| Abdominal fluid drain (paracentesis) |
$2,239 |
$6,398 |
$1,409 |
$284 | |
| Abdominal ultrasound |
$1,570 |
$4,485 |
$275 |
$100 | |
| Abdominal ultrasound (complete) |
$1,570 |
$4,485 |
$282 |
$114 | |
| Abdominal ultrasound (limited) |
$926 |
$2,647 |
$233 |
$86 | |
| Abscess drainage (complex or multiple) |
$522 |
$1,492 |
$807 |
$220 | |
| Abscess drainage (simple) |
$167 |
$478 |
$299 |
$129 | |
| Abscess incision and drainage |
$522 |
$1,492 |
$400 |
$174 | |
| Achilles tendon repair |
— |
— |
$6,923 |
$624 | |
| ACL knee reconstruction |
— |
— |
$7,155 |
$889 | |
| Adenoid removal (adenoidectomy) |
— |
— |
$3,313 |
$204 | |
| Albumin blood test |
$77 |
$220 |
$9 |
$5 | |
| Aldosterone test |
$124 |
$354 |
$75 |
$41 | |
| Alkaline phosphatase test |
$24 |
$69 |
$10 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$127 |
$363 |
$31 |
$17 | |
| ALT liver enzyme test |
$26 |
$76 |
$10 |
$5 | |
| Ammonia blood test |
$123 |
$350 |
$27 |
$15 | |
| Amniocentesis |
— |
— |
$881 |
$120 | |
| Amylase test |
$125 |
$358 |
$12 |
$6 | |
| Anal fistula repair |
— |
— |
$2,881 |
$541 | |
| Ankle fracture repair |
— |
— |
$7,155 |
$608 | |
| Ankle replacement |
— |
— |
$7,961 |
$885 | |
| Anoscopy |
$95 |
$270 |
$176 |
$129 | |
| Antinuclear antibody (ANA) test |
$52 |
$149 |
$22 |
$12 | |
| Aortic aneurysm repair (AAA) |
— |
— |
$2,748 |
$1,345 | |
| Aortic valve replacement |
— |
— |
$3,309 |
$1,603 | |
| Appendix removal (appendectomy) |
— |
— |
$17,481 |
$592 | |
| AST liver enzyme test |
$19 |
$53 |
$10 |
$5 | |
| Barium swallow study |
$937 |
$2,678 |
$267 |
$107 | |
| Bartholin cyst removal |
$74 |
$212 |
$202 |
$182 | |
| Basic metabolic panel |
$275 |
$786 |
$16 |
$8 | |
| Benign skin lesion removal |
$328 |
$936 |
$705 |
$171 | |
| Bilirubin blood test |
$56 |
$159 |
$9 |
$5 | |
| Bladder function test (urodynamics) |
— |
— |
$682 |
$345 | |
| Bladder scope (cystoscopy) |
— |
— |
$807 |
$216 | |
| Bladder tumor removal (TURBT) |
— |
— |
$3,541 |
$236 | |
| Blood clotting test (PT/INR) |
$143 |
$409 |
$7 |
$4 | |
| Blood crossmatch |
$250 |
$713 |
$257 |
— | |
| Blood glucose test |
$32 |
$91 |
$8 |
$5 | |
| Blood transfusion |
$560 |
$1,601 |
$807 |
$47 | |
| Blood type and screen |
$139 |
$398 |
$80 |
$10 | |
| Blood type test |
$118 |
$337 |
$86 |
$3 | |
| Blood type test (ABO group) |
$190 |
$542 |
$138 |
$3 | |
| Blood type test (Rh/D antigen) |
$46 |
$132 |
$42 |
$3 | |
| BNP (heart failure) test |
$123 |
$351 |
$63 |
$39 | |
| Bone density scan (DEXA) |
$405 |
$1,158 |
$119 |
$39 | |
| Bone marrow biopsy |
$1,235 |
$3,528 |
$2,430 |
$172 | |
| Bone scan (nuclear) |
$1,979 |
$5,654 |
$836 |
$259 | |
| Botox for migraine |
— |
— |
$302 |
$157 | |
| Brain shunt (VP shunt) |
— |
— |
$2,589 |
$1,023 | |
| Breast biopsy |
$2,395 |
$6,844 |
$2,361 |
$478 | |
| Breast reconstruction |
— |
— |
$6,727 |
$1,227 | |
| Breast reduction |
— |
— |
$6,532 |
$980 | |
| Breast ultrasound |
$1,013 |
$2,896 |
$221 |
$92 | |
| Breast ultrasound (complete) |
$1,157 |
$3,306 |
$264 |
$100 | |
| Breast ultrasound (limited) |
$918 |
$2,622 |
$194 |
$84 | |
| Breathing tube insertion (intubation) |
$238 |
$680 |
$408 |
$133 | |
| Bronchoscopy |
$2,467 |
$7,048 |
$2,591 |
$303 | |
| Bunion surgery (bunionectomy) |
$1,796 |
$5,130 |
$4,251 |
$883 | |
| Burn dressing and debridement (medium) |
$102 |
$292 |
$213 |
$166 | |
| Burn dressing and debridement (small) |
$78 |
$223 |
$199 |
$93 | |
| Burn treatment |
$102 |
$292 |
