| 3D mammogram (tomosynthesis) |
$94 |
$131 |
$105 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,264 |
$1,755 |
$941 |
$284 | |
| Abdominal ultrasound |
$1,193 |
$1,657 |
$1,261 |
$100 | |
| Abdominal ultrasound (complete) |
$1,254 |
$1,742 |
$1,394 |
$114 | |
| Abdominal ultrasound (limited) |
$1,132 |
$1,572 |
$1,258 |
$86 | |
| Abscess drainage (complex or multiple) |
$1,686 |
$2,342 |
$889 |
$220 | |
| Abscess drainage (simple) |
$362 |
$503 |
$416 |
$129 | |
| Abscess incision and drainage |
$562 |
$780 |
$488 |
$174 | |
| ACL knee reconstruction |
$11,955 |
$16,604 |
$10,456 |
$889 | |
| Albumin blood test |
$99 |
$138 |
$111 |
$5 | |
| Aldosterone test |
$212 |
$294 |
$236 |
$41 | |
| Alkaline phosphatase test |
$70 |
$97 |
$78 |
$5 | |
| Allergy shots |
$99 |
$138 |
$111 |
$11 | |
| Alpha-fetoprotein (AFP) test |
$89 |
$124 |
$99 |
$17 | |
| ALT liver enzyme test |
$81 |
$113 |
$91 |
$5 | |
| Ammonia blood test |
$174 |
$242 |
$194 |
$15 | |
| Amylase test |
$124 |
$172 |
$138 |
$6 | |
| Antinuclear antibody (ANA) test |
$181 |
$252 |
$202 |
$12 | |
| Arterial blood gas (ABG) |
$304 |
$422 |
$338 |
$26 | |
| AST liver enzyme test |
$81 |
$113 |
$91 |
$5 | |
| Barium swallow study |
$665 |
$924 |
$744 |
$107 | |
| Bartholin cyst removal |
$482 |
$670 |
$537 |
$182 | |
| Basic metabolic panel |
$181 |
$252 |
$202 |
$8 | |
| Benign skin lesion removal |
$2,075 |
$2,882 |
$2,210 |
$171 | |
| Bilirubin blood test |
$85 |
$118 |
$95 |
$5 | |
| Bladder scope (cystoscopy) |
$4,147 |
$5,759 |
$3,018 |
$216 | |
| Bladder tumor removal (TURBT) |
$4,197 |
$5,829 |
$4,675 |
$236 | |
| Blood clotting test (PT/INR) |
$62 |
$86 |
$73 |
$4 | |
| Blood crossmatch |
$188 |
$261 |
$209 |
— | |
| Blood glucose test |
$71 |
$99 |
$53 |
$5 | |
| Blood transfusion |
$1,513 |
$2,101 |
$1,685 |
$47 | |
| Blood type and screen |
$83 |
$115 |
$92 |
$10 | |
| Blood type test |
$107 |
$148 |
$89 |
$3 | |
| Blood type test (ABO group) |
$141 |
$196 |
$157 |
$3 | |
| Blood type test (Rh/D antigen) |
$72 |
$100 |
$80 |
$3 | |
| BNP (heart failure) test |
$242 |
$336 |
$286 |
$39 | |
| Bone density scan (DEXA) |
$331 |
$460 |
$392 |
$39 | |
| Bone marrow biopsy |
$744 |
$1,033 |
$878 |
$172 | |
| Bone scan (nuclear) |
$1,339 |
$1,860 |
$1,492 |
$259 | |
| Breast biopsy |
$3,312 |
$4,601 |
$3,742 |
$478 | |
| Breast MRI |
$1,614 |
$2,242 |
$769 |
$216 | |
| Breast MRI without contrast |
$2,675 |
$3,715 |
$2,972 |
$216 | |
| Breast ultrasound |
$874 |
$1,214 |
$991 |
$92 | |
| Breast ultrasound (complete) |
$911 |
$1,265 |
$1,063 |
$100 | |
| Breast ultrasound (limited) |
$837 |
$1,162 |
$976 |
$84 | |
| Breathing tube insertion (intubation) |
$658 |
$914 |
$754 |
$133 | |
| Burn dressing and debridement (medium) |
$523 |
$726 |
$582 |
$166 | |
| Burn dressing and debridement (small) |
$474 |
$659 |
$529 |
$93 | |
