| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,331.90 |
$2,591 |
2.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,331.90 |
$2,591 |
2.5× |
| Diagnostic colonoscopy (45378) |
$2,350.80 |
$2,612 |
2.5× |
| Colonoscopy with biopsy (45380) |
$3,035.70 |
$3,373 |
2.5× |
| Colonoscopy with lesion removal (45385) |
$3,035.70 |
$3,373 |
2.5× |
| CT head/brain without contrast (70450) |
$1,444.50 |
$1,605 |
13.5× |
| MRI brain without contrast (70551) |
$2,115 |
$2,350 |
8.7× |
| MRI brain with contrast (70552) |
$1,253.25 |
$1,392.50 |
3.5× |
| MRI brain without and with contrast (70553) |
$2,949.30 |
$3,277 |
8.3× |
| X-ray lower spine, 4+ views (72110) |
$330.30 |
$367 |
3.1× |
| MRI lumbar spine without contrast (72148) |
$2,065.50 |
$2,295 |
8.5× |
| CT pelvis with contrast (72193) |
$1,745.10 |
$1,939 |
9.7× |
| MRI lower-extremity joint without contrast (73721) |
$1,786.05 |
$1,984.50 |
7.3× |
| CT abdomen and pelvis with contrast (74177) |
$3,598.20 |
$3,998 |
10.1× |
| Ultrasound, abdomen complete (76700) |
$798.30 |
$887 |
7.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$536.85 |
$596.50 |
5.0× |
| Ultrasound, transvaginal (76830) |
$481.50 |
$535 |
4.5× |
| Mammography, one breast (diagnostic) (77065) |
$216 |
$240 |
2.5× |
| Mammography, both breasts (diagnostic) (77066) |
$327.60 |
$364 |
3.0× |
| Mammography, screening (bilateral) (77067) |
$277.20 |
$308 |
3.0× |
| Basic metabolic panel (80048) |
$109.80 |
$122 |
13.0× |
| Comprehensive metabolic panel (80053) |
$145.80 |
$162 |
13.8× |
| Lipid panel (80061) |
$109.80 |
$122 |
8.2× |
| Renal function panel (80069) |
$158.40 |
$176 |
18.2× |
| Hepatic function panel (80076) |
$146.70 |
$163 |
18.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$20.70 |
$23 |
5.9× |
| PSA, total (84153) |
$133.65 |
$148.50 |
7.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$104.40 |
$116 |
6.2× |
| CBC with automated differential (85025) |
$85.50 |
$95 |
11.0× |
| CBC, automated (85027) |
$111.60 |
$124 |
17.2× |
| Prothrombin time (PT) (85610) |
$55.80 |
$62 |
13.0× |
| Partial thromboplastin time (PTT) (85730) |
$63.90 |
$71 |
10.6× |
| Left heart catheterization (93452) |
$5,789.54 |
$6,432.82 |
1.7× |
| Sleep study (attended polysomnography) (95810) |
$3,053.70 |
$3,393 |
3.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$121.50 |
$135 |
4.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$280.80 |
$312 |
2.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$405 |
$450 |
3.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$442.80 |
$492 |
3.3× |