| 3D mammogram (tomosynthesis) |
$138 |
$250 |
$29 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$2,349 |
$2,371 |
$48 |
$284 | |
| Abdominal ultrasound |
$494 |
$909 |
$436 |
$100 | |
| Abdominal ultrasound (complete) |
$505 |
$919 |
$436 |
$114 | |
| Abdominal ultrasound (limited) |
$494 |
$899 |
$436 |
$86 | |
| Abscess drainage (complex or multiple) |
$464 |
$488 |
$46 |
$220 | |
| Abscess drainage (simple) |
$296 |
$401 |
$52 |
$129 | |
| Abscess incision and drainage |
$435 |
$488 |
$52 |
$174 | |
| Achilles tendon repair |
$22,603 |
— |
$30,233 |
$624 | |
| Adenoid removal (adenoidectomy) |
$17,597 |
— |
$13,814 |
$204 | |
| Aldosterone test |
$152 |
$277 |
$47 |
$41 | |
| Alpha-fetoprotein (AFP) test |
$68 |
$124 |
$19 |
$17 | |
| Ammonia blood test |
$53 |
$96 |
$17 |
$15 | |
| Amniocentesis |
$317 |
$317 |
$62 |
$120 | |
| Anal fistula repair |
$13,355 |
— |
$11,565 |
$541 | |
| Ankle fracture repair |
$1,757 |
$1,650 |
$316 |
$608 | |
| Ankle replacement |
$51,305 |
— |
$73,054 |
$885 | |
| Annual physical (established patient) |
$231 |
$281 |
$125 |
— | |
| Annual physical (new patient) |
$295 |
$415 |
$137 |
— | |
| Anoscopy |
$378 |
$491 |
$554 |
$129 | |
| Antinuclear antibody (ANA) test |
$46 |
$83 |
$14 |
$12 | |
| Aortic aneurysm repair (AAA) |
$5,330 |
$5,956 |
$818 |
$1,345 | |
| Aortic valve replacement |
$3,393 |
$7,192 |
$695 |
$1,603 | |
| Barium swallow study |
$612 |
$1,112 |
$731 |
$107 | |
| Bartholin cyst removal |
$290 |
$267 |
$52 |
$182 | |
| Basic metabolic panel |
$34 |
$61 |
$10 |
$8 | |
| Benign skin lesion removal |
$436 |
$401 |
$53 |
$171 | |
| Bladder scope (cystoscopy) |
$764 |
$999 |
$37 |
$216 | |
| Blood crossmatch |
$76 |
$138 |
$710 |
— | |
| Blood glucose test |
$18 |
$30 |
$5 |
$5 | |
| BNP (heart failure) test |
$107 |
$194 |
$45 |
$39 | |
| Bone density scan (DEXA) |
$419 |
$761 |
$436 |
$39 | |
| Bone marrow biopsy |
$1,091 |
$1,858 |
$70 |
$172 | |
| Bone scan (nuclear) |
$1,349 |
$2,452 |
$1,666 |
$259 | |
| Brain shunt (VP shunt) |
$2,305 |
$2,305 |
$281 |
$1,023 | |
| Breast biopsy |
$3,883 |
$6,438 |
$6,881 |
$478 | |
| Breast MRI |
$1,924 |
$3,499 |
$994 |
$216 | |
| Breast MRI without contrast |
$1,924 |
$3,499 |
$994 |
$216 | |
| Breast reconstruction |
$973 |
$1,119 |
$438 |
$1,227 | |
| Breast ultrasound |
$464 |
$843 |
$363 |
$92 | |
| Breast ultrasound (complete) |
$481 |
$874 |
$396 |
$100 | |
| Breast ultrasound (limited) |
$447 |
$812 |
$363 |
$84 | |
| Breathing tube insertion (intubation) |
$601 |
$718 |
$64 |
$133 | |
| Bunion surgery (bunionectomy) |
$21,278 |
— |
$30,233 |
$883 | |
| Burn dressing and debridement (medium) |
$495 |
$713 |
$836 |
$166 | |
| Burn dressing and debridement (small) |
$229 |
$417 |
$836 |
$93 | |
| Burn treatment |
$392 |
$565 |
$836 |
$129 | |
| C-reactive protein (CRP) |
$28 |
$50 |
$6 |
$5 | |
| CA 19-9 tumor marker test |
$77 |
$140 |
$24 |
$21 | |
| CA-125 ovarian marker test |
$85 |
$154 |
$24 |
$21 | |
| Capsule endoscopy |
$4,666 |
$8,483 |
$3,779 |
$802 | |
| Cardiac ablation |
$17,751 |
$16,925 |
$419 |
$759 | |
| Cardiac catheterization |
$3,616 |
