| 3D mammogram (tomosynthesis) |
$21 |
$83 |
$30 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$854 |
$2,704 |
$854 |
$284 | |
| Abdominal ultrasound |
$98 |
$1,949 |
$100 |
$100 | |
| Abdominal ultrasound (complete) |
$98 |
$1,949 |
$103 |
$114 | |
| Abdominal ultrasound (limited) |
$98 |
$1,949 |
$99 |
$86 | |
| Abscess drainage (complex or multiple) |
$382 |
$1,735 |
$402 |
$220 | |
| Abscess drainage (simple) |
$189 |
$1,148 |
$206 |
$129 | |
| Abscess incision and drainage |
$286 |
$1,441 |
$298 |
$174 | |
| Albumin blood test |
$4 |
$42 |
$5 |
$5 | |
| Aldosterone test |
$40 |
$877 |
$43 |
$41 | |
| Alkaline phosphatase test |
$5 |
$135 |
$5 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$16 |
$428 |
$18 |
$17 | |
| ALT liver enzyme test |
$5 |
$45 |
$6 |
$5 | |
| Ammonia blood test |
$14 |
$265 |
$15 |
$15 | |
| Amniocentesis |
$867 |
$1,648 |
$868 |
$120 | |
| Anoscopy |
$125 |
$452 |
$169 |
$129 | |
| Antinuclear antibody (ANA) test |
$12 |
$220 |
$13 |
$12 | |
| Arterial blood gas (ABG) |
$26 |
$341 |
$27 |
$26 | |
| AST liver enzyme test |
$5 |
$43 |
$5 |
$5 | |
| Barium swallow study |
$165 |
$1,579 |
$165 |
$107 | |
| Bartholin cyst removal |
$190 |
$828 |
$210 |
$182 | |
| Benign skin lesion removal |
$667 |
$3,008 |
$680 |
$171 | |
| Bilirubin blood test |
$5 |
$42 |
$5 |
$5 | |
| Bladder function test (urodynamics) |
$656 |
$2,775 |
$670 |
$345 | |
| Bladder scope (cystoscopy) |
$656 |
$3,882 |
$670 |
$216 | |
| Bladder tumor removal (TURBT) |
$3,320 |
$8,821 |
$3,321 |
$236 | |
| Blood clotting test (PT/INR) |
$4 |
$142 |
$5 |
$4 | |
| Blood crossmatch |
$160 |
$881 |
$161 |
— | |
| Blood transfusion |
$415 |
$2,524 |
$420 |
$47 | |
| Blood type and screen |
$49 |
$165 |
$49 |
$10 | |
| Blood type test (Rh/D antigen) |
$35 |
$56 |
$35 |
$3 | |
| BNP (heart failure) test |
$39 |
$614 |
$41 |
$39 | |
| Bone density scan (DEXA) |
$98 |
$722 |
$98 |
$39 | |
| Bone marrow biopsy |
$2,146 |
$5,372 |
$2,178 |
$172 | |
| Bone scan (nuclear) |
$376 |
$3,326 |
$395 |
$259 | |
| Breast biopsy |
$1,555 |
$2,874 |
$1,557 |
$478 | |
| Breast ultrasound |
$90 |
$682 |
$98 |
$92 | |
| Breast ultrasound (complete) |
$98 |
$861 |
$102 |
$100 | |
| Breast ultrasound (limited) |
$81 |
$503 |
$83 |
$84 | |
| Breathing tube insertion (intubation) |
$223 |
$1,999 |
$239 |
$133 | |
| Bronchoscopy |
$1,676 |
$5,201 |
$1,677 |
$303 | |
| Burn dressing and debridement (medium) |
$189 |
$1,083 |
$198 |
$166 | |
| Burn dressing and debridement (small) |
$189 |
$1,083 |
$194 |
$93 | |
| Burn treatment |
$189 |
$1,083 |
$196 |
$129 | |
| CA 19-9 tumor marker test |
$20 |
$447 |
$22 |
$21 | |
| CA-125 ovarian marker test |
$20 |
$377 |
$22 |
$21 | |
| Calcium blood test |
$5 |
$43 |
$5 |
$5 | |
| Cardiac ablation |
$24,624 |
$69,107 |
