| 3D mammogram (tomosynthesis) |
$42 |
$65 |
$37 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$225 |
$225 |
$47 |
$284 | |
| Abdominal ultrasound |
$97 |
$97 |
$38 |
$100 | |
| Abdominal ultrasound (complete) |
$110 |
$110 |
$95 |
$114 | |
| Abdominal ultrasound (limited) |
$65 |
$65 |
$28 |
$86 | |
| Abscess drainage (simple) |
$239 |
$232 |
$51 |
$129 | |
| Achilles tendon repair |
$34,950 |
— |
$4,174 |
$624 | |
| ACL knee reconstruction |
$31,627 |
— |
$6,152 |
$889 | |
| Aldosterone test |
$454 |
$699 |
$241 |
$41 | |
| Alkaline phosphatase test |
$62 |
$96 |
$6 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$211 |
$324 |
$95 |
$17 | |
| ALT liver enzyme test |
$62 |
$96 |
$6 |
$5 | |
| Ammonia blood test |
$157 |
$242 |
$85 |
$15 | |
| Amylase test |
$77 |
$118 |
$38 |
$6 | |
| Anal fistula repair |
$8,841 |
— |
$2,856 |
$541 | |
| Annual physical (established patient) |
$190 |
$190 |
$20 |
— | |
| Antinuclear antibody (ANA) test |
$198 |
$305 |
$70 |
$12 | |
| Arterial blood gas (ABG) |
$214 |
$329 |
$113 |
$26 | |
| AST liver enzyme test |
$62 |
$96 |
$6 |
$5 | |
| Barium swallow study |
$321 |
$494 |
$287 |
$107 | |
| Bartholin cyst removal |
$243 |
$243 |
$51 |
$182 | |
| Basic metabolic panel |
$501 |
$508 |
$44 |
$8 | |
| Benign skin lesion removal |
$320 |
$289 |
$52 |
$171 | |
| Bilirubin blood test |
$55 |
$84 |
$26 |
$5 | |
| Blood clotting test (PT/INR) |
$75 |
$116 |
$21 |
$4 | |
| Blood crossmatch |
$163 |
$250 |
$75 |
— | |
| Blood glucose test |
$96 |
$148 |
$6 |
$5 | |
| Blood transfusion |
$445 |
$684 |
$464 |
$47 | |
| Blood type and screen |
$316 |
$486 |
$29 |
$10 | |
| Blood type test |
$70 |
$108 |
$20 |
$3 | |
| Blood type test (ABO group) |
$83 |
$127 |
$18 |
$3 | |
| Blood type test (Rh/D antigen) |
$57 |
$88 |
$20 |
$3 | |
| BNP (heart failure) test |
$320 |
$493 |
$177 |
$39 | |
| Bone density scan (DEXA) |
$562 |
$865 |
$287 |
$39 | |
| Bone marrow biopsy |
$3,069 |
$4,722 |
$549 |
$172 | |
| Bone scan (nuclear) |
$1,409 |
$2,167 |
$754 |
$259 | |
| Breast biopsy |
$5,822 |
$8,958 |
$2,856 |
$478 | |
| Breast MRI |
$4,282 |
$6,588 |
$466 |
$216 | |
| Breast MRI without contrast |
$4,282 |
$6,588 |
$466 |
$216 | |
| Breast ultrasound |
$891 |
$1,371 |
$254 |
$92 | |
| Breast ultrasound (complete) |
$1,105 |
$1,700 |
$254 |
$100 | |
| Breast ultrasound (limited) |
$677 |
$1,042 |
$254 |
$84 | |
| Breathing tube insertion (intubation) |
$299 |
$299 |
$72 |
$133 | |
| Bronchoscopy |
$3,438 |
$5,290 |
$1,318 |
$303 | |
| Bunion surgery (bunionectomy) |
$27,904 |
— |
$3,515 |
$883 | |
| Burn dressing and debridement (medium) |
$329 |
$506 |
$549 |
$166 | |
| Burn dressing and debridement (small) |
$170 |
$1,027 |
$26 |
$93 | |
| Burn treatment |
$249 |
$506 |
$27 |
$129 | |
| C-reactive protein (CRP) |
$108 |
$166 |
$30 |
$5 | |
| CA 19-9 tumor marker test |
$295 |
$454 |
$122 |
$21 | |
| CA-125 ovarian marker test |
$295 |
$454 |
$122 |
$21 | |
| Calcium blood test |
$55 |
$84 |
$6 |
$5 | |
| Cardiac rehabilitation |
$221 |
$340 |
$340 |
$26 | |
| Cardiac stress test |
$180 |
$180 |
$71 |
$39 | |
| Cardioversion |