$6,073 |
$290 |
$1,049 | |
| Cardiac MRI |
$1,433 |
$2,606 |
$994 |
$322 | |
| Cardiac MRI without contrast |
$952 |
$1,731 |
$994 |
$280 | |
| Cardiac rehabilitation |
$278 |
$505 |
$537 |
$26 | |
| Cardioversion |
$1,400 |
$1,458 |
$97 |
$155 | |
| Carotid artery surgery |
$2,361 |
$2,361 |
$327 |
$1,026 | |
| Carotid artery ultrasound |
$661 |
$1,202 |
$50 |
$156 | |
| Carpal tunnel release |
$1,990 |
$1,696 |
$221 |
$483 | |
| CEA tumor marker test |
$87 |
$159 |
$22 |
$19 | |
| Celiac disease test |
$21 |
$38 |
$13 |
$12 | |
| Central line placement |
$2,037 |
$2,044 |
$72 |
$238 | |
| Cervical LEEP procedure |
$770 |
$643 |
$86 |
$325 | |
| Cesarean section (C-section) |
$22,764 |
— |
$20,379 |
$7,552 | |
| Chemotherapy infusion |
$401 |
$648 |
$140 |
$81 | |
| Chemotherapy infusion (each additional) |
$356 |
$648 |
$300 |
$28 | |
| Chemotherapy infusion (first hour) |
$406 |
$1,340 |
$140 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,336 |
$1,402 |
$72 |
$311 | |
| Chest tube insertion |
$2,824 |
$2,851 |
$74 |
$143 | |
| Chest X-ray |
$371 |
$675 |
$23 |
$37 | |
| Chest X-ray (2 views) |
$362 |
$658 |
$10 |
$33 | |
| Chickenpox (varicella) vaccine |
$604 |
$1,098 |
$604 |
— | |
| Circumcision |
$388 |
$471 |
$58 |
$167 | |
| CK-MB heart enzyme test |
$41 |
$75 |
$13 |
$12 | |
| Clotting time test (PTT) |
$28 |
$50 |
$7 |
$6 | |
| Colon resection (colectomy) |
$2,692 |
$2,873 |
$333 |
$1,238 | |
| Colposcopy |
$340 |
$277 |
$50 |
$161 | |
| Comprehensive metabolic panel |
$41 |
$75 |
$12 |
$11 | |
| Continuous glucose monitor setup |
$129 |
$129 |
$31 |
$35 | |
| Copper blood test |
$46 |
$83 |
$14 |
$12 | |
| Coronary artery bypass (CABG) |
$88,766 |
— |
$85,472 |
$36,593 | |
| Coronary CT angiography |
$1,361 |
$2,475 |
$1,454 |
$326 | |
| Cortisol test |
$58 |
$106 |
$19 |
$16 | |
| COVID-19 PCR test |
$117 |
$213 |
$59 |
$51 | |
| Craniotomy (brain surgery) |
$4,910 |
$4,910 |
$450 |
$2,161 | |
| Creatine kinase (CK) test |
$24 |
$44 |
$7 |
$7 | |
| CT angiography of the chest |
$1,728 |
$3,142 |
$731 |
$281 | |
| CT angiography of the head |
$2,432 |
$2,465 |
$731 |
$274 | |
| CT colonography (virtual colonoscopy) |
$2,418 |
$4,397 |
$994 |
$835 | |
| CT scan of the abdomen |
$1,190 |
$2,319 |
$436 |
$230 | |
| CT scan of the abdomen and pelvis |
$1,744 |
$3,171 |
$994 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$1,880 |
$3,418 |
$1,454 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,499 |
$3,171 |
$1,454 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,502 |
$2,730 |
$994 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,401 |
$2,548 |
$731 |
$259 | |
| CT scan of the abdomen with contrast |
$1,275 |
$2,319 |
$731 |
$230 | |
| CT scan of the abdomen without contrast |
$1,106 |
$2,010 |
$436 |
$136 | |
| CT scan of the arm |
$1,511 |
$2,747 |
$731 |
$199 | |
| CT scan of the arm with contrast |
$1,058 |
$1,923 |
$1,454 |
$199 | |
| CT scan of the arm without contrast |
$1,511 |
$2,747 |
$436 |
$161 | |
| CT scan of the chest |
$1,134 |
$2,618 |
$455 |
$167 | |
| CT scan of the chest with and without contrast |
$1,596 |
$2,902 |
