| 3D mammogram (tomosynthesis) |
— |
$544 |
$136 |
$51 | |
| Abdominal fluid drain (paracentesis) |
— |
$11,806 |
$1,006 |
$284 | |
| Abdominal ultrasound |
— |
$2,016 |
$114 |
$100 | |
| Abdominal ultrasound (complete) |
— |
$3,240 |
$119 |
$114 | |
| Abdominal ultrasound (limited) |
— |
$792 |
$113 |
$86 | |
| Abscess drainage (complex or multiple) |
— |
$3,541 |
$439 |
$220 | |
| Abscess drainage (simple) |
— |
$245 |
$216 |
$129 | |
| Abscess incision and drainage |
— |
$1,893 |
$418 |
$174 | |
| Achilles tendon repair |
— |
— |
$7,529 |
$624 | |
| ACL knee reconstruction |
— |
— |
$7,604 |
$889 | |
| Acupuncture |
— |
$403 |
$69 |
$38 | |
| Acupuncture (each additional) |
— |
$346 |
$110 |
$28 | |
| Adenoid removal (adenoidectomy) |
— |
— |
$3,484 |
$204 | |
| Albumin blood test |
— |
$371 |
$5 |
$5 | |
| Aldosterone test |
— |
$2,675 |
$43 |
$41 | |
| Alkaline phosphatase test |
— |
$554 |
$7 |
$5 | |
| Allergy patch testing |
— |
$2,353 |
$913 |
$5 | |
| Allergy shots |
— |
$97 |
$50 |
$11 | |
| Allergy testing |
— |
$2,353 |
$913 |
$4 | |
| Alpha-fetoprotein (AFP) test |
— |
$591 |
$25 |
$17 | |
| ALT liver enzyme test |
— |
$562 |
$7 |
$5 | |
| Ammonia blood test |
— |
$1,464 |
$15 |
$15 | |
| Amniocentesis |
— |
$6,748 |
$994 |
$120 | |
| Amylase test |
— |
$809 |
$7 |
$6 | |
| Anal fistula repair |
— |
— |
$2,909 |
$541 | |
| Ankle fracture repair |
— |
— |
$7,604 |
$608 | |
| Ankle replacement |
— |
— |
$28,434 |
$885 | |
| Annual physical (new patient) |
— |
$892 |
$146 |
— | |
| Anoscopy |
— |
$3,468 |
$150 |
$129 | |
| Antinuclear antibody (ANA) test |
— |
$1,319 |
$18 |
$12 | |
| Aortic aneurysm repair (AAA) |
— |
$9,131 |
$2,656 |
$1,345 | |
| Aortic valve replacement |
— |
$30,359 |
$7,590 |
$1,603 | |
| Arterial blood gas (ABG) |
— |
$2,603 |
$33 |
$26 | |
| AST liver enzyme test |
— |
$537 |
$7 |
$5 | |
| Barium swallow study |
— |
$1,673 |
$187 |
$107 | |
| Bartholin cyst removal |
— |
$7,460 |
$249 |
$182 | |
| Basic metabolic panel |
— |
$1,113 |
$12 |
$8 | |
| Benign skin lesion removal |
— |
$1,504 |
$746 |
$171 | |
| Bilirubin blood test |
— |
$460 |
$8 |
$5 | |
| Bladder function test (urodynamics) |
— |
$2,882 |
$734 |
$345 | |
| Bladder scope (cystoscopy) |
— |
$2,170 |
$752 |
$216 | |
| Bladder tumor removal (TURBT) |
— |
$7,406 |
$3,694 |
$236 | |
| Blood clotting test (PT/INR) |
— |
$9,493 |
$5 |
$4 | |
| Blood crossmatch |
— |
$511 |
$179 |
— | |
| Blood glucose test |
— |
$244 |
$5 |
$5 | |
| Blood transfusion |
— |
$1,386 |
$465 |
$47 | |
| Blood type and screen |
— |
$408 |
$11 |
$10 | |
| Blood type test |
— |
$218 |
$5 |
$3 | |
| Blood type test (ABO group) |
— |
$269 |
$5 |
$3 | |
| Blood type test (Rh/D antigen) |
— |
$166 |
$5 |
$3 | |
| BNP (heart failure) test |
— |
$2,297 |
$47 |
$39 | |
| Bone density scan (DEXA) |
— |
$2,300 |
$113 |
$39 | |
| Bone marrow biopsy |
— |
$2,351 |
$1,866 |
$172 | |
| Bone scan (nuclear) |
— |
$7,638 |
$427 |
$259 | |
| Botox for migraine |
— |
$3,843 |
$485 |
$157 | |
| Breast biopsy |
— |
$14,339 |
$2,004 |
$478 | |
| Breast MRI |
— |
$6,420 |
$261 |
$216 | |
| Breast MRI without contrast |
— |
$6,420 |
$261 |
$216 | |
| Breast reconstruction |
— |
— |
$14,441 |
$1,227 | |
| Breast reduction |
— |
— |
$6,958 |
$980 | |
| Breast ultrasound |
— |
$561 |
$113 |
$92 | |
| Breast ultrasound (complete) |
— |
$636 |
$116 |
$100 | |
| Breast ultrasound (limited) |
— |
$485 |
$97 |
$84 | |
| Breathing tube insertion (intubation) |
— |
$3,129 |
$292 |
