| Abdominal fluid drain (paracentesis) |
$1,160 |
$3,930 |
$1,161 |
$284 | |
| Abdominal ultrasound |
$133 |
$1,952 |
$134 |
$100 | |
| Abdominal ultrasound (complete) |
$133 |
$1,952 |
$134 |
$114 | |
| Abdominal ultrasound (limited) |
$133 |
$1,952 |
$134 |
$86 | |
| Abscess drainage (complex or multiple) |
$520 |
$1,598 |
$520 |
$220 | |
| Abscess drainage (simple) |
$256 |
$1,107 |
$257 |
$129 | |
| Abscess incision and drainage |
$520 |
$1,598 |
$435 |
$174 | |
| Achilles tendon repair |
$9,286 |
$10,565 |
$9,287 |
$624 | |
| ACL knee reconstruction |
$9,286 |
$23,624 |
$9,287 |
$889 | |
| Albumin blood test |
$4 |
$7 |
$5 |
$5 | |
| Alkaline phosphatase test |
$5 |
$5 |
$5 |
$5 | |
| ALT liver enzyme test |
$5 |
$56 |
$5 |
$5 | |
| Ammonia blood test |
$14 |
$114 |
$15 |
$15 | |
| Ankle fracture repair |
$9,286 |
$12,158 |
$9,287 |
$608 | |
| Ankle replacement |
$34,727 |
$53,775 |
$34,728 |
$885 | |
| Anoscopy |
$170 |
$745 |
$170 |
$129 | |
| Aortic valve replacement |
— |
$35,373 |
$1,343 |
$1,603 | |
| Arterial blood gas (ABG) |
$26 |
$762 |
$26 |
$26 | |
| AST liver enzyme test |
$5 |
$56 |
$5 |
$5 | |
| Barium swallow study |
$224 |
$1,816 |
$224 |
$107 | |
| Bartholin cyst removal |
$258 |
$830 |
$259 |
$182 | |
| Benign skin lesion removal |
$906 |
$2,864 |
$906 |
$171 | |
| Bilirubin blood test |
$5 |
$56 |
$5 |
$5 | |
| Bladder scope (cystoscopy) |
$892 |
$2,874 |
$892 |
$216 | |
| Bladder tumor removal (TURBT) |
$4,511 |
$17,925 |
$4,511 |
$236 | |
| Blood clotting test (PT/INR) |
$4 |
$15 |
$4 |
$4 | |
| Blood crossmatch |
$218 |
$536 |
$218 |
— | |
| Blood transfusion |
$564 |
$1,940 |
$565 |
$47 | |
| Blood type and screen |
$66 |
$322 |
$67 |
$10 | |
| Blood type test |
$109 |
$144 |
$40 |
$3 | |
| Blood type test (ABO group) |
$170 |
$144 |
$35 |
$3 | |
| Blood type test (Rh/D antigen) |
$47 |
$144 |
$40 |
$3 | |
| BNP (heart failure) test |
$39 |
$200 |
$39 |
$39 | |
| Bone density scan (DEXA) |
$133 |
$767 |
$134 |
$39 | |
| Bone scan (nuclear) |
$511 |
$2,594 |
$512 |
$259 | |
| Breast MRI |
$305 |
$2,614 |
$305 |
$216 | |
| Breast MRI without contrast |
$305 |
$2,614 |
$305 |
$216 | |
| Breast ultrasound |
$111 |
$1,274 |
$134 |
$92 | |
| Breast ultrasound (complete) |
$133 |
$1,274 |
$134 |
$100 | |
| Breast ultrasound (limited) |
$111 |
$1,274 |
$111 |
$84 | |
| Breathing tube insertion (intubation) |
$303 |
$1,031 |
$303 |
$133 | |
| Bronchoscopy |
$2,278 |
$8,086 |
$2,563 |
$303 | |
| Bunion surgery (bunionectomy) |
$9,286 |
$13,177 |
$9,287 |
$883 | |
| Burn dressing and debridement (medium) |
$256 |
$874 |
$257 |
$166 | |
| Burn dressing and debridement (small) |
$256 |
$882 |
$257 |
$93 | |
| Burn treatment |
$256 |
$878 |
$257 |
$129 | |
| Calcium blood test |
$5 |
$73 |
$5 |
$5 | |
| Cardiac ablation |
$33,452 |
$68,508 |
$33,453 |
$759 | |
| Cardiac catheterization |
$4,149 |
$15,282 |
$4,149 |
$1,049 | |
| Cardiac MRI |
$376 |
$3,970 |
