| 3D mammogram (tomosynthesis) |
$72 |
$110 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$2,410 |
$3,707 |
— |
$284 | |
| Abdominal ultrasound |
$900 |
$1,384 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$931 |
$1,432 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$868 |
$1,336 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$263 |
$405 |
— |
$220 | |
| Abscess drainage (simple) |
$411 |
$632 |
$196 |
$129 | |
| Abscess incision and drainage |
$411 |
$632 |
$196 |
$174 | |
| Achilles tendon repair |
$23,182 |
$38,636 |
$6,853 |
$624 | |
| ACL knee reconstruction |
$36,691 |
$61,151 |
$7,196 |
$889 | |
| Albumin blood test |
$11 |
$17 |
— |
$5 | |
| Aldosterone test |
$222 |
$341 |
— |
$41 | |
| Alkaline phosphatase test |
$22 |
$34 |
— |
$5 | |
| Alpha-fetoprotein (AFP) test |
$106 |
$163 |
— |
$17 | |
| ALT liver enzyme test |
$24 |
$37 |
— |
$5 | |
| Ammonia blood test |
$47 |
$72 |
— |
$15 | |
| Amniocentesis |
$601 |
$924 |
— |
$120 | |
| Amylase test |
$125 |
$193 |
— |
$6 | |
| Anal fistula repair |
$9,842 |
$16,403 |
$2,667 |
$541 | |
| Ankle fracture repair |
$21,739 |
$36,231 |
$7,093 |
$608 | |
| Anoscopy |
$139 |
$214 |
— |
$129 | |
| Antinuclear antibody (ANA) test |
$151 |
$232 |
— |
$12 | |
| Arterial blood gas (ABG) |
$196 |
$301 |
— |
$26 | |
| AST liver enzyme test |
$24 |
$37 |
— |
$5 | |
| Barium swallow study |
$583 |
$897 |
— |
$107 | |
| Bartholin cyst removal |
$139 |
$214 |
— |
$182 | |
| Basic metabolic panel |
$215 |
$330 |
— |
$8 | |
| Bilirubin blood test |
$164 |
$252 |
— |
$5 | |
| Bladder scope (cystoscopy) |
$3,503 |
$5,808 |
$670 |
$216 | |
| Bladder tumor removal (TURBT) |
$13,393 |
$22,322 |
$3,446 |
$236 | |
| Blood clotting test (PT/INR) |
$5 |
$7 |
— |
$4 | |
| Blood crossmatch |
$233 |
$359 |
— |
— | |
| Blood glucose test |
$178 |
$274 |
— |
$5 | |
| Blood transfusion |
$1,023 |
$1,574 |
— |
$47 | |
| Blood type and screen |
$104 |
$160 |
— |
$10 | |
| Blood type test |
$120 |
$185 |
— |
$3 | |
| Blood type test (ABO group) |
$117 |
$180 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$123 |
$189 |
— |
$3 | |
| BNP (heart failure) test |
$116 |
$179 |
— |
$39 | |
| Bone marrow biopsy |
$4,011 |
$6,170 |
— |
$172 | |
| Bone scan (nuclear) |
$1,828 |
$2,813 |
— |
$259 | |
| Breast biopsy |
$4,337 |
$6,672 |
— |
$478 | |
| Breast MRI |
$3,262 |
$5,019 |
— |
$216 | |
| Breast MRI without contrast |
$3,262 |
$5,019 |
— |
$216 | |
| Breast ultrasound |
$703 |
$1,082 |
— |
$92 | |
| Breast ultrasound (complete) |
$703 |
$1,082 |
— |
$100 | |
| Breast ultrasound (limited) |
$794 |
$1,221 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$262 |
$403 |
— |
$133 | |
| Bronchoscopy |
$3,420 |
$5,261 |
— |
$303 | |
| Bunion surgery (bunionectomy) |
$26,096 |
$43,493 |
$12,125 |
$883 | |
| Burn dressing and debridement (medium) |
$411 |
$632 |
— |
$166 | |
| Burn dressing and debridement (small) |
$274 |
$421 |
— |
$93 | |
| Burn treatment |
$274 |
$421 |
— |
$129 | |
| C-reactive protein (CRP) |
$133 |
$205 |
— |
$5 | |
| CA 19-9 tumor marker test |
$199 |
$306 |
— |
$21 | |
| CA-125 ovarian marker test |
$329 |
$506 |
— |
$21 | |
| Calcium blood test |
$66 |
$101 |
— |
$5 | |
| Cardiac catheterization |
$10,257 |
$15,780 |
