| 3D mammogram (tomosynthesis) |
— |
— |
$38 |
$51 | |
| Abdominal fluid drain (paracentesis) |
— |
— |
$1,691 |
$284 | |
| Abdominal ultrasound |
$1,214 |
$3,034 |
$182 |
$100 | |
| Abdominal ultrasound (complete) |
$1,484 |
$3,709 |
$182 |
$114 | |
| Abdominal ultrasound (limited) |
$944 |
$2,359 |
$182 |
$86 | |
| Abscess drainage (complex or multiple) |
— |
— |
$758 |
$220 | |
| Abscess drainage (simple) |
— |
— |
$374 |
$129 | |
| Abscess incision and drainage |
— |
— |
$541 |
$174 | |
| Achilles tendon repair |
— |
— |
$11,851 |
$624 | |
| ACL knee reconstruction |
— |
— |
$11,851 |
$889 | |
| Acupuncture |
— |
— |
$50 |
$38 | |
| Adenoid removal (adenoidectomy) |
— |
— |
$6,183 |
$204 | |
| Albumin blood test |
$5 |
$13 |
$7 |
$5 | |
| Alkaline phosphatase test |
$20 |
$49 |
$7 |
$5 | |
| Allergy patch testing |
— |
— |
$1,491 |
$5 | |
| Allergy shots |
— |
— |
$81 |
$11 | |
| Allergy testing |
— |
— |
$1,491 |
$4 | |
| Alpha-fetoprotein (AFP) test |
$81 |
$204 |
$23 |
$17 | |
| ALT liver enzyme test |
$10 |
$25 |
$7 |
$5 | |
| Ammonia blood test |
$242 |
$606 |
$20 |
$15 | |
| Amniocentesis |
— |
— |
$1,718 |
$120 | |
| Amylase test |
$132 |
$331 |
$9 |
$6 | |
| Anal fistula repair |
— |
— |
$5,176 |
$541 | |
| Ankle fracture repair |
— |
— |
$11,851 |
$608 | |
| Ankle replacement |
— |
— |
$43,624 |
$885 | |
| Anoscopy |
— |
— |
$248 |
$129 | |
| Aortic aneurysm repair (AAA) |
— |
— |
$15,221 |
$1,345 | |
| Aortic valve replacement |
— |
— |
$14,970 |
$1,603 | |
| Appendix removal (appendectomy) |
— |
— |
$44,704 |
$592 | |
| Arterial blood gas (ABG) |
$241 |
$602 |
$35 |
$26 | |
| AST liver enzyme test |
$10 |
$25 |
$7 |
$5 | |
| Barium swallow study |
$672 |
$1,679 |
$305 |
$107 | |
| Bartholin cyst removal |
— |
— |
$377 |
$182 | |
| Basic metabolic panel |
$790 |
$1,975 |
$11 |
$8 | |
| Benign skin lesion removal |
— |
— |
$1,047 |
$171 | |
| Bilirubin blood test |
$10 |
$25 |
$7 |
$5 | |
| Bladder function test (urodynamics) |
— |
— |
$1,300 |
$345 | |
| Bladder scope (cystoscopy) |
— |
— |
$1,300 |
$216 | |
| Bladder tumor removal (TURBT) |
— |
— |
$6,574 |
$236 | |
| Blood clotting test (PT/INR) |
$148 |
$370 |
$6 |
$4 | |
| Blood crossmatch |
$300 |
$749 |
$296 |
— | |
| Blood glucose test |
$50 |
$126 |
$6 |
$5 | |
| Blood transfusion |
— |
— |
$823 |
$47 | |
| Blood type and screen |
$377 |
$942 |
$90 |
$10 | |
| Blood type test |
$208 |
$520 |
$148 |
$3 | |
| Blood type test (ABO group) |
$208 |
$520 |
$231 |
$3 | |
| Blood type test (Rh/D antigen) |
$208 |
$520 |
$65 |
$3 | |
| BNP (heart failure) test |
$266 |
$666 |
$53 |
$39 | |
| Bone density scan (DEXA) |
— |
— |
$182 |
$39 | |
| Bone marrow biopsy |
— |
— |
$3,867 |
$172 | |
| Bone scan (nuclear) |
$1,586 |
$3,965 |
$694 |
$259 | |
| Botox for migraine |
— |
— |
$572 |
$157 | |
| Brain shunt (VP shunt) |
— |
— |
$14,970 |
$1,023 | |
| Breast biopsy |
— |
— |
$3,080 |
$478 | |
| Breast MRI |
— |
— |
$414 |
$216 | |
| Breast MRI without contrast |
— |
— |
$414 |
$216 | |
| Breast reconstruction |
— |
— |
$21,270 |
$1,227 | |
| Breast reduction |
— |
— |
$12,384 |
$980 | |
| Breast ultrasound |
$495 |
$1,239 |
$165 |
$92 | |
| Breast ultrasound (complete) |
$437 |
$1,093 |
$182 |
$100 | |
| Breast ultrasound (limited) |
$554 |
$1,384 |
$151 |
$84 | |
| Breathing tube insertion (intubation) |
— |
— |
$442 |
$133 | |
| Bronchoscopy |
— |
— |
$3,663 |
$303 | |
| Bunion surgery (bunionectomy) |
— |
— |
$11,851 |
$883 | |
| Burn dressing and debridement (medium) |
— |
— |
$374 |
$166 | |
