| Abdominal fluid drain (paracentesis) |
$804 |
$804 |
$804 |
$284 | |
| Abdominal ultrasound |
$1,817 |
$1,817 |
$156 |
$100 | |
| Abdominal ultrasound (complete) |
$2,054 |
$2,054 |
$156 |
$114 | |
| Abdominal ultrasound (limited) |
$1,580 |
$1,580 |
$156 |
$86 | |
| Abscess drainage (complex or multiple) |
— |
— |
$587 |
$220 | |
| Abscess drainage (simple) |
$923 |
$923 |
$292 |
$129 | |
| Abscess incision and drainage |
$923 |
$923 |
$554 |
$174 | |
| Achilles tendon repair |
— |
— |
$10,490 |
$624 | |
| ACL knee reconstruction |
— |
— |
$10,490 |
$889 | |
| Adenoid removal (adenoidectomy) |
— |
— |
$4,762 |
$204 | |
| Albumin blood test |
$10 |
$10 |
$6 |
$5 | |
| Aldosterone test |
$16 |
$16 |
$14 |
$41 | |
| Alkaline phosphatase test |
$53 |
$53 |
$5 |
$5 | |
| ALT liver enzyme test |
$31 |
$31 |
$7 |
$5 | |
| Ammonia blood test |
$704 |
$704 |
$19 |
$15 | |
| Amniocentesis |
— |
— |
$1,279 |
$120 | |
| Amylase test |
$10 |
$10 |
$8 |
$6 | |
| Anal fistula repair |
— |
— |
$4,027 |
$541 | |
| Ankle fracture repair |
— |
— |
$10,490 |
$608 | |
| Ankle replacement |
— |
— |
$20,599 |
$885 | |
| Anoscopy |
— |
— |
$189 |
$129 | |
| Aortic aneurysm repair (AAA) |
— |
— |
$1,933 |
$1,345 | |
| Aortic valve replacement |
— |
— |
$2,557 |
$1,603 | |
| Arterial blood gas (ABG) |
$989 |
$989 |
$26 |
$26 | |
| AST liver enzyme test |
$31 |
$31 |
$6 |
$5 | |
| Barium swallow study |
$2,066 |
$2,066 |
$261 |
$107 | |
| Bartholin cyst removal |
— |
— |
$295 |
$182 | |
| Basic metabolic panel |
$783 |
$783 |
$10 |
$8 | |
| Benign skin lesion removal |
— |
— |
$1,033 |
$171 | |
| Bilirubin blood test |
$31 |
$31 |
$6 |
$5 | |
| Bladder function test (urodynamics) |
— |
— |
$980 |
$345 | |
| Bladder scope (cystoscopy) |
$1,680 |
$1,680 |
$980 |
$216 | |
| Bladder tumor removal (TURBT) |
— |
— |
$5,065 |
$236 | |
| Blood clotting test (PT/INR) |
$10 |
$10 |
$5 |
$4 | |
| Blood crossmatch |
$1,102 |
$1,102 |
$252 |
— | |
| Blood glucose test |
$214 |
$214 |
$6 |
$5 | |
| Blood transfusion |
$2,959 |
$2,959 |
$980 |
$47 | |
| Blood type and screen |
$184 |
$184 |
$78 |
$10 | |
| Blood type test |
$68 |
$68 |
$33 |
$3 | |
| Blood type test (ABO group) |
$48 |
$48 |
$33 |
$3 | |
| Blood type test (Rh/D antigen) |
$87 |
$87 |
$22 |
$3 | |
| BNP (heart failure) test |
$298 |
$298 |
$37 |
$39 | |
| Bone density scan (DEXA) |
$1,070 |
$1,070 |
$156 |
$39 | |
| Bone marrow biopsy |
$4,824 |
$4,824 |
$2,379 |
$172 | |
| Bone scan (nuclear) |
$4,540 |
$4,540 |
$590 |
$259 | |
| Botox for migraine |
— |
— |
$433 |
$157 | |
| Brain shunt (VP shunt) |
— |
— |
$1,749 |
$1,023 | |
| Breast biopsy |
— |
— |
$2,379 |
$478 | |
| Breast reconstruction |
— |
— |
$9,198 |
$1,227 | |
| Breast reduction |
— |
— |
$9,576 |
$980 | |
| Breathing tube insertion (intubation) |
$3,227 |
$3,227 |
$341 |
$133 | |
| Bronchoscopy |
$4,291 |
$4,291 |
$2,532 |
$303 | |
| Bunion surgery (bunionectomy) |
— |
— |
$7,207 |
$883 | |
| Burn dressing and debridement (medium) |
$515 |
$515 |
$292 |
$166 | |
| Burn dressing and debridement (small) |
