| 3D mammogram (tomosynthesis) |
$344 |
$582 |
$149 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$2,141 |
$3,629 |
$1,744 |
$284 | |
| Abdominal ultrasound |
$268 |
$454 |
$216 |
$100 | |
| Abdominal ultrasound (complete) |
$268 |
$454 |
$216 |
$114 | |
| Abdominal ultrasound (limited) |
$268 |
$454 |
$216 |
$86 | |
| Abscess drainage (complex or multiple) |
$635 |
$1,076 |
$517 |
$220 | |
| Abscess drainage (simple) |
$332 |
$563 |
$271 |
$129 | |
| Abscess incision and drainage |
$484 |
$820 |
$311 |
$174 | |
| Acupuncture |
$104 |
$176 |
$85 |
$38 | |
| Albumin blood test |
$18 |
$30 |
$10 |
$5 | |
| Aldosterone test |
$247 |
$419 |
$134 |
$41 | |
| Alkaline phosphatase test |
$18 |
$31 |
$10 |
$5 | |
| Allergy patch testing |
$156 |
$265 |
$127 |
$5 | |
| Allergy shots |
$74 |
$125 |
$37 |
$11 | |
| Allergy testing |
$156 |
$265 |
$127 |
$4 | |
| Alpha-fetoprotein (AFP) test |
$102 |
$173 |
$56 |
$17 | |
| ALT liver enzyme test |
$19 |
$32 |
$10 |
$5 | |
| Ammonia blood test |
$89 |
$150 |
$48 |
$15 | |
| Amniocentesis |
$1,531 |
$2,594 |
$1,247 |
$120 | |
| Amylase test |
$40 |
$67 |
$25 |
$6 | |
| Annual physical (established patient) |
$134 |
$228 |
$108 |
— | |
| Annual physical (new patient) |
$107 |
$181 |
$85 |
— | |
| Anoscopy |
$217 |
$368 |
$177 |
$129 | |
| Antinuclear antibody (ANA) test |
$73 |
$124 |
$40 |
$12 | |
| Aortic valve replacement |
$24,559 |
$41,626 |
$16,201 |
$1,603 | |
| Arterial blood gas (ABG) |
$117 |
$199 |
$64 |
$26 | |
| AST liver enzyme test |
$18 |
$31 |
$10 |
$5 | |
| Barium swallow study |
$422 |
$716 |
$286 |
$107 | |
| Bartholin cyst removal |
$471 |
$798 |
$383 |
$182 | |
| Basic metabolic panel |
$30 |
$51 |
$16 |
$8 | |
| Benign skin lesion removal |
$1,580 |
$2,678 |
$991 |
$171 | |
| Bilirubin blood test |
$18 |
$30 |
$9 |
$5 | |
| Bladder function test (urodynamics) |
$1,613 |
$2,734 |
$1,314 |
$345 | |
| Bladder scope (cystoscopy) |
$1,188 |
$2,013 |
$967 |
$216 | |
| Bladder tumor removal (TURBT) |
$5,102 |
$8,648 |
$3,218 |
$236 | |
| Blood clotting test (PT/INR) |
$24 |
$40 |
$13 |
$4 | |
| Blood crossmatch |
$205 |
$347 |
$111 |
— | |
| Blood glucose test |
$19 |
$33 |
$9 |
$5 | |
| Blood transfusion |
$769 |
$1,304 |
$418 |
$47 | |
| Blood type and screen |
$85 |
$144 |
$46 |
$10 | |
| Blood type test |
$30 |
$51 |
$10 |
$3 | |
| Blood type test (ABO group) |
$15 |
$25 |
$8 |
$3 | |
| Blood type test (Rh/D antigen) |
$45 |
$77 |
$25 |
$3 | |
| BNP (heart failure) test |
$206 |
$349 |
$112 |
$39 | |
| Bone density scan (DEXA) |
$244 |
$414 |
$197 |
$39 | |
| Bone marrow biopsy |
$4,749 |
$8,048 |
$3,733 |
$172 | |
| Bone scan (nuclear) |
$723 |
$1,225 |
$589 |
$259 | |
| Botox for migraine |
$501 |
$849 |
$408 |
$157 | |
| Breast biopsy |
$2,624 |
$4,447 |
$2,137 |
$478 | |
| Breast MRI |
$496 |
$841 |
$442 |
$216 | |
| Breast MRI without contrast |
$496 |
$841 |
$401 |
$216 | |
| Breast ultrasound |
$229 |
$388 |
$174 |
$92 | |
| Breast ultrasound (complete) |
$263 |
$445 |
$212 |
$100 | |
| Breast ultrasound (limited) |
$195 |
$331 |
$158 |
$84 | |
| Breathing tube insertion (intubation) |
$384 |
$650 |
$313 |
$133 | |
| Bronchoscopy |
$2,746 |
$4,655 |
$2,146 |
$303 | |
| Burn dressing and debridement (medium) |
$332 |
$563 |
$271 |
$166 | |
| Burn dressing and debridement (small) |
$332 |
$563 |
$271 |
$93 | |
