| 3D mammogram (tomosynthesis) |
— |
— |
$24 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,308 |
— |
$1,406 |
$284 | |
| Abdominal ultrasound |
$151 |
— |
$83 |
$100 | |
| Abdominal ultrasound (complete) |
$151 |
— |
$83 |
$114 | |
| Abdominal ultrasound (limited) |
$151 |
— |
$73 |
$86 | |
| Abscess drainage (complex or multiple) |
$586 |
$1,367 |
$693 |
$220 | |
| Abscess drainage (simple) |
$289 |
$765 |
$373 |
$129 | |
| Abscess incision and drainage |
$438 |
$1,066 |
$513 |
$174 | |
| ACL knee reconstruction |
$10,468 |
$14,003 |
$8,402 |
$889 | |
| Adenoid removal (adenoidectomy) |
$4,783 |
$3,872 |
$3,068 |
$204 | |
| Albumin blood test |
$7 |
$55 |
$33 |
$5 | |
| Aldosterone test |
$61 |
— |
$31 |
$41 | |
| Alkaline phosphatase test |
$8 |
$55 |
$33 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$25 |
— |
$18 |
$17 | |
| ALT liver enzyme test |
$8 |
$55 |
$33 |
$5 | |
| Ammonia blood test |
$22 |
$147 |
$88 |
$15 | |
| Amylase test |
$10 |
$65 |
$39 |
$6 | |
| Anal fistula repair |
$4,004 |
$4,412 |
$2,675 |
$541 | |
| Annual physical (established patient) |
— |
— |
$283 |
— | |
| Annual physical (new patient) |
— |
— |
$283 |
— | |
| Antinuclear antibody (ANA) test |
$18 |
$158 |
$95 |
$12 | |
| Aortic aneurysm repair (AAA) |
— |
— |
$1,379 |
$1,345 | |
| Aortic valve replacement |
— |
— |
$1,379 |
$1,603 | |
| Arterial blood gas (ABG) |
$39 |
$176 |
$89 |
$26 | |
| AST liver enzyme test |
$8 |
$55 |
$33 |
$5 | |
| Barium swallow study |
$253 |
$521 |
$179 |
$107 | |
| Bartholin cyst removal |
$292 |
$659 |
$340 |
$182 | |
| Basic metabolic panel |
$13 |
$67 |
$33 |
$8 | |
| Benign skin lesion removal |
$1,022 |
$1,477 |
$670 |
$171 | |
| Bilirubin blood test |
$8 |
$55 |
$33 |
$5 | |
| Bladder function test (urodynamics) |
$1,006 |
— |
$1,017 |
$345 | |
| Bladder scope (cystoscopy) |
$1,006 |
$4,640 |
$1,714 |
$216 | |
| Bladder tumor removal (TURBT) |
$5,085 |
$9,278 |
$4,496 |
$236 | |
| Blood clotting test (PT/INR) |
$6 |
$41 |
$20 |
$4 | |
| Blood crossmatch |
$246 |
$789 |
$244 |
— | |
| Blood glucose test |
$7 |
$55 |
$30 |
$5 | |
| Blood transfusion |
$636 |
$1,371 |
$722 |
$47 | |
| Blood type and screen |
$75 |
$93 |
$52 |
$10 | |
| Blood type test |
$54 |
$47 |
$34 |
$3 | |
| Blood type test (Rh/D antigen) |
$54 |
$47 |
$32 |
$3 | |
| BNP (heart failure) test |
$59 |
$254 |
$152 |
$39 | |
| Bone density scan (DEXA) |
$151 |
— |
$80 |
$39 | |
| Bone scan (nuclear) |
$577 |
— |
$219 |
$259 | |
| Botox for migraine |
$443 |
— |
$797 |
$157 | |
| Brain shunt (VP shunt) |
— |
— |
$1,379 |
$1,023 | |
| Breast biopsy |
$2,383 |
$3,696 |
$2,267 |
$478 | |
| Breast MRI |
$344 |
— |
$225 |
$216 | |
| Breast MRI without contrast |
$344 |
— |
$182 |
$216 | |
| Breast ultrasound |
$138 |
— |
$67 |
$92 | |
| Breast ultrasound (complete) |
$151 |
— |
$81 |
$100 | |
| Breast ultrasound (limited) |
$126 |
— |
$61 |
$84 | |
| Breathing tube insertion (intubation) |
$342 |
$1,024 |
$497 |
$133 | |
| Bronchoscopy |
$2,568 |
$4,908 |
$2,728 |
$303 | |
| Burn dressing and debridement (medium) |
$289 |
$1,919 |
$763 |
$166 | |
| Burn dressing and debridement (small) |
$289 |
$1,066 |
$517 |
$93 | |
| Burn treatment |
$289 |
$1,493 |
$675 |
$129 | |
| C-reactive protein (CRP) |
$8 |
$87 |
$52 |
$5 | |
| CA 19-9 tumor marker test |
$31 |
$233 |
$140 |
$21 | |
| CA-125 ovarian marker test |
$31 |
$233 |
$140 |
$21 | |
| Calcium blood test |
$8 |
$55 |
$33 |
$5 | |
| Capsule endoscopy |
$1,308 |
— |
$1,628 |
$802 | |
| Cardiac ablation |
$37,708 |
— |
$12,262 |
$759 | |
| Cardiac catheterization |
