| Colonoscopy with lesion removal (45385) |
$1,310.50 |
$2,621 |
1.1× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,014.50 |
$4,029 |
2.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,202 |
$4,404 |
2.6× |
| CT head/brain without contrast (70450) |
$1,960 |
$3,920 |
19.3× |
| MRI brain without contrast (70551) |
$3,009.50 |
$6,019 |
13.0× |
| MRI brain with contrast (70552) |
$3,615.50 |
$7,231 |
10.7× |
| MRI brain without and with contrast (70553) |
$3,850.50 |
$7,701 |
11.4× |
| X-ray lower spine, 4+ views (72110) |
$1,013 |
$2,026 |
10.0× |
| MRI lumbar spine without contrast (72148) |
$3,009.50 |
$6,019 |
13.0× |
| CT pelvis with contrast (72193) |
$3,779 |
$7,558 |
22.2× |
| MRI lower-extremity joint without contrast (73721) |
$3,009.50 |
$6,019 |
13.0× |
| CT abdomen and pelvis with contrast (74177) |
$7,558.50 |
$15,117 |
22.3× |
| Ultrasound, abdomen complete (76700) |
$2,404.50 |
$4,809 |
23.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$2,570.50 |
$5,141 |
25.3× |
| Ultrasound, transvaginal (76830) |
$1,496.50 |
$2,993 |
14.7× |
| Mammography, one breast (diagnostic) (77065) |
$358 |
$716 |
4.2× |
| Mammography, both breasts (diagnostic) (77066) |
$413.50 |
$827 |
3.7× |
| Mammography, screening (bilateral) (77067) |
$275.50 |
$551 |
3.0× |
| Basic metabolic panel (80048) |
$473 |
$946 |
55.9× |
| Comprehensive metabolic panel (80053) |
$541 |
$1,082 |
51.2× |
| Lipid panel (80061) |
$337 |
$674 |
25.2× |
| Renal function panel (80069) |
$447 |
$894 |
51.5× |
| Hepatic function panel (80076) |
$296.50 |
$593 |
36.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$103 |
$206 |
29.6× |
| PSA, total (84153) |
$539 |
$1,078 |
29.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$594 |
$1,188 |
35.4× |
| CBC with automated differential (85025) |
$299 |
$598 |
38.5× |
| CBC, automated (85027) |
$299 |
$598 |
46.2× |
| Prothrombin time (PT) (85610) |
$184.50 |
$369 |
43.0× |
| Partial thromboplastin time (PTT) (85730) |
$122.25 |
$244.50 |
20.3× |
| Left heart catheterization (93452) |
$22,041.50 |
$44,083 |
7.0× |
| Sleep study (attended polysomnography) (95810) |
$3,116.50 |
$6,233 |
3.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$249.50 |
$499 |
8.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$229.50 |
$459 |
1.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$304 |
$608 |
2.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$416 |
$832 |
3.2× |