| 3D mammogram (tomosynthesis) |
$400 |
$400 |
$159 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$2,954 |
$2,954 |
$1,262 |
$284 | |
| Abdominal ultrasound |
$1,103 |
$1,103 |
$133 |
$100 | |
| Abdominal ultrasound (complete) |
$1,965 |
$1,965 |
$513 |
$114 | |
| Abdominal ultrasound (limited) |
$1,103 |
$1,103 |
$132 |
$86 | |
| Abscess drainage (complex or multiple) |
$1,201 |
$1,201 |
$508 |
$220 | |
| Abscess drainage (simple) |
$772 |
$772 |
$256 |
$129 | |
| Abscess incision and drainage |
$917 |
$917 |
$487 |
$174 | |
| Achilles tendon repair |
$20,501 |
$20,501 |
$8,696 |
$624 | |
| ACL knee reconstruction |
$43,131 |
$43,131 |
$8,696 |
$889 | |
| Acupuncture |
$130 |
$130 |
$106 |
$38 | |
| Acupuncture (each additional) |
$118 |
$118 |
$94 |
$28 | |
| Albumin blood test |
$84 |
$84 |
$11 |
$5 | |
| Aldosterone test |
$260 |
$260 |
$87 |
$41 | |
| Alkaline phosphatase test |
$231 |
$231 |
$11 |
$5 | |
| Allergy patch testing |
$168 |
$168 |
$168 |
$5 | |
| Allergy shots |
$170 |
$170 |
$91 |
$11 | |
| Allergy testing |
$163 |
$163 |
$163 |
$4 | |
| Alpha-fetoprotein (AFP) test |
$445 |
$445 |
$40 |
$17 | |
| ALT liver enzyme test |
$94 |
$94 |
$11 |
$5 | |
| Ammonia blood test |
$202 |
$202 |
$35 |
$15 | |
| Amniocentesis |
$1,188 |
$1,188 |
$1,104 |
$120 | |
| Amylase test |
$119 |
$119 |
$14 |
$6 | |
| Ankle fracture repair |
$29,374 |
$29,374 |
$8,696 |
$608 | |
| Annual physical (established patient) |
$178 |
$178 |
$178 |
— | |
| Annual physical (new patient) |
$168 |
$168 |
$168 |
— | |
| Anoscopy |
$310 |
$310 |
$167 |
$129 | |
| Antinuclear antibody (ANA) test |
$152 |
$152 |
$29 |
$12 | |
| Aortic valve replacement |
$8,689 |
$8,689 |
$4,192 |
$1,603 | |
| Arterial blood gas (ABG) |
$179 |
$179 |
$48 |
$26 | |
| AST liver enzyme test |
$89 |
$89 |
$11 |
$5 | |
| Barium swallow study |
$748 |
$748 |
$273 |
$107 | |
| Basic metabolic panel |
$94 |
$94 |
$30 |
$8 | |
| Benign skin lesion removal |
$2,708 |
$2,708 |
$859 |
$171 | |
| Bilirubin blood test |
$84 |
$84 |
$11 |
$5 | |
| Bladder function test (urodynamics) |
$2,286 |
$2,286 |
$1,104 |
$345 | |
| Bladder scope (cystoscopy) |
$2,516 |
$2,516 |
$877 |
$216 | |
| Bladder tumor removal (TURBT) |
$21,648 |
$21,648 |
$4,411 |
$236 | |
| Blood clotting test (PT/INR) |
$89 |
$89 |
$9 |
$4 | |
| Blood crossmatch |
$312 |
$312 |
$214 |
— | |
| Blood glucose test |
$48 |
$48 |
$10 |
$5 | |
| Blood transfusion |
$731 |
$731 |
$555 |
$47 | |
| Blood type and screen |
$146 |
$146 |
$67 |
$10 | |
| Blood type test |
$244 |
$244 |
$118 |
$3 | |
| Blood type test (ABO group) |
$370 |
$370 |
$167 |
$3 | |
| Blood type test (Rh/D antigen) |
$118 |
$118 |
$48 |
$3 | |
| BNP (heart failure) test |
$649 |
$649 |
$81 |
$39 | |
| Bone density scan (DEXA) |
$1,182 |
$1,182 |
$184 |
$39 | |
| Bone marrow biopsy |
$1,193 |
$1,193 |
$1,332 |
$172 | |
| Bone scan (nuclear) |
$3,861 |
$3,861 |
$1,243 |
$259 | |
| Botox for migraine |
$1,049 |
$1,049 |
$446 |
$157 | |
| Breast biopsy |
$5,598 |
$5,598 |
$2,359 |
$478 | |
| Breast MRI |
$3,855 |
$3,855 |
$1,449 |
$216 | |
| Breast MRI without contrast |
$3,855 |
$3,855 |
$1,307 |
$216 | |
| Breast ultrasound |
$752 |
$752 |
$133 |
$92 | |
| Breast ultrasound (complete) |
$836 |
$836 |
$132 |
$100 | |
| Breast ultrasound (limited) |
$668 |
$668 |
$268 |
$84 | |
| Breathing tube insertion (intubation) |
$772 |
$772 |
$387 |
$133 | |
| Bronchoscopy |
$2,680 |
$2,680 |
$2,133 |
$303 | |
| Bunion surgery (bunionectomy) |
$40,134 |
