| 3D mammogram (tomosynthesis) |
$53 |
$132 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,141 |
$2,853 |
$2,748 |
$284 | |
| Abdominal ultrasound |
$687 |
$1,717 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$659 |
$1,646 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$687 |
$1,717 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$519 |
$1,297 |
$922 |
$220 | |
| Abscess drainage (simple) |
$472 |
$1,179 |
$922 |
$129 | |
| Abscess incision and drainage |
$495 |
$1,238 |
$922 |
$174 | |
| Achilles tendon repair |
$2,388 |
$5,970 |
$12,166 |
$624 | |
| ACL knee reconstruction |
$10,715 |
$26,786 |
$12,296 |
$889 | |
| Albumin blood test |
$21 |
$54 |
$4 |
$5 | |
| Aldosterone test |
$179 |
$447 |
$34 |
$41 | |
| Alkaline phosphatase test |
$23 |
$57 |
$4 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$73 |
$183 |
$14 |
$17 | |
| ALT liver enzyme test |
$23 |
$57 |
$4 |
$5 | |
| Ammonia blood test |
$64 |
$160 |
$14 |
$15 | |
| Amylase test |
$28 |
$71 |
$5 |
$6 | |
| Antinuclear antibody (ANA) test |
$71 |
$178 |
$10 |
$12 | |
| Arterial blood gas (ABG) |
$85 |
$212 |
$19 |
$26 | |
| AST liver enzyme test |
$23 |
$57 |
$4 |
$5 | |
| Barium swallow study |
$436 |
$1,090 |
— |
$107 | |
| Bartholin cyst removal |
$122 |
$304 |
$922 |
$182 | |
| Basic metabolic panel |
$48 |
$119 |
$8 |
$8 | |
| Benign skin lesion removal |
$5,670 |
$14,175 |
$1,309 |
$171 | |
| Bilirubin blood test |
$22 |
$55 |
$5 |
$5 | |
| Bladder tumor removal (TURBT) |
$3,602 |
$9,006 |
$5,299 |
$236 | |
| Blood clotting test (PT/INR) |
$18 |
$44 |
$3 |
$4 | |
| Blood crossmatch |
$95 |
$237 |
$11 |
— | |
| Blood glucose test |
$19 |
$48 |
$4 |
$5 | |
| Blood transfusion |
$273 |
$682 |
$922 |
$47 | |
| Blood type and screen |
$37 |
$92 |
$8 |
$10 | |
| Blood type test |
$37 |
$92 |
$3 |
$3 | |
| Blood type test (ABO group) |
$37 |
$92 |
$3 |
$3 | |
| Blood type test (Rh/D antigen) |
$37 |
$92 |
$3 |
$3 | |
| BNP (heart failure) test |
$149 |
$373 |
$31 |
$39 | |
| Bone density scan (DEXA) |
$350 |
$875 |
— |
$39 | |
| Bone marrow biopsy |
$2,779 |
$6,948 |
$1,937 |
$172 | |
| Bone scan (nuclear) |
$1,333 |
$3,333 |
— |
$259 | |
| Breast biopsy |
$2,242 |
$5,604 |
$2,748 |
$478 | |
| Breast MRI |
$2,397 |
$5,992 |
$2,050 |
$216 | |
| Breast MRI without contrast |
$2,397 |
$5,992 |
$2,050 |
$216 | |
| Breast ultrasound |
$452 |
$1,131 |
— |
$92 | |
| Breast ultrasound (complete) |
$537 |
$1,342 |
— |
$100 | |
| Breast ultrasound (limited) |
$412 |
$1,030 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$843 |
$2,107 |
$922 |
$133 | |
| Bronchoscopy |
$1,135 |
$2,838 |
$2,748 |
$303 | |
| Burn dressing and debridement (small) |
$121 |
$303 |
$922 |
$93 | |
| Burn treatment |
$121 |
$303 |
$922 |
$129 | |
| C-reactive protein (CRP) |
$31 |
$78 |
$4 |
$5 | |
| CA 19-9 tumor marker test |
$123 |
$308 |
