| 3D mammogram (tomosynthesis) |
$36 |
$142 |
$117 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$358 |
$1,431 |
$1,073 |
$284 | |
| Abdominal ultrasound |
$130 |
$518 |
$157 |
$100 | |
| Abdominal ultrasound (complete) |
$130 |
$518 |
$157 |
$114 | |
| Abdominal ultrasound (limited) |
$130 |
$518 |
$157 |
$86 | |
| Abscess drainage (complex or multiple) |
$441 |
$1,765 |
$570 |
$220 | |
| Abscess drainage (simple) |
$249 |
$997 |
$286 |
$129 | |
| Abscess incision and drainage |
$345 |
$1,381 |
$487 |
$174 | |
| Albumin blood test |
$10 |
$40 |
$33 |
$5 | |
| Aldosterone test |
$82 |
$326 |
$267 |
$41 | |
| Alkaline phosphatase test |
$10 |
$41 |
$34 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$28 |
$109 |
$85 |
$17 | |
| ALT liver enzyme test |
$11 |
$42 |
$35 |
$5 | |
| Ammonia blood test |
$36 |
$144 |
$113 |
$15 | |
| Amniocentesis |
$193 |
$771 |
$766 |
$120 | |
| Amylase test |
$93 |
$370 |
$278 |
$6 | |
| Anoscopy |
$143 |
$571 |
$183 |
$129 | |
| Antinuclear antibody (ANA) test |
$24 |
$97 |
$80 |
$12 | |
| Arterial blood gas (ABG) |
$52 |
$209 |
$171 |
$26 | |
| AST liver enzyme test |
$10 |
$41 |
$34 |
$5 | |
| Barium swallow study |
$171 |
$683 |
$257 |
$107 | |
| Bartholin cyst removal |
$108 |
$432 |
$237 |
$182 | |
| Basic metabolic panel |
$17 |
$68 |
$56 |
$8 | |
| Benign skin lesion removal |
$580 |
$2,321 |
$1,006 |
$171 | |
| Bilirubin blood test |
$10 |
$40 |
$33 |
$5 | |
| Bladder scope (cystoscopy) |
$117 |
$467 |
$560 |
$216 | |
| Blood clotting test (PT/INR) |
$9 |
$34 |
$28 |
$4 | |
| Blood crossmatch |
$39 |
$157 |
$129 |
— | |
| Blood glucose test |
$8 |
$31 |
$25 |
$5 | |
| Blood transfusion |
$188 |
$751 |
$517 |
$47 | |
| Blood type and screen |
$25 |
$98 |
$80 |
$10 | |
| Blood type test |
$26 |
$104 |
$83 |
$3 | |
| Blood type test (ABO group) |
$29 |
$116 |
$95 |
$3 | |
| Blood type test (Rh/D antigen) |
$23 |
$92 |
$75 |
$3 | |
| BNP (heart failure) test |
$55 |
$219 |
$180 |
$39 | |
| Bone density scan (DEXA) |
$130 |
$518 |
$157 |
$39 | |
| Bone marrow biopsy |
$1,348 |
$5,392 |
$3,113 |
$172 | |
| Bone scan (nuclear) |
$486 |
$1,943 |
$589 |
$259 | |
| Breast biopsy |
$948 |
$3,793 |
$1,931 |
$478 | |
| Breast MRI |
$193 |
$771 |
$350 |
$216 | |
| Breast MRI without contrast |
$289 |
$1,155 |
$350 |
$216 | |
| Breast ultrasound |
$119 |
$473 |
$144 |
$92 | |
| Breast ultrasound (complete) |
$130 |
$518 |
$157 |
$100 | |
| Breast ultrasound (limited) |
$107 |
$428 |
$130 |
$84 | |
| Breathing tube insertion (intubation) |
$118 |
$472 |
$291 |
$133 | |
| Burn dressing and debridement (medium) |
$271 |
$1,083 |
$286 |
$166 | |
| Burn dressing and debridement (small) |
$228 |
$912 |
$286 |
$93 | |
| Burn treatment |
$250 |
$998 |
$286 |
$129 | |
| C-reactive protein (CRP) |
$10 |
$41 |
$34 |
$5 | |
| CA 19-9 tumor marker test |
$42 |
$166 |
$136 |
$21 | |
| CA-125 ovarian marker test |
$42 |
$166 |
$136 |
$21 | |
| Calcium blood test |
$16 |
$63 |
$46 |
$5 | |
| Cardiac ablation |
$7,863 |
$31,452 |
$24,787 |