$731 |
$196 | |
| CT scan of the chest with contrast |
$1,440 |
$2,618 |
$731 |
$167 | |
| CT scan of the chest without contrast |
$827 |
$1,504 |
$436 |
$133 | |
| CT scan of the head |
$880 |
$1,807 |
$436 |
$148 | |
| CT scan of the head with and without contrast |
$1,264 |
$2,299 |
$731 |
$173 | |
| CT scan of the head with contrast |
$994 |
$1,807 |
$731 |
$148 | |
| CT scan of the head without contrast |
$766 |
$1,393 |
$436 |
$107 | |
| CT scan of the leg |
$1,309 |
$2,380 |
$725 |
$166 | |
| CT scan of the leg with contrast |
$1,309 |
$2,380 |
$731 |
$166 | |
| CT scan of the leg without contrast |
$1,222 |
$2,222 |
$436 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,125 |
$2,045 |
$731 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,292 |
$2,349 |
$731 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,125 |
$2,045 |
$1,454 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,022 |
$1,858 |
$436 |
$130 | |
| CT scan of the neck |
$1,221 |
$2,220 |
$731 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,159 |
$2,107 |
$731 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,268 |
$2,306 |
$731 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,159 |
$2,107 |
$1,454 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,098 |
$1,996 |
$436 |
$131 | |
| CT scan of the neck with and without contrast |
$1,343 |
$2,441 |
$731 |
$220 | |
| CT scan of the neck with contrast |
$1,221 |
$2,220 |
$731 |
$183 | |
| CT scan of the neck without contrast |
$1,109 |
$2,017 |
$436 |
$150 | |
| CT scan of the pelvis |
$1,075 |
$1,954 |
$731 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,235 |
$2,246 |
$731 |
$251 | |
| CT scan of the pelvis with contrast |
$1,075 |
$1,954 |
$731 |
$226 | |
| CT scan of the pelvis without contrast |
$982 |
$1,785 |
$436 |
$133 | |
| CT scan of the sinuses |
$994 |
$1,807 |
$731 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,100 |
$2,000 |
$731 |
$184 | |
| CT scan of the sinuses with contrast |
$994 |
$1,807 |
$731 |
$152 | |
| CT scan of the sinuses without contrast |
$880 |
$1,600 |
$436 |
$128 | |
| D-dimer test |
$51 |
$92 |
$12 |
$10 | |
| Defibrillator (ICD) implant |
$23,225 |
$22,286 |
$415 |
$798 | |
| DHEA-sulfate test |
$83 |
$150 |
$25 |
$22 | |
| Diagnostic mammogram |
$555 |
$1,010 |
$136 |
$140 | |
| Ear pressure test (tympanometry) |
$114 |
$208 |
$156 |
$16 | |
| Echocardiogram |
$727 |
$1,193 |
$106 |
$138 | |
| Echocardiogram with and without contrast |
$707 |
$861 |
$71 |
$101 | |
| Echocardiogram without contrast |
$516 |
$1,465 |
$87 |
$138 | |
| EEG (awake and asleep) |
$872 |
$870 |
$121 |
$482 | |
| Electroencephalogram (EEG) |
$834 |
$1,445 |
$121 |
$448 | |
| Emergency department visit |
$499 |
$641 |
$103 |
$69 | |
| Emergency department visit (level 1) |
$402 |
$406 |
$17 |
$11 | |
| Emergency department visit (level 2) |
$496 |
$502 |
$61 |
$40 | |
| Emergency department visit (level 3) |
$1,175 |
$1,205 |
$97 |
$69 | |
| Emergency department visit (level 4) |
$1,619 |
$1,664 |
$103 |
$118 | |
| Emergency department visit (level 5) |
$2,030 |
$2,122 |
$272 |
$171 | |
