| 3D mammogram (tomosynthesis) |
$97 |
$242 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$2,280 |
$5,699 |
— |
$284 | |
| Abdominal ultrasound |
$886 |
$2,216 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$795 |
$1,988 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$966 |
$2,416 |
— |
$86 | |
| Abscess drainage (simple) |
$322 |
$804 |
— |
$129 | |
| Achilles tendon repair |
$7,335 |
$18,337 |
— |
$624 | |
| ACL knee reconstruction |
$12,462 |
$31,156 |
— |
$889 | |
| Adenoid removal (adenoidectomy) |
$12,234 |
$30,585 |
— |
$204 | |
| Albumin blood test |
$34 |
$84 |
$19 |
$5 | |
| Aldosterone test |
$118 |
$295 |
$160 |
$41 | |
| Alkaline phosphatase test |
$13 |
$33 |
$20 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$57 |
$143 |
$66 |
$17 | |
| ALT liver enzyme test |
$38 |
$95 |
$21 |
$5 | |
| Ammonia blood test |
$70 |
$176 |
$57 |
$15 | |
| Amylase test |
$40 |
$101 |
$25 |
$6 | |
| Anal fistula repair |
$15,203 |
$38,007 |
— |
$541 | |
| Ankle fracture repair |
$13,733 |
$34,334 |
— |
$608 | |
| Antinuclear antibody (ANA) test |
$31 |
$77 |
$48 |
$12 | |
| Arterial blood gas (ABG) |
$282 |
$705 |
$76 |
$26 | |
| AST liver enzyme test |
$32 |
$80 |
$20 |
$5 | |
| Barium swallow study |
$352 |
$880 |
— |
$107 | |
| Basic metabolic panel |
$224 |
$559 |
$31 |
$8 | |
| Benign skin lesion removal |
$7,194 |
$17,986 |
— |
$171 | |
| Bilirubin blood test |
$22 |
$56 |
$20 |
$5 | |
| Bladder tumor removal (TURBT) |
$15,451 |
$38,628 |
— |
$236 | |
| Blood clotting test (PT/INR) |
$56 |
$141 |
$15 |
$4 | |
| Blood crossmatch |
$76 |
$190 |
— |
— | |
| Blood glucose test |
$18 |
$46 |
$14 |
$5 | |
| Blood transfusion |
$716 |
$1,790 |
— |
$47 | |
| Blood type and screen |
$33 |
$82 |
$14 |
$10 | |
| Blood type test |
$30 |
$75 |
$12 |
$3 | |
| Blood type test (ABO group) |
$30 |
$75 |
$12 |
$3 | |
| Blood type test (Rh/D antigen) |
$30 |
$75 |
$12 |
$3 | |
| BNP (heart failure) test |
$156 |
$390 |
$133 |
$39 | |
| Bone density scan (DEXA) |
$524 |
$1,311 |
— |
$39 | |
| Bone marrow biopsy |
$1,206 |
$3,015 |
— |
$172 | |
| Bone scan (nuclear) |
$1,196 |
$2,991 |
— |
$259 | |
| Breast biopsy |
$2,662 |
$6,655 |
— |
$478 | |
| Breast MRI |
$3,403 |
$8,508 |
$820 |
$216 | |
| Breast MRI without contrast |
$3,403 |
$8,508 |
$820 |
$216 | |
| Breast ultrasound |
$292 |
$731 |
— |
$92 | |
| Breast ultrasound (complete) |
$273 |
$682 |
— |
$100 | |
| Breast ultrasound (limited) |
$305 |
$763 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$2,047 |
$5,117 |
— |
$133 | |
| Bunion surgery (bunionectomy) |
$11,862 |
$29,655 |
— |
$883 | |
| Burn dressing and debridement (small) |
$364 |
$909 |
— |
$93 | |
| Burn treatment |
$364 |
$909 |
— |
$129 | |
| C-reactive protein (CRP) |
$60 |
$151 |
$20 |
$5 | |
| CA 19-9 tumor marker test |
$128 |
$321 |
$82 |
$21 | |
| CA-125 ovarian marker test |
$128 |
$321 |
$82 |
$21 | |
| Calcium blood test |
