| Upper GI endoscopy (EGD), diagnostic (43235) |
$17,288.40 |
— |
19.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$523.31 |
$1,495.18 |
0.6× |
| Colonoscopy with lesion removal (45385) |
$11,123.97 |
— |
9.7× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$829.50 |
$2,370 |
1.0× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$837.95 |
$2,394.15 |
1.0× |
| CT head/brain without contrast (70450) |
$777.78 |
— |
7.7× |
| MRI brain without contrast (70551) |
$8,887.22 |
— |
38.7× |
| MRI brain with contrast (70552) |
$978.67 |
$2,796.21 |
2.9× |
| MRI brain without and with contrast (70553) |
$826.51 |
$2,361.46 |
2.5× |
| X-ray lower spine, 4+ views (72110) |
$107.66 |
$307.59 |
1.1× |
| MRI lumbar spine without contrast (72148) |
$728.65 |
$2,081.85 |
3.2× |
| CT pelvis with contrast (72193) |
$733.63 |
$2,096.08 |
4.3× |
| MRI lower-extremity joint without contrast (73721) |
$630.69 |
$1,801.98 |
2.7× |
| CT abdomen and pelvis with contrast (74177) |
$1,338.89 |
$3,825.40 |
4.0× |
| Ultrasound, abdomen complete (76700) |
$169.73 |
$484.93 |
1.7× |
| Basic metabolic panel (80048) |
$5,826.57 |
— |
688.7× |
| Comprehensive metabolic panel (80053) |
$193.94 |
— |
18.4× |
| Lipid panel (80061) |
$847.21 |
— |
63.3× |
| Renal function panel (80069) |
$52.85 |
$151 |
6.1× |
| Hepatic function panel (80076) |
$54.60 |
$156 |
6.7× |
| Urinalysis, non-automated, with microscopy (81000) |
$4.54 |
$12.96 |
1.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$8.97 |
$25.64 |
2.6× |
| PSA, total (84153) |
$184.29 |
— |
10.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$290.54 |
— |
17.3× |
| CBC with automated differential (85025) |
$214.91 |
— |
27.7× |
| CBC, automated (85027) |
$5,971.35 |
— |
922.9× |
| Prothrombin time (PT) (85610) |
$53.49 |
— |
12.5× |
| Partial thromboplastin time (PTT) (85730) |
$915.46 |
— |
152.3× |
| Electrocardiogram (ECG), complete (93000) |
$46.02 |
$131.50 |
0.8× |
| Left heart catheterization (93452) |
$4,770.96 |
$13,631.31 |
1.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$22.78 |
$65.10 |
0.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$87.17 |
$249.06 |
0.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$156.97 |
— |
1.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$163.83 |
$468.09 |
1.3× |
| Office consultation (low complexity, ~30 min) (99243) |
$87.17 |
$249.06 |
0.7× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$110.95 |
$317.01 |
0.9× |
| Preventive visit, new patient (age 18–39) (99385) |
$93.63 |
$267.51 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$114.97 |
$328.50 |
— |