| 3D mammogram (tomosynthesis) |
$18 |
$91 |
$51 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$500 |
$2,500 |
$1,475 |
$284 | |
| Abdominal ultrasound |
$380 |
$1,900 |
$892 |
$100 | |
| Abdominal ultrasound (complete) |
$430 |
$2,148 |
$1,259 |
$114 | |
| Abdominal ultrasound (limited) |
$330 |
$1,652 |
$892 |
$86 | |
| Abscess drainage (complex or multiple) |
$514 |
$1,368 |
$220 |
$220 | |
| Abscess drainage (simple) |
$507 |
$2,023 |
$140 |
$129 | |
| Abscess incision and drainage |
$514 |
$1,368 |
$167 |
$174 | |
| Achilles tendon repair |
$15,187 |
$75,937 |
— |
$624 | |
| ACL knee reconstruction |
$19,808 |
$99,042 |
$37 |
$889 | |
| Adenoid removal (adenoidectomy) |
$5,499 |
$27,494 |
— |
$204 | |
| Albumin blood test |
$4 |
$20 |
$24 |
$5 | |
| Alkaline phosphatase test |
$10 |
$52 |
$34 |
$5 | |
| Allergy patch testing |
$476 |
$2,381 |
$1,395 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$21 |
$105 |
$68 |
$17 | |
| ALT liver enzyme test |
$10 |
$51 |
$32 |
$5 | |
| Amniocentesis |
$103 |
$514 |
$334 |
$120 | |
| Amylase test |
$13 |
$64 |
$44 |
$6 | |
| Anal fistula repair |
$7,965 |
$39,823 |
$11 |
$541 | |
| Ankle fracture repair |
$16,739 |
$83,693 |
$109 |
$608 | |
| Ankle replacement |
$39,347 |
$196,733 |
$109 |
$885 | |
| Annual physical (established patient) |
$204 |
$272 |
$152 |
— | |
| Annual physical (new patient) |
$296 |
$395 |
$205 |
— | |
| Anoscopy |
$52 |
$261 |
$158 |
$129 | |
| Antinuclear antibody (ANA) test |
$14 |
$69 |
$37 |
$12 | |
| Aortic aneurysm repair (AAA) |
$1,160 |
$5,801 |
$3,566 |
$1,345 | |
| Arterial blood gas (ABG) |
$84 |
$421 |
$320 |
$26 | |
| AST liver enzyme test |
$10 |
$52 |
$32 |
$5 | |
| Barium swallow study |
$230 |
$1,152 |
$757 |
$107 | |
| Bartholin cyst removal |
$315 |
$420 |
$113 |
$182 | |
| Basic metabolic panel |
$16 |
$78 |
$49 |
$8 | |
| Benign skin lesion removal |
$5,209 |
$26,043 |
$105 |
$171 | |
| Bilirubin blood test |
$15 |
$74 |
$59 |
$5 | |
| Bladder function test (urodynamics) |
$536 |
$2,678 |
$2,142 |
$345 | |
| Bladder scope (cystoscopy) |
$3,271 |
$16,355 |
$2,171 |
$216 | |
| Bladder tumor removal (TURBT) |
$7,938 |
$39,689 |
$11 |
$236 | |
| Blood clotting test (PT/INR) |
$12 |
$16 |
$28 |
$4 | |
| Blood crossmatch |
$50 |
$250 |
$148 |
— | |
| Blood glucose test |
$10 |
$51 |
$32 |
$5 | |
| Blood transfusion |
$401 |
$2,005 |
$1,034 |
$47 | |
| Blood type and screen |
$33 |
$167 |
$99 |
$10 | |
| Blood type test |
$10 |
$49 |
$34 |
$3 | |
| Blood type test (ABO group) |
$14 |
$70 |
$38 |
$3 | |
| Blood type test (Rh/D antigen) |
$5 |
$27 |
$33 |
$3 | |
| BNP (heart failure) test |
$58 |
$288 |
$170 |
$39 | |
| Bone density scan (DEXA) |
$289 |
$1,446 |
$721 |
$39 | |
| Bone marrow biopsy |
$2,480 |
$12,398 |
$3,045 |
$172 | |
| Bone scan (nuclear) |
$155 |
$773 |
$482 |
$259 | |
| Botox for migraine |
$354 |
$1,771 |
$1,151 |
$157 | |
| Breast biopsy |
$2,050 |
$10,249 |
$5,460 |
$478 | |
| Breast MRI |
$1,178 |
$5,891 |
$3,452 |
$216 | |
| Breast MRI without contrast |
$1,178 |
$5,891 |
$3,452 |
$216 | |
| Breast reconstruction |
$40,705 |
$203,525 |
$57 |
$1,227 | |
| Breast reduction |
$18,573 |
$92,864 |
$65 |
$980 | |
| Breast ultrasound |
$453 |
$2,265 |
$825 |
$92 | |
| Breast ultrasound (complete) |
$512 |
$2,559 |
$919 |
$100 | |
| Breast ultrasound (limited) |
$394 |
$1,970 |
$707 |
$84 | |
| Breathing tube insertion (intubation) |
$506 |
$2,529 |
$632 |
$133 | |
| Bronchoscopy |
$1,145 |
$5,727 |
$210 |
$303 | |
| Bunion surgery (bunionectomy) |
$18,237 |
$91,184 |
— |
$883 | |
| Burn dressing and debridement (medium) |
$256 |
$1,281 |
— |
$166 | |
| Burn dressing and debridement (small) |
$155 |
$303 |
$72 |
$93 | |
