| 3D mammogram (tomosynthesis) |
$163 |
$250 |
$105 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$2,369 |
$3,645 |
$1,279 |
$284 | |
| Abdominal ultrasound |
$1,275 |
$1,962 |
$692 |
$100 | |
| Abdominal ultrasound (complete) |
$1,479 |
$2,276 |
$813 |
$114 | |
| Abdominal ultrasound (limited) |
$1,071 |
$1,647 |
$641 |
$86 | |
| Abscess drainage (complex or multiple) |
$1,036 |
$1,594 |
$606 |
$220 | |
| Abscess drainage (simple) |
$906 |
$1,394 |
$512 |
$129 | |
| Abscess incision and drainage |
$971 |
$1,494 |
$530 |
$174 | |
| Albumin blood test |
$113 |
$174 |
$12 |
$5 | |
| Aldosterone test |
$28 |
$43 |
$34 |
$41 | |
| Alkaline phosphatase test |
$50 |
$77 |
$30 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$23 |
$35 |
$21 |
$17 | |
| ALT liver enzyme test |
$55 |
$84 |
$26 |
$5 | |
| Ammonia blood test |
$26 |
$40 |
$19 |
$15 | |
| Amylase test |
$27 |
$42 |
$20 |
$6 | |
| Antinuclear antibody (ANA) test |
$15 |
$23 |
$14 |
$12 | |
| Aortic aneurysm repair (AAA) |
$12,055 |
$18,546 |
$9,994 |
$1,345 | |
| Aortic valve replacement |
$64,738 |
$99,597 |
$45,281 |
$1,603 | |
| Arterial blood gas (ABG) |
$589 |
$906 |
$344 |
$26 | |
| AST liver enzyme test |
$50 |
$77 |
$30 |
$5 | |
| Barium swallow study |
$852 |
$1,311 |
$496 |
$107 | |
| Basic metabolic panel |
$439 |
$675 |
$257 |
$8 | |
| Benign skin lesion removal |
$891 |
$1,370 |
$759 |
$171 | |
| Bilirubin blood test |
$46 |
$70 |
$29 |
$5 | |
| Bladder function test (urodynamics) |
$1,951 |
$3,002 |
$1,161 |
$345 | |
| Blood clotting test (PT/INR) |
$124 |
$191 |
$13 |
$4 | |
| Blood crossmatch |
$164 |
$252 |
$151 |
— | |
| Blood glucose test |
$99 |
$152 |
$10 |
$5 | |
| Blood transfusion |
$851 |
$1,309 |
$525 |
$47 | |
| Blood type and screen |
$64 |
$98 |
$60 |
$10 | |
| Blood type test |
$36 |
$56 |
$43 |
$3 | |
| Blood type test (ABO group) |
$36 |
$56 |
$49 |
$3 | |
| Blood type test (Rh/D antigen) |
$36 |
$56 |
$43 |
$3 | |
| BNP (heart failure) test |
$317 |
$488 |
$180 |
$39 | |
| Bone density scan (DEXA) |
$546 |
$840 |
$319 |
$39 | |
| Bone marrow biopsy |
$6,498 |
$9,997 |
$3,337 |
$172 | |
| Bone scan (nuclear) |
$2,538 |
$3,905 |
$1,484 |
$259 | |
| Breast biopsy |
$7,028 |
$10,812 |
$2,210 |
$478 | |
| Breast MRI |
$3,578 |
$5,505 |
$2,557 |
$216 | |
| Breast MRI without contrast |
$3,578 |
$5,505 |
$2,056 |
$216 | |
| Breast ultrasound |
$645 |
$992 |
$209 |
$92 | |
| Breast ultrasound (complete) |
$716 |
$1,102 |
$230 |
$100 | |
| Breast ultrasound (limited) |
$573 |
$882 |
$183 |
$84 | |
| Burn dressing and debridement (medium) |
$729 |
$1,121 |
$419 |
$166 | |
| Burn dressing and debridement (small) |
$694 |
$1,067 |
$399 |
$93 | |
| Burn treatment |
$711 |
$1,094 |
$405 |
$129 | |
| C-reactive protein (CRP) |
$245 |
$377 |
$19 |
$5 | |
| CA 19-9 tumor marker test |
$244 |
$375 |
$23 |
$21 | |
| CA-125 ovarian marker test |
$21 |
$32 |
$23 |
$21 | |
| Calcium blood test |
$55 |
$84 |
$32 |
$5 | |
