| 3D mammogram (tomosynthesis) |
$63 |
$63 |
$49 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$225 |
$221 |
$60 |
$284 | |
| Abdominal ultrasound |
$419 |
$726 |
$278 |
$100 | |
| Abdominal ultrasound (complete) |
$525 |
$808 |
$258 |
$114 | |
| Abdominal ultrasound (limited) |
$419 |
$644 |
$285 |
$86 | |
| Abscess drainage (complex or multiple) |
$711 |
$728 |
$81 |
$220 | |
| Abscess drainage (simple) |
$459 |
$453 |
$47 |
$129 | |
| Abscess incision and drainage |
$582 |
$534 |
$47 |
$174 | |
| Aldosterone test |
$153 |
$235 |
$41 |
$41 | |
| Alkaline phosphatase test |
$20 |
$30 |
$5 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$121 |
$186 |
$17 |
$17 | |
| ALT liver enzyme test |
$32 |
$49 |
$5 |
$5 | |
| Ammonia blood test |
$73 |
$112 |
$15 |
$15 | |
| Amniocentesis |
$941 |
$1,448 |
$1,448 |
$120 | |
| Amylase test |
$46 |
$70 |
$6 |
$6 | |
| Ankle fracture repair |
$24,318 |
— |
$19,776 |
$608 | |
| Ankle replacement |
$42,177 |
— |
$73,950 |
$885 | |
| Annual physical (established patient) |
$201 |
$261 |
$37 |
— | |
| Annual physical (new patient) |
$239 |
$218 |
$46 |
— | |
| Antinuclear antibody (ANA) test |
$45 |
$69 |
$12 |
$12 | |
| Aortic aneurysm repair (AAA) |
$3,047 |
$2,937 |
$515 |
$1,345 | |
| Aortic valve replacement |
$4,474 |
$4,474 |
$577 |
$1,603 | |
| AST liver enzyme test |
$32 |
$49 |
$5 |
$5 | |
| Barium swallow study |
$573 |
$882 |
$397 |
$107 | |
| Benign skin lesion removal |
$227 |
$226 |
$55 |
$171 | |
| Bilirubin blood test |
$19 |
$29 |
$5 |
$5 | |
| Bladder tumor removal (TURBT) |
$12,055 |
— |
$9,607 |
$236 | |
| Blood clotting test (PT/INR) |
$14 |
$22 |
$4 |
$4 | |
| Blood crossmatch |
$41 |
$63 |
$214 |
— | |
| Blood glucose test |
$16 |
$25 |
$4 |
$5 | |
| Blood transfusion |
$1,759 |
$1,873 |
$1,202 |
$47 | |
| BNP (heart failure) test |
$112 |
$172 |
$39 |
$39 | |
| Bone density scan (DEXA) |
$495 |
$761 |
$285 |
$39 | |
| Bone marrow biopsy |
$2,469 |
$3,799 |
$4,357 |
$172 | |
| Bone scan (nuclear) |
$778 |
$1,197 |
$697 |
$259 | |
| Breast biopsy |
$2,493 |
$3,835 |
$3,835 |
$478 | |
| Breast MRI |
$4,026 |
$6,194 |
$650 |
$216 | |
| Breast MRI without contrast |
$4,026 |
$6,194 |
$650 |
$216 | |
| Breast reconstruction |
$29,143 |
— |
$37,558 |
$1,227 | |
| Breast ultrasound |
$344 |
$529 |
$130 |
$92 | |
| Breast ultrasound (complete) |
$297 |
$457 |
$144 |
$100 | |
| Breast ultrasound (limited) |
$390 |
$600 |
$94 |
$84 | |
| Breathing tube insertion (intubation) |
$287 |
$299 |
$125 |
$133 | |
| Bronchoscopy |
$366 |
$361 |
$57 |
$303 | |
| Bunion surgery (bunionectomy) |
$20,591 |
— |
$8,917 |
$883 | |
| Burn dressing and debridement (medium) |
$425 |
$654 |
$547 |
$166 | |
| Burn dressing and debridement (small) |
$171 |
$499 |
$25 |
$93 | |
| Burn treatment |
$298 |
$654 |
$25 |
$129 | |
| C-reactive protein (CRP) |
$45 |
$69 |
$5 |
$5 | |
| CA 19-9 tumor marker test |
$68 |
$105 |
$21 |
$21 | |
| CA-125 ovarian marker test |
$87 |
$134 |
$21 |
$21 | |
| Cardiac ablation |
$18,846 |
$28,396 |
$373 |
$759 | |
| Cardiac catheterization |
$6,747 |
$6,365 |
$405 |
$1,049 | |
| Cardiac stress test |
$140 |
$140 |
$61 |
$39 | |
| Cardioversion |
$1,765 |
$1,468 |
$90 |
$155 | |
