| 3D mammogram (tomosynthesis) |
$286 |
$345 |
$63 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$994 |
$1,197 |
$960 |
$284 | |
| Abdominal ultrasound |
$1,712 |
$2,063 |
$153 |
$100 | |
| Abdominal ultrasound (complete) |
$1,964 |
$2,366 |
$153 |
$114 | |
| Abdominal ultrasound (limited) |
$1,460 |
$1,759 |
$144 |
$86 | |
| Abscess drainage (complex or multiple) |
$2,043 |
$2,462 |
$539 |
$220 | |
| Abscess drainage (simple) |
$1,103 |
$1,329 |
$207 |
$129 | |
| Abscess incision and drainage |
$1,573 |
$1,896 |
$220 |
$174 | |
| Achilles tendon repair |
— |
— |
$7,350 |
$624 | |
| ACL knee reconstruction |
— |
— |
$7,623 |
$889 | |
| Adenoid removal (adenoidectomy) |
— |
— |
$3,470 |
$204 | |
| Albumin blood test |
$110 |
$132 |
$5 |
$5 | |
| Aldosterone test |
$579 |
$697 |
$54 |
$41 | |
| Alkaline phosphatase test |
$111 |
$134 |
$8 |
$5 | |
| Allergy shots |
$83 |
$100 |
$47 |
$11 | |
| Alpha-fetoprotein (AFP) test |
$264 |
$318 |
$27 |
$17 | |
| ALT liver enzyme test |
$107 |
$129 |
$9 |
$5 | |
| Ammonia blood test |
$420 |
$506 |
$19 |
$15 | |
| Amniocentesis |
$1,768 |
$2,130 |
$891 |
$120 | |
| Amylase test |
$136 |
$164 |
$9 |
$6 | |
| Anal fistula repair |
— |
— |
$2,850 |
$541 | |
| Ankle fracture repair |
— |
— |
$7,460 |
$608 | |
| Annual physical (established patient) |
$253 |
$305 |
$88 |
— | |
| Annual physical (new patient) |
$278 |
$335 |
$96 |
— | |
| Antinuclear antibody (ANA) test |
$409 |
$493 |
$20 |
$12 | |
| Aortic valve replacement |
$30,663 |
$36,943 |
$10,119 |
$1,603 | |
| Appendix removal (appendectomy) |
— |
— |
$21,314 |
$592 | |
| Arterial blood gas (ABG) |
$277 |
$334 |
$40 |
$26 | |
| AST liver enzyme test |
$107 |
$129 |
$9 |
$5 | |
| Barium swallow study |
$2,370 |
$2,856 |
$197 |
$107 | |
| Bartholin cyst removal |
— |
— |
$209 |
$182 | |
| Basic metabolic panel |
$129 |
$156 |
$13 |
$8 | |
| Benign skin lesion removal |
$866 |
$1,043 |
$430 |
$171 | |
| Bilirubin blood test |
$93 |
$112 |
$9 |
$5 | |
| Bladder scope (cystoscopy) |
— |
— |
$687 |
$216 | |
| Bladder tumor removal (TURBT) |
— |
— |
$3,557 |
$236 | |
| Blood clotting test (PT/INR) |
$61 |
$73 |
$6 |
$4 | |
| Blood crossmatch |
$198 |
$238 |
$79 |
— | |
| Blood glucose test |
$59 |
$71 |
$8 |
$5 | |
| Blood transfusion |
$1,942 |
$2,340 |
$468 |
$47 | |
| Blood type and screen |
$83 |
$100 |
$14 |
$10 | |
| Blood type test |
$394 |
$475 |
$5 |
$3 | |
| Blood type test (ABO group) |
$520 |
$626 |
$5 |
$3 | |
| Blood type test (Rh/D antigen) |
$269 |
$324 |
$6 |
$3 | |
| BNP (heart failure) test |
$519 |
$625 |
$58 |
$39 | |
| Bone density scan (DEXA) |
$729 |
$878 |
$144 |
$39 | |
| Bone marrow biopsy |
$11,037 |
$13,298 |
$2,708 |
$172 | |
| Bone scan (nuclear) |
$5,582 |
$6,725 |
$483 |
$259 | |
| Breast biopsy |
$7,322 |
$8,822 |
$1,923 |
$478 | |
| Breast MRI |
$1,862 |
$2,243 |
$335 |
$216 | |
| Breast MRI without contrast |
$1,856 |
$2,236 |
$335 |
$216 | |
| Breast reconstruction |
— |
— |
$18,079 |
$1,227 | |
| Breast reduction |
— |
— |
$6,877 |
$980 | |
| Breast ultrasound |
$530 |
$639 |
$152 |
$92 | |
| Breast ultrasound (complete) |
$600 |
$723 |
$188 |
$100 | |
| Breast ultrasound (limited) |
$461 |
$555 |
$144 |
$84 | |
| Breathing tube insertion (intubation) |
$2,591 |
$3,122 |
$314 |
$133 | |
| Bronchoscopy |
— |
— |
$1,801 |
$303 | |
| Bunion surgery (bunionectomy) |
— |
— |
$7,460 |
$883 | |
| Burn dressing and debridement (medium) |
$1,283 |
$1,546 |
$268 |
$166 | |
| Burn dressing and debridement (small) |
$618 |
$744 |
$206 |
$93 | |
| Burn treatment |
$950 |
