| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,983.80 |
$2,834 |
2.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,046.10 |
$2,923 |
2.0× |
| Diagnostic colonoscopy (45378) |
$2,172.80 |
$3,104 |
2.1× |
| Inguinal hernia repair (age 5+) (49505) |
$7,964.60 |
$11,378 |
2.0× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,071.30 |
$2,959 |
2.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$3,542 |
$5,060 |
3.6× |
| CT head/brain without contrast (70450) |
$968.10 |
$1,383 |
8.3× |
| MRI brain without contrast (70551) |
$1,418.20 |
$2,026 |
5.3× |
| MRI brain with contrast (70552) |
$1,774.50 |
$2,535 |
4.6× |
| MRI brain without and with contrast (70553) |
$2,258.20 |
$3,226 |
5.8× |
| X-ray lower spine, 4+ views (72110) |
$512.40 |
$732 |
4.4× |
| MRI lumbar spine without contrast (72148) |
$2,823.10 |
$4,033 |
10.6× |
| CT pelvis with contrast (72193) |
$1,451.80 |
$2,074 |
7.4× |
| MRI lower-extremity joint without contrast (73721) |
$1,746.15 |
$2,494.50 |
6.6× |
| CT abdomen and pelvis with contrast (74177) |
$2,858.10 |
$4,083 |
7.4× |
| Ultrasound, abdomen complete (76700) |
$653.80 |
$934 |
5.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$672 |
$960 |
5.8× |
| Ultrasound, transvaginal (76830) |
$422.80 |
$604 |
3.6× |
| Mammography, one breast (diagnostic) (77065) |
$489.30 |
$699 |
5.7× |
| Mammography, both breasts (diagnostic) (77066) |
$545.30 |
$779 |
4.9× |
| Mammography, screening (bilateral) (77067) |
$382.55 |
$546.50 |
4.2× |
| Basic metabolic panel (80048) |
$82.60 |
$118 |
9.8× |
| Comprehensive metabolic panel (80053) |
$126.70 |
$181 |
12.0× |
| Obstetric panel (80055) |
$99.40 |
$142 |
2.1× |
| Lipid panel (80061) |
$80.85 |
$115.50 |
6.0× |
| Renal function panel (80069) |
$95.20 |
$136 |
11.0× |
| Hepatic function panel (80076) |
$58.80 |
$84 |
7.2× |
| Urinalysis, non-automated, with microscopy (81000) |
$26.60 |
$38 |
6.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$30.10 |
$43 |
8.6× |
| PSA, total (84153) |
$37.80 |
$54 |
2.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$28.70 |
$41 |
1.7× |
| CBC with automated differential (85025) |
$77.35 |
$110.50 |
10.0× |
| CBC, automated (85027) |
$93.80 |
$134 |
14.5× |
| Prothrombin time (PT) (85610) |
$22.75 |
$32.50 |
5.3× |
| Partial thromboplastin time (PTT) (85730) |
$21 |
$30 |
3.5× |
| Electrocardiogram (ECG), complete (93000) |
$84 |
$120 |
1.3× |
| Left heart catheterization (93452) |
$9,835 |
$14,050 |
2.7× |
| Sleep study (attended polysomnography) (95810) |
$3,409.70 |
$4,871 |
3.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$53.20 |
$76 |
1.8× |
| Office consultation (low complexity, ~30 min) (99243) |
$105.70 |
$151 |
0.7× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$105.70 |
$151 |
0.7× |