| 3D mammogram (tomosynthesis) |
$61 |
$102 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$986 |
$1,644 |
— |
$284 | |
| Abdominal ultrasound |
$322 |
$536 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$428 |
$713 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$322 |
$536 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$316 |
$527 |
— |
$220 | |
| Abscess drainage (simple) |
$165 |
$275 |
— |
$129 | |
| Abscess incision and drainage |
$258 |
$430 |
— |
$174 | |
| Achilles tendon repair |
$1,061 |
$1,769 |
— |
$624 | |
| ACL knee reconstruction |
$1,547 |
$2,579 |
— |
$889 | |
| Acupuncture |
$39 |
$65 |
— |
$38 | |
| Acupuncture (each additional) |
$35 |
$58 |
— |
$28 | |
| Albumin blood test |
$31 |
$52 |
— |
$5 | |
| Aldosterone test |
$148 |
$246 |
— |
$41 | |
| Alkaline phosphatase test |
$43 |
$71 |
— |
$5 | |
| Allergy shots |
$23 |
$39 |
— |
$11 | |
| Alpha-fetoprotein (AFP) test |
$140 |
$233 |
— |
$17 | |
| ALT liver enzyme test |
$59 |
$98 |
— |
$5 | |
| Ammonia blood test |
$83 |
$139 |
— |
$15 | |
| Amniocentesis |
$447 |
$745 |
— |
$120 | |
| Amylase test |
$56 |
$93 |
— |
$6 | |
| Anal fistula repair |
$545 |
$909 |
— |
$541 | |
| Ankle fracture repair |
$997 |
$1,662 |
— |
$608 | |
| Annual physical (established patient) |
$176 |
$293 |
— |
— | |
| Annual physical (new patient) |
$190 |
$316 |
— |
— | |
| Anoscopy |
$176 |
$293 |
— |
$129 | |
| Antinuclear antibody (ANA) test |
$25 |
$42 |
— |
$12 | |
| Aortic aneurysm repair (AAA) |
$2,371 |
$3,951 |
— |
$1,345 | |
| Aortic valve replacement |
$2,112 |
$3,520 |
— |
$1,603 | |
| Arterial blood gas (ABG) |
$109 |
$181 |
— |
$26 | |
| AST liver enzyme test |
$57 |
$95 |
— |
$5 | |
| Barium swallow study |
$305 |
$508 |
— |
$107 | |
| Bartholin cyst removal |
$171 |
$285 |
— |
$182 | |
| Basic metabolic panel |
$146 |
$243 |
— |
$8 | |
| Benign skin lesion removal |
$306 |
$510 |
— |
$171 | |
| Bilirubin blood test |
$22 |
$36 |
— |
$5 | |
| Bladder function test (urodynamics) |
$589 |
$981 |
— |
$345 | |
| Bladder scope (cystoscopy) |
$872 |
$1,453 |
— |
$216 | |
| Bladder tumor removal (TURBT) |
$393 |
$655 |
— |
$236 | |
| Blood clotting test (PT/INR) |
$20 |
$34 |
— |
$4 | |
| Blood crossmatch |
$111 |
$185 |
— |
— | |
| Blood glucose test |
$30 |
$50 |
— |
$5 | |
| Blood transfusion |
$285 |
$475 |
— |
$47 | |
| Blood type and screen |
$81 |
$135 |
— |
$10 | |
| Blood type test |
$45 |
$75 |
— |
$3 | |
| Blood type test (ABO group) |
$45 |
$75 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$44 |
$73 |
— |
$3 | |
| BNP (heart failure) test |
$151 |
$251 |
— |
$39 | |
| Bone density scan (DEXA) |
$337 |
$561 |
— |
$39 | |
| Bone marrow biopsy |
$1,529 |
$2,548 |
— |
$172 | |
| Bone scan (nuclear) |
$1,127 |
$1,878 |
— |
$259 | |
| Botox for migraine |
$312 |
$520 |
— |
$157 | |
| Breast biopsy |
$989 |
$1,649 |
— |
$478 | |
| Breast MRI |
$315 |
$525 |
— |
$216 | |
| Breast MRI without contrast |
$289 |
$481 |
— |
$216 | |
| Breast reconstruction |
$4,831 |
$8,052 |
— |
$1,227 | |
| Breast reduction |
$3,625 |
$6,042 |
— |
$980 | |
| Breast ultrasound |
$283 |
$472 |
— |
$92 | |
| Breast ultrasound (complete) |
$370 |
$616 |
— |
$100 | |
| Breast ultrasound (limited) |
$223 |