$41 |
$102 |
$20 |
$5 | |
| Cardiac catheterization |
$13,004 |
$32,511 |
— |
$1,049 | |
| Cardiac MRI |
$1,909 |
$4,774 |
$820 |
$322 | |
| Cardiac MRI without contrast |
$1,966 |
$4,914 |
$820 |
$280 | |
| Cardiac rehabilitation |
$84 |
$210 |
— |
$26 | |
| Cardiac stress test |
$1,014 |
$2,536 |
— |
$39 | |
| Cardioversion |
$575 |
$1,437 |
— |
$155 | |
| Carotid artery ultrasound |
$751 |
$1,877 |
— |
$156 | |
| Carpal tunnel release |
$9,094 |
$22,736 |
— |
$483 | |
| Cataract surgery |
$9,114 |
$22,784 |
— |
$547 | |
| CEA tumor marker test |
$112 |
$280 |
$75 |
$19 | |
| Celiac disease test |
$27 |
$68 |
— |
$12 | |
| Central line placement |
$2,712 |
$6,781 |
— |
$238 | |
| Cervical cerclage |
$8,407 |
$21,018 |
— |
$137 | |
| Cesarean section (C-section) |
$20,953 |
$52,382 |
$7,790 |
$7,552 | |
| Chemotherapy infusion |
$216 |
$539 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$105 |
$262 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$326 |
$816 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$4,609 |
$11,523 |
— |
$311 | |
| Chest X-ray |
$226 |
$566 |
— |
$37 | |
| Chest X-ray (1 view) |
$217 |
$543 |
— |
$25 | |
| Chest X-ray (2 views) |
$188 |
$471 |
— |
$33 | |
| CK-MB heart enzyme test |
$96 |
$239 |
$45 |
$12 | |
| Clotting time test (PTT) |
$70 |
$174 |
$24 |
$6 | |
| Colonoscopy |
$2,773 |
$6,932 |
— |
$480 | |
| Complete blood count (CBC) |
$70 |
$174 |
$31 |
$7 | |
| Complete blood count (CBC) (complete) |
$70 |
$174 |
$31 |
$8 | |
| Comprehensive metabolic panel |
$379 |
$948 |
$33 |
$11 | |
| Copper blood test |
$38 |
$95 |
$49 |
$12 | |
| Coronary CT angiography |
$1,686 |
$4,215 |
$382 |
$326 | |
| Cortisol test |
$107 |
$268 |
$64 |
$16 | |
| COVID-19 PCR test |
$154 |
$384 |
— |
$51 | |
| CPAP titration study |
$345 |
$862 |
— |
$69 | |
| Creatine kinase (CK) test |
$38 |
$95 |
$26 |
$7 | |
| CT angiography of the chest |
$2,840 |
$7,101 |
$382 |
$281 | |
| CT angiography of the head |
$2,602 |
$6,505 |
$382 |
$274 | |
| CT scan of the abdomen |
$2,314 |
$5,786 |
$382 |
$230 | |
| CT scan of the abdomen and pelvis |
$4,774 |
$11,936 |
$382 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$5,603 |
$14,007 |
$382 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$4,774 |
$11,936 |
$382 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$3,947 |
$9,868 |
$382 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,515 |
$6,288 |
$382 |
$259 | |
| CT scan of the abdomen with contrast |
$2,314 |
$5,786 |
$382 |
$230 | |
| CT scan of the abdomen without contrast |
$1,942 |
$4,855 |
$382 |
$136 | |
| CT scan of the arm |
$1,455 |
$3,638 |
$382 |
$199 | |
| CT scan of the arm with contrast |
$1,366 |
$3,416 |
$382 |
$199 | |
| CT scan of the arm without contrast |
$1,432 |
$3,581 |
$382 |
$161 | |
| CT scan of the chest |
$1,864 |
$4,660 |
$382 |
$167 | |
| CT scan of the chest with and without contrast |