$447 |
$322 | |
| Cardiac MRI without contrast |
$305 |
$3,570 |
$305 |
$280 | |
| Cardiac rehabilitation |
$164 |
$350 |
$165 |
$26 | |
| Cardiac stress test |
$276 |
$2,023 |
$276 |
$39 | |
| Cardioversion |
$845 |
$2,632 |
$846 |
$155 | |
| Carotid artery ultrasound |
$219 |
$1,501 |
$278 |
$156 | |
| Carpal tunnel release |
$2,499 |
$17,988 |
$2,499 |
$483 | |
| Celiac disease test |
$11 |
$32 |
$9 |
$12 | |
| Central line placement |
$4,041 |
$3,281 |
$3,281 |
$238 | |
| Cesarean section (C-section) |
$10,389 |
— |
$12,007 |
$7,552 | |
| Chemotherapy infusion |
$92 |
$421 |
$92 |
$81 | |
| Chemotherapy infusion (each additional) |
$92 |
$421 |
$92 |
$28 | |
| Chest fluid drain (thoracentesis) |
$802 |
$3,801 |
$803 |
$311 | |
| Chest tube insertion |
$2,014 |
$3,281 |
$2,015 |
$143 | |
| Chest X-ray |
$111 |
$810 |
$111 |
$37 | |
| Chest X-ray (1 view) |
$111 |
$561 |
$111 |
$25 | |
| Chest X-ray (2 views) |
$111 |
$782 |
$111 |
$33 | |
| Circumcision |
$2,675 |
$22,406 |
$2,675 |
$167 | |
| CK-MB heart enzyme test |
$11 |
$216 |
$12 |
$12 | |
| Clotting time test (PTT) |
$6 |
$25 |
$6 |
$6 | |
| Colon resection (colectomy) |
— |
$22,406 |
$1,390 |
$1,238 | |
| Colonoscopy |
$1,531 |
$3,919 |
$1,532 |
$480 | |
| Complete blood count (CBC) |
$7 |
$118 |
$8 |
$7 | |
| Complete blood count (CBC) (complete) |
$7 |
$169 |
$8 |
$8 | |
| Complex wound repair |
$945 |
$1,573 |
$946 |
$390 | |
| Contraceptive implant (Nexplanon) |
$170 |
$8,963 |
$218 |
$115 | |
| Copper blood test |
$12 |
$19 |
$13 |
$12 | |
| Coronary artery bypass (CABG) |
$50,002 |
— |
$58,339 |
$36,593 | |
| Coronary CT angiography |
$446 |
$1,884 |
$447 |
$326 | |
| Cortisol test |
$16 |
$147 |
$17 |
$16 | |
| COVID-19 PCR test |
$51 |
$70 |
$51 |
$51 | |
| CPAP titration study |
$280 |
$1,108 |
$280 |
$69 | |
| Creatine kinase (CK) test |
$6 |
$9 |
$7 |
$7 | |
| CT angiography of the chest |
$224 |
$5,704 |
$224 |
$281 | |
| CT angiography of the head |
$224 |
$4,815 |
$224 |
$274 | |
| CT colonography (virtual colonoscopy) |
$305 |
$676 |
$305 |
$835 | |
| CT scan of the abdomen |
$224 |
$4,431 |
$224 |
$230 | |
| CT scan of the abdomen and pelvis |
$446 |
$6,059 |
$447 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$446 |
$6,059 |
$447 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$446 |
$6,059 |
$447 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$305 |
$4,543 |
$305 |
$183 | |
| CT scan of the abdomen with and without contrast |
$224 |
$5,018 |
$256 |
$259 | |
| CT scan of the abdomen with contrast |
$224 |
$4,431 |
$224 |
$230 | |
| CT scan of the abdomen without contrast |
$133 |
$4,128 |
$134 |
$136 | |
| CT scan of the arm |
$179 |
$2,945 |
$224 |
$199 | |
| CT scan of the arm with contrast |
$446 |
$3,473 |
$447 |
$199 | |
| CT scan of the arm without contrast |
$133 |
$2,505 |
$168 |
$161 | |
| CT scan of the chest |
$224 |
$4,945 |
$224 |
$167 | |
| CT scan of the chest with and without contrast |