$40,134 |
$4,117 |
$883 | |
| Burn dressing and debridement (medium) |
$752 |
$752 |
$602 |
$166 | |
| Burn dressing and debridement (small) |
$525 |
$525 |
$259 |
$93 | |
| Burn treatment |
$639 |
$639 |
$391 |
$129 | |
| C-reactive protein (CRP) |
$94 |
$94 |
$12 |
$5 | |
| CA 19-9 tumor marker test |
$266 |
$266 |
$49 |
$21 | |
| CA-125 ovarian marker test |
$283 |
$283 |
$49 |
$21 | |
| Calcium blood test |
$57 |
$57 |
$12 |
$5 | |
| Capsule endoscopy |
$5,737 |
$5,737 |
$1,141 |
$802 | |
| Cardiac ablation |
$50,734 |
$50,734 |
$32,891 |
$759 | |
| Cardiac catheterization |
$35,677 |
$35,677 |
$6,629 |
$1,049 | |
| Cardiac MRI |
$3,912 |
$3,912 |
$2,448 |
$322 | |
| Cardiac MRI without contrast |
$3,162 |
$3,162 |
$2,372 |
$280 | |
| Cardiac rehabilitation |
$716 |
$716 |
$339 |
$26 | |
| Cardiac stress test |
$1,664 |
$1,664 |
$750 |
$39 | |
| Cardioversion |
$3,969 |
$3,969 |
$848 |
$155 | |
| Carotid artery ultrasound |
$1,494 |
$1,494 |
$389 |
$156 | |
| Carpal tunnel release |
$5,139 |
$5,139 |
$2,457 |
$483 | |
| Cataract surgery |
$12,740 |
$12,740 |
$2,959 |
$547 | |
| CEA tumor marker test |
$671 |
$671 |
$45 |
$19 | |
| Celiac disease test |
$193 |
$193 |
$39 |
$12 | |
| Central line placement |
$2,128 |
$2,128 |
$2,128 |
$238 | |
| Cervical cerclage |
$5,108 |
$5,108 |
$3,880 |
$137 | |
| Cervical LEEP procedure |
$6,602 |
$6,602 |
$3,880 |
$325 | |
| Cesarean section (C-section) |
$47,837 |
$47,837 |
$11,793 |
$7,552 | |
| Chalazion (eyelid cyst) removal |
$1,473 |
$1,473 |
$656 |
$131 | |
| Chemotherapy infusion |
$575 |
$575 |
$303 |
$81 | |
| Chemotherapy infusion (each additional) |
$303 |
$303 |
$147 |
$28 | |
| Chemotherapy infusion (first hour) |
$847 |
$847 |
$552 |
$133 | |
| Chest fluid drain (thoracentesis) |
$4,127 |
$4,127 |
$789 |
$311 | |
| Chest tube insertion |
$4,238 |
$4,238 |
$3,179 |
$143 | |
| Chest X-ray |
$917 |
$917 |
$209 |
$37 | |
| Chest X-ray (2 views) |
$765 |
$765 |
$110 |
$33 | |
| Chickenpox (varicella) vaccine |
$344 |
$344 |
$344 |
— | |
| Circumcision |
$4,843 |
$4,843 |
$2,578 |
$167 | |
| CK-MB heart enzyme test |
$174 |
$174 |
$25 |
$12 | |
| Clotting time test (PTT) |
$108 |
$108 |
$14 |
$6 | |
| Colonoscopy |
$5,428 |
$5,428 |
$1,434 |
$480 | |
| Colposcopy |
$1,396 |
$1,396 |
$391 |
$161 | |
| Complete blood count (CBC) |
$136 |
$136 |
$17 |
$7 | |
| Complete blood count (CBC) (complete) |
$175 |
$175 |
$17 |
$8 | |
| Complex wound repair |
$1,416 |
$1,416 |
$930 |
$390 | |
| Comprehensive eye exam |
$466 |
$466 |
$171 |
$138 | |
| Comprehensive metabolic panel |
$135 |
$135 |
$37 |
$11 | |
| Contact lens fitting |
$137 |
$137 |
$137 |
— | |
| Contraceptive implant (Nexplanon) |
$2,527 |
$2,527 |
$672 |
$115 | |
| Copper blood test |
$99 |
$99 |
$29 |
$12 | |
| Coronary artery bypass (CABG) |
$138,062 |
$138,062 |
$54,574 |
$36,593 | |
| Coronary CT angiography |
$2,187 |
$2,187 |
$716 |
$326 | |
| Cortisol test |
$540 |
$540 |
$39 |
$16 | |
| COVID-19 vaccine |
$0 |
$0 |
$0 |
— | |
| CPAP titration study |
$1,840 |
$1,840 |
$628 |
$69 | |
| Creatine kinase (CK) test |
$123 |
$123 |
$15 |
$7 | |
| CT angiography of the chest |
$6,327 |
$6,327 |
$455 |
$281 | |
| CT angiography of the head |
$3,413 |
$3,413 |
$679 |
$274 | |
| CT colonography (virtual colonoscopy) |
$615 |
$615 |
$349 |
$835 | |
| CT scan of the abdomen |
$3,625 |
$3,625 |
$358 |
$230 | |
| CT scan of the abdomen and pelvis |
$5,243 |
$5,243 |
$439 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$5,096 |
