| 3D mammogram (tomosynthesis) |
$82 |
$285 |
$83 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$689 |
$2,390 |
$1,906 |
$284 | |
| Abdominal ultrasound |
$483 |
$1,677 |
$247 |
$100 | |
| Abdominal ultrasound (complete) |
$588 |
$2,039 |
$247 |
$114 | |
| Abdominal ultrasound (limited) |
$379 |
$1,315 |
$247 |
$86 | |
| Abscess drainage (complex or multiple) |
$399 |
$1,383 |
$910 |
$220 | |
| Abscess drainage (simple) |
$344 |
$1,192 |
$477 |
$129 | |
| Abscess incision and drainage |
$371 |
$1,287 |
$540 |
$174 | |
| Achilles tendon repair |
— |
— |
$15,465 |
$624 | |
| ACL knee reconstruction |
— |
— |
$15,465 |
$889 | |
| Adenoid removal (adenoidectomy) |
— |
— |
$7,168 |
$204 | |
| Albumin blood test |
$22 |
$75 |
$6 |
$5 | |
| Aldosterone test |
$150 |
$519 |
$49 |
$41 | |
| Alkaline phosphatase test |
$19 |
$66 |
$6 |
$5 | |
| Allergy patch testing |
$389 |
$1,349 |
$1,326 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$77 |
$266 |
$20 |
$17 | |
| ALT liver enzyme test |
$27 |
$92 |
$6 |
$5 | |
| Ammonia blood test |
$63 |
$220 |
$17 |
$15 | |
| Amniocentesis |
$320 |
$1,111 |
$1,135 |
$120 | |
| Amylase test |
$44 |
$153 |
$8 |
$6 | |
| Anal fistula repair |
— |
— |
$6,061 |
$541 | |
| Ankle fracture repair |
— |
— |
$15,546 |
$608 | |
| Ankle replacement |
— |
— |
$31,787 |
$885 | |
| Annual physical (established patient) |
$88 |
$304 |
$221 |
— | |
| Annual physical (new patient) |
$125 |
$435 |
$225 |
— | |
| Anoscopy |
$154 |
$533 |
$292 |
$129 | |
| Antinuclear antibody (ANA) test |
$38 |
$132 |
$15 |
$12 | |
| Aortic aneurysm repair (AAA) |
— |
— |
$1 |
$1,345 | |
| Aortic valve replacement |
$10,052 |
$34,873 |
$20,401 |
$1,603 | |
| Appendix removal (appendectomy) |
— |
— |
$31,934 |
$592 | |
| Arterial blood gas (ABG) |
$154 |
$535 |
$31 |
$26 | |
| AST liver enzyme test |
$19 |
$64 |
$6 |
$5 | |
| Barium swallow study |
$545 |
$1,890 |
$425 |
$107 | |
| Bartholin cyst removal |
$264 |
$916 |
$473 |
$182 | |
| Basic metabolic panel |
$43 |
$151 |
$10 |
$8 | |
| Benign skin lesion removal |
$266 |
$922 |
$917 |
$171 | |
| Bilirubin blood test |
$24 |
$83 |
$6 |
$5 | |
| Bladder function test (urodynamics) |
— |
— |
$1,437 |
$345 | |
| Bladder scope (cystoscopy) |
$557 |
$1,934 |
$1,451 |
$216 | |
| Bladder tumor removal (TURBT) |
— |
— |
$7,467 |
$236 | |
| Blood clotting test (PT/INR) |
$33 |
$113 |
$5 |
$4 | |
| Blood crossmatch |
$84 |
$290 |
$221 |
— | |
| Blood glucose test |
$31 |
$109 |
$6 |
$5 | |
| Blood transfusion |
$925 |
$3,210 |
$1,039 |
$47 | |
| Blood type and screen |
$48 |
$166 |
$118 |
$10 | |
| Blood type test |
$44 |
$153 |
$147 |
$3 | |
| Blood type test (ABO group) |
$59 |
$205 |
$164 |
$3 | |
| Blood type test (Rh/D antigen) |
$29 |
$101 |
$74 |
$3 | |
| BNP (heart failure) test |
$121 |
$420 |
$47 |
$39 | |
| Bone density scan (DEXA) |
$343 |
$1,192 |
$247 |
$39 | |
| Bone marrow biopsy |
$1,079 |
$3,745 |
$3,536 |
$172 | |
| Bone scan (nuclear) |
$1,368 |
$4,745 |
$928 |
$259 | |
| Botox for migraine |
— |
— |
$639 |
$157 | |
| Brain shunt (VP shunt) |
— |
— |
$4,986 |
$1,023 | |
| Breast biopsy |
— |
— |
$3,526 |
$478 | |
| Breast MRI |
$1,416 |
$4,912 |
$555 |
$216 | |
| Breast MRI without contrast |
$1,416 |
$4,912 |
$555 |
$216 | |
| Breast reconstruction |
— |
— |
$22,678 |
$1,227 | |
| Breast reduction |
