| 3D mammogram (tomosynthesis) |
$18 |
$30 |
$30 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,880 |
$3,133 |
$1,366 |
$284 | |
| Abdominal ultrasound |
$661 |
$1,101 |
$385 |
$100 | |
| Abdominal ultrasound (complete) |
$1,123 |
$1,871 |
$553 |
$114 | |
| Abdominal ultrasound (limited) |
$661 |
$1,101 |
$374 |
$86 | |
| Abscess drainage (complex or multiple) |
$521 |
$869 |
$515 |
$220 | |
| Abscess drainage (simple) |
$447 |
$745 |
$325 |
$129 | |
| Abscess incision and drainage |
$447 |
$745 |
$392 |
$174 | |
| Achilles tendon repair |
$24,481 |
$40,801 |
$3,727 |
$624 | |
| ACL knee reconstruction |
$42,118 |
$70,196 |
$4,334 |
$889 | |
| Adenoid removal (adenoidectomy) |
$20,785 |
$34,641 |
$4,033 |
$204 | |
| Amniocentesis |
$3,160 |
$5,267 |
$742 |
$120 | |
| Anal fistula repair |
$13,530 |
$22,549 |
$3,915 |
$541 | |
| Ankle fracture repair |
$36,612 |
$61,021 |
$3,727 |
$608 | |
| Annual physical (established patient) |
$111 |
$185 |
$111 |
— | |
| Annual physical (new patient) |
$140 |
$233 |
$140 |
— | |
| Anoscopy |
$314 |
$523 |
$310 |
$129 | |
| Aortic valve replacement |
$10,462 |
$17,436 |
$10,336 |
$1,603 | |
| Barium swallow study |
$721 |
$1,202 |
$368 |
$107 | |
| Bartholin cyst removal |
$1,053 |
$1,756 |
$283 |
$182 | |
| Benign skin lesion removal |
$745 |
$1,241 |
$736 |
$171 | |
| Bladder function test (urodynamics) |
$1,097 |
$1,829 |
$825 |
$345 | |
| Bladder tumor removal (TURBT) |
$18,897 |
$31,495 |
$3,442 |
$236 | |
| Bone marrow biopsy |
$16,354 |
$27,257 |
$2,431 |
$172 | |
| Bone scan (nuclear) |
$1,873 |
$3,121 |
$1,248 |
$259 | |
| Botox for migraine |
$2,029 |
$3,382 |
$630 |
$157 | |
| Breast biopsy |
$6,216 |
$10,360 |
$2,250 |
$478 | |
| Breast reconstruction |
$70,925 |
$118,209 |
$7,119 |
$1,227 | |
| Breast reduction |
$30,627 |
$51,046 |
$5,620 |
$980 | |
| Breast ultrasound |
$329 |
$549 |
$222 |
$92 | |
| Breast ultrasound (complete) |
$329 |
$549 |
$249 |
$100 | |
| Breast ultrasound (limited) |
$256 |
$426 |
$196 |
$84 | |
| Breathing tube insertion (intubation) |
$467 |
$778 |
$506 |
$133 | |
| Bronchoscopy |
$6,857 |
$11,428 |
$3,716 |
$303 | |
| Burn dressing and debridement (medium) |
$740 |
$1,234 |
$830 |
$166 | |
| Burn dressing and debridement (small) |
$451 |
$752 |
$492 |
$93 | |
| Burn treatment |
$451 |
$752 |
$566 |
$129 | |
| Capsule endoscopy |
$2,187 |
$3,645 |
$2,165 |
$802 | |
| Cardiac ablation |
$59,167 |
$98,612 |
$42,995 |
$759 | |
| Cardiac catheterization |
$57,945 |
$96,575 |
$3,967 |
$1,049 | |
| Cardiac MRI |
$2,202 |
$3,671 |
$1,405 |
$322 | |
| Cardiac MRI without contrast |
$1,934 |
$3,223 |
$1,289 |
$280 | |
| Cardiac rehabilitation |
$337 |
$562 |
$333 |
$26 | |
| Cardiac stress test |
$753 |
$1,255 |
$753 |
$39 | |
| Cardioversion |
$1,432 |
$2,386 |
$1,056 |
$155 | |
| Carotid artery ultrasound |
$840 |
$1,400 |
$942 |
$156 | |
| Cataract surgery |
$24,427 |
$40,711 |
$6,178 |
$547 | |
| Central line placement |
$1,279 |
$2,131 |
$1,263 |
$238 | |
| Cervical cerclage |
$9,011 |
$15,018 |
$2,900 |
$137 | |
| Cervical LEEP procedure |
$3,492 |
$5,820 |
$3,258 |
$325 | |
| Cesarean section (C-section) |
