| 3D mammogram (tomosynthesis) |
— |
— |
$374 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$3,380 |
$8,451 |
$2,067 |
$284 | |
| Abdominal ultrasound |
$845 |
$2,112 |
$335 |
$100 | |
| Abdominal ultrasound (complete) |
$1,092 |
$2,729 |
$440 |
$114 | |
| Abdominal ultrasound (limited) |
$845 |
$2,112 |
$326 |
$86 | |
| Abscess drainage (complex or multiple) |
$869 |
$2,173 |
$511 |
$220 | |
| Abscess drainage (simple) |
$992 |
$2,479 |
$583 |
$129 | |
| Abscess incision and drainage |
$992 |
$2,479 |
$546 |
$174 | |
| Acupuncture |
— |
— |
$33 |
$38 | |
| Acupuncture (each additional) |
— |
— |
$33 |
$28 | |
| Adenoid removal (adenoidectomy) |
— |
— |
$3,910 |
$204 | |
| Albumin blood test |
$23 |
$57 |
$5 |
$5 | |
| Aldosterone test |
$16 |
$41 |
$33 |
$41 | |
| Alkaline phosphatase test |
$31 |
$79 |
$7 |
$5 | |
| Allergy patch testing |
— |
— |
$31 |
$5 | |
| Allergy shots |
— |
— |
$46 |
$11 | |
| Allergy testing |
— |
— |
$15 |
$4 | |
| ALT liver enzyme test |
$243 |
$608 |
$25 |
$5 | |
| Ammonia blood test |
$238 |
$594 |
$87 |
$15 | |
| Amniocentesis |
$1,332 |
$3,331 |
$971 |
$120 | |
| Amylase test |
$245 |
$612 |
$8 |
$6 | |
| Anal fistula repair |
— |
— |
$3,508 |
$541 | |
| Ankle fracture repair |
— |
— |
$3,394 |
$608 | |
| Ankle replacement |
— |
— |
$2,767 |
$885 | |
| Anoscopy |
$115 |
$288 |
$96 |
$129 | |
| Aortic aneurysm repair (AAA) |
$839 |
$2,098 |
$1,689 |
$1,345 | |
| Aortic valve replacement |
— |
— |
$3,123 |
$1,603 | |
| Arterial blood gas (ABG) |
$388 |
$970 |
$115 |
$26 | |
| AST liver enzyme test |
$122 |
$305 |
$6 |
$5 | |
| Barium swallow study |
$566 |
$1,416 |
$262 |
$107 | |
| Bartholin cyst removal |
$1,288 |
$3,221 |
$632 |
$182 | |
| Basic metabolic panel |
$306 |
$766 |
$14 |
$8 | |
| Benign skin lesion removal |
$1,780 |
$4,451 |
$1,206 |
$171 | |
| Bilirubin blood test |
$25 |
$63 |
$13 |
$5 | |
| Bladder function test (urodynamics) |
— |
— |
$1,928 |
$345 | |
| Bladder scope (cystoscopy) |
$853 |
$2,133 |
$700 |
$216 | |
| Bladder tumor removal (TURBT) |
— |
— |
$2,950 |
$236 | |
| Blood clotting test (PT/INR) |
$278 |
$696 |
$23 |
$4 | |
| Blood crossmatch |
$304 |
$759 |
$193 |
— | |
| Blood glucose test |
$56 |
$141 |
$21 |
$5 | |
| Blood transfusion |
$1,277 |
$3,193 |
$932 |
$47 | |
| Blood type and screen |
$131 |
$328 |
$16 |
$10 | |
| Blood type test |
$162 |
$404 |
$16 |
$3 | |
| Blood type test (ABO group) |
$85 |
$212 |
$10 |
$3 | |
| Blood type test (Rh/D antigen) |
$162 |
$404 |
$27 |
$3 | |
| BNP (heart failure) test |
$761 |
$1,903 |
$203 |
$39 | |
| Bone marrow biopsy |
$2,217 |
$5,543 |
$685 |
$172 | |
| Bone scan (nuclear) |
$1,744 |
$4,360 |
$854 |
$259 | |
| Brain shunt (VP shunt) |
— |
— |
$2,067 |
$1,023 | |
| Breast biopsy |
$2,781 |
$6,953 |
$2,121 |
$478 | |
| Breast MRI |
$3,122 |
$7,805 |
$1,366 |
$216 | |
| Breast MRI without contrast |
$3,122 |
$7,805 |
$1,204 |
$216 | |
| Breast reconstruction |
— |
— |
$3,008 |
$1,227 | |
| Breast reduction |
— |
— |
$3,910 |
$980 | |
| Breast ultrasound |
$638 |
$1,596 |
$323 |
$92 | |
| Breast ultrasound (complete) |
$638 |
$1,596 |
$352 |
$100 | |
| Breast ultrasound (limited) |
$489 |
$1,222 |
$269 |
$84 | |
| Breathing tube insertion (intubation) |
$1,702 |
$4,254 |
$903 |
$133 | |
| Bronchoscopy |
$5,476 |
$13,690 |
$2,563 |
$303 | |
| Bunion surgery (bunionectomy) |
— |
— |
$3,162 |
$883 | |