| Carotid artery ultrasound |
$534 |
$821 |
$36 |
$156 | |
| Carpal tunnel release |
$7,195 |
— |
$5,322 |
$483 | |
| CEA tumor marker test |
$85 |
$130 |
$19 |
$19 | |
| Celiac disease test |
$45 |
$69 |
$12 |
$12 | |
| Cesarean section (C-section) |
$13,643 |
— |
$10,405 |
$7,552 | |
| Chemotherapy infusion |
$577 |
$549 |
$356 |
$81 | |
| Chemotherapy infusion (each additional) |
$137 |
$210 |
$150 |
$28 | |
| Chest fluid drain (thoracentesis) |
$1,726 |
$2,104 |
$676 |
$311 | |
| Chest tube insertion |
$328 |
$328 |
$100 |
$143 | |
| Chest X-ray |
$277 |
$405 |
$16 |
$37 | |
| Chickenpox (varicella) vaccine |
$242 |
$328 |
$52 |
— | |
| CK-MB heart enzyme test |
$44 |
$67 |
$12 |
$12 | |
| Clotting time test (PTT) |
$23 |
$35 |
$6 |
$6 | |
| Colon resection (colectomy) |
$2,463 |
$2,653 |
$323 |
$1,238 | |
| Colonoscopy |
$551 |
$457 |
$106 |
$480 | |
| Continuous glucose monitor setup |
$72 |
$72 |
$33 |
$35 | |
| Copper blood test |
$47 |
$72 |
$12 |
$12 | |
| Coronary artery bypass (CABG) |
$69,038 |
— |
$46,460 |
$36,593 | |
| Coronary CT angiography |
$1,485 |
$2,284 |
$951 |
$326 | |
| Cortisol test |
$85 |
$130 |
$16 |
$16 | |
| COVID-19 PCR test |
$177 |
$272 |
$51 |
$51 | |
| CPAP titration study |
$197 |
$303 |
$315 |
$69 | |
| CT angiography of the head |
$2,924 |
$2,828 |
$296 |
$274 | |
| CT colonography (virtual colonoscopy) |
$774 |
$1,191 |
$650 |
$835 | |
| CT scan of the abdomen |
$1,210 |
$1,861 |
$285 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,345 |
$3,284 |
$376 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,345 |
$3,608 |
$929 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,914 |
$3,284 |
$437 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,430 |
$2,903 |
$257 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,359 |
$2,090 |
$257 |
$259 | |
| CT scan of the abdomen with contrast |
$1,210 |
$1,861 |
$432 |
$230 | |
| CT scan of the abdomen without contrast |
$932 |
$1,434 |
$285 |
$136 | |
| CT scan of the arm |
$1,786 |
$2,748 |
$376 |
$199 | |
| CT scan of the arm with contrast |
$1,801 |
$2,771 |
$678 |
$199 | |
| CT scan of the arm without contrast |
$1,635 |
$2,515 |
$285 |
$161 | |
| CT scan of the chest |
$1,359 |
$2,090 |
$285 |
$167 | |
| CT scan of the chest with and without contrast |
$1,359 |
$2,090 |
$478 |
$196 | |
| CT scan of the chest with contrast |
$1,411 |
$2,171 |
$467 |
$167 | |
| CT scan of the chest without contrast |
$1,086 |
$1,671 |
$285 |
$133 | |
| CT scan of the head |
$1,241 |
$1,801 |
$285 |
$148 | |
| CT scan of the head with and without contrast |
$1,310 |
$2,016 |
$478 |
$173 | |
| CT scan of the head with contrast |
$1,171 |
$1,801 |
$432 |
$148 | |
| CT scan of the leg |
$1,112 |
$1,711 |
$285 |
$166 | |
| CT scan of the leg with contrast |
$2,005 |
$3,085 |
$392 |
$166 | |
| CT scan of the leg without contrast |
$1,090 |
$1,677 |
$285 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,282 |
$1,973 |
$285 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,483 |
$2,282 |
$478 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,282 |
$1,973 |
$951 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,138 |
$1,750 |
$285 |
$130 | |
| CT scan of the neck |
