| Abdominal fluid drain (paracentesis) |
$683 |
$2,688 |
$903 |
$284 | |
| Abdominal ultrasound |
$308 |
$1,211 |
$108 |
$100 | |
| Abdominal ultrasound (complete) |
$366 |
$1,441 |
$119 |
$114 | |
| Abdominal ultrasound (limited) |
$249 |
$980 |
$102 |
$86 | |
| Abscess drainage (complex or multiple) |
$245 |
$964 |
$568 |
$220 | |
| Abscess drainage (simple) |
$213 |
$838 |
$215 |
$129 | |
| Abscess incision and drainage |
$229 |
$901 |
$422 |
$174 | |
| Achilles tendon repair |
— |
— |
$5,411 |
$624 | |
| ACL knee reconstruction |
— |
— |
$6,552 |
$889 | |
| Adenoid removal (adenoidectomy) |
— |
— |
$2,893 |
$204 | |
| Albumin blood test |
$19 |
$74 |
$5 |
$5 | |
| Aldosterone test |
$205 |
$806 |
$42 |
$41 | |
| Alkaline phosphatase test |
$22 |
$86 |
$6 |
$5 | |
| Allergy patch testing |
$50 |
$197 |
$961 |
$5 | |
| ALT liver enzyme test |
$25 |
$97 |
$6 |
$5 | |
| Ammonia blood test |
$47 |
$183 |
$15 |
$15 | |
| Amniocentesis |
$189 |
$745 |
$839 |
$120 | |
| Amylase test |
$11 |
$43 |
$7 |
$6 | |
| Anal fistula repair |
— |
— |
$2,553 |
$541 | |
| Ankle fracture repair |
— |
— |
$6,552 |
$608 | |
| Ankle replacement |
— |
— |
$6,979 |
$885 | |
| Anoscopy |
$51 |
$200 |
$192 |
$129 | |
| Antinuclear antibody (ANA) test |
$21 |
$81 |
$12 |
$12 | |
| Aortic aneurysm repair (AAA) |
$1,171 |
$4,608 |
$2,421 |
$1,345 | |
| Aortic valve replacement |
— |
— |
$2,477 |
$1,603 | |
| Appendix removal (appendectomy) |
— |
— |
$13,677 |
$592 | |
| Arterial blood gas (ABG) |
$89 |
$351 |
$28 |
$26 | |
| AST liver enzyme test |
$25 |
$99 |
$6 |
$5 | |
| Barium swallow study |
$140 |
$551 |
$171 |
$107 | |
| Bartholin cyst removal |
$148 |
$584 |
$568 |
$182 | |
| Basic metabolic panel |
$37 |
$145 |
$9 |
$8 | |
| Benign skin lesion removal |
$590 |
$2,322 |
$665 |
$171 | |
| Bilirubin blood test |
$23 |
$90 |
$6 |
$5 | |
| Bladder function test (urodynamics) |
— |
— |
$636 |
$345 | |
| Bladder scope (cystoscopy) |
— |
— |
$643 |
$216 | |
| Bladder tumor removal (TURBT) |
— |
— |
$2,992 |
$236 | |
| Blood clotting test (PT/INR) |
$12 |
$48 |
$5 |
$4 | |
| Blood crossmatch |
$207 |
$813 |
$162 |
— | |
| Blood glucose test |
$18 |
$72 |
$4 |
$5 | |
| Blood transfusion |
$526 |
$2,069 |
$568 |
$47 | |
| Blood type and screen |
$99 |
$388 |
$50 |
$10 | |
| Blood type test |
$89 |
$352 |
$37 |
$3 | |
| Blood type test (ABO group) |
$116 |
$455 |
$119 |
$3 | |
| Blood type test (Rh/D antigen) |
$63 |
$248 |
$37 |
$3 | |
| BNP (heart failure) test |
$106 |
$417 |
$43 |
$39 | |
| Bone density scan (DEXA) |
$128 |
$502 |
$121 |
$39 | |
| Bone marrow biopsy |
$756 |
$2,974 |
$1,531 |
$172 | |
| Bone scan (nuclear) |
$634 |
$2,496 |
$380 |
$259 | |
| Botox for migraine |
— |
— |
$284 |
$157 | |
| Brain shunt (VP shunt) |
— |
— |
$2,449 |
$1,023 | |
| Breast biopsy |
$998 |
$3,926 |
$1,560 |
$478 | |
| Breast reconstruction |
— |
— |
$2,821 |
$1,227 | |
| Breast reduction |
— |
— |
$5,411 |
$980 | |
| Breast ultrasound |
$87 |
$344 |
$108 |
$92 | |
| Breast ultrasound (complete) |
$87 |
$344 |
$119 |
$100 | |
| Breast ultrasound (limited) |
$87 |
$344 |
$85 |
$84 | |
| Breathing tube insertion (intubation) |
$448 |
$1,763 |
$598 |
$133 | |
| Bronchoscopy |
$699 |
$2,748 |
$1,661 |
$303 | |
| Bunion surgery (bunionectomy) |
— |
— |
$3,027 |
$883 | |
| Burn dressing and debridement (medium) |
