| 3D mammogram (tomosynthesis) |
$22 |
$181 |
$46 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$906 |
$5,437 |
$957 |
$284 | |
| Abdominal ultrasound |
$104 |
$1,213 |
$146 |
$100 | |
| Abdominal ultrasound (complete) |
$104 |
$1,627 |
$146 |
$114 | |
| Abdominal ultrasound (limited) |
$104 |
$1,128 |
$146 |
$86 | |
| Abscess drainage (complex or multiple) |
$406 |
$2,243 |
$406 |
$220 | |
| Abscess drainage (simple) |
$200 |
$1,071 |
$201 |
$129 | |
| Abscess incision and drainage |
$200 |
$1,260 |
$212 |
$174 | |
| Achilles tendon repair |
$7,253 |
$21,375 |
$7,444 |
$624 | |
| ACL knee reconstruction |
$7,253 |
$25,650 |
$7,444 |
$889 | |
| Albumin blood test |
$4 |
$53 |
$6 |
$5 | |
| Aldosterone test |
$40 |
$414 |
$53 |
$41 | |
| Alkaline phosphatase test |
$5 |
$26 |
$7 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$16 |
$120 |
$22 |
$17 | |
| ALT liver enzyme test |
$5 |
$150 |
$7 |
$5 | |
| Ammonia blood test |
$14 |
$166 |
$19 |
$15 | |
| Anal fistula repair |
$2,774 |
$14,250 |
$2,882 |
$541 | |
| Ankle fracture repair |
$7,253 |
$21,375 |
$7,444 |
$608 | |
| Anoscopy |
$133 |
$532 |
$136 |
$129 | |
| Antinuclear antibody (ANA) test |
$12 |
$35 |
$12 |
$12 | |
| Arterial blood gas (ABG) |
$26 |
$367 |
$34 |
$26 | |
| AST liver enzyme test |
$5 |
$172 |
$7 |
$5 | |
| Barium swallow study |
$175 |
$893 |
$193 |
$107 | |
| Bartholin cyst removal |
$202 |
$1,162 |
$202 |
$182 | |
| Benign skin lesion removal |
$707 |
$9,336 |
$708 |
$171 | |
| Bilirubin blood test |
$5 |
$150 |
$7 |
$5 | |
| Bladder scope (cystoscopy) |
$697 |
$12,825 |
$725 |
$216 | |
| Bladder tumor removal (TURBT) |
$3,523 |
$14,963 |
$3,665 |
$236 | |
| Blood clotting test (PT/INR) |
$4 |
$36 |
$6 |
$4 | |
| Blood crossmatch |
$170 |
$718 |
$177 |
— | |
| Blood glucose test |
$4 |
$54 |
$6 |
$5 | |
| Blood transfusion |
$441 |
$1,940 |
$441 |
$47 | |
| Blood type and screen |
$52 |
$182 |
$54 |
$10 | |
| Blood type test |
$133 |
$177 |
$37 |
$3 | |
| Blood type test (ABO group) |
$133 |
$563 |
$58 |
$3 | |
| Blood type test (Rh/D antigen) |
$37 |
$177 |
$37 |
$3 | |
| BNP (heart failure) test |
$39 |
$230 |
$51 |
$39 | |
| Bone density scan (DEXA) |
$104 |
$563 |
$98 |
$39 | |
| Bone marrow biopsy |
$2,277 |
$9,897 |
$2,717 |
$172 | |
| Bone scan (nuclear) |
$399 |
$2,320 |
$520 |
$259 | |
| Breast biopsy |
$1,650 |
$9,629 |
$1,718 |
$478 | |
| Breast MRI |
$238 |
$2,631 |
$253 |
$216 | |
| Breast MRI without contrast |
$238 |
$4,108 |
$253 |
$216 | |
| Breast reconstruction |
$13,775 |
$11,400 |
$11,400 |
$1,227 | |
| Breast reduction |
$6,637 |
$46,064 |
$6,737 |
$980 | |
| Breast ultrasound |
$104 |
$1,021 |
$136 |
$92 | |
| Breast ultrasound (complete) |
$104 |
$1,021 |
$146 |
$100 | |
| Breast ultrasound (limited) |
$86 |
$707 |
$122 |
$84 | |
| Breathing tube insertion (intubation) |
$236 |
$1,472 |
$250 |
$133 | |
| Burn dressing and debridement (medium) |
$200 |
$882 |
$212 |
$166 | |
