| Abdominal fluid drain (paracentesis) |
$1,555 |
$3,617 |
$3,002 |
$284 | |
| Abdominal ultrasound |
$488 |
$1,136 |
$803 |
$100 | |
| Abdominal ultrasound (complete) |
$589 |
$1,370 |
$1,089 |
$114 | |
| Abdominal ultrasound (limited) |
$388 |
$902 |
$717 |
$86 | |
| Abscess drainage (complex or multiple) |
$344 |
$800 |
$664 |
$220 | |
| Abscess drainage (simple) |
$344 |
$800 |
$648 |
$129 | |
| Abscess incision and drainage |
$344 |
$800 |
$648 |
$174 | |
| ACL knee reconstruction |
$11,646 |
$27,085 |
$27,085 |
$889 | |
| Adenoid removal (adenoidectomy) |
$2,830 |
$6,582 |
$6,157 |
$204 | |
| Albumin blood test |
$21 |
$48 |
$36 |
$5 | |
| Aldosterone test |
$53 |
$123 |
$114 |
$41 | |
| Alkaline phosphatase test |
$21 |
$48 |
$39 |
$5 | |
| Allergy patch testing |
$90 |
$208 |
$177 |
$5 | |
| Allergy shots |
$49 |
$114 |
$92 |
$11 | |
| Allergy testing |
$9 |
$22 |
$18 |
$4 | |
| Alpha-fetoprotein (AFP) test |
$51 |
$119 |
$96 |
$17 | |
| ALT liver enzyme test |
$21 |
$48 |
$39 |
$5 | |
| Ammonia blood test |
$51 |
$119 |
$64 |
$15 | |
| Amylase test |
$21 |
$48 |
$84 |
$6 | |
| Anal fistula repair |
$2,449 |
$5,696 |
$5,696 |
$541 | |
| Ankle fracture repair |
$7,923 |
$18,426 |
$10,144 |
$608 | |
| Antinuclear antibody (ANA) test |
$44 |
$102 |
$83 |
$12 | |
| Arterial blood gas (ABG) |
$51 |
$119 |
$96 |
$26 | |
| AST liver enzyme test |
$21 |
$48 |
$39 |
$5 | |
| Barium swallow study |
$312 |
$726 |
$467 |
$107 | |
| Bartholin cyst removal |
$415 |
$965 |
$782 |
$182 | |
| Basic metabolic panel |
$35 |
$81 |
$66 |
$8 | |
| Benign skin lesion removal |
$938 |
$2,181 |
$1,766 |
$171 | |
| Bilirubin blood test |
$21 |
$48 |
$39 |
$5 | |
| Bladder function test (urodynamics) |
$800 |
$1,860 |
$1,478 |
$345 | |
| Bladder scope (cystoscopy) |
$2,564 |
$5,962 |
$4,018 |
$216 | |
| Bladder tumor removal (TURBT) |
$4,951 |
$11,513 |
$11,513 |
$236 | |
| Blood clotting test (PT/INR) |
$16 |
$36 |
$29 |
$4 | |
| Blood crossmatch |
$110 |
$256 |
$218 |
— | |
| Blood glucose test |
$21 |
$48 |
$39 |
$5 | |
| Blood transfusion |
$969 |
$2,253 |
$1,791 |
$47 | |
| Blood type and screen |
$18 |
$42 |
$46 |
$10 | |
| Blood type test |
$18 |
$42 |
$37 |
$3 | |
| Blood type test (ABO group) |
$18 |
$42 |
$37 |
$3 | |
| Blood type test (Rh/D antigen) |
$18 |
$42 |
$37 |
$3 | |
| BNP (heart failure) test |
$181 |
$420 |
$284 |
$39 | |
| Bone density scan (DEXA) |
$423 |
$985 |
$783 |
$39 | |
| Bone marrow biopsy |
$2,500 |
$5,814 |
$4,622 |
$172 | |
| Bone scan (nuclear) |
$1,346 |
$3,130 |
$2,535 |
$259 | |
| Botox for migraine |
$916 |
$2,131 |
$1,726 |
$157 | |
| Breast reconstruction |
$7,099 |
$16,510 |
$16,510 |
$1,227 | |
| Breast reduction |
$13,009 |
$30,253 |
$30,253 |
$980 | |
| Breast ultrasound |
$388 |
$902 |
$397 |
$92 | |
| Breast ultrasound (complete) |
$388 |