$759 | |
| Cardiac catheterization |
$5,053 |
$20,208 |
$4,657 |
$1,049 | |
| Cardiac rehabilitation |
$77 |
$309 |
$157 |
$26 | |
| Cardiac stress test |
$431 |
$1,724 |
$449 |
$39 | |
| Cardioversion |
$488 |
$1,952 |
$930 |
$155 | |
| Carotid artery ultrasound |
$168 |
$672 |
$336 |
$156 | |
| CEA tumor marker test |
$30 |
$117 |
$92 |
$19 | |
| Celiac disease test |
$23 |
$92 |
$75 |
$12 | |
| Central line placement |
$742 |
$2,966 |
$3,037 |
$238 | |
| Chemotherapy infusion |
$285 |
$1,140 |
$403 |
$81 | |
| Chemotherapy infusion (each additional) |
$190 |
$760 |
$101 |
$28 | |
| Chemotherapy infusion (first hour) |
$380 |
$1,520 |
$484 |
$133 | |
| Chest fluid drain (thoracentesis) |
$252 |
$1,009 |
$706 |
$311 | |
| Chest tube insertion |
$370 |
$1,481 |
$1,526 |
$143 | |
| Chest X-ray |
$93 |
$372 |
$130 |
$37 | |
| Chest X-ray (1 view) |
$93 |
$370 |
$130 |
$25 | |
| Chest X-ray (2 views) |
$93 |
$373 |
$130 |
$33 | |
| Circumcision |
$462 |
$1,847 |
$1,941 |
$167 | |
| CK-MB heart enzyme test |
$23 |
$92 |
$75 |
$12 | |
| Clotting time test (PTT) |
$12 |
$48 |
$40 |
$6 | |
| Colonoscopy |
$652 |
$2,607 |
$1,304 |
$480 | |
| Complete blood count (CBC) |
$15 |
$57 |
$47 |
$7 | |
| Complete blood count (CBC) (complete) |
$16 |
$62 |
$51 |
$8 | |
| Complex wound repair |
$249 |
$997 |
$748 |
$390 | |
| Comprehensive metabolic panel |
$21 |
$84 |
$69 |
$11 | |
| Copper blood test |
$25 |
$99 |
$81 |
$12 | |
| Coronary CT angiography |
$661 |
$2,642 |
$263 |
$326 | |
| Cortisol test |
$61 |
$242 |
$167 |
$16 | |
| COVID-19 PCR test |
$64 |
$255 |
$209 |
$51 | |
| CPAP titration study |
$104 |
$417 |
$254 |
$69 | |
| Creatine kinase (CK) test |
$13 |
$52 |
$43 |
$7 | |
| CT angiography of the chest |
$217 |
$866 |
$263 |
$281 | |
| CT angiography of the head |
$217 |
$866 |
$263 |
$274 | |
| CT scan of the abdomen |
$217 |
$866 |
$259 |
$230 | |
| CT scan of the abdomen and pelvis |
$453 |
$1,812 |
$550 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$453 |
$1,812 |
$550 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$453 |
$1,812 |
$550 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$289 |
$1,155 |
$350 |
$183 | |
| CT scan of the abdomen with and without contrast |
$217 |
$866 |
$263 |
$259 | |
| CT scan of the abdomen with contrast |
$217 |
$866 |
$263 |
$230 | |
| CT scan of the abdomen without contrast |
$130 |
$518 |
$157 |
$136 | |
| CT scan of the arm |
$456 |
$1,823 |
$421 |
$199 | |
| CT scan of the arm with contrast |
$576 |
$2,302 |
$550 |
$199 | |
| CT scan of the arm without contrast |
$295 |
$1,176 |
$157 |
$161 | |
| CT scan of the chest |
$217 |
$866 |
$259 |
$167 | |
| CT scan of the chest with and without contrast |
$217 |
$866 |
$263 |
$196 | |
| CT scan of the chest with contrast |
$217 |
$866 |
$263 |
$167 | |
| CT scan of the chest without contrast |
$130 |
$518 |
$157 |
$133 | |
| CT scan of the head |
$217 |
$866 |
$259 |
$148 | |
| CT scan of the head with and without contrast |
$217 |
$866 |
$263 |
$173 | |
