| 3D mammogram (tomosynthesis) |
$27 |
$493 |
$38 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,051 |
$4,057 |
$1,473 |
$284 | |
| Abdominal ultrasound |
$121 |
$1,106 |
$131 |
$100 | |
| Abdominal ultrasound (complete) |
$121 |
$1,106 |
$145 |
$114 | |
| Abdominal ultrasound (limited) |
$121 |
$1,106 |
$131 |
$86 | |
| Abscess drainage (complex or multiple) |
$471 |
$8,587 |
$660 |
$220 | |
| Abscess drainage (simple) |
$232 |
$8,143 |
$326 |
$129 | |
| Abscess incision and drainage |
$352 |
$8,587 |
$471 |
$174 | |
| Achilles tendon repair |
$8,415 |
$31,735 |
$8,667 |
$624 | |
| Albumin blood test |
$4 |
$70 |
$5 |
$5 | |
| Aldosterone test |
$40 |
$573 |
$41 |
$41 | |
| Alkaline phosphatase test |
$5 |
$95 |
$5 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$16 |
$236 |
$17 |
$17 | |
| ALT liver enzyme test |
$5 |
$74 |
$5 |
$5 | |
| Ammonia blood test |
$14 |
$217 |
$15 |
$15 | |
| Amniocentesis |
$1,068 |
$3,329 |
$1,495 |
$120 | |
| Anal fistula repair |
$3,218 |
$17,310 |
$4,462 |
$541 | |
| Ankle fracture repair |
$8,415 |
$39,172 |
$8,415 |
$608 | |
| Ankle replacement |
$31,467 |
$60,585 |
$32,411 |
$885 | |
| Anoscopy |
$154 |
$2,236 |
$216 |
$129 | |
| Antinuclear antibody (ANA) test |
$12 |
$399 |
$12 |
$12 | |
| Aortic valve replacement |
— |
$12,713 |
$2,889 |
$1,603 | |
| Arterial blood gas (ABG) |
$26 |
$440 |
$26 |
$26 | |
| AST liver enzyme test |
$5 |
$73 |
$5 |
$5 | |
| Barium swallow study |
$203 |
$916 |
$213 |
$107 | |
| Bartholin cyst removal |
$234 |
$892 |
$328 |
$182 | |
| Benign skin lesion removal |
$821 |
$16,030 |
$943 |
$171 | |
| Bilirubin blood test |
$5 |
$71 |
$5 |
$5 | |
| Bladder scope (cystoscopy) |
$808 |
$2,747 |
$1,132 |
$216 | |
| Bladder tumor removal (TURBT) |
$4,087 |
$23,201 |
$4,600 |
$236 | |
| Blood clotting test (PT/INR) |
$4 |
$90 |
$4 |
$4 | |
| Blood crossmatch |
$197 |
$764 |
$201 |
— | |
| Blood glucose test |
$4 |
$71 |
$5 |
$5 | |
| Blood transfusion |
$511 |
$1,943 |
$691 |
$47 | |
| Blood type and screen |
$60 |
$243 |
$61 |
$10 | |
| Blood type test |
$99 |
$376 |
$88 |
$3 | |
| Blood type test (ABO group) |
$154 |
$572 |
$157 |
$3 | |
| Blood type test (Rh/D antigen) |
$43 |
$179 |
$44 |
$3 | |
| BNP (heart failure) test |
$39 |
$478 |
$40 |
$39 | |
| Bone density scan (DEXA) |
$121 |
$726 |
$127 |
$39 | |
| Bone marrow biopsy |
$2,642 |
$9,987 |
$3,369 |
$172 | |
| Bone scan (nuclear) |
$463 |
$2,332 |
$484 |
$259 | |
| Breast biopsy |
$1,915 |
$7,256 |
$2,681 |
$478 | |
| Breast MRI |
$276 |
$2,721 |
$345 |
$216 | |
| Breast MRI without contrast |
$276 |
$2,721 |
$318 |
$216 | |
| Breast reconstruction |
$15,981 |
$15,146 |
$15,146 |
$1,227 | |
| Breast reduction |
$7,700 |
$8,655 |
$7,932 |
$980 | |
| Breast ultrasound |
$111 |
$897 |
$121 |
$92 | |
| Breast ultrasound (complete) |
$121 |
$980 |
$127 |
$100 | |
| Breast ultrasound (limited) |
$100 |
$814 |
$108 |
$84 | |
| Breathing tube insertion (intubation) |
$274 |
$1,808 |
$385 |
$133 | |
| Bronchoscopy |
$2,064 |
$7,596 |
$4,128 |
$303 | |
| Bunion surgery (bunionectomy) |
$8,415 |
$35,702 |
$8,415 |
$883 | |
| Burn dressing and debridement (medium) |
$232 |
$843 |
$326 |
$166 | |
| Burn dressing and debridement (small) |
$232 |
$896 |
$326 |
$93 | |
| Burn treatment |