— |
$1,049 | |
| Cardiac MRI |
$2,858 |
$4,397 |
— |
$322 | |
| Cardiac MRI without contrast |
$2,695 |
$4,146 |
— |
$280 | |
| Cardiac rehabilitation |
$268 |
$412 |
— |
$26 | |
| Cardiac stress test |
$958 |
$1,474 |
— |
$39 | |
| Cardioversion |
$2,819 |
$4,640 |
$635 |
$155 | |
| Carotid artery ultrasound |
$553 |
$850 |
— |
$156 | |
| Carpal tunnel release |
$12,664 |
$21,106 |
$1,909 |
$483 | |
| CEA tumor marker test |
$217 |
$334 |
— |
$19 | |
| Celiac disease test |
$40 |
$62 |
— |
$12 | |
| Central line placement |
$6,471 |
$9,955 |
— |
$238 | |
| Cervical cerclage |
$2,652 |
$4,080 |
— |
$137 | |
| Cervical LEEP procedure |
$11,849 |
$19,748 |
$3,164 |
$325 | |
| Cesarean section (C-section) |
— |
— |
$18,390 |
$7,552 | |
| Chest fluid drain (thoracentesis) |
$2,339 |
$3,598 |
— |
$311 | |
| Chest tube insertion |
$3,212 |
$4,942 |
— |
$143 | |
| Chest X-ray |
$538 |
$827 |
— |
$37 | |
| Chest X-ray (1 view) |
$176 |
$270 |
— |
$25 | |
| Chest X-ray (2 views) |
$467 |
$718 |
— |
$33 | |
| Circumcision |
$585 |
$900 |
— |
$167 | |
| CK-MB heart enzyme test |
$27 |
$41 |
— |
$12 | |
| Clotting time test (PTT) |
$6 |
$9 |
— |
$6 | |
| Colonoscopy |
$8,133 |
$13,555 |
$1,130 |
$480 | |
| Complete blood count (CBC) |
$84 |
$130 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$117 |
$180 |
— |
$8 | |
| Complex wound repair |
$4,749 |
$7,865 |
$733 |
$390 | |
| Comprehensive metabolic panel |
$247 |
$380 |
— |
$11 | |
| Copper blood test |
$249 |
$383 |
— |
$12 | |
| Coronary CT angiography |
$1,552 |
$2,388 |
— |
$326 | |
| Cortisol test |
$138 |
$212 |
— |
$16 | |
| COVID-19 PCR test |
$72 |
$110 |
— |
$51 | |
| CPAP titration study |
$540 |
$831 |
— |
$69 | |
| Creatine kinase (CK) test |
$17 |
$26 |
— |
$7 | |
| CT angiography of the chest |
$2,173 |
$3,343 |
— |
$281 | |
| CT angiography of the head |
$2,070 |
$3,184 |
— |
$274 | |
| CT colonography (virtual colonoscopy) |
$1,800 |
$2,769 |
— |
$835 | |
| CT scan of the abdomen |
$1,282 |
$1,973 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$3,186 |
$4,901 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,442 |
$3,757 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$3,186 |
$4,901 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$3,186 |
$4,901 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,282 |
$1,973 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$1,282 |
$1,973 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$1,282 |
$1,973 |
— |
$136 | |
| CT scan of the arm |
$1,710 |
$2,630 |
— |
$199 | |
| CT scan of the arm with contrast |
$2,907 |
$4,472 |
— |
$199 | |
| CT scan of the arm without contrast |
$1,282 |
$1,973 |
— |
$161 | |
| CT scan of the chest |
$1,282 |
$1,973 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$1,710 |
$2,630 |
— |
$196 | |
| CT scan of the chest with contrast |
$1,282 |
$1,973 |
— |
$167 | |
| CT scan of the chest without contrast |
$1,282 |
$1,973 |
— |
$133 | |
| CT scan of the head |
$1,710 |
$2,630 |
— |
$148 | |
| CT scan of the head with and without contrast |
$1,282 |
$1,973 |
— |
$173 | |
| CT scan of the head with contrast |
$1,710 |
$2,630 |
— |
$148 | |
| CT scan of the head without contrast |
$1,795 |
$2,762 |
— |
$107 | |
| CT scan of the leg |