$204 |
$129 | |
| C-reactive protein (CRP) |
$127 |
$363 |
$10 |
$5 | |
| CA 19-9 tumor marker test |
$90 |
$257 |
$39 |
$21 | |
| CA-125 ovarian marker test |
$102 |
$291 |
$39 |
$21 | |
| Calcium blood test |
$76 |
$216 |
$10 |
$5 | |
| Cardiac catheterization |
$7,873 |
$22,496 |
$6,356 |
$1,049 | |
| Cardiac stress test |
$1,815 |
$5,185 |
$496 |
$39 | |
| Cardioversion |
$864 |
$2,470 |
$931 |
$155 | |
| Carotid artery surgery |
— |
— |
$2,589 |
$1,026 | |
| Carotid artery ultrasound |
$981 |
$2,802 |
$335 |
$156 | |
| Carpal tunnel release |
$1,466 |
$4,188 |
$2,722 |
$483 | |
| Cataract surgery |
$2,776 |
$7,931 |
$3,473 |
$547 | |
| CEA tumor marker test |
$208 |
$594 |
$35 |
$19 | |
| Central line placement |
$829 |
$2,369 |
$1,800 |
$238 | |
| Cervical cerclage |
— |
— |
$3,217 |
$137 | |
| Cervical LEEP procedure |
— |
— |
$3,185 |
$325 | |
| Cesarean section (C-section) |
— |
— |
$9,858 |
$7,552 | |
| Chalazion (eyelid cyst) removal |
— |
— |
$308 |
$131 | |
| Chemotherapy infusion |
$189 |
$539 |
$189 |
$81 | |
| Chemotherapy infusion (each additional) |
$95 |
$270 |
$100 |
$28 | |
| Chemotherapy infusion (first hour) |
$283 |
$808 |
$455 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,241 |
$3,545 |
$1,084 |
$311 | |
| Chest tube insertion |
$1,604 |
$4,583 |
$2,358 |
$143 | |
| Chest X-ray |
$491 |
$1,402 |
$134 |
$37 | |
| Chest X-ray (1 view) |
$442 |
$1,263 |
$132 |
$25 | |
| Chest X-ray (2 views) |
$532 |
$1,521 |
$132 |
$33 | |
| Circumcision |
— |
— |
$2,093 |
$167 | |
| CK-MB heart enzyme test |
$53 |
$151 |
$21 |
$12 | |
| Clotting time test (PTT) |
$155 |
$442 |
$11 |
$6 | |
| Colon resection (colectomy) |
— |
— |
$2,748 |
$1,238 | |
| Colonoscopy |
$1,461 |
$4,174 |
$1,771 |
$480 | |
| Colostomy |
— |
— |
$2,589 |
$1,122 | |
| Colposcopy |
— |
— |
$314 |
$161 | |
| Complete blood count (CBC) |
$95 |
$272 |
$14 |
$7 | |
| Complete blood count (CBC) (complete) |
$86 |
$245 |
$14 |
$8 | |
| Complex wound repair |
— |
— |
$788 |
$390 | |
| Comprehensive metabolic panel |
$378 |
$1,081 |
$20 |
$11 | |
| Contraceptive implant (Nexplanon) |
— |
— |
$400 |
$115 | |
| Copper blood test |
$39 |
$113 |
$23 |
$12 | |
| Corneal transplant |
— |
— |
$4,130 |
$1,066 | |
| Coronary angioplasty / stent (PCI) |
— |
— |
$33,983 |
$426 | |
| Coronary artery bypass (CABG) |
— |
— |
$43,588 |
$36,593 | |
| Coronary CT angiography |
$1,620 |
$4,628 |
$575 |
$326 | |
| Cortisol test |
$160 |
$458 |
$30 |
$16 | |
| COVID-19 PCR test |
$83 |
$237 |
$77 |
$51 | |
| COVID-19 vaccine |
$0 |
$0 |
$0 |
— | |
| CPAP titration study |
$1,476 |
$4,218 |
$352 |
$69 | |
| Craniotomy (brain surgery) |
— |
— |
$3,498 |
$2,161 | |
| Creatine kinase (CK) test |
$63 |
$181 |
$12 |
$7 | |
| CT angiography of the chest |
$2,754 |
$7,869 |
$577 |
$281 | |
| CT angiography of the head |
$3,731 |
$10,660 |
$577 |
$274 | |
| CT scan of the abdomen |
$4,032 |
$11,521 |
$565 |
$230 | |
| CT scan of the abdomen and pelvis |
$5,001 |
$14,287 |
$667 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$5,051 |
$14,431 |
$734 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$5,001 |
$14,287 |
$734 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$4,701 |
$13,431 |
$629 |
$183 | |
| CT scan of the abdomen with and without contrast |
$4,557 |
$13,019 |
$577 |
$259 | |
| CT scan of the abdomen with contrast |
$4,032 |
$11,521 |
$577 |
$230 | |
| CT scan of the abdomen without contrast |
$2,339 |
$6,683 |
$497 |
$136 | |
