| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,631.24 |
$3,137 |
1.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,631.24 |
$3,137 |
1.6× |
| Diagnostic colonoscopy (45378) |
$1,642.16 |
$3,158 |
1.5× |
| Inguinal hernia repair (age 5+) (49505) |
$8,182.20 |
$15,735 |
2.0× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,968.72 |
$3,786 |
1.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,855.36 |
$3,568 |
1.8× |
| CT head/brain without contrast (70450) |
$807.04 |
$1,552 |
6.7× |
| MRI brain without contrast (70551) |
$812.76 |
$1,563 |
3.0× |
| MRI brain with contrast (70552) |
$837.72 |
$1,611 |
2.1× |
| MRI brain without and with contrast (70553) |
$1,512.16 |
$2,908 |
3.8× |
| X-ray lower spine, 4+ views (72110) |
$450.84 |
$867 |
3.7× |
| MRI lumbar spine without contrast (72148) |
$1,083.68 |
$2,084 |
3.9× |
| CT pelvis with contrast (72193) |
$1,698.32 |
$3,266 |
8.4× |
| MRI lower-extremity joint without contrast (73721) |
$1,083.68 |
$2,084 |
3.9× |
| CT abdomen and pelvis with contrast (74177) |
$1,322.36 |
$2,543 |
3.3× |
| Ultrasound, abdomen complete (76700) |
$543.40 |
$1,045 |
4.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$543.40 |
$1,045 |
4.5× |
| Ultrasound, transvaginal (76830) |
$543.40 |
$1,045 |
4.5× |
| Basic metabolic panel (80048) |
$71.76 |
$138 |
8.5× |
| Comprehensive metabolic panel (80053) |
$94.12 |
$181 |
8.9× |
| Lipid panel (80061) |
$131.56 |
$253 |
9.8× |
| Renal function panel (80069) |
$83.20 |
$160 |
9.6× |
| Hepatic function panel (80076) |
$65.52 |
$126 |
8.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$27.56 |
$53 |
7.9× |
| PSA, total (84153) |
$107.90 |
$207.50 |
5.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$177.32 |
$341 |
10.6× |
| CBC with automated differential (85025) |
$84.76 |
$163 |
10.9× |
| CBC, automated (85027) |
$34.32 |
$66 |
5.3× |
| Prothrombin time (PT) (85610) |
$50.96 |
$98 |
11.9× |
| Partial thromboplastin time (PTT) (85730) |
$23.92 |
$46 |
4.0× |
| Psychotherapy, 30 minutes (90832) |
$172.90 |
$332.50 |
0.8× |
| Psychotherapy, 45 minutes (90834) |
$310.18 |
$596.50 |
1.5× |
| Psychotherapy, 60 minutes (90837) |
$310.18 |
$596.50 |
1.5× |
| Group psychotherapy (90853) |
$177.32 |
$341 |
1.5× |
| Left heart catheterization (93452) |
$4,212 |
$8,100 |
1.1× |
| Sleep study (attended polysomnography) (95810) |
$2,051.92 |
$3,946 |
2.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$67.08 |
$129 |
2.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$178.88 |
$344 |
1.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$326.04 |
$627 |
2.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$342.16 |
$658 |
2.2× |