| 3D mammogram (tomosynthesis) |
$210 |
$324 |
$101 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$2,247 |
$3,456 |
$1,678 |
$284 | |
| Abdominal ultrasound |
$623 |
$959 |
$357 |
$100 | |
| Abdominal ultrasound (complete) |
$646 |
$994 |
$396 |
$114 | |
| Abdominal ultrasound (limited) |
$623 |
$959 |
$336 |
$86 | |
| Abscess drainage (complex or multiple) |
$764 |
$1,176 |
$504 |
$220 | |
| Abscess drainage (simple) |
$380 |
$585 |
$377 |
$129 | |
| Abscess incision and drainage |
$764 |
$1,176 |
$504 |
$174 | |
| Albumin blood test |
$54 |
$83 |
$23 |
$5 | |
| Aldosterone test |
$504 |
$775 |
$217 |
$41 | |
| Alkaline phosphatase test |
$97 |
$149 |
$42 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$238 |
$366 |
$102 |
$17 | |
| ALT liver enzyme test |
$43 |
$66 |
$19 |
$5 | |
| Ammonia blood test |
$174 |
$267 |
$75 |
$15 | |
| Amniocentesis |
$1,110 |
$1,707 |
$1,142 |
$120 | |
| Amylase test |
$104 |
$160 |
$45 |
$6 | |
| Anoscopy |
$318 |
$489 |
$318 |
$129 | |
| Antinuclear antibody (ANA) test |
$155 |
$239 |
$67 |
$12 | |
| Aortic aneurysm repair (AAA) |
$19,651 |
$30,233 |
$24,186 |
$1,345 | |
| Arterial blood gas (ABG) |
$284 |
$436 |
$122 |
$26 | |
| AST liver enzyme test |
$59 |
$90 |
$25 |
$5 | |
| Barium swallow study |
$626 |
$963 |
$335 |
$107 | |
| Bartholin cyst removal |
$377 |
$580 |
$377 |
$182 | |
| Basic metabolic panel |
$220 |
$339 |
$94 |
$8 | |
| Benign skin lesion removal |
$1,461 |
$2,247 |
$1,461 |
$171 | |
| Bilirubin blood test |
$88 |
$135 |
$38 |
$5 | |
| Bladder scope (cystoscopy) |
$2,735 |
$4,208 |
$2,735 |
$216 | |
| Blood clotting test (PT/INR) |
$39 |
$60 |
$17 |
$4 | |
| Blood crossmatch |
$288 |
$443 |
$288 |
— | |
| Blood glucose test |
$51 |
$78 |
$22 |
$5 | |
| Blood transfusion |
$1,223 |
$1,882 |
$979 |
$47 | |
| Blood type and screen |
$102 |
$156 |
$101 |
$10 | |
| Blood type test |
$153 |
$235 |
$95 |
$3 | |
| Blood type test (ABO group) |
$231 |
$355 |
$165 |
$3 | |
| Blood type test (Rh/D antigen) |
$75 |
$116 |
$46 |
$3 | |
| BNP (heart failure) test |
$317 |
$488 |
$137 |
$39 | |
| Bone density scan (DEXA) |
$249 |
$383 |
$249 |
$39 | |
| Bone marrow biopsy |
$2,913 |
$4,481 |
$3,466 |
$172 | |
| Bone scan (nuclear) |
$1,571 |
$2,416 |
$973 |
$259 | |
| Breast biopsy |
$3,023 |
$4,650 |
$2,866 |
$478 | |
| Breast MRI |
$1,723 |
$2,650 |
$1,210 |
$216 | |
| Breast MRI without contrast |
$1,723 |
$2,650 |
$984 |
$216 | |
| Breast ultrasound |
$731 |
$1,124 |
$356 |
$92 | |
| Breast ultrasound (complete) |
$731 |
$1,124 |
$374 |
$100 | |
| Breast ultrasound (limited) |
$686 |
$1,056 |
$356 |
$84 | |
| Breathing tube insertion (intubation) |
$792 |
$1,218 |
$975 |
$133 | |
| Bronchoscopy |
$3,449 |
$5,306 |
$3,449 |
$303 | |
| Burn dressing and debridement (medium) |
$439 |
$675 |
$411 |
$166 | |
| Burn dressing and debridement (small) |
$351 |
$540 |
$351 |
$93 | |
| Burn treatment |
$395 |
$607 |
$411 |
$129 | |
| C-reactive protein (CRP) |
$104 |
$160 |
$45 |
$5 | |
| CA 19-9 tumor marker test |
$226 |
$348 |
$97 |
$21 | |
| CA-125 ovarian marker test |
