| 3D mammogram (tomosynthesis) |
$148 |
$186 |
$147 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$432 |
$540 |
$486 |
$284 | |
| Abdominal ultrasound |
$869 |
$1,086 |
$978 |
$100 | |
| Abdominal ultrasound (complete) |
$955 |
$1,194 |
$1,075 |
$114 | |
| Abdominal ultrasound (limited) |
$782 |
$978 |
$880 |
$86 | |
| Abscess drainage (complex or multiple) |
$844 |
$1,055 |
$295 |
$220 | |
| Abscess drainage (simple) |
$355 |
$444 |
$400 |
$129 | |
| Abscess incision and drainage |
$368 |
$460 |
$400 |
$174 | |
| Achilles tendon repair |
$2,514 |
$3,143 |
$880 |
$624 | |
| ACL knee reconstruction |
$10,984 |
$13,730 |
$3,844 |
$889 | |
| Adenoid removal (adenoidectomy) |
$1,270 |
$1,588 |
$445 |
$204 | |
| Allergy shots |
$62 |
$77 |
$67 |
$11 | |
| Ankle fracture repair |
$2,653 |
$3,317 |
$977 |
$608 | |
| Anoscopy |
$283 |
$354 |
$99 |
$129 | |
| Barium swallow study |
$762 |
$952 |
$520 |
$107 | |
| Bartholin cyst removal |
$371 |
$464 |
$418 |
$182 | |
| Benign skin lesion removal |
$630 |
$788 |
$221 |
$171 | |
| Bladder scope (cystoscopy) |
$864 |
$1,080 |
$334 |
$216 | |
| Bladder tumor removal (TURBT) |
$1,609 |
$2,011 |
$517 |
$236 | |
| Blood transfusion |
$759 |
$949 |
$854 |
$47 | |
| Bone density scan (DEXA) |
$606 |
$758 |
$682 |
$39 | |
| Bone scan (nuclear) |
$2,000 |
$2,500 |
$2,238 |
$259 | |
| Breast biopsy |
$3,302 |
$4,127 |
$3,508 |
$478 | |
| Breast ultrasound |
$511 |
$639 |
$581 |
$92 | |
| Breast ultrasound (complete) |
$519 |
$649 |
$584 |
$100 | |
| Breast ultrasound (limited) |
$502 |
$628 |
$565 |
$84 | |
| Breathing tube insertion (intubation) |
$489 |
$611 |
$550 |
$133 | |
| Bunion surgery (bunionectomy) |
$1,829 |
$2,286 |
$640 |
$883 | |
| Burn dressing and debridement (medium) |
$131 |
$164 |
$148 |
$166 | |
| Burn dressing and debridement (small) |
$91 |
$114 |
$103 |
$93 | |
| Burn treatment |
$111 |
$139 |
$114 |
$129 | |
| Cardiac rehabilitation |
$214 |
$267 |
$240 |
$26 | |
| Cardiac stress test |
$1,127 |
$1,409 |
$1,339 |
$39 | |
| Cardioversion |
$1,440 |
$1,800 |
$1,611 |
$155 | |
| Carotid artery ultrasound |
$1,720 |
$2,150 |
$1,924 |
$156 | |
| Carpal tunnel release |
$3,747 |
$4,684 |
$1,312 |
$483 | |
| Cataract surgery |
$5,951 |
$7,439 |
$5,801 |
$547 | |
| Central line placement |
$1,123 |
$1,404 |
$1,243 |
$238 | |
| Cervical LEEP procedure |
$2,026 |
$2,532 |
$709 |
$325 | |
| Chemotherapy infusion |
$304 |
$380 |
$221 |
$81 | |
| Chemotherapy infusion (each additional) |
$177 |
$221 |
$199 |
$28 | |
| Chemotherapy infusion (first hour) |
$430 |
$538 |
$484 |
$133 | |
| Chest fluid drain (thoracentesis) |
$423 |
$529 |
$476 |
$311 | |
| Chest tube insertion |
$1,210 |
$1,513 |
$1,347 |
$143 | |
| Chest X-ray |
$406 |
$508 |
$439 |
$37 | |
| Chest X-ray (1 view) |
$249 |
$311 |
$280 |
$25 | |
| Chest X-ray (2 views) |
$351 |
$439 |
$395 |
$33 | |
| Circumcision |
$1,122 |
$1,403 |
$393 |
$167 | |
| Colon resection (colectomy) |
$5,791 |
$7,239 |
$2,335 |
$1,238 | |
| Colonoscopy |
$2,328 |
$2,910 |
$815 |
$480 | |
| Colostomy |
$4,668 |
$5,835 |
$1,634 |
$1,122 | |
| Colposcopy |
$862 |
$1,078 |
$302 |
$161 | |
| Complex wound repair |
$1,282 |
$1,602 |
$449 |
$390 | |
| Contraceptive implant (Nexplanon) |
$970 |
$1,213 |
$340 |
$115 | |