$170 |
$667 |
$465 |
$166 | |
| Burn dressing and debridement (small) |
$99 |
$391 |
$232 |
$93 | |
| Burn treatment |
$134 |
$529 |
$325 |
$129 | |
| C-reactive protein (CRP) |
$23 |
$92 |
$6 |
$5 | |
| CA-125 ovarian marker test |
$68 |
$269 |
$22 |
$21 | |
| Calcium blood test |
$22 |
$86 |
$6 |
$5 | |
| Cardiac ablation |
$7,969 |
$31,348 |
$12,876 |
$759 | |
| Cardiac catheterization |
$3,385 |
$13,317 |
$3,097 |
$1,049 | |
| Cardiac MRI |
$846 |
$3,330 |
$584 |
$322 | |
| Cardiac MRI without contrast |
$709 |
$2,788 |
$518 |
$280 | |
| Cardiac stress test |
$257 |
$1,012 |
$294 |
$39 | |
| Cardioversion |
$459 |
$1,805 |
$618 |
$155 | |
| Carotid artery surgery |
— |
— |
$2,477 |
$1,026 | |
| Carotid artery ultrasound |
$340 |
$1,336 |
$233 |
$156 | |
| Carpal tunnel release |
— |
— |
$1,828 |
$483 | |
| Cataract surgery |
— |
— |
$2,196 |
$547 | |
| CEA tumor marker test |
$62 |
$242 |
$21 |
$19 | |
| Celiac disease test |
$6 |
$24 |
— |
$12 | |
| Central line placement |
$1,412 |
$5,554 |
$1,574 |
$238 | |
| Cervical cerclage |
— |
— |
$2,876 |
$137 | |
| Cervical LEEP procedure |
— |
— |
$2,876 |
$325 | |
| Cesarean section (C-section) |
— |
— |
$8,457 |
$7,552 | |
| Chalazion (eyelid cyst) removal |
— |
— |
$568 |
$131 | |
| Chemotherapy infusion |
$241 |
$947 |
$319 |
$81 | |
| Chemotherapy infusion (first hour) |
$241 |
$947 |
$319 |
$133 | |
| Chest fluid drain (thoracentesis) |
$371 |
$1,460 |
$595 |
$311 | |
| Chest tube insertion |
$388 |
$1,528 |
$1,482 |
$143 | |
| Chest X-ray |
$121 |
$477 |
$84 |
$37 | |
| Chest X-ray (1 view) |
$95 |
$373 |
$84 |
$25 | |
| Chest X-ray (2 views) |
$127 |
$500 |
$84 |
$33 | |
| Circumcision |
— |
— |
$1,883 |
$167 | |
| CK-MB heart enzyme test |
$53 |
$208 |
$13 |
$12 | |
| Clotting time test (PTT) |
$15 |
$60 |
$7 |
$6 | |
| Colon resection (colectomy) |
— |
— |
$2,477 |
$1,238 | |
| Colonoscopy |
— |
— |
$1,135 |
$480 | |
| Colostomy |
— |
— |
$2,449 |
$1,122 | |
| Colposcopy |
— |
— |
$568 |
$161 | |
| Complete blood count (CBC) |
$32 |
$125 |
$8 |
$7 | |
| Complete blood count (CBC) (complete) |
$33 |
$128 |
$8 |
$8 | |
| Complex wound repair |
$430 |
$1,692 |
$591 |
$390 | |
| Comprehensive metabolic panel |
$41 |
$160 |
$12 |
$11 | |
| Contraceptive implant (Nexplanon) |
— |
— |
$384 |
$115 | |
| Corneal transplant |
— |
— |
$3,816 |
$1,066 | |
| Coronary angioplasty / stent (PCI) |
— |
— |
$25,223 |
$426 | |
| Coronary artery bypass (CABG) |
— |
— |
$40,480 |
$36,593 | |
| Coronary CT angiography |
$290 |
$1,140 |
$402 |
$326 | |
| Cortisol test |
$57 |
$223 |
$17 |
$16 | |
| COVID-19 PCR test |
$61 |
$238 |
$53 |
$51 | |
| CPAP titration study |
$239 |
$941 |
$194 |
$69 | |
| Craniotomy (brain surgery) |
— |
— |
$2,477 |
$2,161 | |
| Creatine kinase (CK) test |
$31 |
$122 |
$7 |
$7 | |
| CT angiography of the chest |
$686 |
$2,699 |
$402 |
$281 | |
| CT angiography of the head |
$680 |
$2,676 |
$402 |
$274 | |
| CT scan of the abdomen |
$839 |
$3,301 |
$391 |
$230 | |
| CT scan of the abdomen and pelvis |
$1,528 |
$6,012 |
$415 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$1,696 |
$6,673 |
$498 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$1,528 |
$6,012 |
$468 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,483 |
$5,832 |
$246 |
$183 | |
| CT scan of the abdomen with and without contrast |
