| 3D mammogram (tomosynthesis) |
$131 |
$219 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,914 |
$3,190 |
— |
$284 | |
| Abdominal ultrasound |
$415 |
$692 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$470 |
$784 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$360 |
$600 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$1,046 |
$1,744 |
$452 |
$220 | |
| Abscess drainage (simple) |
$506 |
$844 |
$223 |
$129 | |
| Abscess incision and drainage |
$776 |
$1,294 |
$447 |
$174 | |
| Achilles tendon repair |
— |
— |
$7,677 |
$624 | |
| ACL knee reconstruction |
— |
— |
$7,677 |
$889 | |
| Albumin blood test |
$30 |
$50 |
— |
$5 | |
| Aldosterone test |
$250 |
$416 |
— |
$41 | |
| Alkaline phosphatase test |
$32 |
$53 |
— |
$5 | |
| Alpha-fetoprotein (AFP) test |
$103 |
$171 |
— |
$17 | |
| ALT liver enzyme test |
$33 |
$55 |
— |
$5 | |
| Ammonia blood test |
$89 |
$149 |
— |
$15 | |
| Amniocentesis |
$1,973 |
$3,288 |
— |
$120 | |
| Amylase test |
$40 |
$66 |
— |
$6 | |
| Ankle fracture repair |
— |
— |
$7,677 |
$608 | |
| Ankle replacement |
— |
— |
$12,000 |
$885 | |
| Anoscopy |
$269 |
$448 |
— |
$129 | |
| Antinuclear antibody (ANA) test |
$74 |
$124 |
— |
$12 | |
| Aortic aneurysm repair (AAA) |
$14,627 |
$24,379 |
— |
$1,345 | |
| Arterial blood gas (ABG) |
$160 |
$266 |
— |
$26 | |
| AST liver enzyme test |
$32 |
$53 |
— |
$5 | |
| Barium swallow study |
$872 |
$1,453 |
— |
$107 | |
| Bartholin cyst removal |
$136 |
$227 |
— |
$182 | |
| Basic metabolic panel |
$52 |
$86 |
— |
$8 | |
| Benign skin lesion removal |
$1,819 |
$3,032 |
$787 |
$171 | |
| Bilirubin blood test |
$31 |
$51 |
— |
$5 | |
| Blood clotting test (PT/INR) |
$26 |
$44 |
— |
$4 | |
| Blood crossmatch |
$365 |
$608 |
— |
— | |
| Blood glucose test |
$26 |
$44 |
— |
$5 | |
| Blood transfusion |
$1,144 |
$1,906 |
— |
$47 | |
| Blood type and screen |
$60 |
$100 |
— |
$10 | |
| Blood type test |
$30 |
$50 |
— |
$3 | |
| Blood type test (ABO group) |
$30 |
$50 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$30 |
$50 |
— |
$3 | |
| BNP (heart failure) test |
$241 |
$401 |
— |
$39 | |
| Bone density scan (DEXA) |
$311 |
$518 |
— |
$39 | |
| Bone marrow biopsy |
$5,724 |
$9,540 |
— |
$172 | |
| Bone scan (nuclear) |
$2,634 |
$4,390 |
— |
$259 | |
| Botox for migraine |
$791 |
$1,318 |
— |
$157 | |
| Breast biopsy |
$3,476 |
$5,794 |
$2,301 |
$478 | |
| Breast MRI |
$1,545 |
$2,575 |
— |
$216 | |
| Breast MRI without contrast |
$1,548 |
$2,580 |
— |
$216 | |
| Breast reconstruction |
— |
— |
$3,554 |
$1,227 | |
| Breast reduction |
— |
— |
$7,025 |
$980 | |
| Breast ultrasound |
$364 |
$606 |
— |
$92 | |
| Breast ultrasound (complete) |
$412 |
$686 |
— |
$100 | |
| Breast ultrasound (limited) |
$316 |
$526 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$482 |
$803 |
— |
$133 | |
| Bronchoscopy |
$3,706 |
$6,177 |
— |
$303 | |
| Bunion surgery (bunionectomy) |
— |
— |
$5,554 |
$883 | |
| Burn dressing and debridement (medium) |
$506 |
$844 |
$262 |
$166 | |
| Burn dressing and debridement (small) |
$506 |
$844 |
$223 |
$93 | |
| Burn treatment |
$506 |
$844 |
$262 |
$129 | |
| C-reactive protein (CRP) |
$32 |
$53 |
— |
$5 | |
| CA 19-9 tumor marker test |
$127 |
$212 |
— |
$21 | |
| CA-125 ovarian marker test |
$127 |
$212 |
— |
$21 | |
| Calcium blood test |
$32 |
$53 |
— |
$5 | |
| Cardiac ablation |
$42,530 |
$70,883 |
— |