| Burn dressing and debridement (small) |
$200 |
$1,071 |
$212 |
$93 | |
| Burn treatment |
$200 |
$883 |
$212 |
$129 | |
| CA 19-9 tumor marker test |
$20 |
$202 |
$27 |
$21 | |
| CA-125 ovarian marker test |
$20 |
$69 |
$27 |
$21 | |
| Calcium blood test |
$5 |
$29 |
$7 |
$5 | |
| Cardiac ablation |
$26,128 |
$90,000 |
$26,520 |
$759 | |
| Cardiac catheterization |
$3,240 |
$20,639 |
$3,419 |
$1,049 | |
| Cardiac stress test |
$215 |
$1,322 |
$227 |
$39 | |
| Cardioversion |
$660 |
$2,869 |
$681 |
$155 | |
| Carotid artery ultrasound |
$238 |
$1,219 |
$239 |
$156 | |
| Carpal tunnel release |
$1,952 |
$11,053 |
$2,030 |
$483 | |
| CEA tumor marker test |
$18 |
$217 |
$25 |
$19 | |
| Central line placement |
$3,156 |
$6,812 |
$3,156 |
$238 | |
| Cervical cerclage |
$3,235 |
$16,014 |
$3,284 |
$137 | |
| Cervical LEEP procedure |
$3,235 |
$11,581 |
$3,284 |
$325 | |
| Cesarean section (C-section) |
$10,182 |
— |
$10,762 |
$7,552 | |
| Chemotherapy infusion |
$330 |
$1,442 |
$340 |
$81 | |
| Chemotherapy infusion (first hour) |
$330 |
$1,442 |
$340 |
$133 | |
| Chest fluid drain (thoracentesis) |
$627 |
$3,858 |
$662 |
$311 | |
| Chest tube insertion |
$1,573 |
$5,468 |
$1,637 |
$143 | |
| Chest X-ray |
$86 |
$534 |
$87 |
$37 | |
| Chest X-ray (1 view) |
$86 |
$544 |
$87 |
$25 | |
| Chest X-ray (2 views) |
$86 |
$583 |
$87 |
$33 | |
| Circumcision |
$2,089 |
$8,699 |
$2,194 |
$167 | |
| CK-MB heart enzyme test |
$11 |
$293 |
$15 |
$12 | |
| Clotting time test (PTT) |
$6 |
$82 |
$8 |
$6 | |
| Colonoscopy |
$1,196 |
$8,302 |
$1,196 |
$480 | |
| Complete blood count (CBC) |
$7 |
$184 |
$10 |
$7 | |
| Complete blood count (CBC) (complete) |
$7 |
$184 |
$10 |
$8 | |
| Complex wound repair |
$738 |
$8,700 |
$739 |
$390 | |
| Copper blood test |
$12 |
$62 |
$16 |
$12 | |
| Coronary artery bypass (CABG) |
$39,475 |
— |
$45,640 |
$36,593 | |
| Coronary CT angiography |
$348 |
$6,092 |
$352 |
$326 | |
| Cortisol test |
$16 |
$184 |
$21 |
$16 | |
| COVID-19 PCR test |
$51 |
$61 |
$51 |
$51 | |
| CPAP titration study |
$218 |
$1,368 |
$230 |
$69 | |
| Creatine kinase (CK) test |
$6 |
$33 |
$8 |
$7 | |
| CT scan of the abdomen |
$175 |
$3,807 |
$206 |
$230 | |
| CT scan of the abdomen and pelvis |
$348 |
$9,402 |
$377 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$348 |
$11,802 |
$532 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$348 |
$9,402 |
$532 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$238 |
$7,865 |
$352 |
$183 | |
| CT scan of the abdomen with contrast |
$175 |
$3,807 |
$267 |
$230 | |
| CT scan of the arm |
$175 |
$1,968 |
$327 |
$199 | |
| CT scan of the arm with contrast |
$348 |
$1,968 |
$399 |
$199 | |
| CT scan of the chest |
$175 |
$4,210 |
$206 |
$167 | |
| CT scan of the chest with and without contrast |
$175 |
$4,210 |
$267 |
$196 | |
| CT scan of the chest with contrast |
$175 |
$4,558 |
$267 |
$167 | |
| CT scan of the head |
$175 |
$3,383 |
$206 |
