| 3D mammogram (tomosynthesis) |
$35 |
$118 |
$84 |
$51 | |
| Abdominal ultrasound |
$188 |
$627 |
$261 |
$100 | |
| Abdominal ultrasound (complete) |
$198 |
$659 |
$261 |
$114 | |
| Abdominal ultrasound (limited) |
$179 |
$595 |
$261 |
$86 | |
| Abscess drainage (complex or multiple) |
$178 |
$592 |
$592 |
$220 | |
| Abscess incision and drainage |
$105 |
$351 |
$277 |
$174 | |
| Achilles tendon repair |
$604 |
$2,015 |
$2,015 |
$624 | |
| Albumin blood test |
$14 |
$46 |
$35 |
$5 | |
| Aldosterone test |
$57 |
$190 |
$143 |
$41 | |
| Alkaline phosphatase test |
$45 |
$150 |
$113 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$80 |
$268 |
$201 |
$17 | |
| ALT liver enzyme test |
$17 |
$56 |
$42 |
$5 | |
| Ammonia blood test |
$50 |
$167 |
$125 |
$15 | |
| Amylase test |
$31 |
$102 |
$77 |
$6 | |
| Anal fistula repair |
$335 |
$1,118 |
$1,118 |
$541 | |
| Ankle replacement |
$759 |
$2,531 |
$2,531 |
$885 | |
| Antinuclear antibody (ANA) test |
$99 |
$330 |
$167 |
$12 | |
| Appendix removal (appendectomy) |
— |
— |
$1,144 |
$592 | |
| Arterial blood gas (ABG) |
$33 |
$110 |
$83 |
$26 | |
| AST liver enzyme test |
$33 |
$111 |
$83 |
$5 | |
| Bartholin cyst removal |
$139 |
$462 |
$462 |
$182 | |
| Basic metabolic panel |
$29 |
$96 |
$72 |
$8 | |
| Benign skin lesion removal |
$140 |
$468 |
$425 |
$171 | |
| Bilirubin blood test |
$14 |
$46 |
$35 |
$5 | |
| Blood clotting test (PT/INR) |
$20 |
$66 |
$50 |
$4 | |
| Blood crossmatch |
$22 |
$73 |
$73 |
— | |
| Blood glucose test |
$13 |
$45 |
$23 |
$5 | |
| Blood transfusion |
$177 |
$590 |
$590 |
$47 | |
| Blood type and screen |
$42 |
$141 |
$106 |
$10 | |
| Blood type test |
$22 |
$74 |
$56 |
$3 | |
| Blood type test (ABO group) |
$22 |
$74 |
$56 |
$3 | |
| BNP (heart failure) test |
$33 |
$110 |
$83 |
$39 | |
| Bone density scan (DEXA) |
$66 |
$220 |
$220 |
$39 | |
| Breast ultrasound |
$134 |
$446 |
$212 |
$92 | |
| Breast ultrasound (complete) |
$89 |
$296 |
$273 |
$100 | |
| Breast ultrasound (limited) |
$179 |
$595 |
$110 |
$84 | |
| Breathing tube insertion (intubation) |
$137 |
$456 |
$264 |
$133 | |
| Bunion surgery (bunionectomy) |
$468 |
$1,562 |
$1,447 |
$883 | |
| Burn dressing and debridement (small) |
$246 |
$820 |
$820 |
$93 | |
| Burn treatment |
$246 |
$820 |
$820 |
$129 | |
| C-reactive protein (CRP) |
$42 |
$139 |
$104 |
$5 | |
| CA-125 ovarian marker test |
$72 |
$241 |
$181 |
$21 | |
| Calcium blood test |
$15 |
$50 |
$38 |
$5 | |
| Carotid artery ultrasound |
$202 |
$673 |
$567 |
$156 | |
| CEA tumor marker test |
$98 |
$326 |
$245 |
$19 | |
| Celiac disease test |
$11 |
$38 |
$29 |
$12 | |
| Central line placement |
$310 |
$1,033 |
$573 |
$238 | |
| Cesarean section (C-section) |
— |
— |
$6,963 |
$7,552 | |
| Chest tube insertion |
$809 |
$2,695 |
$439 |
$143 | |
| Chest X-ray |
$56 |
$185 |
$169 |
$37 | |
| Chest X-ray (1 view) |
$51 |
$169 |
$28 |
$25 | |
| Chest X-ray (2 views) |
$59 |
$198 |
$78 |
$33 | |
| CK-MB heart enzyme test |
$26 |
$88 |
$66 |
$12 | |
| Clotting time test (PTT) |
$32 |
$105 |
$79 |
$6 | |
| Colon resection (colectomy) |
