| 3D mammogram (tomosynthesis) |
— |
— |
$129 |
$51 | |
| Abdominal fluid drain (paracentesis) |
— |
— |
$3,090 |
$284 | |
| Abdominal ultrasound |
$4,521 |
$4,521 |
$2,034 |
$100 | |
| Abdominal ultrasound (complete) |
$5,666 |
$5,666 |
$1,855 |
$114 | |
| Abdominal ultrasound (limited) |
$4,521 |
$4,521 |
$2,337 |
$86 | |
| Abscess drainage (complex or multiple) |
— |
— |
$2,716 |
$220 | |
| Abscess drainage (simple) |
— |
— |
$2,716 |
$129 | |
| Abscess incision and drainage |
— |
— |
$2,716 |
$174 | |
| Achilles tendon repair |
— |
— |
$6,474 |
$624 | |
| ACL knee reconstruction |
— |
— |
$8,885 |
$889 | |
| Acupuncture |
— |
— |
$48 |
$38 | |
| Adenoid removal (adenoidectomy) |
— |
— |
$5,806 |
$204 | |
| Allergy patch testing |
— |
— |
$1,677 |
$5 | |
| Allergy shots |
— |
— |
$76 |
$11 | |
| Allergy testing |
— |
— |
$1,677 |
$4 | |
| Amniocentesis |
— |
— |
$2,909 |
$120 | |
| Anal fistula repair |
— |
— |
$4,821 |
$541 | |
| Ankle fracture repair |
— |
— |
$9,527 |
$608 | |
| Ankle replacement |
— |
— |
$15,398 |
$885 | |
| Anoscopy |
— |
— |
$2,716 |
$129 | |
| Aortic aneurysm repair (AAA) |
— |
— |
$8,655 |
$1,345 | |
| Aortic valve replacement |
— |
— |
$9,449 |
$1,603 | |
| Arterial blood gas (ABG) |
$1,470 |
$1,470 |
$390 |
$26 | |
| Bartholin cyst removal |
— |
— |
$2,716 |
$182 | |
| Benign skin lesion removal |
— |
— |
$2,716 |
$171 | |
| Bladder function test (urodynamics) |
— |
— |
$1,638 |
$345 | |
| Bladder scope (cystoscopy) |
— |
— |
$2,716 |
$216 | |
| Bladder tumor removal (TURBT) |
— |
— |
$5,590 |
$236 | |
| Blood clotting test (PT/INR) |
$311 |
$311 |
$13 |
$4 | |
| Blood crossmatch |
$781 |
$781 |
$362 |
— | |
| Blood glucose test |
$322 |
$322 |
$12 |
$5 | |
| Blood transfusion |
$3,112 |
$3,112 |
$2,096 |
$47 | |
| Blood type and screen |
$690 |
$690 |
$24 |
$10 | |
| Blood type test |
$397 |
$397 |
$7 |
$3 | |
| Blood type test (ABO group) |
$397 |
$397 |
$7 |
$3 | |
| Blood type test (Rh/D antigen) |
$397 |
$397 |
$7 |
$3 | |
| Bone density scan (DEXA) |
— |
— |
$128 |
$39 | |
| Bone marrow biopsy |
— |
— |
$3,697 |
$172 | |
| Botox for migraine |
— |
— |
$2,716 |
$157 | |
| Brain shunt (VP shunt) |
— |
— |
$5,680 |
$1,023 | |
| Breast biopsy |
— |
— |
$4,142 |
$478 | |
| Breast MRI |
$11,788 |
$11,788 |
$604 |
$216 | |
| Breast MRI without contrast |
$11,788 |
$11,788 |
$518 |
$216 | |
| Breast reconstruction |
— |
— |
$16,626 |
$1,227 | |
| Breast reduction |
— |
— |
$8,809 |
$980 | |
| Breast ultrasound |
$2,541 |
$2,541 |
$1,348 |
$92 | |
| Breast ultrasound (complete) |
$2,541 |
$2,541 |
$1,348 |
$100 | |
| Breast ultrasound (limited) |
$2,541 |
$2,541 |
$1,348 |
$84 | |
| Breathing tube insertion (intubation) |
— |
— |
$2,716 |
$133 | |
| Bronchoscopy |
— |
— |
$4,765 |