$20 |
$21 | |
| CA-125 ovarian marker test |
$123 |
$308 |
$20 |
$21 | |
| Calcium blood test |
$23 |
$57 |
$4 |
$5 | |
| Capsule endoscopy |
$2,979 |
$7,448 |
$2,748 |
$802 | |
| Cardiac catheterization |
$11,343 |
$28,358 |
$12,166 |
$1,049 | |
| Cardiac rehabilitation |
$261 |
$652 |
— |
$26 | |
| Cardiac stress test |
$1,026 |
$2,564 |
— |
$39 | |
| Cardioversion |
$1,370 |
$3,425 |
$1,309 |
$155 | |
| Carotid artery ultrasound |
$767 |
$1,917 |
— |
$156 | |
| Carpal tunnel release |
$5,217 |
$13,042 |
$5,299 |
$483 | |
| CEA tumor marker test |
$83 |
$208 |
$18 |
$19 | |
| Celiac disease test |
$22 |
$56 |
$10 |
$12 | |
| Central line placement |
$1,951 |
$4,877 |
$1,309 |
$238 | |
| Cervical cerclage |
$8,544 |
$21,359 |
$5,299 |
$137 | |
| Cervical LEEP procedure |
$7,791 |
$19,478 |
$5,299 |
$325 | |
| Cesarean section (C-section) |
$16,686 |
$41,714 |
$6,843 |
$7,552 | |
| Chemotherapy infusion |
$415 |
$1,037 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$105 |
$264 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$724 |
$1,809 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$844 |
$2,109 |
$1,309 |
$311 | |
| Chest tube insertion |
$3,491 |
$8,728 |
$1,309 |
$143 | |
| Chest X-ray |
$323 |
$808 |
— |
$37 | |
| Chest X-ray (1 view) |
$323 |
$808 |
— |
$25 | |
| Chest X-ray (2 views) |
$323 |
$808 |
— |
$33 | |
| CK-MB heart enzyme test |
$50 |
$126 |
$11 |
$12 | |
| Clotting time test (PTT) |
$26 |
$65 |
$5 |
$6 | |
| Colonoscopy |
$3,212 |
$8,029 |
$2,748 |
$480 | |
| Complete blood count (CBC) |
$31 |
$78 |
$6 |
$7 | |
| Complete blood count (CBC) (complete) |
$34 |
$86 |
$7 |
$8 | |
| Comprehensive metabolic panel |
$50 |
$124 |
$9 |
$11 | |
| Copper blood test |
$54 |
$136 |
$12 |
$12 | |
| Coronary CT angiography |
$2,041 |
$5,101 |
$1,314 |
$326 | |
| Cortisol test |
$72 |
$180 |
$16 |
$16 | |
| COVID-19 PCR test |
$213 |
$532 |
$46 |
$51 | |
| CPAP titration study |
$98 |
$245 |
— |
$69 | |
| Creatine kinase (CK) test |
$28 |
$71 |
$5 |
$7 | |
| CT angiography of the chest |
$2,532 |
$6,331 |
$1,314 |
$281 | |
| CT angiography of the head |
$2,064 |
$5,159 |
$1,314 |
$274 | |
| CT scan of the abdomen |
$2,207 |
$5,517 |
$1,314 |
$230 | |
| CT scan of the abdomen and pelvis |
$4,395 |
$10,989 |
$1,314 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$4,791 |
$11,978 |
$1,314 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$4,791 |
$11,978 |
$1,314 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$3,812 |
$9,530 |
$1,314 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,756 |
$6,889 |
$1,314 |
$259 | |
| CT scan of the abdomen with contrast |
$2,207 |
$5,517 |
$1,314 |
$230 | |
| CT scan of the abdomen without contrast |
$1,750 |
$4,376 |
$1,314 |
$136 | |
| CT scan of the arm |
$2,192 |
$5,481 |
$1,314 |
$199 | |
| CT scan of the arm with contrast |