$2,253 |
$5,633 |
$382 |
$196 | |
| CT scan of the chest with contrast |
$1,864 |
$4,660 |
$382 |
$167 | |
| CT scan of the chest without contrast |
$1,691 |
$4,228 |
$382 |
$133 | |
| CT scan of the head |
$1,887 |
$4,718 |
$382 |
$148 | |
| CT scan of the head with and without contrast |
$2,176 |
$5,440 |
$382 |
$173 | |
| CT scan of the head with contrast |
$1,887 |
$4,718 |
$382 |
$148 | |
| CT scan of the head without contrast |
$1,656 |
$4,140 |
$382 |
$107 | |
| CT scan of the leg |
$1,350 |
$3,376 |
$382 |
$166 | |
| CT scan of the leg with contrast |
$1,283 |
$3,208 |
$382 |
$166 | |
| CT scan of the leg without contrast |
$1,350 |
$3,376 |
$382 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,964 |
$4,909 |
$382 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,339 |
$5,848 |
$382 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,278 |
$3,196 |
$382 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,964 |
$4,909 |
$382 |
$130 | |
| CT scan of the neck |
$2,176 |
$5,440 |
$382 |
$183 | |
| CT scan of the neck (cervical spine) |
$2,197 |
$5,492 |
$382 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,234 |
$5,585 |
$382 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,609 |
$4,023 |
$382 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$2,159 |
$5,398 |
$382 |
$131 | |
| CT scan of the neck with and without contrast |
$2,358 |
$5,895 |
$382 |
$220 | |
| CT scan of the neck with contrast |
$2,176 |
$5,440 |
$382 |
$183 | |
| CT scan of the neck without contrast |
$1,769 |
$4,423 |
$382 |
$150 | |
| CT scan of the pelvis |
$2,212 |
$5,529 |
$382 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,628 |
$6,569 |
$382 |
$251 | |
| CT scan of the pelvis with contrast |
$2,212 |
$5,529 |
$382 |
$226 | |
| CT scan of the pelvis without contrast |
$1,768 |
$4,421 |
$382 |
$133 | |
| CT scan of the sinuses |
$1,855 |
$4,637 |
$382 |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,311 |
$5,777 |
$382 |
$184 | |
| CT scan of the sinuses with contrast |
$1,747 |
$4,367 |
$382 |
$152 | |
| CT scan of the sinuses without contrast |
$1,767 |
$4,417 |
$382 |
$128 | |
| D-dimer test |
$103 |
$258 |
$36 |
$10 | |
| DHEA-sulfate test |
$52 |
$131 |
$87 |
$22 | |
| Diagnostic mammogram |
$271 |
$678 |
— |
$140 | |
| Dialysis fistula creation |
$16,926 |
$42,315 |
— |
$601 | |
| Dilation and curettage (D&C) |
$13,999 |
$34,999 |
— |
$298 | |
| Drug screen (urine) |
$217 |
$544 |
$177 |
$17 | |
| Ear tubes (myringotomy) |
$9,507 |
$23,767 |
— |
$174 | |
| Echocardiogram |
$1,394 |
$3,484 |
— |
$138 | |
| Echocardiogram with and without contrast |
$1,394 |
$3,484 |
— |
$101 | |
| Echocardiogram without contrast |
$692 |
$1,731 |
— |
$138 | |
| EEG (awake and asleep) |
$1,186 |
$2,964 |
— |
$482 | |
| EKG / ECG (tracing only) |
$167 |
$418 |
— |
$7 | |
| Electrocardiogram (EKG) |
$167 |
$418 |
— |
$8 | |
| Electroencephalogram (EEG) |