$253 |
$389 |
$109 |
$21 | |
| Calcium blood test |
$63 |
$97 |
$27 |
$5 | |
| Capsule endoscopy |
$3,584 |
$5,514 |
$3,529 |
$802 | |
| Cardiac MRI |
$1,777 |
$2,734 |
$1,112 |
$322 | |
| Cardiac MRI without contrast |
$1,204 |
$1,852 |
$984 |
$280 | |
| Cardiac stress test |
$1,590 |
$2,447 |
$856 |
$39 | |
| Cardioversion |
$1,786 |
$2,748 |
$1,403 |
$155 | |
| Carotid artery ultrasound |
$1,397 |
$2,149 |
$712 |
$156 | |
| Carpal tunnel release |
$3,288 |
$5,058 |
$2,942 |
$483 | |
| CEA tumor marker test |
$206 |
$317 |
$89 |
$19 | |
| Celiac disease test |
$182 |
$280 |
$78 |
$12 | |
| Central line placement |
$5,699 |
$8,767 |
$3,767 |
$238 | |
| Cesarean section (C-section) |
— |
— |
$16,404 |
$7,552 | |
| Chemotherapy infusion |
$880 |
$1,353 |
$613 |
$81 | |
| Chemotherapy infusion (each additional) |
$567 |
$873 |
$564 |
$28 | |
| Chemotherapy infusion (first hour) |
$1,192 |
$1,834 |
$954 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,629 |
$2,506 |
$1,678 |
$311 | |
| Chest tube insertion |
$2,875 |
$4,423 |
$2,182 |
$143 | |
| Chest X-ray |
$443 |
$681 |
$358 |
$37 | |
| Chest X-ray (1 view) |
$443 |
$681 |
$358 |
$25 | |
| Chest X-ray (2 views) |
$443 |
$681 |
$358 |
$33 | |
| Chickenpox (varicella) vaccine |
$449 |
$691 |
$442 |
— | |
| Circumcision |
$3,460 |
$5,323 |
$3,438 |
$167 | |
| CK-MB heart enzyme test |
$267 |
$411 |
$115 |
$12 | |
| Clotting time test (PTT) |
$72 |
$111 |
$31 |
$6 | |
| Colposcopy |
$1,156 |
$1,779 |
$1,130 |
$161 | |
| Complete blood count (CBC) |
$125 |
$193 |
$49 |
$7 | |
| Complete blood count (CBC) (complete) |
$150 |
$231 |
$65 |
$8 | |
| Complex wound repair |
$1,218 |
$1,874 |
$1,087 |
$390 | |
| Comprehensive metabolic panel |
$294 |
$452 |
$118 |
$11 | |
| Contraceptive implant (Nexplanon) |
$837 |
$1,288 |
$747 |
$115 | |
| Copper blood test |
$119 |
$183 |
$51 |
$12 | |
| Coronary artery bypass (CABG) |
— |
— |
$83,319 |
$36,593 | |
| Coronary CT angiography |
$1,605 |
$2,469 |
$1,439 |
$326 | |
| Cortisol test |
$251 |
$386 |
$108 |
$16 | |
| COVID-19 PCR test |
$44 |
$67 |
$54 |
$51 | |
| CPAP titration study |
$1,042 |
$1,603 |
$561 |
$69 | |
| Creatine kinase (CK) test |
$153 |
$235 |
$66 |
$7 | |
| CT angiography of the chest |
$2,737 |
$4,210 |
$1,179 |
$281 | |
| CT angiography of the head |
$2,484 |
$3,821 |
$1,070 |
$274 | |
| CT colonography (virtual colonoscopy) |
$1,333 |
$2,050 |
$1,312 |
$835 | |
| CT scan of the abdomen |
$2,542 |
$3,911 |
$862 |
$230 | |
| CT scan of the abdomen and pelvis |
$5,171 |
$7,956 |
$1,521 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$5,332 |
$8,202 |
$2,297 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$5,171 |
$7,956 |
$2,108 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,769 |
$4,260 |
$1,087 |
$183 | |
| CT scan of the abdomen with and without contrast |
$3,361 |
$5,171 |
$1,424 |
$259 | |
| CT scan of the abdomen with contrast |
$2,542 |
$3,911 |
$1,095 |
$230 | |
| CT scan of the abdomen without contrast |
$1,805 |
$2,776 |
$777 |
$136 | |
| CT scan of the arm |