$1,145 |
$209 |
$129 | |
| C-reactive protein (CRP) |
$122 |
$147 |
$7 |
$5 | |
| CA 19-9 tumor marker test |
$296 |
$357 |
$33 |
$21 | |
| CA-125 ovarian marker test |
$296 |
$357 |
$33 |
$21 | |
| Calcium blood test |
$107 |
$129 |
$9 |
$5 | |
| Capsule endoscopy |
$6,479 |
$7,806 |
$1,266 |
$802 | |
| Cardiac ablation |
$14,248 |
$17,166 |
$25,115 |
$759 | |
| Cardiac catheterization |
$32,365 |
$38,994 |
$9,659 |
$1,049 | |
| Cardiac MRI |
$5,044 |
$6,078 |
$584 |
$322 | |
| Cardiac MRI without contrast |
$4,170 |
$5,024 |
$454 |
$280 | |
| Cardiac rehabilitation |
$434 |
$523 |
$139 |
$26 | |
| Cardiac stress test |
$1,116 |
$1,345 |
$347 |
$39 | |
| Cardioversion |
$2,233 |
$2,690 |
$697 |
$155 | |
| Carotid artery ultrasound |
$3,779 |
$4,554 |
$264 |
$156 | |
| Carpal tunnel release |
— |
— |
$2,029 |
$483 | |
| CEA tumor marker test |
$499 |
$601 |
$27 |
$19 | |
| Celiac disease test |
$115 |
$139 |
$24 |
$12 | |
| Central line placement |
$1,121 |
$1,350 |
$468 |
$238 | |
| Cervical cerclage |
— |
— |
$3,353 |
$137 | |
| Cervical LEEP procedure |
— |
— |
$3,255 |
$325 | |
| Cesarean section (C-section) |
— |
— |
$10,655 |
$7,552 | |
| Chemotherapy infusion |
$1,192 |
$1,436 |
$150 |
$81 | |
| Chemotherapy infusion (each additional) |
$442 |
$532 |
$94 |
$28 | |
| Chemotherapy infusion (first hour) |
$1,942 |
$2,340 |
$355 |
$133 | |
| Chest fluid drain (thoracentesis) |
$2,713 |
$3,269 |
$684 |
$311 | |
| Chest tube insertion |
$2,343 |
$2,823 |
$1,590 |
$143 | |
| Chest X-ray |
$793 |
$955 |
$113 |
$37 | |
| Chest X-ray (1 view) |
$529 |
$637 |
$94 |
$25 | |
| Chest X-ray (2 views) |
$633 |
$763 |
$96 |
$33 | |
| Chickenpox (varicella) vaccine |
$83 |
$100 |
$27 |
— | |
| Circumcision |
$916 |
$1,104 |
$2,097 |
$167 | |
| CK-MB heart enzyme test |
$353 |
$425 |
$16 |
$12 | |
| Clotting time test (PTT) |
$159 |
$192 |
$10 |
$6 | |
| Colon resection (colectomy) |
— |
— |
$7,965 |
$1,238 | |
| Colonoscopy |
— |
— |
$1,207 |
$480 | |
| Colposcopy |
— |
— |
$316 |
$161 | |
| Complete blood count (CBC) |
$133 |
$160 |
$10 |
$7 | |
| Complete blood count (CBC) (complete) |
$156 |
$188 |
$10 |
$8 | |
| Complex wound repair |
— |
— |
$655 |
$390 | |
| Comprehensive metabolic panel |
$159 |
$192 |
$17 |
$11 | |
| Contraceptive implant (Nexplanon) |
$805 |
$970 |
$339 |
$115 | |
| Copper blood test |
$175 |
$211 |
$18 |
$12 | |
| Coronary angioplasty / stent (PCI) |
— |
— |
$40,039 |
$426 | |
| Coronary artery bypass (CABG) |
— |
— |
$54,655 |
$36,593 | |
| Coronary CT angiography |
$3,387 |
$4,081 |
$500 |
$326 | |
| Cortisol test |
$387 |
$466 |
$22 |
$16 | |
| COVID-19 PCR test |
$243 |
$293 |
$55 |
$51 | |
| CPAP titration study |
$871 |
$1,049 |
$272 |
$69 | |
| Creatine kinase (CK) test |
$155 |
$187 |
$9 |
$7 | |
| CT angiography of the chest |
$5,207 |
$6,274 |
$404 |
$281 | |
| CT angiography of the head |
$4,256 |
$5,128 |
$371 |
$274 | |
| CT scan of the abdomen |
$4,726 |
$5,694 |
$234 |
$230 | |
| CT scan of the abdomen and pelvis |
$8,785 |
$10,584 |
$439 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$11,481 |
$13,832 |
$524 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$8,785 |
$10,584 |
$482 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$6,188 |
$7,456 |
$326 |
$183 | |
| CT scan of the abdomen with and without contrast |
$5,926 |
$7,140 |
$269 |
$259 | |
| CT scan of the abdomen with contrast |
$4,726 |
$5,694 |
$249 |
$230 | |
| CT scan of the abdomen without contrast |
$3,352 |
$4,038 |
$178 |
$136 | |
| CT scan of the arm |
$3,631 |
$4,375 |
$860 |
