| 3D mammogram (tomosynthesis) |
$89 |
$111 |
$65 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$1,441 |
$1,801 |
$1,445 |
$284 | |
| Abdominal ultrasound |
$1,091 |
$1,364 |
$403 |
$100 | |
| Abdominal ultrasound (complete) |
$1,272 |
$1,590 |
$403 |
$114 | |
| Abdominal ultrasound (limited) |
$910 |
$1,138 |
$403 |
$86 | |
| Abscess drainage (simple) |
$334 |
$417 |
$326 |
$129 | |
| Abscess incision and drainage |
$334 |
$417 |
$326 |
$174 | |
| Achilles tendon repair |
— |
— |
$7,261 |
$624 | |
| ACL knee reconstruction |
— |
— |
$7,261 |
$889 | |
| Albumin blood test |
$21 |
$26 |
$15 |
$5 | |
| Alkaline phosphatase test |
$22 |
$27 |
$16 |
$5 | |
| ALT liver enzyme test |
$22 |
$28 |
$16 |
$5 | |
| Ammonia blood test |
$61 |
$76 |
$44 |
$15 | |
| Amylase test |
$26 |
$33 |
$19 |
$6 | |
| Ankle fracture repair |
— |
— |
$7,261 |
$608 | |
| Ankle replacement |
— |
— |
$18,693 |
$885 | |
| Antinuclear antibody (ANA) test |
$50 |
$62 |
$36 |
$12 | |
| Arterial blood gas (ABG) |
$106 |
$133 |
$78 |
$26 | |
| AST liver enzyme test |
$22 |
$27 |
$16 |
$5 | |
| Barium swallow study |
$414 |
$517 |
$264 |
$107 | |
| Basic metabolic panel |
$20 |
$69 |
$32 |
$8 | |
| Bilirubin blood test |
$10 |
$31 |
$18 |
$5 | |
| Blood clotting test (PT/INR) |
$15 |
$34 |
$16 |
$4 | |
| Blood crossmatch |
$654 |
$817 |
$478 |
— | |
| Blood glucose test |
$15 |
$20 |
$12 |
$5 | |
| Blood transfusion |
$1,714 |
$2,143 |
$1,253 |
$47 | |
| Blood type and screen |
$209 |
$261 |
$88 |
$10 | |
| Blood type test |
$95 |
$165 |
$82 |
$3 | |
| Blood type test (ABO group) |
$146 |
$242 |
$150 |
$3 | |
| Blood type test (Rh/D antigen) |
$43 |
$88 |
$51 |
$3 | |
| BNP (heart failure) test |
$80 |
$240 |
$137 |
$39 | |
| Breast ultrasound |
$492 |
$615 |
$334 |
$92 | |
| Breast ultrasound (limited) |
$492 |
$615 |
$334 |
$84 | |
| Bunion surgery (bunionectomy) |
— |
— |
$7,607 |
$883 | |
| C-reactive protein (CRP) |
$20 |
$27 |
$16 |
$5 | |
| Calcium blood test |
$22 |
$27 |
$16 |
$5 | |
| Carotid artery ultrasound |
$1,322 |
$1,652 |
$916 |
$156 | |
| Carpal tunnel release |
— |
— |
$1,993 |
$483 | |
| Chest X-ray |
$308 |
$385 |
$214 |
$37 | |
| Chest X-ray (1 view) |
$293 |
$366 |
$209 |
$25 | |
| Chest X-ray (2 views) |
$322 |
$403 |
$230 |
$33 | |
| CK-MB heart enzyme test |
$47 |
$59 |
$34 |
$12 | |
| Clotting time test (PTT) |
$30 |
$40 |
$23 |
$6 | |
| Complete blood count (CBC) |
$15 |
$50 |
$25 |
$7 | |
| Complete blood count (CBC) (complete) |
$15 |
$55 |
$27 |
$8 | |
| Comprehensive metabolic panel |
$25 |
$88 |
$41 |
$11 | |
| Cortisol test |
$68 |
$85 |
$49 |
$16 | |
| COVID-19 PCR test |
$100 |
$192 |
$117 |
$51 | |
| CPAP titration study |
$1,171 |
$1,464 |
$835 |
$69 | |
| Creatine kinase (CK) test |
$27 |
$34 |
$20 |
$7 | |
| CT angiography of the chest |
$532 |
$2,649 |
$674 |
$281 | |
| CT angiography of the head |
$538 |
$2,763 |
$674 |
$274 | |
| CT scan of the abdomen and pelvis |
$438 |
$2,896 |
$1,149 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$525 |
$3,065 |
$1,353 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$438 |
$2,896 |
$1,353 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$243 |
$2,322 |
$916 |
$183 | |
