| 3D mammogram (tomosynthesis) |
$23 |
$77 |
$32 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,068 |
$3,560 |
$1,460 |
$284 | |
| Abdominal ultrasound |
$407 |
$1,355 |
$633 |
$100 | |
| Abdominal ultrasound (complete) |
$463 |
$1,543 |
$633 |
$114 | |
| Abdominal ultrasound (limited) |
$350 |
$1,167 |
$478 |
$86 | |
| Abscess drainage (complex or multiple) |
$292 |
$973 |
$399 |
$220 | |
| Abscess drainage (simple) |
$247 |
$824 |
$338 |
$129 | |
| Abscess incision and drainage |
$270 |
$899 |
$399 |
$174 | |
| Albumin blood test |
$18 |
$61 |
$25 |
$5 | |
| Aldosterone test |
$47 |
$156 |
$64 |
$41 | |
| Alkaline phosphatase test |
$22 |
$72 |
$29 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$16 |
$54 |
$22 |
$17 | |
| ALT liver enzyme test |
$27 |
$90 |
$37 |
$5 | |
| Ammonia blood test |
$47 |
$157 |
$64 |
$15 | |
| Amylase test |
$50 |
$166 |
$68 |
$6 | |
| Anoscopy |
$110 |
$366 |
$150 |
$129 | |
| Antinuclear antibody (ANA) test |
$30 |
$100 |
$41 |
$12 | |
| Aortic valve replacement |
$17,275 |
$57,584 |
$23,609 |
$1,603 | |
| Arterial blood gas (ABG) |
$125 |
$418 |
$171 |
$26 | |
| AST liver enzyme test |
$27 |
$91 |
$37 |
$5 | |
| Barium swallow study |
$421 |
$1,405 |
$783 |
$107 | |
| Bartholin cyst removal |
$292 |
$973 |
$399 |
$182 | |
| Basic metabolic panel |
$50 |
$167 |
$69 |
$8 | |
| Benign skin lesion removal |
$1,072 |
$3,574 |
$1,465 |
$171 | |
| Bilirubin blood test |
$24 |
$81 |
$33 |
$5 | |
| Blood clotting test (PT/INR) |
$39 |
$131 |
$54 |
$4 | |
| Blood crossmatch |
$78 |
$259 |
$106 |
— | |
| Blood glucose test |
$28 |
$95 |
$44 |
$5 | |
| Blood transfusion |
$416 |
$1,385 |
$568 |
$47 | |
| Blood type and screen |
$29 |
$96 |
$39 |
$10 | |
| Blood type test |
$66 |
$221 |
$114 |
$3 | |
| Blood type test (ABO group) |
$109 |
$363 |
$149 |
$3 | |
| Blood type test (Rh/D antigen) |
$23 |
$78 |
$32 |
$3 | |
| BNP (heart failure) test |
$103 |
$343 |
$141 |
$39 | |
| Bone density scan (DEXA) |
$212 |
$706 |
$408 |
$39 | |
| Bone marrow biopsy |
$1,924 |
$6,414 |
$2,918 |
$172 | |
| Bone scan (nuclear) |
$652 |
$2,172 |
$891 |
$259 | |
| Breast biopsy |
$1,458 |
$4,859 |
$2,096 |
$478 | |
| Breast MRI |
$282 |
$939 |
$427 |
$216 | |
| Breast MRI without contrast |
$282 |
$939 |
$427 |
$216 | |
| Breast ultrasound |
$511 |
$1,703 |
$791 |
$92 | |
| Breast ultrasound (complete) |
$443 |
$1,477 |
$606 |
$100 | |
| Breast ultrasound (limited) |
$579 |
$1,929 |
$791 |
$84 | |
| Breathing tube insertion (intubation) |
$109 |
$363 |
$149 |
$133 | |
| Bronchoscopy |
$1,499 |
$4,995 |
$2,917 |
$303 | |
| Burn dressing and debridement (medium) |
$287 |
$958 |
$393 |
$166 | |
| Burn dressing and debridement (small) |
$205 |
$684 |
$280 |
$93 | |
| Burn treatment |
$246 |
$821 |
$393 |
$129 | |
| C-reactive protein (CRP) |
$63 |
$212 |
$87 |
$5 | |
| CA 19-9 tumor marker test |
$112 |
$372 |
$153 |
$21 | |
| CA-125 ovarian marker test |
$93 |
$311 |
$127 |
$21 | |
| Calcium blood test |
$23 |
$77 |
$31 |
$5 | |
| Capsule endoscopy |
$782 |
$2,608 |
$1,069 |
$802 | |
| Cardiac ablation |
$19,238 |
$64,126 |
$30,931 |
$759 | |
| Cardiac catheterization |
$3,850 |
$12,832 |
$5,814 |
$1,049 | |
| Cardiac MRI |
$826 |
