| 3D mammogram (tomosynthesis) |
— |
$207 |
$63 |
$51 | |
| Abdominal fluid drain (paracentesis) |
— |
$8,695 |
$927 |
$284 | |
| Abdominal ultrasound |
— |
$1,503 |
$106 |
$100 | |
| Abdominal ultrasound (complete) |
— |
$1,503 |
$106 |
$114 | |
| Abdominal ultrasound (limited) |
— |
$1,503 |
$106 |
$86 | |
| Abscess drainage (complex or multiple) |
— |
$5,074 |
$408 |
$220 | |
| Abscess drainage (simple) |
— |
$6,148 |
$202 |
$129 | |
| Abscess incision and drainage |
— |
$5,611 |
$253 |
$174 | |
| Achilles tendon repair |
— |
$29,953 |
$3,158 |
$624 | |
| ACL knee reconstruction |
— |
$65,077 |
$4,722 |
$889 | |
| Adenoid removal (adenoidectomy) |
— |
$21,473 |
$1,679 |
$204 | |
| Anal fistula repair |
— |
$22,691 |
$1,677 |
$541 | |
| Ankle fracture repair |
— |
$65,077 |
$3,675 |
$608 | |
| Anoscopy |
— |
$6,148 |
$136 |
$129 | |
| Barium swallow study |
— |
$2,695 |
$179 |
$107 | |
| Benign skin lesion removal |
— |
$6,615 |
$426 |
$171 | |
| Bladder scope (cystoscopy) |
— |
$7,052 |
$674 |
$216 | |
| Bladder tumor removal (TURBT) |
— |
$33,419 |
$1,748 |
$236 | |
| Blood transfusion |
— |
$5,115 |
$2,815 |
$47 | |
| Bone density scan (DEXA) |
— |
$1,503 |
$107 |
$39 | |
| Bone marrow biopsy |
— |
$15,705 |
$1,243 |
$172 | |
| Brain shunt (VP shunt) |
— |
$42,673 |
$459 |
$1,023 | |
| Breast biopsy |
— |
$15,705 |
$1,336 |
$478 | |
| Breast MRI |
— |
$3,288 |
$242 |
$216 | |
| Breast MRI without contrast |
— |
$3,288 |
$242 |
$216 | |
| Breast reduction |
— |
$56,121 |
$4,669 |
$980 | |
| Breast ultrasound |
— |
$616 |
$90 |
$92 | |
| Breast ultrasound (complete) |
— |
$616 |
$106 |
$100 | |
| Breast ultrasound (limited) |
— |
$616 |
$88 |
$84 | |
| Breathing tube insertion (intubation) |
— |
$6,148 |
$276 |
$133 | |
| Bronchoscopy |
— |
$12,205 |
$1,243 |
$303 | |
| Bunion surgery (bunionectomy) |
— |
$65,077 |
$3,009 |
$883 | |
| Burn dressing and debridement (small) |
— |
$6,148 |
$205 |
$93 | |
| Burn treatment |
— |
$6,148 |
$205 |
$129 | |
| Cardiac catheterization |
— |
$32,089 |
$2,575 |
$1,049 | |
| Cardioversion |
— |
$6,011 |
— |
$155 | |
| Carotid artery ultrasound |
— |
$3,635 |
$190 |
$156 | |
| Carpal tunnel release |
— |
$18,628 |
$1,413 |
$483 | |
| Cervical LEEP procedure |
— |
$26,961 |
$1,629 |
$325 | |
| Chest fluid drain (thoracentesis) |
— |
$7,079 |
$641 |
$311 | |
| Chest X-ray |
— |
$832 |
$89 |
$37 | |
| Chest X-ray (1 view) |
— |
$832 |
$89 |
$25 | |
| Chest X-ray (2 views) |
— |
$832 |
$89 |
$33 | |
| Colon resection (colectomy) |
— |
$40,640 |
$798 |
$1,238 | |
| Colonoscopy |
— |
$11,187 |
$913 |
$480 | |
| Complex wound repair |
— |
$11,264 |
$701 |
$390 | |
| Contraceptive implant (Nexplanon) |
— |
$42,904 |
$134 |
$115 | |
| Craniotomy (brain surgery) |
— |
$69,559 |
$459 |
$2,161 | |
| CT angiography of the chest |
— |
$4,610 |
$231 |
$281 | |
| CT angiography of the head |
— |
$4,847 |
$251 |
$274 | |
| CT scan of the abdomen |
— |
$3,544 |
$179 |
$230 | |
| CT scan of the abdomen and pelvis |
— |
$6,497 |
$356 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
— |
$7,144 |
$357 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
— |
$6,143 |
$356 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
— |
$5,145 |
$254 |
$183 | |
