| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,040.34 |
$2,477 |
1.1× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,040.34 |
$2,477 |
1.1× |
| Diagnostic colonoscopy (45378) |
$1,047.06 |
$2,493 |
1.1× |
| Inguinal hernia repair (age 5+) (49505) |
$4,989.18 |
$11,879 |
1.4× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,200.78 |
$2,859 |
1.4× |
| CT head/brain without contrast (70450) |
$140 |
$994 |
1.3× |
| MRI brain without contrast (70551) |
$1,382.82 |
$6,299.50 |
5.8× |
| MRI brain with contrast (70552) |
$2,732.94 |
$6,507 |
7.8× |
| MRI brain without and with contrast (70553) |
$2,291.52 |
$5,456 |
6.5× |
| X-ray lower spine, 4+ views (72110) |
$383.46 |
$913 |
3.7× |
| MRI lumbar spine without contrast (72148) |
$421.57 |
$1,561 |
1.8× |
| CT pelvis with contrast (72193) |
$752.64 |
$1,792 |
4.3× |
| MRI lower-extremity joint without contrast (73721) |
$749.28 |
$1,784 |
3.1× |
| CT abdomen and pelvis with contrast (74177) |
$460 |
$3,694 |
1.3× |
| Ultrasound, abdomen complete (76700) |
$459.06 |
$1,093 |
4.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$860.58 |
$2,049 |
8.2× |
| Ultrasound, transvaginal (76830) |
$459.06 |
$1,093 |
4.4× |
| Mammography, one breast (diagnostic) (77065) |
$315 |
$750 |
3.7× |
| Mammography, both breasts (diagnostic) (77066) |
$336.42 |
$801 |
3.0× |
| Mammography, screening (bilateral) (77067) |
$336.84 |
$802 |
3.7× |
| Basic metabolic panel (80048) |
$51.66 |
$123 |
6.1× |
| Comprehensive metabolic panel (80053) |
$64.68 |
$154 |
6.1× |
| Lipid panel (80061) |
$81.90 |
$195 |
6.1× |
| Renal function panel (80069) |
$52.92 |
$126 |
6.1× |
| Hepatic function panel (80076) |
$49.98 |
$119 |
6.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$26.46 |
$63 |
7.6× |
| PSA, total (84153) |
$96.60 |
$230 |
5.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$88.20 |
$210 |
5.3× |
| CBC with automated differential (85025) |
$44.10 |
$105 |
5.7× |
| CBC, automated (85027) |
$36.54 |
$87 |
5.6× |
| Prothrombin time (PT) (85610) |
$24.36 |
$58 |
5.7× |
| Partial thromboplastin time (PTT) (85730) |
$34.02 |
$81 |
5.7× |
| Psychotherapy, 30 minutes (90832) |
$94.08 |
$224 |
0.5× |
| Psychotherapy, 45 minutes (90834) |
$94.08 |
$224 |
0.5× |
| Psychotherapy, 60 minutes (90837) |
$94.08 |
$224 |
0.5× |
| Family psychotherapy, without patient (50 min) (90846) |
$94.08 |
$224 |
0.5× |
| Family psychotherapy, with patient (50 min) (90847) |
$94.08 |
$224 |
0.5× |
| Group psychotherapy (90853) |
$49.14 |
$117 |
0.5× |
| Left heart catheterization (93452) |
$14,650.86 |
$34,883 |
4.5× |
| Sleep study (attended polysomnography) (95810) |
$2,520.84 |
$6,002 |
2.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$125 |
$162 |
4.3× |