| Abdominal ultrasound |
$338 |
$338 |
$105 |
$100 | |
| Abdominal ultrasound (complete) |
$330 |
$330 |
$105 |
$114 | |
| Abdominal ultrasound (limited) |
$338 |
$338 |
$105 |
$86 | |
| Abscess drainage (simple) |
$516 |
$516 |
$201 |
$129 | |
| Abscess incision and drainage |
$516 |
$516 |
$201 |
$174 | |
| Achilles tendon repair |
$6,140 |
$6,140 |
$7,254 |
$624 | |
| ACL knee reconstruction |
$6,783 |
$6,783 |
$7,254 |
$889 | |
| Albumin blood test |
$62 |
$62 |
$5 |
$5 | |
| ALT liver enzyme test |
$50 |
$50 |
$5 |
$5 | |
| Ammonia blood test |
$127 |
$127 |
$15 |
$15 | |
| Amylase test |
$155 |
$155 |
$7 |
$6 | |
| Ankle fracture repair |
$5,889 |
$5,889 |
$7,254 |
$608 | |
| Antinuclear antibody (ANA) test |
$77 |
$77 |
$12 |
$12 | |
| Arterial blood gas (ABG) |
$420 |
$420 |
$26 |
$26 | |
| AST liver enzyme test |
$50 |
$50 |
$5 |
$5 | |
| Barium swallow study |
$593 |
$593 |
$175 |
$107 | |
| Basic metabolic panel |
$218 |
$218 |
$9 |
$8 | |
| Blood clotting test (PT/INR) |
$91 |
$91 |
$4 |
$4 | |
| Blood crossmatch |
$248 |
$248 |
$170 |
— | |
| Blood glucose test |
$71 |
$71 |
$4 |
$5 | |
| Blood transfusion |
$766 |
$766 |
$445 |
$47 | |
| Blood type and screen |
$125 |
$125 |
$52 |
$10 | |
| Blood type test |
$256 |
$256 |
$49 |
$3 | |
| Blood type test (ABO group) |
$338 |
$338 |
$133 |
$3 | |
| Blood type test (Rh/D antigen) |
$178 |
$178 |
$37 |
$3 | |
| BNP (heart failure) test |
$281 |
$281 |
$40 |
$39 | |
| Breast reduction |
$4,979 |
$4,979 |
$6,638 |
$980 | |
| Bunion surgery (bunionectomy) |
$5,084 |
$5,084 |
$7,254 |
$883 | |
| C-reactive protein (CRP) |
$110 |
$110 |
$5 |
$5 | |
| Calcium blood test |
$43 |
$43 |
$5 |
$5 | |
| Cardiac ablation |
$12,194 |
$12,194 |
$26,128 |
$759 | |
| Cardioversion |
$3,174 |
$3,174 |
$661 |
$155 | |
| Carotid artery ultrasound |
$692 |
$692 |
$239 |
$156 | |
| Carpal tunnel release |
$4,412 |
$4,412 |
$1,952 |
$483 | |
| Cesarean section (C-section) |
— |
— |
$8,175 |
$7,552 | |
| Chest X-ray |
$278 |
$278 |
$87 |
$37 | |
| Chest X-ray (1 view) |
$254 |
$254 |
$87 |
$25 | |
| Chest X-ray (2 views) |
$302 |
$302 |
$87 |
$33 | |
| CK-MB heart enzyme test |
$99 |
$99 |
$12 |
$12 | |
| Clotting time test (PTT) |
$98 |
$98 |
$6 |
$6 | |
| Complete blood count (CBC) |
$123 |
$123 |
$8 |
$7 | |
| Complete blood count (CBC) (complete) |
$123 |
$123 |
$8 |
$8 | |
| Comprehensive metabolic panel |
$272 |
$272 |
$11 |
$11 | |
| Coronary artery bypass (CABG) |
— |
— |
$41,945 |
$36,593 | |
| Creatine kinase (CK) test |
$152 |
$152 |
$7 |
$7 | |
| CT scan of the abdomen |
$2,111 |
$2,111 |
$175 |
$230 | |
| CT scan of the abdomen and pelvis |
$11,257 |
$11,257 |
$349 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$11,257 |
$11,257 |
$356 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$11,257 |
$11,257 |
$356 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,111 |
$2,111 |
$243 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,111 |
$2,111 |
