| 3D mammogram (tomosynthesis) |
— |
$399 |
$140 |
$51 | |
| Abdominal fluid drain (paracentesis) |
— |
$2,475 |
$1,238 |
$284 | |
| Abdominal ultrasound |
— |
$311 |
$151 |
$100 | |
| Abdominal ultrasound (complete) |
— |
$320 |
$160 |
$114 | |
| Abdominal ultrasound (limited) |
— |
$302 |
$151 |
$86 | |
| Abscess drainage (complex or multiple) |
— |
$967 |
$488 |
$220 | |
| Abscess drainage (simple) |
— |
$547 |
$243 |
$129 | |
| Abscess incision and drainage |
— |
$757 |
$342 |
$174 | |
| Albumin blood test |
— |
$12 |
$5 |
$5 | |
| Aldosterone test |
— |
$101 |
$41 |
$41 | |
| Alkaline phosphatase test |
— |
$12 |
$5 |
$5 | |
| Allergy patch testing |
— |
$2,752 |
$1,243 |
$5 | |
| Allergy shots |
— |
$115 |
$56 |
$11 | |
| Allergy testing |
— |
$2,802 |
$1,181 |
$4 | |
| Alpha-fetoprotein (AFP) test |
— |
$41 |
$17 |
$17 | |
| ALT liver enzyme test |
— |
$13 |
$5 |
$5 | |
| Ammonia blood test |
— |
$36 |
$15 |
$15 | |
| Amniocentesis |
— |
$1,933 |
$958 |
$120 | |
| Amylase test |
— |
$16 |
$6 |
$6 | |
| Ankle fracture repair |
— |
$18,117 |
$8,510 |
$608 | |
| Annual physical (established patient) |
— |
$358 |
$197 |
— | |
| Annual physical (new patient) |
— |
$358 |
$179 |
— | |
| Anoscopy |
— |
$330 |
$157 |
$129 | |
| Antinuclear antibody (ANA) test |
— |
$30 |
$12 |
$12 | |
| Aortic aneurysm repair (AAA) |
— |
$4,970 |
$2,429 |
$1,345 | |
| Arterial blood gas (ABG) |
— |
$65 |
$26 |
$26 | |
| AST liver enzyme test |
— |
$12 |
$5 |
$5 | |
| Barium swallow study |
— |
$551 |
$186 |
$107 | |
| Bartholin cyst removal |
— |
$502 |
$246 |
$182 | |
| Basic metabolic panel |
— |
$21 |
$8 |
$8 | |
| Benign skin lesion removal |
— |
$1,847 |
$795 |
$171 | |
| Bilirubin blood test |
— |
$12 |
$5 |
$5 | |
| Bladder function test (urodynamics) |
— |
$1,736 |
$693 |
$345 | |
| Bladder scope (cystoscopy) |
— |
$1,875 |
$816 |
$216 | |
| Blood clotting test (PT/INR) |
— |
$10 |
$4 |
$4 | |
| Blood crossmatch |
— |
$434 |
$209 |
— | |
| Blood glucose test |
— |
$11 |
$4 |
$5 | |
| Blood transfusion |
— |
$1,132 |
$534 |
$47 | |
| Blood type and screen |
— |
$149 |
$10 |
$10 | |
| Blood type test |
— |
$216 |
$3 |
$3 | |
| Blood type test (ABO group) |
— |
$330 |
$3 |
$3 | |
| Blood type test (Rh/D antigen) |
— |
$101 |
$3 |
$3 | |
| BNP (heart failure) test |
— |
$98 |
$39 |
$39 | |
| Bone density scan (DEXA) |
— |
$339 |
$141 |
$39 | |
| Bone marrow biopsy |
— |
$5,590 |
$1,980 |
$172 | |
| Bone scan (nuclear) |
— |
$1,079 |
$409 |
$259 | |
| Botox for migraine |
— |
$792 |
$325 |
$157 | |
| Breast biopsy |
— |
$4,157 |
$1,980 |
$478 | |
| Breast MRI |
— |
$705 |
$353 |
$216 | |
| Breast MRI without contrast |
— |
$705 |
$353 |
$216 | |
| Breast ultrasound |
— |
$290 |
$121 |
$92 | |
| Breast ultrasound (complete) |
— |
$339 |
$170 |
$100 | |
| Breast ultrasound (limited) |
— |
$241 |
$121 |
$84 | |
| Breathing tube insertion (intubation) |
— |
$623 |
$284 |
$133 | |
| Bronchoscopy |
— |
$4,535 |
$2,107 |
$303 | |
| Burn dressing and debridement (medium) |
— |
$529 |
$243 |
$166 | |
| Burn dressing and debridement (small) |
— |
$529 |
$243 |
$93 | |
| Burn treatment |