| Burn treatment |
$499 |
$693 |
$539 |
$129 | |
| C-reactive protein (CRP) |
$145 |
$201 |
$161 |
$5 | |
| CA 19-9 tumor marker test |
$293 |
$407 |
$326 |
$21 | |
| CA-125 ovarian marker test |
$293 |
$407 |
$347 |
$21 | |
| Calcium blood test |
$95 |
$132 |
$106 |
$5 | |
| Capsule endoscopy |
$2,025 |
$2,813 |
$2,256 |
$802 | |
| Cardiac rehabilitation |
$263 |
$365 |
$310 |
$26 | |
| Cardiac stress test |
$1,053 |
$1,462 |
$1,200 |
$39 | |
| Cardioversion |
$1,594 |
$2,214 |
$1,776 |
$155 | |
| Carotid artery ultrasound |
$921 |
$1,279 |
$1,367 |
$156 | |
| Carpal tunnel release |
$4,971 |
$6,904 |
$5,537 |
$483 | |
| Cataract surgery |
$3,398 |
$4,720 |
$3,715 |
$547 | |
| CEA tumor marker test |
$83 |
$115 |
$98 |
$19 | |
| Celiac disease test |
$66 |
$92 |
$78 |
$12 | |
| Central line placement |
$3,241 |
$4,502 |
$792 |
$238 | |
| Cesarean section (C-section) |
$22,224 |
$30,866 |
$23,563 |
$7,552 | |
| Chemotherapy infusion |
$530 |
$737 |
$478 |
$81 | |
| Chemotherapy infusion (each additional) |
$344 |
$478 |
$406 |
$28 | |
| Chemotherapy infusion (first hour) |
$716 |
$995 |
$798 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,028 |
$1,428 |
$977 |
$311 | |
| Chest tube insertion |
$2,917 |
$4,052 |
$3,242 |
$143 | |
| Chest X-ray |
$344 |
$478 |
$334 |
$37 | |
| Chest X-ray (1 view) |
$283 |
$393 |
$315 |
$25 | |
| Chest X-ray (2 views) |
$352 |
$489 |
$391 |
$33 | |
| Circumcision |
$4,946 |
$6,870 |
$5,338 |
$167 | |
| CK-MB heart enzyme test |
$203 |
$282 |
$226 |
$12 | |
| Clotting time test (PTT) |
$103 |
$143 |
$115 |
$6 | |
| Colonoscopy |
$3,579 |
$4,971 |
$3,739 |
$480 | |
| Complete blood count (CBC) |
$116 |
$161 |
$129 |
$7 | |
| Complete blood count (CBC) (complete) |
$122 |
$170 |
$136 |
$8 | |
| Comprehensive metabolic panel |
$220 |
$305 |
$245 |
$11 | |
| Copper blood test |
$68 |
$94 |
$75 |
$12 | |
| Cortisol test |
$102 |
$141 |
$113 |
$16 | |
| COVID-19 PCR test |
$337 |
$468 |
$103 |
$51 | |
| CPAP titration study |
$567 |
$787 |
$631 |
$69 | |
| Creatine kinase (CK) test |
$145 |
$202 |
$162 |
$7 | |
| CT angiography of the chest |
$3,061 |
$4,251 |
$3,401 |
$281 | |
| CT angiography of the head |
$2,609 |
$3,623 |
$2,898 |
$274 | |
| CT scan of the abdomen |
$2,636 |
$3,661 |
$2,574 |
$230 | |
| CT scan of the abdomen and pelvis |
$4,990 |
$6,931 |
$4,855 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$5,049 |
$7,013 |
$5,610 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$4,990 |
$6,931 |
$5,545 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$4,098 |
$5,692 |
$4,554 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,930 |
$4,070 |
$3,256 |
$259 | |
| CT scan of the abdomen with contrast |
$2,636 |
$3,661 |
$2,929 |
$230 | |
| CT scan of the abdomen without contrast |
$2,063 |
$2,865 |
$2,292 |
$136 | |
| CT scan of the arm |
$2,645 |