$455 |
$1,408 |
$96 |
$155 | |
| Carotid artery ultrasound |
$987 |
$1,519 |
$300 |
$156 | |
| Cataract surgery |
$7,405 |
— |
$6,152 |
$547 | |
| CEA tumor marker test |
$250 |
$384 |
$110 |
$19 | |
| Celiac disease test |
$49 |
$75 |
$22 |
$12 | |
| Cervical LEEP procedure |
$563 |
$563 |
$118 |
$325 | |
| Chemotherapy infusion |
$276 |
$424 |
$106 |
$81 | |
| Chemotherapy infusion (each additional) |
$138 |
$212 |
$106 |
$28 | |
| Chemotherapy infusion (first hour) |
$413 |
$636 |
$106 |
$133 | |
| Chest fluid drain (thoracentesis) |
$2,218 |
$3,413 |
$2,230 |
$311 | |
| Chest tube insertion |
$385 |
$385 |
$73 |
$143 | |
| Chest X-ray |
$358 |
$458 |
$153 |
$37 | |
| Chest X-ray (2 views) |
$395 |
$607 |
$127 |
$33 | |
| CK-MB heart enzyme test |
$84 |
$129 |
$38 |
$12 | |
| Colon resection (colectomy) |
$2,692 |
$2,692 |
$342 |
$1,238 | |
| Colonoscopy |
$560 |
$551 |
$114 |
$480 | |
| Colostomy |
$2,555 |
$2,555 |
$209 |
$1,122 | |
| Complete blood count (CBC) |
$85 |
$130 |
$37 |
$7 | |
| Complex wound repair |
$636 |
$515 |
$107 |
$390 | |
| Comprehensive metabolic panel |
$811 |
$755 |
$54 |
$11 | |
| Copper blood test |
$168 |
$258 |
$72 |
$12 | |
| Coronary CT angiography |
$2,024 |
$3,038 |
$474 |
$326 | |
| Cortisol test |
$197 |
$303 |
$94 |
$16 | |
| COVID-19 PCR test |
$125 |
$193 |
$77 |
$51 | |
| CPAP titration study |
$439 |
$675 |
$751 |
$69 | |
| Creatine kinase (CK) test |
$62 |
$96 |
$6 |
$7 | |
| CT angiography of the chest |
$2,021 |
$3,109 |
$425 |
$281 | |
| CT angiography of the head |
$1,886 |
$2,901 |
$422 |
$274 | |
| CT colonography (virtual colonoscopy) |
$692 |
$1,065 |
$1,120 |
$835 | |
| CT scan of the abdomen |
$2,189 |
$3,367 |
$338 |
$230 | |
| CT scan of the abdomen and pelvis |
$4,241 |
$6,524 |
$463 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$4,967 |
$7,641 |
$677 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$4,241 |
$6,524 |
$507 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$3,593 |
$5,528 |
$296 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,557 |
$3,934 |
$344 |
$259 | |
| CT scan of the abdomen with contrast |
$2,189 |
$3,367 |
$344 |
$230 | |
| CT scan of the abdomen without contrast |
$1,810 |
$2,785 |
$205 |
$136 | |
| CT scan of the arm |
$1,799 |
$2,767 |
$398 |
$199 | |
| CT scan of the arm with contrast |
$2,242 |
$3,449 |
$671 |
$199 | |
| CT scan of the arm without contrast |
$1,235 |
$1,900 |
$205 |
$161 | |
| CT scan of the chest |
$1,877 |
$2,500 |
$254 |
$167 | |
| CT scan of the chest with and without contrast |
$1,458 |
$2,243 |
$344 |
$196 | |
| CT scan of the chest without contrast |
$1,625 |
$2,500 |
$205 |
$133 | |
| CT scan of the head |
$1,706 |
$2,624 |
$217 |
$148 | |
| CT scan of the head with and without contrast |
$2,169 |
$3,275 |
$239 |
$173 | |
| CT scan of the head with contrast |
$1,706 |
$2,624 |
$344 |
$148 | |
| CT scan of the head without contrast |
$1,459 |
$2,245 |
$169 |
$107 | |
| CT scan of the leg |
$1,853 |
$2,850 |
$340 |
$166 | |
| CT scan of the leg with contrast |
$2,242 |
$3,449 |
$358 |
$166 | |
| CT scan of the leg without contrast |
