| Abdominal fluid drain (paracentesis) |
$391 |
$391 |
$50 |
$284 | |
| Abdominal ultrasound |
$575 |
$796 |
$78 |
$100 | |
| Abdominal ultrasound (complete) |
$332 |
$1,079 |
$104 |
$114 | |
| Abdominal ultrasound (limited) |
$818 |
$677 |
$77 |
$86 | |
| Abscess drainage (complex or multiple) |
$2,363 |
$2,121 |
$78 |
$220 | |
| Abscess drainage (simple) |
$1,638 |
$1,880 |
$46 |
$129 | |
| Abscess incision and drainage |
$2,054 |
$1,880 |
$78 |
$174 | |
| Achilles tendon repair |
$27,416 |
— |
$7,413 |
$624 | |
| Adenoid removal (adenoidectomy) |
$856 |
$785 |
$89 |
$204 | |
| Aldosterone test |
$213 |
$328 |
$114 |
$41 | |
| Alpha-fetoprotein (AFP) test |
$134 |
$206 |
$71 |
$17 | |
| Ammonia blood test |
$216 |
$333 |
$116 |
$15 | |
| Amniocentesis |
$1,690 |
$2,600 |
$31 |
$120 | |
| Amylase test |
$83 |
$127 |
$42 |
$6 | |
| Ankle fracture repair |
$36,008 |
— |
$7,413 |
$608 | |
| Annual physical (established patient) |
$190 |
$190 |
$98 |
— | |
| Annual physical (new patient) |
$220 |
$220 |
$123 |
— | |
| Anoscopy |
$408 |
$362 |
$18 |
$129 | |
| Antinuclear antibody (ANA) test |
$182 |
$280 |
$56 |
$12 | |
| Aortic aneurysm repair (AAA) |
$5,128 |
$5,552 |
$821 |
$1,345 | |
| Aortic valve replacement |
$3,905 |
$4,504 |
$924 |
$1,603 | |
| Barium swallow study |
$448 |
$689 |
$179 |
$107 | |
| Bartholin cyst removal |
$348 |
$535 |
$45 |
$182 | |
| Benign skin lesion removal |
$1,334 |
$1,410 |
$52 |
$171 | |
| Bladder tumor removal (TURBT) |
$29,508 |
— |
$3,601 |
$236 | |
| Blood glucose test |
$112 |
$144 |
$60 |
$5 | |
| Blood type and screen |
$128 |
$197 |
$53 |
$10 | |
| Blood type test |
$88 |
$136 |
$56 |
$3 | |
| Blood type test (ABO group) |
$105 |
$161 |
$136 |
$3 | |
| Blood type test (Rh/D antigen) |
$72 |
$110 |
$38 |
$3 | |
| BNP (heart failure) test |
$244 |
$376 |
$130 |
$39 | |
| Bone density scan (DEXA) |
$244 |
$376 |
$10 |
$39 | |
| Bone marrow biopsy |
$4,298 |
$4,166 |
$2,779 |
$172 | |
| Bone scan (nuclear) |
$1,227 |
$1,888 |
$408 |
$259 | |
| Brain shunt (VP shunt) |
$2,305 |
$2,305 |
$369 |
$1,023 | |
| Breast biopsy |
$6,204 |
$5,398 |
$305 |
$478 | |
| Breast MRI |
$916 |
$1,410 |
$244 |
$216 | |
| Breast MRI without contrast |
$441 |
$678 |
$582 |
$216 | |
| Breast reduction |
$2,412 |
$2,412 |
$452 |
$980 | |
| Breast ultrasound |
$973 |
$813 |
$71 |
$92 | |
| Breast ultrasound (limited) |
$973 |
$813 |
$71 |
$84 | |
| Breathing tube insertion (intubation) |
$1,080 |
$1,056 |
$115 |
$133 | |
| Bunion surgery (bunionectomy) |
$40,101 |
— |
$6,352 |
$883 | |
| Burn dressing and debridement (small) |
$182 |
$346 |
$24 |
$93 | |
| Burn treatment |
$182 |
$346 |
$24 |
$129 | |
| C-reactive protein (CRP) |
$171 |
$263 |
$91 |
$5 | |
| CA 19-9 tumor marker test |
$196 |
$301 |
$104 |
$21 | |
| CA-125 ovarian marker test |
$272 |
$418 |
$145 |
$21 | |
| Capsule endoscopy |
$6,362 |
$9,788 |
$927 |
$802 | |
| Cardiac ablation |
$2,859 |
$16,844 |
$474 |
$759 | |
| Cardiac MRI |
$3,390 |
$5,216 |
$356 |
$322 | |
| Cardiac MRI without contrast |
$2,883 |
$4,436 |
$244 |
$280 | |
| Cardiac rehabilitation |
$360 |
$554 |
$132 |
$26 | |
| Cardiac stress test |