$2,753 |
$1,382 |
$322 | |
| Cardiac MRI without contrast |
$257 |
$858 |
$352 |
$280 | |
| Cardiac rehabilitation |
$108 |
$360 |
$180 |
$26 | |
| Cardiac stress test |
$535 |
$1,783 |
$892 |
$39 | |
| Cardioversion |
$629 |
$2,096 |
$1,211 |
$155 | |
| Carotid artery ultrasound |
$469 |
$1,564 |
$754 |
$156 | |
| CEA tumor marker test |
$74 |
$247 |
$101 |
$19 | |
| Celiac disease test |
$15 |
$50 |
$27 |
$12 | |
| Central line placement |
$1,700 |
$5,668 |
$3,486 |
$238 | |
| Chemotherapy infusion |
$175 |
$585 |
$292 |
$81 | |
| Chemotherapy infusion (each additional) |
$168 |
$561 |
$281 |
$28 | |
| Chemotherapy infusion (first hour) |
$182 |
$608 |
$304 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,328 |
$4,428 |
$2,723 |
$311 | |
| Chest tube insertion |
$1,927 |
$6,424 |
$2,634 |
$143 | |
| Chest X-ray |
$235 |
$784 |
$352 |
$37 | |
| Chest X-ray (1 view) |
$194 |
$647 |
$374 |
$25 | |
| Chest X-ray (2 views) |
$219 |
$731 |
$423 |
$33 | |
| Circumcision |
$2,434 |
$8,114 |
$3,327 |
$167 | |
| CK-MB heart enzyme test |
$46 |
$153 |
$63 |
$12 | |
| Clotting time test (PTT) |
$44 |
$148 |
$61 |
$6 | |
| Colonoscopy |
$751 |
$2,503 |
$1,086 |
$480 | |
| Complete blood count (CBC) |
$14 |
$48 |
$20 |
$7 | |
| Complete blood count (CBC) (complete) |
$14 |
$48 |
$20 |
$8 | |
| Complex wound repair |
$579 |
$1,929 |
$791 |
$390 | |
| Comprehensive metabolic panel |
$54 |
$180 |
$74 |
$11 | |
| Copper blood test |
$46 |
$153 |
$63 |
$12 | |
| Coronary CT angiography |
$427 |
$1,422 |
$583 |
$326 | |
| Cortisol test |
$114 |
$379 |
$155 |
$16 | |
| CPAP titration study |
$447 |
$1,489 |
$745 |
$69 | |
| Creatine kinase (CK) test |
$27 |
$88 |
$36 |
$7 | |
| CT angiography of the chest |
$621 |
$2,071 |
$849 |
$281 | |
| CT angiography of the head |
$498 |
$1,658 |
$680 |
$274 | |
| CT scan of the abdomen |
$652 |
$2,175 |
$1,007 |
$230 | |
| CT scan of the abdomen and pelvis |
$1,214 |
$4,047 |
$1,907 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$1,395 |
$4,650 |
$1,907 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$1,214 |
$4,047 |
$1,659 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,039 |
$3,463 |
$1,420 |
$183 | |
| CT scan of the abdomen with and without contrast |
$742 |
$2,474 |
$1,014 |
$259 | |
| CT scan of the abdomen with contrast |
$652 |
$2,175 |
$892 |
$230 | |
| CT scan of the abdomen without contrast |
$365 |
$1,218 |
$499 |
$136 | |
| CT scan of the arm |
$645 |
$2,149 |
$997 |
$199 | |
| CT scan of the arm with contrast |
$645 |
$2,149 |
$881 |
$199 | |
| CT scan of the arm without contrast |
$560 |
$1,866 |
$765 |
$161 | |
| CT scan of the chest |
$591 |
$1,970 |
$911 |
$167 | |
| CT scan of the chest with and without contrast |
$666 |
$2,222 |
$911 |
$196 | |
| CT scan of the chest with contrast |
$591 |
$1,970 |
$808 |
$167 | |
| CT scan of the chest without contrast |
$516 |
$1,718 |
$705 |
$133 | |
| CT scan of the head |
$630 |
$2,101 |
$940 |
$148 | |
| CT scan of the head with and without contrast |
$688 |
$2,292 |
$940 |
$173 | |
| CT scan of the head with contrast |
$630 |
$2,101 |
$861 |
$148 | |
| CT scan of the head without contrast |
$560 |
$1,866 |
$765 |
$107 | |
| CT scan of the leg |
