| Abscess drainage (simple) |
$199 |
$597 |
$191 |
$129 | |
| Abscess incision and drainage |
$199 |
$597 |
$191 |
$174 | |
| Achilles tendon repair |
$6,943 |
$27,617 |
$6,676 |
$624 | |
| ACL knee reconstruction |
$6,943 |
$22,469 |
$6,676 |
$889 | |
| Albumin blood test |
— |
$174 |
$6 |
$5 | |
| Alkaline phosphatase test |
— |
$186 |
$7 |
$5 | |
| Ammonia blood test |
— |
$422 |
$19 |
$15 | |
| Amylase test |
— |
$287 |
$8 |
$6 | |
| Ankle fracture repair |
$6,943 |
$24,549 |
$6,676 |
$608 | |
| Ankle replacement |
$13,668 |
$50,573 |
$13,142 |
$885 | |
| Arterial blood gas (ABG) |
— |
$815 |
$25 |
$26 | |
| Barium swallow study |
$185 |
$1,490 |
$178 |
$107 | |
| Basic metabolic panel |
— |
$570 |
$11 |
$8 | |
| Benign skin lesion removal |
$690 |
$3,204 |
$663 |
$171 | |
| Bilirubin blood test |
— |
$186 |
$6 |
$5 | |
| Blood clotting test (PT/INR) |
— |
$169 |
$5 |
$4 | |
| Blood crossmatch |
$178 |
$301 |
$171 |
— | |
| Blood glucose test |
— |
$256 |
$6 |
$5 | |
| Blood transfusion |
$454 |
$980 |
$436 |
$47 | |
| Blood type and screen |
$55 |
$183 |
$53 |
$10 | |
| Blood type test |
$87 |
$101 |
$45 |
$3 | |
| Blood type test (Rh/D antigen) |
$41 |
$101 |
$39 |
$3 | |
| Breathing tube insertion (intubation) |
— |
$1,662 |
$244 |
$133 | |
| Bunion surgery (bunionectomy) |
$6,943 |
$24,549 |
$6,676 |
$883 | |
| C-reactive protein (CRP) |
— |
$183 |
$7 |
$5 | |
| Calcium blood test |
— |
$209 |
$7 |
$5 | |
| Carpal tunnel release |
$1,946 |
$20,213 |
$1,871 |
$483 | |
| CEA tumor marker test |
— |
$877 |
$24 |
$19 | |
| Chest X-ray |
$91 |
$631 |
$88 |
$37 | |
| Chest X-ray (1 view) |
$91 |
$538 |
$88 |
$25 | |
| Chest X-ray (2 views) |
$91 |
$725 |
$88 |
$33 | |
| Clotting time test (PTT) |
— |
$221 |
$8 |
$6 | |
| Complete blood count (CBC) |
— |
$232 |
$9 |
$7 | |
| Complete blood count (CBC) (complete) |
— |
$233 |
$10 |
$8 | |
| Comprehensive metabolic panel |
— |
$665 |
$14 |
$11 | |
| Contraceptive implant (Nexplanon) |
$274 |
$901 |
$148 |
$115 | |
| Cortisol test |
— |
$793 |
$21 |
$16 | |
| Creatine kinase (CK) test |
— |
$219 |
$8 |
$7 | |
| D-dimer test |
— |
$442 |
$10 |
$10 | |
| Drug screen (urine) |
— |
$760 |
$75 |
$17 | |
| EKG / ECG (tracing only) |
$62 |
$531 |
$59 |
$7 | |
| Elbow replacement |
$17,922 |
$37,963 |
$17,233 |
$1,301 | |
| Electrocardiogram (EKG) |
$62 |
$531 |
$59 |
$8 | |
| Electrolyte panel |
— |
$760 |
$9 |
$7 | |
| Epidural steroid injection |
$704 |
$3,533 |
$677 |
$275 | |
| Facet joint injection (spine) |
$912 |
$3,585 |
$877 |
$99 | |
| Fallopian tube X-ray (HSG) |
$251 |
$1,689 |
$241 |
$164 | |
| Fecal occult blood (stool) test |
— |
$169 |
$2 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
— |
$169 |
$2 |
$4 | |
| Ferritin (iron) test |
— |
$642 |
$17 |
$14 | |
| Fibrinogen test |
— |
$316 |
$11 |
$10 | |
| Folate (folic acid) test |
— |
$692 |
$19 |
$15 | |
| Foreign body removal (skin) |
$383 |
$1,099 |
$368 |
$157 | |
| Free T4 thyroid test |
— |
$521 |
$12 |
$9 | |
| Ganglion cyst removal |
$1,544 |
$30,305 |
$1,484 |
$321 | |
| GGT liver test |
— |
$186 |
$9 |
$7 | |
| Glucose tolerance test |
— |
$607 |
$17 |
$8 | |
| Hammertoe repair |
$3,139 |
$21,480 |
$3,018 |
$548 | |
| Hemoglobin A1c (diabetes test) |
— |
$469 |
$12 |
$10 | |
| Hepatitis B test |
— |
$450 |
$13 |
$10 | |
| Hepatitis C test |
— |
$447 |
$18 |
$14 | |
| Hip arthroscopy |
$6,943 |
$23,551 |
$6,676 |
$931 | |
| Hip replacement |
$13,668 |
$37,247 |
$13,142 |
$1,162 | |
| Iron blood test |
— |
$191 |
$8 |
$6 | |
| Joint aspiration (small/intermediate) |
$290 |
$1,125 |
$278 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$290 |
