| 3D mammogram (tomosynthesis) |
$63 |
$63 |
$125 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$2,806 |
$2,806 |
$5,677 |
$284 | |
| Abdominal ultrasound |
$1,234 |
$1,234 |
$1,016 |
$100 | |
| Abdominal ultrasound (complete) |
$1,400 |
$1,400 |
$1,173 |
$114 | |
| Abdominal ultrasound (limited) |
$1,068 |
$1,068 |
$894 |
$86 | |
| Abscess drainage (simple) |
$1,206 |
$1,206 |
$5,410 |
$129 | |
| Abscess incision and drainage |
$1,381 |
$1,381 |
$5,410 |
$174 | |
| Achilles tendon repair |
$31,536 |
$31,536 |
$5,477 |
$624 | |
| ACL knee reconstruction |
$57,871 |
$57,871 |
$5,477 |
$889 | |
| Adenoid removal (adenoidectomy) |
$15,470 |
$15,470 |
$5,531 |
$204 | |
| Albumin blood test |
$87 |
$87 |
$10 |
$5 | |
| Aldosterone test |
$97 |
$97 |
$65 |
$41 | |
| Alkaline phosphatase test |
$91 |
$91 |
$8 |
$5 | |
| Allergy shots |
$111 |
$111 |
$6,095 |
$11 | |
| Alpha-fetoprotein (AFP) test |
$78 |
$78 |
$49 |
$17 | |
| ALT liver enzyme test |
$91 |
$91 |
$22 |
$5 | |
| Ammonia blood test |
$145 |
$145 |
$24 |
$15 | |
| Amylase test |
$126 |
$126 |
$23 |
$6 | |
| Ankle fracture repair |
$28,203 |
$28,203 |
$5,477 |
$608 | |
| Antinuclear antibody (ANA) test |
$68 |
$68 |
$27 |
$12 | |
| Arterial blood gas (ABG) |
$260 |
$260 |
$92 |
$26 | |
| AST liver enzyme test |
$91 |
$91 |
$22 |
$5 | |
| Barium swallow study |
$1,006 |
$1,006 |
$946 |
$107 | |
| Bartholin cyst removal |
$575 |
$575 |
$5,795 |
$182 | |
| Basic metabolic panel |
$179 |
$179 |
$14 |
$8 | |
| Bilirubin blood test |
$104 |
$104 |
$9 |
$5 | |
| Blood clotting test (PT/INR) |
$20 |
$20 |
$9 |
$4 | |
| Blood crossmatch |
$177 |
$177 |
$166 |
— | |
| Blood glucose test |
$74 |
$74 |
$21 |
$5 | |
| Blood transfusion |
$1,675 |
$1,675 |
$5,613 |
$47 | |
| Blood type and screen |
$189 |
$189 |
$124 |
$10 | |
| Blood type test |
$16 |
$16 |
$74 |
$3 | |
| Blood type test (ABO group) |
$16 |
$16 |
$76 |
$3 | |
| Blood type test (Rh/D antigen) |
$16 |
$16 |
$74 |
$3 | |
| BNP (heart failure) test |
$266 |
$266 |
$102 |
$39 | |
| Bone density scan (DEXA) |
$713 |
$713 |
$670 |
$39 | |
| Bone scan (nuclear) |
$2,772 |
$2,772 |
$2,606 |
$259 | |
| Breast biopsy |
$4,699 |
$4,699 |
$5,432 |
$478 | |
| Breast ultrasound |
$683 |
$683 |
$642 |
$92 | |
| Breast ultrasound (complete) |
$683 |
$683 |
$642 |
$100 | |
| Breast ultrasound (limited) |
$682 |
$682 |
$641 |
$84 | |
| Breathing tube insertion (intubation) |
$817 |
$817 |
$5,527 |
$133 | |
| Burn dressing and debridement (medium) |
$1,751 |
$1,751 |
$5,410 |
$166 | |
| Burn dressing and debridement (small) |
$999 |
$999 |
$5,410 |
$93 | |
| Burn treatment |
$1,155 |
$1,155 |
$5,410 |
$129 | |
| C-reactive protein (CRP) |
$104 |
$104 |
$9 |
$5 | |
| CA 19-9 tumor marker test |
$23 |
$23 |
$33 |
$21 | |
| CA-125 ovarian marker test |
$204 |
$204 |
$41 |
$21 | |
| Calcium blood test |
$95 |
$95 |
$12 |
$5 | |
| Cardiac rehabilitation |
$396 |
$396 |
$6,181 |
$26 | |
| Cardiac stress test |
$1,714 |
$1,714 |
$6,128 |
$39 | |
| Cardioversion |
$1,778 |
$1,778 |
$6,191 |
$155 | |
| Carotid artery ultrasound |