| Burn treatment |
$206 |
$792 |
$72 |
$129 | |
| CA 19-9 tumor marker test |
$33 |
$167 |
$99 |
$21 | |
| CA-125 ovarian marker test |
$31 |
$157 |
$93 |
$21 | |
| Calcium blood test |
$6 |
$29 |
$29 |
$5 | |
| Capsule endoscopy |
$596 |
$2,982 |
$1,692 |
$802 | |
| Cardiac ablation |
$15,555 |
$77,776 |
$50,179 |
$759 | |
| Cardiac catheterization |
$5,571 |
$27,856 |
$18,106 |
$1,049 | |
| Cardiac MRI |
$1,394 |
$6,969 |
$4,005 |
$322 | |
| Cardiac MRI without contrast |
$1,297 |
$6,485 |
$3,800 |
$280 | |
| Cardiac rehabilitation |
$59 |
$296 |
$173 |
$26 | |
| Cardiac stress test |
$514 |
$2,570 |
$1,516 |
$39 | |
| Cardioversion |
$308 |
$411 |
$1,861 |
$155 | |
| Carotid artery surgery |
$20,829 |
$104,145 |
$14 |
$1,026 | |
| Carotid artery ultrasound |
$376 |
$1,882 |
$983 |
$156 | |
| Carpal tunnel release |
$1,441 |
$1,921 |
$666 |
$483 | |
| Cataract surgery |
$4,265 |
$21,323 |
$156 |
$547 | |
| Celiac disease test |
$35 |
$176 |
$47 |
$12 | |
| Central line placement |
$284 |
$378 |
$126 |
$238 | |
| Cervical cerclage |
$5,468 |
$27,341 |
$10 |
$137 | |
| Cervical LEEP procedure |
$4,579 |
$22,896 |
$10 |
$325 | |
| Cesarean section (C-section) |
$7,439 |
$37,194 |
$11,277 |
$7,552 | |
| Chalazion (eyelid cyst) removal |
$3,171 |
$15,854 |
— |
$131 | |
| Chemotherapy infusion |
$288 |
$1,438 |
$657 |
$81 | |
| Chemotherapy infusion (each additional) |
$100 |
$499 |
$293 |
$28 | |
| Chemotherapy infusion (first hour) |
$475 |
$2,377 |
$1,398 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,004 |
$5,018 |
$2,961 |
$311 | |
| Chest tube insertion |
$535 |
$713 |
$237 |
$143 | |
| Chest X-ray |
$209 |
$1,044 |
$498 |
$37 | |
| Chest X-ray (1 view) |
$144 |
$718 |
$421 |
$25 | |
| Chest X-ray (2 views) |
$186 |
$930 |
$545 |
$33 | |
| Chickenpox (varicella) vaccine |
$133 |
$177 |
$155 |
— | |
| Circumcision |
$192 |
$961 |
$234 |
$167 | |
| CK-MB heart enzyme test |
$18 |
$89 |
$55 |
$12 | |
| Clotting time test (PTT) |
$14 |
$69 |
$45 |
$6 | |
| Colon resection (colectomy) |
$21,963 |
$109,815 |
$16 |
$1,238 | |
| Colonoscopy |
$2,534 |
$12,669 |
$9 |
$480 | |
| Colposcopy |
$144 |
$720 |
$9 |
$161 | |
| Complete blood count (CBC) |
$14 |
$69 |
$41 |
$7 | |
| Complete blood count (CBC) (complete) |
$14 |
$69 |
$43 |
$8 | |
| Complex wound repair |
$4,762 |
$23,811 |
$18 |
$390 | |
| Comprehensive metabolic panel |
$24 |
$118 |
$70 |
$11 | |
| Continuous glucose monitor setup |
$60 |
$301 |
$178 |
$35 | |
| Contraceptive implant (Nexplanon) |
$296 |
$794 |
$130 |
$115 | |
| Copper blood test |
$9 |
$45 |
$20 |
$12 | |
| Coronary artery bypass (CABG) |
$59,474 |
$297,368 |
$50,544 |
$36,593 | |
| Coronary CT angiography |
$1,195 |
$5,974 |
$1,526 |
$326 | |
| Cortisol test |
$31 |
$154 |
$91 |
$16 | |
| COVID-19 PCR test |
$36 |
$180 |
$106 |
$51 | |
| CPAP titration study |
$208 |
$1,039 |
$2,246 |
$69 | |
| Creatine kinase (CK) test |
$13 |
$67 |
$36 |
$7 | |
| CT angiography of the chest |
$2,074 |
$10,369 |
$5,599 |
$281 | |
| CT angiography of the head |
$1,460 |
$7,301 |
$3,943 |
$274 | |
| CT colonography (virtual colonoscopy) |
$129 |
$643 |
$379 |
$835 | |
| CT scan of the abdomen |
$1,454 |
$7,272 |
$4,864 |
$230 | |
| CT scan of the abdomen and pelvis |
$3,305 |
$16,525 |
$7,328 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,305 |
$16,525 |
$8,841 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$3,305 |
$16,525 |
$8,260 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,785 |
$8,925 |
$4,820 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,818 |
$9,091 |
$4,909 |
$259 | |
| CT scan of the abdomen with contrast |
$1,454 |
$7,272 |
$3,927 |
$230 | |
| CT scan of the abdomen without contrast |
$1,091 |