$1,159 |
$278 |
$57 | |
| Joint aspiration or injection (small joint) |
$290 |
$1,091 |
$278 |
$56 | |
| Kidney stone shock-wave (lithotripsy) |
$3,408 |
$23,863 |
$3,277 |
$760 | |
| Knee arthroscopy |
$3,139 |
$20,597 |
$3,018 |
$524 | |
| Knee joint injection |
$290 |
$1,296 |
$278 |
$69 | |
| Laminectomy (spine) |
$6,943 |
$27,835 |
$6,676 |
$1,157 | |
| Leg artery angiogram |
$3,265 |
$6,614 |
$3,140 |
$149 | |
| Lipase test |
— |
$382 |
$9 |
$7 | |
| Lipid (cholesterol) panel |
— |
$760 |
$17 |
$13 | |
| Liver function panel |
— |
$594 |
$10 |
$8 | |
| Lumbar discectomy |
$6,943 |
$29,554 |
$6,676 |
$898 | |
| Magnesium blood test |
— |
$278 |
$9 |
$7 | |
| Meniscus repair (knee) |
$3,139 |
$20,597 |
$3,018 |
$714 | |
| MRA of the brain |
$251 |
$2,749 |
$277 |
$226 | |
| MRA of the neck |
$251 |
$2,749 |
$277 |
$245 | |
| MRI of the abdomen |
$371 |
$4,098 |
$410 |
$300 | |
| MRI of the abdomen with contrast |
$371 |
$4,098 |
$410 |
$300 | |
| MRI of the abdomen without contrast |
$251 |
$2,749 |
$277 |
$194 | |
| MRI of the ankle |
$371 |
$8,196 |
$410 |
$261 | |
| MRI of the ankle with contrast |
$371 |
$8,196 |
$410 |
$261 | |
| MRI of the ankle without contrast |
$251 |
$5,497 |
$277 |
$222 | |
| MRI of the brain |
$371 |
$4,098 |
$410 |
$269 | |
| MRI of the brain with contrast |
$371 |
$4,098 |
$410 |
$269 | |
| MRI of the brain without contrast |
$251 |
$2,749 |
$277 |
$195 | |
| MRI of the chest |
$371 |
$4,098 |
$425 |
$371 | |
| MRI of the chest with contrast |
$820 |
$4,098 |
$788 |
$371 | |
| MRI of the chest without contrast |
$371 |
$4,636 |
$410 |
$466 | |
| MRI of the knee |
$371 |
$8,196 |
$425 |
$315 | |
| MRI of the knee with contrast |
$820 |
$8,196 |
$788 |
$315 | |
| MRI of the knee without contrast |
$251 |
$5,497 |
$277 |
$204 | |
| MRI of the lower back (lumbar spine) |
$371 |
$4,098 |
$410 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$371 |
$4,098 |
$410 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$251 |
$2,749 |
$277 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$371 |
$4,098 |
$410 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$371 |
$4,636 |
$410 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$371 |
$4,098 |
$410 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$251 |
$2,749 |
$277 |
$190 | |
| MRI of the neck (cervical spine) |
$371 |
$4,098 |
$410 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$371 |
$4,636 |
$410 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$371 |
$4,098 |
$410 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$251 |
$2,749 |
$277 |
$191 | |
| MRI of the pelvis |
$371 |
$4,098 |
$410 |
$268 | |
| MRI of the pelvis with contrast |
$371 |
$4,098 |
$410 |
$268 | |
| MRI of the pelvis without contrast |
$251 |
$2,749 |
$277 |
$227 | |
| MRI of the shoulder |
$371 |
$8,196 |
$425 |
$313 | |
| MRI of the shoulder with contrast |
$820 |
$8,196 |
$788 |
$313 | |
| MRI of the shoulder without contrast |
$251 |
$5,497 |
$277 |
$205 | |
| MRI of the wrist |
$371 |
$8,196 |
$410 |
$330 | |
| MRI of the wrist with contrast |
$371 |
$8,196 |
$410 |
$330 | |
| MRI of the wrist without contrast |
$251 |
$5,497 |
$277 |
$303 | |
| Neck (cervical) spinal fusion |
$13,668 |
$34,044 |
$15,340 |
$1,410 | |
| Occupational therapy evaluation |
— |
$139 |
$51 |
$101 | |
| Occupational therapy evaluation (high complexity) |
— |
$159 |
$51 |
$101 | |
| Occupational therapy evaluation (low complexity) |
— |
$119 |
$51 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
— |
$139 |
$51 |
$101 | |
| Orthopedic hardware removal |
