| 3D mammogram (tomosynthesis) |
$168 |
$215 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,847 |
$2,369 |
— |
$284 | |
| Abdominal ultrasound |
$630 |
$808 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$1,101 |
$1,412 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$589 |
$756 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$783 |
$1,004 |
— |
$220 | |
| Abscess drainage (simple) |
$590 |
$757 |
— |
$129 | |
| Abscess incision and drainage |
$783 |
$1,003 |
— |
$174 | |
| Achilles tendon repair |
$14,834 |
$19,018 |
— |
$624 | |
| Albumin blood test |
$18 |
$23 |
— |
$5 | |
| Aldosterone test |
$156 |
$200 |
— |
$41 | |
| Alkaline phosphatase test |
$9 |
$12 |
— |
$5 | |
| Alpha-fetoprotein (AFP) test |
$43 |
$55 |
— |
$17 | |
| ALT liver enzyme test |
$33 |
$42 |
— |
$5 | |
| Ammonia blood test |
$85 |
$109 |
— |
$15 | |
| Amylase test |
$33 |
$42 |
— |
$6 | |
| Anal fistula repair |
$5,011 |
$6,424 |
— |
$541 | |
| Ankle fracture repair |
$12,899 |
$16,537 |
— |
$608 | |
| Anoscopy |
$481 |
$617 |
— |
$129 | |
| Antinuclear antibody (ANA) test |
$16 |
$20 |
— |
$12 | |
| Arterial blood gas (ABG) |
$179 |
$229 |
— |
$26 | |
| AST liver enzyme test |
$33 |
$42 |
— |
$5 | |
| Bartholin cyst removal |
$773 |
$991 |
— |
$182 | |
| Basic metabolic panel |
$144 |
$184 |
— |
$8 | |
| Benign skin lesion removal |
$1,461 |
$1,874 |
— |
$171 | |
| Bilirubin blood test |
$34 |
$44 |
— |
$5 | |
| Bladder scope (cystoscopy) |
$1,219 |
$1,563 |
— |
$216 | |
| Blood clotting test (PT/INR) |
$42 |
$54 |
— |
$4 | |
| Blood crossmatch |
$148 |
$190 |
— |
— | |
| Blood glucose test |
$13 |
$17 |
— |
$5 | |
| Blood transfusion |
$564 |
$724 |
— |
$47 | |
| Blood type and screen |
$20 |
$25 |
— |
$10 | |
| Blood type test |
$22 |
$28 |
— |
$3 | |
| Blood type test (ABO group) |
$22 |
$28 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$17 |
$22 |
— |
$3 | |
| BNP (heart failure) test |
$261 |
$335 |
— |
$39 | |
| Breast ultrasound |
$421 |
$540 |
— |
$92 | |
| Breast ultrasound (complete) |
$632 |
$810 |
— |
$100 | |
| Breast ultrasound (limited) |
$394 |
$505 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$838 |
$1,074 |
— |
$133 | |
| Bronchoscopy |
$3,117 |
$3,996 |
— |
$303 | |
| Bunion surgery (bunionectomy) |
$5,805 |
$7,442 |
— |
$883 | |
| Burn dressing and debridement (medium) |
$668 |
$857 |
— |
$166 | |
| Burn dressing and debridement (small) |
$530 |
$680 |
— |
$93 | |
| Burn treatment |
$633 |
$812 |
— |
$129 | |
| C-reactive protein (CRP) |
$86 |
$110 |
— |
$5 | |
| CA 19-9 tumor marker test |
$257 |
$330 |
— |
$21 | |
| CA-125 ovarian marker test |
$257 |
$330 |
— |
$21 | |
| Calcium blood test |
$62 |
$79 |
— |
$5 | |
| Cardioversion |
$1,535 |
$1,968 |
— |
$155 | |
| Carotid artery ultrasound |
$614 |
$787 |
— |
$156 | |
| Carpal tunnel release |
$3,505 |
$4,494 |
— |
$483 | |
| CEA tumor marker test |
$139 |
$179 |
— |
$19 | |
| Celiac disease test |
$20 |
$25 |
— |
$12 | |
| Central line placement |
$2,628 |
$3,369 |
— |
$238 | |
| Chalazion (eyelid cyst) removal |
$594 |
$761 |
— |
$131 | |
| Chemotherapy infusion |
$1,410 |
$1,808 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$279 |
$358 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$1,410 |
$1,808 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$3,036 |
$3,892 |
— |
$311 | |
