| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,583.40 |
$2,262 |
1.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,057.30 |
$2,939 |
2.0× |
| Diagnostic colonoscopy (45378) |
$1,625.40 |
$2,322 |
1.6× |
| Inguinal hernia repair (age 5+) (49505) |
$8,385.30 |
$11,979 |
2.1× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,607.90 |
$2,297 |
1.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,083.90 |
$2,977 |
2.1× |
| CT head/brain without contrast (70450) |
$376.60 |
$538 |
3.2× |
| MRI brain without contrast (70551) |
$1,505 |
$2,150 |
5.7× |
| MRI brain with contrast (70552) |
$2,113.30 |
$3,019 |
5.4× |
| MRI brain without and with contrast (70553) |
$2,513.70 |
$3,591 |
6.5× |
| X-ray lower spine, 4+ views (72110) |
$104.30 |
$149 |
0.9× |
| MRI lumbar spine without contrast (72148) |
$1,246 |
$1,780 |
4.7× |
| CT pelvis with contrast (72193) |
$734.30 |
$1,049 |
3.8× |
| MRI lower-extremity joint without contrast (73721) |
$1,246 |
$1,780 |
4.7× |
| CT abdomen and pelvis with contrast (74177) |
$1,150.80 |
$1,644 |
3.0× |
| Ultrasound, abdomen complete (76700) |
$205.10 |
$293 |
1.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$205.10 |
$293 |
1.8× |
| Ultrasound, transvaginal (76830) |
$205.10 |
$293 |
1.8× |
| Mammography, both breasts (diagnostic) (77066) |
$160.30 |
$229 |
1.4× |
| Mammography, screening (bilateral) (77067) |
$325.50 |
$465 |
3.6× |
| Basic metabolic panel (80048) |
$20.30 |
$29 |
2.4× |
| Comprehensive metabolic panel (80053) |
$27.30 |
$39 |
2.6× |
| Lipid panel (80061) |
$42.70 |
$61 |
3.2× |
| Renal function panel (80069) |
$20.30 |
$29 |
2.3× |
| Hepatic function panel (80076) |
$20.30 |
$29 |
2.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$12.60 |
$18 |
3.6× |
| PSA, total (84153) |
$105 |
$150 |
5.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$95.20 |
$136 |
5.7× |
| CBC with automated differential (85025) |
$35.70 |
$51 |
4.6× |
| CBC, automated (85027) |
$29.40 |
$42 |
4.5× |
| Prothrombin time (PT) (85610) |
$18.20 |
$26 |
4.2× |
| Partial thromboplastin time (PTT) (85730) |
$26.60 |
$38 |
4.4× |
| Psychotherapy, 30 minutes (90832) |
$109.55 |
$156.50 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$164.15 |
$234.50 |
0.8× |
| Psychotherapy, 60 minutes (90837) |
$218.05 |
$311.50 |
1.1× |
| Family psychotherapy, without patient (50 min) (90846) |
$307.30 |
$439 |
1.6× |
| Family psychotherapy, with patient (50 min) (90847) |
$258.30 |
$369 |
1.3× |
| Group psychotherapy (90853) |
$258.30 |
$369 |
2.3× |
| Left heart catheterization (93452) |
$6,090.70 |
$8,701 |
1.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$49 |
$70 |
1.7× |