$303 | |
| Bunion surgery (bunionectomy) |
— |
— |
$6,194 |
$883 | |
| Burn dressing and debridement (medium) |
— |
— |
$2,716 |
$166 | |
| Burn dressing and debridement (small) |
— |
— |
$2,716 |
$93 | |
| Burn treatment |
— |
— |
$2,716 |
$129 | |
| Capsule endoscopy |
$5,801 |
$5,801 |
$3,713 |
$802 | |
| Cardiac ablation |
— |
— |
$18,674 |
$759 | |
| Cardiac catheterization |
— |
— |
$13,638 |
$1,049 | |
| Cardiac rehabilitation |
$328 |
$328 |
$150 |
$26 | |
| Carotid artery surgery |
— |
— |
$6,699 |
$1,026 | |
| Carotid artery ultrasound |
$5,724 |
$5,724 |
$2,791 |
$156 | |
| Carpal tunnel release |
— |
— |
$4,063 |
$483 | |
| Cataract surgery |
— |
— |
$6,719 |
$547 | |
| Central line placement |
— |
— |
$8,141 |
$238 | |
| Cervical cerclage |
— |
— |
$4,811 |
$137 | |
| Cervical LEEP procedure |
— |
— |
$4,955 |
$325 | |
| Cesarean section (C-section) |
— |
— |
$1,680 |
$7,552 | |
| Chalazion (eyelid cyst) removal |
— |
— |
$2,716 |
$131 | |
| Chemotherapy infusion |
$2,534 |
$2,534 |
$1,144 |
$81 | |
| Chemotherapy infusion (each additional) |
$1,788 |
$1,788 |
$944 |
$28 | |
| Chemotherapy infusion (first hour) |
$3,280 |
$3,280 |
$1,732 |
$133 | |
| Chest fluid drain (thoracentesis) |
— |
— |
$2,716 |
$311 | |
| Chest tube insertion |
— |
— |
$2,909 |
$143 | |
| Chest X-ray (1 view) |
$1,689 |
$1,689 |
$131 |
$25 | |
| Chickenpox (varicella) vaccine |
$1,472 |
$1,472 |
$691 |
— | |
| Chiropractic adjustment |
— |
— |
$42 |
$38 | |
| Circumcision |
— |
— |
$3,821 |
$167 | |
| Clotting time test (PTT) |
$516 |
$516 |
$15 |
$6 | |
| Colon resection (colectomy) |
— |
— |
$7,644 |
$1,238 | |
| Colonoscopy |
— |
— |
$3,880 |
$480 | |
| Colostomy |
— |
— |
$5,680 |
$1,122 | |
| Colposcopy |
— |
— |
$2,716 |
$161 | |
| Complete blood count (CBC) (complete) |
— |
— |
$8 |
$8 | |
| Complex wound repair |
— |
— |
$2,720 |
$390 | |
| Comprehensive eye exam |
— |
— |
$212 |
$138 | |
| Contraceptive implant (Nexplanon) |
— |
— |
$2,716 |
$115 | |
| Corneal transplant |
— |
— |
$8,580 |
$1,066 | |
| Coronary artery bypass (CABG) |
— |
— |
$1,680 |
$36,593 | |
| Cortisol test |
$903 |
$903 |
$181 |
$16 | |
| COVID-19 PCR test |
$141 |
$141 |
$58 |
$51 | |
| CPAP titration study |
$4,133 |
$4,133 |
$1,641 |
$69 | |
| Craniotomy (brain surgery) |
— |
— |
$9,449 |
$2,161 | |
| CT angiography of the chest |
$17,223 |
$17,223 |
$912 |
$281 | |
| CT angiography of the head |
$17,223 |
$17,223 |
$1,021 |
$274 | |
| CT colonography (virtual colonoscopy) |
— |
— |
$1,487 |
$835 | |
| CT scan of the abdomen and pelvis |
$21,049 |
$21,049 |
$828 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$24,877 |
$24,877 |
$1,100 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$21,049 |
$21,049 |