| Burn dressing and debridement (medium) |
$242 |
$604 |
$176 |
$166 | |
| Burn dressing and debridement (small) |
$529 |
$1,322 |
$244 |
$93 | |
| Burn treatment |
$242 |
$604 |
$184 |
$129 | |
| C-reactive protein (CRP) |
$157 |
$393 |
$6 |
$5 | |
| CA 19-9 tumor marker test |
$61 |
$153 |
$20 |
$21 | |
| CA-125 ovarian marker test |
$62 |
$154 |
$33 |
$21 | |
| Calcium blood test |
$35 |
$88 |
$8 |
$5 | |
| Capsule endoscopy |
— |
— |
$3,381 |
$802 | |
| Cardiac ablation |
$22,146 |
$55,366 |
$7,196 |
$759 | |
| Cardiac catheterization |
$12,941 |
$32,352 |
$5,718 |
$1,049 | |
| Cardiac MRI |
$2,636 |
$6,589 |
$1,808 |
$322 | |
| Cardiac MRI without contrast |
$2,405 |
$6,012 |
$1,808 |
$280 | |
| Cardiac stress test |
$1,521 |
$3,802 |
$377 |
$39 | |
| Cardioversion |
$1,479 |
$3,698 |
$1,095 |
$155 | |
| Carotid artery surgery |
— |
— |
$3,890 |
$1,026 | |
| Carotid artery ultrasound |
$1,152 |
$2,881 |
$621 |
$156 | |
| Cataract surgery |
— |
— |
$6,013 |
$547 | |
| Central line placement |
$4,561 |
$11,403 |
$1,721 |
$238 | |
| Cervical cerclage |
— |
— |
$2,067 |
$137 | |
| Cervical LEEP procedure |
— |
— |
$2,950 |
$325 | |
| Cesarean section (C-section) |
— |
— |
$10,471 |
$7,552 | |
| Chest fluid drain (thoracentesis) |
$2,005 |
$5,013 |
$1,399 |
$311 | |
| Chest tube insertion |
$2,714 |
$6,786 |
$1,807 |
$143 | |
| Chest X-ray |
$445 |
$1,114 |
$116 |
$37 | |
| Chest X-ray (1 view) |
$372 |
$931 |
$63 |
$25 | |
| Chest X-ray (2 views) |
$647 |
$1,618 |
$116 |
$33 | |
| Chickenpox (varicella) vaccine |
$305 |
$763 |
$204 |
— | |
| Chiropractic adjustment |
— |
— |
$22 |
$38 | |
| CK-MB heart enzyme test |
$388 |
$971 |
$69 |
$12 | |
| Clotting time test (PTT) |
$281 |
$703 |
$8 |
$6 | |
| Colon resection (colectomy) |
— |
— |
$2,219 |
$1,238 | |
| Colonoscopy |
— |
— |
$2,767 |
$480 | |
| Colostomy |
— |
— |
$2,067 |
$1,122 | |
| Colposcopy |
— |
— |
$642 |
$161 | |
| Complete blood count (CBC) |
$337 |
$843 |
$47 |
$7 | |
| Complete blood count (CBC) (complete) |
$355 |
$887 |
$49 |
$8 | |
| Complex wound repair |
$732 |
$1,830 |
$600 |
$390 | |
| Comprehensive eye exam |
— |
— |
$193 |
$138 | |
| Comprehensive metabolic panel |
$370 |
$926 |
$16 |
$11 | |
| Contact lens fitting |
— |
— |
$152 |
— | |
| Continuous glucose monitor setup |
— |
— |
$43 |
$35 | |
| Contraceptive implant (Nexplanon) |
$1,240 |
$3,101 |
$664 |
$115 | |
| Copper blood test |
$8 |
$19 |
$12 |
$12 | |
| Corneal transplant |
— |
— |
$6,172 |
$1,066 | |
| Coronary artery bypass (CABG) |
— |
— |
$61,723 |
$36,593 | |
| Coronary CT angiography |
$3,428 |
$8,570 |
$1,445 |
$326 | |
| Cortisol test |
$176 |
$440 |
$33 |
$16 | |
| COVID-19 PCR test |
$110 |
$275 |
$67 |
$51 | |
| CPAP titration study |
$802 |
$2,005 |
$307 |
$69 | |
| Craniotomy (brain surgery) |
— |
— |
$2,988 |
$2,161 | |
| Creatine kinase (CK) test |
$93 |
$234 |
$8 |
$7 | |
| CT angiography of the chest |
$3,771 |
$9,429 |
$1,831 |
$281 | |
| CT angiography of the head |
$3,591 |
$8,978 |
$1,702 |
$274 | |
| CT colonography (virtual colonoscopy) |
— |
— |
$3,456 |
$835 | |
| CT scan of the abdomen |
$2,295 |
$5,738 |
$1,037 |
$230 | |
| CT scan of the abdomen and pelvis |
$4,909 |
$12,272 |
$1,462 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$5,006 |
$12,514 |
$1,932 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$4,909 |
$12,272 |