$1,853 |
$2,850 |
$220 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,947 |
$2,995 |
$386 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,342 |
$3,603 |
$342 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,947 |
$2,995 |
$474 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,693 |
$2,604 |
$208 |
$130 | |
| CT scan of the neck |
$1,737 |
$2,672 |
$227 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,947 |
$2,995 |
$380 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,359 |
$3,629 |
$344 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,947 |
$2,995 |
$474 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,693 |
$2,604 |
$205 |
$131 | |
| CT scan of the neck with and without contrast |
$2,023 |
$3,113 |
$344 |
$220 | |
| CT scan of the neck with contrast |
$1,737 |
$2,672 |
$217 |
$183 | |
| CT scan of the neck without contrast |
$1,420 |
$2,185 |
$205 |
$150 | |
| CT scan of the pelvis |
$1,898 |
$3,113 |
$227 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,538 |
$3,905 |
$344 |
$251 | |
| CT scan of the pelvis with contrast |
$2,023 |
$3,113 |
$344 |
$226 | |
| CT scan of the pelvis without contrast |
$1,772 |
$2,726 |
$178 |
$133 | |
| CT scan of the sinuses |
$1,639 |
$2,739 |
$227 |
$152 | |
| CT scan of the sinuses with and without contrast |
$2,023 |
$3,113 |
$344 |
$184 | |
| CT scan of the sinuses with contrast |
$1,780 |
$2,739 |
$344 |
$152 | |
| CT scan of the sinuses without contrast |
$1,498 |
$2,304 |
$201 |
$128 | |
| D-dimer test |
$118 |
$181 |
$40 |
$10 | |
| DHEA-sulfate test |
$263 |
$405 |
$118 |
$22 | |
| Diagnostic mammogram |
$391 |
$602 |
$231 |
$140 | |
| Echocardiogram |
$236 |
$258 |
$45 |
$138 | |
| Echocardiogram with and without contrast |
$280 |
$280 |
$37 |
$101 | |
| Echocardiogram without contrast |
$120 |
$671 |
$45 |
$138 | |
| EEG (awake and asleep) |
$761 |
$1,170 |
$775 |
$482 | |
| Electrocardiogram (EKG) |
$17 |
$17 |
$8 |
$8 | |
| Electroencephalogram (EEG) |
$761 |
$1,170 |
$479 |
$448 | |
| Electrolyte panel |
$85 |
$131 |
$36 |
$7 | |
| Emergency department visit |
$250 |
$250 |
$95 |
$69 | |
| Emergency department visit (level 1) |
$250 |
$250 |
$13 |
$11 | |
| Emergency department visit (level 2) |
$250 |
$250 |
$41 |
$40 | |
| Emergency department visit (level 3) |
$250 |
$250 |
$71 |
$69 | |
| Emergency department visit (level 4) |
$250 |
$250 |
$120 |
$118 | |
| Emergency department visit (level 5) |
$367 |
$367 |
$201 |
$171 | |
| ERCP (bile duct endoscopy) |
$815 |
$787 |
$182 |
$311 | |
| Estradiol (estrogen) test |
$263 |
$405 |
$161 |
$28 | |
| Facet joint injection (spine) |
$5,037 |
— |
$1,318 |
$99 | |
| Fallopian tube X-ray (HSG) |
$1,851 |
$2,847 |
$549 |
$164 | |
| Fecal occult blood (stool) test |
$55 |
$85 |
$17 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$42 |
$65 |
$9 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$68 |
$104 |
$85 |
$16 | |
| Feeding tube (PEG) placement |
$426 |
$426 |
$105 |
$178 | |
| Femoral hernia repair |
$1,397 |
$1,393 |
$203 |
$584 | |
| Ferritin (iron) test |
$177 |
$273 |
$80 |
$14 | |
