| Abdominal ultrasound |
— |
$337 |
$97 |
$100 | |
| Abdominal ultrasound (complete) |
— |
$337 |
$97 |
$114 | |
| Abdominal ultrasound (limited) |
— |
$337 |
$97 |
$86 | |
| Achilles tendon repair |
— |
$17,633 |
$5,584 |
$624 | |
| ACL knee reconstruction |
— |
$74,548 |
$5,584 |
$889 | |
| Albumin blood test |
— |
$9 |
$5 |
$5 | |
| Aldosterone test |
— |
$41 |
$31 |
$41 | |
| Alkaline phosphatase test |
— |
$12 |
$6 |
$5 | |
| Ammonia blood test |
— |
$45 |
$21 |
$15 | |
| Amylase test |
— |
$50,009 |
$36,351 |
$6 | |
| Ankle fracture repair |
— |
$38,555 |
$5,900 |
$608 | |
| Antinuclear antibody (ANA) test |
— |
$67 |
$26 |
$12 | |
| Arterial blood gas (ABG) |
— |
$193 |
$70 |
$26 | |
| Barium swallow study |
— |
$347 |
$159 |
$107 | |
| Basic metabolic panel |
— |
$11,958 |
$11,325 |
$8 | |
| Blood clotting test (PT/INR) |
— |
$11,881 |
$11,325 |
$4 | |
| Blood glucose test |
— |
$11,878 |
$11,325 |
$5 | |
| Blood transfusion |
— |
$50,888 |
$1,287 |
$47 | |
| Blood type and screen |
— |
$11,946 |
$5,720 |
$10 | |
| Blood type test |
— |
$11,974 |
$5,762 |
$3 | |
| Blood type test (ABO group) |
— |
$11,974 |
$5,762 |
$3 | |
| Blood type test (Rh/D antigen) |
— |
$11,906 |
$5,693 |
$3 | |
| BNP (heart failure) test |
— |
$225 |
$87 |
$39 | |
| Breast ultrasound |
— |
$220 |
$97 |
$92 | |
| Breast ultrasound (complete) |
— |
$220 |
$97 |
$100 | |
| Breast ultrasound (limited) |
— |
$220 |
$72 |
$84 | |
| C-reactive protein (CRP) |
— |
$22,358 |
$21,318 |
$5 | |
| CA 19-9 tumor marker test |
— |
$59 |
$28 |
$21 | |
| Calcium blood test |
— |
$14,922 |
$14,225 |
$5 | |
| Cardiac ablation |
— |
$61,306 |
$19,132 |
$759 | |
| Cardiac rehabilitation |
— |
$330 |
$103 |
$26 | |
| Cardioversion |
— |
$1,400 |
$501 |
$155 | |
| Carotid artery ultrasound |
— |
$532 |
$205 |
$156 | |
| Carpal tunnel release |
— |
$19,957 |
$6,303 |
$483 | |
| CEA tumor marker test |
— |
$66 |
$29 |
$19 | |
| Central line placement |
— |
$5,101 |
$2,551 |
$238 | |
| Chemotherapy infusion |
— |
$583 |
$112 |
$81 | |
| Chemotherapy infusion (each additional) |
— |
$190 |
$55 |
$28 | |
| Chemotherapy infusion (first hour) |
— |
$977 |
$277 |
$133 | |
| Chest X-ray |
— |
$176 |
$97 |
$37 | |
| Chest X-ray (1 view) |
— |
$14,993 |
$7,184 |
$25 | |
| Chest X-ray (2 views) |
— |
$157 |
$72 |
$33 | |
| CK-MB heart enzyme test |
— |
$11,894 |
$11,325 |
$12 | |
| Clotting time test (PTT) |
— |
$11,910 |
$11,325 |
$6 | |
| Complete blood count (CBC) |
— |
$22,402 |
$28,559 |
$7 | |
| Complete blood count (CBC) (complete) |
— |
$50,051 |
$28,559 |
$8 | |
| Comprehensive metabolic panel |
— |
$22,481 |
$21,318 |
$11 | |
| Cortisol test |
— |
$53 |
$24 |
$16 | |
| COVID-19 PCR test |
— |
$11,951 |
$11,325 |
$51 | |
| CPAP titration study |
— |
$346 |
$167 |
$69 | |
| Creatine kinase (CK) test |
— |
$11,883 |
$11,325 |
$7 | |
| CT angiography of the chest |
— |
$50,592 |
$18,649 |
$281 | |
| CT scan of the abdomen |
— |
$1,052 |
$159 |
$230 | |
| CT scan of the abdomen and pelvis |
— |
$2,032 |
$922 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
— |
$13,357 |
$6,698 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
