| Upper GI endoscopy (EGD), diagnostic (43235) |
$392 |
$3,920 |
0.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$538.90 |
$5,389 |
0.6× |
| Diagnostic colonoscopy (45378) |
$592.20 |
$5,922 |
0.6× |
| Colonoscopy with biopsy (45380) |
$651.50 |
$6,515 |
0.5× |
| Colonoscopy with lesion removal (45385) |
$520.90 |
$5,209 |
0.4× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$213.20 |
$2,132 |
0.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$306.80 |
$3,068 |
0.3× |
| CT head/brain without contrast (70450) |
$562.10 |
$5,621 |
5.4× |
| MRI brain without contrast (70551) |
$752.60 |
$7,526 |
3.1× |
| MRI brain with contrast (70552) |
$895.60 |
$8,956 |
2.6× |
| MRI brain without and with contrast (70553) |
$1,018.10 |
$10,181 |
2.9× |
| X-ray lower spine, 4+ views (72110) |
$258.10 |
$2,581 |
2.5× |
| MRI lumbar spine without contrast (72148) |
$703.60 |
$7,036 |
2.9× |
| CT pelvis with contrast (72193) |
$755.90 |
$7,559 |
4.3× |
| MRI lower-extremity joint without contrast (73721) |
$781.80 |
$7,818 |
3.3× |
| CT abdomen and pelvis with contrast (74177) |
$1,134 |
$11,340 |
3.2× |
| Ultrasound, abdomen complete (76700) |
$296.90 |
$2,969 |
2.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$241.30 |
$2,413 |
2.3× |
| Ultrasound, transvaginal (76830) |
$171.60 |
$1,716 |
1.6× |
| Mammography, one breast (diagnostic) (77065) |
$94.10 |
$941 |
1.1× |
| Mammography, both breasts (diagnostic) (77066) |
$103.50 |
$1,035 |
0.9× |
| Mammography, screening (bilateral) (77067) |
$69.50 |
$695 |
0.8× |
| Basic metabolic panel (80048) |
$48.50 |
$485 |
5.7× |
| Comprehensive metabolic panel (80053) |
$60.70 |
$607 |
5.7× |
| Lipid panel (80061) |
$77 |
$770 |
5.8× |
| Renal function panel (80069) |
$135.30 |
$1,353 |
15.6× |
| Hepatic function panel (80076) |
$47 |
$470 |
5.8× |
| Urinalysis, non-automated, with microscopy (81000) |
$6.70 |
$67 |
1.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$4.20 |
$42 |
1.2× |
| PSA, total (84153) |
$90.70 |
$907 |
4.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$82.90 |
$829 |
4.9× |
| CBC with automated differential (85025) |
$38.40 |
$384 |
4.9× |
| CBC, automated (85027) |
$32 |
$320 |
4.9× |
| Prothrombin time (PT) (85610) |
$19.50 |
$195 |
4.5× |
| Partial thromboplastin time (PTT) (85730) |
$29.70 |
$297 |
4.9× |
| Sleep study (attended polysomnography) (95810) |
$606.60 |
$6,066 |
0.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$34.25 |
$342.50 |
1.2× |