| 3D mammogram (tomosynthesis) |
$35 |
$72 |
$47 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$685 |
$1,427 |
$985 |
$284 | |
| Abdominal ultrasound |
$199 |
$415 |
$249 |
$100 | |
| Abdominal ultrasound (complete) |
$304 |
$632 |
$274 |
$114 | |
| Abdominal ultrasound (limited) |
$171 |
$356 |
$238 |
$86 | |
| Abscess drainage (complex or multiple) |
$472 |
$984 |
$501 |
$220 | |
| Abscess drainage (simple) |
$530 |
$1,103 |
$341 |
$129 | |
| Abscess incision and drainage |
$523 |
$1,089 |
$442 |
$174 | |
| Acupuncture |
$88 |
$184 |
$65 |
$38 | |
| Acupuncture (each additional) |
$44 |
$92 |
$54 |
$28 | |
| Albumin blood test |
$26 |
$54 |
$20 |
$5 | |
| Aldosterone test |
$40 |
$84 |
$43 |
$41 | |
| Alkaline phosphatase test |
$25 |
$52 |
$11 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$32 |
$67 |
$32 |
$17 | |
| ALT liver enzyme test |
$18 |
$37 |
$17 |
$5 | |
| Ammonia blood test |
$29 |
$61 |
$30 |
$15 | |
| Amniocentesis |
$1,323 |
$2,756 |
$1,031 |
$120 | |
| Amylase test |
$27 |
$56 |
$21 |
$6 | |
| Anoscopy |
$99 |
$206 |
$144 |
$129 | |
| Antinuclear antibody (ANA) test |
$64 |
$133 |
$26 |
$12 | |
| Aortic aneurysm repair (AAA) |
$6,491 |
$13,523 |
$3,634 |
$1,345 | |
| Aortic valve replacement |
$31,124 |
$64,843 |
$3,350 |
$1,603 | |
| Arterial blood gas (ABG) |
$89 |
$184 |
$51 |
$26 | |
| AST liver enzyme test |
$18 |
$37 |
$17 |
$5 | |
| Barium swallow study |
$208 |
$433 |
$216 |
$107 | |
| Basic metabolic panel |
$122 |
$254 |
$24 |
$8 | |
| Bilirubin blood test |
$21 |
$45 |
$19 |
$5 | |
| Bladder function test (urodynamics) |
$1,117 |
$2,328 |
$897 |
$345 | |
| Bladder scope (cystoscopy) |
$899 |
$1,874 |
$1,024 |
$216 | |
| Blood clotting test (PT/INR) |
$47 |
$98 |
$25 |
$4 | |
| Blood crossmatch |
$40 |
$84 |
$72 |
— | |
| Blood glucose test |
$22 |
$45 |
$18 |
$5 | |
| Blood transfusion |
$620 |
$1,292 |
$485 |
$47 | |
| Blood type and screen |
$109 |
$227 |
$60 |
$10 | |
| Blood type test |
$37 |
$78 |
$37 |
$3 | |
| Blood type test (ABO group) |
$37 |
$78 |
$52 |
$3 | |
| Blood type test (Rh/D antigen) |
$27 |
$57 |
$29 |
$3 | |
| BNP (heart failure) test |
$51 |
$107 |
$68 |
$39 | |
| Bone density scan (DEXA) |
$144 |
$301 |
$201 |
$39 | |
| Bone marrow biopsy |
$1,243 |
$2,590 |
$1,791 |
$172 | |
| Bone scan (nuclear) |
$595 |
$1,240 |
$696 |
$259 | |
| Botox for migraine |
$1,448 |
$3,016 |
$1,059 |
$157 | |
| Breast biopsy |
$2,333 |
$4,860 |
$1,794 |
$478 | |
| Breast MRI |
$456 |
$950 |
$605 |
$216 | |
| Breast MRI without contrast |
$456 |
$950 |
$567 |
$216 | |
| Breast ultrasound |
$172 |
$359 |
$202 |
$92 | |
| Breast ultrasound (complete) |
$229 |
$478 |
$258 |
$100 | |
| Breast ultrasound (limited) |
$172 |
$359 |
$202 |
$84 | |
| Breathing tube insertion (intubation) |
$1,343 |
$2,799 |
$621 |
$133 | |
| Burn dressing and debridement (small) |
$397 |
$827 |
$239 |
$93 | |
| Burn treatment |
$397 |
$827 |
$239 |
$129 | |