$5,096 |
$1,489 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$5,134 |
$5,134 |
$454 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$5,243 |
$5,243 |
$300 |
$183 | |
| CT scan of the abdomen with and without contrast |
$3,761 |
$3,761 |
$679 |
$259 | |
| CT scan of the abdomen with contrast |
$3,625 |
$3,625 |
$223 |
$230 | |
| CT scan of the abdomen without contrast |
$2,668 |
$2,668 |
$543 |
$136 | |
| CT scan of the arm |
$2,853 |
$2,853 |
$444 |
$199 | |
| CT scan of the arm with contrast |
$2,853 |
$2,853 |
$439 |
$199 | |
| CT scan of the arm without contrast |
$2,705 |
$2,705 |
$543 |
$161 | |
| CT scan of the chest |
$3,767 |
$3,767 |
$221 |
$167 | |
| CT scan of the chest with and without contrast |
$3,849 |
$3,849 |
$679 |
$196 | |
| CT scan of the chest with contrast |
$6,045 |
$6,045 |
$251 |
$167 | |
| CT scan of the chest without contrast |
$3,165 |
$3,165 |
$133 |
$133 | |
| CT scan of the head |
$3,020 |
$3,020 |
$577 |
$148 | |
| CT scan of the head with and without contrast |
$3,198 |
$3,198 |
$679 |
$173 | |
| CT scan of the head with contrast |
$3,020 |
$3,020 |
$653 |
$148 | |
| CT scan of the head without contrast |
$2,466 |
$2,466 |
$136 |
$107 | |
| CT scan of the leg |
$2,916 |
$2,916 |
$323 |
$166 | |
| CT scan of the leg with contrast |
$3,127 |
$3,127 |
$653 |
$166 | |
| CT scan of the leg without contrast |
$2,594 |
$2,594 |
$134 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$3,642 |
$3,642 |
$872 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$4,229 |
$4,229 |
$679 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$3,642 |
$3,642 |
$1,190 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$3,127 |
$3,127 |
$543 |
$130 | |
| CT scan of the neck |
$3,197 |
$3,197 |
$577 |
$183 | |
| CT scan of the neck (cervical spine) |
$3,253 |
$3,253 |
$1,296 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$3,804 |
$3,804 |
$2,741 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$3,253 |
$3,253 |
$1,109 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$3,127 |
$3,127 |
$543 |
$131 | |
| CT scan of the neck with and without contrast |
$3,301 |
$3,301 |
$679 |
$220 | |
| CT scan of the neck with contrast |
$3,197 |
$3,197 |
$228 |
$183 | |
| CT scan of the neck without contrast |
$2,495 |
$2,495 |
$543 |
$150 | |
| CT scan of the pelvis |
$3,044 |
$3,044 |
$1,211 |
$226 | |
| CT scan of the pelvis with and without contrast |
$3,648 |
$3,648 |
$2,736 |
$251 | |
| CT scan of the pelvis with contrast |
$3,044 |
$3,044 |
$653 |
$226 | |
| CT scan of the pelvis without contrast |
$2,685 |
$2,685 |
$543 |
$133 | |
| CT scan of the sinuses |
$3,127 |
$3,127 |
$1,196 |
$152 | |
| CT scan of the sinuses with and without contrast |
$3,777 |
$3,777 |
$2,741 |
$184 | |
| CT scan of the sinuses with contrast |
$3,127 |
$3,127 |
$653 |
$152 | |
| CT scan of the sinuses without contrast |
$2,651 |
$2,651 |
$136 |
$128 | |
| D-dimer test |
$233 |
$233 |
$24 |
$10 | |
| Defibrillator (ICD) implant |
$15,934 |
$15,934 |
$19,927 |
$798 | |
| Developmental screening (child) |
$469 |
$469 |
$367 |
— | |
| DHEA-sulfate test |
$669 |
$669 |
$53 |
$22 | |
| Diagnostic mammogram |
$760 |
$760 |
$160 |
$140 | |
| Dialysis fistula creation |
$10,059 |
$10,059 |
$7,544 |
$601 | |
| Dilation and curettage (D&C) |
$606 |
$606 |
$2,125 |
$298 | |
| Drug screen (urine) |
$219 |
$219 |
$105 |
$17 | |
| Ear pressure test (tympanometry) |
$185 |
$185 |
$47 |
$16 | |
| Ear tubes (myringotomy) |
$5,510 |