$476 |
$476 |
$292 |
$93 | |
| Burn treatment |
$496 |
$496 |
$292 |
$129 | |
| C-reactive protein (CRP) |
$152 |
$152 |
$7 |
$5 | |
| CA 19-9 tumor marker test |
$10 |
$10 |
$8 |
$21 | |
| CA-125 ovarian marker test |
$27 |
$27 |
$19 |
$21 | |
| Cardiac MRI |
$5,304 |
$5,304 |
$524 |
$322 | |
| Cardiac MRI without contrast |
$4,128 |
$4,128 |
$488 |
$280 | |
| Cardiac rehabilitation |
$278 |
$278 |
$185 |
$26 | |
| Cardiac stress test |
$3,360 |
$3,360 |
$457 |
$39 | |
| Cardioversion |
$3,118 |
$3,118 |
$961 |
$155 | |
| Carotid artery surgery |
— |
— |
$1,971 |
$1,026 | |
| Carotid artery ultrasound |
$3,334 |
$3,334 |
$355 |
$156 | |
| Carpal tunnel release |
— |
— |
$2,867 |
$483 | |
| Cataract surgery |
— |
— |
$3,349 |
$547 | |
| CEA tumor marker test |
$251 |
$251 |
$19 |
$19 | |
| Celiac disease test |
$12 |
$12 |
$9 |
$12 | |
| Central line placement |
$2,665 |
$2,665 |
$2,665 |
$238 | |
| Cervical cerclage |
— |
— |
$4,669 |
$137 | |
| Cervical LEEP procedure |
— |
— |
$4,669 |
$325 | |
| Cesarean section (C-section) |
— |
— |
$14,800 |
$7,552 | |
| Chalazion (eyelid cyst) removal |
— |
— |
$439 |
$131 | |
| Chemotherapy infusion |
$517 |
$517 |
$160 |
$81 | |
| Chemotherapy infusion (each additional) |
$183 |
$183 |
$105 |
$28 | |
| Chemotherapy infusion (first hour) |
$851 |
$851 |
$487 |
$133 | |
| Chest fluid drain (thoracentesis) |
$2,224 |
$2,224 |
$908 |
$311 | |
| Chest tube insertion |
$945 |
$945 |
$945 |
$143 | |
| Chest X-ray |
$1,074 |
$1,074 |
$139 |
$37 | |
| Chest X-ray (1 view) |
$820 |
$820 |
$129 |
$25 | |
| Chest X-ray (2 views) |
$1,074 |
$1,074 |
$129 |
$33 | |
| Chickenpox (varicella) vaccine |
$1,026 |
$1,026 |
$345 |
— | |
| Circumcision |
— |
— |
$3,008 |
$167 | |
| CK-MB heart enzyme test |
$176 |
$176 |
$14 |
$12 | |
| Clotting time test (PTT) |
$11 |
$11 |
$7 |
$6 | |
| Colon resection (colectomy) |
— |
— |
$1,425 |
$1,238 | |
| Colonoscopy |
— |
— |
$1,731 |
$480 | |
| Colostomy |
— |
— |
$915 |
$1,122 | |
| Colposcopy |
— |
— |
$447 |
$161 | |
| Complete blood count (CBC) |
$191 |
$191 |
$10 |
$7 | |
| Complete blood count (CBC) (complete) |
$370 |
$370 |
$10 |
$8 | |
| Complex wound repair |
— |
— |
$899 |
$390 | |
| Comprehensive metabolic panel |
$817 |
$817 |
$13 |
$11 | |
| Contraceptive implant (Nexplanon) |
— |
— |
$439 |
$115 | |
| Copper blood test |
$12 |
$12 |
$10 |
$12 | |
| Corneal transplant |
— |
— |
$5,907 |
$1,066 | |
| Coronary angioplasty / stent (PCI) |
— |
— |
$16,849 |
$426 | |
| Coronary artery bypass (CABG) |
— |
— |
$50,352 |
$36,593 | |
| Coronary CT angiography |
$1,754 |
$1,754 |
$524 |
$326 | |
| Cortisol test |
$172 |
$172 |
$21 |
$16 | |
| COVID-19 PCR test |
$142 |
$142 |
$56 |
$51 | |
| Craniotomy (brain surgery) |
— |
— |
$2,591 |
$2,161 | |
| Creatine kinase (CK) test |
$330 |
$330 |
$8 |
$7 | |
| CT angiography of the chest |
$8,348 |
$8,348 |
$335 |
$281 | |
| CT angiography of the head |
$8,548 |
$8,548 |
$331 |
$274 | |
| CT scan of the abdomen |
$10,202 |
$10,202 |
$299 |
$230 | |
| CT scan of the abdomen and pelvis |