| Fibrinogen test |
$103 |
$159 |
$51 |
$10 | |
| Flu test |
$99 |
$153 |
$57 |
$17 | |
| Folate (folic acid) test |
$182 |
$280 |
$84 |
$15 | |
| Foreign body removal (skin) |
$236 |
$236 |
$51 |
$157 | |
| Free T4 thyroid test |
$155 |
$239 |
$51 |
$9 | |
| FSH hormone test |
$209 |
$322 |
$108 |
$19 | |
| Gallbladder scan (HIDA) |
$655 |
$1,007 |
$664 |
$334 | |
| GGT liver test |
$69 |
$106 |
$6 |
$7 | |
| Glucose tolerance test |
$36 |
$55 |
$15 |
$8 | |
| Hammertoe repair |
$12,997 |
— |
$2,856 |
$548 | |
| HDL cholesterol test |
$90 |
$138 |
$48 |
$8 | |
| Hemodialysis |
$1,038 |
$1,597 |
$1,597 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$113 |
$174 |
$55 |
$10 | |
| Hepatitis B test |
$152 |
$234 |
$53 |
$10 | |
| Hepatitis C test |
$278 |
$427 |
$74 |
$14 | |
| HIV test |
$218 |
$336 |
$73 |
$19 | |
| HIV test (antibody) |
$238 |
$366 |
$73 |
$14 | |
| HIV test (antigen/antibody combo) |
$199 |
$306 |
$91 |
$24 | |
| Holter heart monitor |
$256 |
$664 |
$19 |
$26 | |
| Hysteroscopy |
$498 |
$498 |
$105 |
$1,270 | |
| Ileostomy |
$360 |
$360 |
$263 |
$968 | |
| Iron blood test |
$161 |
$247 |
$38 |
$6 | |
| IUD removal |
$210 |
$176 |
$30 |
$112 | |
| IVC filter placement |
$10,232 |
$15,742 |
$2,417 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$158 |
$129 |
$16 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$100 |
$100 |
$16 |
$57 | |
| Kidney biopsy |
$2,145 |
$3,300 |
$2,856 |
$492 | |
| Kidney scan (nuclear) |
$798 |
$1,227 |
$911 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$6,221 |
$9,571 |
$9,331 |
$760 | |
| Kidney ultrasound |
$350 |
$499 |
$62 |
$84 | |
| Kidney ultrasound (limited) |
$150 |
$150 |
$62 |
$61 | |
| Knee arthroscopy |
$31,627 |
— |
$6,152 |
$524 | |
| Knee joint injection |
$196 |
$196 |
$20 |
$69 | |
| Lactate test |
$134 |
$206 |
$62 |
$12 | |
| Laryngoscopy |
$1,942 |
$2,988 |
$1,318 |
$189 | |
| LDH test |
$68 |
$104 |
$6 |
$6 | |
| LDL cholesterol test |
$84 |
$129 |
$48 |
$11 | |
| Leg artery angiogram |
$392 |
$1,179 |
$82 |
$149 | |
| Leg artery angioplasty |
$16,087 |
$24,750 |
$16,357 |
— | |
| Leg vein ultrasound (Doppler) |
$833 |
$851 |
$147 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$833 |
$1,282 |
$203 |
$116 | |
| LH hormone test |
$209 |
$322 |
$110 |
$19 | |
| Lipase test |
$97 |
$149 |
$40 |
$7 | |
| Lipid (cholesterol) panel |
$171 |
$263 |
$71 |
$13 | |
| Liver biopsy |
$1,788 |
$2,750 |
$2,856 |
$288 | |
| Liver function panel |
$263 |
$405 |
$42 |
$8 | |
| Lung function test (PFT) |
$648 |
$998 |
$458 |
$37 | |
| Lung scan (V/Q) |
$1,457 |
$2,241 |
$720 |
$291 | |
| MRA of the brain |
$2,737 |
$4,210 |
$677 |
$226 | |
| MRA of the brain with contrast |
$1,027 |
$1,580 |
$677 |
$226 | |
| MRA of the brain without contrast |
$3,236 |
$4,979 |
$835 |
$328 | |
| MRA of the neck |
$2,824 |
$4,345 |
$677 |
$245 | |
| MRA of the neck with contrast |
$1,037 |
$1,595 |
$677 |
$245 | |
| MRA of the neck without contrast |
$3,407 |
$5,241 |
$837 |
$343 | |
| MRI of the abdomen |
$3,477 |
$5,349 |
$677 |
$300 | |
| MRI of the abdomen with contrast |
$3,477 |
$5,349 |
$677 |
