| Upper GI endoscopy (EGD) with biopsy (43239) |
$738.27 |
$1,893 |
0.8× |
| Laparoscopic gallbladder removal (47562) |
$4,674.93 |
$11,987 |
0.8× |
| CT head/brain without contrast (70450) |
$1,168.83 |
$2,997 |
11.1× |
| MRI brain without contrast (70551) |
$1,524.51 |
$3,909 |
6.4× |
| MRI brain without and with contrast (70553) |
$2,543.19 |
$6,521 |
7.3× |
| X-ray lower spine, 4+ views (72110) |
$383.76 |
$984 |
3.7× |
| MRI lumbar spine without contrast (72148) |
$1,731.60 |
$4,440 |
7.2× |
| CT pelvis with contrast (72193) |
$1,238.64 |
$3,176 |
7.0× |
| MRI lower-extremity joint without contrast (73721) |
$1,714.44 |
$4,396 |
7.2× |
| CT abdomen and pelvis with contrast (74177) |
$2,208.18 |
$5,662 |
6.3× |
| Ultrasound, abdomen complete (76700) |
$608.79 |
$1,561 |
5.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$610.35 |
$1,565 |
5.8× |
| Ultrasound, transvaginal (76830) |
$446.94 |
$1,146 |
4.3× |
| Mammography, one breast (diagnostic) (77065) |
$305.37 |
$783 |
3.5× |
| Mammography, both breasts (diagnostic) (77066) |
$374.01 |
$959 |
3.4× |
| Mammography, screening (bilateral) (77067) |
$305.37 |
$783 |
3.3× |
| Basic metabolic panel (80048) |
$52.26 |
$134 |
6.2× |
| Comprehensive metabolic panel (80053) |
$92.04 |
$236 |
8.7× |
| Obstetric panel (80055) |
$209.43 |
$537 |
4.4× |
| Lipid panel (80061) |
$78.78 |
$202 |
5.9× |
| Renal function panel (80069) |
$62.01 |
$159 |
7.1× |
| Hepatic function panel (80076) |
$52.26 |
$134 |
6.4× |
| Urinalysis, non-automated, with microscopy (81000) |
$31.59 |
$81 |
7.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$19.11 |
$49 |
5.5× |
| PSA, total (84153) |
$17.94 |
$46 |
1.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$87.36 |
$224 |
5.2× |
| CBC with automated differential (85025) |
$44.46 |
$114 |
5.7× |
| CBC, automated (85027) |
$38.22 |
$98 |
5.9× |
| Prothrombin time (PT) (85610) |
$31.98 |
$82 |
7.5× |
| Partial thromboplastin time (PTT) (85730) |
$53.43 |
$137 |
8.9× |
| Psychotherapy, 30 minutes (90832) |
$130.26 |
$334 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$131.43 |
$337 |
0.7× |
| Electrocardiogram (ECG), complete (93000) |
$27.30 |
$70 |
0.5× |
| Sleep study (attended polysomnography) (95810) |
$2,720.64 |
$6,976 |
3.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$61.62 |
$158 |
2.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$76.05 |
$195 |
0.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$99.45 |
$255 |
0.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$193.83 |
$497 |
1.4× |