| Abdominal fluid drain (paracentesis) |
$2,940 |
$7,350 |
— |
$284 | |
| Abdominal ultrasound |
$334 |
$836 |
— |
$100 | |
| Abdominal ultrasound (complete) |
$796 |
$1,991 |
— |
$114 | |
| Abdominal ultrasound (limited) |
$306 |
$766 |
— |
$86 | |
| Abscess drainage (complex or multiple) |
$2,492 |
$6,189 |
— |
$220 | |
| Abscess drainage (simple) |
$2,363 |
$5,888 |
— |
$129 | |
| Abscess incision and drainage |
$2,428 |
$6,038 |
— |
$174 | |
| Achilles tendon repair |
$4,721 |
$11,802 |
— |
$624 | |
| Adenoid removal (adenoidectomy) |
$8,478 |
$21,194 |
— |
$204 | |
| Albumin blood test |
$39 |
$97 |
— |
$5 | |
| Aldosterone test |
$34 |
$86 |
— |
$41 | |
| Alkaline phosphatase test |
$64 |
$160 |
— |
$5 | |
| Alpha-fetoprotein (AFP) test |
$34 |
$86 |
— |
$17 | |
| ALT liver enzyme test |
$67 |
$168 |
— |
$5 | |
| Ammonia blood test |
$159 |
$398 |
— |
$15 | |
| Amylase test |
$108 |
$269 |
— |
$6 | |
| Anal fistula repair |
$11,222 |
$28,360 |
— |
$541 | |
| Ankle fracture repair |
$14,883 |
$37,207 |
— |
$608 | |
| Antinuclear antibody (ANA) test |
$167 |
$418 |
— |
$12 | |
| Arterial blood gas (ABG) |
$108 |
$270 |
— |
$26 | |
| AST liver enzyme test |
$54 |
$136 |
— |
$5 | |
| Barium swallow study |
$351 |
$877 |
— |
$107 | |
| Bartholin cyst removal |
$2,328 |
$5,718 |
— |
$182 | |
| Basic metabolic panel |
$52 |
$130 |
— |
$8 | |
| Bilirubin blood test |
$68 |
$170 |
— |
$5 | |
| Bladder scope (cystoscopy) |
$7,593 |
$18,982 |
— |
$216 | |
| Bladder tumor removal (TURBT) |
$16,059 |
$42,251 |
— |
$236 | |
| Blood clotting test (PT/INR) |
$30 |
$75 |
— |
$4 | |
| Blood crossmatch |
$170 |
$426 |
— |
— | |
| Blood glucose test |
$39 |
$97 |
— |
$5 | |
| Blood transfusion |
$586 |
$1,466 |
— |
$47 | |
| Blood type and screen |
$138 |
$344 |
— |
$10 | |
| Blood type test |
$120 |
$300 |
— |
$3 | |
| Blood type test (ABO group) |
$154 |
$385 |
— |
$3 | |
| Blood type test (Rh/D antigen) |
$86 |
$215 |
— |
$3 | |
| BNP (heart failure) test |
$78 |
$194 |
— |
$39 | |
| Bone marrow biopsy |
$2,030 |
$5,076 |
— |
$172 | |
| Bone scan (nuclear) |
$2,839 |
$7,098 |
— |
$259 | |
| Breast biopsy |
$5,995 |
$15,528 |
— |
$478 | |
| Breast MRI |
$1,985 |
$4,963 |
— |
$216 | |
| Breast MRI without contrast |
$1,985 |
$4,963 |
— |
$216 | |
| Breast ultrasound |
$195 |
$489 |
— |
$92 | |
| Breast ultrasound (complete) |
$204 |
$510 |
— |
$100 | |
| Breast ultrasound (limited) |
$169 |
$422 |
— |
$84 | |
| Breathing tube insertion (intubation) |
$1,896 |
$4,739 |
— |
$133 | |
| Bronchoscopy |
$4,217 |
$10,543 |
— |
$303 | |
| Burn dressing and debridement (medium) |
$509 |
$1,274 |
— |
$166 | |
| Burn dressing and debridement (small) |
$256 |
$639 |
— |
$93 | |
| Burn treatment |
$383 |
$956 |
— |
$129 | |
| C-reactive protein (CRP) |
$23 |
$58 |
— |
$5 | |
| CA 19-9 tumor marker test |
$52 |
$131 |
— |
$21 | |
| CA-125 ovarian marker test |
$42 |
$105 |
— |
$21 | |
| Calcium blood test |
$36 |
$91 |
— |
$5 | |
| Cardiac catheterization |
