| 3D mammogram (tomosynthesis) |
$67 |
$168 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,809 |
$4,522 |
— |
$284 | |
| Abdominal ultrasound |
$988 |
$2,469 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$2,388 |
$5,969 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$732 |
$1,830 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$389 |
$972 |
— |
$220 | |
| Abscess drainage (simple) |
$389 |
$972 |
— |
$129 | |
| Abscess incision and drainage |
$389 |
$972 |
— |
$174 | |
| Albumin blood test |
$58 |
$145 |
— |
$5 | |
| Aldosterone test |
$452 |
$1,129 |
— |
$41 | |
| Alkaline phosphatase test |
$61 |
$153 |
— |
$5 | |
| Alpha-fetoprotein (AFP) test |
$187 |
$467 |
— |
$17 | |
| ALT liver enzyme test |
$77 |
$194 |
— |
$5 | |
| Ammonia blood test |
$171 |
$428 |
— |
$15 | |
| Amniocentesis |
$1,217 |
$3,044 |
— |
$120 | |
| Amylase test |
$76 |
$190 |
— |
$6 | |
| Anal fistula repair |
$4,306 |
$10,765 |
— |
$541 | |
| Ankle fracture repair |
$22,433 |
$56,083 |
— |
$608 | |
| Anoscopy |
$171 |
$428 |
— |
$129 | |
| Antinuclear antibody (ANA) test |
$135 |
$336 |
— |
$12 | |
| Arterial blood gas (ABG) |
$302 |
$754 |
— |
$26 | |
| AST liver enzyme test |
$61 |
$153 |
— |
$5 | |
| Barium swallow study |
$365 |
$912 |
— |
$107 | |
| Bartholin cyst removal |
$416 |
$1,040 |
— |
$182 | |
| Basic metabolic panel |
$100 |
$249 |
— |
$8 | |
| Benign skin lesion removal |
$1,476 |
$3,690 |
— |
$171 | |
| Bilirubin blood test |
$59 |
$147 |
— |
$5 | |
| Bladder scope (cystoscopy) |
$5,599 |
$13,998 |
— |
$216 | |
| Bladder tumor removal (TURBT) |
$7,450 |
$18,624 |
— |
$236 | |
| Blood clotting test (PT/INR) |
$46 |
$116 |
— |
$4 | |
| Blood crossmatch |
$113 |
$281 |
— |
— | |
| Blood glucose test |
$51 |
$127 |
— |
$5 | |
| Blood transfusion |
$1,538 |
$3,845 |
— |
$47 | |
| Blood type and screen |
$113 |
$281 |
— |
$10 | |
| Blood type test |
$59 |
$147 |
— |
$3 | |
| Blood type test (ABO group) |
$59 |
$147 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$59 |
$147 |
— |
$3 | |
| BNP (heart failure) test |
$399 |
$997 |
— |
$39 | |
| Bone density scan (DEXA) |
$805 |
$2,012 |
— |
$39 | |
| Bone scan (nuclear) |
$1,078 |
$2,695 |
— |
$259 | |
| Breast biopsy |
$4,261 |
$10,652 |
— |
$478 | |
| Breast MRI |
$4,123 |
$10,307 |
$688 |
$216 | |
| Breast MRI without contrast |
$6,048 |
$15,121 |
$688 |
$216 | |
| Breast ultrasound |
$658 |
$1,645 |
— |
$92 | |
| Breast ultrasound (complete) |
$1,124 |
$2,809 |
— |
$100 | |
| Breast ultrasound (limited) |
$562 |
$1,405 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$587 |
$1,468 |
— |
$133 | |
| Burn dressing and debridement (medium) |
$392 |
$981 |
— |
$166 | |
| Burn dressing and debridement (small) |
$481 |
$1,368 |
— |
$93 | |
| Burn treatment |
$392 |
$1,309 |
— |
$129 | |
| C-reactive protein (CRP) |
$57 |
$143 |
— |
$5 | |
| CA 19-9 tumor marker test |
$232 |
$579 |
— |
$21 | |
| CA-125 ovarian marker test |
$232 |
$579 |
— |
$21 | |
| Calcium blood test |
$61 |
$153 |
— |
$5 | |
| Capsule endoscopy |
$3,308 |
$8,270 |
— |
$802 | |
| Cardiac MRI |
$2,692 |
$6,730 |
$688 |
$322 | |
| Cardiac MRI without contrast |
$2,692 |
$6,730 |
$688 |
$280 | |
| Cardiac rehabilitation |
$347 |
$868 |
— |
$26 | |
| Cardiac stress test |
$739 |
$1,847 |
— |
$39 | |
| Cardioversion |