— |
— |
$14,118 |
$980 | |
| Breathing tube insertion (intubation) |
$386 |
$1,340 |
$565 |
$133 | |
| Bronchoscopy |
$779 |
$2,704 |
$4,263 |
$303 | |
| Bunion surgery (bunionectomy) |
— |
— |
$13,090 |
$883 | |
| Burn dressing and debridement (medium) |
$332 |
$1,150 |
$477 |
$166 | |
| Burn dressing and debridement (small) |
$316 |
$1,095 |
$477 |
$93 | |
| Burn treatment |
$324 |
$1,123 |
$477 |
$129 | |
| C-reactive protein (CRP) |
$43 |
$148 |
$6 |
$5 | |
| CA 19-9 tumor marker test |
$95 |
$331 |
$25 |
$21 | |
| CA-125 ovarian marker test |
$97 |
$336 |
$25 |
$21 | |
| Calcium blood test |
$23 |
$78 |
$6 |
$5 | |
| Cardiac ablation |
$16,495 |
$57,226 |
$42,364 |
$759 | |
| Cardiac catheterization |
$9,626 |
$33,396 |
$7,381 |
$1,049 | |
| Cardiac MRI |
$1,224 |
$4,246 |
$697 |
$322 | |
| Cardiac MRI without contrast |
$1,015 |
$3,521 |
$555 |
$280 | |
| Cardiac rehabilitation |
$130 |
$452 |
$273 |
$26 | |
| Cardiac stress test |
$533 |
$1,851 |
$699 |
$39 | |
| Cardioversion |
$875 |
$3,036 |
$1,507 |
$155 | |
| Carotid artery surgery |
— |
— |
$5,387 |
$1,026 | |
| Carotid artery ultrasound |
$622 |
$2,158 |
$555 |
$156 | |
| Carpal tunnel release |
— |
— |
$4,316 |
$483 | |
| Cataract surgery |
— |
— |
$5,041 |
$547 | |
| CEA tumor marker test |
$87 |
$301 |
$23 |
$19 | |
| Celiac disease test |
$11 |
$38 |
$28 |
$12 | |
| Central line placement |
$1,398 |
$4,852 |
$4,157 |
$238 | |
| Cervical cerclage |
— |
— |
$6,883 |
$137 | |
| Cervical LEEP procedure |
— |
— |
$6,883 |
$325 | |
| Cesarean section (C-section) |
— |
— |
$16,500 |
$7,552 | |
| Chalazion (eyelid cyst) removal |
$168 |
$584 |
$541 |
$131 | |
| Chemotherapy infusion |
$292 |
$1,014 |
$387 |
$81 | |
| Chemotherapy infusion (each additional) |
$164 |
$569 |
$169 |
$28 | |
| Chemotherapy infusion (first hour) |
$421 |
$1,459 |
$764 |
$133 | |
| Chest fluid drain (thoracentesis) |
$740 |
$2,569 |
$1,454 |
$311 | |
| Chest tube insertion |
$835 |
$2,895 |
$2,171 |
$143 | |
| Chest X-ray |
$249 |
$864 |
$225 |
$37 | |
| Chest X-ray (1 view) |
$192 |
$665 |
$198 |
$25 | |
| Chest X-ray (2 views) |
$249 |
$864 |
$198 |
$33 | |
| Chickenpox (varicella) vaccine |
$171 |
$592 |
$426 |
— | |
| Circumcision |
$765 |
$2,654 |
$4,435 |
$167 | |
| CK-MB heart enzyme test |
$107 |
$371 |
$14 |
$12 | |
| Clotting time test (PTT) |
$24 |
$82 |
$7 |
$6 | |
| Colon resection (colectomy) |
— |
— |
$5,896 |
$1,238 | |
| Colonoscopy |
— |
— |
$1,750 |
$480 | |
| Colostomy |
— |
— |
$5,722 |
$1,122 | |
| Colposcopy |
— |
— |
$672 |
$161 | |
| Complete blood count (CBC) |
$39 |
$134 |
$9 |
$7 | |
| Complete blood count (CBC) (complete) |
$46 |
$158 |
$9 |
$8 | |
| Complex wound repair |
$545 |
$1,890 |
$1,367 |
$390 | |
| Comprehensive metabolic panel |
$36 |
$126 |
$13 |
$11 | |
| Contraceptive implant (Nexplanon) |
$118 |
$410 |
$466 |
$115 | |
| Copper blood test |
$70 |
$243 |
$15 |
$12 | |
| Corneal transplant |
— |
— |
$8,891 |
$1,066 | |
| Coronary angioplasty / stent (PCI) |
— |
— |
$63,307 |
$426 | |
| Coronary artery bypass (CABG) |
— |
— |
$75,715 |
$36,593 | |
| Coronary CT angiography |
$951 |
$3,301 |
$552 |
$326 | |
| Cortisol test |
$80 |
$276 |
$20 |
$16 | |
| COVID-19 PCR test |
$32 |
$113 |
$59 |
$51 | |
| CPAP titration study |
$446 |
$1,548 |
$475 |
$69 | |
| Craniotomy (brain surgery) |
