| 3D mammogram (tomosynthesis) |
$71 |
$95 |
$48 |
$51 | |
| Abdominal ultrasound |
$905 |
$1,206 |
$318 |
$100 | |
| Abdominal ultrasound (complete) |
$914 |
$1,218 |
$318 |
$114 | |
| Abdominal ultrasound (limited) |
$896 |
$1,194 |
$318 |
$86 | |
| Abscess drainage (simple) |
$438 |
$584 |
$206 |
$129 | |
| Achilles tendon repair |
$16,642 |
$22,190 |
$7,419 |
$624 | |
| ACL knee reconstruction |
$28,260 |
$37,680 |
$7,419 |
$889 | |
| Albumin blood test |
$22 |
$29 |
— |
$5 | |
| Aldosterone test |
$161 |
$215 |
— |
$41 | |
| Alkaline phosphatase test |
$22 |
$29 |
— |
$5 | |
| Alpha-fetoprotein (AFP) test |
$69 |
$92 |
— |
$17 | |
| ALT liver enzyme test |
$23 |
$31 |
— |
$5 | |
| Ammonia blood test |
$56 |
$74 |
— |
$15 | |
| Amylase test |
$26 |
$34 |
— |
$6 | |
| Ankle fracture repair |
$21,952 |
$29,269 |
$7,419 |
$608 | |
| Antinuclear antibody (ANA) test |
$49 |
$65 |
— |
$12 | |
| Arterial blood gas (ABG) |
$81 |
$108 |
— |
$26 | |
| AST liver enzyme test |
$23 |
$31 |
— |
$5 | |
| Barium swallow study |
$752 |
$1,003 |
$185 |
$107 | |
| Basic metabolic panel |
$35 |
$47 |
— |
$8 | |
| Bilirubin blood test |
$22 |
$29 |
— |
$5 | |
| Bladder scope (cystoscopy) |
$5,071 |
$6,761 |
$693 |
$216 | |
| Bladder tumor removal (TURBT) |
$14,684 |
$19,579 |
$3,582 |
$236 | |
| Blood clotting test (PT/INR) |
$14 |
$19 |
— |
$4 | |
| Blood crossmatch |
$474 |
$632 |
$178 |
— | |
| Blood glucose test |
$21 |
$28 |
$4 |
$5 | |
| Blood transfusion |
$1,300 |
$1,733 |
$454 |
$47 | |
| Blood type and screen |
$170 |
$226 |
$55 |
$10 | |
| Blood type test |
$107 |
$142 |
$87 |
$3 | |
| Blood type test (ABO group) |
$98 |
$131 |
$134 |
$3 | |
| Blood type test (Rh/D antigen) |
$115 |
$153 |
$41 |
$3 | |
| BNP (heart failure) test |
$151 |
$201 |
— |
$39 | |
| Bone density scan (DEXA) |
$421 |
$561 |
$110 |
$39 | |
| Bone scan (nuclear) |
$1,411 |
$1,881 |
$417 |
$259 | |
| Botox for migraine |
$4,442 |
$5,922 |
$307 |
$157 | |
| Breast biopsy |
$6,894 |
$9,192 |
$1,683 |
$478 | |
| Breast MRI |
$2,904 |
$3,872 |
$561 |
$216 | |
| Breast MRI without contrast |
$1,628 |
$2,170 |
$561 |
$216 | |
| Breast reduction |
$24,495 |
$32,659 |
$6,772 |
$980 | |
| Breast ultrasound |
$749 |
$999 |
$101 |
$92 | |
| Breast ultrasound (complete) |
$872 |
$1,163 |
$110 |
$100 | |
| Breast ultrasound (limited) |
$651 |
$868 |
$91 |
$84 | |
| Bunion surgery (bunionectomy) |
$16,639 |
$22,185 |
$7,419 |
$883 | |
| C-reactive protein (CRP) |
$23 |
$30 |
— |
$5 | |
| CA 19-9 tumor marker test |
$85 |
$113 |
— |
$21 | |
| CA-125 ovarian marker test |
$83 |
$110 |
— |
$21 | |
| Calcium blood test |
$23 |
$31 |
— |
$5 | |
| Cardiac rehabilitation |
$284 |
$378 |
$131 |
$26 | |
| Cardiac stress test |
$329 |
$439 |
$323 |
$39 | |
| Cardioversion |
$3,628 |
$4,838 |
$680 |
$155 | |
| Carotid artery ultrasound |
$782 |
$1,043 |
$181 |
$156 | |
| Carpal tunnel release |
$4,279 |
$5,705 |
