| 3D mammogram (tomosynthesis) |
$61 |
$243 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$355 |
$1,425 |
$1,652 |
$284 | |
| Abdominal ultrasound |
$511 |
$2,052 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$970 |
$3,888 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$382 |
$1,527 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$241 |
$968 |
$769 |
$220 | |
| Abscess drainage (simple) |
$255 |
$1,024 |
$335 |
$129 | |
| Abscess incision and drainage |
$248 |
$996 |
$335 |
$174 | |
| ACL knee reconstruction |
$2,677 |
$10,752 |
$3,232 |
$889 | |
| Albumin blood test |
$62 |
$249 |
— |
$5 | |
| Aldosterone test |
$94 |
$378 |
— |
$41 | |
| Alkaline phosphatase test |
$122 |
$488 |
— |
$5 | |
| Alpha-fetoprotein (AFP) test |
$156 |
$627 |
— |
$17 | |
| ALT liver enzyme test |
$180 |
$721 |
— |
$5 | |
| Ammonia blood test |
$160 |
$643 |
— |
$15 | |
| Amylase test |
$165 |
$662 |
— |
$6 | |
| Ankle fracture repair |
$3,842 |
$15,428 |
$3,016 |
$608 | |
| Antinuclear antibody (ANA) test |
$39 |
$155 |
— |
$12 | |
| Arterial blood gas (ABG) |
$96 |
$384 |
— |
$26 | |
| AST liver enzyme test |
$97 |
$388 |
— |
$5 | |
| Barium swallow study |
$367 |
$1,472 |
— |
$107 | |
| Bartholin cyst removal |
$229 |
$922 |
$974 |
$182 | |
| Basic metabolic panel |
$145 |
$584 |
— |
$8 | |
| Benign skin lesion removal |
$3,561 |
$14,302 |
$1,691 |
$171 | |
| Bilirubin blood test |
$91 |
$365 |
— |
$5 | |
| Bladder scope (cystoscopy) |
$1,627 |
$6,535 |
$1,447 |
$216 | |
| Bladder tumor removal (TURBT) |
$3,160 |
$12,690 |
$2,218 |
$236 | |
| Blood clotting test (PT/INR) |
$98 |
$394 |
— |
$4 | |
| Blood crossmatch |
$44 |
$178 |
— |
— | |
| Blood glucose test |
$103 |
$416 |
— |
$5 | |
| Blood transfusion |
$443 |
$1,780 |
$769 |
$47 | |
| Blood type and screen |
$122 |
$488 |
— |
$10 | |
| Blood type test |
$86 |
$347 |
— |
$3 | |
| Blood type test (ABO group) |
$83 |
$333 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$90 |
$361 |
— |
$3 | |
| Bone density scan (DEXA) |
$265 |
$1,063 |
— |
$39 | |
| Bone marrow biopsy |
$2,278 |
$9,149 |
$769 |
$172 | |
| Bone scan (nuclear) |
$1,291 |
$5,172 |
— |
$259 | |
| Breast biopsy |
$1,643 |
$6,597 |
$1,693 |
$478 | |
| Breast ultrasound |
$416 |
$1,662 |
— |
$92 | |
| Breast ultrasound (complete) |
$489 |
$1,961 |
— |
$100 | |
| Breast ultrasound (limited) |
$292 |
$1,167 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$408 |
$1,640 |
$769 |
$133 | |
| Burn dressing and debridement (medium) |
$106 |
$425 |
$335 |
$166 | |
| Burn dressing and debridement (small) |
$103 |
$414 |
$335 |
$93 | |
| Burn treatment |
$104 |
$420 |
$335 |
$129 | |
| C-reactive protein (CRP) |
$66 |
$266 |
— |
$5 | |
| CA 19-9 tumor marker test |
$71 |
$286 |
— |
$21 | |
| CA-125 ovarian marker test |
$62 |
$247 |
— |
$21 | |
| Calcium blood test |
$109 |
$437 |
— |
$5 | |
| Cardiac MRI |
$1,498 |
$6,003 |
— |
$322 | |
| Cardiac MRI without contrast |
$1,498 |
$6,003 |
— |
$280 | |
| Cardiac rehabilitation |
$142 |
$569 |
— |
$26 | |
| Cardiac stress test |
$730 |
$2,931 |
— |
$39 | |
| Cardioversion |
$699 |
$2,807 |
$1,691 |
$155 | |
| Carotid artery ultrasound |
$458 |
$1,839 |
— |
$156 | |
| Carpal tunnel release |