| CT scan of the arm |
$286 |
$1,462 |
$403 |
$199 | |
| CT scan of the arm without contrast |
$286 |
$1,462 |
$403 |
$161 | |
| CT scan of the chest |
$378 |
$1,912 |
$474 |
$167 | |
| CT scan of the chest with contrast |
$470 |
$2,362 |
$674 |
$167 | |
| CT scan of the chest without contrast |
$285 |
$1,462 |
$403 |
$133 | |
| CT scan of the head |
$296 |
$1,462 |
$403 |
$148 | |
| CT scan of the head without contrast |
$296 |
$1,462 |
$403 |
$107 | |
| CT scan of the leg |
$381 |
$1,912 |
$452 |
$166 | |
| CT scan of the leg with contrast |
$476 |
$2,362 |
$674 |
$166 | |
| CT scan of the leg without contrast |
$286 |
$1,462 |
$403 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$379 |
$1,906 |
$550 |
$169 | |
| CT scan of the lower back (lumbar spine) with contrast |
$472 |
$2,350 |
$1,336 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$286 |
$1,462 |
$403 |
$130 | |
| CT scan of the neck (cervical spine) |
$282 |
$1,462 |
$403 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$282 |
$1,462 |
$403 |
$131 | |
| CT scan of the pelvis |
$281 |
$1,462 |
$403 |
$226 | |
| CT scan of the pelvis without contrast |
$281 |
$1,462 |
$403 |
$133 | |
| CT scan of the sinuses |
$295 |
$1,462 |
$403 |
$152 | |
| CT scan of the sinuses without contrast |
$295 |
$1,462 |
$403 |
$128 | |
| D-dimer test |
$50 |
$63 |
$36 |
$10 | |
| DHEA-sulfate test |
$92 |
$115 |
$67 |
$22 | |
| Drug screen (urine) |
$254 |
$317 |
$187 |
$17 | |
| Echocardiogram |
$3,666 |
$4,583 |
$2,573 |
$138 | |
| EEG (awake and asleep) |
$838 |
$1,048 |
$613 |
$482 | |
| EKG / ECG (tracing only) |
$314 |
$393 |
$225 |
$7 | |
| Electrocardiogram (EKG) |
$314 |
$393 |
$225 |
$8 | |
| Electroencephalogram (EEG) |
$838 |
$1,048 |
$613 |
$448 | |
| Electrolyte panel |
$34 |
$43 |
$25 |
$7 | |
| Emergency department visit |
$2,678 |
$3,348 |
$1,310 |
$69 | |
| Emergency department visit (level 3) |
$1,741 |
$2,176 |
$1,049 |
$69 | |
| Emergency department visit (level 4) |
$2,678 |
$3,348 |
$1,613 |
$118 | |
| Emergency department visit (level 5) |
$2,982 |
$3,727 |
$2,180 |
$171 | |
| Fecal occult blood (stool) test |
$26 |
$44 |
$20 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$15 |
$22 |
$13 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$36 |
$65 |
$43 |
$16 | |
| Ferritin (iron) test |
$40 |
$71 |
$41 |
$14 | |
| Folate (folic acid) test |
$45 |
$77 |
$44 |
$15 | |
| Foreign body removal (skin) |
— |
— |
$1,630 |
$157 | |
| Free T4 thyroid test |
$35 |
$46 |
$27 |
$9 | |
| Ganglion cyst removal |
— |
— |
$1,634 |
$321 | |
| GGT liver test |
$30 |
$37 |
$22 |
$7 | |
| Hammertoe repair |
— |
— |
$3,305 |
$548 | |
| Hematocrit test |
$14 |
$17 |
$9 |
$2 | |
| Hemodialysis |
$516 |
$645 |
$619 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$25 |
$75 |
$34 |
$10 | |
| Hepatitis B test |
$42 |
$53 |
$31 |
$10 | |
| Hepatitis C test |
$55 |
$74 |
$43 |
$14 | |
| Hip arthroscopy |
— |
— |
$7,261 |
$931 | |
| Hip replacement |
— |
— |
$13,079 |
$1,162 | |
| Iron blood test |
$20 |
$33 |
$19 |
$6 | |
| IV infusion therapy |
$301 |
$377 |
$180 |
$44 | |
| IV infusion therapy (each additional) |
$154 |
$193 |
$113 |
$21 | |
| IV infusion therapy (initial) |
