| Abdominal fluid drain (paracentesis) |
$1,160 |
$6,233 |
$1,161 |
$284 | |
| Abdominal ultrasound |
$133 |
$2,304 |
$134 |
$100 | |
| Abdominal ultrasound (complete) |
$133 |
$2,556 |
$134 |
$114 | |
| Abdominal ultrasound (limited) |
$133 |
$2,051 |
$134 |
$86 | |
| Abscess drainage (complex or multiple) |
$520 |
$2,231 |
$520 |
$220 | |
| Abscess drainage (simple) |
$256 |
$1,337 |
$257 |
$129 | |
| Abscess incision and drainage |
$388 |
$1,784 |
$325 |
$174 | |
| ACL knee reconstruction |
$9,286 |
$15,970 |
$9,287 |
$889 | |
| Albumin blood test |
$4 |
$144 |
$5 |
$5 | |
| Aldosterone test |
$40 |
$298 |
$41 |
$41 | |
| Alkaline phosphatase test |
$5 |
$143 |
$5 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$16 |
$371 |
$17 |
$17 | |
| ALT liver enzyme test |
$5 |
$201 |
$5 |
$5 | |
| Ammonia blood test |
$14 |
$399 |
$15 |
$15 | |
| Anal fistula repair |
$3,552 |
$18,468 |
$3,552 |
$541 | |
| Ankle fracture repair |
$9,286 |
$18,000 |
$9,287 |
$608 | |
| Antinuclear antibody (ANA) test |
$12 |
$178 |
$12 |
$12 | |
| Arterial blood gas (ABG) |
$26 |
$719 |
$26 |
$26 | |
| AST liver enzyme test |
$5 |
$149 |
$5 |
$5 | |
| Barium swallow study |
$224 |
$1,680 |
$224 |
$107 | |
| Bartholin cyst removal |
$258 |
$1,115 |
$259 |
$182 | |
| Benign skin lesion removal |
$906 |
$7,500 |
$906 |
$171 | |
| Bilirubin blood test |
$5 |
$186 |
$5 |
$5 | |
| Bladder tumor removal (TURBT) |
$4,511 |
$14,753 |
$4,511 |
$236 | |
| Blood clotting test (PT/INR) |
$4 |
$182 |
$4 |
$4 | |
| Blood crossmatch |
$218 |
$1,222 |
$218 |
— | |
| Blood glucose test |
$4 |
$158 |
$5 |
$5 | |
| Blood transfusion |
$564 |
$3,252 |
$565 |
$47 | |
| Blood type and screen |
$66 |
$345 |
$67 |
$10 | |
| Blood type test |
$109 |
$559 |
$60 |
$3 | |
| Blood type test (ABO group) |
$170 |
$882 |
$170 |
$3 | |
| Blood type test (Rh/D antigen) |
$47 |
$265 |
$48 |
$3 | |
| BNP (heart failure) test |
$39 |
$591 |
$39 |
$39 | |
| Bone marrow biopsy |
$2,113 |
$8,383 |
$2,114 |
$172 | |
| Bone scan (nuclear) |
$511 |
$3,378 |
$512 |
$259 | |
| Breast biopsy |
$2,113 |
$7,498 |
$2,114 |
$478 | |
| Breast ultrasound |
$122 |
$1,487 |
$134 |
$92 | |
| Breast ultrasound (complete) |
$133 |
$2,118 |
$134 |
$100 | |
| Breast ultrasound (limited) |
$111 |
$856 |
$111 |
$84 | |
| Breathing tube insertion (intubation) |
$303 |
$1,522 |
$303 |
$133 | |
| Bronchoscopy |
$2,278 |
$11,143 |
$2,278 |
$303 | |
| Burn dressing and debridement (small) |
$256 |
$1,337 |
$257 |
$93 | |
| Burn treatment |
$256 |
$1,337 |
$257 |
$129 | |
| CA 19-9 tumor marker test |
$20 |
$250 |
$21 |
$21 | |
| CA-125 ovarian marker test |
$20 |
$489 |
$21 |
$21 | |
| Calcium blood test |
$5 |
$162 |
$5 |
$5 | |
| Cardiac ablation |
$33,452 |
$127,852 |
$33,453 |
$759 | |
| Cardiac catheterization |
$4,149 |
$21,746 |
$4,149 |
$1,049 | |
| Cardiac MRI |
$305 |
$2,614 |
$305 |
$322 | |
| Cardiac MRI without contrast |
$305 |
$2,614 |
$305 |
$280 | |
| Cardiac stress test |
$276 |
$3,029 |
$276 |
$39 | |
| Cardioversion |
$845 |
$3,876 |
$846 |
$155 | |
| Carotid artery ultrasound |
$219 |
$2,259 |
$184 |
$156 | |
| Carpal tunnel release |