$915 |
$3,599 |
$402 |
$259 | |
| CT scan of the abdomen with contrast |
$839 |
$3,301 |
$402 |
$230 | |
| CT scan of the abdomen without contrast |
$789 |
$3,103 |
$245 |
$136 | |
| CT scan of the arm |
$669 |
$2,633 |
$368 |
$199 | |
| CT scan of the arm with contrast |
$655 |
$2,578 |
$367 |
$199 | |
| CT scan of the arm without contrast |
$563 |
$2,213 |
$245 |
$161 | |
| CT scan of the chest |
$727 |
$2,861 |
$391 |
$167 | |
| CT scan of the chest with and without contrast |
$844 |
$3,319 |
$402 |
$196 | |
| CT scan of the chest with contrast |
$727 |
$2,861 |
$402 |
$167 | |
| CT scan of the chest without contrast |
$596 |
$2,346 |
$245 |
$133 | |
| CT scan of the head |
$791 |
$3,112 |
$375 |
$148 | |
| CT scan of the head with and without contrast |
$1,002 |
$3,940 |
$402 |
$173 | |
| CT scan of the head with contrast |
$791 |
$3,112 |
$402 |
$148 | |
| CT scan of the head without contrast |
$726 |
$2,855 |
$245 |
$107 | |
| CT scan of the leg |
$641 |
$2,521 |
$368 |
$166 | |
| CT scan of the leg with contrast |
$641 |
$2,521 |
$309 |
$166 | |
| CT scan of the leg without contrast |
$580 |
$2,282 |
$245 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$756 |
$2,975 |
$402 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$843 |
$3,315 |
$402 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$756 |
$2,975 |
$498 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$720 |
$2,834 |
$245 |
$130 | |
| CT scan of the neck |
$737 |
$2,899 |
$322 |
$183 | |
| CT scan of the neck (cervical spine) |
$734 |
$2,889 |
$402 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$818 |
$3,219 |
$402 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$734 |
$2,889 |
$498 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$699 |
$2,751 |
$245 |
$131 | |
| CT scan of the neck with and without contrast |
$855 |
$3,363 |
$322 |
$220 | |
| CT scan of the neck with contrast |
$737 |
$2,899 |
$402 |
$183 | |
| CT scan of the neck without contrast |
$685 |
$2,696 |
$245 |
$150 | |
| CT scan of the pelvis |
$592 |
$2,328 |
$391 |
$226 | |
| CT scan of the pelvis with and without contrast |
$731 |
$2,875 |
$402 |
$251 | |
| CT scan of the pelvis with contrast |
$638 |
$2,510 |
$402 |
$226 | |
| CT scan of the pelvis without contrast |
$545 |
$2,145 |
$245 |
$133 | |
| CT scan of the sinuses |
$795 |
$3,126 |
$391 |
$152 | |
| CT scan of the sinuses with and without contrast |
$897 |
$3,530 |
$402 |
$184 | |
| CT scan of the sinuses with contrast |
$829 |
$3,261 |
$402 |
$152 | |
| CT scan of the sinuses without contrast |
$760 |
$2,991 |
$245 |
$128 | |
| D-dimer test |
$43 |
$168 |
$11 |
$10 | |
| Defibrillator (ICD) implant |
$24,815 |
$97,618 |
$21,332 |
$798 | |
| DHEA-sulfate test |
$39 |
$154 |
$22 |
$22 | |
| Diagnostic mammogram |
$169 |
$664 |
$226 |
$140 | |
| Dialysis fistula creation |
— |
— |
$2,887 |
$601 | |
| Dilation and curettage (D&C) |
$1,259 |
$4,954 |
$2,876 |
$298 | |
| Droopy eyelid repair (ptosis) |
— |
— |
$2,204 |
$745 | |
| Drug screen (urine) |
$38 |
$148 |
$62 |
$17 | |
| Ear tubes (myringotomy) |
— |
— |
$1,399 |
$174 | |
| Eardrum repair (tympanoplasty) |
— |
— |
$5,411 |
$799 | |
| Echocardiogram |
$448 |
$1,763 |
$518 |
$138 | |
| Echocardiogram with and without contrast |
$294 |
$1,157 |
$228 |
$101 | |
| Echocardiogram without contrast |