$448 |
$560 |
$347 |
$67 | |
| Joint aspiration (small/intermediate) |
— |
— |
$1,630 |
$57 | |
| Joint aspiration or injection (small joint) |
— |
— |
$1,630 |
$56 | |
| Kidney ultrasound |
$773 |
$966 |
$403 |
$84 | |
| Knee arthroscopy |
— |
— |
$3,312 |
$524 | |
| Knee joint injection |
$660 |
$825 |
$767 |
$69 | |
| Knee replacement |
— |
— |
$28,604 |
$18,054 | |
| Lactate test |
$75 |
$94 |
$45 |
$12 | |
| Laminectomy (spine) |
— |
— |
$7,261 |
$1,157 | |
| LDH test |
$25 |
$31 |
$18 |
$6 | |
| LDL cholesterol test |
$44 |
$55 |
$32 |
$11 | |
| Leg vein ultrasound (Doppler) |
$738 |
$922 |
$443 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$606 |
$757 |
$403 |
$116 | |
| Lipase test |
$28 |
$35 |
$20 |
$7 | |
| Lipid (cholesterol) panel |
$40 |
$100 |
$50 |
$13 | |
| Liver function panel |
$25 |
$42 |
$25 |
$8 | |
| Lumbar discectomy |
— |
— |
$7,261 |
$898 | |
| Magnesium blood test |
$30 |
$46 |
$26 |
$7 | |
| Meniscus repair (knee) |
— |
— |
$7,261 |
$714 | |
| MRI of the ankle |
$713 |
$2,646 |
$1,353 |
$261 | |
| MRI of the brain |
$578 |
$2,436 |
$1,150 |
$269 | |
| MRI of the brain without contrast |
$455 |
$2,225 |
$916 |
$195 | |
| MRI of the lower back (lumbar spine) |
$577 |
$2,436 |
$1,034 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$454 |
$2,225 |
$916 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$454 |
$2,225 |
$916 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$454 |
$2,225 |
$916 |
$190 | |
| MRI of the neck (cervical spine) |
$578 |
$2,436 |
$1,153 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$702 |
$2,646 |
$1,353 |
$318 | |
| MRI of the neck (cervical spine) without contrast |
$454 |
$2,225 |
$916 |
$191 | |
| MRI of the pelvis |
$456 |
$2,225 |
$916 |
$268 | |
| MRI of the pelvis without contrast |
$456 |
$2,225 |
$916 |
$227 | |
| MRI of the shoulder |
$713 |
$2,646 |
$1,353 |
$313 | |
| MRI of the wrist |
$464 |
$2,225 |
$916 |
$330 | |
| MRI of the wrist without contrast |
$464 |
$2,225 |
$916 |
$303 | |
| Nebulizer breathing treatment |
$239 |
$299 |
$265 |
$9 | |
| Neck (cervical) spinal fusion |
— |
— |
$13,079 |
$1,410 | |
| Occupational therapy evaluation |
$313 |
$391 |
$233 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$313 |
$391 |
$229 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$335 |
$419 |
$245 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$313 |
$391 |
$229 |
$101 | |
| Office visit (established patient) |
$141 |
$176 |
$132 |
$115 | |
| Office visit, established patient (level 3) |
$114 |
$142 |
$127 |
$95 | |
| Office visit, established patient (level 4) |
$168 |
$210 |
$187 |
$136 | |
| Orthopedic hardware removal |
— |
— |
$1,863 |
$632 | |
| Parathyroid hormone (PTH) test |
$168 |
$210 |
$124 |
$41 | |
| Phosphorus blood test |
$15 |
$24 |
$14 |
$5 | |
| Physical therapy evaluation |
$313 |
$391 |
$233 |
$98 | |
| Physical therapy evaluation (high complexity) |
$334 |
$417 |
$244 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$313 |
$391 |
$229 |
$98 | |
| Procalcitonin test |
$136 |
$170 |
$97 |
$27 | |
| Prostate test (PSA) |
$45 |
$96 |
$56 |
$18 | |
| Rotator cuff repair |
— |
— |
$7,261 |
$792 | |
| Screening mammogram |