$977 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$18,179 |
$18,179 |
$544 |
$183 | |
| Defibrillator (ICD) implant |
— |
— |
$17,314 |
$798 | |
| Diagnostic mammogram |
— |
— |
$269 |
$140 | |
| Dialysis fistula creation |
— |
— |
$8,141 |
$601 | |
| Dilation and curettage (D&C) |
— |
— |
$4,821 |
$298 | |
| Droopy eyelid repair (ptosis) |
— |
— |
$5,806 |
$745 | |
| Ear pressure test (tympanometry) |
— |
— |
$64 |
$16 | |
| Ear tubes (myringotomy) |
— |
— |
$3,090 |
$174 | |
| Eardrum repair (tympanoplasty) |
— |
— |
$9,011 |
$799 | |
| Echocardiogram |
$7,366 |
$7,366 |
$3,186 |
$138 | |
| Echocardiogram without contrast |
$8,671 |
$8,671 |
$3,907 |
$138 | |
| EKG / ECG (tracing only) |
$1,799 |
$1,799 |
$810 |
$7 | |
| Elbow replacement |
— |
— |
$17,826 |
$1,301 | |
| Electromyography (EMG) |
$2,442 |
$2,442 |
$1,021 |
$141 | |
| Emergency department visit (level 1) |
$870 |
$870 |
$402 |
$11 | |
| Endometrial biopsy |
— |
— |
$2,716 |
$98 | |
| Epidural steroid injection |
— |
— |
$2,716 |
$275 | |
| ERCP (bile duct endoscopy) |
— |
— |
$5,680 |
$311 | |
| Esophageal dilation |
— |
— |
$3,189 |
$522 | |
| Esophageal variceal banding |
— |
— |
$3,697 |
$126 | |
| Eyelid surgery (blepharoplasty) |
— |
— |
$4,821 |
$552 | |
| Facet joint injection (spine) |
— |
— |
$2,909 |
$99 | |
| Family therapy session |
— |
— |
$256 |
$110 | |
| Fecal occult blood (stool) test |
$203 |
$203 |
$16 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$203 |
$203 |
$11 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
— |
— |
$16 |
$16 | |
| Feeding tube (PEG) placement |
— |
— |
$4,063 |
$178 | |
| Femoral hernia repair |
— |
— |
$6,162 |
$584 | |
| Ferritin (iron) test |
$814 |
$814 |
$33 |
$14 | |
| Fibroid removal (myomectomy) |
— |
— |
$8,132 |
$914 | |
| Flexible sigmoidoscopy |
— |
— |
$2,716 |
$323 | |
| Flu vaccine |
$285 |
$285 |
$182 |
— | |
| Foreign body removal (skin) |
— |
— |
$2,716 |
$157 | |
| Gallbladder removal (laparoscopic) |
— |
— |
$9,252 |
$658 | |
| Gallbladder scan (HIDA) |
$10,198 |
$10,198 |
$1,125 |
$334 | |
| Ganglion cyst removal |
— |
— |
$4,821 |
$321 | |
| Glaucoma surgery |
— |
— |
$5,806 |
$984 | |
| Group therapy session |
— |
— |
$143 |
$30 | |
| H. pylori test |
— |
— |
$67 |
$67 | |
| Hammertoe repair |
— |
— |
$5,190 |
$548 | |
| Hearing test (audiometry) |
— |
— |
$250 |
$36 | |
| Hematocrit test |
$203 |
$203 |
$7 |
$2 | |
| Hemodialysis |
— |
— |
$1,121 |
$75 | |
| Hemorrhoid removal |
— |
— |
$3,889 |
$338 | |
| Hepatitis A vaccine |
— |
— |
$221 |
— | |
| Hepatitis B vaccine |
$156 |
$156 |
$113 |
— | |
| Hepatitis C test |
$746 |
$746 |
$35 |
$14 | |
| Hip arthroscopy |
— |
— |
$11,008 |
$931 | |
| Hip fracture repair |
— |
— |
$9,329 |
$1,120 | |
| Hip replacement |
— |
— |
$21,105 |