$5,453 |
$2,945 |
$136 | |
| CT scan of the arm |
$1,458 |
$7,289 |
$2,735 |
$199 | |
| CT scan of the arm with contrast |
$1,458 |
$7,289 |
$3,936 |
$199 | |
| CT scan of the arm without contrast |
$852 |
$4,262 |
$2,498 |
$161 | |
| CT scan of the chest |
$1,352 |
$6,762 |
$3,099 |
$167 | |
| CT scan of the chest with and without contrast |
$1,501 |
$7,506 |
$4,053 |
$196 | |
| CT scan of the chest with contrast |
$1,352 |
$6,762 |
$3,651 |
$167 | |
| CT scan of the chest without contrast |
$1,123 |
$5,615 |
$3,032 |
$133 | |
| CT scan of the head |
$1,530 |
$7,649 |
$3,232 |
$148 | |
| CT scan of the head with and without contrast |
$1,542 |
$7,709 |
$4,163 |
$173 | |
| CT scan of the head with contrast |
$1,530 |
$7,649 |
$4,130 |
$148 | |
| CT scan of the head without contrast |
$1,168 |
$5,840 |
$3,154 |
$107 | |
| CT scan of the leg |
$1,458 |
$7,289 |
$2,735 |
$166 | |
| CT scan of the leg with contrast |
$1,458 |
$7,289 |
$3,936 |
$166 | |
| CT scan of the leg without contrast |
$852 |
$4,262 |
$2,515 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,558 |
$12,789 |
$4,383 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,842 |
$14,212 |
$7,674 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,558 |
$12,789 |
$6,906 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,496 |
$7,480 |
$4,039 |
$130 | |
| CT scan of the neck |
$1,137 |
$5,684 |
$3,041 |
$183 | |
| CT scan of the neck (cervical spine) |
$2,646 |
$13,230 |
$5,031 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,940 |
$14,700 |
$7,938 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$2,646 |
$13,230 |
$7,144 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,548 |
$7,740 |
$4,180 |
$131 | |
| CT scan of the neck with and without contrast |
$1,352 |
$6,762 |
$3,651 |
$220 | |
| CT scan of the neck with contrast |
$1,137 |
$5,684 |
$3,069 |
$183 | |
| CT scan of the neck without contrast |
$943 |
$4,716 |
$2,735 |
$150 | |
| CT scan of the pelvis |
$2,172 |
$10,860 |
$3,529 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,413 |
$12,066 |
$6,516 |
$251 | |
| CT scan of the pelvis with contrast |
$2,172 |
$10,860 |
$5,864 |
$226 | |
| CT scan of the pelvis without contrast |
$1,270 |
$6,350 |
$3,429 |
$133 | |
| CT scan of the sinuses |
$1,049 |
$5,247 |
$2,735 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,257 |
$6,285 |
$3,394 |
$184 | |
| CT scan of the sinuses with contrast |
$1,049 |
$5,247 |
$2,833 |
$152 | |
| CT scan of the sinuses without contrast |
$867 |
$4,337 |
$2,541 |
$128 | |
| D-dimer test |
$21 |
$104 |
$68 |
$10 | |
| Defibrillator (ICD) implant |
$31,308 |
$156,542 |
$10 |
$798 | |
| Developmental screening (child) |
$10 |
$50 |
$30 |
— | |
| Diagnostic mammogram |
$110 |
$548 |
$323 |
$140 | |
| Dialysis fistula creation |
$8,568 |
$42,838 |
$11 |
$601 | |
| Dilation and curettage (D&C) |
$3,252 |
$16,259 |
$9 |
$298 | |
| Droopy eyelid repair (ptosis) |
$2,995 |
$14,975 |
$10 |
$745 | |
| Drug screen (urine) |
$31 |
$53 |
$49 |
$17 | |
| Ear pressure test (tympanometry) |
$33 |
$165 |
$97 |
$16 | |
| Echocardiogram |
$361 |
$751 |
$215 |
$138 | |
| Echocardiogram with and without contrast |
$269 |
$358 |
$150 |
$101 | |
| Echocardiogram without contrast |
$361 |
$1,804 |
$1,061 |
$138 | |
| EEG (awake and asleep) |
$400 |
$1,998 |
$1,171 |
$482 | |
| EKG / ECG (tracing only) |
$143 |
$716 |
$422 |
$7 | |
| Elbow replacement |
$27,136 |
$135,681 |
— |
$1,301 | |
| Electrocardiogram (EKG) |
$47 |
$63 |
$20 |
$8 | |
| Electroencephalogram (EEG) |
$374 |
$1,868 |
$1,074 |
$448 | |
| Electrolyte panel |
$14 |
$69 |
$43 |
$7 | |
| Electromyography (EMG) |
$77 |
$387 |
$184 |
$141 | |
| Emergency department visit |
$327 |