| CT scan of the arm |
$1,720 |
$4,913 |
$590 |
$199 | |
| CT scan of the arm with contrast |
$1,720 |
$4,913 |
$658 |
$199 | |
| CT scan of the arm without contrast |
$1,376 |
$3,930 |
$497 |
$161 | |
| CT scan of the chest |
$3,760 |
$10,744 |
$562 |
$167 | |
| CT scan of the chest with and without contrast |
$4,400 |
$12,570 |
$577 |
$196 | |
| CT scan of the chest with contrast |
$3,760 |
$10,744 |
$577 |
$167 | |
| CT scan of the chest without contrast |
$2,971 |
$8,488 |
$497 |
$133 | |
| CT scan of the head |
$2,968 |
$8,479 |
$559 |
$148 | |
| CT scan of the head with and without contrast |
$4,055 |
$11,587 |
$577 |
$173 | |
| CT scan of the head with contrast |
$3,462 |
$9,892 |
$577 |
$148 | |
| CT scan of the head without contrast |
$2,473 |
$7,066 |
$497 |
$107 | |
| CT scan of the leg |
$2,439 |
$6,969 |
$562 |
$166 | |
| CT scan of the leg with contrast |
$2,439 |
$6,969 |
$577 |
$166 | |
| CT scan of the leg without contrast |
$1,891 |
$5,402 |
$497 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$5,003 |
$14,294 |
$590 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$5,881 |
$16,803 |
$577 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$5,003 |
$14,294 |
$658 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$3,819 |
$10,911 |
$497 |
$130 | |
| CT scan of the neck |
$2,453 |
$7,008 |
$562 |
$183 | |
| CT scan of the neck (cervical spine) |
$4,160 |
$11,887 |
$590 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$4,865 |
$13,899 |
$577 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$4,160 |
$11,887 |
$658 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$3,200 |
$9,144 |
$497 |
$131 | |
| CT scan of the neck with and without contrast |
$2,944 |
$8,410 |
$577 |
$220 | |
| CT scan of the neck with contrast |
$2,453 |
$7,008 |
$577 |
$183 | |
| CT scan of the neck without contrast |
$1,987 |
$5,677 |
$497 |
$150 | |
| CT scan of the pelvis |
$3,819 |
$10,911 |
$559 |
$226 | |
| CT scan of the pelvis with and without contrast |
$5,437 |
$15,533 |
$577 |
$251 | |
| CT scan of the pelvis with contrast |
$4,924 |
$14,069 |
$577 |
$226 | |
| CT scan of the pelvis without contrast |
$2,846 |
$8,132 |
$497 |
$133 | |
| CT scan of the sinuses |
$2,686 |
$7,673 |
$562 |
$152 | |
| CT scan of the sinuses with and without contrast |
$3,250 |
$9,285 |
$577 |
$184 | |
| CT scan of the sinuses with contrast |
$2,686 |
$7,673 |
$577 |
$152 | |
| CT scan of the sinuses without contrast |
$2,257 |
$6,448 |
$497 |
$128 | |
| D-dimer test |
$151 |
$432 |
$19 |
$10 | |
| Defibrillator (ICD) implant |
$14,192 |
$40,550 |
$28,385 |
$798 | |
| DHEA-sulfate test |
$39 |
$110 |
$41 |
$22 | |
| Diagnostic mammogram |
$582 |
$1,664 |
$669 |
$140 | |
| Dialysis fistula creation |
$3,121 |
$8,917 |
$4,018 |
$601 | |
| Dilation and curettage (D&C) |
$1,146 |
$3,273 |
$2,609 |
$298 | |
| Droopy eyelid repair (ptosis) |
— |
— |
$2,500 |
$745 | |
| Drug screen (urine) |
$116 |
$330 |
$63 |
$17 | |
| Ear tubes (myringotomy) |
— |
— |
$1,484 |
$174 | |
| Eardrum repair (tympanoplasty) |
— |
— |
$5,973 |
$799 | |
| Echocardiogram |
$1,346 |
$3,847 |
$406 |
$138 | |
| Echocardiogram with and without contrast |
$404 |
$1,155 |
$259 |
$101 | |
| Echocardiogram without contrast |
$1,346 |
$3,847 |
$290 |
$138 | |
| EEG (awake and asleep) |
$1,421 |
$4,059 |
$716 |
$482 | |
| EKG / ECG (tracing only) |
$469 |
$1,341 |
$108 |
$7 | |
| Elbow replacement |
— |
— |
$14,557 |
$1,301 | |
| Electrocardiogram (EKG) |