$759 | |
| Cardiac catheterization |
$6,859 |
$11,431 |
— |
$1,049 | |
| Cardiac MRI |
$2,210 |
$3,683 |
— |
$322 | |
| Cardiac MRI without contrast |
$1,817 |
$3,028 |
— |
$280 | |
| Cardiac rehabilitation |
$545 |
$908 |
— |
$26 | |
| Cardiac stress test |
$649 |
$1,082 |
— |
$39 | |
| Cardioversion |
$1,649 |
$2,748 |
— |
$155 | |
| Carotid artery ultrasound |
$1,233 |
$2,055 |
— |
$156 | |
| CEA tumor marker test |
$116 |
$193 |
— |
$19 | |
| Celiac disease test |
$71 |
$118 |
— |
$12 | |
| Central line placement |
$8,354 |
$13,923 |
— |
$238 | |
| Chemotherapy infusion |
$464 |
$773 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$156 |
$260 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$771 |
$1,285 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,622 |
$2,703 |
— |
$311 | |
| Chest tube insertion |
$4,172 |
$6,954 |
— |
$143 | |
| Chest X-ray |
$271 |
$452 |
— |
$37 | |
| Chest X-ray (1 view) |
$178 |
$297 |
— |
$25 | |
| Chest X-ray (2 views) |
$241 |
$401 |
— |
$33 | |
| Circumcision |
$5,201 |
$8,669 |
— |
$167 | |
| CK-MB heart enzyme test |
$71 |
$118 |
— |
$12 | |
| Clotting time test (PTT) |
$37 |
$61 |
— |
$6 | |
| Colonoscopy |
$2,166 |
$3,610 |
— |
$480 | |
| Complete blood count (CBC) |
$44 |
$73 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$48 |
$80 |
— |
$8 | |
| Complex wound repair |
$1,629 |
$2,715 |
$821 |
$390 | |
| Comprehensive metabolic panel |
$65 |
$108 |
— |
$11 | |
| Contraceptive implant (Nexplanon) |
$699 |
$1,166 |
$487 |
$115 | |
| Copper blood test |
$76 |
$127 |
— |
$12 | |
| Coronary CT angiography |
$1,428 |
$2,380 |
— |
$326 | |
| Cortisol test |
$100 |
$166 |
— |
$16 | |
| COVID-19 PCR test |
$314 |
$524 |
— |
$51 | |
| CPAP titration study |
$217 |
$362 |
— |
$69 | |
| Creatine kinase (CK) test |
$40 |
$66 |
— |
$7 | |
| CT angiography of the chest |
$1,343 |
$2,239 |
— |
$281 | |
| CT angiography of the head |
$1,328 |
$2,213 |
— |
$274 | |
| CT scan of the abdomen |
$1,199 |
$1,999 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$1,508 |
$2,514 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$1,702 |
$2,836 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$1,508 |
$2,514 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$697 |
$1,162 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,357 |
$2,261 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$1,199 |
$1,999 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$556 |
$927 |
— |
$136 | |
| CT scan of the arm |
$1,009 |
$1,681 |
— |
$199 | |
| CT scan of the arm with contrast |
$1,009 |
$1,681 |
— |
$199 | |
| CT scan of the arm without contrast |
$789 |
$1,315 |
— |
$161 | |
| CT scan of the chest |
$767 |
$1,279 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$946 |
$1,576 |
— |
$196 | |
| CT scan of the chest with contrast |
$767 |
$1,279 |
— |
$167 | |
| CT scan of the chest without contrast |
$565 |
$942 |
— |
$133 | |
| CT scan of the head |
$650 |
$1,083 |
— |
$148 | |
| CT scan of the head with and without contrast |
$782 |
$1,304 |
— |
$173 | |
| CT scan of the head with contrast |
$650 |
$1,083 |
— |
$148 | |
| CT scan of the head without contrast |
$454 |
$757 |
— |
$107 | |
| CT scan of the leg |
$769 |
$1,282 |
— |
$166 | |
| CT scan of the leg with contrast |
$769 |
$1,282 |
— |
$166 | |
| CT scan of the leg without contrast |
$567 |