$1,462 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$4,812 |
$12,029 |
$771 |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,773 |
$6,933 |
$1,497 |
$259 | |
| CT scan of the abdomen with contrast |
$2,404 |
$6,011 |
$1,229 |
$230 | |
| CT scan of the abdomen without contrast |
$1,796 |
$4,490 |
$864 |
$136 | |
| CT scan of the arm |
$2,460 |
$6,149 |
$1,058 |
$199 | |
| CT scan of the arm with contrast |
$2,460 |
$6,149 |
$1,308 |
$199 | |
| CT scan of the arm without contrast |
$2,338 |
$5,844 |
$1,023 |
$161 | |
| CT scan of the chest |
$2,093 |
$5,232 |
$1,149 |
$167 | |
| CT scan of the chest with and without contrast |
$2,644 |
$6,609 |
$1,454 |
$196 | |
| CT scan of the chest with contrast |
$2,350 |
$5,876 |
$1,247 |
$167 | |
| CT scan of the chest without contrast |
$1,910 |
$4,776 |
$968 |
$133 | |
| CT scan of the head |
$3,304 |
$8,259 |
$1,067 |
$148 | |
| CT scan of the head with and without contrast |
$3,863 |
$9,658 |
$1,393 |
$173 | |
| CT scan of the head with contrast |
$4,058 |
$10,146 |
$1,170 |
$148 | |
| CT scan of the head without contrast |
$2,582 |
$6,456 |
$903 |
$107 | |
| CT scan of the leg |
$2,107 |
$5,268 |
$1,049 |
$166 | |
| CT scan of the leg with contrast |
$2,107 |
$5,268 |
$1,098 |
$166 | |
| CT scan of the leg without contrast |
$1,945 |
$4,862 |
$1,013 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,896 |
$7,239 |
$1,257 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$3,594 |
$8,984 |
$1,636 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$3,272 |
$8,179 |
$1,393 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$2,201 |
$5,503 |
$1,049 |
$130 | |
| CT scan of the neck |
$2,766 |
$6,916 |
$1,073 |
$183 | |
| CT scan of the neck (cervical spine) |
$3,234 |
$8,084 |
$1,310 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$3,237 |
$8,092 |
$1,701 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$3,557 |
$8,892 |
$1,456 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$3,115 |
$7,788 |
$1,179 |
$131 | |
| CT scan of the neck with and without contrast |
$3,525 |
$8,812 |
$1,554 |
$220 | |
| CT scan of the neck with contrast |
$2,931 |
$7,328 |
$1,252 |
$183 | |
| CT scan of the neck without contrast |
$2,508 |
$6,269 |
$1,046 |
$150 | |
| CT scan of the pelvis |
$2,160 |
$5,400 |
$1,089 |
$226 | |
| CT scan of the pelvis with and without contrast |
$2,930 |
$7,325 |
$1,500 |
$251 | |
| CT scan of the pelvis with contrast |
$2,048 |
$5,120 |
$1,117 |
$226 | |
| CT scan of the pelvis without contrast |
$1,891 |
$4,728 |
$986 |
$133 | |
| CT scan of the sinuses |
$2,753 |
$6,883 |
$1,073 |
$152 | |
| CT scan of the sinuses with and without contrast |
$4,406 |
$11,015 |
$1,635 |
$184 | |
| CT scan of the sinuses with contrast |
$2,931 |
$7,328 |
$1,252 |
$152 | |
| CT scan of the sinuses without contrast |
$2,405 |
$6,012 |
$1,046 |
$128 | |
| D-dimer test |
$431 |
$1,077 |
$49 |
$10 | |
| Defibrillator (ICD) implant |
$58,429 |
$146,072 |
$6,580 |
$798 | |
| Droopy eyelid repair (ptosis) |
— |
— |
$3,910 |
$745 | |
| Drug screen (urine) |
$323 |
$809 |
$82 |
$17 | |
| Ear tubes (myringotomy) |
— |
— |
$2,067 |
$174 | |
| Eardrum repair (tympanoplasty) |
— |
— |
$4,445 |
$799 | |
| Echocardiogram |
$1,604 |
$4,010 |
$515 |
$138 | |
| Echocardiogram with and without contrast |
$694 |
$1,736 |
$370 |
$101 | |
| Echocardiogram without contrast |
$1,604 |