$4,677 |
— |
$11,700 |
$1,049 | |
| Cardiac event monitor |
— |
— |
$84 |
$170 | |
| Cardiac MRI |
$424 |
— |
$310 |
$322 | |
| Cardiac MRI without contrast |
$344 |
— |
$241 |
$280 | |
| Cardiac stress test |
$312 |
— |
$68 |
$39 | |
| Cardioversion |
$954 |
— |
$989 |
$155 | |
| Carotid artery surgery |
— |
— |
$1,379 |
$1,026 | |
| Carotid artery ultrasound |
$248 |
— |
$119 |
$156 | |
| Carpal tunnel release |
$2,817 |
$8,093 |
$3,088 |
$483 | |
| Cataract surgery |
$3,329 |
$12,606 |
$4,442 |
$547 | |
| CEA tumor marker test |
$28 |
$217 |
$130 |
$19 | |
| Celiac disease test |
$17 |
— |
$10 |
$12 | |
| Cesarean section (C-section) |
$10,707 |
— |
$2,044 |
$7,552 | |
| Chalazion (eyelid cyst) removal |
$458 |
$400 |
$278 |
$131 | |
| Chemotherapy infusion |
$290 |
— |
$77 |
$81 | |
| Chemotherapy infusion (each additional) |
$104 |
— |
$28 |
$28 | |
| Chemotherapy infusion (first hour) |
$477 |
— |
$125 |
$133 | |
| Chest fluid drain (thoracentesis) |
$905 |
— |
$989 |
$311 | |
| Chest tube insertion |
$2,271 |
— |
$1,011 |
$143 | |
| Chest X-ray |
$126 |
$415 |
$92 |
$37 | |
| Chest X-ray (1 view) |
$126 |
$298 |
$92 |
$25 | |
| Chest X-ray (2 views) |
$126 |
$415 |
$108 |
$33 | |
| Chickenpox (varicella) vaccine |
— |
— |
$10 |
— | |
| Circumcision |
$3,016 |
$8,176 |
$3,103 |
$167 | |
| CK-MB heart enzyme test |
$17 |
$78 |
$47 |
$12 | |
| Clotting time test (PTT) |
$9 |
$58 |
$35 |
$6 | |
| Colon resection (colectomy) |
— |
$12,879 |
$9,015 |
$1,238 | |
| Colonoscopy |
$1,534 |
$5,483 |
$1,819 |
$480 | |
| Colostomy |
— |
— |
$1,379 |
$1,122 | |
| Colposcopy |
$440 |
$409 |
$306 |
$161 | |
| Complete blood count (CBC) |
$11 |
$61 |
$36 |
$7 | |
| Complete blood count (CBC) (complete) |
$12 |
$62 |
$37 |
$8 | |
| Complex wound repair |
$1,066 |
$3,799 |
$1,472 |
$390 | |
| Comprehensive eye exam |
$192 |
— |
$52 |
$138 | |
| Comprehensive metabolic panel |
$16 |
$111 |
$67 |
$11 | |
| Continuous glucose monitor setup |
— |
— |
$29 |
$35 | |
| Contraceptive implant (Nexplanon) |
$644 |
$1,215 |
$462 |
$115 | |
| Copper blood test |
$19 |
$167 |
$100 |
$12 | |
| Corneal transplant |
$5,963 |
$13,206 |
$6,177 |
$1,066 | |
| Coronary artery bypass (CABG) |
$51,881 |
— |
$38,278 |
$36,593 | |
| Coronary CT angiography |
$503 |
— |
$193 |
$326 | |
| Cortisol test |
$24 |
$198 |
$119 |
$16 | |
| COVID-19 PCR test |
$77 |
$444 |
$284 |
$51 | |
| COVID-19 vaccine |
— |
— |
$0 |
— | |
| Craniotomy (brain surgery) |
— |
— |
$1,379 |
$2,161 | |
| Creatine kinase (CK) test |
$10 |
$55 |
$33 |
$7 | |
| CT angiography of the chest |
$253 |
$3,448 |
$346 |
$281 | |
| CT angiography of the head |
$253 |
$4,336 |
$408 |
$274 | |
| CT colonography (virtual colonoscopy) |
$344 |
— |
$661 |
$835 | |
| CT scan of the abdomen |
$253 |
$3,060 |
$270 |
$230 | |
| CT scan of the abdomen and pelvis |
$503 |
$5,427 |
$368 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$503 |
$6,583 |
$459 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$503 |
$5,427 |
$459 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$344 |
$4,667 |
$303 |
$183 | |
| CT scan of the abdomen with and without contrast |
$253 |
$3,246 |
$337 |
$259 | |
| CT scan of the abdomen with contrast |
$253 |
$3,060 |
$270 |
$230 | |
| CT scan of the abdomen without contrast |
$151 |
$2,215 |
$181 |
$136 | |
| CT scan of the arm |
$253 |
$2,142 |
$366 |
$199 | |
| CT scan of the arm with contrast |
$503 |
$2,090 |
$459 |
$199 | |
| CT scan of the arm without contrast |
$151 |
$2,142 |
$184 |
$161 | |
| CT scan of the chest |
$253 |
$2,618 |
$263 |