$154 |
$387 |
$47 |
$39 | |
| Cardioversion |
$1,989 |
$1,700 |
$102 |
$155 | |
| Carotid artery surgery |
$2,361 |
$2,361 |
$378 |
$1,026 | |
| Carpal tunnel release |
$16,542 |
— |
$1,995 |
$483 | |
| CEA tumor marker test |
$289 |
$445 |
$154 |
$19 | |
| Celiac disease test |
$140 |
$215 |
$75 |
$12 | |
| Central line placement |
$348 |
$348 |
$70 |
$238 | |
| Cervical LEEP procedure |
$17,782 |
— |
$3,307 |
$325 | |
| Cesarean section (C-section) |
$39,305 |
— |
$11,202 |
$7,552 | |
| Chemotherapy infusion |
$489 |
$753 |
$284 |
$81 | |
| Chemotherapy infusion (each additional) |
$447 |
$687 |
$74 |
$28 | |
| Chemotherapy infusion (first hour) |
$532 |
$818 |
$337 |
$133 | |
| Chest fluid drain (thoracentesis) |
$4,409 |
$5,530 |
$353 |
$311 | |
| Chest tube insertion |
$488 |
$488 |
$68 |
$143 | |
| Chest X-ray |
$327 |
$407 |
$30 |
$37 | |
| Chest X-ray (1 view) |
$300 |
$244 |
$62 |
$25 | |
| Chickenpox (varicella) vaccine |
$156 |
$240 |
$183 |
— | |
| CK-MB heart enzyme test |
$145 |
$223 |
$77 |
$12 | |
| Colon resection (colectomy) |
$2,891 |
$2,891 |
$468 |
$1,238 | |
| Colostomy |
$2,605 |
$2,605 |
$389 |
$1,122 | |
| Colposcopy |
$877 |
$1,271 |
$62 |
$161 | |
| Continuous glucose monitor setup |
$76 |
$117 |
$84 |
$35 | |
| Copper blood test |
$85 |
$131 |
$50 |
$12 | |
| Coronary artery bypass (CABG) |
$155,782 |
— |
$41,525 |
$36,593 | |
| Coronary CT angiography |
$340 |
$770 |
$104 |
$326 | |
| Cortisol test |
$172 |
$264 |
$92 |
$16 | |
| COVID-19 PCR test |
$130 |
$200 |
$69 |
$51 | |
| CPAP titration study |
$963 |
$1,482 |
$224 |
$69 | |
| Craniotomy (brain surgery) |
$4,910 |
$4,910 |
$786 |
$2,161 | |
| Creatine kinase (CK) test |
$139 |
$214 |
$74 |
$7 | |
| CT angiography of the chest |
$312 |
$312 |
$78 |
$281 | |
| CT angiography of the head |
$252 |
$252 |
$89 |
$274 | |
| CT scan of the abdomen |
$1,864 |
$2,867 |
$179 |
$230 | |
| CT scan of the abdomen and pelvis |
$3,811 |
$5,276 |
$78 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$4,192 |
$6,449 |
$356 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$3,811 |
$5,863 |
$356 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$3,048 |
$2,470 |
$78 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,388 |
$3,674 |
$179 |
$259 | |
| CT scan of the abdomen with contrast |
$1,864 |
$2,867 |
$179 |
$230 | |
| CT scan of the abdomen without contrast |
$1,441 |
$2,217 |
$107 |
$136 | |
| CT scan of the arm |
$2,311 |
$2,683 |
$356 |
$199 | |
| CT scan of the arm without contrast |
$1,744 |
$2,683 |
$107 |
$161 | |
| CT scan of the chest |
$1,928 |
$2,627 |
$56 |
$167 | |
| CT scan of the chest with and without contrast |
$2,259 |
$3,476 |
$179 |
$196 | |
| CT scan of the chest without contrast |
$184 |
$184 |
$56 |
$133 | |
| CT scan of the head |
$1,547 |
$2,183 |
$179 |
$148 | |
| CT scan of the head with and without contrast |
$1,675 |
$2,577 |
$179 |
$173 | |
| CT scan of the head with contrast |
$1,419 |
$2,183 |
$179 |
$148 | |
| CT scan of the head without contrast |
$1,874 |
$1,993 |
$107 |
$107 | |
| CT scan of the leg |
$1,645 |
$2,292 |
$179 |
$166 | |
| CT scan of the leg without contrast |