$372 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$354 |
$590 |
— |
$133 | |
| Bronchoscopy |
$223 |
$371 |
— |
$303 | |
| Burn dressing and debridement (medium) |
$196 |
$327 |
— |
$166 | |
| Burn dressing and debridement (small) |
$148 |
$246 |
— |
$93 | |
| Burn treatment |
$173 |
$289 |
— |
$129 | |
| C-reactive protein (CRP) |
$40 |
$67 |
— |
$5 | |
| CA 19-9 tumor marker test |
$82 |
$137 |
— |
$21 | |
| CA-125 ovarian marker test |
$104 |
$174 |
— |
$21 | |
| Calcium blood test |
$34 |
$57 |
— |
$5 | |
| Cardiac catheterization |
$2,762 |
$4,604 |
— |
$1,049 | |
| Cardiac event monitor |
$537 |
$895 |
— |
$170 | |
| Cardiac MRI |
$1,432 |
$2,387 |
— |
$322 | |
| Cardiac MRI without contrast |
$1,432 |
$2,387 |
— |
$280 | |
| Cardiac rehabilitation |
$166 |
$277 |
— |
$26 | |
| Cardioversion |
$952 |
$1,586 |
— |
$155 | |
| Carotid artery ultrasound |
$344 |
$574 |
— |
$156 | |
| Carpal tunnel release |
$647 |
$1,078 |
— |
$483 | |
| CEA tumor marker test |
$74 |
$124 |
— |
$19 | |
| Central line placement |
$1,072 |
$1,787 |
— |
$238 | |
| Cervical LEEP procedure |
$568 |
$947 |
— |
$325 | |
| Chemotherapy infusion |
$269 |
$448 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$80 |
$134 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$457 |
$761 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$988 |
$1,647 |
— |
$311 | |
| Chest tube insertion |
$412 |
$687 |
— |
$143 | |
| Chest X-ray |
$196 |
$326 |
— |
$37 | |
| Chest X-ray (1 view) |
$148 |
$246 |
— |
$25 | |
| Chest X-ray (2 views) |
$196 |
$326 |
— |
$33 | |
| Chickenpox (varicella) vaccine |
$155 |
$259 |
— |
— | |
| Circumcision |
$275 |
$458 |
— |
$167 | |
| CK-MB heart enzyme test |
$96 |
$160 |
— |
$12 | |
| Clotting time test (PTT) |
$67 |
$111 |
— |
$6 | |
| Colon resection (colectomy) |
$2,057 |
$3,428 |
— |
$1,238 | |
| Colonoscopy |
$497 |
$828 |
— |
$480 | |
| Colostomy |
$1,918 |
$3,197 |
— |
$1,122 | |
| Colposcopy |
$310 |
$517 |
— |
$161 | |
| Complete blood count (CBC) |
$85 |
$142 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$85 |
$142 |
— |
$8 | |
| Complex wound repair |
$637 |
$1,061 |
— |
$390 | |
| Comprehensive metabolic panel |
$184 |
$307 |
— |
$11 | |
| Continuous glucose monitor setup |
$61 |
$102 |
— |
$35 | |
| Contraceptive implant (Nexplanon) |
$209 |
$349 |
— |
$115 | |
| Copper blood test |
$128 |
$214 |
— |
$12 | |
| Coronary CT angiography |
$1,132 |
$1,887 |
— |
$326 | |
| Cortisol test |
$88 |
$146 |
— |
$16 | |
| COVID-19 PCR test |
$149 |
$248 |
— |
$51 | |
| CPAP titration study |
$178 |
$297 |
— |
$69 | |
| Creatine kinase (CK) test |
$67 |
$112 |
— |
$7 | |
| CT angiography of the chest |
$1,753 |
$2,922 |
— |
$281 | |
| CT angiography of the head |
$1,534 |
$2,557 |
— |
$274 | |
| CT scan of the abdomen |
$1,120 |
$1,866 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$1,910 |
$3,183 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,968 |
$4,947 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$1,910 |
$3,183 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,596 |
$2,660 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,557 |
$2,595 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$1,120 |
$1,866 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$923 |
$1,539 |
— |
$136 | |
