| Abdominal fluid drain (paracentesis) |
$2,289 |
$2,289 |
$866 |
$284 | |
| Abdominal ultrasound |
$1,983 |
$1,983 |
$145 |
$100 | |
| Abdominal ultrasound (complete) |
$2,269 |
$2,269 |
$146 |
$114 | |
| Abdominal ultrasound (limited) |
$1,696 |
$1,696 |
$143 |
$86 | |
| Abscess drainage (complex or multiple) |
$2,390 |
$2,390 |
$470 |
$220 | |
| Abscess drainage (simple) |
$1,032 |
$1,032 |
$212 |
$129 | |
| Abscess incision and drainage |
$1,032 |
$1,032 |
$362 |
$174 | |
| Albumin blood test |
$132 |
$132 |
$6 |
$5 | |
| Aldosterone test |
$902 |
$902 |
$51 |
$41 | |
| Alkaline phosphatase test |
$307 |
$307 |
$6 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$362 |
$362 |
$21 |
$17 | |
| ALT liver enzyme test |
$386 |
$386 |
$7 |
$5 | |
| Ammonia blood test |
$260 |
$260 |
$18 |
$15 | |
| Amniocentesis |
$2,126 |
$2,126 |
$783 |
$120 | |
| Amylase test |
$439 |
$439 |
$8 |
$6 | |
| Annual physical (established patient) |
$187 |
$187 |
$104 |
— | |
| Annual physical (new patient) |
$227 |
$227 |
$113 |
— | |
| Antinuclear antibody (ANA) test |
$449 |
$449 |
$15 |
$12 | |
| Arterial blood gas (ABG) |
$705 |
$705 |
$32 |
$26 | |
| AST liver enzyme test |
$365 |
$365 |
$6 |
$5 | |
| Barium swallow study |
$1,373 |
$1,373 |
$208 |
$107 | |
| Bartholin cyst removal |
$559 |
$559 |
$221 |
$182 | |
| Basic metabolic panel |
$736 |
$736 |
$11 |
$8 | |
| Bilirubin blood test |
$160 |
$160 |
$6 |
$5 | |
| Blood clotting test (PT/INR) |
$192 |
$192 |
$5 |
$4 | |
| Blood crossmatch |
$397 |
$397 |
$180 |
— | |
| Blood glucose test |
$253 |
$253 |
$5 |
$5 | |
| Blood transfusion |
$1,946 |
$1,946 |
$607 |
$47 | |
| Blood type and screen |
$243 |
$243 |
$52 |
$10 | |
| Blood type test |
$160 |
$160 |
$57 |
$3 | |
| Blood type test (ABO group) |
$215 |
$215 |
$120 |
$3 | |
| Blood type test (Rh/D antigen) |
$160 |
$160 |
$38 |
$3 | |
| BNP (heart failure) test |
$592 |
$592 |
$49 |
$39 | |
| Bone density scan (DEXA) |
$1,101 |
$1,101 |
$125 |
$39 | |
| Bone marrow biopsy |
$5,177 |
$5,177 |
$2,635 |
$172 | |
| Bone scan (nuclear) |
$3,790 |
$3,790 |
$476 |
$259 | |
| Breast biopsy |
$2,888 |
$2,888 |
$1,528 |
$478 | |
| Breast ultrasound |
$355 |
$355 |
$120 |
$92 | |
| Breast ultrasound (complete) |
$355 |
$355 |
$137 |
$100 | |
| Breast ultrasound (limited) |
$355 |
$355 |
$107 |
$84 | |
| Breathing tube insertion (intubation) |
$1,404 |
$1,404 |
$276 |
$133 | |
| Bronchoscopy |
$7,202 |
$7,202 |
$2,780 |
$303 | |
| Burn dressing and debridement (medium) |
$1,456 |
$1,456 |
$245 |
$166 | |
| Burn dressing and debridement (small) |
$2,522 |
$2,522 |
$260 |
$93 | |
| Burn treatment |
$2,522 |
$2,522 |
$259 |
$129 | |
| C-reactive protein (CRP) |
$309 |
$309 |
$6 |
$5 | |
| CA 19-9 tumor marker test |
$295 |
$295 |
$26 |
$21 | |
| CA-125 ovarian marker test |
$444 |
$444 |
$26 |
$21 | |
| Calcium blood test |
$188 |
$188 |
$6 |
$5 | |
| Cardiac ablation |
