| 3D mammogram (tomosynthesis) |
$27 |
$317 |
$28 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,160 |
$6,197 |
$1,161 |
$284 | |
| Abdominal ultrasound |
$133 |
$1,899 |
$134 |
$100 | |
| Abdominal ultrasound (complete) |
$133 |
$1,880 |
$134 |
$114 | |
| Abdominal ultrasound (limited) |
$133 |
$1,918 |
$134 |
$86 | |
| Abscess drainage (complex or multiple) |
$520 |
$882 |
$520 |
$220 | |
| Abscess drainage (simple) |
$256 |
$1,425 |
$257 |
$129 | |
| Abscess incision and drainage |
$388 |
$1,154 |
$338 |
$174 | |
| Albumin blood test |
$4 |
$165 |
$5 |
$5 | |
| Aldosterone test |
$40 |
$211 |
$42 |
$41 | |
| Alkaline phosphatase test |
$5 |
$26 |
$5 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$16 |
$130 |
$21 |
$17 | |
| ALT liver enzyme test |
$5 |
$201 |
$5 |
$5 | |
| Ammonia blood test |
$14 |
$438 |
$15 |
$15 | |
| Amniocentesis |
$1,178 |
$1,041 |
$1,041 |
$120 | |
| Anoscopy |
$170 |
$207 |
$170 |
$129 | |
| Antinuclear antibody (ANA) test |
$12 |
$280 |
$12 |
$12 | |
| Arterial blood gas (ABG) |
$26 |
$605 |
$26 |
$26 | |
| AST liver enzyme test |
$5 |
$197 |
$5 |
$5 | |
| Barium swallow study |
$224 |
$1,313 |
$224 |
$107 | |
| Bartholin cyst removal |
$258 |
$1,361 |
$259 |
$182 | |
| Benign skin lesion removal |
$906 |
$4,133 |
$906 |
$171 | |
| Bilirubin blood test |
$5 |
$192 |
$5 |
$5 | |
| Blood clotting test (PT/INR) |
$4 |
$261 |
$4 |
$4 | |
| Blood crossmatch |
$218 |
$1,180 |
$219 |
— | |
| Blood glucose test |
$4 |
$121 |
$5 |
$5 | |
| Blood transfusion |
$564 |
$2,644 |
$567 |
$47 | |
| Blood type and screen |
$66 |
$399 |
$67 |
$10 | |
| Blood type test |
$109 |
$539 |
$63 |
$3 | |
| Blood type test (ABO group) |
$170 |
$813 |
$170 |
$3 | |
| Blood type test (Rh/D antigen) |
$47 |
$268 |
$48 |
$3 | |
| BNP (heart failure) test |
$39 |
$385 |
$39 |
$39 | |
| Bone density scan (DEXA) |
$133 |
$550 |
$134 |
$39 | |
| Bone marrow biopsy |
$2,915 |
$7,612 |
$164 |
$172 | |
| Bone scan (nuclear) |
$511 |
$4,450 |
$512 |
$259 | |
| Breast biopsy |
$2,113 |
$5,263 |
$2,114 |
$478 | |
| Breast MRI |
$305 |
$2,721 |
$305 |
$216 | |
| Breast MRI without contrast |
$305 |
$2,721 |
$305 |
$216 | |
| Breast ultrasound |
$122 |
$1,136 |
$134 |
$92 | |
| Breast ultrasound (complete) |
$133 |
$1,310 |
$134 |
$100 | |
| Breast ultrasound (limited) |
$111 |
$963 |
$111 |
$84 | |
| Breathing tube insertion (intubation) |
$303 |
$1,632 |
$303 |
$133 | |
| Bronchoscopy |
$2,278 |
$11,650 |
$2,301 |
$303 | |
| Burn dressing and debridement (medium) |
$256 |
$1,053 |
$257 |
$166 | |
| Burn dressing and debridement (small) |
$256 |
$1,167 |
$257 |
$93 | |
| Burn treatment |
$256 |
$1,110 |
$257 |
$129 | |
| CA 19-9 tumor marker test |
$20 |
$161 |
$21 |
$21 | |
| CA-125 ovarian marker test |
$20 |
$295 |
$21 |
$21 | |
| Calcium blood test |
$5 |
$187 |
$5 |
$5 | |
| Cardiac ablation |
$33,452 |
$28,433 |
$13,779 |
$759 | |