$20,233 |
$50,583 |
— |
$1,049 | |
| Cardiac rehabilitation |
$178 |
$446 |
— |
$26 | |
| Cardiac stress test |
$692 |
$866 |
— |
$39 | |
| Cardioversion |
$1,007 |
$2,517 |
— |
$155 | |
| Carotid artery ultrasound |
$806 |
$2,015 |
— |
$156 | |
| Carpal tunnel release |
$7,292 |
$18,102 |
— |
$483 | |
| CEA tumor marker test |
$82 |
$204 |
— |
$19 | |
| Celiac disease test |
$23 |
$57 |
— |
$12 | |
| Central line placement |
$3,574 |
$8,934 |
— |
$238 | |
| Cervical cerclage |
$11,098 |
$27,745 |
— |
$137 | |
| Cervical LEEP procedure |
$10,427 |
$26,068 |
— |
$325 | |
| Cesarean section (C-section) |
$15,655 |
$39,138 |
$8,097 |
$7,552 | |
| Chemotherapy infusion |
$960 |
$2,401 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$356 |
$891 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$1,564 |
$3,910 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$3,232 |
$8,079 |
— |
$311 | |
| Chest tube insertion |
$1,834 |
$4,584 |
— |
$143 | |
| Chest X-ray |
$211 |
$528 |
— |
$37 | |
| Chest X-ray (1 view) |
$172 |
$431 |
— |
$25 | |
| Chest X-ray (2 views) |
$318 |
$794 |
— |
$33 | |
| Circumcision |
$5,275 |
$13,761 |
— |
$167 | |
| CK-MB heart enzyme test |
$114 |
$285 |
— |
$12 | |
| Clotting time test (PTT) |
$67 |
$168 |
— |
$6 | |
| Colon resection (colectomy) |
$20,851 |
$52,129 |
$142 |
$1,238 | |
| Colonoscopy |
$5,207 |
$13,241 |
— |
$480 | |
| Complete blood count (CBC) |
$52 |
$131 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$55 |
$138 |
— |
$8 | |
| Complex wound repair |
$8,367 |
$20,917 |
— |
$390 | |
| Comprehensive metabolic panel |
$63 |
$158 |
— |
$11 | |
| Copper blood test |
$43 |
$108 |
— |
$12 | |
| Coronary CT angiography |
$1,219 |
$3,047 |
— |
$326 | |
| Cortisol test |
$90 |
$224 |
— |
$16 | |
| COVID-19 PCR test |
$102 |
$256 |
— |
$51 | |
| CPAP titration study |
$369 |
$923 |
— |
$69 | |
| Creatine kinase (CK) test |
$54 |
$136 |
— |
$7 | |
| CT angiography of the chest |
$1,660 |
$4,151 |
— |
$281 | |
| CT angiography of the head |
$3,867 |
$9,668 |
— |
$274 | |
| CT scan of the abdomen |
$2,125 |
$5,313 |
— |
$230 | |
| CT scan of the abdomen and pelvis |
$2,987 |
$7,468 |
— |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,570 |
$8,925 |
— |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,987 |
$7,468 |
— |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,608 |
$6,520 |
— |
$183 | |
| CT scan of the abdomen with and without contrast |
$3,405 |
$8,513 |
— |
$259 | |
| CT scan of the abdomen with contrast |
$2,125 |
$5,313 |
— |
$230 | |
| CT scan of the abdomen without contrast |
$1,370 |
$3,425 |
— |
$136 | |
| CT scan of the arm |
$1,269 |
$3,173 |
— |
$199 | |
| CT scan of the arm with contrast |
$1,269 |
$3,173 |
— |
$199 | |
| CT scan of the arm without contrast |
$1,122 |
$2,805 |
— |
$161 | |
| CT scan of the chest |
$1,892 |
$4,729 |
— |
$167 | |
| CT scan of the chest with and without contrast |
$2,255 |
$5,637 |
— |
$196 | |
| CT scan of the chest with contrast |
