| 3D mammogram (tomosynthesis) |
$75 |
$107 |
$27 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,465 |
$2,093 |
$847 |
$284 | |
| Abdominal ultrasound |
$520 |
$743 |
$98 |
$100 | |
| Abdominal ultrasound (complete) |
$665 |
$950 |
$98 |
$114 | |
| Abdominal ultrasound (limited) |
$362 |
$517 |
$98 |
$86 | |
| Abscess drainage (complex or multiple) |
$510 |
$728 |
$380 |
$220 | |
| Abscess drainage (simple) |
$340 |
$485 |
$187 |
$129 | |
| Abscess incision and drainage |
$453 |
$647 |
$187 |
$174 | |
| ACL knee reconstruction |
$11,595 |
$16,564 |
$6,775 |
$889 | |
| Adenoid removal (adenoidectomy) |
$3,785 |
$5,408 |
$3,096 |
$204 | |
| Albumin blood test |
$41 |
$59 |
$5 |
$5 | |
| Aldosterone test |
$288 |
$411 |
$41 |
$41 | |
| Alkaline phosphatase test |
$46 |
$66 |
$5 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$111 |
$159 |
$17 |
$17 | |
| ALT liver enzyme test |
$70 |
$100 |
$5 |
$5 | |
| Ammonia blood test |
$109 |
$155 |
$15 |
$15 | |
| Amniocentesis |
$1,070 |
$1,528 |
$860 |
$120 | |
| Amylase test |
$76 |
$108 |
$6 |
$6 | |
| Ankle fracture repair |
$10,707 |
$15,296 |
$6,775 |
$608 | |
| Antinuclear antibody (ANA) test |
$40 |
$57 |
$12 |
$12 | |
| Arterial blood gas (ABG) |
$197 |
$281 |
$26 |
$26 | |
| AST liver enzyme test |
$70 |
$100 |
$5 |
$5 | |
| Barium swallow study |
$358 |
$511 |
$164 |
$107 | |
| Bartholin cyst removal |
$282 |
$403 |
$189 |
$182 | |
| Basic metabolic panel |
$126 |
$180 |
$8 |
$8 | |
| Benign skin lesion removal |
$582 |
$832 |
$380 |
$171 | |
| Bilirubin blood test |
$55 |
$78 |
$5 |
$5 | |
| Bladder scope (cystoscopy) |
$617 |
$881 |
$651 |
$216 | |
| Blood clotting test (PT/INR) |
$55 |
$78 |
$4 |
$4 | |
| Blood glucose test |
$55 |
$78 |
$4 |
$5 | |
| Blood transfusion |
$1,489 |
$2,128 |
$412 |
$47 | |
| Blood type and screen |
$85 |
$121 |
$49 |
$10 | |
| Blood type test |
$51 |
$72 |
$35 |
$3 | |
| Blood type test (ABO group) |
$48 |
$69 |
$124 |
$3 | |
| Blood type test (Rh/D antigen) |
$53 |
$76 |
$35 |
$3 | |
| BNP (heart failure) test |
$133 |
$189 |
$39 |
$39 | |
| Bone density scan (DEXA) |
$315 |
$450 |
$98 |
$39 | |
| Bone marrow biopsy |
$1,646 |
$2,351 |
$1,542 |
$172 | |
| Bone scan (nuclear) |
$980 |
$1,400 |
$373 |
$259 | |
| Botox for migraine |
$439 |
$627 |
$287 |
$157 | |
| Breast biopsy |
$1,982 |
$2,831 |
$1,542 |
$478 | |
| Breast ultrasound |
$293 |
$419 |
$98 |
$92 | |
| Breast ultrasound (complete) |
$253 |
$362 |
$98 |
$100 | |
| Breast ultrasound (limited) |
$293 |
$419 |
$81 |
$84 | |
| Breathing tube insertion (intubation) |
$669 |
$956 |
$221 |
$133 | |
| Bronchoscopy |
$2,747 |
$3,924 |
$1,662 |
$303 | |
| Burn dressing and debridement (medium) |
$224 |
$320 |
$187 |
$166 | |
| Burn dressing and debridement (small) |
$158 |
$226 |
$187 |
$93 | |
| Burn treatment |
$182 |
$260 |
$187 |
$129 | |
| C-reactive protein (CRP) |
$46 |
$66 |
$5 |
$5 | |
| CA 19-9 tumor marker test |
$32 |
$46 |
$21 |
