| 3D mammogram (tomosynthesis) |
$61 |
$101 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,423 |
$2,371 |
— |
$284 | |
| Abdominal ultrasound |
$513 |
$856 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$524 |
$874 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$502 |
$837 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$845 |
$1,408 |
— |
$220 | |
| Abscess drainage (simple) |
$420 |
$700 |
— |
$129 | |
| Abscess incision and drainage |
$632 |
$1,054 |
— |
$174 | |
| Achilles tendon repair |
$20,961 |
$34,936 |
— |
$624 | |
| ACL knee reconstruction |
$14,255 |
$35,361 |
— |
$889 | |
| Adenoid removal (adenoidectomy) |
$6,280 |
$10,470 |
— |
$204 | |
| Albumin blood test |
$28 |
$47 |
— |
$5 | |
| Aldosterone test |
$165 |
$275 |
— |
$41 | |
| Alkaline phosphatase test |
$38 |
$64 |
— |
$5 | |
| Alpha-fetoprotein (AFP) test |
$94 |
$156 |
— |
$17 | |
| ALT liver enzyme test |
$50 |
$83 |
— |
$5 | |
| Ammonia blood test |
$52 |
$86 |
— |
$15 | |
| Amniocentesis |
$1,228 |
$2,047 |
— |
$120 | |
| Amylase test |
$106 |
$176 |
— |
$6 | |
| Anal fistula repair |
$6,510 |
$10,782 |
— |
$541 | |
| Ankle fracture repair |
$18,813 |
$31,354 |
— |
$608 | |
| Ankle replacement |
$43,026 |
$71,766 |
— |
$885 | |
| Anoscopy |
$201 |
$335 |
— |
$129 | |
| Antinuclear antibody (ANA) test |
$67 |
$112 |
— |
$12 | |
| Aortic aneurysm repair (AAA) |
$1,020 |
$1,700 |
— |
$1,345 | |
| Aortic valve replacement |
$8,400 |
$14,000 |
— |
$1,603 | |
| Arterial blood gas (ABG) |
$68 |
$114 |
— |
$26 | |
| AST liver enzyme test |
$50 |
$83 |
— |
$5 | |
| Barium swallow study |
$365 |
$609 |
— |
$107 | |
| Bartholin cyst removal |
$395 |
$658 |
— |
$182 | |
| Basic metabolic panel |
$36 |
$60 |
— |
$8 | |
| Benign skin lesion removal |
$5,582 |
$9,304 |
— |
$171 | |
| Bilirubin blood test |
$31 |
$52 |
— |
$5 | |
| Bladder scope (cystoscopy) |
$8,922 |
$14,870 |
— |
$216 | |
| Bladder tumor removal (TURBT) |
$9,312 |
$15,520 |
— |
$236 | |
| Blood clotting test (PT/INR) |
$33 |
$55 |
— |
$4 | |
| Blood crossmatch |
$247 |
$412 |
— |
— | |
| Blood glucose test |
$34 |
$56 |
— |
$5 | |
| Blood transfusion |
$924 |
$1,540 |
— |
$47 | |
| Blood type and screen |
$86 |
$143 |
— |
$10 | |
| Blood type test |
$131 |
$218 |
— |
$3 | |
| Blood type test (ABO group) |
$201 |
$335 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$61 |
$101 |
— |
$3 | |
| BNP (heart failure) test |
$204 |
$340 |
— |
$39 | |
| Bone density scan (DEXA) |
$309 |
$515 |
— |
$39 | |
| Bone marrow biopsy |
$2,580 |
$4,299 |
— |
$172 | |
| Bone scan (nuclear) |
$1,252 |
$2,086 |
— |
$259 | |
| Brain shunt (VP shunt) |
$2,040 |
$3,400 |
— |
$1,023 | |
| Breast biopsy |
$2,580 |
$4,299 |
— |
$478 | |
| Breast MRI |
$498 |
$830 |
— |
$216 | |
| Breast MRI without contrast |
$498 |
$830 |
— |
$216 | |
| Breast reconstruction |
$4,295 |
$7,158 |
— |
$1,227 | |
| Breast reduction |
$18,810 |
$31,350 |
— |
$980 | |
| Breast ultrasound |
$255 |
$425 |
— |
$92 | |
| Breast ultrasound (complete) |
$255 |
$425 |
— |
$100 | |
| Breast ultrasound (limited) |
$255 |
$425 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$427 |
$712 |
— |
$133 | |
| Bronchoscopy |
$2,533 |
$4,222 |
— |
$303 | |
| Bunion surgery (bunionectomy) |
$20,220 |