$133 | |
| Bronchoscopy |
— |
$9,070 |
$2,050 |
$303 | |
| Bunion surgery (bunionectomy) |
— |
— |
$5,196 |
$883 | |
| Burn dressing and debridement (medium) |
— |
$1,348 |
$216 |
$166 | |
| Burn dressing and debridement (small) |
— |
$841 |
$216 |
$93 | |
| Burn treatment |
— |
$1,095 |
$216 |
$129 | |
| C-reactive protein (CRP) |
— |
$289 |
$5 |
$5 | |
| CA 19-9 tumor marker test |
— |
$479 |
$29 |
$21 | |
| CA-125 ovarian marker test |
— |
$479 |
$29 |
$21 | |
| Calcium blood test |
— |
$460 |
$7 |
$5 | |
| Capsule endoscopy |
— |
$10,266 |
$1,118 |
$802 | |
| Cardiac ablation |
— |
$35,966 |
$27,290 |
$759 | |
| Cardiac catheterization |
— |
$20,754 |
$3,497 |
$1,049 | |
| Cardiac MRI |
— |
$11,129 |
$421 |
$322 | |
| Cardiac MRI without contrast |
— |
$10,444 |
$373 |
$280 | |
| Cardiac rehabilitation |
— |
$697 |
$139 |
$26 | |
| Cardiac stress test |
— |
$1,549 |
$231 |
$39 | |
| Cardioversion |
— |
$16,710 |
$747 |
$155 | |
| Carotid artery ultrasound |
— |
$3,156 |
$255 |
$156 | |
| Carpal tunnel release |
— |
— |
$2,096 |
$483 | |
| Cataract surgery |
— |
— |
$2,466 |
$547 | |
| CEA tumor marker test |
— |
$1,506 |
$22 |
$19 | |
| Central line placement |
— |
$2,328 |
$3,244 |
$238 | |
| Cervical LEEP procedure |
— |
$6,066 |
$3,392 |
$325 | |
| Cesarean section (C-section) |
— |
— |
$10,768 |
$7,552 | |
| Chemotherapy infusion |
— |
$1,523 |
$194 |
$81 | |
| Chemotherapy infusion (each additional) |
— |
$761 |
$77 |
$28 | |
| Chemotherapy infusion (first hour) |
— |
$2,284 |
$350 |
$133 | |
| Chest fluid drain (thoracentesis) |
— |
$12,147 |
$1,133 |
$311 | |
| Chest tube insertion |
— |
$9,225 |
$1,698 |
$143 | |
| Chest X-ray |
— |
$1,195 |
$94 |
$37 | |
| Chest X-ray (1 view) |
— |
$1,048 |
$93 |
$25 | |
| Chest X-ray (2 views) |
— |
$1,535 |
$93 |
$33 | |
| Chickenpox (varicella) vaccine |
— |
$141 |
$48 |
— | |
| Circumcision |
— |
— |
$2,233 |
$167 | |
| CK-MB heart enzyme test |
— |
$1,822 |
$13 |
$12 | |
| Clotting time test (PTT) |
— |
$57 |
$9 |
$6 | |
| Colonoscopy |
— |
$6,691 |
$1,291 |
$480 | |
| Colposcopy |
— |
$1,401 |
$341 |
$161 | |
| Complete blood count (CBC) |
— |
$524 |
$8 |
$7 | |
| Complete blood count (CBC) (complete) |
— |
$591 |
$8 |
$8 | |
| Complex wound repair |
— |
$3,274 |
$828 |
$390 | |
| Comprehensive eye exam |
— |
$1,215 |
$144 |
$138 | |
| Comprehensive metabolic panel |
— |
$2,537 |
$15 |
$11 | |
| Continuous glucose monitor setup |
— |
$550 |
$150 |
$35 | |
| Contraceptive implant (Nexplanon) |
— |
$1,264 |
$477 |
$115 | |
| Copper blood test |
— |
$1,464 |
$15 |
$12 | |
| Coronary artery bypass (CABG) |
— |
— |
$54,113 |
$36,593 | |
| Coronary CT angiography |
— |
$2,503 |
$376 |
$326 | |
| Cortisol test |
— |
$1,738 |
$17 |
$16 | |
| COVID-19 PCR test |
— |
$459 |
$54 |
$51 | |
| CPAP titration study |
— |
$2,094 |
$247 |
$69 | |
| Creatine kinase (CK) test |
— |
$780 |
$8 |
$7 | |
| CT angiography of the chest |
— |
$4,820 |
$296 |
$281 | |
| CT angiography of the head |
— |
$4,453 |
$291 |
$274 | |
| CT colonography (virtual colonoscopy) |
— |
$9,278 |
$331 |
$835 | |
| CT scan of the abdomen |
— |
$6,805 |
$189 |
$230 | |
| CT scan of the abdomen and pelvis |
— |
$6,805 |
$376 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
— |
$8,861 |
$408 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
— |
$6,805 |
$376 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
— |
$6,129 |
$257 |
$183 | |
| CT scan of the abdomen with and without contrast |
— |
$8,861 |
