| 3D mammogram (tomosynthesis) |
$240 |
$261 |
$90 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$6,294 |
$6,490 |
$2,784 |
$284 | |
| Abdominal ultrasound |
$4,508 |
$4,609 |
$445 |
$100 | |
| Abdominal ultrasound (complete) |
$5,056 |
$5,173 |
$368 |
$114 | |
| Abdominal ultrasound (limited) |
$3,960 |
$4,044 |
$476 |
$86 | |
| Abscess drainage (complex or multiple) |
$1,790 |
$1,912 |
$1,003 |
$220 | |
| Abscess drainage (simple) |
$954 |
$1,018 |
$405 |
$129 | |
| Abscess incision and drainage |
$990 |
$1,018 |
$534 |
$174 | |
| Albumin blood test |
$291 |
$294 |
$13 |
$5 | |
| Alkaline phosphatase test |
$18 |
$20 |
$7 |
$5 | |
| Allergy shots |
$214 |
$225 |
$135 |
$11 | |
| ALT liver enzyme test |
$258 |
$261 |
$13 |
$5 | |
| Ammonia blood test |
$660 |
$666 |
$67 |
$15 | |
| Amniocentesis |
$2,927 |
$3,780 |
$2,080 |
$120 | |
| Amylase test |
$313 |
$319 |
$18 |
$6 | |
| Annual physical (established patient) |
$668 |
$755 |
$412 |
— | |
| Annual physical (new patient) |
$1,044 |
$1,181 |
$459 |
— | |
| Anoscopy |
$724 |
$742 |
$594 |
$129 | |
| Antinuclear antibody (ANA) test |
$395 |
$406 |
$55 |
$12 | |
| Arterial blood gas (ABG) |
$32 |
$160 |
$61 |
$26 | |
| AST liver enzyme test |
$224 |
$229 |
$24 |
$5 | |
| Barium swallow study |
$2,231 |
$2,362 |
$410 |
$107 | |
| Bartholin cyst removal |
$1,185 |
$1,226 |
$425 |
$182 | |
| Basic metabolic panel |
$571 |
$579 |
$39 |
$8 | |
| Bilirubin blood test |
$172 |
$175 |
$23 |
$5 | |
| Bladder function test (urodynamics) |
$1,858 |
$2,115 |
$737 |
$345 | |
| Bladder scope (cystoscopy) |
$2,412 |
$2,710 |
$1,173 |
$216 | |
| Blood clotting test (PT/INR) |
$182 |
$185 |
$18 |
$4 | |
| Blood crossmatch |
$425 |
$436 |
$152 |
— | |
| Blood glucose test |
$205 |
$208 |
$15 |
$5 | |
| Blood transfusion |
$2,447 |
$2,460 |
$938 |
$47 | |
| Blood type and screen |
$610 |
$614 |
$213 |
$10 | |
| Blood type test |
$227 |
$229 |
$79 |
$3 | |
| Blood type test (ABO group) |
$226 |
$229 |
$79 |
$3 | |
| Blood type test (Rh/D antigen) |
$227 |
$229 |
$43 |
$3 | |
| BNP (heart failure) test |
$499 |
$535 |
$156 |
$39 | |
| Bone density scan (DEXA) |
$487 |
$547 |
$244 |
$39 | |
| Bone marrow biopsy |
$7,840 |
$8,721 |
$3,875 |
$172 | |
| Bone scan (nuclear) |
$6,282 |
$6,720 |
$935 |
$259 | |
| Botox for migraine |
$1,332 |
$1,512 |
$524 |
$157 | |
| Breast biopsy |
$7,263 |
$7,922 |
$2,747 |
$478 | |
| Breast MRI |
$4,487 |
$4,635 |
$1,843 |
$216 | |
| Breast MRI without contrast |
$288 |
$324 |
$1,936 |
$216 | |
| Breast ultrasound |
$588 |
$663 |
$277 |
$92 | |
| Breast ultrasound (complete) |
$483 |
$548 |
$309 |
$100 | |
| Breast ultrasound (limited) |
$692 |
$778 |
$270 |
$84 | |
| Breathing tube insertion (intubation) |
$2,709 |
$2,968 |
$1,155 |
$133 | |
| Bronchoscopy |
$7,160 |
$8,131 |