| Endometrial biopsy |
$397 |
$490 |
$28 |
$98 | |
| Epidural steroid injection |
$1,968 |
$1,972 |
$49 |
$275 | |
| Esophageal dilation |
$12,425 |
— |
$3,779 |
$522 | |
| Estradiol (estrogen) test |
$80 |
$146 |
$32 |
$28 | |
| Eyelid surgery (blepharoplasty) |
$16,384 |
— |
$9,906 |
$552 | |
| Facet joint injection (spine) |
$1,208 |
$1,349 |
$67 |
$99 | |
| Fallopian tube X-ray (HSG) |
$1,464 |
$1,563 |
$27 |
$164 | |
| Fecal occult blood (stool) test |
$31 |
$56 |
$16 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$13 |
$24 |
$5 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$48 |
$88 |
$18 |
$16 | |
| Feeding tube (PEG) placement |
$426 |
$426 |
$70 |
$178 | |
| Ferritin (iron) test |
$54 |
$99 |
$16 |
$14 | |
| Fibrinogen test |
$43 |
$78 |
$11 |
$10 | |
| Fibroid removal (myomectomy) |
$359 |
$1,197 |
$265 |
$914 | |
| Flexible sigmoidoscopy |
$4,994 |
— |
$3,875 |
$323 | |
| Folate (folic acid) test |
$53 |
$97 |
$17 |
$15 | |
| Foreign body removal (skin) |
$788 |
$931 |
$53 |
$157 | |
| Free T4 thyroid test |
$56 |
$101 |
$10 |
$9 | |
| FSH hormone test |
$76 |
$138 |
$21 |
$19 | |
| Gallbladder scan (HIDA) |
$1,620 |
$2,946 |
$1,666 |
$334 | |
| Ganglion cyst removal |
$860 |
$806 |
$168 |
$321 | |
| GGT liver test |
$28 |
$51 |
$8 |
$7 | |
| Glucose tolerance test |
$30 |
$54 |
$14 |
$8 | |
| H. pylori test |
$184 |
$334 |
$77 |
$67 | |
| Hammertoe repair |
$23,026 |
— |
$13,633 |
$548 | |
| HDL cholesterol test |
$31 |
$56 |
$9 |
$8 | |
| Hearing test (audiometry) |
$120 |
$418 |
$32 |
$36 | |
| Hemodialysis |
$1,564 |
$2,844 |
$2,859 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$36 |
$66 |
$11 |
$10 | |
| Hepatitis A vaccine |
$131 |
$238 |
$129 |
— | |
| Hepatitis B test |
$40 |
$72 |
$12 |
$10 | |
| Hepatitis B vaccine |
$69 |
$126 |
$86 |
— | |
| Hepatitis C test |
$58 |
$106 |
$16 |
$14 | |
| Hip fracture repair |
$2,708 |
$2,708 |
$417 |
$1,120 | |
| Hip replacement |
$5,650 |
$4,646 |
$419 |
$1,162 | |
| HIV test |
$45 |
$83 |
$28 |
$19 | |
| HIV test (antibody) |
$50 |
$90 |
$16 |
$14 | |
| HIV test (antigen/antibody combo) |
$41 |
$75 |
$28 |
$24 | |
| Holter heart monitor |
$108 |
$379 |
$18 |
$26 | |
| Home sleep apnea test |
$318 |
$358 |
$135 |
$123 | |
| HPV vaccine |
$964 |
$1,754 |
$964 |
— | |
| Hydrocele repair |
$15,076 |
— |
$14,918 |
$315 | |
| Hysterectomy |
$2,212 |
$2,095 |
$284 |
$933 | |
| Hysteroscopy |
$6,664 |
$6,411 |
$80 |
$1,270 | |
| Ileostomy |
$360 |
$360 |
$282 |
$968 | |
| Iron blood test |
$26 |
$48 |
$7 |
$6 | |
| IUD removal |
$263 |
$352 |
$30 |
$112 | |
| IV infusion therapy |
$568 |
$1,012 |
$71 |
$44 | |
| IV infusion therapy (initial) |
$568 |
$597 |
$71 |
$67 | |
| IVC filter placement |
$11,692 |
$21,259 |
$23,184 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$484 |
$827 |
$50 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$566 |
$581 |
$26 |
$57 | |
| Joint aspiration or injection (small joint) |
$469 |
$827 |
$1,279 |
$56 | |
| Kidney biopsy |
$1,874 |
$3,407 |
$6,881 |
$492 | |
| Kidney scan (nuclear) |
$1,241 |
$2,256 |
$2,262 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$10,705 |