$24,625 |
$759 | |
| Cardiac catheterization |
$3,054 |
$19,179 |
$3,058 |
$1,049 | |
| Cardiac MRI |
$276 |
$5,804 |
$329 |
$322 | |
| Cardiac MRI without contrast |
$224 |
$5,615 |
$236 |
$280 | |
| Cardiac rehabilitation |
$121 |
$397 |
$121 |
$26 | |
| Cardiac stress test |
$203 |
$2,302 |
$203 |
$39 | |
| Cardioversion |
$622 |
$3,426 |
$623 |
$155 | |
| Carotid artery ultrasound |
$161 |
$1,649 |
$223 |
$156 | |
| Carpal tunnel release |
$1,839 |
$5,722 |
$1,840 |
$483 | |
| Cataract surgery |
$2,174 |
$7,846 |
$2,218 |
$547 | |
| CEA tumor marker test |
$18 |
$344 |
$20 |
$19 | |
| Celiac disease test |
$11 |
$162 |
$12 |
$12 | |
| Central line placement |
$2,974 |
$5,693 |
$2,975 |
$238 | |
| Cesarean section (C-section) |
$6,917 |
— |
$7,506 |
$7,552 | |
| Chemotherapy infusion |
$189 |
$489 |
$114 |
$81 | |
| Chemotherapy infusion (each additional) |
$67 |
$119 |
$68 |
$28 | |
| Chemotherapy infusion (first hour) |
$311 |
$859 |
$311 |
$133 | |
| Chest fluid drain (thoracentesis) |
$590 |
$2,421 |
$597 |
$311 | |
| Chest tube insertion |
$1,483 |
$4,270 |
$1,498 |
$143 | |
| Chest X-ray |
$81 |
$995 |
$82 |
$37 | |
| Chest X-ray (1 view) |
$81 |
$742 |
$82 |
$25 | |
| Chest X-ray (2 views) |
$81 |
$950 |
$82 |
$33 | |
| Circumcision |
— |
$176 |
$176 |
$167 | |
| CK-MB heart enzyme test |
$11 |
$211 |
$12 |
$12 | |
| Clotting time test (PTT) |
$6 |
$110 |
$6 |
$6 | |
| Colonoscopy |
$876 |
$4,831 |
$1,127 |
$480 | |
| Complete blood count (CBC) |
$7 |
$119 |
$8 |
$7 | |
| Complete blood count (CBC) (complete) |
$7 |
$119 |
$8 |
$8 | |
| Complex wound repair |
$696 |
$2,459 |
$696 |
$390 | |
| Copper blood test |
$12 |
$521 |
$13 |
$12 | |
| Coronary artery bypass (CABG) |
$33,515 |
— |
$39,098 |
$36,593 | |
| Coronary CT angiography |
$328 |
$4,535 |
$426 |
$326 | |
| Cortisol test |
$16 |
$296 |
$17 |
$16 | |
| COVID-19 PCR test |
$51 |
$86 |
$51 |
$51 | |
| CPAP titration study |
$206 |
$915 |
$210 |
$69 | |
| Creatine kinase (CK) test |
$6 |
$120 |
$7 |
$7 | |
| CT scan of the abdomen |
$165 |
$2,991 |
$165 |
$230 | |
| CT scan of the abdomen and pelvis |
$328 |
$5,196 |
$329 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$328 |
$5,196 |
$345 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$328 |
$5,196 |
$335 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$224 |
$3,521 |
$225 |
$183 | |
| CT scan of the abdomen with contrast |
$165 |
$2,691 |
$174 |
$230 | |
| CT scan of the arm |
$165 |
$3,423 |
$228 |
$199 | |
| CT scan of the arm with contrast |
$328 |
$3,282 |
$329 |
$199 | |
| CT scan of the chest |
$165 |
$5,171 |
$165 |
$167 | |
| CT scan of the chest with contrast |
$165 |
$5,171 |
$184 |
$167 | |
| CT scan of the head |
$165 |
$5,372 |
$165 |
$148 | |
| CT scan of the head with and without contrast |