$1,186 |
$2,964 |
— |
$448 | |
| Electrolyte panel |
$98 |
$245 |
$27 |
$7 | |
| Electromyography (EMG) |
$267 |
$668 |
— |
$141 | |
| Emergency department visit |
$769 |
$1,922 |
$1,263 |
$69 | |
| Emergency department visit (level 1) |
$264 |
$660 |
$396 |
$11 | |
| Emergency department visit (level 2) |
$424 |
$1,061 |
$657 |
$40 | |
| Emergency department visit (level 3) |
$769 |
$1,922 |
$1,263 |
$69 | |
| Emergency department visit (level 4) |
$1,413 |
$3,533 |
$2,533 |
$118 | |
| Emergency department visit (level 5) |
$2,280 |
$5,699 |
$3,998 |
$171 | |
| Epidural steroid injection |
$1,346 |
$3,364 |
— |
$275 | |
| Estradiol (estrogen) test |
$77 |
$192 |
$94 |
$28 | |
| Fallopian tube X-ray (HSG) |
$587 |
$1,468 |
— |
$164 | |
| Fecal occult blood (stool) test |
$27 |
$68 |
$13 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$27 |
$68 |
$13 |
$4 | |
| Ferritin (iron) test |
$75 |
$187 |
$54 |
$14 | |
| Fibrinogen test |
$201 |
$502 |
$33 |
$10 | |
| Flexible sigmoidoscopy |
$6,502 |
$16,254 |
— |
$323 | |
| Folate (folic acid) test |
$80 |
$201 |
$58 |
$15 | |
| Foreign body removal (skin) |
$288 |
$720 |
— |
$157 | |
| Free T4 thyroid test |
$76 |
$191 |
$35 |
$9 | |
| FSH hormone test |
$146 |
$365 |
$73 |
$19 | |
| Gallbladder removal (laparoscopic) |
$19,951 |
$49,877 |
— |
$658 | |
| Gallbladder scan (HIDA) |
$1,609 |
$4,022 |
— |
$334 | |
| Ganglion cyst removal |
$7,329 |
$18,323 |
— |
$321 | |
| GGT liver test |
$51 |
$127 |
$28 |
$7 | |
| Glucose tolerance test |
$53 |
$133 |
$33 |
$8 | |
| H. pylori test |
$123 |
$307 |
$265 |
$67 | |
| Hammertoe repair |
$5,078 |
$12,696 |
— |
$548 | |
| HDL cholesterol test |
$55 |
$137 |
$32 |
$8 | |
| Hematocrit test |
$27 |
$68 |
$9 |
$2 | |
| Hemodialysis |
$1,654 |
$4,134 |
— |
$75 | |
| Hemoglobin A1c (diabetes test) |
$54 |
$135 |
$38 |
$10 | |
| Hepatitis B test |
$94 |
$234 |
$37 |
$10 | |
| Hepatitis C test |
$110 |
$274 |
$56 |
$14 | |
| Hip replacement |
$48,426 |
$121,066 |
— |
$1,162 | |
| HIV test |
$102 |
$256 |
$70 |
$19 | |
| HIV test (antibody) |
$102 |
$254 |
$46 |
$14 | |
| HIV test (antigen/antibody combo) |
$103 |
$257 |
$93 |
$24 | |
| Holter heart monitor |
$793 |
$1,983 |
— |
$26 | |
| Hydrocele repair |
$18,598 |
$46,495 |
— |
$315 | |
| Hysterectomy |
$33,061 |
$82,654 |
— |
$933 | |
| Hysteroscopy |
$13,847 |
$34,618 |
— |
$1,270 | |
| Inguinal hernia repair |
$17,217 |
$43,043 |
— |
$538 | |
| Iron blood test |
$56 |
$139 |
$25 |
$6 | |
| IV infusion therapy |
$266 |
$666 |
— |
$44 | |
| IV infusion therapy (each additional) |
$98 |
$245 |
— |
$21 | |
| IV infusion therapy (initial) |
$434 |
$1,086 |
— |
$67 | |
| IVC filter placement |
$15,867 |
$39,667 |
— |
$1,885 | |
| Joint aspiration (small/intermediate) |
$1,195 |
$2,988 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$1,942 |
$4,854 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$448 |