| CPAP titration study |
$705 |
$882 |
$574 |
$69 | |
| CT angiography of the chest |
$4,110 |
$5,137 |
$4,366 |
$281 | |
| CT angiography of the head |
$4,110 |
$5,137 |
$4,366 |
$274 | |
| CT scan of the abdomen |
$3,348 |
$4,185 |
$3,326 |
$230 | |
| CT scan of the abdomen and pelvis |
$6,030 |
$7,538 |
$5,152 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$6,297 |
$7,871 |
$6,690 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$6,030 |
$7,538 |
$6,407 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$4,658 |
$5,822 |
$4,949 |
$183 | |
| CT scan of the abdomen with and without contrast |
$3,502 |
$4,378 |
$3,743 |
$259 | |
| CT scan of the abdomen with contrast |
$3,348 |
$4,185 |
$3,641 |
$230 | |
| CT scan of the abdomen without contrast |
$2,738 |
$3,423 |
$3,064 |
$136 | |
| CT scan of the arm |
$2,983 |
$3,729 |
$2,283 |
$199 | |
| CT scan of the arm with contrast |
$2,983 |
$3,729 |
$3,322 |
$199 | |
| CT scan of the arm without contrast |
$1,826 |
$2,283 |
$2,043 |
$161 | |
| CT scan of the chest |
$3,348 |
$4,185 |
$3,042 |
$167 | |
| CT scan of the chest with and without contrast |
$3,502 |
$4,378 |
$3,743 |
$196 | |
| CT scan of the chest with contrast |
$3,348 |
$4,185 |
$3,578 |
$167 | |
| CT scan of the chest without contrast |
$2,434 |
$3,042 |
$2,723 |
$133 | |
| CT scan of the head |
$3,348 |
$4,185 |
$3,042 |
$148 | |
| CT scan of the head with and without contrast |
$3,502 |
$4,378 |
$3,743 |
$173 | |
| CT scan of the head with contrast |
$3,348 |
$4,185 |
$3,641 |
$148 | |
| CT scan of the head without contrast |
$2,434 |
$3,042 |
$2,723 |
$107 | |
| CT scan of the leg |
$2,587 |
$3,234 |
$2,283 |
$166 | |
| CT scan of the leg with contrast |
$2,587 |
$3,234 |
$2,911 |
$166 | |
| CT scan of the leg without contrast |
$1,826 |
$2,283 |
$2,055 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$3,348 |
$4,185 |
$3,042 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$3,502 |
$4,378 |
$3,809 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$3,348 |
$4,185 |
$3,641 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$2,434 |
$3,042 |
$2,723 |
$130 | |
| CT scan of the neck |
$3,043 |
$3,804 |
$3,042 |
$183 | |
| CT scan of the neck (cervical spine) |
$3,348 |
$4,185 |
$3,042 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$3,502 |
$4,378 |
$3,809 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$3,348 |
$4,185 |
$3,641 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$2,434 |
$3,042 |
$2,723 |
$131 | |
| CT scan of the neck with and without contrast |
$3,196 |
$3,995 |
$3,476 |
$220 | |
| CT scan of the neck with contrast |
$3,043 |
$3,804 |
$3,326 |
$183 | |
| CT scan of the neck without contrast |
$2,434 |
$3,042 |
$2,738 |
$150 | |
| CT scan of the pelvis |
$3,348 |
$4,185 |
$3,042 |
$226 | |
| CT scan of the pelvis with and without contrast |
$3,502 |
$4,378 |
$3,809 |
$251 | |
| CT scan of the pelvis with contrast |
$3,348 |
$4,185 |
$3,641 |
$226 | |
| CT scan of the pelvis without contrast |
$2,434 |
$3,042 |
$2,723 |
$133 | |
| CT scan of the sinuses |
$2,587 |
$3,234 |
$2,093 |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,882 |
$3,603 |
$3,225 |
$184 | |
| CT scan of the sinuses with contrast |
$2,587 |
$3,234 |
$2,894 |
$152 | |