$1,800 |
$2,769 |
— |
$166 | |
| CT scan of the leg with contrast |
$1,800 |
$2,769 |
— |
$166 | |
| CT scan of the leg without contrast |
$1,350 |
$2,077 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,282 |
$1,973 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,710 |
$2,630 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,282 |
$1,973 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,282 |
$1,973 |
— |
$130 | |
| CT scan of the neck |
$1,552 |
$2,388 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$1,282 |
$1,973 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,710 |
$2,630 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,282 |
$1,973 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,282 |
$1,973 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$1,552 |
$2,388 |
— |
$220 | |
| CT scan of the neck with contrast |
$1,552 |
$2,388 |
— |
$183 | |
| CT scan of the neck without contrast |
$1,552 |
$2,388 |
— |
$150 | |
| CT scan of the pelvis |
$1,710 |
$2,630 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,710 |
$2,630 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$1,710 |
$2,630 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$1,282 |
$1,973 |
— |
$133 | |
| CT scan of the sinuses |
$1,710 |
$2,630 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,710 |
$2,630 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$1,710 |
$2,630 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$1,282 |
$1,973 |
— |
$128 | |
| D-dimer test |
$221 |
$340 |
— |
$10 | |
| Defibrillator (ICD) implant |
$75,057 |
$115,473 |
— |
$798 | |
| DHEA-sulfate test |
$213 |
$327 |
— |
$22 | |
| Diagnostic mammogram |
$435 |
$670 |
— |
$140 | |
| Dialysis fistula creation |
$16,831 |
$28,052 |
$3,086 |
$601 | |
| Drug screen (urine) |
$96 |
$147 |
— |
$17 | |
| Echocardiogram |
$1,232 |
$1,896 |
— |
$138 | |
| Echocardiogram with and without contrast |
$612 |
$942 |
— |
$101 | |
| Echocardiogram without contrast |
$1,232 |
$1,896 |
— |
$138 | |
| Elbow replacement |
$71,581 |
$119,301 |
$16,559 |
$1,301 | |
| Electrolyte panel |
$206 |
$317 |
— |
$7 | |
| Emergency department visit |
$1,011 |
$1,556 |
— |
$69 | |
| Emergency department visit (level 1) |
$429 |
$660 |
— |
$11 | |
| Emergency department visit (level 2) |
$642 |
$987 |
— |
$40 | |
| Emergency department visit (level 3) |
$1,011 |
$1,556 |
— |
$69 | |
| Emergency department visit (level 4) |
$1,517 |
$2,334 |
— |
$118 | |
| Emergency department visit (level 5) |
$2,542 |
$3,911 |
— |
$171 | |
| Epidural steroid injection |
$1,450 |
$2,230 |
— |
$275 | |
| Esophageal dilation |
$6,375 |
$10,626 |
$878 |
$522 | |
| Estradiol (estrogen) test |
$28 |
$43 |
— |
$28 | |
| Facet joint injection (spine) |
$2,530 |
$3,892 |
— |
$99 | |
| Fallopian tube X-ray (HSG) |
$368 |
$566 |
— |
$164 | |
| Fecal occult blood (stool) test |
$57 |
$87 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$57 |
$87 |
— |
$4 | |
| Ferritin (iron) test |
$166 |
$255 |
— |
$14 | |
| Fibrinogen test |
$177 |
$272 |
— |
$10 | |
| Flexible sigmoidoscopy |
$6,029 |
$10,049 |
$894 |
$323 | |
| Flu test |
$146 |
$225 |
— |
$17 | |
| Folate (folic acid) test |
$137 |
$210 |
— |
$15 | |
| Foreign body removal (skin) |