$232 |
$870 |
$326 |
$129 | |
| CA 19-9 tumor marker test |
$20 |
$293 |
$21 |
$21 | |
| CA-125 ovarian marker test |
$20 |
$293 |
$21 |
$21 | |
| Calcium blood test |
$5 |
$73 |
$5 |
$5 | |
| Capsule endoscopy |
$1,051 |
$4,057 |
$1,473 |
$802 | |
| Cardiac ablation |
$30,311 |
$106,296 |
$31,221 |
$759 | |
| Cardiac catheterization |
$3,759 |
$16,419 |
$5,264 |
$1,049 | |
| Cardiac MRI |
$340 |
$3,855 |
$405 |
$322 | |
| Cardiac MRI without contrast |
$276 |
$3,218 |
$318 |
$280 | |
| Cardiac rehabilitation |
$149 |
$551 |
$209 |
$26 | |
| Cardiac stress test |
$250 |
$1,438 |
$351 |
$39 | |
| Cardioversion |
$766 |
$2,934 |
$1,073 |
$155 | |
| Carotid artery ultrasound |
$199 |
$1,364 |
$277 |
$156 | |
| Carpal tunnel release |
$2,264 |
$15,390 |
$3,170 |
$483 | |
| Cataract surgery |
$2,676 |
$17,279 |
$3,747 |
$547 | |
| CEA tumor marker test |
$18 |
$544 |
$19 |
$19 | |
| Celiac disease test |
$11 |
$47 |
$12 |
$12 | |
| Central line placement |
$3,661 |
$14,266 |
$3,808 |
$238 | |
| Cervical LEEP procedure |
$3,754 |
$20,998 |
$4,600 |
$325 | |
| Cesarean section (C-section) |
$15,159 |
— |
$18,280 |
$7,552 | |
| Chalazion (eyelid cyst) removal |
$368 |
$15,410 |
$515 |
$131 | |
| Chemotherapy infusion |
$233 |
$1,164 |
$372 |
$81 | |
| Chemotherapy infusion (each additional) |
$83 |
$372 |
$117 |
$28 | |
| Chemotherapy infusion (first hour) |
$383 |
$1,956 |
$536 |
$133 | |
| Chest fluid drain (thoracentesis) |
$727 |
$3,100 |
$1,018 |
$311 | |
| Chest tube insertion |
$1,825 |
$7,168 |
$2,556 |
$143 | |
| Chest X-ray |
$100 |
$430 |
$121 |
$37 | |
| Chest X-ray (1 view) |
$100 |
$419 |
$105 |
$25 | |
| Chest X-ray (2 views) |
$100 |
$419 |
$105 |
$33 | |
| Circumcision |
$2,424 |
$15,390 |
$3,394 |
$167 | |
| CK-MB heart enzyme test |
$11 |
$103 |
$12 |
$12 | |
| Clotting time test (PTT) |
$6 |
$121 |
$6 |
$6 | |
| Colonoscopy |
$1,078 |
$4,090 |
$1,672 |
$480 | |
| Colposcopy |
$353 |
$16,279 |
$495 |
$161 | |
| Complete blood count (CBC) |
$7 |
$112 |
$8 |
$7 | |
| Complete blood count (CBC) (complete) |
$7 |
$109 |
$8 |
$8 | |
| Complex wound repair |
$857 |
$2,266 |
$1,200 |
$390 | |
| Copper blood test |
$12 |
$175 |
$13 |
$12 | |
| Coronary artery bypass (CABG) |
$60,913 |
— |
$67,877 |
$36,593 | |
| Coronary CT angiography |
$404 |
$1,855 |
$419 |
$326 | |
| Cortisol test |
$16 |
$230 |
$17 |
$16 | |
| COVID-19 PCR test |
$51 |
$210 |
$51 |
$51 | |
| CPAP titration study |
$253 |
$955 |
$356 |
$69 | |
| Creatine kinase (CK) test |
$6 |
$92 |
$7 |
$7 | |
| CT angiography of the chest |
$203 |
$3,620 |
$241 |
$281 | |
| CT angiography of the head |
$203 |
$3,517 |
$241 |
$274 | |
| CT colonography (virtual colonoscopy) |
$276 |
$2,043 |
$408 |
$835 | |
| CT scan of the abdomen |
$203 |
$3,383 |
$203 |
$230 | |
| CT scan of the abdomen and pelvis |
$404 |
$5,307 |
$419 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$404 |
$6,511 |
$486 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$404 |
$5,307 |
$468 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$276 |
$4,802 |
$318 |
$183 | |
| CT scan of the abdomen with and without contrast |
$203 |
$3,841 |
$241 |
$259 | |
| CT scan of the abdomen with contrast |
$203 |
$3,383 |
$241 |
$230 | |
| CT scan of the arm |
$203 |
$4,020 |