| CT scan of the arm |
$876 |
$1,460 |
— |
$199 | |
| CT scan of the arm with contrast |
$876 |
$1,460 |
— |
$199 | |
| CT scan of the arm without contrast |
$824 |
$1,373 |
— |
$161 | |
| CT scan of the chest |
$1,120 |
$1,866 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$1,271 |
$2,118 |
— |
$196 | |
| CT scan of the chest with contrast |
$1,120 |
$1,866 |
— |
$167 | |
| CT scan of the chest without contrast |
$924 |
$1,540 |
— |
$133 | |
| CT scan of the head |
$969 |
$1,615 |
— |
$148 | |
| CT scan of the head with and without contrast |
$1,400 |
$2,333 |
— |
$173 | |
| CT scan of the head with contrast |
$969 |
$1,615 |
— |
$148 | |
| CT scan of the head without contrast |
$823 |
$1,372 |
— |
$107 | |
| CT scan of the leg |
$878 |
$1,464 |
— |
$166 | |
| CT scan of the leg with contrast |
$878 |
$1,464 |
— |
$166 | |
| CT scan of the leg without contrast |
$825 |
$1,375 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$852 |
$1,420 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,144 |
$1,907 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,138 |
$1,897 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$852 |
$1,420 |
— |
$130 | |
| CT scan of the neck |
$1,120 |
$1,866 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$1,112 |
$1,853 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,463 |
$2,438 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,107 |
$1,845 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,112 |
$1,853 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$1,395 |
$2,325 |
— |
$220 | |
| CT scan of the neck with contrast |
$1,120 |
$1,866 |
— |
$183 | |
| CT scan of the neck without contrast |
$962 |
$1,604 |
— |
$150 | |
| CT scan of the pelvis |
$798 |
$1,330 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,414 |
$2,357 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$798 |
$1,330 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$676 |
$1,126 |
— |
$133 | |
| CT scan of the sinuses |
$965 |
$1,608 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,400 |
$2,333 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$965 |
$1,608 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$823 |
$1,372 |
— |
$128 | |
| D-dimer test |
$92 |
$154 |
— |
$10 | |
| Developmental screening (child) |
$22 |
$36 |
— |
— | |
| DHEA-sulfate test |
$86 |
$144 |
— |
$22 | |
| Diagnostic mammogram |
$268 |
$447 |
— |
$140 | |
| Dilation and curettage (D&C) |
$554 |
$923 |
— |
$298 | |
| Drug screen (urine) |
$110 |
$184 |
— |
$17 | |
| Ear pressure test (tympanometry) |
$68 |
$113 |
— |
$16 | |
| Echocardiogram |
$226 |
$377 |
— |
$138 | |
| Echocardiogram with and without contrast |
$226 |
$377 |
— |
$101 | |
| Echocardiogram without contrast |
$485 |
$808 |
— |
$138 | |
| EEG (awake and asleep) |
$303 |
$506 |
— |
$482 | |
| EKG / ECG (tracing only) |
$95 |
$158 |
— |
$7 | |
| Electrocardiogram (EKG) |
$81 |
$135 |
— |
$8 | |
| Electroencephalogram (EEG) |
$303 |
$506 |
— |
$448 | |
| Electrolyte panel |
$74 |
$123 |
— |
$7 | |
| Electromyography (EMG) |
$169 |
$282 |
— |
$141 | |
| Emergency department visit |
$158 |
$264 |
— |
$69 | |
| Emergency department visit (level 1) |
$72 |
$120 |
— |
$11 | |
| Emergency department visit (level 2) |