| C-reactive protein (CRP) |
$29 |
$61 |
$23 |
$5 | |
| CA 19-9 tumor marker test |
$43 |
$90 |
$42 |
$21 | |
| CA-125 ovarian marker test |
$31 |
$64 |
$37 |
$21 | |
| Calcium blood test |
$20 |
$42 |
$18 |
$5 | |
| Cardiac ablation |
$29,243 |
$60,923 |
$28,389 |
$759 | |
| Cardiac catheterization |
$6,854 |
$14,279 |
$6,587 |
$1,049 | |
| Cardiac MRI |
$1,186 |
$2,470 |
$858 |
$322 | |
| Cardiac MRI without contrast |
$1,095 |
$2,280 |
$785 |
$280 | |
| Cardiac rehabilitation |
$188 |
$392 |
$154 |
$26 | |
| Cardiac stress test |
$531 |
$1,106 |
$484 |
$39 | |
| Cardioversion |
$2,077 |
$4,327 |
$1,662 |
$155 | |
| Carotid artery ultrasound |
$370 |
$771 |
$284 |
$156 | |
| CEA tumor marker test |
$32 |
$66 |
$36 |
$19 | |
| Celiac disease test |
$31 |
$64 |
$34 |
$12 | |
| Central line placement |
$1,753 |
$3,651 |
$3,067 |
$238 | |
| Cervical cerclage |
$1,914 |
$3,987 |
$3,336 |
$137 | |
| Cesarean section (C-section) |
— |
— |
$10,598 |
$7,552 | |
| Chemotherapy infusion |
$466 |
$644 |
$340 |
$81 | |
| Chemotherapy infusion (each additional) |
$309 |
$644 |
$164 |
$28 | |
| Chemotherapy infusion (first hour) |
$622 |
$648 |
$357 |
$133 | |
| Chest fluid drain (thoracentesis) |
$920 |
$1,917 |
$896 |
$311 | |
| Chest tube insertion |
$1,320 |
$2,750 |
$1,687 |
$143 | |
| Chest X-ray |
$138 |
$288 |
$170 |
$37 | |
| Chest X-ray (1 view) |
$173 |
$361 |
$138 |
$25 | |
| Chest X-ray (2 views) |
$173 |
$361 |
$170 |
$33 | |
| Chickenpox (varicella) vaccine |
$343 |
$715 |
$269 |
— | |
| CK-MB heart enzyme test |
$40 |
$84 |
$36 |
$12 | |
| Clotting time test (PTT) |
$47 |
$98 |
$27 |
$6 | |
| Complete blood count (CBC) |
$32 |
$66 |
$14 |
$7 | |
| Complete blood count (CBC) (complete) |
$32 |
$66 |
$15 |
$8 | |
| Comprehensive metabolic panel |
$222 |
$463 |
$25 |
$11 | |
| Contraceptive implant (Nexplanon) |
$3,056 |
$6,366 |
$523 |
$115 | |
| Copper blood test |
$26 |
$53 |
$25 |
$12 | |
| Coronary artery bypass (CABG) |
— |
— |
$50,369 |
$36,593 | |
| Coronary CT angiography |
$2,159 |
$4,499 |
$881 |
$326 | |
| Cortisol test |
$35 |
$72 |
$37 |
$16 | |
| COVID-19 PCR test |
$141 |
$295 |
$79 |
$51 | |
| CPAP titration study |
$409 |
$852 |
$261 |
$69 | |
| Creatine kinase (CK) test |
$19 |
$41 |
$20 |
$7 | |
| CT angiography of the chest |
$432 |
$900 |
$514 |
$281 | |
| CT angiography of the head |
$864 |
$1,799 |
$762 |
$274 | |
| CT colonography (virtual colonoscopy) |
$1,080 |
$2,249 |
$964 |
$835 | |
| CT scan of the abdomen |
$540 |
$1,125 |
$417 |
$230 | |
| CT scan of the abdomen and pelvis |
$864 |
$1,799 |
$597 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$1,080 |
$2,249 |
$654 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$864 |
$1,799 |
$622 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$648 |
$1,350 |
$417 |
$183 | |
| CT scan of the abdomen with and without contrast |
$864 |
$1,799 |
$448 |
$259 | |
| CT scan of the abdomen with contrast |
$648 |