$268 |
$199 | |
| CT scan of the arm with contrast |
$404 |
$4,020 |
$436 |
$199 | |
| CT scan of the chest |
$203 |
$3,118 |
$203 |
$167 | |
| CT scan of the chest with and without contrast |
$203 |
$3,605 |
$241 |
$196 | |
| CT scan of the chest with contrast |
$203 |
$3,118 |
$241 |
$167 | |
| CT scan of the head |
$203 |
$3,118 |
$203 |
$148 | |
| CT scan of the head with and without contrast |
$203 |
$3,473 |
$241 |
$173 | |
| CT scan of the head with contrast |
$203 |
$3,118 |
$241 |
$148 | |
| CT scan of the head without contrast |
$121 |
$2,016 |
$145 |
$107 | |
| CT scan of the leg |
$203 |
$4,617 |
$203 |
$166 | |
| CT scan of the leg with contrast |
$203 |
$4,676 |
$241 |
$166 | |
| CT scan of the lower back (lumbar spine) |
$203 |
$3,118 |
$268 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$203 |
$3,855 |
$241 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$404 |
$3,118 |
$473 |
$169 | |
| CT scan of the neck |
$203 |
$3,118 |
$203 |
$183 | |
| CT scan of the neck (cervical spine) |
$203 |
$3,118 |
$268 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$203 |
$3,473 |
$241 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$404 |
$3,118 |
$473 |
$168 | |
| CT scan of the neck with and without contrast |
$203 |
$3,473 |
$241 |
$220 | |
| CT scan of the neck with contrast |
$203 |
$3,118 |
$241 |
$183 | |
| CT scan of the neck without contrast |
$121 |
$2,016 |
$145 |
$150 | |
| CT scan of the pelvis |
$203 |
$2,016 |
$203 |
$226 | |
| CT scan of the pelvis with and without contrast |
$203 |
$1,855 |
$241 |
$251 | |
| CT scan of the pelvis with contrast |
$203 |
$3,118 |
$241 |
$226 | |
| CT scan of the sinuses |
$203 |
$3,118 |
$203 |
$152 | |
| CT scan of the sinuses with and without contrast |
$203 |
$3,473 |
$241 |
$184 | |
| CT scan of the sinuses with contrast |
$203 |
$3,118 |
$241 |
$152 | |
| CT scan of the sinuses without contrast |
$121 |
$2,090 |
$145 |
$128 | |
| D-dimer test |
$10 |
$203 |
$10 |
$10 | |
| Defibrillator (ICD) implant |
$36,401 |
$147,241 |
$37,494 |
$798 | |
| Developmental screening (child) |
— |
$251 |
$251 |
— | |
| DHEA-sulfate test |
$22 |
$386 |
$23 |
$22 | |
| Diagnostic mammogram |
$114 |
$825 |
$130 |
$140 | |
| Dialysis fistula creation |
$3,661 |
$25,247 |
$5,100 |
$601 | |
| Dilation and curettage (D&C) |
$3,754 |
$16,376 |
$4,600 |
$298 | |
| Drug screen (urine) |
$37 |
$149 |
$32 |
$17 | |
| Ear pressure test (tympanometry) |
$43 |
$279 |
$61 |
$16 | |
| Echocardiogram |
$276 |
$2,710 |
$566 |
$138 | |
| Echocardiogram with and without contrast |
$276 |
$1,615 |
$387 |
$101 | |
| Echocardiogram without contrast |
$276 |
$2,805 |
$387 |
$138 | |
| EEG (awake and asleep) |
$250 |
$1,405 |
$351 |
$482 | |
| EKG / ECG (tracing only) |
$68 |
$561 |
$96 |
$7 | |
| Electrocardiogram (EKG) |
$68 |
$561 |
$96 |
$8 | |
| Electroencephalogram (EEG) |
$250 |
$1,283 |
$351 |
$448 | |
| Electrolyte panel |
$7 |
$74 |
$7 |
$7 | |
| Electromyography (EMG) |
$154 |
$719 |
$216 |
$141 | |
| Emergency department visit |
$316 |
$1,635 |
$484 |
$69 | |
| Emergency department visit (level 1) |
$97 |
$650 |
$140 |
$11 | |
| Emergency department visit (level 2) |
$178 |
$1,042 |
$249 |
$40 | |
| Emergency department visit (level 3) |
$316 |
$1,635 |
$443 |
$69 | |