$26,289 |
$43,815 |
$8,189 |
$7,552 | |
| Chemotherapy infusion |
$521 |
$869 |
$430 |
$81 | |
| Chemotherapy infusion (each additional) |
$158 |
$263 |
$188 |
$28 | |
| Chemotherapy infusion (first hour) |
$884 |
$1,474 |
$874 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,783 |
$2,972 |
$1,124 |
$311 | |
| Chest tube insertion |
$1,656 |
$2,760 |
$1,546 |
$143 | |
| Chest X-ray |
$839 |
$1,398 |
$380 |
$37 | |
| Chest X-ray (1 view) |
$490 |
$817 |
$356 |
$25 | |
| Chest X-ray (2 views) |
$818 |
$1,364 |
$380 |
$33 | |
| Chickenpox (varicella) vaccine |
$164 |
$273 |
$213 |
— | |
| Circumcision |
$1,358 |
$2,263 |
$1,351 |
$167 | |
| Colonoscopy |
$9,442 |
$15,737 |
$1,911 |
$480 | |
| Colposcopy |
$1,672 |
$2,787 |
$742 |
$161 | |
| Contraceptive implant (Nexplanon) |
$578 |
$964 |
$354 |
$115 | |
| Corneal transplant |
$38,875 |
$64,791 |
$6,266 |
$1,066 | |
| Coronary artery bypass (CABG) |
$140,277 |
$233,794 |
$55,626 |
$36,593 | |
| Coronary CT angiography |
$1,004 |
$1,674 |
$959 |
$326 | |
| CPAP titration study |
$2,482 |
$4,137 |
$1,416 |
$69 | |
| CT angiography of the chest |
$2,321 |
$3,868 |
$1,210 |
$281 | |
| CT angiography of the head |
$2,255 |
$3,759 |
$1,210 |
$274 | |
| CT scan of the abdomen |
$1,855 |
$3,091 |
$1,210 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,961 |
$4,935 |
$1,210 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,889 |
$6,481 |
$1,210 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,961 |
$4,935 |
$1,210 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,813 |
$4,688 |
$1,210 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,097 |
$3,495 |
$1,210 |
$259 | |
| CT scan of the abdomen with contrast |
$1,855 |
$3,091 |
$1,210 |
$230 | |
| CT scan of the abdomen without contrast |
$1,737 |
$2,895 |
$1,210 |
$136 | |
| CT scan of the arm |
$1,724 |
$2,873 |
$1,210 |
$199 | |
| CT scan of the arm with contrast |
$1,642 |
$2,736 |
$1,193 |
$199 | |
| CT scan of the arm without contrast |
$1,564 |
$2,606 |
$1,136 |
$161 | |
| CT scan of the chest |
$1,918 |
$3,196 |
$1,210 |
$167 | |
| CT scan of the chest with and without contrast |
$2,097 |
$3,495 |
$1,210 |
$196 | |
| CT scan of the chest with contrast |
$1,918 |
$3,196 |
$1,210 |
$167 | |
| CT scan of the chest without contrast |
$1,893 |
$3,155 |
$1,210 |
$133 | |
| CT scan of the head |
$1,955 |
$3,258 |
$1,210 |
$148 | |
| CT scan of the head with and without contrast |
$2,148 |
$3,580 |
$1,210 |
$173 | |
| CT scan of the head with contrast |
$2,134 |
$3,557 |
$1,210 |
$148 | |
| CT scan of the head without contrast |
$1,775 |
$2,959 |
$1,210 |
$107 | |
| CT scan of the leg |
$2,563 |
$4,271 |
$1,210 |
$166 | |
| CT scan of the leg with contrast |
$2,495 |
$4,159 |
$1,210 |
$166 | |
| CT scan of the leg without contrast |
$2,382 |
$3,970 |
$1,210 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,940 |
$3,234 |
$1,210 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,046 |
$3,410 |
$1,210 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,940 |
$3,234 |
$1,210 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,911 |
$3,185 |
$1,210 |
$130 | |
| CT scan of the neck |