$1,162 | |
| Home sleep apnea test |
$1,691 |
$1,691 |
$1,522 |
$123 | |
| HPV vaccine |
— |
— |
$1,184 |
— | |
| Hydrocele repair |
— |
— |
$5,548 |
$315 | |
| Hysterectomy |
— |
— |
$10,878 |
$933 | |
| Hysteroscopy |
— |
— |
$6,194 |
$1,270 | |
| Ileostomy |
— |
— |
$5,680 |
$968 | |
| Incisional hernia repair |
— |
— |
$10,063 |
— | |
| Inguinal hernia repair |
— |
— |
$5,806 |
$538 | |
| IUD insertion |
— |
— |
$2,720 |
— | |
| IUD removal |
— |
— |
$2,716 |
$112 | |
| IV infusion therapy |
$1,729 |
$1,729 |
$910 |
$44 | |
| IV infusion therapy (initial) |
$2,186 |
$2,186 |
$1,043 |
$67 | |
| IVC filter placement |
— |
— |
$7,698 |
$1,885 | |
| Joint aspiration (small/intermediate) |
— |
— |
$2,716 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
— |
— |
$2,716 |
$57 | |
| Joint aspiration or injection (small joint) |
— |
— |
$2,716 |
$56 | |
| Kidney biopsy |
— |
— |
$3,697 |
$492 | |
| Kidney removal (nephrectomy) |
— |
— |
$7,644 |
$1,164 | |
| Kidney stone shock-wave (lithotripsy) |
— |
— |
$9,353 |
$760 | |
| Kidney ultrasound |
$3,131 |
$3,131 |
$1,474 |
$84 | |
| Kidney ultrasound (limited) |
$3,098 |
$3,098 |
$1,409 |
$61 | |
| Knee arthroscopy |
— |
— |
$5,806 |
$524 | |
| Knee joint injection |
— |
— |
$2,716 |
$69 | |
| Knee replacement |
— |
— |
$7,308 |
$18,054 | |
| Lactate test |
$746 |
$746 |
$55 |
$12 | |
| Laminectomy (spine) |
— |
— |
$10,011 |
$1,157 | |
| Laryngoscopy |
— |
— |
$2,722 |
$189 | |
| LDL cholesterol test |
— |
— |
$11 |
$11 | |
| Leg artery angiogram |
$20,602 |
$20,602 |
$6,439 |
$149 | |
| Leg artery angioplasty |
— |
— |
$9,165 |
— | |
| Leg vein ultrasound (Doppler) |
$5,958 |
$5,958 |
$3,146 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$5,903 |
$5,903 |
$3,061 |
$116 | |
| Liver biopsy |
— |
— |
$3,697 |
$288 | |
| Lower back (lumbar) spinal fusion |
— |
— |
$78,000 |
$1,511 | |
| Lumbar discectomy |
— |
— |
$10,011 |
$898 | |
| Lumpectomy (breast) |
— |
— |
$6,719 |
$750 | |
| Lung function test (PFT) |
$2,624 |
$2,624 |
$985 |
$37 | |
| Mastectomy |
— |
— |
$9,353 |
$1,021 | |
| Mastoidectomy |
— |
— |
$8,580 |
$840 | |
| Meniscus repair (knee) |
— |
— |
$5,265 |
$714 | |
| Mohs skin cancer surgery |
— |
— |
$2,720 |
$535 | |
| MRA of the brain |
$15,302 |
$15,302 |
$738 |
$226 | |
| MRA of the brain with contrast |
$15,302 |
$15,302 |
$738 |
$226 | |
| MRA of the brain without contrast |
$18,148 |
$18,148 |
$838 |
$328 | |
| MRA of the neck |
$14,190 |
$14,190 |
$799 |
$245 | |
| MRA of the neck with contrast |
$14,190 |
$14,190 |
$799 |
$245 | |
| MRA of the neck without contrast |
$20,097 |
$20,097 |
$859 |
$343 | |
| MRI of the abdomen with contrast |
— |
— |
$766 |
$300 | |
| MRI of the ankle |
$20,071 |
$20,071 |
$828 |
$261 | |