$4,295 |
$7,003 |
$391 |
$157 | |
| Free T4 thyroid test |
$226 |
$348 |
— |
$9 | |
| FSH hormone test |
$418 |
$643 |
— |
$19 | |
| Gallbladder removal (laparoscopic) |
$18,748 |
$31,246 |
$5,710 |
$658 | |
| Gallbladder scan (HIDA) |
$2,556 |
$3,933 |
— |
$334 | |
| Ganglion cyst removal |
$8,340 |
$13,900 |
$1,595 |
$321 | |
| GGT liver test |
$26 |
$40 |
— |
$7 | |
| Glucose tolerance test |
$168 |
$259 |
— |
$8 | |
| H. pylori test |
$415 |
$638 |
— |
$67 | |
| Hammertoe repair |
$25,372 |
$42,287 |
$12,125 |
$548 | |
| HDL cholesterol test |
$140 |
$216 |
— |
$8 | |
| Hematocrit test |
$43 |
$66 |
— |
$2 | |
| Hemodialysis |
$601 |
$924 |
— |
$75 | |
| Hemoglobin A1c (diabetes test) |
$92 |
$141 |
— |
$10 | |
| Hemorrhoid removal |
$4,630 |
$7,673 |
$2,713 |
$338 | |
| Hepatitis B test |
$360 |
$554 |
— |
$10 | |
| Hepatitis C test |
$94 |
$145 |
— |
$14 | |
| Hip replacement |
$38,625 |
$64,375 |
$12,125 |
$1,162 | |
| HIV test |
$217 |
$335 |
— |
$19 | |
| HIV test (antibody) |
$122 |
$187 |
— |
$14 | |
| HIV test (antigen/antibody combo) |
$313 |
$482 |
— |
$24 | |
| Holter heart monitor |
$732 |
$1,126 |
— |
$26 | |
| Hydrocele repair |
$12,594 |
$20,989 |
$3,441 |
$315 | |
| Hysterectomy |
$41,557 |
$69,262 |
$10,390 |
$933 | |
| Hysteroscopy |
$14,566 |
$24,276 |
$3,164 |
$1,270 | |
| Inguinal hernia repair |
$32,889 |
$54,815 |
$5,934 |
$538 | |
| Iron blood test |
$68 |
$105 |
— |
$6 | |
| IV infusion therapy |
$241 |
$370 |
$4,462 |
$44 | |
| IV infusion therapy (each additional) |
$57 |
$87 |
— |
$21 | |
| IVC filter placement |
$10,896 |
$16,763 |
— |
$1,885 | |
| Joint aspiration (small/intermediate) |
$233 |
$358 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$233 |
$358 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$233 |
$358 |
— |
$56 | |
| Kidney biopsy |
$2,410 |
$3,707 |
— |
$492 | |
| Kidney scan (nuclear) |
$1,801 |
$2,771 |
— |
$172 | |
| Kidney ultrasound |
$887 |
$1,364 |
— |
$84 | |
| Kidney ultrasound (limited) |
$627 |
$964 |
— |
$61 | |
| Knee arthroscopy |
$13,425 |
$22,375 |
$3,221 |
$524 | |
| Knee joint injection |
$809 |
$1,245 |
$290 |
$69 | |
| Knee replacement |
— |
— |
$19,079 |
$18,054 | |
| Lactate test |
$150 |
$231 |
— |
$12 | |
| Laryngoscopy |
$640 |
$984 |
— |
$189 | |
| LDH test |
$73 |
$112 |
— |
$6 | |
| LDL cholesterol test |
$53 |
$81 |
— |
$11 | |
| Leg artery angiogram |
$2,345 |
$3,608 |
— |
$149 | |
| Leg vein ultrasound (Doppler) |
$1,280 |
$1,969 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,056 |
$1,625 |
— |
$116 | |
| LH hormone test |
$288 |
$443 |
— |
$19 | |
| Lipase test |
$172 |
$264 |
— |
$7 | |
| Lipid (cholesterol) panel |
$28 |
$43 |
— |
$13 | |
| Liver biopsy |
$2,410 |
$3,707 |
— |
$288 | |
| Liver function panel |
$20 |
$30 |
— |
$8 | |
| Lumpectomy (breast) |
$17,436 |
$29,060 |
$3,763 |
$750 | |
| Lung function test (PFT) |
$298 |
$458 |
— |
$37 | |
| Lung scan (V/Q) |
$3,299 |
$5,075 |
— |
$291 | |
| Magnesium blood test |
$38 |
$58 |
— |
$7 | |
| Mastectomy |
$35,749 |
$59,582 |
$6,491 |
$1,021 | |
| Meniscus repair (knee) |
$35,128 |
$58,546 |
$7,196 |
$714 | |
| MRA of the brain |
$2,948 |
$4,536 |
— |
$226 | |
| MRA of the brain with contrast |
$2,781 |
$4,278 |
— |
$226 | |
