| 3D mammogram (tomosynthesis) |
$22 |
$154 |
$53 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$906 |
$3,046 |
$934 |
$284 | |
| Abdominal ultrasound |
$104 |
$892 |
$136 |
$100 | |
| Abdominal ultrasound (complete) |
$104 |
$899 |
$136 |
$114 | |
| Abdominal ultrasound (limited) |
$104 |
$892 |
$136 |
$86 | |
| Abscess drainage (complex or multiple) |
$406 |
$1,758 |
$406 |
$220 | |
| Abscess drainage (simple) |
$200 |
$920 |
$201 |
$129 | |
| Abscess incision and drainage |
$406 |
$1,269 |
$406 |
$174 | |
| Achilles tendon repair |
$7,253 |
$18,724 |
$7,254 |
$624 | |
| ACL knee reconstruction |
$7,253 |
$17,170 |
$7,254 |
$889 | |
| Albumin blood test |
$4 |
$163 |
$6 |
$5 | |
| Aldosterone test |
$40 |
$204 |
$50 |
$41 | |
| Alkaline phosphatase test |
$5 |
$365 |
$6 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$16 |
$138 |
$21 |
$17 | |
| ALT liver enzyme test |
$5 |
$167 |
$7 |
$5 | |
| Ammonia blood test |
$14 |
$396 |
$18 |
$15 | |
| Amniocentesis |
$920 |
$1,674 |
$921 |
$120 | |
| Anal fistula repair |
$2,774 |
$10,141 |
$2,775 |
$541 | |
| Ankle fracture repair |
$7,253 |
$13,668 |
$7,254 |
$608 | |
| Anoscopy |
$133 |
$7,006 |
$137 |
$129 | |
| Antinuclear antibody (ANA) test |
$12 |
$60 |
$15 |
$12 | |
| Aortic aneurysm repair (AAA) |
— |
$5,028 |
$1,848 |
$1,345 | |
| Arterial blood gas (ABG) |
$26 |
$350 |
$28 |
$26 | |
| AST liver enzyme test |
$5 |
$251 |
$6 |
$5 | |
| Barium swallow study |
$175 |
$1,065 |
$188 |
$107 | |
| Bartholin cyst removal |
$202 |
$879 |
$202 |
$182 | |
| Benign skin lesion removal |
$707 |
$6,118 |
$708 |
$171 | |
| Bilirubin blood test |
$5 |
$116 |
$6 |
$5 | |
| Bladder scope (cystoscopy) |
$697 |
$7,795 |
$718 |
$216 | |
| Bladder tumor removal (TURBT) |
$3,523 |
$12,430 |
$3,524 |
$236 | |
| Blood clotting test (PT/INR) |
$4 |
$207 |
$5 |
$4 | |
| Blood crossmatch |
$170 |
$718 |
$170 |
— | |
| Blood glucose test |
$4 |
$193 |
$5 |
$5 | |
| Blood transfusion |
$441 |
$1,967 |
$441 |
$47 | |
| Blood type and screen |
$52 |
$232 |
$52 |
$10 | |
| Blood type test |
$133 |
$177 |
$37 |
$3 | |
| Blood type test (ABO group) |
$133 |
$232 |
$98 |
$3 | |
| Blood type test (Rh/D antigen) |
$37 |
$101 |
$24 |
$3 | |
| BNP (heart failure) test |
$39 |
$276 |
$42 |
$39 | |
| Bone density scan (DEXA) |
$104 |
$549 |
$105 |
$39 | |
| Bone marrow biopsy |
$1,650 |
$4,127 |
$2,146 |
$172 | |
| Bone scan (nuclear) |
$399 |
$2,487 |
$515 |
$259 | |
| Breast biopsy |
$1,650 |
$7,010 |
$1,651 |
$478 | |
| Breast MRI |
$238 |
$3,827 |
$250 |
$216 | |
| Breast MRI without contrast |
$238 |
$3,827 |
$248 |
$216 | |
| Breast ultrasound |
$104 |
$988 |
$113 |
$92 | |
| Breast ultrasound (complete) |
$104 |
$1,028 |
$136 |
$100 | |
| Breast ultrasound (limited) |
$86 |
$837 |
$113 |
$84 | |
| Breathing tube insertion (intubation) |
$236 |
$1,463 |
$244 |
$133 | |
| Bronchoscopy |
$2,753 |
$9,820 |
$2,997 |
$303 | |
| Bunion surgery (bunionectomy) |
$7,253 |
$9,936 |