$1,130 |
$2,004 |
$285 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,210 |
$1,861 |
$376 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,414 |
$2,176 |
$478 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,210 |
$1,861 |
$951 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,138 |
$1,750 |
$285 |
$131 | |
| CT scan of the neck with and without contrast |
$1,359 |
$2,090 |
$478 |
$220 | |
| CT scan of the neck with contrast |
$1,303 |
$2,004 |
$478 |
$183 | |
| CT scan of the neck without contrast |
$958 |
$1,474 |
$285 |
$150 | |
| CT scan of the pelvis |
$1,210 |
$1,861 |
$285 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,438 |
$2,212 |
$478 |
$251 | |
| CT scan of the pelvis with contrast |
$1,210 |
$1,861 |
$392 |
$226 | |
| CT scan of the pelvis without contrast |
$1,094 |
$1,683 |
$285 |
$133 | |
| CT scan of the sinuses |
$1,303 |
$2,004 |
$285 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,447 |
$2,226 |
$478 |
$184 | |
| CT scan of the sinuses with contrast |
$1,303 |
$2,004 |
$478 |
$152 | |
| CT scan of the sinuses without contrast |
$1,037 |
$1,595 |
$273 |
$128 | |
| D-dimer test |
$56 |
$86 |
$10 |
$10 | |
| Developmental screening (child) |
$33 |
$67 |
$16 |
— | |
| DHEA-sulfate test |
$86 |
$133 |
$22 |
$22 | |
| Diagnostic mammogram |
$488 |
$750 |
$98 |
$140 | |
| Dialysis fistula creation |
$1,312 |
$1,312 |
$162 |
$601 | |
| Dilation and curettage (D&C) |
$2,442 |
$2,105 |
$98 |
$298 | |
| Drug screen (urine) |
$202 |
$187 |
$62 |
$17 | |
| Ear tubes (myringotomy) |
$620 |
$620 |
$102 |
$174 | |
| Echocardiogram |
$351 |
$407 |
$95 |
$138 | |
| Echocardiogram with and without contrast |
$198 |
$198 |
$92 |
$101 | |
| Echocardiogram without contrast |
$351 |
$540 |
$387 |
$138 | |
| EEG (awake and asleep) |
$117 |
$381 |
$141 |
$482 | |
| Elbow replacement |
$36,654 |
— |
$47,786 |
$1,301 | |
| Electrocardiogram (EKG) |
$45 |
$45 |
$15 |
$8 | |
| Electroencephalogram (EEG) |
$268 |
$381 |
$141 |
$448 | |
| Electrolyte panel |
$27 |
$42 |
$7 |
$7 | |
| Electromyography (EMG) |
$198 |
$305 |
$218 |
$141 | |
| Emergency department visit |
$360 |
$367 |
$156 |
$69 | |
| Emergency department visit (level 1) |
$276 |
$424 |
$230 |
$11 | |
| Emergency department visit (level 2) |
$452 |
$391 |
$54 |
$40 | |
| Emergency department visit (level 3) |
$724 |
$628 |
$92 |
$69 | |
| Emergency department visit (level 4) |
$253 |
$253 |
$155 |
$118 | |
| Emergency department visit (level 5) |
$367 |
$367 |
$226 |
$171 | |
| Endometrial biopsy |
$138 |
$138 |
$26 |
$98 | |
| Epidural steroid injection |
$928 |
$1,428 |
$1,428 |
$275 | |
| Estradiol (estrogen) test |
$121 |
$186 |
$28 |
$28 | |
| Eyelid surgery (blepharoplasty) |
$7,222 |
— |
$5,623 |
$552 | |
| Fallopian tube X-ray (HSG) |
$373 |
$539 |
$25 |
$164 | |
| Family therapy session |
$211 |
$211 |
$97 |
$110 | |
| Fecal occult blood (stool) test |
$43 |
$67 |
$16 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$27 |
$41 |
$4 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$60 |
$92 |
$16 |
$16 | |
| Femoral hernia repair |
$18,963 |
— |
$9,758 |
$584 | |
| Ferritin (iron) test |
$93 |
$143 |
$14 |
$14 | |
| Fibrinogen test |
$57 |
