| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,610 |
$2,300 |
1.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,610 |
$2,300 |
1.6× |
| Diagnostic colonoscopy (45378) |
$1,621.20 |
$2,316 |
1.6× |
| Inguinal hernia repair (age 5+) (49505) |
$8,788.50 |
$12,555 |
2.2× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,903.30 |
$2,719 |
1.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,548.40 |
$2,212 |
1.6× |
| CT head/brain without contrast (70450) |
$347.20 |
$496 |
3.0× |
| MRI brain without contrast (70551) |
$730.10 |
$1,043 |
2.7× |
| MRI brain with contrast (70552) |
$1,054.90 |
$1,507 |
2.7× |
| MRI brain without and with contrast (70553) |
$1,219.40 |
$1,742 |
3.1× |
| X-ray lower spine, 4+ views (72110) |
$256.20 |
$366 |
2.2× |
| MRI lumbar spine without contrast (72148) |
$758.10 |
$1,083 |
2.9× |
| CT pelvis with contrast (72193) |
$609.70 |
$871 |
3.1× |
| MRI lower-extremity joint without contrast (73721) |
$758.10 |
$1,083 |
2.9× |
| CT abdomen and pelvis with contrast (74177) |
$954.80 |
$1,364 |
2.5× |
| Ultrasound, abdomen complete (76700) |
$256.20 |
$366 |
2.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$256.20 |
$366 |
2.2× |
| Ultrasound, transvaginal (76830) |
$256.20 |
$366 |
2.2× |
| Mammography, one breast (diagnostic) (77065) |
$593.60 |
$848 |
6.9× |
| Mammography, both breasts (diagnostic) (77066) |
$917 |
$1,310 |
8.3× |
| Basic metabolic panel (80048) |
$108.50 |
$155 |
12.8× |
| Comprehensive metabolic panel (80053) |
$183.40 |
$262 |
17.4× |
| Obstetric panel (80055) |
$53.20 |
$76 |
1.1× |
| Lipid panel (80061) |
$77.70 |
$111 |
5.8× |
| Renal function panel (80069) |
$129.50 |
$185 |
14.9× |
| Hepatic function panel (80076) |
$91.70 |
$131 |
11.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$19.60 |
$28 |
5.6× |
| PSA, total (84153) |
$118.30 |
$169 |
6.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$147.70 |
$211 |
8.8× |
| CBC with automated differential (85025) |
$81.90 |
$117 |
10.5× |
| CBC, automated (85027) |
$70.70 |
$101 |
10.9× |
| Prothrombin time (PT) (85610) |
$42.35 |
$60.50 |
9.9× |
| Partial thromboplastin time (PTT) (85730) |
$87.50 |
$125 |
14.6× |
| Psychotherapy, 30 minutes (90832) |
$100.80 |
$144 |
0.5× |
| Psychotherapy, 45 minutes (90834) |
$150.85 |
$215.50 |
0.8× |
| Psychotherapy, 60 minutes (90837) |
$199.85 |
$285.50 |
1.0× |
| Family psychotherapy, without patient (50 min) (90846) |
$316.05 |
$451.50 |
1.6× |
| Family psychotherapy, with patient (50 min) (90847) |
$206.50 |
$295 |
1.0× |
| Group psychotherapy (90853) |
$216.30 |
$309 |
1.9× |
| Left heart catheterization (93452) |
$6,557.60 |
$9,368 |
1.8× |
| Sleep study (attended polysomnography) (95810) |
$1,698.20 |
$2,426 |
1.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$84 |
$120 |
2.9× |