$3,674 |
$2,445 |
$199 | |
| CT scan of the arm with contrast |
$2,645 |
$3,674 |
$2,939 |
$199 | |
| CT scan of the arm without contrast |
$2,071 |
$2,876 |
$2,301 |
$161 | |
| CT scan of the chest |
$2,463 |
$3,421 |
$2,377 |
$167 | |
| CT scan of the chest with and without contrast |
$2,917 |
$4,052 |
$3,242 |
$196 | |
| CT scan of the chest with contrast |
$2,463 |
$3,421 |
$2,737 |
$167 | |
| CT scan of the chest without contrast |
$2,013 |
$2,796 |
$2,242 |
$133 | |
| CT scan of the head |
$2,424 |
$3,367 |
$2,234 |
$148 | |
| CT scan of the head with and without contrast |
$2,790 |
$3,875 |
$3,100 |
$173 | |
| CT scan of the head with contrast |
$2,424 |
$3,367 |
$2,694 |
$148 | |
| CT scan of the head without contrast |
$1,914 |
$2,659 |
$2,133 |
$107 | |
| CT scan of the leg |
$2,171 |
$3,015 |
$2,367 |
$166 | |
| CT scan of the leg with contrast |
$2,171 |
$3,015 |
$2,412 |
$166 | |
| CT scan of the leg without contrast |
$1,894 |
$2,630 |
$2,109 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,023 |
$2,810 |
$2,248 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,205 |
$3,062 |
$2,450 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,023 |
$2,810 |
$2,254 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,919 |
$2,665 |
$2,137 |
$130 | |
| CT scan of the neck |
$2,570 |
$3,570 |
$2,514 |
$183 | |
| CT scan of the neck (cervical spine) |
$2,879 |
$3,998 |
$2,606 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$3,061 |
$4,251 |
$3,401 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$2,879 |
$3,998 |
$3,198 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$2,339 |
$3,249 |
$2,599 |
$131 | |
| CT scan of the neck with and without contrast |
$3,336 |
$4,634 |
$3,707 |
$220 | |
| CT scan of the neck with contrast |
$2,570 |
$3,570 |
$2,856 |
$183 | |
| CT scan of the neck without contrast |
$2,122 |
$2,947 |
$2,358 |
$150 | |
| CT scan of the pelvis |
$2,168 |
$3,011 |
$2,290 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,568 |
$3,566 |
$2,853 |
$251 | |
| CT scan of the pelvis with contrast |
$2,168 |
$3,011 |
$2,409 |
$226 | |
| CT scan of the pelvis without contrast |
$1,986 |
$2,758 |
$2,212 |
$133 | |
| CT scan of the sinuses |
$1,987 |
$2,760 |
$2,037 |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,041 |
$2,835 |
$2,274 |
$184 | |
| CT scan of the sinuses with contrast |
$1,987 |
$2,760 |
$2,214 |
$152 | |
| CT scan of the sinuses without contrast |
$1,719 |
$2,388 |
$1,915 |
$128 | |
| D-dimer test |
$121 |
$168 |
$135 |
$10 | |
| DHEA-sulfate test |
$133 |
$185 |
$148 |
$22 | |
| Diagnostic mammogram |
$518 |
$720 |
$589 |
$140 | |
| Drug screen (urine) |
$188 |
$261 |
$209 |
$17 | |
| Echocardiogram |
$1,473 |
$2,046 |
$761 |
$138 | |
| Echocardiogram with and without contrast |
$454 |
$631 |
$536 |
$101 | |
| EEG (awake and asleep) |