— |
— |
$10,263 |
$2,161 | |
| Creatine kinase (CK) test |
$34 |
$119 |
$8 |
$7 | |
| CT angiography of the chest |
$2,271 |
$7,880 |
$440 |
$281 | |
| CT angiography of the head |
$1,747 |
$6,060 |
$440 |
$274 | |
| CT colonography (virtual colonoscopy) |
$932 |
$3,233 |
$555 |
$835 | |
| CT scan of the abdomen |
$1,775 |
$6,157 |
$383 |
$230 | |
| CT scan of the abdomen and pelvis |
$3,661 |
$12,700 |
$769 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,905 |
$13,547 |
$846 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$3,661 |
$12,700 |
$846 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,959 |
$10,266 |
$555 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,908 |
$6,619 |
$440 |
$259 | |
| CT scan of the abdomen with contrast |
$1,775 |
$6,157 |
$440 |
$230 | |
| CT scan of the abdomen without contrast |
$1,449 |
$5,028 |
$255 |
$136 | |
| CT scan of the chest |
$1,763 |
$6,115 |
$383 |
$167 | |
| CT scan of the chest with and without contrast |
$1,904 |
$6,604 |
$440 |
$196 | |
| CT scan of the chest with contrast |
$1,763 |
$6,115 |
$440 |
$167 | |
| CT scan of the chest without contrast |
$1,569 |
$5,443 |
$255 |
$133 | |
| CT scan of the head |
$1,381 |
$4,792 |
$383 |
$148 | |
| CT scan of the head with and without contrast |
$1,547 |
$5,367 |
$440 |
$173 | |
| CT scan of the head with contrast |
$1,381 |
$4,792 |
$440 |
$148 | |
| CT scan of the head without contrast |
$1,326 |
$4,600 |
$255 |
$107 | |
| CT scan of the lower back (lumbar spine) |
$1,325 |
$4,598 |
$435 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,446 |
$5,016 |
$440 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,325 |
$4,598 |
$920 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,205 |
$4,180 |
$255 |
$130 | |
| CT scan of the neck |
$1,363 |
$4,727 |
$383 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,461 |
$5,069 |
$435 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,594 |
$5,530 |
$440 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,461 |
$5,069 |
$920 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,328 |
$4,608 |
$255 |
$131 | |
| CT scan of the neck with and without contrast |
$1,658 |
$5,751 |
$440 |
$220 | |
| CT scan of the neck with contrast |
$1,363 |
$4,727 |
$440 |
$183 | |
| CT scan of the neck without contrast |
$1,215 |
$4,215 |
$255 |
$150 | |
| CT scan of the pelvis |
$1,633 |
$5,666 |
$383 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,742 |
$6,044 |
$440 |
$251 | |
| CT scan of the pelvis with contrast |
$1,633 |
$5,666 |
$440 |
$226 | |
| CT scan of the pelvis without contrast |
$1,307 |
$4,533 |
$255 |
$133 | |
| CT scan of the sinuses |
$1,212 |
$4,205 |
$291 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,384 |
$4,800 |
$440 |
$184 | |
| CT scan of the sinuses with contrast |
$1,232 |
$4,275 |
$440 |
$152 | |
| CT scan of the sinuses without contrast |
$339 |
$1,177 |
$255 |
$128 | |
| D-dimer test |
$101 |
$351 |
$12 |
$10 | |
| Defibrillator (ICD) implant |
$12,117 |
$42,038 |
$41,791 |
$798 | |
| DHEA-sulfate test |
$137 |
$476 |
$27 |
$22 | |
| Diagnostic mammogram |
$332 |
$1,153 |
$229 |
$140 | |
| Dialysis fistula creation |
— |
— |
$6,814 |
$601 | |
| Dilation and curettage (D&C) |
$2,147 |
$7,447 |
$5,753 |
$298 | |
| Droopy eyelid repair (ptosis) |
— |
— |
$5,156 |