$64,715 |
$64,715 |
$22,381 |
$759 | |
| Cardiac catheterization |
$25,357 |
$25,357 |
$3,685 |
$1,049 | |
| Cardiac stress test |
$909 |
$909 |
$296 |
$39 | |
| Cardioversion |
$2,605 |
$2,605 |
$711 |
$155 | |
| Carotid artery ultrasound |
$1,146 |
$1,146 |
$229 |
$156 | |
| CEA tumor marker test |
$645 |
$645 |
$24 |
$19 | |
| Celiac disease test |
$38 |
$38 |
$14 |
$12 | |
| Central line placement |
$3,492 |
$3,492 |
$2,793 |
$238 | |
| Cervical LEEP procedure |
$8,695 |
$8,695 |
$2,997 |
$325 | |
| Cesarean section (C-section) |
— |
— |
$18,156 |
$7,552 | |
| Chest fluid drain (thoracentesis) |
$1,831 |
$1,831 |
$652 |
$311 | |
| Chest tube insertion |
$2,396 |
$2,396 |
$1,509 |
$143 | |
| Chest X-ray |
$893 |
$893 |
$116 |
$37 | |
| Chest X-ray (1 view) |
$634 |
$634 |
$103 |
$25 | |
| Chest X-ray (2 views) |
$893 |
$893 |
$111 |
$33 | |
| Circumcision |
$8,234 |
$8,234 |
$1,983 |
$167 | |
| CK-MB heart enzyme test |
$303 |
$303 |
$14 |
$12 | |
| Clotting time test (PTT) |
$253 |
$253 |
$8 |
$6 | |
| Colonoscopy |
$4,411 |
$4,411 |
$1,112 |
$480 | |
| Colposcopy |
$1,133 |
$1,133 |
$339 |
$161 | |
| Complete blood count (CBC) |
$345 |
$345 |
$9 |
$7 | |
| Complete blood count (CBC) (complete) |
$384 |
$384 |
$10 |
$8 | |
| Comprehensive metabolic panel |
$969 |
$969 |
$14 |
$11 | |
| Contraceptive implant (Nexplanon) |
$1,806 |
$1,806 |
$379 |
$115 | |
| Copper blood test |
$423 |
$423 |
$16 |
$12 | |
| Coronary artery bypass (CABG) |
— |
— |
$52,058 |
$36,593 | |
| Coronary CT angiography |
$679 |
$679 |
$241 |
$326 | |
| Cortisol test |
$317 |
$317 |
$20 |
$16 | |
| COVID-19 PCR test |
$253 |
$253 |
$63 |
$51 | |
| COVID-19 vaccine |
$0 |
$0 |
$0 |
— | |
| CPAP titration study |
$1,381 |
$1,381 |
$207 |
$69 | |
| Creatine kinase (CK) test |
$283 |
$283 |
$8 |
$7 | |
| CT angiography of the chest |
$5,406 |
$5,406 |
$258 |
$281 | |
| CT angiography of the head |
$3,850 |
$3,850 |
$258 |
$274 | |
| CT scan of the abdomen |
$6,719 |
$6,719 |
$239 |
$230 | |
| CT scan of the abdomen and pelvis |
$6,679 |
$6,679 |
$438 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$7,809 |
$7,809 |
$489 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$6,679 |
$6,679 |
$489 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$5,643 |
$5,643 |
$312 |
$183 | |
| CT scan of the abdomen with and without contrast |
$7,908 |
$7,908 |
$258 |
$259 | |
| CT scan of the abdomen with contrast |
$6,719 |
$6,719 |
$258 |
$230 | |
| CT scan of the abdomen without contrast |
$5,618 |
$5,618 |
$154 |
$136 | |
| CT scan of the arm |
$5,375 |
$5,375 |
$362 |
$199 | |
| CT scan of the arm with contrast |
$5,375 |
$5,375 |
$459 |
$199 | |
| CT scan of the arm without contrast |
$5,375 |
$5,375 |
$154 |
$161 | |
| CT scan of the chest |
$6,185 |
$6,185 |
$234 |
$167 | |
| CT scan of the chest with and without contrast |
$6,555 |
$6,555 |
$248 |
$196 | |
