| 3D mammogram (tomosynthesis) |
$113 |
$161 |
$99 |
$51 | |
| Abdominal ultrasound |
$1,688 |
$2,412 |
$1,567 |
$100 | |
| Abdominal ultrasound (complete) |
$1,772 |
$2,532 |
$1,650 |
$114 | |
| Abdominal ultrasound (limited) |
$1,604 |
$2,292 |
$1,493 |
$86 | |
| Abscess drainage (complex or multiple) |
$1,133 |
$1,618 |
$1,054 |
$220 | |
| Abscess drainage (simple) |
$954 |
$1,363 |
$888 |
$129 | |
| Abscess incision and drainage |
$1,043 |
$1,491 |
$915 |
$174 | |
| Albumin blood test |
$46 |
$65 |
$52 |
$5 | |
| Aldosterone test |
$191 |
$273 |
$201 |
$41 | |
| Alkaline phosphatase test |
$84 |
$121 |
$70 |
$5 | |
| Allergy shots |
$55 |
$78 |
$51 |
$11 | |
| Alpha-fetoprotein (AFP) test |
$175 |
$250 |
$163 |
$17 | |
| ALT liver enzyme test |
$48 |
$69 |
$44 |
$5 | |
| Ammonia blood test |
$125 |
$178 |
$97 |
$15 | |
| Amylase test |
$86 |
$123 |
$82 |
$6 | |
| Anal fistula repair |
$7,119 |
$10,170 |
$6,626 |
$541 | |
| Anoscopy |
$262 |
$374 |
$244 |
$129 | |
| Antinuclear antibody (ANA) test |
$94 |
$135 |
$87 |
$12 | |
| Arterial blood gas (ABG) |
$221 |
$315 |
$203 |
$26 | |
| AST liver enzyme test |
$49 |
$70 |
$44 |
$5 | |
| Barium swallow study |
$747 |
$1,068 |
$714 |
$107 | |
| Basic metabolic panel |
$220 |
$314 |
$205 |
$8 | |
| Benign skin lesion removal |
$3,236 |
$4,623 |
$2,773 |
$171 | |
| Bilirubin blood test |
$70 |
$100 |
$25 |
$5 | |
| Bladder scope (cystoscopy) |
$1,366 |
$1,952 |
$1,272 |
$216 | |
| Bladder tumor removal (TURBT) |
$18,335 |
$26,193 |
— |
$236 | |
| Blood clotting test (PT/INR) |
$50 |
$71 |
$47 |
$4 | |
| Blood crossmatch |
$232 |
$332 |
$216 |
— | |
| Blood glucose test |
$43 |
$61 |
$40 |
$5 | |
| Blood transfusion |
$1,944 |
$2,778 |
$649 |
$47 | |
| Blood type and screen |
$166 |
$237 |
$143 |
$10 | |
| Blood type test |
$66 |
$94 |
$59 |
$3 | |
| Blood type test (ABO group) |
$84 |
$120 |
$78 |
$3 | |
| Blood type test (Rh/D antigen) |
$66 |
$94 |
$51 |
$3 | |
| BNP (heart failure) test |
$207 |
$295 |
$203 |
$39 | |
| Bone density scan (DEXA) |
$637 |
$910 |
$593 |
$39 | |
| Bone scan (nuclear) |
$2,772 |
$3,960 |
$2,580 |
$259 | |
| Botox for migraine |
$1,668 |
$2,383 |
$145 |
$157 | |
| Brain shunt (VP shunt) |
$4,313 |
$6,161 |
$4,014 |
$1,023 | |
| Breast biopsy |
$5,994 |
$8,563 |
$5,579 |
$478 | |
| Breast MRI |
$3,670 |
$5,243 |
$3,495 |
$216 | |
| Breast MRI without contrast |
$3,492 |
$4,988 |
$3,250 |
$216 | |
| Breast ultrasound |
$485 |
$694 |
$459 |
$92 | |
| Breast ultrasound (complete) |
$532 |
$760 |
$495 |
$100 | |
| Breast ultrasound (limited) |
$439 |
$627 |
$408 |
$84 | |
| Breathing tube insertion (intubation) |
$405 |
$578 |
$349 |
$133 | |
| Burn dressing and debridement (small) |
$276 |
$394 |
$257 |
$93 | |
| Burn treatment |
$276 |
$394 |
$257 |
$129 | |
| C-reactive protein (CRP) |
$92 |
$132 |
$81 |
$5 | |
| CA 19-9 tumor marker test |
$185 |
$265 |
$172 |
$21 | |
| CA-125 ovarian marker test |
$165 |