$2,054 |
$3,159 |
$1,068 |
$199 | |
| CT scan of the arm with contrast |
$2,054 |
$3,159 |
$1,286 |
$199 | |
| CT scan of the arm without contrast |
$1,883 |
$2,897 |
$811 |
$161 | |
| CT scan of the chest |
$2,606 |
$4,009 |
$888 |
$167 | |
| CT scan of the chest with and without contrast |
$3,174 |
$4,883 |
$1,367 |
$196 | |
| CT scan of the chest with contrast |
$2,606 |
$4,009 |
$1,123 |
$167 | |
| CT scan of the chest without contrast |
$2,061 |
$3,171 |
$811 |
$133 | |
| CT scan of the head |
$2,186 |
$3,364 |
$726 |
$148 | |
| CT scan of the head with and without contrast |
$2,621 |
$4,033 |
$1,129 |
$173 | |
| CT scan of the head with contrast |
$2,186 |
$3,364 |
$937 |
$148 | |
| CT scan of the head without contrast |
$1,644 |
$2,529 |
$702 |
$107 | |
| CT scan of the leg |
$1,782 |
$2,742 |
$1,070 |
$166 | |
| CT scan of the leg with contrast |
$1,782 |
$2,742 |
$1,113 |
$166 | |
| CT scan of the leg without contrast |
$1,436 |
$2,209 |
$812 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,391 |
$3,679 |
$963 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,410 |
$3,707 |
$1,038 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,391 |
$3,679 |
$1,288 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,788 |
$2,750 |
$770 |
$130 | |
| CT scan of the neck |
$1,870 |
$2,876 |
$805 |
$183 | |
| CT scan of the neck (cervical spine) |
$2,320 |
$3,569 |
$922 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,355 |
$3,624 |
$1,015 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$2,320 |
$3,569 |
$1,249 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,712 |
$2,634 |
$737 |
$131 | |
| CT scan of the neck with and without contrast |
$2,311 |
$3,555 |
$995 |
$220 | |
| CT scan of the neck with contrast |
$1,870 |
$2,876 |
$805 |
$183 | |
| CT scan of the neck without contrast |
$1,594 |
$2,452 |
$687 |
$150 | |
| CT scan of the pelvis |
$2,159 |
$3,322 |
$827 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,431 |
$3,740 |
$1,047 |
$251 | |
| CT scan of the pelvis with contrast |
$2,159 |
$3,322 |
$930 |
$226 | |
| CT scan of the pelvis without contrast |
$1,565 |
$2,408 |
$674 |
$133 | |
| CT scan of the sinuses |
$2,054 |
$3,161 |
$870 |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,552 |
$3,926 |
$1,099 |
$184 | |
| CT scan of the sinuses with contrast |
$2,054 |
$3,161 |
$885 |
$152 | |
| CT scan of the sinuses without contrast |
$1,699 |
$2,613 |
$732 |
$128 | |
| D-dimer test |
$186 |
$286 |
$80 |
$10 | |
| Developmental screening (child) |
$437 |
$672 |
$538 |
— | |
| DHEA-sulfate test |
$213 |
$328 |
$92 |
$22 | |
| Diagnostic mammogram |
$412 |
$634 |
$177 |
$140 | |
| Drug screen (urine) |
$247 |
$380 |
$124 |
$17 | |
| Echocardiogram |
$1,879 |
$2,890 |
$1,040 |
$138 | |
| Echocardiogram with and without contrast |
$1,408 |
$2,166 |
$1,014 |
$101 | |
| Echocardiogram without contrast |
$1,879 |
$2,890 |
$1,014 |
$138 | |
| EEG (awake and asleep) |
$1,055 |
$1,624 |
$941 |
$482 | |
| EKG / ECG (tracing only) |
$225 |
$347 |
$121 |
$7 | |
| Electrocardiogram (EKG) |