$300 | |
| MRI of the abdomen without contrast |
$3,041 |
$4,678 |
$504 |
$194 | |
| MRI of the ankle |
$5,148 |
$7,921 |
$479 |
$261 | |
| MRI of the ankle without contrast |
$3,472 |
$5,341 |
$463 |
$222 | |
| MRI of the brain |
$3,303 |
$5,082 |
$581 |
$269 | |
| MRI of the brain with contrast |
$3,303 |
$5,082 |
$677 |
$269 | |
| MRI of the brain without contrast |
$2,797 |
$4,303 |
$506 |
$195 | |
| MRI of the chest |
$2,167 |
$3,334 |
$626 |
$371 | |
| MRI of the chest without contrast |
$2,447 |
$3,765 |
$846 |
$466 | |
| MRI of the knee |
$4,638 |
$7,135 |
$858 |
$315 | |
| MRI of the knee with contrast |
$4,638 |
$7,135 |
$1,014 |
$315 | |
| MRI of the knee without contrast |
$4,512 |
$6,941 |
$497 |
$204 | |
| MRI of the lower back (lumbar spine) |
$3,146 |
$4,840 |
$581 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$3,146 |
$4,840 |
$677 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,876 |
$4,425 |
$468 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,784 |
$4,283 |
$581 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$6,115 |
$9,408 |
$677 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,784 |
$4,283 |
$677 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,631 |
$4,047 |
$468 |
$190 | |
| MRI of the neck (cervical spine) |
$2,738 |
$4,213 |
$581 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$6,115 |
$9,408 |
$677 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,738 |
$4,213 |
$677 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,644 |
$4,068 |
$509 |
$191 | |
| MRI of the pelvis |
$2,305 |
$3,546 |
$677 |
$268 | |
| MRI of the pelvis with contrast |
$2,305 |
$3,546 |
$677 |
$268 | |
| MRI of the pelvis without contrast |
$2,168 |
$3,336 |
$493 |
$227 | |
| MRI of the shoulder |
$5,512 |
$8,480 |
$866 |
$313 | |
| MRI of the shoulder with contrast |
$6,782 |
$10,434 |
$1,014 |
$313 | |
| MRI of the shoulder without contrast |
$3,370 |
$5,185 |
$513 |
$205 | |
| MRI of the wrist |
$3,575 |
$5,500 |
$581 |
$330 | |
| MRI of the wrist with contrast |
$3,575 |
$5,500 |
$677 |
$330 | |
| MRI of the wrist without contrast |
$2,738 |
$4,212 |
$479 |
$303 | |
| Nebulizer breathing treatment |
$148 |
$228 |
$200 |
$9 | |
| Nuclear cardiac stress test |
$1,664 |
$3,556 |
$341 |
$428 | |
| Occupational therapy evaluation |
$180 |
$277 |
$169 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$220 |
$338 |
$202 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$137 |
$210 |
$135 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$180 |
$277 |
$169 |
$101 | |
| Office visit (established patient) |
$140 |
$140 |
$54 |
$115 | |
| Office visit (new patient) |
$323 |
$323 |
$118 |
$177 | |
| Office visit, established patient (level 3) |
$140 |
$140 |
$35 |
$95 | |
| Office visit, established patient (level 4) |
$205 |
$205 |
$54 |
$136 | |
| Office visit, new patient (level 3) |
$190 |
$190 |
$73 |
$118 | |
| Office visit, new patient (level 4) |
$323 |
$323 |
$119 |
$177 | |
| Office visit, new patient (level 5) |
$389 |
$389 |
$163 |
$237 | |
| Orthopedic hardware removal |
$15,394 |
— |
$2,856 |