$945 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$767 |
$1,279 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$947 |
$1,579 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$767 |
$1,279 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$565 |
$942 |
— |
$130 | |
| CT scan of the neck |
$821 |
$1,369 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$765 |
$1,275 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$946 |
$1,576 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$765 |
$1,275 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$569 |
$949 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$1,067 |
$1,779 |
— |
$220 | |
| CT scan of the neck with contrast |
$821 |
$1,369 |
— |
$183 | |
| CT scan of the neck without contrast |
$617 |
$1,029 |
— |
$150 | |
| CT scan of the pelvis |
$1,207 |
$2,011 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,349 |
$2,249 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$1,207 |
$2,011 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$563 |
$939 |
— |
$133 | |
| CT scan of the sinuses |
$678 |
$1,130 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$859 |
$1,431 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$678 |
$1,130 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$602 |
$1,004 |
— |
$128 | |
| D-dimer test |
$62 |
$104 |
— |
$10 | |
| Defibrillator (ICD) implant |
$74,366 |
$123,943 |
— |
$798 | |
| DHEA-sulfate test |
$136 |
$227 |
— |
$22 | |
| Diagnostic mammogram |
$338 |
$563 |
— |
$140 | |
| Dialysis fistula creation |
$6,907 |
$11,511 |
— |
$601 | |
| Drug screen (urine) |
$206 |
$344 |
— |
$17 | |
| Echocardiogram |
$541 |
$902 |
— |
$138 | |
| Echocardiogram with and without contrast |
$541 |
$902 |
— |
$101 | |
| Echocardiogram without contrast |
$541 |
$902 |
— |
$138 | |
| EEG (awake and asleep) |
$650 |
$1,083 |
— |
$482 | |
| EKG / ECG (tracing only) |
$166 |
$277 |
— |
$7 | |
| Elbow replacement |
— |
— |
$18,551 |
$1,301 | |
| Electrocardiogram (EKG) |
$166 |
$277 |
— |
$8 | |
| Electroencephalogram (EEG) |
$650 |
$1,083 |
— |
$448 | |
| Electrolyte panel |
$43 |
$71 |
— |
$7 | |
| Electromyography (EMG) |
$325 |
$542 |
— |
$141 | |
| Emergency department visit |
$796 |
$1,326 |
— |
$69 | |
| Emergency department visit (level 1) |
$244 |
$406 |
— |
$11 | |
| Emergency department visit (level 2) |
$454 |
$756 |
— |
$40 | |
| Emergency department visit (level 3) |
$796 |
$1,326 |
— |
$69 | |
| Emergency department visit (level 4) |
$1,238 |
$2,064 |
— |
$118 | |
| Emergency department visit (level 5) |
$1,779 |
$2,965 |
— |
$171 | |
| Endometrial biopsy |
$356 |
$594 |
— |
$98 | |
| Epidural steroid injection |
$1,807 |
$3,012 |
— |
$275 | |
| ERCP (bile duct endoscopy) |
$9,374 |
$15,623 |
— |
$311 | |
| Estradiol (estrogen) test |
$172 |
$286 |
— |
$28 | |
| Eyelid surgery (blepharoplasty) |
— |
— |
$2,292 |
$552 | |
| Facet joint injection (spine) |
$817 |
$1,362 |
— |
$99 | |
| Fallopian tube X-ray (HSG) |
$763 |
$1,271 |
— |
$164 | |
| Family therapy session |
$304 |
$507 |
— |
$110 | |
| Fecal occult blood (stool) test |
$98 |
$163 |
— |
$10 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$98 |
$163 |
— |
$16 | |
| Ferritin (iron) test |
$84 |
$140 |
— |
$14 | |
| Fibrinogen test |
$60 |
$100 |
— |
$10 | |
| Flexible sigmoidoscopy |
$2,389 |
$3,982 |
— |
$323 | |
| Flu vaccine |
$62 |
$104 |
— |
— | |