$165 |
$5,690 |
$174 |
$173 | |
| CT scan of the head with contrast |
$165 |
$5,372 |
$169 |
$148 | |
| CT scan of the leg |
$165 |
$3,424 |
$165 |
$166 | |
| CT scan of the leg with contrast |
$165 |
$3,424 |
$174 |
$166 | |
| CT scan of the lower back (lumbar spine) |
$165 |
$6,276 |
$228 |
$169 | |
| CT scan of the lower back (lumbar spine) with contrast |
$328 |
$6,276 |
$329 |
$169 | |
| CT scan of the neck |
$165 |
$5,327 |
$165 |
$183 | |
| CT scan of the neck (cervical spine) |
$165 |
$5,537 |
$228 |
$168 | |
| CT scan of the neck (cervical spine) with contrast |
$328 |
$5,117 |
$329 |
$168 | |
| CT scan of the neck with and without contrast |
$165 |
$6,666 |
$174 |
$220 | |
| CT scan of the neck with contrast |
$165 |
$5,327 |
$174 |
$183 | |
| CT scan of the pelvis |
$165 |
$2,691 |
$165 |
$226 | |
| CT scan of the pelvis with contrast |
$165 |
$2,691 |
$174 |
$226 | |
| CT scan of the sinuses |
$165 |
$5,191 |
$165 |
$152 | |
| CT scan of the sinuses with and without contrast |
$165 |
$6,063 |
$174 |
$184 | |
| CT scan of the sinuses with contrast |
$165 |
$5,191 |
$174 |
$152 | |
| D-dimer test |
$10 |
$187 |
$11 |
$10 | |
| Defibrillator (ICD) implant |
$29,571 |
$152,798 |
$29,572 |
$798 | |
| Developmental screening (child) |
— |
$1,552 |
$33 |
— | |
| DHEA-sulfate test |
$22 |
$403 |
$23 |
$22 | |
| Diagnostic mammogram |
$77 |
$1,077 |
$105 |
$140 | |
| Droopy eyelid repair (ptosis) |
$2,239 |
$7,851 |
$2,262 |
$745 | |
| Drug screen (urine) |
$17 |
$133 |
$23 |
$17 | |
| Ear pressure test (tympanometry) |
$35 |
$156 |
$35 |
$16 | |
| Echocardiogram |
$369 |
$3,141 |
$343 |
$138 | |
| Echocardiogram with and without contrast |
$224 |
$1,139 |
$225 |
$101 | |
| Echocardiogram without contrast |
$224 |
$3,370 |
$238 |
$138 | |
| EEG (awake and asleep) |
$203 |
$4,107 |
$205 |
$482 | |
| EKG / ECG (tracing only) |
$55 |
$774 |
$56 |
$7 | |
| Electrocardiogram (EKG) |
$55 |
$774 |
$56 |
$8 | |
| Electroencephalogram (EEG) |
$203 |
$4,107 |
$205 |
$448 | |
| Electrolyte panel |
$7 |
$155 |
$7 |
$7 | |
| Electromyography (EMG) |
$125 |
$223 |
$127 |
$141 | |
| Emergency department visit |
$257 |
$1,435 |
$257 |
$69 | |
| Emergency department visit (level 1) |
$79 |
$480 |
$105 |
$11 | |
| Emergency department visit (level 2) |
$144 |
$958 |
$148 |
$40 | |
| Emergency department visit (level 3) |
$257 |
$1,435 |
$262 |
$69 | |
| Emergency department visit (level 4) |
$393 |
$2,152 |
$401 |
$118 | |
| Emergency department visit (level 5) |
$561 |
$3,225 |
$572 |
$171 | |
| Epidural steroid injection |
$665 |
$3,585 |
$678 |
$275 | |
| Esophageal dilation |
$1,331 |
$7,461 |
$1,196 |
$522 | |
| Estradiol (estrogen) test |
$27 |
$505 |
$29 |
$28 | |
| Eyelid surgery (blepharoplasty) |
$1,943 |
$7,480 |
$1,944 |
$552 | |
