| 3D mammogram (tomosynthesis) |
$18 |
$30 |
$27 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$3,233 |
$5,388 |
$4,310 |
$284 | |
| Abdominal ultrasound |
$670 |
$1,117 |
$503 |
$100 | |
| Abdominal ultrasound (complete) |
$1,031 |
$1,718 |
$514 |
$114 | |
| Abdominal ultrasound (limited) |
$670 |
$1,117 |
$447 |
$86 | |
| Abscess drainage (complex or multiple) |
$661 |
$1,101 |
$836 |
$220 | |
| Abscess drainage (simple) |
$581 |
$969 |
$581 |
$129 | |
| Abscess incision and drainage |
$581 |
$969 |
$702 |
$174 | |
| Achilles tendon repair |
$25,251 |
$42,085 |
$5,958 |
$624 | |
| ACL knee reconstruction |
$32,477 |
$54,128 |
$8,543 |
$889 | |
| Adenoid removal (adenoidectomy) |
$12,050 |
$20,083 |
$4,956 |
$204 | |
| Anal fistula repair |
$11,712 |
$19,520 |
$5,958 |
$541 | |
| Ankle fracture repair |
$20,026 |
$33,376 |
$5,958 |
$608 | |
| Anoscopy |
$291 |
$485 |
$309 |
$129 | |
| Aortic valve replacement |
$10,462 |
$17,436 |
— |
$1,603 | |
| Barium swallow study |
$830 |
$1,383 |
$296 |
$107 | |
| Benign skin lesion removal |
$745 |
$1,241 |
$1,173 |
$171 | |
| Bladder tumor removal (TURBT) |
$19,523 |
$32,538 |
$4,919 |
$236 | |
| Blood transfusion |
$3,691 |
$6,151 |
$1,521 |
$47 | |
| Bone density scan (DEXA) |
$469 |
$781 |
$296 |
$39 | |
| Bone marrow biopsy |
$3,454 |
$5,757 |
$3,516 |
$172 | |
| Bone scan (nuclear) |
$1,625 |
$2,709 |
$1,219 |
$259 | |
| Botox for migraine |
$683 |
$1,138 |
$2,168 |
$157 | |
| Breast biopsy |
$4,897 |
$8,162 |
$4,387 |
$478 | |
| Breast MRI |
$665 |
$1,108 |
$697 |
$216 | |
| Breast MRI without contrast |
$697 |
$1,161 |
$697 |
$216 | |
| Breast reconstruction |
$57,488 |
$95,814 |
$7,119 |
$1,227 | |
| Breast reduction |
$28,446 |
$47,410 |
$6,571 |
$980 | |
| Breast ultrasound |
$329 |
$549 |
$235 |
$92 | |
| Breast ultrasound (complete) |
$329 |
$549 |
$247 |
$100 | |
| Breast ultrasound (limited) |
$256 |
$426 |
$192 |
$84 | |
| Breathing tube insertion (intubation) |
$443 |
$738 |
$438 |
$133 | |
| Bronchoscopy |
$2,821 |
$4,702 |
$3,258 |
$303 | |
| Bunion surgery (bunionectomy) |
$31,320 |
$52,199 |
$4,941 |
$883 | |
| Burn dressing and debridement (medium) |
$814 |
$1,357 |
$893 |
$166 | |
| Burn dressing and debridement (small) |
$752 |
$1,253 |
$1,027 |
$93 | |
| Burn treatment |
$814 |
$1,357 |
$977 |
$129 | |
| Capsule endoscopy |
$1,569 |
$2,615 |
$1,362 |
$802 | |
| Cardiac ablation |
$59,167 |
$98,612 |
$42,044 |
$759 | |
| Cardiac catheterization |
$16,411 |
$27,352 |
$10,495 |
$1,049 | |
| Cardiac rehabilitation |
$220 |
$366 |
$195 |
$26 | |
| Cardiac stress test |
$753 |
$1,255 |
$753 |
$39 | |
| Cardioversion |
$1,432 |
$2,386 |
$1,074 |
$155 | |
| Carotid artery ultrasound |
$1,015 |
$1,692 |
$994 |
$156 | |
| Central line placement |
$1,279 |
$2,131 |
$1,600 |
$238 | |
| Cervical LEEP procedure |
$13,754 |
$22,924 |
$4,387 |
$325 | |
| Cesarean section (C-section) |
$24,396 |
$40,660 |