$5,510 |
$1,952 |
$174 | |
| Eardrum repair (tympanoplasty) |
$11,795 |
$11,795 |
$7,694 |
$799 | |
| Echocardiogram |
$2,789 |
$2,789 |
$696 |
$138 | |
| Echocardiogram with and without contrast |
$1,255 |
$1,255 |
$606 |
$101 | |
| Echocardiogram without contrast |
$2,789 |
$2,789 |
$831 |
$138 | |
| EEG (awake and asleep) |
$1,249 |
$1,249 |
$603 |
$482 | |
| EKG / ECG (tracing only) |
$312 |
$312 |
$151 |
$7 | |
| Electrocardiogram (EKG) |
$312 |
$312 |
$151 |
$8 | |
| Electroencephalogram (EEG) |
$1,249 |
$1,249 |
$414 |
$448 | |
| Electrolyte panel |
$50 |
$50 |
$21 |
$7 | |
| Electromyography (EMG) |
$706 |
$706 |
$340 |
$141 | |
| Emergency department visit |
$2,425 |
$2,425 |
$714 |
$69 | |
| Emergency department visit (level 1) |
$484 |
$484 |
$411 |
$11 | |
| Emergency department visit (level 2) |
$887 |
$887 |
$686 |
$40 | |
| Emergency department visit (level 3) |
$2,425 |
$2,425 |
$474 |
$69 | |
| Emergency department visit (level 4) |
$3,502 |
$3,502 |
$1,187 |
$118 | |
| Emergency department visit (level 5) |
$4,226 |
$4,226 |
$1,433 |
$171 | |
| Endometrial biopsy |
$1,182 |
$1,182 |
$254 |
$98 | |
| Epidural steroid injection |
$2,530 |
$2,530 |
$881 |
$275 | |
| ERCP (bile duct endoscopy) |
$19,148 |
$19,148 |
$4,771 |
$311 | |
| Esophageal dilation |
$2,762 |
$2,762 |
$1,439 |
$522 | |
| Estradiol (estrogen) test |
$770 |
$770 |
$66 |
$28 | |
| Eye refraction (glasses prescription) |
$92 |
$92 |
$92 |
— | |
| Eyelid surgery (blepharoplasty) |
$3,423 |
$3,423 |
$2,567 |
$552 | |
| Facet joint injection (spine) |
$489 |
$489 |
$1,060 |
$99 | |
| Fallopian tube X-ray (HSG) |
$2,176 |
$2,176 |
$1,070 |
$164 | |
| Family therapy session |
$283 |
$283 |
$204 |
$110 | |
| Fecal occult blood (stool) test |
$87 |
$87 |
$17 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$70 |
$70 |
$8 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$105 |
$105 |
$34 |
$16 | |
| Feeding tube (PEG) placement |
$4,641 |
$4,641 |
$2,413 |
$178 | |
| Ferritin (iron) test |
$253 |
$253 |
$32 |
$14 | |
| Fibrinogen test |
$226 |
$226 |
$20 |
$10 | |
| Flexible sigmoidoscopy |
$2,762 |
$2,762 |
$1,152 |
$323 | |
| Flu test |
$70 |
$70 |
$29 |
$17 | |
| Flu vaccine |
$41 |
$41 |
$22 |
— | |
| Folate (folic acid) test |
$299 |
$299 |
$35 |
$15 | |
| Foreign body removal (skin) |
$974 |
$974 |
$512 |
$157 | |
| Free T4 thyroid test |
$212 |
$212 |
$21 |
$9 | |
| FSH hormone test |
$319 |
$319 |
$44 |
$19 | |
| Gallbladder removal (laparoscopic) |
$25,750 |
$25,750 |
$7,245 |
$658 | |
| Gallbladder scan (HIDA) |
$2,187 |
$2,187 |
$706 |
$334 | |
| Ganglion cyst removal |
$10,526 |
$10,526 |
$1,927 |
$321 | |
| GGT liver test |
$119 |
$119 |
$17 |
$7 | |
| Glucose tolerance test |
$106 |
$106 |
$15 |
$8 | |
| Group therapy session |
$222 |
$222 |
$140 |
$30 | |
| H. pylori test |
$422 |
$422 |
$143 |
$67 | |
| Hammertoe repair |
$15,966 |
$15,966 |
$4,122 |
$548 | |
| HDL cholesterol test |
$146 |
$146 |
$19 |
$8 | |
| Hearing test (audiometry) |
$451 |
$451 |
$162 |
$36 | |
| Hematocrit test |
$50 |
$50 |
$6 |
$2 | |
| Hemodialysis |
$2,195 |
$2,195 |
$1,251 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$123 |
$123 |
$23 |
$10 | |
| Hemorrhoid removal |
$4,987 |
$4,987 |
$1,185 |
$338 | |
| Hepatitis A vaccine |
$206 |
$206 |
$206 |
— | |
| Hepatitis B test |
$156 |
$156 |
$22 |
$10 | |
| Hepatitis B vaccine |
$85 |
$85 |
$64 |
— | |
| Hepatitis C test |
$145 |
$145 |
$30 |
$14 | |
| Hip replacement |
$74,925 |
$74,925 |
$15,386 |