$697 |
$968 |
$776 |
$482 | |
| EKG / ECG (tracing only) |
$258 |
$358 |
$287 |
$7 | |
| Electrocardiogram (EKG) |
$258 |
$358 |
$287 |
$8 | |
| Electroencephalogram (EEG) |
$697 |
$968 |
$776 |
$448 | |
| Electrolyte panel |
$140 |
$195 |
$156 |
$7 | |
| Emergency department visit |
$629 |
$874 |
$699 |
$69 | |
| Emergency department visit (level 1) |
$246 |
$342 |
$281 |
$11 | |
| Emergency department visit (level 2) |
$430 |
$597 |
$490 |
$40 | |
| Emergency department visit (level 3) |
$629 |
$874 |
$718 |
$69 | |
| Emergency department visit (level 4) |
$850 |
$1,180 |
$969 |
$118 | |
| Emergency department visit (level 5) |
$1,552 |
$2,155 |
$1,838 |
$171 | |
| Esophageal dilation |
$2,604 |
$3,617 |
$2,851 |
$522 | |
| Estradiol (estrogen) test |
$117 |
$163 |
$131 |
$28 | |
| Facet joint injection (spine) |
$498 |
$692 |
$748 |
$99 | |
| Fallopian tube X-ray (HSG) |
$492 |
$683 |
$629 |
$164 | |
| Fecal occult blood (stool) test |
$52 |
$72 |
$58 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$52 |
$72 |
$58 |
$4 | |
| Ferritin (iron) test |
$168 |
$233 |
$198 |
$14 | |
| Fibrinogen test |
$156 |
$217 |
$176 |
$10 | |
| Flexible sigmoidoscopy |
$3,928 |
$5,455 |
$4,375 |
$323 | |
| Flu test |
$333 |
$462 |
$371 |
$17 | |
| Folate (folic acid) test |
$73 |
$102 |
$82 |
$15 | |
| Foreign body removal (skin) |
$619 |
$860 |
$575 |
$157 | |
| Free T4 thyroid test |
$112 |
$156 |
$131 |
$9 | |
| FSH hormone test |
$177 |
$246 |
$129 |
$19 | |
| Gallbladder removal (laparoscopic) |
$6,348 |
$8,817 |
$6,867 |
$658 | |
| Gallbladder scan (HIDA) |
$1,638 |
$2,275 |
$1,475 |
$334 | |
| GGT liver test |
$121 |
$168 |
$141 |
$7 | |
| Glucose tolerance test |
$98 |
$136 |
$140 |
$8 | |
| H. pylori test |
$138 |
$191 |
$153 |
$67 | |
| Hammertoe repair |
$4,266 |
$5,924 |
$4,976 |
$548 | |
| HDL cholesterol test |
$94 |
$131 |
$105 |
$8 | |
| Hematocrit test |
$29 |
$40 |
$32 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$160 |
$222 |
$178 |
$10 | |
| Hepatitis B test |
$141 |
$196 |
$161 |
$10 | |
| Hepatitis C test |
$186 |
$258 |
$219 |
$14 | |
| Hip arthroscopy |
$15,430 |
$21,431 |
$15,066 |
$931 | |
| Hip replacement |
$10,022 |
$13,919 |
$11,136 |
$1,162 | |
| HIV test |
$302 |
$420 |
$298 |
$19 | |
| HIV test (antibody) |
$338 |
$469 |
$376 |
$14 | |
| HIV test (antigen/antibody combo) |
$267 |
$371 |
$298 |
$24 | |
| Holter heart monitor |
$781 |
$1,085 |
$801 |
$26 | |
| Hysteroscopy |
$7,222 |
$10,031 |
$8,025 |
$1,270 | |
| Inguinal hernia repair |
$6,843 |
$9,504 |
$7,622 |
$538 | |
| Iron blood test |
$121 |
$168 |
$143 |
$6 | |
| IUD removal |
$657 |
$913 |
$732 |
$112 | |
| IV infusion therapy |
$315 |
$437 |
$311 |
$44 | |
| IV infusion therapy (each additional) |
$224 |
$311 |
$264 |
$21 | |
| IV infusion therapy (initial) |
$405 |
$563 |
$451 |
$67 | |