$2,499 |
$13,000 |
$2,499 |
$483 | |
| CEA tumor marker test |
$18 |
$462 |
$19 |
$19 | |
| Celiac disease test |
$11 |
$58 |
$12 |
$12 | |
| Central line placement |
$4,041 |
$23,452 |
$4,041 |
$238 | |
| Cervical LEEP procedure |
$4,143 |
$10,905 |
$4,143 |
$325 | |
| Cesarean section (C-section) |
$11,637 |
— |
$11,785 |
$7,552 | |
| Chemotherapy infusion |
$257 |
$975 |
$116 |
$81 | |
| Chemotherapy infusion (each additional) |
$92 |
$336 |
$92 |
$28 | |
| Chemotherapy infusion (first hour) |
$422 |
$1,613 |
$423 |
$133 | |
| Chest fluid drain (thoracentesis) |
$802 |
$4,298 |
$803 |
$311 | |
| Chest tube insertion |
$2,014 |
$10,473 |
$2,015 |
$143 | |
| Chest X-ray |
$111 |
$1,037 |
$111 |
$37 | |
| Chest X-ray (1 view) |
$111 |
$745 |
$111 |
$25 | |
| Chest X-ray (2 views) |
$111 |
$1,037 |
$111 |
$33 | |
| Circumcision |
$2,675 |
$14,043 |
$2,675 |
$167 | |
| CK-MB heart enzyme test |
$11 |
$410 |
$12 |
$12 | |
| Clotting time test (PTT) |
$6 |
$249 |
$6 |
$6 | |
| Colonoscopy |
$1,190 |
$6,501 |
$1,202 |
$480 | |
| Complete blood count (CBC) |
$7 |
$230 |
$8 |
$7 | |
| Complete blood count (CBC) (complete) |
$7 |
$301 |
$8 |
$8 | |
| Copper blood test |
$12 |
$128 |
$12 |
$12 | |
| Coronary artery bypass (CABG) |
$53,242 |
— |
$58,449 |
$36,593 | |
| Cortisol test |
$16 |
$452 |
$16 |
$16 | |
| COVID-19 PCR test |
$51 |
$257 |
$51 |
$51 | |
| CPAP titration study |
$280 |
$3,435 |
$280 |
$69 | |
| Creatine kinase (CK) test |
$6 |
$301 |
$7 |
$7 | |
| CT angiography of the chest |
$224 |
$6,227 |
$224 |
$281 | |
| CT angiography of the head |
$224 |
$7,088 |
$224 |
$274 | |
| CT scan of the abdomen |
$224 |
$6,718 |
$224 |
$230 | |
| CT scan of the abdomen and pelvis |
$446 |
$9,567 |
$447 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$446 |
$10,298 |
$447 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$446 |
$9,567 |
$447 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$305 |
$7,926 |
$305 |
$183 | |
| CT scan of the abdomen with and without contrast |
$224 |
$6,718 |
$224 |
$259 | |
| CT scan of the abdomen with contrast |
$224 |
$5,759 |
$224 |
$230 | |
| CT scan of the abdomen without contrast |
$133 |
$6,743 |
$134 |
$136 | |
| CT scan of the arm |
$224 |
$4,400 |
$224 |
$199 | |
| CT scan of the arm with contrast |
$446 |
$4,400 |
$447 |
$199 | |
| CT scan of the arm without contrast |
$133 |
$5,310 |
$134 |
$161 | |
| CT scan of the chest |
$224 |
$5,911 |
$224 |
$167 | |
| CT scan of the chest with and without contrast |
$224 |
$5,614 |
$224 |
$196 | |
| CT scan of the chest with contrast |
$224 |
$5,911 |
$224 |
$167 | |
| CT scan of the chest without contrast |
$133 |
$6,179 |
$134 |
$133 | |
| CT scan of the head |
$224 |
$5,599 |
$224 |
$148 | |
| CT scan of the head with and without contrast |
$224 |
$5,599 |
$224 |
$173 | |
| CT scan of the head with contrast |
$224 |
$3,856 |
$224 |
$148 | |
| CT scan of the head without contrast |
$133 |
$6,964 |
$134 |
$107 | |
| CT scan of the leg |
$224 |
$5,500 |
$224 |
$166 | |
| CT scan of the leg with contrast |
$224 |
$5,500 |
$224 |
$166 | |
| CT scan of the leg without contrast |
