| 3D mammogram (tomosynthesis) |
— |
$62 |
$27 |
$51 | |
| Abdominal fluid drain (paracentesis) |
— |
$12,437 |
$1,080 |
$284 | |
| Abdominal ultrasound |
— |
$275 |
$131 |
$100 | |
| Abdominal ultrasound (complete) |
— |
$275 |
$131 |
$114 | |
| Abdominal ultrasound (limited) |
— |
$275 |
$131 |
$86 | |
| Abscess drainage (complex or multiple) |
— |
$9,379 |
$585 |
$220 | |
| Abscess drainage (simple) |
— |
$12,878 |
$306 |
$129 | |
| Abscess incision and drainage |
— |
$11,129 |
$451 |
$174 | |
| Achilles tendon repair |
— |
$23,581 |
$7,647 |
$624 | |
| ACL knee reconstruction |
— |
$40,634 |
$8,520 |
$889 | |
| Adenoid removal (adenoidectomy) |
— |
$17,597 |
$3,835 |
$204 | |
| Albumin blood test |
— |
$15 |
$7 |
$5 | |
| Aldosterone test |
— |
$122 |
$45 |
$41 | |
| Alkaline phosphatase test |
— |
$16 |
$7 |
$5 | |
| Alpha-fetoprotein (AFP) test |
— |
$50 |
$19 |
$17 | |
| ALT liver enzyme test |
— |
$16 |
$7 |
$5 | |
| Ammonia blood test |
— |
$44 |
$19 |
$15 | |
| Amniocentesis |
— |
$2,013 |
$1,136 |
$120 | |
| Amylase test |
— |
$19 |
$9 |
$6 | |
| Anal fistula repair |
— |
$12,356 |
$3,981 |
$541 | |
| Ankle fracture repair |
— |
$45,119 |
$8,520 |
$608 | |
| Antinuclear antibody (ANA) test |
— |
$36 |
$15 |
$12 | |
| Arterial blood gas (ABG) |
— |
$78 |
$30 |
$26 | |
| AST liver enzyme test |
— |
$16 |
$7 |
$5 | |
| Barium swallow study |
— |
$460 |
$207 |
$107 | |
| Basic metabolic panel |
— |
$25 |
$9 |
$8 | |
| Benign skin lesion removal |
— |
$6,584 |
$838 |
$171 | |
| Bilirubin blood test |
— |
$15 |
$7 |
$5 | |
| Bladder function test (urodynamics) |
— |
$1,710 |
$991 |
$345 | |
| Bladder scope (cystoscopy) |
— |
$7,815 |
$1,153 |
$216 | |
| Bladder tumor removal (TURBT) |
— |
$21,645 |
$4,152 |
$236 | |
| Blood clotting test (PT/INR) |
— |
$13 |
$6 |
$4 | |
| Blood glucose test |
— |
$13 |
$6 |
$5 | |
| Blood transfusion |
— |
$1,087 |
$653 |
$47 | |
| Blood type test |
— |
$210 |
$48 |
$3 | |
| Blood type test (ABO group) |
— |
$320 |
$126 |
$3 | |
| Blood type test (Rh/D antigen) |
— |
$100 |
$38 |
$3 | |
| BNP (heart failure) test |
— |
$118 |
$39 |
$39 | |
| Bone density scan (DEXA) |
— |
$275 |
$131 |
$39 | |
| Bone scan (nuclear) |
— |
$1,033 |
$491 |
$259 | |
| Breast biopsy |
— |
$12,012 |
$2,271 |
$478 | |
| Breast MRI |
— |
$613 |
$292 |
$216 | |
| Breast MRI without contrast |
— |
$613 |
$292 |
$216 | |
| Breast reconstruction |
— |
$50,944 |
$18,836 |
$1,227 | |
| Breast reduction |
— |
$35,261 |
$7,767 |
$980 | |
| Breast ultrasound |
— |
$251 |
$122 |
$92 | |
| Breast ultrasound (complete) |
— |
$275 |
$131 |
$100 | |
| Breast ultrasound (limited) |
— |
$227 |
$108 |
$84 | |
| Breathing tube insertion (intubation) |
— |
$612 |
$398 |
$133 | |
| Bronchoscopy |
— |
$15,659 |
$2,332 |
$303 | |
| Bunion surgery (bunionectomy) |
— |
$23,457 |
$4,000 |
$883 | |
| Burn dressing and debridement (medium) |
— |
$8,844 |
$306 |
$166 | |