$7,388 |
$7,552 | |
| Chemotherapy infusion |
$338 |
$563 |
$323 |
$81 | |
| Chemotherapy infusion (each additional) |
$145 |
$241 |
$159 |
$28 | |
| Chemotherapy infusion (first hour) |
$531 |
$885 |
$531 |
$133 | |
| Chest fluid drain (thoracentesis) |
$2,884 |
$4,806 |
$3,232 |
$311 | |
| Chest tube insertion |
$1,656 |
$2,760 |
$1,668 |
$143 | |
| Chest X-ray |
$637 |
$1,061 |
$296 |
$37 | |
| Chest X-ray (1 view) |
$419 |
$698 |
$296 |
$25 | |
| Chest X-ray (2 views) |
$564 |
$940 |
$296 |
$33 | |
| Circumcision |
$8,451 |
$14,086 |
$1,810 |
$167 | |
| Colonoscopy |
$8,212 |
$13,686 |
$2,326 |
$480 | |
| Coronary CT angiography |
$936 |
$1,560 |
$806 |
$326 | |
| CPAP titration study |
$2,082 |
$3,470 |
$1,295 |
$69 | |
| CT angiography of the chest |
$4,706 |
$7,844 |
$1,009 |
$281 | |
| CT angiography of the head |
$4,871 |
$8,118 |
$1,009 |
$274 | |
| CT scan of the abdomen |
$3,256 |
$5,426 |
$1,009 |
$230 | |
| CT scan of the abdomen and pelvis |
$6,546 |
$10,910 |
$1,009 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$7,394 |
$12,324 |
$1,009 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$6,546 |
$10,910 |
$1,009 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$6,001 |
$10,002 |
$1,009 |
$183 | |
| CT scan of the abdomen with and without contrast |
$3,691 |
$6,151 |
$1,009 |
$259 | |
| CT scan of the abdomen with contrast |
$3,256 |
$5,426 |
$1,009 |
$230 | |
| CT scan of the abdomen without contrast |
$2,455 |
$4,091 |
$1,009 |
$136 | |
| CT scan of the arm |
$2,232 |
$3,720 |
$1,009 |
$199 | |
| CT scan of the arm with contrast |
$2,232 |
$3,720 |
$1,009 |
$199 | |
| CT scan of the arm without contrast |
$1,985 |
$3,309 |
$1,009 |
$161 | |
| CT scan of the chest |
$2,254 |
$3,756 |
$1,009 |
$167 | |
| CT scan of the chest with and without contrast |
$3,679 |
$6,132 |
$1,009 |
$196 | |
| CT scan of the chest with contrast |
$2,536 |
$4,226 |
$1,009 |
$167 | |
| CT scan of the chest without contrast |
$1,972 |
$3,286 |
$1,009 |
$133 | |
| CT scan of the head |
$3,903 |
$6,505 |
$1,009 |
$148 | |
| CT scan of the head with and without contrast |
$4,665 |
$7,775 |
$1,009 |
$173 | |
| CT scan of the head with contrast |
$3,903 |
$6,505 |
$1,009 |
$148 | |
| CT scan of the head without contrast |
$2,720 |
$4,534 |
$1,009 |
$107 | |
| CT scan of the leg |
$2,301 |
$3,836 |
$1,009 |
$166 | |
| CT scan of the leg with contrast |
$2,234 |
$3,724 |
$1,009 |
$166 | |
| CT scan of the leg without contrast |
$2,226 |
$3,710 |
$1,009 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$4,314 |
$7,190 |
$1,009 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$4,530 |
$7,550 |
$1,009 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$4,314 |
$7,190 |
$1,009 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$4,109 |
$6,848 |
$1,009 |
$130 | |
| CT scan of the neck |
$4,354 |
$7,257 |
$1,009 |
$183 | |
| CT scan of the neck (cervical spine) |