$167 | |
| CT scan of the chest with and without contrast |
$253 |
$3,254 |
$310 |
$196 | |
| CT scan of the chest with contrast |
$253 |
$2,618 |
$261 |
$167 | |
| CT scan of the chest without contrast |
$151 |
$2,354 |
$187 |
$133 | |
| CT scan of the head |
$253 |
$2,603 |
$248 |
$148 | |
| CT scan of the head with and without contrast |
$253 |
$3,260 |
$260 |
$173 | |
| CT scan of the head with contrast |
$253 |
$2,603 |
$236 |
$148 | |
| CT scan of the head without contrast |
$151 |
$2,195 |
$160 |
$107 | |
| CT scan of the leg |
$253 |
$2,094 |
$263 |
$166 | |
| CT scan of the leg with contrast |
$253 |
$2,090 |
$255 |
$166 | |
| CT scan of the leg without contrast |
$151 |
$2,094 |
$184 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$253 |
$2,897 |
$366 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$253 |
$3,019 |
$310 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$503 |
$2,897 |
$459 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$151 |
$2,441 |
$187 |
$130 | |
| CT scan of the neck |
$253 |
$2,699 |
$263 |
$183 | |
| CT scan of the neck (cervical spine) |
$253 |
$2,569 |
$366 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$253 |
$3,165 |
$310 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$503 |
$2,569 |
$459 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$151 |
$2,476 |
$188 |
$131 | |
| CT scan of the neck with and without contrast |
$253 |
$3,343 |
$300 |
$220 | |
| CT scan of the neck with contrast |
$253 |
$2,699 |
$254 |
$183 | |
| CT scan of the neck without contrast |
$151 |
$2,400 |
$184 |
$150 | |
| CT scan of the pelvis |
$253 |
$2,237 |
$263 |
$226 | |
| CT scan of the pelvis with and without contrast |
$253 |
$2,678 |
$311 |
$251 | |
| CT scan of the pelvis with contrast |
$253 |
$2,188 |
$255 |
$226 | |
| CT scan of the pelvis without contrast |
$151 |
$2,237 |
$182 |
$133 | |
| CT scan of the sinuses |
$253 |
$2,619 |
$263 |
$152 | |
| CT scan of the sinuses with and without contrast |
$253 |
$2,784 |
$310 |
$184 | |
| CT scan of the sinuses with contrast |
$253 |
$2,619 |
$258 |
$152 | |
| CT scan of the sinuses without contrast |
$151 |
$2,235 |
$190 |
$128 | |
| D-dimer test |
$15 |
$101 |
$61 |
$10 | |
| Developmental screening (child) |
— |
— |
$7 |
— | |
| DHEA-sulfate test |
$33 |
$254 |
$152 |
$22 | |
| Diagnostic mammogram |
— |
— |
$91 |
$140 | |
| Dialysis fistula creation |
$4,555 |
$4,158 |
$3,037 |
$601 | |
| Droopy eyelid repair (ptosis) |
$3,430 |
$5,587 |
$3,340 |
$745 | |
| Drug screen (urine) |
$26 |
$686 |
$80 |
$17 | |
| Ear pressure test (tympanometry) |
$54 |
— |
$12 |
$16 | |
| Ear tubes (myringotomy) |
$1,508 |
$4,677 |
$1,766 |
$174 | |
| Eardrum repair (tympanoplasty) |
$8,540 |
$8,355 |
$5,681 |
$799 | |
| Echocardiogram |
$344 |
— |
$95 |
$138 | |
| Echocardiogram with and without contrast |
$344 |
— |
$22 |
$101 | |
| Echocardiogram without contrast |
$344 |
— |
$95 |
$138 | |
| EEG (awake and asleep) |
$312 |
— |
$14 |
$482 | |
| EKG / ECG (tracing only) |
$85 |
$351 |
$100 |
$7 | |
| Electrocardiogram (EKG) |
$85 |
$396 |
$87 |
$8 | |
| Electroencephalogram (EEG) |
$312 |
— |
$14 |
$448 | |
| Electrolyte panel |
$11 |
$65 |
$39 |
$7 | |
| Electromyography (EMG) |
$192 |
$317 |
$149 |
$141 | |
| Emergency department visit |
$394 |
— |
$284 |
$69 | |
| Emergency department visit (level 1) |
$122 |
— |
$264 |
$11 | |
| Emergency department visit (level 2) |
$222 |
— |
$269 |
$40 | |
| Emergency department visit (level 3) |
$394 |
— |
$335 |
$69 | |
| Emergency department visit (level 4) |
$602 |
— |
$894 |
$118 | |