$225 |
$347 |
$121 |
$8 | |
| Electroencephalogram (EEG) |
$1,055 |
$1,624 |
$890 |
$448 | |
| Electrolyte panel |
$89 |
$137 |
$38 |
$7 | |
| Emergency department visit |
$1,135 |
$1,746 |
$639 |
$69 | |
| Emergency department visit (level 1) |
$461 |
$710 |
$395 |
$11 | |
| Emergency department visit (level 2) |
$738 |
$1,136 |
$398 |
$40 | |
| Emergency department visit (level 3) |
$1,135 |
$1,746 |
$640 |
$69 | |
| Emergency department visit (level 4) |
$1,776 |
$2,732 |
$1,501 |
$118 | |
| Emergency department visit (level 5) |
$2,645 |
$4,070 |
$2,456 |
$171 | |
| Endometrial biopsy |
$633 |
$974 |
$779 |
$98 | |
| Epidural steroid injection |
$1,458 |
$2,244 |
$1,649 |
$275 | |
| ERCP (bile duct endoscopy) |
$7,138 |
$10,982 |
$5,819 |
$311 | |
| Esophageal dilation |
$2,872 |
$4,419 |
$2,335 |
$522 | |
| Estradiol (estrogen) test |
$268 |
$413 |
$116 |
$28 | |
| Facet joint injection (spine) |
$1,860 |
$2,862 |
$1,567 |
$99 | |
| Fallopian tube X-ray (HSG) |
$1,284 |
$1,976 |
$553 |
$164 | |
| Family therapy session |
$523 |
$804 |
$376 |
$110 | |
| Fecal occult blood (stool) test |
$61 |
$94 |
$23 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$47 |
$72 |
$15 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$149 |
$229 |
$64 |
$16 | |
| Feeding tube (PEG) placement |
$3,186 |
$4,902 |
$2,843 |
$178 | |
| Ferritin (iron) test |
$212 |
$326 |
$91 |
$14 | |
| Fibrinogen test |
$131 |
$202 |
$57 |
$10 | |
| Flu test |
$100 |
$154 |
$43 |
$17 | |
| Folate (folic acid) test |
$120 |
$184 |
$51 |
$15 | |
| Foreign body removal (skin) |
$764 |
$1,176 |
$682 |
$157 | |
| Free T4 thyroid test |
$102 |
$157 |
$44 |
$9 | |
| FSH hormone test |
$155 |
$239 |
$67 |
$19 | |
| Gallbladder scan (HIDA) |
$2,213 |
$3,404 |
$1,209 |
$334 | |
| Ganglion cyst removal |
$6,782 |
$10,435 |
$2,881 |
$321 | |
| GGT liver test |
$115 |
$177 |
$50 |
$7 | |
| Glucose tolerance test |
$71 |
$110 |
$21 |
$8 | |
| Group therapy session |
$527 |
$811 |
$521 |
$30 | |
| H. pylori test |
$422 |
$649 |
$182 |
$67 | |
| HDL cholesterol test |
$90 |
$139 |
$39 |
$8 | |
| Hematocrit test |
$32 |
$49 |
$14 |
$2 | |
| Hemodialysis |
$2,772 |
$4,265 |
$1,917 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$124 |
$191 |
$50 |
$10 | |
| Hemorrhoid removal |
$1,481 |
$2,279 |
$1,481 |
$338 | |
| Hepatitis A vaccine |
$189 |
$291 |
$169 |
— | |
| Hepatitis B test |
$112 |
$173 |
$48 |
$10 | |
| Hepatitis B vaccine |
$92 |
$141 |
$68 |
— | |
| Hepatitis C test |
$176 |
$270 |
$76 |
$14 | |
| HIV test |
$141 |
$217 |
$61 |
$19 | |
| HIV test (antibody) |
$141 |
$217 |
$61 |
$14 | |
| HIV test (antigen/antibody combo) |
$230 |
$354 |
$99 |
$24 | |
| Holter heart monitor |
$695 |
$1,069 |
$250 |
$26 | |
| HPV vaccine |
$650 |
$1,000 |
$640 |
— | |
| Iron blood test |
$96 |
$148 |
$42 |
$6 | |
| IUD insertion |
$408 |
$628 |
$472 |
— | |
| IUD removal |
$577 |
$887 |
$515 |
$112 | |
| IV infusion therapy |
$443 |
$682 |
$261 |
$44 | |
| IV infusion therapy (each additional) |
$143 |
$220 |
$143 |
$21 | |
| IV infusion therapy (initial) |