$235 |
$153 |
$21 | |
| Calcium blood test |
$85 |
$122 |
$56 |
$5 | |
| Cardiac MRI |
$4,088 |
$5,841 |
$3,771 |
$322 | |
| Cardiac MRI without contrast |
$3,835 |
$5,478 |
$3,569 |
$280 | |
| Cardiac rehabilitation |
$260 |
$372 |
$242 |
$26 | |
| Cardiac stress test |
$541 |
$773 |
$464 |
$39 | |
| Cardioversion |
$1,609 |
$2,298 |
$1,497 |
$155 | |
| Carotid artery ultrasound |
$1,698 |
$2,425 |
$1,260 |
$156 | |
| Carpal tunnel release |
$8,776 |
$12,537 |
— |
$483 | |
| CEA tumor marker test |
$148 |
$212 |
$137 |
$19 | |
| Celiac disease test |
$26 |
$37 |
$26 |
$12 | |
| Central line placement |
$2,069 |
$2,956 |
$1,926 |
$238 | |
| Cervical LEEP procedure |
$3,505 |
$5,007 |
$3,262 |
$325 | |
| Chalazion (eyelid cyst) removal |
$1,122 |
$1,603 |
$1,044 |
$131 | |
| Chemotherapy infusion |
$638 |
$912 |
$407 |
$81 | |
| Chemotherapy infusion (each additional) |
$330 |
$472 |
$308 |
$28 | |
| Chemotherapy infusion (first hour) |
$946 |
$1,352 |
$881 |
$133 | |
| Chest tube insertion |
$1,231 |
$1,759 |
$1,146 |
$143 | |
| Chest X-ray |
$787 |
$1,125 |
$685 |
$37 | |
| Chest X-ray (1 view) |
$538 |
$768 |
$500 |
$25 | |
| Chest X-ray (2 views) |
$674 |
$963 |
$627 |
$33 | |
| Circumcision |
$11,282 |
$16,117 |
— |
$167 | |
| CK-MB heart enzyme test |
$229 |
$327 |
$147 |
$12 | |
| Clotting time test (PTT) |
$77 |
$110 |
$72 |
$6 | |
| Colonoscopy |
$4,193 |
$5,991 |
$2,705 |
$480 | |
| Complete blood count (CBC) |
$78 |
$112 |
$75 |
$7 | |
| Complete blood count (CBC) (complete) |
$78 |
$112 |
$83 |
$8 | |
| Complex wound repair |
$1,581 |
$2,259 |
$1,472 |
$390 | |
| Comprehensive metabolic panel |
$307 |
$438 |
$285 |
$11 | |
| Copper blood test |
$75 |
$107 |
$70 |
$12 | |
| Coronary CT angiography |
$3,641 |
$5,202 |
$3,389 |
$326 | |
| Cortisol test |
$135 |
$193 |
$118 |
$16 | |
| COVID-19 PCR test |
$116 |
$165 |
$104 |
$51 | |
| CPAP titration study |
$227 |
$324 |
$189 |
$69 | |
| Creatine kinase (CK) test |
$89 |
$127 |
$83 |
$7 | |
| CT angiography of the chest |
$3,503 |
$5,004 |
$3,260 |
$281 | |
| CT angiography of the head |
$3,656 |
$5,223 |
$3,403 |
$274 | |
| CT scan of the abdomen |
$3,201 |
$4,573 |
$2,962 |
$230 | |
| CT scan of the abdomen and pelvis |
$6,049 |
$8,642 |
$5,605 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$7,106 |
$10,151 |
$6,613 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$6,049 |
$8,642 |
$5,630 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$4,802 |
$6,860 |
$4,469 |
$183 | |
| CT scan of the abdomen with and without contrast |
$3,659 |
$5,227 |
$3,405 |
$259 | |
| CT scan of the abdomen with contrast |
$3,201 |
$4,573 |
$2,979 |
$230 | |
| CT scan of the abdomen without contrast |
$2,576 |
$3,680 |
$2,398 |
$136 | |
| CT scan of the arm |
$2,813 |
$4,018 |
$2,765 |
$199 | |
| CT scan of the arm with contrast |
$2,813 |
$4,018 |
$2,618 |
$199 | |
| CT scan of the arm without contrast |
$2,563 |
$3,662 |
$2,386 |