$199 | |
| CT scan of the arm with contrast |
$3,631 |
$4,375 |
$944 |
$199 | |
| CT scan of the arm without contrast |
$2,751 |
$3,315 |
$616 |
$161 | |
| CT scan of the chest |
$4,902 |
$5,906 |
$225 |
$167 | |
| CT scan of the chest with and without contrast |
$5,548 |
$6,684 |
$262 |
$196 | |
| CT scan of the chest with contrast |
$4,902 |
$5,906 |
$246 |
$167 | |
| CT scan of the chest without contrast |
$3,527 |
$4,249 |
$181 |
$133 | |
| CT scan of the head |
$3,818 |
$4,600 |
$213 |
$148 | |
| CT scan of the head with and without contrast |
$5,740 |
$6,916 |
$256 |
$173 | |
| CT scan of the head with contrast |
$3,818 |
$4,600 |
$240 |
$148 | |
| CT scan of the head without contrast |
$2,616 |
$3,152 |
$169 |
$107 | |
| CT scan of the leg |
$3,631 |
$4,375 |
$811 |
$166 | |
| CT scan of the leg with contrast |
$3,631 |
$4,375 |
$744 |
$166 | |
| CT scan of the leg without contrast |
$2,751 |
$3,315 |
$616 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$3,527 |
$4,249 |
$377 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$5,285 |
$6,367 |
$282 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$3,406 |
$4,104 |
$482 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$3,527 |
$4,249 |
$185 |
$130 | |
| CT scan of the neck |
$3,814 |
$4,595 |
$210 |
$183 | |
| CT scan of the neck (cervical spine) |
$3,527 |
$4,249 |
$377 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$5,285 |
$6,367 |
$282 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,947 |
$2,346 |
$482 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$3,527 |
$4,249 |
$181 |
$131 | |
| CT scan of the neck with and without contrast |
$5,372 |
$6,472 |
$253 |
$220 | |
| CT scan of the neck with contrast |
$3,814 |
$4,595 |
$241 |
$183 | |
| CT scan of the neck without contrast |
$2,751 |
$3,315 |
$179 |
$150 | |
| CT scan of the pelvis |
$4,058 |
$4,889 |
$215 |
$226 | |
| CT scan of the pelvis with and without contrast |
$5,554 |
$6,691 |
$256 |
$251 | |
| CT scan of the pelvis with contrast |
$4,058 |
$4,889 |
$243 |
$226 | |
| CT scan of the pelvis without contrast |
$2,837 |
$3,418 |
$166 |
$133 | |
| CT scan of the sinuses |
$4,016 |
$4,839 |
$219 |
$152 | |
| CT scan of the sinuses with and without contrast |
$5,372 |
$6,472 |
$261 |
$184 | |
| CT scan of the sinuses with contrast |
$4,016 |
$4,839 |
$240 |
$152 | |
| CT scan of the sinuses without contrast |
$3,811 |
$4,592 |
$178 |
$128 | |
| D-dimer test |
$124 |
$149 |
$16 |
$10 | |
| Defibrillator (ICD) implant |
$14,911 |
$17,965 |
$32,823 |
$798 | |
| Developmental screening (child) |
$97 |
$117 |
$32 |
— | |
| DHEA-sulfate test |
$358 |
$431 |
$32 |
$22 | |
| Diagnostic mammogram |
$1,153 |
$1,390 |
$325 |
$140 | |
| Dialysis fistula creation |
— |
— |
$3,367 |
$601 | |
| Dilation and curettage (D&C) |
— |
— |
$3,353 |
$298 | |
| Drug screen (urine) |
$293 |
$353 |
$62 |
$17 | |
| Ear pressure test (tympanometry) |
$216 |
$260 |
$53 |
$16 | |
| Ear tubes (myringotomy) |
— |
— |
$1,539 |
$174 | |
| Echocardiogram |
$1,948 |
$2,347 |
$458 |
$138 | |
| Echocardiogram with and without contrast |
$1,369 |
$1,649 |
$287 |
$101 | |
| Echocardiogram without contrast |
$1,948 |
$2,347 |
$326 |
$138 | |
| EEG (awake and asleep) |
$2,907 |
$3,503 |
$407 |
$482 | |
| EKG / ECG (tracing only) |
$341 |
$411 |
$80 |
$7 | |
| Electrocardiogram (EKG) |
$341 |
$411 |
$80 |
$8 | |
| Electroencephalogram (EEG) |
$2,749 |
$3,312 |
$344 |
$448 | |
| Electrolyte panel |
$112 |
$135 |
$11 |
$7 | |
| Electromyography (EMG) |
$529 |
$637 |
$145 |
$141 | |
