| 3D mammogram (tomosynthesis) |
$86 |
$86 |
$56 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,183 |
$1,183 |
$531 |
$284 | |
| Abdominal ultrasound |
$661 |
$661 |
$382 |
$100 | |
| Abdominal ultrasound (complete) |
$894 |
$894 |
$590 |
$114 | |
| Abdominal ultrasound (limited) |
$427 |
$427 |
$282 |
$86 | |
| Abscess drainage (complex or multiple) |
$625 |
$625 |
$170 |
$220 | |
| Abscess drainage (simple) |
$288 |
$288 |
$192 |
$129 | |
| Abscess incision and drainage |
$426 |
$426 |
$170 |
$174 | |
| Acupuncture |
$33 |
$33 |
$20 |
$38 | |
| Acupuncture (each additional) |
$22 |
$22 |
$20 |
$28 | |
| Albumin blood test |
$39 |
$39 |
$37 |
$5 | |
| Aldosterone test |
$161 |
$161 |
$145 |
$41 | |
| Alkaline phosphatase test |
$47 |
$47 |
$44 |
$5 | |
| Allergy shots |
$102 |
$102 |
$83 |
$11 | |
| Alpha-fetoprotein (AFP) test |
$66 |
$66 |
$59 |
$17 | |
| ALT liver enzyme test |
$45 |
$45 |
$42 |
$5 | |
| Ammonia blood test |
$140 |
$140 |
$120 |
$15 | |
| Amylase test |
$68 |
$68 |
$64 |
$6 | |
| Anal fistula repair |
$1,816 |
$1,816 |
$397 |
$541 | |
| Ankle fracture repair |
$2,705 |
$2,705 |
$591 |
$608 | |
| Annual physical (established patient) |
$362 |
$362 |
$313 |
— | |
| Annual physical (new patient) |
$401 |
$401 |
$342 |
— | |
| Anoscopy |
$203 |
$203 |
$182 |
$129 | |
| Antinuclear antibody (ANA) test |
$286 |
$286 |
$58 |
$12 | |
| Arterial blood gas (ABG) |
$323 |
$323 |
$289 |
$26 | |
| AST liver enzyme test |
$47 |
$47 |
$44 |
$5 | |
| Bartholin cyst removal |
$494 |
$494 |
$449 |
$182 | |
| Basic metabolic panel |
$76 |
$76 |
$62 |
$8 | |
| Benign skin lesion removal |
$398 |
$398 |
$117 |
$171 | |
| Bilirubin blood test |
$53 |
$53 |
$12 |
$5 | |
| Blood clotting test (PT/INR) |
$65 |
$65 |
$45 |
$4 | |
| Blood crossmatch |
$123 |
$123 |
$110 |
— | |
| Blood glucose test |
$96 |
$96 |
$76 |
$5 | |
| Blood transfusion |
$991 |
$991 |
$887 |
$47 | |
| Blood type and screen |
$134 |
$134 |
$43 |
$10 | |
| Blood type test |
$41 |
$41 |
$28 |
$3 | |
| Blood type test (ABO group) |
$40 |
$40 |
$30 |
$3 | |
| Blood type test (Rh/D antigen) |
$42 |
$42 |
$25 |
$3 | |
| BNP (heart failure) test |
$689 |
$689 |
$288 |
$39 | |
| Bone density scan (DEXA) |
$589 |
$589 |
$389 |
$39 | |
| Botox for migraine |
$840 |
$840 |
$554 |
$157 | |
| Breast biopsy |
$818 |
$818 |
$127 |
$478 | |
| Breast ultrasound |
$236 |
$236 |
$176 |
$92 | |
| Breast ultrasound (complete) |
$267 |
$267 |
$211 |
$100 | |
| Breast ultrasound (limited) |
$205 |
$205 |
$162 |
$84 | |
| Breathing tube insertion (intubation) |
$753 |
$753 |
$575 |
$133 | |
| Bronchoscopy |
$587 |
$587 |
$155 |
$303 | |
| Bunion surgery (bunionectomy) |
$2,419 |
$2,419 |
$550 |
$883 | |
| Burn dressing and debridement (medium) |
$363 |
$363 |
$278 |
$166 | |
| Burn dressing and debridement (small) |
$204 |
$204 |
$156 |
$93 | |
| Burn treatment |
$279 |
$279 |
$196 |
$129 | |
| C-reactive protein (CRP) |
$87 |
$87 |
$78 |
$5 | |
| CA 19-9 tumor marker test |
$87 |
$87 |
$78 |
$21 | |
| CA-125 ovarian marker test |
$68 |
$68 |
$61 |
$21 | |
| Calcium blood test |
$56 |
$56 |
$47 |
$5 | |
| Cardiac stress test |
$210 |
$210 |
$268 |
$39 | |