$902 |
$390 |
$100 | |
| Breast ultrasound (limited) |
$388 |
$902 |
$397 |
$84 | |
| Breathing tube insertion (intubation) |
$1,912 |
$4,446 |
$3,691 |
$133 | |
| Bronchoscopy |
$3,364 |
$7,822 |
$7,268 |
$303 | |
| Bunion surgery (bunionectomy) |
$7,542 |
$17,540 |
$17,540 |
$883 | |
| Burn dressing and debridement (medium) |
$393 |
$915 |
$741 |
$166 | |
| Burn dressing and debridement (small) |
$393 |
$915 |
$727 |
$93 | |
| Burn treatment |
$393 |
$915 |
$741 |
$129 | |
| C-reactive protein (CRP) |
$44 |
$102 |
$83 |
$5 | |
| CA 19-9 tumor marker test |
$44 |
$102 |
$52 |
$21 | |
| CA-125 ovarian marker test |
$44 |
$102 |
$83 |
$21 | |
| Calcium blood test |
$21 |
$48 |
$40 |
$5 | |
| Capsule endoscopy |
$1,415 |
$3,291 |
$2,616 |
$802 | |
| Cardiac ablation |
$34,392 |
$79,981 |
$64,785 |
$759 | |
| Cardiac catheterization |
$4,954 |
$11,521 |
$8,986 |
$1,049 | |
| Cardiac MRI |
$1,229 |
$2,858 |
$1,797 |
$322 | |
| Cardiac MRI without contrast |
$893 |
$2,077 |
$1,682 |
$280 | |
| Cardioversion |
$1,360 |
$3,162 |
$2,624 |
$155 | |
| Carotid artery ultrasound |
$293 |
$682 |
$490 |
$156 | |
| Cataract surgery |
$6,147 |
$14,296 |
$13,802 |
$547 | |
| CEA tumor marker test |
$51 |
$119 |
$57 |
$19 | |
| Celiac disease test |
$42 |
$98 |
$79 |
$12 | |
| Central line placement |
$18,146 |
$42,201 |
$4,953 |
$238 | |
| Chemotherapy infusion |
$589 |
$1,369 |
$1,016 |
$81 | |
| Chemotherapy infusion (each additional) |
$540 |
$1,255 |
$998 |
$28 | |
| Chemotherapy infusion (first hour) |
$638 |
$1,483 |
$1,157 |
$133 | |
| Chest fluid drain (thoracentesis) |
$2,885 |
$6,710 |
$5,569 |
$311 | |
| Chest tube insertion |
$5,358 |
$12,461 |
$10,342 |
$143 | |
| Chest X-ray |
$201 |
$467 |
$378 |
$37 | |
| Chest X-ray (1 view) |
$201 |
$467 |
$371 |
$25 | |
| Chest X-ray (2 views) |
$201 |
$467 |
$371 |
$33 | |
| Chickenpox (varicella) vaccine |
$149 |
$347 |
$281 |
— | |
| Circumcision |
$4,132 |
$9,609 |
$8,167 |
$167 | |
| CK-MB heart enzyme test |
$51 |
$119 |
$99 |
$12 | |
| Clotting time test (PTT) |
$16 |
$36 |
$29 |
$6 | |
| Complete blood count (CBC) |
$24 |
$55 |
$45 |
$7 | |
| Complete blood count (CBC) (complete) |
$24 |
$55 |
$45 |
$8 | |
| Complex wound repair |
$652 |
$1,515 |
$1,258 |
$390 | |
| Comprehensive metabolic panel |
$35 |
$81 |
$66 |
$11 | |
| Contraceptive implant (Nexplanon) |
$344 |
$800 |
$648 |
$115 | |
| Copper blood test |
$46 |
$108 |
$87 |
$12 | |
| Coronary CT angiography |
$1,357 |
$3,156 |
$2,556 |
$326 | |
| Cortisol test |
$53 |
$123 |
$105 |
$16 | |
| COVID-19 PCR test |
$456 |
$1,060 |
$334 |
$51 | |
| CPAP titration study |
$522 |
$1,214 |
$1,008 |
$69 | |
| Creatine kinase (CK) test |
$21 |
$48 |
$39 |
$7 | |
| CT angiography of the chest |
$1,357 |
$3,156 |
$2,461 |
$281 | |
| CT angiography of the head |
$1,357 |
$3,156 |