$1,295 |
$1,993 |
$107 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,693 |
$2,604 |
$333 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$3,982 |
$6,126 |
$179 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,693 |
$2,604 |
$356 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,498 |
$2,305 |
$107 |
$130 | |
| CT scan of the neck |
$1,645 |
$2,531 |
$66 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,498 |
$2,305 |
$333 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$3,843 |
$5,912 |
$179 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,498 |
$2,305 |
$356 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,498 |
$2,305 |
$107 |
$131 | |
| CT scan of the neck with and without contrast |
$1,793 |
$2,758 |
$179 |
$220 | |
| CT scan of the neck with contrast |
$1,645 |
$2,531 |
$66 |
$183 | |
| CT scan of the neck without contrast |
$1,333 |
$2,050 |
$62 |
$150 | |
| CT scan of the pelvis |
$1,810 |
$2,785 |
$179 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,991 |
$3,063 |
$179 |
$251 | |
| CT scan of the pelvis with contrast |
$1,810 |
$2,785 |
$179 |
$226 | |
| CT scan of the pelvis without contrast |
$1,303 |
$2,004 |
$107 |
$133 | |
| CT scan of the sinuses |
$1,165 |
$1,793 |
$55 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,218 |
$1,874 |
$179 |
$184 | |
| CT scan of the sinuses with contrast |
$2,147 |
$3,303 |
$179 |
$152 | |
| CT scan of the sinuses without contrast |
$180 |
$180 |
$55 |
$128 | |
| D-dimer test |
$213 |
$328 |
$114 |
$10 | |
| Defibrillator (ICD) implant |
$16,043 |
$13,838 |
$477 |
$798 | |
| DHEA-sulfate test |
$176 |
$270 |
$94 |
$22 | |
| Diagnostic mammogram |
$396 |
$610 |
$273 |
$140 | |
| Echocardiogram |
$639 |
$1,524 |
$92 |
$138 | |
| Echocardiogram with and without contrast |
$287 |
$803 |
$92 |
$101 | |
| Echocardiogram without contrast |
$142 |
$1,686 |
$57 |
$138 | |
| EEG (awake and asleep) |
$1,124 |
$1,518 |
$111 |
$482 | |
| Electrocardiogram (EKG) |
$63 |
$63 |
$16 |
$8 | |
| Electroencephalogram (EEG) |
$1,058 |
$1,518 |
$119 |
$448 | |
| Electromyography (EMG) |
$599 |
$922 |
$136 |
$141 | |
| Emergency department visit (level 1) |
$462 |
$560 |
$19 |
$11 | |
| Emergency department visit (level 2) |
$602 |
$515 |
$38 |
$40 | |
| Emergency department visit (level 3) |
$1,042 |
$880 |
$64 |
$69 | |
| Emergency department visit (level 4) |
$3,463 |
$2,806 |
$198 |
$118 | |
| Emergency department visit (level 5) |
$2,731 |
$2,307 |
$367 |
$171 | |
| Endometrial biopsy |
$1,376 |
$2,117 |
$25 |
$98 | |
| Epidural steroid injection |
$2,508 |
$3,008 |
$721 |
$275 | |
| Estradiol (estrogen) test |
$191 |
$294 |
$102 |
$28 | |
| Facet joint injection (spine) |
$2,931 |
$4,313 |
$904 |
$99 | |
| Fecal occult blood (stool) test |
$69 |
$107 |
$29 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$54 |
$83 |
$29 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$85 |
$130 |
$45 |
$16 | |
| Femoral hernia repair |
$1,393 |
$1,393 |
$226 |
$584 | |
| Ferritin (iron) test |
$235 |
$362 |
$126 |
$14 | |
| Fibrinogen test |
$164 |
$253 |
$88 |
$10 | |
| Flu vaccine |
$46 |
$70 |
