| 3D mammogram (tomosynthesis) |
$200 |
$250 |
$58 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$2,169 |
$2,711 |
$1,030 |
$284 | |
| Abdominal ultrasound |
$1,243 |
$1,554 |
$117 |
$100 | |
| Abdominal ultrasound (complete) |
$1,654 |
$2,067 |
$143 |
$114 | |
| Abdominal ultrasound (limited) |
$767 |
$959 |
$117 |
$86 | |
| Abscess drainage (complex or multiple) |
$1,202 |
$1,502 |
$439 |
$220 | |
| Abscess drainage (simple) |
$814 |
$1,018 |
$218 |
$129 | |
| Abscess incision and drainage |
$814 |
$1,018 |
$420 |
$174 | |
| Albumin blood test |
$51 |
$64 |
$11 |
$5 | |
| Aldosterone test |
$288 |
$360 |
$71 |
$41 | |
| Alkaline phosphatase test |
$55 |
$68 |
$10 |
$5 | |
| Allergy patch testing |
$66 |
$83 |
$83 |
$5 | |
| Allergy shots |
$54 |
$68 |
$51 |
$11 | |
| Allergy testing |
$8 |
$10 |
$10 |
$4 | |
| Alpha-fetoprotein (AFP) test |
$159 |
$199 |
$51 |
$17 | |
| ALT liver enzyme test |
$40 |
$49 |
$9 |
$5 | |
| Ammonia blood test |
$117 |
$146 |
$44 |
$15 | |
| Amniocentesis |
$1,412 |
$1,765 |
$1,765 |
$120 | |
| Amylase test |
$204 |
$255 |
$99 |
$6 | |
| Annual physical (established patient) |
$188 |
$234 |
$226 |
— | |
| Annual physical (new patient) |
$218 |
$272 |
$253 |
— | |
| Anoscopy |
$255 |
$318 |
$142 |
$129 | |
| Antinuclear antibody (ANA) test |
$84 |
$105 |
$37 |
$12 | |
| Arterial blood gas (ABG) |
$106 |
$133 |
$37 |
$26 | |
| AST liver enzyme test |
$65 |
$82 |
$11 |
$5 | |
| Barium swallow study |
$648 |
$810 |
$196 |
$107 | |
| Bartholin cyst removal |
$674 |
$842 |
$333 |
$182 | |
| Basic metabolic panel |
$255 |
$319 |
$156 |
$8 | |
| Benign skin lesion removal |
$385 |
$481 |
$439 |
$171 | |
| Bilirubin blood test |
$48 |
$60 |
$12 |
$5 | |
| Bladder scope (cystoscopy) |
$2,496 |
$3,119 |
$733 |
$216 | |
| Blood clotting test (PT/INR) |
$51 |
$64 |
$11 |
$4 | |
| Blood crossmatch |
$174 |
$218 |
$188 |
— | |
| Blood glucose test |
$49 |
$62 |
$9 |
$5 | |
| Blood transfusion |
$1,034 |
$1,292 |
$480 |
$47 | |
| Blood type and screen |
$152 |
$190 |
$59 |
$10 | |
| Blood type test |
$65 |
$82 |
$45 |
$3 | |
| Blood type test (ABO group) |
$162 |
$202 |
$142 |
$3 | |
| Blood type test (Rh/D antigen) |
$65 |
$82 |
$43 |
$3 | |
| BNP (heart failure) test |
$148 |
$185 |
$63 |
$39 | |
| Bone density scan (DEXA) |
$782 |
$977 |
$117 |
$39 | |
| Bone marrow biopsy |
$5,739 |
$7,174 |
$3,936 |
$172 | |
| Bone scan (nuclear) |
$1,319 |
$1,649 |
$441 |
$259 | |
| Botox for migraine |
$400 |
$501 |
$331 |
$157 | |
| Breast biopsy |
$6,461 |
$8,077 |
$3,893 |
$478 | |
| Breast MRI |
$3,832 |
$4,790 |
$530 |
$216 | |
| Breast MRI without contrast |
$3,145 |
$3,931 |
$505 |
$216 | |
| Breast ultrasound |
$1,133 |
$1,416 |
$143 |
$92 | |
| Breast ultrasound (complete) |
$1,133 |
$1,416 |
$184 |
$100 | |
| Breast ultrasound (limited) |
$944 |
$1,180 |
$97 |
$84 | |
| Breathing tube insertion (intubation) |
$1,178 |
$1,473 |
$1,347 |
$133 | |
| Bronchoscopy |
$1,958 |
$2,447 |
$1,976 |
$303 | |
| Burn dressing and debridement (medium) |
$1,143 |
$1,429 |
$218 |
$166 | |
| Burn dressing and debridement (small) |
$682 |
$853 |
$218 |
$93 | |
| Burn treatment |
$682 |
$853 |
$218 |
$129 | |
| C-reactive protein (CRP) |
$119 |
$148 |
$65 |
$5 | |
| CA 19-9 tumor marker test |
$105 |
