| 3D mammogram (tomosynthesis) |
$82 |
$126 |
— |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,073 |
$1,651 |
— |
$284 | |
| Abdominal ultrasound |
$529 |
$814 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$657 |
$1,011 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$333 |
$512 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$864 |
$1,329 |
— |
$220 | |
| Abscess drainage (simple) |
$336 |
$517 |
— |
$129 | |
| Abscess incision and drainage |
$426 |
$656 |
— |
$174 | |
| Achilles tendon repair |
$7,883 |
$12,128 |
— |
$624 | |
| ACL knee reconstruction |
$5,164 |
$7,944 |
— |
$889 | |
| Albumin blood test |
$44 |
$68 |
— |
$5 | |
| Aldosterone test |
$193 |
$297 |
— |
$41 | |
| Alkaline phosphatase test |
$35 |
$55 |
— |
$5 | |
| Alpha-fetoprotein (AFP) test |
$66 |
$101 |
— |
$17 | |
| ALT liver enzyme test |
$47 |
$73 |
— |
$5 | |
| Ammonia blood test |
$126 |
$194 |
— |
$15 | |
| Amylase test |
$58 |
$89 |
— |
$6 | |
| Anal fistula repair |
$2,761 |
$4,248 |
— |
$541 | |
| Ankle fracture repair |
$3,281 |
$5,048 |
— |
$608 | |
| Anoscopy |
$301 |
$463 |
— |
$129 | |
| Antinuclear antibody (ANA) test |
$78 |
$120 |
— |
$12 | |
| Arterial blood gas (ABG) |
$137 |
$210 |
— |
$26 | |
| AST liver enzyme test |
$47 |
$72 |
— |
$5 | |
| Barium swallow study |
$615 |
$946 |
— |
$107 | |
| Bartholin cyst removal |
$644 |
$990 |
— |
$182 | |
| Basic metabolic panel |
$69 |
$106 |
— |
$8 | |
| Benign skin lesion removal |
$2,213 |
$3,405 |
— |
$171 | |
| Bilirubin blood test |
$44 |
$68 |
— |
$5 | |
| Bladder scope (cystoscopy) |
$404 |
$621 |
— |
$216 | |
| Bladder tumor removal (TURBT) |
$3,293 |
$5,066 |
— |
$236 | |
| Blood clotting test (PT/INR) |
$34 |
$52 |
— |
$4 | |
| Blood crossmatch |
$282 |
$434 |
— |
— | |
| Blood glucose test |
$49 |
$75 |
— |
$5 | |
| Blood transfusion |
$747 |
$1,149 |
— |
$47 | |
| Blood type and screen |
$194 |
$299 |
— |
$10 | |
| Blood type test |
$47 |
$72 |
— |
$3 | |
| Blood type test (ABO group) |
$47 |
$72 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$47 |
$72 |
— |
$3 | |
| BNP (heart failure) test |
$291 |
$448 |
— |
$39 | |
| Bone density scan (DEXA) |
$247 |
$381 |
— |
$39 | |
| Bone marrow biopsy |
$440 |
$677 |
— |
$172 | |
| Bone scan (nuclear) |
$1,333 |
$2,051 |
— |
$259 | |
| Breast biopsy |
$3,288 |
$5,058 |
— |
$478 | |
| Breast MRI |
$1,216 |
$1,870 |
— |
$216 | |
| Breast MRI without contrast |
$1,216 |
$1,870 |
— |
$216 | |
| Breast ultrasound |
$406 |
$624 |
— |
$92 | |
| Breast ultrasound (complete) |
$469 |
$721 |
— |
$100 | |
| Breast ultrasound (limited) |
$406 |
$624 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$127 |
$196 |
— |
$133 | |
| Bunion surgery (bunionectomy) |
$4,583 |
$7,051 |
— |
$883 | |
| Burn dressing and debridement (medium) |
$544 |
$837 |
— |
$166 | |
| Burn dressing and debridement (small) |
$477 |
$734 |
— |
$93 | |
| Burn treatment |
$511 |
$786 |
— |
$129 | |
| C-reactive protein (CRP) |
$46 |
$70 |
— |
$5 | |
| CA 19-9 tumor marker test |
$186 |
$286 |
— |
$21 | |
| CA-125 ovarian marker test |
$85 |
$131 |
— |
$21 | |
| Calcium blood test |
$47 |
$72 |
— |
$5 | |
| Cardiac stress test |
$492 |
$757 |
— |
$39 | |
| Cardioversion |
