| Abdominal fluid drain (paracentesis) |
$1,748 |
$6,991 |
$1,167 |
$284 | |
| Abdominal ultrasound |
$354 |
$1,416 |
$234 |
$100 | |
| Abdominal ultrasound (complete) |
$342 |
$1,369 |
$233 |
$114 | |
| Abdominal ultrasound (limited) |
$366 |
$1,463 |
$249 |
$86 | |
| Abscess drainage (complex or multiple) |
$1,190 |
$4,759 |
$690 |
$220 | |
| Abscess drainage (simple) |
$714 |
$2,856 |
$428 |
$129 | |
| Abscess incision and drainage |
$952 |
$3,807 |
$523 |
$174 | |
| Achilles tendon repair |
$2,475 |
$9,901 |
$8,537 |
$624 | |
| ACL knee reconstruction |
$4,833 |
$19,333 |
$9,333 |
$889 | |
| Adenoid removal (adenoidectomy) |
$3,008 |
$12,033 |
$4,264 |
$204 | |
| Albumin blood test |
$6 |
$26 |
$5 |
$5 | |
| Alkaline phosphatase test |
$6 |
$24 |
$5 |
$5 | |
| ALT liver enzyme test |
$12 |
$46 |
$7 |
$5 | |
| Ammonia blood test |
$18 |
$73 |
$15 |
$15 | |
| Amniocentesis |
$657 |
$2,627 |
$1,185 |
$120 | |
| Amylase test |
$16 |
$65 |
$10 |
$6 | |
| Anal fistula repair |
$4,863 |
$19,452 |
$3,570 |
$541 | |
| Ankle fracture repair |
$5,281 |
$21,125 |
$9,333 |
$608 | |
| Anoscopy |
$97 |
$390 |
$171 |
$129 | |
| Arterial blood gas (ABG) |
$28 |
$112 |
$26 |
$26 | |
| AST liver enzyme test |
$12 |
$46 |
$7 |
$5 | |
| Barium swallow study |
$181 |
$722 |
$226 |
$107 | |
| Bartholin cyst removal |
$598 |
$2,393 |
$402 |
$182 | |
| Basic metabolic panel |
$61 |
$244 |
$37 |
$8 | |
| Benign skin lesion removal |
$712 |
$2,848 |
$911 |
$171 | |
| Bilirubin blood test |
$6 |
$25 |
$5 |
$5 | |
| Bladder scope (cystoscopy) |
$695 |
$2,780 |
$1,263 |
$216 | |
| Bladder tumor removal (TURBT) |
$3,222 |
$12,886 |
$4,534 |
$236 | |
| Blood clotting test (PT/INR) |
$26 |
$103 |
$8 |
$4 | |
| Blood crossmatch |
$76 |
$302 |
$219 |
— | |
| Blood glucose test |
$6 |
$23 |
$5 |
$5 | |
| Blood transfusion |
$338 |
$1,354 |
$567 |
$47 | |
| Blood type and screen |
$49 |
$197 |
$67 |
$10 | |
| Blood type test |
$231 |
$923 |
$171 |
$3 | |
| Blood type test (ABO group) |
$231 |
$923 |
$171 |
$3 | |
| Blood type test (Rh/D antigen) |
$231 |
$923 |
$138 |
$3 | |
| BNP (heart failure) test |
$42 |
$169 |
$39 |
$39 | |
| Bone density scan (DEXA) |
$127 |
$509 |
$134 |
$39 | |
| Bone marrow biopsy |
$1,118 |
$4,471 |
$2,124 |
$172 | |
| Bone scan (nuclear) |
$1,124 |
$4,495 |
$899 |
$259 | |
| Botox for migraine |
$315 |
$1,261 |
$395 |
$157 | |
| Breast biopsy |
$1,843 |
$7,371 |
$2,124 |
$478 | |
| Breast MRI |
$433 |
$1,731 |
$308 |
$216 | |
| Breast MRI without contrast |
$433 |
$1,731 |
$307 |
$216 | |
| Breast reconstruction |
$41,420 |
$165,681 |
$17,725 |
$1,227 | |
| Breast reduction |
$20,943 |
$83,772 |
$9,382 |
$980 | |
| Breast ultrasound |
$630 |
$2,521 |
$214 |
$92 | |
| Breast ultrasound (complete) |
$847 |
$3,386 |
$361 |
$100 | |
| Breast ultrasound (limited) |
$414 |
$1,656 |
$188 |
$84 | |
| Breathing tube insertion (intubation) |
$150 |
$601 |
$305 |
$133 | |
| Bronchoscopy |
$676 |
$2,702 |
$2,289 |
$303 | |
| Bunion surgery (bunionectomy) |
$2,726 |
$10,903 |
$4,208 |
$883 | |
| Burn dressing and debridement (medium) |
$199 |
$797 |
$341 |
$166 | |