— |
$529 |
$243 |
$129 | |
| C-reactive protein (CRP) |
— |
$12 |
$5 |
$5 | |
| CA 19-9 tumor marker test |
— |
$52 |
$21 |
$21 | |
| CA-125 ovarian marker test |
— |
$52 |
$21 |
$21 | |
| Calcium blood test |
— |
$12 |
$5 |
$5 | |
| Cardiac ablation |
— |
$61,893 |
$29,974 |
$759 | |
| Cardiac catheterization |
— |
$8,631 |
$3,930 |
$1,049 | |
| Cardiac event monitor |
— |
$614 |
$307 |
$170 | |
| Cardiac MRI |
— |
$705 |
$353 |
$322 | |
| Cardiac MRI without contrast |
— |
$705 |
$353 |
$280 | |
| Cardiac rehabilitation |
— |
$333 |
$154 |
$26 | |
| Cardiac stress test |
— |
$766 |
$380 |
$39 | |
| Cardioversion |
— |
$1,624 |
$800 |
$155 | |
| Carotid artery ultrasound |
— |
$522 |
$170 |
$156 | |
| Cataract surgery |
— |
$6,123 |
$2,508 |
$547 | |
| CEA tumor marker test |
— |
$47 |
$19 |
$19 | |
| Celiac disease test |
— |
$117 |
$12 |
$12 | |
| Central line placement |
— |
$4,940 |
$2,470 |
$238 | |
| Cervical LEEP procedure |
— |
$4,647 |
$3,691 |
$325 | |
| Cesarean section (C-section) |
— |
— |
$24,997 |
$7,552 | |
| Chalazion (eyelid cyst) removal |
— |
$847 |
$329 |
$131 | |
| Chemotherapy infusion |
— |
$560 |
$284 |
$81 | |
| Chemotherapy infusion (each additional) |
— |
$183 |
$87 |
$28 | |
| Chemotherapy infusion (first hour) |
— |
$937 |
$405 |
$133 | |
| Chest fluid drain (thoracentesis) |
— |
$1,909 |
$955 |
$311 | |
| Chest tube insertion |
— |
$4,940 |
$2,470 |
$143 | |
| Chest X-ray |
— |
$241 |
$121 |
$37 | |
| Chest X-ray (1 view) |
— |
$241 |
$121 |
$25 | |
| Chest X-ray (2 views) |
— |
$241 |
$121 |
$33 | |
| Chickenpox (varicella) vaccine |
— |
$25 |
$13 |
— | |
| Circumcision |
— |
$1,454 |
$2,440 |
$167 | |
| CK-MB heart enzyme test |
— |
$28 |
$12 |
$12 | |
| Clotting time test (PTT) |
— |
$15 |
$6 |
$6 | |
| Colonoscopy |
— |
$2,313 |
$1,114 |
$480 | |
| Colposcopy |
— |
$814 |
$372 |
$161 | |
| Complete blood count (CBC) |
— |
$18 |
$6 |
$7 | |
| Complete blood count (CBC) (complete) |
— |
$19 |
$8 |
$8 | |
| Complex wound repair |
— |
$1,505 |
$748 |
$390 | |
| Comprehensive eye exam |
— |
$358 |
$157 |
$138 | |
| Comprehensive metabolic panel |
— |
$26 |
$11 |
$11 | |
| Contraceptive implant (Nexplanon) |
— |
$1,101 |
$439 |
$115 | |
| Copper blood test |
— |
$31 |
$12 |
$12 | |
| Coronary artery bypass (CABG) |
— |
— |
$85,902 |
$36,593 | |
| Cortisol test |
— |
$40 |
$16 |
$16 | |
| COVID-19 PCR test |
— |
$130 |
$51 |
$51 | |
| CPAP titration study |
— |
$557 |
$249 |
$69 | |
| Creatine kinase (CK) test |
— |
$16 |
$7 |
$7 | |
| CT angiography of the chest |
— |
$551 |
$276 |
$281 | |
| CT angiography of the head |
— |
$551 |
$276 |
$274 | |
| CT scan of the abdomen |
— |
$551 |
$247 |
$230 | |
| CT scan of the abdomen and pelvis |
— |
$1,156 |
$353 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
— |
$1,156 |
$578 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
— |
$1,156 |
$502 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
— |
$705 |
$321 |
$183 | |
| CT scan of the abdomen with and without contrast |
— |
$551 |
$276 |
$259 | |
| CT scan of the abdomen with contrast |
— |
$551 |
$276 |
$230 | |