$849 |
$2,831 |
$1,161 |
$166 | |
| CT scan of the leg with contrast |
$656 |
$2,185 |
$896 |
$166 | |
| CT scan of the leg without contrast |
$849 |
$2,831 |
$1,161 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$694 |
$2,312 |
$1,091 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$798 |
$2,661 |
$1,091 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$694 |
$2,312 |
$948 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$668 |
$2,226 |
$913 |
$130 | |
| CT scan of the neck |
$560 |
$1,866 |
$940 |
$183 | |
| CT scan of the neck (cervical spine) |
$755 |
$2,516 |
$1,091 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$798 |
$2,661 |
$1,091 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$755 |
$2,516 |
$1,032 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$685 |
$2,282 |
$936 |
$131 | |
| CT scan of the neck with and without contrast |
$688 |
$2,292 |
$940 |
$220 | |
| CT scan of the neck with contrast |
$560 |
$1,866 |
$765 |
$183 | |
| CT scan of the neck without contrast |
$540 |
$1,800 |
$738 |
$150 | |
| CT scan of the pelvis |
$562 |
$1,873 |
$892 |
$226 | |
| CT scan of the pelvis with and without contrast |
$653 |
$2,176 |
$892 |
$251 | |
| CT scan of the pelvis with contrast |
$562 |
$1,873 |
$768 |
$226 | |
| CT scan of the pelvis without contrast |
$481 |
$1,602 |
$657 |
$133 | |
| CT scan of the sinuses |
$607 |
$2,024 |
$1,182 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,105 |
$3,684 |
$1,510 |
$184 | |
| CT scan of the sinuses with contrast |
$607 |
$2,024 |
$830 |
$152 | |
| CT scan of the sinuses without contrast |
$466 |
$1,554 |
$637 |
$128 | |
| D-dimer test |
$45 |
$151 |
$62 |
$10 | |
| Defibrillator (ICD) implant |
$32,622 |
$108,741 |
$44,584 |
$798 | |
| DHEA-sulfate test |
$97 |
$325 |
$133 |
$22 | |
| Diagnostic mammogram |
$225 |
$751 |
$323 |
$140 | |
| Drug screen (urine) |
$125 |
$415 |
$170 |
$17 | |
| Echocardiogram |
$576 |
$1,919 |
$1,034 |
$138 | |
| Echocardiogram with and without contrast |
$576 |
$1,919 |
$960 |
$101 | |
| Echocardiogram without contrast |
$235 |
$782 |
$356 |
$138 | |
| EEG (awake and asleep) |
$551 |
$1,835 |
$918 |
$482 | |
| EKG / ECG (tracing only) |
$153 |
$510 |
$255 |
$7 | |
| Electrocardiogram (EKG) |
$153 |
$510 |
$255 |
$8 | |
| Electroencephalogram (EEG) |
$468 |
$1,560 |
$752 |
$448 | |
| Electrolyte panel |
$40 |
$134 |
$55 |
$7 | |
| Electromyography (EMG) |
$167 |
$555 |
$234 |
$141 | |
| Emergency department visit |
$587 |
$1,956 |
$685 |
$69 | |
| Emergency department visit (level 1) |
$139 |
$464 |
$162 |
$11 | |
| Emergency department visit (level 2) |
$312 |
$1,041 |
$364 |
$40 | |
| Emergency department visit (level 3) |
$587 |
$1,956 |
$685 |
$69 | |
| Emergency department visit (level 4) |
$623 |
$2,077 |
$727 |
$118 | |
| Emergency department visit (level 5) |
$843 |
$2,811 |
$984 |
$171 | |
| Epidural steroid injection |
$1,379 |
$4,595 |
$1,887 |
$275 | |
| ERCP (bile duct endoscopy) |
$2,387 |
$7,958 |
$4,256 |
$311 | |
| Esophageal dilation |
$1,308 |
$4,359 |
$2,113 |
$522 | |
| Estradiol (estrogen) test |
$99 |
$330 |
$135 |
$28 | |
| Facet joint injection (spine) |
$1,376 |
$4,588 |
$2,822 |
$99 | |