| Capsule endoscopy |
$2,485 |
$3,823 |
$1,365 |
$802 | |
| Cardiac ablation |
$29,766 |
$45,794 |
$27,476 |
$759 | |
| Cardiac catheterization |
$26,031 |
$40,048 |
$11,789 |
$1,049 | |
| Cardiac MRI |
$1,762 |
$2,712 |
$896 |
$322 | |
| Cardiac MRI without contrast |
$1,393 |
$2,143 |
$814 |
$280 | |
| Cardiac rehabilitation |
$332 |
$510 |
$194 |
$26 | |
| Cardiac stress test |
$1,851 |
$2,847 |
$1,082 |
$39 | |
| Cardioversion |
$2,098 |
$3,227 |
$1,226 |
$155 | |
| Carotid artery surgery |
$9,909 |
$15,245 |
$4,712 |
$1,026 | |
| Carotid artery ultrasound |
$1,601 |
$2,464 |
$791 |
$156 | |
| CEA tumor marker test |
$163 |
$251 |
$56 |
$19 | |
| Celiac disease test |
$24 |
$37 |
$13 |
$12 | |
| Central line placement |
$2,595 |
$3,993 |
$2,396 |
$238 | |
| Chemotherapy infusion |
$578 |
$890 |
$347 |
$81 | |
| Chemotherapy infusion (each additional) |
$308 |
$474 |
$246 |
$28 | |
| Chemotherapy infusion (first hour) |
$848 |
$1,305 |
$496 |
$133 | |
| Chest fluid drain (thoracentesis) |
$3,754 |
$5,775 |
$1,031 |
$311 | |
| Chest tube insertion |
$1,807 |
$2,780 |
$1,804 |
$143 | |
| Chest X-ray |
$550 |
$847 |
$199 |
$37 | |
| Chest X-ray (1 view) |
$419 |
$644 |
$173 |
$25 | |
| Chest X-ray (2 views) |
$308 |
$474 |
$198 |
$33 | |
| Chickenpox (varicella) vaccine |
$317 |
$488 |
$231 |
— | |
| CK-MB heart enzyme test |
$302 |
$464 |
$176 |
$12 | |
| Clotting time test (PTT) |
$131 |
$202 |
$20 |
$6 | |
| Complete blood count (CBC) |
$188 |
$289 |
$82 |
$7 | |
| Complete blood count (CBC) (complete) |
$253 |
$389 |
$90 |
$8 | |
| Complex wound repair |
$1,576 |
$2,425 |
$985 |
$390 | |
| Comprehensive metabolic panel |
$766 |
$1,178 |
$448 |
$11 | |
| Copper blood test |
$16 |
$24 |
$14 |
$12 | |
| Coronary CT angiography |
$2,103 |
$3,236 |
$1,230 |
$326 | |
| Cortisol test |
$424 |
$652 |
$248 |
$16 | |
| COVID-19 PCR test |
$119 |
$183 |
$72 |
$51 | |
| CPAP titration study |
$302 |
$465 |
$258 |
$69 | |
| Creatine kinase (CK) test |
$55 |
$85 |
$32 |
$7 | |
| CT angiography of the chest |
$4,726 |
$7,271 |
$2,806 |
$281 | |
| CT angiography of the head |
$2,640 |
$4,061 |
$1,450 |
$274 | |
| CT scan of the abdomen |
$3,342 |
$5,141 |
$1,994 |
$230 | |
| CT scan of the abdomen and pelvis |
$5,964 |
$9,176 |
$3,578 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$7,831 |
$12,048 |
$4,301 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$5,964 |
$9,176 |
$3,680 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$5,537 |
$8,519 |
$3,416 |
$183 | |
| CT scan of the abdomen with and without contrast |
$4,434 |
$6,821 |
$2,435 |
$259 | |
| CT scan of the abdomen with contrast |
$3,342 |
$5,141 |
$1,956 |
$230 | |
| CT scan of the abdomen without contrast |
$3,195 |
$4,915 |
$1,871 |
$136 | |
| CT scan of the arm |
$2,765 |
$4,254 |
$1,564 |
$199 | |
| CT scan of the arm with contrast |
$2,765 |
$4,254 |
$1,579 |
$199 | |
| CT scan of the arm without contrast |
$2,354 |
$3,622 |