$22,709 |
— |
$883 | |
| Burn dressing and debridement (medium) |
$323 |
$539 |
— |
$166 | |
| Burn dressing and debridement (small) |
$277 |
$462 |
— |
$93 | |
| Burn treatment |
$300 |
$500 |
— |
$129 | |
| C-reactive protein (CRP) |
$41 |
$68 |
— |
$5 | |
| CA 19-9 tumor marker test |
$129 |
$215 |
— |
$21 | |
| CA-125 ovarian marker test |
$159 |
$265 |
— |
$21 | |
| Calcium blood test |
$29 |
$48 |
— |
$5 | |
| Cardiac ablation |
$41,400 |
$69,000 |
— |
$759 | |
| Cardiac catheterization |
$7,600 |
$12,666 |
— |
$1,049 | |
| Cardiac MRI |
$608 |
$1,013 |
— |
$322 | |
| Cardiac MRI without contrast |
$465 |
$775 |
— |
$280 | |
| Cardiac rehabilitation |
$266 |
$444 |
— |
$26 | |
| Cardiac stress test |
$476 |
$794 |
— |
$39 | |
| Cardioversion |
$1,166 |
$1,944 |
— |
$155 | |
| Carotid artery ultrasound |
$377 |
$629 |
— |
$156 | |
| Carpal tunnel release |
$7,562 |
$14,024 |
— |
$483 | |
| Cataract surgery |
$9,714 |
$16,189 |
— |
$547 | |
| CEA tumor marker test |
$114 |
$190 |
— |
$19 | |
| Celiac disease test |
$34 |
$56 |
— |
$12 | |
| Central line placement |
$1,881 |
$3,135 |
— |
$238 | |
| Cervical cerclage |
$5,749 |
$9,716 |
— |
$137 | |
| Cervical LEEP procedure |
$6,962 |
$11,604 |
— |
$325 | |
| Cesarean section (C-section) |
$9,571 |
$23,313 |
$5,731 |
$7,552 | |
| Chemotherapy infusion |
$340 |
$567 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$111 |
$186 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$569 |
$949 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,342 |
$2,237 |
— |
$311 | |
| Chest tube insertion |
$1,881 |
$3,135 |
— |
$143 | |
| Chest X-ray |
$183 |
$305 |
— |
$37 | |
| Chest X-ray (1 view) |
$186 |
$310 |
— |
$25 | |
| Chest X-ray (2 views) |
$180 |
$300 |
— |
$33 | |
| Circumcision |
$4,730 |
$7,884 |
— |
$167 | |
| CK-MB heart enzyme test |
$44 |
$73 |
— |
$12 | |
| Clotting time test (PTT) |
$88 |
$146 |
— |
$6 | |
| Colonoscopy |
$2,515 |
$4,191 |
— |
$480 | |
| Complete blood count (CBC) |
$58 |
$96 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$65 |
$109 |
— |
$8 | |
| Complex wound repair |
$6,456 |
$10,759 |
— |
$390 | |
| Comprehensive metabolic panel |
$44 |
$74 |
— |
$11 | |
| Contraceptive implant (Nexplanon) |
$4,084 |
$6,807 |
— |
$115 | |
| Copper blood test |
$56 |
$93 |
— |
$12 | |
| Coronary artery bypass (CABG) |
$80,438 |
$201,314 |
$30,058 |
$36,593 | |
| Coronary CT angiography |
$755 |
$1,258 |
— |
$326 | |
| Cortisol test |
$67 |
$111 |
— |
$16 | |
| COVID-19 PCR test |
$108 |
$180 |
— |
$51 | |
| CPAP titration study |
$356 |
$594 |
— |
$69 | |
| Creatine kinase (CK) test |
$94 |
$156 |
— |
$7 | |
| CT angiography of the chest |
$2,082 |
$3,470 |
— |
$281 | |
| CT angiography of the head |
$808 |
$1,347 |
— |
$274 | |
| CT scan of the abdomen |
$1,736 |
$2,893 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$2,982 |
$4,970 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,293 |
$5,489 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,982 |
$4,970 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,663 |
$4,438 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,916 |
$3,193 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$1,736 |
$2,893 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$1,387 |