| Fallopian tube X-ray (HSG) |
$428 |
$1,427 |
$659 |
$164 | |
| Family therapy session |
$155 |
$516 |
$212 |
$110 | |
| Fecal occult blood (stool) test |
$27 |
$88 |
$36 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$27 |
$88 |
$36 |
$4 | |
| Feeding tube (PEG) placement |
$911 |
$3,035 |
$1,244 |
$178 | |
| Ferritin (iron) test |
$58 |
$194 |
$80 |
$14 | |
| Fibrinogen test |
$58 |
$194 |
$79 |
$10 | |
| Flexible sigmoidoscopy |
$867 |
$2,890 |
$1,354 |
$323 | |
| Folate (folic acid) test |
$74 |
$248 |
$101 |
$15 | |
| Foreign body removal (skin) |
$552 |
$1,841 |
$755 |
$157 | |
| Free T4 thyroid test |
$52 |
$174 |
$71 |
$9 | |
| FSH hormone test |
$96 |
$321 |
$132 |
$19 | |
| Gallbladder scan (HIDA) |
$1,633 |
$5,443 |
$2,405 |
$334 | |
| GGT liver test |
$32 |
$108 |
$44 |
$7 | |
| Glucose tolerance test |
$33 |
$110 |
$64 |
$8 | |
| Group therapy session |
$81 |
$269 |
$110 |
$30 | |
| H. pylori test |
$59 |
$196 |
$80 |
$67 | |
| HDL cholesterol test |
$45 |
$151 |
$62 |
$8 | |
| Hematocrit test |
$21 |
$71 |
$29 |
$2 | |
| Hemodialysis |
$717 |
$2,389 |
$979 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$22 |
$74 |
$30 |
$10 | |
| Hepatitis B test |
$68 |
$227 |
$93 |
$10 | |
| Hepatitis C test |
$69 |
$229 |
$94 |
$14 | |
| HIV test |
$67 |
$224 |
$92 |
$19 | |
| HIV test (antigen/antibody combo) |
$67 |
$224 |
$92 |
$24 | |
| Holter heart monitor |
$423 |
$1,410 |
$787 |
$26 | |
| Iron blood test |
$25 |
$84 |
$34 |
$6 | |
| IUD removal |
$216 |
$720 |
$295 |
$112 | |
| IV infusion therapy |
$105 |
$349 |
$185 |
$44 | |
| IV infusion therapy (each additional) |
$43 |
$142 |
$71 |
$21 | |
| IV infusion therapy (initial) |
$167 |
$555 |
$278 |
$67 | |
| IVC filter placement |
$4,923 |
$16,410 |
$6,728 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$428 |
$1,427 |
$699 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$512 |
$1,705 |
$699 |
$57 | |
| Joint aspiration or injection (small joint) |
$345 |
$1,149 |
$471 |
$56 | |
| Kidney biopsy |
$1,163 |
$3,878 |
$1,590 |
$492 | |
| Kidney scan (nuclear) |
$869 |
$2,895 |
$1,187 |
$172 | |
| Kidney ultrasound |
$309 |
$1,032 |
$456 |
$84 | |
| Kidney ultrasound (limited) |
$333 |
$1,111 |
$456 |
$61 | |
| Knee joint injection |
$474 |
$1,581 |
$972 |
$69 | |
| Lactate test |
$50 |
$166 |
$68 |
$12 | |
| LDH test |
$26 |
$88 |
$36 |
$6 | |
| LDL cholesterol test |
$48 |
$161 |
$66 |
$11 | |
| Leg artery angiogram |
$1,598 |
$5,328 |
$3,080 |
$149 | |
| Leg vein ultrasound (Doppler) |
$448 |
$1,495 |
$725 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$401 |
$1,338 |
$669 |
$116 | |
| LH hormone test |
$96 |
$322 |
$132 |
$19 | |
| Lipase test |
$39 |
$131 |
$54 |
$7 | |
| Lipid (cholesterol) panel |
$45 |
$149 |
$61 |
$13 | |
| Liver biopsy |
$838 |
$2,792 |
$1,145 |
$288 | |
| Liver function panel |
$49 |
$164 |
$67 |
$8 | |
| Lung function test (PFT) |
$234 |
$779 |
$292 |
$37 | |
| Lung scan (V/Q) |
$888 |
$2,961 |
$1,214 |
$291 | |
| Magnesium blood test |
$34 |
$114 |
$47 |
$7 | |
| MRA of the brain |
$728 |
$2,428 |
$1,146 |
$226 | |
| MRA of the brain with contrast |
$728 |
$2,428 |
$995 |
$226 | |
| MRA of the brain without contrast |
$957 |
$3,191 |