$11,940 |
$11,940 |
$524 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$13,373 |
$13,373 |
$524 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$11,940 |
$11,940 |
$524 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$7,164 |
$7,164 |
$355 |
$183 | |
| CT scan of the abdomen with and without contrast |
$11,514 |
$11,514 |
$341 |
$259 | |
| CT scan of the abdomen with contrast |
$10,202 |
$10,202 |
$315 |
$230 | |
| CT scan of the abdomen without contrast |
$5,966 |
$5,966 |
$188 |
$136 | |
| CT scan of the chest |
$7,529 |
$7,529 |
$268 |
$167 | |
| CT scan of the chest with and without contrast |
$8,843 |
$8,843 |
$283 |
$196 | |
| CT scan of the chest with contrast |
$7,529 |
$7,529 |
$273 |
$167 | |
| CT scan of the chest without contrast |
$5,975 |
$5,975 |
$183 |
$133 | |
| CT scan of the head |
$7,994 |
$7,994 |
$261 |
$148 | |
| CT scan of the head with and without contrast |
$9,364 |
$9,364 |
$274 |
$173 | |
| CT scan of the head with contrast |
$7,994 |
$7,994 |
$261 |
$148 | |
| CT scan of the head without contrast |
$5,710 |
$5,710 |
$164 |
$107 | |
| CT scan of the lower back (lumbar spine) |
$7,695 |
$7,695 |
$402 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$7,938 |
$7,938 |
$283 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$7,695 |
$7,695 |
$524 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$6,059 |
$6,059 |
$178 |
$130 | |
| CT scan of the neck |
$5,538 |
$5,538 |
$261 |
$183 | |
| CT scan of the neck (cervical spine) |
$7,755 |
$7,755 |
$402 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$9,067 |
$9,067 |
$283 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$7,755 |
$7,755 |
$524 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$5,965 |
$5,965 |
$179 |
$131 | |
| CT scan of the neck with contrast |
$6,119 |
$6,119 |
$274 |
$183 | |
| CT scan of the neck without contrast |
$4,956 |
$4,956 |
$207 |
$150 | |
| CT scan of the pelvis |
$7,276 |
$7,276 |
$293 |
$226 | |
| CT scan of the pelvis with and without contrast |
$7,276 |
$7,276 |
$339 |
$251 | |
| CT scan of the pelvis with contrast |
$10,491 |
$10,491 |
$309 |
$226 | |
| CT scan of the pelvis without contrast |
$6,064 |
$6,064 |
$183 |
$133 | |
| CT scan of the sinuses |
$6,597 |
$6,597 |
$261 |
$152 | |
| CT scan of the sinuses with and without contrast |
$6,999 |
$6,999 |
$274 |
$184 | |
| CT scan of the sinuses with contrast |
$6,597 |
$6,597 |
$261 |
$152 | |
| CT scan of the sinuses without contrast |
$5,544 |
$5,544 |
$177 |
$128 | |
| D-dimer test |
$402 |
$402 |
$13 |
$10 | |
| Defibrillator (ICD) implant |
— |
— |
$32,785 |
$798 | |
| Dialysis fistula creation |
— |
— |
$4,622 |
$601 | |
| Dilation and curettage (D&C) |
— |
— |
$4,669 |
$298 | |
| Droopy eyelid repair (ptosis) |
— |
— |
$3,426 |
$745 | |
| Drug screen (urine) |
$18 |
$18 |
$18 |
$17 | |
| Ear tubes (myringotomy) |
— |
— |
$748 |
$174 | |
| Eardrum repair (tympanoplasty) |
— |
— |
$8,687 |
$799 | |
| Echocardiogram |
$4,263 |
$4,263 |
$805 |
$138 | |
| Echocardiogram without contrast |