$1,162 | |
| HIV test |
$124 |
$124 |
$52 |
$19 | |
| HIV test (antibody) |
$116 |
$116 |
$53 |
$14 | |
| HIV test (antigen/antibody combo) |
$132 |
$132 |
$51 |
$24 | |
| Holter heart monitor |
$865 |
$865 |
$350 |
$26 | |
| Hysteroscopy |
$21,609 |
$21,609 |
$3,880 |
$1,270 | |
| Inguinal hernia repair |
$21,737 |
$21,737 |
$4,461 |
$538 | |
| Iron blood test |
$90 |
$90 |
$15 |
$6 | |
| IUD removal |
$1,821 |
$1,821 |
$383 |
$112 | |
| IV infusion therapy |
$421 |
$421 |
$239 |
$44 | |
| IV infusion therapy (each additional) |
$217 |
$217 |
$112 |
$21 | |
| IV infusion therapy (initial) |
$625 |
$625 |
$302 |
$67 | |
| IVC filter placement |
$7,792 |
$7,792 |
$6,772 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$932 |
$932 |
$386 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$1,108 |
$1,108 |
$380 |
$57 | |
| Joint aspiration or injection (small joint) |
$932 |
$932 |
$386 |
$56 | |
| Kidney biopsy |
$2,376 |
$2,376 |
$2,053 |
$492 | |
| Kidney scan (nuclear) |
$4,222 |
$4,222 |
$1,503 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$32,242 |
$32,242 |
$4,436 |
$760 | |
| Kidney ultrasound |
$1,397 |
$1,397 |
$377 |
$84 | |
| Kidney ultrasound (limited) |
$1,130 |
$1,130 |
$375 |
$61 | |
| Knee joint injection |
$2,483 |
$2,483 |
$380 |
$69 | |
| Knee replacement |
$92,605 |
$92,605 |
$23,883 |
$18,054 | |
| Lactate test |
$102 |
$102 |
$25 |
$12 | |
| Laryngoscopy |
$1,848 |
$1,848 |
$331 |
$189 | |
| LDH test |
$123 |
$123 |
$13 |
$6 | |
| LDL cholesterol test |
$130 |
$130 |
$22 |
$11 | |
| Leg artery angiogram |
$6,891 |
$6,891 |
$4,049 |
$149 | |
| Leg artery angioplasty |
$20,791 |
$20,791 |
$13,933 |
— | |
| Leg vein ultrasound (Doppler) |
$1,361 |
$1,361 |
$286 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$973 |
$973 |
$134 |
$116 | |
| LH hormone test |
$727 |
$727 |
$44 |
$19 | |
| Lipase test |
$80 |
$80 |
$16 |
$7 | |
| Lipid (cholesterol) panel |
$141 |
$141 |
$35 |
$13 | |
| Liver biopsy |
$3,078 |
$3,078 |
$2,078 |
$288 | |
| Liver function panel |
$177 |
$177 |
$26 |
$8 | |
| Lung function test (PFT) |
$599 |
$599 |
$447 |
$37 | |
| Lung scan (V/Q) |
$1,363 |
$1,363 |
$723 |
$291 | |
| Magnesium blood test |
$123 |
$123 |
$16 |
$7 | |
| MMR vaccine |
$195 |
$195 |
$185 |
— | |
| Mohs skin cancer surgery |
$1,270 |
$1,270 |
$930 |
$535 | |
| MRA of the brain |
$4,011 |
$4,011 |
$1,743 |
$226 | |
| MRA of the brain with contrast |
$4,011 |
$4,011 |
$3,008 |
$226 | |
| MRA of the brain without contrast |
$5,423 |
$5,423 |
$1,237 |
$328 | |
| MRA of the neck |
$3,798 |
$3,798 |
$1,357 |
$245 | |
| MRA of the neck with contrast |
$3,798 |
$3,798 |
$2,849 |
$245 | |
| MRA of the neck without contrast |
$5,463 |
$5,463 |
$1,237 |
$343 | |
| MRI of the abdomen |
$4,142 |
$4,142 |
$1,148 |
$300 | |
| MRI of the abdomen without contrast |
$3,732 |
$3,732 |
$796 |
$194 | |
| MRI of the ankle |
$4,047 |
$4,047 |
$1,178 |
$261 | |
| MRI of the ankle with contrast |
$4,047 |
$4,047 |
$1,178 |
$261 | |
| MRI of the ankle without contrast |
$3,763 |
$3,763 |
$796 |
$222 | |
| MRI of the brain |
$4,412 |
$4,412 |
$1,743 |
$269 | |
| MRI of the brain with contrast |
$4,412 |
$4,412 |
$3,309 |
$269 | |
| MRI of the brain without contrast |
$3,763 |
$3,763 |
$770 |
$195 | |
| MRI of the chest |
$4,146 |
$4,146 |
$1,178 |
$371 | |
| MRI of the chest without contrast |
$4,528 |
$4,528 |
$1,296 |
$466 | |
| MRI of the knee |
$4,452 |
$4,452 |
$1,383 |
$315 | |
| MRI of the knee with contrast |
$4,452 |