| Folate (folic acid) test |
$90 |
$150 |
— |
$15 | |
| Foreign body removal (skin) |
$1,046 |
$1,744 |
$452 |
$157 | |
| Free T4 thyroid test |
$55 |
$92 |
— |
$9 | |
| FSH hormone test |
$114 |
$190 |
— |
$19 | |
| Gallbladder scan (HIDA) |
$3,541 |
$5,902 |
— |
$334 | |
| Ganglion cyst removal |
— |
— |
$1,786 |
$321 | |
| GGT liver test |
$44 |
$74 |
— |
$7 | |
| Glucose tolerance test |
$51 |
$86 |
— |
$8 | |
| Group therapy session |
$158 |
$264 |
— |
$30 | |
| H. pylori test |
$413 |
$688 |
— |
$67 | |
| Hammertoe repair |
— |
— |
$3,635 |
$548 | |
| HDL cholesterol test |
$50 |
$84 |
— |
$8 | |
| Hematocrit test |
$14 |
$24 |
— |
$2 | |
| Hemodialysis |
$1,462 |
$2,436 |
— |
$75 | |
| Hemoglobin A1c (diabetes test) |
$59 |
$99 |
— |
$10 | |
| Hepatitis B test |
$63 |
$105 |
— |
$10 | |
| Hepatitis B vaccine |
$197 |
$328 |
— |
— | |
| Hepatitis C test |
$88 |
$146 |
— |
$14 | |
| Hip arthroscopy |
— |
— |
$7,677 |
$931 | |
| Hip fracture repair |
— |
— |
$7,677 |
$1,120 | |
| Hip replacement |
— |
— |
$13,583 |
$1,162 | |
| HIV test |
$148 |
$246 |
— |
$19 | |
| HIV test (antigen/antibody combo) |
$148 |
$246 |
— |
$24 | |
| Iron blood test |
$40 |
$66 |
— |
$6 | |
| IV infusion therapy |
$289 |
$481 |
— |
$44 | |
| IV infusion therapy (each additional) |
$98 |
$164 |
— |
$21 | |
| IV infusion therapy (initial) |
$479 |
$798 |
— |
$67 | |
| IVC filter placement |
$9,097 |
$15,162 |
— |
$1,885 | |
| Joint aspiration (small/intermediate) |
$878 |
$1,464 |
$341 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$994 |
$1,657 |
$341 |
$57 | |
| Joint aspiration or injection (small joint) |
$763 |
$1,271 |
$341 |
$56 | |
| Kidney biopsy |
$4,205 |
$7,008 |
— |
$492 | |
| Kidney scan (nuclear) |
$1,324 |
$2,207 |
— |
$172 | |
| Kidney ultrasound |
$316 |
$527 |
— |
$84 | |
| Kidney ultrasound (limited) |
$189 |
$315 |
— |
$61 | |
| Knee arthroscopy |
— |
— |
$3,635 |
$524 | |
| Knee joint injection |
$994 |
$1,657 |
$341 |
$69 | |
| Lactate test |
$71 |
$118 |
— |
$12 | |
| LDH test |
$37 |
$62 |
— |
$6 | |
| LDL cholesterol test |
$64 |
$107 |
— |
$11 | |
| Leg artery angiogram |
$772 |
$1,287 |
— |
$149 | |
| Leg vein ultrasound (Doppler) |
$1,233 |
$2,055 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$774 |
$1,290 |
— |
$116 | |
| LH hormone test |
$113 |
$189 |
— |
$19 | |
| Lipase test |
$42 |
$70 |
— |
$7 | |
| Lipid (cholesterol) panel |
$82 |
$137 |
— |
$13 | |
| Liver biopsy |
$4,205 |
$7,008 |
— |
$288 | |
| Liver function panel |
$50 |
$83 |
— |
$8 | |
| Lumpectomy (breast) |
— |
— |
$4,367 |
$750 | |
| Lung function test (PFT) |
$241 |
$402 |
— |
$37 | |
| Lung scan (V/Q) |
$2,907 |
$4,845 |
— |
$291 | |
| Magnesium blood test |
$41 |
$68 |
— |
$7 | |
| Mastectomy |
— |
— |
$7,025 |
$1,021 | |
| Meniscus repair (knee) |
— |
— |
$3,635 |
$714 | |
| MMR vaccine |
$262 |
$436 |
— |
— | |
| Mohs skin cancer surgery |
— |
— |
$1,355 |
$535 | |
| MRA of the brain |
$1,817 |
$3,028 |
— |
$226 | |
| MRA of the brain with contrast |
$1,817 |
$3,028 |
— |
$226 | |
| MRA of the brain without contrast |
$2,753 |
$4,589 |
— |
$328 | |
| MRA of the neck |
$1,867 |
$3,112 |
— |
$245 | |
| MRA of the neck with contrast |
$1,867 |
$3,112 |
— |
$245 | |
| MRA of the neck without contrast |
$2,767 |
$4,612 |
— |
$343 | |
| MRI of the abdomen |
$2,368 |
$3,946 |
— |
$300 | |
| MRI of the abdomen with contrast |
$2,368 |
$3,946 |