$2,754 |
$2,754 |
$355 |
$138 | |
| EEG (awake and asleep) |
$2,411 |
$2,411 |
$457 |
$482 | |
| EKG / ECG (tracing only) |
$882 |
$882 |
$87 |
$7 | |
| Elbow replacement |
— |
— |
$27,004 |
$1,301 | |
| Electrocardiogram (EKG) |
$882 |
$882 |
$87 |
$8 | |
| Electroencephalogram (EEG) |
$2,411 |
$2,411 |
$457 |
$448 | |
| Emergency department visit |
$3,854 |
$3,854 |
$810 |
$69 | |
| Emergency department visit (level 1) |
$1,438 |
$1,438 |
$129 |
$11 | |
| Emergency department visit (level 2) |
$2,301 |
$2,301 |
$233 |
$40 | |
| Emergency department visit (level 3) |
$3,854 |
$3,854 |
$407 |
$69 | |
| Emergency department visit (level 4) |
$5,752 |
$5,752 |
$625 |
$118 | |
| Emergency department visit (level 5) |
$11,963 |
$11,963 |
$900 |
$171 | |
| Endometrial biopsy |
— |
— |
$295 |
$98 | |
| Epidural steroid injection |
$3,622 |
$3,622 |
$1,017 |
$275 | |
| ERCP (bile duct endoscopy) |
$5,102 |
$5,102 |
$5,102 |
$311 | |
| Esophageal dilation |
— |
— |
$1,377 |
$522 | |
| Esophageal variceal banding |
— |
— |
$2,786 |
$126 | |
| Estradiol (estrogen) test |
$19 |
$19 |
$17 |
$28 | |
| Eyelid surgery (blepharoplasty) |
— |
— |
$2,686 |
$552 | |
| Facet joint injection (spine) |
$6,553 |
$6,553 |
$1,307 |
$99 | |
| Fallopian tube X-ray (HSG) |
$1,250 |
$1,250 |
$355 |
$164 | |
| Fecal occult blood (stool) test |
$190 |
$190 |
$16 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$190 |
$190 |
$5 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$228 |
$228 |
$18 |
$16 | |
| Feeding tube (PEG) placement |
$2,173 |
$2,173 |
$2,173 |
$178 | |
| Femoral hernia repair |
— |
— |
$5,182 |
$584 | |
| Ferritin (iron) test |
$156 |
$156 |
$17 |
$14 | |
| Fibrinogen test |
$440 |
$440 |
$12 |
$10 | |
| Fibroid removal (myomectomy) |
— |
— |
$1,018 |
$914 | |
| Flexible sigmoidoscopy |
— |
— |
$1,339 |
$323 | |
| Flu test |
$234 |
$234 |
$17 |
$17 | |
| Folate (folic acid) test |
$374 |
$374 |
$19 |
$15 | |
| Foreign body removal (skin) |
$1,178 |
$1,178 |
$587 |
$157 | |
| Free T4 thyroid test |
$167 |
$167 |
$11 |
$9 | |
| Gallbladder removal (laparoscopic) |
— |
— |
$8,567 |
$658 | |
| Gallbladder scan (HIDA) |
$5,179 |
$5,179 |
$790 |
$334 | |
| Ganglion cyst removal |
— |
— |
$2,350 |
$321 | |
| GGT liver test |
$75 |
$75 |
$9 |
$7 | |
| Glaucoma surgery |
— |
— |
$3,349 |
$984 | |
| H. pylori test |
$62 |
$62 |
$62 |
$67 | |
| Hammertoe repair |
— |
— |
$4,764 |
$548 | |
| HDL cholesterol test |
$193 |
$193 |
$10 |
$8 | |
| Hemodialysis |
$5,453 |
$5,453 |
$1,027 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$531 |
$531 |
$12 |
$10 | |
| Hemorrhoid removal |
— |
— |
$1,339 |
$338 | |
| Hepatitis A vaccine |
$433 |
$433 |
$155 |
— | |
| Hepatitis B test |
$452 |
$452 |
$13 |
$10 | |
| Hepatitis B vaccine |
$405 |
$405 |
$97 |
— | |
| Hepatitis C test |
$593 |
$593 |
$18 |
$14 | |
| Hip arthroscopy |
— |
— |
$10,490 |
$931 | |
| Hip fracture repair |
— |
— |
$1,525 |
$1,120 | |
| Hip replacement |
— |
— |
$18,894 |
$1,162 | |
| HIV test |
$174 |
$174 |
$24 |
$19 | |
| HIV test (antibody) |
