| 3D mammogram (tomosynthesis) |
$68 |
$171 |
$28 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$829 |
$2,073 |
$932 |
$284 | |
| Abdominal ultrasound |
$573 |
$1,433 |
$107 |
$100 | |
| Abdominal ultrasound (complete) |
$798 |
$1,996 |
$107 |
$114 | |
| Abdominal ultrasound (limited) |
$374 |
$934 |
$107 |
$86 | |
| Abscess drainage (complex or multiple) |
$656 |
$1,641 |
$418 |
$220 | |
| Abscess drainage (simple) |
$394 |
$986 |
$206 |
$129 | |
| Abscess incision and drainage |
$424 |
$1,060 |
$220 |
$174 | |
| Achilles tendon repair |
$4,945 |
$12,363 |
$7,460 |
$624 | |
| ACL knee reconstruction |
$4,538 |
$11,345 |
$7,460 |
$889 | |
| Adenoid removal (adenoidectomy) |
$2,446 |
$6,114 |
$3,408 |
$204 | |
| Albumin blood test |
$24 |
$60 |
$5 |
$5 | |
| Aldosterone test |
$122 |
$306 |
$42 |
$41 | |
| Alkaline phosphatase test |
$36 |
$89 |
$5 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$89 |
$222 |
$17 |
$17 | |
| ALT liver enzyme test |
$40 |
$100 |
$5 |
$5 | |
| Ammonia blood test |
$47 |
$118 |
$15 |
$15 | |
| Amylase test |
$85 |
$212 |
$7 |
$6 | |
| Anal fistula repair |
$2,252 |
$5,629 |
$2,854 |
$541 | |
| Anoscopy |
$172 |
$429 |
$137 |
$129 | |
| Antinuclear antibody (ANA) test |
$109 |
$273 |
$12 |
$12 | |
| Aortic valve replacement |
$21,600 |
$54,000 |
$1,127 |
$1,603 | |
| Arterial blood gas (ABG) |
$113 |
$283 |
$27 |
$26 | |
| AST liver enzyme test |
$40 |
$100 |
$5 |
$5 | |
| Barium swallow study |
$269 |
$672 |
$180 |
$107 | |
| Bartholin cyst removal |
$200 |
$500 |
$208 |
$182 | |
| Basic metabolic panel |
$72 |
$180 |
$9 |
$8 | |
| Benign skin lesion removal |
$3,106 |
$7,766 |
$707 |
$171 | |
| Bilirubin blood test |
$38 |
$96 |
$5 |
$5 | |
| Bladder scope (cystoscopy) |
$2,355 |
$5,888 |
$717 |
$216 | |
| Bladder tumor removal (TURBT) |
$3,300 |
$8,251 |
$3,624 |
$236 | |
| Blood clotting test (PT/INR) |
$38 |
$95 |
$4 |
$4 | |
| Blood glucose test |
$38 |
$96 |
$5 |
$5 | |
| Blood transfusion |
$481 |
$1,202 |
$454 |
$47 | |
| Blood type and screen |
$92 |
$229 |
$54 |
$10 | |
| Blood type test |
$60 |
$150 |
$89 |
$3 | |
| Blood type test (ABO group) |
$80 |
$201 |
$137 |
$3 | |
| Blood type test (Rh/D antigen) |
$60 |
$150 |
$38 |
$3 | |
| BNP (heart failure) test |
$83 |
$207 |
$40 |
$39 | |
| Bone density scan (DEXA) |
$349 |
$872 |
$107 |
$39 | |
| Bone marrow biopsy |
$581 |
$1,452 |
$1,813 |
$172 | |
| Bone scan (nuclear) |
$1,065 |
$2,663 |
$411 |
$259 | |
| Botox for migraine |
$294 |
$734 |
$316 |
$157 | |
| Breast biopsy |
$2,174 |
$5,434 |
$1,698 |
$478 | |
| Breast MRI |
$1,759 |
$4,398 |
$238 |
$216 | |
| Breast MRI without contrast |
$1,795 |
$4,487 |
$245 |
$216 | |
| Breast ultrasound |
$363 |
$908 |
$96 |
$92 | |
| Breast ultrasound (complete) |
$368 |
$921 |
$107 |
$100 | |
| Breast ultrasound (limited) |
$348 |
$871 |
$89 |
$84 | |
| Breathing tube insertion (intubation) |
$316 |
$791 |
$244 |
$133 | |
| Bronchoscopy |
$874 |
$2,186 |
$1,830 |
$303 | |
| Bunion surgery (bunionectomy) |
$3,287 |
$8,217 |
$8,367 |
$883 | |
| Burn dressing and debridement (medium) |
$246 |
$615 |
$206 |
$166 | |
| Burn dressing and debridement (small) |
$270 |
$675 |
$206 |
$93 | |
| Burn treatment |
$270 |
$675 |
$206 |
$129 | |
| C-reactive protein (CRP) |
$89 |
$222 |
$5 |
$5 | |
| CA 19-9 tumor marker test |
$98 |