$3,053 |
$303 | |
| Burn dressing and debridement (small) |
$1,152 |
$1,202 |
$641 |
$93 | |
| Burn treatment |
$1,152 |
$1,202 |
$641 |
$129 | |
| Calcium blood test |
$28 |
$31 |
$12 |
$5 | |
| Cardiac catheterization |
$14,358 |
$17,111 |
$6,196 |
$1,049 | |
| Cardiac stress test |
$3,069 |
$3,240 |
$1,111 |
$39 | |
| Cardioversion |
$3,650 |
$4,128 |
$1,559 |
$155 | |
| Carotid artery ultrasound |
$2,701 |
$2,884 |
$985 |
$156 | |
| CEA tumor marker test |
$119 |
$141 |
$60 |
$19 | |
| Central line placement |
$3,544 |
$3,982 |
$3,116 |
$238 | |
| Cervical cerclage |
$11,947 |
$13,877 |
$5,277 |
$137 | |
| Cervical LEEP procedure |
$9,514 |
$10,761 |
$3,660 |
$325 | |
| Chemotherapy infusion |
$1,383 |
$1,596 |
$440 |
$81 | |
| Chemotherapy infusion (each additional) |
$388 |
$733 |
$346 |
$28 | |
| Chemotherapy infusion (first hour) |
$2,377 |
$2,458 |
$683 |
$133 | |
| Chest fluid drain (thoracentesis) |
$7,250 |
$8,748 |
$2,334 |
$311 | |
| Chest tube insertion |
$5,982 |
$6,793 |
$3,004 |
$143 | |
| Chest X-ray |
$801 |
$831 |
$257 |
$37 | |
| Chest X-ray (1 view) |
$718 |
$742 |
$257 |
$25 | |
| Chest X-ray (2 views) |
$883 |
$919 |
$319 |
$33 | |
| Chickenpox (varicella) vaccine |
$431 |
$539 |
$161 |
— | |
| CK-MB heart enzyme test |
$494 |
$501 |
$34 |
$12 | |
| Clotting time test (PTT) |
$291 |
$294 |
$10 |
$6 | |
| Colonoscopy |
$4,583 |
$5,184 |
$2,763 |
$480 | |
| Colposcopy |
$2,325 |
$2,420 |
$732 |
$161 | |
| Complete blood count (CBC) |
$497 |
$612 |
$39 |
$7 | |
| Complete blood count (CBC) (complete) |
$421 |
$645 |
$77 |
$8 | |
| Comprehensive metabolic panel |
$758 |
$767 |
$46 |
$11 | |
| Continuous glucose monitor setup |
$204 |
$229 |
$105 |
$35 | |
| Contraceptive implant (Nexplanon) |
$1,480 |
$1,590 |
$585 |
$115 | |
| Cortisol test |
$512 |
$525 |
$75 |
$16 | |
| Creatine kinase (CK) test |
$289 |
$294 |
$10 |
$7 | |
| CT angiography of the chest |
$3,317 |
$3,512 |
$1,237 |
$281 | |
| CT angiography of the head |
$14,552 |
$14,747 |
$1,735 |
$274 | |
| CT scan of the abdomen |
$8,291 |
$8,486 |
$1,219 |
$230 | |
| CT scan of the abdomen and pelvis |
$8,236 |
$8,570 |
$1,255 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$11,830 |
$12,238 |
$1,702 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$8,236 |
$8,570 |
$1,192 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$8,139 |
$8,309 |
$1,072 |
$183 | |
| CT scan of the abdomen with and without contrast |
$7,321 |
$7,671 |
$1,318 |
$259 | |
| CT scan of the abdomen with contrast |
$8,291 |
$8,486 |
$1,146 |
$230 | |
| CT scan of the abdomen without contrast |
$10,000 |
$10,117 |
$1,191 |
$136 | |
| CT scan of the arm |
$7,101 |
$7,285 |
$950 |
$199 | |
| CT scan of the arm with contrast |
$7,046 |
$7,295 |
$1,058 |
$199 | |
| CT scan of the arm without contrast |