| Burn treatment |
$332 |
$563 |
$271 |
$129 | |
| C-reactive protein (CRP) |
$31 |
$53 |
$17 |
$5 | |
| CA 19-9 tumor marker test |
$126 |
$214 |
$69 |
$21 | |
| CA-125 ovarian marker test |
$126 |
$214 |
$69 |
$21 | |
| Calcium blood test |
$18 |
$31 |
$10 |
$5 | |
| Capsule endoscopy |
$2,141 |
$3,629 |
$1,744 |
$802 | |
| Cardiac ablation |
$21,989 |
$37,269 |
$14,505 |
$759 | |
| Cardiac catheterization |
$5,404 |
$9,160 |
$3,565 |
$1,049 | |
| Cardiac MRI |
$1,195 |
$2,025 |
$849 |
$322 | |
| Cardiac MRI without contrast |
$911 |
$1,544 |
$735 |
$280 | |
| Cardiac rehabilitation |
$239 |
$405 |
$195 |
$26 | |
| Cardiac stress test |
$504 |
$854 |
$332 |
$39 | |
| Cardioversion |
$1,225 |
$2,076 |
$808 |
$155 | |
| Carotid artery ultrasound |
$520 |
$882 |
$379 |
$156 | |
| CEA tumor marker test |
$115 |
$195 |
$63 |
$19 | |
| Celiac disease test |
$41 |
$69 |
$22 |
$12 | |
| Central line placement |
$4,469 |
$7,575 |
$3,640 |
$238 | |
| Cervical cerclage |
$4,484 |
$7,600 |
$3,652 |
$137 | |
| Cervical LEEP procedure |
$5,034 |
$8,533 |
$3,754 |
$325 | |
| Chalazion (eyelid cyst) removal |
$578 |
$980 |
$471 |
$131 | |
| Chemotherapy infusion |
$361 |
$611 |
$171 |
$81 | |
| Chemotherapy infusion (each additional) |
$115 |
$196 |
$81 |
$28 | |
| Chemotherapy infusion (first hour) |
$606 |
$1,027 |
$424 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,349 |
$2,286 |
$1,099 |
$311 | |
| Chest tube insertion |
$1,349 |
$2,286 |
$1,099 |
$143 | |
| Chest X-ray |
$163 |
$276 |
$125 |
$37 | |
| Chest X-ray (1 view) |
$134 |
$228 |
$108 |
$25 | |
| Chest X-ray (2 views) |
$134 |
$228 |
$108 |
$33 | |
| Chickenpox (varicella) vaccine |
$493 |
$836 |
$402 |
— | |
| Circumcision |
$3,845 |
$6,517 |
$2,862 |
$167 | |
| CK-MB heart enzyme test |
$41 |
$69 |
$22 |
$12 | |
| Clotting time test (PTT) |
$37 |
$62 |
$20 |
$6 | |
| Colonoscopy |
$1,899 |
$3,218 |
$1,302 |
$480 | |
| Colposcopy |
$711 |
$1,205 |
$579 |
$161 | |
| Complete blood count (CBC) |
$25 |
$43 |
$14 |
$7 | |
| Complete blood count (CBC) (complete) |
$28 |
$47 |
$15 |
$8 | |
| Complex wound repair |
$982 |
$1,664 |
$800 |
$390 | |
| Comprehensive eye exam |
$231 |
$392 |
$188 |
$138 | |
| Comprehensive metabolic panel |
$37 |
$63 |
$20 |
$11 | |
| Contraceptive implant (Nexplanon) |
$919 |
$1,558 |
$442 |
$115 | |
| Copper blood test |
$76 |
$128 |
$41 |
$12 | |
| Coronary CT angiography |
$719 |
$1,219 |
$581 |
$326 | |
| Cortisol test |
$99 |
$168 |
$38 |
$16 | |
| COVID-19 PCR test |
$182 |
$308 |
$99 |
$51 | |
| CPAP titration study |
$376 |
$637 |
$306 |
$69 | |
| Creatine kinase (CK) test |
$40 |
$67 |
$22 |
$7 | |
| CT angiography of the chest |
$913 |
$1,548 |
$737 |
$281 | |
| CT angiography of the head |
$913 |
$1,548 |
$737 |
$274 | |
| CT colonography (virtual colonoscopy) |
$1,873 |
$3,175 |
$1,512 |
$835 | |
| CT scan of the abdomen |
$800 |
$1,355 |
$531 |
$230 | |
| CT scan of the abdomen and pelvis |
$1,299 |
$2,201 |
$853 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$1,299 |
$2,201 |
$1,049 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$1,299 |
$2,201 |
$1,049 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$824 |
$1,396 |
$665 |
$183 | |
| CT scan of the abdomen with and without contrast |
$886 |
$1,502 |
$716 |
$259 | |
| CT scan of the abdomen with contrast |
$800 |
$1,355 |