| Facet joint injection (spine) |
$833 |
$2,513 |
$833 |
$99 | |
| Fallopian tube X-ray (HSG) |
$224 |
$1,515 |
$225 |
$164 | |
| Fecal occult blood (stool) test |
$10 |
$72 |
$14 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$4 |
$82 |
$5 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$15 |
$61 |
$17 |
$16 | |
| Feeding tube (PEG) placement |
$1,807 |
$4,027 |
$1,844 |
$178 | |
| Ferritin (iron) test |
$13 |
$248 |
$14 |
$14 | |
| Fibrinogen test |
$9 |
$156 |
$10 |
$10 | |
| Flexible sigmoidoscopy |
$876 |
$4,809 |
$876 |
$323 | |
| Flu test |
$16 |
$219 |
$17 |
$17 | |
| Folate (folic acid) test |
$14 |
$266 |
$15 |
$15 | |
| Foreign body removal (skin) |
$382 |
$1,637 |
$402 |
$157 | |
| Free T4 thyroid test |
$9 |
$166 |
$9 |
$9 | |
| FSH hormone test |
$18 |
$336 |
$20 |
$19 | |
| Gallbladder removal (laparoscopic) |
$5,695 |
$29,670 |
$5,696 |
$658 | |
| Gallbladder scan (HIDA) |
$444 |
$2,389 |
$512 |
$334 | |
| Ganglion cyst removal |
$1,514 |
$5,665 |
$1,545 |
$321 | |
| GGT liver test |
$7 |
$133 |
$8 |
$7 | |
| Glucose tolerance test |
$8 |
$154 |
$13 |
$8 | |
| H. pylori test |
$67 |
$424 |
$71 |
$67 | |
| Hearing test (audiometry) |
$121 |
$440 |
$121 |
$36 | |
| Hemodialysis |
$646 |
$2,468 |
$647 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$9 |
$178 |
$10 |
$10 | |
| Hepatitis B test |
$10 |
$85 |
$11 |
$10 | |
| Hepatitis C test |
$14 |
$101 |
$15 |
$14 | |
| HIV test |
$19 |
$448 |
$24 |
$19 | |
| HIV test (antibody) |
$13 |
$163 |
$14 |
$14 | |
| HIV test (antigen/antibody combo) |
$24 |
$733 |
$25 |
$24 | |
| Holter heart monitor |
$90 |
$1,313 |
$78 |
$26 | |
| Inguinal hernia repair |
$3,373 |
$20,228 |
$3,441 |
$538 | |
| Iron blood test |
$6 |
$619 |
$7 |
$6 | |
| IUD removal |
$287 |
$1,126 |
$290 |
$112 | |
| IV infusion therapy |
$122 |
$552 |
$87 |
$44 | |
| IV infusion therapy (each additional) |
$44 |
$194 |
$44 |
$21 | |
| IV infusion therapy (initial) |
$200 |
$910 |
$200 |
$67 | |
| IVC filter placement |
$5,242 |
$22,228 |
$5,242 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$289 |
$1,633 |
$295 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$289 |
$3,914 |
$295 |
$57 | |
| Joint aspiration or injection (small joint) |
$289 |
$1,633 |
$295 |
$56 | |
| Kidney biopsy |
$1,555 |
$2,410 |
$1,587 |
$492 | |
| Kidney scan (nuclear) |
$511 |
$3,837 |
$512 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$3,320 |
$19,264 |
$3,387 |
$760 | |
| Kidney ultrasound |
$98 |
$1,513 |
$98 |
$84 | |
| Kidney ultrasound (limited) |
$98 |
$1,120 |
$98 |
$61 | |
| Knee joint injection |
$289 |
$3,810 |
$295 |
$69 | |
| Knee replacement |
$16,535 |
— |
$18,873 |
$18,054 | |
| Lactate test |
$11 |
$194 |
$12 |
$12 | |
| Laryngoscopy |
$932 |
$3,360 |
$520 |
$189 | |
| LDH test |
$6 |
