| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,391.83 |
$3,976.67 |
1.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,034.20 |
$5,812 |
2.3× |
| Diagnostic colonoscopy (45378) |
$2,096.50 |
$5,990 |
2.3× |
| Colonoscopy with biopsy (45380) |
$1,813.70 |
$5,182 |
1.6× |
| Colonoscopy with lesion removal (45385) |
$1,652.35 |
$4,721 |
1.4× |
| Laparoscopic gallbladder removal (47562) |
$4,164.65 |
$11,899 |
0.7× |
| Inguinal hernia repair (age 5+) (49505) |
$4,375 |
$12,500 |
1.3× |
| CT head/brain without contrast (70450) |
$149.10 |
$426 |
1.5× |
| MRI brain without contrast (70551) |
$149.10 |
$426 |
0.6× |
| MRI brain with contrast (70552) |
$167.65 |
$479 |
0.5× |
| MRI brain without and with contrast (70553) |
$167.65 |
$479 |
0.5× |
| X-ray lower spine, 4+ views (72110) |
$126.18 |
$360.50 |
1.2× |
| MRI lumbar spine without contrast (72148) |
$149.10 |
$426 |
0.6× |
| CT pelvis with contrast (72193) |
$149.10 |
$426 |
0.9× |
| MRI lower-extremity joint without contrast (73721) |
$1,136.80 |
$3,248 |
4.9× |
| CT abdomen and pelvis with contrast (74177) |
$295.75 |
$845 |
0.9× |
| Ultrasound, abdomen complete (76700) |
$81.02 |
$231.50 |
0.8× |
| Ultrasound, transvaginal (76830) |
$90.65 |
$259 |
0.9× |
| Mammography, one breast (diagnostic) (77065) |
$107.10 |
$306 |
1.2× |
| Mammography, both breasts (diagnostic) (77066) |
$73.85 |
$211 |
0.7× |
| Mammography, screening (bilateral) (77067) |
$108.50 |
$310 |
1.2× |
| Basic metabolic panel (80048) |
$6.65 |
$19 |
0.8× |
| Comprehensive metabolic panel (80053) |
$9.10 |
$26 |
0.9× |
| Obstetric panel (80055) |
$245.35 |
$701 |
5.1× |
| Lipid panel (80061) |
$6.65 |
$19 |
0.5× |
| Renal function panel (80069) |
$137.55 |
$393 |
15.8× |
| Hepatic function panel (80076) |
$8.05 |
$23 |
1.0× |
| PSA, total (84153) |
$57.75 |
$165 |
3.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$8.05 |
$23 |
0.5× |
| CBC with automated differential (85025) |
$21 |
$60 |
2.7× |
| CBC, automated (85027) |
$17.85 |
$51 |
2.8× |
| Prothrombin time (PT) (85610) |
$5.78 |
$16.50 |
1.3× |
| Partial thromboplastin time (PTT) (85730) |
$5.78 |
$16.50 |
1.0× |
| Electrocardiogram (ECG), complete (93000) |
$135.45 |
$387 |
2.4× |
| Sleep study (attended polysomnography) (95810) |
$1,112.30 |
$3,178 |
1.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$56.35 |
$161 |
1.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$76.65 |
$219 |
0.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$116.90 |
$334 |
0.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$144.90 |
$414 |
1.1× |
| Preventive visit, new patient (age 18–39) (99385) |
$78.40 |
$224 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$92.75 |
$265 |
— |