$244 |
$21 |
$21 | |
| CA-125 ovarian marker test |
$92 |
$230 |
$21 |
$21 | |
| Calcium blood test |
$24 |
$60 |
$5 |
$5 | |
| Capsule endoscopy |
$970 |
$2,425 |
$932 |
$802 | |
| Cardiac ablation |
$9,969 |
$24,922 |
$26,871 |
$759 | |
| Cardiac catheterization |
$8,668 |
$21,670 |
$3,333 |
$1,049 | |
| Cardiac MRI |
$1,564 |
$3,911 |
$317 |
$322 | |
| Cardiac MRI without contrast |
$1,359 |
$3,398 |
$245 |
$280 | |
| Cardiac rehabilitation |
$108 |
$270 |
$133 |
$26 | |
| Cardiac stress test |
$851 |
$2,127 |
$222 |
$39 | |
| Cardioversion |
$640 |
$1,599 |
$679 |
$155 | |
| Carotid artery ultrasound |
$420 |
$1,050 |
$238 |
$156 | |
| Carpal tunnel release |
$3,145 |
$7,863 |
$2,008 |
$483 | |
| CEA tumor marker test |
$78 |
$196 |
$20 |
$19 | |
| Celiac disease test |
$90 |
$225 |
$12 |
$12 | |
| Central line placement |
$476 |
$1,190 |
$3,246 |
$238 | |
| Cervical LEEP procedure |
$1,999 |
$4,999 |
$3,328 |
$325 | |
| Cesarean section (C-section) |
— |
— |
$12,666 |
$7,552 | |
| Chalazion (eyelid cyst) removal |
$3,029 |
$7,572 |
$326 |
$131 | |
| Chemotherapy infusion |
$470 |
$1,176 |
$330 |
$81 | |
| Chemotherapy infusion (each additional) |
$214 |
$536 |
$74 |
$28 | |
| Chemotherapy infusion (first hour) |
$470 |
$1,176 |
$340 |
$133 | |
| Chest fluid drain (thoracentesis) |
$798 |
$1,994 |
$645 |
$311 | |
| Chest tube insertion |
$1,083 |
$2,708 |
$1,618 |
$143 | |
| Chest X-ray |
$201 |
$503 |
$89 |
$37 | |
| Chest X-ray (1 view) |
$139 |
$348 |
$89 |
$25 | |
| Chest X-ray (2 views) |
$222 |
$554 |
$89 |
$33 | |
| Chickenpox (varicella) vaccine |
$456 |
$1,140 |
— |
— | |
| Circumcision |
$4,697 |
$11,743 |
$2,149 |
$167 | |
| CK-MB heart enzyme test |
$65 |
$163 |
$12 |
$12 | |
| Clotting time test (PTT) |
$42 |
$105 |
$6 |
$6 | |
| Colonoscopy |
$1,390 |
$3,475 |
$1,218 |
$480 | |
| Complete blood count (CBC) |
$48 |
$121 |
$8 |
$7 | |
| Complete blood count (CBC) (complete) |
$60 |
$150 |
$8 |
$8 | |
| Complex wound repair |
$575 |
$1,437 |
$760 |
$390 | |
| Comprehensive metabolic panel |
$108 |
$269 |
$11 |
$11 | |
| Contraceptive implant (Nexplanon) |
$1,485 |
$3,713 |
$446 |
$115 | |
| Copper blood test |
$56 |
$139 |
$13 |
$12 | |
| Coronary angioplasty / stent (PCI) |
— |
— |
$1,031 |
$426 | |
| Coronary artery bypass (CABG) |
— |
— |
$37,112 |
$36,593 | |
| Coronary CT angiography |
$1,311 |
$3,278 |
$359 |
$326 | |
| Cortisol test |
$67 |
$167 |
$17 |
$16 | |
| COVID-19 PCR test |
$51 |
$127 |
$53 |
$51 | |
| CPAP titration study |
$274 |
$684 |
$225 |
$69 | |
| Creatine kinase (CK) test |
$35 |
$88 |
$7 |
$7 | |
| CT angiography of the chest |
$1,595 |
$3,987 |
$180 |
$281 | |
| CT angiography of the head |
$1,666 |
$4,165 |
$180 |
$274 | |
| CT scan of the abdomen |
$1,456 |
$3,640 |
$175 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,370 |
$5,924 |
$348 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$1,398 |
$3,496 |
$359 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,917 |
$7,293 |
$359 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,370 |
$5,924 |
$245 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,456 |
$3,641 |
$180 |
$259 | |
| CT scan of the abdomen with contrast |
$1,717 |
$4,292 |
$180 |
$230 | |
| CT scan of the abdomen without contrast |
$1,354 |
$3,386 |
$107 |
$136 | |
| CT scan of the arm |