$132 |
$30 |
$21 | |
| CA-125 ovarian marker test |
$195 |
$244 |
$38 |
$21 | |
| Calcium blood test |
$148 |
$185 |
$16 |
$5 | |
| Capsule endoscopy |
$2,281 |
$2,852 |
$1,097 |
$802 | |
| Cardiac MRI |
$5,039 |
$6,298 |
$667 |
$322 | |
| Cardiac MRI without contrast |
$4,688 |
$5,860 |
$805 |
$280 | |
| Cardiac rehabilitation |
$339 |
$423 |
$187 |
$26 | |
| Cardiac stress test |
$890 |
$1,113 |
$342 |
$39 | |
| Cardioversion |
$2,075 |
$2,594 |
$727 |
$155 | |
| Carotid artery ultrasound |
$636 |
$795 |
$265 |
$156 | |
| Cataract surgery |
$1,825 |
$2,281 |
$2,281 |
$547 | |
| CEA tumor marker test |
$381 |
$476 |
$72 |
$19 | |
| Celiac disease test |
$59 |
$74 |
$35 |
$12 | |
| Central line placement |
$5,059 |
$6,323 |
$3,457 |
$238 | |
| Cervical LEEP procedure |
$909 |
$1,136 |
$1,256 |
$325 | |
| Cesarean section (C-section) |
$19,274 |
$24,092 |
$7,813 |
$7,552 | |
| Chalazion (eyelid cyst) removal |
$253 |
$317 |
$317 |
$131 | |
| Chemotherapy infusion |
$344 |
$430 |
$338 |
$81 | |
| Chemotherapy infusion (each additional) |
$344 |
$430 |
$78 |
$28 | |
| Chemotherapy infusion (first hour) |
$646 |
$807 |
$364 |
$133 | |
| Chest fluid drain (thoracentesis) |
$2,174 |
$2,718 |
$679 |
$311 | |
| Chest tube insertion |
$2,444 |
$3,055 |
$3,055 |
$143 | |
| Chest X-ray |
$651 |
$813 |
$97 |
$37 | |
| Chest X-ray (1 view) |
$394 |
$493 |
$97 |
$25 | |
| Chest X-ray (2 views) |
$516 |
$646 |
$97 |
$33 | |
| Chickenpox (varicella) vaccine |
$206 |
$257 |
$257 |
— | |
| Chiropractic adjustment |
$64 |
$80 |
$56 |
$38 | |
| Circumcision |
$3,108 |
$3,885 |
$2,250 |
$167 | |
| CK-MB heart enzyme test |
$174 |
$218 |
$23 |
$12 | |
| Clotting time test (PTT) |
$96 |
$120 |
$14 |
$6 | |
| Colonoscopy |
$4,239 |
$5,299 |
$1,295 |
$480 | |
| Colposcopy |
$302 |
$378 |
$334 |
$161 | |
| Complete blood count (CBC) |
$136 |
$170 |
$30 |
$7 | |
| Complete blood count (CBC) (complete) |
$160 |
$200 |
$62 |
$8 | |
| Complex wound repair |
$1,537 |
$1,921 |
$686 |
$390 | |
| Comprehensive eye exam |
$213 |
$267 |
$142 |
$138 | |
| Comprehensive metabolic panel |
$301 |
$376 |
$57 |
$11 | |
| Contact lens fitting |
$64 |
$80 |
$28 |
— | |
| Contraceptive implant (Nexplanon) |
$325 |
$406 |
$342 |
$115 | |
| Copper blood test |
$131 |
$164 |
$22 |
$12 | |
| Coronary artery bypass (CABG) |
$160,024 |
$200,030 |
$43,298 |
$36,593 | |
| Coronary CT angiography |
$2,694 |
$3,368 |
$392 |
$326 | |
| Cortisol test |
$178 |
$222 |
$35 |
$16 | |
| COVID-19 PCR test |
$168 |
$210 |
$54 |
$51 | |
| Creatine kinase (CK) test |
$101 |
$126 |
$16 |
$7 | |
| CT angiography of the chest |
$2,907 |
$3,634 |
$401 |
$281 | |
| CT angiography of the head |
$3,591 |
$4,489 |
$542 |
$274 | |
| CT colonography (virtual colonoscopy) |
$2,182 |
$2,728 |
$2,728 |
$835 | |
| CT scan of the abdomen |
$2,600 |
$3,249 |
$257 |
$230 | |
| CT scan of the abdomen and pelvis |
$3,533 |
$4,417 |
$400 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,957 |
$4,946 |
$521 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$3,533 |
$4,417 |
$412 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,120 |
$2,650 |
$265 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,921 |
$3,651 |
$293 |
$259 | |
| CT scan of the abdomen with contrast |
