| 3D mammogram (tomosynthesis) |
$90 |
$138 |
$52 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$690 |
$1,061 |
$732 |
$284 | |
| Abdominal ultrasound |
$790 |
$1,216 |
$197 |
$100 | |
| Abdominal ultrasound (complete) |
$1,094 |
$1,683 |
$197 |
$114 | |
| Abdominal ultrasound (limited) |
$486 |
$748 |
$197 |
$86 | |
| Abscess drainage (complex or multiple) |
$809 |
$1,244 |
$746 |
$220 | |
| Abscess drainage (simple) |
$229 |
$353 |
$212 |
$129 | |
| Abscess incision and drainage |
$519 |
$799 |
$272 |
$174 | |
| ACL knee reconstruction |
$23,556 |
$36,241 |
$6,362 |
$889 | |
| Adenoid removal (adenoidectomy) |
$6,923 |
$10,651 |
$2,800 |
$204 | |
| Albumin blood test |
$18 |
$27 |
$8 |
$5 | |
| Aldosterone test |
$250 |
$385 |
$66 |
$41 | |
| Alkaline phosphatase test |
$68 |
$104 |
$8 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$138 |
$213 |
$27 |
$17 | |
| ALT liver enzyme test |
$83 |
$127 |
$9 |
$5 | |
| Ammonia blood test |
$159 |
$244 |
$23 |
$15 | |
| Amniocentesis |
$1,201 |
$1,847 |
$1,108 |
$120 | |
| Amylase test |
$23 |
$36 |
$10 |
$6 | |
| Anal fistula repair |
$7,525 |
$11,578 |
$2,442 |
$541 | |
| Antinuclear antibody (ANA) test |
$43 |
$66 |
$19 |
$12 | |
| Aortic valve replacement |
$8,029 |
$12,352 |
$7,041 |
$1,603 | |
| Arterial blood gas (ABG) |
$240 |
$369 |
$42 |
$26 | |
| AST liver enzyme test |
$81 |
$125 |
$8 |
$5 | |
| Barium swallow study |
$487 |
$749 |
$261 |
$107 | |
| Basic metabolic panel |
$149 |
$229 |
$14 |
$8 | |
| Benign skin lesion removal |
$2,300 |
$3,539 |
$2,123 |
$171 | |
| Bilirubin blood test |
$98 |
$151 |
$8 |
$5 | |
| Bladder function test (urodynamics) |
$900 |
$1,384 |
$692 |
$345 | |
| Bladder scope (cystoscopy) |
$6,840 |
$10,524 |
$594 |
$216 | |
| Bladder tumor removal (TURBT) |
$20,365 |
$31,331 |
$2,514 |
$236 | |
| Blood clotting test (PT/INR) |
$14 |
$22 |
$7 |
$4 | |
| Blood crossmatch |
$45 |
$69 |
$52 |
— | |
| Blood glucose test |
$46 |
$70 |
$6 |
$5 | |
| Blood transfusion |
$562 |
$865 |
$389 |
$47 | |
| Blood type and screen |
$28 |
$43 |
$28 |
$10 | |
| Blood type test |
$10 |
$16 |
$11 |
$3 | |
| Blood type test (ABO group) |
$10 |
$16 |
$11 |
$3 | |
| Blood type test (Rh/D antigen) |
$10 |
$16 |
$12 |
$3 | |
| BNP (heart failure) test |
$101 |
$155 |
$63 |
$39 | |
| Bone density scan (DEXA) |
$464 |
$714 |
$180 |
$39 | |
| Bone marrow biopsy |
$2,313 |
$3,558 |
$1,443 |
$172 | |
| Bone scan (nuclear) |
$2,047 |
$3,149 |
$372 |
$259 | |
| Botox for migraine |
$99 |
$153 |
$144 |
$157 | |
| Breast biopsy |
$2,013 |
$3,097 |
$1,895 |
$478 | |
| Breast MRI |
$1,848 |
$2,844 |
$1,309 |
$216 | |
| Breast MRI without contrast |
$1,995 |
$3,069 |
$518 |
$216 | |
| Breast ultrasound |
$326 |
$502 |
$159 |
$92 | |
| Breast ultrasound (complete) |
$274 |
$422 |
$163 |
$100 | |
| Breast ultrasound (limited) |
$378 |
$582 |
$135 |
$84 | |
| Breathing tube insertion (intubation) |
$757 |
$1,164 |
$663 |
$133 | |
| Bronchoscopy |
$8,148 |
$12,536 |
$1,540 |
$303 | |
| Burn dressing and debridement (medium) |
$694 |
$1,067 |
$640 |
$166 | |
| Burn dressing and debridement (small) |
$166 |
$255 |
$153 |
$93 | |
| Burn treatment |
$430 |
$661 |
$381 |
$129 | |
| C-reactive protein (CRP) |
$62 |
$95 |
$8 |
$5 | |
| CA 19-9 tumor marker test |
