| Upper GI endoscopy (EGD), diagnostic (43235) |
$198.38 |
$1,983.80 |
0.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$265.68 |
$2,656.88 |
0.3× |
| Diagnostic colonoscopy (45378) |
$198.80 |
$1,988 |
0.2× |
| Colonoscopy with biopsy (45380) |
$261.45 |
$2,614.50 |
0.2× |
| Colonoscopy with lesion removal (45385) |
$265.18 |
$2,651.85 |
0.2× |
| Colonoscopy with endoscopic ultrasound (45391) |
$372.10 |
$3,721 |
0.3× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$224.30 |
$2,243 |
0.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$178.10 |
$1,781 |
0.2× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$189.20 |
$1,892 |
0.3× |
| CT head/brain without contrast (70450) |
$225.80 |
$2,258 |
2.2× |
| MRI brain without contrast (70551) |
$184.66 |
$1,846.60 |
0.8× |
| MRI brain with contrast (70552) |
$290.30 |
$2,903 |
0.8× |
| MRI brain without and with contrast (70553) |
$287.35 |
$2,873.50 |
0.8× |
| X-ray lower spine, 4+ views (72110) |
$112.10 |
$1,121 |
1.1× |
| MRI lumbar spine without contrast (72148) |
$240.38 |
$2,403.80 |
1.0× |
| CT pelvis with contrast (72193) |
$252.77 |
$2,527.70 |
1.4× |
| MRI lower-extremity joint without contrast (73721) |
$515.10 |
$5,151 |
2.1× |
| CT abdomen and pelvis with contrast (74177) |
$718.53 |
$7,185.28 |
2.1× |
| Ultrasound, abdomen complete (76700) |
$127.25 |
$1,272.50 |
1.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$71.26 |
$712.60 |
0.7× |
| Ultrasound, transvaginal (76830) |
$101.80 |
$1,018 |
1.0× |
| Mammography, one breast (diagnostic) (77065) |
$76.70 |
$767 |
0.9× |
| Mammography, both breasts (diagnostic) (77066) |
$82.70 |
$827 |
0.7× |
| Mammography, screening (bilateral) (77067) |
$69.70 |
$697 |
0.8× |
| Basic metabolic panel (80048) |
$11.50 |
$115 |
1.4× |
| Comprehensive metabolic panel (80053) |
$55.87 |
$558.75 |
5.3× |
| Obstetric panel (80055) |
$18.40 |
$184 |
0.4× |
| Lipid panel (80061) |
$26.78 |
$267.80 |
2.0× |
| Renal function panel (80069) |
$16.52 |
$165.20 |
1.9× |
| Hepatic function panel (80076) |
$16.80 |
$168 |
2.1× |
| Urinalysis, non-automated, without microscopy (81002) |
— |
$7 |
— |
| PSA, total (84153) |
$30.52 |
$305.20 |
1.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$51.74 |
$517.40 |
3.1× |
| CBC with automated differential (85025) |
$51.50 |
$515 |
6.6× |
| CBC, automated (85027) |
$14.50 |
$145 |
2.2× |
| Prothrombin time (PT) (85610) |
$6.30 |
$63 |
1.5× |
| Partial thromboplastin time (PTT) (85730) |
$4.90 |
$49 |
0.8× |
| Left heart catheterization (93452) |
$1,608 |
$16,080 |
0.5× |
| Sleep study (attended polysomnography) (95810) |
$646.50 |
$6,465 |
0.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$21.42 |
$214.20 |
0.7× |