| Burn dressing and debridement (small) |
— |
$8,844 |
$306 |
$93 | |
| Burn treatment |
— |
$8,844 |
$306 |
$129 | |
| C-reactive protein (CRP) |
— |
$16 |
$7 |
$5 | |
| CA 19-9 tumor marker test |
— |
$62 |
$23 |
$21 | |
| CA-125 ovarian marker test |
— |
$62 |
$23 |
$21 | |
| Calcium blood test |
— |
$15 |
$7 |
$5 | |
| Cardiac catheterization |
— |
$13,752 |
$4,000 |
$1,049 | |
| Cardiac rehabilitation |
— |
$331 |
$157 |
$26 | |
| Cardiac stress test |
— |
$786 |
$374 |
$39 | |
| Cardioversion |
— |
$10,117 |
$775 |
$155 | |
| Carotid artery ultrasound |
— |
$444 |
$200 |
$156 | |
| Carpal tunnel release |
— |
$10,063 |
$2,300 |
$483 | |
| Cataract surgery |
— |
$10,262 |
$2,775 |
$547 | |
| CEA tumor marker test |
— |
$57 |
$26 |
$19 | |
| Central line placement |
— |
$16,686 |
$3,796 |
$238 | |
| Cervical LEEP procedure |
— |
$12,888 |
$3,830 |
$325 | |
| Chalazion (eyelid cyst) removal |
— |
$9,646 |
$535 |
$131 | |
| Chemotherapy infusion |
— |
$512 |
$133 |
$81 | |
| Chemotherapy infusion (each additional) |
— |
$176 |
$84 |
$28 | |
| Chemotherapy infusion (first hour) |
— |
$848 |
$403 |
$133 | |
| Chest fluid drain (thoracentesis) |
— |
$12,441 |
$1,095 |
$311 | |
| Chest tube insertion |
— |
$14,793 |
$1,907 |
$143 | |
| Chest X-ray |
— |
$227 |
$100 |
$37 | |
| Chest X-ray (1 view) |
— |
$227 |
$100 |
$25 | |
| Chest X-ray (2 views) |
— |
$227 |
$100 |
$33 | |
| Circumcision |
— |
$16,673 |
$2,932 |
$167 | |
| CK-MB heart enzyme test |
— |
$35 |
$13 |
$12 | |
| Clotting time test (PTT) |
— |
$18 |
$8 |
$6 | |
| Colon resection (colectomy) |
— |
$51,459 |
$2,207 |
$1,238 | |
| Colonoscopy |
— |
$13,733 |
$1,261 |
$480 | |
| Colposcopy |
— |
$7,979 |
$579 |
$161 | |
| Complete blood count (CBC) |
— |
$21 |
$9 |
$7 | |
| Complete blood count (CBC) (complete) |
— |
$23 |
$10 |
$8 | |
| Complex wound repair |
— |
$13,524 |
$906 |
$390 | |
| Comprehensive metabolic panel |
— |
$32 |
$12 |
$11 | |
| Contraceptive implant (Nexplanon) |
— |
$6,639 |
$695 |
$115 | |
| Copper blood test |
— |
$37 |
$17 |
$12 | |
| Coronary CT angiography |
— |
$460 |
$321 |
$326 | |
| Cortisol test |
— |
$49 |
$22 |
$16 | |
| COVID-19 PCR test |
— |
$154 |
$51 |
$51 | |
| CPAP titration study |
— |
$534 |
$254 |
$69 | |
| Creatine kinase (CK) test |
— |
$20 |
$9 |
$7 | |
| CT angiography of the chest |
— |
$460 |
$251 |
$281 | |
| CT angiography of the head |
— |
$460 |
$219 |
$274 | |
| CT scan of the abdomen |
— |
$460 |
$207 |
$230 | |
| CT scan of the abdomen and pelvis |
— |
$963 |
$422 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
— |
$963 |
$458 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
— |
$963 |
$458 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
— |
$613 |
$292 |
$183 | |
| CT scan of the abdomen with and without contrast |
— |
$460 |
$240 |
$259 | |
| CT scan of the abdomen with contrast |
— |
$460 |
$219 |
$230 | |