| CT scan of the abdomen with and without contrast |
— |
$3,790 |
$205 |
$259 | |
| CT scan of the abdomen with contrast |
— |
$3,544 |
$205 |
$230 | |
| CT scan of the abdomen without contrast |
— |
$2,589 |
$122 |
$136 | |
| CT scan of the arm |
— |
$2,192 |
$251 |
$199 | |
| CT scan of the arm with contrast |
— |
$5,155 |
$356 |
$199 | |
| CT scan of the arm without contrast |
— |
$2,192 |
$251 |
$161 | |
| CT scan of the chest |
— |
$6,756 |
$179 |
$167 | |
| CT scan of the chest with and without contrast |
— |
$7,367 |
$183 |
$196 | |
| CT scan of the chest with contrast |
— |
$6,145 |
$186 |
$167 | |
| CT scan of the chest without contrast |
— |
$5,211 |
$150 |
$133 | |
| CT scan of the head |
— |
$3,059 |
$179 |
$148 | |
| CT scan of the head with and without contrast |
— |
$3,663 |
$183 |
$173 | |
| CT scan of the head with contrast |
— |
$3,059 |
$205 |
$148 | |
| CT scan of the head without contrast |
— |
$2,468 |
$113 |
$107 | |
| CT scan of the leg |
— |
$2,112 |
$209 |
$166 | |
| CT scan of the leg with contrast |
— |
$3,066 |
$231 |
$166 | |
| CT scan of the leg without contrast |
— |
$2,112 |
$186 |
$130 | |
| CT scan of the lower back (lumbar spine) |
— |
$4,725 |
$231 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
— |
$4,725 |
$186 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
— |
$5,155 |
$460 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
— |
$2,873 |
$138 |
$130 | |
| CT scan of the neck |
— |
$3,067 |
$179 |
$183 | |
| CT scan of the neck (cervical spine) |
— |
$4,310 |
$246 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
— |
$4,310 |
$205 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
— |
$5,155 |
$356 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
— |
$3,329 |
$217 |
$131 | |
| CT scan of the neck with and without contrast |
— |
$4,165 |
$205 |
$220 | |
| CT scan of the neck with contrast |
— |
$3,067 |
$205 |
$183 | |
| CT scan of the neck without contrast |
— |
$2,550 |
$115 |
$150 | |
| CT scan of the pelvis |
— |
$3,521 |
$179 |
$226 | |
| CT scan of the pelvis with and without contrast |
— |
$3,646 |
$231 |
$251 | |
| CT scan of the pelvis with contrast |
— |
$3,521 |
$186 |
$226 | |
| CT scan of the pelvis without contrast |
— |
$2,556 |
$138 |
$133 | |
| CT scan of the sinuses |
— |
$3,072 |
$179 |
$152 | |
| CT scan of the sinuses with and without contrast |
— |
$3,589 |
$183 |
$184 | |
| CT scan of the sinuses with contrast |
— |
$3,072 |
$205 |
$152 | |
| CT scan of the sinuses without contrast |
— |
$2,517 |
$119 |
$128 | |
| Defibrillator (ICD) implant |
— |
$350,032 |
$27,204 |
$798 | |
| Diagnostic mammogram |
— |
$730 |
$75 |
$140 | |
| Dialysis fistula creation |
— |
$30,161 |
$2,634 |
$601 | |
| Dilation and curettage (D&C) |
— |
$26,961 |
$1,629 |
$298 | |
| Ear tubes (myringotomy) |
— |
$14,605 |
$1,195 |
$174 | |
| Eardrum repair (tympanoplasty) |
— |
$29,315 |
$3,141 |
$799 | |
| Echocardiogram |
— |
$3,080 |
$242 |
$138 | |
| Echocardiogram with and without contrast |
— |
$3,080 |
$242 |
$101 | |
| Echocardiogram without contrast |
— |
$3,080 |
$242 |
$138 | |
| EKG / ECG (tracing only) |
— |
$747 |
— |
$7 | |
| Electrocardiogram (EKG) |
— |
$747 |
— |
$8 | |
| Epidural steroid injection |
— |
$6,837 |
$721 |
$275 | |
