| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,884.20 |
$4,710.50 |
2.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,273.20 |
$8,183 |
3.4× |
| Inguinal hernia repair (age 5+) (49505) |
$6,563.20 |
$16,408 |
1.7× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,270 |
$3,175 |
1.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,703.20 |
$4,258 |
1.8× |
| CT head/brain without contrast (70450) |
$1,793.60 |
$4,484 |
16.1× |
| MRI brain without contrast (70551) |
$2,740 |
$6,850 |
10.8× |
| MRI brain with contrast (70552) |
$2,929.60 |
$7,324 |
7.9× |
| MRI brain without and with contrast (70553) |
$5,444.40 |
$13,611 |
14.7× |
| X-ray lower spine, 4+ views (72110) |
$755.60 |
$1,889 |
6.8× |
| MRI lumbar spine without contrast (72148) |
$2,794.40 |
$6,986 |
11.0× |
| CT pelvis with contrast (72193) |
$2,193.80 |
$5,484.50 |
11.7× |
| MRI lower-extremity joint without contrast (73721) |
$2,733.60 |
$6,834 |
10.8× |
| CT abdomen and pelvis with contrast (74177) |
$2,976.20 |
$7,440.50 |
8.0× |
| Ultrasound, abdomen complete (76700) |
$1,324.40 |
$3,311 |
11.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,019.60 |
$2,549 |
9.2× |
| Ultrasound, transvaginal (76830) |
$318.40 |
$796 |
2.9× |
| Mammography, one breast (diagnostic) (77065) |
$254.20 |
$635.50 |
2.9× |
| Mammography, both breasts (diagnostic) (77066) |
$412 |
$1,030 |
3.7× |
| Mammography, screening (bilateral) (77067) |
$312.40 |
$781 |
3.4× |
| Basic metabolic panel (80048) |
$145.60 |
$364 |
17.2× |
| Comprehensive metabolic panel (80053) |
$88.80 |
$222 |
8.4× |
| Obstetric panel (80055) |
$250.40 |
$626 |
5.2× |
| Lipid panel (80061) |
$208.20 |
$520.50 |
15.5× |
| Renal function panel (80069) |
$160 |
$400 |
18.4× |
| Hepatic function panel (80076) |
$232.80 |
$582 |
28.5× |
| Urinalysis, non-automated, with microscopy (81000) |
$17.20 |
$43 |
4.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$24.40 |
$61 |
7.0× |
| PSA, total (84153) |
$251 |
$627.50 |
13.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$193.20 |
$483 |
11.5× |
| CBC with automated differential (85025) |
$72 |
$180 |
9.3× |
| CBC, automated (85027) |
$93.60 |
$234 |
14.5× |
| Prothrombin time (PT) (85610) |
$69.60 |
$174 |
16.2× |
| Partial thromboplastin time (PTT) (85730) |
$88.80 |
$222 |
14.8× |
| Left heart catheterization (93452) |
$5,941.60 |
$14,854 |
1.7× |
| Sleep study (attended polysomnography) (95810) |
$3,478.40 |
$8,696 |
3.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$169.60 |
$424 |
5.8× |