$161 | |
| CT scan of the chest |
$3,174 |
$4,534 |
$2,948 |
$167 | |
| CT scan of the chest with and without contrast |
$3,416 |
$4,880 |
$3,179 |
$196 | |
| CT scan of the chest with contrast |
$3,174 |
$4,534 |
$2,954 |
$167 | |
| CT scan of the chest without contrast |
$2,611 |
$3,730 |
$2,430 |
$133 | |
| CT scan of the head |
$2,922 |
$4,174 |
$2,821 |
$148 | |
| CT scan of the head with and without contrast |
$3,757 |
$5,367 |
$3,497 |
$173 | |
| CT scan of the head with contrast |
$2,922 |
$4,174 |
$2,719 |
$148 | |
| CT scan of the head without contrast |
$2,475 |
$3,535 |
$2,303 |
$107 | |
| CT scan of the leg |
$2,976 |
$4,251 |
$2,790 |
$166 | |
| CT scan of the leg with contrast |
$2,976 |
$4,251 |
$2,770 |
$166 | |
| CT scan of the leg without contrast |
$2,623 |
$3,747 |
$2,441 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$3,506 |
$5,009 |
$3,235 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$3,717 |
$5,310 |
$3,459 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$3,506 |
$5,009 |
$3,263 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$3,084 |
$4,405 |
$2,870 |
$130 | |
| CT scan of the neck |
$3,251 |
$4,644 |
$2,977 |
$183 | |
| CT scan of the neck (cervical spine) |
$3,497 |
$4,996 |
$3,319 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$4,096 |
$5,851 |
$3,812 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$3,497 |
$4,996 |
$3,255 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$3,168 |
$4,526 |
$2,949 |
$131 | |
| CT scan of the neck with and without contrast |
$3,704 |
$5,292 |
$3,448 |
$220 | |
| CT scan of the neck with contrast |
$3,251 |
$4,644 |
$3,026 |
$183 | |
| CT scan of the neck without contrast |
$2,566 |
$3,666 |
$2,388 |
$150 | |
| CT scan of the pelvis |
$2,908 |
$4,154 |
$2,597 |
$226 | |
| CT scan of the pelvis with and without contrast |
$3,318 |
$4,740 |
$3,088 |
$251 | |
| CT scan of the pelvis with contrast |
$2,908 |
$4,154 |
$2,706 |
$226 | |
| CT scan of the pelvis without contrast |
$2,157 |
$3,081 |
$2,007 |
$133 | |
| CT scan of the sinuses |
$3,161 |
$4,516 |
$2,942 |
$152 | |
| CT scan of the sinuses with and without contrast |
$3,656 |
$5,223 |
$3,403 |
$184 | |
| CT scan of the sinuses with contrast |
$3,161 |
$4,516 |
$2,942 |
$152 | |
| CT scan of the sinuses without contrast |
$2,606 |
$3,723 |
$2,426 |
$128 | |
| D-dimer test |
$134 |
$192 |
$129 |
$10 | |
| DHEA-sulfate test |
$163 |
$233 |
$126 |
$22 | |
| Diagnostic mammogram |
$489 |
$699 |
$454 |
$140 | |
| Drug screen (urine) |
$261 |
$373 |
$243 |
$17 | |
| Ear pressure test (tympanometry) |
$151 |
$216 |
$141 |
$16 | |
| Echocardiogram |
$1,997 |
$2,853 |
$1,797 |
$138 | |
| Echocardiogram with and without contrast |
$1,306 |
$1,865 |
$1,215 |
$101 | |
| Echocardiogram without contrast |
$1,997 |
$2,853 |
$1,859 |
$138 | |
| EEG (awake and asleep) |
$1,092 |
$1,560 |
$1,016 |
$482 | |
| EKG / ECG (tracing only) |
$216 |
$309 |
$201 |