| CT scan of the head with contrast |
$217 |
$866 |
$263 |
$148 | |
| CT scan of the head without contrast |
$130 |
$518 |
$157 |
$107 | |
| CT scan of the leg |
$338 |
$1,350 |
$261 |
$166 | |
| CT scan of the leg with contrast |
$458 |
$1,829 |
$263 |
$166 | |
| CT scan of the leg without contrast |
$295 |
$1,176 |
$157 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$217 |
$866 |
$414 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$217 |
$866 |
$263 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$453 |
$1,812 |
$550 |
$169 | |
| CT scan of the neck |
$217 |
$866 |
$259 |
$183 | |
| CT scan of the neck (cervical spine) |
$217 |
$866 |
$414 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$217 |
$866 |
$263 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$453 |
$1,812 |
$550 |
$168 | |
| CT scan of the neck with and without contrast |
$217 |
$866 |
$263 |
$220 | |
| CT scan of the neck with contrast |
$217 |
$866 |
$263 |
$183 | |
| CT scan of the neck without contrast |
$130 |
$518 |
$157 |
$150 | |
| CT scan of the pelvis |
$217 |
$866 |
$259 |
$226 | |
| CT scan of the pelvis with and without contrast |
$217 |
$866 |
$263 |
$251 | |
| CT scan of the pelvis with contrast |
$217 |
$866 |
$263 |
$226 | |
| CT scan of the pelvis without contrast |
$130 |
$518 |
$157 |
$133 | |
| CT scan of the sinuses |
$217 |
$866 |
$259 |
$152 | |
| CT scan of the sinuses with and without contrast |
$217 |
$866 |
$263 |
$184 | |
| CT scan of the sinuses with contrast |
$217 |
$866 |
$263 |
$152 | |
| CT scan of the sinuses without contrast |
$130 |
$518 |
$157 |
$128 | |
| D-dimer test |
$52 |
$207 |
$170 |
$10 | |
| Defibrillator (ICD) implant |
$12,760 |
$51,038 |
$38,279 |
$798 | |
| Developmental screening (child) |
$47 |
$188 |
$159 |
— | |
| DHEA-sulfate test |
$45 |
$178 |
$146 |
$22 | |
| Diagnostic mammogram |
$123 |
$492 |
$408 |
$140 | |
| Drug screen (urine) |
$20 |
$80 |
$72 |
$17 | |
| Echocardiogram |
$459 |
$1,836 |
$657 |
$138 | |
| Echocardiogram with and without contrast |
$249 |
$996 |
$350 |
$101 | |
| Echocardiogram without contrast |
$459 |
$1,836 |
$350 |
$138 | |
| EEG (awake and asleep) |
$374 |
$1,495 |
$449 |
$482 | |
| Electroencephalogram (EEG) |
$374 |
$1,495 |
$449 |
$448 | |
| Electrolyte panel |
$14 |
$56 |
$46 |
$7 | |
| Emergency department visit |
$267 |
$1,064 |
$372 |
$69 | |
| Emergency department visit (level 1) |
$103 |
$410 |
$127 |
$11 | |
| Emergency department visit (level 2) |
$186 |
$742 |
$234 |
$40 | |
| Emergency department visit (level 3) |
$347 |
$1,386 |
$313 |
$69 | |
| Emergency department visit (level 4) |
$619 |
$2,475 |
$633 |
$118 | |
| Emergency department visit (level 5) |
$817 |
$3,267 |
$918 |
$171 | |
| Epidural steroid injection |
$866 |
$3,463 |
$988 |
$275 | |
| Estradiol (estrogen) test |
$46 |
$182 |
$142 |
$28 | |
| Fallopian tube X-ray (HSG) |
$175 |
$700 |
$268 |
$164 | |
| Fecal occult blood (stool) test |
$14 |
$55 |
$40 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$9 |
$35 |