$7,254 |
$883 | |
| Burn dressing and debridement (medium) |
$200 |
$535 |
$207 |
$166 | |
| Burn dressing and debridement (small) |
$200 |
$1,235 |
$207 |
$93 | |
| Burn treatment |
$200 |
$1,059 |
$207 |
$129 | |
| CA 19-9 tumor marker test |
$20 |
$248 |
$26 |
$21 | |
| CA-125 ovarian marker test |
$20 |
$176 |
$26 |
$21 | |
| Calcium blood test |
$5 |
$231 |
$6 |
$5 | |
| Cardiac ablation |
$26,128 |
$90,000 |
$26,128 |
$759 | |
| Cardiac catheterization |
$3,240 |
$15,448 |
$3,338 |
$1,049 | |
| Cardiac stress test |
$215 |
$1,334 |
$216 |
$39 | |
| Cardioversion |
$660 |
$3,072 |
$681 |
$155 | |
| Carotid artery ultrasound |
$171 |
$1,069 |
$226 |
$156 | |
| Carpal tunnel release |
$1,952 |
$10,384 |
$1,952 |
$483 | |
| CEA tumor marker test |
$18 |
$327 |
$23 |
$19 | |
| Celiac disease test |
$11 |
$152 |
$12 |
$12 | |
| Central line placement |
$3,156 |
$14,054 |
$3,156 |
$238 | |
| Cervical cerclage |
$3,235 |
$6,195 |
$3,236 |
$137 | |
| Cervical LEEP procedure |
$3,235 |
$10,852 |
$3,236 |
$325 | |
| Cesarean section (C-section) |
$8,912 |
— |
$9,486 |
$7,552 | |
| Chest fluid drain (thoracentesis) |
$627 |
$1,860 |
$646 |
$311 | |
| Chest tube insertion |
$1,573 |
$3,281 |
$1,574 |
$143 | |
| Chest X-ray |
$86 |
$665 |
$88 |
$37 | |
| Chest X-ray (1 view) |
$86 |
$463 |
$87 |
$25 | |
| Chest X-ray (2 views) |
$86 |
$674 |
$87 |
$33 | |
| Circumcision |
$2,089 |
$12,019 |
$2,152 |
$167 | |
| CK-MB heart enzyme test |
$11 |
$244 |
$14 |
$12 | |
| Clotting time test (PTT) |
$6 |
$244 |
$7 |
$6 | |
| Colonoscopy |
$1,063 |
$6,202 |
$1,196 |
$480 | |
| Complete blood count (CBC) |
$7 |
$186 |
$8 |
$7 | |
| Complete blood count (CBC) (complete) |
$7 |
$186 |
$10 |
$8 | |
| Copper blood test |
$12 |
$87 |
$15 |
$12 | |
| Coronary artery bypass (CABG) |
$37,862 |
— |
$43,955 |
$36,593 | |
| Coronary CT angiography |
$348 |
$1,840 |
$349 |
$326 | |
| Cortisol test |
$16 |
$473 |
$20 |
$16 | |
| COVID-19 PCR test |
$51 |
$163 |
$51 |
$51 | |
| CPAP titration study |
$218 |
$984 |
$219 |
$69 | |
| Creatine kinase (CK) test |
$6 |
$316 |
$8 |
$7 | |
| CT scan of the abdomen |
$175 |
$3,420 |
$186 |
$230 | |
| CT scan of the abdomen and pelvis |
$348 |
$5,682 |
$363 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$348 |
$7,373 |
$453 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$348 |
$5,682 |
$453 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$238 |
$4,666 |
$310 |
$183 | |
| CT scan of the abdomen with contrast |
$175 |
$3,420 |
$228 |
$230 | |
| CT scan of the arm |
$175 |
$2,974 |
$237 |
$199 | |
| CT scan of the arm with contrast |
$348 |
$2,974 |
$392 |
$199 | |
| CT scan of the chest |
$175 |
$3,463 |
$186 |
$167 | |
| CT scan of the chest with and without contrast |
$175 |
$4,019 |
$228 |
$196 | |
| CT scan of the chest with contrast |
$175 |
$3,463 |
$228 |
$167 | |
| CT scan of the head |
$175 |
$3,020 |
$185 |
$148 | |
| CT scan of the head with and without contrast |
$175 |
