| Abdominal fluid drain (paracentesis) |
$3,344 |
$3,344 |
$1,325 |
$284 | |
| Abdominal ultrasound |
$857 |
$857 |
$130 |
$100 | |
| Abdominal ultrasound (complete) |
$1,259 |
$1,259 |
$125 |
$114 | |
| Abdominal ultrasound (limited) |
$856 |
$856 |
$130 |
$86 | |
| Abscess drainage (complex or multiple) |
$693 |
$693 |
$594 |
$220 | |
| Abscess drainage (simple) |
$505 |
$505 |
$293 |
$129 | |
| Abscess incision and drainage |
$508 |
$508 |
$455 |
$174 | |
| Achilles tendon repair |
$39,336 |
$39,336 |
$8,692 |
$624 | |
| Adenoid removal (adenoidectomy) |
$11,930 |
$11,930 |
$3,972 |
$204 | |
| Albumin blood test |
$23 |
$23 |
$5 |
$5 | |
| Aldosterone test |
$252 |
$252 |
$45 |
$41 | |
| Alkaline phosphatase test |
$61 |
$61 |
$6 |
$5 | |
| Allergy patch testing |
$223 |
$223 |
$1,067 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$361 |
$361 |
$19 |
$17 | |
| ALT liver enzyme test |
$73 |
$73 |
$6 |
$5 | |
| Ammonia blood test |
$260 |
$260 |
$16 |
$15 | |
| Amylase test |
$565 |
$565 |
$7 |
$6 | |
| Anal fistula repair |
$15,865 |
$15,865 |
$3,325 |
$541 | |
| Anoscopy |
$755 |
$755 |
$194 |
$129 | |
| Antinuclear antibody (ANA) test |
$163 |
$163 |
$13 |
$12 | |
| Aortic aneurysm repair (AAA) |
$3,912 |
$3,912 |
$1,803 |
$1,345 | |
| Aortic valve replacement |
$40,393 |
$40,393 |
$2,329 |
$1,603 | |
| Arterial blood gas (ABG) |
$242 |
$242 |
$29 |
$26 | |
| AST liver enzyme test |
$72 |
$72 |
$6 |
$5 | |
| Barium swallow study |
$1,246 |
$1,246 |
$210 |
$107 | |
| Basic metabolic panel |
$364 |
$364 |
$9 |
$8 | |
| Benign skin lesion removal |
$4,493 |
$4,493 |
$1,035 |
$171 | |
| Bilirubin blood test |
$59 |
$59 |
$6 |
$5 | |
| Bladder scope (cystoscopy) |
$3,664 |
$3,664 |
$1,019 |
$216 | |
| Blood clotting test (PT/INR) |
$199 |
$199 |
$5 |
$4 | |
| Blood crossmatch |
$563 |
$563 |
$212 |
— | |
| Blood glucose test |
$62 |
$62 |
$5 |
$5 | |
| Blood transfusion |
$1,329 |
$1,329 |
$529 |
$47 | |
| Blood type and screen |
$288 |
$288 |
$65 |
$10 | |
| Blood type test |
$111 |
$111 |
$149 |
$3 | |
| Blood type test (ABO group) |
$94 |
$94 |
$165 |
$3 | |
| Blood type test (Rh/D antigen) |
$127 |
$127 |
$46 |
$3 | |
| BNP (heart failure) test |
$618 |
$618 |
$44 |
$39 | |
| Bone scan (nuclear) |
$3,030 |
$3,030 |
$479 |
$259 | |
| Breast ultrasound |
$649 |
$649 |
$117 |
$92 | |
| Breast ultrasound (complete) |
$556 |
$556 |
$125 |
$100 | |
| Breast ultrasound (limited) |
$741 |
$741 |
$104 |
$84 | |
| Breathing tube insertion (intubation) |
$1,047 |
$1,047 |
$464 |
$133 | |
| Bronchoscopy |
$10,987 |
$10,987 |
$3,985 |
$303 | |
| Bunion surgery (bunionectomy) |
$18,002 |
$18,002 |
$3,920 |
$883 | |
| Burn dressing and debridement (medium) |
$1,167 |
$1,167 |
$293 |
$166 | |
| Burn treatment |
$1,167 |
$1,167 |
$293 |
$129 | |
| C-reactive protein (CRP) |
$55 |
$55 |
$6 |
$5 | |
| CA 19-9 tumor marker test |
$297 |
$297 |
$23 |
$21 | |
| CA-125 ovarian marker test |
$350 |
$350 |
$23 |
$21 | |
| Calcium blood test |
$58 |
$58 |
$6 |
$5 | |
| Capsule endoscopy |
$5,250 |
$5,250 |
$1,325 |
$802 | |
| Cardiac ablation |
$135,948 |
$135,948 |
$30,595 |
$759 | |