| Burn dressing and debridement (small) |
$632 |
$2,527 |
$341 |
$93 | |
| Burn treatment |
$415 |
$1,662 |
$341 |
$129 | |
| C-reactive protein (CRP) |
$8 |
$33 |
$5 |
$5 | |
| Calcium blood test |
$10 |
$40 |
$6 |
$5 | |
| Capsule endoscopy |
$507 |
$2,027 |
$1,167 |
$802 | |
| Cardiac MRI |
$490 |
$1,959 |
$347 |
$322 | |
| Cardiac MRI without contrast |
$406 |
$1,624 |
$307 |
$280 | |
| Cardiac rehabilitation |
$44 |
$176 |
$103 |
$26 | |
| Cardiac stress test |
$277 |
$1,108 |
$278 |
$39 | |
| Cardioversion |
$439 |
$1,756 |
$850 |
$155 | |
| Carotid artery ultrasound |
$129 |
$518 |
$156 |
$156 | |
| Carpal tunnel release |
$1,064 |
$4,256 |
$2,512 |
$483 | |
| Cataract surgery |
$1,903 |
$7,610 |
$2,968 |
$547 | |
| Central line placement |
$4,386 |
$17,543 |
$4,070 |
$238 | |
| Cervical cerclage |
$2,012 |
$8,049 |
$4,163 |
$137 | |
| Cervical LEEP procedure |
$4,026 |
$16,103 |
$4,163 |
$325 | |
| Chalazion (eyelid cyst) removal |
$286 |
$1,143 |
$408 |
$131 | |
| Chemotherapy infusion |
$317 |
$1,267 |
$336 |
$81 | |
| Chemotherapy infusion (each additional) |
$166 |
$664 |
$120 |
$28 | |
| Chemotherapy infusion (first hour) |
$467 |
$1,869 |
$425 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,958 |
$7,830 |
$807 |
$311 | |
| Chest tube insertion |
$3,625 |
$14,500 |
$2,025 |
$143 | |
| Chest X-ray |
$158 |
$631 |
$112 |
$37 | |
| Chest X-ray (1 view) |
$54 |
$217 |
$112 |
$25 | |
| Chest X-ray (2 views) |
$244 |
$975 |
$112 |
$33 | |
| Circumcision |
$4,323 |
$17,293 |
$2,823 |
$167 | |
| CK-MB heart enzyme test |
$17 |
$67 |
$12 |
$12 | |
| Clotting time test (PTT) |
$34 |
$135 |
$11 |
$6 | |
| Colonoscopy |
$846 |
$3,385 |
$1,196 |
$480 | |
| Colposcopy |
$471 |
$1,884 |
$392 |
$161 | |
| Complete blood count (CBC) |
$33 |
$131 |
$14 |
$7 | |
| Complete blood count (CBC) (complete) |
$28 |
$110 |
$14 |
$8 | |
| Complex wound repair |
$821 |
$3,283 |
$951 |
$390 | |
| Comprehensive metabolic panel |
$98 |
$392 |
$26 |
$11 | |
| Contraceptive implant (Nexplanon) |
$668 |
$2,671 |
$558 |
$115 | |
| Corneal transplant |
$3,341 |
$13,364 |
$5,316 |
$1,066 | |
| Coronary CT angiography |
$772 |
$3,086 |
$449 |
$326 | |
| COVID-19 PCR test |
$55 |
$221 |
$51 |
$51 | |
| CPAP titration study |
$57 |
$230 |
$282 |
$69 | |
| Creatine kinase (CK) test |
$14 |
$56 |
$9 |
$7 | |
| CT angiography of the chest |
$1,665 |
$6,659 |
$237 |
$281 | |
| CT angiography of the head |
$2,344 |
$9,374 |
$237 |
$274 | |
| CT colonography (virtual colonoscopy) |
$516 |
$2,064 |
$316 |
$835 | |
| CT scan of the abdomen |
$608 |
$2,431 |
$226 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,250 |
$9,000 |
$449 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,363 |
$9,450 |
$471 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,250 |
$9,000 |
$471 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,457 |
$5,827 |
$322 |
$183 | |
| CT scan of the abdomen with and without contrast |
$708 |
$2,833 |
$226 |
$259 | |
| CT scan of the abdomen with contrast |
$608 |
$2,431 |
$226 |
$230 | |
| CT scan of the abdomen without contrast |
$318 |
$1,271 |
$134 |
$136 | |