| Esophageal dilation |
— |
$8,695 |
$824 |
$522 | |
| Eyelid surgery (blepharoplasty) |
— |
$15,475 |
$1,407 |
$552 | |
| Facet joint injection (spine) |
— |
$3,429 |
$422 |
$99 | |
| Feeding tube (PEG) placement |
— |
$16,937 |
$1,243 |
$178 | |
| Femoral hernia repair |
— |
$26,072 |
$2,362 |
$584 | |
| Flexible sigmoidoscopy |
— |
$8,505 |
$659 |
$323 | |
| Foreign body removal (skin) |
— |
$6,148 |
$349 |
$157 | |
| Gallbladder removal (laparoscopic) |
— |
$52,475 |
$4,097 |
$658 | |
| Ganglion cyst removal |
— |
$14,996 |
$1,528 |
$321 | |
| Hammertoe repair |
— |
$29,953 |
$1,578 |
$548 | |
| Hip arthroscopy |
— |
$65,077 |
$4,344 |
$931 | |
| Hip fracture repair |
— |
$23,030 |
$3,758 |
$1,120 | |
| Hip replacement |
— |
$87,779 |
$7,516 |
$1,162 | |
| Hydrocele repair |
— |
$33,652 |
$2,362 |
$315 | |
| Hysterectomy |
— |
$34,953 |
$2,049 |
$933 | |
| Hysteroscopy |
— |
$26,961 |
$1,629 |
$1,270 | |
| Ileostomy |
— |
$25,510 |
$459 |
$968 | |
| Incisional hernia repair |
— |
$33,652 |
$2,186 |
— | |
| Inguinal hernia repair |
— |
$33,652 |
$2,674 |
$538 | |
| IUD insertion |
— |
$5,032 |
$187 |
— | |
| IUD removal |
— |
$6,148 |
$311 |
$112 | |
| IVC filter placement |
— |
$49,971 |
$3,123 |
$1,885 | |
| Joint aspiration (small/intermediate) |
— |
$3,306 |
$314 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
— |
$3,306 |
$359 |
$57 | |
| Joint aspiration or injection (small joint) |
— |
$2,826 |
$314 |
$56 | |
| Kidney biopsy |
— |
$18,374 |
$4,139 |
$492 | |
| Kidney stone shock-wave (lithotripsy) |
— |
$33,419 |
$3,601 |
$760 | |
| Kidney ultrasound |
— |
$1,503 |
$106 |
$84 | |
| Kidney ultrasound (limited) |
— |
$1,503 |
$106 |
$61 | |
| Knee arthroscopy |
— |
$29,953 |
$2,100 |
$524 | |
| Knee joint injection |
— |
$3,812 |
$295 |
$69 | |
| Laminectomy (spine) |
— |
$65,077 |
$3,617 |
$1,157 | |
| Leg artery angiogram |
— |
$30,161 |
$2,559 |
$149 | |
| Leg artery angioplasty |
— |
$81,910 |
$5,539 |
— | |
| Leg vein ultrasound (Doppler) |
— |
$3,082 |
$190 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
— |
$2,115 |
$135 |
$116 | |
| Liver biopsy |
— |
$17,040 |
$1,243 |
$288 | |
| Lumbar discectomy |
— |
$65,077 |
$3,617 |
$898 | |
| Lumpectomy (breast) |
— |
$44,137 |
$2,783 |
$750 | |
| Lung function test (PFT) |
— |
$1,816 |
$512 |
$37 | |
| Mastectomy |
— |
$56,121 |
$2,554 |
$1,021 | |
| Mastoidectomy |
— |
$29,578 |
$3,100 |
$840 | |
| Meniscus repair (knee) |
— |
$29,953 |
$2,100 |
$714 | |
| MRA of the brain |
— |
$6,155 |
$242 |
$226 | |
| MRA of the neck |
— |
$9,215 |
$357 |
$245 | |
| MRA of the neck with contrast |
— |
$9,215 |
$357 |
$245 | |
| MRA of the neck without contrast |
— |
$11,818 |
$365 |
$343 | |
| MRI of the abdomen |
— |
$8,479 |
$322 |
$300 | |
| MRI of the abdomen without contrast |
— |
$7,218 |
$242 |
$194 | |
| MRI of the ankle |
— |
$5,282 |
$285 |
$261 | |
| MRI of the ankle with contrast |
— |
$6,009 |
$357 |
$261 | |
| MRI of the ankle without contrast |
— |
$5,282 |
$242 |
$222 | |
| MRI of the brain |
— |
$7,403 |
$357 |
$269 | |
| MRI of the brain with contrast |
— |
$7,403 |
$357 |
$269 | |
| MRI of the brain without contrast |
— |
$6,450 |
$242 |
$195 | |
| MRI of the chest |
— |
$6,830 |
$242 |
$371 | |
| MRI of the knee |
