| Colonoscopy with endoscopic ultrasound (45391) |
$1,647.60 |
$2,746 |
1.4× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,210.80 |
$2,018 |
1.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,774.40 |
$4,624 |
3.3× |
| CT head/brain without contrast (70450) |
$1,911.60 |
$3,186 |
19.1× |
| MRI brain without contrast (70551) |
$2,797.80 |
$4,663 |
12.3× |
| MRI brain with contrast (70552) |
$3,581.40 |
$5,969 |
10.7× |
| MRI brain without and with contrast (70553) |
$4,224.60 |
$7,041 |
12.7× |
| X-ray lower spine, 4+ views (72110) |
$747 |
$1,245 |
7.5× |
| MRI lumbar spine without contrast (72148) |
$2,973 |
$4,955 |
13.0× |
| CT pelvis with contrast (72193) |
$1,743 |
$2,905 |
10.4× |
| MRI lower-extremity joint without contrast (73721) |
$2,940.60 |
$4,901 |
12.9× |
| CT abdomen and pelvis with contrast (74177) |
$4,832.40 |
$8,054 |
14.5× |
| Ultrasound, abdomen complete (76700) |
$1,051.80 |
$1,753 |
10.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$609.60 |
$1,016 |
6.1× |
| Ultrasound, transvaginal (76830) |
$628.80 |
$1,048 |
6.3× |
| Mammography, one breast (diagnostic) (77065) |
$343.80 |
$573 |
4.0× |
| Mammography, both breasts (diagnostic) (77066) |
$414 |
$690 |
3.7× |
| Mammography, screening (bilateral) (77067) |
$306 |
$510 |
3.4× |
| Basic metabolic panel (80048) |
$169.80 |
$283 |
20.1× |
| Comprehensive metabolic panel (80053) |
$287.40 |
$479 |
27.2× |
| Lipid panel (80061) |
$212.40 |
$354 |
15.9× |
| Renal function panel (80069) |
$184.20 |
$307 |
21.2× |
| Hepatic function panel (80076) |
$137.40 |
$229 |
16.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$37.20 |
$62 |
10.7× |
| PSA, total (84153) |
$73.80 |
$123 |
4.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$121.20 |
$202 |
7.2× |
| CBC with automated differential (85025) |
$154.20 |
$257 |
19.8× |
| CBC, automated (85027) |
$77.40 |
$129 |
12.0× |
| Prothrombin time (PT) (85610) |
$71.40 |
$119 |
16.6× |
| Partial thromboplastin time (PTT) (85730) |
$108.60 |
$181 |
18.1× |
| Left heart catheterization (93452) |
$6,352.80 |
$10,588 |
2.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$91.20 |
$152 |
3.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$386.40 |
$644 |
3.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$386.40 |
$644 |
3.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$386.40 |
$644 |
3.0× |