$2,311 |
— |
$136 | |
| CT scan of the arm |
$1,059 |
$1,765 |
— |
$199 | |
| CT scan of the arm with contrast |
$1,096 |
$1,827 |
— |
$199 | |
| CT scan of the arm without contrast |
$1,059 |
$1,765 |
— |
$161 | |
| CT scan of the chest |
$1,139 |
$1,899 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$1,139 |
$1,899 |
— |
$196 | |
| CT scan of the chest with contrast |
$1,139 |
$1,899 |
— |
$167 | |
| CT scan of the chest without contrast |
$1,139 |
$1,899 |
— |
$133 | |
| CT scan of the head |
$1,203 |
$2,005 |
— |
$148 | |
| CT scan of the head with and without contrast |
$1,203 |
$2,005 |
— |
$173 | |
| CT scan of the head with contrast |
$1,203 |
$2,005 |
— |
$148 | |
| CT scan of the head without contrast |
$1,203 |
$2,005 |
— |
$107 | |
| CT scan of the leg |
$1,059 |
$1,765 |
— |
$166 | |
| CT scan of the leg with contrast |
$1,059 |
$1,765 |
— |
$166 | |
| CT scan of the leg without contrast |
$1,057 |
$1,762 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,561 |
$2,601 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,561 |
$2,601 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,824 |
$3,040 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,171 |
$1,952 |
— |
$130 | |
| CT scan of the neck |
$1,126 |
$1,876 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$1,371 |
$2,285 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,561 |
$2,601 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,371 |
$2,285 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,191 |
$1,985 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$1,126 |
$1,876 |
— |
$220 | |
| CT scan of the neck with contrast |
$1,126 |
$1,876 |
— |
$183 | |
| CT scan of the neck without contrast |
$1,126 |
$1,876 |
— |
$150 | |
| CT scan of the pelvis |
$1,246 |
$2,077 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,408 |
$2,346 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$1,246 |
$2,077 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$1,246 |
$2,077 |
— |
$133 | |
| CT scan of the sinuses |
$1,122 |
$1,870 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,236 |
$2,060 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$1,122 |
$1,870 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$1,078 |
$1,796 |
— |
$128 | |
| D-dimer test |
$104 |
$174 |
— |
$10 | |
| Defibrillator (ICD) implant |
$59,251 |
$98,751 |
— |
$798 | |
| DHEA-sulfate test |
$92 |
$154 |
— |
$22 | |
| Diagnostic mammogram |
$255 |
$425 |
— |
$140 | |
| Dialysis fistula creation |
$14,644 |
$24,249 |
— |
$601 | |
| Dilation and curettage (D&C) |
$5,462 |
$9,046 |
— |
$298 | |
| Droopy eyelid repair (ptosis) |
$6,934 |
$11,556 |
— |
$745 | |
| Drug screen (urine) |
$400 |
$666 |
— |
$17 | |
| Ear tubes (myringotomy) |
$5,625 |
$9,334 |
— |
$174 | |
| Echocardiogram |
$1,016 |
$1,694 |
— |
$138 | |
| Echocardiogram with and without contrast |
$472 |
$786 |
— |
$101 | |
| Echocardiogram without contrast |
$1,016 |
$1,694 |
— |
$138 | |
| EEG (awake and asleep) |
$631 |
$1,051 |
— |
$482 | |
| EKG / ECG (tracing only) |
$164 |
$274 |
— |
$7 | |
| Elbow replacement |
$13,396 |
$22,327 |
— |
$1,301 | |
| Electrocardiogram (EKG) |
$164 |
$274 |
— |
$8 | |
| Electroencephalogram (EEG) |
$631 |
$1,051 |