| Burn dressing and debridement (small) |
— |
— |
$374 |
$93 | |
| Burn treatment |
— |
— |
$374 |
$129 | |
| C-reactive protein (CRP) |
$188 |
$470 |
$7 |
$5 | |
| CA 19-9 tumor marker test |
$89 |
$223 |
$28 |
$21 | |
| Calcium blood test |
$14 |
$35 |
$7 |
$5 | |
| Capsule endoscopy |
— |
— |
$1,575 |
$802 | |
| Cardiac ablation |
$29,685 |
$74,212 |
$42,022 |
$759 | |
| Cardiac catheterization |
$18,318 |
$45,794 |
$6,046 |
$1,049 | |
| Cardiac MRI |
— |
— |
$483 |
$322 | |
| Cardiac MRI without contrast |
— |
— |
$414 |
$280 | |
| Cardiac rehabilitation |
— |
— |
$224 |
$26 | |
| Cardiac stress test |
$1,685 |
$4,212 |
$375 |
$39 | |
| Cardioversion |
$2,160 |
$5,401 |
$1,148 |
$155 | |
| Carotid artery surgery |
— |
— |
$14,970 |
$1,026 | |
| Carotid artery ultrasound |
$1,712 |
$4,279 |
$310 |
$156 | |
| Carpal tunnel release |
— |
— |
$3,642 |
$483 | |
| Cataract surgery |
— |
— |
$4,304 |
$547 | |
| CEA tumor marker test |
$84 |
$209 |
$26 |
$19 | |
| Central line placement |
— |
— |
$5,889 |
$238 | |
| Cervical cerclage |
— |
— |
$6,037 |
$137 | |
| Cervical LEEP procedure |
— |
— |
$6,037 |
$325 | |
| Cesarean section (C-section) |
— |
— |
$21,699 |
$7,552 | |
| Chalazion (eyelid cyst) removal |
— |
— |
$592 |
$131 | |
| Chemotherapy infusion |
— |
— |
$333 |
$81 | |
| Chemotherapy infusion (each additional) |
— |
— |
$125 |
$28 | |
| Chemotherapy infusion (first hour) |
— |
— |
$574 |
$133 | |
| Chest fluid drain (thoracentesis) |
— |
— |
$1,170 |
$311 | |
| Chest tube insertion |
— |
— |
$2,936 |
$143 | |
| Chest X-ray |
$489 |
$1,222 |
$162 |
$37 | |
| Chest X-ray (1 view) |
$481 |
$1,202 |
$151 |
$25 | |
| Chest X-ray (2 views) |
$636 |
$1,591 |
$151 |
$33 | |
| Circumcision |
— |
— |
$3,898 |
$167 | |
| CK-MB heart enzyme test |
$596 |
$1,489 |
$16 |
$12 | |
| Clotting time test (PTT) |
$162 |
$405 |
$8 |
$6 | |
| Colon resection (colectomy) |
— |
— |
$14,970 |
$1,238 | |
| Colonoscopy |
— |
— |
$1,914 |
$480 | |
| Colostomy |
— |
— |
$14,970 |
$1,122 | |
| Colposcopy |
— |
— |
$568 |
$161 | |
| Complete blood count (CBC) |
$289 |
$724 |
$10 |
$7 | |
| Complete blood count (CBC) (complete) |
$429 |
$1,073 |
$10 |
$8 | |
| Complex wound repair |
— |
— |
$1,378 |
$390 | |
| Comprehensive eye exam |
— |
— |
$231 |
$138 | |
| Comprehensive metabolic panel |
$1,024 |
$2,560 |
$14 |
$11 | |
| Contraceptive implant (Nexplanon) |
— |
— |
$632 |
$115 | |
| Corneal transplant |
— |
— |
$7,709 |
$1,066 | |
| Coronary angioplasty / stent (PCI) |
— |
— |
$76,570 |
$426 | |
| Coronary artery bypass (CABG) |
— |
— |
$82,405 |
$36,593 | |
| Coronary CT angiography |
$3,144 |
$7,859 |
$606 |
$326 | |
| COVID-19 PCR test |
— |
— |
$69 |
$51 | |
| CPAP titration study |
$3,787 |
$9,467 |
$380 |
$69 | |
| Craniotomy (brain surgery) |
— |
— |
$14,970 |
$2,161 | |
| Creatine kinase (CK) test |
$274 |
$686 |
$9 |
$7 | |
| CT angiography of the chest |
$3,915 |
$9,788 |
$305 |
$281 | |
| CT angiography of the head |
$3,630 |
$9,076 |
$305 |
$274 | |
| CT colonography (virtual colonoscopy) |
— |
— |
$414 |
$835 | |
| CT scan of the abdomen |
$2,980 |
$7,451 |
$248 |
$230 | |
| CT scan of the abdomen and pelvis |
$5,974 |
$14,935 |
$505 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$7,327 |
$18,317 |
$606 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$5,974 |
$14,935 |
$606 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$5,244 |
$13,111 |
$414 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,980 |
$7,451 |
$305 |
$259 | |
| CT scan of the abdomen with contrast |