$745 | |
| Drug screen (urine) |
$161 |
$560 |
$75 |
$17 | |
| Ear tubes (myringotomy) |
— |
— |
$1,813 |
$174 | |
| Eardrum repair (tympanoplasty) |
— |
— |
$12,807 |
$799 | |
| Echocardiogram |
$792 |
$2,748 |
$694 |
$138 | |
| Echocardiogram with and without contrast |
$550 |
$1,909 |
$567 |
$101 | |
| Echocardiogram without contrast |
$792 |
$2,748 |
$567 |
$138 | |
| EEG (awake and asleep) |
$636 |
$2,205 |
$727 |
$482 | |
| EKG / ECG (tracing only) |
$148 |
$512 |
$139 |
$7 | |
| Elbow replacement |
— |
— |
$39,812 |
$1,301 | |
| Electrocardiogram (EKG) |
$148 |
$512 |
$139 |
$8 | |
| Electroencephalogram (EEG) |
$658 |
$2,282 |
$727 |
$448 | |
| Electrolyte panel |
$29 |
$99 |
$8 |
$7 | |
| Electromyography (EMG) |
$211 |
$733 |
$296 |
$141 | |
| Emergency department visit |
$746 |
$2,588 |
$586 |
$69 | |
| Emergency department visit (level 1) |
$222 |
$769 |
$212 |
$11 | |
| Emergency department visit (level 2) |
$363 |
$1,259 |
$391 |
$40 | |
| Emergency department visit (level 3) |
$746 |
$2,588 |
$683 |
$69 | |
| Emergency department visit (level 4) |
$1,149 |
$3,987 |
$1,060 |
$118 | |
| Emergency department visit (level 5) |
$2,016 |
$6,994 |
$1,537 |
$171 | |
| Endometrial biopsy |
$150 |
$520 |
$390 |
$98 | |
| Epidural steroid injection |
$1,097 |
$3,806 |
$1,601 |
$275 | |
| ERCP (bile duct endoscopy) |
— |
— |
$5,440 |
$311 | |
| Esophageal dilation |
$618 |
$2,144 |
$2,322 |
$522 | |
| Esophageal variceal banding |
— |
— |
$3,279 |
$126 | |
| Estradiol (estrogen) test |
$128 |
$443 |
$34 |
$28 | |
| Eyelid surgery (blepharoplasty) |
— |
— |
$4,043 |
$552 | |
| Facet joint injection (spine) |
— |
— |
$1,927 |
$99 | |
| Fallopian tube X-ray (HSG) |
$260 |
$904 |
$523 |
$164 | |
| Fecal occult blood (stool) test |
$44 |
$153 |
$17 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$16 |
$55 |
$5 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$72 |
$251 |
$19 |
$16 | |
| Feeding tube (PEG) placement |
$1,467 |
$5,090 |
$3,741 |
$178 | |
| Femoral hernia repair |
— |
— |
$7,800 |
$584 | |
| Ferritin (iron) test |
$62 |
$217 |
$16 |
$14 | |
| Fibrinogen test |
$37 |
$128 |
$12 |
$10 | |
| Fibroid removal (myomectomy) |
— |
— |
$8,187 |
$914 | |
| Flexible sigmoidoscopy |
— |
— |
$1,576 |
$323 | |
| Flu test |
$60 |
$207 |
$20 |
$17 | |
| Folate (folic acid) test |
$64 |
$222 |
$18 |
$15 | |
| Foreign body removal (skin) |
$477 |
$1,654 |
$954 |
$157 | |
| Free T4 thyroid test |
$46 |
$161 |
$11 |
$9 | |
| FSH hormone test |
$81 |
$280 |
$22 |
$19 | |
| Gallbladder removal (laparoscopic) |
— |
— |
$12,895 |
$658 | |
| Gallbladder scan (HIDA) |
$1,143 |
$3,964 |
$1,108 |
$334 | |
| Ganglion cyst removal |
— |
— |
$3,537 |
$321 | |
| GGT liver test |
$23 |
$79 |
$9 |
$7 | |
| Glaucoma surgery |
— |
— |
$5,041 |
$984 | |
| Glucose tolerance test |
$23 |
$79 |
$14 |
$8 | |
| H. pylori test |
$146 |
$508 |
$81 |
$67 | |
| Hammertoe repair |
— |
— |
$7,024 |
$548 | |
| HDL cholesterol test |
$35 |
$122 |
$10 |
$8 | |
| Hematocrit test |
$28 |
$97 |
$3 |
$2 | |
| Hemodialysis |
$824 |
$2,859 |
$1,523 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$46 |
$158 |
$12 |
$10 | |
| Hemorrhoid removal |
— |
— |
$3,202 |
$338 | |
| Hepatitis A vaccine |
$60 |
$207 |
$149 |
— | |
| Hepatitis B test |
$48 |
$168 |
$12 |
$10 | |
| Hepatitis B vaccine |