— |
$5,282 |
$263 |
$315 | |
| MRI of the knee with contrast |
— |
$9,241 |
$427 |
$315 | |
| MRI of the knee without contrast |
— |
$5,282 |
$242 |
$204 | |
| MRI of the lower back (lumbar spine) |
— |
$7,012 |
$357 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
— |
$6,924 |
$357 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
— |
$7,012 |
$242 |
$192 | |
| MRI of the mid-back (thoracic spine) |
— |
$7,012 |
$357 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
— |
$8,885 |
$357 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
— |
$7,012 |
$357 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
— |
$3,080 |
$242 |
$190 | |
| MRI of the neck (cervical spine) |
— |
$7,224 |
$264 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
— |
$8,461 |
$357 |
$318 | |
| MRI of the neck (cervical spine) without contrast |
— |
$5,987 |
$242 |
$191 | |
| MRI of the pelvis |
— |
$7,731 |
$317 |
$268 | |
| MRI of the pelvis without contrast |
— |
$6,830 |
$242 |
$227 | |
| MRI of the shoulder |
— |
$6,551 |
$317 |
$313 | |
| MRI of the shoulder with contrast |
— |
$9,241 |
$790 |
$313 | |
| MRI of the shoulder without contrast |
— |
$5,354 |
$242 |
$205 | |
| MRI of the wrist |
— |
$4,718 |
$286 |
$330 | |
| MRI of the wrist with contrast |
— |
$5,621 |
$357 |
$330 | |
| MRI of the wrist without contrast |
— |
$4,718 |
$242 |
$303 | |
| Neck (cervical) spinal fusion |
— |
$124,683 |
$3,758 |
$1,410 | |
| Occupational therapy evaluation |
— |
$333 |
$347 |
$101 | |
| Occupational therapy evaluation (low complexity) |
— |
$333 |
$347 |
$101 | |
| Orthopedic hardware removal |
— |
$27,155 |
$2,007 |
$632 | |
| Ovarian cyst removal |
— |
$47,108 |
$3,013 |
$698 | |
| Pelvic ultrasound |
— |
$1,503 |
$106 |
$78 | |
| Pelvic ultrasound (complete) |
— |
$1,503 |
$106 |
$105 | |
| Pelvic ultrasound (limited) |
— |
$1,503 |
$106 |
$51 | |
| Physical therapy evaluation |
— |
$284 |
$512 |
$98 | |
| Physical therapy evaluation (high complexity) |
— |
$312 |
$512 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
— |
$284 |
$1,134 |
$98 | |
| Pilonidal cyst removal |
— |
$27,155 |
$1,618 |
$541 | |
| Prostate biopsy |
— |
$19,864 |
$781 |
— | |
| Radiofrequency nerve ablation |
— |
$18,628 |
$1,469 |
$462 | |
| Rotator cuff repair |
— |
$65,077 |
$3,442 |
$792 | |
| Sacroiliac joint injection |
— |
$6,148 |
$121 |
$176 | |
| Screening mammogram |
— |
$677 |
$69 |
$126 | |
| Scrotal ultrasound |
— |
$1,503 |
$106 |
$99 | |
| Septoplasty (deviated septum) |
— |
$25,476 |
$1,679 |
$613 | |
| Shoulder arthroscopy |
— |
$65,077 |
$3,733 |
$962 | |
| Shoulder replacement |
— |
$124,294 |
$7,516 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
— |
$6,148 |
$163 |
$114 | |
| Simple wound stitches |
— |
$6,148 |
$163 |
$127 | |
| Sinus surgery (endoscopic) |
— |
$41,212 |
$3,758 |
$224 | |
| Skin biopsy |
— |
$4,819 |
$420 |
$121 | |
| Skin biopsy (punch) |
— |
$3,490 |
$415 |
$121 | |
| Skin cancer lesion removal |
— |
$6,615 |
$426 |
$240 | |
| Skin graft |
— |
$23,928 |
$2,175 |
$898 | |
| Skin tag removal |
— |
$6,148 |
$163 |
$92 | |
| Soft tissue ultrasound |
— |
$1,503 |
$106 |
$64 | |
| Spinal cord stimulator |
— |
$68,274 |
$4,206 |
$2,388 | |
| Spinal tap (lumbar puncture) |
— |