— |
$300 | |
| MRI of the abdomen without contrast |
$1,363 |
$2,272 |
— |
$194 | |
| MRI of the ankle |
$2,121 |
$3,535 |
— |
$261 | |
| MRI of the ankle without contrast |
$1,709 |
$2,849 |
— |
$222 | |
| MRI of the brain |
$1,991 |
$3,319 |
— |
$269 | |
| MRI of the brain with contrast |
$1,991 |
$3,319 |
— |
$269 | |
| MRI of the brain without contrast |
$1,347 |
$2,245 |
— |
$195 | |
| MRI of the chest |
$3,123 |
$5,205 |
— |
$371 | |
| MRI of the chest with contrast |
$3,123 |
$5,205 |
— |
$371 | |
| MRI of the chest without contrast |
$3,909 |
$6,515 |
— |
$466 | |
| MRI of the knee |
$2,532 |
$4,220 |
— |
$315 | |
| MRI of the knee with contrast |
$2,532 |
$4,220 |
— |
$315 | |
| MRI of the knee without contrast |
$1,474 |
$2,457 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,991 |
$3,319 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,991 |
$3,319 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,296 |
$2,160 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,018 |
$3,363 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,280 |
$3,800 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,018 |
$3,363 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,289 |
$2,149 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$2,039 |
$3,398 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,274 |
$3,790 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,039 |
$3,398 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,289 |
$2,149 |
— |
$191 | |
| MRI of the pelvis |
$2,002 |
$3,336 |
— |
$268 | |
| MRI of the pelvis with contrast |
$2,002 |
$3,336 |
— |
$268 | |
| MRI of the pelvis without contrast |
$1,712 |
$2,854 |
— |
$227 | |
| MRI of the shoulder |
$2,532 |
$4,220 |
— |
$313 | |
| MRI of the shoulder with contrast |
$2,532 |
$4,220 |
— |
$313 | |
| MRI of the shoulder without contrast |
$1,474 |
$2,457 |
— |
$205 | |
| MRI of the wrist |
$2,734 |
$4,556 |
— |
$330 | |
| MRI of the wrist with contrast |
$2,734 |
$4,556 |
— |
$330 | |
| MRI of the wrist without contrast |
$2,562 |
$4,270 |
— |
$303 | |
| Nebulizer breathing treatment |
$263 |
$438 |
— |
$9 | |
| Neck (cervical) spinal fusion |
— |
— |
$14,263 |
$1,410 | |
| Nerve conduction study |
$650 |
$1,083 |
— |
$118 | |
| Nuchal translucency ultrasound |
$365 |
$609 |
— |
$116 | |
| Nuclear cardiac stress test |
$4,056 |
$6,760 |
— |
$428 | |
| Occupational therapy evaluation |
$233 |
$388 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$233 |
$388 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$233 |
$388 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$233 |
$388 |
— |
$101 | |
| Office visit (established patient) |
$229 |
$381 |
— |
$115 | |
| Office visit (new patient) |
$273 |
$455 |
— |
$177 | |
| Office visit, established patient (level 3) |
$197 |
$328 |
— |
$95 | |
| Office visit, established patient (level 4) |
$260 |
$434 |
— |
$136 | |
| Office visit, new patient (level 3) |
$207 |
$345 |
— |
$118 | |
| Office visit, new patient (level 4) |
$273 |
$455 |
— |
$177 | |
| Office visit, new patient (level 5) |
$375 |
$625 |
— |
$237 | |
| Orthopedic hardware removal |
— |
— |
$3,227 |
$632 | |
| Pap smear (cervical screening) |
$202 |
$337 |
— |
$20 | |
| Parathyroid hormone (PTH) test |
$253 |
$421 |
— |
$41 | |
| Pelvic ultrasound |
$294 |
$491 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$437 |