| Emergency department visit |
$1,763 |
$2,124 |
$306 |
$69 | |
| Emergency department visit (level 1) |
$486 |
$586 |
$97 |
$11 | |
| Emergency department visit (level 2) |
$878 |
$1,058 |
$167 |
$40 | |
| Emergency department visit (level 3) |
$1,763 |
$2,124 |
$312 |
$69 | |
| Emergency department visit (level 4) |
$3,308 |
$3,985 |
$470 |
$118 | |
| Emergency department visit (level 5) |
$4,401 |
$5,302 |
$707 |
$171 | |
| Endometrial biopsy |
— |
— |
$209 |
$98 | |
| Epidural steroid injection |
$3,868 |
$4,660 |
$723 |
$275 | |
| ERCP (bile duct endoscopy) |
— |
— |
$4,012 |
$311 | |
| Esophageal dilation |
— |
— |
$974 |
$522 | |
| Estradiol (estrogen) test |
$394 |
$475 |
$37 |
$28 | |
| Eyelid surgery (blepharoplasty) |
— |
— |
$1,957 |
$552 | |
| Facet joint injection (spine) |
$498 |
$600 |
$911 |
$99 | |
| Fallopian tube X-ray (HSG) |
$2,070 |
$2,495 |
$467 |
$164 | |
| Family therapy session |
$558 |
$672 |
$184 |
$110 | |
| Fecal occult blood (stool) test |
$28 |
$34 |
$6 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$28 |
$34 |
$6 |
$4 | |
| Feeding tube (PEG) placement |
— |
— |
$2,029 |
$178 | |
| Femoral hernia repair |
— |
— |
$3,685 |
$584 | |
| Ferritin (iron) test |
$387 |
$466 |
$19 |
$14 | |
| Fibrinogen test |
$251 |
$303 |
$15 |
$10 | |
| Flexible sigmoidoscopy |
— |
— |
$947 |
$323 | |
| Flu test |
$173 |
$208 |
$22 |
$17 | |
| Flu vaccine |
$83 |
$100 |
$26 |
— | |
| Folate (folic acid) test |
$221 |
$266 |
$20 |
$15 | |
| Foreign body removal (skin) |
$430 |
$518 |
$409 |
$157 | |
| Free T4 thyroid test |
$137 |
$165 |
$13 |
$9 | |
| FSH hormone test |
$471 |
$567 |
$27 |
$19 | |
| Gallbladder removal (laparoscopic) |
— |
— |
$6,242 |
$658 | |
| Gallbladder scan (HIDA) |
$5,726 |
$6,899 |
$576 |
$334 | |
| Ganglion cyst removal |
— |
— |
$1,712 |
$321 | |
| GGT liver test |
$138 |
$166 |
$11 |
$7 | |
| Glucose tolerance test |
$145 |
$175 |
$14 |
$8 | |
| Group therapy session |
$149 |
$180 |
$89 |
$30 | |
| H. pylori test |
$691 |
$832 |
$96 |
$67 | |
| Hammertoe repair |
$4,341 |
$5,230 |
$3,322 |
$548 | |
| HDL cholesterol test |
$124 |
$149 |
$11 |
$8 | |
| Hearing test (audiometry) |
$448 |
$540 |
$160 |
$36 | |
| Hematocrit test |
$51 |
$62 |
$4 |
$2 | |
| Hemodialysis |
$4,158 |
$5,010 |
$774 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$269 |
$324 |
$13 |
$10 | |
| Hepatitis A vaccine |
$169 |
$203 |
$35 |
— | |
| Hepatitis B test |
$157 |
$189 |
$19 |
$10 | |
| Hepatitis B vaccine |
$133 |
$160 |
$35 |
— | |
| Hepatitis C test |
$208 |
$250 |
$25 |
$14 | |
| Hip arthroscopy |
— |
— |
$7,606 |
$931 | |
| Hip replacement |
— |
— |
$13,765 |
$1,162 | |
| HIV test |
$331 |
$399 |
$35 |
$19 | |
| HIV test (antibody) |
$304 |
$366 |
$25 |
$14 | |
| HIV test (antigen/antibody combo) |
$358 |
$431 |
$38 |
$24 | |
| Holter heart monitor |
$1,035 |
$1,247 |
$141 |
$26 | |
| HPV vaccine |
$83 |
$100 |
$27 |
— | |
| Hydrocele repair |
— |
— |
$3,721 |
$315 | |
| Hysterectomy |
— |
— |
$10,872 |
$933 | |
| Hysteroscopy |
— |
— |
$3,402 |
$1,270 | |
| Inguinal hernia repair |
— |
— |
$3,685 |
$538 | |
| Iron blood test |
$142 |
$171 |
$11 |
$6 | |
| IUD insertion |
— |
— |
$21 |
— | |
| IUD removal |
— |
— |
$316 |
$112 | |
| IV infusion therapy |
$590 |
$711 |
$110 |
$44 | |
| IV infusion therapy (each additional) |
$289 |
$348 |
$62 |
$21 | |
| IV infusion therapy (initial) |
$891 |
$1,074 |
$256 |
$67 | |
| IVC filter placement |
$1,545 |
$1,862 |
$5,534 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$361 |
$436 |