$21 | |
| CA-125 ovarian marker test |
$52 |
$75 |
$21 |
$21 | |
| Calcium blood test |
$55 |
$78 |
$5 |
$5 | |
| Cardiac catheterization |
$6,886 |
$9,837 |
$3,027 |
$1,049 | |
| Cardiac MRI |
$1,960 |
$2,800 |
$326 |
$322 | |
| Cardiac MRI without contrast |
$1,960 |
$2,800 |
$223 |
$280 | |
| Cardiac rehabilitation |
$191 |
$273 |
$120 |
$26 | |
| Cardiac stress test |
$884 |
$1,262 |
$202 |
$39 | |
| Cardioversion |
$707 |
$1,010 |
$617 |
$155 | |
| Carotid artery ultrasound |
$937 |
$1,339 |
$223 |
$156 | |
| Cataract surgery |
$2,487 |
$3,554 |
$2,155 |
$547 | |
| CEA tumor marker test |
$141 |
$201 |
$19 |
$19 | |
| Celiac disease test |
$90 |
$129 |
$12 |
$12 | |
| Central line placement |
$471 |
$673 |
$2,948 |
$238 | |
| Cervical LEEP procedure |
$4,759 |
$6,798 |
$3,022 |
$325 | |
| Cesarean section (C-section) |
— |
— |
$7,396 |
$7,552 | |
| Chemotherapy infusion |
$614 |
$878 |
$308 |
$81 | |
| Chemotherapy infusion (each additional) |
$354 |
$505 |
$67 |
$28 | |
| Chemotherapy infusion (first hour) |
$614 |
$878 |
$308 |
$133 | |
| Chest fluid drain (thoracentesis) |
$879 |
$1,256 |
$586 |
$311 | |
| Chest tube insertion |
$545 |
$778 |
$1,470 |
$143 | |
| Chest X-ray |
$134 |
$192 |
$81 |
$37 | |
| Chest X-ray (1 view) |
$131 |
$188 |
$81 |
$25 | |
| Chest X-ray (2 views) |
$110 |
$157 |
$81 |
$33 | |
| Circumcision |
$929 |
$1,326 |
$1,952 |
$167 | |
| CK-MB heart enzyme test |
$106 |
$151 |
$12 |
$12 | |
| Clotting time test (PTT) |
$99 |
$142 |
$6 |
$6 | |
| Colonoscopy |
$1,159 |
$1,655 |
$1,117 |
$480 | |
| Complete blood count (CBC) |
$48 |
$68 |
$8 |
$7 | |
| Complete blood count (CBC) (complete) |
$48 |
$68 |
$8 |
$8 | |
| Comprehensive metabolic panel |
$207 |
$296 |
$11 |
$11 | |
| Contraceptive implant (Nexplanon) |
$3,379 |
$4,827 |
$417 |
$115 | |
| Copper blood test |
$97 |
$139 |
$12 |
$12 | |
| Coronary artery bypass (CABG) |
— |
— |
$29,565 |
$36,593 | |
| Coronary CT angiography |
$546 |
$780 |
$370 |
$326 | |
| Cortisol test |
$62 |
$88 |
$16 |
$16 | |
| COVID-19 PCR test |
$104 |
$149 |
$51 |
$51 | |
| CPAP titration study |
$471 |
$673 |
$204 |
$69 | |
| Creatine kinase (CK) test |
$70 |
$100 |
$7 |
$7 | |
| CT angiography of the chest |
$584 |
$835 |
$164 |
$281 | |
| CT angiography of the head |
$670 |
$957 |
$164 |
$274 | |
| CT scan of the abdomen |
$1,277 |
$1,825 |
$164 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,718 |
$3,883 |
$326 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,019 |
$4,313 |
$326 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,718 |
$3,883 |
$326 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,431 |
$3,473 |
$223 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,595 |
$2,279 |
$164 |
$259 | |
| CT scan of the abdomen with contrast |
$1,277 |
$1,825 |
$164 |
$230 | |
| CT scan of the abdomen without contrast |
$1,165 |
$1,665 |
$98 |
$136 | |
| CT scan of the arm |
$1,128 |
$1,611 |
$370 |
$199 | |