$88 |
$10 |
$10 | |
| Flexible sigmoidoscopy |
$150 |
$134 |
$21 |
$323 | |
| Flu test |
$51 |
$78 |
$17 |
$17 | |
| Flu vaccine |
$33 |
$50 |
$21 |
— | |
| Folate (folic acid) test |
$56 |
$86 |
$15 |
$15 | |
| Foreign body removal (skin) |
$236 |
$220 |
$48 |
$157 | |
| Free T4 thyroid test |
$34 |
$52 |
$9 |
$9 | |
| FSH hormone test |
$70 |
$107 |
$19 |
$19 | |
| Gallbladder removal (laparoscopic) |
$1,420 |
$1,305 |
$200 |
$658 | |
| Gallbladder scan (HIDA) |
$1,148 |
$1,766 |
$1,090 |
$334 | |
| Ganglion cyst removal |
$8,789 |
— |
$4,382 |
$321 | |
| GGT liver test |
$32 |
$49 |
$7 |
$7 | |
| Glucose tolerance test |
$29 |
$45 |
$11 |
$8 | |
| Group therapy session |
$122 |
$188 |
$26 |
$30 | |
| Hammertoe repair |
$12,251 |
— |
$19,776 |
$548 | |
| HDL cholesterol test |
$31 |
$47 |
$8 |
$8 | |
| Hearing test (audiometry) |
$66 |
$221 |
$27 |
$36 | |
| Hemodialysis |
$1,730 |
$2,662 |
$1,870 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$36 |
$56 |
$10 |
$10 | |
| Hepatitis A vaccine |
$133 |
$156 |
$72 |
— | |
| Hepatitis B test |
$28 |
$43 |
$10 |
$10 | |
| Hepatitis B vaccine |
$251 |
$251 |
$72 |
— | |
| Hip fracture repair |
$2,431 |
$2,431 |
$344 |
$1,120 | |
| HIV test |
$90 |
$117 |
$24 |
$19 | |
| HIV test (antibody) |
$61 |
$94 |
$14 |
$14 | |
| HPV vaccine |
$444 |
$486 |
$323 |
— | |
| Hydrocele repair |
$8,326 |
— |
$9,758 |
$315 | |
| Hysteroscopy |
$498 |
$498 |
$71 |
$1,270 | |
| Inguinal hernia repair |
$684 |
$1,157 |
$144 |
$538 | |
| Iron blood test |
$129 |
$198 |
$6 |
$6 | |
| IUD insertion |
$490 |
$490 |
$49 |
— | |
| IUD removal |
$135 |
$135 |
$27 |
$112 | |
| Joint aspiration or injection (mid-size joint) |
$79 |
$77 |
$16 |
$57 | |
| Joint aspiration or injection (small joint) |
$466 |
$579 |
$837 |
$56 | |
| Kidney biopsy |
$4,291 |
$6,602 |
$4,501 |
$492 | |
| Kidney removal (nephrectomy) |
$1,570 |
$1,570 |
$409 |
$1,164 | |
| Kidney scan (nuclear) |
$948 |
$1,458 |
$1,039 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$5,668 |
— |
$9,607 |
$760 | |
| Kidney ultrasound |
$506 |
$731 |
$144 |
$84 | |
| Knee joint injection |
$309 |
$330 |
$28 |
$69 | |
| Knee replacement |
$36,604 |
— |
$24,101 |
$18,054 | |
| Laminectomy (spine) |
$1,464 |
$2,469 |
$298 |
$1,157 | |
| LDH test |
$32 |
$49 |
$6 |
$6 | |
| Leg vein ultrasound (Doppler) |
$404 |
$609 |
$46 |
$150 | |
| LH hormone test |
$70 |
$107 |
$19 |
$19 | |
| Lipid (cholesterol) panel |
$68 |
$104 |
$13 |
$13 | |
| Liver biopsy |
$2,861 |
$4,402 |
$4,501 |
$288 | |
| Liver function panel |
$49 |
$75 |
$8 |
$8 | |
| Lumpectomy (breast) |
$1,617 |
$1,451 |
$203 |
$750 | |
| Lung function test (PFT) |
$98 |
$220 |
$27 |
$37 | |
| Lung scan (V/Q) |
$1,105 |
$1,700 |
$1,211 |
$291 | |
| Mastectomy |
$2,485 |
$2,379 |
$293 |
$1,021 | |
| Meniscus repair (knee) |
$1,567 |
$1,567 |
$196 |
$714 | |
| MMR vaccine |
$156 |
$164 |
$43 |
— | |
| MRA of the brain |
$1,687 |
$3,605 |
$650 |
$226 | |
| MRA of the brain without contrast |
$2,999 |
$4,614 |
$951 |
$328 | |
| MRA of the neck |
$1,823 |
$2,804 |
$650 |
$245 | |
| MRA of the neck without contrast |
$1,958 |
$3,013 |
$951 |
$343 | |
| MRI of the abdomen |
$1,700 |
$2,615 |
$650 |
$300 | |