$469 |
$1,341 |
$108 |
$8 | |
| Electroencephalogram (EEG) |
$1,122 |
$3,207 |
$647 |
$448 | |
| Electrolyte panel |
$151 |
$431 |
$13 |
$7 | |
| Electromyography (EMG) |
$240 |
$687 |
$205 |
$141 | |
| Emergency department visit |
$892 |
$2,548 |
$626 |
$69 | |
| Emergency department visit (level 1) |
$237 |
$676 |
$244 |
$11 | |
| Emergency department visit (level 2) |
$508 |
$1,452 |
$433 |
$40 | |
| Emergency department visit (level 3) |
$892 |
$2,548 |
$928 |
$69 | |
| Emergency department visit (level 4) |
$1,351 |
$3,861 |
$1,226 |
$118 | |
| Emergency department visit (level 5) |
$1,753 |
$5,009 |
$1,665 |
$171 | |
| Endometrial biopsy |
— |
— |
$206 |
$98 | |
| Epidural steroid injection |
$2,127 |
$6,078 |
$1,040 |
$275 | |
| ERCP (bile duct endoscopy) |
$1,998 |
$5,709 |
$3,887 |
$311 | |
| Esophageal dilation |
$551 |
$1,575 |
$1,345 |
$522 | |
| Esophageal variceal banding |
— |
— |
$1,938 |
$126 | |
| Estradiol (estrogen) test |
$140 |
$401 |
$52 |
$28 | |
| Eyelid surgery (blepharoplasty) |
— |
— |
$2,025 |
$552 | |
| Facet joint injection (spine) |
— |
— |
$1,338 |
$99 | |
| Fallopian tube X-ray (HSG) |
$384 |
$1,097 |
$495 |
$164 | |
| Fecal occult blood (stool) test |
$29 |
$83 |
$19 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$17 |
$47 |
$7 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$41 |
$118 |
$29 |
$16 | |
| Feeding tube (PEG) placement |
$1,069 |
$3,053 |
$2,033 |
$178 | |
| Femoral hernia repair |
— |
— |
$3,659 |
$584 | |
| Ferritin (iron) test |
$103 |
$295 |
$25 |
$14 | |
| Fibrinogen test |
$92 |
$264 |
$16 |
$10 | |
| Fibroid removal (myomectomy) |
— |
— |
$2,665 |
$914 | |
| Flexible sigmoidoscopy |
$1,201 |
$3,431 |
$1,066 |
$323 | |
| Flu test |
$41 |
$117 |
$26 |
$17 | |
| Folate (folic acid) test |
$64 |
$183 |
$27 |
$15 | |
| Foreign body removal (skin) |
$179 |
$511 |
$383 |
$157 | |
| Free T4 thyroid test |
$75 |
$213 |
$17 |
$9 | |
| FSH hormone test |
$147 |
$421 |
$34 |
$19 | |
| Gallbladder removal (laparoscopic) |
— |
— |
$5,961 |
$658 | |
| Gallbladder scan (HIDA) |
$1,809 |
$5,168 |
$1,050 |
$334 | |
| Ganglion cyst removal |
— |
— |
$1,783 |
$321 | |
| GGT liver test |
$59 |
$170 |
$13 |
$7 | |
| Glaucoma surgery |
— |
— |
$2,478 |
$984 | |
| Glucose tolerance test |
$65 |
$185 |
$17 |
$8 | |
| Hammertoe repair |
$1,029 |
$2,940 |
$3,250 |
$548 | |
| HDL cholesterol test |
$55 |
$157 |
$15 |
$8 | |
| Hematocrit test |
$53 |
$152 |
$4 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$72 |
$207 |
$18 |
$10 | |
| Hemorrhoid removal |
$328 |
$937 |
$1,066 |
$338 | |
| Hepatitis B test |
$102 |
$291 |
$19 |
$10 | |
| Hepatitis C test |
$78 |
$222 |
$26 |
$14 | |
| Hip arthroscopy |
— |
— |
$7,298 |
$931 | |
| Hip fracture repair |
— |
— |
$3,478 |
$1,120 | |
| Hip replacement |
— |
— |
$12,888 |
$1,162 | |
| HIV test |
$115 |
$328 |
$25 |
$19 | |
| HIV test (antibody) |
$115 |
$328 |
$25 |
$14 | |
| Holter heart monitor |
$584 |
$1,670 |
$178 |
$26 | |
| Hydrocele repair |
— |
— |
$3,600 |
$315 | |
| Hysterectomy |
— |
— |
$8,019 |
$933 | |
| Hysteroscopy |
— |
— |
$3,299 |
$1,270 | |
| Ileostomy |
— |
— |
$2,589 |
$968 | |
| Incisional hernia repair |
— |
— |
$5,321 |
— | |
| Inguinal hernia repair |
— |
— |
$3,641 |
$538 | |
| Iron blood test |
$74 |
$211 |
$12 |
$6 | |
| IUD insertion |
— |
— |
$597 |
— | |
| IUD removal |
$131 |
$374 |
$284 |
$112 | |
| IV infusion therapy |
$359 |
$1,027 |
$211 |
$44 | |
| IV infusion therapy (each additional) |