$1,350 |
$446 |
$230 | |
| CT scan of the abdomen without contrast |
$381 |
$795 |
$292 |
$136 | |
| CT scan of the arm |
$864 |
$1,799 |
$446 |
$199 | |
| CT scan of the arm with contrast |
$864 |
$1,799 |
$435 |
$199 | |
| CT scan of the arm without contrast |
$648 |
$1,350 |
$349 |
$161 | |
| CT scan of the chest |
$270 |
$562 |
$301 |
$167 | |
| CT scan of the chest with and without contrast |
$432 |
$900 |
$378 |
$196 | |
| CT scan of the chest with contrast |
$324 |
$675 |
$343 |
$167 | |
| CT scan of the chest without contrast |
$234 |
$487 |
$252 |
$133 | |
| CT scan of the head |
$648 |
$1,350 |
$373 |
$148 | |
| CT scan of the head with and without contrast |
$864 |
$1,799 |
$400 |
$173 | |
| CT scan of the head with contrast |
$648 |
$1,350 |
$342 |
$148 | |
| CT scan of the head without contrast |
$432 |
$900 |
$242 |
$107 | |
| CT scan of the leg |
$936 |
$1,949 |
$446 |
$166 | |
| CT scan of the leg with contrast |
$936 |
$1,949 |
$440 |
$166 | |
| CT scan of the leg without contrast |
$720 |
$1,500 |
$350 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$648 |
$1,350 |
$419 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$861 |
$1,795 |
$446 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$648 |
$1,350 |
$444 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$432 |
$900 |
$350 |
$130 | |
| CT scan of the neck |
$432 |
$900 |
$401 |
$183 | |
| CT scan of the neck (cervical spine) |
$648 |
$1,350 |
$420 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$864 |
$1,799 |
$446 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$648 |
$1,350 |
$443 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$432 |
$900 |
$358 |
$131 | |
| CT scan of the neck with and without contrast |
$648 |
$1,350 |
$446 |
$220 | |
| CT scan of the neck with contrast |
$432 |
$900 |
$417 |
$183 | |
| CT scan of the neck without contrast |
$288 |
$600 |
$320 |
$150 | |
| CT scan of the pelvis |
$648 |
$1,350 |
$417 |
$226 | |
| CT scan of the pelvis with and without contrast |
$864 |
$1,799 |
$446 |
$251 | |
| CT scan of the pelvis with contrast |
$648 |
$1,350 |
$446 |
$226 | |
| CT scan of the pelvis without contrast |
$648 |
$1,350 |
$300 |
$133 | |
| CT scan of the sinuses |
$756 |
$1,574 |
$380 |
$152 | |
| CT scan of the sinuses with and without contrast |
$864 |
$1,799 |
$417 |
$184 | |
| CT scan of the sinuses with contrast |
$648 |
$1,350 |
$350 |
$152 | |
| CT scan of the sinuses without contrast |
$648 |
$1,350 |
$291 |
$128 | |
| D-dimer test |
$56 |
$117 |
$26 |
$10 | |
| Defibrillator (ICD) implant |
$10,461 |
$21,794 |
$21,050 |
$798 | |
| DHEA-sulfate test |
$30 |
$63 |
$33 |
$22 | |
| Diagnostic mammogram |
$440 |
$918 |
$224 |
$140 | |
| Drug screen (urine) |
$81 |
$169 |
$78 |
$17 | |
| Ear pressure test (tympanometry) |
$101 |
$211 |
$47 |
$16 | |
| Echocardiogram |
$568 |
$1,184 |
$536 |
$138 | |
| Echocardiogram with and without contrast |
$433 |
$902 |