| CT scan of the chest with contrast |
$6,185 |
$6,185 |
$239 |
$167 | |
| CT scan of the chest without contrast |
$5,676 |
$5,676 |
$154 |
$133 | |
| CT scan of the head |
$6,123 |
$6,123 |
$218 |
$148 | |
| CT scan of the head with and without contrast |
$6,616 |
$6,616 |
$239 |
$173 | |
| CT scan of the head with contrast |
$5,851 |
$5,851 |
$234 |
$148 | |
| CT scan of the head without contrast |
$6,123 |
$6,123 |
$143 |
$107 | |
| CT scan of the leg |
$6,124 |
$6,124 |
$234 |
$166 | |
| CT scan of the leg with contrast |
$6,124 |
$6,124 |
$238 |
$166 | |
| CT scan of the leg without contrast |
$5,243 |
$5,243 |
$154 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$7,397 |
$7,397 |
$362 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$8,058 |
$8,058 |
$249 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$7,397 |
$7,397 |
$471 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$6,117 |
$6,117 |
$153 |
$130 | |
| CT scan of the neck |
$6,137 |
$6,137 |
$236 |
$183 | |
| CT scan of the neck (cervical spine) |
$6,237 |
$6,237 |
$362 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,489 |
$2,489 |
$240 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$6,237 |
$6,237 |
$471 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$6,584 |
$6,584 |
$154 |
$131 | |
| CT scan of the neck with and without contrast |
$6,137 |
$6,137 |
$258 |
$220 | |
| CT scan of the neck with contrast |
$6,370 |
$6,370 |
$239 |
$183 | |
| CT scan of the neck without contrast |
$5,538 |
$5,538 |
$154 |
$150 | |
| CT scan of the pelvis |
$5,765 |
$5,765 |
$239 |
$226 | |
| CT scan of the pelvis with and without contrast |
$6,684 |
$6,684 |
$258 |
$251 | |
| CT scan of the pelvis with contrast |
$5,765 |
$5,765 |
$253 |
$226 | |
| CT scan of the pelvis without contrast |
$4,929 |
$4,929 |
$154 |
$133 | |
| CT scan of the sinuses |
$6,524 |
$6,524 |
$227 |
$152 | |
| CT scan of the sinuses with and without contrast |
$6,524 |
$6,524 |
$239 |
$184 | |
| CT scan of the sinuses with contrast |
$6,568 |
$6,568 |
$236 |
$152 | |
| CT scan of the sinuses without contrast |
$5,051 |
$5,051 |
$153 |
$128 | |
| D-dimer test |
$444 |
$444 |
$13 |
$10 | |
| Defibrillator (ICD) implant |
$53,447 |
$53,447 |
$31,002 |
$798 | |
| DHEA-sulfate test |
$409 |
$409 |
$28 |
$22 | |
| Diagnostic mammogram |
$606 |
$606 |
$124 |
$140 | |
| Dilation and curettage (D&C) |
$8,936 |
$8,936 |
$3,015 |
$298 | |
| Drug screen (urine) |
$78 |
$78 |
$61 |
$17 | |
| Echocardiogram |
$3,617 |
$3,617 |
$461 |
$138 | |
| Echocardiogram with and without contrast |
$562 |
$562 |
$231 |
$101 | |
| Echocardiogram without contrast |
$2,330 |
$2,330 |
$242 |
$138 | |
| EKG / ECG (tracing only) |
$724 |
$724 |
$71 |
$7 | |
| Electrocardiogram (EKG) |
$724 |
$724 |
$71 |
$8 | |
| Electroencephalogram (EEG) |
$2,099 |
$2,099 |
$362 |
$448 | |
| Electrolyte panel |
$460 |
$460 |
$9 |
$7 | |