$148 | |
| CT scan of the head with and without contrast |
$175 |
$4,786 |
$267 |
$173 | |
| CT scan of the head with contrast |
$175 |
$1,984 |
$267 |
$148 | |
| CT scan of the leg |
$175 |
$2,636 |
$206 |
$166 | |
| CT scan of the leg with contrast |
$175 |
$3,854 |
$267 |
$166 | |
| CT scan of the lower back (lumbar spine) |
$175 |
$3,882 |
$325 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$175 |
$3,797 |
$267 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$348 |
$3,882 |
$351 |
$169 | |
| CT scan of the neck |
$175 |
$3,637 |
$206 |
$183 | |
| CT scan of the neck (cervical spine) |
$175 |
$3,461 |
$324 |
$168 | |
| CT scan of the neck (cervical spine) with contrast |
$348 |
$3,547 |
$350 |
$168 | |
| CT scan of the neck with and without contrast |
$175 |
$4,204 |
$267 |
$220 | |
| CT scan of the neck with contrast |
$175 |
$3,274 |
$267 |
$183 | |
| CT scan of the pelvis |
$175 |
$3,807 |
$206 |
$226 | |
| CT scan of the pelvis with and without contrast |
$175 |
$5,223 |
$267 |
$251 | |
| CT scan of the pelvis with contrast |
$175 |
$3,807 |
$267 |
$226 | |
| CT scan of the sinuses |
$175 |
$3,159 |
$206 |
$152 | |
| CT scan of the sinuses with and without contrast |
$175 |
$2,963 |
$267 |
$184 | |
| CT scan of the sinuses with contrast |
$175 |
$3,159 |
$267 |
$152 | |
| Defibrillator (ICD) implant |
$31,377 |
$90,000 |
$32,632 |
$798 | |
| DHEA-sulfate test |
$22 |
$111 |
$29 |
$22 | |
| Diagnostic mammogram |
$93 |
$689 |
$106 |
$140 | |
| Dialysis fistula creation |
$3,156 |
$21,401 |
$3,283 |
$601 | |
| Dilation and curettage (D&C) |
$3,235 |
$12,738 |
$3,284 |
$298 | |
| Drug screen (urine) |
$62 |
$165 |
$76 |
$17 | |
| Echocardiogram |
$238 |
$2,329 |
$261 |
$138 | |
| Echocardiogram with and without contrast |
$238 |
$1,646 |
$239 |
$101 | |
| Echocardiogram without contrast |
$238 |
$2,329 |
$257 |
$138 | |
| EEG (awake and asleep) |
$215 |
$1,532 |
$227 |
$482 | |
| EKG / ECG (tracing only) |
$58 |
$439 |
$62 |
$7 | |
| Elbow replacement |
$17,527 |
$60,900 |
$18,229 |
$1,301 | |
| Electrocardiogram (EKG) |
$58 |
$439 |
$62 |
$8 | |
| Electroencephalogram (EEG) |
$215 |
$1,532 |
$227 |
$448 | |
| Electrolyte panel |
$7 |
$165 |
$9 |
$7 | |
| Emergency department visit |
$272 |
$1,546 |
$273 |
$69 | |
| Emergency department visit (level 1) |
$84 |
$498 |
$84 |
$11 | |
| Emergency department visit (level 2) |
$153 |
$914 |
$153 |
$40 | |
| Emergency department visit (level 3) |
$272 |
$1,546 |
$273 |
$69 | |
| Emergency department visit (level 4) |
$417 |
$2,573 |
$438 |
$118 | |
| Emergency department visit (level 5) |
$595 |
$4,093 |
$625 |
$171 | |
| Epidural steroid injection |
$705 |
$8,960 |
$744 |
$275 | |
| ERCP (bile duct endoscopy) |
$3,854 |
$10,039 |
$3,912 |
$311 | |
| Estradiol (estrogen) test |
$27 |
$140 |
$36 |
$28 | |
| Facet joint injection (spine) |
$884 |
$3,267 |
$972 |
$99 | |
| Fallopian tube X-ray (HSG) |
$238 |
$861 |
$239 |
$164 | |