— |
$448 | |
| Electrolyte panel |
$33 |
$55 |
— |
$7 | |
| Emergency department visit |
$1,800 |
$3,000 |
— |
$69 | |
| Emergency department visit (level 1) |
$285 |
$475 |
— |
$11 | |
| Emergency department visit (level 2) |
$480 |
$800 |
— |
$40 | |
| Emergency department visit (level 3) |
$810 |
$1,350 |
— |
$69 | |
| Emergency department visit (level 4) |
$3,060 |
$5,100 |
— |
$118 | |
| Emergency department visit (level 5) |
$3,600 |
$6,000 |
— |
$171 | |
| Endometrial biopsy |
$300 |
$500 |
— |
$98 | |
| Epidural steroid injection |
$3,946 |
$6,576 |
— |
$275 | |
| ERCP (bile duct endoscopy) |
$5,250 |
$8,750 |
— |
$311 | |
| Esophageal dilation |
$2,077 |
$3,462 |
— |
$522 | |
| Estradiol (estrogen) test |
$128 |
$214 |
— |
$28 | |
| Eyelid surgery (blepharoplasty) |
$8,099 |
$13,498 |
— |
$552 | |
| Facet joint injection (spine) |
$592 |
$987 |
— |
$99 | |
| Fallopian tube X-ray (HSG) |
$445 |
$741 |
— |
$164 | |
| Fecal occult blood (stool) test |
$55 |
$92 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$41 |
$68 |
— |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$70 |
$116 |
— |
$16 | |
| Feeding tube (PEG) placement |
$2,868 |
$4,780 |
— |
$178 | |
| Femoral hernia repair |
$4,403 |
$7,338 |
— |
$584 | |
| Ferritin (iron) test |
$139 |
$232 |
— |
$14 | |
| Fibrinogen test |
$56 |
$93 |
— |
$10 | |
| Fibroid removal (myomectomy) |
$10,135 |
$16,892 |
$3,055 |
$914 | |
| Flexible sigmoidoscopy |
$1,364 |
$2,273 |
— |
$323 | |
| Folate (folic acid) test |
$95 |
$159 |
— |
$15 | |
| Foreign body removal (skin) |
$845 |
$1,408 |
— |
$157 | |
| Free T4 thyroid test |
$63 |
$105 |
— |
$9 | |
| FSH hormone test |
$106 |
$176 |
— |
$19 | |
| Gallbladder removal (laparoscopic) |
$14,581 |
$23,882 |
— |
$658 | |
| Gallbladder scan (HIDA) |
$768 |
$1,280 |
— |
$334 | |
| Ganglion cyst removal |
$8,506 |
$14,176 |
— |
$321 | |
| GGT liver test |
$56 |
$93 |
— |
$7 | |
| Glaucoma surgery |
$10,140 |
$16,900 |
— |
$984 | |
| Glucose tolerance test |
$66 |
$110 |
— |
$8 | |
| Group therapy session |
$196 |
$326 |
— |
$30 | |
| H. pylori test |
$134 |
$223 |
— |
$67 | |
| Hammertoe repair |
$11,816 |
$19,693 |
— |
$548 | |
| HDL cholesterol test |
$77 |
$128 |
— |
$8 | |
| Hearing test (audiometry) |
$285 |
$475 |
— |
$36 | |
| Hematocrit test |
$11 |
$18 |
— |
$2 | |
| Hemoglobin A1c (diabetes test) |
$67 |
$112 |
— |
$10 | |
| Hemorrhoid removal |
$2,895 |
$4,825 |
— |
$338 | |
| Hepatitis B test |
$50 |
$84 |
— |
$10 | |
| Hepatitis C test |
$113 |
$188 |
— |
$14 | |
| Hip replacement |
$28,109 |
$46,849 |
— |
$1,162 | |
| HIV test |
$146 |
$244 |
— |
$19 | |
| HIV test (antibody) |
$146 |
$244 |
— |
$14 | |
| HIV test (antigen/antibody combo) |
$146 |
$244 |
— |
$24 | |
| Holter heart monitor |
$980 |
$1,633 |
— |
$26 | |
| Home sleep apnea test |
$297 |
$495 |
— |
$123 | |
| Hydrocele repair |
$9,876 |
$16,461 |
— |
$315 | |
| Hysterectomy |
$20,102 |
$33,503 |
$6,739 |
$933 | |
| Hysteroscopy |
$10,889 |
$16,250 |
— |
$1,270 | |
| Inguinal hernia repair |
$10,079 |
$16,799 |
— |
$538 | |
| Iron blood test |
$94 |
$156 |
— |
$6 | |
| IUD insertion |
$414 |
$690 |
— |
— | |
| IUD removal |
$414 |
$690 |
— |
$112 | |
| IV infusion therapy |
$354 |
$590 |
— |
$44 | |
