| 3D mammogram (tomosynthesis) |
$21 |
$59 |
$38 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$954 |
$1,796 |
$1,156 |
$284 | |
| Abdominal ultrasound |
$110 |
$1,098 |
$192 |
$100 | |
| Abdominal ultrasound (complete) |
$110 |
$1,294 |
$192 |
$114 | |
| Abdominal ultrasound (limited) |
$110 |
$903 |
$192 |
$86 | |
| Abscess drainage (complex or multiple) |
$427 |
$342 |
$342 |
$220 | |
| Abscess drainage (simple) |
$211 |
$589 |
$381 |
$129 | |
| Abscess incision and drainage |
$319 |
$466 |
$342 |
$174 | |
| Achilles tendon repair |
$7,639 |
$9,354 |
$7,640 |
$624 | |
| Albumin blood test |
$4 |
$62 |
$5 |
$5 | |
| Aldosterone test |
$40 |
$100 |
$41 |
$41 | |
| Alkaline phosphatase test |
$5 |
$67 |
$5 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$16 |
$75 |
$17 |
$17 | |
| ALT liver enzyme test |
$5 |
$50 |
$5 |
$5 | |
| Ammonia blood test |
$14 |
$130 |
$15 |
$15 | |
| Anal fistula repair |
$2,922 |
$7,264 |
$3,215 |
$541 | |
| Ankle fracture repair |
$7,639 |
$12,700 |
$7,640 |
$608 | |
| Anoscopy |
$140 |
$516 |
$272 |
$129 | |
| Antinuclear antibody (ANA) test |
$12 |
$28 |
$12 |
$12 | |
| Arterial blood gas (ABG) |
$26 |
$130 |
$26 |
$26 | |
| AST liver enzyme test |
$5 |
$103 |
$5 |
$5 | |
| Barium swallow study |
$184 |
$563 |
$189 |
$107 | |
| Bartholin cyst removal |
$212 |
$400 |
$381 |
$182 | |
| Benign skin lesion removal |
$745 |
$2,897 |
$830 |
$171 | |
| Bilirubin blood test |
$5 |
$96 |
$5 |
$5 | |
| Bladder scope (cystoscopy) |
$734 |
$3,500 |
$1,242 |
$216 | |
| Blood clotting test (PT/INR) |
$4 |
$40 |
$4 |
$4 | |
| Blood crossmatch |
$179 |
$515 |
$179 |
— | |
| Blood transfusion |
$464 |
$539 |
$464 |
$47 | |
| Blood type and screen |
$54 |
$252 |
$55 |
$10 | |
| Blood type test |
$90 |
$84 |
$49 |
$3 | |
| Blood type test (Rh/D antigen) |
$39 |
$99 |
$39 |
$3 | |
| BNP (heart failure) test |
$39 |
$315 |
$39 |
$39 | |
| Bone density scan (DEXA) |
$110 |
$556 |
$112 |
$39 | |
| Bone scan (nuclear) |
$420 |
$2,296 |
$575 |
$259 | |
| Breast biopsy |
$1,738 |
$3,966 |
$2,738 |
$478 | |
| Breast ultrasound |
$110 |
$620 |
$160 |
$92 | |
| Breast ultrasound (complete) |
$110 |
$620 |
$192 |
$100 | |
| Breast ultrasound (limited) |
$91 |
$407 |
$154 |
$84 | |
| Breathing tube insertion (intubation) |
$249 |
$698 |
$381 |
$133 | |
| Bronchoscopy |
$1,873 |
$2,500 |
$2,500 |
$303 | |
| Burn dressing and debridement (medium) |
$211 |
$250 |
$250 |
$166 | |
| Burn dressing and debridement (small) |
$211 |
$589 |
$286 |
$93 | |
| Burn treatment |
$211 |
$420 |
$250 |
$129 | |
| CA 19-9 tumor marker test |
$20 |
$40 |
$21 |
$21 | |
| CA-125 ovarian marker test |
$20 |
$47 |
$21 |
$21 | |
| Calcium blood test |
$5 |
$360 |
$5 |
$5 | |
| Cardiac catheterization |
$3,413 |
$16,418 |
$4,887 |
$1,049 | |
| Cardiac rehabilitation |
$135 |
$159 |
$159 |
$26 | |
| Cardiac stress test |
$227 |
$1,438 |
$402 |
$39 | |
| Cardioversion |
$695 |
$1,796 |
$1,232 |
$155 | |
| Carotid artery ultrasound |
$110 |
$456 |
$219 |
$156 | |
| CEA tumor marker test |
$18 |
$40 |
$19 |
$19 | |