$3,272 |
$13,140 |
$2,102 |
$483 | |
| Cataract surgery |
$1,925 |
$7,730 |
$3,071 |
$547 | |
| CEA tumor marker test |
$63 |
$253 |
— |
$19 | |
| Cervical LEEP procedure |
$4,117 |
$16,533 |
$2,102 |
$325 | |
| Cesarean section (C-section) |
$8,027 |
$32,239 |
$8,512 |
$7,552 | |
| Chest fluid drain (thoracentesis) |
$673 |
$2,703 |
$1,447 |
$311 | |
| Chest tube insertion |
$772 |
$3,100 |
$1,652 |
$143 | |
| Chest X-ray |
$218 |
$872 |
— |
$37 | |
| Chest X-ray (1 view) |
$208 |
$833 |
— |
$25 | |
| Chest X-ray (2 views) |
$233 |
$932 |
— |
$33 | |
| Circumcision |
$193 |
$775 |
$2,590 |
$167 | |
| CK-MB heart enzyme test |
$129 |
$519 |
— |
$12 | |
| Clotting time test (PTT) |
$117 |
$470 |
— |
$6 | |
| Colonoscopy |
$1,871 |
$7,514 |
$1,937 |
$480 | |
| Complete blood count (CBC) |
$107 |
$429 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$103 |
$416 |
— |
$8 | |
| Comprehensive metabolic panel |
$176 |
$708 |
— |
$11 | |
| Contraceptive implant (Nexplanon) |
$4,048 |
$16,256 |
$335 |
$115 | |
| Copper blood test |
$98 |
$394 |
— |
$12 | |
| Coronary CT angiography |
$660 |
$2,646 |
— |
$326 | |
| Cortisol test |
$90 |
$363 |
— |
$16 | |
| COVID-19 PCR test |
$63 |
$254 |
— |
$51 | |
| CPAP titration study |
$198 |
$793 |
— |
$69 | |
| Creatine kinase (CK) test |
$131 |
$525 |
— |
$7 | |
| CT angiography of the chest |
$2,002 |
$8,025 |
— |
$281 | |
| CT angiography of the head |
$2,164 |
$8,672 |
— |
$274 | |
| CT scan of the abdomen |
$1,655 |
$6,621 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$3,184 |
$12,764 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,391 |
$13,588 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$3,224 |
$12,920 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,996 |
$12,007 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,875 |
$7,515 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$1,700 |
$6,815 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$1,512 |
$6,074 |
— |
$136 | |
| CT scan of the arm |
$1,190 |
$4,760 |
— |
$199 | |
| CT scan of the arm with contrast |
$1,189 |
$4,756 |
— |
$199 | |
| CT scan of the arm without contrast |
$1,190 |
$4,760 |
— |
$161 | |
| CT scan of the chest |
$1,587 |
$6,373 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$1,686 |
$6,755 |
— |
$196 | |
| CT scan of the chest with contrast |
$1,638 |
$6,565 |
— |
$167 | |
| CT scan of the chest without contrast |
$1,414 |
$5,668 |
— |
$133 | |
| CT scan of the head |
$1,626 |
$6,530 |
— |
$148 | |
| CT scan of the head with and without contrast |
$1,703 |
$6,827 |
— |
$173 | |
| CT scan of the head with contrast |
$1,702 |
$6,821 |
— |
$148 | |
| CT scan of the head without contrast |
$1,432 |
$5,739 |
— |
$107 | |
| CT scan of the leg |
$1,190 |
$4,760 |
— |
$166 | |
| CT scan of the leg with contrast |
$1,189 |
$4,756 |
— |
$166 | |
| CT scan of the leg without contrast |
$1,190 |
$4,760 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,511 |
$6,054 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,593 |
$6,382 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,492 |
$5,981 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,436 |
$5,754 |
— |
$130 | |
| CT scan of the neck |