| MRI of the abdomen with contrast |
$1,700 |
$2,615 |
$951 |
$300 | |
| MRI of the abdomen without contrast |
$1,386 |
$2,132 |
$650 |
$194 | |
| MRI of the ankle |
$1,944 |
$2,990 |
$650 |
$261 | |
| MRI of the ankle without contrast |
$2,079 |
$3,199 |
$650 |
$222 | |
| MRI of the brain |
$1,612 |
$2,480 |
$650 |
$269 | |
| MRI of the brain with contrast |
$1,612 |
$2,480 |
$951 |
$269 | |
| MRI of the brain without contrast |
$1,543 |
$2,374 |
$650 |
$195 | |
| MRI of the chest |
$1,517 |
$2,334 |
$650 |
$371 | |
| MRI of the chest without contrast |
$1,550 |
$2,385 |
$951 |
$466 | |
| MRI of the knee |
$2,049 |
$3,152 |
$650 |
$315 | |
| MRI of the knee without contrast |
$1,386 |
$2,132 |
$650 |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,622 |
$2,495 |
$650 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,622 |
$2,495 |
$951 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,543 |
$2,374 |
$650 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,622 |
$2,495 |
$650 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$1,808 |
$2,781 |
$951 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,622 |
$2,495 |
$951 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,543 |
$2,374 |
$650 |
$190 | |
| MRI of the neck (cervical spine) |
$1,714 |
$2,495 |
$650 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$1,808 |
$2,781 |
$951 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,622 |
$2,495 |
$951 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,675 |
$2,374 |
$650 |
$191 | |
| MRI of the pelvis |
$1,463 |
$2,251 |
$650 |
$268 | |
| MRI of the pelvis without contrast |
$1,386 |
$2,132 |
$650 |
$227 | |
| MRI of the shoulder |
$1,891 |
$2,909 |
$650 |
$313 | |
| MRI of the shoulder without contrast |
$2,092 |
$3,219 |
$650 |
$205 | |
| MRI of the wrist |
$1,788 |
$2,751 |
$650 |
$330 | |
| MRI of the wrist without contrast |
$1,960 |
$3,016 |
$650 |
$303 | |
| Nebulizer breathing treatment |
$177 |
$272 |
$8 |
$9 | |
| Neck (cervical) spinal fusion |
$3,326 |
$3,326 |
$338 |
$1,410 | |
| Nerve conduction study |
$163 |
$362 |
$77 |
$118 | |
| Newborn hospital care |
$190 |
$190 |
$45 |
$58 | |
| Nuclear cardiac stress test |
$1,542 |
$2,373 |
$1,637 |
$428 | |
| Occupational therapy evaluation |
$343 |
$528 |
$215 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$346 |
$533 |
$215 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$341 |
$524 |
$215 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$343 |
$528 |
$215 |
$101 | |
| Office visit (new patient) |
$295 |
$256 |
$111 |
$177 | |
| Office visit, new patient (level 3) |
$220 |
$220 |
$68 |
$118 | |
| Office visit, new patient (level 5) |
$334 |
$334 |
$152 |
$237 | |
| Orthopedic hardware removal |
$933 |
$884 |
$109 |
$632 | |
| Pacemaker insertion |
$43,647 |
— |
$25,360 |
$15,506 | |
| Pap smear (cervical screening) |
$88 |
$135 |
$27 |
$20 | |
| Parathyroid hormone (PTH) test |
$148 |
$227 |
$41 |
$41 | |
| Pelvic ultrasound |
$354 |
$545 |
$237 |
$78 | |
| Pelvic ultrasound (complete) |
$454 |
$699 |
$278 |
$105 | |
| Pelvic ultrasound (limited) |
$254 |
$391 |
$215 |
$51 | |
| Phosphorus blood test |
$25 |
$39 |
$5 |
$5 | |
| Physical therapy evaluation |
