,416 |
$5,662 |
$1,756 |
$191 | |
| MRI of the pelvis |
$2,118 |
$8,471 |
$2,221 |
$268 | |
| MRI of the pelvis with contrast |
$2,118 |
$8,471 |
$2,101 |
$268 | |
| MRI of the pelvis without contrast |
$1,386 |
$5,544 |
$1,743 |
$227 | |
| MRI of the shoulder |
$1,772 |
$7,087 |
$2,220 |
$313 | |
| MRI of the shoulder with contrast |
$1,772 |
$7,087 |
$2,101 |
$313 | |
| MRI of the shoulder without contrast |
$1,365 |
$5,460 |
$1,728 |
$205 | |
| MRI of the wrist |
$2,075 |
$8,300 |
$2,220 |
$330 | |
| MRI of the wrist with contrast |
$2,075 |
$8,300 |
$2,101 |
$330 | |
| MRI of the wrist without contrast |
$1,253 |
$5,011 |
$1,648 |
$303 | |
| Nebulizer breathing treatment |
$67 |
$267 |
$206 |
$9 | |
| Nerve conduction study |
$305 |
$1,218 |
$451 |
$118 | |
| Nuchal translucency ultrasound |
$105 |
$420 |
$315 |
$116 | |
| Nuclear cardiac stress test |
$1,451 |
$5,802 |
$1,721 |
$428 | |
| Occupational therapy evaluation |
$128 |
$510 |
$308 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$154 |
$614 |
$402 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$103 |
$410 |
$246 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$133 |
$531 |
$308 |
$101 | |
| Office visit (established patient) |
$58 |
$233 |
$87 |
$115 | |
| Office visit (new patient) |
$100 |
$398 |
$153 |
$177 | |
| Office visit, established patient (level 3) |
$49 |
$196 |
$62 |
$95 | |
| Office visit, established patient (level 4) |
$60 |
$240 |
$92 |
$136 | |
| Office visit, new patient (level 3) |
$66 |
$265 |
$86 |
$118 | |
| Office visit, new patient (level 4) |
$100 |
$398 |
$141 |
$177 | |
| Office visit, new patient (level 5) |
$126 |
$503 |
$191 |
$237 | |
| Orthopedic hardware removal |
$1,780 |
$7,121 |
$3,355 |
$632 | |
| Pacemaker insertion |
— |
— |
$22,705 |
$15,506 | |
| Pap smear (cervical screening) |
$54 |
$215 |
$103 |
$20 | |
| Parathyroid hormone (PTH) test |
$189 |
$754 |
$163 |
$41 | |
| Pelvic ultrasound |
$296 |
$1,182 |
$314 |
$78 | |
| Pelvic ultrasound (complete) |
$346 |
$1,383 |
$314 |
$105 | |
| Pelvic ultrasound (limited) |
$245 |
$981 |
$314 |
$51 | |
| PET scan |
$3,158 |
$12,632 |
$5,617 |
— | |
| Phosphorus blood test |
$30 |
$119 |
$12 |
$5 | |
| Physical therapy evaluation |
$136 |
$545 |
$293 |
$98 | |
| Physical therapy evaluation (high complexity) |
$154 |
$614 |
$439 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$136 |
$545 |
$370 |
$98 | |
| Platelet count |
$23 |
$91 |
$18 |
$4 | |
| Pregnancy blood test (hCG) |
$62 |
$248 |
$30 |
$8 | |
| Pregnancy ultrasound |
$292 |
$1,169 |
$317 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$223 |
$892 |
$317 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$296 |
$1,183 |
$317 |
$136 | |
| Procalcitonin test |
$97 |
$388 |
$53 |
$27 | |
| Prolactin test |
$121 |
$483 |
$77 |
$19 | |
| Prostate test (PSA) |
$69 |
$276 |
$69 |
$18 | |
| Psychiatric evaluation |
$119 |
$474 |
$366 |
$188 | |
| RSV vaccine |
$306 |
$1,224 |
$306 |
— | |
| Scoliosis spine X-ray |
$358 |
$1,431 |
$203 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$358 |
$1,431 |
$146 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$358 |
$1,431 |
$266 |
$72 | |
| Screening mammogram |
$160 |
$640 |
$229 |
$126 | |
| Scrotal ultrasound |
$321 |
$1,285 |
$314 |
$99 | |
| Sedimentation rate (ESR) test |
$29 |
$116 |
$12 |
$3 | |
| Sex hormone binding globulin test |
$65 |
$261 |
$73 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$111 |
$443 |
$48 |
$114 | |
| Simple wound stitches |
$125 |
$501 |
$59 |
$127 | |
| Skin biopsy |
$168 |
$673 |
$505 |
$121 | |
| Skin biopsy (punch) |
$168 |
$673 |
$505 |
$121 | |
| Skin cancer lesion removal |
$413 |
$1,652 |
$649 |
$240 | |
| Skin graft |
$1,315 |
$5,260 |
$4,065 |
$898 | |
| Skin tag removal |
$139 |
$556 |
$417 |
$92 | |
| Sleep study (polysomnography) |
$908 |
$3,633 |
$1,650 |
$691 | |
| Soft tissue ultrasound |
$71 |
$284 |
$213 |
$64 | |
| Speech therapy |
$121 |
$485 |
$130 |
$76 | |
| Spinal tap (lumbar puncture) |
$583 |
$2,333 |
$662 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$4,188 |