| Fecal occult blood (stool) test |
$15 |
$150 |
$16 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$4 |
$56 |
$6 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$15 |
$152 |
$21 |
$16 | |
| Feeding tube (PEG) placement |
$1,918 |
$9,800 |
$1,953 |
$178 | |
| Femoral hernia repair |
$3,579 |
$14,790 |
$3,776 |
$584 | |
| Ferritin (iron) test |
$13 |
$155 |
$18 |
$14 | |
| Fibrinogen test |
$9 |
$97 |
$13 |
$10 | |
| Flexible sigmoidoscopy |
$929 |
$9,378 |
$938 |
$323 | |
| Folate (folic acid) test |
$14 |
$166 |
$19 |
$15 | |
| Foreign body removal (skin) |
$406 |
$1,906 |
$406 |
$157 | |
| Free T4 thyroid test |
$9 |
$130 |
$12 |
$9 | |
| FSH hormone test |
$18 |
$93 |
$24 |
$19 | |
| Gallbladder removal (laparoscopic) |
$6,043 |
$19,012 |
$6,134 |
$658 | |
| Gallbladder scan (HIDA) |
$471 |
$2,900 |
$585 |
$334 | |
| Ganglion cyst removal |
$1,607 |
$12,800 |
$1,684 |
$321 | |
| GGT liver test |
$7 |
$111 |
$9 |
$7 | |
| Glucose tolerance test |
$12 |
$237 |
$13 |
$8 | |
| Hammertoe repair |
$3,270 |
$11,400 |
$3,382 |
$548 | |
| HDL cholesterol test |
$8 |
$206 |
$11 |
$8 | |
| Hemodialysis |
$686 |
$3,264 |
$686 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$9 |
$206 |
$10 |
$10 | |
| Hepatitis B test |
$10 |
$92 |
$12 |
$10 | |
| Hepatitis C test |
$14 |
$145 |
$19 |
$14 | |
| Hip replacement |
$12,833 |
$39,875 |
$13,347 |
$1,162 | |
| HIV test |
$19 |
$185 |
$24 |
$19 | |
| HIV test (antibody) |
$13 |
$165 |
$18 |
$14 | |
| HIV test (antigen/antibody combo) |
$24 |
$204 |
$31 |
$24 | |
| Holter heart monitor |
$96 |
$1,107 |
$133 |
$26 | |
| Hydrocele repair |
$3,579 |
$14,820 |
$3,722 |
$315 | |
| Hysterectomy |
$10,625 |
$37,200 |
$10,785 |
$933 | |
| Hysteroscopy |
$3,235 |
$12,597 |
$3,284 |
$1,270 | |
| Inguinal hernia repair |
$3,579 |
$19,546 |
$3,758 |
$538 | |
| Iron blood test |
$6 |
$97 |
$8 |
$6 | |
| IUD insertion |
— |
$11,200 |
$77 |
— | |
| IUD removal |
$304 |
$7,439 |
$305 |
$112 | |
| IV infusion therapy |
$212 |
$1,310 |
$213 |
$44 | |
| IV infusion therapy (each additional) |
$46 |
$344 |
$48 |
$21 | |
| IV infusion therapy (initial) |
$212 |
$1,336 |
$219 |
$67 | |
| Joint aspiration (small/intermediate) |
$306 |
$1,237 |
$307 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$306 |
$1,237 |
$307 |
$57 | |
| Kidney biopsy |
$1,650 |
$4,127 |
$1,701 |
$492 | |
| Kidney removal (nephrectomy) |
— |
$71,250 |
$1,928 |
$1,164 | |
| Kidney stone shock-wave (lithotripsy) |
$3,523 |
$13,254 |
$3,717 |
$760 | |
| Kidney ultrasound |
$104 |
$1,036 |
$115 |
$84 | |
| Kidney ultrasound (limited) |
$104 |
$935 |
$115 |
$61 | |
| Knee arthroscopy |
$3,270 |
$16,030 |
$3,382 |
$524 | |
| Knee joint injection |
$306 |
$3,821 |
$307 |
$69 | |
| Knee replacement |
$20,775 |
— |
$24,828 |
$18,054 | |
| Lactate test |
$11 |
$520 |
$15 |
$12 | |
| Laminectomy (spine) |
$7,253 |
$22,037 |
$7,444 |
$1,157 | |
| LDH test |
$6 |
$255 |
$8 |
$6 | |
| LDL cholesterol test |