$729 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$151 |
$252 |
— |
$51 | |
| PET scan |
$3,453 |
$5,755 |
— |
— | |
| Phosphorus blood test |
$29 |
$48 |
— |
$5 | |
| Physical therapy evaluation |
$233 |
$388 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$233 |
$388 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$233 |
$388 |
— |
$98 | |
| Pilonidal cyst removal |
$7,592 |
$12,653 |
$3,227 |
$541 | |
| Platelet count |
$28 |
$46 |
— |
$4 | |
| Pregnancy blood test (hCG) |
$46 |
$77 |
— |
$8 | |
| Pregnancy ultrasound |
$478 |
$797 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$425 |
$709 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$530 |
$884 |
— |
$136 | |
| Procalcitonin test |
$167 |
$278 |
— |
$27 | |
| Prolactin test |
$118 |
$197 |
— |
$19 | |
| Prostate test (PSA) |
$113 |
$188 |
— |
$18 | |
| Psychiatric evaluation |
$304 |
$507 |
— |
$188 | |
| Psychotherapy session |
$304 |
$507 |
— |
$140 | |
| Pulmonary rehabilitation |
$333 |
$555 |
— |
$87 | |
| Radiofrequency nerve ablation |
$4,168 |
$6,946 |
— |
$462 | |
| Rheumatoid factor test |
$38 |
$63 |
— |
$6 | |
| Rotator cuff repair |
— |
— |
$7,677 |
$792 | |
| Sacroiliac joint injection |
— |
— |
$1,389 |
$176 | |
| Scoliosis spine X-ray |
$465 |
$775 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$329 |
$549 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$601 |
$1,001 |
— |
$72 | |
| Screening mammogram |
$314 |
$523 |
— |
$126 | |
| Scrotal ultrasound |
$424 |
$706 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$16 |
$27 |
— |
$3 | |
| Semen analysis |
$74 |
$123 |
— |
$12 | |
| Sex hormone binding globulin test |
$133 |
$222 |
— |
$22 | |
| Shoulder arthroscopy |
— |
— |
$7,677 |
$962 | |
| Shoulder replacement |
— |
— |
$18,551 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$506 |
$844 |
$271 |
$114 | |
| Simple wound stitches |
$506 |
$844 |
$360 |
$127 | |
| Skin biopsy |
$1,046 |
$1,744 |
$805 |
$121 | |
| Skin biopsy (punch) |
$1,046 |
$1,744 |
$452 |
$121 | |
| Skin cancer lesion removal |
— |
— |
$787 |
$240 | |
| Skin graft |
$4,423 |
$7,372 |
$3,336 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$506 |
$844 |
$217 |
$36 | |
| Skin tag removal |
$506 |
$844 |
$223 |
$92 | |
| Sleep study (polysomnography) |
$2,167 |
$3,611 |
— |
$691 | |
| Soft tissue ultrasound |
$55 |
$92 |
— |
$64 | |
| Speech therapy |
$196 |
$327 |
— |
$76 | |
| Spinal cord stimulator |
$15,310 |
$25,517 |
— |
$2,388 | |
| Spinal tap (lumbar puncture) |
$1,807 |
$3,012 |
— |
$165 | |
| Spine fracture repair (kyphoplasty) |
$15,335 |
$25,559 |
$8,061 |
$5,803 | |
| Spirometry (lung function test) |
$165 |
$275 |
— |
$30 | |
| Spirometry with bronchodilator |
$317 |
$529 |
— |
$43 | |
| Strep throat test |
$101 |
$169 |
— |
$17 | |
| Stress echocardiogram |
$1,167 |
$1,945 |
— |
$209 | |
| Stress echocardiogram (complete) |
$1,167 |
$1,945 |
— |
$233 | |
| Swallow study |
$182 |
$303 |
— |
$85 | |
| T3 thyroid test |
$87 |
$145 |
— |
$14 | |
| Tdap (tetanus) vaccine |
$134 |
$223 |
— |
— | |
| Testosterone test |
$158 |
$264 |
— |
$26 | |
| Thyroid test (TSH) |
$103 |
$171 |
— |
$17 | |
| Thyroid ultrasound |
$505 |
$841 |
— |
$109 | |
| Thyroid uptake scan |
$2,228 |
$3,713 |
— |
$145 | |
| Tilt table test |
$1,009 |
$1,681 |
— |
$168 | |
| Total IgE allergy test |
$101 |
$168 |
— |
$16 | |
| Total protein test |