$105 |
$162 |
$34 |
$21 | |
| CA-125 ovarian marker test |
$112 |
$172 |
$34 |
$21 | |
| Calcium blood test |
$43 |
$66 |
$8 |
$5 | |
| Capsule endoscopy |
$2,891 |
$4,448 |
$1,599 |
$802 | |
| Cardiac ablation |
$20,830 |
$32,046 |
$21,848 |
$759 | |
| Cardiac catheterization |
$9,329 |
$14,352 |
$5,390 |
$1,049 | |
| Cardiac MRI |
$2,567 |
$3,950 |
$567 |
$322 | |
| Cardiac MRI without contrast |
$2,222 |
$3,419 |
$447 |
$280 | |
| Cardiac rehabilitation |
$253 |
$389 |
$161 |
$26 | |
| Cardiac stress test |
$945 |
$1,454 |
$529 |
$39 | |
| Cardioversion |
$1,294 |
$1,991 |
$1,004 |
$155 | |
| Carotid artery ultrasound |
$829 |
$1,276 |
$459 |
$156 | |
| Carpal tunnel release |
$7,130 |
$10,969 |
$1,739 |
$483 | |
| CEA tumor marker test |
$186 |
$286 |
$31 |
$19 | |
| Celiac disease test |
$106 |
$163 |
$20 |
$12 | |
| Central line placement |
$2,172 |
$3,341 |
$2,005 |
$238 | |
| Cervical LEEP procedure |
$7,801 |
$12,002 |
$2,267 |
$325 | |
| Chalazion (eyelid cyst) removal |
$285 |
$439 |
$112 |
$131 | |
| Chemotherapy infusion |
$476 |
$732 |
$312 |
$81 | |
| Chemotherapy infusion (each additional) |
$390 |
$600 |
$214 |
$28 | |
| Chemotherapy infusion (first hour) |
$562 |
$864 |
$428 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,752 |
$2,695 |
$579 |
$311 | |
| Chest tube insertion |
$774 |
$1,190 |
$714 |
$143 | |
| Chest X-ray |
$416 |
$641 |
$176 |
$37 | |
| Chest X-ray (1 view) |
$303 |
$466 |
$151 |
$25 | |
| Chest X-ray (2 views) |
$398 |
$612 |
$169 |
$33 | |
| Circumcision |
$660 |
$1,016 |
$610 |
$167 | |
| CK-MB heart enzyme test |
$160 |
$246 |
$19 |
$12 | |
| Clotting time test (PTT) |
$99 |
$152 |
$10 |
$6 | |
| Colonoscopy |
$3,471 |
$5,340 |
$962 |
$480 | |
| Complete blood count (CBC) |
$16 |
$25 |
$10 |
$7 | |
| Complete blood count (CBC) (complete) |
$18 |
$27 |
$12 |
$8 | |
| Comprehensive eye exam |
$90 |
$139 |
$110 |
$138 | |
| Comprehensive metabolic panel |
$23 |
$36 |
$15 |
$11 | |
| Continuous glucose monitor setup |
$55 |
$85 |
$45 |
$35 | |
| Copper blood test |
$142 |
$219 |
$20 |
$12 | |
| Coronary CT angiography |
$1,420 |
$2,184 |
$548 |
$326 | |
| Cortisol test |
$200 |
$307 |
$26 |
$16 | |
| COVID-19 PCR test |
$130 |
$200 |
$83 |
$51 | |
| CPAP titration study |
$1,077 |
$1,657 |
$334 |
$69 | |
| Creatine kinase (CK) test |
$100 |
$154 |
$10 |
$7 | |
| CT angiography of the chest |
$1,984 |
$3,053 |
$402 |
$281 | |
| CT angiography of the head |
$2,514 |
$3,867 |
$402 |
$274 | |
| CT scan of the abdomen |
$1,983 |
$3,050 |
$362 |
$230 | |
| CT scan of the abdomen and pelvis |
$3,795 |
$5,839 |
$548 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,795 |
$5,839 |
$661 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$3,961 |
$6,094 |
$661 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$3,291 |
$5,063 |
$447 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,983 |
$3,050 |
$377 |
$259 | |
| CT scan of the abdomen with contrast |
$2,107 |
$3,241 |
$361 |
$230 | |
| CT scan of the abdomen without contrast |
$1,345 |
$2,069 |
$213 |
$136 | |
| CT scan of the arm |
$1,312 |
$2,018 |
$364 |
$199 | |
| CT scan of the arm with contrast |
$994 |
$1,529 |
$548 |
$199 | |
| CT scan of the arm without contrast |
$1,335 |
$2,054 |