| Emergency department visit |
$1,653 |
$1,653 |
$411 |
$69 | |
| Emergency department visit (level 1) |
$534 |
$534 |
$113 |
$11 | |
| Emergency department visit (level 2) |
$991 |
$991 |
$208 |
$40 | |
| Emergency department visit (level 3) |
$1,653 |
$1,653 |
$350 |
$69 | |
| Emergency department visit (level 4) |
$2,403 |
$2,403 |
$511 |
$118 | |
| Emergency department visit (level 5) |
$3,262 |
$3,262 |
$682 |
$171 | |
| Endometrial biopsy |
$526 |
$526 |
$194 |
$98 | |
| Epidural steroid injection |
$1,777 |
$1,777 |
$679 |
$275 | |
| Estradiol (estrogen) test |
$394 |
$394 |
$35 |
$28 | |
| Fallopian tube X-ray (HSG) |
$672 |
$672 |
$326 |
$164 | |
| Family therapy session |
$583 |
$583 |
$209 |
$110 | |
| Fecal occult blood (stool) test |
$126 |
$126 |
$18 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$133 |
$133 |
$5 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$126 |
$126 |
$20 |
$16 | |
| Feeding tube (PEG) placement |
$5,392 |
$5,392 |
$1,920 |
$178 | |
| Ferritin (iron) test |
$262 |
$262 |
$17 |
$14 | |
| Fibrinogen test |
$349 |
$349 |
$12 |
$10 | |
| Flexible sigmoidoscopy |
$2,972 |
$2,972 |
$901 |
$323 | |
| Flu test |
$142 |
$142 |
$20 |
$17 | |
| Flu vaccine |
$99 |
$99 |
$21 |
— | |
| Folate (folic acid) test |
$600 |
$600 |
$18 |
$15 | |
| Foreign body removal (skin) |
$1,062 |
$1,062 |
$385 |
$157 | |
| Free T4 thyroid test |
$491 |
$491 |
$11 |
$9 | |
| FSH hormone test |
$368 |
$368 |
$23 |
$19 | |
| Gallbladder scan (HIDA) |
$1,565 |
$1,565 |
$526 |
$334 | |
| GGT liver test |
$388 |
$388 |
$9 |
$7 | |
| Glucose tolerance test |
$453 |
$453 |
$13 |
$8 | |
| Group therapy session |
$483 |
$483 |
$168 |
$30 | |
| H. pylori test |
$353 |
$353 |
$83 |
$67 | |
| HDL cholesterol test |
$411 |
$411 |
$10 |
$8 | |
| Hematocrit test |
$165 |
$165 |
$3 |
$2 | |
| Hemodialysis |
$2,789 |
$2,789 |
$965 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$314 |
$314 |
$12 |
$10 | |
| Hepatitis B test |
$249 |
$249 |
$13 |
$10 | |
| Hepatitis B vaccine |
$358 |
$358 |
$74 |
— | |
| Hepatitis C test |
$617 |
$617 |
$18 |
$14 | |
| HIV test |
$508 |
$508 |
$27 |
$19 | |
| HIV test (antibody) |
$386 |
$386 |
$17 |
$14 | |
| HIV test (antigen/antibody combo) |
$508 |
$508 |
$30 |
$24 | |
| Holter heart monitor |
$1,565 |
$1,565 |
$147 |
$26 | |
| Home sleep apnea test |
$467 |
$467 |
$199 |
$123 | |
| Iron blood test |
$316 |
$316 |
$8 |
$6 | |
| IUD insertion |
$1,267 |
$1,267 |
$633 |
— | |
| IUD removal |
$465 |
$465 |
$302 |
$112 | |
| IV infusion therapy |
$962 |
$962 |
$199 |
$44 | |
| IV infusion therapy (each additional) |
$1,012 |
$1,012 |
$87 |
$21 | |
| IV infusion therapy (initial) |
$913 |
$913 |
$209 |
$67 | |
| IVC filter placement |
$15,131 |
$15,131 |
$5,372 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$882 |
$882 |
$313 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$882 |
$882 |
$313 |
$57 | |