$1,399 |
$3,498 |
— |
$155 | |
| Carotid artery ultrasound |
$955 |
$2,387 |
— |
$156 | |
| Carpal tunnel release |
$5,560 |
$13,900 |
— |
$483 | |
| CEA tumor marker test |
$210 |
$526 |
— |
$19 | |
| Central line placement |
$3,874 |
$9,686 |
— |
$238 | |
| Cesarean section (C-section) |
$13,336 |
$33,340 |
$8,718 |
$7,552 | |
| Chemotherapy infusion |
$424 |
$1,061 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$218 |
$546 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$630 |
$1,576 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,735 |
$4,338 |
— |
$311 | |
| Chest tube insertion |
$1,565 |
$3,912 |
— |
$143 | |
| Chest X-ray |
$277 |
$693 |
— |
$37 | |
| Chest X-ray (1 view) |
$193 |
$483 |
— |
$25 | |
| Chest X-ray (2 views) |
$335 |
$838 |
— |
$33 | |
| Circumcision |
$4,652 |
$11,631 |
— |
$167 | |
| CK-MB heart enzyme test |
$135 |
$338 |
— |
$12 | |
| Clotting time test (PTT) |
$71 |
$177 |
— |
$6 | |
| Colonoscopy |
$3,728 |
$9,320 |
— |
$480 | |
| Complete blood count (CBC) |
$84 |
$209 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$91 |
$228 |
— |
$8 | |
| Comprehensive metabolic panel |
$124 |
$310 |
— |
$11 | |
| Copper blood test |
$138 |
$345 |
— |
$12 | |
| Cortisol test |
$181 |
$453 |
— |
$16 | |
| COVID-19 PCR test |
$125 |
$312 |
— |
$51 | |
| CPAP titration study |
$401 |
$1,003 |
— |
$69 | |
| Creatine kinase (CK) test |
$76 |
$190 |
— |
$7 | |
| CT angiography of the chest |
$2,028 |
$5,070 |
$409 |
$281 | |
| CT angiography of the head |
$1,668 |
$4,171 |
$409 |
$274 | |
| CT scan of the abdomen |
$1,698 |
$4,246 |
$409 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,293 |
$5,733 |
$409 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,023 |
$7,557 |
$409 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,720 |
$6,799 |
$409 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,104 |
$5,260 |
$409 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,639 |
$4,097 |
$409 |
$259 | |
| CT scan of the abdomen with contrast |
$1,698 |
$4,246 |
$409 |
$230 | |
| CT scan of the abdomen without contrast |
$1,516 |
$3,789 |
$409 |
$136 | |
| CT scan of the arm |
$1,285 |
$3,213 |
$409 |
$199 | |
| CT scan of the arm with contrast |
$1,407 |
$3,519 |
$409 |
$199 | |
| CT scan of the arm without contrast |
$1,179 |
$2,948 |
$409 |
$161 | |
| CT scan of the chest |
$1,531 |
$3,827 |
$409 |
$167 | |
| CT scan of the chest with and without contrast |
$2,098 |
$5,245 |
$409 |
$196 | |
| CT scan of the chest with contrast |
$1,753 |
$4,382 |
$409 |
$167 | |
| CT scan of the chest without contrast |
$1,404 |
$3,511 |
$409 |
$133 | |
| CT scan of the head |
$1,175 |
$2,938 |
$409 |
$148 | |
| CT scan of the head with and without contrast |
$1,677 |
$4,194 |
$409 |
$173 | |
| CT scan of the head with contrast |
$1,407 |
$3,519 |
$409 |
$148 | |
| CT scan of the head without contrast |
$914 |
$2,286 |
$409 |
$107 | |
| CT scan of the leg |
$1,285 |
$3,213 |
$409 |
$166 | |
| CT scan of the leg with contrast |
$1,407 |
$3,519 |
$409 |
$166 | |
| CT scan of the leg without contrast |
$1,179 |
$2,948 |
$409 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,531 |
$3,827 |
$409 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,098 |
$5,245 |
$409 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,677 |