$302 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$312 |
$376 |
$302 |
$57 | |
| Joint aspiration or injection (small joint) |
$411 |
$495 |
$172 |
$56 | |
| Kidney biopsy |
$10,079 |
$12,143 |
$1,692 |
$492 | |
| Kidney removal (nephrectomy) |
— |
— |
$7,965 |
$1,164 | |
| Kidney scan (nuclear) |
$4,932 |
$5,942 |
$613 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
— |
— |
$3,584 |
$760 | |
| Kidney ultrasound |
$1,692 |
$2,039 |
$144 |
$84 | |
| Kidney ultrasound (limited) |
$1,421 |
$1,712 |
$144 |
$61 | |
| Knee arthroscopy |
— |
— |
$3,388 |
$524 | |
| Knee joint injection |
$468 |
$564 |
$302 |
$69 | |
| Knee replacement |
— |
— |
$28,636 |
$18,054 | |
| Lactate test |
$305 |
$367 |
$15 |
$12 | |
| Laryngoscopy |
$1,459 |
$1,758 |
$215 |
$189 | |
| LDH test |
$110 |
$132 |
$9 |
$6 | |
| LDL cholesterol test |
$144 |
$173 |
$17 |
$11 | |
| Leg artery angiogram |
$12,180 |
$14,675 |
$3,432 |
$149 | |
| Leg artery angioplasty |
$40,656 |
$48,984 |
$11,610 |
— | |
| Leg vein ultrasound (Doppler) |
$4,902 |
$5,907 |
$264 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$3,269 |
$3,938 |
$157 |
$116 | |
| LH hormone test |
$476 |
$573 |
$27 |
$19 | |
| Lipase test |
$162 |
$195 |
$9 |
$7 | |
| Lipid (cholesterol) panel |
$204 |
$246 |
$21 |
$13 | |
| Liver biopsy |
$1,681 |
$2,025 |
$1,659 |
$288 | |
| Liver function panel |
$285 |
$343 |
$13 |
$8 | |
| Lower back (lumbar) spinal fusion |
— |
— |
$65,578 |
$1,511 | |
| Lumpectomy (breast) |
— |
— |
$6,676 |
$750 | |
| Lung function test (PFT) |
$1,023 |
$1,233 |
$255 |
$37 | |
| Lung scan (V/Q) |
$4,439 |
$5,348 |
$587 |
$291 | |
| Magnesium blood test |
$153 |
$184 |
$10 |
$7 | |
| Mastectomy |
— |
— |
$6,877 |
$1,021 | |
| Meniscus repair (knee) |
— |
— |
$3,388 |
$714 | |
| MMR vaccine |
$216 |
$261 |
$38 |
— | |
| Mohs skin cancer surgery |
$2,646 |
$3,188 |
$639 |
$535 | |
| MRA of the brain |
$5,689 |
$6,854 |
$668 |
$226 | |
| MRA of the brain with contrast |
$5,689 |
$6,854 |
$517 |
$226 | |
| MRA of the brain without contrast |
$11,188 |
$13,480 |
$735 |
$328 | |
| MRA of the neck |
$5,689 |
$6,854 |
$670 |
$245 | |
| MRA of the neck with contrast |
$5,689 |
$6,854 |
$517 |
$245 | |
| MRA of the neck without contrast |
$11,188 |
$13,480 |
$737 |
$343 | |
| MRI of the abdomen |
$6,760 |
$8,145 |
$686 |
$300 | |
| MRI of the abdomen with contrast |
$6,760 |
$8,145 |
$567 |
$300 | |
| MRI of the abdomen without contrast |
$5,703 |
$6,871 |
$444 |
$194 | |
| MRI of the ankle |
$6,745 |
$8,127 |
$1,618 |
$261 | |
| MRI of the ankle with contrast |
$6,745 |
$8,127 |
$1,423 |
$261 | |
| MRI of the ankle without contrast |
$5,626 |
$6,778 |
$1,229 |
$222 | |
| MRI of the brain |
$6,885 |
$8,295 |
$488 |
$269 | |
| MRI of the brain with contrast |
$6,885 |
$8,295 |
$529 |
$269 | |
| MRI of the brain without contrast |
$5,749 |
$6,926 |
$446 |
$195 | |
| MRI of the chest |
$6,760 |
$8,145 |
$836 |
$371 | |
| MRI of the chest with contrast |
$6,760 |
$8,145 |
$1,067 |
$371 | |
| MRI of the chest without contrast |
$12,433 |
$14,979 |
$762 |
$466 | |
| MRI of the knee |
$6,745 |
$8,127 |
$1,777 |
$315 | |
| MRI of the knee with contrast |
$6,745 |
$8,127 |
$1,874 |
$315 | |
| MRI of the knee without contrast |
$5,685 |
$6,849 |
$1,229 |
$204 | |
| MRI of the lower back (lumbar spine) |
$6,885 |
$8,295 |
$488 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$6,885 |
$8,295 |
$529 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$6,378 |
$7,684 |
$377 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$6,885 |
$8,295 |