$1,267 |
$1,267 |
$5,914 |
$156 | |
| Carpal tunnel release |
$10,109 |
$10,109 |
$5,817 |
$483 | |
| Cataract surgery |
$8,866 |
$8,866 |
$5,881 |
$547 | |
| CEA tumor marker test |
$206 |
$206 |
$51 |
$19 | |
| Celiac disease test |
$22 |
$22 |
$20 |
$12 | |
| Central line placement |
$3,422 |
$3,422 |
$5,551 |
$238 | |
| Cervical cerclage |
$11,380 |
$11,380 |
$5,798 |
$137 | |
| Cervical LEEP procedure |
$15,870 |
$15,870 |
$5,798 |
$325 | |
| Cesarean section (C-section) |
$28,290 |
$28,290 |
$9,977 |
$7,552 | |
| Chemotherapy infusion |
$664 |
$664 |
$6,096 |
$81 | |
| Chemotherapy infusion (each additional) |
$414 |
$414 |
$6,096 |
$28 | |
| Chemotherapy infusion (first hour) |
$914 |
$914 |
$6,098 |
$133 | |
| Chest fluid drain (thoracentesis) |
$2,845 |
$2,845 |
$5,549 |
$311 | |
| Chest tube insertion |
$3,520 |
$3,520 |
$5,550 |
$143 | |
| Chest X-ray |
$439 |
$439 |
$413 |
$37 | |
| Chest X-ray (1 view) |
$424 |
$424 |
$399 |
$25 | |
| Chest X-ray (2 views) |
$454 |
$454 |
$427 |
$33 | |
| Circumcision |
$2,140 |
$2,140 |
$5,754 |
$167 | |
| Clotting time test (PTT) |
$112 |
$112 |
$12 |
$6 | |
| Colonoscopy |
$5,422 |
$5,422 |
$5,688 |
$480 | |
| Colposcopy |
$1,468 |
$1,468 |
$5,796 |
$161 | |
| Complete blood count (CBC) |
$121 |
$121 |
$12 |
$7 | |
| Complete blood count (CBC) (complete) |
$135 |
$135 |
$12 |
$8 | |
| Comprehensive metabolic panel |
$200 |
$200 |
$17 |
$11 | |
| Copper blood test |
$70 |
$70 |
$20 |
$12 | |
| Cortisol test |
$234 |
$234 |
$42 |
$16 | |
| COVID-19 PCR test |
$151 |
$151 |
$100 |
$51 | |
| CPAP titration study |
$1,021 |
$1,021 |
$6,202 |
$69 | |
| Creatine kinase (CK) test |
$95 |
$95 |
$11 |
$7 | |
| CT angiography of the chest |
$3,320 |
$3,320 |
$5,967 |
$281 | |
| CT angiography of the head |
$3,215 |
$3,215 |
$5,967 |
$274 | |
| CT scan of the abdomen |
$3,918 |
$3,918 |
$5,967 |
$230 | |
| CT scan of the abdomen and pelvis |
$5,514 |
$5,514 |
$5,915 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$5,514 |
$5,514 |
$5,968 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$5,690 |
$5,690 |
$5,968 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$4,329 |
$4,329 |
$5,915 |
$183 | |
| CT scan of the abdomen with and without contrast |
$4,142 |
$4,142 |
$5,967 |
$259 | |
| CT scan of the abdomen with contrast |
$3,693 |
$3,693 |
$5,967 |
$230 | |
| CT scan of the arm |
$2,795 |
$2,795 |
$5,914 |
$199 | |
| CT scan of the arm with contrast |
$3,080 |
$3,080 |
$5,968 |
$199 | |
| CT scan of the arm without contrast |
$2,509 |
$2,509 |
$5,914 |
$161 | |
| CT scan of the chest |
$3,238 |
$3,238 |
$5,914 |
$167 | |
| CT scan of the chest with and without contrast |
$3,549 |
$3,549 |
$5,967 |
$196 | |
| CT scan of the chest with contrast |
$3,238 |
$3,238 |
$5,967 |
$167 | |
| CT scan of the chest without contrast |
$2,416 |
$2,416 |
$5,914 |
$133 | |
| CT scan of the head |
$2,709 |
$2,709 |
$5,914 |
$148 | |
| CT scan of the head with and without contrast |
$3,402 |
$3,402 |
$5,967 |
$173 | |
| CT scan of the head with contrast |