| Cardioversion |
$1,554 |
$1,554 |
$967 |
$155 | |
| Carotid artery ultrasound |
$1,266 |
$1,266 |
$836 |
$156 | |
| CEA tumor marker test |
$73 |
$73 |
$66 |
$19 | |
| Central line placement |
$878 |
$878 |
$321 |
$238 | |
| Chemotherapy infusion |
$422 |
$422 |
$267 |
$81 | |
| Chemotherapy infusion (each additional) |
$121 |
$121 |
$108 |
$28 | |
| Chemotherapy infusion (first hour) |
$722 |
$722 |
$646 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,125 |
$1,125 |
$1,288 |
$311 | |
| Chest tube insertion |
$1,101 |
$1,101 |
$960 |
$143 | |
| Chest X-ray |
$350 |
$350 |
$74 |
$37 | |
| Chest X-ray (1 view) |
$264 |
$264 |
$85 |
$25 | |
| Chest X-ray (2 views) |
$321 |
$321 |
$69 |
$33 | |
| CK-MB heart enzyme test |
$97 |
$97 |
$87 |
$12 | |
| Clotting time test (PTT) |
$89 |
$89 |
$44 |
$6 | |
| Colonoscopy |
$1,778 |
$1,778 |
$218 |
$480 | |
| Complete blood count (CBC) |
$59 |
$59 |
$53 |
$7 | |
| Complete blood count (CBC) (complete) |
$62 |
$62 |
$56 |
$8 | |
| Complex wound repair |
$1,039 |
$1,039 |
$206 |
$390 | |
| Comprehensive metabolic panel |
$121 |
$121 |
$81 |
$11 | |
| Copper blood test |
$81 |
$81 |
$73 |
$12 | |
| Cortisol test |
$99 |
$99 |
$72 |
$16 | |
| COVID-19 PCR test |
$121 |
$121 |
$108 |
$51 | |
| CPAP titration study |
$614 |
$614 |
$239 |
$69 | |
| Creatine kinase (CK) test |
$105 |
$105 |
$40 |
$7 | |
| CT angiography of the chest |
$3,796 |
$3,796 |
$2,999 |
$281 | |
| CT angiography of the head |
$3,441 |
$3,441 |
$2,271 |
$274 | |
| CT scan of the abdomen |
$2,950 |
$2,950 |
$2,227 |
$230 | |
| CT scan of the abdomen and pelvis |
$4,876 |
$4,876 |
$3,222 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$5,126 |
$5,126 |
$3,953 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$4,876 |
$4,876 |
$3,218 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$3,248 |
$3,248 |
$2,143 |
$183 | |
| CT scan of the abdomen with and without contrast |
$3,453 |
$3,453 |
$2,866 |
$259 | |
| CT scan of the abdomen with contrast |
$2,950 |
$2,950 |
$1,947 |
$230 | |
| CT scan of the abdomen without contrast |
$1,920 |
$1,920 |
$1,267 |
$136 | |
| CT scan of the arm |
$1,965 |
$1,965 |
$1,408 |
$199 | |
| CT scan of the arm with contrast |
$2,417 |
$2,417 |
$2,006 |
$199 | |
| CT scan of the arm without contrast |
$1,514 |
$1,514 |
$1,303 |
$161 | |
| CT scan of the chest |
$2,961 |
$2,961 |
$1,723 |
$167 | |
| CT scan of the chest with and without contrast |
$3,449 |
$3,449 |
$2,932 |
$196 | |
| CT scan of the chest with contrast |
$2,961 |
$2,961 |
$1,954 |
$167 | |
| CT scan of the chest without contrast |
$1,813 |
$1,813 |
$1,197 |
$133 | |
| CT scan of the head |
$2,801 |
$2,801 |
$1,820 |
$148 | |
| CT scan of the head with and without contrast |
$2,801 |
$2,801 |
$1,848 |
$173 | |
| CT scan of the head with contrast |
$2,889 |
$2,889 |
$2,283 |
$148 | |
| CT scan of the head without contrast |
$1,611 |
$1,611 |
$1,063 |
$107 | |
| CT scan of the leg |
$2,302 |
$2,302 |
$1,438 |
$166 | |
| CT scan of the leg with contrast |
$2,302 |
$2,302 |
$2,049 |
$166 | |
| CT scan of the leg without contrast |
$1,590 |
$1,590 |
$1,347 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,800 |