$488 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$12,760 |
$15,374 |
$529 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$6,885 |
$8,295 |
$529 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$6,378 |
$7,684 |
$381 |
$190 | |
| MRI of the neck (cervical spine) |
$6,885 |
$8,295 |
$488 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$12,760 |
$15,374 |
$529 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$6,885 |
$8,295 |
$529 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$5,749 |
$6,926 |
$447 |
$191 | |
| MRI of the pelvis |
$6,542 |
$7,882 |
$686 |
$268 | |
| MRI of the pelvis with contrast |
$6,542 |
$7,882 |
$489 |
$268 | |
| MRI of the pelvis without contrast |
$5,644 |
$6,800 |
$434 |
$227 | |
| MRI of the shoulder |
$6,745 |
$8,127 |
$1,777 |
$313 | |
| MRI of the shoulder with contrast |
$6,745 |
$8,127 |
$1,874 |
$313 | |
| MRI of the shoulder without contrast |
$5,685 |
$6,849 |
$1,229 |
$205 | |
| MRI of the wrist |
$6,745 |
$8,127 |
$1,618 |
$330 | |
| MRI of the wrist with contrast |
$6,745 |
$8,127 |
$1,423 |
$330 | |
| MRI of the wrist without contrast |
$5,626 |
$6,778 |
$1,229 |
$303 | |
| Nebulizer breathing treatment |
$401 |
$483 |
$169 |
$9 | |
| Nerve conduction study |
$1,765 |
$2,127 |
$322 |
$118 | |
| Nuchal translucency ultrasound |
$814 |
$981 |
$152 |
$116 | |
| Nuclear cardiac stress test |
$5,398 |
$6,504 |
$1,423 |
$428 | |
| Occupational therapy evaluation |
$566 |
$682 |
$187 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$594 |
$716 |
$199 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$540 |
$650 |
$178 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$566 |
$682 |
$187 |
$101 | |
| Office visit (established patient) |
$356 |
$429 |
$91 |
$115 | |
| Office visit (new patient) |
$807 |
$972 |
$225 |
$177 | |
| Office visit, established patient (level 3) |
$267 |
$322 |
$88 |
$95 | |
| Office visit, established patient (level 4) |
$444 |
$535 |
$146 |
$136 | |
| Office visit, new patient (level 3) |
$543 |
$654 |
$179 |
$118 | |
| Office visit, new patient (level 4) |
$807 |
$972 |
$266 |
$177 | |
| Office visit, new patient (level 5) |
$1,035 |
$1,247 |
$341 |
$237 | |
| Orthopedic hardware removal |
— |
— |
$2,974 |
$632 | |
| Pacemaker insertion |
— |
— |
$29,834 |
$15,506 | |
| Pap smear (cervical screening) |
$305 |
$368 |
$38 |
$20 | |
| Parathyroid hormone (PTH) test |
$630 |
$759 |
$63 |
$41 | |
| Parathyroid removal |
— |
— |
$6,216 |
$891 | |
| Pelvic ultrasound |
$1,288 |
$1,552 |
$134 |
$78 | |
| Pelvic ultrasound (complete) |
$1,521 |
$1,832 |
$144 |
$105 | |
| Pelvic ultrasound (limited) |
$1,056 |
$1,272 |
$134 |
$51 | |
| PET scan |
$18,633 |
$22,449 |
$2,106 |
— | |
| Phosphorus blood test |
$104 |
$125 |
$8 |
$5 | |
| Physical therapy evaluation |
$566 |
$682 |
$187 |
$98 | |
| Physical therapy evaluation (high complexity) |
$594 |
$716 |
$201 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$566 |
$682 |
$187 |
$98 | |
| Pilonidal cyst removal |
— |
— |
$2,974 |
$541 | |
| Platelet count |
$154 |
$186 |
$6 |
$4 | |
| Pneumonia vaccine |
$83 |
$100 |
$27 |
— | |
| Pregnancy blood test (hCG) |
$114 |
$137 |
$14 |
$8 | |
| Pregnancy ultrasound |
$1,343 |
$1,618 |
$145 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$908 |
$1,094 |
$145 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$1,778 |
$2,142 |
$144 |
$136 | |
| Prolactin test |
$540 |
$650 |
$32 |
$19 | |
| Prostate biopsy |
$11,519 |
$13,878 |
$2,181 |
— | |
| Prostate removal (prostatectomy) |
— |
— |
$10,872 |
$1,063 | |
| Prostate surgery (TURP) |
