| 3D mammogram (tomosynthesis) |
$77 |
$202 |
$121 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,382 |
$3,618 |
$1,700 |
$284 | |
| Abdominal ultrasound |
$784 |
$2,053 |
$236 |
$100 | |
| Abdominal ultrasound (complete) |
$877 |
$2,297 |
$236 |
$114 | |
| Abdominal ultrasound (limited) |
$691 |
$1,809 |
$236 |
$86 | |
| Abscess drainage (complex or multiple) |
$732 |
$1,915 |
$900 |
$220 | |
| Abscess drainage (simple) |
$270 |
$708 |
$233 |
$129 | |
| Abscess incision and drainage |
$501 |
$1,312 |
$426 |
$174 | |
| Achilles tendon repair |
— |
— |
$7,614 |
$624 | |
| ACL knee reconstruction |
— |
— |
$7,614 |
$889 | |
| Adenoid removal (adenoidectomy) |
— |
— |
$3,457 |
$204 | |
| Albumin blood test |
$41 |
$109 |
$8 |
$5 | |
| Aldosterone test |
$96 |
$251 |
$45 |
$41 | |
| Alkaline phosphatase test |
$41 |
$107 |
$8 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$31 |
$82 |
$18 |
$17 | |
| ALT liver enzyme test |
$47 |
$123 |
$11 |
$5 | |
| Ammonia blood test |
$128 |
$336 |
$30 |
$15 | |
| Amniocentesis |
$838 |
$2,195 |
$940 |
$120 | |
| Amylase test |
$61 |
$160 |
$10 |
$6 | |
| Anal fistula repair |
— |
— |
$2,923 |
$541 | |
| Ankle fracture repair |
— |
— |
$7,614 |
$608 | |
| Ankle replacement |
— |
— |
$19,600 |
$885 | |
| Anoscopy |
$237 |
$620 |
$151 |
$129 | |
| Antinuclear antibody (ANA) test |
$40 |
$105 |
$20 |
$12 | |
| Aortic aneurysm repair (AAA) |
$2,175 |
$5,695 |
$5,084 |
$1,345 | |
| Aortic valve replacement |
$41,855 |
$109,569 |
$16,243 |
$1,603 | |
| Arterial blood gas (ABG) |
$207 |
$541 |
$54 |
$26 | |
| AST liver enzyme test |
$59 |
$155 |
$11 |
$5 | |
| Barium swallow study |
$421 |
$1,101 |
$393 |
$107 | |
| Bartholin cyst removal |
— |
— |
$214 |
$182 | |
| Basic metabolic panel |
$124 |
$324 |
$18 |
$8 | |
| Benign skin lesion removal |
— |
— |
$750 |
$171 | |
| Bilirubin blood test |
$40 |
$104 |
$8 |
$5 | |
| Bladder function test (urodynamics) |
— |
— |
$711 |
$345 | |
| Bladder scope (cystoscopy) |
$2,076 |
$5,434 |
$1,224 |
$216 | |
| Bladder tumor removal (TURBT) |
$5,190 |
$13,586 |
$3,676 |
$236 | |
| Blood clotting test (PT/INR) |
$50 |
$132 |
$9 |
$4 | |
| Blood crossmatch |
$196 |
$514 |
$183 |
— | |
| Blood glucose test |
$47 |
$122 |
$8 |
$5 | |
| Blood transfusion |
$682 |
$1,785 |
$513 |
$47 | |
| Blood type and screen |
$88 |
$230 |
$57 |
$10 | |
| Blood type test |
$85 |
$223 |
$77 |
$3 | |
| Blood type test (ABO group) |
$102 |
$266 |
$137 |
$3 | |
| Blood type test (Rh/D antigen) |
$74 |
$194 |
$42 |
$3 | |
| BNP (heart failure) test |
$133 |
$348 |
$62 |
$39 | |
| Bone density scan (DEXA) |
$230 |
$602 |
$171 |
$39 | |
| Bone marrow biopsy |
$3,248 |
$8,504 |
$3,050 |
$172 | |
| Bone scan (nuclear) |
$1,206 |
$3,158 |
$848 |
$259 | |
| Botox for migraine |
$638 |
$1,669 |
$315 |
$157 | |
| Brain shunt (VP shunt) |
— |
— |
$8,913 |
$1,023 | |
| Breast biopsy |
$2,067 |
$5,411 |
$1,900 |
$478 | |
| Breast MRI |
$1,820 |
$4,765 |
$1,459 |
$216 | |
| Breast MRI without contrast |
$1,949 |
$5,103 |
$525 |
$216 | |
| Breast reconstruction |
— |
— |
$15,609 |
$1,227 | |
| Breast reduction |
— |
— |
$6,951 |
$980 | |
| Breast ultrasound |
$234 |
$612 |
$208 |
$92 | |
| Breast ultrasound (complete) |
$297 |
$778 |
$236 |
$100 | |
| Breast ultrasound (limited) |
$224 |
$586 |
$195 |
$84 | |
| Breathing tube insertion (intubation) |
$348 |
$911 |
$501 |
$133 | |
| Bronchoscopy |
$2,019 |
$5,286 |
$3,249 |
$303 | |
| Bunion surgery (bunionectomy) |
— |
— |
$5,506 |
$883 | |
| Burn dressing and debridement (medium) |
— |
— |
$212 |
$166 | |
| Burn dressing and debridement (small) |
