| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,189.10 |
$3,963.66 |
1.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,071.13 |
$3,570.43 |
1.3× |
| Colonoscopy with biopsy (45380) |
$1,072.91 |
$3,576.36 |
1.0× |
| Colonoscopy with lesion removal (45385) |
$1,179.01 |
$3,930.04 |
1.1× |
| Colonoscopy with endoscopic ultrasound (45391) |
$1,086.60 |
$3,622 |
1.0× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,278.90 |
$4,263 |
1.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,285.01 |
$4,283.37 |
1.7× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$326.40 |
$1,088 |
0.7× |
| CT head/brain without contrast (70450) |
$834.82 |
$2,782.72 |
9.1× |
| MRI brain without contrast (70551) |
$1,035.53 |
$3,451.77 |
5.0× |
| MRI brain with contrast (70552) |
$1,380.28 |
$4,600.94 |
4.5× |
| MRI brain without and with contrast (70553) |
$1,698.07 |
$5,660.22 |
5.6× |
| X-ray lower spine, 4+ views (72110) |
$342.72 |
$1,142.39 |
3.7× |
| MRI lumbar spine without contrast (72148) |
$1,318.96 |
$4,396.55 |
6.3× |
| CT pelvis with contrast (72193) |
$1,026.83 |
$3,422.78 |
6.7× |
| MRI lower-extremity joint without contrast (73721) |
$1,168.60 |
$3,895.32 |
5.6× |
| CT abdomen and pelvis with contrast (74177) |
$1,747.41 |
$5,824.71 |
5.7× |
| Ultrasound, abdomen complete (76700) |
$448.05 |
$1,493.50 |
4.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$418.28 |
$1,394.28 |
4.6× |
| Ultrasound, transvaginal (76830) |
$376.05 |
$1,253.49 |
4.1× |
| Mammography, one breast (diagnostic) (77065) |
$179.35 |
$597.84 |
2.1× |
| Mammography, both breasts (diagnostic) (77066) |
$245.54 |
$818.46 |
2.2× |
| Mammography, screening (bilateral) (77067) |
$216.64 |
$722.12 |
2.4× |
| 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) |
$36.76 |
$122.55 |
10.6× |
| 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) |
$51.87 |
$172.90 |
8.6× |
| Left heart catheterization (93452) |
$4,050.52 |
$13,501.75 |
1.4× |
| Sleep study (attended polysomnography) (95810) |
$1,468.34 |
$4,894.44 |
2.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$58.45 |
$194.83 |
2.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$120.97 |
$403.23 |
1.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$153.82 |
$512.72 |
1.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$378.90 |
$1,263 |
3.2× |