| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,828 |
$1,828 |
2.1× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,521 |
$1,521 |
1.7× |
| Diagnostic colonoscopy (45378) |
$2,488 |
$2,488 |
2.8× |
| Colonoscopy with biopsy (45380) |
$2,672 |
$2,672 |
2.3× |
| Colonoscopy with lesion removal (45385) |
$2,579 |
$2,579 |
2.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,182 |
$1,182 |
1.4× |
| Cataract removal with lens insertion (66984) |
$2,103 |
$2,103 |
0.9× |
| CT head/brain without contrast (70450) |
$1,800 |
$1,800 |
17.9× |
| MRI brain without contrast (70551) |
$3,507 |
$3,507 |
15.3× |
| MRI brain with contrast (70552) |
$4,156 |
$4,156 |
12.4× |
| MRI brain without and with contrast (70553) |
$5,171 |
$5,171 |
15.4× |
| X-ray lower spine, 4+ views (72110) |
$798 |
$798 |
7.9× |
| MRI lumbar spine without contrast (72148) |
$3,200 |
$3,200 |
13.9× |
| CT pelvis with contrast (72193) |
$2,670 |
$2,670 |
15.8× |
| MRI lower-extremity joint without contrast (73721) |
$2,966 |
$2,966 |
12.9× |
| CT abdomen and pelvis with contrast (74177) |
$4,984 |
$4,984 |
14.8× |
| Ultrasound, abdomen complete (76700) |
$1,282 |
$1,282 |
12.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$798 |
$798 |
7.9× |
| Ultrasound, transvaginal (76830) |
$933 |
$933 |
9.3× |
| Mammography, one breast (diagnostic) (77065) |
$80.30 |
$80.30 |
0.9× |
| Mammography, both breasts (diagnostic) (77066) |
$102.95 |
$102.95 |
0.9× |
| Mammography, screening (bilateral) (77067) |
$79.99 |
$79.99 |
0.9× |
| Basic metabolic panel (80048) |
$137 |
$137 |
16.2× |
| Comprehensive metabolic panel (80053) |
$220 |
$220 |
20.8× |
| Lipid panel (80061) |
$169 |
$169 |
12.6× |
| Renal function panel (80069) |
$160 |
$160 |
18.4× |
| Hepatic function panel (80076) |
$167 |
$167 |
20.4× |
| Urinalysis, non-automated, with microscopy (81000) |
$16 |
$16 |
4.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$51 |
$51 |
14.7× |
| PSA, total (84153) |
$155.50 |
$155.50 |
8.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$165 |
$165 |
9.8× |
| CBC with automated differential (85025) |
$114 |
$114 |
14.7× |
| CBC, automated (85027) |
$84 |
$84 |
13.0× |
| Prothrombin time (PT) (85610) |
$67 |
$67 |
15.6× |
| Partial thromboplastin time (PTT) (85730) |
$72 |
$72 |
12.0× |
| Electrocardiogram (ECG), complete (93000) |
$57 |
$57 |
1.0× |
| Left heart catheterization (93452) |
$4,433 |
$4,433 |
1.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$395.50 |
$395.50 |
13.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$207 |
$207 |
1.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$258 |
$258 |
2.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$307.40 |
$307.40 |
2.4× |