$315 |
$1,238 |
$228 |
$138 | |
| EEG (awake and asleep) |
$336 |
$1,321 |
$294 |
$482 | |
| EKG / ECG (tracing only) |
$68 |
$267 |
$56 |
$7 | |
| Elbow replacement |
— |
— |
$13,397 |
$1,301 | |
| Electrocardiogram (EKG) |
$68 |
$267 |
$56 |
$8 | |
| Electroencephalogram (EEG) |
$405 |
$1,592 |
$294 |
$448 | |
| Electrolyte panel |
$26 |
$103 |
$8 |
$7 | |
| Emergency department visit |
$451 |
$1,776 |
$579 |
$69 | |
| Emergency department visit (level 1) |
$189 |
$745 |
$280 |
$11 | |
| Emergency department visit (level 2) |
$262 |
$1,031 |
$391 |
$40 | |
| Emergency department visit (level 3) |
$451 |
$1,776 |
$425 |
$69 | |
| Emergency department visit (level 4) |
$561 |
$2,205 |
$546 |
$118 | |
| Emergency department visit (level 5) |
$728 |
$2,864 |
$717 |
$171 | |
| Endometrial biopsy |
$128 |
$505 |
$215 |
$98 | |
| Epidural steroid injection |
$558 |
$2,196 |
$667 |
$275 | |
| ERCP (bile duct endoscopy) |
— |
— |
$2,992 |
$311 | |
| Esophageal dilation |
$887 |
$3,488 |
$1,313 |
$522 | |
| Esophageal variceal banding |
— |
— |
$1,740 |
$126 | |
| Estradiol (estrogen) test |
$52 |
$204 |
$28 |
$28 | |
| Eyelid surgery (blepharoplasty) |
— |
— |
$1,877 |
$552 | |
| Facet joint injection (spine) |
$332 |
$1,307 |
$1,217 |
$99 | |
| Fallopian tube X-ray (HSG) |
$176 |
$693 |
$674 |
$164 | |
| Fecal occult blood (stool) test |
$11 |
$45 |
$5 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$11 |
$45 |
$5 |
$4 | |
| Feeding tube (PEG) placement |
$1,039 |
$4,088 |
$1,792 |
$178 | |
| Femoral hernia repair |
— |
— |
$3,334 |
$584 | |
| Ferritin (iron) test |
$41 |
$163 |
$15 |
$14 | |
| Fibrinogen test |
$30 |
$120 |
$11 |
$10 | |
| Fibroid removal (myomectomy) |
— |
— |
$2,519 |
$914 | |
| Flexible sigmoidoscopy |
$643 |
$2,529 |
$878 |
$323 | |
| Flu test |
$38 |
$150 |
$17 |
$17 | |
| Folate (folic acid) test |
$57 |
$225 |
$16 |
$15 | |
| Foreign body removal (skin) |
$198 |
$779 |
$385 |
$157 | |
| Free T4 thyroid test |
$34 |
$135 |
$10 |
$9 | |
| FSH hormone test |
$58 |
$229 |
$20 |
$19 | |
| Gallbladder removal (laparoscopic) |
— |
— |
$5,301 |
$658 | |
| Gallbladder scan (HIDA) |
$625 |
$2,459 |
$539 |
$334 | |
| Ganglion cyst removal |
— |
— |
$1,541 |
$321 | |
| GGT liver test |
$22 |
$85 |
$8 |
$7 | |
| Glaucoma surgery |
— |
— |
$2,196 |
$984 | |
| Glucose tolerance test |
$28 |
$109 |
$13 |
$8 | |
| H. pylori test |
$68 |
$267 |
$71 |
$67 | |
| Hammertoe repair |
— |
— |
$2,976 |
$548 | |
| HDL cholesterol test |
$27 |
$107 |
$9 |
$8 | |
| Hematocrit test |
$12 |
$48 |
$2 |
$2 | |
| Hemodialysis |
$293 |
$1,154 |
$642 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$38 |
$151 |
$11 |
$10 | |
| Hemorrhoid removal |
— |
— |
$1,540 |
$338 | |
| Hepatitis B test |
$40 |
$159 |
$11 |
$10 | |
| Hepatitis C test |
$52 |
$206 |
$16 |
$14 | |
| Hip arthroscopy |
— |
— |
$6,552 |
$931 | |
| Hip fracture repair |
— |
— |
$2,699 |
$1,120 | |
| Hip replacement |
— |
— |
$9,928 |
$1,162 | |
| HIV test |
$49 |
$192 |
$14 |
$19 | |
| HIV test (antibody) |
$49 |
$192 |
$14 |
$14 | |
| Holter heart monitor |
$92 |
$362 |
$122 |
$26 | |
| Hydrocele repair |
— |
— |
$3,237 |
$315 | |
| Hysterectomy |
— |
— |
$5,490 |
$933 | |
| Hysteroscopy |
— |
— |
$2,876 |
$1,270 | |
| Ileostomy |
— |
— |
$2,449 |
$968 | |
| Incisional hernia repair |
— |
— |
$2,912 |
— | |