$19,463 |
$14,687 |
$760 | |
| Kidney ultrasound |
$479 |
$891 |
$436 |
$84 | |
| Kidney ultrasound (limited) |
$479 |
$870 |
$436 |
$61 | |
| Knee arthroscopy |
$18,734 |
— |
$13,633 |
$524 | |
| Knee joint injection |
$594 |
$589 |
$22 |
$69 | |
| Knee replacement |
$45,698 |
— |
$39,793 |
$18,054 | |
| Laryngoscopy |
$391 |
$500 |
$832 |
$189 | |
| LDH test |
$22 |
$40 |
$7 |
$6 | |
| LDL cholesterol test |
$28 |
$51 |
$12 |
$11 | |
| Leg artery angiogram |
$4,149 |
$7,543 |
$155 |
$149 | |
| Leg artery angioplasty |
$1,717 |
$1,708 |
$526 |
— | |
| Leg vein ultrasound (Doppler) |
$1,067 |
$1,697 |
$37 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$799 |
$1,453 |
$37 |
$116 | |
| LH hormone test |
$79 |
$144 |
$21 |
$19 | |
| Lipid (cholesterol) panel |
$52 |
$94 |
$15 |
$13 | |
| Liver biopsy |
$1,456 |
$2,647 |
$6,881 |
$288 | |
| Liver function panel |
$26 |
$48 |
$9 |
$8 | |
| Lung function test (PFT) |
$104 |
$309 |
$22 |
$37 | |
| Lung scan (V/Q) |
$1,648 |
$2,996 |
$2,262 |
$291 | |
| Magnesium blood test |
$29 |
$52 |
$8 |
$7 | |
| MMR vaccine |
$149 |
$272 |
$94 |
— | |
| MRA of the brain |
$2,181 |
$2,638 |
$1,454 |
$226 | |
| MRA of the brain with contrast |
$1,451 |
$2,638 |
$1,454 |
$226 | |
| MRA of the brain without contrast |
$2,205 |
$3,966 |
$1,454 |
$328 | |
| MRA of the neck |
$1,676 |
$3,047 |
$1,454 |
$245 | |
| MRA of the neck with contrast |
$1,676 |
$3,047 |
$1,454 |
$245 | |
| MRA of the neck without contrast |
$2,157 |
$3,922 |
$1,454 |
$343 | |
| MRI of the abdomen |
$1,495 |
$2,719 |
$1,454 |
$300 | |
| MRI of the abdomen with contrast |
$1,495 |
$2,719 |
$1,454 |
$300 | |
| MRI of the abdomen without contrast |
$1,349 |
$2,453 |
$994 |
$194 | |
| MRI of the ankle |
$2,108 |
$3,643 |
$1,454 |
$261 | |
| MRI of the ankle with contrast |
$2,374 |
$4,316 |
$1,454 |
$261 | |
| MRI of the ankle without contrast |
$1,498 |
$2,724 |
$994 |
$222 | |
| MRI of the brain |
$1,747 |
$3,039 |
$994 |
$269 | |
| MRI of the brain with contrast |
$1,671 |
$3,039 |
$1,454 |
$269 | |
| MRI of the brain without contrast |
$1,642 |
$2,656 |
$801 |
$195 | |
| MRI of the chest |
$1,749 |
$3,181 |
$994 |
$371 | |
| MRI of the chest without contrast |
$2,451 |
$4,457 |
$1,454 |
$466 | |
| MRI of the knee |
$2,157 |
$5,260 |
$1,130 |
$315 | |
| MRI of the knee with contrast |
$2,893 |
$5,260 |
$3,266 |
$315 | |
| MRI of the knee without contrast |
$1,420 |
$2,582 |
$994 |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,567 |
$2,849 |
$994 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,567 |
$2,849 |
$1,454 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,509 |
$2,743 |
$994 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,567 |
$2,849 |
$1,454 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$1,949 |
$3,543 |
$1,454 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,567 |
$2,849 |
$1,454 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,509 |
$2,743 |
$994 |
$190 | |
| MRI of the neck (cervical spine) |
$1,567 |
$2,849 |
$1,454 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$1,922 |
$3,494 |