$646 |
$230 | |
| CT scan of the abdomen without contrast |
$467 |
$792 |
$377 |
$136 | |
| CT scan of the arm |
$800 |
$1,355 |
$531 |
$199 | |
| CT scan of the arm with contrast |
$800 |
$1,355 |
$646 |
$199 | |
| CT scan of the arm without contrast |
$467 |
$792 |
$377 |
$161 | |
| CT scan of the chest |
$800 |
$1,355 |
$531 |
$167 | |
| CT scan of the chest with and without contrast |
$886 |
$1,502 |
$716 |
$196 | |
| CT scan of the chest with contrast |
$800 |
$1,355 |
$646 |
$167 | |
| CT scan of the chest without contrast |
$467 |
$792 |
$377 |
$133 | |
| CT scan of the head |
$800 |
$1,355 |
$531 |
$148 | |
| CT scan of the head with and without contrast |
$886 |
$1,502 |
$716 |
$173 | |
| CT scan of the head with contrast |
$800 |
$1,355 |
$646 |
$148 | |
| CT scan of the head without contrast |
$467 |
$792 |
$377 |
$107 | |
| CT scan of the leg |
$800 |
$1,355 |
$531 |
$166 | |
| CT scan of the leg with contrast |
$800 |
$1,355 |
$646 |
$166 | |
| CT scan of the leg without contrast |
$467 |
$792 |
$377 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$886 |
$1,502 |
$568 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$886 |
$1,502 |
$716 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$925 |
$1,567 |
$747 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$467 |
$792 |
$377 |
$130 | |
| CT scan of the neck |
$800 |
$1,355 |
$531 |
$183 | |
| CT scan of the neck (cervical spine) |
$886 |
$1,502 |
$568 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$886 |
$1,502 |
$716 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$925 |
$1,567 |
$747 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$467 |
$792 |
$377 |
$131 | |
| CT scan of the neck with and without contrast |
$886 |
$1,502 |
$716 |
$220 | |
| CT scan of the neck with contrast |
$800 |
$1,355 |
$646 |
$183 | |
| CT scan of the neck without contrast |
$467 |
$792 |
$377 |
$150 | |
| CT scan of the pelvis |
$800 |
$1,355 |
$531 |
$226 | |
| CT scan of the pelvis with and without contrast |
$886 |
$1,502 |
$716 |
$251 | |
| CT scan of the pelvis with contrast |
$800 |
$1,355 |
$646 |
$226 | |
| CT scan of the pelvis without contrast |
$467 |
$792 |
$377 |
$133 | |
| CT scan of the sinuses |
$800 |
$1,355 |
$531 |
$152 | |
| CT scan of the sinuses with and without contrast |
$886 |
$1,502 |
$716 |
$184 | |
| CT scan of the sinuses with contrast |
$800 |
$1,355 |
$646 |
$152 | |
| CT scan of the sinuses without contrast |
$467 |
$792 |
$377 |
$128 | |
| D-dimer test |
$62 |
$105 |
$34 |
$10 | |
| Defibrillator (ICD) implant |
$14,378 |
$24,369 |
$9,484 |
$798 | |
| Developmental screening (child) |
$233 |
$394 |
$189 |
— | |
| DHEA-sulfate test |
$135 |
$229 |
$73 |
$22 | |
| Diagnostic mammogram |
$309 |
$524 |
$243 |
$140 | |
| Dilation and curettage (D&C) |
$5,428 |
$9,200 |
$4,422 |
$298 | |
| Drug screen (urine) |
$61 |
$103 |
$42 |
$17 | |
| Ear pressure test (tympanometry) |
$62 |
$104 |
$50 |
$16 | |
| Ear tubes (myringotomy) |
$1,585 |
$2,686 |
$926 |
$174 | |
| Echocardiogram |
$824 |
$1,396 |
$479 |
$138 | |
| Echocardiogram with and without contrast |
$490 |
$831 |
$323 |
$101 | |
| Echocardiogram without contrast |
$824 |
$1,396 |
$543 |
$138 | |
| EEG (awake and asleep) |
$639 |
$1,083 |
$520 |
$482 | |
| EKG / ECG (tracing only) |
$144 |
$244 |
$95 |
$7 | |
| Electrocardiogram (EKG) |