| Chest tube insertion |
$1,747 |
$2,240 |
— |
$143 | |
| Chest X-ray |
$369 |
$473 |
— |
$37 | |
| Chest X-ray (1 view) |
$369 |
$473 |
— |
$25 | |
| Chest X-ray (2 views) |
$428 |
$549 |
— |
$33 | |
| CK-MB heart enzyme test |
$231 |
$296 |
— |
$12 | |
| Clotting time test (PTT) |
$37 |
$48 |
— |
$6 | |
| Colonoscopy |
$1,621 |
$2,078 |
— |
$480 | |
| Complete blood count (CBC) |
$101 |
$130 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$126 |
$161 |
— |
$8 | |
| Complex wound repair |
$1,107 |
$1,420 |
— |
$390 | |
| Comprehensive metabolic panel |
$179 |
$230 |
— |
$11 | |
| Contraceptive implant (Nexplanon) |
$418 |
$537 |
— |
$115 | |
| Copper blood test |
$24 |
$31 |
— |
$12 | |
| Cortisol test |
$200 |
$256 |
— |
$16 | |
| COVID-19 PCR test |
$45 |
$58 |
— |
$51 | |
| Creatine kinase (CK) test |
$112 |
$144 |
— |
$7 | |
| CT angiography of the chest |
$2,765 |
$3,545 |
— |
$281 | |
| CT angiography of the head |
$1,594 |
$2,044 |
— |
$274 | |
| CT scan of the abdomen |
$3,059 |
$3,922 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$5,558 |
$7,125 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$6,669 |
$8,550 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$5,558 |
$7,125 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$4,933 |
$6,324 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$3,403 |
$4,363 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$3,059 |
$3,922 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$2,458 |
$3,151 |
— |
$136 | |
| CT scan of the arm |
$2,652 |
$3,400 |
— |
$199 | |
| CT scan of the arm with contrast |
$2,666 |
$3,418 |
— |
$199 | |
| CT scan of the arm without contrast |
$2,223 |
$2,850 |
— |
$161 | |
| CT scan of the chest |
$3,615 |
$4,634 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$4,166 |
$5,341 |
— |
$196 | |
| CT scan of the chest with contrast |
$3,787 |
$4,855 |
— |
$167 | |
| CT scan of the chest without contrast |
$3,442 |
$4,413 |
— |
$133 | |
| CT scan of the head |
$2,323 |
$2,978 |
— |
$148 | |
| CT scan of the head with and without contrast |
$2,688 |
$3,446 |
— |
$173 | |
| CT scan of the head with contrast |
$2,323 |
$2,978 |
— |
$148 | |
| CT scan of the head without contrast |
$1,874 |
$2,402 |
— |
$107 | |
| CT scan of the leg |
$2,652 |
$3,400 |
— |
$166 | |
| CT scan of the leg with contrast |
$2,666 |
$3,418 |
— |
$166 | |
| CT scan of the leg without contrast |
$2,274 |
$2,916 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,687 |
$3,445 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,878 |
$3,690 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$2,496 |
$3,200 |
— |
$130 | |
| CT scan of the neck |
$2,136 |
$2,739 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$1,906 |
$2,444 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,906 |
$2,444 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$2,496 |
$3,200 |
— |
$220 | |
| CT scan of the neck with contrast |
$2,136 |
$2,739 |
— |
$183 | |
| CT scan of the neck without contrast |
$1,594 |
$2,044 |
— |
$150 | |
| CT scan of the pelvis |
$2,695 |
$3,456 |
— |
$226 | |
| CT scan of the pelvis with contrast |
$3,059 |
$3,922 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$2,331 |
$2,989 |
— |
$133 | |
| CT scan of the sinuses |
$2,297 |
$2,945 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,785 |