$1,621 |
$2,702 |
$1,145 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,940 |
$3,234 |
$1,210 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,046 |
$3,410 |
$1,210 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,940 |
$3,234 |
$1,210 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,911 |
$3,185 |
$1,210 |
$131 | |
| CT scan of the neck with and without contrast |
$1,963 |
$3,271 |
$1,210 |
$220 | |
| CT scan of the neck with contrast |
$1,621 |
$2,702 |
$1,178 |
$183 | |
| CT scan of the neck without contrast |
$1,394 |
$2,324 |
$1,013 |
$150 | |
| CT scan of the pelvis |
$1,747 |
$2,911 |
$1,187 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,860 |
$3,100 |
$1,210 |
$251 | |
| CT scan of the pelvis with contrast |
$1,747 |
$2,911 |
$1,210 |
$226 | |
| CT scan of the pelvis without contrast |
$1,571 |
$2,619 |
$1,142 |
$133 | |
| CT scan of the sinuses |
$1,911 |
$3,185 |
$1,210 |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,241 |
$3,735 |
$1,210 |
$184 | |
| CT scan of the sinuses with contrast |
$2,134 |
$3,557 |
$1,210 |
$152 | |
| CT scan of the sinuses without contrast |
$1,911 |
$3,185 |
$1,210 |
$128 | |
| Defibrillator (ICD) implant |
$62,282 |
$103,803 |
$27,595 |
$798 | |
| Diagnostic mammogram |
$125 |
$209 |
$142 |
$140 | |
| Dialysis fistula creation |
$25,000 |
$41,667 |
$3,354 |
$601 | |
| Dilation and curettage (D&C) |
$8,666 |
$14,443 |
$2,169 |
$298 | |
| Ear pressure test (tympanometry) |
$53 |
$89 |
$60 |
$16 | |
| Eardrum repair (tympanoplasty) |
$27,776 |
$46,294 |
$5,240 |
$799 | |
| Echocardiogram |
$1,711 |
$2,851 |
$1,253 |
$138 | |
| Echocardiogram with and without contrast |
$800 |
$1,334 |
$792 |
$101 | |
| Echocardiogram without contrast |
$1,711 |
$2,851 |
$1,432 |
$138 | |
| EEG (awake and asleep) |
$1,529 |
$2,548 |
$1,715 |
$482 | |
| Electroencephalogram (EEG) |
$1,529 |
$2,548 |
$1,715 |
$448 | |
| Electromyography (EMG) |
$402 |
$670 |
$441 |
$141 | |
| Emergency department visit |
$1,207 |
$2,011 |
$703 |
$69 | |
| Emergency department visit (level 1) |
$193 |
$321 |
$190 |
$11 | |
| Emergency department visit (level 2) |
$560 |
$933 |
$553 |
$40 | |
| Emergency department visit (level 3) |
$1,207 |
$2,011 |
$1,192 |
$69 | |
| Emergency department visit (level 4) |
$1,625 |
$2,708 |
$1,605 |
$118 | |
| Emergency department visit (level 5) |
$2,658 |
$4,430 |
$2,626 |
$171 | |
| Endometrial biopsy |
$2,783 |
$4,638 |
$742 |
$98 | |
| Epidural steroid injection |
$2,088 |
$3,481 |
$1,142 |
$275 | |
| ERCP (bile duct endoscopy) |
$9,640 |
$16,066 |
$3,258 |
$311 | |
| Facet joint injection (spine) |
$1,184 |
$1,973 |
$985 |
$99 | |
| Fallopian tube X-ray (HSG) |
$997 |
$1,662 |
$311 |
$164 | |
| Fecal occult blood (stool) test |
$17 |
$28 |
$8 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$17 |
$28 |
$8 |
$4 | |
| Flexible sigmoidoscopy |
$6,401 |
$10,668 |
$1,033 |
$323 | |
| Flu test |
$178 |
$297 |
$29 |
$17 | |
| Foreign body removal (skin) |
$850 |
$1,416 |
$839 |
$157 | |
| Gallbladder scan (HIDA) |
$1,855 |
$3,091 |
$1,300 |
$334 | |
| Hammertoe repair |
$16,642 |
$27,736 |
$3,457 |
$548 | |