| Emergency department visit (level 5) |
$859 |
— |
$894 |
$171 | |
| Endometrial biopsy |
$292 |
$475 |
$285 |
$98 | |
| Epidural steroid injection |
$1,018 |
$1,912 |
$1,068 |
$275 | |
| ERCP (bile duct endoscopy) |
$5,562 |
$4,708 |
$3,649 |
$311 | |
| Esophageal variceal banding |
$2,768 |
$2,691 |
$1,813 |
$126 | |
| Estradiol (estrogen) test |
$42 |
$198 |
$119 |
$28 | |
| Eye refraction (glasses prescription) |
— |
— |
$5 |
— | |
| Eyelid surgery (blepharoplasty) |
$2,977 |
$7,028 |
$2,782 |
$552 | |
| Facet joint injection (spine) |
$1,276 |
$2,168 |
$1,388 |
$99 | |
| Fallopian tube X-ray (HSG) |
$344 |
$597 |
$390 |
$164 | |
| Fecal occult blood (stool) test |
$15 |
$127 |
$30 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$7 |
$44 |
$26 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$24 |
$210 |
$126 |
$16 | |
| Feeding tube (PEG) placement |
$2,768 |
$3,025 |
$1,815 |
$178 | |
| Femoral hernia repair |
$5,165 |
$9,949 |
$4,945 |
$584 | |
| Ferritin (iron) test |
$20 |
$156 |
$94 |
$14 | |
| Fibrinogen test |
$15 |
$66 |
$40 |
$10 | |
| Fibroid removal (myomectomy) |
— |
$9,363 |
$6,460 |
$914 | |
| Flu test |
$25 |
$170 |
$102 |
$17 | |
| Flu vaccine |
— |
— |
$16 |
— | |
| Folate (folic acid) test |
$22 |
$170 |
$102 |
$15 | |
| Foreign body removal (skin) |
$586 |
$765 |
$490 |
$157 | |
| Free T4 thyroid test |
$14 |
$126 |
$76 |
$9 | |
| FSH hormone test |
$28 |
$210 |
$126 |
$19 | |
| Gallbladder scan (HIDA) |
$680 |
— |
$337 |
$334 | |
| Ganglion cyst removal |
$2,320 |
$9,063 |
$3,353 |
$321 | |
| GGT liver test |
$11 |
$55 |
$33 |
$7 | |
| Glaucoma surgery |
$3,329 |
$10,807 |
$4,010 |
$984 | |
| Glucose tolerance test |
$13 |
$100 |
$30 |
$8 | |
| H. pylori test |
$101 |
— |
$60 |
$67 | |
| Hammertoe repair |
$4,720 |
$5,352 |
$3,196 |
$548 | |
| HDL cholesterol test |
$12 |
— |
$7 |
$8 | |
| Hearing test (audiometry) |
$186 |
— |
$29 |
$36 | |
| Hematocrit test |
$4 |
$34 |
$20 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$15 |
$118 |
$71 |
$10 | |
| Hepatitis A vaccine |
— |
— |
$10 |
— | |
| Hepatitis B test |
$16 |
$144 |
$86 |
$10 | |
| Hepatitis B vaccine |
— |
— |
$40 |
— | |
| Hepatitis C test |
$21 |
$220 |
$132 |
$14 | |
| Hip arthroscopy |
$10,468 |
$20,386 |
$9,522 |
$931 | |
| Hip replacement |
$18,522 |
$65,407 |
$18,810 |
$1,162 | |
| HIV test |
$28 |
$192 |
$99 |
$19 | |
| HIV test (antibody) |
$21 |
$154 |
$92 |
$14 | |
| HIV test (antigen/antibody combo) |
$36 |
$230 |
$138 |
$24 | |
| Holter heart monitor |
$139 |
— |
$33 |
$26 | |
| Home sleep apnea test |
$312 |
— |
$92 |
$123 | |
| HPV vaccine |
— |
— |
$10 |
— | |
| Hydrocele repair |
$5,165 |
$11,446 |
$4,945 |
$315 | |
| Hysterectomy |
$15,335 |
$14,448 |
$9,808 |
$933 | |
| Hysteroscopy |
$4,670 |
$4,055 |
$2,979 |
$1,270 | |
| Ileostomy |
— |
$3,153 |
$2,144 |
$968 | |
| Incisional hernia repair |
— |
$9,949 |
$6,554 |
— | |
| Inguinal hernia repair |
$5,165 |
$6,773 |
$4,010 |
$538 | |
| Iron blood test |
$10 |
$55 |
$33 |
$6 | |
| IUD insertion |
— |
$577 |
$392 |
— | |
| IV infusion therapy |
$187 |
$1,545 |
$306 |
$44 | |
| IV infusion therapy (each additional) |
$68 |
$1,099 |
$134 |
$21 | |
| IV infusion therapy (initial) |
$307 |
$1,818 |
$418 |
$67 | |
| IVC filter placement |
$8,028 |
— |
$12,394 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$443 |
$410 |
$282 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$443 |
$423 |
$285 |
$57 | |
| Joint aspiration or injection (small joint) |
$443 |
$396 |
$282 |
$56 | |
| Kidney biopsy |
$2,383 |
$9,278 |
$2,526 |
$492 | |