$1,455 |
$5,829 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$1,694 |
$6,775 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,930 |
$7,734 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,689 |
$6,767 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,553 |
$6,223 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$1,767 |
$7,081 |
— |
$220 | |
| CT scan of the neck with contrast |
$1,455 |
$5,829 |
— |
$183 | |
| CT scan of the neck without contrast |
$1,234 |
$4,947 |
— |
$150 | |
| CT scan of the pelvis |
$1,642 |
$6,594 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,719 |
$6,890 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$1,717 |
$6,882 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$1,521 |
$6,108 |
— |
$133 | |
| CT scan of the sinuses |
$1,372 |
$5,486 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,767 |
$7,097 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$1,372 |
$5,486 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$1,156 |
$4,641 |
— |
$128 | |
| D-dimer test |
$183 |
$733 |
— |
$10 | |
| DHEA-sulfate test |
$91 |
$365 |
— |
$22 | |
| Diagnostic mammogram |
$191 |
$765 |
— |
$140 | |
| Dialysis fistula creation |
$6,103 |
$24,511 |
$2,746 |
$601 | |
| Drug screen (urine) |
$160 |
$643 |
— |
$17 | |
| Echocardiogram |
$416 |
$1,665 |
— |
$138 | |
| Echocardiogram with and without contrast |
$255 |
$1,020 |
— |
$101 | |
| Echocardiogram without contrast |
$214 |
$856 |
— |
$138 | |
| EEG (awake and asleep) |
$769 |
$3,083 |
— |
$482 | |
| EKG / ECG (tracing only) |
$232 |
$933 |
— |
$7 | |
| Elbow replacement |
$5,758 |
$23,126 |
$4,327 |
$1,301 | |
| Electrocardiogram (EKG) |
$232 |
$933 |
— |
$8 | |
| Electroencephalogram (EEG) |
$769 |
$3,083 |
— |
$448 | |
| Electrolyte panel |
$170 |
$684 |
— |
$7 | |
| Electromyography (EMG) |
$543 |
$2,179 |
— |
$141 | |
| Emergency department visit |
$520 |
$2,087 |
— |
$69 | |
| Emergency department visit (level 1) |
$122 |
$488 |
— |
$11 | |
| Emergency department visit (level 2) |
$222 |
$890 |
— |
$40 | |
| Emergency department visit (level 3) |
$520 |
$2,087 |
— |
$69 | |
| Emergency department visit (level 4) |
$734 |
$2,946 |
— |
$118 | |
| Emergency department visit (level 5) |
$858 |
$3,444 |
— |
$171 | |
| Epidural steroid injection |
$521 |
$2,093 |
$1,613 |
$275 | |
| Esophageal dilation |
$691 |
$2,777 |
$1,447 |
$522 | |
| Estradiol (estrogen) test |
$112 |
$451 |
— |
$28 | |
| Facet joint injection (spine) |
$730 |
$2,931 |
$1,202 |
$99 | |
| Fallopian tube X-ray (HSG) |
$409 |
$1,638 |
$769 |
$164 | |
| Fecal occult blood (stool) test |
$5 |
$18 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$5 |
$18 |
— |
$4 | |
| Feeding tube (PEG) placement |
$2,074 |
$8,330 |
$1,937 |
$178 | |
| Ferritin (iron) test |
$59 |
$235 |
— |
$14 | |
| Fibrinogen test |
$131 |
$527 |
— |
$10 | |
| Flexible sigmoidoscopy |
$1,763 |
$7,080 |
$1,691 |
$323 | |
| Folate (folic acid) test |
$71 |
$284 |
— |
$15 | |
| Foreign body removal (skin) |
$240 |
$962 |
$769 |
$157 | |
| Free T4 thyroid test |
$158 |
$635 |
— |
$9 | |
| FSH hormone test |
$260 |
$1,043 |
— |
$19 | |
| Gallbladder removal (laparoscopic) |
$6,195 |
$24,880 |
$4,664 |