$2,028 |
$483 | |
| CEA tumor marker test |
$71 |
$95 |
— |
$19 | |
| Celiac disease test |
$47 |
$63 |
— |
$12 | |
| Cervical LEEP procedure |
$8,373 |
$11,164 |
$3,302 |
$325 | |
| Cesarean section (C-section) |
$18,560 |
$24,746 |
$25,656 |
$7,552 | |
| Chemotherapy infusion |
$447 |
$596 |
— |
$81 | |
| Chemotherapy infusion (each additional) |
$146 |
$195 |
— |
$28 | |
| Chemotherapy infusion (first hour) |
$747 |
$996 |
— |
$133 | |
| Chest fluid drain (thoracentesis) |
$8,550 |
$11,400 |
$642 |
$311 | |
| Chest tube insertion |
$10,429 |
$13,905 |
$1,613 |
$143 | |
| Chest X-ray |
$344 |
$458 |
$493 |
$37 | |
| Chest X-ray (1 view) |
$304 |
$405 |
$875 |
$25 | |
| Chest X-ray (2 views) |
$306 |
$408 |
$875 |
$33 | |
| Circumcision |
$2,927 |
$3,903 |
$2,127 |
$167 | |
| CK-MB heart enzyme test |
$89 |
$119 |
— |
$12 | |
| Clotting time test (PTT) |
$26 |
$34 |
— |
$6 | |
| Colonoscopy |
$4,550 |
$6,067 |
$1,224 |
$480 | |
| Colposcopy |
$813 |
$1,084 |
$316 |
$161 | |
| Complete blood count (CBC) |
$66 |
$88 |
— |
$7 | |
| Complete blood count (CBC) (complete) |
$83 |
$110 |
— |
$8 | |
| Comprehensive metabolic panel |
$84 |
$112 |
— |
$11 | |
| Copper blood test |
$87 |
$116 |
— |
$12 | |
| Cortisol test |
$67 |
$89 |
— |
$16 | |
| COVID-19 PCR test |
$155 |
$207 |
$51 |
$51 | |
| CPAP titration study |
$271 |
$361 |
$211 |
$69 | |
| Creatine kinase (CK) test |
$26 |
$35 |
— |
$7 | |
| CT angiography of the chest |
$1,978 |
$2,637 |
$452 |
$281 | |
| CT angiography of the head |
$1,978 |
$2,637 |
$452 |
$274 | |
| CT scan of the abdomen |
$1,706 |
$2,274 |
$452 |
$230 | |
| CT scan of the abdomen and pelvis |
$4,144 |
$5,525 |
$452 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$4,144 |
$5,525 |
$452 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$4,144 |
$5,525 |
$452 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,420 |
$3,226 |
$233 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,706 |
$2,274 |
$452 |
$259 | |
| CT scan of the abdomen with contrast |
$1,706 |
$2,274 |
$452 |
$230 | |
| CT scan of the abdomen without contrast |
$1,049 |
$1,399 |
$233 |
$136 | |
| CT scan of the arm |
$2,435 |
$3,246 |
$452 |
$199 | |
| CT scan of the arm with contrast |
$4,144 |
$5,525 |
$452 |
$199 | |
| CT scan of the arm without contrast |
$1,049 |
$1,399 |
$233 |
$161 | |
| CT scan of the chest |
$1,671 |
$2,228 |
$452 |
$167 | |
| CT scan of the chest with and without contrast |
$1,671 |
$2,228 |
$452 |
$196 | |
| CT scan of the chest with contrast |
$1,706 |
$2,274 |
$452 |
$167 | |
| CT scan of the chest without contrast |
$1,049 |
$1,399 |
$233 |
$133 | |
| CT scan of the head |
$1,978 |
$2,637 |
$452 |
$148 | |
| CT scan of the head with and without contrast |
$1,978 |
$2,637 |
$452 |
$173 | |
| CT scan of the head with contrast |
$1,978 |
$2,637 |
$452 |
$148 | |
| CT scan of the head without contrast |
$1,049 |
$1,399 |
$233 |