$4,010 |
$699 |
$138 | |
| EEG (awake and asleep) |
$1,364 |
$3,409 |
$649 |
$482 | |
| EKG / ECG (tracing only) |
$382 |
$954 |
$89 |
$7 | |
| Elbow replacement |
— |
— |
$9,307 |
$1,301 | |
| Electrocardiogram (EKG) |
$382 |
$954 |
$89 |
$8 | |
| Electroencephalogram (EEG) |
$1,259 |
$3,148 |
$590 |
$448 | |
| Electrolyte panel |
$371 |
$928 |
$49 |
$7 | |
| Emergency department visit |
$1,310 |
$3,275 |
$1,048 |
$69 | |
| Emergency department visit (level 1) |
$906 |
$2,265 |
$758 |
$11 | |
| Emergency department visit (level 2) |
$1,038 |
$2,595 |
$791 |
$40 | |
| Emergency department visit (level 3) |
$1,310 |
$3,275 |
$1,312 |
$69 | |
| Emergency department visit (level 4) |
$2,410 |
$6,025 |
$1,883 |
$118 | |
| Emergency department visit (level 5) |
$3,530 |
$8,825 |
$2,640 |
$171 | |
| Endometrial biopsy |
$216 |
$541 |
$180 |
$98 | |
| Epidural steroid injection |
$1,647 |
$4,119 |
$1,197 |
$275 | |
| ERCP (bile duct endoscopy) |
$2,518 |
$6,295 |
$2,412 |
$311 | |
| Esophageal dilation |
$812 |
$2,031 |
$674 |
$522 | |
| Esophageal variceal banding |
— |
— |
$2,067 |
$126 | |
| Estradiol (estrogen) test |
$63 |
$158 |
$29 |
$28 | |
| Eye refraction (glasses prescription) |
— |
— |
$164 |
— | |
| Eyelid surgery (blepharoplasty) |
— |
— |
$3,047 |
$552 | |
| Facet joint injection (spine) |
$929 |
$2,323 |
$606 |
$99 | |
| Fallopian tube X-ray (HSG) |
$416 |
$1,040 |
$277 |
$164 | |
| Fecal occult blood (stool) test |
$54 |
$135 |
$19 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$54 |
$135 |
$19 |
$4 | |
| Femoral hernia repair |
— |
— |
$6,234 |
$584 | |
| Ferritin (iron) test |
$87 |
$218 |
$15 |
$14 | |
| Fibrinogen test |
$137 |
$342 |
$10 |
$10 | |
| Fibroid removal (myomectomy) |
— |
— |
$4,445 |
$914 | |
| Flexible sigmoidoscopy |
— |
— |
$1,928 |
$323 | |
| Flu vaccine |
$66 |
$164 |
$35 |
— | |
| Folate (folic acid) test |
$88 |
$219 |
$18 |
$15 | |
| Foreign body removal (skin) |
$849 |
$2,123 |
$642 |
$157 | |
| Free T4 thyroid test |
$103 |
$257 |
$11 |
$9 | |
| FSH hormone test |
$50 |
$124 |
$19 |
$19 | |
| Gallbladder removal (laparoscopic) |
— |
— |
$6,172 |
$658 | |
| Gallbladder scan (HIDA) |
$2,668 |
$6,671 |
$1,325 |
$334 | |
| GGT liver test |
$36 |
$91 |
$8 |
$7 | |
| Glaucoma surgery |
— |
— |
$3,910 |
$984 | |
| Glucose tolerance test |
$134 |
$334 |
$36 |
$8 | |
| HDL cholesterol test |
$100 |
$249 |
$46 |
$8 | |
| Hematocrit test |
$74 |
$184 |
$14 |
$2 | |
| Hemodialysis |
$2,378 |
$5,944 |
$698 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$166 |
$416 |
$11 |
$10 | |
| Hepatitis A vaccine |
$344 |
$860 |
$101 |
— | |
| Hepatitis B test |
$131 |
$328 |
$26 |
$10 | |
| Hepatitis B vaccine |
$303 |
$758 |
$103 |
— | |
| Hepatitis C test |
$214 |
$536 |
$17 |
$14 | |
| Hip arthroscopy |
— |
— |
$3,910 |
$931 | |
| Hip fracture repair |
— |
— |
$2,950 |
$1,120 | |
| Hip replacement |
— |
— |
$3,833 |
$1,162 | |
| HIV test |
$279 |
$697 |
$38 |
$19 | |
| HIV test (antibody) |
$528 |
$1,319 |
$82 |
$14 | |
| HIV test (antigen/antibody combo) |
$30 |
$75 |
$23 |
$24 | |
| Holter heart monitor |
$663 |
$1,658 |
$290 |
$26 | |
| Hydrocele repair |
— |
— |
$3,162 |
$315 | |
| Hysterectomy |
— |
— |
$4,118 |
$933 | |
| Hysteroscopy |
— |
— |
$3,162 |
$1,270 | |
| Ileostomy |
— |
— |
$2,067 |
$968 | |
| Inguinal hernia repair |
— |
— |
$8,106 |
$538 | |
| Iron blood test |