$894 |
$1,376 |
— |
$155 | |
| Carotid artery ultrasound |
$733 |
$1,127 |
— |
$156 | |
| Carpal tunnel release |
$1,556 |
$2,394 |
— |
$483 | |
| CEA tumor marker test |
$111 |
$171 |
— |
$19 | |
| Celiac disease test |
$21 |
$33 |
— |
$12 | |
| Central line placement |
$753 |
$1,158 |
— |
$238 | |
| Cervical LEEP procedure |
$2,502 |
$3,849 |
— |
$325 | |
| Chemotherapy infusion |
$562 |
$865 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$150 |
$230 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$562 |
$865 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$2,848 |
$4,382 |
— |
$311 | |
| Chest tube insertion |
$671 |
$1,032 |
— |
$143 | |
| Chest X-ray |
$200 |
$308 |
— |
$37 | |
| Chest X-ray (1 view) |
$163 |
$251 |
— |
$25 | |
| Chest X-ray (2 views) |
$237 |
$364 |
— |
$33 | |
| Circumcision |
$2,376 |
$3,655 |
— |
$167 | |
| CK-MB heart enzyme test |
$99 |
$153 |
— |
$12 | |
| Clotting time test (PTT) |
$53 |
$82 |
— |
$6 | |
| Colonoscopy |
$1,108 |
$1,704 |
— |
$480 | |
| Colostomy |
$10,801 |
$16,617 |
— |
$1,122 | |
| Complete blood count (CBC) |
$51 |
$79 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$51 |
$79 |
— |
$8 | |
| Comprehensive metabolic panel |
$91 |
$140 |
— |
$11 | |
| Continuous glucose monitor setup |
$127 |
$196 |
— |
$35 | |
| Contraceptive implant (Nexplanon) |
$1,923 |
$2,958 |
— |
$115 | |
| Copper blood test |
$33 |
$50 |
— |
$12 | |
| Coronary CT angiography |
$1,281 |
$1,971 |
— |
$326 | |
| Cortisol test |
$155 |
$239 |
— |
$16 | |
| COVID-19 PCR test |
$67 |
$103 |
— |
$51 | |
| CPAP titration study |
$425 |
$654 |
$5,861 |
$69 | |
| Creatine kinase (CK) test |
$57 |
$87 |
— |
$7 | |
| CT angiography of the chest |
$3,281 |
$5,048 |
— |
$281 | |
| CT angiography of the head |
$4,275 |
$6,577 |
— |
$274 | |
| CT colonography (virtual colonoscopy) |
$1,416 |
$2,178 |
— |
$835 | |
| CT scan of the abdomen |
$1,468 |
$2,258 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$1,773 |
$2,728 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,157 |
$4,857 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,692 |
$4,142 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,773 |
$2,728 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$2,546 |
$3,917 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$2,179 |
$3,353 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$1,468 |
$2,258 |
— |
$136 | |
| CT scan of the arm |
$1,698 |
$2,612 |
— |
$199 | |
| CT scan of the arm with contrast |
$2,319 |
$3,567 |
— |
$199 | |
| CT scan of the arm without contrast |
$1,698 |
$2,612 |
— |
$161 | |
| CT scan of the chest |
$1,604 |
$2,468 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$1,305 |
$2,008 |
— |
$196 | |
| CT scan of the chest with contrast |
$2,134 |
$3,283 |
— |
$167 | |
| CT scan of the chest without contrast |
$1,604 |
$2,468 |
— |
$133 | |
| CT scan of the head |
$756 |
$1,164 |
— |
$148 | |
| CT scan of the head with and without contrast |
$906 |
$1,394 |
— |
$173 | |
| CT scan of the head with contrast |
$756 |
$1,164 |
— |
$148 | |
| CT scan of the head without contrast |
$743 |
$1,143 |
— |
$107 | |
| CT scan of the leg |
$1,481 |
$2,279 |
— |
$166 | |
| CT scan of the leg with contrast |