| CT scan of the abdomen without contrast |
— |
$275 |
$160 |
$136 | |
| CT scan of the arm |
— |
$460 |
$210 |
$199 | |
| CT scan of the arm with contrast |
— |
$963 |
$458 |
$199 | |
| CT scan of the arm without contrast |
— |
$275 |
$140 |
$161 | |
| CT scan of the chest |
— |
$460 |
$200 |
$167 | |
| CT scan of the chest with and without contrast |
— |
$460 |
$250 |
$196 | |
| CT scan of the chest with contrast |
— |
$460 |
$219 |
$167 | |
| CT scan of the chest without contrast |
— |
$275 |
$167 |
$133 | |
| CT scan of the head |
— |
$460 |
$203 |
$148 | |
| CT scan of the head with and without contrast |
— |
$460 |
$219 |
$173 | |
| CT scan of the head with contrast |
— |
$460 |
$219 |
$148 | |
| CT scan of the head without contrast |
— |
$275 |
$134 |
$107 | |
| CT scan of the leg |
— |
$460 |
$207 |
$166 | |
| CT scan of the leg with contrast |
— |
$460 |
$219 |
$166 | |
| CT scan of the leg without contrast |
— |
$275 |
$140 |
$130 | |
| CT scan of the lower back (lumbar spine) |
— |
$460 |
$200 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
— |
$460 |
$250 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
— |
$963 |
$458 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
— |
$275 |
$167 |
$130 | |
| CT scan of the neck |
— |
$460 |
$203 |
$183 | |
| CT scan of the neck (cervical spine) |
— |
$460 |
$200 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
— |
$460 |
$250 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
— |
$963 |
$458 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
— |
$275 |
$167 |
$131 | |
| CT scan of the neck with and without contrast |
— |
$460 |
$219 |
$220 | |
| CT scan of the neck with contrast |
— |
$460 |
$219 |
$183 | |
| CT scan of the neck without contrast |
— |
$275 |
$134 |
$150 | |
| CT scan of the pelvis |
— |
$460 |
$200 |
$226 | |
| CT scan of the pelvis with and without contrast |
— |
$460 |
$240 |
$251 | |
| CT scan of the pelvis with contrast |
— |
$460 |
$219 |
$226 | |
| CT scan of the pelvis without contrast |
— |
$275 |
$167 |
$133 | |
| CT scan of the sinuses |
— |
$460 |
$196 |
$152 | |
| CT scan of the sinuses with and without contrast |
— |
$460 |
$219 |
$184 | |
| CT scan of the sinuses with contrast |
— |
$460 |
$219 |
$152 | |
| CT scan of the sinuses without contrast |
— |
$275 |
$134 |
$128 | |
| D-dimer test |
— |
$31 |
$11 |
$10 | |
| Defibrillator (ICD) implant |
— |
$82,364 |
$36,740 |
$798 | |
| DHEA-sulfate test |
— |
$67 |
$25 |
$22 | |
| Diagnostic mammogram |
— |
$250 |
$89 |
$140 | |
| Dialysis fistula creation |
— |
$25,839 |
$4,000 |
$601 | |
| Drug screen (urine) |
— |
$51 |
$65 |
$17 | |
| Ear tubes (myringotomy) |
— |
$13,170 |
$1,816 |
$174 | |
| Eardrum repair (tympanoplasty) |
— |
$14,138 |
$6,975 |
$799 | |
| Echocardiogram |
— |
$997 |
$444 |
$138 | |
| Echocardiogram with and without contrast |
— |
$613 |
$292 |
$101 | |
| EEG (awake and asleep) |
— |
$786 |
$374 |