$133 |
$333 |
$31 |
$6 | |
| IUD insertion |
$529 |
$1,322 |
$386 |
— | |
| IUD removal |
$361 |
$902 |
$299 |
$112 | |
| IV infusion therapy |
$569 |
$1,423 |
$242 |
$44 | |
| IV infusion therapy (each additional) |
$325 |
$812 |
$190 |
$21 | |
| IV infusion therapy (initial) |
$814 |
$2,034 |
$462 |
$67 | |
| IVC filter placement |
$10,044 |
$25,109 |
$3,577 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$862 |
$2,155 |
$434 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$1,610 |
$4,026 |
$685 |
$57 | |
| Joint aspiration or injection (small joint) |
$267 |
$668 |
$204 |
$56 | |
| Kidney biopsy |
$1,802 |
$4,506 |
$1,177 |
$492 | |
| Kidney removal (nephrectomy) |
— |
— |
$2,067 |
$1,164 | |
| Kidney scan (nuclear) |
$1,558 |
$3,896 |
$650 |
$172 | |
| Kidney ultrasound |
$657 |
$1,642 |
$314 |
$84 | |
| Kidney ultrasound (limited) |
$657 |
$1,642 |
$299 |
$61 | |
| Knee arthroscopy |
— |
— |
$3,833 |
$524 | |
| Knee joint injection |
$1,464 |
$3,661 |
$642 |
$69 | |
| Knee replacement |
— |
— |
$31,676 |
$18,054 | |
| Laminectomy (spine) |
— |
— |
$6,172 |
$1,157 | |
| Laryngoscopy |
$264 |
$660 |
$219 |
$189 | |
| LDH test |
$108 |
$271 |
$7 |
$6 | |
| LDL cholesterol test |
$43 |
$108 |
$11 |
$11 | |
| Leg artery angiogram |
$3,162 |
$7,906 |
$1,680 |
$149 | |
| Leg artery angioplasty |
$9,427 |
$23,568 |
$4,185 |
— | |
| Leg vein ultrasound (Doppler) |
$946 |
$2,366 |
$562 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$946 |
$2,366 |
$497 |
$116 | |
| Lipase test |
$250 |
$624 |
$35 |
$7 | |
| Lipid (cholesterol) panel |
$250 |
$624 |
$26 |
$13 | |
| Liver biopsy |
$2,284 |
$5,710 |
$1,457 |
$288 | |
| Liver function panel |
$545 |
$1,362 |
$65 |
$8 | |
| Lumbar discectomy |
— |
— |
$6,172 |
$898 | |
| Lumpectomy (breast) |
— |
— |
$6,172 |
$750 | |
| Lung function test (PFT) |
$345 |
$864 |
$168 |
$37 | |
| Lung scan (V/Q) |
$2,435 |
$6,087 |
$1,187 |
$291 | |
| Magnesium blood test |
$245 |
$612 |
$12 |
$7 | |
| Mastectomy |
— |
— |
$4,465 |
$1,021 | |
| Mastoidectomy |
— |
— |
$6,172 |
$840 | |
| Meniscus repair (knee) |
— |
— |
$3,394 |
$714 | |
| MMR vaccine |
$206 |
$514 |
$118 |
— | |
| Mohs skin cancer surgery |
— |
— |
$1,336 |
$535 | |
| MRA of the brain |
$3,792 |
$9,481 |
$1,682 |
$226 | |
| MRA of the brain with contrast |
$3,684 |
$9,210 |
$1,682 |
$226 | |
| MRA of the brain without contrast |
$3,719 |
$9,297 |
$2,138 |
$328 | |
| MRA of the neck |
$3,496 |
$8,741 |
$1,682 |
$245 | |
| MRA of the neck with contrast |
$3,270 |
$8,175 |
$1,682 |
$245 | |
| MRA of the neck without contrast |
$5,913 |
$14,783 |
$2,838 |
$343 | |
| MRI of the abdomen |
$3,238 |
$8,094 |
$1,682 |
$300 | |
| MRI of the abdomen with contrast |
$3,719 |
$9,297 |
$1,775 |
$300 | |
| MRI of the abdomen without contrast |
$3,104 |
$7,761 |
$1,573 |
$194 | |
| MRI of the ankle |
$4,609 |
$11,523 |
$1,682 |
$261 | |
| MRI of the ankle with contrast |
$4,609 |
$11,523 |
$1,940 |
$261 | |
| MRI of the ankle without contrast |
$3,840 |
$9,600 |
$1,680 |
$222 | |
| MRI of the brain |
$3,131 |
$7,828 |
$1,713 |
$269 | |
| MRI of the brain with contrast |
$4,270 |
$10,675 |
$1,830 |
$269 | |
| MRI of the brain without contrast |
$2,911 |
$7,277 |
$1,601 |
$195 | |
| MRI of the chest |
$2,979 |
$7,449 |
$1,631 |
$371 | |
| MRI of the chest with contrast |
$3,031 |
$7,577 |
$1,775 |
$371 | |
| MRI of the chest without contrast |