$23 |
$38 |
— |
$4 | |
| Tracheostomy |
$6,596 |
$10,994 |
— |
$273 | |
| Transesophageal echocardiogram (TEE) |
$1,167 |
$1,945 |
— |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,167 |
$1,945 |
— |
$239 | |
| Transvaginal ultrasound |
$520 |
$867 |
— |
$118 | |
| Trigger finger release |
— |
— |
$1,786 |
$630 | |
| Trigger point injection |
$763 |
$1,271 |
$341 |
$56 | |
| Trigger point injection (1-2 muscles) |
$763 |
$1,271 |
$341 |
$52 | |
| Triglycerides test |
$35 |
$59 |
— |
$6 | |
| Troponin (heart) test |
$76 |
$127 |
— |
$12 | |
| Turbinate reduction |
— |
— |
$3,508 |
$294 | |
| Turning a breech baby (version) |
$6,555 |
$10,925 |
— |
$94 | |
| Upper GI endoscopy (EGD) |
$2,374 |
$3,956 |
— |
$371 | |
| Upper GI series (barium) |
$937 |
$1,562 |
— |
$128 | |
| Uric acid (gout) test |
$28 |
$46 |
— |
$5 | |
| Urinalysis |
$21 |
$35 |
— |
$3 | |
| Urine microalbumin test |
$34 |
$56 |
— |
$5 | |
| Urine pregnancy test |
$65 |
$109 |
— |
$9 | |
| Vaccine administration |
$100 |
$166 |
— |
$19 | |
| Vaccine administration (each additional) |
$43 |
$72 |
— |
$16 | |
| Varicose vein ablation |
$6,907 |
$11,511 |
— |
$1,018 | |
| Vitamin B12 test |
$92 |
$154 |
— |
$15 | |
| Vitamin D test |
$181 |
$302 |
— |
$30 | |
| Wart removal |
$439 |
$731 |
$229 |
$121 | |
| Wound debridement |
$1,304 |
$2,173 |
$813 |
$186 | |
| Wrist fracture repair |
— |
— |
$7,677 |
$735 | |
| X-ray of the abdomen |
$262 |
$436 |
— |
$36 | |
| X-ray of the ankle |
$311 |
$518 |
— |
$37 | |
| X-ray of the collarbone |
$264 |
$440 |
— |
$33 | |
| X-ray of the elbow |
$264 |
$440 |
— |
$33 | |
| X-ray of the facial bones |
$308 |
$513 |
— |
$39 | |
| X-ray of the foot |
$286 |
$476 |
— |
$34 | |
| X-ray of the forearm |
$235 |
$392 |
— |
$29 | |
| X-ray of the hand |
$311 |
$518 |
— |
$38 | |
| X-ray of the hip |
$328 |
$546 |
— |
$49 | |
| X-ray of the hip (1 view) |
$260 |
$434 |
— |
$34 | |
| X-ray of the hip (3 views) |
$395 |
$658 |
— |
$49 | |
| X-ray of the knee |
$344 |
$573 |
— |
$42 | |
| X-ray of the knee (2 views) |
$286 |
$476 |
— |
$34 | |
| X-ray of the knee (3 views) |
$344 |
$573 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$388 |
$646 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$371 |
$619 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$319 |
$531 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$424 |
$706 |
— |
$53 | |
| X-ray of the lower leg |
$260 |
$434 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$282 |
$471 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$254 |
$423 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$311 |
$518 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$377 |
$628 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$315 |
$525 |
— |
$40 | |
| X-ray of the pelvis |
$271 |
$452 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$213 |
$355 |
— |
$28 | |
| X-ray of the ribs |
$322 |
$536 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$286 |
$476 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$322 |
$536 |
— |
$42 | |
| X-ray of the shoulder |
$279 |
$465 |
— |
$36 | |
| X-ray of the skull |
$319 |
$531 |
— |
$40 | |
| X-ray of the upper arm |
$264 |
$440 |
— |
$32 | |
| X-ray of the wrist |
$355 |
$591 |
— |
$43 | |
| YAG laser capsulotomy (eye) |
$1,231 |
$2,051 |
— |
$335 | |
| Zinc blood test |
$113 |
$189 |
— |
$11 | |