| Cardiac catheterization |
$4,149 |
$33,017 |
$4,149 |
$1,049 | |
| Cardiac stress test |
$276 |
$2,809 |
$276 |
$39 | |
| Cardioversion |
$845 |
$4,374 |
$846 |
$155 | |
| Carotid artery ultrasound |
$219 |
$2,163 |
$178 |
$156 | |
| Cataract surgery |
$2,953 |
$8,452 |
$2,954 |
$547 | |
| CEA tumor marker test |
$18 |
$322 |
$19 |
$19 | |
| Celiac disease test |
$11 |
$58 |
$12 |
$12 | |
| Central line placement |
$4,041 |
$19,034 |
$4,041 |
$238 | |
| Cesarean section (C-section) |
$10,262 |
— |
$12,263 |
$7,552 | |
| Chest fluid drain (thoracentesis) |
$802 |
$5,370 |
$803 |
$311 | |
| Chest tube insertion |
$2,014 |
$10,844 |
$2,015 |
$143 | |
| Chest X-ray |
$111 |
$583 |
$111 |
$37 | |
| Chest X-ray (1 view) |
$111 |
$489 |
$111 |
$25 | |
| Chest X-ray (2 views) |
$111 |
$727 |
$111 |
$33 | |
| CK-MB heart enzyme test |
$11 |
$438 |
$12 |
$12 | |
| Clotting time test (PTT) |
$6 |
$306 |
$6 |
$6 | |
| Colonoscopy |
$1,190 |
$6,238 |
$1,262 |
$480 | |
| Complete blood count (CBC) |
$7 |
$225 |
$8 |
$7 | |
| Complete blood count (CBC) (complete) |
$7 |
$245 |
$8 |
$8 | |
| Complex wound repair |
$945 |
$1,579 |
$946 |
$390 | |
| Copper blood test |
$12 |
$78 |
$13 |
$12 | |
| Coronary artery bypass (CABG) |
$46,898 |
— |
$54,608 |
$36,593 | |
| Coronary CT angiography |
$446 |
$1,512 |
$447 |
$326 | |
| Cortisol test |
$16 |
$307 |
$17 |
$16 | |
| COVID-19 PCR test |
$51 |
$51 |
$51 |
$51 | |
| CPAP titration study |
$280 |
$1,275 |
$280 |
$69 | |
| Creatine kinase (CK) test |
$6 |
$248 |
$7 |
$7 | |
| CT angiography of the chest |
$224 |
$3,863 |
$224 |
$281 | |
| CT angiography of the head |
$224 |
$5,620 |
$224 |
$274 | |
| CT colonography (virtual colonoscopy) |
$305 |
$1,040 |
$307 |
$835 | |
| CT scan of the abdomen |
$224 |
$5,846 |
$224 |
$230 | |
| CT scan of the abdomen and pelvis |
$446 |
$3,721 |
$447 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$446 |
$3,721 |
$447 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$446 |
$3,833 |
$447 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$305 |
$2,442 |
$305 |
$183 | |
| CT scan of the abdomen with and without contrast |
$224 |
$6,865 |
$256 |
$259 | |
| CT scan of the abdomen with contrast |
$224 |
$5,846 |
$224 |
$230 | |
| CT scan of the abdomen without contrast |
$133 |
$4,485 |
$134 |
$136 | |
| CT scan of the arm |
$224 |
$4,867 |
$224 |
$199 | |
| CT scan of the arm with contrast |
$446 |
$4,867 |
$447 |
$199 | |
| CT scan of the arm without contrast |
$133 |
$5,653 |
$168 |
$161 | |
| CT scan of the chest |
$224 |
$5,561 |
$224 |
$167 | |
| CT scan of the chest with and without contrast |
$224 |
$6,225 |
$224 |
$196 | |
| CT scan of the chest with contrast |
$224 |
$5,561 |
$224 |
$167 | |
| CT scan of the chest without contrast |
$133 |
$4,489 |
$134 |
$133 | |
| CT scan of the head |
$224 |
$5,054 |
$224 |
$148 | |
| CT scan of the head with and without contrast |