— |
— |
$5,361 |
$526 | |
| Prostate test (PSA) |
$141 |
$170 |
$32 |
$18 | |
| Psychiatric evaluation |
$708 |
$854 |
$222 |
$188 | |
| Psychotherapy session |
$564 |
$679 |
$168 |
$140 | |
| Pulmonary rehabilitation |
$645 |
$777 |
$132 |
$87 | |
| Radiofrequency nerve ablation |
$1,454 |
$1,752 |
$2,039 |
$462 | |
| Retinal (fundus) photography |
$1,356 |
$1,634 |
$140 |
$37 | |
| Rheumatoid factor test |
$132 |
$159 |
$10 |
$6 | |
| Rotator cuff repair |
— |
— |
$7,533 |
$792 | |
| Sacroiliac joint injection |
— |
— |
$682 |
$176 | |
| Scoliosis spine X-ray |
$978 |
$1,179 |
$112 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$635 |
$765 |
$94 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$1,321 |
$1,592 |
$115 |
$72 | |
| Screening mammogram |
$687 |
$828 |
$215 |
$126 | |
| Scrotal ultrasound |
$1,521 |
$1,832 |
$144 |
$99 | |
| Sedimentation rate (ESR) test |
$102 |
$123 |
$4 |
$3 | |
| Semen analysis |
$335 |
$404 |
$45 |
$12 | |
| Septoplasty (deviated septum) |
— |
— |
$3,470 |
$613 | |
| Sex hormone binding globulin test |
$300 |
$362 |
$36 |
$22 | |
| Shoulder arthroscopy |
— |
— |
$7,350 |
$962 | |
| Shoulder replacement |
— |
— |
$19,336 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$515 |
$620 |
$204 |
$114 | |
| Simple wound stitches |
$576 |
$694 |
$206 |
$127 | |
| Sinus surgery (endoscopic) |
— |
— |
$7,229 |
$224 | |
| Skin biopsy |
$566 |
$682 |
$205 |
$121 | |
| Skin biopsy (punch) |
$566 |
$682 |
$236 |
$121 | |
| Skin cancer lesion removal |
$1,028 |
$1,239 |
$431 |
$240 | |
| Skin graft |
$8,124 |
$9,788 |
$3,001 |
$898 | |
| Skin tag removal |
$834 |
$1,005 |
$212 |
$92 | |
| Sleep study (polysomnography) |
$15,172 |
$18,280 |
$1,374 |
$691 | |
| Small bowel resection |
— |
— |
$7,965 |
$1,136 | |
| Soft tissue ultrasound |
$354 |
$427 |
$117 |
$64 | |
| Speech therapy |
$606 |
$730 |
$189 |
$76 | |
| Spinal cord stimulator |
$3,381 |
$4,074 |
$4,300 |
$2,388 | |
| Spinal tap (lumbar puncture) |
$611 |
$736 |
$709 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$4,415 |
$5,320 |
$7,313 |
$5,803 | |
| Spirometry (lung function test) |
$762 |
$918 |
$167 |
$30 | |
| Spirometry with bronchodilator |
$1,284 |
$1,547 |
$333 |
$43 | |
| Spleen removal (splenectomy) |
— |
— |
$10,978 |
$1,036 | |
| Strep throat test |
$149 |
$180 |
$22 |
$17 | |
| Stress echocardiogram |
$2,639 |
$3,179 |
$609 |
$209 | |
| Stress echocardiogram (complete) |
$2,639 |
$3,179 |
$609 |
$233 | |
| Swallow study |
$1,193 |
$1,437 |
$373 |
$85 | |
| T3 thyroid test |
$399 |
$481 |
$19 |
$14 | |
| Tdap (tetanus) vaccine |
$188 |
$227 |
$35 |
— | |
| Testicle removal (orchiectomy) |
— |
— |
$3,557 |
$306 | |
| Testosterone test |
$394 |
$475 |
$40 |
$26 | |
| Thyroid removal (thyroidectomy) |
— |
— |
$6,177 |
$1,004 | |
| Thyroid test (TSH) |
$258 |
$311 |
$31 |
$17 | |
| Thyroid ultrasound |
$1,421 |
$1,712 |
$144 |
$109 | |
| Thyroid uptake scan |
$2,437 |
$2,937 |
$418 |
$145 | |
| Tilt table test |
$2,233 |
$2,690 |
$698 |
$168 | |
| Tonsillectomy |
— |
— |
$6,056 |
$252 | |
| Total IgE allergy test |
$245 |
$295 |
$25 |
$16 | |
| Total protein test |
$105 |
$127 |
$6 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$3,581 |
$4,314 |
$740 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$3,328 |
$4,010 |
$740 |
$239 | |
| Transvaginal ultrasound |
$842 |
$1,015 |
$144 |
$118 | |
| Trigger finger release |
— |
— |
$1,663 |
$630 | |
| Trigger point injection |
$431 |
$520 |
$302 |
$56 | |
| Trigger point injection (1-2 muscles) |
$466 |
$561 |
$302 |