$1,892 |
$4,729 |
— |
$167 | |
| CT scan of the chest without contrast |
$1,662 |
$4,156 |
— |
$133 | |
| CT scan of the head |
$1,472 |
$3,681 |
— |
$148 | |
| CT scan of the head with and without contrast |
$1,714 |
$4,286 |
— |
$173 | |
| CT scan of the head with contrast |
$1,456 |
$3,640 |
— |
$148 | |
| CT scan of the head without contrast |
$1,461 |
$3,652 |
— |
$107 | |
| CT scan of the leg |
$990 |
$2,474 |
— |
$166 | |
| CT scan of the leg with contrast |
$880 |
$2,199 |
— |
$166 | |
| CT scan of the leg without contrast |
$781 |
$1,952 |
— |
$130 | |
| CT scan of the lower back (lumbar spine) |
$2,877 |
$7,192 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$3,425 |
$8,563 |
— |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$3,136 |
$7,840 |
— |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$2,592 |
$6,481 |
— |
$130 | |
| CT scan of the neck |
$2,590 |
$6,476 |
— |
$183 | |
| CT scan of the neck (cervical spine) |
$2,486 |
$6,216 |
— |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$3,400 |
$8,500 |
— |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$2,559 |
$6,398 |
— |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,502 |
$3,756 |
— |
$131 | |
| CT scan of the neck with and without contrast |
$3,117 |
$7,793 |
— |
$220 | |
| CT scan of the neck with contrast |
$2,590 |
$6,476 |
— |
$183 | |
| CT scan of the neck without contrast |
$2,288 |
$5,720 |
— |
$150 | |
| CT scan of the pelvis |
$1,732 |
$4,330 |
— |
$226 | |
| CT scan of the pelvis with and without contrast |
$3,539 |
$8,848 |
— |
$251 | |
| CT scan of the pelvis with contrast |
$1,732 |
$4,330 |
— |
$226 | |
| CT scan of the pelvis without contrast |
$1,506 |
$3,765 |
— |
$133 | |
| CT scan of the sinuses |
$962 |
$2,406 |
— |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,330 |
$3,324 |
— |
$184 | |
| CT scan of the sinuses with contrast |
$874 |
$2,184 |
— |
$152 | |
| CT scan of the sinuses without contrast |
$1,020 |
$2,551 |
— |
$128 | |
| D-dimer test |
$172 |
$431 |
— |
$10 | |
| Defibrillator (ICD) implant |
$35,344 |
$88,360 |
— |
$798 | |
| Developmental screening (child) |
$138 |
$345 |
— |
— | |
| DHEA-sulfate test |
$43 |
$108 |
— |
$22 | |
| Diagnostic mammogram |
$174 |
$436 |
— |
$140 | |
| Dialysis fistula creation |
$26,619 |
$66,547 |
— |
$601 | |
| Dilation and curettage (D&C) |
$10,310 |
$25,774 |
— |
$298 | |
| Drug screen (urine) |
$23 |
$58 |
— |
$17 | |
| Ear tubes (myringotomy) |
$6,390 |
$15,975 |
— |
$174 | |
| Echocardiogram |
$995 |
$2,380 |
— |
$138 | |
| Echocardiogram with and without contrast |
$440 |
$1,100 |
— |
$101 | |
| Echocardiogram without contrast |
$995 |
$2,488 |
— |
$138 | |
| EEG (awake and asleep) |
$708 |
$1,770 |
— |
$482 | |
| EKG / ECG (tracing only) |
$113 |
$283 |
— |
$7 | |
| Electrocardiogram (EKG) |
$113 |
$283 |
— |
$8 | |
| Electroencephalogram (EEG) |
$888 |
$2,220 |
— |
$448 | |
| Electrolyte panel |
$151 |
$378 |
— |
$7 | |
| Electromyography (EMG) |