| MRA of the brain without contrast |
$3,116 |
$4,794 |
— |
$328 | |
| MRA of the neck |
$3,149 |
$4,844 |
— |
$245 | |
| MRA of the neck with contrast |
$2,361 |
$3,633 |
— |
$245 | |
| MRA of the neck without contrast |
$3,206 |
$4,932 |
— |
$343 | |
| MRI of the abdomen |
$3,003 |
$4,620 |
— |
$300 | |
| MRI of the abdomen with contrast |
$3,262 |
$5,019 |
— |
$300 | |
| MRI of the abdomen without contrast |
$2,447 |
$3,764 |
— |
$194 | |
| MRI of the ankle |
$2,743 |
$4,220 |
— |
$261 | |
| MRI of the ankle with contrast |
$3,262 |
$5,019 |
— |
$261 | |
| MRI of the ankle without contrast |
$2,447 |
$3,764 |
— |
$222 | |
| MRI of the brain |
$2,695 |
$4,146 |
— |
$269 | |
| MRI of the brain with contrast |
$2,695 |
$4,146 |
— |
$269 | |
| MRI of the brain without contrast |
$3,288 |
$5,059 |
— |
$195 | |
| MRI of the chest |
$2,724 |
$4,190 |
— |
$371 | |
| MRI of the chest with contrast |
$2,724 |
$4,190 |
— |
$371 | |
| MRI of the chest without contrast |
$3,052 |
$4,696 |
— |
$466 | |
| MRI of the knee |
$3,003 |
$4,620 |
— |
$315 | |
| MRI of the knee with contrast |
$3,262 |
$5,019 |
— |
$315 | |
| MRI of the knee without contrast |
$2,447 |
$3,764 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,695 |
$4,146 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,695 |
$4,146 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$3,234 |
$4,976 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,695 |
$4,146 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,266 |
$3,486 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,695 |
$4,146 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$3,396 |
$5,225 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$2,495 |
$3,838 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,266 |
$3,486 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,724 |
$4,190 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,043 |
$3,143 |
— |
$191 | |
| MRI of the pelvis |
$3,007 |
$4,626 |
— |
$268 | |
| MRI of the pelvis with contrast |
$3,007 |
$4,626 |
— |
$268 | |
| MRI of the pelvis without contrast |
$3,007 |
$4,626 |
— |
$227 | |
| MRI of the shoulder |
$2,447 |
$3,764 |
— |
$313 | |
| MRI of the shoulder with contrast |
$2,447 |
$3,764 |
— |
$313 | |
| MRI of the shoulder without contrast |
$2,447 |
$3,764 |
— |
$205 | |
| MRI of the wrist |
$3,234 |
$4,976 |
— |
$330 | |
| MRI of the wrist with contrast |
$3,234 |
$4,976 |
— |
$330 | |
| MRI of the wrist without contrast |
$3,234 |
$4,976 |
— |
$303 | |
| Nuchal translucency ultrasound |
$524 |
$806 |
— |
$116 | |
| Nuclear cardiac stress test |
$3,174 |
$4,883 |
— |
$428 | |
| Occupational therapy evaluation |
$189 |
$290 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$222 |
$341 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$120 |
$184 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$155 |
$239 |
— |
$101 | |
| Office visit (established patient) |
$185 |
$285 |
— |
$115 | |
| Office visit (new patient) |
$224 |
$344 |
— |
$177 | |
| Office visit, established patient (level 3) |
$167 |
$257 |
— |
$95 | |
| Office visit, established patient (level 4) |
$203 |
$313 |
— |
$136 | |
| Office visit, new patient (level 3) |
$209 |
$321 |
— |
$118 | |
| Office visit, new patient (level 4) |