| Joint aspiration or injection (small joint) |
$880 |
$880 |
$310 |
$56 | |
| Kidney biopsy |
$3,170 |
$3,170 |
$1,541 |
$492 | |
| Kidney scan (nuclear) |
$3,520 |
$3,520 |
$536 |
$172 | |
| Kidney ultrasound |
$1,294 |
$1,294 |
$140 |
$84 | |
| Kidney ultrasound (limited) |
$740 |
$740 |
$122 |
$61 | |
| Knee joint injection |
$1,188 |
$1,188 |
$349 |
$69 | |
| Knee replacement |
— |
— |
$27,068 |
$18,054 | |
| Lactate test |
$197 |
$197 |
$14 |
$12 | |
| LDH test |
$233 |
$233 |
$8 |
$6 | |
| LDL cholesterol test |
$144 |
$144 |
$13 |
$11 | |
| Leg artery angiogram |
$6,751 |
$6,751 |
$3,029 |
$149 | |
| Leg artery angioplasty |
$29,356 |
$29,356 |
$10,192 |
— | |
| Leg vein ultrasound (Doppler) |
$2,520 |
$2,520 |
$231 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,980 |
$1,980 |
$140 |
$116 | |
| LH hormone test |
$202 |
$202 |
$23 |
$19 | |
| Lipase test |
$387 |
$387 |
$9 |
$7 | |
| Lipid (cholesterol) panel |
$643 |
$643 |
$17 |
$13 | |
| Liver biopsy |
$3,170 |
$3,170 |
$1,528 |
$288 | |
| Liver function panel |
$629 |
$629 |
$11 |
$8 | |
| Lower back (lumbar) spinal fusion |
— |
— |
$51,274 |
$1,511 | |
| Lung function test (PFT) |
$947 |
$947 |
$270 |
$37 | |
| Lung scan (V/Q) |
$1,896 |
$1,896 |
$560 |
$291 | |
| Magnesium blood test |
$217 |
$217 |
$8 |
$7 | |
| MMR vaccine |
$456 |
$456 |
$282 |
— | |
| MRA of the brain |
$2,937 |
$2,937 |
$426 |
$226 | |
| MRA of the brain with contrast |
$1,958 |
$1,958 |
$429 |
$226 | |
| MRA of the brain without contrast |
$2,937 |
$2,937 |
$450 |
$328 | |
| MRA of the neck |
$5,523 |
$5,523 |
$411 |
$245 | |
| MRA of the neck with contrast |
$2,937 |
$2,937 |
$444 |
$245 | |
| MRI of the abdomen |
$8,489 |
$8,489 |
$435 |
$300 | |
| MRI of the abdomen with contrast |
$1,286 |
$1,286 |
$434 |
$300 | |
| MRI of the abdomen without contrast |
$8,489 |
$8,489 |
$315 |
$194 | |
| MRI of the ankle |
$11,582 |
$11,582 |
$435 |
$261 | |
| MRI of the ankle with contrast |
$1,044 |
$1,044 |
$429 |
$261 | |
| MRI of the ankle without contrast |
$7,721 |
$7,721 |
$318 |
$222 | |
| MRI of the brain |
$7,628 |
$7,628 |
$453 |
$269 | |
| MRI of the brain with contrast |
$7,222 |
$7,222 |
$489 |
$269 | |
| MRI of the brain without contrast |
$7,628 |
$7,628 |
$315 |
$195 | |
| MRI of the chest |
$4,624 |
$4,624 |
$430 |
$371 | |
| MRI of the chest without contrast |
$1,286 |
$1,286 |
$494 |
$466 | |
| MRI of the knee |
$10,747 |
$10,747 |
$535 |
$315 | |
| MRI of the knee with contrast |
$2,410 |
$2,410 |
$811 |
$315 | |
| MRI of the knee without contrast |
$7,538 |
$7,538 |
$315 |
$204 | |
| MRI of the lower back (lumbar spine) |
$8,951 |
$8,951 |
$453 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$8,951 |
$8,951 |
$489 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$7,832 |
$7,832 |
$315 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$9,715 |
$9,715 |