$658 | |
| Gallbladder scan (HIDA) |
$1,312 |
$5,260 |
— |
$334 | |
| Ganglion cyst removal |
$3,236 |
$12,994 |
$2,218 |
$321 | |
| GGT liver test |
$119 |
$478 |
— |
$7 | |
| Glucose tolerance test |
$319 |
$1,283 |
— |
$8 | |
| H. pylori test |
$108 |
$433 |
— |
$67 | |
| Hammertoe repair |
$1,950 |
$7,830 |
$2,218 |
$548 | |
| HDL cholesterol test |
$67 |
$269 |
— |
$8 | |
| Hematocrit test |
$62 |
$249 |
— |
$2 | |
| Hemoglobin A1c (diabetes test) |
$94 |
$378 |
— |
$10 | |
| Hepatitis B test |
$86 |
$347 |
— |
$10 | |
| Hepatitis C test |
$180 |
$721 |
— |
$14 | |
| Hip fracture repair |
$11,742 |
$47,155 |
$2,931 |
$1,120 | |
| Hip replacement |
$13,080 |
$52,531 |
$3,449 |
$1,162 | |
| HIV test |
$62 |
$249 |
— |
$19 | |
| HIV test (antibody) |
$62 |
$249 |
— |
$14 | |
| Holter heart monitor |
$477 |
$1,915 |
— |
$26 | |
| Hysterectomy |
$10,666 |
$42,837 |
$3,894 |
$933 | |
| Hysteroscopy |
$3,424 |
$13,752 |
$2,218 |
$1,270 | |
| Inguinal hernia repair |
$5,023 |
$20,172 |
$2,737 |
$538 | |
| Iron blood test |
$71 |
$286 |
— |
$6 | |
| IUD removal |
$2,203 |
$8,847 |
$335 |
$112 | |
| IV infusion therapy |
$84 |
$337 |
— |
$44 | |
| IV infusion therapy (each additional) |
$28 |
$112 |
— |
$21 | |
| IV infusion therapy (initial) |
$140 |
$563 |
— |
$67 | |
| Joint aspiration (small/intermediate) |
$266 |
$1,067 |
$335 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$245 |
$985 |
$335 |
$57 | |
| Joint aspiration or injection (small joint) |
$286 |
$1,149 |
$335 |
$56 | |
| Kidney scan (nuclear) |
$1,501 |
$6,016 |
— |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$2,728 |
$10,956 |
$4,186 |
$760 | |
| Kidney ultrasound |
$296 |
$1,184 |
— |
$84 | |
| Kidney ultrasound (limited) |
$274 |
$1,096 |
— |
$61 | |
| Knee arthroscopy |
$2,613 |
$10,495 |
$2,737 |
$524 | |
| Knee joint injection |
$272 |
$1,090 |
$335 |
$69 | |
| Knee replacement |
$29,846 |
$119,864 |
$15,720 |
$18,054 | |
| Lactate test |
$98 |
$394 |
— |
$12 | |
| LDH test |
$100 |
$402 |
— |
$6 | |
| LDL cholesterol test |
$90 |
$361 |
— |
$11 | |
| Leg vein ultrasound (Doppler) |
$470 |
$1,880 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$470 |
$1,880 |
— |
$116 | |
| LH hormone test |
$218 |
$874 |
— |
$19 | |
| Lipase test |
$124 |
$500 |
— |
$7 | |
| Lipid (cholesterol) panel |
$238 |
$957 |
— |
$13 | |
| Liver function panel |
$344 |
$1,382 |
— |
$8 | |
| Lower back (lumbar) spinal fusion |
$46,892 |
$188,320 |
$3,234 |
$1,511 | |
| Lung function test (PFT) |
$329 |
$1,320 |
— |
$37 | |
| Lung scan (V/Q) |
$1,501 |
$6,016 |
— |
$291 | |
| Magnesium blood test |
$98 |
$394 |
— |
$7 | |
| Mastectomy |
$7,068 |
$28,385 |
$2,737 |
$1,021 | |
| Meniscus repair (knee) |
$4,266 |
$17,134 |
$2,521 |
$714 | |
| MRA of the brain |
$586 |
$2,350 |
— |
$226 | |
| MRA of the brain with contrast |
$481 |
$1,927 |
— |
$226 | |
| MRA of the brain without contrast |
$586 |
$2,350 |
— |
$328 | |
| MRA of the neck |
$1,864 |
$7,470 |
— |
$245 | |
| MRA of the neck with contrast |
$1,864 |
$7,470 |
— |
$245 | |
| MRA of the neck without contrast |
$2,379 |
$9,533 |
— |
$343 | |
| MRI of the abdomen |
$1,735 |
$6,954 |
— |
$300 | |
| MRI of the abdomen with contrast |
$759 |
$3,044 |