— |
— |
$212 |
$93 | |
| Burn treatment |
— |
— |
$212 |
$129 | |
| C-reactive protein (CRP) |
$12 |
$32 |
$6 |
$5 | |
| CA 19-9 tumor marker test |
$49 |
$129 |
$25 |
$21 | |
| CA-125 ovarian marker test |
$55 |
$144 |
$23 |
$21 | |
| Calcium blood test |
$66 |
$173 |
$11 |
$5 | |
| Capsule endoscopy |
$1,373 |
$3,593 |
$1,049 |
$802 | |
| Cardiac ablation |
$30,360 |
$79,476 |
$28,580 |
$759 | |
| Cardiac catheterization |
$8,954 |
$23,439 |
$9,038 |
$1,049 | |
| Cardiac MRI |
$1,206 |
$3,157 |
$600 |
$322 | |
| Cardiac MRI without contrast |
$1,122 |
$2,937 |
$525 |
$280 | |
| Cardiac stress test |
$677 |
$1,773 |
$382 |
$39 | |
| Cardioversion |
$920 |
$2,409 |
$1,132 |
$155 | |
| Carotid artery surgery |
— |
— |
$7,314 |
$1,026 | |
| Carotid artery ultrasound |
$843 |
$2,208 |
$593 |
$156 | |
| Carpal tunnel release |
— |
— |
$2,081 |
$483 | |
| Cataract surgery |
— |
— |
$2,431 |
$547 | |
| CEA tumor marker test |
$44 |
$114 |
$22 |
$19 | |
| Celiac disease test |
$18 |
$46 |
$29 |
$12 | |
| Central line placement |
$5,017 |
$13,133 |
$3,355 |
$238 | |
| Cervical cerclage |
— |
— |
$3,389 |
$137 | |
| Cervical LEEP procedure |
— |
— |
$3,389 |
$325 | |
| Cesarean section (C-section) |
— |
— |
$11,094 |
$7,552 | |
| Chalazion (eyelid cyst) removal |
— |
— |
$319 |
$131 | |
| Chemotherapy infusion |
$677 |
$1,772 |
$389 |
$81 | |
| Chemotherapy infusion (each additional) |
$312 |
$818 |
$264 |
$28 | |
| Chemotherapy infusion (first hour) |
$1,041 |
$2,726 |
$871 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,296 |
$3,392 |
$1,594 |
$311 | |
| Chest tube insertion |
$2,491 |
$6,520 |
$2,447 |
$143 | |
| Chest X-ray |
$274 |
$719 |
$140 |
$37 | |
| Chest X-ray (1 view) |
$215 |
$563 |
$106 |
$25 | |
| Chest X-ray (2 views) |
$254 |
$665 |
$126 |
$33 | |
| Circumcision |
$3,007 |
$7,873 |
$2,183 |
$167 | |
| CK-MB heart enzyme test |
$65 |
$170 |
$16 |
$12 | |
| Clotting time test (PTT) |
$62 |
$163 |
$13 |
$6 | |
| Colon resection (colectomy) |
— |
— |
$8,913 |
$1,238 | |
| Colonoscopy |
$1,813 |
$4,745 |
$2,185 |
$480 | |
| Colostomy |
— |
— |
$8,913 |
$1,122 | |
| Colposcopy |
— |
— |
$324 |
$161 | |
| Complete blood count (CBC) |
$85 |
$222 |
$14 |
$7 | |
| Complete blood count (CBC) (complete) |
$96 |
$252 |
$16 |
$8 | |
| Complex wound repair |
— |
— |
$652 |
$390 | |
| Comprehensive metabolic panel |
$131 |
$344 |
$22 |
$11 | |
| Contraceptive implant (Nexplanon) |
— |
— |
$398 |
$115 | |
| Copper blood test |
$24 |
$63 |
$14 |
$12 | |
| Corneal transplant |
— |
— |
$4,288 |
$1,066 | |
| Coronary artery bypass (CABG) |
— |
— |
$57,171 |
$36,593 | |
| Coronary CT angiography |
$1,151 |
$3,014 |
$394 |
$326 | |
| Cortisol test |
$83 |
$219 |
$24 |
$16 | |
| COVID-19 PCR test |
$141 |
$370 |
$51 |
$51 | |
| CPAP titration study |
$352 |
$922 |
$265 |
$69 | |
| Craniotomy (brain surgery) |
— |
— |
$8,913 |
$2,161 | |
| Creatine kinase (CK) test |
$16 |
$43 |
$8 |
$7 | |
| CT angiography of the chest |
$1,626 |
$4,257 |
$394 |
$281 | |
| CT angiography of the head |
$1,695 |
$4,438 |
$394 |
$274 | |
| CT colonography (virtual colonoscopy) |
$591 |
$1,548 |
$789 |
$835 | |
| CT scan of the abdomen |
$1,408 |
$3,687 |
$394 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,115 |
$5,537 |
$824 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,454 |
$6,423 |
$824 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,115 |
$5,537 |
$824 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,332 |
$3,488 |
$525 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,619 |
$4,238 |
$394 |
$259 | |
| CT scan of the abdomen with contrast |