$7,155 |
$7,274 |
$856 |
$161 | |
| CT scan of the chest |
$7,544 |
$7,661 |
$932 |
$167 | |
| CT scan of the chest with and without contrast |
$9,180 |
$9,375 |
$1,268 |
$196 | |
| CT scan of the chest with contrast |
$6,462 |
$6,657 |
$926 |
$167 | |
| CT scan of the chest without contrast |
$7,544 |
$7,661 |
$785 |
$133 | |
| CT scan of the head |
$8,718 |
$8,988 |
$1,042 |
$148 | |
| CT scan of the head with and without contrast |
$12,267 |
$13,190 |
$1,552 |
$173 | |
| CT scan of the head with contrast |
$8,718 |
$8,988 |
$1,106 |
$148 | |
| CT scan of the head without contrast |
$4,968 |
$5,079 |
$643 |
$107 | |
| CT scan of the leg |
$7,954 |
$8,110 |
$1,182 |
$166 | |
| CT scan of the leg with contrast |
$7,392 |
$7,587 |
$1,196 |
$166 | |
| CT scan of the leg without contrast |
$8,515 |
$8,632 |
$1,098 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$3,055 |
$3,250 |
$764 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$3,055 |
$3,250 |
$452 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,570 |
$2,978 |
$934 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$5,441 |
$5,560 |
$664 |
$130 | |
| CT scan of the neck |
$6,692 |
$6,887 |
$1,182 |
$183 | |
| CT scan of the neck (cervical spine) |
$3,055 |
$3,250 |
$1,027 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$3,055 |
$3,250 |
$1,001 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$2,570 |
$2,978 |
$934 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$9,279 |
$9,396 |
$1,106 |
$131 | |
| CT scan of the neck with and without contrast |
$10,120 |
$10,315 |
$1,287 |
$220 | |
| CT scan of the neck with contrast |
$6,692 |
$6,887 |
$1,029 |
$183 | |
| CT scan of the neck without contrast |
$4,780 |
$5,215 |
$725 |
$150 | |
| CT scan of the pelvis |
$8,375 |
$8,570 |
$1,192 |
$226 | |
| CT scan of the pelvis with and without contrast |
$12,043 |
$12,238 |
$1,449 |
$251 | |
| CT scan of the pelvis with contrast |
$8,375 |
$8,570 |
$1,147 |
$226 | |
| CT scan of the pelvis without contrast |
$8,095 |
$8,214 |
$967 |
$133 | |
| CT scan of the sinuses |
$8,939 |
$9,134 |
$1,198 |
$152 | |
| CT scan of the sinuses with and without contrast |
$10,267 |
$10,462 |
$1,261 |
$184 | |
| CT scan of the sinuses with contrast |
$8,939 |
$9,134 |
$1,112 |
$152 | |
| CT scan of the sinuses without contrast |
$8,662 |
$8,779 |
$1,033 |
$128 | |
| D-dimer test |
$301 |
$306 |
$29 |
$10 | |
| Diagnostic mammogram |
$156 |
$175 |
$175 |
$140 | |
| Drug screen (urine) |
$100 |
$120 |
$69 |
$17 | |
| Ear pressure test (tympanometry) |
$249 |
$280 |
$118 |
$16 | |
| Ear tubes (myringotomy) |
$3,462 |
$3,890 |
$706 |
$174 | |
| Echocardiogram |
$4,652 |
$4,912 |
$1,703 |
$138 | |
| Echocardiogram with and without contrast |
$4,652 |
$4,912 |
$1,694 |
$101 | |
| Echocardiogram without contrast |