$133 |
$5,841 |
$134 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$224 |
$5,260 |
$224 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$224 |
$5,027 |
$224 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$446 |
$5,803 |
$447 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$133 |
$5,260 |
$134 |
$130 | |
| CT scan of the neck |
$224 |
$5,350 |
$224 |
$183 | |
| CT scan of the neck (cervical spine) |
$224 |
$5,639 |
$224 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$224 |
$3,274 |
$224 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$446 |
$5,639 |
$447 |
$168 | |
| CT scan of the neck with and without contrast |
$224 |
$6,061 |
$224 |
$220 | |
| CT scan of the neck with contrast |
$224 |
$4,640 |
$224 |
$183 | |
| CT scan of the neck without contrast |
$133 |
$5,350 |
$134 |
$150 | |
| CT scan of the pelvis |
$224 |
$5,618 |
$224 |
$226 | |
| CT scan of the pelvis with and without contrast |
$224 |
$5,764 |
$224 |
$251 | |
| CT scan of the pelvis with contrast |
$224 |
$4,824 |
$224 |
$226 | |
| CT scan of the pelvis without contrast |
$133 |
$5,618 |
$134 |
$133 | |
| CT scan of the sinuses |
$224 |
$5,749 |
$224 |
$152 | |
| CT scan of the sinuses with and without contrast |
$224 |
$5,749 |
$224 |
$184 | |
| CT scan of the sinuses with contrast |
$224 |
$4,518 |
$224 |
$152 | |
| CT scan of the sinuses without contrast |
$133 |
$6,183 |
$134 |
$128 | |
| D-dimer test |
$10 |
$397 |
$10 |
$10 | |
| Defibrillator (ICD) implant |
$40,173 |
$184,039 |
$40,174 |
$798 | |
| DHEA-sulfate test |
$22 |
$182 |
$22 |
$22 | |
| Diagnostic mammogram |
$108 |
$952 |
$121 |
$140 | |
| Dialysis fistula creation |
$4,041 |
$34,767 |
$4,041 |
$601 | |
| Dilation and curettage (D&C) |
$4,143 |
$13,000 |
$4,143 |
$298 | |
| Drug screen (urine) |
$37 |
$373 |
$34 |
$17 | |
| Echocardiogram |
$305 |
$2,641 |
$305 |
$138 | |
| Echocardiogram with and without contrast |
$305 |
$2,071 |
$305 |
$101 | |
| Echocardiogram without contrast |
$305 |
$2,600 |
$305 |
$138 | |
| EEG (awake and asleep) |
$276 |
$2,683 |
$276 |
$482 | |
| EKG / ECG (tracing only) |
$75 |
$700 |
$76 |
$7 | |
| Electrocardiogram (EKG) |
$75 |
$700 |
$76 |
$8 | |
| Electroencephalogram (EEG) |
$276 |
$2,436 |
$276 |
$448 | |
| Electrolyte panel |
$7 |
$284 |
$7 |
$7 | |
| Emergency department visit |
$349 |
$2,284 |
$300 |
$69 | |
| Emergency department visit (level 1) |
$107 |
$755 |
$108 |
$11 | |
| Emergency department visit (level 2) |
$196 |
$1,290 |
$197 |
$40 | |
| Emergency department visit (level 3) |
$349 |
$2,284 |
$349 |
$69 | |
| Emergency department visit (level 4) |
$534 |
$3,410 |
$534 |
$118 | |
| Emergency department visit (level 5) |
$762 |
$5,059 |
$762 |
$171 | |
| ERCP (bile duct endoscopy) |
$4,934 |
$22,868 |
$4,934 |
$311 | |
| Esophageal dilation |
$1,160 |
$4,688 |
$1,161 |
$522 | |
| Esophageal variceal banding |
$2,455 |
$9,677 |
$2,456 |
$126 | |
| Estradiol (estrogen) test |
$27 |
$295 |
$28 |
$28 | |
| Facet joint injection (spine) |
$1,132 |
$3,265 |
$1,132 |
$99 | |
| Fallopian tube X-ray (HSG) |
$305 |
$1,298 |
$305 |
$164 | |