| CT scan of the arm with contrast |
$1,159 |
$1,656 |
$370 |
$199 | |
| CT scan of the arm without contrast |
$1,096 |
$1,566 |
$256 |
$161 | |
| CT scan of the chest |
$1,272 |
$1,817 |
$164 |
$167 | |
| CT scan of the chest with and without contrast |
$1,595 |
$2,279 |
$164 |
$196 | |
| CT scan of the chest with contrast |
$1,278 |
$1,826 |
$164 |
$167 | |
| CT scan of the chest without contrast |
$1,159 |
$1,656 |
$98 |
$133 | |
| CT scan of the head |
$1,090 |
$1,558 |
$164 |
$148 | |
| CT scan of the head with and without contrast |
$1,417 |
$2,025 |
$164 |
$173 | |
| CT scan of the head with contrast |
$1,367 |
$1,952 |
$164 |
$148 | |
| CT scan of the head without contrast |
$1,085 |
$1,550 |
$98 |
$107 | |
| CT scan of the leg |
$1,216 |
$1,737 |
$401 |
$166 | |
| CT scan of the leg with contrast |
$1,171 |
$1,673 |
$401 |
$166 | |
| CT scan of the leg without contrast |
$1,096 |
$1,566 |
$207 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,171 |
$1,673 |
$326 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$616 |
$880 |
$164 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,165 |
$1,665 |
$326 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,272 |
$1,817 |
$98 |
$130 | |
| CT scan of the neck |
$1,352 |
$1,931 |
$164 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,128 |
$1,611 |
$326 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,345 |
$1,922 |
$164 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,165 |
$1,665 |
$326 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,085 |
$1,550 |
$98 |
$131 | |
| CT scan of the neck with and without contrast |
$1,438 |
$2,055 |
$164 |
$220 | |
| CT scan of the neck with contrast |
$1,352 |
$1,931 |
$164 |
$183 | |
| CT scan of the neck without contrast |
$1,278 |
$1,826 |
$98 |
$150 | |
| CT scan of the pelvis |
$1,284 |
$1,835 |
$164 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,417 |
$2,025 |
$164 |
$251 | |
| CT scan of the pelvis with contrast |
$1,345 |
$1,922 |
$164 |
$226 | |
| CT scan of the pelvis without contrast |
$1,272 |
$1,817 |
$98 |
$133 | |
| CT scan of the sinuses |
$1,177 |
$1,681 |
$164 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,237 |
$1,768 |
$164 |
$184 | |
| CT scan of the sinuses with contrast |
$1,177 |
$1,681 |
$164 |
$152 | |
| CT scan of the sinuses without contrast |
$1,090 |
$1,558 |
$98 |
$128 | |
| D-dimer test |
$49 |
$70 |
$10 |
$10 | |
| Defibrillator (ICD) implant |
$59,525 |
$85,036 |
$29,308 |
$798 | |
| DHEA-sulfate test |
$182 |
$259 |
$22 |
$22 | |
| Diagnostic mammogram |
$150 |
$215 |
$37 |
$140 | |
| Dilation and curettage (D&C) |
$3,690 |
$5,272 |
$3,022 |
$298 | |
| Drug screen (urine) |
$138 |
$197 |
$62 |
$17 | |
| Ear tubes (myringotomy) |
$2,218 |
$3,169 |
$1,102 |
$174 | |
| Echocardiogram |
$194 |
$278 |
$510 |
$138 | |
| Echocardiogram with and without contrast |
$97 |
$138 |
$223 |
$101 | |
| EEG (awake and asleep) |
$821 |
$1,173 |