$2,556 |
$274 | |
| CT scan of the abdomen |
$1,108 |
$2,578 |
$1,753 |
$230 | |
| CT scan of the abdomen and pelvis |
$1,108 |
$2,578 |
$2,088 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$1,108 |
$2,578 |
$2,049 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$1,108 |
$2,578 |
$2,088 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$1,108 |
$2,578 |
$2,088 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,108 |
$2,578 |
$2,088 |
$259 | |
| CT scan of the abdomen with contrast |
$1,108 |
$2,578 |
$2,088 |
$230 | |
| CT scan of the abdomen without contrast |
$409 |
$951 |
$771 |
$136 | |
| CT scan of the arm |
$759 |
$1,764 |
$856 |
$199 | |
| CT scan of the arm with contrast |
$1,108 |
$2,578 |
$2,088 |
$199 | |
| CT scan of the arm without contrast |
$409 |
$951 |
$790 |
$161 | |
| CT scan of the chest |
$1,108 |
$2,578 |
$1,650 |
$167 | |
| CT scan of the chest with and without contrast |
$1,108 |
$2,578 |
$2,010 |
$196 | |
| CT scan of the chest with contrast |
$1,108 |
$2,578 |
$2,088 |
$167 | |
| CT scan of the chest without contrast |
$409 |
$951 |
$742 |
$133 | |
| CT scan of the head |
$1,108 |
$2,578 |
$2,088 |
$148 | |
| CT scan of the head with and without contrast |
$1,108 |
$2,578 |
$2,088 |
$173 | |
| CT scan of the head with contrast |
$1,108 |
$2,578 |
$2,049 |
$148 | |
| CT scan of the head without contrast |
$1,108 |
$2,578 |
$2,049 |
$107 | |
| CT scan of the leg |
$1,108 |
$2,578 |
$1,753 |
$166 | |
| CT scan of the leg with contrast |
$1,108 |
$2,578 |
$2,088 |
$166 | |
| CT scan of the leg without contrast |
$409 |
$951 |
$771 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$759 |
$1,764 |
$856 |
$169 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,108 |
$2,578 |
$2,088 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$409 |
$951 |
$756 |
$130 | |
| CT scan of the neck |
$759 |
$1,764 |
$951 |
$183 | |
| CT scan of the neck (cervical spine) |
$759 |
$1,764 |
$904 |
$168 | |
| CT scan of the neck (cervical spine) with contrast |
$1,108 |
$2,578 |
$2,139 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$409 |
$951 |
$756 |
$131 | |
| CT scan of the neck with contrast |
$1,108 |
$2,578 |
$2,049 |
$183 | |
| CT scan of the neck without contrast |
$409 |
$951 |
$771 |
$150 | |
| CT scan of the pelvis |
$759 |
$1,764 |
$951 |
$226 | |
| CT scan of the pelvis with contrast |
$1,108 |
$2,578 |
$2,088 |
$226 | |
| CT scan of the pelvis without contrast |
$409 |
$951 |
$771 |
$133 | |
| CT scan of the sinuses |
$1,108 |
$2,578 |
$1,547 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,108 |
$2,578 |
$2,088 |
$184 | |
| CT scan of the sinuses with contrast |
$1,108 |
$2,578 |
$2,049 |
$152 | |
| CT scan of the sinuses without contrast |
$409 |
$951 |
$756 |
$128 | |
| D-dimer test |
$16 |
$36 |
$98 |
$10 | |