$224 |
$5,656 |
$224 |
$173 | |
| CT scan of the head with contrast |
$224 |
$5,054 |
$224 |
$148 | |
| CT scan of the head without contrast |
$133 |
$4,037 |
$134 |
$107 | |
| CT scan of the leg |
$224 |
$4,979 |
$224 |
$166 | |
| CT scan of the leg with contrast |
$224 |
$5,197 |
$224 |
$166 | |
| CT scan of the leg without contrast |
$133 |
$4,189 |
$134 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$224 |
$4,656 |
$224 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$224 |
$4,656 |
$224 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$446 |
$4,747 |
$447 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$133 |
$2,575 |
$134 |
$130 | |
| CT scan of the neck |
$224 |
$4,923 |
$224 |
$183 | |
| CT scan of the neck (cervical spine) |
$224 |
$4,689 |
$224 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$224 |
$4,717 |
$224 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$446 |
$4,516 |
$447 |
$168 | |
| CT scan of the neck with and without contrast |
$224 |
$4,489 |
$231 |
$220 | |
| CT scan of the neck with contrast |
$224 |
$5,071 |
$224 |
$183 | |
| CT scan of the neck without contrast |
$133 |
$4,923 |
$140 |
$150 | |
| CT scan of the pelvis |
$224 |
$5,111 |
$224 |
$226 | |
| CT scan of the pelvis with and without contrast |
$224 |
$6,145 |
$264 |
$251 | |
| CT scan of the pelvis with contrast |
$224 |
$5,082 |
$224 |
$226 | |
| CT scan of the pelvis without contrast |
$133 |
$5,111 |
$134 |
$133 | |
| CT scan of the sinuses |
$224 |
$4,552 |
$224 |
$152 | |
| CT scan of the sinuses with and without contrast |
$224 |
$4,552 |
$224 |
$184 | |
| CT scan of the sinuses with contrast |
$224 |
$5,690 |
$224 |
$152 | |
| CT scan of the sinuses without contrast |
$133 |
$3,029 |
$134 |
$128 | |
| D-dimer test |
$10 |
$448 |
$10 |
$10 | |
| Defibrillator (ICD) implant |
$40,173 |
$112,944 |
$40,174 |
$798 | |
| Developmental screening (child) |
— |
$251 |
$9 |
— | |
| DHEA-sulfate test |
$22 |
$222 |
$23 |
$22 | |
| Diagnostic mammogram |
$116 |
$825 |
$130 |
$140 | |
| Drug screen (urine) |
$37 |
$387 |
$31 |
$17 | |
| Ear pressure test (tympanometry) |
$47 |
$217 |
$48 |
$16 | |
| Echocardiogram |
$305 |
$3,326 |
$308 |
$138 | |
| Echocardiogram with and without contrast |
$305 |
$1,673 |
$305 |
$101 | |
| Echocardiogram without contrast |
$305 |
$4,791 |
$305 |
$138 | |
| EEG (awake and asleep) |
$276 |
$2,235 |
$276 |
$482 | |
| EKG / ECG (tracing only) |
$75 |
$435 |
$76 |
$7 | |
| Electrocardiogram (EKG) |
$75 |
$435 |
$76 |
$8 | |
| Electroencephalogram (EEG) |
$276 |
$2,348 |
$276 |
$448 | |
| Electrolyte panel |
$7 |
$298 |
$7 |
$7 | |
| Emergency department visit |
$349 |
$2,399 |
$275 |
$69 | |
| Emergency department visit (level 1) |
$107 |
$832 |
$108 |
$11 | |
| Emergency department visit (level 2) |
$196 |
$1,403 |
$197 |
$40 | |
| Emergency department visit (level 3) |
$349 |
$2,399 |
$349 |
$69 | |