| Celiac disease test |
$11 |
$53 |
$12 |
$12 | |
| Cesarean section (C-section) |
$8,281 |
— |
$12,944 |
$7,552 | |
| Chalazion (eyelid cyst) removal |
$334 |
$1,306 |
$451 |
$131 | |
| Chemotherapy infusion |
$211 |
$364 |
$215 |
$81 | |
| Chemotherapy infusion (each additional) |
$75 |
$105 |
$105 |
$28 | |
| Chemotherapy infusion (first hour) |
$347 |
$624 |
$351 |
$133 | |
| Chest fluid drain (thoracentesis) |
$660 |
$1,958 |
$1,156 |
$311 | |
| Chest X-ray |
$91 |
$313 |
$101 |
$37 | |
| Chest X-ray (1 view) |
$91 |
$377 |
$97 |
$25 | |
| Chest X-ray (2 views) |
$91 |
$353 |
$97 |
$33 | |
| Circumcision |
— |
$1,802 |
$1,242 |
$167 | |
| CK-MB heart enzyme test |
$11 |
$155 |
$12 |
$12 | |
| Clotting time test (PTT) |
$6 |
$164 |
$6 |
$6 | |
| Colonoscopy |
$1,119 |
$2,932 |
$1,899 |
$480 | |
| Complete blood count (CBC) |
$7 |
$84 |
$8 |
$7 | |
| Complete blood count (CBC) (complete) |
$7 |
$94 |
$8 |
$8 | |
| Complex wound repair |
$778 |
$1,573 |
$1,510 |
$390 | |
| Contraceptive implant (Nexplanon) |
$470 |
$1,818 |
$635 |
$115 | |
| Copper blood test |
$12 |
$91 |
$12 |
$12 | |
| Coronary artery bypass (CABG) |
$38,703 |
— |
$51,828 |
$36,593 | |
| Cortisol test |
$16 |
$23 |
$16 |
$16 | |
| COVID-19 PCR test |
$51 |
$150 |
$51 |
$51 | |
| CPAP titration study |
$230 |
$1,370 |
$233 |
$69 | |
| Creatine kinase (CK) test |
$6 |
$60 |
$7 |
$7 | |
| CT angiography of the chest |
$184 |
$3,620 |
$327 |
$281 | |
| CT angiography of the head |
$184 |
$5,090 |
$327 |
$274 | |
| CT scan of the abdomen |
$184 |
$3,383 |
$235 |
$230 | |
| CT scan of the abdomen and pelvis |
$367 |
$5,307 |
$477 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$367 |
$6,511 |
$645 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$367 |
$5,307 |
$632 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$251 |
$4,802 |
$350 |
$183 | |
| CT scan of the abdomen with contrast |
$184 |
$3,383 |
$327 |
$230 | |
| CT scan of the arm |
$184 |
$1,002 |
$364 |
$199 | |
| CT scan of the arm with contrast |
$367 |
$901 |
$476 |
$199 | |
| CT scan of the chest |
$184 |
$3,000 |
$235 |
$167 | |
| CT scan of the chest with and without contrast |
$184 |
$3,605 |
$327 |
$196 | |
| CT scan of the chest with contrast |
$184 |
$3,000 |
$327 |
$167 | |
| CT scan of the head |
$147 |
$2,438 |
$214 |
$148 | |
| CT scan of the head with and without contrast |
$184 |
$3,152 |
$327 |
$173 | |
| CT scan of the head with contrast |
$184 |
$2,594 |
$306 |
$148 | |
| CT scan of the leg |
$184 |
$2,316 |
$235 |
$166 | |
| CT scan of the leg with contrast |
$184 |
$3,028 |
$327 |
$166 | |
| CT scan of the lower back (lumbar spine) |
$184 |
$1,002 |
$364 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$184 |
$1,002 |
$327 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$367 |
$901 |
$482 |
$169 | |
| CT scan of the neck |
$184 |
$3,305 |
$235 |
$183 | |
| CT scan of the neck (cervical spine) |
$184 |
$1,002 |
$364 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$184 |
$1,002 |
$327 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$367 |