$3,630 |
$6,050 |
$1,009 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$4,486 |
$7,476 |
$1,009 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$3,630 |
$6,050 |
$1,009 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$3,593 |
$5,988 |
$1,009 |
$131 | |
| CT scan of the neck with and without contrast |
$4,600 |
$7,667 |
$1,009 |
$220 | |
| CT scan of the neck with contrast |
$4,354 |
$7,257 |
$1,009 |
$183 | |
| CT scan of the neck without contrast |
$3,280 |
$5,467 |
$1,009 |
$150 | |
| CT scan of the pelvis |
$3,291 |
$5,485 |
$1,009 |
$226 | |
| CT scan of the pelvis with and without contrast |
$3,504 |
$5,840 |
$1,009 |
$251 | |
| CT scan of the pelvis with contrast |
$3,291 |
$5,485 |
$1,009 |
$226 | |
| CT scan of the pelvis without contrast |
$2,455 |
$4,091 |
$1,009 |
$133 | |
| CT scan of the sinuses |
$2,701 |
$4,502 |
$1,009 |
$152 | |
| CT scan of the sinuses with and without contrast |
$3,605 |
$6,009 |
$1,009 |
$184 | |
| CT scan of the sinuses with contrast |
$2,873 |
$4,789 |
$1,009 |
$152 | |
| CT scan of the sinuses without contrast |
$2,701 |
$4,502 |
$1,009 |
$128 | |
| Defibrillator (ICD) implant |
$18,983 |
$31,638 |
$17,690 |
$798 | |
| Diagnostic mammogram |
$125 |
$209 |
$151 |
$140 | |
| Dilation and curettage (D&C) |
$20,928 |
$34,880 |
$4,919 |
$298 | |
| Eardrum repair (tympanoplasty) |
$20,756 |
$34,593 |
$6,196 |
$799 | |
| Echocardiogram |
$1,130 |
$1,884 |
$1,130 |
$138 | |
| Echocardiogram with and without contrast |
$700 |
$1,166 |
$691 |
$101 | |
| Echocardiogram without contrast |
$1,130 |
$1,884 |
$1,117 |
$138 | |
| EEG (awake and asleep) |
$2,068 |
$3,446 |
$1,868 |
$482 | |
| Electroencephalogram (EEG) |
$2,018 |
$3,364 |
$1,787 |
$448 | |
| Electromyography (EMG) |
$375 |
$625 |
$358 |
$141 | |
| Emergency department visit |
$1,273 |
$2,121 |
— |
$69 | |
| Emergency department visit (level 1) |
$88 |
$147 |
— |
$11 | |
| Emergency department visit (level 2) |
$559 |
$932 |
— |
$40 | |
| Emergency department visit (level 3) |
$1,273 |
$2,121 |
— |
$69 | |
| Emergency department visit (level 4) |
$1,460 |
$2,433 |
— |
$118 | |
| Emergency department visit (level 5) |
$2,405 |
$4,008 |
— |
$171 | |
| Epidural steroid injection |
$1,940 |
$3,233 |
$1,952 |
$275 | |
| ERCP (bile duct endoscopy) |
$8,423 |
$14,039 |
$4,919 |
$311 | |
| Facet joint injection (spine) |
$1,647 |
$2,745 |
$2,441 |
$99 | |
| Fallopian tube X-ray (HSG) |
$358 |
$596 |
$335 |
$164 | |
| Flexible sigmoidoscopy |
$5,114 |
$8,524 |
$1,925 |
$323 | |
| Foreign body removal (skin) |
$696 |
$1,160 |
$688 |
$157 | |
| Gallbladder scan (HIDA) |
$1,855 |
$3,091 |
$1,491 |
$334 | |
| Hammertoe repair |
$19,010 |
$31,684 |
$4,919 |
$548 | |
| Hepatitis B vaccine |
$64 |
$107 |
$81 |
— | |
| Hip arthroscopy |
$46,027 |
$76,712 |
$8,543 |
$931 | |
| Hip replacement |
$38,755 |
$64,592 |
$12,551 |
$1,162 | |
| Hydrocele repair |
$13,170 |
$21,950 |