$3,172 |
$7,929 |
$305 |
$230 | |
| CT scan of the abdomen without contrast |
$2,429 |
$6,072 |
$182 |
$136 | |
| CT scan of the arm |
$2,023 |
$5,057 |
$333 |
$199 | |
| CT scan of the arm with contrast |
$1,945 |
$4,863 |
$606 |
$199 | |
| CT scan of the arm without contrast |
$2,100 |
$5,251 |
$182 |
$161 | |
| CT scan of the chest |
$3,158 |
$7,896 |
$248 |
$167 | |
| CT scan of the chest with and without contrast |
$3,334 |
$8,336 |
$305 |
$196 | |
| CT scan of the chest with contrast |
$3,158 |
$7,896 |
$305 |
$167 | |
| CT scan of the chest without contrast |
$2,833 |
$7,083 |
$182 |
$133 | |
| CT scan of the head |
$3,454 |
$8,636 |
$248 |
$148 | |
| CT scan of the head with and without contrast |
$3,454 |
$8,636 |
$305 |
$173 | |
| CT scan of the head with contrast |
$2,859 |
$7,147 |
$305 |
$148 | |
| CT scan of the head without contrast |
$3,771 |
$9,427 |
$182 |
$107 | |
| CT scan of the leg |
$2,251 |
$5,628 |
$248 |
$166 | |
| CT scan of the leg with contrast |
$2,116 |
$5,289 |
$305 |
$166 | |
| CT scan of the leg without contrast |
$2,387 |
$5,967 |
$182 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,836 |
$7,090 |
$333 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
— |
— |
$305 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,429 |
$6,072 |
$606 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$3,243 |
$8,107 |
$182 |
$130 | |
| CT scan of the neck |
$3,142 |
$7,855 |
$248 |
$183 | |
| CT scan of the neck (cervical spine) |
$4,265 |
$10,663 |
$333 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
— |
— |
$305 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$3,822 |
$9,554 |
$606 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$4,709 |
$11,772 |
$182 |
$131 | |
| CT scan of the neck with and without contrast |
$3,534 |
$8,836 |
$305 |
$220 | |
| CT scan of the neck with contrast |
$3,142 |
$7,855 |
$305 |
$183 | |
| CT scan of the neck without contrast |
$2,304 |
$5,760 |
$182 |
$150 | |
| CT scan of the pelvis |
$2,421 |
$6,052 |
$248 |
$226 | |
| CT scan of the pelvis with and without contrast |
— |
— |
$305 |
$251 | |
| CT scan of the pelvis with contrast |
$2,811 |
$7,028 |
$305 |
$226 | |
| CT scan of the pelvis without contrast |
$2,030 |
$5,076 |
$182 |
$133 | |
| CT scan of the sinuses |
$3,485 |
$8,712 |
$248 |
$152 | |
| CT scan of the sinuses with and without contrast |
$4,054 |
$10,136 |
$305 |
$184 | |
| CT scan of the sinuses with contrast |
$3,312 |
$8,281 |
$305 |
$152 | |
| CT scan of the sinuses without contrast |
$3,485 |
$8,712 |
$182 |
$128 | |
| D-dimer test |
$288 |
$719 |
$14 |
$10 | |
| Defibrillator (ICD) implant |
— |
— |
$50,464 |
$798 | |
| Diagnostic mammogram |
— |
— |
$144 |
$140 | |
| Dialysis fistula creation |
— |
— |
$5,889 |
$601 | |
| Dilation and curettage (D&C) |
— |
— |
$6,037 |
$298 | |
| Droopy eyelid repair (ptosis) |
— |
— |
$4,434 |
$745 | |
| Drug screen (urine) |
$117 |
$292 |
$25 |
$17 | |
| Ear pressure test (tympanometry) |
— |
— |
$65 |
$16 | |
| Ear tubes (myringotomy) |
— |
— |
$2,016 |
$174 | |
| Eardrum repair (tympanoplasty) |
— |
— |
$11,040 |
$799 | |
| Echocardiogram |
$2,463 |
$6,157 |
$483 |
$138 | |
| Echocardiogram with and without contrast |
$1,544 |
$3,860 |
$414 |
$101 | |
| Echocardiogram without contrast |
— |
— |
$414 |
$138 | |
| EEG (awake and asleep) |
$990 |
$2,476 |
$375 |
$482 | |
| EKG / ECG (tracing only) |
$588 |
$1,471 |
$102 |
$7 | |
| Elbow replacement |
— |
— |
$28,189 |
$1,301 | |
| Electrocardiogram (EKG) |
$588 |
$1,471 |