$10 |
$104 |
$14 |
$11 | |
| Leg artery angiogram |
$3,156 |
$10,566 |
$3,156 |
$149 | |
| Leg artery angioplasty |
$5,578 |
$23,393 |
$7,252 |
— | |
| Leg vein ultrasound (Doppler) |
$238 |
$1,318 |
$239 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$104 |
$1,318 |
$137 |
$116 | |
| LH hormone test |
$18 |
$93 |
$24 |
$19 | |
| Lipid (cholesterol) panel |
$13 |
$312 |
$17 |
$13 | |
| Liver biopsy |
$1,650 |
$9,821 |
$1,701 |
$288 | |
| Lower back (lumbar) spinal fusion |
— |
— |
$34,135 |
$1,511 | |
| Lumbar discectomy |
$7,253 |
$64,900 |
$7,444 |
$898 | |
| Lumpectomy (breast) |
$5,276 |
$16,352 |
$6,280 |
$750 | |
| Lung function test (PFT) |
$294 |
$905 |
$354 |
$37 | |
| Lung scan (V/Q) |
$542 |
$3,245 |
$597 |
$291 | |
| Magnesium blood test |
$6 |
$60 |
$9 |
$7 | |
| Mastectomy |
$6,637 |
$14,495 |
$6,737 |
$1,021 | |
| Meniscus repair (knee) |
$3,270 |
$22,800 |
$3,382 |
$714 | |
| MRA of the brain |
$348 |
$2,941 |
$433 |
$226 | |
| MRA of the brain with contrast |
$348 |
$1,696 |
$452 |
$226 | |
| MRA of the brain without contrast |
$348 |
$2,941 |
$532 |
$328 | |
| MRA of the neck |
$348 |
$3,864 |
$441 |
$245 | |
| MRA of the neck with contrast |
$348 |
$3,215 |
$474 |
$245 | |
| MRA of the neck without contrast |
$348 |
$5,035 |
$532 |
$343 | |
| MRI of the abdomen |
$348 |
$4,055 |
$400 |
$300 | |
| MRI of the abdomen with contrast |
$348 |
$1,929 |
$532 |
$300 | |
| MRI of the abdomen without contrast |
$238 |
$4,055 |
$364 |
$194 | |
| MRI of the ankle |
$348 |
$5,090 |
$449 |
$261 | |
| MRI of the ankle with contrast |
$348 |
$1,202 |
$507 |
$261 | |
| MRI of the ankle without contrast |
$238 |
$5,090 |
$364 |
$222 | |
| MRI of the brain |
$348 |
$5,406 |
$400 |
$269 | |
| MRI of the brain with contrast |
$348 |
$2,852 |
$521 |
$269 | |
| MRI of the brain without contrast |
$238 |
$5,406 |
$364 |
$195 | |
| MRI of the chest |
$348 |
$3,802 |
$685 |
$371 | |
| MRI of the chest with contrast |
$783 |
$3,459 |
$784 |
$371 | |
| MRI of the chest without contrast |
$348 |
$4,995 |
$532 |
$466 | |
| MRI of the knee |
$348 |
$4,145 |
$605 |
$315 | |
| MRI of the knee with contrast |
$783 |
$3,459 |
$784 |
$315 | |
| MRI of the knee without contrast |
$238 |
$4,811 |
$364 |
$204 | |
| MRI of the lower back (lumbar spine) |
$348 |
$5,909 |
$390 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$348 |
$5,000 |
$522 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$238 |
$5,909 |
$363 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$348 |
$5,017 |
$388 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$348 |
$6,158 |
$532 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$348 |
$2,021 |
$525 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$238 |
$5,017 |
$362 |
$190 | |
| MRI of the neck (cervical spine) |
$348 |
$5,096 |
$438 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$348 |
$6,590 |
$532 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$348 |