$2,709 |
$2,709 |
$5,967 |
$148 | |
| CT scan of the head without contrast |
$2,250 |
$2,250 |
$5,914 |
$107 | |
| CT scan of the leg |
$2,613 |
$2,613 |
$5,914 |
$166 | |
| CT scan of the leg with contrast |
$2,809 |
$2,809 |
$5,967 |
$166 | |
| CT scan of the leg without contrast |
$2,416 |
$2,416 |
$5,914 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,540 |
$2,540 |
$5,914 |
$169 | |
| CT scan of the lower back (lumbar spine) with contrast |
$2,717 |
$2,717 |
$5,968 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$2,363 |
$2,363 |
$5,914 |
$130 | |
| CT scan of the neck |
$3,053 |
$3,053 |
$5,914 |
$183 | |
| CT scan of the neck (cervical spine) |
$2,694 |
$2,694 |
$5,914 |
$168 | |
| CT scan of the neck (cervical spine) with contrast |
$2,972 |
$2,972 |
$5,968 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$2,416 |
$2,416 |
$5,914 |
$131 | |
| CT scan of the neck with and without contrast |
$3,324 |
$3,324 |
$5,967 |
$220 | |
| CT scan of the neck with contrast |
$3,053 |
$3,053 |
$5,967 |
$183 | |
| CT scan of the neck without contrast |
$2,373 |
$2,373 |
$5,914 |
$150 | |
| CT scan of the pelvis |
$2,680 |
$2,680 |
$5,914 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,860 |
$2,860 |
$5,967 |
$251 | |
| CT scan of the pelvis with contrast |
$2,680 |
$2,680 |
$5,967 |
$226 | |
| CT scan of the pelvis without contrast |
$2,187 |
$2,187 |
$5,914 |
$133 | |
| CT scan of the sinuses |
$2,834 |
$2,834 |
$5,914 |
$152 | |
| CT scan of the sinuses with and without contrast |
$3,241 |
$3,241 |
$5,967 |
$184 | |
| CT scan of the sinuses with contrast |
$2,834 |
$2,834 |
$5,967 |
$152 | |
| CT scan of the sinuses without contrast |
$2,171 |
$2,171 |
$5,914 |
$128 | |
| D-dimer test |
$176 |
$176 |
$21 |
$10 | |
| DHEA-sulfate test |
$65 |
$65 |
$47 |
$22 | |
| Diagnostic mammogram |
$610 |
$610 |
$230 |
$140 | |
| Dilation and curettage (D&C) |
$10,551 |
$10,551 |
$6,386 |
$298 | |
| Drug screen (urine) |
$128 |
$128 |
$99 |
$17 | |
| Ear pressure test (tympanometry) |
$94 |
$94 |
$6,139 |
$16 | |
| Ear tubes (myringotomy) |
$7,848 |
$7,848 |
$5,530 |
$174 | |
| Eardrum repair (tympanoplasty) |
$34,564 |
$34,564 |
$5,532 |
$799 | |
| Echocardiogram |
$1,988 |
$1,988 |
$5,915 |
$138 | |
| Echocardiogram with and without contrast |
$1,065 |
$1,065 |
$5,915 |
$101 | |
| EKG / ECG (tracing only) |
$293 |
$293 |
$6,140 |
$7 | |
| Electrocardiogram (EKG) |
$293 |
$293 |
$6,140 |
$8 | |
| Electrolyte panel |
$125 |
$125 |
$11 |
$7 | |
| Emergency department visit |
$851 |
$851 |
$5,380 |
$69 | |
| Emergency department visit (level 1) |
$333 |
$333 |
$5,377 |
$11 | |
| Emergency department visit (level 2) |
$531 |
$531 |
$5,379 |
$40 | |
| Emergency department visit (level 3) |
$851 |
$851 |
$5,380 |
$69 | |
| Emergency department visit (level 4) |
$1,381 |
$1,381 |
$5,381 |
$118 | |
| Emergency department visit (level 5) |
$1,968 |
$1,968 |
$5,382 |
$171 | |
| ERCP (bile duct endoscopy) |
$22,725 |
$22,725 |
$5,680 |
$311 | |
| Estradiol (estrogen) test |
$205 |
$205 |
$44 |
$28 | |