$224 |
$344 |
— |
$177 | |
| Office visit, new patient (level 5) |
$252 |
$387 |
— |
$237 | |
| Orthopedic hardware removal |
$23,888 |
$39,814 |
$2,839 |
$632 | |
| Pap smear (cervical screening) |
$23 |
$36 |
— |
$20 | |
| Parathyroid hormone (PTH) test |
$200 |
$308 |
— |
$41 | |
| Pelvic ultrasound |
$795 |
$1,224 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$798 |
$1,227 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$793 |
$1,220 |
— |
$51 | |
| Phosphorus blood test |
$54 |
$83 |
— |
$5 | |
| Physical therapy evaluation |
$148 |
$227 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$212 |
$326 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$148 |
$227 |
— |
$98 | |
| Pilonidal cyst removal |
$11,437 |
$19,061 |
$2,839 |
$541 | |
| Platelet count |
$10 |
$15 |
— |
$4 | |
| Pregnancy blood test (hCG) |
$296 |
$455 |
— |
$8 | |
| Pregnancy ultrasound |
$837 |
$1,288 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$837 |
$1,288 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$837 |
$1,288 |
— |
$136 | |
| Procalcitonin test |
$90 |
$139 |
— |
$27 | |
| Prolactin test |
$42 |
$64 |
— |
$19 | |
| Prostate surgery (TURP) |
$16,337 |
$27,229 |
$5,241 |
$526 | |
| Prostate test (PSA) |
$220 |
$338 |
— |
$18 | |
| Rotator cuff repair |
$29,460 |
$49,100 |
$7,093 |
$792 | |
| Sacroiliac joint injection |
$2,410 |
$3,707 |
— |
$176 | |
| Scoliosis spine X-ray |
$630 |
$969 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$630 |
$969 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$630 |
$969 |
— |
$72 | |
| Screening mammogram |
$312 |
$480 |
— |
$126 | |
| Scrotal ultrasound |
$1,134 |
$1,745 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$106 |
$164 |
— |
$3 | |
| Sex hormone binding globulin test |
$302 |
$465 |
— |
$22 | |
| Shoulder arthroscopy |
$27,317 |
$45,528 |
$6,973 |
$962 | |
| Shoulder replacement |
$47,930 |
$79,883 |
$16,973 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$274 |
$421 |
— |
$114 | |
| Simple wound stitches |
$342 |
$527 |
— |
$127 | |
| Skin biopsy |
$790 |
$1,216 |
— |
$121 | |
| Skin biopsy (punch) |
$790 |
$1,216 |
— |
$121 | |
| Soft tissue ultrasound |
$798 |
$1,227 |
— |
$64 | |
| Speech therapy |
$288 |
$443 |
— |
$76 | |
| Spinal tap (lumbar puncture) |
$1,451 |
$2,232 |
— |
$165 | |
| Spine fracture repair (kyphoplasty) |
$6,697 |
$10,303 |
— |
$5,803 | |
| Spirometry (lung function test) |
$226 |
$347 |
— |
$30 | |
| Spirometry with bronchodilator |
$370 |
$569 |
— |
$43 | |
| Stress echocardiogram |
$1,264 |
$1,944 |
— |
$209 | |
| Swallow study |
$231 |
$355 |
— |
$85 | |
| T3 thyroid test |
$215 |
$331 |
— |
$14 | |
| Testosterone test |
$233 |
$359 |
— |
$26 | |
| Thyroid test (TSH) |
$190 |
$293 |
— |
$17 | |
| Thyroid ultrasound |
$1,086 |
$1,670 |
— |
$109 | |
| Thyroid uptake scan |
$3,045 |
$4,685 |
— |
$145 | |
| Total IgE allergy test |
$93 |
$143 |
— |
$16 | |
| Total protein test |
$99 |
$152 |
— |
$4 | |
| Tracheostomy |
$6,251 |
$9,617 |
— |
$273 | |
| Transesophageal echocardiogram (TEE) |
$1,104 |
$1,699 |
— |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,104 |
$1,699 |
— |
$239 | |
| Transvaginal ultrasound |
$935 |
$1,439 |
— |
$118 | |
| Trigger finger release |