$901 |
$484 |
$168 | |
| CT scan of the neck with and without contrast |
$184 |
$4,264 |
$327 |
$220 | |
| CT scan of the neck with contrast |
$184 |
$3,305 |
$327 |
$183 | |
| CT scan of the pelvis |
$184 |
$2,487 |
$235 |
$226 | |
| CT scan of the pelvis with and without contrast |
$184 |
$1,002 |
$327 |
$251 | |
| CT scan of the pelvis with contrast |
$184 |
$2,978 |
$327 |
$226 | |
| CT scan of the sinuses |
$184 |
$2,888 |
$235 |
$152 | |
| CT scan of the sinuses with and without contrast |
$184 |
$3,248 |
$327 |
$184 | |
| CT scan of the sinuses with contrast |
$184 |
$2,888 |
$327 |
$152 | |
| D-dimer test |
$10 |
$54 |
$10 |
$10 | |
| DHEA-sulfate test |
$22 |
$163 |
$22 |
$22 | |
| Diagnostic mammogram |
$79 |
$690 |
$144 |
$140 | |
| Dialysis fistula creation |
$3,324 |
$10,297 |
$3,657 |
$601 | |
| Drug screen (urine) |
$62 |
$150 |
$62 |
$17 | |
| Echocardiogram |
$413 |
$1,827 |
$575 |
$138 | |
| Echocardiogram with and without contrast |
$251 |
$951 |
$445 |
$101 | |
| EEG (awake and asleep) |
$227 |
$1,262 |
$402 |
$482 | |
| EKG / ECG (tracing only) |
$62 |
$368 |
$110 |
$7 | |
| Electrocardiogram (EKG) |
$62 |
$368 |
$110 |
$8 | |
| Electroencephalogram (EEG) |
$227 |
$1,262 |
$402 |
$448 | |
| Electrolyte panel |
$7 |
$203 |
$7 |
$7 | |
| Electromyography (EMG) |
$140 |
$438 |
$141 |
$141 | |
| Emergency department visit |
$287 |
$1,042 |
$296 |
$69 | |
| Emergency department visit (level 1) |
$88 |
$297 |
$100 |
$11 | |
| Emergency department visit (level 2) |
$161 |
$577 |
$296 |
$40 | |
| Emergency department visit (level 3) |
$287 |
$1,042 |
$388 |
$69 | |
| Emergency department visit (level 4) |
$439 |
$1,706 |
$593 |
$118 | |
| Emergency department visit (level 5) |
$626 |
$2,231 |
$846 |
$171 | |
| Epidural steroid injection |
$743 |
$3,222 |
$1,442 |
$275 | |
| ERCP (bile duct endoscopy) |
$4,059 |
$6,124 |
$4,316 |
$311 | |
| Estradiol (estrogen) test |
$27 |
$50 |
$28 |
$28 | |
| Facet joint injection (spine) |
$931 |
$2,187 |
$1,242 |
$99 | |
| Fallopian tube X-ray (HSG) |
$251 |
$547 |
$286 |
$164 | |
| Fecal occult blood (stool) test |
$15 |
$59 |
$16 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$4 |
$59 |
$4 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$15 |
$69 |
$16 |
$16 | |
| Feeding tube (PEG) placement |
$2,020 |
$1,617 |
$1,617 |
$178 | |
| Ferritin (iron) test |
$13 |
$120 |
$14 |
$14 | |
| Fibrinogen test |
$9 |
$40 |
$10 |
$10 | |
| Flexible sigmoidoscopy |
$979 |
$3,531 |
$1,322 |
$323 | |
| Folate (folic acid) test |
$14 |
$79 |
$15 |
$15 | |
| Foreign body removal (skin) |
$427 |
$1,128 |
$578 |
$157 | |
| Free T4 thyroid test |
$9 |
$151 |
$9 |
$9 | |
| FSH hormone test |
$18 |
$81 |
$19 |
$19 | |
| Gallbladder removal (laparoscopic) |
$6,364 |
$13,101 |
$6,365 |
$658 | |
| Gallbladder scan (HIDA) |
$496 |
$2,462 |
$800 |
$334 | |
| Ganglion cyst removal |
$1,692 |
$9,261 |
$2,285 |
$321 | |
| GGT liver test |
$7 |
$60 |
$7 |
$7 | |
| Glucose tolerance test |
$12 |
$32 |
$13 |
$8 | |
| H. pylori test |
$67 |
$150 |