$102 |
$8 | |
| Electroencephalogram (EEG) |
$990 |
$2,476 |
$375 |
$448 | |
| Electrolyte panel |
$132 |
$331 |
$9 |
$7 | |
| Electromyography (EMG) |
$419 |
$1,047 |
$231 |
$141 | |
| Emergency department visit |
$1,224 |
$3,059 |
$511 |
$69 | |
| Emergency department visit (level 1) |
$292 |
$729 |
$146 |
$11 | |
| Emergency department visit (level 2) |
$736 |
$1,839 |
$267 |
$40 | |
| Emergency department visit (level 3) |
$1,224 |
$3,059 |
$474 |
$69 | |
| Emergency department visit (level 4) |
$2,045 |
$5,112 |
$725 |
$118 | |
| Emergency department visit (level 5) |
$2,528 |
$6,321 |
$1,034 |
$171 | |
| Endometrial biopsy |
— |
— |
$377 |
$98 | |
| Epidural steroid injection |
— |
— |
$1,316 |
$275 | |
| ERCP (bile duct endoscopy) |
— |
— |
$7,190 |
$311 | |
| Esophageal dilation |
— |
— |
$2,554 |
$522 | |
| Esophageal variceal banding |
— |
— |
$3,579 |
$126 | |
| Eyelid surgery (blepharoplasty) |
— |
— |
$3,848 |
$552 | |
| Facet joint injection (spine) |
— |
— |
$1,706 |
$99 | |
| Fallopian tube X-ray (HSG) |
— |
— |
$445 |
$164 | |
| Family therapy session |
— |
— |
$308 |
$110 | |
| Fecal occult blood (stool) test |
$12 |
$30 |
$14 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
— |
— |
$6 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$12 |
$30 |
$21 |
$16 | |
| Feeding tube (PEG) placement |
— |
— |
$3,579 |
$178 | |
| Femoral hernia repair |
— |
— |
$6,677 |
$584 | |
| Ferritin (iron) test |
$389 |
$972 |
$18 |
$14 | |
| Fibrinogen test |
$245 |
$612 |
$13 |
$10 | |
| Fibroid removal (myomectomy) |
— |
— |
$16,250 |
$914 | |
| Flexible sigmoidoscopy |
— |
— |
$1,734 |
$323 | |
| Flu test |
— |
— |
$22 |
$17 | |
| Flu vaccine |
$50 |
$124 |
— |
— | |
| Folate (folic acid) test |
$336 |
$840 |
$20 |
$15 | |
| Foreign body removal (skin) |
— |
— |
$758 |
$157 | |
| Free T4 thyroid test |
$80 |
$201 |
$12 |
$9 | |
| Gallbladder removal (laparoscopic) |
— |
— |
$11,275 |
$658 | |
| Gallbladder scan (HIDA) |
$1,717 |
$4,292 |
$784 |
$334 | |
| Ganglion cyst removal |
— |
— |
$2,999 |
$321 | |
| GGT liver test |
$10 |
$25 |
$10 |
$7 | |
| Glaucoma surgery |
— |
— |
$4,304 |
$984 | |
| Glucose tolerance test |
— |
— |
$12 |
$8 | |
| Group therapy session |
— |
— |
$176 |
$30 | |
| H. pylori test |
— |
— |
$91 |
$67 | |
| Hammertoe repair |
— |
— |
$6,102 |
$548 | |
| HDL cholesterol test |
— |
— |
$11 |
$8 | |
| Hearing test (audiometry) |
— |
— |
$223 |
$36 | |
| Hematocrit test |
$73 |
$183 |
$3 |
$2 | |
| Hemodialysis |
$720 |
$1,799 |
$1,192 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$200 |
$499 |
$13 |
$10 | |
| Hemorrhoid removal |
— |
— |
$3,606 |
$338 | |
| Hepatitis A vaccine |
$97 |
$242 |
— |
— | |
| Hepatitis B vaccine |
$600 |
$1,501 |
— |
— | |
| Hip arthroscopy |
— |
— |
$12,839 |
$931 | |
| Hip fracture repair |
— |
— |
$13,532 |
$1,120 | |
| Hip replacement |
— |
— |
$20,641 |
$1,162 | |
| HIV test (antibody) |
— |
— |
$19 |
$14 | |
| Holter heart monitor |
$586 |
$1,465 |
$173 |
$26 | |
| Home sleep apnea test |
— |
— |
$237 |
$123 | |
| Hydrocele repair |
— |
— |
$6,677 |
$315 | |
| Hysterectomy |
— |
— |
$17,090 |
$933 | |
| Hysteroscopy |
— |
— |
$6,037 |
$1,270 | |
| Ileostomy |
— |
— |
$14,970 |
$968 | |
| Incisional hernia repair |
— |
— |
$14,970 |
— | |
| Inguinal hernia repair |
— |
— |
$6,677 |
$538 | |
| Iron blood test |
$146 |
$364 |
$9 |
$6 | |
| IUD insertion |
— |
— |
$8,064 |
— | |
| IUD removal |
— |
— |
$568 |
$112 | |
| IV infusion therapy |
$686 |
$1,714 |
$215 |
$44 | |