| Hemoglobin A1c (diabetes test) |
$329 |
$548 |
$13 |
$10 | |
| Hepatitis A vaccine |
$77 |
$128 |
$95 |
— | |
| Hepatitis B vaccine |
$64 |
$107 |
$84 |
— | |
| Hip replacement |
$49,254 |
$82,090 |
$14,737 |
$1,162 | |
| HPV vaccine |
$240 |
$401 |
$301 |
— | |
| Hysterectomy |
$43,559 |
$72,598 |
$10,858 |
$933 | |
| Hysteroscopy |
$6,532 |
$10,886 |
$4,354 |
$1,270 | |
| Incisional hernia repair |
$26,846 |
$44,744 |
$1,096 |
— | |
| IUD insertion |
$2,835 |
$4,726 |
$441 |
— | |
| IUD removal |
$481 |
$802 |
$70 |
$112 | |
| IV infusion therapy |
$584 |
$973 |
$350 |
$44 | |
| IV infusion therapy (each additional) |
$263 |
$438 |
$285 |
$21 | |
| IV infusion therapy (initial) |
$584 |
$973 |
$577 |
$67 | |
| IVC filter placement |
$7,538 |
$12,564 |
$7,448 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$572 |
$953 |
$404 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$572 |
$953 |
$472 |
$57 | |
| Joint aspiration or injection (small joint) |
$398 |
$664 |
$302 |
$56 | |
| Kidney biopsy |
$1,655 |
$2,758 |
$2,065 |
$492 | |
| Kidney scan (nuclear) |
$1,151 |
$1,918 |
$836 |
$172 | |
| Kidney ultrasound |
$1,041 |
$1,735 |
$429 |
$84 | |
| Kidney ultrasound (limited) |
$644 |
$1,073 |
$365 |
$61 | |
| Knee arthroscopy |
$16,822 |
$28,036 |
$4,058 |
$524 | |
| Knee joint injection |
$922 |
$1,537 |
$551 |
$69 | |
| Knee replacement |
$61,895 |
$103,158 |
$28,638 |
$18,054 | |
| Laminectomy (spine) |
$44,953 |
$74,921 |
$8,221 |
$1,157 | |
| Laryngoscopy |
$3,593 |
$5,988 |
$588 |
$189 | |
| Leg artery angiogram |
$4,379 |
$7,299 |
$1,825 |
$149 | |
| Leg artery angioplasty |
$50,921 |
$84,869 |
$11,749 |
— | |
| Leg vein ultrasound (Doppler) |
$1,280 |
$2,133 |
$1,119 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,280 |
$2,133 |
$1,119 |
$116 | |
| Liver biopsy |
$1,891 |
$3,151 |
$2,048 |
$288 | |
| Lumbar discectomy |
$28,330 |
$47,217 |
$8,830 |
$898 | |
| Lumpectomy (breast) |
$34,842 |
$58,070 |
$5,203 |
$750 | |
| Lung function test (PFT) |
$410 |
$683 |
$406 |
$37 | |
| Lung scan (V/Q) |
$2,089 |
$3,482 |
$1,393 |
$291 | |
| Mastoidectomy |
$46,754 |
$77,924 |
$6,243 |
$840 | |
| Meniscus repair (knee) |
$34,615 |
$57,691 |
$3,727 |
$714 | |
| MMR vaccine |
$84 |
$139 |
$109 |
— | |
| MRA of the brain |
$2,795 |
$4,659 |
$1,607 |
$226 | |
| MRA of the brain with contrast |
$2,795 |
$4,659 |
$1,561 |
$226 | |
| MRA of the brain without contrast |
$3,277 |
$5,461 |
$1,911 |
$328 | |
| MRA of the neck |
$2,347 |
$3,911 |
$1,417 |
$245 | |
| MRA of the neck with contrast |
$2,347 |
$3,911 |
$1,391 |
$245 | |
| MRA of the neck without contrast |
$2,461 |
$4,101 |
$1,439 |
$343 | |
| MRI of the abdomen |
$1,712 |
$2,853 |
$1,214 |
$300 | |
| MRI of the abdomen with contrast |
$1,753 |
$2,922 |
$1,214 |
$300 | |
| MRI of the abdomen without contrast |
$1,670 |
$2,783 |
$1,213 |
$194 | |
| MRI of the ankle |
$2,461 |
$4,101 |
$1,412 |
$261 | |
| MRI of the ankle without contrast |
$1,817 |
$3,028 |
$1,320 |
$222 | |
| MRI of the brain |
$2,415 |
$4,025 |
$1,439 |
$269 | |
| MRI of the brain with contrast |
$2,096 |
$3,493 |
$1,397 |
$269 | |
| MRI of the brain without contrast |
$1,815 |