$490 |
$1,226 |
— |
$141 | |
| Emergency department visit |
$570 |
$1,424 |
— |
$69 | |
| Emergency department visit (level 1) |
$252 |
$631 |
— |
$11 | |
| Emergency department visit (level 2) |
$382 |
$954 |
— |
$40 | |
| Emergency department visit (level 3) |
$570 |
$1,424 |
— |
$69 | |
| Emergency department visit (level 4) |
$979 |
$2,448 |
— |
$118 | |
| Emergency department visit (level 5) |
$1,715 |
$4,288 |
— |
$171 | |
| Estradiol (estrogen) test |
$52 |
$131 |
— |
$28 | |
| Fallopian tube X-ray (HSG) |
$393 |
$982 |
— |
$164 | |
| Family therapy session |
$333 |
$832 |
— |
$110 | |
| Fecal occult blood (stool) test |
$42 |
$105 |
— |
$10 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$42 |
$105 |
— |
$16 | |
| Feeding tube (PEG) placement |
$3,446 |
$8,616 |
— |
$178 | |
| Ferritin (iron) test |
$81 |
$203 |
— |
$14 | |
| Fibrinogen test |
$137 |
$343 |
— |
$10 | |
| Fibroid removal (myomectomy) |
$17,582 |
$43,956 |
$199 |
$914 | |
| Flexible sigmoidoscopy |
$4,662 |
$11,654 |
— |
$323 | |
| Flu test |
$118 |
$295 |
— |
$17 | |
| Folate (folic acid) test |
$146 |
$366 |
— |
$15 | |
| Foreign body removal (skin) |
$3,033 |
$7,505 |
— |
$157 | |
| Free T4 thyroid test |
$61 |
$153 |
— |
$9 | |
| FSH hormone test |
$126 |
$315 |
— |
$19 | |
| Gallbladder removal (laparoscopic) |
$21,717 |
$54,292 |
— |
$658 | |
| Gallbladder scan (HIDA) |
$2,225 |
$5,564 |
— |
$334 | |
| Ganglion cyst removal |
$9,607 |
$24,018 |
— |
$321 | |
| GGT liver test |
$60 |
$149 |
— |
$7 | |
| Glucose tolerance test |
$63 |
$158 |
— |
$8 | |
| Group therapy session |
$288 |
$721 |
— |
$30 | |
| H. pylori test |
$262 |
$656 |
— |
$67 | |
| Hammertoe repair |
$3,520 |
$8,801 |
— |
$548 | |
| HDL cholesterol test |
$57 |
$143 |
— |
$8 | |
| Hematocrit test |
$52 |
$131 |
— |
$2 | |
| Hemodialysis |
$1,713 |
$4,282 |
— |
$75 | |
| Hemoglobin A1c (diabetes test) |
$98 |
$245 |
— |
$10 | |
| Hepatitis B test |
$102 |
$256 |
— |
$10 | |
| Hepatitis C test |
$201 |
$502 |
— |
$14 | |
| Hip replacement |
$11,995 |
$29,989 |
— |
$1,162 | |
| HIV test |
$146 |
$366 |
— |
$19 | |
| HIV test (antibody) |
$146 |
$366 |
— |
$14 | |
| Holter heart monitor |
$320 |
$801 |
— |
$26 | |
| Hydrocele repair |
$13,533 |
$29,721 |
— |
$315 | |
| Hysterectomy |
$24,436 |
$61,090 |
$199 |
$933 | |
| Hysteroscopy |
$11,176 |
$28,387 |
— |
$1,270 | |
| Inguinal hernia repair |
$22,400 |
$56,000 |
— |
$538 | |
| Iron blood test |
$54 |
$134 |
— |
$6 | |
| IV infusion therapy |
$323 |
$808 |
— |
$44 | |
| IV infusion therapy (each additional) |
$162 |
$406 |
— |
$21 | |
| IV infusion therapy (initial) |
$484 |
$1,210 |
— |
$67 | |
| Joint aspiration (small/intermediate) |
$2,804 |
$7,011 |
— |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$2,804 |
$7,011 |
— |
$57 | |
| Kidney biopsy |
$3,876 |
$9,689 |
— |
$492 | |
| Kidney scan (nuclear) |
$1,223 |
$3,057 |
— |
$172 | |
| Kidney ultrasound |
$388 |
$971 |
— |
$84 | |
| Kidney ultrasound (limited) |
$312 |
