| 3D mammogram (tomosynthesis) |
$55 |
$189 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$494 |
$1,688 |
$1,652 |
$284 | |
| Abdominal ultrasound |
$517 |
$1,782 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$829 |
$2,828 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$498 |
$1,708 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$476 |
$1,623 |
$769 |
$220 | |
| Abscess drainage (simple) |
$470 |
$1,605 |
$335 |
$129 | |
| Abscess incision and drainage |
$473 |
$1,614 |
$335 |
$174 | |
| ACL knee reconstruction |
$13,589 |
$46,378 |
$3,232 |
$889 | |
| Albumin blood test |
$65 |
$223 |
— |
$5 | |
| Aldosterone test |
$297 |
$1,015 |
— |
$41 | |
| Alkaline phosphatase test |
$141 |
$480 |
— |
$5 | |
| Alpha-fetoprotein (AFP) test |
$230 |
$786 |
— |
$17 | |
| ALT liver enzyme test |
$205 |
$700 |
— |
$5 | |
| Ammonia blood test |
$106 |
$363 |
— |
$15 | |
| Amylase test |
$195 |
$666 |
— |
$6 | |
| Ankle fracture repair |
$9,232 |
$31,507 |
$3,016 |
$608 | |
| Antinuclear antibody (ANA) test |
$203 |
$694 |
— |
$12 | |
| Arterial blood gas (ABG) |
$155 |
$529 |
— |
$26 | |
| AST liver enzyme test |
$103 |
$353 |
— |
$5 | |
| Barium swallow study |
$328 |
$1,126 |
— |
$107 | |
| Basic metabolic panel |
$148 |
$504 |
— |
$8 | |
| Bilirubin blood test |
$80 |
$272 |
— |
$5 | |
| Blood clotting test (PT/INR) |
$65 |
$223 |
— |
$4 | |
| Blood crossmatch |
$113 |
$384 |
— |
— | |
| Blood glucose test |
$72 |
$247 |
— |
$5 | |
| Blood transfusion |
$623 |
$2,125 |
$769 |
$47 | |
| Blood type and screen |
$82 |
$280 |
— |
$10 | |
| Blood type test |
$57 |
$196 |
— |
$3 | |
| Blood type test (ABO group) |
$57 |
$196 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$57 |
$196 |
— |
$3 | |
| BNP (heart failure) test |
$164 |
$564 |
— |
$39 | |
| Bone density scan (DEXA) |
$180 |
$615 |
— |
$39 | |
| Bone scan (nuclear) |
$1,470 |
$5,043 |
— |
$259 | |
| Breast biopsy |
$1,097 |
$3,743 |
$1,693 |
$478 | |
| Breast ultrasound |
$350 |
$1,208 |
— |
$92 | |
| Breast ultrasound (complete) |
$410 |
$1,406 |
— |
$100 | |
| Breast ultrasound (limited) |
$222 |
$765 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$433 |
$1,478 |
$769 |
$133 | |
| Burn dressing and debridement (small) |
$490 |
$1,674 |
$335 |
$93 | |
| Burn treatment |
$490 |
$1,674 |
$335 |
$129 | |
| C-reactive protein (CRP) |
$122 |
$416 |
— |
$5 | |
| CA 19-9 tumor marker test |
$414 |
$1,411 |
— |
$21 | |
| CA-125 ovarian marker test |
$169 |
$578 |
— |
$21 | |
| Calcium blood test |
$91 |
$312 |
— |
$5 | |
| Cardiac rehabilitation |
$149 |
$508 |
— |
$26 | |
| Cardiac stress test |
$1,028 |
$3,508 |
— |
$39 | |
| Cardioversion |
$733 |
$2,503 |
$1,691 |
$155 | |
| Carotid artery ultrasound |
$421 |
$1,437 |
— |
$156 | |
| Carpal tunnel release |
$5,476 |
$18,689 |
$2,102 |
$483 | |
| Cataract surgery |
$2,978 |
$10,162 |
$3,071 |
$547 | |
| CEA tumor marker test |
$148 |
$504 |
— |
$19 | |
| Central line placement |
$801 |
$2,732 |
$1,731 |
$238 | |
| Cervical LEEP procedure |
$6,519 |
$22,249 |
$2,102 |
$325 | |
| Cesarean section (C-section) |
$11,978 |
$40,879 |
$7,590 |
$7,552 | |
| Chemotherapy infusion |
$104 |
$357 |
— |
$81 | |
| Chemotherapy infusion (first hour) |
$104 |
$357 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,404 |
$4,843 |
$1,447 |
$311 | |