$1,398 |
$161 | |
| CT scan of the chest |
$3,786 |
$5,824 |
$1,877 |
$167 | |
| CT scan of the chest with and without contrast |
$3,786 |
$5,824 |
$2,213 |
$196 | |
| CT scan of the chest with contrast |
$3,836 |
$5,902 |
$2,137 |
$167 | |
| CT scan of the chest without contrast |
$2,914 |
$4,483 |
$1,730 |
$133 | |
| CT scan of the head |
$3,653 |
$5,620 |
$1,904 |
$148 | |
| CT scan of the head with and without contrast |
$4,622 |
$7,110 |
$2,574 |
$173 | |
| CT scan of the head with contrast |
$3,653 |
$5,620 |
$2,034 |
$148 | |
| CT scan of the head without contrast |
$3,257 |
$5,011 |
$1,814 |
$107 | |
| CT scan of the leg |
$2,683 |
$4,127 |
$1,514 |
$166 | |
| CT scan of the leg with contrast |
$2,683 |
$4,127 |
$1,533 |
$166 | |
| CT scan of the leg without contrast |
$2,423 |
$3,728 |
$1,360 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$3,710 |
$5,708 |
$2,078 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$4,364 |
$6,714 |
$2,494 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$3,710 |
$5,708 |
$2,120 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$3,283 |
$5,050 |
$1,949 |
$130 | |
| CT scan of the neck |
$3,583 |
$5,513 |
$1,999 |
$183 | |
| CT scan of the neck (cervical spine) |
$3,619 |
$5,568 |
$2,043 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$4,159 |
$6,398 |
$2,469 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$3,459 |
$5,321 |
$1,926 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$3,619 |
$5,568 |
$2,016 |
$131 | |
| CT scan of the neck with and without contrast |
$4,092 |
$6,296 |
$2,279 |
$220 | |
| CT scan of the neck with contrast |
$3,583 |
$5,513 |
$2,098 |
$183 | |
| CT scan of the neck without contrast |
$3,329 |
$5,121 |
$1,828 |
$150 | |
| CT scan of the pelvis |
$3,381 |
$5,201 |
$1,898 |
$226 | |
| CT scan of the pelvis with and without contrast |
$3,696 |
$5,686 |
$2,194 |
$251 | |
| CT scan of the pelvis with contrast |
$3,381 |
$5,201 |
$1,978 |
$226 | |
| CT scan of the pelvis without contrast |
$3,044 |
$4,683 |
$1,783 |
$133 | |
| CT scan of the sinuses |
$3,522 |
$5,418 |
$1,987 |
$152 | |
| CT scan of the sinuses with and without contrast |
$3,688 |
$5,674 |
$2,189 |
$184 | |
| CT scan of the sinuses with contrast |
$3,522 |
$5,418 |
$2,091 |
$152 | |
| CT scan of the sinuses without contrast |
$3,181 |
$4,894 |
$1,772 |
$128 | |
| D-dimer test |
$415 |
$638 |
$242 |
$10 | |
| Defibrillator (ICD) implant |
$29,780 |
$45,815 |
$27,489 |
$798 | |
| Developmental screening (child) |
$259 |
$399 |
$279 |
— | |
| DHEA-sulfate test |
$23 |
$35 |
$22 |
$22 | |
| Diagnostic mammogram |
$496 |
$764 |
$277 |
$140 | |
| Dialysis fistula creation |
$14,380 |
$22,123 |
$6,460 |
$601 | |
| Drug screen (urine) |
$117 |
$180 |
$68 |
$17 | |
| Echocardiogram |
$2,232 |
$3,434 |
$668 |
$138 | |
| Echocardiogram with and without contrast |
$852 |
$1,310 |
$498 |
$101 | |
| Echocardiogram without contrast |
$2,232 |
$3,434 |