$218 |
$259 | |
| CT scan of the abdomen with contrast |
— |
$6,805 |
$196 |
$230 | |
| CT scan of the abdomen without contrast |
— |
$6,129 |
$142 |
$136 | |
| CT scan of the arm |
— |
$6,805 |
$371 |
$199 | |
| CT scan of the arm with contrast |
— |
$6,805 |
$412 |
$199 | |
| CT scan of the arm without contrast |
— |
$6,129 |
$145 |
$161 | |
| CT scan of the chest |
— |
$6,806 |
$189 |
$167 | |
| CT scan of the chest with and without contrast |
— |
$8,861 |
$206 |
$196 | |
| CT scan of the chest with contrast |
— |
$6,806 |
$192 |
$167 | |
| CT scan of the chest without contrast |
— |
$6,129 |
$145 |
$133 | |
| CT scan of the head |
— |
$6,805 |
$189 |
$148 | |
| CT scan of the head with and without contrast |
— |
$8,856 |
$199 |
$173 | |
| CT scan of the head with contrast |
— |
$6,805 |
$189 |
$148 | |
| CT scan of the head without contrast |
— |
$6,129 |
$135 |
$107 | |
| CT scan of the leg |
— |
$6,805 |
$196 |
$166 | |
| CT scan of the leg with contrast |
— |
$6,805 |
$207 |
$166 | |
| CT scan of the leg without contrast |
— |
$6,129 |
$125 |
$130 | |
| CT scan of the lower back (lumbar spine) |
— |
$6,805 |
$338 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
— |
$8,861 |
$225 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
— |
$6,805 |
$376 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
— |
$6,129 |
$147 |
$130 | |
| CT scan of the neck |
— |
$6,805 |
$189 |
$183 | |
| CT scan of the neck (cervical spine) |
— |
$6,805 |
$338 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
— |
$8,861 |
$225 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
— |
$6,805 |
$376 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
— |
$6,129 |
$145 |
$131 | |
| CT scan of the neck with and without contrast |
— |
$8,861 |
$196 |
$220 | |
| CT scan of the neck with contrast |
— |
$6,805 |
$191 |
$183 | |
| CT scan of the neck without contrast |
— |
$6,129 |
$145 |
$150 | |
| CT scan of the pelvis |
— |
$6,805 |
$189 |
$226 | |
| CT scan of the pelvis with and without contrast |
— |
$8,861 |
$199 |
$251 | |
| CT scan of the pelvis with contrast |
— |
$6,805 |
$195 |
$226 | |
| CT scan of the pelvis without contrast |
— |
$6,129 |
$132 |
$133 | |
| CT scan of the sinuses |
— |
$6,975 |
$189 |
$152 | |
| CT scan of the sinuses with and without contrast |
— |
$8,861 |
$203 |
$184 | |
| CT scan of the sinuses with contrast |
— |
$6,975 |
$189 |
$152 | |
| CT scan of the sinuses without contrast |
— |
$6,129 |
$143 |
$128 | |
| D-dimer test |
— |
$841 |
$13 |
$10 | |
| Defibrillator (ICD) implant |
— |
$73,705 |
$32,893 |
$798 | |
| DHEA-sulfate test |
— |
$1,638 |
$26 |
$22 | |
| Diagnostic mammogram |
— |
$1,214 |
$278 |
$140 | |
| Dialysis fistula creation |
— |
— |
$3,309 |
$601 | |
| Dilation and curettage (D&C) |
— |
$2,003 |
$3,326 |
$298 | |
| Droopy eyelid repair (ptosis) |
— |
— |
$2,552 |
$745 | |
| Drug screen (urine) |
— |
$70 |
$65 |
$17 | |
| Ear tubes (myringotomy) |
— |
— |
$1,594 |
$174 | |
| Echocardiogram |
— |
$1,974 |
$382 |
$138 | |
| Echocardiogram with and without contrast |
— |
$1,974 |
$257 |
$101 | |
| Echocardiogram without contrast |
— |
$6,454 |
$267 |
$138 | |
| EEG (awake and asleep) |
— |
$5,264 |
$233 |
$482 | |
| EKG / ECG (tracing only) |
— |
$1,293 |
$64 |
$7 | |
| Electrocardiogram (EKG) |
— |
$1,293 |
$64 |
$8 | |
| Electroencephalogram (EEG) |
— |
$5,115 |
$233 |
$448 | |
| Electrolyte panel |
— |
$554 |
$9 |
$7 | |
| Electromyography (EMG) |
— |
$276 |
$144 |
$141 | |