$277 |
$101 | |
| Echocardiogram without contrast |
$559 |
$1,164 |
$395 |
$138 | |
| EEG (awake and asleep) |
$291 |
$606 |
$331 |
$482 | |
| EKG / ECG (tracing only) |
$124 |
$258 |
$110 |
$7 | |
| Electrocardiogram (EKG) |
$124 |
$258 |
$110 |
$8 | |
| Electroencephalogram (EEG) |
$291 |
$606 |
$331 |
$448 | |
| Electrolyte panel |
$35 |
$72 |
$20 |
$7 | |
| Electromyography (EMG) |
$140 |
$292 |
$174 |
$141 | |
| Emergency department visit |
$332 |
$691 |
$409 |
$69 | |
| Emergency department visit (level 1) |
$91 |
$190 |
$130 |
$11 | |
| Emergency department visit (level 2) |
$173 |
$360 |
$241 |
$40 | |
| Emergency department visit (level 3) |
$332 |
$691 |
$431 |
$69 | |
| Emergency department visit (level 4) |
$617 |
$1,285 |
$735 |
$118 | |
| Emergency department visit (level 5) |
$913 |
$1,903 |
$805 |
$171 | |
| Epidural steroid injection |
$1,126 |
$2,346 |
$1,196 |
$275 | |
| Esophageal dilation |
$2,222 |
$4,630 |
$2,080 |
$522 | |
| Estradiol (estrogen) test |
$30 |
$63 |
$38 |
$28 | |
| Facet joint injection (spine) |
$984 |
$2,051 |
$1,353 |
$99 | |
| Fallopian tube X-ray (HSG) |
$372 |
$776 |
$419 |
$164 | |
| Family therapy session |
$119 |
$247 |
$169 |
$110 | |
| Fecal occult blood (stool) test |
$47 |
$98 |
$37 |
$10 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$47 |
$98 |
$37 |
$16 | |
| Ferritin (iron) test |
$23 |
$48 |
$25 |
$14 | |
| Fibrinogen test |
$35 |
$74 |
$28 |
$10 | |
| Folate (folic acid) test |
$18 |
$37 |
$25 |
$15 | |
| Foreign body removal (skin) |
$390 |
$812 |
$468 |
$157 | |
| Free T4 thyroid test |
$25 |
$52 |
$21 |
$9 | |
| FSH hormone test |
$27 |
$57 |
$31 |
$19 | |
| Gallbladder scan (HIDA) |
$1,116 |
$2,325 |
$880 |
$334 | |
| GGT liver test |
$24 |
$51 |
$21 |
$7 | |
| Glucose tolerance test |
$28 |
$58 |
$20 |
$8 | |
| Group therapy session |
$162 |
$339 |
$97 |
$30 | |
| HDL cholesterol test |
$25 |
$52 |
$19 |
$8 | |
| Hearing test (audiometry) |
$341 |
$710 |
$158 |
$36 | |
| Hematocrit test |
$34 |
$71 |
$6 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$25 |
$51 |
$23 |
$10 | |
| Hepatitis A vaccine |
$132 |
$275 |
$155 |
— | |
| Hepatitis B test |
$29 |
$60 |
$24 |
$10 | |
| Hepatitis B vaccine |
$103 |
$214 |
$97 |
— | |
| Hepatitis C test |
$29 |
$60 |
$30 |
$14 | |
| HIV test |
$42 |
$88 |
$34 |
$19 | |
| HIV test (antibody) |
$72 |
$150 |
$46 |
$14 | |
| HIV test (antigen/antibody combo) |
$24 |
$49 |
$31 |
$24 | |
| Holter heart monitor |
$231 |
$481 |
$161 |
$26 | |
| HPV vaccine |
$379 |
$790 |
$428 |
— | |
| Iron blood test |
$21 |
$44 |
$20 |
$6 | |
| IV infusion therapy |
$271 |
$564 |
$219 |
$44 | |
| IV infusion therapy (each additional) |
$164 |
$342 |
$107 |
$21 | |
| IV infusion therapy (initial) |
$409 |
$852 |
$359 |
$67 | |
| IVC filter placement |
$6,008 |
$12,517 |
$6,858 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$610 |
$1,270 |
$606 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$610 |