| CT scan of the arm |
$684 |
$2,734 |
$326 |
$199 | |
| CT scan of the arm with contrast |
$720 |
$2,878 |
$449 |
$199 | |
| CT scan of the arm without contrast |
$684 |
$2,734 |
$164 |
$161 | |
| CT scan of the chest |
$742 |
$2,968 |
$226 |
$167 | |
| CT scan of the chest with and without contrast |
$742 |
$2,968 |
$226 |
$196 | |
| CT scan of the chest with contrast |
$2,134 |
$8,535 |
$237 |
$167 | |
| CT scan of the chest without contrast |
$525 |
$2,099 |
$134 |
$133 | |
| CT scan of the head |
$940 |
$3,762 |
$226 |
$148 | |
| CT scan of the head with and without contrast |
$1,016 |
$4,066 |
$237 |
$173 | |
| CT scan of the head with contrast |
$940 |
$3,762 |
$226 |
$148 | |
| CT scan of the head without contrast |
$864 |
$3,458 |
$207 |
$107 | |
| CT scan of the leg |
$908 |
$3,632 |
$226 |
$166 | |
| CT scan of the leg with contrast |
$908 |
$3,632 |
$226 |
$166 | |
| CT scan of the leg without contrast |
$694 |
$2,775 |
$167 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$500 |
$2,002 |
$332 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$521 |
$2,085 |
$226 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$500 |
$2,002 |
$449 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$480 |
$1,919 |
$134 |
$130 | |
| CT scan of the neck |
$1,653 |
$6,614 |
$226 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,763 |
$7,050 |
$449 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,800 |
$7,200 |
$237 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,763 |
$7,050 |
$449 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,725 |
$6,900 |
$207 |
$131 | |
| CT scan of the neck with and without contrast |
$1,736 |
$6,945 |
$237 |
$220 | |
| CT scan of the neck with contrast |
$1,653 |
$6,614 |
$237 |
$183 | |
| CT scan of the neck without contrast |
$801 |
$3,204 |
$192 |
$150 | |
| CT scan of the pelvis |
$730 |
$2,920 |
$226 |
$226 | |
| CT scan of the pelvis with and without contrast |
$767 |
$3,066 |
$226 |
$251 | |
| CT scan of the pelvis with contrast |
$730 |
$2,920 |
$226 |
$226 | |
| CT scan of the pelvis without contrast |
$364 |
$1,456 |
$134 |
$133 | |
| CT scan of the sinuses |
$1,833 |
$7,330 |
$226 |
$152 | |
| CT scan of the sinuses with and without contrast |
$547 |
$2,188 |
$226 |
$184 | |
| CT scan of the sinuses with contrast |
$1,924 |
$7,697 |
$237 |
$152 | |
| CT scan of the sinuses without contrast |
$1,833 |
$7,330 |
$207 |
$128 | |
| D-dimer test |
$97 |
$389 |
$25 |
$10 | |
| Diagnostic mammogram |
$196 |
$785 |
$145 |
$140 | |
| Dilation and curettage (D&C) |
$3,813 |
$15,252 |
$4,163 |
$298 | |
| Droopy eyelid repair (ptosis) |
$1,786 |
$7,142 |
$3,058 |
$745 | |
| Drug screen (urine) |
$244 |
$975 |
$114 |
$17 | |
| Ear pressure test (tympanometry) |
$21 |
$86 |
$47 |
$16 | |
| Ear tubes (myringotomy) |
$1,309 |
$5,236 |
$1,325 |
$174 | |
| Eardrum repair (tympanoplasty) |
$2,829 |
$11,317 |
$7,614 |
$799 | |
| Echocardiogram |
$392 |
$1,567 |
$643 |
$138 | |
| Echocardiogram with and without contrast |
$165 |
$662 |
$449 |
$101 | |
| Echocardiogram without contrast |
$566 |
$2,265 |
$1,008 |
