| 3D mammogram (tomosynthesis) |
$36 |
$96 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$739 |
$1,944 |
$2,983 |
$284 | |
| Abdominal ultrasound |
$381 |
$1,003 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$413 |
$1,087 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$349 |
$919 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$229 |
$603 |
$2,983 |
$220 | |
| Abscess drainage (simple) |
$210 |
$553 |
$671 |
$129 | |
| Abscess incision and drainage |
$220 |
$578 |
$1,827 |
$174 | |
| Achilles tendon repair |
— |
— |
$4,569 |
$624 | |
| ACL knee reconstruction |
— |
— |
$4,569 |
$889 | |
| Acupuncture |
$24 |
$62 |
— |
$38 | |
| Adenoid removal (adenoidectomy) |
— |
— |
$5,645 |
$204 | |
| Albumin blood test |
$24 |
$62 |
$11 |
$5 | |
| Aldosterone test |
$158 |
$415 |
$93 |
$41 | |
| Alkaline phosphatase test |
$27 |
$70 |
$12 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$78 |
$205 |
$38 |
$17 | |
| ALT liver enzyme test |
$32 |
$84 |
$12 |
$5 | |
| Ammonia blood test |
$114 |
$301 |
$33 |
$15 | |
| Amylase test |
$40 |
$106 |
$15 |
$6 | |
| Anal fistula repair |
— |
— |
$5,107 |
$541 | |
| Ankle fracture repair |
— |
— |
$4,569 |
$608 | |
| Annual physical (established patient) |
$121 |
$318 |
— |
— | |
| Annual physical (new patient) |
$104 |
$274 |
— |
— | |
| Anoscopy |
$188 |
$494 |
$671 |
$129 | |
| Antinuclear antibody (ANA) test |
$61 |
$161 |
$27 |
$12 | |
| Arterial blood gas (ABG) |
$122 |
$320 |
$59 |
$26 | |
| AST liver enzyme test |
$28 |
$74 |
$12 |
$5 | |
| Barium swallow study |
$403 |
$1,060 |
— |
$107 | |
| Bartholin cyst removal |
$196 |
$515 |
$2,983 |
$182 | |
| Basic metabolic panel |
$80 |
$211 |
$19 |
$8 | |
| Benign skin lesion removal |
$587 |
$1,546 |
$2,983 |
$171 | |
| Bilirubin blood test |
$50 |
$132 |
$11 |
$5 | |
| Bladder function test (urodynamics) |
— |
— |
$671 |
$345 | |
| Bladder scope (cystoscopy) |
$553 |
$1,455 |
$2,983 |
$216 | |
| Bladder tumor removal (TURBT) |
— |
— |
$4,283 |
$236 | |
| Blood clotting test (PT/INR) |
$29 |
$76 |
$10 |
$4 | |
| Blood crossmatch |
$153 |
$403 |
$2 |
— | |
| Blood transfusion |
$501 |
$1,318 |
$2,983 |
$47 | |
| Blood type and screen |
$85 |
$223 |
$22 |
$10 | |
| Blood type test |
$129 |
$341 |
$7 |
$3 | |
| Blood type test (ABO group) |
$174 |
$457 |
$7 |
$3 | |
| Blood type test (Rh/D antigen) |
$85 |
$224 |
$7 |
$3 | |
| BNP (heart failure) test |
$141 |
$372 |
$89 |
$39 | |
| Bone density scan (DEXA) |
$244 |
$643 |
— |
$39 | |
| Bone marrow biopsy |
$1,214 |
$3,196 |
$2,983 |
$172 | |
| Bone scan (nuclear) |
$788 |
$2,073 |
— |
$259 | |
| Botox for migraine |
$89 |
$235 |
$671 |
$157 | |
| Breast biopsy |
$1,427 |
$3,755 |
$4,569 |
$478 | |
| Breast MRI |
$2,200 |
$5,789 |
— |
$216 | |
| Breast MRI without contrast |
$2,385 |
$6,277 |
— |
$216 | |
| Breast reconstruction |
— |
— |
$6,426 |
$1,227 | |
| Breast reduction |
— |
— |
$5,645 |
$980 | |
| Breast ultrasound |
$249 |
$656 |
— |
$92 | |
| Breast ultrasound (limited) |
$249 |
$656 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$288 |
$757 |
$2,983 |
$133 | |
| Bronchoscopy |
$1,635 |
$4,303 |
$3,998 |
$303 | |
| Bunion surgery (bunionectomy) |
— |
— |
$4,569 |
$883 | |
| Burn dressing and debridement (medium) |
$223 |
$586 |
$3,998 |
$166 | |
| Burn dressing and debridement (small) |