$1,270 |
$614 |
$57 | |
| Joint aspiration or injection (small joint) |
$835 |
$1,739 |
$571 |
$56 | |
| Kidney biopsy |
$842 |
$1,754 |
$1,574 |
$492 | |
| Kidney scan (nuclear) |
$893 |
$1,860 |
$825 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$4,166 |
$8,678 |
$6,471 |
$760 | |
| Kidney ultrasound |
$228 |
$474 |
$266 |
$84 | |
| Kidney ultrasound (limited) |
$216 |
$449 |
$266 |
$61 | |
| Knee joint injection |
$633 |
$1,318 |
$584 |
$69 | |
| Knee replacement |
— |
— |
$24,575 |
$18,054 | |
| Lactate test |
$27 |
$57 |
$32 |
$12 | |
| Laryngoscopy |
$408 |
$850 |
$378 |
$189 | |
| LDH test |
$21 |
$43 |
$19 |
$6 | |
| LDL cholesterol test |
$20 |
$41 |
$22 |
$11 | |
| Leg artery angiogram |
$2,515 |
$5,240 |
$3,076 |
$149 | |
| Leg vein ultrasound (Doppler) |
$592 |
$1,233 |
$368 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$342 |
$713 |
$316 |
$116 | |
| LH hormone test |
$27 |
$57 |
$31 |
$19 | |
| Lipase test |
$22 |
$47 |
$21 |
$7 | |
| Lipid (cholesterol) panel |
$18 |
$37 |
$24 |
$13 | |
| Liver biopsy |
$746 |
$1,555 |
$1,574 |
$288 | |
| Liver function panel |
$66 |
$137 |
$20 |
$8 | |
| Lower back (lumbar) spinal fusion |
— |
— |
$38,379 |
$1,511 | |
| Lung function test (PFT) |
$146 |
$305 |
$241 |
$37 | |
| Lung scan (V/Q) |
$595 |
$1,240 |
$677 |
$291 | |
| Magnesium blood test |
$18 |
$37 |
$19 |
$7 | |
| MMR vaccine |
$166 |
$346 |
$203 |
— | |
| MRA of the brain |
$912 |
$1,900 |
$896 |
$226 | |
| MRA of the brain with contrast |
$912 |
$1,900 |
$896 |
$226 | |
| MRA of the brain without contrast |
$1,095 |
$2,280 |
$896 |
$328 | |
| MRA of the neck |
$731 |
$1,524 |
$785 |
$245 | |
| MRA of the neck with contrast |
$731 |
$1,524 |
$745 |
$245 | |
| MRA of the neck without contrast |
$912 |
$1,900 |
$896 |
$343 | |
| MRI of the abdomen |
$1,231 |
$2,565 |
$855 |
$300 | |
| MRI of the abdomen with contrast |
$1,231 |
$2,565 |
$856 |
$300 | |
| MRI of the abdomen without contrast |
$1,095 |
$2,280 |
$685 |
$194 | |
| MRI of the ankle |
$1,095 |
$2,280 |
$855 |
$261 | |
| MRI of the ankle with contrast |
$751 |
$1,565 |
$855 |
$261 | |
| MRI of the ankle without contrast |
$1,095 |
$2,280 |
$736 |
$222 | |
| MRI of the brain |
$548 |
$1,141 |
$713 |
$269 | |
| MRI of the brain with contrast |
$629 |
$1,311 |
$785 |
$269 | |
| MRI of the brain without contrast |
$547 |
$1,140 |
$605 |
$195 | |
| MRI of the chest |
$1,003 |
$2,090 |
$898 |
$371 | |
| MRI of the chest with contrast |
$1,003 |
$2,090 |
$903 |
$371 | |
| MRI of the chest without contrast |
$1,186 |
$2,470 |
$894 |
$466 | |
| MRI of the knee |
$1,049 |
$2,185 |
$855 |
$315 | |
| MRI of the knee with contrast |
$1,642 |
$3,420 |
$898 |
$315 | |
| MRI of the knee without contrast |
$718 |
$1,497 |
$655 |
$204 | |
| MRI of the lower back (lumbar spine) |
$708 |
$1,474 |
$759 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$730 |
$1,520 |
$855 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$479 |