$224 |
$5,530 |
$224 |
$196 | |
| CT scan of the chest with contrast |
$224 |
$4,945 |
$224 |
$167 | |
| CT scan of the chest without contrast |
$133 |
$4,643 |
$134 |
$133 | |
| CT scan of the head |
$224 |
$4,325 |
$224 |
$148 | |
| CT scan of the head with and without contrast |
$224 |
$4,643 |
$224 |
$173 | |
| CT scan of the head with contrast |
$224 |
$4,325 |
$224 |
$148 | |
| CT scan of the head without contrast |
$133 |
$3,251 |
$134 |
$107 | |
| CT scan of the leg |
$224 |
$2,887 |
$224 |
$166 | |
| CT scan of the leg with contrast |
$224 |
$2,887 |
$224 |
$166 | |
| CT scan of the leg without contrast |
$133 |
$2,502 |
$134 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$224 |
$4,849 |
$284 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$224 |
$4,849 |
$224 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$446 |
$5,117 |
$447 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$133 |
$3,818 |
$134 |
$130 | |
| CT scan of the neck |
$224 |
$3,680 |
$224 |
$183 | |
| CT scan of the neck (cervical spine) |
$224 |
$3,472 |
$271 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$224 |
$4,849 |
$224 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$446 |
$3,472 |
$447 |
$168 | |
| CT scan of the neck with and without contrast |
$224 |
$3,881 |
$231 |
$220 | |
| CT scan of the neck with contrast |
$224 |
$3,680 |
$224 |
$183 | |
| CT scan of the neck without contrast |
$133 |
$3,532 |
$140 |
$150 | |
| CT scan of the pelvis |
$224 |
$4,191 |
$224 |
$226 | |
| CT scan of the pelvis with and without contrast |
$224 |
$4,191 |
$264 |
$251 | |
| CT scan of the pelvis with contrast |
$224 |
$5,590 |
$224 |
$226 | |
| CT scan of the pelvis without contrast |
$133 |
$3,081 |
$134 |
$133 | |
| CT scan of the sinuses |
$224 |
$4,920 |
$224 |
$152 | |
| CT scan of the sinuses with and without contrast |
$224 |
$5,117 |
$224 |
$184 | |
| CT scan of the sinuses with contrast |
$224 |
$4,920 |
$224 |
$152 | |
| CT scan of the sinuses without contrast |
$133 |
$3,932 |
$134 |
$128 | |
| D-dimer test |
$10 |
$149 |
$10 |
$10 | |
| Defibrillator (ICD) implant |
$40,173 |
$61,925 |
$40,174 |
$798 | |
| Diagnostic mammogram |
$120 |
$356 |
$121 |
$140 | |
| Dialysis fistula creation |
$4,041 |
$31,369 |
$4,041 |
$601 | |
| Droopy eyelid repair (ptosis) |
$3,042 |
$17,925 |
$3,043 |
$745 | |
| Drug screen (urine) |
$17 |
$63 |
$18 |
$17 | |
| Ear tubes (myringotomy) |
$1,985 |
$22,406 |
$1,986 |
$174 | |
| Echocardiogram |
$305 |
$2,175 |
$305 |
$138 | |
| Echocardiogram with and without contrast |
$305 |
$1,235 |
$305 |
$101 | |
| Echocardiogram without contrast |
$305 |
$2,194 |
$305 |
$138 | |
| EEG (awake and asleep) |
$276 |
$887 |
$276 |
$482 | |
| EKG / ECG (tracing only) |
$75 |
$497 |
$76 |
$7 | |
| Elbow replacement |
$22,440 |
$40,331 |
$22,441 |
$1,301 | |
| Electrocardiogram (EKG) |
$75 |
$497 |
$76 |
$8 | |
| Electroencephalogram (EEG) |