$138 | |
| EEG (awake and asleep) |
$271 |
$1,083 |
$278 |
$482 | |
| EKG / ECG (tracing only) |
$104 |
$414 |
$76 |
$7 | |
| Electrocardiogram (EKG) |
$104 |
$414 |
$76 |
$8 | |
| Electroencephalogram (EEG) |
$245 |
$980 |
$278 |
$448 | |
| Electrolyte panel |
$17 |
$70 |
$11 |
$7 | |
| Electromyography (EMG) |
$108 |
$433 |
$171 |
$141 | |
| Emergency department visit |
$604 |
$2,415 |
$766 |
$69 | |
| Emergency department visit (level 1) |
$210 |
$840 |
$143 |
$11 | |
| Emergency department visit (level 2) |
$328 |
$1,312 |
$261 |
$40 | |
| Emergency department visit (level 3) |
$604 |
$2,415 |
$463 |
$69 | |
| Emergency department visit (level 4) |
$4,908 |
$19,633 |
$998 |
$118 | |
| Emergency department visit (level 5) |
$5,906 |
$23,623 |
$1,425 |
$171 | |
| Endometrial biopsy |
$145 |
$581 |
$268 |
$98 | |
| Epidural steroid injection |
$449 |
$1,795 |
$908 |
$275 | |
| ERCP (bile duct endoscopy) |
$1,354 |
$5,415 |
$4,959 |
$311 | |
| Esophageal dilation |
$608 |
$2,430 |
$1,167 |
$522 | |
| Eyelid surgery (blepharoplasty) |
$1,620 |
$6,481 |
$2,654 |
$552 | |
| Facet joint injection (spine) |
$723 |
$2,893 |
$918 |
$99 | |
| Fallopian tube X-ray (HSG) |
$330 |
$1,322 |
$307 |
$164 | |
| Fecal occult blood (stool) test |
$13 |
$53 |
$14 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$7 |
$30 |
$5 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$19 |
$77 |
$16 |
$16 | |
| Feeding tube (PEG) placement |
$622 |
$2,487 |
$2,131 |
$178 | |
| Femoral hernia repair |
$4,245 |
$16,982 |
$4,605 |
$584 | |
| Fibrinogen test |
$43 |
$173 |
$17 |
$10 | |
| Flexible sigmoidoscopy |
$496 |
$1,982 |
$1,196 |
$323 | |
| Flu test |
$29 |
$117 |
$19 |
$17 | |
| Foreign body removal (skin) |
$1,190 |
$4,759 |
$523 |
$157 | |
| Gallbladder removal (laparoscopic) |
$12,501 |
$50,003 |
$8,009 |
$658 | |
| Gallbladder scan (HIDA) |
$379 |
$1,517 |
$514 |
$334 | |
| Ganglion cyst removal |
$1,112 |
$4,447 |
$2,068 |
$321 | |
| GGT liver test |
$11 |
$43 |
$7 |
$7 | |
| Glucose tolerance test |
$44 |
$175 |
$13 |
$8 | |
| Hammertoe repair |
$1,211 |
$4,843 |
$3,632 |
$548 | |
| Hearing test (audiometry) |
$73 |
$294 |
$160 |
$36 | |
| Hematocrit test |
$14 |
$56 |
$5 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$13 |
$52 |
$10 |
$10 | |
| Hemorrhoid removal |
$1,206 |
$4,825 |
$1,196 |
$338 | |
| Holter heart monitor |
$217 |
$868 |
$171 |
$26 | |
| Hydrocele repair |
$4,781 |
$19,124 |
$4,605 |
$315 | |
| Hysterectomy |
$14,140 |
$56,562 |
$13,672 |
$933 | |
| Hysteroscopy |
$7,081 |
$28,326 |
$4,249 |
$1,270 | |
| Inguinal hernia repair |
$3,456 |
$13,824 |
$7,322 |
$538 | |
| IUD insertion |
$991 |
$3,966 |
$714 |
— | |
| IUD removal |
$991 |
$3,966 |
$666 |
$112 | |
| IV infusion therapy |
$317 |
$1,267 |
$274 |
$44 | |
| IV infusion therapy (each additional) |
$166 |
$664 |
$112 |
$21 | |
| IV infusion therapy (initial) |
$467 |
$1,869 |
$336 |
$67 | |
| Joint aspiration (small/intermediate) |
$317 |
$1,267 |
$395 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$442 |
$1,766 |
$395 |
$57 | |
| Joint aspiration or injection (small joint) |
$192 |