| CT scan of the abdomen without contrast |
— |
$339 |
$170 |
$136 | |
| CT scan of the arm |
— |
$551 |
$267 |
$199 | |
| CT scan of the arm with contrast |
— |
$1,156 |
$488 |
$199 | |
| CT scan of the arm without contrast |
— |
$339 |
$170 |
$161 | |
| CT scan of the chest |
— |
$551 |
$215 |
$167 | |
| CT scan of the chest with and without contrast |
— |
$551 |
$276 |
$196 | |
| CT scan of the chest with contrast |
— |
$551 |
$276 |
$167 | |
| CT scan of the chest without contrast |
— |
$339 |
$170 |
$133 | |
| CT scan of the head |
— |
$551 |
$220 |
$148 | |
| CT scan of the head with and without contrast |
— |
$551 |
$276 |
$173 | |
| CT scan of the head with contrast |
— |
$551 |
$276 |
$148 | |
| CT scan of the head without contrast |
— |
$339 |
$170 |
$107 | |
| CT scan of the leg |
— |
$551 |
$240 |
$166 | |
| CT scan of the leg with contrast |
— |
$551 |
$276 |
$166 | |
| CT scan of the leg without contrast |
— |
$339 |
$170 |
$130 | |
| CT scan of the lower back (lumbar spine) |
— |
$551 |
$249 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
— |
$551 |
$276 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
— |
$1,156 |
$496 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
— |
$339 |
$170 |
$130 | |
| CT scan of the neck |
— |
$551 |
$241 |
$183 | |
| CT scan of the neck (cervical spine) |
— |
$551 |
$261 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
— |
$551 |
$276 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
— |
$1,156 |
$559 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
— |
$339 |
$170 |
$131 | |
| CT scan of the neck with and without contrast |
— |
$551 |
$276 |
$220 | |
| CT scan of the neck with contrast |
— |
$551 |
$276 |
$183 | |
| CT scan of the neck without contrast |
— |
$339 |
$170 |
$150 | |
| CT scan of the pelvis |
— |
$551 |
$242 |
$226 | |
| CT scan of the pelvis with and without contrast |
— |
$551 |
$276 |
$251 | |
| CT scan of the pelvis with contrast |
— |
$551 |
$276 |
$226 | |
| CT scan of the pelvis without contrast |
— |
$339 |
$170 |
$133 | |
| CT scan of the sinuses |
— |
$551 |
$244 |
$152 | |
| CT scan of the sinuses with and without contrast |
— |
$551 |
$276 |
$184 | |
| CT scan of the sinuses with contrast |
— |
$551 |
$276 |
$152 | |
| CT scan of the sinuses without contrast |
— |
$339 |
$170 |
$128 | |
| D-dimer test |
— |
$25 |
$10 |
$10 | |
| Defibrillator (ICD) implant |
— |
$98,886 |
$39,173 |
$798 | |
| Developmental screening (child) |
— |
$318 |
$159 |
— | |
| DHEA-sulfate test |
— |
$55 |
$22 |
$22 | |
| Diagnostic mammogram |
— |
$451 |
$200 |
$140 | |
| Dilation and curettage (D&C) |
— |
$8,480 |
$3,788 |
$298 | |
| Droopy eyelid repair (ptosis) |
— |
$5,861 |
$2,537 |
$745 | |
| Drug screen (urine) |
— |
$93 |
$62 |
$17 | |
| Ear pressure test (tympanometry) |
— |
$101 |
$48 |
$16 | |
| Ear tubes (myringotomy) |
— |
$1,337 |
$560 |
$174 | |
| Echocardiogram |
— |
$817 |
$295 |
$138 | |
| Echocardiogram with and without contrast |
— |
$817 |
$295 |
$101 | |
| Echocardiogram without contrast |
— |
$705 |
$295 |
$138 | |
| EEG (awake and asleep) |
— |
$766 |
$383 |