$1,142 |
$3,807 |
$3,483 |
$1,238 | |
| Colonoscopy |
$351 |
$1,171 |
$925 |
$480 | |
| Complete blood count (CBC) |
$17 |
$55 |
$41 |
$7 | |
| Complete blood count (CBC) (complete) |
$17 |
$55 |
$41 |
$8 | |
| Complex wound repair |
$460 |
$1,534 |
$1,534 |
$390 | |
| Comprehensive metabolic panel |
$34 |
$114 |
$86 |
$11 | |
| Copper blood test |
$28 |
$92 |
$69 |
$12 | |
| Coronary angioplasty / stent (PCI) |
— |
— |
$1,144 |
$426 | |
| Coronary artery bypass (CABG) |
— |
— |
$26,117 |
$36,593 | |
| Cortisol test |
$29 |
$97 |
$73 |
$16 | |
| CPAP titration study |
$363 |
$1,210 |
$1,210 |
$69 | |
| Creatine kinase (CK) test |
$26 |
$86 |
$65 |
$7 | |
| CT angiography of the chest |
$627 |
$2,090 |
$1,386 |
$281 | |
| CT angiography of the head |
$660 |
$2,200 |
$793 |
$274 | |
| CT scan of the abdomen |
$428 |
$1,425 |
$240 |
$230 | |
| CT scan of the abdomen and pelvis |
$722 |
$2,406 |
$765 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$806 |
$2,688 |
$326 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$722 |
$2,406 |
$291 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$637 |
$2,122 |
$765 |
$183 | |
| CT scan of the abdomen with and without contrast |
$653 |
$2,177 |
$240 |
$259 | |
| CT scan of the abdomen with contrast |
$428 |
$1,425 |
$240 |
$230 | |
| CT scan of the abdomen without contrast |
$369 |
$1,229 |
$187 |
$136 | |
| CT scan of the arm |
$428 |
$1,425 |
$1,229 |
$199 | |
| CT scan of the arm with contrast |
$428 |
$1,425 |
$1,389 |
$199 | |
| CT scan of the arm without contrast |
$369 |
$1,229 |
$1,106 |
$161 | |
| CT scan of the chest |
$428 |
$1,425 |
$198 |
$167 | |
| CT scan of the chest with and without contrast |
$660 |
$2,201 |
$198 |
$196 | |
| CT scan of the chest with contrast |
$428 |
$1,425 |
$182 |
$167 | |
| CT scan of the chest without contrast |
$369 |
$1,229 |
$171 |
$133 | |
| CT scan of the head |
$428 |
$1,425 |
$201 |
$148 | |
| CT scan of the head with and without contrast |
$653 |
$2,177 |
$201 |
$173 | |
| CT scan of the head with contrast |
$428 |
$1,425 |
$176 |
$148 | |
| CT scan of the head without contrast |
$369 |
$1,229 |
$134 |
$107 | |
| CT scan of the leg |
$428 |
$1,425 |
$1,106 |
$166 | |
| CT scan of the leg with contrast |
$428 |
$1,425 |
$514 |
$166 | |
| CT scan of the leg without contrast |
$369 |
$1,229 |
$1,229 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$660 |
$2,201 |
$240 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$764 |
$2,547 |
$240 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$660 |
$2,201 |
$240 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$392 |
$1,306 |
$158 |
$130 | |
| CT scan of the neck |
$428 |
$1,425 |
$218 |
$183 | |
| CT scan of the neck (cervical spine) |
$428 |
$1,425 |
$240 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$764 |
$2,547 |
$240 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$428 |
$1,425 |
$240 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$369 |
$1,229 |
$160 |
$131 | |
| CT scan of the neck with and without contrast |
$660 |
$2,201 |