$2,192 |
$5,481 |
$1,314 |
$199 | |
| CT scan of the arm without contrast |
$1,826 |
$4,564 |
$1,314 |
$161 | |
| CT scan of the chest |
$2,112 |
$5,280 |
$1,314 |
$167 | |
| CT scan of the chest with and without contrast |
$2,756 |
$6,889 |
$1,314 |
$196 | |
| CT scan of the chest with contrast |
$2,302 |
$5,755 |
$1,314 |
$167 | |
| CT scan of the chest without contrast |
$1,826 |
$4,564 |
$1,314 |
$133 | |
| CT scan of the head |
$1,795 |
$4,488 |
$1,314 |
$148 | |
| CT scan of the head with and without contrast |
$2,342 |
$5,856 |
$1,314 |
$173 | |
| CT scan of the head with contrast |
$1,876 |
$4,690 |
$1,314 |
$148 | |
| CT scan of the head without contrast |
$1,552 |
$3,880 |
$1,314 |
$107 | |
| CT scan of the leg |
$2,302 |
$5,755 |
$1,314 |
$166 | |
| CT scan of the leg with contrast |
$2,302 |
$5,755 |
$1,314 |
$166 | |
| CT scan of the leg without contrast |
$1,826 |
$4,564 |
$1,314 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,207 |
$5,517 |
$1,314 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,624 |
$6,561 |
$1,314 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,207 |
$5,517 |
$1,314 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,750 |
$4,376 |
$1,314 |
$130 | |
| CT scan of the neck |
$1,876 |
$4,690 |
$1,314 |
$183 | |
| CT scan of the neck (cervical spine) |
$2,207 |
$5,517 |
$1,314 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,756 |
$6,889 |
$1,314 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$2,207 |
$5,517 |
$1,314 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,750 |
$4,376 |
$1,314 |
$131 | |
| CT scan of the neck with and without contrast |
$2,231 |
$5,577 |
$1,314 |
$220 | |
| CT scan of the neck with contrast |
$1,876 |
$4,690 |
$1,314 |
$183 | |
| CT scan of the neck without contrast |
$1,488 |
$3,719 |
$1,314 |
$150 | |
| CT scan of the pelvis |
$2,207 |
$5,517 |
$1,314 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,624 |
$6,561 |
$1,314 |
$251 | |
| CT scan of the pelvis with contrast |
$2,207 |
$5,517 |
$1,314 |
$226 | |
| CT scan of the pelvis without contrast |
$1,750 |
$4,376 |
$1,314 |
$133 | |
| CT scan of the sinuses |
$1,829 |
$4,573 |
$1,314 |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,327 |
$5,817 |
$1,314 |
$184 | |
| CT scan of the sinuses with contrast |
$1,863 |
$4,659 |
$1,314 |
$152 | |
| CT scan of the sinuses without contrast |
$1,552 |
$3,880 |
$1,314 |
$128 | |
| DHEA-sulfate test |
$98 |
$245 |
$21 |
$22 | |
| Diagnostic mammogram |
$265 |
$663 |
— |
$140 | |
| Drug screen (urine) |
$319 |
$797 |
$96 |
$17 | |
| Echocardiogram |
$695 |
$1,737 |
— |
$138 | |
| Echocardiogram with and without contrast |
$281 |
$701 |
— |
$101 | |
| EEG (awake and asleep) |
$982 |
$2,455 |
— |
$482 | |
| EKG / ECG (tracing only) |
$91 |
$227 |
— |
$7 | |
| Electrocardiogram (EKG) |
$91 |
$227 |
— |
$8 | |
