| 3D mammogram (tomosynthesis) |
$71 |
$102 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$216 |
$309 |
— |
$284 | |
| Abdominal ultrasound |
$739 |
$1,056 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$1,067 |
$1,524 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$691 |
$987 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$464 |
$663 |
— |
$220 | |
| Abscess drainage (simple) |
$190 |
$271 |
— |
$129 | |
| Abscess incision and drainage |
$288 |
$411 |
— |
$174 | |
| Achilles tendon repair |
$15,310 |
$21,871 |
— |
$624 | |
| Albumin blood test |
$32 |
$45 |
— |
$5 | |
| Aldosterone test |
$317 |
$453 |
— |
$41 | |
| Alkaline phosphatase test |
$89 |
$127 |
— |
$5 | |
| Alpha-fetoprotein (AFP) test |
$155 |
$222 |
— |
$17 | |
| ALT liver enzyme test |
$18 |
$25 |
— |
$5 | |
| Ammonia blood test |
$187 |
$267 |
— |
$15 | |
| Amniocentesis |
$363 |
$519 |
— |
$120 | |
| Amylase test |
$50 |
$72 |
— |
$6 | |
| Anal fistula repair |
$4,497 |
$6,424 |
— |
$541 | |
| Ankle fracture repair |
$11,576 |
$16,537 |
— |
$608 | |
| Anoscopy |
$81 |
$116 |
— |
$129 | |
| Antinuclear antibody (ANA) test |
$149 |
$213 |
— |
$12 | |
| Arterial blood gas (ABG) |
$292 |
$417 |
— |
$26 | |
| AST liver enzyme test |
$18 |
$25 |
— |
$5 | |
| Barium swallow study |
$450 |
$643 |
— |
$107 | |
| Bartholin cyst removal |
$187 |
$267 |
— |
$182 | |
| Basic metabolic panel |
$52 |
$74 |
— |
$8 | |
| Benign skin lesion removal |
$1,135 |
$1,622 |
— |
$171 | |
| Bilirubin blood test |
$18 |
$25 |
— |
$5 | |
| Bladder scope (cystoscopy) |
$1,094 |
$1,563 |
— |
$216 | |
| Blood clotting test (PT/INR) |
$27 |
$38 |
— |
$4 | |
| Blood crossmatch |
$59 |
$84 |
— |
— | |
| Blood glucose test |
$18 |
$26 |
— |
$5 | |
| Blood transfusion |
$184 |
$263 |
— |
$47 | |
| Blood type and screen |
$55 |
$79 |
— |
$10 | |
| Blood type test |
$31 |
$44 |
— |
$3 | |
| Blood type test (ABO group) |
$28 |
$40 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$34 |
$48 |
— |
$3 | |
| BNP (heart failure) test |
$193 |
$276 |
— |
$39 | |
| Bone density scan (DEXA) |
$405 |
$578 |
— |
$39 | |
| Bone scan (nuclear) |
$1,128 |
$1,611 |
— |
$259 | |
| Breast biopsy |
$1,851 |
$2,644 |
— |
$478 | |
| Breast ultrasound |
$301 |
$430 |
— |
$92 | |
| Breast ultrasound (complete) |
$301 |
$430 |
— |
$100 | |
| Breast ultrasound (limited) |
$281 |
$402 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$281 |
$401 |
— |
$133 | |
| Bronchoscopy |
$1,590 |
$2,271 |
— |
$303 | |
| Bunion surgery (bunionectomy) |
$5,209 |
$7,442 |
— |
$883 | |
| Burn dressing and debridement (medium) |
$225 |
$322 |
— |
$166 | |
| Burn dressing and debridement (small) |
$109 |
$155 |
— |
$93 | |
| Burn treatment |
$160 |
$229 |
— |
$129 | |
| C-reactive protein (CRP) |
$127 |
$182 |
— |
$5 | |
| CA 19-9 tumor marker test |
$348 |
$497 |
— |
$21 | |
| CA-125 ovarian marker test |
$247 |
$353 |
— |
$21 | |
| Calcium blood test |
$18 |
$25 |
— |
$5 | |
| Capsule endoscopy |
$1,614 |
$2,306 |
— |
$802 | |
| Cardiac event monitor |
$336 |
$480 |
— |
$170 | |
| Cardiac MRI |
$1,676 |
$2,395 |
— |
$322 | |
| Cardiac MRI without contrast |
$1,326 |
$1,894 |
— |
$280 | |