$4,194 |
$409 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,404 |
$3,511 |
$409 |
$130 | |
| CT scan of the neck |
$1,226 |
$3,064 |
$409 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,531 |
$3,827 |
$409 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,098 |
$5,245 |
$409 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,677 |
$4,194 |
$409 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,404 |
$3,511 |
$409 |
$131 | |
| CT scan of the neck with and without contrast |
$1,677 |
$4,194 |
$409 |
$220 | |
| CT scan of the neck with contrast |
$1,407 |
$3,519 |
$409 |
$183 | |
| CT scan of the neck without contrast |
$1,125 |
$2,811 |
$409 |
$150 | |
| CT scan of the pelvis |
$1,531 |
$3,827 |
$409 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,107 |
$5,266 |
$409 |
$251 | |
| CT scan of the pelvis with contrast |
$1,625 |
$4,063 |
$409 |
$226 | |
| CT scan of the pelvis without contrast |
$1,142 |
$2,854 |
$409 |
$133 | |
| CT scan of the sinuses |
$1,175 |
$2,938 |
$409 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,677 |
$4,194 |
$409 |
$184 | |
| CT scan of the sinuses with contrast |
$1,407 |
$3,519 |
$409 |
$152 | |
| CT scan of the sinuses without contrast |
$1,052 |
$2,631 |
$409 |
$128 | |
| D-dimer test |
$91 |
$228 |
— |
$10 | |
| DHEA-sulfate test |
$246 |
$616 |
— |
$22 | |
| Diagnostic mammogram |
$535 |
$1,336 |
— |
$140 | |
| Dilation and curettage (D&C) |
$5,471 |
$13,678 |
— |
$298 | |
| Drug screen (urine) |
$170 |
$424 |
— |
$17 | |
| Echocardiogram |
$730 |
$1,825 |
— |
$138 | |
| Echocardiogram with and without contrast |
$898 |
$2,245 |
— |
$101 | |
| Echocardiogram without contrast |
$235 |
$587 |
— |
$138 | |
| EEG (awake and asleep) |
$700 |
$1,751 |
— |
$482 | |
| EKG / ECG (tracing only) |
$201 |
$502 |
— |
$7 | |
| Electrocardiogram (EKG) |
$201 |
$502 |
— |
$8 | |
| Electroencephalogram (EEG) |
$700 |
$1,751 |
— |
$448 | |
| Electrolyte panel |
$82 |
$206 |
— |
$7 | |
| Emergency department visit |
$515 |
$1,286 |
— |
$69 | |
| Emergency department visit (level 1) |
$197 |
$493 |
— |
$11 | |
| Emergency department visit (level 2) |
$348 |
$871 |
— |
$40 | |
| Emergency department visit (level 3) |
$515 |
$1,286 |
— |
$69 | |
| Emergency department visit (level 4) |
$821 |
$2,053 |
— |
$118 | |
| Emergency department visit (level 5) |
$1,214 |
$3,036 |
— |
$171 | |
| Epidural steroid injection |
$3,570 |
$8,925 |
— |
$275 | |
| ERCP (bile duct endoscopy) |
$7,014 |
$17,534 |
— |
$311 | |
| Estradiol (estrogen) test |
$310 |
$775 |
— |
$28 | |
| Facet joint injection (spine) |
$1,686 |
$4,215 |
— |
$99 | |
| Fallopian tube X-ray (HSG) |
$781 |
$1,952 |
— |
$164 | |
| Family therapy session |
$415 |
$1,038 |
— |
$110 | |
| Fecal occult blood (stool) test |
$19 |
$47 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$19 |
$47 |
— |
$4 | |
| Feeding tube (PEG) placement |
$4,068 |
$10,169 |
— |
$178 | |
| Ferritin (iron) test |
$151 |
$377 |
— |
$14 | |
| Fibrinogen test |
$95 |
$236 |
— |
$10 | |
| Flexible sigmoidoscopy |
$3,013 |
$7,532 |
— |
$323 | |
| Folate (folic acid) test |
$164 |
$410 |
— |
$15 | |
| Foreign body removal (skin) |
$723 |
$1,808 |
— |
$157 | |
| Free T4 thyroid test |
$82 |
$204 |
— |
$9 | |
| FSH hormone test |
$206 |
$516 |
— |
$19 | |
| Gallbladder removal (laparoscopic) |