| Emergency department visit (level 4) |
$534 |
$3,573 |
$534 |
$118 | |
| Emergency department visit (level 5) |
$762 |
$5,162 |
$762 |
$171 | |
| Epidural steroid injection |
$903 |
$3,757 |
$903 |
$275 | |
| ERCP (bile duct endoscopy) |
$4,934 |
$23,764 |
$4,934 |
$311 | |
| Esophageal dilation |
$1,160 |
$4,813 |
$1,161 |
$522 | |
| Esophageal variceal banding |
$2,455 |
$12,693 |
$2,456 |
$126 | |
| Estradiol (estrogen) test |
$27 |
$84 |
$28 |
$28 | |
| Facet joint injection (spine) |
$1,132 |
$2,649 |
$1,132 |
$99 | |
| Fallopian tube X-ray (HSG) |
$305 |
$1,369 |
$305 |
$164 | |
| Family therapy session |
$227 |
$620 |
$227 |
$110 | |
| Fecal occult blood (stool) test |
$10 |
$159 |
$9 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$4 |
$122 |
$4 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$15 |
$195 |
$16 |
$16 | |
| Feeding tube (PEG) placement |
$2,455 |
$11,138 |
$2,456 |
$178 | |
| Ferritin (iron) test |
$13 |
$175 |
$14 |
$14 | |
| Fibrinogen test |
$9 |
$330 |
$10 |
$10 | |
| Flexible sigmoidoscopy |
$1,190 |
$3,654 |
$1,190 |
$323 | |
| Flu test |
$16 |
$289 |
$17 |
$17 | |
| Folate (folic acid) test |
$14 |
$364 |
$15 |
$15 | |
| Foreign body removal (skin) |
$520 |
$2,175 |
$520 |
$157 | |
| Free T4 thyroid test |
$9 |
$328 |
$9 |
$9 | |
| FSH hormone test |
$18 |
$116 |
$19 |
$19 | |
| Gallbladder scan (HIDA) |
$603 |
$4,552 |
$674 |
$334 | |
| Ganglion cyst removal |
$2,058 |
$8,304 |
$2,058 |
$321 | |
| GGT liver test |
$7 |
$90 |
$7 |
$7 | |
| Glucose tolerance test |
$8 |
$35 |
$9 |
$8 | |
| Group therapy session |
$130 |
$543 |
$130 |
$30 | |
| H. pylori test |
$67 |
$532 |
$86 |
$67 | |
| HDL cholesterol test |
$8 |
$269 |
$8 |
$8 | |
| Hearing test (audiometry) |
$164 |
$590 |
$210 |
$36 | |
| Hemodialysis |
$878 |
$4,951 |
$878 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$9 |
$245 |
$10 |
$10 | |
| Hemorrhoid removal |
$2,371 |
$5,385 |
$1,568 |
$338 | |
| Hepatitis B test |
$10 |
$298 |
$10 |
$10 | |
| Hepatitis C test |
$14 |
$165 |
$14 |
$14 | |
| HIV test |
$19 |
$251 |
$18 |
$19 | |
| HIV test (antibody) |
$13 |
$262 |
$14 |
$14 | |
| HIV test (antigen/antibody combo) |
$24 |
$240 |
$24 |
$24 | |
| Holter heart monitor |
— |
$221 |
$36 |
$26 | |
| Inguinal hernia repair |
$4,582 |
$6,791 |
$4,582 |
$538 | |
| Iron blood test |
$6 |
$220 |
$7 |
$6 | |
| IUD removal |
$390 |
$708 |
$390 |
$112 | |
| IV infusion therapy |
$166 |
$944 |
$79 |
$44 | |
| IV infusion therapy (each additional) |
$59 |
$338 |
$60 |
$21 | |
| IV infusion therapy (initial) |
$272 |
$1,551 |
$272 |
$67 | |
| IVC filter placement |
$7,121 |
$38,582 |
$7,122 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$392 |
$983 |
$393 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$392 |
$983 |
$393 |
$57 | |
| Joint aspiration or injection (small joint) |
$392 |
$983 |
$393 |
$56 | |
| Kidney biopsy |
$2,113 |
$14,344 |
$2,114 |