| Defibrillator (ICD) implant |
$52,364 |
$121,777 |
$101,075 |
$798 | |
| Developmental screening (child) |
$163 |
$379 |
$314 |
— | |
| DHEA-sulfate test |
$53 |
$123 |
$100 |
$22 | |
| Droopy eyelid repair (ptosis) |
$3,340 |
$7,767 |
$7,767 |
$745 | |
| Drug screen (urine) |
$256 |
$596 |
$249 |
$17 | |
| Ear pressure test (tympanometry) |
$49 |
$115 |
$89 |
$16 | |
| Ear tubes (myringotomy) |
$1,833 |
$4,262 |
$3,955 |
$174 | |
| Eardrum repair (tympanoplasty) |
$4,096 |
$9,525 |
$9,525 |
$799 | |
| Echocardiogram |
$976 |
$2,271 |
$1,839 |
$138 | |
| Echocardiogram with and without contrast |
$976 |
$2,271 |
$1,839 |
$101 | |
| EEG (awake and asleep) |
$672 |
$1,563 |
$1,266 |
$482 | |
| EKG / ECG (tracing only) |
$55 |
$129 |
$103 |
$7 | |
| Electrocardiogram (EKG) |
$55 |
$129 |
$103 |
$8 | |
| Electroencephalogram (EEG) |
$672 |
$1,563 |
$1,266 |
$448 | |
| Electrolyte panel |
$35 |
$81 |
$66 |
$7 | |
| Electromyography (EMG) |
$287 |
$668 |
$541 |
$141 | |
| Emergency department visit |
$351 |
$816 |
$595 |
$69 | |
| Emergency department visit (level 1) |
$109 |
$254 |
$202 |
$11 | |
| Emergency department visit (level 2) |
$201 |
$467 |
$372 |
$40 | |
| Emergency department visit (level 3) |
$351 |
$816 |
$648 |
$69 | |
| Emergency department visit (level 4) |
$544 |
$1,266 |
$1,006 |
$118 | |
| Emergency department visit (level 5) |
$789 |
$1,836 |
$1,460 |
$171 | |
| Epidural steroid injection |
$1,800 |
$4,186 |
$3,391 |
$275 | |
| Esophageal dilation |
$3,520 |
$8,187 |
$8,058 |
$522 | |
| Estradiol (estrogen) test |
$53 |
$123 |
$100 |
$28 | |
| Eye refraction (glasses prescription) |
$117 |
$271 |
$225 |
— | |
| Facet joint injection (spine) |
$1,800 |
$4,186 |
$3,391 |
$99 | |
| Fallopian tube X-ray (HSG) |
$353 |
$822 |
$723 |
$164 | |
| Family therapy session |
$80 |
$185 |
$150 |
$110 | |
| Fecal occult blood (stool) test |
$51 |
$119 |
$99 |
$10 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$51 |
$119 |
$99 |
$16 | |
| Femoral hernia repair |
$4,919 |
$11,440 |
$11,440 |
$584 | |
| Ferritin (iron) test |
$51 |
$119 |
$96 |
$14 | |
| Fibrinogen test |
$16 |
$36 |
$29 |
$10 | |
| Flu test |
$30 |
$71 |
$59 |
$17 | |
| Folate (folic acid) test |
$51 |
$119 |
$96 |
$15 | |
| Foreign body removal (skin) |
$344 |
$800 |
$636 |
$157 | |
| Free T4 thyroid test |
$53 |
$123 |
$100 |
$9 | |
| FSH hormone test |
$53 |
$123 |
$100 |
$19 | |
| Gallbladder scan (HIDA) |
$1,346 |
$3,130 |
$2,535 |
$334 | |
| Ganglion cyst removal |
$3,019 |
$7,022 |
$7,022 |
$321 | |
| GGT liver test |
$21 |
$48 |
$39 |
$7 | |
| Glucose tolerance test |
$36 |
$83 |
$60 |
$8 | |
| H. pylori test |
$135 |
$313 |
$260 |
$67 | |
| HDL cholesterol test |
$21 |
$48 |
$40 |
$8 | |
| Hearing test (audiometry) |
$192 |
$446 |
$355 |
$36 | |
| Hematocrit test |
$24 |
$55 |
$45 |
$2 | |