$1,454 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,567 |
$2,849 |
$1,454 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,509 |
$2,743 |
$994 |
$191 | |
| MRI of the pelvis |
$1,385 |
$2,518 |
$994 |
$268 | |
| MRI of the pelvis with contrast |
$1,385 |
$2,518 |
$1,454 |
$268 | |
| MRI of the pelvis without contrast |
$1,260 |
$2,291 |
$994 |
$227 | |
| MRI of the shoulder |
$1,762 |
$3,362 |
$1,132 |
$313 | |
| MRI of the shoulder with contrast |
$1,849 |
$3,362 |
$3,266 |
$313 | |
| MRI of the shoulder without contrast |
$1,676 |
$3,047 |
$994 |
$205 | |
| MRI of the wrist |
$1,164 |
$2,117 |
$1,308 |
$330 | |
| MRI of the wrist with contrast |
$763 |
$1,387 |
$1,454 |
$330 | |
| MRI of the wrist without contrast |
$1,164 |
$2,117 |
$994 |
$303 | |
| Nebulizer breathing treatment |
$225 |
$409 |
$912 |
$9 | |
| Nerve conduction study |
$427 |
$777 |
$109 |
$118 | |
| Newborn hospital care |
$143 |
$143 |
$39 |
$58 | |
| Nuchal translucency ultrasound |
$305 |
$305 |
$94 |
$116 | |
| Nuclear cardiac stress test |
$3,397 |
$6,177 |
$5,394 |
$428 | |
| Occupational therapy evaluation |
$420 |
$764 |
$114 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$437 |
$794 |
$114 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$412 |
$749 |
$114 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$420 |
$764 |
$114 |
$101 | |
| Office visit (established patient) |
$237 |
$237 |
$105 |
$115 | |
| Office visit (new patient) |
$364 |
$364 |
$121 |
$177 | |
| Office visit, established patient (level 3) |
$237 |
$237 |
$98 |
$95 | |
| Office visit, established patient (level 4) |
$334 |
$334 |
$140 |
$136 | |
| Office visit, new patient (level 3) |
$234 |
$234 |
$73 |
$118 | |
| Office visit, new patient (level 4) |
$436 |
$436 |
$183 |
$177 | |
| Office visit, new patient (level 5) |
$449 |
$449 |
$164 |
$237 | |
| Pacemaker insertion |
$49,781 |
— |
$50,750 |
$15,506 | |
| Pap smear (cervical screening) |
$105 |
$190 |
$30 |
$20 | |
| Parathyroid hormone (PTH) test |
$155 |
$282 |
$47 |
$41 | |
| Pelvic ultrasound |
$277 |
$405 |
$54 |
$78 | |
| Pelvic ultrasound (complete) |
$696 |
$760 |
$68 |
$105 | |
| Pelvic ultrasound (limited) |
$244 |
$405 |
$53 |
$51 | |
| PET scan |
$5,783 |
$10,514 |
$5,958 |
— | |
| Phosphorus blood test |
$18 |
$32 |
$5 |
$5 | |
| Physical therapy evaluation |
$431 |
$765 |
$111 |
$98 | |
| Physical therapy evaluation (high complexity) |
$442 |
$803 |
$111 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$421 |
$765 |
$111 |
$98 | |
| Platelet count |
$17 |
$31 |
$5 |
$4 | |
| Pregnancy blood test (hCG) |
$35 |
$64 |
$9 |
$8 | |
| Pregnancy ultrasound |
$341 |
$341 |
$104 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$315 |
$315 |
$102 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$366 |
$366 |
$105 |
$136 | |
| Procalcitonin test |
$295 |
$536 |
$31 |
$27 | |
| Prolactin test |
$68 |
$123 |
$22 |
$19 | |
| Prostate biopsy |
$14,411 |
— |
$8,709 |
— | |
| Prostate removal (prostatectomy) |
$44,735 |
— |
$44,289 |
$1,063 | |
| Prostate test (PSA) |
$69 |
$126 |
$21 |
$18 | |
| Psychiatric evaluation |
$311 |
$463 |