$16,752 |
$12,932 |
$5,803 | |
| Spirometry (lung function test) |
$236 |
$945 |
$238 |
$30 | |
| Spirometry with bronchodilator |
$361 |
$1,443 |
$432 |
$43 | |
| Strep throat test |
$38 |
$152 |
$48 |
$17 | |
| Stress echocardiogram |
$919 |
$3,675 |
$1,089 |
$209 | |
| Stress echocardiogram (complete) |
$919 |
$3,675 |
$1,448 |
$233 | |
| Swallow study |
$136 |
$545 |
$63 |
$85 | |
| T3 thyroid test |
$71 |
$282 |
$55 |
$14 | |
| Tdap (tetanus) vaccine |
$34 |
$134 |
$42 |
— | |
| Testosterone test |
$102 |
$408 |
$102 |
$26 | |
| Thyroid test (TSH) |
$68 |
$273 |
$66 |
$17 | |
| Thyroid ultrasound |
$284 |
$1,134 |
$314 |
$109 | |
| Thyroid uptake scan |
$416 |
$1,663 |
$595 |
$145 | |
| Total IgE allergy test |
$63 |
$253 |
$65 |
$16 | |
| Total protein test |
$22 |
$89 |
$9 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$607 |
$2,427 |
$1,602 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$607 |
$2,427 |
$1,602 |
$239 | |
| Transvaginal ultrasound |
$236 |
$945 |
$314 |
$118 | |
| Trigger point injection |
$241 |
$962 |
$629 |
$56 | |
| Trigger point injection (1-2 muscles) |
$241 |
$962 |
$629 |
$52 | |
| Triglycerides test |
$26 |
$102 |
$13 |
$6 | |
| Troponin (heart) test |
$46 |
$184 |
$38 |
$12 | |
| Turning a breech baby (version) |
$1,101 |
$4,405 |
$3,404 |
$94 | |
| Upper GI series (barium) |
$352 |
$1,407 |
$439 |
$128 | |
| Uric acid (gout) test |
$22 |
$86 |
$12 |
$5 | |
| Urinalysis |
$14 |
$54 |
$10 |
$3 | |
| Urine microalbumin test |
$30 |
$120 |
$21 |
$5 | |
| Urine pregnancy test |
$42 |
$167 |
$28 |
$9 | |
| Vaccine administration |
$47 |
$186 |
$140 |
$19 | |
| Vaccine administration (each additional) |
$19 |
$75 |
$58 |
$16 | |
| Vaginal delivery |
— |
— |
$8,095 |
$5,487 | |
| Vitamin B12 test |
$63 |
$253 |
$60 |
$15 | |
| Vitamin D test |
$103 |
$411 |
$115 |
$30 | |
| Wart removal |
$96 |
$382 |
$287 |
$121 | |
| Weight-loss (bariatric) surgery |
— |
— |
$18,855 |
$11,645 | |
| Wound debridement |
$254 |
$1,016 |
$60 |
$186 | |
| X-ray of the abdomen |
$154 |
$615 |
$127 |
$36 | |
| X-ray of the ankle |
$142 |
$566 |
$125 |
$37 | |
| X-ray of the collarbone |
$132 |
$529 |
$108 |
$33 | |
| X-ray of the elbow |
$146 |
$582 |
$146 |
$33 | |
| X-ray of the facial bones |
$133 |
$531 |
$172 |
$39 | |
| X-ray of the foot |
$132 |
$529 |
$123 |
$34 | |
| X-ray of the forearm |
$128 |
$511 |
$108 |
$29 | |
| X-ray of the hand |
$142 |
$567 |
$125 |
$38 | |
| X-ray of the hip |
$166 |
$662 |
$173 |
$49 | |
| X-ray of the hip (1 view) |
$133 |
$530 |
$115 |
$34 | |
| X-ray of the hip (3 views) |
$166 |
$662 |
$173 |
$49 | |
| X-ray of the hip (4 views) |
$249 |
$994 |
$214 |
$63 | |
| X-ray of the knee |
$158 |
$633 |
$140 |
$42 | |
| X-ray of the knee (2 views) |
$124 |
$497 |
$110 |
$34 | |
| X-ray of the knee (3 views) |
$158 |
$633 |
$140 |
$42 | |
| X-ray of the knee (4+ views) |
$177 |
$708 |
$160 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$208 |
$830 |
$189 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$179 |
$715 |
$156 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$236 |
$945 |
$219 |
$53 | |
| X-ray of the lower leg |
$132 |
$526 |
$104 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$179 |
$717 |
$143 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$171 |
$682 |
$129 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$188 |
$752 |
$157 |
$39 | |
| X-ray of the neck (cervical spine) |
$198 |
$793 |
$182 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$150 |
$598 |
$146 |
$40 | |
| X-ray of the pelvis |
$155 |
$619 |
$138 |
$36 | |
| X-ray of the pelvis (1 view) |
$137 |
$548 |
$98 |
$28 | |
| X-ray of the ribs |
$162 |
$649 |
$148 |
$42 | |
| X-ray of the ribs (2 views) |
$120 |
$481 |
$123 |
$36 | |
| X-ray of the ribs (3 views) |
$162 |
$649 |
$148 |
$42 | |
| X-ray of the shoulder |
$155 |
$621 |
$117 |
$36 | |
| X-ray of the skull |
$172 |
$689 |
$168 |
$40 | |
| X-ray of the upper arm |
$131 |
$525 |
$117 |
$32 | |
| X-ray of the wrist |
$137 |
$547 |
$141 |
$43 | |
| Zinc blood test |
$48 |
$193 |
$45 |
$11 | |