$492 | |
| Kidney scan (nuclear) |
$694 |
$4,346 |
$695 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$4,511 |
$12,000 |
$4,511 |
$760 | |
| Kidney ultrasound |
$133 |
$1,742 |
$134 |
$84 | |
| Kidney ultrasound (limited) |
$133 |
$1,420 |
$134 |
$61 | |
| Knee arthroscopy |
$4,187 |
$11,401 |
$4,188 |
$524 | |
| Knee joint injection |
$392 |
$1,585 |
$393 |
$69 | |
| Knee replacement |
$23,511 |
— |
$28,580 |
$18,054 | |
| Lactate test |
$11 |
$385 |
$12 |
$12 | |
| Laryngoscopy |
$1,267 |
$4,896 |
$337 |
$189 | |
| LDH test |
$6 |
$129 |
$6 |
$6 | |
| LDL cholesterol test |
$10 |
$131 |
$11 |
$11 | |
| Leg artery angiogram |
$4,041 |
$18,480 |
$4,041 |
$149 | |
| Leg artery angioplasty |
$10,674 |
$53,886 |
$12,460 |
— | |
| Leg vein ultrasound (Doppler) |
$219 |
$2,715 |
$181 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$133 |
$2,162 |
$134 |
$116 | |
| LH hormone test |
$18 |
$116 |
$19 |
$19 | |
| Lipid (cholesterol) panel |
$13 |
$471 |
$13 |
$13 | |
| Liver biopsy |
$2,113 |
$20,171 |
$2,114 |
$288 | |
| Lower back (lumbar) spinal fusion |
— |
— |
$73,797 |
$1,511 | |
| Lung function test (PFT) |
$377 |
$1,338 |
$364 |
$37 | |
| Lung scan (V/Q) |
$694 |
$3,900 |
$695 |
$291 | |
| Magnesium blood test |
$6 |
$194 |
$7 |
$7 | |
| MRA of the brain |
$446 |
$5,625 |
$447 |
$226 | |
| MRA of the brain with contrast |
$446 |
$2,678 |
$447 |
$226 | |
| MRA of the brain without contrast |
$446 |
$6,458 |
$447 |
$328 | |
| MRA of the neck |
$446 |
$6,079 |
$447 |
$245 | |
| MRA of the neck with contrast |
$446 |
$6,079 |
$447 |
$245 | |
| MRA of the neck without contrast |
$446 |
$7,739 |
$447 |
$343 | |
| MRI of the abdomen |
$446 |
$7,461 |
$447 |
$300 | |
| MRI of the abdomen with contrast |
$446 |
$7,461 |
$447 |
$300 | |
| MRI of the abdomen without contrast |
$305 |
$6,293 |
$305 |
$194 | |
| MRI of the ankle |
$446 |
$5,650 |
$447 |
$261 | |
| MRI of the ankle with contrast |
$446 |
$2,597 |
$447 |
$261 | |
| MRI of the ankle without contrast |
$305 |
$5,650 |
$305 |
$222 | |
| MRI of the brain |
$446 |
$6,100 |
$447 |
$269 | |
| MRI of the brain with contrast |
$446 |
$5,743 |
$447 |
$269 | |
| MRI of the brain without contrast |
$305 |
$6,100 |
$305 |
$195 | |
| MRI of the chest |
$446 |
$4,472 |
$447 |
$371 | |
| MRI of the chest with contrast |
$1,003 |
$2,597 |
$1,003 |
$371 | |
| MRI of the chest without contrast |
$446 |
$6,094 |
$447 |
$466 | |
| MRI of the knee |
$446 |
$6,297 |
$447 |
$315 | |
| MRI of the knee with contrast |
$1,003 |
$6,297 |
$1,003 |
$315 | |
| MRI of the knee without contrast |
$305 |
$6,273 |
$305 |
$204 | |
| MRI of the lower back (lumbar spine) |
$446 |
$6,399 |
$447 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$446 |
$5,671 |
$447 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$305 |
$6,399 |
$305 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$446 |
$6,180 |