$144 |
$6 |
$6 | |
| LDL cholesterol test |
$10 |
$176 |
$11 |
$11 | |
| Leg artery angiogram |
$2,974 |
$5,346 |
$2,975 |
$149 | |
| Leg artery angioplasty |
$7,857 |
$45,656 |
$9,365 |
— | |
| Leg vein ultrasound (Doppler) |
$161 |
$853 |
$207 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$98 |
$659 |
$107 |
$116 | |
| LH hormone test |
$18 |
$335 |
$19 |
$19 | |
| Lipid (cholesterol) panel |
$13 |
$166 |
$14 |
$13 | |
| Liver biopsy |
$1,555 |
$4,641 |
$1,556 |
$288 | |
| Lower back (lumbar) spinal fusion |
— |
— |
$35,484 |
$1,511 | |
| Lung function test (PFT) |
$277 |
$509 |
$285 |
$37 | |
| Lung scan (V/Q) |
$511 |
$4,458 |
$512 |
$291 | |
| Magnesium blood test |
$6 |
$123 |
$7 |
$7 | |
| MRA of the brain |
$328 |
$2,673 |
$329 |
$226 | |
| MRA of the brain with contrast |
$328 |
$2,673 |
$345 |
$226 | |
| MRA of the brain without contrast |
$328 |
$2,938 |
$345 |
$328 | |
| MRA of the neck |
$328 |
$2,673 |
$329 |
$245 | |
| MRA of the neck with contrast |
$328 |
$2,673 |
$345 |
$245 | |
| MRA of the neck without contrast |
$328 |
$2,938 |
$345 |
$343 | |
| MRI of the abdomen |
$328 |
$5,927 |
$329 |
$300 | |
| MRI of the abdomen with contrast |
$328 |
$5,927 |
$345 |
$300 | |
| MRI of the abdomen without contrast |
$224 |
$5,342 |
$236 |
$194 | |
| MRI of the ankle |
$328 |
$4,808 |
$329 |
$261 | |
| MRI of the ankle with contrast |
$328 |
$4,808 |
$345 |
$261 | |
| MRI of the ankle without contrast |
$224 |
$4,371 |
$236 |
$222 | |
| MRI of the brain |
$328 |
$5,586 |
$329 |
$269 | |
| MRI of the brain with contrast |
$328 |
$5,582 |
$340 |
$269 | |
| MRI of the brain without contrast |
$224 |
$5,586 |
$238 |
$195 | |
| MRI of the chest |
$328 |
$5,927 |
$460 |
$371 | |
| MRI of the chest with contrast |
$738 |
$5,927 |
$739 |
$371 | |
| MRI of the chest without contrast |
$328 |
$6,513 |
$345 |
$466 | |
| MRI of the knee |
$328 |
$9,145 |
$397 |
$315 | |
| MRI of the knee with contrast |
$738 |
$9,145 |
$739 |
$315 | |
| MRI of the knee without contrast |
$224 |
$8,312 |
$238 |
$204 | |
| MRI of the lower back (lumbar spine) |
$328 |
$5,582 |
$329 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$328 |
$5,582 |
$343 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$224 |
$5,342 |
$238 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$328 |
$5,582 |
$329 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$328 |
$5,826 |
$345 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$328 |
$5,582 |
$345 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$224 |
$5,342 |
$236 |
$190 | |
| MRI of the neck (cervical spine) |
$328 |
$5,582 |
$329 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$328 |
$5,826 |
$345 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$328 |
$5,582 |