$67 |
$67 | |
| Hammertoe repair |
$3,444 |
$6,467 |
$3,789 |
$548 | |
| HDL cholesterol test |
$8 |
$15 |
$8 |
$8 | |
| Hemodialysis |
$722 |
$932 |
$932 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$9 |
$149 |
$10 |
$10 | |
| Hemorrhoid removal |
$979 |
$1,688 |
$1,322 |
$338 | |
| Hepatitis B test |
$10 |
$99 |
$10 |
$10 | |
| Hepatitis C test |
$14 |
$52 |
$14 |
$14 | |
| HIV test |
$19 |
$63 |
$24 |
$19 | |
| HIV test (antibody) |
$13 |
$40 |
$14 |
$14 | |
| HIV test (antigen/antibody combo) |
$24 |
$70 |
$24 |
$24 | |
| Holter heart monitor |
$140 |
$859 |
$248 |
$26 | |
| Inguinal hernia repair |
$3,769 |
$10,531 |
$4,146 |
$538 | |
| Iron blood test |
$6 |
$123 |
$6 |
$6 | |
| IV infusion therapy |
$223 |
$576 |
$224 |
$44 | |
| IV infusion therapy (each additional) |
$49 |
$581 |
$74 |
$21 | |
| IV infusion therapy (initial) |
$223 |
$564 |
$240 |
$67 | |
| IVC filter placement |
$5,858 |
$6,089 |
$6,089 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$323 |
$649 |
$365 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$323 |
$651 |
$436 |
$57 | |
| Joint aspiration or injection (small joint) |
$323 |
$506 |
$365 |
$56 | |
| Kidney biopsy |
$1,738 |
$2,030 |
$2,030 |
$492 | |
| Kidney scan (nuclear) |
$571 |
$2,231 |
$583 |
$172 | |
| Kidney ultrasound |
$110 |
$1,029 |
$154 |
$84 | |
| Kidney ultrasound (limited) |
$110 |
$1,036 |
$112 |
$61 | |
| Knee joint injection |
$323 |
$772 |
$365 |
$69 | |
| Knee replacement |
$19,282 |
— |
$26,034 |
$18,054 | |
| Lactate test |
$11 |
$100 |
$12 |
$12 | |
| LDH test |
$6 |
$50 |
$6 |
$6 | |
| LDL cholesterol test |
$10 |
$105 |
$11 |
$11 | |
| Leg artery angiogram |
$3,324 |
$6,260 |
$3,391 |
$149 | |
| Leg artery angioplasty |
$11,686 |
$17,074 |
$11,687 |
— | |
| Leg vein ultrasound (Doppler) |
$110 |
$1,108 |
$216 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$110 |
$1,108 |
$195 |
$116 | |
| LH hormone test |
$18 |
$69 |
$19 |
$19 | |
| Lipid (cholesterol) panel |
$13 |
$264 |
$13 |
$13 | |
| Liver biopsy |
$1,738 |
$3,061 |
$1,576 |
$288 | |
| Lumpectomy (breast) |
$5,556 |
$9,491 |
$6,061 |
$750 | |
| Lung function test (PFT) |
$227 |
$680 |
$361 |
$37 | |
| Lung scan (V/Q) |
$571 |
$2,281 |
$780 |
$291 | |
| Magnesium blood test |
$6 |
$134 |
$7 |
$7 | |
| MRA of the brain |
$367 |
$1,648 |
$500 |
$226 | |
| MRA of the brain with contrast |
$367 |
$1,364 |
$650 |
$226 | |
| MRA of the brain without contrast |
$367 |
$1,648 |
$650 |
$328 | |
| MRA of the neck |
$309 |
$4,128 |
$487 |
$245 | |
| MRA of the neck without contrast |
$367 |
$7,240 |
$650 |
$343 | |
| MRI of the abdomen |
$367 |
$3,499 |
$500 |
$300 | |
| MRI of the abdomen with contrast |
$367 |
$1,308 |
$650 |
$300 | |
| MRI of the abdomen without contrast |
$251 |
$3,499 |
$445 |
$194 | |
| MRI of the ankle |
$367 |
$3,309 |
$500 |
$261 | |
| MRI of the ankle with contrast |
$367 |
$1,308 |
$650 |
$261 | |
| MRI of the ankle without contrast |
$251 |
$3,309 |
$445 |
$222 | |
| MRI of the brain |
$367 |
$4,900 |
$487 |
$269 | |
| MRI of the brain with contrast |