| Emergency department visit |
— |
$3,644 |
$437 |
$69 | |
| Emergency department visit (level 1) |
— |
$1,590 |
$117 |
$11 | |
| Emergency department visit (level 2) |
— |
$2,317 |
$172 |
$40 | |
| Emergency department visit (level 3) |
— |
$3,644 |
$306 |
$69 | |
| Emergency department visit (level 4) |
— |
$5,987 |
$450 |
$118 | |
| Emergency department visit (level 5) |
— |
$10,731 |
$639 |
$171 | |
| Endometrial biopsy |
— |
$642 |
$218 |
$98 | |
| Epidural steroid injection |
— |
$4,490 |
$783 |
$275 | |
| ERCP (bile duct endoscopy) |
— |
$10,203 |
$4,040 |
$311 | |
| Esophageal dilation |
— |
$1,010 |
$1,006 |
$522 | |
| Esophageal variceal banding |
— |
$5,109 |
$2,060 |
$126 | |
| Estradiol (estrogen) test |
— |
$1,179 |
$30 |
$28 | |
| Eyelid surgery (blepharoplasty) |
— |
— |
$2,226 |
$552 | |
| Facet joint injection (spine) |
— |
$6,411 |
$1,603 |
$99 | |
| Fallopian tube X-ray (HSG) |
— |
$4,239 |
$636 |
$164 | |
| Family therapy session |
— |
$1,958 |
$191 |
$110 | |
| Fecal occult blood (stool) test |
— |
$183 |
$5 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
— |
$204 |
$5 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
— |
$161 |
$17 |
$16 | |
| Feeding tube (PEG) placement |
— |
$5,586 |
$2,060 |
$178 | |
| Femoral hernia repair |
— |
— |
$3,825 |
$584 | |
| Ferritin (iron) test |
— |
$1,506 |
$16 |
$14 | |
| Fibrinogen test |
— |
$841 |
$12 |
$10 | |
| Fibroid removal (myomectomy) |
— |
— |
$2,354 |
$914 | |
| Flexible sigmoidoscopy |
— |
$3,468 |
$1,003 |
$323 | |
| Flu vaccine |
— |
$196 |
$22 |
— | |
| Folate (folic acid) test |
— |
$1,145 |
$16 |
$15 | |
| Foreign body removal (skin) |
— |
$7,460 |
$459 |
$157 | |
| Free T4 thyroid test |
— |
$1,709 |
$10 |
$9 | |
| FSH hormone test |
— |
$1,107 |
$22 |
$19 | |
| Gallbladder removal (laparoscopic) |
— |
— |
$6,366 |
$658 | |
| Gallbladder scan (HIDA) |
— |
$6,744 |
$558 |
$334 | |
| Ganglion cyst removal |
— |
— |
$1,759 |
$321 | |
| GGT liver test |
— |
$562 |
$9 |
$7 | |
| Glaucoma surgery |
— |
— |
$2,466 |
$984 | |
| Glucose tolerance test |
— |
$859 |
$13 |
$8 | |
| Group therapy session |
— |
$442 |
$110 |
$30 | |
| H. pylori test |
— |
$867 |
$75 |
$67 | |
| Hammertoe repair |
— |
— |
$3,429 |
$548 | |
| HDL cholesterol test |
— |
$509 |
$9 |
$8 | |
| Hearing test (audiometry) |
— |
$351 |
$135 |
$36 | |
| Hematocrit test |
— |
$280 |
$4 |
$2 | |
| Hemodialysis |
— |
$5,681 |
$740 |
$75 | |
| Hemoglobin A1c (diabetes test) |
— |
$1,010 |
$10 |
$10 | |
| Hemorrhoid removal |
— |
$2,115 |
$1,328 |
$338 | |
| Hepatitis A vaccine |
— |
$701 |
$74 |
— | |
| Hepatitis B test |
— |
$924 |
$16 |
$10 | |
| Hepatitis B vaccine |
— |
$126 |
$70 |
— | |
| Hepatitis C test |
— |
$554 |
$22 |
$14 | |
| Hip arthroscopy |
— |
— |
$7,604 |
$931 | |
| Hip replacement |
— |
— |
$13,520 |
$1,162 | |
| HIV test |
— |
$530 |
$25 |
$19 | |
| HIV test (antibody) |
— |
$615 |
$21 |
$14 | |
| HIV test (antigen/antibody combo) |
— |
$445 |
$34 |
$24 | |
| Holter heart monitor |
— |
$2,698 |
$144 |
$26 | |
| Home sleep apnea test |
— |
$987 |
$82 |
$123 | |
| HPV vaccine |
— |
$439 |
$170 |
— | |
| Hydrocele repair |
— |
— |
$3,752 |
$315 | |
| Hysterectomy |
— |
— |
$10,921 |
$933 | |
| Hysteroscopy |
— |
— |
$3,392 |
$1,270 | |
| Inguinal hernia repair |
— |
— |
$3,789 |
$538 | |
| Iron blood test |
— |
$669 |
$10 |
$6 | |
| IUD insertion |
— |
$596 |
$253 |
— | |
| IUD removal |
— |
$3,442 |
$476 |
$112 | |
| IV infusion therapy |
— |
$818 |
$219 |