$482 | |
| EKG / ECG (tracing only) |
— |
$153 |
$73 |
$7 | |
| Electrocardiogram (EKG) |
— |
$88 |
$57 |
$8 | |
| Electroencephalogram (EEG) |
— |
$786 |
$374 |
$448 | |
| Electrolyte panel |
— |
$21 |
$9 |
$7 | |
| Emergency department visit |
— |
$714 |
$232 |
$69 | |
| Emergency department visit (level 1) |
— |
$479 |
$86 |
$11 | |
| Emergency department visit (level 2) |
— |
$409 |
$160 |
$40 | |
| Emergency department visit (level 3) |
— |
$714 |
$281 |
$69 | |
| Emergency department visit (level 4) |
— |
$1,109 |
$437 |
$118 | |
| Emergency department visit (level 5) |
— |
$1,608 |
$628 |
$171 | |
| Epidural steroid injection |
— |
$7,815 |
$824 |
$275 | |
| Estradiol (estrogen) test |
— |
$84 |
$38 |
$28 | |
| Eyelid surgery (blepharoplasty) |
— |
$16,344 |
$2,379 |
$552 | |
| Facet joint injection (spine) |
— |
$11,976 |
$1,086 |
$99 | |
| Fallopian tube X-ray (HSG) |
— |
$1,307 |
$280 |
$164 | |
| Fecal occult blood (stool) test |
— |
$48 |
$18 |
$10 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
— |
$48 |
$18 |
$16 | |
| Feeding tube (PEG) placement |
— |
$13,481 |
$2,266 |
$178 | |
| Ferritin (iron) test |
— |
$41 |
$18 |
$14 | |
| Fibrinogen test |
— |
$29 |
$11 |
$10 | |
| Flu test |
— |
$50 |
$17 |
$17 | |
| Flu vaccine |
— |
$1 |
$22 |
— | |
| Folate (folic acid) test |
— |
$44 |
$20 |
$15 | |
| Foreign body removal (skin) |
— |
$6,693 |
$585 |
$157 | |
| Free T4 thyroid test |
— |
$27 |
$12 |
$9 | |
| FSH hormone test |
— |
$56 |
$25 |
$19 | |
| Gallbladder removal (laparoscopic) |
— |
$43,873 |
$6,872 |
$658 | |
| Gallbladder scan (HIDA) |
— |
$1,353 |
$644 |
$334 | |
| Ganglion cyst removal |
— |
$9,247 |
$2,236 |
$321 | |
| GGT liver test |
— |
$22 |
$10 |
$7 | |
| Glucose tolerance test |
— |
$25 |
$11 |
$8 | |
| Hammertoe repair |
— |
$17,597 |
$4,000 |
$548 | |
| HDL cholesterol test |
— |
$25 |
$11 |
$8 | |
| Hematocrit test |
— |
$7 |
$3 |
$2 | |
| Hemodialysis |
— |
$1,749 |
$832 |
$75 | |
| Hemoglobin A1c (diabetes test) |
— |
$29 |
$13 |
$10 | |
| Hepatitis A vaccine |
— |
$1 |
$20 |
— | |
| Hepatitis B test |
— |
$31 |
$14 |
$10 | |
| Hepatitis B vaccine |
— |
$1 |
$72 |
— | |
| Hepatitis C test |
— |
$43 |
$18 |
$14 | |
| Hip arthroscopy |
— |
$16,555 |
$8,520 |
$931 | |
| Hip replacement |
— |
$83,054 |
$14,068 |
$1,162 | |
| HIV test |
— |
$72 |
$28 |
$19 | |
| HIV test (antigen/antibody combo) |
— |
$72 |
$28 |
$24 | |
| Hydrocele repair |
— |
$26,465 |
$4,120 |
$315 | |
| Hysterectomy |
— |
$51,359 |
$11,003 |
$933 | |
| Hysteroscopy |
— |
$18,586 |
$3,830 |
$1,270 | |
| Inguinal hernia repair |
— |
$31,280 |
$4,120 |
$538 | |
| Iron blood test |
— |
$19 |
$9 |
$6 | |
| IUD insertion |
— |
$2,000 |
$631 |
— | |
| IUD removal |
— |
$7,979 |
$559 |
$112 | |
| IV infusion therapy |
— |
$328 |
$81 |
$44 | |
| IV infusion therapy (each additional) |
— |
$119 |
$57 |
$21 | |
| IV infusion therapy (initial) |
— |
$537 |
$255 |
