| Upper GI endoscopy (EGD), diagnostic (43235) |
$848.18 |
$1,413.62 |
0.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,088.58 |
$5,147.63 |
3.4× |
| Diagnostic colonoscopy (45378) |
$1,332.36 |
$2,220.60 |
1.4× |
| Colonoscopy with biopsy (45380) |
$3,369.20 |
$5,615.34 |
2.8× |
| Colonoscopy with lesion removal (45385) |
$3,923.34 |
$6,538.90 |
3.3× |
| Colonoscopy with endoscopic ultrasound (45391) |
$1,806.60 |
$3,011 |
1.5× |
| Inguinal hernia repair (age 5+) (49505) |
$19,325.47 |
$32,209.12 |
5.4× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,019.40 |
$1,699 |
1.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$6,258.56 |
$10,430.93 |
7.1× |
| CT head/brain without contrast (70450) |
$859.80 |
$1,433 |
8.2× |
| MRI brain without contrast (70551) |
$1,381.80 |
$2,303 |
5.8× |
| MRI brain with contrast (70552) |
$1,680 |
$2,800 |
4.8× |
| MRI brain without and with contrast (70553) |
$2,020.20 |
$3,367 |
5.8× |
| X-ray lower spine, 4+ views (72110) |
$316.20 |
$527 |
3.0× |
| MRI lumbar spine without contrast (72148) |
$1,422.60 |
$2,371 |
6.0× |
| CT pelvis with contrast (72193) |
$924 |
$1,540 |
5.3× |
| MRI lower-extremity joint without contrast (73721) |
$1,434 |
$2,390 |
6.0× |
| CT abdomen and pelvis with contrast (74177) |
$2,839.20 |
$4,732 |
8.1× |
| Ultrasound, abdomen complete (76700) |
$573 |
$955 |
5.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$633.60 |
$1,056 |
6.1× |
| Ultrasound, transvaginal (76830) |
$384.60 |
$641 |
3.7× |
| Mammography, one breast (diagnostic) (77065) |
$198 |
$330 |
2.3× |
| Mammography, both breasts (diagnostic) (77066) |
$292.80 |
$488 |
2.6× |
| Mammography, screening (bilateral) (77067) |
$209.40 |
$349 |
2.3× |
| Basic metabolic panel (80048) |
$156.60 |
$261 |
18.5× |
| Comprehensive metabolic panel (80053) |
$215.40 |
$359 |
20.4× |
| Obstetric panel (80055) |
$202.20 |
$337 |
4.2× |
| Lipid panel (80061) |
$57 |
$95 |
4.3× |
| Renal function panel (80069) |
$187.80 |
$313 |
21.6× |
| Hepatic function panel (80076) |
$52.80 |
$88 |
6.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$24.60 |
$41 |
7.1× |
| PSA, total (84153) |
$76.80 |
$128 |
4.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$66 |
$110 |
3.9× |
| CBC with automated differential (85025) |
$92.40 |
$154 |
11.9× |
| CBC, automated (85027) |
$60 |
$100 |
9.3× |
| Prothrombin time (PT) (85610) |
$17.40 |
$29 |
4.1× |
| Partial thromboplastin time (PTT) (85730) |
$79.20 |
$132 |
13.2× |
| Psychotherapy, 30 minutes (90832) |
$185.40 |
$309 |
1.0× |
| Psychotherapy, 45 minutes (90834) |
$226.20 |
$377 |
1.3× |
| Psychotherapy, 60 minutes (90837) |
$250.80 |
$418 |
1.4× |
| Group psychotherapy (90853) |
$316.80 |
$528 |
3.1× |
| Left heart catheterization (93452) |
$7,146 |
$11,910 |
2.2× |
| Sleep study (attended polysomnography) (95810) |
$4,054.20 |
$6,757 |
4.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$90.60 |
$151 |
3.1× |