$238 |
$161 | |
| CT scan of the chest |
$1,689 |
$2,598 |
$303 |
$167 | |
| CT scan of the chest with and without contrast |
$1,893 |
$2,912 |
$330 |
$196 | |
| CT scan of the chest with contrast |
$1,689 |
$2,598 |
$329 |
$167 | |
| CT scan of the chest without contrast |
$1,430 |
$2,200 |
$215 |
$133 | |
| CT scan of the head |
$1,864 |
$2,867 |
$273 |
$148 | |
| CT scan of the head with and without contrast |
$2,092 |
$3,218 |
$329 |
$173 | |
| CT scan of the head with contrast |
$1,864 |
$2,867 |
$323 |
$148 | |
| CT scan of the head without contrast |
$1,686 |
$2,594 |
$197 |
$107 | |
| CT scan of the leg |
$1,858 |
$2,858 |
$302 |
$166 | |
| CT scan of the leg with contrast |
$2,669 |
$4,106 |
$329 |
$166 | |
| CT scan of the leg without contrast |
$1,746 |
$2,686 |
$202 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,962 |
$3,019 |
$402 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,174 |
$3,345 |
$329 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,962 |
$3,019 |
$661 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,828 |
$2,813 |
$213 |
$130 | |
| CT scan of the neck |
$1,847 |
$2,841 |
$329 |
$183 | |
| CT scan of the neck (cervical spine) |
$2,211 |
$3,401 |
$402 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,600 |
$4,000 |
$329 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$2,211 |
$3,401 |
$661 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$2,040 |
$3,138 |
$213 |
$131 | |
| CT scan of the neck with and without contrast |
$2,020 |
$3,107 |
$341 |
$220 | |
| CT scan of the neck with contrast |
$1,847 |
$2,841 |
$329 |
$183 | |
| CT scan of the neck without contrast |
$954 |
$1,467 |
$233 |
$150 | |
| CT scan of the pelvis |
$1,990 |
$3,062 |
$362 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,137 |
$3,287 |
$364 |
$251 | |
| CT scan of the pelvis with contrast |
$1,990 |
$3,062 |
$361 |
$226 | |
| CT scan of the pelvis without contrast |
$1,846 |
$2,840 |
$228 |
$133 | |
| CT scan of the sinuses |
$2,017 |
$3,103 |
$273 |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,179 |
$3,353 |
$329 |
$184 | |
| CT scan of the sinuses with contrast |
$2,017 |
$3,103 |
$329 |
$152 | |
| CT scan of the sinuses without contrast |
$1,830 |
$2,815 |
$199 |
$128 | |
| D-dimer test |
$176 |
$270 |
$16 |
$10 | |
| Defibrillator (ICD) implant |
$51,225 |
$78,808 |
$28,554 |
$798 | |
| Developmental screening (child) |
$177 |
$273 |
$156 |
— | |
| DHEA-sulfate test |
$100 |
$154 |
$36 |
$22 | |
| Diagnostic mammogram |
$314 |
$483 |
$193 |
$140 | |
| Dialysis fistula creation |
$12,815 |
$19,715 |
$2,803 |
$601 | |
| Drug screen (urine) |
$109 |
$167 |
$78 |
$17 | |
| Ear pressure test (tympanometry) |
$78 |
$120 |
$52 |
$16 | |
| Ear tubes (myringotomy) |
$4,707 |
$7,242 |
$1,360 |
$174 | |
| Eardrum repair (tympanoplasty) |
$18,331 |
$28,201 |
$5,107 |
$799 | |
| Echocardiogram |
$928 |
$1,428 |
$614 |
$138 | |
| Echocardiogram with and without contrast |
$785 |
$1,208 |
$440 |
$101 | |
| Echocardiogram without contrast |
$928 |
$1,428 |
$571 |
$138 | |
| EEG (awake and asleep) |
$874 |
$1,344 |
$578 |
$482 | |
| EKG / ECG (tracing only) |
$260 |
$400 |
$120 |
$7 | |
| Electrocardiogram (EKG) |
$133 |
$205 |
$12 |
$8 | |
| Electroencephalogram (EEG) |