$447 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$446 |
$8,670 |
$447 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$446 |
$3,613 |
$447 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$305 |
$6,180 |
$305 |
$190 | |
| MRI of the neck (cervical spine) |
$446 |
$6,141 |
$447 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$446 |
$8,838 |
$447 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$446 |
$3,613 |
$447 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$305 |
$6,141 |
$305 |
$191 | |
| MRI of the pelvis |
$446 |
$6,298 |
$447 |
$268 | |
| MRI of the pelvis with contrast |
$446 |
$2,597 |
$447 |
$268 | |
| MRI of the pelvis without contrast |
$305 |
$6,298 |
$305 |
$227 | |
| MRI of the shoulder |
$446 |
$5,959 |
$447 |
$313 | |
| MRI of the shoulder with contrast |
$1,003 |
$3,459 |
$1,003 |
$313 | |
| MRI of the shoulder without contrast |
$305 |
$5,959 |
$305 |
$205 | |
| MRI of the wrist |
$446 |
$5,920 |
$447 |
$330 | |
| MRI of the wrist with contrast |
$446 |
$2,597 |
$447 |
$330 | |
| MRI of the wrist without contrast |
$305 |
$5,920 |
$305 |
$303 | |
| Nebulizer breathing treatment |
$280 |
$1,254 |
$280 |
$9 | |
| Newborn hospital care |
$170 |
$630 |
$170 |
$58 | |
| Nuchal translucency ultrasound |
$133 |
$711 |
$134 |
$116 | |
| Nuclear cardiac stress test |
$1,656 |
$10,505 |
$1,657 |
$428 | |
| Occupational therapy evaluation |
$111 |
$661 |
$113 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$111 |
$665 |
$126 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$111 |
$661 |
$112 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$111 |
$573 |
$112 |
$101 | |
| Office visit (established patient) |
— |
$654 |
$54 |
$115 | |
| Office visit (new patient) |
— |
$809 |
$102 |
$177 | |
| Office visit, established patient (level 3) |
— |
$522 |
$34 |
$95 | |
| Office visit, established patient (level 4) |
— |
$786 |
$54 |
$136 | |
| Office visit, new patient (level 3) |
— |
$495 |
$82 |
$118 | |
| Office visit, new patient (level 4) |
— |
$809 |
$99 |
$177 | |
| Office visit, new patient (level 5) |
— |
$841 |
$119 |
$237 | |
| Orthopedic hardware removal |
$3,717 |
$12,300 |
$3,718 |
$632 | |
| Pacemaker insertion |
$20,296 |
— |
$26,675 |
$15,506 | |
| Pap smear (cervical screening) |
$20 |
$228 |
$24 |
$20 | |
| Parathyroid hormone (PTH) test |
$41 |
$661 |
$41 |
$41 | |
| Pelvic ultrasound |
$133 |
$1,309 |
$134 |
$78 | |
| Pelvic ultrasound (complete) |
$133 |
$1,445 |
$134 |
$105 | |
| Pelvic ultrasound (limited) |
$133 |
$1,172 |
$134 |
$51 | |
| PET scan |
$1,830 |
$9,004 |
$1,830 |
— | |
| Physical therapy evaluation |
$108 |
$792 |
$109 |
$98 | |
| Physical therapy evaluation (high complexity) |
$108 |
$1,311 |
$136 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$108 |
$792 |
$109 |
$98 | |
| Pilonidal cyst removal |
$3,717 |
$9,122 |
$3,718 |
$541 | |
| Platelet count |
$4 |
$56 |