$6,837 |
$573 |
$165 | |
| Spine fracture repair (kyphoplasty) |
— |
$65,077 |
$6,320 |
$5,803 | |
| Spirometry (lung function test) |
— |
$1,816 |
$512 |
$30 | |
| Testicle removal (orchiectomy) |
— |
$19,864 |
$2,142 |
$306 | |
| Thyroid removal (thyroidectomy) |
— |
$52,475 |
$3,680 |
$1,004 | |
| Thyroid ultrasound |
— |
$1,503 |
$106 |
$109 | |
| Tonsillectomy |
— |
$25,476 |
$1,900 |
$252 | |
| Transvaginal ultrasound |
— |
$1,503 |
$106 |
$118 | |
| Trigger finger release |
— |
$14,996 |
$1,077 |
$630 | |
| Trigger point injection |
— |
$6,148 |
$314 |
$56 | |
| Trigger point injection (1-2 muscles) |
— |
$6,148 |
$314 |
$52 | |
| Tubal ligation |
— |
$52,475 |
$3,450 |
$333 | |
| Turbinate reduction |
— |
$25,476 |
$1,679 |
$294 | |
| Ulnar nerve surgery (elbow) |
— |
$18,628 |
$1,413 |
$575 | |
| Umbilical hernia repair |
— |
$33,652 |
$2,186 |
— | |
| Upper GI endoscopy (EGD) |
— |
$8,695 |
$785 |
$371 | |
| Upper GI series (barium) |
— |
$2,695 |
$179 |
$128 | |
| Ureteral stent placement |
— |
$33,419 |
$1,748 |
$373 | |
| Ureteroscopy (stone removal) |
— |
$45,906 |
$3,113 |
$365 | |
| Vasectomy |
— |
$19,864 |
$1,612 |
$347 | |
| Vocal cord injection |
— |
$3,687 |
$1,711 |
$211 | |
| Wart removal |
— |
$6,148 |
$176 |
$121 | |
| Wound debridement |
— |
$4,970 |
$498 |
$186 | |
| Wrist fracture repair |
— |
$65,077 |
$4,345 |
$735 | |
| X-ray of the abdomen |
— |
$1,503 |
$124 |
$36 | |
| X-ray of the ankle |
— |
$832 |
$89 |
$37 | |
| X-ray of the collarbone |
— |
$832 |
$89 |
$33 | |
| X-ray of the elbow |
— |
$832 |
$89 |
$33 | |
| X-ray of the facial bones |
— |
$1,168 |
$107 |
$39 | |
| X-ray of the foot |
— |
$832 |
$89 |
$34 | |
| X-ray of the forearm |
— |
$832 |
$89 |
$29 | |
| X-ray of the hand |
— |
$832 |
$89 |
$38 | |
| X-ray of the hip |
— |
$832 |
$89 |
$49 | |
| X-ray of the hip (1 view) |
— |
$832 |
$89 |
$34 | |
| X-ray of the hip (3 views) |
— |
$832 |
$89 |
$49 | |
| X-ray of the knee |
— |
$832 |
$89 |
$42 | |
| X-ray of the knee (2 views) |
— |
$832 |
$89 |
$34 | |
| X-ray of the knee (3 views) |
— |
$832 |
$89 |
$42 | |
| X-ray of the knee (4+ views) |
— |
$1,503 |
$107 |
$49 | |
| X-ray of the lower back (lumbar spine) |
— |
$1,503 |
$107 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
— |
$1,503 |
$107 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
— |
$1,503 |
$107 |
$53 | |
| X-ray of the lower leg |
— |
$832 |
$89 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
— |
$1,503 |
$107 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
— |
$1,503 |
$107 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
— |
$1,503 |
$107 |
$39 | |
| X-ray of the neck (cervical spine) |
— |
$1,168 |
$90 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
— |
$832 |
$89 |
$40 | |
| X-ray of the pelvis |
— |
$1,503 |
$107 |
$36 | |
| X-ray of the pelvis (1 view) |
— |
$1,503 |
$107 |
$28 | |
| X-ray of the ribs |
— |
$1,503 |
$63 |
$42 | |
| X-ray of the ribs (2 views) |
— |
$832 |
$89 |
$36 | |
| X-ray of the ribs (3 views) |
— |
$1,503 |
$25 |
$42 | |
| X-ray of the shoulder |
— |
$832 |
$89 |
$36 | |
| X-ray of the skull |
— |
$1,503 |
$107 |
$40 | |
| X-ray of the upper arm |
— |
$832 |
$89 |
$32 | |
| X-ray of the wrist |
— |
$832 |
$89 |
$43 | |