| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,396.45 |
$2,539 |
1.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,074.60 |
$3,772 |
2.0× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,048.85 |
$1,907 |
1.6× |
| CT head/brain without contrast (70450) |
$1,028.50 |
$1,870 |
8.2× |
| MRI brain without contrast (70551) |
$1,492.70 |
$2,714 |
5.2× |
| MRI brain with contrast (70552) |
$1,810.05 |
$3,291 |
4.3× |
| MRI brain without and with contrast (70553) |
$2,402.95 |
$4,369 |
5.7× |
| X-ray lower spine, 4+ views (72110) |
$447.70 |
$814 |
3.6× |
| MRI lumbar spine without contrast (72148) |
$1,699.50 |
$3,090 |
5.9× |
| CT pelvis with contrast (72193) |
$1,566.95 |
$2,849 |
7.5× |
| MRI lower-extremity joint without contrast (73721) |
$1,748.72 |
$3,179.50 |
6.1× |
| CT abdomen and pelvis with contrast (74177) |
$1,566.95 |
$2,849 |
3.7× |
| Ultrasound, abdomen complete (76700) |
$765.60 |
$1,392 |
6.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$554.95 |
$1,009 |
4.4× |
| Ultrasound, transvaginal (76830) |
$644.05 |
$1,171 |
5.1× |
| Mammography, one breast (diagnostic) (77065) |
$266.20 |
$484 |
3.1× |
| Mammography, both breasts (diagnostic) (77066) |
$341 |
$620 |
3.1× |
| Mammography, screening (bilateral) (77067) |
$283.80 |
$516 |
3.1× |
| Basic metabolic panel (80048) |
$46.66 |
$84.83 |
5.5× |
| Comprehensive metabolic panel (80053) |
$50.56 |
$91.91 |
4.8× |
| Lipid panel (80061) |
$107.32 |
$195.11 |
8.0× |
| Renal function panel (80069) |
$71.61 |
$130.20 |
8.3× |
| Hepatic function panel (80076) |
$55.99 |
$101.79 |
6.9× |
| PSA, total (84153) |
$106.54 |
$193.70 |
5.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$45.46 |
$82.64 |
2.7× |
| CBC with automated differential (85025) |
$31.89 |
$57.97 |
4.1× |
| CBC, automated (85027) |
$37.16 |
$67.54 |
5.7× |
| Prothrombin time (PT) (85610) |
$27.99 |
$50.89 |
6.5× |
| Partial thromboplastin time (PTT) (85730) |
$25.98 |
$47.24 |
4.3× |
| Psychotherapy, 30 minutes (90832) |
$397.65 |
$723 |
1.9× |
| Psychotherapy, 45 minutes (90834) |
$397.65 |
$723 |
1.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$397.65 |
$723 |
1.9× |
| Group psychotherapy (90853) |
$222.20 |
$404 |
1.8× |
| Sleep study (attended polysomnography) (95810) |
$2,607.55 |
$4,741 |
2.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$101.75 |
$185 |
3.5× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$216.70 |
$394 |
1.4× |