$7 | |
| Electrocardiogram (EKG) |
$216 |
$309 |
$201 |
$8 | |
| Electroencephalogram (EEG) |
$989 |
$1,413 |
$862 |
$448 | |
| Electrolyte panel |
$74 |
$106 |
$69 |
$7 | |
| Emergency department visit |
$1,564 |
$2,234 |
$884 |
$69 | |
| Emergency department visit (level 1) |
$390 |
$558 |
$366 |
$11 | |
| Emergency department visit (level 2) |
$757 |
$1,082 |
$693 |
$40 | |
| Emergency department visit (level 3) |
$1,564 |
$2,234 |
$1,119 |
$69 | |
| Emergency department visit (level 4) |
$3,330 |
$4,757 |
$2,097 |
$118 | |
| Emergency department visit (level 5) |
$6,808 |
$9,725 |
$2,936 |
$171 | |
| Epidural steroid injection |
$3,227 |
$4,610 |
— |
$275 | |
| Esophageal dilation |
$4,754 |
$6,792 |
$1,655 |
$522 | |
| Estradiol (estrogen) test |
$188 |
$269 |
$164 |
$28 | |
| Facet joint injection (spine) |
$3,227 |
$4,609 |
— |
$99 | |
| Fallopian tube X-ray (HSG) |
$1,135 |
$1,621 |
$1,056 |
$164 | |
| Fecal occult blood (stool) test |
$63 |
$90 |
$53 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$50 |
$71 |
$43 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$63 |
$90 |
$59 |
$16 | |
| Feeding tube (PEG) placement |
$8,938 |
$12,769 |
$4,373 |
$178 | |
| Ferritin (iron) test |
$144 |
$206 |
$134 |
$14 | |
| Fibrinogen test |
$102 |
$145 |
$94 |
$10 | |
| Flexible sigmoidoscopy |
$2,330 |
$3,329 |
$1,446 |
$323 | |
| Flu vaccine |
$31 |
$44 |
$27 |
— | |
| Folate (folic acid) test |
$109 |
$156 |
$104 |
$15 | |
| Foreign body removal (skin) |
$1,336 |
$1,908 |
$1,243 |
$157 | |
| Free T4 thyroid test |
$121 |
$173 |
$113 |
$9 | |
| FSH hormone test |
$209 |
$298 |
$169 |
$19 | |
| Gallbladder removal (laparoscopic) |
$14,993 |
$21,418 |
$13,206 |
$658 | |
| Gallbladder scan (HIDA) |
$2,512 |
$3,589 |
$2,336 |
$334 | |
| GGT liver test |
$62 |
$89 |
$50 |
$7 | |
| Glucose tolerance test |
$135 |
$193 |
$85 |
$8 | |
| Group therapy session |
$84 |
$120 |
$77 |
$30 | |
| H. pylori test |
$270 |
$386 |
$255 |
$67 | |
| HDL cholesterol test |
$56 |
$80 |
$52 |
$8 | |
| Hearing test (audiometry) |
$257 |
$367 |
$239 |
$36 | |
| Hematocrit test |
$33 |
$47 |
$30 |
$2 | |
| Hemodialysis |
$1,124 |
$1,605 |
$1,046 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$117 |
$167 |
$109 |
$10 | |
| Hepatitis A vaccine |
$107 |
$153 |
$100 |
— | |
| Hepatitis B test |
$95 |
$135 |
$96 |
$10 | |
| Hepatitis B vaccine |
$84 |
$120 |
$78 |
— | |
| Hepatitis C test |
$117 |
$167 |
$110 |
$14 | |
| HIV test |
$106 |
$152 |
$105 |
$19 | |
| HIV test (antibody) |
$122 |
$174 |
$113 |
$14 | |
| HIV test (antigen/antibody combo) |
$106 |
$152 |
$102 |
$24 | |
| Holter heart monitor |
$429 |
$614 |
$335 |
$26 | |
| HPV vaccine |
$424 |
$605 |
$394 |
— | |
| Hydrocele repair |
$12,617 |
$18,024 |
— |
$315 | |
| Iron blood test |
$79 |
$113 |
$74 |
$6 | |
| IUD insertion |
$2,376 |
$3,394 |
$2,211 |
— | |
| IUD removal |
$1,842 |
$2,632 |
$1,715 |
$112 | |
| IV infusion therapy |
$383 |