| Eyelid surgery (blepharoplasty) |
$7,990 |
$7,990 |
$5,413 |
$552 | |
| Fallopian tube X-ray (HSG) |
$1,340 |
$1,340 |
$472 |
$164 | |
| Fecal occult blood (stool) test |
$93 |
$93 |
$67 |
$10 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$93 |
$93 |
$67 |
$16 | |
| Femoral hernia repair |
$16,800 |
$16,800 |
$5,720 |
$584 | |
| Ferritin (iron) test |
$132 |
$132 |
$22 |
$14 | |
| Fibrinogen test |
$156 |
$156 |
$19 |
$10 | |
| Flexible sigmoidoscopy |
$3,582 |
$3,582 |
$5,688 |
$323 | |
| Folate (folic acid) test |
$124 |
$124 |
$23 |
$15 | |
| Foreign body removal (skin) |
$1,058 |
$1,058 |
$5,411 |
$157 | |
| Free T4 thyroid test |
$99 |
$99 |
$15 |
$9 | |
| FSH hormone test |
$136 |
$136 |
$30 |
$19 | |
| Gallbladder removal (laparoscopic) |
$21,923 |
$21,923 |
$5,742 |
$658 | |
| Ganglion cyst removal |
$11,049 |
$11,049 |
$5,475 |
$321 | |
| GGT liver test |
$87 |
$87 |
$23 |
$7 | |
| Glucose tolerance test |
$158 |
$158 |
$28 |
$8 | |
| H. pylori test |
$139 |
$139 |
$119 |
$67 | |
| Hammertoe repair |
$18,726 |
$18,726 |
$5,476 |
$548 | |
| HDL cholesterol test |
$104 |
$104 |
$13 |
$8 | |
| Hearing test (audiometry) |
$406 |
$406 |
$6,127 |
$36 | |
| Hematocrit test |
$58 |
$58 |
$19 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$92 |
$92 |
$22 |
$10 | |
| Hepatitis B test |
$28 |
$28 |
$18 |
$10 | |
| Hepatitis C test |
$129 |
$129 |
$25 |
$14 | |
| Hip replacement |
$59,511 |
$59,511 |
$5,478 |
$1,162 | |
| Holter heart monitor |
$927 |
$927 |
$6,140 |
$26 | |
| Hysterectomy |
$31,325 |
$31,325 |
$5,743 |
$933 | |
| Hysteroscopy |
$14,317 |
$14,317 |
$5,798 |
$1,270 | |
| Incisional hernia repair |
$13,813 |
$13,813 |
$10,315 |
— | |
| Inguinal hernia repair |
$17,000 |
$17,000 |
$5,720 |
$538 | |
| Iron blood test |
$91 |
$91 |
$10 |
$6 | |
| IV infusion therapy |
$373 |
$373 |
$6,095 |
$44 | |
| IV infusion therapy (each additional) |
$208 |
$208 |
$6,095 |
$21 | |
| IV infusion therapy (initial) |
$538 |
$538 |
$6,097 |
$67 | |
| Joint aspiration (small/intermediate) |
$917 |
$917 |
$5,827 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$917 |
$917 |
$5,827 |
$57 | |
| Kidney biopsy |
$3,681 |
$3,681 |
$5,432 |
$492 | |
| Kidney ultrasound |
$996 |
$996 |
$827 |
$84 | |
| Kidney ultrasound (limited) |
$924 |
$924 |
$774 |
$61 | |
| Knee arthroscopy |
$18,613 |
$18,613 |
$5,476 |
$524 | |
| Knee joint injection |
$1,395 |
$1,395 |
$5,827 |
$69 | |
| Knee replacement |
$66,520 |
$72,718 |
$17,717 |
$18,054 | |
| Lactate test |
$130 |
$130 |
$45 |
$12 | |
| Laryngoscopy |
$1,356 |
$1,356 |
$5,517 |
$189 | |
| LDH test |
$91 |
$91 |
$15 |
$6 | |
| LDL cholesterol test |
$161 |
$161 |
$26 |
$11 | |
| Leg vein ultrasound (Doppler) |
$1,350 |
$1,350 |
$5,914 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,181 |
$1,181 |
$5,914 |
$116 | |
| LH hormone test |
$223 |
$223 |
$30 |
$19 | |
| Lipase test |
$150 |
$150 |
$23 |
$7 | |
| Lipid (cholesterol) panel |
$135 |
$135 |
$22 |
$13 | |
| Liver biopsy |
$2,749 |
$2,749 |
$5,432 |
$288 | |
| Liver function panel |
$174 |
$174 |
$42 |