$1,283 |
$138 | |
| EEG (awake and asleep) |
$1,253 |
$1,927 |
$732 |
$482 | |
| EKG / ECG (tracing only) |
$266 |
$409 |
$171 |
$7 | |
| Electrocardiogram (EKG) |
$266 |
$409 |
$171 |
$8 | |
| Electroencephalogram (EEG) |
$1,253 |
$1,927 |
$732 |
$448 | |
| Electrolyte panel |
$218 |
$336 |
$128 |
$7 | |
| Electromyography (EMG) |
$409 |
$629 |
$239 |
$141 | |
| Emergency department visit |
$1,179 |
$1,814 |
$697 |
$69 | |
| Emergency department visit (level 1) |
$510 |
$785 |
$353 |
$11 | |
| Emergency department visit (level 2) |
$699 |
$1,075 |
$484 |
$40 | |
| Emergency department visit (level 3) |
$1,179 |
$1,814 |
$816 |
$69 | |
| Emergency department visit (level 4) |
$1,589 |
$2,444 |
$1,089 |
$118 | |
| Emergency department visit (level 5) |
$1,893 |
$2,912 |
$1,284 |
$171 | |
| Endometrial biopsy |
$432 |
$664 |
$299 |
$98 | |
| Epidural steroid injection |
$3,464 |
$5,329 |
$1,673 |
$275 | |
| ERCP (bile duct endoscopy) |
$5,441 |
$8,371 |
$4,269 |
$311 | |
| Esophageal dilation |
$1,422 |
$2,187 |
$1,312 |
$522 | |
| Estradiol (estrogen) test |
$31 |
$48 |
$31 |
$28 | |
| Fallopian tube X-ray (HSG) |
$978 |
$1,504 |
$575 |
$164 | |
| Fecal occult blood (stool) test |
$88 |
$136 |
$52 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$88 |
$136 |
$52 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$88 |
$136 |
$52 |
$16 | |
| Feeding tube (PEG) placement |
$3,712 |
$5,710 |
$2,204 |
$178 | |
| Ferritin (iron) test |
$340 |
$523 |
$199 |
$14 | |
| Fibrinogen test |
$332 |
$510 |
$194 |
$10 | |
| Flu test |
$122 |
$188 |
$71 |
$17 | |
| Folate (folic acid) test |
$163 |
$251 |
$95 |
$15 | |
| Foreign body removal (skin) |
$861 |
$1,325 |
$538 |
$157 | |
| Free T4 thyroid test |
$142 |
$219 |
$83 |
$9 | |
| FSH hormone test |
$18 |
$28 |
$20 |
$19 | |
| Gallbladder scan (HIDA) |
$2,038 |
$3,135 |
$1,191 |
$334 | |
| GGT liver test |
$46 |
$70 |
$28 |
$7 | |
| Glucose tolerance test |
$213 |
$328 |
$85 |
$8 | |
| HDL cholesterol test |
$55 |
$84 |
$31 |
$8 | |
| Hematocrit test |
$62 |
$96 |
$27 |
$2 | |
| Hemodialysis |
$2,859 |
$4,398 |
$1,671 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$309 |
$476 |
$181 |
$10 | |
| Hepatitis A vaccine |
$135 |
$208 |
$98 |
— | |
| Hepatitis B test |
$29 |
$45 |
$13 |
$10 | |
| Hepatitis B vaccine |
$120 |
$185 |
$70 |
— | |
| Hepatitis C test |
$245 |
$377 |
$40 |
$14 | |
| HIV test |
$245 |
$377 |
$47 |
$19 | |
| HIV test (antibody) |
$245 |
$377 |
$22 |
$14 | |
| HIV test (antigen/antibody combo) |
$245 |
$377 |
$143 |
$24 | |
| Holter heart monitor |
$1,414 |
$2,175 |
$827 |
$26 | |
| HPV vaccine |
$439 |
$676 |
$319 |
— | |
| Iron blood test |
$55 |
$84 |
$36 |
$6 | |
| IV infusion therapy |
$330 |
$508 |
$244 |
$44 | |
| IV infusion therapy (each additional) |
$200 |
$307 |
$157 |
$21 | |
| IV infusion therapy (initial) |
$461 |
$709 |
$253 |
$67 | |
| IVC filter placement |
$8,944 |
$13,760 |