$744 |
$1,144 |
$613 |
$67 | |
| IVC filter placement |
$12,734 |
$19,591 |
$8,284 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$649 |
$999 |
$536 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$649 |
$999 |
$536 |
$57 | |
| Joint aspiration or injection (small joint) |
$933 |
$1,436 |
$684 |
$56 | |
| Kidney biopsy |
$2,663 |
$4,097 |
$2,726 |
$492 | |
| Kidney scan (nuclear) |
$1,938 |
$2,982 |
$835 |
$172 | |
| Kidney ultrasound |
$645 |
$992 |
$357 |
$84 | |
| Kidney ultrasound (limited) |
$645 |
$992 |
$286 |
$61 | |
| Knee joint injection |
$682 |
$1,049 |
$536 |
$69 | |
| Knee replacement |
— |
— |
$38,368 |
$18,054 | |
| Lactate test |
$134 |
$206 |
$58 |
$12 | |
| Laryngoscopy |
$414 |
$636 |
$400 |
$189 | |
| LDH test |
$69 |
$105 |
$30 |
$6 | |
| LDL cholesterol test |
$94 |
$145 |
$41 |
$11 | |
| Leg artery angiogram |
$6,590 |
$10,138 |
$3,759 |
$149 | |
| Leg vein ultrasound (Doppler) |
$1,294 |
$1,991 |
$688 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$994 |
$1,530 |
$519 |
$116 | |
| LH hormone test |
$155 |
$238 |
$67 |
$19 | |
| Lipase test |
$75 |
$115 |
$32 |
$7 | |
| Lipid (cholesterol) panel |
$95 |
$146 |
$41 |
$13 | |
| Liver biopsy |
$2,663 |
$4,097 |
$2,010 |
$288 | |
| Liver function panel |
$232 |
$357 |
$91 |
$8 | |
| Lower back (lumbar) spinal fusion |
— |
— |
$62,636 |
$1,511 | |
| Lung function test (PFT) |
$422 |
$650 |
$268 |
$37 | |
| Lung scan (V/Q) |
$1,788 |
$2,750 |
$1,898 |
$291 | |
| Magnesium blood test |
$73 |
$112 |
$31 |
$7 | |
| MMR vaccine |
$300 |
$461 |
$295 |
— | |
| MRA of the brain |
$2,426 |
$3,732 |
$1,306 |
$226 | |
| MRA of the brain with contrast |
$2,426 |
$3,732 |
$1,439 |
$226 | |
| MRA of the brain without contrast |
$2,668 |
$4,105 |
$1,439 |
$328 | |
| MRA of the neck |
$1,991 |
$3,063 |
$1,184 |
$245 | |
| MRA of the neck with contrast |
$1,991 |
$3,063 |
$1,439 |
$245 | |
| MRA of the neck without contrast |
$2,668 |
$4,105 |
$1,439 |
$343 | |
| MRI of the abdomen |
$2,534 |
$3,899 |
$1,333 |
$300 | |
| MRI of the abdomen with contrast |
$2,850 |
$4,385 |
$1,521 |
$300 | |
| MRI of the abdomen without contrast |
$2,219 |
$3,413 |
$970 |
$194 | |
| MRI of the ankle |
$2,205 |
$3,392 |
$1,521 |
$261 | |
| MRI of the ankle with contrast |
$2,100 |
$3,231 |
$1,737 |
$261 | |
| MRI of the ankle without contrast |
$1,971 |
$3,032 |
$1,061 |
$222 | |
| MRI of the brain |
$2,692 |
$4,141 |
$1,439 |
$269 | |
| MRI of the brain with contrast |
$2,692 |
$4,141 |
$1,449 |
$269 | |
| MRI of the brain without contrast |
$2,109 |
$3,245 |
$984 |
$195 | |
| MRI of the chest |
$2,404 |
$3,698 |
$1,439 |
$371 | |
| MRI of the chest with contrast |
$2,710 |
$4,170 |
$1,787 |
$371 | |
| MRI of the chest without contrast |
$3,464 |
$5,329 |
$1,521 |
$466 | |
| MRI of the knee |
$2,013 |
$3,097 |
$1,456 |
$315 | |
| MRI of the knee with contrast |
$2,117 |
$3,257 |
$1,899 |
$315 | |
| MRI of the knee without contrast |
$1,909 |
$2,937 |
$984 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,005 |
$3,084 |