| Cardiac stress test |
$178 |
$254 |
— |
$39 | |
| Cardioversion |
$487 |
$696 |
— |
$155 | |
| Carotid artery ultrasound |
$448 |
$641 |
— |
$156 | |
| Carpal tunnel release |
$3,146 |
$4,494 |
— |
$483 | |
| CEA tumor marker test |
$132 |
$188 |
— |
$19 | |
| Celiac disease test |
$152 |
$217 |
— |
$12 | |
| Central line placement |
$246 |
$352 |
— |
$238 | |
| Chalazion (eyelid cyst) removal |
$556 |
$794 |
— |
$131 | |
| Chemotherapy infusion |
$296 |
$423 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$158 |
$225 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$434 |
$620 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$593 |
$847 |
— |
$311 | |
| Chest tube insertion |
$585 |
$836 |
— |
$143 | |
| Chest X-ray |
$403 |
$575 |
— |
$37 | |
| Chest X-ray (1 view) |
$358 |
$511 |
— |
$25 | |
| Chest X-ray (2 views) |
$403 |
$575 |
— |
$33 | |
| Chickenpox (varicella) vaccine |
$1,362 |
$1,946 |
— |
— | |
| CK-MB heart enzyme test |
$146 |
$209 |
— |
$12 | |
| Clotting time test (PTT) |
$82 |
$117 |
— |
$6 | |
| Colonoscopy |
$579 |
$828 |
— |
$480 | |
| Complete blood count (CBC) |
$62 |
$88 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$96 |
$137 |
— |
$8 | |
| Complex wound repair |
$574 |
$820 |
— |
$390 | |
| Comprehensive metabolic panel |
$61 |
$87 |
— |
$11 | |
| Contraceptive implant (Nexplanon) |
$661 |
$944 |
— |
$115 | |
| Copper blood test |
$207 |
$295 |
— |
$12 | |
| Coronary CT angiography |
$732 |
$1,045 |
— |
$326 | |
| Cortisol test |
$157 |
$224 |
— |
$16 | |
| COVID-19 PCR test |
$185 |
$264 |
— |
$51 | |
| CPAP titration study |
$340 |
$485 |
— |
$69 | |
| Creatine kinase (CK) test |
$41 |
$58 |
— |
$7 | |
| CT angiography of the chest |
$1,934 |
$2,763 |
— |
$281 | |
| CT angiography of the head |
$1,833 |
$2,619 |
— |
$274 | |
| CT scan of the abdomen |
$1,315 |
$1,878 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$3,385 |
$4,835 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,685 |
$5,264 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$3,385 |
$4,835 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,533 |
$3,618 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,604 |
$2,291 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$1,315 |
$1,878 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$1,068 |
$1,526 |
— |
$136 | |
| CT scan of the arm |
$1,146 |
$1,637 |
— |
$199 | |
| CT scan of the arm with contrast |
$1,146 |
$1,637 |
— |
$199 | |
| CT scan of the arm without contrast |
$1,064 |
$1,520 |
— |
$161 | |
| CT scan of the chest |
$1,236 |
$1,765 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$1,588 |
$2,268 |
— |
$196 | |
| CT scan of the chest with contrast |
$1,333 |
$1,904 |
— |
$167 | |
| CT scan of the chest without contrast |
$1,138 |
$1,626 |
— |
$133 | |
| CT scan of the head |
$1,275 |
$1,822 |
— |
$148 | |
| CT scan of the head with and without contrast |
$1,357 |
$1,938 |
— |
$173 | |
| CT scan of the head with contrast |
$1,275 |
$1,822 |
— |
$148 | |
| CT scan of the head without contrast |
$1,033 |
$1,476 |
— |
$107 | |
| CT scan of the leg |
$1,146 |
$1,637 |
— |
$166 | |
| CT scan of the leg with contrast |