— |
$51,016 |
$18,988 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
— |
$1,418 |
$205 |
$183 | |
| CT scan of the abdomen with and without contrast |
— |
$1,169 |
$159 |
$259 | |
| CT scan of the abdomen with contrast |
— |
$1,052 |
$159 |
$230 | |
| CT scan of the abdomen without contrast |
— |
$672 |
$97 |
$136 | |
| CT scan of the arm |
— |
$1,052 |
$165 |
$199 | |
| CT scan of the arm with contrast |
— |
$1,052 |
$328 |
$199 | |
| CT scan of the arm without contrast |
— |
$672 |
$97 |
$161 | |
| CT scan of the chest |
— |
$1,111 |
$159 |
$167 | |
| CT scan of the chest with and without contrast |
— |
$1,169 |
$159 |
$196 | |
| CT scan of the chest with contrast |
— |
$12,867 |
$6,306 |
$167 | |
| CT scan of the chest without contrast |
— |
$672 |
$97 |
$133 | |
| CT scan of the head |
— |
$1,111 |
$159 |
$148 | |
| CT scan of the head with and without contrast |
— |
$1,169 |
$159 |
$173 | |
| CT scan of the head with contrast |
— |
$1,052 |
$159 |
$148 | |
| CT scan of the head without contrast |
— |
$24,391 |
$11,740 |
$107 | |
| CT scan of the leg |
— |
$1,111 |
$163 |
$166 | |
| CT scan of the leg with contrast |
— |
$10,818 |
$5,329 |
$166 | |
| CT scan of the leg without contrast |
— |
$672 |
$97 |
$130 | |
| CT scan of the lower back (lumbar spine) |
— |
$1,111 |
$328 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
— |
$1,169 |
$159 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
— |
$1,052 |
$328 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
— |
$24,915 |
$11,990 |
$130 | |
| CT scan of the neck |
— |
$1,052 |
$159 |
$183 | |
| CT scan of the neck (cervical spine) |
— |
$1,111 |
$328 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
— |
$1,169 |
$159 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
— |
$1,052 |
$328 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
— |
$9,065 |
$4,432 |
$131 | |
| CT scan of the neck with and without contrast |
— |
$1,169 |
$159 |
$220 | |
| CT scan of the neck with contrast |
— |
$1,052 |
$159 |
$183 | |
| CT scan of the neck without contrast |
— |
$672 |
$97 |
$150 | |
| CT scan of the pelvis |
— |
$1,052 |
$159 |
$226 | |
| CT scan of the pelvis with and without contrast |
— |
$1,169 |
$159 |
$251 | |
| CT scan of the pelvis with contrast |
— |
$1,052 |
$159 |
$226 | |
| CT scan of the pelvis without contrast |
— |
$672 |
$97 |
$133 | |
| CT scan of the sinuses |
— |
$862 |
$159 |
$152 | |
| CT scan of the sinuses with contrast |
— |
$1,052 |
$159 |
$152 | |
| CT scan of the sinuses without contrast |
— |
$672 |
$97 |
$128 | |
| D-dimer test |
— |
$11,899 |
$11,325 |
$10 | |
| Drug screen (urine) |
— |
$57 |
$30 |
$17 | |
| Echocardiogram |
— |
$1,375 |
$430 |
$138 | |
| Echocardiogram without contrast |
— |
$1,375 |
$205 |
$138 | |
| EKG / ECG (tracing only) |
— |
$11,924 |
$11,325 |
$7 | |
| Electrocardiogram (EKG) |
— |
$10,194 |
$9,740 |
$8 | |
| Electrolyte panel |
— |
$14,918 |
$14,225 |
$7 | |
| Electromyography (EMG) |
— |
$400 |
$100 |
$141 | |
| Estradiol (estrogen) test |
— |
$73 |
$36 |
$28 | |
| Fecal occult blood (stool) test |
— |
$88 |
$34 |
$10 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
