| Abdominal ultrasound |
$1,010 |
$1,010 |
$94 |
$100 | |
| Abdominal ultrasound (complete) |
$1,040 |
$1,040 |
$94 |
$114 | |
| Abdominal ultrasound (limited) |
$979 |
$979 |
$94 |
$86 | |
| Abscess drainage (complex or multiple) |
$3,962 |
$3,962 |
$366 |
$220 | |
| Abscess incision and drainage |
$4,047 |
$4,047 |
$338 |
$174 | |
| Achilles tendon repair |
$11,680 |
$11,680 |
$6,538 |
$624 | |
| ACL knee reconstruction |
$5,639 |
$5,639 |
$6,538 |
$889 | |
| Adenoid removal (adenoidectomy) |
$1,389 |
$1,389 |
$2,987 |
$204 | |
| Albumin blood test |
$54 |
$54 |
$5 |
$5 | |
| Aldosterone test |
$267 |
$267 |
$41 |
$41 | |
| Alkaline phosphatase test |
$101 |
$101 |
$5 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$206 |
$206 |
$17 |
$17 | |
| ALT liver enzyme test |
$95 |
$95 |
$5 |
$5 | |
| Ammonia blood test |
$208 |
$208 |
$15 |
$15 | |
| Amylase test |
$167 |
$167 |
$6 |
$6 | |
| Ankle fracture repair |
$9,458 |
$9,458 |
$6,538 |
$608 | |
| Antinuclear antibody (ANA) test |
$156 |
$156 |
$12 |
$12 | |
| Arterial blood gas (ABG) |
$342 |
$342 |
$26 |
$26 | |
| AST liver enzyme test |
$95 |
$95 |
$5 |
$5 | |
| Barium swallow study |
$740 |
$740 |
$158 |
$107 | |
| Basic metabolic panel |
$235 |
$235 |
$8 |
$8 | |
| Benign skin lesion removal |
$3,577 |
$3,577 |
$638 |
$171 | |
| Bilirubin blood test |
$101 |
$101 |
$5 |
$5 | |
| Bladder tumor removal (TURBT) |
$4,047 |
$4,047 |
$3,176 |
$236 | |
| Blood clotting test (PT/INR) |
$100 |
$100 |
$4 |
$4 | |
| Blood crossmatch |
$288 |
$288 |
$154 |
— | |
| Blood glucose test |
$80 |
$80 |
$5 |
$5 | |
| Blood transfusion |
$1,283 |
$1,283 |
$398 |
$47 | |
| Blood type and screen |
$205 |
$205 |
$47 |
$10 | |
| Blood type test |
$137 |
$137 |
$62 |
$3 | |
| Blood type test (ABO group) |
$138 |
$138 |
$120 |
$3 | |
| Blood type test (Rh/D antigen) |
$135 |
$135 |
$34 |
$3 | |
| BNP (heart failure) test |
$286 |
$286 |
$39 |
$39 | |
| Bone scan (nuclear) |
$2,363 |
$2,363 |
$360 |
$259 | |
| Breast reconstruction |
$3,165 |
$3,165 |
$12,417 |
$1,227 | |
| Breast reduction |
$8,696 |
$8,696 |
$5,983 |
$980 | |
| Breast ultrasound |
$367 |
$367 |
$94 |
$92 | |
| Breast ultrasound (complete) |
$367 |
$367 |
$94 |
$100 | |
| Breathing tube insertion (intubation) |
$420 |
$420 |
— |
$133 | |
| Bronchoscopy |
$1,528 |
$1,528 |
$1,604 |
$303 | |
| Bunion surgery (bunionectomy) |
$4,380 |
$4,380 |
$6,538 |
$883 | |
| C-reactive protein (CRP) |
$117 |
$117 |
$5 |
$5 | |
| CA 19-9 tumor marker test |
$206 |
$206 |
$21 |
$21 | |
| CA-125 ovarian marker test |
$120 |
$120 |
$21 |
$21 | |
| Calcium blood test |
$60 |
$60 |
$5 |
$5 | |
| Cardiac event monitor |
$277 |
$277 |
$0 |
$170 | |
| Carotid artery ultrasound |
$1,585 |
$1,585 |
$215 |
$156 | |
| Carpal tunnel release |
$1,981 |
$1,981 |
$1,760 |
$483 | |
| Cataract surgery |