$14,029 |
$35,072 |
— |
$658 | |
| Gallbladder scan (HIDA) |
$1,504 |
$3,759 |
— |
$334 | |
| GGT liver test |
$85 |
$212 |
— |
$7 | |
| Glucose tolerance test |
$115 |
$286 |
— |
$8 | |
| Group therapy session |
$275 |
$687 |
— |
$30 | |
| HDL cholesterol test |
$73 |
$181 |
— |
$8 | |
| Hematocrit test |
$16 |
$41 |
— |
$2 | |
| Hemodialysis |
$2,069 |
$5,172 |
— |
$75 | |
| Hemoglobin A1c (diabetes test) |
$115 |
$287 |
— |
$10 | |
| Hepatitis B test |
$115 |
$287 |
— |
$10 | |
| Hepatitis C test |
$158 |
$396 |
— |
$14 | |
| Hip replacement |
$25,540 |
$63,850 |
— |
$1,162 | |
| HIV test |
$126 |
$314 |
— |
$19 | |
| HIV test (antigen/antibody combo) |
$126 |
$314 |
— |
$24 | |
| Holter heart monitor |
$621 |
$1,553 |
— |
$26 | |
| Hydrocele repair |
$8,423 |
$21,058 |
— |
$315 | |
| Hysteroscopy |
$6,890 |
$17,225 |
— |
$1,270 | |
| Inguinal hernia repair |
$7,696 |
$19,240 |
— |
$538 | |
| Iron blood test |
$72 |
$179 |
— |
$6 | |
| IV infusion therapy |
$271 |
$676 |
— |
$44 | |
| IV infusion therapy (each additional) |
$118 |
$294 |
— |
$21 | |
| IV infusion therapy (initial) |
$423 |
$1,058 |
— |
$67 | |
| IVC filter placement |
$12,556 |
$31,389 |
— |
$1,885 | |
| Joint aspiration (small/intermediate) |
$1,084 |
$2,710 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$857 |
$2,143 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$1,311 |
$3,277 |
— |
$56 | |
| Kidney biopsy |
$3,384 |
$8,460 |
— |
$492 | |
| Kidney scan (nuclear) |
$1,294 |
$3,235 |
— |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$11,377 |
$28,443 |
— |
$760 | |
| Kidney ultrasound |
$775 |
$1,937 |
— |
$84 | |
| Kidney ultrasound (limited) |
$775 |
$1,937 |
— |
$61 | |
| Knee arthroscopy |
$13,737 |
$34,343 |
— |
$524 | |
| Knee joint injection |
$1,311 |
$3,277 |
— |
$69 | |
| Knee replacement |
$13,539 |
$33,849 |
$27,021 |
$18,054 | |
| Lactate test |
$105 |
$263 |
— |
$12 | |
| LDH test |
$71 |
$177 |
— |
$6 | |
| LDL cholesterol test |
$106 |
$265 |
— |
$11 | |
| Leg artery angiogram |
$8,470 |
$21,175 |
— |
$149 | |
| Leg vein ultrasound (Doppler) |
$1,229 |
$3,072 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,229 |
$3,072 |
— |
$116 | |
| LH hormone test |
$206 |
$514 |
— |
$19 | |
| Lipase test |
$82 |
$204 |
— |
$7 | |
| Lipid (cholesterol) panel |
$122 |
$304 |
— |
$13 | |
| Liver biopsy |
$3,384 |
$8,460 |
— |
$288 | |
| Liver function panel |
$96 |
$241 |
— |
$8 | |
| Lower back (lumbar) spinal fusion |
$75,328 |
$188,320 |
— |
$1,511 | |
| Lumpectomy (breast) |
$12,732 |
$31,829 |
— |
$750 | |
| Lung function test (PFT) |
$244 |
$610 |
— |
$37 | |
| Lung scan (V/Q) |
$1,286 |
$3,215 |
— |
$291 | |
| Magnesium blood test |
$79 |
$198 |
— |
$7 | |
| Mastectomy |
$5,207 |
$13,018 |
— |
$1,021 | |
| MRA of the brain |
$3,011 |
$7,526 |
$688 |
$226 | |
| MRA of the brain with contrast |
$2,762 |
$6,905 |
$688 |
$226 | |
| MRA of the brain without contrast |
$5,405 |
$13,512 |
$688 |
$328 | |
| MRA of the neck |
$3,011 |
$7,526 |
$688 |
$245 | |
| MRA of the neck with contrast |
$2,762 |
$6,905 |
$688 |
$245 | |
| MRA of the neck without contrast |
$5,405 |
$13,512 |
$688 |
$343 | |
| MRI of the abdomen |
$3,105 |
$7,763 |
$688 |
$300 | |
| MRI of the abdomen with contrast |
$3,105 |
$7,763 |
$688 |
$300 | |