$107 | |
| CT scan of the leg |
$1,813 |
$2,417 |
$452 |
$166 | |
| CT scan of the leg with contrast |
$1,706 |
$2,274 |
$452 |
$166 | |
| CT scan of the leg without contrast |
$1,790 |
$2,386 |
$233 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,553 |
$2,070 |
$452 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,553 |
$2,070 |
$452 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$3,572 |
$4,762 |
$452 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,049 |
$1,399 |
$233 |
$130 | |
| CT scan of the neck |
$1,706 |
$2,274 |
$452 |
$183 | |
| CT scan of the neck (cervical spine) |
$2,462 |
$3,282 |
$452 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,462 |
$3,282 |
$452 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$3,251 |
$4,335 |
$452 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,049 |
$1,399 |
$233 |
$131 | |
| CT scan of the neck with and without contrast |
$1,978 |
$2,637 |
$452 |
$220 | |
| CT scan of the neck with contrast |
$1,706 |
$2,274 |
$452 |
$183 | |
| CT scan of the neck without contrast |
$1,049 |
$1,399 |
$233 |
$150 | |
| CT scan of the pelvis |
$1,978 |
$2,637 |
$452 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,978 |
$2,637 |
$452 |
$251 | |
| CT scan of the pelvis with contrast |
$1,978 |
$2,637 |
$452 |
$226 | |
| CT scan of the pelvis without contrast |
$1,049 |
$1,399 |
$233 |
$133 | |
| CT scan of the sinuses |
$1,978 |
$2,637 |
$452 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,978 |
$2,637 |
$452 |
$184 | |
| CT scan of the sinuses with contrast |
$1,978 |
$2,637 |
$452 |
$152 | |
| CT scan of the sinuses without contrast |
$1,049 |
$1,399 |
$233 |
$128 | |
| D-dimer test |
$42 |
$56 |
— |
$10 | |
| DHEA-sulfate test |
$104 |
$139 |
— |
$22 | |
| Diagnostic mammogram |
$336 |
$448 |
$128 |
$140 | |
| Drug screen (urine) |
$48 |
$64 |
— |
$17 | |
| Ear pressure test (tympanometry) |
$30 |
$40 |
$41 |
$16 | |
| Echocardiogram |
$1,676 |
$2,235 |
$410 |
$138 | |
| Echocardiogram with and without contrast |
$1,092 |
$1,456 |
$251 |
$101 | |
| EEG (awake and asleep) |
$739 |
$985 |
$323 |
$482 | |
| EKG / ECG (tracing only) |
$263 |
$351 |
$62 |
$7 | |
| Electrocardiogram (EKG) |
$186 |
$249 |
$62 |
$8 | |
| Electroencephalogram (EEG) |
$750 |
$1,001 |
$323 |
$448 | |
| Electrolyte panel |
$29 |
$38 |
— |
$7 | |
| Emergency department visit |
$872 |
$1,163 |
— |
$69 | |
| Emergency department visit (level 1) |
$272 |
$363 |
— |
$11 | |
| Emergency department visit (level 2) |
$580 |
$773 |
— |
$40 | |
| Emergency department visit (level 3) |
$872 |
$1,163 |
— |
$69 | |
| Emergency department visit (level 4) |
$1,372 |
$1,829 |
— |
$118 | |
| Emergency department visit (level 5) |
$1,967 |
$2,622 |
— |
$171 | |
| Endometrial biopsy |
$497 |
$662 |
$209 |
$98 | |
| Epidural steroid injection |
$1,669 |
$2,225 |
$719 |
$275 | |
| Esophageal dilation |
$4,449 |
$5,932 |
$974 |