| Joint aspiration (small/intermediate) |
$944 |
$1,311 |
$851 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$810 |
$1,125 |
$956 |
$57 | |
| Joint aspiration or injection (small joint) |
$1,078 |
$1,497 |
$838 |
$56 | |
| Kidney scan (nuclear) |
$1,408 |
$1,955 |
$1,568 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$4,876 |
$6,772 |
$5,431 |
$760 | |
| Kidney ultrasound |
$1,024 |
$1,422 |
$1,059 |
$84 | |
| Kidney ultrasound (limited) |
$902 |
$1,253 |
$1,002 |
$61 | |
| Knee arthroscopy |
$7,008 |
$9,734 |
$6,484 |
$524 | |
| Knee joint injection |
$988 |
$1,372 |
$1,126 |
$69 | |
| Lactate test |
$179 |
$249 |
$200 |
$12 | |
| LDH test |
$121 |
$168 |
$135 |
$6 | |
| LDL cholesterol test |
$94 |
$131 |
$110 |
$11 | |
| Leg vein ultrasound (Doppler) |
$1,111 |
$1,544 |
$1,097 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$790 |
$1,097 |
$936 |
$116 | |
| LH hormone test |
$182 |
$253 |
$139 |
$19 | |
| Lipase test |
$125 |
$174 |
$148 |
$7 | |
| Lipid (cholesterol) panel |
$121 |
$168 |
$143 |
$13 | |
| Liver biopsy |
$3,500 |
$4,861 |
$3,889 |
$288 | |
| Liver function panel |
$192 |
$266 |
$213 |
$8 | |
| Lung function test (PFT) |
$562 |
$781 |
$420 |
$37 | |
| Magnesium blood test |
$109 |
$152 |
$122 |
$7 | |
| MMR vaccine |
$337 |
$469 |
$375 |
— | |
| MRA of the brain |
$3,228 |
$4,484 |
$3,454 |
$226 | |
| MRA of the brain with contrast |
$3,228 |
$4,484 |
$3,587 |
$226 | |
| MRA of the brain without contrast |
$4,233 |
$5,879 |
$4,703 |
$328 | |
| MRA of the neck |
$3,442 |
$4,781 |
$3,432 |
$245 | |
| MRA of the neck without contrast |
$3,804 |
$5,283 |
$4,226 |
$343 | |
| MRI of the abdomen |
$3,337 |
$4,635 |
$3,615 |
$300 | |
| MRI of the abdomen with contrast |
$3,337 |
$4,635 |
$3,708 |
$300 | |
| MRI of the abdomen without contrast |
$3,098 |
$4,303 |
$3,442 |
$194 | |
| MRI of the ankle |
$3,473 |
$4,823 |
$3,512 |
$261 | |
| MRI of the ankle with contrast |
$3,473 |
$4,823 |
$3,858 |
$261 | |
| MRI of the ankle without contrast |
$2,992 |
$4,156 |
$3,325 |
$222 | |
| MRI of the brain |
$3,554 |
$4,936 |
$3,659 |
$269 | |
| MRI of the brain with contrast |
$3,554 |
$4,936 |
$3,949 |
$269 | |
| MRI of the brain without contrast |
$3,088 |
$4,289 |
$3,431 |
$195 | |
| MRI of the chest |
$3,203 |
$4,449 |
$3,507 |
$371 | |
| MRI of the chest with contrast |
$3,203 |
$4,449 |
$3,559 |
$371 | |
| MRI of the chest without contrast |
$3,417 |
$4,746 |
$3,797 |
$466 | |
| MRI of the knee |
$3,112 |
$4,322 |
$3,466 |
$315 | |
| MRI of the knee with contrast |
$3,112 |
$4,322 |
$3,458 |
$315 | |
| MRI of the knee without contrast |
$3,006 |
$4,175 |
$3,340 |
$204 | |
| MRI of the lower back (lumbar spine) |
$3,332 |
$4,628 |
$3,685 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$3,332 |
$4,628 |
$3,702 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$3,159 |
$4,387 |