| Inguinal hernia repair |
— |
— |
$3,334 |
$538 | |
| Iron blood test |
$27 |
$108 |
$7 |
$6 | |
| IUD insertion |
— |
— |
$598 |
— | |
| IUD removal |
$105 |
$413 |
$297 |
$112 | |
| IV infusion therapy |
$161 |
$635 |
$199 |
$44 | |
| IV infusion therapy (each additional) |
$69 |
$270 |
$44 |
$21 | |
| IV infusion therapy (initial) |
$180 |
$710 |
$203 |
$67 | |
| IVC filter placement |
$2,574 |
$10,125 |
$4,958 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$193 |
$760 |
$568 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$185 |
$727 |
$568 |
$57 | |
| Joint aspiration or injection (small joint) |
$193 |
$760 |
$568 |
$56 | |
| Kidney biopsy |
$873 |
$3,434 |
$1,525 |
$492 | |
| Kidney removal (nephrectomy) |
— |
— |
$2,449 |
$1,164 | |
| Kidney scan (nuclear) |
$415 |
$1,633 |
$508 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
— |
— |
$3,537 |
$760 | |
| Kidney ultrasound |
$217 |
$853 |
$102 |
$84 | |
| Kidney ultrasound (limited) |
$214 |
$840 |
$102 |
$61 | |
| Knee arthroscopy |
— |
— |
$2,976 |
$524 | |
| Knee joint injection |
$237 |
$934 |
$568 |
$69 | |
| Knee replacement |
— |
— |
$22,689 |
$18,054 | |
| Lactate test |
$24 |
$93 |
$12 |
$12 | |
| Laminectomy (spine) |
— |
— |
$6,748 |
$1,157 | |
| Laryngoscopy |
$285 |
$1,123 |
$1,337 |
$189 | |
| LDH test |
$12 |
$49 |
$7 |
$6 | |
| LDL cholesterol test |
$33 |
$131 |
$12 |
$11 | |
| Leg artery angiogram |
$1,202 |
$4,729 |
$2,973 |
$149 | |
| Leg artery angioplasty |
$3,507 |
$13,795 |
$5,229 |
— | |
| Leg vein ultrasound (Doppler) |
$290 |
$1,140 |
$225 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$196 |
$770 |
$122 |
$116 | |
| LH hormone test |
$58 |
$229 |
$20 |
$19 | |
| Lipase test |
$23 |
$92 |
$8 |
$7 | |
| Lipid (cholesterol) panel |
$49 |
$192 |
$15 |
$13 | |
| Liver biopsy |
$1,049 |
$4,128 |
$1,525 |
$288 | |
| Liver function panel |
$33 |
$132 |
$9 |
$8 | |
| Lower back (lumbar) spinal fusion |
— |
— |
$49,326 |
$1,511 | |
| Lumbar discectomy |
— |
— |
$6,748 |
$898 | |
| Lumpectomy (breast) |
— |
— |
$3,617 |
$750 | |
| Lung function test (PFT) |
$128 |
$503 |
$178 |
$37 | |
| Lung scan (V/Q) |
$671 |
$2,638 |
$599 |
$291 | |
| Magnesium blood test |
$30 |
$118 |
$7 |
$7 | |
| Mastectomy |
— |
— |
$5,451 |
$1,021 | |
| Mastoidectomy |
— |
— |
$3,958 |
$840 | |
| Meniscus repair (knee) |
— |
— |
$2,976 |
$714 | |
| Mohs skin cancer surgery |
— |
— |
$854 |
$535 | |
| MRA of the brain |
$1,238 |
$4,869 |
$584 |
$226 | |
| MRA of the brain with contrast |
$1,238 |
$4,869 |
$584 |
$226 | |
| MRA of the brain without contrast |
$1,238 |
$4,869 |
$620 |
$328 | |
| MRA of the neck |
$837 |
$3,293 |
$584 |
$245 | |
| MRA of the neck with contrast |
$837 |
$3,293 |
$584 |
$245 | |
| MRA of the neck without contrast |
$947 |
$3,727 |
$620 |
$343 | |
| MRI of the abdomen |
$1,193 |
$4,692 |
$584 |
$300 | |
| MRI of the abdomen with contrast |
$1,193 |
$4,692 |
$619 |
$300 | |
| MRI of the abdomen without contrast |
$1,193 |
$4,692 |
$518 |
$194 | |
| MRI of the ankle |
$1,094 |
$4,305 |
$584 |
$261 | |
| MRI of the ankle with contrast |
$1,094 |
$4,305 |
$584 |
$261 | |
| MRI of the ankle without contrast |
$1,008 |
$3,966 |
$518 |
$222 | |
| MRI of the brain |
$1,668 |
$6,561 |
$584 |
$269 | |
| MRI of the brain with contrast |
$1,668 |
$6,561 |
$584 |
$269 | |