$202 |
$482 | |
| EKG / ECG (tracing only) |
$178 |
$254 |
$55 |
$7 | |
| Electrocardiogram (EKG) |
$162 |
$232 |
$55 |
$8 | |
| Electroencephalogram (EEG) |
$821 |
$1,173 |
$202 |
$448 | |
| Electrolyte panel |
$56 |
$80 |
$7 |
$7 | |
| Emergency department visit |
$377 |
$538 |
$255 |
$69 | |
| Emergency department visit (level 1) |
$161 |
$229 |
$79 |
$11 | |
| Emergency department visit (level 2) |
$207 |
$296 |
$143 |
$40 | |
| Emergency department visit (level 3) |
$377 |
$538 |
$255 |
$69 | |
| Emergency department visit (level 4) |
$525 |
$750 |
$390 |
$118 | |
| Emergency department visit (level 5) |
$748 |
$1,069 |
$556 |
$171 | |
| Epidural steroid injection |
$1,201 |
$1,716 |
$659 |
$275 | |
| ERCP (bile duct endoscopy) |
$4,492 |
$6,417 |
$3,600 |
$311 | |
| Estradiol (estrogen) test |
$130 |
$186 |
$28 |
$28 | |
| Facet joint injection (spine) |
$1,672 |
$2,388 |
$44 |
$99 | |
| Fallopian tube X-ray (HSG) |
$479 |
$685 |
$223 |
$164 | |
| Ferritin (iron) test |
$78 |
$111 |
$14 |
$14 | |
| Fibrinogen test |
$93 |
$134 |
$10 |
$10 | |
| Flexible sigmoidoscopy |
$1,539 |
$2,199 |
$868 |
$323 | |
| Flu test |
$31 |
$44 |
$17 |
$17 | |
| Flu vaccine |
$18 |
$25 |
— |
— | |
| Folate (folic acid) test |
$85 |
$122 |
$15 |
$15 | |
| Foreign body removal (skin) |
$318 |
$455 |
$380 |
$157 | |
| Free T4 thyroid test |
$80 |
$114 |
$9 |
$9 | |
| FSH hormone test |
$196 |
$280 |
$19 |
$19 | |
| Gallbladder removal (laparoscopic) |
$9,717 |
$13,882 |
$5,645 |
$658 | |
| Gallbladder scan (HIDA) |
$907 |
$1,295 |
$373 |
$334 | |
| GGT liver test |
$32 |
$45 |
$7 |
$7 | |
| Glucose tolerance test |
$87 |
$125 |
$13 |
$8 | |
| H. pylori test |
$171 |
$245 |
$67 |
$67 | |
| HDL cholesterol test |
$60 |
$85 |
$8 |
$8 | |
| Hematocrit test |
$32 |
$45 |
$2 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$53 |
$76 |
$10 |
$10 | |
| Hemorrhoid removal |
$953 |
$1,362 |
$868 |
$338 | |
| Hepatitis A vaccine |
$56 |
$80 |
— |
— | |
| Hepatitis B test |
$62 |
$88 |
$10 |
$10 | |
| Hepatitis B vaccine |
$90 |
$128 |
— |
— | |
| Hepatitis C test |
$127 |
$182 |
$14 |
$14 | |
| HIV test |
$53 |
$76 |
$24 |
$19 | |
| HIV test (antibody) |
$66 |
$94 |
$14 |
$14 | |
| HIV test (antigen/antibody combo) |
$40 |
$58 |
$24 |
$24 | |
| Holter heart monitor |
$756 |
$1,080 |
$55 |
$26 | |
| Hysterectomy |
$3,596 |
$5,137 |
$9,925 |
$933 | |
| Hysteroscopy |
$4,542 |
$6,489 |
$3,022 |
$1,270 | |
| Inguinal hernia repair |
$13,877 |
$19,825 |
$3,343 |
$538 | |
| Iron blood test |
$39 |
$56 |
$6 |
$6 | |
| IUD removal |
$792 |
$1,132 |
$285 |
$112 | |
| IV infusion therapy |
$329 |
$470 |
$121 |
$44 | |
| IV infusion therapy (each additional) |
$71 |
$101 |
$44 |
$21 | |
| IV infusion therapy (initial) |
$391 |
$558 |
$199 |
$67 | |
| IVC filter placement |
$5,840 |
$8,343 |
$5,196 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$421 |
$602 |
$287 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$405 |