$3,025 |
$1,214 |
$195 | |
| MRI of the chest |
$2,339 |
$3,898 |
$1,412 |
$371 | |
| MRI of the chest without contrast |
$3,008 |
$5,013 |
$1,755 |
$466 | |
| MRI of the knee |
$2,782 |
$4,636 |
$1,483 |
$315 | |
| MRI of the knee with contrast |
$2,580 |
$4,300 |
$1,505 |
$315 | |
| MRI of the knee without contrast |
$2,041 |
$3,401 |
$1,412 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,264 |
$3,774 |
$1,439 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,264 |
$3,774 |
$1,412 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,041 |
$3,401 |
$1,214 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,264 |
$3,774 |
$1,439 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$3,008 |
$5,013 |
$1,755 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,264 |
$3,774 |
$1,412 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,041 |
$3,401 |
$1,214 |
$190 | |
| MRI of the neck (cervical spine) |
$2,091 |
$3,485 |
$1,412 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,605 |
$4,342 |
$1,520 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,091 |
$3,485 |
$1,394 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,943 |
$3,239 |
$1,214 |
$191 | |
| MRI of the pelvis |
$2,041 |
$3,401 |
$1,412 |
$268 | |
| MRI of the pelvis with contrast |
$1,853 |
$3,088 |
$1,235 |
$268 | |
| MRI of the pelvis without contrast |
$2,041 |
$3,401 |
$1,360 |
$227 | |
| MRI of the shoulder |
$3,462 |
$5,770 |
$1,818 |
$313 | |
| MRI of the shoulder with contrast |
$3,462 |
$5,770 |
$2,020 |
$313 | |
| MRI of the shoulder without contrast |
$2,041 |
$3,401 |
$1,412 |
$205 | |
| MRI of the wrist |
$2,804 |
$4,674 |
$1,439 |
$330 | |
| MRI of the wrist without contrast |
$1,734 |
$2,890 |
$1,260 |
$303 | |
| Nebulizer breathing treatment |
$206 |
$343 |
$218 |
$9 | |
| Neck (cervical) spinal fusion |
$55,682 |
$92,803 |
$11,743 |
$1,410 | |
| Nerve conduction study |
$623 |
$1,038 |
$536 |
$118 | |
| Nuchal translucency ultrasound |
$488 |
$813 |
$354 |
$116 | |
| Nuclear cardiac stress test |
$7,548 |
$12,580 |
$2,017 |
$428 | |
| Occupational therapy evaluation |
$362 |
$603 |
$205 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$405 |
$675 |
$205 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$319 |
$532 |
$205 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$362 |
$603 |
$205 |
$101 | |
| Office visit (established patient) |
$170 |
$284 |
$137 |
$115 | |
| Office visit (new patient) |
$218 |
$363 |
$158 |
$177 | |
| Office visit, established patient (level 3) |
$170 |
$284 |
$133 |
$95 | |
| Office visit, established patient (level 4) |
$195 |
$325 |
$151 |
$136 | |
| Office visit, new patient (level 3) |
$201 |
$335 |
$146 |
$118 | |
| Office visit, new patient (level 4) |
$218 |
$363 |
$158 |
$177 | |
| Office visit, new patient (level 5) |
$241 |
$401 |
$172 |
$237 | |
| Pacemaker insertion |
$53,886 |
$89,809 |
$27,734 |
$15,506 | |
| Parathyroid removal |
$34,732 |
$57,887 |
$6,304 |
$891 | |
| Pelvic ultrasound |
$1,075 |
$1,792 |
$419 |
$78 | |
| Pelvic ultrasound (complete) |
$1,075 |
$1,792 |
$553 |
$105 | |
| Pelvic ultrasound (limited) |
$615 |
$1,025 |
$359 |