$547 |
$281 |
$44 | |
| IV infusion therapy (each additional) |
$236 |
$337 |
$220 |
$21 | |
| IV infusion therapy (initial) |
$530 |
$757 |
$493 |
$67 | |
| Kidney scan (nuclear) |
$2,596 |
$3,709 |
$2,416 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$9,507 |
$13,581 |
— |
$760 | |
| Kidney ultrasound |
$1,394 |
$1,991 |
$1,286 |
$84 | |
| Kidney ultrasound (limited) |
$1,313 |
$1,876 |
$1,222 |
$61 | |
| Knee joint injection |
$480 |
$685 |
$446 |
$69 | |
| Lactate test |
$191 |
$273 |
$178 |
$12 | |
| Laryngoscopy |
$3,366 |
$4,808 |
$3,132 |
$189 | |
| LDH test |
$81 |
$116 |
$76 |
$6 | |
| LDL cholesterol test |
$64 |
$91 |
$65 |
$11 | |
| Leg artery angiogram |
$6,423 |
$9,175 |
$5,978 |
$149 | |
| Leg vein ultrasound (Doppler) |
$2,150 |
$3,071 |
$1,932 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,673 |
$2,390 |
$1,557 |
$116 | |
| LH hormone test |
$121 |
$173 |
$113 |
$19 | |
| Lipase test |
$85 |
$122 |
$81 |
$7 | |
| Lipid (cholesterol) panel |
$184 |
$263 |
$171 |
$13 | |
| Liver function panel |
$139 |
$199 |
$131 |
$8 | |
| Lung function test (PFT) |
$551 |
$787 |
$496 |
$37 | |
| Magnesium blood test |
$81 |
$116 |
$76 |
$7 | |
| MMR vaccine |
$243 |
$347 |
$226 |
— | |
| MRA of the brain |
$4,890 |
$6,985 |
$4,551 |
$226 | |
| MRA of the brain with contrast |
$4,890 |
$6,985 |
$4,551 |
$226 | |
| MRA of the brain without contrast |
$5,711 |
$8,158 |
$5,315 |
$328 | |
| MRA of the neck |
$3,843 |
$5,490 |
$3,599 |
$245 | |
| MRA of the neck with contrast |
$3,843 |
$5,490 |
$3,577 |
$245 | |
| MRA of the neck without contrast |
$4,370 |
$6,243 |
$4,067 |
$343 | |
| MRI of the abdomen |
$3,770 |
$5,386 |
$3,647 |
$300 | |
| MRI of the abdomen with contrast |
$3,770 |
$5,386 |
$3,509 |
$300 | |
| MRI of the abdomen without contrast |
$3,700 |
$5,286 |
$3,444 |
$194 | |
| MRI of the ankle |
$3,679 |
$5,255 |
$3,460 |
$261 | |
| MRI of the ankle with contrast |
$3,679 |
$5,255 |
$3,424 |
$261 | |
| MRI of the ankle without contrast |
$3,433 |
$4,904 |
$3,195 |
$222 | |
| MRI of the brain |
$4,291 |
$6,130 |
$4,173 |
$269 | |
| MRI of the brain with contrast |
$4,291 |
$6,130 |
$3,994 |
$269 | |
| MRI of the brain without contrast |
$3,887 |
$5,553 |
$3,618 |
$195 | |
| MRI of the chest |
$3,718 |
$5,311 |
$3,425 |
$371 | |
| MRI of the chest with contrast |
$3,718 |
$5,311 |
$3,460 |
$371 | |
| MRI of the chest without contrast |
$4,372 |
$6,246 |
$4,069 |
$466 | |
| MRI of the knee |
$4,038 |
$5,769 |
$3,809 |
$315 | |
| MRI of the knee with contrast |
$4,038 |
$5,769 |
$3,759 |
$315 | |
| MRI of the knee without contrast |
$3,835 |
$5,479 |
$3,570 |
$204 | |
| MRI of the lower back (lumbar spine) |
$4,173 |
$5,961 |
$3,951 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$4,173 |
$5,961 |
$3,884 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$3,837 |
$5,482 |
$3,572 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$4,101 |
$5,859 |