$116 |
$404 |
$67 |
— | |
| Hepatitis C test |
$68 |
$236 |
$17 |
$14 | |
| Hip arthroscopy |
— |
— |
$15,789 |
$931 | |
| Hip fracture repair |
— |
— |
$16,406 |
$1,120 | |
| Hip replacement |
— |
— |
$18,309 |
$1,162 | |
| HIV test |
$60 |
$208 |
$26 |
$19 | |
| HIV test (antibody) |
$56 |
$195 |
$16 |
$14 | |
| HIV test (antigen/antibody combo) |
$64 |
$222 |
$29 |
$24 | |
| Holter heart monitor |
$310 |
$1,076 |
$209 |
$26 | |
| Hydrocele repair |
— |
— |
$7,640 |
$315 | |
| Hysterectomy |
— |
— |
$17,636 |
$933 | |
| Hysteroscopy |
— |
— |
$6,883 |
$1,270 | |
| Ileostomy |
— |
— |
$4,978 |
$968 | |
| Incisional hernia repair |
— |
— |
$12,508 |
— | |
| Inguinal hernia repair |
— |
— |
$7,800 |
$538 | |
| Iron blood test |
$30 |
$103 |
$8 |
$6 | |
| IUD insertion |
$91 |
$317 |
$219 |
— | |
| IUD removal |
$186 |
$646 |
$543 |
$112 | |
| IV infusion therapy |
$202 |
$700 |
$246 |
$44 | |
| IV infusion therapy (each additional) |
$122 |
$423 |
$110 |
$21 | |
| IV infusion therapy (initial) |
$282 |
$977 |
$496 |
$67 | |
| IVC filter placement |
$6,189 |
$21,472 |
$12,426 |
$1,885 | |
| Joint aspiration (small/intermediate) |
— |
— |
$652 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
— |
— |
$652 |
$57 | |
| Joint aspiration or injection (small joint) |
— |
— |
$652 |
$56 | |
| Kidney biopsy |
— |
— |
$3,581 |
$492 | |
| Kidney removal (nephrectomy) |
— |
— |
$6,404 |
$1,164 | |
| Kidney scan (nuclear) |
$969 |
$3,361 |
$1,230 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
— |
— |
$7,623 |
$760 | |
| Kidney ultrasound |
$426 |
$1,477 |
$247 |
$84 | |
| Kidney ultrasound (limited) |
$347 |
$1,203 |
$247 |
$61 | |
| Knee arthroscopy |
— |
— |
$7,171 |
$524 | |
| Knee joint injection |
— |
— |
$652 |
$69 | |
| Knee replacement |
— |
— |
$36,225 |
$18,054 | |
| Lactate test |
$74 |
$258 |
$14 |
$12 | |
| Laminectomy (spine) |
— |
— |
$15,546 |
$1,157 | |
| Laryngoscopy |
$269 |
$932 |
$667 |
$189 | |
| LDH test |
$28 |
$97 |
$7 |
$6 | |
| LDL cholesterol test |
$71 |
$246 |
$13 |
$11 | |
| Leg artery angioplasty |
— |
— |
$14,068 |
— | |
| Leg vein ultrasound (Doppler) |
$701 |
$2,432 |
$555 |
$150 | |
| LH hormone test |
$76 |
$262 |
$22 |
$19 | |
| Lipase test |
$55 |
$191 |
$8 |
$7 | |
| Lipid (cholesterol) panel |
$64 |
$223 |
$16 |
$13 | |
| Liver biopsy |
$911 |
$3,161 |
$2,930 |
$288 | |
| Liver function panel |
$33 |
$115 |
$10 |
$8 | |
| Lower back (lumbar) spinal fusion |
— |
— |
$107,984 |
$1,511 | |
| Lumbar discectomy |
— |
— |
$15,546 |
$898 | |
| Lumpectomy (breast) |
— |
— |
$8,709 |
$750 | |
| Lung function test (PFT) |
$243 |
$844 |
$412 |
$37 | |
| Lung scan (V/Q) |
$1,125 |
$3,904 |
$1,230 |
$291 | |
| Magnesium blood test |
$40 |
$139 |
$8 |
$7 | |
| Mastectomy |
— |
— |
$14,118 |
$1,021 | |
| Mastoidectomy |
— |
— |
$12,503 |
$840 | |
| Meniscus repair (knee) |
— |
— |
$7,024 |
$714 | |
| MMR vaccine |
$148 |
$513 |
$369 |
— | |
| Mohs skin cancer surgery |
— |
— |
$1,374 |
$535 | |
| MRA of the brain |
$1,573 |
$5,457 |
$773 |
$226 | |
| MRA of the brain with contrast |
$1,573 |
$5,457 |
$846 |
$226 | |
| MRA of the brain without contrast |
$2,121 |
$7,360 |
$920 |
$328 | |
| MRA of the neck |
$1,529 |
$5,304 |
$773 |
$245 | |
| MRA of the neck with contrast |
$1,529 |
$5,304 |
$846 |
$245 | |
| MRA of the neck without contrast |