| MRI of the brain without contrast |
$1,471 |
$5,785 |
$518 |
$195 | |
| MRI of the chest |
$962 |
$3,784 |
$746 |
$371 | |
| MRI of the chest with contrast |
$962 |
$3,784 |
$761 |
$371 | |
| MRI of the chest without contrast |
$1,249 |
$4,913 |
$620 |
$466 | |
| MRI of the knee |
$1,148 |
$4,518 |
$746 |
$315 | |
| MRI of the knee with contrast |
$1,148 |
$4,518 |
$761 |
$315 | |
| MRI of the knee without contrast |
$1,035 |
$4,071 |
$518 |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,164 |
$4,580 |
$584 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,164 |
$4,580 |
$584 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,012 |
$3,983 |
$518 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,164 |
$4,580 |
$584 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$1,387 |
$5,456 |
$618 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,164 |
$4,580 |
$584 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,012 |
$3,983 |
$518 |
$190 | |
| MRI of the neck (cervical spine) |
$1,199 |
$4,718 |
$584 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$1,429 |
$5,620 |
$617 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,199 |
$4,718 |
$584 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,043 |
$4,102 |
$518 |
$191 | |
| MRI of the pelvis |
$1,005 |
$3,955 |
$584 |
$268 | |
| MRI of the pelvis with contrast |
$1,005 |
$3,955 |
$584 |
$268 | |
| MRI of the pelvis without contrast |
$931 |
$3,662 |
$518 |
$227 | |
| MRI of the shoulder |
$1,192 |
$4,691 |
$746 |
$313 | |
| MRI of the shoulder with contrast |
$1,192 |
$4,691 |
$761 |
$313 | |
| MRI of the shoulder without contrast |
$1,037 |
$4,079 |
$518 |
$205 | |
| MRI of the wrist |
$986 |
$3,878 |
$584 |
$330 | |
| MRI of the wrist with contrast |
$986 |
$3,878 |
$620 |
$330 | |
| MRI of the wrist without contrast |
$865 |
$3,401 |
$518 |
$303 | |
| Nebulizer breathing treatment |
$57 |
$225 |
$187 |
$9 | |
| Neck (cervical) spinal fusion |
— |
— |
$6,979 |
$1,410 | |
| Nuclear cardiac stress test |
$1,966 |
$7,734 |
$1,233 |
$428 | |
| Orthopedic hardware removal |
— |
— |
$2,625 |
$632 | |
| Ovarian cyst removal |
— |
— |
$3,640 |
$698 | |
| Ovary removal (oophorectomy) |
— |
— |
$2,498 |
$822 | |
| Pacemaker insertion |
— |
— |
$20,283 |
$15,506 | |
| Pap smear (cervical screening) |
$50 |
$198 |
$21 |
$20 | |
| Parathyroid hormone (PTH) test |
$126 |
$497 |
$45 |
$41 | |
| Parathyroid removal |
— |
— |
$5,411 |
$891 | |
| Pelvic ultrasound |
$187 |
$737 |
$102 |
$78 | |
| Pelvic ultrasound (complete) |
$295 |
$1,160 |
$102 |
$105 | |
| Pelvic ultrasound (limited) |
$80 |
$314 |
$102 |
$51 | |
| PET scan |
$1,516 |
$5,965 |
$3,045 |
— | |
| Phosphorus blood test |
$21 |
$85 |
$5 |
$5 | |
| Pilonidal cyst removal |
— |
— |
$2,625 |
$541 | |
| Platelet count |
$22 |
$86 |
$5 |
$4 | |
| Pregnancy blood test (hCG) |
$36 |
$143 |
$8 |
$8 | |
| Pregnancy ultrasound |
$132 |
$518 |
$108 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$95 |
$375 |
$102 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$168 |
$660 |
$119 |
$136 | |
| Procalcitonin test |
$88 |
$348 |
$29 |
$27 | |
| Prolactin test |
$61 |
$240 |
$21 |
$19 | |
| Prostate biopsy |
— |
— |
$1,886 |
— | |
| Prostate removal (prostatectomy) |
— |
— |
$2,821 |
$1,063 | |
| Prostate surgery (TURP) |
— |
— |
$4,662 |
$526 | |