$2,870 |
$527 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$238 |
$6,382 |
$363 |
$191 | |
| MRI of the pelvis |
$348 |
$4,314 |
$452 |
$268 | |
| MRI of the pelvis with contrast |
$348 |
$1,199 |
$517 |
$268 | |
| MRI of the pelvis without contrast |
$238 |
$4,314 |
$364 |
$227 | |
| MRI of the shoulder |
$348 |
$4,036 |
$500 |
$313 | |
| MRI of the shoulder with contrast |
$783 |
$3,459 |
$784 |
$313 | |
| MRI of the shoulder without contrast |
$238 |
$4,580 |
$364 |
$205 | |
| MRI of the wrist |
$348 |
$3,058 |
$453 |
$330 | |
| MRI of the wrist with contrast |
$348 |
$1,929 |
$532 |
$330 | |
| MRI of the wrist without contrast |
$238 |
$4,187 |
$364 |
$303 | |
| Nebulizer breathing treatment |
$218 |
$1,368 |
$230 |
$9 | |
| Nuclear cardiac stress test |
$1,294 |
$7,569 |
$1,294 |
$428 | |
| Occupational therapy evaluation |
$98 |
$899 |
$103 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$98 |
$1,169 |
$103 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$98 |
$629 |
$103 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$98 |
$899 |
$103 |
$101 | |
| Office visit (established patient) |
— |
$827 |
— |
$115 | |
| Office visit (new patient) |
— |
$992 |
— |
$177 | |
| Office visit, established patient (level 3) |
— |
$683 |
— |
$95 | |
| Office visit, established patient (level 4) |
— |
$909 |
— |
$136 | |
| Office visit, new patient (level 3) |
— |
$778 |
— |
$118 | |
| Office visit, new patient (level 4) |
— |
$983 |
— |
$177 | |
| Office visit, new patient (level 5) |
— |
$1,134 |
— |
$237 | |
| Orthopedic hardware removal |
$2,903 |
$13,211 |
$2,947 |
$632 | |
| Ovarian cyst removal |
$5,000 |
$14,500 |
$5,201 |
$698 | |
| Pacemaker insertion |
$18,205 |
— |
$21,912 |
$15,506 | |
| Pap smear (cervical screening) |
$20 |
$133 |
$31 |
$20 | |
| Parathyroid hormone (PTH) test |
$41 |
$156 |
$41 |
$41 | |
| Parathyroid removal |
$5,917 |
$34,247 |
$6,055 |
$891 | |
| Pelvic ultrasound |
$104 |
$1,301 |
$105 |
$78 | |
| Pelvic ultrasound (complete) |
$104 |
$1,379 |
$146 |
$105 | |
| Pelvic ultrasound (limited) |
$104 |
$1,199 |
$105 |
$51 | |
| Physical therapy evaluation |
$95 |
$958 |
$100 |
$98 | |
| Physical therapy evaluation (high complexity) |
$95 |
$1,245 |
$100 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$95 |
$958 |
$100 |
$98 | |
| Pilonidal cyst removal |
$2,903 |
$20,914 |
$2,947 |
$541 | |
| Platelet count |
$4 |
$77 |
$6 |
$4 | |
| Pregnancy ultrasound |
$104 |
$1,258 |
$138 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$104 |
$1,000 |
$138 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$104 |
$1,517 |
$146 |
$136 | |
| Procalcitonin test |
$27 |
$139 |
$35 |
$27 | |
| Prolactin test |
$19 |
$97 |
$25 |
$19 | |
| Prostate biopsy |
$2,004 |
$21,253 |
$2,085 |
— | |
| Prostate removal (prostatectomy) |
$10,625 |
$34,046 |
$10,785 |
$1,063 | |
| Prostate surgery (TURP) |
$5,359 |
$21,800 |
$5,440 |
$526 | |