| Electroencephalogram (EEG) |
$982 |
$2,455 |
— |
$448 | |
| Electrolyte panel |
$41 |
$103 |
$7 |
$7 | |
| Electromyography (EMG) |
$349 |
$873 |
— |
$141 | |
| Emergency department visit |
$542 |
$1,355 |
$599 |
$69 | |
| Emergency department visit (level 1) |
$165 |
$412 |
$225 |
$11 | |
| Emergency department visit (level 2) |
$296 |
$740 |
$374 |
$40 | |
| Emergency department visit (level 3) |
$542 |
$1,355 |
$599 |
$69 | |
| Emergency department visit (level 4) |
$956 |
$2,389 |
$1,080 |
$118 | |
| Emergency department visit (level 5) |
$1,484 |
$3,710 |
$2,059 |
$171 | |
| Estradiol (estrogen) test |
$105 |
$262 |
$23 |
$28 | |
| Fallopian tube X-ray (HSG) |
$466 |
$1,165 |
— |
$164 | |
| Fecal occult blood (stool) test |
$15 |
$36 |
$3 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$15 |
$36 |
$3 |
$4 | |
| Feeding tube (PEG) placement |
$3,699 |
$9,247 |
$2,748 |
$178 | |
| Ferritin (iron) test |
$60 |
$149 |
$11 |
$14 | |
| Fibrinogen test |
$37 |
$94 |
$8 |
$10 | |
| Flexible sigmoidoscopy |
$2,264 |
$5,661 |
$1,309 |
$323 | |
| Flu test |
$53 |
$132 |
$10 |
$17 | |
| Folate (folic acid) test |
$64 |
$160 |
$12 |
$15 | |
| Foreign body removal (skin) |
$726 |
$1,815 |
$922 |
$157 | |
| Free T4 thyroid test |
$40 |
$99 |
$8 |
$9 | |
| FSH hormone test |
$82 |
$204 |
$16 |
$19 | |
| Gallbladder removal (laparoscopic) |
$13,759 |
$34,399 |
$12,296 |
$658 | |
| Gallbladder scan (HIDA) |
$1,534 |
$3,834 |
— |
$334 | |
| Ganglion cyst removal |
$6,207 |
$15,519 |
$5,299 |
$321 | |
| GGT liver test |
$31 |
$78 |
$6 |
$7 | |
| Glucose tolerance test |
$37 |
$92 |
$12 |
$8 | |
| Group therapy session |
$76 |
$191 |
— |
$30 | |
| H. pylori test |
$111 |
$277 |
$66 |
$67 | |
| Hammertoe repair |
$3,411 |
$8,527 |
$5,299 |
$548 | |
| HDL cholesterol test |
$36 |
$90 |
$7 |
$8 | |
| Hematocrit test |
$11 |
$27 |
$2 |
$2 | |
| Hemodialysis |
$470 |
$1,176 |
— |
$75 | |
| Hemoglobin A1c (diabetes test) |
$43 |
$107 |
$8 |
$10 | |
| Hemorrhoid removal |
$2,149 |
$5,373 |
$1,309 |
$338 | |
| Hepatitis B test |
$41 |
$101 |
$9 |
$10 | |
| Hepatitis C test |
$85 |
$212 |
$14 |
$14 | |
| Hip replacement |
$17,469 |
$43,672 |
$13,082 |
$1,162 | |
| HIV test |
$47 |
$117 |
$22 |
$19 | |
| HIV test (antibody) |
$69 |
$173 |
$12 |
$14 | |
| HIV test (antigen/antibody combo) |
$24 |
$60 |
$41 |
$24 | |
| Holter heart monitor |
$228 |
$570 |
— |
$26 | |
| Hysterectomy |
$18,518 |
$46,296 |
$7,587 |
$933 | |
| Hysteroscopy |
$7,307 |
$18,269 |
$5,299 |
$1,270 | |
| Inguinal hernia repair |
$9,665 |
$24,163 |
$7,587 |
$538 | |
| Iron blood test |
$28 |
$71 |
$5 |
$6 | |
| IV infusion therapy |
$256 |
$640 |
— |
$44 | |
| IV infusion therapy (each additional) |
$94 |
$235 |
— |
$21 | |
| IV infusion therapy (initial) |
$418 |
$1,045 |
— |
$67 | |
| Joint aspiration (small/intermediate) |
$252 |
$631 |