| IV infusion therapy (each additional) |
$239 |
$598 |
$81 |
$21 | |
| IV infusion therapy (initial) |
$716 |
$1,789 |
$369 |
$67 | |
| IVC filter placement |
— |
— |
$10,377 |
$1,885 | |
| Joint aspiration (small/intermediate) |
— |
— |
$572 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
— |
— |
$572 |
$57 | |
| Joint aspiration or injection (small joint) |
— |
— |
$572 |
$56 | |
| Kidney biopsy |
— |
— |
$3,080 |
$492 | |
| Kidney removal (nephrectomy) |
— |
— |
$14,970 |
$1,164 | |
| Kidney scan (nuclear) |
$1,515 |
$3,788 |
$943 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
— |
— |
$6,574 |
$760 | |
| Kidney ultrasound |
$1,083 |
$2,709 |
$182 |
$84 | |
| Kidney ultrasound (limited) |
$834 |
$2,086 |
$182 |
$61 | |
| Knee arthroscopy |
— |
— |
$6,102 |
$524 | |
| Knee joint injection |
— |
— |
$572 |
$69 | |
| Knee replacement |
— |
— |
$43,462 |
$18,054 | |
| Lactate test |
$208 |
$521 |
$16 |
$12 | |
| Laminectomy (spine) |
— |
— |
$13,532 |
$1,157 | |
| Laryngoscopy |
— |
— |
$2,312 |
$189 | |
| LDH test |
$37 |
$93 |
$8 |
$6 | |
| LDL cholesterol test |
$101 |
$252 |
$14 |
$11 | |
| Leg artery angiogram |
$4,665 |
$11,663 |
$5,482 |
$149 | |
| Leg artery angioplasty |
— |
— |
$12,839 |
— | |
| Leg vein ultrasound (Doppler) |
$1,680 |
$4,200 |
$310 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,156 |
$2,891 |
$182 |
$116 | |
| Lipase test |
$117 |
$292 |
$9 |
$7 | |
| Lipid (cholesterol) panel |
$274 |
$684 |
$18 |
$13 | |
| Liver biopsy |
— |
— |
$3,080 |
$288 | |
| Liver function panel |
$369 |
$922 |
$11 |
$8 | |
| Lower back (lumbar) spinal fusion |
— |
— |
$222,471 |
$1,511 | |
| Lumbar discectomy |
— |
— |
$13,532 |
$898 | |
| Lumpectomy (breast) |
— |
— |
$8,839 |
$750 | |
| Lung function test (PFT) |
$503 |
$1,258 |
$485 |
$37 | |
| Lung scan (V/Q) |
$3,110 |
$7,774 |
$943 |
$291 | |
| Magnesium blood test |
$228 |
$571 |
$9 |
$7 | |
| Mastectomy |
— |
— |
$12,384 |
$1,021 | |
| Mastoidectomy |
— |
— |
$11,040 |
$840 | |
| Meniscus repair (knee) |
— |
— |
$6,102 |
$714 | |
| Mohs skin cancer surgery |
— |
— |
$1,402 |
$535 | |
| MRA of the brain |
$3,429 |
$8,572 |
$505 |
$226 | |
| MRA of the brain with contrast |
$3,234 |
$8,086 |
$606 |
$226 | |
| MRA of the brain without contrast |
$3,808 |
$9,520 |
$606 |
$328 | |
| MRA of the neck |
$3,370 |
$8,424 |
$505 |
$245 | |
| MRA of the neck with contrast |
$3,730 |
$9,325 |
$606 |
$245 | |
| MRA of the neck without contrast |
$3,370 |
$8,424 |
$606 |
$343 | |
| MRI of the abdomen |
$3,764 |
$9,410 |
$505 |
$300 | |
| MRI of the abdomen with contrast |
— |
— |
$606 |
$300 | |
| MRI of the abdomen without contrast |
$3,443 |
$8,607 |
$414 |
$194 | |
| MRI of the ankle |
$3,012 |
$7,530 |
$505 |
$261 | |
| MRI of the ankle with contrast |
— |
— |
$606 |
$261 | |
| MRI of the ankle without contrast |
$3,065 |
$7,663 |
$414 |
$222 | |
| MRI of the brain |
$4,257 |
$10,643 |
$505 |
$269 | |
| MRI of the brain with contrast |
$3,730 |
$9,325 |
$606 |
$269 | |
| MRI of the brain without contrast |
$4,289 |
$10,723 |
$414 |
$195 | |
| MRI of the chest |
$4,115 |
$10,287 |
$662 |
$371 | |
| MRI of the chest with contrast |
— |
— |
$1,361 |
$371 | |
| MRI of the chest without contrast |
— |
— |
$606 |
$466 | |
| MRI of the knee |
$3,164 |
$7,911 |
$662 |
$315 | |
| MRI of the knee with contrast |
— |
— |
$1,361 |
$315 | |
| MRI of the knee without contrast |
$3,370 |
$8,424 |
$414 |
$204 | |
| MRI of the lower back (lumbar spine) |
$3,829 |
$9,574 |
$505 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