$768 |
$395 |
$56 | |
| Kidney scan (nuclear) |
$1,648 |
$6,591 |
$1,222 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$8,236 |
$32,943 |
$4,942 |
$760 | |
| Kidney ultrasound |
$167 |
$666 |
$134 |
$84 | |
| Kidney ultrasound (limited) |
$236 |
$943 |
$160 |
$61 | |
| Knee arthroscopy |
$2,397 |
$9,587 |
$4,208 |
$524 | |
| Knee joint injection |
$956 |
$3,823 |
$395 |
$69 | |
| Knee replacement |
$42,832 |
$171,329 |
$29,390 |
$18,054 | |
| Lactate test |
$20 |
$79 |
$13 |
$12 | |
| Laryngoscopy |
$1,323 |
$5,293 |
$687 |
$189 | |
| LDH test |
$10 |
$40 |
$9 |
$6 | |
| Leg artery angiogram |
$2,410 |
$9,641 |
$4,061 |
$149 | |
| Leg vein ultrasound (Doppler) |
$318 |
$1,271 |
$307 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$360 |
$1,439 |
$245 |
$116 | |
| Lipase test |
$64 |
$256 |
$17 |
$7 | |
| Liver biopsy |
$1,196 |
$4,784 |
$2,124 |
$288 | |
| Liver function panel |
$71 |
$285 |
$20 |
$8 | |
| Lumbar discectomy |
$4,908 |
$19,632 |
$9,333 |
$898 | |
| Lumpectomy (breast) |
$4,419 |
$17,676 |
$5,036 |
$750 | |
| Lung function test (PFT) |
$176 |
$703 |
$278 |
$37 | |
| Lung scan (V/Q) |
$327 |
$1,308 |
$698 |
$291 | |
| Magnesium blood test |
$16 |
$66 |
$11 |
$7 | |
| Mastectomy |
$17,705 |
$70,820 |
$8,540 |
$1,021 | |
| Mastoidectomy |
$3,198 |
$12,790 |
$6,958 |
$840 | |
| Meniscus repair (knee) |
$3,442 |
$13,769 |
$4,208 |
$714 | |
| MRA of the brain |
$1,354 |
$5,417 |
$449 |
$226 | |
| MRA of the brain with contrast |
$1,354 |
$5,417 |
$449 |
$226 | |
| MRA of the brain without contrast |
$1,737 |
$6,947 |
$471 |
$328 | |
| MRA of the neck |
$1,077 |
$4,308 |
$449 |
$245 | |
| MRA of the neck with contrast |
$1,077 |
$4,308 |
$449 |
$245 | |
| MRA of the neck without contrast |
$1,421 |
$5,684 |
$455 |
$343 | |
| MRI of the abdomen |
$781 |
$3,123 |
$449 |
$300 | |
| MRI of the abdomen with contrast |
$781 |
$3,123 |
$449 |
$300 | |
| MRI of the abdomen without contrast |
$549 |
$2,196 |
$307 |
$194 | |
| MRI of the ankle |
$530 |
$2,119 |
$449 |
$261 | |
| MRI of the ankle with contrast |
$530 |
$2,119 |
$449 |
$261 | |
| MRI of the ankle without contrast |
$493 |
$1,974 |
$307 |
$222 | |
| MRI of the brain |
$1,037 |
$4,146 |
$449 |
$269 | |
| MRI of the brain with contrast |
$1,037 |
$4,146 |
$449 |
$269 | |
| MRI of the brain without contrast |
$913 |
$3,652 |
$307 |
$195 | |
| MRI of the chest |
$639 |
$2,557 |
$449 |
$371 | |
| MRI of the chest with contrast |
$639 |
$2,557 |
$1,008 |
$371 | |
| MRI of the chest without contrast |
$643 |
$2,571 |
$449 |
$466 | |
| MRI of the knee |
$1,197 |
$4,787 |
$530 |
$315 | |
| MRI of the knee with contrast |
$1,064 |
$4,254 |
$1,008 |
$315 | |
| MRI of the knee without contrast |
$1,657 |
$6,628 |
$347 |
$204 | |
| MRI of the lower back (lumbar spine) |
$810 |
$3,240 |
$449 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$810 |
$3,240 |
$449 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$753 |
$3,013 |
$307 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,078 |
$4,310 |
$449 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$1,129 |
$4,515 |