$1,146 |
$1,637 |
— |
$166 | |
| CT scan of the leg without contrast |
$1,070 |
$1,528 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,164 |
$1,663 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,260 |
$1,800 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,164 |
$1,663 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,142 |
$1,631 |
— |
$130 | |
| CT scan of the neck |
$1,254 |
$1,791 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$1,149 |
$1,642 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,378 |
$1,968 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,149 |
$1,642 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,108 |
$1,583 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$1,411 |
$2,015 |
— |
$220 | |
| CT scan of the neck with contrast |
$1,254 |
$1,791 |
— |
$183 | |
| CT scan of the neck without contrast |
$921 |
$1,315 |
— |
$150 | |
| CT scan of the pelvis |
$1,275 |
$1,821 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,553 |
$2,218 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$1,275 |
$1,821 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$1,106 |
$1,580 |
— |
$133 | |
| CT scan of the sinuses |
$1,089 |
$1,555 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,281 |
$1,830 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$1,194 |
$1,706 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$746 |
$1,066 |
— |
$128 | |
| D-dimer test |
$130 |
$185 |
— |
$10 | |
| Developmental screening (child) |
$168 |
$240 |
— |
— | |
| DHEA-sulfate test |
$311 |
$444 |
— |
$22 | |
| Diagnostic mammogram |
$518 |
$740 |
— |
$140 | |
| Dilation and curettage (D&C) |
$2,206 |
$3,151 |
— |
$298 | |
| Drug screen (urine) |
$153 |
$219 |
— |
$17 | |
| Echocardiogram |
$372 |
$532 |
— |
$138 | |
| Echocardiogram with and without contrast |
$372 |
$532 |
— |
$101 | |
| Echocardiogram without contrast |
$421 |
$602 |
— |
$138 | |
| EEG (awake and asleep) |
$300 |
$428 |
— |
$482 | |
| EKG / ECG (tracing only) |
$122 |
$174 |
— |
$7 | |
| Electrocardiogram (EKG) |
$18 |
$25 |
— |
$8 | |
| Electroencephalogram (EEG) |
$300 |
$428 |
— |
$448 | |
| Electrolyte panel |
$101 |
$144 |
— |
$7 | |
| Emergency department visit |
$224 |
$320 |
— |
$69 | |
| Emergency department visit (level 1) |
$85 |
$122 |
— |
$11 | |
| Emergency department visit (level 2) |
$146 |
$209 |
— |
$40 | |
| Emergency department visit (level 3) |
$214 |
$306 |
— |
$69 | |
| Emergency department visit (level 4) |
$535 |
$764 |
— |
$118 | |
| Emergency department visit (level 5) |
$663 |
$947 |
— |
$171 | |
| Endometrial biopsy |
$312 |
$445 |
— |
$98 | |
| Epidural steroid injection |
$1,128 |
$1,611 |
— |
$275 | |
| Esophageal dilation |
$183 |
$261 |
— |
$522 | |
| Estradiol (estrogen) test |
$242 |
$346 |
— |
$28 | |
| Fallopian tube X-ray (HSG) |
$296 |
$423 |
— |
$164 | |
| Fecal occult blood (stool) test |
$51 |
$73 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$43 |
$62 |
— |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$59 |
$84 |
— |
$16 | |
| Feeding tube (PEG) placement |
$515 |
$735 |
— |
$178 | |
| Ferritin (iron) test |
$123 |
$175 |
— |