— |
$300 | |
| MRI of the abdomen without contrast |
$1,735 |
$6,954 |
— |
$194 | |
| MRI of the ankle |
$1,862 |
$7,450 |
— |
$261 | |
| MRI of the ankle with contrast |
$1,828 |
$7,313 |
— |
$261 | |
| MRI of the ankle without contrast |
$1,215 |
$4,860 |
— |
$222 | |
| MRI of the brain |
$2,061 |
$8,242 |
— |
$269 | |
| MRI of the brain with contrast |
$1,972 |
$7,902 |
— |
$269 | |
| MRI of the brain without contrast |
$1,956 |
$7,824 |
— |
$195 | |
| MRI of the chest |
$645 |
$2,584 |
— |
$371 | |
| MRI of the knee |
$2,101 |
$8,405 |
— |
$315 | |
| MRI of the knee with contrast |
$2,275 |
$9,099 |
— |
$315 | |
| MRI of the knee without contrast |
$2,055 |
$8,219 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$3,050 |
$12,224 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$3,050 |
$12,224 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,872 |
$7,501 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,204 |
$8,834 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,540 |
$10,178 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,204 |
$8,834 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,872 |
$7,501 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$2,620 |
$10,479 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,901 |
$11,626 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,541 |
$10,182 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,473 |
$9,912 |
— |
$191 | |
| MRI of the pelvis |
$1,776 |
$7,116 |
— |
$268 | |
| MRI of the pelvis with contrast |
$975 |
$3,908 |
— |
$268 | |
| MRI of the pelvis without contrast |
$1,776 |
$7,116 |
— |
$227 | |
| MRI of the shoulder |
$2,056 |
$8,225 |
— |
$313 | |
| MRI of the shoulder with contrast |
$2,056 |
$8,223 |
— |
$313 | |
| MRI of the shoulder without contrast |
$2,056 |
$8,225 |
— |
$205 | |
| MRI of the wrist |
$2,023 |
$8,091 |
— |
$330 | |
| MRI of the wrist with contrast |
$1,920 |
$7,678 |
— |
$330 | |
| MRI of the wrist without contrast |
$2,023 |
$8,091 |
— |
$303 | |
| Nebulizer breathing treatment |
$139 |
$829 |
— |
$9 | |
| Nuclear cardiac stress test |
$2,403 |
$9,631 |
— |
$428 | |
| Occupational therapy evaluation |
$233 |
$935 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$311 |
$1,248 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$156 |
$626 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$233 |
$935 |
— |
$101 | |
| Office visit (established patient) |
$223 |
$893 |
— |
$115 | |
| Office visit (new patient) |
$346 |
$1,384 |
— |
$177 | |
| Office visit, established patient (level 3) |
$198 |
$793 |
— |
$95 | |
| Office visit, established patient (level 4) |
$251 |
$1,002 |
— |
$136 | |
| Office visit, new patient (level 3) |
$251 |
$1,002 |
— |
$118 | |
| Office visit, new patient (level 4) |
$346 |
$1,384 |
— |
$177 | |
| Office visit, new patient (level 5) |
$512 |
$2,048 |
— |
$237 | |
| Orthopedic hardware removal |
$3,323 |
$13,347 |
$2,218 |
$632 | |
| Parathyroid hormone (PTH) test |
$187 |
$753 |
— |
$41 | |
| Pelvic ultrasound |
$485 |
$1,946 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$507 |
$2,032 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$485 |
$1,946 |
— |
$51 | |
| Phosphorus blood test |