$482 | |
| EKG / ECG (tracing only) |
— |
$166 |
$73 |
$7 | |
| Electrocardiogram (EKG) |
— |
$166 |
$73 |
$8 | |
| Electroencephalogram (EEG) |
— |
$766 |
$383 |
$448 | |
| Electrolyte panel |
— |
$17 |
$7 |
$7 | |
| Electromyography (EMG) |
— |
$330 |
$157 |
$141 | |
| Emergency department visit |
— |
$1,246 |
$301 |
$69 | |
| Emergency department visit (level 1) |
— |
$712 |
$108 |
$11 | |
| Emergency department visit (level 2) |
— |
$979 |
$193 |
$40 | |
| Emergency department visit (level 3) |
— |
$1,246 |
$338 |
$69 | |
| Emergency department visit (level 4) |
— |
$1,885 |
$520 |
$118 | |
| Emergency department visit (level 5) |
— |
$3,480 |
$712 |
$171 | |
| Endometrial biopsy |
— |
$502 |
$246 |
$98 | |
| Epidural steroid injection |
— |
$1,893 |
$947 |
$275 | |
| Esophageal dilation |
— |
$3,596 |
$1,146 |
$522 | |
| Estradiol (estrogen) test |
— |
$69 |
$28 |
$28 | |
| Eye refraction (glasses prescription) |
— |
$298 |
$184 |
— | |
| Facet joint injection (spine) |
— |
$2,171 |
$968 |
$99 | |
| Fallopian tube X-ray (HSG) |
— |
$538 |
$186 |
$164 | |
| Family therapy session |
— |
$397 |
$287 |
$110 | |
| Fecal occult blood (stool) test |
— |
$29 |
$4 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
— |
$10 |
$4 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
— |
$48 |
$16 |
$16 | |
| Feeding tube (PEG) placement |
— |
$4,716 |
$2,318 |
$178 | |
| Ferritin (iron) test |
— |
$34 |
$14 |
$14 | |
| Fibrinogen test |
— |
$24 |
$10 |
$10 | |
| Fibroid removal (myomectomy) |
— |
$8,480 |
$3,666 |
$914 | |
| Flexible sigmoidoscopy |
— |
$2,313 |
$1,114 |
$323 | |
| Flu test |
— |
$76 |
$17 |
$17 | |
| Flu vaccine |
— |
$76 |
$38 |
— | |
| Folate (folic acid) test |
— |
$36 |
$15 |
$15 | |
| Foreign body removal (skin) |
— |
$967 |
$488 |
$157 | |
| Free T4 thyroid test |
— |
$22 |
$9 |
$9 | |
| FSH hormone test |
— |
$46 |
$19 |
$19 | |
| Gallbladder scan (HIDA) |
— |
$1,114 |
$494 |
$334 | |
| GGT liver test |
— |
$18 |
$7 |
$7 | |
| Glaucoma surgery |
— |
$6,392 |
$2,485 |
$984 | |
| Glucose tolerance test |
— |
$32 |
$5 |
$8 | |
| Group therapy session |
— |
$237 |
$113 |
$30 | |
| H. pylori test |
— |
$31 |
$67 |
$67 | |
| HDL cholesterol test |
— |
$28 |
$8 |
$8 | |
| Hearing test (audiometry) |
— |
$419 |
$191 |
$36 | |
| Hematocrit test |
— |
$5 |
$2 |
$2 | |
| Hemodialysis |
— |
$1,137 |
$765 |
$75 | |
| Hemoglobin A1c (diabetes test) |
— |
$24 |
$10 |
$10 | |
| Hemorrhoid removal |
— |
$2,313 |
$991 |
$338 | |
| Hepatitis A vaccine |
— |
$47 |
$70 |
— | |
| Hepatitis B test |
— |
$25 |
$10 |
$10 | |
| Hepatitis B vaccine |
— |
$94 |
$70 |
— | |
| Hepatitis C test |
— |
$35 |
$14 |
$14 | |
| HIV test |
— |
$47 |
$19 |
$19 | |
| HIV test (antibody) |
— |
$34 |
$16 |
$14 | |
| HIV test (antigen/antibody combo) |
— |
$60 |
$24 |
$24 | |
| Holter heart monitor |
— |
$330 |
$134 |
$26 | |
| Home sleep apnea test |
— |
$419 |
$210 |
$123 | |
| HPV vaccine |
— |
$17 |
$230 |
— | |
| Hysterectomy |
— |
$17,868 |
$9,859 |
$933 | |
| Hysteroscopy |
— |
$8,480 |
$3,788 |
$1,270 | |
| Incisional hernia repair |
— |
$9,417 |
$694 |
— | |
| Iron blood test |