| MRI of the abdomen without contrast |
$2,692 |
$6,730 |
$688 |
$194 | |
| MRI of the ankle |
$2,813 |
$7,033 |
$688 |
$261 | |
| MRI of the ankle with contrast |
$3,098 |
$7,745 |
$688 |
$261 | |
| MRI of the ankle without contrast |
$2,581 |
$6,452 |
$688 |
$222 | |
| MRI of the brain |
$3,226 |
$8,065 |
$688 |
$269 | |
| MRI of the brain with contrast |
$3,226 |
$8,065 |
$688 |
$269 | |
| MRI of the brain without contrast |
$2,692 |
$6,730 |
$688 |
$195 | |
| MRI of the chest |
$3,105 |
$7,763 |
$688 |
$371 | |
| MRI of the chest with contrast |
$3,105 |
$7,763 |
$688 |
$371 | |
| MRI of the chest without contrast |
$5,701 |
$14,252 |
$688 |
$466 | |
| MRI of the knee |
$3,098 |
$7,745 |
$688 |
$315 | |
| MRI of the knee with contrast |
$3,098 |
$7,745 |
$688 |
$315 | |
| MRI of the knee without contrast |
$2,934 |
$7,335 |
$688 |
$204 | |
| MRI of the lower back (lumbar spine) |
$3,226 |
$8,065 |
$688 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$3,226 |
$8,065 |
$688 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,986 |
$7,466 |
$688 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$3,255 |
$8,137 |
$688 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$6,384 |
$15,961 |
$688 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$3,226 |
$8,065 |
$688 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,986 |
$7,466 |
$688 |
$190 | |
| MRI of the neck (cervical spine) |
$3,226 |
$8,065 |
$688 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$5,976 |
$14,939 |
$688 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$3,226 |
$8,065 |
$688 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,692 |
$6,730 |
$688 |
$191 | |
| MRI of the pelvis |
$2,828 |
$7,071 |
$688 |
$268 | |
| MRI of the pelvis with contrast |
$2,692 |
$6,730 |
$688 |
$268 | |
| MRI of the pelvis without contrast |
$2,595 |
$6,487 |
$688 |
$227 | |
| MRI of the shoulder |
$3,098 |
$7,745 |
$688 |
$313 | |
| MRI of the shoulder with contrast |
$3,098 |
$7,745 |
$688 |
$313 | |
| MRI of the shoulder without contrast |
$3,091 |
$7,729 |
$688 |
$205 | |
| MRI of the wrist |
$2,722 |
$6,805 |
$688 |
$330 | |
| MRI of the wrist with contrast |
$3,263 |
$8,159 |
$688 |
$330 | |
| MRI of the wrist without contrast |
$2,722 |
$6,805 |
$688 |
$303 | |
| Nebulizer breathing treatment |
$128 |
$320 |
— |
$9 | |
| Nuclear cardiac stress test |
$2,758 |
$6,895 |
— |
$428 | |
| Occupational therapy evaluation |
$250 |
$806 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$315 |
$958 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$212 |
$647 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$265 |
$806 |
— |
$101 | |
| Office visit (established patient) |
$262 |
$656 |
— |
$115 | |
| Office visit (new patient) |
$410 |
$1,025 |
— |
$177 | |
| Office visit, established patient (level 3) |
$226 |
$565 |
— |
$95 | |
| Office visit, established patient (level 4) |
$299 |
$747 |
— |
$136 | |
| Office visit, new patient (level 3) |
$299 |
$747 |
— |
$118 | |
| Office visit, new patient (level 4) |
$410 |
$1,025 |
— |
$177 | |
| Office visit, new patient (level 5) |
$553 |
$1,383 |
— |
$237 | |
| Orthopedic hardware removal |
$6,523 |
$16,308 |
— |
$632 | |
| Ovarian cyst removal |
$8,662 |
$21,654 |
— |
$698 | |
| Ovary removal (oophorectomy) |
$19,881 |
$49,702 |
$144 |