$522 | |
| Estradiol (estrogen) test |
$129 |
$172 |
— |
$28 | |
| Facet joint injection (spine) |
$2,989 |
$3,985 |
$925 |
$99 | |
| Fallopian tube X-ray (HSG) |
$864 |
$1,153 |
$251 |
$164 | |
| Fecal occult blood (stool) test |
$49 |
$65 |
$4 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$108 |
$144 |
$4 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$49 |
$65 |
— |
$16 | |
| Femoral hernia repair |
$21,759 |
$29,011 |
$3,665 |
$584 | |
| Ferritin (iron) test |
$56 |
$75 |
— |
$14 | |
| Fibrinogen test |
$41 |
$54 |
— |
$10 | |
| Flexible sigmoidoscopy |
$6,641 |
$8,855 |
$947 |
$323 | |
| Flu test |
$65 |
$87 |
— |
$17 | |
| Folate (folic acid) test |
$59 |
$79 |
— |
$15 | |
| Free T4 thyroid test |
$37 |
$49 |
— |
$9 | |
| FSH hormone test |
$87 |
$116 |
— |
$19 | |
| Gallbladder removal (laparoscopic) |
$24,374 |
$32,498 |
$6,059 |
$658 | |
| Gallbladder scan (HIDA) |
$1,837 |
$2,450 |
$488 |
$334 | |
| Ganglion cyst removal |
$6,045 |
$8,060 |
$1,662 |
$321 | |
| GGT liver test |
$28 |
$37 |
— |
$7 | |
| Glucose tolerance test |
$35 |
$47 |
$13 |
$8 | |
| H. pylori test |
$188 |
$250 |
— |
$67 | |
| Hammertoe repair |
$16,003 |
$21,337 |
$3,369 |
$548 | |
| HDL cholesterol test |
$29 |
$38 |
$8 |
$8 | |
| Hearing test (audiometry) |
$406 |
$541 |
$162 |
$36 | |
| Hematocrit test |
$10 |
$13 |
— |
$2 | |
| Hemoglobin A1c (diabetes test) |
$41 |
$54 |
— |
$10 | |
| Hemorrhoid removal |
$6,905 |
$9,207 |
$947 |
$338 | |
| Hepatitis B test |
$41 |
$55 |
— |
$10 | |
| Hepatitis B vaccine |
$261 |
$348 |
— |
— | |
| Hepatitis C test |
$57 |
$76 |
— |
$14 | |
| Hip arthroscopy |
$22,126 |
$29,502 |
$7,419 |
$931 | |
| Hip replacement |
$33,686 |
$44,914 |
$13,362 |
$1,162 | |
| HIV test |
$82 |
$109 |
— |
$19 | |
| HIV test (antibody) |
$76 |
$101 |
— |
$14 | |
| HIV test (antigen/antibody combo) |
$88 |
$117 |
— |
$24 | |
| Holter heart monitor |
$617 |
$822 |
$98 |
$26 | |
| Hysterectomy |
$20,276 |
$27,034 |
$10,812 |
$933 | |
| Hysteroscopy |
$9,999 |
$13,332 |
$3,302 |
$1,270 | |
| Inguinal hernia repair |
$16,078 |
$21,437 |
$3,665 |
$538 | |
| Iron blood test |
$26 |
$35 |
— |
$6 | |
| IUD insertion |
$203 |
$270 |
— |
— | |
| IV infusion therapy |
$488 |
$650 |
$133 |
$44 | |
| IV infusion therapy (each additional) |
$168 |
$224 |
$48 |
$21 | |
| IV infusion therapy (initial) |
$807 |
$1,076 |
$219 |
$67 | |
| Joint aspiration (small/intermediate) |
$1,246 |
$1,661 |
$307 |
$57 | |
| Joint aspiration or injection (small joint) |
$795 |
$1,060 |
$307 |
$56 | |
| Kidney biopsy |
$2,283 |
$3,045 |
$1,683 |
$492 | |
| Kidney scan (nuclear) |
$1,461 |
$1,948 |
$559 |
$172 | |
| Kidney stone shock-wave (lithotripsy) |
$8,730 |
$11,640 |
$3,582 |
$760 | |
| Kidney ultrasound |
$741 |
$989 |
$214 |
$84 | |
| Kidney ultrasound (limited) |
$752 |
$1,003 |
$110 |
$61 | |
| Knee arthroscopy |
$8,550 |
$11,400 |
$3,369 |
$524 | |
| Knee joint injection |