— |
$88 |
$34 |
$16 | |
| Ferritin (iron) test |
— |
$28 |
$15 |
$14 | |
| Fibrinogen test |
— |
$17 |
$10 |
$10 | |
| Folate (folic acid) test |
— |
$171 |
$59 |
$15 | |
| Foreign body removal (skin) |
— |
$28,326 |
$308 |
$157 | |
| Free T4 thyroid test |
— |
$11,891 |
$11,325 |
$9 | |
| FSH hormone test |
— |
$276 |
$92 |
$19 | |
| Ganglion cyst removal |
— |
$28,118 |
$10,402 |
$321 | |
| Hammertoe repair |
— |
$18,515 |
$2,523 |
$548 | |
| HDL cholesterol test |
— |
$21 |
$10 |
$8 | |
| Hematocrit test |
— |
$11,897 |
$11,325 |
$2 | |
| Hemoglobin A1c (diabetes test) |
— |
$24,588 |
$23,443 |
$10 | |
| Hepatitis C test |
— |
$36 |
$18 |
$14 | |
| Hip arthroscopy |
— |
$43,915 |
$5,584 |
$931 | |
| Hip replacement |
— |
$91,985 |
$11,325 |
$1,162 | |
| HIV test |
— |
$80 |
$31 |
$19 | |
| HIV test (antibody) |
— |
$80 |
$31 |
$14 | |
| Holter heart monitor |
— |
$327 |
$100 |
$26 | |
| Home sleep apnea test |
— |
$4,730 |
$124 |
$123 | |
| Kidney biopsy |
— |
$7,907 |
$2,000 |
$492 | |
| Kidney ultrasound |
— |
$337 |
$97 |
$84 | |
| Kidney ultrasound (limited) |
— |
$337 |
$97 |
$61 | |
| Knee arthroscopy |
— |
$22,041 |
$2,523 |
$524 | |
| Knee joint injection |
— |
$15,004 |
$3,912 |
$69 | |
| LDH test |
— |
$10 |
$7 |
$6 | |
| Leg vein ultrasound (Doppler) |
— |
$532 |
$205 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
— |
$12,043 |
$5,797 |
$116 | |
| Lipase test |
— |
$50,011 |
$36,351 |
$7 | |
| Lipid (cholesterol) panel |
— |
$233 |
$77 |
$13 | |
| Liver function panel |
— |
$229 |
$73 |
$8 | |
| Lung function test (PFT) |
— |
$360 |
$216 |
$37 | |
| Magnesium blood test |
— |
$11,915 |
$11,325 |
$7 | |
| Meniscus repair (knee) |
— |
$51,183 |
$14,225 |
$714 | |
| MRA of the brain |
— |
$1,527 |
$328 |
$226 | |
| MRA of the brain without contrast |
— |
$1,869 |
$328 |
$328 | |
| MRA of the neck |
— |
$1,525 |
$328 |
$245 | |
| MRA of the neck with contrast |
— |
$1,525 |
$328 |
$245 | |
| MRA of the neck without contrast |
— |
$1,869 |
$328 |
$343 | |
| MRI of the abdomen |
— |
$1,525 |
$328 |
$300 | |
| MRI of the abdomen with contrast |
— |
$1,525 |
$328 |
$300 | |
| MRI of the abdomen without contrast |
— |
$1,184 |
$205 |
$194 | |
| MRI of the ankle |
— |
$1,697 |
$328 |
$261 | |
| MRI of the ankle with contrast |
— |
$1,525 |
$328 |
$261 | |
| MRI of the ankle without contrast |
— |
$11,679 |
$5,761 |
$222 | |
| MRI of the brain |
— |
$1,525 |
$328 |
$269 | |
| MRI of the brain with contrast |
— |
$1,525 |
$328 |
$269 | |
| MRI of the brain without contrast |
— |
$1,184 |
$205 |
$195 | |
| MRI of the chest |
— |
$1,869 |
$328 |
$371 | |
| MRI of the chest without contrast |
— |
$1,869 |
$328 |
$466 | |
| MRI of the knee |
— |
$1,525 |
$328 |
$315 | |
| MRI of the knee with contrast |
— |
$1,525 |
$637 |
$315 | |
| MRI of the knee without contrast |
— |
$1,184 |
$205 |
$204 | |
| MRI of the lower back (lumbar spine) |
— |
$1,525 |
$328 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
— |
$1,525 |
$328 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
— |
$1,184 |
$205 |
$192 | |
| MRI of the mid-back (thoracic spine) |
— |