$198 |
$565 |
$85 |
$21 | |
| IV infusion therapy (initial) |
$521 |
$1,488 |
$226 |
$67 | |
| IVC filter placement |
$4,283 |
$12,238 |
$7,343 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$295 |
$844 |
$507 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$295 |
$844 |
$507 |
$57 | |
| Joint aspiration or injection (small joint) |
$278 |
$794 |
$476 |
$56 | |
| Kidney biopsy |
$957 |
$2,734 |
$1,777 |
$492 | |
| Kidney removal (nephrectomy) |
— |
— |
$2,735 |
$1,164 | |
| Kidney scan (nuclear) |
$1,287 |
$3,676 |
$809 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$7,212 |
$20,605 |
$5,182 |
$760 | |
| Kidney ultrasound |
$1,183 |
$3,381 |
$247 |
$84 | |
| Kidney ultrasound (limited) |
$474 |
$1,353 |
$173 |
$61 | |
| Knee arthroscopy |
$1,906 |
$5,445 |
$3,630 |
$524 | |
| Knee joint injection |
$335 |
$957 |
$574 |
$69 | |
| Knee replacement |
— |
— |
$22,273 |
$18,054 | |
| Lactate test |
$79 |
$225 |
$20 |
$12 | |
| Laminectomy (spine) |
— |
— |
$7,155 |
$1,157 | |
| Laryngoscopy |
$123 |
$352 |
$499 |
$189 | |
| LDH test |
$47 |
$136 |
$11 |
$6 | |
| LDL cholesterol test |
$32 |
$93 |
$18 |
$11 | |
| Leg artery angiogram |
$2,909 |
$8,312 |
$3,640 |
$149 | |
| Leg artery angioplasty |
$8,022 |
$22,920 |
$8,862 |
— | |
| Leg vein ultrasound (Doppler) |
$1,402 |
$4,005 |
$326 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,007 |
$2,876 |
$229 |
$116 | |
| LH hormone test |
$105 |
$301 |
$34 |
$19 | |
| Lipase test |
$129 |
$368 |
$13 |
$7 | |
| Lipid (cholesterol) panel |
$124 |
$355 |
$25 |
$13 | |
| Liver biopsy |
$1,235 |
$3,528 |
$2,117 |
$288 | |
| Liver function panel |
$268 |
$765 |
$15 |
$8 | |
| Lower back (lumbar) spinal fusion |
— |
— |
$4,825 |
$1,511 | |
| Lumbar discectomy |
— |
— |
$7,155 |
$898 | |
| Lumpectomy (breast) |
$1,708 |
$4,879 |
$3,951 |
$750 | |
| Lung function test (PFT) |
$490 |
$1,400 |
$359 |
$37 | |
| Lung scan (V/Q) |
$1,009 |
$2,883 |
$901 |
$291 | |
| Magnesium blood test |
$128 |
$367 |
$12 |
$7 | |
| Mastectomy |
— |
— |
$6,532 |
$1,021 | |
| Mastoidectomy |
— |
— |
$5,925 |
$840 | |
| Meniscus repair (knee) |
$1,393 |
$3,981 |
$3,315 |
$714 | |
| Mohs skin cancer surgery |
— |
— |
$876 |
$535 | |
| MRA of the brain |
$1,562 |
$4,462 |
$1,023 |
$226 | |
| MRA of the brain with contrast |
$1,600 |
$4,571 |
$1,050 |
$226 | |
| MRA of the brain without contrast |
$2,331 |
$6,660 |
$1,056 |
$328 | |
| MRA of the neck |
$3,514 |
$10,039 |
$1,023 |
$245 | |
| MRA of the neck with contrast |
$3,744 |
$10,696 |
$1,050 |
$245 | |
| MRA of the neck without contrast |
$5,254 |
$15,012 |
$1,081 |
$343 | |
| MRI of the abdomen |
$4,443 |
$12,693 |
$1,050 |
$300 | |
| MRI of the abdomen with contrast |
$4,443 |
$12,693 |
$1,050 |
$300 | |
| MRI of the abdomen without contrast |
$2,863 |
$8,180 |
$1,014 |
$194 | |
| MRI of the ankle |
$3,380 |
$9,659 |
$1,023 |
$261 | |
| MRI of the ankle with contrast |
$4,065 |
$11,614 |
$1,050 |
$261 | |
| MRI of the ankle without contrast |
$2,513 |
$7,181 |
$1,014 |
$222 | |
| MRI of the brain |
$4,141 |
$11,832 |
$1,024 |
$269 | |
| MRI of the brain with contrast |
$4,141 |
$11,832 |
$1,050 |
$269 | |
| MRI of the brain without contrast |
$3,001 |
$8,574 |
$1,014 |
$195 | |
| MRI of the chest |
$1,717 |
$4,906 |
$1,119 |
$371 | |
| MRI of the chest with contrast |
$1,338 |
$3,822 |
$1,187 |
$371 | |
| MRI of the chest without contrast |
$1,904 |
$5,441 |
$1,085 |
$466 | |
| MRI of the knee |
$5,276 |
$15,074 |
$1,085 |