| Cardiac catheterization |
$17,498 |
$17,498 |
$5,444 |
$1,049 | |
| Cardiac MRI |
$1,908 |
$1,908 |
$401 |
$322 | |
| Cardiac MRI without contrast |
$1,494 |
$1,494 |
$297 |
$280 | |
| Cardiac rehabilitation |
$815 |
$815 |
$216 |
$26 | |
| Cardiac stress test |
$4,238 |
$4,238 |
$363 |
$39 | |
| Cardioversion |
$1,568 |
$1,568 |
$1,110 |
$155 | |
| Carotid artery ultrasound |
$1,270 |
$1,270 |
$275 |
$156 | |
| CEA tumor marker test |
$454 |
$454 |
$21 |
$19 | |
| Central line placement |
$6,895 |
$6,895 |
$3,924 |
$238 | |
| Cervical LEEP procedure |
$16,430 |
$16,430 |
$3,878 |
$325 | |
| Cesarean section (C-section) |
— |
— |
$13,918 |
$7,552 | |
| Chest fluid drain (thoracentesis) |
$879 |
$879 |
$917 |
$311 | |
| Chest tube insertion |
$2,125 |
$2,125 |
$2,108 |
$143 | |
| Chest X-ray |
$514 |
$514 |
$108 |
$37 | |
| Chest X-ray (1 view) |
$410 |
$410 |
$108 |
$25 | |
| Chest X-ray (2 views) |
$703 |
$703 |
$108 |
$33 | |
| CK-MB heart enzyme test |
$339 |
$339 |
$13 |
$12 | |
| Clotting time test (PTT) |
$215 |
$215 |
$7 |
$6 | |
| Colonoscopy |
$3,341 |
$3,341 |
$1,524 |
$480 | |
| Complete blood count (CBC) |
$171 |
$171 |
$8 |
$7 | |
| Complete blood count (CBC) (complete) |
$155 |
$155 |
$9 |
$8 | |
| Complex wound repair |
$3,033 |
$3,033 |
$1,080 |
$390 | |
| Comprehensive metabolic panel |
$647 |
$647 |
$12 |
$11 | |
| Copper blood test |
$248 |
$248 |
$14 |
$12 | |
| Coronary artery bypass (CABG) |
— |
— |
$63,662 |
$36,593 | |
| Coronary CT angiography |
$911 |
$911 |
$434 |
$326 | |
| Cortisol test |
$415 |
$415 |
$18 |
$16 | |
| COVID-19 PCR test |
$600 |
$600 |
$61 |
$51 | |
| CPAP titration study |
$451 |
$451 |
— |
$69 | |
| Creatine kinase (CK) test |
$344 |
$344 |
$7 |
$7 | |
| CT angiography of the chest |
$2,828 |
$2,828 |
$218 |
$281 | |
| CT angiography of the head |
$4,062 |
$4,062 |
$218 |
$274 | |
| CT scan of the abdomen |
$5,897 |
$5,897 |
$202 |
$230 | |
| CT scan of the abdomen and pelvis |
$9,043 |
$9,043 |
$401 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$10,658 |
$10,658 |
$434 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$9,971 |
$9,971 |
$434 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$5,529 |
$5,529 |
$297 |
$183 | |
| CT scan of the abdomen with and without contrast |
$6,318 |
$6,318 |
$218 |
$259 | |
| CT scan of the abdomen with contrast |
$5,897 |
$5,897 |
$218 |
$230 | |
| CT scan of the abdomen without contrast |
$2,764 |
$2,764 |
$130 |
$136 | |
| CT scan of the arm |
$2,656 |
$2,656 |
$391 |
$199 | |
| CT scan of the arm with contrast |
$2,786 |
$2,786 |
$434 |
$199 | |
| CT scan of the arm without contrast |
$3,165 |
$3,165 |
$130 |
$161 | |
| CT scan of the chest |
$7,825 |
$7,825 |
$196 |
$167 | |
| CT scan of the chest with and without contrast |
$7,495 |
$7,495 |
$218 |
$196 | |
| CT scan of the chest with contrast |
$10,099 |
$10,099 |
$218 |
$167 | |
| CT scan of the chest without contrast |
$4,243 |
$4,243 |
$130 |
$133 | |
| CT scan of the head |
$2,725 |
$2,725 |
$196 |
$148 | |
| CT scan of the head with and without contrast |
$5,622 |
$5,622 |
$218 |
$173 | |
| CT scan of the head with contrast |