$5,134 |
$12,834 |
$2,839 |
$466 | |
| MRI of the knee |
$3,338 |
$8,346 |
$1,682 |
$315 | |
| MRI of the knee with contrast |
$3,338 |
$8,346 |
$1,863 |
$315 | |
| MRI of the knee without contrast |
$3,072 |
$7,680 |
$1,601 |
$204 | |
| MRI of the lower back (lumbar spine) |
$3,510 |
$8,776 |
$1,757 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$3,746 |
$9,365 |
$1,833 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$3,051 |
$7,628 |
$1,688 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$3,947 |
$9,867 |
$1,835 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$4,015 |
$10,037 |
$2,215 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$3,746 |
$9,365 |
$1,835 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$3,814 |
$9,535 |
$1,696 |
$190 | |
| MRI of the neck (cervical spine) |
$3,234 |
$8,084 |
$1,684 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$4,722 |
$11,804 |
$2,537 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$3,746 |
$9,365 |
$1,835 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,825 |
$7,062 |
$1,606 |
$191 | |
| MRI of the pelvis |
$3,163 |
$7,909 |
$1,682 |
$268 | |
| MRI of the pelvis with contrast |
$2,952 |
$7,379 |
$1,606 |
$268 | |
| MRI of the pelvis without contrast |
$2,941 |
$7,353 |
$1,579 |
$227 | |
| MRI of the shoulder |
$3,840 |
$9,600 |
$1,682 |
$313 | |
| MRI of the shoulder with contrast |
$3,687 |
$9,218 |
$1,863 |
$313 | |
| MRI of the shoulder without contrast |
$3,840 |
$9,600 |
$1,680 |
$205 | |
| MRI of the wrist |
$4,608 |
$11,521 |
$1,682 |
$330 | |
| MRI of the wrist with contrast |
$3,338 |
$8,346 |
$1,872 |
$330 | |
| MRI of the wrist without contrast |
$3,840 |
$9,600 |
$1,682 |
$303 | |
| Nebulizer breathing treatment |
$614 |
$1,536 |
$180 |
$9 | |
| Neck (cervical) spinal fusion |
— |
— |
$3,756 |
$1,410 | |
| Nuclear cardiac stress test |
$3,858 |
$9,645 |
$1,760 |
$428 | |
| Occupational therapy evaluation |
$300 |
$750 |
$243 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$420 |
$1,051 |
$321 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$270 |
$675 |
$221 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$300 |
$750 |
$245 |
$101 | |
| Ovarian cyst removal |
— |
— |
$4,445 |
$698 | |
| Ovary removal (oophorectomy) |
— |
— |
$2,067 |
$822 | |
| Pacemaker insertion |
— |
— |
$24,458 |
$15,506 | |
| Parathyroid hormone (PTH) test |
$121 |
$303 |
$41 |
$41 | |
| Parathyroid removal |
— |
— |
$6,172 |
$891 | |
| Pelvic ultrasound |
$862 |
$2,154 |
$341 |
$78 | |
| Pelvic ultrasound (complete) |
$862 |
$2,154 |
$352 |
$105 | |
| Pelvic ultrasound (limited) |
$895 |
$2,237 |
$314 |
$51 | |
| Phosphorus blood test |
$84 |
$211 |
$5 |
$5 | |
| Physical therapy evaluation |
$368 |
$921 |
$299 |
$98 | |
| Physical therapy evaluation (high complexity) |
$401 |
$1,002 |
$306 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$368 |
$921 |
$301 |
$98 | |
| Pilonidal cyst removal |
$4,597 |
$11,493 |
$2,966 |
$541 | |
| Platelet count |
$282 |
$706 |
$35 |
$4 | |
| Pneumonia vaccine |
$129 |
$322 |
$138 |
— | |
| Pregnancy blood test (hCG) |
$202 |
$506 |
$45 |
$8 | |
| Pregnancy ultrasound |
$841 |
$2,103 |
$376 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$1,001 |
$2,504 |
$376 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$841 |
$2,103 |
$386 |
$136 | |
| Procalcitonin test |