$1,308 |
$328 | |
| MRA of the neck |
$729 |
$2,428 |
$1,327 |
$245 | |
| MRA of the neck with contrast |
$729 |
$2,428 |
$996 |
$245 | |
| MRA of the neck without contrast |
$971 |
$3,237 |
$1,327 |
$343 | |
| MRI of the abdomen |
$1,060 |
$3,533 |
$1,525 |
$300 | |
| MRI of the abdomen without contrast |
$1,004 |
$3,347 |
$1,372 |
$194 | |
| MRI of the ankle |
$1,004 |
$3,347 |
$1,716 |
$261 | |
| MRI of the ankle with contrast |
$946 |
$3,154 |
$1,293 |
$261 | |
| MRI of the ankle without contrast |
$1,255 |
$4,185 |
$1,716 |
$222 | |
| MRI of the brain |
$827 |
$2,755 |
$1,261 |
$269 | |
| MRI of the brain with contrast |
$827 |
$2,755 |
$1,130 |
$269 | |
| MRI of the brain without contrast |
$730 |
$2,435 |
$998 |
$195 | |
| MRI of the chest |
$1,060 |
$3,533 |
$1,975 |
$371 | |
| MRI of the chest with contrast |
$1,060 |
$3,533 |
$1,449 |
$371 | |
| MRI of the chest without contrast |
$1,612 |
$5,372 |
$2,203 |
$466 | |
| MRI of the knee |
$1,094 |
$3,645 |
$1,823 |
$315 | |
| MRI of the knee with contrast |
$946 |
$3,154 |
$1,293 |
$315 | |
| MRI of the knee without contrast |
$1,255 |
$4,185 |
$1,716 |
$204 | |
| MRI of the lower back (lumbar spine) |
$921 |
$3,071 |
$1,372 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$921 |
$3,071 |
$1,259 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$837 |
$2,790 |
$1,144 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$921 |
$3,071 |
$1,372 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$1,004 |
$3,347 |
$1,372 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$921 |
$3,071 |
$1,259 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$837 |
$2,790 |
$1,144 |
$190 | |
| MRI of the neck (cervical spine) |
$802 |
$2,673 |
$1,195 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$874 |
$2,914 |
$1,195 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$802 |
$2,673 |
$1,096 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$729 |
$2,428 |
$996 |
$191 | |
| MRI of the pelvis |
$1,121 |
$3,738 |
$1,820 |
$268 | |
| MRI of the pelvis with contrast |
$1,332 |
$4,439 |
$1,820 |
$268 | |
| MRI of the pelvis without contrast |
$837 |
$2,790 |
$1,144 |
$227 | |
| MRI of the shoulder |
$1,004 |
$3,347 |
$1,935 |
$313 | |
| MRI of the shoulder with contrast |
$1,004 |
$3,347 |
$2,058 |
$313 | |
| MRI of the shoulder without contrast |
$837 |
$2,790 |
$1,716 |
$205 | |
| MRI of the wrist |
$1,004 |
$3,347 |
$1,494 |
$330 | |
| MRI of the wrist with contrast |
$1,004 |
$3,347 |
$1,372 |
$330 | |
| MRI of the wrist without contrast |
$837 |
$2,790 |
$1,144 |
$303 | |
| Nebulizer breathing treatment |
$128 |
$426 |
$213 |
$9 | |
| Nerve conduction study |
$185 |
$615 |
$252 |
$118 | |
| Nuclear cardiac stress test |
$2,158 |
$7,192 |
$2,949 |
$428 | |
| Occupational therapy evaluation |
$149 |
$498 |
$235 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$172 |
$573 |
$235 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$137 |
$455 |
$187 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$149 |
$498 |
$204 |
$101 | |
| Pap smear (cervical screening) |
$55 |
$185 |
$76 |
$20 | |
| Parathyroid hormone (PTH) test |
$147 |
$489 |
$200 |
$41 | |
| Pelvic ultrasound |