$5,210 |
$5,210 |
$218 |
$148 | |
| CT scan of the head without contrast |
$2,557 |
$2,557 |
$130 |
$107 | |
| CT scan of the leg |
$3,708 |
$3,708 |
$196 |
$166 | |
| CT scan of the leg with contrast |
$4,256 |
$4,256 |
$218 |
$166 | |
| CT scan of the leg without contrast |
$3,212 |
$3,212 |
$130 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$5,600 |
$5,600 |
$341 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,843 |
$2,843 |
$218 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$6,186 |
$6,186 |
$434 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$5,600 |
$5,600 |
$130 |
$130 | |
| CT scan of the neck |
$5,106 |
$5,106 |
$202 |
$183 | |
| CT scan of the neck (cervical spine) |
$5,962 |
$5,962 |
$376 |
$168 | |
| CT scan of the neck (cervical spine) with contrast |
$2,173 |
$2,173 |
$434 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$6,261 |
$6,261 |
$130 |
$131 | |
| CT scan of the neck with and without contrast |
$7,905 |
$7,905 |
$218 |
$220 | |
| CT scan of the neck with contrast |
$5,231 |
$5,231 |
$218 |
$183 | |
| CT scan of the neck without contrast |
$4,966 |
$4,966 |
$130 |
$150 | |
| CT scan of the pelvis |
$2,771 |
$2,771 |
$202 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,899 |
$1,899 |
$218 |
$251 | |
| CT scan of the pelvis with contrast |
$3,813 |
$3,813 |
$218 |
$226 | |
| CT scan of the pelvis without contrast |
$2,771 |
$2,771 |
$130 |
$133 | |
| CT scan of the sinuses |
$4,704 |
$4,704 |
$196 |
$152 | |
| CT scan of the sinuses with and without contrast |
$4,704 |
$4,704 |
$218 |
$184 | |
| CT scan of the sinuses with contrast |
$3,950 |
$3,950 |
$218 |
$152 | |
| CT scan of the sinuses without contrast |
$907 |
$907 |
$130 |
$128 | |
| D-dimer test |
$109 |
$109 |
$11 |
$10 | |
| Defibrillator (ICD) implant |
$208,100 |
$208,100 |
$36,196 |
$798 | |
| DHEA-sulfate test |
$417 |
$417 |
$25 |
$22 | |
| Dialysis fistula creation |
$19,439 |
$19,439 |
$3,782 |
$601 | |
| Dilation and curettage (D&C) |
$16,430 |
$16,430 |
$3,878 |
$298 | |
| Drug screen (urine) |
$370 |
$370 |
$69 |
$17 | |
| Echocardiogram |
$2,073 |
$2,073 |
$655 |
$138 | |
| Echocardiogram with and without contrast |
$486 |
$486 |
$401 |
$101 | |
| Echocardiogram without contrast |
$2,073 |
$2,073 |
$401 |
$138 | |
| EEG (awake and asleep) |
$1,676 |
$1,676 |
$423 |
$482 | |
| EKG / ECG (tracing only) |
$449 |
$449 |
$117 |
$7 | |
| Electrocardiogram (EKG) |
$449 |
$449 |
$117 |
$8 | |
| Electroencephalogram (EEG) |
$1,676 |
$1,676 |
$423 |
$448 | |
| Electrolyte panel |
$189 |
$189 |
$8 |
$7 | |
| Esophageal dilation |
$2,782 |
$2,782 |
$1,325 |
$522 | |
| Estradiol (estrogen) test |
$514 |
$514 |
$31 |
$28 | |
| Feeding tube (PEG) placement |
$4,748 |
$4,748 |
$2,322 |
$178 | |
| Ferritin (iron) test |
$89 |
$89 |
$15 |
$14 | |
| Fibrinogen test |
$427 |
$427 |
$11 |
$10 | |
| Flexible sigmoidoscopy |
$1,017 |
$1,017 |
$1,359 |
$323 | |
| Folate (folic acid) test |
$264 |
$264 |
$16 |
$15 | |
| Foreign body removal (skin) |
$1,990 |
$1,990 |
$594 |
$157 | |
| Free T4 thyroid test |
$428 |
$428 |
$10 |
$9 | |
| FSH hormone test |