$578 |
$287 |
$57 | |
| Joint aspiration or injection (small joint) |
$485 |
$693 |
$287 |
$56 | |
| Kidney biopsy |
$2,041 |
$2,916 |
$1,542 |
$492 | |
| Kidney scan (nuclear) |
$370 |
$529 |
$507 |
$172 | |
| Kidney ultrasound |
$501 |
$716 |
$98 |
$84 | |
| Knee arthroscopy |
$6,976 |
$9,965 |
$3,055 |
$524 | |
| Knee joint injection |
$511 |
$730 |
$287 |
$69 | |
| Knee replacement |
— |
— |
$14,059 |
$18,054 | |
| Lactate test |
$72 |
$102 |
$12 |
$12 | |
| Laryngoscopy |
$2,974 |
$4,249 |
$1,662 |
$189 | |
| LDH test |
$64 |
$92 |
$6 |
$6 | |
| Leg artery angiogram |
$5,919 |
$8,456 |
$2,948 |
$149 | |
| Leg artery angioplasty |
$11,375 |
$16,250 |
$5,123 |
— | |
| Leg vein ultrasound (Doppler) |
$676 |
$966 |
$98 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$563 |
$805 |
$98 |
$116 | |
| LH hormone test |
$156 |
$222 |
$19 |
$19 | |
| Lipase test |
$46 |
$66 |
$7 |
$7 | |
| Lipid (cholesterol) panel |
$131 |
$186 |
$13 |
$13 | |
| Liver biopsy |
$2,041 |
$2,916 |
$1,542 |
$288 | |
| Liver function panel |
$138 |
$198 |
$8 |
$8 | |
| Lung function test (PFT) |
$479 |
$684 |
$348 |
$37 | |
| Lung scan (V/Q) |
$1,165 |
$1,664 |
$507 |
$291 | |
| Magnesium blood test |
$56 |
$79 |
$7 |
$7 | |
| Meniscus repair (knee) |
$11,641 |
$16,630 |
$3,055 |
$714 | |
| MMR vaccine |
$79 |
$114 |
— |
— | |
| MRA of the brain |
$720 |
$1,029 |
$326 |
$226 | |
| MRA of the brain with contrast |
$779 |
$1,113 |
$326 |
$226 | |
| MRA of the brain without contrast |
$989 |
$1,413 |
$326 |
$328 | |
| MRA of the neck |
$714 |
$1,020 |
$326 |
$245 | |
| MRA of the neck with contrast |
$779 |
$1,113 |
$326 |
$245 | |
| MRA of the neck without contrast |
$1,013 |
$1,448 |
$326 |
$343 | |
| MRI of the abdomen |
$816 |
$1,166 |
$326 |
$300 | |
| MRI of the abdomen without contrast |
$645 |
$922 |
$223 |
$194 | |
| MRI of the ankle |
$779 |
$1,113 |
$453 |
$261 | |
| MRI of the ankle with contrast |
$779 |
$1,113 |
$453 |
$261 | |
| MRI of the ankle without contrast |
$645 |
$922 |
$402 |
$222 | |
| MRI of the brain |
$811 |
$1,159 |
$326 |
$269 | |
| MRI of the brain with contrast |
$974 |
$1,391 |
$326 |
$269 | |
| MRI of the brain without contrast |
$642 |
$918 |
$223 |
$195 | |
| MRI of the chest |
$936 |
$1,337 |
$326 |
$371 | |
| MRI of the chest without contrast |
$1,230 |
$1,757 |
$326 |
$466 | |
| MRI of the knee |
$779 |
$1,113 |
$581 |
$315 | |
| MRI of the knee with contrast |
$779 |
$1,113 |
$716 |
$315 | |
| MRI of the knee without contrast |
$645 |
$922 |
$402 |
$204 | |
| MRI of the lower back (lumbar spine) |
$779 |
$1,113 |
$326 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$779 |
$1,113 |
$326 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$645 |
$922 |
$223 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$823 |
$1,175 |
$326 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$999 |
$1,427 |
$326 |
$319 | |
| MRI of the mid-back (thoracic spine) without contrast |