$67 | |
| IVC filter placement |
— |
$13,758 |
$5,887 |
$1,885 | |
| Joint aspiration (small/intermediate) |
— |
$7,611 |
$485 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
— |
$7,611 |
$485 |
$57 | |
| Joint aspiration or injection (small joint) |
— |
$7,611 |
$485 |
$56 | |
| Kidney biopsy |
— |
$7,336 |
$2,271 |
$492 | |
| Kidney scan (nuclear) |
— |
$1,353 |
$644 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
— |
$17,323 |
$4,152 |
$760 | |
| Kidney ultrasound |
— |
$275 |
$131 |
$84 | |
| Kidney ultrasound (limited) |
— |
$275 |
$131 |
$61 | |
| Knee arthroscopy |
— |
$15,170 |
$3,855 |
$524 | |
| Knee joint injection |
— |
$10,604 |
$485 |
$69 | |
| Lactate test |
— |
$35 |
$12 |
$12 | |
| LDH test |
— |
$18 |
$8 |
$6 | |
| LDL cholesterol test |
— |
$32 |
$11 |
$11 | |
| Leg artery angiogram |
— |
$7,980 |
$3,796 |
$149 | |
| Leg artery angioplasty |
— |
$20,926 |
$9,559 |
— | |
| Leg vein ultrasound (Doppler) |
— |
$444 |
$200 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
— |
$275 |
$131 |
$116 | |
| LH hormone test |
— |
$56 |
$25 |
$19 | |
| Lipase test |
— |
$21 |
$9 |
$7 | |
| Lipid (cholesterol) panel |
— |
$40 |
$18 |
$13 | |
| Liver biopsy |
— |
$12,012 |
$2,271 |
$288 | |
| Liver function panel |
— |
$25 |
$9 |
$8 | |
| Lumpectomy (breast) |
— |
$28,562 |
$4,540 |
$750 | |
| Lung function test (PFT) |
— |
$786 |
$374 |
$37 | |
| Lung scan (V/Q) |
— |
$1,353 |
$644 |
$291 | |
| Magnesium blood test |
— |
$20 |
$9 |
$7 | |
| Mastectomy |
— |
$47,326 |
$7,767 |
$1,021 | |
| Meniscus repair (knee) |
— |
$19,760 |
$3,855 |
$714 | |
| MMR vaccine |
— |
$1 |
$20 |
— | |
| MRA of the brain |
— |
$963 |
$422 |
$226 | |
| MRA of the brain with contrast |
— |
$963 |
$458 |
$226 | |
| MRA of the brain without contrast |
— |
$963 |
$631 |
$328 | |
| MRA of the neck |
— |
$963 |
$434 |
$245 | |
| MRA of the neck with contrast |
— |
$963 |
$458 |
$245 | |
| MRA of the neck without contrast |
— |
$963 |
$631 |
$343 | |
| MRI of the abdomen |
— |
$963 |
$422 |
$300 | |
| MRI of the abdomen with contrast |
— |
$963 |
$458 |
$300 | |
| MRI of the abdomen without contrast |
— |
$613 |
$317 |
$194 | |
| MRI of the ankle |
— |
$788 |
$422 |
$261 | |
| MRI of the ankle without contrast |
— |
$613 |
$317 |
$222 | |
| MRI of the brain |
— |
$963 |
$436 |
$269 | |
| MRI of the brain with contrast |
— |
$963 |
$458 |
$269 | |
| MRI of the brain without contrast |
— |
$613 |
$317 |
$195 | |
| MRI of the chest |
— |
$963 |
$458 |
$371 | |
| MRI of the chest with contrast |
— |
$2,005 |
$848 |
$371 | |
| MRI of the chest without contrast |
— |
$963 |
$663 |
$466 | |
| MRI of the knee |
— |
$963 |
$436 |
$315 | |
| MRI of the knee with contrast |
— |
$2,005 |
$848 |
$315 | |
| MRI of the knee without contrast |
— |
$613 |
$317 |
$204 | |
| MRI of the lower back (lumbar spine) |
— |
$963 |
$431 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