$1,121 |
— |
$56 | |
| Kidney scan (nuclear) |
$1,492 |
$3,730 |
— |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$13,452 |
$33,631 |
— |
$760 | |
| Kidney ultrasound |
$783 |
$1,959 |
— |
$84 | |
| Kidney ultrasound (limited) |
$844 |
$2,110 |
— |
$61 | |
| Knee arthroscopy |
$15,061 |
$37,654 |
— |
$524 | |
| Knee joint injection |
$1,078 |
$2,695 |
— |
$69 | |
| Knee replacement |
$47,260 |
$118,150 |
$23,863 |
$18,054 | |
| Lactate test |
$74 |
$184 |
$42 |
$12 | |
| LDH test |
$42 |
$104 |
$24 |
$6 | |
| LDL cholesterol test |
$36 |
$89 |
$38 |
$11 | |
| Leg artery angiogram |
$1,816 |
$4,540 |
— |
$149 | |
| Leg vein ultrasound (Doppler) |
$667 |
$1,668 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$627 |
$1,567 |
— |
$116 | |
| LH hormone test |
$152 |
$380 |
$73 |
$19 | |
| Lipase test |
$70 |
$175 |
$27 |
$7 | |
| Lipid (cholesterol) panel |
$175 |
$438 |
$53 |
$13 | |
| Liver biopsy |
$8,877 |
$22,193 |
— |
$288 | |
| Liver function panel |
$215 |
$537 |
$31 |
$8 | |
| Lower back (lumbar) spinal fusion |
$75,328 |
$188,320 |
$24,978 |
$1,511 | |
| Lumpectomy (breast) |
$10,286 |
$25,716 |
— |
$750 | |
| Lung function test (PFT) |
$188 |
$471 |
— |
$37 | |
| Lung scan (V/Q) |
$1,379 |
$3,449 |
— |
$291 | |
| Magnesium blood test |
$42 |
$104 |
$26 |
$7 | |
| Mastectomy |
$37,185 |
$92,963 |
— |
$1,021 | |
| Meniscus repair (knee) |
$5,886 |
$14,716 |
— |
$714 | |
| MRA of the brain |
$2,935 |
$7,338 |
$820 |
$226 | |
| MRA of the neck |
$2,506 |
$6,265 |
$820 |
$245 | |
| MRA of the neck with contrast |
$2,506 |
$6,265 |
$820 |
$245 | |
| MRA of the neck without contrast |
$3,577 |
$8,942 |
$820 |
$343 | |
| MRI of the abdomen |
$4,327 |
$10,817 |
$820 |
$300 | |
| MRI of the abdomen with contrast |
$3,842 |
$9,605 |
$820 |
$300 | |
| MRI of the abdomen without contrast |
$4,410 |
$11,024 |
$820 |
$194 | |
| MRI of the ankle |
$3,207 |
$8,018 |
$820 |
$261 | |
| MRI of the ankle with contrast |
$3,207 |
$8,018 |
$820 |
$261 | |
| MRI of the ankle without contrast |
$2,520 |
$6,301 |
$820 |
$222 | |
| MRI of the brain |
$4,884 |
$12,210 |
$820 |
$269 | |
| MRI of the brain with contrast |
$4,884 |
$12,210 |
$820 |
$269 | |
| MRI of the brain without contrast |
$4,364 |
$10,911 |
$820 |
$195 | |
| MRI of the chest |
$3,648 |
$9,119 |
$820 |
$371 | |
| MRI of the chest with contrast |
$3,648 |
$9,119 |
$820 |
$371 | |
| MRI of the chest without contrast |
$4,378 |
$10,944 |
$820 |
$466 | |
| MRI of the knee |
$2,564 |
$6,411 |
$820 |
$315 | |
| MRI of the knee with contrast |
$2,554 |
$6,385 |
$820 |
$315 | |
| MRI of the knee without contrast |
$2,564 |
$6,411 |
$820 |
$204 | |
| MRI of the lower back (lumbar spine) |
$3,904 |
$9,759 |
$820 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$3,904 |
$9,759 |
$820 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$3,422 |
$8,555 |
$820 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$3,463 |