— |
$16 |
$6 |
$6 | |
| IUD insertion |
— |
$98 |
$215 |
— | |
| IUD removal |
— |
$814 |
$372 |
$112 | |
| IV infusion therapy |
— |
$336 |
$257 |
$44 | |
| IV infusion therapy (each additional) |
— |
$115 |
$92 |
$21 | |
| IV infusion therapy (initial) |
— |
$556 |
$257 |
$67 | |
| IVC filter placement |
— |
$13,920 |
$4,872 |
$1,885 | |
| Joint aspiration (small/intermediate) |
— |
$789 |
$361 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
— |
$786 |
$393 |
$57 | |
| Joint aspiration or injection (small joint) |
— |
$792 |
$361 |
$56 | |
| Kidney biopsy |
— |
$4,157 |
$2,079 |
$492 | |
| Kidney scan (nuclear) |
— |
$1,429 |
$540 |
$172 | |
| Kidney ultrasound |
— |
$339 |
$170 |
$84 | |
| Kidney ultrasound (limited) |
— |
$339 |
$166 |
$61 | |
| Knee joint injection |
— |
$1,229 |
$615 |
$69 | |
| Knee replacement |
— |
— |
$44,920 |
$18,054 | |
| Lactate test |
— |
$28 |
$12 |
$12 | |
| Laryngoscopy |
— |
$2,395 |
$237 |
$189 | |
| LDH test |
— |
$15 |
$6 |
$6 | |
| LDL cholesterol test |
— |
$19 |
$11 |
$11 | |
| Leg artery angiogram |
— |
$8,393 |
$3,650 |
$149 | |
| Leg artery angioplasty |
— |
$15,004 |
$4,065 |
— | |
| Leg vein ultrasound (Doppler) |
— |
$522 |
$136 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
— |
$339 |
$130 |
$116 | |
| LH hormone test |
— |
$46 |
$19 |
$19 | |
| Lipase test |
— |
$17 |
$7 |
$7 | |
| Lipid (cholesterol) panel |
— |
$33 |
$13 |
$13 | |
| Liver biopsy |
— |
$4,157 |
$2,079 |
$288 | |
| Liver function panel |
— |
$20 |
$8 |
$8 | |
| Lung function test (PFT) |
— |
$583 |
$191 |
$37 | |
| Lung scan (V/Q) |
— |
$1,431 |
$608 |
$291 | |
| Magnesium blood test |
— |
$16 |
$7 |
$7 | |
| MMR vaccine |
— |
$102 |
$51 |
— | |
| MRA of the brain |
— |
$1,156 |
$416 |
$226 | |
| MRA of the brain with contrast |
— |
$1,156 |
$578 |
$226 | |
| MRA of the brain without contrast |
— |
$1,156 |
$578 |
$328 | |
| MRA of the neck |
— |
$1,156 |
$416 |
$245 | |
| MRA of the neck with contrast |
— |
$1,156 |
$578 |
$245 | |
| MRA of the neck without contrast |
— |
$1,156 |
$578 |
$343 | |
| MRI of the abdomen |
— |
$1,156 |
$416 |
$300 | |
| MRI of the abdomen with contrast |
— |
$1,156 |
$578 |
$300 | |
| MRI of the abdomen without contrast |
— |
$705 |
$353 |
$194 | |
| MRI of the ankle |
— |
$1,156 |
$416 |
$261 | |
| MRI of the ankle with contrast |
— |
$1,156 |
$578 |
$261 | |
| MRI of the ankle without contrast |
— |
$705 |
$353 |
$222 | |
| MRI of the brain |
— |
$1,156 |
$416 |
$269 | |
| MRI of the brain with contrast |
— |
$1,156 |
$578 |
$269 | |
| MRI of the brain without contrast |
— |
$705 |
$353 |
$195 | |
| MRI of the chest |
— |
$1,156 |
$470 |
$371 | |
| MRI of the chest with contrast |
— |
$2,062 |
$830 |
$371 | |
| MRI of the chest without contrast |
— |
$1,156 |
$578 |
$466 | |
| MRI of the knee |
— |
$1,156 |
$467 |
$315 | |
| MRI of the knee with contrast |
— |
$2,062 |
$826 |
$315 | |
| MRI of the knee without contrast |
— |
$705 |
$353 |
$204 | |
| MRI of the lower back (lumbar spine) |
— |
$1,156 |
$388 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
— |
$1,156 |