$342 |
$526 |
$209 |
$98 | |
| Physical therapy evaluation (high complexity) |
$345 |
$531 |
$209 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$342 |
$526 |
$209 |
$98 | |
| Platelet count |
$33 |
$51 |
$4 |
$4 | |
| Pneumonia vaccine |
$192 |
$214 |
$123 |
— | |
| Pregnancy blood test (hCG) |
$24 |
$29 |
$7 |
$8 | |
| Pregnancy ultrasound |
$390 |
$534 |
$278 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$304 |
$467 |
$203 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$640 |
$600 |
$282 |
$136 | |
| Procalcitonin test |
$314 |
$483 |
$27 |
$27 | |
| Prolactin test |
$85 |
$130 |
$19 |
$19 | |
| Prostate removal (prostatectomy) |
$3,254 |
$2,906 |
$441 |
$1,063 | |
| Prostate surgery (TURP) |
$17,960 |
— |
$14,613 |
$526 | |
| Prostate test (PSA) |
$21 |
$33 |
$18 |
$18 | |
| Psychiatric evaluation |
$216 |
$327 |
$160 |
$188 | |
| Psychotherapy session |
$250 |
$293 |
$109 |
$140 | |
| RSV vaccine |
$523 |
$805 |
$322 |
— | |
| Scoliosis spine X-ray |
$285 |
$439 |
$145 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$153 |
$236 |
$136 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$417 |
$642 |
$237 |
$72 | |
| Screening mammogram |
$211 |
$280 |
$75 |
$126 | |
| Scrotal ultrasound |
$569 |
$876 |
$258 |
$99 | |
| Sedimentation rate (ESR) test |
$23 |
$35 |
$4 |
$3 | |
| Semen analysis |
$78 |
$120 |
$12 |
$12 | |
| Sex hormone binding globulin test |
$82 |
$126 |
$22 |
$22 | |
| Shingles vaccine |
$175 |
$279 |
$226 |
— | |
| Shoulder replacement |
$33,322 |
— |
$47,786 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$90 |
$90 |
$40 |
$114 | |
| Skin cancer lesion removal |
$376 |
$321 |
$64 |
$240 | |
| Skin graft |
$12,263 |
— |
$9,658 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$127 |
$196 |
$263 |
$36 | |
| Skin tag removal |
$188 |
$296 |
$31 |
$92 | |
| Sleep study (polysomnography) |
$1,916 |
$2,768 |
$478 |
$691 | |
| Small bowel resection |
$424 |
$424 |
$328 |
$1,136 | |
| Soft tissue ultrasound |
$83 |
$323 |
$31 |
$64 | |
| Speech therapy |
$153 |
$235 |
$162 |
$76 | |
| Spinal tap (lumbar puncture) |
$153 |
$153 |
$27 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$7,489 |
$11,522 |
$15,887 |
$5,803 | |
| Spirometry with bronchodilator |
$168 |
$275 |
$41 |
$43 | |
| Spleen removal (splenectomy) |
$409 |
$1,247 |
$253 |
$1,036 | |
| Strep throat test |
$25 |
$39 |
$17 |
$17 | |
| Stress echocardiogram |
$1,068 |
$1,242 |
$158 |
$209 | |
| Stress echocardiogram (complete) |
$1,398 |
$2,150 |
$819 |
$233 | |
| Swallow study |
$219 |
$337 |
$122 |
$85 | |
| T3 thyroid test |
$53 |
$82 |
$14 |
$14 | |
| Tdap (tetanus) vaccine |
$75 |
$99 |
$39 |
— | |
| Testosterone test |
$82 |
$126 |
$26 |
$26 | |
| Thyroid removal (thyroidectomy) |
$2,215 |
$1,817 |
$308 |
$1,004 | |
| Thyroid test (TSH) |
$64 |
$98 |
$17 |
$17 | |
| Thyroid ultrasound |
$508 |
$782 |
$278 |
$109 | |
| Thyroid uptake scan |
$563 |
$866 |
$585 |
$145 | |
| Tilt table test |
$795 |
$1,223 |
$868 |
$168 | |
| Tonsillectomy |
$584 |
$546 |
$122 |
$252 | |
| Total IgE allergy test |
$61 |
$94 |
$16 |
$16 | |
| Tracheostomy |
$670 |
$670 |
$127 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$662 |
$1,378 |