| Prostate test (PSA) |
$13 |
$53 |
$19 |
$18 | |
| Pterygium removal (eye) |
— |
— |
$2,140 |
$540 | |
| Radiofrequency nerve ablation |
— |
— |
$1,836 |
$462 | |
| Retinal detachment repair |
— |
— |
$3,800 |
$966 | |
| Rheumatoid factor test |
$22 |
$88 |
$7 |
$6 | |
| Rotator cuff repair |
— |
— |
$5,411 |
$792 | |
| Sacroiliac joint injection |
— |
— |
$598 |
$176 | |
| Scoliosis spine X-ray |
$240 |
$943 |
$105 |
$58 | |
| Scoliosis spine X-ray (3 views) |
$240 |
$943 |
$105 |
$72 | |
| Screening mammogram |
$122 |
$481 |
$217 |
$126 | |
| Scrotal ultrasound |
$198 |
$777 |
$102 |
$99 | |
| Sedimentation rate (ESR) test |
$15 |
$60 |
$5 |
$3 | |
| Semen analysis |
$40 |
$157 |
$13 |
$12 | |
| Septoplasty (deviated septum) |
— |
— |
$2,893 |
$613 | |
| Sex hormone binding globulin test |
$68 |
$269 |
$24 |
$22 | |
| Shoulder arthroscopy |
— |
— |
$6,552 |
$962 | |
| Shoulder replacement |
— |
— |
$9,928 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$161 |
$635 |
$215 |
$114 | |
| Simple wound stitches |
$161 |
$635 |
$215 |
$127 | |
| Sinus surgery (endoscopic) |
— |
— |
$2,992 |
$224 | |
| Skin biopsy |
— |
— |
$568 |
$121 | |
| Skin biopsy (punch) |
— |
— |
$385 |
$121 | |
| Skin cancer lesion removal |
$676 |
$2,658 |
$665 |
$240 | |
| Skin graft |
— |
— |
$1,760 |
$898 | |
| Skin lesion freezing (cryotherapy) |
— |
— |
$568 |
$36 | |
| Skin tag removal |
$95 |
$372 |
$215 |
$92 | |
| Sleep study (polysomnography) |
$1,259 |
$4,955 |
$961 |
$691 | |
| Small bowel resection |
— |
— |
$2,449 |
$1,136 | |
| Soft tissue ultrasound |
$135 |
$533 |
$100 |
$64 | |
| Spinal cord stimulator |
— |
— |
$6,200 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$258 |
$1,016 |
$667 |
$165 | |
| Spine fracture repair (kyphoplasty) |
— |
— |
$6,552 |
$5,803 | |
| Spirometry (lung function test) |
$98 |
$386 |
$148 |
$30 | |
| Spirometry with bronchodilator |
$158 |
$620 |
$290 |
$43 | |
| Spleen removal (splenectomy) |
— |
— |
$2,821 |
$1,036 | |
| Stomach removal (gastrectomy) |
— |
— |
$2,449 |
$1,595 | |
| Strabismus (eye muscle) surgery |
— |
— |
$2,247 |
$475 | |
| Stress echocardiogram |
$615 |
$2,418 |
$518 |
$209 | |
| T3 thyroid test |
$49 |
$193 |
$16 |
$14 | |
| Testicle removal (orchiectomy) |
— |
— |
$3,163 |
$306 | |
| Testosterone test |
$79 |
$311 |
$28 |
$26 | |
| Thyroid removal (thyroidectomy) |
— |
— |
$5,351 |
$1,004 | |
| Thyroid test (TSH) |
$68 |
$269 |
$18 |
$17 | |
| Thyroid ultrasound |
$153 |
$601 |
$119 |
$109 | |
| Thyroid uptake scan |
$271 |
$1,066 |
$380 |
$145 | |
| Tilt table test |
$415 |
$1,632 |
$501 |
$168 | |
| Tonsillectomy |
— |
— |
$2,912 |
$252 | |
| Total protein test |
$15 |
$60 |
$4 |
$4 | |
| Tracheostomy |
— |
— |
$2,893 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$572 |
$2,251 |
$518 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$601 |
$2,364 |
$518 |
$239 | |
| Transvaginal ultrasound |
$201 |
$791 |
$119 |
$118 | |
| Trigger finger release |
— |
— |
$1,541 |
$630 | |
| Trigger point injection |
$186 |
$732 |
$568 |
$56 | |
| Trigger point injection (1-2 muscles) |
$182 |
$714 |
$568 |
$52 | |
| Triglycerides test |
$24 |
$96 |
$6 |
$6 | |
| Troponin (heart) test |
$41 |
$161 |
$14 |
$12 | |
| Tubal ligation |
— |
— |
$5,301 |
$333 | |
| Turbinate reduction |
— |
— |
$2,893 |
$294 | |
| Turning a breech baby (version) |