$1,408 |
$3,687 |
$394 |
$230 | |
| CT scan of the abdomen without contrast |
$906 |
$2,373 |
$236 |
$136 | |
| CT scan of the arm |
$1,403 |
$3,672 |
$499 |
$199 | |
| CT scan of the arm with contrast |
$1,659 |
$4,343 |
$824 |
$199 | |
| CT scan of the arm without contrast |
$1,349 |
$3,531 |
$236 |
$161 | |
| CT scan of the chest |
$1,506 |
$3,942 |
$394 |
$167 | |
| CT scan of the chest with and without contrast |
$1,687 |
$4,415 |
$394 |
$196 | |
| CT scan of the chest with contrast |
$1,506 |
$3,942 |
$394 |
$167 | |
| CT scan of the chest without contrast |
$903 |
$2,365 |
$236 |
$133 | |
| CT scan of the head |
$1,700 |
$4,450 |
$394 |
$148 | |
| CT scan of the head with and without contrast |
$2,004 |
$5,247 |
$394 |
$173 | |
| CT scan of the head with contrast |
$1,700 |
$4,450 |
$394 |
$148 | |
| CT scan of the head without contrast |
$1,269 |
$3,321 |
$236 |
$107 | |
| CT scan of the leg |
$1,384 |
$3,622 |
$394 |
$166 | |
| CT scan of the leg with contrast |
$1,696 |
$4,439 |
$394 |
$166 | |
| CT scan of the leg without contrast |
$1,356 |
$3,551 |
$236 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,274 |
$5,954 |
$522 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,647 |
$6,929 |
$394 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,274 |
$5,954 |
$824 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,961 |
$5,133 |
$236 |
$130 | |
| CT scan of the neck |
$1,392 |
$3,643 |
$394 |
$183 | |
| CT scan of the neck (cervical spine) |
$2,140 |
$5,601 |
$525 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,706 |
$7,085 |
$394 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$2,140 |
$5,601 |
$824 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,829 |
$4,787 |
$236 |
$131 | |
| CT scan of the neck with and without contrast |
$1,698 |
$4,445 |
$394 |
$220 | |
| CT scan of the neck with contrast |
$1,392 |
$3,643 |
$394 |
$183 | |
| CT scan of the neck without contrast |
$1,016 |
$2,660 |
$236 |
$150 | |
| CT scan of the pelvis |
$1,586 |
$4,152 |
$394 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,791 |
$4,689 |
$394 |
$251 | |
| CT scan of the pelvis with contrast |
$1,586 |
$4,152 |
$394 |
$226 | |
| CT scan of the pelvis without contrast |
$1,367 |
$3,579 |
$236 |
$133 | |
| CT scan of the sinuses |
$1,070 |
$2,802 |
$394 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,300 |
$3,404 |
$394 |
$184 | |
| CT scan of the sinuses with contrast |
$1,070 |
$2,802 |
$394 |
$152 | |
| CT scan of the sinuses without contrast |
$884 |
$2,315 |
$236 |
$128 | |
| D-dimer test |
$148 |
$389 |
$21 |
$10 | |
| Defibrillator (ICD) implant |
$56,494 |
$147,890 |
$34,172 |
$798 | |
| DHEA-sulfate test |
$70 |
$184 |
$35 |
$22 | |
| Diagnostic mammogram |
$313 |
$819 |
$427 |
$140 | |
| Dialysis fistula creation |
— |
— |
$3,355 |
$601 | |
| Dilation and curettage (D&C) |
— |
— |
$3,389 |
$298 | |
| Droopy eyelid repair (ptosis) |
— |
— |
$2,487 |
$745 | |
| Drug screen (urine) |
$160 |
$420 |
$62 |
$17 | |
| Ear tubes (myringotomy) |
— |
— |
$1,579 |
$174 | |
| Eardrum repair (tympanoplasty) |
— |
— |
$6,305 |
$799 | |
| Echocardiogram |
$806 |
$2,111 |
$643 |
$138 | |
| Echocardiogram with and without contrast |
$424 |
$1,109 |
$526 |
$101 | |
| EEG (awake and asleep) |
$644 |
$1,685 |
$792 |
$482 | |
| EKG / ECG (tracing only) |
$226 |
$591 |
$89 |
$7 | |
| Elbow replacement |
— |
— |
$19,600 |
$1,301 | |
| Electrocardiogram (EKG) |
$226 |
$591 |
$89 |
$8 | |
| Electroencephalogram (EEG) |
$631 |
$1,653 |
$777 |
$448 | |
| Electrolyte panel |
$54 |
$141 |
$15 |
$7 | |
| Electromyography (EMG) |