| Emergency department visit (level 4) |
$483 |
$2,099 |
$677 |
$118 | |
| Emergency department visit (level 5) |
$690 |
$2,875 |
$966 |
$171 | |
| Epidural steroid injection |
$818 |
$2,536 |
$1,146 |
$275 | |
| ERCP (bile duct endoscopy) |
$4,471 |
$17,140 |
$4,695 |
$311 | |
| Esophageal dilation |
$1,051 |
$2,890 |
$1,473 |
$522 | |
| Esophageal variceal banding |
$2,225 |
$3,575 |
$3,115 |
$126 | |
| Estradiol (estrogen) test |
$27 |
$393 |
$28 |
$28 | |
| Facet joint injection (spine) |
$1,025 |
$1,187 |
$1,187 |
$99 | |
| Fallopian tube X-ray (HSG) |
$276 |
$1,254 |
$345 |
$164 | |
| Family therapy session |
$205 |
$918 |
$214 |
$110 | |
| Fecal occult blood (stool) test |
$10 |
$402 |
$13 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$4 |
$579 |
$4 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$15 |
$224 |
$16 |
$16 | |
| Feeding tube (PEG) placement |
$2,225 |
$8,516 |
$3,115 |
$178 | |
| Femoral hernia repair |
$4,152 |
$19,474 |
$5,258 |
$584 | |
| Ferritin (iron) test |
$13 |
$201 |
$14 |
$14 | |
| Fibrinogen test |
$9 |
$119 |
$10 |
$10 | |
| Fibroid removal (myomectomy) |
— |
$38,952 |
$5,533 |
$914 | |
| Flexible sigmoidoscopy |
$1,078 |
$3,364 |
$1,510 |
$323 | |
| Flu test |
$16 |
$137 |
$17 |
$17 | |
| Folate (folic acid) test |
$14 |
$207 |
$15 |
$15 | |
| Foreign body removal (skin) |
$471 |
$8,587 |
$660 |
$157 | |
| Free T4 thyroid test |
$9 |
$172 |
$9 |
$9 | |
| FSH hormone test |
$18 |
$320 |
$19 |
$19 | |
| Gallbladder removal (laparoscopic) |
$7,010 |
$24,069 |
$7,362 |
$658 | |
| Gallbladder scan (HIDA) |
$546 |
$2,278 |
$630 |
$334 | |
| Ganglion cyst removal |
$1,864 |
$10,739 |
$2,611 |
$321 | |
| GGT liver test |
$7 |
$101 |
$7 |
$7 | |
| Glucose tolerance test |
$8 |
$117 |
$10 |
$8 | |
| Group therapy session |
$117 |
$752 |
$121 |
$30 | |
| H. pylori test |
$67 |
$611 |
$68 |
$67 | |
| Hammertoe repair |
$3,794 |
$20,060 |
$4,600 |
$548 | |
| HDL cholesterol test |
$8 |
$115 |
$8 |
$8 | |
| Hearing test (audiometry) |
$149 |
$1,513 |
$209 |
$36 | |
| Hemodialysis |
$795 |
$4,222 |
$836 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$9 |
$137 |
$10 |
$10 | |
| Hemorrhoid removal |
$3,218 |
$10,838 |
$3,219 |
$338 | |
| Hepatitis B test |
$10 |
$145 |
$10 |
$10 | |
| Hepatitis C test |
$14 |
$202 |
$14 |
$14 | |
| Hip replacement |
$14,888 |
$53,560 |
$15,336 |
$1,162 | |
| HIV test |
$24 |
$262 |
$24 |
$19 | |
| HIV test (antibody) |
$13 |
$203 |
$14 |
$14 | |
| HIV test (antigen/antibody combo) |
$24 |
$262 |
$24 |
$24 | |
| Holter heart monitor |
$111 |
$1,397 |
$154 |
$26 | |
| Home sleep apnea test |
$159 |
$636 |
$250 |
$123 | |
| Hysteroscopy |
$3,754 |
$18,822 |
$4,600 |
$1,270 | |
| Inguinal hernia repair |
$4,152 |
$21,125 |
$5,258 |
$538 | |
| Iron blood test |
$6 |
$123 |
$7 |
$6 | |
| IUD insertion |
— |
$17,310 |
$2,766 |
— | |
| IUD removal |
$353 |
$1,379 |
$495 |
$112 | |
| IV infusion therapy |
$150 |
$894 |
$247 |
$44 | |
| IV infusion therapy (each additional) |
$54 |
$830 |
$75 |
$21 | |
| IV infusion therapy (initial) |
$246 |
$959 |
$336 |
$67 | |
| IVC filter placement |
$6,453 |
$24,595 |
$6,905 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$355 |
$1,237 |
$498 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$355 |