$3,883 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$4,696 |
$6,709 |
$4,371 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$4,101 |
$5,859 |
$3,817 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$3,809 |
$5,442 |
$3,545 |
$190 | |
| MRI of the neck (cervical spine) |
$4,535 |
$6,478 |
$4,293 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$5,143 |
$7,347 |
$4,787 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$4,535 |
$6,478 |
$4,220 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$4,171 |
$5,959 |
$3,882 |
$191 | |
| MRI of the pelvis |
$3,948 |
$5,640 |
$3,804 |
$268 | |
| MRI of the pelvis with contrast |
$3,948 |
$5,640 |
$3,674 |
$268 | |
| MRI of the pelvis without contrast |
$3,616 |
$5,165 |
$3,365 |
$227 | |
| MRI of the shoulder |
$3,828 |
$5,468 |
$3,624 |
$313 | |
| MRI of the shoulder with contrast |
$3,828 |
$5,468 |
$3,562 |
$313 | |
| MRI of the shoulder without contrast |
$3,592 |
$5,131 |
$3,343 |
$205 | |
| MRI of the wrist |
$3,628 |
$5,183 |
$3,480 |
$330 | |
| MRI of the wrist with contrast |
$3,628 |
$5,183 |
$3,377 |
$330 | |
| MRI of the wrist without contrast |
$3,502 |
$5,003 |
$3,259 |
$303 | |
| Nebulizer breathing treatment |
$158 |
$226 |
$147 |
$9 | |
| Nuchal translucency ultrasound |
$941 |
$1,344 |
$876 |
$116 | |
| Nuclear cardiac stress test |
$5,170 |
$7,386 |
$4,812 |
$428 | |
| Occupational therapy evaluation |
$382 |
$545 |
$329 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$550 |
$786 |
$475 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$349 |
$498 |
$301 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$382 |
$545 |
$329 |
$101 | |
| Office visit (established patient) |
$228 |
$326 |
$188 |
$115 | |
| Office visit (new patient) |
$438 |
$626 |
$412 |
$177 | |
| Office visit, established patient (level 3) |
$221 |
$316 |
$176 |
$95 | |
| Office visit, established patient (level 4) |
$281 |
$402 |
$195 |
$136 | |
| Office visit, new patient (level 3) |
$380 |
$543 |
$354 |
$118 | |
| Office visit, new patient (level 4) |
$438 |
$626 |
$408 |
$177 | |
| Office visit, new patient (level 5) |
$641 |
$915 |
$596 |
$237 | |
| Pap smear (cervical screening) |
$83 |
$119 |
$78 |
$20 | |
| Parathyroid hormone (PTH) test |
$264 |
$377 |
$246 |
$41 | |
| Pelvic ultrasound |
$1,186 |
$1,695 |
$1,007 |
$78 | |
| Pelvic ultrasound (complete) |
$1,510 |
$2,157 |
$1,405 |
$105 | |
| Pelvic ultrasound (limited) |
$862 |
$1,232 |
$803 |
$51 | |
| Phosphorus blood test |
$70 |
$100 |
$65 |
$5 | |
| Physical therapy evaluation |
$352 |
$503 |
$282 |
$98 | |
| Physical therapy evaluation (high complexity) |
$447 |
$638 |
$385 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$352 |
$503 |
$304 |
$98 | |
| Platelet count |
$53 |
$75 |
$51 |
$4 | |
| Pneumonia vaccine |
$165 |
$235 |
$153 |
— | |
| Pregnancy blood test (hCG) |
$112 |
$160 |
$105 |
$8 | |
| Pregnancy ultrasound |
$1,073 |
$1,534 |