$3,524 |
$4,699 |
$307 |
$69 | |
| Knee replacement |
$61,390 |
$81,853 |
$17,997 |
$18,054 | |
| Lactate test |
$48 |
$64 |
— |
$12 | |
| LDH test |
$25 |
$33 |
— |
$6 | |
| LDL cholesterol test |
$44 |
$58 |
— |
$11 | |
| Leg vein ultrasound (Doppler) |
$994 |
$1,326 |
$181 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$686 |
$914 |
$110 |
$116 | |
| LH hormone test |
$87 |
$116 |
— |
$19 | |
| Lipase test |
$27 |
$36 |
— |
$7 | |
| Lipid (cholesterol) panel |
$54 |
$72 |
$13 |
$13 | |
| Liver biopsy |
$3,752 |
$5,002 |
$1,683 |
$288 | |
| Liver function panel |
$34 |
$45 |
— |
$8 | |
| Lumpectomy (breast) |
$24,495 |
$32,659 |
$3,977 |
$750 | |
| Lung function test (PFT) |
$354 |
$472 |
$243 |
$37 | |
| Lung scan (V/Q) |
$1,808 |
$2,410 |
$559 |
$291 | |
| Magnesium blood test |
$26 |
$35 |
— |
$7 | |
| Mastectomy |
$36,861 |
$49,147 |
$6,772 |
$1,021 | |
| Meniscus repair (knee) |
$23,466 |
$31,288 |
$3,369 |
$714 | |
| MMR vaccine |
$320 |
$426 |
— |
— | |
| MRA of the brain |
$3,122 |
$4,162 |
$888 |
$226 | |
| MRA of the brain with contrast |
$3,122 |
$4,162 |
$888 |
$226 | |
| MRA of the brain without contrast |
$3,294 |
$4,392 |
$888 |
$328 | |
| MRA of the neck |
$2,940 |
$3,920 |
$888 |
$245 | |
| MRA of the neck with contrast |
$3,122 |
$4,162 |
$888 |
$245 | |
| MRA of the neck without contrast |
$2,940 |
$3,920 |
$888 |
$343 | |
| MRI of the abdomen |
$2,487 |
$3,316 |
$888 |
$300 | |
| MRI of the abdomen with contrast |
$3,862 |
$5,149 |
$888 |
$300 | |
| MRI of the abdomen without contrast |
$1,827 |
$2,436 |
$561 |
$194 | |
| MRI of the ankle |
$3,442 |
$4,590 |
$888 |
$261 | |
| MRI of the ankle with contrast |
$4,028 |
$5,371 |
$888 |
$261 | |
| MRI of the ankle without contrast |
$1,844 |
$2,459 |
$561 |
$222 | |
| MRI of the brain |
$3,023 |
$4,030 |
$888 |
$269 | |
| MRI of the brain with contrast |
$3,991 |
$5,321 |
$888 |
$269 | |
| MRI of the brain without contrast |
$1,518 |
$2,024 |
$561 |
$195 | |
| MRI of the chest |
$3,862 |
$5,149 |
$888 |
$371 | |
| MRI of the chest with contrast |
$3,862 |
$5,149 |
$888 |
$371 | |
| MRI of the chest without contrast |
$4,673 |
$6,230 |
$888 |
$466 | |
| MRI of the knee |
$4,088 |
$5,451 |
$888 |
$315 | |
| MRI of the knee with contrast |
$5,308 |
$7,078 |
$888 |
$315 | |
| MRI of the knee without contrast |
$1,844 |
$2,459 |
$561 |
$204 | |
| MRI of the lower back (lumbar spine) |
$3,023 |
$4,030 |
$888 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$3,862 |
$5,149 |
$888 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,518 |
$2,024 |
$561 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$3,023 |
$4,030 |
$888 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$3,023 |
$4,030 |
$888 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$4,376 |
$5,834 |
$888 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,709 |
$2,279 |
$561 |
$190 | |