$2,140 |
$3,293 |
— |
$166 | |
| CT scan of the leg without contrast |
$1,481 |
$2,279 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,700 |
$2,616 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,512 |
$3,865 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,203 |
$1,850 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,700 |
$2,616 |
— |
$130 | |
| CT scan of the neck |
$1,629 |
$2,507 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$1,726 |
$2,656 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,104 |
$1,699 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,816 |
$2,794 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$987 |
$1,518 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$1,529 |
$2,353 |
— |
$220 | |
| CT scan of the neck with contrast |
$2,183 |
$3,359 |
— |
$183 | |
| CT scan of the neck without contrast |
$953 |
$1,466 |
— |
$150 | |
| CT scan of the pelvis |
$1,710 |
$2,631 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,758 |
$2,704 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$2,397 |
$3,687 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$1,710 |
$2,631 |
— |
$133 | |
| CT scan of the sinuses |
$1,675 |
$2,577 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,517 |
$2,334 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$2,464 |
$3,791 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$1,015 |
$1,562 |
— |
$128 | |
| D-dimer test |
$184 |
$283 |
— |
$10 | |
| DHEA-sulfate test |
$121 |
$186 |
— |
$22 | |
| Diagnostic mammogram |
$196 |
$301 |
— |
$140 | |
| Dilation and curettage (D&C) |
$4,791 |
$7,371 |
— |
$298 | |
| Drug screen (urine) |
$75 |
$116 |
— |
$17 | |
| Ear tubes (myringotomy) |
$1,171 |
$1,801 |
— |
$174 | |
| Echocardiogram |
$970 |
$1,492 |
— |
$138 | |
| Echocardiogram with and without contrast |
$584 |
$899 |
— |
$101 | |
| EEG (awake and asleep) |
$328 |
$505 |
— |
$482 | |
| EKG / ECG (tracing only) |
$142 |
$219 |
— |
$7 | |
| Electrocardiogram (EKG) |
$142 |
$219 |
— |
$8 | |
| Electroencephalogram (EEG) |
$467 |
$719 |
— |
$448 | |
| Electrolyte panel |
$62 |
$96 |
— |
$7 | |
| Emergency department visit |
$359 |
$553 |
— |
$69 | |
| Emergency department visit (level 1) |
$162 |
$249 |
— |
$11 | |
| Emergency department visit (level 2) |
$166 |
$256 |
— |
$40 | |
| Emergency department visit (level 3) |
$454 |
$699 |
— |
$69 | |
| Emergency department visit (level 4) |
$353 |
$543 |
— |
$118 | |
| Emergency department visit (level 5) |
$513 |
$789 |
— |
$171 | |
| Epidural steroid injection |
$1,215 |
$1,869 |
— |
$275 | |
| Estradiol (estrogen) test |
$186 |
$286 |
— |
$28 | |
| Facet joint injection (spine) |
$1,975 |
$3,038 |
— |
$99 | |
| Fallopian tube X-ray (HSG) |
$498 |
$766 |
— |
$164 | |
| Fecal occult blood (stool) test |
$30 |
$46 |
— |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$30 |
$46 |
— |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$40 |
$62 |
— |
$16 | |
| Feeding tube (PEG) placement |
$2,222 |
$3,418 |
— |
$178 | |
| Ferritin (iron) test |
$72 |
$111 |
— |
$14 | |
| Fibrinogen test |
$81 |
$125 |
— |
$10 | |
| Flexible sigmoidoscopy |
$712 |
$1,096 |
— |
$323 | |
| Folate (folic acid) test |