$345 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$224 |
$5,342 |
$238 |
$191 | |
| MRI of the pelvis |
$328 |
$5,874 |
$329 |
$268 | |
| MRI of the pelvis with contrast |
$328 |
$5,874 |
$345 |
$268 | |
| MRI of the pelvis without contrast |
$224 |
$5,342 |
$236 |
$227 | |
| MRI of the shoulder |
$328 |
$8,312 |
$397 |
$313 | |
| MRI of the shoulder with contrast |
$738 |
$9,145 |
$739 |
$313 | |
| MRI of the shoulder without contrast |
$224 |
$8,312 |
$236 |
$205 | |
| MRI of the wrist |
$328 |
$7,149 |
$329 |
$330 | |
| MRI of the wrist with contrast |
$328 |
$7,149 |
$345 |
$330 | |
| MRI of the wrist without contrast |
$224 |
$7,149 |
$236 |
$303 | |
| Nebulizer breathing treatment |
$206 |
$220 |
$206 |
$9 | |
| Nuchal translucency ultrasound |
$98 |
$1,917 |
$98 |
$116 | |
| Nuclear cardiac stress test |
$1,219 |
$5,633 |
$1,220 |
$428 | |
| Occupational therapy evaluation |
$95 |
$491 |
$97 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$95 |
$735 |
$97 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$95 |
$491 |
$97 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$95 |
$491 |
$97 |
$101 | |
| Office visit (established patient) |
— |
$812 |
$124 |
$115 | |
| Office visit (new patient) |
— |
$927 |
$101 |
$177 | |
| Office visit, established patient (level 3) |
— |
$796 |
$107 |
$95 | |
| Office visit, established patient (level 4) |
— |
$828 |
$151 |
$136 | |
| Office visit, new patient (level 3) |
— |
$877 |
$98 |
$118 | |
| Office visit, new patient (level 4) |
— |
$927 |
$98 |
$177 | |
| Office visit, new patient (level 5) |
— |
$1,320 |
$164 |
$237 | |
| Pacemaker insertion |
$14,201 |
— |
$16,865 |
$15,506 | |
| Pap smear (cervical screening) |
$23 |
$337 |
$27 |
$20 | |
| Parathyroid hormone (PTH) test |
$41 |
$759 |
$43 |
$41 | |
| Pelvic ultrasound |
$98 |
$1,712 |
$98 |
$78 | |
| Pelvic ultrasound (complete) |
$98 |
$2,038 |
$103 |
$105 | |
| Pelvic ultrasound (limited) |
$98 |
$1,386 |
$98 |
$51 | |
| PET scan |
$1,347 |
$9,373 |
$1,347 |
— | |
| Physical therapy evaluation |
$93 |
$744 |
$94 |
$98 | |
| Physical therapy evaluation (high complexity) |
$93 |
$1,115 |
$94 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$93 |
$744 |
$94 |
$98 | |
| Pilonidal cyst removal |
$2,736 |
$15,176 |
$2,737 |
$541 | |
| Platelet count |
$4 |
$83 |
$5 |
$4 | |
| Pregnancy ultrasound |
$98 |
$1,917 |
$103 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$98 |
$1,917 |
$103 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$98 |
$1,917 |
$103 |
$136 | |
| Procalcitonin test |
$27 |
$1,527 |
$29 |
$27 | |
| Prolactin test |
$19 |
$352 |
$20 |
$19 | |
| Prostate biopsy |
$1,889 |
$7,208 |
$1,908 |
— | |
| Prostate test (PSA) |
$18 |
$334 |
$19 |
$18 | |
| Psychiatric evaluation |
$167 |
$505 |
$176 |
$188 | |