$2,600 |
$3,249 |
$248 |
$230 | |
| CT scan of the abdomen without contrast |
$1,519 |
$1,899 |
$214 |
$136 | |
| CT scan of the arm |
$2,020 |
$2,525 |
$392 |
$199 | |
| CT scan of the arm with contrast |
$2,020 |
$2,525 |
$392 |
$199 | |
| CT scan of the arm without contrast |
$1,616 |
$2,020 |
$305 |
$161 | |
| CT scan of the chest |
$2,794 |
$3,493 |
$316 |
$167 | |
| CT scan of the chest with and without contrast |
$3,269 |
$4,086 |
$552 |
$196 | |
| CT scan of the chest with contrast |
$2,794 |
$3,493 |
$300 |
$167 | |
| CT scan of the chest without contrast |
$2,207 |
$2,759 |
$304 |
$133 | |
| CT scan of the head |
$2,785 |
$3,482 |
$315 |
$148 | |
| CT scan of the head with and without contrast |
$3,263 |
$4,078 |
$471 |
$173 | |
| CT scan of the head with contrast |
$2,785 |
$3,482 |
$261 |
$148 | |
| CT scan of the head without contrast |
$1,989 |
$2,487 |
$273 |
$107 | |
| CT scan of the leg |
$3,453 |
$4,316 |
$762 |
$166 | |
| CT scan of the leg with contrast |
$3,453 |
$4,316 |
$1,993 |
$166 | |
| CT scan of the leg without contrast |
$2,677 |
$3,346 |
$1,545 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$4,820 |
$6,025 |
$909 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$5,666 |
$7,083 |
$3,271 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$4,820 |
$6,025 |
$392 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$3,679 |
$4,599 |
$694 |
$130 | |
| CT scan of the neck |
$3,015 |
$3,769 |
$405 |
$183 | |
| CT scan of the neck (cervical spine) |
$2,686 |
$3,358 |
$390 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$3,141 |
$3,926 |
$500 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$2,686 |
$3,358 |
$392 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$2,066 |
$2,583 |
$304 |
$131 | |
| CT scan of the neck with and without contrast |
$3,618 |
$4,522 |
$577 |
$220 | |
| CT scan of the neck with contrast |
$3,015 |
$3,769 |
$333 |
$183 | |
| CT scan of the neck without contrast |
$2,442 |
$3,053 |
$336 |
$150 | |
| CT scan of the pelvis |
$4,250 |
$5,312 |
$884 |
$226 | |
| CT scan of the pelvis with and without contrast |
$4,692 |
$5,865 |
$2,708 |
$251 | |
| CT scan of the pelvis with contrast |
$4,250 |
$5,312 |
$2,453 |
$226 | |
| CT scan of the pelvis without contrast |
$2,456 |
$3,071 |
$463 |
$133 | |
| CT scan of the sinuses |
$3,263 |
$4,078 |
$615 |
$152 | |
| CT scan of the sinuses with and without contrast |
$3,948 |
$4,935 |
$744 |
$184 | |
| CT scan of the sinuses with contrast |
$3,263 |
$4,078 |
$615 |
$152 | |
| CT scan of the sinuses without contrast |
$2,742 |
$3,427 |
$517 |
$128 | |
| Developmental screening (child) |
$29 |
$36 |
$36 |
— | |
| DHEA-sulfate test |
$219 |
$273 |
$33 |
$22 | |
| Diagnostic mammogram |
$724 |
$905 |
$171 |
$140 | |
| Dialysis fistula creation |
$11,550 |
$14,438 |
$3,457 |
$601 | |
| Dilation and curettage (D&C) |
$767 |
$958 |
$958 |
$298 | |
| Drug screen (urine) |
$128 |
$160 |
$91 |
$17 | |
| Ear pressure test (tympanometry) |
$49 |
$62 |
$34 |
$16 | |
| Echocardiogram |
$3,403 |
$4,254 |
$602 |
$138 | |
| Echocardiogram with and without contrast |
$104 |
$130 |
$265 |
$101 | |
| EEG (awake and asleep) |
$809 |
$1,011 |
$349 |
$482 | |
| EKG / ECG (tracing only) |
$86 |
$107 |
$65 |
$7 | |