$98 |
$151 |
— |
$15 | |
| Foreign body removal (skin) |
$1,361 |
$2,094 |
— |
$157 | |
| Free T4 thyroid test |
$62 |
$95 |
— |
$9 | |
| FSH hormone test |
$124 |
$190 |
— |
$19 | |
| Gallbladder removal (laparoscopic) |
$5,481 |
$8,433 |
— |
$658 | |
| Gallbladder scan (HIDA) |
$2,062 |
$3,173 |
— |
$334 | |
| Ganglion cyst removal |
$3,512 |
$5,403 |
— |
$321 | |
| GGT liver test |
$29 |
$44 |
— |
$7 | |
| Glucose tolerance test |
$39 |
$60 |
— |
$8 | |
| H. pylori test |
$109 |
$167 |
— |
$67 | |
| Hematocrit test |
$25 |
$39 |
— |
$2 | |
| Hemoglobin A1c (diabetes test) |
$36 |
$55 |
— |
$10 | |
| Hepatitis A vaccine |
$103 |
$159 |
— |
— | |
| Hepatitis B test |
$61 |
$94 |
— |
$10 | |
| Hepatitis B vaccine |
$71 |
$110 |
— |
— | |
| Hepatitis C test |
$82 |
$126 |
— |
$14 | |
| Hip arthroscopy |
$6,226 |
$9,578 |
— |
$931 | |
| Hip replacement |
$4,205 |
$6,470 |
— |
$1,162 | |
| HIV test |
$73 |
$113 |
— |
$19 | |
| HIV test (antibody) |
$85 |
$131 |
— |
$14 | |
| HIV test (antigen/antibody combo) |
$62 |
$95 |
— |
$24 | |
| Hysteroscopy |
$3,897 |
$5,996 |
— |
$1,270 | |
| Inguinal hernia repair |
$3,233 |
$4,974 |
— |
$538 | |
| Iron blood test |
$57 |
$87 |
— |
$6 | |
| IUD insertion |
$1,506 |
$2,317 |
— |
— | |
| IUD removal |
$919 |
$1,414 |
— |
$112 | |
| IV infusion therapy |
$365 |
$562 |
— |
$44 | |
| IV infusion therapy (each additional) |
$470 |
$723 |
— |
$21 | |
| IV infusion therapy (initial) |
$365 |
$562 |
— |
$67 | |
| Joint aspiration (small/intermediate) |
$271 |
$418 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$587 |
$903 |
— |
$57 | |
| Joint aspiration or injection (small joint) |
$72 |
$111 |
— |
$56 | |
| Kidney biopsy |
$2,583 |
$3,974 |
— |
$492 | |
| Kidney scan (nuclear) |
$891 |
$1,371 |
— |
$172 | |
| Kidney ultrasound |
$444 |
$683 |
— |
$84 | |
| Kidney ultrasound (limited) |
$281 |
$432 |
— |
$61 | |
| Knee arthroscopy |
$2,753 |
$4,235 |
— |
$524 | |
| Knee joint injection |
$168 |
$259 |
— |
$69 | |
| Lactate test |
$190 |
$293 |
— |
$12 | |
| Laryngoscopy |
$223 |
$343 |
— |
$189 | |
| LDH test |
$53 |
$82 |
— |
$6 | |
| LDL cholesterol test |
$46 |
$71 |
— |
$11 | |
| Leg artery angiogram |
$5,214 |
$8,021 |
— |
$149 | |
| Leg vein ultrasound (Doppler) |
$124 |
$190 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$81 |
$124 |
— |
$116 | |
| LH hormone test |
$123 |
$189 |
— |
$19 | |
| Lipase test |
$59 |
$91 |
— |
$7 | |
| Lipid (cholesterol) panel |
$69 |
$106 |
— |
$13 | |
| Liver biopsy |
$2,855 |
$4,392 |
— |
$288 | |
| Liver function panel |
$49 |
$75 |
— |
$8 | |
| Lumpectomy (breast) |
$4,041 |
$6,217 |
— |
$750 | |
| Lung function test (PFT) |
$654 |
$1,006 |
— |
$37 | |
| Lung scan (V/Q) |
$1,154 |
$1,775 |
— |
$291 | |
| Magnesium blood test |
$64 |
$99 |
— |
$7 | |
| Mastectomy |
$8,991 |
$13,833 |
— |
$1,021 | |
| Meniscus repair (knee) |
$6,337 |
$9,749 |
— |
$714 | |
| MMR vaccine |
$193 |
$297 |
— |
— | |
| MRA of the brain |
$3,038 |
$4,675 |
— |
$226 | |
| MRA of the brain with contrast |
$3,034 |
$4,668 |
— |
$226 | |
| MRA of the brain without contrast |
$4,601 |
$7,078 |
— |
$328 | |
| MRA of the neck |
$2,300 |
$3,539 |
— |
$245 | |
| MRA of the neck with contrast |