$4,648 |
$4,912 |
$1,685 |
$138 | |
| EEG (awake and asleep) |
$3,675 |
$3,940 |
$1,359 |
$482 | |
| EKG / ECG (tracing only) |
$499 |
$536 |
$186 |
$7 | |
| Electrocardiogram (EKG) |
$499 |
$536 |
$186 |
$8 | |
| Electroencephalogram (EEG) |
$3,667 |
$3,940 |
$1,351 |
$448 | |
| Electrolyte panel |
$388 |
$393 |
$24 |
$7 | |
| Electromyography (EMG) |
$1,175 |
$1,313 |
$303 |
$141 | |
| Emergency department visit |
$2,346 |
$2,498 |
$1,106 |
$69 | |
| Emergency department visit (level 1) |
$1,854 |
$1,902 |
$793 |
$11 | |
| Emergency department visit (level 2) |
$2,097 |
$2,184 |
$804 |
$40 | |
| Emergency department visit (level 3) |
$2,346 |
$2,498 |
$1,135 |
$69 | |
| Emergency department visit (level 4) |
$3,691 |
$3,930 |
$1,194 |
$118 | |
| Emergency department visit (level 5) |
$5,412 |
$5,758 |
$1,164 |
$171 | |
| Endometrial biopsy |
$1,136 |
$1,290 |
$442 |
$98 | |
| Epidural steroid injection |
$2,624 |
$2,968 |
$1,029 |
$275 | |
| Esophageal dilation |
$4,960 |
$5,761 |
$2,975 |
$522 | |
| Facet joint injection (spine) |
$4,903 |
$6,448 |
$3,875 |
$99 | |
| Fallopian tube X-ray (HSG) |
$1,722 |
$1,795 |
$460 |
$164 | |
| Family therapy session |
$1,720 |
$1,740 |
$603 |
$110 | |
| Fecal occult blood (stool) test |
$181 |
$185 |
$15 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$181 |
$185 |
$15 |
$4 | |
| Feeding tube (PEG) placement |
$10,361 |
$11,643 |
$3,688 |
$178 | |
| Ferritin (iron) test |
$841 |
$854 |
$63 |
$14 | |
| Flu test |
$40 |
$52 |
$24 |
$17 | |
| Folate (folic acid) test |
$590 |
$600 |
$57 |
$15 | |
| Foreign body removal (skin) |
$2,190 |
$2,487 |
$967 |
$157 | |
| Free T4 thyroid test |
$311 |
$319 |
$22 |
$9 | |
| FSH hormone test |
$581 |
$594 |
$85 |
$19 | |
| Gallbladder scan (HIDA) |
$4,426 |
$4,930 |
$1,175 |
$334 | |
| GGT liver test |
$387 |
$393 |
$33 |
$7 | |
| Glucose tolerance test |
$313 |
$328 |
$28 |
$8 | |
| Group therapy session |
$439 |
$534 |
$167 |
$30 | |
| H. pylori test |
$284 |
$350 |
$121 |
$67 | |
| HDL cholesterol test |
$275 |
$283 |
$37 |
$8 | |
| Hearing test (audiometry) |
$361 |
$733 |
$314 |
$36 | |
| Hematocrit test |
$173 |
$175 |
$12 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$495 |
$501 |
$44 |
$10 | |
| Hemorrhoid removal |
$3,626 |
$4,118 |
$1,428 |
$338 | |
| Hepatitis A vaccine |
$270 |
$303 |
$104 |
— | |
| Hepatitis B test |
$32 |
$42 |
$22 |
$10 | |
| Hepatitis B vaccine |
$176 |
$200 |
$70 |
— | |
| HIV test |
$610 |
$624 |
$63 |
$19 | |
| HIV test (antibody) |
$314 |
$328 |
$63 |
$14 | |
| Holter heart monitor |
$2,578 |
$2,679 |
$783 |
$26 | |
| Home sleep apnea test |
$1,387 |
$1,502 |
$578 |
$123 | |
| HPV vaccine |
$696 |
$787 |
$269 |
— | |
| Hysteroscopy |
$5,703 |
$9,020 |
$4,126 |
$1,270 | |
| Iron blood test |
$432 |
$436 |
$30 |