| Kidney removal (nephrectomy) |
— |
— |
$1,379 |
$1,164 | |
| Kidney scan (nuclear) |
$783 |
— |
$279 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$5,085 |
$11,594 |
$5,580 |
$760 | |
| Kidney ultrasound |
$151 |
$595 |
$109 |
$84 | |
| Kidney ultrasound (limited) |
$151 |
$465 |
$79 |
$61 | |
| Knee arthroscopy |
$4,720 |
$12,834 |
$4,749 |
$524 | |
| Knee joint injection |
$443 |
$1,249 |
$606 |
$69 | |
| Knee replacement |
$25,597 |
— |
$20,106 |
$18,054 | |
| Lactate test |
$17 |
— |
$9 |
$12 | |
| Laminectomy (spine) |
$10,468 |
$23,935 |
$10,225 |
$1,157 | |
| Laryngoscopy |
$1,428 |
$3,681 |
$1,617 |
$189 | |
| LDH test |
$9 |
$55 |
$33 |
$6 | |
| LDL cholesterol test |
$16 |
$86 |
$52 |
$11 | |
| Leg artery angiogram |
$4,555 |
$5,180 |
$1,442 |
$149 | |
| Leg artery angioplasty |
$11,469 |
— |
$6,410 |
— | |
| Leg vein ultrasound (Doppler) |
$248 |
$789 |
$292 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$151 |
$605 |
$190 |
$116 | |
| LH hormone test |
$28 |
$210 |
$126 |
$19 | |
| Lipase test |
$10 |
$98 |
$59 |
$7 | |
| Lipid (cholesterol) panel |
$20 |
$152 |
$91 |
$13 | |
| Liver biopsy |
$2,383 |
$4,682 |
$2,320 |
$288 | |
| Liver function panel |
$12 |
$78 |
$47 |
$8 | |
| Lower back (lumbar) spinal fusion |
$50,347 |
— |
$39,700 |
$1,511 | |
| Lumbar discectomy |
$10,468 |
$23,935 |
$10,225 |
$898 | |
| Lumpectomy (breast) |
$7,614 |
$6,194 |
$4,646 |
$750 | |
| Lung function test (PFT) |
$425 |
— |
$10 |
$37 | |
| Lung scan (V/Q) |
$783 |
— |
$344 |
$291 | |
| Magnesium blood test |
$10 |
$58 |
$35 |
$7 | |
| Mastoidectomy |
$8,540 |
$10,019 |
$5,580 |
$840 | |
| Meniscus repair (knee) |
$4,720 |
$13,527 |
$4,749 |
$714 | |
| MMR vaccine |
— |
— |
$10 |
— | |
| Mohs skin cancer surgery |
$1,066 |
— |
$877 |
$535 | |
| MRA of the brain |
$503 |
— |
$318 |
$226 | |
| MRA of the brain with contrast |
$503 |
— |
$318 |
$226 | |
| MRA of the brain without contrast |
$503 |
— |
$421 |
$328 | |
| MRA of the neck |
$503 |
— |
$318 |
$245 | |
| MRA of the neck with contrast |
$503 |
— |
$318 |
$245 | |
| MRA of the neck without contrast |
$503 |
— |
$421 |
$343 | |
| MRI of the abdomen |
$503 |
— |
$340 |
$300 | |
| MRI of the abdomen with contrast |
$503 |
— |
$340 |
$300 | |
| MRI of the abdomen without contrast |
$344 |
— |
$250 |
$194 | |
| MRI of the ankle |
$503 |
— |
$288 |
$261 | |
| MRI of the ankle with contrast |
$503 |
— |
$338 |
$261 | |
| MRI of the ankle without contrast |
$344 |
— |
$244 |
$222 | |
| MRI of the brain |
$503 |
— |
$269 |
$269 | |
| MRI of the brain with contrast |
$503 |
— |
$319 |
$269 | |
| MRI of the brain without contrast |
$344 |
— |
$250 |
$195 | |
| MRI of the chest |
$503 |
— |
$340 |
$371 | |
| MRI of the chest with contrast |
$1,131 |
— |
$514 |
$371 | |
| MRI of the chest without contrast |
$503 |
— |
$421 |
$466 | |
| MRI of the knee |
$503 |
— |
$338 |
$315 | |
| MRI of the knee with contrast |
$1,131 |
— |
$511 |
$315 | |
| MRI of the knee without contrast |
$344 |
— |
$250 |
$204 | |
| MRI of the lower back (lumbar spine) |
$503 |
— |
$269 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$503 |
— |
$319 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$344 |
— |
$209 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$503 |
— |
$269 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$503 |
— |
$319 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$503 |
— |
$319 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$344 |
— |
$209 |
$190 | |
| MRI of the neck (cervical spine) |
$503 |
— |