$276 |
$831 |
$276 |
$448 | |
| Electrolyte panel |
$7 |
$215 |
$7 |
$7 | |
| Electromyography (EMG) |
$170 |
$598 |
$170 |
$141 | |
| Emergency department visit |
$152 |
$856 |
$151 |
$69 | |
| Emergency department visit (level 1) |
$107 |
$582 |
$108 |
$11 | |
| Emergency department visit (level 2) |
$196 |
$594 |
$197 |
$40 | |
| Emergency department visit (level 3) |
$349 |
$1,115 |
$349 |
$69 | |
| Emergency department visit (level 4) |
$534 |
$1,632 |
$534 |
$118 | |
| Emergency department visit (level 5) |
$762 |
$3,345 |
$762 |
$171 | |
| ERCP (bile duct endoscopy) |
$4,934 |
$7,244 |
$4,934 |
$311 | |
| Esophageal dilation |
$1,808 |
$5,171 |
$1,506 |
$522 | |
| Esophageal variceal banding |
$2,455 |
$2,967 |
$2,456 |
$126 | |
| Eyelid surgery (blepharoplasty) |
$2,640 |
$17,925 |
$2,641 |
$552 | |
| Fallopian tube X-ray (HSG) |
$305 |
$1,358 |
$305 |
$164 | |
| Fecal occult blood (stool) test |
$4 |
$50 |
$4 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$4 |
$50 |
$4 |
$4 | |
| Feeding tube (PEG) placement |
$2,455 |
$2,967 |
$2,456 |
$178 | |
| Femoral hernia repair |
$4,582 |
$33,609 |
$4,582 |
$584 | |
| Ferritin (iron) test |
$13 |
$105 |
$14 |
$14 | |
| Fibrinogen test |
$9 |
$161 |
$10 |
$10 | |
| Flexible sigmoidoscopy |
$1,190 |
$2,044 |
$1,190 |
$323 | |
| Foreign body removal (skin) |
$520 |
$1,340 |
$520 |
$157 | |
| Free T4 thyroid test |
$9 |
$13 |
$9 |
$9 | |
| Gallbladder removal (laparoscopic) |
$7,737 |
$27,605 |
$7,737 |
$658 | |
| Gallbladder scan (HIDA) |
$694 |
$2,126 |
$695 |
$334 | |
| Ganglion cyst removal |
$2,058 |
$17,925 |
$2,058 |
$321 | |
| GGT liver test |
$7 |
$7 |
$6 |
$7 | |
| Glucose tolerance test |
$8 |
$105 |
$13 |
$8 | |
| Hammertoe repair |
$4,187 |
$22,406 |
$4,188 |
$548 | |
| HDL cholesterol test |
$8 |
$105 |
$8 |
$8 | |
| Hemodialysis |
$878 |
$796 |
$708 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$9 |
$208 |
$10 |
$10 | |
| Hip replacement |
$16,431 |
$38,091 |
$16,432 |
$1,162 | |
| HIV test (antibody) |
$13 |
$250 |
$14 |
$14 | |
| Home sleep apnea test |
$176 |
$934 |
$173 |
$123 | |
| Hydrocele repair |
$4,582 |
$11,950 |
$4,582 |
$315 | |
| Hysterectomy |
$13,604 |
$67,219 |
$13,605 |
$933 | |
| Hysteroscopy |
$4,143 |
$19,351 |
$4,143 |
$1,270 | |
| Inguinal hernia repair |
$4,582 |
$25,767 |
$4,582 |
$538 | |
| Iron blood test |
$6 |
$107 |
$7 |
$6 | |
| IUD removal |
$390 |
$708 |
$390 |
$112 | |
| IV infusion therapy |
$59 |
$308 |
$84 |
$44 | |
| IV infusion therapy (each additional) |
$59 |
$308 |
$60 |
$21 | |
| IV infusion therapy (initial) |
$272 |
$919 |
$272 |
$67 | |
| IVC filter placement |
$7,121 |
$17,276 |
$7,122 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$392 |
$1,309 |
$393 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$392 |
$1,309 |
$393 |
$57 | |
| Joint aspiration or injection (small joint) |
$392 |
$1,309 |
$393 |
$56 | |
| Kidney biopsy |
$2,113 |
