| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,108.90 |
$4,265 |
1.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,038.62 |
$11,687 |
3.6× |
| Diagnostic colonoscopy (45378) |
$2,557.36 |
$9,836 |
2.9× |
| Colonoscopy with biopsy (45380) |
$3,189.68 |
$12,268 |
2.8× |
| Colonoscopy with lesion removal (45385) |
$3,580.20 |
$13,770 |
3.2× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$653.38 |
$2,513 |
0.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,137.72 |
$8,222 |
2.6× |
| CT head/brain without contrast (70450) |
$270.66 |
$1,041 |
2.7× |
| MRI brain without contrast (70551) |
$599.04 |
$2,304 |
2.7× |
| MRI brain with contrast (70552) |
$713.96 |
$2,746 |
2.2× |
| MRI brain without and with contrast (70553) |
$985.14 |
$3,789 |
3.0× |
| X-ray lower spine, 4+ views (72110) |
$176.28 |
$678 |
1.8× |
| MRI lumbar spine without contrast (72148) |
$643.24 |
$2,474 |
2.9× |
| CT pelvis with contrast (72193) |
$399.88 |
$1,538 |
2.4× |
| MRI lower-extremity joint without contrast (73721) |
$638.04 |
$2,454 |
2.8× |
| CT abdomen and pelvis with contrast (74177) |
$775.32 |
$2,982 |
2.4× |
| Ultrasound, abdomen complete (76700) |
$661.44 |
$2,544 |
6.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$426.66 |
$1,641 |
4.3× |
| Ultrasound, transvaginal (76830) |
$336.18 |
$1,293 |
3.4× |
| Mammography, one breast (diagnostic) (77065) |
$231.92 |
$892 |
2.7× |
| Mammography, both breasts (diagnostic) (77066) |
$463.84 |
$1,784 |
4.2× |
| Mammography, screening (bilateral) (77067) |
$272.74 |
$1,049 |
3.0× |
| Basic metabolic panel (80048) |
$21.58 |
$83 |
2.6× |
| Comprehensive metabolic panel (80053) |
$35.88 |
$138 |
3.4× |
| Obstetric panel (80055) |
$80.86 |
$311 |
1.7× |
| Lipid panel (80061) |
$21.06 |
$81 |
1.6× |
| Renal function panel (80069) |
$36.14 |
$139 |
4.2× |
| Hepatic function panel (80076) |
$21.58 |
$83 |
2.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$7.54 |
$29 |
2.2× |
| PSA, total (84153) |
$61.88 |
$238 |
3.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$43.16 |
$166 |
2.6× |
| CBC with automated differential (85025) |
$55.38 |
$213 |
7.1× |
| CBC, automated (85027) |
$27.30 |
$105 |
4.2× |
| Prothrombin time (PT) (85610) |
$24.44 |
$94 |
5.7× |
| Partial thromboplastin time (PTT) (85730) |
$49.79 |
$191.50 |
8.3× |
| Left heart catheterization (93452) |
$7,207.46 |
$27,721 |
2.4× |
| Sleep study (attended polysomnography) (95810) |
$2,236.78 |
$8,603 |
2.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$38.74 |
$149 |
1.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$148.72 |
$572 |
1.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$198.12 |
$762 |
1.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$179.27 |
$689.50 |
1.4× |
| Preventive visit, new patient (age 18–39) (99385) |
$159.64 |
$614 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$106.34 |
$409 |
— |