$822 | |
| Pacemaker insertion |
$15,513 |
$38,782 |
$18,258 |
$15,506 | |
| Pap smear (cervical screening) |
$192 |
$480 |
— |
$20 | |
| Parathyroid hormone (PTH) test |
$458 |
$1,146 |
— |
$41 | |
| Pelvic ultrasound |
$928 |
$2,320 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$1,354 |
$3,384 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$757 |
$1,893 |
— |
$51 | |
| PET scan |
$4,267 |
$10,666 |
— |
— | |
| Phosphorus blood test |
$55 |
$139 |
— |
$5 | |
| Physical therapy evaluation |
$243 |
$761 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$288 |
$876 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$250 |
$761 |
— |
$98 | |
| Pilonidal cyst removal |
$10,826 |
$27,066 |
— |
$541 | |
| Platelet count |
$52 |
$130 |
— |
$4 | |
| Pregnancy blood test (hCG) |
$88 |
$220 |
— |
$8 | |
| Pregnancy ultrasound |
$603 |
$1,507 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$481 |
$1,203 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$1,088 |
$2,720 |
— |
$136 | |
| Procalcitonin test |
$95 |
$236 |
— |
$27 | |
| Prolactin test |
$216 |
$540 |
— |
$19 | |
| Prostate biopsy |
$4,838 |
$12,095 |
— |
— | |
| Prostate surgery (TURP) |
$10,423 |
$26,057 |
— |
$526 | |
| Prostate test (PSA) |
$201 |
$502 |
— |
$18 | |
| Psychotherapy session |
$387 |
$968 |
— |
$140 | |
| Radiofrequency nerve ablation |
$3,992 |
$9,981 |
— |
$462 | |
| Rheumatoid factor test |
$63 |
$157 |
— |
$6 | |
| Sacroiliac joint injection |
$474 |
$1,184 |
— |
$176 | |
| Scoliosis spine X-ray |
$315 |
$789 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$307 |
$769 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$324 |
$809 |
— |
$72 | |
| Screening mammogram |
$358 |
$895 |
— |
$126 | |
| Scrotal ultrasound |
$1,385 |
$3,464 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$32 |
$80 |
— |
$3 | |
| Semen analysis |
$132 |
$330 |
— |
$12 | |
| Sex hormone binding globulin test |
$241 |
$603 |
— |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$473 |
$1,182 |
— |
$114 | |
| Simple wound stitches |
$473 |
$1,182 |
— |
$127 | |
| Skin biopsy |
$385 |
$963 |
— |
$121 | |
| Skin biopsy (punch) |
$385 |
$963 |
— |
$121 | |
| Skin graft |
$6,952 |
$17,380 |
— |
$898 | |
| Skin tag removal |
$217 |
$542 |
— |
$92 | |
| Sleep study (polysomnography) |
$3,227 |
$8,067 |
— |
$691 | |
| Speech therapy |
$176 |
$537 |
— |
$76 | |
| Spinal tap (lumbar puncture) |
$930 |
$2,324 |
— |
$165 | |
| Spirometry (lung function test) |
$255 |
$637 |
— |
$30 | |
| Spirometry with bronchodilator |
$63 |
$158 |
— |
$43 | |
| Strep throat test |
$108 |
$269 |
— |
$17 | |
| Stress echocardiogram |
$1,297 |
$3,242 |
— |
$209 | |
| Swallow study |
$252 |
$767 |
— |
$85 | |
| T3 thyroid test |
$157 |
$393 |
— |
$14 | |
| Testicle removal (orchiectomy) |
$9,647 |
$24,118 |
— |
$306 | |
| Testosterone test |
$287 |
$718 |
— |
$26 | |
| Thyroid test (TSH) |
$197 |
$493 |
— |
$17 | |
| Thyroid ultrasound |
$949 |
$2,373 |
— |
$109 | |
| Thyroid uptake scan |
$557 |
$1,392 |
— |
$145 | |
| Total IgE allergy test |
$183 |
$457 |
— |
$16 | |
| Total protein test |
$43 |
$108 |
— |
$4 | |
| Transesophageal echocardiogram (TEE) |
$2,353 |
$5,882 |
— |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$2,353 |
$5,882 |
— |
$239 | |
| Transvaginal ultrasound |
$1,662 |