$3,164 |
$2,114 |
$492 | |
| Kidney scan (nuclear) |
$694 |
$3,189 |
$695 |
$172 | |
| Kidney ultrasound |
$133 |
$1,562 |
$134 |
$84 | |
| Kidney ultrasound (limited) |
$133 |
$1,088 |
$134 |
$61 | |
| Knee arthroscopy |
$4,187 |
$20,752 |
$4,188 |
$524 | |
| Knee joint injection |
$392 |
$1,309 |
$393 |
$69 | |
| Knee replacement |
$24,715 |
— |
$28,685 |
$18,054 | |
| Lactate test |
$11 |
$215 |
$12 |
$12 | |
| Laryngoscopy |
$1,267 |
$2,655 |
$372 |
$189 | |
| LDH test |
$6 |
$54 |
$4 |
$6 | |
| LDL cholesterol test |
$10 |
$105 |
$11 |
$11 | |
| Leg artery angiogram |
$4,041 |
$15,900 |
$4,041 |
$149 | |
| Leg artery angioplasty |
$10,674 |
$20,965 |
$14,207 |
— | |
| Leg vein ultrasound (Doppler) |
$219 |
$1,410 |
$282 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$133 |
$1,262 |
$134 |
$116 | |
| Lipid (cholesterol) panel |
$13 |
$271 |
$13 |
$13 | |
| Liver biopsy |
$2,113 |
$3,164 |
$2,114 |
$288 | |
| Lower back (lumbar) spinal fusion |
— |
— |
$90,206 |
$1,511 | |
| Lumbar discectomy |
$9,286 |
$76,181 |
$9,287 |
$898 | |
| Lumpectomy (breast) |
$6,755 |
$29,015 |
$6,503 |
$750 | |
| Lung function test (PFT) |
$276 |
$469 |
$225 |
$37 | |
| Lung scan (V/Q) |
$694 |
$2,474 |
$695 |
$291 | |
| Magnesium blood test |
$6 |
$9 |
$7 |
$7 | |
| Mastectomy |
$8,498 |
$43,319 |
$8,499 |
$1,021 | |
| Meniscus repair (knee) |
$4,187 |
$17,489 |
$4,188 |
$714 | |
| MRA of the brain |
$446 |
$3,907 |
$447 |
$226 | |
| MRA of the brain with contrast |
$446 |
$3,907 |
$447 |
$226 | |
| MRA of the brain without contrast |
$446 |
$5,146 |
$447 |
$328 | |
| MRA of the neck |
$446 |
$4,524 |
$447 |
$245 | |
| MRA of the neck with contrast |
$446 |
$4,524 |
$447 |
$245 | |
| MRA of the neck without contrast |
$446 |
$4,524 |
$447 |
$343 | |
| MRI of the abdomen |
$446 |
$4,656 |
$447 |
$300 | |
| MRI of the abdomen with contrast |
$446 |
$4,656 |
$447 |
$300 | |
| MRI of the abdomen without contrast |
$305 |
$3,893 |
$305 |
$194 | |
| MRI of the ankle |
$446 |
$4,313 |
$447 |
$261 | |
| MRI of the ankle with contrast |
$446 |
$4,313 |
$447 |
$261 | |
| MRI of the ankle without contrast |
$305 |
$3,673 |
$305 |
$222 | |
| MRI of the brain |
$446 |
$4,597 |
$447 |
$269 | |
| MRI of the brain with contrast |
$446 |
$4,597 |
$447 |
$269 | |
| MRI of the brain without contrast |
$305 |
$3,907 |
$305 |
$195 | |
| MRI of the chest |
$446 |
$4,938 |
$550 |
$371 | |
| MRI of the chest with contrast |
$1,003 |
$4,966 |
$1,003 |
$371 | |
| MRI of the chest without contrast |
$446 |
$4,938 |
$447 |
$466 | |
| MRI of the knee |
$446 |
$4,423 |
$453 |
$315 | |
| MRI of the knee with contrast |
$1,003 |
$4,423 |
$1,003 |
$315 | |
| MRI of the knee without contrast |
$305 |
$3,916 |
$305 |
$204 | |
| MRI of the lower back (lumbar spine) |
$446 |
$4,911 |
$447 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$446 |
$4,911 |
$447 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$305 |