| IV infusion therapy (each additional) |
$187 |
$312 |
— |
$21 | |
| IV infusion therapy (initial) |
$520 |
$867 |
— |
$67 | |
| IVC filter placement |
$8,630 |
$14,384 |
— |
$1,885 | |
| Joint aspiration (small/intermediate) |
$468 |
$780 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$702 |
$1,170 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$468 |
$780 |
— |
$56 | |
| Kidney biopsy |
$2,580 |
$4,299 |
— |
$492 | |
| Kidney scan (nuclear) |
$1,721 |
$2,869 |
— |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$12,610 |
$21,017 |
— |
$760 | |
| Kidney ultrasound |
$317 |
$529 |
— |
$84 | |
| Kidney ultrasound (limited) |
$276 |
$460 |
— |
$61 | |
| Knee arthroscopy |
$15,397 |
$25,505 |
— |
$524 | |
| Knee joint injection |
$468 |
$780 |
— |
$69 | |
| Knee replacement |
$56,266 |
$143,381 |
$11,530 |
$18,054 | |
| Lactate test |
$96 |
$160 |
— |
$12 | |
| Laminectomy (spine) |
$23,719 |
$39,531 |
— |
$1,157 | |
| Laryngoscopy |
$301 |
$501 |
— |
$189 | |
| LDH test |
$51 |
$85 |
— |
$6 | |
| LDL cholesterol test |
$31 |
$51 |
— |
$11 | |
| Leg artery angiogram |
$4,770 |
$7,950 |
— |
$149 | |
| Leg artery angioplasty |
$15,324 |
$25,541 |
— |
— | |
| Leg vein ultrasound (Doppler) |
$540 |
$900 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$431 |
$719 |
— |
$116 | |
| LH hormone test |
$113 |
$188 |
— |
$19 | |
| Lipase test |
$106 |
$176 |
— |
$7 | |
| Lipid (cholesterol) panel |
$83 |
$139 |
— |
$13 | |
| Liver biopsy |
$2,580 |
$4,299 |
— |
$288 | |
| Liver function panel |
$57 |
$95 |
— |
$8 | |
| Lumbar discectomy |
$15,923 |
$26,538 |
— |
$898 | |
| Lumpectomy (breast) |
$10,183 |
$18,161 |
— |
$750 | |
| Lung function test (PFT) |
$494 |
$824 |
— |
$37 | |
| Lung scan (V/Q) |
$1,138 |
$1,896 |
— |
$291 | |
| Magnesium blood test |
$56 |
$94 |
— |
$7 | |
| Mastectomy |
$20,742 |
$34,570 |
— |
$1,021 | |
| Meniscus repair (knee) |
$24,661 |
$41,102 |
— |
$714 | |
| MRA of the brain |
$1,768 |
$2,947 |
— |
$226 | |
| MRA of the brain with contrast |
$1,768 |
$2,947 |
— |
$226 | |
| MRA of the brain without contrast |
$2,667 |
$4,445 |
— |
$328 | |
| MRA of the neck |
$1,779 |
$2,965 |
— |
$245 | |
| MRA of the neck with contrast |
$1,779 |
$2,965 |
— |
$245 | |
| MRA of the neck without contrast |
$2,824 |
$4,707 |
— |
$343 | |
| MRI of the abdomen |
$1,275 |
$2,125 |
— |
$300 | |
| MRI of the abdomen with contrast |
$1,275 |
$2,125 |
— |
$300 | |
| MRI of the abdomen without contrast |
$1,116 |
$1,860 |
— |
$194 | |
| MRI of the ankle |
$1,660 |
$2,767 |
— |
$261 | |
| MRI of the ankle with contrast |
$1,660 |
$2,767 |
— |
$261 | |
| MRI of the ankle without contrast |
$1,456 |
$2,427 |
— |
$222 | |
| MRI of the brain |
$2,329 |
$3,882 |
— |
$269 | |
| MRI of the brain with contrast |
$2,329 |
$3,882 |
— |
$269 | |
| MRI of the brain without contrast |
$2,038 |
$3,397 |
— |
$195 | |
| MRI of the chest |
$1,900 |
$3,167 |
— |
$371 | |
| MRI of the chest without contrast |
$2,402 |
$4,004 |
— |
$466 | |
| MRI of the knee |
$1,759 |
$2,932 |
— |
$315 | |
| MRI of the knee with contrast |
$1,759 |
$2,932 |
— |
$315 | |
| MRI of the knee without contrast |
$1,543 |
$2,572 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,961 |
$3,269 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,961 |