$3,570 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$2,688 |
$3,446 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$1,906 |
$2,444 |
— |
$128 | |
| D-dimer test |
$193 |
$247 |
— |
$10 | |
| DHEA-sulfate test |
$183 |
$235 |
— |
$22 | |
| Diagnostic mammogram |
$772 |
$990 |
— |
$140 | |
| Dilation and curettage (D&C) |
$5,514 |
$7,069 |
— |
$298 | |
| Drug screen (urine) |
$77 |
$99 |
— |
$17 | |
| Echocardiogram |
$456 |
$584 |
— |
$138 | |
| Echocardiogram with and without contrast |
$456 |
$584 |
— |
$101 | |
| EKG / ECG (tracing only) |
$484 |
$621 |
— |
$7 | |
| Electrocardiogram (EKG) |
$484 |
$621 |
— |
$8 | |
| Electrolyte panel |
$108 |
$138 |
— |
$7 | |
| Emergency department visit |
$846 |
$1,085 |
— |
$69 | |
| Emergency department visit (level 1) |
$398 |
$511 |
— |
$11 | |
| Emergency department visit (level 2) |
$612 |
$785 |
— |
$40 | |
| Emergency department visit (level 3) |
$1,022 |
$1,310 |
— |
$69 | |
| Emergency department visit (level 4) |
$980 |
$1,256 |
— |
$118 | |
| Emergency department visit (level 5) |
$2,535 |
$3,250 |
— |
$171 | |
| Endometrial biopsy |
$347 |
$445 |
— |
$98 | |
| Epidural steroid injection |
$1,257 |
$1,611 |
— |
$275 | |
| Estradiol (estrogen) test |
$182 |
$233 |
— |
$28 | |
| Fecal occult blood (stool) test |
$43 |
$56 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$52 |
$67 |
— |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$34 |
$44 |
— |
$16 | |
| Feeding tube (PEG) placement |
$3,396 |
$4,354 |
— |
$178 | |
| Ferritin (iron) test |
$99 |
$127 |
— |
$14 | |
| Fibrinogen test |
$135 |
$173 |
— |
$10 | |
| Flexible sigmoidoscopy |
$1,621 |
$2,078 |
— |
$323 | |
| Flu test |
$124 |
$159 |
— |
$17 | |
| Flu vaccine |
$25 |
$32 |
— |
— | |
| Folate (folic acid) test |
$182 |
$233 |
— |
$15 | |
| Foreign body removal (skin) |
$597 |
$765 |
— |
$157 | |
| Free T4 thyroid test |
$149 |
$191 |
— |
$9 | |
| FSH hormone test |
$211 |
$271 |
— |
$19 | |
| Gallbladder removal (laparoscopic) |
$11,688 |
$14,984 |
— |
$658 | |
| Ganglion cyst removal |
$2,797 |
$3,586 |
— |
$321 | |
| GGT liver test |
$62 |
$79 |
— |
$7 | |
| Glucose tolerance test |
$33 |
$43 |
— |
$8 | |
| H. pylori test |
$210 |
$269 |
— |
$67 | |
| HDL cholesterol test |
$96 |
$123 |
— |
$8 | |
| Hematocrit test |
$51 |
$66 |
— |
$2 | |
| Hemoglobin A1c (diabetes test) |
$126 |
$161 |
— |
$10 | |
| Hemorrhoid removal |
$3,316 |
$4,251 |
— |
$338 | |
| Hepatitis B test |
$53 |
$68 |
— |
$10 | |
| Hepatitis C test |
$232 |
$298 |
— |
$14 | |
| HIV test |
$60 |
$77 |
— |
$19 | |
| HIV test (antibody) |
$168 |
$215 |
— |
$14 | |
| HIV test (antigen/antibody combo) |
$60 |
$77 |
— |
$24 | |
| Inguinal hernia repair |
$6,907 |
$8,855 |
— |
$538 | |
| Iron blood test |
$101 |
$130 |
— |
$6 | |
| IUD insertion |
$347 |
$445 |
— |
— | |
| IUD removal |
$548 |
$703 |
— |
$112 | |
| IV infusion therapy |
$247 |
$317 |
— |
$44 | |
| IV infusion therapy (each additional) |
$247 |
$317 |
— |
$21 | |
| IV infusion therapy (initial) |
$746 |
$957 |
— |
$67 | |
| Joint aspiration (small/intermediate) |
$414 |
$531 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$530 |
$680 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$408 |
$524 |
— |
$56 | |
| Kidney ultrasound |
$911 |
$1,168 |
— |
$84 | |
| Kidney ultrasound (limited) |
$852 |