$219 |
$576 |
$2,983 |
$93 | |
| Burn treatment |
$221 |
$581 |
$3,491 |
$129 | |
| C-reactive protein (CRP) |
$42 |
$110 |
$12 |
$5 | |
| CA 19-9 tumor marker test |
$79 |
$208 |
$47 |
$21 | |
| CA-125 ovarian marker test |
$86 |
$226 |
$47 |
$21 | |
| Calcium blood test |
$26 |
$68 |
$12 |
$5 | |
| Cardiac catheterization |
$4,476 |
$11,780 |
— |
$1,049 | |
| Cardiac rehabilitation |
$147 |
$386 |
— |
$26 | |
| Cardiac stress test |
$344 |
$906 |
— |
$39 | |
| Cardioversion |
$474 |
$1,248 |
— |
$155 | |
| Carotid artery surgery |
$977 |
$2,570 |
— |
$1,026 | |
| Carotid artery ultrasound |
$584 |
$1,538 |
— |
$156 | |
| Carpal tunnel release |
— |
— |
$3,998 |
$483 | |
| Cataract surgery |
— |
— |
$9,125 |
$547 | |
| CEA tumor marker test |
$105 |
$277 |
$43 |
$19 | |
| Celiac disease test |
$19 |
$49 |
$26 |
$12 | |
| Central line placement |
$1,478 |
$3,889 |
$2,983 |
$238 | |
| Cervical cerclage |
— |
— |
$2,983 |
$137 | |
| Cervical LEEP procedure |
— |
— |
$3,998 |
$325 | |
| Cesarean section (C-section) |
— |
— |
$13,484 |
$7,552 | |
| Chalazion (eyelid cyst) removal |
— |
— |
$2,983 |
$131 | |
| Chemotherapy infusion |
$217 |
$571 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$133 |
$349 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$301 |
$792 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$746 |
$1,962 |
$2,983 |
$311 | |
| Chest tube insertion |
$877 |
$2,307 |
$2,983 |
$143 | |
| Chest X-ray |
$185 |
$486 |
— |
$37 | |
| Chest X-ray (1 view) |
$156 |
$410 |
— |
$25 | |
| Chest X-ray (2 views) |
$185 |
$486 |
— |
$33 | |
| Chickenpox (varicella) vaccine |
$103 |
$272 |
$619 |
— | |
| Circumcision |
$1,690 |
$4,447 |
$3,491 |
$167 | |
| CK-MB heart enzyme test |
— |
— |
$26 |
$12 | |
| Clotting time test (PTT) |
$68 |
$179 |
$14 |
$6 | |
| Colonoscopy |
— |
— |
$3,998 |
$480 | |
| Colposcopy |
— |
— |
$2,983 |
$161 | |
| Complete blood count (CBC) |
$37 |
$97 |
$16 |
$7 | |
| Complete blood count (CBC) (complete) |
$39 |
$103 |
$18 |
$8 | |
| Complex wound repair |
$542 |
$1,427 |
$4,569 |
$390 | |
| Comprehensive metabolic panel |
$82 |
$216 |
$24 |
$11 | |
| Contraceptive implant (Nexplanon) |
$211 |
$554 |
$671 |
$115 | |
| Copper blood test |
$55 |
$144 |
$28 |
$12 | |
| Corneal transplant |
— |
— |
$8,913 |
$1,066 | |
| Coronary artery bypass (CABG) |
— |
— |
$65,338 |
$36,593 | |
| Cortisol test |
$76 |
$201 |
$37 |
$16 | |
| COVID-19 PCR test |
$169 |
$446 |
$117 |
$51 | |
| CPAP titration study |
$341 |
$898 |
— |
$69 | |
| Creatine kinase (CK) test |
$38 |
$100 |
$15 |
$7 | |
| CT angiography of the chest |
$1,027 |
$2,702 |
— |
$281 | |
| CT angiography of the head |
$971 |
$2,556 |
— |
$274 | |
| CT scan of the abdomen |
$939 |
$2,471 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$1,758 |
$4,627 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,199 |
$5,786 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$1,758 |
$4,627 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,387 |
$3,651 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,159 |
$3,051 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$939 |
$2,471 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$680 |
$1,789 |
— |
$136 | |
| CT scan of the arm |
$695 |
$1,828 |
— |
$199 | |
| CT scan of the arm with contrast |
