| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,448.60 |
$4,081 |
2.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,738.40 |
$4,564 |
3.2× |
| Diagnostic colonoscopy (45378) |
$2,991 |
$4,985 |
3.4× |
| Colonoscopy with biopsy (45380) |
$4,174.20 |
$6,957 |
3.7× |
| Colonoscopy with lesion removal (45385) |
$4,174.20 |
$6,957 |
3.7× |
| Colonoscopy with endoscopic ultrasound (45391) |
$4,174.20 |
$6,957 |
3.7× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,577.40 |
$2,629 |
1.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,242.20 |
$3,737 |
2.7× |
| CT head/brain without contrast (70450) |
$1,164.60 |
$1,941 |
11.8× |
| MRI brain without contrast (70551) |
$1,981.80 |
$3,303 |
8.8× |
| MRI brain with contrast (70552) |
$1,563.60 |
$2,606 |
4.7× |
| MRI brain without and with contrast (70553) |
$1,916.40 |
$3,194 |
5.8× |
| X-ray lower spine, 4+ views (72110) |
$499.80 |
$833 |
5.1× |
| MRI lumbar spine without contrast (72148) |
$1,854.60 |
$3,091 |
8.2× |
| CT pelvis with contrast (72193) |
$1,788 |
$2,980 |
10.8× |
| MRI lower-extremity joint without contrast (73721) |
$1,765.20 |
$2,942 |
7.8× |
| CT abdomen and pelvis with contrast (74177) |
$4,180.20 |
$6,967 |
12.7× |
| Ultrasound, abdomen complete (76700) |
$536.70 |
$894.50 |
5.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$414.60 |
$691 |
4.2× |
| Ultrasound, transvaginal (76830) |
$339 |
$565 |
3.4× |
| Mammography, one breast (diagnostic) (77065) |
$336.60 |
$561 |
3.9× |
| Mammography, both breasts (diagnostic) (77066) |
$443.40 |
$739 |
4.0× |
| Mammography, screening (bilateral) (77067) |
$345 |
$575 |
3.8× |
| Basic metabolic panel (80048) |
$57.90 |
$96.50 |
6.8× |
| Comprehensive metabolic panel (80053) |
$69.60 |
$116 |
6.6× |
| Obstetric panel (80055) |
$124.20 |
$207 |
2.6× |
| Lipid panel (80061) |
$82.20 |
$137 |
6.1× |
| Renal function panel (80069) |
$203.40 |
$339 |
23.4× |
| Hepatic function panel (80076) |
$76.20 |
$127 |
9.3× |
| Urinalysis, non-automated, with microscopy (81000) |
$30 |
$50 |
7.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$20.40 |
$34 |
5.9× |
| PSA, total (84153) |
$139.80 |
$233 |
7.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$169.20 |
$282 |
10.1× |
| CBC with automated differential (85025) |
$70.20 |
$117 |
9.0× |
| CBC, automated (85027) |
$47.40 |
$79 |
7.3× |
| Prothrombin time (PT) (85610) |
$33.60 |
$56 |
7.8× |
| Partial thromboplastin time (PTT) (85730) |
$36.60 |
$61 |
6.1× |
| Psychotherapy, 30 minutes (90832) |
$129 |
$215 |
0.8× |
| Psychotherapy, 45 minutes (90834) |
$147.60 |
$246 |
0.9× |
| Psychotherapy, 60 minutes (90837) |
$220.80 |
$368 |
1.3× |
| Sleep study (attended polysomnography) (95810) |
$4,311 |
$7,185 |
5.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$147.60 |
$246 |
5.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$118.20 |
$197 |
0.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$160.20 |
$267 |
1.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$212.40 |
$354 |
1.7× |
| Preventive visit, new patient (age 18–39) (99385) |
$175.50 |
$292.50 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$192.60 |
$321 |
— |