$549 |
$277 |
$69 | |
| Emergency department visit (level 1) |
$50 |
$140 |
$117 |
$11 | |
| Emergency department visit (level 2) |
$220 |
$885 |
$712 |
$40 | |
| Emergency department visit (level 3) |
$330 |
$1,326 |
$1,067 |
$69 | |
| Emergency department visit (level 4) |
$623 |
$2,505 |
$2,015 |
$118 | |
| Emergency department visit (level 5) |
$917 |
$3,683 |
$2,962 |
$171 | |
| Endometrial biopsy |
$231 |
$728 |
$119 |
$98 | |
| Epidural steroid injection |
$396 |
$1,979 |
$2,275 |
$275 | |
| ERCP (bile duct endoscopy) |
$7,239 |
$36,195 |
$4 |
$311 | |
| Esophageal dilation |
$2,515 |
$12,577 |
$5,460 |
$522 | |
| Esophageal variceal banding |
$1,627 |
$8,137 |
$5,460 |
$126 | |
| Estradiol (estrogen) test |
$42 |
$210 |
$74 |
$28 | |
| Eyelid surgery (blepharoplasty) |
$2,920 |
$14,598 |
$7 |
$552 | |
| Facet joint injection (spine) |
$1,158 |
$5,789 |
$1,637 |
$99 | |
| Fallopian tube X-ray (HSG) |
$563 |
$2,816 |
$1,056 |
$164 | |
| Family therapy session |
$230 |
$1,150 |
$674 |
$110 | |
| Fecal occult blood (stool) test |
$17 |
$87 |
$31 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$8 |
$42 |
$25 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$26 |
$131 |
$77 |
$16 | |
| Feeding tube (PEG) placement |
$3,006 |
$15,032 |
$4 |
$178 | |
| Femoral hernia repair |
$9,401 |
$47,007 |
$9 |
$584 | |
| Ferritin (iron) test |
$22 |
$109 |
$58 |
$14 | |
| Fibrinogen test |
$13 |
$64 |
$52 |
$10 | |
| Fibroid removal (myomectomy) |
$15,678 |
$78,391 |
$10 |
$914 | |
| Flexible sigmoidoscopy |
$1,462 |
$7,310 |
$9 |
$323 | |
| Flu test |
$23 |
$115 |
$67 |
$17 | |
| Folate (folic acid) test |
$22 |
$109 |
$59 |
$15 | |
| Foreign body removal (skin) |
$293 |
$390 |
$108 |
$157 | |
| Free T4 thyroid test |
$7 |
$36 |
$53 |
$9 | |
| FSH hormone test |
$27 |
$136 |
$80 |
$19 | |
| Gallbladder removal (laparoscopic) |
$12,160 |
$60,801 |
$10 |
$658 | |
| Gallbladder scan (HIDA) |
$736 |
$3,681 |
$2,298 |
$334 | |
| Ganglion cyst removal |
$3,950 |
$19,748 |
$5,460 |
$321 | |
| GGT liver test |
$15 |
$74 |
$42 |
$7 | |
| Glaucoma surgery |
$11,312 |
$56,562 |
$5,460 |
$984 | |
| Glucose tolerance test |
$16 |
$78 |
$26 |
$8 | |
| Group therapy session |
$60 |
$301 |
$176 |
$30 | |
| Hammertoe repair |
$11,102 |
$55,511 |
$9 |
$548 | |
| HDL cholesterol test |
$15 |
$74 |
$46 |
$8 | |
| Hearing test (audiometry) |
$89 |
$445 |
$261 |
$36 | |
| Hematocrit test |
$7 |
$34 |
$22 |
$2 | |
| Hemodialysis |
$794 |
$3,970 |
$2,144 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$29 |
$38 |
$18 |
$10 | |
| Hemorrhoid removal |
$4,425 |
$22,126 |
$9 |
$338 | |
| Hepatitis A vaccine |
$162 |
$216 |
$77 |
— | |
| Hepatitis B test |
$16 |
$81 |
$50 |
$10 | |
| Hepatitis B vaccine |
$144 |
$192 |
$80 |
— | |
| Hepatitis C test |
$27 |
$136 |
$80 |
$14 | |
| Hip arthroscopy |
$17,977 |
$89,886 |
$9 |
$931 | |
| Hip fracture repair |
$27,988 |
$139,940 |
$106 |
$1,120 | |
| Hip replacement |
$21,599 |
$107,994 |
$106 |
$1,162 | |
| HIV test |
$34 |
$170 |
$100 |
$19 | |
| HIV test (antigen/antibody combo) |
$34 |
$170 |
$100 |
$24 | |
| Holter heart monitor |
$469 |
$2,343 |
$1,238 |
$26 | |
| HPV vaccine |
$387 |
$516 |
$310 |
— | |
| Hydrocele repair |
$3,708 |
$18,538 |
$4,896 |
$315 | |
| Hysterectomy |
$16,312 |
$81,558 |
$10 |
$933 | |
| Hysteroscopy |
$5,602 |
$28,011 |
$8 |
$1,270 | |
| Incisional hernia repair |
$21,780 |
$108,902 |
$106 |
— | |
| Inguinal hernia repair |
$4,774 |
$23,871 |
$4,045 |
$538 | |
| Iron blood test |
$12 |
$61 |
$36 |
$6 | |
| IUD insertion |
$747 |
$1,377 |
$162 |
— | |
| IUD removal |
$292 |
$409 |
$88 |
$112 | |
| IV infusion therapy |
$168 |
$839 |
$314 |
$44 | |
| IV infusion therapy (each additional) |