$3,635 |
$228 |
$173 | |
| CT scan of the head with contrast |
$175 |
$3,020 |
$228 |
$148 | |
| CT scan of the leg |
$175 |
$3,255 |
$185 |
$166 | |
| CT scan of the leg with contrast |
$175 |
$3,493 |
$228 |
$166 | |
| CT scan of the lower back (lumbar spine) |
$175 |
$3,336 |
$237 |
$169 | |
| CT scan of the lower back (lumbar spine) with contrast |
$348 |
$3,383 |
$349 |
$169 | |
| CT scan of the neck |
$175 |
$3,111 |
$186 |
$183 | |
| CT scan of the neck (cervical spine) |
$175 |
$3,094 |
$237 |
$168 | |
| CT scan of the neck (cervical spine) with contrast |
$348 |
$3,020 |
$349 |
$168 | |
| CT scan of the neck with and without contrast |
$175 |
$3,287 |
$228 |
$220 | |
| CT scan of the neck with contrast |
$175 |
$3,138 |
$228 |
$183 | |
| CT scan of the pelvis |
$175 |
$3,205 |
$186 |
$226 | |
| CT scan of the pelvis with and without contrast |
$175 |
$3,299 |
$228 |
$251 | |
| CT scan of the pelvis with contrast |
$175 |
$3,217 |
$228 |
$226 | |
| CT scan of the sinuses |
$175 |
$3,058 |
$185 |
$152 | |
| CT scan of the sinuses with and without contrast |
$175 |
$3,283 |
$228 |
$184 | |
| CT scan of the sinuses with contrast |
$175 |
$3,080 |
$228 |
$152 | |
| D-dimer test |
$10 |
$198 |
$13 |
$10 | |
| Defibrillator (ICD) implant |
$31,377 |
$90,000 |
$31,377 |
$798 | |
| DHEA-sulfate test |
$22 |
$167 |
$27 |
$22 | |
| Diagnostic mammogram |
$93 |
$692 |
$105 |
$140 | |
| Dialysis fistula creation |
$3,156 |
$15,172 |
$3,156 |
$601 | |
| Dilation and curettage (D&C) |
$3,235 |
$5,082 |
$3,236 |
$298 | |
| Drug screen (urine) |
$62 |
$228 |
$62 |
$17 | |
| Ear tubes (myringotomy) |
$1,551 |
$6,564 |
$1,551 |
$174 | |
| Echocardiogram |
$238 |
$1,185 |
$250 |
$138 | |
| Echocardiogram with and without contrast |
$238 |
$1,080 |
$239 |
$101 | |
| Echocardiogram without contrast |
$238 |
$1,271 |
$253 |
$138 | |
| EEG (awake and asleep) |
$215 |
$1,815 |
$216 |
$482 | |
| EKG / ECG (tracing only) |
$58 |
$373 |
$59 |
$7 | |
| Electrocardiogram (EKG) |
$58 |
$373 |
$59 |
$8 | |
| Electroencephalogram (EEG) |
$215 |
$1,599 |
$216 |
$448 | |
| Electrolyte panel |
$7 |
$509 |
$9 |
$7 | |
| Emergency department visit |
$272 |
$2,592 |
$273 |
$69 | |
| Emergency department visit (level 1) |
$84 |
$446 |
$84 |
$11 | |
| Emergency department visit (level 2) |
$153 |
$920 |
$153 |
$40 | |
| Emergency department visit (level 3) |
$272 |
$2,592 |
$273 |
$69 | |
| Emergency department visit (level 4) |
$417 |
$3,312 |
$430 |
$118 | |
| Emergency department visit (level 5) |
$595 |
$3,778 |
$613 |
$171 | |
| Epidural steroid injection |
$705 |
$1,796 |
$727 |
$275 | |
| ERCP (bile duct endoscopy) |
$3,854 |
$20,317 |
$3,854 |
$311 | |
| Esophageal dilation |
$1,918 |
$6,674 |
$1,918 |
$522 | |
| Estradiol (estrogen) test |
$27 |
$140 |
$34 |
$28 | |
| Fallopian tube X-ray (HSG) |
$238 |
$921 |
$239 |
$164 | |
| Fecal occult blood (stool) test |
$4 |
$90 |
$7 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$4 |