$6 | |
| IUD insertion |
$1,506 |
$1,710 |
$1,454 |
— | |
| IUD removal |
$1,068 |
$1,200 |
$817 |
$112 | |
| IV infusion therapy |
$1,159 |
$1,186 |
$286 |
$44 | |
| IV infusion therapy (each additional) |
$501 |
$514 |
$170 |
$21 | |
| IV infusion therapy (initial) |
$1,816 |
$1,857 |
$570 |
$67 | |
| IVC filter placement |
$29,009 |
$33,695 |
$8,533 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$1,367 |
$1,523 |
$945 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$1,338 |
$1,523 |
$929 |
$57 | |
| Joint aspiration or injection (small joint) |
$1,395 |
$1,523 |
$945 |
$56 | |
| Kidney biopsy |
$4,270 |
$6,470 |
$3,153 |
$492 | |
| Kidney scan (nuclear) |
$4,378 |
$4,901 |
$1,125 |
$172 | |
| Kidney ultrasound |
$4,722 |
$4,803 |
$498 |
$84 | |
| Kidney ultrasound (limited) |
$4,126 |
$4,170 |
$491 |
$61 | |
| Knee joint injection |
$2,720 |
$3,292 |
$1,127 |
$69 | |
| Lactate test |
$382 |
$393 |
$32 |
$12 | |
| Laryngoscopy |
$3,222 |
$4,165 |
$627 |
$189 | |
| LDH test |
$160 |
$164 |
$28 |
$6 | |
| LDL cholesterol test |
$295 |
$305 |
$23 |
$11 | |
| Leg artery angiogram |
$15,375 |
$15,835 |
$6,578 |
$149 | |
| Leg artery angioplasty |
$48,005 |
$51,144 |
$6,693 |
— | |
| Leg vein ultrasound (Doppler) |
$2,173 |
$2,362 |
$635 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,722 |
$1,839 |
$628 |
$116 | |
| LH hormone test |
$578 |
$594 |
$85 |
$19 | |
| Lipase test |
$574 |
$579 |
$32 |
$7 | |
| Lipid (cholesterol) panel |
$315 |
$328 |
$29 |
$13 | |
| Liver biopsy |
$7,050 |
$7,922 |
$2,921 |
$288 | |
| Liver function panel |
$682 |
$689 |
$37 |
$8 | |
| Lung function test (PFT) |
$575 |
$649 |
$273 |
$37 | |
| Lung scan (V/Q) |
$6,580 |
$6,992 |
$1,264 |
$291 | |
| Magnesium blood test |
$237 |
$241 |
$18 |
$7 | |
| MMR vaccine |
$333 |
$374 |
$105 |
— | |
| MRA of the brain |
$9,186 |
$9,594 |
$1,388 |
$226 | |
| MRA of the brain with contrast |
$9,186 |
$9,594 |
$1,369 |
$226 | |
| MRA of the brain without contrast |
$9,458 |
$9,866 |
$1,962 |
$328 | |
| MRA of the neck |
$9,179 |
$9,594 |
$1,404 |
$245 | |
| MRA of the neck with contrast |
$9,179 |
$9,594 |
$1,427 |
$245 | |
| MRA of the neck without contrast |
$9,451 |
$9,866 |
$1,962 |
$343 | |
| MRI of the abdomen |
$9,186 |
$9,594 |
$1,372 |
$300 | |
| MRI of the abdomen with contrast |
$9,186 |
$9,594 |
$1,613 |
$300 | |
| MRI of the abdomen without contrast |
$8,007 |
$8,267 |
$1,150 |
$194 | |
| MRI of the ankle |
$9,186 |
$9,594 |
$1,362 |
$261 | |
| MRI of the ankle with contrast |
$9,186 |
$9,594 |
$1,362 |
$261 | |
| MRI of the ankle without contrast |
$8,007 |
$8,267 |
$1,202 |
$222 | |
| MRI of the brain |
$9,186 |
$9,594 |
$1,265 |
$269 | |
| MRI of the brain with contrast |
$9,186 |
$9,594 |
$1,334 |
$269 | |
| MRI of the brain without contrast |
$8,031 |