$8 | |
| Lumpectomy (breast) |
$29,616 |
$29,616 |
$5,452 |
$750 | |
| Magnesium blood test |
$96 |
$96 |
$11 |
$7 | |
| Mastectomy |
$37,806 |
$37,806 |
$5,454 |
$1,021 | |
| MRA of the brain |
$3,954 |
$3,954 |
$3,311 |
$226 | |
| MRA of the neck |
$4,170 |
$4,170 |
$3,435 |
$245 | |
| MRA of the neck without contrast |
$4,730 |
$4,730 |
$3,961 |
$343 | |
| MRI of the abdomen |
$4,815 |
$4,815 |
$5,915 |
$300 | |
| MRI of the abdomen without contrast |
$4,345 |
$4,345 |
$5,915 |
$194 | |
| MRI of the ankle |
$4,727 |
$4,727 |
$5,915 |
$261 | |
| MRI of the ankle without contrast |
$4,004 |
$4,004 |
$5,915 |
$222 | |
| MRI of the brain |
$4,569 |
$4,569 |
$5,915 |
$269 | |
| MRI of the brain without contrast |
$3,896 |
$3,896 |
$5,915 |
$195 | |
| MRI of the chest |
$3,531 |
$3,531 |
$5,915 |
$371 | |
| MRI of the knee |
$4,372 |
$4,372 |
$5,915 |
$315 | |
| MRI of the knee with contrast |
$4,372 |
$4,372 |
$5,969 |
$315 | |
| MRI of the knee without contrast |
$3,846 |
$3,846 |
$5,915 |
$204 | |
| MRI of the lower back (lumbar spine) |
$4,660 |
$4,660 |
$5,915 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$3,967 |
$3,967 |
$5,915 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$4,606 |
$4,606 |
$5,915 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$5,244 |
$5,244 |
$5,968 |
$319 | |
| MRI of the mid-back (thoracic spine) without contrast |
$3,967 |
$3,967 |
$5,915 |
$190 | |
| MRI of the neck (cervical spine) |
$4,589 |
$4,589 |
$5,915 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$5,210 |
$5,210 |
$5,968 |
$318 | |
| MRI of the neck (cervical spine) without contrast |
$3,967 |
$3,967 |
$5,915 |
$191 | |
| MRI of the pelvis |
$4,934 |
$4,934 |
$5,915 |
$268 | |
| MRI of the pelvis without contrast |
$4,637 |
$4,637 |
$5,915 |
$227 | |
| MRI of the shoulder |
$4,658 |
$4,658 |
$5,915 |
$313 | |
| MRI of the shoulder with contrast |
$4,658 |
$4,658 |
$5,969 |
$313 | |
| MRI of the shoulder without contrast |
$4,357 |
$4,357 |
$5,915 |
$205 | |
| MRI of the wrist |
$4,426 |
$4,426 |
$5,915 |
$330 | |
| MRI of the wrist without contrast |
$3,578 |
$3,578 |
$5,915 |
$303 | |
| Nebulizer breathing treatment |
$315 |
$315 |
$6,202 |
$9 | |
| Nuclear cardiac stress test |
$4,224 |
$4,224 |
$3,971 |
$428 | |
| Occupational therapy evaluation |
$318 |
$318 |
$101 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$318 |
$318 |
$101 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$318 |
$318 |
$101 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$318 |
$318 |
$101 |
$101 | |
| Orthopedic hardware removal |
$18,096 |
$18,096 |
$5,433 |
$632 | |
| Parathyroid hormone (PTH) test |
$270 |
$270 |
$81 |
$41 | |
| Parathyroid removal |
$37,224 |
$37,224 |
$5,532 |
$891 | |
| Pelvic ultrasound |
$871 |
$871 |
$690 |
$78 | |
| Pelvic ultrasound (complete) |
$1,249 |
$1,249 |
$1,046 |
$105 | |
| Pelvic ultrasound (limited) |
$492 |
$492 |
$412 |
$51 | |
| Phosphorus blood test |
$61 |
$61 |
$18 |
$5 | |
| Physical therapy evaluation |
$318 |
$318 |
$103 |
$98 | |