$75 |
$5 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$15 |
$108 |
$20 |
$16 | |
| Feeding tube (PEG) placement |
$1,918 |
$5,933 |
$1,918 |
$178 | |
| Ferritin (iron) test |
$13 |
$486 |
$17 |
$14 | |
| Fibrinogen test |
$9 |
$174 |
$10 |
$10 | |
| Flexible sigmoidoscopy |
$929 |
$5,358 |
$930 |
$323 | |
| Flu test |
$16 |
$91 |
$18 |
$17 | |
| Folate (folic acid) test |
$14 |
$273 |
$18 |
$15 | |
| Foreign body removal (skin) |
$406 |
$1,884 |
$406 |
$157 | |
| Free T4 thyroid test |
$9 |
$45 |
$11 |
$9 | |
| FSH hormone test |
$18 |
$93 |
$23 |
$19 | |
| Gallbladder removal (laparoscopic) |
$6,043 |
$15,337 |
$6,043 |
$658 | |
| Gallbladder scan (HIDA) |
$542 |
$2,162 |
$575 |
$334 | |
| Ganglion cyst removal |
$1,607 |
$11,905 |
$1,607 |
$321 | |
| GGT liver test |
$7 |
$210 |
$9 |
$7 | |
| Glucose tolerance test |
$8 |
$530 |
$11 |
$8 | |
| H. pylori test |
$67 |
$442 |
$83 |
$67 | |
| Hammertoe repair |
$3,270 |
$5,544 |
$3,271 |
$548 | |
| HDL cholesterol test |
$8 |
$233 |
$10 |
$8 | |
| Hemodialysis |
$686 |
$3,239 |
$686 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$9 |
$233 |
$12 |
$10 | |
| Hemorrhoid removal |
$2,774 |
$5,575 |
$2,775 |
$338 | |
| Hepatitis B test |
$10 |
$52 |
$13 |
$10 | |
| Hepatitis C test |
$14 |
$71 |
$18 |
$14 | |
| Hip replacement |
$12,833 |
$25,580 |
$12,834 |
$1,162 | |
| HIV test |
$13 |
$245 |
$22 |
$19 | |
| HIV test (antibody) |
$13 |
$250 |
$17 |
$14 | |
| HIV test (antigen/antibody combo) |
$24 |
$120 |
$30 |
$24 | |
| Hydrocele repair |
$3,579 |
$12,430 |
$3,579 |
$315 | |
| Hysterectomy |
$10,625 |
$22,304 |
$10,626 |
$933 | |
| Hysteroscopy |
$3,235 |
$10,457 |
$3,236 |
$1,270 | |
| Inguinal hernia repair |
$3,579 |
$13,785 |
$3,579 |
$538 | |
| Iron blood test |
$6 |
$207 |
$8 |
$6 | |
| IUD insertion |
— |
$5,317 |
$79 |
— | |
| IUD removal |
$304 |
$4,144 |
$305 |
$112 | |
| IV infusion therapy |
$212 |
$945 |
$213 |
$44 | |
| IV infusion therapy (each additional) |
$46 |
$285 |
$47 |
$21 | |
| IV infusion therapy (initial) |
$212 |
$1,328 |
$213 |
$67 | |
| IVC filter placement |
$5,562 |
$13,130 |
$5,562 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$306 |
$1,858 |
$307 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$306 |
$1,548 |
$307 |
$57 | |
| Joint aspiration or injection (small joint) |
$306 |
$1,858 |
$307 |
$56 | |
| Kidney biopsy |
$1,650 |
$8,253 |
$1,651 |
$492 | |
| Kidney scan (nuclear) |
$542 |
$2,209 |
$543 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$3,523 |
$10,699 |
$3,524 |
$760 | |
| Kidney ultrasound |
$104 |
$950 |
$115 |
$84 | |
| Kidney ultrasound (limited) |
$104 |
$950 |
$112 |
$61 | |
| Knee arthroscopy |
$3,270 |
$13,627 |
$3,271 |
$524 | |
| Knee joint injection |
$306 |
$1,909 |
$307 |
$69 | |
| Knee replacement |
$19,382 |
— |
$23,387 |
$18,054 | |
| Lactate test |
$11 |
$337 |
$13 |
$12 | |
| Laminectomy (spine) |
$7,253 |
$21,119 |
$7,254 |
$1,157 | |
| Laryngoscopy |
$199 |