$922 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$137 |
$342 |
$922 |
$57 | |
| Joint aspiration or injection (small joint) |
$368 |
$919 |
$922 |
$56 | |
| Kidney biopsy |
$1,269 |
$3,173 |
$2,748 |
$492 | |
| Kidney scan (nuclear) |
$1,716 |
$4,290 |
— |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$14,360 |
$35,899 |
$12,296 |
$760 | |
| Kidney ultrasound |
$687 |
$1,717 |
— |
$84 | |
| Kidney ultrasound (limited) |
$687 |
$1,717 |
— |
$61 | |
| Knee arthroscopy |
$9,308 |
$23,271 |
$7,587 |
$524 | |
| Knee joint injection |
$261 |
$651 |
$922 |
$69 | |
| Knee replacement |
$29,657 |
$74,142 |
$22,729 |
$18,054 | |
| Lactate test |
$47 |
$117 |
$11 |
$12 | |
| LDH test |
$27 |
$67 |
$5 |
$6 | |
| LDL cholesterol test |
$42 |
$105 |
$9 |
$11 | |
| Leg artery angiogram |
$4,622 |
$11,556 |
— |
$149 | |
| Leg artery angioplasty |
$8,283 |
$20,707 |
$12,639 |
— | |
| Leg vein ultrasound (Doppler) |
$687 |
$1,717 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$687 |
$1,717 |
— |
$116 | |
| LH hormone test |
$81 |
$203 |
$16 |
$19 | |
| Lipase test |
$31 |
$76 |
$6 |
$7 | |
| Lipid (cholesterol) panel |
$80 |
$199 |
$18 |
$13 | |
| Liver biopsy |
$1,415 |
$3,536 |
$2,748 |
$288 | |
| Liver function panel |
$48 |
$119 |
$8 |
$8 | |
| Lower back (lumbar) spinal fusion |
$75,328 |
$188,320 |
$20,941 |
$1,511 | |
| Lumpectomy (breast) |
$10,005 |
$25,014 |
$5,299 |
$750 | |
| Lung function test (PFT) |
$252 |
$629 |
— |
$37 | |
| Lung scan (V/Q) |
$1,773 |
$4,434 |
— |
$291 | |
| Magnesium blood test |
$29 |
$73 |
$6 |
$7 | |
| Mastectomy |
$15,206 |
$38,015 |
$9,586 |
$1,021 | |
| Meniscus repair (knee) |
$6,989 |
$17,473 |
$7,587 |
$714 | |
| MRA of the brain |
$1,961 |
$4,904 |
$2,050 |
$226 | |
| MRA of the brain without contrast |
$1,498 |
$3,746 |
$2,050 |
$328 | |
| MRA of the neck |
$2,111 |
$5,276 |
$2,050 |
$245 | |
| MRA of the neck with contrast |
$2,085 |
$5,214 |
$2,050 |
$245 | |
| MRA of the neck without contrast |
$2,563 |
$6,408 |
$2,050 |
$343 | |
| MRI of the abdomen |
$2,555 |
$6,388 |
$2,050 |
$300 | |
| MRI of the abdomen with contrast |
$2,525 |
$6,311 |
$2,050 |
$300 | |
| MRI of the abdomen without contrast |
$2,477 |
$6,192 |
$2,050 |
$194 | |
| MRI of the ankle |
$2,633 |
$6,583 |
$2,050 |
$261 | |
| MRI of the ankle with contrast |
$2,633 |
$6,583 |
$2,050 |
$261 | |
| MRI of the ankle without contrast |
$2,477 |
$6,192 |
$2,050 |
$222 | |
| MRI of the brain |
$2,337 |
$5,842 |
$2,050 |
$269 | |
| MRI of the brain with contrast |
$2,337 |
$5,842 |
$2,050 |
$269 | |
| MRI of the brain without contrast |
$1,961 |
$4,904 |
$2,050 |
$195 | |
| MRI of the chest |
$2,633 |
$6,583 |
$2,050 |
$371 | |
| MRI of the chest with contrast |
$2,525 |
$6,311 |
$2,050 |
$371 | |
| MRI of the chest without contrast |
$2,969 |
$7,423 |
$2,050 |
$466 | |
| MRI of the knee |
$2,633 |
$6,583 |