$8,267 |
$1,150 |
$195 | |
| MRI of the chest |
$8,745 |
$9,364 |
$1,618 |
$371 | |
| MRI of the chest with contrast |
$8,745 |
$9,594 |
$1,661 |
$371 | |
| MRI of the chest without contrast |
$8,956 |
$9,364 |
$1,946 |
$466 | |
| MRI of the knee |
$9,139 |
$9,594 |
$1,352 |
$315 | |
| MRI of the knee with contrast |
$9,139 |
$9,594 |
$1,644 |
$315 | |
| MRI of the knee without contrast |
$8,013 |
$8,267 |
$1,150 |
$204 | |
| MRI of the lower back (lumbar spine) |
$9,179 |
$9,594 |
$1,300 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$9,179 |
$9,594 |
$1,334 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$8,007 |
$8,267 |
$1,150 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$9,186 |
$9,594 |
$1,300 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$9,458 |
$9,866 |
$1,507 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$9,186 |
$9,594 |
$1,334 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$8,041 |
$8,267 |
$1,150 |
$190 | |
| MRI of the neck (cervical spine) |
$9,020 |
$9,594 |
$1,300 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$9,020 |
$9,866 |
$1,507 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$9,186 |
$9,594 |
$1,334 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$8,041 |
$8,267 |
$1,150 |
$191 | |
| MRI of the pelvis |
$9,186 |
$9,594 |
$1,372 |
$268 | |
| MRI of the pelvis with contrast |
$9,186 |
$9,594 |
$1,420 |
$268 | |
| MRI of the pelvis without contrast |
$8,007 |
$8,267 |
$1,202 |
$227 | |
| MRI of the shoulder |
$9,143 |
$9,594 |
$1,372 |
$313 | |
| MRI of the shoulder with contrast |
$9,143 |
$9,594 |
$1,644 |
$313 | |
| MRI of the shoulder without contrast |
$8,013 |
$8,267 |
$1,150 |
$205 | |
| MRI of the wrist |
$8,007 |
$8,267 |
$1,372 |
$330 | |
| MRI of the wrist with contrast |
$6,730 |
$7,138 |
$1,408 |
$330 | |
| MRI of the wrist without contrast |
$8,007 |
$8,267 |
$1,202 |
$303 | |
| Nebulizer breathing treatment |
$699 |
$740 |
$278 |
$9 | |
| Nerve conduction study |
$3,791 |
$3,856 |
$788 |
$118 | |
| Nuchal translucency ultrasound |
$1,013 |
$1,105 |
$250 |
$116 | |
| Nuclear cardiac stress test |
$7,395 |
$7,718 |
$2,529 |
$428 | |
| Occupational therapy evaluation |
$928 |
$1,039 |
$205 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$999 |
$1,094 |
$205 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$928 |
$1,039 |
$208 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$928 |
$1,039 |
$195 |
$101 | |
| Office visit (established patient) |
$565 |
$597 |
$293 |
$115 | |
| Office visit (new patient) |
$691 |
$919 |
$395 |
$177 | |
| Office visit, established patient (level 3) |
$525 |
$569 |
$270 |
$95 | |
| Office visit, established patient (level 4) |
$632 |
$696 |
$296 |
$136 | |
| Office visit, new patient (level 3) |
$530 |
$597 |
$300 |
$118 | |