| Electrocardiogram (EKG) |
$86 |
$107 |
$69 |
$8 | |
| Electroencephalogram (EEG) |
$704 |
$879 |
$342 |
$448 | |
| Electrolyte panel |
$131 |
$164 |
$21 |
$7 | |
| Emergency department visit |
$324 |
$405 |
$360 |
$69 | |
| Emergency department visit (level 1) |
$174 |
$218 |
$97 |
$11 | |
| Emergency department visit (level 2) |
$319 |
$399 |
$174 |
$40 | |
| Emergency department visit (level 3) |
$525 |
$656 |
$304 |
$69 | |
| Emergency department visit (level 4) |
$699 |
$874 |
$468 |
$118 | |
| Emergency department visit (level 5) |
$854 |
$1,067 |
$673 |
$171 | |
| Endometrial biopsy |
$360 |
$451 |
$221 |
$98 | |
| Epidural steroid injection |
$3,722 |
$4,652 |
$761 |
$275 | |
| ERCP (bile duct endoscopy) |
$7,168 |
$8,960 |
$8,713 |
$311 | |
| Esophageal dilation |
$4,789 |
$5,986 |
$4,191 |
$522 | |
| Estradiol (estrogen) test |
$342 |
$428 |
$60 |
$28 | |
| Eye refraction (glasses prescription) |
$22 |
$27 |
$27 |
— | |
| Eyelid surgery (blepharoplasty) |
$1,745 |
$2,181 |
$2,181 |
$552 | |
| Facet joint injection (spine) |
$1,736 |
$2,169 |
$1,584 |
$99 | |
| Fallopian tube X-ray (HSG) |
$347 |
$433 |
$265 |
$164 | |
| Fecal occult blood (stool) test |
$36 |
$46 |
$8 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$27 |
$34 |
$5 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$156 |
$195 |
$48 |
$16 | |
| Feeding tube (PEG) placement |
$4,920 |
$6,150 |
$6,150 |
$178 | |
| Ferritin (iron) test |
$124 |
$155 |
$41 |
$14 | |
| Fibrinogen test |
$87 |
$108 |
$16 |
$10 | |
| Flexible sigmoidoscopy |
$3,943 |
$4,929 |
$1,011 |
$323 | |
| Flu test |
$150 |
$187 |
$187 |
$17 | |
| Flu vaccine |
$31 |
$39 |
$39 |
— | |
| Folate (folic acid) test |
$205 |
$257 |
$36 |
$15 | |
| Foreign body removal (skin) |
$697 |
$871 |
$439 |
$157 | |
| Free T4 thyroid test |
$175 |
$219 |
$27 |
$9 | |
| FSH hormone test |
$285 |
$357 |
$40 |
$19 | |
| Gallbladder scan (HIDA) |
$2,028 |
$2,535 |
$550 |
$334 | |
| GGT liver test |
$59 |
$74 |
$12 |
$7 | |
| Glucose tolerance test |
$33 |
$41 |
$13 |
$8 | |
| Group therapy session |
$49 |
$61 |
$34 |
$30 | |
| H. pylori test |
$773 |
$967 |
$79 |
$67 | |
| Hammertoe repair |
$3,652 |
$4,565 |
$4,565 |
$548 | |
| HDL cholesterol test |
$31 |
$39 |
$10 |
$8 | |
| Hearing test (audiometry) |
$121 |
$151 |
$91 |
$36 | |
| Hematocrit test |
$19 |
$24 |
$6 |
$2 | |
| Hemodialysis |
$1,244 |
$1,555 |
$811 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$157 |
$196 |
$24 |
$10 | |
| Hemorrhoid removal |
$788 |
$985 |
$985 |
$338 | |
| Hepatitis A vaccine |
$130 |
$163 |
$125 |
— | |
| Hepatitis B test |
$89 |
$112 |
$22 |
$10 | |
| Hepatitis B vaccine |
$108 |
$134 |
$98 |
— | |
| Hepatitis C test |
$193 |
$241 |
$35 |
$14 | |
| HIV test |
$197 |
$247 |
$128 |
$19 | |
| HIV test (antibody) |
$244 |
$305 |
$305 |
$14 | |
| HIV test (antigen/antibody combo) |
$150 |
$188 |
$59 |
$24 | |
| Holter heart monitor |
$218 |
$273 |
$142 |
$26 | |
| Home sleep apnea test |
$830 |
$1,037 |
$175 |
$123 | |
| HPV vaccine |
$335 |
$419 |
$419 |
— | |
| Hysteroscopy |
$660 |
$824 |
$758 |
$1,270 | |
| Iron blood test |
$149 |
$186 |
$20 |
$6 | |
| IUD insertion |
$210 |
$262 |
$262 |
— | |
| IUD removal |
$288 |
$360 |
$334 |
$112 | |
| IV infusion therapy |
$344 |
$430 |
$199 |