$138 |
$188 | |
| Psychotherapy session |
$188 |
$341 |
$232 |
$140 | |
| Pulmonary rehabilitation |
$114 |
$208 |
$246 |
$87 | |
| Radiofrequency nerve ablation |
$4,764 |
$4,104 |
$133 |
$462 | |
| Rotator cuff repair |
$34,162 |
— |
$30,233 |
$792 | |
| Scoliosis spine X-ray |
$273 |
$497 |
$363 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$180 |
$328 |
$363 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$366 |
$665 |
$436 |
$72 | |
| Screening colonoscopy |
$658 |
$802 |
$135 |
$378 | |
| Screening mammogram |
$514 |
$934 |
$112 |
$126 | |
| Scrotal ultrasound |
$525 |
$955 |
$436 |
$99 | |
| Sedimentation rate (ESR) test |
$16 |
$29 |
$5 |
$3 | |
| Septoplasty (deviated septum) |
$18,401 |
— |
$13,814 |
$613 | |
| Sex hormone binding globulin test |
$58 |
$105 |
$25 |
$22 | |
| Shoulder arthroscopy |
$31,524 |
— |
$30,233 |
$962 | |
| Simple laceration repair (small, up to 2.5 cm) |
$397 |
$454 |
$29 |
$114 | |
| Simple wound stitches |
$302 |
$465 |
$31 |
$127 | |
| Sinus surgery (endoscopic) |
$26,976 |
— |
$29,404 |
$224 | |
| Skin biopsy |
$259 |
$463 |
$24 |
$121 | |
| Skin biopsy (punch) |
$262 |
$302 |
$20 |
$121 | |
| Skin cancer lesion removal |
$519 |
$450 |
$70 |
$240 | |
| Skin lesion freezing (cryotherapy) |
$75 |
$137 |
$836 |
$36 | |
| Skin tag removal |
$182 |
$208 |
$36 |
$92 | |
| Sleep study (polysomnography) |
$2,510 |
$4,181 |
$531 |
$691 | |
| Small bowel resection |
$424 |
$424 |
$323 |
$1,136 | |
| Soft tissue ultrasound |
$273 |
$496 |
$436 |
$64 | |
| Speech therapy |
$195 |
$354 |
$86 |
$76 | |
| Spinal cord stimulator |
$16,003 |
$22,139 |
$26,553 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$255 |
$255 |
$31 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$14,413 |
$13,522 |
$220 |
$5,803 | |
| Spirometry (lung function test) |
$26 |
$302 |
$22 |
$30 | |
| Spirometry with bronchodilator |
$168 |
$456 |
$37 |
$43 | |
| Spleen removal (splenectomy) |
$409 |
$1,361 |
$287 |
$1,036 | |
| Stomach removal (gastrectomy) |
$3,214 |
$3,214 |
$392 |
$1,595 | |
| Strep throat test |
$41 |
$75 |
$19 |
$17 | |
| Stress echocardiogram |
$1,166 |
$1,990 |
$136 |
$209 | |
| Stress echocardiogram (complete) |
$1,095 |
$1,990 |
$2,277 |
$233 | |
| Swallow study |
$363 |
$660 |
$68 |
$85 | |
| Tdap (tetanus) vaccine |
$113 |
$206 |
$40 |
— | |
| Testicle removal (orchiectomy) |
$17,180 |
— |
$14,687 |
$306 | |
| Testosterone test |
$94 |
$171 |
$30 |
$26 | |
| Thyroid test (TSH) |
$79 |
$144 |
$19 |
$17 | |
| Thyroid ultrasound |
$297 |
$643 |
$60 |
$109 | |
| Thyroid uptake scan |
$960 |
$1,746 |
$1,666 |
$145 | |
| Tilt table test |
$605 |
$2,626 |
$87 |
$168 | |
| Tonsillectomy |
$15,443 |
— |
$13,814 |
$252 | |
| Total IgE allergy test |
$47 |
$85 |
$19 |
$16 | |
| Tracheostomy |
$744 |
$744 |
$141 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$1,060 |
$2,630 |
$211 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,060 |
$2,630 |
$211 |
$239 | |
| Transvaginal ultrasound |
$721 |
$698 |
$67 |
$118 | |
| Trigger point injection |
$519 |
$452 |
$18 |
$56 | |
| Trigger point injection (1-2 muscles) |
$419 |
$443 |