| MRI of the ankle with contrast |
$20,071 |
$20,071 |
$828 |
$261 | |
| MRI of the knee with contrast |
$22,559 |
$22,559 |
$1,264 |
$315 | |
| MRI of the lower back (lumbar spine) |
$21,645 |
$21,645 |
$650 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$21,645 |
$21,645 |
$828 |
$270 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$24,552 |
$24,552 |
$828 |
$319 | |
| MRI of the neck (cervical spine) |
$20,071 |
$20,071 |
$646 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$24,408 |
$24,408 |
$828 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$20,071 |
$20,071 |
$828 |
$274 | |
| MRI of the pelvis |
$20,071 |
$20,071 |
$767 |
$268 | |
| MRI of the pelvis with contrast |
$20,071 |
$20,071 |
$828 |
$268 | |
| MRI of the shoulder |
$22,037 |
$22,037 |
$978 |
$313 | |
| MRI of the shoulder with contrast |
$22,037 |
$22,037 |
$1,252 |
$313 | |
| Nebulizer breathing treatment |
$509 |
$509 |
$243 |
$9 | |
| Neck (cervical) spinal fusion |
— |
— |
$21,105 |
$1,410 | |
| Nerve conduction study |
— |
— |
$483 |
$118 | |
| Newborn hospital care |
— |
— |
$212 |
$58 | |
| Nuchal translucency ultrasound |
$1,785 |
$1,785 |
$369 |
$116 | |
| Nuclear cardiac stress test |
$30,607 |
$30,607 |
$2,229 |
$428 | |
| Occupational therapy evaluation |
$868 |
$868 |
$120 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$1,157 |
$1,157 |
$231 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$579 |
$579 |
$116 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$868 |
$868 |
$174 |
$101 | |
| Office visit (established patient) |
$524 |
$524 |
$324 |
$115 | |
| Office visit (new patient) |
$1,276 |
$1,276 |
$778 |
$177 | |
| Office visit, established patient (level 3) |
$467 |
$467 |
$299 |
$95 | |
| Office visit, established patient (level 4) |
$536 |
$536 |
$343 |
$136 | |
| Office visit, new patient (level 3) |
$1,243 |
$1,243 |
$751 |
$118 | |
| Office visit, new patient (level 4) |
$1,305 |
$1,305 |
$787 |
$177 | |
| Office visit, new patient (level 5) |
$1,402 |
$1,402 |
$840 |
$237 | |
| Orthopedic hardware removal |
— |
— |
$5,079 |
$632 | |
| Ovarian cyst removal |
— |
— |
$7,976 |
$698 | |
| Ovary removal (oophorectomy) |
— |
— |
$7,650 |
$822 | |
| Pacemaker insertion |
— |
— |
$5,173 |
$15,506 | |
| Parathyroid hormone (PTH) test |
$1,523 |
$1,523 |
$196 |
$41 | |
| Parathyroid removal |
— |
— |
$9,391 |
$891 | |
| Pelvic ultrasound |
$1,826 |
$1,826 |
$1,142 |
$78 | |
| Pelvic ultrasound (limited) |
$1,806 |
$1,806 |
$822 |
$51 | |
| PET scan |
$39,466 |
$39,466 |
$11,840 |
— | |
| Physical therapy evaluation |
$579 |
$579 |
$105 |
$98 | |
| Physical therapy evaluation (high complexity) |
$868 |
$868 |
$174 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$579 |
$579 |
$116 |
$98 | |