$1,024 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$941 |
$1,344 |
$876 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$1,206 |
$1,723 |
$1,123 |
$136 | |
| Procalcitonin test |
$280 |
$400 |
$242 |
$27 | |
| Prolactin test |
$131 |
$187 |
$130 |
$19 | |
| Prostate biopsy |
$5,029 |
$7,184 |
$4,680 |
— | |
| Prostate test (PSA) |
$192 |
$274 |
$153 |
$18 | |
| Psychiatric evaluation |
$253 |
$361 |
$196 |
$188 | |
| Pulmonary rehabilitation |
$115 |
$164 |
$99 |
$87 | |
| Radiofrequency nerve ablation |
$12,556 |
$17,937 |
— |
$462 | |
| Scoliosis spine X-ray |
$680 |
$972 |
$644 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$613 |
$876 |
$571 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$747 |
$1,067 |
$695 |
$72 | |
| Screening colonoscopy |
$2,537 |
$3,624 |
$2,199 |
$378 | |
| Screening mammogram |
$524 |
$748 |
$487 |
$126 | |
| Scrotal ultrasound |
$1,377 |
$1,967 |
$1,282 |
$99 | |
| Sedimentation rate (ESR) test |
$62 |
$88 |
$52 |
$3 | |
| Semen analysis |
$67 |
$95 |
$62 |
$12 | |
| Sex hormone binding globulin test |
$125 |
$178 |
$114 |
$22 | |
| Shingles vaccine |
$186 |
$266 |
$173 |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
$331 |
$473 |
$308 |
$114 | |
| Simple wound stitches |
$337 |
$482 |
$308 |
$127 | |
| Skin cancer lesion removal |
$3,430 |
$4,900 |
$3,192 |
$240 | |
| Sleep study (polysomnography) |
$5,150 |
$7,357 |
$4,488 |
$691 | |
| Soft tissue ultrasound |
$775 |
$1,107 |
$721 |
$64 | |
| Speech therapy |
$356 |
$508 |
$331 |
$76 | |
| Spinal tap (lumbar puncture) |
$839 |
$1,199 |
$781 |
$165 | |
| Spirometry (lung function test) |
$478 |
$683 |
$414 |
$30 | |
| Spirometry with bronchodilator |
$860 |
$1,229 |
$801 |
$43 | |
| Strep throat test |
$133 |
$190 |
$124 |
$17 | |
| Stress echocardiogram |
$4,491 |
$6,415 |
$3,487 |
$209 | |
| Stress echocardiogram (complete) |
$4,491 |
$6,415 |
$4,179 |
$233 | |
| Swallow study |
$709 |
$1,013 |
$660 |
$85 | |
| T3 thyroid test |
$116 |
$166 |
$107 |
$14 | |
| Tdap (tetanus) vaccine |
$78 |
$111 |
$72 |
— | |
| Testosterone test |
$134 |
$192 |
$141 |
$26 | |
| Thyroid test (TSH) |
$162 |
$232 |
$151 |
$17 | |
| Thyroid ultrasound |
$1,343 |
$1,919 |
$1,250 |
$109 | |
| Thyroid uptake scan |
$1,520 |
$2,171 |
$1,414 |
$145 | |
| Total IgE allergy test |
$92 |
$132 |
$88 |
$16 | |
| Total protein test |
$38 |
$55 |
$34 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$2,573 |
$3,675 |
$2,394 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$2,573 |
$3,675 |
$2,394 |
$239 | |
| Transvaginal ultrasound |
$1,079 |
$1,542 |
$1,005 |
$118 | |
| Trigger point injection |
$719 |
$1,028 |
$587 |
$56 | |
| Trigger point injection (1-2 muscles) |
$493 |
$704 |
$459 |
$52 | |
| Triglycerides test |
$58 |
$83 |
$50 |
$6 | |
| Troponin (heart) test |
$171 |
$244 |
$159 |
$12 | |
| Turning a breech baby (version) |
$3,833 |
$5,476 |
$3,568 |
$94 | |
| Ulnar nerve surgery (elbow) |
$12,241 |