$497 |
$200 |
$189 | |
| LDH test |
$6 |
$244 |
$7 |
$6 | |
| LDL cholesterol test |
$10 |
$614 |
$12 |
$11 | |
| Leg artery angiogram |
$3,156 |
$8,215 |
$3,156 |
$149 | |
| Leg artery angioplasty |
$11,096 |
$29,007 |
$11,096 |
— | |
| Leg vein ultrasound (Doppler) |
$238 |
$1,080 |
$239 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$104 |
$1,292 |
$136 |
$116 | |
| LH hormone test |
$18 |
$155 |
$23 |
$19 | |
| Lipid (cholesterol) panel |
$13 |
$312 |
$16 |
$13 | |
| Liver biopsy |
$1,650 |
$9,629 |
$1,651 |
$288 | |
| Lower back (lumbar) spinal fusion |
— |
— |
$45,380 |
$1,511 | |
| Lumbar discectomy |
$7,253 |
$31,387 |
$7,254 |
$898 | |
| Lumpectomy (breast) |
$3,914 |
$12,747 |
$3,914 |
$750 | |
| Lung function test (PFT) |
$294 |
$1,181 |
$373 |
$37 | |
| Lung scan (V/Q) |
$542 |
$1,603 |
$579 |
$291 | |
| Magnesium blood test |
$6 |
$34 |
$8 |
$7 | |
| Mastectomy |
$6,637 |
$28,228 |
$6,638 |
$1,021 | |
| Meniscus repair (knee) |
$3,270 |
$12,368 |
$3,271 |
$714 | |
| MRA of the brain |
$348 |
$3,831 |
$368 |
$226 | |
| MRA of the brain with contrast |
$348 |
$3,831 |
$445 |
$226 | |
| MRA of the brain without contrast |
$348 |
$3,831 |
$453 |
$328 | |
| MRA of the neck |
$348 |
$3,910 |
$370 |
$245 | |
| MRA of the neck with contrast |
$348 |
$3,831 |
$453 |
$245 | |
| MRA of the neck without contrast |
$348 |
$4,451 |
$453 |
$343 | |
| MRI of the abdomen |
$348 |
$4,084 |
$370 |
$300 | |
| MRI of the abdomen with contrast |
$348 |
$2,934 |
$453 |
$300 | |
| MRI of the abdomen without contrast |
$238 |
$4,084 |
$310 |
$194 | |
| MRI of the ankle |
$348 |
$2,118 |
$368 |
$261 | |
| MRI of the ankle with contrast |
$348 |
$2,346 |
$453 |
$261 | |
| MRI of the ankle without contrast |
$238 |
$1,897 |
$310 |
$222 | |
| MRI of the brain |
$348 |
$4,000 |
$370 |
$269 | |
| MRI of the brain with contrast |
$348 |
$3,831 |
$453 |
$269 | |
| MRI of the brain without contrast |
$238 |
$3,883 |
$310 |
$195 | |
| MRI of the chest |
$348 |
$2,608 |
$495 |
$371 | |
| MRI of the chest with contrast |
$783 |
$2,608 |
$784 |
$371 | |
| MRI of the chest without contrast |
$348 |
$2,611 |
$453 |
$466 | |
| MRI of the knee |
$348 |
$2,576 |
$392 |
$315 | |
| MRI of the knee with contrast |
$783 |
$2,720 |
$784 |
$315 | |
| MRI of the knee without contrast |
$238 |
$1,897 |
$310 |
$204 | |
| MRI of the lower back (lumbar spine) |
$348 |
$3,843 |
$369 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$348 |
$3,843 |
$453 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$238 |
$3,611 |
$310 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$348 |
$4,005 |
$368 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$348 |
$5,345 |
$453 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$348 |
$3,950 |
$453 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$238 |
$4,005 |
$310 |
$190 | |
| MRI of the neck (cervical spine) |
$348 |
$3,563 |
$369 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$348 |