| Chest X-ray |
$289 |
$988 |
— |
$37 | |
| Chest X-ray (1 view) |
$181 |
$624 |
— |
$25 | |
| Chest X-ray (2 views) |
$301 |
$1,032 |
— |
$33 | |
| Circumcision |
$3,657 |
$12,483 |
$2,590 |
$167 | |
| CK-MB heart enzyme test |
$145 |
$494 |
— |
$12 | |
| Clotting time test (PTT) |
$101 |
$343 |
— |
$6 | |
| Colonoscopy |
$3,839 |
$13,103 |
$1,937 |
$480 | |
| Complete blood count (CBC) |
$159 |
$541 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$178 |
$608 |
— |
$8 | |
| Comprehensive metabolic panel |
$210 |
$715 |
— |
$11 | |
| Copper blood test |
$207 |
$708 |
— |
$12 | |
| Cortisol test |
$376 |
$1,282 |
— |
$16 | |
| COVID-19 PCR test |
$67 |
$228 |
— |
$51 | |
| CPAP titration study |
$324 |
$1,105 |
— |
$69 | |
| Creatine kinase (CK) test |
$83 |
$282 |
— |
$7 | |
| CT angiography of the chest |
$1,960 |
$6,727 |
— |
$281 | |
| CT angiography of the head |
$1,972 |
$6,767 |
— |
$274 | |
| CT scan of the abdomen |
$1,777 |
$6,066 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$3,108 |
$10,663 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,527 |
$12,103 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$3,108 |
$10,663 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,016 |
$6,917 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,016 |
$6,917 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$1,848 |
$6,339 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$1,617 |
$5,518 |
— |
$136 | |
| CT scan of the arm |
$1,301 |
$4,487 |
— |
$199 | |
| CT scan of the arm with contrast |
$1,301 |
$4,487 |
— |
$199 | |
| CT scan of the arm without contrast |
$832 |
$2,869 |
— |
$161 | |
| CT scan of the chest |
$1,787 |
$6,164 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$2,333 |
$8,005 |
— |
$196 | |
| CT scan of the chest with contrast |
$1,721 |
$5,874 |
— |
$167 | |
| CT scan of the chest without contrast |
$1,722 |
$5,909 |
— |
$133 | |
| CT scan of the head |
$2,011 |
$6,901 |
— |
$148 | |
| CT scan of the head with and without contrast |
$2,333 |
$8,005 |
— |
$173 | |
| CT scan of the head with contrast |
$2,011 |
$6,901 |
— |
$148 | |
| CT scan of the head without contrast |
$1,514 |
$5,194 |
— |
$107 | |
| CT scan of the leg |
$1,239 |
$4,271 |
— |
$166 | |
| CT scan of the leg with contrast |
$1,239 |
$4,271 |
— |
$166 | |
| CT scan of the leg without contrast |
$1,206 |
$4,160 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$691 |
$2,372 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$864 |
$2,966 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$691 |
$2,372 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$622 |
$2,134 |
— |
$130 | |
| CT scan of the neck |
$1,851 |
$6,352 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$1,728 |
$5,928 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,211 |
$7,587 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$672 |
$2,305 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,728 |
$5,928 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$2,172 |
$7,452 |
— |
$220 | |
| CT scan of the neck with contrast |
$1,851 |
$6,352 |
— |
$183 | |
| CT scan of the neck without contrast |
$1,477 |
$5,067 |
— |
$150 | |
| CT scan of the pelvis |
$1,848 |
$6,339 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,016 |