$785 |
$2,067 |
— |
$199 | |
| CT scan of the arm without contrast |
$604 |
$1,589 |
— |
$161 | |
| CT scan of the chest |
$729 |
$1,919 |
— |
$167 | |
| CT scan of the chest with contrast |
$751 |
$1,977 |
— |
$167 | |
| CT scan of the chest without contrast |
$707 |
$1,861 |
— |
$133 | |
| CT scan of the head |
$715 |
$1,881 |
— |
$148 | |
| CT scan of the head with and without contrast |
$979 |
$2,576 |
— |
$173 | |
| CT scan of the head with contrast |
$715 |
$1,881 |
— |
$148 | |
| CT scan of the head without contrast |
$601 |
$1,582 |
— |
$107 | |
| CT scan of the leg |
$733 |
$1,928 |
— |
$166 | |
| CT scan of the leg with contrast |
$733 |
$1,928 |
— |
$166 | |
| CT scan of the leg without contrast |
$673 |
$1,771 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$889 |
$2,339 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,046 |
$2,753 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$889 |
$2,339 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$796 |
$2,096 |
— |
$130 | |
| CT scan of the neck |
$514 |
$1,352 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$877 |
$2,308 |
— |
$168 | |
| CT scan of the neck (cervical spine) with contrast |
$970 |
$2,553 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$784 |
$2,062 |
— |
$131 | |
| CT scan of the neck with contrast |
$876 |
$2,306 |
— |
$183 | |
| CT scan of the neck without contrast |
$514 |
$1,352 |
— |
$150 | |
| CT scan of the pelvis |
$821 |
$2,161 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,040 |
$2,736 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$821 |
$2,161 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$709 |
$1,867 |
— |
$133 | |
| CT scan of the sinuses |
$701 |
$1,844 |
— |
$152 | |
| CT scan of the sinuses with contrast |
$753 |
$1,982 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$648 |
$1,705 |
— |
$128 | |
| D-dimer test |
$65 |
$170 |
$23 |
$10 | |
| DHEA-sulfate test |
$116 |
$306 |
$51 |
$22 | |
| Diagnostic mammogram |
$182 |
$480 |
— |
$140 | |
| Dialysis fistula creation |
— |
— |
$4,569 |
$601 | |
| Dilation and curettage (D&C) |
— |
— |
$3,998 |
$298 | |
| Droopy eyelid repair (ptosis) |
— |
— |
$5,645 |
$745 | |
| Drug screen (urine) |
$119 |
$314 |
$39 |
$17 | |
| Ear pressure test (tympanometry) |
$32 |
$83 |
— |
$16 | |
| Ear tubes (myringotomy) |
$160 |
$420 |
$3,776 |
$174 | |
| Eardrum repair (tympanoplasty) |
— |
— |
$6,426 |
$799 | |
| Echocardiogram |
$950 |
$2,499 |
— |
$138 | |
| Echocardiogram with and without contrast |
$950 |
$2,499 |
— |
$101 | |
| Echocardiogram without contrast |
$950 |
$2,499 |
— |
$138 | |
| EEG (awake and asleep) |
$240 |
$631 |
— |
$482 | |
| EKG / ECG (tracing only) |
$140 |
$368 |
— |
$7 | |
| Electrocardiogram (EKG) |
$83 |
$219 |
— |
$8 | |
| Electroencephalogram (EEG) |
$240 |
$631 |
— |
$448 | |
| Electrolyte panel |
$41 |
$108 |
$16 |
$7 | |
| Electromyography (EMG) |
$238 |
$625 |
— |
$141 | |
| Emergency department visit |
$237 |
$623 |
— |
$69 | |
| Emergency department visit (level 1) |
$89 |
$234 |
— |
$11 | |
| Emergency department visit (level 2) |
$118 |
$311 |
— |
$40 | |
| Emergency department visit (level 3) |
$237 |
$623 |
— |
$69 | |
| Emergency department visit (level 4) |
$428 |
$1,127 |
— |
$118 | |
| Emergency department visit (level 5) |