$449 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,078 |
$4,310 |
$449 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,026 |
$4,105 |
$328 |
$190 | |
| MRI of the neck (cervical spine) |
$1,383 |
$5,531 |
$449 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$1,662 |
$6,648 |
$471 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,383 |
$5,531 |
$449 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,257 |
$5,028 |
$352 |
$191 | |
| MRI of the pelvis |
$631 |
$2,524 |
$449 |
$268 | |
| MRI of the pelvis with contrast |
$631 |
$2,524 |
$449 |
$268 | |
| MRI of the pelvis without contrast |
$568 |
$2,272 |
$307 |
$227 | |
| MRI of the shoulder |
$1,100 |
$4,401 |
$449 |
$313 | |
| MRI of the shoulder with contrast |
$1,100 |
$4,401 |
$1,008 |
$313 | |
| MRI of the shoulder without contrast |
$578 |
$2,313 |
$307 |
$205 | |
| MRI of the wrist |
$546 |
$2,185 |
$449 |
$330 | |
| MRI of the wrist with contrast |
$546 |
$2,185 |
$449 |
$330 | |
| MRI of the wrist without contrast |
$496 |
$1,986 |
$307 |
$303 | |
| Nebulizer breathing treatment |
$95 |
$379 |
$282 |
$9 | |
| Nerve conduction study |
$257 |
$1,026 |
$278 |
$118 | |
| Nuchal translucency ultrasound |
$108 |
$433 |
$134 |
$116 | |
| Nuclear cardiac stress test |
$843 |
$3,370 |
$1,665 |
$428 | |
| Occupational therapy evaluation |
$64 |
$257 |
$111 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$64 |
$257 |
$111 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$55 |
$220 |
$111 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$65 |
$261 |
$111 |
$101 | |
| Office visit (established patient) |
$73 |
$294 |
$104 |
$115 | |
| Office visit, established patient (level 3) |
$73 |
$294 |
$104 |
$95 | |
| Orthopedic hardware removal |
$1,824 |
$7,294 |
$3,736 |
$632 | |
| Pacemaker insertion |
$36,442 |
$145,768 |
$20,647 |
$15,506 | |
| Pap smear (cervical screening) |
$30 |
$119 |
$27 |
$20 | |
| Parathyroid removal |
$2,829 |
$11,317 |
$7,614 |
$891 | |
| Pelvic ultrasound |
$558 |
$2,233 |
$242 |
$78 | |
| Pelvic ultrasound (complete) |
$578 |
$2,311 |
$250 |
$105 | |
| Pelvic ultrasound (limited) |
$539 |
$2,155 |
$235 |
$51 | |
| PET scan |
$1,654 |
$6,615 |
$1,839 |
— | |
| Phosphorus blood test |
$9 |
$36 |
$6 |
$5 | |
| Physical therapy evaluation |
$62 |
$248 |
$108 |
$98 | |
| Physical therapy evaluation (high complexity) |
$70 |
$279 |
$108 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$62 |
$248 |
$108 |
$98 | |
| Pilonidal cyst removal |
$3,575 |
$14,300 |
$3,736 |
$541 | |
| Platelet count |
$5 |
$21 |
$4 |
$4 | |
| Pregnancy blood test (hCG) |
$116 |
$463 |
$19 |
$8 | |
| Pregnancy ultrasound |
$481 |
$1,925 |
$173 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$735 |
$2,942 |
$235 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$227 |
$909 |
$155 |
$136 | |
| Procalcitonin test |
$30 |
$118 |
$27 |
$27 | |
| Prostate surgery (TURP) |
$4,441 |
$17,764 |
$6,896 |
$526 | |
| Prostate test (PSA) |
$32 |
$126 |
$20 |
$18 | |
| Pulmonary rehabilitation |
$36 |
$146 |
$76 |
$87 | |
| Radiofrequency nerve ablation |
$1,455 |
$5,819 |
$2,512 |
$462 | |