$44 | |
| IV infusion therapy (each additional) |
— |
$172 |
$51 |
$21 | |
| IV infusion therapy (initial) |
— |
$1,463 |
$227 |
$67 | |
| IVC filter placement |
— |
$35,153 |
$5,831 |
$1,885 | |
| Joint aspiration (small/intermediate) |
— |
$299 |
$331 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
— |
$331 |
$331 |
$57 | |
| Joint aspiration or injection (small joint) |
— |
$266 |
$331 |
$56 | |
| Kidney biopsy |
— |
$2,242 |
$1,782 |
$492 | |
| Kidney removal (nephrectomy) |
— |
— |
$2,354 |
$1,164 | |
| Kidney scan (nuclear) |
— |
$4,312 |
$580 |
$172 | |
| Kidney ultrasound |
— |
$2,788 |
$113 |
$84 | |
| Kidney ultrasound (limited) |
— |
$2,335 |
$113 |
$61 | |
| Knee arthroscopy |
— |
— |
$3,462 |
$524 | |
| Knee joint injection |
— |
$402 |
$331 |
$69 | |
| Knee replacement |
— |
— |
$27,654 |
$18,054 | |
| Lactate test |
— |
$110 |
$12 |
$12 | |
| Laryngoscopy |
— |
$6,087 |
$1,088 |
$189 | |
| LDH test |
— |
$172 |
$8 |
$6 | |
| LDL cholesterol test |
— |
$158 |
$15 |
$11 | |
| Leg artery angiogram |
— |
$20,754 |
$3,341 |
$149 | |
| Leg artery angioplasty |
— |
$14,610 |
$3,873 |
— | |
| Leg vein ultrasound (Doppler) |
— |
$2,314 |
$245 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
— |
$3,727 |
$125 |
$116 | |
| LH hormone test |
— |
$1,107 |
$22 |
$19 | |
| Lipase test |
— |
$562 |
$7 |
$7 | |
| Lipid (cholesterol) panel |
— |
$1,549 |
$18 |
$13 | |
| Liver biopsy |
— |
$2,419 |
$1,782 |
$288 | |
| Liver function panel |
— |
$755 |
$11 |
$8 | |
| Lumbar discectomy |
— |
— |
$7,604 |
$898 | |
| Lumpectomy (breast) |
— |
— |
$4,103 |
$750 | |
| Lung function test (PFT) |
— |
$1,200 |
$252 |
$37 | |
| Lung scan (V/Q) |
— |
$6,312 |
$577 |
$291 | |
| Magnesium blood test |
— |
$578 |
$9 |
$7 | |
| Mastectomy |
— |
— |
$6,958 |
$1,021 | |
| Meniscus repair (knee) |
— |
— |
$3,446 |
$714 | |
| MMR vaccine |
— |
$81 |
$33 |
— | |
| Mohs skin cancer surgery |
— |
$3,556 |
$943 |
$535 | |
| MRA of the brain |
— |
$10,307 |
$404 |
$226 | |
| MRA of the brain with contrast |
— |
$10,307 |
$402 |
$226 | |
| MRA of the brain without contrast |
— |
$16,579 |
$618 |
$328 | |
| MRA of the neck |
— |
$10,307 |
$404 |
$245 | |
| MRA of the neck with contrast |
— |
$10,307 |
$402 |
$245 | |
| MRA of the neck without contrast |
— |
$16,579 |
$618 |
$343 | |
| MRI of the abdomen |
— |
$11,813 |
$427 |
$300 | |
| MRI of the abdomen with contrast |
— |
$11,813 |
$470 |
$300 | |
| MRI of the abdomen without contrast |
— |
$10,444 |
$386 |
$194 | |
| MRI of the ankle |
— |
$10,444 |
$404 |
$261 | |
| MRI of the ankle with contrast |
— |
$10,444 |
$446 |
$261 | |
| MRI of the ankle without contrast |
— |
$6,921 |
$359 |
$222 | |
| MRI of the brain |
— |
$11,813 |
$405 |
$269 | |
| MRI of the brain with contrast |
— |
$11,813 |
$415 |
$269 | |
| MRI of the brain without contrast |
— |
$10,444 |
$386 |
$195 | |
| MRI of the chest |
— |
$11,813 |
$795 |
$371 | |
| MRI of the chest with contrast |
— |
$11,813 |
$846 |
$371 | |
| MRI of the chest without contrast |
— |
$20,881 |
$617 |
$466 | |
| MRI of the knee |
— |
$10,444 |
$821 |
$315 | |
| MRI of the knee with contrast |
— |
$10,444 |
$926 |
$315 | |
| MRI of the knee without contrast |
— |
$20,881 |
$367 |
$204 | |
| MRI of the lower back (lumbar spine) |
— |
$11,813 |
$394 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
— |
$11,813 |
$415 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
— |
$10,444 |
$301 |
$192 | |
| MRI of the mid-back (thoracic spine) |