$8,657 |
$820 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$4,729 |
$11,823 |
$820 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$3,463 |
$8,657 |
$820 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$3,253 |
$8,133 |
$820 |
$190 | |
| MRI of the neck (cervical spine) |
$3,487 |
$8,717 |
$820 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$4,178 |
$10,444 |
$820 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$3,353 |
$8,382 |
$820 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$3,487 |
$8,717 |
$820 |
$191 | |
| MRI of the pelvis |
$2,826 |
$7,064 |
$820 |
$268 | |
| MRI of the pelvis with contrast |
$2,390 |
$5,975 |
$820 |
$268 | |
| MRI of the pelvis without contrast |
$2,826 |
$7,064 |
$820 |
$227 | |
| MRI of the shoulder |
$3,012 |
$7,529 |
$820 |
$313 | |
| MRI of the shoulder with contrast |
$3,012 |
$7,529 |
$820 |
$313 | |
| MRI of the shoulder without contrast |
$2,556 |
$6,390 |
$820 |
$205 | |
| MRI of the wrist |
$2,096 |
$5,241 |
$820 |
$330 | |
| MRI of the wrist with contrast |
$2,096 |
$5,241 |
$820 |
$330 | |
| MRI of the wrist without contrast |
$1,715 |
$4,288 |
$820 |
$303 | |
| Nebulizer breathing treatment |
$200 |
$499 |
— |
$9 | |
| Nerve conduction study |
$579 |
$1,448 |
— |
$118 | |
| Nuclear cardiac stress test |
$2,920 |
$7,300 |
— |
$428 | |
| Occupational therapy evaluation |
$196 |
$489 |
$137 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$196 |
$489 |
$137 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$205 |
$512 |
$137 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$196 |
$489 |
$137 |
$101 | |
| Office visit (established patient) |
$202 |
$506 |
— |
$115 | |
| Office visit (new patient) |
$215 |
$537 |
— |
$177 | |
| Office visit, established patient (level 3) |
$190 |
$434 |
— |
$95 | |
| Office visit, established patient (level 4) |
$215 |
$537 |
— |
$136 | |
| Office visit, new patient (level 3) |
$174 |
$434 |
— |
$118 | |
| Office visit, new patient (level 4) |
$215 |
$537 |
— |
$177 | |
| Office visit, new patient (level 5) |
$335 |
$838 |
— |
$237 | |
| Orthopedic hardware removal |
$16,062 |
$40,156 |
— |
$632 | |
| Pap smear (cervical screening) |
$83 |
$208 |
$102 |
$20 | |
| Parathyroid hormone (PTH) test |
$102 |
$254 |
$162 |
$41 | |
| Pelvic ultrasound |
$530 |
$1,326 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$678 |
$1,694 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$382 |
$954 |
— |
$51 | |
| PET scan |
$5,333 |
$13,334 |
— |
— | |
| Phosphorus blood test |
$24 |
$60 |
$19 |
$5 | |
| Physical therapy evaluation |
$210 |
$525 |
$137 |
$98 | |
| Physical therapy evaluation (high complexity) |
$210 |
$525 |
$137 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$210 |
$525 |
$137 |
$98 | |
| Pilonidal cyst removal |
$6,235 |
$15,588 |
— |
$541 | |
| Platelet count |
$45 |
$113 |
$18 |
$4 | |