$5,287 |
$8,811 |
$1,572 |
$630 | |
| Trigger point injection |
$498 |
$767 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$398 |
$613 |
— |
$52 | |
| Triglycerides test |
$25 |
$38 |
— |
$6 | |
| Troponin (heart) test |
$139 |
$214 |
— |
$12 | |
| Turning a breech baby (version) |
$1,288 |
$1,981 |
— |
$94 | |
| Ulnar nerve surgery (elbow) |
$14,270 |
$23,784 |
$1,936 |
$575 | |
| Upper GI endoscopy (EGD) |
$5,780 |
$9,633 |
$899 |
$371 | |
| Upper GI series (barium) |
$918 |
$1,412 |
— |
$128 | |
| Ureteral stent placement |
$11,756 |
$19,593 |
$3,496 |
$373 | |
| Ureteroscopy (stone removal) |
$20,080 |
$33,467 |
$5,241 |
$365 | |
| Uric acid (gout) test |
$91 |
$140 |
— |
$5 | |
| Urinalysis |
$62 |
$95 |
— |
$3 | |
| Urine microalbumin test |
$51 |
$79 |
— |
$5 | |
| Urine pregnancy test |
$169 |
$260 |
— |
$9 | |
| Vaccine administration |
$49 |
$75 |
— |
$19 | |
| Vaccine administration (each additional) |
$42 |
$65 |
— |
$16 | |
| Vaginal delivery |
— |
— |
$9,195 |
$5,487 | |
| Varicose vein ablation |
$6,704 |
$10,314 |
— |
$1,018 | |
| Vitamin B12 test |
$60 |
$93 |
— |
$15 | |
| Vitamin D test |
$151 |
$233 |
— |
$30 | |
| Wound debridement |
$811 |
$1,247 |
$397 |
$186 | |
| Wrist fracture repair |
$20,100 |
$33,499 |
$7,093 |
$735 | |
| X-ray of the abdomen |
$538 |
$827 |
— |
$36 | |
| X-ray of the ankle |
$363 |
$558 |
— |
$37 | |
| X-ray of the collarbone |
$682 |
$1,049 |
— |
$33 | |
| X-ray of the elbow |
$429 |
$660 |
— |
$33 | |
| X-ray of the facial bones |
$359 |
$552 |
— |
$39 | |
| X-ray of the foot |
$442 |
$680 |
— |
$34 | |
| X-ray of the forearm |
$367 |
$565 |
— |
$29 | |
| X-ray of the hand |
$405 |
$623 |
— |
$38 | |
| X-ray of the hip |
$161 |
$248 |
— |
$49 | |
| X-ray of the hip (1 view) |
$299 |
$460 |
— |
$34 | |
| X-ray of the hip (3 views) |
$239 |
$368 |
— |
$49 | |
| X-ray of the hip (4 views) |
$83 |
$128 |
— |
$63 | |
| X-ray of the knee |
$338 |
$520 |
— |
$42 | |
| X-ray of the knee (2 views) |
$276 |
$424 |
— |
$34 | |
| X-ray of the knee (3 views) |
$243 |
$374 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$400 |
$616 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$536 |
$825 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$306 |
$471 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$536 |
$825 |
— |
$53 | |
| X-ray of the lower leg |
$398 |
$613 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$151 |
$233 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$151 |
$233 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$387 |
$596 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$479 |
$737 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$345 |
$530 |
— |
$40 | |
| X-ray of the pelvis |
$333 |
$513 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$273 |
$420 |
— |
$28 | |
| X-ray of the ribs |
$355 |
$546 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$323 |
$497 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$355 |
$546 |
— |
$42 | |
| X-ray of the shoulder |
$276 |
$425 |
— |
$36 | |
| X-ray of the skull |
$177 |
$272 |
— |
$40 | |
| X-ray of the upper arm |
$251 |
$386 |
— |
$32 | |
| X-ray of the wrist |
$365 |
$562 |
— |
$43 | |
| Zinc blood test |
$192 |
$295 |
— |
$11 | |