$2,800 |
$1,803 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$3,206 |
$3,206 |
$2,116 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,800 |
$2,800 |
$1,848 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$2,004 |
$2,004 |
$1,322 |
$130 | |
| CT scan of the neck |
$2,245 |
$2,245 |
$1,378 |
$183 | |
| CT scan of the neck (cervical spine) |
$2,667 |
$2,667 |
$1,744 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$3,206 |
$3,206 |
$2,116 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$2,667 |
$2,667 |
$1,760 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,938 |
$1,938 |
$1,279 |
$131 | |
| CT scan of the neck with and without contrast |
$2,800 |
$2,800 |
$1,848 |
$220 | |
| CT scan of the neck with contrast |
$2,245 |
$2,245 |
$1,482 |
$183 | |
| CT scan of the neck without contrast |
$1,514 |
$1,514 |
$1,000 |
$150 | |
| CT scan of the pelvis |
$2,811 |
$2,811 |
$1,726 |
$226 | |
| CT scan of the pelvis with and without contrast |
$3,176 |
$3,176 |
$2,096 |
$251 | |
| CT scan of the pelvis with contrast |
$2,811 |
$2,811 |
$1,855 |
$226 | |
| CT scan of the pelvis without contrast |
$1,897 |
$1,897 |
$1,252 |
$133 | |
| CT scan of the sinuses |
$2,348 |
$2,348 |
$1,366 |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,667 |
$2,667 |
$1,760 |
$184 | |
| CT scan of the sinuses with contrast |
$2,348 |
$2,348 |
$1,550 |
$152 | |
| CT scan of the sinuses without contrast |
$1,514 |
$1,514 |
$1,045 |
$128 | |
| D-dimer test |
$121 |
$121 |
$102 |
$10 | |
| DHEA-sulfate test |
$84 |
$84 |
$75 |
$22 | |
| Diagnostic mammogram |
$79 |
$79 |
$82 |
$140 | |
| Drug screen (urine) |
$170 |
$170 |
$269 |
$17 | |
| Echocardiogram |
$965 |
$965 |
$349 |
$138 | |
| Echocardiogram with and without contrast |
$965 |
$965 |
$637 |
$101 | |
| Echocardiogram without contrast |
$172 |
$172 |
$43 |
$138 | |
| EKG / ECG (tracing only) |
$302 |
$302 |
$216 |
$7 | |
| Electrocardiogram (EKG) |
$184 |
$184 |
$208 |
$8 | |
| Electrolyte panel |
$62 |
$62 |
$56 |
$7 | |
| Emergency department visit |
$567 |
$567 |
$490 |
$69 | |
| Emergency department visit (level 1) |
$285 |
$285 |
$286 |
$11 | |
| Emergency department visit (level 2) |
$392 |
$392 |
$382 |
$40 | |
| Emergency department visit (level 3) |
$604 |
$604 |
$575 |
$69 | |
| Emergency department visit (level 4) |
$932 |
$932 |
$1,005 |
$118 | |
| Emergency department visit (level 5) |
$1,531 |
$1,531 |
$1,442 |
$171 | |
| Epidural steroid injection |
$734 |
$734 |
$503 |
$275 | |
| Esophageal dilation |
$537 |
$537 |
$72 |
$522 | |
| Estradiol (estrogen) test |
$201 |
$201 |
$181 |
$28 | |
| Facet joint injection (spine) |
$563 |
$563 |
$355 |
$99 | |
| Family therapy session |
$138 |
$138 |
$123 |
$110 | |
| Fecal occult blood (stool) test |
$82 |
$82 |
$64 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$89 |
$89 |
$80 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$75 |
$75 |
$64 |
$16 | |
| Feeding tube (PEG) placement |
$862 |
$862 |
$173 |
$178 | |
| Femoral hernia repair |
$2,395 |
$2,395 |
$535 |
$584 | |
| Ferritin (iron) test |
$143 |
$143 |
$65 |
$14 | |
| Fibrinogen test |
$65 |
$65 |
$59 |
$10 | |