$29 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$19 |
$75 |
$62 |
$16 | |
| Ferritin (iron) test |
$27 |
$109 |
$89 |
$14 | |
| Fibrinogen test |
$20 |
$78 |
$64 |
$10 | |
| Flexible sigmoidoscopy |
$396 |
$1,584 |
$1,089 |
$323 | |
| Folate (folic acid) test |
$37 |
$146 |
$114 |
$15 | |
| Foreign body removal (skin) |
$165 |
$660 |
$475 |
$157 | |
| Free T4 thyroid test |
$62 |
$248 |
$149 |
$9 | |
| FSH hormone test |
$30 |
$121 |
$94 |
$19 | |
| Gallbladder scan (HIDA) |
$562 |
$2,245 |
$708 |
$334 | |
| GGT liver test |
$15 |
$58 |
$48 |
$7 | |
| Glucose tolerance test |
$12 |
$46 |
$31 |
$8 | |
| H. pylori test |
$72 |
$287 |
$235 |
$67 | |
| HDL cholesterol test |
$9 |
$34 |
$28 |
$8 | |
| Hematocrit test |
$5 |
$19 |
$16 |
$2 | |
| Hemodialysis |
$421 |
$1,683 |
$849 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$20 |
$78 |
$64 |
$10 | |
| Hepatitis B test |
$21 |
$83 |
$68 |
$10 | |
| Hepatitis C test |
$29 |
$114 |
$94 |
$14 | |
| HIV test |
$41 |
$165 |
$135 |
$19 | |
| HIV test (antibody) |
$50 |
$199 |
$138 |
$14 | |
| HIV test (antigen/antibody combo) |
$41 |
$165 |
$135 |
$24 | |
| Holter heart monitor |
$128 |
$512 |
$81 |
$26 | |
| Iron blood test |
$18 |
$70 |
$55 |
$6 | |
| IUD removal |
$112 |
$447 |
$352 |
$112 | |
| IV infusion therapy |
$120 |
$479 |
$204 |
$44 | |
| IV infusion therapy (each additional) |
$59 |
$234 |
$68 |
$21 | |
| IV infusion therapy (initial) |
$181 |
$724 |
$306 |
$67 | |
| IVC filter placement |
$1,791 |
$7,164 |
$5,781 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$240 |
$958 |
$423 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$253 |
$1,010 |
$423 |
$57 | |
| Joint aspiration or injection (small joint) |
$226 |
$905 |
$423 |
$56 | |
| Kidney biopsy |
$571 |
$2,284 |
$1,776 |
$492 | |
| Kidney stone shock-wave (lithotripsy) |
$4,385 |
$17,539 |
$4,982 |
$760 | |
| Kidney ultrasound |
$130 |
$518 |
$157 |
$84 | |
| Kidney ultrasound (limited) |
$130 |
$518 |
$157 |
$61 | |
| Knee joint injection |
$393 |
$1,571 |
$423 |
$69 | |
| Lactate test |
$18 |
$70 |
$57 |
$12 | |
| LDH test |
$12 |
$48 |
$40 |
$6 | |
| LDL cholesterol test |
$17 |
$68 |
$56 |
$11 | |
| Leg artery angiogram |
$1,126 |
$4,504 |
$3,493 |
$149 | |
| Leg artery angioplasty |
$3,226 |
$12,904 |
$6,807 |
— | |
| Leg vein ultrasound (Doppler) |
$277 |
$1,108 |
$268 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$277 |
$1,108 |
$157 |
$116 | |
| LH hormone test |
$30 |
$121 |
$94 |
$19 | |
| Lipase test |
$49 |
$196 |
$118 |
$7 | |
| Lipid (cholesterol) panel |
$69 |
$273 |
$174 |
$13 | |
| Liver biopsy |
$874 |
$3,497 |
$1,931 |
$288 | |
| Liver function panel |
$16 |
$65 |
$53 |
$8 | |
| Lung function test (PFT) |
$102 |
$406 |
$281 |
$37 | |
| Lung scan (V/Q) |
$339 |
$1,356 |
$678 |
$291 | |
| Magnesium blood test |
$26 |
$100 |
$69 |
$7 | |
| MRA of the brain |
$453 |
$1,812 |
$550 |
$226 | |
| MRA of the brain with contrast |
$453 |
$1,812 |
$550 |
$226 | |
| MRA of the brain without contrast |
$453 |
$1,812 |