$20 |
— | |
| Folate (folic acid) test |
$131 |
$201 |
$70 |
$15 | |
| Foreign body removal (skin) |
$354 |
$446 |
$46 |
$157 | |
| FSH hormone test |
$157 |
$242 |
$84 |
$19 | |
| Gallbladder scan (HIDA) |
$1,519 |
$2,337 |
$555 |
$334 | |
| GGT liver test |
$105 |
$162 |
$56 |
$7 | |
| Glucose tolerance test |
$82 |
$126 |
$39 |
$8 | |
| Group therapy session |
$75 |
$83 |
$32 |
$30 | |
| Hammertoe repair |
$24,211 |
— |
$3,343 |
$548 | |
| HDL cholesterol test |
$70 |
$108 |
$37 |
$8 | |
| Hemodialysis |
$1,851 |
$2,848 |
$701 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$151 |
$232 |
$10 |
$10 | |
| Hemorrhoid removal |
$2,191 |
$2,558 |
$89 |
$338 | |
| Hepatitis A vaccine |
$142 |
$188 |
$80 |
— | |
| Hepatitis B test |
$163 |
$250 |
$57 |
$10 | |
| Hepatitis B vaccine |
$144 |
$188 |
$74 |
— | |
| Hepatitis C test |
$158 |
$243 |
$84 |
$14 | |
| Hip replacement |
$47,350 |
— |
$13,117 |
$1,162 | |
| HIV test |
$190 |
$293 |
$102 |
$19 | |
| HIV test (antigen/antibody combo) |
$190 |
$293 |
$102 |
$24 | |
| Holter heart monitor |
$475 |
$731 |
$32 |
$26 | |
| Home sleep apnea test |
$472 |
$472 |
$115 |
$123 | |
| HPV vaccine |
$257 |
$396 |
$308 |
— | |
| Hysterectomy |
$38,873 |
— |
$10,860 |
$933 | |
| Hysteroscopy |
$22,553 |
— |
$3,307 |
$1,270 | |
| Ileostomy |
$360 |
$360 |
$359 |
$968 | |
| Inguinal hernia repair |
$1,995 |
$1,878 |
$193 |
$538 | |
| Iron blood test |
$173 |
$266 |
$32 |
$6 | |
| IUD insertion |
$107 |
$107 |
$36 |
— | |
| IUD removal |
$141 |
$141 |
$28 |
$112 | |
| IV infusion therapy |
$391 |
$599 |
$57 |
$44 | |
| IV infusion therapy (each additional) |
$200 |
$308 |
$20 |
$21 | |
| IV infusion therapy (initial) |
$578 |
$889 |
$60 |
$67 | |
| IVC filter placement |
$7,958 |
$12,243 |
$5,685 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$483 |
$743 |
$32 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$483 |
$743 |
$32 |
$57 | |
| Kidney biopsy |
$2,278 |
$3,505 |
$1,687 |
$492 | |
| Kidney scan (nuclear) |
$1,681 |
$2,586 |
$555 |
$172 | |
| Kidney ultrasound |
$715 |
$1,101 |
$107 |
$84 | |
| Kidney ultrasound (limited) |
$520 |
$800 |
$107 |
$61 | |
| Knee joint injection |
$1,885 |
$1,949 |
$27 |
$69 | |
| Knee replacement |
$63,532 |
— |
$21,098 |
$18,054 | |
| Laryngoscopy |
$509 |
$509 |
$73 |
$189 | |
| LDH test |
$139 |
$214 |
$36 |
$6 | |
| LDL cholesterol test |
$57 |
$88 |
$31 |
$11 | |
| Leg artery angiogram |
$4,870 |
$4,496 |
$138 |
$149 | |
| Leg vein ultrasound (Doppler) |
$227 |
$227 |
$59 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$352 |
$352 |
$105 |
$116 | |
| LH hormone test |
$151 |
$232 |
$81 |
$19 | |
| Lipase test |
$177 |
$272 |
$92 |
$7 | |
| Lipid (cholesterol) panel |
$37 |
$232 |
$16 |
$13 | |
| Liver biopsy |
$1,351 |
$2,078 |
$1,687 |
$288 | |
| Lung function test (PFT) |
$422 |
$459 |
$27 |
$37 | |
| Lung scan (V/Q) |
$1,405 |
$2,162 |
$555 |
$291 | |
| MMR vaccine |
$83 |
$128 |
$95 |
— | |
| MRA of the brain |
$3,523 |
$4,243 |
$124 |
$226 | |
| MRA of the brain without contrast |
$3,407 |
$4,064 |
$777 |
$328 | |
| MRA of the neck |
$2,302 |
$3,542 |
$186 |
$245 | |
| MRA of the neck with contrast |