$316 |
$535 |
$199 |
$8 | |
| Electroencephalogram (EEG) |
$639 |
$1,083 |
$520 |
$448 | |
| Electrolyte panel |
$25 |
$42 |
$14 |
$7 | |
| Electromyography (EMG) |
$217 |
$368 |
$177 |
$141 | |
| Emergency department visit |
$873 |
$1,480 |
$473 |
$69 | |
| Emergency department visit (level 1) |
$213 |
$362 |
$199 |
$11 | |
| Emergency department visit (level 2) |
$406 |
$688 |
$378 |
$40 | |
| Emergency department visit (level 3) |
$873 |
$1,480 |
$814 |
$69 | |
| Emergency department visit (level 4) |
$1,122 |
$1,902 |
$1,046 |
$118 | |
| Emergency department visit (level 5) |
$1,559 |
$2,643 |
$1,454 |
$171 | |
| Endometrial biopsy |
$411 |
$697 |
$335 |
$98 | |
| Epidural steroid injection |
$1,100 |
$1,865 |
$896 |
$275 | |
| ERCP (bile duct endoscopy) |
$4,475 |
$7,585 |
$3,508 |
$311 | |
| Esophageal dilation |
$1,488 |
$2,522 |
$1,212 |
$522 | |
| Estradiol (estrogen) test |
$169 |
$287 |
$92 |
$28 | |
| Eye refraction (glasses prescription) |
$125 |
$212 |
$102 |
— | |
| Facet joint injection (spine) |
$585 |
$991 |
$498 |
$99 | |
| Fallopian tube X-ray (HSG) |
$661 |
$1,120 |
$528 |
$164 | |
| Family therapy session |
$274 |
$464 |
$160 |
$110 | |
| Fecal occult blood (stool) test |
$54 |
$91 |
$18 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$19 |
$33 |
$11 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$88 |
$149 |
$48 |
$16 | |
| Feeding tube (PEG) placement |
$2,648 |
$4,488 |
$2,157 |
$178 | |
| Ferritin (iron) test |
$83 |
$140 |
$45 |
$14 | |
| Fibrinogen test |
$51 |
$87 |
$28 |
$10 | |
| Flexible sigmoidoscopy |
$1,448 |
$2,455 |
$1,092 |
$323 | |
| Flu test |
$73 |
$123 |
$39 |
$17 | |
| Flu vaccine |
$86 |
$145 |
$70 |
— | |
| Folate (folic acid) test |
$89 |
$151 |
$35 |
$15 | |
| Foreign body removal (skin) |
$635 |
$1,076 |
$517 |
$157 | |
| Free T4 thyroid test |
$55 |
$93 |
$30 |
$9 | |
| FSH hormone test |
$113 |
$191 |
$61 |
$19 | |
| Gallbladder scan (HIDA) |
$1,014 |
$1,718 |
$732 |
$334 | |
| GGT liver test |
$42 |
$72 |
$23 |
$7 | |
| Glucose tolerance test |
$51 |
$86 |
$23 |
$8 | |
| Group therapy session |
$152 |
$258 |
$47 |
$30 | |
| H. pylori test |
$278 |
$472 |
$151 |
$67 | |
| HDL cholesterol test |
$50 |
$84 |
$27 |
$8 | |
| Hearing test (audiometry) |
$276 |
$467 |
$224 |
$36 | |
| Hematocrit test |
$14 |
$24 |
$8 |
$2 | |
| Hemodialysis |
$1,194 |
$2,024 |
$973 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$59 |
$100 |
$32 |
$10 | |
| Hemorrhoid removal |
$1,448 |
$2,455 |
$1,180 |
$338 | |
| Hepatitis A vaccine |
$118 |
$200 |
$96 |
— | |
| Hepatitis B test |
$37 |
$62 |
$20 |
$10 | |
| Hepatitis B vaccine |
$218 |
$369 |
$177 |
— | |
| Hepatitis C test |
$87 |
$147 |
$47 |
$14 | |
| HIV test |
$84 |
$143 |
$46 |
$19 | |
| HIV test (antibody) |
$83 |
$141 |
$45 |
$14 | |
| HIV test (antigen/antibody combo) |
$85 |
$144 |
$46 |
$24 | |
| Holter heart monitor |
$217 |
$368 |
$143 |
$26 | |
| Home sleep apnea test |
$533 |
$903 |
$294 |
$123 | |
| HPV vaccine |
$573 |
$971 |
$467 |
— | |
| Hysterectomy |
$9,921 |
$16,815 |
$8,082 |
$933 | |
| Hysteroscopy |
$3,751 |
$6,358 |
$3,056 |
$1,270 | |
| Inguinal hernia repair |
$6,878 |
$11,658 |
$5,603 |
$538 | |
| Iron blood test |
$40 |
$67 |
$22 |
$6 | |
| IUD insertion |
$251 |
$425 |
$204 |
— | |
| IUD removal |
$184 |
$312 |
$150 |
$112 | |
| IV infusion therapy |