$1,188 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,214 |
$3,406 |
$1,439 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,796 |
$2,763 |
$870 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,993 |
$3,066 |
$1,187 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,965 |
$4,562 |
$1,521 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,208 |
$3,398 |
$1,439 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,777 |
$2,734 |
$861 |
$190 | |
| MRI of the neck (cervical spine) |
$2,101 |
$3,233 |
$1,237 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,994 |
$4,606 |
$1,521 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,434 |
$3,745 |
$1,439 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,769 |
$2,721 |
$857 |
$191 | |
| MRI of the pelvis |
$2,484 |
$3,821 |
$1,417 |
$268 | |
| MRI of the pelvis with contrast |
$2,484 |
$3,821 |
$1,439 |
$268 | |
| MRI of the pelvis without contrast |
$1,782 |
$2,742 |
$984 |
$227 | |
| MRI of the shoulder |
$2,217 |
$3,411 |
$1,618 |
$313 | |
| MRI of the shoulder with contrast |
$1,954 |
$3,006 |
$1,787 |
$313 | |
| MRI of the shoulder without contrast |
$1,842 |
$2,833 |
$1,040 |
$205 | |
| MRI of the wrist |
$2,482 |
$3,819 |
$1,521 |
$330 | |
| MRI of the wrist with contrast |
$2,710 |
$4,170 |
$1,737 |
$330 | |
| MRI of the wrist without contrast |
$1,971 |
$3,032 |
$1,061 |
$303 | |
| Nebulizer breathing treatment |
$381 |
$586 |
$272 |
$9 | |
| Nerve conduction study |
$543 |
$835 |
$290 |
$118 | |
| Nuchal translucency ultrasound |
$272 |
$419 |
$272 |
$116 | |
| Nuclear cardiac stress test |
$5,562 |
$8,556 |
$2,396 |
$428 | |
| Occupational therapy evaluation |
$494 |
$760 |
$491 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$494 |
$760 |
$491 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$494 |
$760 |
$491 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$494 |
$760 |
$491 |
$101 | |
| Office visit (established patient) |
$185 |
$284 |
$242 |
$115 | |
| Office visit (new patient) |
$254 |
$390 |
$291 |
$177 | |
| Office visit, established patient (level 3) |
$185 |
$284 |
$227 |
$95 | |
| Office visit, established patient (level 4) |
$225 |
$347 |
$277 |
$136 | |
| Office visit, new patient (level 3) |
$212 |
$326 |
$260 |
$118 | |
| Office visit, new patient (level 4) |
$254 |
$390 |
$312 |
$177 | |
| Office visit, new patient (level 5) |
$302 |
$464 |
$371 |
$237 | |
| Orthopedic hardware removal |
$5,934 |
$9,130 |
$5,170 |
$632 | |
| Pacemaker insertion |
— |
— |
$37,990 |
$15,506 | |
| Pap smear (cervical screening) |
$195 |
$299 |
$84 |
$20 | |
| Parathyroid hormone (PTH) test |
$449 |
$691 |
$193 |
$41 | |
| Pelvic ultrasound |
$782 |
$1,203 |
$357 |
$78 | |
| Pelvic ultrasound (complete) |
$782 |
$1,203 |
$421 |
$105 | |
| Pelvic ultrasound (limited) |
$333 |
$512 |
$236 |
$51 | |
| PET scan |
$5,841 |
$8,986 |
$3,535 |
— | |
| Phosphorus blood test |
$57 |
$88 |
$25 |
$5 | |
| Physical therapy evaluation |
$494 |
$760 |
$491 |
$98 | |
| Physical therapy evaluation (high complexity) |
$494 |
$760 |