$6,917 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$1,848 |
$6,339 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$1,680 |
$5,766 |
— |
$133 | |
| CT scan of the sinuses |
$1,474 |
$5,059 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,438 |
$4,934 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$1,905 |
$6,536 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$1,335 |
$4,579 |
— |
$128 | |
| D-dimer test |
$174 |
$594 |
— |
$10 | |
| DHEA-sulfate test |
$120 |
$410 |
— |
$22 | |
| Diagnostic mammogram |
$271 |
$936 |
— |
$140 | |
| Dilation and curettage (D&C) |
$5,403 |
$18,441 |
$2,102 |
$298 | |
| Drug screen (urine) |
$142 |
$484 |
— |
$17 | |
| Echocardiogram |
$1,474 |
$5,031 |
— |
$138 | |
| Echocardiogram with and without contrast |
$485 |
$1,665 |
— |
$101 | |
| Echocardiogram without contrast |
$1,532 |
$5,258 |
— |
$138 | |
| EEG (awake and asleep) |
$415 |
$1,424 |
— |
$482 | |
| EKG / ECG (tracing only) |
$303 |
$1,033 |
— |
$7 | |
| Electrocardiogram (EKG) |
$303 |
$1,033 |
— |
$8 | |
| Electroencephalogram (EEG) |
$392 |
$1,344 |
— |
$448 | |
| Electrolyte panel |
$97 |
$331 |
— |
$7 | |
| Emergency department visit |
$410 |
$1,399 |
— |
$69 | |
| Emergency department visit (level 1) |
$85 |
$290 |
— |
$11 | |
| Emergency department visit (level 2) |
$279 |
$953 |
— |
$40 | |
| Emergency department visit (level 3) |
$410 |
$1,399 |
— |
$69 | |
| Emergency department visit (level 4) |
$788 |
$2,689 |
— |
$118 | |
| Emergency department visit (level 5) |
$1,298 |
$4,430 |
— |
$171 | |
| Epidural steroid injection |
$453 |
$1,546 |
$1,613 |
$275 | |
| Estradiol (estrogen) test |
$297 |
$1,015 |
— |
$28 | |
| Fallopian tube X-ray (HSG) |
$453 |
$1,545 |
— |
$164 | |
| Fecal occult blood (stool) test |
$42 |
$142 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$14 |
$49 |
— |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$69 |
$235 |
— |
$16 | |
| Ferritin (iron) test |
$135 |
$461 |
— |
$14 | |
| Fibrinogen test |
$164 |
$559 |
— |
$10 | |
| Folate (folic acid) test |
$113 |
$384 |
— |
$15 | |
| Foreign body removal (skin) |
$594 |
$2,028 |
$769 |
$157 | |
| Free T4 thyroid test |
$156 |
$531 |
— |
$9 | |
| FSH hormone test |
$311 |
$1,062 |
— |
$19 | |
| Gallbladder removal (laparoscopic) |
$10,473 |
$35,744 |
$4,664 |
$658 | |
| Gallbladder scan (HIDA) |
$1,663 |
$5,705 |
— |
$334 | |
| Ganglion cyst removal |
$4,479 |
$15,287 |
$2,218 |
$321 | |
| GGT liver test |
$173 |
$592 |
— |
$7 | |
| Glucose tolerance test |
$138 |
$472 |
— |
$8 | |
| H. pylori test |
$357 |
$1,219 |
— |
$67 | |
| HDL cholesterol test |
$113 |
$384 |
— |
$8 | |
| Hematocrit test |
$62 |
$212 |
— |
$2 | |
| Hemoglobin A1c (diabetes test) |
$113 |
$384 |
— |
$10 | |
| Hepatitis B test |
$120 |
$410 |
— |
$10 | |
| Hepatitis C test |
$97 |
$331 |
— |
$14 | |
| Hip replacement |
$25,590 |
$87,337 |
$3,449 |
$1,162 | |
| Holter heart monitor |
$274 |
$936 |
— |
$26 | |
| Hysterectomy |
$19,840 |
$67,713 |
$3,894 |
$933 | |
| Hysteroscopy |
$6,474 |
$22,095 |
$2,218 |
$1,270 | |
| Iron blood test |
$75 |
$255 |
— |
$6 | |
| IUD insertion |
$3,374 |
$11,516 |
$335 |
— | |
| IV infusion therapy |
$330 |
$1,125 |
— |
$44 | |
| IV infusion therapy (each additional) |
$256 |
$874 |
— |
$21 | |
| IV infusion therapy (initial) |
$403 |
$1,376 |
— |
$67 | |