$44 | |
| IV infusion therapy (each additional) |
$261 |
$326 |
$51 |
$21 | |
| IV infusion therapy (initial) |
$533 |
$667 |
$231 |
$67 | |
| IVC filter placement |
$4,867 |
$6,084 |
$5,534 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$199 |
$249 |
$324 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$426 |
$533 |
$324 |
$57 | |
| Joint aspiration or injection (small joint) |
$188 |
$235 |
$324 |
$56 | |
| Kidney biopsy |
$2,210 |
$2,762 |
$1,780 |
$492 | |
| Kidney scan (nuclear) |
$2,267 |
$2,834 |
$570 |
$172 | |
| Kidney ultrasound |
$700 |
$875 |
$117 |
$84 | |
| Kidney ultrasound (limited) |
$448 |
$560 |
$117 |
$61 | |
| Knee joint injection |
$416 |
$520 |
$324 |
$69 | |
| Knee replacement |
$112,527 |
$140,658 |
$24,052 |
$18,054 | |
| Lactate test |
$306 |
$383 |
$122 |
$12 | |
| Laryngoscopy |
$1,202 |
$1,503 |
$213 |
$189 | |
| LDH test |
$47 |
$59 |
$11 |
$6 | |
| LDL cholesterol test |
$83 |
$103 |
$32 |
$11 | |
| Leg artery angiogram |
$4,864 |
$6,080 |
$3,526 |
$149 | |
| Leg artery angioplasty |
$25,844 |
$32,305 |
$16,513 |
— | |
| Leg vein ultrasound (Doppler) |
$526 |
$657 |
$265 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$349 |
$436 |
$156 |
$116 | |
| LH hormone test |
$283 |
$354 |
$40 |
$19 | |
| Lipase test |
$86 |
$108 |
$21 |
$7 | |
| Lipid (cholesterol) panel |
$187 |
$234 |
$35 |
$13 | |
| Liver biopsy |
$2,970 |
$3,713 |
$1,780 |
$288 | |
| Liver function panel |
$154 |
$193 |
$25 |
$8 | |
| Lung function test (PFT) |
$369 |
$461 |
$172 |
$37 | |
| Lung scan (V/Q) |
$1,942 |
$2,427 |
$591 |
$291 | |
| Magnesium blood test |
$71 |
$89 |
$13 |
$7 | |
| MMR vaccine |
$109 |
$137 |
$100 |
— | |
| MRA of the brain |
$4,252 |
$5,315 |
$530 |
$226 | |
| MRA of the brain with contrast |
$4,252 |
$5,315 |
$505 |
$226 | |
| MRA of the brain without contrast |
$6,195 |
$7,744 |
$724 |
$328 | |
| MRA of the neck |
$3,871 |
$4,838 |
$530 |
$245 | |
| MRA of the neck with contrast |
$3,871 |
$4,838 |
$505 |
$245 | |
| MRA of the neck without contrast |
$5,446 |
$6,808 |
$727 |
$343 | |
| MRI of the abdomen |
$5,685 |
$7,106 |
$615 |
$300 | |
| MRI of the abdomen with contrast |
$5,685 |
$7,106 |
$530 |
$300 | |
| MRI of the abdomen without contrast |
$3,663 |
$4,579 |
$505 |
$194 | |
| MRI of the ankle |
$4,870 |
$6,087 |
$530 |
$261 | |
| MRI of the ankle with contrast |
$4,870 |
$6,087 |
$519 |
$261 | |
| MRI of the ankle without contrast |
$4,127 |
$5,159 |
$505 |
$222 | |
| MRI of the brain |
$4,966 |
$6,207 |
$521 |
$269 | |
| MRI of the brain with contrast |
$4,966 |
$6,207 |
$513 |
$269 | |
| MRI of the brain without contrast |
$3,564 |
$4,454 |
$505 |
$195 | |
| MRI of the chest |
$4,459 |
$5,574 |
$811 |
$371 | |
| MRI of the chest with contrast |
$4,459 |
$5,574 |
$868 |
$371 | |
| MRI of the chest without contrast |
$5,574 |
$6,967 |
$884 |
$466 | |
| MRI of the knee |
$6,867 |
$8,584 |
$1,086 |
$315 | |
| MRI of the knee with contrast |
$6,867 |
$8,584 |
$868 |
$315 | |
| MRI of the knee without contrast |
$4,431 |
$5,538 |
$884 |
$204 | |
| MRI of the lower back (lumbar spine) |
$5,995 |
$7,494 |
$530 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$5,995 |
$7,494 |
$512 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$4,222 |
$5,277 |