$4,155 |
— |
$118 | |
| Trigger finger release |
$4,731 |
$11,829 |
— |
$630 | |
| Trigger point injection |
$998 |
$2,495 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$1,311 |
$3,277 |
— |
$52 | |
| Triglycerides test |
$51 |
$128 |
— |
$6 | |
| Troponin (heart) test |
$116 |
$290 |
— |
$12 | |
| Tubal ligation |
$9,394 |
$23,484 |
— |
$333 | |
| Ulnar nerve surgery (elbow) |
$10,370 |
$25,925 |
— |
$575 | |
| Upper GI endoscopy (EGD) |
$2,775 |
$6,936 |
— |
$371 | |
| Upper GI series (barium) |
$380 |
$951 |
— |
$128 | |
| Ureteral stent placement |
$5,788 |
$14,469 |
— |
$373 | |
| Ureteroscopy (stone removal) |
$10,630 |
$26,575 |
— |
$365 | |
| Uric acid (gout) test |
$53 |
$133 |
— |
$5 | |
| Urinalysis |
$32 |
$80 |
— |
$3 | |
| Urine microalbumin test |
$63 |
$157 |
— |
$5 | |
| Urine pregnancy test |
$74 |
$186 |
— |
$9 | |
| Vaccine administration |
$117 |
$292 |
— |
$19 | |
| Vaccine administration (each additional) |
$97 |
$243 |
— |
$16 | |
| Vaginal delivery |
$7,093 |
$17,732 |
$5,982 |
$5,487 | |
| Vasectomy |
$7,571 |
$18,928 |
— |
$347 | |
| Vitamin B12 test |
$167 |
$418 |
— |
$15 | |
| Vitamin D test |
$358 |
$895 |
— |
$30 | |
| Wart removal |
$472 |
$1,181 |
— |
$121 | |
| Wound debridement |
$3,944 |
$9,859 |
— |
$186 | |
| Wrist fracture repair |
$19,055 |
$47,638 |
— |
$735 | |
| X-ray of the abdomen |
$302 |
$756 |
— |
$36 | |
| X-ray of the ankle |
$338 |
$844 |
— |
$37 | |
| X-ray of the collarbone |
$338 |
$844 |
— |
$33 | |
| X-ray of the elbow |
$338 |
$844 |
— |
$33 | |
| X-ray of the facial bones |
$231 |
$578 |
— |
$39 | |
| X-ray of the foot |
$308 |
$771 |
— |
$34 | |
| X-ray of the forearm |
$199 |
$498 |
— |
$29 | |
| X-ray of the hand |
$273 |
$683 |
— |
$38 | |
| X-ray of the hip |
$217 |
$543 |
— |
$49 | |
| X-ray of the hip (1 view) |
$206 |
$516 |
— |
$34 | |
| X-ray of the hip (3 views) |
$228 |
$571 |
— |
$49 | |
| X-ray of the knee |
$284 |
$711 |
— |
$42 | |
| X-ray of the knee (2 views) |
$210 |
$526 |
— |
$34 | |
| X-ray of the knee (3 views) |
$454 |
$1,136 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$420 |
$1,050 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$383 |
$959 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$367 |
$917 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$462 |
$1,156 |
— |
$53 | |
| X-ray of the lower leg |
$338 |
$844 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$343 |
$857 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$333 |
$832 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$353 |
$883 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$379 |
$948 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$363 |
$907 |
— |
$40 | |
| X-ray of the pelvis |
$228 |
$569 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$218 |
$544 |
— |
$28 | |
| X-ray of the ribs |
$359 |
$898 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$329 |
$824 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$401 |
$1,003 |
— |
$42 | |
| X-ray of the shoulder |
$338 |
$844 |
— |
$36 | |
| X-ray of the skull |
$309 |
$773 |
— |
$40 | |
| X-ray of the upper arm |
$267 |
$669 |
— |
$32 | |
| X-ray of the wrist |
$273 |
$683 |
— |
$43 | |
| YAG laser capsulotomy (eye) |
$1,083 |
$2,708 |
— |
$335 | |
| Zinc blood test |
$126 |
$316 |
— |
$11 | |