| Pregnancy blood test (hCG) |
$50 |
$126 |
$30 |
$8 | |
| Pregnancy ultrasound |
$556 |
$1,391 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$556 |
$1,391 |
— |
$117 | |
| Procalcitonin test |
$103 |
$257 |
$105 |
$27 | |
| Prolactin test |
$57 |
$143 |
$76 |
$19 | |
| Prostate biopsy |
$13,434 |
$33,584 |
— |
— | |
| Prostate surgery (TURP) |
$18,654 |
$46,634 |
— |
$526 | |
| Prostate test (PSA) |
$46 |
$115 |
$72 |
$18 | |
| Pulmonary rehabilitation |
$85 |
$213 |
— |
$87 | |
| Rheumatoid factor test |
$95 |
$238 |
$22 |
$6 | |
| Rotator cuff repair |
$11,563 |
$28,907 |
— |
$792 | |
| Screening mammogram |
$235 |
$588 |
— |
$126 | |
| Scrotal ultrasound |
$578 |
$1,446 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$56 |
$141 |
$14 |
$3 | |
| Semen analysis |
$456 |
$1,139 |
$47 |
$12 | |
| Septoplasty (deviated septum) |
$8,204 |
$20,510 |
— |
$613 | |
| Sex hormone binding globulin test |
$55 |
$138 |
$85 |
$22 | |
| Shoulder arthroscopy |
$12,339 |
$30,848 |
— |
$962 | |
| Shoulder replacement |
$27,622 |
$69,056 |
— |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$372 |
$929 |
— |
$114 | |
| Simple wound stitches |
$455 |
$1,139 |
— |
$127 | |
| Sinus surgery (endoscopic) |
$6,121 |
$15,301 |
— |
$224 | |
| Skin biopsy |
$1,176 |
$2,940 |
— |
$121 | |
| Skin biopsy (punch) |
$1,601 |
$4,003 |
— |
$121 | |
| Sleep study (polysomnography) |
$2,806 |
$7,015 |
— |
$691 | |
| Soft tissue ultrasound |
$356 |
$891 |
— |
$64 | |
| Speech therapy |
$163 |
$408 |
— |
$76 | |
| Spine fracture repair (kyphoplasty) |
$20,068 |
$50,170 |
— |
$5,803 | |
| Spirometry (lung function test) |
$147 |
$368 |
— |
$30 | |
| Spirometry with bronchodilator |
$233 |
$584 |
— |
$43 | |
| Strep throat test |
$42 |
$106 |
$45 |
$17 | |
| Stress echocardiogram |
$1,932 |
$4,831 |
— |
$209 | |
| Swallow study |
$237 |
$593 |
— |
$85 | |
| T3 thyroid test |
$57 |
$143 |
$56 |
$14 | |
| Testicle removal (orchiectomy) |
$23,791 |
$59,478 |
— |
$306 | |
| Testosterone test |
$64 |
$160 |
$101 |
$26 | |
| Thyroid removal (thyroidectomy) |
$28,832 |
$72,079 |
— |
$1,004 | |
| Thyroid test (TSH) |
$77 |
$192 |
$64 |
$17 | |
| Thyroid ultrasound |
$614 |
$1,535 |
— |
$109 | |
| Thyroid uptake scan |
$785 |
$1,963 |
— |
$145 | |
| Tonsillectomy |
$12,554 |
$31,384 |
— |
$252 | |
| Total IgE allergy test |
$57 |
$143 |
$65 |
$16 | |
| Total protein test |
$136 |
$339 |
$14 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$1,354 |
$3,386 |
— |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,354 |
$3,386 |
— |
$239 | |
| Transvaginal ultrasound |
$788 |
$1,969 |
— |
$118 | |
| Trigger finger release |
$11,506 |
$28,766 |
— |
$630 | |
| Trigger point injection |
$47 |
$117 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$47 |
$117 |
— |
$52 | |
| Triglycerides test |
$56 |
$141 |
$23 |
$6 | |
| Troponin (heart) test |
$114 |
$286 |
$39 |
$12 | |
| Turbinate reduction |