| Joint aspiration (small/intermediate) |
$413 |
$1,408 |
$335 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$413 |
$1,408 |
$335 |
$57 | |
| Kidney ultrasound |
$497 |
$1,695 |
— |
$84 | |
| Knee arthroscopy |
$7,535 |
$25,716 |
$2,737 |
$524 | |
| Knee joint injection |
$430 |
$1,469 |
$335 |
$69 | |
| Knee replacement |
$37,722 |
$128,745 |
$16,130 |
$18,054 | |
| Lactate test |
$168 |
$572 |
— |
$12 | |
| LDH test |
$69 |
$235 |
— |
$6 | |
| LDL cholesterol test |
$186 |
$635 |
— |
$11 | |
| Leg vein ultrasound (Doppler) |
$617 |
$2,105 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$603 |
$2,081 |
— |
$116 | |
| LH hormone test |
$156 |
$533 |
— |
$19 | |
| Lipase test |
$161 |
$551 |
— |
$7 | |
| Lipid (cholesterol) panel |
$246 |
$839 |
— |
$13 | |
| Liver function panel |
$186 |
$635 |
— |
$8 | |
| Lower back (lumbar) spinal fusion |
$55,178 |
$188,320 |
$2,761 |
$1,511 | |
| Lumpectomy (breast) |
$4,495 |
$15,341 |
$2,218 |
$750 | |
| Lung function test (PFT) |
$404 |
$1,385 |
— |
$37 | |
| Lung scan (V/Q) |
$1,609 |
$5,520 |
— |
$291 | |
| Magnesium blood test |
$80 |
$272 |
— |
$7 | |
| Mastectomy |
$20,602 |
$70,313 |
$2,737 |
$1,021 | |
| MRA of the brain |
$1,570 |
$5,387 |
— |
$226 | |
| MRA of the brain with contrast |
$898 |
$3,082 |
— |
$226 | |
| MRA of the brain without contrast |
$1,750 |
$6,005 |
— |
$328 | |
| MRA of the neck |
$1,673 |
$5,767 |
— |
$245 | |
| MRA of the neck with contrast |
$1,653 |
$5,672 |
— |
$245 | |
| MRA of the neck without contrast |
$3,067 |
$10,524 |
— |
$343 | |
| MRI of the abdomen |
$2,508 |
$8,560 |
— |
$300 | |
| MRI of the abdomen with contrast |
$2,607 |
$8,945 |
— |
$300 | |
| MRI of the abdomen without contrast |
$2,107 |
$7,264 |
— |
$194 | |
| MRI of the ankle |
$2,519 |
$8,685 |
— |
$261 | |
| MRI of the ankle with contrast |
$2,615 |
$9,016 |
— |
$261 | |
| MRI of the ankle without contrast |
$2,519 |
$8,685 |
— |
$222 | |
| MRI of the brain |
$2,172 |
$7,452 |
— |
$269 | |
| MRI of the brain with contrast |
$2,172 |
$7,452 |
— |
$269 | |
| MRI of the brain without contrast |
$1,986 |
$6,815 |
— |
$195 | |
| MRI of the chest |
$979 |
$3,360 |
— |
$371 | |
| MRI of the chest with contrast |
$979 |
$3,360 |
— |
$371 | |
| MRI of the chest without contrast |
$2,940 |
$10,088 |
— |
$466 | |
| MRI of the knee |
$2,554 |
$8,807 |
— |
$315 | |
| MRI of the knee with contrast |
$2,554 |
$8,807 |
— |
$315 | |
| MRI of the knee without contrast |
$2,459 |
$8,480 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,079 |
$7,132 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,079 |
$7,132 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,891 |
$6,489 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,361 |
$8,112 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$3,566 |
$12,234 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,361 |
$8,103 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,172 |
$7,452 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$2,104 |
$7,220 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$3,566 |
$12,234 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,104 |
$7,220 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,754 |
$6,018 |
— |
$191 | |
| MRI of the pelvis |
$1,679 |
$5,791 |
— |
$268 | |
| MRI of the pelvis with contrast |
$1,630 |