$1,092 |
— |
$61 | |
| Knee joint injection |
$359 |
$460 |
— |
$69 | |
| Lactate test |
$156 |
$200 |
— |
$12 | |
| Laryngoscopy |
$645 |
$827 |
— |
$189 | |
| LDH test |
$63 |
$81 |
— |
$6 | |
| LDL cholesterol test |
$103 |
$132 |
— |
$11 | |
| Leg vein ultrasound (Doppler) |
$1,357 |
$1,740 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,131 |
$1,450 |
— |
$116 | |
| LH hormone test |
$211 |
$271 |
— |
$19 | |
| Lipase test |
$129 |
$166 |
— |
$7 | |
| Lipid (cholesterol) panel |
$87 |
$111 |
— |
$13 | |
| Liver function panel |
$73 |
$94 |
— |
$8 | |
| Magnesium blood test |
$71 |
$91 |
— |
$7 | |
| Nebulizer breathing treatment |
$424 |
$544 |
— |
$9 | |
| Occupational therapy evaluation |
$498 |
$639 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$599 |
$768 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$417 |
$534 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$498 |
$639 |
— |
$101 | |
| Office visit (established patient) |
$220 |
$282 |
— |
$115 | |
| Office visit, established patient (level 3) |
$220 |
$282 |
— |
$95 | |
| Orthopedic hardware removal |
$5,037 |
$6,458 |
— |
$632 | |
| Pap smear (cervical screening) |
$62 |
$80 |
— |
$20 | |
| Parathyroid hormone (PTH) test |
$331 |
$424 |
— |
$41 | |
| Pelvic ultrasound |
$769 |
$986 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$1,106 |
$1,418 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$719 |
$922 |
— |
$51 | |
| Phosphorus blood test |
$62 |
$79 |
— |
$5 | |
| Physical therapy evaluation |
$498 |
$639 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$599 |
$768 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$498 |
$639 |
— |
$98 | |
| Pilonidal cyst removal |
$5,037 |
$6,458 |
— |
$541 | |
| Pneumonia vaccine |
$596 |
$765 |
— |
— | |
| Pregnancy blood test (hCG) |
$114 |
$146 |
— |
$8 | |
| Pregnancy ultrasound |
$955 |
$1,225 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$905 |
$1,160 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$1,005 |
$1,289 |
— |
$136 | |
| Procalcitonin test |
$101 |
$130 |
— |
$27 | |
| Prolactin test |
$131 |
$168 |
— |
$19 | |
| Prostate test (PSA) |
$62 |
$80 |
— |
$18 | |
| Routine eye exam |
$236 |
$302 |
— |
$88 | |
| Sacroiliac joint injection |
$2,902 |
$3,721 |
— |
$176 | |
| Scoliosis spine X-ray |
$1,002 |
$1,285 |
— |
$58 | |
| Scoliosis spine X-ray (3 views) |
$1,002 |
$1,285 |
— |
$72 | |
| Screening mammogram |
$668 |
$857 |
— |
$126 | |
| Scrotal ultrasound |
$1,040 |
$1,333 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$76 |
$97 |
— |
$3 | |
| Semen analysis |
$83 |
$106 |
— |
$12 | |
| Septoplasty (deviated septum) |
$5,548 |
$7,113 |
— |
$613 | |
| Sex hormone binding globulin test |
$25 |
$32 |
— |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$703 |
$902 |
— |
$114 | |
| Simple wound stitches |
$768 |
$985 |
— |
$127 | |
| Skin biopsy |
$728 |
$933 |
— |
$121 | |
| Skin biopsy (punch) |
$734 |
$942 |
— |
$121 | |
| Skin graft |
$7,295 |
$9,353 |
— |
$898 | |
| Skin lesion freezing (cryotherapy) |
$246 |
$316 |
— |
$36 | |
| Skin tag removal |
$213 |
$274 |
— |
$92 | |
| Soft tissue ultrasound |
$591 |
$758 |
— |
$64 | |
| Speech therapy |
$590 |
$757 |
— |
$76 | |
| Spinal tap (lumbar puncture) |
$1,359 |
$1,743 |
— |
$165 | |
| Strep throat test |
$50 |
$64 |
— |
$17 | |
| Swallow study |