$179 |
$259 | |
| CT scan of the abdomen with contrast |
$2,111 |
$2,111 |
$179 |
$230 | |
| CT scan of the abdomen without contrast |
$2,111 |
$2,111 |
$107 |
$136 | |
| CT scan of the arm |
$2,111 |
$2,111 |
$349 |
$199 | |
| CT scan of the arm with contrast |
$2,111 |
$2,111 |
$356 |
$199 | |
| CT scan of the arm without contrast |
$2,111 |
$2,111 |
$107 |
$161 | |
| CT scan of the chest |
$1,726 |
$1,726 |
$175 |
$167 | |
| CT scan of the chest with and without contrast |
$2,111 |
$2,111 |
$179 |
$196 | |
| CT scan of the chest with contrast |
$1,685 |
$1,685 |
$179 |
$167 | |
| CT scan of the chest without contrast |
$1,726 |
$1,726 |
$107 |
$133 | |
| CT scan of the head |
$2,111 |
$2,111 |
$175 |
$148 | |
| CT scan of the head with and without contrast |
$2,111 |
$2,111 |
$179 |
$173 | |
| CT scan of the head with contrast |
$2,111 |
$2,111 |
$179 |
$148 | |
| CT scan of the head without contrast |
$2,111 |
$2,111 |
$107 |
$107 | |
| CT scan of the leg |
$2,111 |
$2,111 |
$175 |
$166 | |
| CT scan of the leg with contrast |
$2,111 |
$2,111 |
$179 |
$166 | |
| CT scan of the leg without contrast |
$2,111 |
$2,111 |
$107 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,533 |
$2,533 |
$349 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,533 |
$2,533 |
$179 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,689 |
$1,689 |
$356 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$5,910 |
$5,910 |
$107 |
$130 | |
| CT scan of the neck (cervical spine) |
$2,111 |
$2,111 |
$195 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,111 |
$2,111 |
$179 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$2,111 |
$2,111 |
$356 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$2,060 |
$2,060 |
$107 |
$131 | |
| CT scan of the pelvis |
$2,111 |
$2,111 |
$175 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,111 |
$2,111 |
$179 |
$251 | |
| CT scan of the pelvis with contrast |
$1,689 |
$1,689 |
$179 |
$226 | |
| CT scan of the pelvis without contrast |
$2,111 |
$2,111 |
$107 |
$133 | |
| D-dimer test |
$110 |
$110 |
$10 |
$10 | |
| Drug screen (urine) |
$108 |
$108 |
$63 |
$17 | |
| Ear tubes (myringotomy) |
$2,934 |
$2,934 |
$1,567 |
$174 | |
| Eardrum repair (tympanoplasty) |
$7,084 |
$7,084 |
$5,918 |
$799 | |
| Echocardiogram |
$549 |
$549 |
$546 |
$138 | |
| Echocardiogram with and without contrast |
$549 |
$549 |
$239 |
$101 | |
| EKG / ECG (tracing only) |
$182 |
$182 |
$59 |
$7 | |
| Electrocardiogram (EKG) |
$182 |
$182 |
$59 |
$8 | |
| Electrolyte panel |
$169 |
$169 |
$7 |
$7 | |
| Emergency department visit |
$788 |
$788 |
$417 |
$69 | |
| Emergency department visit (level 1) |
$268 |
$268 |
$84 |
$11 | |
| Emergency department visit (level 2) |
$454 |
$454 |
$153 |
$40 | |
| Emergency department visit (level 3) |
$750 |
$750 |
$278 |
$69 | |
| Emergency department visit (level 4) |
$1,617 |
$1,617 |
$417 |
$118 | |
| Emergency department visit (level 5) |
$1,742 |
$1,742 |