$1,326 |
$498 |
$57 | |
| Joint aspiration or injection (small joint) |
$355 |
$1,148 |
$498 |
$56 | |
| Kidney biopsy |
$1,915 |
$7,256 |
$2,681 |
$492 | |
| Kidney scan (nuclear) |
$629 |
$3,004 |
$658 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$4,087 |
$17,420 |
$5,723 |
$760 | |
| Kidney ultrasound |
$121 |
$1,454 |
$131 |
$84 | |
| Kidney ultrasound (limited) |
$121 |
$1,801 |
$131 |
$61 | |
| Knee arthroscopy |
$3,794 |
$24,345 |
$5,123 |
$524 | |
| Knee joint injection |
$355 |
$8,418 |
$498 |
$69 | |
| Knee replacement |
$31,705 |
— |
$32,476 |
$18,054 | |
| Lactate test |
$11 |
$150 |
$12 |
$12 | |
| Laryngoscopy |
$1,148 |
$3,540 |
$1,191 |
$189 | |
| LDH test |
$6 |
$85 |
$6 |
$6 | |
| LDL cholesterol test |
$10 |
$134 |
$11 |
$11 | |
| Leg artery angiogram |
$3,661 |
$14,266 |
$3,845 |
$149 | |
| Leg artery angioplasty |
$9,672 |
$38,301 |
$12,873 |
— | |
| Leg vein ultrasound (Doppler) |
$199 |
$1,339 |
$277 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$121 |
$1,108 |
$170 |
$116 | |
| LH hormone test |
$18 |
$301 |
$19 |
$19 | |
| Lipid (cholesterol) panel |
$13 |
$189 |
$14 |
$13 | |
| Liver biopsy |
$1,915 |
$7,256 |
$2,681 |
$288 | |
| Lower back (lumbar) spinal fusion |
— |
— |
$59,809 |
$1,511 | |
| Lumpectomy (breast) |
$4,540 |
$22,638 |
$4,768 |
$750 | |
| Lung function test (PFT) |
$341 |
$1,311 |
$448 |
$37 | |
| Lung scan (V/Q) |
$629 |
$2,419 |
$658 |
$291 | |
| Magnesium blood test |
$6 |
$94 |
$7 |
$7 | |
| Mastectomy |
$7,700 |
$36,063 |
$7,932 |
$1,021 | |
| MRA of the brain |
$404 |
$3,680 |
$419 |
$226 | |
| MRA of the brain with contrast |
$404 |
$3,680 |
$486 |
$226 | |
| MRA of the brain without contrast |
$404 |
$4,492 |
$486 |
$328 | |
| MRA of the neck |
$404 |
$4,492 |
$419 |
$245 | |
| MRA of the neck with contrast |
$404 |
$3,680 |
$486 |
$245 | |
| MRA of the neck without contrast |
$404 |
$4,492 |
$486 |
$343 | |
| MRI of the abdomen |
$404 |
$4,067 |
$419 |
$300 | |
| MRI of the abdomen with contrast |
$404 |
$4,067 |
$486 |
$300 | |
| MRI of the abdomen without contrast |
$276 |
$3,461 |
$318 |
$194 | |
| MRI of the ankle |
$404 |
$5,596 |
$419 |
$261 | |
| MRI of the ankle with contrast |
$404 |
$3,995 |
$486 |
$261 | |
| MRI of the ankle without contrast |
$276 |
$5,596 |
$318 |
$222 | |
| MRI of the brain |
$404 |
$4,536 |
$419 |
$269 | |
| MRI of the brain with contrast |
$404 |
$4,186 |
$486 |
$269 | |
| MRI of the brain without contrast |
$276 |
$4,536 |
$318 |
$195 | |
| MRI of the chest |
$404 |
$4,646 |
$566 |
$371 | |
| MRI of the chest with contrast |
$909 |
$4,106 |
$950 |
$371 | |
| MRI of the chest without contrast |
$404 |
$4,646 |
$486 |
$466 | |
| MRI of the knee |
$404 |
$6,468 |
$566 |
$315 | |
| MRI of the knee with contrast |
$909 |
$6,468 |
$950 |
$315 | |
| MRI of the knee without contrast |
$276 |
$5,166 |
$318 |
$204 | |
| MRI of the lower back (lumbar spine) |
$404 |
$4,538 |
$419 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$404 |
$4,278 |
$486 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$276 |
$4,538 |
$318 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$404 |
$4,169 |
$419 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$404 |
$5,139 |
$486 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$404 |
