| 3D mammogram (tomosynthesis) |
$33 |
$175 |
$70 |
$51 | |
| Abscess drainage (complex or multiple) |
$98 |
$515 |
$195 |
$220 | |
| Abscess drainage (simple) |
$57 |
$299 |
$113 |
$129 | |
| Abscess incision and drainage |
$77 |
$407 |
$180 |
$174 | |
| Acupuncture |
$15 |
$77 |
$26 |
$38 | |
| Acupuncture (each additional) |
$13 |
$67 |
$23 |
$28 | |
| Aldosterone test |
$23 |
$122 |
$41 |
$41 | |
| Allergy patch testing |
— |
— |
$7 |
$5 | |
| Allergy shots |
— |
— |
$19 |
$11 | |
| Allergy testing |
— |
— |
$4 |
$4 | |
| Alpha-fetoprotein (AFP) test |
$10 |
$50 |
$18 |
$17 | |
| Annual physical (established patient) |
$50 |
$263 |
$265 |
— | |
| Annual physical (new patient) |
$58 |
$305 |
$298 |
— | |
| Anoscopy |
$22 |
$116 |
$50 |
$129 | |
| Antinuclear antibody (ANA) test |
$7 |
$36 |
$13 |
$12 | |
| Aortic aneurysm repair (AAA) |
$775 |
$4,078 |
$1,366 |
$1,345 | |
| Bartholin cyst removal |
$58 |
$307 |
$127 |
$182 | |
| Blood crossmatch |
— |
— |
$32 |
— | |
| Blood transfusion |
— |
— |
$60 |
$47 | |
| BNP (heart failure) test |
$22 |
$118 |
$41 |
$39 | |
| Botox for migraine |
$66 |
$345 |
$150 |
$157 | |
| Brain shunt (VP shunt) |
$556 |
$2,924 |
$882 |
$1,023 | |
| Breathing tube insertion (intubation) |
$76 |
$398 |
$206 |
$133 | |
| Burn dressing and debridement (medium) |
$59 |
$311 |
$146 |
$166 | |
| Burn dressing and debridement (small) |
$30 |
$156 |
$59 |
$93 | |
| Burn treatment |
$44 |
$234 |
$121 |
$129 | |
| CA 19-9 tumor marker test |
$12 |
$62 |
$22 |
$21 | |
| CA-125 ovarian marker test |
$12 |
$62 |
$22 |
$21 | |
| Cardiac event monitor |
— |
— |
$193 |
$170 | |
| Carotid artery surgery |
$590 |
$3,104 |
$1,165 |
$1,026 | |
| Cataract surgery |
$336 |
$1,771 |
$874 |
$547 | |
| Celiac disease test |
— |
— |
$12 |
$12 | |
| Cesarean section (C-section) |
— |
— |
$8,606 |
$7,552 | |
| Chalazion (eyelid cyst) removal |
$54 |
$284 |
$68 |
$131 | |
| Chemotherapy infusion |
— |
— |
$149 |
$81 | |
| Chemotherapy infusion (each additional) |
— |
— |
$56 |
$28 | |
| Chemotherapy infusion (first hour) |
— |
— |
$249 |
$133 | |
| Chickenpox (varicella) vaccine |
— |
— |
$225 |
— | |
| Chiropractic adjustment |
$18 |
$95 |
$28 |
$38 | |
| Colon resection (colectomy) |
$712 |
$3,747 |
$1,093 |
$1,238 | |
| Colostomy |
$640 |
$3,367 |
$783 |
$1,122 | |
| Colposcopy |
$58 |
$306 |
$154 |
$161 | |
| Complex wound repair |
$130 |
$686 |
$258 |
$390 | |
| Comprehensive eye exam |
$44 |
$234 |
$105 |
$138 | |
| Contact lens fitting |
$32 |
$168 |
$75 |
— | |
| Continuous glucose monitor setup |
$18 |
$97 |
$38 |
$35 | |
| Copper blood test |
$7 |
$38 |
$13 |
$12 | |
| Corneal transplant |
$652 |
$3,434 |
$1,394 |
$1,066 | |
| Coronary artery bypass (CABG) |
— |
— |
$44,080 |
$36,593 | |
| COVID-19 PCR test |
$29 |
$154 |
$51 |
$51 | |
| Craniotomy (brain surgery) |
$1,187 |
$6,245 |
$1,450 |
$2,161 | |
| Developmental screening (child) |
— |
— |
$14 |
— | |
| DHEA-sulfate test |