| MRI of the neck (cervical spine) |
$2,606 |
$3,474 |
$888 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,606 |
$3,474 |
$888 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$4,248 |
$5,664 |
$888 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,844 |
$2,459 |
$561 |
$191 | |
| MRI of the pelvis |
$2,606 |
$3,474 |
$888 |
$268 | |
| MRI of the pelvis with contrast |
$3,862 |
$5,149 |
$888 |
$268 | |
| MRI of the pelvis without contrast |
$1,590 |
$2,120 |
$561 |
$227 | |
| MRI of the shoulder |
$4,605 |
$6,140 |
$888 |
$313 | |
| MRI of the shoulder with contrast |
$5,387 |
$7,182 |
$888 |
$313 | |
| MRI of the shoulder without contrast |
$1,760 |
$2,347 |
$561 |
$205 | |
| MRI of the wrist |
$3,930 |
$5,240 |
$888 |
$330 | |
| MRI of the wrist with contrast |
$4,028 |
$5,371 |
$888 |
$330 | |
| MRI of the wrist without contrast |
$2,912 |
$3,883 |
$561 |
$303 | |
| Nebulizer breathing treatment |
$265 |
$353 |
$211 |
$9 | |
| Nuclear cardiac stress test |
$4,547 |
$6,063 |
$1,356 |
$428 | |
| Occupational therapy evaluation |
$249 |
$332 |
— |
$101 | |
| Occupational therapy evaluation (high complexity) |
$237 |
$316 |
— |
$101 | |
| Occupational therapy evaluation (low complexity) |
$249 |
$332 |
— |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$249 |
$332 |
— |
$101 | |
| Office visit (established patient) |
$259 |
$346 |
— |
$115 | |
| Office visit (new patient) |
$315 |
$420 |
— |
$177 | |
| Office visit, established patient (level 3) |
$216 |
$288 |
— |
$95 | |
| Office visit, established patient (level 4) |
$302 |
$403 |
— |
$136 | |
| Office visit, new patient (level 3) |
$293 |
$391 |
— |
$118 | |
| Office visit, new patient (level 4) |
$324 |
$432 |
— |
$177 | |
| Office visit, new patient (level 5) |
$315 |
$420 |
— |
$237 | |
| Orthopedic hardware removal |
$24,098 |
$32,130 |
$2,972 |
$632 | |
| Ovarian cyst removal |
$16,568 |
$22,090 |
$5,126 |
$698 | |
| Ovary removal (oophorectomy) |
$16,568 |
$22,090 |
— |
$822 | |
| Pacemaker insertion |
$19,058 |
$25,411 |
$17,104 |
$15,506 | |
| Pap smear (cervical screening) |
$96 |
$128 |
— |
$20 | |
| Parathyroid hormone (PTH) test |
$160 |
$213 |
— |
$41 | |
| Pelvic ultrasound |
$884 |
$1,179 |
$318 |
$78 | |
| Pelvic ultrasound (complete) |
$914 |
$1,218 |
$318 |
$105 | |
| Pelvic ultrasound (limited) |
$855 |
$1,140 |
$318 |
$51 | |
| PET scan |
$4,716 |
$6,289 |
$1,515 |
— | |
| Phosphorus blood test |
$20 |
$27 |
— |
$5 | |
| Physical therapy evaluation |
$254 |
$339 |
— |
$98 | |
| Physical therapy evaluation (high complexity) |
$248 |
$330 |
— |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$254 |
$339 |
— |
$98 | |
| Pilonidal cyst removal |
$8,500 |
$11,333 |
$2,972 |
$541 | |
| Platelet count |
$20 |
$26 |
— |
$4 | |
| Pregnancy blood test (hCG) |
$31 |
$41 |
— |
$8 | |
| Pregnancy ultrasound |
$905 |
$1,207 |
$110 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$905 |