$151 |
$151 |
$17 |
$14 | |
| HIV test (antigen/antibody combo) |
$212 |
$212 |
$27 |
$24 | |
| Holter heart monitor |
$2,352 |
$2,352 |
$189 |
$26 | |
| Hydrocele repair |
— |
— |
$5,182 |
$315 | |
| Hysterectomy |
— |
— |
$14,737 |
$933 | |
| Hysteroscopy |
— |
— |
$4,669 |
$1,270 | |
| Ileostomy |
— |
— |
$1,106 |
$968 | |
| Incisional hernia repair |
— |
— |
$925 |
— | |
| Inguinal hernia repair |
— |
— |
$5,182 |
$538 | |
| Iron blood test |
$312 |
$312 |
$8 |
$6 | |
| IUD insertion |
— |
— |
$236 |
— | |
| IUD removal |
— |
— |
$447 |
$112 | |
| IV infusion therapy |
$670 |
$670 |
$271 |
$44 | |
| IV infusion therapy (each additional) |
$670 |
$670 |
$68 |
$21 | |
| IV infusion therapy (initial) |
$1,048 |
$1,048 |
$309 |
$67 | |
| IVC filter placement |
$8,752 |
$8,752 |
$7,938 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$964 |
$964 |
$433 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$976 |
$976 |
$433 |
$57 | |
| Joint aspiration or injection (small joint) |
$952 |
$952 |
$433 |
$56 | |
| Kidney biopsy |
$2,405 |
$2,405 |
$2,379 |
$492 | |
| Kidney removal (nephrectomy) |
— |
— |
$1,573 |
$1,164 | |
| Kidney scan (nuclear) |
$3,959 |
$3,959 |
$790 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
— |
— |
$5,065 |
$760 | |
| Kidney ultrasound |
$1,793 |
$1,793 |
$156 |
$84 | |
| Kidney ultrasound (limited) |
$1,179 |
$1,179 |
$156 |
$61 | |
| Knee arthroscopy |
— |
— |
$4,764 |
$524 | |
| Knee joint injection |
$1,206 |
$1,206 |
$433 |
$69 | |
| Knee replacement |
— |
— |
$40,522 |
$18,054 | |
| Lactate test |
$202 |
$202 |
$14 |
$12 | |
| Laminectomy (spine) |
— |
— |
$10,490 |
$1,157 | |
| Laryngoscopy |
$533 |
$533 |
$373 |
$189 | |
| LDH test |
$83 |
$83 |
$7 |
$6 | |
| LDL cholesterol test |
$81 |
$81 |
$13 |
$11 | |
| Leg artery angioplasty |
— |
— |
$8,372 |
— | |
| Leg vein ultrasound (Doppler) |
$3,564 |
$3,564 |
$355 |
$150 | |
| Lipase test |
$95 |
$95 |
$8 |
$7 | |
| Lipid (cholesterol) panel |
$259 |
$259 |
$14 |
$13 | |
| Liver biopsy |
$3,006 |
$3,006 |
$2,379 |
$288 | |
| Liver function panel |
$402 |
$402 |
$10 |
$8 | |
| Lower back (lumbar) spinal fusion |
— |
— |
$54,171 |
$1,511 | |
| Lumbar discectomy |
— |
— |
$10,490 |
$898 | |
| Lumpectomy (breast) |
— |
— |
$5,623 |
$750 | |
| Lung function test (PFT) |
$1,169 |
$1,169 |
$367 |
$37 | |
| Lung scan (V/Q) |
$4,002 |
$4,002 |
$790 |
$291 | |
| Magnesium blood test |
$93 |
$93 |
$9 |
$7 | |
| Mastectomy |
— |
— |
$9,576 |
$1,021 | |
| Mastoidectomy |
— |
— |
$8,687 |
$840 | |
| Meniscus repair (knee) |
— |
— |
$4,764 |
$714 | |
| MMR vaccine |
$461 |
$461 |
$182 |
— | |
| Mohs skin cancer surgery |
— |
— |
$899 |
$535 | |
| MRA of the brain |
$8,398 |
$8,398 |
$524 |
$226 | |
| MRA of the brain without contrast |
$10,157 |
$10,157 |
$524 |
$328 | |
| MRA of the neck |
$6,558 |
$6,558 |
$524 |
$245 | |
| MRA of the neck with contrast |
$6,558 |
$6,558 |
$524 |
$245 | |
| MRA of the neck without contrast |
$9,204 |
$9,204 |
$524 |
$343 | |
| MRI of the abdomen |
$8,489 |
$8,489 |
$524 |