$550 |
$328 | |
| MRA of the neck |
$453 |
$1,812 |
$550 |
$245 | |
| MRA of the neck with contrast |
$1,028 |
$4,112 |
$550 |
$245 | |
| MRA of the neck without contrast |
$453 |
$1,812 |
$550 |
$343 | |
| MRI of the abdomen |
$453 |
$1,812 |
$550 |
$300 | |
| MRI of the abdomen with contrast |
$660 |
$2,638 |
$550 |
$300 | |
| MRI of the abdomen without contrast |
$289 |
$1,155 |
$350 |
$194 | |
| MRI of the ankle |
$843 |
$3,372 |
$550 |
$261 | |
| MRI of the ankle with contrast |
$1,055 |
$4,217 |
$550 |
$261 | |
| MRI of the ankle without contrast |
$761 |
$3,043 |
$350 |
$222 | |
| MRI of the brain |
$453 |
$1,812 |
$550 |
$269 | |
| MRI of the brain with contrast |
$453 |
$1,812 |
$550 |
$269 | |
| MRI of the brain without contrast |
$289 |
$1,155 |
$350 |
$195 | |
| MRI of the chest |
$561 |
$2,243 |
$915 |
$371 | |
| MRI of the chest with contrast |
$806 |
$3,223 |
$1,144 |
$371 | |
| MRI of the chest without contrast |
$453 |
$1,812 |
$550 |
$466 | |
| MRI of the knee |
$1,250 |
$5,000 |
$892 |
$315 | |
| MRI of the knee with contrast |
$1,347 |
$5,389 |
$1,144 |
$315 | |
| MRI of the knee without contrast |
$923 |
$3,691 |
$350 |
$204 | |
| MRI of the lower back (lumbar spine) |
$453 |
$1,812 |
$550 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$453 |
$1,812 |
$550 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$289 |
$1,155 |
$350 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$453 |
$1,812 |
$550 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$453 |
$1,812 |
$550 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$453 |
$1,812 |
$550 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$289 |
$1,155 |
$350 |
$190 | |
| MRI of the neck (cervical spine) |
$453 |
$1,812 |
$550 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$453 |
$1,812 |
$550 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$453 |
$1,812 |
$550 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$289 |
$1,155 |
$350 |
$191 | |
| MRI of the pelvis |
$453 |
$1,812 |
$550 |
$268 | |
| MRI of the pelvis with contrast |
$453 |
$1,812 |
$550 |
$268 | |
| MRI of the pelvis without contrast |
$289 |
$1,155 |
$350 |
$227 | |
| MRI of the shoulder |
$1,137 |
$4,549 |
$892 |
$313 | |
| MRI of the shoulder with contrast |
$1,300 |
$5,198 |
$1,144 |
$313 | |
| MRI of the shoulder without contrast |
$810 |
$3,240 |
$350 |
$205 | |
| MRI of the wrist |
$453 |
$1,812 |
$550 |
$330 | |
| MRI of the wrist with contrast |
$453 |
$1,812 |
$550 |
$330 | |
| MRI of the wrist without contrast |
$761 |
$3,043 |
$350 |
$303 | |
| Nebulizer breathing treatment |
$48 |
$191 |
$203 |
$9 | |
| Nuclear cardiac stress test |
$1,329 |
$5,316 |
$2,029 |
$428 | |
| Occupational therapy evaluation |
$110 |
$441 |
$147 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$110 |
$441 |
$147 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$92 |
$368 |
$147 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$110 |
$441 |
$147 |
$101 | |
| Pap smear (cervical screening) |