$881 |
$1,356 |
$578 |
$448 | |
| Electrolyte panel |
$77 |
$118 |
$11 |
$7 | |
| Emergency department visit |
$1,219 |
$1,875 |
$503 |
$69 | |
| Emergency department visit (level 1) |
$231 |
$356 |
$126 |
$11 | |
| Emergency department visit (level 2) |
$534 |
$822 |
$243 |
$40 | |
| Emergency department visit (level 3) |
$1,219 |
$1,875 |
$419 |
$69 | |
| Emergency department visit (level 4) |
$2,692 |
$4,142 |
$574 |
$118 | |
| Emergency department visit (level 5) |
$2,115 |
$3,254 |
$766 |
$171 | |
| Epidural steroid injection |
$2,012 |
$3,096 |
$1,835 |
$275 | |
| ERCP (bile duct endoscopy) |
$11,267 |
$17,334 |
$2,140 |
$311 | |
| Esophageal dilation |
$2,008 |
$3,089 |
$1,773 |
$522 | |
| Estradiol (estrogen) test |
$144 |
$221 |
$45 |
$28 | |
| Eye refraction (glasses prescription) |
$20 |
$30 |
$12 |
— | |
| Facet joint injection (spine) |
$1,159 |
$1,783 |
$1,283 |
$99 | |
| Fallopian tube X-ray (HSG) |
$474 |
$729 |
$296 |
$164 | |
| Fecal occult blood (stool) test |
$63 |
$98 |
$16 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$27 |
$42 |
$7 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$99 |
$153 |
$26 |
$16 | |
| Feeding tube (PEG) placement |
$2,879 |
$4,429 |
$2,153 |
$178 | |
| Ferritin (iron) test |
$49 |
$75 |
$22 |
$14 | |
| Fibrinogen test |
$148 |
$227 |
$16 |
$10 | |
| Flexible sigmoidoscopy |
$2,686 |
$4,133 |
$812 |
$323 | |
| Flu test |
$90 |
$138 |
$27 |
$17 | |
| Folate (folic acid) test |
$146 |
$225 |
$24 |
$15 | |
| Foreign body removal (skin) |
$1,514 |
$2,329 |
$1,397 |
$157 | |
| Free T4 thyroid test |
$117 |
$180 |
$15 |
$9 | |
| FSH hormone test |
$103 |
$158 |
$30 |
$19 | |
| Gallbladder removal (laparoscopic) |
$12,927 |
$19,888 |
$5,196 |
$658 | |
| Gallbladder scan (HIDA) |
$2,505 |
$3,853 |
$493 |
$334 | |
| GGT liver test |
$20 |
$30 |
$12 |
$7 | |
| Glucose tolerance test |
$67 |
$104 |
$13 |
$8 | |
| H. pylori test |
$307 |
$473 |
$108 |
$67 | |
| HDL cholesterol test |
$56 |
$86 |
$13 |
$8 | |
| Hearing test (audiometry) |
$312 |
$480 |
$200 |
$36 | |
| Hematocrit test |
$39 |
$60 |
$4 |
$2 | |
| Hemodialysis |
$1,664 |
$2,560 |
$1,280 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$103 |
$158 |
$16 |
$10 | |
| Hemorrhoid removal |
$5,485 |
$8,439 |
$1,110 |
$338 | |
| Hepatitis B test |
$37 |
$57 |
$17 |
$10 | |
| Hepatitis C test |
$51 |
$78 |
$23 |
$14 | |
| HIV test |
$82 |
$126 |
$27 |
$19 | |
| HIV test (antibody) |
$114 |
$176 |
$22 |
$14 | |
| HIV test (antigen/antibody combo) |
$49 |
$75 |
$33 |
$24 | |
| Holter heart monitor |
$639 |
$983 |
$335 |
$26 | |
| Hydrocele repair |
$7,108 |
$10,935 |
$3,080 |
$315 | |
| Hysterectomy |
$19,736 |
$30,362 |
$4,314 |
$933 | |
| Hysteroscopy |
$8,514 |
$13,098 |
$2,745 |
$1,270 | |
| Inguinal hernia repair |
$11,601 |
$17,848 |
$3,143 |
$538 | |
| Iron blood test |
$83 |
$127 |
$10 |
$6 | |
| IV infusion therapy |
$306 |
$471 |
$197 |
$44 | |
| IV infusion therapy (each additional) |
$251 |
$386 |
$138 |
$21 | |
| IV infusion therapy (initial) |
$361 |
$556 |
$269 |
$67 | |
| IVC filter placement |
$3,213 |
$4,943 |
$2,966 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$451 |
$694 |
$538 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$465 |
$715 |
$551 |
$57 | |