| Pilonidal cyst removal |
— |
— |
$5,079 |
$541 | |
| Pregnancy blood test (hCG) |
$619 |
$619 |
$23 |
$8 | |
| Pregnancy ultrasound |
$1,853 |
$1,853 |
$871 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$1,845 |
$1,845 |
$661 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$2,889 |
$2,889 |
$1,025 |
$136 | |
| Prostate biopsy |
— |
— |
$4,821 |
— | |
| Prostate removal (prostatectomy) |
— |
— |
$9,449 |
$1,063 | |
| Prostate surgery (TURP) |
— |
— |
$7,080 |
$526 | |
| Psychotherapy session |
— |
— |
$256 |
$140 | |
| Pterygium removal (eye) |
— |
— |
$4,063 |
$540 | |
| Pulmonary rehabilitation |
— |
— |
$98 |
$87 | |
| Radiofrequency nerve ablation |
— |
— |
$3,855 |
$462 | |
| Retina scan (OCT) |
— |
— |
$98 |
$33 | |
| Retinal (fundus) photography |
— |
— |
$205 |
$37 | |
| Retinal detachment repair |
— |
— |
$6,699 |
$966 | |
| Rotator cuff repair |
— |
— |
$10,011 |
$792 | |
| Routine eye exam |
— |
— |
$212 |
$88 | |
| RSV vaccine |
$987 |
$987 |
$632 |
— | |
| Sacroiliac joint injection |
— |
— |
$2,720 |
$176 | |
| Scoliosis spine X-ray |
$2,735 |
$2,735 |
$187 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$1,492 |
$1,492 |
$165 |
$44 | |
| Screening colonoscopy |
— |
— |
$2,909 |
$378 | |
| Screening mammogram |
— |
— |
$236 |
$126 | |
| Scrotal ultrasound |
$3,961 |
$3,961 |
$1,297 |
$99 | |
| Semen analysis |
— |
— |
$12 |
$12 | |
| Septoplasty (deviated septum) |
— |
— |
$5,806 |
$613 | |
| Shoulder arthroscopy |
— |
— |
$8,885 |
$962 | |
| Shoulder replacement |
— |
— |
$25,771 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
— |
— |
$2,716 |
$114 | |
| Simple wound stitches |
— |
— |
$2,125 |
$127 | |
| Sinus surgery (endoscopic) |
— |
— |
$6,194 |
$224 | |
| Skin biopsy |
— |
— |
$2,716 |
$121 | |
| Skin biopsy (punch) |
— |
— |
$2,716 |
$121 | |
| Skin cancer lesion removal |
— |
— |
$2,716 |
$240 | |
| Skin graft |
— |
— |
$4,955 |
$898 | |
| Skin lesion freezing (cryotherapy) |
— |
— |
$2,720 |
$36 | |
| Skin tag removal |
— |
— |
$2,716 |
$92 | |
| Sleep study (polysomnography) |
$24,070 |
$24,070 |
$5,579 |
$691 | |
| Small bowel resection |
— |
— |
$5,680 |
$1,136 | |
| Speech therapy |
$607 |
$607 |
$121 |
$76 | |
| Spinal cord stimulator |
— |
— |
$10,524 |
$2,388 | |
| Spinal tap (lumbar puncture) |
— |
— |
$2,716 |
$165 | |
| Spine fracture repair (kyphoplasty) |
— |
— |
$9,329 |
$5,803 | |
| Spirometry (lung function test) |
$1,706 |
$1,706 |
$754 |
$30 | |
| Spirometry with bronchodilator |
$3,511 |
$3,511 |
$1,394 |
$43 | |
| Spleen removal (splenectomy) |
— |
— |
$9,329 |
$1,036 | |
| Stomach removal (gastrectomy) |
— |
— |
$5,680 |
$1,595 | |
| Strabismus (eye muscle) surgery |
— |
— |
$5,806 |
$475 | |
| Strep throat test |
$150 |
$150 |
$40 |
$17 | |