$35 |
$138 |
$113 |
$20 | |
| Parathyroid hormone (PTH) test |
$71 |
$283 |
$232 |
$41 | |
| Pelvic ultrasound |
$130 |
$518 |
$157 |
$78 | |
| Pelvic ultrasound (complete) |
$130 |
$518 |
$157 |
$105 | |
| Pelvic ultrasound (limited) |
$134 |
$534 |
$157 |
$51 | |
| Phosphorus blood test |
$18 |
$72 |
$50 |
$5 | |
| Physical therapy evaluation |
$115 |
$458 |
$143 |
$98 | |
| Physical therapy evaluation (high complexity) |
$115 |
$458 |
$143 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$115 |
$458 |
$143 |
$98 | |
| Pilonidal cyst removal |
$1,408 |
$5,633 |
$3,384 |
$541 | |
| Platelet count |
$9 |
$36 |
$30 |
$4 | |
| Pregnancy blood test (hCG) |
$15 |
$60 |
$49 |
$8 | |
| Pregnancy ultrasound |
$130 |
$518 |
$157 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$130 |
$518 |
$157 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$130 |
$518 |
$157 |
$136 | |
| Procalcitonin test |
$60 |
$239 |
$195 |
$27 | |
| Prolactin test |
$32 |
$126 |
$98 |
$19 | |
| Prostate biopsy |
$678 |
$2,713 |
$2,189 |
— | |
| Prostate test (PSA) |
$37 |
$147 |
$121 |
$18 | |
| Psychiatric evaluation |
$114 |
$457 |
$228 |
$188 | |
| Pulmonary rehabilitation |
$32 |
$127 |
$73 |
$87 | |
| Rheumatoid factor test |
$24 |
$96 |
$66 |
$6 | |
| Scoliosis spine X-ray |
$119 |
$473 |
$144 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$107 |
$428 |
$130 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$130 |
$518 |
$157 |
$72 | |
| Screening mammogram |
$84 |
$334 |
$274 |
$126 | |
| Scrotal ultrasound |
$130 |
$518 |
$157 |
$99 | |
| Sedimentation rate (ESR) test |
$8 |
$28 |
$22 |
$3 | |
| Semen analysis |
$36 |
$144 |
$118 |
$12 | |
| Sex hormone binding globulin test |
$44 |
$174 |
$142 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$154 |
$615 |
$286 |
$114 | |
| Simple wound stitches |
$154 |
$615 |
$286 |
$127 | |
| Skin tag removal |
$45 |
$180 |
$191 |
$92 | |
| Soft tissue ultrasound |
$130 |
$518 |
$157 |
$64 | |
| Speech therapy |
$127 |
$507 |
$112 |
$76 | |
| Spinal tap (lumbar puncture) |
$361 |
$1,442 |
$824 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$7,064 |
$28,256 |
$10,224 |
$5,803 | |
| Spirometry (lung function test) |
$78 |
$312 |
$186 |
$30 | |
| Spirometry with bronchodilator |
$125 |
$500 |
$374 |
$43 | |
| Stress echocardiogram |
$353 |
$1,413 |
$707 |
$209 | |
| Stress echocardiogram (complete) |
$353 |
$1,413 |
$707 |
$233 | |
| Swallow study |
$76 |
$303 |
$248 |
$85 | |
| T3 thyroid test |
$28 |
$113 |
$85 |
$14 | |
| Testosterone test |
$43 |
$168 |
$131 |
$26 | |
| Thyroid test (TSH) |
$61 |
$241 |
$168 |
$17 | |
| Thyroid ultrasound |
$130 |
$518 |
$157 |
$109 | |
| Thyroid uptake scan |
$222 |
$888 |
$505 |
$145 | |
| Tilt table test |
$282 |
$1,129 |
$638 |
$168 | |
| Total IgE allergy test |
$33 |
$132 |
$109 |
$16 | |
| Total protein test |
$7 |
$29 |
$24 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$709 |
$2,834 |
$788 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$709 |
$2,834 |
$788 |
$239 | |