$199 |
$520 |
$185 |
$141 | |
| Emergency department visit |
$856 |
$2,242 |
$711 |
$69 | |
| Emergency department visit (level 1) |
$238 |
$623 |
$358 |
$11 | |
| Emergency department visit (level 2) |
$365 |
$955 |
$573 |
$40 | |
| Emergency department visit (level 3) |
$618 |
$1,619 |
$890 |
$69 | |
| Emergency department visit (level 4) |
$1,094 |
$2,864 |
$1,346 |
$118 | |
| Emergency department visit (level 5) |
$1,586 |
$4,151 |
$1,400 |
$171 | |
| Endometrial biopsy |
— |
— |
$214 |
$98 | |
| Epidural steroid injection |
$1,272 |
$3,331 |
$958 |
$275 | |
| ERCP (bile duct endoscopy) |
— |
— |
$4,055 |
$311 | |
| Esophageal dilation |
— |
— |
$2,022 |
$522 | |
| Esophageal variceal banding |
— |
— |
$2,022 |
$126 | |
| Estradiol (estrogen) test |
$126 |
$330 |
$58 |
$28 | |
| Eyelid surgery (blepharoplasty) |
— |
— |
$1,950 |
$552 | |
| Facet joint injection (spine) |
$1,285 |
$3,365 |
$1,851 |
$99 | |
| Fallopian tube X-ray (HSG) |
$479 |
$1,254 |
$415 |
$164 | |
| Fecal occult blood (stool) test |
$40 |
$105 |
$20 |
$10 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$40 |
$105 |
$20 |
$16 | |
| Feeding tube (PEG) placement |
$2,915 |
$7,631 |
$3,249 |
$178 | |
| Femoral hernia repair |
— |
— |
$3,761 |
$584 | |
| Ferritin (iron) test |
$96 |
$252 |
$26 |
$14 | |
| Fibrinogen test |
$102 |
$267 |
$20 |
$10 | |
| Fibroid removal (myomectomy) |
— |
— |
$8,913 |
$914 | |
| Flexible sigmoidoscopy |
$1,391 |
$3,641 |
$1,069 |
$323 | |
| Flu test |
$45 |
$117 |
$22 |
$17 | |
| Folate (folic acid) test |
$116 |
$304 |
$31 |
$15 | |
| Foreign body removal (skin) |
— |
— |
$426 |
$157 | |
| Free T4 thyroid test |
$120 |
$313 |
$19 |
$9 | |
| FSH hormone test |
$74 |
$194 |
$28 |
$19 | |
| Gallbladder removal (laparoscopic) |
— |
— |
$6,218 |
$658 | |
| Gallbladder scan (HIDA) |
$1,463 |
$3,831 |
$1,004 |
$334 | |
| Ganglion cyst removal |
— |
— |
$1,706 |
$321 | |
| GGT liver test |
$85 |
$224 |
$15 |
$7 | |
| Glaucoma surgery |
— |
— |
$2,431 |
$984 | |
| Glucose tolerance test |
$86 |
$225 |
$13 |
$8 | |
| H. pylori test |
$113 |
$295 |
$67 |
$67 | |
| Hammertoe repair |
— |
— |
$3,458 |
$548 | |
| HDL cholesterol test |
$54 |
$141 |
$17 |
$8 | |
| Hematocrit test |
$39 |
$101 |
$5 |
$2 | |
| Hemodialysis |
$1,117 |
$2,925 |
$949 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$50 |
$130 |
$11 |
$10 | |
| Hemorrhoid removal |
$1,482 |
$3,880 |
$2,716 |
$338 | |
| Hepatitis A vaccine |
$135 |
$354 |
$159 |
— | |
| Hepatitis B test |
$75 |
$196 |
$21 |
$10 | |
| Hepatitis B vaccine |
$113 |
$297 |
$86 |
— | |
| Hepatitis C test |
$92 |
$241 |
$30 |
$14 | |
| Hip arthroscopy |
— |
— |
$7,614 |
$931 | |
| Hip fracture repair |
— |
— |
$8,913 |
$1,120 | |
| Hip replacement |
— |
— |
$13,714 |
$1,162 | |
| HIV test |
$48 |
$127 |
$24 |
$19 | |
| HIV test (antibody) |
$113 |
$296 |
$29 |
$14 | |
| HIV test (antigen/antibody combo) |
$37 |
$96 |
$24 |
$24 | |
| Holter heart monitor |
$200 |
$524 |
$229 |
$26 | |
| Hydrocele repair |
— |
— |
$3,761 |
$315 | |
| Hysterectomy |
— |
— |
$11,096 |
$933 | |
| Hysteroscopy |
— |
— |
$3,389 |
$1,270 | |
| Ileostomy |
— |
— |
$8,913 |
$968 | |
| Inguinal hernia repair |
— |
— |
$3,761 |
$538 | |
| Iron blood test |
$54 |
$142 |
$12 |
$6 | |
| IUD insertion |
— |
— |
$2,447 |
— | |
| IUD removal |
— |
— |
$324 |
$112 | |
| IV infusion therapy |
$321 |
$841 |
$225 |
$44 | |
| IV infusion therapy (each additional) |
$152 |
$399 |
$115 |
$21 | |
| IV infusion therapy (initial) |
$498 |
$1,304 |
$247 |
$67 | |
| IVC filter placement |
$6,479 |
$16,962 |
$6,068 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$448 |
