| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,381.05 |
$3,069 |
1.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,551.15 |
$3,447 |
1.6× |
| Diagnostic colonoscopy (45378) |
$1,667.70 |
$3,706 |
1.7× |
| Colonoscopy with biopsy (45380) |
$1,813.95 |
$4,031 |
1.4× |
| Colonoscopy with lesion removal (45385) |
$2,285.55 |
$5,079 |
1.8× |
| Colonoscopy with endoscopic ultrasound (45391) |
$2,285.55 |
$5,079 |
1.8× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$802.35 |
$1,783 |
0.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,347.30 |
$2,994 |
1.4× |
| CT head/brain without contrast (70450) |
$1,517.85 |
$3,373 |
13.8× |
| MRI brain without contrast (70551) |
$1,912.05 |
$4,249 |
7.6× |
| MRI brain with contrast (70552) |
$1,941.30 |
$4,314 |
5.3× |
| MRI brain without and with contrast (70553) |
$2,077.65 |
$4,617 |
5.6× |
| X-ray lower spine, 4+ views (72110) |
$310.50 |
$690 |
2.8× |
| MRI lumbar spine without contrast (72148) |
$1,566.90 |
$3,482 |
6.2× |
| CT pelvis with contrast (72193) |
$1,684.35 |
$3,743 |
9.1× |
| MRI lower-extremity joint without contrast (73721) |
$1,838.25 |
$4,085 |
7.3× |
| CT abdomen and pelvis with contrast (74177) |
$3,975.30 |
$8,834 |
10.8× |
| Ultrasound, abdomen complete (76700) |
$542.25 |
$1,205 |
4.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$661.50 |
$1,470 |
6.0× |
| Ultrasound, transvaginal (76830) |
$291.60 |
$648 |
2.6× |
| Mammography, one breast (diagnostic) (77065) |
$291.60 |
$648 |
3.4× |
| Mammography, both breasts (diagnostic) (77066) |
$333.45 |
$741 |
3.0× |
| Mammography, screening (bilateral) (77067) |
$222.75 |
$495 |
2.4× |
| Basic metabolic panel (80048) |
$143.10 |
$318 |
16.9× |
| Comprehensive metabolic panel (80053) |
$178.20 |
$396 |
16.9× |
| Obstetric panel (80055) |
$94.50 |
$210 |
2.0× |
| Lipid panel (80061) |
$134.24 |
$298.30 |
10.0× |
| Renal function panel (80069) |
$112.05 |
$249 |
12.9× |
| Hepatic function panel (80076) |
$111.15 |
$247 |
13.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$53.55 |
$119 |
15.4× |
| PSA, total (84153) |
$100.60 |
$223.55 |
5.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$124.65 |
$277 |
7.4× |
| CBC with automated differential (85025) |
$97.65 |
$217 |
12.6× |
| CBC, automated (85027) |
$86.85 |
$193 |
13.4× |
| Prothrombin time (PT) (85610) |
$72 |
$160 |
16.8× |
| Partial thromboplastin time (PTT) (85730) |
$67.67 |
$150.37 |
11.3× |
| Family psychotherapy, without patient (50 min) (90846) |
$287.10 |
$638 |
1.5× |
| Family psychotherapy, with patient (50 min) (90847) |
$299.25 |
$665 |
1.6× |
| Left heart catheterization (93452) |
$7,140.15 |
$15,867 |
2.1× |
| Sleep study (attended polysomnography) (95810) |
$2,980.35 |
$6,623 |
3.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$111.15 |
$247 |
3.8× |