$2,050 |
$315 | |
| MRI of the knee with contrast |
$2,633 |
$6,583 |
$2,050 |
$315 | |
| MRI of the knee without contrast |
$2,477 |
$6,192 |
$2,050 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,555 |
$6,388 |
$2,050 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,525 |
$6,311 |
$2,050 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,375 |
$5,936 |
$2,050 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,555 |
$6,388 |
$2,050 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$3,103 |
$7,757 |
$2,050 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,525 |
$6,311 |
$2,050 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,375 |
$5,936 |
$2,050 |
$190 | |
| MRI of the neck (cervical spine) |
$2,555 |
$6,388 |
$2,050 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$3,103 |
$7,757 |
$2,050 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,525 |
$6,311 |
$2,050 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,375 |
$5,936 |
$2,050 |
$191 | |
| MRI of the pelvis |
$2,386 |
$5,966 |
$2,050 |
$268 | |
| MRI of the pelvis with contrast |
$2,201 |
$5,503 |
$2,050 |
$268 | |
| MRI of the pelvis without contrast |
$2,375 |
$5,936 |
$2,050 |
$227 | |
| MRI of the shoulder |
$2,633 |
$6,583 |
$2,050 |
$313 | |
| MRI of the shoulder with contrast |
$2,633 |
$6,583 |
$2,050 |
$313 | |
| MRI of the shoulder without contrast |
$2,477 |
$6,192 |
$2,050 |
$205 | |
| MRI of the wrist |
$2,555 |
$6,388 |
$2,050 |
$330 | |
| MRI of the wrist with contrast |
$2,633 |
$6,583 |
$2,050 |
$330 | |
| MRI of the wrist without contrast |
$2,477 |
$6,192 |
$2,050 |
$303 | |
| Nebulizer breathing treatment |
$107 |
$267 |
— |
$9 | |
| Nerve conduction study |
$1,213 |
$3,032 |
— |
$118 | |
| Nuclear cardiac stress test |
$4,748 |
$11,869 |
— |
$428 | |
| Occupational therapy evaluation |
$181 |
$452 |
$75 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$249 |
$623 |
$75 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$83 |
$206 |
$75 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$173 |
$433 |
$75 |
$101 | |
| Office visit (established patient) |
$749 |
$1,872 |
— |
$115 | |
| Office visit (new patient) |
$241 |
$602 |
— |
$177 | |
| Office visit, established patient (level 3) |
$542 |
$1,355 |
— |
$95 | |
| Office visit, established patient (level 4) |
$956 |
$2,389 |
— |
$136 | |
| Office visit, new patient (level 3) |
$212 |
$529 |
— |
$118 | |
| Office visit, new patient (level 4) |
$241 |
$602 |
— |
$177 | |
| Office visit, new patient (level 5) |
$280 |
$699 |
— |
$237 | |
| Orthopedic hardware removal |
$7,141 |
$17,852 |
$5,299 |
$632 | |
| Pap smear (cervical screening) |
$142 |
$355 |
$24 |
$20 | |
| Parathyroid hormone (PTH) test |
$181 |
$453 |
$35 |
$41 | |
| Pelvic ultrasound |
$521 |
$1,303 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$659 |