$770 |
$2,027 |
— |
$171 | |
| Endometrial biopsy |
$157 |
$413 |
$671 |
$98 | |
| Epidural steroid injection |
$1,414 |
$3,720 |
$2,983 |
$275 | |
| ERCP (bile duct endoscopy) |
— |
— |
$3,998 |
$311 | |
| Esophageal dilation |
— |
— |
$2,983 |
$522 | |
| Esophageal variceal banding |
— |
— |
$2,983 |
$126 | |
| Estradiol (estrogen) test |
$120 |
$317 |
$63 |
$28 | |
| Eyelid surgery (blepharoplasty) |
— |
— |
$5,498 |
$552 | |
| Facet joint injection (spine) |
$560 |
$1,474 |
$2,983 |
$99 | |
| Fallopian tube X-ray (HSG) |
$271 |
$714 |
— |
$164 | |
| Family therapy session |
$122 |
$322 |
— |
$110 | |
| Fecal occult blood (stool) test |
$53 |
$140 |
$23 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$53 |
$140 |
$10 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$53 |
$140 |
$36 |
$16 | |
| Feeding tube (PEG) placement |
— |
— |
$3,998 |
$178 | |
| Femoral hernia repair |
— |
— |
$9,091 |
$584 | |
| Ferritin (iron) test |
$73 |
$191 |
$31 |
$14 | |
| Fibrinogen test |
$86 |
$225 |
$22 |
$10 | |
| Flexible sigmoidoscopy |
— |
— |
$2,983 |
$323 | |
| Flu test |
$70 |
$184 |
$38 |
$17 | |
| Flu vaccine |
$37 |
$97 |
$64 |
— | |
| Folate (folic acid) test |
$84 |
$221 |
$33 |
$15 | |
| Foreign body removal (skin) |
$497 |
$1,309 |
$671 |
$157 | |
| Free T4 thyroid test |
$62 |
$163 |
$20 |
$9 | |
| FSH hormone test |
$110 |
$290 |
$42 |
$19 | |
| Gallbladder removal (laparoscopic) |
$4,656 |
$12,252 |
$5,697 |
$658 | |
| Gallbladder scan (HIDA) |
$792 |
$2,086 |
— |
$334 | |
| Ganglion cyst removal |
— |
— |
$4,569 |
$321 | |
| GGT liver test |
$35 |
$91 |
$16 |
$7 | |
| Glaucoma surgery |
— |
— |
$5,645 |
$984 | |
| Glucose tolerance test |
$69 |
$181 |
$19 |
$8 | |
| Group therapy session |
$122 |
$322 |
— |
$30 | |
| H. pylori test |
$258 |
$680 |
$153 |
$67 | |
| Hammertoe repair |
— |
— |
$4,569 |
$548 | |
| HDL cholesterol test |
$45 |
$119 |
$19 |
$8 | |
| Hearing test (audiometry) |
$125 |
$329 |
— |
$36 | |
| Hematocrit test |
$15 |
$40 |
$5 |
$2 | |
| Hemodialysis |
$1,201 |
$3,161 |
— |
$75 | |
| Hemoglobin A1c (diabetes test) |
$50 |
$132 |
$22 |
$10 | |
| Hemorrhoid removal |
$765 |
$2,012 |
$2,983 |
$338 | |
| Hepatitis A vaccine |
$55 |
$145 |
$270 |
— | |
| Hepatitis B test |
$48 |
$126 |
$23 |
$10 | |
| Hepatitis B vaccine |
$46 |
$122 |
$233 |
— | |
| Hepatitis C test |
$71 |
$186 |
$32 |
$14 | |
| Hip arthroscopy |
— |
— |
$11,755 |
$931 | |
| HIV test |
$75 |
$198 |
$43 |
$19 | |
| HIV test (antibody) |
— |
— |
$31 |
$14 | |
| HIV test (antigen/antibody combo) |
$75 |
$198 |
$55 |
$24 | |
| Holter heart monitor |
$195 |
$513 |
— |
$26 | |
| Home sleep apnea test |
$447 |
$1,175 |
— |
$123 | |
| HPV vaccine |
$120 |
$315 |
$1,060 |
— | |
| Hydrocele repair |
— |
— |
$4,569 |
$315 | |
| Hysterectomy |
— |
— |
$11,755 |
$933 | |
| Hysteroscopy |
— |
— |
$4,569 |
$1,270 | |
| Incisional hernia repair |
— |
— |
$8,700 |
— | |
| Inguinal hernia repair |
— |
— |
$8,700 |
$538 | |
| Iron blood test |
$35 |
$92 |
$15 |
$6 | |
| IUD insertion |
$865 |
$2,275 |
$671 |
— | |
| IUD removal |
$304 |
$800 |
$2,983 |
$112 | |
| IV infusion therapy |
$171 |
$449 |
— |
$44 | |
| IV infusion therapy (each additional) |
$100 |
$263 |
— |
$21 | |
| IV infusion therapy (initial) |
$241 |
$635 |
— |
$67 | |
| IVC filter placement |