$51 | |
| PET scan |
$5,522 |
$9,204 |
$4,682 |
— | |
| Physical therapy evaluation |
$362 |
$603 |
$205 |
$98 | |
| Physical therapy evaluation (high complexity) |
$405 |
$675 |
$205 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$362 |
$603 |
$205 |
$98 | |
| Pregnancy ultrasound |
$942 |
$1,570 |
$537 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$942 |
$1,570 |
$534 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$976 |
$1,627 |
$553 |
$136 | |
| Prostate removal (prostatectomy) |
$57,128 |
$95,213 |
$11,761 |
$1,063 | |
| Psychiatric evaluation |
$340 |
$567 |
$336 |
$188 | |
| Radiofrequency nerve ablation |
$5,854 |
$9,756 |
$3,717 |
$462 | |
| Retinal detachment repair |
$25,849 |
$43,081 |
$5,620 |
$966 | |
| Rotator cuff repair |
$31,478 |
$52,464 |
$6,408 |
$792 | |
| RSV vaccine |
$276 |
$460 |
$359 |
— | |
| Scoliosis spine X-ray |
$240 |
$400 |
$207 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$194 |
$323 |
$173 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$286 |
$476 |
$224 |
$72 | |
| Screening mammogram |
$89 |
$149 |
$131 |
$126 | |
| Scrotal ultrasound |
$1,051 |
$1,752 |
$553 |
$99 | |
| Shingles vaccine |
$174 |
$290 |
$201 |
— | |
| Shoulder replacement |
$61,659 |
$102,766 |
$15,763 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$427 |
$712 |
$383 |
$114 | |
| Simple wound stitches |
$427 |
$712 |
$383 |
$127 | |
| Sinus surgery (endoscopic) |
$36,592 |
$60,986 |
$4,941 |
$224 | |
| Skin biopsy |
$606 |
$1,010 |
$606 |
$121 | |
| Skin biopsy (punch) |
$606 |
$1,010 |
$599 |
$121 | |
| Skin graft |
$12,063 |
$20,105 |
$3,092 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$241 |
$402 |
$82 |
$36 | |
| Skin tag removal |
$541 |
$901 |
$360 |
$92 | |
| Sleep study (polysomnography) |
$7,018 |
$11,696 |
$5,099 |
$691 | |
| Soft tissue ultrasound |
$1,036 |
$1,726 |
$553 |
$64 | |
| Speech therapy |
$645 |
$1,075 |
$193 |
$76 | |
| Spinal cord stimulator |
$10,999 |
$18,332 |
$3,599 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$1,471 |
$2,451 |
$1,096 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$12,295 |
$20,491 |
$8,934 |
$5,803 | |
| Spirometry (lung function test) |
$410 |
$683 |
$405 |
$30 | |
| Spirometry with bronchodilator |
$669 |
$1,115 |
$661 |
$43 | |
| Strep throat test |
$142 |
$237 |
$22 |
$17 | |
| Stress echocardiogram |
$2,783 |
$4,638 |
$2,329 |
$209 | |
| Swallow study |
$325 |
$541 |
$377 |
$85 | |
| Tdap (tetanus) vaccine |
$42 |
$70 |
$54 |
— | |
| Testicle removal (orchiectomy) |
$18,086 |
$30,143 |
$3,746 |
$306 | |
| Thyroid removal (thyroidectomy) |
$47,834 |
$79,723 |
$6,266 |
$1,004 | |
| Thyroid ultrasound |
$1,029 |
$1,715 |
$553 |
$109 | |
| Thyroid uptake scan |
$1,088 |
$1,813 |
$759 |
$145 | |
| Tilt table test |
$2,377 |
$3,961 |
$2,348 |
$168 | |
| Tonsillectomy |
$16,729 |
$27,882 |
$4,033 |
$252 | |
| Tracheostomy |
$6,751 |
$11,251 |
$7,356 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$2,559 |
$4,265 |
$1,853 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$3,242 |
$5,404 |
$2,714 |
$239 | |
| Transvaginal ultrasound |
$863 |
$1,438 |
$499 |
$118 | |