$595 |
$171 | |
| Epidural steroid injection |
$3,419 |
$3,419 |
$706 |
$275 | |
| Facet joint injection (spine) |
$1,140 |
$1,140 |
$850 |
$99 | |
| Fecal occult blood (stool) test |
$80 |
$80 |
$4 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$80 |
$80 |
$4 |
$4 | |
| Ferritin (iron) test |
$169 |
$169 |
$14 |
$14 | |
| Fibrinogen test |
$78 |
$78 |
$10 |
$10 | |
| Flu test |
$37 |
$37 |
$17 |
$17 | |
| Folate (folic acid) test |
$124 |
$124 |
$15 |
$15 | |
| Free T4 thyroid test |
$82 |
$82 |
$9 |
$9 | |
| GGT liver test |
$78 |
$78 |
$7 |
$7 | |
| Hammertoe repair |
$1,382 |
$1,382 |
$3,271 |
$548 | |
| Hematocrit test |
$68 |
$68 |
$2 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$90 |
$90 |
$10 |
$10 | |
| Hepatitis B test |
$168 |
$168 |
$11 |
$10 | |
| Hepatitis C test |
$218 |
$218 |
$15 |
$14 | |
| Hip replacement |
$22,782 |
$22,782 |
$12,834 |
$1,162 | |
| HIV test |
$105 |
$105 |
$24 |
$19 | |
| HIV test (antibody) |
$184 |
$184 |
$14 |
$14 | |
| HIV test (antigen/antibody combo) |
$103 |
$103 |
$25 |
$24 | |
| Iron blood test |
$92 |
$92 |
$7 |
$6 | |
| IV infusion therapy |
$362 |
$362 |
$213 |
$44 | |
| IV infusion therapy (each additional) |
$78 |
$78 |
$47 |
$21 | |
| IV infusion therapy (initial) |
$372 |
$372 |
$213 |
$67 | |
| Joint aspiration (small/intermediate) |
$3,419 |
$3,419 |
$465 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$3,419 |
$3,419 |
$465 |
$57 | |
| Knee arthroscopy |
$6,769 |
$6,769 |
$3,304 |
$524 | |
| Knee replacement |
— |
— |
$21,687 |
$18,054 | |
| Lactate test |
$105 |
$105 |
$12 |
$12 | |
| Laminectomy (spine) |
$10,349 |
$10,349 |
$7,254 |
$1,157 | |
| LDH test |
$127 |
$127 |
$6 |
$6 | |
| Leg vein ultrasound (Doppler) |
$564 |
$564 |
$151 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$550 |
$550 |
$105 |
$116 | |
| Lipase test |
$155 |
$155 |
$7 |
$7 | |
| Lipid (cholesterol) panel |
$124 |
$124 |
$14 |
$13 | |
| Liver function panel |
$76 |
$76 |
$8 |
$8 | |
| Lumbar discectomy |
$9,841 |
$9,841 |
$7,254 |
$898 | |
| Magnesium blood test |
$110 |
$110 |
$7 |
$7 | |
| Meniscus repair (knee) |
$4,920 |
$4,920 |
$3,304 |
$714 | |
| MRI of the abdomen |
$2,814 |
$2,814 |
$349 |
$300 | |
| MRI of the abdomen with contrast |
$2,814 |
$2,814 |
$356 |
$300 | |
| MRI of the abdomen without contrast |
$2,779 |
$2,779 |
$243 |
$194 | |
| MRI of the brain |
$6,613 |
$6,613 |
$349 |
$269 | |
| MRI of the brain with contrast |
$6,613 |
$6,613 |
$356 |
$269 | |
| MRI of the brain without contrast |
$6,613 |
$6,613 |
$243 |
$195 | |
| MRI of the chest |
$2,814 |
$2,814 |
$720 |
$371 | |
| MRI of the chest with contrast |
$2,814 |
$2,814 |
$784 |
$371 | |
| MRI of the chest without contrast |
$2,814 |
$2,814 |
$356 |
$466 | |
| MRI of the knee |
$2,814 |
$2,814 |
$720 |
$315 | |
| MRI of the knee with contrast |
$2,814 |
$2,814 |
$784 |
$315 | |
| MRI of the knee without contrast |
$2,814 |
$2,814 |
$243 |
$204 | |
| MRI of the lower back (lumbar spine) |