$1,060 |
$2,649 |
$180 |
$199 | |
| CT scan of the arm with contrast |
$1,040 |
$2,599 |
$359 |
$199 | |
| CT scan of the arm without contrast |
$1,060 |
$2,649 |
$107 |
$161 | |
| CT scan of the chest |
$878 |
$2,195 |
$175 |
$167 | |
| CT scan of the chest with and without contrast |
$1,167 |
$2,917 |
$180 |
$196 | |
| CT scan of the chest with contrast |
$1,247 |
$3,118 |
$180 |
$167 | |
| CT scan of the chest without contrast |
$878 |
$2,195 |
$107 |
$133 | |
| CT scan of the head |
$903 |
$2,257 |
$115 |
$148 | |
| CT scan of the head with and without contrast |
$1,077 |
$2,692 |
$180 |
$173 | |
| CT scan of the head with contrast |
$881 |
$2,203 |
$180 |
$148 | |
| CT scan of the head without contrast |
$903 |
$2,257 |
$107 |
$107 | |
| CT scan of the leg |
$1,140 |
$2,851 |
$175 |
$166 | |
| CT scan of the leg with contrast |
$1,140 |
$2,851 |
$180 |
$166 | |
| CT scan of the leg without contrast |
$1,089 |
$2,723 |
$107 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$981 |
$2,453 |
$193 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,017 |
$2,542 |
$180 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,103 |
$2,758 |
$359 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$816 |
$2,040 |
$107 |
$130 | |
| CT scan of the neck |
$1,102 |
$2,755 |
$175 |
$183 | |
| CT scan of the neck (cervical spine) |
$851 |
$2,127 |
$180 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$1,016 |
$2,540 |
$180 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$890 |
$2,225 |
$359 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$816 |
$2,040 |
$107 |
$131 | |
| CT scan of the neck with and without contrast |
$1,488 |
$3,720 |
$180 |
$220 | |
| CT scan of the neck with contrast |
$1,388 |
$3,469 |
$180 |
$183 | |
| CT scan of the neck without contrast |
$958 |
$2,395 |
$107 |
$150 | |
| CT scan of the pelvis |
$1,250 |
$3,126 |
$179 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,696 |
$4,239 |
$180 |
$251 | |
| CT scan of the pelvis with contrast |
$1,598 |
$3,996 |
$180 |
$226 | |
| CT scan of the pelvis without contrast |
$740 |
$1,849 |
$107 |
$133 | |
| CT scan of the sinuses |
$768 |
$1,920 |
$175 |
$152 | |
| CT scan of the sinuses with and without contrast |
$951 |
$2,378 |
$180 |
$184 | |
| CT scan of the sinuses with contrast |
$975 |
$2,437 |
$180 |
$152 | |
| CT scan of the sinuses without contrast |
$743 |
$1,857 |
$107 |
$128 | |
| D-dimer test |
$111 |
$278 |
$10 |
$10 | |
| Defibrillator (ICD) implant |
$10,551 |
$26,378 |
$32,269 |
$798 | |
| DHEA-sulfate test |
$98 |
$246 |
$23 |
$22 | |
| Diagnostic mammogram |
$213 |
$534 |
$41 |
$140 | |
| Dialysis fistula creation |
$9,971 |
$24,928 |
$3,246 |
$601 | |
| Dilation and curettage (D&C) |
$2,779 |
$6,949 |
$3,328 |
$298 | |
| Droopy eyelid repair (ptosis) |
$4,232 |
$10,579 |
$2,444 |
$745 | |
| Drug screen (urine) |
$87 |
$217 |
$64 |
$17 | |
| Ear tubes (myringotomy) |
$2,466 |
$6,166 |
$1,595 |
$174 | |
| Echocardiogram |
$583 |
$1,457 |
$416 |
$138 | |
| Echocardiogram with and without contrast |
$287 |
$718 |
$245 |
$101 | |
| Echocardiogram without contrast |
$410 |
$1,025 |
$245 |
$138 | |
| EEG (awake and asleep) |
$327 |
$817 |
$222 |
$482 | |
| EKG / ECG (tracing only) |
$130 |
$324 |
$61 |
$7 | |
| Electrocardiogram (EKG) |
$130 |
$324 |
$61 |
$8 | |
| Electroencephalogram (EEG) |
