| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,471 |
$2,471 |
2.8× |
| Diagnostic colonoscopy (45378) |
$2,613 |
$2,613 |
2.9× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,339 |
$1,339 |
1.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,422 |
$1,422 |
1.7× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,528 |
$1,528 |
2.9× |
| CT head/brain without contrast (70450) |
$2,581 |
$2,581 |
25.8× |
| MRI brain without contrast (70551) |
$3,050 |
$3,050 |
13.4× |
| MRI brain with contrast (70552) |
$4,249 |
$4,249 |
12.7× |
| MRI brain without and with contrast (70553) |
$4,999 |
$4,999 |
15.0× |
| X-ray lower spine, 4+ views (72110) |
$581 |
$581 |
5.8× |
| MRI lumbar spine without contrast (72148) |
$3,879 |
$3,879 |
17.0× |
| CT pelvis with contrast (72193) |
$3,552 |
$3,552 |
21.2× |
| CT abdomen and pelvis with contrast (74177) |
$5,763 |
$5,763 |
17.3× |
| Ultrasound, abdomen complete (76700) |
$1,185 |
$1,185 |
11.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$506 |
$506 |
5.1× |
| Ultrasound, transvaginal (76830) |
$840 |
$840 |
8.4× |
| Mammography, both breasts (diagnostic) (77066) |
$556 |
$556 |
5.0× |
| Mammography, screening (bilateral) (77067) |
$308 |
$308 |
3.4× |
| Basic metabolic panel (80048) |
$145 |
$145 |
17.1× |
| Comprehensive metabolic panel (80053) |
$180 |
$180 |
17.0× |
| Lipid panel (80061) |
$217 |
$217 |
16.2× |
| Renal function panel (80069) |
$142 |
$142 |
16.4× |
| Hepatic function panel (80076) |
$139 |
$139 |
17.0× |
| Urinalysis, non-automated, with microscopy (81000) |
$35 |
$35 |
8.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$34 |
$34 |
9.8× |
| PSA, total (84153) |
$237 |
$237 |
12.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$294 |
$294 |
17.5× |
| CBC with automated differential (85025) |
$117 |
$117 |
15.1× |
| CBC, automated (85027) |
$120 |
$120 |
18.5× |
| Prothrombin time (PT) (85610) |
$60 |
$60 |
14.0× |
| Partial thromboplastin time (PTT) (85730) |
$92 |
$92 |
15.3× |
| Left heart catheterization (93452) |
$9,774 |
$9,774 |
3.2× |
| Sleep study (attended polysomnography) (95810) |
$4,859 |
$4,859 |
5.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$350.50 |
$350.50 |
2.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$433.50 |
$433.50 |
3.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$542 |
$542 |
4.3× |