$578 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
— |
$705 |
$353 |
$192 | |
| MRI of the mid-back (thoracic spine) |
— |
$1,156 |
$416 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
— |
$1,156 |
$578 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
— |
$1,156 |
$578 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
— |
$705 |
$353 |
$190 | |
| MRI of the neck (cervical spine) |
— |
$1,156 |
$416 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
— |
$1,156 |
$578 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
— |
$1,156 |
$578 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
— |
$705 |
$353 |
$191 | |
| MRI of the pelvis |
— |
$1,156 |
$416 |
$268 | |
| MRI of the pelvis with contrast |
— |
$1,156 |
$578 |
$268 | |
| MRI of the pelvis without contrast |
— |
$705 |
$353 |
$227 | |
| MRI of the shoulder |
— |
$1,156 |
$508 |
$313 | |
| MRI of the shoulder with contrast |
— |
$2,062 |
$826 |
$313 | |
| MRI of the shoulder without contrast |
— |
$705 |
$353 |
$205 | |
| MRI of the wrist |
— |
$1,156 |
$416 |
$330 | |
| MRI of the wrist with contrast |
— |
$1,156 |
$578 |
$330 | |
| MRI of the wrist without contrast |
— |
$705 |
$353 |
$303 | |
| Nebulizer breathing treatment |
— |
$557 |
$249 |
$9 | |
| Nerve conduction study |
— |
$766 |
$277 |
$118 | |
| Newborn hospital care |
— |
$423 |
$157 |
$58 | |
| Nuclear cardiac stress test |
— |
$3,853 |
$1,359 |
$428 | |
| Occupational therapy evaluation |
— |
$264 |
$156 |
$101 | |
| Occupational therapy evaluation (high complexity) |
— |
$264 |
$188 |
$101 | |
| Occupational therapy evaluation (low complexity) |
— |
$265 |
$133 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
— |
$264 |
$151 |
$101 | |
| Office visit (established patient) |
— |
$425 |
$75 |
$115 | |
| Office visit (new patient) |
— |
$503 |
$236 |
$177 | |
| Office visit, established patient (level 3) |
— |
$415 |
$60 |
$95 | |
| Office visit, established patient (level 4) |
— |
$435 |
$90 |
$136 | |
| Office visit, new patient (level 3) |
— |
$479 |
$236 |
$118 | |
| Office visit, new patient (level 4) |
— |
$503 |
$242 |
$177 | |
| Office visit, new patient (level 5) |
— |
$528 |
$242 |
$237 | |
| Orthopedic hardware removal |
— |
$7,747 |
$3,409 |
$632 | |
| Pacemaker insertion |
— |
— |
$42,034 |
$15,506 | |
| Pap smear (cervical screening) |
— |
$77 |
$24 |
$20 | |
| Parathyroid hormone (PTH) test |
— |
$103 |
$41 |
$41 | |
| Pelvic ultrasound |
— |
$339 |
$133 |
$78 | |
| Pelvic ultrasound (complete) |
— |
$339 |
$170 |
$105 | |
| Pelvic ultrasound (limited) |
— |
$339 |
$126 |
$51 | |
| PET scan |
— |
$4,370 |
$2,185 |
— | |
| Phosphorus blood test |
— |
$11 |
$5 |
$5 | |
| Physical therapy evaluation |
— |
$249 |
$167 |
$98 | |
| Physical therapy evaluation (high complexity) |
— |
$249 |
$209 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
— |
$249 |
$167 |
$98 | |
| Pneumonia vaccine |
— |
$208 |
$98 |
— | |
| Pregnancy blood test (hCG) |
— |
$18 |
$8 |
$8 | |
| Pregnancy ultrasound |
— |
$339 |
$170 |
$126 | |
| Pregnancy ultrasound (first trimester) |
— |
$339 |
$170 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