$446 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$12,986 |
$12,986 |
$494 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$9,715 |
$9,715 |
$489 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$8,192 |
$8,192 |
$315 |
$190 | |
| MRI of the neck (cervical spine) |
$9,897 |
$9,897 |
$420 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$11,933 |
$11,933 |
$494 |
$318 | |
| MRI of the neck (cervical spine) without contrast |
$7,860 |
$7,860 |
$315 |
$191 | |
| MRI of the pelvis |
$8,229 |
$8,229 |
$362 |
$268 | |
| MRI of the pelvis with contrast |
$362 |
$362 |
$357 |
$268 | |
| MRI of the pelvis without contrast |
$8,229 |
$8,229 |
$318 |
$227 | |
| MRI of the shoulder |
$10,538 |
$10,538 |
$755 |
$313 | |
| MRI of the shoulder with contrast |
$9,038 |
$9,038 |
$943 |
$313 | |
| MRI of the shoulder without contrast |
$7,411 |
$7,411 |
$315 |
$205 | |
| MRI of the wrist |
$7,717 |
$7,717 |
$435 |
$330 | |
| MRI of the wrist without contrast |
$7,664 |
$7,664 |
$344 |
$303 | |
| Nebulizer breathing treatment |
$264 |
$264 |
$198 |
$9 | |
| Nuchal translucency ultrasound |
$756 |
$756 |
$141 |
$116 | |
| Nuclear cardiac stress test |
$8,486 |
$8,486 |
$1,394 |
$428 | |
| Occupational therapy evaluation |
$344 |
$344 |
$116 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$401 |
$401 |
$116 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$298 |
$298 |
$116 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$344 |
$344 |
$116 |
$101 | |
| Office visit (established patient) |
$863 |
$863 |
$417 |
$115 | |
| Office visit (new patient) |
$1,189 |
$1,189 |
$490 |
$177 | |
| Office visit, established patient (level 3) |
$744 |
$744 |
$298 |
$95 | |
| Office visit, established patient (level 4) |
$981 |
$981 |
$491 |
$136 | |
| Office visit, new patient (level 3) |
$721 |
$721 |
$361 |
$118 | |
| Office visit, new patient (level 4) |
$1,189 |
$1,189 |
$595 |
$177 | |
| Office visit, new patient (level 5) |
$1,827 |
$1,827 |
$687 |
$237 | |
| Pacemaker insertion |
— |
— |
$29,718 |
$15,506 | |
| Pap smear (cervical screening) |
$227 |
$227 |
$28 |
$20 | |
| Parathyroid hormone (PTH) test |
$781 |
$781 |
$52 |
$41 | |
| Pelvic ultrasound |
$1,816 |
$1,816 |
$140 |
$78 | |
| Pelvic ultrasound (complete) |
$1,943 |
$1,943 |
$144 |
$105 | |
| Pelvic ultrasound (limited) |
$1,816 |
$1,816 |
$139 |
$51 | |
| PET scan |
$12,906 |
$12,906 |
$1,990 |
— | |
| Phosphorus blood test |
$181 |
$181 |
$6 |
$5 | |
| Physical therapy evaluation |
$362 |
$362 |
$115 |
$98 | |
| Physical therapy evaluation (high complexity) |
$437 |
$437 |
$115 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$362 |
$362 |
$115 |
$98 | |
| Platelet count |
$223 |
$223 |
$6 |
$4 | |
| Pneumonia vaccine |
$609 |
$609 |
$127 |
— | |
| Pregnancy blood test (hCG) |
$462 |
$462 |
$9 |
$8 | |
| Pregnancy ultrasound |
$1,745 |
$1,745 |
$145 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$1,820 |