| Trigger point injection |
$1,083 |
$1,805 |
$472 |
$56 | |
| Trigger point injection (1-2 muscles) |
$885 |
$1,475 |
$472 |
$52 | |
| Turning a breech baby (version) |
$4,283 |
$7,139 |
$1,216 |
$94 | |
| Upper GI endoscopy (EGD) |
$4,439 |
$7,399 |
$2,065 |
$371 | |
| Upper GI series (barium) |
$671 |
$1,119 |
$380 |
$128 | |
| Ureteral stent placement |
$16,702 |
$27,837 |
$3,258 |
$373 | |
| Ureteroscopy (stone removal) |
$22,522 |
$37,537 |
$5,681 |
$365 | |
| Urinalysis |
$142 |
$236 |
$3 |
$3 | |
| Urine pregnancy test |
$232 |
$387 |
$16 |
$9 | |
| Vaccine administration |
$42 |
$70 |
$41 |
$19 | |
| Vaccine administration (each additional) |
$39 |
$65 |
$39 |
$16 | |
| Vaginal delivery |
$18,473 |
$30,789 |
$6,791 |
$5,487 | |
| Varicose vein ablation |
$11,222 |
$18,703 |
$6,958 |
$1,018 | |
| Vitrectomy (eye) |
$29,397 |
$48,995 |
$4,973 |
$814 | |
| Wart removal |
$427 |
$712 |
$255 |
$121 | |
| Weight-loss (bariatric) surgery |
$55,523 |
$92,539 |
$21,406 |
$11,645 | |
| Wound debridement |
$2,128 |
$3,547 |
$700 |
$186 | |
| Wrist fracture repair |
$25,085 |
$41,808 |
$5,240 |
$735 | |
| X-ray of the abdomen |
$580 |
$967 |
$380 |
$36 | |
| X-ray of the ankle |
$635 |
$1,059 |
$371 |
$37 | |
| X-ray of the collarbone |
$596 |
$994 |
$278 |
$33 | |
| X-ray of the elbow |
$499 |
$831 |
$291 |
$33 | |
| X-ray of the facial bones |
$550 |
$917 |
$277 |
$39 | |
| X-ray of the foot |
$467 |
$778 |
$272 |
$34 | |
| X-ray of the forearm |
$433 |
$722 |
$252 |
$29 | |
| X-ray of the hand |
$482 |
$804 |
$281 |
$38 | |
| X-ray of the hip |
$212 |
$353 |
$142 |
$49 | |
| X-ray of the hip (1 view) |
$194 |
$323 |
$141 |
$34 | |
| X-ray of the hip (3 views) |
$212 |
$353 |
$154 |
$49 | |
| X-ray of the hip (4 views) |
$349 |
$582 |
$198 |
$63 | |
| X-ray of the knee |
$611 |
$1,019 |
$272 |
$42 | |
| X-ray of the knee (2 views) |
$407 |
$679 |
$238 |
$34 | |
| X-ray of the knee (3 views) |
$473 |
$788 |
$276 |
$42 | |
| X-ray of the knee (4+ views) |
$775 |
$1,291 |
$380 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$613 |
$1,021 |
$293 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$503 |
$838 |
$285 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$722 |
$1,204 |
$380 |
$53 | |
| X-ray of the lower leg |
$439 |
$732 |
$254 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$554 |
$923 |
$308 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$443 |
$738 |
$258 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$664 |
$1,107 |
$380 |
$39 | |
| X-ray of the neck (cervical spine) |
$609 |
$1,015 |
$328 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$472 |
$787 |
$275 |
$40 | |
| X-ray of the pelvis |
$543 |
$905 |
$276 |
$36 | |
| X-ray of the pelvis (1 view) |
$473 |
$788 |
$268 |
$28 | |
| X-ray of the ribs |
$862 |
$1,436 |
$287 |
$42 | |
| X-ray of the ribs (2 views) |
$492 |
$820 |
$279 |
$36 | |
| X-ray of the ribs (3 views) |
$862 |
$1,436 |
$380 |
$42 | |
| X-ray of the shoulder |
$688 |
$1,146 |
$380 |
$36 | |
| X-ray of the skull |
$494 |
$824 |
$251 |
$40 | |
| X-ray of the upper arm |
$446 |
$744 |
$260 |
$32 | |
| X-ray of the wrist |
$490 |
$817 |
$286 |
$43 | |