$269 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$503 |
— |
$319 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$503 |
— |
$319 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$344 |
— |
$250 |
$191 | |
| MRI of the pelvis |
$503 |
— |
$315 |
$268 | |
| MRI of the pelvis with contrast |
$503 |
— |
$286 |
$268 | |
| MRI of the pelvis without contrast |
$344 |
— |
$246 |
$227 | |
| MRI of the shoulder |
$503 |
— |
$338 |
$313 | |
| MRI of the shoulder with contrast |
$1,131 |
— |
$511 |
$313 | |
| MRI of the shoulder without contrast |
$344 |
— |
$250 |
$205 | |
| MRI of the wrist |
$503 |
— |
$288 |
$330 | |
| MRI of the wrist with contrast |
$503 |
— |
$338 |
$330 | |
| MRI of the wrist without contrast |
$344 |
— |
$244 |
$303 | |
| Neck (cervical) spinal fusion |
$18,522 |
$29,059 |
$13,073 |
$1,410 | |
| Nerve conduction study |
$312 |
— |
$38 |
$118 | |
| Nuchal translucency ultrasound |
$151 |
— |
$80 |
$116 | |
| Nuclear cardiac stress test |
$1,868 |
— |
$792 |
$428 | |
| Occupational therapy evaluation |
— |
$475 |
$323 |
$101 | |
| Occupational therapy evaluation (high complexity) |
— |
$475 |
$323 |
$101 | |
| Occupational therapy evaluation (low complexity) |
— |
$475 |
$323 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
— |
$475 |
$323 |
$101 | |
| Office visit (established patient) |
— |
— |
$47 |
$115 | |
| Office visit (new patient) |
— |
— |
$90 |
$177 | |
| Office visit, established patient (level 3) |
— |
— |
$40 |
$95 | |
| Office visit, established patient (level 4) |
— |
— |
$54 |
$136 | |
| Office visit, new patient (level 3) |
— |
— |
$54 |
$118 | |
| Office visit, new patient (level 4) |
— |
— |
$90 |
$177 | |
| Office visit, new patient (level 5) |
— |
— |
$118 |
$237 | |
| Orthopedic hardware removal |
$4,191 |
$16,692 |
$4,759 |
$632 | |
| Ovarian cyst removal |
$7,217 |
$9,233 |
$5,540 |
$698 | |
| Ovary removal (oophorectomy) |
— |
$9,833 |
$7,094 |
$822 | |
| Pacemaker insertion |
$21,984 |
— |
$17,574 |
$15,506 | |
| Pap smear (cervical screening) |
$30 |
$226 |
$126 |
$20 | |
| Parathyroid hormone (PTH) test |
$62 |
$334 |
$200 |
$41 | |
| Parathyroid removal |
$8,540 |
$11,970 |
$7,182 |
$891 | |
| Pelvic ultrasound |
$151 |
$661 |
$109 |
$78 | |
| Pelvic ultrasound (complete) |
$151 |
$661 |
$133 |
$105 | |
| Pelvic ultrasound (limited) |
$151 |
— |
$64 |
$51 | |
| PET scan |
$2,063 |
— |
$1,344 |
— | |
| Phosphorus blood test |
$7 |
$55 |
$33 |
$5 | |
| Physical therapy evaluation |
— |
$475 |
$285 |
$98 | |
| Physical therapy evaluation (high complexity) |
— |
$475 |
$64 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
— |
$475 |
$64 |
$98 | |
| Pilonidal cyst removal |
$4,191 |
$5,180 |
$2,707 |
$541 | |
| Platelet count |
$7 |
$51 |
$31 |
$4 | |
| Pneumonia vaccine |
— |
$381 |
$229 |
— | |
| Pregnancy blood test (hCG) |
$11 |
$98 |
$59 |
$8 | |
| Pregnancy ultrasound |
$151 |
— |
$78 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$151 |
— |
$74 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$151 |
— |
$78 |
$136 | |
| Procalcitonin test |
$41 |
— |
$23 |
$27 | |
| Prolactin test |
$29 |
— |
$21 |
$19 | |
| Prostate biopsy |
$2,795 |
$4,906 |
$2,526 |
— | |
| Prostate removal (prostatectomy) |
$15,335 |
— |
$7,842 |
$1,063 | |
| Prostate surgery (TURP) |
$7,735 |
$13,916 |
$7,395 |
$526 | |
| Prostate test (PSA) |
$28 |
$209 |
$125 |
$18 | |
| Pterygium removal (eye) |
$3,430 |
$6,007 |
$2,831 |
$540 | |
| Radiofrequency nerve ablation |
$2,817 |
$4,315 |
$2,456 |
$462 | |
| Retina scan (OCT) |
$85 |
— |
$12 |
$33 | |
| Retinal (fundus) photography |