$2,838 |
$2,838 |
$2,079 |
$547 | |
| CEA tumor marker test |
$224 |
$224 |
$19 |
$19 | |
| Cesarean section (C-section) |
— |
— |
$7,162 |
$7,552 | |
| Chest X-ray |
$351 |
$351 |
$84 |
$37 | |
| Chest X-ray (1 view) |
$328 |
$328 |
$78 |
$25 | |
| Chest X-ray (2 views) |
$369 |
$369 |
$78 |
$33 | |
| Circumcision |
$5,483 |
$5,483 |
$1,884 |
$167 | |
| CK-MB heart enzyme test |
$229 |
$229 |
$12 |
$12 | |
| Clotting time test (PTT) |
$142 |
$142 |
$6 |
$6 | |
| Complete blood count (CBC) |
$164 |
$164 |
$8 |
$7 | |
| Complete blood count (CBC) (complete) |
$206 |
$206 |
$8 |
$8 | |
| Comprehensive metabolic panel |
$333 |
$333 |
$11 |
$11 | |
| Copper blood test |
$161 |
$161 |
$12 |
$12 | |
| Coronary artery bypass (CABG) |
— |
— |
$37,636 |
$36,593 | |
| Cortisol test |
$239 |
$239 |
$16 |
$16 | |
| COVID-19 PCR test |
$228 |
$228 |
$51 |
$51 | |
| CPAP titration study |
$270 |
$270 |
— |
$69 | |
| Creatine kinase (CK) test |
$134 |
$134 |
$7 |
$7 | |
| CT scan of the abdomen |
$2,309 |
$2,309 |
$158 |
$230 | |
| CT scan of the abdomen and pelvis |
$5,492 |
$5,492 |
$332 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$6,666 |
$6,666 |
$404 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$5,492 |
$5,492 |
$404 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$4,680 |
$4,680 |
$246 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,893 |
$2,893 |
$193 |
$259 | |
| CT scan of the abdomen with contrast |
$2,309 |
$2,309 |
$193 |
$230 | |
| CT scan of the abdomen without contrast |
$2,057 |
$2,057 |
$119 |
$136 | |
| CT scan of the arm |
$2,095 |
$2,095 |
$174 |
$199 | |
| CT scan of the arm with contrast |
$2,095 |
$2,095 |
$314 |
$199 | |
| CT scan of the arm without contrast |
$1,843 |
$1,843 |
$94 |
$161 | |
| CT scan of the chest |
$2,288 |
$2,288 |
$158 |
$167 | |
| CT scan of the chest with and without contrast |
$2,666 |
$2,666 |
$193 |
$196 | |
| CT scan of the chest with contrast |
$2,288 |
$2,288 |
$193 |
$167 | |
| CT scan of the chest without contrast |
$1,986 |
$1,986 |
$119 |
$133 | |
| CT scan of the head |
$1,940 |
$1,940 |
$158 |
$148 | |
| CT scan of the head with and without contrast |
$2,331 |
$2,331 |
$193 |
$173 | |
| CT scan of the head with contrast |
$1,999 |
$1,999 |
$175 |
$148 | |
| CT scan of the head without contrast |
$1,878 |
$1,878 |
$119 |
$107 | |
| CT scan of the leg |
$2,125 |
$2,125 |
$158 |
$166 | |
| CT scan of the leg with contrast |
$2,125 |
$2,125 |
$158 |
$166 | |
| CT scan of the leg without contrast |
$1,874 |
$1,874 |
$94 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,345 |
$2,345 |
$174 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,634 |
$2,634 |
$175 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,406 |
$2,406 |
$359 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$2,282 |