$998 |
$602 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$616 |
$1,284 |
$762 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$799 |
$1,664 |
$860 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$639 |
$1,330 |
$785 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$479 |
$999 |
$602 |
$190 | |
| MRI of the neck (cervical spine) |
$616 |
$1,284 |
$763 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$799 |
$1,664 |
$860 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$639 |
$1,330 |
$785 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$479 |
$998 |
$602 |
$191 | |
| MRI of the pelvis |
$1,003 |
$2,090 |
$855 |
$268 | |
| MRI of the pelvis with contrast |
$1,003 |
$2,090 |
$855 |
$268 | |
| MRI of the pelvis without contrast |
$912 |
$1,900 |
$759 |
$227 | |
| MRI of the shoulder |
$1,277 |
$2,660 |
$860 |
$313 | |
| MRI of the shoulder with contrast |
$1,277 |
$2,660 |
$898 |
$313 | |
| MRI of the shoulder without contrast |
$912 |
$1,900 |
$655 |
$205 | |
| MRI of the wrist |
$1,277 |
$2,660 |
$859 |
$330 | |
| MRI of the wrist without contrast |
$1,095 |
$2,280 |
$855 |
$303 | |
| Nebulizer breathing treatment |
$160 |
$334 |
$224 |
$9 | |
| Nerve conduction study |
$260 |
$541 |
$270 |
$118 | |
| Nuchal translucency ultrasound |
$304 |
$632 |
$272 |
$116 | |
| Nuclear cardiac stress test |
$1,786 |
$3,720 |
$1,652 |
$428 | |
| Occupational therapy evaluation |
$229 |
$476 |
$215 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$229 |
$476 |
$215 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$229 |
$476 |
$215 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$229 |
$476 |
$215 |
$101 | |
| Office visit (established patient) |
$186 |
$388 |
$222 |
$115 | |
| Office visit, established patient (level 3) |
$170 |
$354 |
$208 |
$95 | |
| Office visit, established patient (level 4) |
$203 |
$422 |
$231 |
$136 | |
| Pacemaker insertion |
— |
— |
$25,605 |
$15,506 | |
| Pap smear (cervical screening) |
$141 |
$293 |
$55 |
$20 | |
| Parathyroid hormone (PTH) test |
$53 |
$111 |
$58 |
$41 | |
| Pelvic ultrasound |
$228 |
$474 |
$259 |
$78 | |
| Pelvic ultrasound (complete) |
$304 |
$632 |
$270 |
$105 | |
| Pelvic ultrasound (limited) |
$228 |
$474 |
$258 |
$51 | |
| PET scan |
$2,852 |
$5,941 |
$2,823 |
— | |
| Phosphorus blood test |
$20 |
$41 |
$16 |
$5 | |
| Physical therapy evaluation |
$229 |
$476 |
$165 |
$98 | |
| Physical therapy evaluation (high complexity) |
$229 |
$476 |
$165 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$229 |
$476 |
$165 |
$98 | |
| Platelet count |
$47 |
$98 |
$10 |
$4 | |
| Pneumonia vaccine |
$179 |
$373 |
$130 |
— | |
| Pregnancy blood test (hCG) |
$28 |
$57 |
$25 |
$8 | |
| Pregnancy ultrasound |
$361 |
$752 |
$299 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$341 |
$711 |
$293 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$391 |
$814 |
$301 |
$136 | |