$366 |
$915 |
$222 |
$448 | |
| Electrolyte panel |
$76 |
$191 |
$7 |
$7 | |
| Electromyography (EMG) |
$299 |
$747 |
$137 |
$141 | |
| Emergency department visit |
$495 |
$1,237 |
$327 |
$69 | |
| Emergency department visit (level 1) |
$144 |
$361 |
$86 |
$11 | |
| Emergency department visit (level 2) |
$251 |
$627 |
$156 |
$40 | |
| Emergency department visit (level 3) |
$495 |
$1,237 |
$281 |
$69 | |
| Emergency department visit (level 4) |
$800 |
$2,001 |
$429 |
$118 | |
| Emergency department visit (level 5) |
$853 |
$2,132 |
$612 |
$171 | |
| Endometrial biopsy |
$2,641 |
$6,602 |
$208 |
$98 | |
| Epidural steroid injection |
$560 |
$1,401 |
$726 |
$275 | |
| ERCP (bile duct endoscopy) |
$1,378 |
$3,445 |
$3,964 |
$311 | |
| Estradiol (estrogen) test |
$107 |
$269 |
$29 |
$28 | |
| Facet joint injection (spine) |
$547 |
$1,367 |
$48 |
$99 | |
| Fallopian tube X-ray (HSG) |
$222 |
$555 |
$150 |
$164 | |
| Family therapy session |
$115 |
$287 |
$195 |
$110 | |
| Fecal occult blood (stool) test |
$27 |
$68 |
$11 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$40 |
$100 |
$5 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$18 |
$46 |
$16 |
$16 | |
| Feeding tube (PEG) placement |
$2,532 |
$6,329 |
$1,973 |
$178 | |
| Femoral hernia repair |
$9,429 |
$23,572 |
$3,681 |
$584 | |
| Ferritin (iron) test |
$73 |
$182 |
$14 |
$14 | |
| Fibrinogen test |
$80 |
$201 |
$10 |
$10 | |
| Flexible sigmoidoscopy |
$1,545 |
$3,863 |
$956 |
$323 | |
| Flu test |
$35 |
$87 |
$17 |
$17 | |
| Flu vaccine |
$10 |
$25 |
— |
— | |
| Folate (folic acid) test |
$71 |
$177 |
$15 |
$15 | |
| Foreign body removal (skin) |
$814 |
$2,034 |
$414 |
$157 | |
| Free T4 thyroid test |
$56 |
$140 |
$9 |
$9 | |
| FSH hormone test |
$98 |
$246 |
$19 |
$19 | |
| Gallbladder removal (laparoscopic) |
$7,679 |
$19,197 |
$6,215 |
$658 | |
| Gallbladder scan (HIDA) |
$723 |
$1,807 |
$542 |
$334 | |
| Ganglion cyst removal |
$3,611 |
$9,027 |
$1,653 |
$321 | |
| GGT liver test |
$52 |
$129 |
$7 |
$7 | |
| Glucose tolerance test |
$35 |
$87 |
$5 |
$8 | |
| Group therapy session |
$143 |
$358 |
$221 |
$30 | |
| H. pylori test |
$138 |
$346 |
$69 |
$67 | |
| Hammertoe repair |
$2,986 |
$7,466 |
$3,364 |
$548 | |
| HDL cholesterol test |
$43 |
$108 |
$8 |
$8 | |
| Hematocrit test |
$27 |
$67 |
$2 |
$2 | |
| Hemodialysis |
$713 |
$1,784 |
$670 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$54 |
$135 |
$10 |
$10 | |
| Hemorrhoid removal |
$3,572 |
$8,930 |
$1,942 |
$338 | |
| Hepatitis B test |
$58 |
$144 |
$11 |
$10 | |
| Hepatitis B vaccine |
$37 |
$93 |
— |
— | |
| Hepatitis C test |
$89 |
$222 |
$15 |
$14 | |
| Hip replacement |
$10,679 |
$26,698 |
$13,199 |
$1,162 | |
| HIV test |
$64 |
$160 |
$25 |
$19 | |
| HIV test (antigen/antibody combo) |
$64 |
$160 |
$25 |
$24 | |
| Holter heart monitor |
$340 |
$849 |
$137 |
$26 | |
| Home sleep apnea test |
$348 |
$870 |
$222 |
$123 | |
| HPV vaccine |
$740 |
$1,850 |
— |
— | |
| Hysterectomy |
$6,176 |
$15,441 |
$10,928 |
$933 | |
| Hysteroscopy |
$2,889 |
$7,222 |
$3,328 |
$1,270 | |
| Inguinal hernia repair |
$6,786 |
$16,966 |
$3,752 |
$538 | |
| Iron blood test |
$29 |
$73 |
$7 |
$6 | |
| IUD insertion |
$1,001 |
$2,503 |
— |
— | |
| IUD removal |
$273 |
$683 |
$313 |
$112 | |
| IV infusion therapy |
$205 |
$512 |
$212 |
$44 | |