— |
$11,813 |
$394 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
— |
$18,653 |
$415 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
— |
$11,813 |
$415 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
— |
$10,444 |
$304 |
$190 | |
| MRI of the neck (cervical spine) |
— |
$11,813 |
$406 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
— |
$20,881 |
$415 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
— |
$11,813 |
$415 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
— |
$10,444 |
$386 |
$191 | |
| MRI of the pelvis |
— |
$11,813 |
$394 |
$268 | |
| MRI of the pelvis with contrast |
— |
$11,813 |
$382 |
$268 | |
| MRI of the pelvis without contrast |
— |
$10,444 |
$380 |
$227 | |
| MRI of the shoulder |
— |
$11,813 |
$834 |
$313 | |
| MRI of the shoulder with contrast |
— |
$11,813 |
$926 |
$313 | |
| MRI of the shoulder without contrast |
— |
$10,444 |
$367 |
$205 | |
| MRI of the wrist |
— |
$11,574 |
$412 |
$330 | |
| MRI of the wrist with contrast |
— |
$20,126 |
$446 |
$330 | |
| MRI of the wrist without contrast |
— |
$11,574 |
$360 |
$303 | |
| Nebulizer breathing treatment |
— |
$1,314 |
$234 |
$9 | |
| Nerve conduction study |
— |
$651 |
$231 |
$118 | |
| Nuchal translucency ultrasound |
— |
$3,468 |
$116 |
$116 | |
| Nuclear cardiac stress test |
— |
$12,149 |
$1,383 |
$428 | |
| Occupational therapy evaluation |
— |
$2,770 |
$693 |
$101 | |
| Occupational therapy evaluation (high complexity) |
— |
$2,770 |
$693 |
$101 | |
| Occupational therapy evaluation (low complexity) |
— |
$2,770 |
$693 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
— |
$2,770 |
$693 |
$101 | |
| Office visit (established patient) |
— |
$520 |
$101 |
$115 | |
| Office visit (new patient) |
— |
$539 |
$161 |
$177 | |
| Office visit, established patient (level 3) |
— |
$500 |
$73 |
$95 | |
| Office visit, established patient (level 4) |
— |
$539 |
$109 |
$136 | |
| Office visit, new patient (level 3) |
— |
$440 |
$86 |
$118 | |
| Office visit, new patient (level 4) |
— |
$539 |
$139 |
$177 | |
| Office visit, new patient (level 5) |
— |
$891 |
$223 |
$237 | |
| Orthopedic hardware removal |
— |
$9,169 |
$3,044 |
$632 | |
| Pacemaker insertion |
— |
— |
$24,354 |
$15,506 | |
| Pap smear (cervical screening) |
— |
$570 |
$22 |
$20 | |
| Parathyroid hormone (PTH) test |
— |
$1,438 |
$52 |
$41 | |
| Parathyroid removal |
— |
— |
$6,203 |
$891 | |
| Pelvic ultrasound |
— |
$2,369 |
$113 |
$78 | |
| Pelvic ultrasound (complete) |
— |
$2,516 |
$113 |
$105 | |
| Pelvic ultrasound (limited) |
— |
$2,222 |
$113 |
$51 | |
| PET scan |
— |
$14,014 |
$1,639 |
— | |
| Phosphorus blood test |
— |
$509 |
$6 |
$5 | |
| Physical therapy evaluation |
— |
$2,781 |
$436 |
$98 | |
| Physical therapy evaluation (high complexity) |
— |
$2,781 |
$695 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
— |
$700 |
$276 |
$98 | |
| Pilonidal cyst removal |
— |
— |
$3,044 |
$541 | |
| Platelet count |
— |
$280 |
$5 |
$4 | |
| Pneumonia vaccine |
— |
$211 |
$129 |
— | |
| Pregnancy blood test (hCG) |
— |
$898 |
$10 |
$8 | |
| Pregnancy ultrasound |
— |
$3,822 |
$114 |
$126 | |
| Pregnancy ultrasound (first trimester) |
— |
$3,468 |
$114 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
— |
$4,175 |
$114 |
$136 | |
| Procalcitonin test |
— |
$391 |
$30 |
$27 | |
| Prolactin test |
— |
$2,094 |
$29 |
$19 | |
| Prostate biopsy |
— |
$3,574 |
$1,645 |
— | |
| Prostate removal (prostatectomy) |
— |
— |
$11,139 |
$1,063 | |