| Physical therapy evaluation (high complexity) |
$318 |
$318 |
$103 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$318 |
$318 |
$103 |
$98 | |
| Pilonidal cyst removal |
$18,110 |
$18,110 |
$5,433 |
$541 | |
| Pregnancy blood test (hCG) |
$148 |
$148 |
$23 |
$8 | |
| Pregnancy ultrasound |
$597 |
$597 |
$561 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$601 |
$601 |
$565 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$593 |
$593 |
$557 |
$136 | |
| Procalcitonin test |
$204 |
$204 |
$51 |
$27 | |
| Prolactin test |
$143 |
$143 |
$31 |
$19 | |
| Prostate test (PSA) |
$223 |
$223 |
$29 |
$18 | |
| Psychotherapy session |
$446 |
$446 |
$6,236 |
$140 | |
| Pulmonary rehabilitation |
$266 |
$266 |
$6,140 |
$87 | |
| Sacroiliac joint injection |
$2,245 |
$2,245 |
$1,303 |
$176 | |
| Scoliosis spine X-ray |
$482 |
$482 |
$453 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$389 |
$389 |
$366 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$575 |
$575 |
$541 |
$72 | |
| Screening mammogram |
$588 |
$588 |
$220 |
$126 | |
| Scrotal ultrasound |
$1,195 |
$1,195 |
$1,001 |
$99 | |
| Sedimentation rate (ESR) test |
$87 |
$87 |
$19 |
$3 | |
| Semen analysis |
$90 |
$90 |
$39 |
$12 | |
| Septoplasty (deviated septum) |
$23,217 |
$23,217 |
$5,531 |
$613 | |
| Sex hormone binding globulin test |
$44 |
$44 |
$38 |
$22 | |
| Shoulder arthroscopy |
$40,992 |
$40,992 |
$5,477 |
$962 | |
| Shoulder replacement |
$75,091 |
$75,091 |
$5,479 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$574 |
$574 |
$5,410 |
$114 | |
| Simple wound stitches |
$604 |
$604 |
$5,410 |
$127 | |
| Sinus surgery (endoscopic) |
$34,022 |
$34,022 |
$5,521 |
$224 | |
| Skin biopsy |
$566 |
$566 |
$5,410 |
$121 | |
| Skin graft |
$17,237 |
$17,237 |
$5,414 |
$898 | |
| Sleep study (polysomnography) |
$5,715 |
$5,715 |
$6,130 |
$691 | |
| Soft tissue ultrasound |
$765 |
$765 |
$719 |
$64 | |
| Speech therapy |
$243 |
$243 |
$84 |
$76 | |
| Spinal tap (lumbar puncture) |
$2,059 |
$2,059 |
$5,828 |
$165 | |
| Spleen removal (splenectomy) |
$35,844 |
$35,844 |
$5,743 |
$1,036 | |
| Swallow study |
$363 |
$363 |
$241 |
$85 | |
| T3 thyroid test |
$16 |
$16 |
$23 |
$14 | |
| Testosterone test |
$187 |
$187 |
$41 |
$26 | |
| Thyroid removal (thyroidectomy) |
$37,571 |
$37,571 |
$5,742 |
$1,004 | |
| Thyroid test (TSH) |
$136 |
$136 |
$27 |
$17 | |
| Thyroid ultrasound |
$997 |
$997 |
$937 |
$109 | |
| Tonsillectomy |
$12,417 |
$12,417 |
$5,531 |
$252 | |
| Total IgE allergy test |
$52 |
$52 |
$27 |
$16 | |
| Total protein test |
$99 |
$99 |
$6 |
$4 | |
| Transvaginal ultrasound |
$704 |
$704 |
$662 |
$118 | |
| Trigger finger release |
$8,817 |
$8,817 |
$5,475 |
$630 | |
| Trigger point injection |
$919 |
$919 |
$5,827 |
$56 | |
| Trigger point injection (1-2 muscles) |
$875 |
$875 |
$5,827 |
$52 | |
| Triglycerides test |
$87 |
$87 |
$9 |
$6 | |
| Troponin (heart) test |
$186 |
$186 |
$44 |
$12 | |
| Turbinate reduction |
$23,217 |
$23,217 |
$5,531 |
$294 | |
| Turning a breech baby (version) |
$10,502 |
$10,502 |
$5,798 |
$94 | |