— |
— |
$2,876 |
$94 | |
| Ulnar nerve surgery (elbow) |
— |
— |
$1,828 |
$575 | |
| Umbilical hernia repair |
— |
— |
$2,912 |
— | |
| Upper GI endoscopy (EGD) |
$688 |
$2,706 |
$903 |
$371 | |
| Upper GI series (barium) |
$224 |
$880 |
$171 |
$128 | |
| Ureteral stent placement |
— |
— |
$2,992 |
$373 | |
| Ureteroscopy (stone removal) |
— |
— |
$4,802 |
$365 | |
| Uric acid (gout) test |
$21 |
$83 |
$5 |
$5 | |
| Urinalysis |
$12 |
$49 |
$3 |
$3 | |
| Urine microalbumin test |
$11 |
$45 |
$6 |
$5 | |
| Urine pregnancy test |
$24 |
$96 |
$9 |
$9 | |
| Vaccine administration |
$37 |
$146 |
$67 |
$19 | |
| Vaccine administration (each additional) |
$14 |
$57 |
$127 |
$16 | |
| Vaginal delivery |
— |
— |
$6,110 |
$5,487 | |
| Varicocele repair |
— |
— |
$2,992 |
$327 | |
| Varicose vein ablation |
— |
— |
$2,973 |
$1,018 | |
| Vasectomy |
— |
— |
$1,886 |
$347 | |
| Vitamin B12 test |
$56 |
$222 |
$16 |
$15 | |
| Vitamin D test |
$107 |
$419 |
$32 |
$30 | |
| Vitrectomy (eye) |
— |
— |
$3,800 |
$814 | |
| Vocal cord injection |
— |
— |
$2,992 |
$211 | |
| Wart removal |
— |
— |
$204 |
$121 | |
| Weight-loss (bariatric) surgery |
— |
— |
$15,371 |
$11,645 | |
| Whipple procedure (pancreas) |
— |
— |
$2,477 |
$2,871 | |
| Wound debridement |
$538 |
$2,116 |
$590 |
$186 | |
| Wrist fracture repair |
$2,713 |
$10,673 |
$6,552 |
$735 | |
| X-ray of the abdomen |
$119 |
$468 |
$101 |
$36 | |
| X-ray of the ankle |
$135 |
$530 |
$83 |
$37 | |
| X-ray of the collarbone |
$103 |
$405 |
$83 |
$33 | |
| X-ray of the elbow |
$105 |
$412 |
$83 |
$33 | |
| X-ray of the facial bones |
$86 |
$337 |
$100 |
$39 | |
| X-ray of the foot |
$135 |
$530 |
$83 |
$34 | |
| X-ray of the forearm |
$120 |
$472 |
$83 |
$29 | |
| X-ray of the hand |
$125 |
$490 |
$83 |
$38 | |
| X-ray of the hip |
$89 |
$350 |
$83 |
$49 | |
| X-ray of the hip (1 view) |
$58 |
$230 |
$83 |
$34 | |
| X-ray of the hip (3 views) |
$119 |
$470 |
$83 |
$49 | |
| X-ray of the knee |
$118 |
$465 |
$99 |
$42 | |
| X-ray of the knee (2 views) |
$100 |
$395 |
$83 |
$34 | |
| X-ray of the knee (3 views) |
$118 |
$465 |
$83 |
$42 | |
| X-ray of the knee (4+ views) |
$137 |
$540 |
$105 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$147 |
$577 |
$105 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$119 |
$467 |
$105 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$174 |
$686 |
$105 |
$53 | |
| X-ray of the lower leg |
$111 |
$437 |
$83 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$112 |
$442 |
$105 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$112 |
$442 |
$105 |
$33 | |
| X-ray of the neck (cervical spine) |
$147 |
$579 |
$100 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$119 |
$470 |
$83 |
$40 | |
| X-ray of the pelvis |
$100 |
$395 |
$105 |
$36 | |
| X-ray of the pelvis (1 view) |
$87 |
$343 |
$105 |
$28 | |
| X-ray of the ribs |
$78 |
$307 |
$102 |
$42 | |
| X-ray of the ribs (2 views) |
$71 |
$280 |
$83 |
$36 | |
| X-ray of the ribs (3 views) |
$78 |
$307 |
$105 |
$42 | |
| X-ray of the shoulder |
$116 |
$458 |
$83 |
$36 | |
| X-ray of the skull |
$129 |
$509 |
$105 |
$40 | |
| X-ray of the upper arm |
$124 |
$488 |
$83 |
$32 | |
| X-ray of the wrist |
$119 |
$470 |
$83 |
$43 | |
| YAG laser capsulotomy (eye) |
— |
— |
$568 |
$335 | |
| Zinc blood test |
$21 |
$82 |
$12 |
$11 | |