| Joint aspiration or injection (small joint) |
$437 |
$673 |
$538 |
$56 | |
| Kidney biopsy |
$1,321 |
$2,033 |
$1,321 |
$492 | |
| Kidney removal (nephrectomy) |
$23,958 |
$36,859 |
$1,210 |
$1,164 | |
| Kidney scan (nuclear) |
$997 |
$1,534 |
$479 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$11,822 |
$18,187 |
$3,072 |
$760 | |
| Kidney ultrasound |
$452 |
$696 |
$165 |
$84 | |
| Kidney ultrasound (limited) |
$545 |
$838 |
$153 |
$61 | |
| Knee arthroscopy |
$9,112 |
$14,018 |
$2,890 |
$524 | |
| Knee joint injection |
$499 |
$767 |
$437 |
$69 | |
| Lactate test |
$142 |
$218 |
$19 |
$12 | |
| Laminectomy (spine) |
$18,930 |
$29,123 |
$6,362 |
$1,157 | |
| Laryngoscopy |
$4,506 |
$6,933 |
$1,450 |
$189 | |
| LDH test |
$55 |
$85 |
$10 |
$6 | |
| LDL cholesterol test |
$35 |
$54 |
$17 |
$11 | |
| Leg artery angiogram |
$2,400 |
$3,692 |
$2,400 |
$149 | |
| Leg artery angioplasty |
$22,235 |
$34,208 |
$6,992 |
— | |
| Leg vein ultrasound (Doppler) |
$1,009 |
$1,553 |
$516 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$818 |
$1,259 |
$467 |
$116 | |
| LH hormone test |
$103 |
$158 |
$30 |
$19 | |
| Lipase test |
$17 |
$26 |
$11 |
$7 | |
| Lipid (cholesterol) panel |
$151 |
$232 |
$22 |
$13 | |
| Liver biopsy |
$3,205 |
$4,930 |
$1,049 |
$288 | |
| Liver function panel |
$22 |
$34 |
$13 |
$8 | |
| Lumbar discectomy |
$16,384 |
$25,207 |
$6,362 |
$898 | |
| Lung function test (PFT) |
$425 |
$654 |
$277 |
$37 | |
| Lung scan (V/Q) |
$816 |
$1,256 |
$575 |
$291 | |
| Magnesium blood test |
$29 |
$45 |
$11 |
$7 | |
| Meniscus repair (knee) |
$24,377 |
$37,504 |
$5,533 |
$714 | |
| MRA of the brain |
$2,290 |
$3,523 |
$661 |
$226 | |
| MRA of the brain with contrast |
$2,290 |
$3,523 |
$661 |
$226 | |
| MRA of the brain without contrast |
$2,608 |
$4,013 |
$714 |
$328 | |
| MRA of the neck |
$1,451 |
$2,232 |
$592 |
$245 | |
| MRA of the neck with contrast |
$1,451 |
$2,232 |
$661 |
$245 | |
| MRA of the neck without contrast |
$2,130 |
$3,277 |
$714 |
$343 | |
| MRI of the abdomen |
$1,739 |
$2,676 |
$579 |
$300 | |
| MRI of the abdomen with contrast |
$1,739 |
$2,676 |
$661 |
$300 | |
| MRI of the abdomen without contrast |
$1,283 |
$1,974 |
$447 |
$194 | |
| MRI of the ankle |
$2,035 |
$3,131 |
$568 |
$261 | |
| MRI of the ankle with contrast |
$1,707 |
$2,626 |
$661 |
$261 | |
| MRI of the ankle without contrast |
$2,035 |
$3,131 |
$447 |
$222 | |
| MRI of the brain |
$2,584 |
$3,976 |
$578 |
$269 | |
| MRI of the brain with contrast |
$2,584 |
$3,976 |
$661 |
$269 | |
| MRI of the brain without contrast |
$2,306 |
$3,547 |
$447 |
$195 | |
| MRI of the chest |
$1,463 |
$2,251 |
$712 |
$371 | |
| MRI of the chest without contrast |
$1,802 |
$2,772 |
$739 |
$466 | |
| MRI of the knee |
$2,471 |
$3,802 |
$736 |
$315 | |
| MRI of the knee with contrast |
$1,831 |
$2,817 |
$1,107 |
$315 | |
| MRI of the knee without contrast |
$2,471 |
$3,802 |
$447 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,600 |
$4,000 |
$578 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,600 |
$4,000 |
$661 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,363 |
$3,636 |
$447 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,527 |
$3,888 |
$548 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,738 |