$370 |
$1,233 |
$606 |
$78 | |
| Pelvic ultrasound (complete) |
$443 |
$1,477 |
$606 |
$105 | |
| Pelvic ultrasound (limited) |
$297 |
$989 |
$405 |
$51 | |
| PET scan |
$1,968 |
$6,560 |
$2,690 |
— | |
| Phosphorus blood test |
$20 |
$67 |
$27 |
$5 | |
| Physical therapy evaluation |
$137 |
$455 |
$235 |
$98 | |
| Physical therapy evaluation (high complexity) |
$172 |
$573 |
$235 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$112 |
$374 |
$153 |
$98 | |
| Platelet count |
$27 |
$91 |
$37 |
$4 | |
| Pregnancy blood test (hCG) |
$12 |
$41 |
$17 |
$8 | |
| Pregnancy ultrasound |
$424 |
$1,415 |
$606 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$443 |
$1,477 |
$606 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$406 |
$1,352 |
$554 |
$136 | |
| Procalcitonin test |
$86 |
$286 |
$117 |
$27 | |
| Prolactin test |
$101 |
$336 |
$138 |
$19 | |
| Prostate test (PSA) |
$40 |
$134 |
$55 |
$18 | |
| Psychiatric evaluation |
$155 |
$516 |
$298 |
$188 | |
| Psychotherapy session |
$132 |
$439 |
$212 |
$140 | |
| Radiofrequency nerve ablation |
$3,715 |
$12,384 |
$5,451 |
$462 | |
| Rheumatoid factor test |
$78 |
$260 |
$107 |
$6 | |
| Scoliosis spine X-ray |
$85 |
$283 |
$126 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$77 |
$257 |
$105 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$92 |
$308 |
$178 |
$72 | |
| Screening mammogram |
$188 |
$626 |
$257 |
$126 | |
| Scrotal ultrasound |
$323 |
$1,078 |
$442 |
$99 | |
| Sedimentation rate (ESR) test |
$34 |
$113 |
$46 |
$3 | |
| Semen analysis |
$77 |
$258 |
$106 |
$12 | |
| Sex hormone binding globulin test |
$35 |
$116 |
$48 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$247 |
$824 |
$338 |
$114 | |
| Simple wound stitches |
$266 |
$886 |
$389 |
$127 | |
| Skin biopsy |
$393 |
$1,310 |
$773 |
$121 | |
| Skin biopsy (punch) |
$393 |
$1,310 |
$596 |
$121 | |
| Skin cancer lesion removal |
$541 |
$1,805 |
$910 |
$240 | |
| Skin tag removal |
$300 |
$1,000 |
$410 |
$92 | |
| Sleep study (polysomnography) |
$2,201 |
$7,338 |
$3,669 |
$691 | |
| Soft tissue ultrasound |
$386 |
$1,286 |
$791 |
$64 | |
| Speech therapy |
$213 |
$709 |
$323 |
$76 | |
| Spinal cord stimulator |
$3,456 |
$11,519 |
$4,723 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$568 |
$1,893 |
$776 |
$165 | |
| Spirometry (lung function test) |
$88 |
$292 |
$146 |
$30 | |
| Spirometry with bronchodilator |
$380 |
$1,265 |
$576 |
$43 | |
| Strep throat test |
$61 |
$203 |
$83 |
$17 | |
| Stress echocardiogram |
$1,052 |
$3,508 |
$1,999 |
$209 | |
| Stress echocardiogram (complete) |
$570 |
$1,901 |
$951 |
$233 | |
| Swallow study |
$101 |
$338 |
$169 |
$85 | |
| T3 thyroid test |
$65 |
$217 |
$89 |
$14 | |
| Testosterone test |
$62 |
$208 |
$85 |
$26 | |
| Thyroid test (TSH) |
$28 |
$92 |
$38 |
$17 | |
| Thyroid ultrasound |
$426 |
$1,420 |
$582 |
$109 | |
| Thyroid uptake scan |
$787 |
$2,622 |
$1,075 |
$145 | |
| Tilt table test |
$442 |
$1,474 |
$852 |
$168 | |
| Total IgE allergy test |
$25 |
$84 |
$34 |
$16 | |
| Total protein test |
$6 |
$20 |
$8 |
$4 | |
| Tracheostomy |
$2,781 |
$9,270 |
$3,801 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$1,038 |
$3,459 |