| CT scan of the sinuses without contrast |
$1,674 |
$2,093 |
$1,873 |
$128 | |
| Developmental screening (child) |
$387 |
$484 |
$436 |
— | |
| Diagnostic mammogram |
$350 |
$438 |
$375 |
$140 | |
| Dilation and curettage (D&C) |
$1,776 |
$2,220 |
$622 |
$298 | |
| Ear tubes (myringotomy) |
$1,156 |
$1,445 |
$405 |
$174 | |
| Echocardiogram |
$1,860 |
$2,326 |
$1,390 |
$138 | |
| Echocardiogram with and without contrast |
$1,222 |
$1,527 |
$1,374 |
$101 | |
| EEG (awake and asleep) |
$796 |
$995 |
$896 |
$482 | |
| EKG / ECG (tracing only) |
$236 |
$295 |
$266 |
$7 | |
| Electrocardiogram (EKG) |
$236 |
$295 |
$295 |
$8 | |
| Electroencephalogram (EEG) |
$764 |
$956 |
$876 |
$448 | |
| Emergency department visit |
$208 |
$260 |
$73 |
$69 | |
| Emergency department visit (level 1) |
$136 |
$170 |
$48 |
$11 | |
| Emergency department visit (level 2) |
$208 |
$260 |
$73 |
$40 | |
| Emergency department visit (level 3) |
$422 |
$527 |
$148 |
$69 | |
| Emergency department visit (level 4) |
$565 |
$706 |
$198 |
$118 | |
| Emergency department visit (level 5) |
$847 |
$1,059 |
$297 |
$171 | |
| Endometrial biopsy |
$523 |
$654 |
$183 |
$98 | |
| Epidural steroid injection |
$1,360 |
$1,700 |
$1,496 |
$275 | |
| Fallopian tube X-ray (HSG) |
$348 |
$436 |
$279 |
$164 | |
| Family therapy session |
$448 |
$560 |
$504 |
$110 | |
| Fecal occult blood (stool) test |
$80 |
$100 |
$90 |
$10 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$80 |
$100 |
$90 |
$16 | |
| Feeding tube (PEG) placement |
$2,309 |
$2,886 |
$808 |
$178 | |
| Femoral hernia repair |
$3,777 |
$4,721 |
$1,322 |
$584 | |
| Flexible sigmoidoscopy |
$866 |
$1,083 |
$303 |
$323 | |
| Flu vaccine |
$18 |
$20 |
$18 |
— | |
| Foreign body removal (skin) |
$540 |
$675 |
$608 |
$157 | |
| Gallbladder removal (laparoscopic) |
$6,206 |
$7,758 |
$2,064 |
$658 | |
| Gallbladder scan (HIDA) |
$1,947 |
$2,434 |
$2,191 |
$334 | |
| Ganglion cyst removal |
$2,314 |
$2,892 |
$810 |
$321 | |
| Group therapy session |
$338 |
$422 |
$380 |
$30 | |
| Hemorrhoid removal |
$776 |
$970 |
$272 |
$338 | |
| Hip fracture repair |
$4,686 |
$5,857 |
$1,640 |
$1,120 | |
| Hip replacement |
$14,147 |
$17,684 |
$4,952 |
$1,162 | |
| Holter heart monitor |
$366 |
$457 |
$457 |
$26 | |
| Hydrocele repair |
$2,772 |
$3,465 |
$970 |
$315 | |
| Hysterectomy |
$5,117 |
$6,397 |
$1,791 |
$933 | |
| Hysteroscopy |
$2,941 |
$3,676 |
$1,029 |
$1,270 | |
| Ileostomy |
$5,102 |
$6,377 |
$1,786 |
$968 | |
| Inguinal hernia repair |
$3,842 |
$4,802 |
$1,483 |
$538 | |
| IUD insertion |
$602 |
$753 |
$211 |
— | |
| IUD removal |
$434 |
$542 |
$152 |
$112 | |
| IV infusion therapy |
$254 |
$318 |
$211 |
$44 | |
| IV infusion therapy (each additional) |
$169 |
$211 |
$190 |
$21 | |
| IV infusion therapy (initial) |
$340 |
$425 |
$383 |
$67 | |
| Joint aspiration (small/intermediate) |
$206 |
$257 |
$229 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$202 |
$252 |
$227 |
$57 | |
| Joint aspiration or injection (small joint) |
$206 |
$257 |
$231 |
$56 | |
| Kidney scan (nuclear) |
$2,214 |
$2,768 |
$2,491 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$8,176 |
$10,220 |
$8,176 |
$760 | |
| Kidney ultrasound |
$892 |
$1,116 |
$986 |
$84 | |
| Kidney ultrasound (limited) |
$789 |
$986 |
$887 |
$61 | |
