| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,405.56 |
$3,604 |
1.5× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,740.18 |
$4,462 |
1.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$4,175.73 |
$10,707 |
4.6× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$721.89 |
$1,851 |
1.3× |
| CT head/brain without contrast (70450) |
$763.04 |
$1,956.50 |
7.2× |
| MRI brain without contrast (70551) |
$1,014.20 |
$2,600.50 |
4.2× |
| MRI brain with contrast (70552) |
$1,201.59 |
$3,081 |
3.4× |
| MRI brain without and with contrast (70553) |
$1,406.14 |
$3,605.50 |
4.0× |
| X-ray lower spine, 4+ views (72110) |
$265.59 |
$681 |
2.5× |
| MRI lumbar spine without contrast (72148) |
$989.24 |
$2,536.50 |
4.1× |
| CT pelvis with contrast (72193) |
$869.50 |
$2,229.50 |
4.9× |
| MRI lower-extremity joint without contrast (73721) |
$875.94 |
$2,246 |
3.6× |
| CT abdomen and pelvis with contrast (74177) |
$1,471.28 |
$3,772.50 |
4.2× |
| Ultrasound, abdomen complete (76700) |
$414.76 |
$1,063.50 |
3.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$334.82 |
$858.50 |
3.2× |
| Ultrasound, transvaginal (76830) |
$221.91 |
$569 |
2.1× |
| Mammography, one breast (diagnostic) (77065) |
$209.62 |
$537.50 |
2.4× |
| Mammography, both breasts (diagnostic) (77066) |
$229.12 |
$587.50 |
2.1× |
| Mammography, screening (bilateral) (77067) |
$195 |
$500 |
2.1× |
| Basic metabolic panel (80048) |
$49.72 |
$127.50 |
5.9× |
| Comprehensive metabolic panel (80053) |
$70.32 |
$180.32 |
6.7× |
| Obstetric panel (80055) |
$86.46 |
$221.68 |
1.8× |
| Lipid panel (80061) |
$27.87 |
$71.45 |
2.1× |
| Renal function panel (80069) |
$83.07 |
$213 |
9.6× |
| Hepatic function panel (80076) |
$54.40 |
$139.50 |
6.7× |
| Urinalysis, non-automated, with microscopy (81000) |
$8.58 |
$22 |
2.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$46.11 |
$118.22 |
13.3× |
| PSA, total (84153) |
$37.66 |
$96.56 |
2.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$64.30 |
$164.88 |
3.8× |
| CBC with automated differential (85025) |
$40.82 |
$104.66 |
5.3× |
| CBC, automated (85027) |
$30.24 |
$77.52 |
4.7× |
| Prothrombin time (PT) (85610) |
$38.80 |
$99.50 |
9.0× |
| Partial thromboplastin time (PTT) (85730) |
$12.48 |
$32 |
2.1× |
| Psychotherapy, 30 minutes (90832) |
$308.10 |
$790 |
1.7× |
| Psychotherapy, 45 minutes (90834) |
$389.22 |
$998 |
2.2× |
| Psychotherapy, 60 minutes (90837) |
$759.33 |
$1,947 |
4.2× |
| Family psychotherapy, without patient (50 min) (90846) |
$184.86 |
$474 |
1.0× |
| Family psychotherapy, with patient (50 min) (90847) |
$204.75 |
$525 |
1.1× |
| Group psychotherapy (90853) |
$366.99 |
$941 |
3.6× |
| Left heart catheterization (93452) |
$7,729.41 |
$19,819 |
2.3× |
| Sleep study (attended polysomnography) (95810) |
$1,768.06 |
$4,533.50 |
2.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$88.14 |
$226 |
3.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$184.86 |
$474 |
1.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$240.24 |
$616 |
1.8× |