— |
$963 |
$458 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
— |
$613 |
$352 |
$192 | |
| MRI of the mid-back (thoracic spine) |
— |
$963 |
$431 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
— |
$963 |
$663 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
— |
$963 |
$458 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
— |
$613 |
$352 |
$190 | |
| MRI of the neck (cervical spine) |
— |
$963 |
$431 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
— |
$963 |
$663 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
— |
$963 |
$458 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
— |
$613 |
$317 |
$191 | |
| MRI of the pelvis |
— |
$963 |
$431 |
$268 | |
| MRI of the pelvis with contrast |
— |
$963 |
$458 |
$268 | |
| MRI of the pelvis without contrast |
— |
$613 |
$318 |
$227 | |
| MRI of the shoulder |
— |
$963 |
$458 |
$313 | |
| MRI of the shoulder with contrast |
— |
$2,005 |
$848 |
$313 | |
| MRI of the shoulder without contrast |
— |
$613 |
$317 |
$205 | |
| MRI of the wrist |
— |
$788 |
$422 |
$330 | |
| MRI of the wrist without contrast |
— |
$613 |
$317 |
$303 | |
| Nebulizer breathing treatment |
— |
$534 |
$254 |
$9 | |
| Nuclear cardiac stress test |
— |
$3,555 |
$1,691 |
$428 | |
| Occupational therapy evaluation |
— |
$276 |
$94 |
$101 | |
| Occupational therapy evaluation (high complexity) |
— |
$276 |
$94 |
$101 | |
| Occupational therapy evaluation (low complexity) |
— |
$276 |
$94 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
— |
$276 |
$94 |
$101 | |
| Office visit (established patient) |
— |
$331 |
$106 |
$115 | |
| Office visit (new patient) |
— |
$331 |
$122 |
$177 | |
| Office visit, established patient (level 3) |
— |
$331 |
$90 |
$95 | |
| Office visit, established patient (level 4) |
— |
$331 |
$106 |
$136 | |
| Office visit, new patient (level 3) |
— |
$331 |
$105 |
$118 | |
| Office visit, new patient (level 4) |
— |
$331 |
$135 |
$177 | |
| Office visit, new patient (level 5) |
— |
$331 |
$158 |
$237 | |
| Orthopedic hardware removal |
— |
$13,478 |
$3,947 |
$632 | |
| Pap smear (cervical screening) |
— |
$70 |
$27 |
$20 | |
| Parathyroid hormone (PTH) test |
— |
$124 |
$56 |
$41 | |
| Pelvic ultrasound |
— |
$275 |
$131 |
$78 | |
| Pelvic ultrasound (complete) |
— |
$275 |
$131 |
$105 | |
| Pelvic ultrasound (limited) |
— |
$275 |
$131 |
$51 | |
| PET scan |
— |
$4,808 |
$1,863 |
— | |
| Phosphorus blood test |
— |
$14 |
$6 |
$5 | |
| Physical therapy evaluation |
— |
$274 |
$94 |
$98 | |
| Physical therapy evaluation (high complexity) |
— |
$274 |
$94 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
— |
$274 |
$94 |
$98 | |
| Pilonidal cyst removal |
— |
$12,356 |
$3,947 |
$541 | |
| Platelet count |
— |
$13 |
$5 |
$4 | |
| Pneumonia vaccine |
— |
$1 |
$131 |
— | |
| Pregnancy blood test (hCG) |
— |
$23 |
$10 |
$8 | |
| Pregnancy ultrasound |
— |
$275 |
$131 |
$126 | |