| Ulnar nerve surgery (elbow) |
$14,124 |
$14,124 |
$5,817 |
$575 | |
| Upper GI endoscopy (EGD) |
$6,172 |
$6,172 |
$5,677 |
$371 | |
| Upper GI series (barium) |
$1,193 |
$1,193 |
$1,121 |
$128 | |
| Uric acid (gout) test |
$63 |
$63 |
$7 |
$5 | |
| Urinalysis |
$61 |
$61 |
$17 |
$3 | |
| Urine microalbumin test |
$92 |
$92 |
$9 |
$5 | |
| Urine pregnancy test |
$102 |
$102 |
$22 |
$9 | |
| Vaccine administration |
$88 |
$88 |
$83 |
$19 | |
| Vaccine administration (each additional) |
$88 |
$88 |
$44 |
$16 | |
| Vaginal delivery |
$15,562 |
$15,562 |
$6,485 |
$5,487 | |
| Varicose vein ablation |
$10,178 |
$10,178 |
$5,551 |
$1,018 | |
| Vitamin B12 test |
$203 |
$203 |
$24 |
$15 | |
| Vitamin D test |
$193 |
$193 |
$47 |
$30 | |
| Vocal cord injection |
$16,934 |
$16,934 |
$5,520 |
$211 | |
| Wart removal |
$1,067 |
$1,067 |
$5,410 |
$121 | |
| Weight-loss (bariatric) surgery |
$57,258 |
$57,172 |
$16,811 |
$11,645 | |
| Wound debridement |
$7,115 |
$7,115 |
$5,411 |
$186 | |
| Wrist fracture repair |
$25,060 |
$25,060 |
$5,477 |
$735 | |
| X-ray of the abdomen |
$485 |
$485 |
$455 |
$36 | |
| X-ray of the ankle |
$339 |
$339 |
$319 |
$37 | |
| X-ray of the collarbone |
$304 |
$304 |
$286 |
$33 | |
| X-ray of the elbow |
$408 |
$408 |
$384 |
$33 | |
| X-ray of the facial bones |
$430 |
$430 |
$404 |
$39 | |
| X-ray of the foot |
$351 |
$351 |
$330 |
$34 | |
| X-ray of the forearm |
$376 |
$376 |
$353 |
$29 | |
| X-ray of the hand |
$364 |
$364 |
$342 |
$38 | |
| X-ray of the hip |
$300 |
$300 |
$282 |
$49 | |
| X-ray of the hip (1 view) |
$289 |
$289 |
$272 |
$34 | |
| X-ray of the hip (3 views) |
$310 |
$310 |
$291 |
$49 | |
| X-ray of the knee |
$368 |
$368 |
$346 |
$42 | |
| X-ray of the knee (2 views) |
$328 |
$328 |
$308 |
$34 | |
| X-ray of the knee (3 views) |
$368 |
$368 |
$346 |
$42 | |
| X-ray of the knee (4+ views) |
$398 |
$398 |
$374 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$589 |
$589 |
$553 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$471 |
$471 |
$443 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$706 |
$706 |
$664 |
$53 | |
| X-ray of the lower leg |
$406 |
$406 |
$382 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$499 |
$499 |
$469 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$426 |
$426 |
$400 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$571 |
$571 |
$537 |
$39 | |
| X-ray of the neck (cervical spine) |
$538 |
$538 |
$506 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$430 |
$430 |
$404 |
$40 | |
| X-ray of the pelvis |
$393 |
$393 |
$369 |
$36 | |
| X-ray of the pelvis (1 view) |
$384 |
$384 |
$361 |
$28 | |
| X-ray of the ribs |
$455 |
$455 |
$428 |
$42 | |
| X-ray of the ribs (2 views) |
$391 |
$391 |
$368 |
$36 | |
| X-ray of the ribs (3 views) |
$519 |
$519 |
$488 |
$42 | |
| X-ray of the shoulder |
$415 |
$415 |
$390 |
$36 | |
| X-ray of the skull |
$574 |
$574 |
$540 |
$40 | |
| X-ray of the upper arm |
$356 |
$356 |
$335 |
$32 | |
| X-ray of the wrist |
$362 |
$362 |
$340 |
$43 | |
| Zinc blood test |
$18 |
$18 |
$18 |
$11 | |