$2,427 |
$8,418 |
$920 |
$343 | |
| MRI of the abdomen |
$1,817 |
$6,303 |
$777 |
$300 | |
| MRI of the abdomen with contrast |
$1,817 |
$6,303 |
$920 |
$300 | |
| MRI of the abdomen without contrast |
$1,288 |
$4,469 |
$555 |
$194 | |
| MRI of the brain |
$1,746 |
$6,056 |
$789 |
$269 | |
| MRI of the brain with contrast |
$1,921 |
$6,666 |
$846 |
$269 | |
| MRI of the brain without contrast |
$1,570 |
$5,447 |
$555 |
$195 | |
| MRI of the chest |
$1,820 |
$6,313 |
$954 |
$371 | |
| MRI of the chest with contrast |
$1,820 |
$6,313 |
$1,813 |
$371 | |
| MRI of the chest without contrast |
$2,481 |
$8,608 |
$920 |
$466 | |
| MRI of the lower back (lumbar spine) |
$2,004 |
$6,953 |
$777 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,004 |
$6,953 |
$920 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,971 |
$6,839 |
$555 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,004 |
$6,952 |
$777 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$3,036 |
$10,534 |
$920 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,004 |
$6,952 |
$920 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,974 |
$6,847 |
$555 |
$190 | |
| MRI of the neck (cervical spine) |
$1,917 |
$6,652 |
$777 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$3,033 |
$10,523 |
$920 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,917 |
$6,652 |
$920 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,886 |
$6,543 |
$555 |
$191 | |
| MRI of the pelvis |
$1,608 |
$5,580 |
$777 |
$268 | |
| MRI of the pelvis with contrast |
$1,608 |
$5,580 |
$920 |
$268 | |
| MRI of the pelvis without contrast |
$1,474 |
$5,115 |
$555 |
$227 | |
| Nebulizer breathing treatment |
$131 |
$455 |
$296 |
$9 | |
| Neck (cervical) spinal fusion |
— |
— |
$23,521 |
$1,410 | |
| Nuchal translucency ultrasound |
$325 |
$1,126 |
$247 |
$116 | |
| Nuclear cardiac stress test |
$2,578 |
$8,944 |
$3,108 |
$428 | |
| Office visit (established patient) |
$137 |
$476 |
$373 |
$115 | |
| Office visit (new patient) |
$177 |
$615 |
$461 |
$177 | |
| Office visit, established patient (level 3) |
$125 |
$433 |
$325 |
$95 | |
| Office visit, established patient (level 4) |
$149 |
$518 |
$389 |
$136 | |
| Office visit, new patient (level 3) |
$144 |
$499 |
$374 |
$118 | |
| Office visit, new patient (level 4) |
$177 |
$615 |
$461 |
$177 | |
| Office visit, new patient (level 5) |
$228 |
$791 |
$593 |
$237 | |
| Orthopedic hardware removal |
— |
— |
$6,326 |
$632 | |
| Ovarian cyst removal |
— |
— |
$10,687 |
$698 | |
| Ovary removal (oophorectomy) |
— |
— |
$2,611 |
$822 | |
| Pacemaker insertion |
— |
— |
$35,931 |
$15,506 | |
| Pap smear (cervical screening) |
$34 |
$117 |
$32 |
$20 | |
| Parathyroid hormone (PTH) test |
$174 |
$603 |
$50 |
$41 | |
| Parathyroid removal |
— |
— |
$12,807 |
$891 | |
| Pelvic ultrasound |
$396 |
$1,374 |
$247 |
$78 | |
| Pelvic ultrasound (complete) |
$462 |
$1,601 |
$247 |
$105 | |
| Pelvic ultrasound (limited) |
$331 |
$1,148 |
$247 |
$51 | |
| PET scan |
$3,051 |
$10,584 |
$3,447 |
— | |
| Phosphorus blood test |
$21 |
$73 |
$6 |
$5 | |
| Pilonidal cyst removal |
— |
— |
$6,326 |
$541 | |
| Platelet count |
$14 |
$50 |
$5 |
$4 | |
| Pneumonia vaccine |
$189 |
$656 |
$109 |
— | |
| Pregnancy blood test (hCG) |
$34 |
$118 |
$9 |
$8 | |
| Pregnancy ultrasound |
$450 |