$4,212 |
$661 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,527 |
$3,888 |
$661 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,372 |
$3,649 |
$447 |
$190 | |
| MRI of the neck (cervical spine) |
$2,714 |
$4,175 |
$578 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$3,143 |
$4,836 |
$661 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,714 |
$4,175 |
$661 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,560 |
$3,939 |
$447 |
$191 | |
| MRI of the pelvis |
$2,057 |
$3,164 |
$578 |
$268 | |
| MRI of the pelvis with contrast |
$2,057 |
$3,164 |
$661 |
$268 | |
| MRI of the pelvis without contrast |
$1,328 |
$2,043 |
$447 |
$227 | |
| MRI of the shoulder |
$2,604 |
$4,006 |
$739 |
$313 | |
| MRI of the shoulder with contrast |
$2,349 |
$3,614 |
$1,111 |
$313 | |
| MRI of the shoulder without contrast |
$3,325 |
$5,115 |
$447 |
$205 | |
| MRI of the wrist |
$1,922 |
$2,957 |
$828 |
$330 | |
| MRI of the wrist with contrast |
$1,922 |
$2,957 |
$1,582 |
$330 | |
| MRI of the wrist without contrast |
$1,160 |
$1,785 |
$469 |
$303 | |
| Nebulizer breathing treatment |
$244 |
$375 |
$181 |
$9 | |
| Nuchal translucency ultrasound |
$415 |
$638 |
$180 |
$116 | |
| Nuclear cardiac stress test |
$4,576 |
$7,040 |
$1,163 |
$428 | |
| Occupational therapy evaluation |
$228 |
$351 |
$146 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$306 |
$470 |
$159 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$228 |
$351 |
$142 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$209 |
$322 |
$142 |
$101 | |
| Office visit (established patient) |
$163 |
$251 |
$88 |
$115 | |
| Office visit (new patient) |
$246 |
$379 |
$141 |
$177 | |
| Office visit, established patient (level 3) |
$157 |
$241 |
$84 |
$95 | |
| Office visit, established patient (level 4) |
$169 |
$260 |
$89 |
$136 | |
| Office visit, new patient (level 3) |
$161 |
$248 |
$78 |
$118 | |
| Office visit, new patient (level 4) |
$246 |
$379 |
$121 |
$177 | |
| Office visit, new patient (level 5) |
$319 |
$490 |
$168 |
$237 | |
| Pap smear (cervical screening) |
$101 |
$156 |
$41 |
$20 | |
| Parathyroid hormone (PTH) test |
$231 |
$355 |
$66 |
$41 | |
| Pelvic ultrasound |
$475 |
$731 |
$163 |
$78 | |
| Pelvic ultrasound (complete) |
$701 |
$1,079 |
$197 |
$105 | |
| Pelvic ultrasound (limited) |
$248 |
$382 |
$124 |
$51 | |
| PET scan |
$3,916 |
$6,025 |
$2,044 |
— | |
| Phosphorus blood test |
$17 |
$26 |
$8 |
$5 | |
| Physical therapy evaluation |
$271 |
$417 |
$153 |
$98 | |
| Physical therapy evaluation (high complexity) |
$332 |
$510 |
$161 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$172 |
$264 |
$154 |
$98 | |
| Platelet count |
$39 |
$60 |
$7 |
$4 | |
| Pregnancy blood test (hCG) |
$27 |
$41 |
$12 |
$8 | |
| Pregnancy ultrasound |
$558 |
$858 |
$211 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$623 |
$959 |
$197 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$492 |
$757 |
$211 |
$136 | |
| Procalcitonin test |
$192 |
$295 |
$44 |
$27 | |
| Prolactin test |
$183 |
$282 |
$31 |
$19 | |
| Prostate biopsy |
$12,452 |
$19,156 |
$1,769 |
— | |
| Prostate removal (prostatectomy) |
$25,839 |
$39,753 |
$8,989 |
$1,063 | |
| Prostate surgery (TURP) |
$12,684 |
$19,514 |
$4,361 |
$526 | |
| Prostate test (PSA) |