— |
— |
$606 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$4,289 |
$10,723 |
$414 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$3,457 |
$8,643 |
$505 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$3,916 |
$9,791 |
$606 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
— |
— |
$606 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,998 |
$7,494 |
$414 |
$190 | |
| MRI of the neck (cervical spine) |
$3,184 |
$7,959 |
$505 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$3,370 |
$8,424 |
$606 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
— |
— |
$606 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,998 |
$7,494 |
$414 |
$191 | |
| MRI of the pelvis |
$2,941 |
$7,354 |
$505 |
$268 | |
| MRI of the pelvis with contrast |
$3,054 |
$7,635 |
$606 |
$268 | |
| MRI of the pelvis without contrast |
$2,829 |
$7,072 |
$414 |
$227 | |
| MRI of the shoulder |
$3,685 |
$9,212 |
$662 |
$313 | |
| MRI of the shoulder with contrast |
$2,087 |
$5,217 |
$1,361 |
$313 | |
| MRI of the shoulder without contrast |
$3,685 |
$9,212 |
$414 |
$205 | |
| MRI of the wrist |
$2,848 |
$7,120 |
$505 |
$330 | |
| MRI of the wrist with contrast |
— |
— |
$606 |
$330 | |
| MRI of the wrist without contrast |
$2,785 |
$6,963 |
$414 |
$303 | |
| Nebulizer breathing treatment |
$227 |
$567 |
$380 |
$9 | |
| Neck (cervical) spinal fusion |
— |
— |
$20,641 |
$1,410 | |
| Nerve conduction study |
— |
— |
$375 |
$118 | |
| Newborn hospital care |
— |
— |
$231 |
$58 | |
| Nuchal translucency ultrasound |
— |
— |
$182 |
$116 | |
| Nuclear cardiac stress test |
$5,594 |
$13,985 |
$2,248 |
$428 | |
| Occupational therapy evaluation |
$251 |
$628 |
$146 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$217 |
$542 |
$151 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$251 |
$628 |
$143 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$258 |
$644 |
$149 |
$101 | |
| Orthopedic hardware removal |
— |
— |
$5,417 |
$632 | |
| Ovarian cyst removal |
— |
— |
$9,329 |
$698 | |
| Ovary removal (oophorectomy) |
— |
— |
$14,439 |
$822 | |
| Pacemaker insertion |
— |
— |
$45,654 |
$15,506 | |
| Pap smear (cervical screening) |
— |
— |
$30 |
$20 | |
| Parathyroid removal |
— |
— |
$11,040 |
$891 | |
| Pelvic ultrasound |
$1,235 |
$3,088 |
$182 |
$78 | |
| Pelvic ultrasound (complete) |
$1,235 |
$3,088 |
$182 |
$105 | |
| Pelvic ultrasound (limited) |
— |
— |
$182 |
$51 | |
| PET scan |
— |
— |
$2,483 |
— | |
| Phosphorus blood test |
$126 |
$314 |
$6 |
$5 | |
| Physical therapy evaluation |
$443 |
$1,107 |
$142 |
$98 | |
| Physical therapy evaluation (high complexity) |
$443 |
$1,107 |
$145 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$443 |
$1,107 |
$139 |
$98 | |
| Pilonidal cyst removal |
— |
— |
$5,417 |
$541 | |
| Platelet count |
$67 |
$168 |
$6 |
$4 | |
| Pneumonia vaccine |
$160 |
$400 |
— |
— | |
| Pregnancy blood test (hCG) |
$246 |
$614 |
$10 |
$8 | |
| Pregnancy ultrasound |
$1,271 |
$3,179 |
$182 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$1,133 |
$2,833 |
$182 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$1,410 |
$3,524 |
$182 |
$136 | |
| Procalcitonin test |
$184 |
$459 |
$37 |
$27 | |
| Prostate biopsy |
— |
— |
$9,135 |
— | |
| Prostate removal (prostatectomy) |
— |
— |
$16,406 |
$1,063 | |
| Prostate surgery (TURP) |
— |
— |
$9,999 |
$526 | |
| Psychiatric evaluation |
— |
— |
$308 |
$188 | |
| Psychotherapy session |
— |
— |
$308 |
$140 | |
| Pterygium removal (eye) |
— |
— |
$4,434 |
$540 | |
| Pulmonary rehabilitation |