$4,169 |
$486 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$276 |
$3,573 |
$318 |
$190 | |
| MRI of the neck (cervical spine) |
$404 |
$4,331 |
$419 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$404 |
$5,545 |
$486 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$404 |
$4,331 |
$486 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$276 |
$3,604 |
$318 |
$191 | |
| MRI of the pelvis |
$404 |
$4,538 |
$419 |
$268 | |
| MRI of the pelvis with contrast |
$404 |
$4,538 |
$486 |
$268 | |
| MRI of the pelvis without contrast |
$276 |
$3,779 |
$318 |
$227 | |
| MRI of the shoulder |
$404 |
$7,103 |
$566 |
$313 | |
| MRI of the shoulder with contrast |
$909 |
$7,103 |
$950 |
$313 | |
| MRI of the shoulder without contrast |
$276 |
$5,730 |
$318 |
$205 | |
| MRI of the wrist |
$404 |
$5,684 |
$419 |
$330 | |
| MRI of the wrist with contrast |
$404 |
$3,826 |
$486 |
$330 | |
| MRI of the wrist without contrast |
$276 |
$5,684 |
$318 |
$303 | |
| Nebulizer breathing treatment |
$253 |
$955 |
$356 |
$9 | |
| Nerve conduction study |
$250 |
$1,162 |
$351 |
$118 | |
| Nuchal translucency ultrasound |
$121 |
$789 |
$145 |
$116 | |
| Nuclear cardiac stress test |
$1,501 |
$6,355 |
$1,569 |
$428 | |
| Occupational therapy evaluation |
$111 |
$785 |
$134 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$111 |
$1,135 |
$151 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$111 |
$551 |
$130 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$111 |
$785 |
$151 |
$101 | |
| Office visit (established patient) |
— |
$640 |
$84 |
$115 | |
| Office visit (new patient) |
— |
$831 |
$138 |
$177 | |
| Office visit, established patient (level 3) |
— |
$597 |
$68 |
$95 | |
| Office visit, established patient (level 4) |
— |
$683 |
$100 |
$136 | |
| Office visit, new patient (level 3) |
— |
$784 |
$85 |
$118 | |
| Office visit, new patient (level 4) |
— |
$831 |
$138 |
$177 | |
| Office visit, new patient (level 5) |
— |
$963 |
$187 |
$237 | |
| Orthopedic hardware removal |
$3,368 |
$23,998 |
$4,548 |
$632 | |
| Pacemaker insertion |
$27,690 |
— |
$32,332 |
$15,506 | |
| Pap smear (cervical screening) |
$20 |
$285 |
$27 |
$20 | |
| Parathyroid hormone (PTH) test |
$41 |
$581 |
$42 |
$41 | |
| Parathyroid removal |
$6,865 |
$41,111 |
$7,071 |
$891 | |
| Pelvic ultrasound |
$121 |
$1,019 |
$127 |
$78 | |
| Pelvic ultrasound (complete) |
$121 |
$1,106 |
$139 |
$105 | |
| Pelvic ultrasound (limited) |
$121 |
$932 |
$127 |
$51 | |
| PET scan |
$1,658 |
$9,251 |
$1,981 |
— | |
| Physical therapy evaluation |
$108 |
$785 |
$130 |
$98 | |
| Physical therapy evaluation (high complexity) |
$108 |
$1,135 |
$147 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$108 |
$785 |
$146 |
$98 | |
| Pilonidal cyst removal |
$3,368 |
$16,350 |
$4,548 |
$541 | |
| Platelet count |
$4 |
$63 |
$5 |
$4 | |
| Pregnancy ultrasound |
$121 |
$1,106 |
$144 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$121 |
$1,106 |
$144 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$121 |
$1,106 |
$144 |
$136 | |
| Procalcitonin test |
$27 |
$377 |
$28 |
$27 | |
| Prolactin test |
$19 |
$301 |
$20 |
$19 | |
| Prostate biopsy |
$2,325 |
$8,223 |
$3,139 |
— | |
| Prostate surgery (TURP) |
$6,218 |
$30,780 |
$6,521 |
