| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,420 |
$1,420 |
1.7× |
| Colonoscopy with biopsy (45380) |
$1,231 |
$1,231 |
1.1× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,781 |
$1,781 |
2.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$989 |
$989 |
1.2× |
| CT head/brain without contrast (70450) |
$1,714 |
$1,714 |
18.2× |
| MRI brain without contrast (70551) |
$1,738 |
$1,738 |
8.1× |
| MRI brain with contrast (70552) |
$1,878 |
$1,878 |
6.0× |
| MRI brain without and with contrast (70553) |
$2,894 |
$2,894 |
9.2× |
| X-ray lower spine, 4+ views (72110) |
$290 |
$290 |
3.1× |
| MRI lumbar spine without contrast (72148) |
$1,697 |
$1,697 |
7.9× |
| CT pelvis with contrast (72193) |
$1,084 |
$1,084 |
6.8× |
| MRI lower-extremity joint without contrast (73721) |
$1,697 |
$1,697 |
7.9× |
| CT abdomen and pelvis with contrast (74177) |
$2,169 |
$2,169 |
6.9× |
| Ultrasound, abdomen complete (76700) |
$470 |
$470 |
5.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$509 |
$509 |
5.4× |
| Ultrasound, transvaginal (76830) |
$293 |
$293 |
3.1× |
| Mammography, one breast (diagnostic) (77065) |
$462 |
$462 |
5.4× |
| Mammography, both breasts (diagnostic) (77066) |
$493 |
$493 |
4.5× |
| Mammography, screening (bilateral) (77067) |
$431 |
$431 |
4.7× |
| Basic metabolic panel (80048) |
$186 |
$186 |
22.0× |
| Comprehensive metabolic panel (80053) |
$270 |
$270 |
25.6× |
| Lipid panel (80061) |
$168 |
$168 |
12.5× |
| Renal function panel (80069) |
$324.75 |
$324.75 |
37.4× |
| Hepatic function panel (80076) |
$188 |
$188 |
23.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$21 |
$21 |
6.0× |
| PSA, total (84153) |
$140 |
$140 |
7.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$209 |
$209 |
12.4× |
| CBC with automated differential (85025) |
$98 |
$98 |
12.6× |
| CBC, automated (85027) |
$58 |
$58 |
9.0× |
| Prothrombin time (PT) (85610) |
$78 |
$78 |
18.2× |
| Partial thromboplastin time (PTT) (85730) |
$98 |
$98 |
16.3× |
| Left heart catheterization (93452) |
$4,544 |
$4,544 |
1.6× |
| Sleep study (attended polysomnography) (95810) |
$3,049 |
$3,049 |
3.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$103 |
$103 |
3.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$171 |
$171 |
1.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$171 |
$171 |
1.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$171 |
$171 |
1.4× |
| Office consultation (low complexity, ~30 min) (99243) |
$171 |
$171 |
1.4× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$171 |
$171 |
1.4× |