$3,510 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$3,700 |
$5,139 |
$3,658 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$4,185 |
$5,813 |
$4,650 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$3,700 |
$5,139 |
$4,111 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$3,098 |
$4,303 |
$3,442 |
$190 | |
| MRI of the neck (cervical spine) |
$3,561 |
$4,946 |
$3,450 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$4,074 |
$5,659 |
$4,527 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$3,561 |
$4,946 |
$3,957 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,922 |
$4,059 |
$3,247 |
$191 | |
| MRI of the pelvis |
$3,337 |
$4,635 |
$3,484 |
$268 | |
| MRI of the pelvis with contrast |
$3,337 |
$4,635 |
$3,708 |
$268 | |
| MRI of the pelvis without contrast |
$2,987 |
$4,148 |
$3,318 |
$227 | |
| MRI of the shoulder |
$3,488 |
$4,844 |
$3,504 |
$313 | |
| MRI of the shoulder with contrast |
$3,488 |
$4,844 |
$3,875 |
$313 | |
| MRI of the shoulder without contrast |
$2,958 |
$4,108 |
$3,286 |
$205 | |
| MRI of the wrist |
$3,180 |
$4,417 |
$3,534 |
$330 | |
| MRI of the wrist with contrast |
$3,180 |
$4,417 |
$3,534 |
$330 | |
| MRI of the wrist without contrast |
$3,006 |
$4,175 |
$3,340 |
$303 | |
| Nebulizer breathing treatment |
$382 |
$531 |
$426 |
$9 | |
| Nerve conduction study |
$702 |
$975 |
$789 |
$118 | |
| Nuclear cardiac stress test |
$4,437 |
$6,162 |
$5,256 |
$428 | |
| Occupational therapy evaluation |
$268 |
$373 |
$300 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$256 |
$355 |
$285 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$281 |
$390 |
$313 |
$101 | |
| Office visit (established patient) |
$366 |
$509 |
$397 |
$115 | |
| Office visit (new patient) |
$567 |
$788 |
$559 |
$177 | |
| Office visit, established patient (level 3) |
$286 |
$397 |
$318 |
$95 | |
| Office visit, established patient (level 4) |
$446 |
$620 |
$509 |
$136 | |
| Office visit, new patient (level 3) |
$425 |
$590 |
$473 |
$118 | |
| Office visit, new patient (level 4) |
$567 |
$788 |
$632 |
$177 | |
| Office visit, new patient (level 5) |
$706 |
$980 |
$786 |
$237 | |
| Orthopedic hardware removal |
$7,407 |
$10,288 |
$8,251 |
$632 | |
| Pap smear (cervical screening) |
$150 |
$209 |
$165 |
$20 | |
| Parathyroid hormone (PTH) test |
$79 |
$110 |
$88 |
$41 | |
| Pelvic ultrasound |
$856 |
$1,190 |
$906 |
$78 | |
| Pelvic ultrasound (complete) |
$945 |
$1,313 |
$1,050 |
$105 | |
| Pelvic ultrasound (limited) |
$768 |
$1,066 |
$855 |
$51 | |
| Phosphorus blood test |
$95 |
$132 |
$106 |
$5 | |
| Physical therapy evaluation |
$246 |
$342 |
$259 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$274 |
$380 |
$305 |
$98 | |
| Platelet count |
$54 |
$75 |
$63 |
$4 | |
| Pregnancy ultrasound |
$865 |
$1,201 |
$930 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$920 |