$5,561 |
$13,901 |
— |
$294 | |
| Ulnar nerve surgery (elbow) |
$20,310 |
$50,776 |
— |
$575 | |
| Upper GI endoscopy (EGD) |
$11,187 |
$27,967 |
— |
$371 | |
| Upper GI series (barium) |
$463 |
$1,159 |
— |
$128 | |
| Ureteral stent placement |
$13,063 |
$32,657 |
— |
$373 | |
| Ureteroscopy (stone removal) |
$22,414 |
$56,035 |
— |
$365 | |
| Uric acid (gout) test |
$40 |
$101 |
$18 |
$5 | |
| Urinalysis |
$76 |
$191 |
$11 |
$3 | |
| Urine microalbumin test |
$36 |
$89 |
$22 |
$5 | |
| Urine pregnancy test |
$78 |
$196 |
$25 |
$9 | |
| Vaccine administration |
$146 |
$366 |
— |
$19 | |
| Vaccine administration (each additional) |
$146 |
$366 |
— |
$16 | |
| Vaginal delivery |
$18,831 |
$47,078 |
$5,283 |
$5,487 | |
| Vasectomy |
$10,024 |
$25,061 |
— |
$347 | |
| Vitamin B12 test |
$94 |
$234 |
$59 |
$15 | |
| Vitamin D test |
$74 |
$184 |
$116 |
$30 | |
| Wound debridement |
$801 |
$2,002 |
— |
$186 | |
| Wrist fracture repair |
$21,218 |
$53,045 |
— |
$735 | |
| X-ray of the abdomen |
$296 |
$740 |
— |
$36 | |
| X-ray of the ankle |
$196 |
$489 |
— |
$37 | |
| X-ray of the collarbone |
$357 |
$893 |
— |
$33 | |
| X-ray of the elbow |
$385 |
$962 |
— |
$33 | |
| X-ray of the facial bones |
$371 |
$927 |
— |
$39 | |
| X-ray of the foot |
$311 |
$778 |
— |
$34 | |
| X-ray of the forearm |
$357 |
$893 |
— |
$29 | |
| X-ray of the hand |
$385 |
$962 |
— |
$38 | |
| X-ray of the hip |
$201 |
$502 |
— |
$49 | |
| X-ray of the hip (1 view) |
$201 |
$502 |
— |
$34 | |
| X-ray of the hip (3 views) |
$192 |
$479 |
— |
$49 | |
| X-ray of the hip (4 views) |
$289 |
$722 |
— |
$63 | |
| X-ray of the knee |
$330 |
$826 |
— |
$42 | |
| X-ray of the knee (2 views) |
$273 |
$683 |
— |
$34 | |
| X-ray of the knee (3 views) |
$330 |
$826 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$370 |
$926 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$440 |
$1,101 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$375 |
$938 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$504 |
$1,259 |
— |
$53 | |
| X-ray of the lower leg |
$302 |
$756 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$350 |
$874 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$350 |
$874 |
— |
$33 | |
| X-ray of the neck (cervical spine) |
$427 |
$1,068 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$418 |
$1,046 |
— |
$40 | |
| X-ray of the pelvis |
$260 |
$651 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$260 |
$651 |
— |
$28 | |
| X-ray of the ribs |
$528 |
$1,319 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$384 |
$960 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$548 |
$1,371 |
— |
$42 | |
| X-ray of the shoulder |
$370 |
$924 |
— |
$36 | |
| X-ray of the skull |
$408 |
$1,020 |
— |
$40 | |
| X-ray of the upper arm |
$273 |
$682 |
— |
$32 | |
| X-ray of the wrist |
$357 |
$893 |
— |
$43 | |
| Zinc blood test |
$52 |
$131 |
$45 |
$11 | |