$76 |
$378 |
$223 |
$21 | |
| IV infusion therapy (initial) |
$260 |
$1,300 |
$767 |
$67 | |
| IVC filter placement |
$3,103 |
$15,516 |
$11,836 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$212 |
$1,061 |
$72 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$212 |
$1,061 |
$70 |
$57 | |
| Joint aspiration or injection (small joint) |
$3,596 |
$17,979 |
$542 |
$56 | |
| Kidney biopsy |
$4,427 |
$22,137 |
$1,776 |
$492 | |
| Kidney removal (nephrectomy) |
$32,088 |
$160,440 |
$10 |
$1,164 | |
| Kidney scan (nuclear) |
$692 |
$3,458 |
$2,154 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$5,344 |
$26,721 |
$9 |
$760 | |
| Kidney ultrasound |
$218 |
$1,089 |
$530 |
$84 | |
| Kidney ultrasound (limited) |
$196 |
$982 |
$525 |
$61 | |
| Knee arthroscopy |
$7,077 |
$35,386 |
$58 |
$524 | |
| Knee joint injection |
$236 |
$1,182 |
$93 |
$69 | |
| Knee replacement |
$24,479 |
$122,396 |
$27,468 |
$18,054 | |
| Laminectomy (spine) |
$4,589 |
$6,119 |
$829 |
$1,157 | |
| Laryngoscopy |
$5,395 |
$26,976 |
$250 |
$189 | |
| LDH test |
$18 |
$90 |
$37 |
$6 | |
| LDL cholesterol test |
$15 |
$76 |
$7 |
$11 | |
| Leg artery angiogram |
$2,232 |
$11,161 |
$6,540 |
$149 | |
| Leg artery angioplasty |
$11,634 |
$58,172 |
$11,032 |
— | |
| Leg vein ultrasound (Doppler) |
$331 |
$951 |
$788 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$331 |
$441 |
$781 |
$116 | |
| LH hormone test |
$41 |
$207 |
$111 |
$19 | |
| Lipase test |
$13 |
$64 |
$35 |
$7 | |
| Lipid (cholesterol) panel |
$25 |
$124 |
$67 |
$13 | |
| Liver biopsy |
$1,578 |
$7,890 |
$2,327 |
$288 | |
| Liver function panel |
$15 |
$74 |
$46 |
$8 | |
| Lumbar discectomy |
$3,417 |
$4,556 |
$836 |
$898 | |
| Lumpectomy (breast) |
$16,094 |
$80,469 |
$11 |
$750 | |
| Lung function test (PFT) |
$178 |
$891 |
$399 |
$37 | |
| Lung scan (V/Q) |
$959 |
$4,794 |
$2,828 |
$291 | |
| Mastectomy |
$21,855 |
$109,274 |
$54 |
$1,021 | |
| Meniscus repair (knee) |
$23,331 |
$116,653 |
$93 |
$714 | |
| MMR vaccine |
$92 |
$122 |
$92 |
— | |
| MRA of the brain |
$1,595 |
$7,976 |
$4,068 |
$226 | |
| MRA of the brain with contrast |
$1,595 |
$7,976 |
$4,674 |
$226 | |
| MRA of the brain without contrast |
$1,928 |
$9,642 |
$5,220 |
$328 | |
| MRA of the neck |
$1,237 |
$6,186 |
$3,625 |
$245 | |
| MRA of the neck with contrast |
$1,237 |
$6,186 |
$3,625 |
$245 | |
| MRA of the neck without contrast |
$1,490 |
$7,452 |
$4,367 |
$343 | |
| MRI of the abdomen |
$1,425 |
$7,123 |
$4,174 |
$300 | |
| MRI of the abdomen with contrast |
$1,425 |
$7,123 |
$4,174 |
$300 | |
| MRI of the abdomen without contrast |
$1,063 |
$5,316 |
$3,115 |
$194 | |
| MRI of the ankle |
$1,258 |
$6,292 |
$3,398 |
$261 | |
| MRI of the ankle with contrast |
$1,258 |
$6,292 |
$3,687 |
$261 | |
| MRI of the ankle without contrast |
$940 |
$4,702 |
$2,755 |
$222 | |
| MRI of the brain |
$1,374 |
$6,868 |
$3,709 |
$269 | |
| MRI of the brain with contrast |
$1,374 |
$6,868 |
$4,025 |
$269 | |
| MRI of the brain without contrast |
$1,026 |
$5,131 |
$3,007 |
$195 | |
| MRI of the chest |
$1,632 |
$8,162 |
$4,783 |
$371 | |
| MRI of the chest with contrast |
$1,632 |
$8,162 |
$4,783 |
$371 | |
| MRI of the chest without contrast |
$1,967 |
$9,835 |
$5,311 |
$466 | |
| MRI of the knee |
$1,291 |
$6,455 |
$3,453 |
$315 | |
| MRI of the knee with contrast |
$1,291 |
$6,455 |
$3,783 |
$315 | |
| MRI of the knee without contrast |
$964 |
$4,819 |
$2,824 |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,810 |
$9,050 |
$4,929 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,843 |
$9,213 |
$5,220 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,375 |
$6,877 |
$4,030 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,046 |