$4,722 |
$453 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$348 |
$3,563 |
$453 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$238 |
$3,445 |
$310 |
$191 | |
| MRI of the pelvis |
$348 |
$3,768 |
$369 |
$268 | |
| MRI of the pelvis with contrast |
$348 |
$3,768 |
$453 |
$268 | |
| MRI of the pelvis without contrast |
$238 |
$3,768 |
$310 |
$227 | |
| MRI of the shoulder |
$348 |
$2,552 |
$392 |
$313 | |
| MRI of the shoulder with contrast |
$783 |
$2,552 |
$784 |
$313 | |
| MRI of the shoulder without contrast |
$238 |
$2,158 |
$310 |
$205 | |
| MRI of the wrist |
$348 |
$2,094 |
$370 |
$330 | |
| MRI of the wrist with contrast |
$348 |
$2,094 |
$453 |
$330 | |
| MRI of the wrist without contrast |
$238 |
$1,861 |
$310 |
$303 | |
| Nebulizer breathing treatment |
$218 |
$971 |
$219 |
$9 | |
| Neck (cervical) spinal fusion |
$12,833 |
$25,068 |
$12,834 |
$1,410 | |
| Nuclear cardiac stress test |
$1,294 |
$7,551 |
$1,294 |
$428 | |
| Occupational therapy evaluation |
$98 |
$446 |
$98 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$98 |
$576 |
$98 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$98 |
$388 |
$98 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$98 |
$467 |
$98 |
$101 | |
| Office visit (established patient) |
— |
$294 |
— |
$115 | |
| Office visit (new patient) |
— |
$2,432 |
— |
$177 | |
| Office visit, established patient (level 4) |
— |
$294 |
— |
$136 | |
| Office visit, new patient (level 5) |
— |
$2,432 |
— |
$237 | |
| Orthopedic hardware removal |
$2,903 |
$18,276 |
$2,904 |
$632 | |
| Ovarian cyst removal |
$5,000 |
$15,590 |
$5,001 |
$698 | |
| Pacemaker insertion |
$16,841 |
— |
$18,845 |
$15,506 | |
| Pap smear (cervical screening) |
$26 |
$133 |
$33 |
$20 | |
| Parathyroid hormone (PTH) test |
$41 |
$206 |
$51 |
$41 | |
| Pelvic ultrasound |
$104 |
$1,301 |
$109 |
$78 | |
| Pelvic ultrasound (complete) |
$104 |
$1,319 |
$136 |
$105 | |
| Pelvic ultrasound (limited) |
$104 |
$1,163 |
$105 |
$51 | |
| Physical therapy evaluation |
$95 |
$481 |
$96 |
$98 | |
| Physical therapy evaluation (high complexity) |
$95 |
$528 |
$96 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$95 |
$475 |
$95 |
$98 | |
| Pilonidal cyst removal |
$2,903 |
$15,144 |
$2,904 |
$541 | |
| Platelet count |
$4 |
$225 |
$6 |
$4 | |
| Pregnancy ultrasound |
$104 |
$1,301 |
$136 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$104 |
$888 |
$136 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$104 |
$1,301 |
$136 |
$136 | |
| Procalcitonin test |
$27 |
$925 |
$33 |
$27 | |
| Prolactin test |
$19 |
$312 |
$24 |
$19 | |
| Prostate biopsy |
$2,004 |
$8,888 |
$2,004 |
— | |
| Prostate surgery (TURP) |
$5,359 |
$16,830 |
$5,360 |
$526 | |
| Prostate test (PSA) |
$18 |
$92 |
$23 |
$18 | |
| Psychiatric evaluation |
$177 |
$383 |
$177 |
$188 | |
| Rheumatoid factor test |
$6 |
$45 |
$7 |
$6 | |
| Rotator cuff repair |
$7,253 |
$13,398 |
$7,254 |
$792 | |
| Scoliosis spine X-ray |