$14 | |
| Fibrinogen test |
$125 |
$179 |
— |
$10 | |
| Flexible sigmoidoscopy |
$190 |
$272 |
— |
$323 | |
| Flu test |
$80 |
$114 |
— |
$17 | |
| Folate (folic acid) test |
$158 |
$225 |
— |
$15 | |
| Foreign body removal (skin) |
$186 |
$266 |
— |
$157 | |
| Free T4 thyroid test |
$78 |
$112 |
— |
$9 | |
| FSH hormone test |
$146 |
$209 |
— |
$19 | |
| Gallbladder removal (laparoscopic) |
$12,062 |
$17,232 |
— |
$658 | |
| Gallbladder scan (HIDA) |
$813 |
$1,161 |
— |
$334 | |
| Ganglion cyst removal |
$2,510 |
$3,586 |
— |
$321 | |
| GGT liver test |
$18 |
$25 |
— |
$7 | |
| Glucose tolerance test |
$90 |
$128 |
— |
$8 | |
| H. pylori test |
$299 |
$427 |
— |
$67 | |
| HDL cholesterol test |
$38 |
$54 |
— |
$8 | |
| Hematocrit test |
$11 |
$15 |
— |
$2 | |
| Hemoglobin A1c (diabetes test) |
$68 |
$97 |
— |
$10 | |
| Hemorrhoid removal |
$2,031 |
$2,902 |
— |
$338 | |
| Hepatitis B test |
$118 |
$169 |
— |
$10 | |
| Hepatitis C test |
$162 |
$231 |
— |
$14 | |
| HIV test |
$92 |
$131 |
— |
$19 | |
| HIV test (antibody) |
$166 |
$237 |
— |
$14 | |
| HIV test (antigen/antibody combo) |
$86 |
$123 |
— |
$24 | |
| Holter heart monitor |
$53 |
$76 |
— |
$26 | |
| Home sleep apnea test |
$274 |
$391 |
— |
$123 | |
| Inguinal hernia repair |
$6,199 |
$8,855 |
— |
$538 | |
| Iron blood test |
$62 |
$89 |
— |
$6 | |
| IUD insertion |
$308 |
$440 |
— |
— | |
| IUD removal |
$144 |
$206 |
— |
$112 | |
| IV infusion therapy |
$141 |
$202 |
— |
$44 | |
| IV infusion therapy (each additional) |
$141 |
$202 |
— |
$21 | |
| IV infusion therapy (initial) |
$305 |
$436 |
— |
$67 | |
| Joint aspiration (small/intermediate) |
$181 |
$258 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$183 |
$261 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$177 |
$254 |
— |
$56 | |
| Kidney biopsy |
$1,490 |
$2,129 |
— |
$492 | |
| Kidney scan (nuclear) |
$923 |
$1,318 |
— |
$172 | |
| Kidney ultrasound |
$938 |
$1,340 |
— |
$84 | |
| Kidney ultrasound (limited) |
$877 |
$1,253 |
— |
$61 | |
| Knee joint injection |
$123 |
$175 |
— |
$69 | |
| Lactate test |
$201 |
$287 |
— |
$12 | |
| Laryngoscopy |
$244 |
$348 |
— |
$189 | |
| LDH test |
$60 |
$86 |
— |
$6 | |
| LDL cholesterol test |
$74 |
$106 |
— |
$11 | |
| Leg vein ultrasound (Doppler) |
$645 |
$922 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$630 |
$900 |
— |
$116 | |
| LH hormone test |
$164 |
$234 |
— |
$19 | |
| Lipase test |
$134 |
$191 |
— |
$7 | |
| Lipid (cholesterol) panel |
$97 |
$138 |
— |
$13 | |
| Liver biopsy |
$783 |
$1,119 |
— |
$288 | |
| Liver function panel |
$151 |
$215 |
— |
$8 | |
| Lung function test (PFT) |
$183 |
$261 |
— |
$37 | |
| Lung scan (V/Q) |
$1,088 |
$1,554 |
— |
$291 | |
| Magnesium blood test |
$60 |
$86 |
— |
$7 | |
| MMR vaccine |
$173 |
$247 |
— |
— | |
| MRA of the brain |
$2,472 |
$3,532 |
— |
$226 | |
| MRA of the brain with contrast |
$2,472 |
$3,532 |
— |
$226 | |
| MRA of the brain without contrast |
$3,268 |
$4,668 |
— |
$328 | |
| MRA of the neck |
$2,609 |
$3,727 |
— |
$245 | |
| MRA of the neck with contrast |
$2,609 |
$3,727 |
— |
$245 | |
| MRA of the neck without contrast |
$3,291 |
$4,701 |
— |
$343 | |