| Prostate surgery (TURP) |
— |
— |
$5,619 |
$526 | |
| Prostate test (PSA) |
— |
$1,684 |
$28 |
$18 | |
| Psychiatric evaluation |
— |
$708 |
$191 |
$188 | |
| Psychotherapy session |
— |
$716 |
$191 |
$140 | |
| Pulmonary rehabilitation |
— |
$270 |
$63 |
$87 | |
| Radiofrequency nerve ablation |
— |
$5,738 |
$2,082 |
$462 | |
| Retinal detachment repair |
— |
— |
$4,353 |
$966 | |
| Rheumatoid factor test |
— |
$612 |
$7 |
$6 | |
| Rotator cuff repair |
— |
— |
$7,604 |
$792 | |
| Sacroiliac joint injection |
— |
$6,088 |
$2,000 |
$176 | |
| Scoliosis spine X-ray |
— |
$930 |
$107 |
$58 | |
| Scoliosis spine X-ray (1 view) |
— |
$591 |
$93 |
$44 | |
| Scoliosis spine X-ray (3 views) |
— |
$1,268 |
$111 |
$72 | |
| Screening colonoscopy |
— |
$8,940 |
$1,018 |
$378 | |
| Screening mammogram |
— |
$1,197 |
$299 |
$126 | |
| Scrotal ultrasound |
— |
$2,727 |
$113 |
$99 | |
| Sedimentation rate (ESR) test |
— |
$280 |
$4 |
$3 | |
| Semen analysis |
— |
$408 |
$14 |
$12 | |
| Septoplasty (deviated septum) |
— |
— |
$3,484 |
$613 | |
| Sex hormone binding globulin test |
— |
$1,227 |
$32 |
$22 | |
| Shoulder arthroscopy |
— |
— |
$7,529 |
$962 | |
| Shoulder replacement |
— |
— |
$18,374 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
— |
$678 |
$216 |
$114 | |
| Simple wound stitches |
— |
$1,013 |
$216 |
$127 | |
| Sinus surgery (endoscopic) |
— |
— |
$6,216 |
$224 | |
| Skin biopsy |
— |
$1,782 |
$575 |
$121 | |
| Skin biopsy (punch) |
— |
$1,782 |
$455 |
$121 | |
| Skin cancer lesion removal |
— |
$693 |
$749 |
$240 | |
| Skin graft |
— |
$16,910 |
$2,696 |
$898 | |
| Skin lesion freezing (cryotherapy) |
— |
$5,508 |
$915 |
$36 | |
| Skin tag removal |
— |
$678 |
$225 |
$92 | |
| Sleep study (polysomnography) |
— |
$5,164 |
$926 |
$691 | |
| Small bowel resection |
— |
— |
$2,354 |
$1,136 | |
| Soft tissue ultrasound |
— |
$5,398 |
$118 |
$64 | |
| Speech therapy |
— |
$1,977 |
$277 |
$76 | |
| Spinal cord stimulator |
— |
$20,224 |
$6,678 |
$2,388 | |
| Spinal tap (lumbar puncture) |
— |
$2,699 |
$761 |
$165 | |
| Spine fracture repair (kyphoplasty) |
— |
$29,291 |
$7,604 |
$5,803 | |
| Spirometry (lung function test) |
— |
$414 |
$226 |
$30 | |
| Spirometry with bronchodilator |
— |
$1,986 |
$391 |
$43 | |
| Strep throat test |
— |
$213 |
$17 |
$17 | |
| Stress echocardiogram |
— |
$5,083 |
$589 |
$209 | |
| Stress echocardiogram (complete) |
— |
$3,968 |
$584 |
$233 | |
| Swallow study |
— |
$2,785 |
$390 |
$85 | |
| T3 thyroid test |
— |
$1,277 |
$15 |
$14 | |
| Tdap (tetanus) vaccine |
— |
$75 |
$40 |
— | |
| Testicle removal (orchiectomy) |
— |
— |
$3,694 |
$306 | |
| Testosterone test |
— |
$429 |
$34 |
$26 | |
| Thyroid removal (thyroidectomy) |
— |
— |
$6,335 |
$1,004 | |
| Thyroid test (TSH) |
— |
$1,293 |
$27 |
$17 | |
| Thyroid ultrasound |
— |
$893 |
$114 |
$109 | |
| Thyroid uptake scan |
— |
$1,400 |
$419 |
$145 | |
| Tilt table test |
— |
$7,557 |
$518 |
$168 | |
| Tonsillectomy |
— |
— |
$3,525 |
$252 | |
| Total IgE allergy test |
— |
$578 |
$22 |
$16 | |
| Total protein test |
— |
$391 |
$5 |
$4 | |
| Tracheostomy |
— |
$7,186 |
$3,474 |
$273 | |
| Transesophageal echocardiogram (TEE) |
— |
$6,198 |
$598 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
— |
$6,198 |
$598 |
$239 | |
| Transvaginal ultrasound |
— |
$2,516 |
$114 |
$118 | |
| Trigger finger release |
— |
— |
$1,735 |
$630 | |
| Trigger point injection |
— |
$191 |
$333 |
$56 | |
| Trigger point injection (1-2 muscles) |
— |