$4 |
$4 | |
| Pregnancy ultrasound |
$133 |
$1,443 |
$134 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$133 |
$1,334 |
$134 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$133 |
$1,553 |
$134 |
$136 | |
| Procalcitonin test |
$27 |
$348 |
$27 |
$27 | |
| Prolactin test |
$19 |
$145 |
$20 |
$19 | |
| Prostate test (PSA) |
$18 |
$273 |
$19 |
$18 | |
| Psychiatric evaluation |
$227 |
$578 |
$227 |
$188 | |
| Psychotherapy session |
$227 |
$820 |
$227 |
$140 | |
| Rheumatoid factor test |
$6 |
$138 |
$6 |
$6 | |
| Rotator cuff repair |
$9,286 |
$26,906 |
$9,287 |
$792 | |
| Scoliosis spine X-ray |
$122 |
$709 |
$134 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$111 |
$426 |
$111 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$133 |
$992 |
$134 |
$72 | |
| Screening colonoscopy |
$1,190 |
$4,845 |
$1,196 |
$378 | |
| Screening mammogram |
$107 |
$506 |
$108 |
$126 | |
| Scrotal ultrasound |
$133 |
$1,609 |
$134 |
$99 | |
| Semen analysis |
$12 |
$121 |
$12 |
$12 | |
| Septoplasty (deviated septum) |
$4,243 |
$10,995 |
$4,243 |
$613 | |
| Sex hormone binding globulin test |
$21 |
$134 |
$22 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$256 |
$1,356 |
$257 |
$114 | |
| Simple wound stitches |
$256 |
$1,367 |
$257 |
$127 | |
| Skin biopsy |
$520 |
$882 |
$525 |
$121 | |
| Skin biopsy (punch) |
$520 |
$882 |
$520 |
$121 | |
| Skin cancer lesion removal |
$906 |
$2,403 |
$906 |
$240 | |
| Skin tag removal |
$256 |
$1,053 |
$257 |
$92 | |
| Soft tissue ultrasound |
$133 |
$1,172 |
$134 |
$64 | |
| Speech therapy |
$83 |
$1,146 |
$84 |
$76 | |
| Spinal tap (lumbar puncture) |
$903 |
$4,066 |
$903 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$9,286 |
$33,554 |
$9,287 |
$5,803 | |
| Spirometry (lung function test) |
$276 |
$848 |
$276 |
$30 | |
| Spirometry with bronchodilator |
$477 |
$1,828 |
$478 |
$43 | |
| Strep throat test |
$16 |
$234 |
$17 |
$17 | |
| Stress echocardiogram |
$699 |
$2,972 |
$699 |
$209 | |
| Stress echocardiogram (complete) |
$699 |
$2,972 |
$699 |
$233 | |
| Swallow study |
$62 |
$915 |
$62 |
$85 | |
| T3 thyroid test |
$14 |
$168 |
$14 |
$14 | |
| Testosterone test |
$25 |
$418 |
$26 |
$26 | |
| Thyroid test (TSH) |
$16 |
$424 |
$17 |
$17 | |
| Thyroid ultrasound |
$133 |
$1,707 |
$134 |
$109 | |
| Thyroid uptake scan |
$511 |
$3,727 |
$512 |
$145 | |
| Tonsillectomy |
$4,243 |
$13,970 |
$4,243 |
$252 | |
| Total IgE allergy test |
$16 |
$16 |
$16 |
$16 | |
| Tracheostomy |
$4,243 |
$8,085 |
$4,243 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$699 |
$4,128 |
$699 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$699 |
$5,622 |
$699 |
$239 | |
| Transvaginal ultrasound |
$133 |
$1,761 |
$134 |
$118 | |
| Trigger point injection |
$392 |
$1,783 |
$393 |
$56 | |
| Trigger point injection (1-2 muscles) |
$392 |
$1,982 |
$393 |
$52 | |
| Triglycerides test |
$5 |
$266 |
$6 |
$6 | |