$1,174 |
$552 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$459 |
$1,201 |
$564 |
$57 | |
| Joint aspiration or injection (small joint) |
$399 |
$1,044 |
$491 |
$56 | |
| Kidney biopsy |
$1,579 |
$4,134 |
$1,943 |
$492 | |
| Kidney removal (nephrectomy) |
— |
— |
$8,913 |
$1,164 | |
| Kidney scan (nuclear) |
$1,175 |
$3,076 |
$733 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$15,132 |
$39,613 |
$11,873 |
$760 | |
| Kidney ultrasound |
$389 |
$1,019 |
$221 |
$84 | |
| Kidney ultrasound (limited) |
$360 |
$942 |
$189 |
$61 | |
| Knee arthroscopy |
— |
— |
$3,458 |
$524 | |
| Knee joint injection |
$505 |
$1,321 |
$621 |
$69 | |
| Knee replacement |
— |
— |
$31,936 |
$18,054 | |
| Lactate test |
$94 |
$247 |
$24 |
$12 | |
| Laminectomy (spine) |
— |
— |
$7,614 |
$1,157 | |
| Laryngoscopy |
$185 |
$483 |
$314 |
$189 | |
| LDH test |
$55 |
$144 |
$10 |
$6 | |
| LDL cholesterol test |
$79 |
$208 |
$22 |
$11 | |
| Leg artery angiogram |
$3,720 |
$9,737 |
$3,355 |
$149 | |
| Leg artery angioplasty |
$12,991 |
$34,007 |
$11,795 |
— | |
| Leg vein ultrasound (Doppler) |
$869 |
$2,276 |
$593 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$659 |
$1,725 |
$328 |
$116 | |
| LH hormone test |
$28 |
$74 |
$20 |
$19 | |
| Lipase test |
$123 |
$323 |
$14 |
$7 | |
| Lipid (cholesterol) panel |
$188 |
$491 |
$28 |
$13 | |
| Liver biopsy |
$2,585 |
$6,768 |
$2,447 |
$288 | |
| Liver function panel |
$112 |
$293 |
$17 |
$8 | |
| Lumbar discectomy |
— |
— |
$7,614 |
$898 | |
| Lumpectomy (breast) |
— |
— |
$6,144 |
$750 | |
| Lung function test (PFT) |
$240 |
$629 |
$332 |
$37 | |
| Lung scan (V/Q) |
$1,431 |
$3,747 |
$1,159 |
$291 | |
| Magnesium blood test |
$11 |
$28 |
$7 |
$7 | |
| Mastectomy |
— |
— |
$6,951 |
$1,021 | |
| Mastoidectomy |
— |
— |
$6,305 |
$840 | |
| Meniscus repair (knee) |
— |
— |
$3,458 |
$714 | |
| MMR vaccine |
$151 |
$395 |
$231 |
— | |
| Mohs skin cancer surgery |
— |
— |
$652 |
$535 | |
| MRA of the brain |
$1,716 |
$4,492 |
$824 |
$226 | |
| MRA of the brain with contrast |
$1,716 |
$4,492 |
$824 |
$226 | |
| MRA of the brain without contrast |
$2,428 |
$6,357 |
$824 |
$328 | |
| MRA of the neck |
$1,503 |
$3,934 |
$816 |
$245 | |
| MRA of the neck with contrast |
$1,503 |
$3,934 |
$824 |
$245 | |
| MRA of the neck without contrast |
$1,625 |
$4,255 |
$824 |
$343 | |
| MRI of the abdomen |
$2,080 |
$5,445 |
$530 |
$300 | |
| MRI of the abdomen with contrast |
$2,441 |
$6,389 |
$824 |
$300 | |
| MRI of the abdomen without contrast |
$1,045 |
$2,736 |
$525 |
$194 | |
| MRI of the ankle |
$1,832 |
$4,796 |
$824 |
$261 | |
| MRI of the ankle with contrast |
$1,630 |
$4,268 |
$824 |
$261 | |
| MRI of the ankle without contrast |
$1,649 |
$4,316 |
$525 |
$222 | |
| MRI of the brain |
$1,749 |
$4,578 |
$824 |
$269 | |
| MRI of the brain with contrast |
$1,749 |
$4,578 |
$824 |
$269 | |
| MRI of the brain without contrast |
$1,264 |
$3,308 |
$525 |
$195 | |
| MRI of the chest |
$1,026 |
$2,686 |
$582 |
$371 | |
| MRI of the chest without contrast |
$1,282 |
$3,357 |
$824 |
$466 | |
| MRI of the knee |
$1,967 |
$5,149 |
$842 |
$315 | |
| MRI of the knee with contrast |
$1,577 |
$4,127 |
$1,459 |
$315 | |
| MRI of the knee without contrast |
$2,170 |
$5,680 |
$525 |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,917 |
$5,019 |
$824 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,917 |
$5,019 |
$824 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,565 |
$4,096 |
$525 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,917 |
$5,019 |
$824 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,203 |