$10,229 |
$5,473 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,046 |
$10,229 |
$5,524 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,131 |
$10,657 |
$5,755 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,591 |
$7,953 |
$4,660 |
$190 | |
| MRI of the neck (cervical spine) |
$1,721 |
$8,607 |
$5,044 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$1,721 |
$8,607 |
$5,044 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,015 |
$10,076 |
$5,441 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,504 |
$7,520 |
$4,407 |
$191 | |
| MRI of the pelvis |
$1,237 |
$6,186 |
$3,625 |
$268 | |
| MRI of the pelvis with contrast |
$1,237 |
$6,186 |
$3,625 |
$268 | |
| MRI of the pelvis without contrast |
$924 |
$4,621 |
$2,708 |
$227 | |
| MRI of the shoulder |
$1,835 |
$9,176 |
$4,955 |
$313 | |
| MRI of the shoulder with contrast |
$1,835 |
$9,176 |
$5,220 |
$313 | |
| MRI of the shoulder without contrast |
$1,370 |
$6,848 |
$4,013 |
$205 | |
| MRI of the wrist |
$1,712 |
$8,558 |
$4,955 |
$330 | |
| MRI of the wrist with contrast |
$1,712 |
$8,558 |
$5,015 |
$330 | |
| MRI of the wrist without contrast |
$1,278 |
$6,391 |
$3,745 |
$303 | |
| Nebulizer breathing treatment |
$50 |
$67 |
$290 |
$9 | |
| Neck (cervical) spinal fusion |
$6,083 |
$8,111 |
$481 |
$1,410 | |
| Nerve conduction study |
$68 |
$338 |
$360 |
$118 | |
| Nuchal translucency ultrasound |
$200 |
$999 |
$589 |
$116 | |
| Nuclear cardiac stress test |
$1,862 |
$9,309 |
$5,455 |
$428 | |
| Occupational therapy evaluation |
$98 |
$488 |
$364 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$111 |
$557 |
$380 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$64 |
$322 |
$357 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$98 |
$488 |
$360 |
$101 | |
| Office visit (established patient) |
$150 |
$283 |
$270 |
$115 | |
| Office visit (new patient) |
$240 |
$449 |
$443 |
$177 | |
| Office visit, established patient (level 3) |
$102 |
$195 |
$267 |
$95 | |
| Office visit, established patient (level 4) |
$183 |
$322 |
$416 |
$136 | |
| Office visit, new patient (level 3) |
$154 |
$287 |
$405 |
$118 | |
| Office visit, new patient (level 4) |
$253 |
$423 |
$481 |
$177 | |
| Office visit, new patient (level 5) |
$337 |
$547 |
$649 |
$237 | |
| Orthopedic hardware removal |
$10,586 |
$52,932 |
$9 |
$632 | |
| Ovarian cyst removal |
$12,196 |
$60,981 |
$10 |
$698 | |
| Ovary removal (oophorectomy) |
$12,257 |
$61,283 |
$22 |
$822 | |
| Pacemaker insertion |
$20,052 |
$100,258 |
$28,693 |
$15,506 | |
| Parathyroid hormone (PTH) test |
$47 |
$237 |
$140 |
$41 | |
| Parathyroid removal |
$15,792 |
$78,958 |
$176 |
$891 | |
| Pelvic ultrasound |
$348 |
$1,742 |
$596 |
$78 | |
| Pelvic ultrasound (complete) |
$422 |
$2,108 |
$1,235 |
$105 | |
| Pelvic ultrasound (limited) |
$275 |
$1,375 |
$596 |
$51 | |
| PET scan |
$2,695 |
$13,473 |
$7,556 |
— | |
| Phosphorus blood test |
$9 |
$45 |
$28 |
$5 | |
| Physical therapy evaluation |
$87 |
$437 |
$345 |
$98 | |
| Physical therapy evaluation (high complexity) |
$100 |
$502 |
$364 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$87 |
$437 |
$343 |
$98 | |
| Pilonidal cyst removal |
$6,330 |
$31,649 |
$9 |
$541 | |
| Platelet count |
$9 |
$44 |
$27 |
$4 | |
| Pregnancy blood test (hCG) |
$15 |
$73 |
$45 |
$8 | |
| Pregnancy ultrasound |
$186 |
$364 |
$84 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$140 |
$186 |
$78 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$248 |
$514 |
$92 |
$136 | |
| Procalcitonin test |
$43 |
$215 |
$127 |
$27 | |
| Prolactin test |
$31 |
$154 |
$54 |
$19 | |
| Prostate biopsy |
$4,389 |
$21,944 |
$9 |
— | |
| Prostate removal (prostatectomy) |