| Flexible sigmoidoscopy |
$381 |
$381 |
$55 |
$323 | |
| Flu test |
$27 |
$27 |
$24 |
$17 | |
| Flu vaccine |
$29 |
$29 |
$26 |
— | |
| Folate (folic acid) test |
$82 |
$82 |
$74 |
$15 | |
| Foreign body removal (skin) |
$362 |
$362 |
$268 |
$157 | |
| Free T4 thyroid test |
$110 |
$110 |
$87 |
$9 | |
| FSH hormone test |
$159 |
$159 |
$60 |
$19 | |
| Gallbladder removal (laparoscopic) |
$4,533 |
$4,533 |
$568 |
$658 | |
| GGT liver test |
$45 |
$45 |
$43 |
$7 | |
| Glucose tolerance test |
$43 |
$43 |
$151 |
$8 | |
| Group therapy session |
$98 |
$98 |
$88 |
$30 | |
| H. pylori test |
$432 |
$432 |
$386 |
$67 | |
| Hammertoe repair |
$1,578 |
$1,578 |
$364 |
$548 | |
| HDL cholesterol test |
$67 |
$67 |
$60 |
$8 | |
| Hematocrit test |
$41 |
$41 |
$35 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$104 |
$104 |
$65 |
$10 | |
| Hemorrhoid removal |
$565 |
$565 |
$343 |
$338 | |
| Hepatitis A vaccine |
$110 |
$110 |
$99 |
— | |
| Hepatitis B test |
$62 |
$62 |
$58 |
$10 | |
| Hepatitis C test |
$70 |
$70 |
$65 |
$14 | |
| HIV test |
$177 |
$177 |
$86 |
$19 | |
| HIV test (antibody) |
$180 |
$180 |
$77 |
$14 | |
| HIV test (antigen/antibody combo) |
$174 |
$174 |
$156 |
$24 | |
| Holter heart monitor |
$253 |
$253 |
$235 |
$26 | |
| Inguinal hernia repair |
$2,772 |
$2,772 |
$487 |
$538 | |
| Iron blood test |
$41 |
$41 |
$63 |
$6 | |
| IUD removal |
$246 |
$246 |
$289 |
$112 | |
| IV infusion therapy |
$263 |
$263 |
$209 |
$44 | |
| IV infusion therapy (each additional) |
$183 |
$183 |
$141 |
$21 | |
| IV infusion therapy (initial) |
$315 |
$315 |
$287 |
$67 | |
| Joint aspiration (small/intermediate) |
$209 |
$209 |
$157 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$358 |
$358 |
$331 |
$57 | |
| Joint aspiration or injection (small joint) |
$199 |
$199 |
$128 |
$56 | |
| Kidney ultrasound |
$672 |
$672 |
$482 |
$84 | |
| Kidney ultrasound (limited) |
$614 |
$614 |
$405 |
$61 | |
| Knee joint injection |
$541 |
$541 |
$262 |
$69 | |
| Lactate test |
$57 |
$57 |
$44 |
$12 | |
| Laryngoscopy |
$886 |
$886 |
$804 |
$189 | |
| LDH test |
$56 |
$56 |
$50 |
$6 | |
| LDL cholesterol test |
$19 |
$19 |
$17 |
$11 | |
| Leg vein ultrasound (Doppler) |
$1,199 |
$1,199 |
$807 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,066 |
$1,066 |
$703 |
$116 | |
| LH hormone test |
$96 |
$96 |
$86 |
$19 | |
| Lipase test |
$71 |
$71 |
$67 |
$7 | |
| Lipid (cholesterol) panel |
$133 |
$133 |
$119 |
$13 | |
| Liver biopsy |
$880 |
$880 |
$75 |
$288 | |
| Liver function panel |
$93 |
$93 |
$16 |
$8 | |
| Lumpectomy (breast) |
$1,468 |
$1,468 |
$607 |
$750 | |
| Lung function test (PFT) |
$382 |
$382 |
$254 |
$37 | |
| Magnesium blood test |
$70 |
$70 |
$46 |
$7 | |
| MRA of the brain |
$2,821 |
$2,821 |
$2,028 |
$226 | |
| MRA of the brain with contrast |
$3,085 |
$3,085 |
$2,036 |
$226 | |
| MRA of the neck |
$3,255 |
$3,255 |
$2,194 |
$245 | |
| MRA of the neck with contrast |
$3,255 |
$3,255 |
$2,148 |
$245 | |
| MRA of the neck without contrast |
$3,660 |
$3,660 |
$2,416 |
$343 | |
| MRI of the abdomen |
$3,119 |
$3,119 |
$1,688 |
$300 | |
| MRI of the abdomen with contrast |
$3,119 |
$3,119 |
$2,059 |
$300 | |