$17,488 |
— |
$575 | |
| Upper GI endoscopy (EGD) |
$4,035 |
$5,764 |
$2,484 |
$371 | |
| Upper GI series (barium) |
$936 |
$1,337 |
$893 |
$128 | |
| Ureteral stent placement |
$20,122 |
$28,746 |
— |
$373 | |
| Ureteroscopy (stone removal) |
$17,713 |
$25,305 |
— |
$365 | |
| Uric acid (gout) test |
$79 |
$113 |
$74 |
$5 | |
| Urinalysis |
$48 |
$69 |
$40 |
$3 | |
| Urine microalbumin test |
$69 |
$99 |
$65 |
$5 | |
| Urine pregnancy test |
$111 |
$158 |
$103 |
$9 | |
| Vaccine administration |
$67 |
$96 |
$56 |
$19 | |
| Vaccine administration (each additional) |
$62 |
$89 |
$54 |
$16 | |
| Vasectomy |
$9,910 |
$14,158 |
— |
$347 | |
| Vitamin B12 test |
$135 |
$193 |
$126 |
$15 | |
| Vitamin D test |
$191 |
$273 |
$178 |
$30 | |
| Wart removal |
$155 |
$221 |
$144 |
$121 | |
| Wound debridement |
$1,844 |
$2,634 |
$1,716 |
$186 | |
| X-ray of the abdomen |
$519 |
$742 |
$463 |
$36 | |
| X-ray of the ankle |
$542 |
$774 |
$504 |
$37 | |
| X-ray of the collarbone |
$547 |
$782 |
$509 |
$33 | |
| X-ray of the elbow |
$578 |
$825 |
$537 |
$33 | |
| X-ray of the facial bones |
$653 |
$933 |
$577 |
$39 | |
| X-ray of the foot |
$594 |
$849 |
$553 |
$34 | |
| X-ray of the forearm |
$516 |
$737 |
$480 |
$29 | |
| X-ray of the hand |
$547 |
$782 |
$509 |
$38 | |
| X-ray of the hip |
$523 |
$747 |
$533 |
$49 | |
| X-ray of the hip (1 view) |
$497 |
$710 |
$463 |
$34 | |
| X-ray of the hip (3 views) |
$523 |
$747 |
$487 |
$49 | |
| X-ray of the hip (4 views) |
$1,071 |
$1,530 |
$997 |
$63 | |
| X-ray of the knee |
$599 |
$855 |
$579 |
$42 | |
| X-ray of the knee (2 views) |
$557 |
$795 |
$518 |
$34 | |
| X-ray of the knee (3 views) |
$599 |
$855 |
$557 |
$42 | |
| X-ray of the knee (4+ views) |
$725 |
$1,035 |
$674 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$781 |
$1,115 |
$735 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$652 |
$931 |
$607 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$909 |
$1,299 |
$846 |
$53 | |
| X-ray of the lower leg |
$537 |
$767 |
$500 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$738 |
$1,055 |
$681 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$698 |
$997 |
$650 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$778 |
$1,112 |
$724 |
$39 | |
| X-ray of the neck (cervical spine) |
$805 |
$1,150 |
$757 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$666 |
$951 |
$620 |
$40 | |
| X-ray of the pelvis |
$632 |
$903 |
$593 |
$36 | |
| X-ray of the pelvis (1 view) |
$576 |
$823 |
$536 |
$28 | |
| X-ray of the ribs |
$783 |
$1,118 |
$707 |
$42 | |
| X-ray of the ribs (2 views) |
$659 |
$942 |
$614 |
$36 | |
| X-ray of the ribs (3 views) |
$783 |
$1,118 |
$728 |
$42 | |
| X-ray of the shoulder |
$623 |
$890 |
$580 |
$36 | |
| X-ray of the skull |
$648 |
$926 |
$565 |
$40 | |
| X-ray of the upper arm |
$620 |
$885 |
$577 |
$32 | |
| X-ray of the wrist |
$493 |
$704 |
$459 |
$43 | |
| Zinc blood test |
$66 |
$94 |
$66 |
$11 | |