| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,287.80 |
$3,813 |
2.4× |
| Inguinal hernia repair (age 5+) (49505) |
$8,496.60 |
$14,161 |
2.3× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$973.80 |
$1,623 |
1.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,733.40 |
$2,889 |
1.9× |
| CT head/brain without contrast (70450) |
$2,655 |
$4,425 |
24.3× |
| MRI brain without contrast (70551) |
$2,671.80 |
$4,453 |
10.7× |
| MRI brain with contrast (70552) |
$3,687 |
$6,145 |
10.1× |
| MRI brain without and with contrast (70553) |
$4,354.80 |
$7,258 |
12.0× |
| X-ray lower spine, 4+ views (72110) |
$882.60 |
$1,471 |
8.1× |
| MRI lumbar spine without contrast (72148) |
$2,511 |
$4,185 |
10.1× |
| CT pelvis with contrast (72193) |
$4,722 |
$7,870 |
25.8× |
| MRI lower-extremity joint without contrast (73721) |
$3,653.40 |
$6,089 |
14.7× |
| CT abdomen and pelvis with contrast (74177) |
$4,531.80 |
$7,553 |
12.4× |
| Ultrasound, abdomen complete (76700) |
$1,218 |
$2,030 |
11.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$643.80 |
$1,073 |
5.9× |
| Ultrasound, transvaginal (76830) |
$753.60 |
$1,256 |
6.9× |
| Mammography, one breast (diagnostic) (77065) |
$196.80 |
$328 |
2.3× |
| Mammography, both breasts (diagnostic) (77066) |
$295.20 |
$492 |
2.7× |
| Mammography, screening (bilateral) (77067) |
$273 |
$455 |
3.0× |
| Basic metabolic panel (80048) |
$154.20 |
$257 |
18.2× |
| Comprehensive metabolic panel (80053) |
$193.80 |
$323 |
18.4× |
| Obstetric panel (80055) |
$345.30 |
$575.50 |
7.2× |
| Lipid panel (80061) |
$34.80 |
$58 |
2.6× |
| Renal function panel (80069) |
$171.60 |
$286 |
19.8× |
| Hepatic function panel (80076) |
$148.20 |
$247 |
18.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$33 |
$55 |
9.5× |
| PSA, total (84153) |
$38.40 |
$64 |
2.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$48.60 |
$81 |
2.9× |
| CBC with automated differential (85025) |
$70.50 |
$117.50 |
9.1× |
| CBC, automated (85027) |
$49.80 |
$83 |
7.7× |
| Prothrombin time (PT) (85610) |
$50.40 |
$84 |
11.7× |
| Partial thromboplastin time (PTT) (85730) |
$64.20 |
$107 |
10.7× |
| Left heart catheterization (93452) |
$11,284.20 |
$18,807 |
3.3× |
| Sleep study (attended polysomnography) (95810) |
$2,612.10 |
$4,353.50 |
2.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$74.70 |
$124.50 |
2.6× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$45.60 |
$76 |
0.3× |