$4,956 |
$315 | |
| IV infusion therapy |
$443 |
$739 |
$369 |
$44 | |
| IV infusion therapy (each additional) |
$218 |
$364 |
$232 |
$21 | |
| IV infusion therapy (initial) |
$443 |
$739 |
$446 |
$67 | |
| IVC filter placement |
$7,538 |
$12,564 |
$7,448 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$541 |
$901 |
$511 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$541 |
$901 |
$608 |
$57 | |
| Joint aspiration or injection (small joint) |
$409 |
$681 |
$404 |
$56 | |
| Kidney biopsy |
$2,789 |
$4,649 |
$3,232 |
$492 | |
| Kidney scan (nuclear) |
$2,804 |
$4,674 |
$1,824 |
$172 | |
| Kidney ultrasound |
$938 |
$1,564 |
$514 |
$84 | |
| Kidney ultrasound (limited) |
$868 |
$1,447 |
$514 |
$61 | |
| Knee arthroscopy |
$13,057 |
$21,761 |
$6,071 |
$524 | |
| Knee joint injection |
$838 |
$1,397 |
$1,118 |
$69 | |
| Knee replacement |
$52,881 |
$88,136 |
$27,373 |
$18,054 | |
| Laryngoscopy |
$582 |
$970 |
$825 |
$189 | |
| Leg artery angiogram |
$4,379 |
$7,299 |
$1,825 |
$149 | |
| Leg artery angioplasty |
$23,984 |
$39,974 |
$15,194 |
— | |
| Leg vein ultrasound (Doppler) |
$1,015 |
$1,691 |
$994 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,015 |
$1,691 |
$994 |
$116 | |
| Liver biopsy |
$1,700 |
$2,834 |
$2,419 |
$288 | |
| Lumpectomy (breast) |
$30,595 |
$50,991 |
$5,591 |
$750 | |
| Lung function test (PFT) |
$383 |
$639 |
$379 |
$37 | |
| Lung scan (V/Q) |
$1,672 |
$2,786 |
$1,254 |
$291 | |
| Mastectomy |
$34,539 |
$57,564 |
$7,016 |
$1,021 | |
| Meniscus repair (knee) |
$20,746 |
$34,576 |
$4,919 |
$714 | |
| MMR vaccine |
$84 |
$139 |
$78 |
— | |
| MRA of the brain |
$2,640 |
$4,400 |
$1,782 |
$226 | |
| MRA of the brain with contrast |
$2,640 |
$4,400 |
$1,760 |
$226 | |
| MRA of the brain without contrast |
$4,012 |
$6,687 |
$1,782 |
$328 | |
| MRA of the neck |
$2,216 |
$3,694 |
$1,511 |
$245 | |
| MRA of the neck with contrast |
$2,216 |
$3,694 |
$1,528 |
$245 | |
| MRA of the neck without contrast |
$2,687 |
$4,478 |
$1,782 |
$343 | |
| MRI of the abdomen |
$3,231 |
$5,386 |
$1,782 |
$300 | |
| MRI of the abdomen with contrast |
$3,310 |
$5,517 |
$1,782 |
$300 | |
| MRI of the abdomen without contrast |
$3,152 |
$5,254 |
$1,782 |
$194 | |
| MRI of the ankle |
$3,498 |
$5,830 |
$1,782 |
$261 | |
| MRI of the ankle with contrast |
$3,091 |
$5,152 |
$1,782 |
$261 | |
| MRI of the ankle without contrast |
$3,067 |
$5,111 |
$1,782 |
$222 | |
| MRI of the brain |
$3,641 |
$6,068 |
$1,782 |
$269 | |
| MRI of the brain with contrast |
$3,467 |
$5,779 |
$1,782 |
$269 | |
| MRI of the brain without contrast |
$3,152 |
$5,254 |
$1,782 |
$195 | |
| MRI of the chest |
$3,813 |
$6,356 |
$1,782 |
$371 | |
| MRI of the chest without contrast |
$4,599 |
$7,665 |
$1,782 |
$466 | |
| MRI of the knee |
$4,535 |
$7,559 |
$1,782 |
$315 | |
| MRI of the knee with contrast |
$4,123 |
$6,872 |
$1,782 |
$315 | |
| MRI of the knee without contrast |