| Retina scan (OCT) |
$35 |
$142 |
$76 |
$33 | |
| Retinal (fundus) photography |
$185 |
$739 |
$171 |
$37 | |
| Retinal detachment repair |
$2,658 |
$10,631 |
$5,316 |
$966 | |
| Rotator cuff repair |
$3,296 |
$13,184 |
$9,043 |
$792 | |
| Sacroiliac joint injection |
$656 |
$2,622 |
$787 |
$176 | |
| Scoliosis spine X-ray |
$93 |
$373 |
$134 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$57 |
$227 |
$112 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$130 |
$519 |
$134 |
$72 | |
| Screening mammogram |
$181 |
$723 |
$152 |
$126 | |
| Scrotal ultrasound |
$539 |
$2,155 |
$235 |
$99 | |
| Sedimentation rate (ESR) test |
$12 |
$49 |
$6 |
$3 | |
| Septoplasty (deviated septum) |
$1,284 |
$5,137 |
$3,853 |
$613 | |
| Shoulder arthroscopy |
$4,002 |
$16,009 |
$9,333 |
$962 | |
| Shoulder replacement |
$4,490 |
$17,960 |
$9,770 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$851 |
$3,405 |
$258 |
$114 | |
| Simple wound stitches |
$851 |
$3,405 |
$258 |
$127 | |
| Sinus surgery (endoscopic) |
$3,511 |
$14,046 |
$4,795 |
$224 | |
| Skin biopsy |
$891 |
$3,562 |
$559 |
$121 | |
| Skin biopsy (punch) |
$891 |
$3,562 |
$559 |
$121 | |
| Skin cancer lesion removal |
$1,532 |
$6,128 |
$911 |
$240 | |
| Skin graft |
$4,288 |
$17,152 |
$4,558 |
$898 | |
| Skin tag removal |
$660 |
$2,641 |
$439 |
$92 | |
| Sleep study (polysomnography) |
$578 |
$2,313 |
$1,104 |
$691 | |
| Soft tissue ultrasound |
$404 |
$1,617 |
$250 |
$64 | |
| Speech therapy |
$64 |
$257 |
$84 |
$76 | |
| Spinal cord stimulator |
$12,436 |
$49,745 |
$7,272 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$1,985 |
$7,940 |
$908 |
$165 | |
| Spirometry (lung function test) |
$143 |
$571 |
$278 |
$30 | |
| Spirometry with bronchodilator |
$209 |
$835 |
$454 |
$43 | |
| Strep throat test |
$28 |
$111 |
$18 |
$17 | |
| Stress echocardiogram |
$1,727 |
$6,910 |
$1,254 |
$209 | |
| Swallow study |
$65 |
$262 |
$62 |
$85 | |
| Thyroid removal (thyroidectomy) |
$3,676 |
$14,706 |
$7,614 |
$1,004 | |
| Thyroid test (TSH) |
$34 |
$134 |
$21 |
$17 | |
| Thyroid ultrasound |
$522 |
$2,089 |
$250 |
$109 | |
| Thyroid uptake scan |
$1,012 |
$4,047 |
$514 |
$145 | |
| Tilt table test |
$2,581 |
$10,326 |
$893 |
$168 | |
| Tonsillectomy |
$1,570 |
$6,278 |
$4,073 |
$252 | |
| Total protein test |
$4 |
$16 |
$4 |
$4 | |
| Tracheostomy |
$1,053 |
$4,211 |
$2,291 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$420 |
$1,682 |
$703 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$434 |
$1,736 |
$703 |
$239 | |
| Transvaginal ultrasound |
$404 |
$1,616 |
$250 |
$118 | |
| Trigger finger release |
$1,112 |
$4,447 |
$2,068 |
$630 | |
| Trigger point injection |
$820 |
$3,280 |
$395 |
$56 | |
| Trigger point injection (1-2 muscles) |
$820 |
$3,280 |
$395 |
$52 | |
| Troponin (heart) test |
$44 |
$177 |
$27 |
$12 | |
| Tubal ligation |
$7,715 |
$30,859 |
$7,776 |
$333 | |
| Turbinate reduction |
$1,855 |
$7,420 |
$4,036 |
$294 | |
| Turning a breech baby (version) |
$1,865 |
$7,461 |
$4,163 |
$94 | |
| Ulnar nerve surgery (elbow) |
$1,064 |
$4,256 |
$2,512 |
$575 | |
| Upper GI endoscopy (EGD) |
$687 |