| Pregnancy ultrasound (first trimester) |
— |
$275 |
$131 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
— |
$275 |
$131 |
$136 | |
| Procalcitonin test |
— |
$82 |
$30 |
$27 | |
| Prolactin test |
— |
$58 |
$26 |
$19 | |
| Prostate biopsy |
— |
$12,089 |
$2,932 |
— | |
| Prostate test (PSA) |
— |
$58 |
$20 |
$18 | |
| Pulmonary rehabilitation |
— |
$153 |
$73 |
$87 | |
| Rotator cuff repair |
— |
$27,104 |
$8,520 |
$792 | |
| Scoliosis spine X-ray |
— |
$227 |
$100 |
$58 | |
| Scoliosis spine X-ray (1 view) |
— |
$227 |
$100 |
$44 | |
| Screening colonoscopy |
— |
$10,501 |
$1,089 |
$378 | |
| Screening mammogram |
— |
$232 |
$91 |
$126 | |
| Scrotal ultrasound |
— |
$275 |
$131 |
$99 | |
| Sedimentation rate (ESR) test |
— |
$8 |
$3 |
$3 | |
| Semen analysis |
— |
$37 |
$16 |
$12 | |
| Septoplasty (deviated septum) |
— |
$17,597 |
$3,992 |
$613 | |
| Sex hormone binding globulin test |
— |
$65 |
$29 |
$22 | |
| Shoulder arthroscopy |
— |
$26,913 |
$7,647 |
$962 | |
| Shoulder replacement |
— |
$97,897 |
$17,362 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
— |
$9,803 |
$306 |
$114 | |
| Simple wound stitches |
— |
$9,019 |
$306 |
$127 | |
| Sinus surgery (endoscopic) |
— |
$17,162 |
$4,003 |
$224 | |
| Skin biopsy |
— |
$8,236 |
$704 |
$121 | |
| Skin biopsy (punch) |
— |
$7,542 |
$695 |
$121 | |
| Skin cancer lesion removal |
— |
$7,320 |
$838 |
$240 | |
| Skin graft |
— |
$19,726 |
$3,344 |
$898 | |
| Skin lesion freezing (cryotherapy) |
— |
$5,812 |
$306 |
$36 | |
| Skin tag removal |
— |
$6,835 |
$306 |
$92 | |
| Sleep study (polysomnography) |
— |
$2,618 |
$1,245 |
$691 | |
| Soft tissue ultrasound |
— |
$275 |
$131 |
$64 | |
| Speech therapy |
— |
$210 |
$83 |
$76 | |
| Spinal tap (lumbar puncture) |
— |
$7,320 |
$1,065 |
$165 | |
| Spirometry with bronchodilator |
— |
$786 |
$374 |
$43 | |
| Strep throat test |
— |
$50 |
$19 |
$17 | |
| Stress echocardiogram |
— |
$1,381 |
$657 |
$209 | |
| Swallow study |
— |
$233 |
$76 |
$85 | |
| T3 thyroid test |
— |
$43 |
$19 |
$14 | |
| Tdap (tetanus) vaccine |
— |
$1 |
$20 |
— | |
| Testosterone test |
— |
$77 |
$35 |
$26 | |
| Thyroid removal (thyroidectomy) |
— |
$46,827 |
$6,872 |
$1,004 | |
| Thyroid test (TSH) |
— |
$50 |
$23 |
$17 | |
| Thyroid ultrasound |
— |
$275 |
$131 |
$109 | |
| Thyroid uptake scan |
— |
$1,033 |
$491 |
$145 | |
| Tonsillectomy |
— |
$28,548 |
$4,804 |
$252 | |
| Total IgE allergy test |
— |
$49 |
$22 |
$16 | |
| Total protein test |
— |
$11 |
$5 |
$4 | |
| Transesophageal echocardiogram (TEE) |
— |
$1,381 |
$657 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
— |
$1,381 |
$657 |
$239 | |
| Transvaginal ultrasound |
— |
$275 |
$131 |
$118 | |
| Trigger finger release |
— |
$6,993 |
$2,236 |
$630 | |
| Triglycerides test |
— |
$17 |
$8 |
$6 | |
| Troponin (heart) test |
— |
$37 |
$15 |
$12 | |
| Tubal ligation |
— |
$16,867 |
$6,872 |
$333 | |
| Turbinate reduction |