$780 |
— |
$61 | |
| Knee arthroscopy |
$14,214 |
$35,535 |
— |
$524 | |
| Knee joint injection |
$2,608 |
$6,520 |
— |
$69 | |
| Knee replacement |
$37,726 |
$92,064 |
$24,927 |
$18,054 | |
| Lactate test |
$108 |
$271 |
— |
$12 | |
| Laminectomy (spine) |
$23,983 |
$59,958 |
— |
$1,157 | |
| LDH test |
$38 |
$95 |
— |
$6 | |
| LDL cholesterol test |
$34 |
$84 |
— |
$11 | |
| Leg artery angiogram |
$2,263 |
$5,657 |
— |
$149 | |
| Leg artery angioplasty |
$18,762 |
$41,112 |
— |
— | |
| Leg vein ultrasound (Doppler) |
$781 |
$1,953 |
— |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$763 |
$1,907 |
— |
$116 | |
| LH hormone test |
$126 |
$315 |
— |
$19 | |
| Lipase test |
$108 |
$269 |
— |
$7 | |
| Lipid (cholesterol) panel |
$94 |
$234 |
— |
$13 | |
| Liver biopsy |
$3,134 |
$7,368 |
— |
$288 | |
| Liver function panel |
$58 |
$146 |
— |
$8 | |
| Lower back (lumbar) spinal fusion |
$74,155 |
$185,388 |
— |
$1,511 | |
| Lumbar discectomy |
$33,854 |
$84,635 |
— |
$898 | |
| Lumpectomy (breast) |
$11,863 |
$29,657 |
— |
$750 | |
| Lung function test (PFT) |
$490 |
$1,225 |
— |
$37 | |
| Lung scan (V/Q) |
$1,165 |
$2,914 |
— |
$291 | |
| Magnesium blood test |
$55 |
$137 |
— |
$7 | |
| Mastectomy |
$10,347 |
$25,867 |
— |
$1,021 | |
| MRA of the brain |
$2,109 |
$5,274 |
— |
$226 | |
| MRA of the brain with contrast |
$2,209 |
$5,523 |
— |
$226 | |
| MRA of the neck |
$2,666 |
$6,666 |
— |
$245 | |
| MRA of the neck with contrast |
$2,556 |
$6,391 |
— |
$245 | |
| MRA of the neck without contrast |
$3,851 |
$9,627 |
— |
$343 | |
| MRI of the abdomen |
$2,259 |
$5,648 |
— |
$300 | |
| MRI of the abdomen with contrast |
$1,980 |
$4,951 |
— |
$300 | |
| MRI of the abdomen without contrast |
$2,259 |
$5,648 |
— |
$194 | |
| MRI of the ankle |
$2,836 |
$7,089 |
— |
$261 | |
| MRI of the ankle with contrast |
$2,716 |
$6,790 |
— |
$261 | |
| MRI of the ankle without contrast |
$3,280 |
$8,199 |
— |
$222 | |
| MRI of the brain |
$3,220 |
$8,049 |
— |
$269 | |
| MRI of the brain with contrast |
$3,220 |
$8,049 |
— |
$269 | |
| MRI of the brain without contrast |
$2,459 |
$6,148 |
— |
$195 | |
| MRI of the chest |
$3,444 |
$8,609 |
— |
$371 | |
| MRI of the chest without contrast |
$4,650 |
$11,625 |
— |
$466 | |
| MRI of the knee |
$3,548 |
$8,871 |
— |
$315 | |
| MRI of the knee with contrast |
$3,548 |
$8,871 |
— |
$315 | |
| MRI of the knee without contrast |
$3,548 |
$8,871 |
— |
$204 | |
| MRI of the lower back (lumbar spine) |
$4,006 |
$10,016 |
— |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$4,006 |
$10,016 |
— |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$3,318 |
$8,294 |
— |
$192 | |
| MRI of the mid-back (thoracic spine) |
$4,110 |
$10,274 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$6,646 |
$16,615 |
— |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$4,110 |
$10,274 |
— |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$3,404 |
$8,509 |
— |
$190 | |
| MRI of the neck (cervical spine) |
