| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,979 |
$1,979 |
2.1× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,979 |
$1,979 |
2.1× |
| Diagnostic colonoscopy (45378) |
$2,433 |
$2,433 |
2.5× |
| Colonoscopy with biopsy (45380) |
$2,916 |
$2,916 |
2.3× |
| Colonoscopy with lesion removal (45385) |
$8,803 |
$8,803 |
7.0× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$3,575 |
$3,575 |
3.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$3,001 |
$3,001 |
3.2× |
| CT head/brain without contrast (70450) |
$1,480 |
$1,480 |
13.6× |
| MRI brain without contrast (70551) |
$1,533 |
$1,533 |
6.2× |
| MRI brain with contrast (70552) |
$1,533 |
$1,533 |
4.2× |
| MRI brain without and with contrast (70553) |
$1,476 |
$1,476 |
4.1× |
| X-ray lower spine, 4+ views (72110) |
$501 |
$501 |
4.6× |
| MRI lumbar spine without contrast (72148) |
$1,533 |
$1,533 |
6.2× |
| CT pelvis with contrast (72193) |
$1,242 |
$1,242 |
6.8× |
| MRI lower-extremity joint without contrast (73721) |
$2,300 |
$2,300 |
9.2× |
| CT abdomen and pelvis with contrast (74177) |
$1,242 |
$1,242 |
3.4× |
| Ultrasound, abdomen complete (76700) |
$1,210 |
$1,210 |
11.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$601 |
$601 |
5.5× |
| Ultrasound, transvaginal (76830) |
$953 |
$953 |
8.7× |
| Mammography, one breast (diagnostic) (77065) |
$586.50 |
$586.50 |
6.8× |
| Mammography, both breasts (diagnostic) (77066) |
$448 |
$448 |
4.1× |
| Mammography, screening (bilateral) (77067) |
$358 |
$358 |
3.9× |
| Basic metabolic panel (80048) |
$410 |
$410 |
48.5× |
| Comprehensive metabolic panel (80053) |
$560 |
$560 |
53.0× |
| Lipid panel (80061) |
$220 |
$220 |
16.4× |
| Renal function panel (80069) |
$208 |
$208 |
24.0× |
| Hepatic function panel (80076) |
$243 |
$243 |
29.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$83 |
$83 |
23.9× |
| PSA, total (84153) |
$231 |
$231 |
12.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$196 |
$196 |
11.7× |
| CBC with automated differential (85025) |
$327 |
$327 |
42.1× |
| CBC, automated (85027) |
$268 |
$268 |
41.4× |
| Prothrombin time (PT) (85610) |
$103.50 |
$103.50 |
24.1× |
| Partial thromboplastin time (PTT) (85730) |
$175.50 |
$175.50 |
29.2× |
| Left heart catheterization (93452) |
$8,836 |
$8,836 |
2.6× |
| Sleep study (attended polysomnography) (95810) |
$3,532 |
$3,532 |
3.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$200 |
$200 |
6.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$370 |
$370 |
2.7× |