$632 | |
| Ovarian cyst removal |
$1,678 |
$1,678 |
$166 |
$698 | |
| Pacemaker insertion |
$53,139 |
— |
$44,126 |
$15,506 | |
| Pap smear (cervical screening) |
$228 |
$351 |
$121 |
$20 | |
| Parathyroid hormone (PTH) test |
$73 |
$112 |
$240 |
$41 | |
| Pelvic ultrasound |
$488 |
$750 |
$32 |
$78 | |
| Pelvic ultrasound (complete) |
$1,277 |
$1,370 |
$130 |
$105 | |
| Pelvic ultrasound (limited) |
$169 |
$400 |
$32 |
$51 | |
| PET scan |
$5,064 |
$7,790 |
$6,621 |
— | |
| Phosphorus blood test |
$61 |
$94 |
$6 |
$5 | |
| Physical therapy evaluation |
$276 |
$424 |
$169 |
$98 | |
| Physical therapy evaluation (high complexity) |
$365 |
$562 |
$202 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$276 |
$424 |
$169 |
$98 | |
| Platelet count |
$60 |
$93 |
$26 |
$4 | |
| Pregnancy blood test (hCG) |
$97 |
$149 |
$43 |
$8 | |
| Pregnancy ultrasound |
$878 |
$1,350 |
$373 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$878 |
$1,350 |
$373 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$878 |
$1,350 |
$373 |
$136 | |
| Procalcitonin test |
$92 |
$142 |
$63 |
$27 | |
| Prolactin test |
$209 |
$322 |
$113 |
$19 | |
| Prostate test (PSA) |
$209 |
$322 |
$97 |
$18 | |
| Psychiatric evaluation |
$365 |
$365 |
$185 |
$188 | |
| Pulmonary rehabilitation |
$241 |
$370 |
$125 |
$87 | |
| Radiofrequency nerve ablation |
$6,164 |
— |
$1,318 |
$462 | |
| Rheumatoid factor test |
$108 |
$166 |
$30 |
$6 | |
| Scoliosis spine X-ray |
$401 |
$617 |
$127 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$308 |
$474 |
$86 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$494 |
$760 |
$127 |
$72 | |
| Screening colonoscopy |
$478 |
$620 |
$97 |
$378 | |
| Screening mammogram |
$326 |
$502 |
$224 |
$126 | |
| Scrotal ultrasound |
$666 |
$1,025 |
$201 |
$99 | |
| Sedimentation rate (ESR) test |
$62 |
$96 |
$14 |
$3 | |
| Sex hormone binding globulin test |
$92 |
$141 |
$97 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$179 |
$179 |
$23 |
$114 | |
| Simple wound stitches |
$185 |
$182 |
$23 |
$127 | |
| Skin biopsy |
$177 |
$177 |
$20 |
$121 | |
| Skin biopsy (punch) |
$103 |
$103 |
$20 |
$121 | |
| Skin graft |
$1,615 |
$1,560 |
$338 |
$898 | |
| Small bowel resection |
$424 |
$2,648 |
$315 |
$1,136 | |
| Soft tissue ultrasound |
$70 |
$70 |
$32 |
$64 | |
| Speech therapy |
$62 |
$95 |
$152 |
$76 | |
| Spinal tap (lumbar puncture) |
$1,732 |
$2,665 |
$549 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$11,458 |
$17,627 |
$2,856 |
$5,803 | |
| Spirometry (lung function test) |
$461 |
$709 |
$338 |
$30 | |
| Spirometry with bronchodilator |
$836 |
$1,286 |
$613 |
$43 | |
| Strep throat test |
$92 |
$141 |
$57 |
$17 | |
| Stress echocardiogram |
$1,157 |
$1,600 |
$78 |
$209 | |
| Stress echocardiogram (complete) |
$1,274 |
$1,960 |
$707 |
$233 | |
| Swallow study |
$422 |
$649 |
$260 |
$85 | |
| T3 thyroid test |
$212 |
$326 |
$80 |
$14 | |
| Tdap (tetanus) vaccine |
$75 |
$75 |
$39 |
— | |
| Testicle removal (orchiectomy) |
$720 |
$720 |
$156 |
$306 | |
| Testosterone test |
$283 |
$435 |
$150 |
$26 | |
| Thyroid test (TSH) |
$209 |
$322 |
$98 |