$123 |
$206 |
— |
$40 | |
| Emergency department visit (level 3) |
$209 |
$348 |
— |
$69 | |
| Emergency department visit (level 4) |
$341 |
$568 |
— |
$118 | |
| Emergency department visit (level 5) |
$515 |
$858 |
— |
$171 | |
| Endometrial biopsy |
$173 |
$289 |
— |
$98 | |
| Epidural steroid injection |
$994 |
$1,656 |
— |
$275 | |
| ERCP (bile duct endoscopy) |
$3,668 |
$6,114 |
— |
$311 | |
| Estradiol (estrogen) test |
$94 |
$157 |
— |
$28 | |
| Eyelid surgery (blepharoplasty) |
$2,337 |
$3,895 |
— |
$552 | |
| Facet joint injection (spine) |
$314 |
$524 |
— |
$99 | |
| Fallopian tube X-ray (HSG) |
$490 |
$817 |
— |
$164 | |
| Family therapy session |
$172 |
$287 |
— |
$110 | |
| Fecal occult blood (stool) test |
$37 |
$62 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$25 |
$41 |
— |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$52 |
$86 |
— |
$16 | |
| Feeding tube (PEG) placement |
$320 |
$534 |
— |
$178 | |
| Femoral hernia repair |
$830 |
$1,384 |
— |
$584 | |
| Ferritin (iron) test |
$105 |
$175 |
— |
$14 | |
| Fibrinogen test |
$104 |
$174 |
— |
$10 | |
| Fibroid removal (myomectomy) |
$1,509 |
$2,516 |
— |
$914 | |
| Flexible sigmoidoscopy |
$385 |
$642 |
— |
$323 | |
| Flu test |
$91 |
$151 |
— |
$17 | |
| Flu vaccine |
$21 |
$35 |
— |
— | |
| Folate (folic acid) test |
$100 |
$166 |
— |
$15 | |
| Foreign body removal (skin) |
$253 |
$422 |
— |
$157 | |
| Free T4 thyroid test |
$41 |
$69 |
— |
$9 | |
| FSH hormone test |
$74 |
$124 |
— |
$19 | |
| Gallbladder removal (laparoscopic) |
$1,091 |
$1,819 |
— |
$658 | |
| Gallbladder scan (HIDA) |
$1,178 |
$1,963 |
— |
$334 | |
| Ganglion cyst removal |
$526 |
$877 |
— |
$321 | |
| GGT liver test |
$47 |
$79 |
— |
$7 | |
| Glucose tolerance test |
$33 |
$55 |
— |
$8 | |
| Group therapy session |
$46 |
$76 |
— |
$30 | |
| H. pylori test |
$154 |
$256 |
— |
$67 | |
| HDL cholesterol test |
$56 |
$94 |
— |
$8 | |
| Hematocrit test |
$20 |
$34 |
— |
$2 | |
| Hemodialysis |
$1,178 |
$1,963 |
— |
$75 | |
| Hemoglobin A1c (diabetes test) |
$47 |
$78 |
— |
$10 | |
| Hemorrhoid removal |
$615 |
$1,026 |
— |
$338 | |
| Hepatitis A vaccine |
$68 |
$113 |
— |
— | |
| Hepatitis B test |
$76 |
$126 |
— |
$10 | |
| Hepatitis B vaccine |
$125 |
$209 |
— |
— | |
| Hepatitis C test |
$103 |
$171 |
— |
$14 | |
| Hip fracture repair |
$1,869 |
$3,116 |
— |
$1,120 | |
| Hip replacement |
$2,417 |
$4,028 |
— |
$1,162 | |
| HIV test |
$40 |
$67 |
— |
$19 | |
| HIV test (antibody) |
$56 |
$93 |
— |
$14 | |
| HIV test (antigen/antibody combo) |
$25 |
$41 |
— |
$24 | |
| Holter heart monitor |
$224 |
$374 |
— |
$26 | |
| Home sleep apnea test |
$229 |
$382 |
— |
$123 | |
| HPV vaccine |
$234 |
$390 |
— |
— | |
| Hydrocele repair |
$548 |
$914 |
— |
$315 | |
| Hysterectomy |
$1,570 |
$2,617 |
— |
$933 | |
| Hysteroscopy |
$2,005 |
$3,341 |
— |
$1,270 | |
| Ileostomy |
$1,673 |
$2,789 |
— |
$968 | |
| Inguinal hernia repair |
$848 |
$1,413 |
— |
$538 | |
| Iron blood test |
$65 |
$109 |
— |
$6 | |
| IUD insertion |
$125 |
$209 |
— |
— | |
| IUD removal |
$167 |
$278 |
— |
$112 | |
| IV infusion therapy |
$384 |
$640 |
— |
$44 | |
| IV infusion therapy (each additional) |
$56 |
$94 |
— |
$21 | |
| IV infusion therapy (initial) |
$384 |
$640 |
— |
$67 | |