| Prostate test (PSA) |
$18 |
$325 |
$24 |
$18 | |
| Radiofrequency nerve ablation |
$1,952 |
$13,161 |
$2,030 |
$462 | |
| Rheumatoid factor test |
$6 |
$159 |
$8 |
$6 | |
| Rotator cuff repair |
$7,253 |
$11,115 |
$7,444 |
$792 | |
| Sacroiliac joint injection |
— |
$5,232 |
$118 |
$176 | |
| Scoliosis spine X-ray |
$104 |
$784 |
$111 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$86 |
$784 |
$87 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$104 |
$683 |
$136 |
$72 | |
| Screening mammogram |
$86 |
$327 |
$91 |
$126 | |
| Scrotal ultrasound |
$104 |
$1,036 |
$146 |
$99 | |
| Sedimentation rate (ESR) test |
$4 |
$89 |
$6 |
$3 | |
| Sex hormone binding globulin test |
$21 |
$122 |
$28 |
$22 | |
| Shoulder arthroscopy |
$7,253 |
$16,274 |
$7,444 |
$962 | |
| Shoulder replacement |
$17,527 |
$81,200 |
$17,527 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$200 |
$1,260 |
$209 |
$114 | |
| Simple wound stitches |
$200 |
$1,260 |
$209 |
$127 | |
| Skin biopsy |
$406 |
$1,758 |
$480 |
$121 | |
| Skin biopsy (punch) |
$406 |
$1,758 |
$406 |
$121 | |
| Skin cancer lesion removal |
$557 |
$4,848 |
$620 |
$240 | |
| Skin graft |
$2,802 |
$12,715 |
$3,370 |
$898 | |
| Skin tag removal |
$200 |
$1,235 |
$209 |
$92 | |
| Soft tissue ultrasound |
$104 |
$1,308 |
$105 |
$64 | |
| Speech therapy |
$74 |
$372 |
$78 |
$76 | |
| Spinal cord stimulator |
$6,370 |
$12,880 |
$6,625 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$705 |
$3,022 |
$744 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$7,253 |
$18,900 |
$7,444 |
$5,803 | |
| Spirometry (lung function test) |
$215 |
$952 |
$222 |
$30 | |
| Spirometry with bronchodilator |
$373 |
$858 |
$373 |
$43 | |
| Strep throat test |
$16 |
$134 |
$21 |
$17 | |
| Stress echocardiogram |
$546 |
$2,460 |
$546 |
$209 | |
| Stress echocardiogram (complete) |
$546 |
$2,432 |
$546 |
$233 | |
| Swallow study |
$57 |
$547 |
$60 |
$85 | |
| T3 thyroid test |
$14 |
$72 |
$18 |
$14 | |
| Testosterone test |
$25 |
$275 |
$34 |
$26 | |
| Thyroid removal (thyroidectomy) |
$5,980 |
$49,300 |
$6,069 |
$1,004 | |
| Thyroid test (TSH) |
$16 |
$221 |
$17 |
$17 | |
| Thyroid ultrasound |
$104 |
$1,061 |
$146 |
$109 | |
| Thyroid uptake scan |
$399 |
$2,474 |
$400 |
$145 | |
| Tilt table test |
$373 |
$2,671 |
$373 |
$168 | |
| Total IgE allergy test |
$16 |
$82 |
$21 |
$16 | |
| Transesophageal echocardiogram (TEE) |
$546 |
$2,920 |
$546 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$546 |
$3,374 |
$546 |
$239 | |
| Transvaginal ultrasound |
$104 |
$1,106 |
$146 |
$118 | |
| Trigger finger release |
$1,607 |
$9,022 |
$1,684 |
$630 | |
| Trigger point injection |
$306 |
$1,536 |
$307 |
$56 | |
| Trigger point injection (1-2 muscles) |
$306 |
$1,767 |
$307 |
$52 | |
| Triglycerides test |
$5 |
$128 |
$6 |
$6 | |
| Troponin (heart) test |
$12 |
$396 |
$16 |
$12 | |
| Tubal ligation |
$6,043 |
$22,826 |
$6,134 |
$333 | |
| Ulnar nerve surgery (elbow) |