| Office visit, new patient (level 4) |
$691 |
$919 |
$395 |
$177 | |
| Office visit, new patient (level 5) |
$1,866 |
$1,924 |
$532 |
$237 | |
| Pap smear (cervical screening) |
$504 |
$522 |
$93 |
$20 | |
| Pelvic ultrasound |
$1,859 |
$2,067 |
$250 |
$78 | |
| Pelvic ultrasound (complete) |
$3,518 |
$3,634 |
$434 |
$105 | |
| Pelvic ultrasound (limited) |
$200 |
$500 |
$190 |
$51 | |
| Phosphorus blood test |
$226 |
$229 |
$22 |
$5 | |
| Physical therapy evaluation |
$944 |
$1,029 |
$205 |
$98 | |
| Physical therapy evaluation (high complexity) |
$886 |
$1,029 |
$205 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$944 |
$1,039 |
$257 |
$98 | |
| Pneumonia vaccine |
$464 |
$539 |
$139 |
— | |
| Pregnancy blood test (hCG) |
$291 |
$294 |
$35 |
$8 | |
| Pregnancy ultrasound |
$2,739 |
$2,850 |
$377 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$1,814 |
$1,920 |
$295 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$3,663 |
$3,780 |
$397 |
$136 | |
| Procalcitonin test |
$787 |
$809 |
$123 |
$27 | |
| Prolactin test |
$484 |
$503 |
$61 |
$19 | |
| Prostate test (PSA) |
$772 |
$1,181 |
$273 |
$18 | |
| Psychiatric evaluation |
$1,654 |
$1,740 |
$660 |
$188 | |
| Psychotherapy session |
$1,895 |
$2,201 |
$713 |
$140 | |
| Rheumatoid factor test |
$421 |
$645 |
$221 |
$6 | |
| Sacroiliac joint injection |
$692 |
$778 |
$778 |
$176 | |
| Scoliosis spine X-ray |
$1,490 |
$1,544 |
$533 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$1,503 |
$1,544 |
$533 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$1,477 |
$1,544 |
$533 |
$72 | |
| Screening mammogram |
$1,196 |
$1,248 |
$174 |
$126 | |
| Sex hormone binding globulin test |
$50 |
$63 |
$25 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$897 |
$1,008 |
$663 |
$114 | |
| Simple wound stitches |
$883 |
$1,008 |
$663 |
$127 | |
| Skin biopsy |
$1,923 |
$2,003 |
$695 |
$121 | |
| Skin biopsy (punch) |
$1,923 |
$2,003 |
$695 |
$121 | |
| Skin tag removal |
$1,040 |
$1,073 |
$372 |
$92 | |
| Sleep study (polysomnography) |
$21,394 |
$22,497 |
$4,017 |
$691 | |
| Speech therapy |
$485 |
$645 |
$223 |
$76 | |
| Spinal tap (lumbar puncture) |
$2,044 |
$2,419 |
$1,054 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$47,479 |
$51,379 |
$7,146 |
$5,803 | |
| Spirometry (lung function test) |
$449 |
$510 |
$193 |
$30 | |
| Spirometry with bronchodilator |
$701 |
$788 |
$333 |
$43 | |
| Strep throat test |
$85 |
$98 |
$34 |
$17 | |
| Stress echocardiogram |
$2,624 |
$2,968 |
$1,018 |
$209 | |
| T3 thyroid test |
$785 |
$799 |
$65 |
$14 | |
| Tdap (tetanus) vaccine |
$143 |
$162 |
$48 |
— | |
| Thyroid test (TSH) |
$512 |
$525 |
$77 |
$17 | |
| Thyroid uptake scan |
$3,571 |
$3,778 |
$638 |
$145 | |
| Tilt table test |
$2,883 |
$3,261 |
$1,935 |
$168 | |
| Total IgE allergy test |