$1,646 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$395 |
$988 |
— |
$51 | |
| PET scan |
$3,688 |
$9,219 |
— |
— | |
| Phosphorus blood test |
$21 |
$52 |
$4 |
$5 | |
| Physical therapy evaluation |
$173 |
$433 |
$75 |
$98 | |
| Physical therapy evaluation (high complexity) |
$205 |
$512 |
$75 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$158 |
$396 |
$75 |
$98 | |
| Pilonidal cyst removal |
$7,439 |
$18,597 |
$5,299 |
$541 | |
| Platelet count |
$20 |
$50 |
$4 |
$4 | |
| Pregnancy blood test (hCG) |
$33 |
$82 |
$6 |
$8 | |
| Procalcitonin test |
$58 |
$145 |
$18 |
$27 | |
| Prolactin test |
$85 |
$212 |
$16 |
$19 | |
| Prostate test (PSA) |
$94 |
$236 |
$15 |
$18 | |
| Psychiatric evaluation |
$466 |
$1,166 |
— |
$188 | |
| Psychotherapy session |
$123 |
$308 |
— |
$140 | |
| Pulmonary rehabilitation |
$97 |
$241 |
— |
$87 | |
| Rheumatoid factor test |
$34 |
$85 |
$5 |
$6 | |
| Rotator cuff repair |
$18,382 |
$45,956 |
$12,296 |
$792 | |
| Screening mammogram |
$350 |
$874 |
— |
$126 | |
| Scrotal ultrasound |
$659 |
$1,646 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$14 |
$34 |
$3 |
$3 | |
| Semen analysis |
$62 |
$155 |
$11 |
$12 | |
| Sex hormone binding globulin test |
$42 |
$105 |
$21 |
$22 | |
| Shoulder replacement |
$17,425 |
$43,563 |
$13,082 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$167 |
$417 |
$922 |
$114 | |
| Simple wound stitches |
$193 |
$481 |
$922 |
$127 | |
| Small bowel resection |
$9,217 |
$23,041 |
$1,831 |
$1,136 | |
| Soft tissue ultrasound |
$412 |
$1,030 |
— |
$64 | |
| Speech therapy |
$234 |
$585 |
$74 |
$76 | |
| Spinal tap (lumbar puncture) |
$506 |
$1,266 |
$1,309 |
$165 | |
| Spirometry (lung function test) |
$201 |
$502 |
— |
$30 | |
| Spirometry with bronchodilator |
$307 |
$767 |
— |
$43 | |
| Strep throat test |
$50 |
$126 |
$11 |
$17 | |
| Stress echocardiogram |
$1,546 |
$3,866 |
— |
$209 | |
| Stress echocardiogram (complete) |
$1,546 |
$3,866 |
— |
$233 | |
| Swallow study |
$215 |
$537 |
— |
$85 | |
| T3 thyroid test |
$62 |
$155 |
$12 |
$14 | |
| Testosterone test |
$113 |
$283 |
$25 |
$26 | |
| Thyroid removal (thyroidectomy) |
$33,717 |
$84,292 |
$12,296 |
$1,004 | |
| Thyroid test (TSH) |
$71 |
$178 |
$14 |
$17 | |
| Thyroid ultrasound |
$687 |
$1,717 |
— |
$109 | |
| Thyroid uptake scan |
$867 |
$2,166 |
— |
$145 | |
| Total IgE allergy test |
$72 |
$180 |
$16 |
$16 | |
| Total protein test |
$16 |
$40 |
$3 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$1,175 |
$2,937 |
— |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,175 |
$2,937 |
— |
$239 | |
| Transvaginal ultrasound |
$659 |
$1,646 |
— |
$118 | |
| Trigger finger release |
$5,037 |
$12,592 |
$2,748 |
$630 | |
| Triglycerides test |
$25 |
$63 |
$5 |
$6 | |
| Troponin (heart) test |
$43 |
$107 |
$10 |
$12 | |
| Tubal ligation |
$8,789 |
$21,972 |