| MRI of the abdomen |
$3,145 |
$4,493 |
— |
$300 | |
| MRI of the abdomen with contrast |
$3,220 |
$4,600 |
— |
$300 | |
| MRI of the abdomen without contrast |
$2,920 |
$4,171 |
— |
$194 | |
| MRI of the ankle |
$3,258 |
$4,654 |
— |
$261 | |
| MRI of the ankle with contrast |
$3,258 |
$4,654 |
— |
$261 | |
| MRI of the ankle without contrast |
$2,372 |
$3,388 |
— |
$222 | |
| MRI of the brain |
$2,203 |
$3,147 |
— |
$269 | |
| MRI of the brain with contrast |
$2,274 |
$3,248 |
— |
$269 | |
| MRI of the brain without contrast |
$1,605 |
$2,294 |
— |
$195 | |
| MRI of the chest |
$2,249 |
$3,213 |
— |
$371 | |
| MRI of the chest with contrast |
$2,249 |
$3,213 |
— |
$371 | |
| MRI of the chest without contrast |
$3,375 |
$4,821 |
— |
$466 | |
| MRI of the knee |
$3,333 |
$4,761 |
— |
$315 | |
| MRI of the knee with contrast |
$3,333 |
$4,761 |
— |
$315 | |
| MRI of the knee without contrast |
$2,190 |
$3,128 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,583 |
$3,690 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,736 |
$3,909 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,883 |
$2,691 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,799 |
$3,999 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,966 |
$4,237 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$3,111 |
$4,444 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,488 |
$3,554 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$2,067 |
$2,954 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,492 |
$3,560 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,113 |
$3,019 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,022 |
$2,888 |
— |
$191 | |
| MRI of the pelvis |
$3,333 |
$4,761 |
— |
$268 | |
| MRI of the pelvis with contrast |
$3,333 |
$4,761 |
— |
$268 | |
| MRI of the pelvis without contrast |
$2,223 |
$3,175 |
— |
$227 | |
| MRI of the shoulder |
$2,630 |
$3,757 |
— |
$313 | |
| MRI of the shoulder with contrast |
$2,790 |
$3,986 |
— |
$313 | |
| MRI of the shoulder without contrast |
$2,469 |
$3,527 |
— |
$205 | |
| MRI of the wrist |
$2,673 |
$3,819 |
— |
$330 | |
| MRI of the wrist with contrast |
$2,673 |
$3,819 |
— |
$330 | |
| MRI of the wrist without contrast |
$2,288 |
$3,269 |
— |
$303 | |
| Nebulizer breathing treatment |
$96 |
$137 |
— |
$9 | |
| Nuchal translucency ultrasound |
$981 |
$1,401 |
— |
$116 | |
| Nuclear cardiac stress test |
$1,847 |
$2,639 |
— |
$428 | |
| Occupational therapy evaluation |
$160 |
$229 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$160 |
$229 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$160 |
$229 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$160 |
$229 |
— |
$101 | |
| Office visit (established patient) |
$220 |
$314 |
— |
$115 | |
| Office visit (new patient) |
$254 |
$364 |
— |
$177 | |
| Office visit, established patient (level 3) |
$220 |
$314 |
— |
$95 | |
| Office visit, established patient (level 4) |
$325 |
$464 |
— |
$136 | |
| Office visit, new patient (level 3) |
$178 |
$254 |
— |
$118 | |
| Office visit, new patient (level 4) |
$275 |
$394 |
— |
$177 | |
| Office visit, new patient (level 5) |
$346 |
$495 |
— |
$237 | |