$1,820 |
$144 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$1,670 |
$1,670 |
$145 |
$136 | |
| Procalcitonin test |
$467 |
$467 |
$34 |
$27 | |
| Prolactin test |
$381 |
$381 |
$24 |
$19 | |
| Prostate biopsy |
$1,831 |
$1,831 |
$1,465 |
— | |
| Prostate test (PSA) |
$600 |
$600 |
$25 |
$18 | |
| Psychiatric evaluation |
$489 |
$489 |
$203 |
$188 | |
| Psychotherapy session |
$489 |
$489 |
$194 |
$140 | |
| Rheumatoid factor test |
$298 |
$298 |
$8 |
$6 | |
| Scoliosis spine X-ray |
$545 |
$545 |
$116 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$717 |
$717 |
$107 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$373 |
$373 |
$131 |
$72 | |
| Screening colonoscopy |
$4,202 |
$4,202 |
$901 |
$378 | |
| Screening mammogram |
$599 |
$599 |
$125 |
$126 | |
| Scrotal ultrasound |
$1,618 |
$1,618 |
$140 |
$99 | |
| Sedimentation rate (ESR) test |
$147 |
$147 |
$4 |
$3 | |
| Semen analysis |
$516 |
$516 |
$18 |
$12 | |
| Sex hormone binding globulin test |
$198 |
$198 |
$27 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$990 |
$990 |
$257 |
$114 | |
| Simple wound stitches |
$1,380 |
$1,380 |
$260 |
$127 | |
| Skin biopsy |
$595 |
$595 |
$412 |
$121 | |
| Skin biopsy (punch) |
$589 |
$589 |
$371 |
$121 | |
| Skin tag removal |
$539 |
$539 |
$192 |
$92 | |
| Sleep study (polysomnography) |
$7,956 |
$7,956 |
$1,059 |
$691 | |
| Soft tissue ultrasound |
$2,355 |
$2,355 |
$137 |
$64 | |
| Speech therapy |
$539 |
$539 |
$91 |
$76 | |
| Spinal tap (lumbar puncture) |
$1,603 |
$1,603 |
$654 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$20,759 |
$20,759 |
$7,131 |
$5,803 | |
| Spirometry (lung function test) |
$458 |
$458 |
$152 |
$30 | |
| Spirometry with bronchodilator |
$1,436 |
$1,436 |
$296 |
$43 | |
| Strep throat test |
$275 |
$275 |
$20 |
$17 | |
| Stress echocardiogram |
$3,670 |
$3,670 |
$524 |
$209 | |
| Stress echocardiogram (complete) |
$1,626 |
$1,626 |
$520 |
$233 | |
| Swallow study |
$738 |
$738 |
$104 |
$85 | |
| T3 thyroid test |
$304 |
$304 |
$18 |
$14 | |
| Tdap (tetanus) vaccine |
$235 |
$235 |
$71 |
— | |
| Testosterone test |
$401 |
$401 |
$32 |
$26 | |
| Thyroid test (TSH) |
$57 |
$57 |
$21 |
$17 | |
| Thyroid ultrasound |
$1,573 |
$1,573 |
$143 |
$109 | |
| Thyroid uptake scan |
$1,923 |
$1,923 |
$418 |
$145 | |
| Total IgE allergy test |
$365 |
$365 |
$21 |
$16 | |
| Total protein test |
$300 |
$300 |
$5 |
$4 | |
| Tracheostomy |
$8,833 |
$8,833 |
$3,066 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$5,125 |
$5,125 |
$572 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$5,125 |
$5,125 |
$572 |
$239 | |
| Transvaginal ultrasound |
$1,429 |
$1,429 |
$141 |
$118 | |
| Trigger point injection |
$796 |
$796 |
$291 |
$56 | |
| Trigger point injection (1-2 muscles) |
$796 |
$796 |
$291 |
$52 | |
| Triglycerides test |
$232 |
$232 |
$7 |
$6 | |
| Troponin (heart) test |
$663 |