| Hemodialysis |
$777 |
$1,808 |
$1,329 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$21 |
$48 |
$24 |
$10 | |
| Hepatitis B test |
$30 |
$71 |
$57 |
$10 | |
| Hepatitis C test |
$44 |
$102 |
$83 |
$14 | |
| HIV test |
$37 |
$87 |
$62 |
$19 | |
| HIV test (antibody) |
$44 |
$102 |
$85 |
$14 | |
| HIV test (antigen/antibody combo) |
$30 |
$71 |
$57 |
$24 | |
| HPV vaccine |
$251 |
$584 |
$473 |
— | |
| Hydrocele repair |
$3,464 |
$8,057 |
$8,057 |
$315 | |
| Inguinal hernia repair |
$3,241 |
$7,537 |
$7,877 |
$538 | |
| Iron blood test |
$21 |
$48 |
$108 |
$6 | |
| IUD removal |
$415 |
$965 |
$782 |
$112 | |
| IV infusion therapy |
$589 |
$1,369 |
$1,042 |
$44 | |
| IV infusion therapy (each additional) |
$540 |
$1,255 |
$998 |
$21 | |
| IV infusion therapy (initial) |
$638 |
$1,483 |
$1,179 |
$67 | |
| IVC filter placement |
$7,526 |
$17,501 |
$14,526 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$506 |
$1,177 |
$953 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$506 |
$1,177 |
$936 |
$57 | |
| Joint aspiration or injection (small joint) |
$506 |
$1,177 |
$977 |
$56 | |
| Kidney biopsy |
$4,251 |
$9,885 |
$6,648 |
$492 | |
| Kidney scan (nuclear) |
$1,346 |
$3,130 |
$2,488 |
$172 | |
| Kidney ultrasound |
$488 |
$1,136 |
$902 |
$84 | |
| Kidney ultrasound (limited) |
$388 |
$902 |
$731 |
$61 | |
| Knee arthroscopy |
$4,886 |
$11,363 |
$9,871 |
$524 | |
| Knee joint injection |
$506 |
$1,177 |
$918 |
$69 | |
| Lactate test |
$51 |
$119 |
$96 |
$12 | |
| Laryngoscopy |
$917 |
$2,132 |
$3,274 |
$189 | |
| LDH test |
$18 |
$43 |
$37 |
$6 | |
| LDL cholesterol test |
$51 |
$119 |
$99 |
$11 | |
| Leg artery angiogram |
$6,405 |
$14,895 |
$12,065 |
$149 | |
| Leg vein ultrasound (Doppler) |
$293 |
$682 |
$476 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$233 |
$541 |
$438 |
$116 | |
| LH hormone test |
$53 |
$123 |
$100 |
$19 | |
| Lipase test |
$21 |
$48 |
$55 |
$7 | |
| Lipid (cholesterol) panel |
$35 |
$81 |
$66 |
$13 | |
| Liver biopsy |
$2,870 |
$6,675 |
$2,930 |
$288 | |
| Liver function panel |
$35 |
$81 |
$66 |
$8 | |
| Lung function test (PFT) |
$325 |
$755 |
$484 |
$37 | |
| Magnesium blood test |
$21 |
$48 |
$41 |
$7 | |
| Mastectomy |
$4,589 |
$10,672 |
$10,672 |
$1,021 | |
| Meniscus repair (knee) |
$10,433 |
$24,264 |
$20,710 |
$714 | |
| MMR vaccine |
$82 |
$190 |
$154 |
— | |
| MRA of the brain |
$1,751 |
$4,072 |
$3,238 |
$226 | |
| MRA of the brain with contrast |
$1,751 |
$4,072 |
$3,299 |
$226 | |
| MRA of the brain without contrast |
$1,751 |
$4,072 |
$3,177 |
$328 | |
| MRA of the neck |
$1,751 |
$4,072 |
$3,299 |
$245 | |
| MRA of the neck with contrast |
$1,751 |
$4,072 |
$3,380 |
$245 | |
| MRA of the neck without contrast |
$1,751 |
$4,072 |
$3,299 |
$343 | |
| MRI of the abdomen |
$1,565 |
$3,640 |
$2,329 |
$300 | |