$3,748 |
$6,247 |
$1,782 |
$204 | |
| MRI of the lower back (lumbar spine) |
$4,046 |
$6,743 |
$1,782 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$4,046 |
$6,743 |
$1,782 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$3,853 |
$6,422 |
$1,782 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$4,046 |
$6,743 |
$1,782 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$4,248 |
$7,080 |
$1,782 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$4,046 |
$6,743 |
$1,782 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$3,853 |
$6,422 |
$1,782 |
$190 | |
| MRI of the neck (cervical spine) |
$4,046 |
$6,743 |
$1,782 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$4,248 |
$7,080 |
$1,782 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$4,046 |
$6,743 |
$1,782 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$3,853 |
$6,422 |
$1,782 |
$191 | |
| MRI of the pelvis |
$4,384 |
$7,307 |
$1,782 |
$268 | |
| MRI of the pelvis with contrast |
$4,384 |
$7,307 |
$1,782 |
$268 | |
| MRI of the pelvis without contrast |
$3,748 |
$6,247 |
$1,782 |
$227 | |
| MRI of the shoulder |
$3,748 |
$6,247 |
$1,782 |
$313 | |
| MRI of the shoulder with contrast |
$3,748 |
$6,247 |
$1,782 |
$313 | |
| MRI of the shoulder without contrast |
$2,209 |
$3,682 |
$1,657 |
$205 | |
| MRI of the wrist |
$4,502 |
$7,504 |
$1,782 |
$330 | |
| MRI of the wrist with contrast |
$4,993 |
$8,322 |
$1,782 |
$330 | |
| MRI of the wrist without contrast |
$3,748 |
$6,247 |
$1,782 |
$303 | |
| Nebulizer breathing treatment |
$215 |
$358 |
$212 |
$9 | |
| Nerve conduction study |
$602 |
$1,004 |
$423 |
$118 | |
| Nuclear cardiac stress test |
$7,850 |
$13,084 |
$1,824 |
$428 | |
| Occupational therapy evaluation |
$278 |
$464 |
$208 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$332 |
$553 |
$208 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$256 |
$426 |
$208 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$301 |
$502 |
$203 |
$101 | |
| Office visit (established patient) |
$179 |
$298 |
$144 |
$115 | |
| Office visit (new patient) |
$218 |
$363 |
$145 |
$177 | |
| Office visit, established patient (level 3) |
$170 |
$284 |
$143 |
$95 | |
| Office visit, established patient (level 4) |
$179 |
$298 |
$146 |
$136 | |
| Office visit, new patient (level 3) |
$125 |
$208 |
$119 |
$118 | |
| Office visit, new patient (level 4) |
$218 |
$363 |
$171 |
$177 | |
| Office visit, new patient (level 5) |
$241 |
$401 |
$180 |
$237 | |
| Orthopedic hardware removal |
$3,349 |
$5,582 |
$3,299 |
$632 | |
| Pacemaker insertion |
$57,089 |
$95,149 |
$28,788 |
$15,506 | |
| Parathyroid removal |
$34,520 |
$57,533 |
$9,992 |
$891 | |
| Pelvic ultrasound |
$988 |
$1,646 |
$514 |
$78 | |
| Pelvic ultrasound (complete) |
$988 |
$1,646 |
$514 |
$105 | |
| Pelvic ultrasound (limited) |
$630 |
$1,050 |
$420 |
$51 | |
| PET scan |
$5,572 |
$9,286 |
$4,590 |
— | |
| Physical therapy evaluation |