$1,278 |
$1,022 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$809 |
$1,124 |
$901 |
$136 | |
| Procalcitonin test |
$120 |
$167 |
$134 |
$27 | |
| Prolactin test |
$128 |
$178 |
$143 |
$19 | |
| Prostate biopsy |
$4,425 |
$6,146 |
$4,929 |
— | |
| Prostate test (PSA) |
$146 |
$203 |
$173 |
$18 | |
| Pulmonary rehabilitation |
$141 |
$196 |
$157 |
$87 | |
| Rotator cuff repair |
$8,463 |
$11,755 |
$4,715 |
$792 | |
| Scoliosis spine X-ray |
$463 |
$643 |
$491 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$441 |
$612 |
$491 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$485 |
$674 |
$541 |
$72 | |
| Screening colonoscopy |
$3,928 |
$5,455 |
$4,517 |
$378 | |
| Screening mammogram |
$460 |
$639 |
$512 |
$126 | |
| Scrotal ultrasound |
$945 |
$1,313 |
$1,050 |
$99 | |
| Sedimentation rate (ESR) test |
$66 |
$92 |
$74 |
$3 | |
| Sex hormone binding globulin test |
$51 |
$71 |
$57 |
$22 | |
| Shoulder arthroscopy |
$11,602 |
$16,114 |
$9,609 |
$962 | |
| Shoulder replacement |
$9,751 |
$13,543 |
$10,834 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$307 |
$426 |
$298 |
$114 | |
| Simple wound stitches |
$317 |
$441 |
$310 |
$127 | |
| Skin biopsy |
$1,934 |
$2,686 |
$2,154 |
$121 | |
| Skin biopsy (punch) |
$1,934 |
$2,686 |
$2,154 |
$121 | |
| Skin cancer lesion removal |
$932 |
$1,295 |
$1,038 |
$240 | |
| Sleep study (polysomnography) |
$4,362 |
$6,058 |
$4,697 |
$691 | |
| Soft tissue ultrasound |
$466 |
$647 |
$519 |
$64 | |
| Speech therapy |
$206 |
$286 |
$243 |
$76 | |
| Spinal tap (lumbar puncture) |
$1,301 |
$1,807 |
$1,449 |
$165 | |
| Spirometry (lung function test) |
$302 |
$420 |
$337 |
$30 | |
| Spirometry with bronchodilator |
$822 |
$1,142 |
$916 |
$43 | |
| Strep throat test |
$260 |
$361 |
$303 |
$17 | |
| Swallow study |
$244 |
$339 |
$339 |
$85 | |
| T3 thyroid test |
$92 |
$128 |
$103 |
$14 | |
| Tdap (tetanus) vaccine |
$167 |
$232 |
$186 |
— | |
| Testicle removal (orchiectomy) |
$4,791 |
$6,654 |
$5,337 |
$306 | |
| Testosterone test |
$99 |
$137 |
$149 |
$26 | |
| Thyroid test (TSH) |
$139 |
$193 |
$162 |
$17 | |
| Thyroid ultrasound |
$743 |
$1,032 |
$828 |
$109 | |
| Total IgE allergy test |
$105 |
$146 |
$124 |
$16 | |
| Total protein test |
$21 |
$29 |
$23 |
$4 | |
| Transvaginal ultrasound |
$714 |
$992 |
$796 |
$118 | |
| Trigger finger release |
$4,328 |
$6,011 |
$4,821 |
$630 | |
| Trigger point injection |
$554 |
$770 |
$618 |
$56 | |
| Trigger point injection (1-2 muscles) |
$554 |
$770 |
$618 |
$52 | |
| Triglycerides test |
$95 |
$132 |
$113 |
$6 | |
| Troponin (heart) test |
$217 |
$301 |
$241 |
$12 | |
| Ulnar nerve surgery (elbow) |
$7,527 |
$10,454 |
$8,384 |
$575 | |
| Upper GI endoscopy (EGD) |
$2,362 |
$3,281 |
$2,597 |
$371 | |
| Upper GI series (barium) |
$775 |
$1,077 |
$875 |
$128 | |
| Ureteral stent placement |
$4,356 |