$1,207 |
$110 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$905 |
$1,207 |
$110 |
$136 | |
| Procalcitonin test |
$203 |
$271 |
— |
$27 | |
| Prolactin test |
$168 |
$224 |
— |
$19 | |
| Prostate surgery (TURP) |
$18,670 |
$24,893 |
$5,279 |
$526 | |
| Prostate test (PSA) |
$56 |
$74 |
— |
$18 | |
| Psychiatric evaluation |
$377 |
$502 |
$424 |
$188 | |
| Pulmonary rehabilitation |
$272 |
$362 |
$62 |
$87 | |
| Radiofrequency nerve ablation |
$6,978 |
$9,304 |
$2,028 |
$462 | |
| Rheumatoid factor test |
$18 |
$24 |
— |
$6 | |
| Rotator cuff repair |
$21,174 |
$28,232 |
$7,419 |
$792 | |
| Sacroiliac joint injection |
$1,703 |
$2,271 |
— |
$176 | |
| Scoliosis spine X-ray |
$407 |
$542 |
$101 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$258 |
$344 |
$91 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$555 |
$740 |
$110 |
$72 | |
| Screening colonoscopy |
$3,606 |
$4,808 |
$947 |
$378 | |
| Screening mammogram |
$113 |
$150 |
$116 |
$126 | |
| Scrotal ultrasound |
$914 |
$1,218 |
$110 |
$99 | |
| Sedimentation rate (ESR) test |
$11 |
$15 |
— |
$3 | |
| Semen analysis |
$45 |
$61 |
— |
$12 | |
| Sex hormone binding globulin test |
$77 |
$103 |
— |
$22 | |
| Shoulder arthroscopy |
$22,887 |
$30,515 |
$7,419 |
$962 | |
| Shoulder replacement |
$42,424 |
$56,566 |
$19,098 |
$1,300 | |
| Sleep study (polysomnography) |
$3,926 |
$5,235 |
$1,057 |
$691 | |
| Soft tissue ultrasound |
$789 |
$1,052 |
$110 |
$64 | |
| Speech therapy |
$235 |
$313 |
$72 |
$76 | |
| Spinal cord stimulator |
$20,384 |
$27,179 |
$6,815 |
$2,388 | |
| Spine fracture repair (kyphoplasty) |
$14,153 |
$18,870 |
$7,419 |
$5,803 | |
| Spirometry (lung function test) |
$354 |
$472 |
$162 |
$30 | |
| Spirometry with bronchodilator |
$561 |
$748 |
$323 |
$43 | |
| Stress echocardiogram |
$563 |
$751 |
$569 |
$209 | |
| Swallow study |
$249 |
$332 |
$67 |
$85 | |
| T3 thyroid test |
$58 |
$77 |
— |
$14 | |
| Tdap (tetanus) vaccine |
$166 |
$222 |
— |
— | |
| Testosterone test |
$80 |
$107 |
— |
$26 | |
| Thyroid test (TSH) |
$67 |
$89 |
— |
$17 | |
| Thyroid ultrasound |
$914 |
$1,218 |
$110 |
$109 | |
| Thyroid uptake scan |
$1,715 |
$2,286 |
$417 |
$145 | |
| Total IgE allergy test |
$68 |
$91 |
— |
$16 | |
| Total protein test |
$17 |
$22 |
— |
$4 | |
| Transesophageal echocardiogram (TEE) |
$2,372 |
$3,163 |
$569 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$2,372 |
$3,163 |
$569 |
$239 | |
| Transvaginal ultrasound |
$896 |
$1,194 |
$110 |
$118 | |
| Trigger finger release |
$4,175 |
$5,567 |
$1,662 |
$630 | |
| Trigger point injection |
$928 |
$1,238 |
$307 |
$56 | |
| Trigger point injection (1-2 muscles) |
$1,133 |
$1,511 |
$307 |
$52 | |
| Triglycerides test |
$25 |
$33 |
$6 |
$6 | |
| Troponin (heart) test |
$52 |
$69 |
— |
$12 | |
| Ulnar nerve surgery (elbow) |
$5,972 |
$7,962 |
$2,028 |
$575 | |
| Upper GI endoscopy (EGD) |
$12,674 |
$16,898 |