$5,634 |
$14,827 |
— |
$1,885 | |
| Joint aspiration (small/intermediate) |
$290 |
$763 |
$2,983 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$294 |
$774 |
$2,983 |
$57 | |
| Joint aspiration or injection (small joint) |
$285 |
$751 |
$2,983 |
$56 | |
| Kidney biopsy |
$1,489 |
$3,919 |
$2,983 |
$492 | |
| Kidney scan (nuclear) |
$799 |
$2,102 |
— |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
— |
— |
$11,755 |
$760 | |
| Kidney ultrasound |
$384 |
$1,012 |
— |
$84 | |
| Kidney ultrasound (limited) |
$364 |
$957 |
— |
$61 | |
| Knee arthroscopy |
— |
— |
$5,645 |
$524 | |
| Knee joint injection |
$311 |
$818 |
$2,983 |
$69 | |
| Knee replacement |
— |
— |
$32,236 |
$18,054 | |
| Lactate test |
$46 |
$122 |
$26 |
$12 | |
| Laminectomy (spine) |
— |
— |
$4,477 |
$1,157 | |
| Laryngoscopy |
$1,214 |
$3,194 |
$1,827 |
$189 | |
| LDH test |
$27 |
$72 |
$14 |
$6 | |
| LDL cholesterol test |
$62 |
$164 |
$24 |
$11 | |
| Leg artery angiogram |
$2,220 |
$5,842 |
— |
$149 | |
| Leg vein ultrasound (Doppler) |
$380 |
$1,000 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$246 |
$648 |
— |
$116 | |
| LH hormone test |
$97 |
$254 |
$42 |
$19 | |
| Lipase test |
$37 |
$98 |
$16 |
$7 | |
| Lipid (cholesterol) panel |
$82 |
$216 |
$30 |
$13 | |
| Liver biopsy |
$783 |
$2,060 |
$2,983 |
$288 | |
| Liver function panel |
$63 |
$167 |
$19 |
$8 | |
| Lumbar discectomy |
— |
— |
$4,477 |
$898 | |
| Lumpectomy (breast) |
— |
— |
$6,741 |
$750 | |
| Lung function test (PFT) |
$242 |
$637 |
— |
$37 | |
| Lung scan (V/Q) |
$606 |
$1,595 |
— |
$291 | |
| Magnesium blood test |
$48 |
$126 |
$15 |
$7 | |
| Mastectomy |
— |
— |
$8,700 |
$1,021 | |
| Mastoidectomy |
— |
— |
$8,913 |
$840 | |
| Meniscus repair (knee) |
— |
— |
$4,569 |
$714 | |
| MMR vaccine |
$43 |
$112 |
$307 |
— | |
| Mohs skin cancer surgery |
— |
— |
$2,983 |
$535 | |
| MRA of the brain |
$1,124 |
$2,959 |
— |
$226 | |
| MRA of the neck |
$1,297 |
$3,413 |
— |
$245 | |
| MRA of the neck with contrast |
$1,469 |
$3,867 |
— |
$245 | |
| MRI of the abdomen |
$1,579 |
$4,157 |
— |
$300 | |
| MRI of the abdomen without contrast |
$1,124 |
$2,959 |
— |
$194 | |
| MRI of the ankle |
$1,569 |
$4,130 |
— |
$261 | |
| MRI of the ankle with contrast |
$1,569 |
$4,130 |
— |
$261 | |
| MRI of the ankle without contrast |
$1,115 |
$2,934 |
— |
$222 | |
| MRI of the brain |
$1,469 |
$3,867 |
— |
$269 | |
| MRI of the brain with contrast |
$1,469 |
$3,867 |
— |
$269 | |
| MRI of the brain without contrast |
$1,124 |
$2,959 |
— |
$195 | |
| MRI of the chest |
$1,427 |
$3,757 |
— |
$371 | |
| MRI of the chest without contrast |
$1,618 |
$4,258 |
— |
$466 | |
| MRI of the knee |
$1,469 |
$3,867 |
— |
$315 | |
| MRI of the knee with contrast |
$1,469 |
$3,867 |
— |
$315 | |
| MRI of the knee without contrast |
$1,124 |
$2,959 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,469 |
$3,867 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,469 |
$3,867 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,124 |
$2,959 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,469 |
$3,867 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$1,601 |
$4,213 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,469 |
$3,867 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,124 |