| Transvaginal ultrasound |
$130 |
$518 |
$157 |
$118 | |
| Trigger point injection |
$206 |
$825 |
$413 |
$56 | |
| Trigger point injection (1-2 muscles) |
$206 |
$825 |
$413 |
$52 | |
| Triglycerides test |
$12 |
$46 |
$38 |
$6 | |
| Troponin (heart) test |
$25 |
$100 |
$82 |
$12 | |
| Upper GI endoscopy (EGD) |
$653 |
$2,610 |
$1,296 |
$371 | |
| Upper GI series (barium) |
$217 |
$866 |
$263 |
$128 | |
| Uric acid (gout) test |
$9 |
$36 |
$30 |
$5 | |
| Urinalysis |
$6 |
$25 |
$21 |
$3 | |
| Urine microalbumin test |
$12 |
$46 |
$37 |
$5 | |
| Urine pregnancy test |
$17 |
$69 |
$57 |
$9 | |
| Vaccine administration |
$21 |
$85 |
$68 |
$19 | |
| Vaccine administration (each additional) |
$21 |
$85 |
$43 |
$16 | |
| Varicose vein ablation |
$2,361 |
$9,442 |
$4,556 |
$1,018 | |
| Vitamin B12 test |
$54 |
$217 |
$151 |
$15 | |
| Vitamin D test |
$59 |
$237 |
$194 |
$30 | |
| Wound debridement |
$293 |
$1,171 |
$570 |
$186 | |
| X-ray of the abdomen |
$130 |
$518 |
$157 |
$36 | |
| X-ray of the ankle |
$171 |
$683 |
$130 |
$37 | |
| X-ray of the collarbone |
$163 |
$652 |
$130 |
$33 | |
| X-ray of the elbow |
$159 |
$634 |
$130 |
$33 | |
| X-ray of the facial bones |
$119 |
$473 |
$144 |
$39 | |
| X-ray of the foot |
$179 |
$715 |
$130 |
$34 | |
| X-ray of the forearm |
$154 |
$613 |
$130 |
$29 | |
| X-ray of the hand |
$186 |
$744 |
$130 |
$38 | |
| X-ray of the hip |
$100 |
$400 |
$131 |
$49 | |
| X-ray of the hip (1 view) |
$99 |
$397 |
$130 |
$34 | |
| X-ray of the hip (3 views) |
$100 |
$400 |
$130 |
$49 | |
| X-ray of the hip (4 views) |
$142 |
$565 |
$157 |
$63 | |
| X-ray of the knee |
$130 |
$518 |
$131 |
$42 | |
| X-ray of the knee (2 views) |
$128 |
$510 |
$130 |
$34 | |
| X-ray of the knee (3 views) |
$107 |
$428 |
$130 |
$42 | |
| X-ray of the knee (4+ views) |
$229 |
$916 |
$157 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$130 |
$518 |
$157 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$130 |
$518 |
$157 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$130 |
$518 |
$157 |
$53 | |
| X-ray of the lower leg |
$107 |
$428 |
$130 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$130 |
$518 |
$157 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$130 |
$518 |
$157 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$130 |
$518 |
$157 |
$39 | |
| X-ray of the neck (cervical spine) |
$119 |
$473 |
$144 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$107 |
$428 |
$130 |
$40 | |
| X-ray of the pelvis |
$119 |
$474 |
$157 |
$36 | |
| X-ray of the pelvis (1 view) |
$107 |
$429 |
$157 |
$28 | |
| X-ray of the ribs |
$130 |
$518 |
$120 |
$42 | |
| X-ray of the ribs (2 views) |
$141 |
$562 |
$130 |
$36 | |
| X-ray of the ribs (3 views) |
$130 |
$518 |
$120 |
$42 | |
| X-ray of the shoulder |
$179 |
$717 |
$130 |
$36 | |
| X-ray of the skull |
$130 |
$518 |
$157 |
$40 | |
| X-ray of the upper arm |
$160 |
$641 |
$130 |
$32 | |
| X-ray of the wrist |
$256 |
$1,022 |
$130 |
$43 | |
| Zinc blood test |
$23 |
$91 |
$75 |
$11 | |