$82 |
$329 |
— |
$5 | |
| Physical therapy evaluation |
$160 |
$640 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$240 |
$961 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$160 |
$640 |
— |
$98 | |
| Pilonidal cyst removal |
$3,594 |
$14,433 |
$2,218 |
$541 | |
| Platelet count |
$62 |
$249 |
— |
$4 | |
| Pregnancy blood test (hCG) |
$145 |
$584 |
— |
$8 | |
| Pregnancy ultrasound |
$580 |
$2,325 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$554 |
$2,225 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$730 |
$2,932 |
— |
$136 | |
| Procalcitonin test |
$102 |
$409 |
— |
$27 | |
| Prolactin test |
$187 |
$753 |
— |
$19 | |
| Prostate biopsy |
$2,111 |
$8,480 |
$1,937 |
— | |
| Prostate surgery (TURP) |
$3,586 |
$14,401 |
$2,737 |
$526 | |
| Prostate test (PSA) |
$94 |
$378 |
— |
$18 | |
| Pulmonary rehabilitation |
$70 |
$283 |
— |
$87 | |
| Radiofrequency nerve ablation |
$3,021 |
$12,134 |
$1,731 |
$462 | |
| Rheumatoid factor test |
$117 |
$468 |
— |
$6 | |
| Rotator cuff repair |
$2,354 |
$9,453 |
$3,625 |
$792 | |
| Sacroiliac joint injection |
$691 |
$2,774 |
$769 |
$176 | |
| Scoliosis spine X-ray |
$102 |
$411 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$83 |
$331 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$134 |
$534 |
— |
$72 | |
| Screening mammogram |
$169 |
$678 |
— |
$126 | |
| Scrotal ultrasound |
$654 |
$2,622 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$88 |
$354 |
— |
$3 | |
| Semen analysis |
$88 |
$351 |
— |
$12 | |
| Sex hormone binding globulin test |
$71 |
$284 |
— |
$22 | |
| Shoulder arthroscopy |
$2,946 |
$11,831 |
$3,016 |
$962 | |
| Shoulder replacement |
$4,845 |
$19,459 |
$3,823 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$178 |
$715 |
$335 |
$114 | |
| Simple wound stitches |
$201 |
$807 |
$335 |
$127 | |
| Skin biopsy |
$1,656 |
$6,650 |
— |
$121 | |
| Skin biopsy (punch) |
$243 |
$976 |
— |
$121 | |
| Skin tag removal |
$1,566 |
$6,290 |
$335 |
$92 | |
| Sleep study (polysomnography) |
$1,826 |
$7,333 |
— |
$691 | |
| Soft tissue ultrasound |
$527 |
$2,107 |
— |
$64 | |
| Speech therapy |
$175 |
$701 |
— |
$76 | |
| Spinal tap (lumbar puncture) |
$830 |
$3,331 |
$1,447 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$10,125 |
$40,661 |
$1,845 |
$5,803 | |
| Spirometry (lung function test) |
$179 |
$716 |
— |
$30 | |
| Spirometry with bronchodilator |
$494 |
$1,979 |
— |
$43 | |
| Stress echocardiogram |
$650 |
$2,607 |
— |
$209 | |
| Stress echocardiogram (complete) |
$547 |
$2,194 |
— |
$233 | |
| Swallow study |
$309 |
$1,239 |
— |
$85 | |
| T3 thyroid test |
$59 |
$235 |
— |
$14 | |
| Testosterone test |
$260 |
$1,045 |
— |
$26 | |
| Thyroid test (TSH) |
$161 |
$647 |
— |
$17 | |
| Thyroid ultrasound |
$463 |
$1,858 |
— |
$109 | |
| Thyroid uptake scan |
$886 |
$3,553 |
— |
$145 | |
| Total IgE allergy test |
$90 |
$361 |
— |
$16 | |
| Total protein test |
$91 |
$365 |
— |
$4 | |
| Transesophageal echocardiogram (TEE) |
$831 |
$3,332 |
— |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$831 |
$3,332 |
— |
$239 | |
| Transvaginal ultrasound |
$698 |
$2,805 |
— |
$118 | |
| Trigger finger release |
$2,809 |
$11,282 |
$1,937 |
$630 | |