— |
— |
$102 |
$87 | |
| Radiofrequency nerve ablation |
— |
— |
$3,642 |
$462 | |
| Retina scan (OCT) |
— |
— |
$102 |
$33 | |
| Retinal (fundus) photography |
— |
— |
$231 |
$37 | |
| Retinal detachment repair |
— |
— |
$7,709 |
$966 | |
| Rheumatoid factor test |
— |
— |
$8 |
$6 | |
| Rotator cuff repair |
— |
— |
$13,532 |
$792 | |
| Routine eye exam |
— |
— |
$231 |
$88 | |
| Sacroiliac joint injection |
— |
— |
$8,064 |
$176 | |
| Scoliosis spine X-ray |
$358 |
$894 |
$165 |
$58 | |
| Scoliosis spine X-ray (1 view) |
— |
— |
$151 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$358 |
$894 |
$182 |
$72 | |
| Screening colonoscopy |
— |
— |
$1,734 |
$378 | |
| Screening mammogram |
— |
— |
$147 |
$126 | |
| Scrotal ultrasound |
$834 |
$2,086 |
$182 |
$99 | |
| Sedimentation rate (ESR) test |
$124 |
$309 |
$4 |
$3 | |
| Semen analysis |
— |
— |
$16 |
$12 | |
| Septoplasty (deviated septum) |
— |
— |
$6,183 |
$613 | |
| Shoulder arthroscopy |
— |
— |
$11,851 |
$962 | |
| Shoulder replacement |
— |
— |
$28,189 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
— |
— |
$374 |
$114 | |
| Simple wound stitches |
— |
— |
$374 |
$127 | |
| Sinus surgery (endoscopic) |
— |
— |
$10,439 |
$224 | |
| Skin biopsy |
— |
— |
$837 |
$121 | |
| Skin biopsy (punch) |
— |
— |
$758 |
$121 | |
| Skin cancer lesion removal |
— |
— |
$1,047 |
$240 | |
| Skin graft |
— |
— |
$4,717 |
$898 | |
| Skin lesion freezing (cryotherapy) |
— |
— |
$381 |
$36 | |
| Skin tag removal |
— |
— |
$374 |
$92 | |
| Sleep study (polysomnography) |
— |
— |
$1,491 |
$691 | |
| Small bowel resection |
— |
— |
$14,970 |
$1,136 | |
| Soft tissue ultrasound |
$391 |
$978 |
$182 |
$64 | |
| Speech therapy |
$220 |
$549 |
$110 |
$76 | |
| Spinal cord stimulator |
— |
— |
$10,246 |
$2,388 | |
| Spinal tap (lumbar puncture) |
— |
— |
$1,316 |
$165 | |
| Spine fracture repair (kyphoplasty) |
— |
— |
$13,532 |
$5,803 | |
| Spirometry (lung function test) |
$314 |
$784 |
$375 |
$30 | |
| Spirometry with bronchodilator |
$693 |
$1,732 |
$648 |
$43 | |
| Spleen removal (splenectomy) |
— |
— |
$16,406 |
$1,036 | |
| Stomach removal (gastrectomy) |
— |
— |
$14,970 |
$1,595 | |
| Strabismus (eye muscle) surgery |
— |
— |
$5,254 |
$475 | |
| Strep throat test |
— |
— |
$22 |
$17 | |
| Stress echocardiogram |
$5,182 |
$12,956 |
$949 |
$209 | |
| Stress echocardiogram (complete) |
— |
— |
$949 |
$233 | |
| Swallow study |
$764 |
$1,911 |
$81 |
$85 | |
| Tdap (tetanus) vaccine |
$91 |
$227 |
— |
— | |
| Testicle removal (orchiectomy) |
— |
— |
$6,574 |
$306 | |
| Thyroid removal (thyroidectomy) |
— |
— |
$11,157 |
$1,004 | |
| Thyroid test (TSH) |
$198 |
$494 |
$23 |
$17 | |
| Thyroid ultrasound |
$809 |
$2,022 |
$182 |
$109 | |
| Thyroid uptake scan |
$1,175 |
$2,937 |
$694 |
$145 | |
| Tilt table test |
$1,706 |
$4,266 |
$648 |
$168 | |
| Tonsillectomy |
— |
— |
$7,880 |
$252 | |
| Total protein test |
$8 |
$21 |
$5 |
$4 | |
| Tracheostomy |
— |
— |
$6,183 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$2,836 |
$7,091 |
$949 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$2,836 |
$7,091 |
$949 |
$239 | |
| Transvaginal ultrasound |
$976 |
$2,439 |
$182 |
$118 | |
| Trigger finger release |
— |
— |
$2,999 |
$630 | |
| Trigger point injection |
— |
— |
$572 |
$56 | |
| Trigger point injection (1-2 muscles) |
— |
— |
$572 |
$52 | |
| Triglycerides test |
$36 |
$90 |
$8 |
$6 | |
| Troponin (heart) test |
$288 |
$720 |
$17 |
$12 | |
| Tubal ligation |
— |
— |
$11,275 |
$333 | |
| Turbinate reduction |