$17 | |
| Thyroid ultrasound |
$342 |
$526 |
$306 |
$109 | |
| Thyroid uptake scan |
$826 |
$1,270 |
$512 |
$145 | |
| Total IgE allergy test |
$180 |
$277 |
$95 |
$16 | |
| Tracheostomy |
$670 |
$670 |
$124 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$255 |
$948 |
$107 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$255 |
$948 |
$107 |
$239 | |
| Transvaginal ultrasound |
$1,219 |
$1,190 |
$347 |
$118 | |
| Triglycerides test |
$115 |
$177 |
$6 |
$6 | |
| Ulnar nerve surgery (elbow) |
$10,614 |
— |
$3,515 |
$575 | |
| Upper GI endoscopy (EGD) |
$285 |
$285 |
$63 |
$371 | |
| Upper GI series (barium) |
$356 |
$547 |
$340 |
$128 | |
| Uric acid (gout) test |
$62 |
$96 |
$6 |
$5 | |
| Urine microalbumin test |
$109 |
$167 |
$30 |
$5 | |
| Urine pregnancy test |
$90 |
$138 |
$35 |
$9 | |
| Vaccine administration |
$45 |
$69 |
$68 |
$19 | |
| Vaccine administration (each additional) |
$39 |
$60 |
$41 |
$16 | |
| Varicose vein ablation |
$6,423 |
$9,881 |
$2,856 |
$1,018 | |
| Vitamin B12 test |
$210 |
$323 |
$88 |
$15 | |
| Vitamin D test |
$314 |
$483 |
$168 |
$30 | |
| Wound debridement |
$284 |
$230 |
$28 |
$186 | |
| X-ray of the abdomen |
$236 |
$363 |
$123 |
$36 | |
| X-ray of the ankle |
$527 |
$523 |
$108 |
$37 | |
| X-ray of the collarbone |
$312 |
$480 |
$105 |
$33 | |
| X-ray of the elbow |
$558 |
$858 |
$112 |
$33 | |
| X-ray of the facial bones |
$338 |
$520 |
$169 |
$39 | |
| X-ray of the forearm |
$517 |
$669 |
$112 |
$29 | |
| X-ray of the hand |
$447 |
$458 |
$108 |
$38 | |
| X-ray of the hip |
$306 |
$418 |
$119 |
$49 | |
| X-ray of the hip (1 view) |
$197 |
$303 |
$97 |
$34 | |
| X-ray of the hip (3 views) |
$417 |
$418 |
$119 |
$49 | |
| X-ray of the hip (4 views) |
$339 |
$522 |
$146 |
$63 | |
| X-ray of the knee |
$353 |
$470 |
$116 |
$42 | |
| X-ray of the knee (2 views) |
$294 |
$453 |
$101 |
$34 | |
| X-ray of the knee (3 views) |
$306 |
$470 |
$116 |
$42 | |
| X-ray of the knee (4+ views) |
$545 |
$617 |
$131 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$487 |
$750 |
$187 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$426 |
$655 |
$138 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$549 |
$844 |
$187 |
$53 | |
| X-ray of the lower leg |
$495 |
$762 |
$108 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$382 |
$588 |
$142 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$400 |
$616 |
$134 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$363 |
$559 |
$142 |
$39 | |
| X-ray of the neck (cervical spine) |
$451 |
$694 |
$169 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$325 |
$500 |
$127 |
$40 | |
| X-ray of the pelvis |
$461 |
$524 |
$134 |
$36 | |
| X-ray of the ribs |
$352 |
$541 |
$160 |
$42 | |
| X-ray of the ribs (2 views) |
$386 |
$594 |
$123 |
$36 | |
| X-ray of the ribs (3 views) |
$320 |
$493 |
$172 |
$42 | |
| X-ray of the shoulder |
$487 |
$526 |
$116 |
$36 | |
| X-ray of the skull |
$460 |
$604 |
$187 |
$40 | |
| X-ray of the upper arm |
$309 |
$476 |
$112 |
$32 | |
| X-ray of the wrist |
$433 |
$666 |
$108 |
$43 | |
| Zinc blood test |
$168 |
$259 |
$67 |
$11 | |