$5,768 |
$824 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,917 |
$5,019 |
$824 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,565 |
$4,096 |
$525 |
$190 | |
| MRI of the neck (cervical spine) |
$1,795 |
$4,699 |
$824 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,063 |
$5,401 |
$824 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,795 |
$4,699 |
$824 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,465 |
$3,835 |
$525 |
$191 | |
| MRI of the pelvis |
$1,517 |
$3,971 |
$824 |
$268 | |
| MRI of the pelvis with contrast |
$1,517 |
$3,971 |
$824 |
$268 | |
| MRI of the pelvis without contrast |
$1,306 |
$3,420 |
$525 |
$227 | |
| MRI of the shoulder |
$1,449 |
$3,794 |
$842 |
$313 | |
| MRI of the shoulder with contrast |
$1,314 |
$3,441 |
$1,459 |
$313 | |
| MRI of the shoulder without contrast |
$1,843 |
$4,824 |
$525 |
$205 | |
| MRI of the wrist |
$1,206 |
$3,157 |
$824 |
$330 | |
| MRI of the wrist with contrast |
$1,001 |
$2,621 |
$824 |
$330 | |
| MRI of the wrist without contrast |
$804 |
$2,104 |
$525 |
$303 | |
| Nebulizer breathing treatment |
$220 |
$576 |
$217 |
$9 | |
| Neck (cervical) spinal fusion |
— |
— |
$13,714 |
$1,410 | |
| Nuclear cardiac stress test |
$3,134 |
$8,204 |
$2,326 |
$428 | |
| Occupational therapy evaluation |
$204 |
$535 |
$353 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$225 |
$588 |
$354 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$200 |
$524 |
$335 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$204 |
$535 |
$342 |
$101 | |
| Office visit (established patient) |
$243 |
$636 |
$422 |
$115 | |
| Office visit (new patient) |
$267 |
$699 |
$439 |
$177 | |
| Office visit, established patient (level 3) |
$186 |
$487 |
$317 |
$95 | |
| Office visit, established patient (level 4) |
$246 |
$645 |
$452 |
$136 | |
| Office visit, new patient (level 3) |
$211 |
$552 |
$348 |
$118 | |
| Office visit, new patient (level 4) |
$267 |
$699 |
$489 |
$177 | |
| Office visit, new patient (level 5) |
$324 |
$847 |
$535 |
$237 | |
| Orthopedic hardware removal |
— |
— |
$3,050 |
$632 | |
| Ovarian cyst removal |
— |
— |
$5,261 |
$698 | |
| Ovary removal (oophorectomy) |
— |
— |
$8,913 |
$822 | |
| Pacemaker insertion |
— |
— |
$32,685 |
$15,506 | |
| Pap smear (cervical screening) |
$57 |
$150 |
$27 |
$20 | |
| Parathyroid hormone (PTH) test |
$300 |
$786 |
$66 |
$41 | |
| Parathyroid removal |
— |
— |
$6,305 |
$891 | |
| Pelvic ultrasound |
$438 |
$1,148 |
$233 |
$78 | |
| Pelvic ultrasound (complete) |
$522 |
$1,366 |
$236 |
$105 | |
| Pelvic ultrasound (limited) |
$355 |
$929 |
$177 |
$51 | |
| PET scan |
$4,036 |
$10,566 |
$4,021 |
— | |
| Phosphorus blood test |
$63 |
$164 |
$10 |
$5 | |
| Physical therapy evaluation |
$203 |
$532 |
$348 |
$98 | |
| Physical therapy evaluation (high complexity) |
$223 |
$585 |
$361 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$203 |
$532 |
$340 |
$98 | |
| Pilonidal cyst removal |
— |
— |
$3,050 |
$541 | |
| Platelet count |
$31 |
$80 |
$9 |
$4 | |
| Pneumonia vaccine |
$215 |
$562 |
$163 |
— | |
| Pregnancy blood test (hCG) |
$152 |
$398 |
$16 |
$8 | |
| Pregnancy ultrasound |
$511 |
$1,339 |
$236 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$581 |
$1,521 |
$236 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$442 |
$1,156 |
$236 |
$136 | |
| Procalcitonin test |
$107 |
$279 |
$53 |
$27 | |
| Prolactin test |
$45 |
$119 |
$23 |
$19 | |
| Prostate biopsy |
$2,674 |
$7,000 |
$3,263 |
— | |
| Prostate removal (prostatectomy) |
— |
— |
$11,096 |
$1,063 | |
| Prostate surgery (TURP) |