| Troponin (heart) test |
$12 |
$385 |
$12 |
$12 | |
| Upper GI endoscopy (EGD) |
$1,160 |
$5,933 |
$1,161 |
$371 | |
| Upper GI series (barium) |
$224 |
$1,837 |
$224 |
$128 | |
| Urine microalbumin test |
$5 |
$116 |
$6 |
$5 | |
| Urine pregnancy test |
$8 |
$270 |
$9 |
$9 | |
| Vaccine administration |
$92 |
$430 |
$92 |
$19 | |
| Vaginal delivery |
$7,657 |
— |
$9,374 |
$5,487 | |
| Varicose vein ablation |
$4,041 |
$7,920 |
$4,041 |
$1,018 | |
| Vitamin B12 test |
$15 |
$258 |
$15 |
$15 | |
| Vitamin D test |
$29 |
$345 |
$30 |
$30 | |
| Vitrectomy (eye) |
$5,290 |
$16,904 |
$5,290 |
$814 | |
| Weight-loss (bariatric) surgery |
$15,426 |
— |
$21,595 |
$11,645 | |
| Wound debridement |
$733 |
$3,581 |
$685 |
$186 | |
| X-ray of the abdomen |
$122 |
$716 |
$134 |
$36 | |
| X-ray of the ankle |
$111 |
$1,017 |
$111 |
$37 | |
| X-ray of the collarbone |
$111 |
$879 |
$111 |
$33 | |
| X-ray of the elbow |
$111 |
$1,042 |
$111 |
$33 | |
| X-ray of the facial bones |
$122 |
$752 |
$134 |
$39 | |
| X-ray of the foot |
$111 |
$969 |
$111 |
$34 | |
| X-ray of the forearm |
$111 |
$876 |
$111 |
$29 | |
| X-ray of the hand |
$111 |
$1,017 |
$111 |
$38 | |
| X-ray of the hip |
$111 |
$728 |
$112 |
$49 | |
| X-ray of the hip (1 view) |
$111 |
$728 |
$111 |
$34 | |
| X-ray of the hip (3 views) |
$111 |
$968 |
$111 |
$49 | |
| X-ray of the hip (4 views) |
$133 |
$705 |
$134 |
$63 | |
| X-ray of the knee |
$111 |
$1,023 |
$112 |
$42 | |
| X-ray of the knee (2 views) |
$111 |
$864 |
$111 |
$34 | |
| X-ray of the knee (3 views) |
$111 |
$1,023 |
$111 |
$42 | |
| X-ray of the knee (4+ views) |
$133 |
$1,253 |
$134 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$133 |
$1,293 |
$134 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$133 |
$1,091 |
$134 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$133 |
$1,495 |
$134 |
$53 | |
| X-ray of the lower leg |
$111 |
$973 |
$111 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$133 |
$1,067 |
$134 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$133 |
$985 |
$134 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$133 |
$1,150 |
$134 |
$39 | |
| X-ray of the neck (cervical spine) |
$122 |
$1,238 |
$134 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$111 |
$1,040 |
$111 |
$40 | |
| X-ray of the pelvis |
$133 |
$948 |
$134 |
$36 | |
| X-ray of the pelvis (1 view) |
$133 |
$948 |
$134 |
$28 | |
| X-ray of the ribs |
$133 |
$1,007 |
$134 |
$42 | |
| X-ray of the ribs (2 views) |
$111 |
$854 |
$111 |
$36 | |
| X-ray of the ribs (3 views) |
$133 |
$1,081 |
$134 |
$42 | |
| X-ray of the shoulder |
$111 |
$1,052 |
$111 |
$36 | |
| X-ray of the skull |
$133 |
$770 |
$134 |
$40 | |
| X-ray of the upper arm |
$111 |
$846 |
$111 |
$32 | |
| X-ray of the wrist |
$111 |
$1,027 |
$111 |
$43 | |
| YAG laser capsulotomy (eye) |
$703 |
$2,218 |
$704 |
$335 | |
| Zinc blood test |
$11 |
$71 |
$12 |
$11 | |