$233 |
$394 |
$112 |
$44 | |
| IV infusion therapy (each additional) |
$75 |
$128 |
$53 |
$21 | |
| IV infusion therapy (initial) |
$390 |
$660 |
$273 |
$67 | |
| IVC filter placement |
$7,218 |
$12,234 |
$5,880 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$631 |
$1,069 |
$514 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$631 |
$1,069 |
$514 |
$57 | |
| Joint aspiration or injection (small joint) |
$631 |
$1,069 |
$514 |
$56 | |
| Kidney biopsy |
$2,624 |
$4,447 |
$2,137 |
$492 | |
| Kidney scan (nuclear) |
$964 |
$1,633 |
$785 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$7,609 |
$12,897 |
$6,198 |
$760 | |
| Kidney ultrasound |
$268 |
$454 |
$216 |
$84 | |
| Kidney ultrasound (limited) |
$268 |
$454 |
$216 |
$61 | |
| Knee joint injection |
$631 |
$1,069 |
$514 |
$69 | |
| Lactate test |
$65 |
$110 |
$30 |
$12 | |
| Laryngoscopy |
$1,279 |
$2,168 |
$471 |
$189 | |
| LDH test |
$37 |
$62 |
$20 |
$6 | |
| LDL cholesterol test |
$58 |
$98 |
$31 |
$11 | |
| Leg artery angiogram |
$5,971 |
$10,120 |
$4,821 |
$149 | |
| Leg artery angioplasty |
$9,669 |
$16,388 |
$6,181 |
— | |
| Leg vein ultrasound (Doppler) |
$510 |
$864 |
$359 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$386 |
$653 |
$314 |
$116 | |
| LH hormone test |
$113 |
$191 |
$61 |
$19 | |
| Lipase test |
$42 |
$71 |
$23 |
$7 | |
| Lipid (cholesterol) panel |
$47 |
$80 |
$26 |
$13 | |
| Liver biopsy |
$2,624 |
$4,447 |
$2,137 |
$288 | |
| Liver function panel |
$29 |
$49 |
$16 |
$8 | |
| Lung function test (PFT) |
$390 |
$660 |
$257 |
$37 | |
| Lung scan (V/Q) |
$964 |
$1,633 |
$785 |
$291 | |
| Magnesium blood test |
$41 |
$69 |
$22 |
$7 | |
| MMR vaccine |
$187 |
$317 |
$152 |
— | |
| MRA of the brain |
$1,223 |
$2,074 |
$919 |
$226 | |
| MRA of the brain with contrast |
$1,223 |
$2,074 |
$988 |
$226 | |
| MRA of the brain without contrast |
$1,479 |
$2,506 |
$1,194 |
$328 | |
| MRA of the neck |
$1,223 |
$2,074 |
$919 |
$245 | |
| MRA of the neck with contrast |
$1,223 |
$2,074 |
$988 |
$245 | |
| MRA of the neck without contrast |
$1,479 |
$2,506 |
$1,194 |
$343 | |
| MRI of the abdomen |
$1,223 |
$2,074 |
$919 |
$300 | |
| MRI of the abdomen with contrast |
$1,223 |
$2,074 |
$988 |
$300 | |
| MRI of the abdomen without contrast |
$911 |
$1,544 |
$735 |
$194 | |
| MRI of the ankle |
$1,223 |
$2,074 |
$919 |
$261 | |
| MRI of the ankle with contrast |
$1,223 |
$2,074 |
$988 |
$261 | |
| MRI of the ankle without contrast |
$911 |
$1,544 |
$735 |
$222 | |
| MRI of the brain |
$1,223 |
$2,074 |
$919 |
$269 | |
| MRI of the brain with contrast |
$1,223 |
$2,074 |
$988 |
$269 | |
| MRI of the brain without contrast |
$911 |
$1,544 |
$735 |
$195 | |
| MRI of the chest |
$1,195 |
$2,025 |
$849 |
$371 | |
| MRI of the chest without contrast |
$1,479 |
$2,506 |
$1,194 |
$466 | |
| MRI of the knee |
$1,425 |
$2,416 |
$944 |
$315 | |
| MRI of the knee with contrast |
$1,425 |
$2,416 |
$1,151 |
$315 | |
| MRI of the knee without contrast |
$911 |
$1,544 |
$735 |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,223 |
$2,074 |
$919 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,223 |
$2,074 |
$988 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$911 |
$1,544 |
$735 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,223 |
$2,074 |
$919 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$1,479 |