| Fecal occult blood (stool) test |
$4 |
$83 |
$4 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$4 |
$83 |
$4 |
$4 | |
| Feeding tube (PEG) placement |
$2,455 |
$13,306 |
$2,456 |
$178 | |
| Ferritin (iron) test |
$13 |
$366 |
$14 |
$14 | |
| Fibrinogen test |
$9 |
$278 |
$10 |
$10 | |
| Flexible sigmoidoscopy |
$1,190 |
$5,113 |
$1,190 |
$323 | |
| Flu test |
$16 |
$285 |
$17 |
$17 | |
| Folate (folic acid) test |
$14 |
$351 |
$15 |
$15 | |
| Foreign body removal (skin) |
$520 |
$2,059 |
$520 |
$157 | |
| Free T4 thyroid test |
$9 |
$341 |
$9 |
$9 | |
| FSH hormone test |
$18 |
$368 |
$19 |
$19 | |
| Gallbladder removal (laparoscopic) |
$7,737 |
$11,827 |
$7,737 |
$658 | |
| Gallbladder scan (HIDA) |
$603 |
$3,630 |
$647 |
$334 | |
| Ganglion cyst removal |
$2,058 |
$10,500 |
$2,058 |
$321 | |
| GGT liver test |
$7 |
$193 |
$7 |
$7 | |
| Glucose tolerance test |
$8 |
$361 |
$10 |
$8 | |
| H. pylori test |
$67 |
$508 |
$67 |
$67 | |
| Hammertoe repair |
$4,187 |
$19,500 |
$4,188 |
$548 | |
| HDL cholesterol test |
$8 |
$193 |
$8 |
$8 | |
| Hemodialysis |
$878 |
$5,122 |
$878 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$9 |
$216 |
$10 |
$10 | |
| Hemorrhoid removal |
$1,190 |
$4,173 |
$1,190 |
$338 | |
| Hepatitis B test |
$10 |
$297 |
$10 |
$10 | |
| Hepatitis C test |
$14 |
$327 |
$14 |
$14 | |
| HIV test |
$19 |
$234 |
$20 |
$19 | |
| HIV test (antibody) |
$13 |
$348 |
$14 |
$14 | |
| HIV test (antigen/antibody combo) |
$24 |
$120 |
$24 |
$24 | |
| Holter heart monitor |
$170 |
$611 |
$170 |
$26 | |
| Hydrocele repair |
$4,582 |
$14,395 |
$4,582 |
$315 | |
| Hysterectomy |
— |
$13,000 |
$1,163 |
$933 | |
| Hysteroscopy |
$4,143 |
$10,947 |
$4,143 |
$1,270 | |
| Inguinal hernia repair |
$4,582 |
$14,613 |
$4,582 |
$538 | |
| Iron blood test |
$6 |
$228 |
$6 |
$6 | |
| IV infusion therapy |
$166 |
$1,253 |
$78 |
$44 | |
| IV infusion therapy (each additional) |
$59 |
$831 |
$60 |
$21 | |
| IV infusion therapy (initial) |
$272 |
$1,676 |
$272 |
$67 | |
| IVC filter placement |
$7,121 |
$18,445 |
$7,122 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$392 |
$1,657 |
$393 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$392 |
$9,732 |
$393 |
$57 | |
| Joint aspiration or injection (small joint) |
$392 |
$994 |
$393 |
$56 | |
| Kidney biopsy |
$2,113 |
$8,383 |
$2,114 |
$492 | |
| Kidney scan (nuclear) |
$694 |
$3,340 |
$695 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$4,511 |
$12,285 |
$4,511 |
$760 | |
| Kidney ultrasound |
$133 |
$1,767 |
$134 |
$84 | |
| Kidney ultrasound (limited) |
$133 |
$1,431 |
$134 |
$61 | |
| Knee arthroscopy |
$4,187 |
$14,544 |
$4,188 |
$524 | |
| Knee joint injection |
$392 |
$6,848 |
$393 |
$69 | |
| Knee replacement |
$26,683 |
— |
$30,605 |
$18,054 | |
| Lactate test |
$11 |
$375 |
$12 |
$12 | |
| Laryngoscopy |
$2,278 |
$5,697 |
$2,278 |
$189 | |
| LDH test |
$6 |
$202 |
$6 |
$6 | |
| LDL cholesterol test |
$10 |
$191 |
$11 |
$11 | |
| Leg artery angiogram |
$4,041 |
$17,831 |
$4,041 |
$149 | |
| Leg artery angioplasty |
$14,206 |
$36,925 |
$14,207 |
— | |
| Leg vein ultrasound (Doppler) |
$219 |
$2,829 |