$1,561 |
$247 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$435 |
$1,511 |
$247 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$465 |
$1,612 |
$247 |
$136 | |
| Procalcitonin test |
$75 |
$261 |
$33 |
$27 | |
| Prolactin test |
$88 |
$307 |
$23 |
$19 | |
| Prostate biopsy |
$1,490 |
$5,170 |
$4,145 |
— | |
| Prostate removal (prostatectomy) |
— |
— |
$13,571 |
$1,063 | |
| Prostate surgery (TURP) |
— |
— |
$11,005 |
$526 | |
| Prostate test (PSA) |
$84 |
$291 |
$22 |
$18 | |
| Pterygium removal (eye) |
— |
— |
$5,156 |
$540 | |
| Pulmonary rehabilitation |
$109 |
$377 |
$277 |
$87 | |
| Radiofrequency nerve ablation |
— |
— |
$4,250 |
$462 | |
| Retinal detachment repair |
— |
— |
$8,891 |
$966 | |
| Rheumatoid factor test |
$24 |
$84 |
$7 |
$6 | |
| Rotator cuff repair |
— |
— |
$15,465 |
$792 | |
| Sacroiliac joint injection |
— |
— |
$832 |
$176 | |
| Scoliosis spine X-ray |
$756 |
$2,623 |
$230 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$640 |
$2,220 |
$198 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$872 |
$3,027 |
$239 |
$72 | |
| Screening mammogram |
$284 |
$984 |
$189 |
$126 | |
| Scrotal ultrasound |
$411 |
$1,426 |
$247 |
$99 | |
| Sedimentation rate (ESR) test |
$18 |
$61 |
$5 |
$3 | |
| Semen analysis |
$65 |
$226 |
$15 |
$12 | |
| Septoplasty (deviated septum) |
— |
— |
$7,168 |
$613 | |
| Sex hormone binding globulin test |
$48 |
$168 |
$26 |
$22 | |
| Shoulder arthroscopy |
— |
— |
$15,465 |
$962 | |
| Shoulder replacement |
— |
— |
$29,737 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$339 |
$1,175 |
$459 |
$114 | |
| Simple wound stitches |
$344 |
$1,192 |
$459 |
$127 | |
| Sinus surgery (endoscopic) |
— |
— |
$9,023 |
$224 | |
| Skin biopsy |
$312 |
$1,082 |
$745 |
$121 | |
| Skin biopsy (punch) |
$312 |
$1,082 |
$811 |
$121 | |
| Skin cancer lesion removal |
— |
— |
$1,066 |
$240 | |
| Skin graft |
— |
— |
$4,734 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$128 |
$446 |
$334 |
$36 | |
| Skin tag removal |
$92 |
$320 |
$259 |
$92 | |
| Sleep study (polysomnography) |
$3,310 |
$11,482 |
$2,420 |
$691 | |
| Small bowel resection |
— |
— |
$5,780 |
$1,136 | |
| Spinal cord stimulator |
$2,994 |
$10,388 |
$11,344 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$621 |
$2,156 |
$1,552 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$4,195 |
$14,552 |
$10,914 |
$5,803 | |
| Spirometry (lung function test) |
$168 |
$582 |
$351 |
$30 | |
| Spirometry with bronchodilator |
$319 |
$1,107 |
$699 |
$43 | |
| Spleen removal (splenectomy) |
— |
— |
$15,903 |
$1,036 | |
| Stomach removal (gastrectomy) |
— |
— |
$6,849 |
$1,595 | |
| Strabismus (eye muscle) surgery |
— |
— |
$5,581 |
$475 | |
| Stress echocardiogram |
$697 |
$2,419 |
$1,277 |
$209 | |
| Stress echocardiogram (complete) |
$788 |
$2,735 |
$1,277 |
$233 | |
| Swallow study |
$237 |
$821 |
$149 |
$85 | |
| T3 thyroid test |
$62 |
$214 |
$17 |
$14 | |
| Tdap (tetanus) vaccine |
$72 |
$250 |
$173 |
— | |
| Testicle removal (orchiectomy) |
— |
— |
$7,467 |
$306 | |
| Testosterone test |
$97 |
$335 |
$31 |
$26 | |
| Thyroid removal (thyroidectomy) |
— |
— |
$12,718 |
$1,004 | |
| Thyroid test (TSH) |
$69 |
$240 |
$20 |
$17 | |
| Thyroid ultrasound |
$353 |
$1,223 |
$247 |
$109 | |
| Thyroid uptake scan |
$480 |
$1,664 |
$865 |
$145 | |