— |
$339 |
$170 |
$136 | |
| Procalcitonin test |
— |
$68 |
$27 |
$27 | |
| Prolactin test |
— |
$48 |
$19 |
$19 | |
| Prostate biopsy |
— |
$5,365 |
$2,629 |
— | |
| Prostate test (PSA) |
— |
$45 |
$18 |
$18 | |
| Psychiatric evaluation |
— |
$397 |
$196 |
$188 | |
| Psychotherapy session |
— |
$397 |
$196 |
$140 | |
| Pterygium removal (eye) |
— |
$5,861 |
$2,537 |
$540 | |
| Radiofrequency nerve ablation |
— |
$5,207 |
$2,386 |
$462 | |
| Retina scan (OCT) |
— |
$172 |
$86 |
$33 | |
| Retinal (fundus) photography |
— |
$330 |
$157 |
$37 | |
| Retinal detachment repair |
— |
$11,564 |
$4,375 |
$966 | |
| Rheumatoid factor test |
— |
$15 |
$6 |
$6 | |
| Routine eye exam |
— |
$449 |
$157 |
$88 | |
| RSV vaccine |
— |
$802 |
$401 |
— | |
| Sacroiliac joint injection |
— |
$1,027 |
$514 |
$176 | |
| Scoliosis spine X-ray |
— |
$290 |
$121 |
$58 | |
| Scoliosis spine X-ray (1 view) |
— |
$241 |
$121 |
$44 | |
| Scoliosis spine X-ray (3 views) |
— |
$339 |
$170 |
$72 | |
| Screening colonoscopy |
$210 |
$775 |
$199 |
$378 | |
| Screening mammogram |
— |
$402 |
$201 |
$126 | |
| Scrotal ultrasound |
— |
$339 |
$170 |
$99 | |
| Sedimentation rate (ESR) test |
— |
$8 |
$3 |
$3 | |
| Sex hormone binding globulin test |
— |
$54 |
$22 |
$22 | |
| Shingles vaccine |
— |
$94 |
$141 |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
— |
$529 |
$243 |
$114 | |
| Simple wound stitches |
— |
$529 |
$243 |
$127 | |
| Skin biopsy |
— |
$529 |
$482 |
$121 | |
| Skin biopsy (punch) |
— |
$529 |
$488 |
$121 | |
| Skin cancer lesion removal |
— |
$1,847 |
$777 |
$240 | |
| Skin lesion freezing (cryotherapy) |
— |
$397 |
$243 |
$36 | |
| Skin tag removal |
— |
$529 |
$243 |
$92 | |
| Sleep study (polysomnography) |
— |
$2,752 |
$893 |
$691 | |
| Soft tissue ultrasound |
— |
$339 |
$115 |
$64 | |
| Speech therapy |
— |
$228 |
$114 |
$76 | |
| Spinal tap (lumbar puncture) |
— |
$1,893 |
$947 |
$165 | |
| Spine fracture repair (kyphoplasty) |
— |
$18,618 |
$7,460 |
$5,803 | |
| Spirometry (lung function test) |
— |
$419 |
$191 |
$30 | |
| Spirometry with bronchodilator |
— |
$747 |
$380 |
$43 | |
| Strep throat test |
— |
$41 |
$17 |
$17 | |
| Stress echocardiogram |
— |
$1,458 |
$670 |
$209 | |
| Swallow study |
— |
$209 |
$105 |
$85 | |
| T3 thyroid test |
— |
$35 |
$14 |
$14 | |
| Tdap (tetanus) vaccine |
— |
$74 |
$37 |
— | |
| Testosterone test |
— |
$64 |
$26 |
$26 | |
| Thyroid test (TSH) |
— |
$42 |
$17 |
$17 | |
| Thyroid ultrasound |
— |
$339 |
$170 |
$109 | |
| Thyroid uptake scan |
— |
$1,114 |
$498 |
$145 | |
| Tilt table test |
— |
$1,470 |
$648 |
$168 | |
| Total IgE allergy test |
— |
$41 |
$16 |
$16 | |
| Total protein test |
— |
$9 |
$4 |
$4 | |
| Tracheostomy |
— |
$7,933 |
$3,962 |
$273 | |
| Transesophageal echocardiogram (TEE) |
— |
$1,458 |
$670 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
— |
$1,458 |
$670 |
$239 | |
| Transvaginal ultrasound |
— |
$339 |
$170 |
$118 | |
| Trigger point injection |
— |
$792 |
$361 |
$56 | |
| Trigger point injection (1-2 muscles) |
— |
$792 |
$361 |
$52 | |
| Triglycerides test |
— |
$14 |
$6 |
$6 | |
