| Colonoscopy with biopsy (45380) |
$1,516 |
$1,895 |
1.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,560 |
$1,950 |
1.9× |
| CT head/brain without contrast (70450) |
$533.60 |
$667 |
5.5× |
| MRI brain without contrast (70551) |
$613.60 |
$767 |
2.8× |
| MRI brain with contrast (70552) |
$645.60 |
$807 |
2.0× |
| MRI brain without and with contrast (70553) |
$677.60 |
$847 |
2.1× |
| X-ray lower spine, 4+ views (72110) |
$275.60 |
$344.50 |
2.9× |
| MRI lumbar spine without contrast (72148) |
$613.60 |
$767 |
2.8× |
| CT pelvis with contrast (72193) |
$565.60 |
$707 |
3.5× |
| MRI lower-extremity joint without contrast (73721) |
$613.60 |
$767 |
2.8× |
| CT abdomen and pelvis with contrast (74177) |
$565.60 |
$707 |
1.8× |
| Ultrasound, abdomen complete (76700) |
$168.40 |
$210.50 |
1.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$147.20 |
$184 |
1.5× |
| Ultrasound, transvaginal (76830) |
$136.80 |
$171 |
1.4× |
| Mammography, one breast (diagnostic) (77065) |
$140 |
$175 |
1.6× |
| Mammography, both breasts (diagnostic) (77066) |
$160 |
$200 |
1.4× |
| Mammography, screening (bilateral) (77067) |
$179.20 |
$224 |
2.0× |
| Basic metabolic panel (80048) |
$24 |
$30 |
2.8× |
| Comprehensive metabolic panel (80053) |
$26.40 |
$33 |
2.5× |
| Lipid panel (80061) |
$48.85 |
$61.06 |
3.6× |
| Renal function panel (80069) |
$24 |
$30 |
2.8× |
| Hepatic function panel (80076) |
$36.80 |
$46 |
4.5× |
| Urinalysis, non-automated, with microscopy (81000) |
$12.32 |
$15.40 |
3.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$8.80 |
$11 |
2.5× |
| PSA, total (84153) |
$105.60 |
$132 |
5.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$49.60 |
$62 |
3.0× |
| CBC with automated differential (85025) |
$47.60 |
$59.50 |
6.1× |
| CBC, automated (85027) |
$16 |
$20 |
2.5× |
| Prothrombin time (PT) (85610) |
$17.85 |
$22.31 |
4.2× |
| Partial thromboplastin time (PTT) (85730) |
$25.70 |
$32.13 |
4.3× |
| Psychotherapy, 30 minutes (90832) |
$94.40 |
$118 |
0.6× |
| Psychotherapy, 45 minutes (90834) |
$112 |
$140 |
0.7× |
| Psychotherapy, 60 minutes (90837) |
$169.60 |
$212 |
1.0× |
| Electrocardiogram (ECG), complete (93000) |
$16 |
$20 |
0.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$80 |
$100 |
2.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$108.80 |
$136 |
0.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$166.40 |
$208 |
1.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$220.40 |
$275.50 |
1.8× |
| Office consultation (low complexity, ~30 min) (99243) |
$88 |
$110 |
0.7× |
| Preventive visit, new patient (age 18–39) (99385) |
$188 |
$235 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$236 |
$295 |
— |