$3,096 |
$3,096 |
$349 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,920 |
$2,920 |
$356 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$3,022 |
$3,022 |
$243 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,814 |
$2,814 |
$349 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,814 |
$2,814 |
$356 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,814 |
$2,814 |
$356 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,814 |
$2,814 |
$243 |
$190 | |
| MRI of the neck (cervical spine) |
$2,814 |
$2,814 |
$349 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,814 |
$2,814 |
$356 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,814 |
$2,814 |
$356 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,814 |
$2,814 |
$243 |
$191 | |
| Nebulizer breathing treatment |
$376 |
$376 |
— |
$9 | |
| Neck (cervical) spinal fusion |
$10,458 |
$10,458 |
$12,834 |
$1,410 | |
| Office visit (established patient) |
$250 |
$250 |
$57 |
$115 | |
| Office visit, established patient (level 3) |
$250 |
$250 |
$57 |
$95 | |
| Orthopedic hardware removal |
$9,169 |
$9,169 |
$2,904 |
$632 | |
| Pacemaker insertion |
— |
— |
$18,093 |
$15,506 | |
| Pelvic ultrasound |
$338 |
$338 |
$105 |
$78 | |
| Pelvic ultrasound (complete) |
$338 |
$338 |
$105 |
$105 | |
| Pelvic ultrasound (limited) |
$338 |
$338 |
$105 |
$51 | |
| Phosphorus blood test |
$43 |
$43 |
$5 |
$5 | |
| Physical therapy evaluation |
$225 |
$225 |
$95 |
$98 | |
| Physical therapy evaluation (high complexity) |
$220 |
$220 |
$95 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$220 |
$220 |
$95 |
$98 | |
| Platelet count |
$94 |
$94 |
$5 |
$4 | |
| Pregnancy blood test (hCG) |
$71 |
$71 |
$8 |
$8 | |
| Prostate test (PSA) |
$173 |
$173 |
$19 |
$18 | |
| Radiofrequency nerve ablation |
$2,680 |
$2,680 |
$1,952 |
$462 | |
| Rheumatoid factor test |
$47 |
$47 |
$6 |
$6 | |
| Rotator cuff repair |
$3,700 |
$3,700 |
$7,254 |
$792 | |
| Sacroiliac joint injection |
$6,538 |
$6,538 |
$73 |
$176 | |
| Scoliosis spine X-ray |
$294 |
$294 |
$105 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$306 |
$306 |
$87 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$281 |
$281 |
$105 |
$72 | |
| Scrotal ultrasound |
$225 |
$225 |
$105 |
$99 | |
| Sedimentation rate (ESR) test |
$100 |
$100 |
$4 |
$3 | |
| Septoplasty (deviated septum) |
$2,724 |
$2,724 |
$3,314 |
$613 | |
| Shoulder arthroscopy |
$3,463 |
$3,463 |
$7,254 |
$962 | |
| Shoulder replacement |
$9,187 |
$9,187 |
$17,527 |
$1,300 | |
| Simple wound stitches |
$447 |
$447 |
$201 |
$127 | |
| Soft tissue ultrasound |
$2,067 |
$2,067 |
$105 |
$64 | |
| Spinal cord stimulator |
$2,992 |
$2,992 |
$6,371 |
$2,388 | |
| Spine fracture repair (kyphoplasty) |
$11,221 |
$11,221 |
$7,254 |
$5,803 | |
| T3 thyroid test |
$84 |
$84 |
$14 |
$14 | |
| Testosterone test |
$145 |
$145 |
$26 |
$26 | |
| Thyroid test (TSH) |
$195 |
$195 |
$17 |
$17 | |
| Thyroid ultrasound |