$362 |
$603 |
$206 |
$98 | |
| Physical therapy evaluation (high complexity) |
$380 |
$633 |
$222 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$362 |
$603 |
$214 |
$98 | |
| Pilonidal cyst removal |
$12,303 |
$20,506 |
$4,919 |
$541 | |
| Pregnancy ultrasound |
$767 |
$1,278 |
$509 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$767 |
$1,278 |
$511 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$679 |
$1,132 |
$508 |
$136 | |
| Prostate biopsy |
$3,584 |
$5,973 |
$2,270 |
— | |
| Prostate removal (prostatectomy) |
$48,910 |
$81,516 |
$8,198 |
$1,063 | |
| Psychiatric evaluation |
$255 |
$425 |
$230 |
$188 | |
| Radiofrequency nerve ablation |
$5,163 |
$8,605 |
$4,733 |
$462 | |
| RSV vaccine |
$276 |
$460 |
$346 |
— | |
| Scoliosis spine X-ray |
$281 |
$468 |
$209 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$212 |
$353 |
$159 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$349 |
$582 |
$262 |
$72 | |
| Screening mammogram |
$89 |
$149 |
$132 |
$126 | |
| Scrotal ultrasound |
$1,065 |
$1,775 |
$514 |
$99 | |
| Shoulder arthroscopy |
$32,091 |
$53,485 |
$6,958 |
$962 | |
| Shoulder replacement |
$54,332 |
$90,554 |
$11,958 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$510 |
$850 |
$723 |
$114 | |
| Simple wound stitches |
$510 |
$850 |
$723 |
$127 | |
| Sinus surgery (endoscopic) |
$33,356 |
$55,594 |
$6,071 |
$224 | |
| Skin biopsy |
$600 |
$1,000 |
$842 |
$121 | |
| Skin biopsy (punch) |
$600 |
$1,000 |
$780 |
$121 | |
| Skin cancer lesion removal |
$850 |
$1,416 |
$444 |
$240 | |
| Skin graft |
$4,255 |
$7,091 |
$4,666 |
$898 | |
| Skin tag removal |
$338 |
$563 |
$308 |
$92 | |
| Sleep study (polysomnography) |
$7,678 |
$12,796 |
$5,176 |
$691 | |
| Soft tissue ultrasound |
$1,212 |
$2,020 |
$514 |
$64 | |
| Speech therapy |
$630 |
$1,051 |
$248 |
$76 | |
| Spinal cord stimulator |
$3,338 |
$5,563 |
$4,387 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$903 |
$1,505 |
$1,204 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$10,127 |
$16,878 |
$8,198 |
$5,803 | |
| Spirometry (lung function test) |
$383 |
$639 |
$333 |
$30 | |
| Spirometry with bronchodilator |
$746 |
$1,243 |
$648 |
$43 | |
| Stress echocardiogram |
$2,411 |
$4,018 |
$2,018 |
$209 | |
| Swallow study |
$378 |
$630 |
$359 |
$85 | |
| Tdap (tetanus) vaccine |
$42 |
$70 |
$53 |
— | |
| Thyroid ultrasound |
$1,096 |
$1,826 |
$514 |
$109 | |
| Thyroid uptake scan |
$1,011 |
$1,685 |
$696 |
$145 | |
| Tilt table test |
$2,377 |
$3,961 |
$1,990 |
$168 | |
| Tracheostomy |
$6,129 |
$10,215 |
$6,055 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$2,180 |
$3,634 |
$1,667 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$2,411 |
$4,018 |
$2,018 |
$239 | |
| Transvaginal ultrasound |
$945 |
$1,575 |
$514 |
$118 | |
| Trigger point injection |
$568 |
$947 |
$699 |
$56 | |
| Trigger point injection (1-2 muscles) |
$524 |
$874 |
$518 |