| MRI of the abdomen with contrast |
$1,565 |
$3,640 |
$3,021 |
$300 | |
| MRI of the abdomen without contrast |
$893 |
$2,077 |
$1,682 |
$194 | |
| MRI of the ankle |
$1,229 |
$2,858 |
$1,973 |
$261 | |
| MRI of the ankle without contrast |
$893 |
$2,077 |
$1,682 |
$222 | |
| MRI of the brain |
$1,565 |
$3,640 |
$1,828 |
$269 | |
| MRI of the brain with contrast |
$1,565 |
$3,640 |
$2,948 |
$269 | |
| MRI of the brain without contrast |
$893 |
$2,077 |
$1,651 |
$195 | |
| MRI of the chest |
$1,229 |
$2,858 |
$1,973 |
$371 | |
| MRI of the chest without contrast |
$1,565 |
$3,640 |
$2,948 |
$466 | |
| MRI of the knee |
$1,229 |
$2,858 |
$1,973 |
$315 | |
| MRI of the knee without contrast |
$893 |
$2,077 |
$1,682 |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,565 |
$3,640 |
$2,184 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,565 |
$3,640 |
$2,948 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$893 |
$2,077 |
$1,682 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,565 |
$3,640 |
$2,475 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$1,565 |
$3,640 |
$2,948 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,565 |
$3,640 |
$3,021 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$893 |
$2,077 |
$1,651 |
$190 | |
| MRI of the neck (cervical spine) |
$1,565 |
$3,640 |
$2,184 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$1,565 |
$3,640 |
$2,893 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,565 |
$3,640 |
$3,021 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$893 |
$2,077 |
$1,682 |
$191 | |
| MRI of the pelvis |
$1,229 |
$2,858 |
$1,869 |
$268 | |
| MRI of the pelvis without contrast |
$893 |
$2,077 |
$1,651 |
$227 | |
| MRI of the shoulder |
$1,229 |
$2,858 |
$1,973 |
$313 | |
| MRI of the shoulder without contrast |
$893 |
$2,077 |
$1,682 |
$205 | |
| MRI of the wrist |
$1,565 |
$3,640 |
$2,948 |
$330 | |
| Nebulizer breathing treatment |
$110 |
$255 |
$203 |
$9 | |
| Nerve conduction study |
$287 |
$668 |
$541 |
$118 | |
| Occupational therapy evaluation |
$123 |
$286 |
$238 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$123 |
$286 |
$238 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$123 |
$286 |
$238 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$123 |
$286 |
$238 |
$101 | |
| Orthopedic hardware removal |
$5,281 |
$12,281 |
$9,579 |
$632 | |
| Pap smear (cervical screening) |
$60 |
$140 |
$106 |
$20 | |
| Parathyroid hormone (PTH) test |
$136 |
$317 |
$257 |
$41 | |
| Pelvic ultrasound |
$488 |
$1,136 |
$803 |
$78 | |
| Pelvic ultrasound (complete) |
$589 |
$1,370 |
$1,089 |
$105 | |
| Pelvic ultrasound (limited) |
$388 |
$902 |
$731 |
$51 | |
| PET scan |
$4,592 |
$10,679 |
$8,650 |
— | |
| Phosphorus blood test |
$74 |
$173 |
$76 |
$5 | |
| Physical therapy evaluation |
$123 |
$286 |
$235 |