$3,537 |
$305 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$446 |
$4,752 |
$447 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$446 |
$5,298 |
$447 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$446 |
$4,752 |
$447 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$305 |
$3,949 |
$305 |
$190 | |
| MRI of the neck (cervical spine) |
$446 |
$4,685 |
$447 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$446 |
$5,372 |
$447 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$446 |
$4,685 |
$447 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$305 |
$4,008 |
$305 |
$191 | |
| MRI of the pelvis |
$446 |
$4,611 |
$447 |
$268 | |
| MRI of the pelvis with contrast |
$446 |
$4,611 |
$447 |
$268 | |
| MRI of the pelvis without contrast |
$305 |
$3,971 |
$305 |
$227 | |
| MRI of the shoulder |
$446 |
$5,133 |
$453 |
$313 | |
| MRI of the shoulder with contrast |
$1,003 |
$6,226 |
$1,003 |
$313 | |
| MRI of the shoulder without contrast |
$305 |
$3,324 |
$305 |
$205 | |
| MRI of the wrist |
$446 |
$4,365 |
$447 |
$330 | |
| MRI of the wrist with contrast |
$446 |
$4,365 |
$447 |
$330 | |
| MRI of the wrist without contrast |
$305 |
$3,537 |
$305 |
$303 | |
| Nebulizer breathing treatment |
$280 |
$370 |
$280 |
$9 | |
| Nuclear cardiac stress test |
$1,656 |
$6,404 |
$1,657 |
$428 | |
| Occupational therapy evaluation |
$94 |
$467 |
$94 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$94 |
$576 |
$119 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$94 |
$350 |
$94 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$94 |
$467 |
$94 |
$101 | |
| Office visit (established patient) |
— |
$400 |
$62 |
$115 | |
| Office visit (new patient) |
— |
$244 |
$120 |
$177 | |
| Office visit, established patient (level 3) |
— |
$378 |
$51 |
$95 | |
| Office visit, established patient (level 4) |
— |
$422 |
$80 |
$136 | |
| Office visit, new patient (level 3) |
— |
$369 |
$102 |
$118 | |
| Office visit, new patient (level 4) |
— |
$477 |
$123 |
$177 | |
| Office visit, new patient (level 5) |
— |
$244 |
$148 |
$237 | |
| Orthopedic hardware removal |
$3,717 |
$21,678 |
$3,718 |
$632 | |
| Pacemaker insertion |
$21,239 |
— |
$28,229 |
$15,506 | |
| Parathyroid hormone (PTH) test |
$41 |
$88 |
$41 |
$41 | |
| Pelvic ultrasound |
$133 |
$941 |
$134 |
$78 | |
| Pelvic ultrasound (complete) |
$133 |
$1,055 |
$134 |
$105 | |
| Pelvic ultrasound (limited) |
$133 |
$827 |
$134 |
$51 | |
| PET scan |
$1,830 |
$5,318 |
$1,830 |
— | |
| Physical therapy evaluation |
$91 |
$475 |
$92 |
$98 | |
| Physical therapy evaluation (high complexity) |
$91 |
$527 |
$116 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$91 |
$475 |
$92 |
$98 | |
| Pilonidal cyst removal |
$3,717 |
$31,369 |
$3,718 |
$541 | |
| Pregnancy ultrasound |
$133 |
$1,112 |
$134 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$133 |
$929 |
$134 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$133 |