$652 |
$931 |
$223 |
$190 | |
| MRI of the neck (cervical spine) |
$779 |
$1,113 |
$326 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$999 |
$1,427 |
$326 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$779 |
$1,113 |
$326 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$645 |
$922 |
$223 |
$191 | |
| MRI of the pelvis |
$823 |
$1,175 |
$326 |
$268 | |
| MRI of the pelvis without contrast |
$652 |
$931 |
$223 |
$227 | |
| MRI of the shoulder |
$791 |
$1,130 |
$630 |
$313 | |
| MRI of the shoulder with contrast |
$802 |
$1,146 |
$716 |
$313 | |
| MRI of the shoulder without contrast |
$645 |
$922 |
$402 |
$205 | |
| MRI of the wrist |
$662 |
$945 |
$326 |
$330 | |
| MRI of the wrist without contrast |
$642 |
$918 |
$223 |
$303 | |
| Nebulizer breathing treatment |
$177 |
$252 |
— |
$9 | |
| Nerve conduction study |
$532 |
$761 |
$202 |
$118 | |
| Newborn hospital care |
$60 |
$85 |
$79 |
$58 | |
| Nuchal translucency ultrasound |
$616 |
$880 |
$98 |
$116 | |
| Nuclear cardiac stress test |
$1,332 |
$1,902 |
$1,209 |
$428 | |
| Occupational therapy evaluation |
$206 |
$294 |
$95 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$206 |
$294 |
$95 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$203 |
$290 |
$95 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$206 |
$294 |
$95 |
$101 | |
| Office visit (established patient) |
$213 |
$304 |
$82 |
$115 | |
| Office visit (new patient) |
$242 |
$345 |
$114 |
$177 | |
| Office visit, established patient (level 3) |
$205 |
$293 |
$56 |
$95 | |
| Office visit, established patient (level 4) |
$213 |
$304 |
$82 |
$136 | |
| Office visit, new patient (level 3) |
$236 |
$337 |
$70 |
$118 | |
| Office visit, new patient (level 4) |
$225 |
$322 |
$114 |
$177 | |
| Office visit, new patient (level 5) |
$247 |
$353 |
$156 |
$237 | |
| Orthopedic hardware removal |
$2,692 |
$3,846 |
$2,712 |
$632 | |
| Pacemaker insertion |
— |
— |
$13,226 |
$15,506 | |
| Parathyroid hormone (PTH) test |
$191 |
$272 |
$41 |
$41 | |
| Pelvic ultrasound |
$447 |
$639 |
$98 |
$78 | |
| Pelvic ultrasound (complete) |
$432 |
$618 |
$98 |
$105 | |
| Pelvic ultrasound (limited) |
$462 |
$660 |
$98 |
$51 | |
| Phosphorus blood test |
$55 |
$78 |
$5 |
$5 | |
| Physical therapy evaluation |
$239 |
$342 |
$93 |
$98 | |
| Physical therapy evaluation (high complexity) |
$239 |
$342 |
$93 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$240 |
$343 |
$93 |
$98 | |
| Pilonidal cyst removal |
$3,899 |
$5,570 |
$2,712 |
$541 | |
| Platelet count |
$53 |
$76 |
$4 |
$4 | |
| Pneumonia vaccine |
$166 |
$236 |
— |
— | |
| Pregnancy blood test (hCG) |
$89 |
$127 |
$8 |
$8 | |
| Pregnancy ultrasound |
$238 |
$340 |
$98 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$213 |
$305 |
$98 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$322 |
$459 |
$98 |
$136 | |
| Procalcitonin test |
$50 |
$71 |
$27 |
$27 | |
| Prolactin test |
$71 |
$102 |
$19 |