$2,302 |
$3,542 |
$356 |
$245 | |
| MRA of the neck without contrast |
$3,695 |
$5,685 |
$89 |
$343 | |
| MRI of the abdomen |
$3,521 |
$5,418 |
$356 |
$300 | |
| MRI of the abdomen without contrast |
$3,047 |
$4,687 |
$244 |
$194 | |
| MRI of the ankle |
$3,442 |
$5,296 |
$356 |
$261 | |
| MRI of the ankle without contrast |
$2,675 |
$4,116 |
$244 |
$222 | |
| MRI of the brain |
$3,787 |
$4,142 |
$236 |
$269 | |
| MRI of the brain with contrast |
$2,692 |
$4,142 |
$356 |
$269 | |
| MRI of the brain without contrast |
$3,677 |
$3,780 |
$342 |
$195 | |
| MRI of the chest |
$3,127 |
$4,811 |
$356 |
$371 | |
| MRI of the chest without contrast |
$3,392 |
$5,219 |
$356 |
$466 | |
| MRI of the knee |
$3,758 |
$5,781 |
$538 |
$315 | |
| MRI of the knee with contrast |
$5,197 |
$7,995 |
$801 |
$315 | |
| MRI of the knee without contrast |
$2,548 |
$3,920 |
$538 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,590 |
$3,984 |
$356 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,332 |
$3,587 |
$356 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,590 |
$3,984 |
$327 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,478 |
$3,812 |
$356 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$4,311 |
$6,632 |
$356 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,946 |
$2,994 |
$356 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,478 |
$3,812 |
$244 |
$190 | |
| MRI of the neck (cervical spine) |
$2,586 |
$3,978 |
$356 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$4,332 |
$6,664 |
$356 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,352 |
$3,619 |
$356 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,586 |
$3,978 |
$244 |
$191 | |
| MRI of the pelvis |
$2,763 |
$4,251 |
$356 |
$268 | |
| MRI of the pelvis without contrast |
$1,974 |
$3,037 |
$244 |
$227 | |
| MRI of the shoulder |
$4,179 |
$6,429 |
$543 |
$313 | |
| MRI of the shoulder with contrast |
$4,179 |
$6,429 |
$801 |
$313 | |
| MRI of the shoulder without contrast |
$2,482 |
$3,818 |
$462 |
$205 | |
| MRI of the wrist |
$3,789 |
$5,829 |
$356 |
$330 | |
| MRI of the wrist without contrast |
$2,753 |
$4,235 |
$244 |
$303 | |
| Nebulizer breathing treatment |
$259 |
$399 |
$17 |
$9 | |
| Nerve conduction study |
$816 |
$1,256 |
$109 |
$118 | |
| Newborn hospital care |
$148 |
$148 |
$69 |
$58 | |
| Nuchal translucency ultrasound |
$332 |
$332 |
$106 |
$116 | |
| Nuclear cardiac stress test |
$3,688 |
$5,674 |
$321 |
$428 | |
| Occupational therapy evaluation |
$265 |
$407 |
$189 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$265 |
$407 |
$141 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$265 |
$407 |
$141 |
$101 | |
| Office visit (established patient) |
$209 |
$209 |
$67 |
$115 | |
| Office visit (new patient) |
$402 |
$355 |
$120 |
$177 | |
| Office visit, established patient (level 4) |
$209 |
$209 |
$67 |
$136 | |
| Office visit, new patient (level 3) |
$180 |
$180 |
$66 |
$118 | |
| Office visit, new patient (level 4) |
$307 |
$307 |
$108 |
$177 | |
| Office visit, new patient (level 5) |
$402 |
$402 |
$147 |
$237 | |
| Ovarian cyst removal |
$24,558 |
— |
$5,111 |