$3,269 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,569 |
$2,615 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,782 |
$2,970 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,266 |
$3,777 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,782 |
$2,970 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,562 |
$2,604 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$2,079 |
$3,465 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,371 |
$3,951 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,079 |
$3,465 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,823 |
$3,039 |
— |
$191 | |
| MRI of the pelvis |
$1,457 |
$2,429 |
— |
$268 | |
| MRI of the pelvis with contrast |
$1,398 |
$2,330 |
— |
$268 | |
| MRI of the pelvis without contrast |
$1,457 |
$2,429 |
— |
$227 | |
| MRI of the shoulder |
$1,759 |
$2,932 |
— |
$313 | |
| MRI of the shoulder with contrast |
$1,759 |
$2,932 |
— |
$313 | |
| MRI of the shoulder without contrast |
$1,543 |
$2,572 |
— |
$205 | |
| MRI of the wrist |
$1,811 |
$3,019 |
— |
$330 | |
| MRI of the wrist with contrast |
$1,811 |
$3,019 |
— |
$330 | |
| MRI of the wrist without contrast |
$1,456 |
$2,427 |
— |
$303 | |
| Nebulizer breathing treatment |
$430 |
$717 |
— |
$9 | |
| Neck (cervical) spinal fusion |
$7,214 |
$11,995 |
— |
$1,410 | |
| Nuchal translucency ultrasound |
$219 |
$365 |
— |
$116 | |
| Nuclear cardiac stress test |
$2,759 |
$4,599 |
— |
$428 | |
| Occupational therapy evaluation |
$195 |
$325 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$225 |
$375 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$165 |
$275 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$195 |
$325 |
— |
$101 | |
| Office visit (established patient) |
$205 |
$342 |
— |
$115 | |
| Office visit (new patient) |
$224 |
$374 |
— |
$177 | |
| Office visit, established patient (level 3) |
$186 |
$310 |
— |
$95 | |
| Office visit, established patient (level 4) |
$224 |
$374 |
— |
$136 | |
| Office visit, new patient (level 3) |
$186 |
$310 |
— |
$118 | |
| Office visit, new patient (level 4) |
$224 |
$374 |
— |
$177 | |
| Office visit, new patient (level 5) |
$224 |
$374 |
— |
$237 | |
| Orthopedic hardware removal |
$8,583 |
$14,305 |
— |
$632 | |
| Pacemaker insertion |
$36,361 |
$92,294 |
$15,170 |
$15,506 | |
| Pap smear (cervical screening) |
$75 |
$125 |
— |
$20 | |
| Parathyroid hormone (PTH) test |
$152 |
$254 |
— |
$41 | |
| Parathyroid removal |
$11,439 |
$19,204 |
— |
$891 | |
| Pelvic ultrasound |
$375 |
$626 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$479 |
$799 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$271 |
$452 |
— |
$51 | |
| Phosphorus blood test |
$56 |
$94 |
— |
$5 | |
| Physical therapy evaluation |
$195 |
$325 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$225 |
$375 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$195 |
$325 |
— |
$98 | |
| Pilonidal cyst removal |
$5,806 |
$9,676 |
— |
$541 | |
| Platelet count |
$41 |
$68 |
— |
$4 | |
| Pregnancy blood test (hCG) |
$110 |
$183 |
— |
$8 | |
| Pregnancy ultrasound |
$316 |
$526 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$285 |
$475 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$346 |
$577 |
— |
$136 | |