$300 | |
| MRI of the abdomen with contrast |
$8,489 |
$8,489 |
$524 |
$300 | |
| MRI of the abdomen without contrast |
$6,367 |
$6,367 |
$355 |
$194 | |
| MRI of the brain |
$9,696 |
$9,696 |
$524 |
$269 | |
| MRI of the brain with contrast |
$9,696 |
$9,696 |
$524 |
$269 | |
| MRI of the brain without contrast |
$7,026 |
$7,026 |
$355 |
$195 | |
| MRI of the chest |
$7,757 |
$7,757 |
$486 |
$371 | |
| MRI of the lower back (lumbar spine) |
$8,182 |
$8,182 |
$524 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$8,182 |
$8,182 |
$524 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$7,115 |
$7,115 |
$355 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$8,763 |
$8,763 |
$524 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$10,962 |
$10,962 |
$539 |
$319 | |
| MRI of the mid-back (thoracic spine) without contrast |
$6,564 |
$6,564 |
$355 |
$190 | |
| MRI of the neck (cervical spine) |
$9,518 |
$9,518 |
$524 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$10,962 |
$10,962 |
$539 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$9,518 |
$9,518 |
$524 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$6,564 |
$6,564 |
$355 |
$191 | |
| MRI of the pelvis |
$8,329 |
$8,329 |
$524 |
$268 | |
| MRI of the pelvis without contrast |
$6,247 |
$6,247 |
$355 |
$227 | |
| Nebulizer breathing treatment |
$664 |
$664 |
$299 |
$9 | |
| Neck (cervical) spinal fusion |
— |
— |
$18,894 |
$1,410 | |
| Nerve conduction study |
$799 |
$799 |
$457 |
$118 | |
| Nuclear cardiac stress test |
$11,510 |
$11,510 |
$1,917 |
$428 | |
| Office visit (established patient) |
$250 |
$250 |
$150 |
$115 | |
| Office visit (new patient) |
$312 |
$312 |
$178 |
$177 | |
| Office visit, established patient (level 3) |
$467 |
$467 |
$145 |
$95 | |
| Office visit, established patient (level 4) |
$250 |
$250 |
$155 |
$136 | |
| Office visit, new patient (level 3) |
$602 |
$602 |
$151 |
$118 | |
| Office visit, new patient (level 4) |
$254 |
$254 |
$179 |
$177 | |
| Office visit, new patient (level 5) |
$369 |
$369 |
$217 |
$237 | |
| Orthopedic hardware removal |
— |
— |
$4,203 |
$632 | |
| Ovarian cyst removal |
— |
— |
$7,249 |
$698 | |
| Ovary removal (oophorectomy) |
— |
— |
$1,284 |
$822 | |
| Pacemaker insertion |
— |
— |
$28,153 |
$15,506 | |
| Pap smear (cervical screening) |
$74 |
$74 |
$26 |
$20 | |
| Parathyroid hormone (PTH) test |
$300 |
$300 |
$50 |
$41 | |
| Parathyroid removal |
— |
— |
$8,687 |
$891 | |
| Pelvic ultrasound |
$2,261 |
$2,261 |
$156 |
$78 | |
| Pelvic ultrasound (complete) |
$2,707 |
$2,707 |
$156 |
$105 | |
| Pelvic ultrasound (limited) |
$1,814 |
$1,814 |
$156 |
$51 | |
| Phosphorus blood test |
$278 |
$278 |
$6 |
$5 | |
| Pilonidal cyst removal |
— |
— |
$4,203 |
$541 | |
| Pneumonia vaccine |
$689 |
$689 |
$165 |
— | |
| Pregnancy blood test (hCG) |
$523 |
$523 |
$9 |
$8 | |
| Pregnancy ultrasound |
$2,262 |
$2,262 |
$156 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$2,094 |
$2,094 |
$156 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$2,429 |
$2,429 |