$491 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$494 |
$760 |
$491 |
$98 | |
| Platelet count |
$70 |
$107 |
$30 |
$4 | |
| Pneumonia vaccine |
$262 |
$404 |
$126 |
— | |
| Pregnancy blood test (hCG) |
$81 |
$124 |
$35 |
$8 | |
| Pregnancy ultrasound |
$605 |
$931 |
$380 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$541 |
$833 |
$337 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$669 |
$1,029 |
$400 |
$136 | |
| Procalcitonin test |
$254 |
$390 |
$109 |
$27 | |
| Prolactin test |
$83 |
$127 |
$36 |
$19 | |
| Prostate test (PSA) |
$149 |
$230 |
$64 |
$18 | |
| Radiofrequency nerve ablation |
$3,585 |
$5,516 |
$3,171 |
$462 | |
| RSV vaccine |
$566 |
$870 |
$557 |
— | |
| Sacroiliac joint injection |
$1,264 |
$1,945 |
$1,186 |
$176 | |
| Scoliosis spine X-ray |
$220 |
$339 |
$179 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$184 |
$283 |
$179 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$257 |
$395 |
$253 |
$72 | |
| Screening mammogram |
$490 |
$754 |
$211 |
$126 | |
| Scrotal ultrasound |
$395 |
$608 |
$348 |
$99 | |
| Sedimentation rate (ESR) test |
$34 |
$53 |
$12 |
$3 | |
| Semen analysis |
$106 |
$164 |
$46 |
$12 | |
| Sex hormone binding globulin test |
$209 |
$321 |
$90 |
$22 | |
| Shingles vaccine |
$340 |
$523 |
$335 |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
$380 |
$585 |
$380 |
$114 | |
| Simple wound stitches |
$380 |
$585 |
$380 |
$127 | |
| Skin biopsy |
$764 |
$1,176 |
$899 |
$121 | |
| Skin biopsy (punch) |
$764 |
$1,176 |
$764 |
$121 | |
| Skin lesion freezing (cryotherapy) |
$380 |
$585 |
$318 |
$36 | |
| Skin tag removal |
$380 |
$585 |
$377 |
$92 | |
| Soft tissue ultrasound |
$358 |
$551 |
$236 |
$64 | |
| Speech therapy |
$338 |
$520 |
$336 |
$76 | |
| Spinal cord stimulator |
$15,566 |
$23,947 |
$13,470 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$1,325 |
$2,038 |
$1,631 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$17,213 |
$26,481 |
$10,827 |
$5,803 | |
| Spirometry (lung function test) |
$422 |
$650 |
$268 |
$30 | |
| Strep throat test |
$100 |
$154 |
$43 |
$17 | |
| Stress echocardiogram |
$2,344 |
$3,607 |
$1,262 |
$209 | |
| Swallow study |
$425 |
$654 |
$419 |
$85 | |
| T3 thyroid test |
$133 |
$205 |
$57 |
$14 | |
| Tdap (tetanus) vaccine |
$133 |
$205 |
$110 |
— | |
| Testosterone test |
$255 |
$393 |
$110 |
$26 | |
| Thyroid test (TSH) |
$183 |
$281 |
$79 |
$17 | |
| Thyroid ultrasound |
$623 |
$959 |
$342 |
$109 | |
| Thyroid uptake scan |
$1,114 |
$1,714 |
$798 |
$145 | |
| Tilt table test |
$1,537 |
$2,365 |
$828 |
$168 | |
| Total IgE allergy test |
$154 |
$237 |
$66 |
$16 | |
| Total protein test |
$30 |
$46 |
$13 |
$4 | |
| Tracheostomy |
$6,228 |
$9,581 |
$5,557 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$3,618 |
$5,567 |
$1,948 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$3,618 |
$5,567 |
$1,948 |
$239 | |
| Transvaginal ultrasound |
$695 |
$1,069 |
$374 |
$118 | |
| Trigger finger release |
$4,250 |
$6,539 |
$2,881 |
$630 | |
| Trigger point injection |
$626 |
$963 |
$536 |
$56 | |
| Trigger point injection (1-2 muscles) |