$4,452 |
$1,988 |
$315 | |
| MRI of the knee without contrast |
$3,763 |
$3,763 |
$796 |
$204 | |
| MRI of the lower back (lumbar spine) |
$4,069 |
$4,069 |
$554 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$4,069 |
$4,069 |
$1,178 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$3,763 |
$3,763 |
$321 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$3,763 |
$3,763 |
$672 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$5,423 |
$5,423 |
$504 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$3,661 |
$3,661 |
$2,746 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$3,763 |
$3,763 |
$321 |
$190 | |
| MRI of the neck (cervical spine) |
$3,763 |
$3,763 |
$589 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$5,423 |
$5,423 |
$504 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,178 |
$1,178 |
$1,109 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$3,763 |
$3,763 |
$321 |
$191 | |
| MRI of the pelvis |
$4,047 |
$4,047 |
$1,543 |
$268 | |
| MRI of the pelvis with contrast |
$4,047 |
$4,047 |
$3,035 |
$268 | |
| MRI of the pelvis without contrast |
$3,763 |
$3,763 |
$796 |
$227 | |
| MRI of the shoulder |
$4,593 |
$4,593 |
$1,148 |
$313 | |
| MRI of the shoulder without contrast |
$3,763 |
$3,763 |
$796 |
$205 | |
| MRI of the wrist |
$4,519 |
$4,519 |
$1,148 |
$330 | |
| MRI of the wrist without contrast |
$3,732 |
$3,732 |
$796 |
$303 | |
| Nebulizer breathing treatment |
$358 |
$358 |
$276 |
$9 | |
| Nerve conduction study |
$470 |
$470 |
$353 |
$118 | |
| Nuchal translucency ultrasound |
$1,891 |
$1,891 |
$537 |
$116 | |
| Nuclear cardiac stress test |
$7,424 |
$7,424 |
$3,533 |
$428 | |
| Occupational therapy evaluation |
$566 |
$566 |
$273 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$677 |
$677 |
$322 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$454 |
$454 |
$219 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$566 |
$566 |
$273 |
$101 | |
| Office visit (established patient) |
$228 |
$228 |
$160 |
$115 | |
| Office visit (new patient) |
$228 |
$228 |
$168 |
$177 | |
| Office visit, established patient (level 3) |
$228 |
$228 |
$160 |
$95 | |
| Office visit, established patient (level 4) |
$228 |
$228 |
$166 |
$136 | |
| Office visit, new patient (level 3) |
$228 |
$228 |
$160 |
$118 | |
| Office visit, new patient (level 4) |
$228 |
$228 |
$168 |
$177 | |
| Office visit, new patient (level 5) |
$228 |
$228 |
$175 |
$237 | |
| Orthopedic hardware removal |
$29,266 |
$29,266 |
$3,655 |
$632 | |
| Pacemaker insertion |
$109,682 |
$109,682 |
$22,423 |
$15,506 | |
| Pap smear (cervical screening) |
$173 |
$173 |
$64 |
$20 | |
| Parathyroid hormone (PTH) test |
$538 |
$538 |
$98 |
$41 | |
| Pelvic ultrasound |
$1,440 |
$1,440 |
$134 |
$78 | |
| Pelvic ultrasound (complete) |
$1,968 |
$1,968 |
$132 |
$105 | |
| Pelvic ultrasound (limited) |
$1,406 |
$1,406 |
$174 |
$51 | |
| PET scan |
$8,045 |
$8,045 |
$4,890 |
— | |
| Phosphorus blood test |
$89 |
$89 |
$11 |
$5 | |
| Physical therapy evaluation |
$566 |
$566 |
$268 |
$98 | |
| Physical therapy evaluation (high complexity) |
$677 |
$677 |
$305 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$566 |
$566 |
$268 |
$98 | |
| Pilonidal cyst removal |
$12,087 |
$12,087 |
$3,641 |
$541 | |
| Platelet count |
$56 |
$56 |
$11 |
$4 | |
| Pregnancy blood test (hCG) |
$205 |
$205 |
$18 |
$8 | |
| Pregnancy ultrasound |
$1,499 |
$1,499 |
$501 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$1,491 |
$1,491 |