$367 |
$4,900 |
$650 |
$269 | |
| MRI of the brain without contrast |
$251 |
$4,390 |
$445 |
$195 | |
| MRI of the chest |
$367 |
$1,308 |
$713 |
$371 | |
| MRI of the chest with contrast |
$825 |
$1,308 |
$1,044 |
$371 | |
| MRI of the chest without contrast |
$367 |
$6,950 |
$650 |
$466 | |
| MRI of the knee |
$367 |
$3,309 |
$505 |
$315 | |
| MRI of the knee with contrast |
$825 |
$3,995 |
$852 |
$315 | |
| MRI of the knee without contrast |
$251 |
$1,015 |
$445 |
$204 | |
| MRI of the lower back (lumbar spine) |
$367 |
$4,850 |
$487 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$367 |
$4,850 |
$646 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$251 |
$3,900 |
$445 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$367 |
$4,430 |
$487 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$367 |
$5,550 |
$650 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$367 |
$4,430 |
$648 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$251 |
$3,950 |
$445 |
$190 | |
| MRI of the neck (cervical spine) |
$367 |
$3,920 |
$487 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$367 |
$5,930 |
$650 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$367 |
$1,308 |
$650 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$251 |
$3,920 |
$445 |
$191 | |
| MRI of the pelvis |
$367 |
$4,360 |
$500 |
$268 | |
| MRI of the pelvis with contrast |
$367 |
$1,308 |
$650 |
$268 | |
| MRI of the pelvis without contrast |
$251 |
$4,360 |
$445 |
$227 | |
| MRI of the shoulder |
$367 |
$1,602 |
$680 |
$313 | |
| MRI of the shoulder with contrast |
$825 |
$1,308 |
$840 |
$313 | |
| MRI of the shoulder without contrast |
$251 |
$3,353 |
$445 |
$205 | |
| MRI of the wrist |
$367 |
$1,602 |
$500 |
$330 | |
| MRI of the wrist with contrast |
$367 |
$1,308 |
$650 |
$330 | |
| MRI of the wrist without contrast |
$251 |
$4,380 |
$445 |
$303 | |
| Nebulizer breathing treatment |
$230 |
$351 |
$231 |
$9 | |
| Nuclear cardiac stress test |
$1,363 |
$5,298 |
$1,390 |
$428 | |
| Occupational therapy evaluation |
$96 |
$673 |
$171 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$96 |
$785 |
$171 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$96 |
$560 |
$171 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$96 |
$673 |
$171 |
$101 | |
| Office visit (established patient) |
— |
$361 |
$159 |
$115 | |
| Office visit (new patient) |
— |
$595 |
$159 |
$177 | |
| Office visit, established patient (level 3) |
— |
$289 |
$159 |
$95 | |
| Office visit, established patient (level 4) |
— |
$361 |
$159 |
$136 | |
| Office visit, new patient (level 3) |
— |
$529 |
$159 |
$118 | |
| Office visit, new patient (level 4) |
— |
$800 |
$159 |
$177 | |
| Office visit, new patient (level 5) |
— |
$1,052 |
$159 |
$237 | |
| Orthopedic hardware removal |
$3,058 |
$8,810 |
$3,571 |
$632 | |
| Pacemaker insertion |
$16,613 |
— |
$24,955 |
$15,506 | |
| Pap smear (cervical screening) |
$26 |
$48 |
$27 |
$20 | |
| Parathyroid hormone (PTH) test |
$41 |
$48 |
$41 |
$41 | |
| Pelvic ultrasound |
$110 |
$1,023 |