$3,238 |
$4,982 |
— |
$245 | |
| MRA of the neck without contrast |
$2,178 |
$3,351 |
— |
$343 | |
| MRI of the abdomen |
$2,378 |
$3,659 |
— |
$300 | |
| MRI of the abdomen without contrast |
$1,358 |
$2,090 |
— |
$194 | |
| MRI of the ankle |
$1,743 |
$2,682 |
— |
$261 | |
| MRI of the ankle without contrast |
$1,743 |
$2,682 |
— |
$222 | |
| MRI of the brain |
$2,763 |
$4,251 |
— |
$269 | |
| MRI of the brain with contrast |
$2,038 |
$3,135 |
— |
$269 | |
| MRI of the brain without contrast |
$2,763 |
$4,251 |
— |
$195 | |
| MRI of the chest |
$2,691 |
$4,140 |
— |
$371 | |
| MRI of the chest without contrast |
$2,810 |
$4,323 |
— |
$466 | |
| MRI of the knee |
$1,684 |
$2,590 |
— |
$315 | |
| MRI of the knee with contrast |
$2,367 |
$3,642 |
— |
$315 | |
| MRI of the knee without contrast |
$1,684 |
$2,590 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,371 |
$3,647 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,371 |
$3,647 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,382 |
$3,664 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$3,178 |
$4,889 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,181 |
$3,356 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,382 |
$3,664 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$2,377 |
$3,657 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$3,466 |
$5,332 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,559 |
$3,937 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,377 |
$3,657 |
— |
$191 | |
| MRI of the pelvis |
$2,732 |
$4,203 |
— |
$268 | |
| MRI of the pelvis without contrast |
$2,732 |
$4,203 |
— |
$227 | |
| MRI of the shoulder |
$1,684 |
$2,590 |
— |
$313 | |
| MRI of the shoulder with contrast |
$2,158 |
$3,320 |
— |
$313 | |
| MRI of the shoulder without contrast |
$1,684 |
$2,590 |
— |
$205 | |
| MRI of the wrist |
$2,702 |
$4,157 |
— |
$330 | |
| MRI of the wrist with contrast |
$2,594 |
$3,990 |
— |
$330 | |
| MRI of the wrist without contrast |
$2,702 |
$4,157 |
— |
$303 | |
| Nebulizer breathing treatment |
$125 |
$193 |
$5,861 |
$9 | |
| Nuclear cardiac stress test |
$2,582 |
$3,973 |
— |
$428 | |
| Occupational therapy evaluation |
$349 |
$537 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$510 |
$784 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$262 |
$403 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$349 |
$537 |
— |
$101 | |
| Office visit (established patient) |
$179 |
$275 |
$5,861 |
$115 | |
| Office visit (new patient) |
$282 |
$434 |
— |
$177 | |
| Office visit, established patient (level 3) |
$141 |
$217 |
$5,861 |
$95 | |
| Office visit, established patient (level 4) |
$208 |
$320 |
— |
$136 | |
| Office visit, new patient (level 3) |
$174 |
$267 |
— |
$118 | |
| Office visit, new patient (level 4) |
$282 |
$434 |
— |
$177 | |
| Office visit, new patient (level 5) |
$380 |
$584 |
— |
$237 | |
| Orthopedic hardware removal |
$4,641 |
$7,140 |
— |
$632 | |
| Parathyroid hormone (PTH) test |
$186 |
$286 |
— |
$41 | |
| Pelvic ultrasound |
$458 |
$704 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$571 |
$878 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$458 |
$704 |
— |
$51 | |
| Phosphorus blood test |