$499 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$1,507 |
$1,507 |
$504 |
$136 | |
| Procalcitonin test |
$703 |
$703 |
$92 |
$27 | |
| Prolactin test |
$766 |
$766 |
$46 |
$19 | |
| Prostate biopsy |
$13,871 |
$13,871 |
$1,680 |
— | |
| Prostate surgery (TURP) |
$24,726 |
$24,726 |
$6,426 |
$526 | |
| Prostate test (PSA) |
$302 |
$302 |
$39 |
$18 | |
| Psychiatric evaluation |
$580 |
$580 |
$315 |
$188 | |
| Psychotherapy session |
$364 |
$364 |
$311 |
$140 | |
| Radiofrequency nerve ablation |
$5,017 |
$5,017 |
$2,457 |
$462 | |
| Retina scan (OCT) |
$332 |
$332 |
$160 |
$33 | |
| Retinal (fundus) photography |
$355 |
$355 |
$188 |
$37 | |
| Rotator cuff repair |
$41,148 |
$41,148 |
$8,696 |
$792 | |
| Routine eye exam |
$383 |
$383 |
$168 |
$88 | |
| Sacroiliac joint injection |
$1,569 |
$1,569 |
$888 |
$176 | |
| Scoliosis spine X-ray |
$640 |
$640 |
$282 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$484 |
$484 |
$218 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$796 |
$796 |
$371 |
$72 | |
| Screening colonoscopy |
$3,457 |
$3,457 |
$1,170 |
$378 | |
| Screening mammogram |
$799 |
$799 |
$232 |
$126 | |
| Scrotal ultrasound |
$1,644 |
$1,644 |
$135 |
$99 | |
| Sedimentation rate (ESR) test |
$81 |
$81 |
$7 |
$3 | |
| Semen analysis |
$231 |
$231 |
$50 |
$12 | |
| Sex hormone binding globulin test |
$249 |
$249 |
$52 |
$22 | |
| Shingles vaccine |
$375 |
$375 |
$375 |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
$494 |
$494 |
$252 |
$114 | |
| Simple wound stitches |
$515 |
$515 |
$253 |
$127 | |
| Skin biopsy |
$697 |
$697 |
$526 |
$121 | |
| Skin biopsy (punch) |
$697 |
$697 |
$512 |
$121 | |
| Skin cancer lesion removal |
$2,210 |
$2,210 |
$891 |
$240 | |
| Skin graft |
$1,405 |
$1,405 |
$1,463 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$351 |
$351 |
$257 |
$36 | |
| Skin tag removal |
$708 |
$708 |
$257 |
$92 | |
| Soft tissue ultrasound |
$1,152 |
$1,152 |
$171 |
$64 | |
| Speech therapy |
$653 |
$653 |
$227 |
$76 | |
| Spinal cord stimulator |
$15,168 |
$15,168 |
$8,020 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$1,020 |
$1,020 |
$846 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$12,219 |
$12,219 |
$9,131 |
$5,803 | |
| Spirometry (lung function test) |
$491 |
$491 |
$275 |
$30 | |
| Spirometry with bronchodilator |
$706 |
$706 |
$475 |
$43 | |
| Strep throat test |
$89 |
$89 |
$29 |
$17 | |
| Stress echocardiogram |
$3,056 |
$3,056 |
$1,438 |
$209 | |
| Stress echocardiogram (complete) |
$3,056 |
$3,056 |
$1,438 |
$233 | |
| Swallow study |
$747 |
$747 |
$345 |
$85 | |
| T3 thyroid test |
$476 |
$476 |
$34 |
$14 | |
| Tdap (tetanus) vaccine |
$75 |
$75 |
$68 |
— | |
| Testosterone test |
$671 |
$671 |
$61 |
$26 | |
| Thyroid test (TSH) |
$537 |
$537 |
$40 |
$17 | |
| Thyroid ultrasound |
$884 |
$884 |
$136 |
$109 | |
| Thyroid uptake scan |
$1,093 |
$1,093 |
$513 |
$145 | |
| Tilt table test |
$2,768 |
$2,768 |
$1,307 |
$168 | |
| Tonsillectomy |
$14,370 |
$14,370 |
$6,733 |
$252 | |
| Total IgE allergy test |
$166 |
$166 |
$48 |
$16 | |
| Total protein test |
$73 |
$73 |
$8 |
$4 | |
| Tracheostomy |
$5,356 |
$5,356 |
$4,017 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$4,428 |
$4,428 |
$701 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$7,846 |
$7,846 |
$697 |
$239 | |
| Transvaginal ultrasound |
$1,776 |
$1,776 |
$133 |
$118 | |
| Trigger finger release |
$5,249 |
$5,249 |
$2,023 |
$630 | |
| Trigger point injection |
$702 |
$702 |
$386 |
$56 | |