| Troponin (heart) test |
— |
$31 |
$12 |
$12 | |
| Turning a breech baby (version) |
— |
$7,566 |
$1,468 |
$94 | |
| Upper GI endoscopy (EGD) |
— |
$2,889 |
$1,146 |
$371 | |
| Upper GI series (barium) |
— |
$551 |
$189 |
$128 | |
| Ureteral stent placement |
— |
$11,217 |
$4,109 |
$373 | |
| Uric acid (gout) test |
— |
$11 |
$5 |
$5 | |
| Urinalysis |
— |
$8 |
$2 |
$3 | |
| Urine microalbumin test |
— |
$14 |
$5 |
$5 | |
| Urine pregnancy test |
— |
$30 |
$8 |
$9 | |
| Vaccine administration |
— |
$146 |
$87 |
$19 | |
| Vaccine administration (each additional) |
— |
$109 |
$57 |
$16 | |
| Vaginal delivery |
— |
— |
$21,277 |
$5,487 | |
| Varicose vein ablation |
— |
$8,393 |
$3,093 |
$1,018 | |
| Visual field test |
— |
$348 |
$174 |
$64 | |
| Vitamin B12 test |
— |
$37 |
$15 |
$15 | |
| Vitamin D test |
— |
$74 |
$30 |
$30 | |
| Wart removal |
— |
$529 |
$243 |
$121 | |
| Weight-loss (bariatric) surgery |
— |
— |
$34,322 |
$11,645 | |
| Well-child visit |
— |
$358 |
$197 |
— | |
| Wound debridement |
— |
$1,236 |
$488 |
$186 | |
| Wrist fracture repair |
— |
$19,280 |
$8,510 |
$735 | |
| X-ray of the abdomen |
— |
$339 |
$121 |
$36 | |
| X-ray of the ankle |
— |
$241 |
$84 |
$37 | |
| X-ray of the collarbone |
— |
$241 |
$84 |
$33 | |
| X-ray of the elbow |
— |
$241 |
$84 |
$33 | |
| X-ray of the facial bones |
— |
$284 |
$90 |
$39 | |
| X-ray of the foot |
— |
$241 |
$84 |
$34 | |
| X-ray of the forearm |
— |
$241 |
$84 |
$29 | |
| X-ray of the hand |
— |
$241 |
$84 |
$38 | |
| X-ray of the hip |
— |
$241 |
$121 |
$49 | |
| X-ray of the hip (1 view) |
— |
$241 |
$121 |
$34 | |
| X-ray of the hip (3 views) |
— |
$241 |
$121 |
$49 | |
| X-ray of the hip (4 views) |
— |
$339 |
$170 |
$63 | |
| X-ray of the knee |
— |
$241 |
$84 |
$42 | |
| X-ray of the knee (2 views) |
— |
$241 |
$84 |
$34 | |
| X-ray of the knee (3 views) |
— |
$241 |
$84 |
$42 | |
| X-ray of the knee (4+ views) |
— |
$339 |
$96 |
$49 | |
| X-ray of the lower back (lumbar spine) |
— |
$333 |
$117 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
— |
$339 |
$96 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
— |
$327 |
$137 |
$53 | |
| X-ray of the lower leg |
— |
$241 |
$84 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
— |
$327 |
$96 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
— |
$327 |
$96 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
— |
$327 |
$96 |
$39 | |
| X-ray of the neck (cervical spine) |
— |
$284 |
$105 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
— |
$241 |
$84 |
$40 | |
| X-ray of the pelvis |
— |
$327 |
$96 |
$36 | |
| X-ray of the pelvis (1 view) |
— |
$327 |
$96 |
$28 | |
| X-ray of the ribs |
— |
$327 |
$96 |
$42 | |
| X-ray of the ribs (2 views) |
— |
$241 |
$84 |
$36 | |
| X-ray of the ribs (3 views) |
— |
$327 |
$96 |
$42 | |
| X-ray of the shoulder |
— |
$241 |
$84 |
$36 | |
| X-ray of the skull |
— |
$327 |
$114 |
$40 | |
| X-ray of the upper arm |
— |
$241 |
$84 |
$32 | |
| X-ray of the wrist |
— |
$241 |
$84 |
$43 | |
| YAG laser capsulotomy (eye) |
— |
$1,535 |
$683 |
$335 | |
| Zinc blood test |
— |
$28 |
$11 |
$11 | |