$12,296 |
$333 | |
| Ulnar nerve surgery (elbow) |
$5,664 |
$14,160 |
$5,299 |
$575 | |
| Upper GI endoscopy (EGD) |
$2,918 |
$7,294 |
$2,748 |
$371 | |
| Upper GI series (barium) |
$618 |
$1,545 |
— |
$128 | |
| Ureteral stent placement |
$3,335 |
$8,338 |
$5,299 |
$373 | |
| Ureteroscopy (stone removal) |
$22,755 |
$56,887 |
$12,166 |
$365 | |
| Uric acid (gout) test |
$20 |
$50 |
$4 |
$5 | |
| Urinalysis |
$16 |
$40 |
$2 |
$3 | |
| Urine microalbumin test |
$24 |
$60 |
$5 |
$5 | |
| Urine pregnancy test |
$37 |
$93 |
$6 |
$9 | |
| Vaccine administration |
$55 |
$138 |
— |
$19 | |
| Vaccine administration (each additional) |
$37 |
$92 |
— |
$16 | |
| Vaginal delivery |
$11,840 |
$29,601 |
$5,473 |
$5,487 | |
| Varicose vein ablation |
$7,094 |
$17,735 |
$7,587 |
$1,018 | |
| Vitamin B12 test |
$66 |
$164 |
$13 |
$15 | |
| Vitamin D test |
$130 |
$325 |
$28 |
$30 | |
| Wound debridement |
$2,887 |
$7,218 |
$922 |
$186 | |
| Wrist fracture repair |
$9,698 |
$24,244 |
$12,296 |
$735 | |
| X-ray of the abdomen |
$281 |
$702 |
— |
$36 | |
| X-ray of the ankle |
$299 |
$747 |
— |
$37 | |
| X-ray of the collarbone |
$299 |
$747 |
— |
$33 | |
| X-ray of the elbow |
$299 |
$747 |
— |
$33 | |
| X-ray of the facial bones |
$462 |
$1,156 |
— |
$39 | |
| X-ray of the foot |
$299 |
$747 |
— |
$34 | |
| X-ray of the forearm |
$299 |
$747 |
— |
$29 | |
| X-ray of the hand |
$299 |
$747 |
— |
$38 | |
| X-ray of the hip |
$299 |
$747 |
— |
$49 | |
| X-ray of the hip (1 view) |
$299 |
$747 |
— |
$34 | |
| X-ray of the hip (3 views) |
$299 |
$747 |
— |
$49 | |
| X-ray of the knee |
$299 |
$747 |
— |
$42 | |
| X-ray of the knee (2 views) |
$299 |
$747 |
— |
$34 | |
| X-ray of the knee (3 views) |
$515 |
$1,289 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$299 |
$747 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$381 |
$951 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$286 |
$716 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$483 |
$1,208 |
— |
$53 | |
| X-ray of the lower leg |
$299 |
$747 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$286 |
$716 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$286 |
$716 |
— |
$33 | |
| X-ray of the neck (cervical spine) |
$299 |
$747 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$299 |
$747 |
— |
$40 | |
| X-ray of the pelvis |
$286 |
$716 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$286 |
$716 |
— |
$28 | |
| X-ray of the ribs |
$462 |
$1,156 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$299 |
$747 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$504 |
$1,260 |
— |
$42 | |
| X-ray of the shoulder |
$299 |
$747 |
— |
$36 | |
| X-ray of the skull |
$381 |
$951 |
— |
$40 | |
| X-ray of the upper arm |
$299 |
$747 |
— |
$32 | |
| X-ray of the wrist |
$299 |
$747 |
— |
$43 | |
| Zinc blood test |
$50 |
$124 |
$11 |
$11 | |