| Orthopedic hardware removal |
$4,521 |
$6,458 |
— |
$632 | |
| Pap smear (cervical screening) |
$32 |
$46 |
— |
$20 | |
| Parathyroid hormone (PTH) test |
$260 |
$371 |
— |
$41 | |
| Pelvic ultrasound |
$691 |
$987 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$942 |
$1,346 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$691 |
$987 |
— |
$51 | |
| PET scan |
$5,396 |
$7,708 |
— |
— | |
| Phosphorus blood test |
$18 |
$25 |
— |
$5 | |
| Physical therapy evaluation |
$123 |
$176 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$123 |
$176 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$123 |
$176 |
— |
$98 | |
| Pilonidal cyst removal |
$4,521 |
$6,458 |
— |
$541 | |
| Platelet count |
$46 |
$65 |
— |
$4 | |
| Pregnancy blood test (hCG) |
$146 |
$208 |
— |
$8 | |
| Pregnancy ultrasound |
$1,081 |
$1,544 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$1,131 |
$1,616 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$1,030 |
$1,472 |
— |
$136 | |
| Procalcitonin test |
$238 |
$340 |
— |
$27 | |
| Prolactin test |
$158 |
$226 |
— |
$19 | |
| Prostate biopsy |
$854 |
$1,220 |
— |
— | |
| Prostate test (PSA) |
$122 |
$174 |
— |
$18 | |
| Rheumatoid factor test |
$85 |
$121 |
— |
$6 | |
| Routine eye exam |
$211 |
$302 |
— |
$88 | |
| Sacroiliac joint injection |
$1,298 |
$1,854 |
— |
$176 | |
| Scoliosis spine X-ray |
$727 |
$1,038 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$585 |
$835 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$869 |
$1,241 |
— |
$72 | |
| Screening mammogram |
$391 |
$558 |
— |
$126 | |
| Scrotal ultrasound |
$872 |
$1,245 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$13 |
$18 |
— |
$3 | |
| Semen analysis |
$97 |
$139 |
— |
$12 | |
| Septoplasty (deviated septum) |
$4,979 |
$7,113 |
— |
$613 | |
| Sex hormone binding globulin test |
$106 |
$151 |
— |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$100 |
$143 |
— |
$114 | |
| Simple wound stitches |
$128 |
$183 |
— |
$127 | |
| Skin biopsy |
$281 |
$401 |
— |
$121 | |
| Skin biopsy (punch) |
$223 |
$318 |
— |
$121 | |
| Skin graft |
$7,529 |
$10,756 |
— |
$898 | |
| Skin lesion freezing (cryotherapy) |
$316 |
$451 |
— |
$36 | |
| Skin tag removal |
$95 |
$135 |
— |
$92 | |
| Sleep study (polysomnography) |
$4,352 |
$6,217 |
— |
$691 | |
| Soft tissue ultrasound |
$236 |
$337 |
— |
$64 | |
| Speech therapy |
$146 |
$208 |
— |
$76 | |
| Spinal tap (lumbar puncture) |
$158 |
$225 |
— |
$165 | |
| Spirometry (lung function test) |
$183 |
$261 |
— |
$30 | |
| Spirometry with bronchodilator |
$277 |
$395 |
— |
$43 | |
| Strep throat test |
$67 |
$95 |
— |
$17 | |
| Stress echocardiogram |
$469 |
$671 |
— |
$209 | |
| Stress echocardiogram (complete) |
$515 |
$736 |
— |
$233 | |
| Swallow study |
$197 |
$281 |
— |
$85 | |
| T3 thyroid test |
$134 |
$191 |
— |
$14 | |
| Tdap (tetanus) vaccine |
$464 |
$663 |
— |
— | |
| Testosterone test |
$221 |
$316 |
— |
$26 | |
| Thyroid test (TSH) |
$67 |
$96 |
— |
$17 | |
| Thyroid ultrasound |
$649 |
$927 |
— |
$109 | |
| Thyroid uptake scan |
$677 |
$967 |
— |
$145 | |
| Tilt table test |
$872 |
$1,245 |
— |
$168 | |
| Total IgE allergy test |