— |
— |
$6,183 |
$294 | |
| Turning a breech baby (version) |
— |
— |
$6,037 |
$94 | |
| Ulnar nerve surgery (elbow) |
— |
— |
$3,642 |
$575 | |
| Umbilical hernia repair |
— |
— |
$14,970 |
— | |
| Upper GI endoscopy (EGD) |
— |
— |
$1,691 |
$371 | |
| Upper GI series (barium) |
$607 |
$1,517 |
$305 |
$128 | |
| Ureteral stent placement |
— |
— |
$6,574 |
$373 | |
| Ureteroscopy (stone removal) |
— |
— |
$9,999 |
$365 | |
| Uric acid (gout) test |
$35 |
$87 |
$6 |
$5 | |
| Urinalysis |
$157 |
$392 |
$3 |
$3 | |
| Urine pregnancy test |
$165 |
$413 |
$12 |
$9 | |
| UV light therapy (skin) |
— |
— |
$102 |
$106 | |
| Vaccine administration |
$111 |
$278 |
$125 |
$19 | |
| Vaccine administration (each additional) |
$111 |
$278 |
— |
$16 | |
| Vaginal delivery |
— |
— |
$16,626 |
$5,487 | |
| Varicocele repair |
— |
— |
$6,574 |
$327 | |
| Varicose vein ablation |
— |
— |
$5,889 |
$1,018 | |
| Vasectomy |
— |
— |
$3,898 |
$347 | |
| Visual field test |
— |
— |
$231 |
$64 | |
| Vitamin B12 test |
$246 |
$614 |
$20 |
$15 | |
| Vitrectomy (eye) |
— |
— |
$7,709 |
$814 | |
| Vocal cord injection |
— |
— |
$6,953 |
$211 | |
| Wart removal |
— |
— |
$374 |
$121 | |
| Weight-loss (bariatric) surgery |
— |
— |
$38,010 |
$11,645 | |
| Whipple procedure (pancreas) |
— |
— |
$14,970 |
$2,871 | |
| Wound debridement |
— |
— |
$984 |
$186 | |
| Wrist fracture repair |
— |
— |
$13,532 |
$735 | |
| X-ray of the abdomen |
$722 |
$1,804 |
$168 |
$36 | |
| X-ray of the ankle |
$506 |
$1,265 |
$151 |
$37 | |
| X-ray of the collarbone |
$389 |
$972 |
$151 |
$33 | |
| X-ray of the elbow |
$462 |
$1,156 |
$151 |
$33 | |
| X-ray of the facial bones |
$441 |
$1,103 |
$165 |
$39 | |
| X-ray of the foot |
$472 |
$1,180 |
$151 |
$34 | |
| X-ray of the forearm |
$428 |
$1,069 |
$151 |
$29 | |
| X-ray of the hand |
$458 |
$1,144 |
$151 |
$38 | |
| X-ray of the hip |
$611 |
$1,528 |
$162 |
$49 | |
| X-ray of the hip (1 view) |
$491 |
$1,227 |
$151 |
$34 | |
| X-ray of the hip (3 views) |
$713 |
$1,782 |
$151 |
$49 | |
| X-ray of the hip (4 views) |
$720 |
$1,800 |
$182 |
$63 | |
| X-ray of the knee |
$491 |
$1,227 |
$162 |
$42 | |
| X-ray of the knee (2 views) |
$362 |
$905 |
$151 |
$34 | |
| X-ray of the knee (3 views) |
— |
— |
$151 |
$42 | |
| X-ray of the knee (4+ views) |
$620 |
$1,549 |
$182 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$634 |
$1,584 |
$182 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$574 |
$1,434 |
$182 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$779 |
$1,948 |
$182 |
$53 | |
| X-ray of the lower leg |
$448 |
$1,121 |
$151 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$400 |
$1,001 |
$182 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$320 |
$799 |
$182 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$481 |
$1,202 |
$182 |
$39 | |
| X-ray of the neck (cervical spine) |
$544 |
$1,359 |
$165 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$544 |
$1,359 |
$151 |
$40 | |
| X-ray of the pelvis |
$354 |
$886 |
$182 |
$36 | |
| X-ray of the pelvis (1 view) |
$354 |
$886 |
$182 |
$28 | |
| X-ray of the ribs |
$456 |
$1,140 |
$168 |
$42 | |
| X-ray of the ribs (2 views) |
$464 |
$1,159 |
$151 |
$36 | |
| X-ray of the ribs (3 views) |
— |
— |
$182 |
$42 | |
| X-ray of the shoulder |
$567 |
$1,418 |
$151 |
$36 | |
| X-ray of the skull |
$455 |
$1,138 |
$182 |
$40 | |
| X-ray of the upper arm |
$366 |
$916 |
$151 |
$32 | |
| X-ray of the wrist |
$462 |
$1,156 |
$151 |
$43 | |
| YAG laser capsulotomy (eye) |
— |
— |
$1,026 |
$335 | |