$187 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$133 |
$2,302 |
$134 |
$116 | |
| LH hormone test |
$18 |
$365 |
$19 |
$19 | |
| Lipid (cholesterol) panel |
$13 |
$828 |
$13 |
$13 | |
| Liver biopsy |
$2,113 |
$9,431 |
$2,114 |
$288 | |
| Lower back (lumbar) spinal fusion |
— |
— |
$50,529 |
$1,511 | |
| Lung function test (PFT) |
$377 |
$1,398 |
$349 |
$37 | |
| Lung scan (V/Q) |
$694 |
$7,837 |
$695 |
$291 | |
| Magnesium blood test |
$6 |
$248 |
$7 |
$7 | |
| Meniscus repair (knee) |
$4,187 |
$14,886 |
$4,188 |
$714 | |
| MRA of the brain |
$305 |
$5,095 |
$305 |
$226 | |
| MRA of the neck |
$305 |
$5,095 |
$305 |
$245 | |
| MRI of the abdomen |
$446 |
$5,095 |
$447 |
$300 | |
| MRI of the abdomen with contrast |
$446 |
$4,157 |
$447 |
$300 | |
| MRI of the abdomen without contrast |
$305 |
$5,095 |
$305 |
$194 | |
| MRI of the ankle |
$446 |
$5,984 |
$447 |
$261 | |
| MRI of the ankle with contrast |
$446 |
$5,984 |
$447 |
$261 | |
| MRI of the ankle without contrast |
$305 |
$3,295 |
$305 |
$222 | |
| MRI of the brain |
$446 |
$5,923 |
$447 |
$269 | |
| MRI of the brain with contrast |
$446 |
$2,151 |
$447 |
$269 | |
| MRI of the brain without contrast |
$305 |
$5,923 |
$305 |
$195 | |
| MRI of the chest |
$376 |
$4,297 |
$439 |
$371 | |
| MRI of the chest without contrast |
$446 |
$3,492 |
$447 |
$466 | |
| MRI of the knee |
$376 |
$4,935 |
$414 |
$315 | |
| MRI of the knee without contrast |
$305 |
$6,379 |
$305 |
$204 | |
| MRI of the lower back (lumbar spine) |
$446 |
$6,379 |
$447 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$446 |
$1,786 |
$447 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$305 |
$6,379 |
$305 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$376 |
$6,402 |
$426 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$446 |
$6,606 |
$447 |
$319 | |
| MRI of the mid-back (thoracic spine) without contrast |
$305 |
$6,198 |
$305 |
$190 | |
| MRI of the neck (cervical spine) |
$446 |
$6,198 |
$447 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$446 |
$6,821 |
$447 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$446 |
$6,092 |
$447 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$305 |
$6,198 |
$305 |
$191 | |
| MRI of the pelvis |
$446 |
$5,889 |
$447 |
$268 | |
| MRI of the pelvis with contrast |
$446 |
$5,889 |
$447 |
$268 | |
| MRI of the pelvis without contrast |
$305 |
$4,612 |
$305 |
$227 | |
| MRI of the shoulder |
$446 |
$2,687 |
$447 |
$313 | |
| MRI of the shoulder with contrast |
$1,003 |
$2,687 |
$1,003 |
$313 | |
| MRI of the shoulder without contrast |
$305 |
$6,379 |
$305 |
$205 | |
| MRI of the wrist |
$376 |
$2,114 |
$389 |
$330 | |
| MRI of the wrist with contrast |
$446 |
$1,786 |
$447 |
$330 | |
| MRI of the wrist without contrast |
$305 |
$2,442 |
$305 |
$303 | |
| Nebulizer breathing treatment |
$280 |
$1,540 |
$280 |
$9 | |
| Nuclear cardiac stress test |
$1,656 |
$10,856 |
$1,657 |
$428 | |
| Occupational therapy evaluation |
$106 |
$500 |
$106 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$106 |
$576 |
$106 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$106 |
$500 |