$149 |
$78 | |
| Pelvic ultrasound (complete) |
$110 |
$1,066 |
$192 |
$105 | |
| Pelvic ultrasound (limited) |
$110 |
$656 |
$112 |
$51 | |
| Physical therapy evaluation |
$94 |
$682 |
$167 |
$98 | |
| Physical therapy evaluation (high complexity) |
$94 |
$853 |
$167 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$94 |
$682 |
$167 |
$98 | |
| Pilonidal cyst removal |
$3,058 |
$9,534 |
$3,571 |
$541 | |
| Platelet count |
$4 |
$8 |
$4 |
$4 | |
| Pregnancy ultrasound |
$110 |
$953 |
$192 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$110 |
$851 |
$192 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$110 |
$1,055 |
$192 |
$136 | |
| Procalcitonin test |
$27 |
$149 |
$27 |
$27 | |
| Prolactin test |
$19 |
$33 |
$19 |
$19 | |
| Prostate biopsy |
$2,111 |
$2,905 |
$2,905 |
— | |
| Prostate surgery (TURP) |
$5,645 |
$12,290 |
$5,645 |
$526 | |
| Prostate test (PSA) |
$18 |
$207 |
$18 |
$18 | |
| Radiofrequency nerve ablation |
$2,055 |
$8,988 |
$3,122 |
$462 | |
| Rheumatoid factor test |
$6 |
$10 |
$6 |
$6 | |
| Sacroiliac joint injection |
— |
$898 |
$286 |
$176 | |
| Scoliosis spine X-ray |
$101 |
$327 |
$124 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$91 |
$436 |
$93 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$110 |
$217 |
$124 |
$72 | |
| Screening mammogram |
$84 |
$690 |
$147 |
$126 | |
| Scrotal ultrasound |
$110 |
$827 |
$114 |
$99 | |
| Sedimentation rate (ESR) test |
$4 |
$7 |
$4 |
$3 | |
| Semen analysis |
$12 |
$120 |
$12 |
$12 | |
| Sex hormone binding globulin test |
$21 |
$100 |
$22 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$211 |
$700 |
$381 |
$114 | |
| Simple wound stitches |
$211 |
$720 |
$381 |
$127 | |
| Skin biopsy |
$603 |
$744 |
$569 |
$121 | |
| Skin biopsy (punch) |
$427 |
$360 |
$360 |
$121 | |
| Skin cancer lesion removal |
$745 |
$3,245 |
$1,045 |
$240 | |
| Skin tag removal |
$211 |
$917 |
$381 |
$92 | |
| Sleep study (polysomnography) |
$904 |
$3,308 |
$904 |
$691 | |
| Spinal tap (lumbar puncture) |
$743 |
$1,160 |
$1,160 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$7,639 |
$12,290 |
$10,695 |
$5,803 | |
| Spirometry (lung function test) |
$227 |
$664 |
$230 |
$30 | |
| Spirometry with bronchodilator |
$392 |
$1,262 |
$397 |
$43 | |
| Spleen removal (splenectomy) |
— |
$8,000 |
$4,251 |
$1,036 | |
| Strep throat test |
$16 |
$21 |
$17 |
$17 | |
| Stress echocardiogram |
$575 |
$2,175 |
$783 |
$209 | |
| Swallow study |
$56 |
$556 |
$100 |
$85 | |
| T3 thyroid test |
$14 |
$37 |
$14 |
$14 | |
| Testosterone test |
$25 |
$67 |
$26 |
$26 | |
| Thyroid test (TSH) |
$16 |
$212 |
$17 |
$17 | |
| Thyroid ultrasound |
$110 |
$1,027 |
$192 |
$109 | |
| Thyroid uptake scan |
$420 |
$1,461 |
$568 |
$145 | |
| Total IgE allergy test |
$16 |
$43 |
$16 |
$16 | |
| Transesophageal echocardiogram (TEE) |
$575 |
$1,104 |
$522 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$575 |
$1,104 |
$522 |
$239 | |
| Transvaginal ultrasound |
$110 |
$810 |
$192 |
$118 | |
| Trigger point injection |
$323 |
$1,003 |
$436 |
$56 | |