| MRI of the abdomen without contrast |
$1,825 |
$1,825 |
$1,204 |
$194 | |
| MRI of the ankle |
$2,669 |
$2,669 |
$2,402 |
$261 | |
| MRI of the ankle with contrast |
$1,747 |
$1,747 |
$584 |
$261 | |
| MRI of the ankle without contrast |
$2,669 |
$2,669 |
$2,108 |
$222 | |
| MRI of the brain |
$3,209 |
$3,209 |
$2,233 |
$269 | |
| MRI of the brain with contrast |
$3,209 |
$3,209 |
$2,118 |
$269 | |
| MRI of the brain without contrast |
$2,756 |
$2,756 |
$1,819 |
$195 | |
| MRI of the chest |
$4,049 |
$4,049 |
$2,672 |
$371 | |
| MRI of the chest with contrast |
$4,505 |
$4,505 |
$2,973 |
$371 | |
| MRI of the chest without contrast |
$4,049 |
$4,049 |
$2,672 |
$466 | |
| MRI of the knee |
$3,314 |
$3,314 |
$2,090 |
$315 | |
| MRI of the knee with contrast |
$3,314 |
$3,314 |
$2,187 |
$315 | |
| MRI of the knee without contrast |
$2,111 |
$2,111 |
$1,900 |
$204 | |
| MRI of the lower back (lumbar spine) |
$3,410 |
$3,410 |
$1,792 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$3,410 |
$3,410 |
$2,250 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,618 |
$2,618 |
$1,651 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$3,081 |
$3,081 |
$1,792 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$3,915 |
$3,915 |
$2,584 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$3,081 |
$3,081 |
$2,034 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,655 |
$2,655 |
$1,663 |
$190 | |
| MRI of the neck (cervical spine) |
$3,255 |
$3,255 |
$1,773 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$4,095 |
$4,095 |
$2,703 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$3,255 |
$3,255 |
$2,148 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,627 |
$2,627 |
$1,645 |
$191 | |
| MRI of the pelvis |
$3,110 |
$3,110 |
$1,924 |
$268 | |
| MRI of the pelvis with contrast |
$3,110 |
$3,110 |
$2,052 |
$268 | |
| MRI of the pelvis without contrast |
$2,115 |
$2,115 |
$1,396 |
$227 | |
| MRI of the shoulder |
$2,293 |
$2,293 |
$1,637 |
$313 | |
| MRI of the shoulder with contrast |
$2,293 |
$2,293 |
$1,514 |
$313 | |
| MRI of the shoulder without contrast |
$1,761 |
$1,761 |
$1,461 |
$205 | |
| MRI of the wrist |
$2,669 |
$2,669 |
$1,761 |
$330 | |
| MRI of the wrist with contrast |
$1,747 |
$1,747 |
$1,153 |
$330 | |
| MRI of the wrist without contrast |
$2,669 |
$2,669 |
$1,620 |
$303 | |
| Nebulizer breathing treatment |
$170 |
$170 |
$106 |
$9 | |
| Occupational therapy evaluation |
$298 |
$298 |
$256 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$313 |
$313 |
$280 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$284 |
$284 |
$254 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$298 |
$298 |
$267 |
$101 | |
| Office visit (established patient) |
$349 |
$349 |
$247 |
$115 | |
| Office visit (new patient) |
$564 |
$564 |
$422 |
$177 | |
| Office visit, established patient (level 3) |
$304 |
$304 |
$232 |
$95 | |
| Office visit, established patient (level 4) |
$393 |
$393 |
$306 |
$136 | |
| Office visit, new patient (level 3) |
$406 |
$406 |
$318 |
$118 | |
| Office visit, new patient (level 4) |
$564 |
$564 |
$442 |
$177 | |
| Office visit, new patient (level 5) |
$735 |
$735 |
$576 |
$237 | |