| IV infusion therapy (each additional) |
$138 |
$346 |
$48 |
$21 | |
| IV infusion therapy (initial) |
$205 |
$512 |
$219 |
$67 | |
| IVC filter placement |
$3,584 |
$8,960 |
$5,721 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$256 |
$639 |
$316 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$267 |
$667 |
$316 |
$57 | |
| Joint aspiration or injection (small joint) |
$171 |
$428 |
$316 |
$56 | |
| Kidney biopsy |
$2,834 |
$7,086 |
$1,698 |
$492 | |
| Kidney scan (nuclear) |
$924 |
$2,310 |
$558 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$7,458 |
$18,645 |
$3,624 |
$760 | |
| Kidney ultrasound |
$332 |
$831 |
$107 |
$84 | |
| Kidney ultrasound (limited) |
$332 |
$831 |
$107 |
$61 | |
| Knee arthroscopy |
$2,127 |
$5,318 |
$3,364 |
$524 | |
| Knee joint injection |
$478 |
$1,195 |
$316 |
$69 | |
| Knee replacement |
— |
— |
$20,011 |
$18,054 | |
| Lactate test |
$60 |
$150 |
$12 |
$12 | |
| Laminectomy (spine) |
$8,347 |
$20,868 |
$7,460 |
$1,157 | |
| Laryngoscopy |
$156 |
$390 |
$205 |
$189 | |
| LDH test |
$52 |
$129 |
$6 |
$6 | |
| LDL cholesterol test |
$38 |
$95 |
$11 |
$11 | |
| Leg artery angiogram |
$1,727 |
$4,318 |
$3,246 |
$149 | |
| Leg artery angioplasty |
$6,962 |
$17,404 |
— |
— | |
| Leg vein ultrasound (Doppler) |
$590 |
$1,476 |
$110 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$590 |
$1,476 |
$107 |
$116 | |
| LH hormone test |
$98 |
$246 |
$19 |
$19 | |
| Lipase test |
$114 |
$284 |
$7 |
$7 | |
| Lipid (cholesterol) panel |
$66 |
$164 |
$14 |
$13 | |
| Liver biopsy |
$1,328 |
$3,319 |
$1,698 |
$288 | |
| Liver function panel |
$76 |
$189 |
$8 |
$8 | |
| Lumbar discectomy |
$8,902 |
$22,255 |
$7,460 |
$898 | |
| Lung function test (PFT) |
$149 |
$372 |
$372 |
$37 | |
| Lung scan (V/Q) |
$718 |
$1,795 |
$558 |
$291 | |
| Magnesium blood test |
$39 |
$97 |
$7 |
$7 | |
| Meniscus repair (knee) |
$3,287 |
$8,217 |
$3,364 |
$714 | |
| MRA of the brain |
$1,712 |
$4,281 |
$262 |
$226 | |
| MRA of the brain with contrast |
$1,955 |
$4,887 |
$359 |
$226 | |
| MRA of the brain without contrast |
$2,085 |
$5,212 |
$359 |
$328 | |
| MRA of the neck |
$1,814 |
$4,535 |
$355 |
$245 | |
| MRA of the neck with contrast |
$1,737 |
$4,343 |
$359 |
$245 | |
| MRA of the neck without contrast |
$1,890 |
$4,726 |
$359 |
$343 | |
| MRI of the abdomen |
$2,510 |
$6,275 |
$348 |
$300 | |
| MRI of the abdomen with contrast |
$2,510 |
$6,275 |
$359 |
$300 | |
| MRI of the abdomen without contrast |
$2,352 |
$5,880 |
$245 |
$194 | |
| MRI of the ankle |
$1,974 |
$4,934 |
$348 |
$261 | |
| MRI of the ankle with contrast |
$1,974 |
$4,934 |
$359 |
$261 | |
| MRI of the ankle without contrast |
$1,626 |
$4,066 |
$245 |
$222 | |
| MRI of the brain |
$1,690 |
$4,225 |
$348 |
$269 | |
| MRI of the brain with contrast |
$1,690 |
$4,225 |
$359 |
$269 | |
| MRI of the brain without contrast |
$1,572 |
$3,931 |
$245 |
$195 | |
| MRI of the chest |
$1,746 |
$4,365 |
$359 |
$371 | |
| MRI of the chest with contrast |
$1,746 |
$4,365 |
$806 |
$371 | |
| MRI of the chest without contrast |
$1,766 |
$4,414 |
$359 |
$466 | |
| MRI of the knee |
$1,976 |
$4,941 |
$355 |
$315 | |
| MRI of the knee with contrast |
$1,248 |
$3,120 |
$806 |
$315 | |
| MRI of the knee without contrast |
$1,870 |
$4,676 |
$245 |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,884 |