$505 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$5,181 |
$6,477 |
$592 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$6,096 |
$7,620 |
$530 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$5,181 |
$6,477 |
$4,728 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$3,596 |
$4,496 |
$505 |
$190 | |
| MRI of the neck (cervical spine) |
$6,101 |
$7,627 |
$530 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$7,069 |
$8,836 |
$1,086 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$6,101 |
$7,627 |
$518 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$4,208 |
$5,260 |
$505 |
$191 | |
| MRI of the pelvis |
$4,806 |
$6,008 |
$530 |
$268 | |
| MRI of the pelvis with contrast |
$4,806 |
$6,008 |
$505 |
$268 | |
| MRI of the pelvis without contrast |
$4,085 |
$5,107 |
$505 |
$227 | |
| MRI of the shoulder |
$7,436 |
$9,295 |
$1,086 |
$313 | |
| MRI of the shoulder with contrast |
$7,436 |
$9,295 |
$868 |
$313 | |
| MRI of the shoulder without contrast |
$4,797 |
$5,997 |
$904 |
$205 | |
| MRI of the wrist |
$5,542 |
$6,927 |
$954 |
$330 | |
| MRI of the wrist with contrast |
$5,542 |
$6,927 |
$705 |
$330 | |
| MRI of the wrist without contrast |
$5,063 |
$6,329 |
$954 |
$303 | |
| Nebulizer breathing treatment |
$217 |
$272 |
$223 |
$9 | |
| Nerve conduction study |
$2,987 |
$3,733 |
$834 |
$118 | |
| Nuclear cardiac stress test |
$4,578 |
$5,723 |
$1,434 |
$428 | |
| Occupational therapy evaluation |
$207 |
$258 |
$131 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$258 |
$323 |
$216 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$155 |
$194 |
$101 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$207 |
$258 |
$162 |
$101 | |
| Office visit (established patient) |
$415 |
$519 |
$188 |
$115 | |
| Office visit (new patient) |
$587 |
$733 |
$309 |
$177 | |
| Office visit, established patient (level 3) |
$415 |
$519 |
$188 |
$95 | |
| Office visit, established patient (level 4) |
$420 |
$525 |
$278 |
$136 | |
| Office visit, new patient (level 3) |
$483 |
$604 |
$234 |
$118 | |
| Office visit, new patient (level 4) |
$737 |
$922 |
$381 |
$177 | |
| Office visit, new patient (level 5) |
$727 |
$908 |
$519 |
$237 | |
| Pacemaker insertion |
$42,518 |
$53,147 |
$24,960 |
$15,506 | |
| Pap smear (cervical screening) |
$313 |
$391 |
$50 |
$20 | |
| Parathyroid hormone (PTH) test |
$370 |
$463 |
$71 |
$41 | |
| Pelvic ultrasound |
$1,210 |
$1,513 |
$117 |
$78 | |
| Pelvic ultrasound (complete) |
$1,210 |
$1,513 |
$120 |
$105 | |
| Pelvic ultrasound (limited) |
$147 |
$184 |
$117 |
$51 | |
| PET scan |
$12,190 |
$15,237 |
$1,701 |
— | |
| Phosphorus blood test |
$53 |
$67 |
$10 |
$5 | |
| Physical therapy evaluation |
$235 |
$293 |
$102 |
$98 | |
| Physical therapy evaluation (high complexity) |
$295 |
$368 |
$102 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$235 |
$293 |
$102 |
$98 | |
| Pilonidal cyst removal |
$518 |
$647 |
$1,221 |
$541 | |
| Platelet count |
$41 |
$51 |
$7 |
$4 | |
| Pneumonia vaccine |
$203 |
$254 |
$229 |
— | |
| Pregnancy blood test (hCG) |
$110 |
$137 |
$20 |
$8 | |
| Pregnancy ultrasound |
$910 |
$1,138 |
$117 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$584 |
$731 |
$117 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$1,517 |