$42 |
$64 |
— |
$5 | |
| Physical therapy evaluation |
$278 |
$427 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$312 |
$480 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$278 |
$427 |
— |
$98 | |
| Pilonidal cyst removal |
$1,973 |
$3,035 |
— |
$541 | |
| Platelet count |
$39 |
$60 |
— |
$4 | |
| Pregnancy blood test (hCG) |
$71 |
$109 |
— |
$8 | |
| Pregnancy ultrasound |
$614 |
$945 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$542 |
$834 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$686 |
$1,056 |
— |
$136 | |
| Procalcitonin test |
$231 |
$355 |
— |
$27 | |
| Prolactin test |
$113 |
$174 |
— |
$19 | |
| Prostate biopsy |
$1,158 |
$1,781 |
— |
— | |
| Prostate surgery (TURP) |
$6,695 |
$10,300 |
— |
$526 | |
| Prostate test (PSA) |
$86 |
$133 |
— |
$18 | |
| Psychiatric evaluation |
$320 |
$493 |
— |
$188 | |
| Rheumatoid factor test |
$56 |
$86 |
— |
$6 | |
| Rotator cuff repair |
$3,100 |
$4,769 |
— |
$792 | |
| Sacroiliac joint injection |
$621 |
$955 |
— |
$176 | |
| Scoliosis spine X-ray |
$315 |
$485 |
— |
$58 | |
| Scoliosis spine X-ray (1 view) |
$250 |
$385 |
— |
$44 | |
| Scoliosis spine X-ray (3 views) |
$428 |
$658 |
— |
$72 | |
| Screening colonoscopy |
$686 |
$1,055 |
— |
$378 | |
| Screening mammogram |
$220 |
$339 |
— |
$126 | |
| Scrotal ultrasound |
$569 |
$876 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$24 |
$37 |
— |
$3 | |
| Semen analysis |
$49 |
$76 |
— |
$12 | |
| Septoplasty (deviated septum) |
$2,164 |
$3,329 |
— |
$613 | |
| Sex hormone binding globulin test |
$59 |
$90 |
— |
$22 | |
| Shingles vaccine |
$287 |
$442 |
— |
— | |
| Shoulder arthroscopy |
$2,971 |
$4,571 |
— |
$962 | |
| Shoulder replacement |
$5,298 |
$8,150 |
— |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$326 |
$502 |
— |
$114 | |
| Simple wound stitches |
$326 |
$502 |
— |
$127 | |
| Sinus surgery (endoscopic) |
$2,164 |
$3,329 |
— |
$224 | |
| Skin biopsy |
$270 |
$415 |
— |
$121 | |
| Skin biopsy (punch) |
$408 |
$627 |
— |
$121 | |
| Skin cancer lesion removal |
$390 |
$600 |
— |
$240 | |
| Skin lesion freezing (cryotherapy) |
$73 |
$113 |
— |
$36 | |
| Skin tag removal |
$299 |
$460 |
— |
$92 | |
| Sleep study (polysomnography) |
$3,100 |
$4,769 |
— |
$691 | |
| Soft tissue ultrasound |
$220 |
$338 |
— |
$64 | |
| Speech therapy |
$147 |
$226 |
— |
$76 | |
| Spinal tap (lumbar puncture) |
$991 |
$1,525 |
— |
$165 | |
| Spirometry (lung function test) |
$268 |
$413 |
— |
$30 | |
| Spirometry with bronchodilator |
$654 |
$1,006 |
— |
$43 | |
| Strep throat test |
$44 |
$68 |
— |
$17 | |
| Stress echocardiogram |
$1,416 |
$2,178 |
— |
$209 | |
| Stress echocardiogram (complete) |
$1,416 |
$2,178 |
— |
$233 | |
| Swallow study |
$129 |
$198 |
— |
$85 | |
| T3 thyroid test |
$97 |
$149 |
— |
$14 | |
| Tdap (tetanus) vaccine |
$83 |
$127 |
— |
— | |
| Testosterone test |
$101 |
$155 |
— |
$26 | |
| Thyroid test (TSH) |
$144 |
$222 |
— |
$17 | |
| Thyroid ultrasound |
$574 |
$883 |
— |
$109 | |
| Thyroid uptake scan |
$1,360 |
$2,092 |
— |
$145 | |
| Tonsillectomy |
$2,341 |
$3,602 |
— |
$252 | |
| Total IgE allergy test |
$116 |
$179 |
— |
$16 | |
| Total protein test |
$33 |
$51 |
— |
$4 | |