$4,049 |
$10,122 |
— |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$7,271 |
$18,178 |
— |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$4,049 |
$10,122 |
— |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$3,588 |
$8,970 |
— |
$191 | |
| MRI of the pelvis |
$2,446 |
$6,115 |
— |
$268 | |
| MRI of the pelvis with contrast |
$2,219 |
$5,548 |
— |
$268 | |
| MRI of the pelvis without contrast |
$2,446 |
$6,115 |
— |
$227 | |
| MRI of the shoulder |
$3,702 |
$9,255 |
— |
$313 | |
| MRI of the shoulder with contrast |
$3,578 |
$8,946 |
— |
$313 | |
| MRI of the shoulder without contrast |
$3,702 |
$9,255 |
— |
$205 | |
| MRI of the wrist |
$2,527 |
$6,318 |
— |
$330 | |
| MRI of the wrist with contrast |
$1,883 |
$4,708 |
— |
$330 | |
| MRI of the wrist without contrast |
$3,308 |
$8,271 |
— |
$303 | |
| Nebulizer breathing treatment |
$123 |
$307 |
— |
$9 | |
| Neck (cervical) spinal fusion |
$10,040 |
$24,476 |
— |
$1,410 | |
| Nerve conduction study |
$774 |
$1,936 |
— |
$118 | |
| Nuclear cardiac stress test |
$1,407 |
$3,517 |
— |
$428 | |
| Occupational therapy evaluation |
$220 |
$551 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$211 |
$528 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$211 |
$528 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$286 |
$715 |
— |
$101 | |
| Office visit (established patient) |
$243 |
$608 |
— |
$115 | |
| Office visit (new patient) |
$496 |
$1,239 |
— |
$177 | |
| Office visit, established patient (level 3) |
$192 |
$481 |
— |
$95 | |
| Office visit, established patient (level 4) |
$294 |
$735 |
— |
$136 | |
| Office visit, new patient (level 3) |
$342 |
$854 |
— |
$118 | |
| Office visit, new patient (level 4) |
$496 |
$1,239 |
— |
$177 | |
| Office visit, new patient (level 5) |
$637 |
$1,593 |
— |
$237 | |
| Orthopedic hardware removal |
$10,648 |
$26,620 |
— |
$632 | |
| Ovarian cyst removal |
$12,008 |
$30,021 |
— |
$698 | |
| Pacemaker insertion |
$37,102 |
$92,756 |
$18,039 |
$15,506 | |
| Pap smear (cervical screening) |
$150 |
$376 |
— |
$20 | |
| Parathyroid hormone (PTH) test |
$228 |
$571 |
— |
$41 | |
| Parathyroid removal |
$20,586 |
$51,466 |
— |
$891 | |
| Pelvic ultrasound |
$275 |
$688 |
— |
$78 | |
| Pelvic ultrasound (complete) |
$493 |
$1,233 |
— |
$105 | |
| Pelvic ultrasound (limited) |
$252 |
$631 |
— |
$51 | |
| PET scan |
$8,756 |
$21,890 |
— |
— | |
| Phosphorus blood test |
$39 |
$97 |
— |
$5 | |
| Physical therapy evaluation |
$307 |
$769 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$307 |
$769 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$307 |
$769 |
— |
$98 | |
| Pilonidal cyst removal |
$11,864 |
$29,660 |
— |
$541 | |
| Platelet count |
$36 |
$91 |
— |
$4 | |
| Pregnancy ultrasound |
$790 |
$1,976 |
— |
$126 | |
| Pregnancy ultrasound (first trimester) |
$790 |
$1,976 |
— |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$790 |
$1,976 |
— |
$136 | |
| Procalcitonin test |
$67 |
$167 |
— |
$27 | |