$371 |
$371 |
$21 |
$19 | |
| Gallbladder removal (laparoscopic) |
$32,211 |
$32,211 |
$7,242 |
$658 | |
| Gallbladder scan (HIDA) |
$2,534 |
$2,534 |
$626 |
$334 | |
| GGT liver test |
$345 |
$345 |
$8 |
$7 | |
| Glucose tolerance test |
$258 |
$258 |
$13 |
$8 | |
| Hammertoe repair |
$18,348 |
$18,348 |
$3,920 |
$548 | |
| HDL cholesterol test |
$109 |
$109 |
$9 |
$8 | |
| Hematocrit test |
$107 |
$107 |
$3 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$401 |
$401 |
$11 |
$10 | |
| Hepatitis B test |
$191 |
$191 |
$11 |
$10 | |
| Hepatitis C test |
$435 |
$435 |
$16 |
$14 | |
| HIV test |
$528 |
$528 |
$26 |
$19 | |
| HIV test (antibody) |
$456 |
$456 |
$15 |
$14 | |
| HIV test (antigen/antibody combo) |
$533 |
$533 |
$27 |
$24 | |
| Holter heart monitor |
$859 |
$859 |
$165 |
$26 | |
| Home sleep apnea test |
$913 |
$913 |
$363 |
$123 | |
| Hysterectomy |
$33,950 |
$33,950 |
$1,328 |
$933 | |
| Hysteroscopy |
$16,430 |
$16,430 |
$3,878 |
$1,270 | |
| Inguinal hernia repair |
$15,294 |
$15,294 |
$4,289 |
$538 | |
| Iron blood test |
$137 |
$137 |
$7 |
$6 | |
| IV infusion therapy |
$706 |
$706 |
$255 |
$44 | |
| IV infusion therapy (each additional) |
$284 |
$284 |
$68 |
$21 | |
| IV infusion therapy (initial) |
$964 |
$964 |
$417 |
$67 | |
| IVC filter placement |
$31,193 |
$31,193 |
$6,666 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$1,740 |
$1,740 |
$448 |
$57 | |
| Joint aspiration or injection (small joint) |
$1,740 |
$1,740 |
$448 |
$56 | |
| Kidney biopsy |
$3,143 |
$3,143 |
$2,156 |
$492 | |
| Kidney scan (nuclear) |
$5,983 |
$5,983 |
$650 |
$172 | |
| Kidney ultrasound |
$2,324 |
$2,324 |
$130 |
$84 | |
| Kidney ultrasound (limited) |
$1,403 |
$1,403 |
$130 |
$61 | |
| Knee replacement |
— |
— |
$28,610 |
$18,054 | |
| Laryngoscopy |
$1,430 |
$1,430 |
$292 |
$189 | |
| LDH test |
$181 |
$181 |
$7 |
$6 | |
| LDL cholesterol test |
$56 |
$56 |
$12 |
$11 | |
| Leg artery angiogram |
$11,082 |
$11,082 |
$3,641 |
$149 | |
| Leg artery angioplasty |
$63,637 |
$63,637 |
$2,260 |
— | |
| Leg vein ultrasound (Doppler) |
$1,690 |
$1,690 |
$275 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,694 |
$1,694 |
$176 |
$116 | |
| LH hormone test |
$372 |
$372 |
$21 |
$19 | |
| Lipase test |
$59 |
$59 |
$8 |
$7 | |
| Lipid (cholesterol) panel |
$268 |
$268 |
$15 |
$13 | |
| Liver biopsy |
$494 |
$494 |
$2,156 |
$288 | |
| Liver function panel |
$351 |
$351 |
$9 |
$8 | |
| Lung function test (PFT) |
$3,297 |
$3,297 |
$483 |
$37 | |
| Lung scan (V/Q) |
$2,578 |
$2,578 |
$650 |
$291 | |
| Magnesium blood test |
$166 |
$166 |
$7 |
$7 | |
| MRA of the brain |
$2,429 |
$2,429 |
$401 |
$226 | |
| MRA of the brain with contrast |
$3,016 |
$3,016 |
$434 |
$226 | |
| MRA of the brain without contrast |
$3,081 |
$3,081 |
$434 |
$328 | |
| MRA of the neck |
$2,488 |
$2,488 |
$402 |
$245 | |
| MRA of the neck with contrast |
$3,595 |
$3,595 |
$434 |
$245 | |
| MRA of the neck without contrast |
$3,624 |
$3,624 |
$434 |
$343 | |
| MRI of the abdomen |
$3,016 |
$3,016 |
$402 |
$300 | |
| MRI of the abdomen with contrast |
$3,016 |
$3,016 |
$434 |
$300 | |