$2,506 |
$1,194 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,223 |
$2,074 |
$988 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$911 |
$1,544 |
$735 |
$190 | |
| MRI of the neck (cervical spine) |
$1,223 |
$2,074 |
$919 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$1,479 |
$2,506 |
$1,194 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,223 |
$2,074 |
$988 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$911 |
$1,544 |
$735 |
$191 | |
| MRI of the pelvis |
$1,223 |
$2,074 |
$919 |
$268 | |
| MRI of the pelvis with contrast |
$1,223 |
$2,074 |
$988 |
$268 | |
| MRI of the pelvis without contrast |
$911 |
$1,544 |
$735 |
$227 | |
| MRI of the shoulder |
$1,425 |
$2,416 |
$944 |
$313 | |
| MRI of the shoulder with contrast |
$1,425 |
$2,416 |
$1,151 |
$313 | |
| MRI of the shoulder without contrast |
$911 |
$1,544 |
$735 |
$205 | |
| MRI of the wrist |
$911 |
$1,544 |
$718 |
$330 | |
| MRI of the wrist with contrast |
$691 |
$1,171 |
$558 |
$330 | |
| MRI of the wrist without contrast |
$911 |
$1,544 |
$735 |
$303 | |
| Nebulizer breathing treatment |
$376 |
$637 |
$306 |
$9 | |
| Nerve conduction study |
$504 |
$854 |
$313 |
$118 | |
| Newborn hospital care |
$231 |
$392 |
$188 |
$58 | |
| Nuchal translucency ultrasound |
$263 |
$445 |
$212 |
$116 | |
| Nuclear cardiac stress test |
$2,471 |
$4,189 |
$2,013 |
$428 | |
| Occupational therapy evaluation |
$420 |
$712 |
$264 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$420 |
$712 |
$264 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$420 |
$712 |
$264 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$420 |
$712 |
$264 |
$101 | |
| Office visit (established patient) |
$207 |
$351 |
$117 |
$115 | |
| Office visit (new patient) |
$480 |
$813 |
$355 |
$177 | |
| Office visit, established patient (level 3) |
$163 |
$277 |
$102 |
$95 | |
| Office visit, established patient (level 4) |
$251 |
$425 |
$151 |
$136 | |
| Office visit, new patient (level 4) |
$417 |
$706 |
$339 |
$177 | |
| Office visit, new patient (level 5) |
$543 |
$920 |
$442 |
$237 | |
| Orthopedic hardware removal |
$5,428 |
$9,200 |
$4,422 |
$632 | |
| Ovarian cyst removal |
$5,972 |
$10,122 |
$4,865 |
$698 | |
| Ovary removal (oophorectomy) |
$6,878 |
$11,658 |
$5,603 |
$822 | |
| Pap smear (cervical screening) |
$141 |
$240 |
$79 |
$20 | |
| Parathyroid hormone (PTH) test |
$251 |
$425 |
$136 |
$41 | |
| Pelvic ultrasound |
$256 |
$434 |
$212 |
$78 | |
| Pelvic ultrasound (complete) |
$268 |
$454 |
$216 |
$105 | |
| Pelvic ultrasound (limited) |
$244 |
$414 |
$197 |
$51 | |
| PET scan |
$3,698 |
$6,268 |
$2,439 |
— | |
| Phosphorus blood test |
$29 |
$49 |
$16 |
$5 | |
| Physical therapy evaluation |
$420 |
$712 |
$264 |
$98 | |
| Physical therapy evaluation (high complexity) |
$420 |
$712 |
$264 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$420 |
$712 |
$264 |
$98 | |
| Pilonidal cyst removal |
$4,611 |
$7,815 |
$3,756 |
$541 | |
| Platelet count |
$24 |
$40 |
$13 |
$4 | |
| Pneumonia vaccine |
$264 |
$447 |
$215 |
— | |
| Pregnancy blood test (hCG) |
$45 |
$77 |
$25 |
$8 | |
| Pregnancy ultrasound |
$268 |
$454 |
$216 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$268 |
$454 |
$216 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$268 |
$454 |
$216 |
$136 | |
| Procalcitonin test |