$315 | |
| MRI of the knee with contrast |
$5,276 |
$15,074 |
$1,187 |
$315 | |
| MRI of the knee without contrast |
$4,251 |
$12,146 |
$1,014 |
$204 | |
| MRI of the lower back (lumbar spine) |
$4,100 |
$11,715 |
$1,038 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$4,100 |
$11,715 |
$1,050 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,887 |
$8,250 |
$1,014 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$3,444 |
$9,839 |
$1,041 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$4,041 |
$11,547 |
$1,050 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$3,444 |
$9,839 |
$1,050 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,391 |
$6,832 |
$1,014 |
$190 | |
| MRI of the neck (cervical spine) |
$4,858 |
$13,879 |
$1,039 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$5,598 |
$15,994 |
$1,050 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$4,858 |
$13,879 |
$1,050 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$3,493 |
$9,979 |
$1,014 |
$191 | |
| MRI of the pelvis |
$4,442 |
$12,692 |
$1,050 |
$268 | |
| MRI of the pelvis with contrast |
$3,949 |
$11,282 |
$1,050 |
$268 | |
| MRI of the pelvis without contrast |
$3,357 |
$9,590 |
$1,014 |
$227 | |
| MRI of the shoulder |
$5,164 |
$14,753 |
$1,085 |
$313 | |
| MRI of the shoulder with contrast |
$5,164 |
$14,753 |
$1,187 |
$313 | |
| MRI of the shoulder without contrast |
$4,106 |
$11,730 |
$1,014 |
$205 | |
| MRI of the wrist |
$2,356 |
$6,730 |
$1,050 |
$330 | |
| MRI of the wrist with contrast |
$3,533 |
$10,094 |
$1,058 |
$330 | |
| MRI of the wrist without contrast |
$2,925 |
$8,358 |
$1,014 |
$303 | |
| Nebulizer breathing treatment |
$209 |
$596 |
$336 |
$9 | |
| Neck (cervical) spinal fusion |
— |
— |
$11,425 |
$1,410 | |
| Nuclear cardiac stress test |
$5,327 |
$15,221 |
$1,399 |
$428 | |
| Occupational therapy evaluation |
$331 |
$945 |
$468 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$415 |
$1,186 |
$520 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$249 |
$710 |
$462 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$331 |
$945 |
$567 |
$101 | |
| Orthopedic hardware removal |
— |
— |
$3,067 |
$632 | |
| Ovarian cyst removal |
— |
— |
$5,043 |
$698 | |
| Ovary removal (oophorectomy) |
— |
— |
$2,430 |
$822 | |
| Pacemaker insertion |
— |
— |
$23,546 |
$15,506 | |
| Parathyroid hormone (PTH) test |
$129 |
$369 |
$76 |
$41 | |
| Parathyroid removal |
— |
— |
$5,925 |
$891 | |
| Pelvic ultrasound |
$766 |
$2,187 |
$207 |
$78 | |
| Pelvic ultrasound (complete) |
$1,041 |
$2,976 |
$272 |
$105 | |
| Pelvic ultrasound (limited) |
$490 |
$1,399 |
$162 |
$51 | |
| Phosphorus blood test |
$162 |
$463 |
$9 |
$5 | |
| Physical therapy evaluation |
$272 |
$776 |
$407 |
$98 | |
| Physical therapy evaluation (high complexity) |
$340 |
$970 |
$582 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$272 |
$776 |
$480 |
$98 | |
| Pilonidal cyst removal |
— |
— |
$2,938 |
$541 | |
| Platelet count |
$147 |
$419 |
$8 |
$4 | |
| Pneumonia vaccine |
$177 |
$505 |
$162 |
— | |
| Pregnancy ultrasound |
$938 |
$2,681 |
$229 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$938 |
$2,681 |
$222 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$1,089 |
$3,110 |
$277 |
$136 | |
| Procalcitonin test |
$133 |
$381 |
$50 |
$27 | |
| Prolactin test |
$154 |
$439 |
$36 |
$19 | |
| Prostate biopsy |
$908 |
$2,594 |
$2,037 |
— | |
| Prostate removal (prostatectomy) |
— |
— |
$7,337 |
$1,063 | |
| Prostate surgery (TURP) |
