| Upper GI endoscopy (EGD), diagnostic (43235) |
$658 |
$1,316 |
0.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$591.50 |
$1,183 |
0.6× |
| Diagnostic colonoscopy (45378) |
$866 |
$1,732 |
0.9× |
| Colonoscopy with biopsy (45380) |
$895.50 |
$1,791 |
0.7× |
| Colonoscopy with lesion removal (45385) |
$653 |
$1,306 |
0.5× |
| Colonoscopy with endoscopic ultrasound (45391) |
$808 |
$1,616 |
0.7× |
| Inguinal hernia repair (age 5+) (49505) |
$7,802 |
$15,604 |
2.2× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$3,031.50 |
$6,063 |
3.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$4,482 |
$8,964 |
5.0× |
| CT head/brain without contrast (70450) |
$1,120 |
$2,240 |
10.7× |
| MRI brain without contrast (70551) |
$1,335.50 |
$2,671 |
5.6× |
| MRI brain with contrast (70552) |
$1,469.50 |
$2,939 |
4.2× |
| MRI brain without and with contrast (70553) |
$1,615.50 |
$3,231 |
4.6× |
| X-ray lower spine, 4+ views (72110) |
$1,152 |
$2,304 |
11.0× |
| MRI lumbar spine without contrast (72148) |
$1,056 |
$2,112 |
4.4× |
| CT pelvis with contrast (72193) |
$1,124 |
$2,248 |
6.4× |
| MRI lower-extremity joint without contrast (73721) |
$1,243.50 |
$2,487 |
5.2× |
| CT abdomen and pelvis with contrast (74177) |
$2,362 |
$4,724 |
6.7× |
| Ultrasound, abdomen complete (76700) |
$2,661.50 |
$5,323 |
25.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$2,316.50 |
$4,633 |
22.1× |
| Ultrasound, transvaginal (76830) |
$1,492.50 |
$2,985 |
14.2× |
| Mammography, one breast (diagnostic) (77065) |
$905 |
$1,810 |
10.5× |
| Mammography, both breasts (diagnostic) (77066) |
$1,762.95 |
$3,525.90 |
15.9× |
| Mammography, screening (bilateral) (77067) |
$715.50 |
$1,431 |
7.8× |
| Basic metabolic panel (80048) |
$562 |
$1,124 |
66.4× |
| Comprehensive metabolic panel (80053) |
$572.50 |
$1,145 |
54.2× |
| Obstetric panel (80055) |
$413 |
$826 |
8.6× |
| Lipid panel (80061) |
$251.25 |
$502.50 |
18.8× |
| Renal function panel (80069) |
$453 |
$906 |
52.2× |
| Hepatic function panel (80076) |
$558 |
$1,116 |
68.3× |
| Urinalysis, non-automated, with microscopy (81000) |
$139 |
$278 |
34.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$57 |
$114 |
16.4× |
| PSA, total (84153) |
$74 |
$148 |
4.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$186.25 |
$372.50 |
11.1× |
| CBC with automated differential (85025) |
$139.25 |
$278.50 |
17.9× |
| CBC, automated (85027) |
$95.50 |
$191 |
14.8× |
| Prothrombin time (PT) (85610) |
$134.50 |
$269 |
31.4× |
| Partial thromboplastin time (PTT) (85730) |
$160.50 |
$321 |
26.7× |
| Family psychotherapy, with patient (50 min) (90847) |
$755 |
$1,510 |
4.2× |
| Group psychotherapy (90853) |
$594 |
$1,188 |
5.8× |
| Left heart catheterization (93452) |
$8,192 |
$16,384 |
2.5× |
| Sleep study (attended polysomnography) (95810) |
$6,192 |
$12,384 |
7.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$158.50 |
$317 |
5.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$272 |
$544 |
2.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$313 |
$626 |
2.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$336 |
$672 |
2.5× |