$2,282 |
$106 |
$130 | |
| CT scan of the neck |
$2,147 |
$2,147 |
$158 |
$183 | |
| CT scan of the neck (cervical spine) |
$2,317 |
$2,317 |
$174 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,674 |
$2,674 |
$175 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$2,393 |
$2,393 |
$359 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$2,238 |
$2,238 |
$106 |
$131 | |
| CT scan of the neck with and without contrast |
$2,600 |
$2,600 |
$175 |
$220 | |
| CT scan of the neck with contrast |
$2,147 |
$2,147 |
$175 |
$183 | |
| CT scan of the neck without contrast |
$1,983 |
$1,983 |
$106 |
$150 | |
| CT scan of the pelvis |
$2,214 |
$2,214 |
$158 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,663 |
$2,663 |
$175 |
$251 | |
| CT scan of the pelvis with contrast |
$2,214 |
$2,214 |
$193 |
$226 | |
| CT scan of the pelvis without contrast |
$1,958 |
$1,958 |
$119 |
$133 | |
| CT scan of the sinuses |
$1,916 |
$1,916 |
$158 |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,431 |
$2,431 |
$175 |
$184 | |
| CT scan of the sinuses with contrast |
$2,046 |
$2,046 |
$175 |
$152 | |
| CT scan of the sinuses without contrast |
$1,377 |
$1,377 |
$119 |
$128 | |
| DHEA-sulfate test |
$254 |
$254 |
$22 |
$22 | |
| Droopy eyelid repair (ptosis) |
$4,131 |
$4,131 |
$2,142 |
$745 | |
| Drug screen (urine) |
$367 |
$367 |
$43 |
$17 | |
| Ear tubes (myringotomy) |
$2,468 |
$2,468 |
$1,398 |
$174 | |
| Eardrum repair (tympanoplasty) |
$11,063 |
$11,063 |
$5,334 |
$799 | |
| Echocardiogram |
$1,275 |
$1,275 |
$215 |
$138 | |
| Echocardiogram without contrast |
$1,275 |
$1,275 |
$215 |
$138 | |
| EEG (awake and asleep) |
$1,006 |
$1,006 |
$195 |
$482 | |
| EKG / ECG (tracing only) |
$264 |
$264 |
$53 |
$7 | |
| Electrocardiogram (EKG) |
$264 |
$264 |
$53 |
$8 | |
| Electroencephalogram (EEG) |
$1,006 |
$1,006 |
$195 |
$448 | |
| Electrolyte panel |
$140 |
$140 |
$7 |
$7 | |
| Epidural steroid injection |
$2,336 |
$2,336 |
$636 |
$275 | |
| Estradiol (estrogen) test |
$277 |
$277 |
$28 |
$28 | |
| Eyelid surgery (blepharoplasty) |
$3,948 |
$3,948 |
$2,789 |
$552 | |
| Facet joint injection (spine) |
$1,298 |
$1,298 |
$79 |
$99 | |
| Fecal occult blood (stool) test |
$94 |
$94 |
$12 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$70 |
$70 |
$4 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$117 |
$117 |
$16 |
$16 | |
| Ferritin (iron) test |
$177 |
$177 |
$14 |
$14 | |
| Fibrinogen test |
$196 |
$196 |
$10 |
$10 | |
| Flu test |
$138 |
$138 |
$17 |
$17 | |
| Folate (folic acid) test |
$174 |
$174 |
$15 |
$15 | |
| Foreign body removal (skin) |
$2,897 |
$2,897 |
$366 |
$157 | |
| Free T4 thyroid test |
$167 |
$167 |
$9 |
$9 | |
| FSH hormone test |
$226 |
$226 |
$19 |
$19 | |
| Gallbladder removal (laparoscopic) |
$8,696 |
$8,696 |
$5,447 |
$658 | |
| Ganglion cyst removal |