$19 | |
| Prostate biopsy |
$2,171 |
$3,101 |
$928 |
— | |
| Prostate test (PSA) |
$126 |
$180 |
$18 |
$18 | |
| Radiofrequency nerve ablation |
$3,550 |
$5,072 |
$1,823 |
$462 | |
| Rotator cuff repair |
$5,462 |
$7,802 |
$6,775 |
$792 | |
| Sacroiliac joint injection |
$1,624 |
$2,320 |
$71 |
$176 | |
| Scoliosis spine X-ray |
$228 |
$325 |
$89 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$203 |
$290 |
$81 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$300 |
$429 |
$98 |
$72 | |
| Screening colonoscopy |
$2,185 |
$3,122 |
$868 |
$378 | |
| Screening mammogram |
$87 |
$125 |
$34 |
$126 | |
| Scrotal ultrasound |
$400 |
$572 |
$98 |
$99 | |
| Sedimentation rate (ESR) test |
$57 |
$81 |
$3 |
$3 | |
| Semen analysis |
$115 |
$164 |
$12 |
$12 | |
| Septoplasty (deviated septum) |
$4,345 |
$6,206 |
$3,096 |
$613 | |
| Sex hormone binding globulin test |
$53 |
$75 |
$22 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$277 |
$396 |
$187 |
$114 | |
| Simple wound stitches |
$277 |
$396 |
$187 |
$127 | |
| Sinus surgery (endoscopic) |
$3,764 |
$5,377 |
$6,590 |
$224 | |
| Skin biopsy |
$745 |
$1,065 |
$380 |
$121 | |
| Skin biopsy (punch) |
$745 |
$1,065 |
$380 |
$121 | |
| Sleep study (polysomnography) |
$3,230 |
$4,614 |
$802 |
$691 | |
| Soft tissue ultrasound |
$262 |
$375 |
$98 |
$64 | |
| Speech therapy |
$176 |
$251 |
$73 |
$76 | |
| Spinal cord stimulator |
$3,172 |
$4,532 |
$5,950 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$698 |
$996 |
$659 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$10,630 |
$15,185 |
$6,775 |
$5,803 | |
| Spirometry (lung function test) |
$477 |
$681 |
$202 |
$30 | |
| Spirometry with bronchodilator |
$527 |
$753 |
$348 |
$43 | |
| Strep throat test |
$24 |
$34 |
$17 |
$17 | |
| Stress echocardiogram |
$816 |
$1,166 |
$510 |
$209 | |
| Swallow study |
$230 |
$329 |
$80 |
$85 | |
| T3 thyroid test |
$74 |
$105 |
$14 |
$14 | |
| Tdap (tetanus) vaccine |
$115 |
$164 |
— |
— | |
| Testosterone test |
$86 |
$122 |
$26 |
$26 | |
| Thyroid removal (thyroidectomy) |
$11,206 |
$16,009 |
$5,645 |
$1,004 | |
| Thyroid test (TSH) |
$38 |
$55 |
$17 |
$17 | |
| Thyroid ultrasound |
$420 |
$600 |
$98 |
$109 | |
| Thyroid uptake scan |
$519 |
$741 |
$373 |
$145 | |
| Tilt table test |
$909 |
$1,298 |
$348 |
$168 | |
| Tonsillectomy |
$5,840 |
$8,343 |
$3,096 |
$252 | |
| Total IgE allergy test |
$116 |
$165 |
$16 |
$16 | |
| Total protein test |
$48 |
$68 |
$4 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$1,606 |
$2,294 |
$510 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,606 |
$2,294 |
$510 |
$239 | |
| Transvaginal ultrasound |
$578 |
$826 |
$98 |
$118 | |
| Trigger finger release |
$7,138 |
$10,197 |
$1,501 |
$630 | |
| Trigger point injection |
$511 |
$730 |
$287 |
$56 | |
| Trigger point injection (1-2 muscles) |
$511 |
$730 |
$287 |
$52 | |
| Triglycerides test |
$50 |
$71 |
$6 |
$6 | |
| Troponin (heart) test |
$97 |
$139 |