| IVC filter placement |
$6,416 |
$10,693 |
— |
$1,885 | |
| Joint aspiration (small/intermediate) |
$202 |
$337 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$308 |
$513 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$202 |
$336 |
— |
$56 | |
| Kidney biopsy |
$1,538 |
$2,564 |
— |
$492 | |
| Kidney removal (nephrectomy) |
$1,738 |
$2,897 |
— |
$1,164 | |
| Kidney scan (nuclear) |
$849 |
$1,415 |
— |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$1,371 |
$2,285 |
— |
$760 | |
| Kidney ultrasound |
$209 |
$348 |
— |
$84 | |
| Kidney ultrasound (limited) |
$175 |
$291 |
— |
$61 | |
| Knee arthroscopy |
$1,005 |
$1,675 |
— |
$524 | |
| Knee joint injection |
$412 |
$686 |
— |
$69 | |
| Lactate test |
$133 |
$222 |
— |
$12 | |
| Laryngoscopy |
$282 |
$470 |
— |
$189 | |
| LDH test |
$46 |
$77 |
— |
$6 | |
| LDL cholesterol test |
$75 |
$125 |
— |
$11 | |
| Leg artery angiogram |
$5,227 |
$8,711 |
— |
$149 | |
| Leg artery angioplasty |
$5,416 |
$9,026 |
— |
— | |
| Leg vein ultrasound (Doppler) |
$308 |
$514 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$268 |
$446 |
— |
$116 | |
| LH hormone test |
$88 |
$146 |
— |
$19 | |
| Lipase test |
$95 |
$158 |
— |
$7 | |
| Lipid (cholesterol) panel |
$142 |
$236 |
— |
$13 | |
| Liver biopsy |
$1,538 |
$2,564 |
— |
$288 | |
| Liver function panel |
$94 |
$156 |
— |
$8 | |
| Lumpectomy (breast) |
$1,118 |
$1,863 |
— |
$750 | |
| Lung function test (PFT) |
$58 |
$97 |
— |
$37 | |
| Lung scan (V/Q) |
$876 |
$1,460 |
— |
$291 | |
| Magnesium blood test |
$72 |
$120 |
— |
$7 | |
| Mastectomy |
$1,580 |
$2,634 |
— |
$1,021 | |
| Meniscus repair (knee) |
$1,172 |
$1,954 |
— |
$714 | |
| MMR vaccine |
$83 |
$139 |
— |
— | |
| MRA of the brain |
$1,618 |
$2,697 |
— |
$226 | |
| MRA of the brain with contrast |
$1,618 |
$2,697 |
— |
$226 | |
| MRA of the brain without contrast |
$3,153 |
$5,255 |
— |
$328 | |
| MRA of the neck |
$1,618 |
$2,697 |
— |
$245 | |
| MRA of the neck with contrast |
$1,618 |
$2,697 |
— |
$245 | |
| MRA of the neck without contrast |
$3,153 |
$5,255 |
— |
$343 | |
| MRI of the abdomen |
$1,600 |
$2,666 |
— |
$300 | |
| MRI of the abdomen with contrast |
$1,588 |
$2,646 |
— |
$300 | |
| MRI of the abdomen without contrast |
$1,600 |
$2,666 |
— |
$194 | |
| MRI of the ankle |
$1,910 |
$3,183 |
— |
$261 | |
| MRI of the ankle with contrast |
$1,910 |
$3,183 |
— |
$261 | |
| MRI of the ankle without contrast |
$1,239 |
$2,065 |
— |
$222 | |
| MRI of the brain |
$1,951 |
$3,252 |
— |
$269 | |
| MRI of the brain with contrast |
$1,951 |
$3,252 |
— |
$269 | |
| MRI of the brain without contrast |
$1,618 |
$2,697 |
— |
$195 | |
| MRI of the chest |
$1,756 |
$2,927 |
— |
$371 | |
| MRI of the chest with contrast |
$1,913 |
$3,188 |
— |
$371 | |
| MRI of the chest without contrast |
$3,502 |
$5,836 |
— |
$466 | |
| MRI of the knee |
$1,596 |
$2,660 |
— |
$315 | |
| MRI of the knee with contrast |
$1,596 |
$2,660 |
— |
$315 | |
| MRI of the knee without contrast |
$1,429 |
$2,382 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,937 |
$3,229 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,937 |
$3,229 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,793 |
$2,989 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,937 |