$163 |
$276 |
$89 |
$27 | |
| Prolactin test |
$117 |
$199 |
$64 |
$19 | |
| Prostate biopsy |
$3,368 |
$5,708 |
$2,743 |
— | |
| Prostate test (PSA) |
$111 |
$188 |
$60 |
$18 | |
| Psychiatric evaluation |
$323 |
$548 |
$245 |
$188 | |
| Psychotherapy session |
$274 |
$464 |
$181 |
$140 | |
| Pulmonary rehabilitation |
$134 |
$228 |
$109 |
$87 | |
| Radiofrequency nerve ablation |
$3,007 |
$5,097 |
$2,249 |
$462 | |
| Retina scan (OCT) |
$134 |
$228 |
$109 |
$33 | |
| Retinal (fundus) photography |
$217 |
$368 |
$177 |
$37 | |
| Retinal detachment repair |
$7,322 |
$12,410 |
$5,634 |
$966 | |
| Rheumatoid factor test |
$34 |
$58 |
$19 |
$6 | |
| Routine eye exam |
$189 |
$320 |
$137 |
$88 | |
| Sacroiliac joint injection |
$4,105 |
$6,957 |
$3,000 |
$176 | |
| Scoliosis spine X-ray |
$218 |
$369 |
$153 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$164 |
$279 |
$133 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$271 |
$460 |
$219 |
$72 | |
| Screening mammogram |
$287 |
$486 |
$232 |
$126 | |
| Scrotal ultrasound |
$268 |
$454 |
$216 |
$99 | |
| Sedimentation rate (ESR) test |
$19 |
$33 |
$11 |
$3 | |
| Semen analysis |
$73 |
$124 |
$40 |
$12 | |
| Sex hormone binding globulin test |
$132 |
$224 |
$72 |
$22 | |
| Shingles vaccine |
$433 |
$733 |
$352 |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
$332 |
$563 |
$271 |
$114 | |
| Simple wound stitches |
$332 |
$563 |
$271 |
$127 | |
| Skin biopsy |
$884 |
$1,498 |
$565 |
$121 | |
| Skin biopsy (punch) |
$884 |
$1,498 |
$720 |
$121 | |
| Skin cancer lesion removal |
$1,161 |
$1,967 |
$721 |
$240 | |
| Skin lesion freezing (cryotherapy) |
$254 |
$431 |
$70 |
$36 | |
| Skin tag removal |
$459 |
$778 |
$374 |
$92 | |
| Sleep study (polysomnography) |
$2,275 |
$3,856 |
$1,853 |
$691 | |
| Soft tissue ultrasound |
$243 |
$413 |
$197 |
$64 | |
| Speech therapy |
$282 |
$477 |
$177 |
$76 | |
| Spinal cord stimulator |
$5,381 |
$9,121 |
$4,384 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$1,569 |
$2,659 |
$1,278 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$8,816 |
$14,942 |
$7,181 |
$5,803 | |
| Spirometry (lung function test) |
$276 |
$467 |
$224 |
$30 | |
| Spirometry with bronchodilator |
$504 |
$854 |
$410 |
$43 | |
| Strep throat test |
$73 |
$123 |
$39 |
$17 | |
| Stress echocardiogram |
$975 |
$1,653 |
$643 |
$209 | |
| Stress echocardiogram (complete) |
$975 |
$1,653 |
$643 |
$233 | |
| Swallow study |
$536 |
$908 |
$337 |
$85 | |
| T3 thyroid test |
$86 |
$146 |
$47 |
$14 | |
| Tdap (tetanus) vaccine |
$144 |
$244 |
$117 |
— | |
| Testosterone test |
$157 |
$266 |
$85 |
$26 | |
| Thyroid test (TSH) |
$102 |
$173 |
$56 |
$17 | |
| Thyroid ultrasound |
$268 |
$454 |
$216 |
$109 | |
| Thyroid uptake scan |
$723 |
$1,225 |
$589 |
$145 | |
| Tilt table test |
$901 |
$1,528 |
$595 |
$168 | |
| Total IgE allergy test |
$100 |
$169 |
$54 |
$16 | |
| Total protein test |
$13 |
$22 |
$9 |
$4 | |
| Tracheostomy |
$4,682 |
$7,935 |
$3,814 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$1,157 |
$1,961 |
$754 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$975 |
$1,653 |
$643 |
$239 | |
| Transvaginal ultrasound |
$268 |
$454 |
$216 |
$118 | |
| Trigger point injection |
$631 |
$1,069 |
$514 |
$56 | |
| Trigger point injection (1-2 muscles) |
$631 |
$1,069 |
$514 |
$52 | |
| Triglycerides test |