| Knee arthroscopy |
$6,888 |
$8,610 |
$2,411 |
$524 | |
| Knee joint injection |
$280 |
$350 |
$315 |
$69 | |
| Leg vein ultrasound (Doppler) |
$1,828 |
$2,285 |
$1,616 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,421 |
$1,776 |
$1,598 |
$116 | |
| Liver biopsy |
$988 |
$1,235 |
$346 |
$288 | |
| Lumpectomy (breast) |
$3,465 |
$4,332 |
$1,213 |
$750 | |
| Lung function test (PFT) |
$260 |
$325 |
$263 |
$37 | |
| Lung scan (V/Q) |
$2,410 |
$3,012 |
$2,711 |
$291 | |
| Mastectomy |
$5,970 |
$7,462 |
$2,089 |
$1,021 | |
| Meniscus repair (knee) |
$2,514 |
$3,143 |
$880 |
$714 | |
| MRA of the brain |
$3,606 |
$4,507 |
$3,921 |
$226 | |
| MRA of the neck |
$4,017 |
$5,021 |
$4,056 |
$245 | |
| MRA of the neck with contrast |
$4,017 |
$5,021 |
$4,293 |
$245 | |
| MRA of the neck without contrast |
$4,859 |
$6,074 |
$5,193 |
$343 | |
| MRI of the abdomen |
$4,283 |
$5,354 |
$4,181 |
$300 | |
| MRI of the abdomen with contrast |
$4,283 |
$5,354 |
$4,578 |
$300 | |
| MRI of the abdomen without contrast |
$3,716 |
$4,645 |
$3,971 |
$194 | |
| MRI of the ankle |
$4,644 |
$5,805 |
$4,157 |
$261 | |
| MRI of the ankle without contrast |
$3,716 |
$4,645 |
$4,041 |
$222 | |
| MRI of the brain |
$4,283 |
$5,354 |
$4,181 |
$269 | |
| MRI of the brain with contrast |
$4,283 |
$5,354 |
$4,578 |
$269 | |
| MRI of the brain without contrast |
$3,716 |
$4,645 |
$3,971 |
$195 | |
| MRI of the chest |
$4,799 |
$5,999 |
$4,157 |
$371 | |
| MRI of the chest without contrast |
$5,882 |
$7,352 |
$6,286 |
$466 | |
| MRI of the knee |
$4,283 |
$5,354 |
$4,181 |
$315 | |
| MRI of the knee with contrast |
$4,283 |
$5,354 |
$4,578 |
$315 | |
| MRI of the knee without contrast |
$3,716 |
$4,645 |
$4,041 |
$204 | |
| MRI of the lower back (lumbar spine) |
$4,283 |
$5,354 |
$4,181 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$4,283 |
$5,354 |
$4,578 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$3,716 |
$4,645 |
$3,971 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$4,283 |
$5,354 |
$4,181 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$5,572 |
$6,965 |
$5,920 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$4,283 |
$5,354 |
$4,578 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$3,716 |
$4,645 |
$4,041 |
$190 | |
| MRI of the neck (cervical spine) |
$4,283 |
$5,354 |
$4,181 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$5,572 |
$6,965 |
$5,920 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$4,283 |
$5,354 |
$4,578 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$3,716 |
$4,645 |
$3,971 |
$191 | |
| MRI of the pelvis |
$4,283 |
$5,354 |
$4,181 |
$268 | |
| MRI of the pelvis with contrast |
$4,283 |
$5,354 |
$4,578 |
$268 | |
| MRI of the pelvis without contrast |
$3,716 |
$4,645 |
$4,041 |
$227 | |
| MRI of the shoulder |
$4,081 |
$5,101 |
$4,181 |
$313 | |
| MRI of the shoulder with contrast |
$4,081 |
$5,101 |
$4,361 |
$313 | |
| MRI of the shoulder without contrast |
$3,716 |
$4,645 |
$4,041 |
$205 | |
| MRI of the wrist |
$4,644 |
$5,805 |
$4,157 |
$330 | |
| MRI of the wrist without contrast |
$3,716 |
$4,645 |
$4,041 |
$303 | |
| Nebulizer breathing treatment |
$85 |
$106 |
$59 |
$9 | |
| Newborn hospital care |
$306 |
$382 |
$107 |
$58 | |
| Nuclear cardiac stress test |