$1,525 |
$328 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
— |
$1,869 |
$328 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
— |
$1,525 |
$328 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
— |
$1,184 |
$205 |
$190 | |
| MRI of the neck (cervical spine) |
— |
$1,697 |
$328 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
— |
$9,362 |
$4,767 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
— |
$1,525 |
$328 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
— |
$1,184 |
$205 |
$191 | |
| MRI of the pelvis |
— |
$1,525 |
$328 |
$268 | |
| MRI of the pelvis with contrast |
— |
$1,525 |
$328 |
$268 | |
| MRI of the pelvis without contrast |
— |
$1,184 |
$205 |
$227 | |
| MRI of the shoulder |
— |
$1,525 |
$328 |
$313 | |
| MRI of the shoulder with contrast |
— |
$1,525 |
$637 |
$313 | |
| MRI of the shoulder without contrast |
— |
$1,184 |
$205 |
$205 | |
| MRI of the wrist |
— |
$1,525 |
$328 |
$330 | |
| MRI of the wrist with contrast |
— |
$1,525 |
$328 |
$330 | |
| MRI of the wrist without contrast |
— |
$1,184 |
$205 |
$303 | |
| Nerve conduction study |
— |
$610 |
$124 |
$118 | |
| Occupational therapy evaluation |
— |
$375 |
$11,325 |
$101 | |
| Occupational therapy evaluation (high complexity) |
— |
$375 |
$234 |
$101 | |
| Occupational therapy evaluation (low complexity) |
— |
$12,037 |
$11,325 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
— |
$12,049 |
$11,325 |
$101 | |
| Office visit (established patient) |
— |
$500 |
$313 |
$115 | |
| Office visit, established patient (level 3) |
— |
$500 |
$313 |
$95 | |
| Parathyroid hormone (PTH) test |
— |
$302 |
$111 |
$41 | |
| Pelvic ultrasound |
— |
$337 |
$97 |
$78 | |
| Pelvic ultrasound (complete) |
— |
$337 |
$97 |
$105 | |
| Phosphorus blood test |
— |
$11,880 |
$11,325 |
$5 | |
| Physical therapy evaluation |
— |
$363 |
$11,325 |
$98 | |
| Physical therapy evaluation (high complexity) |
— |
$375 |
$234 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
— |
$350 |
$219 |
$98 | |
| Platelet count |
— |
$11,879 |
$11,325 |
$4 | |
| Pregnancy blood test (hCG) |
— |
$17 |
$9 |
$8 | |
| Pregnancy ultrasound |
— |
$337 |
$97 |
$126 | |
| Pregnancy ultrasound (second or third trimester) |
— |
$337 |
$97 |
$136 | |
| Procalcitonin test |
— |
$38,081 |
$36,220 |
$27 | |
| Prolactin test |
— |
$50 |
$25 |
$19 | |
| Prostate test (PSA) |
— |
$87 |
$35 |
$18 | |
| Rotator cuff repair |
— |
$88,146 |
$9,277 |
$792 | |
| Scoliosis spine X-ray |
— |
$176 |
$94 |
$58 | |
| Scoliosis spine X-ray (1 view) |
— |
$157 |
$72 |
$44 | |
| Scoliosis spine X-ray (3 views) |
— |
$194 |
$97 |
$72 | |
| Scrotal ultrasound |
— |
$337 |
$97 |
$99 | |
| Sedimentation rate (ESR) test |
— |
$22,384 |
$21,318 |
$3 | |
| Shoulder arthroscopy |
— |
$37,089 |
$5,584 |
$962 | |
| Sleep study (polysomnography) |
— |
$4,630 |
$820 |
$691 | |
| Soft tissue ultrasound |
— |
$220 |
$97 |
$64 | |
| Speech therapy |
— |
$126 |
$79 |
$76 | |
| Spinal tap (lumbar puncture) |
— |
$1,400 |
$566 |
$165 | |
| Spine fracture repair (kyphoplasty) |
— |
$43,268 |
$5,584 |
$5,803 | |
| Spirometry (lung function test) |
— |
$249 |
$124 |