| MRI of the abdomen without contrast |
$2,488 |
$2,488 |
$297 |
$194 | |
| MRI of the ankle |
$3,016 |
$3,016 |
$402 |
$261 | |
| MRI of the ankle with contrast |
$3,016 |
$3,016 |
$434 |
$261 | |
| MRI of the ankle without contrast |
$2,429 |
$2,429 |
$297 |
$222 | |
| MRI of the brain |
$3,016 |
$3,016 |
$402 |
$269 | |
| MRI of the brain with contrast |
$3,016 |
$3,016 |
$434 |
$269 | |
| MRI of the brain without contrast |
$2,488 |
$2,488 |
$297 |
$195 | |
| MRI of the chest |
$3,016 |
$3,016 |
$735 |
$371 | |
| MRI of the chest with contrast |
$3,016 |
$3,016 |
$974 |
$371 | |
| MRI of the chest without contrast |
$3,806 |
$3,806 |
$434 |
$466 | |
| MRI of the knee |
$2,488 |
$2,488 |
$731 |
$315 | |
| MRI of the knee with contrast |
$3,016 |
$3,016 |
$974 |
$315 | |
| MRI of the knee without contrast |
$2,313 |
$2,313 |
$534 |
$204 | |
| MRI of the lower back (lumbar spine) |
$3,016 |
$3,016 |
$402 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$3,016 |
$3,016 |
$434 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,488 |
$2,488 |
$297 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$3,016 |
$3,016 |
$402 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$3,806 |
$3,806 |
$434 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$3,016 |
$3,016 |
$434 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,488 |
$2,488 |
$297 |
$190 | |
| MRI of the neck (cervical spine) |
$3,016 |
$3,016 |
$402 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$3,806 |
$3,806 |
$434 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$3,016 |
$3,016 |
$434 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,488 |
$2,488 |
$297 |
$191 | |
| MRI of the pelvis |
$3,016 |
$3,016 |
$402 |
$268 | |
| MRI of the pelvis with contrast |
$3,016 |
$3,016 |
$434 |
$268 | |
| MRI of the pelvis without contrast |
$2,488 |
$2,488 |
$297 |
$227 | |
| MRI of the shoulder |
$2,488 |
$2,488 |
$731 |
$313 | |
| MRI of the shoulder with contrast |
$3,016 |
$3,016 |
$974 |
$313 | |
| MRI of the shoulder without contrast |
$2,313 |
$2,313 |
$401 |
$205 | |
| MRI of the wrist |
$2,752 |
$2,752 |
$402 |
$330 | |
| MRI of the wrist with contrast |
$3,016 |
$3,016 |
$434 |
$330 | |
| MRI of the wrist without contrast |
$2,429 |
$2,429 |
$297 |
$303 | |
| Nebulizer breathing treatment |
$109 |
$109 |
— |
$9 | |
| Nuclear cardiac stress test |
$9,857 |
$9,857 |
$1,609 |
$428 | |
| Occupational therapy evaluation |
$662 |
$662 |
$223 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$662 |
$662 |
$223 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$646 |
$646 |
$223 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$646 |
$646 |
$223 |
$101 | |
| Office visit (established patient) |
$612 |
$612 |
$124 |
$115 | |
| Office visit (new patient) |
$612 |
$612 |
$174 |
$177 | |
| Office visit, established patient (level 3) |
$612 |
$612 |
$93 |
$95 | |
| Office visit, established patient (level 4) |
$612 |
$612 |
$135 |
$136 | |
| Office visit, new patient (level 3) |
$612 |
$612 |
$124 |
$118 | |
| Office visit, new patient (level 4) |
$612 |
$612 |
$145 |
$177 | |
| Office visit, new patient (level 5) |