$1,952 |
$15,400 |
$2,030 |
$575 | |
| Upper GI endoscopy (EGD) |
$906 |
$7,400 |
$957 |
$371 | |
| Upper GI series (barium) |
$175 |
$1,440 |
$229 |
$128 | |
| Ureteral stent placement |
$3,523 |
$8,664 |
$3,665 |
$373 | |
| Ureteroscopy (stone removal) |
$5,359 |
$17,390 |
$5,440 |
$365 | |
| Urine microalbumin test |
$5 |
$28 |
$8 |
$5 | |
| Urine pregnancy test |
$8 |
$72 |
$11 |
$9 | |
| Vaccine administration |
$71 |
$311 |
$76 |
$19 | |
| Vaccine administration (each additional) |
— |
$105 |
$50 |
$16 | |
| Vaginal delivery |
$8,098 |
— |
$8,099 |
$5,487 | |
| Vasectomy |
$2,089 |
$14,000 |
$2,173 |
$347 | |
| Vitamin B12 test |
$15 |
$148 |
$20 |
$15 | |
| Vitamin D test |
$29 |
$254 |
$38 |
$30 | |
| Wart removal |
$200 |
$25,200 |
$209 |
$121 | |
| Weight-loss (bariatric) surgery |
$14,310 |
— |
$18,166 |
$11,645 | |
| Wound debridement |
$572 |
$2,845 |
$686 |
$186 | |
| Wrist fracture repair |
$7,253 |
$22,563 |
$7,444 |
$735 | |
| X-ray of the abdomen |
$95 |
$762 |
$88 |
$36 | |
| X-ray of the ankle |
$86 |
$740 |
$87 |
$37 | |
| X-ray of the collarbone |
$86 |
$757 |
$87 |
$33 | |
| X-ray of the elbow |
$86 |
$652 |
$87 |
$33 | |
| X-ray of the facial bones |
$95 |
$738 |
$96 |
$39 | |
| X-ray of the foot |
$86 |
$765 |
$87 |
$34 | |
| X-ray of the forearm |
$86 |
$676 |
$87 |
$29 | |
| X-ray of the hand |
$86 |
$582 |
$87 |
$38 | |
| X-ray of the hip |
$86 |
$986 |
$91 |
$49 | |
| X-ray of the hip (1 view) |
$86 |
$553 |
$87 |
$34 | |
| X-ray of the hip (3 views) |
$86 |
$998 |
$92 |
$49 | |
| X-ray of the knee |
$86 |
$802 |
$91 |
$42 | |
| X-ray of the knee (2 views) |
$86 |
$728 |
$87 |
$34 | |
| X-ray of the knee (3 views) |
$86 |
$830 |
$87 |
$42 | |
| X-ray of the knee (4+ views) |
$104 |
$805 |
$105 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$104 |
$803 |
$105 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$104 |
$803 |
$105 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$104 |
$780 |
$105 |
$53 | |
| X-ray of the lower leg |
$86 |
$732 |
$87 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$104 |
$803 |
$105 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$104 |
$830 |
$105 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$104 |
$803 |
$105 |
$39 | |
| X-ray of the neck (cervical spine) |
$86 |
$851 |
$104 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$86 |
$851 |
$87 |
$40 | |
| X-ray of the pelvis |
$104 |
$746 |
$105 |
$36 | |
| X-ray of the pelvis (1 view) |
$104 |
$689 |
$105 |
$28 | |
| X-ray of the ribs |
$104 |
$891 |
$105 |
$42 | |
| X-ray of the ribs (2 views) |
$86 |
$578 |
$87 |
$36 | |
| X-ray of the ribs (3 views) |
$104 |
$891 |
$105 |
$42 | |
| X-ray of the shoulder |
$86 |
$856 |
$87 |
$36 | |
| X-ray of the skull |
$104 |
$895 |
$105 |
$40 | |
| X-ray of the upper arm |
$86 |
$740 |
$87 |
$32 | |
| X-ray of the wrist |
$86 |
$704 |
$87 |
$43 | |
| Zinc blood test |
$11 |
$57 |
$15 |
$11 | |