$13 |
$66 |
$23 |
$22 | |
| Droopy eyelid repair (ptosis) |
$311 |
$1,639 |
$695 |
$745 | |
| EKG / ECG (tracing only) |
— |
— |
$7 |
$7 | |
| Elbow replacement |
$776 |
$4,083 |
$1,520 |
$1,301 | |
| Electromyography (EMG) |
$34 |
$181 |
$100 |
$141 | |
| Endometrial biopsy |
$34 |
$177 |
$75 |
$98 | |
| Estradiol (estrogen) test |
$16 |
$84 |
$28 |
$28 | |
| Eye refraction (glasses prescription) |
$10 |
$55 |
$19 |
— | |
| Family therapy session |
$57 |
$301 |
$82 |
$110 | |
| Fecal occult blood (stool) test |
$6 |
$31 |
$6 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$3 |
$14 |
$4 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$9 |
$48 |
$16 |
$16 | |
| Femoral hernia repair |
$326 |
$1,714 |
$659 |
$584 | |
| Fibroid removal (myomectomy) |
$553 |
$2,913 |
$809 |
$914 | |
| Flu test |
$10 |
$50 |
$17 |
$17 | |
| Flu vaccine |
— |
— |
$26 |
— | |
| Foreign body removal (skin) |
$56 |
$295 |
$112 |
$157 | |
| FSH hormone test |
$11 |
$56 |
$19 |
$19 | |
| Glaucoma surgery |
$596 |
$3,139 |
$1,175 |
$984 | |
| H. pylori test |
$38 |
$202 |
$69 |
$67 | |
| Hemorrhoid removal |
$143 |
$751 |
$278 |
$338 | |
| Hepatitis A vaccine |
— |
— |
$90 |
— | |
| Hepatitis B vaccine |
— |
— |
$82 |
— | |
| Hip fracture repair |
$657 |
$3,460 |
$1,078 |
$1,120 | |
| HIV test |
$11 |
$57 |
$22 |
$19 | |
| HIV test (antibody) |
$8 |
$42 |
$14 |
$14 | |
| HIV test (antigen/antibody combo) |
$14 |
$72 |
$25 |
$24 | |
| HPV vaccine |
— |
— |
$345 |
— | |
| Hysterectomy |
$544 |
$2,864 |
$1,039 |
$933 | |
| Ileostomy |
$554 |
$2,915 |
$761 |
$968 | |
| Incisional hernia repair |
— |
— |
$2,180 |
— | |
| IUD removal |
$35 |
$186 |
$79 |
$112 | |
| Kidney removal (nephrectomy) |
$695 |
$3,656 |
$1,092 |
$1,164 | |
| Knee replacement |
— |
— |
$24,139 |
$18,054 | |
| LDL cholesterol test |
$6 |
$32 |
$11 |
$11 | |
| LH hormone test |
$11 |
$56 |
$19 |
$19 | |
| Lumpectomy (breast) |
$419 |
$2,207 |
$803 |
$750 | |
| Mastectomy |
$572 |
$3,011 |
$1,100 |
$1,021 | |
| Mastoidectomy |
$498 |
$2,621 |
$1,071 |
$840 | |
| Meniscus repair (knee) |
$411 |
$2,164 |
$881 |
$714 | |
| MMR vaccine |
— |
— |
$115 |
— | |
| Mohs skin cancer surgery |
$144 |
$759 |
$349 |
$535 | |
| Nebulizer breathing treatment |
— |
— |
$91 |
$9 | |
| Neck (cervical) spinal fusion |
$795 |
$4,187 |
$1,450 |
$1,410 | |
| Newborn hospital care |
$35 |
$185 |
$65 |
$58 | |
| Occupational therapy evaluation |
— |
— |
$99 |
$101 | |
| Occupational therapy evaluation (high complexity) |
— |
— |
$99 |
$101 | |
| Occupational therapy evaluation (low complexity) |
— |
— |
$99 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
— |
— |
$98 |
$101 | |
| Office visit (established patient) |
$43 |
$229 |
$79 |
$115 | |
| Office visit (new patient) |
$71 |
$374 |
$129 |
$177 | |
| Office visit, established patient (level 3) |
$35 |
$185 |
$64 |
$95 | |
| Office visit, established patient (level 4) |
$52 |
$272 |
$92 |
$136 | |