$3,229 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$3,589 |
$5,981 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,937 |
$3,229 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,793 |
$2,989 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$1,951 |
$3,252 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$3,589 |
$5,981 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,951 |
$3,252 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,618 |
$2,697 |
— |
$191 | |
| MRI of the pelvis |
$1,588 |
$2,646 |
— |
$268 | |
| MRI of the pelvis with contrast |
$1,588 |
$2,646 |
— |
$268 | |
| MRI of the pelvis without contrast |
$1,239 |
$2,065 |
— |
$227 | |
| MRI of the shoulder |
$1,596 |
$2,660 |
— |
$313 | |
| MRI of the shoulder with contrast |
$1,596 |
$2,660 |
— |
$313 | |
| MRI of the shoulder without contrast |
$1,273 |
$2,121 |
— |
$205 | |
| MRI of the wrist |
$1,910 |
$3,183 |
— |
$330 | |
| MRI of the wrist with contrast |
$1,910 |
$3,183 |
— |
$330 | |
| MRI of the wrist without contrast |
$1,585 |
$2,642 |
— |
$303 | |
| Nebulizer breathing treatment |
$374 |
$623 |
— |
$9 | |
| Neck (cervical) spinal fusion |
$1,159 |
$1,932 |
— |
$1,410 | |
| Nerve conduction study |
$194 |
$324 |
— |
$118 | |
| Nuchal translucency ultrasound |
$125 |
$208 |
— |
$116 | |
| Nuclear cardiac stress test |
$2,342 |
$3,904 |
— |
$428 | |
| Occupational therapy evaluation |
$200 |
$334 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$200 |
$334 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$200 |
$334 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$200 |
$334 |
— |
$101 | |
| Office visit (established patient) |
$161 |
$269 |
— |
$115 | |
| Office visit (new patient) |
$197 |
$328 |
— |
$177 | |
| Office visit, established patient (level 3) |
$141 |
$235 |
— |
$95 | |
| Office visit, established patient (level 4) |
$169 |
$282 |
— |
$136 | |
| Office visit, new patient (level 3) |
$178 |
$297 |
— |
$118 | |
| Office visit, new patient (level 4) |
$229 |
$381 |
— |
$177 | |
| Office visit, new patient (level 5) |
$275 |
$459 |
— |
$237 | |
| Orthopedic hardware removal |
$586 |
$977 |
— |
$632 | |
| Ovarian cyst removal |
$1,334 |
$2,224 |
— |
$698 | |
| Ovary removal (oophorectomy) |
$834 |
$1,390 |
— |
$822 | |
| Pap smear (cervical screening) |
$98 |
$163 |
— |
$20 | |
| Parathyroid hormone (PTH) test |
$115 |
$192 |
— |
$41 | |
| Pelvic ultrasound |
$247 |
$411 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$392 |
$654 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$185 |
$309 |
— |
$51 | |
| Phosphorus blood test |
$50 |
$83 |
— |
$5 | |
| Physical therapy evaluation |
$191 |
$319 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$191 |
$319 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$191 |
$319 |
— |
$98 | |
| Pilonidal cyst removal |
$889 |
$1,481 |
— |
$541 | |
| Platelet count |
$55 |
$91 |
— |
$4 | |
| Pneumonia vaccine |
$98 |
$163 |
— |
— | |
| Pregnancy blood test (hCG) |
$68 |
$113 |
— |
$8 | |
| Pregnancy ultrasound |
$420 |
$701 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$337 |
$561 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$476 |
$793 |
— |
$136 | |
| Procalcitonin test |
$169 |
$282 |
— |
$27 | |
| Prolactin test |