| Trigger point injection (1-2 muscles) |
$323 |
$1,003 |
$436 |
$52 | |
| Triglycerides test |
$5 |
$69 |
$6 |
$6 | |
| Troponin (heart) test |
$12 |
$90 |
$12 |
$12 | |
| Upper GI endoscopy (EGD) |
$954 |
$873 |
$873 |
$371 | |
| Upper GI series (barium) |
$184 |
$1,106 |
$262 |
$128 | |
| Ureteral stent placement |
$3,711 |
$8,988 |
$4,082 |
$373 | |
| Ureteroscopy (stone removal) |
$5,645 |
$11,336 |
$7,903 |
$365 | |
| Urine microalbumin test |
$5 |
$50 |
$6 |
$5 | |
| Urine pregnancy test |
$8 |
$105 |
$9 |
$9 | |
| Vaccine administration |
$75 |
$102 |
$76 |
$19 | |
| Vaccine administration (each additional) |
— |
$90 |
$90 |
$16 | |
| Vaginal delivery |
$6,117 |
— |
$8,597 |
$5,487 | |
| Varicose vein ablation |
$3,324 |
$3,446 |
$1,915 |
$1,018 | |
| Vasectomy |
$2,200 |
$9,807 |
$2,781 |
$347 | |
| Vitamin B12 test |
$15 |
$193 |
$15 |
$15 | |
| Vitamin D test |
$29 |
$314 |
$30 |
$30 | |
| Wart removal |
$211 |
$339 |
$286 |
$121 | |
| Weight-loss (bariatric) surgery |
$12,568 |
— |
$22,380 |
$11,645 | |
| Wound debridement |
$603 |
$4,012 |
$856 |
$186 | |
| X-ray of the abdomen |
$110 |
$540 |
$165 |
$36 | |
| X-ray of the ankle |
$91 |
$535 |
$93 |
$37 | |
| X-ray of the collarbone |
$91 |
$928 |
$93 |
$33 | |
| X-ray of the elbow |
$91 |
$625 |
$93 |
$33 | |
| X-ray of the facial bones |
$101 |
$367 |
$90 |
$39 | |
| X-ray of the foot |
$91 |
$452 |
$93 |
$34 | |
| X-ray of the forearm |
$91 |
$756 |
$93 |
$29 | |
| X-ray of the hand |
$91 |
$541 |
$93 |
$38 | |
| X-ray of the hip |
$91 |
$368 |
$93 |
$49 | |
| X-ray of the hip (1 view) |
$91 |
$304 |
$93 |
$34 | |
| X-ray of the hip (3 views) |
$91 |
$460 |
$93 |
$49 | |
| X-ray of the knee |
$91 |
$607 |
$110 |
$42 | |
| X-ray of the knee (2 views) |
$91 |
$413 |
$93 |
$34 | |
| X-ray of the knee (3 views) |
$91 |
$493 |
$93 |
$42 | |
| X-ray of the knee (4+ views) |
$110 |
$607 |
$112 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$110 |
$679 |
$112 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$110 |
$544 |
$112 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$110 |
$814 |
$112 |
$53 | |
| X-ray of the lower leg |
$91 |
$469 |
$93 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$110 |
$558 |
$112 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$110 |
$517 |
$112 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$110 |
$598 |
$112 |
$39 | |
| X-ray of the neck (cervical spine) |
$101 |
$611 |
$110 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$91 |
$505 |
$93 |
$40 | |
| X-ray of the pelvis |
$110 |
$503 |
$112 |
$36 | |
| X-ray of the pelvis (1 view) |
$110 |
$503 |
$112 |
$28 | |
| X-ray of the ribs |
$101 |
$517 |
$110 |
$42 | |
| X-ray of the ribs (2 views) |
$91 |
$483 |
$93 |
$36 | |
| X-ray of the ribs (3 views) |
$110 |
$550 |
$112 |
$42 | |
| X-ray of the shoulder |
$91 |
$806 |
$93 |
$36 | |
| X-ray of the skull |
$110 |
$404 |
$90 |
$40 | |
| X-ray of the upper arm |
$91 |
$547 |
$93 |
$32 | |
| X-ray of the wrist |
$91 |
$600 |
$93 |
$43 | |
| Zinc blood test |
$11 |
$125 |
$11 |
$11 | |