$4,710 |
$355 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,729 |
$4,323 |
$359 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,649 |
$4,122 |
$245 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,182 |
$5,454 |
$355 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$2,726 |
$6,814 |
$359 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,729 |
$4,323 |
$359 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,649 |
$4,122 |
$245 |
$190 | |
| MRI of the neck (cervical spine) |
$2,257 |
$5,643 |
$355 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,744 |
$6,861 |
$359 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,946 |
$4,864 |
$359 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,795 |
$4,488 |
$245 |
$191 | |
| MRI of the pelvis |
$1,732 |
$4,330 |
$348 |
$268 | |
| MRI of the pelvis with contrast |
$1,732 |
$4,330 |
$359 |
$268 | |
| MRI of the pelvis without contrast |
$1,550 |
$3,876 |
$245 |
$227 | |
| MRI of the shoulder |
$1,962 |
$4,906 |
$355 |
$313 | |
| MRI of the shoulder with contrast |
$1,615 |
$4,038 |
$806 |
$313 | |
| MRI of the shoulder without contrast |
$1,962 |
$4,906 |
$245 |
$205 | |
| MRI of the wrist |
$1,752 |
$4,381 |
$348 |
$330 | |
| MRI of the wrist with contrast |
$1,248 |
$3,121 |
$359 |
$330 | |
| MRI of the wrist without contrast |
$1,600 |
$4,000 |
$245 |
$303 | |
| Nebulizer breathing treatment |
$220 |
$550 |
$225 |
$9 | |
| Neck (cervical) spinal fusion |
$2,730 |
$6,826 |
$13,199 |
$1,410 | |
| Nerve conduction study |
$288 |
$721 |
$222 |
$118 | |
| Nuclear cardiac stress test |
$2,334 |
$5,836 |
$1,331 |
$428 | |
| Occupational therapy evaluation |
$122 |
$304 |
$98 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$137 |
$342 |
$98 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$122 |
$304 |
$98 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$128 |
$321 |
$98 |
$101 | |
| Office visit (established patient) |
$68 |
$171 |
$68 |
$115 | |
| Office visit (new patient) |
$101 |
$252 |
$118 |
$177 | |
| Office visit, established patient (level 3) |
$76 |
$191 |
$59 |
$95 | |
| Office visit, established patient (level 4) |
$68 |
$171 |
$86 |
$136 | |
| Office visit, new patient (level 3) |
$98 |
$246 |
$73 |
$118 | |
| Office visit, new patient (level 4) |
$129 |
$323 |
$120 |
$177 | |
| Office visit, new patient (level 5) |
$104 |
$259 |
$164 |
$237 | |
| Orthopedic hardware removal |
$5,255 |
$13,137 |
$2,986 |
$632 | |
| Ovarian cyst removal |
$2,404 |
$6,011 |
$5,143 |
$698 | |
| Pacemaker insertion |
— |
— |
$20,711 |
$15,506 | |
| Pap smear (cervical screening) |
$34 |
$85 |
$25 |
$20 | |
| Parathyroid hormone (PTH) test |
$106 |
$265 |
$43 |
$41 | |
| Pelvic ultrasound |
$464 |
$1,159 |
$107 |
$78 | |
| Pelvic ultrasound (complete) |
$584 |
$1,459 |
$107 |
$105 | |
| Pelvic ultrasound (limited) |
$327 |
$818 |
$107 |
$51 | |
| PET scan |
$3,256 |
$8,141 |
$1,470 |
— | |
| Phosphorus blood test |
$29 |
$73 |
$5 |
$5 | |
| Physical therapy evaluation |
$122 |
$304 |
$96 |
$98 | |
| Physical therapy evaluation (high complexity) |
$137 |
$342 |
$96 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$128 |
$321 |
$96 |
$98 | |
| Pilonidal cyst removal |
$2,055 |
$5,138 |
$2,986 |
$541 | |
| Platelet count |
$30 |
$75 |
$5 |
$4 | |
| Pneumonia vaccine |
$151 |