— |
— |
$5,418 |
$526 | |
| Prostate test (PSA) |
$73 |
$190 |
$29 |
$18 | |
| Pterygium removal (eye) |
— |
— |
$2,487 |
$540 | |
| Radiofrequency nerve ablation |
— |
— |
$2,081 |
$462 | |
| Retinal detachment repair |
— |
— |
$4,288 |
$966 | |
| Rheumatoid factor test |
$101 |
$265 |
$13 |
$6 | |
| Rotator cuff repair |
— |
— |
$7,614 |
$792 | |
| Sacroiliac joint injection |
— |
— |
$470 |
$176 | |
| Scoliosis spine X-ray |
$201 |
$526 |
$188 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$139 |
$364 |
$163 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$263 |
$688 |
$233 |
$72 | |
| Screening mammogram |
$187 |
$489 |
$271 |
$126 | |
| Scrotal ultrasound |
$511 |
$1,338 |
$236 |
$99 | |
| Sedimentation rate (ESR) test |
$44 |
$115 |
$6 |
$3 | |
| Septoplasty (deviated septum) |
— |
— |
$3,457 |
$613 | |
| Sex hormone binding globulin test |
$45 |
$119 |
$24 |
$22 | |
| Shingles vaccine |
$297 |
$778 |
$467 |
— | |
| Shoulder arthroscopy |
— |
— |
$7,614 |
$962 | |
| Shoulder replacement |
— |
— |
$19,600 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
— |
— |
$212 |
$114 | |
| Simple wound stitches |
— |
— |
$212 |
$127 | |
| Sinus surgery (endoscopic) |
— |
— |
$5,506 |
$224 | |
| Skin biopsy |
$349 |
$913 |
$429 |
$121 | |
| Skin biopsy (punch) |
$349 |
$913 |
$426 |
$121 | |
| Skin cancer lesion removal |
— |
— |
$750 |
$240 | |
| Skin graft |
— |
— |
$3,378 |
$898 | |
| Skin lesion freezing (cryotherapy) |
— |
— |
$212 |
$36 | |
| Skin tag removal |
$153 |
$400 |
$212 |
$92 | |
| Small bowel resection |
— |
— |
$8,913 |
$1,136 | |
| Soft tissue ultrasound |
$146 |
$382 |
$166 |
$64 | |
| Speech therapy |
$154 |
$404 |
$281 |
$76 | |
| Spinal cord stimulator |
— |
— |
$6,995 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$2,540 |
$6,650 |
$1,144 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$11,335 |
$29,674 |
$7,799 |
$5,803 | |
| Spirometry (lung function test) |
$229 |
$601 |
$167 |
$30 | |
| Spirometry with bronchodilator |
$423 |
$1,106 |
$332 |
$43 | |
| Spleen removal (splenectomy) |
— |
— |
$10,963 |
$1,036 | |
| Stomach removal (gastrectomy) |
— |
— |
$8,913 |
$1,595 | |
| Strabismus (eye muscle) surgery |
— |
— |
$4,019 |
$475 | |
| Strep throat test |
$62 |
$162 |
$31 |
$17 | |
| Stress echocardiogram |
$1,076 |
$2,817 |
$788 |
$209 | |
| Stress echocardiogram (complete) |
$952 |
$2,493 |
$901 |
$233 | |
| Swallow study |
$182 |
$477 |
$334 |
$85 | |
| T3 thyroid test |
$61 |
$161 |
$21 |
$14 | |
| Tdap (tetanus) vaccine |
$82 |
$214 |
$96 |
— | |
| Testicle removal (orchiectomy) |
— |
— |
$3,676 |
$306 | |
| Testosterone test |
$54 |
$142 |
$28 |
$26 | |
| Thyroid removal (thyroidectomy) |
— |
— |
$6,305 |
$1,004 | |
| Thyroid test (TSH) |
$170 |
$446 |
$35 |
$17 | |
| Thyroid ultrasound |
$336 |
$880 |
$236 |
$109 | |
| Thyroid uptake scan |
$558 |
$1,462 |
$848 |
$145 | |
| Tilt table test |
$994 |
$2,602 |
$574 |
$168 | |
| Tonsillectomy |
— |
— |
$4,994 |
$252 | |
| Total IgE allergy test |
$25 |
$66 |
$16 |
$16 | |
| Total protein test |
$58 |
$153 |
$8 |
$4 | |
| Tracheostomy |
$4,762 |
$12,467 |
$3,457 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$1,301 |
$3,407 |
$901 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,301 |
$3,407 |
$901 |
$239 | |
| Transvaginal ultrasound |
$502 |
$1,313 |
$236 |
$118 | |
| Trigger finger release |
— |
— |
$1,706 |
$630 | |
| Trigger point injection |
$448 |
$1,174 |
$315 |
$56 | |
| Trigger point injection (1-2 muscles) |
$448 |
$1,174 |
$315 |
$52 | |
| Triglycerides test |
$76 |
$199 |
$12 |
$6 | |
| Troponin (heart) test |