$5,592 |
— |
$268 | |
| MRI of the pelvis without contrast |
$1,606 |
$5,512 |
— |
$227 | |
| MRI of the shoulder |
$3,051 |
$10,522 |
— |
$313 | |
| MRI of the shoulder with contrast |
$3,051 |
$10,522 |
— |
$313 | |
| MRI of the shoulder without contrast |
$2,509 |
$8,653 |
— |
$205 | |
| MRI of the wrist |
$2,840 |
$9,695 |
— |
$330 | |
| MRI of the wrist with contrast |
$3,064 |
$10,567 |
— |
$330 | |
| MRI of the wrist without contrast |
$2,875 |
$9,913 |
— |
$303 | |
| Nebulizer breathing treatment |
$51 |
$167 |
— |
$9 | |
| Nuchal translucency ultrasound |
$199 |
$683 |
— |
$116 | |
| Nuclear cardiac stress test |
$4,096 |
$14,055 |
— |
$428 | |
| Occupational therapy evaluation |
$316 |
$1,079 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$335 |
$1,150 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$295 |
$1,012 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$322 |
$1,104 |
— |
$101 | |
| Orthopedic hardware removal |
$14,746 |
$50,329 |
$2,218 |
$632 | |
| Parathyroid hormone (PTH) test |
$392 |
$1,339 |
— |
$41 | |
| Pelvic ultrasound |
$462 |
$1,585 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$415 |
$1,421 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$462 |
$1,585 |
— |
$51 | |
| Phosphorus blood test |
$82 |
$280 |
— |
$5 | |
| Physical therapy evaluation |
$295 |
$1,008 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$311 |
$1,067 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$303 |
$1,040 |
— |
$98 | |
| Platelet count |
$109 |
$372 |
— |
$4 | |
| Pregnancy blood test (hCG) |
$109 |
$375 |
— |
$8 | |
| Pregnancy ultrasound |
$547 |
$1,878 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$527 |
$1,797 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$667 |
$2,276 |
— |
$136 | |
| Procalcitonin test |
$126 |
$429 |
— |
$27 | |
| Prolactin test |
$274 |
$935 |
— |
$19 | |
| Prostate test (PSA) |
$109 |
$372 |
— |
$18 | |
| Pulmonary rehabilitation |
$76 |
$259 |
— |
$87 | |
| Rheumatoid factor test |
$148 |
$504 |
— |
$6 | |
| Rotator cuff repair |
$12,000 |
$40,954 |
$3,894 |
$792 | |
| Scoliosis spine X-ray |
$192 |
$656 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$126 |
$431 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$269 |
$922 |
— |
$72 | |
| Screening mammogram |
$226 |
$780 |
— |
$126 | |
| Scrotal ultrasound |
$492 |
$1,688 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$123 |
$421 |
— |
$3 | |
| Sex hormone binding globulin test |
$286 |
$976 |
— |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$588 |
$2,005 |
$335 |
$114 | |
| Simple wound stitches |
$597 |
$2,036 |
$335 |
$127 | |
| Sleep study (polysomnography) |
$4,002 |
$13,658 |
— |
$691 | |
| Soft tissue ultrasound |
$261 |
$899 |
— |
$64 | |
| Speech therapy |
$309 |
$1,059 |
— |
$76 | |
| Spinal tap (lumbar puncture) |
$904 |
$3,086 |
$1,447 |
$165 | |
| Spirometry (lung function test) |
$278 |
$952 |
— |
$30 | |
| Spirometry with bronchodilator |
$541 |
$1,856 |
— |
$43 | |
| Stress echocardiogram |
$1,703 |
$5,842 |
— |
$209 | |
| Swallow study |
$327 |
$1,120 |
— |
$85 | |
| T3 thyroid test |
$76 |
$259 |
— |
$14 | |
| Testosterone test |
$325 |
$1,109 |
— |
$26 | |
| Thyroid test (TSH) |
$174 |
$594 |
— |
$17 | |
| Thyroid ultrasound |
$239 |
$818 |
— |
$109 | |
| Thyroid uptake scan |