$46 |
$52 |
$27 |
$16 | |
| Total protein test |
$207 |
$209 |
$17 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$4,654 |
$4,954 |
$1,684 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$4,654 |
$4,954 |
$1,684 |
$239 | |
| Transvaginal ultrasound |
$3,517 |
$3,634 |
$434 |
$118 | |
| Trigger point injection |
$1,036 |
$1,180 |
$506 |
$56 | |
| Triglycerides test |
$370 |
$373 |
$26 |
$6 | |
| Troponin (heart) test |
$327 |
$339 |
$42 |
$12 | |
| Turning a breech baby (version) |
$10,138 |
$10,190 |
$4,912 |
$94 | |
| Upper GI series (barium) |
$3,070 |
$3,214 |
$468 |
$128 | |
| Uric acid (gout) test |
$258 |
$261 |
$21 |
$5 | |
| Urinalysis |
$283 |
$284 |
$11 |
$3 | |
| Urine microalbumin test |
$176 |
$181 |
$14 |
$5 | |
| Urine pregnancy test |
$158 |
$161 |
$29 |
$9 | |
| Vaccine administration |
$299 |
$324 |
$97 |
$19 | |
| Vaccine administration (each additional) |
$312 |
$324 |
$65 |
$16 | |
| Vitamin B12 test |
$841 |
$854 |
$70 |
$15 | |
| Wound debridement |
$2,644 |
$3,010 |
$975 |
$186 | |
| X-ray of the abdomen |
$944 |
$985 |
$266 |
$36 | |
| X-ray of the ankle |
$2,609 |
$2,864 |
$257 |
$37 | |
| X-ray of the facial bones |
$1,947 |
$2,043 |
$249 |
$39 | |
| X-ray of the foot |
$998 |
$1,029 |
$186 |
$34 | |
| X-ray of the hand |
$2,543 |
$2,592 |
$186 |
$38 | |
| X-ray of the hip |
$1,330 |
$1,368 |
$413 |
$49 | |
| X-ray of the hip (1 view) |
$1,160 |
$1,191 |
$409 |
$34 | |
| X-ray of the hip (3 views) |
$1,500 |
$1,544 |
$533 |
$49 | |
| X-ray of the knee |
$1,534 |
$1,609 |
$194 |
$42 | |
| X-ray of the knee (2 views) |
$1,650 |
$1,797 |
$186 |
$34 | |
| X-ray of the knee (3 views) |
$822 |
$854 |
$186 |
$42 | |
| X-ray of the knee (4+ views) |
$1,534 |
$1,609 |
$250 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$1,525 |
$1,578 |
$243 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$1,635 |
$1,693 |
$235 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$1,414 |
$1,463 |
$256 |
$53 | |
| X-ray of the lower leg |
$1,409 |
$1,449 |
$178 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$1,600 |
$1,630 |
$250 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$1,600 |
$1,630 |
$250 |
$33 | |
| X-ray of the neck (cervical spine) |
$2,153 |
$2,194 |
$256 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$1,511 |
$1,544 |
$187 |
$40 | |
| X-ray of the pelvis |
$1,354 |
$1,389 |
$183 |
$36 | |
| X-ray of the pelvis (1 view) |
$1,286 |
$1,314 |
$183 |
$28 | |
| X-ray of the ribs |
$1,972 |
$2,069 |
$277 |
$42 | |
| X-ray of the ribs (3 views) |
$1,972 |
$2,069 |
$277 |
$42 | |
| X-ray of the shoulder |
$1,486 |
$1,533 |
$187 |
$36 | |
| X-ray of the skull |
$2,118 |
$2,189 |
$265 |
$40 | |
| X-ray of the upper arm |
$1,012 |
$1,039 |
$178 |
$32 | |
| X-ray of the wrist |
$2,554 |
$2,602 |
$186 |
$43 | |