$526 | |
| Prostate test (PSA) |
$18 |
$293 |
$19 |
$18 | |
| Psychiatric evaluation |
$205 |
$707 |
$324 |
$188 | |
| Psychotherapy session |
$205 |
$597 |
$212 |
$140 | |
| Pterygium removal (eye) |
$2,757 |
$17,310 |
$3,860 |
$540 | |
| Pulmonary rehabilitation |
$68 |
$284 |
$72 |
$87 | |
| Radiofrequency nerve ablation |
$2,264 |
$7,817 |
$3,170 |
$462 | |
| Retinal detachment repair |
$4,793 |
$17,094 |
$5,907 |
$966 | |
| Rheumatoid factor test |
$6 |
$115 |
$6 |
$6 | |
| Scoliosis spine X-ray |
$111 |
$604 |
$121 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$100 |
$419 |
$105 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$121 |
$789 |
$127 |
$72 | |
| Screening colonoscopy |
$1,078 |
$4,090 |
$1,510 |
$378 | |
| Screening mammogram |
$105 |
$506 |
$111 |
$126 | |
| Scrotal ultrasound |
$121 |
$1,106 |
$136 |
$99 | |
| Semen analysis |
$12 |
$152 |
$12 |
$12 | |
| Septoplasty (deviated septum) |
$3,844 |
$10,995 |
$4,600 |
$613 | |
| Sex hormone binding globulin test |
$21 |
$297 |
$22 |
$22 | |
| Shoulder replacement |
$20,333 |
$97,380 |
$20,944 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$232 |
$896 |
$326 |
$114 | |
| Simple wound stitches |
$232 |
$896 |
$326 |
$127 | |
| Sinus surgery (endoscopic) |
$8,184 |
$21,815 |
$8,185 |
$224 | |
| Skin biopsy |
$471 |
$1,226 |
$857 |
$121 | |
| Skin biopsy (punch) |
$471 |
$8,136 |
$660 |
$121 | |
| Skin cancer lesion removal |
$646 |
$2,696 |
$850 |
$240 | |
| Skin graft |
$3,251 |
$9,507 |
$4,110 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$232 |
$868 |
$372 |
$36 | |
| Skin tag removal |
$232 |
$8,078 |
$326 |
$92 | |
| Sleep study (polysomnography) |
$995 |
$5,545 |
$1,394 |
$691 | |
| Soft tissue ultrasound |
$121 |
$1,071 |
$131 |
$64 | |
| Speech therapy |
$84 |
$655 |
$101 |
$76 | |
| Spinal cord stimulator |
$7,390 |
$28,726 |
$7,686 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$818 |
$3,095 |
$1,146 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$8,415 |
$28,032 |
$8,667 |
$5,803 | |
| Spirometry (lung function test) |
$250 |
$1,217 |
$351 |
$30 | |
| Spirometry with bronchodilator |
$432 |
$1,405 |
$606 |
$43 | |
| Strep throat test |
$16 |
$149 |
$17 |
$17 | |
| Stress echocardiogram |
$633 |
$3,516 |
$887 |
$209 | |
| Stress echocardiogram (complete) |
$633 |
$3,986 |
$887 |
$233 | |
| Swallow study |
$62 |
$1,039 |
$85 |
$85 | |
| T3 thyroid test |
$14 |
$305 |
$14 |
$14 | |
| Testosterone test |
$25 |
$363 |
$26 |
$26 | |
| Thyroid removal (thyroidectomy) |
$7,010 |
$77,895 |
$7,362 |
$1,004 | |
| Thyroid test (TSH) |
$16 |
$312 |
$17 |
$17 | |
| Thyroid ultrasound |
$121 |
$1,106 |
$130 |
$109 | |
| Thyroid uptake scan |
$463 |
$1,948 |
$484 |
$145 | |
| Tilt table test |
$432 |
$2,399 |
$606 |
$168 | |
| Total IgE allergy test |
$16 |
$232 |
$17 |
$16 | |
| Tracheostomy |
$3,844 |
$10,869 |
$4,600 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$633 |
$2,644 |
$887 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$633 |
$2,655 |
$887 |
$239 | |
| Transvaginal ultrasound |
$121 |
$1,106 |
$139 |
$118 | |
| Trigger finger release |
$1,864 |
$17,310 |
$2,611 |
$630 | |
| Trigger point injection |
$355 |
$1,155 |
$498 |
$56 | |
| Trigger point injection (1-2 muscles) |
$355 |
$1,155 |