| Procalcitonin test |
$137 |
$286 |
$73 |
$27 | |
| Prolactin test |
$22 |
$46 |
$25 |
$19 | |
| Prostate test (PSA) |
$23 |
$48 |
$27 |
$18 | |
| Psychiatric evaluation |
$153 |
$318 |
$174 |
$188 | |
| Psychotherapy session |
$128 |
$266 |
$146 |
$140 | |
| Pulmonary rehabilitation |
$200 |
$417 |
$148 |
$87 | |
| Radiofrequency nerve ablation |
$1,940 |
$4,042 |
$2,121 |
$462 | |
| RSV vaccine |
$493 |
$1,027 |
$443 |
— | |
| Scoliosis spine X-ray |
$251 |
$524 |
$178 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$208 |
$433 |
$175 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$251 |
$524 |
$180 |
$72 | |
| Screening mammogram |
$311 |
$648 |
$190 |
$126 | |
| Scrotal ultrasound |
$466 |
$971 |
$274 |
$99 | |
| Sedimentation rate (ESR) test |
$29 |
$61 |
$8 |
$3 | |
| Semen analysis |
$38 |
$79 |
$38 |
$12 | |
| Sex hormone binding globulin test |
$18 |
$38 |
$25 |
$22 | |
| Shingles vaccine |
$347 |
$724 |
$279 |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
$406 |
$845 |
$239 |
$114 | |
| Simple wound stitches |
$429 |
$893 |
$239 |
$127 | |
| Skin biopsy |
$620 |
$1,291 |
$491 |
$121 | |
| Skin biopsy (punch) |
$620 |
$1,291 |
$448 |
$121 | |
| Skin tag removal |
$1,180 |
$2,457 |
$546 |
$92 | |
| Sleep study (polysomnography) |
$2,640 |
$5,500 |
$1,822 |
$691 | |
| Soft tissue ultrasound |
$227 |
$473 |
$258 |
$64 | |
| Speech therapy |
$229 |
$476 |
$222 |
$76 | |
| Spinal cord stimulator |
$9,284 |
$19,341 |
$6,831 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$502 |
$1,045 |
$702 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$5,726 |
$11,930 |
$7,563 |
$5,803 | |
| Spirometry (lung function test) |
$146 |
$305 |
$212 |
$30 | |
| Spirometry with bronchodilator |
$279 |
$582 |
$385 |
$43 | |
| Strep throat test |
$28 |
$59 |
$29 |
$17 | |
| Stress echocardiogram |
$1,770 |
$3,687 |
$742 |
$209 | |
| Stress echocardiogram (complete) |
$1,769 |
$3,686 |
$742 |
$233 | |
| Swallow study |
$229 |
$476 |
$222 |
$85 | |
| T3 thyroid test |
$24 |
$49 |
$25 |
$14 | |
| Tdap (tetanus) vaccine |
$87 |
$182 |
$107 |
— | |
| Testosterone test |
$19 |
$39 |
$27 |
$26 | |
| Thyroid test (TSH) |
$23 |
$47 |
$25 |
$17 | |
| Thyroid ultrasound |
$341 |
$711 |
$267 |
$109 | |
| Thyroid uptake scan |
$746 |
$1,553 |
$731 |
$145 | |
| Tilt table test |
$7,311 |
$15,231 |
$5,369 |
$168 | |
| Total IgE allergy test |
$18 |
$38 |
$23 |
$16 | |
| Total protein test |
$14 |
$29 |
$14 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$1,862 |
$3,880 |
$781 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,862 |
$3,880 |
$781 |
$239 | |
| Transvaginal ultrasound |
$228 |
$474 |
$258 |
$118 | |
| Trigger point injection |
$925 |
$1,928 |
$656 |
$56 | |
| Trigger point injection (1-2 muscles) |
$925 |
$1,928 |
$580 |
$52 | |
| Triglycerides test |
$14 |
$28 |
$17 |
$6 | |
| Troponin (heart) test |
$33 |
$70 |
$36 |
$12 | |
| Turning a breech baby (version) |
$2,254 |