$976 |
$3,349 |
— |
$145 | |
| Total IgE allergy test |
$152 |
$519 |
— |
$16 | |
| Total protein test |
$97 |
$331 |
— |
$4 | |
| Transvaginal ultrasound |
$445 |
$1,517 |
— |
$118 | |
| Trigger finger release |
$4,900 |
$16,724 |
$1,937 |
$630 | |
| Triglycerides test |
$98 |
$335 |
— |
$6 | |
| Troponin (heart) test |
$152 |
$519 |
— |
$12 | |
| Ulnar nerve surgery (elbow) |
$7,025 |
$23,974 |
$2,102 |
$575 | |
| Upper GI endoscopy (EGD) |
$3,533 |
$12,057 |
$1,937 |
$371 | |
| Upper GI series (barium) |
$614 |
$2,107 |
— |
$128 | |
| Ureteral stent placement |
$3,068 |
$10,471 |
$2,102 |
$373 | |
| Ureteroscopy (stone removal) |
$5,942 |
$20,280 |
$2,025 |
$365 | |
| Uric acid (gout) test |
$122 |
$416 |
— |
$5 | |
| Urinalysis |
$52 |
$177 |
— |
$3 | |
| Urine microalbumin test |
$85 |
$290 |
— |
$5 | |
| Urine pregnancy test |
$173 |
$592 |
— |
$9 | |
| Vaccine administration |
$107 |
$366 |
— |
$19 | |
| Vaccine administration (each additional) |
$80 |
$274 |
— |
$16 | |
| Vaginal delivery |
$4,002 |
$13,659 |
$5,952 |
$5,487 | |
| Vasectomy |
$5,345 |
$18,243 |
$2,590 |
$347 | |
| Vitamin B12 test |
$101 |
$343 |
— |
$15 | |
| Vitamin D test |
$252 |
$859 |
— |
$30 | |
| Wound debridement |
$3,955 |
$13,499 |
$974 |
$186 | |
| Wrist fracture repair |
$10,253 |
$34,995 |
$3,390 |
$735 | |
| X-ray of the abdomen |
$307 |
$1,054 |
— |
$36 | |
| X-ray of the ankle |
$284 |
$970 |
— |
$37 | |
| X-ray of the collarbone |
$264 |
$902 |
— |
$33 | |
| X-ray of the elbow |
$400 |
$1,366 |
— |
$33 | |
| X-ray of the facial bones |
$247 |
$848 |
— |
$39 | |
| X-ray of the foot |
$280 |
$955 |
— |
$34 | |
| X-ray of the forearm |
$256 |
$882 |
— |
$29 | |
| X-ray of the hand |
$306 |
$1,045 |
— |
$38 | |
| X-ray of the hip |
$154 |
$527 |
— |
$49 | |
| X-ray of the hip (1 view) |
$154 |
$527 |
— |
$34 | |
| X-ray of the hip (3 views) |
$384 |
$1,325 |
— |
$49 | |
| X-ray of the hip (4 views) |
$145 |
$501 |
— |
$63 | |
| X-ray of the knee |
$108 |
$372 |
— |
$42 | |
| X-ray of the knee (2 views) |
$100 |
$341 |
— |
$34 | |
| X-ray of the knee (3 views) |
$117 |
$398 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$133 |
$455 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$509 |
$1,745 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$489 |
$1,670 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$536 |
$1,829 |
— |
$53 | |
| X-ray of the lower leg |
$272 |
$938 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$332 |
$1,133 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$332 |
$1,133 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$362 |
$1,250 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$336 |
$1,147 |
— |
$40 | |
| X-ray of the pelvis |
$301 |
$1,034 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$290 |
$990 |
— |
$28 | |
| X-ray of the ribs |
$425 |
$1,457 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$415 |
$1,415 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$426 |
$1,470 |
— |
$42 | |
| X-ray of the shoulder |
$274 |
$946 |
— |
$36 | |
| X-ray of the skull |
$370 |
$1,267 |
— |
$40 | |
| X-ray of the upper arm |
$257 |
$884 |
— |
$32 | |
| X-ray of the wrist |
$243 |
$829 |
— |
$43 | |
| YAG laser capsulotomy (eye) |
$2,944 |
$10,047 |
$1,652 |
$335 | |
| Zinc blood test |
$156 |
$531 |
— |
$11 | |