$626 |
$963 |
$536 |
$52 | |
| Triglycerides test |
$81 |
$124 |
$35 |
$6 | |
| Troponin (heart) test |
$215 |
$331 |
$93 |
$12 | |
| Upper GI endoscopy (EGD) |
$1,463 |
$2,252 |
$1,678 |
$371 | |
| Upper GI series (barium) |
$845 |
$1,301 |
$417 |
$128 | |
| Uric acid (gout) test |
$83 |
$128 |
$36 |
$5 | |
| Urinalysis |
$24 |
$38 |
$11 |
$3 | |
| Urine microalbumin test |
$122 |
$187 |
$34 |
$5 | |
| Urine pregnancy test |
$71 |
$109 |
$30 |
$9 | |
| Vaccine administration |
$136 |
$210 |
$86 |
$19 | |
| Vaccine administration (each additional) |
$67 |
$103 |
$67 |
$16 | |
| Vaginal delivery |
— |
— |
$10,591 |
$5,487 | |
| Varicose vein ablation |
$9,361 |
$14,401 |
$5,713 |
$1,018 | |
| Vitamin B12 test |
$123 |
$189 |
$53 |
$15 | |
| Vitamin D test |
$241 |
$370 |
$104 |
$30 | |
| Wart removal |
$895 |
$1,377 |
$482 |
$121 | |
| Weight-loss (bariatric) surgery |
— |
— |
$30,028 |
$11,645 | |
| Wound debridement |
$1,843 |
$2,835 |
$1,646 |
$186 | |
| X-ray of the abdomen |
$417 |
$641 |
$195 |
$36 | |
| X-ray of the ankle |
$420 |
$647 |
$200 |
$37 | |
| X-ray of the collarbone |
$438 |
$674 |
$212 |
$33 | |
| X-ray of the elbow |
$756 |
$1,163 |
$240 |
$33 | |
| X-ray of the facial bones |
$319 |
$491 |
$146 |
$39 | |
| X-ray of the foot |
$565 |
$870 |
$219 |
$34 | |
| X-ray of the forearm |
$473 |
$728 |
$205 |
$29 | |
| X-ray of the hand |
$467 |
$719 |
$206 |
$38 | |
| X-ray of the hip |
$181 |
$279 |
$141 |
$49 | |
| X-ray of the hip (1 view) |
$181 |
$279 |
$141 |
$34 | |
| X-ray of the hip (3 views) |
$181 |
$279 |
$141 |
$49 | |
| X-ray of the hip (4 views) |
$300 |
$462 |
$141 |
$63 | |
| X-ray of the knee |
$378 |
$581 |
$215 |
$42 | |
| X-ray of the knee (2 views) |
$288 |
$443 |
$144 |
$34 | |
| X-ray of the knee (3 views) |
$808 |
$1,242 |
$240 |
$42 | |
| X-ray of the knee (4+ views) |
$649 |
$998 |
$240 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$515 |
$792 |
$209 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$401 |
$617 |
$173 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$629 |
$968 |
$271 |
$53 | |
| X-ray of the lower leg |
$315 |
$485 |
$153 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$249 |
$383 |
$131 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$249 |
$383 |
$131 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$249 |
$383 |
$134 |
$39 | |
| X-ray of the neck (cervical spine) |
$342 |
$526 |
$147 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$342 |
$526 |
$147 |
$40 | |
| X-ray of the pelvis |
$354 |
$544 |
$153 |
$36 | |
| X-ray of the pelvis (1 view) |
$336 |
$516 |
$145 |
$28 | |
| X-ray of the ribs |
$340 |
$523 |
$152 |
$42 | |
| X-ray of the ribs (2 views) |
$190 |
$292 |
$120 |
$36 | |
| X-ray of the ribs (3 views) |
$340 |
$523 |
$152 |
$42 | |
| X-ray of the shoulder |
$478 |
$736 |
$214 |
$36 | |
| X-ray of the skull |
$439 |
$675 |
$185 |
$40 | |
| X-ray of the upper arm |
$306 |
$471 |
$132 |
$32 | |
| X-ray of the wrist |
$479 |
$736 |
$223 |
$43 | |
| Zinc blood test |
$109 |
$168 |
$47 |
$11 | |