| Radiofrequency nerve ablation |
$1,839 |
$11,048 |
$1,840 |
$462 | |
| Sacroiliac joint injection |
— |
$3,789 |
$312 |
$176 | |
| Scoliosis spine X-ray |
$90 |
$568 |
$98 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$81 |
$405 |
$82 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$98 |
$732 |
$98 |
$72 | |
| Screening colonoscopy |
$876 |
$4,695 |
$885 |
$378 | |
| Screening mammogram |
$82 |
$983 |
$104 |
$126 | |
| Scrotal ultrasound |
$98 |
$1,681 |
$98 |
$99 | |
| Semen analysis |
$12 |
$70 |
$17 |
$12 | |
| Sex hormone binding globulin test |
$21 |
$146 |
$23 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$189 |
$1,148 |
$207 |
$114 | |
| Simple wound stitches |
$189 |
$1,116 |
$223 |
$127 | |
| Skin biopsy |
$382 |
$1,073 |
$387 |
$121 | |
| Skin biopsy (punch) |
$382 |
$1,073 |
$387 |
$121 | |
| Skin cancer lesion removal |
$667 |
$2,829 |
$680 |
$240 | |
| Skin tag removal |
$189 |
$625 |
$218 |
$92 | |
| Sleep study (polysomnography) |
$809 |
$10,717 |
$837 |
$691 | |
| Soft tissue ultrasound |
$98 |
$996 |
$98 |
$64 | |
| Speech therapy |
$72 |
$529 |
$77 |
$76 | |
| Spinal cord stimulator |
$6,004 |
$39,406 |
$6,258 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$665 |
$2,338 |
$665 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$6,836 |
$10,329 |
$6,973 |
$5,803 | |
| Spirometry (lung function test) |
$203 |
$311 |
$203 |
$30 | |
| Spirometry with bronchodilator |
$351 |
$707 |
$352 |
$43 | |
| Strep throat test |
$16 |
$219 |
$17 |
$17 | |
| Stress echocardiogram |
$514 |
$3,321 |
$515 |
$209 | |
| Swallow study |
$56 |
$494 |
$77 |
$85 | |
| T3 thyroid test |
$14 |
$258 |
$15 |
$14 | |
| Testosterone test |
$25 |
$468 |
$27 |
$26 | |
| Thyroid test (TSH) |
$16 |
$306 |
$18 |
$17 | |
| Thyroid ultrasound |
$98 |
$1,949 |
$103 |
$109 | |
| Thyroid uptake scan |
$376 |
$2,114 |
$377 |
$145 | |
| Tilt table test |
$351 |
$4,787 |
$355 |
$168 | |
| Total IgE allergy test |
$16 |
$235 |
$17 |
$16 | |
| Transesophageal echocardiogram (TEE) |
$514 |
$3,100 |
$515 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$514 |
$3,100 |
$515 |
$239 | |
| Transvaginal ultrasound |
$98 |
$1,696 |
$103 |
$118 | |
| Trigger finger release |
$1,514 |
$7,687 |
$1,515 |
$630 | |
| Trigger point injection |
$289 |
$1,633 |
$295 |
$56 | |
| Trigger point injection (1-2 muscles) |
$289 |
$1,633 |
$295 |
$52 | |
| Triglycerides test |
$5 |
$56 |
$6 |
$6 | |
| Troponin (heart) test |
$12 |
$180 |
$13 |
$12 | |
| Turning a breech baby (version) |
— |
$9,404 |
$1,033 |
$94 | |
| Ulnar nerve surgery (elbow) |
$1,839 |
$4,107 |
$1,876 |
$575 | |
| Upper GI endoscopy (EGD) |
$854 |
$4,946 |
$872 |
$371 | |
| Upper GI series (barium) |
$165 |
$2,015 |
$165 |
$128 | |
| Ureteral stent placement |
$3,320 |
$5,881 |
$3,321 |
$373 | |