$2,380 |
$2,380 |
$1,449 |
$321 | |
| GGT liver test |
$49 |
$49 |
$7 |
$7 | |
| Glucose tolerance test |
$153 |
$153 |
$10 |
$8 | |
| Hammertoe repair |
$4,380 |
$4,380 |
$2,948 |
$548 | |
| HDL cholesterol test |
$115 |
$115 |
$8 |
$8 | |
| Hematocrit test |
$112 |
$112 |
$2 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$125 |
$125 |
$10 |
$10 | |
| Hepatitis B test |
$140 |
$140 |
$10 |
$10 | |
| Hepatitis C test |
$208 |
$208 |
$14 |
$14 | |
| Hip replacement |
$11,404 |
$11,404 |
$11,568 |
$1,162 | |
| HIV test |
$104 |
$104 |
$24 |
$19 | |
| HIV test (antibody) |
$173 |
$173 |
$14 |
$14 | |
| HIV test (antigen/antibody combo) |
$104 |
$104 |
$24 |
$24 | |
| Hydrocele repair |
$4,244 |
$4,244 |
$3,226 |
$315 | |
| Iron blood test |
$99 |
$99 |
$6 |
$6 | |
| Joint aspiration (small/intermediate) |
$368 |
$368 |
$277 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$257 |
$257 |
$277 |
$57 | |
| Joint aspiration or injection (small joint) |
$995 |
$995 |
$277 |
$56 | |
| Kidney stone shock-wave (lithotripsy) |
$15,740 |
$15,740 |
$3,176 |
$760 | |
| Kidney ultrasound |
$1,097 |
$1,097 |
$94 |
$84 | |
| Knee arthroscopy |
$3,962 |
$3,962 |
$2,948 |
$524 | |
| Knee joint injection |
$780 |
$780 |
$415 |
$69 | |
| Knee replacement |
— |
— |
$19,452 |
$18,054 | |
| Lactate test |
$214 |
$214 |
$12 |
$12 | |
| Laminectomy (spine) |
$8,559 |
$8,559 |
$6,538 |
$1,157 | |
| Laryngoscopy |
$1,528 |
$1,528 |
$1,604 |
$189 | |
| LDH test |
$120 |
$120 |
$6 |
$6 | |
| LDL cholesterol test |
$101 |
$101 |
$11 |
$11 | |
| Leg vein ultrasound (Doppler) |
$1,077 |
$1,077 |
$199 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$857 |
$857 |
$94 |
$116 | |
| LH hormone test |
$200 |
$200 |
$19 |
$19 | |
| Lipase test |
$162 |
$162 |
$7 |
$7 | |
| Lipid (cholesterol) panel |
$199 |
$199 |
$13 |
$13 | |
| Liver function panel |
$234 |
$234 |
$8 |
$8 | |
| Lumbar discectomy |
$8,696 |
$8,696 |
$6,538 |
$898 | |
| Lung function test (PFT) |
$267 |
$267 |
$336 |
$37 | |
| Magnesium blood test |
$115 |
$115 |
$7 |
$7 | |
| Meniscus repair (knee) |
$5,639 |
$5,639 |
$2,948 |
$714 | |
| MRA of the brain |
$1,756 |
$1,756 |
$314 |
$226 | |
| MRA of the brain with contrast |
$1,775 |
$1,775 |
$359 |
$226 | |
| MRA of the neck |
$2,102 |
$2,102 |
$314 |
$245 | |
| MRA of the neck with contrast |
$2,102 |
$2,102 |
$359 |
$245 | |
| MRA of the neck without contrast |
$2,518 |
$2,518 |
$359 |
$343 | |
| MRI of the abdomen |
$1,995 |
$1,995 |
$314 |
$300 | |
| MRI of the abdomen with contrast |
$1,995 |
$1,995 |
$359 |
$300 | |
| MRI of the abdomen without contrast |
$1,867 |
$1,867 |
$231 |
$194 | |
| MRI of the ankle |
$1,885 |
$1,885 |
$314 |
$261 | |
| MRI of the ankle with contrast |
$1,980 |
$1,980 |
$359 |
$261 | |
| MRI of the ankle without contrast |
$1,789 |
$1,789 |