$166 |
$136 | |
| Procalcitonin test |
$122 |
$122 |
$26 |
$27 | |
| Prolactin test |
$12 |
$12 |
$12 |
$19 | |
| Prostate biopsy |
— |
— |
$3,008 |
— | |
| Prostate removal (prostatectomy) |
— |
— |
$5,365 |
$1,063 | |
| Prostate surgery (TURP) |
— |
— |
$7,465 |
$526 | |
| Prostate test (PSA) |
$17 |
$17 |
$17 |
$18 | |
| Psychiatric evaluation |
$407 |
$407 |
$236 |
$188 | |
| Psychotherapy session |
$727 |
$727 |
$236 |
$140 | |
| Pterygium removal (eye) |
— |
— |
$3,426 |
$540 | |
| Pulmonary rehabilitation |
$440 |
$440 |
$348 |
$87 | |
| Radiofrequency nerve ablation |
$18,066 |
$18,066 |
$2,867 |
$462 | |
| Retinal detachment repair |
— |
— |
$5,907 |
$966 | |
| Rheumatoid factor test |
$169 |
$169 |
$7 |
$6 | |
| Rotator cuff repair |
— |
— |
$10,490 |
$792 | |
| Sacroiliac joint injection |
— |
— |
$531 |
$176 | |
| Scoliosis spine X-ray |
$2,033 |
$2,033 |
$156 |
$58 | |
| Scoliosis spine X-ray (3 views) |
$2,033 |
$2,033 |
$156 |
$72 | |
| Scrotal ultrasound |
$1,943 |
$1,943 |
$156 |
$99 | |
| Sedimentation rate (ESR) test |
$269 |
$269 |
$4 |
$3 | |
| Septoplasty (deviated septum) |
— |
— |
$4,762 |
$613 | |
| Sex hormone binding globulin test |
$12 |
$12 |
$11 |
$22 | |
| Shoulder arthroscopy |
— |
— |
$10,490 |
$962 | |
| Shoulder replacement |
— |
— |
$27,004 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
— |
— |
$292 |
$114 | |
| Simple wound stitches |
— |
— |
$292 |
$127 | |
| Sinus surgery (endoscopic) |
— |
— |
$7,207 |
$224 | |
| Skin biopsy |
$485 |
$485 |
$456 |
$121 | |
| Skin biopsy (punch) |
— |
— |
$587 |
$121 | |
| Skin cancer lesion removal |
— |
— |
$1,033 |
$240 | |
| Skin graft |
— |
— |
$2,686 |
$898 | |
| Skin lesion freezing (cryotherapy) |
— |
— |
$292 |
$36 | |
| Skin tag removal |
— |
— |
$292 |
$92 | |
| Small bowel resection |
— |
— |
$1,264 |
$1,136 | |
| Spinal cord stimulator |
— |
— |
$9,637 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$2,077 |
$2,077 |
$1,017 |
$165 | |
| Spine fracture repair (kyphoplasty) |
— |
— |
$10,490 |
$5,803 | |
| Spirometry (lung function test) |
$866 |
$866 |
$230 |
$30 | |
| Spirometry with bronchodilator |
$1,471 |
$1,471 |
$457 |
$43 | |
| Spleen removal (splenectomy) |
— |
— |
$9,726 |
$1,036 | |
| Stomach removal (gastrectomy) |
— |
— |
$1,694 |
$1,595 | |
| Strabismus (eye muscle) surgery |
— |
— |
$3,426 |
$475 | |
| Stress echocardiogram |
$5,728 |
$5,728 |
$805 |
$209 | |
| Stress echocardiogram (complete) |
$5,728 |
$5,728 |
$805 |
$233 | |
| T3 thyroid test |
$254 |
$254 |
$18 |
$14 | |
| Tdap (tetanus) vaccine |
$262 |
$262 |
$103 |
— | |
| Testicle removal (orchiectomy) |
— |
— |
$5,065 |
$306 | |
| Testosterone test |
$13 |
$13 |
$13 |
$26 | |
| Thyroid removal (thyroidectomy) |
— |
— |
$8,567 |
$1,004 | |
| Thyroid test (TSH) |
$745 |
$745 |
$21 |
$17 | |
| Thyroid ultrasound |
$1,957 |
$1,957 |
$156 |
$109 | |
| Thyroid uptake scan |
$2,234 |
$2,234 |
$590 |
$145 | |
| Tonsillectomy |
— |
— |
$4,762 |
$252 | |
| Total protein test |
$8 |
$8 |
$4 |
$4 | |
| Tracheostomy |
$7,645 |
$7,645 |