$6,334 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$1,011 |
$1,556 |
$542 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$1,180 |
$1,816 |
$666 |
$57 | |
| Joint aspiration or injection (small joint) |
$842 |
$1,296 |
$476 |
$56 | |
| Kidney biopsy |
$4,581 |
$7,047 |
$1,897 |
$492 | |
| Kidney scan (nuclear) |
$2,234 |
$3,437 |
$1,306 |
$172 | |
| Kidney ultrasound |
$1,060 |
$1,631 |
$648 |
$84 | |
| Kidney ultrasound (limited) |
$1,106 |
$1,701 |
$652 |
$61 | |
| Knee joint injection |
$1,073 |
$1,650 |
$627 |
$69 | |
| Lactate test |
$352 |
$541 |
$36 |
$12 | |
| LDH test |
$121 |
$186 |
$42 |
$6 | |
| LDL cholesterol test |
$196 |
$301 |
$114 |
$11 | |
| Leg artery angiogram |
$6,562 |
$10,095 |
$4,200 |
$149 | |
| Leg artery angioplasty |
$35,826 |
$55,117 |
$16,836 |
— | |
| Leg vein ultrasound (Doppler) |
$996 |
$1,532 |
$549 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$856 |
$1,317 |
$488 |
$116 | |
| LH hormone test |
$197 |
$303 |
$20 |
$19 | |
| Lipase test |
$131 |
$201 |
$30 |
$7 | |
| Lipid (cholesterol) panel |
$38 |
$59 |
$26 |
$13 | |
| Liver biopsy |
$2,777 |
$4,273 |
$1,884 |
$288 | |
| Liver function panel |
$266 |
$409 |
$170 |
$8 | |
| Lung function test (PFT) |
$535 |
$823 |
$241 |
$37 | |
| Lung scan (V/Q) |
$3,836 |
$5,901 |
$2,242 |
$291 | |
| Magnesium blood test |
$14 |
$22 |
$9 |
$7 | |
| MMR vaccine |
$160 |
$246 |
$116 |
— | |
| MRA of the brain |
$3,396 |
$5,224 |
$1,765 |
$226 | |
| MRA of the brain with contrast |
$3,396 |
$5,224 |
$1,951 |
$226 | |
| MRA of the brain without contrast |
$4,245 |
$6,530 |
$2,481 |
$328 | |
| MRA of the neck |
$2,213 |
$3,405 |
$1,216 |
$245 | |
| MRA of the neck with contrast |
$2,213 |
$3,405 |
$1,294 |
$245 | |
| MRA of the neck without contrast |
$2,765 |
$4,254 |
$1,617 |
$343 | |
| MRI of the abdomen |
$3,765 |
$5,793 |
$2,201 |
$300 | |
| MRI of the abdomen with contrast |
$3,765 |
$5,793 |
$2,164 |
$300 | |
| MRI of the abdomen without contrast |
$3,648 |
$5,612 |
$2,133 |
$194 | |
| MRI of the ankle |
$3,082 |
$4,741 |
$1,802 |
$261 | |
| MRI of the ankle with contrast |
$3,082 |
$4,741 |
$1,802 |
$261 | |
| MRI of the ankle without contrast |
$2,958 |
$4,551 |
$1,729 |
$222 | |
| MRI of the brain |
$3,901 |
$6,001 |
$2,220 |
$269 | |
| MRI of the brain with contrast |
$3,901 |
$6,001 |
$2,280 |
$269 | |
| MRI of the brain without contrast |
$3,469 |
$5,337 |
$2,028 |
$195 | |
| MRI of the chest |
$3,657 |
$5,626 |
$2,199 |
$371 | |
| MRI of the chest with contrast |
$3,657 |
$5,626 |
$2,138 |
$371 | |
| MRI of the chest without contrast |
$4,551 |
$7,002 |
$2,661 |
$466 | |
| MRI of the knee |
$4,428 |
$6,812 |
$2,299 |
$315 | |
| MRI of the knee with contrast |
$4,428 |
$6,812 |
$2,589 |
$315 | |
| MRI of the knee without contrast |
$3,592 |
$5,526 |
$2,100 |
$204 | |
| MRI of the lower back (lumbar spine) |
$4,029 |
$6,198 |
$2,357 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$4,029 |
$6,198 |