$31,032 |
$155,158 |
$9 |
$1,063 | |
| Prostate surgery (TURP) |
$10,187 |
$50,935 |
$9 |
$526 | |
| Psychiatric evaluation |
$361 |
$523 |
$197 |
$188 | |
| Psychotherapy session |
$237 |
$370 |
$167 |
$140 | |
| Pterygium removal (eye) |
$3,602 |
$18,012 |
$9 |
$540 | |
| Pulmonary rehabilitation |
$67 |
$335 |
$196 |
$87 | |
| Radiofrequency nerve ablation |
$2,263 |
$11,316 |
$5,460 |
$462 | |
| Retina scan (OCT) |
$65 |
$325 |
$192 |
$33 | |
| Retinal (fundus) photography |
$58 |
$289 |
$176 |
$37 | |
| Rotator cuff repair |
$10,685 |
$53,426 |
$10 |
$792 | |
| Sacroiliac joint injection |
$636 |
$3,179 |
$1,275 |
$176 | |
| Scoliosis spine X-ray |
$399 |
$1,997 |
$1,059 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$333 |
$1,664 |
$975 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$466 |
$2,329 |
$1,365 |
$72 | |
| Screening mammogram |
$95 |
$473 |
$259 |
$126 | |
| Scrotal ultrasound |
$394 |
$1,968 |
$106 |
$99 | |
| Sedimentation rate (ESR) test |
$9 |
$46 |
$29 |
$3 | |
| Semen analysis |
$17 |
$85 |
$53 |
$12 | |
| Septoplasty (deviated septum) |
$9,791 |
$48,955 |
$17 |
$613 | |
| Shoulder arthroscopy |
$21,546 |
$107,729 |
$10 |
$962 | |
| Shoulder replacement |
$23,872 |
$119,361 |
— |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$129 |
$172 |
$52 |
$114 | |
| Simple wound stitches |
$170 |
$227 |
$66 |
$127 | |
| Sinus surgery (endoscopic) |
$12,260 |
$61,302 |
$11 |
$224 | |
| Skin biopsy |
$457 |
$1,961 |
$143 |
$121 | |
| Skin biopsy (punch) |
$441 |
$1,940 |
$131 |
$121 | |
| Skin cancer lesion removal |
$4,911 |
$24,555 |
$11 |
$240 | |
| Skin graft |
$6,485 |
$32,425 |
$11 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$221 |
$825 |
$37 |
$36 | |
| Skin tag removal |
$2,085 |
$10,043 |
$105 |
$92 | |
| Sleep study (polysomnography) |
$1,682 |
$8,408 |
$4,777 |
$691 | |
| Soft tissue ultrasound |
$195 |
$976 |
$315 |
$64 | |
| Speech therapy |
$54 |
$271 |
$318 |
$76 | |
| Spinal cord stimulator |
$9,229 |
$46,143 |
$16,154 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$369 |
$1,843 |
$117 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$6,170 |
$30,850 |
$11 |
$5,803 | |
| Spirometry (lung function test) |
$121 |
$606 |
$358 |
$30 | |
| Spirometry with bronchodilator |
$235 |
$1,176 |
$689 |
$43 | |
| Spleen removal (splenectomy) |
$28,957 |
$144,783 |
$28 |
$1,036 | |
| Strabismus (eye muscle) surgery |
$4,661 |
$23,303 |
$5,460 |
$475 | |
| Strep throat test |
$44 |
$58 |
$35 |
$17 | |
| Stress echocardiogram |
$656 |
$3,278 |
$1,927 |
$209 | |
| Stress echocardiogram (complete) |
$656 |
$3,278 |
$1,927 |
$233 | |
| Swallow study |
$36 |
$182 |
$241 |
$85 | |
| T3 thyroid test |
$22 |
$108 |
$67 |
$14 | |
| Tdap (tetanus) vaccine |
$68 |
$90 |
$43 |
— | |
| Testicle removal (orchiectomy) |
$6,871 |
$34,353 |
— |
$306 | |
| Thyroid removal (thyroidectomy) |
$17,249 |
$86,243 |
$44 |
$1,004 | |
| Thyroid test (TSH) |
$29 |
$144 |
$81 |
$17 | |
| Thyroid ultrasound |
$301 |
$1,506 |
$214 |
$109 | |
| Thyroid uptake scan |
$449 |
$2,244 |
$2,301 |
$145 | |
| Tilt table test |
$900 |
$4,500 |
$2,646 |
$168 | |
| Tonsillectomy |
$4,296 |
$21,480 |
$20 |
$252 | |
| Total protein test |
$6 |
$29 |
$19 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$929 |
$4,644 |
$2,721 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$929 |
$4,644 |
$2,508 |
$239 | |
| Transvaginal ultrasound |
$333 |
$444 |
$108 |
$118 | |
| Trigger finger release |
$4,086 |
$20,432 |
$9 |
$630 | |
| Trigger point injection |
$573 |
$2,867 |
$66 |
$56 | |
| Trigger point injection (1-2 muscles) |
$460 |
$2,068 |
$66 |
$52 | |
| Triglycerides test |
$10 |
$52 |
$24 |
$6 | |
| Troponin (heart) test |
$35 |