— |
— |
$5,219 |
$526 | |
| Prostate test (PSA) |
$108 |
$309 |
$34 |
$18 | |
| Pterygium removal (eye) |
— |
— |
$2,395 |
$540 | |
| Radiofrequency nerve ablation |
— |
— |
$2,059 |
$462 | |
| Retinal detachment repair |
— |
— |
$4,110 |
$966 | |
| Rotator cuff repair |
— |
— |
$7,155 |
$792 | |
| Sacroiliac joint injection |
$1,620 |
$4,628 |
$2,892 |
$176 | |
| Screening colonoscopy |
$1,376 |
$3,932 |
$1,370 |
$378 | |
| Screening mammogram |
$313 |
$893 |
$527 |
$126 | |
| Scrotal ultrasound |
$908 |
$2,595 |
$267 |
$99 | |
| Sedimentation rate (ESR) test |
$72 |
$205 |
$7 |
$3 | |
| Semen analysis |
$44 |
$127 |
$27 |
$12 | |
| Septoplasty (deviated septum) |
— |
— |
$3,313 |
$613 | |
| Shoulder arthroscopy |
— |
— |
$7,155 |
$962 | |
| Shoulder replacement |
— |
— |
$8,150 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$101 |
$290 |
$203 |
$114 | |
| Simple wound stitches |
$99 |
$283 |
$203 |
$127 | |
| Sinus surgery (endoscopic) |
— |
— |
$5,069 |
$224 | |
| Skin biopsy |
$305 |
$872 |
$547 |
$121 | |
| Skin biopsy (punch) |
$319 |
$911 |
$428 |
$121 | |
| Skin cancer lesion removal |
— |
— |
$705 |
$240 | |
| Skin graft |
$1,481 |
$4,232 |
$2,751 |
$898 | |
| Skin lesion freezing (cryotherapy) |
— |
— |
$301 |
$36 | |
| Skin tag removal |
$74 |
$212 |
$199 |
$92 | |
| Sleep study (polysomnography) |
$3,168 |
$9,051 |
$1,566 |
$691 | |
| Small bowel resection |
— |
— |
$2,602 |
$1,136 | |
| Soft tissue ultrasound |
$981 |
$2,802 |
$164 |
$64 | |
| Speech therapy |
$257 |
$733 |
$476 |
$76 | |
| Spinal cord stimulator |
— |
— |
$6,705 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$583 |
$1,666 |
$1,062 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$5,757 |
$16,449 |
$7,656 |
$5,803 | |
| Spirometry (lung function test) |
$224 |
$641 |
$264 |
$30 | |
| Spirometry with bronchodilator |
$756 |
$2,160 |
$455 |
$43 | |
| Spleen removal (splenectomy) |
— |
— |
$7,164 |
$1,036 | |
| Stomach removal (gastrectomy) |
— |
— |
$3,144 |
$1,595 | |
| Strabismus (eye muscle) surgery |
— |
— |
$3,337 |
$475 | |
| Stress echocardiogram |
$2,340 |
$6,685 |
$763 |
$209 | |
| Stress echocardiogram (complete) |
$2,340 |
$6,685 |
$763 |
$233 | |
| Swallow study |
$286 |
$817 |
$531 |
$85 | |
| T3 thyroid test |
$114 |
$326 |
$26 |
$14 | |
| Testicle removal (orchiectomy) |
— |
— |
$3,541 |
$306 | |
| Testosterone test |
$96 |
$275 |
$48 |
$26 | |
| Thyroid removal (thyroidectomy) |
— |
— |
$5,943 |
$1,004 | |
| Thyroid test (TSH) |
$146 |
$417 |
$31 |
$17 | |
| Thyroid ultrasound |
$1,026 |
$2,932 |
$292 |
$109 | |
| Thyroid uptake scan |
$734 |
$2,097 |
$572 |
$145 | |
| Tilt table test |
$1,933 |
$5,524 |
$797 |
$168 | |
| Tonsillectomy |
— |
— |
$3,901 |
$252 | |
| Total IgE allergy test |
$125 |
$357 |
$30 |
$16 | |
| Total protein test |
$74 |
$212 |
$7 |
$4 | |
| Tracheostomy |
$2,687 |
$7,678 |
$4,631 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$1,954 |
$5,582 |
$577 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,954 |
$5,582 |
$577 |
$239 | |
| Transvaginal ultrasound |
$720 |
$2,056 |
$271 |
$118 | |
| Trigger finger release |
— |
— |
$1,783 |
$630 | |
| Trigger point injection |
$375 |
$1,072 |
$444 |
$56 | |
| Trigger point injection (1-2 muscles) |
$375 |
$1,072 |
$643 |
$52 | |
| Triglycerides test |
$70 |
$200 |
$11 |
$6 | |
| Troponin (heart) test |
$131 |
$373 |
$19 |
$12 | |
| Tubal ligation |
— |
— |
$5,844 |
$333 | |
| Turbinate reduction |
— |
— |
$3,248 |
