| Upper GI endoscopy (EGD), diagnostic (43235) |
$6,251.50 |
$6,251.50 |
7.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$7,964 |
$7,964 |
9.9× |
| Diagnostic colonoscopy (45378) |
$6,659 |
$6,659 |
8.1× |
| Colonoscopy with biopsy (45380) |
$7,773 |
$7,773 |
7.4× |
| Colonoscopy with lesion removal (45385) |
$8,597 |
$8,597 |
8.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,249 |
$2,249 |
2.9× |
| CT head/brain without contrast (70450) |
$8,275 |
$8,275 |
89.6× |
| MRI brain without contrast (70551) |
$8,989 |
$8,989 |
42.7× |
| MRI brain with contrast (70552) |
$11,215 |
$11,215 |
36.4× |
| MRI brain without and with contrast (70553) |
$16,178 |
$16,178 |
52.5× |
| X-ray lower spine, 4+ views (72110) |
$2,148 |
$2,148 |
23.3× |
| MRI lumbar spine without contrast (72148) |
$10,873 |
$10,873 |
51.6× |
| CT pelvis with contrast (72193) |
$10,652 |
$10,652 |
68.8× |
| MRI lower-extremity joint without contrast (73721) |
$10,578 |
$10,578 |
50.2× |
| CT abdomen and pelvis with contrast (74177) |
$24,349 |
$24,349 |
79.0× |
| Ultrasound, abdomen complete (76700) |
$3,376 |
$3,376 |
36.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$2,148 |
$2,148 |
23.3× |
| Ultrasound, transvaginal (76830) |
$1,571 |
$1,571 |
17.0× |
| Mammography, one breast (diagnostic) (77065) |
$1,129 |
$1,129 |
13.1× |
| Mammography, both breasts (diagnostic) (77066) |
$1,294 |
$1,294 |
11.7× |
| Mammography, screening (bilateral) (77067) |
$1,020 |
$1,020 |
11.2× |
| Basic metabolic panel (80048) |
$615 |
$615 |
72.7× |
| Comprehensive metabolic panel (80053) |
$479 |
$479 |
45.4× |
| Lipid panel (80061) |
$520 |
$520 |
38.8× |
| Renal function panel (80069) |
$346 |
$346 |
39.9× |
| Hepatic function panel (80076) |
$385 |
$385 |
47.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$32 |
$32 |
9.2× |
| PSA, total (84153) |
$820.50 |
$820.50 |
44.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$736 |
$736 |
43.8× |
| CBC with automated differential (85025) |
$344 |
$344 |
44.3× |
| CBC, automated (85027) |
$275 |
$275 |
42.5× |
| Prothrombin time (PT) (85610) |
$260 |
$260 |
60.6× |
| Partial thromboplastin time (PTT) (85730) |
$301 |
$301 |
50.1× |
| Sleep study (attended polysomnography) (95810) |
$13,883 |
$13,883 |
18.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$396.50 |
$396.50 |
13.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$954 |
$954 |
8.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$1,265.72 |
$1,265.72 |
10.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$2,210.21 |
$2,210.21 |
18.8× |