| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,579.40 |
$4,299 |
2.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,579.40 |
$4,299 |
2.9× |
| Diagnostic colonoscopy (45378) |
$3,544.80 |
$5,908 |
3.9× |
| Colonoscopy with biopsy (45380) |
$3,814.20 |
$6,357 |
3.2× |
| Colonoscopy with lesion removal (45385) |
$2,998.20 |
$4,997 |
2.5× |
| Colonoscopy with endoscopic ultrasound (45391) |
$2,361.60 |
$3,936 |
2.0× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,961 |
$4,935 |
3.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$3,766.50 |
$6,277.50 |
4.3× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,667.25 |
$2,778.75 |
3.1× |
| CT head/brain without contrast (70450) |
$1,282.20 |
$2,137 |
12.4× |
| MRI brain without contrast (70551) |
$2,753.40 |
$4,589 |
11.7× |
| MRI brain with contrast (70552) |
$4,310.28 |
$7,183.80 |
12.5× |
| MRI brain without and with contrast (70553) |
$3,877.20 |
$6,462 |
11.2× |
| X-ray lower spine, 4+ views (72110) |
$570 |
$950 |
5.5× |
| MRI lumbar spine without contrast (72148) |
$1,371 |
$2,285 |
5.8× |
| CT pelvis with contrast (72193) |
$634.62 |
$1,057.70 |
3.7× |
| MRI lower-extremity joint without contrast (73721) |
$2,570.62 |
$4,284.38 |
10.9× |
| CT abdomen and pelvis with contrast (74177) |
$1,879.20 |
$3,132 |
5.5× |
| Ultrasound, abdomen complete (76700) |
$772.20 |
$1,287 |
7.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$924.60 |
$1,541 |
9.0× |
| Ultrasound, transvaginal (76830) |
$1,303.38 |
$2,172.30 |
12.6× |
| Mammography, one breast (diagnostic) (77065) |
$309.66 |
$516.10 |
3.6× |
| Mammography, both breasts (diagnostic) (77066) |
$529.62 |
$882.70 |
4.8× |
| Mammography, screening (bilateral) (77067) |
$423.54 |
$705.90 |
4.6× |
| Basic metabolic panel (80048) |
$116.40 |
$194 |
13.8× |
| Comprehensive metabolic panel (80053) |
$136.80 |
$228 |
13.0× |
| Lipid panel (80061) |
$83.40 |
$139 |
6.2× |
| Renal function panel (80069) |
$87 |
$145 |
10.0× |
| Hepatic function panel (80076) |
$161.40 |
$269 |
19.8× |
| Urinalysis, non-automated, with microscopy (81000) |
$27 |
$45 |
6.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$23.40 |
$39 |
6.7× |
| PSA, total (84153) |
$183.60 |
$306 |
10.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$169.80 |
$283 |
10.1× |
| CBC with automated differential (85025) |
$94.80 |
$158 |
12.2× |
| CBC, automated (85027) |
$66 |
$110 |
10.2× |
| Prothrombin time (PT) (85610) |
$42 |
$70 |
9.8× |
| Partial thromboplastin time (PTT) (85730) |
$163.20 |
$272 |
27.2× |
| Sleep study (attended polysomnography) (95810) |
$3,019.80 |
$5,033 |
3.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$90.60 |
$151 |
3.1× |