| Shoulder arthroscopy with decompression (29826) |
$16,702 |
$16,702 |
— |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$11,113 |
$11,113 |
12.7× |
| Laparoscopic gallbladder removal (47562) |
$25,316 |
$25,316 |
4.3× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$7,458 |
$7,458 |
8.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$5,516 |
$5,516 |
6.5× |
| CT head/brain without contrast (70450) |
$2,513 |
$2,513 |
24.9× |
| MRI brain without contrast (70551) |
$3,882 |
$3,882 |
16.8× |
| MRI brain with contrast (70552) |
$3,700 |
$3,700 |
11.0× |
| MRI brain without and with contrast (70553) |
$4,860 |
$4,860 |
14.4× |
| X-ray lower spine, 4+ views (72110) |
$1,096 |
$1,096 |
10.8× |
| MRI lumbar spine without contrast (72148) |
$4,498 |
$4,498 |
19.5× |
| CT pelvis with contrast (72193) |
$2,995 |
$2,995 |
17.7× |
| MRI lower-extremity joint without contrast (73721) |
$3,438 |
$3,438 |
14.9× |
| CT abdomen and pelvis with contrast (74177) |
$5,099 |
$5,099 |
15.1× |
| Ultrasound, abdomen complete (76700) |
$1,700 |
$1,700 |
16.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,454 |
$1,454 |
14.4× |
| Ultrasound, transvaginal (76830) |
$812 |
$812 |
8.0× |
| Mammography, one breast (diagnostic) (77065) |
$422 |
$422 |
4.9× |
| Mammography, both breasts (diagnostic) (77066) |
$526 |
$526 |
4.8× |
| Mammography, screening (bilateral) (77067) |
$436 |
$436 |
4.8× |
| Basic metabolic panel (80048) |
$129.50 |
$129.50 |
15.3× |
| Comprehensive metabolic panel (80053) |
$141 |
$141 |
13.4× |
| Lipid panel (80061) |
$172 |
$172 |
12.8× |
| Renal function panel (80069) |
$354.50 |
$354.50 |
40.8× |
| Hepatic function panel (80076) |
$308 |
$308 |
37.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$11 |
$11 |
3.2× |
| PSA, total (84153) |
$247 |
$247 |
13.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$175.50 |
$175.50 |
10.4× |
| CBC with automated differential (85025) |
$72 |
$72 |
9.3× |
| CBC, automated (85027) |
$179 |
$179 |
27.7× |
| Prothrombin time (PT) (85610) |
$99.50 |
$99.50 |
23.2× |
| Partial thromboplastin time (PTT) (85730) |
$150 |
$150 |
25.0× |
| Left heart catheterization (93452) |
$10,687 |
$10,687 |
3.4× |
| Sleep study (attended polysomnography) (95810) |
$4,189 |
$4,189 |
5.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$247 |
$247 |
8.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$382 |
$382 |
3.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$904 |
$904 |
7.0× |