$123 |
$205 |
— |
$19 | |
| Prostate biopsy |
$1,775 |
$2,959 |
— |
— | |
| Prostate removal (prostatectomy) |
$2,375 |
$3,958 |
— |
$1,063 | |
| Prostate surgery (TURP) |
$1,799 |
$2,998 |
— |
$526 | |
| Prostate test (PSA) |
$122 |
$203 |
— |
$18 | |
| Psychiatric evaluation |
$187 |
$311 |
— |
$188 | |
| Psychotherapy session |
$133 |
$221 |
— |
$140 | |
| Pulmonary rehabilitation |
$166 |
$277 |
— |
$87 | |
| Rotator cuff repair |
$1,379 |
$2,298 |
— |
$792 | |
| Sacroiliac joint injection |
$322 |
$536 |
— |
$176 | |
| Scoliosis spine X-ray |
$208 |
$347 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$128 |
$213 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$208 |
$347 |
— |
$72 | |
| Screening colonoscopy |
$364 |
$607 |
— |
$378 | |
| Screening mammogram |
$221 |
$368 |
— |
$126 | |
| Scrotal ultrasound |
$275 |
$458 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$58 |
$96 |
— |
$3 | |
| Semen analysis |
$69 |
$115 |
— |
$12 | |
| Septoplasty (deviated septum) |
$1,210 |
$2,016 |
— |
$613 | |
| Sex hormone binding globulin test |
$121 |
$202 |
— |
$22 | |
| Shingles vaccine |
$197 |
$329 |
— |
— | |
| Shoulder replacement |
$2,175 |
$3,625 |
— |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$161 |
$268 |
— |
$114 | |
| Simple wound stitches |
$169 |
$281 |
— |
$127 | |
| Skin biopsy |
$347 |
$578 |
— |
$121 | |
| Skin biopsy (punch) |
$347 |
$578 |
— |
$121 | |
| Skin cancer lesion removal |
$359 |
$598 |
— |
$240 | |
| Skin graft |
$2,419 |
$4,031 |
— |
$898 | |
| Skin lesion freezing (cryotherapy) |
$44 |
$73 |
— |
$36 | |
| Skin tag removal |
$131 |
$218 |
— |
$92 | |
| Small bowel resection |
$1,959 |
$3,265 |
— |
$1,136 | |
| Soft tissue ultrasound |
$185 |
$309 |
— |
$64 | |
| Speech therapy |
$215 |
$359 |
— |
$76 | |
| Spinal cord stimulator |
$9,385 |
$15,642 |
— |
$2,388 | |
| Spinal tap (lumbar puncture) |
$582 |
$970 |
— |
$165 | |
| Spine fracture repair (kyphoplasty) |
$5,824 |
$9,706 |
— |
$5,803 | |
| Spirometry (lung function test) |
$64 |
$106 |
— |
$30 | |
| Spleen removal (splenectomy) |
$1,526 |
$2,543 |
— |
$1,036 | |
| Stomach removal (gastrectomy) |
$2,145 |
$3,575 |
— |
$1,595 | |
| Strep throat test |
$40 |
$67 |
— |
$17 | |
| Stress echocardiogram |
$305 |
$509 |
— |
$209 | |
| Stress echocardiogram (complete) |
$364 |
$607 |
— |
$233 | |
| Swallow study |
$215 |
$359 |
— |
$85 | |
| T3 thyroid test |
$85 |
$142 |
— |
$14 | |
| Tdap (tetanus) vaccine |
$46 |
$76 |
— |
— | |
| Testicle removal (orchiectomy) |
$526 |
$877 |
— |
$306 | |
| Testosterone test |
$94 |
$157 |
— |
$26 | |
| Thyroid removal (thyroidectomy) |
$1,471 |
$2,452 |
— |
$1,004 | |
| Thyroid test (TSH) |
$112 |
$187 |
— |
$17 | |
| Thyroid ultrasound |
$457 |
$762 |
— |
$109 | |
| Thyroid uptake scan |
$708 |
$1,180 |
— |
$145 | |
| Tilt table test |
$507 |
$845 |
— |
$168 | |
| Total IgE allergy test |
$46 |
$76 |
— |
$16 | |
| Total protein test |
$19 |
$31 |
— |
$4 | |
| Tracheostomy |
$401 |
$669 |
— |
$273 | |
| Transesophageal echocardiogram (TEE) |
$1,208 |
$2,014 |
— |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,208 |
$2,014 |
— |
$239 | |
| Transvaginal ultrasound |
$454 |
$756 |
— |
$118 | |
| Trigger finger release |
$687 |
$1,145 |
— |
$630 | |