| Procalcitonin test |
$84 |
$140 |
— |
$27 | |
| Prolactin test |
$112 |
$186 |
— |
$19 | |
| Prostate biopsy |
$12,624 |
$21,039 |
— |
— | |
| Prostate removal (prostatectomy) |
$42,502 |
$70,837 |
— |
$1,063 | |
| Prostate surgery (TURP) |
$11,311 |
$18,852 |
— |
$526 | |
| Prostate test (PSA) |
$45 |
$75 |
— |
$18 | |
| Pulmonary rehabilitation |
$135 |
$225 |
— |
$87 | |
| Radiofrequency nerve ablation |
$7,677 |
$10,002 |
— |
$462 | |
| Rotator cuff repair |
$23,939 |
$32,924 |
— |
$792 | |
| Sacroiliac joint injection |
$782 |
$1,304 |
— |
$176 | |
| Scoliosis spine X-ray |
$169 |
$282 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$119 |
$198 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$219 |
$365 |
— |
$72 | |
| Screening mammogram |
$270 |
$450 |
— |
$126 | |
| Scrotal ultrasound |
$466 |
$777 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$62 |
$104 |
— |
$3 | |
| Septoplasty (deviated septum) |
$10,446 |
$17,316 |
— |
$613 | |
| Sex hormone binding globulin test |
$65 |
$108 |
— |
$22 | |
| Shoulder arthroscopy |
$40,012 |
$66,687 |
— |
$962 | |
| Shoulder replacement |
$8,338 |
$13,897 |
— |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$328 |
$547 |
— |
$114 | |
| Simple wound stitches |
$328 |
$547 |
— |
$127 | |
| Sinus surgery (endoscopic) |
$13,874 |
$23,124 |
— |
$224 | |
| Skin biopsy |
$845 |
$1,408 |
— |
$121 | |
| Skin biopsy (punch) |
$845 |
$1,408 |
— |
$121 | |
| Skin cancer lesion removal |
$3,179 |
$5,298 |
— |
$240 | |
| Skin lesion freezing (cryotherapy) |
$83 |
$139 |
— |
$36 | |
| Sleep study (polysomnography) |
$2,738 |
$4,563 |
— |
$691 | |
| Soft tissue ultrasound |
$502 |
$837 |
— |
$64 | |
| Speech therapy |
$210 |
$350 |
— |
$76 | |
| Spinal tap (lumbar puncture) |
$1,231 |
$2,051 |
— |
$165 | |
| Spine fracture repair (kyphoplasty) |
$11,806 |
$19,677 |
— |
$5,803 | |
| Spirometry (lung function test) |
$331 |
$551 |
— |
$30 | |
| Spirometry with bronchodilator |
$658 |
$1,097 |
— |
$43 | |
| Strabismus (eye muscle) surgery |
$8,304 |
$13,839 |
— |
$475 | |
| Strep throat test |
$65 |
$108 |
— |
$17 | |
| Stress echocardiogram |
$1,140 |
$1,900 |
— |
$209 | |
| Stress echocardiogram (complete) |
$1,140 |
$1,900 |
— |
$233 | |
| Swallow study |
$165 |
$275 |
— |
$85 | |
| T3 thyroid test |
$87 |
$145 |
— |
$14 | |
| Testicle removal (orchiectomy) |
$7,766 |
$13,752 |
— |
$306 | |
| Testosterone test |
$128 |
$214 |
— |
$26 | |
| Thyroid removal (thyroidectomy) |
$9,854 |
$16,838 |
— |
$1,004 | |
| Thyroid test (TSH) |
$99 |
$165 |
— |
$17 | |
| Thyroid ultrasound |
$466 |
$777 |
— |
$109 | |
| Thyroid uptake scan |
$781 |
$1,301 |
— |
$145 | |
| Tilt table test |
$986 |
$1,644 |
— |
$168 | |
| Tonsillectomy |
$6,371 |
$10,619 |
— |
$252 | |
| Total IgE allergy test |
$84 |
$140 |
— |
$16 | |
| Total protein test |
$37 |
$62 |
— |
$4 | |
| Transesophageal echocardiogram (TEE) |
$1,459 |
$2,432 |
— |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,898 |
$3,163 |
— |
$239 | |
| Transvaginal ultrasound |
$514 |
$857 |
— |
$118 | |
| Trigger finger release |
$7,630 |
$12,716 |
— |
$630 | |
| Trigger point injection |
$468 |
$780 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$468 |
$780 |
— |
$52 | |
| Triglycerides test |
$31 |