$221 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$742 |
$1,332 |
$226 |
$239 | |
| Transvaginal ultrasound |
$332 |
$510 |
$130 |
$118 | |
| Trigger finger release |
$8,784 |
— |
$8,917 |
$630 | |
| Trigger point injection |
$78 |
$78 |
$17 |
$56 | |
| Trigger point injection (1-2 muscles) |
$78 |
$78 |
$17 |
$52 | |
| Triglycerides test |
$32 |
$49 |
$6 |
$6 | |
| Turning a breech baby (version) |
$223 |
$223 |
$86 |
$94 | |
| Ulnar nerve surgery (elbow) |
$10,930 |
— |
$9,310 |
$575 | |
| Upper GI endoscopy (EGD) |
$290 |
$262 |
$52 |
$371 | |
| Upper GI series (barium) |
$515 |
$792 |
$478 |
$128 | |
| Ureteral stent placement |
$8,214 |
— |
$9,607 |
$373 | |
| Ureteroscopy (stone removal) |
$11,643 |
— |
$14,613 |
$365 | |
| Uric acid (gout) test |
$25 |
$39 |
$5 |
$5 | |
| Urinalysis |
$25 |
$38 |
$2 |
$3 | |
| Urine microalbumin test |
$22 |
$32 |
$5 |
$5 | |
| Urine pregnancy test |
$18 |
$46 |
$8 |
$9 | |
| Vaccine administration |
$70 |
$63 |
$78 |
$19 | |
| Vaccine administration (each additional) |
$70 |
$107 |
$14 |
$16 | |
| Vaginal delivery |
$9,801 |
— |
$8,692 |
$5,487 | |
| Varicose vein ablation |
$1,482 |
$3,888 |
$171 |
$1,018 | |
| Vitamin B12 test |
$73 |
$113 |
$15 |
$15 | |
| Vitamin D test |
$180 |
$277 |
$30 |
$30 | |
| Wart removal |
$181 |
$318 |
$29 |
$121 | |
| Weight-loss (bariatric) surgery |
$19,860 |
— |
$12,077 |
$11,645 | |
| Well-child visit |
$154 |
$154 |
$29 |
— | |
| Wrist fracture repair |
$30,544 |
— |
$34,990 |
$735 | |
| X-ray of the abdomen |
$277 |
$406 |
$166 |
$36 | |
| X-ray of the ankle |
$492 |
$520 |
$111 |
$37 | |
| X-ray of the collarbone |
$172 |
$265 |
$109 |
$33 | |
| X-ray of the elbow |
$284 |
$437 |
$197 |
$33 | |
| X-ray of the facial bones |
$247 |
$380 |
$197 |
$39 | |
| X-ray of the foot |
$554 |
$710 |
$94 |
$34 | |
| X-ray of the forearm |
$267 |
$410 |
$197 |
$29 | |
| X-ray of the hand |
$284 |
$437 |
$94 |
$38 | |
| X-ray of the hip |
$315 |
$258 |
$197 |
$49 | |
| X-ray of the hip (4 views) |
$315 |
$485 |
$285 |
$63 | |
| X-ray of the knee (3 views) |
$192 |
$296 |
$99 |
$42 | |
| X-ray of the knee (4+ views) |
$698 |
$619 |
$113 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$351 |
$540 |
$285 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$333 |
$512 |
$278 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$369 |
$567 |
$285 |
$53 | |
| X-ray of the mid-back (thoracic spine) |
$245 |
$377 |
$219 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$237 |
$364 |
$200 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$254 |
$390 |
$237 |
$39 | |
| X-ray of the neck (cervical spine) |
$310 |
$478 |
$227 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$239 |
$368 |
$214 |
$40 | |
| X-ray of the pelvis |
$322 |
$437 |
$285 |
$36 | |
| X-ray of the ribs |
$317 |
$488 |
$190 |
$42 | |
| X-ray of the ribs (2 views) |
$179 |
$275 |
$151 |
$36 | |
| X-ray of the ribs (3 views) |
$317 |
$488 |
$253 |
$42 | |
| X-ray of the shoulder |
$454 |
$611 |
$104 |
$36 | |
| X-ray of the skull |
$193 |
$298 |
$174 |
$40 | |
| X-ray of the upper arm |
$224 |
$345 |
$165 |
$32 | |
| X-ray of the wrist |
$428 |
$460 |
$94 |
$43 | |
| Zinc blood test |
$13 |
$20 |
$11 |
$11 | |