$240 |
$220 | |
| CT scan of the neck with contrast |
$428 |
$1,425 |
$218 |
$183 | |
| CT scan of the neck without contrast |
$311 |
$1,036 |
$200 |
$150 | |
| CT scan of the pelvis |
$351 |
$1,169 |
$468 |
$226 | |
| CT scan of the pelvis with and without contrast |
$540 |
$1,800 |
$842 |
$251 | |
| CT scan of the pelvis with contrast |
$351 |
$1,169 |
$458 |
$226 | |
| CT scan of the pelvis without contrast |
$303 |
$1,009 |
$171 |
$133 | |
| CT scan of the sinuses |
$428 |
$1,425 |
$200 |
$152 | |
| CT scan of the sinuses with and without contrast |
$660 |
$2,201 |
$200 |
$184 | |
| CT scan of the sinuses with contrast |
$428 |
$1,425 |
$176 |
$152 | |
| CT scan of the sinuses without contrast |
$311 |
$1,036 |
$122 |
$128 | |
| D-dimer test |
$21 |
$70 |
$53 |
$10 | |
| DHEA-sulfate test |
$25 |
$83 |
$62 |
$22 | |
| Diagnostic mammogram |
$64 |
$215 |
$110 |
$140 | |
| Drug screen (urine) |
$25 |
$83 |
$83 |
$17 | |
| Echocardiogram |
$719 |
$2,396 |
$1,211 |
$138 | |
| EKG / ECG (tracing only) |
$82 |
$274 |
$274 |
$7 | |
| Electrocardiogram (EKG) |
$82 |
$274 |
$274 |
$8 | |
| Electrolyte panel |
$60 |
$200 |
$150 |
$7 | |
| Emergency department visit |
$264 |
$880 |
$550 |
$69 | |
| Emergency department visit (level 1) |
$83 |
$275 |
$110 |
$11 | |
| Emergency department visit (level 2) |
$165 |
$550 |
$550 |
$40 | |
| Emergency department visit (level 3) |
$264 |
$880 |
$880 |
$69 | |
| Emergency department visit (level 4) |
$413 |
$1,375 |
$1,375 |
$118 | |
| Emergency department visit (level 5) |
$561 |
$1,870 |
$1,870 |
$171 | |
| Estradiol (estrogen) test |
$68 |
$226 |
$170 |
$28 | |
| Ferritin (iron) test |
$26 |
$88 |
$66 |
$14 | |
| Flexible sigmoidoscopy |
$149 |
$495 |
$470 |
$323 | |
| Flu test |
$82 |
$273 |
$205 |
$17 | |
| Folate (folic acid) test |
$26 |
$88 |
$66 |
$15 | |
| Foreign body removal (skin) |
$50 |
$165 |
$165 |
$157 | |
| Free T4 thyroid test |
$37 |
$122 |
$92 |
$9 | |
| FSH hormone test |
$32 |
$105 |
$79 |
$19 | |
| Gallbladder removal (laparoscopic) |
$585 |
$1,949 |
$1,873 |
$658 | |
| GGT liver test |
$7 |
$23 |
$17 |
$7 | |
| Glucose tolerance test |
$26 |
$86 |
$50 |
$8 | |
| Hammertoe repair |
$326 |
$1,087 |
$1,087 |
$548 | |
| HDL cholesterol test |
$14 |
$48 |
$36 |
$8 | |
| Hematocrit test |
$10 |
$33 |
$25 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$29 |
$95 |
$71 |
$10 | |
| Hepatitis B test |
$46 |
$153 |
$115 |
$10 | |
| Hepatitis C test |
$100 |
$333 |
$250 |
$14 | |
| HIV test |
$50 |
$165 |
$124 |
$19 | |
| HIV test (antigen/antibody combo) |
$50 |
$165 |
$124 |
$24 | |
| Holter heart monitor |
$159 |
$529 |
$498 |
$26 | |
| Hysterectomy |
$865 |
$2,882 |
$2,882 |
$933 | |
| Inguinal hernia repair |
$473 |
$1,575 |
$1,483 |
$538 | |
| Iron blood test |
$39 |
$130 |
$98 |
$6 | |
| IV infusion therapy |
$40 |
$134 |
$92 |
$44 | |
| IV infusion therapy (each additional) |
$28 |
$92 |
$92 |
$21 | |
| IV infusion therapy (initial) |
$53 |
$176 |
$176 |
$67 | |
| Kidney ultrasound |
$179 |
$595 |
$282 |
$84 | |
| Kidney ultrasound (limited) |
$179 |
$595 |