| Triglycerides test |
$111 |
$445 |
— |
$6 | |
| Troponin (heart) test |
$125 |
$502 |
— |
$12 | |
| Turning a breech baby (version) |
$302 |
$1,212 |
$2,434 |
$94 | |
| Ulnar nerve surgery (elbow) |
$8,440 |
$33,896 |
$2,102 |
$575 | |
| Upper GI endoscopy (EGD) |
$1,372 |
$5,511 |
$1,937 |
$371 | |
| Upper GI series (barium) |
$244 |
$974 |
— |
$128 | |
| Ureteral stent placement |
$8,286 |
$33,277 |
$2,102 |
$373 | |
| Ureteroscopy (stone removal) |
$4,076 |
$16,368 |
$2,025 |
$365 | |
| Uric acid (gout) test |
$109 |
$437 |
— |
$5 | |
| Urinalysis |
$34 |
$134 |
— |
$3 | |
| Urine microalbumin test |
$81 |
$325 |
— |
$5 | |
| Urine pregnancy test |
$180 |
$723 |
— |
$9 | |
| Vaccine administration |
$15 |
$62 |
— |
$19 | |
| Vaccine administration (each additional) |
$16 |
$65 |
— |
$16 | |
| Vaginal delivery |
$3,600 |
$14,459 |
$5,917 |
$5,487 | |
| Varicose vein ablation |
$4,772 |
$19,165 |
$2,630 |
$1,018 | |
| Vasectomy |
$2,823 |
$11,337 |
$2,590 |
$347 | |
| Vitamin B12 test |
$86 |
$347 |
— |
$15 | |
| Vitamin D test |
$120 |
$482 |
— |
$30 | |
| Wound debridement |
$241 |
$967 |
$974 |
$186 | |
| Wrist fracture repair |
$4,270 |
$17,148 |
$3,390 |
$735 | |
| X-ray of the abdomen |
$374 |
$1,500 |
— |
$36 | |
| X-ray of the ankle |
$390 |
$1,562 |
— |
$37 | |
| X-ray of the collarbone |
$269 |
$1,077 |
— |
$33 | |
| X-ray of the elbow |
$264 |
$1,058 |
— |
$33 | |
| X-ray of the facial bones |
$197 |
$787 |
— |
$39 | |
| X-ray of the foot |
$351 |
$1,406 |
— |
$34 | |
| X-ray of the forearm |
$316 |
$1,265 |
— |
$29 | |
| X-ray of the hand |
$316 |
$1,265 |
— |
$38 | |
| X-ray of the hip |
$298 |
$1,192 |
— |
$49 | |
| X-ray of the hip (1 view) |
$169 |
$677 |
— |
$34 | |
| X-ray of the hip (3 views) |
$298 |
$1,192 |
— |
$49 | |
| X-ray of the hip (4 views) |
$404 |
$1,615 |
— |
$63 | |
| X-ray of the knee |
$272 |
$1,090 |
— |
$42 | |
| X-ray of the knee (2 views) |
$249 |
$1,000 |
— |
$34 | |
| X-ray of the knee (3 views) |
$289 |
$1,156 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$343 |
$1,374 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$493 |
$1,976 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$474 |
$1,901 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$514 |
$2,059 |
— |
$53 | |
| X-ray of the lower leg |
$357 |
$1,427 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$358 |
$1,439 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$358 |
$1,439 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$358 |
$1,431 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$383 |
$1,539 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$336 |
$1,348 |
— |
$40 | |
| X-ray of the pelvis |
$228 |
$913 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$300 |
$1,200 |
— |
$28 | |
| X-ray of the ribs |
$426 |
$1,705 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$389 |
$1,564 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$513 |
$2,051 |
— |
$42 | |
| X-ray of the shoulder |
$338 |
$1,352 |
— |
$36 | |
| X-ray of the skull |
$389 |
$1,564 |
— |
$40 | |
| X-ray of the upper arm |
$289 |
$1,160 |
— |
$32 | |
| X-ray of the wrist |
$357 |
$1,427 |
— |
$43 | |
| Zinc blood test |
$46 |
$186 |
— |
$11 | |