| Prolactin test |
$126 |
$315 |
— |
$19 | |
| Prostate biopsy |
$8,080 |
$20,200 |
— |
— | |
| Prostate surgery (TURP) |
$26,861 |
$59,781 |
— |
$526 | |
| Prostate test (PSA) |
$131 |
$327 |
— |
$18 | |
| Rheumatoid factor test |
$108 |
$270 |
— |
$6 | |
| Rotator cuff repair |
$8,330 |
$20,824 |
— |
$792 | |
| Scoliosis spine X-ray |
$205 |
$512 |
— |
$58 | |
| Scoliosis spine X-ray (3 views) |
$205 |
$512 |
— |
$72 | |
| Screening mammogram |
$321 |
$803 |
— |
$126 | |
| Scrotal ultrasound |
$895 |
$2,237 |
— |
$99 | |
| Sedimentation rate (ESR) test |
$90 |
$225 |
— |
$3 | |
| Semen analysis |
$169 |
$423 |
— |
$12 | |
| Septoplasty (deviated septum) |
$8,200 |
$20,501 |
— |
$613 | |
| Sex hormone binding globulin test |
$39 |
$97 |
— |
$22 | |
| Shoulder arthroscopy |
$13,465 |
$33,663 |
— |
$962 | |
| Shoulder replacement |
$46,288 |
$115,719 |
— |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$2,578 |
$6,430 |
— |
$114 | |
| Simple wound stitches |
$2,630 |
$6,467 |
— |
$127 | |
| Sinus surgery (endoscopic) |
$10,127 |
$25,316 |
— |
$224 | |
| Skin biopsy |
$558 |
$1,394 |
— |
$121 | |
| Skin biopsy (punch) |
$536 |
$1,340 |
— |
$121 | |
| Skin cancer lesion removal |
$3,396 |
$8,489 |
— |
$240 | |
| Skin graft |
$5,491 |
$13,726 |
— |
$898 | |
| Small bowel resection |
$20,851 |
$52,129 |
$142 |
$1,136 | |
| Soft tissue ultrasound |
$524 |
$1,311 |
— |
$64 | |
| Speech therapy |
$195 |
$487 |
— |
$76 | |
| Spinal cord stimulator |
$13,460 |
$33,649 |
— |
$2,388 | |
| Spinal tap (lumbar puncture) |
$2,221 |
$5,857 |
— |
$165 | |
| Spine fracture repair (kyphoplasty) |
$11,385 |
$28,463 |
— |
$5,803 | |
| Spirometry (lung function test) |
$476 |
$1,191 |
— |
$30 | |
| Spirometry with bronchodilator |
$505 |
$1,262 |
— |
$43 | |
| Strep throat test |
$173 |
$432 |
— |
$17 | |
| Stress echocardiogram |
$1,726 |
$4,133 |
— |
$209 | |
| Stress echocardiogram (complete) |
$1,728 |
$4,133 |
— |
$233 | |
| Swallow study |
$204 |
$510 |
— |
$85 | |
| T3 thyroid test |
$35 |
$87 |
— |
$14 | |
| Testicle removal (orchiectomy) |
$8,642 |
$19,903 |
— |
$306 | |
| Testosterone test |
$149 |
$372 |
— |
$26 | |
| Thyroid removal (thyroidectomy) |
$20,790 |
$51,974 |
— |
$1,004 | |
| Thyroid test (TSH) |
$86 |
$215 |
— |
$17 | |
| Thyroid ultrasound |
$525 |
$1,312 |
— |
$109 | |
| Thyroid uptake scan |
$702 |
$1,756 |
— |
$145 | |
| Tonsillectomy |
$10,714 |
$27,038 |
— |
$252 | |
| Total IgE allergy test |
$34 |
$86 |
— |
$16 | |
| Total protein test |
$68 |
$170 |
— |
$4 | |
| Transesophageal echocardiogram (TEE) |
$2,773 |
$6,933 |
— |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$2,773 |
$6,933 |
— |
$239 | |
| Transvaginal ultrasound |
$913 |
$2,282 |
— |
$118 | |
| Trigger finger release |
$7,011 |
$17,528 |
— |
$630 | |
| Triglycerides test |
$54 |
$136 |
— |
$6 | |
| Troponin (heart) test |
$92 |
$230 |
— |
$12 | |
| Tubal ligation |
$13,954 |
$34,886 |
— |
$333 | |
| Turbinate reduction |
$7,801 |
$19,503 |
— |
$294 | |