$104 |
$576 |
$105 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$86 |
$576 |
$87 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$104 |
$693 |
$132 |
$72 | |
| Screening colonoscopy |
$929 |
$4,030 |
$958 |
$378 | |
| Screening mammogram |
$86 |
$473 |
$90 |
$126 | |
| Scrotal ultrasound |
$104 |
$964 |
$136 |
$99 | |
| Sedimentation rate (ESR) test |
$4 |
$127 |
$5 |
$3 | |
| Septoplasty (deviated septum) |
$3,314 |
$2,713 |
$2,713 |
$613 | |
| Sex hormone binding globulin test |
$21 |
$109 |
$27 |
$22 | |
| Shoulder arthroscopy |
$7,253 |
$12,703 |
$7,254 |
$962 | |
| Shoulder replacement |
$17,527 |
$29,106 |
$17,527 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$200 |
$1,076 |
$207 |
$114 | |
| Simple wound stitches |
$200 |
$1,269 |
$207 |
$127 | |
| Sinus surgery (endoscopic) |
$5,390 |
$4,748 |
$4,069 |
$224 | |
| Skin biopsy |
$572 |
$2,264 |
$705 |
$121 | |
| Skin biopsy (punch) |
$406 |
$1,758 |
$406 |
$121 | |
| Skin cancer lesion removal |
$707 |
$7,006 |
$708 |
$240 | |
| Skin tag removal |
$200 |
$589 |
$207 |
$92 | |
| Sleep study (polysomnography) |
$858 |
$6,565 |
$871 |
$691 | |
| Soft tissue ultrasound |
$104 |
$479 |
$105 |
$64 | |
| Speech therapy |
$74 |
$372 |
$74 |
$76 | |
| Spinal tap (lumbar puncture) |
$705 |
$2,423 |
$727 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$7,253 |
$7,198 |
$7,198 |
$5,803 | |
| Spirometry (lung function test) |
$215 |
$978 |
$216 |
$30 | |
| Spirometry with bronchodilator |
$373 |
$1,384 |
$373 |
$43 | |
| Strep throat test |
$16 |
$103 |
$18 |
$17 | |
| Stress echocardiogram |
$546 |
$2,327 |
$546 |
$209 | |
| Stress echocardiogram (complete) |
$546 |
$2,327 |
$546 |
$233 | |
| Swallow study |
$57 |
$419 |
$57 |
$85 | |
| T3 thyroid test |
$14 |
$71 |
$17 |
$14 | |
| Testicle removal (orchiectomy) |
$3,523 |
$14,011 |
$3,524 |
$306 | |
| Testosterone test |
$25 |
$129 |
$32 |
$26 | |
| Thyroid test (TSH) |
$16 |
$84 |
$21 |
$17 | |
| Thyroid ultrasound |
$104 |
$675 |
$136 |
$109 | |
| Thyroid uptake scan |
$399 |
$1,268 |
$400 |
$145 | |
| Tilt table test |
$373 |
$2,014 |
$373 |
$168 | |
| Tonsillectomy |
$4,616 |
$11,773 |
$5,303 |
$252 | |
| Total IgE allergy test |
$16 |
$82 |
$20 |
$16 | |
| Tracheostomy |
$3,314 |
$6,694 |
$3,314 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$546 |
$2,659 |
$546 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$546 |
$3,071 |
$546 |
$239 | |
| Transvaginal ultrasound |
$104 |
$729 |
$136 |
$118 | |
| Trigger finger release |
$1,607 |
$10,708 |
$1,607 |
$630 | |
| Trigger point injection |
$306 |
$1,306 |
$307 |
$56 | |
| Trigger point injection (1-2 muscles) |
$306 |
$1,306 |
$307 |
$52 | |
| Triglycerides test |
$5 |
$231 |
$7 |
$6 | |
| Troponin (heart) test |
$12 |
$333 |
$13 |
$12 | |
| Tubal ligation |
$6,043 |
$12,115 |
$6,043 |
$333 | |
| Turbinate reduction |
$3,314 |
$2,713 |
$2,713 |
$294 | |
| Ulnar nerve surgery (elbow) |
$1,952 |
$15,590 |
$1,952 |