$663 |
$15 |
$12 | |
| Turning a breech baby (version) |
$6,813 |
$6,813 |
$2,946 |
$94 | |
| Upper GI series (barium) |
$1,828 |
$1,828 |
$225 |
$128 | |
| Uric acid (gout) test |
$309 |
$309 |
$6 |
$5 | |
| Urinalysis |
$194 |
$194 |
$3 |
$3 | |
| Urine microalbumin test |
$120 |
$120 |
$7 |
$5 | |
| Urine pregnancy test |
$122 |
$122 |
$11 |
$9 | |
| Vaccine administration |
$192 |
$192 |
$70 |
$19 | |
| Vaccine administration (each additional) |
$170 |
$170 |
$85 |
$16 | |
| Vaginal delivery |
— |
— |
$16,098 |
$5,487 | |
| Vitamin B12 test |
$580 |
$580 |
$19 |
$15 | |
| Vitamin D test |
$615 |
$615 |
$37 |
$30 | |
| Weight-loss (bariatric) surgery |
— |
— |
$23,534 |
$11,645 | |
| Wound debridement |
$1,866 |
$1,866 |
$592 |
$186 | |
| X-ray of the abdomen |
$666 |
$666 |
$119 |
$36 | |
| X-ray of the ankle |
$1,635 |
$1,635 |
$104 |
$37 | |
| X-ray of the collarbone |
$1,533 |
$1,533 |
$104 |
$33 | |
| X-ray of the elbow |
$1,628 |
$1,628 |
$104 |
$33 | |
| X-ray of the facial bones |
$823 |
$823 |
$108 |
$39 | |
| X-ray of the foot |
$1,647 |
$1,647 |
$104 |
$34 | |
| X-ray of the forearm |
$1,525 |
$1,525 |
$104 |
$29 | |
| X-ray of the hand |
$1,635 |
$1,635 |
$104 |
$38 | |
| X-ray of the hip |
$819 |
$819 |
$107 |
$49 | |
| X-ray of the hip (1 view) |
$672 |
$672 |
$103 |
$34 | |
| X-ray of the hip (3 views) |
$819 |
$819 |
$111 |
$49 | |
| X-ray of the knee |
$1,622 |
$1,622 |
$114 |
$42 | |
| X-ray of the knee (2 views) |
$1,323 |
$1,323 |
$104 |
$34 | |
| X-ray of the knee (3 views) |
$1,082 |
$1,082 |
$103 |
$42 | |
| X-ray of the knee (4+ views) |
$1,718 |
$1,718 |
$137 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$1,230 |
$1,230 |
$131 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$988 |
$988 |
$131 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$1,472 |
$1,472 |
$131 |
$53 | |
| X-ray of the lower leg |
$1,633 |
$1,633 |
$104 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$983 |
$983 |
$130 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$868 |
$868 |
$130 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$1,098 |
$1,098 |
$131 |
$39 | |
| X-ray of the neck (cervical spine) |
$1,110 |
$1,110 |
$116 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$919 |
$919 |
$103 |
$40 | |
| X-ray of the pelvis |
$807 |
$807 |
$124 |
$36 | |
| X-ray of the pelvis (1 view) |
$748 |
$748 |
$116 |
$28 | |
| X-ray of the ribs |
$917 |
$917 |
$117 |
$42 | |
| X-ray of the ribs (2 views) |
$917 |
$917 |
$103 |
$36 | |
| X-ray of the ribs (3 views) |
$870 |
$870 |
$130 |
$42 | |
| X-ray of the shoulder |
$900 |
$900 |
$103 |
$36 | |
| X-ray of the skull |
$1,096 |
$1,096 |
$125 |
$40 | |
| X-ray of the upper arm |
$821 |
$821 |
$103 |
$32 | |
| X-ray of the wrist |
$1,647 |
$1,647 |
$104 |
$43 | |
| YAG laser capsulotomy (eye) |
$3,952 |
$3,952 |
$712 |
$335 | |
| Zinc blood test |
$298 |
$298 |
$14 |
$11 | |