$974 |
$371 | |
| Upper GI series (barium) |
$781 |
$1,041 |
$185 |
$128 | |
| Ureteral stent placement |
$12,894 |
$17,192 |
$3,582 |
$373 | |
| Ureteroscopy (stone removal) |
$16,102 |
$21,469 |
$5,279 |
$365 | |
| Uric acid (gout) test |
$20 |
$26 |
— |
$5 | |
| Urinalysis |
$11 |
$15 |
— |
$3 | |
| Urine microalbumin test |
$24 |
$32 |
— |
$5 | |
| Urine pregnancy test |
$27 |
$36 |
— |
$9 | |
| Vaccine administration |
$208 |
$277 |
$74 |
$19 | |
| Vaccine administration (each additional) |
$208 |
$277 |
— |
$16 | |
| Vaginal delivery |
$10,088 |
$13,450 |
$17,104 |
$5,487 | |
| Varicose vein ablation |
$8,679 |
$11,572 |
$3,269 |
$1,018 | |
| Vasectomy |
$6,762 |
$9,016 |
$2,127 |
$347 | |
| Vitamin B12 test |
$61 |
$81 |
— |
$15 | |
| Vitamin D test |
$119 |
$159 |
— |
$30 | |
| Wrist fracture repair |
$15,169 |
$20,226 |
$7,419 |
$735 | |
| X-ray of the abdomen |
$473 |
$631 |
$110 |
$36 | |
| X-ray of the ankle |
$395 |
$527 |
$91 |
$37 | |
| X-ray of the collarbone |
$392 |
$522 |
$91 |
$33 | |
| X-ray of the elbow |
$341 |
$454 |
$91 |
$33 | |
| X-ray of the facial bones |
$435 |
$580 |
$101 |
$39 | |
| X-ray of the foot |
$341 |
$454 |
$91 |
$34 | |
| X-ray of the forearm |
$337 |
$450 |
$91 |
$29 | |
| X-ray of the hand |
$341 |
$454 |
$91 |
$38 | |
| X-ray of the hip |
$385 |
$513 |
$91 |
$49 | |
| X-ray of the hip (1 view) |
$385 |
$513 |
$91 |
$34 | |
| X-ray of the hip (3 views) |
$341 |
$454 |
$91 |
$49 | |
| X-ray of the hip (4 views) |
$545 |
$727 |
$110 |
$63 | |
| X-ray of the knee |
$392 |
$522 |
$91 |
$42 | |
| X-ray of the knee (2 views) |
$392 |
$522 |
$91 |
$34 | |
| X-ray of the knee (3 views) |
$332 |
$442 |
$91 |
$42 | |
| X-ray of the knee (4+ views) |
$555 |
$740 |
$110 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$498 |
$665 |
$110 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$457 |
$609 |
$110 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$540 |
$720 |
$110 |
$53 | |
| X-ray of the lower leg |
$332 |
$442 |
$91 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$401 |
$534 |
$110 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$338 |
$450 |
$110 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$464 |
$618 |
$110 |
$39 | |
| X-ray of the neck (cervical spine) |
$466 |
$622 |
$101 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$377 |
$503 |
$91 |
$40 | |
| X-ray of the pelvis |
$449 |
$598 |
$110 |
$36 | |
| X-ray of the pelvis (1 view) |
$478 |
$637 |
$110 |
$28 | |
| X-ray of the ribs |
$458 |
$610 |
$110 |
$42 | |
| X-ray of the ribs (2 views) |
$332 |
$442 |
$91 |
$36 | |
| X-ray of the ribs (3 views) |
$458 |
$610 |
$110 |
$42 | |
| X-ray of the shoulder |
$332 |
$442 |
$91 |
$36 | |
| X-ray of the skull |
$504 |
$672 |
$110 |
$40 | |
| X-ray of the upper arm |
$321 |
$428 |
$91 |
$32 | |
| X-ray of the wrist |
$332 |
$442 |
$91 |
$43 | |
| Zinc blood test |
$47 |
$62 |
— |
$11 | |