| Transvaginal ultrasound |
$373 |
$574 |
— |
$118 | |
| Trigger finger release |
$2,053 |
$3,158 |
— |
$630 | |
| Trigger point injection |
$543 |
$835 |
— |
$56 | |
| Trigger point injection (1-2 muscles) |
$543 |
$835 |
— |
$52 | |
| Triglycerides test |
$54 |
$83 |
— |
$6 | |
| Troponin (heart) test |
$236 |
$363 |
— |
$12 | |
| Tubal ligation |
$4,374 |
$6,729 |
— |
$333 | |
| Turbinate reduction |
$1,251 |
$1,924 |
— |
$294 | |
| Turning a breech baby (version) |
$5,422 |
$8,341 |
— |
$94 | |
| Ulnar nerve surgery (elbow) |
$2,387 |
$3,673 |
— |
$575 | |
| Upper GI endoscopy (EGD) |
$944 |
$1,452 |
— |
$371 | |
| Upper GI series (barium) |
$309 |
$476 |
— |
$128 | |
| Ureteral stent placement |
$1,779 |
$2,737 |
— |
$373 | |
| Ureteroscopy (stone removal) |
$1,824 |
$2,806 |
— |
$365 | |
| Uric acid (gout) test |
$40 |
$61 |
— |
$5 | |
| Urinalysis |
$30 |
$46 |
— |
$3 | |
| Urine microalbumin test |
$68 |
$104 |
— |
$5 | |
| Urine pregnancy test |
$63 |
$97 |
— |
$9 | |
| Vaccine administration |
$98 |
$150 |
— |
$19 | |
| Vaccine administration (each additional) |
$49 |
$75 |
— |
$16 | |
| Vitamin B12 test |
$129 |
$199 |
— |
$15 | |
| Vitamin D test |
$117 |
$180 |
— |
$30 | |
| Wart removal |
$214 |
$329 |
— |
$121 | |
| Wound debridement |
$1,123 |
$1,727 |
— |
$186 | |
| X-ray of the abdomen |
$219 |
$337 |
— |
$36 | |
| X-ray of the ankle |
$272 |
$419 |
— |
$37 | |
| X-ray of the collarbone |
$242 |
$372 |
— |
$33 | |
| X-ray of the elbow |
$258 |
$397 |
— |
$33 | |
| X-ray of the facial bones |
$264 |
$406 |
— |
$39 | |
| X-ray of the foot |
$250 |
$385 |
— |
$34 | |
| X-ray of the forearm |
$222 |
$341 |
— |
$29 | |
| X-ray of the hand |
$262 |
$403 |
— |
$38 | |
| X-ray of the hip |
$239 |
$367 |
— |
$49 | |
| X-ray of the hip (1 view) |
$239 |
$367 |
— |
$34 | |
| X-ray of the hip (3 views) |
$319 |
$491 |
— |
$49 | |
| X-ray of the knee |
$218 |
$336 |
— |
$42 | |
| X-ray of the knee (2 views) |
$218 |
$336 |
— |
$34 | |
| X-ray of the knee (3 views) |
$251 |
$386 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$241 |
$371 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$252 |
$387 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$252 |
$387 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$380 |
$584 |
— |
$53 | |
| X-ray of the lower leg |
$216 |
$332 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$311 |
$479 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$266 |
$409 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$377 |
$580 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$369 |
$568 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$351 |
$540 |
— |
$40 | |
| X-ray of the pelvis |
$301 |
$463 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$249 |
$383 |
— |
$28 | |
| X-ray of the ribs |
$248 |
$382 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$248 |
$382 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$343 |
$527 |
— |
$42 | |
| X-ray of the shoulder |
$265 |
$408 |
— |
$36 | |
| X-ray of the skull |
$291 |
$448 |
— |
$40 | |
| X-ray of the upper arm |
$233 |
$358 |
— |
$32 | |
| X-ray of the wrist |
$316 |
$486 |
— |
$43 | |
| Zinc blood test |
$80 |
$123 |
— |
$11 | |