| Office visit, new patient (level 3) |
$44 |
$230 |
$79 |
$118 | |
| Office visit, new patient (level 4) |
$71 |
$374 |
$131 |
$177 | |
| Office visit, new patient (level 5) |
$97 |
$509 |
$170 |
$237 | |
| Ovarian cyst removal |
$411 |
$2,162 |
$919 |
$698 | |
| Ovary removal (oophorectomy) |
$469 |
$2,469 |
$574 |
$822 | |
| Pacemaker insertion |
— |
— |
$24,087 |
$15,506 | |
| Pap smear (cervical screening) |
$11 |
$60 |
$21 |
$20 | |
| Parathyroid hormone (PTH) test |
$24 |
$124 |
$43 |
$41 | |
| Physical therapy evaluation |
$54 |
$282 |
$98 |
$98 | |
| Physical therapy evaluation (high complexity) |
— |
— |
$98 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$54 |
$282 |
$98 |
$98 | |
| Pneumonia vaccine |
— |
— |
$144 |
— | |
| Procalcitonin test |
$16 |
$82 |
$27 |
$27 | |
| Prolactin test |
$11 |
$58 |
$20 |
$19 | |
| Prostate test (PSA) |
$11 |
$56 |
$19 |
$18 | |
| Psychiatric evaluation |
$86 |
$450 |
$150 |
$188 | |
| Psychotherapy session |
$63 |
$332 |
$111 |
$140 | |
| Retinal detachment repair |
$603 |
$3,175 |
$1,320 |
$966 | |
| Routine eye exam |
$25 |
$133 |
$63 |
$88 | |
| RSV vaccine |
— |
— |
$377 |
— | |
| Sex hormone binding globulin test |
$13 |
$66 |
$23 |
$22 | |
| Shingles vaccine |
$60 |
$316 |
$246 |
— | |
| Shoulder arthroscopy |
$561 |
$2,952 |
$1,148 |
$962 | |
| Skin cancer lesion removal |
$86 |
$451 |
$169 |
$240 | |
| Skin graft |
$375 |
$1,973 |
$754 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$15 |
$80 |
$28 |
$36 | |
| Skin tag removal |
$41 |
$214 |
$81 |
$92 | |
| Small bowel resection |
$652 |
$3,433 |
$914 |
$1,136 | |
| Speech therapy |
— |
— |
$77 |
$76 | |
| Spleen removal (splenectomy) |
$590 |
$3,106 |
$913 |
$1,036 | |
| Stomach removal (gastrectomy) |
$916 |
$4,822 |
$1,440 |
$1,595 | |
| Strep throat test |
$10 |
$50 |
$17 |
$17 | |
| Swallow study |
$38 |
$199 |
$73 |
$85 | |
| Tdap (tetanus) vaccine |
— |
— |
$49 |
— | |
| Testosterone test |
$15 |
$78 |
$27 |
$26 | |
| Thyroid test (TSH) |
$10 |
$50 |
$18 |
$17 | |
| Total IgE allergy test |
$10 |
$50 |
$17 |
$16 | |
| Ulnar nerve surgery (elbow) |
$326 |
$1,716 |
$609 |
$575 | |
| Umbilical hernia repair |
— |
— |
$2,171 |
— | |
| UV light therapy (skin) |
— |
— |
$95 |
$106 | |
| Vaccine administration |
$9 |
$49 |
$25 |
$19 | |
| Vaccine administration (each additional) |
$8 |
$40 |
$17 |
$16 | |
| Vaginal delivery |
— |
— |
$6,519 |
$5,487 | |
| Vitamin B12 test |
$9 |
$46 |
$15 |
$15 | |
| Vitamin D test |
$17 |
$88 |
$31 |
$30 | |
| Vitrectomy (eye) |
$504 |
$2,651 |
$1,184 |
$814 | |
| Wart removal |
$41 |
$214 |
$74 |
$121 | |
| Weight-loss (bariatric) surgery |
— |
— |
$17,812 |
$11,645 | |
| Well-child visit |
$41 |
$216 |
$92 |
— | |
| Whipple procedure (pancreas) |
$1,658 |
$8,727 |
$2,023 |
$2,871 | |
| X-ray of the thigh bone |
— |
— |
$36 |
— | |
| YAG laser capsulotomy (eye) |
$162 |
$851 |
$402 |
$335 | |
| Zinc blood test |
$6 |
$34 |
$12 |
$11 | |