$294 | |
| Turning a breech baby (version) |
— |
— |
$3,280 |
$94 | |
| Ulnar nerve surgery (elbow) |
— |
— |
$2,037 |
$575 | |
| Umbilical hernia repair |
— |
— |
$5,321 |
— | |
| Upper GI endoscopy (EGD) |
$1,164 |
$3,327 |
$1,409 |
$371 | |
| Upper GI series (barium) |
$750 |
$2,144 |
$267 |
$128 | |
| Ureteral stent placement |
— |
— |
$3,541 |
$373 | |
| Ureteroscopy (stone removal) |
$9,003 |
$25,723 |
$6,690 |
$365 | |
| Uric acid (gout) test |
$126 |
$360 |
$8 |
$5 | |
| Urinalysis |
$76 |
$216 |
$6 |
$3 | |
| Urine microalbumin test |
$62 |
$177 |
$10 |
$5 | |
| Urine pregnancy test |
$114 |
$326 |
$14 |
$9 | |
| Vaccine administration |
$75 |
$215 |
$103 |
$19 | |
| Vaginal delivery |
— |
— |
$7,066 |
$5,487 | |
| Varicocele repair |
— |
— |
$3,541 |
$327 | |
| Varicose vein ablation |
— |
— |
$3,431 |
$1,018 | |
| Vasectomy |
— |
— |
$2,103 |
$347 | |
| Vitamin B12 test |
$71 |
$203 |
$28 |
$15 | |
| Vitamin D test |
$96 |
$274 |
$55 |
$30 | |
| Vitrectomy (eye) |
— |
— |
$4,110 |
$814 | |
| Vocal cord injection |
— |
— |
$3,693 |
$211 | |
| Wart removal |
— |
— |
$299 |
$121 | |
| Weight-loss (bariatric) surgery |
— |
— |
$17,641 |
$11,645 | |
| Whipple procedure (pancreas) |
— |
— |
$3,852 |
$2,871 | |
| Wound debridement |
$1,139 |
$3,253 |
$1,076 |
$186 | |
| Wrist fracture repair |
— |
— |
$7,160 |
$735 | |
| X-ray of the abdomen |
$520 |
$1,487 |
$160 |
$36 | |
| X-ray of the ankle |
$615 |
$1,757 |
$132 |
$37 | |
| X-ray of the collarbone |
$397 |
$1,135 |
$132 |
$33 | |
| X-ray of the elbow |
$536 |
$1,531 |
$132 |
$33 | |
| X-ray of the facial bones |
$312 |
$892 |
$154 |
$39 | |
| X-ray of the foot |
$621 |
$1,774 |
$132 |
$34 | |
| X-ray of the forearm |
$474 |
$1,353 |
$132 |
$29 | |
| X-ray of the hand |
$535 |
$1,529 |
$132 |
$38 | |
| X-ray of the hip |
$474 |
$1,354 |
$140 |
$49 | |
| X-ray of the hip (1 view) |
$387 |
$1,106 |
$132 |
$34 | |
| X-ray of the hip (3 views) |
$561 |
$1,602 |
$138 |
$49 | |
| X-ray of the hip (4 views) |
$707 |
$2,019 |
$173 |
$63 | |
| X-ray of the knee |
$595 |
$1,701 |
$140 |
$42 | |
| X-ray of the knee (2 views) |
$494 |
$1,412 |
$132 |
$34 | |
| X-ray of the knee (3 views) |
$595 |
$1,701 |
$134 |
$42 | |
| X-ray of the knee (4+ views) |
$685 |
$1,957 |
$160 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$927 |
$2,648 |
$163 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$714 |
$2,040 |
$160 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$927 |
$2,648 |
$163 |
$53 | |
| X-ray of the lower leg |
$584 |
$1,668 |
$132 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$745 |
$2,128 |
$160 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$425 |
$1,214 |
$160 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$745 |
$2,128 |
$160 |
$39 | |
| X-ray of the neck (cervical spine) |
$603 |
$1,724 |
$160 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$513 |
$1,466 |
$132 |
$40 | |
| X-ray of the pelvis |
$457 |
$1,307 |
$160 |
$36 | |
| X-ray of the pelvis (1 view) |
$457 |
$1,307 |
$160 |
$28 | |
| X-ray of the ribs |
$566 |
$1,618 |
$160 |
$42 | |
| X-ray of the ribs (3 views) |
$566 |
$1,618 |
$160 |
$42 | |
| X-ray of the shoulder |
$635 |
$1,814 |
$132 |
$36 | |
| X-ray of the skull |
$235 |
$670 |
$160 |
$40 | |
| X-ray of the upper arm |
$446 |
$1,273 |
$132 |
$32 | |
| X-ray of the wrist |
$539 |
$1,540 |
$134 |
$43 | |
| YAG laser capsulotomy (eye) |
— |
— |
$780 |
$335 | |
| Zinc blood test |
$22 |
$62 |
$21 |
$11 | |