$378 |
— |
— | |
| Pregnancy blood test (hCG) |
$93 |
$233 |
$8 |
$8 | |
| Pregnancy ultrasound |
$411 |
$1,028 |
$107 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$482 |
$1,206 |
$107 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$401 |
$1,002 |
$107 |
$136 | |
| Procalcitonin test |
$90 |
$224 |
$28 |
$27 | |
| Prolactin test |
$124 |
$311 |
$20 |
$19 | |
| Prostate biopsy |
$1,921 |
$4,802 |
— |
— | |
| Prostate surgery (TURP) |
$5,428 |
$13,571 |
$5,512 |
$526 | |
| Prostate test (PSA) |
$76 |
$191 |
$19 |
$18 | |
| Psychiatric evaluation |
$116 |
$291 |
$182 |
$188 | |
| Psychotherapy session |
$133 |
$333 |
$190 |
$140 | |
| Pulmonary rehabilitation |
$110 |
$274 |
$61 |
$87 | |
| Radiofrequency nerve ablation |
$1,821 |
$4,552 |
$2,008 |
$462 | |
| Retinal (fundus) photography |
$170 |
$424 |
$137 |
$37 | |
| Rotator cuff repair |
$1,916 |
$4,790 |
$7,460 |
$792 | |
| Sacroiliac joint injection |
$992 |
$2,481 |
$75 |
$176 | |
| Scoliosis spine X-ray |
$174 |
$435 |
$96 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$174 |
$435 |
$89 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$224 |
$560 |
$107 |
$72 | |
| Screening colonoscopy |
$1,528 |
$3,821 |
$956 |
$378 | |
| Screening mammogram |
$155 |
$388 |
$35 |
$126 | |
| Scrotal ultrasound |
$548 |
$1,369 |
$107 |
$99 | |
| Sedimentation rate (ESR) test |
$31 |
$77 |
$3 |
$3 | |
| Semen analysis |
$49 |
$122 |
$13 |
$12 | |
| Septoplasty (deviated septum) |
$1,241 |
$3,102 |
$3,408 |
$613 | |
| Sex hormone binding globulin test |
$103 |
$257 |
$22 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$314 |
$785 |
$206 |
$114 | |
| Simple wound stitches |
$328 |
$821 |
$206 |
$127 | |
| Sinus surgery (endoscopic) |
$1,241 |
$3,102 |
$5,755 |
$224 | |
| Skin biopsy |
$233 |
$583 |
$446 |
$121 | |
| Skin biopsy (punch) |
$1,175 |
$2,936 |
$418 |
$121 | |
| Skin lesion freezing (cryotherapy) |
$85 |
$214 |
$101 |
$36 | |
| Skin tag removal |
$267 |
$667 |
$206 |
$92 | |
| Sleep study (polysomnography) |
$574 |
$1,435 |
$874 |
$691 | |
| Soft tissue ultrasound |
$428 |
$1,071 |
$107 |
$64 | |
| Speech therapy |
$105 |
$263 |
$75 |
$76 | |
| Spinal tap (lumbar puncture) |
$628 |
$1,571 |
$726 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$6,615 |
$16,537 |
$7,460 |
$5,803 | |
| Spirometry (lung function test) |
$124 |
$311 |
$222 |
$30 | |
| Spirometry with bronchodilator |
$149 |
$373 |
$384 |
$43 | |
| Strep throat test |
$41 |
$102 |
$17 |
$17 | |
| Stress echocardiogram |
$833 |
$2,082 |
$562 |
$209 | |
| Stress echocardiogram (complete) |
$697 |
$1,743 |
$562 |
$233 | |
| Swallow study |
$199 |
$497 |
$83 |
$85 | |
| T3 thyroid test |
$93 |
$232 |
$15 |
$14 | |
| Tdap (tetanus) vaccine |
$68 |
$171 |
$44 |
— | |
| Testosterone test |
$130 |
$324 |
$27 |
$26 | |
| Thyroid removal (thyroidectomy) |
$18,982 |
$47,456 |
$6,215 |
$1,004 | |
| Thyroid test (TSH) |
$73 |
$182 |
$17 |
$17 | |
| Thyroid ultrasound |
$608 |
$1,521 |
$107 |
$109 | |
| Thyroid uptake scan |
$696 |
$1,739 |
$411 |
$145 | |
| Tilt table test |
$527 |
$1,319 |
$384 |
$168 | |
| Total IgE allergy test |
$51 |
$128 |
$17 |
$16 | |
| Total protein test |
$29 |
$73 |
$4 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$946 |
$2,365 |
$562 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$590 |
$1,475 |