$1,896 |
$119 |
$136 | |
| Procalcitonin test |
$72 |
$90 |
$83 |
$27 | |
| Prolactin test |
$207 |
$258 |
$48 |
$19 | |
| Prostate biopsy |
$2,476 |
$3,095 |
$2,250 |
— | |
| Prostate test (PSA) |
$92 |
$114 |
$38 |
$18 | |
| Psychiatric evaluation |
$184 |
$230 |
$214 |
$188 | |
| Psychotherapy session |
$180 |
$225 |
$176 |
$140 | |
| Pulmonary rehabilitation |
$141 |
$176 |
$65 |
$87 | |
| Radiofrequency nerve ablation |
$3,910 |
$4,887 |
$2,145 |
$462 | |
| Retina scan (OCT) |
$128 |
$160 |
$65 |
$33 | |
| Retinal (fundus) photography |
$182 |
$228 |
$142 |
$37 | |
| Rheumatoid factor test |
$65 |
$81 |
$81 |
$6 | |
| Routine eye exam |
$135 |
$169 |
$153 |
$88 | |
| RSV vaccine |
$360 |
$450 |
$450 |
— | |
| Scoliosis spine X-ray |
$953 |
$1,192 |
$144 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$722 |
$903 |
$97 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$1,184 |
$1,480 |
$151 |
$72 | |
| Screening colonoscopy |
$4,206 |
$5,258 |
$1,001 |
$378 | |
| Screening mammogram |
$799 |
$998 |
$164 |
$126 | |
| Scrotal ultrasound |
$1,079 |
$1,348 |
$117 |
$99 | |
| Sedimentation rate (ESR) test |
$63 |
$79 |
$8 |
$3 | |
| Semen analysis |
$142 |
$178 |
$37 |
$12 | |
| Sex hormone binding globulin test |
$257 |
$321 |
$48 |
$22 | |
| Shingles vaccine |
$232 |
$290 |
$290 |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
$409 |
$511 |
$218 |
$114 | |
| Simple wound stitches |
$521 |
$652 |
$218 |
$127 | |
| Skin biopsy |
$674 |
$842 |
$421 |
$121 | |
| Skin biopsy (punch) |
$832 |
$1,040 |
$439 |
$121 | |
| Skin cancer lesion removal |
$362 |
$453 |
$453 |
$240 | |
| Skin lesion freezing (cryotherapy) |
$187 |
$234 |
$218 |
$36 | |
| Skin tag removal |
$147 |
$184 |
$218 |
$92 | |
| Sleep study (polysomnography) |
$6,365 |
$7,957 |
$1,117 |
$691 | |
| Soft tissue ultrasound |
$117 |
$146 |
$117 |
$64 | |
| Speech therapy |
$556 |
$695 |
$92 |
$76 | |
| Spinal tap (lumbar puncture) |
$849 |
$1,061 |
$761 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$19,644 |
$24,555 |
$7,846 |
$5,803 | |
| Spirometry (lung function test) |
$369 |
$461 |
$172 |
$30 | |
| Spirometry with bronchodilator |
$122 |
$152 |
$342 |
$43 | |
| Strep throat test |
$59 |
$74 |
$17 |
$17 | |
| Stress echocardiogram |
$3,668 |
$4,585 |
$602 |
$209 | |
| Stress echocardiogram (complete) |
$3,668 |
$4,585 |
$602 |
$233 | |
| Swallow study |
$477 |
$596 |
$172 |
$85 | |
| T3 thyroid test |
$154 |
$193 |
$29 |
$14 | |
| Tdap (tetanus) vaccine |
$64 |
$80 |
$64 |
— | |
| Testosterone test |
$344 |
$430 |
$57 |
$26 | |
| Thyroid test (TSH) |
$337 |
$421 |
$51 |
$17 | |
| Thyroid ultrasound |
$250 |
$313 |
$117 |
$109 | |
| Thyroid uptake scan |
$1,836 |
$2,295 |
$441 |
$145 | |
| Tilt table test |
$1,870 |
$2,337 |
$583 |
$168 | |
| Total IgE allergy test |
$176 |
$221 |
$28 |
$16 | |
| Total protein test |
$43 |
$54 |
$8 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$1,289 |
$1,612 |
$602 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,881 |
$2,351 |
$602 |
$239 | |
| Transvaginal ultrasound |
$1,392 |
$1,740 |
$119 |
$118 | |
| Trigger point injection |
$348 |
$435 |
$324 |
$56 | |
| Trigger point injection (1-2 muscles) |
$348 |
$435 |
$324 |
$52 | |
| Triglycerides test |
$79 |
$99 |