$1,295 |
$134 |
$136 | |
| Procalcitonin test |
$27 |
$38 |
$27 |
$27 | |
| Prostate removal (prostatectomy) |
$13,604 |
$62,738 |
$13,605 |
$1,063 | |
| Prostate surgery (TURP) |
$6,862 |
$28,381 |
$6,862 |
$526 | |
| Pulmonary rehabilitation |
$75 |
$284 |
$76 |
$87 | |
| Rheumatoid factor test |
$6 |
$225 |
$6 |
$6 | |
| Rotator cuff repair |
$9,286 |
$14,479 |
$9,287 |
$792 | |
| Scoliosis spine X-ray |
$111 |
$955 |
$134 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$111 |
$955 |
$111 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$133 |
$1,376 |
$134 |
$72 | |
| Screening colonoscopy |
$1,190 |
$1,490 |
$1,190 |
$378 | |
| Screening mammogram |
$99 |
$356 |
$100 |
$126 | |
| Scrotal ultrasound |
$133 |
$965 |
$134 |
$99 | |
| Sedimentation rate (ESR) test |
$4 |
$150 |
$4 |
$3 | |
| Septoplasty (deviated septum) |
$4,243 |
$9,546 |
$4,243 |
$613 | |
| Shoulder arthroscopy |
$9,286 |
$11,203 |
$9,287 |
$962 | |
| Shoulder replacement |
$22,440 |
$52,281 |
$22,441 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$256 |
$882 |
$257 |
$114 | |
| Simple wound stitches |
$256 |
$882 |
$257 |
$127 | |
| Sinus surgery (endoscopic) |
$6,902 |
$7,423 |
$6,192 |
$224 | |
| Skin biopsy |
$520 |
$629 |
$629 |
$121 | |
| Skin biopsy (punch) |
$520 |
$629 |
$520 |
$121 | |
| Skin cancer lesion removal |
$906 |
$2,897 |
$906 |
$240 | |
| Skin tag removal |
$256 |
$507 |
$257 |
$92 | |
| Soft tissue ultrasound |
$133 |
$796 |
$134 |
$64 | |
| Speech therapy |
$71 |
$527 |
$81 |
$76 | |
| Spinal tap (lumbar puncture) |
$903 |
$3,125 |
$903 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$9,286 |
$28,032 |
$9,287 |
$5,803 | |
| Spirometry (lung function test) |
$276 |
$225 |
$225 |
$30 | |
| Spirometry with bronchodilator |
$477 |
$1,351 |
$478 |
$43 | |
| Strep throat test |
$16 |
$220 |
$17 |
$17 | |
| Stress echocardiogram |
$699 |
$3,047 |
$699 |
$209 | |
| Stress echocardiogram (complete) |
$699 |
$3,047 |
$699 |
$233 | |
| Swallow study |
$59 |
$903 |
$60 |
$85 | |
| Testicle removal (orchiectomy) |
$4,511 |
$11,203 |
$4,511 |
$306 | |
| Thyroid test (TSH) |
$16 |
$105 |
$17 |
$17 | |
| Thyroid ultrasound |
$133 |
$1,055 |
$134 |
$109 | |
| Thyroid uptake scan |
$511 |
$986 |
$512 |
$145 | |
| Tilt table test |
$477 |
$2,428 |
$478 |
$168 | |
| Transesophageal echocardiogram (TEE) |
$699 |
$2,276 |
$699 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$699 |
$1,893 |
$699 |
$239 | |
| Transvaginal ultrasound |
$133 |
$1,228 |
$134 |
$118 | |
| Trigger finger release |
$2,058 |
$12,601 |
$2,058 |
$630 | |
| Trigger point injection |
$392 |
$1,237 |
$393 |
$56 | |
| Trigger point injection (1-2 muscles) |
$392 |
$1,237 |
$393 |
$52 | |
| Triglycerides test |
$5 |
$10 |
$6 |
$6 | |
| Troponin (heart) test |
$12 |
$679 |
$12 |
$12 | |
| Tubal ligation |
$7,737 |
$21,126 |
$7,737 |
$333 | |
| Turbinate reduction |
$4,243 |
$9,236 |
$4,243 |