$18 |
$52 | |
| Triglycerides test |
$9 |
$17 |
$7 |
$6 | |
| Turbinate reduction |
$18,558 |
— |
$13,814 |
$294 | |
| Turning a breech baby (version) |
$251 |
$251 |
$99 |
$94 | |
| Upper GI series (barium) |
$621 |
$1,129 |
$731 |
$128 | |
| Uric acid (gout) test |
$21 |
$38 |
$5 |
$5 | |
| Urine microalbumin test |
$31 |
$51 |
$6 |
$5 | |
| Urine pregnancy test |
$45 |
$81 |
$10 |
$9 | |
| Vaccine administration |
$13 |
$23 |
$86 |
$19 | |
| Vaccine administration (each additional) |
$13 |
$23 |
$33 |
$16 | |
| Vaginal delivery |
$15,118 |
— |
$13,784 |
$5,487 | |
| Vitamin B12 test |
$61 |
$111 |
$17 |
$15 | |
| Vitamin D test |
$101 |
$183 |
$34 |
$30 | |
| Vocal cord injection |
$15,072 |
— |
$15,534 |
$211 | |
| Wart removal |
$162 |
$294 |
$836 |
$121 | |
| Weight-loss (bariatric) surgery |
$34,475 |
— |
$36,886 |
$11,645 | |
| Well-child visit |
$128 |
$222 |
$57 |
— | |
| Whipple procedure (pancreas) |
$6,734 |
$6,734 |
$841 |
$2,871 | |
| Wound debridement |
$816 |
$960 |
$67 |
$186 | |
| Wrist fracture repair |
$2,091 |
$1,824 |
$229 |
$735 | |
| X-ray of the abdomen |
$277 |
$453 |
$24 |
$36 | |
| X-ray of the ankle |
$312 |
$306 |
$19 |
$37 | |
| X-ray of the collarbone |
$356 |
$337 |
$18 |
$33 | |
| X-ray of the elbow |
$289 |
$277 |
$21 |
$33 | |
| X-ray of the facial bones |
$245 |
$446 |
$363 |
$39 | |
| X-ray of the foot |
$249 |
$265 |
$19 |
$34 | |
| X-ray of the forearm |
$374 |
$352 |
$18 |
$29 | |
| X-ray of the hand |
$581 |
$716 |
$18 |
$38 | |
| X-ray of the hip |
$238 |
$432 |
$24 |
$49 | |
| X-ray of the hip (1 view) |
$238 |
$228 |
$20 |
$34 | |
| X-ray of the hip (3 views) |
$261 |
$251 |
$26 |
$49 | |
| X-ray of the hip (4 views) |
$250 |
$455 |
$436 |
$63 | |
| X-ray of the knee |
$248 |
$240 |
$21 |
$42 | |
| X-ray of the knee (2 views) |
$342 |
$322 |
$19 |
$34 | |
| X-ray of the knee (3 views) |
$248 |
$237 |
$21 |
$42 | |
| X-ray of the knee (4+ views) |
$114 |
$282 |
$24 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$340 |
$618 |
$436 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$274 |
$499 |
$436 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$405 |
$736 |
$436 |
$53 | |
| X-ray of the lower leg |
$249 |
$261 |
$19 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$239 |
$434 |
$436 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$261 |
$475 |
$436 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$216 |
$393 |
$436 |
$39 | |
| X-ray of the neck (cervical spine) |
$426 |
$692 |
$17 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$542 |
$609 |
$12 |
$40 | |
| X-ray of the pelvis |
$179 |
$280 |
$23 |
$36 | |
| X-ray of the pelvis (1 view) |
$249 |
$238 |
$18 |
$28 | |
| X-ray of the ribs |
$410 |
$695 |
$57 |
$42 | |
| X-ray of the ribs (2 views) |
$458 |
$577 |
$344 |
$36 | |
| X-ray of the ribs (3 views) |
$382 |
$695 |
$19 |
$42 | |
| X-ray of the shoulder |
$276 |
$266 |
$20 |
$36 | |
| X-ray of the skull |
$302 |
$549 |
$436 |
$40 | |
| X-ray of the upper arm |
$263 |
$253 |
$20 |
$32 | |
| X-ray of the wrist |
$276 |
$265 |
$20 |
$43 | |
| Zinc blood test |
$34 |
$61 |
$13 |
$11 | |