$98 | |
| Physical therapy evaluation (high complexity) |
$125 |
$290 |
$240 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$123 |
$286 |
$238 |
$98 | |
| Pilonidal cyst removal |
$3,034 |
$7,056 |
$6,724 |
$541 | |
| Platelet count |
$24 |
$55 |
$46 |
$4 | |
| Pneumonia vaccine |
$105 |
$244 |
$198 |
— | |
| Pregnancy blood test (hCG) |
$21 |
$48 |
$39 |
$8 | |
| Procalcitonin test |
$53 |
$123 |
$100 |
$27 | |
| Prolactin test |
$53 |
$123 |
$102 |
$19 | |
| Retinal detachment repair |
$9,900 |
$23,024 |
$20,511 |
$966 | |
| Sacroiliac joint injection |
$1,036 |
$2,410 |
$1,916 |
$176 | |
| Scoliosis spine X-ray |
$201 |
$467 |
$371 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$201 |
$467 |
$371 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$201 |
$467 |
$371 |
$72 | |
| Scrotal ultrasound |
$388 |
$902 |
$717 |
$99 | |
| Sedimentation rate (ESR) test |
$24 |
$55 |
$45 |
$3 | |
| Septoplasty (deviated septum) |
$4,412 |
$10,262 |
$8,411 |
$613 | |
| Sex hormone binding globulin test |
$51 |
$119 |
$96 |
$22 | |
| Shingles vaccine |
$257 |
$598 |
$496 |
— | |
| Shoulder arthroscopy |
$7,538 |
$17,530 |
$15,439 |
$962 | |
| Simple laceration repair (small, up to 2.5 cm) |
$393 |
$915 |
$759 |
$114 | |
| Simple wound stitches |
$393 |
$915 |
$741 |
$127 | |
| Sinus surgery (endoscopic) |
$9,397 |
$21,854 |
$18,804 |
$224 | |
| Skin biopsy |
$938 |
$2,181 |
$1,766 |
$121 | |
| Skin biopsy (punch) |
$938 |
$2,181 |
$1,701 |
$121 | |
| Skin tag removal |
$344 |
$800 |
$648 |
$92 | |
| Sleep study (polysomnography) |
$1,604 |
$3,729 |
$2,965 |
$691 | |
| Soft tissue ultrasound |
$388 |
$902 |
$717 |
$64 | |
| Speech therapy |
$102 |
$237 |
$192 |
$76 | |
| Spinal tap (lumbar puncture) |
$1,800 |
$4,186 |
$3,328 |
$165 | |
| Spirometry (lung function test) |
$219 |
$509 |
$405 |
$30 | |
| Spirometry with bronchodilator |
$431 |
$1,001 |
$796 |
$43 | |
| Strabismus (eye muscle) surgery |
$3,023 |
$7,031 |
$6,752 |
$475 | |
| Strep throat test |
$30 |
$71 |
$59 |
$17 | |
| Swallow study |
$106 |
$246 |
$204 |
$85 | |
| T3 thyroid test |
$17 |
$39 |
$31 |
$14 | |
| Tdap (tetanus) vaccine |
$43 |
$100 |
$83 |
— | |
| Testicle removal (orchiectomy) |
$4,020 |
$9,349 |
$9,349 |
$306 | |
| Testosterone test |
$53 |
$123 |
$90 |
$26 | |
| Thyroid test (TSH) |
$53 |
$123 |
$92 |
$17 | |
| Thyroid ultrasound |
$388 |
$902 |
$704 |
$109 | |
| Thyroid uptake scan |
$1,346 |
$3,130 |
$2,535 |
$145 | |
| Tonsillectomy |
$2,741 |
$6,373 |
$5,680 |
$252 | |
| Total IgE allergy test |
$51 |
$119 |
$26 |
$16 | |
| Total protein test |
$21 |
$48 |
$25 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$976 |
$2,271 |
$1,839 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$976 |
$2,271 |
$1,839 |
$239 | |
| Trigger point injection |
$506 |
$1,177 |
$953 |
$56 | |