$378 |
$61 | |
| Knee replacement |
— |
— |
$12,027 |
$18,054 | |
| Lactate test |
$18 |
$61 |
$46 |
$12 | |
| LDH test |
$16 |
$53 |
$40 |
$6 | |
| LDL cholesterol test |
$29 |
$95 |
$71 |
$11 | |
| Leg vein ultrasound (Doppler) |
$191 |
$637 |
$61 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$170 |
$567 |
$109 |
$116 | |
| LH hormone test |
$32 |
$105 |
$79 |
$19 | |
| Lipase test |
$44 |
$145 |
$109 |
$7 | |
| Lipid (cholesterol) panel |
$27 |
$90 |
$68 |
$13 | |
| Liver function panel |
$35 |
$118 |
$89 |
$8 | |
| Lower back (lumbar) spinal fusion |
— |
— |
$1,144 |
$1,511 | |
| Lung scan (V/Q) |
$179 |
$595 |
$595 |
$291 | |
| Magnesium blood test |
$16 |
$53 |
$40 |
$7 | |
| Mastectomy |
$814 |
$2,713 |
$2,713 |
$1,021 | |
| Nebulizer breathing treatment |
$74 |
$248 |
$220 |
$9 | |
| Office visit (new patient) |
$74 |
$248 |
$154 |
$177 | |
| Office visit, new patient (level 3) |
$46 |
$154 |
$131 |
$118 | |
| Office visit, new patient (level 5) |
$102 |
$341 |
$256 |
$237 | |
| Pacemaker insertion |
— |
— |
$11,855 |
$15,506 | |
| Parathyroid hormone (PTH) test |
$33 |
$110 |
$83 |
$41 | |
| Pelvic ultrasound |
$101 |
$336 |
$214 |
$78 | |
| Pelvic ultrasound (complete) |
$179 |
$595 |
$293 |
$105 | |
| Phosphorus blood test |
$9 |
$30 |
$23 |
$5 | |
| Physical therapy evaluation |
$59 |
$198 |
$93 |
$98 | |
| Physical therapy evaluation (high complexity) |
$59 |
$198 |
$93 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$53 |
$176 |
$93 |
$98 | |
| Pilonidal cyst removal |
$404 |
$1,346 |
$961 |
$541 | |
| Pneumonia vaccine |
$140 |
$466 |
$466 |
— | |
| Pregnancy blood test (hCG) |
$17 |
$55 |
$41 |
$8 | |
| Pregnancy ultrasound |
$180 |
$600 |
$283 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$182 |
$605 |
$605 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$179 |
$595 |
$102 |
$136 | |
| Procalcitonin test |
$38 |
$127 |
$95 |
$27 | |
| Prolactin test |
$89 |
$298 |
$224 |
$19 | |
| Prostate test (PSA) |
$35 |
$116 |
$87 |
$18 | |
| Psychiatric evaluation |
$66 |
$220 |
$220 |
$188 | |
| Psychotherapy session |
$99 |
$330 |
$330 |
$140 | |
| Scoliosis spine X-ray |
$41 |
$138 |
$138 |
$58 | |
| Scoliosis spine X-ray (3 views) |
$41 |
$138 |
$138 |
$72 | |
| Screening mammogram |
$96 |
$319 |
$115 |
$126 | |
| Scrotal ultrasound |
$179 |
$595 |
$101 |
$99 | |
| Sedimentation rate (ESR) test |
$17 |
$56 |
$42 |
$3 | |
| Sex hormone binding globulin test |
$33 |
$110 |
$83 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$57 |
$190 |
$190 |
$114 | |
| Simple wound stitches |
$48 |
$159 |
$143 |
$127 | |
| Skin cancer lesion removal |
$215 |
$715 |
$667 |
$240 | |
| Skin graft |
$645 |
$2,149 |
$2,149 |
$898 | |
| Skin tag removal |
$58 |
$193 |
$193 |
$92 | |
| Small bowel resection |
$1,031 |
$3,436 |
$3,436 |
$1,136 | |
| Soft tissue ultrasound |
$170 |
$567 |
$567 |
$64 | |
| Strep throat test |
$22 |
$72 |
$54 |
$17 | |
| T3 thyroid test |
$45 |
$149 |
$112 |
$14 | |
| Tdap (tetanus) vaccine |
$30 |
$101 |
$101 |
— | |
| Testosterone test |
$33 |
$110 |
$83 |
$26 | |