$66 |
$101 |
$30 |
$18 | |
| Pulmonary rehabilitation |
$235 |
$362 |
$159 |
$87 | |
| Radiofrequency nerve ablation |
$3,330 |
$5,123 |
$3,272 |
$462 | |
| Retina scan (OCT) |
$73 |
$113 |
$49 |
$33 | |
| Retinal (fundus) photography |
$25 |
$38 |
$110 |
$37 | |
| Rheumatoid factor test |
$78 |
$120 |
$10 |
$6 | |
| Rotator cuff repair |
$18,398 |
$28,305 |
$6,265 |
$792 | |
| Routine eye exam |
$89 |
$137 |
$86 |
$88 | |
| Sacroiliac joint injection |
$1,029 |
$1,583 |
$792 |
$176 | |
| Scoliosis spine X-ray |
$342 |
$527 |
$164 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$248 |
$381 |
$139 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$437 |
$672 |
$213 |
$72 | |
| Screening mammogram |
$165 |
$254 |
$152 |
$126 | |
| Scrotal ultrasound |
$722 |
$1,111 |
$197 |
$99 | |
| Sedimentation rate (ESR) test |
$59 |
$90 |
$5 |
$3 | |
| Semen analysis |
$134 |
$206 |
$24 |
$12 | |
| Septoplasty (deviated septum) |
$11,468 |
$17,643 |
$2,782 |
$613 | |
| Sex hormone binding globulin test |
$142 |
$219 |
$35 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$551 |
$847 |
$508 |
$114 | |
| Simple wound stitches |
$546 |
$840 |
$500 |
$127 | |
| Sinus surgery (endoscopic) |
$14,854 |
$22,852 |
$5,901 |
$224 | |
| Skin biopsy |
$241 |
$371 |
$230 |
$121 | |
| Skin biopsy (punch) |
$241 |
$371 |
$223 |
$121 | |
| Skin cancer lesion removal |
$2,748 |
$4,228 |
$2,410 |
$240 | |
| Skin graft |
$6,786 |
$10,441 |
$6,199 |
$898 | |
| Sleep study (polysomnography) |
$3,730 |
$5,739 |
$2,350 |
$691 | |
| Soft tissue ultrasound |
$707 |
$1,087 |
$170 |
$64 | |
| Speech therapy |
$118 |
$181 |
$119 |
$76 | |
| Spinal cord stimulator |
$5,227 |
$8,041 |
$4,583 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$515 |
$792 |
$475 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$10,527 |
$16,195 |
$9,474 |
$5,803 | |
| Spirometry (lung function test) |
$332 |
$510 |
$209 |
$30 | |
| Spirometry with bronchodilator |
$519 |
$798 |
$343 |
$43 | |
| Strep throat test |
$27 |
$41 |
$21 |
$17 | |
| Stress echocardiogram |
$2,044 |
$3,145 |
$1,019 |
$209 | |
| Stress echocardiogram (complete) |
$1,723 |
$2,651 |
$965 |
$233 | |
| Swallow study |
$320 |
$493 |
$132 |
$85 | |
| T3 thyroid test |
$75 |
$116 |
$23 |
$14 | |
| Testicle removal (orchiectomy) |
$10,576 |
$16,270 |
$3,071 |
$306 | |
| Testosterone test |
$111 |
$170 |
$42 |
$26 | |
| Thyroid removal (thyroidectomy) |
$15,403 |
$23,696 |
$5,196 |
$1,004 | |
| Thyroid test (TSH) |
$11 |
$17 |
$17 |
$17 | |
| Thyroid ultrasound |
$659 |
$1,014 |
$95 |
$109 | |
| Thyroid uptake scan |
$877 |
$1,349 |
$418 |
$145 | |
| Tilt table test |
$2,105 |
$3,239 |
$982 |
$168 | |
| Tonsillectomy |
$6,968 |
$10,720 |
$2,888 |
$252 | |
| Total IgE allergy test |
$105 |
$162 |
$27 |
$16 | |
| Total protein test |
$79 |
$122 |
$6 |
$4 | |
| Tracheostomy |
$2,265 |
$3,485 |
$2,676 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$2,285 |
$3,515 |
$1,230 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$2,285 |
$3,515 |
$1,230 |
$239 | |
| Transvaginal ultrasound |
$580 |
$893 |
$197 |
$118 | |
| Trigger point injection |
$1,203 |
$1,852 |
$1,137 |
$56 | |
| Trigger point injection (1-2 muscles) |
$930 |
$1,430 |
$858 |
$52 | |
| Triglycerides test |