$4,800 |
$6,000 |
$5,100 |
$428 | |
| Occupational therapy evaluation |
$238 |
$298 |
$270 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$262 |
$327 |
$294 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$216 |
$270 |
$243 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$238 |
$298 |
$268 |
$101 | |
| Office visit (established patient) |
$59 |
$74 |
$49 |
$115 | |
| Office visit (new patient) |
$340 |
$425 |
$119 |
$177 | |
| Office visit, established patient (level 3) |
$39 |
$49 |
$45 |
$95 | |
| Office visit, established patient (level 4) |
$59 |
$74 |
$67 |
$136 | |
| Office visit, new patient (level 3) |
$270 |
$338 |
$95 |
$118 | |
| Office visit, new patient (level 4) |
$410 |
$512 |
$143 |
$177 | |
| Orthopedic hardware removal |
$2,351 |
$2,939 |
$823 |
$632 | |
| Pelvic ultrasound |
$605 |
$756 |
$534 |
$78 | |
| Pelvic ultrasound (complete) |
$782 |
$978 |
$880 |
$105 | |
| Pelvic ultrasound (limited) |
$427 |
$534 |
$481 |
$51 | |
| Physical therapy evaluation |
$230 |
$287 |
$266 |
$98 | |
| Physical therapy evaluation (high complexity) |
$242 |
$302 |
$272 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$230 |
$287 |
$258 |
$98 | |
| Pilonidal cyst removal |
$2,277 |
$2,847 |
$797 |
$541 | |
| Pregnancy ultrasound |
$1,005 |
$1,256 |
$1,120 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$955 |
$1,194 |
$1,075 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$1,054 |
$1,318 |
$1,186 |
$136 | |
| Prostate biopsy |
$2,974 |
$3,717 |
$3,271 |
— | |
| Prostate surgery (TURP) |
$4,891 |
$6,114 |
$1,712 |
$526 | |
| Psychiatric evaluation |
$206 |
$258 |
$232 |
$188 | |
| Psychotherapy session |
$388 |
$486 |
$438 |
$140 | |
| Pulmonary rehabilitation |
$173 |
$216 |
$194 |
$87 | |
| Rotator cuff repair |
$3,657 |
$4,571 |
$1,280 |
$792 | |
| Sacroiliac joint injection |
$910 |
$1,137 |
$434 |
$176 | |
| Scoliosis spine X-ray |
$523 |
$654 |
$414 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$331 |
$414 |
$373 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$715 |
$894 |
$805 |
$72 | |
| Screening colonoscopy |
$2,142 |
$2,678 |
$750 |
$378 | |
| Screening mammogram |
$350 |
$438 |
$375 |
$126 | |
| Scrotal ultrasound |
$752 |
$940 |
$846 |
$99 | |
| Septoplasty (deviated septum) |
$2,585 |
$3,231 |
$905 |
$613 | |
| Shoulder arthroscopy |
$4,057 |
$5,071 |
$1,420 |
$962 | |
| Shoulder replacement |
$5,563 |
$6,954 |
$1,947 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$394 |
$492 |
$443 |
$114 | |
| Simple wound stitches |
$414 |
$517 |
$477 |
$127 | |
| Skin biopsy |
$594 |
$742 |
$208 |
$121 | |
| Skin cancer lesion removal |
$1,062 |
$1,328 |
$372 |
$240 | |
| Skin graft |
$3,546 |
$4,433 |
$1,241 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$225 |
$281 |
$79 |
$36 | |
| Skin tag removal |
$311 |
$389 |
$109 |
$92 | |
| Sleep study (polysomnography) |
$4,209 |
$5,262 |
$4,225 |
$691 | |
| Small bowel resection |
$6,229 |
$7,786 |
$2,180 |
$1,136 | |
| Soft tissue ultrasound |
$707 |
$884 |
$796 |
$64 | |
| Speech therapy |
$288 |
$360 |
$324 |
$76 | |
| Spinal tap (lumbar puncture) |
$383 |
$479 |
$431 |
$165 | |
| Spirometry (lung function test) |
$210 |
$263 |
$237 |
$30 | |
| Spirometry with bronchodilator |
$310 |
$387 |
$348 |
$43 | |