$2,355 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$3,775 |
$5,808 |
$2,207 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$4,123 |
$6,343 |
$2,358 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$4,832 |
$7,434 |
$2,825 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$4,123 |
$6,343 |
$2,369 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$3,775 |
$5,808 |
$2,207 |
$190 | |
| MRI of the neck (cervical spine) |
$3,951 |
$6,078 |
$2,381 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$4,779 |
$7,352 |
$2,794 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$3,951 |
$6,078 |
$2,310 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$3,812 |
$5,864 |
$2,228 |
$191 | |
| MRI of the pelvis |
$3,424 |
$5,268 |
$1,980 |
$268 | |
| MRI of the pelvis with contrast |
$3,424 |
$5,268 |
$2,002 |
$268 | |
| MRI of the pelvis without contrast |
$3,249 |
$4,999 |
$1,900 |
$227 | |
| MRI of the shoulder |
$3,843 |
$5,912 |
$2,136 |
$313 | |
| MRI of the shoulder with contrast |
$3,843 |
$5,912 |
$2,247 |
$313 | |
| MRI of the shoulder without contrast |
$3,305 |
$5,085 |
$1,932 |
$205 | |
| MRI of the wrist |
$3,192 |
$4,910 |
$1,753 |
$330 | |
| MRI of the wrist with contrast |
$3,192 |
$4,910 |
$1,866 |
$330 | |
| MRI of the wrist without contrast |
$2,776 |
$4,270 |
$1,623 |
$303 | |
| Nebulizer breathing treatment |
$193 |
$297 |
$150 |
$9 | |
| Nerve conduction study |
$495 |
$762 |
$269 |
$118 | |
| Nuchal translucency ultrasound |
$413 |
$635 |
$249 |
$116 | |
| Nuclear cardiac stress test |
$6,572 |
$10,110 |
$2,953 |
$428 | |
| Occupational therapy evaluation |
$391 |
$602 |
$244 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$587 |
$903 |
$398 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$261 |
$402 |
$177 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$391 |
$602 |
$265 |
$101 | |
| Office visit (established patient) |
$653 |
$1,005 |
$242 |
$115 | |
| Office visit (new patient) |
$747 |
$1,149 |
$309 |
$177 | |
| Office visit, established patient (level 3) |
$547 |
$841 |
$230 |
$95 | |
| Office visit, established patient (level 4) |
$760 |
$1,169 |
$254 |
$136 | |
| Office visit, new patient (level 3) |
$478 |
$735 |
$279 |
$118 | |
| Office visit, new patient (level 4) |
$747 |
$1,149 |
$291 |
$177 | |
| Office visit, new patient (level 5) |
$771 |
$1,186 |
$365 |
$237 | |
| Pap smear (cervical screening) |
$42 |
$65 |
$29 |
$20 | |
| Parathyroid hormone (PTH) test |
$218 |
$335 |
$92 |
$41 | |
| Pelvic ultrasound |
$1,149 |
$1,767 |
$645 |
$78 | |
| Pelvic ultrasound (complete) |
$1,264 |
$1,945 |
$694 |
$105 | |
| Pelvic ultrasound (limited) |
$1,033 |
$1,589 |
$617 |
$51 | |
| PET scan |
$5,567 |
$8,565 |
$3,255 |
— | |
| Phosphorus blood test |
$55 |
$84 |
$32 |
$5 | |
| Physical therapy evaluation |
$391 |
$602 |
$167 |
$98 | |
| Physical therapy evaluation (high complexity) |
$587 |
$903 |
$337 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$391 |
