| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,542.28 |
$5,140.94 |
1.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,389.27 |
$4,630.91 |
1.5× |
| Colonoscopy with biopsy (45380) |
$1,391.58 |
$4,638.60 |
1.1× |
| Colonoscopy with lesion removal (45385) |
$1,529.20 |
$5,097.33 |
1.3× |
| Colonoscopy with endoscopic ultrasound (45391) |
$1,411.50 |
$4,705 |
1.2× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,660.80 |
$5,536 |
1.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,666.68 |
$5,555.60 |
1.9× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$424.20 |
$1,414 |
0.8× |
| CT head/brain without contrast (70450) |
$1,680.48 |
$5,601.60 |
15.8× |
| MRI brain without contrast (70551) |
$1,911.87 |
$6,372.90 |
7.9× |
| MRI brain with contrast (70552) |
$2,310.66 |
$7,702.20 |
6.5× |
| MRI brain without and with contrast (70553) |
$2,567.16 |
$8,557.20 |
7.2× |
| X-ray lower spine, 4+ views (72110) |
$596.70 |
$1,989 |
5.6× |
| MRI lumbar spine without contrast (72148) |
$1,918.89 |
$6,396.30 |
7.9× |
| CT pelvis with contrast (72193) |
$2,202.12 |
$7,340.40 |
12.4× |
| MRI lower-extremity joint without contrast (73721) |
$1,928.07 |
$6,426.90 |
8.0× |
| CT abdomen and pelvis with contrast (74177) |
$2,442.96 |
$8,143.20 |
6.9× |
| Ultrasound, abdomen complete (76700) |
$714.69 |
$2,382.30 |
6.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$663.12 |
$2,210.40 |
6.2× |
| Ultrasound, transvaginal (76830) |
$587.52 |
$1,958.40 |
5.5× |
| Mammography, one breast (diagnostic) (77065) |
$267.84 |
$892.80 |
3.1× |
| Mammography, both breasts (diagnostic) (77066) |
$318.46 |
$1,061.55 |
2.9× |
| Mammography, screening (bilateral) (77067) |
$280.98 |
$936.60 |
3.1× |
| Basic metabolic panel (80048) |
$131.38 |
$437.95 |
15.5× |
| Comprehensive metabolic panel (80053) |
$146.77 |
$489.25 |
13.9× |
| Obstetric panel (80055) |
$124.20 |
$414 |
2.6× |
| Lipid panel (80061) |
$87.11 |
$290.38 |
6.5× |
| Renal function panel (80069) |
$86.92 |
$289.75 |
10.0× |
| Hepatic function panel (80076) |
$106.30 |
$354.35 |
13.0× |
| Urinalysis, non-automated, with microscopy (81000) |
$38.70 |
$129 |
9.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$38.70 |
$129 |
11.1× |
| PSA, total (84153) |
$100.89 |
$336.30 |
5.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$69.28 |
$230.92 |
4.1× |
| CBC with automated differential (85025) |
$61.81 |
$206.03 |
8.0× |
| CBC, automated (85027) |
$56.43 |
$188.10 |
8.7× |
| Prothrombin time (PT) (85610) |
$39.06 |
$130.20 |
9.1× |
| Partial thromboplastin time (PTT) (85730) |
$53.31 |
$177.70 |
8.9× |
| Left heart catheterization (93452) |
$5,253.60 |
$17,512 |
1.6× |
| Sleep study (attended polysomnography) (95810) |
$1,971.90 |
$6,573 |
2.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$75.81 |
$252.70 |
2.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$156.90 |
$523 |
1.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$199.50 |
$665 |
1.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$353.70 |
$1,179 |
2.6× |