$575 | |
| Upper GI endoscopy (EGD) |
$906 |
$5,477 |
$907 |
$371 | |
| Upper GI series (barium) |
$175 |
$1,619 |
$228 |
$128 | |
| Ureteral stent placement |
$3,523 |
$10,269 |
$3,524 |
$373 | |
| Ureteroscopy (stone removal) |
$5,359 |
$14,801 |
$5,360 |
$365 | |
| Urine microalbumin test |
$5 |
$159 |
$6 |
$5 | |
| Urine pregnancy test |
$8 |
$156 |
$9 |
$9 | |
| Vaccine administration |
$71 |
$430 |
$72 |
$19 | |
| Vaccine administration (each additional) |
— |
$106 |
$41 |
$16 | |
| Vaginal delivery |
$6,853 |
— |
$7,196 |
$5,487 | |
| Vasectomy |
$2,089 |
$11,905 |
$2,090 |
$347 | |
| Vitamin B12 test |
$15 |
$75 |
$19 |
$15 | |
| Vitamin D test |
$29 |
$164 |
$36 |
$30 | |
| Wart removal |
$200 |
$817 |
$207 |
$121 | |
| Weight-loss (bariatric) surgery |
$12,992 |
— |
$16,024 |
$11,645 | |
| Wound debridement |
$406 |
$1,811 |
$711 |
$186 | |
| Wrist fracture repair |
$7,253 |
$15,133 |
$7,254 |
$735 | |
| X-ray of the abdomen |
$104 |
$549 |
$105 |
$36 | |
| X-ray of the ankle |
$86 |
$651 |
$87 |
$37 | |
| X-ray of the collarbone |
$86 |
$537 |
$87 |
$33 | |
| X-ray of the elbow |
$86 |
$857 |
$87 |
$33 | |
| X-ray of the facial bones |
$95 |
$852 |
$97 |
$39 | |
| X-ray of the foot |
$86 |
$586 |
$87 |
$34 | |
| X-ray of the forearm |
$86 |
$725 |
$87 |
$29 | |
| X-ray of the hand |
$86 |
$401 |
$87 |
$38 | |
| X-ray of the hip |
$86 |
$722 |
$95 |
$49 | |
| X-ray of the hip (1 view) |
$86 |
$474 |
$87 |
$34 | |
| X-ray of the hip (3 views) |
$86 |
$722 |
$92 |
$49 | |
| X-ray of the hip (4 views) |
$104 |
$722 |
$112 |
$63 | |
| X-ray of the knee |
$86 |
$734 |
$87 |
$42 | |
| X-ray of the knee (2 views) |
$86 |
$734 |
$87 |
$34 | |
| X-ray of the knee (3 views) |
$86 |
$837 |
$87 |
$42 | |
| X-ray of the knee (4+ views) |
$104 |
$581 |
$105 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$104 |
$1,030 |
$105 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$104 |
$809 |
$105 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$104 |
$1,478 |
$105 |
$53 | |
| X-ray of the lower leg |
$86 |
$745 |
$87 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$104 |
$809 |
$105 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$104 |
$809 |
$105 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$104 |
$798 |
$105 |
$39 | |
| X-ray of the neck (cervical spine) |
$95 |
$642 |
$105 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$86 |
$642 |
$87 |
$40 | |
| X-ray of the pelvis |
$104 |
$694 |
$105 |
$36 | |
| X-ray of the pelvis (1 view) |
$104 |
$694 |
$105 |
$28 | |
| X-ray of the ribs |
$104 |
$580 |
$105 |
$42 | |
| X-ray of the ribs (2 views) |
$86 |
$492 |
$87 |
$36 | |
| X-ray of the ribs (3 views) |
$104 |
$694 |
$105 |
$42 | |
| X-ray of the shoulder |
$86 |
$811 |
$87 |
$36 | |
| X-ray of the skull |
$104 |
$686 |
$105 |
$40 | |
| X-ray of the upper arm |
$86 |
$747 |
$87 |
$32 | |
| X-ray of the wrist |
$86 |
$818 |
$87 |
$43 | |
| Zinc blood test |
$11 |
$128 |
$14 |
$11 | |