$30 | |
| Spirometry with bronchodilator |
— |
$471 |
$236 |
$43 | |
| Strep throat test |
— |
$16 |
$13 |
$17 | |
| Swallow study |
— |
$405 |
$253 |
$85 | |
| T3 thyroid test |
— |
$42 |
$19 |
$14 | |
| Testosterone test |
— |
$62 |
$32 |
$26 | |
| Thyroid test (TSH) |
— |
$11,970 |
$11,325 |
$17 | |
| Thyroid ultrasound |
— |
$337 |
$97 |
$109 | |
| Total protein test |
— |
$9 |
$4 |
$4 | |
| Transesophageal echocardiogram (TEE) |
— |
$1,445 |
$430 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
— |
$1,445 |
$430 |
$239 | |
| Transvaginal ultrasound |
— |
$337 |
$97 |
$118 | |
| Trigger finger release |
— |
$17,142 |
$6,585 |
$630 | |
| Troponin (heart) test |
— |
$11,958 |
$11,325 |
$12 | |
| Ulnar nerve surgery (elbow) |
— |
$43,301 |
$14,225 |
$575 | |
| Upper GI series (barium) |
— |
$584 |
$159 |
$128 | |
| Uric acid (gout) test |
— |
$9 |
$5 |
$5 | |
| Urinalysis |
— |
$66 |
$11,325 |
$3 | |
| Urine pregnancy test |
— |
$11,918 |
$11,325 |
$9 | |
| Vaccine administration |
— |
$122 |
$5,718 |
$19 | |
| Vaccine administration (each additional) |
— |
$87 |
$54 |
$16 | |
| Vitamin B12 test |
— |
$184 |
$63 |
$15 | |
| Wound debridement |
— |
$16,090 |
$7,510 |
$186 | |
| Wrist fracture repair |
— |
$30,993 |
$5,584 |
$735 | |
| X-ray of the abdomen |
— |
$205 |
$114 |
$36 | |
| X-ray of the ankle |
— |
$19,390 |
$9,283 |
$37 | |
| X-ray of the collarbone |
— |
$182 |
$72 |
$33 | |
| X-ray of the elbow |
— |
$10,405 |
$4,998 |
$33 | |
| X-ray of the facial bones |
— |
$293 |
$97 |
$39 | |
| X-ray of the foot |
— |
$11,201 |
$5,378 |
$34 | |
| X-ray of the forearm |
— |
$217 |
$72 |
$29 | |
| X-ray of the hand |
— |
$232 |
$72 |
$38 | |
| X-ray of the hip |
— |
$194 |
$102 |
$49 | |
| X-ray of the hip (1 view) |
— |
$11,953 |
$5,735 |
$34 | |
| X-ray of the hip (3 views) |
— |
$11,953 |
$5,735 |
$49 | |
| X-ray of the hip (4 views) |
— |
$194 |
$97 |
$63 | |
| X-ray of the knee |
— |
$12,011 |
$5,772 |
$42 | |
| X-ray of the knee (2 views) |
— |
$11,989 |
$5,754 |
$34 | |
| X-ray of the knee (3 views) |
— |
$24,716 |
$11,831 |
$42 | |
| X-ray of the lower back (lumbar spine) |
— |
$414 |
$148 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
— |
$24,703 |
$11,820 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
— |
$414 |
$97 |
$53 | |
| X-ray of the lower leg |
— |
$14,654 |
$7,027 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
— |
$24,678 |
$11,819 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
— |
$24,678 |
$11,819 |
$33 | |
| X-ray of the neck (cervical spine) |
— |
$16,072 |
$7,728 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
— |
$16,005 |
$7,674 |
$40 | |
| X-ray of the pelvis |
— |
$294 |
$127 |
$36 | |
| X-ray of the pelvis (1 view) |
— |
$11,972 |
$5,760 |
$28 | |
| X-ray of the ribs |
— |
$317 |
$97 |
$42 | |
| X-ray of the ribs (2 views) |
— |
$232 |
$72 |
$36 | |
| X-ray of the ribs (3 views) |
— |
$317 |
$97 |
$42 | |
| X-ray of the shoulder |
— |
$15,032 |
$7,206 |
$36 | |
| X-ray of the skull |
— |
$288 |
$97 |
$40 | |
| X-ray of the upper arm |
— |
$14,635 |
$7,012 |
$32 | |
| X-ray of the wrist |
— |
$238 |
$72 |
$43 | |