| Orthopedic hardware removal |
$1,340 |
$1,340 |
$383 |
$632 | |
| Pap smear (cervical screening) |
$277 |
$277 |
$343 |
$20 | |
| Parathyroid hormone (PTH) test |
$268 |
$268 |
$91 |
$41 | |
| Pelvic ultrasound |
$320 |
$320 |
$107 |
$78 | |
| Pelvic ultrasound (complete) |
$521 |
$521 |
$344 |
$105 | |
| Pelvic ultrasound (limited) |
$120 |
$120 |
$79 |
$51 | |
| Phosphorus blood test |
$56 |
$56 |
$48 |
$5 | |
| Physical therapy evaluation |
$283 |
$283 |
$242 |
$98 | |
| Physical therapy evaluation (high complexity) |
$297 |
$297 |
$266 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$283 |
$283 |
$253 |
$98 | |
| Pilonidal cyst removal |
$565 |
$565 |
$374 |
$541 | |
| Platelet count |
$40 |
$40 |
$36 |
$4 | |
| Pneumonia vaccine |
$158 |
$158 |
$141 |
— | |
| Pregnancy blood test (hCG) |
$92 |
$92 |
$82 |
$8 | |
| Pregnancy ultrasound |
$650 |
$650 |
$429 |
$126 | |
| Pregnancy ultrasound (second or third trimester) |
$650 |
$650 |
$429 |
$136 | |
| Procalcitonin test |
$581 |
$581 |
$520 |
$27 | |
| Prolactin test |
$87 |
$87 |
$78 |
$19 | |
| Prostate test (PSA) |
$146 |
$146 |
$105 |
$18 | |
| Psychiatric evaluation |
$227 |
$227 |
$177 |
$188 | |
| Psychotherapy session |
$162 |
$162 |
$142 |
$140 | |
| Radiofrequency nerve ablation |
$1,598 |
$1,598 |
$1,407 |
$462 | |
| Sacroiliac joint injection |
$894 |
$894 |
$525 |
$176 | |
| Scoliosis spine X-ray |
$162 |
$162 |
$127 |
$58 | |
| Scoliosis spine X-ray (3 views) |
$162 |
$162 |
$127 |
$72 | |
| Screening colonoscopy |
$1,619 |
$1,619 |
$160 |
$378 | |
| Screening mammogram |
$329 |
$329 |
$156 |
$126 | |
| Scrotal ultrasound |
$736 |
$736 |
$486 |
$99 | |
| Sedimentation rate (ESR) test |
$31 |
$31 |
$29 |
$3 | |
| Sex hormone binding globulin test |
$85 |
$85 |
$81 |
$22 | |
| Shingles vaccine |
$230 |
$230 |
$206 |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
$309 |
$309 |
$237 |
$114 | |
| Simple wound stitches |
$325 |
$325 |
$249 |
$127 | |
| Skin biopsy |
$165 |
$165 |
$35 |
$121 | |
| Skin biopsy (punch) |
$191 |
$191 |
$37 |
$121 | |
| Skin cancer lesion removal |
$636 |
$636 |
$126 |
$240 | |
| Skin graft |
$2,926 |
$2,926 |
$598 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$176 |
$176 |
$47 |
$36 | |
| Skin tag removal |
$287 |
$287 |
$234 |
$92 | |
| Soft tissue ultrasound |
$556 |
$556 |
$367 |
$64 | |
| Speech therapy |
$347 |
$347 |
$311 |
$76 | |
| Spinal tap (lumbar puncture) |
$465 |
$465 |
$332 |
$165 | |
| Spirometry (lung function test) |
$175 |
$175 |
$157 |
$30 | |
| Spirometry with bronchodilator |
$589 |
$589 |
$527 |
$43 | |
| Spleen removal (splenectomy) |
$4,622 |
$4,622 |
$964 |
$1,036 | |
| Strep throat test |
$66 |
$66 |
$50 |
$17 | |
| Swallow study |
$347 |
$347 |
$311 |
$85 | |
| T3 thyroid test |
$66 |
$66 |
$59 |
$14 | |
| Tdap (tetanus) vaccine |
$72 |
$72 |
$65 |
— | |
| Testosterone test |
$87 |
$87 |
$87 |
$26 | |
| Thyroid test (TSH) |
$148 |
$148 |
$111 |
$17 | |
| Thyroid ultrasound |
$574 |
$574 |
$379 |
$109 | |
| Total IgE allergy test |
$70 |
$70 |
$553 |
$16 | |
| Total protein test |
$47 |
$47 |
$101 |
$4 | |
| Tracheostomy |
$1,685 |
$1,685 |
