| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,407 |
$2,407 |
2.5× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,413 |
$1,413 |
1.5× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$4,768 |
$4,768 |
5.1× |
| CT head/brain without contrast (70450) |
$3,985 |
$3,985 |
35.7× |
| MRI brain without contrast (70551) |
$3,014 |
$3,014 |
11.8× |
| MRI brain with contrast (70552) |
$3,618 |
$3,618 |
9.7× |
| MRI brain without and with contrast (70553) |
$4,947 |
$4,947 |
13.3× |
| X-ray lower spine, 4+ views (72110) |
$765 |
$765 |
6.9× |
| MRI lumbar spine without contrast (72148) |
$5,484 |
$5,484 |
21.5× |
| CT pelvis with contrast (72193) |
$4,275 |
$4,275 |
22.8× |
| MRI lower-extremity joint without contrast (73721) |
$4,322 |
$4,322 |
17.0× |
| CT abdomen and pelvis with contrast (74177) |
$5,350 |
$5,350 |
14.4× |
| Ultrasound, abdomen complete (76700) |
$2,413 |
$2,413 |
21.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,680 |
$1,680 |
15.1× |
| Ultrasound, transvaginal (76830) |
$1,684 |
$1,684 |
15.1× |
| Mammography, one breast (diagnostic) (77065) |
$859 |
$859 |
10.0× |
| Mammography, both breasts (diagnostic) (77066) |
$1,142 |
$1,142 |
10.3× |
| Mammography, screening (bilateral) (77067) |
$725 |
$725 |
8.0× |
| Basic metabolic panel (80048) |
$380 |
$380 |
44.9× |
| Comprehensive metabolic panel (80053) |
$603 |
$603 |
57.1× |
| Obstetric panel (80055) |
$606 |
$606 |
12.7× |
| Lipid panel (80061) |
$426 |
$426 |
31.8× |
| Renal function panel (80069) |
$418 |
$418 |
48.2× |
| Hepatic function panel (80076) |
$357 |
$357 |
43.7× |
| Urinalysis, non-automated, with microscopy (81000) |
$20 |
$20 |
5.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$40.50 |
$40.50 |
11.6× |
| PSA, total (84153) |
$382 |
$382 |
20.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$376 |
$376 |
22.4× |
| CBC with automated differential (85025) |
$152 |
$152 |
19.6× |
| CBC, automated (85027) |
$202 |
$202 |
31.2× |
| Prothrombin time (PT) (85610) |
$112.50 |
$112.50 |
26.2× |
| Partial thromboplastin time (PTT) (85730) |
$216 |
$216 |
35.9× |
| Left heart catheterization (93452) |
$13,375 |
$13,375 |
3.9× |
| Sleep study (attended polysomnography) (95810) |
$6,000 |
$6,000 |
6.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$272 |
$272 |
9.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$254.50 |
$254.50 |
1.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$381 |
$381 |
2.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$503 |
$503 |
3.5× |