$612 |
$612 |
$186 |
$237 | |
| Orthopedic hardware removal |
$11,361 |
$11,361 |
$3,480 |
$632 | |
| Pacemaker insertion |
— |
— |
$31,556 |
$15,506 | |
| Parathyroid hormone (PTH) test |
$1,101 |
$1,101 |
$46 |
$41 | |
| Pelvic ultrasound |
$876 |
$876 |
$125 |
$78 | |
| Pelvic ultrasound (complete) |
$897 |
$897 |
$125 |
$105 | |
| Pelvic ultrasound (limited) |
$854 |
$854 |
$125 |
$51 | |
| PET scan |
$8,098 |
$8,098 |
$1,777 |
— | |
| Phosphorus blood test |
$158 |
$158 |
$5 |
$5 | |
| Physical therapy evaluation |
$630 |
$630 |
$217 |
$98 | |
| Physical therapy evaluation (high complexity) |
$646 |
$646 |
$217 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$631 |
$631 |
$217 |
$98 | |
| Platelet count |
$107 |
$107 |
$5 |
$4 | |
| Pregnancy blood test (hCG) |
$300 |
$300 |
$8 |
$8 | |
| Pregnancy ultrasound |
$760 |
$760 |
$125 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$760 |
$760 |
$125 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$760 |
$760 |
$125 |
$136 | |
| Procalcitonin test |
$321 |
$321 |
$30 |
$27 | |
| Prolactin test |
$414 |
$414 |
$22 |
$19 | |
| Prostate test (PSA) |
$525 |
$525 |
$20 |
$18 | |
| Pulmonary rehabilitation |
$357 |
$357 |
$99 |
$87 | |
| Scoliosis spine X-ray |
$349 |
$349 |
$125 |
$58 | |
| Scoliosis spine X-ray (3 views) |
$349 |
$349 |
$125 |
$72 | |
| Scrotal ultrasound |
$3,322 |
$3,322 |
$125 |
$99 | |
| Sedimentation rate (ESR) test |
$31 |
$31 |
$3 |
$3 | |
| Septoplasty (deviated septum) |
$13,820 |
$13,820 |
$3,972 |
$613 | |
| Sex hormone binding globulin test |
$561 |
$561 |
$24 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$1,180 |
$1,180 |
$293 |
$114 | |
| Simple wound stitches |
$1,166 |
$1,166 |
$293 |
$127 | |
| Sinus surgery (endoscopic) |
$13,004 |
$13,004 |
$4,466 |
$224 | |
| Skin biopsy |
$1,203 |
$1,203 |
$840 |
$121 | |
| Skin biopsy (punch) |
$1,203 |
$1,203 |
$594 |
$121 | |
| Skin cancer lesion removal |
$2,751 |
$2,751 |
$805 |
$240 | |
| Skin graft |
$10,527 |
$10,527 |
$3,967 |
$898 | |
| Skin tag removal |
$557 |
$557 |
$293 |
$92 | |
| Sleep study (polysomnography) |
$8,537 |
$8,537 |
$1,905 |
$691 | |
| Soft tissue ultrasound |
$560 |
$560 |
$130 |
$64 | |
| Speech therapy |
$1,027 |
$1,027 |
$147 |
$76 | |
| Spirometry with bronchodilator |
$3,853 |
$3,853 |
$627 |
$43 | |
| Strep throat test |
$75 |
$75 |
$18 |
$17 | |
| Stress echocardiogram |
$1,813 |
$1,813 |
$918 |
$209 | |
| Swallow study |
$1,186 |
$1,186 |
$188 |
$85 | |
| T3 thyroid test |
$455 |
$455 |
$16 |
$14 | |
| Testosterone test |
$358 |
$358 |
$29 |
$26 | |
| Thyroid removal (thyroidectomy) |
$28,809 |
$28,809 |
$7,242 |
$1,004 | |
| Thyroid test (TSH) |
$264 |
$264 |
$19 |
$17 | |
| Thyroid ultrasound |
$1,381 |
$1,381 |
$125 |
$109 | |
| Thyroid uptake scan |
$2,379 |
$2,379 |
$479 |
$145 | |
| Tilt table test |
$1,816 |
$1,816 |
$627 |
$168 | |
| Tonsillectomy |
$14,786 |
$14,786 |
$3,972 |
$252 | |
| Total IgE allergy test |
$387 |
$387 |
$18 |
$16 | |
| Total protein test |
$194 |
$194 |
$4 |
$4 | |
| Tracheostomy |
$15,162 |
$15,162 |
$3,972 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$1,660 |