$498 |
$52 | |
| Triglycerides test |
$5 |
$145 |
$6 |
$6 | |
| Troponin (heart) test |
$12 |
$237 |
$13 |
$12 | |
| Ulnar nerve surgery (elbow) |
$2,264 |
$5,876 |
$3,170 |
$575 | |
| Upper GI endoscopy (EGD) |
$1,051 |
$4,057 |
$1,473 |
$371 | |
| Upper GI series (barium) |
$203 |
$835 |
$213 |
$128 | |
| Ureteral stent placement |
$4,087 |
$16,673 |
$4,600 |
$373 | |
| Ureteroscopy (stone removal) |
$6,218 |
$24,334 |
$6,521 |
$365 | |
| Urine microalbumin test |
$5 |
$471 |
$6 |
$5 | |
| Urine pregnancy test |
$8 |
$162 |
$9 |
$9 | |
| Vaccine administration |
$83 |
$228 |
$133 |
$19 | |
| Vaccine administration (each additional) |
— |
$140 |
$140 |
$16 | |
| Vaginal delivery |
$11,905 |
— |
$13,087 |
$5,487 | |
| Varicose vein ablation |
$3,661 |
$11,803 |
$5,100 |
$1,018 | |
| Vitamin B12 test |
$15 |
$212 |
$15 |
$15 | |
| Vitamin D test |
$29 |
$541 |
$30 |
$30 | |
| Vitrectomy (eye) |
$4,793 |
$16,242 |
$5,907 |
$814 | |
| Weight-loss (bariatric) surgery |
$21,607 |
— |
$27,919 |
$11,645 | |
| Wound debridement |
$857 |
$2,485 |
$900 |
$186 | |
| Wrist fracture repair |
$8,415 |
$45,439 |
$8,667 |
$735 | |
| X-ray of the abdomen |
$111 |
$480 |
$121 |
$36 | |
| X-ray of the ankle |
$100 |
$535 |
$105 |
$37 | |
| X-ray of the collarbone |
$100 |
$928 |
$105 |
$33 | |
| X-ray of the elbow |
$100 |
$625 |
$105 |
$33 | |
| X-ray of the facial bones |
$111 |
$604 |
$121 |
$39 | |
| X-ray of the foot |
$100 |
$757 |
$105 |
$34 | |
| X-ray of the forearm |
$100 |
$756 |
$105 |
$29 | |
| X-ray of the hand |
$100 |
$794 |
$105 |
$38 | |
| X-ray of the hip |
$100 |
$419 |
$121 |
$49 | |
| X-ray of the hip (1 view) |
$100 |
$419 |
$105 |
$34 | |
| X-ray of the hip (3 views) |
$100 |
$419 |
$105 |
$49 | |
| X-ray of the hip (4 views) |
$121 |
$789 |
$127 |
$63 | |
| X-ray of the knee |
$100 |
$671 |
$121 |
$42 | |
| X-ray of the knee (2 views) |
$100 |
$671 |
$105 |
$34 | |
| X-ray of the knee (3 views) |
$100 |
$419 |
$105 |
$42 | |
| X-ray of the knee (4+ views) |
$121 |
$733 |
$127 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$121 |
$789 |
$127 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$121 |
$789 |
$127 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$121 |
$789 |
$127 |
$53 | |
| X-ray of the lower leg |
$100 |
$720 |
$105 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$121 |
$789 |
$127 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$121 |
$789 |
$127 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$121 |
$789 |
$127 |
$39 | |
| X-ray of the neck (cervical spine) |
$111 |
$569 |
$121 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$100 |
$419 |
$105 |
$40 | |
| X-ray of the pelvis |
$121 |
$683 |
$127 |
$36 | |
| X-ray of the pelvis (1 view) |
$121 |
$789 |
$127 |
$28 | |
| X-ray of the ribs |
$121 |
$563 |
$125 |
$42 | |
| X-ray of the ribs (2 views) |
$100 |
$563 |
$105 |
$36 | |
| X-ray of the ribs (3 views) |
$121 |
$550 |
$127 |
$42 | |
| X-ray of the shoulder |
$100 |
$806 |
$105 |
$36 | |
| X-ray of the skull |
$121 |
$754 |
$127 |
$40 | |
| X-ray of the upper arm |
$100 |
$547 |
$105 |
$32 | |
| X-ray of the wrist |
$100 |
$817 |
$105 |
$43 | |
| YAG laser capsulotomy (eye) |
$637 |
$2,349 |
$893 |
$335 | |
| Zinc blood test |
$11 |
$160 |
$12 |
$11 | |