— |
$17,597 |
$3,992 |
$294 | |
| Turning a breech baby (version) |
— |
$7,827 |
$3,862 |
$94 | |
| Ulnar nerve surgery (elbow) |
— |
$16,673 |
$2,872 |
$575 | |
| Upper GI endoscopy (EGD) |
— |
$13,542 |
$1,080 |
$371 | |
| Upper GI series (barium) |
— |
$460 |
$207 |
$128 | |
| Ureteral stent placement |
— |
$19,628 |
$4,152 |
$373 | |
| Ureteroscopy (stone removal) |
— |
$27,011 |
$6,163 |
$365 | |
| Uric acid (gout) test |
— |
$14 |
$6 |
$5 | |
| Urinalysis |
— |
$8 |
$3 |
$3 | |
| Urine microalbumin test |
— |
$16 |
$7 |
$5 | |
| Urine pregnancy test |
— |
$26 |
$9 |
$9 | |
| Vaccine administration |
— |
$131 |
$77 |
$19 | |
| Vaccine administration (each additional) |
— |
$86 |
$45 |
$16 | |
| Vasectomy |
— |
$16,673 |
$2,932 |
$347 | |
| Vitamin B12 test |
— |
$45 |
$20 |
$15 | |
| Vitamin D test |
— |
$89 |
$40 |
$30 | |
| Wart removal |
— |
$8,200 |
$349 |
$121 | |
| Wound debridement |
— |
$10,667 |
$730 |
$186 | |
| Wrist fracture repair |
— |
$57,905 |
$8,520 |
$735 | |
| X-ray of the abdomen |
— |
$275 |
$122 |
$36 | |
| X-ray of the ankle |
— |
$227 |
$100 |
$37 | |
| X-ray of the collarbone |
— |
$227 |
$100 |
$33 | |
| X-ray of the elbow |
— |
$227 |
$100 |
$33 | |
| X-ray of the facial bones |
— |
$251 |
$122 |
$39 | |
| X-ray of the foot |
— |
$227 |
$100 |
$34 | |
| X-ray of the forearm |
— |
$227 |
$100 |
$29 | |
| X-ray of the hand |
— |
$227 |
$100 |
$38 | |
| X-ray of the hip |
— |
$227 |
$108 |
$49 | |
| X-ray of the hip (1 view) |
— |
$227 |
$100 |
$34 | |
| X-ray of the hip (3 views) |
— |
$227 |
$100 |
$49 | |
| X-ray of the hip (4 views) |
— |
$264 |
$131 |
$63 | |
| X-ray of the knee |
— |
$227 |
$108 |
$42 | |
| X-ray of the knee (2 views) |
— |
$227 |
$100 |
$34 | |
| X-ray of the knee (3 views) |
— |
$227 |
$100 |
$42 | |
| X-ray of the knee (4+ views) |
— |
$275 |
$131 |
$49 | |
| X-ray of the lower back (lumbar spine) |
— |
$275 |
$131 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
— |
$275 |
$131 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
— |
$275 |
$131 |
$53 | |
| X-ray of the lower leg |
— |
$227 |
$100 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
— |
$275 |
$131 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
— |
$275 |
$131 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
— |
$275 |
$131 |
$39 | |
| X-ray of the neck (cervical spine) |
— |
$251 |
$122 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
— |
$227 |
$108 |
$40 | |
| X-ray of the pelvis |
— |
$275 |
$131 |
$36 | |
| X-ray of the ribs |
— |
$275 |
$122 |
$42 | |
| X-ray of the ribs (2 views) |
— |
$227 |
$100 |
$36 | |
| X-ray of the ribs (3 views) |
— |
$275 |
$131 |
$42 | |
| X-ray of the shoulder |
— |
$227 |
$100 |
$36 | |
| X-ray of the skull |
— |
$275 |
$131 |
$40 | |
| X-ray of the upper arm |
— |
$227 |
$100 |
$32 | |
| X-ray of the wrist |
— |
$227 |
$100 |
$43 | |
| Zinc blood test |
— |
$34 |
$15 |
$11 | |