$361 |
$361 |
$105 |
$109 | |
| Tonsillectomy |
$2,580 |
$2,580 |
$4,010 |
$252 | |
| Total IgE allergy test |
$250 |
$250 |
$17 |
$16 | |
| Total protein test |
$101 |
$101 |
$4 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$2,820 |
$2,820 |
$546 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$3,174 |
$3,174 |
$546 |
$239 | |
| Trigger point injection |
$1,710 |
$1,710 |
$310 |
$56 | |
| Trigger point injection (1-2 muscles) |
$1,710 |
$1,710 |
$310 |
$52 | |
| Troponin (heart) test |
$308 |
$308 |
$12 |
$12 | |
| Turbinate reduction |
$6,415 |
$6,415 |
$3,314 |
$294 | |
| Ulnar nerve surgery (elbow) |
$6,944 |
$6,944 |
$1,952 |
$575 | |
| Uric acid (gout) test |
$43 |
$43 |
$5 |
$5 | |
| Urinalysis |
$62 |
$62 |
$2 |
$3 | |
| Urine microalbumin test |
$35 |
$35 |
$6 |
$5 | |
| Urine pregnancy test |
$152 |
$152 |
$9 |
$9 | |
| Vaginal delivery |
— |
— |
$6,326 |
$5,487 | |
| Vitamin B12 test |
$124 |
$124 |
$15 |
$15 | |
| Vitamin D test |
$470 |
$470 |
$30 |
$30 | |
| Weight-loss (bariatric) surgery |
— |
— |
$13,059 |
$11,645 | |
| Wrist fracture repair |
$8,556 |
$8,556 |
$7,254 |
$735 | |
| X-ray of the abdomen |
$300 |
$300 |
$105 |
$36 | |
| X-ray of the ankle |
$390 |
$390 |
$87 |
$37 | |
| X-ray of the collarbone |
$126 |
$126 |
$87 |
$33 | |
| X-ray of the facial bones |
$386 |
$386 |
$105 |
$39 | |
| X-ray of the foot |
$400 |
$400 |
$87 |
$34 | |
| X-ray of the forearm |
$400 |
$400 |
$87 |
$29 | |
| X-ray of the hand |
$393 |
$393 |
$87 |
$38 | |
| X-ray of the hip |
$377 |
$377 |
$87 |
$49 | |
| X-ray of the hip (1 view) |
$367 |
$367 |
$87 |
$34 | |
| X-ray of the hip (3 views) |
$429 |
$429 |
$87 |
$49 | |
| X-ray of the knee |
$275 |
$275 |
$97 |
$42 | |
| X-ray of the knee (2 views) |
$275 |
$275 |
$87 |
$34 | |
| X-ray of the knee (3 views) |
$386 |
$386 |
$87 |
$42 | |
| X-ray of the knee (4+ views) |
$262 |
$262 |
$105 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$327 |
$327 |
$105 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$382 |
$382 |
$105 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$275 |
$275 |
$105 |
$53 | |
| X-ray of the lower leg |
$276 |
$276 |
$87 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$276 |
$276 |
$105 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$275 |
$275 |
$105 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$276 |
$276 |
$105 |
$39 | |
| X-ray of the neck (cervical spine) |
$268 |
$268 |
$97 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$275 |
$275 |
$87 |
$40 | |
| X-ray of the pelvis |
$235 |
$235 |
$105 |
$36 | |
| X-ray of the pelvis (1 view) |
$235 |
$235 |
$105 |
$28 | |
| X-ray of the ribs |
$394 |
$394 |
$104 |
$42 | |
| X-ray of the ribs (2 views) |
$394 |
$394 |
$87 |
$36 | |
| X-ray of the shoulder |
$441 |
$441 |
$87 |
$36 | |
| X-ray of the skull |
$386 |
$386 |
$105 |
$40 | |
| X-ray of the upper arm |
$124 |
$124 |
$87 |
$32 | |
| X-ray of the wrist |
$390 |
$390 |
$87 |
$43 | |