| Swallow study |
$288 |
$360 |
$324 |
$85 | |
| Tdap (tetanus) vaccine |
$181 |
$181 |
$164 |
— | |
| Testicle removal (orchiectomy) |
$2,422 |
$3,028 |
$848 |
$306 | |
| Thyroid ultrasound |
$388 |
$485 |
$437 |
$109 | |
| Tonsillectomy |
$1,663 |
$2,079 |
$547 |
$252 | |
| Transvaginal ultrasound |
$900 |
$1,125 |
$1,013 |
$118 | |
| Trigger finger release |
$3,260 |
$4,075 |
$1,141 |
$630 | |
| Trigger point injection |
$552 |
$690 |
$897 |
$56 | |
| Trigger point injection (1-2 muscles) |
$302 |
$377 |
$106 |
$52 | |
| Tubal ligation |
$3,489 |
$4,361 |
$1,221 |
$333 | |
| Turbinate reduction |
$2,606 |
$3,257 |
$912 |
$294 | |
| Turning a breech baby (version) |
$349 |
$436 |
$397 |
$94 | |
| Ulnar nerve surgery (elbow) |
$4,222 |
$5,277 |
$1,478 |
$575 | |
| Upper GI endoscopy (EGD) |
$1,608 |
$2,011 |
$563 |
$371 | |
| Upper GI series (barium) |
$434 |
$542 |
$488 |
$128 | |
| Ureteral stent placement |
$1,865 |
$2,331 |
$653 |
$373 | |
| Ureteroscopy (stone removal) |
$1,673 |
$2,091 |
$585 |
$365 | |
| Vaccine administration |
$94 |
$118 |
$107 |
$19 | |
| Vasectomy |
$1,415 |
$1,769 |
$1,557 |
$347 | |
| Wound debridement |
$696 |
$870 |
$783 |
$186 | |
| Wrist fracture repair |
$2,756 |
$3,445 |
$1,000 |
$735 | |
| X-ray of the abdomen |
$298 |
$373 |
$328 |
$36 | |
| X-ray of the ankle |
$302 |
$378 |
$340 |
$37 | |
| X-ray of the collarbone |
$266 |
$333 |
$300 |
$33 | |
| X-ray of the elbow |
$249 |
$311 |
$280 |
$33 | |
| X-ray of the facial bones |
$421 |
$526 |
$473 |
$39 | |
| X-ray of the foot |
$302 |
$378 |
$340 |
$34 | |
| X-ray of the forearm |
$249 |
$311 |
$280 |
$29 | |
| X-ray of the hand |
$302 |
$378 |
$340 |
$38 | |
| X-ray of the hip |
$334 |
$417 |
$367 |
$49 | |
| X-ray of the hip (1 view) |
$284 |
$355 |
$320 |
$34 | |
| X-ray of the hip (3 views) |
$334 |
$417 |
$375 |
$49 | |
| X-ray of the hip (4 views) |
$359 |
$449 |
$404 |
$63 | |
| X-ray of the knee |
$267 |
$334 |
$302 |
$42 | |
| X-ray of the knee (2 views) |
$254 |
$318 |
$286 |
$34 | |
| X-ray of the knee (3 views) |
$267 |
$334 |
$301 |
$42 | |
| X-ray of the knee (4+ views) |
$274 |
$343 |
$309 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$596 |
$746 |
$640 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$512 |
$640 |
$576 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$681 |
$851 |
$766 |
$53 | |
| X-ray of the lower leg |
$249 |
$311 |
$280 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$374 |
$468 |
$428 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$360 |
$450 |
$405 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$389 |
$486 |
$437 |
$39 | |
| X-ray of the neck (cervical spine) |
$500 |
$625 |
$450 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$360 |
$450 |
$405 |
$40 | |
| X-ray of the pelvis |
$307 |
$384 |
$310 |
$36 | |
| X-ray of the pelvis (1 view) |
$248 |
$310 |
$279 |
$28 | |
| X-ray of the ribs |
$335 |
$419 |
$371 |
$42 | |
| X-ray of the ribs (2 views) |
$283 |
$354 |
$319 |
$36 | |
| X-ray of the ribs (3 views) |
$407 |
$509 |
$458 |
$42 | |
| X-ray of the shoulder |
$389 |
$486 |
$437 |
$36 | |
| X-ray of the skull |
$409 |
$511 |
$450 |
$40 | |
| X-ray of the upper arm |
$249 |
$311 |
$280 |
$32 | |
| X-ray of the wrist |
$302 |
$378 |
$340 |
$43 | |