$2,969 |
$35,776 |
$2,855 |
$632 | |
| Phosphorus blood test |
— |
$174 |
$6 |
$5 | |
| Physical therapy evaluation |
— |
$139 |
$53 |
$98 | |
| Physical therapy evaluation (high complexity) |
— |
$159 |
$53 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
— |
$139 |
$53 |
$98 | |
| Radiofrequency nerve ablation |
$1,946 |
$4,583 |
$1,871 |
$462 | |
| Rotator cuff repair |
$6,943 |
$28,473 |
$6,676 |
$792 | |
| Sacroiliac joint injection |
— |
$1,159 |
$87 |
$176 | |
| Sedimentation rate (ESR) test |
— |
$162 |
$3 |
$3 | |
| Shoulder arthroscopy |
$6,943 |
$22,469 |
$6,676 |
$962 | |
| Shoulder replacement |
$13,668 |
$50,573 |
$13,142 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$206 |
$1,106 |
$198 |
$114 | |
| Simple wound stitches |
$206 |
$1,106 |
$198 |
$127 | |
| Spinal cord stimulator |
$6,832 |
$22,774 |
$6,570 |
$2,388 | |
| Spine fracture repair (kyphoplasty) |
— |
$38,625 |
$7,776 |
$5,803 | |
| T3 thyroid test |
— |
$695 |
$18 |
$14 | |
| Thyroid test (TSH) |
— |
$730 |
$22 |
$17 | |
| Total protein test |
— |
$186 |
$5 |
$4 | |
| Trigger finger release |
$1,544 |
$30,305 |
$1,484 |
$630 | |
| Trigger point injection |
$290 |
$1,228 |
$278 |
$56 | |
| Trigger point injection (1-2 muscles) |
$290 |
$1,228 |
$278 |
$52 | |
| Triglycerides test |
— |
$186 |
$7 |
$6 | |
| Troponin (heart) test |
— |
$1 |
$11 |
$12 | |
| Ulnar nerve surgery (elbow) |
$1,946 |
$20,244 |
$1,871 |
$575 | |
| Upper GI series (barium) |
$185 |
$1,827 |
$178 |
$128 | |
| Uric acid (gout) test |
— |
$191 |
$6 |
$5 | |
| Urinalysis |
— |
$180 |
$3 |
$3 | |
| Vitamin D test |
— |
$1,303 |
$38 |
$30 | |
| Wound debridement |
$482 |
$4,179 |
$439 |
$186 | |
| Wrist fracture repair |
$6,943 |
$33,927 |
$6,676 |
$735 | |
| X-ray of the abdomen |
$110 |
$531 |
$106 |
$36 | |
| X-ray of the ankle |
$91 |
$812 |
$88 |
$37 | |
| X-ray of the collarbone |
$91 |
$769 |
$88 |
$33 | |
| X-ray of the elbow |
$91 |
$844 |
$88 |
$33 | |
| X-ray of the facial bones |
$101 |
$755 |
$101 |
$39 | |
| X-ray of the foot |
$91 |
$797 |
$88 |
$34 | |
| X-ray of the forearm |
$91 |
$738 |
$88 |
$29 | |
| X-ray of the hand |
$91 |
$774 |
$88 |
$38 | |
| X-ray of the hip |
$91 |
$814 |
$88 |
$49 | |
| X-ray of the hip (1 view) |
$91 |
$738 |
$88 |
$34 | |
| X-ray of the hip (3 views) |
$91 |
$889 |
$88 |
$49 | |
| X-ray of the knee |
$91 |
$884 |
$101 |
$42 | |
| X-ray of the knee (2 views) |
$91 |
$764 |
$88 |
$34 | |
| X-ray of the knee (3 views) |
$91 |
$884 |
$88 |
$42 | |
| X-ray of the knee (4+ views) |
$110 |
$1,019 |
$106 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$110 |
$1,198 |
$106 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$110 |
$978 |
$106 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$110 |
$1,419 |
$106 |
$53 | |
| X-ray of the lower leg |
$91 |
$757 |
$88 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$110 |
$963 |
$106 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$110 |
$963 |
$106 |
$33 | |
| X-ray of the neck (cervical spine) |
$101 |
$1,124 |
$101 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$91 |
$927 |
$88 |
$40 | |
| X-ray of the pelvis |
$110 |
$531 |
$106 |
$36 | |
| X-ray of the pelvis (1 view) |
$110 |
$531 |
$106 |
$28 | |
| X-ray of the ribs |
$110 |
$800 |
$106 |
$42 | |
| X-ray of the ribs (2 views) |
$91 |
$692 |
$88 |
$36 | |
| X-ray of the ribs (3 views) |
$110 |
$800 |
$106 |
$42 | |
| X-ray of the shoulder |
$91 |
$942 |
$88 |
$36 | |
| X-ray of the skull |
$110 |
$772 |
$106 |
$40 | |
| X-ray of the upper arm |
$91 |
$876 |
$88 |
$32 | |
| X-ray of the wrist |
$91 |
$782 |
$88 |
$43 | |