$215 |
$222 | |
| MRI of the brain |
$1,853 |
$1,853 |
$246 |
$269 | |
| MRI of the brain without contrast |
$1,853 |
$1,853 |
$246 |
$195 | |
| MRI of the chest |
$2,375 |
$2,375 |
$412 |
$371 | |
| MRI of the chest with contrast |
$2,375 |
$2,375 |
$713 |
$371 | |
| MRI of the chest without contrast |
$2,982 |
$2,982 |
$359 |
$466 | |
| MRI of the knee |
$1,736 |
$1,736 |
$398 |
$315 | |
| MRI of the knee with contrast |
$1,948 |
$1,948 |
$706 |
$315 | |
| MRI of the knee without contrast |
$1,736 |
$1,736 |
$215 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,169 |
$2,169 |
$314 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,169 |
$2,169 |
$359 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,847 |
$1,847 |
$246 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,336 |
$2,336 |
$314 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,701 |
$2,701 |
$404 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,336 |
$2,336 |
$359 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,855 |
$1,855 |
$246 |
$190 | |
| MRI of the neck (cervical spine) |
$1,880 |
$1,880 |
$314 |
$274 | |
| MRI of the neck (cervical spine) with contrast |
$1,893 |
$1,893 |
$359 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,867 |
$1,867 |
$246 |
$191 | |
| MRI of the pelvis |
$2,151 |
$2,151 |
$314 |
$268 | |
| MRI of the pelvis without contrast |
$1,708 |
$1,708 |
$246 |
$227 | |
| MRI of the shoulder |
$1,740 |
$1,740 |
$419 |
$313 | |
| MRI of the shoulder with contrast |
$1,746 |
$1,746 |
$706 |
$313 | |
| MRI of the shoulder without contrast |
$1,733 |
$1,733 |
$215 |
$205 | |
| MRI of the wrist |
$1,733 |
$1,733 |
$314 |
$330 | |
| MRI of the wrist with contrast |
$2,210 |
$2,210 |
$314 |
$330 | |
| MRI of the wrist without contrast |
$1,733 |
$1,733 |
$215 |
$303 | |
| Nebulizer breathing treatment |
$219 |
$219 |
$197 |
$9 | |
| Neck (cervical) spinal fusion |
$2,746 |
$2,746 |
$11,568 |
$1,410 | |
| Occupational therapy evaluation |
$188 |
$188 |
$95 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$307 |
$307 |
$95 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$188 |
$188 |
$95 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$246 |
$246 |
$95 |
$101 | |
| Orthopedic hardware removal |
$3,563 |
$3,563 |
$2,617 |
$632 | |
| Pacemaker insertion |
— |
— |
$18,174 |
$15,506 | |
| Parathyroid hormone (PTH) test |
$352 |
$352 |
$41 |
$41 | |
| Parathyroid removal |
$6,600 |
$6,600 |
$5,334 |
$891 | |
| Pelvic ultrasound |
$790 |
$790 |
$94 |
$78 | |
| Pelvic ultrasound (complete) |
$869 |
$869 |
$94 |
$105 | |
| Pelvic ultrasound (limited) |
$711 |
$711 |
$94 |
$51 | |
| Phosphorus blood test |
$74 |
$74 |
$5 |
$5 | |
| Physical therapy evaluation |
$163 |
$163 |
$93 |
$98 | |
| Physical therapy evaluation (high complexity) |
$257 |
$257 |