$79 |
$121 |
$9 |
$6 | |
| Troponin (heart) test |
$164 |
$252 |
$20 |
$12 | |
| Turbinate reduction |
$11,468 |
$17,643 |
$2,844 |
$294 | |
| Turning a breech baby (version) |
$2,855 |
$4,392 |
$2,745 |
$94 | |
| Ulnar nerve surgery (elbow) |
$11,132 |
$17,127 |
$2,889 |
$575 | |
| Upper GI endoscopy (EGD) |
$3,849 |
$5,922 |
$865 |
$371 | |
| Upper GI series (barium) |
$632 |
$972 |
$252 |
$128 | |
| Ureteral stent placement |
$9,600 |
$14,769 |
$3,071 |
$373 | |
| Ureteroscopy (stone removal) |
$14,424 |
$22,191 |
$4,527 |
$365 | |
| Uric acid (gout) test |
$16 |
$25 |
$7 |
$5 | |
| Urinalysis |
$9 |
$15 |
$4 |
$3 | |
| Urine microalbumin test |
$59 |
$91 |
$8 |
$5 | |
| Urine pregnancy test |
$17 |
$26 |
$11 |
$9 | |
| Vaccine administration |
$61 |
$94 |
$61 |
$19 | |
| Vaccine administration (each additional) |
$56 |
$86 |
$49 |
$16 | |
| Varicose vein ablation |
$6,178 |
$9,504 |
$3,503 |
$1,018 | |
| Visual field test |
$36 |
$55 |
$66 |
$64 | |
| Vitamin B12 test |
$150 |
$231 |
$24 |
$15 | |
| Vitamin D test |
$268 |
$413 |
$48 |
$30 | |
| Wound debridement |
$604 |
$929 |
$597 |
$186 | |
| X-ray of the abdomen |
$402 |
$618 |
$181 |
$36 | |
| X-ray of the ankle |
$577 |
$888 |
$135 |
$37 | |
| X-ray of the collarbone |
$415 |
$638 |
$134 |
$33 | |
| X-ray of the elbow |
$267 |
$411 |
$134 |
$33 | |
| X-ray of the facial bones |
$264 |
$406 |
$126 |
$39 | |
| X-ray of the foot |
$400 |
$616 |
$135 |
$34 | |
| X-ray of the forearm |
$476 |
$732 |
$124 |
$29 | |
| X-ray of the hand |
$217 |
$334 |
$124 |
$38 | |
| X-ray of the hip |
$270 |
$416 |
$146 |
$49 | |
| X-ray of the hip (1 view) |
$219 |
$337 |
$135 |
$34 | |
| X-ray of the hip (3 views) |
$270 |
$416 |
$151 |
$49 | |
| X-ray of the hip (4 views) |
$525 |
$808 |
$242 |
$63 | |
| X-ray of the knee |
$473 |
$727 |
$150 |
$42 | |
| X-ray of the knee (2 views) |
$278 |
$427 |
$135 |
$34 | |
| X-ray of the knee (3 views) |
$473 |
$727 |
$135 |
$42 | |
| X-ray of the knee (4+ views) |
$627 |
$964 |
$180 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$393 |
$605 |
$164 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$326 |
$502 |
$163 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$460 |
$708 |
$189 |
$53 | |
| X-ray of the lower leg |
$213 |
$328 |
$124 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$250 |
$384 |
$134 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$190 |
$292 |
$126 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$309 |
$476 |
$163 |
$39 | |
| X-ray of the neck (cervical spine) |
$425 |
$655 |
$158 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$274 |
$422 |
$135 |
$40 | |
| X-ray of the pelvis |
$288 |
$443 |
$150 |
$36 | |
| X-ray of the pelvis (1 view) |
$251 |
$386 |
$136 |
$28 | |
| X-ray of the ribs |
$265 |
$408 |
$149 |
$42 | |
| X-ray of the ribs (2 views) |
$265 |
$408 |
$135 |
$36 | |
| X-ray of the ribs (3 views) |
$324 |
$499 |
$163 |
$42 | |
| X-ray of the shoulder |
$298 |
$458 |
$134 |
$36 | |
| X-ray of the skull |
$322 |
$495 |
$163 |
$40 | |
| X-ray of the upper arm |
$220 |
$339 |
$124 |
$32 | |
| X-ray of the wrist |
$421 |
$647 |
$135 |
$43 | |
| YAG laser capsulotomy (eye) |
$1,251 |
$1,924 |
$288 |
$335 | |
| Zinc blood test |
$31 |
$47 |
$18 |
$11 | |