$12 |
$12 | |
| Tubal ligation |
$9,246 |
$13,209 |
$5,645 |
$333 | |
| Turbinate reduction |
$3,764 |
$5,377 |
$3,096 |
$294 | |
| Upper GI endoscopy (EGD) |
$993 |
$1,419 |
$847 |
$371 | |
| Upper GI series (barium) |
$484 |
$692 |
$164 |
$128 | |
| Uric acid (gout) test |
$56 |
$80 |
$5 |
$5 | |
| Urinalysis |
$59 |
$84 |
$2 |
$3 | |
| Urine microalbumin test |
$53 |
$76 |
$5 |
$5 | |
| Urine pregnancy test |
$89 |
$128 |
$9 |
$9 | |
| Vaccine administration |
$86 |
$123 |
$67 |
$19 | |
| Vaccine administration (each additional) |
$97 |
$138 |
— |
$16 | |
| Vaginal delivery |
— |
— |
$5,450 |
$5,487 | |
| Vitamin B12 test |
$112 |
$160 |
$15 |
$15 | |
| Vitamin D test |
$170 |
$243 |
$30 |
$30 | |
| Weight-loss (bariatric) surgery |
— |
— |
$11,174 |
$11,645 | |
| Wound debridement |
$1,158 |
$1,654 |
$380 |
$186 | |
| Wrist fracture repair |
$16,114 |
$23,021 |
$6,775 |
$735 | |
| X-ray of the abdomen |
$243 |
$348 |
$81 |
$36 | |
| X-ray of the ankle |
$123 |
$176 |
$81 |
$37 | |
| X-ray of the collarbone |
$123 |
$176 |
$81 |
$33 | |
| X-ray of the elbow |
$121 |
$172 |
$81 |
$33 | |
| X-ray of the facial bones |
$288 |
$412 |
$98 |
$39 | |
| X-ray of the foot |
$123 |
$176 |
$81 |
$34 | |
| X-ray of the forearm |
$121 |
$172 |
$81 |
$29 | |
| X-ray of the hand |
$110 |
$157 |
$81 |
$38 | |
| X-ray of the hip |
$230 |
$329 |
$81 |
$49 | |
| X-ray of the hip (1 view) |
$180 |
$258 |
$81 |
$34 | |
| X-ray of the hip (3 views) |
$230 |
$329 |
$81 |
$49 | |
| X-ray of the knee |
$131 |
$188 |
$81 |
$42 | |
| X-ray of the knee (2 views) |
$110 |
$157 |
$81 |
$34 | |
| X-ray of the knee (3 views) |
$131 |
$188 |
$81 |
$42 | |
| X-ray of the knee (4+ views) |
$230 |
$328 |
$98 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$438 |
$626 |
$98 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$299 |
$427 |
$98 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$548 |
$783 |
$98 |
$53 | |
| X-ray of the lower leg |
$110 |
$157 |
$81 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$319 |
$455 |
$98 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$281 |
$402 |
$98 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$357 |
$510 |
$98 |
$39 | |
| X-ray of the neck (cervical spine) |
$337 |
$482 |
$89 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$306 |
$437 |
$81 |
$40 | |
| X-ray of the pelvis |
$202 |
$289 |
$98 |
$36 | |
| X-ray of the pelvis (1 view) |
$178 |
$255 |
$98 |
$28 | |
| X-ray of the ribs |
$275 |
$392 |
$89 |
$42 | |
| X-ray of the ribs (2 views) |
$223 |
$319 |
$81 |
$36 | |
| X-ray of the ribs (3 views) |
$302 |
$431 |
$98 |
$42 | |
| X-ray of the shoulder |
$121 |
$172 |
$81 |
$36 | |
| X-ray of the skull |
$361 |
$515 |
$98 |
$40 | |
| X-ray of the upper arm |
$121 |
$172 |
$81 |
$32 | |
| X-ray of the wrist |
$137 |
$196 |
$81 |
$43 | |
| YAG laser capsulotomy (eye) |
$1,389 |
$1,985 |
$514 |
$335 | |
| Zinc blood test |
$62 |
$88 |
$11 |
$11 | |