$106 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$106 |
$500 |
$106 |
$101 | |
| Orthopedic hardware removal |
$3,717 |
$22,500 |
$3,718 |
$632 | |
| Ovarian cyst removal |
$6,402 |
$12,221 |
$6,402 |
$698 | |
| Pacemaker insertion |
$23,033 |
— |
$29,030 |
$15,506 | |
| Parathyroid hormone (PTH) test |
$41 |
$422 |
$41 |
$41 | |
| Pelvic ultrasound |
$133 |
$2,097 |
$134 |
$78 | |
| Pelvic ultrasound (complete) |
$133 |
$2,142 |
$134 |
$105 | |
| Pelvic ultrasound (limited) |
$133 |
$2,051 |
$134 |
$51 | |
| Physical therapy evaluation |
$103 |
$858 |
$103 |
$98 | |
| Physical therapy evaluation (high complexity) |
$103 |
$944 |
$103 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$103 |
$858 |
$103 |
$98 | |
| Platelet count |
$4 |
$147 |
$4 |
$4 | |
| Pregnancy ultrasound |
$133 |
$1,357 |
$134 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$133 |
$1,235 |
$134 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$133 |
$1,479 |
$134 |
$136 | |
| Procalcitonin test |
$27 |
$496 |
$27 |
$27 | |
| Prolactin test |
$19 |
$399 |
$19 |
$19 | |
| Prostate surgery (TURP) |
$6,862 |
$22,564 |
$6,862 |
$526 | |
| Prostate test (PSA) |
$18 |
$252 |
$18 |
$18 | |
| Rheumatoid factor test |
$6 |
$217 |
$6 |
$6 | |
| Rotator cuff repair |
$9,286 |
$17,293 |
$9,287 |
$792 | |
| Scoliosis spine X-ray |
$122 |
$669 |
$134 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$111 |
$806 |
$111 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$133 |
$532 |
$134 |
$72 | |
| Screening colonoscopy |
$1,190 |
$5,972 |
$1,190 |
$378 | |
| Screening mammogram |
$99 |
$590 |
$100 |
$126 | |
| Scrotal ultrasound |
$133 |
$1,600 |
$134 |
$99 | |
| Sex hormone binding globulin test |
$21 |
$65 |
$22 |
$22 | |
| Shoulder arthroscopy |
$9,286 |
$19,844 |
$9,287 |
$962 | |
| Shoulder replacement |
$22,440 |
$31,500 |
$22,441 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$256 |
$1,471 |
$257 |
$114 | |
| Simple wound stitches |
$256 |
$1,404 |
$257 |
$127 | |
| Skin tag removal |
$256 |
$1,070 |
$257 |
$92 | |
| Soft tissue ultrasound |
$133 |
$1,055 |
$134 |
$64 | |
| Speech therapy |
$80 |
$222 |
$80 |
$76 | |
| Spinal tap (lumbar puncture) |
$903 |
$3,869 |
$903 |
$165 | |
| Spirometry (lung function test) |
$276 |
$1,040 |
$276 |
$30 | |
| Spirometry with bronchodilator |
$477 |
$1,756 |
$478 |
$43 | |
| Strep throat test |
$16 |
$83 |
$17 |
$17 | |
| Swallow study |
$59 |
$826 |
$60 |
$85 | |
| T3 thyroid test |
$14 |
$371 |
$14 |
$14 | |
| Testosterone test |
$25 |
$254 |
$26 |
$26 | |
| Thyroid removal (thyroidectomy) |
$7,737 |
$22,750 |
$7,737 |
$1,004 | |
| Thyroid test (TSH) |
$16 |
$435 |
$17 |
$17 | |
| Thyroid ultrasound |
$133 |
$1,690 |
$134 |
$109 | |
| Thyroid uptake scan |
$511 |
$1,631 |
$512 |
$145 | |
| Total IgE allergy test |
$16 |
$183 |
$16 |
$16 | |
| Transesophageal echocardiogram (TEE) |
$699 |
$4,168 |
$699 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$699 |
$4,168 |
$699 |
$239 | |
| Transvaginal ultrasound |
$133 |
$1,535 |
$134 |
$118 | |
| Trigger finger release |
$2,058 |
$5,722 |
$2,058 |
$630 | |
| Trigger point injection |
$392 |