$192 |
— |
$36 |
$37 | |
| Retinal detachment repair |
$5,963 |
$8,778 |
$5,426 |
$966 | |
| Rheumatoid factor test |
$9 |
$87 |
$52 |
$6 | |
| Rotator cuff repair |
$10,468 |
$9,597 |
$6,816 |
$792 | |
| Routine eye exam |
$192 |
— |
$29 |
$88 | |
| RSV vaccine |
— |
— |
$10 |
— | |
| Sacroiliac joint injection |
— |
$3,780 |
$2,419 |
$176 | |
| Scoliosis spine X-ray |
$138 |
— |
$58 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$126 |
— |
$50 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$151 |
— |
$72 |
$72 | |
| Screening colonoscopy |
$1,342 |
$5,205 |
$1,908 |
$378 | |
| Screening mammogram |
— |
— |
$86 |
$126 | |
| Scrotal ultrasound |
$151 |
— |
$76 |
$99 | |
| Sedimentation rate (ESR) test |
$5 |
$46 |
$17 |
$3 | |
| Semen analysis |
$18 |
— |
$11 |
$12 | |
| Septoplasty (deviated septum) |
$4,783 |
$10,717 |
$4,601 |
$613 | |
| Sex hormone binding globulin test |
$33 |
$220 |
$132 |
$22 | |
| Shingles vaccine |
— |
— |
$10 |
— | |
| Shoulder arthroscopy |
$10,468 |
$14,003 |
$7,609 |
$962 | |
| Simple laceration repair (small, up to 2.5 cm) |
$289 |
$637 |
$334 |
$114 | |
| Simple wound stitches |
$289 |
$702 |
$334 |
$127 | |
| Sinus surgery (endoscopic) |
$10,181 |
$10,717 |
$6,521 |
$224 | |
| Skin biopsy |
$586 |
$1,406 |
$598 |
$121 | |
| Skin cancer lesion removal |
$1,022 |
$1,621 |
$845 |
$240 | |
| Skin graft |
$4,044 |
$9,501 |
$3,584 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$289 |
$1,037 |
$560 |
$36 | |
| Skin tag removal |
$289 |
$683 |
$348 |
$92 | |
| Sleep study (polysomnography) |
$1,239 |
— |
$394 |
$691 | |
| Small bowel resection |
— |
$6,644 |
$4,518 |
$1,136 | |
| Soft tissue ultrasound |
$151 |
— |
$58 |
$64 | |
| Speech therapy |
— |
— |
$22 |
$76 | |
| Spinal cord stimulator |
$9,194 |
$12,139 |
$7,769 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$1,018 |
$893 |
$659 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$10,468 |
$15,214 |
$6,816 |
$5,803 | |
| Spirometry (lung function test) |
$312 |
— |
$9 |
$30 | |
| Spirometry with bronchodilator |
$538 |
— |
$11 |
$43 | |
| Spleen removal (splenectomy) |
$15,335 |
— |
$6,887 |
$1,036 | |
| Stomach removal (gastrectomy) |
— |
— |
$1,379 |
$1,595 | |
| Strabismus (eye muscle) surgery |
$4,551 |
$5,986 |
$3,742 |
$475 | |
| Strep throat test |
$25 |
$170 |
$102 |
$17 | |
| Stress echocardiogram |
$788 |
— |
$83 |
$209 | |
| Stress echocardiogram (complete) |
$788 |
— |
$119 |
$233 | |
| T3 thyroid test |
$21 |
$167 |
$100 |
$14 | |
| Tdap (tetanus) vaccine |
— |
— |
$10 |
— | |
| Testicle removal (orchiectomy) |
$5,085 |
$11,446 |
$4,609 |
$306 | |
| Testosterone test |
$39 |
$198 |
$119 |
$26 | |
| Thyroid removal (thyroidectomy) |
$8,631 |
$28,748 |
$10,637 |
$1,004 | |
| Thyroid test (TSH) |
$25 |
$174 |
$104 |
$17 | |
| Thyroid ultrasound |
$151 |
— |
$80 |
$109 | |
| Thyroid uptake scan |
$577 |
— |
$269 |
$145 | |
| Tilt table test |
$538 |
— |
$1,492 |
$168 | |
| Total IgE allergy test |
$25 |
$181 |
$109 |
$16 | |
| Total protein test |
$6 |
$55 |
$33 |
$4 | |
| Tracheostomy |
$4,783 |
$7,361 |
$4,417 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$788 |
— |
$198 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$788 |
— |
$133 |
$239 | |
| Transvaginal ultrasound |
$151 |
— |
$78 |
$118 | |
| Trigger finger release |
$2,320 |
$9,063 |
$2,526 |
$630 | |
| Trigger point injection |
$443 |
$494 |
$302 |
$56 | |
| Trigger point injection (1-2 muscles) |
$443 |
$444 |
$292 |
$52 | |
| Triglycerides test |
$9 |
$55 |
$33 |
$6 | |
| Troponin (heart) test |
$19 |
$90 |
$45 |