$1,730 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,038 |
$3,459 |
$1,730 |
$239 | |
| Transvaginal ultrasound |
$442 |
$1,473 |
$604 |
$118 | |
| Trigger point injection |
$1,023 |
$3,410 |
$1,637 |
$56 | |
| Trigger point injection (1-2 muscles) |
$799 |
$2,662 |
$1,637 |
$52 | |
| Triglycerides test |
$30 |
$101 |
$41 |
$6 | |
| Troponin (heart) test |
$78 |
$259 |
$106 |
$12 | |
| Turning a breech baby (version) |
$3,812 |
$12,705 |
$6,353 |
$94 | |
| Upper GI endoscopy (EGD) |
$437 |
$1,456 |
$703 |
$371 | |
| Upper GI series (barium) |
$228 |
$761 |
$440 |
$128 | |
| Uric acid (gout) test |
$19 |
$63 |
$26 |
$5 | |
| Urinalysis |
$15 |
$50 |
$27 |
$3 | |
| Urine microalbumin test |
$20 |
$65 |
$33 |
$5 | |
| Urine pregnancy test |
$51 |
$169 |
$69 |
$9 | |
| Vaccine administration |
$26 |
$86 |
$61 |
$19 | |
| Vaccine administration (each additional) |
$28 |
$93 |
$38 |
$16 | |
| Varicose vein ablation |
$2,036 |
$6,786 |
$2,782 |
$1,018 | |
| Vitamin B12 test |
$75 |
$251 |
$103 |
$15 | |
| Vitamin D test |
$112 |
$375 |
$154 |
$30 | |
| Wound debridement |
$379 |
$1,263 |
$745 |
$186 | |
| X-ray of the abdomen |
$216 |
$720 |
$368 |
$36 | |
| X-ray of the ankle |
$323 |
$1,077 |
$442 |
$37 | |
| X-ray of the collarbone |
$185 |
$618 |
$357 |
$33 | |
| X-ray of the elbow |
$215 |
$716 |
$440 |
$33 | |
| X-ray of the facial bones |
$271 |
$903 |
$436 |
$39 | |
| X-ray of the foot |
$323 |
$1,077 |
$442 |
$34 | |
| X-ray of the forearm |
$162 |
$539 |
$331 |
$29 | |
| X-ray of the hand |
$159 |
$529 |
$361 |
$38 | |
| X-ray of the hip |
$239 |
$798 |
$358 |
$49 | |
| X-ray of the hip (1 view) |
$176 |
$588 |
$340 |
$34 | |
| X-ray of the hip (3 views) |
$239 |
$798 |
$461 |
$49 | |
| X-ray of the hip (4 views) |
$262 |
$874 |
$505 |
$63 | |
| X-ray of the knee |
$288 |
$959 |
$470 |
$42 | |
| X-ray of the knee (2 views) |
$163 |
$542 |
$333 |
$34 | |
| X-ray of the knee (3 views) |
$344 |
$1,148 |
$522 |
$42 | |
| X-ray of the knee (4+ views) |
$288 |
$959 |
$590 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$448 |
$1,494 |
$851 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$454 |
$1,514 |
$875 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$442 |
$1,473 |
$851 |
$53 | |
| X-ray of the lower leg |
$204 |
$681 |
$419 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$366 |
$1,220 |
$603 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$313 |
$1,044 |
$603 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$419 |
$1,396 |
$807 |
$39 | |
| X-ray of the neck (cervical spine) |
$372 |
$1,240 |
$603 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$313 |
$1,044 |
$603 |
$40 | |
| X-ray of the pelvis |
$176 |
$587 |
$253 |
$36 | |
| X-ray of the pelvis (1 view) |
$167 |
$557 |
$322 |
$28 | |
| X-ray of the ribs |
$313 |
$1,044 |
$491 |
$42 | |
| X-ray of the ribs (2 views) |
$234 |
$779 |
$450 |
$36 | |
| X-ray of the ribs (3 views) |
$313 |
$1,044 |
$603 |
$42 | |
| X-ray of the shoulder |
$224 |
$747 |
$459 |
$36 | |
| X-ray of the skull |
$295 |
$983 |
$499 |
$40 | |
| X-ray of the upper arm |
$215 |
$716 |
$414 |
$32 | |
| X-ray of the wrist |
$316 |
$1,053 |
$432 |
$43 | |
| Zinc blood test |
$58 |
$195 |
$80 |
$11 | |