$2,959 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$1,469 |
$3,867 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$1,601 |
$4,213 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,469 |
$3,867 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,124 |
$2,959 |
— |
$191 | |
| MRI of the pelvis |
$1,634 |
$4,299 |
— |
$268 | |
| MRI of the pelvis without contrast |
$1,124 |
$2,959 |
— |
$227 | |
| MRI of the shoulder |
$1,469 |
$3,867 |
— |
$313 | |
| MRI of the shoulder with contrast |
$1,469 |
$3,867 |
— |
$313 | |
| MRI of the shoulder without contrast |
$1,176 |
$3,095 |
— |
$205 | |
| MRI of the wrist |
$1,407 |
$3,703 |
— |
$330 | |
| MRI of the wrist with contrast |
$1,407 |
$3,703 |
— |
$330 | |
| MRI of the wrist without contrast |
$1,124 |
$2,959 |
— |
$303 | |
| Nebulizer breathing treatment |
$176 |
$463 |
— |
$9 | |
| Nerve conduction study |
$401 |
$1,056 |
— |
$118 | |
| Nuclear cardiac stress test |
$1,947 |
$5,124 |
— |
$428 | |
| Occupational therapy evaluation |
$117 |
$309 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$234 |
$617 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$78 |
$204 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$117 |
$309 |
— |
$101 | |
| Office visit (established patient) |
$48 |
$127 |
— |
$115 | |
| Office visit (new patient) |
$48 |
$127 |
— |
$177 | |
| Office visit, established patient (level 3) |
$48 |
$127 |
— |
$95 | |
| Office visit, established patient (level 4) |
$48 |
$127 |
— |
$136 | |
| Office visit, new patient (level 3) |
$48 |
$127 |
— |
$118 | |
| Office visit, new patient (level 4) |
$48 |
$127 |
— |
$177 | |
| Office visit, new patient (level 5) |
$48 |
$127 |
— |
$237 | |
| Orthopedic hardware removal |
— |
— |
$4,569 |
$632 | |
| Pacemaker insertion |
— |
— |
$27,687 |
$15,506 | |
| Pap smear (cervical screening) |
$78 |
$205 |
$46 |
$20 | |
| Parathyroid hormone (PTH) test |
$184 |
$484 |
$94 |
$41 | |
| Pelvic ultrasound |
$244 |
$643 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$378 |
$994 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$111 |
$291 |
— |
$51 | |
| Phosphorus blood test |
$27 |
$72 |
$11 |
$5 | |
| Physical therapy evaluation |
$117 |
$309 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$234 |
$617 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$117 |
$309 |
— |
$98 | |
| Pilonidal cyst removal |
$2,938 |
$7,731 |
$4,569 |
$541 | |
| Platelet count |
$29 |
$75 |
$10 |
$4 | |
| Pneumonia vaccine |
$52 |
$138 |
$377 |
— | |
| Pregnancy blood test (hCG) |
$41 |
$108 |
$17 |
$8 | |
| Pregnancy ultrasound |
$376 |
$989 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$311 |
$818 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$441 |
$1,160 |
— |
$136 | |
| Procalcitonin test |
$86 |
$225 |
$62 |
$27 | |
| Prolactin test |
$85 |
$223 |
$44 |
$19 | |
| Prostate biopsy |
— |
— |
$3,998 |
— | |
| Prostate surgery (TURP) |
— |
— |
$5,645 |
$526 | |
| Prostate test (PSA) |
$73 |
$191 |
$42 |
$18 | |
| Psychiatric evaluation |
$145 |
$381 |
— |
$188 | |
| Psychotherapy session |
$122 |
$322 |
— |
$140 | |
| Pterygium removal (eye) |
— |
— |
$3,998 |
$540 | |
| Pulmonary rehabilitation |
$54 |
$142 |
— |
$87 | |
| Radiofrequency nerve ablation |
$1,685 |
$4,436 |
$4,705 |
$462 | |
| Retinal detachment repair |
— |
— |
$7,670 |
$966 | |