$208 |
$519 |
$57 |
$27 | |
| Prostate biopsy |
$4,859 |
$12,148 |
$2,619 |
— | |
| Prostate removal (prostatectomy) |
— |
— |
$2,067 |
$1,063 | |
| Prostate test (PSA) |
$11 |
$28 |
$18 |
$18 | |
| Pterygium removal (eye) |
— |
— |
$2,767 |
$540 | |
| Radiofrequency nerve ablation |
$1,559 |
$3,898 |
$1,189 |
$462 | |
| Retina scan (OCT) |
— |
— |
$592 |
$33 | |
| Retinal (fundus) photography |
— |
— |
$169 |
$37 | |
| Retinal detachment repair |
— |
— |
$5,245 |
$966 | |
| Rotator cuff repair |
— |
— |
$4,771 |
$792 | |
| Routine eye exam |
— |
— |
$135 |
$88 | |
| Scoliosis spine X-ray |
$509 |
$1,272 |
$181 |
$58 | |
| Scoliosis spine X-ray (1 view) |
— |
— |
$131 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$509 |
$1,272 |
$250 |
$72 | |
| Scrotal ultrasound |
$800 |
$2,000 |
$339 |
$99 | |
| Sedimentation rate (ESR) test |
$144 |
$360 |
$13 |
$3 | |
| Semen analysis |
$133 |
$334 |
$72 |
$12 | |
| Septoplasty (deviated septum) |
— |
— |
$3,910 |
$613 | |
| Sex hormone binding globulin test |
$9 |
$22 |
$17 |
$22 | |
| Shoulder arthroscopy |
— |
— |
$3,162 |
$962 | |
| Shoulder replacement |
— |
— |
$6,801 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$470 |
$1,176 |
$273 |
$114 | |
| Simple wound stitches |
$529 |
$1,322 |
$312 |
$127 | |
| Sinus surgery (endoscopic) |
— |
— |
$3,162 |
$224 | |
| Skin biopsy |
$186 |
$466 |
$177 |
$121 | |
| Skin biopsy (punch) |
$186 |
$466 |
$151 |
$121 | |
| Skin graft |
— |
— |
$2,767 |
$898 | |
| Skin lesion freezing (cryotherapy) |
$203 |
$508 |
$148 |
$36 | |
| Skin tag removal |
$1,288 |
$3,221 |
$642 |
$92 | |
| Small bowel resection |
— |
— |
$2,067 |
$1,136 | |
| Soft tissue ultrasound |
$416 |
$1,041 |
$63 |
$64 | |
| Speech therapy |
$372 |
$931 |
$249 |
$76 | |
| Spinal cord stimulator |
$12,818 |
$32,044 |
$2,822 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$1,266 |
$3,166 |
$924 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$5,429 |
$13,573 |
$3,231 |
$5,803 | |
| Spirometry (lung function test) |
$383 |
$957 |
$151 |
$30 | |
| Spirometry with bronchodilator |
$308 |
$770 |
$191 |
$43 | |
| Spleen removal (splenectomy) |
— |
— |
$6,172 |
$1,036 | |
| Stomach removal (gastrectomy) |
— |
— |
$2,391 |
$1,595 | |
| Strabismus (eye muscle) surgery |
— |
— |
$3,508 |
$475 | |
| Stress echocardiogram |
$674 |
$1,685 |
$359 |
$209 | |
| Swallow study |
$588 |
$1,469 |
$424 |
$85 | |
| T3 thyroid test |
$97 |
$242 |
$17 |
$14 | |
| Tdap (tetanus) vaccine |
$188 |
$469 |
$57 |
— | |
| Testicle removal (orchiectomy) |
— |
— |
$3,162 |
$306 | |
| Testosterone test |
$58 |
$145 |
$27 |
$26 | |
| Thyroid removal (thyroidectomy) |
— |
— |
$6,172 |
$1,004 | |
| Thyroid test (TSH) |
$115 |
$287 |
$20 |
$17 | |
| Thyroid ultrasound |
$789 |
$1,973 |
$316 |
$109 | |
| Thyroid uptake scan |
$1,332 |
$3,330 |
$598 |
$145 | |
| Tonsillectomy |
— |
— |
$3,870 |
$252 | |
| Total protein test |
$42 |
$105 |
$4 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$2,650 |
$6,626 |
$951 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$2,525 |
$6,313 |
$951 |
$239 | |
| Transvaginal ultrasound |
$683 |
$1,708 |
$336 |
$118 | |
| Trigger point injection |
$301 |
$752 |
$218 |
$56 | |
| Trigger point injection (1-2 muscles) |
$301 |
$752 |
$218 |
$52 | |
| Triglycerides test |
$16 |
$39 |
$6 |
$6 | |
| Troponin (heart) test |
$425 |
$1,063 |
$81 |
$12 | |