| Ureteroscopy (stone removal) |
$5,051 |
$8,821 |
$5,051 |
$365 | |
| Urine microalbumin test |
$5 |
$99 |
$6 |
$5 | |
| Urine pregnancy test |
$8 |
$138 |
$9 |
$9 | |
| Vaccine administration |
$67 |
$188 |
$68 |
$19 | |
| Vaccine administration (each additional) |
— |
$194 |
$15 |
$16 | |
| Vaginal delivery |
$5,025 |
— |
$5,276 |
$5,487 | |
| Varicose vein ablation |
$2,974 |
$14,410 |
$3,034 |
$1,018 | |
| Vasectomy |
$1,969 |
$11,621 |
$2,009 |
$347 | |
| Vitamin B12 test |
$15 |
$274 |
$16 |
$15 | |
| Vitamin D test |
$29 |
$516 |
$31 |
$30 | |
| Wart removal |
$189 |
$551 |
$198 |
$121 | |
| Weight-loss (bariatric) surgery |
$10,665 |
— |
$13,572 |
$11,645 | |
| Wound debridement |
$382 |
$1,556 |
$391 |
$186 | |
| X-ray of the abdomen |
$98 |
$934 |
$98 |
$36 | |
| X-ray of the ankle |
$81 |
$1,130 |
$82 |
$37 | |
| X-ray of the collarbone |
$81 |
$950 |
$82 |
$33 | |
| X-ray of the elbow |
$81 |
$1,148 |
$82 |
$33 | |
| X-ray of the facial bones |
$90 |
$1,279 |
$98 |
$39 | |
| X-ray of the foot |
$81 |
$1,130 |
$82 |
$34 | |
| X-ray of the forearm |
$81 |
$1,007 |
$82 |
$29 | |
| X-ray of the hand |
$81 |
$1,148 |
$82 |
$38 | |
| X-ray of the hip |
$81 |
$960 |
$87 |
$49 | |
| X-ray of the hip (1 view) |
$81 |
$1,597 |
$82 |
$34 | |
| X-ray of the hip (3 views) |
$81 |
$769 |
$82 |
$49 | |
| X-ray of the hip (4 views) |
$98 |
$960 |
$98 |
$63 | |
| X-ray of the knee |
$81 |
$1,204 |
$86 |
$42 | |
| X-ray of the knee (2 views) |
$81 |
$982 |
$82 |
$34 | |
| X-ray of the knee (3 views) |
$81 |
$1,204 |
$82 |
$42 | |
| X-ray of the knee (4+ views) |
$98 |
$1,223 |
$98 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$98 |
$1,614 |
$98 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$98 |
$1,391 |
$98 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$98 |
$1,837 |
$98 |
$53 | |
| X-ray of the lower leg |
$81 |
$982 |
$82 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$98 |
$1,381 |
$98 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$98 |
$1,117 |
$98 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$98 |
$1,645 |
$98 |
$39 | |
| X-ray of the neck (cervical spine) |
$90 |
$1,324 |
$98 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$81 |
$1,117 |
$82 |
$40 | |
| X-ray of the pelvis |
$98 |
$933 |
$98 |
$36 | |
| X-ray of the pelvis (1 view) |
$98 |
$835 |
$98 |
$28 | |
| X-ray of the ribs |
$98 |
$1,114 |
$98 |
$42 | |
| X-ray of the ribs (2 views) |
$81 |
$1,114 |
$82 |
$36 | |
| X-ray of the ribs (3 views) |
$98 |
$1,322 |
$98 |
$42 | |
| X-ray of the shoulder |
$81 |
$982 |
$82 |
$36 | |
| X-ray of the skull |
$98 |
$1,239 |
$98 |
$40 | |
| X-ray of the upper arm |
$81 |
$964 |
$82 |
$32 | |
| X-ray of the wrist |
$81 |
$1,148 |
$82 |
$43 | |
| Zinc blood test |
$11 |
$422 |
$12 |
$11 | |