| Rheumatoid factor test |
$82 |
$215 |
$14 |
$6 | |
| Rotator cuff repair |
— |
— |
$6,426 |
$792 | |
| RSV vaccine |
$271 |
$714 |
$988 |
— | |
| Sacroiliac joint injection |
$1,070 |
$2,816 |
$671 |
$176 | |
| Scoliosis spine X-ray |
$222 |
$586 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$182 |
$478 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$263 |
$693 |
— |
$72 | |
| Screening colonoscopy |
— |
— |
$3,998 |
$378 | |
| Screening mammogram |
$185 |
$488 |
— |
$126 | |
| Scrotal ultrasound |
$185 |
$488 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$9 |
$23 |
$8 |
$3 | |
| Semen analysis |
$58 |
$153 |
$28 |
$12 | |
| Septoplasty (deviated septum) |
— |
— |
$5,645 |
$613 | |
| Sex hormone binding globulin test |
$91 |
$239 |
$49 |
$22 | |
| Shingles vaccine |
$84 |
$222 |
$694 |
— | |
| Shoulder arthroscopy |
— |
— |
$4,569 |
$962 | |
| Simple laceration repair (small, up to 2.5 cm) |
$165 |
$433 |
$671 |
$114 | |
| Simple wound stitches |
$165 |
$434 |
$671 |
$127 | |
| Sinus surgery (endoscopic) |
— |
— |
$4,569 |
$224 | |
| Skin biopsy |
$290 |
$763 |
$671 |
$121 | |
| Skin biopsy (punch) |
$185 |
$488 |
$671 |
$121 | |
| Skin cancer lesion removal |
$571 |
$1,503 |
$2,983 |
$240 | |
| Skin graft |
— |
— |
$3,998 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$135 |
$357 |
$671 |
$36 | |
| Skin tag removal |
$153 |
$403 |
$671 |
$92 | |
| Sleep study (polysomnography) |
$1,053 |
$2,771 |
— |
$691 | |
| Soft tissue ultrasound |
$141 |
$372 |
— |
$64 | |
| Speech therapy |
$190 |
$501 |
— |
$76 | |
| Spinal cord stimulator |
$5,827 |
$15,334 |
$11,755 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$441 |
$1,161 |
$2,983 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$8,590 |
$22,604 |
— |
$5,803 | |
| Spirometry (lung function test) |
$167 |
$439 |
— |
$30 | |
| Spirometry with bronchodilator |
$317 |
$834 |
— |
$43 | |
| Spleen removal (splenectomy) |
— |
— |
$6,426 |
$1,036 | |
| Strabismus (eye muscle) surgery |
— |
— |
$5,107 |
$475 | |
| Strep throat test |
$52 |
$138 |
$38 |
$17 | |
| Stress echocardiogram |
$937 |
$2,465 |
— |
$209 | |
| Stress echocardiogram (complete) |
$1,125 |
$2,961 |
— |
$233 | |
| Swallow study |
$317 |
$835 |
— |
$85 | |
| T3 thyroid test |
$79 |
$208 |
$32 |
$14 | |
| Tdap (tetanus) vaccine |
$32 |
$83 |
$157 |
— | |
| Testicle removal (orchiectomy) |
— |
— |
$4,569 |
$306 | |
| Testosterone test |
$105 |
$276 |
$59 |
$26 | |
| Thyroid test (TSH) |
$73 |
$191 |
$38 |
$17 | |
| Thyroid ultrasound |
$309 |
$812 |
— |
$109 | |
| Thyroid uptake scan |
$344 |
$906 |
— |
$145 | |
| Tonsillectomy |
— |
— |
$5,645 |
$252 | |
| Total IgE allergy test |
$68 |
$179 |
$37 |
$16 | |
| Total protein test |
$17 |
$44 |
$8 |
$4 | |
| Tracheostomy |
— |
— |
$3,998 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$913 |
$2,403 |
— |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$913 |
$2,403 |
— |
$239 | |
| Transvaginal ultrasound |
$328 |
$863 |
— |
$118 | |
| Trigger finger release |
$1,314 |
$3,459 |
$3,998 |
$630 | |
| Trigger point injection |
$113 |
$297 |
$2,983 |
$56 | |
| Trigger point injection (1-2 muscles) |
$113 |
$297 |
$2,983 |
$52 | |
| Triglycerides test |
$89 |
$235 |
$13 |
$6 | |
| Troponin (heart) test |
$136 |
$359 |
$28 |
$12 | |
| Tubal ligation |
— |