$4,696 |
$3,169 |
$94 | |
| Upper GI series (barium) |
$208 |
$433 |
$238 |
$128 | |
| Ureteral stent placement |
$1,200 |
$2,500 |
$3,358 |
$373 | |
| Uric acid (gout) test |
$21 |
$43 |
$19 |
$5 | |
| Urinalysis |
$38 |
$79 |
$8 |
$3 | |
| Urine microalbumin test |
$22 |
$45 |
$13 |
$5 | |
| Urine pregnancy test |
$56 |
$117 |
$18 |
$9 | |
| Vaccine administration |
$34 |
$71 |
$30 |
$19 | |
| Vaccine administration (each additional) |
$17 |
$36 |
$21 |
$16 | |
| Vaginal delivery |
— |
— |
$8,778 |
$5,487 | |
| Varicose vein ablation |
$3,778 |
$7,871 |
$4,497 |
$1,018 | |
| Vitamin B12 test |
$23 |
$48 |
$27 |
$15 | |
| Vitamin D test |
$36 |
$76 |
$44 |
$30 | |
| Weight-loss (bariatric) surgery |
— |
— |
$22,431 |
$11,645 | |
| Wound debridement |
$752 |
$1,567 |
$801 |
$186 | |
| X-ray of the abdomen |
$173 |
$361 |
$169 |
$36 | |
| X-ray of the ankle |
$173 |
$361 |
$172 |
$37 | |
| X-ray of the collarbone |
$173 |
$361 |
$172 |
$33 | |
| X-ray of the elbow |
$138 |
$288 |
$169 |
$33 | |
| X-ray of the facial bones |
$138 |
$288 |
$172 |
$39 | |
| X-ray of the foot |
$173 |
$361 |
$172 |
$34 | |
| X-ray of the forearm |
$138 |
$288 |
$134 |
$29 | |
| X-ray of the hand |
$138 |
$288 |
$169 |
$38 | |
| X-ray of the hip |
$316 |
$658 |
$180 |
$49 | |
| X-ray of the hip (1 view) |
$346 |
$721 |
$178 |
$34 | |
| X-ray of the hip (3 views) |
$277 |
$577 |
$175 |
$49 | |
| X-ray of the hip (4 views) |
$355 |
$739 |
$188 |
$63 | |
| X-ray of the knee |
$138 |
$288 |
$175 |
$42 | |
| X-ray of the knee (2 views) |
$173 |
$361 |
$172 |
$34 | |
| X-ray of the knee (3 views) |
$173 |
$361 |
$172 |
$42 | |
| X-ray of the knee (4+ views) |
$138 |
$288 |
$175 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$138 |
$288 |
$175 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$173 |
$361 |
$178 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$138 |
$288 |
$175 |
$53 | |
| X-ray of the lower leg |
$138 |
$288 |
$149 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$138 |
$288 |
$175 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$173 |
$361 |
$178 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$138 |
$288 |
$175 |
$39 | |
| X-ray of the neck (cervical spine) |
$138 |
$288 |
$175 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$173 |
$361 |
$178 |
$40 | |
| X-ray of the pelvis |
$138 |
$288 |
$175 |
$36 | |
| X-ray of the pelvis (1 view) |
$173 |
$361 |
$178 |
$28 | |
| X-ray of the ribs |
$138 |
$288 |
$175 |
$42 | |
| X-ray of the ribs (2 views) |
$138 |
$288 |
$169 |
$36 | |
| X-ray of the ribs (3 views) |
$138 |
$288 |
$175 |
$42 | |
| X-ray of the shoulder |
$173 |
$361 |
$172 |
$36 | |
| X-ray of the skull |
$138 |
$288 |
$175 |
$40 | |
| X-ray of the upper arm |
$138 |
$288 |
$134 |
$32 | |
| X-ray of the wrist |
$173 |
$361 |
$172 |
$43 | |
| YAG laser capsulotomy (eye) |
$3,376 |
$7,033 |
$1,494 |
$335 | |
| Zinc blood test |
$18 |
$37 |
$21 |
$11 | |