$2,750 |
$1,167 |
$371 | |
| Upper GI series (barium) |
$289 |
$1,158 |
$226 |
$128 | |
| Ureteral stent placement |
$1,733 |
$6,931 |
$3,771 |
$373 | |
| Ureteroscopy (stone removal) |
$2,457 |
$9,827 |
$5,346 |
$365 | |
| Uric acid (gout) test |
$9 |
$37 |
$6 |
$5 | |
| Urinalysis |
$26 |
$103 |
$6 |
$3 | |
| Urine microalbumin test |
$8 |
$31 |
$7 |
$5 | |
| Urine pregnancy test |
$26 |
$104 |
$11 |
$9 | |
| Vaccine administration |
$102 |
$409 |
$93 |
$19 | |
| Vaccine administration (each additional) |
$56 |
$225 |
$77 |
$16 | |
| Varicocele repair |
$3,089 |
$12,354 |
$4,534 |
$327 | |
| Vasectomy |
$2,784 |
$11,136 |
$2,689 |
$347 | |
| Visual field test |
$336 |
$1,345 |
$242 |
$64 | |
| Vocal cord injection |
$4,242 |
$16,969 |
$4,795 |
$211 | |
| Wart removal |
$200 |
$798 |
$258 |
$121 | |
| Weight-loss (bariatric) surgery |
$33,267 |
$133,067 |
$15,506 |
$11,645 | |
| Wound debridement |
$619 |
$2,474 |
$951 |
$186 | |
| Wrist fracture repair |
$5,160 |
$20,638 |
$9,333 |
$735 | |
| X-ray of the abdomen |
$98 |
$391 |
$134 |
$36 | |
| X-ray of the ankle |
$228 |
$910 |
$178 |
$37 | |
| X-ray of the collarbone |
$227 |
$910 |
$178 |
$33 | |
| X-ray of the elbow |
$244 |
$976 |
$178 |
$33 | |
| X-ray of the facial bones |
$197 |
$787 |
$134 |
$39 | |
| X-ray of the foot |
$227 |
$907 |
$178 |
$34 | |
| X-ray of the forearm |
$185 |
$740 |
$160 |
$29 | |
| X-ray of the hand |
$410 |
$1,638 |
$175 |
$38 | |
| X-ray of the hip |
$70 |
$282 |
$112 |
$49 | |
| X-ray of the hip (1 view) |
$60 |
$238 |
$112 |
$34 | |
| X-ray of the hip (3 views) |
$70 |
$282 |
$112 |
$49 | |
| X-ray of the hip (4 views) |
$293 |
$1,173 |
$188 |
$63 | |
| X-ray of the knee |
$227 |
$907 |
$134 |
$42 | |
| X-ray of the knee (2 views) |
$71 |
$282 |
$112 |
$34 | |
| X-ray of the knee (3 views) |
$227 |
$907 |
$145 |
$42 | |
| X-ray of the knee (4+ views) |
$311 |
$1,242 |
$214 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$307 |
$1,229 |
$187 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$323 |
$1,291 |
$207 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$292 |
$1,168 |
$187 |
$53 | |
| X-ray of the lower leg |
$199 |
$797 |
$172 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$244 |
$978 |
$141 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$196 |
$782 |
$134 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$293 |
$1,173 |
$188 |
$39 | |
| X-ray of the neck (cervical spine) |
$298 |
$1,191 |
$156 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$244 |
$975 |
$156 |
$40 | |
| X-ray of the pelvis |
$245 |
$978 |
$134 |
$36 | |
| X-ray of the pelvis (1 view) |
$108 |
$430 |
$134 |
$28 | |
| X-ray of the ribs |
$141 |
$563 |
$134 |
$42 | |
| X-ray of the ribs (2 views) |
$141 |
$563 |
$112 |
$36 | |
| X-ray of the ribs (3 views) |
$352 |
$1,408 |
$211 |
$42 | |
| X-ray of the shoulder |
$243 |
$972 |
$178 |
$36 | |
| X-ray of the skull |
$147 |
$587 |
$134 |
$40 | |
| X-ray of the upper arm |
$211 |
$845 |
$178 |
$32 | |
| X-ray of the wrist |
$242 |
$969 |
$178 |
$43 | |
| YAG laser capsulotomy (eye) |
$252 |
$1,006 |
$707 |
$335 | |