$602 |
$225 |
$98 | |
| Platelet count |
$85 |
$130 |
$54 |
$4 | |
| Pneumonia vaccine |
$203 |
$312 |
$124 |
— | |
| Pregnancy blood test (hCG) |
$135 |
$208 |
$74 |
$8 | |
| Pregnancy ultrasound |
$719 |
$1,106 |
$422 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$687 |
$1,057 |
$411 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$751 |
$1,155 |
$456 |
$136 | |
| Procalcitonin test |
$57 |
$88 |
$35 |
$27 | |
| Prolactin test |
$24 |
$37 |
$21 |
$19 | |
| Prostate biopsy |
$1,929 |
$2,968 |
$1,241 |
— | |
| Prostate test (PSA) |
$313 |
$482 |
$20 |
$18 | |
| Pulmonary rehabilitation |
$186 |
$286 |
$109 |
$87 | |
| Radiofrequency nerve ablation |
$10,822 |
$16,649 |
$3,326 |
$462 | |
| Rheumatoid factor test |
$163 |
$251 |
$95 |
$6 | |
| RSV vaccine |
$499 |
$767 |
$362 |
— | |
| Sacroiliac joint injection |
$4,093 |
$6,297 |
$1,851 |
$176 | |
| Scoliosis spine X-ray |
$434 |
$667 |
$188 |
$58 | |
| Scoliosis spine X-ray (3 views) |
$434 |
$667 |
$188 |
$72 | |
| Screening mammogram |
$475 |
$731 |
$273 |
$126 | |
| Scrotal ultrasound |
$799 |
$1,229 |
$472 |
$99 | |
| Sedimentation rate (ESR) test |
$116 |
$179 |
$68 |
$3 | |
| Semen analysis |
$306 |
$470 |
$176 |
$12 | |
| Sex hormone binding globulin test |
$11 |
$17 |
$15 |
$22 | |
| Shingles vaccine |
$318 |
$489 |
$231 |
— | |
| Simple laceration repair (small, up to 2.5 cm) |
$576 |
$886 |
$337 |
$114 | |
| Simple wound stitches |
$576 |
$886 |
$337 |
$127 | |
| Skin biopsy |
$666 |
$1,024 |
$522 |
$121 | |
| Skin biopsy (punch) |
$666 |
$1,024 |
$467 |
$121 | |
| Skin cancer lesion removal |
$1,505 |
$2,315 |
$813 |
$240 | |
| Skin graft |
$2,855 |
$4,393 |
$2,359 |
$898 | |
| Skin tag removal |
$525 |
$807 |
$307 |
$92 | |
| Soft tissue ultrasound |
$252 |
$388 |
$147 |
$64 | |
| Speech therapy |
$409 |
$629 |
$239 |
$76 | |
| Spinal tap (lumbar puncture) |
$912 |
$1,403 |
$737 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$15,494 |
$23,837 |
$8,748 |
$5,803 | |
| Spirometry (lung function test) |
$171 |
$263 |
$143 |
$30 | |
| Spirometry with bronchodilator |
$899 |
$1,383 |
$526 |
$43 | |
| Stomach removal (gastrectomy) |
$6,530 |
$10,046 |
$4,199 |
$1,595 | |
| Stress echocardiogram |
$2,837 |
$4,365 |
$1,659 |
$209 | |
| Stress echocardiogram (complete) |
$2,837 |
$4,365 |
$1,659 |
$233 | |
| Swallow study |
$585 |
$900 |
$397 |
$85 | |
| T3 thyroid test |
$15 |
$23 |
$15 |
$14 | |
| Tdap (tetanus) vaccine |
$55 |
$85 |
$52 |
— | |
| Testosterone test |
$238 |
$366 |
$17 |
$26 | |
| Thyroid test (TSH) |
$21 |
$32 |
$19 |
$17 | |
| Thyroid ultrasound |
$659 |
$1,014 |
$412 |
$109 | |
| Thyroid uptake scan |
$1,331 |
$2,047 |
$536 |
$145 | |
| Tilt table test |
$1,957 |
$3,010 |
$1,193 |
$168 | |
| Total IgE allergy test |
$22 |
$34 |
$20 |
$16 | |
| Total protein test |
$7 |
$10 |
$5 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$2,646 |
$4,072 |
$1,665 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$3,032 |