| Tilt table test |
$708 |
$2,457 |
$1,241 |
$168 | |
| Tonsillectomy |
— |
— |
$7,711 |
$252 | |
| Total IgE allergy test |
$55 |
$191 |
$20 |
$16 | |
| Total protein test |
$17 |
$59 |
$4 |
$4 | |
| Tracheostomy |
$1,931 |
$6,699 |
$5,472 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$1,101 |
$3,821 |
$1,277 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,459 |
$5,063 |
$1,277 |
$239 | |
| Transvaginal ultrasound |
$420 |
$1,457 |
$247 |
$118 | |
| Trigger finger release |
— |
— |
$3,537 |
$630 | |
| Trigger point injection |
$230 |
$796 |
$631 |
$56 | |
| Trigger point injection (1-2 muscles) |
$219 |
$758 |
$602 |
$52 | |
| Triglycerides test |
$36 |
$123 |
$7 |
$6 | |
| Troponin (heart) test |
$96 |
$334 |
$15 |
$12 | |
| Tubal ligation |
— |
— |
$12,631 |
$333 | |
| Turbinate reduction |
— |
— |
$7,021 |
$294 | |
| Turning a breech baby (version) |
$1,672 |
$5,800 |
$4,453 |
$94 | |
| Ulnar nerve surgery (elbow) |
— |
— |
$4,316 |
$575 | |
| Umbilical hernia repair |
— |
— |
$12,508 |
— | |
| Upper GI endoscopy (EGD) |
$584 |
$2,028 |
$1,490 |
$371 | |
| Upper GI series (barium) |
$564 |
$1,957 |
$435 |
$128 | |
| Ureteral stent placement |
— |
— |
$7,467 |
$373 | |
| Ureteroscopy (stone removal) |
— |
— |
$11,063 |
$365 | |
| Uric acid (gout) test |
$17 |
$58 |
$5 |
$5 | |
| Urinalysis |
$26 |
$89 |
$4 |
$3 | |
| Urine microalbumin test |
$32 |
$109 |
$7 |
$5 | |
| Urine pregnancy test |
$49 |
$169 |
$10 |
$9 | |
| Vaccine administration |
$38 |
$133 |
$100 |
$19 | |
| Vaccine administration (each additional) |
$38 |
$133 |
$100 |
$16 | |
| Vaginal delivery |
— |
— |
$12,104 |
$5,487 | |
| Varicocele repair |
— |
— |
$7,623 |
$327 | |
| Varicose vein ablation |
$1,691 |
$5,866 |
$5,807 |
$1,018 | |
| Vasectomy |
— |
— |
$4,528 |
$347 | |
| Vitamin B12 test |
$66 |
$228 |
$18 |
$15 | |
| Vitamin D test |
$101 |
$352 |
$36 |
$30 | |
| Vitrectomy (eye) |
— |
— |
$8,755 |
$814 | |
| Vocal cord injection |
— |
— |
$7,982 |
$211 | |
| Wart removal |
$133 |
$463 |
$345 |
$121 | |
| Weight-loss (bariatric) surgery |
— |
— |
$27,144 |
$11,645 | |
| Well-child visit |
$147 |
$509 |
$305 |
— | |
| Whipple procedure (pancreas) |
— |
— |
$14,665 |
$2,871 | |
| Wound debridement |
$563 |
$1,954 |
$1,082 |
$186 | |
| Wrist fracture repair |
— |
— |
$15,465 |
$735 | |
| X-ray of the abdomen |
$256 |
$886 |
$234 |
$36 | |
| X-ray of the facial bones |
$212 |
$736 |
$227 |
$39 | |
| X-ray of the lower back (lumbar spine) |
$287 |
$996 |
$239 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$257 |
$892 |
$237 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$317 |
$1,100 |
$247 |
$53 | |
| X-ray of the mid-back (thoracic spine) |
$252 |
$875 |
$237 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$235 |
$817 |
$237 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$269 |
$932 |
$237 |
$39 | |
| X-ray of the neck (cervical spine) |
$310 |
$1,074 |
$230 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$257 |
$892 |
$195 |
$40 | |
| X-ray of the pelvis |
$255 |
$884 |
$237 |
$36 | |
| X-ray of the pelvis (1 view) |
$239 |
$830 |
$237 |
$28 | |
| X-ray of the ribs |
$230 |
$799 |
$237 |
$42 | |
| X-ray of the skull |
$285 |
$990 |
$239 |
$40 | |
| YAG laser capsulotomy (eye) |
— |
— |
$1,213 |
$335 | |
| Zinc blood test |
$46 |
$158 |
$14 |
$11 | |