$294 | |
| Ulnar nerve surgery (elbow) |
$2,499 |
$19,917 |
$2,499 |
$575 | |
| Upper GI endoscopy (EGD) |
$1,160 |
$3,727 |
$1,161 |
$371 | |
| Upper GI series (barium) |
$224 |
$1,347 |
$224 |
$128 | |
| Ureteral stent placement |
$4,511 |
$19,045 |
$4,511 |
$373 | |
| Ureteroscopy (stone removal) |
$6,862 |
$15,992 |
$1,353 |
$365 | |
| Urine microalbumin test |
$5 |
$6 |
$5 |
$5 | |
| Urine pregnancy test |
$8 |
$169 |
$9 |
$9 | |
| Vaccine administration |
$92 |
$302 |
$92 |
$19 | |
| Vaginal delivery |
$7,572 |
— |
$8,906 |
$5,487 | |
| Vasectomy |
$2,675 |
$17,925 |
$2,675 |
$347 | |
| Vitamin D test |
$29 |
$27 |
$22 |
$30 | |
| Wart removal |
$256 |
$15,311 |
$257 |
$121 | |
| Weight-loss (bariatric) surgery |
$15,972 |
— |
$22,943 |
$11,645 | |
| Wound debridement |
$520 |
$1,700 |
$520 |
$186 | |
| Wrist fracture repair |
$9,286 |
$13,444 |
$9,287 |
$735 | |
| X-ray of the abdomen |
$133 |
$1,013 |
$134 |
$36 | |
| X-ray of the ankle |
$111 |
$632 |
$111 |
$37 | |
| X-ray of the collarbone |
$111 |
$561 |
$111 |
$33 | |
| X-ray of the elbow |
$111 |
$632 |
$111 |
$33 | |
| X-ray of the facial bones |
$122 |
$832 |
$134 |
$39 | |
| X-ray of the foot |
$111 |
$632 |
$111 |
$34 | |
| X-ray of the forearm |
$111 |
$561 |
$111 |
$29 | |
| X-ray of the hand |
$111 |
$632 |
$111 |
$38 | |
| X-ray of the hip |
$111 |
$561 |
$112 |
$49 | |
| X-ray of the hip (1 view) |
$111 |
$561 |
$111 |
$34 | |
| X-ray of the hip (3 views) |
$111 |
$561 |
$111 |
$49 | |
| X-ray of the hip (4 views) |
$133 |
$1,013 |
$134 |
$63 | |
| X-ray of the knee |
$111 |
$561 |
$111 |
$42 | |
| X-ray of the knee (2 views) |
$111 |
$561 |
$111 |
$34 | |
| X-ray of the knee (3 views) |
$111 |
$610 |
$111 |
$42 | |
| X-ray of the knee (4+ views) |
$133 |
$1,013 |
$134 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$133 |
$1,194 |
$134 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$133 |
$1,013 |
$134 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$133 |
$1,376 |
$134 |
$53 | |
| X-ray of the lower leg |
$111 |
$605 |
$111 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$133 |
$867 |
$134 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$133 |
$1,013 |
$134 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$133 |
$721 |
$134 |
$39 | |
| X-ray of the neck (cervical spine) |
$122 |
$832 |
$134 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$111 |
$632 |
$111 |
$40 | |
| X-ray of the pelvis |
$133 |
$1,013 |
$134 |
$36 | |
| X-ray of the pelvis (1 view) |
$133 |
$1,013 |
$134 |
$28 | |
| X-ray of the ribs |
$133 |
$1,013 |
$134 |
$42 | |
| X-ray of the ribs (2 views) |
$111 |
$733 |
$111 |
$36 | |
| X-ray of the ribs (3 views) |
$133 |
$1,013 |
$134 |
$42 | |
| X-ray of the shoulder |
$111 |
$632 |
$111 |
$36 | |
| X-ray of the skull |
$133 |
$1,133 |
$134 |
$40 | |
| X-ray of the upper arm |
$111 |
$561 |
$111 |
$32 | |
| X-ray of the wrist |
$111 |
$632 |
$111 |
$43 | |