$225 |
$427 |
$250 |
$126 | |
| Scrotal ultrasound |
$618 |
$772 |
$403 |
$99 | |
| Sedimentation rate (ESR) test |
$20 |
$54 |
$11 |
$3 | |
| Shoulder arthroscopy |
— |
— |
$7,261 |
$962 | |
| Shoulder replacement |
— |
— |
$18,733 |
$1,300 | |
| Skin graft |
— |
— |
$2,878 |
$898 | |
| Soft tissue ultrasound |
$468 |
$585 |
$334 |
$64 | |
| Speech therapy |
$270 |
$338 |
$198 |
$76 | |
| Spine fracture repair (kyphoplasty) |
$10,656 |
$13,320 |
$11,109 |
$5,803 | |
| Swallow study |
$405 |
$506 |
$296 |
$85 | |
| T3 thyroid test |
$59 |
$74 |
$43 |
$14 | |
| Thyroid test (TSH) |
$40 |
$112 |
$64 |
$17 | |
| Total protein test |
$15 |
$19 |
$11 |
$4 | |
| Trigger finger release |
— |
— |
$1,634 |
$630 | |
| Triglycerides test |
$24 |
$30 |
$18 |
$6 | |
| Troponin (heart) test |
$62 |
$77 |
$44 |
$12 | |
| Ulnar nerve surgery (elbow) |
— |
— |
$6,510 |
$575 | |
| Uric acid (gout) test |
$15 |
$24 |
$14 |
$5 | |
| Urinalysis |
$10 |
$16 |
$9 |
$3 | |
| Urine microalbumin test |
$22 |
$29 |
$17 |
$5 | |
| Urine pregnancy test |
$35 |
$44 |
$26 |
$9 | |
| Vitamin B12 test |
$40 |
$77 |
$44 |
$15 | |
| Vitamin D test |
$100 |
$151 |
$89 |
$30 | |
| Wound debridement |
— |
— |
$422 |
$186 | |
| Wrist fracture repair |
— |
— |
$7,261 |
$735 | |
| X-ray of the abdomen |
$388 |
$485 |
$214 |
$36 | |
| X-ray of the ankle |
$291 |
$364 |
$208 |
$37 | |
| X-ray of the collarbone |
$292 |
$365 |
$208 |
$33 | |
| X-ray of the elbow |
$298 |
$372 |
$212 |
$33 | |
| X-ray of the foot |
$290 |
$363 |
$207 |
$34 | |
| X-ray of the forearm |
$259 |
$324 |
$185 |
$29 | |
| X-ray of the hand |
$297 |
$371 |
$212 |
$38 | |
| X-ray of the hip |
$345 |
$431 |
$222 |
$49 | |
| X-ray of the hip (1 view) |
$274 |
$343 |
$196 |
$34 | |
| X-ray of the hip (3 views) |
$345 |
$431 |
$246 |
$49 | |
| X-ray of the hip (4 views) |
$434 |
$543 |
$310 |
$63 | |
| X-ray of the knee |
$334 |
$417 |
$214 |
$42 | |
| X-ray of the knee (2 views) |
$262 |
$328 |
$187 |
$34 | |
| X-ray of the knee (3 views) |
$334 |
$417 |
$238 |
$42 | |
| X-ray of the knee (4+ views) |
$442 |
$553 |
$315 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$433 |
$541 |
$248 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$339 |
$424 |
$242 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$526 |
$658 |
$375 |
$53 | |
| X-ray of the lower leg |
$306 |
$382 |
$218 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$200 |
$250 |
$164 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$200 |
$250 |
$164 |
$33 | |
| X-ray of the neck (cervical spine) |
$296 |
$370 |
$157 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$155 |
$194 |
$136 |
$40 | |
| X-ray of the pelvis |
$314 |
$393 |
$215 |
$36 | |
| X-ray of the pelvis (1 view) |
$294 |
$368 |
$210 |
$28 | |
| X-ray of the ribs |
$385 |
$482 |
$258 |
$42 | |
| X-ray of the ribs (2 views) |
$353 |
$441 |
$251 |
$36 | |
| X-ray of the ribs (3 views) |
$418 |
$522 |
$298 |
$42 | |
| X-ray of the shoulder |
$330 |
$413 |
$235 |
$36 | |
| X-ray of the skull |
$375 |
$469 |
$267 |
$40 | |
| X-ray of the upper arm |
$266 |
$333 |
$190 |
$32 | |
| X-ray of the wrist |
$315 |
$394 |
$225 |
$43 | |
| Zinc blood test |
$47 |
$59 |
$35 |
$11 | |