$189 |
$495 |
$26 |
$12 | |
| Tubal ligation |
— |
— |
$6,218 |
$333 | |
| Turbinate reduction |
— |
— |
$3,457 |
$294 | |
| Turning a breech baby (version) |
$2,621 |
$6,861 |
$3,389 |
$94 | |
| Ulnar nerve surgery (elbow) |
— |
— |
$2,081 |
$575 | |
| Upper GI endoscopy (EGD) |
$1,382 |
$3,618 |
$999 |
$371 | |
| Upper GI series (barium) |
$445 |
$1,165 |
$393 |
$128 | |
| Ureteral stent placement |
— |
— |
$3,676 |
$373 | |
| Ureteroscopy (stone removal) |
— |
— |
$5,418 |
$365 | |
| Uric acid (gout) test |
$78 |
$205 |
$9 |
$5 | |
| Urinalysis |
$53 |
$138 |
$5 |
$3 | |
| Urine microalbumin test |
$12 |
$31 |
$6 |
$5 | |
| Urine pregnancy test |
$106 |
$277 |
$18 |
$9 | |
| Vaccine administration |
$91 |
$238 |
$85 |
$19 | |
| Vaccine administration (each additional) |
$91 |
$238 |
$131 |
$16 | |
| Vaginal delivery |
— |
— |
$8,060 |
$5,487 | |
| Varicocele repair |
— |
— |
$3,676 |
$327 | |
| Varicose vein ablation |
— |
— |
$3,355 |
$1,018 | |
| Vasectomy |
— |
— |
$2,183 |
$347 | |
| Vitamin B12 test |
$143 |
$375 |
$31 |
$15 | |
| Vitamin D test |
$81 |
$213 |
$43 |
$30 | |
| Vitrectomy (eye) |
— |
— |
$4,288 |
$814 | |
| Vocal cord injection |
— |
— |
$3,930 |
$211 | |
| Wart removal |
— |
— |
$212 |
$121 | |
| Weight-loss (bariatric) surgery |
— |
— |
$26,518 |
$11,645 | |
| Whipple procedure (pancreas) |
— |
— |
$8,913 |
$2,871 | |
| Wound debridement |
$800 |
$2,093 |
$812 |
$186 | |
| Wrist fracture repair |
— |
— |
$7,614 |
$735 | |
| X-ray of the abdomen |
$249 |
$651 |
$136 |
$36 | |
| X-ray of the ankle |
$337 |
$882 |
$168 |
$37 | |
| X-ray of the collarbone |
$315 |
$824 |
$150 |
$33 | |
| X-ray of the elbow |
$317 |
$830 |
$150 |
$33 | |
| X-ray of the facial bones |
$200 |
$523 |
$141 |
$39 | |
| X-ray of the foot |
$319 |
$835 |
$159 |
$34 | |
| X-ray of the forearm |
$338 |
$886 |
$133 |
$29 | |
| X-ray of the hand |
$365 |
$955 |
$175 |
$38 | |
| X-ray of the hip |
$342 |
$896 |
$189 |
$49 | |
| X-ray of the hip (1 view) |
$219 |
$574 |
$129 |
$34 | |
| X-ray of the hip (3 views) |
$327 |
$857 |
$189 |
$49 | |
| X-ray of the hip (4 views) |
$375 |
$981 |
$233 |
$63 | |
| X-ray of the knee |
$366 |
$959 |
$182 |
$42 | |
| X-ray of the knee (2 views) |
$311 |
$815 |
$155 |
$34 | |
| X-ray of the knee (3 views) |
$366 |
$959 |
$182 |
$42 | |
| X-ray of the knee (4+ views) |
$421 |
$1,103 |
$210 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$354 |
$928 |
$183 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$336 |
$879 |
$167 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$373 |
$976 |
$213 |
$53 | |
| X-ray of the lower leg |
$349 |
$915 |
$148 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$375 |
$982 |
$166 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$361 |
$946 |
$144 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$389 |
$1,018 |
$177 |
$39 | |
| X-ray of the neck (cervical spine) |
$385 |
$1,008 |
$184 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$333 |
$872 |
$166 |
$40 | |
| X-ray of the pelvis |
$348 |
$911 |
$150 |
$36 | |
| X-ray of the pelvis (1 view) |
$290 |
$759 |
$125 |
$28 | |
| X-ray of the ribs |
$359 |
$941 |
$163 |
$42 | |
| X-ray of the ribs (2 views) |
$302 |
$791 |
$150 |
$36 | |
| X-ray of the ribs (3 views) |
$359 |
$941 |
$179 |
$42 | |
| X-ray of the shoulder |
$324 |
$847 |
$158 |
$36 | |
| X-ray of the skull |
$256 |
$671 |
$157 |
$40 | |
| X-ray of the upper arm |
$295 |
$772 |
$141 |
$32 | |
| X-ray of the wrist |
$322 |
$844 |
$177 |
$43 | |
| YAG laser capsulotomy (eye) |
— |
— |
$585 |
$335 | |
| Zinc blood test |
$26 |
$68 |
$13 |
$11 | |