$6,050 |
$4,852 |
$373 | |
| Ureteroscopy (stone removal) |
$4,517 |
$6,274 |
$5,270 |
$365 | |
| Uric acid (gout) test |
$121 |
$168 |
$135 |
$5 | |
| Urinalysis |
$57 |
$80 |
$92 |
$3 | |
| Urine microalbumin test |
$118 |
$164 |
$133 |
$5 | |
| Urine pregnancy test |
$126 |
$175 |
$140 |
$9 | |
| Vaccine administration |
$85 |
$119 |
$149 |
$19 | |
| Vaccine administration (each additional) |
$37 |
$51 |
$43 |
$16 | |
| Vaginal delivery |
$9,036 |
$12,550 |
$10,800 |
$5,487 | |
| Vitamin B12 test |
$71 |
$98 |
$79 |
$15 | |
| Vitamin D test |
$211 |
$293 |
$249 |
$30 | |
| Wound debridement |
$1,249 |
$1,734 |
$1,190 |
$186 | |
| Wrist fracture repair |
$9,876 |
$13,717 |
$10,599 |
$735 | |
| X-ray of the abdomen |
$392 |
$545 |
$393 |
$36 | |
| X-ray of the ankle |
$446 |
$620 |
$497 |
$37 | |
| X-ray of the collarbone |
$425 |
$590 |
$473 |
$33 | |
| X-ray of the elbow |
$446 |
$620 |
$497 |
$33 | |
| X-ray of the facial bones |
$719 |
$999 |
$801 |
$39 | |
| X-ray of the foot |
$446 |
$620 |
$497 |
$34 | |
| X-ray of the forearm |
$320 |
$444 |
$356 |
$29 | |
| X-ray of the hand |
$354 |
$492 |
$395 |
$38 | |
| X-ray of the hip |
$584 |
$811 |
$428 |
$49 | |
| X-ray of the hip (1 view) |
$343 |
$476 |
$382 |
$34 | |
| X-ray of the hip (3 views) |
$584 |
$811 |
$650 |
$49 | |
| X-ray of the hip (4 views) |
$587 |
$815 |
$654 |
$63 | |
| X-ray of the knee |
$444 |
$616 |
$388 |
$42 | |
| X-ray of the knee (2 views) |
$328 |
$455 |
$365 |
$34 | |
| X-ray of the knee (3 views) |
$444 |
$616 |
$494 |
$42 | |
| X-ray of the knee (4+ views) |
$601 |
$835 |
$670 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$683 |
$949 |
$555 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$449 |
$624 |
$500 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$917 |
$1,274 |
$1,019 |
$53 | |
| X-ray of the lower leg |
$326 |
$453 |
$363 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$410 |
$569 |
$456 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$387 |
$537 |
$431 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$433 |
$601 |
$482 |
$39 | |
| X-ray of the neck (cervical spine) |
$584 |
$812 |
$530 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$449 |
$624 |
$500 |
$40 | |
| X-ray of the pelvis |
$615 |
$854 |
$514 |
$36 | |
| X-ray of the pelvis (1 view) |
$441 |
$612 |
$491 |
$28 | |
| X-ray of the ribs |
$613 |
$851 |
$612 |
$42 | |
| X-ray of the ribs (2 views) |
$441 |
$612 |
$491 |
$36 | |
| X-ray of the ribs (3 views) |
$613 |
$851 |
$683 |
$42 | |
| X-ray of the shoulder |
$496 |
$689 |
$553 |
$36 | |
| X-ray of the skull |
$587 |
$816 |
$522 |
$40 | |
| X-ray of the upper arm |
$446 |
$619 |
$496 |
$32 | |
| X-ray of the wrist |
$437 |
$607 |
$487 |
$43 | |
| YAG laser capsulotomy (eye) |
$2,170 |
$3,014 |
$1,962 |
$335 | |
| Zinc blood test |
$65 |
$90 |
$72 |
$11 | |