$93 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$246 |
$246 |
$93 |
$98 | |
| Platelet count |
$98 |
$98 |
$4 |
$4 | |
| Pregnancy blood test (hCG) |
$158 |
$158 |
$8 |
$8 | |
| Prolactin test |
$267 |
$267 |
$19 |
$19 | |
| Prostate surgery (TURP) |
$7,233 |
$7,233 |
$4,831 |
$526 | |
| Prostate test (PSA) |
$201 |
$201 |
$18 |
$18 | |
| Radiofrequency nerve ablation |
$3,519 |
$3,519 |
$1,760 |
$462 | |
| Rotator cuff repair |
$3,547 |
$3,547 |
$6,538 |
$792 | |
| Sacroiliac joint injection |
$1,985 |
$1,985 |
$71 |
$176 | |
| Scoliosis spine X-ray |
$435 |
$435 |
$94 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$433 |
$433 |
$78 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$436 |
$436 |
$94 |
$72 | |
| Scrotal ultrasound |
$770 |
$770 |
$94 |
$99 | |
| Sedimentation rate (ESR) test |
$83 |
$83 |
$4 |
$3 | |
| Septoplasty (deviated septum) |
$1,977 |
$1,977 |
$2,987 |
$613 | |
| Sex hormone binding globulin test |
$171 |
$171 |
$22 |
$22 | |
| Shoulder arthroscopy |
$10,220 |
$10,220 |
$6,538 |
$962 | |
| Shoulder replacement |
$9,862 |
$9,862 |
$15,799 |
$1,300 | |
| Sinus surgery (endoscopic) |
$1,829 |
$1,829 |
$6,359 |
$224 | |
| Skin graft |
$3,165 |
$3,165 |
$1,859 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$347 |
$347 |
$12 |
$36 | |
| Skin tag removal |
$1,187 |
$1,187 |
$183 |
$92 | |
| Spinal cord stimulator |
$4,839 |
$4,839 |
$5,742 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$873 |
$873 |
$649 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$4,155 |
$4,155 |
$6,538 |
$5,803 | |
| Spirometry (lung function test) |
$351 |
$351 |
$195 |
$30 | |
| Spirometry with bronchodilator |
$183 |
$183 |
$336 |
$43 | |
| Strep throat test |
$115 |
$115 |
$17 |
$17 | |
| T3 thyroid test |
$200 |
$200 |
$14 |
$14 | |
| Testicle removal (orchiectomy) |
$9,069 |
$9,069 |
$3,176 |
$306 | |
| Testosterone test |
$252 |
$252 |
$26 |
$26 | |
| Thyroid removal (thyroidectomy) |
$11,256 |
$11,256 |
$5,447 |
$1,004 | |
| Thyroid test (TSH) |
$203 |
$203 |
$17 |
$17 | |
| Thyroid ultrasound |
$657 |
$657 |
$94 |
$109 | |
| Tonsillectomy |
$2,476 |
$2,476 |
$5,334 |
$252 | |
| Total IgE allergy test |
$310 |
$310 |
$16 |
$16 | |
| Total protein test |
$95 |
$95 |
$4 |
$4 | |
| Transvaginal ultrasound |
$937 |
$937 |
$94 |
$118 | |
| Trigger finger release |
$2,560 |
$2,560 |
$1,449 |
$630 | |
| Trigger point injection |
$608 |
$608 |
$277 |
$56 | |
| Trigger point injection (1-2 muscles) |
$608 |
$608 |
$277 |
$52 | |
| Triglycerides test |
$62 |
$62 |
$6 |
$6 | |
| Troponin (heart) test |
$231 |
$231 |
$12 |
$12 | |
| Turbinate reduction |
$1,663 |
$1,663 |
$2,987 |
$294 | |
| Ulnar nerve surgery (elbow) |
$2,555 |
$2,555 |
$1,760 |
$575 | |
| Upper GI series (barium) |
$929 |
$929 |
$158 |
$128 | |
| Ureteral stent placement |
$3,300 |