$741 |
$950 |
— |
$85 | |
| T3 thyroid test |
$187 |
$240 |
— |
$14 | |
| Tdap (tetanus) vaccine |
$265 |
$339 |
— |
— | |
| Testosterone test |
$39 |
$50 |
— |
$26 | |
| Thyroid test (TSH) |
$20 |
$25 |
— |
$17 | |
| Thyroid ultrasound |
$885 |
$1,134 |
— |
$109 | |
| Total IgE allergy test |
$16 |
$21 |
— |
$16 | |
| Total protein test |
$12 |
$16 |
— |
$4 | |
| Tracheostomy |
$6,380 |
$8,180 |
— |
$273 | |
| Transvaginal ultrasound |
$906 |
$1,162 |
— |
$118 | |
| Trigger point injection |
$356 |
$456 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$329 |
$422 |
— |
$52 | |
| Triglycerides test |
$55 |
$70 |
— |
$6 | |
| Troponin (heart) test |
$296 |
$379 |
— |
$12 | |
| Turning a breech baby (version) |
$6,341 |
$8,129 |
— |
$94 | |
| Upper GI endoscopy (EGD) |
$1,610 |
$2,064 |
— |
$371 | |
| Uric acid (gout) test |
$62 |
$79 |
— |
$5 | |
| Urinalysis |
$126 |
$161 |
— |
$3 | |
| Urine microalbumin test |
$38 |
$49 |
— |
$5 | |
| Urine pregnancy test |
$112 |
$144 |
— |
$9 | |
| Vaccine administration |
$174 |
$223 |
— |
$19 | |
| Vaccine administration (each additional) |
$30 |
$38 |
— |
$16 | |
| Vitamin B12 test |
$101 |
$130 |
— |
$15 | |
| Vitamin D test |
$77 |
$99 |
— |
$30 | |
| Wart removal |
$298 |
$383 |
— |
$121 | |
| Wound debridement |
$891 |
$1,143 |
— |
$186 | |
| Wrist fracture repair |
$13,866 |
$17,778 |
— |
$735 | |
| X-ray of the abdomen |
$709 |
$910 |
— |
$36 | |
| X-ray of the ankle |
$647 |
$830 |
— |
$37 | |
| X-ray of the collarbone |
$389 |
$499 |
— |
$33 | |
| X-ray of the elbow |
$622 |
$798 |
— |
$33 | |
| X-ray of the facial bones |
$777 |
$996 |
— |
$39 | |
| X-ray of the foot |
$622 |
$798 |
— |
$34 | |
| X-ray of the forearm |
$622 |
$798 |
— |
$29 | |
| X-ray of the hand |
$753 |
$965 |
— |
$38 | |
| X-ray of the hip |
$437 |
$560 |
— |
$49 | |
| X-ray of the hip (1 view) |
$310 |
$398 |
— |
$34 | |
| X-ray of the hip (3 views) |
$437 |
$560 |
— |
$49 | |
| X-ray of the hip (4 views) |
$461 |
$591 |
— |
$63 | |
| X-ray of the knee |
$686 |
$880 |
— |
$42 | |
| X-ray of the knee (2 views) |
$430 |
$551 |
— |
$34 | |
| X-ray of the knee (3 views) |
$686 |
$880 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$823 |
$1,055 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$700 |
$897 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$622 |
$798 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$777 |
$996 |
— |
$53 | |
| X-ray of the lower leg |
$622 |
$798 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$656 |
$841 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$621 |
$796 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$691 |
$886 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$752 |
$964 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$727 |
$932 |
— |
$40 | |
| X-ray of the pelvis |
$700 |
$897 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$622 |
$798 |
— |
$28 | |
| X-ray of the ribs |
$581 |
$745 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$485 |
$622 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$677 |
$868 |
— |
$42 | |
| X-ray of the shoulder |
$622 |
$798 |
— |
$36 | |
| X-ray of the skull |
$622 |
$798 |
— |
$40 | |
| X-ray of the upper arm |
$485 |
$622 |
— |
$32 | |
| X-ray of the wrist |
$622 |
$798 |
— |
$43 | |
| Zinc blood test |
$119 |
$152 |
— |
$11 | |