$4,664 |
$1,772 |
$239 | |
| Transvaginal ultrasound |
$807 |
$1,242 |
$483 |
$118 | |
| Triglycerides test |
$55 |
$84 |
$32 |
$6 | |
| Troponin (heart) test |
$348 |
$535 |
$96 |
$12 | |
| Upper GI series (barium) |
$1,227 |
$1,888 |
$710 |
$128 | |
| Uric acid (gout) test |
$55 |
$84 |
$32 |
$5 | |
| Urinalysis |
$97 |
$149 |
$24 |
$3 | |
| Urine microalbumin test |
$121 |
$186 |
$14 |
$5 | |
| Urine pregnancy test |
$125 |
$193 |
$46 |
$9 | |
| Vaccine administration |
$111 |
$171 |
$83 |
$19 | |
| Vaccine administration (each additional) |
$111 |
$171 |
$87 |
$16 | |
| Varicose vein ablation |
$11,097 |
$17,072 |
$4,581 |
$1,018 | |
| Vitamin B12 test |
$163 |
$251 |
$95 |
$15 | |
| Vitamin D test |
$45 |
$69 |
$35 |
$30 | |
| Wart removal |
$369 |
$568 |
$228 |
$121 | |
| Wound debridement |
$1,545 |
$2,378 |
$893 |
$186 | |
| X-ray of the abdomen |
$640 |
$985 |
$285 |
$36 | |
| X-ray of the ankle |
$599 |
$922 |
$328 |
$37 | |
| X-ray of the collarbone |
$562 |
$865 |
$240 |
$33 | |
| X-ray of the elbow |
$598 |
$920 |
$327 |
$33 | |
| X-ray of the facial bones |
$522 |
$803 |
$317 |
$39 | |
| X-ray of the foot |
$522 |
$803 |
$328 |
$34 | |
| X-ray of the forearm |
$484 |
$744 |
$305 |
$29 | |
| X-ray of the hand |
$580 |
$893 |
$319 |
$38 | |
| X-ray of the hip |
$484 |
$744 |
$242 |
$49 | |
| X-ray of the hip (1 view) |
$415 |
$638 |
$216 |
$34 | |
| X-ray of the hip (3 views) |
$667 |
$1,026 |
$310 |
$49 | |
| X-ray of the hip (4 views) |
$484 |
$744 |
$310 |
$63 | |
| X-ray of the knee |
$522 |
$803 |
$300 |
$42 | |
| X-ray of the knee (2 views) |
$461 |
$709 |
$271 |
$34 | |
| X-ray of the knee (3 views) |
$522 |
$803 |
$313 |
$42 | |
| X-ray of the knee (4+ views) |
$662 |
$1,019 |
$358 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$544 |
$837 |
$336 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$522 |
$803 |
$334 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$566 |
$871 |
$364 |
$53 | |
| X-ray of the lower leg |
$484 |
$744 |
$302 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$623 |
$959 |
$319 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$725 |
$1,115 |
$310 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$522 |
$803 |
$334 |
$39 | |
| X-ray of the neck (cervical spine) |
$772 |
$1,187 |
$336 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$663 |
$1,020 |
$330 |
$40 | |
| X-ray of the pelvis |
$586 |
$902 |
$312 |
$36 | |
| X-ray of the pelvis (1 view) |
$651 |
$1,001 |
$310 |
$28 | |
| X-ray of the ribs |
$822 |
$1,264 |
$326 |
$42 | |
| X-ray of the ribs (2 views) |
$736 |
$1,133 |
$310 |
$36 | |
| X-ray of the ribs (3 views) |
$822 |
$1,264 |
$334 |
$42 | |
| X-ray of the shoulder |
$484 |
$744 |
$311 |
$36 | |
| X-ray of the skull |
$558 |
$858 |
$331 |
$40 | |
| X-ray of the upper arm |
$581 |
$894 |
$306 |
$32 | |
| X-ray of the wrist |
$522 |
$803 |
$330 |
$43 | |
| Zinc blood test |
$31 |
$48 |
$13 |
$11 | |