$11 |
$6 | |
| Troponin (heart) test |
$127 |
$158 |
$24 |
$12 | |
| Turning a breech baby (version) |
$4,292 |
$5,365 |
$3,492 |
$94 | |
| Upper GI endoscopy (EGD) |
$4,876 |
$6,095 |
$1,030 |
$371 | |
| Upper GI series (barium) |
$1,071 |
$1,339 |
$196 |
$128 | |
| Uric acid (gout) test |
$57 |
$71 |
$10 |
$5 | |
| Urinalysis |
$28 |
$35 |
$5 |
$3 | |
| Urine microalbumin test |
$134 |
$167 |
$16 |
$5 | |
| Urine pregnancy test |
$111 |
$138 |
$26 |
$9 | |
| Vaccine administration |
$65 |
$81 |
$64 |
$19 | |
| Vaccine administration (each additional) |
$58 |
$72 |
$34 |
$16 | |
| Vaginal delivery |
$18,643 |
$23,304 |
$7,333 |
$5,487 | |
| Varicose vein ablation |
$14,172 |
$17,715 |
$12,674 |
$1,018 | |
| Vasectomy |
$870 |
$1,088 |
$1,088 |
$347 | |
| Visual field test |
$171 |
$214 |
$142 |
$64 | |
| Vitamin B12 test |
$155 |
$194 |
$28 |
$15 | |
| Vitamin D test |
$237 |
$296 |
$65 |
$30 | |
| Wart removal |
$299 |
$373 |
$218 |
$121 | |
| Weight-loss (bariatric) surgery |
$58,074 |
$72,593 |
$11,751 |
$11,645 | |
| Well-child visit |
$134 |
$168 |
$144 |
— | |
| Wound debridement |
$405 |
$506 |
$440 |
$186 | |
| X-ray of the abdomen |
$559 |
$698 |
$117 |
$36 | |
| X-ray of the ankle |
$529 |
$661 |
$97 |
$37 | |
| X-ray of the collarbone |
$366 |
$457 |
$97 |
$33 | |
| X-ray of the elbow |
$445 |
$556 |
$97 |
$33 | |
| X-ray of the facial bones |
$336 |
$420 |
$97 |
$39 | |
| X-ray of the foot |
$536 |
$670 |
$101 |
$34 | |
| X-ray of the forearm |
$372 |
$465 |
$97 |
$29 | |
| X-ray of the hand |
$413 |
$516 |
$97 |
$38 | |
| X-ray of the hip |
$574 |
$717 |
$118 |
$49 | |
| X-ray of the hip (1 view) |
$396 |
$495 |
$97 |
$34 | |
| X-ray of the hip (3 views) |
$574 |
$717 |
$108 |
$49 | |
| X-ray of the hip (4 views) |
$723 |
$904 |
$136 |
$63 | |
| X-ray of the knee |
$582 |
$727 |
$117 |
$42 | |
| X-ray of the knee (2 views) |
$481 |
$602 |
$97 |
$34 | |
| X-ray of the knee (3 views) |
$582 |
$727 |
$110 |
$42 | |
| X-ray of the knee (4+ views) |
$668 |
$836 |
$117 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$663 |
$829 |
$117 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$663 |
$829 |
$117 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$861 |
$1,076 |
$117 |
$53 | |
| X-ray of the lower leg |
$439 |
$549 |
$97 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$598 |
$747 |
$117 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$542 |
$678 |
$117 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$653 |
$816 |
$117 |
$39 | |
| X-ray of the neck (cervical spine) |
$640 |
$799 |
$112 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$544 |
$680 |
$97 |
$40 | |
| X-ray of the pelvis |
$382 |
$477 |
$117 |
$36 | |
| X-ray of the pelvis (1 view) |
$382 |
$477 |
$117 |
$28 | |
| X-ray of the ribs |
$574 |
$717 |
$117 |
$42 | |
| X-ray of the ribs (2 views) |
$499 |
$624 |
$97 |
$36 | |
| X-ray of the ribs (3 views) |
$574 |
$717 |
$117 |
$42 | |
| X-ray of the shoulder |
$432 |
$540 |
$97 |
$36 | |
| X-ray of the skull |
$488 |
$609 |
$117 |
$40 | |
| X-ray of the upper arm |
$384 |
$481 |
$97 |
$32 | |
| X-ray of the wrist |
$400 |
$500 |
$97 |
$43 | |
| YAG laser capsulotomy (eye) |
$404 |
$505 |
$603 |
$335 | |
| Zinc blood test |
$114 |
$143 |
$17 |
$11 | |