$52 |
— |
$6 | |
| Troponin (heart) test |
$106 |
$176 |
— |
$12 | |
| Tubal ligation |
$15,872 |
$26,453 |
— |
$333 | |
| Turbinate reduction |
$10,886 |
$18,143 |
— |
$294 | |
| Turning a breech baby (version) |
$4,349 |
$7,249 |
— |
$94 | |
| Ulnar nerve surgery (elbow) |
$9,342 |
$15,643 |
— |
$575 | |
| Upper GI endoscopy (EGD) |
$2,066 |
$3,443 |
— |
$371 | |
| Upper GI series (barium) |
$390 |
$650 |
— |
$128 | |
| Ureteral stent placement |
$13,007 |
$21,679 |
— |
$373 | |
| Ureteroscopy (stone removal) |
$13,651 |
$22,047 |
— |
$365 | |
| Uric acid (gout) test |
$70 |
$116 |
— |
$5 | |
| Urinalysis |
$30 |
$50 |
— |
$3 | |
| Urine microalbumin test |
$42 |
$70 |
— |
$5 | |
| Urine pregnancy test |
$47 |
$78 |
— |
$9 | |
| Vaccine administration |
$88 |
$146 |
— |
$19 | |
| Vaccine administration (each additional) |
$64 |
$106 |
— |
$16 | |
| Vaginal delivery |
$9,030 |
$23,031 |
$4,030 |
$5,487 | |
| Varicose vein ablation |
$5,250 |
$8,750 |
— |
$1,018 | |
| Vasectomy |
$8,364 |
$13,939 |
— |
$347 | |
| Vitamin B12 test |
$87 |
$145 |
— |
$15 | |
| Vitamin D test |
$101 |
$168 |
— |
$30 | |
| Vocal cord injection |
$10,310 |
$17,184 |
— |
$211 | |
| Wound debridement |
$3,289 |
$5,482 |
— |
$186 | |
| Wrist fracture repair |
$17,925 |
$29,875 |
— |
$735 | |
| X-ray of the abdomen |
$219 |
$365 |
— |
$36 | |
| X-ray of the ankle |
$177 |
$295 |
— |
$37 | |
| X-ray of the collarbone |
$173 |
$289 |
— |
$33 | |
| X-ray of the elbow |
$176 |
$293 |
— |
$33 | |
| X-ray of the facial bones |
$234 |
$390 |
— |
$39 | |
| X-ray of the foot |
$177 |
$295 |
— |
$34 | |
| X-ray of the forearm |
$165 |
$275 |
— |
$29 | |
| X-ray of the hand |
$177 |
$295 |
— |
$38 | |
| X-ray of the hip |
$180 |
$300 |
— |
$49 | |
| X-ray of the hip (1 view) |
$119 |
$198 |
— |
$34 | |
| X-ray of the hip (3 views) |
$180 |
$300 |
— |
$49 | |
| X-ray of the hip (4 views) |
$219 |
$365 |
— |
$63 | |
| X-ray of the knee |
$219 |
$365 |
— |
$42 | |
| X-ray of the knee (2 views) |
$147 |
$245 |
— |
$34 | |
| X-ray of the knee (3 views) |
$195 |
$325 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$219 |
$365 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$258 |
$431 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$219 |
$365 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$298 |
$496 |
— |
$53 | |
| X-ray of the lower leg |
$177 |
$295 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$219 |
$365 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$229 |
$382 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$209 |
$348 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$258 |
$431 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$298 |
$496 |
— |
$40 | |
| X-ray of the pelvis |
$224 |
$374 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$219 |
$365 |
— |
$28 | |
| X-ray of the ribs |
$219 |
$365 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$218 |
$363 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$219 |
$365 |
— |
$42 | |
| X-ray of the shoulder |
$188 |
$314 |
— |
$36 | |
| X-ray of the skull |
$257 |
$429 |
— |
$40 | |
| X-ray of the upper arm |
$175 |
$291 |
— |
$32 | |
| X-ray of the wrist |
$177 |
$295 |
— |
$43 | |
| Zinc blood test |
$44 |
$74 |
— |
$11 | |