| Stress echocardiogram |
$11,051 |
$11,051 |
$4,973 |
$209 | |
| Stress echocardiogram (complete) |
$11,051 |
$11,051 |
$4,448 |
$233 | |
| Swallow study |
$2,554 |
$2,554 |
$511 |
$85 | |
| Testicle removal (orchiectomy) |
— |
— |
$5,364 |
$306 | |
| Thyroid removal (thyroidectomy) |
— |
— |
$9,391 |
$1,004 | |
| Thyroid ultrasound |
$4,543 |
$4,543 |
$1,487 |
$109 | |
| Thyroid uptake scan |
$5,259 |
$5,259 |
$641 |
$145 | |
| Tilt table test |
$5,292 |
$5,292 |
$2,720 |
$168 | |
| Tonsillectomy |
— |
— |
$6,447 |
$252 | |
| Tracheostomy |
— |
— |
$4,954 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$14,177 |
$14,177 |
$5,038 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$11,999 |
$11,999 |
$5,027 |
$239 | |
| Trigger finger release |
— |
— |
$4,063 |
$630 | |
| Trigger point injection |
— |
— |
$2,716 |
$56 | |
| Trigger point injection (1-2 muscles) |
— |
— |
$2,716 |
$52 | |
| Tubal ligation |
— |
— |
$7,698 |
$333 | |
| Turbinate reduction |
— |
— |
$4,954 |
$294 | |
| Turning a breech baby (version) |
— |
— |
$4,821 |
$94 | |
| Ulnar nerve surgery (elbow) |
— |
— |
$4,063 |
$575 | |
| Umbilical hernia repair |
— |
— |
$10,063 |
— | |
| Upper GI endoscopy (EGD) |
— |
— |
$3,090 |
$371 | |
| Ureteral stent placement |
— |
— |
$5,364 |
$373 | |
| Ureteroscopy (stone removal) |
— |
— |
$7,962 |
$365 | |
| UV light therapy (skin) |
— |
— |
$98 |
$106 | |
| Vaccine administration |
$330 |
$330 |
$211 |
$19 | |
| Vaccine administration (each additional) |
$330 |
$330 |
$211 |
$16 | |
| Vaginal delivery |
— |
— |
$1,680 |
$5,487 | |
| Varicocele repair |
— |
— |
$5,806 |
$327 | |
| Varicose vein ablation |
— |
— |
$5,680 |
$1,018 | |
| Vasectomy |
— |
— |
$4,063 |
$347 | |
| Visual field test |
— |
— |
$205 |
$64 | |
| Vitamin B12 test |
$758 |
$758 |
$37 |
$15 | |
| Vitrectomy (eye) |
— |
— |
$6,699 |
$814 | |
| Vocal cord injection |
— |
— |
$5,680 |
$211 | |
| Wart removal |
— |
— |
$2,716 |
$121 | |
| Weight-loss (bariatric) surgery |
— |
— |
$5,093 |
$11,645 | |
| Whipple procedure (pancreas) |
— |
— |
$5,680 |
$2,871 | |
| Wound debridement |
— |
— |
$2,716 |
$186 | |
| Wrist fracture repair |
— |
— |
$10,011 |
$735 | |
| X-ray of the elbow |
$2,491 |
$2,491 |
$182 |
$33 | |
| X-ray of the foot |
$2,385 |
$2,385 |
$182 |
$34 | |
| X-ray of the forearm |
$2,291 |
$2,291 |
$348 |
$29 | |
| X-ray of the hand |
$2,223 |
$2,223 |
$350 |
$38 | |
| X-ray of the knee |
$2,595 |
$2,595 |
$279 |
$42 | |
| X-ray of the knee (2 views) |
$2,293 |
$2,293 |
$182 |
$34 | |
| X-ray of the knee (3 views) |
$2,595 |
$2,595 |
$221 |
$42 | |
| X-ray of the pelvis (1 view) |
$2,223 |
$2,223 |
$146 |
$28 | |
| X-ray of the wrist |
$2,584 |
$2,584 |
$223 |
$43 | |
| YAG laser capsulotomy (eye) |
— |
— |
$2,716 |
$335 | |