$698 | |
| Pacemaker insertion |
$55,082 |
— |
$21,891 |
$15,506 | |
| Pap smear (cervical screening) |
$152 |
$235 |
$70 |
$20 | |
| Pelvic ultrasound (complete) |
$638 |
$545 |
$34 |
$105 | |
| Pelvic ultrasound (limited) |
$66 |
$66 |
$22 |
$51 | |
| PET scan |
$7,501 |
$9,775 |
$1,461 |
— | |
| Phosphorus blood test |
$80 |
$123 |
$43 |
$5 | |
| Physical therapy evaluation |
$265 |
$407 |
$92 |
$98 | |
| Physical therapy evaluation (high complexity) |
$272 |
$419 |
$145 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$265 |
$407 |
$141 |
$98 | |
| Pilonidal cyst removal |
$569 |
$602 |
$80 |
$541 | |
| Pneumonia vaccine |
$272 |
$355 |
$131 |
— | |
| Pregnancy blood test (hCG) |
$146 |
$224 |
$78 |
$8 | |
| Pregnancy ultrasound |
$161 |
$161 |
$107 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$157 |
$157 |
$107 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$163 |
$163 |
$120 |
$136 | |
| Procalcitonin test |
$240 |
$369 |
$128 |
$27 | |
| Prolactin test |
$270 |
$416 |
$144 |
$19 | |
| Prostate removal (prostatectomy) |
$55,660 |
— |
$10,860 |
$1,063 | |
| Prostate surgery (TURP) |
$26,912 |
— |
$5,478 |
$526 | |
| Prostate test (PSA) |
$190 |
$292 |
$80 |
$18 | |
| Psychiatric evaluation |
$396 |
$421 |
$152 |
$188 | |
| Psychotherapy session |
$456 |
$702 |
$122 |
$140 | |
| Pulmonary rehabilitation |
$254 |
$390 |
$60 |
$87 | |
| Radiofrequency nerve ablation |
$5,545 |
$8,028 |
$1,995 |
$462 | |
| Rheumatoid factor test |
$26 |
$40 |
$14 |
$6 | |
| RSV vaccine |
$264 |
$406 |
$307 |
— | |
| Scoliosis spine X-ray |
$422 |
$649 |
$107 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$219 |
$337 |
$89 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$625 |
$961 |
$107 |
$72 | |
| Screening colonoscopy |
$705 |
$870 |
$141 |
$378 | |
| Screening mammogram |
$622 |
$553 |
$201 |
$126 | |
| Scrotal ultrasound |
$857 |
$1,318 |
$107 |
$99 | |
| Sedimentation rate (ESR) test |
$71 |
$109 |
$38 |
$3 | |
| Semen analysis |
$90 |
$138 |
$48 |
$12 | |
| Sex hormone binding globulin test |
$163 |
$250 |
$60 |
$22 | |
| Shingles vaccine |
$177 |
$273 |
$216 |
— | |
| Shoulder replacement |
$56,731 |
— |
$17,914 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$1,110 |
$982 |
$27 |
$114 | |
| Simple wound stitches |
$330 |
$330 |
$30 |
$127 | |
| Skin biopsy |
$303 |
$402 |
$21 |
$121 | |
| Skin cancer lesion removal |
$534 |
$1,040 |
$62 |
$240 | |
| Sleep study (polysomnography) |
$4,156 |
$5,372 |
$544 |
$691 | |
| Small bowel resection |
$424 |
$2,648 |
$408 |
$1,136 | |
| Soft tissue ultrasound |
$621 |
$956 |
$58 |
$64 | |
| Speech therapy |
$235 |
$296 |
$76 |
$76 | |
| Spinal cord stimulator |
$4,621 |
$7,109 |
$6,511 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$192 |
$192 |
$28 |
$165 | |
| Spirometry with bronchodilator |
$422 |
$649 |
$39 |
$43 | |
| Stomach removal (gastrectomy) |
$3,214 |
$3,214 |
$548 |
$1,595 | |
| Stress echocardiogram |
$1,791 |
$3,348 |
$135 |
$209 | |
| Stress echocardiogram (complete) |
$2,634 |
$4,053 |
$558 |
$233 | |
| Swallow study |
$432 |
$524 |
$148 |
$85 | |
| T3 thyroid test |
$174 |
$267 |
$93 |
$14 | |