| Turning a breech baby (version) |
$430 |
$1,076 |
— |
$94 | |
| Ulnar nerve surgery (elbow) |
$7,480 |
$18,738 |
— |
$575 | |
| Upper GI endoscopy (EGD) |
$7,142 |
$13,696 |
— |
$371 | |
| Upper GI series (barium) |
$736 |
$1,841 |
— |
$128 | |
| Ureteral stent placement |
$12,034 |
$28,373 |
— |
$373 | |
| Ureteroscopy (stone removal) |
$16,801 |
$42,004 |
— |
$365 | |
| Uric acid (gout) test |
$52 |
$129 |
— |
$5 | |
| Urinalysis |
$52 |
$129 |
— |
$3 | |
| Urine microalbumin test |
$43 |
$107 |
— |
$5 | |
| Urine pregnancy test |
$72 |
$179 |
— |
$9 | |
| Vaccine administration |
$82 |
$204 |
— |
$19 | |
| Vaccine administration (each additional) |
$82 |
$204 |
— |
$16 | |
| Vaginal delivery |
$10,015 |
$25,037 |
$5,629 |
$5,487 | |
| Varicose vein ablation |
$5,916 |
$14,790 |
— |
$1,018 | |
| Vasectomy |
$11,439 |
$28,598 |
— |
$347 | |
| Vitamin B12 test |
$173 |
$432 |
— |
$15 | |
| Vitamin D test |
$118 |
$296 |
— |
$30 | |
| Vocal cord injection |
$10,382 |
$25,955 |
— |
$211 | |
| Wound debridement |
$2,570 |
$6,424 |
— |
$186 | |
| X-ray of the abdomen |
$158 |
$395 |
— |
$36 | |
| X-ray of the ankle |
$505 |
$1,262 |
— |
$37 | |
| X-ray of the collarbone |
$441 |
$1,103 |
— |
$33 | |
| X-ray of the elbow |
$322 |
$805 |
— |
$33 | |
| X-ray of the facial bones |
$462 |
$1,156 |
— |
$39 | |
| X-ray of the foot |
$316 |
$790 |
— |
$34 | |
| X-ray of the forearm |
$266 |
$664 |
— |
$29 | |
| X-ray of the hand |
$250 |
$624 |
— |
$38 | |
| X-ray of the hip |
$231 |
$579 |
— |
$49 | |
| X-ray of the hip (1 view) |
$226 |
$564 |
— |
$34 | |
| X-ray of the hip (3 views) |
$302 |
$756 |
— |
$49 | |
| X-ray of the knee |
$237 |
$593 |
— |
$42 | |
| X-ray of the knee (2 views) |
$218 |
$544 |
— |
$34 | |
| X-ray of the knee (3 views) |
$307 |
$767 |
— |
$42 | |
| X-ray of the knee (4+ views) |
$249 |
$622 |
— |
$49 | |
| X-ray of the lower back (lumbar spine) |
$374 |
$935 |
— |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$363 |
$908 |
— |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$385 |
$962 |
— |
$53 | |
| X-ray of the lower leg |
$277 |
$693 |
— |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$277 |
$693 |
— |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$265 |
$663 |
— |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$292 |
$731 |
— |
$39 | |
| X-ray of the neck (cervical spine) |
$348 |
$869 |
— |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$348 |
$869 |
— |
$40 | |
| X-ray of the pelvis |
$241 |
$604 |
— |
$36 | |
| X-ray of the pelvis (1 view) |
$335 |
$838 |
— |
$28 | |
| X-ray of the ribs |
$322 |
$805 |
— |
$42 | |
| X-ray of the ribs (2 views) |
$265 |
$662 |
— |
$36 | |
| X-ray of the ribs (3 views) |
$442 |
$1,105 |
— |
$42 | |
| X-ray of the shoulder |
$293 |
$732 |
— |
$36 | |
| X-ray of the skull |
$302 |
$756 |
— |
$40 | |
| X-ray of the upper arm |
$292 |
$729 |
— |
$32 | |
| X-ray of the wrist |
$285 |
$713 |
— |
$43 | |
| Zinc blood test |
$23 |
$57 |
— |
$11 | |