$12 | |
| Turbinate reduction |
$4,783 |
$14,853 |
$5,029 |
$294 | |
| Turning a breech baby (version) |
$4,670 |
— |
$5,456 |
$94 | |
| Ulnar nerve surgery (elbow) |
$2,817 |
$10,794 |
$3,994 |
$575 | |
| Umbilical hernia repair |
— |
$7,606 |
$5,243 |
— | |
| Upper GI endoscopy (EGD) |
$1,308 |
$2,635 |
$1,421 |
$371 | |
| Upper GI series (barium) |
$253 |
$653 |
$109 |
$128 | |
| Ureteral stent placement |
$5,085 |
$9,278 |
$4,496 |
$373 | |
| Ureteroscopy (stone removal) |
$7,735 |
— |
$11,700 |
$365 | |
| Uric acid (gout) test |
$7 |
$55 |
$33 |
$5 | |
| Urinalysis |
$4 |
$49 |
$16 |
$3 | |
| Urine microalbumin test |
$8 |
$110 |
$44 |
$5 | |
| Urine pregnancy test |
$13 |
$78 |
$47 |
$9 | |
| Vaginal delivery |
$7,779 |
— |
$5,762 |
$5,487 | |
| Varicocele repair |
$5,085 |
$11,446 |
$4,982 |
$327 | |
| Varicose vein ablation |
$4,555 |
$8,798 |
$3,037 |
$1,018 | |
| Vasectomy |
$3,016 |
$6,541 |
$3,046 |
$347 | |
| Visual field test |
$192 |
— |
$34 |
$64 | |
| Vitamin B12 test |
$23 |
$167 |
$100 |
$15 | |
| Vitamin D test |
$44 |
$315 |
$189 |
$30 | |
| Vitrectomy (eye) |
$5,963 |
$8,778 |
$5,426 |
$814 | |
| Vocal cord injection |
$5,379 |
$7,361 |
$4,213 |
$211 | |
| Wart removal |
$289 |
$989 |
$478 |
$121 | |
| Weight-loss (bariatric) surgery |
$16,510 |
— |
$12,517 |
$11,645 | |
| Whipple procedure (pancreas) |
— |
— |
$1,379 |
$2,871 | |
| Wound debridement |
$826 |
$5,339 |
$1,195 |
$186 | |
| X-ray of the abdomen |
$151 |
$275 |
$107 |
$36 | |
| X-ray of the ankle |
$126 |
$373 |
$108 |
$37 | |
| X-ray of the collarbone |
$126 |
$356 |
$108 |
$33 | |
| X-ray of the elbow |
$126 |
$338 |
$106 |
$33 | |
| X-ray of the facial bones |
$138 |
$364 |
$119 |
$39 | |
| X-ray of the foot |
$126 |
$340 |
$106 |
$34 | |
| X-ray of the forearm |
$126 |
$327 |
$104 |
$29 | |
| X-ray of the hand |
$126 |
$343 |
$107 |
$38 | |
| X-ray of the hip |
$126 |
$377 |
$119 |
$49 | |
| X-ray of the hip (1 view) |
$126 |
$363 |
$108 |
$34 | |
| X-ray of the hip (3 views) |
$126 |
$414 |
$108 |
$49 | |
| X-ray of the hip (4 views) |
$151 |
$444 |
$133 |
$63 | |
| X-ray of the knee |
$126 |
$396 |
$119 |
$42 | |
| X-ray of the knee (2 views) |
$126 |
$389 |
$108 |
$34 | |
| X-ray of the knee (3 views) |
$126 |
$439 |
$108 |
$42 | |
| X-ray of the knee (4+ views) |
$151 |
$396 |
$128 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$151 |
$507 |
$133 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$151 |
$441 |
$133 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$151 |
$573 |
$133 |
$53 | |
| X-ray of the lower leg |
$126 |
$326 |
$104 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$151 |
$413 |
$109 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$151 |
$459 |
$133 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$151 |
$367 |
$65 |
$39 | |
| X-ray of the neck (cervical spine) |
$138 |
$456 |
$119 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$126 |
$356 |
$108 |
$40 | |
| X-ray of the pelvis |
$151 |
$217 |
$107 |
$36 | |
| X-ray of the pelvis (1 view) |
$151 |
$206 |
$107 |
$28 | |
| X-ray of the ribs |
$151 |
$396 |
$118 |
$42 | |
| X-ray of the ribs (2 views) |
$126 |
$343 |
$107 |
$36 | |
| X-ray of the ribs (3 views) |
$151 |
$396 |
$128 |
$42 | |
| X-ray of the shoulder |
$126 |
$411 |
$108 |
$36 | |
| X-ray of the skull |
$151 |
$376 |
$109 |
$40 | |
| X-ray of the upper arm |
$126 |
$379 |
$108 |
$32 | |
| X-ray of the wrist |
$126 |
$347 |
$107 |
$43 | |
| YAG laser capsulotomy (eye) |
$793 |
$4,806 |
$1,625 |
$335 | |
| Zinc blood test |
$17 |
$167 |
$100 |
$11 | |