$191 |
$341 |
$52 | |
| Triglycerides test |
— |
$578 |
$8 |
$6 | |
| Troponin (heart) test |
— |
$712 |
$14 |
$12 | |
| Tubal ligation |
— |
— |
$6,335 |
$333 | |
| Turbinate reduction |
— |
— |
$3,474 |
$294 | |
| Turning a breech baby (version) |
— |
$11,041 |
$3,392 |
$94 | |
| Ulnar nerve surgery (elbow) |
— |
— |
$2,106 |
$575 | |
| Upper GI endoscopy (EGD) |
— |
$5,133 |
$1,000 |
$371 | |
| Upper GI series (barium) |
— |
$2,152 |
$187 |
$128 | |
| Ureteral stent placement |
— |
$1,569 |
$3,621 |
$373 | |
| Ureteroscopy (stone removal) |
— |
— |
$5,619 |
$365 | |
| Uric acid (gout) test |
— |
$391 |
$6 |
$5 | |
| Urinalysis |
— |
$50 |
$4 |
$3 | |
| Urine microalbumin test |
— |
$266 |
$9 |
$5 | |
| Urine pregnancy test |
— |
$15 |
$9 |
$9 | |
| UV light therapy (skin) |
— |
$145 |
$62 |
$106 | |
| Vaccine administration |
— |
$25 |
$75 |
$19 | |
| Vaccine administration (each additional) |
— |
$25 |
$65 |
$16 | |
| Vaginal delivery |
— |
— |
$8,765 |
$5,487 | |
| Varicocele repair |
— |
— |
$3,694 |
$327 | |
| Vasectomy |
— |
— |
$2,210 |
$347 | |
| Vitamin B12 test |
— |
$1,638 |
$17 |
$15 | |
| Vitamin D test |
— |
$866 |
$44 |
$30 | |
| Vitrectomy (eye) |
— |
— |
$4,374 |
$814 | |
| Vocal cord injection |
— |
$8,551 |
$3,907 |
$211 | |
| Wart removal |
— |
$1,145 |
$225 |
$121 | |
| Weight-loss (bariatric) surgery |
— |
— |
$19,251 |
$11,645 | |
| Wound debridement |
— |
$9,661 |
$790 |
$186 | |
| Wrist fracture repair |
— |
— |
$7,604 |
$735 | |
| X-ray of the abdomen |
— |
$451 |
$108 |
$36 | |
| X-ray of the ankle |
— |
$1,792 |
$94 |
$37 | |
| X-ray of the collarbone |
— |
$872 |
$94 |
$33 | |
| X-ray of the elbow |
— |
$872 |
$94 |
$33 | |
| X-ray of the facial bones |
— |
$1,202 |
$107 |
$39 | |
| X-ray of the foot |
— |
$1,792 |
$94 |
$34 | |
| X-ray of the forearm |
— |
$1,739 |
$94 |
$29 | |
| X-ray of the hand |
— |
$1,792 |
$94 |
$38 | |
| X-ray of the hip |
— |
$2,024 |
$107 |
$49 | |
| X-ray of the hip (1 view) |
— |
$1,268 |
$94 |
$34 | |
| X-ray of the hip (3 views) |
— |
$2,024 |
$94 |
$49 | |
| X-ray of the hip (4 views) |
— |
$3,374 |
$113 |
$63 | |
| X-ray of the knee |
— |
$1,929 |
$107 |
$42 | |
| X-ray of the knee (2 views) |
— |
$872 |
$94 |
$34 | |
| X-ray of the knee (3 views) |
— |
$1,929 |
$94 |
$42 | |
| X-ray of the knee (4+ views) |
— |
$2,062 |
$113 |
$49 | |
| X-ray of the lower back (lumbar spine) |
— |
$1,316 |
$112 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
— |
$1,113 |
$111 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
— |
$1,519 |
$112 |
$53 | |
| X-ray of the lower leg |
— |
$872 |
$94 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
— |
$888 |
$111 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
— |
$1,087 |
$111 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
— |
$689 |
$111 |
$39 | |
| X-ray of the neck (cervical spine) |
— |
$1,237 |
$107 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
— |
$1,008 |
$93 |
$40 | |
| X-ray of the pelvis |
— |
$993 |
$111 |
$36 | |
| X-ray of the pelvis (1 view) |
— |
$872 |
$111 |
$28 | |
| X-ray of the ribs |
— |
$770 |
$111 |
$42 | |
| X-ray of the ribs (2 views) |
— |
$578 |
$93 |
$36 | |
| X-ray of the ribs (3 views) |
— |
$1,113 |
$112 |
$42 | |
| X-ray of the shoulder |
— |
$1,929 |
$94 |
$36 | |
| X-ray of the skull |
— |
$1,251 |
$112 |
$40 | |
| X-ray of the upper arm |
— |
$967 |
$94 |
$32 | |
| X-ray of the wrist |
— |
$898 |
$94 |
$43 | |
| Zinc blood test |
— |
$289 |
$17 |
$11 | |