$35 |
$59 |
$19 |
$6 | |
| Troponin (heart) test |
$60 |
$101 |
$32 |
$12 | |
| Turning a breech baby (version) |
$5,808 |
$9,845 |
$4,731 |
$94 | |
| Upper GI endoscopy (EGD) |
$1,488 |
$2,522 |
$1,212 |
$371 | |
| Upper GI series (barium) |
$538 |
$911 |
$434 |
$128 | |
| Ureteral stent placement |
$4,569 |
$7,744 |
$3,722 |
$373 | |
| Ureteroscopy (stone removal) |
$8,060 |
$13,662 |
$6,566 |
$365 | |
| Uric acid (gout) test |
$28 |
$47 |
$14 |
$5 | |
| Urinalysis |
$10 |
$16 |
$5 |
$3 | |
| Urine microalbumin test |
$33 |
$56 |
$17 |
$5 | |
| Urine pregnancy test |
$38 |
$65 |
$21 |
$9 | |
| UV light therapy (skin) |
$166 |
$282 |
$134 |
$106 | |
| Vaccine administration |
$71 |
$121 |
$52 |
$19 | |
| Vaccine administration (each additional) |
$57 |
$97 |
$47 |
$16 | |
| Varicose vein ablation |
$3,685 |
$6,245 |
$2,800 |
$1,018 | |
| Vasectomy |
$3,368 |
$5,708 |
$2,743 |
$347 | |
| Visual field test |
$217 |
$368 |
$177 |
$64 | |
| Vitamin B12 test |
$91 |
$155 |
$50 |
$15 | |
| Vitamin D test |
$180 |
$305 |
$98 |
$30 | |
| Wart removal |
$473 |
$801 |
$385 |
$121 | |
| Well-child visit |
$151 |
$256 |
$123 |
— | |
| Wound debridement |
$1,049 |
$1,779 |
$772 |
$186 | |
| X-ray of the abdomen |
$243 |
$413 |
$153 |
$36 | |
| X-ray of the ankle |
$134 |
$228 |
$108 |
$37 | |
| X-ray of the collarbone |
$134 |
$228 |
$108 |
$33 | |
| X-ray of the elbow |
$134 |
$228 |
$108 |
$33 | |
| X-ray of the facial bones |
$189 |
$321 |
$125 |
$39 | |
| X-ray of the foot |
$134 |
$228 |
$108 |
$34 | |
| X-ray of the forearm |
$134 |
$228 |
$108 |
$29 | |
| X-ray of the hand |
$134 |
$228 |
$108 |
$38 | |
| X-ray of the hip |
$164 |
$279 |
$146 |
$49 | |
| X-ray of the hip (1 view) |
$164 |
$279 |
$133 |
$34 | |
| X-ray of the hip (3 views) |
$164 |
$279 |
$133 |
$49 | |
| X-ray of the hip (4 views) |
$271 |
$460 |
$219 |
$63 | |
| X-ray of the knee |
$134 |
$228 |
$120 |
$42 | |
| X-ray of the knee (2 views) |
$134 |
$228 |
$108 |
$34 | |
| X-ray of the knee (3 views) |
$134 |
$228 |
$108 |
$42 | |
| X-ray of the knee (4+ views) |
$244 |
$414 |
$197 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$244 |
$414 |
$197 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$244 |
$414 |
$197 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$244 |
$414 |
$197 |
$53 | |
| X-ray of the lower leg |
$134 |
$228 |
$108 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$244 |
$414 |
$197 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$244 |
$414 |
$197 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$244 |
$414 |
$197 |
$39 | |
| X-ray of the neck (cervical spine) |
$189 |
$321 |
$125 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$134 |
$228 |
$108 |
$40 | |
| X-ray of the pelvis |
$244 |
$414 |
$197 |
$36 | |
| X-ray of the pelvis (1 view) |
$244 |
$414 |
$197 |
$28 | |
| X-ray of the ribs |
$244 |
$414 |
$153 |
$42 | |
| X-ray of the ribs (2 views) |
$134 |
$228 |
$108 |
$36 | |
| X-ray of the ribs (3 views) |
$244 |
$414 |
$197 |
$42 | |
| X-ray of the shoulder |
$134 |
$228 |
$108 |
$36 | |
| X-ray of the skull |
$244 |
$414 |
$197 |
$40 | |
| X-ray of the upper arm |
$134 |
$228 |
$108 |
$32 | |
| X-ray of the wrist |
$134 |
$228 |
$108 |
$43 | |
| YAG laser capsulotomy (eye) |
$1,019 |
$1,727 |
$830 |
$335 | |
| Zinc blood test |
$69 |
$117 |
$38 |
$11 | |