$173 |
$101 |
$12 | |
| Tubal ligation |
$9,708 |
$48,538 |
$10 |
$333 | |
| Turbinate reduction |
$8,895 |
$44,475 |
$9 |
$294 | |
| Turning a breech baby (version) |
$5,207 |
$26,037 |
$10 |
$94 | |
| Ulnar nerve surgery (elbow) |
$1,975 |
$2,633 |
$660 |
$575 | |
| Umbilical hernia repair |
$9,972 |
$49,861 |
$11 |
— | |
| Upper GI endoscopy (EGD) |
$2,635 |
$13,174 |
$9 |
$371 | |
| Upper GI series (barium) |
$349 |
$1,747 |
$1,033 |
$128 | |
| Ureteral stent placement |
$5,336 |
$26,678 |
$12 |
$373 | |
| Ureteroscopy (stone removal) |
$13,926 |
$69,628 |
$9 |
$365 | |
| Uric acid (gout) test |
$9 |
$45 |
$28 |
$5 | |
| Urinalysis |
$7 |
$19 |
$19 |
$3 | |
| Urine microalbumin test |
$12 |
$62 |
$36 |
$5 | |
| Urine pregnancy test |
$23 |
$31 |
$33 |
$9 | |
| Vaccine administration |
$45 |
$72 |
$51 |
$19 | |
| Vaccine administration (each additional) |
$35 |
$47 |
$51 |
$16 | |
| Vaginal delivery |
$5,157 |
$25,787 |
$10,762 |
$5,487 | |
| Varicocele repair |
$7,954 |
$39,770 |
$4,430 |
$327 | |
| Varicose vein ablation |
$5,585 |
$27,924 |
$9 |
$1,018 | |
| Vasectomy |
$3,355 |
$16,773 |
$5,460 |
$347 | |
| Vitamin B12 test |
$22 |
$109 |
$59 |
$15 | |
| Vitamin D test |
$31 |
$154 |
$91 |
$30 | |
| Vocal cord injection |
$6,399 |
$31,995 |
$57 |
$211 | |
| Wart removal |
$554 |
$2,769 |
$120 |
$121 | |
| Weight-loss (bariatric) surgery |
$30,222 |
$151,110 |
$25,781 |
$11,645 | |
| Well-child visit |
$155 |
$207 |
$129 |
— | |
| Wound debridement |
$2,733 |
$13,664 |
$886 |
$186 | |
| Wrist fracture repair |
$12,343 |
$61,714 |
$9 |
$735 | |
| X-ray of the abdomen |
$271 |
$1,355 |
$527 |
$36 | |
| X-ray of the ankle |
$264 |
$1,322 |
$775 |
$37 | |
| X-ray of the collarbone |
$192 |
$959 |
$562 |
$33 | |
| X-ray of the elbow |
$277 |
$1,385 |
$812 |
$33 | |
| X-ray of the facial bones |
$332 |
$1,662 |
$871 |
$39 | |
| X-ray of the foot |
$289 |
$1,443 |
$846 |
$34 | |
| X-ray of the forearm |
$252 |
$1,258 |
$737 |
$29 | |
| X-ray of the hand |
$277 |
$1,385 |
$812 |
$38 | |
| X-ray of the hip |
$108 |
$540 |
$316 |
$49 | |
| X-ray of the hip (1 view) |
$91 |
$456 |
$284 |
$34 | |
| X-ray of the hip (3 views) |
$108 |
$540 |
$319 |
$49 | |
| X-ray of the hip (4 views) |
$108 |
$540 |
$319 |
$63 | |
| X-ray of the knee |
$277 |
$1,386 |
$748 |
$42 | |
| X-ray of the knee (2 views) |
$229 |
$1,144 |
$670 |
$34 | |
| X-ray of the knee (3 views) |
$277 |
$1,386 |
$812 |
$42 | |
| X-ray of the knee (4+ views) |
$323 |
$1,617 |
$948 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$388 |
$1,940 |
$1,050 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$330 |
$1,649 |
$966 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$446 |
$2,231 |
$1,307 |
$53 | |
| X-ray of the lower leg |
$252 |
$1,260 |
$738 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$307 |
$1,534 |
$869 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$290 |
$1,451 |
$850 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$323 |
$1,617 |
$948 |
$39 | |
| X-ray of the neck (cervical spine) |
$361 |
$1,804 |
$1,012 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$318 |
$1,590 |
$932 |
$40 | |
| X-ray of the pelvis |
$221 |
$1,107 |
$563 |
$36 | |
| X-ray of the pelvis (1 view) |
$177 |
$885 |
$519 |
$28 | |
| X-ray of the ribs |
$364 |
$1,818 |
$982 |
$42 | |
| X-ray of the ribs (2 views) |
$302 |
$1,512 |
$886 |
$36 | |
| X-ray of the ribs (3 views) |
$364 |
$1,818 |
$1,065 |
$42 | |
| X-ray of the shoulder |
$277 |
$1,385 |
$812 |
$36 | |
| X-ray of the skull |
$307 |
$1,535 |
$799 |
$40 | |
| X-ray of the upper arm |
$226 |
$1,129 |
$662 |
$32 | |
| X-ray of the wrist |
$276 |
$1,379 |
$808 |
$43 | |
| Zinc blood test |
$6 |
$31 |
$19 |
$11 | |