| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,172.80 |
$3,966 |
3.3× |
| Diagnostic colonoscopy (45378) |
$3,128.54 |
$3,910.68 |
3.2× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,691.76 |
$2,114.70 |
1.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,368.46 |
$2,960.58 |
2.5× |
| CT head/brain without contrast (70450) |
$1,513.68 |
$1,892.10 |
13.6× |
| MRI brain without contrast (70551) |
$2,104.74 |
$2,630.92 |
8.3× |
| MRI brain with contrast (70552) |
$2,480.40 |
$3,100.50 |
6.7× |
| MRI brain without and with contrast (70553) |
$3,671.84 |
$4,589.80 |
9.9× |
| X-ray lower spine, 4+ views (72110) |
$423.15 |
$528.94 |
3.8× |
| MRI lumbar spine without contrast (72148) |
$2,152.22 |
$2,690.28 |
8.5× |
| CT pelvis with contrast (72193) |
$1,639.18 |
$2,048.98 |
8.8× |
| MRI lower-extremity joint without contrast (73721) |
$2,144.59 |
$2,680.74 |
8.4× |
| CT abdomen and pelvis with contrast (74177) |
$4,396.03 |
$5,495.04 |
11.8× |
| Ultrasound, abdomen complete (76700) |
$723.34 |
$904.18 |
6.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$903.12 |
$1,128.90 |
8.1× |
| Ultrasound, transvaginal (76830) |
$665.68 |
$832.10 |
6.0× |
| Mammography, one breast (diagnostic) (77065) |
$452.92 |
$566.15 |
5.3× |
| Mammography, both breasts (diagnostic) (77066) |
$485.90 |
$607.38 |
4.4× |
| Mammography, screening (bilateral) (77067) |
$461.36 |
$576.70 |
5.1× |
| Basic metabolic panel (80048) |
$163.66 |
$204.58 |
19.3× |
| Comprehensive metabolic panel (80053) |
$198.43 |
$248.04 |
18.8× |
| Lipid panel (80061) |
$163.66 |
$204.58 |
12.2× |
| Renal function panel (80069) |
$213.93 |
$267.41 |
24.6× |
| Hepatic function panel (80076) |
$212.42 |
$265.53 |
26.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$37.31 |
$46.64 |
10.7× |
| PSA, total (84153) |
$102.61 |
$128.26 |
5.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$293.41 |
$366.76 |
17.5× |
| CBC with automated differential (85025) |
$62.75 |
$78.44 |
8.1× |
| CBC, automated (85027) |
$86.50 |
$108.12 |
13.4× |
| Prothrombin time (PT) (85610) |
$51.73 |
$64.66 |
12.1× |
| Partial thromboplastin time (PTT) (85730) |
$101.76 |
$127.20 |
16.9× |
| Left heart catheterization (93452) |
$10,391.39 |
$12,989.24 |
3.0× |
| Sleep study (attended polysomnography) (95810) |
$1,994.50 |
$2,493.12 |
2.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$200.98 |
$251.22 |
6.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$328.18 |
$410.22 |
2.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$367.18 |
$458.98 |
2.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$543.57 |
$679.46 |
3.8× |
| Preventive visit, new patient (age 18–39) (99385) |
$155.18 |
$193.98 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$187.41 |
$234.26 |
— |