| Tubal ligation |
— |
— |
$3,162 |
$333 | |
| Turbinate reduction |
— |
— |
$2,767 |
$294 | |
| Turning a breech baby (version) |
$3,368 |
$8,419 |
$2,458 |
$94 | |
| Ulnar nerve surgery (elbow) |
— |
— |
$2,767 |
$575 | |
| Upper GI endoscopy (EGD) |
$1,929 |
$4,823 |
$1,408 |
$371 | |
| Upper GI series (barium) |
$577 |
$1,443 |
$322 |
$128 | |
| Ureteroscopy (stone removal) |
— |
— |
$3,910 |
$365 | |
| Uric acid (gout) test |
$203 |
$507 |
$28 |
$5 | |
| Urinalysis |
$281 |
$703 |
$15 |
$3 | |
| Urine pregnancy test |
$174 |
$435 |
$29 |
$9 | |
| UV light therapy (skin) |
— |
— |
$235 |
$106 | |
| Vaccine administration |
$88 |
$220 |
$48 |
$19 | |
| Vaccine administration (each additional) |
$59 |
$147 |
$41 |
$16 | |
| Vaginal delivery |
— |
— |
$7,742 |
$5,487 | |
| Varicose vein ablation |
$3,104 |
$7,759 |
$2,904 |
$1,018 | |
| Visual field test |
— |
— |
$124 |
$64 | |
| Vitamin B12 test |
$187 |
$469 |
$18 |
$15 | |
| Vitamin D test |
$70 |
$175 |
$29 |
$30 | |
| Vitrectomy (eye) |
— |
— |
$4,958 |
$814 | |
| Vocal cord injection |
— |
— |
$2,767 |
$211 | |
| Weight-loss (bariatric) surgery |
— |
— |
$19,088 |
$11,645 | |
| Whipple procedure (pancreas) |
— |
— |
$3,335 |
$2,871 | |
| Wound debridement |
$1,284 |
$3,211 |
$706 |
$186 | |
| Wrist fracture repair |
— |
— |
$4,445 |
$735 | |
| X-ray of the abdomen |
$339 |
$848 |
$117 |
$36 | |
| X-ray of the ankle |
$373 |
$933 |
$113 |
$37 | |
| X-ray of the collarbone |
$259 |
$648 |
$104 |
$33 | |
| X-ray of the elbow |
$373 |
$933 |
$123 |
$33 | |
| X-ray of the facial bones |
$520 |
$1,301 |
$138 |
$39 | |
| X-ray of the foot |
$353 |
$882 |
$111 |
$34 | |
| X-ray of the forearm |
$305 |
$762 |
$96 |
$29 | |
| X-ray of the hand |
$337 |
$843 |
$112 |
$38 | |
| X-ray of the hip |
$467 |
$1,168 |
$172 |
$49 | |
| X-ray of the hip (1 view) |
$324 |
$809 |
$118 |
$34 | |
| X-ray of the hip (3 views) |
$467 |
$1,168 |
$175 |
$49 | |
| X-ray of the hip (4 views) |
— |
— |
$193 |
$63 | |
| X-ray of the knee |
$438 |
$1,096 |
$125 |
$42 | |
| X-ray of the knee (2 views) |
$292 |
$730 |
$106 |
$34 | |
| X-ray of the knee (3 views) |
$348 |
$869 |
$125 |
$42 | |
| X-ray of the knee (4+ views) |
$474 |
$1,185 |
$139 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$454 |
$1,135 |
$149 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$419 |
$1,048 |
$141 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$774 |
$1,934 |
$193 |
$53 | |
| X-ray of the lower leg |
$372 |
$931 |
$101 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$430 |
$1,076 |
$134 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$450 |
$1,126 |
$125 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$430 |
$1,076 |
$145 |
$39 | |
| X-ray of the neck (cervical spine) |
$453 |
$1,132 |
$134 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$453 |
$1,132 |
$130 |
$40 | |
| X-ray of the pelvis |
$416 |
$1,041 |
$127 |
$36 | |
| X-ray of the pelvis (1 view) |
$321 |
$802 |
$98 |
$28 | |
| X-ray of the ribs |
$484 |
$1,210 |
$128 |
$42 | |
| X-ray of the ribs (2 views) |
$458 |
$1,145 |
$113 |
$36 | |
| X-ray of the ribs (3 views) |
$484 |
$1,210 |
$135 |
$42 | |
| X-ray of the shoulder |
$382 |
$956 |
$112 |
$36 | |
| X-ray of the skull |
$539 |
$1,347 |
$140 |
$40 | |
| X-ray of the upper arm |
$290 |
$724 |
$111 |
$32 | |
| X-ray of the wrist |
$349 |
$873 |
$122 |
$43 | |