| Trigger point injection (1-2 muscles) |
$702 |
$702 |
$386 |
$52 | |
| Triglycerides test |
$25 |
$25 |
$12 |
$6 | |
| Troponin (heart) test |
$343 |
$343 |
$24 |
$12 | |
| Turbinate reduction |
$23,815 |
$23,815 |
$3,973 |
$294 | |
| Turning a breech baby (version) |
$6,829 |
$6,829 |
$4,151 |
$94 | |
| Upper GI endoscopy (EGD) |
$5,094 |
$5,094 |
$1,141 |
$371 | |
| Upper GI series (barium) |
$1,545 |
$1,545 |
$579 |
$128 | |
| Ureteral stent placement |
$11,967 |
$11,967 |
$4,387 |
$373 | |
| Ureteroscopy (stone removal) |
$31,903 |
$31,903 |
$6,426 |
$365 | |
| Uric acid (gout) test |
$63 |
$63 |
$10 |
$5 | |
| Urinalysis |
$76 |
$76 |
$6 |
$3 | |
| Urine microalbumin test |
$51 |
$51 |
$13 |
$5 | |
| Urine pregnancy test |
$23 |
$23 |
$13 |
$9 | |
| UV light therapy (skin) |
$248 |
$248 |
$129 |
$106 | |
| Vaccine administration |
$74 |
$74 |
$74 |
$19 | |
| Vaccine administration (each additional) |
$74 |
$74 |
$60 |
$16 | |
| Vaginal delivery |
$30,912 |
$30,912 |
$8,789 |
$5,487 | |
| Varicose vein ablation |
$8,895 |
$8,895 |
$3,973 |
$1,018 | |
| Vasectomy |
$7,218 |
$7,218 |
$2,547 |
$347 | |
| Visual field test |
$447 |
$447 |
$281 |
$64 | |
| Vitamin B12 test |
$110 |
$110 |
$34 |
$15 | |
| Vitamin D test |
$232 |
$232 |
$70 |
$30 | |
| Wart removal |
$649 |
$649 |
$257 |
$121 | |
| Weight-loss (bariatric) surgery |
$64,603 |
$64,603 |
$18,825 |
$11,645 | |
| Well-child visit |
$168 |
$168 |
$168 |
— | |
| Wound debridement |
$2,028 |
$2,028 |
$512 |
$186 | |
| Wrist fracture repair |
$28,872 |
$28,872 |
$8,696 |
$735 | |
| X-ray of the abdomen |
$770 |
$770 |
$335 |
$36 | |
| X-ray of the ankle |
$663 |
$663 |
$111 |
$37 | |
| X-ray of the collarbone |
$558 |
$558 |
$268 |
$33 | |
| X-ray of the elbow |
$703 |
$703 |
$110 |
$33 | |
| X-ray of the facial bones |
$957 |
$957 |
$335 |
$39 | |
| X-ray of the foot |
$675 |
$675 |
$185 |
$34 | |
| X-ray of the hand |
$529 |
$529 |
$110 |
$38 | |
| X-ray of the hip |
$796 |
$796 |
$294 |
$49 | |
| X-ray of the hip (4 views) |
$796 |
$796 |
$371 |
$63 | |
| X-ray of the knee |
$743 |
$743 |
$160 |
$42 | |
| X-ray of the knee (2 views) |
$1,660 |
$1,660 |
$160 |
$34 | |
| X-ray of the knee (3 views) |
$727 |
$727 |
$168 |
$42 | |
| X-ray of the knee (4+ views) |
$743 |
$743 |
$132 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$820 |
$820 |
$344 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$727 |
$727 |
$342 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$913 |
$913 |
$371 |
$53 | |
| X-ray of the lower leg |
$1,047 |
$1,047 |
$165 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$691 |
$691 |
$213 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$671 |
$671 |
$164 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$711 |
$711 |
$337 |
$39 | |
| X-ray of the neck (cervical spine) |
$895 |
$895 |
$179 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$819 |
$819 |
$112 |
$40 | |
| X-ray of the pelvis |
$689 |
$689 |
$271 |
$36 | |
| X-ray of the pelvis (1 view) |
$580 |
$580 |
$164 |
$28 | |
| X-ray of the ribs |
$1,058 |
$1,058 |
$213 |
$42 | |
| X-ray of the ribs (2 views) |
$571 |
$571 |
$215 |
$36 | |
| X-ray of the ribs (3 views) |
$1,058 |
$1,058 |
$133 |
$42 | |
| X-ray of the shoulder |
$2,093 |
$2,093 |
$112 |
$36 | |
| X-ray of the skull |
$804 |
$804 |
$347 |
$40 | |
| X-ray of the upper arm |
$657 |
$657 |
$110 |
$32 | |
| YAG laser capsulotomy (eye) |
$5,196 |
$5,196 |
$698 |
$335 | |
| Zinc blood test |
$156 |
$156 |
$27 |
$11 | |