$1,660 |
$918 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,710 |
$1,710 |
$918 |
$239 | |
| Transvaginal ultrasound |
$746 |
$746 |
$125 |
$118 | |
| Triglycerides test |
$47 |
$47 |
$6 |
$6 | |
| Tubal ligation |
$31,786 |
$31,786 |
$7,242 |
$333 | |
| Turbinate reduction |
$16,607 |
$16,607 |
$3,972 |
$294 | |
| Upper GI endoscopy (EGD) |
$3,929 |
$3,929 |
$1,325 |
$371 | |
| Upper GI series (barium) |
$1,731 |
$1,731 |
$210 |
$128 | |
| Urinalysis |
$128 |
$128 |
$3 |
$3 | |
| Urine microalbumin test |
$112 |
$112 |
$6 |
$5 | |
| Urine pregnancy test |
$250 |
$250 |
$10 |
$9 | |
| Vaccine administration |
$180 |
$180 |
$83 |
$19 | |
| Vaccine administration (each additional) |
$45 |
$45 |
$57 |
$16 | |
| Vaginal delivery |
— |
— |
$10,179 |
$5,487 | |
| Varicose vein ablation |
$21,355 |
$21,355 |
$3,924 |
$1,018 | |
| Vitamin B12 test |
$275 |
$275 |
$17 |
$15 | |
| Vitamin D test |
$953 |
$953 |
$33 |
$30 | |
| Wart removal |
$1,369 |
$1,369 |
$293 |
$121 | |
| Weight-loss (bariatric) surgery |
— |
— |
$27,235 |
$11,645 | |
| Wound debridement |
$959 |
$959 |
$881 |
$186 | |
| X-ray of the abdomen |
$653 |
$653 |
$117 |
$36 | |
| X-ray of the ankle |
$434 |
$434 |
$108 |
$37 | |
| X-ray of the collarbone |
$578 |
$578 |
$108 |
$33 | |
| X-ray of the elbow |
$311 |
$311 |
$108 |
$33 | |
| X-ray of the facial bones |
$634 |
$634 |
$119 |
$39 | |
| X-ray of the foot |
$315 |
$315 |
$108 |
$34 | |
| X-ray of the forearm |
$238 |
$238 |
$104 |
$29 | |
| X-ray of the hand |
$285 |
$285 |
$108 |
$38 | |
| X-ray of the hip |
$506 |
$506 |
$110 |
$49 | |
| X-ray of the hip (1 view) |
$407 |
$407 |
$104 |
$34 | |
| X-ray of the hip (3 views) |
$1,191 |
$1,191 |
$108 |
$49 | |
| X-ray of the hip (4 views) |
$834 |
$834 |
$125 |
$63 | |
| X-ray of the knee |
$428 |
$428 |
$117 |
$42 | |
| X-ray of the knee (2 views) |
$305 |
$305 |
$108 |
$34 | |
| X-ray of the knee (3 views) |
$418 |
$418 |
$108 |
$42 | |
| X-ray of the knee (4+ views) |
$458 |
$458 |
$130 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$378 |
$378 |
$125 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$220 |
$220 |
$125 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$591 |
$591 |
$125 |
$53 | |
| X-ray of the lower leg |
$549 |
$549 |
$108 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$909 |
$909 |
$125 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$909 |
$909 |
$125 |
$33 | |
| X-ray of the neck (cervical spine) |
$220 |
$220 |
$117 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$214 |
$214 |
$104 |
$40 | |
| X-ray of the pelvis |
$496 |
$496 |
$125 |
$36 | |
| X-ray of the pelvis (1 view) |
$451 |
$451 |
$125 |
$28 | |
| X-ray of the ribs |
$726 |
$726 |
$121 |
$42 | |
| X-ray of the ribs (2 views) |
$692 |
$692 |
$104 |
$36 | |
| X-ray of the ribs (3 views) |
$738 |
$738 |
$130 |
$42 | |
| X-ray of the shoulder |
$327 |
$327 |
$108 |
$36 | |
| X-ray of the skull |
$741 |
$741 |
$125 |
$40 | |
| X-ray of the upper arm |
$403 |
$403 |
$108 |
$32 | |
| X-ray of the wrist |
$296 |
$296 |
$108 |
$43 | |
| Zinc blood test |
$345 |
$345 |
$13 |
$11 | |