$3,300 |
$3,176 |
$373 | |
| Ureteroscopy (stone removal) |
$7,004 |
$7,004 |
$4,831 |
$365 | |
| Uric acid (gout) test |
$71 |
$71 |
$5 |
$5 | |
| Urinalysis |
$80 |
$80 |
$3 |
$3 | |
| Urine microalbumin test |
$100 |
$100 |
$6 |
$5 | |
| Urine pregnancy test |
$127 |
$127 |
$9 |
$9 | |
| Vaginal delivery |
— |
— |
$6,199 |
$5,487 | |
| Varicocele repair |
$12,535 |
$12,535 |
$3,176 |
$327 | |
| Vasectomy |
$4,140 |
$4,140 |
$1,884 |
$347 | |
| Vitamin B12 test |
$180 |
$180 |
$15 |
$15 | |
| Vitamin D test |
$241 |
$241 |
$30 |
$30 | |
| Vocal cord injection |
$4,131 |
$4,131 |
$3,359 |
$211 | |
| Wart removal |
$1,449 |
$1,449 |
$181 |
$121 | |
| Weight-loss (bariatric) surgery |
— |
— |
$13,892 |
$11,645 | |
| Wound debridement |
$6,600 |
$6,600 |
$366 |
$186 | |
| Wrist fracture repair |
$6,594 |
$6,594 |
$6,538 |
$735 | |
| X-ray of the abdomen |
$394 |
$394 |
$94 |
$36 | |
| X-ray of the ankle |
$383 |
$383 |
$78 |
$37 | |
| X-ray of the collarbone |
$417 |
$417 |
$78 |
$33 | |
| X-ray of the elbow |
$394 |
$394 |
$78 |
$33 | |
| X-ray of the facial bones |
$392 |
$392 |
$94 |
$39 | |
| X-ray of the foot |
$381 |
$381 |
$78 |
$34 | |
| X-ray of the forearm |
$348 |
$348 |
$78 |
$29 | |
| X-ray of the hand |
$381 |
$381 |
$78 |
$38 | |
| X-ray of the hip |
$391 |
$391 |
$78 |
$49 | |
| X-ray of the hip (1 view) |
$594 |
$594 |
$78 |
$34 | |
| X-ray of the hip (3 views) |
$372 |
$372 |
$78 |
$49 | |
| X-ray of the knee |
$407 |
$407 |
$94 |
$42 | |
| X-ray of the knee (2 views) |
$336 |
$336 |
$78 |
$34 | |
| X-ray of the knee (3 views) |
$417 |
$417 |
$78 |
$42 | |
| X-ray of the knee (4+ views) |
$503 |
$503 |
$94 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$568 |
$568 |
$94 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$488 |
$488 |
$94 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$651 |
$651 |
$94 |
$53 | |
| X-ray of the lower leg |
$369 |
$369 |
$78 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$569 |
$569 |
$94 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$556 |
$556 |
$94 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$683 |
$683 |
$94 |
$39 | |
| X-ray of the neck (cervical spine) |
$517 |
$517 |
$94 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$438 |
$438 |
$78 |
$40 | |
| X-ray of the pelvis |
$351 |
$351 |
$94 |
$36 | |
| X-ray of the pelvis (1 view) |
$343 |
$343 |
$94 |
$28 | |
| X-ray of the ribs |
$417 |
$417 |
$94 |
$42 | |
| X-ray of the ribs (2 views) |
$417 |
$417 |
$78 |
$36 | |
| X-ray of the ribs (3 views) |
$417 |
$417 |
$94 |
$42 | |
| X-ray of the shoulder |
$417 |
$417 |
$78 |
$36 | |
| X-ray of the skull |
$481 |
$481 |
$94 |
$40 | |
| X-ray of the upper arm |
$365 |
$365 |
$78 |
$32 | |
| X-ray of the wrist |
$381 |
$381 |
$78 |
$43 | |
| Zinc blood test |
$153 |
$153 |
$11 |
$11 | |