— |
$4,569 |
$333 | |
| Turbinate reduction |
— |
— |
$3,998 |
$294 | |
| Turning a breech baby (version) |
— |
— |
$2,983 |
$94 | |
| Ulnar nerve surgery (elbow) |
— |
— |
$3,998 |
$575 | |
| Umbilical hernia repair |
— |
— |
$8,700 |
— | |
| Upper GI endoscopy (EGD) |
— |
— |
$3,491 |
$371 | |
| Upper GI series (barium) |
$489 |
$1,288 |
— |
$128 | |
| Ureteral stent placement |
— |
— |
$3,998 |
$373 | |
| Ureteroscopy (stone removal) |
— |
— |
$11,755 |
$365 | |
| Uric acid (gout) test |
$27 |
$72 |
$10 |
$5 | |
| Urinalysis |
$32 |
$84 |
$6 |
$3 | |
| Urine microalbumin test |
$40 |
$106 |
$12 |
$5 | |
| Urine pregnancy test |
$30 |
$78 |
$20 |
$9 | |
| Vaccine administration |
$54 |
$141 |
— |
$19 | |
| Vaccine administration (each additional) |
$54 |
$141 |
— |
$16 | |
| Vaginal delivery |
— |
— |
$9,797 |
$5,487 | |
| Varicocele repair |
— |
— |
$5,645 |
$327 | |
| Varicose vein ablation |
$2,411 |
$6,344 |
$11,755 |
$1,018 | |
| Vasectomy |
— |
— |
$3,998 |
$347 | |
| Vitamin B12 test |
$124 |
$327 |
$34 |
$15 | |
| Vitamin D test |
$112 |
$295 |
$67 |
$30 | |
| Vitrectomy (eye) |
— |
— |
$7,279 |
$814 | |
| Vocal cord injection |
— |
— |
$3,998 |
$211 | |
| Wart removal |
$132 |
$347 |
$671 |
$121 | |
| Weight-loss (bariatric) surgery |
— |
— |
$20,793 |
$11,645 | |
| Wound debridement |
$448 |
$1,178 |
$3,998 |
$186 | |
| Wrist fracture repair |
— |
— |
$6,426 |
$735 | |
| X-ray of the abdomen |
$205 |
$539 |
— |
$36 | |
| X-ray of the ankle |
$184 |
$485 |
— |
$37 | |
| X-ray of the collarbone |
$176 |
$462 |
— |
$33 | |
| X-ray of the elbow |
$192 |
$505 |
— |
$33 | |
| X-ray of the facial bones |
$255 |
$671 |
— |
$39 | |
| X-ray of the foot |
$185 |
$487 |
— |
$34 | |
| X-ray of the forearm |
$177 |
$465 |
— |
$29 | |
| X-ray of the hand |
$201 |
$528 |
— |
$38 | |
| X-ray of the hip |
$168 |
$442 |
— |
$49 | |
| X-ray of the hip (1 view) |
$152 |
$401 |
— |
$34 | |
| X-ray of the hip (3 views) |
$183 |
$482 |
— |
$49 | |
| X-ray of the knee |
$207 |
$545 |
— |
$42 | |
| X-ray of the knee (2 views) |
$184 |
$484 |
— |
$34 | |
| X-ray of the knee (3 views) |
$207 |
$545 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$253 |
$665 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$294 |
$775 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$259 |
$681 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$330 |
$868 |
— |
$53 | |
| X-ray of the lower leg |
$196 |
$517 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$225 |
$591 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$225 |
$591 |
— |
$33 | |
| X-ray of the neck (cervical spine) |
$242 |
$637 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$195 |
$512 |
— |
$40 | |
| X-ray of the pelvis |
$176 |
$463 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$176 |
$463 |
— |
$28 | |
| X-ray of the ribs |
$216 |
$570 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$178 |
$469 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$255 |
$670 |
— |
$42 | |
| X-ray of the shoulder |
$195 |
$512 |
— |
$36 | |
| X-ray of the skull |
$254 |
$669 |
— |
$40 | |
| X-ray of the upper arm |
$167 |
$440 |
— |
$32 | |
| X-ray of the wrist |
$182 |
$479 |
— |
$43 | |
| YAG laser capsulotomy (eye) |
— |
— |
$3,998 |
$335 | |
| Zinc blood test |
$64 |
$169 |
$26 |
$11 | |