| Trigger point injection (1-2 muscles) |
$506 |
$1,177 |
$953 |
$52 | |
| Triglycerides test |
$21 |
$48 |
$32 |
$6 | |
| Troponin (heart) test |
$51 |
$119 |
$106 |
$12 | |
| Upper GI endoscopy (EGD) |
$2,013 |
$4,681 |
$3,979 |
$371 | |
| Upper GI series (barium) |
$423 |
$985 |
$783 |
$128 | |
| Uric acid (gout) test |
$21 |
$48 |
$39 |
$5 | |
| Urinalysis |
$12 |
$27 |
$22 |
$3 | |
| Urine microalbumin test |
$80 |
$186 |
$84 |
$5 | |
| Urine pregnancy test |
$12 |
$27 |
$22 |
$9 | |
| Vaccine administration |
$93 |
$216 |
$169 |
$19 | |
| Vaccine administration (each additional) |
$93 |
$216 |
$169 |
$16 | |
| Varicocele repair |
$7,222 |
$16,796 |
$16,796 |
$327 | |
| Vitamin B12 test |
$53 |
$123 |
$100 |
$15 | |
| Vitamin D test |
$51 |
$119 |
$96 |
$30 | |
| Vitrectomy (eye) |
$6,518 |
$15,158 |
$13,658 |
$814 | |
| Wart removal |
$344 |
$800 |
$648 |
$121 | |
| Wrist fracture repair |
$6,131 |
$14,258 |
$12,268 |
$735 | |
| X-ray of the abdomen |
$201 |
$467 |
$378 |
$36 | |
| X-ray of the ankle |
$201 |
$467 |
$378 |
$37 | |
| X-ray of the collarbone |
$201 |
$467 |
$378 |
$33 | |
| X-ray of the elbow |
$201 |
$467 |
$378 |
$33 | |
| X-ray of the facial bones |
$201 |
$467 |
$378 |
$39 | |
| X-ray of the foot |
$201 |
$467 |
$378 |
$34 | |
| X-ray of the forearm |
$201 |
$467 |
$378 |
$29 | |
| X-ray of the hand |
$201 |
$467 |
$371 |
$38 | |
| X-ray of the hip |
$201 |
$467 |
$378 |
$49 | |
| X-ray of the hip (1 view) |
$201 |
$467 |
$378 |
$34 | |
| X-ray of the hip (3 views) |
$201 |
$467 |
$388 |
$49 | |
| X-ray of the knee |
$201 |
$467 |
$378 |
$42 | |
| X-ray of the knee (2 views) |
$201 |
$467 |
$378 |
$34 | |
| X-ray of the knee (3 views) |
$201 |
$467 |
$378 |
$42 | |
| X-ray of the knee (4+ views) |
$201 |
$467 |
$378 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$201 |
$467 |
$364 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$201 |
$467 |
$364 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$201 |
$467 |
$371 |
$53 | |
| X-ray of the lower leg |
$201 |
$467 |
$371 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$201 |
$467 |
$371 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$201 |
$467 |
$371 |
$33 | |
| X-ray of the neck (cervical spine) |
$201 |
$467 |
$371 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$201 |
$467 |
$378 |
$40 | |
| X-ray of the pelvis |
$201 |
$467 |
$371 |
$36 | |
| X-ray of the pelvis (1 view) |
$201 |
$467 |
$371 |
$28 | |
| X-ray of the ribs |
$201 |
$467 |
$378 |
$42 | |
| X-ray of the ribs (2 views) |
$201 |
$467 |
$378 |
$36 | |
| X-ray of the shoulder |
$201 |
$467 |
$378 |
$36 | |
| X-ray of the skull |
$201 |
$467 |
$378 |
$40 | |
| X-ray of the upper arm |
$201 |
$467 |
$378 |
$32 | |
| X-ray of the wrist |
$201 |
$467 |
$378 |
$43 | |
| Zinc blood test |
$46 |
$108 |
$87 |
$11 | |