| Tdap (tetanus) vaccine |
$75 |
$82 |
$46 |
— | |
| Testicle removal (orchiectomy) |
$1,181 |
$1,181 |
$169 |
$306 | |
| Testosterone test |
$133 |
$205 |
$71 |
$26 | |
| Thyroid ultrasound |
$786 |
$1,209 |
$27 |
$109 | |
| Thyroid uptake scan |
$602 |
$927 |
$408 |
$145 | |
| Total IgE allergy test |
$161 |
$247 |
$86 |
$16 | |
| Tracheostomy |
$670 |
$670 |
$115 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$2,052 |
$1,751 |
$219 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$2,052 |
$1,751 |
$219 |
$239 | |
| Transvaginal ultrasound |
$774 |
$766 |
$85 |
$118 | |
| Triglycerides test |
$113 |
$174 |
$60 |
$6 | |
| Turning a breech baby (version) |
$1,407 |
$2,165 |
$3,307 |
$94 | |
| Ulnar nerve surgery (elbow) |
$21,013 |
— |
$3,229 |
$575 | |
| Upper GI endoscopy (EGD) |
$503 |
$446 |
$74 |
$371 | |
| Upper GI series (barium) |
$709 |
$1,090 |
$179 |
$128 | |
| Ureteral stent placement |
$24,015 |
— |
$5,075 |
$373 | |
| Ureteroscopy (stone removal) |
$29,639 |
— |
$5,478 |
$365 | |
| Uric acid (gout) test |
$84 |
$129 |
$45 |
$5 | |
| Urine microalbumin test |
$92 |
$119 |
$52 |
$5 | |
| Urine pregnancy test |
$51 |
$79 |
$27 |
$9 | |
| Vaccine administration |
$34 |
$34 |
$18 |
$19 | |
| Vaccine administration (each additional) |
$29 |
$50 |
$15 |
$16 | |
| Vaginal delivery |
$25,021 |
— |
$7,410 |
$5,487 | |
| Varicose vein ablation |
$10,251 |
$15,770 |
$272 |
$1,018 | |
| Vitamin B12 test |
$205 |
$315 |
$109 |
$15 | |
| Vocal cord injection |
$774 |
$793 |
$115 |
$211 | |
| Whipple procedure (pancreas) |
$6,734 |
$6,734 |
$1,077 |
$2,871 | |
| Wrist fracture repair |
$34,530 |
— |
$7,413 |
$735 | |
| X-ray of the abdomen |
$376 |
$463 |
$12 |
$36 | |
| X-ray of the collarbone |
$454 |
$550 |
$15 |
$33 | |
| X-ray of the facial bones |
$309 |
$476 |
$13 |
$39 | |
| X-ray of the foot |
$781 |
$947 |
$16 |
$34 | |
| X-ray of the forearm |
$462 |
$560 |
$14 |
$29 | |
| X-ray of the hand |
$927 |
$935 |
$18 |
$38 | |
| X-ray of the hip |
$417 |
$551 |
$23 |
$49 | |
| X-ray of the hip (1 view) |
$300 |
$461 |
$89 |
$34 | |
| X-ray of the knee |
$534 |
$692 |
$18 |
$42 | |
| X-ray of the knee (3 views) |
$565 |
$685 |
$19 |
$42 | |
| X-ray of the knee (4+ views) |
$450 |
$692 |
$21 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$575 |
$885 |
$15 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$479 |
$737 |
$11 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$671 |
$1,033 |
$15 |
$53 | |
| X-ray of the mid-back (thoracic spine) |
$423 |
$651 |
$11 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$404 |
$621 |
$11 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$443 |
$681 |
$11 |
$39 | |
| X-ray of the neck (cervical spine) |
$557 |
$758 |
$18 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$630 |
$658 |
$22 |
$40 | |
| X-ray of the ribs |
$459 |
$636 |
$14 |
$42 | |
| X-ray of the ribs (2 views) |
$525 |
$636 |
$18 |
$36 | |
| X-ray of the ribs (3 views) |
$211 |
$324 |
$13 |
$42 | |
| X-ray of the shoulder |
$549 |
$665 |
$20 |
$36 | |
| X-ray of the skull |
$453 |
$697 |
$12 |
$40 | |
| Zinc blood test |
$76 |
$117 |
$41 |
$11 | |