$1,175 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$1,673 |
$1,673 |
$1,498 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,673 |
$1,673 |
$1,498 |
$239 | |
| Transvaginal ultrasound |
$500 |
$500 |
$330 |
$118 | |
| Trigger point injection |
$289 |
$289 |
$218 |
$56 | |
| Trigger point injection (1-2 muscles) |
$379 |
$379 |
$243 |
$52 | |
| Triglycerides test |
$56 |
$56 |
$53 |
$6 | |
| Troponin (heart) test |
$219 |
$219 |
$167 |
$12 | |
| Umbilical hernia repair |
$2,585 |
$2,585 |
$1,864 |
— | |
| Upper GI endoscopy (EGD) |
$1,288 |
$1,288 |
$121 |
$371 | |
| Uric acid (gout) test |
$56 |
$56 |
$50 |
$5 | |
| Urinalysis |
$45 |
$45 |
$33 |
$3 | |
| Urine microalbumin test |
$121 |
$121 |
$97 |
$5 | |
| Urine pregnancy test |
$57 |
$57 |
$36 |
$9 | |
| Vaccine administration |
$58 |
$58 |
$51 |
$19 | |
| Vaccine administration (each additional) |
$58 |
$58 |
$52 |
$16 | |
| Vasectomy |
$1,279 |
$1,279 |
$214 |
$347 | |
| Vitamin B12 test |
$77 |
$77 |
$82 |
$15 | |
| Vitamin D test |
$90 |
$90 |
$149 |
$30 | |
| Wart removal |
$216 |
$216 |
$131 |
$121 | |
| Well-child visit |
$289 |
$289 |
$260 |
— | |
| Wound debridement |
$434 |
$434 |
$134 |
$186 | |
| X-ray of the abdomen |
$352 |
$352 |
$90 |
$36 | |
| X-ray of the ankle |
$281 |
$281 |
$185 |
$37 | |
| X-ray of the collarbone |
$271 |
$271 |
$179 |
$33 | |
| X-ray of the elbow |
$336 |
$336 |
$265 |
$33 | |
| X-ray of the facial bones |
$421 |
$421 |
$297 |
$39 | |
| X-ray of the foot |
$287 |
$287 |
$227 |
$34 | |
| X-ray of the forearm |
$292 |
$292 |
$231 |
$29 | |
| X-ray of the hand |
$281 |
$281 |
$222 |
$38 | |
| X-ray of the hip |
$197 |
$197 |
$142 |
$49 | |
| X-ray of the hip (1 view) |
$179 |
$179 |
$118 |
$34 | |
| X-ray of the hip (3 views) |
$214 |
$214 |
$142 |
$49 | |
| X-ray of the knee |
$291 |
$291 |
$221 |
$42 | |
| X-ray of the knee (2 views) |
$246 |
$246 |
$194 |
$34 | |
| X-ray of the knee (3 views) |
$291 |
$291 |
$230 |
$42 | |
| X-ray of the knee (4+ views) |
$436 |
$436 |
$288 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$502 |
$502 |
$315 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$352 |
$352 |
$232 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$652 |
$652 |
$430 |
$53 | |
| X-ray of the lower leg |
$306 |
$306 |
$219 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$356 |
$356 |
$242 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$367 |
$367 |
$242 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$345 |
$345 |
$228 |
$39 | |
| X-ray of the neck (cervical spine) |
$389 |
$389 |
$108 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$329 |
$329 |
$106 |
$40 | |
| X-ray of the pelvis |
$324 |
$324 |
$220 |
$36 | |
| X-ray of the pelvis (1 view) |
$313 |
$313 |
$207 |
$28 | |
| X-ray of the ribs |
$384 |
$384 |
$253 |
$42 | |
| X-ray of the ribs (2 views) |
$323 |
$323 |
$213 |
$36 | |
| X-ray of the ribs (3 views) |
$384 |
$384 |
$253 |
$42 | |
| X-ray of the shoulder |
$322 |
$322 |
$254 |
$36 | |
| X-ray of the skull |
$525 |
$525 |
$299 |
$40 | |
| X-ray of the upper arm |
$319 |
$319 |
$252 |
$32 | |
| X-ray of the wrist |
$281 |
$281 |
$222 |
$43 | |
| Zinc blood test |
$78 |
$78 |
$74 |
$11 | |