$52 | |
| Turning a breech baby (version) |
$2,084 |
$3,473 |
$1,114 |
$94 | |
| Upper GI endoscopy (EGD) |
$3,428 |
$5,713 |
$2,065 |
$371 | |
| Upper GI series (barium) |
$704 |
$1,174 |
$296 |
$128 | |
| Ureteral stent placement |
$14,513 |
$24,189 |
$4,463 |
$373 | |
| Ureteroscopy (stone removal) |
$18,463 |
$30,772 |
$6,571 |
$365 | |
| Vaccine administration |
$32 |
$53 |
$34 |
$19 | |
| Vaccine administration (each additional) |
$32 |
$53 |
$29 |
$16 | |
| Vaginal delivery |
$18,746 |
$31,243 |
$4,988 |
$5,487 | |
| Varicose vein ablation |
$5,332 |
$8,886 |
$5,958 |
$1,018 | |
| Vocal cord injection |
$9,279 |
$15,464 |
$4,387 |
$211 | |
| Weight-loss (bariatric) surgery |
$43,027 |
$71,712 |
$19,102 |
$11,645 | |
| Wound debridement |
$1,022 |
$1,703 |
$4,387 |
$186 | |
| Wrist fracture repair |
$24,187 |
$40,312 |
$7,104 |
$735 | |
| X-ray of the abdomen |
$559 |
$932 |
$296 |
$36 | |
| X-ray of the ankle |
$700 |
$1,167 |
$296 |
$37 | |
| X-ray of the collarbone |
$750 |
$1,250 |
$296 |
$33 | |
| X-ray of the elbow |
$649 |
$1,082 |
$296 |
$33 | |
| X-ray of the facial bones |
$588 |
$981 |
$296 |
$39 | |
| X-ray of the foot |
$607 |
$1,012 |
$296 |
$34 | |
| X-ray of the forearm |
$382 |
$637 |
$287 |
$29 | |
| X-ray of the hand |
$628 |
$1,047 |
$296 |
$38 | |
| X-ray of the hip |
$326 |
$544 |
$209 |
$49 | |
| X-ray of the hip (1 view) |
$212 |
$353 |
$159 |
$34 | |
| X-ray of the hip (3 views) |
$326 |
$544 |
$245 |
$49 | |
| X-ray of the hip (4 views) |
$349 |
$582 |
$262 |
$63 | |
| X-ray of the knee |
$595 |
$992 |
$296 |
$42 | |
| X-ray of the knee (2 views) |
$434 |
$724 |
$296 |
$34 | |
| X-ray of the knee (3 views) |
$595 |
$992 |
$296 |
$42 | |
| X-ray of the knee (4+ views) |
$676 |
$1,126 |
$296 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$784 |
$1,307 |
$296 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$637 |
$1,062 |
$296 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$931 |
$1,551 |
$296 |
$53 | |
| X-ray of the lower leg |
$476 |
$794 |
$296 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$661 |
$1,101 |
$296 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$591 |
$985 |
$296 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$730 |
$1,217 |
$296 |
$39 | |
| X-ray of the neck (cervical spine) |
$883 |
$1,472 |
$296 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$638 |
$1,063 |
$296 |
$40 | |
| X-ray of the pelvis |
$598 |
$997 |
$296 |
$36 | |
| X-ray of the pelvis (1 view) |
$492 |
$820 |
$296 |
$28 | |
| X-ray of the ribs |
$815 |
$1,359 |
$296 |
$42 | |
| X-ray of the ribs (2 views) |
$383 |
$639 |
$256 |
$36 | |
| X-ray of the ribs (3 views) |
$949 |
$1,581 |
$296 |
$42 | |
| X-ray of the shoulder |
$757 |
$1,261 |
$296 |
$36 | |
| X-ray of the skull |
$513 |
$856 |
$282 |
$40 | |
| X-ray of the upper arm |
$490 |
$817 |
$296 |
$32 | |
| X-ray of the wrist |
$673 |
$1,122 |
$296 |
$43 | |