$1,801 |
$393 |
$56 | |
| Trigger point injection (1-2 muscles) |
$392 |
$1,946 |
$393 |
$52 | |
| Triglycerides test |
$5 |
$181 |
$6 |
$6 | |
| Troponin (heart) test |
$12 |
$474 |
$12 |
$12 | |
| Tubal ligation |
$7,737 |
$19,210 |
$7,737 |
$333 | |
| Upper GI endoscopy (EGD) |
$1,160 |
$6,026 |
$1,161 |
$371 | |
| Upper GI series (barium) |
$224 |
$1,616 |
$224 |
$128 | |
| Ureteral stent placement |
$4,511 |
$21,625 |
$4,511 |
$373 | |
| Ureteroscopy (stone removal) |
$6,862 |
$17,000 |
$6,862 |
$365 | |
| Urine microalbumin test |
$5 |
$231 |
$6 |
$5 | |
| Urine pregnancy test |
$8 |
$259 |
$9 |
$9 | |
| Vaccine administration |
$92 |
$318 |
$92 |
$19 | |
| Vaccine administration (each additional) |
— |
$128 |
$5 |
$16 | |
| Vaginal delivery |
$8,678 |
— |
$8,858 |
$5,487 | |
| Vitamin B12 test |
$15 |
$381 |
$15 |
$15 | |
| Vitamin D test |
$29 |
$212 |
$30 |
$30 | |
| Weight-loss (bariatric) surgery |
$17,501 |
— |
$22,723 |
$11,645 | |
| Wound debridement |
$945 |
$3,061 |
$946 |
$186 | |
| Wrist fracture repair |
$9,286 |
$18,400 |
$9,287 |
$735 | |
| X-ray of the abdomen |
$133 |
$945 |
$134 |
$36 | |
| X-ray of the ankle |
$111 |
$948 |
$111 |
$37 | |
| X-ray of the collarbone |
$111 |
$814 |
$111 |
$33 | |
| X-ray of the elbow |
$111 |
$1,016 |
$111 |
$33 | |
| X-ray of the facial bones |
$122 |
$844 |
$134 |
$39 | |
| X-ray of the foot |
$111 |
$1,914 |
$111 |
$34 | |
| X-ray of the forearm |
$111 |
$832 |
$111 |
$29 | |
| X-ray of the hand |
$111 |
$1,092 |
$111 |
$38 | |
| X-ray of the hip |
$111 |
$842 |
$111 |
$49 | |
| X-ray of the hip (1 view) |
$111 |
$749 |
$111 |
$34 | |
| X-ray of the hip (3 views) |
$111 |
$934 |
$111 |
$49 | |
| X-ray of the knee |
$111 |
$1,114 |
$111 |
$42 | |
| X-ray of the knee (2 views) |
$111 |
$838 |
$111 |
$34 | |
| X-ray of the knee (3 views) |
$111 |
$1,114 |
$111 |
$42 | |
| X-ray of the knee (4+ views) |
$133 |
$1,250 |
$134 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$133 |
$1,252 |
$134 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$133 |
$1,105 |
$134 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$133 |
$1,399 |
$134 |
$53 | |
| X-ray of the lower leg |
$111 |
$900 |
$111 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$133 |
$863 |
$134 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$133 |
$615 |
$134 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$133 |
$1,112 |
$134 |
$39 | |
| X-ray of the neck (cervical spine) |
$122 |
$1,168 |
$134 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$111 |
$984 |
$111 |
$40 | |
| X-ray of the pelvis |
$133 |
$995 |
$134 |
$36 | |
| X-ray of the pelvis (1 view) |
$133 |
$917 |
$134 |
$28 | |
| X-ray of the ribs |
$133 |
$1,073 |
$134 |
$42 | |
| X-ray of the ribs (2 views) |
$111 |
$773 |
$111 |
$36 | |
| X-ray of the ribs (3 views) |
$133 |
$1,073 |
$134 |
$42 | |
| X-ray of the shoulder |
$111 |
$1,068 |
$111 |
$36 | |
| X-ray of the skull |
$133 |
$1,035 |
$134 |
$40 | |
| X-ray of the upper arm |
$111 |
$882 |
$111 |
$32 | |
| X-ray of the wrist |
$111 |
$1,124 |
$111 |
$43 | |
| Zinc blood test |
$11 |
$205 |
$11 |
$11 | |