$52 | |
| Triglycerides test |
$129 |
$155 |
$9 |
$6 | |
| Troponin (heart) test |
$134 |
$161 |
$17 |
$12 | |
| Tubal ligation |
— |
— |
$6,152 |
$333 | |
| Turbinate reduction |
— |
— |
$3,337 |
$294 | |
| Turning a breech baby (version) |
$2,546 |
$3,068 |
$3,304 |
$94 | |
| Ulnar nerve surgery (elbow) |
— |
— |
$2,089 |
$575 | |
| Upper GI endoscopy (EGD) |
— |
— |
$974 |
$371 | |
| Upper GI series (barium) |
$984 |
$1,186 |
$216 |
$128 | |
| Ureteral stent placement |
— |
— |
$3,549 |
$373 | |
| Ureteroscopy (stone removal) |
— |
— |
$5,439 |
$365 | |
| Uric acid (gout) test |
$95 |
$114 |
$7 |
$5 | |
| Urinalysis |
$65 |
$78 |
$4 |
$3 | |
| Urine microalbumin test |
$84 |
$101 |
$10 |
$5 | |
| Urine pregnancy test |
$87 |
$105 |
$11 |
$9 | |
| Vaccine administration |
$83 |
$100 |
$29 |
$19 | |
| Vaccine administration (each additional) |
$83 |
$100 |
$27 |
$16 | |
| Vaginal delivery |
— |
— |
$7,835 |
$5,487 | |
| Varicose vein ablation |
— |
— |
$3,367 |
$1,018 | |
| Vasectomy |
— |
— |
$2,097 |
$347 | |
| Vitamin B12 test |
$227 |
$274 |
$21 |
$15 | |
| Vitamin D test |
$461 |
$555 |
$54 |
$30 | |
| Vocal cord injection |
— |
— |
$3,793 |
$211 | |
| Wart removal |
$757 |
$912 |
$212 |
$121 | |
| Weight-loss (bariatric) surgery |
— |
— |
$24,227 |
$11,645 | |
| Well-child visit |
$215 |
$259 |
$72 |
— | |
| Wound debridement |
$1,257 |
$1,515 |
$436 |
$186 | |
| Wrist fracture repair |
— |
— |
$7,460 |
$735 | |
| X-ray of the abdomen |
$730 |
$880 |
$114 |
$36 | |
| X-ray of the ankle |
$830 |
$1,000 |
$151 |
$37 | |
| X-ray of the collarbone |
$649 |
$782 |
$133 |
$33 | |
| X-ray of the elbow |
$829 |
$999 |
$170 |
$33 | |
| X-ray of the facial bones |
$1,038 |
$1,250 |
$116 |
$39 | |
| X-ray of the foot |
$762 |
$918 |
$148 |
$34 | |
| X-ray of the forearm |
$706 |
$850 |
$140 |
$29 | |
| X-ray of the hand |
$795 |
$958 |
$151 |
$38 | |
| X-ray of the hip |
$830 |
$1,000 |
$170 |
$49 | |
| X-ray of the hip (1 view) |
$635 |
$765 |
$140 |
$34 | |
| X-ray of the hip (3 views) |
$830 |
$1,000 |
$170 |
$49 | |
| X-ray of the hip (4 views) |
$1,052 |
$1,268 |
$216 |
$63 | |
| X-ray of the knee |
$802 |
$966 |
$164 |
$42 | |
| X-ray of the knee (2 views) |
$725 |
$873 |
$140 |
$34 | |
| X-ray of the knee (3 views) |
$802 |
$966 |
$164 |
$42 | |
| X-ray of the knee (4+ views) |
$934 |
$1,125 |
$191 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$1,117 |
$1,346 |
$118 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$777 |
$936 |
$116 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$1,457 |
$1,755 |
$123 |
$53 | |
| X-ray of the lower leg |
$703 |
$847 |
$140 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$803 |
$968 |
$116 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$777 |
$936 |
$116 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$829 |
$999 |
$116 |
$39 | |
| X-ray of the neck (cervical spine) |
$1,147 |
$1,382 |
$115 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$777 |
$936 |
$96 |
$40 | |
| X-ray of the pelvis |
$594 |
$716 |
$114 |
$36 | |
| X-ray of the pelvis (1 view) |
$457 |
$550 |
$114 |
$28 | |
| X-ray of the ribs |
$951 |
$1,146 |
$114 |
$42 | |
| X-ray of the ribs (2 views) |
$951 |
$1,146 |
$96 |
$36 | |
| X-ray of the ribs (3 views) |
$857 |
$1,032 |
$118 |
$42 | |
| X-ray of the shoulder |
$725 |
$873 |
$142 |
$36 | |
| X-ray of the skull |
$1,167 |
$1,407 |
$123 |
$40 | |
| X-ray of the upper arm |
$649 |
$782 |
$140 |
$32 | |
| X-ray of the wrist |
$763 |
$919 |
$156 |
$43 | |
| Zinc blood test |
$159 |
$191 |
$18 |
$11 | |