| Trigger point injection |
$226 |
$376 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$186 |
$311 |
— |
$52 | |
| Triglycerides test |
$36 |
$60 |
— |
$6 | |
| Troponin (heart) test |
$126 |
$210 |
— |
$12 | |
| Tubal ligation |
$586 |
$977 |
— |
$333 | |
| Turning a breech baby (version) |
$251 |
$419 |
— |
$94 | |
| Ulnar nerve surgery (elbow) |
$806 |
$1,343 |
— |
$575 | |
| Upper GI endoscopy (EGD) |
$245 |
$408 |
— |
$371 | |
| Upper GI series (barium) |
$323 |
$538 |
— |
$128 | |
| Ureteral stent placement |
$3,193 |
$5,322 |
— |
$373 | |
| Uric acid (gout) test |
$46 |
$76 |
— |
$5 | |
| Urinalysis |
$46 |
$76 |
— |
$3 | |
| Urine microalbumin test |
$42 |
$70 |
— |
$5 | |
| Urine pregnancy test |
$32 |
$53 |
— |
$9 | |
| Vaccine administration |
$15 |
$25 |
— |
$19 | |
| Vaccine administration (each additional) |
$15 |
$25 |
— |
$16 | |
| Varicocele repair |
$490 |
$817 |
— |
$327 | |
| Varicose vein ablation |
$4,710 |
$7,850 |
— |
$1,018 | |
| Vasectomy |
$849 |
$1,416 |
— |
$347 | |
| Vitamin B12 test |
$66 |
$111 |
— |
$15 | |
| Vitamin D test |
$110 |
$184 |
— |
$30 | |
| Wart removal |
$104 |
$173 |
— |
$121 | |
| Well-child visit |
$139 |
$231 |
— |
— | |
| Wound debridement |
$314 |
$523 |
— |
$186 | |
| Wrist fracture repair |
$1,054 |
$1,756 |
— |
$735 | |
| X-ray of the abdomen |
$250 |
$417 |
— |
$36 | |
| X-ray of the ankle |
$170 |
$284 |
— |
$37 | |
| X-ray of the collarbone |
$143 |
$239 |
— |
$33 | |
| X-ray of the elbow |
$179 |
$298 |
— |
$33 | |
| X-ray of the facial bones |
$216 |
$360 |
— |
$39 | |
| X-ray of the foot |
$187 |
$312 |
— |
$34 | |
| X-ray of the forearm |
$168 |
$280 |
— |
$29 | |
| X-ray of the hand |
$187 |
$312 |
— |
$38 | |
| X-ray of the hip |
$128 |
$213 |
— |
$49 | |
| X-ray of the hip (1 view) |
$128 |
$213 |
— |
$34 | |
| X-ray of the hip (3 views) |
$128 |
$213 |
— |
$49 | |
| X-ray of the hip (4 views) |
$208 |
$347 |
— |
$63 | |
| X-ray of the knee |
$197 |
$328 |
— |
$42 | |
| X-ray of the knee (2 views) |
$157 |
$261 |
— |
$34 | |
| X-ray of the knee (3 views) |
$197 |
$328 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$232 |
$387 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$294 |
$490 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$294 |
$490 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$308 |
$513 |
— |
$53 | |
| X-ray of the lower leg |
$196 |
$326 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$227 |
$378 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$185 |
$309 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$244 |
$407 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$233 |
$388 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$189 |
$315 |
— |
$40 | |
| X-ray of the pelvis |
$161 |
$269 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$138 |
$230 |
— |
$28 | |
| X-ray of the ribs |
$217 |
$362 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$191 |
$319 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$242 |
$404 |
— |
$42 | |
| X-ray of the shoulder |
$220 |
$367 |
— |
$36 | |
| X-ray of the skull |
$230 |
$384 |
— |
$40 | |
| X-ray of the upper arm |
$185 |
$309 |
— |
$32 | |
| X-ray of the wrist |
$185 |
$309 |
— |
$43 | |
| Zinc blood test |
$114 |
$191 |
— |
$11 | |