$562 |
$239 | |
| Transvaginal ultrasound |
$511 |
$1,277 |
$107 |
$118 | |
| Trigger point injection |
$229 |
$573 |
$316 |
$56 | |
| Trigger point injection (1-2 muscles) |
$229 |
$573 |
$316 |
$52 | |
| Triglycerides test |
$34 |
$84 |
$6 |
$6 | |
| Troponin (heart) test |
$127 |
$318 |
$13 |
$12 | |
| Turning a breech baby (version) |
$1,269 |
$3,172 |
$670 |
$94 | |
| Upper GI endoscopy (EGD) |
$1,186 |
$2,965 |
$932 |
$371 | |
| Upper GI series (barium) |
$358 |
$896 |
$180 |
$128 | |
| Ureteral stent placement |
$2,265 |
$5,663 |
$3,624 |
$373 | |
| Ureteroscopy (stone removal) |
$4,658 |
$11,646 |
$5,512 |
$365 | |
| Uric acid (gout) test |
$52 |
$129 |
$5 |
$5 | |
| Urinalysis |
$54 |
$135 |
$3 |
$3 | |
| Urine microalbumin test |
$28 |
$71 |
$5 |
$5 | |
| Urine pregnancy test |
$80 |
$199 |
$9 |
$9 | |
| Vaccine administration |
$44 |
$109 |
$74 |
$19 | |
| Vaccine administration (each additional) |
$34 |
$86 |
— |
$16 | |
| Vaginal delivery |
— |
— |
$10,692 |
$5,487 | |
| Varicose vein ablation |
$2,362 |
$5,905 |
$3,246 |
$1,018 | |
| Vasectomy |
$3,417 |
$8,542 |
$2,149 |
$347 | |
| Vitamin B12 test |
$62 |
$155 |
$16 |
$15 | |
| Vitamin D test |
$94 |
$235 |
$30 |
$30 | |
| Weight-loss (bariatric) surgery |
— |
— |
$16,850 |
$11,645 | |
| Wound debridement |
$1,318 |
$3,295 |
$446 |
$186 | |
| Wrist fracture repair |
$6,767 |
$16,918 |
$7,460 |
$735 | |
| X-ray of the abdomen |
$152 |
$381 |
$104 |
$36 | |
| X-ray of the ankle |
$274 |
$686 |
$89 |
$37 | |
| X-ray of the collarbone |
$174 |
$434 |
$89 |
$33 | |
| X-ray of the elbow |
$278 |
$695 |
$89 |
$33 | |
| X-ray of the facial bones |
$173 |
$432 |
$104 |
$39 | |
| X-ray of the foot |
$238 |
$594 |
$89 |
$34 | |
| X-ray of the forearm |
$237 |
$593 |
$89 |
$29 | |
| X-ray of the hand |
$211 |
$527 |
$89 |
$38 | |
| X-ray of the hip |
$150 |
$374 |
$89 |
$49 | |
| X-ray of the hip (1 view) |
$150 |
$374 |
$89 |
$34 | |
| X-ray of the hip (3 views) |
$158 |
$395 |
$89 |
$49 | |
| X-ray of the knee |
$187 |
$467 |
$89 |
$42 | |
| X-ray of the knee (2 views) |
$187 |
$467 |
$89 |
$34 | |
| X-ray of the knee (3 views) |
$223 |
$558 |
$89 |
$42 | |
| X-ray of the lower back (lumbar spine) |
$228 |
$571 |
$107 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$228 |
$571 |
$107 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$264 |
$659 |
$107 |
$53 | |
| X-ray of the lower leg |
$186 |
$464 |
$89 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$171 |
$429 |
$107 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$170 |
$426 |
$107 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$176 |
$440 |
$107 |
$39 | |
| X-ray of the neck (cervical spine) |
$264 |
$660 |
$96 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$264 |
$660 |
$89 |
$40 | |
| X-ray of the pelvis |
$131 |
$327 |
$107 |
$36 | |
| X-ray of the pelvis (1 view) |
$131 |
$327 |
$107 |
$28 | |
| X-ray of the ribs |
$233 |
$583 |
$104 |
$42 | |
| X-ray of the ribs (2 views) |
$221 |
$552 |
$89 |
$36 | |
| X-ray of the ribs (3 views) |
$233 |
$583 |
$107 |
$42 | |
| X-ray of the shoulder |
$414 |
$1,036 |
$89 |
$36 | |
| X-ray of the skull |
$231 |
$577 |
$107 |
$40 | |
| X-ray of the upper arm |
$135 |
$337 |
$89 |
$32 | |
| X-ray of the wrist |
$280 |
$700 |
$89 |
$43 | |
| Zinc blood test |
$29 |
$72 |
$12 |
$11 | |