$96 |
$137 |
— |
$16 | |
| Total protein test |
$55 |
$78 |
— |
$4 | |
| Tracheostomy |
$6,585 |
$9,407 |
— |
$273 | |
| Transesophageal echocardiogram (TEE) |
$284 |
$405 |
— |
$239 | |
| Transvaginal ultrasound |
$1,069 |
$1,527 |
— |
$118 | |
| Trigger point injection |
$76 |
$108 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$75 |
$107 |
— |
$52 | |
| Triglycerides test |
$32 |
$46 |
— |
$6 | |
| Troponin (heart) test |
$158 |
$225 |
— |
$12 | |
| Turning a breech baby (version) |
$6,544 |
$9,348 |
— |
$94 | |
| Upper GI endoscopy (EGD) |
$898 |
$1,283 |
— |
$371 | |
| Upper GI series (barium) |
$397 |
$568 |
— |
$128 | |
| Uric acid (gout) test |
$18 |
$25 |
— |
$5 | |
| Urinalysis |
$33 |
$47 |
— |
$3 | |
| Urine microalbumin test |
$67 |
$96 |
— |
$5 | |
| Urine pregnancy test |
$55 |
$78 |
— |
$9 | |
| Vaccine administration |
$64 |
$92 |
— |
$19 | |
| Vaccine administration (each additional) |
$64 |
$92 |
— |
$16 | |
| Vitamin B12 test |
$67 |
$96 |
— |
$15 | |
| Vitamin D test |
$244 |
$348 |
— |
$30 | |
| Wart removal |
$316 |
$451 |
— |
$121 | |
| Wound debridement |
$295 |
$422 |
— |
$186 | |
| Wrist fracture repair |
$13,443 |
$19,204 |
— |
$735 | |
| X-ray of the abdomen |
$199 |
$284 |
— |
$36 | |
| X-ray of the ankle |
$493 |
$704 |
— |
$37 | |
| X-ray of the collarbone |
$445 |
$635 |
— |
$33 | |
| X-ray of the elbow |
$505 |
$722 |
— |
$33 | |
| X-ray of the facial bones |
$778 |
$1,111 |
— |
$39 | |
| X-ray of the foot |
$514 |
$734 |
— |
$34 | |
| X-ray of the forearm |
$440 |
$629 |
— |
$29 | |
| X-ray of the hand |
$601 |
$858 |
— |
$38 | |
| X-ray of the hip |
$480 |
$685 |
— |
$49 | |
| X-ray of the hip (1 view) |
$360 |
$514 |
— |
$34 | |
| X-ray of the hip (3 views) |
$480 |
$685 |
— |
$49 | |
| X-ray of the hip (4 views) |
$504 |
$720 |
— |
$63 | |
| X-ray of the knee |
$533 |
$761 |
— |
$42 | |
| X-ray of the knee (2 views) |
$399 |
$570 |
— |
$34 | |
| X-ray of the knee (3 views) |
$533 |
$761 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$559 |
$799 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$732 |
$1,046 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$553 |
$790 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$911 |
$1,302 |
— |
$53 | |
| X-ray of the lower leg |
$419 |
$598 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$554 |
$791 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$526 |
$751 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$582 |
$831 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$642 |
$918 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$495 |
$707 |
— |
$40 | |
| X-ray of the pelvis |
$458 |
$655 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$419 |
$598 |
— |
$28 | |
| X-ray of the ribs |
$588 |
$840 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$566 |
$808 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$588 |
$840 |
— |
$42 | |
| X-ray of the shoulder |
$512 |
$731 |
— |
$36 | |
| X-ray of the skull |
$785 |
$1,122 |
— |
$40 | |
| X-ray of the upper arm |
$428 |
$612 |
— |
$32 | |
| X-ray of the wrist |
$626 |
$894 |
— |
$43 | |
| Zinc blood test |
$167 |
$238 |
— |
$11 | |