$4,762 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$3,834 |
$3,834 |
$805 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$3,834 |
$3,834 |
$805 |
$239 | |
| Transvaginal ultrasound |
$2,406 |
$2,406 |
$156 |
$118 | |
| Trigger finger release |
— |
— |
$2,350 |
$630 | |
| Trigger point injection |
$602 |
$602 |
$433 |
$56 | |
| Trigger point injection (1-2 muscles) |
$533 |
$533 |
$433 |
$52 | |
| Triglycerides test |
$8 |
$8 |
$6 |
$6 | |
| Troponin (heart) test |
$319 |
$319 |
$15 |
$12 | |
| Tubal ligation |
— |
— |
$8,567 |
$333 | |
| Turbinate reduction |
— |
— |
$4,762 |
$294 | |
| Turning a breech baby (version) |
— |
— |
$4,669 |
$94 | |
| Ulnar nerve surgery (elbow) |
— |
— |
$2,867 |
$575 | |
| Umbilical hernia repair |
— |
— |
$526 |
— | |
| Upper GI endoscopy (EGD) |
— |
— |
$1,377 |
$371 | |
| Upper GI series (barium) |
$1,819 |
$1,819 |
$261 |
$128 | |
| Ureteral stent placement |
— |
— |
$5,065 |
$373 | |
| Ureteroscopy (stone removal) |
— |
— |
$7,465 |
$365 | |
| Uric acid (gout) test |
$331 |
$331 |
$6 |
$5 | |
| Urinalysis |
$284 |
$284 |
$4 |
$3 | |
| Urine microalbumin test |
$5 |
$5 |
$5 |
$5 | |
| Urine pregnancy test |
$366 |
$366 |
$9 |
$9 | |
| Vaccine administration |
$138 |
$138 |
$105 |
$19 | |
| Vaccine administration (each additional) |
$92 |
$92 |
$69 |
$16 | |
| Vaginal delivery |
— |
— |
$11,076 |
$5,487 | |
| Varicocele repair |
— |
— |
$5,065 |
$327 | |
| Varicose vein ablation |
— |
— |
$4,622 |
$1,018 | |
| Vasectomy |
— |
— |
$3,008 |
$347 | |
| Vitamin B12 test |
$382 |
$382 |
$19 |
$15 | |
| Vitamin D test |
$47 |
$47 |
$30 |
$30 | |
| Vitrectomy (eye) |
— |
— |
$5,907 |
$814 | |
| Vocal cord injection |
— |
— |
$5,414 |
$211 | |
| Wart removal |
$258 |
$258 |
$219 |
$121 | |
| Weight-loss (bariatric) surgery |
— |
— |
$21,103 |
$11,645 | |
| Whipple procedure (pancreas) |
— |
— |
$2,593 |
$2,871 | |
| Wound debridement |
$1,214 |
$1,214 |
$728 |
$186 | |
| Wrist fracture repair |
— |
— |
$10,490 |
$735 | |
| X-ray of the abdomen |
$1,117 |
$1,117 |
$156 |
$36 | |
| X-ray of the facial bones |
$1,525 |
$1,525 |
$156 |
$39 | |
| X-ray of the lower back (lumbar spine) |
$1,637 |
$1,637 |
$156 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$1,423 |
$1,423 |
$156 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$1,850 |
$1,850 |
$156 |
$53 | |
| X-ray of the mid-back (thoracic spine) |
$1,261 |
$1,261 |
$156 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$1,146 |
$1,146 |
$156 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$1,375 |
$1,375 |
$156 |
$39 | |
| X-ray of the neck (cervical spine) |
$1,267 |
$1,267 |
$156 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$1,078 |
$1,078 |
$129 |
$40 | |
| X-ray of the pelvis |
$938 |
$938 |
$156 |
$36 | |
| X-ray of the pelvis (1 view) |
$747 |
$747 |
$156 |
$28 | |
| X-ray of the ribs |
$1,300 |
$1,300 |
$156 |
$42 | |
| X-ray of the skull |
$1,228 |
$1,228 |
$156 |
$40 | |
| YAG laser capsulotomy (eye) |
— |
— |
$806 |
$335 | |
| Zinc blood test |
$10 |
$10 |
$10 |
$11 | |