| Thyroid test (TSH) |
$28 |
$92 |
$69 |
$17 | |
| Thyroid ultrasound |
$179 |
$595 |
$236 |
$109 | |
| Thyroid uptake scan |
$245 |
$815 |
$345 |
$145 | |
| Total IgE allergy test |
$29 |
$97 |
$73 |
$16 | |
| Total protein test |
$7 |
$23 |
$17 |
$4 | |
| Transvaginal ultrasound |
$144 |
$481 |
$111 |
$118 | |
| Triglycerides test |
$9 |
$30 |
$23 |
$6 | |
| Troponin (heart) test |
$25 |
$83 |
$62 |
$12 | |
| Upper GI endoscopy (EGD) |
$267 |
$891 |
$774 |
$371 | |
| Upper GI series (barium) |
$172 |
$572 |
$572 |
$128 | |
| Uric acid (gout) test |
$9 |
$30 |
$23 |
$5 | |
| Urinalysis |
$10 |
$33 |
$25 |
$3 | |
| Urine microalbumin test |
$33 |
$110 |
$66 |
$5 | |
| Urine pregnancy test |
$17 |
$55 |
$41 |
$9 | |
| Vaccine administration |
$10 |
$33 |
$22 |
$19 | |
| Vaccine administration (each additional) |
$7 |
$22 |
$22 |
$16 | |
| Vaginal delivery |
— |
— |
$4,970 |
$5,487 | |
| Vitamin B12 test |
$34 |
$112 |
$84 |
$15 | |
| Vitamin D test |
$33 |
$109 |
$82 |
$30 | |
| Weight-loss (bariatric) surgery |
— |
— |
$9,494 |
$11,645 | |
| Wound debridement |
$147 |
$491 |
$351 |
$186 | |
| X-ray of the abdomen |
$102 |
$340 |
$39 |
$36 | |
| X-ray of the ankle |
$45 |
$151 |
$136 |
$37 | |
| X-ray of the collarbone |
$45 |
$149 |
$134 |
$33 | |
| X-ray of the elbow |
$45 |
$151 |
$136 |
$33 | |
| X-ray of the facial bones |
$64 |
$212 |
$84 |
$39 | |
| X-ray of the foot |
$45 |
$151 |
$136 |
$34 | |
| X-ray of the forearm |
$45 |
$151 |
$136 |
$29 | |
| X-ray of the hand |
$51 |
$169 |
$152 |
$38 | |
| X-ray of the hip |
$45 |
$149 |
$59 |
$49 | |
| X-ray of the hip (1 view) |
$45 |
$149 |
$59 |
$34 | |
| X-ray of the hip (3 views) |
$45 |
$149 |
$59 |
$49 | |
| X-ray of the knee |
$51 |
$169 |
$110 |
$42 | |
| X-ray of the knee (2 views) |
$33 |
$110 |
$110 |
$34 | |
| X-ray of the knee (3 views) |
$58 |
$193 |
$174 |
$42 | |
| X-ray of the knee (4+ views) |
$51 |
$169 |
$154 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$95 |
$318 |
$42 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$95 |
$318 |
$37 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$95 |
$318 |
$47 |
$53 | |
| X-ray of the lower leg |
$45 |
$151 |
$136 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$47 |
$156 |
$35 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$47 |
$156 |
$33 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$47 |
$156 |
$36 |
$39 | |
| X-ray of the neck (cervical spine) |
$106 |
$354 |
$44 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$106 |
$354 |
$39 |
$40 | |
| X-ray of the pelvis |
$51 |
$170 |
$39 |
$36 | |
| X-ray of the pelvis (1 view) |
$64 |
$212 |
$28 |
$28 | |
| X-ray of the ribs |
$59 |
$198 |
$138 |
$42 | |
| X-ray of the ribs (2 views) |
$55 |
$184 |
$73 |
$36 | |
| X-ray of the ribs (3 views) |
$59 |
$198 |
$198 |
$42 | |
| X-ray of the shoulder |
$45 |
$151 |
$151 |
$36 | |
| X-ray of the skull |
$47 |
$156 |
$73 |
$40 | |
| X-ray of the upper arm |
$45 |
$151 |
$151 |
$32 | |
| X-ray of the wrist |
$45 |
$151 |
$136 |
$43 | |
| Zinc blood test |
$52 |
$172 |
$129 |
$11 | |